﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Li, Shenshen
   Wu, Yangfeng
   Du, Xin
   Li, Xian
   Patel, Anushka
   Peterson, Eric D.
   Turnbull, Fiona
   Lo, Serigne
   Billot, Laurent
   Laba, Tracey
   Gao, Runlin
CA CPACS-3 Investigators Beijing
TI Rational and design of a stepped-wedge cluster randomized trial
   evaluating quality improvement initiative for reducing cardiovascular
   events among patients with acute coronary syndromes in
   resource-constrained hospitals in China
SO AMERICAN HEART JOURNAL
VL 169
IS 3
BP 349
EP 355
DI 10.1016/j.ahj.2014.12.005
PD MAR 2015
PY 2015
AB Background Acute coronary syndromes (ACSs) are a major cause of
   morbidity and mortality, yet effective ACS treatments are frequently
   underused in clinical practice. Randomized trials including the CPACS-2
   study suggest that quality improvement initiatives can increase the use
   of effective treatments, but whether such programs can impact hard
   clinical outcomes has never been demonstrated in a well-powered
   randomized controlled trial.
   Design The CPACS-3 study is a stepped-wedge cluster-randomized trial
   conducted in 104 remote level 2 hospitals without PCI facilities in
   China. All hospitalized ACS patients will be recruited consecutively
   over a 30-month period to an anticipated total study population of more
   than 25,000 patients. After a 6-month baseline period, hospitals will be
   randomized to 1 of 4 groups, and a 6-component quality improvement
   intervention will be implemented sequentially in each group every 6
   months. These components include the following: establishment of a
   quality improvement team, implementation of a clinical pathway, training
   of physicians and nurses, hospital performance audit and feedback,
   online technical support, and patient education. All patients will be
   followed up for 6 months postdischarge. The primary outcome will be the
   incidence of in-hospital major adverse cardiovascular events comprising
   all-cause mortality, myocardial infarction or reinfarction, and nonfatal
   stroke.
   Conclusions The CPACS-3 study will be the first large randomized trial
   with sufficient power to assess the effects of a multifaceted quality of
   care improvement initiative on hard clinical outcomes, in patients with
   ACS.
RI Lo, Serigne/L-6220-2018; Peterson, Eric David/ABF-5033-2021; Billot, Laurent/Y-1241-2019; Woodward, Mark/; Patel, Anushka/; Laba, Tracey-Lea/H-8908-2013; Li, Xian/
OI Lo, Serigne/0000-0001-5092-5544; Billot, Laurent/0000-0002-4975-9793;
   Woodward, Mark/0000-0001-9800-5296; Patel, Anushka/0000-0003-3825-4092;
   Laba, Tracey-Lea/0000-0002-5182-9092; Li, Xian/0000-0001-5445-4022
ZS 0
TC 20
ZR 0
ZB 10
Z8 5
ZA 0
Z9 24
U1 0
U2 16
SN 0002-8703
EI 1097-5330
UT WOS:000351486800006
PM 25728724
ER

PT J
AU Nierenberg, D.
   Cannon, E.
TI A New Initiative With Multiple Sponsors to Help Prepare Medical Students
   to Be Safe and Effective Prescribers
SO CLINICAL PHARMACOLOGY & THERAPEUTICS
VL 97
IS 3
BP 208
EP 210
DI 10.1002/cpt.46
PD MAR 2015
PY 2015
AB Most medical schools in the US, and in other countries as well, continue
   to struggle to teach their medical students to be safe and effective
   prescribers before they graduate and set off for their residency
   programs. We describe a new initiative supported by several national
   organizations to help medical schools address this need by producing and
   making available online learning modules that can be used by medical
   students at any US medical school.
TC 1
ZA 0
ZS 0
ZB 1
Z8 0
ZR 0
Z9 1
U1 0
U2 1
SN 0009-9236
EI 1532-6535
UT WOS:000350281500020
PM 25670413
ER

PT J
AU Peteet, Bridgette J.
   Brown, Carrie M.
   Lige, Quiera M.
   Lanaway, Danni A.
TI Impostorism is Associated with Greater Psychological Distress and Lower
   Self-Esteem for African American Students
SO CURRENT PSYCHOLOGY
VL 34
IS 1
BP 154
EP 163
DI 10.1007/s12144-014-9248-z
PD MAR 2015
PY 2015
AB The impostor phenomenon (IP) is a feeling of incompetence and inadequacy
   despite evidence to the contrary. Feelings of impostorism are associated
   with poor psychological functioning, including psychological distress
   and low self-esteem. Though particularly salient in college students,
   samples of African American college students have rarely been studied.
   The present study seeks to address this gap by investigating
   impostorism's associations with psychological distress and self-esteem
   in an African American college student sample. We hypothesized that
   higher impostorism predicts higher psychological distress, and that
   higher impostorism predicts lower self-esteem. One hundred and twelve
   participants completed online measures of impostorism, psychological
   distress, and self-esteem. Using simple linear regression analyses, the
   results supported both hypotheses - higher impostorism predicted higher
   psychological distress and higher impostorism predicted lower
   self-esteem. The findings may be useful for mental health professionals
   working with African American college students to decrease the impact of
   imposter feelings on self-esteem, psychological distress, and academic
   performance.
OI Lanaway, Danni/0000-0003-3116-2005
Z8 0
TC 24
ZS 0
ZA 0
ZR 0
ZB 1
Z9 24
U1 1
U2 28
SN 1046-1310
EI 1936-4733
UT WOS:000350802900013
ER

PT J
AU Rudolph, I.
   Seilacher, E.
   Koester, M-J.
   Stellamanns, J.
   Liebl, P.
   Zell, J.
   Ludwig, S.
   Beck, V.
   Huebner, J.
TI Information Needs of Cancer Patients in Germany - a Survey of Patients
   and Relatives
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 140
IS 5
BP E43
EP E47
DI 10.1055/s-0041-100585
PD MAR 2015
PY 2015
RI HÃbner, Jutta/AAY-5396-2020
ZR 0
Z8 0
TC 21
ZS 0
ZB 7
ZA 0
Z9 21
U1 0
U2 12
SN 0012-0472
EI 1439-4413
UT WOS:000350732900001
PM 25734682
ER

PT J
AU Levy, Helen
   Janke, Alexander T.
   Langa, Kenneth M.
TI Health Literacy and the Digital Divide Among Older Americans
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 30
IS 3
BP 284
EP 289
DI 10.1007/s11606-014-3069-5
PD MAR 2015
PY 2015
AB Among the requirements for meaningful use of electronic medical records
   (EMRs) is that patients must be able to interact online with information
   from their records. However, many older Americans may be unprepared to
   do this, particularly those with low levels of health literacy.
   The purpose of the study was to quantify the relationship between health
   literacy and use of the Internet for obtaining health information among
   Americans aged 65 and older.
   We performed retrospective analysis of 2009 and 2010 data from the
   Health and Retirement Study, a longitudinal survey of a nationally
   representative sample of older Americans.
   Subjects were community-dwelling adults aged 65 years and older (824
   individuals in the general population and 1,584 Internet users).
   Our analysis included measures of regular use of the Internet for any
   purpose and use of the Internet to obtain health or medical information;
   health literacy was measured using the Rapid Estimate of Adult Literacy
   in Medicine-Revised (REALM-R) and self-reported confidence filling out
   medical forms.
   Only 9.7 % of elderly individuals with low health literacy used the
   Internet to obtain health information, compared with 31.9 % of those
   with adequate health literacy. This gradient persisted after controlling
   for sociodemographic characteristics, health status, and general
   cognitive ability. The gradient arose both because individuals with low
   health literacy were less likely to use the Internet at all (OR = 0.36
   [95 % CI 0.24 to 0.54]) and because, among those who did use the
   Internet, individuals with low health literacy were less likely to use
   it to get health or medical information (OR = 0.60 [95 % CI 0.47 to
   0.77]).
   Low health literacy is associated with significantly less use of the
   Internet for health information among Americans aged 65 and older.
   Web-based health interventions targeting older adults must address
   barriers to substantive use by individuals with low health literacy, or
   risk exacerbating the digital divide.
OI Langa, Kenneth/0000-0002-2798-1836
ZR 0
Z8 1
ZS 0
TC 124
ZB 15
ZA 0
Z9 126
U1 15
U2 75
SN 0884-8734
EI 1525-1497
UT WOS:000350886500007
PM 25387437
ER

PT J
AU Guertler, Diana
   Vandelanotte, Corneel
   Short, Camille
   Alley, Stephanie
   Schoeppe, Stephanie
   Duncan, Mitch J.
TI The Association Between Physical Activity, Sitting Time, Sleep Duration,
   and Sleep Quality as Correlates of Presenteeism
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 57
IS 3
BP 321
EP 328
DI 10.1097/JOM.0000000000000355
PD MAR 2015
PY 2015
AB Objective: This study aims to examine the relationship of lifestyle
   behaviors (physical activity, work and non-work sitting time, sleep
   quality, and sleep duration) with presenteeism while controlling for
   sociodemographics, work- and health-related variables. Methods: Data
   were collected from 710 workers (aged 20 to 76 years; 47.9% women) from
   randomly selected Australian adults who completed an online survey.
   Linear regression was used to examine the relationship between lifestyle
   behaviors and presenteeism. Results: Poorer sleep quality (standardized
   regression coefficients [B] = 0.112; P < 0.05), suboptimal duration (B =
   0.081; P < 0.05), and lowerwork sitting time (B = -0.086; P < 0.05) were
   significantly associated with higher presenteeism when controlling for
   all lifestyle behaviors. Engaging in three risky lifestyle behaviors was
   associated with higher presenteeism (B = 0.150; P < 0.01) compared with
   engaging in none or one. Conclusions: The results of this study
   highlight the importance of sleep behaviors for presenteeism and call
   for behavioral interventions that simultaneously address sleep in
   conjunction with other activity-related behaviors.
RI Gürtler, Diana/S-2696-2018; Vandelanotte, Corneel/ABF-5580-2020; Duncan, Mitch/V-1708-2019; Short, Camille/
OI Gürtler, Diana/0000-0002-2533-5347; Duncan, Mitch/0000-0002-9166-6195;
   Short, Camille/0000-0002-4177-4251
ZS 0
ZR 0
ZA 0
TC 32
ZB 12
Z8 1
Z9 33
U1 3
U2 45
SN 1076-2752
EI 1536-5948
UT WOS:000350797500018
PM 25742538
ER

PT J
AU Klee, David
   Covey, Carlton
   Zhong, Laura
TI Social Media Beliefs and Usage Among Family Medicine Residents and
   Practicing Family Physicians
SO FAMILY MEDICINE
VL 47
IS 3
BP 222
EP 226
PD MAR 2015
PY 2015
AB BACKGROUND AND OBJECTIVES: Incorporation of social media (SM) use in
   medicine is gaining support. The Internet is now a popular medium for
   people to solicit medical information. Usage of social networks, such as
   Face-book and Twitter, is growing daily and provides physicians with
   nearly instantaneous access to large populations for both marketing and
   patient education. The benefits are myriad, but so are the inherent
   risks. We investigated the role providers' age and medical experience
   played in their beliefs and use of SM in medicine.
   METHODS: Using multiple state-wide and national databases, we assessed
   social media use by family medicine residents, faculty, and practicing
   family physicians with a 24-question online survey. Descriptive data is
   compared by age and level of medical experience.
   RESULTS: A total of 61 family medicine residents and 192 practicing
   family physicians responded. There is a trend toward higher SM
   utilization in the younger cohort, with 90% of resident respondents
   reporting using SM, half of them daily. A total of 64% of family
   physician respondents over the age of 45 have a SM account. An equal
   percentage of senior physicians use SM daily or not at all. Practicing
   physicians, more than residents, agree that SM can be beneficial in
   patient care. The vast majority of residents and physicians polled
   believe that SM should be taught early in medical education.
   CONCLUSIONS: The high utilization of SM by younger providers, high
   prevalence of patient use of the Internet, and the countless beneficial
   opportunities SM offers should be catalysts to drive curriculum
   development and early implementation in medical education. This
   curriculum should focus around four pillars: professional standards for
   SM use, SM clinical practice integration, professional networking, and
   research.
Z8 0
ZA 0
ZS 4
ZB 5
ZR 0
TC 40
Z9 43
U1 4
U2 20
SN 0742-3225
EI 1938-3800
UT WOS:000351119500009
PM 25853534
ER

PT J
AU Dassel, Mark W.
   Daw, Megan A.
   Adelman, Marisa R.
   Bardsley, Tyler R.
   Kim, Jaewhan
   Zurawin, Robert K.
TI Compensation Among Graduated Fellowship in Minimally Invasive
   Gynecologic Surgery Fellows
SO JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
VL 22
IS 3
BP 469
EP 474
DI 10.1016/j.jmig.2014.12.157
PD MAR-APR 2015
PY 2015
AB Study Objective: The Fellowship in Minimally Invasive Gynecologic
   Surgery (FMIGS) is a postresidency fellowship developed with the mission
   to train the next generation of minimally invasive gynecologic surgeons.
   The need for surgeons trained in this field has increased, yet there
   remains a paucity of information regarding the compensation of these
   specialized surgeons.
   Design: A survey was sent via e-mail to FMIGS graduates (N = 221) using
   an online survey tool; it was sent twice more to increase the response
   rate between July and December 2013. The survey collected information on
   current and starting salaries and benefits as well as academic rank,
   location, practice type, and practice breadth. Comparisons were analyzed
   using multivariable linear regression models (Canadian Task Force
   Classification II-2).
   Setting: E-mail based survey.
   Patients: Graduates of the FMIGS.
   Interventions: A single survey sent 3 times.
   Measurements and Main Results: Of 221 graduates surveyed, 164 responded
   (response rate = 74%). Sixty-one percent of respondents (n = 100) were
   from academic institutions, and the remainder were from private practice
   (n = 64). Of all respondents, 27 (16.5%) reported less than 1 year of
   postfellowship experience and had a median starting salary of $216 399
   (range, $106 834-$542 930). Survey respondents were on average 3.3 years
   (range, 0-14) out of fellowship with a median salary of $238 198 (range,
   $108 200-$993 765). Academic surgeons (average experience = 3.4 years)
   earned $208 743 (range, $106 834-$542 930) compared with private
   practice surgeons (average experience = 3.2 years) who earned $233 020
   (range, $115 000-$454 448).
   Conclusion: Salaries and compensation benefits of graduates of the FMIGS
   are varied. This information is very relevant to those attempting to
   hire or become employed as gynecologic surgical specialists. (C) 2015
   AAGL. All rights reserved.
ZR 0
TC 2
ZB 0
Z8 0
ZS 0
ZA 0
Z9 2
U1 0
U2 1
SN 1553-4650
EI 1553-4669
UT WOS:000351481200026
PM 25576889
ER

PT J
AU Falcone, John L.
   Croteau, Alfred J.
   Schenarts, Kimberly D.
TI The Role of Gender and Distance Mentoring in the Surgical Education
   Research Fellowship
SO JOURNAL OF SURGICAL EDUCATION
VL 72
IS 2
BP 330
EP 337
DI 10.1016/j.jsurg.2014.08.009
PD MAR-APR 2015
PY 2015
AB OBJECTIVE: The nature of the mentor-mentee relationship is important in
   the pursuit of successful research projects. The purpose of this study
   is to evaluate the mentor-mentee relationships in the Surgical Education
   Research Fellowship (SERF) based on gender and geographical distances
   regarding program completion. We hypothesize that there are no
   differences for SERF program completion rates based on gender pairs and
   distances between pairs.
   METHODS: This was a retrospective study from 2006 to 2011. Mentor-mentee
   rosters were retrospectively reviewed for program completion,
   demographics, and PubMeD indexing. Time zone differences and geographic
   distances between pairs were found with online applications. Chi-square
   tests were used for categorical variables and non-parametric statistics
   were carried out using alpha = 0.05.
   RESULTS: Of the 82 individuals accepted into the SERF program, 43 (52%)
   completed the SERF program during the study period. There were no
   differences in program completion rates based on fellow gender and
   gender pairing (all p > 0.05). Different-gender pairs that completed the
   program (n = 17) were indexed more frequently on PubMed than same-gender
   pairs that completed the program (n = 24) (41% vs 12%, p = 0.04). There
   were no differences in program completion based on time zone differences
   (p = 0.20). The median distance between pairs completing the program (n
   = 35) was greater than that for pairs not completing the program (n =
   36) (1741 km [IQR: 895-3117 km] vs 991 km [IQR: 676-2601 km]; p = 0.03).
   CONCLUSION: Completion of the SERF program was independent of
   mentor-mentee gender pairs and time zone differences. There was greater
   geographical distance separating mentor-mentee pairs that completed the
   SERF program compared with pairs that did not complete the program.
   Distance mentoring is a successful and crucial element of the SERF
   program. (C) 2014 Association of Program Directors in Surgery. Published
   by Elsevier Inc. All rights reserved.
OI Falcone, John/0000-0002-6420-3582
ZB 2
ZR 0
Z8 0
TC 6
ZA 0
ZS 0
Z9 6
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000351026100024
PM 25267701
ER

PT J
AU Janse, Julienne A.
   Driessen, Sara R. C.
   Veersema, Sebastiaan
   Broekmans, Frank J. M.
   Jansen, Frank W.
   Schreuder, Henk W. R.
TI Training of Hysteroscopic Skills in Residency Program: The Dutch
   Experience
SO JOURNAL OF SURGICAL EDUCATION
VL 72
IS 2
BP 345
EP 350
DI 10.1016/j.jsurg.2014.09.003
PD MAR-APR 2015
PY 2015
AB STUDY OBJECTIVE: To evaluate whether hysteroscopy training in the Dutch
   gynecological residency program is judged as sufficient in daily
   practice, by assessment of the opinion on hysteroscopy training and
   current performance of hysteroscopic procedures. In addition, the extent
   of progress in comparison with that of the residency program of a decade
   ago is reviewed.
   DESIGN: Survey (Canadian Task Force Classification III).
   PARTICIPANTS: Postgraduate years 5 and 6 residents in obstetrics and
   gynecology and gynecologists who finished residency within 2008 to 2013
   in the Netherlands.
   INTERVENTION: Subjects received an online survey regarding performance
   and training of hysteroscopy, self-perceived competence, and
   hysteroscopic skills acquirement.
   RESULTS: Response rate was 65% of the residents and 73% of the
   gynecologists. Most residents felt adequately prepared for basic
   hysteroscopic procedures (86.7%), but significantly less share this
   opinion for advanced procedures (64.5%) (p < 0.01). In comparison with
   their peers in 2003, the current residents demonstrated a 10% higher
   appreciation of the training curriculum. However, their self-perceived
   competence did not increase, except for diagnostic hysteroscopy.
   Regarding daily practice, not only do more gynecologists perform
   advanced procedures nowadays but also their competence level received
   higher scores in comparison with gynecologists in 2003. Lack of
   simulation training was indicated to be the most important factor during
   residency that could be enhanced for optimal acquirement of
   hysteroscopic skills.
   CONCLUSION: Implementation of hysteroscopic procedures taught during
   residency training in the Netherlands has improved since 2003 and is
   judged as sufficient for basic procedures. The skills of surgical
   educators have progressed toward a level in which gynecologists feel
   competent to teach and supervise advanced hysteroscopic procedures. Even
   though the residency preparation for hysteroscopy is more highly
   appreciated than a decade ago, this study indicated that simulation
   training might serve as an additional method to improve hysteroscopic
   skills acquisition. Future research is needed to determine the value of
   simulation training in hysteroscopy. (C) 2014 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.
RI Schreuder, Henk/AAG-4737-2020; /
OI /0000-0001-9564-0622
TC 8
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
Z9 8
U1 0
U2 2
SN 1931-7204
EI 1878-7452
UT WOS:000351026100026
PM 25439181
ER

PT J
AU Nicksa, Grace A.
   Anderson, Cristan
   Fidler, Richard
   Stewart, Lygia
TI Innovative Approach Using Interprofessional Simulation to Educate
   Surgical Residents in Technical and Nontechnical Skills in High-Risk
   Clinical Scenarios
SO JAMA SURGERY
VL 150
IS 3
BP 201
EP 207
DI 10.1001/jamasurg.2014.2235
PD MAR 2015
PY 2015
AB IMPORTANCE The Accreditation Council for Graduate Medical Education core
   competencies stress nontechnical skills that can be difficult to
   evaluate and teach to surgical residents. During emergencies, surgeons
   work in interprofessional teams and are required to perform certain
   procedures. To obtain proficiency in these skills, residents must be
   trained.
   OBJECTIVE To educate surgical residents in leadership, teamwork,
   effective communication, and infrequently performed emergency surgical
   procedures with the use of interprofessional simulations.
   DESIGN, SETTING, AND PARTICIPANTS SimMan 3GS was used to simulate
   high-risk clinical scenarios (15-20 minutes), followed by debriefings
   with real-time feedback (30 minutes). A modified Oxford Non-Technical
   Skills scale (score range, 1-4) was used to assess surgical resident
   performance during the first half of the academic year (July-December
   2012) and the second half of the academic year (January-June 2013).
   Anonymous online surveys were used to solicit participant feedback.
   Simulations were conducted in the operating room, intensive care unit,
   emergency department, ward, and simulation center. A total of 43
   surgical residents (postgraduate years [PGYs] 1 and 2) participated in
   interdisciplinary clinical scenarios, with other health care
   professionals (nursing, anesthesia, critical care, medicine, respiratory
   therapy, and pharmacy; mean number of nonsurgical participants/session:
   4, range 0-9). Thirty seven surgical residents responded to the survey.
   EXPOSURES Simulation of high-risk clinical scenarios: postoperative
   pulmonary embolus, pneumothorax, myocardial infarction, gastrointestinal
   bleeding, anaphylaxis with a difficult airway, and pulseless electrical
   activity arrest.
   MAIN OUTCOMES AND MEASURES Evaluation of resident skills: communication,
   leadership, teamwork, problem solving, situation awareness, and
   confidence in performing emergency procedures (eg, cricothyroidotomy).
   RESULTS A total of 31 of 35 (89%) of the residents responding found the
   sessions useful. Additionally, 28 of 33 (85%) reported improved
   confidence doing procedures and 29 of 37 (78%) reported knowing when the
   procedure should be applied. Oxford Non-Technical Skills evaluation
   demonstrated significant improvement in PGY 2 resident performance
   assessed during the 2 study periods: communication score increased from
   3 to 3.71 (P = .01), leadership score increased from 2.77 to 3.86 (P <
   .001), teamwork score increased from 3.15 to 3.86 (P = .007), and
   procedural ability score increased from 2.23 to 3.43 (P = .03). There
   were no statistically significant improved scores in PGY 2 decision
   making or situation awareness. No improvements in skills were seen among
   PGY 1 participants.
   CONCLUSIONS AND RELEVANCE The PGY 2 residents improved their skills, but
   the PGY 1 residents did not. Participants found interprofessional
   simulations to be realistic and a valuable educational tool.
   Interprofessional simulation provides a valuable means of educating
   surgical residents and evaluating their skills in real-life clinical
   scenarios.
ZS 2
ZA 0
ZB 10
TC 63
Z8 1
ZR 0
Z9 66
U1 2
U2 23
SN 2168-6254
EI 2168-6262
UT WOS:000351636800003
PM 25565037
ER

PT J
AU Ford, P.
   Tran, P.
   Keen, B.
   Gartner, C.
TI Survey of Australian oral health practitioners and their smoking
   cessation practices
SO AUSTRALIAN DENTAL JOURNAL
VL 60
IS 1
BP 43
EP 51
DI 10.1111/adj.12270
PD MAR 2015
PY 2015
AB BackgroundSmoking is a significant health and economic burden in
   Australia. Studies of smoking cessation practices in dental settings
   have primarily concentrated on dentists rather than other oral health
   practitioner (OHP) groups (dental hygienists, dental therapists and oral
   health therapists). The aim of this study was to measure Australian
   OHPs' attitudes, behaviours, interest and barriers to delivering smoking
   cessation interventions.
   MethodsMembers of the two peak professional bodies representing
   Australian OHPs were invited to participate in an anonymous online
   questionnaire.
   ResultsThere were discrepancies between practitioner attitudes and
   current smoking cessation practices. While the majority of practitioners
   (90.1%) frequently screened for smoking behaviour, fewer (51.1%)
   assisted patients to quit smoking. The principal form of assistance was
   referral to Quitline (45.7%) or to a general medical practitioner
   (44.4%). The most prevalent barriers identified were lack of knowledge
   of pharmacological treatments (45.8%) and lack of access to smoking
   cessation resources (44.2%). Contrary to international studies, time and
   financial incentive were not commonly cited barriers to delivering
   smoking cessation interventions.
   ConclusionsThis survey identifies a need for continuing education in
   smoking cessation practice. Dissemination of policies, guidelines and
   resources may assist OHPs to become more engaged and confident in
   delivering smoking cessation interventions as part of their routine
   practice.
RI Ford, Pauline J/F-1232-2010; Ford, Pauline/ABI-1007-2020; Gartner, Coral/F-7306-2010
OI Ford, Pauline J/0000-0002-0901-2863; Ford, Pauline/0000-0002-0901-2863;
   Gartner, Coral/0000-0002-6651-8035
Z8 0
ZR 0
ZB 3
ZS 0
ZA 0
TC 19
Z9 19
U1 0
U2 15
SN 0045-0421
EI 1834-7819
UT WOS:000350459000008
PM 25721277
ER

PT J
AU Thoma, Brent
   Sanders, Jason L
   Lin, Michelle
   Paterson, Quinten S
   Steeg, Jordon
   Chan, Teresa M
TI The social media index: measuring the impact of emergency medicine and
   critical care websites.
SO The western journal of emergency medicine
VL 16
IS 2
BP 242
EP 9
DI 10.5811/westjem.2015.1.24860
PD 2015-Mar
PY 2015
AB INTRODUCTION: The number of educational resources created for emergency
   medicine and critical care (EMCC) that incorporate social media has
   increased dramatically. With no way to assess their impact or quality,
   it is challenging for educators to receive scholarly credit and for
   learners to identify respected resources. The Social Media index (SMi)
   was developed to help address this.
   METHODS: We used data from social media platforms (Google PageRanks,
   Alexa Ranks, Facebook Likes, Twitter Followers, and Google+ Followers)
   for EMCC blogs and podcasts to derive three normalized (ordinal,
   logarithmic, and raw) formulas. The most statistically robust formula
   was assessed for 1) temporal stability using repeated measures and
   website age, and 2) correlation with impact by applying it to EMCC
   journals and measuring the correlation with known journal impact
   metrics.
   RESULTS: The logarithmic version of the SMi containing four metrics was
   the most statistically robust. It correlated significantly with website
   age (Spearman r=0.372; p<0.001) and repeated measures through seven
   months (r=0.929; p<0.001). When applied to EMCC journals, it correlated
   significantly with all impact metrics except number of articles
   published. The strongest correlations were seen with the Immediacy Index
   (r=0.609; p<0.001) and Article Influence Score (r=0.608; p<0.001).
   CONCLUSION: The SMi's temporal stability and correlation with journal
   impact factors suggests that it may be a stable indicator of impact for
   medical education websites. Further study is needed to determine whether
   impact correlates with quality and how learners and educators can best
   utilize this tool.
RI Thoma, Brent/ABI-2642-2020; Thoma, Brent/AAS-8775-2020; Chan, Teresa/T-6676-2017; Paterson, Quinten/
OI Thoma, Brent/0000-0003-1124-5786; Chan, Teresa/0000-0001-6104-462X;
   Paterson, Quinten/0000-0001-5825-8483
TC 72
ZB 1
ZR 0
ZS 1
ZA 0
Z8 0
Z9 73
U1 0
U2 3
EI 1936-9018
UT MEDLINE:25834664
PM 25834664
ER

PT J
AU Heilman, James M.
   West, Andrew G.
TI Wikipedia and Medicine: Quantifying Readership, Editors, and the
   Significance of Natural Language
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 17
IS 3
AR e62
DI 10.2196/jmir.4069
PD MAR 2015
PY 2015
AB Background: Wikipedia is a collaboratively edited encyclopedia. One of
   the most popular websites on the Internet, it is known to be a
   frequently used source of health care information by both professionals
   and the lay public.
   Objective: This paper quantifies the production and consumption of
   Wikipedia's medical content along 4 dimensions. First, we measured the
   amount of medical content in both articles and bytes and, second, the
   citations that supported that content. Third, we analyzed the medical
   readership against that of other health care websites between
   Wikipedia's natural language editions and its relationship with disease
   prevalence. Fourth, we surveyed the quantity/characteristics of
   Wikipedia's medical contributors, including year-over-year participation
   trends and editor demographics.
   Methods: Using a well-defined categorization infrastructure, we
   identified medically pertinent English-language Wikipedia articles and
   links to their foreign language equivalents. With these, Wikipedia can
   be queried to produce metadata and full texts for entire article
   histories. Wikipedia also makes available hourly reports that aggregate
   reader traffic at per-article granularity. An online survey was used to
   determine the background of contributors. Standard mining and
   visualization techniques (eg, aggregation queries, cumulative
   distribution functions, and/or correlation metrics) were applied to each
   of these datasets. Analysis focused on year-end 2013, but historical
   data permitted some longitudinal analysis.
   Results: Wikipedia's medical content (at the end of 2013) was made up of
   more than 155,000 articles and 1 billion bytes of text across more than
   255 languages. This content was supported by more than 950,000
   references. Content was viewed more than 4.88 billion times in 2013.
   This makes it one of if not the most viewed medical resource(s)
   globally. The core editor community numbered less than 300 and declined
   over the past 5 years. The members of this community were half health
   care providers and 85.5% (100/117) had a university education.
   Conclusions: Although Wikipedia has a considerable volume of
   multilingual medical content that is extensively read and
   well-referenced, the core group of editors that contribute and maintain
   that content is small and shrinking in size.
OI West, Andrew/0000-0001-5840-1032
Z8 0
ZR 1
TC 68
ZS 0
ZB 15
ZA 0
Z9 70
U1 2
U2 26
SN 1438-8871
UT WOS:000350639600021
PM 25739399
ER

PT J
AU Raupach, Tobias
   Al-Harbi, Ghada
   McNeill, Ann
   Bobak, Alex
   McEwen, Andy
TI Smoking Cessation Education and Training in UK Medical Schools: A
   National Survey
SO NICOTINE & TOBACCO RESEARCH
VL 17
IS 3
BP 372
EP 375
DI 10.1093/ntr/ntu199
PD MAR 2015
PY 2015
AB Introduction: Smoking cessation is one of the most cost-effective of all
   health interventions. Physicians are in a strong position to encourage
   smokers to make a quit attempt and to help them achieve long-term
   abstinence. Formal teaching on tobacco-related disease, the evidence
   base of smoking cessation, and practical skills training regarding
   cessation advice and counseling are therefore important parts of
   undergraduate medical education. A survey of U.K. medical schools
   conducted 11 years ago revealed substantial deficits in the curricular
   coverage of these topics. This study aimed at establishing whether the
   situation has improved since then.
   Methods: In 2013, all U.K. medical schools were invited to participate
   in an online survey of their curricular coverage of tobacco addiction
   and smoking cessation.
   Results: Of the 33 medical schools, 22 (67%) schools responded. Health
   effects of smoking were addressed in more than 90% of curricula, and
   factual knowledge on nicotine addiction and withdrawal symptoms was
   covered in 50% of curricula. Only 1 in 3 medical schools offered
   practical skills training in artificial (i.e., role play) or clinical
   settings, and 50% of schools did not address smoking in summative
   assessments.
   Conclusions: Practical skills training regarding cessation counseling is
   insufficient at most U.K. medical schools and may have become worse
   during the last 11 years. Increased curricular coverage-including
   summative assessments-of these topics would ensure that future
   physicians are adequately equipped to encourage and support effective
   evidence-based quit attempts in their patients.
OI McNeill, Ann/0000-0002-6223-4000; Al-Harbi, Dr.
   Ghada/0000-0003-0786-3055
ZB 3
ZS 1
Z8 0
TC 26
ZR 0
ZA 0
Z9 26
U1 0
U2 14
SN 1462-2203
EI 1469-994X
UT WOS:000350949600016
PM 25257981
ER

PT J
AU Fuoco, Michael
   Leveridge, Michael J.
TI Early adopters or laggards? Attitudes toward and use of social media
   among urologists
SO BJU INTERNATIONAL
VL 115
IS 3
BP 491
EP 497
DI 10.1111/bju.12855
PD MAR 2015
PY 2015
AB Objective
   To understand the attitudes and practices of urologists regarding social
   media use. Social media services have become ubiquitous, but their role
   in the context of medical practice is underappreciated.
   Subjects and Methods
   A survey was sent to all active members of the Canadian Urological
   Association by e-mail and surface mail. Likert scales were used to
   assess engagement in social media, as well as attitudes toward physician
   responsibilities, privacy concerns and patient interaction online.
   Results
   Of 504 surveys delivered, 229 were completed (45.4%). Urologists
   reported frequent or daily personal and professional social media use in
   26% and 8% of cases, respectively. There were no differences between
   paper (n = 103) or online (n = 126; P > 0.05) submissions. Among
   frequent social media users, YouTube (TM) (86%), Facebook (TM) (76%),
   and Twitter (TM) (41%) were most commonly used; 12% post content or
   links frequently to these sites. The most common perceived roles of
   social media in health care were for inter-professional communication
   (67%) or as a simple information repository (59%); online patient
   interaction was endorsed by 14% of urologists. Fewer than 19% had read
   published guidelines for online patient interaction, and <= 64% were
   unaware of their existence. In all, 94.6% agreed that physicians need to
   exercise caution personal social media posting, although 57% felt that
   medical regulatory bodies should 'stay out of [their] personal social
   media activities', especially those in practice <10 years (P = 0.001).
   In all, 56% agreed that social media integration in medical practice
   will be 'impossible' due to privacy and boundary issues; 73% felt that
   online interaction with patients would become unavoidable in the future,
   especially those in practice > 20 years (P = 0.02).
   Conclusion
   Practicing urologists engage infrequently in social media activities,
   and are almost universal in avoiding social media for professional use.
   Most feel that social media is best kept to exchanges between
   colleagues. Emerging data suggest an increasing involvement is likely in
   the continuing professional development space.
ZS 0
ZR 0
Z8 0
ZA 0
ZB 6
TC 46
Z9 46
U1 0
U2 17
SN 1464-4096
EI 1464-410X
UT WOS:000350111100029
PM 24981237
ER

PT J
AU Alnabelsi, Talal
   Al-Hussaini, Ali
   Owens, David
TI Comparison of traditional face-to-face teaching with synchronous
   e-learning in otolaryngology emergencies teaching to medical
   undergraduates: a randomised controlled trial
SO EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
VL 272
IS 3
BP 759
EP 763
DI 10.1007/s00405-014-3326-6
PD MAR 2015
PY 2015
AB Undergraduate otolaryngology teaching in the UK is generally limited
   primarily due to curriculum time constraints with traditional
   face-to-face (FtF) teaching being restrained by the limitations of time
   and location. Advances in network technology have opened up new doors
   for the delivery of teaching in the form of online learning. This study
   compares a traditional instructor-led lecture with synchronous
   e-learning (SeL) using otolaryngological emergencies teaching as an
   educational intervention. A randomised controlled trial was designed
   involving two groups of medical students attending an otolaryngology
   emergencies management lecture: one present FtF and the other viewing
   the streamed lecture online. The primary outcome measure was improvement
   between pre-and post-lecture test scores. Secondary outcomes comprised
   the students' ratings of the lecture on a Likert-type scale. Students in
   both groups had improved test scores following the lecture (p < 0.001
   for both groups) and there was no difference in magnitude of improvement
   in test scores between the two groups (p = 0.168). There was no
   difference in student ratings between the two groups for the usefulness
   of the lecture (p = 0.484), interactivity (p = 0.834) and meeting
   educational needs (p = 0.968). The FtF group, however, was more
   satisfied overall (p = 0.034). This study demonstrates that SeL may be
   as effective as FtF teaching in improving students' knowledge on the
   management of otolaryngological emergencies, and that it is generally
   positively perceived by medical undergraduates. This highlights the
   potential utility of e-learning technology in undergraduate
   otolaryngology training.
ZB 4
ZR 0
Z8 0
TC 27
ZA 0
ZS 0
Z9 27
U1 0
U2 27
SN 0937-4477
EI 1434-4726
UT WOS:000350031400033
PM 25308244
ER

PT J
AU Chisolm, Deena J.
   Sarkar, Madhurima
TI E-Health Use in African American Internet Users: Can New Tools Address
   Old Disparities?
SO TELEMEDICINE AND E-HEALTH
VL 21
IS 3
BP 163
EP 169
DI 10.1089/tmj.2014.0107
PD MAR 1 2015
PY 2015
AB Objective: Web-based health information may be of particular value among
   the African American population due to its potential to reduce
   communication inequalities and empower minority groups. This study
   explores predictors of e-health behaviors and activities for African
   American Internet users. Materials and Methods: We used the 2010 Pew
   Internet and American Life Health Tracking Survey to examine
   sociodemographic and health status predictors of e-health use behaviors
   among African Americans. E-health use behaviors included searching for
   e-health information, conducting interactive health-related activities,
   and tracking health information online. Results: In the African American
   subsample, 55% (n=395) were at least "occasional" Internet users. Our
   model suggests that searching for health information online was
   positively associated with being helped/knowing someone helped by online
   information (odds ratio [OR]=5.169) and negatively associated with lower
   income (OR=0.312). Interactive health activities were associated with
   having a college education (OR=3.264), being 65 years of age or older
   (OR=0.188), having a family member living with chronic conditions
   (OR=2.191), having a recent medical crisis (OR=2.863), and being
   helped/knowing someone helped by online information (OR=8.335).
   E-tracking behaviors were significantly stronger among African Americans
   who had health insurance (OR=3.907), were helped/knowing someone helped
   by online information (OR=4.931), and were social media users
   (OR=4.799). Conclusions: Findings suggest significant differences in
   e-health information-seeking behaviors among African American Internet
   users-these differences are mostly related to personal and family health
   concerns and experiences. Targeted online e-health resources and
   interventions can educate and empower a significant subset of the
   population.
ZB 1
Z8 0
ZS 0
ZR 0
TC 8
ZA 0
Z9 8
U1 0
U2 11
SN 1530-5627
EI 1556-3669
UT WOS:000350882900005
PM 25536065
ER

PT J
AU Kozin, Elliott D.
   Sethi, Rosh K. V.
   Lehmann, Ashton
   Remenschneider, Aaron K.
   Golub, Justin S.
   Reyes, Samuel A.
   Emerick, Kevin S.
   Lee, Daniel J.
   Gray, Stacey T.
TI Analysis of an Online Match Discussion Board: Improving the
   Otolaryngology-Head and Neck Surgery Match
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 152
IS 3
BP 458
EP 464
DI 10.1177/0194599814561187
PD MAR 2015
PY 2015
AB Objective The Match has become the accepted selection process for
   graduate medical education. Otomatch.com has provided an online forum
   for Otolaryngology-Head and Neck Surgery (OHNS) Match-related questions
   for over a decade. Herein, we aim to delineate the type of posts on
   Otomatch to better understand the perspective of medical students
   applying for OHNS residency.
   Study Design Retrospective review of an OHNS Match-related online forum.
   Subjects and Methods Subjects were contributors to an OHNS Match-related
   online forum. Posts on Otomatch between December 2001 and April 2014
   were reviewed. The title of each thread and number of views were
   recorded for quantitative analysis. Each thread was organized into 1 of
   6 major categories and 1 of 18 subcategories. National Resident Matching
   Program (NRMP) data were utilized for comparison.
   Results We identified 1921 threads corresponding to over 2 million page
   views. Over 40% of threads were related to questions about specific
   programs, and 27% were discussions about interviews. Views, a surrogate
   measure for popularity, reflected different trends. The majority of
   individuals viewed posts on interviews (42%), program-specific questions
   (20%), and how to rank programs (11%). There was an increase in
   viewership tracked with a rise in applicant numbers based on NRMP data.
   Conclusion Our study provides an in-depth analysis of a popular
   discussion forum for medical students interested in the OHNS Match
   process. The most viewed posts are about interview dates and questions
   regarding specific programs. We provide suggestions to address unmet
   needs for medical students and potentially improve the Match process.
RI Golub, Justin S./AAC-1653-2019; Lee, Daniel/N-5422-2019; Remenschneider, Aaron/
OI Golub, Justin S./0000-0003-2432-5291; Remenschneider,
   Aaron/0000-0003-0989-6264
ZB 2
ZA 0
TC 10
Z8 0
ZS 0
ZR 0
Z9 10
U1 0
U2 3
SN 0194-5998
EI 1097-6817
UT WOS:000350477100012
PM 25550223
ER

PT J
AU Bol, N.
   Smets, E. M. A.
   Eddes, E. H.
   de Haes, J. C. J. M.
   Loos, E. F.
   van Weert, J. C. M.
TI Illustrations enhance older colorectal cancer patients' website
   satisfaction and recall of online cancer information
SO EUROPEAN JOURNAL OF CANCER CARE
VL 24
IS 2
BP 213
EP 223
DI 10.1111/ecc.12283
PD MAR 2015
PY 2015
AB This study aims to investigate the effects of illustrations in online
   cancer information on older cancer patients' website satisfaction (i.e.
   satisfaction with the attractiveness, comprehensibility and emotional
   support from the website) and recall of information. In an online
   experiment, 174 younger (<65 years) and older (65 years) colorectal
   cancer patients were randomly exposed to a webpage about transanal
   endoscopic microsurgery consisting of either text-only information, text
   with two cognitive illustrations or text with two affective
   illustrations. In general, adding cognitive illustrations compared with
   text-only information improved the satisfaction with the attractiveness
   of the website in both younger and older patients. For older patients in
   particular, cognitive illustrations facilitated recall of cancer
   information: whereas older patients recalled less information overall
   compared with younger patients (39% vs. 50%), no statistically
   significant differences in age on recall were observed when cognitive
   illustrations were added to text. Furthermore, older patients were more
   satisfied with the emotional support from the website than younger
   patients, especially when affective illustrations were present. Our
   results suggest that effective online cancer communication for ageing
   populations involves considering both cognitive and affective
   illustrations to enhance website satisfaction and recall of cancer
   information.
RI Loos, Eugene/AAE-8976-2019; Smets, Ellen/; Bol, Nadine/
OI Smets, Ellen/0000-0002-8145-8595; Bol, Nadine/0000-0002-6895-9512
ZR 0
Z8 0
ZS 0
ZA 0
TC 16
ZB 0
Z9 16
U1 0
U2 11
SN 0961-5423
EI 1365-2354
UT WOS:000350309700009
PM 25615269
ER

PT J
AU Villanti, Andrea C.
   Pearson, Jennifer L.
   Cantrell, Jennifer
   Vallone, Donna M.
   Rath, Jessica M.
TI Patterns of combustible tobacco use in US young adults and potential
   response to graphic cigarette health warning labels
SO ADDICTIVE BEHAVIORS
VL 42
BP 119
EP 125
DI 10.1016/j.addbeh.2014.11.011
PD MAR 2015
PY 2015
AB In the evolving landscape of tobacco use, it remains unclear how tobacco
   control efforts should be designed and promoted for maximum impact. The
   current study links the identification of latent classes of young adult
   combustible tobacco users with anticipated responses to graphic health
   warning labels (HWLs). Data were collected in January 2012 using an
   online address-based panel as part of the Legacy Young Adult Cohort
   Study, and analyses were conducted in 2013. Latent class analyses
   identified five groups of tobacco users in a national sample of 4,236
   young adults aged 18-34 years: (1) little cigar/cigarillo/bidi (LCC) and
   hookah users (4%); (2) nonusers, open to smoking (3%); (3) daily smokers
   who self-identify as "smokers" (11%); (4) nondaily, light smokers who
   self-identify as "social or occasional smokers" (9%); and (5) nonusers
   closed to smoking (73%). Of the nonusers closed to smoking, 23% may be
   better characterized as at risk for tobacco initiation. Results indicate
   differences in the potential effectiveness of HWLs across classes.
   Compared to the daily "smokers," LCC and hookah users (RRR = 2.35) and
   nonusers closed to smoking (RRR = 2.33) were more than twice as likely
   to report that new graphic HWLs would make them think about not smoking.
   This study supports the potential of graphic HWLs to prevent young
   nonusers from using tobacco products. It suggests that the extension of
   prominent HWLs to other tobacco products, including LCCs and hookah
   tobacco, may also serve a prevention function. (C) 2014 Elsevier Ltd.
   All rights reserved.
RI Pearson, Jennifer L/AAZ-9398-2020; Villanti, Andrea/ABE-6283-2020; Villanti, Andrea/AAM-9433-2021
OI Pearson, Jennifer L/0000-0002-1400-5932; Villanti,
   Andrea/0000-0003-3104-966X; Villanti, Andrea/0000-0003-3104-966X
ZB 2
ZS 0
ZR 0
TC 5
ZA 0
Z8 0
Z9 5
U1 0
U2 12
SN 0306-4603
EI 1873-6327
UT WOS:000348555100022
PM 25437268
ER

PT J
AU Prober, Allen S.
   Ledermann, Eric
   Norbash, Alexander
   Mehan, William A., Jr.
   Bedi, Harprit S.
TI Fulfilling the Health Care Economics Milestones: Adopting an Online
   Curriculum for Radiology Residency Programs
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 12
IS 3
BP 314
EP 317
DI 10.1016/j.jacr.2014.09.030
PD MAR 2015
PY 2015
Z8 0
ZS 0
ZB 0
ZA 0
TC 9
ZR 0
Z9 9
U1 0
U2 0
SN 1546-1440
UT WOS:000351021500025
PM 25743927
ER

PT J
AU Cutrona, Sarah L.
   Mazor, Kathleen M.
   Vieux, Sana N.
   Luger, Tana M.
   Volkman, Julie E.
   Rutten, Lila J. Finney
TI Health Information-Seeking on Behalf of Others: Characteristics of
   "Surrogate Seekers"
SO JOURNAL OF CANCER EDUCATION
VL 30
IS 1
BP 12
EP 19
DI 10.1007/s13187-014-0701-3
PD MAR 2015
PY 2015
AB Understanding the behaviors of surrogate seekers (those who seek health
   information for others) may guide efforts to improve health information
   transmission. We used 2011-2012 data from the Health Information
   National Trends Survey to describe behaviors of online surrogate
   seekers. Respondents were asked about use of the Internet for
   surrogate-seeking over the prior 12 months. Data were weighted to
   calculate population estimates. Two thirds (66.6 %) reported
   surrogate-seeking. Compared to those who sought health information
   online for only themselves, surrogate seekers were more likely to live
   in households with others (weighted percent 89.4 vs. 82.5 % of
   self-seekers; p < 0.05); no significant differences in sex, race, income
   or education were observed. Surrogate seekers were more likely to report
   activities requiring user-generated content: email communication with
   healthcare providers; visits to social networking sites to read and
   share about medical topics and participation in online health support
   groups. On multivariate analysis, those who had looked online for
   healthcare providers were more likely to be surrogate seekers (OR 1.67,
   95 % CI 1.08-2.59). In addition to seeking health information, surrogate
   seekers create and pass along communications that may influence medical
   care decisions. Research is needed to identify ways to facilitate
   transmission of accurate health information.
TC 45
ZB 4
ZR 0
Z8 1
ZS 0
ZA 0
Z9 46
U1 6
U2 51
SN 0885-8195
EI 1543-0154
UT WOS:000349759300003
PM 24989816
ER

PT J
AU Rimoin, Lauren
   Altieri, Lisa
   Craft, Noah
   Krasne, Sally
   Kellman, Philip J.
TI Training pattern recognition of skin lesion morphology, configuration,
   and distribution
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 72
IS 3
BP 489
EP 495
DI 10.1016/j.jaad.2014.11.016
PD MAR 2015
PY 2015
AB Background: The ability to reliably recognize and classify a range of
   skin signs and symptoms remains a necessary skill across most clinical
   disciplines but one that is traditionally mastered via nonsystematic
   experience over long periods.
   Objective: We investigated whether online Perceptual and Adaptive
   Learning Modules (PALMs) could efficiently train preclerkship medical
   students to identify and discriminate primary skin lesion morphologies,
   configurations, and anatomic distributions.
   Methods: Medical students completed an online skin lesion morphology
   PALM voluntarily in year 1 and by requirement, along with configuration
   and anatomic distribution PALMs, in year 2. In controlled
   before-and-after studies, multiple-choice pretests and posttests using
   previously unused images, assessed PALM-induced learning. In prospective
   cohort studies, differences in year-2 performance between students who
   had and had not completed the morphology PALM in year 1 were also
   assessed.
   Results: Multiple-choice tests, used to evaluate PALM effectiveness,
   demonstrated large (effect sizes of 1.1 [+/- 0.1 SE] to 2.2 [+/- 0.1
   SE]) and statistically significant (P < .0001) improvements after PALM
   training, with learning retention when tested after 1 year.
   Limitations: Results are from self-selected groups and a single class at
   1 institution.
   Conclusion: PALMs are a useful tool for efficient development of the
   core clinical skills of pattern recognition and classification of skin
   lesion characteristics.
ZA 0
ZR 0
ZS 0
ZB 5
TC 20
Z8 0
Z9 20
U1 0
U2 3
SN 0190-9622
EI 1097-6787
UT WOS:000349762800024
PM 25592621
ER

PT J
AU Magnezi, Racheli
   Grosberg, Dafna
   Novikov, Ilya
   Ziv, Arnona
   Shani, Mordechai
   Freedman, Laurence S.
TI Characteristics of patients seeking health information online via social
   health networks versus general Internet sites: a comparative study
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 40
IS 2
BP 125
EP 138
DI 10.3109/17538157.2013.879147
PD MAR 2015
PY 2015
AB Background: Camoni.co.il, a Hebrew-language social health network offers
   advice, consultation, and connection to others with chronic illness.
   This study compared characteristics and objectives of Camoni.co.il users
   and individuals seeking medical information through general Internet
   sites.
   Methods: Similar questionnaires were sent to 1009 Internet and 900
   Camoni users. Cluster analysis defined four modes of online social
   health network use: "acquiring information and support",
   "communicating", "networking" and "browsing".
   Results: Six hundred and five Internet and 125 Camoni users responded.
   Diabetes, hypertension, obesity and lung diseases were found more often
   among general Internet users than Camoni users. Among Camoni users,
   "acquiring information and support" was the main motivation for
   individuals over age 55 years, women, those with lower income, chronic
   pain, obesity and depression. "Communicating" was the main incentive of
   men, those 20-34 years old, those with less education, or an eating
   disorder. "Networking" was the most significant motivation for those
   with multiple sclerosis or depression. Browsing was most frequent among
   individuals with multiple sclerosis.
   Conclusions: Identifying needs of social health network surfers will
   allow planning unique contents and enhancing social health sites.
   Physicians might advise patients to use them to obtain support and
   information regarding their conditions, possibly leading to improved
   compliance and self-management.
RI Gutowski, Emily/N-1491-2015
Z8 0
ZB 1
ZR 0
TC 26
ZA 0
ZS 0
Z9 26
U1 1
U2 53
SN 1753-8157
EI 1753-8165
UT WOS:000349308100003
PM 24475937
ER

PT J
AU Bogetz, Jori F.
   Bogetz, Alyssa L.
   Gabhart, Julia M.
   Bergman, David A.
   Blankenburg, Rebecca L.
   Rassbach, Caroline E.
TI Continuing Education Needs of Pediatricians Across Diverse Specialties
   Caring for Children With Medical Complexity
SO CLINICAL PEDIATRICS
VL 54
IS 3
BP 222
EP 227
DI 10.1177/0009922814564049
PD MAR 2015
PY 2015
AB Objective. Care for children with medical complexity (CMC) relies on
   pediatricians who often are ill equipped, but striving to provide high
   quality care. We performed a needs assessment of pediatricians across
   diverse subspecialties at a tertiary academic US children's hospital
   about their continuing education needs regarding the care of CMC.
   Methods. Eighteen pediatricians from diverse subspecialties were asked
   to complete an online anonymous open-ended survey. Data were analyzed
   using modified grounded theory. Results. The response rate was 89% (n =
   16). Of participants, 31.2% (n = 5) were general pediatricians, 18.7% (n
   = 3) were hospitalists, and 50% (n = 8) were pediatric subspecialists.
   Pediatricians recognized the need for skills in care coordination,
   giving bad news, working in interprofessional teams, and setting goals
   of care with patients. Conclusions. Practicing pediatricians need skills
   to improve care for CMC. Strategically incorporating basic palliative
   care education may fill an important training need across diverse
   pediatric specialties.
RI Bogetz, Jori F./U-2258-2019; Blankenburg, Rebecca/
OI Blankenburg, Rebecca/0000-0002-1938-6113
TC 11
ZA 0
ZB 3
ZS 1
Z8 0
ZR 0
Z9 11
U1 0
U2 10
SN 0009-9228
EI 1938-2707
UT WOS:000349286200004
PM 25561699
ER

PT J
AU Bujnowska-Fedak, Maria Magdalena
TI Trends in the use of the Internet for health purposes in Poland
SO BMC PUBLIC HEALTH
VL 15
AR 194
DI 10.1186/s12889-015-1473-3
PD FEB 27 2015
PY 2015
AB Background: In Poland, like in other European countries and in
   accordance with the global trend, the number of computer users and
   people who have access to the Internet has increased considerably. The
   study investigates trends and patterns of Polish health-related Internet
   use over a period of seven years. The main objective of the study was to
   estimate the change in the proportion of the population using Internet
   for health purposes and to show the potential trend in perceptions and
   preferences of Polish citizens in this respect as well as factors
   affecting their use.
   Methods: The study was based on three national surveys that were
   conducted in 2005, 2007, and 2012. A total of 3027 adult citizens were
   selected randomly from the Polish population. A sample collection was
   carried out by Polish opinion poll agencies by computer-assisted
   telephone interviews. The subjects were asked to respond to general
   questions about their Internet use and their Internet use for
   health-related purposes, as well as to express their opinions about
   various sources of medical information, frequency, and the need for
   direct communication with health professionals via the Internet and
   other interactive forms of online activities.
   Results: The proportion of the Polish population that used the Internet
   for health-related purposes increased significantly (41.7% in 2005,
   53.3% in 2007, and 66.7% in 2012). The Internet has become an important
   source of health information for almost half of Polish citizens,
   overtaking television, radio, press, and courses or lectures in the
   ranking list. As the medium matures, the use of interactive,
   health-related online services has also increased remarkably. However,
   while the main users of the Internet are certainly younger people, the
   largest growth potential has been observed among the elderly. The
   profile of the most likely Internet user and the citizen for whom the
   Internet is an important source of health information has been
   determined.
   Conclusions: The Internet offers enormous opportunities, particularly
   for providing and improving consumer information services with regard to
   health care. A sharply increasing trend regarding Internet use, Internet
   use for health purposes, and the interactive use of the Internet related
   to health has been observed among Polish citizens.
RI Bujnowska-Fedak, Maria Magdalena/ABD-2237-2021
OI Bujnowska-Fedak, Maria Magdalena/0000-0002-4624-5025
ZB 8
ZS 0
ZR 2
Z8 0
ZA 0
TC 55
Z9 56
U1 5
U2 17
SN 1471-2458
UT WOS:000350325200005
PM 25886280
ER

PT J
AU van Dijk, Inge
   Lucassen, Peter L. B. J.
   Speckens, Anne E. M.
TI Mindfulness training for medical students in their clinical clerkships:
   two cross-sectional studies exploring interest and participation
SO BMC MEDICAL EDUCATION
VL 15
AR 24
DI 10.1186/s12909-015-0302-9
PD FEB 25 2015
PY 2015
AB Background: So far, studies investigating Mindfulness Based Stress
   Reduction (MBSR) training in medical students are conducted in
   self-selected, pre-clinical samples, with modest response rates without
   collecting data on non-participants. This study first examines interest
   and participation rates of students starting their clinical clerkships.
   Second, it compares students interested in a mindfulness training with
   non-interested students and students participating in a trial on the
   effect of MBSR with non-participating students on levels of
   psychological distress, personality traits, cognitive styles and
   mindfulness skills.
   Methods: We examined two student samples from the Radboud University
   Medical Center, Nijmegen: Study 1 From March to December 2010 we
   performed a cross-sectional pilot-study among 4th year medical students
   starting their clinical clerkships, assessing interest in a MBSR
   training. We compared scores on the Brief Symptom Inventory, the Neo
   Five Factor Inventory and the Five Facet Mindfulness Questionnaire of
   interested students with those of non-interested students using t-tests
   with Bonferroni correction. Study 2 From February 2011 to August 2012 we
   invited 4th year medical students starting their clinical clerkships to
   participate in a randomized controlled trial (RCT) on the effectiveness
   of MBSR. We compared scores on the Brief Symptom Inventory, the
   Irrational Beliefs Inventory and the Five Facet Mindfulness
   Questionnaire of participating students with those of non-participants
   using t-tests with Bonferroni correction.
   Results: Study 1: Ninety-five out of 179 participating students (53%)
   were interested in a MBSR training. Interested students scored
   significantly higher on psychological distress (p = .004) and
   neuroticism (p < .001), than 84 non-interested students. Study 2: Of 232
   eligible students, 167 (72%) participated in our RCT. Participants
   scored significantly higher on psychological distress (p = .001),
   worrying (p = .002), problem avoidance (p = .005) and lower on
   mindfulness skills (p = .002) than 41 non-participants.
   Conclusions: Interest in mindfulness training and response rates in a
   RCT on the effectiveness of MBSR among clinical clerkship students are
   equal to (study 1) or higher (study 2) than in studies on pre-clinical
   students. Interested students and participants in a RCT reported more
   psychological distress and psychopathology related character traits.
   Participants scored lower on mindfulness skills.
RI Lucassen, Peter L.B.J./L-4496-2015; Speckens, Anne/H-8093-2014
OI Speckens, Anne/0000-0001-5266-1554
Z8 0
ZB 2
ZA 0
ZS 1
ZR 0
TC 15
Z9 16
U1 0
U2 27
SN 1472-6920
UT WOS:000350542000001
PM 25888726
ER

PT J
AU Schaffert, Nina
   Mattes, Klaus
TI Effects of acoustic feedback training in elite-standard Para-Rowing
SO JOURNAL OF SPORTS SCIENCES
VL 33
IS 4
BP 411
EP 418
DI 10.1080/02640414.2014.946438
PD FEB 25 2015
PY 2015
AB Assessment and feedback devices have been regularly used in technique
   training in high-performance sports. Biomechanical analysis is mainly
   visually based and so can exclude athletes with visual impairments. The
   aim of this study was to examine the effects of auditory feedback on
   mean boat speed during on-water training of visually impaired athletes.
   The German National Para-Rowing team (six athletes, mean +/- s, age 34.8
   +/- 10.6years, body mass 76.5 +/- 13.5kg, stature 179.3 +/- 8.6cm)
   participated in the study. Kinematics included boat acceleration and
   distance travelled, collected with Sofirow at two intensities of
   training. The boat acceleration-time traces were converted online into
   acoustic feedback and presented via speakers during rowing (sections
   with and without alternately). Repeated-measures within-participant
   factorial ANOVA showed greater boat speed with acoustic feedback than
   baseline (0.08 +/- 0.01m center dot s(-1)). The time structure of rowing
   cycles was improved (extended time of positive acceleration).
   Questioning of athletes showed acoustic feedback to be a supportive
   training aid as it provided important functional information about the
   boat motion independent of vision. It gave access for visually impaired
   athletes to biomechanical analysis via auditory information. The concept
   for adaptive athletes has been successfully integrated into the
   preparation for the Para-Rowing World Championships and Paralympics.
RI Schaffert, Nina/H-8523-2019
OI Schaffert, Nina/0000-0002-9588-5969
TC 16
ZS 0
Z8 0
ZA 0
ZR 0
ZB 3
Z9 16
U1 1
U2 28
SN 0264-0414
EI 1466-447X
UT WOS:000346575800009
PM 25105858
ER

PT J
AU Wickens, Brandon
   Lewis, Jordan
   Morris, David P.
   Husein, Murad
   Ladak, Hanif M.
   Agrawal, Sumit K.
TI Face and content validity of a novel, web-based otoscopy simulator for
   medical education
SO JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 44
AR 7
DI 10.1186/s40463-015-0060-z
PD FEB 24 2015
PY 2015
AB Background: Despite the fact that otoscopy is a widely used and taught
   diagnostic tool during medical training, errors in diagnosis are common.
   Physical otoscopy simulators have high fidelity, but they can be
   expensive and only a limited number of students can use them at a given
   time.
   Objectives: 1) To develop a purely web-based otoscopy simulator that can
   easily be distributed to students over the internet. 2) To assess face
   and content validity of the simulator by surveying experts in otoscopy.
   Methods: An otoscopy simulator, OtoTrain (TM), was developed at Western
   University using web-based programming and Unity 3D. Eleven experts from
   academic institutions in North America were recruited to test the
   simulator and respond to an online questionnaire. A 7-point Likert scale
   was used to answer questions related to face validity (realism of the
   simulator), content validity (expert evaluation of subject matter and
   test items), and applicability to medical training.
   Results: The mean responses for the face validity, content validity, and
   applicability to medical training portions of the questionnaire were all
   <= 3, falling between the "Agree", "Mostly Agree", and "Strongly Agree"
   categories. The responses suggest good face and content validity of the
   simulator. Open-ended questions revealed that the primary drawbacks of
   the simulator were the lack of a haptic arm for force feedback, a need
   for increased focus on pneumatic otoscopy, and few rare disorders shown
   on otoscopy.
   Conclusion: OtoTrain (TM) is a novel, web-based otoscopy simulator that
   can be easily distributed and used by students on a variety of
   platforms. Initial face and content validity was encouraging, and a
   skills transference study is planned following further modifications and
   improvements to the simulator.
ZS 0
ZB 2
ZA 0
TC 12
Z8 1
ZR 0
Z9 12
U1 0
U2 17
SN 1916-0216
UT WOS:000350499200001
PM 25889997
ER

PT J
AU Bao, Hongda
   Zhu, Feng
   Wang, Fei
   Liu, Zhen
   Bao, Mike H.
   He, Shouyu
   Zhu, Zezhang
   Qiu, Yong
TI Scoliosis Related Information on the Internet in China: Can Patients
   Benefit from This Information?
SO PLOS ONE
VL 10
IS 2
AR e0118289
DI 10.1371/journal.pone.0118289
PD FEB 17 2015
PY 2015
AB Background
   There has been an increasing popularity of searching health related
   information online in recent years. Despite that considerable amount of
   scoliosis patients have shown interest in obtaining scoliosis
   information through Internet, previous studies have demonstrated poor
   quality of online information. However, this conclusion may vary
   depending on region and culture. Since China has a restricted Internet
   access outside of its borders, the aim of this study is to evaluate the
   quality of scoliosis information available online using recognized
   scoring systems and to analyze the Internet as a source of health
   information in China.
   Methods
   A survey-based questionnaire was distributed to 280 respondents at
   outpatient clinics. Information on demographics and Internet use was
   collected. Binary logistic analysis was performed to identify possible
   predictors for the use of Internet. In addition, the top 60 scoliosis
   related websites assessed through 4 search engines were reviewed by a
   surgeon and the quality of online information was evaluated using
   DISCERN score and JAMA benchmark.
   Results
   Use of the Internet as a source for scoliosis related information was
   confirmed in 87.8% of the respondents. College education, Internet
   access at home and urban residence were identified as potential
   predictors for Internet use. However, the quality of online scoliosis
   related information was poor with an average DISCERN score of 27.9 +/-
   11.7 and may be misleading for scoliosis patients.
   Conclusion
   The study outlines the profile of scoliosis patients who use the
   Internet as a source of health information. It was shown that 87.8% of
   the scoliosis patients in outpatient clinics have searched for scoliosis
   related information on Internet. Urban patients, higher education and
   Internet access at home were identified as potential predictors for
   Internet search. However, the overall quality of online scoliosis
   related information was poor and confusing. Physician based websites
   seemed to contain more reliable information.
OI Bao, Mike/0000-0002-0909-052X
TC 9
Z8 2
ZA 0
ZR 0
ZS 0
ZB 3
Z9 10
U1 0
U2 12
SN 1932-6203
UT WOS:000350322700112
PM 25689064
ER

PT J
AU Bussieres, Andre E.
   Al Zoubi, Fadi
   Quon, Jeffrey A.
   Ahmed, Sara
   Thomas, Aliki
   Stuber, Kent
   Sajko, Sandy
   French, Simon
CA Canadian Chiropractic Guideline In
TI Fast tracking the design of theory-based KT interventions through a
   consensus process
SO IMPLEMENTATION SCIENCE
VL 10
AR 18
DI 10.1186/s13012-015-0213-5
PD FEB 11 2015
PY 2015
AB Background: Despite available evidence for optimal management of spinal
   pain, poor adherence to guidelines and wide variations in healthcare
   services persist. One of the objectives of the Canadian Chiropractic
   Guideline Initiative is to develop and evaluate targeted theory-and
   evidence-informed interventions to improve the management of
   non-specific neck pain by chiropractors. In order to systematically
   develop a knowledge translation (KT) intervention underpinned by the
   Theoretical Domains Framework (TDF), we explored the factors perceived
   to influence the use of multimodal care to manage non-specific neck
   pain, and mapped behaviour change techniques to key theoretical domains.
   Methods: Individual telephone interviews exploring beliefs about
   managing neck pain were conducted with a purposive sample of 13
   chiropractors. The interview guide was based upon the TDF. Interviews
   were digitally recorded, transcribed verbatim and analysed by two
   independent assessors using thematic content analysis. A 15-member
   expert panel formally met to design a KT intervention.
   Results: Nine TDF domains were identified as likely relevant. Key
   beliefs (and relevant domains of the TDF) included the following:
   influence of formal training, colleagues and patients on clinicians
   (Social Influences); availability of educational material (Environmental
   Context and Resources); and better clinical outcomes reinforcing the use
   of multimodal care (Reinforcement). Facilitating factors considered
   important included better communication (Skills); audits of patients'
   treatment-related outcomes (Behavioural Regulation); awareness and
   agreement with guidelines (Knowledge); and tailoring of multimodal care
   (Memory, Attention and Decision Processes). Clinicians conveyed
   conflicting beliefs about perceived threats to professional autonomy
   (Social/Professional Role and Identity) and speed of recovery from
   either applying or ignoring the practice recommendations (Beliefs about
   Consequences). The expert panel mapped behaviour change techniques to
   key theoretical domains and identified relevant KT strategies and modes
   of delivery to increase the use of multimodal care among chiropractors.
   Conclusions: A multifaceted KT educational intervention targeting
   chiropractors' management of neck pain was developed. The KT
   intervention consisted of an online education webinar series, clinical
   vignettes and a video underpinned by the Brief Action Planning model.
   The intervention was designed to reflect key theoretical domains,
   behaviour change techniques and intervention components. The
   effectiveness of the proposed intervention remains to be tested.
RI Zoubi, Fadi Al/ABB-8375-2020; Bussières, André E/ABA-1007-2021; French, Simon/; Stuber, Kent/
OI Zoubi, Fadi Al/0000-0002-7950-8979; Bussières, André
   E/0000-0002-2818-6949; French, Simon/0000-0002-7061-7706; Stuber,
   Kent/0000-0002-6534-4467
ZB 2
ZA 0
TC 14
ZS 0
Z8 0
ZR 0
Z9 14
U1 0
U2 21
SN 1748-5908
UT WOS:000350259900001
PM 25880218
ER

PT J
AU Oh, Young Sam
   Cho, Youngmin
TI Examining the Relationships Between Resources and Online Health
   Information Seeking Among Patients With Chronic Diseases and Healthy
   People
SO SOCIAL WORK IN HEALTH CARE
VL 54
IS 2
BP 83
EP 100
DI 10.1080/00981389.2014.987940
PD FEB 7 2015
PY 2015
AB The Internet is increasingly used as an important source of health and
   medical-related information for people with chronic diseases. It is
   recognized that online health information seeking (OHIS) is influenced
   by individuals' multi-dimensional factors, such as demographics,
   socio-economic factors, perceptions of the Internet, and health
   conditions. This study applies the conservation of resource theory to
   examine relationships between various multi-dimensional factors, daily
   challenges, and OHIS depending on individuals' health conditions. The
   data used in this study was taken from the U.S. Health Tracking Survey
   (2012). In this study, Internet users aged 18 and older were classified
   into patients (N = 518) and healthy people (N = 677) based on their
   health status related to chronic diseases. Multiple regression analysis
   was used to examine the relationships between multi-dimensional factors
   (resources), self-rated health, and OHIS. Patients' various resources
   (e.g., age, income, education, having a smartphone, and health tracking)
   significantly predicted their self-rated health and OHIS; in addition,
   self-rated health significantly mediated the relationships between focal
   resources and OHIS. However, the mediating effects of self-rated health
   were not found in healthy people.
OI Oh, Young Sam/0000-0003-2761-7820
ZS 1
TC 21
Z8 0
ZB 1
ZR 0
ZA 0
Z9 22
U1 3
U2 46
SN 0098-1389
EI 1541-034X
UT WOS:000349325500001
PM 25674723
ER

PT J
AU Sendlhofer, Gerald
   Mosbacher, Nina
   Karina, Leitgeb
   Kober, Brigitte
   Jantscher, Lydia
   Berghold, Andrea
   Pregartner, Gudrun
   Brunner, Gernot
   Kamolz, Lars Peter
TI Implementation of a Surgical Safety Checklist: Interventions to Optimize
   the Process and Hints to Increase Compliance
SO PLOS ONE
VL 10
IS 2
AR e0116926
DI 10.1371/journal.pone.0116926
PD FEB 6 2015
PY 2015
AB Background
   A surgical safety checklist (SSC) was implemented and routinely
   evaluated within our hospital. The purpose of this study was to analyze
   compliance, knowledge of and satisfaction with the SSC to determine
   further improvements.
   Methods
   The implementation of the SSC was observed in a pilot unit. After
   roll-out into each operating theater, compliance with the SSC was
   routinely measured. To assess subjective and objective knowledge, as
   well as satisfaction with the SSC implementation, an online survey (N =
   891) was performed.
   Results
   During two test runs in a piloting unit, 305 operations were observed,
   175 in test run 1 and 130 in test run 2. The SSC was used in 77.1% of
   all operations in test run 1 and in 99.2% in test run 2. Within used
   SSCs, completion rates were 36.3% in test run 1 and 1.6% in test run 2.
   After roll-out, three unannounced audits took place and showed that the
   SSC was used in 95.3%, 91.9% and 89.9%. Within used SSCs, completion
   rates decreased from 81.7% to 60.6% and 53.2%. In 2014, 164 (18.4%)
   operating team members responded to the online survey, 160 of which were
   included in the analysis. 146 (91.3%) consultants and nursing staff
   reported to use the SSC regularly in daily routine.
   Conclusion
   These data show that the implementation of new tools such as the adapted
   WHO SSC needs constant supervision and instruction until it becomes
   self-evident and accepted. Further efforts, consisting mainly of
   hands-on leadership and training are necessary.
OI Kamolz, Lars-Peter/0000-0002-5975-876X
ZS 0
ZA 0
ZR 0
Z8 0
TC 28
ZB 7
Z9 29
U1 0
U2 11
SN 1932-6203
UT WOS:000349444900080
PM 25658317
ER

PT J
AU Harrison, Gill
TI Summative clinical competency assessment: A survey of ultrasound
   practitioners' views.
SO Ultrasound (Leeds, England)
VL 23
IS 1
BP 11
EP 7
DI 10.1177/1742271X14550238
PD 2015-Feb
PY 2015
AB Clinical competency and the assessment of core skills is a crucial
   element of any programme leading to an award with a clinical skills
   component. This has become a more prominent feature of current reports
   on quality health care provision. This project aimed to determine
   ultrasound practitioners' opinions about how best to assess clinical
   competency. An on-line questionnaire was sent to contacts from the
   Consortium for the Accreditation of Sonographic Education and details
   distributed at the British Medical Ultrasound Society conference in
   2011. One hundred and sixteen responses were received from a range of
   clinical staff with an interest in ultrasound assessment. The majority
   of respondents suggested that competency assessments should take place
   in the clinical departments with or without an element of assessment at
   the education centre. Moderation was an important area highlighted by
   respondents, with 84% of respondents suggesting that two assessors were
   required and 66% of those stating some element of external moderation
   should be included. The findings suggest that respondents' preference is
   for some clinical competency assessments to take place on routine lists
   within the clinical department, assessed by two people one of which
   would be an external assessor. In view of recent reports relating to
   training and assessment of health care professionals, the ultrasound
   profession needs to begin the debate about how best to assess clinical
   competence and ensure appropriate first post-competency of anyone
   undertaking ultrasound examinations. 
RI Harrison, Gill/W-4246-2018
OI Harrison, Gill/0000-0003-2795-8190
ZA 0
TC 5
ZR 0
Z8 0
ZB 1
ZS 0
Z9 5
U1 0
U2 1
SN 1742-271X
UT MEDLINE:27433232
PM 27433232
ER

PT J
AU Glancy, Erica J.
   Pazheri, Fouseena
   Schroer, Brian C.
TI Recommendation of Nutritional Alternatives for Children Between 1 and 2
   Years of Age with Cow's Milk Allergy
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 135
IS 2
MA 71
BP AB23
EP AB23
DI 10.1016/j.jaci.2014.12.1006
SU S
PD FEB 2015
PY 2015
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY FEB 20-24, 2015
CL Houston, TX
SP Amer Acad Allergy, Asthma & Immunol
Z8 0
ZR 0
TC 0
ZS 0
ZB 0
Z9 0
U1 0
U2 3
SN 0091-6749
EI 1097-6825
UT WOS:000361129600072
ER

PT J
AU Steiman, Cheryl A.
   Dimov, Ves
   Eidelman, Frank J.
TI Twitter As a New Medium for Public Health Advocacy: Asthma, Food Allergy
   and Allergic Rhinitis
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 135
IS 2
MA 224
BP AB69
EP AB69
DI 10.1016/j.jaci.2014.12.1161
SU S
PD FEB 2015
PY 2015
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY FEB 20-24, 2015
CL Houston, TX
SP Amer Acad Allergy, Asthma & Immunol
ZR 0
Z8 0
ZS 0
TC 2
ZB 0
ZA 0
Z9 2
U1 0
U2 8
SN 0091-6749
EI 1097-6825
UT WOS:000361129600225
ER

PT J
AU Unruh, Claire
TI Preliminary Results of the Teen Food Allergy Education Survey
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 135
IS 2
MA 231
BP AB72
EP AB72
DI 10.1016/j.jaci.2014.12.1168
SU S
PD FEB 2015
PY 2015
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY FEB 20-24, 2015
CL Houston, TX
SP Amer Acad Allergy, Asthma & Immunol
TC 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 0
U1 0
U2 0
SN 0091-6749
EI 1097-6825
UT WOS:000361129600232
ER

PT J
AU Papamichail, Dimitrios
   Pantelis, Evaggelos
   Papagiannis, Panagiotis
   Karaiskos, Pantelis
   Georgiou, Evangelos
TI A Web Simulation of Medical Image Reconstruction and Processing as an
   Educational Tool
SO JOURNAL OF DIGITAL IMAGING
VL 28
IS 1
BP 24
EP 31
DI 10.1007/s10278-014-9689-9
PD FEB 2015
PY 2015
AB Web educational resources integrating interactive simulation tools
   provide students with an in-depth understanding of the medical imaging
   process. The aim of this work was the development of a purely Web-based,
   open access, interactive application, as an ancillary learning tool in
   graduate and postgraduate medical imaging education, including a
   systematic evaluation of learning effectiveness. The pedagogic content
   of the educational Web portal was designed to cover the basic concepts
   of medical imaging reconstruction and processing, through the use of
   active learning and motivation, including learning simulations that
   closely resemble actual tomographic imaging systems. The user can
   implement image reconstruction and processing algorithms under a single
   user interface and manipulate various factors to understand the impact
   on image appearance. A questionnaire for pre- and post-training
   self-assessment was developed and integrated in the online application.
   The developed Web-based educational application introduces the trainee
   in the basic concepts of imaging through textual and graphical
   information and proceeds with a learning-by-doing approach. Trainees are
   encouraged to participate in a pre- and post-training questionnaire to
   assess their knowledge gain. An initial feedback from a group of
   graduate medical students showed that the developed course was
   considered as effective and well structured. An e-learning application
   on medical imaging integrating interactive simulation tools was
   developed and assessed in our institution.
RI Pantelis, Evaggelos/Q-8004-2018; Pantelis, Evaggelos/ABE-5028-2021; Karaiskos, Pantelis/AAA-4014-2020; Papagiannis, Panagiotis/I-1335-2019
OI Pantelis, Evaggelos/0000-0002-0565-5407; Pantelis,
   Evaggelos/0000-0002-0565-5407; Karaiskos, Pantelis/0000-0002-3665-2989;
   Papagiannis, Panagiotis/0000-0001-6122-9624
ZA 0
ZS 0
ZR 0
Z8 0
ZB 0
TC 6
Z9 6
U1 0
U2 12
SN 0897-1889
EI 1618-727X
UT WOS:000348398200005
PM 25000920
ER

PT J
AU Chen, Annie T.
TI Information Use and Illness Representations: Understanding Their
   Connection in Illness Coping
SO JOURNAL OF THE ASSOCIATION FOR INFORMATION SCIENCE AND TECHNOLOGY
VL 66
IS 2
BP 340
EP 353
DI 10.1002/asi.23173
PD FEB 2015
PY 2015
AB According to Leventhal's Common Sense Model of illness regulation,
   people approach and deal with their illnesses differently depending on
   their cognitive representations of them. Thus, understanding people's
   illness representations can be invaluable when assisting them to develop
   lifestyle modifications that improve their health. What role does
   information use play in this equation? This is the crucial question
   addressed by this two-part study. Part 1 hypothesizes a model of how
   information use at different timepoints may affect illness
   representations, and then tests this model. The study found that a
   number of information use type and time pairings (e.g., information used
   to consult healthcare practitioners at symptom onset) were significantly
   associated with present-day level of personal control. The results
   suggest that it is not merely type or timing of information use alone
   that is helpful in illness coping, but the coupling of the two; this has
   several implications for the design of patient education programs. Part
   2 examines how information use and illness representations differ based
   on the way an individual participates in online health forums and social
   media sites. The following four different participation styles were
   investigated: nonuser, only reading (lurker), posting occasionally but
   largely reading (infrequent poster), and reading and posting (poster).
   Differences in both information use and illness perceptions were found,
   and the implications of these are discussed.
TC 11
ZR 0
Z8 0
ZA 0
ZB 0
ZS 0
Z9 11
U1 2
U2 29
SN 2330-1635
EI 2330-1643
UT WOS:000348730000008
ER

PT J
AU Salajan, F.D.
   Mount, G.J.
   Prakki, A.
TI An Assessment of Students' Perceptions of Learning Benefits Stemming
   from the Design and Instructional Use of a Web3D Atlas
SO Electronic Journal of e-Learning
VL 13
IS 2
BP 120
EP 37
PD Feb. 2015
PY 2015
AB This article has a dual purpose: it describes the development of First
   Year Dental Anatomy (FYDA), a web-based 3D interactive application used
   in the dental curriculum at a major Canadian university, and it reports
   on the results of a research study conducted to assess the perceptions
   of learning benefits students experienced through the use of FYDA in a
   dental anatomy course. Questionnaires administered upon the completion
   of three semesters during which FYDA was used reveal some benefits for
   learning, but also a few deterrents for use, primarily related to some
   aspects of design. Generally, the students received the application with
   interest and viewed it as a useful aiding tool in learning dental
   anatomy. The results suggest the overall 3D models met the students'
   learning objectives and expectations and, in their view, were conducive
   to their understanding of internal and external dental anatomy. Issues
   related to the over-sensitive controls, navigational flaws and
   manipulation difficulties caused some learners a certain level of
   frustration, but these were not severe enough to hinder the students'
   learning.
RI Prakki, Anuradha/AAD-9724-2019
OI Prakki, Anuradha/0000-0002-8969-9043
TC 3
ZA 0
ZS 0
Z8 0
ZR 0
ZB 0
Z9 3
U1 0
U2 6
SN 1479-4403
UT INSPEC:15294775
ER

PT J
AU McDonald, J. J.
   Bisset, C.
   Coleman, M. G.
   Speake, D.
   Brady, R. R. W.
TI Contemporary use of social media by consultant colorectal surgeons
SO COLORECTAL DISEASE
VL 17
IS 2
BP 165
EP 171
DI 10.1111/codi.12780
PD FEB 2015
PY 2015
AB AimThere is evidence of significant growth in the engagement of UK
   health-care professionals with open' social media platforms, such as
   Twitter and LinkedIn. Social media communication provides many
   opportunities and benefits for medical education and interaction with
   patients and colleagues. This study was undertaken to evaluate the
   uptake of public social media membership and the characteristics of use
   of such media channels amongst contemporary UK consultant colorectal
   surgeons.
   MethodColorectal surgeons were identified from the Association of
   Coloproctology of Great Britain and Ireland (ACPGBI) national registry
   of colorectal mortality outcomes and were cross-referenced with the
   General Medical Council (GMC) register. Individuals were identified by
   manual searching on a number of social media platforms. Matching
   accounts were then examined to confirm ownership and to evaluate key
   markers of use.
   ResultsSix-hundred and eighteen individual consultant colorectal
   surgeons from 142 health authorities were studied (79.5% were ACPGBI
   members and 90.8% were male). Two-hundred and twenty-nine (37.1%) had
   LinkedIn profiles (37.7% male surgeons, 29.8% female surgeons;
   P=0.2530). LinkedIn membership was significantly higher in ACPGBI
   members (P<0.001) and in those with GMC registration before 1997 vs
   after this date (39% before 1997 vs 30% after 1997; P=0.03). LinkedIn
   members had a mean of 62 connections (median=22), and 19 (3.1%) surgeons
   had Twitter profiles with a mean of 82 (median=16; range: 0-914)
   followers and their accounts were followed by a mean of 87 (median=27;
   range: 0-642) persons.
   ConclusionUK consultant colorectal surgeons are less engaged with social
   media than reported studies from other health-care professional groups.
   Further education and appropriate guidance on usage may encourage uptake
   and confidence, particularly in younger consultants.
RI McDonald, James/E-2601-2018; McDonald, James/; Brady, Richard/; Bisset, Carly/
OI McDonald, James/0000-0002-8870-8884; Brady, Richard/0000-0002-1905-6384;
   Bisset, Carly/0000-0003-3331-4420
Z8 1
ZA 0
TC 36
ZS 0
ZB 5
ZR 0
Z9 36
U1 0
U2 4
SN 1462-8910
EI 1463-1318
UT WOS:000348770300014
PM 25213268
ER

PT J
AU Vosbergen, S.
   Mulder-Wiggers, J. M. R.
   Lacroix, J. P.
   Kemps, H. M. C.
   Kraaijenhagen, R. A.
   Jaspers, M. W. M.
   Peek, N.
TI Using personas to tailor educational messages to the preferences of
   coronary heart disease patients
SO JOURNAL OF BIOMEDICAL INFORMATICS
VL 53
BP 100
EP 112
DI 10.1016/j.jbi.2014.09.004
PD FEB 2015
PY 2015
AB Purpose: Although tailoring health education messages to individual
   characteristics of patients has shown promising results, most patient
   education materials still take a one-size-fits-all approach. The aim of
   this study was to develop a method for tailoring health education
   messages to patients' preferences for various message features, using
   the concept of personas. This is a preliminary study focused on
   education for coronary heart disease (CHD) patients.
   Methods: This study used a three-step approach. First, we created
   personas by (i) performing k-means cluster analysis on data from an
   online survey that assessed the preferences of 213 CHD patients for
   various message features and, (ii) creating a vivid description of the
   preferences per patient cluster in an iterative process with the
   research team. Second, we developed adaptation rules to tailor existing
   educational messages to the resulting personas. Third, we conducted a
   pilot validation by adapting nine existing educational messages to each
   of the personas. These messages and the resulting personas were then
   presented to a separate group of 38 CHD patients who visited the
   cardiology outpatient clinic. They were first asked to choose their most
   preferred, second most preferred, and least preferred persona.
   Subsequently, they were asked to rate three of the adapted messages; one
   for every of the persona choices.
   Results: We created five personas that pertained to five patient
   clusters. Personas varied mainly on preferences for medical or lay
   language, current or future temporal perspective, and including or
   excluding explicit health risks. Fifty-five different adaptation rules
   were developed, primarily describing adaptations to the message's
   perspective, level of detail, sentence structure, and terminology. Most
   participants in the validation study could identify with one of the five
   personas, although some of them found it hard to choose. On average,
   68.5% of all participants rated the messages that matched their most
   preferred persona more positively than, or in the same way as, the
   messages that matched their least preferred persona.
   Conclusions: The persona-based method developed in this study can be
   used to create a manageable set of patient-centered tailored messages,
   while additionally using the developed personas to assess patients'
   preferences. (C) 2014 Elsevier Inc. All rights reserved.
RI Peek, Niels/AAD-9334-2019; Kemps, Hareld/
OI Peek, Niels/0000-0002-6393-9969; Kemps, Hareld/0000-0003-0272-4355
Z8 1
ZB 6
ZA 0
ZR 0
TC 30
ZS 0
Z9 31
U1 2
U2 24
SN 1532-0464
EI 1532-0480
UT WOS:000351483600012
PM 25239261
ER

PT J
AU Buller, Mary K.
   Bettinghaus, Erwin
   Buller, David B.
   Liu, Xia
   Fluharty, Lyndsay
TI Perceived Availability of Culturally and Demographically Diverse
   Photographs for Health Education Materials, Colorado, 2010
SO PREVENTING CHRONIC DISEASE
VL 12
AR E24
DI 10.5888/pcd12.140450
PD FEB 2015
PY 2015
AB An online survey was conducted with health educators in Colorado to
   ascertain their needs and ability to access relevant stock art
   photographs for their print and electronic educational media. Health
   educators were dissatisfied with the cultural and demographic diversity
   of photographs available from their own sources or from commercial stock
   art websites. There was a perceived need for more photographs that would
   better represent their target populations. The health educators
   believed, furthermore, that representative visual images can help
   improve their message effectiveness.
ZA 0
ZB 0
ZR 0
ZS 0
TC 1
Z8 0
Z9 1
U1 0
U2 3
SN 1545-1151
UT WOS:000356668500012
PM 25719214
ER

PT J
AU von Sass, Peter Freiherr
   Scheckenbach, Kathrin
   Wagenmann, Martin
   Klenzner, Thomas
   Schipper, Joerg
   Chaker, Adam
TI Taking a Fresh Look at the Skull Base in Otorhinolaryngology With
   Web-Based Simulation Student's Interactive Skull-Base Trainer (SISTer)
SO JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 141
IS 2
BP 154
EP 159
DI 10.1001/jamaoto.2014.3041
PD FEB 2015
PY 2015
AB IMPORTANCE The increasing amount of medical knowledge and necessity for
   time-effective teaching and learning have given rise to emerging online,
   or e-learning, applications. The base of the skull is a challenging
   anatomic area in the otorhinolaryngology (ORL) department-for both
   students and lecturers. Technology-enhanced learning might be an
   expedient approach to benefit both learners and lecturers.
   OBJECTIVE To investigate and create for advanced medical students a
   self-assessed adaptive e-learning application for the skull base within
   our curriculum of otolaryngology at the University Medical Center of
   Heinrich Heine University, Dusseldorf, Germany.
   DESIGN, SETTING, AND PARTICIPANTS Pilot approach with prospective
   evaluation of a newly implemented web-based e-learning simulation. The
   e-learning application (Student's Interactive Skull-Base Trainer) was
   made accessible as an elective course to a total of 269 enrolled medical
   students during the first 2 semesters after web launch.
   INTERVENTIONS Spatiotemporal independent e-learning application for the
   skull base.
   MAIN OUTCOMES AND MEASURES Self-assessed evaluation with focus on
   general acceptance and personal value as well as usage data analysis.
   RESULTS The application was well accepted by the learners. More than 80%
   of the participating students found the application to be a beneficial
   tool for enhancing their analytical and clinical problem-solving skills.
   Although the general matter of the skull base seemed to be of lesser
   interest, the concept of anchored instructions with the use of high-end,
   interactive, multimedia-based content was considered to be particularly
   suitable for this challenging topic. Most of the students would have
   appreciated an extension of optional e-learning modules.
   CONCLUSIONS AND RELEVANCE With this pilot approach we were able to
   implement a useful and now well-accepted tool for blended learning. We
   showed that it is possible to raise interest even in this very
   specialized subspecialty of ORL with overall individual learning benefit
   for the students. There is a demand for more e-learning and web-based
   simulation to support the existing curricula in a hybrid, blended way.
RI Wagenman, Martin/B-2524-2012; Chaker, Adam/
OI Wagenman, Martin/0000-0002-9734-0241; Chaker, Adam/0000-0002-5117-4073
ZS 0
Z8 0
ZA 0
TC 5
ZR 0
ZB 1
Z9 5
U1 1
U2 35
SN 2168-6181
EI 2168-619X
UT WOS:000351583600010
PM 25474371
ER

PT J
AU Wade, Shari L.
   Kurowski, Brad G.
   Kirkwood, Michael W.
   Zhang, Nanhua
   Cassedy, Amy
   Brown, Tanya M.
   Nielsen, Britt
   Stancin, Terry
   Taylor, Gerry
TI Online Problem-Solving Therapy After Traumatic Brain Injury: A
   Randomized Controlled Trial
SO PEDIATRICS
VL 135
IS 2
BP E487
EP E495
DI 10.1542/peds.2014-1386
PD FEB 2015
PY 2015
AB BACKGROUND: Pediatric traumatic brain injury (TBI) contributes to
   impairments in functioning in everyday settings. Evidence suggests that
   online family problem-solving therapy (FPST) may be effective in
   reducing adolescent behavioral morbidity. This article examines the
   efficacy of Counselor-Assisted Problem Solving (CAPS), a form of online
   FPST in improving long-term functional outcomes of adolescents with TBI
   relative to Internet resources only.
   METHODS: Children, aged 12 to 17 years, who were hospitalized in the
   previous 7 months for TBI were enrolled in a multisite, assessor-blinded
   randomized controlled trial. Consented participants were randomly
   assigned to CAPS or an Internet resource comparison (IRC) condition.
   Outcomes were assessed at baseline and at follow-ups 6, 12, and 18
   months postbaseline. The Child and Functional Assessment Scale and the
   Iowa Family Interaction Rating Scale (IFIRS) served as primary outcomes
   of child and family functioning respectively.
   RESULTS: For the Child and Functional Assessment Scale total, we found a
   significant group x time interaction, with less impaired functioning for
   the CAPS group than for the IRC group at the final follow-up. Parent
   education moderated the efficacy of CAPS on overall rates of impairment
   and school/work functioning, with the advantage of CAPS over IRC evident
   at the final follow-up only for participants with less-educated parents.
   Neither group differences nor group x time interactions were found for
   the IFIRS.
   CONCLUSIONS: Relatively brief, online treatment shortly after injury may
   result in long-term improvements in child functioning, particularly
   among families of lower socioeconomic status. Clinical implementation of
   CAPS during the initial months postinjury should be considered.
RI Zhang, Nanhua/L-7606-2015; Nielsen, Britt/S-5796-2019; Stancin, Terry/L-7993-2019; Zhang, Nanhua/
OI Zhang, Nanhua/0000-0001-5796-3404
ZR 0
ZA 0
ZS 0
Z8 1
TC 54
ZB 10
Z9 55
U1 0
U2 23
SN 0031-4005
EI 1098-4275
UT WOS:000351507800001
PM 25583911
ER

PT J
AU Daniluk, J. C.
   Koert, E.
TI Fertility awareness online: the efficacy of a fertility education
   website in increasing knowledge and changing fertility beliefs
SO HUMAN REPRODUCTION
VL 30
IS 2
BP 353
EP 363
DI 10.1093/humrep/deu328
PD FEB 2015
PY 2015
AB STUDY QUESTION: How effective is online education in increasing
   knowledge of fertility and assisted reproductive technologies (ART), and
   changing beliefs about the timing of parenthood?
   SUMMARY ANSWER: Exposure to an online educational intervention resulted
   in immediate changes in participants' beliefs about the ideal timing of
   parenthood, and a significant increase in their knowledge of fertility
   and ART treatments and options; most of these changes were not sustained
   over time, particularly for men.
   WHAT IS KNOWN ALREADY: Research has identified significant gaps in men's
   and women's knowledge of fertility and ART, contributing to the trend to
   delay childbearing. Effective educational programs need to be developed,
   to support informed fertility and child-timing decisions.
   STUDY DESIGN, SIZE, DURATION: Pre-post intervention study of 199
   currently childless men and women, and a 6-month follow-up of 110 of
   these participants.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: One hundred and ninety-nine
   childless participants between the ages of 18 and 35 were asked to
   complete 4 beliefs and 22 knowledge questions prior to, and immediately
   after, reading 10 online posts related to: fertility testing and
   preservation, fertility history and lifespan, the effects of health and
   fitness on fertility, and assisted reproduction. Six months later, 110
   of the original sample repeated the 26-item survey.
   MAIN RESULTS AND THE ROLE OF CHANCE: Participants' fertility and ART
   knowledge scores increased significantly immediately after the
   intervention, as did their confidence in their fertility and ART
   knowledge. Participants' beliefs about the ideal and latest age a woman
   or man should consider producing a child decreased. However, 6 months
   later, participants' beliefs and knowledge levels largely returned to
   their preintervention levels, particularly for the men in the study.
   LIMITATIONS, REASONS FOR CAUTION: The sample size and the recruitment
   methods may limit the generalizability of these findings.
   WIDER IMPLICATIONS OF THE FINDINGS: Previous studies have demonstrated
   the short-term efficacy of online educational approaches to increase
   fertility knowledge and support informed family planning decisions.
   Web-based approaches have the benefit of being easily and conveniently
   accessed by individuals worldwide. However, the findings of the current
   study call into question the long-term efficacy of online fertility
   education, and suggest that variables such as gender and relevance need
   to be considered in assessing the efficacy of online fertility education
   strategies.
ZA 0
Z8 1
ZR 0
ZB 18
TC 62
ZS 0
Z9 63
U1 2
U2 27
SN 0268-1161
EI 1460-2350
UT WOS:000350146600013
PM 25480922
ER

PT J
AU Chan, C. H. Y.
   Chan, T. H. Y.
   Peterson, B. D.
   Lampic, C.
   Tam, M. Y. J.
TI Intentions and attitudes towards parenthood and fertility awareness
   among Chinese university students in Hong Kong: a comparison with
   Western samples
SO HUMAN REPRODUCTION
VL 30
IS 2
BP 364
EP 372
DI 10.1093/humrep/deu324
PD FEB 2015
PY 2015
AB STUDY QUESTION: What are the levels of awareness regarding female
   fertility and the intentions and attitudes towards parenthood among
   Chinese university students in Hong Kong compared with their
   counterparts in the West?
   SUMMARY ANSWER: Chinese university students in Hong Kong were similarly
   over-optimistic about the age-related fertility decline, although they
   were less inclined to have children and undergo fertility treatment
   compared with their Western counterparts.
   WHAT IS KNOWN ALREADY: Past studies of highly educated young adults in
   Europe and the USA have found that they are not sufficiently aware of
   the age-related decline in female fertility, and falsely believe that
   advanced reproductive treatments such as IVF will overcome fertility
   problems associated with age. Little is known about the perceptions of
   Chinese students in Hong Kong, a modernized Chinese city where the
   fertility rate is among the lowest in the world.
   STUDY DESIGN, SIZE, DURATION: An online cross-sectional survey of
   Chinese university students in Hong Kong was conducted in 2013. Results
   were compared with two similar studies in Sweden and the USA.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: A total of 367 university
   students in Hong Kong (275 female, 92 male; mean age 23) responded to an
   e-mail invitation to participate in an online survey. Intentions and
   attitudes towards parenthood and awareness regarding female fertility
   were assessed using the Swedish Fertility Awareness Questionnaire.
   MAIN RESULTS AND THE ROLE OF CHANCE: Like their Western counterparts, a
   large proportion of Chinese university students underestimated the
   age-related fertility decline (92%) and overestimated the fertility
   treatment success rate (66%). However, they were less inclined to have
   children, were moreaware of and less concerned with infertility and were
   less motivated to seek solutions in the event of a fertility problem.
   These comparisons were significant at P < 0.05.
   LIMITATIONS, REASONS FOR CAUTION: Self-selection bias was inevitable in
   the questionnaire survey, and the anonymous nature of the survey did not
   permit the collection of characteristics of non-responders.
   International comparisons warrant caution because the Hong Kong sample
   was older than the US sample (mean age 20), but not older than the
   Sweden sample (mean age 24).
   WIDER IMPLICATION OF FINDINGS: While this study was consistent with past
   Western studies on the lack of fertility awareness among highly educated
   young people, the findings reveal significant cultural differences in
   family planning and responses to infertility between Asia and the West.
TC 50
ZB 15
Z8 1
ZR 0
ZS 0
ZA 0
Z9 51
U1 4
U2 38
SN 0268-1161
EI 1460-2350
UT WOS:000350146600014
PM 25480921
ER

PT J
AU Ramaswamy, Ravishankar
   Leipzig, Rosanne M.
   Howe, Carol L.
   Sauvigne, Karen
   Usiak, Craig
   Soriano, Rainier P.
TI The Portal of Geriatrics Online Education: A 21st-Century Resource for
   Teaching Geriatrics
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 63
IS 2
BP 335
EP 340
DI 10.1111/jgs.13246
PD FEB 2015
PY 2015
AB The way students are taught and evaluated is changing, with greater
   emphasis on flexible, individualized, learner-centered education,
   including the use of technology. The goal of assessment is also shifting
   from what students know to how they perform in practice settings.
   Developing educational materials for teaching in these ways is
   time-consuming and can be expensive. The Portal of Geriatrics Online
   Education (POGOe) was developed to aid educators in meeting these needs
   and become quicker, better-prepared teachers of geriatrics. POGOe
   contains more than 950 geriatrics educational materials that faculty at
   45% of allopathic and 7% of osteopathic U.S. medical schools and the
   Centers for Geriatric Nursing Excellence have created. These materials
   include various instructional and assessment methodologies, including
   virtual and standardized patients, games, tutorials, case-based
   teaching, self-directed learning, and traditional lectures. Materials
   with common goals and resource types are available as selected
   educational series. Learner assessments comprise approximately 10% of
   the educational materials. POGOe also includes libraries of videos,
   images, and questions extracted from its educational materials to
   encourage educators to repurpose content components to create new
   resources and to align their teaching better with their learners' needs.
   Web-Geriatric Education Modules, a peer-reviewed online modular
   curriculum for medical students, is a prime example of this repurposing.
   The existence of a robust compendium of instructional and assessment
   materials allows educators to concentrate more on improving learner
   performance in practice and not simply on knowledge acquisition. It also
   makes it easier for nongeriatricians to teach the care of older adults
   in their respective disciplines.
RI Ramaswamy, Ravishankar/I-2789-2019; Ramaswamy, Ravishankar/; Howe, Carol/
OI Ramaswamy, Ravishankar/0000-0001-5253-9508; Howe,
   Carol/0000-0002-7911-4160
ZS 0
ZR 0
Z8 0
ZA 0
ZB 2
TC 12
Z9 12
U1 0
U2 23
SN 0002-8614
EI 1532-5415
UT WOS:000349893300017
PM 25644187
ER

PT J
AU Ramo, Danielle E.
   Young-Wolff, Kelly C.
   Prochaska, Judith J.
TI Prevalence and correlates of electronic-cigarette use in young adults:
   Findings from three studies over five years
SO ADDICTIVE BEHAVIORS
VL 41
BP 142
EP 147
DI 10.1016/j.addbeh.2014.10.019
PD FEB 2015
PY 2015
AB Background: We aimed to examine prevalence and correlates of past-month
   electronic cigarette ("e-cigarette") use and use of e-cigarettes to aid
   a cessation attempt in three samples of young adult smokers recruited
   online in 2009-2010 (Study 1), 2010-2011 (Study 2), and 2013 (Study 3).
   Methods: Participants were young adults aged 18 to 25 who smoked at
   least one cigarette in the previous month (Study 1, N = 1987 and Study
   2, N = 570) or smoked 3 or more days each week and used Facebook 4 or
   more days per week (Study 3, N = 79). We examined both past-month
   e-cigarette use and ever use of e-cigarettes to quit conventional
   cigarettes.
   Results: Prevalence of past-month use of e-cigarettes was higher in each
   subsequent study: Study 1 (6%), Study 2 (19%), and Study 3 (41%). In
   multivariate analyses, significant correlates of past-month e-cigarette
   use were identified for Study 1 (male sex OR = 2.1, p =.03; past-year
   quit attempt OR = 1.6,p =.03) and Study 2 (male sex, OR = 1.7,p =.03;
   younger age OR = 0.88, p = .05), but not Study 3. In multivariate
   analyses, significant correlates of ever use of e-cigarette to quit
   conventional cigarettes were identified for Study 1 (education, OR =
   1.2, p = .02; smoking within 30 min of waking, OR = 2.8, p = .02; past
   year quit attempt OR = 4.1, p = .02), and Study 3 (desire to quit
   smoking, OR = 1.3, p = .02), but not Study 2.
   Conclusions: E-cigarette use is increasingly common among young adults,
   particularly men. E-cigarette use for quitting conventional cigarettes
   appears more common among those more nicotine dependent and interested
   in quitting. (C) 2014 Elsevier Ltd. All rights reserved.
RI Prochaska, Judith J/I-4510-2013
OI Prochaska, Judith J/0000-0001-7925-326X
ZA 0
ZS 0
ZR 0
ZB 28
TC 83
Z8 1
Z9 84
U1 0
U2 48
SN 0306-4603
EI 1873-6327
UT WOS:000347496500024
PM 25452058
ER

PT J
AU Polacco, Marc A.
   Shinkunas, Laura
   Perencevich, Eli N.
   Kaldjian, Lauris C.
   Reisinger, Heather Schacht
TI See one, do one, teach one: Hand hygiene attitudes among medical
   students, interns, and faculty
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 43
IS 2
BP 159
EP 161
DI 10.1016/j.ajic.2014.10.025
PD FEB 1 2015
PY 2015
AB An anonymous, online survey of medical students, interns, and faculty at
   a university hospital was conducted in 2013 to examine self-reported
   adherence to hand hygiene opportunities. Variation in self-reported
   adherence ranged from frequencies of 60%-100%. Such variation suggests
   the need to direct education toward hand hygiene opportunities with
   lower reported rates of adherence, especially toward those opportunities
   that are difficult to monitor. Published by Elsevier Inc. on behalf of
   the Association for Professionals in Infection Control and Epidemiology,
   Inc.
RI Polacco, Marc/AAK-9975-2021; Reisinger, Heather/; Perencevich, Eli/; Kaldjian, Lauris/
OI Reisinger, Heather/0000-0002-5348-063X; Perencevich,
   Eli/0000-0002-3721-3355; Kaldjian, Lauris/0000-0002-9170-6986
ZS 1
Z8 0
ZR 0
TC 8
ZA 0
ZB 3
Z9 9
U1 0
U2 8
SN 0196-6553
EI 1527-3296
UT WOS:000348737200012
PM 25637116
ER

PT J
AU Al-Mateen, Cheryl S.
   Linker, Julie A.
   Damle, Neha
   Hupe, Jessica
   Helfer, Tamara
   Jessick, Veronica
TI Vicarious Traumatization and Coping in Medical Students: a Pilot Study
SO ACADEMIC PSYCHIATRY
VL 39
IS 1
BP 90
EP 93
DI 10.1007/s40596-014-0199-3
PD FEB 2015
PY 2015
AB This study explored the impact of traumatic experiences on medical
   students during their clerkships.
   Medical students completed an anonymous online survey inquiring about
   traumatic experiences on required clerkships during their third year of
   medical school, including any symptoms they may have experienced as well
   as coping strategies they may have used.
   Twenty-six percent of students reported experiencing vicarious
   traumatization (VT) during their third year of medical school.
   The experience of VT in medical students is relevant to medical
   educators, given that the resulting symptoms may impact student
   performance and learning as well as ongoing well-being. Fifty percent of
   the students who experienced VT in this study did so on the psychiatry
   clerkship. It is important for psychiatrists to recognize that this is a
   potential risk for students in order to increase the likelihood that
   appropriate supports are provided.
TC 9
ZB 1
ZR 0
Z8 0
ZA 0
ZS 1
Z9 9
U1 0
U2 12
SN 1042-9670
EI 1545-7230
UT WOS:000349304800016
PM 25082720
ER

PT J
AU Van Hamel, C.
   Jenner, L. E.
TI Prepared for practice? A national survey of UK foundation doctors and
   their supervisors
SO MEDICAL TEACHER
VL 37
IS 2
BP 181
EP 188
DI 10.3109/0142159X.2014.947929
PD FEB 2015
PY 2015
AB Background: Mandatory induction for foundation year 1 trainees (F1s) was
   introduced in 2012 to ease the transition from student to doctor. The
   aims of this national study were to assess anxiety levels and
   preparedness in the 2012 F1 cohort and whether these varied according to
   medical school of graduation and foundation school of practice.
   Methods: Online surveys were completed anonymously and voluntarily by
   F1s and F1 supervisors from participating foundation schools. Questions
   assessed how prepared F1s were for practice and how well they coped with
   the transition from medical school. A validated screening tool was used
   to assess anxiety levels.
   Results: 1829 F1s and 1145 supervisors participated. 27.8% of F1s
   screened positive for pathological anxiety. Increased time spent in a
   'shadowing' type role during medical school and each additional day of
   induction reduced anxiety levels. How prepared F1s were for different
   aspects of their jobs varied according to medical and foundation school,
   from both the F1 and supervisor perspective.
   Conclusions: How prepared F1s feel can vary according to the medical
   school of graduation and foundation school of practice. F1 anxiety may
   be reduced with a prolonged F1 induction programme and an extended
   shadowing period during the final year of medical school.
ZB 4
TC 42
ZS 0
ZA 0
ZR 0
Z8 0
Z9 42
U1 0
U2 12
SN 0142-159X
EI 1466-187X
UT WOS:000349223900012
PM 25155154
ER

PT J
AU Dong, Chaoyan
   Goh, Poh Sun
TI Twelve tips for the effective use of videos in medical education
SO MEDICAL TEACHER
VL 37
IS 2
BP 140
EP 145
DI 10.3109/0142159X.2014.943709
PD FEB 2015
PY 2015
AB Videos can promote learning by either complementing classroom
   activities, or in self-paced online learning modules. Despite the wide
   availability of online videos in medicine, it can be a challenge for
   many educators to decide when videos should be used, how to best use
   videos, and whether to use existing videos or produce their own. We
   outline 12 tips based on a review of best practices in curriculum
   design, current research in multimedia learning and our experience in
   producing and using educational videos. The 12 tips review the
   advantages of using videos in medical education, present requirements
   for teachers and students, discuss how to integrate video into a
   teaching programme, and describe technical requirements when producing
   one's own videos. The 12 tips can help medical educators use videos more
   effectively to promote student engagement and learning.
OI Goh, Poh-Sun/0000-0002-1531-2053
ZS 1
TC 76
ZB 6
ZA 0
ZR 0
Z8 0
Z9 77
U1 0
U2 19
SN 0142-159X
EI 1466-187X
UT WOS:000349223900006
PM 25110154
ER

PT J
AU Neale, James R.
   Basford, Peter J.
CA British Soc Gastroenterology Train
TI General medical training in gastroenterology: views from specialist
   trainees on the challenges of dual accreditation
SO CLINICAL MEDICINE
VL 15
IS 1
BP 35
EP 39
DI 10.7861/clinmedicine.15-1-35
PD FEB 2015
PY 2015
AB Higher specialist training in general internal medicine (GIM) and the
   medical specialties has been subject to many changes and increasing
   subspecialisation in recent years. The 'Shape of Training' review
   proposes 'broad-based specialty training', shortening of training by one
   year, and subspecialisation to be undertaken after the certificate of
   specialty training is obtained. All higher level gastroenterology
   trainees based in the UK were invited to complete an online survey
   between July and September 2012 to assess their experience of
   gastroenterology and GIM training. Overall, 72.7% of trainees expressed
   satisfaction with their training in gastroenterology but significantly
   fewer (43.5%) expressed satisfaction with their training in GIM.
   Satisfaction with gastroenterology training thus is good, but
   satisfaction with GIM training is lower and levels of dissatisfaction
   have increased significantly since 2008. Up to 50% of trainees are not
   achieving the minimum recommended number of colonoscopy procedures for
   their stage of training. Experience in GIM is seen as service
   orientated, with a lack of training opportunities. There is a worrying
   difficulty in gaining the minimum required experience in endoscopy. If
   the length of specialist training is shortened and generalised, training
   in key core specialist skills such as endoscopy may be compromised
   further.
ZB 0
ZS 0
ZA 0
Z8 0
ZR 0
TC 7
Z9 7
U1 1
U2 1
SN 1470-2118
EI 1473-4893
UT WOS:000349200300010
PM 25650196
ER

PT J
AU Diehl, Adam C.
   Reader, Lauren
   Hamosh, Ada
   Bodurtha, Joann N.
TI Horizontal integration of OMIM across the medical school preclinical
   curriculum for early reinforcement of clinical genetics principles
SO GENETICS IN MEDICINE
VL 17
IS 2
BP 158
EP 163
DI 10.1038/gim.2014.84
PD FEB 2015
PY 2015
AB Purpose: With the relentless expansion of genetics into every field of
   medicine, stronger preclinical and clinical Medical student education in
   genetics is needed. The explosion of genetic information cannot be
   addressed by simply adding content hours. We proposed that students be
   provided a tool to access accurate clinical information on genetic
   conditions and, through this tool, build life-long learning habits to
   carry them through their medical careers.
   Methods: Surveys conducted at the Johns Hopkins University School Of
   Medicine revealed that medical students in all years lacked confidence
   when approaching genetic conditions and lacked a reliable resource for
   accurate genetic information. In response, the school created a
   horizontal thread that stretches across the first-year curriculum and is
   devoted to teaching students how to use Online Mendelian Inheritance in
   Man (OMIM) (http://omim.org) and the; databases to which it links as a
   starting point for approaching genetic conditions.
   Results: The thread improved the first-year students' confidence in;
   clinical genetics concepts and encouraged use of OMIM as a primary
   source for genetic information. Most students showed confidence in OMIM
   as a learning toot and wanted to see the thread repeated in subsequent
   years.
   Conclusion: Incorporating OMIM into the preclinical curriculum improved
   students' confidence in clinical genetics concepts.
OI Diehl, Adam/0000-0003-4984-8128
ZB 3
Z8 0
ZS 0
ZA 0
TC 4
ZR 0
Z9 4
U1 0
U2 6
SN 1098-3600
EI 1530-0366
UT WOS:000348962600009
PM 25032988
ER

PT J
AU Hickson, Ford
   Tomlin, Keith
   Hargreaves, James
   Bonell, Chris
   Reid, David
   Weatherburn, Peter
TI Internet-based cohort study of HIV testing over 1 year among men who
   have sex with men living in England and exposed to a social marketing
   intervention promoting testing
SO SEXUALLY TRANSMITTED INFECTIONS
VL 91
IS 1
BP 24
EP 30
DI 10.1136/sextrans-2014-051598
PD FEB 2015
PY 2015
AB Objectives Increasing HIV testing among men who have sex with men (MSM)
   is a major policy goal in the UK. Social marketing is a common
   intervention to increase testing uptake. We used an online panel of MSM
   to examine rates of HIV testing behaviour and the impact of a social
   marketing intervention on them.
   Method MSM in England were recruited to a longitudinal internet panel
   through community websites and a previous survey. Following an enrolment
   survey, respondents were invited to self-complete 13 surveys at monthly
   intervals throughout 2011. A unique alphanumeric code linked surveys for
   individuals. Rates of HIV testing were compared relative to prompted
   recognition of a multi-part media campaign aiming to normalise HIV
   testing.
   Results Of 3386 unique enrolments, 2047 respondents were included in the
   analysis, between them submitting 15 353 monthly surveys (equivalent to
   1279 years of follow-up), and recording 1517 HIV tests taken, giving an
   annual rate of tests per participant of 1.19 (95% CI 1.13 to 1.25).
   Tests were highly clustered in individuals (61% reported no test during
   the study). Testing rates were higher in London, single men and those
   aged 25-34 years. Only 7.6% recognised the intervention when prompted.
   After controlling for sociodemographic characteristics and exposure to
   other health promotion campaigns, intervention recognition was not
   associated with increased likelihood of testing. Higher rates of testing
   were strongly associated with higher number of casual sexual partners
   and how recently men had HIV tested before study enrolment.
   Conclusions This social marketing intervention was not associated with
   increased rates of HIV testing. More effective promotion of HIV testing
   is needed among MSM in England to reduce the average duration of
   undiagnosed infection.
RI Weatherburn, Peter/AAC-2701-2019; Weatherburn, Peter/
OI Weatherburn, Peter/0000-0002-4950-6163
ZB 6
Z8 1
ZR 0
ZS 0
ZA 0
TC 22
Z9 23
U1 0
U2 23
SN 1368-4973
EI 1472-3263
UT WOS:000348279500009
PM 25270006
ER

PT J
AU Pruthi, Amanda
   Nielsen, Matthew E.
   Raynor, Mathew C.
   Woods, Michael E.
   Wallen, Eric M.
   Smith, Angela B.
TI Readability of American Online Patient Education Materials in Urologic
   Oncology: A Need for Simple Communication
SO UROLOGY
VL 85
IS 2
BP 351
EP 356
DI 10.1016/j.urology.2014.10.035
PD FEB 2015
PY 2015
AB OBJECTIVE To determine the readability levels of reputable cancer and
   urologic Web sites addressing bladder, prostate, kidney, and testicular
   cancers.
   METHODS Online patient education materials (PEMs) for bladder, prostate,
   kidney, and testicular malignancies were evaluated from the American
   Cancer Society, American Society of Clinical Oncology, National Cancer
   Institute, Urology Care Foundation, Bladder Cancer Advocacy Network,
   Prostate Cancer Foundation, Kidney Cancer Association, and Testicular
   Cancer Resource Center. Grade level was determined using several
   readability indices, and analyses were performed on the basis of cancer
   type, Web site, and content area (general, causes, risk factors and
   prevention, diagnosis and staging, treatment, and post-treatment).
   RESULTS Estimated grade level of online PEMs ranged from 9.2 to 14.2
   with an overall mean of 11.7. Web sites for kidney cancer had the least
   difficult readability (11.3) and prostate cancer had the most difficult
   readability (12.1). Among specific Web sites, the most difficult
   readability levels were noted for the Urology Care Foundation Web site
   for bladder and prostate cancer and the Kidney Cancer Association and
   Testicular Cancer Resource Center for kidney and testes cancer.
   Readability levels within content areas varied on the basis of the
   disease and Web site.
   CONCLUSION Online PEMs in urologic oncology are written at a level above
   the average American reader. Simplification of these resources is
   necessary to improve patient understanding of urologic malignancy. (C)
   2015 Elsevier Inc.
Z8 0
ZB 7
ZS 0
ZA 0
ZR 0
TC 21
Z9 21
U1 0
U2 5
SN 0090-4295
EI 1527-9995
UT WOS:000348562200022
PM 25623686
ER

PT J
AU Schoenwetter, Dieter J.
   Hamilton, Joanne
   Sawatzky, Jo-Ann V.
TI Exploring Professional Development Needs of Educators in the Health
   Sciences Professions
SO JOURNAL OF DENTAL EDUCATION
VL 79
IS 2
BP 113
EP 123
PD FEB 2015
PY 2015
AB An increasing number of institutions of higher education are clustering
   their health sciences schools into a common unit. Therefore, it is
   imperative that the individual faculty development units assume new
   mandates to meet faculty development needs for stakeholders across these
   disciplines. Critical to providing current and relevant professional
   development activities is an awareness of the needs of academicians,
   including common as well as discipline-specific needs. Hence, the aim of
   this study was to explore the extent to which factors such as
   discipline, rank, gender, education, and years as an academician impact
   on perceived needs for faculty development. In February 2012, a
   cross-sectional survey of the perceived faculty development needs of
   academicians in the health sciences unit of a Canadian university was
   conducted using an online assessment tool. A total of 133 out of 1,409
   potential participants completed the survey, for a response rate of
   9.4%. The findings revealed more similarities than differences in terms
   of perceived faculty development needs. In addition, differences were
   found across all health professions schools and in factors such as
   discipline, academic rank, education, gender, and years as an
   academician. These findings suggest that faculty development and
   educational specialists should understand the shared as well as the
   unique needs of the individual health sciences schools in planning their
   professional development services.
RI Sawatzky, Jo-Ann/G-5339-2016
OI Sawatzky, Jo-Ann/0000-0001-7924-9017
ZS 0
TC 20
ZB 0
ZA 0
ZR 0
Z8 0
Z9 20
U1 1
U2 17
SN 0022-0337
EI 1930-7837
UT WOS:000349269000002
PM 25640615
ER

PT J
AU Dale, Simeon
   Levi, Christopher
   Ward, Jeanette
   Grimshaw, Jeremy M.
   Jammali-Blasi, Asmara
   D'Este, Catherine
   Griffiths, Rhonda
   Quinn, Clare
   Evans, Malcolm
   Cadilhac, Dominique
   Cheung, N. Wah
   Middleton, Sandy
TI Barriers and Enablers to Implementing Clinical Treatment Protocols for
   Fever, Hyperglycaemia, and Swallowing Dysfunction in the Quality in
   Acute Stroke Care (QASC) Project-A Mixed Methods Study
SO WORLDVIEWS ON EVIDENCE-BASED NURSING
VL 12
IS 1
BP 41
EP 50
DI 10.1111/wvn.12078
PD FEB 2015
PY 2015
AB BackgroundThe Quality in Acute Stroke Care (QASC) trial evaluated
   systematic implementation of clinical treatment protocols to manage
   fever, sugar, and swallow (FeSS protocols) in acute stroke care. This
   cluster-randomised controlled trial was conducted in 19 stroke units in
   Australia.
   AimTo describe perceived barriers and enablers preimplementation to the
   introduction of the FeSS protocols and, postimplementation, to determine
   which of these barriers eventuated as actual barriers.
   MethodsPreimplementation: Workshops were held at the intervention stroke
   units (n = 10). The first workshop involved senior clinicians who
   identified perceived barriers and enablers to implementation of the
   protocols, the second workshop involved bedside clinicians.
   Postimplementation, an online survey with stroke champions from
   intervention sites was conducted.
   ResultsA total of 111 clinicians attended the preimplementation
   workshops, identifying 22 barriers covering four main themes: (a) need
   for new policies, (b) limited workforce (capacity), (c) lack of
   equipment, and (d) education and logistics of training staff.
   Preimplementation enablers identified were: support by clinical
   champions, medical staff, nursing management and allied health staff;
   easy adaptation of current protocols, care-plans, and local policies;
   and presence of specialist stroke unit staff. Postimplementation, only
   five of the 22 barriers identified preimplementation were reported as
   actual barriers to adoption of the FeSS protocols, namely, no previous
   use of insulin infusions; hyperglycaemic protocols could not be
   commenced without written orders; medical staff reluctance to use the
   ASSIST swallowing screening tool; poor level of engagement of medical
   staff; and doctors' unawareness of the trial.
   Linking Evidence to ActionThe process of identifying barriers and
   enablers preimplementation allowed staff to take ownership and to
   address barriers and plan for change. As only five of the 22 barriers
   identified preimplementation were reported to be actual barriers at
   completion of the trial, this suggests that barriers are often overcome
   whilst some are only ever perceived rather than actual barriers.
RI Cadilhac, D A/I-1912-2014; Middleton, Sandy/J-5526-2015; Dale, Simeon/; Cheung, Ngai Wah/; Levi, Christopher/
OI Cadilhac, D A/0000-0001-8162-682X; Middleton, Sandy/0000-0002-7201-4394;
   Dale, Simeon/0000-0003-3611-8740; Cheung, Ngai Wah/0000-0001-6323-8006;
   Levi, Christopher/0000-0002-9474-796X
ZS 0
ZR 0
ZA 0
Z8 0
TC 20
ZB 5
Z9 20
U1 0
U2 17
SN 1545-102X
EI 1741-6787
UT WOS:000349153600006
PM 25604606
ER

PT J
AU Joiner, Adam B.
   Husain, Nusrat
   Duddu, Venu
   Chaudhry, Imran B.
TI Medical professionalism education for psychiatry trainees: does it meet
   standards?
SO AUSTRALASIAN PSYCHIATRY
VL 23
IS 1
BP 72
EP 75
DI 10.1177/1039856214563847
PD FEB 2015
PY 2015
AB Objective: Developing professionalism is an important part of a doctor's
   training. Developing professional attributes is an expected part of
   postgraduate psychiatry training, as indicated by the curriculum. It is
   unknown whether this requirement is being met. Our aim was to explore
   whether psychiatry trainees are meeting current standards of
   professionalism education.
   Methods: This audit and evaluation was investigated using an online
   survey, inviting trainees from three National Health Service Trusts in
   North West England. Invitations were sent by email with a link to an
   online survey.
   Results: The results suggest that current standards are not being met.
   Trainees value professionalism education and feel it is important.
   However, there is a lack of formal teaching and a lack of adequate
   educational opportunities: 25% of trainees get any formal teaching and
   78% feel this teaching is not adequate. There is also a concern that 20%
   of supervisors are not considered good role models.
   Conclusions: Recommendations to address this educational gap are
   presented. Recommendations include making time in trainees' academic
   programmes for formal educational activities for professionalism
   development, and further exploration of why some supervisors are not
   considered good role models for professionalism.
OI Husain, Nusrat/0000-0002-9493-0721; Joiner, Adam/0000-0003-2293-1730
ZB 1
Z8 0
ZS 1
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 1
SN 1039-8562
EI 1440-1665
UT WOS:000348639600018
PM 25512969
ER

PT J
AU Fiorillo, Andrea
   Sampogna, Gaia
   Del Vecchio, Valeria
   Luciano, Mario
   Del Gaudio, Lucia
   De Rosa, Corrado
   Catapano, Francesco
   Maj, Mario
TI What is the current status of training and practice of early
   intervention in psychiatry? Results from a survey in 35 countries
SO EARLY INTERVENTION IN PSYCHIATRY
VL 9
IS 1
BP 70
EP 75
DI 10.1111/eip.12085
PD FEB 2015
PY 2015
AB AimTo assess: (i) trainees' educational needs on early intervention in
   psychiatry; (ii) their satisfaction and competence in early detection
   and management of patients with severe mental disorders; (iii)
   characteristics of training on prevention and on early intervention in
   psychiatry; and (iv) organizational and clinical differences of early
   intervention programmes and services in different countries.
   MethodsSixty early career psychiatrists, recruited from the early career
   psychiatrists' network of the World Psychiatric Association, were
   invited to participate in the survey. Respondents were asked to provide
   the collective input of their trainees' association rather than that of
   any individual officer or member. An online survey was conducted using
   an ad hoc questionnaire consisting of 18 items.
   ResultsThirty-five countries sent back the questionnaire (58.3%).
   University training in early intervention for mental disorders was
   provided in 13 countries (38%); 54% of respondents were not satisfied
   with received training and about half of them did not feel enough
   confident to provide specialistic interventions to patients at the onset
   of the disorder. Services for early intervention existed in 22 countries
   (63%). The most frequently available were those for schizophrenia (75%).
   Informative campaigns on mental disorders were usually carried out in
   almost all surveyed countries (85%).
   ConclusionsAlthough prevention and early intervention represent one of
   the current paradigms of psychiatric practice and research, efforts are
   still needed in order to improve training programmes at university
   sites.
RI Fiorillo, Andrea/AHH-4551-2022; Sampogna, Gaia/AHH-4608-2022; Luciano, Mario/; Catapano, Francesco/
OI Fiorillo, Andrea/0000-0002-6926-0762; Sampogna,
   Gaia/0000-0002-9547-2793; Luciano, Mario/0000-0002-4338-1371; Catapano,
   Francesco/0000-0002-7341-0110
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
TC 6
Z9 6
U1 0
U2 4
SN 1751-7885
EI 1751-7893
UT WOS:000348726800010
PM 23968402
ER

PT J
AU Woitha, Kathrin
   Hasselaar, Jeroen
   van Beek, Karen
   Ahmed, Nisar
   Jaspers, Birgit
   Hendriks, Jan C. M.
   Radbruch, Lukas
   Vissers, Kris
   Engels, Yvonne
TI Testing feasibility and reliability of a set of quality indicators to
   evaluate the organization of palliative care across Europe: A pilot
   study in 25 countries
SO PALLIATIVE MEDICINE
VL 29
IS 2
BP 157
EP 163
DI 10.1177/0269216314562100
PD FEB 2015
PY 2015
AB Background: A well-organized palliative care service is a prerequisite
   for offering good palliative care. Reliable and feasible quality
   indicators are needed to monitor the quality of their organization.
   Aim: To test feasibility and reliability of a previously developed set
   of quality indicators in settings and services that provide palliative
   care across Europe.
   Methods: A total of 38 quality indicators, applicable in all types of
   settings, rated in a RAND Delphi process, and operationalized into 38
   yes/no questions, were used. Descriptives statistics, factor and
   reliability analyses, analysis of variance, and chi-square analyses were
   used.
   Design: Cross-sectional online survey.
   Setting/participants: Questionnaires were sent to representatives of 217
   palliative care settings in 25 countries. Included settings were
   hospices, inpatient dedicated palliative care beds, palliative care
   outpatient clinics, palliative care units, day care centers for
   palliative care, palliative care home support teams, inpatient
   palliative care support teams, care homes, and nursing homes.
   Results: All invited 25 European Association of Palliative Care
   countries took part. In total, 107 out of 217 participants responded
   (57%). The quality indicators were reduced to four coherent sub-scales,
   being equipment and continuity of care, structured documentation of
   essential palliative care elements in the medical record, training and
   appraisal of personnel, and availability of controlled drugs. No
   significant differences in quality criteria between the different types
   of settings and services were identified.
   Conclusion: The set of quality indicators appeared to measure four
   reliable domains that assess the organization of different palliative
   care settings. It can be used as a starting point for quality
   improvement activities.
RI Hendriks, J.C.M./L-4363-2015; Vissers, Kris/H-8110-2014; Hasselaar, Jeroen/C-9446-2011; Vissers, Kris C.P./D-3569-2009; Engels, Yvonne/I-1814-2015
OI Vissers, Kris/0000-0002-2919-6356; Vissers, Kris
   C.P./0000-0002-2919-6356; Engels, Yvonne/0000-0002-7669-1018
ZR 0
ZB 0
ZA 0
Z8 0
ZS 0
TC 4
Z9 4
U1 0
U2 10
SN 0269-2163
EI 1477-030X
UT WOS:000349103800008
PM 25634899
ER

PT J
AU Combs, Sara A.
   Culp, Stacey
   Matlock, Daniel D.
   Kutner, Jean S.
   Holley, Jean L.
   Moss, Alvin H.
TI Update on End-of-Life Care Training During Nephrology Fellowship: A
   Cross-sectional National Survey of Fellows
SO AMERICAN JOURNAL OF KIDNEY DISEASES
VL 65
IS 2
BP 233
EP 239
DI 10.1053/j.ajkd.2014.07.018
PD FEB 2015
PY 2015
AB Background: Patients with end-stage renal disease have high mortality
   and symptom burden. Past studies demonstrated that nephrologists do not
   feel prepared to care for their patients at the end of life. We sought
   to characterize current palliative and end-of-life care education
   received during nephrology fellowship and compare this with data from
   2003.
   Study Design: Cross-sectional online survey of second-year nephrology
   trainees. Responses were compared to a similar survey in 2003.
   Setting & Participants: 104 US nephrology fellowship programs in 2013.
   Measurements: Quality of training in and attitudes toward end-of-life
   care and knowledge and preparedness to provide nephrology-specific
   end-of-life care.
   Results: Of 204 fellows included for analysis (response rate, 65%),
   significantly more thought it was moderately to very important to learn
   to provide care at end of life in 2013 compared to 2003 (95% vs 54%; P <
   0.001). Nearly all (99%) fellows in both surveys believed physicians
   have a responsibility to help patients at end of life. Ranking of
   teaching quality during fellowship in all areas (mean, 4.1 +/- 0.8 on a
   scale of 0-5 [0, poor; 5, excellent]) and specific to end-of-life care
   (mean, 2.4 +/- 1.1) was unchanged from 2003, but knowledge of the annual
   gross mortality rate for dialysis patients was nominally worse in 2013
   because only 57% versus 67% in 2003 answered correctly (P = 0.05). To an
   open-ended question asking what would most improve fellows' end-of-life
   care education, the most common response was a required palliative
   medicine rotation during fellowship.
   Limitations: Assessments were based on fellows' subjective perceptions.
   Conclusions: Nephrology fellows increasingly believe they should learn
   to provide end-of-life care during fellowship. However, perceptions
   about the quality of this teaching have not improved during the past
   decade. Palliative care training should be integrated into nephrology
   fellowship curricula. (C) 2015 by the National Kidney Foundation, Inc.
OI Matlock, Dan/0000-0001-9597-9642; Combs, Sara/0000-0002-2888-5213
ZB 12
Z8 1
ZR 0
ZS 0
TC 82
ZA 0
Z9 83
U1 0
U2 7
SN 0272-6386
EI 1523-6838
UT WOS:000348196400009
PM 25245300
ER

PT J
AU Farikullah, Jasmin
   Mirza, Omar
TI Changes in teaching delivery by foundation doctors.
SO The clinical teacher
VL 12
IS 1
BP 14
EP 6
DI 10.1111/tct.12232
PD 2015-Feb
PY 2015
AB BACKGROUND: Contributing to the education of students as a junior
   doctor, with a busy rota, in an ever-evolving health care system can be
   challenging.
   METHODS: A 4-month timetable was organised to fit in with both the
   commitments of 60 foundation doctors and 120 final-year medical
   students. Using the already established online undergraduate timetable
   system, foundation doctors created regular sign-up teaching sessions for
   students to attend. Foundation doctors had their teaching assessed by
   senior colleagues, enabling work-based assessments to be completed and
   mapped to their curriculum. Feedback from both students and foundation
   doctors was collected using free-text answers and scale ratings.
   RESULTS: A total of 49 foundation doctors and 70 medical students were
   involved in the pilot teaching scheme. Using thematic analysis from the
   feedback, 76 per cent of foundation doctors reported an increased
   confidence in delivering teaching. In relation to the students, 75 per
   cent attended regular teaching sessions, 80 per cent found the teaching
   sessions relevant to their learning and preparation for final
   examinations, and 97 per cent would recommend this scheme to the next
   cohort of students.
   DISCUSSION: Teaching hospitals should encourage regular undergraduate
   teaching led by foundation trainees. Incorporating a flexible timetable
   and ensuring teacher availability can allow the delivery of high-quality
   teaching that is not only beneficial for the student but also for junior
   doctors keen to enhance their teaching ability. By being involved in
   regular teaching, junior doctors are able to build the skills, attitudes
   and practices of being competent clinical teachers, thereby preparing
   them to become the educators and trainers of the future.
OI Mirza, Omar/0000-0003-0406-2551
TC 1
ZR 0
ZS 0
Z8 0
ZA 0
ZB 0
Z9 1
U1 0
U2 1
EI 1743-498X
UT MEDLINE:25603701
PM 25603701
ER

PT J
AU Weingart, Scott D.
   Thoma, Brent
TI The online hierarchy of needs: A beginner's guide to medical social
   media and FOAM
SO EMERGENCY MEDICINE AUSTRALASIA
VL 27
IS 1
BP 5
EP 5
DI 10.1111/1742-6723.12361
PD FEB 2015
PY 2015
RI Thoma, Brent/AAS-8775-2020; Weingart, Scott/GPT-3971-2022; Thoma, Brent/ABI-2642-2020
OI Thoma, Brent/0000-0003-1124-5786; 
ZA 0
ZR 0
TC 5
ZS 0
Z8 0
ZB 0
Z9 5
U1 0
U2 2
SN 1742-6731
EI 1742-6723
UT WOS:000349372100002
PM 25627567
ER

PT J
AU McCutcheon, Karen
   Lohan, Maria
   Traynor, Marian
   Martin, Daphne
TI A systematic review evaluating the impact of online or blended learning
   vs. face-to-face learning of clinical skills in undergraduate nurse
   education
SO JOURNAL OF ADVANCED NURSING
VL 71
IS 2
BP 255
EP 270
DI 10.1111/jan.12509
PD FEB 2015
PY 2015
AB Aim. To determine whether the use of an online or blended learning
   paradigm has the potential to enhance the teaching of clinical skills in
   undergraduate nursing.
   Background. The need to adequately support and develop students in
   clinical skills is now arguably more important than previously
   considered due to reductions in practice opportunities. Online and
   blended teaching methods are being developed to try and meet this
   requirement, but knowledge about their effectiveness in teaching
   clinical skills is limited.
   Design. Mixed methods systematic review, which follows the Joanna Briggs
   Institute User guide version 5.
   Data sources. Computerized searches of five databases were undertaken
   for the period 1995-August 2013.
   Review methods. Critical appraisal and data extraction were undertaken
   using Joanna Briggs Institute tools for experimental/observational
   studies and interpretative and critical research. A narrative synthesis
   was used to report results.
   Results. Nineteen published papers were identified. Seventeen papers
   reported on online approaches and only two papers reported on a blended
   approach. The synthesis of findings focused on the following four areas:
   performance/clinical skill, knowledge, self-efficacy/clinical confidence
   and user experience/satisfaction. The e-learning interventions used
   varied throughout all the studies.
   Conclusion. The available evidence suggests that online learning for
   teaching clinical skills is no less effective than traditional means.
   Highlighted by this review is the lack of available evidence on the
   implementation of a blended learning approach to teaching clinical
   skills in undergraduate nurse education. Further research is required to
   assess the effectiveness of this teaching methodology.
OI Lohan, Maria/0000-0003-3525-1283
TC 252
ZA 0
ZR 0
ZB 18
ZS 8
Z8 2
Z9 258
U1 15
U2 184
SN 0309-2402
EI 1365-2648
UT WOS:000347729100003
PM 25134985
ER

PT J
AU Werner-Lin, Allison
   Ratner, Rachel
   Hoskins, Lindsey M.
   Lieber, Caroline
TI A Survey of Genetic Counselors About the Needs of 18-25 Year Olds from
   Families with Hereditary Breast and Ovarian Cancer Syndrome
SO JOURNAL OF GENETIC COUNSELING
VL 24
IS 1
BP 78
EP 87
DI 10.1007/s10897-014-9739-y
PD FEB 2015
PY 2015
AB As a result of modern treatments, the life of women who test positive
   for BRCA mutations may be plotted along the arc of preventive medicine
   rather than the slope of diagnostics. Despite evidence supporting the
   benefits of risk reduction, protocols for early detection and prevention
   among women from families affected by hereditary breast and ovarian
   cancer (HBOC) are not yet proven, and clinical trials have not been
   undertaken for patients aged 18 to 25. The absence of psychosocial data
   may leave genetic counselors without uniform guidance on how to manage
   the care of these patients. This project sought to investigate
   perspectives on counseling 18-25 year-old patients from families with
   hereditary cancer syndromes, with specific emphasis on HBOC, given their
   unique developmental, familial, and medical challenges. Certified
   genetic counselors were recruited through the NSGC's Cancer Genetics
   Special Interest Group listserv. Researchers constructed an online
   survey which included 41 items and elicited information about: counselor
   demographics, training, and practice settings; approaches to cancer risk
   assessment; and common challenges in work with 18- to 25-year-old
   patients. The survey was also informed by previous work by researchers
   with 18 to 25-year-olds with BRCA gene mutations. Eighty-six surveys
   were completed. Researchers used a combination of grounded theory and
   content analysis for open-ended responses, supported and triangulated
   with statistical analysis to maximize the interpretation of data.
   Genetic counselors who responded to this survey experience 18-25 year
   old patients presenting for cancer risk assessment differently than
   older patients, and some reported adapting their counseling style to
   address these differences. Respondents differed in the extent to which
   they felt well-versed in the developmental needs of patients in this age
   group. Respondents aged 39 and under reported feeling familiar with this
   stage in life, having more recently completed it; respondents aged 40
   and over reported they were less familiar with, and more interested in
   learning about, this age group. A primary challenge in cancer risk
   assessment of these patients, reported primarily by counselors aged 39
   and under, is navigating family dynamics in counseling sessions and
   addressing the developmentally labile young adult. With respect to
   BRCA-related cancer risk, where penetrance is incomplete, onset in early
   adulthood is rare. Evidence-based treatment/prevention options exist,
   but providers may not have clarity regarding how or when to provide
   directive counsel. A rich understanding of the themes inherent in how
   people grow and change over time might enhance the counselor's capacity
   to assess patients and their family members. The integration of a
   developmental approach to genetic counseling has the potential to reduce
   the imperative for non-directive counseling.
ZS 0
ZA 0
ZR 0
ZB 4
Z8 0
TC 11
Z9 11
U1 0
U2 19
SN 1059-7700
EI 1573-3599
UT WOS:000348131000009
PM 25011978
ER

PT J
AU Loughran, Dafydd
TI Surgical consent: the world's largest Chinese Whisper? A review of
   current surgical consent practices
SO JOURNAL OF MEDICAL ETHICS
VL 41
IS 2
DI 10.1136/medethics-2013-101931
PD FEB 2015
PY 2015
AB As the law around surgical consent continues to evolve, surgeons and
   those in training risk being caught red-faced and defenceless. Despite
   repeated concerns regarding surgical consent being raised by the General
   Medical Council of the UK, how much is changing on the National Health
   Service shop floor? This report investigates the variation between
   consenting practices for six common general surgical operations in 123
   individual operations. Results showed that only 20% of mentioned
   operative complications for each operation were being documented on >75%
   of consent forms. The vast majority of mentioned complications were
   mentioned inconsistently, leading to patients being given grossly
   varying information preoperatively. Reassuringly, only 4.1% of consent
   procedures were done by those not in core surgical training (junior
   resident) or above, but nonetheless significant omissions were observed.
   When consenting a patient for an emergency exploratory laparotomy, an
   operation carrying a 14% chance of death, a risk of death was only
   documented in 28% of cases. Trainees failed to document the possibility
   of an orchidectomy in 30% of scrotal exploration cases. Data showed that
   complication incidences were only documented for 0.004% of the 721
   complications mentioned in total, and a consent process was documented
   in the chronological notes in only 38% of cases. Seventy-seven per cent
   of surgical trainees surveyed across four UK deaneries stated that they
   would strongly support an online and mobile consenting resource
   detailing the recommended mentionable risks and incidences. Is it time
   for the traditional consenting approach to give way to an evidence-based
   gold standard?
RI Loughran, Dafydd/B-9873-2018
OI Loughran, Dafydd/0000-0002-2708-7092
ZA 0
ZR 0
Z8 1
TC 11
ZS 0
ZB 1
Z9 12
U1 0
U2 6
SN 0306-6800
EI 1473-4257
UT WOS:000348203600018
PM 25205390
ER

PT J
AU Greenall, Julie
   Shastay, Ann
   Vaida, Allen J.
   David, U.
   Johnson, Philip E.
   O'Leary, Joe
   Chambers, Carole
TI Establishing an international baseline for medication safety in
   oncology: Findings from the 2012 ISMP International Medication Safety
   Self Assessment (R) for Oncology
SO JOURNAL OF ONCOLOGY PHARMACY PRACTICE
VL 21
IS 1
BP 26
EP 35
DI 10.1177/1078155214556522
PD FEB 2015
PY 2015
AB Background In 2012, the Institute for Safe Medication Practices (ISMP)
   and the Institute for Safe Medication Practices Canada (ISMP Canada)
   collaborated with an international panel of oncology practitioners to
   develop the ISMP International Medication Safety Self Assessment (R) for
   Oncology. This self-assessment was designed to assist oncology
   practitioners in hospitals, ambulatory care centers, and office practice
   settings throughout the world to evaluate safe practices related to
   medication use in the oncology setting and to identify opportunities for
   improvement.
   Instrument Design The self-assessment consists of 175 items organized
   into 10 key elements subdivided into 18 core characteristics of safe
   medication use. Assessment results were submitted via a secure online
   portal. The online program allows participants to print and graph their
   results and to compare their findings with those of similar
   organizations both nationally and internationally.
   Methods Complimentary access to the self-assessment was made available
   for a seven-month snapshot period in 2012.
   Results A total of 352 organizations from 13 countries submitted
   assessment results. Key opportunities for improvement were identified in
   five areas: implementation of the World Health Organization
   recommendations for management of vinCRIStine and other vinca alkaloids,
   safe management of oral chemotherapy, labeling of distal ends of
   intravenous tubing, implementation of technology-based safeguards, and
   patient education.
   Conclusions This international snapshot provides important data about
   the level of implementation of system-based safeguards in oncology
   practice, key improvement opportunities, and represents a baseline for
   future improvement efforts. A collaborative approach to identifying
   vulnerabilities and developing solutions for safe medication use in
   oncology will enhance the care of patients with cancer internationally.
Z8 0
ZA 0
ZR 0
ZS 2
ZB 0
TC 10
Z9 11
U1 0
U2 1
SN 1078-1552
EI 1477-092X
UT WOS:000346997900004
PM 25361598
ER

PT J
AU Ziegler, Lucy
   Bennett, Mike
   Blenkinsopp, Alison
   Coppock, Sally
TI Non-medical prescribing in palliative care: A regional survey
SO PALLIATIVE MEDICINE
VL 29
IS 2
BP 177
EP 181
DI 10.1177/0269216314557346
PD FEB 2015
PY 2015
AB Background: The United Kingdom is considered to be the world leader in
   nurse prescribing, no other country having the same extended non-medical
   prescribing rights. Arguably, this growth has outpaced research to
   evaluate the benefits, particularly in areas of clinical practice where
   patients have complex co-morbid conditions such as palliative care. This
   is the first study of non-medical prescribing in palliative care in
   almost a decade.
   Aim: To explore the current position of nurse prescribing in palliative
   care and establish the impact on practice of the 2012 legislative
   changes.
   Design: An online survey circulated during May and June 2013.
   Participants: Nurse members (n=37) of a regional cancer network
   palliative care group (61% response rate).
   Results: While this survey found non-medical prescribers have embraced
   the 2012 legislative changes and prescribe a wide range of drugs for
   cancer pain, we also identified scope to improve the transition from
   qualified to active non-medical prescriber by reducing the time interval
   between the two.
   Conclusion: To maximise the economic and clinical benefit of non-medical
   prescribing, the delay between qualifying as a prescriber and becoming
   an active prescriber needs to be reduced. Nurses who may be considering
   training to be a non-medical prescriber may be encouraged by the
   provision of adequate study leave and support to cover clinical work.
   Further research should explore the patients' perspective of non-medical
   prescribing.
RI Bennett, Michael I/A-1620-2009; Ziegler, Lucy/; Blenkinsopp, Alison/
OI Bennett, Michael I/0000-0002-8369-8349; Ziegler,
   Lucy/0000-0001-9563-5014; Blenkinsopp, Alison/0000-0001-8872-2769
ZB 0
ZR 0
ZA 0
TC 7
ZS 0
Z8 0
Z9 7
U1 0
U2 12
SN 0269-2163
EI 1477-030X
UT WOS:000349103800010
PM 25501312
ER

PT J
AU Van Dorn, Charlotte S.
   Menon, Shaji C.
   Johnson, Joyce T.
   Day, Ronald W.
   Hoffman, James L.
   Yetman, Anji T.
TI Lifetime Cardiac Reinterventions Following the Fontan Procedure
SO PEDIATRIC CARDIOLOGY
VL 36
IS 2
BP 329
EP 334
DI 10.1007/s00246-014-1007-2
PD FEB 2015
PY 2015
AB Patients with single ventricle physiology face significant morbidity and
   mortality following the Fontan procedure resulting in the need for
   additional cardiac reinterventions. Online patient education resources
   provide limited information on the reinterventions performed in single
   ventricle patients following the Fontan procedure. We sought to
   determine cardiac surgical and percutaneous reintervention rates and
   factors affecting reinterventions following the Fontan procedure.
   Databases from a single tertiary care center were retrospectively
   reviewed for all patients who underwent a Fontan procedure between 1978
   and 2002. The number and type of cardiac surgical and percutaneous
   interventions following the Fontan procedure were determined, and
   relationships between need for reintervention and clinical variables
   were sought. A total of 91 patients (55 males) underwent the Fontan
   procedure at a median age of 5.50 years (IQR: 3.33-9.50 years). Median
   age at last follow-up, death, or transplant was 21.89 years (IQR:
   10.87-25.51 years). Following the Fontan procedure, 60 (66 %) patients
   required an additional 144 median sternotomies and 61 (67 %) required
   139 percutaneous cardiac interventions. Pacemaker system
   placement/replacement was the most common intervention following the
   Fontan procedure. The median time to first cardiac surgery following the
   Fontan was 1.96 years (IQR: 0.06-8.42 years) while the median time to
   the first percutaneous intervention was 7.63 years (IQR: 0.65-15.89
   years). Families of single ventricle patients should be counseled on the
   likelihood of requiring additional cardiac interventions following the
   Fontan procedure.
ZB 4
Z8 0
TC 9
ZS 0
ZR 0
ZA 0
Z9 9
U1 0
U2 1
SN 0172-0643
EI 1432-1971
UT WOS:000348566100013
PM 25135603
ER

PT J
AU Zhang, Zhongheng
   Wang, Yi-Xiang J.
TI English language usage pattern in China mainland doctors: AME survey-001
   initial analysis results
SO QUANTITATIVE IMAGING IN MEDICINE AND SURGERY
VL 5
IS 1
BP 174
EP 181
DI 10.3978/j.issn.2223-4292.2014.12.05
PD FEB 2015
PY 2015
AB Purpose: English is the most widely used language in medical community
   worldwide. Till now there is no study yet on how English language is
   being used among mainland Chinese doctors. The present survey aimed to
   address this question.
   Methods: An online cross-sectional survey was carried out during the
   period of 23 Oct 2014 to 13 November 2014, totaling 22 days. This survey
   was conducted on the platform provided by DXY (www.dxy.cn), which is the
   largest medical and paramedical related website in China with registered
   medical doctor users of slightly more than one million. E-mails were
   sent to all DXY registered users to invite them to participate the
   survey which lasts approximately five-minute. The questionnaire included
   three major aspects: (I) the demographic characteristics of
   participants; (II) English reading pattern; and (III) paper publishing
   experience in international journals. To accommodate the complexity of
   relationships among variables, structural equation modeling (SEM) was
   employed to build the model.
   Results: In total 1,663 DXY users completed the survey, which counted
   for approximate to 1% of the total registered medical doctor users.
   There were more participants from relatively economically developed
   eastern coast areas. The age of participants was 33.6 +/- 7.4 years.
   There were 910 respondents from teaching hospitals (54.72%), followed by
   tertiary care hospitals (class-III hospital, 22.37%). Mainland Chinese
   doctors were more likely to consult medical materials in Chinese (63.5%)
   when they encounter clinical difficulties. Participants who were able to
   list English journals of their own specialty up to four were 44.02% for
   0, 13.77% for one journal, 13.89% for two journals, 9.26% for three
   journals, and 19.06% for four journals. Most participants (82.86%) have
   read at least one English paper or one professional book in English,
   while 17.14% responded they never read a single English paper or
   professorial book in English. About 30.42% participants published at
   least one paper in English journals, and approximately half of them
   require professional English editing service.
   Conclusions: This limited survey shows Mainland Chinese doctors are more
   likely to use Chinese medical materials. Overall their familiarity with
   international English journals is relatively low. Improving English
   education at the undergraduate and post-graduate levels is recommended.
RI Zhang, Zhongheng/E-1282-2011; Wang, Yi Xiang/I-5952-2016
OI Zhang, Zhongheng/0000-0002-2336-5323; Wang, Yi Xiang/0000-0001-5697-0717
ZR 0
ZB 0
ZA 0
TC 8
Z8 0
ZS 0
Z9 8
U1 0
U2 6
SN 2223-4292
EI 2223-4306
UT WOS:000214946600022
PM 25694968
ER

PT J
AU Marzio, Dina L. Halegoua-De
   Herrine, Steven K.
TI Training Directors Have Positive Perceptions of a Competency-Based
   Gastroenterology and Transplant Hepatology Fellowship Program
SO CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
VL 13
IS 2
BP 398
EP U253
DI 10.1016/j.cgh.2014.07.053
PD FEB 2015
PY 2015
AB BACKGROUND & AIMS: In 2012, the American Board of Internal Medicine
   approved a pilot competency-based transplant hepatology (TH) training
   program. This program allows gastroenterology (GI) and TH fellowships to
   be completed in 3 years. We investigated the perceptions and beliefs of
   GI and TH division and fellowship program directors on the
   competency-based TH training program.
   METHODS: All current GI and TH division and fellowship program directors
   from the 162 fellowship programs accredited by the Accreditation Council
   for Graduate Medical Education were invited via e-mail to anonymously
   complete the online survey. The survey questioned their perceptions of
   the 3-year combined GI and TH training program.
   RESULTS: A total of 116 participants completed the survey (similar to
   38% response rate). Most respondents were GI fellowship directors (61%);
   15% were GI and hepatology division directors, 19% were TH fellowship
   directors, 14% were TH division directors, and 5% were GI division
   directors. Most of the respondents were in favor of the pilot program
   (85%). Only 63% of all respondents believed that graduates of the pilot
   program would achieve the same level of competency in GI as those who
   completed the traditional program. Overall, 71% believed incorporation
   of the 3-year training model would increase interest and participation
   in TH fellowships.
   CONCLUSIONS: Most of the academic GI and TH division and fellowship
   program directors embrace competency-based fellowship education and TH
   subspecialty training during the designated 3-year GI fellowship. Future
   studies will be needed to reevaluate these beliefs after several years.
OI Herrine, Steven/0000-0001-5763-1821
ZA 0
ZR 0
ZS 0
TC 3
Z8 0
ZB 0
Z9 3
U1 0
U2 1
SN 1542-3565
EI 1542-7714
UT WOS:000348505100032
PM 25111235
ER

PT J
AU Sarfaty, Mona
   Bloodhart, Brittany
   Ewart, Gary
   Thurston, George D.
   Balmes, John R.
   Guidotti, Tee L.
   Maibach, Edward W.
TI American Thoracic Society Member Survey on Climate Change and Health
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 12
IS 2
BP 274
EP 278
DI 10.1513/AnnalsATS.201410-460BC
PD FEB 2015
PY 2015
AB The American Thoracic Society (ATS), in collaboration with George Mason
   University, surveyed a random sample of ATS members to assess their
   perceptions of, clinical experiences with, and preferred policy
   responses to climate change. An e-mail containing an invitation from the
   ATS President and a link to an online survey was sent to 5,500 randomly
   selected U.S. members; up to four reminder e-mails were sent to
   nonrespondents. Responses were received from members in 49 states and
   the District of Columbia (n = 915); the response rate was 17%.
   Geographic distribution of respondents mirrored that of the sample.
   Survey estimates' confidence intervals were +/- 3.5% or smaller. Results
   indicate that a large majority of ATS members have concluded that
   climate change is happening (89%), that it is driven by human activity
   (68%), and that it is relevant to patient care ("a great deal"/"a
   moderate amount") (65%). A majority of respondents indicated they were
   already observing health impacts of climate change among their patients,
   most commonly as increases in chronic disease severity from air
   pollution (77%), allergic symptoms from exposure to plants or mold
   (58%), and severe weather injuries (57%). A larger majority anticipated
   seeing these climate-related health impacts in the next 2 decades.
   Respondents indicated that physicians and physician organizations should
   play an active role in educating patients, the public, and policy makers
   on the human health effects of climate change. Overall, ATS members are
   observing that human health is already adversely affected by climate
   change and support responses to address this situation.
RI Thurston, George/ABB-1359-2021; Balmes, John/L-6281-2019; Maibach, Edward/A-7102-2009
OI Maibach, Edward/0000-0003-3409-9187
ZA 0
ZR 0
ZB 5
ZS 0
Z8 1
TC 44
Z9 45
U1 1
U2 11
SN 1546-3222
EI 2325-6621
UT WOS:000437139800024
PM 25535822
ER

PT J
AU Reis, Leonardo Oliveira
   Ikari, Osamu
   Taha-Neto, Khaled A.
   Gugliotta, Antonio
   Denardi, Fernandes
TI Delivery of a urology online course using moodle versus didactic
   lectures methods
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 84
IS 2
BP 149
EP 154
DI 10.1016/j.ijmedinf.2014.11.001
PD FEB 2015
PY 2015
AB Objective: To subjectively and objectively compare an accessible
   interactive electronic library using Moodle with lectures for urology
   teaching of medical students.
   Methods: Forty consecutive fourth-year medical students and one urology
   teacher were exposed to two teaching methods (4 weeks each) in the form
   of problem-based learning: lectures and-student-centered group
   discussion based on Moodle (modular object-oriented dynamic learning
   environment) full time online delivered (24/7) with video surgeries,
   electronic urology cases and additional basic principles of the disease
   process.
   Results: All 40 students completed the study. While 30% were moderately
   dissatisfied with their current knowledge base, online learning course
   delivery using Moodle was considered superior to the lectures by 86% of
   the students. The study found the following observations: (1) the
   increment in learning grades ranged from 7.0 to 9.7 for students in the
   online Moodle course compared to 4.0-9.6 to didactic lectures; (2) the
   self-reported student involvement in the online course was characterized
   as large by over 60%; (3) the teacher-student interaction was described
   as very frequent (50%) and moderately frequent (50%); and (4) more
   inquiries and requisitions by students as well as peer assisting were
   observed from the students using the Moodle platform.
   Conclusions: The Moodle platform is feasible and effective, enthusing
   medical students to learn, improving immersion in the urology clinical
   rotation and encouraging the spontaneous peer assisted learning. Future
   studies should expand objective evaluations of knowledge acquisition and
   retention. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
RI MSc, Leonardo O. Reis MD/B-3652-2011
OI MSc, Leonardo O. Reis MD/0000-0003-2092-414X
TC 20
Z8 0
ZR 1
ZS 0
ZB 4
ZA 0
Z9 21
U1 2
U2 42
SN 1386-5056
EI 1872-8243
UT WOS:000346422000007
PM 25466380
ER

PT J
AU Maeda, Eri
   Sugimori, Hiroki
   Nakamura, Fumiaki
   Kobayashi, Yasuki
   Green, Joseph
   Suka, Machi
   Okamoto, Masako
   Boivin, Jacky
   Saito, Hidekazu
TI A cross sectional study on fertility knowledge in Japan, measured with
   the Japanese version of Cardiff Fertility Knowledge Scale (CFKS-J)
SO REPRODUCTIVE HEALTH
VL 12
AR 10
DI 10.1186/1742-4755-12-10
PD JAN 31 2015
PY 2015
AB Background: A recent survey of 79 countries showed that fertility
   knowledge was lower in Japan than in any other developed country. Given
   the fertility decline in Japan and the importance of fertility
   knowledge, we conducted an online survey to examine fertility knowledge
   and the related factors for effective public education.
   Methods: We studied people aged 18-59 years old, n = 4,328 (the
   "General" group), and also people who had been trying to conceive for at
   least six months, 18-50 years old, n = 618 (the "Triers" group).
   Fertility knowledge was assessed using the Japanese version of the
   13-item Cardiff Fertility Knowledge Scale (CFKS-J). All participants
   provided socio-demographic and fertility information. Participants also
   completed a 14-item health literacy scale and an 11-item health numeracy
   scale. We asked participants who were aware of age-related decline in
   fertility when and where they first acquired that knowledge.
   Results: The average percentages of CFKS-J items answered correctly were
   53.1% in the Triers group and 44.4% in the General group (p < 0.001).
   Multivariate linear regression models showed in the Triers group greater
   fertility knowledge was associated with greater health literacy and
   prior medical consultation regarding their fertility. In the General
   group greater fertility knowledge was associated with being female,
   younger, university educated, currently trying to conceive, non-smoking,
   having higher household income, having higher health literacy and having
   higher health numeracy. Of those who were aware of the age-related
   decline in fertility, around 3% first learned the fact "at school", and
   around 65% first learned it "through mass media" or "via the Internet".
   More than 30% of the respondents first learned it "less than 5 years
   before" the survey.
   Conclusions: Although fertility knowledge had improved since a previous
   study, possibly due to recent media coverage of age-related infertility,
   it was still low. Educational interventions, both in schools and in the
   community, may be needed to increase fertility knowledge in the general
   population because most people obtain fertility knowledge from mass
   media, which has been shown to often present distorted and inaccurate
   fertility information.
RI Boivin, Jacky/A-1666-2010; SUGIMORI, HIROKI/
OI Boivin, Jacky/0000-0001-9498-1708; SUGIMORI, HIROKI/0000-0003-1234-417X
ZB 6
ZS 0
TC 30
ZA 0
ZR 0
Z8 1
Z9 31
U1 1
U2 14
SN 1742-4755
UT WOS:000349483600001
PM 25638172
ER

PT J
AU Starzyk, Erin J.
   Kelley, Michele A.
   Caskey, Rachel N.
   Schwartz, Alan
   Kennelly, Joan F.
   Bailey, Robert C.
TI Infant Male Circumcision: Healthcare Provider Knowledge and Associated
   Factors
SO PLOS ONE
VL 10
IS 1
AR e0115891
DI 10.1371/journal.pone.0115891
PD JAN 30 2015
PY 2015
AB Background and Objectives
   The emerging science demonstrates various health benefits associated
   with infant male circumcision and adult male circumcision; yet rates are
   declining in the United States. The American Academy of Pediatrics and
   the Centers for Disease Control and Prevention recommend that healthcare
   providers present evidence-based risk and benefit information for infant
   male circumcision to parent(s) and guardian(s). The purpose of this
   study was to assess providers' level of infant male circumcision
   knowledge and to identify the associated characteristics.
   Methods
   An online survey was administered to healthcare providers in the family
   medicine, obstetrics, and pediatrics medical specialties at an urban
   academic health center. To assess infant male circumcision knowledge, a
   17 point summary score was constructed to identify level of provider
   knowledge within the survey.
   Results
   Ninety-two providers completed the survey. Providers scored high for the
   following knowledge items: adverse event rates, protects against
   phimosis and urinary tract infections, and does not prevent hypospadias.
   Providers scored lower for items related to more recent research:
   protection against cervical cancer, genital ulcer disease, bacterial
   vaginosis, and reduction in HIV acquisition. Two models were constructed
   looking at (1) overall knowledge about male circumcision, and (2)
   knowledge about male circumcision reduction in HIV acquisition.
   Pediatricians demonstrated greater overall infant male circumcision
   knowledge, while obstetricians exhibited significantly greater knowledge
   for the HIV acquisition item.
   Conclusion
   Providers' knowledge levels regarding the risks and benefits of infant
   male circumcision are highly variable, indicating the need for
   system-based educational interventions.
OI Schwartz, Alan/0000-0003-3809-6637
ZR 0
ZA 0
ZB 2
Z8 0
TC 5
ZS 0
Z9 5
U1 1
U2 5
SN 1932-6203
UT WOS:000350680700019
PM 25635664
ER

PT J
AU Taveira-Gomes, Tiago
   Prado-Costa, Rui
   Severo, Milton
   Ferreira, Maria Amelia
TI Characterization of medical students recall of factual knowledge using
   learning objects and repeated testing in a novel e-learning system
SO BMC MEDICAL EDUCATION
VL 15
AR 4
DI 10.1186/s12909-014-0275-0
PD JAN 24 2015
PY 2015
AB Background: Spaced-repetition and test-enhanced learning are two
   methodologies that boost knowledge retention. ALERT STUDENT is a
   platform that allows creation and distribution of Learning Objects named
   flashcards, and provides insight into student judgments-of-learning
   through a metric called 'recall accuracy'. This study aims to understand
   how the spaced-repetition and test-enhanced learning features provided
   by the platform affect recall accuracy, and to characterize the effect
   that students, flashcards and repetitions exert on this measurement.
   Methods: Three spaced laboratory sessions (s0, s1 and s2), were
   conducted with n= 96 medical students. The intervention employed a study
   task, and a quiz task that consisted in mentally answering open-ended
   questions about each flashcard and grading recall accuracy. Students
   were randomized into study-quiz and quiz groups. On s0 both groups
   performed the quiz task. On s1 and s2, the study-quiz group performed
   the study task followed by the quiz task, whereas the quiz group only
   performed the quiz task. We measured differences in recall accuracy
   between groups/sessions, its variance components, and the G-coefficients
   for the flashcard component.
   Results: At s0 there were no differences in recall accuracy between
   groups. The experiment group achieved a significant increase in recall
   accuracy that was superior to the quiz group in s1 and s2. In the
   study-quiz group, increases in recall accuracy were mainly due to the
   session, followed by flashcard factors and student factors. In the quiz
   group, increases in recall accuracy were mainly accounted by flashcard
   factors, followed by student and session factors. The flashcard
   G-coefficient indicated an agreement on recall accuracy of 91% in the
   quiz group, and of 47% in the study-quiz group.
   Conclusions: Recall accuracy is an easily collectible measurement that
   increases the educational value of Learning Objects and open-ended
   questions. This metric seems to vary in a way consistent with knowledge
   retention, but further investigation is necessary to ascertain the
   nature of such relationship. Recall accuracy has educational
   implications to students and educators, and may contribute to deliver
   tailored learning experiences, assess the effectiveness of instruction,
   and facilitate research comparing blended-learning interventions.
RI Severo, Milton/I-3497-2012; Ferreira, Maria Amélia/AAQ-5080-2021; Prado Costa, Rui/; Taveira-Gomes, Tiago/
OI Severo, Milton/0000-0002-5787-4871; Ferreira, Maria
   Amélia/0000-0001-6789-3796; Prado Costa, Rui/0000-0003-3390-739X;
   Taveira-Gomes, Tiago/0000-0002-0998-6000
ZA 0
TC 16
ZB 1
ZS 0
ZR 0
Z8 0
Z9 16
U1 0
U2 54
SN 1472-6920
UT WOS:000350510400001
PM 25616353
ER

PT J
AU Kondalsamy-Chennakesavan, Srinivas
   Eley, Diann S.
   Ranmuthugala, Geetha
   Chater, Alan B.
   Toombs, Maree R.
   Darshan, Deepak
   Nicholson, Geoffrey C.
TI Determinants of rural practice: positive interaction between rural
   background and rural undergraduate training
SO MEDICAL JOURNAL OF AUSTRALIA
VL 202
IS 1
BP 41
EP U73
DI 10.5694/mja14.00236
PD JAN 19 2015
PY 2015
AB Objective: To determine the role of rural background and years of rural
   clinical school training on subsequent rural clinical practice.
   Design, setting and participants: Retrospective cohort study of
   University of Queensland (UQ) medical graduates who graduated during the
   period 2002-2011 (contacted via internet, telephone and mail, using
   information obtained from UQ, the Australian Health Practitioner
   Regulation Agency, and telephone directory and internet searches) who
   completed an online or hard copy questionnaire during the period
   December 2012 to October 2013.
   Main outcome measure: Current clinical practice in a rural location.
   Results: Of 1572 graduates to whom the questionnaire was sent, 754
   (48.0%) completed the questionnaire. Of the respondents, 236 (31.3%) had
   a rural background and 276 (36.6%) had attended the University of
   Queensland Rural Clinical School (UQRCS). Clinical practice location was
   rural for 18.8% (90/478) of UQ metropolitan clinical school attendees
   and 41.7% (115/276) of UQRCS attendees (P < 0.001). In the multivariate
   model with main effects, independent predictors of rural practice were
   (OR [95% CI]): UQRCS attendance for 1 year (1.84 [1.21-2.82]) or 2 years
   (2.71 [1.65-4.45]), rural background (2.30 [1.57-3.36]), partner with
   rural background (3.08 [1.96-4.84]), being single (1.98 [1.28-3.06]) and
   having a bonded scholarship (2.34 [1.37-3.98]). In the model with
   interaction between UQRCS attendance and rural background, independent
   predictors of rural practice were rural background and UQRCS attendance
   for 1 year (4.44 [2.38-8.29]) or 2 years (7.09 [3.57-14.10]), partner
   with rural background (3.14 [1.99-4.96]), being single (2.02
   [1.30-3.12]) and bonded scholarship (2.27 [1.32-3.90]). The effects of
   rural background and UQRCS attendance were duration dependent.
   Conclusions: This study strengthens evidence that, after adjusting for
   multiple confounders, a number of exposures are independent predictors
   of rural medical practice. The strong positive interaction between rural
   background and rural clinical school exposure, and the
   duration-dependent relationships, could help inform policy changes aimed
   at enhancing the efficacy of Australia's rural clinical school program.
RI Nicholson, Geoffrey C/F-1901-2010; Ranmuthugala, Geetha/P-5041-2019; Darshan, Deepak/B-8259-2013; Eley, Diann S/C-3331-2008; Ranmuthugala, Geetha/F-5938-2012; Kondalsamy-Chennakesavan, Srinivas/F-4845-2010; Chater, Alan/F-9581-2010
OI Nicholson, Geoffrey C/0000-0002-0152-1153; Ranmuthugala,
   Geetha/0000-0002-4893-5775; Darshan, Deepak/0000-0001-9719-5980; Eley,
   Diann S/0000-0001-7256-9325; Ranmuthugala, Geetha/0000-0002-4893-5775;
   Kondalsamy-Chennakesavan, Srinivas/0000-0002-1333-374X; Chater,
   Alan/0000-0002-5759-3754
Z8 0
ZB 1
TC 75
ZA 0
ZS 1
ZR 0
Z9 76
U1 0
U2 7
SN 0025-729X
EI 1326-5377
UT WOS:000410571400028
PM 25588445
ER

PT J
AU Lauder, Sue
   Chester, Andrea
   Castle, David
   Dodd, Seetal
   Gliddon, Emma
   Berk, Lesley
   Chamberlain, James
   Klein, Britt
   Gilbert, Monica
   Austin, David W.
   Berk, Michael
TI A randomized head to head trial of MoodSwings.net.au: An internet based
   self-help program for bipolar disorder
SO JOURNAL OF AFFECTIVE DISORDERS
VL 171
BP 13
EP 21
DI 10.1016/j.jad.2014.08.008
PD JAN 15 2015
PY 2015
AB Background: Adjunctive psychosocial interventions are efficacious in
   bipolar disorder, but their incorporation into routine management plans
   are often confounded by cost and access constraints. We report here a
   comparative evaluation of two online programs hosted on a single website
   (www.moodswings.ne Lau). A basic version, called MoodSwings (MS),
   contains psychoeducation material and asynchronous discussion boards;
   and a more interactive program, MoodSwings Plus (MS-Plus), combined the
   basic psychoeducation material and discussion boards with elements of
   Cognitive Behavioral Therapy. These programs were evaluated in a
   head-to-head study design.
   Method: Participants with Bipolar l or If disorder (n=156) were
   randomized to receive either MoodSwings or MoodSwings-Plus. Outcomes
   included mood symptoms, the occurrence of relapse, functionality, Locus
   of Control, social support, quality of life and medication adherence.
   Results: Participants in both groups showed baseline to endpoint
   reductions in mood symptoms and improvements in functionality, quality
   of life and medication adherence. The MoodSwings-Plus group showed a
   greater number of within-group changes on symptoms and functioning in
   depression and mania, quality of life and social support, across both
   poles of the illness. MoodSwings-Plus was superior to MoodSwings in
   improvement on symptoms of mania scores at 12 months (p=0.02) but not on
   the incidence of recurrence.
   Limitations: The study did not have an attention control group and
   therefore could not demonstrate efficacy of the two active arms. There
   was notable (81%) attrition by 12 months from baseline.
   Conclusion: This study suggests that both CDT and psychoeducation
   delivered online may have utility in the management of bipolar disorder.
   They are feasible, readily accepted, and associated with improvement.
   (C) 2014 Elsevier B.V. All rights reserved.
RI Berk, Michael/M-7891-2013; Austin, David W/H-4645-2017; Berk, Michael/M-3585-2019; Chester, Andrea/AAR-1647-2020; Lauder, Sue/; Gliddon, Emma/; Berk, Lesley/; Dodd, Seetal/; Klein, Britt/
OI Berk, Michael/0000-0002-5554-6946; Austin, David W/0000-0002-1296-3555;
   Berk, Michael/0000-0002-5554-6946; Chester, Andrea/0000-0001-9245-0831;
   Lauder, Sue/0000-0003-3461-1312; Gliddon, Emma/0000-0002-5897-820X;
   Berk, Lesley/0000-0002-3677-7503; Dodd, Seetal/0000-0002-7918-4636;
   Klein, Britt/0000-0003-2912-8043
Z8 1
ZA 0
ZR 0
TC 49
ZB 18
ZS 0
Z9 50
U1 0
U2 47
SN 0165-0327
EI 1573-2517
UT WOS:000344753000003
PM 25282145
ER

PT J
AU Tanner, Andrea
   Kim, Sei-Hill
   Friedman, Daniela B.
   Foster, Caroline
   Bergeron, Caroline D.
TI Barriers to Medical Research Participation as Perceived by Clinical
   Trial Investigators: Communicating with Rural and African American
   Communities
SO JOURNAL OF HEALTH COMMUNICATION
VL 20
IS 1
BP 88
EP 96
DI 10.1080/10810730.2014.908985
PD JAN 2 2015
PY 2015
AB Clinical trials help advance public health and medical research on
   prevention, diagnosis, screening, treatment, and quality of life.
   Despite the need for access to quality care in medically underserved
   areas, clinical trial participation remains low among individuals in
   rural and African American communities. This study assessed clinical
   trial research in South Carolina's five main academic medical centers,
   focusing specifically on clinical trial investigators' perceived
   barriers to recruitment in the general population and in rural and
   African American communities. Online survey responses (N=119) revealed
   that it was most difficult for investigators to recruit from rural areas
   and that rural residents were least likely to be represented in medical
   research, behind both the general public and African Americans. Barriers
   focusing on communication or awareness proved to be the biggest hurdles
   to finding potential participants in both the general public and rural
   communities. Psychological barriers to recruitment were perceived to be
   most prevalent in African American communities. Study findings provide
   important insights from the perspective of the clinical trial
   investigator that will aid in the development of effective communication
   and education strategies for reaching rural and African American
   residents with information about clinical trials.
RI Bergeron, Caroline D./AAD-8292-2019
OI Bergeron, Caroline D./0000-0002-7238-4213
TC 42
Z8 0
ZS 1
ZA 0
ZB 7
ZR 0
Z9 43
U1 2
U2 18
SN 1081-0730
EI 1087-0415
UT WOS:000349316500009
PM 25204763
ER

PT J
AU Rudolphi, Josie M.
   Donham, Kelley J.
TI Toward a National Core Course in Agricultural Medicine and Curriculum in
   Agricultural Safety and Health: The "Building Capacity" Consensus
   Process
SO JOURNAL OF AGROMEDICINE
VL 20
IS 1
BP 77
EP 83
DI 10.1080/1059924X.2014.977503
PD JAN 2 2015
PY 2015
AB The agricultural industry poses specific hazards and risks to its
   workers. Since the 1970s, the University of Iowa has been establishing
   programs to educate rural health care and safety professionals who in
   turn provide education and occupational health and safety services to
   farm families and farm workers. This program has been well established
   in the state of Iowa as a program of Iowa's Center for Agricultural
   Safety and Health (I-CASH). However, the National 1989 Agriculture at
   Risk Report indicated there was a great need for agricultural medicine
   training beyond Iowa's borders. In order to help meet this need,
   Building Capacity: A National Resource of Agricultural Medicine
   Professionals was initiated as a project of the National Institute for
   Occupational Safety and Health (NIOSH)-funded Great Plains Center for
   Agricultural Health in 2006. Before the first phase of this project, a
   consensus process was conducted with a group of safety and health
   professionals to determine topics and learning objectives for the
   course. Over 300 students attended and matriculated the agricultural
   medicine course during first phase of the project (2007-2010). Beginning
   the second phase of the project (2012-2016), an expanded advisory
   committee (38 internationally recognized health and safety
   professionals) was convened to review the progress of the first phase,
   make recommendations for revisions to the required topics and
   competencies, and discuss updates to the second edition of the course
   textbook (Agricultural Medicine: Occupational and Environmental Health
   for the Health Professions). A formal consensus process was held and
   included an online survey and also a face-to-face meeting. The group was
   charged with the responsibility of developing the next version of this
   course by establishing best practices and setting an agenda with the
   long-term goal of developing a national course in agricultural medicine.
ZS 0
ZB 0
TC 4
ZR 0
Z8 0
ZA 0
Z9 4
U1 0
U2 6
SN 1059-924X
EI 1545-0813
UT WOS:000348662600011
PM 25635745
ER

PT J
AU Kaltman, Stacey
   WinklerPrins, Vincent
   Serrano, Adriana
   Talisman, Nicholas
TI Enhancing Motivational Interviewing Training in a Family Medicine
   Clerkship
SO TEACHING AND LEARNING IN MEDICINE
VL 27
IS 1
BP 80
EP 84
DI 10.1080/10401334.2014.979179
PD JAN 2 2015
PY 2015
AB Problem: Despite the prevalence of unhealthy behaviors among patients in
   the healthcare system, traditional medical training involves little or
   no exposure to effective behavior change techniques such as Motivational
   Interviewing. Intervention: An online learning community for enhanced
   training in Motivational Interviewing was developed for 3rd-year medical
   students. The website included educational materials about Motivational
   Interviewing as well as problematic health behaviors, a repository of
   exemplar videos and student videos with feedback, and a discussion
   board. Student participants were given the opportunity to record an
   encounter with a patient and to receive feedback on their use of
   Motivational Interviewing from a faculty member. Context: Student
   volunteers in the Family Medicine Clerkship at Georgetown University
   School of Medicine were randomized to enhanced training, which included
   the online learning community, or training as usual. All student
   volunteers completed a questionnaire assessing self-efficacy initially
   and at the end of the clerkship. Students also participated in an
   Observed Structured Clinical Exam, which was subsequently coded by a
   blinded rater for behavioral counts of Motivational Interviewing
   techniques, key steps in Motivational Interviewing, and overall
   Motivational Interviewing style. Outcome: Students in the enhanced
   training arm were rated as having significantly higher scores in
   Motivational Interviewing style in the Observed Structured Clinical Exam
   than training as usual students. A significant increase in self-efficacy
   from pre- to posttest in the overall sample was observed but
   between-group differences were not significant. Student feedback was
   particularly positive regarding video recorded practice sessions with
   patients and individualized feedback. Lessons Learned: The results of
   this study as well as student feedback suggest that future work should
   include patient practice sessions and individualized feedback in
   developing Motivational Interviewing curricula.
OI Kaltman, Stacey/0000-0002-5805-5536
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
TC 7
Z9 7
U1 0
U2 18
SN 1040-1334
EI 1532-8015
UT WOS:000347697200010
PM 25584475
ER

PT J
AU Burbridge, Brent
   Kalra, Neil
   Malin, Greg
   Trinder, Krista
   Pinelle, David
TI University of Saskatchewan Radiology Courseware (USRC): An Assessment of
   Its Utility for Teaching Diagnostic Imaging in the Medical School
   Curriculum
SO TEACHING AND LEARNING IN MEDICINE
VL 27
IS 1
BP 91
EP 98
DI 10.1080/10401334.2014.979180
PD JAN 2 2015
PY 2015
AB Problem: We have found it very challenging to integrate images from our
   radiology digital imaging repository into the curriculum of our local
   medical school. Thus, it has been difficult to convey important
   knowledge related to viewing and interpreting diagnostic radiology
   images. We sought to determine if we could create a solution for this
   problem and evaluate whether students exposed to this solution were able
   to learn imaging concepts pertinent to medical practice. Intervention:
   We developed University of Saskatchewan Radiology Courseware (USRC), a
   novel interactive web application that enables preclinical medical
   students to acquire image interpretation skills fundamental to clinical
   practice. This web application reformats content stored in Medical
   Imaging Resource Center teaching cases for BlackBoard Learn (TM), a
   popular learning management system. We have deployed this solution for 2
   successive years in a 1st-year basic sciences medical school course at
   the College of Medicine, University of Saskatchewan. The "courseware"
   content covers both normal anatomy and common clinical pathologies in
   five distinct modules. We created two cohorts of learners consisting of
   an intervention cohort of students who had used USRC for their 1st
   academic year, whereas the nonintervention cohort was students who had
   not been exposed to this learning opportunity. Context: To assess the
   learning experience of the users we designed an online questionnaire and
   image review quiz delivered to both of the student groups. Outcome:
   Comparisons between the groups revealed statistically significant
   differences in both confidence with image interpretation and the ability
   to answer knowledge-based questions. Students were satisfied with the
   overall usability, functions, and capabilities of USRC. Lessons Learned:
   USRC is an innovative technology that provides integration between
   Medical Imaging Resource Center, a teaching solution used in radiology,
   and a Learning Management System.
RI Malin, Greg/ABD-8462-2020; Burbridge, Brent/
OI Malin, Greg/0000-0001-5650-4353; Burbridge, Brent/0000-0001-9380-8495
ZR 0
ZB 0
ZS 0
Z8 0
TC 6
ZA 0
Z9 6
U1 0
U2 9
SN 1040-1334
EI 1532-8015
UT WOS:000347697200012
PM 25584477
ER

PT J
AU Smyth, Lillian
   Mavor, Kenneth I.
   Platow, Michael J.
   Grace, Diana M.
   Reynolds, Katherine J.
TI Discipline social identification, study norms and learning approach in
   university students
SO EDUCATIONAL PSYCHOLOGY
VL 35
IS 1
BP 53
EP 72
DI 10.1080/01443410.2013.822962
PD JAN 2 2015
PY 2015
AB Adopting a deep approach to learning is associated with positive
   academic outcomes. In the current paper, we extend this analysis in a
   university context by recognising that learners are not isolated
   individuals, but share important social identifications with others.
   Using online surveys at an Australian university, we examine the effects
   of discipline social identification and educational norms on the
   adoption of learning approaches. Students from a range of academic
   disciplines indicated their social identification with their discipline,
   their perceptions of peer norms within their discipline of study, and
   what their own learning approaches were. Results demonstrate a
   significant role of discipline-related social identification in
   predicting learning approaches, even after controlling for personal
   factors and quality of teaching. Moreover, perceived norms moderated
   this effect. Students' approaches to learning are affected not simply by
   their salient self-concepts, but by their salient discipline-related
   self-concepts and the norms embodied in the learning environment.
RI Reynolds, Katherine/GRR-4312-2022; Platow, Michael J./; Reynolds, Katherine/; Smyth, Lillian/; Mavor, Ken/E-6475-2011
OI Platow, Michael J./0000-0002-1721-0827; Reynolds,
   Katherine/0000-0002-2282-7290; Smyth, Lillian/0000-0003-2679-2969;
   Mavor, Ken/0000-0002-3160-3889
TC 23
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
Z9 23
U1 4
U2 26
SN 0144-3410
EI 1469-5820
UT WOS:000348318000004
ER

PT J
AU Azer, Samy A.
   AlSwaidan, Nourah M.
   Alshwairikh, Lama A.
   AlShammari, Jumana M.
TI Accuracy and readability of cardiovascular entries on Wikipedia: are
   they reliable learning resources for medical students?
SO BMJ OPEN
VL 5
IS 10
AR e008187
DI 10.1136/bmjopen-2015-008187
PD 2015
PY 2015
AB Objective To evaluate accuracy of content and readability level of
   English Wikipedia articles on cardiovascular diseases, using quality and
   readability tools.
   Methods Wikipedia was searched on the 6 October 2013 for articles on
   cardiovascular diseases. Using a modified DISCERN (DISCERN is an
   instrument widely used in assessing online resources), articles were
   independently scored by three assessors. The readability was calculated
   using Flesch-Kincaid Grade Level. The inter-rater agreement between
   evaluators was calculated using the Fleiss scale.
   Results This study was based on 47 English Wikipedia entries on
   cardiovascular diseases. The DISCERN scores had a median=33 (IQR=6).
   Four articles (8.5%) were of good quality (DISCERN score 40-50), 39
   (83%) moderate (DISCERN 30-39) and 4 (8.5%) were poor (DISCERN 10-29).
   Although the entries covered the aetiology and the clinical picture,
   there were deficiencies in the pathophysiology of diseases, signs and
   symptoms, diagnostic approaches and treatment. The number of references
   varied from 1 to 127 references; 25.929.4 (mean +/- SD). Several
   problems were identified in the list of references and citations made in
   the articles. The readability of articles was 14.3 +/- 1.7 (mean +/-
   SD); consistent with the readability level for college students. In
   comparison, Harrison's Principles of Internal Medicine 18th edition had
   more tables, less references and no significant difference in number of
   graphs, images, illustrations or readability level. The overall
   agreement between the evaluators was good (Fleiss 0.718 (95% CI 0.57 to
   0.83).
   Conclusions The Wikipedia entries are not aimed at a medical audience
   and should not be used as a substitute to recommended medical resources.
   Course designers and students should be aware that Wikipedia entries on
   cardiovascular diseases lack accuracy, predominantly due to errors of
   omission. Further improvement of the Wikipedia content of cardiovascular
   entries would be needed before they could be considered a supplementary
   resource.
RI Azer, Samy A./C-8485-2009; Altwalah, Jumanah/
OI Azer, Samy A./0000-0001-5638-3256; Altwalah, Jumanah/0000-0003-0291-3682
ZR 0
ZA 0
Z8 0
TC 27
ZS 0
ZB 3
Z9 27
U1 0
U2 7
SN 2044-6055
UT WOS:000365467600031
PM 26443650
ER

PT J
AU Yonker, Lael M.
   Zan, Shiyi
   Scirica, Christina V.
   Jethwani, Kamal
   Kinane, T. Bernard
TI "Friending" Teens: Systematic Review of Social Media in Adolescent and
   Young Adult Health Care
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 17
IS 1
AR e4
DI 10.2196/jmir.3692
PD JAN 2015
PY 2015
AB Background: Social media has emerged as a potentially powerful medium
   for communication with adolescents and young adults around their health
   choices.
   Objective: The goal of this systematic review is to identify research on
   the use of social media for interacting with adolescents and young
   adults in order to achieve positive health outcomes.
   Methods: A MEDLINE/PubMed electronic database search was performed
   between January 1, 2002 and October 1, 2013, using terms to identify
   peer-reviewed research in which social media and other Web 2.0
   technologies were an important feature. We used a systematic approach to
   retrieve papers and extract relevant data.
   Results: We identified 288 studies involving social media, of which 87
   met criteria for inclusion; 75 studies were purely observational and 12
   were interventional. The ways in which social media was leveraged by
   these studies included (1) observing adolescent and young adult behavior
   (n= 77), (2) providing health information (n= 13), (3) engaging the
   adolescent and young adult community (n= 17), and (4) recruiting
   research participants (n= 23). Common health topics addressed included
   high-risk sexual behaviors (n= 23), alcohol, tobacco, and other drug use
   (n= 19), Internet safety (n= 8), mental health issues (n= 18), medical
   conditions (n= 11), or other specified issues (n= 12). Several studies
   used more than one social media platform and addressed more than one
   health-related topic.
   Conclusions: Social media technologies offer an exciting new means for
   engaging and communicating with adolescents and young adults; it has
   been successfully used to engage this age group, identify behaviors, and
   provide appropriate intervention and education. Nevertheless, the
   majority of studies to date have been preliminary and limited in their
   methodologies, and mostly center around evaluating how adolescents and
   young adults use social media and the resulting implications on their
   health. Although these explorations are essential, further exploration
   and development of these strategies into building effective
   interventions is necessary.
ZR 0
TC 123
ZA 0
Z8 1
ZS 1
ZB 13
Z9 124
U1 8
U2 87
SN 1438-8871
UT WOS:000347320100005
PM 25560751
ER

PT J
AU O'Kane, S. M.
   Pourshahidi, L. K.
   Farren, K. M.
   Mulhern, M. S.
   Strain, J. J.
   Yeates, A. J.
TI Iodine intake is positively associated with iodine knowledge in women of
   childbearing age
SO PROCEEDINGS OF THE NUTRITION SOCIETY
VL 74
IS OCE5
BP E335
EP E335
DI 10.1017/S0029665115003821
PD 2015
PY 2015
RI Mulhern, Maria S/F-7155-2010; O'Kane, S Maria/AAC-4963-2019
OI Mulhern, Maria S/0000-0002-2212-3744; 
ZA 0
ZR 0
TC 1
ZS 0
ZB 1
Z8 0
Z9 1
U1 0
U2 4
SN 0029-6651
EI 1475-2719
UT WOS:000362835100059
ER

PT J
AU Curti, Stefania
   Sauni, Riitta
   Spreeuwers, Dick
   De Schryver, Antoon
   Valenty, Madeleine
   Riviere, Stephanie
   Mattioli, Stefano
TI Interventions to increase the reporting of occupational diseases by
   physicians
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 3
AR CD010305
DI 10.1002/14651858.CD010305.pub2
PD 2015
PY 2015
AB Background
   Under-reporting of occupational diseases is an important issue
   worldwide. The collection of reliable data is essential for public
   health officials to plan intervention programmes to prevent occupational
   diseases. Little is known about the effects of interventions for
   increasing the reporting of occupational diseases.
   Objectives
   To evaluate the effects of interventions aimed at increasing the
   reporting of occupational diseases by physicians.
   Search methods
   We searched the Cochrane Occupational Safety and Health Group
   Specialised Register, the Cochrane Central Register of Controlled Trials
   (CENTRAL), MEDLINE (PubMed), EMBASE, OSH UPDATE, Database of Abstracts
   of Reviews of Effects (DARE), Open-SIGLE, and Health Evidence until
   January 2015.
   We also checked reference lists of relevant articles and contacted study
   authors to identify additional published, unpublished, and ongoing
   studies.
   Selection criteria
   We included randomised controlled trials (RCTs), cluster-RCTs (cRCTs),
   controlled before-after (CBA) studies, and interrupted time series (ITS)
   of the effects of increasing the reporting of occupational diseases by
   physicians. The primary outcome was the reporting of occupational
   diseases measured as the number of physicians reporting or as the rate
   of reporting occupational diseases.
   Data collection and analysis
   Pairs of authors independently assessed study eligibility and risk of
   bias and extracted data. We expressed intervention effects as risk
   ratios or rate ratios. We combined the results of similar studies in a
   meta-analysis. We assessed the overall quality of evidence for each
   combination of intervention and outcome using the GRADE approach.
   Main results
   We included seven RCTs and five CBA studies. Six studies evaluated the
   effectiveness of educational materials alone, one study evaluated
   educational meetings, four studies evaluated a combination of the two,
   and one study evaluated a multifaceted educational campaign for
   increasing the reporting of occupational diseases by physicians. We
   judged all the included studies to have a high risk of bias.
   We did not find any studies evaluating the effectiveness of
   Internet-based interventions or interventions on procedures or
   techniques of reporting, or the use of financial incentives. Moreover,
   we did not find any studies evaluating large-scale interventions like
   the introduction of new laws, existing or new specific disease
   registries, newly established occupational health services, or
   surveillance systems.
   Educational materials
   We found moderate-quality evidence that the use of educational materials
   did not considerably increase the number of physicians reporting
   occupational diseases compared to no intervention (risk ratio of 1.11,
   95% confidence interval (CI) 0.74 to 1.67). We also found
   moderate-quality evidence showing that sending a reminder message of a
   legal obligation to report increased the number of physicians reporting
   occupational diseases (risk ratio of 1.32, 95% CI 1.05 to 1.66) when
   compared to a reminder message about the benefits of reporting.
   We found low-quality evidence that the use of educational materials did
   not considerably increase the rate of reporting when compared to no
   intervention.
   Educational materials plus meetings
   We found moderate-quality evidence that the use of educational materials
   combined with meetings did not considerably increase the number of
   physicians reporting when compared to no intervention (risk ratio of
   1.22, 95% CI 0.83 to 1.81).
   We found low-quality evidence that educational materials plus meetings
   did not considerably increase the rate of reporting when compared to no
   intervention (rate ratio of 0.77, 95% CI 0.42 to 1.41).
   Educational meetings
   We found very low-quality evidence showing that educational meetings
   increased the number of physicians reporting occupational diseases (risk
   ratio at baseline: 0.82, 95% CI 0.47 to 1.41 and at follow-up: 1.74, 95%
   CI 1.11 to 2.74) when compared to no intervention.
   We found very low-quality evidence that educational meetings did not
   considerably increase the rate of reporting occupational diseases when
   compared to no intervention (rate ratio at baseline: 1.57, 95% CI 1.22
   to 2.02 and at follow-up: 1.92, 95% CI 1.48 to 2.47).
   Educational campaign
   We found very low-quality evidence showing that the use of an
   educational campaign increased the number of physicians reporting
   occupational diseases when compared to no intervention (risk ratio at
   baseline: 0.53, 95% CI 0.19 to 1.50 and at follow-up: 11.59, 95% CI 5.97
   to 22.49).
   Authors' conclusions
   We found 12 studies to include in this review. They provide evidence
   ranging fromvery low to moderate quality showing that educational
   materials, educational meetings, or a combination of the two do not
   considerably increase the reporting of occupational diseases. The use of
   a reminder message on the legal obligation to report might provide some
   positive results. We need high-quality RCTs to corroborate these
   findings.
   Future studies should investigate the effects of large-scale
   interventions like legislation, existing or new disease-specific
   registries, newly established occupational health services, or
   surveillance systems. When randomisation or the identification of a
   control group is impractical, these large-scale interventions should be
   evaluated using an interrupted time-series design.
   We also need studies assessing online reporting and interventions aimed
   at simplifying procedures or techniques of reporting and the use of
   financial incentives.
RI De Schryver, Antoon/ABH-5318-2020; Curti, Stefania/K-6407-2018; Mattioli, Stefano/
OI De Schryver, Antoon/0000-0001-7048-1979; Curti,
   Stefania/0000-0003-4343-8873; Mattioli, Stefano/0000-0002-9639-7430
TC 15
Z8 0
ZS 1
ZR 0
ZA 0
ZB 5
Z9 16
U1 0
U2 4
SN 1469-493X
EI 1361-6137
UT WOS:000352608900044
PM 25805310
ER

PT J
AU Wolyniak, Michael J
   Bemis, Lynne T
   Prunuske, Amy J
TI Improving medical students' knowledge of genetic disease: a review of
   current and emerging pedagogical practices.
SO Advances in medical education and practice
VL 6
BP 597
EP 607
DI 10.2147/AMEP.S73644
PD 2015
PY 2015
AB Genetics is an essential subject to be mastered by health professional
   students of all types. However, technological advances in genomics and
   recent pedagogical research have changed the way in which many medical
   training programs teach genetics to their students. These advances favor
   a more experience-based education focused primarily on developing
   student's critical thinking skills. In this review, we examine the
   current state of genetics education at both the preclinical and clinical
   levels and the ways in which medical and pedagogical research have
   guided reforms to current and emerging teaching practices in genetics.
   We discover exciting trends taking place in which genetics is integrated
   with other scientific disciplines both horizontally and vertically
   across medical curricula to emphasize training in scientific critical
   thinking skills among students via the evaluation of clinical evidence
   and consultation of online databases. These trends will produce future
   health professionals with the skills and confidence necessary to embrace
   the new tools of medical practice that have emerged from scientific
   advances in genetics, genomics, and bioinformatics. 
RI Wolyniak, Michael/S-6451-2019; Bemis, Lynne/
OI Bemis, Lynne/0000-0001-9986-7154
ZS 1
ZA 0
TC 18
ZR 0
Z8 0
ZB 6
Z9 19
U1 0
U2 17
SN 1179-7258
UT MEDLINE:26604852
PM 26604852
ER

PT J
AU Ojha, Rahul
   Liu, Anthony
   Rai, Deepak
   Nanan, Ralph
TI Review of Simulation in Pediatrics: The Evolution of a Revolution
SO FRONTIERS IN PEDIATRICS
VL 3
AR 106
DI 10.3389/fped.2015.00106
PD 2015
PY 2015
AB Recent changes in medical education have highlighted the importance of
   experiential learning. Simulation is one model that has gained
   significant attention in the last decade and has been widely adopted as
   a training and assessment tool in medical education. Pediatric
   simulation has been utilized to teach various skills including
   resuscitation and trauma management, procedural skills, and team
   training. It is also a valuable tool for health care educators, as it
   allows learners to achieve competence without putting patients at risk.
   Recent literature demonstrates increased retention of knowledge and
   skills after simulation-based training. Further research is required to
   improve current simulation curriculums, develop validated assessment
   tools, and to demonstrate improved clinical outcomes after
   simulation-based training. We conducted an online search of original and
   review articles related to simulation and pediatric medical education
   and provide an overview of the role and utility of simulation in
   pediatrics.
   Key Points
   Simulation in pediatrics has been widely accepted and adapted as a
   training and assessment tool in medical education.
   Simulation in pediatrics has been utilized to teach various skills
   including resuscitation and trauma management, procedural skills, and
   team training.
   Further research is required to improve current simulation curriculums,
   to develop validated assessment tools, and to demonstrate improved
   clinical outcomes after simulation-based training.
TC 19
ZB 2
Z8 0
ZR 0
ZS 1
ZA 0
Z9 20
U1 4
U2 12
SN 2296-2360
UT WOS:000209897400100
PM 26649288
ER

PT J
AU Christopher, Mary M.
   Young, Karen M.
TI Awareness of "predatory" open-access journals among prospective
   veterinary and medical authors attending scientific writing workshops
SO FRONTIERS IN VETERINARY SCIENCE
VL 2
AR 22
DI 10.3389/fvets.2015.00022
PD 2015
PY 2015
AB Authors face many choices when selecting a journal for publication.
   Prospective authors, especially trainees, may be unaware of "predatory"
   online journals or how to differentiate them from legitimate journals.
   In this study, we assessed awareness of open-access and predatory
   journals among prospective authors attending scientific writing
   workshops; our long-term goal was to inform educational goals for the
   workshops. We surveyed participants of writing workshops at veterinary
   and medical schools and an international conference over a 1-year
   period. The survey included 14 statements for respondents to indicate
   agreement level on a Likert-like scale and four questions on awareness
   of resources about predatory journals; respondents also defined
   "predatory journal." A total of 145 participants completed the survey:
   106 (73.1%) from veterinary schools and 86 (59.3%) graduate students or
   residents. Fewer faculty (vs trainees) agreed that open access was an
   important factor in deciding where to publish; faculty and postdoctoral
   researchers were more likely to expect to pay more to publish in an
   open-access journal. Most respondents (120/145, 82.7%) agreed/strongly
   agreed that the decision to accept a manuscript should not be influenced
   by publication charges, but 50% (56/112) indicated that they "didn't
   know" how publishing costs were supported. Of the 142 respondents who
   answered, 33 (23.0%) indicated awareness of the term "predatory
   journal"; 34 (23.9%) were aware of the Directory of Open Access
   Journals; 24 (16.9%) were aware of the Science "sting" article about
   predatory journals; and 7 (4.8%) were aware of Beall's list. Most
   (93/144, 64.5%) definitions of predatory journals described poor but not
   predatory journal practices, and some respondents misunderstood the term
   completely. Mentors should help novice authors to be aware of predatory
   journals and to distinguish between legitimate and illegitimate
   open-access journals, thus selecting the best journal for their work.
ZR 0
Z8 0
ZS 0
ZB 3
TC 33
ZA 0
Z9 33
U1 4
U2 10
EI 2297-1769
UT WOS:000505595000022
PM 26664951
ER

PT J
AU Burger, E. H.
   Groenewald, P.
   Rossouw, A.
   Bradshaw, D.
TI Medical certification of death in South Africa - moving forward
SO SAMJ SOUTH AFRICAN MEDICAL JOURNAL
VL 105
IS 1
BP 27
EP 30
DI 10.7196/SAMJ.8578
PD JAN 2015
PY 2015
AB Despite improvements to the Death Notification Form (DNF) used in South
   Africa (SA), the quality of cause-of-death information remains
   suboptimal. To address these inadequacies, the government ran a
   train-the-trainer programme on completion of the DNF, targeting doctors
   in public sector hospitals. Training materials were developed and
   workshops were held in all provinces. This article reflects on the
   lessons learnt from the training and highlights issues that need to be
   addressed to improve medical certification and cause-of-death data in
   SA. The DNF should be completed truthfully and accurately, and
   confidentiality of the information on the form should be maintained. The
   underlying cause of death should be entered on the lowest completed line
   in the cause-of-death section, and if appropriate, HIV should be entered
   here. Exclusion clauses for HIV in life insurance policies with
   Association of Savings and Investments South Africa companies were
   scrapped in 2005. Interactive workshops provide a good learning
   environment, but are logistically challenging. More use should be made
   of online training resources, particularly with continuing professional
   development accreditation and helpline support. In addition, training in
   the completion of the DNF should become part of the curriculum in all
   medical schools, and part of the orientation of interns and community
   service doctors in all facilities.
ZR 0
Z8 0
ZA 0
TC 13
ZS 5
ZB 5
Z9 15
U1 0
U2 2
SN 0256-9574
EI 2078-5135
UT WOS:000348096100012
PM 26046158
ER

PT J
AU Foucault, Amelie
   Dube, Serge
   Fernandez, Nicolas
   Gagnon, Robert
   Charlin, Bernard
TI Learning medical professionalism with the online concordance-of-judgment
   learning tool (CJLT): A pilot study
SO MEDICAL TEACHER
VL 37
IS 10
BP 955
EP 960
DI 10.3109/0142159X.2014.970986
PD 2015
PY 2015
AB Context: Professionalism development entails learning to make judgments
   in ambiguous situations. A Concordance of Judgment Learning Tool (CJLT),
   comprised of 20 vignettes involving professionalism issues, was
   developed. Students obtained a measure of how concordant their judgments
   were with a panel of experts and learned from given explanations.
   Method: Twenty clinical vignettes implying professionalism issues were
   written including, for each, four possible courses of action. Expert
   panel, nominated by all clerkship students, was made up of attending
   physicians that best represented professionalism role models. Experts
   completed CJLT and gave explanations for their answers. All clerks were
   invited to answer each vignette, and then received automated expert
   feedback including explanations.
   Results: Seventy-nine students sat for the activity. The optimized test
   included 20 cases and 54 questions (Cronbach's alpha coefficient of
   0.64). Student - expert concordance scores ranged from 54 to 77 with a
   mean at 64.6 (standard deviation 5.1). Satisfaction survey results
   indicated high satisfaction and relevance of tool despite some pitfalls.
   Post-test focus group data revealed relevant experiential learning on
   professionalism issues.
   Discussion: Students' scores and perceptions suggest pedagogic relevance
   of the CJLT in fostering professionalism development in clerkship. CJLT
   is user-friendly and shows promise as a situation experiential learning
   activity.
OI Foucault, Amelie/0000-0002-9999-6666; Fernandez,
   Nicolas/0000-0002-3840-2641
TC 7
ZR 0
ZA 0
Z8 0
ZB 0
ZS 1
Z9 8
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000375840500011
PM 25336258
ER

PT J
AU Brown, Michael
   Shaw, Dominick
   Sharples, Sarah
   Le Jeune, Ivan
   Blakey, John
TI A survey-based cross-sectional study of doctors' expectations and
   experiences of non-technical skills for Out of Hours work
SO BMJ OPEN
VL 5
IS 2
AR e006102
DI 10.1136/bmjopen-2014-006102
PD 2015
PY 2015
AB Objectives: The skill set required for junior doctors to work
   efficiently and safely Out of Hours (OoH) in hospitals has not been
   established. This is despite the OoH period representing 75% of the year
   and it being the time of highest mortality. We set out to explore the
   expectations of medical students and experiences of junior doctors of
   the non-technical skills needed to work OoH.
   Design: Survey-based cross-sectional study informed by focus groups.
   Setting: Online survey with participants from five large teaching
   hospitals across the UK.
   Participants: 300 Medical Students and Doctors
   Outcome measure: Participants ranked the importance of non-technical
   skills, as identified by literature review and focus groups, needed for
   OoH care.
   Results: The focus groups revealed a total of eight non-technical skills
   deemed to be important. In the survey 'Task Prioritisation' (mean rank
   1.617) was consistently identified as the most important non-technical
   skill. Stage of training affected the ranking of skills, with
   significant differences for 'Communication with Senior Doctors',
   'Dealing with Clinical Isolation', 'Task Prioritisation' and
   'Communication with Patients'. Importantly, there was a significant
   discrepancy between the medical student expectations and experiences of
   doctors undertaking work.
   Conclusions: Our findings suggest that medical staff particularly value
   task prioritisation skills; however, these are not routinely taught in
   medical schools. The discrepancy between expectations of students and
   experience of doctors reinforces the idea that there is a gap in
   training. Doctors of different grades place different importance on
   specific non-technical skills with implications for postgraduate
   training. There is a pressing need for medical schools and deaneries to
   review non-technical training to include more than communication skills.
RI Sharples, Sarah/; shaw, dominick/N-1293-2014; Brown, Michael/
OI Sharples, Sarah/0000-0003-0288-915X; shaw, dominick/0000-0003-4106-8469;
   Brown, Michael/0000-0001-8305-9064
ZS 0
ZB 0
TC 13
ZA 0
Z8 0
ZR 0
Z9 13
U1 0
U2 8
SN 2044-6055
UT WOS:000363455400010
PM 25687899
ER

PT J
AU Leonard, K.
   Quesenberry, A.C.
   Lindsay, J.M.
TI Moderated social media support groups for patients
SO Journal of Consumer Health on the Internet
VL 19
IS 3-4
BP 219
EP 32
DI 10.1080/15398285.2015.1089397
PD 2015
PY 2015
AB An increasing number of Internet users look to social media websites for
   support and encouragement when faced with a health situation. With
   numerous social media websites available, finding reliable social
   media-driven support groups to recommend can pose difficulty to
   librarians and patrons. This article reviews several moderated online
   social media support groups that can potentially help consumers seeking
   support. Since there are many groups for many different diseases,
   criteria were established before selecting them. This list aids
   librarians in their quest of finding these resources for consumers and
   will also provide consumers with satisfactory online social media
   support groups.
RI Wilson, Alexandria Q/L-9692-2019; Grabeel, Kelsey Leonard/AAE-8408-2019; Lindsay, J. Michael/AAE-8382-2019
OI Wilson, Alexandria Q/0000-0002-2649-8252; Grabeel, Kelsey
   Leonard/0000-0002-0652-4409; Lindsay, J. Michael/0000-0003-1941-8581
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
TC 2
Z9 2
U1 0
U2 1
SN 1539-8285
UT INSPEC:15910391
ER

PT J
AU Ahmed, E.
   Alike, Q.
   Keselman, A.
TI The Process of Creating Online Animated Videos to Overcome Literacy
   Barriers in Health Information Outreach
SO Journal of Consumer Health on the Internet
VL 19
IS 3-4
BP 184
EP 99
DI 10.1080/15398285.2015.1089395
PD 2015
PY 2015
AB Many U.S. populations, especially the disadvantaged, the elderly, and
   English language learners, do not possess sufficient health literacy to
   effectively use the Internet's health information content in text
   format. Easy-to-understand, engaging audiovisual resources could greatly
   increase user access to health information. Unfortunately, there are
   limited audiovisual resources for specific health topics. This article
   provides a step-by-step guide for producing low-cost health information
   animations and describes its application to creating environmental
   health education materials for a National Library of Medicine website
   for middle school students. Steps include background research,
   storyboarding, animating, voice narration/editing, and evaluation.
ZS 0
Z8 0
ZB 0
ZR 0
TC 8
ZA 0
Z9 8
U1 0
U2 12
SN 1539-8285
UT INSPEC:15893708
ER

PT J
AU Dafli, Eleni
   Antoniou, Panagiotis
   Ioannidis, Lazaros
   Dombros, Nicholas
   Topps, David
   Bamidis, Panagiotis D.
TI Virtual Patients on the Semantic Web: A Proof-of-Application Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 17
IS 1
AR e16
DI 10.2196/jmir.3933
PD JAN 2015
PY 2015
AB Background: Virtual patients are interactive computer simulations that
   are increasingly used as learning activities in modern health care
   education, especially in teaching clinical decision making. A key
   challenge is how to retrieve and repurpose virtual patients as unique
   types of educational resources between different platforms because of
   the lack of standardized content-retrieving and repurposing mechanisms.
   Semantic Web technologies provide the capability, through structured
   information, for easy retrieval, reuse, repurposing, and exchange of
   virtual patients between different systems.
   Objective: An attempt to address this challenge has been made through
   the mEducator Best Practice Network, which provisioned frameworks for
   the discovery, retrieval, sharing, and reuse of medical educational
   resources. We have extended the OpenLabyrinth virtual patient authoring
   and deployment platform to facilitate the repurposing and retrieval of
   existing virtual patient material.
   Methods: A standalone Web distribution and Web interface, which contains
   an extension for the OpenLabyrinth virtual patient authoring system, was
   implemented. This extension was designed to semantically annotate
   virtual patients to facilitate intelligent searches, complex queries,
   and easy exchange between institutions. The OpenLabyrinth extension
   enables OpenLabyrinth authors to integrate and share virtual patient
   case metadata within the mEducator3.0 network. Evaluation included 3
   successive steps: (1) expert reviews; (2) evaluation of the ability of
   health care professionals and medical students to create, share, and
   exchange virtual patients through specific scenarios in extended
   OpenLabyrinth (OLabX); and (3) evaluation of the repurposed learning
   objects that emerged from the procedure.
   Results: We evaluated 30 repurposed virtual patient cases. The
   evaluation, with a total of 98 participants, demonstrated the system's
   main strength: the core repurposing capacity. The extensive metadata
   schema presentation facilitated user exploration and filtering of
   resources. Usability weaknesses were primarily related to standard
   computer applications' ease of use provisions. Most evaluators provided
   positive feedback regarding educational experiences on both content and
   system usability. Evaluation results replicated across several
   independent evaluation events.
   Conclusions: The OpenLabyrinth extension, as part of the semantic
   mEducator3.0 approach, is a virtual patient sharing approach that builds
   on a collection of Semantic Web services and federates existing sources
   of clinical and educational data. It is an effective sharing tool for
   virtual patients and has been merged into the next version of the app
   (OpenLabyrinth 3.3). Such tool extensions may enhance the medical
   education arsenal with capacities of creating simulation/game-based
   learning episodes, massive open online courses, curricular
   transformations, and a future robust infrastructure for enabling mobile
   learning.
RI Topps, David/L-1747-2015; Antoniou, Panagiotis/AAE-7895-2022; Bamidis, Panagiotis/AAK-3556-2020
OI Topps, David/0000-0003-3593-544X; Bamidis,
   Panagiotis/0000-0002-9936-5805
TC 18
Z8 0
ZB 2
ZR 0
ZA 0
ZS 0
Z9 18
U1 1
U2 19
SN 1438-8871
UT WOS:000374123300015
PM 25616272
ER

PT J
AU Lohan, Maria
   Aventin, Aine
   Oliffe, John L.
   Han, Christina S.
   Bottorff, Joan L.
TI Knowledge Translation in Men's Health Research: Development and Delivery
   of Content for Use Online
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 17
IS 1
AR e31
DI 10.2196/jmir.3881
PD JAN 2015
PY 2015
AB Background: Men can be hard to reach with face-to-face health-related
   information, while increasingly, research shows that they are seeking
   health information from online sources. Recognizing this trend, there is
   merit in developing innovative online knowledge translation (KT)
   strategies capable of translating research on men's health into engaging
   health promotion materials. While the concept of KT has become a new
   mantra for researchers wishing to bridge the gap between research
   evidence and improved health outcomes, little is written about the
   process, necessary skills, and best practices by which researchers can
   develop online knowledge translation.
   Objective: Our aim was to illustrate some of the processes and
   challenges involved in, and potential value of, developing research
   knowledge online to promote men's health.
   Methods: We present experiences of KT across two case studies of men's
   health. First, we describe a study that uses interactive Web apps to
   translate knowledge relating to Canadian men's depression. Through a
   range of mechanisms, study findings were repackaged with the explicit
   aim of raising awareness and reducing the stigma associated with men's
   depression and/or help-seeking. Second, we describe an educational
   resource for teenage men about unintended pregnancy, developed for
   delivery in the formal Relationship and Sexuality Education school
   curricula of Ireland, Northern Ireland (United Kingdom), and South
   Australia. The intervention is based around a Web-based interactive film
   drama entitled "If I Were Jack".
   Results: For each case study, we describe the KT process and strategies
   that aided development of credible and well-received online content
   focused on men's health promotion. In both case studies, the original
   research generated the inspiration for the interactive online content
   and the core development strategy was working with a multidisciplinary
   team to develop this material through arts-based approaches. In both
   cases also, there is an acknowledgment of the need for gender and
   culturally sensitive information. Both aimed to engage men by disrupting
   stereotypes about men, while simultaneously addressing men through
   authentic voices and faces. Finally, in both case studies we draw
   attention to the need to think beyond placement of content online to
   delivery to target audiences from the outset.
   Conclusions: The case studies highlight some of the new skills required
   by academics in the emerging paradigm of translational research and
   contribute to the nascent literature on KT. Our approach to online KT
   was to go beyond dissemination and diffusion to actively repackage
   research knowledge through arts-based approaches (videos and film
   scripts) as health promotion tools, with optimal appeal, to target male
   audiences. Our findings highlight the importance of developing a
   multidisciplinary team to inform the design of content, the importance
   of adaptation to context, both in terms of the national implementation
   context and consideration of gender-specific needs, and an integrated
   implementation and evaluation framework in all KT work.
RI Oliffe, John Lindsay/F-3436-2011; Bottorff, Joan L./AAV-9905-2020; Bottorff, Joan L./A-6420-2018; Lohan, Maria/
OI Oliffe, John Lindsay/0000-0001-9029-4003; Bottorff, Joan
   L./0000-0001-9724-5351; Bottorff, Joan L./0000-0001-9724-5351; Lohan,
   Maria/0000-0003-3525-1283
ZR 0
ZA 0
ZB 1
Z8 0
ZS 0
TC 12
Z9 12
U1 2
U2 12
SN 1438-8871
UT WOS:000374123300027
PM 25642787
ER

PT J
AU Pourmand, Ali
   Tanski, Mary
   Davis, Steven
   Shokoohi, Hamid
   Lucas, Raymond
   Zaver, Fareen
TI Educational technology improves ECG interpretation of acute myocardial
   infarction among medical students and emergency medicine residents.
SO The western journal of emergency medicine
VL 16
IS 1
BP 133
EP 7
DI 10.5811/westjem.2014.12.23706
PD 2015-Jan
PY 2015
AB INTRODUCTION: Asynchronous online training has become an increasingly
   popular educational format in the new era of technology-based
   professional development. We sought to evaluate the impact of an online
   asynchronous training module on the ability of medical students and
   emergency medicine (EM) residents to detect electrocardiogram (ECG)
   abnormalities of an acute myocardial infarction (AMI).
   METHODS: We developed an online ECG training and testing module on AMI,
   with emphasis on recognizing ST elevation myocardial infarction (MI) and
   early activation of cardiac catheterization resources. Study
   participants included senior medical students and EM residents at all
   post-graduate levels rotating in our emergency department (ED).
   Participants were given a baseline set of ECGs for interpretation. This
   was followed by a brief interactive online training module on normal
   ECGs as well as abnormal ECGs representing an acute MI. Participants
   then underwent a post-test with a set of ECGs in which they had to
   interpret and decide appropriate intervention including catheterization
   lab activation.
   RESULTS: 148 students and 35 EM residents participated in this training
   in the 2012-2013 academic year. Students and EM residents showed
   significant improvements in recognizing ECG abnormalities after taking
   the asynchronous online training module. The mean score on the testing
   module for students improved from 5.9 (95% CI [5.7-6.1]) to 7.3 (95% CI
   [7.1-7.5]), with a mean difference of 1.4 (95% CI [1.12-1.68])
   (p<0.0001). The mean score for residents improved significantly from 6.5
   (95% CI [6.2-6.9]) to 7.8 (95% CI [7.4-8.2]) (p<0.0001).
   CONCLUSION: An online interactive module of training improved the
   ability of medical students and EM residents to correctly recognize the
   ECG evidence of an acute MI.
OI , Ali/0000-0002-3674-5106; Pourmand, Ali/0000-0002-8440-8454
ZA 0
ZR 0
Z8 1
ZS 0
ZB 1
TC 15
Z9 15
U1 0
U2 5
EI 1936-9018
UT MEDLINE:25671022
PM 25671022
ER

PT J
AU Hiller, Katherine
   Miller, Emily S
   Lawson, Luan
   Wald, David
   Beeson, Michael
   Heitz, Corey
   Morrissey, Thomas
   House, Joseph
   Poznanski, Stacey
TI Correlation of the NBME advanced clinical examination in EM and the
   national EM M4 exams.
SO The western journal of emergency medicine
VL 16
IS 1
BP 138
EP 42
DI 10.5811/westjem.2014.11.24189
PD 2015-Jan
PY 2015
AB INTRODUCTION: Since 2011 two online, validated exams for fourth-year
   emergency medicine (EM) students have been available (National EM M4
   Exams). In 2013 the National Board of Medical Examiners offered the
   Advanced Clinical Examination in Emergency Medicine (EM-ACE). All of
   these exams are now in widespread use; however, there are no data on how
   they correlate. This study evaluated the correlation between the EM-ACE
   exam and the National EM M4 Exams.
   METHODS: From May 2013 to April 2014 the EM-ACE and one version of the
   EM M4 exam were administered sequentially to fourth-year EM students at
   five U.S. medical schools. Data collected included institution, gross
   and scaled scores and version of the EM M4 exam. We performed Pearson's
   correlation and random effects linear regression.
   RESULTS: 305 students took the EM-ACE and versions 1 (V1) or 2 (V2) of
   the EM M4 exams (281 and 24, respectively) [corrected].The mean percent
   correct for the exams were as follows: EM-ACE 74.9 (SD-9.82), V1 83.0
   (SD-6.39), V2 78.5 (SD-7.70) [corrected]. Pearson's correlation
   coefficient for the V1/EM-ACE was 0.53 (0.43 scaled) and for the
   V2/EM-ACE was 0.58 (0.41 scaled) [corrected]. The coefficient of
   determination for V1/ EM-ACE was 0.73 and for V2/EM-ACE 0.71 (0.65 and
   .49 for scaled scores) [ERRATUM]. The R-squared values were 0.28 and
   0.30 (0.18 and 0.13 scaled), respectively [corrected]. There was
   significant cluster effect by institution.
   CONCLUSION: There was moderate positive correlation of student scores on
   the EM-ACE exam and the National EM M4 Exams.
TC 5
ZS 0
ZA 0
Z8 0
ZB 0
ZR 0
Z9 5
U1 0
U2 1
EI 1936-9018
UT MEDLINE:25671023
PM 25671023
ER

PT J
AU Aggarwal, Anita
   Fullam, Lisa
   Brownstein, Alan P.
   Maynard, Gregory A.
   Ansell, Jack
   Varga, Elizabeth A.
   Friedman, Richard. J.
   Rickles, Frederick. R.
TI Deep Vein Thrombosis ( DVT) and Pulmonary Embolism ( PE): Awareness and
   Prophylaxis Practices Reported by Patients with Cancer
SO CANCER INVESTIGATION
VL 33
IS 9
BP 405
EP 410
DI 10.3109/07357907.2015.1048871
PD 2015
PY 2015
AB Patients with cancer are at increased risk for venous thromboembolism
   (VTE). An online survey to measure PE/DVT terminology awareness and
   understanding of VTE risks revealed 24% and 15% of the 500 cancer
   patients surveyed had heard of term DVT/PE; 19% and 17% could name
   signs/symptoms of DVT/PE; 3% recognized cancer treatments as risk
   factors for DVT/PE. Only 25% of the patients received prevention
   education from providers;<50% received VTE prophylaxis. Cancer patient
   awareness of VTE terminology and cancer and/or its treatment as risk for
   VTE is low. More effective patient/physician dialogue about VTE risk and
   thromboprophylaxis is needed.
ZB 3
ZS 0
ZR 0
ZA 0
Z8 1
TC 20
Z9 21
U1 0
U2 5
SN 0735-7907
EI 1532-4192
UT WOS:000369806600001
PM 26181096
ER

PT C
AU Nagpal, Diksha
   Kaur, Sumit
   Gujral, Shruti
   Singh, Amritpal
BE Mathew, J
   Singh, AK
TI FR: A Recommender for Finding Faculty Based On CF Technique
SO PROCEEDINGS OF THE 4TH INTERNATIONAL CONFERENCE ON ECO-FRIENDLY
   COMPUTING AND COMMUNICATION SYSTEMS
SE Procedia Computer Science
VL 70
BP 499
EP 507
DI 10.1016/j.procs.2015.10.091
PD 2015
PY 2015
AB Number of options available for online users for buying items is growing
   manifold; tool which has come to the rescue of online users is
   Recommender Systems. Recommender System is expanding as an influential
   research area and has its applications in various fields like
   e-commerce, business, entertainment, education, medical sciences and so
   on. The developed applications in education field are limited to
   recommend the articles, research papers, courses and books to students
   and research scholars. However, application of recommender system to
   recommend faculty of an education institution to the students,
   management and other members does not exist. So to further extend its
   usage in education domain, applications of recommender system to
   recommend faculty of education institution to the students, management
   and other members is proposed and evaluated in this work. The
   collaborative filtering (CF) is used to implement Faculty Recommender
   and comparison between the user-user CF and item-item CF results is done
   to find the optimal approach for this proposed Faculty Recommender
   system. (C) 2015 The Authors. Published by Elsevier B.V. This is an open
   access article under the CC BY-NC-ND license
   (http://creativecommons.org/licenses/by-nc-nd/4.0/)
CT 4th International Conference on Eco-Friendly Computing and Communication
   Systems (ICECCS)
CY DEC 07-08, 2015
CL Natl Inst Technol, Kurukshetra, INDIA
HO Natl Inst Technol
RI Singh, Amritpal/AAS-9168-2020
OI Singh, Amritpal/0000-0002-2080-7392
ZR 0
ZS 0
Z8 0
ZB 0
TC 4
ZA 0
Z9 4
U1 0
U2 3
SN 1877-0509
BN *****************
UT WOS:000369534900067
ER

PT C
AU Schwarz, Andreas
   Scherer, Reinhold
   Steyrl, David
   Faller, Josef
   Mueller-Putz, Gernot R.
GP IEEE
TI A Co-adaptive Sensory Motor Rhythms Brain-Computer Interface Based on
   Common Spatial Patterns and Random Forest
SO 2015 37TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 1049
EP 1052
PD 2015
PY 2015
AB Sensorimotor rhythm (SMR) based Brain-Computer Interfaces (BCI)
   typically require lengthy user training. This can be exhausting and
   fatiguing for the user as data collection may be monotonous and
   typically without any feedback for user motivation. Hence new ways to
   reduce user training and improve performance are needed. We recently
   introduced a two class motor imagery BCI system which continuously
   adapted with increasing run-time to the brain patterns of the user. The
   system was designed to provide visual feedback to the user after just
   five minutes. The aim of the current work was to improve user-specific
   online adaptation, which was expected to lead to higher performances. To
   maximize SMR discrimination, the method of filter-bank common spatial
   patterns (fbCSP) and Random Forest (RF) classifier were combined. In a
   supporting online study, all volunteers performed significantly better
   than chance. Overall peak accuracy of 88.6 +/- 6.1 (SD) % was reached,
   which significantly exceeded the performance of our previous system by
   13%. Therefore, we consider this system the next step towards fully
   auto-calibrating motor imagery BCIs.
CT 37th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY AUG 25-29, 2015
CL Milan, ITALY
SP IEEE Engn Med & Biol Soc
RI Faller, Josef/ABG-2374-2020; Schwarz, Andreas/AAW-4973-2021; Steyrl, David/X-6809-2019; Scherer, Reinhold/
OI Faller, Josef/0000-0001-7814-9292; Schwarz, Andreas/0000-0002-3883-4989;
   Steyrl, David/0000-0002-3215-8115; Scherer, Reinhold/0000-0003-3407-9709
TC 18
Z8 0
ZR 0
ZS 0
ZB 7
ZA 0
Z9 18
U1 0
U2 0
SN 1557-170X
EI 1558-4615
BN 978-1-4244-9270-1
UT WOS:000371717201086
PM 26736445
ER

PT C
AU Liu, Fei
   Leleve, Arnaud
   Eberard, Damien
   Redarce, Tanneguy
GP IEEE
TI A Dual-user Teleoperation System with Online Authority Adjustment for
   Haptic Training
SO 2015 37TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 1168
EP 1171
PD 2015
PY 2015
AB This paper introduces a dual-user teleoperation system for hands-on
   medical training. A shared control based architecture is presented for
   authority management. In this structure, the combination of control
   signals is obtained using a dominance factor. Its main improvement is
   Online Authority Adjustment (OAA) : the authority can be adjusted
   manually/automatically during the training progress. Experimental
   results are provided to validate the performances of the system.
CT 37th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY AUG 25-29, 2015
CL Milan, ITALY
SP IEEE Engn Med & Biol Soc
RI Leleve, Arnaud/I-9523-2012; Liu, Fei/
OI Leleve, Arnaud/0000-0001-5550-9072; Liu, Fei/0000-0002-3837-4206
TC 9
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
Z9 9
U1 2
U2 2
SN 1557-170X
EI 1558-4615
BN 978-1-4244-9270-1
UT WOS:000371717201115
PM 26736474
ER

PT C
AU Corrias, Alberto
   Hong, James Goh Cho
GP IEEE
TI Design and implementation of a flipped classroom learning environment in
   the biomedical engineering context
SO 2015 37TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 3985
EP 3988
PD 2015
PY 2015
AB The design and implementation of a learning environment that leverages
   on the use of various technologies is presented. The context is an
   undergraduate core engineering course within the biomedical engineering
   curriculum. The topic of the course is data analysis in biomedical
   engineering problems.
   One of the key ideas of this study is to confine the most mathematical
   and statistical aspects of data analysis in prerecorded video lectures.
   Students are asked to watch the video lectures before coming to class.
   Since the classroom session does not need to cover the mathematical
   theory, the time is spent on a selected real world scenario in the field
   of biomedical engineering that exposes students to an actual application
   of the theory. The weekly cycle is concluded with a hands-on tutorial
   session in the computer rooms.
   A potential problem would arise in such learning environment if the
   students do not follow the recommendation of watching the video lecture
   before coming to class. In an attempt to limit these occurrences, two
   key instruments were put in place: a set of online self-assessment
   questions that students are asked to take before the classroom session
   and a simple rewards system during the classroom session. Thanks to
   modern learning analytics tools, we were able to show that, on average,
   57.9% of students followed the recommendation of watching the video
   lecture before class.
   The efficacy of the learning environment was assessed through various
   means. A survey was conducted among the students and the gathered data
   support the view that the learning environment was well received by the
   students. Attempts were made to quantify the impacts on learning of the
   proposed measures by taking into account the results of selected
   questions of the final examination of the course. Although the presence
   of confounding factors demands caution in the interpretation, these data
   seem to indicate a possible positive effect of the use of video lectures
   in this technologically enhanced learning environment.
CT 37th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY AUG 25-29, 2015
CL Milan, ITALY
SP IEEE Engn Med & Biol Soc
OI Corrias, Alberto/0000-0003-2156-713X
Z8 0
TC 6
ZS 0
ZR 0
ZB 1
ZA 0
Z9 6
U1 0
U2 4
SN 1557-170X
EI 1558-4615
BN 978-1-4244-9270-1
UT WOS:000371717204067
PM 26737167
ER

PT J
AU Maheshwari, Sunita
   Zheleva, Bistra
   Rajasekhar, Veeralakshmi
   Batra, Bipin
TI e-Teaching in pediatric cardiology: A paradigm shift.
SO Annals of pediatric cardiology
VL 8
IS 1
BP 10
EP 3
DI 10.4103/0974-2069.149512
PD 2015 Jan-Apr
PY 2015
AB BACKGROUND: Training of postgraduate students has traditionally been
   done in person in a hospital setting with hands-on training with each
   faculty member imparting knowledge to 2 to 4 students per year.
   Supplementing their practical education with online instruction could
   make a significant difference in standardizing pediatric cardiology
   education in India.
   OBJECTIVE: To present the rationale, methods and survey results of a
   live e-Teaching methodology implemented for Pediatric cardiology
   trainees in association with the National Board of Examinations, India.
   MATERIALS AND METHODS: Between March 2010 and March 2014, 310 e-classes
   were conducted in the Pediatric cardiac sciences by 24 e-teachers.
   Content of the e-Learning program was based on a 2-year pediatric
   cardiology curriculum and included twice-weekly live online video
   training sessions, a library of recorded sessions and online test
   quizzes for the students. A total of 231 students accessed the program
   at various times over the 4-year period.
   RESULTS: In our study, requests for access to the e-lectures increased
   from 10/year the first year to 100/year by the fourth year with feedback
   surveys conveying a high satisfaction level from the students and a high
   need for this knowledge. The advantages of virtual live e-Learning
   included the fact that one teacher can teach multiple students in
   multiple geographic locations at the same time, obviating the issue of
   quality teacher shortage and the same content can be disseminated to all
   students undergoing specialist training so there is a national consensus
   on diagnostic and management approach among all trainees. Additionally,
   the e-classes can be recorded and replayed so they can be viewed
   repeatedly by the same group or new trainees.
   CONCLUSION: This is the first sustained use of e-Teaching in a medical
   super-specialty in India. We believe that e-Teaching is an innovative
   solution that can be applied, not just to Pediatric Cardiology as we
   have done, but to all branches of specialist and super-specialist
   medical training in India and globally.
RI Zheleva, Bistra/AAN-6856-2020
OI Zheleva, Bistra/0000-0002-3209-0261
ZS 0
ZR 0
Z8 0
TC 7
ZB 0
ZA 0
Z9 7
U1 1
U2 8
SN 0974-2069
UT MEDLINE:25684881
PM 25684881
ER

PT J
AU Wu, Vincent
   Chan, Oscar
   Maxwell, Simon R
   Levine, Mitchell A
   Perri, Dan
   Sebalt, Rolf J
   Baw, Bandar
   Holbrook, Anne
TI Development and Validation of the McMaster Prescribing Competency
   Assessment for Medical Trainees (MacPCA).
SO Journal of population therapeutics and clinical pharmacology = Journal
   de la therapeutique des populations et de la pharmacologie clinique
VL 22
IS 2
BP e173
EP 8
PD 2015
PY 2015
AB BACKGROUND: Prescribing is an essential skill for all physicians, built
   on knowledge of clinical pharmacology, therapeutics and toxicology
   across the life cycle. The decline in organized clinical pharmacology
   training in medical schools, combined with an expanding pharmacopeia and
   increasing complexity of patient care, makes prescribing competency
   difficult for medical students to master.
   OBJECTIVES: To develop and validate the McMaster Prescribing Competency
   Assessment (MacPCA), an online tool suitable for evaluating clinical
   pharmacology knowledge and prescribing skills of medical trainees in
   Canada.
   METHODS: The MacPCA was developed using an online examination platform
   scalable to multiple sites across Canada. Questions represented 8
   domains of safe and effective prescribing with level of difficulty aimed
   at a final year medical student. Validation assessment concentrated on
   face and construct validity.
   RESULTS: 58 participants (7, 12 and 21 medical students in Years 1, 2,
   and 3, respectively and 8 undergraduate controls) were recruited. Mean
   scores were 31% (SD 13.6), 46% (SD 14.9), 75% (SD 8.3) and 81% (SD 10.5)
   for the controls, Year 1, Year 2, and Year 3 (final year) students,
   respectively. Combined Year 2/Year 3 scores were significantly better
   than control/Year 1 scores (p<0.0001). Final year student feedback
   indicated the test was fair, clear and unambiguous, aimed at the right
   level, with sufficient time for completion.
   CONCLUSIONS: The MacPCA demonstrated good face validity and successfully
   discriminated between upper year medical students and their junior
   colleagues. Further expansion of testing and validation is warranted.
OI Wu, Vincent/0000-0003-3227-6442
ZS 0
Z8 0
ZA 0
ZR 0
ZB 1
TC 4
Z9 4
U1 0
U2 2
EI 2561-8741
UT MEDLINE:26365356
PM 26365356
ER

PT J
AU Topping, Daniel
TI An interprofessional education Russian cultural competence course:
   Implementation and follow-up perspectives
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 29
IS 5
BP 501
EP 503
DI 10.3109/13561820.2015.1012582
PD 2015
PY 2015
AB Health sciences educators are faced with creating meaningful, effective
   and satisfying experiences in interprofessional education (IPE) and
   cultural competence (CC) required of both students and professionals in
   practice. This study evaluated the experience and attitudes of the
   participants in a course combining IPE and CC. A novel,
   interprofessional course in the Russian language and culture was
   developed and delivered to a group of medical, nursing, and pharmacy
   students. One year after the completion of the course, an anonymous,
   online survey was sent to the participants. Attitudes, comfort,
   self-efficacy in working with other cultures/healthcare professionals,
   and comparison of the course to other IPE activities were assessed. The
   survey suggested that the course was a satisfying and effective
   combination of IPE and CC in a pre-professional health educational
   setting. Further work could be undertaken to evaluate the experiences of
   similar activities in the professional and continuing education arenas.
ZS 0
ZR 0
Z8 0
ZB 1
ZA 0
TC 5
Z9 5
U1 0
U2 6
SN 1356-1820
EI 1469-9567
UT WOS:000369836000018
PM 25692719
ER

PT J
AU Manning, Joseph C.
   Latif, Asam
   Carter, Tim
   Cooper, Joanne
   Horsley, Angela
   Armstrong, Marie
   Wharrad, Heather
TI 'Our Care through Our Eyes': a mixed-methods, evaluative study of a
   service-user, co-produced education programme to improve inpatient care
   of children and young people admitted following self-harm
SO BMJ OPEN
VL 5
IS 12
AR e009680
DI 10.1136/bmjopen-2015-009680
PD 2015
PY 2015
AB Introduction Within Europe, the UK has one of the highest rates of
   self-harm, with a particularly high prevalence in children and young
   people (CYP). CYP who are admitted to paediatric hospital wards with
   self-harm are cared for by registered children's nurses who have been
   identified to lack specific training in caring for this patient group.
   This may impede the delivery of high quality care. Therefore, this study
   aims to co-produce, implement and evaluate an education programme for
   registered children's nurses to improve their knowledge, attitudes and
   confidence when caring for CYP admitted with self-harm.
   Methods and analysis This mixed-methods evaluative study will involve a
   three-stage design. Stage 1: A priority-setting workshop will be
   conducted with 19 registered children's nurses. A Delphi technique will
   be used to establish consensus of information needs. Stage 2: An online
   educational intervention will be co-produced with 25 CYP and 19
   registered children's nurses based on the priorities identified in Stage
   1. Stage 3: The intervention will be implemented and evaluated with 250
   registered children's nurses at a single hospital. Online Likert scale
   questionnaires will be administered at baseline and postintervention to
   assess levels of knowledge, attitudes and confidence in caring for CYP
   who self-harm. Descriptive and inferential statistics will be used to
   analyse the data. Statistical significance will be assessed at the 5%
   (two-sided) level. One-to-one qualitative interviews will also be
   undertaken with approximately 25 participants to explore any perceived
   impact on clinical practice. An interpretive descriptive approach will
   guide qualitative data collection and analysis.
   Ethics and dissemination This study aims to develop, trial and
   evaluative a service-user, co-produced education programme for acute
   hospital registered children's nurses to improve the care of CYP
   admitted due to self-harm. The study has ethical approval from the
   National Health Services Research Ethics Committee and full governance
   clearance.
RI Wharrad, Heather J/F-1788-2011; Manning, Joseph/AAX-1031-2021; Latif, Asam/; Carter, Tim/
OI Wharrad, Heather J/0000-0001-6030-5648; Manning,
   Joseph/0000-0002-6077-4169; Latif, Asam/0000-0003-0730-7120; Carter,
   Tim/0000-0002-1608-5112
ZA 0
Z8 0
ZR 0
TC 5
ZS 0
ZB 0
Z9 5
U1 0
U2 16
SN 2044-6055
UT WOS:000368839100128
PM 26715483
ER

PT J
AU Liu, Michael A
   Nguyen, Jannett
   Nguyen, Annie
   Kilgore, David B
TI Longitudinal survey on integrative medicine education at an underserved
   health centre.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 6
BP 404
EP 9
DI 10.1080/14739879.2015.1101870
PD 2015-Nov
PY 2015
AB Complementary and alternative medicine (CAM) is widely used by adults in
   the USA. However, most physicians do not inquire about CAM use leading
   to missed opportunities to dialogue about wellness and detect harmful
   practices. In 2012, an integrative medicine (IM) consultation clinic
   alongside an optional IM Residency Track for family medicine residents
   was established at the University of California, Irvine Family Health
   Center in Santa Ana, CA. This study evaluated the impact of these
   programmes on physicians' CAM/IM knowledge and receptiveness. Online
   surveys assessing self-reported attitudes, knowledge and practices were
   distributed in 2012 (baseline) and 2014 (follow-up) to family physicians
   with response rates of 83% (35/42) and 62% (23/37), respectively. At
   baseline, 91.5% of physicians believed that patient satisfaction would
   moderately/strongly increase if offered CAM/IM consultations and
   therapies. At follow- up, physician understanding of clinical
   applications of massage, acupuncture, meditation/relaxation, yoga and
   Tai Chi increased. Percentage of physician referrals to a CAM/IM
   consultation clinic increased (5.7- 69.6%; p < 0.01) as well as
   physician-initiated CAM/IM discussion (20.0-60.9%; p < 0.01). This study
   demonstrates the immediate effect of IM education in a primary care
   training site and the receptiveness of its community-based physicians
   towards these changes. 
OI Nguyen, Annie/0000-0002-1543-0383
ZA 0
ZR 0
TC 0
ZB 0
ZS 0
Z8 0
Z9 0
U1 0
U2 1
SN 1473-9879
UT MEDLINE:26808936
PM 26808936
ER

PT J
AU Harkness, Beth A.
   Allison, Jerry D.
   Clements, Jessica B.
   Coffey, Charles W.
   Fahey, Frederic H.
   Gress, Dustin A.
   Kinahan, Paul E.
   Nickoloff, Edward L.
   Mawlawi, Osama R.
   MacDougall, Robert D.
   Pizzuitello, Robert J.
TI AAPM/SNMMI Joint Task Force: report on the current state of nuclear
   medicine physics training
SO JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS
VL 16
IS 5
BP 3
EP 13
DI 10.1120/jacmp.v16i5.5661
PD 2015
PY 2015
AB The American Association of Physicists in Medicine (AAPM) and the
   Society of Nuclear Medicine and Molecular Imaging (SNMMI) recognized the
   need for a review of the current state of nuclear medicine physics
   training and the need to explore pathways for improving nuclear medicine
   physics training opportunities. For these reasons, the two organizations
   formed a joint AAPM/SNMMI Ad Hoc Task Force on Nuclear Medicine Physics
   Training. The mission of this task force was to assemble a
   representative group of stakeholders to:
   Estimate the demand for board-certified nuclear medicine physicists in
   the next 5-10 years,
   Identify the critical issues related to supplying an adequate number of
   physicists who have received the appropriate level of training in
   nuclear medicine physics, and
   Identify approaches that may be considered to facilitate the training of
   nuclear medicine physicists.
   As a result, a task force was appointed and chaired by an active member
   of both organizations that included representation from the AAPM, SNMMI,
   the American Board of Radiology (ABR), the American Board of Science in
   Nuclear Medicine (ABSNM), and the Commission for the Accreditation of
   Medical Physics Educational Programs (CAMPEP). The Task Force first met
   at the AAPM Annual Meeting in Charlotte in July 2012 and has met
   regularly face-to-face, online, and by conference calls. This manuscript
   reports the findings of the Task Force, as well as recommendations to
   achieve the stated mission.
RI Kinahan, Paul E/H-5949-2013
OI Kinahan, Paul E/0000-0001-6461-3306
TC 5
ZB 1
ZS 0
ZA 0
ZR 0
Z8 0
Z9 5
U1 0
U2 0
SN 1526-9914
UT WOS:000368340900002
PM 26699325
ER

PT J
AU Paliadelis, Penny Susan
   Stupans, Ieva
   Parker, Vicki
   Piper, Donella
   Gillan, Pauline
   Lea, Jackie
   Jarrott, Helen Mary
   Wilson, Rhonda
   Hudson, Judith N.
   Fagan, Anthea
TI The development and evaluation of online stories to enhance clinical
   learning experiences across health professions in rural Australia
SO COLLEGIAN
VL 22
IS 4
BP 397
EP 403
DI 10.1016/j.colegn.2014.08.003
PD 2015
PY 2015
AB Clinical placement learning experiences are integral to all health and
   medical curricula as a means of integrating theory into practice and
   preparing graduates to deliver safe, high-quality care to health
   consumers. A growing challenge for education providers is to access
   sufficient clinical placements with experienced supervisors who are
   skilled at maximising learning opportunities for students. This paper
   reports on the development and evaluation of an innovative online
   learning program aimed at enhancing student and clinical supervisors'
   preparedness for effective workplace-based learning. The evidence-based
   learning program used 'story-telling' as the learning framework. The
   stories, which were supported by a range of resources, aimed to engage
   the learners in understanding student and supervisor responsibilities,
   as well as the expectations and competencies needed to support effective
   learning in the clinical environment. Evaluation of this program by the
   learners and stakeholders clearly indicated that they felt authentically
   'connected' with the characters in the stories and developed insights
   that suggested effective learning had occurred. (C) 2014 Australian
   College of Nursing Ltd. Published by Elsevier Ltd.
RI Piper, Donella/S-1950-2019; Wilson, Rhonda L./H-6045-2019; Lea, Jacqueline/; Paliadelis, Penelope/; Parker, Vicki/P-1047-2017; Gillan, Pauline/; stupans, ieva/; Piper, Donella/; Fagan, Anthea/
OI Wilson, Rhonda L./0000-0001-9252-2321; Lea,
   Jacqueline/0000-0003-3189-0950; Paliadelis,
   Penelope/0000-0002-4306-7614; Parker, Vicki/0000-0002-0834-9528; Gillan,
   Pauline/0000-0002-4523-7234; stupans, ieva/0000-0002-8193-6905; Piper,
   Donella/0000-0002-5802-6380; Fagan, Anthea/0000-0002-2246-4776
ZB 1
ZA 0
Z8 0
TC 8
ZS 1
ZR 0
Z9 8
U1 0
U2 10
SN 1322-7696
EI 1876-7575
UT WOS:000366147500008
PM 26775526
ER

PT J
AU Kassab, Salah Eldin
   Al-Shafei, Ahmad I
   Salem, Abdel Halim
   Otoom, Sameer
TI Relationships between the quality of blended learning experience,
   self-regulated learning, and academic achievement of medical students: a
   path analysis.
SO Advances in medical education and practice
VL 6
BP 27
EP 34
DI 10.2147/AMEP.S75830
PD 2015
PY 2015
AB PURPOSE: This study examined the relationships between the different
   aspects of students' course experience, self-regulated learning, and
   academic achievement of medical students in a blended learning
   curriculum.
   METHODS: Perceptions of medical students (n=171) from the Royal College
   of Surgeons in Ireland, Medical University of Bahrain (RCSI Bahrain), on
   the blended learning experience were measured using the Student Course
   Experience Questionnaire (SCEQ), with an added e-Learning scale. In
   addition, self-regulated learning was measured using the Motivated
   Strategies for Learning Questionnaire (MSLQ). Academic achievement was
   measured by the scores of the students at the end of the course. A path
   analysis was created to test the relationships between the different
   study variables.
   RESULTS: Path analysis indicated that the perceived quality of the
   face-to-face component of the blended experience directly affected the
   motivation of students. The SCEQ scale "quality of teaching" directly
   affected two aspects of motivation: control of learning and intrinsic
   goal orientation. Furthermore, appropriate course workload directly
   affected the self-efficacy of students. Moreover, the e-Learning scale
   directly affected students' peer learning and critical thinking but
   indirectly affected metacognitive regulation. The resource management
   regulation strategies, time and study environment, and effort regulation
   directly affected students' examination scores (17% of the variance
   explained). However, there were no significant direct relationships
   between the SCEQ scales and cognitive learning strategies or examination
   scores.
   CONCLUSION: The results of this study will have important implications
   for designing blended learning courses in medical schools.
RI Salem, Abdel Halim A/A-3026-2013; Kassab, Salah Eldin/AFK-2253-2022; Kassab, Salah Eldin/AAF-9544-2022; Al-Shafei, Ahmad/
OI Salem, Abdel Halim A/0000-0002-0733-4631; Al-Shafei,
   Ahmad/0000-0001-8067-1688
Z8 0
ZA 1
ZB 4
ZS 3
TC 40
ZR 0
Z9 44
U1 3
U2 73
SN 1179-7258
UT MEDLINE:25610011
PM 25610011
ER

PT J
AU Campbell, David
   Shepherd, Irwyn
   McGrail, Matthew
   Kassell, Lisa
   Connolly, Marnie
   Williams, Brett
   Nestel, Debra
TI Procedural skills practice and training needs of doctors, nurses,
   midwives and paramedics in rural Victoria.
SO Advances in medical education and practice
VL 6
BP 183
EP 94
DI 10.2147/AMEP.S77779
PD 2015
PY 2015
AB INTRODUCTION: Procedural skills are a significant component of clinical
   practice. Doctors, nurses, midwives and paramedics are trained to use a
   variety of procedural skills. Rural clinicians in particular are often
   required to maintain competence in some procedural skills that are used
   infrequently, and which may require regular and repeated rehearsal. This
   paper reports on a research project conducted in Gippsland, Victoria, to
   ascertain the frequency of use, and relevance to clinical practice, of a
   range of skills in the fields of medicine, nursing, midwifery, and
   paramedic practice. The project also gathered data on the attitudes of
   clinicians regarding how frequently and by what means they thought they
   needed to practice these skills with a particular focus on the use of
   simulation as an educational method.
   METHODS: The research was conducted following identification of a
   specific set of procedural skills for each professional group. Skills
   were identified by an expert steering committee. We developed online
   questionnaires that consisted of two parts: 1) demographic and
   professional characteristics, and 2) experience of procedural skills and
   perceived training needs. We sought to invite all practicing clinicians
   (doctors, nurses, midwives, paramedics) working in Gippsland. Online
   surveys were distributed between November 2011 and April 2012 with three
   follow-up attempts. The Monash University Human Research Ethics
   Committee approved the study.
   RESULTS: Valid responses were received from 58 doctors, 94 nurses, 46
   midwives, and 30 paramedics, whom we estimate to represent not more than
   20% of current clinicians within these professions. This response rate
   reflected some of the difficulties experienced in the conduct of the
   research. Results were tabulated for each professional group across the
   range of skills. There was significant correlation between the frequency
   of certain skills and confidence with maintenance of these skills. This
   did not necessarily correlate with perceptions of respondents as to how
   often they need to practice each skill to maintain mastery. The more
   complex the skill, the more likely the respondents were to report a need
   for frequent rehearsal of the skill. There was variation between the
   professional groups as to how to retain mastery; for some skills,
   professional groups reported skill maintenance through clinical
   observation and clinical practice; for other skills, simulation was seen
   to be more appropriate.
   CONCLUSION: This project provided insight into the clinical application
   of procedural skills for clinicians comprising a relatively large
   professional population within a defined geographical region in rural
   Victoria, as well as attitudes to skills maintenance and competency.
   Although not the focus of the study, an unexpected outcome was the
   design of questionnaires on procedural skills. We believe that the
   questionnaires may have value in other rural settings. We acknowledge
   the limitations of the study in the text. The project provides some
   information on which to base planning for procedural skills education,
   including simulation-based training, and directions for further
   research.
RI Williams, Brett/F-6776-2014; Williams, Brett/AAJ-2685-2020; McGrail, Matthew/I-1738-2013
OI Williams, Brett/0000-0001-6307-1779; Williams,
   Brett/0000-0001-6307-1779; McGrail, Matthew/0000-0002-6901-8845
ZS 0
ZR 0
TC 10
Z8 0
ZA 0
ZB 0
Z9 10
U1 0
U2 9
SN 1179-7258
UT MEDLINE:25834473
PM 25834473
ER

PT J
AU Riccioni, Olga
   Vrasidas, Charalambos
   Brcic, Luka
   Armenski, Goce
   Seiwerth, Sven
   Smeets, Annemieke
   van Krieken, J Han Jm
   Lazaris, Andreas C
TI Acquiring experience in pathology predominantly from what you see, not
   from what you read: the HIPON e-learning platform.
SO Advances in medical education and practice
VL 6
BP 439
EP 45
DI 10.2147/AMEP.S79182
PD 2015
PY 2015
AB It is indisputable that nowadays one of the hardest and most important
   tasks in medicine and especially in medical education, is the conversion
   of the extensive amount of available data, into medical experience,
   after a proper analysis. A project under the title "ICT (Information and
   Communication Technology) eModules on HistoPathology: a useful online
   tool for students, researchers and professionals - HIPON", co-financed
   by the Lifelong Learning Program of the Education, Audiovisual and
   Culture Executive Agency (EACEA), The Commission of the European Union,
   has been launched at the beginning of 2013. HIPON's purpose is not to
   provide just another pathology website atlas, but to convey professional
   experience and thinking in pathology. HIPON has resulted in a
   well-structured and user-friendly, open resource, multi-language,
   e-learning platform which, taking advantage of modern image technology,
   offers medical students, researchers, and professionals a valuable
   teaching instrument so that they can acquire professional experience in
   pathology. The mid-term report of HIPON has been favorably evaluated by
   the EACEA experts who appreciated the potential of our teaching tool in
   providing the opportunity and the means to acquire medical experience.
   Through the use of virtual slides, educative videos and microscopic,
   high resolution, marked images accompanied by relevant questions and
   answers, HIPON project aims to make end-users able to think as
   experienced pathologists and become highly efficient in correlating
   pathologic data with other clinical-laboratory information. 
RI Lazaris, Andreas C./AAA-3745-2020
Z8 0
ZB 0
ZR 0
ZA 0
TC 3
ZS 1
Z9 4
U1 0
U2 4
SN 1179-7258
UT MEDLINE:26089711
PM 26089711
ER

PT J
AU Hindle, Ada
   Cheng, Ji
   Thabane, Lehana
   Wong, Anne
TI Web-Based Learning for Emergency Airway Management in Anesthesia
   Residency Training.
SO Anesthesiology research and practice
VL 2015
BP 971406
EP 971406
DI 10.1155/2015/971406
PD 2015
PY 2015
AB Introduction. Web-based learning (WBL) is increasingly used in medical
   education; however, residency training programs often lack guidance on
   its implementation. We describe how the use of feasibility studies can
   guide the use of WBL in anesthesia residency training. Methods. Two
   case-based WBL emergency airway management modules were developed for
   self-directed use by anesthesia residents. The feasibility of using this
   educational modality was assessed using a single cohort pretest/posttest
   design. Outcome measures included user recruitment and retention rate,
   perceptions of educational value, and knowledge improvement. The
   differences between pre- and postmodule test scores and survey Likert
   scores were analysed using the paired t test. Results. Recruitment and
   retention rates were 90% and 65%, respectively. User-friendliness of the
   modules was rated highly. There was a significant improvement in
   perceptions of the value of WBL in the postsurvey. There was a
   significant knowledge improvement of 29% in the postmodule test.
   Conclusions. Feasibility studies can help guide appropriate use of WBL
   in curricula. While our study supported the potential feasibility of
   emergency airway management modules for training, collaboration with
   other anesthesia residency programs may enable more efficient
   development, implementation, and evaluation of this resource-intensive
   modality in anesthesia education and practice. 
Z8 0
ZB 0
ZS 0
ZR 0
TC 6
ZA 0
Z9 6
U1 0
U2 4
SN 1687-6962
UT MEDLINE:26788056
PM 26788056
ER

PT J
AU Walpole, Sarah C
   Mortimer, Frances
   Inman, Alice
   Braithwaite, Isobel
   Thompson, Trevor
TI Exploring emerging learning needs: a UK-wide consultation on
   environmental sustainability learning objectives for medical education.
SO International journal of medical education
VL 6
BP 191
EP 200
DI 10.5116/ijme.5643.62cd
PD 2015 Dec 24
PY 2015
AB OBJECTIVE: This study aimed to engage wide-ranging stakeholders and
   develop consensus learning objectives for undergraduate and postgraduate
   medical education.
   METHODS: A UK-wide consultation garnered opinions of healthcare
   students, healthcare educators and other key stakeholders about
   environmental sustainability in medical education. The policy Delphi
   approach informed this study. Draft learning objectives were revised
   iteratively during three rounds of consultation: online questionnaire or
   telephone interview, face-to-face seminar and email consultation.
   RESULTS: Twelve draft learning objectives were developed based on review
   of relevant literature. In round one, 64 participants' median ratings of
   the learning objectives were 3.5 for relevance and 3.0 for feasibility
   on a Likert scale of one to four. Revisions were proposed, e.g. to
   highlight relevance to public health and professionalism. Thirty three
   participants attended round two. Conflicting opinions were explored.
   Added content areas included health benefits of sustainable behaviours.
   To enhance usability, restructuring provided three overarching learning
   objectives, each with subsidiary points. All participants from rounds
   one and two were contacted in round three, and no further edits were
   required.
   CONCLUSIONS: This is the first attempt to define consensus learning
   objectives for medical students about environmental sustainability.
   Allowing a wide range of stakeholders to comment on multiple iterations
   of the document stimulated their engagement with the issues raised and
   ownership of the resulting learning objectives.
RI Walpole, Sarah Catherine/H-8098-2019; Braithwaite, Isobel/
OI Walpole, Sarah Catherine/0000-0003-2600-0386; Braithwaite,
   Isobel/0000-0001-5327-5612
TC 17
ZB 0
ZS 0
ZA 0
Z8 0
ZR 0
Z9 17
U1 0
U2 4
EI 2042-6372
UT MEDLINE:26702552
PM 26702552
ER

PT J
AU Mi, Guodong
   Wu, Zunyou
   Wang, Xiaodong
   Shi, Cynthia X.
   Yu, Fei
   Li, Tian
   Zhang, Linglin
   McGoogan, Jennifer M.
   Pang, Lin
   Xu, Jie
   Rou, Keming
TI Effects of a Quasi-Randomized Web-Based Intervention on Risk Behaviors
   and Treatment Seeking Among HIV-Positive Men Who Have Sex With Men in
   Chengdu, China
SO CURRENT HIV RESEARCH
VL 13
IS 6
BP 490
EP 496
DI 10.2174/1570162X13666150624104522
PD 2015
PY 2015
AB The men who have sex with men (MSM) population in China has experienced
   a recent increase in HIV incidence. Due to the dual stigma and
   discrimination towards homosexuality and HIV infection, most MSM living
   with HIV/AIDS are hard to reach by offline intervention initiatives. We
   recruited HIV-positive MSM participants in Chengdu, China and assessed
   whether they disclosed their HIV status to partners, motivated a partner
   to receive testing, used condoms consistently, or initiated
   antiretroviral therapy. Participants were quasi-randomized to either the
   intervention or control arm. The intervention group was given
   instructions for an online program with four modules: an information
   exchange website, a bulletin board system, individualized online
   counseling with trained peer educators, and an animation game. All
   participants were re-assessed at 6 months. The study enrolled 202
   HIV-positive MSM. The intervention group had significant increases in
   disclosing their HIV status to their partners (76.0% vs 61.2%, P=0.0388)
   and motivating partners to accept HIV testing (42.3% vs 25.5%, P=0.0156)
   compared with the control group, but there were no between-group
   differences in receiving early treatment or using condoms consistently.
   We found that a web-based intervention targeting HIV-positive MSM was an
   effective tool in increasing the uptake of HIV testing within this
   high-risk population.
Z8 7
ZA 0
ZB 3
ZS 0
TC 10
ZR 0
Z9 16
U1 1
U2 15
SN 1570-162X
EI 1873-4251
UT WOS:000365041800004
PM 26105555
ER

PT J
AU Chen, E. S.
   Sarkar, I. N.
TI informatics: Identifying and Tracking Informatics Sub-Discipline Terms
   in the Literature
SO METHODS OF INFORMATION IN MEDICINE
VL 54
IS 6
BP 530
EP 539
DI 10.3414/ME14-01-0088
PD 2015
PY 2015
AB Objective: To identify the breadth of informatics sub-discipline terms
   used in the literature for enabling subsequent organization and
   searching by sub-discipline.
   Methods: Titles in five literature sources were analyzed to extract
   terms for informatics sub-disciplines: 1) United States (U.S.) Library
   of Congress Online Catalog, 2) English Wikipedia, 3) U.S. National
   Library of Medicine (NLM) Catalog, 4) PubMed, and 5) PubMed Central. The
   extracted terms were combined and standardized with those in four
   vocabulary sources to create an integrated list: 1) Library of Congress
   Subject Headings (LCSH), 2) Medical Subject Headings (MeSH), 3) U.S.
   National Cancer Institute Thesaurus (NCIt), and 4) EMBRACE Data and
   Methods (EDAM). Searches for terms in titles from each literature source
   were conducted to obtain frequency counts and start years for
   characterizing established and potentially emerging sub-disciplines.
   Results: Analysis of 6,949 titles from literature sources and 67 terms
   from vocabulary sources resulted in an integrated list of 382 terms for
   informatics sub-disciplines mapped to 292 preferred terms. In the last
   five decades, "bioinformatics", "medical infor matics", "health
   informatics", "nursing informatics", and "biomedical informatics" were
   associated with the most literature. In the current decade, potentially
   emerging sub-disciplines include "disability informat ics", "neonatal
   informatics", and "nano informatics" based on literature from the last
   five years.
   Conclusions: As the field of informatics continues to expand and
   advance, keeping upto-date with historical and current trends will
   become increasingly challenging. The ability to track the
   accomplishments and evolution of a particular sub-discipline in the
   literature could be valuable for supporting informatics research,
   education, and training.
TC 2
ZS 0
ZB 0
ZR 0
ZA 0
Z8 0
Z9 2
U1 0
U2 19
SN 0026-1270
UT WOS:000366043500008
PM 25998007
ER

PT S
AU Lajoie, Susanne P.
   Poitras, Eric G.
   Doleck, Tenzin
   Jarrell, Amanda
BE PenaAyala, A
TI Modeling Metacognitive Activities in Medical Problem-Solving with
   BioWorld
SO METACOGNITION: FUNDAMENTS, APPLICATIONS, AND TRENDS: A PROFILE OF THE
   CURRENT STATE-OF-THE-ART
SE Intelligent Systems Reference Library
VL 76
BP 323
EP 343
DI 10.1007/978-3-319-11062-2_13
PD 2015
PY 2015
AB Medical diagnostic reasoning is ill-defined and complex, requiring
   novice physicians to monitor and control their problem-solving efforts.
   Self-regulation is critical for effective medical problem-solving,
   helping individuals progress towards a correct diagnosis through a
   series of actions that informs subsequent ones. BioWorld is a
   computer-based learning environment designed to support novices in
   developing medical diagnostic reasoning as they receive feedback in the
   context of solving virtual cases. The system provides tools that
   scaffold learners in their requisite cognitive and metacognitive
   activities. Novices attain higher levels of competence as the system
   dynamically assesses their performance against expert solution paths.
   Dynamic assessment in this system relies on a novice-expert overlay and
   it is used to develop feedback when novices request help. When
   help-seeking occurs, help is provided by the tutoring module which
   applies a set of pre-defined rules based on the context of the learner's
   activity. The system also provides cumulative feedback by comparing the
   novice solution with an expert solution following completion of the
   case. This chapter covers the essential design guidelines of this
   scaffolding approach to metacognitive activities in problem-solving
   within the domain of medical education. Specifically, we review recent
   advances in modeling metacognition through online measures, including
   concurrent think-aloud protocols, video-screen captures, and log-file
   entries. Educational data mining techniques are outlined with the goals
   of capturing metacognitive activities as they unfold throughout problem
   solving, and guiding the design of scaffolding tools in order to promote
   higher levels of competence in novices.
OI Poitras, Eric/0000-0003-0563-7978
ZA 0
ZR 0
TC 12
ZB 0
Z8 0
ZS 1
Z9 13
U1 0
U2 3
SN 1868-4394
EI 1868-4408
BN 978-3-319-11062-2; 978-3-319-11061-5
UT WOS:000362869900014
D2 10.1007/978-3-319-11062-2
ER

PT C
AU Gomez-Galvez, Pedro
   Suarez Mejias, Cristina
   Fernandez-Luque, Luis
GP IEEE
TI Social Media for Empowering People with Diabetes: Current Status and
   Future Trends
SO 2015 37TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 2135
EP 2138
PD 2015
PY 2015
AB The use of social media has become commonplace in society. Consequently,
   many people living with chronic conditions are turning to social media
   applications to support self-management. This paper presents a formative
   non-exhaustive review of research literature regarding the role of
   social media for diabetes type II empowerment. In our review, we
   identified several major areas for diabetes health social media
   research, namely: a) social network data analytics, b) mHealth and
   diabetes, c) gamification for diabetes, c) wearable, and d) MOOCs
   (Massive Open Online Courses). In all these areas, we analyzed how
   social media is being used and the challenges emerging from its
   application in the diabetes domain.
CT 37th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY AUG 25-29, 2015
CL Milan, ITALY
SP IEEE Engn Med & Biol Soc
RI Fernandez-Luque, Luis/C-6723-2011; Suárez-Mejías, Cristina/C-9347-2015; Gomez-Galvez, Pedro Javier/AAS-7222-2021
OI Fernandez-Luque, Luis/0000-0001-8165-9904; Suárez-Mejías,
   Cristina/0000-0002-3190-4665; Gomez-Galvez, Pedro
   Javier/0000-0002-0509-227X
ZS 0
Z8 1
TC 5
ZB 1
ZA 0
ZR 0
Z9 6
U1 0
U2 8
SN 1557-170X
EI 1558-4615
BN 978-1-4244-9270-1
UT WOS:000371717202105
PM 26736711
ER

PT J
AU Zhang, Melvyn W. B.
   Ho, Roger C. M.
   Hawa, Raed
   Sockalingam, Sanjeev
TI Pilot implementation and user preferences of a Bariatric After-care
   application
SO TECHNOLOGY AND HEALTH CARE
VL 23
IS 6
BP 729
EP 736
DI 10.3233/THC-151025
PD 2015
PY 2015
AB BACKGROUND: The respective rates of obesity in Canada and the United
   states are estimated to be 24.1% and 34.1%. Due to the increased
   incidence of obesity, Bariatric surgery has been recognized as one of
   the treatment options. Patients who have undergone Bariatric surgery
   tend to need chronic long-term follow-up with a multi-disciplinary team.
   In the past decade, there has been massive advancemcent and development
   in Internet, Web-based and Smartphone technologies. However, there
   seemed to be a pacuity of applications in this area that enables
   post-bariatric patients to self-manage their own condition. In addition,
   past research have highlighted the limited evidence based with regards
   to currently available bariatric applications, mainly due to the lack of
   medical professionals involvement.
   OBJECTIVE: Our current research objective is to illustrate the
   development of a Bariatric After-care smartphone application and to
   highlight user preferences with regards to the features integrated
   within the application.
   METHODOLOGY: The Bariatric Aftercare application was developed between
   the months of March 2014 to April 2014. Making use of low-cost online
   web-based application developmental technologies, the authors embarked
   on the development of the web-based application. Patients who attended
   their routine follow-up appointments are given the links to the
   web-based application. They were also recruited to participate in an
   online user evaluation survey to identify their preferences with regards
   to the features integrated.
   RESULTS: Since the inception of the web-based application to date, there
   has been a cumulative total of 385 unique assess to the online web-based
   application. There is a slight change in the confidence levels of the
   participants with regards to using the application to help them
   self-manage their own condition. The majority of the users have
   indicated that they preferred the information pertaining to what happens
   during each consult with members of the multidisciplinary team and also
   greatly valued the feature with regards to the ability to re-schedule
   their appointments. The vast majority also found the additional
   resources to be helpful.
   CONCLUSIONS: This is one of the first studies to demonstrate the
   potential use of smartphone innovations in Bariatric Aftercare
   self-management. The current study has shown that users are generally
   receptive towards such an innovative implementation and has also
   highlighted some of their preferences with regards to such a
   self-management application for self-management of their health
   condition post bariatric surgery. In addition, the authors have also
   managed to demonstrate how clinicians could be involved in the
   formulation of a bariatric care application, which has an evidence base.
RI Ho, Roger C./ABD-9061-2021; Sockalingam, Sanjeev/I-7212-2016; Ho, Roger/ABD-8859-2021; Hawa, Raed/C-4783-2019
OI Ho, Roger C./0000-0001-9629-4493; Sockalingam,
   Sanjeev/0000-0002-9626-1509; Hawa, Raed/0000-0002-6798-6252
Z8 0
ZR 0
TC 7
ZA 0
ZS 0
ZB 0
Z9 7
U1 0
U2 2
SN 0928-7329
EI 1878-7401
UT WOS:000364411100003
PM 26409513
ER

PT J
AU MacDougall, Margaret
TI Variation in assessment and standard setting practices across UK
   undergraduate medicine and the need for a benchmark.
SO International journal of medical education
VL 6
BP 125
EP 35
DI 10.5116/ijme.560e.c964
PD 2015 Oct 31
PY 2015
AB OBJECTIVES: The principal aim of this study is to provide an account of
   variation in UK undergraduate medical assessment styles and
   corresponding standard setting approaches with a view to highlighting
   the importance of a UK national licensing exam in recognizing a common
   standard.
   METHODS: Using a secure online survey system, response data were
   collected during the period 13 - 30 January 2014 from selected
   specialists in medical education assessment, who served as
   representatives for their respective medical schools.
   RESULTS: Assessment styles and corresponding choices of standard setting
   methods vary markedly across UK medical schools. While there is
   considerable consensus on the application of compensatory approaches,
   individual schools display their own nuances through use of hybrid
   assessment and standard setting styles, uptake of less popular standard
   setting techniques and divided views on norm referencing.
   CONCLUSIONS: The extent of variation in assessment and standard setting
   practices across UK medical schools validates the concern that there is
   a lack of evidence that UK medical students achieve a common standard on
   graduation. A national licensing exam is therefore a viable option for
   benchmarking the performance of all UK undergraduate medical students.
ZS 0
ZR 0
Z8 0
TC 7
ZA 0
ZB 0
Z9 7
U1 0
U2 1
EI 2042-6372
UT MEDLINE:26520472
PM 26520472
ER

PT S
AU Bujnowska-Fedak, M. M.
   Kurpas, D.
BE Pokorski, M
TI The Influence of Online Health Information on the Attitude and Behavior
   of People Aged 50+
SO RESPIRATORY HEALTH
SE Advances in Experimental Medicine and Biology
VL 861
BP 1
EP 17
DI 10.1007/5584_2015_130
PD 2015
PY 2015
AB E-patients 'empowered' by Web information are much more likely to
   participate in health care decision processes and take responsibility
   for their own health. The purpose of the study was to determine the
   influence of Internet use and online health information on the attitude,
   behavior, and emotions of Polish citizens aged 50+, with special regard
   to their attitude towards health professionals and the health care
   system. A total of 323 citizens, aged 50 years and above, who used the
   Internet for health purposes, were selected from the Polish population
   by random sampling. The sample collection was carried out by Polish
   opinion poll agencies in 2005, 2007, and 2012. The Internet was used by
   27.8 % of Polish citizens aged 50+ for health purposes in the years
   2005-2012. 69.7 % of respondents were looking for health information
   that might help them to deal with a consultation, 53.9 % turned to the
   Internet to prepare for a medical appointment, and 63.5 % to assess the
   outcome of a medical consultation and obtain a 'second opinion'. The
   most likely effects of health related use of the Internet were:
   willingness to change diet or other life-style habits (48.0 % of
   respondents) and making suggestions or queries on diagnosis or treatment
   by the doctor (46.1 %). Feelings of reassurance or relief after
   obtaining information on health or illness were reported by a similar
   number of respondents as feelings of anxiety and fear (31.0 % and 31.3%
   respectively). Online health information can affect the attitudes,
   emotions, and health behaviors of Polish citizens aged 50+ in different
   ways.
RI Kurpas, Donata/I-7054-2013; Bujnowska-Fedak, Maria Magdalena/ABD-2237-2021
OI Kurpas, Donata/0000-0002-6996-8920; Bujnowska-Fedak, Maria
   Magdalena/0000-0002-4624-5025
ZB 0
ZA 0
TC 6
ZR 0
Z8 0
ZS 0
Z9 6
U1 0
U2 24
SN 0065-2598
EI 2214-8019
BN 978-3-319-18793-8; 978-3-319-18792-1
UT WOS:000361814300002
PM 26017724
D2 10.1007/978-3-319-18793-8
ER

PT J
AU Suemoto, Claudia Kimie
   Ismail, Sherine
   Correa, Paulo Cesar Rodrigues Pinto
   Khawaja, Faiza
   Jerves, Teodoro
   Pesantez, Laura
   Germani, Ana Claudia Camargo Goncalves
   Zaina, Fabio
   Dos Santos, Augusto Cesar Soares Jr
   de Oliveira Ferreira, Ricardo Jorge
   Singh, Priyamvada
   Paulo, Judy Vicente
   Matsubayashi, Suely Reiko
   Vidor, Liliane Pinto
   Andretta, Guilherme
   Tomas, Rita
   Illigens, Ben Mw
   Fregni, Felipe
TI Five-year review of an international clinical research-training program.
SO Advances in medical education and practice
VL 6
BP 249
EP 57
DI 10.2147/AMEP.S66627
PD 2015
PY 2015
AB The exponential increase in clinical research has profoundly changed
   medical sciences. Evidence that has accumulated in the past three
   decades from clinical trials has led to the proposal that clinical care
   should not be based solely on clinical expertise and patient values, and
   should integrate robust data from systematic research. As a consequence,
   clinical research has become more complex and methods have become more
   rigorous, and evidence is usually not easily translated into clinical
   practice. Therefore, the instruction of clinical research methods for
   scientists and clinicians must adapt to this new reality. To address
   this challenge, a global distance-learning clinical research-training
   program was developed, based on collaborative learning, the pedagogical
   goal of which was to develop critical thinking skills in clinical
   research. We describe and analyze the challenges and possible solutions
   of this course after 5 years of experience (2008-2012) with this
   program. Through evaluation by students and faculty, we identified and
   reviewed the following challenges of our program: 1) student engagement
   and motivation, 2) impact of heterogeneous audience on learning, 3)
   learning in large groups, 4) enhancing group learning, 5) enhancing
   social presence, 6) dropouts, 7) quality control, and 8) course
   management. We discuss these issues and potential alternatives with
   regard to our research and background. 
RI Germani, Ana Claudia ACCGG/J-6779-2012; Ismail, Sherine/ABC-8772-2021; Ferreira, Ricardo/E-1714-2014; Suemoto, Claudia Kimie/AAC-7238-2019; Jerves, Teodoro/AAD-3621-2022; Zaina, Fabio/H-3261-2013; Suemoto, Claudia K/C-7218-2012; Santos Junior, Augusto Cesar/O-2007-2019; Junior, Augusto Cesar S Santos/C-1802-2013; Ismail, Sherine/GRS-6752-2022; Tomas, Rita/
OI Germani, Ana Claudia ACCGG/0000-0002-7409-915X; Ismail,
   Sherine/0000-0001-9852-6577; Ferreira, Ricardo/0000-0002-2517-0247;
   Jerves, Teodoro/0000-0002-5279-3298; Zaina, Fabio/0000-0002-1256-5362;
   Suemoto, Claudia K/0000-0002-5942-4778; Santos Junior, Augusto
   Cesar/0000-0001-5864-2338; Junior, Augusto Cesar S
   Santos/0000-0001-5864-2338; Ismail, Sherine/0000-0001-9852-6577; Tomas,
   Rita/0000-0001-6070-4964
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
TC 3
Z9 3
U1 0
U2 6
SN 1179-7258
UT MEDLINE:25878518
PM 25878518
ER

PT J
AU Herlihy, Nola Seta
   Brown, Christina
TI Innovations in service learning: a novel program for community service
   at NYU School of Medicine
SO MEDICAL EDUCATION ONLINE
VL 20
AR 28379
DI 10.3402/meo.v20.28379
PD 2015
PY 2015
AB Problem: As NYU medical students, the authors determined that there was
   no structured form of service learning in their curriculum. They sought
   to establish a service program that recognizes students for their
   dedication to community service in both the NYU and NYC communities.
   Approach: In 2012, with the support of the Office of Student Affairs
   (OSA), the authors created the NYU School of Medicine Community Service
   Program (CSP). The program tracks and verifies students' participation
   in service projects. It sets a goal for students to complete 100 service
   hours through at least five unique service initiatives. Two reflective
   essays at the completion of pre-clinical and core clerkship curricula
   challenge students to express how their service experiences will inform
   their future careers in medicine. The authors developed an innovative
   online portal for students to track their service involvement and allow
   the committee to easily approve hours. They created the Community
   Service Committee, made up of two representatives from each class year,
   to be in charge of regulating the program together with the OSA.
   Outcomes: The class of 2015 is the first class to participate; thus far,
   13 students have met program requirements. In the classes of 2016 and
   2017, 20 and 41 students, respectively, are expected to receive the
   award. Total participation has significantly increased in successive
   class years.
   Next steps: The authors seek to gather data on CSP participants'
   changing perspectives and hope the program can serve as a model for
   other schools to build service learning into their curricula.
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
TC 4
Z9 4
U1 0
U2 1
SN 1087-2981
UT WOS:000361620600001
ER

PT J
AU Bronander, Kirk A.
   Lang, Valerie J.
   Nixon, L. James
   Harrell, Heather E.
   Kovach, Regina
   Hingle, Susan
   Berman, Norman
TI How we developed and piloted an electronic key features examination for
   the internal medicine clerkship based on a US national curriculum
SO MEDICAL TEACHER
VL 37
IS 9
SI SI
BP 807
EP 812
DI 10.3109/0142159X.2014.990876
PD 2015
PY 2015
AB Background: Key features examinations (KFEs) have been used to assess
   clinical decision making in medical education, yet there are no reports
   of an online KFE-based on a national curriculum for the internal
   medicine clerkship.
   What we did: The authors developed and pilot tested an electronic KFE
   based on the US Clerkship Directors in Internal Medicine core
   curriculum. Teams, with expert oversight and peer review, developed key
   features (KFs) and cases.
   Evaluation: The exam was pilot tested at eight medical schools with 162
   third and fourth year medical students, of whom 96 (59.3%) responded to
   a survey. While most students reported that the exam was more difficult
   than a multiple choice question exam, 61 (83.3%) students agreed that it
   reflected problems seen in clinical practice and 51 (69.9%) students
   reported that it more accurately assessed the ability to make clinical
   decisions.
   Conclusions: The development of an electronic KFs exam is a
   time-intensive process. A team approach offers built-in peer review and
   accountability. Students, although not familiar with this format in the
   US, recognized it as authentically assessing clinical decision-making
   for problems commonly seen in the clerkship.
RI Lang, Valerie/AAZ-8057-2020; Nixon, James/
OI Lang, Valerie/0000-0003-1119-5029; Nixon, James/0000-0003-1849-0362
ZA 0
ZS 0
ZR 0
TC 6
Z8 0
ZB 0
Z9 6
U1 0
U2 4
SN 0142-159X
EI 1466-187X
UT WOS:000361326500004
PM 25496712
ER

PT J
AU Makris, Gregory C.
   Trigkidis, Kyriakos K.
   Apiranthiti, Katerina
   Malietzis, George
   Alexiou, Vangelis G.
   Falagas, Matthew E.
TI Medical training in Greece: A crisis in progress
SO POSTGRADUATE MEDICINE
VL 127
IS 6
BP 591
EP 599
DI 10.1080/00325481.2015.1069167
PD 2015
PY 2015
AB Objectives. We sought to evaluate the opinions of medical students and
   graduates regarding the quality of medical education in Greece. Methods.
   Two online questionnaires concerning the undergraduate medical education
   and specialty training respectively were distributed. Results. Regarding
   the quality of undergraduate medical education, 52.1% of participants
   replied favorably while clinical training was found satisfactory by
   45.1. Dissatisfaction rates with research opportunities and support from
   tutors reached 88.4 and 83.3%, respectively. The majority (75.3%)
   supported the introduction of examinations for commencing specialty
   training. 52.3% of physicians were satisfied with the quality of
   specialty training. The most common complaint was the absence of a
   formal educational program. 67.2% of participants were dissatisfied with
   working conditions during their specialty training, with 70.1% working
   >60 h per week. Physicians practicing medical specialties were more
   satisfied with the quality of specialty training than those practicing
   surgical specialties (odds ratio: 1.43; 95% confidence limits:
   1.09-1.87) and were less likely to work for > 60 h per week (odds ratio:
   0.66; 95% confidence limits: 0.48-0.9). Conclusion. Opinions expressed
   in this survey highlight the need for reforming medical education in
   Greece.
RI Makris, Gregory/AAR-4430-2021; Alexiou, Vangelis/GLR-9050-2022; MAKRIS, GREGORY/
OI MAKRIS, GREGORY/0000-0003-3437-621X
ZA 0
TC 6
ZB 2
Z8 0
ZS 0
ZR 0
Z9 6
U1 0
U2 6
SN 0032-5481
EI 1941-9260
UT WOS:000361333600006
PM 26224209
ER

PT J
AU Guitton, Matthieu J
TI Online maritime health information: an overview of the situation.
SO International maritime health
VL 66
IS 3
BP 139
EP 44
DI 10.5603/IMH.2015.0028
PD 2015
PY 2015
AB BACKGROUND: Due to their working conditions, seafarers often don't
   benefit from the same medical coverage than the onshore population.
   Therefore, seafarers and their relatives often need to locate health
   information by themselves. While the rise of the Internet has
   drastically transformed the way people can gather information, the
   availability of specific maritime health information online still need
   to be evaluated scientifically. We aim here to document of the
   characteristic of maritime health-related online information.
   MATERIALS AND METHODS: A web survey was performed, articulated on two
   complementary analyses. First, an overall analysis of websites related
   to maritime health compared to websites related to two other health
   areas relevant for the general population (dental health and
   otorhinolaryngology) used as control. Second, an analysis of the
   understandability and actionability of a series of Wikipedia articles
   related to pathologies relevant for seafarers using the Patient
   Education Materials Assessment Tool (PEMAT).
   RESULTS: Online resources associated with maritime health were sparse
   and difficult to locate. When compared to other medical fields, maritime
   health websites were extremely poor in displaying useful information for
   seafarers. Available online resources regarding specific diseases
   affecting seafarers were mainly not adapted for a general audience and
   scored poorly both in terms of understandability and of actionability.
   CONCLUSIONS: This study provides a general overview of the degree of
   adaption of online material related to maritime health to seafarers'
   potential needs. Considerably more efforts need to be made in order to
   provide controlled online materials to answer the health information
   needs of the seafarers and their relatives.
ZR 0
ZA 0
TC 10
ZS 0
ZB 1
Z8 0
Z9 10
U1 0
U2 1
EI 2081-3252
UT MEDLINE:26394313
PM 26394313
ER

PT J
AU Mathur, Soania
   DeWitte, Steve
   Robledo, Israel
   Isaacs, Tom
   Stamford, Jon
TI Rising to the Challenges of Clinical Trial Improvement in Parkinson's
   Disease
SO JOURNAL OF PARKINSONS DISEASE
VL 5
IS 2
BP 263
EP 268
DI 10.3233/JPD-150541
PD 2015
PY 2015
AB Background: Despite an urgent need for new medications, clinical trials
   in Parkinson's have a relatively low rate of success. Although many
   reasons have been proposed for this, the opinions of patients and
   scientists, the two principal stakeholders, have not been widely
   canvassed.
   Objective: The objective of the present study was to establish the main
   barriers to clinical trials success in Parkinson's, as perceived by
   people with Parkinson's and those engaged in conducting clinical trials
   in Parkinson's.
   Method: Three hundred and three people (303) with a connection to
   Parkinson's completed an online four-item questionnaire, directed
   towards discovering the barriers that interfere with the establishment
   of effective clinical trials.
   Results: 87% of respondents were patients and their care partners and
   11% were medical professionals involved with clinical research. In the
   survey, those involved in conducting research cited insufficient
   financial and administrative support as the biggest obstacles to
   carrying out effective clinical trials. For responders with Parkinson's,
   the principal barrier to their participation in medical research was
   fear of potential adverse consequences and misconceptions regarding the
   clinical trial system as a whole, issues rooted in a perceived lack of
   communication of relevant information between the research and patient
   communities.
   Conclusions: Areas for future improvement as highlighted by this survey
   and debated at the Rallying to the Challenge meeting of people with
   Parkinson's (PwP) at the Van Andel Research Institute that followed
   included recommendations in the areas of communication, education,
   funding, recruitment and compliance.
ZB 6
TC 17
ZA 0
Z8 0
ZR 0
ZS 0
Z9 17
U1 0
U2 5
SN 1877-7171
EI 1877-718X
UT WOS:000355738100006
PM 25720445
ER

PT J
AU Kuecuekdurmaz, Fatih
   Mutlu, Serhat
   Mutlu, Harun
   Parvizi, Javad
TI A comparison of the quality of online information about total knee
   arthroplasty available in Turkish and English: a cross-sectional study
SO ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
VL 49
IS 4
BP 370
EP 374
DI 10.3944/AOTT.2015.14.0291
PD 2015
PY 2015
AB Objective: The internet has become one of the primary resources for
   patients to obtain health-related information. While the internet
   continues to evolve in terms of coverage and technology, concerns
   regarding the quality of available information have arisen. We aimed to
   investigate the quality of health-related information on
   Turkish-language medical websites by comparing it to that of
   English-language medical websites, in which the subject has long been
   studied.
   Methods: The English term "total knee prosthesis" and its Turkish
   translation, "total diz protezi," were searched in Google. The 1st 30
   results were assessed using a validated tool, the LIDA (Minervation,
   Oxford, UK), which was designed for the scoring of health-related
   websites according to accessibility, usability, and reliability.
   Results: The Turkish-and English-language websites were not
   significantly different in terms of accessibility, but the usability and
   reliability of Turkish websites were found to be significantly poorer.
   We found that the overall quality of information on Turkish websites was
   poor in comparison with that of English-language websites.
   Conclusion: In order to raise consciousness about this problem and
   improve the quality of health-related information, further studies on
   Turkish-language websites should be performed. Attempts should also be
   made in Turkish-language websites to develop website certification
   systems and/or encourage the dissemination of existing systems.
RI MUTLU, SERHAT/J-9611-2014; mutlu, harun/GNP-2915-2022; Küçükdurmaz, Fatih/GLT-7855-2022
OI MUTLU, SERHAT/0000-0002-2062-991X; Küçükdurmaz,
   Fatih/0000-0002-5557-8542
Z8 0
ZS 0
TC 2
ZB 0
ZR 0
ZA 0
Z9 2
U1 0
U2 5
SN 1017-995X
UT WOS:000360920200005
PM 26312462
ER

PT J
AU Tse, Carrie Kw
   Bridges, Susan M
   Srinivasan, Divya Parthasarathy
   Cheng, Brenda Ss
TI Social media in adolescent health literacy education: a pilot study.
SO JMIR research protocols
VL 4
IS 1
BP e18
EP e18
DI 10.2196/resprot.3285
PD 2015 Mar 09
PY 2015
AB BACKGROUND: While health literacy has gained notice on a global stage,
   the initial focus on seeking associations with medical conditions may
   have overlooked its impact across generations. Adolescent health
   literacy, specifically in dentistry, is an underexplored area despite
   the significance of this formative stage on an individual's approach to
   healthy lifestyles and behaviors.
   OBJECTIVE: The aim is to conduct a pilot study to evaluate the efficacy
   of three major social media outlets - Twitter, Facebook, and YouTube -
   in supporting adolescents' oral health literacy (OHL) education.
   METHODS: A random sample of 22 adolescents (aged 14-16 years) from an
   English-medium international school in Hong Kong provided informed
   consent. Sociodemographic information, including English language
   background, social media usage, and dental experience were collected via
   a questionnaire. A pre- and post-test of OHL (REALD-30) was administered
   by two trained, calibrated examiners. Following pre-test, participants
   were randomly assigned to one of three social media outlets: Twitter,
   Facebook, or YouTube. Participants received alerts posted daily for 5
   consecutive days requiring online accessing of modified and original OHL
   education materials. One-way ANOVA ( analysis of variance) was used to
   compare the mean difference between the pre- and the post-test results
   among the three social media.
   RESULTS: No associations were found between the social media allocated
   and participants' sociodemographics, including English language
   background, social media usage, and dental experience. Of the three
   social media, significant differences in literacy assessment scores were
   evident for participants who received oral health education messages via
   Facebook (P=.02) and YouTube (P=.005).
   CONCLUSIONS: Based on the results of the pilot study, Facebook and
   YouTube may be more efficient media outlets for OHL promotion and
   education among adolescent school children when compared to Twitter.
   Further analyses with a larger study group is warranted.
RI Bridges, Susan Margaret/B-2132-2009
OI Bridges, Susan Margaret/0000-0001-8325-8397
ZB 0
ZS 1
Z8 0
ZA 0
ZR 0
TC 13
Z9 14
U1 0
U2 27
SN 1929-0748
UT MEDLINE:25757670
PM 25757670
ER

PT J
AU Yeung, Euson
   Woods, Nicole
   Dubrowski, Adam
   Hodges, Brian
   Carnahan, Heather
TI Establishing assessment criteria for clinical reasoning in orthopedic
   manual physical therapy: a consensus-building study.
SO The Journal of manual & manipulative therapy
VL 23
IS 1
BP 27
EP 36
DI 10.1179/2042618613Y.0000000051
PD 2015-Feb
PY 2015
AB OBJECTIVES: Clinical reasoning (CR) represents one of the core
   components of clinical competence in Orthopaedic Manual Physical Therapy
   (OMPT). While education standards have been developed to guide
   curricular design, assessment of CR has not yet been standardized.
   Without theory-informed and rigorously developed measures, the
   certification of OMPTs lacks credibility and is less defensible. The
   purpose of this study was to use a theory-informed approach to generate
   assessment criteria for developing new assessment tools to evaluate CR
   in OMPT.
   METHODS: A list of assessment criteria was generated based on
   international education standards and multiple theoretical perspectives.
   A modified Delphi method was used to gain expert consensus on the
   importance of these assessment criteria for the assessment of CR in
   OMPT. The OMPTs from 22 countries with experience in assessing CR were
   invited to participate in three rounds of online questionnaires to rate
   their level of agreement with these criteria. Responses were tabulated
   to analyze degree of consensus and internal consistency.
   RESULTS: Representatives from almost half of the OMPT member
   organizations (MO) participated in three rounds of the Delphi. High
   levels of agreement were found among respondents regarding the
   importance and feasibility of most assessment criteria. There was high
   internal consistency among items within the proposed item subgroupings.
   DISCUSSION: A list of assessment criteria has been established that will
   serve as a framework for developing new assessment tools for CR
   assessment in OMPT. These criteria will be important for guiding the
   design of certification processes in OMPT as well as other episodes of
   CR assessment throughout OMPT training.
RI Woods, Nicole N/K-2412-2014; Woods, Nicole/
OI Woods, Nicole/0000-0002-2976-1108
ZR 0
ZS 0
ZA 0
ZB 1
Z8 0
TC 10
Z9 10
U1 0
U2 0
SN 1066-9817
UT MEDLINE:26309379
PM 26309379
ER

PT J
AU Disler, Rebecca T
   Inglis, Sally C
   Newton, Phillip J
   Currow, David C
   Macdonald, Peter S
   Glanville, Allan R
   Donesky, DorAnne
   Carrieri-Kohlman, Virginia
   Davidson, Patricia M
TI Patterns of technology use in patients attending a cardiopulmonary
   outpatient clinic: a self-report survey.
SO Interactive journal of medical research
VL 4
IS 1
BP e5
EP e5
DI 10.2196/ijmr.3955
PD 2015 Mar 06
PY 2015
AB BACKGROUND: Self-management education for cardiopulmonary diseases is
   primarily provided through time-limited, face-to-face programs, with
   access limited to a small percentage of patients. Telecommunication
   tools will increasingly be an important component of future health care
   delivery.
   OBJECTIVE: The purpose of this study was to describe the patterns of
   technology use in patients attending a cardiopulmonary clinic in an
   academic medical center.
   METHODS: A prevalence survey was developed to collect data on
   participant demographics (age in years, sex, and socioeconomic status);
   access to computers, Internet, and mobile phones; and use of current
   online health support sites or programs. Surveys were offered by
   reception staff to all patients attending the outpatient clinic.
   RESULTS: A total of 123 surveys were collected between March and April
   2014. Technological devices were a pervasive part of everyday life with
   respondents engaged in regular computer (102/123, 82.9%), mobile
   telephone (115/117, 98.3%), and Internet (104/121, 86.0%) use. Emailing
   (101/121, 83.4%), researching and reading news articles (93/121, 76.9%),
   social media (71/121, 58.7%), and day-to-day activities (65/121, 53.7%)
   were the most common telecommunication activities. The majority of
   respondents reported that access to health support programs and
   assistance through the Internet (82/111, 73.9%) would be of use, with
   benefits reported as better understanding of health information (16/111,
   22.5%), avoidance of difficult travel requirements and time-consuming
   face-to-face appointments (13/111, 18.3%), convenient and easily
   accessible help and information (12/111, 16.9%), and access to peer
   support and sharing (9/111, 12.7%). The majority of patients did not
   have concerns over participating in the online environment (87/111,
   78.4%); the few concerns noted related to privacy and security (10/15),
   information accuracy (2/15), and computer literacy and access (2/15).
   CONCLUSIONS: Chronic disease burden and long-term self-management tasks
   provide a compelling argument for accessible and convenient avenues to
   obtaining ongoing treatment and peer support. Online access to health
   support programs and assistance was reported as useful and perceived as
   providing convenient, timely, and easily accessible health support and
   information. Distance from the health care facility and a lack of
   information provision through traditional health sources were both
   barriers and enablers to telehealth. This is particularly important in
   the context of a cardiopulmonary clinic that attracts patients from a
   large geographical area, and in patients who are most likely to have
   high health care utilization needs in the future. Telecommunication
   interfaces will be an increasingly important adjunct to traditional
   forms of health care delivery.
RI Newton, Phillip J/Q-3343-2018; Davidson, Patricia M./; Donesky, DorAnne/; Currow, David/; Disler, Rebecca T/
OI Newton, Phillip J/0000-0002-5006-2037; Davidson, Patricia
   M./0000-0003-2050-1534; Donesky, DorAnne/0000-0002-1935-7400; Currow,
   David/0000-0003-1988-1250; Disler, Rebecca T/0000-0003-3084-1516
ZB 0
TC 10
ZR 0
ZA 0
ZS 0
Z8 0
Z9 10
U1 0
U2 17
SN 1929-073X
UT MEDLINE:25798814
PM 25798814
ER

PT J
AU Ow, Darren
   Wetherell, David
   Papa, Nathan
   Bolton, Damien
   Lawrentschuk, Nathan
TI Patients' perspectives of accessibility and digital delivery of factual
   content provided by official medical and surgical specialty society
   websites: a qualitative assessment.
SO Interactive journal of medical research
VL 4
IS 1
BP e7
EP e7
DI 10.2196/ijmr.3963
PD 2015 Mar 27
PY 2015
AB BACKGROUND: Health care websites provide a valuable resource of health
   information to online consumers, especially patients. Official surgical
   and medical society websites should be a reliable first point of
   contact.
   OBJECTIVE: The primary aim of this study was to quantitatively assess
   medical and surgical society websites for content and highlight the
   essential features required for a high-quality, user-friendly society
   website.
   METHODS: Twenty specialty association websites from each of the regions,
   Australia, UK, Canada, Europe, and the USA were selected for a total of
   100 websites. Medical and surgical specialities were consistent across
   each region. Each website was systematically and critically analysed for
   content and usability.
   RESULTS: The average points scored per website was 3.2 out of 10. Of the
   total (N=100) websites, 12 scored at least 7 out of 10 points and 2
   scored 9 out of 10. As well, 35% (35.0/100) of the websites had an
   information tab for patients on their respective homepages while 38%
   (38.0/100) had download access to patient information. A minority of the
   websites included different forms of multimedia such as pictures and
   diagrams (24.0/100, 24%) and videos (18.0/100, 18%).
   CONCLUSIONS: We found that most society websites did not meet an
   adequate standard for delivery of information. Half of the websites were
   not patient accessible, with the primary focus being for health
   professionals. As well, most required logins for information access.
   Specialty health care societies should create patient-friendly websites
   that would be beneficial to all online consumers.
RI Papa, Nathan/GLV-0589-2022; Lawrentschuk, Nathan/AAL-8610-2021; Papa, Nathan/
OI Lawrentschuk, Nathan/0000-0001-8553-5618; Papa,
   Nathan/0000-0002-3188-1803
ZS 0
ZB 2
TC 8
ZA 0
Z8 0
ZR 0
Z9 8
U1 0
U2 4
SN 1929-073X
UT MEDLINE:25830824
PM 25830824
ER

PT C
AU Margolis, Alvaro
   Gonzalez-Martinez, Francisco
   Noboa, Oscar
   Abbud-Filho, Mario
   Lorier, Leticia
   Nin, Marcelo
   Silvarino, Ricardo
   Garcia, Sofia
   Pefaur, Jacqueline
   Greloni, Gustavo C.
   Noronha, Irene L.
   Lopez, Antonio
   Ribeiro-Alves, Maria A.
   Ribeiro-Alves, Maria A.
   Tanus, Roberto
   Fernandez-Cean, Juan
BE Sarkar, IN
   Georgiou, A
   Marques, PMD
TI Online Continuing Medical Education for the Latin American Nephrology
   Community
SO MEDINFO 2015: EHEALTH-ENABLED HEALTH
SE Studies in Health Technology and Informatics
VL 216
BP 372
EP 375
DI 10.3233/978-1-61499-564-7-372
PD 2015
PY 2015
AB A continuing medical education (CME) course was implemented for Latin
   American nephrologists in 2013. The topic was Immunopathology in native
   and transplanted kidneys. The course was given in Spanish and
   Portuguese. The activities included a distance education seven-week
   asynchronous online modality with multiple educational strategies.
   Thirty hours of study workload were estimated to complete the course.
   Four hundred and ninety-eight physicians coming from 18 countries
   registered for the course; 442 of them participated in it. Of those who
   participated, 51% received a certificate of completion and 29% a
   certificate of participation. Sixty-five percent of registrants
   participated in the case discussions. Eighty-six percent were very
   satisfied and 13% were satisfied. Lack of time to devote to the course
   was the main limitation expressed (62%), while Internet access or
   difficulties in the use of technology were considered by only 12 and 6%
   of participants, respectively. There was a significant increase in
   knowledge between before and after the course; the average grade
   increased from 64 to 83%.
   In conclusion, technology-enabled education demonstrated potential to
   become an instrument for Latin American nephrologists.
CT 15th World Congress on Health and Biomedical Informatics (MEDINFO)
CY AUG 19-23, 2015
CL Int Med Informat Assoc, Brazilian Hlth Informat Soc, Sao Paulo, BRAZIL
HO Int Med Informat Assoc, Brazilian Hlth Informat Soc
RI Noboa, Oscar/Q-8150-2019; Abbud-Filho, Mario/E-5525-2017; Margolis, Alvaro/
OI Noboa, Oscar/0000-0002-0975-9924; Abbud-Filho,
   Mario/0000-0002-5079-9813; Margolis, Alvaro/0000-0002-2631-2323
ZB 0
Z8 0
TC 7
ZA 0
ZS 1
ZR 0
Z9 7
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-61499-564-7; 978-1-61499-563-0
UT WOS:000455836700077
PM 26262074
ER

PT C
AU Oliveira, Ana Emilia F.
   Franca, Romulo M.
   Castro Junior, Eurides F.
   Baesse, Deborah C. L.
   Maia, Mariana F. L.
   Ferreira, Elza B.
BE Sarkar, IN
   Georgiou, A
   Marques, PMD
TI The Use of Applications in Distance Education Specialization Course as a
   Support Tool for Students Living in Remote Areas Without Internet
SO MEDINFO 2015: EHEALTH-ENABLED HEALTH
SE Studies in Health Technology and Informatics
VL 216
BP 847
EP 851
DI 10.3233/978-1-61499-564-7-847
PD 2015
PY 2015
AB The world is experiencing the popularization of mobile devices. This was
   made possible by the increasing technological advances and the advent of
   the Internet as a communication and information tool. These facts
   demonstrate that the development of applications compatible with such
   devices is an effective way to provide content to diverse audiences. In
   the educational field, these devices can be seen as technological
   support artifacts for distance education, serving as strategy for
   continuous and permanent education for health professionals. The Open
   University of Brazilian National Health System (UNA-SUS) offers distance
   learning courses, including specializating on free access. In order to
   increase the public reach, UNA-SUS developed mobile applications as
   supporting material for students. These applications can be accessed in
   offline mode, increasing the accessibility and therefore, improving the
   efficiency of the material. The 28 applications developed with
   responsive online books format currently reached the milestone of over
   6,000 downloads. This number shows the positive acceptance of the format
   used, accentuated by the ease of having material downloaded from the
   device, not requiring the user to be connected to access content.
CT 15th World Congress on Health and Biomedical Informatics (MEDINFO)
CY AUG 19-23, 2015
CL Int Med Informat Assoc, Brazilian Hlth Informat Soc, Sao Paulo, BRAZIL
HO Int Med Informat Assoc, Brazilian Hlth Informat Soc
OI Oliveira, Ana Emilia/0000-0003-4371-4815
ZS 0
ZB 0
Z8 0
ZA 0
ZR 0
TC 2
Z9 2
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-61499-564-7; 978-1-61499-563-0
UT WOS:000455836700174
PM 26262171
ER

PT J
AU Greenhalgh, Trisha
   Wong, Geoff
   Jagosh, Justin
   Greenhalgh, Joanne
   Manzano, Ana
   Westhorp, Gill
   Pawson, Ray
TI Protocol-the RAMESES II study: developing guidance and reporting
   standards for realist evaluation
SO BMJ OPEN
VL 5
IS 8
AR e008567
DI 10.1136/bmjopen-2015-008567
PD 2015
PY 2015
AB Introduction: Realist evaluation is an increasingly popular methodology
   in health services research. For realist evaluations (RE) this project
   aims to: develop quality and reporting standards and training materials;
   build capacity for undertaking and critically evaluating them; produce
   resources and training materials for lay participants, and those seeking
   to involve them.
   Methods: To achieve our aims, we will: (1) Establish management and
   governance infrastructure; (2) Recruit an interdisciplinary Delphi panel
   of 35 participants with diverse relevant experience of RE; (3) Summarise
   current literature and expert opinion on best practice in RE; (4) Run an
   online Delphi panel to generate and refine items for quality and
   reporting standards; (5) Capture 'real world' experiences and challenges
   of RE-for example, by providing ongoing support to realist evaluations,
   hosting the RAMESES JISCmail list on realist research, and feeding
   problems and insights from these into the deliberations of the Delphi
   panel; (6) Produce quality and reporting standards; (7) Collate examples
   of the learning and training needs of researchers, students, reviewers
   and lay members in relation to RE; (8) Develop, deliver and evaluate
   training materials for RE and deliver training workshops; and (9)
   Develop and evaluate information and resources for patients and other
   lay participants in RE (eg, draft template information sheets and model
   consent forms) and; (10) Disseminate training materials and other
   resources. Planned outputs: (1) Quality and reporting standards and
   training materials for RE. (2) Methodological support for RE. (3)
   Increase in capacity to support and evaluate RE. (4) Accessible,
   plain-English resources for patients and the public participating in RE.
   Discussion: The realist evaluation is a relatively new approach to
   evaluation and its overall place in the is not yet fully established. As
   with all primary research approaches, guidance on quality assurance and
   uniform reporting is an important step towards improving quality and
   consistency.
RI Greenhalgh, Trisha/B-1825-2015; Wong, Geoff/; Westhorp, Gillian/; Manzano, Ana/
OI Greenhalgh, Trisha/0000-0003-2369-8088; Wong, Geoff/0000-0002-5384-4157;
   Westhorp, Gillian/0000-0001-8451-2860; Manzano, Ana/0000-0001-6277-3752
ZB 5
ZR 0
ZS 0
TC 63
Z8 0
ZA 0
Z9 63
U1 0
U2 18
SN 2044-6055
UT WOS:000359164800017
PM 26238395
ER

PT J
AU Vink-van Os, Lena C. A.
   Birnie, Erwin
   van Vliet-Lachotzki, Elsbeth H.
   Bonsel, Gouke J.
   Steegers, Eric A. P.
TI Determining Pre-Conception Risk Profiles Using a National Online
   Self-Reported Risk Assessment: A Cross-Sectional Study
SO PUBLIC HEALTH GENOMICS
VL 18
IS 4
BP 204
EP 215
DI 10.1159/000381449
PD 2015
PY 2015
AB Aim: To measure the prevalence of health risk factors in women who are
   preparing for pregnancy, using an online publicly available
   questionnaire aimed at identifying personal and pre-conception risks and
   at providing tailored information. Methods: A nation-wide available,
   free, web-based, self-reported questionnaire for pre-conception use (in
   Dutch). Between May 2006 and August 2009, 89,946 questionnaires were
   completed (78,732 were from unique respondents) and available for
   research purposes, from which those of non-pregnant women (n = 66,617)
   were selected. Socio-demographic subgroups were distinguished by age,
   ethnicity, urban living area and living in a deprived neighbourhood. The
   four pre-conception risk domains were lifestyle, medical, reproductive
   and family history; together they were defining the risk profile. X-2
   tests were used to compare the risk profiles among the subgroups.
   Results: The prevalences of the reported risk factors are given. The
   risk factor profiles revealed that the average, responding, nonpregnant,
   Dutch woman is exposed to a substantial number of risk factors.
   Different risk profiles were observed in the different socio-demographic
   subgroups. Women older than 36 years, of non-Western origin, living in
   urban areas and those in deprived neighbourhoods showed higher risk
   profiles, based on a larger number of risks, with significantly higher
   prevalences. Conclusion: Self-reported data from a large, self-selected,
   non-pregnant population who actively visited a web-site for reproductive
   information suggest the need for active general pre-conception care as
   risk factors were abundant. A considerable increase in attention for
   pre-conception care is justified; different subpopulations most likely
   require adapted approaches. (C) 2015 S. Karger AG, Basel
TC 6
ZB 1
ZS 0
ZA 0
Z8 0
ZR 0
Z9 6
U1 0
U2 6
SN 1662-4246
EI 1662-8063
UT WOS:000358108300002
PM 25967756
ER

PT J
AU Ekpu, Victor U
   Brown, Abraham K
TI The Economic Impact of Smoking and of Reducing Smoking Prevalence:
   Review of Evidence.
SO Tobacco use insights
VL 8
BP 1
EP 35
DI 10.4137/TUI.S15628
PD 2015
PY 2015
AB BACKGROUND: Tobacco smoking is the cause of many preventable diseases
   and premature deaths in the UK and around the world. It poses enormous
   health- and non-health-related costs to the affected individuals,
   employers, and the society at large. The World Health Organization (WHO)
   estimates that, globally, smoking causes over US$500 billion in economic
   damage each year.
   OBJECTIVES: This paper examines global and UK evidence on the economic
   impact of smoking prevalence and evaluates the effectiveness and cost
   effectiveness of smoking cessation measures.
   STUDY SELECTION: SEARCH METHODS We used two major health care/economic
   research databases, namely PubMed and the National Institute for Health
   Research (NIHR) database that contains the British National Health
   Service (NHS) Economic Evaluation Database; Cochrane Library of
   systematic reviews in health care and health policy; and other
   health-care-related bibliographic sources. We also performed hand
   searching of relevant articles, health reports, and white papers issued
   by government bodies, international health organizations, and health
   intervention campaign agencies. SELECTION CRITERIA The paper includes
   cost-effectiveness studies from medical journals, health reports, and
   white papers published between 1992 and July 2014, but included only
   eight relevant studies before 1992. Most of the papers reviewed reported
   outcomes on smoking prevalence, as well as the direct and indirect costs
   of smoking and the costs and benefits of smoking cessation
   interventions. We excluded papers that merely described the
   effectiveness of an intervention without including economic or cost
   considerations. We also excluded papers that combine smoking cessation
   with the reduction in the risk of other diseases. DATA COLLECTION AND
   ANALYSIS The included studies were assessed against criteria indicated
   in the Cochrane Reviewers Handbook version 5.0.0. OUTCOMES ASSESSED IN
   THE REVIEWPrimary outcomes of the selected studies are smoking
   prevalence, direct and indirect costs of smoking, and the costs and
   benefits of smoking cessation interventions (eg, "cost per quitter",
   "cost per life year saved", "cost per quality-adjusted life year
   gained," "present value" or "net benefits" from smoking cessation, and
   "cost savings" from personal health care expenditure).
   MAIN RESULTS: The main findings of this study are as follows: The costs
   of smoking can be classified into direct, indirect, and intangible
   costs. About 15% of the aggregate health care expenditure in high-income
   countries can be attributed to smoking. In the US, the proportion of
   health care expenditure attributable to smoking ranges between 6% and
   18% across different states. In the UK, the direct costs of smoking to
   the NHS have been estimated at between 2.7 billion and 5.2 billion,
   which is equivalent to around 5% of the total NHS budget each year. The
   economic burden of smoking estimated in terms of GDP reveals that
   smoking accounts for approximately 0.7% of China's GDP and approximately
   1% of US GDP. As part of the indirect (non-health-related) costs of
   smoking, the total productivity losses caused by smoking each year in
   the US have been estimated at US$151 billion.The costs of smoking
   notwithstanding, it produces some potential economic benefits. The
   economic activities generated from the production and consumption of
   tobacco provides economic stimulus. It also produces huge tax revenues
   for most governments, especially in high-income countries, as well as
   employment in the tobacco industry. Income from the tobacco industry
   accounts for up to 7.4% of centrally collected government revenue in
   China. Smoking also yields cost savings in pension payments from the
   premature death of smokers.Smoking cessation measures could range from
   pharmacological treatment interventions to policy-based measures,
   community-based interventions, telecoms, media, and technology
   (TMT)-based interventions, school-based interventions, and workplace
   interventions.The cost per life year saved from the use of
   pharmacological treatment interventions ranged between US$128 and
   US$1,450 and up to US$4,400 per quality-adjusted life years (QALYs)
   saved. The use of pharmacotherapies such as varenicline, NRT, and
   Bupropion, when combined with GP counseling or other behavioral
   treatment interventions (such as proactive telephone counseling and
   Web-based delivery), is both clinically effective and cost effective to
   primary health care providers.Price-based policy measures such as
   increase in tobacco taxes are unarguably the most effective means of
   reducing the consumption of tobacco. A 10% tax-induced cigarette price
   increase anywhere in the world reduces smoking prevalence by between 4%
   and 8%. Net public benefits from tobacco tax, however, remain positive
   only when tax rates are between 42.9% and 91.1%. The cost effectiveness
   ratio of implementing non-price-based smoking cessation legislations
   (such as smoking restrictions in work places, public places, bans on
   tobacco advertisement, and raising the legal age of smokers) range from
   US$2 to US$112 per life year gained (LYG) while reducing smoking
   prevalence by up to 30%-82% in the long term (over a 50-year
   period).Smoking cessation classes are known to be most effective among
   community-based measures, as they could lead to a quit rate of up to
   35%, but they usually incur higher costs than other measures such as
   self-help quit-smoking kits. On average, community pharmacist-based
   smoking cessation programs yield cost savings to the health system of
   between US$500 and US$614 per LYG.Advertising media, telecommunications,
   and other technology-based interventions (such as TV, radio, print,
   telephone, the Internet, PC, and other electronic media) usually have
   positive synergistic effects in reducing smoking prevalence especially
   when combined to deliver smoking cessation messages and counseling
   support. However, the outcomes on the cost effectiveness of TMT-based
   measures have been inconsistent, and this made it difficult to attribute
   results to specific media. The differences in reported cost
   effectiveness may be partly attributed to varying methodological
   approaches including varying parametric inputs, differences in national
   contexts, differences in advertising campaigns tested on different
   media, and disparate levels of resourcing between campaigns. Due to its
   universal reach and low implementation costs, online campaign appears to
   be substantially more cost effective than other media, though it may not
   be as effective in reducing smoking prevalence.School-based smoking
   prevalence programs tend to reduce short-term smoking prevalence by
   between 30% and 70%. Total intervention costs could range from US$16,400
   to US$580,000 depending on the scale and scope of intervention. The cost
   effectiveness of school-based programs show that one could expect a
   saving of approximately between US$2,000 and US$20,000 per QALY saved
   due to averted smoking after 2-4 years of follow-up.Workplace-based
   interventions could represent a sound economic investment to both
   employers and the society at large, achieving a benefit-cost ratio of up
   to 8.75 and generating 12-month employer cost savings of between $150
   and $540 per nonsmoking employee. Implementing smoke-free workplaces
   would also produce myriads of new quitters and reduce the amount of
   cigarette consumption, leading to cost savings in direct medical costs
   to primary health care providers. Workplace interventions are, however,
   likely to yield far greater economic benefits over the long term, as
   reduced prevalence will lead to a healthier and more productive
   workforce.
   CONCLUSIONS: We conclude that the direct costs and externalities to
   society of smoking far outweigh any benefits that might be accruable at
   least when considered from the perspective of socially desirable
   outcomes (ie, in terms of a healthy population and a productive
   workforce). There are enormous differences in the application and
   economic measurement of smoking cessation measures across various types
   of interventions, methodologies, countries, economic settings, and
   health care systems, and these may have affected the comparability of
   the results of the studies reviewed. However, on the balance of
   probabilities, most of the cessation measures reviewed have not only
   proved effective but also cost effective in delivering the much desired
   cost savings and net gains to individuals and primary health care
   providers.
ZB 47
ZA 0
TC 154
ZR 0
ZS 5
Z8 0
Z9 158
U1 1
U2 39
SN 1179-173X
UT MEDLINE:26242225
PM 26242225
ER

PT J
AU Anwar, Khurshid
   Shaikh, Abdul A.
   Sajid, Muhammad R.
   Cahusac, Peter
   Alarifi, Norah A.
   Al Shedoukhy, Ahlam
TI Tackling student neurophobia in neurosciences block with team-based
   learning
SO MEDICAL EDUCATION ONLINE
VL 20
AR 28461
DI 10.3402/meo.v20.28461
PD 2015
PY 2015
AB Introduction: Traditionally, neurosciences is perceived as a difficult
   course in undergraduate medical education with literature suggesting use
   of the term "Neurophobia" (fear of neurology among medical students).
   Instructional strategies employed for the teaching of neurosciences in
   undergraduate curricula traditionally include a combination of lectures,
   demonstrations, practical classes, problem-based learning and
   clinico-pathological conferences. Recently, team-based learning (TBL), a
   student-centered instructional strategy, has increasingly been regarded
   by many undergraduate medical courses as an effective method to assist
   student learning.
   Methods: In this study, 156 students of year-three neuroscience block
   were divided into seven male and seven female groups, comprising 11-12
   students in each group. TBL was introduced during the 6 weeks of this
   block, and a total of eight TBL sessions were conducted during this
   duration. We evaluated the effect of TBL on student learning and
   correlated it with the student's performance in summative assessment.
   Moreover, the students' perceptions regarding the process of TBL was
   assessed by online survey.
   Results: We found that students who attended TBL sessions performed
   better in the summative examinations as compared to those who did not.
   Furthermore, students performed better in team activities compared to
   individual testing, with male students performing better with a more
   favorable impact on their grades in the summative examination. There was
   an increase in the number of students achieving higher grades (grade B
   and above) in this block when compared to the previous block (51.7% vs.
   25%). Moreover, the number of students at risk for lower grades (Grade
   B-and below) decreased in this block when compared to the previous block
   (30.6% vs. 55%). Students generally elicited a favorable response
   regarding the TBL process, as well as expressed satisfaction with the
   content covered and felt that such activities led to improvement in
   communication and interpersonal skills.
   Conclusion: We conclude that implementing TBL strategy increased
   students' responsibility for their own learning and helped the students
   in bridging the gap in their cognitive knowledge to tackle 'neurophobia'
   in a difficult neurosciences block evidenced by their improved
   performance in the summative assessment.
RI Sajid, Muhammad Raihan/AAS-8095-2021; Cahusac, Peter/
OI Sajid, Muhammad Raihan/0000-0002-6082-3928; Cahusac,
   Peter/0000-0003-4976-2834
TC 21
ZB 1
Z8 0
ZS 1
ZA 0
ZR 0
Z9 22
U1 0
U2 15
SN 1087-2981
UT WOS:000358776600001
ER

PT J
AU Walton, Jennifer M.
   White, Jonathan
   Ross, Shelley
TI What's on YOUR Facebook profile? Evaluation of an educational
   intervention to promote appropriate use of privacy settings by medical
   students on social networking sites
SO MEDICAL EDUCATION ONLINE
VL 20
AR 28708
DI 10.3402/meo.v20.28708
PD 2015
PY 2015
AB Background: The rise of social media has led to growing concerns about
   the potential implications of 'unprofessional' postings by physicians
   and medical students on individuals, institutions, and the medical
   profession. Relevant and effective guidelines have been difficult to
   develop and enforce, and there is a need for students and physicians to
   consider how their online activities may be perceived in the context of
   their professional roles. The purpose of this project was to examine the
   Internet presence of a graduating Canadian medical school class by
   scanning students' public profiles on the social media site Facebook,
   incorporate this information into an educational activity addressing
   professionalism and social media, and evaluate the impact of this
   activity on student behavior.
   Methods: A systematic search for public Facebook profiles of each member
   of the class was conducted, and data were collected on the types of
   publicly visible material. These were presented as part of an
   educational session on social media and professionalism. One month
   later, the Facebook search was repeated.
   Results: Of 152 students in the class, profiles were found for 121
   (79.8%). The majority of students used appropriately restrictive privacy
   settings; however, a significant minority had publicly visible
   information, including comments, photographs, location, and status as a
   medical student. The educational innovation was well received with more
   than 90% of students agreeing that this topic was important and well
   addressed. A follow-up search found that many students had altered their
   privacy settings to make less information publicly available.
   Conclusions: A small but significant proportion of students share
   potentially unprofessional content on social media. An interactive
   educational intervention, which includes specific disclosure of how
   participants appear to others on social media, resulted in a significant
   change in student behavior.
OI White, Jonathan/0000-0001-5254-506X; Ross, Shelley/0000-0001-9581-3191
TC 27
Z8 0
ZB 3
ZS 1
ZA 0
ZR 0
Z9 29
U1 2
U2 35
SN 1087-2981
UT WOS:000358241400001
ER

PT J
AU Farahani, Pendar
TI Challenges in Pharmacotherapeutics Education for Diabetes in Real-World
   Clinical Settings: Views From Family Medicine and Internal Medicine
   Residents
SO CLINICAL AND INVESTIGATIVE MEDICINE
VL 38
IS 3
BP E73
EP E81
PD 2015
PY 2015
AB Purpose: Pharmacotherapy for diabetes in real-world clinical settings is
   very complex and is posing a challenge for residents in training. The
   purpose of this study was to explore the views of residents in Canada
   regarding educational priorities for pharmacotherapy in diabetes
   management.
   Methods: A questionnaire was developed to explore different domains of
   pharmacotherapy in diabetes management, including different clinical
   settings, combination pharmacotherapy with different classes of
   medications and patients' characteristics, including comorbidities and
   cardiovascular risk factors. The questionnaire and the letter of
   invitation was sent to residents through their program directors. The
   results were gathered through an online survey system. Due to the study
   design, response rate could not be determined. For data analysis, SPSS
   Software was used for statistical analysis. Chi-square testing was
   utilized for comparisons of proportions.
   Results: Thirty-four residency programs in Canada were contacted and 165
   residents completed the study. A significant number of the residents
   (59%) viewed combination pharmacotherapy for diabetes management as the
   most important educational priority (p < 0.001). Regarding insulin
   therapy, combination of insulin with another class of agents was
   recognized as the most important educational priority by 51% of
   residents (p < 0.001). Among all classes of medication for blood glucose
   management the education on the use of newer class of medication such as
   GLP1 agonists, DPP4 inhibitors and SGLT2 inhibitors was recognized as a
   priority by 77% of residents (p < 0.001).
   Conclusion: This study provides new data and insights into residents'
   views on diabetes pharmacotherapy. Educational curriculums may
   incorporate these views from residents on the educational priorities
   that were identified in this study.
ZR 0
Z8 0
ZS 0
TC 0
ZA 0
ZB 0
Z9 0
U1 0
U2 1
SN 0147-958X
EI 1488-2353
UT WOS:000357336800001
PM 26026641
ER

PT C
AU Gray, Kathleen
   Choo, Dawn
   Butler-Henderson, Kerryn
   Whetton, Sue
   Maeder, Anthony
BE Georgiou, A
   Grain, H
   Schaper, LK
TI Health Informatics and E-health Curriculum for Clinical Health
   Profession Degrees
SO DRIVING REFORM: DIGITAL HEALTH IS EVERYONE'S BUSINESS
SE Studies in Health Technology and Informatics
VL 214
BP 68
EP 73
DI 10.3233/978-1-61499-558-6-68
PD 2015
PY 2015
AB The project reported in this paper models a new approach to making
   health informatics and e-health education widely available to students
   in a range of Australian clinical health profession degrees. The
   development of a Masters level subject uses design-based research to
   apply educational quality assurance practices which are consistent with
   university qualification frameworks, and with clinical health profession
   education standards; at the same time it gives recognition to health
   informatics as a specialised profession in its own right. The paper
   presents details of (a) design with reference to the Australian
   Qualifications Framework and CHIA competencies, (b) peer review within a
   three-university teaching team, (c) external review by experts from the
   professions, (d) cross-institutional interprofessional online learning,
   (e) methods for evaluating student learning experiences and outcomes,
   and (f) mechanisms for making the curriculum openly available to
   interested parties. The project has sought and found demand among
   clinical health professionals for formal health informatics and e-health
   education that is designed for them. It has helped the educators and
   organisations involved to understand the need for nuanced and
   complementary health informatics educational offerings in Australian
   universities. These insights may aid in further efforts to address
   substantive and systemic challenges that clinical informatics faces in
   Australia.
CT 23rd Australian National Health Informatics Conference (HIC) on Driving
   Reform - Digital Health is Everyone's Business
CY AUG 03-05, 2015
CL Brisbane, AUSTRALIA
OI maeder, anthony/0000-0002-7398-2581; Choo, Dawn/0000-0002-0851-6410
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
TC 1
Z9 1
U1 1
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-558-6; 978-1-61499-557-9
UT WOS:000455828600011
PM 26210420
ER

PT C
AU Whetton, Sue
   Hazlitt, Cherie
BE Georgiou, A
   Grain, H
   Schaper, LK
TI Educating the Health Informatics Professional: The Impact of an Academic
   Program
SO DRIVING REFORM: DIGITAL HEALTH IS EVERYONE'S BUSINESS
SE Studies in Health Technology and Informatics
VL 214
BP 159
EP 166
DI 10.3233/978-1-61499-558-6-159
PD 2015
PY 2015
AB Introduction: The successful implementation and utilisation of
   electronic health information systems is dependent on a highly
   knowledgeable and skilled workforce. In Australia there is a range of
   education and training opportunities that seeks to meet these workforce
   needs. This range of programs reflects both the multi-disciplinary
   characteristic of health informatics and its wide application within the
   healthcare environment. We need to discuss the role of each program or
   type of program in developing a skilled and knowledgeable workforce, and
   in expanding the knowledge base of the discipline. This paper
   contributes to such a discussion by describing a pilot study that
   focused specifically on the role/impact of the University of Tasmania
   academic health informatics program. Methods: The study comprised an
   anonymous on-line survey followed by a small number of interviews. The
   online survey included closed questions which gathered quantitative data
   about Quantitative data were analysed using appropriate numerical
   methods such as response counts and/or percentages. Open-ended questions
   were analysed using thematic analysis. Results: Qualitative data
   indicated that course graduates reside in every state and territory,
   with the majority being employed by the various state health services.
   The majority of respondents had moved into health informatics
   professions or into senior positions in health informatics. Eighty
   percent attributed this directly to their participation in the course.
   Respondents indicated a strong socio-technical orientation in their
   approach to health informatics. Discussion: The program appears to be
   having an impact on the health informatics workforce, particularly in
   promoting a strong socio-technical focus. Conclusion: Evaluation of
   health informatics programs would enable the development of a
   comprehensive and complementary network of offerings that would meet the
   diverse needs for health informatics professionals in the healthcare and
   academic environment.
CT 23rd Australian National Health Informatics Conference (HIC) on Driving
   Reform - Digital Health is Everyone's Business
CY AUG 03-05, 2015
CL Brisbane, AUSTRALIA
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
TC 2
Z9 2
U1 0
U2 0
SN 0926-9630
EI 1879-8365
BN 978-1-61499-558-6; 978-1-61499-557-9
UT WOS:000455828600025
PM 26210434
ER

PT J
AU Basyouni, M.H.
   BinDhim, N.F.
   Saini, B.
   Williams, K.A.
TI Online Health Information Needs for Patients with Asthma in Saudi Arabia
SO Journal of Consumer Health on the Internet
VL 19
IS 1
BP 13
EP 24
DI 10.1080/15398285.2014.982050
PD 2015
PY 2015
AB This study aims to identify the online asthma informational needs of
   patients with asthma in Saudi Arabia, explore participants' previous use
   of and interest in online asthma health information, and explore factors
   associated with online information-seeking and needs. A
   self-administered questionnaire was developed based on similar studies
   of asthma patients' education and completed by a convenient sample of 83
   asthma patients attending the outpatient pulmonary clinic at the
   Security Forces Hospital Program in Riyadh. Approximately two-thirds of
   participants who use the Internet have searched for asthma information
   online. Thirteen percent of the participants reported that the Internet
   was their main source of information about asthma, and 33.7% reported
   that the Internet was their favorite additional source of information
   about asthma. Seventy-eight percent of the participants were interested
   in an asthma information Web site in the Arabic language. Employment and
   higher income were associated with participants who chose the Internet
   as the favorite source of additional information about asthma (OR 4.5,
   95%CI 1.6-12.7) and (OR 4.2, 95%CI 1.4-12.5), respectively, and an
   education level higher than high school was associated with participants
   who previously had looked for online information about asthma (OR 11.2,
   95%CI 3.8.6-33.5).
OI BinDhim, Nasser F/0000-0001-8117-1044
TC 9
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
Z9 9
U1 1
U2 10
SN 1539-8285
UT INSPEC:15269476
ER

PT J
AU Peres, Michael
TI Medical and Scientific Illustration in the United States (US).
SO Journal of visual communication in medicine
VL 38
IS 1-2
BP 117
EP 8
DI 10.3109/17453054.2015.1038510
PD 2015-Jun
PY 2015
AB The field of Medical and Scientific Illustration in the United States is
   large and constantly changing. In 1974, when the author began his
   studies, everything about the field was different. At the time, a
   student in the U.S. could go to a number of Universities (4 year) or
   Colleges (2 year) to study this subject. More than forty years later,
   only a few programs still offer similar programs of study. The Rochester
   Institute of Technology (RIT), where the author is a professor and
   Randolph Community College in North Carolina are all that remain from
   the more than ten that had operated. These two programs are very
   different from one another and there is not adequate space in this
   article to expand on these differences. Program details can be found
   online at:
   http://cias.rit.edu/schools/photographic-arts-sciences/undergraduate-bio
   medical-photographic-communications. 
ZA 0
ZS 0
ZB 0
ZR 0
Z8 0
TC 0
Z9 0
U1 0
U2 6
EI 1745-3062
UT MEDLINE:26203944
PM 26203944
ER

PT C
AU Franz, Stefan
   Behrends, Marianne
   Haack, Claudia
   Marschollek, Michael
BE Mantas, J
   Hasman, A
   Househ, MS
TI Benefits and Barriers of E-Learning for Staff Training in a Medical
   University
SO ENABLING HEALTH INFORMATICS APPLICATIONS
SE Studies in Health Technology and Informatics
VL 213
BP 99
EP 102
DI 10.3233/978-1-61499-538-8-99
PD 2015
PY 2015
AB Learning Management Systems (LMS) are a feasible solution to fulfill the
   various requirements for e-learning based training in a medical
   university. Using the LMS ILIAS, the Institute of Diagnostic and
   Interventional Radiology has designed an e-learning unit about data
   protection, which has been used by 73% of the department's employees in
   the first three months. To increase the use of e-learning for staff
   training, it is necessary to identify barriers and benefits, which
   encourage the use of e-learning. Therefore, we started an online survey
   to examine how the employees evaluate this learning opportunity. The
   results show that 87% of the employees had no technical problems and
   also competence of Information and Communication Technology (ICT) was no
   barrier. If anything, reported issues were time shortages and tight
   schedules. Therefore, short learning modules (less than 20 minutes) are
   preferred. Furthermore, temporal flexibility for learning is important
   for 83% of employees.
CT 13th International Conference on Informatics, Management, and Technology
   in Healthcare (ICIMTH)
CY JUL 09-11, 2015
CL Athens, GREECE
ZA 0
ZS 0
ZR 0
Z8 0
TC 4
ZB 0
Z9 4
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-61499-538-8; 978-1-61499-537-1
UT WOS:000455826600023
PM 26152964
ER

PT J
AU Simpson, Steve, Jr.
   Clifford, Christine
   Ross, Kaz
   Sefton, Neil
   Owen, Louise
   Blizzard, Leigh
   Turner, Richard
TI Sexual health literacy of the student population of the University of
   Tasmania: results of the RUSSL Study
SO SEXUAL HEALTH
VL 12
IS 3
BP 207
EP 216
DI 10.1071/SH14223
PD 2015
PY 2015
AB Background Evidence suggests a varied level of sexual health literacy
   (SHL) among university student populations, so we evaluated the SHL
   among students at the University of Tasmania. Methods: Students were
   invited to complete an anonymous online questionnaire during
   August/September 2013. SHL was assessed using the ARCSHS National Survey
   of Australian Secondary Students & Sexual Health (ARC) and the Sexual
   Health Questionnaire (SHS). Predictors of literacy scores were evaluated
   by linear regression. Results: The study recruited 1786 participants
   (8.2% of 2013 student population), of similar composition to the general
   university population. Female sex, older age, sexual education, and
   sexual experience were significant predictors of SHL. As hypothesised,
   students in medical/nursing disciplines had the highest SHL. Less
   expected were the significant differences by birthplace and religious
   affiliation, many of which persisted on adjustment for confounders.
   Compared with Australian/New Zealander students, overseas-born students
   had significantly lower ARC (-3.6%, P<0.001) & SHS (-4.2%, P<0.001);
   this was driven by Malaysian, Indian, and Chinese students. Compared
   with agnostic/atheist-identifying students, those of Buddhist (ARC:
   -5.4%, P=0.014; SHS: -6.7%, P=0.002), Hindu (ARC: -8.8%, P=0.098; SHS:
   -12.2%, P=0.027), Muslim (ARC: -16.5%, P<0.001; SHS: -13.4%, P=0.001)
   and Protestant (ARC: -2.3%, P=0.023; SHS: -4.4%, P<0.001)
   identifications had markedly lower SHL. Conclusions: This study, one of
   the first among university students in Australia, found a varied SHL by
   sex, age, sexual education and sexual experience, as well as by
   birthplace and religious affiliation. These findings have applications
   in orientation and education programs at Australian universities.
RI Simpson, Steve Jr/J-2454-2013; Clifford, Christine/; Ross, Kaz/
OI Simpson, Steve Jr/0000-0001-6521-3056; Clifford,
   Christine/0000-0001-7613-7888; Ross, Kaz/0000-0003-1630-6234
ZA 0
ZR 0
Z8 0
ZS 0
TC 10
ZB 1
Z9 10
U1 1
U2 12
SN 1448-5028
EI 1449-8987
UT WOS:000356395300006
PM 25928047
ER

PT J
AU Schneider, Anna-Teresa
   Albers, Peter
   Mueller-Mattheis, Volker
TI E-Learning in Urology: Implementation of the Learning and Teaching
   Platform CASUS (R) - Do Virtual Patients Lead to Improved Learning
   Outcomes? A Randomized Study among Students
SO UROLOGIA INTERNATIONALIS
VL 94
IS 4
BP 412
EP 418
DI 10.1159/000368653
PD 2015
PY 2015
AB Background: E-learning is playing an increasing role in medical
   education, supporting a problem-based and practical oriented education
   without putting patients at risk and compensating for the decrease in
   instructor-centered teaching. Not much research has been done concerning
   learning effects and reaction on behalf of the students. Methods: We
   created computer-based cases for four important diagnoses in urology
   using the authoring system CASUS(R). Fourth-year medical school students
   were randomized into two groups: (1) the CASUS(R) group, using the
   online cases for preparation, and (2) the book group, using a textbook.
   A multiple-choice test referring to the prepared topic had to be
   completed at the beginning of each lecture and the results were
   analyzed. Evaluation of the students concerning the acceptance of the
   program was done at the end of the semester. Results: Members of the
   CASUS(R) group scored significantly higher with an average of 20% better
   test results than students using textbooks for preparation. Evaluation
   regarding the program showed a highly positive rating. Limitations
   include the small study population and the possibly biased test
   performance of the students. Conclusion: Computerized patient cases
   facilitate practice-oriented teaching and result in an interesting and
   engaging learning model with improved learning outcomes. (C) 2015 S.
   Karger AG, Basel
RI Albers, Peter/L-4743-2019
OI Albers, Peter/0000-0002-1747-9615
Z8 0
ZS 0
TC 11
ZR 1
ZA 0
ZB 1
Z9 12
U1 1
U2 8
SN 0042-1138
EI 1423-0399
UT WOS:000355885000007
PM 25871786
ER

PT J
AU Viniol, Annika
   Lommler-Thamer, Martina
   Baum, Erika
   Banzhoff, Norbert Donner
TI A standardised questionnaire for evaluating hospital-based rotations in
   general practice vocational training.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 3
BP 148
EP 54
PD 2015-May
PY 2015
AB INTRODUCTION: The residency period of vocational training is a
   fundamental component for a general practitioner's (GP's) qualification.
   During the residency, teaching is given by consultants and staff from
   different medical disciplines who do not necessarily know the GP
   registrar's training objectives.
   AIM: To develop a standardised feedback questionnaire to evaluate
   residency attachments and enable GP registrars and their supervisors to
   discuss the actual training environment and areas for improvement.
   METHODS: A cross-sectional study was carried out to assess GP
   registrars' ratings of items preselected by an expert group to reflect
   important elements in high-quality vocational training. We recruited GP
   registrars in Germany via mailing lists and online discussion forums and
   used the importance-severity-score method to score the content and
   importance of the selected items. On the basis of these ratings, we
   eliminated 74 items. This version of the questionnaire then underwent an
   intra-observer-reliability evaluation by the same GP registrars after
   eight weeks. Items with a correlation of less than 0.4 (Pearson
   correlation coefficient) were dropped or rephrased.
   RESULTS: Our initial questionnaire featured 117 potential items. We
   reduced this to 43 items after the first study; two additional items
   were dropped following the reliability test.
   DISCUSSION: To our knowledge, this is the first standardised feedback
   questionnaire evaluating the residency period of vocational training. We
   hope our work will improve the quality of GPs' vocational training. The
   importance-severity-score method is a fast and efficient method for
   developing instruments using personal judgement to evaluate constructs.
RI Viniol, Annika/AAU-7002-2020
TC 1
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 1
U1 0
U2 1
SN 1473-9879
UT MEDLINE:26092143
PM 26092143
ER

PT J
AU O'Donoghue, Sinead
   McGrath, Deidre
   Cullen, Walter
TI How do longitudinal clerkships in general practice/primary care impact
   on student experience and career intention? A cross-sectional study of
   student experience.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 3
BP 166
EP 75
PD 2015-May
PY 2015
AB INTRODUCTION: Internationally, the amount of time that medical students
   spend in community settings has increased in recent years. 'Longitudinal
   clerkships', which involve a prolonged exposure, are now common. In
   Ireland, medical education policy has promoted community-based education
   across medical schools, including one with a longitudinal clerkship of
   one semester duration.
   AIMS: To examine medical students' experience of a longitudinal
   clerkship in general practice/primary care, its impact on career
   preference and the factors which students find most important in
   supporting their learning.
   METHODS: Quantitative cross-sectional study of students who had recently
   completed a longitudinal clerkship at the Graduate-Entry Medical School
   at University of Limerick involving an online survey.
   RESULTS: Most students agreed the intended learning outcomes of the
   clerkship had been achieved. Activity such as two-way feedback with GP
   tutors, assisting with procedural skills and parallel consulting were
   rated as of greatest educational value. Students identified internet
   access, a safe/unthreatening learning environment, and feeling part of
   the clinical team as the practice attributes most important in
   supporting their learning. Twenty-six (41%) intended to pursue a career
   in general practice/primary care and 46 (72%) indicated they were more
   likely to pursue a career in general practice/primary care after the
   clerkship. The clerkship was a positive influence on career intentions,
   with 63% of those who indicated that general practice/primary care was
   not their current preferred career option reporting they were
   significantly more likely to pursue this option after the clerkship
   (chi(2) = 3.52, P < 0.05).
   CONCLUSION: Our findings indicate that longitudinal clerkships are
   effective in helping students to achieve their intended learning
   outcomes and identify the student activity and practice attributes that
   are most important in promoting their learning.
RI Cullen, Walter/AAD-4327-2019; Cullen, Walter/
OI Cullen, Walter/0000-0003-1838-5052
ZS 0
Z8 0
ZB 0
ZR 0
ZA 0
TC 8
Z9 8
U1 2
U2 2
SN 1473-9879
UT MEDLINE:26092145
PM 26092145
ER

PT J
AU Chisnall, Ben
   Vince, Tushar
   Hall, Sarah
   Tribe, Rachel
TI Evaluation of outcomes of a formative objective structured clinical
   examination for second-year UK medical students.
SO International journal of medical education
VL 6
BP 76
EP 83
DI 10.5116/ijme.5572.a534
PD 2015 Jun 21
PY 2015
AB OBJECTIVE: To explore how formative OSCEs influence student performance
   and perception when undertaking summative OSCEs.
   METHODS: We introduced formative OSCEs for second-year medical students
   at a large London medical school. Examination data from both formative
   and subsequent summative OSCEs were analysed to determine the effect on
   summative OSCE performance. We gathered student perceptions using an
   anonymous online survey tool. The data was investigated using a standard
   scale of 1 to 5 and qualitative analysis of free text.
   RESULTS: Overall, 46.6% and 85.0% of students passed the formative and
   summative OSCEs respectively. Formative OSCEs did not improve overall
   pass rates in summative OSCEs. Inclusion of an individual formative
   station was associated with improved performance in that station in
   summative OSCEs, with one exception. Formative OSCEs had a positive
   predictive value of 92.5% for passing the summative OSCE but limited
   negative predictive value. Students who passed fewer than two out of
   three formative OSCE stations were significantly more likely to fail the
   summative OSCE (78.2% vs 89.7%, p <0.001). Students felt formative OSCEs
   were good exam preparation and suggested logistical changes.
   CONCLUSIONS: Formative OSCEs were associated with improved performance
   in subsequent summative OSCEs only for identical stations. They did not
   improve overall pass rates in summative OSCEs, and did not predict
   performance well. Students viewed the formative OSCE as a positive and
   useful activity. However, to maximise its benefit as a tool for
   learning, students need better communication about the role and purpose
   of formative OSCEs.
OI Tribe, Rachel/0000-0003-3675-9978
ZR 0
TC 28
ZB 1
Z8 0
ZS 2
ZA 0
Z9 28
U1 0
U2 2
EI 2042-6372
UT MEDLINE:26094249
PM 26094249
ER

PT J
AU Dolan, Eimear
   Hancock, Elizabeth
   Wareing, Amy
TI An evaluation of online learning to teach practical competencies in
   undergraduate health science students
SO INTERNET AND HIGHER EDUCATION
VL 24
BP 21
EP 25
DI 10.1016/j.iheduc.2014.09.003
PD JAN 2015
PY 2015
AB The aim of this study was to evaluate the use of online delivery as a
   pedagogical approach to teach the practical and theoretical skills
   required for resting ECG electrode placement and interpretation.
   Results: Comparable results were found for all variables between the two
   groups, apart from electrode placement, whereby students in the
   classroom based group were significantly more accurate than their
   counterparts in the online group (p < 0.05). The effect size of this
   difference was large (0.91), whereas the effect size for all other
   measured variables were classified as small (0-0.49).
   Conclusion: Online learning is an effective study mode in both
   theoretical and practical application; however consideration must be
   taken of the types of practical skills which it is used for. More
   complex practical skills requiring haptic awareness may best be
   delivered within a classroom setting if feasible, whereby the instructor
   can provide immediate feedback. (C) 2014 Elsevier Inc. All rights
   reserved.
RI Dolan, Eimear/AAX-8134-2020; Hancock, Elizabeth/; Dolan, Eimear/; Robertson, Amy/
OI Hancock, Elizabeth/0000-0002-1066-4885; Dolan,
   Eimear/0000-0002-1018-7601; Robertson, Amy/0000-0003-1937-1015
ZS 0
TC 21
Z8 1
ZR 0
ZA 0
ZB 1
Z9 22
U1 0
U2 45
SN 1096-7516
EI 1873-5525
UT WOS:000346546700003
ER

PT B
AU Grad, Roland
   Pluye, Pierre
   Shulha, Michael
   Tang, David L.
   Moscovici, Jonathan
   Repchinsky, Carol
   Meuser, Jamie
BE Marconi, K
   Lehmann, H
TI Big Data from the Push of Clinical Information: Harvesting User Feedback
   for Continuing Education
SO BIG DATA AND HEALTH ANALYTICS
BP 79
EP 103
PD 2015
PY 2015
AB In meeting their commitment to lifelong learning, physician
   participation in continuing medical education (CME) programs involving
   email alerts of clinical information has been strong and sustained. In
   CME programs involving email alerts, our research group analyzes ratings
   submitted by participants. Since 2006, we have collected more than 1.5
   million ratings on email alerts from about 10,000 Canadian physicians
   and pharmacists. In this chapter, we discuss strategies to harvest
   "intelligence" from physician ratings of email alerts, considering two
   separate case studies. We also lay out a vision for the future of this
   work and describe challenges for analysis of this type of big data.
ZB 0
TC 3
ZA 0
Z8 0
ZR 0
ZS 0
Z9 3
U1 0
U2 0
BN 978-1-4822-2925-7; 978-1-4822-2923-3
UT WOS:000353153000007
ER

PT J
AU Kozajda, Anna
   Szadkowska-Stanczyk, Irena
TI ZAWODOWA EKSPOZYCJA NA CZYNNIKI BIOLOGICZNE STOSOWANE W SPOSOB CELOWY W
   POLSCE OCCUPATIONAL EXPOSURE TO BIOLOGICAL AGENTS INTENTIONALLY USED IN
   POLISH ENTERPRISES
SO MEDYCYNA PRACY
VL 66
IS 1
BP 39
EP 47
PD 2015
PY 2015
AB The paper presents the intentional use of biological agents for
   industrial, diagnostic and research purposes in Polish enterprises.
   Material and Methods: The National Register of Biological Agents
   (Krajowy Rejestr Czynnikow Biologicznych KRCB) is an online database
   that collects the data on the intentional use of biological agents at
   work in Poland. Results: As of December 2013 there were 533
   notifications in KRCB, mainly for diagnostic (73%), research (20%) and
   industrial purposes (7%). Mostly there were hospital diagnostic
   laboratories (37%), and other laboratories (35%), as well as higher
   education and research institutions (11%). In total, 4015 workers (91.7%
   of women, 8.3% of men) were exposed to biological agents. Agents
   classified in risk group 2 were used in 518 enterprises, and in risk
   group 3 in 107 enterprises. Of those agents the following bacteria were
   the most frequently used: Escherichia coli except for non-pathogenic
   strains (455 enterprises and 3314 exposed workers); Staphylococcus
   aureus (445 and 3270); and Pseudomonas aeruginosa (406 and 2969,
   respectively). In 66 enterprises there were used biological agents
   recognized by the International Agency for Research on Cancer (IARC) as
   carcinogens. They are viruses: Epstein-Barr (7 enterprises, 181 exposed
   workers); hepatitis B (16 and 257); hepatitis C virus (15 and 243);
   human immunodeficiency virus (8 and 107); human papillomaviruses (2 and
   4); parasites: Clonorchis viverrini (1 and 2 ); Clonorchos sinensis (1
   and 2); Schistosoma haematobium (1 and 2) and bacteria Helicobacter
   pylori (15 and 230, respectively). Conclusions: The National Register of
   Biological Agents at Work permits to evaluate the situation of
   occupational exposure to biological agents used intentionally in
   enterprises in Poland.
RI Kozajda, Anna/AGP-3921-2022; Kozajda, Anna/AAJ-5601-2020; Szadkowska-Stanczyk, Irena/
OI Kozajda, Anna/0000-0001-5533-9675; Kozajda, Anna/0000-0001-5533-9675;
   Szadkowska-Stanczyk, Irena/0000-0002-6207-5126
ZA 0
TC 2
ZB 2
Z8 0
ZS 0
ZR 0
Z9 2
U1 0
U2 4
SN 0465-5893
UT WOS:000352757900005
PM 26016044
ER

PT J
AU Fuji, Kevin T.
   Galt, Kimberly A.
TI An Online Health Informatics Elective Course for Doctor of Pharmacy
   Students
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 79
IS 3
AR 41
DI 10.5688/ajpe79341
PD 2015
PY 2015
AB Objective. To describe the development and assessment of an online
   elective health informatics course and determine its potential for
   universal integration into doctor of pharmacy (PharmD) curricula.
   Design. A 2-credit hour online elective course was developed and offered
   to all PharmD students; voiced-over Powerpoint lectures were used to
   deliver content. Assessment.
   Assessment of student performance was measured using quantitative
   metrics via discussion questions, quizzes, written papers, and
   examinations. Qualitative findings were measured through discussion
   questions, a goal-setting classroom assessment technique, and an
   end-of-course reflection. Students report finding value in the course
   and recognizing how the knowledge gained could impact their future
   practice as pharmacists.
   Conclusion. An online course in health informatics can be an effective
   way to deliver content and provide a blueprint for continued integration
   of the content into curricula.
RI CERVANTES, EMILY/R-6274-2018; Fuji, Kevin/L-3927-2019; Malone, Patrick/AAT-7940-2020
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
TC 12
Z9 12
U1 0
U2 8
SN 0002-9459
EI 1553-6467
UT WOS:000354614700011
PM 25995516
ER

PT J
AU Monrouxe, Lynn V.
   Rees, Charlotte E.
   Dennis, Ian
   Wells, Stephanie E.
TI Professionalism dilemmas, moral distress and the healthcare student:
   insights from two online UK-wide questionnaire studies
SO BMJ OPEN
VL 5
IS 5
AR e007518
DI 10.1136/bmjopen-2014-007518
PD 2015
PY 2015
AB Objective: To understand the prevalence of healthcare students'
   witnessing or participating in something that they think unethical
   (professionalism dilemmas) during workplace learning and examine whether
   differences exist in moral distress intensity resulting from these
   experiences according to gender and the frequency of occurrence.
   Design: Two cross-sectional online questionnaires of UK medical (study
   1) and nursing, dentistry, physiotherapy and pharmacy students (study 2)
   concerning professionalism dilemmas and subsequent distress for (1)
   Patient dignity and safety breaches; (2) Valid consent for students'
   learning on patients; and (3) Negative workplace behaviours (eg, student
   abuse).
   Participants and setting: 2397 medical (67.4% female) and 1399 other
   healthcare students (81.1% female) responded.
   Main results: The most commonly encountered professionalism dilemmas
   were: student abuse and patient dignity and safety dilemmas. Multinomial
   and logistic regression identified significant effects for gender and
   frequency of occurrence. In both studies, men were more likely to
   classify themselves as experiencing no distress; women were more likely
   to classify themselves as distressed. Two distinct patterns concerning
   frequency were apparent: (1) Habituation (study 1): less distress with
   increased exposure to dilemmas 'justified' for learning; (2) Disturbance
   (studies 1 and 2): more distress with increased exposure to dilemmas
   that could not be justified.
   Conclusions: Tomorrow's healthcare practitioners learn within a
   workplace in which they frequently encounter dilemmas resulting in
   distress. Gender differences could be respondents acting according to
   gendered expectations (eg, males downplaying distress because they are
   expected to appear tough). Habituation to dilemmas suggests students
   might balance patient autonomy and right to dignity with their own needs
   to learn for future patient benefit. Disturbance contests the 'accepted'
   notion that students become less empathic over time. Future research
   might examine the strategies that students use to manage their distress,
   to understand how this impacts of issues such as burnout and/or leaving
   the profession.
RI Monrouxe, Lynn/H-6770-2012; Monrouxe, Lynn/AAG-9817-2019; Rees, Charlotte/
OI Monrouxe, Lynn/0000-0002-4895-1812; Rees, Charlotte/0000-0003-4828-1422
ZR 0
TC 71
ZS 3
Z8 0
ZA 0
ZB 2
Z9 73
U1 0
U2 47
SN 2044-6055
UT WOS:000363473200029
PM 25991457
ER

PT J
AU Kraus, Carl N
   Baldwin, Alan T
   Curro, Frederick A
   McAllister, R G Jr
TI Clinical implications of patient-provider agreements in opioid
   prescribing.
SO Current drug safety
VL 10
IS 2
BP 159
EP 64
PD 2015
PY 2015
AB In June, 2012 the United States Food and Drug Administration (FDA)
   developed a "blueprint" for prescriber education as a means of directing
   Certified Medical Education (CME) activities that included content which
   would meet the regulatory requirements of the class-wide, longacting/
   extended-release (LA-ER) opioid Risk Evaluation Mitigation Strategies
   (REMS). Within the blueprint is the suggested adoption of
   Patient-Provider Agreements (PPAs) to be used in association with opioid
   prescribing, but, to our knowledge, there have been no reported
   evaluations of the role played by opioid-agent PPAs in clinical
   practice, or of the perceptions of this regulatory mandate by
   clinicians. Therefore, we conducted a survey regarding PPA perceptions
   by opioid prescribers that was posted for five weeks on a
   well-trafficked online CME service provider (Medscape). Of the 1,232
   respondents (reflecting a 99.5% completion rate), 52.4% treat acute or
   chronic pain with opioids. The survey identified an improvement of
   opioid safe-use education (21% of respondents) as the most frequently
   selected beneficial element of PPAs. Conversely, the challenges to
   adoption included time constraints (21% of physicians) as well as lack
   of evidence that PPAs will reduce drug misuse, and the lack of a
   uniform, patient-friendly PPA. Based on our survey, clinicians consider
   the PPA of potential value, but data regarding the utility of such an
   instrument are lacking.
ZS 0
ZA 0
TC 9
ZB 2
Z8 0
ZR 0
Z9 9
U1 0
U2 3
EI 2212-3911
UT MEDLINE:25986037
PM 25986037
ER

PT J
AU Tartaglia, Kimberly M.
   Walker, Curt
TI Effectiveness of a quality improvement curriculum for medical students
SO MEDICAL EDUCATION ONLINE
VL 20
AR 27133
DI 10.3402/meo.v20.27133
PD 2015
PY 2015
AB Introduction: As health systems find ways to improve quality of care,
   medical training programs are finding opportunities to prepare learners
   on principles of quality improvement (QI). The impact of QI curricula
   for medical students as measured by student learning is not well
   delineated. The aim of this study is to evaluate the effectiveness of a
   QI curriculum for senior medical students as measured by student
   knowledge and skills.
   Methods: This study was an observational study that involved a
   self-assessment and post-test Quality Improvement Knowledge Application
   Tool (QIKAT) for intervention and control students. A QI curriculum
   consisting of online modules, live discussions, independent readings and
   reflective writing, and participation in a mentored QI project was
   offered to fourth-year medical students completing an honor's elective
   (intervention group). Senior medical students who received the standard
   QI curriculum only were recruited as controls.
   Results: A total of 22 intervention students and 12 control students
   completed the self-assessment and QIKAT. At baseline, there was no
   difference between groups in self-reported prior exposure to QI
   principles. Students in the intervention group reported more comfort
   with their skills in QI overall and in 9 of the 12 domains (p < 0.05).
   Additionally, intervention students performed better in each of the
   three case scenarios (p < 0.01).
   Discussion: A brief QI curriculum for senior medical students results in
   improved comfort and knowledge with QI principles. The strengths of our
   curriculum include effective use of classroom time and faculty
   mentorship with reliance on pre-existing online modules and written
   resources. Additionally, the curriculum is easily expandable to larger
   groups of students and transferable to other institutions.
TC 16
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 16
U1 0
U2 10
SN 1087-2981
UT WOS:000354048300001
ER

PT J
AU Zeimet, Ramona
   Kreienbrock, Lothar
   Doherr, Marcus G.
TI Teaching Biostatistics and Epidemiology in the Veterinary Curriculum:
   What Do Our Fellow Lecturers Expect?
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 42
IS 1
BP 53
EP 65
DI 10.3138/jvme.0314-029R2
PD 2015
PY 2015
AB Given veterinary students' varying mathematical knowledge and interest
   in statistics, teaching statistical concepts to them is often seen as a
   challenge. Consequently, there is an ongoing debate among lecturers
   about the best time to introduce the material into the curriculum, and
   the best thematic content and conceptual approach to teaching in basic
   biostatistics classes. During a workshop meeting of epidemiology and
   biostatistics lecturers of Austrian, German, and Swiss veterinary
   schools, the question was raised as to whether the topics taught in
   epidemiology and statistics classes are of sufficient relevance to our
   lecturing colleagues in other fields of veterinary education (i.e.,
   whether our colleagues have certain expectations as to what the students
   should know about biostatistics before taking their classes). In 2012,
   an online survey was compiled and carried out at all eight
   German-speaking veterinary schools to address this issue. There were 266
   respondents out of approximately 800 contacted lecturers from all
   schools and disciplines. Almost 50% responded that the basic
   biostatistics class should be taught early on (in the second or third
   year), while only 26% indicated that basic epidemiology should commence
   before the third year of the veterinary curriculum. There were clear
   differences in perceived relevance of the 44 epidemiological and
   biostatistical topics presented in the survey, assessed on a Likert
   scale from 0 (no relevance) to 4 (very high relevance). The results
   provide important information about how to revise the content of
   epidemiology and biostatistics classes, and the approach could also be
   used for other courses within the veterinary curriculum with a natural
   science focus.
OI Doherr, Marcus/0000-0003-0064-1708
ZB 0
ZR 0
TC 3
ZS 0
Z8 0
ZA 0
Z9 3
U1 0
U2 6
SN 0748-321X
EI 1943-7218
UT WOS:000350984800007
PM 25572336
ER

PT J
AU Bijol, Vanesa
   Byrne-Dugan, Cathryn J.
   Hoenig, Melanie P.
TI Medical student web-based formative assessment tool for renal pathology
SO MEDICAL EDUCATION ONLINE
VL 20
AR 26765
DI 10.3402/meo.v20.26765
PD 2015
PY 2015
AB Background: Web-based formative assessment tools have become widely
   recognized in medical education as valuable resources for self-directed
   learning.
   Objectives: To explore the educational value of formative assessment
   using online quizzes for kidney pathology learning in our renal
   pathophysiology course.
   Methods: Students were given unrestricted and optional access to
   quizzes. Performance on quizzed and non-quizzed materials of those who
   used ('quizzers') and did not use the tool ('non-quizzers') was
   compared. Frequency of tool usage was analyzed and satisfaction surveys
   were utilized at the end of the course.
   Results: In total, 82.6% of the students used quizzes. The greatest
   usage was observed on the day before the final exam. Students repeated
   interactive and more challenging quizzes more often. Average means
   between final exam scores for quizzed and unrelated materials were
   almost equal for 'quizzers' and 'non-quizzers', but 'quizzers' performed
   statistically better than 'non-quizzers' on both, quizzed (p = 0.001)
   and non-quizzed (p = 0.024) topics. In total, 89% of surveyed students
   thought quizzes improved their learning experience in this course.
   Conclusions: Our new computer-assisted learning tool is popular, and
   although its use can predict the final exam outcome, it does not provide
   strong evidence for direct improvement in academic performance. Students
   who chose to use quizzes did well on all aspects of the final exam and
   most commonly used quizzes to practice for final exam. Our efforts to
   revitalize the course material and promote learning by adding
   interactive online formative assessments improved students' learning
   experience overall.
ZA 1
Z8 0
ZS 1
ZB 6
TC 14
ZR 0
Z9 16
U1 0
U2 8
SN 1087-2981
UT WOS:000354050000001
ER

PT J
AU Denny, Bianca
   Chester, Andrea
   Butler, Mexie
   Brown, James
TI Australian GP registrars' use of e-resources.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 2
BP 79
EP 86
PD 2015-Mar
PY 2015
AB Traditional face-to-face learning opportunities for Australian GP
   registrars are complemented by the use of e-resources. The current study
   aimed to investigate GP trainees' use of e-resources and their
   preferences for sourcing clinical information to inform the prospective
   direction and design of e-resources for the GP education and training
   sector. One-hundred and nineteen registrars completed a custom online
   survey measuring the type and frequency of use of e-resources, and
   preferences for their design and content. Results indicated that for the
   majority of registrars e-resources were the first preference for
   obtaining clinical information (77.3%). The most frequently used
   e-resources included non-medical search engines, medical journals and
   prescribing software. Factors relevant to registrars' selection and use
   of e-resources included the accuracy and comprehensiveness of the
   information. It is concluded that the use of e-resources provides a
   valuable supplement to registrars' learning and teaching. However,
   issues of quality and consistency raise some concerns regarding the use
   of e-resources for obtaining clinical information. 
RI Chester, Andrea/AAR-1647-2020; Brown, James/
OI Chester, Andrea/0000-0001-9245-0831; Brown, James/0000-0002-7262-1629
TC 5
ZS 1
Z8 0
ZR 0
ZB 0
ZA 0
Z9 6
U1 0
U2 3
SN 1473-9879
UT MEDLINE:25898296
PM 25898296
ER

PT J
AU Hayward, Gail
   Drinkwater, Jessica
   El-Gohary, Magdy
   Burgess, Hana
   Heneghan, Carl
TI GP training in out-of-hours care: implications for the future workforce.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 2
BP 95
EP 101
PD 2015-Mar
PY 2015
AB AIMS: To understand GP trainees' experience of out-of-hours (OOH)
   training in England; whether it is achieving educational aims, and to
   highlight potential improvements. Additionally to explore factors that
   influence the decision to work in OOH care.
   METHODS: An online survey was sent to 1091 GP trainees in England. Odds
   ratios were calculated for factors correlating with intention to work in
   OOH, or confidence and effectiveness in OOH work. Free text responses
   were coded and organised thematically.
   RESULTS: Trainees' experience of OOH care influences the decision to
   work there once qualified. Although this experience has positively
   influenced over three-quarters of trainees, it can be improved. Training
   is not achieving competencies in managing psychiatric emergencies and
   personal safety. Half of trainees received formal teaching in OOH
   skills; 3% receiving assessments in telephone triage. Only a quarter of
   trainees had worked with their usual GP trainer. Influential features of
   training included trainer enthusiasm and continuity, familiarity with
   the workplace, and confidence in OOH skills. Financial and lifestyle
   considerations were also important.
   CONCLUSION: OOH training in England has an impact on the future
   workforce and could be improved. The planned transition to a 4-year GP
   training structure offers an opportunity to address this.
OI Hayward, Gail/0000-0003-0852-627X
ZS 0
ZR 0
TC 3
ZB 0
Z8 0
ZA 0
Z9 3
U1 0
U2 0
EI 1475-990X
UT MEDLINE:25898299
PM 25898299
ER

PT J
AU Al-Amodi, Sarah
   Mathew, Suzanna
   Fox, Judith
   Sabit, Ramsey
   Patricolo, Anna
TI Collaborate online as a small group.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 2
BP 127
EP 9
PD 2015-03
PY 2015
OI Fox, Judith/0000-0003-0438-6978
ZR 0
ZB 0
TC 1
Z8 0
ZA 0
ZS 0
Z9 1
U1 0
U2 0
SN 1473-9879
UT MEDLINE:25898306
PM 25898306
ER

PT C
AU Hofmann, Dietrich
   Dittrich, Paul-Gerald
   Hoefner, Dieter
   Kraus, Daniel
BE Sousa, JA
   Ribeiro, AS
   Filipe, E
TI Innovative Mobile Smart Photonic Dimensional, Color and Spectral
   Measurement Engineering
SO 2014 JOINT IMEKO TC1-TC7-TC13 SYMPOSIUM: MEASUREMENT SCIENCE BEHIND
   SAFETY AND SECURITY
SE Journal of Physics Conference Series
VL 588
AR 012019
DI 10.1088/1742-6596/588/1/012019
PD 2015
PY 2015
AB Aim of the paper is the demonstration of a paradigm shift in
   dimensional, color and spectral measurements in industry,
   biology/medicine, farming/environmental protection and security, as well
   as in education and training: Measurement engineering and quality
   assurance become mobile, modular and smart. Smartpads, smartphones and
   smartwatches (smartcomps) in combination with innovative hardware apps
   (hwapps) and conventional software apps (swapps) are fundamental
   enablers for the transformation from conventional stationary working
   places towards innovative mobile working places with in-field
   measurements and point-of-care (POC) diagnostics. Furthermore mobile
   open online courses (MOOCs) are transforming the study habits. Practical
   examples for the application of innovative photonic micro
   dimensiometers, colorimeters and spectrometers will be given. The
   innovative approach opens so far untapped enormous markets for
   measurement science, engineering, applications, education and training.
   These innovative working conditions will be fast accepted due to their
   convenience, reliability and affordability. A highly visible advantage
   of smartcomps is the huge number of their real distribution, their
   worldwide connectivity via Internet and cloud services, the standardized
   interfaces like USB and HDMI and the experienced capabilities of their
   users for practical operations, obtained with their private smartcomps.
CT Joint International-Measurement-Confederation (IMEKO) TC1-TC7-TC13
   Symposium on Measurement Science Behind Safety and Security
CY SEP 03-05, 2014
CL Madeira, PORTUGAL
SP TC1; TC7; TC13; Portuguese Assoc Accredited Labs; Portuguese Soc Metrol;
   Int Measurement Confederat
ZR 0
TC 0
Z8 0
ZA 0
ZB 0
ZS 0
Z9 0
U1 0
U2 9
SN 1742-6588
BN *****************
UT WOS:000352433500019
ER

PT J
AU Rughwani, Nisha
   Gliatto, Peter
   Karani, Reena
TI Long case or case vignettes: a comparison of two instructional methods
   in inpatient geriatrics for medical students.
SO Gerontology & geriatrics education
VL 36
IS 2
BP 161
EP 84
DI 10.1080/02701960.2014.966901
PD 2015
PY 2015
AB The varied, atypical manifestations of geriatric syndromes make
   knowledge transfer the ability to extend knowledge from one context to
   another a particularly relevant concept. The authors hypothesized that
   multiple, contrasting short cases, by facilitating knowledge transfer,
   would improve knowledge more than a single long case in geriatric
   medicine. The authors' objective was to assess the impact of two
   instructional methods (a single long case vs. contrasting short cases)
   on knowledge and knowledge retention among 3rd-year medical students on
   their Internal Medicine-Geriatrics Clerkship. They participated in the
   curriculum which consisted of four weekly mandatory sessions covering
   five content areas based on a systematic needs assessment. Instructional
   method alternated by month. Knowledge and knowledge retention were
   measured using an online multiple-choice question test administered
   before, immediately after, and one year following the curriculum.
   Students also completed a demographic survey prior to the curriculum and
   an evaluation of the curriculum following the curriculum. There was
   significant improvement in test scores from pre- to postcurriculum in
   both groups that persisted one year after the experience with no
   significant differences between the two groups. The two case-based
   instructional methods resulted in significant and enduring knowledge
   improvement, but one method was not better than the other. 
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
TC 1
Z9 1
U1 0
U2 1
EI 1545-3847
UT MEDLINE:25286821
PM 25286821
ER

PT J
AU Jawaid, Masood
   Khan, Muhammad Hassaan
   Bhutto, Shahzadi Nisar
TI Social network utilization (Facebook) & e-Professionalism among medical
   students
SO PAKISTAN JOURNAL OF MEDICAL SCIENCES
VL 31
IS 1
BP 209
EP 213
DI 10.12669/pjms.311.5643
PD JAN-FEB 2015
PY 2015
AB Objective: To find out the frequency and contents of online social
   networking (Facebook) among medical students of Dow University of Health
   Sciences.
   Methods: The sample of the study comprised of final year students of two
   medical colleges of Dow University of Health Sciences - Karachi.
   Systematic search for the face book profiles of the students was carried
   out with a new Facebook account. In the initial phase of search, it was
   determined whether each student had a Facebook account and the status of
   account as "private" "intermediate" or "public" was also sought. In the
   second phase of the study, objective information including gender,
   education, personal views, likes, tag pictures etc. were recorded for
   the publicly available accounts. An in depth qualitative content
   analysis of the public profiles of ten medical students, selected
   randomly with the help of random number generator technique was
   conducted.
   Results: Social networking with Facebook is common among medical
   students with 66.9% having an account out of a total 535 students. One
   fifth of profiles 18.9% were publicly open, 36.6% profiles were private
   and 56.9% were identified to have an intermediate privacy setting,
   having customized settings for the profile information. In-depth
   analysis of some public profiles showed that potentially unprofessional
   material mostly related to violence and politics was posted by medical
   students.
   Conclusion: The usage of social network (Facebook) is very common among
   students of the university. Some unprofessional posts were also found on
   students' profiles mostly related to violence and politics.
ZR 0
ZB 0
Z8 0
ZS 0
TC 9
ZA 0
Z9 9
U1 1
U2 13
SN 1682-024X
UT WOS:000349936500042
PM 25878645
ER

PT J
AU Moore, Simon
TI Are you ready for an office code blue? Online video to prepare for
   office emergencies
SO CANADIAN FAMILY PHYSICIAN
VL 61
IS 1
BP E9
EP +
PD JAN 2015
PY 2015
AB Problem being addressed Medical emergencies occur commonly in offices of
   family physicians, yet many offices are poorly prepared for emergencies.
   An Internet-based educational video discussing office emergencies might
   improve the responses of physicians and their staff to emergencies, yet
   such a tool has not been previously described.
   Objective of program To use evidence-based practices to develop an
   educational video detailing preparation for emergencies in medical
   offices, disseminate the video online, and evaluate the attitudes of
   physicians and their staff toward the video.
   Program description A 6-minute video was created using a review of
   recent literature and Canadian regulatory body policies. The video
   describes recommended emergency equipment, emergency response
   improvement, and office staff training. Physicians and their staff were
   invited to view the video online at www. OfficeEmergencies. ca. Viewers'
   opinions of the video format and content were assessed by survey (n =
   275).
   Conclusion Survey findings indicated the video was well presented and
   relevant, and the Web-based format was considered convenient and
   satisfactory. Participants would take other courses using this
   technology, and agreed this program would enhance patient care.
ZS 0
Z8 0
TC 1
ZB 0
ZA 0
ZR 0
Z9 1
U1 0
U2 0
SN 0008-350X
EI 1715-5258
UT WOS:000351934500001
PM 25609541
ER

PT J
AU Ajuwon, Grace Ada
   Popoola, Sunday O.
TI Influence of motivational factors on utilisation of Internet health
   information resources by resident doctors in Nigeria
SO ELECTRONIC LIBRARY
VL 33
IS 1
BP 103
EP 119
DI 10.1108/EL-12-2012-0159
PD 2015
PY 2015
AB Purpose - This study aims to determine the influence of motivational
   factors: perceived ease of use (PEU), perceived enjoyment (PEJ) and
   perceived usefulness (PU) on utilisation of Internet health information
   resources among resident doctors in tertiary health-care institutions in
   Nigeria. The Internet has become a major source of health information
   for practitioners and the general public. Despite the availability of
   health information resources on the Internet, some resources are
   underutilised. There are numerous studies on Internet use among
   health-care workers; however, there is a dearth of information on
   motivational factors influencing utilisation of Internet health
   information resources among resident doctors in Nigeria.
   Design/methodology/approach - A descriptive survey design was used.
   Total enumeration technique was adopted to cover 1,280 resident doctors
   in 13 tertiary health-care institutions in southwestern Nigeria. A
   validated, self-administered questionnaire was used for data collection.
   The questionnaire has four sections covering the demographic profile of
   the respondents, PEU, PEJ and PU. Four hypotheses were tested at the p <
   0.01 level of significance. Data were analyzed using descriptive
   statistics, Pearson product-moment correlation and multiple regression
   analysis.
   Findings - There were more males (69.0 per cent) than females (31 per
   cent); respondents mean age was 34 years. The result revealed that PEU(r
   = 0.181, p < 0.01), PEJ(r = 0.166, p < 0.01) and PU(r = 0.121, p < 0.01)
   have significant relationship with utilisation of Internet health
   information resources by the respondents. Also, PEU, PEJ and PU
   collectively (F = 15.366, df = 3; 897, p < 0.01) have significant
   influence on utilisation of Internet health information resources of the
   respondents. Individually, PEU (B = 0.864, df = 897, t = 3.90, p < 0.01)
   and PEJ (B = 0.349, df = 897, t = 3.060, p [lt] 0.01) were found to have
   significant influence on utilisation while PU (B = 0.232, df = 897, t =
   1.328, p > 0.01) does not significantly influence the utilisation of
   Internet health information resource of the respondents.
   Research limitations/implications - One major implication of this study
   is that system designers and web content developers should design
   programs and websites that are compatible with the user's abilities.
   Medical librarians have a role to play in providing quality health
   content that is easy to navigate and pleasurable to use. Both the
   institutions and the government have a role to play in providing
   information and communication technology facilities to enable doctors
   access relevant health information resources easily.
   Practical implications - Introduction of information literacy training
   in the residency programme or inclusion as a component of the continuing
   professional development will enable resident doctors to know relevant
   online searching tools and search techniques for accessing health
   information resources which will be useful to their work. This will in
   turn increase their PU of Internet resources. Health sciences librarians
   (medical librarians) in the various institutions/centres have a role to
   play in training resident doctors on how to access, retrieve and
   evaluate online health information. Librarians should also train
   resident doctors on how to search evidence-based Medicine resources such
   as the Cochrane Library and PubMed Clinical Queries and Critical
   Appraisal of the medical literature to make informed decision in the
   management of their patients and for research purposes. They should be
   trained on how to organise bibliographic references using reference
   manager tools such as Endnote, Zotero or Mendeley.
   Social implications - The social implication of this findings is that
   systems that are easy to use should be designed, so that doctors will be
   able to access relevant information for research and patient care for
   better health outcomes. The easier and enjoyable the system is to use,
   the more resident doctors will access and use health information
   resources to improve their service and save more lives.
   Originality/value - This study examined three motivational factors (PEU,
   PEJ and PU) that influence the utilisation of Internet health
   information resources by resident doctors in tertiary health-care
   institutions in Nigeria. The result revealed that collectively PEU, PEJ
   and PU have significant relationship with the utilisation of Internet
   health information resources, but PEU and PEJ are the main drivers of
   use of Internet health information resources among the resident doctors
   studied. This study adds to the literature of motivational factors
   influencing utilisation of Internet health information resources by
   resident doctors in southwestern Nigeria. This paper is original
   because, to the best of our knowledge, there is no other study on
   motivational factors influencing Internet use among resident doctors in
   Nigeria.
RI Ajuwon, Ada/ABC-3059-2020
ZS 1
ZA 0
ZR 0
ZB 1
Z8 1
TC 8
Z9 9
U1 1
U2 96
SN 0264-0473
EI 1758-616X
UT WOS:000350577700008
ER

PT J
AU Drugus, Daniela
   Oprean, C
   Azoicai, Doina
TI STUDY ON HEALTH PROFESSIONALS' PERCEPTION OF QUALITY OF HEALTHCARE
   PROVIDED TO PATIENTS.
SO Revista medico-chirurgicala a Societatii de Medici si Naturalisti din
   Iasi
VL 119
IS 2
BP 517
EP 21
PD 2015 Apr-Jun
PY 2015
AB UNLABELLED: The quality of the health care system is an essential
   condition for in improving the quality of health services and satisfying
   both the patients and healthcare professionals.
   RESEARCH OBJECTIVES: To identify the characteristics of medical
   profession, the factors of professional satisfaction or dissatisfaction
   and health care team-related factors that influence the quality of care.
   MATERIAL AND METHODS: Qualitative study using a SurveyMonkey online
   questionnaire consisting of 14 open-ended questions. The respondents
   were 1013 health professionals in university and non-university
   hospitals with various unit profiles.
   RESULTS: According to healthcare professionals, medical profession is
   defined by: humanism and personal sacrifice (33.37%) and also high
   professional competence (33.07%). Satisfaction factors are: patient
   health (40.57%), high social status (36.33) and saved lives (33.07%).
   Dissatisfaction may be due to: low salary (39.98%), disorganization
   (38.10%) and lack of procedures (33.96%). Performance may decrease as a
   result of: stressful working conditions, lack of adequate medical
   supplies, lack of recognition at work, routine, and strained relations
   with superiors.
   CONCLUSIONS: The study shows the need for correlating the medical
   education system and health systems, and for an integrated analysis of
   both systems by determining the required skills and modeling the medical
   team behavior in accordance with the performance variables which take
   into account satisfaction among both patients and health care
   professionals.
ZR 0
ZA 0
TC 5
ZB 1
Z8 0
ZS 0
Z9 5
U1 0
U2 2
SN 0048-7848
UT MEDLINE:26204661
PM 26204661
ER

PT J
AU Pal, Szekely
   Laszlo, Kelemen
   Andras, Fittler
   Gabriel, Hancu
   Hajnal, Finta
   Adriana, Ciurba
   Emese, Sipos
   Lajos, Botz
TI ATTITUDE OF PATIENTS AND CUSTOMERS REGARDING PURCHASING DRUGS ONLINE
SO FARMACIA
VL 63
IS 1
BP 93
EP 98
PD JAN-FEB 2015
PY 2015
AB The expansion of Internet has made healthcare products, like drugs,
   which were previously available only with the physician recommendation,
   freely available to patients and customers through illegal practices or
   counterfeit medicine. The current paper aims to assess the situation of
   Internet related medicine acquisition and consumption, by surveying
   patients and customers of community pharmacies. The survey included 253
   patients of 9 pharmacies from 5 different cities from Romania; data was
   collected using the questionnaire method. Based on the results of our
   survey, 8.3% of the respondents already ordered medicinal products via
   Internet and 7.1% were intending to do so in the near future. Those who
   ordered medicines from the Internet are typically between 18 and 34
   years, have high school or university education and are usually men.
   Most of the respondents were unaware about the potential qualitative
   differences between medical products purchased on the Internet and those
   sold in conventional pharmacies. Such data represent a warning sign, as
   increasing attention should be sought towards the problem of online
   acquired medicines during routine patient care.
RI Hancu, Gabriel/M-1538-2013
OI Hancu, Gabriel/0000-0003-2564-9271
ZA 0
ZS 0
TC 11
ZB 1
ZR 0
Z8 0
Z9 11
U1 0
U2 9
SN 0014-8237
EI 2065-0019
UT WOS:000349742300015
ER

PT J
AU Abolfotouh, Sherif M
   Ebrahim, Ahmed Z
   Abolfotouh, Mostafa A
TI Awareness and predictors of female genital mutilation/cutting among
   young health advocates.
SO International journal of women's health
VL 7
BP 259
EP 69
DI 10.2147/IJWH.S78664
PD 2015
PY 2015
AB The act of female genital mutilation/cutting (FGM/C) is considered
   internationally as a violent act against girls and women and a violation
   of their human rights. This study sought to assess the awareness and
   predictors of FGM/C in young Egyptian health advocates. A
   cross-sectional study of 600 medical students from a total of 2,500
   members of the International Federation of Medical Students'
   Associations (IFMSA)-Egypt, across all Egyptian medical schools, was
   conducted using a previously validated online Google survey. The overall
   prevalence of circumcision was 14.7/100 female students, with a
   significantly higher prevalence in students from rural areas (25%) than
   in non-rural areas (10.8%, P=0.001), and in those residing in Upper
   (southern) Egypt (20.6%) than in Lower (northern) Egypt (8.7%, P=0.003).
   The students' mean percentage score for knowledge about the negative
   health consequences of FGM/C was 53.50±29.07, reflecting a modest level
   of knowledge; only 30.5% had a good level of knowledge. The mean
   percentage score for the overall attitude toward discontinuation of the
   practice of FGM/C was 76.29±17.93, reflecting a neutral attitude; 58.7%
   had a favorable attitude/norms toward discontinuation of the practice.
   Of circumcised students, approximately one-half (46.8%) were unwilling
   to have their daughters circumcised, and 60% reported no harm from being
   circumcised. After controlling for confounders, a negative attitude
   toward FGM/C was significantly (P<0.001 in all cases) associated with
   male sex, residency in Upper Egypt, rural origin, previous circumcision,
   and the preclinical medical phase of education. The low level of
   knowledge among even future health professions in our study suggests
   that communication, rather than passive learning, is needed to convey
   the potentially negative consequences of FGM/C and to drive a change in
   attitude toward discontinuation of this harmful practice. 
RI Abolfotouh, Mostafa/I-5772-2019; Watkinson, Andrew R/N-1649-2013; Gill, Jennifer A/A-7759-2008
TC 18
Z8 0
ZS 1
ZB 1
ZR 0
ZA 0
Z9 18
U1 0
U2 8
SN 1179-1411
UT MEDLINE:25759602
PM 25759602
ER

PT J
AU Mohan, Shaun
   Follansbee, Christopher
   Nwankwo, Ugonna
   Hofkosh, Dena
   Sherman, Frederick S.
   Hamilton, Melinda F.
TI Embedding Patient Simulation in a Pediatric Cardiology Rotation: A
   Unique Opportunity for Improving Resident Education
SO CONGENITAL HEART DISEASE
VL 10
IS 1
BP 88
EP 94
DI 10.1111/chd.12239
PD JAN-FEB 2015
PY 2015
AB ObjectiveHigh-fidelity patient simulation (HFPS) has been used in
   medical education to bridge gaps in medical knowledge and clinical
   skills. Few studies have analyzed the impact of HFPS in subspecialty
   rotations for pediatric residents. We hypothesized that pediatric
   residents exposed to HFPS with a structured content curriculum would
   perform better on a case quiz than residents without exposure to HFPS.
   DesignProspective randomized controlled
   SettingTertiary-care free standing children's hospital
   InterventionsDuring a cardiology rotation, senior pediatric residents
   completed an online pediatric cardiology curriculum and a cardiology
   quiz. After randomization into two groups, the study group participated
   in a fully debriefed HFPS session. The control group had no HFPS.
   Outcome MeasureBoth groups completed a case quiz. Confidence surveys
   pre- and postsimulation were completed.
   ResultsFrom October 2010 through March 2013, 55 residents who rotated
   through the pediatric cardiology rotation were used in the final
   analysis (30 control, 25 in the study group). There was no significant
   difference between groups on the initial cardiology quiz. The study
   group scored higher on the case quiz compared with the control group (P
   = .024). Based on pre- and postsimulation questionnaires, residents'
   confidence in approaching a pediatric cardiology patient improved from
   an average Likert score of 5.1 to 7.5 (on scale of 0-10) (P < .001).
   ConclusionsIncorporation of HFPS into a preexisting pediatric cardiology
   rotation was feasible and well received. Our study suggests that
   simulation promotes increased confidence and may modestly improve
   clinical reasoning compared to traditional educational techniques.
   Targeted simulation sessions may readily be incorporated into pediatric
   subspecialty rotations.
OI Follansbee, Christopher/0000-0003-1029-800X
TC 11
ZB 1
Z8 0
ZR 0
ZS 0
ZA 0
Z9 11
U1 0
U2 6
SN 1747-079X
EI 1747-0803
UT WOS:000349462600019
PM 25421802
ER

PT J
AU McNulty, John A.
   Espiritu, Baltazar R.
   Hoyt, Amy E.
   Ensminger, David C.
   Chandrasekhar, Arcot J.
TI Associations Between Formative Practice Quizzes and Summative
   Examination Outcomes in a Medical Anatomy Course
SO ANATOMICAL SCIENCES EDUCATION
VL 8
IS 1
BP 37
EP 44
DI 10.1002/ase.1442
PD JAN-FEB 2015
PY 2015
AB Formative practice quizzes have become common resources for
   self-evaluation and focused reviews of course content in the medical
   curriculum. We conducted two separate studies to (1) compare the effects
   of a single or multiple voluntary practice quizzes on subsequent
   summative examinations and (2) examine when students are most likely to
   use practice quizzes relative to the summative examinations. In the
   first study, providing a single on-line practice quiz followed by
   instructor feedback had no effect on examination average grades compared
   to the previous year or student performances on similar questions.
   However, there were significant correlations between student performance
   on each practice quiz and each summative examination (r=0.42 and
   r=0.24). When students were provided multiple practice quizzes with
   feedback (second study), there were weak correlations between the
   frequency of use and performance on each summative examination (r=0.17
   and r=0.07). The frequency with which students accessed the practice
   quizzes was greatest the day before each examination. In both studies,
   there was a decline in the level of student utilization of practice
   quizzes over time. We conclude that practice quizzes provide some
   predictive value for performances on summative examinations. Second,
   making practice quizzes available for longer periods prior to summative
   examinations does not promote the use of the quizzes as a study strategy
   because students appear to use them mostly to assess knowledge one to
   two days prior to examinations. Anat Sci Educ 8: 37-44. (c) 2014
   American Association of Anatomists.
ZS 0
ZA 0
ZB 0
Z8 0
TC 15
ZR 0
Z9 15
U1 4
U2 17
SN 1935-9772
EI 1935-9780
UT WOS:000347335400005
PM 24596276
ER

PT J
AU MacLeod, Matthew G.
   Hoppe, Daniel J.
   Simunovic, Nicole
   Bhandari, Mohit
   Philippon, Marc J.
   Ayeni, Olufemi R.
TI YouTube As an Information Source for Femoroacetabular Impingement: A
   Systematic Review of Video Content
SO ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
VL 31
IS 1
BP 136
EP 142
DI 10.1016/j.arthro.2014.06.009
PD JAN 2015
PY 2015
AB Purpose: This study was carried out to assess the quality of information
   available on YouTube regarding femoroacetabular impingement (FAI).
   Methods: YouTube was searched on September 7, 2013 using the search
   terms FAI, femoroacetabular impingement, and hip impingement. Analysis
   was restricted to the first 3 pages of results for each search term.
   English language was a prerequisite for inclusion. Videos were evaluated
   by 2 independent reviewers (M.G.M., D.J.H.) using novel scoring
   checklists for diagnosis and treatment of FAI. Interobserver reliability
   analysis was evaluated using the intraclass correlation coefficient
   (ICC). Videos were grouped according to quality assessment score, and
   the group means were analyzed for differences in video characteristics
   using the analysis of variance (ANOVA) model. Videos were characterized
   by the source of content. Results: After filtering 1,288,324 potential
   videos, 52 videos were identified and included for analysis. The mean
   video quality assessment scores were 3.1 for diagnosis and 2.9 for
   treatment (maximum score = 16). No videos were scored as excellent
   (quality assessment score > 12). Effective resources included 3 videos
   on diagnosis and one video on treatment. No statistically significant
   differences were found between high-and low-scoring videos for duration,
   days online, views per day, likes, likes per day, likes per view,
   dislikes, or likes-dislikes difference for either diagnosis or treatment
   (P > .05 for all). The source of most of the videos was educational
   (67%), and most of these included physicians (66%). Conclusions:
   Patients searching YouTube for videos pertaining to FAI will be
   presented with a sizeable repository of content of overall low quality.
   As such, physicians need to recognize the potential influence of YouTube
   videos on patients' preconceptions of their conditions and the effect on
   the physician-patient consultation. This review highlights the need for
   evidence-based, comprehensive educational videos addressing FAI
   diagnosis and treatment.
RI ayeni, olufemi/AAQ-5090-2021; Bhandari, Mohit/AAQ-1675-2021; Hoppe, Daniel/
OI ayeni, olufemi/0000-0003-4219-8564; Hoppe, Daniel/0000-0001-8120-490X
ZS 0
ZR 0
Z8 0
ZB 7
TC 73
ZA 0
Z9 73
U1 2
U2 12
SN 0749-8063
EI 1526-3231
UT WOS:000347032400027
PM 25150406
ER

PT J
AU Melloy, Patricia G.
TI Using an International p53 Mutation Database as a Foundation for an
   Online Laboratory in an Upper Level Undergraduate Biology Class
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 43
IS 1
BP 28
EP 32
DI 10.1002/bmb.20831
PD JAN-FEB 2015
PY 2015
AB A two-part laboratory exercise was developed to enhance classroom
   instruction on the significance of p53 mutations in cancer development.
   Students were asked to mine key information from an international
   database of p53 genetic changes related to cancer, the IARC TP53
   database. Using this database, students designed several data mining
   activities to look at the changes in the p53 gene from a number of
   perspectives, including potential cancer-causing agents leading to
   particular changes and the prevalence of certain p53 variations in
   certain cancers. In addition, students gained a global perspective on
   cancer prevalence in different parts of the world. Students learned how
   to use the database in the first part of the exercise, and then used
   that knowledge to search particular cancers and cancer-causing agents of
   their choosing in the second part of the exercise. Students also
   connected the information gathered from the p53 exercise to a previous
   laboratory exercise looking at risk factors for cancer development. The
   goal of the experience was to increase student knowledge of the link
   between p53 genetic variation and cancer. Students also were able to
   walk a similar path through the website as a cancer researcher using the
   database to enhance bench work-based experiments with complementary
   large-scale database p53 variation information. (c) 2014 by The
   International Union of Biochemistry and Molecular Biology, 43(1):28-32,
   2015.
OI Melloy, Patricia/0000-0002-5463-2260
ZR 0
TC 4
ZB 2
ZS 0
ZA 0
Z8 0
Z9 4
U1 0
U2 6
SN 1470-8175
EI 1539-3429
UT WOS:000348370800006
PM 25395068
ER

PT J
AU Aboshady, Omar A.
   Radwan, Ahmed E.
   Eltaweel, Asmaa R.
   Azzam, Ahmed
   Aboelnaga, Amr A.
   Hashem, Heba A.
   Darwish, Salma Y.
   Salah, Rehab
   Kotb, Omar N.
   Afifi, Ahmed M.
   Noaman, Aya M.
   Salem, Dalal S.
   Hassouna, Ahmed
TI Perception and use of massive open online courses among medical students
   in a developing country: multicentre cross-sectional study
SO BMJ OPEN
VL 5
IS 1
AR e006804
DI 10.1136/bmjopen-2014-006804
PD 2015
PY 2015
AB Objectives: To assess the prevalence of awareness and use of massive
   open online courses (MOOCs) among medical undergraduates in Egypt as a
   developing country, as well as identifying the limitations and
   satisfaction of using these courses.
   Design: A multicentre, cross-sectional study using a web-based,
   pilot-tested and self-administered questionnaire.
   Settings: Ten out of 19 randomly selected medical schools in Egypt.
   Participants: 2700 undergraduate medical students were randomly
   selected, with an equal allocation of participants in each university
   and each study year.
   Primary and secondary outcome measures: Primary outcome measures were
   the percentages of students who knew about MOOCs, students who enrolled
   and students who obtained a certificate. Secondary outcome measures
   included the limitations and satisfaction of using MOOCs through
   five-point Likert scale questions.
   Results: Of 2527 eligible students, 2106 completed the questionnaire
   (response rate 83.3%). Of these students, 456 (21.7%) knew the term
   MOOCs or websites providing these courses. Out of the latter, 136
   (29.8%) students had enrolled in at least one course, but only 25
   (18.4%) had completed courses earning certificates. Clinical year
   students showed significantly higher rates of knowledge (p=0.009) and
   enrolment (p<0.001) than academic year students. The primary reasons for
   the failure of completion of courses included lack of time (105; 77.2%)
   and slow Internet speed (73; 53.7%). Regarding the 25 students who
   completed courses, 21 (84%) were satisfied with the overall experience.
   However, there was less satisfaction regarding student-instructor (8;
   32%) and student-student (5; 20%) interactions.
   Conclusions: About one-fifth of Egyptian medical undergraduates have
   heard about MOOCs with only about 6.5% actively enrolled in courses.
   Students who actively participated showed a positive attitude towards
   the experience, but better time-management skills and faster Internet
   connection speeds are required. Further studies are needed to survey the
   enrolled students for a better understanding of their experience.
RI Radwan, Ahmed E./M-1034-2017; Afifi, Ahmed M/M-1261-2019; Hassouna, Ahmed/M-3683-2014; Aboshady, Omar/B-4352-2015; Radwan, Ahmed/; Salem, Dalal/; salah, rehab/
OI Radwan, Ahmed E./0000-0002-3011-5832; Afifi, Ahmed
   M/0000-0002-4294-8217; Hassouna, Ahmed/0000-0001-8472-277X; Aboshady,
   Omar/0000-0003-1505-3175; Radwan, Ahmed/0000-0002-8019-4321; Salem,
   Dalal/0000-0002-4236-9581; salah, rehab/0000-0003-4688-0763
ZA 0
Z8 1
TC 31
ZB 2
ZR 1
ZS 0
Z9 33
U1 0
U2 32
SN 2044-6055
UT WOS:000348171800035
PM 25564149
ER

PT J
AU Gil-Guillen, Vicente
   Hermida, Enrique
   Pita-Fernandez, Salvador
   Palazon-Bru, Antonio
   Durazo-Arvizu, Ramon
   Pallares-Carratala, Vicente
   Orozco-Beltran, Domingo
   Carratala-Munuera, Concepcion
   Lopez-Pineda, Adriana
   Navarro, Jorge
TI A cardiovascular educational intervention for primary care professionals
   in Spain: positive impact in a quasi-experimental study
SO BRITISH JOURNAL OF GENERAL PRACTICE
VL 65
IS 630
BP E32
EP E40
DI 10.3399/bjgp15X683137
PD JAN 2015
PY 2015
AB Background
   Routine general practice data collection can help identify patients at
   risk of cardiovascular disease.
   Aim
   To determine whether a training programme for primary care professionals
   improves the recording of cardiovascular disease risk factors in
   electronic health records.
   Design and setting
   A quasi-experimental study without random assignment of professionals.
   This was an educational intervention study, consisting of an
   online-classroom 1-year training programme, and carried out in the
   Valencian community in Spain.
   Method
   The prevalence rates of recording of cardiovascular factors (recorded
   every 6 months over a 4-year period) were compared between intervention
   and control group. Clinical relevance was calculated by absolute risk
   reduction (ARR), relative risk reduction (RRR), and number of patients
   needed-to-attend (NNA), to avoid under-recording, with their 95%
   confidence intervals (CIs). Linear regression models were used for each
   of the variables.
   Results
   Of the 941 professionals initially registered, 78.1% completed the
   programme. The ARR ranged from 1.87% (95% CI = 1.79 to 1.94) in the
   diagnosis of diabetes to 15.27% (95% CI = 15.14 to 15.40) in the
   recording of basal blood glucose. The NNA ranged from 7 in blood
   pressure, cholesterol, and blood glucose recording to 54 in the
   diagnosis of diabetes. The RRR ranged from 26.7% in the diagnosis of
   diabetes to 177.1% in the recording of the Systematic Coronary Risk
   Evaluation (SCORE). The rates of change were greater in the intervention
   group and the differences were significant for recording of cholesterol
   (P<0.001), basal blood glucose (P<0.001), smoking (P<0.001), alcohol
   (P<0.001), microalbuminuria (P = 0.001), abdominal circumference
   (P<0.001), and SCORE (P<0.001).
   Conclusion
   The education programme had a beneficial effect at the end of the
   follow-up that was significant and clinically relevant.
RI Carratala-Munuera, Concepcion/ABH-1205-2020; CARRATALA, VICENTE PALLARES/AAH-5511-2019; Guillén, Vicente Francisco Gil/AAE-8201-2019; Palazon-Bru, Antonio/; Lopez-Pineda, Adriana/; Gil-Guillen, Vicente F/; Orozco-Beltran, Domingo/
OI Carratala-Munuera, Concepcion/0000-0002-1303-6294; CARRATALA, VICENTE
   PALLARES/0000-0002-2985-6078; Palazon-Bru, Antonio/0000-0002-5959-9631;
   Lopez-Pineda, Adriana/0000-0002-2117-0178; Gil-Guillen, Vicente
   F/0000-0003-3793-9786; Orozco-Beltran, Domingo/0000-0002-8231-2635
ZS 0
ZA 0
ZR 0
TC 6
Z8 0
ZB 2
Z9 6
U1 0
U2 4
SN 0960-1643
EI 1478-5242
UT WOS:000348520400005
PM 25548314
ER

PT S
AU Roehrer, Erin
   Cummings, Elizabeth
   Ellis, Leonie
   Turner, Paul
BE Courtney, KL
   Kuo, A
   Shabestari, O
TI Value versus Use for Patients: Findings from an ICT supported Cystic
   Fibrosis Self-Management Project
SO DRIVING QUALITY IN INFORMATICS: FULFILLING THE PROMISE
SE Studies in Health Technology and Informatics
VL 208
BP 319
EP 323
DI 10.3233/978-1-61499-488-6-319
PD 2015
PY 2015
AB This paper presents findings from the implementation of an online
   symptom monitoring diary that was part of a broader project aimed to
   support self-management of cystic fibrosis and the development of an
   online community of practice (CoP). The findings challenge conventional
   perspectives on how value is acquired by patients and their families
   from electronic tools designed to provide them with support.
   Additionally, the findings highlight complex relationships between user
   needs and subsequent tool use that challenge approaches to the
   measurement of value from ehealth projects.
RI Turner, Paul/ABE-2261-2021; Turner, Paul A/J-7455-2014; Cummings, Elizabeth/G-6296-2013
OI Turner, Paul/0000-0003-4504-2338; Turner, Paul A/0000-0003-4504-2338;
   Cummings, Elizabeth/0000-0001-6501-7450
ZS 0
Z8 0
ZR 0
TC 1
ZA 0
ZB 0
Z9 1
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-61499-488-6; 978-1-61499-487-9
UT WOS:000429894900060
PM 25676995
ER

PT S
AU Wang, Shu-Lin
   Kuo, Mu-Hsing
   Shiu, Yi-Shiang
   Huang, Hsiu-Mei
BE Courtney, KL
   Kuo, A
   Shabestari, O
TI A Recommendation-based Mobile Web Application for Health Information
   Service
SO DRIVING QUALITY IN INFORMATICS: FULFILLING THE PROMISE
SE Studies in Health Technology and Informatics
VL 208
BP 337
EP 341
DI 10.3233/978-1-61499-488-6-337
PD 2015
PY 2015
AB Information overload and irrelevant information are major obstacles for
   drawing conclusions on the personal health status and taking adequate
   medical actions. The objective of this study is to design a
   recommendation-based mobile web application to assist patient
   efficiently search online health information at anytime, anywhere and
   via any devices. In the system, we use a collaborative filtering
   approach to recommend health information to users.
TC 0
ZA 0
ZS 0
Z8 0
ZR 0
ZB 0
Z9 0
U1 0
U2 3
SN 0926-9630
EI 1879-8365
BN 978-1-61499-488-6; 978-1-61499-487-9
UT WOS:000429894900063
PM 25676998
ER

PT J
AU Chandauka, Rumbidzai E
   Russell, Jean M
   Sandars, John
   Vivekananda-Schmidt, Pirashanthie
TI Differing perceptions among ethnic minority and Caucasian medical
   students which may affect their relative academic performance.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 26
IS 1
BP 11
EP 5
PD 2015-Jan
PY 2015
AB INTRODUCTION: Ethnic minority (EM) medical students in the United
   Kingdom underperform academically compared to their Caucasian
   counterparts, but the reasons are unclear and further understanding is
   required.
   AIM: To explore self-reported factors that might influence academic
   underperformance of EM medical students.
   METHOD: An online semi-structured questionnaire was used to identify
   associations between several dimensions that had been identified in
   previous research and obtain free-text comments.
   RESULTS: Three-hundred and fifty-one medical students (73.3% Caucasian
   and 26.5% EM) from the Universities of Sheffield, Keele and London
   responded. EM medical students were less satisfied with their academic
   performance and less likely to feel they belonged to the medical school
   community due to their cultural background, including socio-economic
   factors.
   CONCLUSION: Differences exist between EM and Caucasian medical students
   in their learning experiences in medical school. There is a need to
   increase awareness, for both medical students and teaching staff, of the
   impact of cultural diversity on academic performance at medical school.
OI Vivekananda-Schmidt, Pirashanthie/0000-0003-1629-6574
ZR 0
Z8 0
TC 9
ZS 0
ZB 0
ZA 0
Z9 9
U1 1
U2 4
SN 1473-9879
UT MEDLINE:25654797
PM 25654797
ER

PT J
AU Lopez, Jorge H
   Reyes-Ortiz, Carlos A
TI Geriatric education in undergraduate and graduate levels in Latin
   America.
SO Gerontology & geriatrics education
VL 36
IS 1
BP 3
EP 13
DI 10.1080/02701960.2014.911662
PD 2015
PY 2015
AB A recent dramatic increase in the elderly population has not been
   accompanied by a parallel increase in specialized health care
   professionals in Latin America. The main purpose of this work was to
   determine the stage of geriatrics teaching for undergraduate and
   graduate medical levels in Latin America. Using a questionnaire given in
   person and online, the authors surveyed geriatricians from 16 countries:
   eight from South America and eight from Central America. Among 308
   medical schools, 35% taught undergraduate geriatrics, ranging from none
   in Uruguay, Venezuela, and Guatemala to 82% in Mexico. The authors
   identified 36 programs in 12 countries with graduate medical education
   in geriatrics, ranging from 2 to 5 years of training. The authors
   conclude that although the population is aging rapidly in Latin American
   countries, there has been a slow development of geriatrics teaching at
   undergraduate and postgraduate levels in the region. 
OI Reyes-Ortiz, Carlos Alfonso/0000-0001-7983-7791
ZR 0
Z8 0
ZB 0
ZS 2
TC 8
ZA 0
Z9 10
U1 0
U2 1
EI 1545-3847
UT MEDLINE:24717013
PM 24717013
ER

PT J
AU Ruiz, Jorge G
   Andrade, Allen D
   Anam, Ramanakumar
   Taldone, Sabrina
   Karanam, Chandana
   Hogue, Christie
   Mintzer, Michael J
TI Group-based differences in anti-aging bias among medical students.
SO Gerontology & geriatrics education
VL 36
IS 1
BP 58
EP 78
DI 10.1080/02701960.2014.966904
PD 2015
PY 2015
AB Medical students (MS) may develop ageist attitudes early in their
   training that may predict their future avoidance of caring for the
   elderly. This study sought to determine MS' patterns of explicit and
   implicit anti-aging bias, intent to practice with older people and using
   the quad model, the role of gender, race, and motivation-based
   differences. One hundred and three MS completed an online survey that
   included explicit and implicit measures. Explicit measures revealed a
   moderately positive perception of older people. Female medical students
   and those high in internal motivation showed lower anti-aging bias, and
   both were more likely to intend to practice with older people. Although
   the implicit measure revealed more negativity toward the elderly than
   the explicit measures, there were no group differences. However, using
   the quad model the authors identified gender, race, and motivation-based
   differences in controlled and automatic processes involved in anti-aging
   bias. 
ZB 2
ZA 0
ZR 0
TC 13
Z8 0
ZS 2
Z9 14
U1 0
U2 5
EI 1545-3847
UT MEDLINE:25288486
PM 25288486
ER

PT J
AU Barron, Jeremy S
   Bragg, Elizabeth
   Cayea, Danelle
   Durso, Samuel C
   Fedarko, Neal S
TI The short-term and long-term impact of a brief aging research training
   program for medical students.
SO Gerontology & geriatrics education
VL 36
IS 1
BP 96
EP 106
DI 10.1080/02701960.2014.942036
PD 2015
PY 2015
AB Summer training in aging research for medical students is a strategy for
   improving the pipeline of medical students into research careers in
   aging and clinical care of older adults. Johns Hopkins University has
   been offering medical students a summer experience of mentored research,
   research training, and clinical shadowing since 1994. Long-term outcomes
   of this program have not been described. The authors surveyed all 191
   participants who had been in the program from 1994-2010 (60% female and
   27% underrepresented minorities) and received a 65.8% (N = 125) response
   rate. The authors also conducted Google and other online searches to
   supplement study findings. Thirty-seven percent of those who have
   completed training are now in academic medicine, and program
   participants have authored or coauthored 582 manuscripts. Among survey
   respondents, 95.1% reported that participation in the Medical Student
   Training in Aging Research program increased their sensitivity to the
   needs of older adults. This program may help to build commitment among
   medical students to choose careers in aging. 
OI Fedarko, Neal/0000-0001-6055-6279; Cayea, Danelle/0000-0003-2061-2007
ZA 0
Z8 0
ZR 0
TC 5
ZS 0
ZB 1
Z9 5
U1 0
U2 1
EI 1545-3847
UT MEDLINE:25029669
PM 25029669
ER

PT J
AU Akay, Altug
   Dragomir, Andrei
   Erlandsson, Bjorn-Erik
TI Network-Based Modeling and Intelligent Data Mining of Social Media for
   Improving Care
SO IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
VL 19
IS 1
BP 210
EP 218
DI 10.1109/JBHI.2014.2336251
PD JAN 2015
PY 2015
AB Intelligently extracting knowledge from social media has recently
   attracted great interest from the Biomedical and Health Informatics
   community to simultaneously improve health-care outcomes and reduce
   costs using consumer-generated opinion. We propose a two-step analysis
   framework that focuses on positive and negative sentiment, as well as
   the side effects of treatment, in users' forum posts, and identifies
   user communities (modules) and influential users for the purpose of
   ascertaining user opinion of cancer treatment. We used a self-organizing
   map to analyze word frequency data derived from users' forum posts. We
   then introduced a novel network-based approach for modeling users' forum
   interactions and employed a network partitioning method based on
   optimizing a stability quality measure. This allowed us to determine
   consumer opinion and identify influential users within the retrieved
   modules using information derived from bothword-frequency data and
   network-based properties. Our approach can expand research into
   intelligently mining social media data for consumer opinion of various
   treatments to provide rapid, up-to-date information for the
   pharmaceutical industry, hospitals, and medical staff, on the
   effectiveness (or ineffectiveness) of future treatments.
RI Akay, Altug/AAA-2113-2019; Dragomir, Andrei/F-5411-2012; Erlandsson, Bjorn-Erik/
OI Dragomir, Andrei/0000-0003-2815-6958; Erlandsson,
   Bjorn-Erik/0000-0002-1929-135X
Z8 0
ZB 5
ZS 1
ZA 0
TC 30
ZR 0
Z9 31
U1 0
U2 75
SN 2168-2194
EI 2168-2208
UT WOS:000347342300026
PM 25029520
ER

PT J
AU Butcher, Brad W.
   Quist, Christina E.
   Harrison, James D.
   Ranji, Sumant R.
TI The Effect of a Rapid Response Team on Resident Perceptions of Education
   and Autonomy
SO JOURNAL OF HOSPITAL MEDICINE
VL 10
IS 1
BP 8
EP 12
DI 10.1002/jhm.2270
PD JAN 2015
PY 2015
AB BACKGROUNDThe impact of rapid response teams (RRTs) on resident
   physicians' education and clinical autonomy is not well described.
   OBJECTIVETo determine whether resident physicians perceive educational
   benefit from collaboration with an RRT and whether they believe that the
   RRT adversely affects their clinical autonomy.
   DESIGNSurvey study.
   METHODSStudy subjects were asked to participate in a brief online
   survey. The survey contained 7 demographic items and 20 RRT-related
   items graded on a 5-point Likert scale ranging from strongly disagree to
   strongly agree.
   SETTING/SUBJECTSThe study was conducted at a tertiary care academic
   medical center. Subjects included all residents in specialties involving
   direct patient care and the potential to use the adult RRT.
   RESULTSThe response rate was 72%; 35% of respondents were interns, and
   69% were in medical fields. Residents agreed that working with the RRT
   is a valuable educational experience (78%) and disagreed that the RRT
   decreased their clinical autonomy (76%). Surgical residents were less
   likely than medical residents to perceive educational value from RRT
   interactions (P=0.01) or to report collaborative decision making with
   the RRT (P=0.04).
   CONCLUSIONSThe majority of resident physicians perceive educational
   benefit from interaction with the RRT, though this benefit is greater
   for less experienced residents and for those residents who routinely
   provide care for critically ill patients and serve as code team leaders.
   Few residents, irrespective of years of training or specialty, felt that
   the RRT reduced their clinical autonomy. Journal of Hospital Medicine
   2015;10:8-12. (c) 2015 Society of Hospital Medicine
RI Butcher, Brad/AAH-7707-2020; Harrison, James/
OI Harrison, James/0000-0002-7761-7039
Z8 0
ZB 1
ZA 0
ZR 0
ZS 0
TC 16
Z9 16
U1 0
U2 2
SN 1553-5592
EI 1553-5606
UT WOS:000347516300002
PM 25603788
ER

PT J
AU Cobb, Martha D.
   Grant, Marcia
   Tallman, Nancy J.
   Wendel, Christopher S.
   Colwell, Janice
   McCorkle, Ruth
   Krouse, Robert S.
TI Colostomy Irrigation Current Knowledge and Practice of WOC Nurses
SO JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING
VL 42
IS 1
BP 65
EP 70
DI 10.1097/WON.0000000000000075
PD JAN-FEB 2015
PY 2015
AB PURPOSE: This study builds on the authors' previous studies that
   demonstrate that persons living with a colostomy who practice colostomy
   irrigation (CI) experience quality-of-life benefits. Studies also reveal
   that patients may not be taught about CI. The purpose of this study was
   to determine current knowledge, attitudes, and practices of WOC nurses
   on CI.
   SUBJECTS: The target population was ostomy nurses who were members of
   the Wound, Ostomy and Continence Nurse's Society. Nine hundred
   eighty-five nurses out of a possible pool of 4191 members responded,
   providing a response rate of 24%. Their average age was 53 years (range,
   25-79 years). Respondents averaged 12 years' experience as a WOC nurse
   (range, 1-40 years) and 90% (n = 875) were certified. Participants
   practiced in a variety of settings, including acute and long-term care
   facilities, home health, and ambulatory clinics. They saw an average of
   37 +/- 60.5 (mean +/- SD) ostomy patients per year (range, 0-1100).
   METHODS: A 1-time online survey (SurveyMonkey) of members of the Wound,
   Ostomy and Continence Nurses (WOCN) Society was conducted. In addition
   to demographic and educational information, questions also included (1)
   CI advantages and disadvantages; (2) CI content routinely taught; (3)
   challenges in assisting patients to learn CI; and (4) where preparation
   was received for teaching this procedure. Nurses were asked whether they
   believe CI is evidence-based.
   RESULTS: More than half identified irrigation as an evidence-based
   practice (59%), but half indicated they do not routinely teach CI.
   Multiple factors correlated with nurses' decisions to teach CI,
   including years of experience (P = .03), specific CI education (P <
   .001), and considering the intervention evidence-based (P < .001).
   CONCLUSION: Factors influencing CI instruction are multifactorial; they
   include nurses' attitudes, experience base, education, medical
   indications, setting characteristics, and patient interest and physical
   abilities. Education on this procedure is urgently needed for ostomy
   nurses unprepared and/or unfamiliar with CI, as well as staff nurses in
   acute care units who could offer accurate information and additional
   resources to patients to increase their informed decisions.
ZB 0
TC 7
ZS 1
Z8 0
ZR 0
ZA 0
Z9 8
U1 1
U2 31
SN 1071-5754
EI 1528-3976
UT WOS:000347460800010
PM 25325284
ER

PT J
AU Ho, Ming-Jung
   Shaw, Kevin
   Liu, Tzu-Hung
   Norris, Jessie
   Chiu, Yu-Ting
TI Equal, global, local: discourses in Taiwan's international medical
   graduate debate
SO MEDICAL EDUCATION
VL 49
IS 1
BP 48
EP 59
DI 10.1111/medu.12619
PD JAN 2015
PY 2015
AB ContextWith the globalisation of medicine, the role of international
   medical graduates (IMGs) has expanded. Nonetheless, the experiences of
   native-born IMGs remain under-researched. In Taiwan, public controversy
   has unfolded around IMGs educated in Poland, calling into question the
   meaning(s) of equality in policy and medicine. In focusing on the return
   of IMGs to their countries of origin, this study adds to the growing
   literature concerning equality and globalisation in medical education.
   ObjectivesThe primary research aim was to analyse how stakeholders in
   the IMG debate use equality in their arguments. The authors set out to
   frame the dispute within the recent history of Taiwanese medical
   governance. An overarching objective was to contribute a critical,
   historical view of how discourses of globalisation and equality
   construct different policy approaches to international medical
   education.
   MethodsThe authors performed a critical discourse analysis of a public
   policy dispute in Taiwan, assembling an archive from online
   interactions, government reports and news articles. Coding focused on
   stakeholders' uses of equality to generate broader discourses.
   ResultsInternational and domestic Taiwanese students conceived of
   equality differently, referencing both equality of opportunity' and
   equality of outcome' within localisation and globalisation frameworks,
   respectively. The dominance of localisation discourse is reflected in
   hostile online rhetoric towards Poland-educated IMGs.
   ConclusionsRhetorical disagreements over equality in medical education
   trace shifting state policies, from earlier attempts to remove barriers
   for IMGs to the present-day push to regulate IMGs for acculturation and
   quality assurance. The global Internet had a double-sided influence,
   facilitating both democratic political mobilization and the spread of
   hate speech. The policy debate in Taiwan mirrors discourses in Canada,
   where IMGs are likewise conceived either as globally competent
   physicians or as lacking in merit and technical competence. Future
   research could investigate the discursive formation and evidential basis
   of policies regulating international medical education.
   Discuss ideas arising from the article at discuss.
RI Ho, Ming-Jung/AAS-7738-2020; Liu, Tzu-Hung/
OI Liu, Tzu-Hung/0000-0003-2427-0999
TC 15
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
Z9 15
U1 0
U2 29
SN 0308-0110
EI 1365-2923
UT WOS:000346985900013
PM 25545573
ER

PT J
AU Chhabra, H. S.
   Kaul, R.
   Kanagaraju, V.
TI Do we have an ideal classification system for thoracolumbar and subaxial
   cervical spine injuries: what is the expert's perspective?
SO SPINAL CORD
VL 53
IS 1
BP 42
EP 48
DI 10.1038/sc.2014.194
PD JAN 2015
PY 2015
AB Study design: Online questionnaire survey.
   Objective: To obtain the opinion of experts on whether the currently
   available classification systems for thoracolumbar and subaxial cervical
   spine injuries meet their expectations with regard to the desired
   objectives of a good classification system and practical
   implementability.
   Methods: An online survey was conducted during August-September 2013
   using a specially designed questionnaire. Members of Spine Trauma Study
   Group of International Spinal Cord Society and other spinal injury
   experts were approached, and responses were analyzed.
   Results: Forty-two spine experts responded. Majority (87.50%, n = 35)
   were involved with education and research. For subaxial cervical spine
   injuries, Allen Ferguson classification was more commonly used (37.50%,
   n = 15) and thought to be practically implementable in day-to-day
   practice (30.77%). For thoracolumbar injuries, while Thoracolumbar
   Injury Classification and Severity Score (TLICS) was more commonly used
   (47.50%, n = 19), the response of experts for practical implementability
   in day-to-day practice was more evenly distributed among TLICS, AO
   (Association for Osteosynthesis) and Dennis classifications (30.77,
   23.08 and 25.64%, respectively). Experts felt that the classification
   systems did not serve all the desired objectives. The reliability for
   residents was especially a concern.
   Conclusion: We may still be far from an ideal classification system.
   Many experts continue to prefer or would consider shifting back to
   traditional and simpler systems. There is a need for developing
   classification systems that would be better implementable practically in
   day-to-day clinical practice, better guide treatment, be more reliable,
   incorporate other modifiers influencing treatment and be more
   comprehensive in that order of priority.
RI Chhabra, Harvinder/AAR-8376-2021
ZA 0
Z8 2
TC 13
ZB 6
ZS 1
ZR 2
Z9 17
U1 0
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000347776400010
PM 25384403
ER

PT J
AU de Ruijter, V.
   Halvax, P.
   Dallemagne, B.
   Swanstroem, L.
   Marescaux, J.
   Perretta, S.
TI The Business Engineering Surgical Technologies (BEST) teaching method:
   incubating talents for surgical innovation
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 29
IS 1
BP 48
EP 54
DI 10.1007/s00464-014-3652-1
PD JAN 2015
PY 2015
AB Technological innovation in surgical science and healthcare is vital and
   calls for close collaboration between engineering and surgery. To meet
   this objective, BEST was designed as a free sustainable innovative
   teaching method for young professionals, combining surgery, engineering,
   and business in a multidisciplinary, high-quality, low-cost, and
   learning-by-doing philosophy.
   This paper reviews the initial outcomes of the program and discusses
   lessons learned and future directions of this innovative educational
   method.
   BEST educational method is delivered in two parts: the first component
   consisting of live streaming or pre-recorded online lectures, with an
   interdisciplinary profile focused on surgery, engineering, and business.
   The second component is an annual 5-day on-site course, organized at
   IRCAD-IHU, France. The program includes workshops in engineering,
   entrepreneurship team projects, and in-depth hands-on experience in
   laparoscopy, robotic surgery, interventional radiology, and flexible
   endoscopy with special emphasis on the interdisciplinary aspect of the
   training. A panel of surgeons, engineers, well-established
   entrepreneurs, and scientists assessed the team projects for potential
   patent application.
   From November 2011 till September 2013, 803 individual and institutional
   users from 79 different countries attended the online course. In total,
   134 young professionals from 32 different countries applied to the
   onsite course. Sixty participants were selected each year for the onsite
   course. In addition, five participants were selected for a web-based
   team. Thirteen provisional patents were filed for the most promising
   projects.
   BEST proved to be a global talent incubator connecting students to
   high-quality education despite institutional and economical boundaries.
   Viable and innovative ideas arose from this revolutionary approach which
   is likely to spin-off significant technology transfer and lead the way
   for future interdisciplinary hybrid surgical education programs and
   career paths.
RI Dallemagne, Bernard/R-6768-2019; Swanstrom, Lee/
OI Dallemagne, Bernard/0000-0003-2263-0591; Swanstrom,
   Lee/0000-0002-1740-463X
ZS 1
ZR 0
ZA 0
ZB 0
Z8 0
TC 9
Z9 10
U1 2
U2 45
SN 0930-2794
EI 1432-2218
UT WOS:000347837900007
PM 24993171
ER

PT J
AU Armstrong, Lorraine
   Lauder, William
   Shepherd, Ashley
TI An evaluation of methods used to teach quality improvement to
   undergraduate healthcare students to inform curriculum development
   within preregistration nurse education: a protocol for systematic review
   and narrative synthesis.
SO Systematic reviews
VL 4
BP 8
EP 8
DI 10.1186/2046-4053-4-8
PD 2015 Jan 14
PY 2015
AB BACKGROUND: Despite criticism, quality improvement (QI) continues to
   drive political and educational priorities within health care. Until
   recently, QI educational interventions have varied, targeting mainly
   postgraduates, middle management and the medical profession. However,
   there is now consensus within the UK, USA and beyond to integrate QI
   explicitly into nurse education, and faculties may require redesign of
   their QI curriculum to achieve this. Whilst growth in QI preregistration
   nurse education is emerging, little empirical evidence exists to
   determine such effects. Furthermore, previous healthcare studies
   evaluating QI educational interventions lend little in the way of
   support and have instead been subject to criticism. They reveal
   methodological weakness such as no reporting of theoretical
   underpinnings, insufficient intervention description, poor evaluation
   methods, little clinical or patient impact and lack of sustainability.
   This study aims therefore to identify, evaluate and synthesise teaching
   methods used within the undergraduate population to aid development of
   QI curriculum within preregistration nurse education.
   METHODS/DESIGN: A systematic review of the literature will be conducted.
   Electronic databases, Cumulative Index to Nursing and Allied Health
   Literature (CINAHL), Psychological Information (PsychINFO), Education
   Resources Information Centre (ERIC), Medical Literature Analysis and
   Retrieval System Online (MEDLINE) and Applied Social Sciences Index and
   Abstracts (ASSIA), will be searched alongside reference list scanning
   and a grey literature search. Peer-reviewed studies from 2000-2014 will
   be identified using key terms quality improvement, education,
   curriculum, training, undergraduate, teaching methods, students and
   evaluation. Studies describing a QI themed educational intervention
   aimed at undergraduate healthcare students will be included and data
   extracted using a modified version of the Reporting of Primary Studies
   in Education (REPOSE) Guidelines. Studies will be judged for quality and
   relevance using the Evidence for Policy and Practice Information and
   Co-ordinating Centre's (EPPI) Weight of Evidence framework and a
   narrative synthesis of the findings provided.
   DISCUSSION: This study aims to identify, evaluate and synthesise the
   teaching methods used in quality improvement education for undergraduate
   healthcare students where currently this is lacking. This will enable
   nursing faculty to adopt the most effective methods when developing QI
   education within their curriculum.
   SYSTEMATIC REVIEW REGISTRATION: Prospero CRD42014013847.
RI Shepherd, Ashley/O-4465-2018
OI Shepherd, Ashley/0000-0002-7687-4586
Z8 0
TC 8
ZS 0
ZB 0
ZR 0
ZA 0
Z9 8
U1 0
U2 8
EI 2046-4053
UT MEDLINE:25588516
PM 25588516
ER

PT J
AU Christon, Lillian M.
   Arnold, Cassidy C.
   Myers, Barbara J.
TI Professionals' Reported Provision and Recommendation of Psychosocial
   Interventions for Youth With Autism Spectrum Disorder
SO BEHAVIOR THERAPY
VL 46
IS 1
BP 68
EP 82
DI 10.1016/j.beth.2014.02.002
PD JAN 2015
PY 2015
AB Children and adolescents with autism spectrum disorder (ASD) receive
   intervention services from multiple professionals across disciplines.
   Little is known about services for youth with ASD in community settings.
   The purpose of this study was to provide data on professionals'
   self-reported practices across different classes of psychosocial
   interventions for youth with ASD. A multidisciplinary (medicine/nursing,
   education, occupational/physical therapy, psychology, social work, and
   speech-language pathology/audiology) sample (N = 709; 86% female; 86%
   White) of professionals who endorsed providing clinical services to
   youth with ASD was recruited through convenience sampling (listservs,
   etc.) and stratified random sampling (online provider listings).
   Professionals completed a survey on intervention practices with youth
   with ASD, specifically on their own provision of, as well as their
   recommendation/referral of, psychosocial interventions (focused
   intervention practices [FIPs], comprehensive treatment models [CTMs],
   and other interventions). Hierarchical multiple regression models showed
   discipline differences in self-reported provision and recommendation of
   evidence-based FIPs; training variables and unfamiliarity with FIPs
   predicted rates of providing and recommending. FIPs were reportedly
   provided and recommended at higher rates than CTMs. Descriptive data are
   presented on professionals' reported practice of other psychosocial
   interventions (e.g., cognitive-behavioral therapy). This study
   highlights the usefulness of examining not only provision of services
   but also recommendation/referral practices: professionals are important
   sources of information for families. Implications of the results are
   discussed in terms of the importance of disseminating intervention
   information to professionals and the need for consensus on terminology
   used to classify interventions and on criteria used to evaluate
   intervention efficacy.
ZS 1
ZB 3
TC 12
ZR 0
Z8 0
ZA 0
Z9 13
U1 1
U2 35
SN 0005-7894
EI 1878-1888
UT WOS:000348012900007
PM 25526836
ER

PT J
AU McCabe, Marita P.
   Ebacioni, Katherine J.
   Simmons, Rex
   McDonald, Elizabeth
   Melton, Lisa
TI Unmet education, psychological and peer support needs of people with
   multiple sclerosis
SO JOURNAL OF PSYCHOSOMATIC RESEARCH
VL 78
IS 1
BP 82
EP 87
DI 10.1016/j.jpsychores.2014.05.010
PD JAN 2015
PY 2015
AB Objective: Multiple sclerosis is a complex neurological disease which
   can cause impairment in a range of aspects of an individual's life. It
   often requires a degree of adjustment and peer support. The aim of the
   present study was to examine satisfaction with educational,
   psychological and peer support services of people with MS across gender,
   age and symptom severity.
   Method: Participants completed a needs analysis questionnaire using
   Likert scales to determine the level of satisfaction with the support
   services. The questionnaire was sent to participants (n = 3502)
   throughout Australia as paper copy with reply paid envelope, or made
   available to them online via email links. A total of 2805 responded and
   completed the questionnaire (80% response rate). Of those, 79% were
   female and 21% were male. The participants ranged in age from 19 to 92
   years, (M = 52.10; SD = 11.82).
   Results: In terms of psychological services, females were less satisfied
   with their access to relationship and family counseling. There was also
   a clear need for more varieties in peer support groups, times, as well
   as modes of communication, especially among young people and mildly
   affected groups. Symptom severity was associated with a greater need for
   almost all education and psychological support services.
   Conclusion: The findings of this study highlight current areas of unmet
   needs and may be used to inform the design and development of future
   education, psychological and social support services to ensure they are
   relevant and useful, as well as providing direction for future research.
   (C) 2014 Elsevier Inc. All rights reserved.
OI Melton, Lisa/0000-0002-6314-359X; McCabe, Marita/0000-0002-4989-8582
TC 22
Z8 1
ZA 0
ZB 5
ZS 0
ZR 0
Z9 23
U1 0
U2 5
SN 0022-3999
EI 1879-1360
UT WOS:000348247400013
PM 25516288
ER

PT J
AU Eftekhari, Kian
   Binenbaum, Gil
   Jensen, Anne K.
   Gorry, Thomasine N.
   Sankar, Prithvi S.
   Tapino, Paul J.
TI Confidence of ophthalmology residents in obtaining informed consent
SO JOURNAL OF CATARACT AND REFRACTIVE SURGERY
VL 41
IS 1
BP 217
EP 221
DI 10.1016/j.jcrs.2014.11.005
PD JAN 2015
PY 2015
AB Ophthalmology residents often obtain informed consent for common
   procedures. In this study, we set out to determine the confidence levels
   among ophthalmology residents who obtain informed consent. An anonymous
   online survey was distributed to United States ophthalmology residents
   across the country. Ninety-five residents participated, evenly
   distributed geographically and by postgraduate year (PGY). Residents
   were frequently obtaining consent for procedures despite not being
   comfortable doing so. Only 18% of residents reported that they always
   felt comfortable with the informed consent process. Comfort level
   increased significantly with PGY (P<.001) and prior training in informed
   consent (P=.032). Of the residents surveyed, 76% indicated a desire for
   more formal training in the consent process. Most residents would
   welcome an informed-consent formal training curriculum, which would
   address 5 of the 6 Accreditation Council for Graduate Medical Education
   core competencies and meet resident milestones in the Next Accreditation
   System.
OI Eftekhari, Kian/0000-0001-8774-1183
ZB 2
ZA 0
TC 8
ZR 0
ZS 0
Z8 0
Z9 8
U1 0
U2 2
SN 0886-3350
EI 1873-4502
UT WOS:000347671300032
PM 25532645
ER

PT J
AU Hansberry, David R.
   Agarwal, Nitin
   Baker, Stephen R.
TI Health Literacy and Online Educational Resources: An Opportunity to
   Educate Patients
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 204
IS 1
BP 111
EP 116
DI 10.2214/AJR.14.13086
PD JAN 2015
PY 2015
AB OBJECTIVE. Given the increasing accessibility of material on the
   Internet and the use of these materials by patients as a source of
   health care information, the purpose of this study was to quantitatively
   evaluate the level of readability of resources made available on the
   European Society of Radiology website to determine whether these
   materials meet the health literacy needs of the general public as set
   forth by guidelines of the U. S. National Institutes of Health (NIH) and
   the American Medical Association (AMA).
   MATERIALS AND METHODS. All 41 patient education articles created by the
   European Society of Radiology (ESR) were downloaded and analyzed with
   the following 10 quantitative readability scales: the Coleman-Liau
   Index, Flesch-Kincaid Grade Level, Flesch Reading Ease, FORCAST Formula,
   Fry Graph, Gunning Fog Index, New Dale-Chall, New Fog Count, Raygor
   Reading Estimate, and the Simple Measure of Gobbledygook.
   RESULTS. The 41 articles were written collectively at a mean grade level
   of 13.0 +/- 1.6 with a range from 10.8 to 17.2. For full understanding
   of the material, 73.2% of the articles required the reading
   comprehension level of, at minimum, a high school graduate (12th grade).
   CONCLUSION. The patient education resources on the ESR website are
   written at a comprehension level well above that of the average Internet
   viewer. The resources fail to meet the NIH and AMA guidelines that
   patient education material be written between the third and seventh
   grade levels. Recasting these resources in a simpler format would
   probably lead to greater comprehension by ESR website viewers.
Z8 0
ZB 9
ZR 0
TC 38
ZA 0
ZS 0
Z9 38
U1 0
U2 9
SN 0361-803X
EI 1546-3141
UT WOS:000348562300040
PM 25539245
ER

PT J
AU Wohlfender, F. D.
   Doherr, M. G.
   Driessen, B.
   Hartnack, S.
   Johnston, G. M.
   Bettschart-Wolfensberger, R.
TI International online survey to assess current practice in equine
   anaesthesia
SO EQUINE VETERINARY JOURNAL
VL 47
IS 1
BP 65
EP 71
DI 10.1111/evj.12257
PD JAN 2015
PY 2015
AB Reasons for performing studyMulticentre Confidential Enquiries into
   Perioperative Equine Fatalities (CEPEF) have not been conducted since
   the initial CEPEF Phases 1-3, 20 years ago.
   ObjectivesTo collect data on current practice in equine anaesthesia and
   to recruit participants for CEPEF-4.
   Study designOnline questionnaire survey.
   MethodsAn online questionnaire was prepared and the link distributed
   internationally to veterinarians possibly performing equine anaesthesia,
   using emails, posters, flyers and an editorial. The questionnaire
   included 52 closed, semiclosed and open questions divided into 8
   subgroups: demographic data, anaesthetist, anaesthesia management
   (preoperative, technical equipment, monitoring, drugs, recovery), areas
   of improvements and risks and motivation for participation in CEPEF-4.
   Descriptive statistics and Chi-squared tests for comparison of
   categorical variables were performed.
   ResultsA total of 199 questionnaires were completed by veterinarians
   from 14 different countries. Of the respondents, 43% worked in private
   hospitals, 36% in private practices and 21% in university teaching
   hospitals. In 40 institutions (23%) there was at least one diplomate of
   the European or American colleges of veterinary anaesthesia and
   analgesia on staff. Individual respondents reported routinely employ the
   following anaesthesia monitoring modalities: electrocardiography (80%),
   invasive arterial blood pressures (70%), pulse oximetry (60%),
   capnography (55%), arterial blood gases (47%), composition of inspired
   and expired gases (45%) and body temperature (35%). Drugs administered
   frequently or routinely as part of a standard protocol were:
   acepromazine (44%), xylazine (68%), butorphanol (59%), ketamine (96%),
   diazepam (83%), isoflurane (76%), dobutamine (46%), and, as a
   nonsteroidal anti-inflammatory drug, phenylbutazone (73%) or flunixin
   meglumine (66%). Recovery was routinely assisted by 40%. The main
   factors perceived by the respondents to affect outcome of equine
   anaesthesia were the preoperative health status of the animal and
   training of the anaesthetist.
   ConclusionsCurrent practice in equine anaesthesia varies widely, and the
   study has highlighted important topics relevant for designing a future
   prospective multicentre cohort study (CEPEF-4). The Summary is available
   in Chinese - see Supporting information.
RI Bettschart, Regula/B-9197-2018; Hartnack, Sonja/B-4328-2010; Driessen, Bernd/; Doherr, Marcus/
OI Bettschart, Regula/0000-0001-6259-9678; Hartnack,
   Sonja/0000-0002-5757-5708; Driessen, Bernd/0000-0001-5522-6072; Doherr,
   Marcus/0000-0003-0064-1708
ZB 7
TC 22
ZA 0
ZR 0
ZS 0
Z8 0
Z9 22
U1 1
U2 31
SN 0425-1644
EI 2042-3306
UT WOS:000346767600012
PM 24593298
ER

PT J
AU Harsha, Asheesh K.
   Schmitt, James E.
   Stavropoulos, S. William
TI Match Day: Online Search Trends Reflect Growing Interest in IR Training
SO JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
VL 26
IS 1
BP 95
EP 100
DI 10.1016/j.jvir.2014.09.011
PD JAN 2015
PY 2015
AB Google Trends was used to characterize the relationship between the
   interventional radiology (IR) applicant pool and related Internet
   queries for "IR fellowship" from July 2006 to July 2013. Res-tilts were
   compared with National Residency Match Panel data by regression analysis
   and one-way analysis of variance. Search traffic for IR fellowship
   demonstrated a statistically significant linear annual increase (R-2 =
   0.87; P = .0013). Total IR applicants increased by 184% (R-2 = 0.98; P =
   .0216). Search traffic was predictive of applicants for each match year
   (R-2 = 0.92; P = .0004) and programs filled (R-2 = 0.93; P = .0003).
   Internet queries mirror trainee professional interests, with significant
   increases in search traffic related to IR fellowship and strong
   correlation with growth in applicants.
OI Schmitt, James/0000-0002-7487-227X
Z8 0
ZS 0
TC 8
ZA 0
ZR 0
ZB 1
Z9 8
U1 0
U2 4
SN 1051-0443
EI 1535-7732
UT WOS:000347744200014
PM 25541447
ER

PT J
AU Wolfe, Christopher R.
   Reyna, Valerie F.
   Widmer, Colin L.
   Cedillos, Elizabeth M.
   Fisher, Christopher R.
   Brust-Renck, Priscila G.
   Weil, Audrey M.
TI Efficacy of a Web-Based Intelligent Tutoring System for Communicating
   Genetic Risk of Breast Cancer: A Fuzzy-Trace Theory Approach
SO MEDICAL DECISION MAKING
VL 35
IS 1
BP 46
EP 59
DI 10.1177/0272989X14535983
PD JAN 2015
PY 2015
AB Background. Many healthy women consider genetic testing for breast
   cancer risk, yet BRCA testing issues are complex. Objective. To
   determine whether an intelligent tutor, BRCA Gist, grounded in
   fuzzy-trace theory (FTT), increases gist comprehension and knowledge
   about genetic testing for breast cancer risk, improving decision making.
   Design. In 2 experiments, 410 healthy undergraduate women were randomly
   assigned to 1 of 3 groups: an online module using a Web-based tutoring
   system (BRCA Gist) that uses artificial intelligence technology, a
   second group read highly similar content from the National Cancer
   Institute (NCI) Web site, and a third that completed an unrelated
   tutorial. Intervention. BRCA Gist applied FTT and was designed to help
   participants develop gist comprehension of topics relevant to decisions
   about BRCA genetic testing, including how breast cancer spreads,
   inherited genetic mutations, and base rates. Measures. We measured
   content knowledge, gist comprehension of decision-relevant information,
   interest in testing, and genetic risk and testing judgments. Results.
   Control knowledge scores ranged from 54% to 56%, NCI improved
   significantly to 65% and 70%, and BRCA Gist improved significantly more
   to 75% and 77%, P < 0.0001. BRCA Gist scored higher on gist
   comprehension than NCI and control, P < 0.0001. Control genetic
   risk-assessment mean was 48% correct; BRCA Gist (61%) and NCI (56%) were
   significantly higher, P < 0.0001. BRCA Gist participants recommended
   less testing for women without risk factors (not good candidates; 24%
   and 19%) than controls (50%, both experiments) and NCI (32%), experiment
   2, P < 0.0001. BRCA Gist testing interest was lower than in controls, P
   < 0.0001. Limitations. BRCA Gist has not been tested with older women
   from diverse groups. Conclusions. Intelligent tutors, such as BRCA Gist,
   are scalable, cost-effective ways of helping people understand complex
   issues, improving decision making.
RI Brust-Renck, Priscila Goergen/AHB-5198-2022
OI Brust-Renck, Priscila Goergen/0000-0001-9891-510X
ZS 0
Z8 0
ZR 0
TC 58
ZB 14
ZA 0
Z9 58
U1 3
U2 34
SN 0272-989X
EI 1552-681X
UT WOS:000346645700009
PM 24829276
ER

PT J
AU Witbrodt, Jane
   Borkman, Thomasina J.
   Stunz, Aina
   Subbaraman, Meenakshi Sabina
TI Mixed Methods Study of Help Seekers and Self-Changers Responding to an
   Online Recovery Survey
SO ALCOHOL AND ALCOHOLISM
VL 50
IS 1
BP 82
EP 88
DI 10.1093/alcalc/agu077
PD JAN-FEB 2015
PY 2015
AB Aims: To compare self-changers (natural recovery) with help seekers on
   demographics, pre-recovery problem severity, and recovery beliefs and
   behaviors; and to augment these quantitative findings with information
   extracted from the qualitative stories of a subset of self-changers to
   explore themes in recovery paths as informed by a nascent natural
   recovery literature. Methods: Quantitative secondary analyses were
   conducted with persons who had responded to a US nationwide online
   survey called 'What Is Recovery' (WIR) and who reported a prior lifetime
   alcohol problem (n = 5495). Six men and six women (with longer-term
   recoveries) interviewed later were asked to tell their 'recovery story
   from the beginning up to now'. These were coded using a narrative
   approach. Results: Compared with help seekers, self-changers were
   younger and never married: they did not differ on problem severity,
   gender, ethnicity or education. Self-changers identified with 'used to
   have a problem' more than in recovery/recovered, reported fewer years in
   that status, and reported more current, non-problematic substance use. A
   new concept of shadow help and shadow obstacles to help-seeking emerged
   from the qualitative analysis. Though self-changers believed that they
   had overcome their alcohol problem on their own, change actually
   occurred within a social context that allowed access to information,
   normative expectations, relationships, and other opportunities that
   provided important resources for change. Conclusion: Findings imply that
   the concept of help-seeking needs to be re-conceptualized to include the
   informal help we found in this study.
ZR 0
Z8 0
ZA 0
ZS 0
ZB 1
TC 5
Z9 5
U1 0
U2 11
SN 0735-0414
EI 1464-3502
UT WOS:000347415400013
PM 25381088
ER

PT J
AU Violante, Maria Grazia
   Vezzetti, Enrico
TI Virtual Interactive E-Learning Application: An Evaluation of the Student
   Satisfaction
SO COMPUTER APPLICATIONS IN ENGINEERING EDUCATION
VL 23
IS 1
BP 72
EP 91
DI 10.1002/cae.21580
PD JAN 2015
PY 2015
AB In a web-based learning environment, interactivity has been referred to
   as the most important element for successful e-learning. This article
   presents the production cycle of an interactive medical device, namely a
   virtual 3D electroencephalogram, and the study conducted to measure the
   students' satisfaction of the learning application based on Kano's
   quality model. The web-based interactive learning application introduces
   unique elements of interactivity with the learning content, specifically
   designed to train biomedical engineering students at the use of the
   medical device. The results of a post-deployment student survey suggest
   that the visual and interactive features embedded in the application
   have the potential to induce positive satisfaction of users. The
   proposed approach may serve as reference for the correct design of
   similar learning applications not only in the biomedical engineering
   context but also outside the realms of engineering sciences. (c) 2013
   Wiley Periodicals, Inc. Comput Appl Eng Educ 23:72-91, 2015; View this
   article online at ; DOI
OI VEZZETTI, Enrico/0000-0001-8910-7020; VIOLANTE, MARIA
   GRAZIA/0000-0003-0786-0866
ZB 1
ZS 0
ZA 0
ZR 0
Z8 0
TC 58
Z9 58
U1 2
U2 70
SN 1061-3773
EI 1099-0542
UT WOS:000347724100007
ER

PT J
AU Guarner, Jeannette
   Burd, Eileen M.
   Kraft, Colleen S.
   Armstrong, Wendy S.
   Lenorr, Kenya
   Spicer, Jennifer O.
   Martin, Donna
   del Rio, Carlos
TI Evaluation of an Online Program To Teach Microbiology to Internal
   Medicine Residents
SO JOURNAL OF CLINICAL MICROBIOLOGY
VL 53
IS 1
BP 278
EP 281
DI 10.1128/JCM.02696-14
PD JAN 2015
PY 2015
AB Microbiology rounds are an integral part of infectious disease
   consultation service. During microbiology rounds, we highlight
   microbiology principles using vignettes. We created case-based,
   interactive, microbiology online modules similar to the vignettes
   presented during microbiology rounds. Since internal medicine residents
   rotating on our infectious disease elective have limited time to
   participate in rounds and learn microbiology, our objective was to
   evaluate the use of the microbiology online modules by internal medicine
   residents. We asked residents to complete 10 of 25 online modules during
   their infectious disease elective. We evaluated which modules they chose
   and the change in their knowledge level. Forty-six internal medicine
   residents completed assessments given before and after accessing the
   modules with an average of 11/20 (range, 6 to 19) and 16/20 (range, 9 to
   20) correct questions, respectively (average improvement, 5 questions; P
   = 0.0001). The modules accessed by more than 30 residents included those
   related to Clostridium difficile, anaerobes, Candida spp., Streptococcus
   pneumoniae, influenza, Mycobacterium tuberculosis, and Neisseria
   meningitidis. We demonstrated improved microbiology knowledge after
   completion of the online modules. This improvement may not be solely
   attributed to completing the online modules, as fellows and faculty may
   have provided additional microbiology education during the rotation.
RI Guarner, Jeannette/B-8273-2013; del Rio, Carlos/B-3763-2012; Kraft, Colleen S/M-2347-2013; Armstrong, Wendy S/N-3623-2013; Spicer, Jennifer/
OI Guarner, Jeannette/0000-0001-5610-3541; del Rio,
   Carlos/0000-0002-0153-3517; Kraft, Colleen S/0000-0003-1757-8477;
   Spicer, Jennifer/0000-0002-5565-9617
TC 3
ZS 0
ZA 0
Z8 0
ZB 1
ZR 0
Z9 3
U1 0
U2 5
SN 0095-1137
EI 1098-660X
UT WOS:000346502200040
PM 25392364
ER

PT J
AU Hsieh, Cindy M.
   Nolan, Norris J.
TI Confidence, Knowledge, and Skills at the Beginning of Residency: A
   Survey of Pathology Residents
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 143
IS 1
BP 11
EP 17
DI 10.1309/AJCP3TAFU7NYRIQF
PD JAN 2015
PY 2015
AB Objectives: To document the pathology learning experiences of pathology
   residents prior to residency and to determine how confident they were in
   their knowledge and technical skills.
   Methods: An online survey was distributed to all pathology residency
   program directors in the United States, who were requested to forward
   the survey link to their residents. Data were obtained on pathology
   electives, grossing experience, and frozen section experience. Likert
   scale questions assessed confidence level in knowledge and skills.
   Results: In total, 201 pathology residents responded (8% of residents in
   the United States). Prior to starting residency, most respondents had
   exposure to anatomic pathology through elective rotations. Few
   respondents had work-related experience. Most did not feel confident in
   their pathology-related knowledge or skills, and many did not understand
   what pathology resident duties entail.
   Conclusions: Respondents gained exposure to pathology primarily through
   elective rotations, and most felt the elective experience prepared them
   for pathology residency. However, elective time may be enhanced by
   providing opportunities for students to increase hands-on experience and
   understanding of resident duties.
ZR 0
ZS 0
ZB 3
Z8 0
TC 5
ZA 0
Z9 5
U1 0
U2 1
SN 0002-9173
EI 1943-7722
UT WOS:000346757900004
PM 25511137
ER

PT J
AU Garbers, Samantha
   Chiasson, Mary Ann
   Baum, Rachel
   Tobier, Natalie
   Ventura, Alicia
   Hirshfield, Sabina
TI "Get It and Forget It:" online evaluation of a theory-based IUD
   educational video in English and Spanish
SO CONTRACEPTION
VL 91
IS 1
BP 76
EP 79
DI 10.1016/j.contraception.2014.09.002
PD JAN 2015
PY 2015
AB Objectives: Get It & Forget It, an educational video about intrauterine
   devices (IUDs), was developed and evaluated.
   Study design: A feasibility study and a pre/post evaluation nested
   within a randomized trial were conducted to test change in knowledge
   about IUDs and intention to get an IUD after viewing a theory-driven
   dramatic video. Participants (n=315) completed surveys before and after
   watching the video.
   Results: Knowledge about IUD effectiveness increased significantly (33%
   to 64%, p<.001), as did intention to use an IUD (18% to 36%, p<.001)
   postvideo.
   Conclusion: An online theory-driven video intervention can reach young
   women seeking information about long-acting contraception. (C) 2014
   Elsevier Inc. All rights reserved.
RI Hirshfield, Sabina/AAE-4412-2021; Ventura, Alicia/ABC-2146-2021; Ventura, Alicia/GLR-7251-2022
OI Hirshfield, Sabina/0000-0002-2649-469X; Ventura,
   Alicia/0000-0001-7598-1665
ZS 0
Z8 0
ZA 0
ZB 3
ZR 0
TC 10
Z9 10
U1 0
U2 10
SN 0010-7824
EI 1879-0518
UT WOS:000347017900013
PM 25262375
ER

PT J
AU Chow, Shirley L.
   Herman-Kideckel, Sari
   Mahendira, Dharini
   McDonald-Blumer, Heather
TI Immunology for Rheumatology Residents: Working Toward a Canadian
   National Curriculum Consensus
SO JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
VL 21
IS 1
BP 10
EP 14
DI 10.1097/RHU.0000000000000186
PD JAN 2015
PY 2015
AB Background: Immunologic mechanisms play an integral role in
   understanding the pathogenesis and management of rheumatic conditions.
   Currently, there is limited access to formal instruction in immunology
   for rheumatology trainees across Canada.
   Aim: The aims of this study were (1) to describe current immunology
   curricula among adult rheumatology training programs across Canada and
   (2) to compare the perceived learning needs of rheumatology trainees
   from the perspective of program directors and trainees to help develop a
   focused nationwide immunology curriculum.
   Methods: Rheumatology trainees and program directors from adult
   rheumatology programs across Canada completed an online questionnaire
   and were asked to rank a comprehensive list of immunology topics. A
   modified Delphi approach was implemented to obtain consensus on
   immunology topics.
   Results: Only 42% of program directors and 31% of trainees felt the
   current method of teaching immunology was effective. Results illustrate
   concordance between program directors and trainees for the
   highest-ranked immunology topics including innate immunity, adaptive
   immunity, and cells and tissues of the immune system. However, there was
   discordance among other topics, such as diagnostic laboratory immunology
   and therapeutics.
   Conclusions: There is a need to improve immunology teaching in
   rheumatology training programs. Results show high concordance between
   the basic immunology topics. This study provides the groundwork for
   development of future immunology curricula.
ZS 1
ZR 0
Z8 0
ZA 0
ZB 0
TC 0
Z9 1
U1 0
U2 1
SN 1076-1608
EI 1536-7355
UT WOS:000346987400003
PM 25539427
ER

PT J
AU Delli, K.
   Livas, C.
   Spijkervet, F. K.
   Vissink, A.
TI Internet information on xerostomia: what should patients expect?
SO ORAL DISEASES
VL 21
IS 1
BP 83
EP 89
DI 10.1111/odi.12213
PD JAN 2015
PY 2015
AB ObjectiveTo assess the qualitative standards of the information
   distributed via the Internet regarding xerostomia.
   Materials and MethodsA comprehensive electronic search was performed for
   xerostomia' and dry mouth' separately using four search engines. The
   first 30 results from each search term-engine combination were pooled
   for analysis. After excluding promotional product sites, discussion
   groups, video feeds, scientific articles, non-operative sources, sites
   with denied direct access through password requirement, non-English
   language domains, and online medical dictionaries, 50 Web pages were
   evaluated in terms of readability, accessibility, usability, and
   reliability using recommended research methodology the Flesch Reading
   Ease Score and the LIDA instrument. Author and information details were
   also recorded.
   ResultsThe results revealed a variable quality of the available Internet
   information on xerostomia. The Web sites required advanced reading
   skills, while LIDA scores for accessibility, usability, and reliability
   ranged from medium to low with average scores extending from 29.1% to
   81.3%.
   ConclusionsThe quality of information about xerostomia among Web sources
   presents high variability. The existing discrepancy should be alleviated
   by referring patients to evidence-based education materials on the
   Internet. Improvement in xerostomia information e-resources will
   contribute to a more advanced quality in oral health care.
RI Delli, Konstantina/AAF-2270-2019
OI Delli, Konstantina/0000-0003-3115-3977
Z8 0
ZB 2
ZR 0
TC 6
ZS 0
ZA 0
Z9 6
U1 0
U2 4
SN 1354-523X
EI 1601-0825
UT WOS:000346656800023
PM 24289657
ER

PT J
AU Delgaty, Laura
TI Twelve tips for academic role and institutional change in distance
   learning
SO MEDICAL TEACHER
VL 37
IS 1
BP 41
EP 46
DI 10.3109/0142159X.2014.932900
PD JAN 2015
PY 2015
AB Background: With the uptake of distance learning (DL), which has been
   marginal for most clinical academics, teaching contexts, traditional
   power structures and relationships have changed, leaving lecturers
   potentially disenfranchised. DL has caused a distinct change in academic
   roles, but academic and institutional routines have remained unchanged.
   Information surrounding the changes is confusing and lacks clear
   guidance.
   Aim: To provide a pragmatic outline of roles, responsibilities,
   obstacles and solutions for clinical academics involved in DL.
   Method: A two-year action research project was carried out examining the
   academic role when developing and delivering a 20 credit post graduate
   DL module in Clinical Education at Newcastle University. It entailed
   three strands which were "active" for two weeks at a time in which all
   activities had to be completed. Sixteen students participated in the
   module consisting of independent activities, facilitated discussion
   forums, wikis, required reading, individual and group tasks.
   Pedagogically, it was based on heavily on Garrison's (2012) and Salmon's
   (2008) work on constructivism and online communities.
   Results: Institutions need a clear plan and a change of culture. Roles
   have emerged including: administrator, manager, team leader knowledge
   expert, moderator and facilitator.
   Conclusions: Universities struggle to engage staff with DL due to its
   unrecognised and (many academics believe) unsustainable workload. These
   12 tips provide academics and managers involved in clinical education
   with clear guidance surrounding strategies that inform practice. New
   roles have emerged, work habits must be revolutionised and changes in
   routine must be addressed.
ZA 0
ZB 1
TC 20
ZS 0
ZR 0
Z8 0
Z9 20
U1 1
U2 16
SN 0142-159X
EI 1466-187X
UT WOS:000346643200006
PM 24989616
ER

PT J
AU Shaw, Tim
   Barnet, Stewart
   Mcgregor, Deborah
   Avery, Jennifer
TI Using the Knowledge, Process, Practice (KPP) model for driving the
   design and development of online postgraduate medical education
SO MEDICAL TEACHER
VL 37
IS 1
BP 53
EP 58
DI 10.3109/0142159X.2014.923563
PD JAN 2015
PY 2015
AB Background: Online learning is a primary delivery method for continuing
   health education programs. It is critical that programs have curricula
   objectives linked to educational models that support learning. Using a
   proven educational modelling process ensures that curricula objectives
   are met and a solid basis for learning and assessment is achieved.
   Aim: To develop an educational design model that produces an
   educationally sound program development plan for use by anyone involved
   in online course development.
   Methods: We have described the development of a generic educational
   model designed for continuing health education programs. The Knowledge,
   Process, Practice (KPP) model is founded on recognised educational
   theory and online education practice. This paper presents a step-by-step
   guide on using this model for program development that encases reliable
   learning and evaluation.
   Results: The model supports a three-step approach, KPP, based on
   learning outcomes and supporting appropriate assessment activities. It
   provides a program structure for online or blended learning that is
   explicit, educationally defensible, and supports multiple assessment
   points for health professionals.
   Conclusion: The KPP model is based on best practice educational design
   using a structure that can be adapted for a variety of online or
   flexibly delivered postgraduate medical education programs.
ZA 0
ZS 1
TC 13
ZR 0
ZB 0
Z8 0
Z9 14
U1 2
U2 24
SN 0142-159X
EI 1466-187X
UT WOS:000346643200008
PM 24934171
ER

PT J
AU Hope, David
   Cameron, Helen
TI Examiners are most lenient at the start of a two-day OSCE
SO MEDICAL TEACHER
VL 37
IS 1
BP 81
EP 85
DI 10.3109/0142159X.2014.947934
PD JAN 2015
PY 2015
AB Background: OSCEs can be both reliable and valid but are subject to
   sources of error. Examiners become more hawkish as their experience
   grows, and recent research suggests that in clinical contexts, examiners
   are influenced by the ability of recently observed candidates. In OSCEs,
   where examiners test many candidates over a short space of time, this
   may introduce bias that does not reflect a candidate's true ability.
   Aims: Test whether examiners marked more or less stringently as time
   elapsed in a summative OSCE, and evaluate the practical impact of this
   bias.
   Methods: We measured changes in examiner stringency in a 13 station OSCE
   sat by 278 third year MBChB students over the course of two days.
   Results: Examiners were most lenient at the start of the OSCE in the
   clinical section (beta = -0.14, p = 0.018) but not in the online section
   where student answers were machine marked (beta = -0.003, p = 0.965).
   Conclusions: The change in marks was likely caused by increased examiner
   stringency over time derived from a combination of growing experience
   and exposure to an increasing number of successful candidates. The need
   for better training and for reviewing standards during the OSCE is
   discussed.
ZB 0
ZS 0
TC 21
ZR 0
ZA 0
Z8 0
Z9 21
U1 0
U2 6
SN 0142-159X
EI 1466-187X
UT WOS:000346643200012
PM 25154400
ER

PT J
AU Glass, Nina E.
   Kulaylat, Afif N.
   Zheng, Feibi
   Glarner, Carly E.
   Economopoulos, Konstantinos P.
   Hamed, Osama H.
   Bittner, James G.
   Sakran, Joseph V.
   Winfield, Robert D.
TI A national survey of educational resources utilized by the Resident and
   Associate Society of the American College of Surgeons membership
SO AMERICAN JOURNAL OF SURGERY
VL 209
IS 1
BP 59
EP 64
DI 10.1016/j.amjsurg.2014.09.016
PD JAN 2015
PY 2015
AB BACKGROUND: Contemporary surgical education includes online resources,
   mobile platform applications, and simulation training. The aim of this
   study was to characterize educational tools used by surgical residents.
   METHODS: An anonymous web-based survey was distributed to 9,913 members
   of the Resident and Associate Society of the American College of
   Surgeons.
   RESULTS: We received 773 completed surveys. To prepare for examinations
   and expand fund of knowledge, most respondents used printed textbooks,
   online textbooks, and Surgical Council on Resident Education modules,
   respectively. Respondents used online textbooks and journal articles
   most often to investigate timely patient care issues. In contrast,
   mobile platform applications and online videos/lectures were used least.
   Fewer than half of respondents used simulators, limited by clinical
   duties, absence of feedback/supervision, and lack of working supplies.
   CONCLUSIONS: Traditional educational resources dominate trainee
   preferences, although utilization of the Surgical Council on Resident
   Education curriculum continues to grow. Simulators remain a required
   tool for laparoscopic training, and incorporation of structured feedback
   and improved supervision may improve utilization. (C) 2015 Elsevier Inc.
   All rights reserved.
OI Glass, Nina/0000-0002-6821-4289; Economopoulos,
   Konstantinos/0000-0003-4856-0405; Kulaylat, Afif/0000-0001-6334-1791
ZA 0
ZR 0
ZB 2
Z8 0
TC 28
ZS 0
Z9 28
U1 1
U2 9
SN 0002-9610
EI 1879-1883
UT WOS:000346121100010
PM 25454958
ER

PT J
AU Lindeman, Brenessa M.
   Law, Joanna K.
   Lipsett, Pamela A.
   Arbella, Trisha
   Stem, Miloslawa
   Lidor, Anne O.
TI A blended online curriculum in the basic surgery clerkship: a pilot
   study
SO AMERICAN JOURNAL OF SURGERY
VL 209
IS 1
BP 145
EP 151
DI 10.1016/j.amjsurg.2014.10.003
PD JAN 2015
PY 2015
AB BACKGROUND: A "lectures plus clinical experiences" curriculum for
   surgical clerkships has significant faculty demand. A less
   faculty-intense blended online curriculum (BOC) could provide
   similar/improved academic performance compared with traditional
   curricula (TCs).
   METHODS: Following an initial pilot study, students in the surgery
   clerkship at Johns Hopkins during 2013 to 2014 experienced a BOC (n =
   129). Students the preceding year (2012 to 2013) experienced the TC (n =
   108). Performance and satisfaction were compared between groups using
   clinical evaluations, National Board of Medical Examiners examination
   scores, and clerkship evaluations.
   RESULTS: No significant differences in academic performance between BOC
   and TC students were observed on National Board of Medical Examiners
   examination or clinical evaluation scores. After multivariable
   adjustment, student year was the only significant predictor of student
   performance. Clerkship teaching ratings were higher for BOC students
   than TC students (4.25/5 vs 3.98/5, P = .03).
   CONCLUSIONS: BOC incorporation in the basic surgery clerkship resulted
   in noninferior academic outcomes and significantly improved student
   satisfaction. (C) 2015 Elsevier Inc. All rights reserved.
RI Lindeman, Brenessa/AAZ-7010-2020
ZB 1
ZR 0
TC 19
ZA 0
ZS 0
Z8 0
Z9 19
U1 0
U2 15
SN 0002-9610
EI 1879-1883
UT WOS:000346121100023
PM 25466767
ER

PT J
AU Rees, Charlotte E.
   Monrouxe, Lynn V.
   McDonald, Laura A.
TI 'My mentor kicked a dying woman's bed ... ' Analysing UK nursing
   students' 'most memorable' professionalism dilemmas
SO JOURNAL OF ADVANCED NURSING
VL 71
IS 1
BP 169
EP 180
DI 10.1111/jan.12457
PD JAN 2015
PY 2015
AB Aim. To provide depth and breadth in the analysis of nursing students'
   written narratives of 'most memorable' professionalism dilemmas.
   Background. While nursing students are taught professionalism through
   formal curricula, they commonly experience workplace-based
   professionalism dilemmas. Although non-UK studies have begun to explore
   students' lived experiences of dilemmas, they lack detail about when and
   where dilemmas occur, who is involved, what students do and why and how
   students feel.
   Design. Online survey of healthcare students including 294 nursing
   students from 15 UK nursing schools.
   Method. Nursing students provided a written narrative of their most
   memorable dilemma (December 2011-March 2012) as part of a survey
   examining the impact of professionalism dilemmas on moral distress. We
   conducted thematic and discourse analysis of all narratives and
   narrative analysis of one exemplar.
   Findings. The most common themes were patient care dilemmas by
   healthcare personnel or students, student abuse and consent dilemmas. Of
   the dilemmas, 49.6% occurred over 6 months previously, 76.2% occurred in
   hospitals and 51.9% of perpetrators were nurses. 79.3% of students
   reported acting in the face of their dilemma. Of the narratives, 88.4%
   contained negative emotion talk and numerous significant relationships
   existed between types of emotion talk and dilemmas. Our narrative
   analysis demonstrates the impact of dilemma experiences through emotion
   talk and more subtle devices like metaphor.
   Conclusion. Findings extend previous research with nursing and medical
   students. Nurse educators should help students construct emotionally
   coherent narratives to make sense of their experiences, actions and
   identities and to better prepare them for future professionalism
   dilemmas.
RI Monrouxe, Lynn/H-6770-2012; Monrouxe, Lynn/AAG-9817-2019; Rees, Charlotte/
OI Monrouxe, Lynn/0000-0002-4895-1812; Rees, Charlotte/0000-0003-4828-1422
ZR 0
ZS 1
Z8 0
ZA 0
TC 49
ZB 1
Z9 49
U1 1
U2 50
SN 0309-2402
EI 1365-2648
UT WOS:000346282200016
PM 24916272
ER

PT J
AU Kemper, Kathi J
   Yun, Jonathan
TI Group online mindfulness training: proof of concept.
SO Journal of evidence-based complementary & alternative medicine
VL 20
IS 1
BP 73
EP 5
DI 10.1177/2156587214553306
PD 2015-Jan
PY 2015
AB Mindfulness-based stress reduction training is attractive, but training
   with an expert teacher is often inconvenient and costly. This
   proof-of-concept project assessed the feasibility of providing a hybrid
   of free online mindfulness-based stress reduction training with small
   group peer facilitation. Six medical students asked a family medicine
   resident with 5 years of meditation experience but no formal training as
   a teacher to facilitate 8 weekly group sessions using a free online
   mindfulness-based stress reduction course. They completed pre- and
   posttraining questionnaires online. Six of the 7 trainees completed at
   least half the sessions. Completers and noncompleters had similar age
   (29 years), gender (about half male), and health status. Changes in the
   expected direction were observed for perceived stress, mindfulness,
   resilience, and confidence in providing calm, compassionate care. The
   hybrid of online mindfulness-based stress reduction training with peer
   support is feasible. Additional research is warranted to formally
   evaluate the impact of this approach. 
ZB 0
ZS 1
ZA 0
ZR 0
TC 15
Z8 0
Z9 16
U1 0
U2 17
EI 2156-5899
UT MEDLINE:25305208
PM 25305208
ER

PT J
AU Wiener, Lori
   Weaver, Meaghann Shaw
   Bell, Cynthia J
   Sansom-Daly, Ursula M
TI Threading the cloak: palliative care education for care providers of
   adolescents and young adults with cancer.
SO Clinical oncology in adolescents and young adults
VL 5
BP 1
EP 18
PD 2015-Jan-09
PY 2015
AB Medical providers are trained to investigate, diagnose, and treat
   cancer. Their primary goal is to maximize the chances of curing the
   patient, with less training provided on palliative care concepts and the
   unique developmental needs inherent in this population. Early,
   systematic integration of palliative care into standard oncology
   practice represents a valuable, imperative approach to improving the
   overall cancer experience for adolescents and young adults (AYAs). The
   importance of competent, confident, and compassionate providers for AYAs
   warrants the development of effective educational strategies for
   teaching AYA palliative care. Just as palliative care should be
   integrated early in the disease trajectory of AYA patients, palliative
   care training should be integrated early in professional development of
   trainees. As the AYA age spectrum represents sequential transitions
   through developmental stages, trainees experience changes in their
   learning needs during their progression through sequential phases of
   training. This article reviews unique epidemiologic, developmental, and
   psychosocial factors that make the provision of palliative care
   especially challenging in AYAs. A conceptual framework is provided for
   AYA palliative care education. Critical instructional strategies
   including experiential learning, group didactic opportunity, shared
   learning among care disciplines, bereaved family members as educators,
   and online learning are reviewed. Educational issues for provider
   training are addressed from the perspective of the trainer, trainee, and
   AYA. Goals and objectives for an AYA palliative care cancer rotation are
   presented. Guidance is also provided on ways to support an AYA's quality
   of life as end of life nears.
OI Sansom-Daly, Ursula/0000-0003-4200-8900; Bell,
   Cynthia/0000-0002-9026-0986
ZS 0
TC 66
ZR 0
ZA 0
ZB 10
Z8 0
Z9 66
U1 0
U2 7
SN 2230-2263
UT MEDLINE:25750863
PM 25750863
ER

PT J
AU Srivastava, Shilpa
   Pant, Millie
   Abraham, Ajith
   Agrawal, Namrata
TI The Technological Growth in eHealth Services
SO COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE
VL 2015
AR 894171
DI 10.1155/2015/894171
PD 2015
PY 2015
AB The infusion of information communication technology (ICT) into health
   services is emerging as an active area of research. It has several
   advantages but perhaps the most important one is providing medical
   benefits to one and all irrespective of geographic boundaries in a cost
   effective manner, providing global expertise and holistic services, in a
   time bound manner. This paper provides a systematic review of
   technological growth in eHealth services. The present study reviews and
   analyzes the role of four important technologies, namely, satellite,
   internet, mobile, and cloud for providing health services.
RI PANT, Millie/C-9911-2018; Abraham, Ajith/A-1416-2008; Srivastava, Shilpa/AFL-2427-2022; Pant, Millie/O-5740-2019; Srivastava, Shilpa/AAW-6751-2021; , shilpa/
OI Abraham, Ajith/0000-0002-0169-6738; , shilpa/0000-0002-8566-1646
ZS 1
ZR 0
ZB 1
TC 19
Z8 0
ZA 0
Z9 19
U1 1
U2 25
SN 1748-670X
EI 1748-6718
UT WOS:000356729000001
PM 26146515
ER

PT C
AU Fiorini, Rodolfo A.
   De Giacomo, Piero
   L'Abate, Luciano
BE Mantas, J
   Hasman, A
   Househ, MS
TI Resilient Systemics to Telehealth Support for Clinical Psychiatry and
   Psychology
SO ENABLING HEALTH INFORMATICS APPLICATIONS
SE Studies in Health Technology and Informatics
VL 213
BP 271
EP 274
DI 10.3233/978-1-61499-538-8-271
PD 2015
PY 2015
AB Reliably expanding our clinical practice and lowering our overhead with
   telepsychiatry, telepsychology, distance counseling and online therapy,
   requires resilient and antifragile system and tools. When utilized
   appropriately these technologies may provide greater access to needed
   services to include more reliable treatment, consultation, supervision,
   and training. The wise and proper use of technology is fundamental to
   create and boost outstanding social results. We present, as an example,
   the main steps to achieve application resilience and antifragility at
   system level, for diagnostic and therapeutic telepractice and telehealth
   support, devoted to psychiatry and psychology application. This article
   presents a number of innovations that can take psychotherapy treatment,
   supervision, training, and research forward, towards increased
   effectiveness application.
CT 13th International Conference on Informatics, Management, and Technology
   in Healthcare (ICIMTH)
CY JUL 09-11, 2015
CL Athens, GREECE
RI Fiorini, Rodolfo/C-8464-2011
OI Fiorini, Rodolfo/0000-0001-5344-7218
ZA 0
TC 2
ZB 1
ZS 0
Z8 0
ZR 0
Z9 2
U1 0
U2 3
SN 0926-9630
EI 1879-8365
BN 978-1-61499-538-8; 978-1-61499-537-1
UT WOS:000455826600063
PM 26153013
ER

PT C
AU Kondylakis, Haridimos
   Koumakis, Lefteris
   Kazantzaki, Eleni
   Chatzimina, Maria
   Psaraki, Maria
   Marias, Kostas
   Tsiknakis, Manolis
BE Sarkar, IN
   Georgiou, A
   Marques, PMD
TI Patient Empowerment through Personal Medical Recommendations
SO MEDINFO 2015: EHEALTH-ENABLED HEALTH
SE Studies in Health Technology and Informatics
VL 216
BP 1117
EP 1117
DI 10.3233/978-1-61499-564-7-1117
PD 2015
PY 2015
AB Patients today have ample opportunities to inform themselves about their
   disease and possible treatments using the Internet. While this type of
   patient empowerment is widely regarded as having a positive influence on
   the treatment, there exists the problem that the quality of information
   that can be found on online is very diverse. This paper presents a
   platform which empowers patients by allowing searching in a high quality
   document repository. In addition, it automatically provides intelligent
   and personalized recommendations according to the individual preferences
   and medical conditions.
CT 15th World Congress on Health and Biomedical Informatics (MEDINFO)
CY AUG 19-23, 2015
CL Int Med Informat Assoc, Brazilian Hlth Informat Soc, Sao Paulo, BRAZIL
HO Int Med Informat Assoc, Brazilian Hlth Informat Soc
RI Marias, Kostas/AAM-2330-2021; Chatzimina, Maria/ABA-7895-2021; Koumakis, Lefteris/V-5993-2019; Tsiknakis, Manolis/Z-2114-2019; Koumakis, Lefteris/; Kondylakis, Haridimos/
OI Marias, Kostas/0000-0003-3783-5223; Chatzimina,
   Maria/0000-0003-2008-6772; Koumakis, Lefteris/0000-0002-8442-4630;
   Kondylakis, Haridimos/0000-0002-9917-4486
ZB 1
ZS 0
ZA 0
TC 18
ZR 0
Z8 0
Z9 18
U1 1
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-564-7; 978-1-61499-563-0
UT WOS:000455836700418
PM 26262416
ER

PT B
AU Xia Ping-Jun
   Lopes, Antonio M.
   Restivo, Maria Teresa
BE Restivo, MT
   Cardoso, A
   Lopes, AM
TI Virtual Reality and Haptics for Product Assembly, Surgical Simulation
   and Online Experimentation
SO ONLINE EXPERIMENTATION: EMERGING TECHNOLOGIES AND IOT
BP 419
EP 434
PD 2015
PY 2015
AB As new technologies emerged in recent times, virtual reality and haptics
   have been interesting topics for many years, and also have shown a wide
   application range (good application potential) in many areas, from
   industry to medicine, education to service, and entertainment to
   military. This chapter gives a comprehensive review of virtual reality
   and haptics in the industrial environment for product assembly, in the
   medical setting for surgical simulation, and in the educational area for
   remote experiments. Some new ideas and typical systems are investigated,
   the major research efforts are discussed, and recent research progress
   from the authors' research group is introduced; then the barriers and
   future trends are also outlined.
RI Restivo, Maria Teresa/AAD-5694-2020; Lopes, António M./A-2740-2016
OI Lopes, António M./0000-0001-7359-4370
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
TC 1
Z9 1
U1 0
U2 0
BN 978-84-608-6128-7
UT WOS:000441197800024
ER

PT J
AU Braun, Patricia A
   Racich, Katina Widmer
   Ling, Sarah B
   Ellison, Misoo C
   Savoie, Karen
   Reiner, Linda
   Westfall, John M
TI Impact of an interprofessional oral health education program on health
   care professional and practice behaviors: a RE-AIM analysis.
SO Pediatric health, medicine and therapeutics
VL 6
BP 101
EP 109
DI 10.2147/PHMT.S79826
PD 2015
PY 2015
AB BACKGROUND: Early childhood caries is the most common chronic childhood
   condition and largely preventable. Access to oral health preventive
   services (OHPS) for children at risk for caries is suboptimal and could
   be expanded if they were provided by non-dental professionals. Many
   state Medicaid programs in the USA now reimburse non-dental
   professionals for OHPS but require that they receive oral health
   education (OHE) to be reimbursed. Few OHE programs have been evaluated.
   METHODS: We evaluated the impact of Colorado's OHE program on
   professional- and practice-level behaviors regarding the provision of
   OHPS to children by measuring its reach, effectiveness, adoption,
   implementation, and maintenance (ie, using the Reach Effectiveness
   Adoption Implementation Maintenance [RE-AIM] framework) with Medicaid
   claims data, online surveys, and key informant interviews.
   RESULTS: From 2009 to 2012, the proportion of young, low-income children
   receiving OHPS from a medical professional increased 16-fold. We
   surveyed 703 OHE participants; post-OHE response rates were 61% at 12
   months, 34% at 24 months (2009 participants), and 39% at 12 months (2011
   participants). Respondents reported confidence in providing OHPS;
   favorable oral health knowledge, attitudes, and beliefs; and were
   providing OHPS to most eligible children. Approximately half of the
   practices had initiated practice-level changes to support program
   implementation and maintenance. Few barriers were reported to care.
   Eighteen interviewees reported factors facilitating program diffusion,
   which included quality materials, community need, and reimbursement;
   barriers included lack of time to provide services, resources to
   purchase supplies, and referral dentists.
   CONCLUSION: This evaluation of a state interprofessional OHE program
   shows evidence of program diffusion and identifies facilitating factors
   and barriers to having medical professionals provide OHPS.
RI Westfall, John/AAD-3570-2021
ZA 0
TC 5
ZS 0
ZR 0
ZB 0
Z8 0
Z9 5
U1 0
U2 2
SN 1179-9927
UT MEDLINE:29388574
PM 29388574
ER

PT J
AU Newe, Axel
   Becker, Linda
   Schenk, Andrea
TI Application and Evaluation of Interactive 3D PDF for Presenting and
   Sharing Planning Results for Liver Surgery in Clinical Routine
SO PLOS ONE
VL 9
IS 12
AR e115697
DI 10.1371/journal.pone.0115697
PD DEC 31 2014
PY 2014
AB Background & Objectives: The Portable Document Format (PDF) is the
   de-facto standard for the exchange of electronic documents. It is
   platform-independent, suitable for the exchange of medical data, and
   allows for the embedding of three-dimensional (3D) surface mesh models.
   In this article, we present the first clinical routine application of
   interactive 3D surface mesh models which have been integrated into PDF
   files for the presentation and the exchange of Computer Assisted Surgery
   Planning (CASP) results in liver surgery. We aimed to prove the
   feasibility of applying 3D PDF in medical reporting and investigated the
   user experience with this new technology.
   Methods: We developed an interactive 3D PDF report document format and
   implemented a software tool to create these reports automatically. After
   more than 1000 liver CASP cases that have been reported in clinical
   routine using our 3D PDF report, an international user survey was
   carried out online to evaluate the user experience.
   Results: Our solution enables the user to interactively explore the
   anatomical configuration and to have different analyses and various
   resection proposals displayed within a 3D PDF document covering only a
   single page that acts more like a software application than like a
   typical PDF file ("DF App''). The new 3D PDF report offers many
   advantages over the previous solutions. According to the results of the
   online survey, the users have assessed the pragmatic quality
   (functionality, usability, perspicuity, efficiency) as well as the
   hedonic quality (attractiveness, novelty) very positively.
   Conclusion: The usage of 3D PDF for reporting and sharing CASP results
   is feasible and well accepted by the target audience. Using interactive
   PDF with embedded 3D models is an enabler for presenting and exchanging
   complex medical information in an easy and platform-independent way.
   Medical staff as well as patients can benefit from the possibilities
   provided by 3D PDF. Our results open the door for a wider use of this
   new technology, since the basic idea can and should be applied for many
   medical disciplines and use cases.
RI Newe, Axel/J-8580-2015; Schenk, Andrea/AAF-1323-2021; Becker, Linda/
OI Newe, Axel/0000-0003-0843-2900; Schenk, Andrea/0000-0003-1806-8380;
   Becker, Linda/0000-0002-9950-6882
ZA 0
TC 19
ZS 0
ZR 0
ZB 4
Z8 0
Z9 19
U1 0
U2 20
SN 1932-6203
UT WOS:000347119100051
PM 25551375
ER

PT J
AU Ben-Ezra, Menachem
   Goodwin, Robin
   Palgi, Yuval
   Kaniasty, Krzysztof
   Crawford, Marsha Zibalese
   Weinberger, Aviva
   Hamama-Raz, Yaira
TI Concomitants of perceived trust in hospital and medical services
   following Hurricane Sandy
SO PSYCHIATRY RESEARCH
VL 220
IS 3
BP 1160
EP 1162
DI 10.1016/j.psychres.2014.08.012
PD DEC 30 2014
PY 2014
AB The relationship between factors associated with perceived trust in
   hospital and medical services in the aftermath of a natural disaster is
   understudied. An online sample of 1000 people mainly from affected
   states was surveyed after Hurricane Sandy. Participants completed a
   survey which included disaster related questions and PTSD symptoms.
   Logistic regression revealed a significant association between perceived
   trust in hospital services to education, subjective well-being, being
   scared for the life of a loved one and perceived trust in emergency
   services. These findings may emphasis the positive association between
   maintaining active hospital services and mental health among the general
   population during crisis. (C) 2014 Elsevier Ireland Ltd. All rights
   reserved.
OI Ben-Ezra, Menachem/0000-0002-7890-2069; Palgi,
   Yuval/0000-0002-8675-5513; hamama-raz, yaira/0000-0002-0496-6414
ZB 4
TC 7
ZA 0
Z8 0
ZR 0
ZS 0
Z9 7
U1 0
U2 9
SN 0165-1781
UT WOS:000347361300066
PM 25223254
ER

PT J
AU Lee, Yi-Chih
   Wu, Wei-Li
TI The effects of situated learning and health knowledge involvement on
   health communications
SO REPRODUCTIVE HEALTH
VL 11
AR 93
DI 10.1186/1742-4755-11-93
PD DEC 26 2014
PY 2014
AB Background: Many patients use websites, blogs, or online social
   communities to gain health knowledge, information about disease
   symptoms, and disease diagnosis opinions. The purpose of this study is
   to use the online platform of blogs to explore whether the framing
   effect of information content, situated learning of information content,
   and health knowledge involvement would affect health communication
   between doctors and patients and further explore whether this would
   increase patient willingness to seek treatment.
   Methods: This study uses a survey to collect data from patient subjects
   who have used online doctor blogs or patients who have discussed medical
   information with doctors on blogs. The number of valid questionnaire
   samples is 278, and partial least square is used to conduct structural
   equation model analysis.
   Results: Research results show that situated learning and health
   knowledge involvement have a positive effect on health communication.
   The negative framing effect and health knowledge involvement would also
   affect the patient's intention to seek medical help. In addition,
   situated learning and health knowledge involvement would affect the
   intention to seek medical help through communication factors.
   Conclusions: Blogs are important communication channels between medical
   personnel and patients that allow users to consult and ask questions
   without time limitations and enable them to obtain comprehensive health
   information.
RI Lee, Yi Chih/AAE-2883-2020
Z8 0
ZB 0
TC 6
ZS 0
ZR 0
ZA 0
Z9 6
U1 0
U2 30
EI 1742-4755
UT WOS:000349483000001
PM 25542070
ER

PT J
AU Roesch, Tanja
   Schaper, Elisabeth
   Tipold, Andrea
   Fischer, Martin R.
   Dilly, Marc
   Ehlers, Jan P.
TI Clinical skills of veterinary students - a cross-sectional study of the
   self-concept and exposure to skills training in Hannover, Germany
SO BMC VETERINARY RESEARCH
VL 10
AR 969
DI 10.1186/s12917-014-0302-8
PD DEC 21 2014
PY 2014
AB Background: Students of veterinary medicine should achieve basic
   professional competences required to practise their profession. A main
   focus of veterinary education is on developing clinical skills. The
   present study used the guidelines of the "Day-One Skills" list of
   European Association of Establishments for Veterinary Education (EAEVE)
   to create an online questionnaire for assessing the skills acquired by
   students at the University of Veterinary Medicine Hannover (TiHo). The
   theoretical and practical veterinary knowledge levels of the students
   and postgraduates are determined and compared.
   Results: In two batches, 607 people responded (response batch 1, 23.78%;
   response batch 2, 23.83%). From 49 defined skills, 28 are actually
   practised during training at the university and 21 activities are known
   only theoretically. Furthermore, the students showed great willingness
   to use simulators and models in a clinical skills lab.
   Conclusions: The results of this survey highlight that the opening of a
   clinical skills lab at the University of Veterinary Medicine Hannover
   and its incorporation into the study programme are ideal tools to
   promote practical competences and foster the motivation to learn.
RI Dilly, Marc/J-6476-2019; Ehlers, Jan/R-5693-2016
OI Dilly, Marc/0000-0002-0041-5260; Ehlers, Jan/0000-0001-6306-4173
ZS 0
Z8 0
TC 19
ZR 0
ZA 0
ZB 1
Z9 19
U1 1
U2 19
SN 1746-6148
UT WOS:000352686700004
PM 25528469
ER

PT J
AU Sabde, Yogesh
   Diwan, Vishal
   De Costa, Ayesha
   Mahadik, Vijay K.
TI Mapping the rapid expansion of India's medical education sector:
   planning for the future
SO BMC MEDICAL EDUCATION
VL 14
AR 266
DI 10.1186/s12909-014-0266-1
PD DEC 17 2014
PY 2014
AB Background: India has witnessed rapid growth in its number of medical
   schools over the last few decades, particularly in recent years. One
   dominant feature of this growth has been expansion in the private
   medical education sector. At this point it is relevant to trace
   historically and geographically the changing role of public and private
   sectors in Indian medical education system.
   Methods: The information on medical schools and sociodemographic
   indicators at provincial, district and sub-district (taluks) level were
   retrieved from available online databases. A digital map of medical
   schools was plotted on a geo-referenced map of India. The growth of
   medical schools in public and private sectors was tracked over last
   seven decades using line diagrams and thematic maps. The growth of
   medical schools in context of geographic distribution and access across
   the poorer and relatively richer provinces as well as the country's
   districts and taluks was explored using geographic information system.
   Finally candidate geographic areas, identified for intervention from
   equity perspective were plotted on the map of India.
   Results: The study presents findings of 355 medical schools in India
   that enrolled 44250 students in 2012. Private sector owned 195 (54.9%)
   schools and enrolled 24205 (54.7%) students in the same year. The 18
   poorly performing provinces (population 620 million, 51.3%) had only 94
   (26.5%) medical schools. The presence of the private sector was
   significantly lower in poorly performing provinces where it owned 38
   (40.4%) medical schools as compared to 157 (60.2%) schools in better
   performing provinces. The distances to medical schools from taluks in
   poorly performing provinces were longer [median 65.1 kilometres (km)]
   than from taluks in better performing provinces (median 41.2 km). Taluks
   farthest from a medical school were, situated in economically poorer
   districts with poor health indicators, a lower standard of living index
   and low levels of urbanization.
   Conclusions: The distribution of medical schools in India is skewed in
   the favour of areas (provinces, districts and taluks) with better
   indicators of health, urbanization, standards of living and economic
   prosperity. This particular distribution was most evident in the case of
   private sector schools set up in recent decades.
OI De Costa, Ayesha/0000-0003-1869-5990; Sabde, Yogesh/0000-0003-1787-2553;
   Diwan, Vishal/0000-0001-7948-8579
TC 7
Z8 0
ZR 0
ZB 1
ZA 0
ZS 0
Z9 7
U1 0
U2 10
SN 1472-6920
UT WOS:000348157500001
PM 25515419
ER

PT J
AU Yu, Catherine H.
   Parsons, Janet A.
   Mamdani, Muhammad
   Lebovic, Gerald
   Hall, Susan
   Newton, David
   Shah, Baiju R.
   Bhattacharyya, Onil
   Laupacis, Andreas
   Straus, Sharon E.
TI A web-based intervention to support self-management of patients with
   type 2 diabetes mellitus: effect on self-efficacy, self-care and
   diabetes distress
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 14
AR 117
DI 10.1186/s12911-014-0117-3
PD DEC 14 2014
PY 2014
AB Background: Management of diabetes mellitus is complex and involves
   controlling multiple risk factors that may lead to complications. Given
   that patients provide most of their own diabetes care, patient
   self-management training is an important strategy for improving quality
   of care. Web-based interventions have the potential to bridge gaps in
   diabetes self-care and self-management. The objective of this study was
   to determine the effect of a web-based patient self-management
   intervention on psychological (self-efficacy, quality of life,
   self-care) and clinical (blood pressure, cholesterol, glycemic control,
   weight) outcomes.
   Methods: For this cohort study we used repeated-measures modelling and
   qualitative individual interviews. We invited patients with type 2
   diabetes to use a self-management website and asked them to complete
   questionnaires assessing self-efficacy (primary outcome) every three
   weeks for nine months before and nine months after they received access
   to the website. We collected clinical outcomes at three-month intervals
   over the same period. We conducted in-depth interviews at study
   conclusion to explore acceptability, strengths and weaknesses, and
   mediators of use of the website. We analyzed the data using a
   qualitative descriptive approach and inductive thematic analysis.
   Results: Eighty-one participants (mean age 57.2 years, standard
   deviation 12) were included in the analysis. The self-efficacy score did
   not improve significantly more than expected after nine months (absolute
   change 0.12; 95% confidence interval -0.028, 0.263; p = 0.11), nor did
   clinical outcomes. Website usage was limited (average 0.7 logins/month).
   Analysis of the interviews (n = 21) revealed four themes: 1) mediators
   of website use; 2) patterns of website use, including role of the blog
   in driving site traffic; 3) feedback on website; and 4) potential
   mechanisms for website effect.
   Conclusions: A self-management website for patients with type 2 diabetes
   did not improve self-efficacy. Website use was limited. Although its
   perceived reliability, availability of a blog and emailed reminders drew
   people to the website, participants' struggles with type 2 diabetes,
   competing priorities in their lives, and website accessibility were
   barriers to its use. Future interventions should aim to integrate the
   intervention seamlessly into the daily routine of end users such that it
   is not seen as yet another chore.
OI Lebovic, Gerald/0000-0003-3540-3339
Z8 2
ZR 0
TC 35
ZB 4
ZS 0
ZA 0
Z9 37
U1 2
U2 62
EI 1472-6947
UT WOS:000347197400001
PM 25495847
ER

PT J
AU Hopmans, Wendy
   Damman, Olga C.
   Timmermans, Danielle R. M.
   Haasbeek, Cornelis J. A.
   Slotman, Ben J.
   Senan, Suresh
TI Communicating cancer treatment information using the Web: utilizing the
   patient's perspective in website development
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 14
AR 116
DI 10.1186/s12911-014-0116-4
PD DEC 7 2014
PY 2014
AB Background: Online cancer information can support patients in making
   treatment decisions. However, such information may not be adequately
   tailored to the patient's perspective, particularly if healthcare
   professionals do not sufficiently engage patient groups when developing
   online information. We applied qualitative user testing during the
   development of a patient information website on stereotactic ablative
   radiotherapy (SABR), a new guideline-recommended curative treatment for
   early-stage lung cancer.
   Methods: We recruited 27 participants who included patients referred for
   SABR and their relatives. A qualitative user test of the website was
   performed in 18 subjects, followed by an additional evaluation by users
   after website redesign (N = 9). We primarily used the 'thinking aloud'
   approach and semi-structured interviewing. Qualitative data analysis was
   performed to assess the main findings reported by the participants.
   Results: Study participants preferred receiving different information
   that had been provided initially. Problems identified with the online
   information related to comprehending medical terminology, understanding
   the scientific evidence regarding SABR, and appreciating the
   side-effects associated with SABR. Following redesign of the website,
   participants reported fewer problems with understanding content, and
   some additional recommendations for better online information were
   identified.
   Conclusions: Our findings indicate that input from patients and their
   relatives allows for a more comprehensive and usable website for
   providing treatment information. Such a website can facilitate improved
   patient participation in treatment decision-making for cancer.
RI Senan, Suresh/P-5790-2019; Damman, Olga/
OI Senan, Suresh/0000-0003-3995-2204; Damman, Olga/0000-0002-4482-5042
ZS 0
ZA 0
ZB 0
Z8 0
TC 6
ZR 0
Z9 6
U1 0
U2 20
EI 1472-6947
UT WOS:000347196800001
PM 25481306
ER

PT J
AU O'Neill, Braden
   Goncalves, Daniela
   Ricci-Cabello, Ignacio
   Ziebland, Sue
   Valderas, Jose
TI An Overview of Self-Administered Health Literacy Instruments
SO PLOS ONE
VL 9
IS 12
AR e109110
DI 10.1371/journal.pone.0109110
PD DEC 5 2014
PY 2014
AB With the increasing recognition of health literacy as a worldwide
   research priority, the development and refinement of indices to measure
   the construct is an important area of inquiry. Furthermore, the
   proliferation of online resources and research means that there is a
   growing need for self-administered instruments. We undertook a
   systematic overview to identify all published self-administered health
   literacy assessment indices to report their content and considerations
   associated with their administration. A primary aim of this study was to
   assist those seeking to employ a self-reported health literacy index to
   select one that has been developed and validated for an appropriate
   context, as well as with desired administration characteristics.
   Systematic searches were carried out in four electronic databases, and
   studies were included if they reported the development and/or validation
   of a novel health literacy assessment measure. Data were systematically
   extracted on key characteristics of the instruments: breadth of
   construct ("generic'' vs. "content- or context- specific'' health
   literacy), whether it was an original instrument or a derivative,
   country of origin, administration characteristics, age of target
   population (adult vs. pediatric), and evidence for validity. 35 articles
   met the inclusion criteria. There were 27 original instruments (27/35;
   77.1%) and 8 derivative instruments (8/35; 22.9%). 22 indices measured
   "general'' health literacy (22/35; 62.9%) while the remainder measured
   condition-or context-specific health literacy (13/35; 37.1%). Most
   health literacy measures were developed in the United States (22/35;
   62.9%), and about half had adequate face, content, and construct
   validity (16/35; 45.7%). Given the number of measures available for many
   specific conditions and contexts, and that several have acceptable
   validity, our findings suggest that the research agenda should shift
   towards the investigation and elaboration of health literacy as a
   construct itself, in order for research in health literacy measurement
   to progress.
RI Valderas, Jose M/G-7967-2014; Ricci-Cabello, Ignacio/C-5770-2012; Valderas, Jose M/Y-9814-2019; Ricci-Cabello, Ignacio/A-6141-2017; Ziebland, Sue/; Goncalves Bradley, Daniela/
OI Valderas, Jose M/0000-0002-9299-1555; Ricci-Cabello,
   Ignacio/0000-0002-4725-8274; Ricci-Cabello, Ignacio/0000-0002-4725-8274;
   Ziebland, Sue/0000-0002-6496-4859; Goncalves Bradley,
   Daniela/0000-0002-5186-3792
TC 40
ZA 0
ZB 15
ZS 1
Z8 0
ZR 0
Z9 41
U1 0
U2 41
SN 1932-6203
UT WOS:000346907200001
PM 25478813
ER

PT J
AU Murphy, Robert F.
   LaPorte, Dawn M.
   Wadey, Veronica M. R.
CA Amer Acad Orthopaedic Surg Orthopa
TI Musculoskeletal Education in Medical School Deficits in Knowledge and
   Strategies for Improvement
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 96A
IS 23
BP 2009
EP 2014
DI 10.2106/JBJS.N.00354
PD DEC 3 2014
PY 2014
RI Wadey, Veronica/AAM-9985-2021
OI Wadey, Veronica/0000-0002-9086-7227
TC 12
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
Z9 12
U1 0
U2 8
SN 0021-9355
EI 1535-1386
UT WOS:000346471300016
PM 25471916
ER

PT J
AU Feghhi, Daniel P.
   Komlos, Daniel
   Agarwal, Nitin
   Sabharwal, Sanjeev
TI Quality of Online Pediatric Orthopaedic Education Materials
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 96A
IS 23
DI 10.2106/JBJS.N.00043
PD DEC 3 2014
PY 2014
AB Background: Increased availability of medical information on the
   Internet empowers patients to look up answers to questions about their
   medical conditions. However, the quality of medical information
   available on the Internet is highly variable. Various tools for the
   assessment of online medical information have been developed and used to
   assess the quality and accuracy of medical web sites. In this study we
   used the LIDA tool (Minervation) to assess the quality of pediatric
   patient information on the AAOS (American Academy of Orthopaedic
   Surgeons) and POSNA (Pediatric Orthopaedic Society of North America) web
   sites.
   Methods: The accessibility, usability, and reliability of online medical
   information in the "Children" section of the AAOS web site and on the
   POSNA web site were assessed with use of the LIDA tool. Flesch-Kincaid
   (FK) and Flesch Reading Ease (FRE) values were also calculated to assess
   the readability of the pediatric education material.
   Results: Patient education materials on each web site scored in the
   moderate range in assessments of accessibility, usability, and
   reliability. FK and FRE values indicated that the readability of each
   web site remained at a somewhat higher (more difficult) level than the
   recommended benchmark.
   Conclusions: The quality and readability of online information for
   children on the AAOS and POSNA web sites are acceptable but can be
   improved further.
Z8 0
ZR 0
TC 16
ZS 0
ZA 0
ZB 1
Z9 16
U1 0
U2 3
SN 0021-9355
EI 1535-1386
UT WOS:000346471300002
PM 25471920
ER

PT J
AU Harber, Philip
   Su, Jing
   Hu, Cheng Cheng
TI Persistence of Respirator Use Learning
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE
VL 11
IS 12
BP 826
EP 832
DI 10.1080/15459624.2014.925115
PD DEC 2 2014
PY 2014
AB Although retraining and repeat fit-testing are needed for respirator
   users, the optimal frequency is uncertain. The persistence of proper
   respirator donning/doffing techniques and changes in quantitative fit
   factor over 6 months after initial training were measured in this study.
   Initial training was designed for rapid rollout situations in which
   direct contact with well-trained occupational health professionals may
   be infeasible. Subjects (n = 175) were assigned randomly to use either a
   filtering facepiece N95 (FFR) or dual cartridge half facemask (HFM)
   respirator. Each was assigned randomly to one of three training
   methods-printed brochure, video, or computer-based training. Soon after
   initial training, quantitative fit and measures of proper technique were
   determined. These measurements were repeated 6 months later. In the
   six-month followup, subjects were randomized to receive either a brief
   reminder card or a placebo card. Total performance score, major errors,
   and quantitative fit all became significantly worse at 6 months. An
   individual's result soon after training was the most important predictor
   of performance 6 months later. There was a marginal not statistically
   significant tendency for those initially trained by video to have better
   protection 6 months later. The study suggests that persons who use
   respirators intermittently should be thoroughly retrained and
   reevaluated periodically.
   [Supplementary materials are available for this article. Go to the
   publisher's online edition of Journal of Occupational and Environmental
   Hygiene for the following free supplemental resource: Additional
   statistical analyses.
RI Harber, Philip/ABH-2247-2021; Hu, Chengcheng/A-8391-2017; Hu, Chengcheng/
OI Hu, Chengcheng/0000-0001-8525-0356
ZA 0
ZB 2
Z8 0
TC 4
ZR 0
ZS 0
Z9 4
U1 0
U2 8
SN 1545-9624
EI 1545-9632
UT WOS:000344370200008
PM 24847912
ER

PT J
AU Richardson, Suzanna J.
   Brooks, Hannah L.
   Bramley, George
   Coleman, Jamie J.
TI Evaluating the Effectiveness of Self-Administration of Medication (SAM)
   Schemes in the Hospital Setting: A Systematic Review of the Literature
SO PLOS ONE
VL 9
IS 12
AR e113912
DI 10.1371/journal.pone.0113912
PD DEC 2 2014
PY 2014
AB Background: Self-administration of medicines is believed to increase
   patients' understanding about their medication and to promote their
   independence and autonomy in the hospital setting. The effect of
   inpatient self-administration of medication (SAM) schemes on patients,
   staff and institutions is currently unclear.
   Objective: To systematically review the literature relating to the
   effect of SAM schemes on the following outcomes: patient knowledge,
   patient compliance/medication errors, success in self-administration,
   patient satisfaction, staff satisfaction, staff workload, and costs.
   Design: Keyword and text word searches of online databases were
   performed between January and March 2013. Included articles described
   and evaluated inpatient SAM schemes. Case studies and anecdotal studies
   were excluded.
   Results: 43 papers were included for final analysis. Due to the
   heterogeneity of results and unclear findings it was not possible to
   perform a quantitative synthesis of results. Participation in SAM
   schemes often led to increased knowledge about drugs and drug regimens,
   but not side effects. However, the effect of SAM schemes on patient
   compliance/medication errors was inconclusive. Patients and staff were
   highly satisfied with their involvement in SAM schemes.
   Conclusions: SAM schemes appear to provide some benefits (e.g. increased
   patient knowledge), but their effect on other outcomes (e.g. compliance)
   is unclear. Few studies of high methodological quality using validated
   outcome measures exist. Inconsistencies in both measuring and reporting
   outcomes across studies make it challenging to compare results and draw
   substantive conclusions about the effectiveness of SAM schemes.
OI Coleman, Jamie/0000-0002-7512-5153; Bramley, George/0000-0002-3224-1904
ZR 0
Z8 0
ZS 1
ZA 0
TC 29
ZB 6
Z9 31
U1 0
U2 13
SN 1932-6203
UT WOS:000345869700068
PM 25463269
ER

PT J
AU Ybarra, Michele L.
   Mwaba, Kelvin
   Prescott, Tonya L.
   Roman, Nicolette V.
   Rooi, Bronwyn
   Bull, Sheana
TI Opportunities for technology-based HIV prevention programming among high
   school students in Cape Town, South Africa
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 26
IS 12
BP 1562
EP 1567
DI 10.1080/09540121.2014.936814
PD DEC 2 2014
PY 2014
AB One in three new cases of HIV in South Africa is among adolescents.
   Given that adolescents are particularly affected, scalable, and
   cost-effective prevention programs are urgently needed. This study aims
   to identify opportunities to integrate technology into youth HIV
   prevention efforts. In 2012, 1107 8th-11th graders completed a
   paper-and-pencil survey. Respondents were enrolled in one of three
   public high schools in Langa, a lower income community in Cape Town,
   South Africa. Eighty-nine percent of respondents have used text
   messaging (SMS) and 86% have gone online. If an HIV prevention program
   was offered online, 66% of youth would be somewhat or extremely likely
   to access it; slightly fewer (55%) felt the same about SMS-based
   programming. In comparison, 85% said they would be somewhat or extremely
   likely to access a school-based HIV prevention program. Interest in
   Internet- (60%) and SMS-based (54%) HIV prevention programming was
   similar for youth who had a self-appraised risk of HIV compared to youth
   who appraised their risk to be lower, as it was for youth who were tired
   of hearing messages about HIV prevention. Technology use is common -
   even among high school students who live in lower income communities. At
   the same time, these data reveal that it is not uncommon for youth to be
   tired of hearing messages about HIV prevention, and many of the typical
   topics key to HIV prevention have low interest levels among youth. HIV
   prevention researchers need to be mindful of the extent of existing
   programming that youth are exposed to. Technology-based programming may
   be especially amenable to meeting these requirements because of its
   novelty especially in developing countries, and because interactive
   functionality can be easily integrated into the program design. Given
   the preference for school- and Internet-based programming, it seems that
   a hybrid approach is likely feasible and acceptable.
RI Roman, Nicolette Vanessa/Q-8428-2019; Roman, Nicolette V/G-2747-2013
OI Roman, Nicolette Vanessa/0000-0002-4506-437X; Roman, Nicolette
   V/0000-0002-4506-437X
ZS 0
Z8 0
TC 4
ZR 0
ZA 0
ZB 0
Z9 4
U1 0
U2 23
SN 0954-0121
EI 1360-0451
UT WOS:000343417200017
PM 25022287
ER

PT J
AU Rahn, Douglas A., III
   Kim, Gwe-Ya
   Mundt, Arno J.
   Pawlicki, Todd
TI A Real-Time Safety and Quality Reporting System: Assessment of Clinical
   Data and Staff Participation
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 90
IS 5
BP 1202
EP 1207
DI 10.1016/j.ijrobp.2014.08.332
PD DEC 1 2014
PY 2014
AB Purpose: To report on the use of an incident learning system in a
   radiation oncology clinic, along with a review of staff participation.
   Methods and Materials: On September 24, 2010, our department initiated
   an online real-time voluntary reporting system for safety issues, called
   the Radiation Oncology Quality Reporting System (ROQRS). We reviewed
   these reports from the program's inception through January 18, 2013 (2
   years, 3 months, 25 days) to assess error reports (defined as both
   near-misses and incidents of inaccurate treatment).
   Results: During the study interval, there were 60,168 fractions of
   external beam radiation therapy and 955 brachytherapy procedures. There
   were 298 entries in the ROQRS system, among which 108 errors were
   reported. There were 31 patients with near-misses reported and 27
   patients with incidents of inaccurate treatment reported. These
   incidents of inaccurate treatment occurred in 68 total treatment
   fractions (0.11% of treatments delivered during the study interval).
   None of these incidents of inaccurate treatment resulted in deviation
   from the prescription by 5% or more. A solution to the errors was
   documented in ROQRS in 65% of the cases. Errors occurred as repeated
   errors in 22% of the cases. A disproportionate number of the incidents
   of inaccurate treatment were due to improper patient setup at the linear
   accelerator (P<.001). Physician participation in ROQRS was nonexistent
   initially, but improved after an education program.
   Conclusions: Incident learning systems are a useful and practical means
   of improving safety and quality in patient care. (C) 2014 Elsevier Inc.
ZR 0
Z8 0
ZB 1
ZA 0
ZS 1
TC 17
Z9 17
U1 0
U2 5
SN 0360-3016
EI 1879-355X
UT WOS:000346414500033
PM 25442045
ER

PT J
AU Kogan, Lori R.
   Dowers, Kristy L.
   Cerda, Jacey R.
   Schoenfeld-Tacher, Regina M.
   Stewart, Sherry M.
TI Virtual Microscopy: A Useful Tool for Meeting Evolving Challenges in the
   Veterinary Medical Curriculum
SO JOURNAL OF SCIENCE EDUCATION AND TECHNOLOGY
VL 23
IS 6
BP 756
EP 762
DI 10.1007/s10956-014-9508-6
PD DEC 2014
PY 2014
AB Veterinary schools, similar to many professional health programs, face a
   myriad of evolving challenges in delivering their professional curricula
   including expansion of class size, costs to maintain expensive
   laboratories, and increased demands on veterinary educators to use
   curricular time efficiently and creatively. Additionally, exponential
   expansion of the knowledge base through ongoing biomedical research,
   educational goals to increase student engagement and clinical reasoning
   earlier in the curriculum, and students' desire to access course
   materials and enhance their educational experience through the use of
   technology all support the need to reassess traditional microscope
   laboratories within Professional Veterinary Medical (PVM) educational
   programs. While there is clear justification for teaching veterinary
   students how to use a microscope for clinical evaluation of cytological
   preparations (i.e., complete blood count, urinalysis, fecal analysis,
   fine needle aspirates, etc.), virtual microscopy may be a viable
   alternative to using light microscopy for teaching and learning
   fundamental histological concepts. This article discusses results of a
   survey given to assess Professional Veterinary Medical students'
   perceptions of using virtual microscope for learning basic
   histology/microscopic anatomy and implications of these results for
   using virtual microscopy as a pedagogical tool in teaching first-year
   Professional Veterinary Medical students' basic histology.
OI Schoenfeld, Regina/0000-0003-1884-0270
ZB 2
Z8 0
TC 7
ZS 0
ZA 0
ZR 0
Z9 7
U1 1
U2 67
SN 1059-0145
EI 1573-1839
UT WOS:000344809900005
ER

PT J
AU Arneja, J. S.
   McInnes, C. W.
   Carr, N. J.
   Lennox, P.
   Hill, M.
   Petersen, R.
   Woodward, K.
   Skarlicki, D.
TI Do plastic surgery division heads and program directors have the
   necessary tools to provide effective leadership?
SO PLASTIC SURGERY
VL 22
IS 4
BP 241
EP 245
DI 10.1177/229255031402200402
PD WIN 2014
PY 2014
AB BACKGROUND: Effective leadership is imperative in a changing health care
   landscape driven by increasing expectations in a setting of rising
   fiscal pressures. Because evidence suggests that leadership abilities
   are not simply innate but, rather, effective leadership can be learned,
   it is prudent for plastic surgeons to evaluate the training and
   challenges of their leaders because there may be opportunities for
   further growth and support.
   OBJECTIVE: To investigate the practice profiles, education/training,
   responsibilities and challenges of leaders within academic plastic
   surgery.
   METHODS: Following research ethics board approval, an anonymous online
   survey was sent to division heads and program directors from all
   university-affiliated plastic surgery divisions in Canada. Survey themes
   included demographics, education/training, job responsibilities and
   challenges.
   RESULTS: A response rate of 74% was achieved. The majority of
   respondents were male (94%), promoted to their current position at a
   mean age of 48 years, did not have a leadership-focused degree (88%),
   directly manage 30 people (14 staff, 16 faculty) and were not provided
   with a job description (65%). Respondents worked an average of 65 h per
   week, of which 18% was devoted to their leadership role, 59% clinically
   and the remainder on teaching and research. A discrepancy existed
   between time spent on their leadership role (18%) and related
   compensation (10%). Time management (47%) and managing conflict (24%)
   were described as the greatest leadership challenges by respondents.
   CONCLUSIONS: Several gaps were identified among leaders in plastic
   surgery including predominance of male sex, limitations in formal
   leadership training and requisite skill set, as well as compensation and
   human resources management (emotional intelligence). Leadership and
   managerial skills are key core competencies, not only for trainees, but
   certainly for those in a position of leadership. The present study
   provides evidence that academic departments, universities and medical
   centres may benefit by re-evaluating how they train, promote and support
   their leaders in plastic surgery.
RI Carr, Nicholas/ABD-2360-2021; Arneja, Jugpal/ABI-2492-2020
OI Arneja, Jugpal/0000-0002-5870-7039
TC 3
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
Z9 3
U1 0
U2 6
SN 2292-5503
EI 2292-5511
UT WOS:000347678200006
PM 25535461
ER

PT J
AU Merchant, Raina M.
   Griffis, Heather M.
   Ha, Yoonhee P.
   Kilaru, Austin S.
   Sellers, Allison M.
   Hershey, John C.
   Hill, Shawndra S.
   Kramer-Golinkoff, Emily
   Nadkarni, Lindsay
   Debski, Margaret M.
   Padrez, Kevin A.
   Becker, Lance B.
   Asch, David A.
TI Hidden in Plain Sight: A Crowdsourced Public Art Contest to Make
   Automated External Defibrillators More Visible
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 104
IS 12
BP 2306
EP 2312
DI 10.2105/AJPH.2014.302211
PD DEC 2014
PY 2014
AB Objectives. We sought to explore the feasibility of using a
   crowdsourcing study to promote awareness about automated external
   defibrillators (AEDs) and their locations.
   Methods. The Defibrillator Design Challenge was an online initiative
   that asked the public to create educational designs that would enhance
   AED visibility, which took place over 8 weeks, from February 6, 2014, to
   April 6, 2014. Participants were encouraged to vote for AED designs and
   share designs on social media for points. Using a mixed-methods study
   design, we measured participant demographics and motivations, design
   characteristics, dissemination, and Web site engagement.
   Results. Over 8 weeks, there were 13 992 unique Web site visitors; 119
   submitted designs and 2140 voted. The designs were shared 48 254 times
   on Facebook and Twitter. Most designers-voters reported that they
   participated to contribute to an important cause (44%) rather than to
   win money (0.8%). Design themes included: empowerment, location
   awareness, objects (e.g., wings, lightning, batteries, life-buoys), and
   others.
   Conclusions. The Defibrillator Design Challenge engaged a broad audience
   to generate AED designs and foster awareness. This project provides a
   framework for using design and contest architecture to promote health
   messages.
OI Shepard, Lindsay/0000-0002-6097-8452; Kilaru,
   Austin/0000-0002-3141-1772; Asch, David/0000-0002-7970-286X
TC 18
Z8 0
ZR 0
ZS 0
ZA 0
ZB 5
Z9 18
U1 0
U2 9
SN 0090-0036
EI 1541-0048
UT WOS:000347210500037
PM 25320902
ER

PT J
AU Spielberg, Freya
   Levy, Vivian
   Lensing, Shelly
   Chattopadhyay, Ishita
   Venkatasubramanian, Lalitha
   Acevedo, Nincoshka
   Wolff, Peter
   Callabresi, Debra
   Philip, Susan
   Lopez, Teresa P.
   Padian, Nancy
   Blake, Diane R.
   Gaydos, Charlotte A.
TI Fully Integrated e-Services for Prevention, Diagnosis, and Treatment of
   Sexually Transmitted Infections: Results of a 4-County Study in
   California
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 104
IS 12
BP 2313
EP 2320
DI 10.2105/AJPH.2014.302302
PD DEC 2014
PY 2014
AB Objectives. We examined the acceptability, feasibility, and cost of a
   fully integrated online system (eSTI) for sexually transmitted infection
   (STI) testing, treatment, and linkage to care with 4 Northern California
   health departments.
   Methods. In April 2012, we implemented the eSTI system, which provided
   education; testing of self-collected vaginal swabs for chlamydia,
   gonorrhea, and trichomoniasis; e-prescriptions; e-partner notification;
   and data integration with clinic electronic health records. We analyzed
   feasibility, acceptability, and cost measures.
   Results. During a 3-month period, 217 women aged 18 to 30 years
   enrolled; 67% returned the kit. Of these, 92% viewed their results
   online. STI prevalence was 5.6% (chlamydia and trichomoniasis). All
   participants with STIs received treatment either the same day at a
   pharmacy (62%) or within 7 days at a clinic (38%). Among participants
   completing follow-up surveys, 99% would recommend the online eSTI system
   to a friend, and 95% preferred it over clinic-based testing within a
   study.
   Conclusions. The fully integrated eSTI system has the potential to
   increase diagnosis and treatment of STIs with higher patient
   satisfaction at a potentially lower cost.
RI Gaydos, Charlotte A./E-9937-2010
Z8 0
ZB 4
ZS 0
ZR 0
TC 16
ZA 0
Z9 16
U1 0
U2 4
SN 0090-0036
EI 1541-0048
UT WOS:000347210500038
PM 25320878
ER

PT J
AU Hoogerheide, Vincent
   Loyens, Sofie M. M.
   van Gog, Tamara
TI Comparing the effects of worked examples and modeling examples on
   learning
SO COMPUTERS IN HUMAN BEHAVIOR
VL 41
BP 80
EP 91
DI 10.1016/j.chb.2014.09.013
PD DEC 2014
PY 2014
AB Example-based learning is an effective instructional strategy for
   students with low prior knowledge, and is increasingly being used in
   online learning environments. However, examples can take many different
   forms and little is known about whether and how form affects learning
   outcomes. Therefore, this study investigated whether worked examples and
   modeling examples with and without a visible model would be equally
   effective in fostering learning of a problem-solving task. In Experiment
   1, secondary education students (N = 78) learned how to solve a
   probability calculation problem by watching two videos that, depending
   on the assigned condition, provided worked examples (written text,
   pictures of problem states), modeling examples with a visible model
   (spoken text, a demonstration of the task), or modeling examples without
   a visible model (spoken text, pictures of problem states). Results
   showed that all three conditions were equally effective at fostering
   learning, near transfer, effort reduction, self-efficacy, and perceived
   competence. Experiment 2 (N = 134) replicated these results with a
   younger student population that only studied one example. These findings
   suggest that the format of examples does not affect learning outcomes
   for this task; future research should investigate whether this would
   generalize to other problem-solving tasks. (C) 2014 Elsevier Ltd. All
   rights reserved.
OI Hoogerheide, Vincent/0000-0003-4176-0973
ZS 0
ZB 2
ZR 0
Z8 1
ZA 0
TC 34
Z9 35
U1 4
U2 35
SN 0747-5632
EI 1873-7692
UT WOS:000347755000010
ER

PT J
AU Choi, Jae Eun
   Kim, Dai Hyun
   Seo, Soo Hong
   Kye, Young Chul
   Ahn, Hyo Hyun
TI The Suitability of Gray-Scale Electronic Readers for Dermatology
   Journals
SO ANNALS OF DERMATOLOGY
VL 26
IS 6
BP 700
EP 705
DI 10.5021/ad.2014.26.6.700
PD DEC 2014
PY 2014
AB Background: The rapid development of information and communication
   technology has replaced traditional books by electronic versions. Most
   print dermatology journals have been replaced with electronic journals
   (e-journals), which are readily used by clinicians and medical students.
   Objective: The objectives of this study were to determine whether
   e-readers are appropriate for reading dermatology journals, to conduct
   an attitude study of both medical personnel and students, and to find a
   way of improving e-book use in the field of dermatology. Methods: All
   articles in the Korean Journal of Dermatology published from January
   2010 to December 2010 were utilized in this study. Dermatology house
   officers, student trainees in their fourth year of medical school, and
   interns at Korea University Medical Center participated in the study.
   After reading the articles with Kindle 2, their impressions and
   evaluations were recorded using a questionnaire with a 5-point Likert
   scale. Results: The results demonstrated that gray-scale e-readers might
   not be suitable for reading dermatology journals, especially for case
   reports compared to the original articles. Only three of the thirty-one
   respondents preferred e-readers to printed papers. The most common
   suggestions from respondents to encourage usage of e-books in the field
   of dermatology were the introduction of a color display, followed by the
   use of a touch screen system, a cheaper price, and ready-to-print
   capabilities. Conclusion: In conclusion, our study demonstrated that
   current e-readers might not be suitable for reading dermatology
   journals. However, they may be utilized in selected situations according
   to the type and topic of the papers.
RI Kim, Dai Hyun/ABG-8484-2020; Ahn, Hyo Hyun/; Seo, Soo Hong/
OI Kim, Dai Hyun/0000-0002-3546-2366; Ahn, Hyo Hyun/0000-0002-1129-5305;
   Seo, Soo Hong/0000-0002-3836-0445
ZS 0
Z8 0
ZR 0
ZB 0
TC 0
ZA 0
Z9 0
U1 0
U2 8
SN 1013-9087
UT WOS:000346618200005
PM 25473221
ER

PT J
AU Wolf-Fordham, Susan B.
   Twyman, Janet S.
   Hamad, Charles D.
TI Educating First Responders to Provide Emergency Services to Individuals
   with Disabilities
SO DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
VL 8
IS 6
BP 533
EP 540
DI 10.1017/dmp.2014.129
PD DEC 2014
PY 2014
AB Objective: Individuals with disabilities experience more negative
   outcomes due to natural and manmade disasters and emergencies than do
   people without disabilities. This vulnerability appears to be due in
   part to knowledge gaps among public health and safety emergency planning
   and response personnel (responders). We assessed the effectiveness of an
   online program to increase emergency responder knowledge about emergency
   planning and response for individuals with disabilities.
   Methods: Researchers developed an online course designed to teach public
   health, emergency planning and management, and other first response
   personnel about appropriate, efficient, and equitable emergency
   planning, response, interaction, and communication with children and
   adults with disabilities before, during, and after disasters or
   emergencies. Course features included an ongoing storyline, exercises
   embedded in the form of real-life scenarios, and game-like features such
   as points and timed segments.
   Results: Evaluation measures indicated significant pre-to post-test
   gains in learner knowledge and simulated applied skills.
   Conclusion: An online program using scenarios and simulations is an
   effective way to make disability-related training available to a wide
   variety of emergency responders across geographically disparate areas.
ZR 0
TC 8
Z8 0
ZA 0
ZS 0
ZB 0
Z9 8
U1 0
U2 15
SN 1935-7893
EI 1938-744X
UT WOS:000348605600013
PM 25859692
ER

PT J
AU Melton, L. Doug
   Bradley, Kent
   Fu, Patricia Lin
   Armata, Raegan M.
   Parr, James B.
TI Reference-Based Pricing: An Evidence-Based Solution for Lab Services
   Shopping
SO AMERICAN JOURNAL OF MANAGED CARE
VL 20
IS 12
BP 1033
EP 1040
PD DEC 2014
PY 2014
AB Objectives
   To determine the effect of reference-based pricing (RBP) on the
   percentage of lab services utilized by members that were at or below the
   reference price. Study Design Retrospective, quasi-experimental,
   matched, case-control pilot evaluation of an RBP benefit for lab
   services.
   Methods
   The study group included employees of a multinational grocery chain
   covered by a national health insurance carrier and subject to RBP for
   lab services; it had access to an online lab shopping tool and was
   informed about the RBP benefit through employer communications. The
   reference group was covered by the same insurance carrier but not
   subject to RBP. The primary end point was lab compliance, defined as the
   percentage of lab claims with total charges at or below the reference
   price. Difference-in-difference regression estimation evaluated changes
   in lab compliance between the 2 groups.
   Results
   Higher compliance per lab claim was evident for the study group compared
   with the reference group (69% vs 57%; P < .05). The online shopping tool
   was used by 7% of the matched-adjusted study group prior to obtaining
   lab services. Lab compliance was 76% for study group members using the
   online tool compared with 68% among nonusers who were subject to RBP (P
   < .01).
   Conclusions
   RBP can promote cost-conscious selection of lab services. Access to
   facilities that offer services below the reference price and education
   about RBP improve compliance. Evaluation of the effect of RBP on
   higher-cost medical services, including radiology, outpatient specialty,
   and elective inpatient procedures, is needed.
Z8 0
TC 8
ZA 0
ZR 0
ZS 0
ZB 2
Z9 8
U1 0
U2 0
SN 1088-0224
UT WOS:000351005400012
PM 25526391
ER

PT J
AU Chaudhury, Prosanto K.
   Jeschke, Marc G.
   Monson, John R.
CA Evidence Based Reviews Surg Grp
TI What is the diagnostic value of C-reactive protein for the prediction
   and the exclusion of postoperative infectious complication after
   colorectal surgery?
SO CANADIAN JOURNAL OF SURGERY
VL 57
IS 6
BP 417
EP 419
DI 10.1503/cjs.015414
PD DEC 2014
PY 2014
AB The term "evidence-based medicine" was first coined by Sackett and
   colleagues as "the conscientious, explicit and judicious use of current
   best evidence in making decisions about the care of individual
   patients."(1) The key to practising evidence-based medicine is applying
   the best current knowledge to decisions in individual patients. Medical
   knowledge is continually and rapidly expanding. For clinicians to
   practise evidence-based medicine, they must have the skills to read and
   interpret the medical literature so that they can determine the
   validity, reliability, credibility and utility of individual articles.
   These skills are known as critical appraisal skills, and they require
   some knowledge of biostatistics, clinical epidemiology, decision
   analysis and economics, and clinical knowledge.
   Evidence Based Reviews in Surgery (EBRS) is a program jointly sponsored
   by the Canadian Association of General Surgeons (CAGS) and the American
   College of Surgeons (ACS). The primary objective of EBRS is to help
   practising surgeons improve their critical appraisal skills. During the
   academic year, 8 clinical articles are chosen for review and discussion.
   They are selected for their clinical relevance to general surgeons and
   because they cover a spectrum of issues important to surgeons, including
   causation or risk factors for disease, natural history or prognosis of
   disease, how to quantify disease, diagnostic tests, early diagnosis and
   the effectiveness of treatment. A methodological article guides the
   reader in critical appraisal of the clinical article. Methodological and
   clinical reviews of the article are performed by experts in the relevant
   areas and posted on the EBRS website, where they are archived
   indefinitely. In addition, a listserv allows participants to discuss the
   monthly article. Surgeons who participate in the monthly packages can
   obtain Royal College of Physicians and Surgeons of Canada Maintenance of
   Certification credits and/or continuing medical education credits for
   the current article only by reading the monthly articles, participating
   in the listserv discussion, reading the methodological and clinical
   reviews and completing the monthly online evaluation and multiple choice
   questions.
   We hope readers will find EBRS useful in improving their critical
   appraisal skills and in keeping abreast of new developments in general
   surgery. Four reviews are published in condensed versions in the
   Canadian Journal of Surgery and 4 are published in the Journal of the
   American College of Surgeons. For further information about EBRS, please
   refer to the CAGS or ACS websites. Questions and comments can be
   directed to the program administrator, Marg McKenzie, at
   mmckenzie@mtsinai.on.ca.
RI McLeod, Robin/K-1476-2013; Brown, Carl/; Baxter, Nancy/E-7020-2015; Mastracci, Tara M/
OI Brown, Carl/0000-0002-5368-3541; Baxter, Nancy/0000-0003-4793-4620;
   Mastracci, Tara M/0000-0002-2532-8614
ZB 0
ZA 0
ZS 0
TC 1
ZR 0
Z8 0
Z9 1
U1 0
U2 2
SN 0008-428X
EI 1488-2310
UT WOS:000349831200011
PM 25421085
ER

PT J
AU Muir, James
TI Telehealth: the specialist perspective
SO AUSTRALIAN FAMILY PHYSICIAN
VL 43
IS 12
BP 828
EP 830
PD DEC 2014
PY 2014
AB Background
   Tele-Derm National is an online consultation and educational service in
   dermatology designed to meet the needs of doctors working in rural and
   remote Australia. In existence since 2003, it is hosted on the Rural and
   Remote Medical Education Online site, which is run by the Australian
   College of Rural and Remote Medicine.
   Objective
   This article aims to explore the use and potential of store-and-forward
   teledermatology in the Australian context.
   Discussion
   Doctors who use this service can manage the majority of their patients
   without the need for a face-to-face appointment with a specialist
   dermatologist and deliver similar outcomes. Using store-and-forward
   technology rather than videoconferencing, this site provides specialist
   diagnosis and management advice year round. All cases are answered
   within 24 hours of being submitted. There are benefits in terms of
   increased availability, as well as reduced time, cost and professional
   isolation. However, uptake remains low, potentially because of a lack of
   awareness, increased workload for referring practitioners and lack of
   financial incentives.
RI Muir, James B/ABI-2711-2020; Muir, James/
OI Muir, James/0000-0003-3791-161X
Z8 0
ZR 0
ZS 0
ZB 0
TC 10
ZA 0
Z9 10
U1 0
U2 5
SN 0300-8495
UT WOS:000209577200006
PM 25705728
ER

PT J
AU Esfahani, B. Janghorban
   Faron, A.
   Roth, K. S.
   Schaller, H. -E.
   Medved, F.
   Lueers, J. -C.
TI Systematic Analysis of the Readability of Patient Information on the
   Websites of Clinics for Plastic Surgery
SO HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
VL 46
IS 6
BP 369
EP 374
DI 10.1055/s-0034-1385936
PD DEC 2014
PY 2014
AB Zusammenfassung
   Einleitung: Das Internet gewinnt als Informationsquelle fur Patienten in
   medizinischen Fragestellungen zunehmend an Bedeutung. Auf der anderen
   Seite haben viele Patienten Probleme, schriftliche Informationen mit
   medizinischen Inhalten adaquat aufzunehmen und zu verstehen.
   Grundbedingung fur ein Textverstandnis ist die Lesbarkeit eines Textes.
   Ziel der vorliegenden Untersuchung war es, die auf den Internetseiten
   gro ss er deutscher plastisch-chirurgischer Kliniken verfugbaren Texte
   mit Patienteninformation hinsichtlich ihrer Lesbarkeit zu untersuchen.
   Studiendesign: Die Internetseiten von 27 gro ss en Abteilungen fur Hand-
   und Plastische Chirurgie in Deutschland wurden mithilfe von 5
   anerkannten Lesbarkeitsindices einer systematischen Analyse unterzogen.
   Anhand 20 frei gewahlter fachreprasentativer Suchbegriffe wurde auf den
   Internetseiten nach passenden Informationstexten gesucht. Alle Texte
   wurden einem von 3 thematischen Schwerpunkten zugeordnet um adaquate
   Vergleichsanalysen durchfuhren zu konnen. Neben der Auswertung der
   Lesbarkeit erfolgte die Analyse weiterer objektiver Textparameter.
   Ergebnisse: In die schlussendliche Analyse konnten 288 Texte einbezogen
   werden. Die meisten Texte fanden sich zum Themenkomplex "Handchirurgie
   (n=124), weniger zu den Komplexen "plastische Gesichtschirurgie (n=80)
   und "Lappenplastik, Brust- und Rekonstruktive Chirurgie (n=84). Alle
   angewandten Lesbarkeitsindices zeigten ubereinstimmend eine schlechte
   Lesbarkeit an, sodass die Texte nur fur Leser mit Hochschulbildung
   verstandlich erscheinen. Zwischen den Themenkomplexen bestanden keine
   signifikanten Unterschiede hinsichtlich der Lesbarkeit.
   Schlussfolgerungen: Gerade in der Kommunikation von medizinischen
   Informationen ist es wichtig, den Kenntnis- und Bildungsstand des
   Adressaten zu berucksichtigen. Die untersuchten Texte zeigten
   ubereinstimmend eine Lesbarkeit an, die in der Regel lediglich fur
   Akademiker als ausreichend verstandlich ist. Ein Gro ss teil der
   angestrebten Zielgruppe wird somit wahrscheinlich nicht erreicht. Soll
   der zunehmenden Bedeutung des Internets als Informationsmedium fur
   Patienten Rechnung getragen werden, erscheint eine uberarbeitung der
   Texte sinnvoll.
   Abstract
   Objective: The Internet is becoming increasingly important as a source
   of information for patients in medical issues. However, many patients
   have problems to adequately understand texts, especially with medical
   content. A basic requirement to understand a written text is the
   readability of a text. The aim of the present study was to examine texts
   on the websites of German plastic-surgical hospitals with patient
   information regarding their readability.
   Materials and Methods: In this study, the readability of texts of 27
   major departments of plastic and Hand surgery in Germany was
   systematically analysed using 5 recognised readability indices. First,
   texts were searched based on 20 representative key words and themes.
   Thereafter, texts were assigned to one of 3 major themes in order to
   enable statistical analysis. In addition to the 5 readability indices,
   further objective text parameters were also recorded.
   Results: Overall, 288 texts were found for analyzation. Most articles
   were found on the topic of handsurgery (n=124), less were found for
   facial plastic surgery (n=80) and flaps, breast and reconstructive
   surgery (n=84). Consistently, all readability indices showed a poor
   readability for the vast majority of analysed texts with the text
   appearing readable only for readers with a higher educational level. No
   significant differences in readability were found between the 3 major
   themes.
   Conclusion: Especially in the communication of medical information, it
   is important to consider the knowledge and education of the addressee.
   The texts studied consistently showed a readability that is
   understandable only for academics. Thus, a large part of the intended
   target group is probably not reached. In order to adequately deliver
   online information material, a revision of the analysed internet texts
   appears to be recommendable.
RI Luers, Jan Christoffer/AAB-8330-2020; Faron, Anton/
OI Luers, Jan Christoffer/0000-0002-8273-2234; Faron,
   Anton/0000-0002-5771-7235
ZS 0
TC 4
ZR 0
ZB 0
ZA 0
Z8 0
Z9 4
U1 0
U2 7
SN 0722-1819
EI 1439-3980
UT WOS:000347712000009
PM 25412241
ER

PT J
AU Aryal, Kamal Raj
   Pereira, Jerome
TI E Learning in Surgery
SO INDIAN JOURNAL OF SURGERY
VL 76
IS 6
BP 487
EP 493
DI 10.1007/s12262-014-1092-8
PD DEC 2014
PY 2014
AB E learning means use of electronic media and information technologies in
   education. Virtual learning environment (VLE) provides learning
   platforms consisting of online tools, databases and managed resources.
   This article is a review of use of E learning in medical and surgical
   education including available evidence favouring this approach. E
   learning has been shown to be more effective, less costly and more
   satisfying to the students than the traditional methods. E learning
   cannot however replace direct consultant supervision at their place of
   work in surgical trainees and a combination of both called blended
   learning has been shown to be most useful. As an example of
   university-based qualification, one such programme is presented to
   clarify the components and the process of E learning. Increasing use of
   E learning and occasional face to face focussed supervision by the
   teacher is likely to enhance surgical training in the future.
OI aryal, kamal/0000-0001-9300-5211
Z8 0
ZB 1
ZS 1
ZA 0
TC 12
ZR 0
Z9 13
U1 1
U2 13
SN 0972-2068
EI 0973-9793
UT WOS:000348131400010
PM 25614725
ER

PT J
AU Lachance, Carly
TI Nursing Journal Clubs: A Literature Review on the Effective Teaching
   Strategy for Continuing Education and Evidence-Based Practice
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 45
IS 12
BP 559
EP 565
DI 10.3928/00220124-20141120-01
PD DEC 2014
PY 2014
AB Background: This literature review on nursing journal clubs evaluates
   the efficacy of the teaching strategy within the clinical setting.
   Method: Peer-reviewed articles were retrieved using an online journal
   database. Inclusion criteria incorporated information on efficacy of the
   teaching strategy, evidence-based practices, and continuing education as
   they related to nursing journal club initiatives.
   Results: The literature cited numerous benefits and proved to be in
   favor of nursing journal clubs. The most common benefits found were
   nurses remaining abreast of current research, skill development in
   reading and critically appraising research, and incorporation of
   evidence-based practices to patient care. Due to the self-motivated and
   voluntary nature of this teaching strategy, a limitation commonly
   identified was lack of participation, and further research on this
   limitation often was suggested.
   Conclusion: Nursing journal clubs proved to be an effective teaching
   strategy, a finding that remains consistent with the medical pioneers of
   the movement.
ZB 0
ZR 0
ZA 0
ZS 2
Z8 0
TC 27
Z9 29
U1 1
U2 24
SN 0022-0124
EI 1938-2472
UT WOS:000347342800009
PM 25401339
ER

PT J
AU Welch, Joanne
TI Building a Foundation for Brief Motivational Interviewing: Communication
   to Promote Health Literacy and Behavior Change
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 45
IS 12
BP 566
EP 572
DI 10.3928/00220124-20141120-03
PD DEC 2014
PY 2014
AB The use of collaborative communication styles such as motivational
   interviewing promotes patient engagement, health literacy,
   self-management, and improved outcomes for individuals with chronic
   illness. Brief motivational interviewing is an adaptation developed for
   use with medical populations in time-limited encounters. Inpatient
   nurses caring for individuals with chronic diagnoses may lack knowledge
   regarding brief motivational interviewing. This evidence-based quality
   improvement project used an online approach to introduce continuing
   education regarding brief motivational interviewing within the
   constraints of the inpatient setting. Nurses on four units in a
   community hospital completed a web-based learning module in preparation
   for context-based skills training. A significant increase in knowledge
   scores, combined with strong positive attitudes prior to and following
   the module, indicated a reliable foundation for skills training within
   the practice setting. Nurses' enhanced ability to recognize the practice
   of motivational interviewing in scenarios following online education
   supported the potential value of a hybrid approach to education.
OI Welch, Joanne/0000-0002-2896-953X
TC 9
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
Z9 9
U1 0
U2 20
SN 0022-0124
EI 1938-2472
UT WOS:000347342800010
PM 25401341
ER

PT J
AU Jin, Jun
   Bridges, Susan M.
TI Educational Technologies in Problem-Based Learning in Health Sciences
   Education: A Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 16
IS 12
BP 142
EP 154
DI 10.2196/jmir.3240
PD DEC 2014
PY 2014
AB Background: As a modern pedagogical philosophy, problem-based learning
   (PBL) is increasingly being recognized as a major research area in
   student learning and pedagogical innovation in health sciences
   education. A new area of research interest has been the role of emerging
   educational technologies in PBL. Although this field is growing, no
   systematic reviews of studies of the usage and effects of educational
   technologies in PBL in health sciences education have been conducted to
   date.
   Objective: The aim of this paper is to review new and emerging
   educational technologies in problem-based curricula, with a specific
   focus on 3 cognate clinical disciplines: medicine, dentistry, and speech
   and hearing sciences. Analysis of the studies reviewed focused on the
   effects of educational technologies in PBL contexts while addressing the
   particular issue of scaffolding of student learning.
   Methods: A comprehensive computerized database search of full-text
   articles published in English from 1996 to 2014 was carried out using 3
   databases: ProQuest, Scopus, and EBSCOhost. Eligibility criteria for
   selection of studies for review were also determined in light of the
   population, intervention, comparison, and outcomes (PICO) guidelines.
   The population was limited to postsecondary education, specifically in
   dentistry, medicine, and speech and hearing sciences, in which PBL was
   the key educational pedagogy and curriculum design. Three types of
   educational technologies were identified as interventions used to
   support student inquiry: learning software and digital learning objects;
   interactive whiteboards (IWBs) and plasma screens; and learning
   management systems (LMSs).
   Results: Of 470 studies, 28 were selected for analysis. Most studies
   examined the effects of learning software and digital learning objects
   (n = 20) with integration of IWB (n = 5) and LMS (n = 3) for PBL
   receiving relatively less attention. The educational technologies
   examined in these studies were seen as potentially fit for problem-based
   health sciences education. Positive outcomes for student learning
   included providing rich, authentic problems and/ or case contexts for
   learning; supporting student development of medical expertise through
   the accessing and structuring of expert knowledge and skills; making
   disciplinary thinking and strategies explicit; providing a platform to
   elicit articulation, collaboration, and reflection; and reducing
   perceived cognitive load. Limitations included cumbersome scenarios,
   infrastructure requirements, and the need for staff and student support
   in light of the technological demands of new affordances.
   Conclusions: This literature review demonstrates the generally positive
   effect of educational technologies in PBL. Further research into the
   various applications of educational technology in PBL curricula is
   needed to fully realize its potential to enhance problem-based
   approaches in health sciences education.
RI Bridges, Susan Margaret/B-2132-2009; Bridges, Susan Margaret/AAI-6712-2021
OI Bridges, Susan Margaret/0000-0001-8325-8397; Bridges, Susan
   Margaret/0000-0001-8325-8397
ZR 1
ZA 0
ZB 4
TC 69
ZS 4
Z8 3
Z9 78
U1 11
U2 162
SN 1438-8871
UT WOS:000346141400012
PM 25498126
ER

PT J
AU Downes, Elizabeth A.
   Connor, Ann
   Howett, Maeve
TI An Innovative Approach to Enhance Dermatology Competencies for Advanced
   Practice Nurses: Service-Learning With a Migrant Farm Worker Health
   Clinic
SO JOURNAL OF NURSING EDUCATION
VL 53
IS 12
BP 710
EP 713
DI 10.3928/01484834-20141118-15
PD DEC 2014
PY 2014
AB The purpose of this article is to describe a novel service-learning
   opportunity for graduate nursing students that promotes competency in
   dermatology. A hybrid service-learning course with online didactic
   content is described, along with tools for evaluation of dermatology
   competencies. Student evaluation of the course is discussed, and
   selected research articles are reviewed. Advanced practice nursing and
   medical education frequently does not adequately prepare primary care
   providers to be competent in the assessment and management of
   dermatologic conditions. Embedding dermatology content in a
   service-learning program can optimize the provision of care, strengthen
   competencies in dermatology and inter-professional care, and allow
   students to gain a deeper understanding of the population with which
   they work. The innovative service-learning program presented is a model
   for advanced practice nursing education. Tools for evaluating clinical
   competency and courses often need validation.
Z8 0
ZB 1
ZR 0
ZS 0
ZA 0
TC 3
Z9 3
U1 0
U2 12
SN 0148-4834
EI 1938-2421
UT WOS:000347346000010
PM 25494194
ER

PT J
AU Kanters, Michael A.
   Bocarro, Jason N.
   Moore, Renee
   Floyd, Myron F.
   Carlton, Troy A.
TI Afterschool shared use of public school facilities for physical activity
   in North Carolina
SO PREVENTIVE MEDICINE
VL 69
BP S44
EP S48
DI 10.1016/j.ypmed.2014.10.003
SU S
PD DEC 2014
PY 2014
AB Objective: To determine the status and common characteristics of shared
   use in public schools in North Carolina.
   Method: All public school principals (N = 2,359) in North Carolina were
   invited to participate in an online survey (February - May, 2013)
   designed to provide baseline information about the extent and nature of
   shared use of school facilities.
   Results: Responses (n = 1182,50.1%) indicated that most schools share
   their facilities (88.9%). Formal agreements were more common when
   schools shared gyms and outdoor athletic fields. Informal agreements
   were most common with playgrounds and track facilities. Schools with
   more low income or Black students were less likely to share facilities.
   For schools that did not share use of their facilities the most frequent
   reason was no outside groups had ever asked.
   Conclusion: Schools may be more accommodating to shared use
   partnerships. Community organizations seeking to use indoor school
   facilities or athletic fields should be prepared to complete a formal
   written agreement. Preconceived notions that schools are unwilling to
   share their facilities may be preventing community organizations from
   initiating shared use inquiries. Schools located in the middle tier of
   economic distress and schools with a greater concentration of Black
   students were less likely to share their facilities. (C) 2014 Elsevier
   Inc. All rights reserved.
RI Carlton, Troy/AET-6526-2022; Floyd, Myron/AAT-5021-2020; Bocarro, Jason/
OI Carlton, Troy/0000-0003-2094-3965; Floyd, Myron/0000-0002-8626-6031;
   Bocarro, Jason/0000-0002-0017-0574
ZS 0
TC 13
ZB 3
Z8 0
ZA 0
ZR 0
Z9 13
U1 0
U2 7
SN 0091-7435
EI 1096-0260
UT WOS:000347740900008
PM 25451325
ER

PT J
AU Fahey, Natalie
   Patel, Vimal
   Rosseau, Gail
TI A Comparative Analysis of Online Education Resources for Patients
   Undergoing Endoscopic Transsphenoidal Surgery
SO WORLD NEUROSURGERY
VL 82
IS 6
AR e671
DI 10.1016/j.wneu.2014.09.014
PD DEC 2014
PY 2014
AB OBJECTIVE: Endoscopic transsphenoidal surgery has become the most
   commonly performed surgical procedure for pituitary tumor removal. As
   such, there are many patient-oriented educational materials on the
   technique available online for members of the public who desire to learn
   more about the surgery. It has been recommended that educational
   resources be written to the national average reading level, which in the
   United States is between sixth and seventh grade. This study assesses
   the reading level of the educational materials currently available
   online for endoscopic transsphenoidal surgery and determines whether
   these resources are written at a suitable comprehension level for most
   readers.
   METHODS: Sixteen patient educational resources describing endoscopic
   transsphenoidal surgery were identified online and assessed using 4
   standard readability assessments.
   RESULTS: Patient educational resources written for endoscopic
   transsphenoidal surgery are written far above the recommended reading
   level of sixth grade.
   CONCLUSIONS: The online educational resources written for patients about
   endoscopic transsphenoidal surgery are above the recommended reading
   level for patient education materials. Further revisions to simplify
   these resources on endoscopic transsphenoidal surgery are needed to
   ensure that most patients can comprehend this important material and
   make informed decisions about their health care.
OI Rosseau, Gail/0000-0002-5392-435X
ZR 0
ZA 0
Z8 0
ZB 1
ZS 0
TC 4
Z9 4
U1 0
U2 3
SN 1878-8750
EI 1878-8769
UT WOS:000347635900001
PM 25238677
ER

PT J
AU Caci, H.
   Paille, S.
TI Attention-deficit/hyperactivity disorder in childhood/adolescence and
   impairments associated with daily life: French data from the European
   Lifetime Impairment Survey
SO ARCHIVES DE PEDIATRIE
VL 21
IS 12
BP 1283
EP 1292
DI 10.1016/j.arcped.2014.08.035
PD DEC 2014
PY 2014
AB Attention-deficit/hyperactivity disorder (ADHD) has a 3-5 % prevalence
   in Europe and North America. It is associated with functional impairment
   and can have a negative impact on social and family relationships and
   daily living. The experiences of children/adolescents with ADHD in
   Europe, as reported by parents/caregivers who completed the online
   Lifetime Impairment Survey (US), were evaluated. The US was conducted in
   France, Germany, Italy, Spain, the Netherlands, and the UK to assess the
   extent to which the daily lives of children/adolescents (aged < 20
   years) with ADHD are affected by their disorder as reported by
   parents/caregivers. Participants to the survey were recruited by email
   from the GfK Global Online Panel, which consisted of a database of
   487,533 members (including 85,512 members in France). The control group
   comprised parents/caregivers of children/adolescents without ADHD.
   Treatment for ADHD, as perceived by parents/caregivers of
   children/adolescents with ADHD, was also reviewed. Data from France are
   described here. In France, 157 (79 with ADHD, 78 without ADHD)
   parents/caregivers completed the LIS. Median age at diagnosis was 6.0
   years (mean [SD], 6.4 [3.18] years) as reported by parents/caregivers;
   pharmacological treatment was prescribed for 46.8 % (37/79) of
   children/adolescents with ADHD. Compared with the control group, ADHD
   was associated with significantly greater impairment across all domains
   studied (P < 0.001), except problems in home life. General impairment
   scale data demonstrated that more parents/caregivers of
   children/adolescents in the ADHD group than the control group thought
   that experiences during, childhood/adolescence and unhappy memories
   would have a negative impact on their child in adult life (29-32 % vs
   9-12 %, respectively). Issues that affected school/education were
   associated with perceived greater impairment in the ADHD group than the
   control group. Several limitations should be taken into account when
   reviewing these data, including the lack of questionnaire validation
   (although developed by expert consensus). In addition, the survey was
   conducted online and, as such, was more likely to recruit individuals
   who were well-educated, computer-literate, and willing to participate in
   the survey. Survey participants may also have had greater awareness of
   ADHD and the associated symptoms and impairment, and greater motivation
   to seek diagnosis or treatment, than the general population.
   Furthermore, diagnosis of ADHD and history of diagnosis were
   parent-/caregiver-reported and the results may have been influenced by
   recall bias or subjective reporting given that the survey did not
   directly assess the opinions of the children/adolescents with the
   disorder. These data provide insights into the negative impact that ADHD
   imposes on all aspects of life for children/adolescents in France with
   the disorder. Moreover, ADHD is believed to have a negative impact later
   in the patient's life. Further progress is needed in France and across
   Europe to provide a more effective and consistent approach to the
   treatment of patients with ADHD and to meet the expectations regarding
   management and treatment for the families concerned. (C) 2014 Elsevier
   Masson SAS. All rights reserved.
RI CACI, Herve/J-9493-2016
OI CACI, Herve/0000-0003-3859-3086
TC 3
ZB 1
ZR 0
ZS 0
Z8 0
ZA 0
Z9 3
U1 0
U2 16
SN 0929-693X
EI 1769-664X
UT WOS:000347128000002
PM 25300717
ER

PT J
AU Tuomi, Jukka
   Paloheimo, Kaija-Stiina
   Vehvilainen, Juho
   Bjorkstrand, Roy
   Salmi, Mika
   Huotilainen, Eero
   Kontio, Risto
   Rouse, Stephen
   Gibson, Ian
   Makitie, Antti A.
TI A Novel Classification and Online Platform for Planning and
   Documentation of Medical Applications of Additive Manufacturing
SO SURGICAL INNOVATION
VL 21
IS 6
BP 553
EP 559
DI 10.1177/1553350614524838
PD DEC 2014
PY 2014
AB Additive manufacturing technologies are widely used in industrial
   settings and now increasingly also in several areas of medicine. Various
   techniques and numerous types of materials are used for these
   applications. There is a clear need to unify and harmonize the patterns
   of their use worldwide. We present a 5-class system to aid planning of
   these applications and related scientific work as well as communication
   between various actors involved in this field. An online, matrix-based
   platform and a database were developed for planning and documentation of
   various solutions. This platform will help the medical community to
   structurally develop both research innovations and clinical applications
   of additive manufacturing. The online platform can be accessed through
   http://www.medicalam.info.
RI Gibson, Ian/AAV-7210-2021; Salmi, Mika/E-7216-2012; Gibson, Ian/ABI-8113-2020
OI Gibson, Ian/0000-0002-4149-9122; Salmi, Mika/0000-0002-7295-3551; 
ZS 0
ZA 0
TC 46
ZR 0
Z8 0
ZB 8
Z9 46
U1 0
U2 15
SN 1553-3506
EI 1553-3514
UT WOS:000348098600001
PM 24616012
ER

PT J
AU Lynch, Noel Patrick
   Cil, Tulin
   Lehane, Elaine
   Reardon, Michelle
   Corrigan, Mark
TI Transatlantic Peer-to-Peer Learning: An Initial Feasibility Analysis
SO SURGICAL INNOVATION
VL 21
IS 6
BP 643
EP 648
DI 10.1177/1553350614531660
PD DEC 2014
PY 2014
AB Introduction. Peer-to-peer learning is a well-established learning
   modality, which has been shown to improve learning outcomes, with
   positive implications for clinical practice. The purpose of this pilot
   study was to explore the feasibility of linking students from North
   America and Europe with a peer-to-peer learning approach. Methods. Face
   and content validity studies were completed on the previously designed
   and validated online repository http://www.pilgrimshospital.com. Four
   medical students from the University of Toronto, Canada, were paired
   with four students from University College Cork, Ireland. Each student
   was invited to upload two pieces of information learned from a senior
   colleague that day. Each student was asked to review the information
   uploaded by their partner, editing with references if needed.
   Quantitative and qualitative evaluations of the e-peer system were
   conducted. Results. Over the study period, the system recorded a total
   of 10 079 individual page views. Questionnaires completed by
   participants demonstrated that 6/8 found the system either "very easy"
   or "easy" to use, whereas all found that the system promoted
   evidenced-based and self-directed learning. Structured interviews
   revealed 3 main themes: The Peer Connection, Trust in Data Veracity, and
   Aid to Clinical Learning. Conclusion. This pilot study demonstrates it
   is feasible to link students from separate continents in a community of
   peer-to-peer learning. This is viewed positively by students and
   enhances evidenced-based learning, and the aspect of peer connectivity
   was important to participating students. Such an approach encourages
   peer cooperation and has the potential to disseminate key clinical
   learning experiences widely.
RI Lynch, Noel/AAD-3260-2021; Lehane, Elaine/; Cil, Tulin/; Lynch, Noel/; Corrigan, Mark/
OI Lehane, Elaine/0000-0002-0144-7467; Cil, Tulin/0000-0003-0269-6358;
   Lynch, Noel/0000-0003-3847-6330; Corrigan, Mark/0000-0002-9615-6450
Z8 0
ZB 0
TC 2
ZS 0
ZR 0
ZA 0
Z9 2
U1 0
U2 5
SN 1553-3506
EI 1553-3514
UT WOS:000348098600013
PM 24821260
ER

PT J
AU Buhling, Kai J.
   Hauck, Brian
   Dermout, Sylvia
   Ardaens, Katty
   Marions, Lena
TI Understanding the barriers and myths limiting the use of intrauterine
   contraception in nulliparous women: results of a survey of
   European/Canadian healthcare providers
SO EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
VL 183
BP 146
EP 154
DI 10.1016/j.ejogrb.2014.10.020
PD DEC 2014
PY 2014
AB Objectives: To evaluate healthcare providers' (HCPs') knowledge,
   attitudes and beliefs regarding intrauterine contraception (IUC).
   Study design: HCPs in eight European countries and Canada who saw at
   least 20 women per month for contraception completed an online
   questionnaire. Responses were evaluated by country.
   Results: In total, 1103 HCPs completed the survey: 633
   obstetrician-gynecologists, 335 general practitioners and 135 family
   planning clinicians (physician, midwife or nurse). When respondents in
   different countries were asked to report their three main barriers to
   considering IUC, predominant concerns were nulliparity (34-69%) and
   pelvic inflammatory disease (PID; 14-83%) for women in general, and
   insertion difficulty (25-83%), PID (17-83%), insertion pain (7-60%) and
   infertility (6-55%) for nulliparous women. In addition, 4-59% of HCPs
   reported that they never proactively include IUC in contraceptive
   counseling for a nulliparous woman, regardless of her age. Furthermore,
   only 30-61% of respondents correctly identified that, in the World
   Health Organization medical eligibility criteria for IUC, nulliparity is
   category 2 (benefits outweigh risks).
   Conclusions: HCPs in Europe and Canada have clear gaps in their
   knowledge regarding IUC and misplaced concerns persist, particularly
   regarding use of IUC in nulliparous women; the predominant
   misconceptions are about PID, insertion difficulty and insertion pain.
   Further education on the evidence is needed so that IUC is recognized as
   being suitable for young and nulliparous women and is included in
   contraceptive counseling. (C) 2014 Published by Elsevier Ireland Ltd.
OI Marions, Lena/0000-0002-5930-4485
ZS 1
TC 20
ZR 0
Z8 1
ZB 3
ZA 0
Z9 22
U1 0
U2 9
SN 0301-2115
EI 1872-7654
UT WOS:000347861700029
PM 25461369
ER

PT J
AU Nutescu, Edith A.
   Engle, Janet P.
   Bathija, Sacheeta
   Grim, Shellee A.
   Chan, Juliana
   Mucksavage, Jeffrey J.
   Ohler, Kirsten H.
   Tesoro, Eljim P.
   Thielke, James J.
   Shapiro, Nancy L.
   Donnelly, Andrew J.
   Garofalo, John
   DiDomenico, Robert J.
TI Balance of Academic Responsibilities of Clinical Track Pharmacy Faculty
   in the United States: A Survey of Select American College of Clinical
   Pharmacy Practice and Research Network Members
SO PHARMACOTHERAPY
VL 34
IS 12
BP 1239
EP 1249
DI 10.1002/phar.1521
PD DEC 2014
PY 2014
AB Study ObjectivesTo characterize the balance of clinical and academic
   responsibilities of clinical track pharmacy faculty in the United States
   and evaluate organizational structures that promote satisfactory balance
   between these responsibilities.
   DesignProspective cross-sectional survey.
   SettingA 22-item online survey was developed and distributed via
   Qualtrics software.
   ParticipantsClinical faculty members of the American College of Clinical
   Pharmacy Adult Medicine, Ambulatory Care, Cardiology, Critical Care,
   Gastrointestinal/Liver/Nutrition, Immunology/Transplantation, Infectious
   Disease, and Pediatrics Practice and Research Networks (PRNs) were
   invited to participate via the PRN electronic mailing list.
   Measurements and Main ResultsThe survey comprised questions related to
   demographics, organizational structure, and balance of clinical and
   academic responsibilities. A total of 344 participants responded to some
   or all of the survey questions. The demographics were relatively equally
   balanced between faculty at state and private academic institutions,
   academic rank, and practice setting. Expected and actual effort
   allocations were similar for each of the clinical and academic
   responsibilities, with direct patient care and clinical teaching
   representing more than 50% effort allocation cumulatively. Clinical
   faculty at state institutions devoted a larger proportion of time to
   clinical service, whereas clinical faculty at private institutions
   devoted a greater proportion of time to didactic teaching. When asked
   about time constraints, 157 (69.8%) of the 225 survey participants
   responding to this question did not believe they had sufficient time to
   fulfill their nonclinical academic needs. Clinical faculty who were
   provided protected time away from clinical service had a significantly
   more favorable opinion of this question.
   ConclusionMost of the clinical track pharmacy faculty indicated that
   they have insufficient time to fulfill their nonclinical academic
   responsibilities. Provision of protected time may alleviate some of
   these time constraints.
RI DiDomenico, Robert J./AFV-5274-2022; DiDomenico, Robert J./AAU-2128-2021; Nutescu, Edith/
OI DiDomenico, Robert J./0000-0002-9374-8012; DiDomenico, Robert
   J./0000-0002-9374-8012; Nutescu, Edith/0000-0002-2651-0020
ZA 0
ZR 0
ZS 0
ZB 0
Z8 0
TC 9
Z9 9
U1 0
U2 4
SN 0277-0008
EI 1875-9114
UT WOS:000346786500005
PM 25472933
ER

PT J
AU Gershman, Jennifer A.
   Gershman, Jason A.
   Fass, Andrea D.
   Popovici, Ioana
TI Evaluation of Florida Physicians' Knowledge and Attitudes Toward
   Accessing the State Prescription Drug Monitoring Program as a
   Prescribing Tool
SO PAIN MEDICINE
VL 15
IS 12
BP 2013
EP 2019
DI 10.1111/pme.12476
PD DEC 2014
PY 2014
AB ObjectiveThe purpose of this study is to assess Florida physicians'
   attitudes and knowledge toward accessing the state's prescription drug
   monitoring program (PDMP).
   DesignFive thousand medical doctors and osteopathic physicians licensed
   in Florida were randomly selected for a voluntary and anonymous
   15-question self-administered survey approved by the Institutional
   Review Board. Surveys were distributed through U.S. postal service mail.
   Likert-scale questions were used to assess prior knowledge (1=none to
   5=excellent) and attitudes toward accessing the PDMP (1=strongly
   disagree to 5=strongly agree).
   ResultsThe study yielded a response rate of 7.8%, 71.5% of whom agreed
   or strongly agreed that the PDMP is a useful tool. Among participants
   that have access and answered the PDMP usefulness question, 94.8% agree
   or strongly agree that it is a useful tool. There were 63 out of 64
   physicians (98.4%) who conducted 25 or more searches who agreed or
   strongly agreed that the PDMP is a useful tool for monitoring patients'
   controlled substance histories. There were 72.5% of participants with
   access that answered the doctor shopping question who agreed that doctor
   shopping will decrease. Among the 64 most frequent PDMP users, 69.4%
   agreed or strongly agreed that they have prescribed fewer controlled
   substances after accessing the PDMP.
   ConclusionsThe study revealed that a majority of participants believe
   that the PDMP is a useful tool for monitoring patients' controlled
   substance histories. More continuing education programs should be
   provided to Florida physicians to enhance their knowledge regarding
   PDMPs.
ZA 0
ZR 0
ZS 0
ZB 3
Z8 0
TC 13
Z9 13
U1 0
U2 7
SN 1526-2375
EI 1526-4637
UT WOS:000347237200009
PM 24931295
ER

PT J
AU Vietri, Jeffrey
   Joshi, Ashish V.
   Barsdorf, Alexandra I.
   Mardekian, Jack
TI Prescription Opioid Abuse and Tampering in the United States: Results of
   a Self-Report Survey
SO PAIN MEDICINE
VL 15
IS 12
BP 2064
EP 2074
DI 10.1111/pme.12475
PD DEC 2014
PY 2014
AB ObjectiveThe objective of this study is to estimate the prevalence and
   impact of prescription opioid abuse and tampering among US adults.
   MethodsParticipants from the US National Health and Wellness Survey were
   invited to complete an online survey assessing use, misuse, and abuse of
   prescription opioid medications in the preceding 3 months. A total of
   25,864 adults were screened for self-reported opioid abuse. Prevalence
   was calculated using weights based on age, gender, race, and education.
   Respondents reporting abuse or medical use of prescription opioid
   medication in the prior 3 months (N=1,242) completed a questionnaire
   assessing health care resource use and the Work Productivity and
   Activity Impairment questionnaire.
   ResultsThe prevalence of prescription opioid abuse in the 3 months prior
   to the survey was estimated at 1.31% of US adults, with approximately
   half (0.67%) tampering during that time. Opioid abuse increased with
   younger age, male sex, minority race, psychiatric illness, alcoholism,
   cigarette smoking, being employed, and higher household income.
   Respondents abusing opioid medications reported greater impairment in
   work and nonwork activities and more health care use than nonusers.
   Tampering with opioid medication was associated with greater
   productivity loss and increased use of health care (all P<0.05).
   ConclusionsTampering with opioid medications to get high is associated
   with substantial loss of productivity and health care use. Technologies
   that reduce users' ability to tamper may reduce the burden of opioid
   abuse on the health care system.
ZA 0
Z8 0
ZB 5
TC 18
ZR 0
ZS 0
Z9 18
U1 0
U2 4
SN 1526-2375
EI 1526-4637
UT WOS:000347237200014
PM 24931057
ER

PT J
AU Chiapponi, C.
   Bruns, C. J.
   Pilz, F.
   Kanz, K. -G.
   Mutschler, W.
   Jauch, K. -W.
   Siebeck, M.
TI Structured Teaching of Surgery the LMU Model in Munich
SO ZENTRALBLATT FUR CHIRURGIE
VL 139
IS 6
BP 657
EP 661
DI 10.1055/s-0033-1350635
PD DEC 2014
PY 2014
AB The medical curriculum (MeCuM) of the Ludwig Maximilian University (LMU)
   in Munich is a dynamic curriculum aimed to support the learning process
   of all students with their different learning styles. It is based on
   interactive, activating teaching methods in order to increase students'
   interest, and on repetitive evaluation of teaching units to modify the
   teaching in order to meet students' needs and wishes. In this context
   the teaching of surgery at our faculty takes place. Besides
   interdisciplinary lessons where diseases are taught in cooperation with
   our colleagues from internal medicine, indications for surgery,
   complications and consequences of surgery for the patients are analysed
   in PBL tutorials, online cases, bedside teachings and practical teaching
   on the ward. Surgical skills like suturing are demonstrated in videos,
   practiced on models or during practical teaching on the ward and they
   are tested in OSCEs. During the "praktisches Jahr", the students in the
   last year of their medical studies are supposed to apply their practical
   skills besides repeating theoretical knowledge in order to pass the
   final examination. For this purpose they are taught in a revision course
   called "LMU-StaR" ( revision course for the Staatsexamen). In this paper
   we describe in detail the teaching of surgery at our faculty.
RI Chiapponi, Costanza/GQQ-0319-2022; Chiapponi, Costanza/; siebeck, matthias/
OI Chiapponi, Costanza/0000-0002-4681-2835; siebeck,
   matthias/0000-0001-5290-5344
ZS 0
TC 5
ZR 0
ZB 1
ZA 0
Z8 0
Z9 5
U1 0
U2 6
SN 0044-409X
EI 1438-9592
UT WOS:000347168400020
PM 24132677
ER

PT J
AU Sheppard, Evan D.
   Hyde, Zane
   Florence, Mason N.
   McGwin, Gerald
   Kirchner, John S.
   Ponce, Brent A.
TI Improving the Readability of Online Foot and Ankle Patient Education
   Materials
SO FOOT & ANKLE INTERNATIONAL
VL 35
IS 12
BP 1282
EP 1286
DI 10.1177/1071100714550650
PD DEC 2014
PY 2014
AB Background: Previous studies have shown the need for improving the
   readability of many patient education materials to increase patient
   comprehension. This study's purpose was to determine the readability of
   foot and ankle patient education materials and to determine the extent
   readability can be improved. We hypothesized that the reading levels
   would be above the recommended guidelines and that decreasing the
   sentence length would also decrease the reading level of these patient
   educational materials.
   Methods: Patient education materials from online public sources were
   collected. The readability of these articles was assessed by a
   readability software program. The detailed instructions provided by the
   National Institutes of Health (NIH) were then used as a guideline for
   performing edits to help improve the readability of selected articles.
   The most quantitative guideline, lowering all sentences to less than 15
   words, was chosen to show the effect of following the NIH
   recommendations.
   Results: The reading levels of the sampled articles were above the sixth
   to seventh grade recommendations of the NIH. The MedlinePlus website,
   which is a part of the NIH website, had the lowest reading level (8.1).
   The articles edited had an average reduction of 1.41 grade levels, with
   the lowest reduction in the Medline articles of 0.65.
   Conclusion: Providing detailed instructions to the authors writing these
   patient education articles and implementing editing techniques based on
   previous recommendations could lead to an improvement in the readability
   of patient education materials.
TC 32
ZS 0
Z8 0
ZB 10
ZA 0
ZR 0
Z9 32
U1 0
U2 6
SN 1071-1007
EI 1944-7876
UT WOS:000346693300007
PM 25239196
ER

PT J
AU Jetha, Arif
   Badley, Elizabeth
   Beaton, Dorcas
   Fortin, Paul R.
   Shiff, Natalie J.
   Rosenberg, Alan M.
   Tucker, Lori B.
   Mosher, Dianne P.
   Gignac, Monique A. M.
TI Transitioning to Employment with a Rheumatic Disease: The Role of
   Independence, Overprotection, and Social Support
SO JOURNAL OF RHEUMATOLOGY
VL 41
IS 12
BP 2386
EP 2394
DI 10.3899/jrheum.140419
PD DEC 2014
PY 2014
AB Objective. To examine perceived independence, overprotection, and
   support, and their association with the employment participation of
   young adults with rheumatic disease.
   Methods. One hundred and forty-three young adults, ages 18 to 30 years,
   with systemic lupus erythematosus (54.5%) and juvenile arthritis (45.5%)
   completed a 30-min online questionnaire of their work and education
   experiences. Information collected was demographic, health (e.g., pain,
   fatigue, disease activity), work context (e.g., career satisfaction,
   helpfulness of job accommodation/benefits, and workplace activity
   limitations), and psychosocial (e.g., independence, social support, and
   overprotection). Log-Poisson regression analysis examined factors
   associated with employment status.
   Results. Over half of respondents were employed (59%) and 26% were
   enrolled in school. Respondents reported moderate to high perceptions of
   independence and social support. However, 27% reported that "quite a
   bit" to "a great deal" of overprotection characterized their
   relationships with those closest to them. At the bivariate level,
   employed participants and those indicating greater perceived
   independence reported greater social support and less overprotection.
   Multivariable analysis revealed that being employed was associated with
   older age, more job accommodations/benefits perceived as being helpful,
   and greater perceived independence.
   Conclusion. This is one of the first studies examining the employment of
   young adults with rheumatic diseases. Findings highlight the importance
   of psychosocial perceptions such as independence and overprotection, in
   addition to support related to working. Additional research is needed to
   better understand the role of those close to young adults with rheumatic
   diseases in supporting independence and encouraging employment.
OI Jetha, Arif/0000-0003-0322-7027; Fortin, Paul R./0000-0002-7278-2596;
   Badley, Elizabeth/0000-0002-6045-2549
Z8 1
ZA 0
ZS 0
TC 15
ZB 6
ZR 0
Z9 16
U1 0
U2 10
SN 0315-162X
EI 1499-2752
UT WOS:000345838400009
PM 25274887
ER

PT J
AU Doornwaard, Suzan M.
   Bickham, David S.
   Rich, Michael
   Vanwesenbeeck, Ine
   van den Eijnden, Regina J. J. M.
   ter Bogt, Tom F. M.
TI Sex-Related Online Behaviors and Adolescents' Body and Sexual
   Self-Perceptions
SO PEDIATRICS
VL 134
IS 6
BP 1103
EP 1110
DI 10.1542/peds.2014-0592
PD DEC 2014
PY 2014
AB BACKGROUND AND OBJECTIVE: This study investigated: (1) the prevalence
   and development of 2 receptive (sexually explicit Internet material
   [SEIM] use and sexual information seeking) and 2 interactive (cybersex
   and general social networking site [SNS] use) online behaviors in
   adolescence; (2) whether development of these behaviors predict
   adolescents' body and sexual self-perceptions; and (3) whether parental
   strategies regarding adolescents' Internet use reduce engagement in
   sex-related online behaviors.
   METHODS: Four-wave longitudinal data among 1132 seventh-to 10th-grade
   Dutch adolescents (mean age at wave 1: 13.95 years; 52.7% boys) were
   collected. Developmental trajectories of sex-related online behaviors
   were estimated by using latent growth curve modeling. Self-perception
   outcomes at wave 4 and parental strategies predicting online behaviors
   were investigated by adding regression paths to growth models.
   RESULTS: Boys occasionally and increasingly used SEIM. Patterns for
   girls' SEIM use and boys' and girls' sexual information seeking and
   cybersex were consistently low. SNS use, however, was a common, daily
   activity for both. Higher initial levels and/or faster increases in
   sex-related online behaviors generally predicted less physical
   self-esteem (girls' SNS use only), more body surveillance, and less
   satisfaction with sexual experience. Private Internet access and less
   parental rule setting regarding Internet use predicted greater
   engagement in sex-related online behaviors.
   CONCLUSIONS: Although most sex-related online behaviors are not
   widespread among youth, adolescents who engage in such behaviors are at
   increased risk for developing negative body and sexual self-perceptions.
   Particular attention should be paid to adolescents' SNS use because this
   behavior is most popular and may, through its interactive
   characteristics, elicit more critical self-evaluations. Prevention
   efforts should focus on parents' role in reducing risky sex-related
   online behaviors.
RI Bogt, Tom F ter/C-2134-2008; van den Eijnden, Regina/P-5510-2019; Vanwesenbeeck, Ine/S-5020-2017; Doornwaard, Suzan/
OI Bogt, Tom F ter/0000-0001-6819-4831; Vanwesenbeeck,
   Ine/0000-0001-5800-3771; Doornwaard, Suzan/0000-0003-2685-8972
ZB 5
ZS 0
ZR 0
Z8 0
TC 40
ZA 0
Z9 40
U1 2
U2 73
SN 0031-4005
EI 1098-4275
UT WOS:000345844200049
PM 25404728
ER

PT J
AU Punia, Vineet
   Dagar, Anjali
   Agarwal, Nitin
   He, Wenzhuan
   Hillen, Machteld
TI Comparison of neurological healthcare oriented educational resources for
   patients on the internet
SO JOURNAL OF CLINICAL NEUROSCIENCE
VL 21
IS 12
BP 2179
EP 2183
DI 10.1016/j.jocn.2014.05.043
PD DEC 2014
PY 2014
AB The internet has become a major contributor to health literacy
   promotion. The average American reads at 7th-8th grade level and it is
   recommended to write patient education materials at or below 6th grade
   reading level. We tried to assess the level of literacy required to read
   and understand online patient education materials (OPEM) for
   neurological diseases from various internet resources. We then compared
   those to an assumed reference OPEM source, namely the patient education
   brochures from the American Academy of Neurology (AAN), the world's
   largest professional association of neurologists. Disease specific
   patient education brochures were downloaded from the AAN website. OPEM
   for these diseases were also accessed from other common online sources
   determined using a predefined criterion. All OPEM were converted to
   Microsoft Word (Microsoft Corp., Redmond, WA, USA) and their reading
   level was analyzed using Readability Studio Professional Edition version
   2012.1 (Oleander Software, Vandalia, OH, USA). Descriptive analysis and
   analysis of variance were used to compare reading levels of OPEM from
   different resources. Medline Plus, Mayo clinic and Wikipedia qualified
   for OPEM analysis. All OPEM from these resources, including the AAN,
   were written above the recommended 6th grade reading level. They were
   also found to be "fairly difficult", "difficult" or "confusing" on the
   Flesch Reading Ease scale. AAN OPEM on average needed lower reading
   level, with Wikipedia OPEM being significantly (p < 0.01) more difficult
   to read compared to the other three resources. OPEM on neurological
   diseases are being written at a level of reading complexity higher than
   the average American and the recommended reading levels. This may be
   undermining the utility of these resources. (C) 2014 Elsevier Ltd. All
   rights reserved.
OI Punia, Vineet/0000-0002-0552-6736; Hillen, Machteld/0000-0002-3219-3738
ZR 0
ZA 0
TC 7
ZB 3
ZS 0
Z8 0
Z9 7
U1 0
U2 4
SN 0967-5868
EI 1532-2653
UT WOS:000346622900024
PM 25194822
ER

PT J
AU Turner, Daniel
   Driemeyer, Wiebke
   Nieder, Timo Ole
   Scherbaum, Norbert
   Briken, Peer
TI 'How Much Sex do Medical Studies Need?' - A Survey of the Knowledge and
   Interest in Sexual Medicine of Medical Studentsu
SO PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE
VL 64
IS 12
BP 452
EP 457
DI 10.1055/s-0034-1389961
PD DEC 2014
PY 2014
AB Background: Because of the increasing need for medical care of problems
   concerning human sexuality, the International Society for Sexual
   Medicine (ISSM) in 2010 suggested to include sexual medicine in the
   current curricula of medical studies. Based on the ISSM's suggestions
   sexual medicine should be taught on a multidisciplinary basis throughout
   the whole study process. Furthermore, health care providers have
   repeatedly indicated that they have lacking knowledge concerning sexual
   medicine and patients have criticized that their health care providers
   only infrequently address their sexuality.
   Methods: 404 medical students from 2 German university medical centers
   answered an online questionnaire assessing the quality of sexual
   medicine education. The students were asked about their interest in and
   their knowledge about different issues concerning human sexuality in the
   following 4 domains: Sexual development, Sexual behavior, Sexual
   physiology and psychology, Sexual medicine and therapy of sexual
   disorders.
   Results: The great majority of students were interested in education
   about sexual medicine within medical studies, whereby most students were
   of the opinion that sexual medicine should be included in the already
   existing subjects. Furthermore, students mostly evaluated the current
   quality of sexual medicine education as insufficient and more than half
   of the students thought that they do not have enough knowledge about
   human sexuality for their future profession as medical health care
   providers. On average the students correctly answered 50 % of the
   knowledge questions, however they showed some knowledge gaps especially
   in the domains of sexual development and sexual physiology and
   psychology.
   Discussion: The results of the present study suggest that medical
   students have lacking knowledge concerning important parts of human
   sexuality but at the same time express great interest in the field.
   Therefore, in Germany more structured educational programs in sexual
   medicine should be developed taking the suggestion of the ISSM into
   account.
   Conclusion: Besides medical education about pathological sexuality
   future educational efforts should also address healthy sexuality and its
   sociocultural meaning more frequently. Thereby, the students' wishes
   would be met and moreover, health care providers of all fields would be
   enabled to provide an unbiased, holistic and sensitive treatment of
   sexual problems.
OI Nieder, Timo/0000-0003-3052-5169
ZB 0
ZR 0
ZS 0
ZA 0
Z8 0
TC 7
Z9 7
U1 1
U2 11
SN 0937-2032
EI 1439-1058
UT WOS:000346350700004
PM 25494185
ER

PT J
AU Gressel, Gregory M.
   Lundsberg, Lisbet S.
   Illuzzi, Jessica L.
   Danton, Cheryl M.
   Sheth, Sangini S.
   Xu, Xiao
   Gariepy, Aileen
TI Patient and provider perspectives on Bedsider.org, an online
   contraceptive information tool, in a low income, racially diverse clinic
   population
SO CONTRACEPTION
VL 90
IS 6
BP 588
EP 593
DI 10.1016/j.contraception.2014.07.010
PD DEC 2014
PY 2014
AB Objective: To explore patient and provider perspectives regarding a new
   Web-based contraceptive support tool.
   Study Design: We conducted a qualitative study at an urban
   Medicaid-based clinic among sexually active women interested in starting
   a new contraceptive method, clinic providers and staff. All participants
   were given the opportunity to explore Bedsider, an online contraceptive
   support tool developed for sexually active women ages 18-29 by the
   National Campaign to Prevent Teen and Unplanned Pregnancy and endorsed
   by the American Congress of Obstetricians and Gynecologists. Focus
   groups were conducted separately among patient participants and clinic
   providers/staff using open-ended structured interview guides to identify
   specific themes and key concepts related to use of this tool in an urban
   clinic setting.
   Results: Patient participants were very receptive to this online
   contraceptive support tool, describing it as trustworthy, accessible and
   empowering. In contrast, clinic providers and staff had concerns
   regarding the Website's legitimacy, accessibility, ability to empower
   patients and applicability, which limited their willingness to recommend
   its use to patients.
   Conclusion: Contrasting opinions regarding Bedsider may point to a
   potential disconnect between how providers and patients view
   contraception information tools. Further qualitative and quantitative
   studies are needed to explore women's perspectives on contraceptive
   education and counseling and providers' understanding of these
   perspectives.
   Implications Statement: This study identifies a contrast between how
   patients and providers in an urban clinic setting perceive a Web-based
   contraceptive tool. Given a potential-patient provider discrepancy in
   preferred methods and approaches to contraceptive counseling, additional
   research is needed to enhance this important arena of women's health
   care. (C) 2014 Elsevier Inc. All rights reserved.
RI Gressel, Gregory M./H-5408-2018; Gariepy, Aileen/
OI Gressel, Gregory M./0000-0002-6729-4571; Gariepy,
   Aileen/0000-0003-3866-9757
ZA 0
ZR 0
ZB 5
ZS 0
Z8 0
TC 19
Z9 19
U1 0
U2 5
SN 0010-7824
EI 1879-0518
UT WOS:000345604700006
PM 25139723
ER

PT J
AU Abramson, Erika L.
   Naifeh, Monique M.
   Stevenson, Michelle D.
   Todd, Christopher
   Henry, Emilie D.
   Chiu, Ya-Lin
   Gerber, Linda M.
   Li, Su-Ting T.
TI Research Training Among Pediatric Residency Programs: A National
   Assessment
SO ACADEMIC MEDICINE
VL 89
IS 12
BP 1674
EP 1680
DI 10.1097/ACM.0000000000000404
PD DEC 2014
PY 2014
AB Purpose
   The Accreditation Council for Graduate Medical Education (ACGME) states
   that "residents should participate in scholarly activity." However,
   there is little guidance for effectively integrating scholarly activity
   into residency. This study was conducted to understand how pediatric
   residency programs meet ACGME requirements and to identify
   characteristics of successful programs.
   Method
   The authors conducted an online cross-sectional survey of all pediatric
   residency program directors in October 2012, assessing program
   characteristics, resident participation in scholarly activity, program
   infrastructure, barriers, and outcomes. Multivariate logistic regression
   was used to identify characteristics of programs in the top quartile for
   resident scholarly activity participation.
   Results
   The response rate was 52.8% (105/199 programs). Seventy-seven (78.6%)
   programs required scholarly activity, although definitions were
   variable. When including only original research, systematic reviews or
   meta-analyses, and case reports or series with references, resident
   participation averaged 56% (range 0%-100%). Characteristics associated
   with high-participation programs included a scholarly activity
   requirement (odds ratio [OR] = 5.5, 95% confidence interval [CI] =
   1.03-30.0); program director belief that all residents should present
   work regionally or nationally (OR = 4.7, 95% CI = 1.5-15.1); and
   mentorship by >25% of faculty (OR = 3.6, CI = 1.2-11.4). Only 47.1% (41)
   of program directors were satisfied with resident participation, and
   only 30.7% (27) were satisfied with the quality of research training
   provided.
   Conclusions
   The findings suggest that resident scholarly activity experience is
   highly variable and suboptimal. Identifying characteristics of
   successful programs can improve the resident research training
   experience.
OI Li, Su-Ting/0000-0002-9104-912X; Stevenson, Michelle/0000-0002-3583-4481
TC 34
ZB 8
ZA 0
Z8 0
ZS 2
ZR 0
Z9 34
U1 0
U2 3
SN 1040-2446
EI 1938-808X
UT WOS:000345919500030
PM 25006705
ER

PT J
AU Feyereislova, Simona
   Nathan, Dilip
TI How best to teach developmental assessment? A single-blinded randomised
   study
SO ARCHIVES OF DISEASE IN CHILDHOOD
VL 99
IS 12
BP 1083
EP 1086
DI 10.1136/archdischild-2013-305536
PD DEC 2014
PY 2014
AB Objective Developmental assessment is a core paediatric competency, but
   research demonstrates teaching gaps. This single-blinded, randomised
   controlled study compares three teaching approaches to developmental
   assessment in a large group setting based on a student's self-perception
   and objective competency assessment.
   Design Students were randomised into one of the following:.
   a didactic lecture followed by self-study with online resources (control
   group),.
   a didactic lecture and small group tutorial (small group).
   a combined didactic lecture and interactive component using audio-visual
   equipment (Interactive Developmental Teaching-IDT group).
   Competency scores (based on the Royal College of Paediatrics and Child
   Health (RCPCH) scoring system, adapted for undergraduates), mean scores
   of self-reported confidence and degree of motivation were compared
   between groups.
   Results 114 students participated. Statistically significant difference
   between mean assessment scores was demonstrated for the small group
   (38.0; 95% CI 36.5 to 39.6) and the IDT group (37.9; 95% CI 36.5 to
   39.4) compared to the control group (34.8; 95% CI 33.2 to 36.4).
   Students' self-reported confidence, acquisition of knowledge and degree
   of motivation to practice was higher in IDT and small groups compared to
   the didactically taught control group. Teaching costs, if measured by
   trainer's time, were one-fifth in the IDT group compared to the small
   group teaching.
   Conclusions The IDT is an effective teaching method in large groups,
   improves competencies compared to didactic lecturing, and is as
   effective as small group teaching. Adoption of the IDT appears to
   facilitate learning and can be easily delivered with falling ratios of
   teachers to students.
ZB 0
TC 0
ZR 0
ZS 0
Z8 0
ZA 0
Z9 0
U1 1
U2 6
SN 0003-9888
EI 1468-2044
UT WOS:000345131200008
PM 24958795
ER

PT J
AU Singh, Gurjit
   Pichora-Fuller, M. Kathleen
   Malkowski, Marissa
   Boretzki, Michael
   Launer, Stefan
TI A survey of the attitudes of practitioners toward teleaudiology
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 53
IS 12
BP 850
EP 860
DI 10.3109/14992027.2014.921736
PD DEC 2014
PY 2014
AB Objective: To survey hearing healthcare practitioners' (1) attitudes
   toward teleaudiology appointments, (2) willingness to conduct different
   clinical tasks via teleaudiology, and (3) willingness to conduct a
   teleaudiology appointment with different patient populations. Design:
   All participants were asked to complete the Attitudes toward
   Teleaudiology Scale for Practitioners (ATS-P), a 46-item online survey
   designed for this study. Study sample: The responses from 202 hearing
   healthcare practitioners working in Canada were collected. The sample
   consisted of 152 audiologists, 49 hearing instrument specialists, and
   one who did not specify a category. Results: The majority of respondents
   indicated that teleaudiology is likely to have a minimal effect on the
   quality of hearing healthcare in audiology and the quality of
   client-practitioner interactions, although many respondents indicated
   that teleaudiology would have a positive effect on accessibility to
   service. Nevertheless, a small minority of respondents indicated that
   teleaudiology would have a negative impact on quality of care in
   audiology. Conclusions: Willingness to use teleaudiology depended on a
   combination of the clinical tasks to be performed and the patient
   populations to be served. These findings can help guide the successful
   implementation of teleaudiology services.
OI Launer, Stefan/0000-0002-2030-6854; Pichora-Fuller, Margaret
   Kathleen/0000-0002-7812-2863
ZA 0
TC 29
Z8 0
ZS 0
ZR 0
ZB 9
Z9 29
U1 0
U2 13
SN 1499-2027
EI 1708-8186
UT WOS:000345208900002
PM 25017424
ER

PT J
AU Knight, Sarah
   Harvey, Adrienne
   Towns, Susan
   Payne, Donald
   Lubitz, Lionel
   Rowe, Kathy
   Reveley, Colette
   Hennel, Sabine
   Hiscock, Harriet
   Scheinberg, Adam
TI How is paediatric chronic fatigue syndrome/myalgic encephalomyelitis
   diagnosed and managed by paediatricians? An Australian Paediatric
   Research Network Study
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 50
IS 12
BP 1000
EP 1007
DI 10.1111/jpc.12677
PD DEC 2014
PY 2014
AB AimThe diagnosis and management of paediatric chronic fatigue
   syndrome/myalgic encepnalomyelitis (CFS/ME) represent ongoing challenges
   for paediatricians. A better understanding of current approaches at a
   national level is important in informing where research and education
   could improve treatment outcomes. We aimed to examine current diagnosis
   and management practices for CFS/ME by Australian paediatricians.
   MethodAn online survey was sent to members of the Australian Paediatric
   Research Network. The primary outcomes of interest included diagnostic
   criteria used, medical investigations and management practices in
   paediatric CFS/ME.
   ResultsOne hundred seventy-eight (41%) of 430 eligible paediatricians
   responded, with 70 of the 178 (39%) reporting that they diagnose and
   manage CFS/ME as part of their practice. Medical investigations used for
   diagnosis were variable. Conditions that more than half of the
   paediatricians reported as commonly co-occurring (i.e. present in >50%
   of cases) included somatisation disorders, anxiety, depression and
   fibromyalgia. There was wide variation in behavioural and
   pharmacological management strategies but most paediatricians commonly
   engaged a school teacher, physiotherapist and/or psychologist as part of
   their management.
   ConclusionThe diagnostic and management practices of paediatricians for
   CFS/ME within Australia vary widely. This likely reflects a paucity of
   paediatric-specific guidelines, together with limited evidence to guide
   best practice and limited training in this area. There is a need for
   guidance and education for the diagnosis and management of paediatric
   CFS/ME in Australia.
RI Knight, Sarah/AAZ-8515-2020; Harvey, Adrienne/; Hiscock, Harriet/M-6882-2013; Scheinberg, Adam/
OI Knight, Sarah/0000-0002-9908-2231; Harvey, Adrienne/0000-0002-8294-7382;
   Hiscock, Harriet/0000-0003-3017-2770; Scheinberg,
   Adam/0000-0002-9550-0803
ZS 0
Z8 0
ZA 0
TC 7
ZB 1
ZR 0
Z9 7
U1 0
U2 10
SN 1034-4810
EI 1440-1754
UT WOS:000345763700013
PM 25041646
ER

PT J
AU Kemp, Sandra Joy
   Day, Giskin
TI Teaching medical humanities in the digital world: affordances of
   technology-enhanced learning
SO MEDICAL HUMANITIES
VL 40
IS 2
BP 125
EP 130
DI 10.1136/medhum-2014-010518
PD DEC 2014
PY 2014
AB Medical humanities courses are typically taught in face-to-face teaching
   environments, but now medical humanities educators, alongside educators
   from other disciplines, are facing shifts in higher education towards
   online (and sometimes open) courses. For the medical humanities
   educator, there is limited guidance regarding how technology-enhanced
   learning design can support the learning outcomes associated with
   medical humanities. This article aims to provide useful direction for
   such educators on how digital technologies can be used through
   learner-focused pedagogies. Specific examples are provided as to how the
   affordances of Web 2.0 and other tools can be realised in innovative
   ways to help achieve skills development within the medical humanities.
   The guidance, alongside the practical suggestions for implementation,
   can provide important conceptual background for medical humanities
   educators who wish to embrace technology-enhanced learning, and
   reconceptualise or redesign medical humanities for an online or blended
   teaching environment.
RI Kemp, Sandra Joy/AAE-7922-2019; Day, Giskin/
OI Kemp, Sandra Joy/0000-0002-1689-0541; Day, Giskin/0000-0002-9901-9267
ZS 0
ZB 1
ZR 0
TC 4
Z8 0
ZA 0
Z9 4
U1 1
U2 35
SN 1468-215X
EI 1473-4265
UT WOS:000345518200012
PM 25031422
ER

PT J
AU Nevin, Christa R.
   Westfall, Andrew O.
   Rodriguez, J. Martin
   Dempsey, Donald M.
   Cherrington, Andrea
   Roy, Brita
   Patel, Mukesh
   Willig, James H.
TI Gamification as a tool for enhancing graduate medical education
SO POSTGRADUATE MEDICAL JOURNAL
VL 90
IS 1070
BP 685
EP 693
DI 10.1136/postgradmedj-2013-132486
PD DEC 2014
PY 2014
AB Introduction The last decade has seen many changes in graduate medical
   education training in the USA, most notably the implementation of duty
   hour standards for residents by the Accreditation Council of Graduate
   Medical Education. As educators are left to balance more limited time
   available between patient care and resident education, new methods to
   augment traditional graduate medical education are needed.
   Objectives To assess acceptance and use of a novel gamification-based
   medical knowledge software among internal medicine residents and to
   determine retention of information presented to participants by this
   medical knowledge software.
   Methods We designed and developed software using principles of
   gamification to deliver a web-based medical knowledge competition among
   internal medicine residents at the University of Alabama (UA) at
   Birmingham and UA at Huntsville in 2012-2013. Residents participated
   individually and in teams. Participants accessed daily questions and
   tracked their online leaderboard competition scores through any
   internet-enabled device. We completed focus groups to assess participant
   acceptance and analysed software use, retention of knowledge and factors
   associated with loss of participants (attrition).
   Results Acceptance: In focus groups, residents (n=17) reported
   leaderboards were the most important motivator of participation. Use: 16
   427 questions were completed: 28.8% on Saturdays/Sundays, 53.1% between
   17: 00 and 08:00. Retention of knowledge: 1046 paired responses (for
   repeated questions) were collected. Correct responses increased by 11.9%
   (p<0.0001) on retest. Differences per time since question introduction,
   trainee level and style of play were observed. Attrition: In ordinal
   regression analyses, completing more questions (0.80 per 10% increase;
   0.70 to 0.93) decreased, while postgraduate year 3 class (4.25; 1.44 to
   12.55) and non-daily play (4.51; 1.50 to 13.58) increased odds of
   attrition.
   Conclusions Our software-enabled, gamification-based educational
   intervention was well accepted among our millennial learners. Coupling
   software with gamification and analysis of trainee use and engagement
   data can be used to develop strategies to augment learning in
   time-constrained educational settings.
ZS 1
ZA 3
TC 108
Z8 0
ZB 10
ZR 0
Z9 114
U1 2
U2 59
SN 0032-5473
EI 1469-0756
UT WOS:000345916800005
PM 25352673
ER

PT J
AU Lam, R.
TI Minimally legally invasive dentistry
SO AUSTRALIAN DENTAL JOURNAL
VL 59
IS 4
BP 432
EP 438
DI 10.1111/adj.12222
PD DEC 2014
PY 2014
AB One disadvantage of the rapid advances in modern dentistry is that
   treatment options have never been more varied or confusing. Compounded
   by a more educated population greatly assisted by online information in
   an increasingly litigious society, a major concern in recent times is
   increased litigation against health practitioners. The manner in which
   courts handle disputes is ambiguous and what is considered fair or just
   may not be reflected in the judicial process. Although legal decisions
   in Australia follow a doctrine of precedent, the law is not static and
   is often reflected by community sentiment. In medical litigation, this
   has seen the rejection of the Bolam principle with a preference towards
   greater patient rights. Recent court decisions may change the practice
   of dentistry and it is important that the clinician is not caught
   unaware. The aim of this article is to discuss legal issues that are
   pertinent to the practice of modern dentistry through an analysis of
   legal cases that have shaped health law. Through these discussions, the
   importance of continuing professional development, professional
   association and informed consent will be realized as a means to limit
   the legal complications of dental practice.
OI Lam, Raymond/0000-0001-6179-1537
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 2
Z9 2
U1 1
U2 6
SN 0045-0421
EI 1834-7819
UT WOS:000345576100006
PM 25160114
ER

PT J
AU Fergus, Thomas A.
   Dolan, Sara L.
TI Problematic Internet Use and Internet Searches for Medical Information:
   The Role of Health Anxiety
SO CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING
VL 17
IS 12
BP 761
EP 765
DI 10.1089/cyber.2014.0169
PD DEC 1 2014
PY 2014
AB Individuals frequently use the Internet to search for medical
   information. For some individuals, repeated searches for medical
   information on the Internet exacerbate health anxiety. Researchers have
   termed this phenomenon "cyberchondria" and have suggested that
   cyberchondria might relate to the excessive use of the Internet for
   other purposes as well. The present study examined associations among
   Internet searches for medical information, health anxiety, and
   problematic Internet use (PIU) using a large sample of medically healthy
   community adults located in the United States (N=430). As predicted,
   respondents who experienced increased health anxiety following Internet
   searches for medical information reported significantly greater PIU than
   respondents for whom such searches either had no impact on or decreased
   their health anxiety. This effect was not attributable to the frequency
   of health-related online searching behavior or negative affect.
   Conceptual and therapeutic implications are discussed.
OI Fergus, Thomas/0000-0002-1675-2974; Dolan, Sara/0000-0002-0156-8226
ZB 6
ZR 0
ZA 0
Z8 1
ZS 0
TC 48
Z9 49
U1 2
U2 49
SN 2152-2715
EI 2152-2723
UT WOS:000345897300006
PM 25412398
ER

PT J
AU Eskes, Anne M.
   Maaskant, Jolanda M.
   Holloway, Samantha
   van Dijk, Nynke
   Alves, Paulo
   Legemate, Dink A.
   Ubbink, Dirk T.
   Vermeulen, Hester
TI Competencies of specialised wound care nurses: a European Delphi study
SO INTERNATIONAL WOUND JOURNAL
VL 11
IS 6
BP 665
EP 674
DI 10.1111/iwj.12027
PD DEC 2014
PY 2014
AB Health care professionals responsible for patients with complex wounds
   need a particular level of expertise and education to ensure optimum
   wound care. However, uniform education for those working as wound care
   nurses is lacking. We aimed to reach consensus among experts from six
   European countries as to the competencies for specialised wound care
   nurses that meet international professional expectations and educational
   systems. Wound care experts including doctors, wound care nurses,
   lecturers, managers and head nurses were invited to contribute to an
   e-Delphi study. They completed online questionnaires based on the
   Canadian Medical Education Directives for Specialists framework.
   Suggested competencies were rated on a 9-point Likert scale. Consensus
   was defined as an agreement of at least 75% for each competence.
   Response rates ranged from 62% (round 1) to 86% (rounds 2 and 3). The
   experts reached consensus on 77 (80%) competences. Most competencies
   chosen belonged to the domain scholar' (n = 19), whereas few addressed
   those associated with being a health advocate' (n = 7). Competencies
   related to professional knowledge and expertise, ethical integrity and
   patient commitment were considered most important. This consensus on
   core competencies for specialised wound care nurses may help achieve a
   more uniform definition and education for specialised wound care nurses.
RI Ubbink, Dirk/AAF-1266-2021; Timmers, Gabrielle/O-6505-2016; Vermeulen, Hester/P-5739-2016; Alves, Paulo/AAD-1391-2019; Ubbink, Dirk/; van Dijk, Nynke/; Holloway, Samantha/; /
OI Vermeulen, Hester/0000-0002-0743-2979; Alves, Paulo/0000-0002-6348-3316;
   Ubbink, Dirk/0000-0001-9398-8879; van Dijk, Nynke/0000-0001-7959-5649;
   Holloway, Samantha/0000-0002-3307-8248; /0000-0003-1605-0195
TC 16
ZS 1
ZR 0
Z8 3
ZA 0
ZB 1
Z9 20
U1 4
U2 23
SN 1742-4801
EI 1742-481X
UT WOS:000345509700017
PM 23374671
ER

PT J
AU van der Heijde, Desiree
   Sieper, Joachim
   Elewaut, Dirk
   Deodhar, Atul
   Pangan, Aileen L.
   Dorr, Alexander P.
TI Referral Patterns, Diagnosis, and Disease Management of Patients With
   Axial Spondyloarthritis Results of an International Survey
SO JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
VL 20
IS 8
BP 411
EP 417
DI 10.1097/RHU.0000000000000180
PD DEC 2014
PY 2014
AB Background: Recognition, diagnosis, and management of axial
   spondyloarthritis (axial SpA) continue to advance.
   Objectives: The objectives of this study were to compare referrals,
   diagnosis, and management of axial SpA in Western Europe (WE), North
   America (US and Canada), and the rest of world (RoW) in academic and
   community rheumatology practices and to identify areas for further
   education.
   Methods: Rheumatologists responded online to the MAXIMA (Management of
   Axial SpA International and Multicentric Approaches) survey. Questions
   pertained to referral, diagnosis, and management of axial SpA.
   Results: Rheumatologists (N = 809) from 56 countries completed the
   survey about patients with chronic back pain (>= 3 months) starting
   before age 45 years. Responses from academic and community practice
   rheumatologists were generally similar. Most referrals were from primary
   care providers. Symptom duration of 3 years or more at referral was
   reported more frequently by WE and RoW than US respondents. More WE and
   RoW than US rheumatologists referred to the Assessment of
   SpondyloArthritis International Society criteria for axial SpA in
   clinical practice. Rheumatologists reported prescribing
   disease-modifying antirheumatic drugs for the management of axial SpA.
   Sulfasalazine was frequently prescribed across regions; methotrexate was
   more commonly prescribed by US rheumatologists compared with other
   regions.
   Conclusions: Referral patterns, diagnosis, and disease management for
   axial SpA were similar among WE, North America, and RoW rheumatologists
   and in academic/community practices, although more WE and RoW
   rheumatologists referred to Assessment of SpondyloArthritis
   International Society criteria in clinical practice. Disease-modifying
   antirheumatic drugs were commonly prescribed for axial SpA patients,
   although it was unclear whether these were prescribed for axial or
   peripheral symptoms.
RI Elewaut, Dirk/K-6831-2014; van der Heijde, Désirée/I-6774-2019
OI van der Heijde, Désirée/0000-0002-5781-158X
ZB 7
ZA 0
ZR 0
Z8 0
TC 19
ZS 0
Z9 19
U1 0
U2 6
SN 1076-1608
EI 1536-7355
UT WOS:000345562400002
PM 25417676
ER

PT J
AU Arora, Kavita Shah
TI A trial of a reproductive ethics and law curriculum for obstetrics and
   gynaecology residents
SO JOURNAL OF MEDICAL ETHICS
VL 40
IS 12
BP 854
EP 856
DI 10.1136/medethics-2013-101729
PD DEC 2014
PY 2014
AB Objective Prior ethics educational interventions for residents have
   shown improvement in confidence and knowledge scores strictly in an
   internal medical resident population. Baseline knowledge and attitudes
   regarding reproductive ethics and law of obstetrics and gynaecology
   (ob/gyn) residents were assessed via a survey. Then, after completion of
   a 20-h curriculum for the residents, the residents were resurveyed in
   order to assess impact of the curriculum.
   Methods An online survey with both multiple-choice and open-ended
   questions was administered to residents both prior to and after
   curriculum completion.
   Results A total of 39 residents (85% of the total ob/gyn residents)
   completed the survey. 67% of respondents thought ethics was very
   important in clinical practice, but only 3% considered themselves very
   familiar with medical ethics. Respondents were asked five case-based
   questions to assess baseline knowledge and only 10% answered all
   questions correctly prior to the curriculum. After the residents
   completed the curriculum, 31 subjects (79% of the original 39 resident
   respondents) responded to the same survey. 52% of respondents answered
   all five questions correctly and 31% considered themselves very familiar
   with medical ethics.
   Conclusions Despite the importance placed on reproductive ethics and law
   by survey respondents including its impact on their clinical practices,
   there continues to be a deficiency in formal ethics education in ob/gyn.
   Our curriculum demonstrated both improvement in confidence as well as
   knowledge of residents towards issues of reproductive ethics and law.
OI Arora, Kavita/0000-0002-9912-9466
ZR 0
ZS 0
Z8 0
ZB 2
TC 5
ZA 0
Z9 5
U1 0
U2 3
SN 0306-6800
EI 1473-4257
UT WOS:000345431500014
PM 24595487
ER

PT J
AU McMains, Kevin C.
   Peel, Jennifer
TI Dedicated Training in Adult Education Among Otolaryngology Faculty
SO LARYNGOSCOPE
VL 124
IS 12
BP 2693
EP 2695
DI 10.1002/lary.24731
PD DEC 2014
PY 2014
AB Objectives/HypothesisMost faculty members undergo ad hoc training in
   education. This survey was developed to assess the prevalence and type
   of dedicated training in education received by academic
   otolaryngology-head and neck surgery (OTO-HNS) faculty in the United
   States.
   Study DesignSurvey.
   MethodsAn 11-item survey was developed to assess the prevalence of
   dedicated instruction in education theory and practice, the types of
   instruction received, and the barriers to receiving instruction. The
   survey was sent to all OTO-HNS program directors for distribution among
   their respective faculty.
   ResultsA total of 216 responses were received. Seventy respondents
   (32.7%) serve as program director, associate program director, or
   assistant program director in their respective programs. Forty-six
   respondents (21.8%) had received dedicated training in education. Of the
   respondents who described the type of education training received, 48.7%
   participated in didactics/seminar, 35.9% in degree/certificate programs,
   10.3% in multimodality training, and 5.1% online training. Among the
   barriers encountered to participation in instruction in education,
   time/productivity pressures was the most commonly cited reason (60.2%),
   followed by not knowing about the opportunity to receive training
   (36.4%), lack of departmental support (26.2%), lack of available
   training (22.3%), and the perception that such training would not be
   useful (7.8%).
   ConclusionPresently, only a minority of surveyed academic
   otolaryngologists in the United States have received any dedicated
   instruction in the theory and practice of education. Personal,
   departmental, and institutional barriers exist in many practice
   environments that hinder otolaryngology faculty from participating in
   education training.
   Level of EvidenceN/A. Laryngoscope, 124:2693-2695, 2014
RI McMains, Kevin/CAH-6016-2022
TC 3
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
Z9 3
U1 0
U2 3
SN 0023-852X
EI 1531-4995
UT WOS:000345344200014
PM 24756911
ER

PT J
AU Vargas, Christina R.
   Chuang, Danielle J.
   Lee, Bernard T.
TI Assessment of Patient Health Literacy: A National Survey of Plastic
   Surgeons
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 134
IS 6
BP 1405
EP 1414
DI 10.1097/PRS.0000000000000737
PD DEC 2014
PY 2014
AB Background: Health literacy affects patient participation, compliance,
   and outcomes. Nearly half of American adults have inadequate functional
   health, literacy. Identification and accommodation of patients with low
   literacy is an important goal of the American Medical Association, U.S.
   Department of Health and Human Services, and the Healthy People 2020
   initiative. This study aims to assess plastic surgeons' perception of
   patient literacy.
   Methods: A survey was distributed to American Society of Plastic
   Surgeons members about time devoted to patient counseling, use of
   techniques for evaluating and enhancing patient understanding,
   perception of level of education, and estimated literacy. Participation
   was voluntary and data were collected anonymously using an online survey
   tool.
   Results: There were 235 participants in the survey (9.9 percent response
   rate). Patient literacy was most frequently assessed using their general
   impression (62.2 percent) and by asking patients about their employment
   (37.3 percent); 26.2 percent did not assess literacy. The majority of
   surgeons (62 percent) reported spending at least 20 minutes counseling
   new patients, and 37 percent reported spending more than 30 minutes. Lay
   terminology (94 percent) and pictures/diagrams (84.6 percent) were
   common patient education aids, whereas only 8.1 percent. use teach-back
   methods. Plastic surgeons overestimated the level of education and
   reading level of their patients compared with national data.
   Conclusions: Formal assessment of health literacy is rarely performed,
   as most plastic surgeons use a general impression. Although plastic
   surgeons devote significant time to patient counseling, evidence-based
   communication methods, such as the teach-back method, are underused.
   Simple, directed questions can identify patients with low literacy
   skills, to accommodate their communication needs.
RI Lee, Bernard T./K-1106-2016; Vargas, Christina/
OI Lee, Bernard T./0000-0002-5533-3166; Vargas,
   Christina/0000-0003-2368-3425
ZR 0
ZB 1
Z8 0
ZA 0
ZS 0
TC 20
Z9 20
U1 0
U2 10
SN 0032-1052
EI 1529-4242
UT WOS:000345541400032
PM 25415103
ER

PT J
AU Warner, Susanne G.
   Connor, Saxon
   Christophi, Christopher
   Azodo, Ijeoma A.
   Kent, Tara
   Pier, David
   Minter, Rebecca M.
TI Development of an international online learning platform for
   hepatopancreatobiliary surgical training: a needs assessment
SO HPB
VL 16
IS 12
BP 1127
EP 1132
DI 10.1111/hpb.12289
PD DEC 2014
PY 2014
AB BackgroundThe Americas Hepato-Pancreato-Biliary Association (AHPBA) and
   the Australian and New Zealand Hepatic, Pancreatic and Biliary
   Association (ANZHPBA) are developing an online distance learning
   curriculum to facilitate an interactive didactic experience for
   hepatopancreatobiliary (HPB) fellows in the operationalization of
   existing HPB fellow curricula. Two needs assessment surveys were carried
   out to identify the optimal structure and process for deployment in
   fellow education.
   MethodsA 22-question survey querying fellows' learning styles and
   current and anticipated use of learning tools was disseminated
   electronically to 38 North American and Australasian HPB fellows. A
   follow-up 20-question survey was administered to assess fellows'
   feelings regarding online content.
   ResultsResponse rates were 55% (n = 21) for the first survey and 42% for
   the second (n = 16). In the first survey, 67% of respondents claimed
   familiarity with the required HPB curriculum, and 43% indicated
   dissatisfaction with current personal study strategies. A total of 62%
   (n = 13) reported studying with focused clinical relevance versus using
   a prescribed curriculum (n = 1, 5%). Fellows anticipated participating
   using online tools once (n = 10, 48%) or two or three times (n = 5, 24%)
   per week. Most respondents (n = 18, 86%) would meaningfully follow one
   or two discussions per month. The second survey identified themes for
   improvement such as discussion topics of interest, avoidance of holiday
   timing and mandatory participation.
   ConclusionsAn international online distance learning format is an
   appealing mechanism for improved dissemination and operationalization of
   the established HPB fellow curricula. Fellows will engage in interactive
   discussions monthly. Controversial topics or those requiring complex
   decision making are best suited to this learning format.
OI Christophi, Christopher/0000-0002-1349-0884
ZR 0
ZA 0
Z8 0
TC 4
ZB 1
ZS 0
Z9 4
U1 0
U2 7
SN 1365-182X
EI 1477-2574
UT WOS:000345301700013
PM 24961380
ER

PT J
AU Krupinski, Elizabeth A.
   Chao, Joseph
   Hofmann-Wellenhof, Rainer
   Morrison, Lynne
   Curiel-Lewandrowski, Clara
TI Understanding Visual Search Patterns of Dermatologists Assessing
   Pigmented Skin Lesions Before and After Online Training
SO JOURNAL OF DIGITAL IMAGING
VL 27
IS 6
BP 779
EP 785
DI 10.1007/s10278-014-9712-1
PD DEC 2014
PY 2014
AB The goal of this investigation was to explore the feasibility of
   characterizing the visual search characteristics of dermatologists
   evaluating images corresponding to single pigmented skin lesions (PSLs)
   (close-ups and dermoscopy) as a venue to improve training programs for
   dermoscopy. Two Board-certified dermatologists and two dermatology
   residents participated in a phased study. In phase I, they viewed a
   series of 20 PSL cases ranging from benign nevi to melanoma. The
   close-up and dermoscopy images of the PSL were evaluated sequentially
   and rated individually as benign or malignant, while eye position was
   recorded. Subsequently, the participating subjects completed an online
   dermoscopy training module that included a pre- and post-test assessing
   their dermoscopy skills (phase 2). Three months later, the subjects
   repeated their assessment on the 20 PSLs presented during phase I of the
   study. Significant differences in viewing time and eye-position
   parameters were observed as a function of level of expertise.
   Dermatologists overall have more efficient search than residents
   generating fewer fixations with shorter dwells. Fixations and dwells
   associated with decisions changing from benign to malignant or vice
   versa from photo to dermatoscopic viewing were longer than any other
   decision, indicating increased visual processing for those decisions.
   These differences in visual search may have implications for developing
   tools to teach dermatologists and residents about how to better utilize
   dermoscopy in clinical practice.
ZA 0
ZS 0
TC 9
Z8 0
ZB 2
ZR 0
Z9 9
U1 0
U2 5
SN 0897-1889
EI 1618-727X
UT WOS:000344805600008
PM 24939005
ER

PT J
AU Evans, Sherryn
   Knight, Tess
   Sonderlund, Anders
   Tooley, Gregory
TI Facilitators' experience of delivering asynchronous and synchronous
   online interprofessional education
SO MEDICAL TEACHER
VL 36
IS 12
BP 1051
EP 1056
DI 10.3109/0142159X.2014.918254
PD DEC 2014
PY 2014
AB Introduction: Online delivery of interprofessional education (IPE) is an
   emerging area with very little research to date focusing on the
   experience of the facilitator in this process. The purpose of this
   article was to explore the facilitator experience of online asynchronous
   and synchronous IPE facilitation of pre-licensure students.
   Methods: Nineteen online facilitators participated in semi-structured
   telephone interviews to explore this experience.
   Results: Findings from Interpretative Phenomenological Analysis
   indicated that the facilitators found positives of the experience
   including perceiving that the students were learning, their own
   development as a facilitator, the flexibility of the role and feeling
   supported as a facilitator. Challenges of the experience were also noted
   including technological problems in the synchronous environment and
   engaging some students or teams in both the synchronous and asynchronous
   environments.
   Discussion: While this study identified positive aspects of the
   facilitation experience it also highlighted some key topics which need
   to be addressed in training for online IPE facilitators to further
   enhance their experience, and subsequently the experience and
   interprofessional learning of their students.
RI Knight, Tess/F-8808-2017; Larrabee Sonderlund, Anders/; Evans, Sherryn/
OI Knight, Tess/0000-0002-9231-9582; Larrabee Sonderlund,
   Anders/0000-0002-6627-3322; Evans, Sherryn/0000-0001-8783-7564
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 17
Z9 17
U1 0
U2 14
SN 0142-159X
EI 1466-187X
UT WOS:000344693700006
PM 24846599
ER

PT J
AU Woods, Kendra V.
   Peek, Kathryn E.
   Richards-Kortum, Rebecca
TI Mentoring by Design: Integrating Medical Professional Competencies into
   Bioengineering and Medical Physics Graduate Training
SO JOURNAL OF CANCER EDUCATION
VL 29
IS 4
BP 680
EP 688
DI 10.1007/s13187-014-0627-9
PD DEC 2014
PY 2014
AB Many students in bioengineering and medical physics doctoral programs
   plan careers in translational research. However, while such students
   generally have strong quantitative abilities, they often lack experience
   with the culture, communication norms, and practice of bedside medicine.
   This may limit students' ability to function as members of
   multidisciplinary translational research teams. To improve students'
   preparation for careers in cancer translational research, we developed
   and implemented a mentoring program that is integrated with students'
   doctoral studies and aims to promote competencies in communication,
   biomedical ethics, teamwork, altruism, multiculturalism, and
   accountability. Throughout the program, patient-centered approaches and
   professional competencies are presented as foundational to optimal
   clinical care and integral to translational research. Mentoring is
   conducted by senior biomedical faculty and administrators and includes
   didactic teaching, online learning, laboratory mini-courses, clinical
   practicums, and multidisciplinary patient planning conferences (year 1);
   student development and facilitation of problem-based patient cases
   (year 2); and individualized mentoring based on research problems and
   progress toward degree completion (years 3-5). Each phase includes
   formative and summative evaluations. Nineteen students entered the
   program from 2009 through 2011. On periodic anonymous surveys, the most
   recent in September 2013, students indicated that the program
   substantially improved their knowledge of cancer biology, cancer
   medicine, and academic medicine; that the mentors were knowledgeable,
   good teachers, and dedicated to students; and that the program motivated
   them to become well-rounded scientists and scholars. We believe this
   program can be modified and disseminated to other graduate research and
   professional health care programs.
RI Richards-Kortum, Rebecca R/P-4074-2014
OI Richards-Kortum, Rebecca R/0000-0003-2347-9467
ZB 0
ZR 0
ZS 0
TC 0
ZA 0
Z8 0
Z9 0
U1 3
U2 30
SN 0885-8195
EI 1543-0154
UT WOS:000344350800011
PM 24585385
ER

PT J
AU Currie, Geoffrey M
   Greene, Lacey
   Wheat, Janelle
   Wilkinson, Debbie
   Shanbrun, Lauren
   Gilmore, David
TI Internationalization, Mobilization and Social Media in Higher Education.
SO Journal of medical imaging and radiation sciences
VL 45
IS 4
BP 399
EP 407
DI 10.1016/j.jmir.2014.03.094
PD 2014-Dec
PY 2014
AB Although there have been significant advances in instrumentation and
   technology across the medical radiation sciences that changed practice
   and outcomes, higher education has also seen advances that challenged
   service delivery. This article provides an insight into higher education
   trends and collaborative efforts to afford leadership in those domains.
   Arguably, the greatest pressure in the current higher education
   environment is the ability to match student and institutional
   expectations against sustainable, cost-effective innovation.
   Mobilization of the classroom offers a powerful tool for enhancing
   educational outcomes of graduates and satisfies the current trend of
   globalization in the sector. Flexible delivery of materials and the
   advantages of authentic online applications allow a rich and diverse
   learning environment that is driven by the student. The essence of
   mobile learning adds value to the context of learning in our global
   world. Social media connects individuals and students via an online
   network. This environment is a large collective of socially autonomous,
   flexible, and active consumers. The role of social media in higher
   education includes responsibilities in hidden curriculum education as a
   deliverable. Particular advantage is seen as a framework for
   experiential learning in the clinical environment and the powerful
   process of reflection. It is well placed to provide autonomy to the
   current generation of students in an environment in which they are
   comfortable communicating. Medical radiation sciences exist in a dynamic
   and liquid environment and, thus, there is an underlying compatibility
   with change and innovation. Medical radiation sciences are well equipped
   to embrace advances in clinical, research, and higher education sectors
   to provide leadership across the broader health and science professions.
OI Currie, Geoff/0000-0002-6180-8586
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
TC 5
Z9 5
U1 0
U2 0
EI 1876-7982
UT MEDLINE:31051912
PM 31051912
ER

PT J
AU Magliano, Lorenza
   Read, John
   Sagliocchi, Alessandra
   Oliviero, Nicoletta
   D'Ambrosio, Antonio
   Campitiello, Federica
   Zaccaro, Antonella
   Guizzaro, Lorenzo
   Patalano, Melania
TI "Social dangerousness and incurability in schizophrenia": Results of an
   educational intervention for medical and psychology students
SO PSYCHIATRY RESEARCH
VL 219
IS 3
BP 457
EP 463
DI 10.1016/j.psychres.2014.06.002
PD NOV 30 2014
PY 2014
AB This study explored the influence of an educational intervention
   addressing common prejudices and scientific evidence about schizophrenia
   on medical and psychology students' views of this disorder. The
   intervention - consisting in two three-hour lessons with an interval of
   a week between - was run at first for medical students and then for
   psychology students. Participants' views of schizophrenia were assessed
   at baseline vs. at post intervention by matched questionnaires. At
   medical school, participation was voluntary and also included a
   six-month online re-assessment, while at psychology school,
   participation was mandatory. A total of 211 students attended the
   educational initiative. At post intervention assessment, students more
   frequently mentioned psychosocial causes of schizophrenia, and more
   firmly believed that recovery in schizophrenia is possible and that
   persons with this disorder are not unpredictable and dangerous vs. their
   baseline assessment. The online six-month assessment confirmed
   favourable changes in medical students' views found at post
   intervention. These results confirm that an educational intervention
   including personal experiences and scientific evidence can be successful
   in reducing students' prejudices toward persons with schizophrenia. (C)
   2014 Published by Elsevier Ireland Ltd.
RI Magliano, Lorenza/AAN-8348-2020; Guizzaro, Lorenzo/AAB-7856-2020; Read, John/; Magliano, Lorenza/
OI Guizzaro, Lorenzo/0000-0002-0390-270X; Read, John/0000-0002-5159-1192;
   Magliano, Lorenza/0000-0002-4733-3975
TC 18
ZA 0
Z8 0
ZB 1
ZS 1
ZR 0
Z9 18
U1 1
U2 44
SN 0165-1781
UT WOS:000341901600009
PM 25004873
ER

PT J
AU Yamada, Yukari
   Klugar, Miloslav
   Ivanova, Katerina
   Oborna, Ivana
TI Psychological distress and academic self-perception among international
   medical students: the role of peer social support
SO BMC MEDICAL EDUCATION
VL 14
AR 256
DI 10.1186/s12909-014-0256-3
PD NOV 28 2014
PY 2014
AB Background: Psychological distress among medical students is commonly
   observed during medical education and is generally related to poor
   academic self-perception. We evaluated the role of peer social support
   at medical schools in the association between psychological distress and
   academic self-perception.
   Methods: An online survey was conducted in a medical degree program for
   138 international students educated in English in the Czech Republic.
   The Medical Student Well-Being Index was used to define the students'
   psychological distress. Perceived peer social support was investigated
   with the Multidimensional Scale of Perceived Social Support. Poor
   academic self-perception was defined as the lowest 30% of a subscale
   score of the Dundee Ready Education Environment Measure. Analyses
   evaluated the presence of additive interactions between psychological
   distress and peer social support on poor academic self-perception,
   adjusted for possible confounders.
   Results: Both psychological distress and low peer social support were
   negatively associated with poor academic self-perception, adjusted for
   local language proficiency and social support from family. Students with
   psychological distress and low peer social support had an odds ratio of
   11.0 (95% confidence interval (CI): 2.1-56.6) for poor academic
   self-perception as compared with those without distress who had high
   peer social support. The presence of an additive interaction was
   confirmed in that the joint association was four times as large as what
   would have been expected to be on summing the individual risks of
   psychological distress and low peer social support (synergy index = 4.5,
   95% CI: 1.3-14.9).
   Conclusions: Psychological distress and low peer social support may
   synergistically increase the probability of poor academic
   self-perception among international medical students. Promoting peer
   social relationships at medical school may interrupt the vicious cycle
   of psychological distress and poor academic performance.
RI Klugar, Miloslav/E-5748-2018; Oborna, Ivana/A-5568-2015; Ivanova, Katerina/J-6002-2015
OI Klugar, Miloslav/0000-0002-2804-7295; Ivanova,
   Katerina/0000-0003-1117-2548
ZB 1
ZA 0
TC 22
ZS 1
ZR 0
Z8 1
Z9 24
U1 1
U2 62
SN 1472-6920
UT WOS:000345794500001
PM 25430069
ER

PT J
AU Sim, Moira G.
   McEvoy, Ashleigh C.
   Wain, Toni D.
   Khong, Eric L.
TI Improving health Professional's knowledge of hepatitis B using cartoon
   based learning tools: a retrospective analysis of pre and post tests
SO BMC MEDICAL EDUCATION
VL 14
AR 244
DI 10.1186/s12909-014-0244-7
PD NOV 21 2014
PY 2014
AB Background: Hepatitis B serology is complex and a lack of knowledge in
   interpretation contributes to the inadequate levels of screening and
   referral for highly effective hepatitis antiviral treatments. This
   knowledge gap needs to be addressed so that current and future
   healthcare professionals are more confident in the detection and
   assessment of hepatitis B to improve the uptake of treatment and reduce
   long-term complications from the disease. Cartoons have been used
   effectively as a teaching tool in other settings and were considered as
   a potentially useful teaching aid in explaining hepatitis B serology.
   This study examines the impact of cartoons in improving healthcare
   professionals' knowledge.
   Methods: A cartoon based learning tool designed to simplify the
   complexities of hepatitis B serology was developed as part of an online
   learning program for medical practitioners, nurses and students in these
   professions. A retrospective analysis was carried out of pre and post
   online test results.
   Results: An average improvement of 96% of correct answers to case study
   questions in hepatitis B serology was found across all ten questions
   following the use of an online cartoon based learning tool.
   Conclusion: The data indicates a significant improvement of
   participants' knowledge of hepatitis B serology from pre-test to
   post-test immediately following an online cartoon based learning tool.
   However, further research is required to measure its long term impact.
OI McEvoy, Ashleigh/0000-0001-5692-1317; Wain, Toni/0000-0003-0873-9240;
   Khong, Eric/0000-0003-2103-2477
Z8 0
ZA 0
ZB 2
ZS 0
ZR 0
TC 11
Z9 11
U1 0
U2 10
SN 1472-6920
UT WOS:000345791000001
PM 25412798
ER

PT J
AU DuBois, James M.
   Kraus, Elena M.
   Gursahani, Kamal
   Mikulec, Anthony
   Bakanas, Erin
TI Curricular priorities for business ethics in medical practice and
   research: recommendations from Delphi consensus panels
SO BMC MEDICAL EDUCATION
VL 14
AR 235
DI 10.1186/1472-6920-14-235
PD NOV 15 2014
PY 2014
AB Background: No published curricula in the area of medical business
   ethics exist. This is surprising given that physicians wrestle daily
   with business decisions and that professional associations, the
   Institute of Medicine, Health and Human Services, Congress, and industry
   have issued related guidelines over the past 5 years. To fill this gap,
   the authors aimed (1) to identify the full range of medical business
   ethics topics that experts consider important to teach, and (2) to
   establish curricular priorities through expert consensus.
   Methods: In spring 2012, the authors conducted an online Delphi survey
   with two heterogeneous panels of experts recruited in the United States.
   One panel focused on business ethics in medical practice (n = 14), and 1
   focused on business ethics in medical research (n = 12).
   Results: Panel 1 generated an initial list of 14 major topics related to
   business ethics in medical practice, and subsequently rated 6 topics as
   very important or essential to teach. Panel 2 generated an initial list
   of 10 major topics related to business ethics in medical research, and
   subsequently rated 5 as very important or essential. In both domains,
   the panel strongly recommended addressing problems that conflicts of
   interest can cause, legal guidelines, and the goals or ideals of the
   profession.
   Conclusions: The Bander Center for Medical Business Ethics at Saint
   Louis University will use the results of the Delphi panel to develop
   online curricular resources for each of the highest rated topics.
OI Kraus, Elena/0000-0001-6076-561X
ZB 1
ZA 0
ZR 0
TC 4
Z8 0
ZS 0
Z9 4
U1 1
U2 17
SN 1472-6920
UT WOS:000347348200001
PM 25398388
ER

PT J
AU Stathakarou, Natalia
   Zary, Nabil
   Kononowicz, Andrzej A.
TI Beyond xMOOCs in healthcare education: study of the feasibility in
   integrating virtual patient systems and MOOC platforms
SO PEERJ
VL 2
AR e672
DI 10.7717/peerj.672
PD NOV 13 2014
PY 2014
AB Background. Massive Open Online Courses (MOOCs) are an emerging trend in
   online learning. However, their technology is not yet completely
   adjusted to the needs of healthcare education. Integration of Virtual
   Patients within MOOCs to increase interactivity and foster clinical
   reasoning skills training, has been discussed in the past, but not
   verified by a practical implementation.
   Objective. To investigate the technical feasibility of integrating MOOCs
   with Virtual Patients for the purpose of enabling further research into
   the potential pedagogical benefits of this approach.
   Methods. We selected OpenEdx and Open Labyrinth as representative
   constituents of a MOOC platform and Virtual Patient system integration.
   Based upon our prior experience we selected the most fundamental
   technical requirement to address. Grounded in the available literature
   we identified an e-learning standard to guide the integration. We
   attempted to demonstrate the feasibility of the integration by designing
   a "proof-of-concept" prototype. The resulting pilot implementation was
   subject of verification by two test cases.
   Results. A Single Sign-On mechanism connecting Open Labyrinth with
   OpenEdx and based on the IMS LTI standard was successfully implemented
   and verified.
   Conclusion. We investigated the technical perspective of integrating
   Virtual Patients with MOOCs. By addressing this crucial technical
   requirement we set a base for future research on the educational
   benefits of using virtual patients in MOOCs. This provides new
   opportunities for integrating specialized software in healthcare
   education at massive scale.
RI Zary, Nabil/M-9432-2019; Kononowicz, Andrzej A/ABG-8696-2020; Stathakarou, Natalia/
OI Zary, Nabil/0000-0001-8999-6999; Kononowicz, Andrzej
   A/0000-0003-2956-2093; Stathakarou, Natalia/0000-0002-7159-5801
TC 19
ZB 1
ZS 0
Z8 0
ZR 0
ZA 0
Z9 19
U1 0
U2 76
SN 2167-8359
UT WOS:000347625900006
PM 25405078
ER

PT J
AU Toftegaard, Berit Skjodeberg
   Bro, Flemming
   Vedsted, Peter
TI A geographical cluster randomised stepped wedge study of continuing
   medical education and cancer diagnosis in general practice
SO IMPLEMENTATION SCIENCE
VL 9
AR 159
DI 10.1186/s13012-014-0159-z
PD NOV 7 2014
PY 2014
AB Background: Denmark has inferior cancer survival rates compared with
   many European countries. The main reason for this is suggested to be
   late diagnosis at advanced cancer stages. Cancer diagnostic work-up
   begins in general practice in 85% of all cancer cases. Thus, general
   practitioners (GPs) play a key role in the diagnostic process. The
   latest Danish Cancer Plan included continuing medical education (CME) on
   early cancer diagnosis in general practice to improve early diagnosis.
   This dual aims of this protocol are, first, to describe the
   conceptualisation, operationalisation and implementation of the CME and,
   second, to describe the study design and outcomes chosen to evaluate the
   effects of the CME.
   Methods/Design: The intervention is a CME in early cancer diagnosis
   targeting individual GPs. It was developed by a step-wise approach.
   Barriers for early cancer diagnosis at GP level were identified
   systematically and analysed using the behaviour system involving
   capability, opportunity and motivation described by Michie et al. The
   study will be designed as a geographical cluster randomised stepped
   wedge study. The study population counts 836 GPs from 417 general
   practices in the Central Denmark Region, geographically divided into
   eight clusters. GPs from each cluster will be invited to a CME meeting
   at a certain date three weeks apart. The primary outcomes will be
   primary care interval and GP referral rate on cancer suspicion. Data
   will be obtained from national registries, GP-completed forms on
   patients referred to cancer fast-track pathways and GP-completed online
   questionnaires before and after the intervention.
   Discussion: To our knowledge, this will be the first study to measure
   the effect of a theory-based CME in early cancer diagnosis at three
   levels: GP knowledge and attitude, GP activity and patient outcomes. The
   achieved knowledge will contribute to the understanding of whether and
   how general practice's ability to perform cancer diagnosis may be
   improved.
RI Vedsted, Peter/C-2583-2008; Bro, Flemming/
OI Vedsted, Peter/0000-0003-2113-5599; Bro, Flemming/0000-0001-5011-950X
ZS 0
ZR 0
Z8 0
ZB 1
TC 9
ZA 0
Z9 9
U1 0
U2 3
SN 1748-5908
UT WOS:000347431100001
PM 25377520
ER

PT J
AU Meshkat, Nazanin
   Misra, Shikha
   Hunchak, Cheryl
   Cleiman, Paula
   Khan, Yasmin
   Ritchie, Lisa M. Puchalski
TI Knowledge gaps in the diagnosis and management of patients with tropical
   diseases presenting to Canadian emergency departments: are the gaps
   being met?
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 16
IS 6
BP 458
EP 466
DI 10.2310/8000.2013.131265
PD NOV 2014
PY 2014
AB Objective: We conducted a needs assessment to identify knowledge gaps in
   the management of tropical diseases by Canadian emergency physicians and
   identify available, related continuing medical education (CME)
   resources.
   Methods: A literature review was conducted to summarize challenges in
   the management of commonly encountered tropical diseases. An anonymous
   online survey was administered to Canadian emergency physicians using
   the Canadian Association of Emergency Physicians survey deployment
   service in July and August 2012. The survey identified self-reported
   gaps in knowledge and assessed knowledge using case-based vignettes. A
   list of CME resources was generated from a review of major academic
   emergency medicine journals, online cases, and conference topics from
   emergency medicine associations during 2010-2011. Two independent
   reviewers assessed the relevance of the resources; differences were
   resolved by consensus.
   Results: From 635 citations, 47 articles were selected for full review;
   the majority (66%) were retrospective chart reviews, few (10.6%) had an
   emergency medicine focus, and fewer still were Canadian (8.5%). In
   total, 1,128 surveys were distributed, and 296 (27%) participants were
   included in the study. Most respondents reported "no'' (52.4%) or
   "some'' (45.9%) training in tropical medicine. Most (69.9%) rated their
   comfort in managing patients with tropical diseases as "low.'' Few
   (11.1%) respondents reported a tropical disease being misdiagnosed or
   mismanaged; 44.1% indicated malaria. The perceived need for further
   training was high (76.7%). Conference workshops were the most highly
   requested CME modality, followed by case studies and podcasts. Correct
   answers to case vignettes ranged from 30.7 to 58.4%. Although 2,038 CME
   titles were extracted from extensive searches, only 6 were deemed
   relevant.
   Conclusions: Most Canadian emergency physicians have had minimal
   training in tropical diseases, reported a low comfort level in their
   management, and identified a high need for CME opportunities, which are
   lacking.
RI Ritchie, Lisa Puchalski/AAI-3717-2021
OI Ritchie, Lisa Puchalski/0000-0002-1791-5368
Z8 0
ZA 0
ZB 0
TC 7
ZR 0
ZS 1
Z9 7
U1 0
U2 6
SN 1481-8035
EI 1481-8043
UT WOS:000350872200006
PM 25358277
ER

PT J
AU Greenhawt, Matthew
TI Food Allergy Quality of Life
SO ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY
VL 113
IS 5
BP 506
EP 512
DI 10.1016/j.anai.2014.06.027
PD NOV 2014
PY 2014
AB INSTRUCTIONS
   Credit can now be obtained, free for a limited time, by reading the
   review article in this issue and completing all activity components.
   Please note the instructions listed below:
   Review the target audience, learning objectives and all disclosures.
   Complete the pre-test online at http://www.annallergy.org (click on the
   CME heading).
   Followthe online instructions to read the full version of the article;
   reflect on all content as to how it may be applicable to your practice.
   Complete the post-test/evaluation and claim credit earned; at this time,
   you will have earned up to 1.0 AMA PRA Category 1 Credit (TM). Please
   note that the minimum passing score on the post-test is 70%.
   Release Date: November 1, 2014
   Expiration Date: October 31, 2016
   Estimated Time to Complete: 60 minutes
   Target Audience: Physicians involved in providing patient care in the
   field of allergy/asthma/immunology
   Learning Objectives:
   At the conclusion of this activity, participants should be able to:
   Recognize that poor quality of life is a consequence of food allergy for
   many individuals and caretakers and identify specific attributes of food
   allergy that complicate the measurement of food allergy quality of life
   Evaluate the current measures of food allergy quality of life and review
   known associations between food allergy and quality of life
   Accreditation: The American College of Allergy, Asthma & Immunology
   (ACAAI) is accredited by the Accreditation Council for Continuing
   Medical Education (ACCME) to provide continuing medical education for
   physicians.
   Designation: The American College of Allergy, Asthma & Immunology
   (ACAAI) designates this journal-based CME activity for a maximum of 1
   AMA PRA Category 1 Credit (TM). Physicians should claim only the credit
   commensurate with the extent of their participation in the activity.
   Planning Committee Members:
   Matthew Greenhawt, MD, MBA, MSc (Author)
   Mitchell H. Grayson, MD (CME Series Editor, Deputy Editor)
   Gailen D. Marshall, Jr., MD, PhD (Editor-in-Chief)
   Disclosure of Relevant Financial Relationships:
   M. Greenhawt has served as a consultant for Deerfield Industries and
   Frankel Group and has received research grants from the National
   Institutes of Health (NIH). M. H. Grayson has received research grants
   from Children's Research Institute/Medical College of Wisconsin, Merck,
   National Institutes of Health (NIH), and Polyphor. G. D. Marshall has
   received research grants from Amgen, AstraZeneca, and National
   Institutes of Health (NIH). Reviewers and Education/Editorial staff have
   no relevant financial relationships to disclose. No
   unapproved/investigative use of a product/device is discussed.
   Recognition of Commercial Support: This activity has not received
   external commercial support.
   Copyright Statement: (C) 2013-2016 ACAAI. All rights reserved.
   CME Inquiries: Contact the American College of Allergy, Asthma &
   Immunology at education@acaai.org or 847-427-1200.
ZB 4
TC 25
Z8 0
ZS 0
ZA 0
ZR 0
Z9 25
U1 0
U2 29
SN 1081-1206
EI 1534-4436
UT WOS:000344949200004
PM 25442694
ER

PT J
AU Scott, Stephen M.
   Schifferdecker, Karen E.
   Anthony, David
   Chao, Jason
   Chessman, Alexander W.
   Margo, Katherine
   Seagrave, Martha
   Leong, Shou Ling
TI Contemporary Teaching Strategies of Exemplary Community Preceptors-Is
   Technology Helping?
SO FAMILY MEDICINE
VL 46
IS 10
BP 776
EP 782
PD NOV-DEC 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: Many schools rely upon community preceptors
   for office-based education of medical students. These preceptors
   struggle to balance clinical care with the learning needs of students.
   We aim to gain a deeper understanding of the teaching rewards and
   challenges of current community preceptors.
   METHODS: Five schools' family medicine clerkship directors conducted
   in-depth interviews of two exemplary preceptors at each of their
   programs. Following qualitative analysis of the interviews, three
   directors conducted one focus group at their school. The individual and
   group interviews were recorded, transcribed, and analyzed using grounded
   theory.
   RESULTS: Exemplary community preceptors described strategies to improve
   the learning environment and specific teaching approaches. Well-known
   teaching strategies such as role modeling, adjusting instruction to the
   learner's needs, and selecting patients appropriate for a specific
   student were used. They also described newer techniques such as
   co-learning and integrating technology, for example, accessing online,
   current practice guidelines together with the student. They detailed
   challenges to teaching, including time constraints and too much content
   to cover and provided advice about teaching tools.
   CONCLUSIONS: While challenged by clinical demands, preceptors enjoyed
   teaching and found it rewarding. They used time-proven teaching
   strategies as well as technology and online resources to facilitate
   ambulatory teaching. Community preceptors continue to struggle to
   integrate learners and the priorities of the medical school curriculum
   into the clinical environment. Further development of electronic tools
   and other resources to support the teaching needs of preceptors may
   contribute to learning and help minimize preceptor burden.
RI Chao, Jason/AEJ-9207-2022; Seagrave, Martha/
OI Chao, Jason/0000-0003-4990-4433; Seagrave, Martha/0000-0003-4707-5408
ZS 1
Z8 0
ZA 0
TC 3
ZB 1
ZR 0
Z9 4
U1 0
U2 6
SN 0742-3225
EI 1938-3800
UT WOS:000344441400005
PM 25646828
ER

PT J
AU Riley, Margaret
   Skye, Eric
   Reed, Barbara D.
TI Mentorship in an Academic Department of Family Medicine
SO FAMILY MEDICINE
VL 46
IS 10
BP 792
EP 796
PD NOV-DEC 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: Lack of quality mentorship has been
   identified as an impediment to a successful academic career. This study
   serves as a needs assessment to understand baseline mentoring among
   faculty in an academic department of family medicine and the existing
   relationships between mentorship, job satisfaction, and academic
   productivity before the department begins a structured mentorship
   program.
   METHODS: All faculty received an anonymous online survey inquiring about
   their current mentorship and their perception of the importance of
   mentorship, in addition to measures of job satisfaction and academic
   productivity.
   RESULTS: Of 62 faculty members completing the survey (83% of faculty),
   almost all indicated it is very or somewhat important to have a mentor
   (97%, n=60), although only 45% (n=28) reported having a current mentor.
   Junior faculty were less likely than senior faculty to be satisfied with
   their mentorship, particularly if they did not have a current mentor.
   Job satisfaction was high and was not associated with having a mentor.
   Faculty members with mentors were more likely to have presented a talk
   or poster nationally, to have taken on a new educational or leadership
   role, and to have had a greater volume of academic activities overall.
   CONCLUSIONS: Although faculty believe mentorship is important, less than
   half have a current mentor. Junior faculty are disproportionately
   dissatisfied by lack of mentorship. Mentorship was associated with some
   elements of academic productivity but not with job satisfaction. Further
   study of the impact of a more structured mentorship program is needed.
ZR 0
ZA 0
TC 13
ZB 1
ZS 0
Z8 0
Z9 13
U1 0
U2 9
SN 0742-3225
EI 1938-3800
UT WOS:000344441400008
PM 25646831
ER

PT J
AU Eltorai, Adam E. M.
   Han, Alex
   Truntzer, Jeremy
   Daniels, Alan H.
TI Readability of Patient Education Materials on the American Orthopaedic
   Society for Sports Medicine Website
SO PHYSICIAN AND SPORTSMEDICINE
VL 42
IS 4
BP 125
EP 130
DI 10.3810/psm.2014.11.2099
PD NOV 2014
PY 2014
AB Background: The recommended readability of patient education materials
   by the American Medical Association (AMA) and National Institutes of
   Health (NIH) should be no greater than a sixth-grade reading level.
   However, online resources may be too complex for some patients to
   understand, and poor health literacy predicts inferior health-related
   quality of life outcomes. Aim: This study evaluated whether the American
   Orthopaedic Society for Sports Medicine (AOSSM) website's patient
   education materials meet recommended readability guidelines for medical
   information. We hypothesized that the readability of these online
   materials would have a Flesch-Kincaid formula grade above the sixth
   grade. Methods: All 65 patient education entries of the AOSSM website
   were analyzed for grade level readability using the Flesch-Kincaid
   formula, a widely used and validated tool to evaluate the text reading
   level. Results: The average (standard deviation) readability of all 65
   articles was grade level 10.03 (1.44); 64 articles had a readability
   score above the sixth-grade level, which is the maximum level
   recommended by the AMA and NIH. Mean readability of the articles
   exceeded this level by 4.03 grade levels (95% CI, 3.7-4.4; P < 0.0001).
   We found post-hoc that only 7 articles had a readability score <= an
   eighth-grade level, the average reading level of US adults. Mean
   readability of the articles exceeded this level by 2.03 grade levels
   (95% CI, 1.7-2.4; P < 0.0001). Conclusion: The readability of online
   AOSSM patient education materials exceeds the readability level
   recommended by the AMA and NIH, and is above the average reading level
   of the majority of US adults. This online information may be of limited
   utility to most patients due to a lack of comprehension. Our study
   provides a clear example of the need to improve the readability of
   specific education material in order to maximize the efficacy of
   multimedia sources.
RI Han, Alex/AAW-6560-2020
OI Han, Alex/0000-0002-4690-318X
ZS 0
ZA 0
ZB 9
TC 22
Z8 0
ZR 0
Z9 22
U1 0
U2 5
SN 0091-3847
EI 2326-3660
UT WOS:000348705100014
PM 25419896
ER

PT J
AU Farnham, Andrea
   Alleyne, Lisa
   Cimini, Daniel
   Balter, Sharon
TI Legionnaires' Disease Incidence and Risk Factors, New York, New York,
   USA, 2002-2011
SO EMERGING INFECTIOUS DISEASES
VL 20
IS 11
BP 1795
EP 1802
DI 10.3201/eid2011.131872
PD NOV 2014
PY 2014
AB Medstape, LLC is pleased to provide online continuing medical education
   (CME)for this journal article, allowing clinicians the opportunity to
   earn CME credit.
   This activity has been planned and implemented in accordance with the
   Essential Areas and policies of the Accreditation Council for Continuing
   Medical Education through the joint providership of Medscape, LLC and
   Emerging Infectious Diseases.
   Medscape, LLC is accredited by the ACCME to provide continuing medical
   education for physicians. Medscape, LLC designates this Journal-based
   CME activity for a Maximum of 1.0 AMA PRA Category Credit(s)(TM).
   Physicians Should claim only the credit commensurate with the extent of
   their participation in the activity.
   All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test with a 75% minimum
   passing score and complete the evaluation at
   http://www.medscape.org/journal/eid; (4) view/print certificate.
OI Farnham, Andrea/0000-0002-0830-0927
ZA 0
Z8 1
ZB 30
ZR 0
ZS 1
TC 63
Z9 65
U1 0
U2 12
SN 1080-6040
EI 1080-6059
UT WOS:000343966300002
PM 25513657
ER

PT J
AU Harned, Melanie S.
   Dimeff, Linda A.
   Woodcock, Eric A.
   Kelly, Tim
   Zavertnik, Jake
   Contreras, Ignacio
   Danner, Sankirtana M.
TI Exposing Clinicians to Exposure: A Randomized Controlled Dissemination
   Trial of Exposure Therapy for Anxiety Disorders
SO BEHAVIOR THERAPY
VL 45
IS 6
BP 731
EP 744
DI 10.1016/j.beth.2014.04.005
PD NOV 2014
PY 2014
AB Objective: The present study evaluated three technology-based methods of
   training mental health providers in exposure therapy (ET) for anxiety
   disorders. Training methods were designed to address common barriers to
   the dissemination of ET, including limited access to training, negative
   clinician attitudes toward ET, and lack of support during and following
   training.
   Method: Clinicians naive to ET (N = 181, M-age = 37.4, 71.3% female,
   72.1% Caucasian) were randomly assigned to (a) an interactive,
   multimedia online training (OLT), (b) OLT plus a brief, computerized
   motivational enhancement intervention (OLT + ME), or (c) OLT + ME plus a
   Web-based learning community (OLT + ME + LC). Assessments were completed
   at baseline, posttraining, and 6 and 12 weeks following training.
   Outcomes include satisfaction, knowledge, self-efficacy, attitudes,
   self-reported clinical use, and observerrated clinical proficiency.
   Results: All three training methods led to large and comparable
   improvements in self-efficacy and clinical use of ET, indicating that
   OLT alone was sufficient for improving these outcomes. The addition of
   the ME intervention did not significantly improve outcomes in comparison
   to OLT alone. Supplementing the OLT with both the ME intervention and
   the LC significantly improved attitudes and clinical proficiency in
   comparison to OLT alone. The OLT + ME + LC condition was superior to
   both other conditions in increasing knowledge of ET.
   Conclusions: Multicomponent trainings that address multiple potential
   barriers to dissemination appear to be most effective in improving
   clinician outcomes. Technology-based training methods offer a
   satisfactory, effective, and scalable way to train mental health
   providers in evidence-based treatments such as ET.
ZA 0
Z8 0
ZS 0
ZB 13
TC 54
ZR 0
Z9 54
U1 1
U2 23
SN 0005-7894
EI 1878-1888
UT WOS:000344844700001
PM 25311284
ER

PT J
AU Adams, Catrina T.
   Hemingway, Claire A.
TI What Does Online Mentorship of Secondary Science Students Look Like?
SO BIOSCIENCE
VL 64
IS 11
BP 1042
EP 1051
DI 10.1093/biosci/biu147
PD NOV 2014
PY 2014
AB Mentorship by scientists can enrich learning opportunities for secondary
   science students, but how scientists perform these roles is poorly
   documented. We examine a partnership in which plant scientists served as
   online mentors to teams conducting plant investigations. In our content
   analysis of 170 conversations, the mentors employed an array of
   scaffolding techniques (encouraging; helping clarify goals, ideas, and
   procedures; and supporting reflection), with social discourse centrally
   embedded and fundamental to the mentoring relationship. The interplay of
   techniques illustrates that scientist mentors harmonize multiple
   dimensions of learning and model the integration of science content and
   practice. The mentors fulfilled self-identified motivation to promote
   their students' interest and to enculturate students to the science
   community through online discourse. The patterns of this discourse
   varied with the mentors' gender, career stage, and team-mentor
   engagement. These findings address research gaps about the roles,
   functions, and conceptions of scientists as online mentors; they can be
   used to guide program facilitation and new research directions.
ZA 0
ZB 2
Z8 0
ZS 0
ZR 0
TC 10
Z9 10
U1 0
U2 13
SN 0006-3568
EI 1525-3244
UT WOS:000344725100012
ER

PT J
AU Zuccato, Jeffrey A.
   Milburn, Cynthia
   Valiante, Taufik A.
TI Balancing health literacy about epilepsy surgery in the community
SO EPILEPSIA
VL 55
IS 11
BP 1754
EP 1762
DI 10.1111/epi.12791
PD NOV 2014
PY 2014
AB ObjectiveDespite significant underutilization of surgical treatment for
   drug-resistant epilepsy, no studies have quantified patient desire for
   surgery within a representative population. The main objective was to
   determine desire for surgery in a sample with a high proportion of
   potential candidates to characterize patient-related barriers to the
   treatment. Secondary objectives included assessing clinical predictors
   of attitudes toward surgery and evaluating the impact of passive
   knowledge translation on desire for surgery.
   MethodsAn online survey was administered to all clients connected with a
   core epilepsy community access center. It obtained information about
   demographics, clinical characteristics, knowledge of epilepsy surgery,
   and interest in receiving surgery before and after receiving
   risk/benefit information about it.
   ResultsOf 118 potential respondents, 48 (41%) completed the
   questionnaire, of which 67% had failed more than two AEDs and 78%
   experienced seizures in the past year. Eleven ( 26%) were uninterested
   in receiving surgery at baseline, and this decreased significantly to 7
   (16%) following knowledge translation regarding the benefits (p=0.001).
   Significance was lost with subsequent complication rate information
   despite fewer respondents still being uninterested compared to baseline
   (20% vs. 26%). Having experienced seizures within the past month was
   correlated with being interested in or undecided regarding surgery at
   baseline and following all steps of knowledge translation. Subjects had
   conservative views regarding the benefits of surgery and largely
   overestimated the risks.
   SignificanceA significant portion of those with active epilepsy in the
   community do not desire surgical treatment. Passive knowledge
   translation regarding the risks and benefits enhanced optimistic
   attitudes and mobilized interest within a subset of participants.
   Preexisting views regarding the risks of surgery were exaggerated, and
   analysis suggests that these views can be modified with information
   about the benefits of surgery. However, exaggerated risk perceptions
   return following crude descriptions of the risks, underlying the
   importance of sensitive counseling from primary care physicians.
RI Valiante, Taufik A/C-3285-2015
OI Valiante, Taufik A/0000-0002-3443-3790
ZS 0
TC 10
Z8 0
ZA 0
ZR 0
ZB 1
Z9 10
U1 1
U2 1
SN 0013-9580
EI 1528-1167
UT WOS:000345227400017
PM 25251908
ER

PT J
AU Lehna, Carlee
   Myers, John
TI Increasing Burn Prevention Knowledge: Web-Based Versus Classroom
   Education
SO JOURNAL OF BURN CARE & RESEARCH
VL 35
IS 6
BP E387
EP E390
DI 10.1097/BCR.0000000000000022
PD NOV-DEC 2014
PY 2014
AB Increasing burn prevention (BP) knowledge in nurse practitioners leads
   to better care for patients who suffer a burn injury. Web-based and
   classroom-based approaches to increasing an individual's knowledge, in
   general and specifically to BP knowledge, is currently an area of
   interest for researchers. As a result, the purpose of this study was to
   test and evaluate the influence two methods (classroom and Web-based)
   has on BP knowledge; and whether a difference existed between teaching
   modalities. Generalized mixed-effects modeling techniques were used to
   test for differences in scores across three time points: 1) baseline, 2)
   immediately after viewing the educational module online (recall), and 3)
   at least 2 weeks after viewing the educational module (retention); and
   between the groups. There was no difference in scores between online vs
   classroom education method (P = .894); therefore, a pooled analysis was
   performed (n=54). Mean scores on the BP knowledge exam increased over
   time (P = .003) (regardless of educational method), establishing that
   the education module significantly increases BP knowledge in nurse
   practitioners over time. Mean score before receiving the education
   module was 75.6%; the mean score was 81.9% immediately after the module;
   and 85.6% 2 weeks after receiving the education module. Either method
   can be used to educate and train health care providers in BP, which may
   provide health care providers with useful and cost-effective ways in
   which to improve BP knowledge and the quality of care for patients who
   suffer a burn injury.
ZS 0
ZR 0
TC 6
ZB 2
Z8 0
ZA 0
Z9 6
U1 0
U2 6
SN 1559-047X
EI 1559-0488
UT WOS:000345159000003
PM 25100539
ER

PT J
AU Klug, C.
   Schade, M.
   Dittmar, R.
   Mischler, D.
   Nagel, E.
   Heudorf, U.
TI Network Against Multidrug-Resistant Organisms in the Rhine-Main Region,
   Germany. A First Evaluation
SO GESUNDHEITSWESEN
VL 76
IS 11
BP 742
EP 749
DI 10.1055/s-0034-1367008
PD NOV 2014
PY 2014
AB Background: Multidrug-resistant organisms (MDROs) are not only a problem
   in the hospital but also in the community setting. The MRE-Net
   Rhine-Main was founded in order to decrease the rate of development and
   spread of MDROs in the region and to counter the stigmatisation of
   people with MDROs. The network attempts to achieve these goals by
   offering telephone support, information flyers, internet services,
   information events and training for health-care practitioners from
   hospitals (HOSP), residential and nursing homes (RNH), outpatient care
   services (OCS), emergency services (ES), medical practices (MP) and
   rehabilitation centers (RC). A first interim evaluation examined the
   expectations each institution had associated with its participation and
   how well these objectives were fulfilled. Furthermore the utilisation
   and acceptance of the services offered by the network were investigated.
   Method: The participating institutions (n=143) received a standardised
   questionnaire adapted to the type of institution by mail including
   questions focusing on the above-mentioned issues.
   Results: 96 questionnaires could be evaluated (response 67.1%). More
   than 90% of the participants expected to participate in trainings,
   receive improved information, to gain more confidence in handling
   patients and to improve hygiene measures - with great differences
   between HOSP, RNH and OCS. These expectations were largely satisfied.
   65.5% of the institutions participated at least once in a training,
   particularly RNH, OCS, whereby the usefulness of the trainings was rated
   high by these institutions. 14.4% of the institutions had made use of
   the telephone service, the gain of information was rated as high by
   HOSP, RNH and OCS. 81% knew of and used the flyers, but almost half of
   the institutions did not know the homepage of the network.
   Conclusions: Overall the expectations of the network participants were
   met well to very well and the benefit derived from the trainings and the
   print and online media was rated as high. Therefore the network will
   continue and further intensify its work.
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
TC 1
Z9 1
U1 0
U2 4
SN 0941-3790
EI 1439-4421
UT WOS:000345904900016
PM 24639387
ER

PT J
AU Dorner, Thomas Ernst
   Schulte-Hermann, Kathrin
   Zanini, Matteo
   Leichsenring, Birgit
   Stefanek, Wiltrut
TI Health literacy, source of information and impact on adherence to
   therapy in people living with HIV
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 17
MA P067
BP 74
EP 74
DI 10.7448/IAS.17.4.19599
SU 3
PD NOV 2014
PY 2014
OI Dorner, Thomas Ernst/0000-0002-5218-1160
ZA 0
ZB 0
ZR 0
Z8 0
ZS 0
TC 5
Z9 5
U1 0
U2 6
EI 1758-2652
UT WOS:000344961700118
PM 25394103
ER

PT J
AU Zanini, Matteo
   Schulte-Hermann, Kathrin
   Leichsenring, Birgit
   Stefanek, Wiltrut
   Dorner, Thomas Ernst
TI Involvement of HIV patients in treatment-related decisions
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 17
MA P068
BP 74
EP 75
DI 10.7448/IAS.17.4.19600
SU 3
PD NOV 2014
PY 2014
OI Dorner, Thomas Ernst/0000-0002-5218-1160
ZB 1
Z8 0
ZR 0
ZS 0
TC 2
ZA 0
Z9 2
U1 0
U2 0
EI 1758-2652
UT WOS:000344961700119
PM 25394104
ER

PT J
AU Plantz, Diane M.
   Garrett, Jeremy R.
   Carter, Brian
   Knackstedt, Angela D.
   Watkins, Vanessa S.
   Lantos, John
TI Engaging Pediatric Health Professionals in Interactive Online Ethics
   Education
SO HASTINGS CENTER REPORT
VL 44
IS 6
BP 15
EP 20
DI 10.1002/hast.383
PD NOV-DEC 2014
PY 2014
AB Bioethical decision-making in pediatrics diverges from similar decisions
   in other medical domains because the young child is not an autonomous
   decision-maker, while the teen is developingand should be encouraged to
   developautonomy and decisional capacity. Thus the balance between
   autonomy and beneficence is fundamentally different in pediatrics than
   in adult medicine. While ethical dilemmas that reflect these fundamental
   issues are common, many pediatric physician and nursing training
   programs do not delve into the issues or offer specific training about
   how to deal with borderline cases.To meet this need, the Children's
   Mercy Bioethics Center in Kansas City, Missouri, created a program
   specifically dedicated to serving practicing, experienced pediatric
   health professionals. Our students come from various professional
   disciplines: they are doctors, nurses, social workers, chaplains,
   lawyers, psychologists, counselors, and hospital administrators
   practicing in pediatrics.
RI Garrett, Jeremy R/GNH-3985-2022; Carter, Brian/
OI Carter, Brian/0000-0003-0539-9164
ZA 0
ZB 1
Z8 0
TC 1
ZS 0
ZR 0
Z9 1
U1 0
U2 7
SN 0093-0334
EI 1552-146X
UT WOS:000345510900010
PM 25412972
ER

PT J
AU Nacca, Nicholas
   Holliday, Jordan
   Ko, Paul Y
TI Randomized trial of a novel ACLS teaching tool: does it improve student
   performance?
SO The western journal of emergency medicine
VL 15
IS 7
BP 913
EP 8
DI 10.5811/westjem.2014.9.20149
PD 2014-Nov
PY 2014
AB INTRODUCTION: Mounting evidence suggests that high-fidelity
   mannequin-based (HFMBS) and computer-based simulation are useful
   adjunctive educational tools for advanced cardiac life support (ACLS)
   instruction. We sought to determine whether access to a supplemental,
   online computer-based ACLS simulator would improve students' performance
   on a standardized Mega Code using high-fidelity mannequin based
   simulation (HFMBS).
   METHODS: Sixty-five third-year medical students were randomized.
   Intervention group subjects (n = 29) each received a two-week access
   code to the online ACLS simulator, whereas the control group subjects (n
   = 36) did not. Primary outcome measures included students' time to
   initiate chest compressions, defibrillate ventricular fibrillation, and
   pace symptomatic bradycardia. Secondary outcome measures included
   students' subjective self-assessment of ACLS knowledge and confidence.
   RESULTS: Students with access to the online simulator on average
   defibrillated ventricular fibrillation in 112 seconds, whereas those
   without defibrillated in 149.9 seconds, an average of 38 seconds faster
   [p<.05]. Similarly, those with access to the simulator paced symptomatic
   bradycardia on average in 95.14 seconds whereas those without access
   paced on average 154.9 seconds a difference of 59.81 seconds [p<.05]. On
   a subjective 5-point scale, there was no difference in self-assessment
   of ACLS knowledge between the control (mean 3.3) versus intervention
   (mean 3.1) [p-value =.21]. Despite having outperformed the control group
   subjects in the standardized Mega Code test scenario, the intervention
   group felt less confident on a 5-point scale (mean 2.5) than the control
   group. (mean 3.2) [p<.05].
   CONCLUSION: The reduction in time to defibrillate ventricular
   fibrillation and to pace symptomatic bradycardia among the intervention
   group subjects suggests that the online computer-based ACLS simulator is
   an effective adjunctive ACLS instructional tool.
OI Nacca, Nicholas/0000-0002-9995-5186
ZS 0
TC 8
Z8 0
ZB 2
ZR 0
ZA 0
Z9 8
U1 0
U2 0
EI 1936-9018
UT MEDLINE:25493153
PM 25493153
ER

PT J
AU Volk, Robert J.
   Shokar, Navkiran K.
   Leal, Viola B.
   Bulik, Robert J.
   Linder, Suzanne K.
   Mullen, Patricia Dolan
   Wexler, Richard M.
   Shokar, Gurjeet S.
TI Development and pilot testing of an online case-based approach to shared
   decision making skills training for clinicians
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 14
AR 95
DI 10.1186/1472-6947-14-95
PD NOV 1 2014
PY 2014
AB Background: Although research suggests that patients prefer a shared
   decision making (SDM) experience when making healthcare decisions,
   clinicians do not routinely implement SDM into their practice and
   training programs are needed. Using a novel case-based strategy, we
   developed and pilot tested an online educational program to promote
   shared decision making (SDM) by primary care clinicians.
   Methods: A three-phased approach was used: 1) development of a
   conceptual model of the SDM process; 2) development of an online
   teaching case utilizing the Design A Case (DAC) authoring template, a
   well-tested process used to create peer-reviewed web-based clinical
   cases across all levels of healthcare training; and 3) pilot testing of
   the case. Participants were clinician members affiliated with several
   primary care research networks across the United States who answered an
   invitation email. The case used prostate cancer screening as the
   clinical context and was delivered online. Post-intervention ratings of
   clinicians' general knowledge of SDM, knowledge of specific SDM steps,
   confidence in and intention to perform SDM steps were also collected
   online.
   Results: Seventy-nine clinicians initially volunteered to participate in
   the study, of which 49 completed the case and provided evaluations.
   Forty-three clinicians (87.8%) reported the case met all the learning
   objectives, and 47 (95.9%) indicated the case was relevant for other
   equipoise decisions. Thirty-one clinicians (63.3%) accessed
   supplementary information via links provided in the case. After viewing
   the case, knowledge of SDM was high (over 90% correctly identified the
   steps in a SDM process). Determining a patient's preferred role in
   making the decision (62.5% very confident) and exploring a patient's
   values (65.3% very confident) about the decisions were areas where
   clinician confidence was lowest. More than 70% of the clinicians
   intended to perform SDM in the future.
   Conclusions: A comprehensive model of the SDM process was used to design
   a case-based approach to teaching SDM skills to primary care clinicians.
   The case was favorably rated in this pilot study. Clinician skills
   training for helping patients clarify their values and for assessing
   patients' desire for involvement in decision making remain significant
   challenges and should be a focus of future comparative studies.
RI Leal, Viola Benavidez/P-3095-2016; Volk, Robert/
OI Leal, Viola Benavidez/0000-0001-9885-823X; Volk,
   Robert/0000-0001-8811-5854
TC 10
ZS 0
ZA 0
ZR 0
ZB 2
Z8 0
Z9 10
U1 0
U2 12
SN 1472-6947
UT WOS:000345300800001
PM 25361614
ER

PT J
AU Hamilton, J.
   Carachi, R.
TI Clinical embryology: is there still a place in medical schools today?
SO SCOTTISH MEDICAL JOURNAL
VL 59
IS 4
BP 188
EP 192
DI 10.1177/0036933014550953
PD NOV 2014
PY 2014
AB Background and aims: Embryology remains an important tool in medicine
   and surgery for the management of many clinical conditions. As a
   subject, it is neither straightforward nor easy to learn and teach in a
   busy modern medical school curriculum and can be easily overlooked. The
   aim of this study was to assess medical students' confidence in, and
   attitudes towards, the learning and teaching of clinical embryology.
   Method and results: Medical students from all years of the course were
   asked to complete an online questionnaire in 2014. The questionnaire
   focused on confidence levels in learning embryology, methods of
   teaching, clinical embryology and it also allowed comments. In total,
   146 students completed the questionnaire. The majority of students were
   not confident in learning and applying embryology and were unhappy with
   current teaching. Despite this, they felt that embryology should be
   included in the medical school curriculum, in particular clinical
   embryology with relevant clinical scenarios.
   Conclusion: Students remain confident that embryology should remain in
   the medical school curriculum. Embryology should be taught at the right
   level, depth and through various methods, including basic concepts in
   the lower years of medical school and moving into clinical embryology
   later on. As a result, junior doctors and trainees will have a good
   foundation of knowledge.
ZS 0
ZA 0
TC 13
ZR 0
Z8 1
ZB 5
Z9 16
U1 1
U2 14
SN 0036-9330
EI 2045-6441
UT WOS:000345157000047
PM 25210124
ER

PT J
AU Bamonti, Patricia M.
   Keelan, Colleen M.
   Larson, Nicholas
   Mentrikoski, Janelle M.
   Randall, Cameron L.
   Sly, Stephanie K.
   Travers, Ria M.
   McNeil, Daniel W.
TI Promoting Ethical Behavior by Cultivating a Culture of Self-Care During
   Graduate Training: A Call to Action
SO TRAINING AND EDUCATION IN PROFESSIONAL PSYCHOLOGY
VL 8
IS 4
BP 253
EP 260
DI 10.1037/tep0000056
PD NOV 2014
PY 2014
AB Self-care practices maintain strong professional functioning and
   decrease risk of burnout and exhaustion. Limited research has examined
   how these practices are learned and practiced by graduate students. The
   current study examined self-care-related policies and practices in
   psychology graduate education, focusing on clinical psychology doctoral
   programs associated with the Council of University Directors of Clinical
   Psychology. For all member programs, departmental and/or clinical
   training area handbook(s) were evaluated for a mention of terms related
   to self-care. Of 177 programs sampled, handbooks were available online
   for 136 (76.8%) of them; of these, 15 (11.0%) had an available general
   psychology department handbook that referenced self-care and 44 (32.4%)
   had an available clinical psychology training area handbook with such a
   reference. A simple reference to psychotherapy or mental health services
   for impaired students was the most common self-care theme observed.
   Given these findings, and the importance of self-care practices to the
   professional psychologist, it is suggested that graduate programs adopt
   clearly articulated and readily accessible self-care statements as well
   as institutionalized self-care practices that are encouraged and/or
   supported by faculty and administration. A call to action urges
   psychology training programs to consider initiating a shift from
   cultures of self-care that are reactive in nature to ones that instead
   are proactive and preventive, with a focus on wellness.
OI Bamonti, Patricia/0000-0002-3259-2130; McNeil,
   Daniel/0000-0002-0766-8455
ZB 0
TC 38
Z8 0
ZA 0
ZR 0
ZS 0
Z9 38
U1 2
U2 37
SN 1931-3918
EI 1931-3926
UT WOS:000345159800009
ER

PT J
AU Khuu, Diana
   Shafir, Shira
   Bristow, Benjamin
   Sorvillo, Frank
TI Blastomycosis Mortality Rates, United States, 1990-2010
SO EMERGING INFECTIOUS DISEASES
VL 20
IS 11
BP 1789
EP 1794
DI 10.3201/eid2011.131175
PD NOV 2014
PY 2014
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CME credit.
   This activity has been planned and implemented in accordance with the
   Essential Areas and policies of the Accreditation Council for Continuing
   Medical Education through the joint proViderShip of Medscape, LLC and
   Emerging Infectious Diseases. Medscape, LLC is accredited by the ACCME
   to provide continuing medical education for physicians.
   Medscape, LLC designates this Journal-based CME activity for a maximum
   of 1.0 AMA PRA Category Credit(s)(TM). Physicians should claim only the
   credit commensurate with the extent of their participation in the
   activity.
   All other Clinicians completing this activity Will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test with a 75% minimum
   passing score and complete the evaluation at
   http://www.Medscape.org/journal/eid; (4) view/print certificate.
TC 28
ZR 0
Z8 0
ZA 0
ZS 0
ZB 15
Z9 28
U1 0
U2 2
SN 1080-6040
EI 1080-6059
UT WOS:000343966300001
PM 25339251
ER

PT J
AU van Drongelen, Alwin
   Boot, Cecile R. L.
   Hlobil, Hynek
   Twisk, Jos W. R.
   Smid, Tjabe
   van der Beek, Allard J.
TI Evaluation of an mHealth intervention aiming to improve health-related
   behavior and sleep and reduce fatigue among airline pilots
SO SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH
VL 40
IS 6
BP 557
EP 568
DI 10.5271/sjweh.3447
PD NOV 2014
PY 2014
AB Objectives The aim of this study was to evaluate the effects of an
   mHealth intervention (intervention using mobile technology) consisting
   of tailored advice regarding exposure to daylight, sleep, physical
   activity, and nutrition, and aiming to improve health-related behavior,
   thereby reducing sleep problems and fatigue and improving health
   perception of airline pilots.
   Methods A randomized controlled trial was conducted among 502 airline
   pilots. The intervention group was given access to both the MORE Energy
   mobile application (app) with tailored advice and a website with
   background information. The control group was directed to a website with
   standard information about fatigue. Health-related behavior, fatigue,
   sleep, and health perception outcomes were measured through online
   questionnaires at baseline and at three and six months after baseline.
   The effectiveness of the intervention was determined using linear and
   Poisson mixed model analyses.
   Results After six months, compared to the control group, the
   intervention group showed a significant improvement on fatigue
   (beta=-3.76, P<0.001), sleep quality (beta=-0.59, P=0.007), strenuous
   physical activity (beta=0.17, P=0.028), and snacking behavior
   (beta=-0.81, P<0.001). No significant effects were found for other
   outcome measures.
   Conclusions The MORE Energy mHealth intervention reduced self-reported
   fatigue compared to a minimal intervention. Some aspects of
   health-related behavior (physical activity and snacking behavior) and
   sleep (sleep quality) improved as well, but most did not. The results
   show offering tailored advice through an mHealth intervention is an
   effective means to support employees who have to cope with irregular
   flight schedules and circadian disruption. This kind of intervention
   might therefore also be beneficial for other working populations with
   irregular working hours.
OI van der Beek, Allard/0000-0002-4672-9062
ZB 20
ZR 0
TC 66
ZS 0
ZA 0
Z8 1
Z9 66
U1 2
U2 57
SN 0355-3140
EI 1795-990X
UT WOS:000344210400003
PM 25121620
ER

PT J
AU Rushton, A.
   Wright, C.
   Heap, A.
   White, L.
   Eveleigh, G.
   Heneghan, N.
TI Survey of Current Physiotherapy Practice for Patients Undergoing Lumbar
   Spinal Fusion in the United Kingdom
SO SPINE
VL 39
IS 23
BP E1380
EP E1387
DI 10.1097/BRS.0000000000000573
PD NOV 1 2014
PY 2014
AB Study Design. Descriptive survey methodology employed a SurveyMonkey
   online questionnaire.
   Objective. To evaluate UK National Health Service physiotherapy practice
   for lumbar spinal fusion surgery.
   Summary of Background Data. An increasing rate of surgery and high level
   of patient dis-satisfaction focus attention to rehabilitation of
   patients undergoing lumbar spinal fusion. Inconclusive, very low-quality
   evidence for the effectiveness of physiotherapy management after lumbar
   spinal fusion exists. Best practice, therefore, remains unclear. Limited
   comparability of outcomes and retrieval of only 2 trials reflected a
   lack of research and considerable heterogeneity. An evaluation of
   current practice is required, to inform a future trial to evaluate a
   best practice physiotherapy intervention.
   Methods. Eligible participants were all physiotherapists working with
   patients undergoing spinal fusion. A previous survey and recent
   systematic review informed questions. Statistical analyses included
   responder characteristics and preplanned descriptive analyses. Thematic
   analysis was conducted on open-ended question data.
   Results. The 83.5% response rate was good. Findings illustrated varied
   provision relating to assessment and management of patients pre- and
   postoperatively. Physiotherapists employed limited use of protocols or
   guidelines, partly attributed to the poor evidence base for this
   surgery. Scope of practice included exercise, advice, listing for
   surgery, and ordering investigations. Patient education played an
   important role. Patient-centered practice was important, although
   constraints owing to limited resources (staffing, poor evidence,
   base/lack of protocols) were evident.
   Conclusion. Current UK pre- and postoperative physiotherapy practice for
   lumbar spinal fusion is described. It is not clear whether patients who
   are seen by physiotherapists have improved outcomes, owing to
   variability of practice, physiotherapy being delivered in a range of
   locations at a range of times postoperatively, and limited use of
   outcome measures. The findings support the need for a randomized
   clinical trial evaluating effectiveness of a best practice physiotherapy
   management intervention.
RI Heneghan, Nicola R/AAE-6447-2020; Rushton, Alison/V-1260-2017; Heneghan, Nicola R/B-2647-2016
OI Heneghan, Nicola R/0000-0001-7599-3674; Rushton,
   Alison/0000-0001-8114-7669; Heneghan, Nicola R/0000-0001-7599-3674
ZS 0
Z8 0
TC 29
ZA 0
ZR 0
ZB 3
Z9 29
U1 1
U2 5
SN 0362-2436
EI 1528-1159
UT WOS:000344606100006
PM 25188595
ER

PT J
AU Richardson-Hatcher, April
   Hazzard, Matthew
   Ramirez-Yanez, German
TI The Cranial Nerve Skywalk: A 3D Tutorial of Cranial Nerves in a Virtual
   Platform
SO ANATOMICAL SCIENCES EDUCATION
VL 7
IS 6
BP 469
EP 478
DI 10.1002/ase.1445
PD NOV-DEC 2014
PY 2014
AB Visualization of the complex courses of the cranial nerves by students
   in the health-related professions is challenging through either diagrams
   in books or plastic models in the gross laboratory. Furthermore,
   dissection of the cranial nerves in the gross laboratory is an extremely
   meticulous task. Teaching and learning the cranial nerve pathways is
   difficult using two-dimensional (2D) illustrations alone.
   Three-dimensional (3D) models aid the teacher in describing intricate
   and complex anatomical structures and help students visualize them. The
   study of the cranial nerves can be supplemented with 3D, which permits
   the students to fully visualize their distribution within the
   craniofacial complex. This article describes the construction and usage
   of a virtual anatomy platform in Second Life, which contains 3D models
   of the cranial nerves III, V, VII, and IX. The Cranial Nerve Skywalk
   features select cranial nerves and the associated autonomic pathways in
   an immersive online environment. This teaching supplement was introduced
   to groups of pre-healthcare professional students in gross anatomy
   courses at both institutions and student feedback is included. Anat Sci
   Educ 7: 469-478. (c) 2014 American Association of Anatomists.
Z8 0
ZS 0
ZR 0
TC 13
ZB 1
ZA 0
Z9 13
U1 2
U2 12
SN 1935-9772
EI 1935-9780
UT WOS:000344591500007
PM 24678025
ER

PT J
AU Koole, Sebastiaan
   Vervaeke, Stijn
   Cosyn, Jan
   De Bruyn, Hugo
TI Exploring the Relation Between Online Case-Based Discussions and
   Learning Outcomes in Dental Education
SO JOURNAL OF DENTAL EDUCATION
VL 78
IS 11
BP 1552
EP 1557
PD NOV 2014
PY 2014
AB Online case-based discussions, parallel to theoretical dental education,
   have been highly valued by students and supervisors. This study
   investigated the relation between variables of online group discussions
   and learning outcomes. At Ghent University in Belgium, undergraduate
   dental students (years two and three) are required to participate in
   online case-based discussion groups (five students/group) in conjunction
   with two theoretical courses on basic periodontics and related therapy.
   Each week, a patient case is discussed under supervision of a
   periodontist, who authored the case and performed the treatment. Each
   case includes treatment history and demand, intra- and extraoral images,
   and full diagnostic information with periodontal and radiographic
   status. For this retrospective study, data were obtained for all 252
   students in forty-three discussion groups between 2009 and 2012.
   Spearman's rank correlations were calculated to investigate the relation
   among group dynamics (number of group posts and views), individual
   student contributions (number of individual posts, newly introduced
   elements, questions, and reactions to other posts), supervisors'
   interventions (number of posts and posed questions), and learning
   outcomes (examination result). The results showed that learning outcomes
   were significantly related to the number of student posts (Spearman's
   rho (rho)=0.19), newly introduced elements (rho=0.21), reactions to
   other posts (rho=0.14), number of supervisors' interventions (rho=0.12),
   and supervisors' questions (rho=0.20). These results suggest that
   individual student contributions during online case-based discussions
   and the provided supervision were related to learning outcomes.
RI De Bruyn, Hugo/AAH-5239-2020
ZA 0
ZR 0
ZB 0
Z8 0
TC 9
ZS 0
Z9 9
U1 0
U2 16
SN 0022-0337
EI 1930-7837
UT WOS:000344833900011
PM 25362697
ER

PT J
AU Valerio, Teresa D.
   Heaton, Karen
TI The effects of an online educational program on nurse practitioners'
   knowledge of obstructive sleep apnea in adults
SO JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
VL 26
IS 11
BP 603
EP 611
DI 10.1002/2327-6924.12097
PD NOV 2014
PY 2014
AB PurposeThis study was conducted to determine the effects of an online
   educational program on nurse practitioner's (NP's) knowledge of
   identifying and evaluating adults at-risk for obstructive sleep apnea
   (OSA).
   Data sourcesKnowledge was assessed with a 15 question pre-test and
   post-test, after a 53 minute narrated PowerPoint educational session.
   Pre-test and post-test answers were compared to determine the change in
   knowledge. Fifty-four participants entered the study, and 38 (70.4%)
   completed.
   ConclusionsNPs that completed the entire OSA program (n = 38) had a
   significant improvement in post-test scores as compared to pre-test
   scores (p < .001, t(37 = -5.024). This was particularly evident (p =
   .05) in the areas of clinical prevalence, routine health evaluation,
   signs and symptoms, high risk situations and screening tools. After the
   educational session, 97.4% of participants indicated they were very
   likely or likely to evaluate their patients for OSA.
   Implications for PracticeNPs have limited formal education on sleep
   disorders, although are in a key position to make a significant impact
   on evaluating adults for OSA. Regular screening to identify adults with
   OSA would likely lead to improving the rate of diagnosis and reducing
   the associated chronic health problems.
OI Heaton, Karen/0000-0002-9532-1573
Z8 1
TC 7
ZS 1
ZR 0
ZB 0
ZA 0
Z9 8
U1 0
U2 5
SN 2327-6886
EI 2327-6924
UT WOS:000344532500004
PM 24399742
ER

PT J
AU Hagmann, Stefan H. F.
   Leshem, Eyal
   Fischer, Philip R.
   Stauffer, William M.
   Barnett, Elizabeth D.
   Christenson, John C.
TI Preparing Children for International Travel: Need for Training and
   Pediatric-Focused Research
SO JOURNAL OF TRAVEL MEDICINE
VL 21
IS 6
BP 377
EP 383
DI 10.1111/jtm.12155
PD NOV-DEC 2014
PY 2014
AB Background. The International Society of Travel Medicine (ISTM)
   Pediatric Interest Group (PedIG) was created in 2010. We studied the
   group's professional characteristics and practice patterns to identify
   clinical areas requiring further training and research related to
   pediatric international travel.
   Methods. PedIG members were emailed a two-part online questionnaire in
   September 2011, which comprised questions about professional and
   practice details, followed by a survey regarding decisions on nine
   patient scenarios that represent common pediatric pre-travel health
   challenges.
   Results. Ninety-three (34%) of 273 members completed the survey. Most
   were physicians (80%) having a primary specialization in pediatrics
   (55%) and family medicine (19%). About a third (37%) had acquired the
   ISTM Certificate in Travel Health (R) (CTH (R)); 14 and 11% chose not to
   provide malaria chemoprophylaxis for a 2-month-old infant and a
   13-year-old child traveling to West Africa, respectively. Azithromycin
   for empiric treatment of travelers' diarrhea in a 2-year-old traveler to
   Thailand and Mexico was suggested by 74 and 58%, respectively, while the
   use of acetazolamide for a 2-month old infant traveling to a
   high-altitude destination was rarely (13%) chosen. In vaccine-focused
   scenarios, 71, 69, 21, and 10% would prescribe the meningococcal vaccine
   for a 6-month-old traveler to Burkina Faso, Japanese encephalitis
   vaccine to a 10-year-old traveler to Cambodia, hepatitis A vaccine to a
   6-month-old traveler to El Salvador, and the typhoid vaccine to a
   1-year-old traveler to India, respectively.
   Conclusions. Members of the PedIG have diverse professional and practice
   backgrounds. Lack of awareness of established guidelines may place
   international pediatric travelers at risk for travel-associated
   morbidity. Strategies are needed to facilitate education and support
   research in pediatric travel medicine to formulate evidence-based
   guidelines wherever they are currently missing.
OI Leshem, Eyal/0000-0003-1267-6131
ZA 0
ZS 1
TC 13
Z8 0
ZB 2
ZR 0
Z9 14
U1 0
U2 7
SN 1195-1982
EI 1708-8305
UT WOS:000344375400003
PM 25158953
ER

PT J
AU Gilmour, A. S. M.
   Jones, R. J.
   Cowpe, J. G.
   Bullock, A. D.
TI Communication and professionalism skills of a new graduate: the
   expectations and experiences of dental foundation trainers
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 18
IS 4
BP 195
EP 202
DI 10.1111/eje.12085
PD NOV 2014
PY 2014
AB AimThe aim of this study was to investigate dental foundation year 1
   (DF1) trainers' expectations of the dental graduate specifically in
   relation to non-clinical (professionalism and communication) skills and
   to explore whether these expectations were being met.
   MethodIn the UK, dental graduates undertake 1year of foundation training
   prior to being permitted to undertake NHS practice. An online survey was
   distributed to DF1 trainers via all 11 English deaneries and the
   Northern Ireland deanery. Demographic information and a general view of
   trainers' expectations of a new trainee were collected. Specific
   questions relating to six generic trainee problems were followed by 11
   ability statements where trainers indicated their expectation of a
   trainee's ability to perform the skill on a 5-point scale (on own with
   confidence-unable to undertake). Statements were repeated and trainers
   were required to respond using the same scale in relation to experience
   of their current trainee.
   ResultsFive hundred and ten (53%) trainers completed the questionnaire
   with no missing data. Expectations were high with almost 50% of trainers
   expecting a new graduate to manage a full list of patients on their own.
   Experience of new graduates did not always match these expectations. Of
   concern was the ability to keep accurate patient records' and
   self-reflection and knowing when to seek help', where a small proportion
   of trainers experienced difficulties.
   ConclusionsTrainers' expectation and experience in relation to
   non-clinical skills of a new graduate were investigated. Although they
   had high expectations, the majority reported only minor problems
   overall. There were a few areas where concern was raised.
OI Bullock, Alison/0000-0003-3800-2186
Z8 0
ZR 0
ZS 0
ZA 0
TC 11
ZB 0
Z9 11
U1 0
U2 6
SN 1396-5883
EI 1600-0579
UT WOS:000343930500002
PM 24467418
ER

PT J
AU Moraes, Ronei M.
   Machado, Liliane S.
TI Psychomotor skills assessment in medical training based on virtual
   reality using a Weighted Possibilistic approach
SO KNOWLEDGE-BASED SYSTEMS
VL 70
SI SI
BP 97
EP 102
DI 10.1016/j.knosys.2014.05.006
PD NOV 2014
PY 2014
AB Virtual reality has been used to provide training systems in several
   areas, particularly in medicine. In that area, user's interactions in a
   virtual environment are modeled and compared with predefined classes of
   performance to know how much users are prepared to perform that
   procedure on human beings. In this paper is proposed a new approach for
   online Single User's Assessment System (SUAS) using Weighted Possibility
   and Necessity measures. Those fuzzy measures provide an interval-based
   estimator to check the compatibility between interactions of an user and
   previous stored classes of performance. This approach integrates the
   kernel of a decision support system and it contributes to improve the
   user's assessment taking into account the individual relevance of
   variables in a procedure. It was verified in performance tests, when
   this new SUAS approach achieved better results, according to Kappa
   Coefficient, when compared with other previous approaches. (C) 2014
   Elsevier B.V. All rights reserved.
RI Machado, Liliane S/K-5340-2014; de Moraes, Ronei Marcos/AAE-8156-2019
ZR 0
TC 11
Z8 0
ZS 1
ZA 0
ZB 0
Z9 12
U1 0
U2 8
SN 0950-7051
EI 1872-7409
UT WOS:000344209100011
ER

PT J
AU Cook, David A.
TI The value of online learning and MRI: Finding a niche for expensive
   technologies
SO MEDICAL TEACHER
VL 36
IS 11
BP 965
EP 972
DI 10.3109/0142159X.2014.917284
PD NOV 2014
PY 2014
AB Background: The benefits of online learning come at a price. How can we
   optimize the overall value?
   Aims: Critically appraise the value of online learning.
   Methods: Narrative review.
   Results: Several prevalent myths overinflate the value of online
   learning. These include that online learning is cheap and easy (it is
   usually more expensive), that it is more efficient (efficiency depends
   on the instructional design, not the modality), that it will transform
   education (fundamental learning principles have not changed), and that
   the Net Generation expects it (there is no evidence of pent-up demand).
   However, online learning does add real value by enhancing flexibility,
   control and analytics. Costs may also go down if disruptive innovations
   (e. g. low-cost, low-tech, but instructionally sound "good enough''
   online learning) supplant technically superior but more expensive online
   learning products. Cost-lowering strategies include focusing on core
   principles of learning rather than technologies, using easy-to-learn
   authoring tools, repurposing content (organizing and sequencing existing
   resources rather than creating new content) and using course templates.
   Conclusions: Online learning represents just one tool in an educator's
   toolbox, as does the MRI for clinicians. We need to use the right
   tool(s) for the right learner at the right dose, time and route.
ZB 3
ZS 1
ZR 0
ZA 0
TC 27
Z8 0
Z9 27
U1 0
U2 33
SN 0142-159X
EI 1466-187X
UT WOS:000343929600006
PM 25072533
ER

PT J
AU Talmon, Geoffrey A.
   Czarnecki, Donna
   Bernal, Kerry
TI An Effective Virtual Tool for Exposing Medical Students to the
   Postmortem Examination
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 142
IS 5
BP 594
EP 600
DI 10.1309/AJCP9TGI0GBIVBYK
PD NOV 2014
PY 2014
AB Objectives: One reason for declining autopsy numbers is clinicians' lack
   of familiarity with the practice. We developed an online tool used in
   place of attending postmortem examinations and aimed to determine if the
   experience was as effective in affecting medical students' attitudes
   toward the procedure.
   Methods: The eAutopsy was apart of a unit consisting of a mixture of a
   didactic lecture, readings, and online discussion board. A class of
   second-year medical students was randomly distributed between autopsy
   attendance and the eAutopsy, afterward completing a Likert-type
   attitudinal survey. Responses were compared with previous students
   receiving only a lecture.
   Results: Thin students attended a "live" autopsy, 90 completed the
   eAutopsy, and 47 students from the prior year completed the survey.
   Responses between all three were statistically similar for all but one
   item. The live and eAutopsy groups would be significantly more
   comfortable asking for an autopsy in the future. Narrative responses
   indicated that while the eAutopsy was effective in delivering
   information, some noticed the lack of emotional impact.
   Conclusions: The two forms of autopsy exposure performed similarly on a
   Likert-type survey assessing certain attitudes related to the procedure.
   However, the emotional impact of the live experience may be longer
   lasting.
TC 5
ZS 0
ZB 1
ZA 0
ZR 0
Z8 0
Z9 5
U1 0
U2 3
SN 0002-9173
EI 1943-7722
UT WOS:000343687100005
PM 25319973
ER

PT J
AU Ben-Menachem, Erez
   Zalcberg, Dave
TI Depth of Anesthesia Monitoring: A Survey of Attitudes and Usage Patterns
   Among Australian Anesthesiologists
SO ANESTHESIA AND ANALGESIA
VL 119
IS 5
BP 1180
EP 1185
DI 10.1213/ANE.0000000000000344
PD NOV 2014
PY 2014
AB BACKGROUND: Utility of depth of anesthesia (DoA) monitors is contentious
   as evidence appears ambiguous regarding their clinical effectiveness and
   exact role. We conducted a survey of Australian anesthesiologists to
   determine their attitudes toward, and how and why they use, DoA
   monitors.
   METHODS: A random sample of 963 anesthesiologists was invited to
   participate in an anonymous online survey.
   RESULTS: The overall response rate was 30% (289 respondents).
   Twenty-nine percent (95% confidence interval, 24%-34%) of respondents
   thought DoA monitoring was indicated in all cases under relaxant general
   anesthesia. During total IV anesthesia with muscle relaxants, 74% of
   respondents (69%-79%) opined that DoA monitoring should be mandatory.
   DoA usage was never used by 5% of respondents (3%-8%), used in less than
   one-third of cases by 66% (6196-72%), and in more than one-third of
   cases by 29% (24%-35%). Belief in the usefulness of DoA monitoring for
   prevention of awareness was strongly associated with higher usage (P <
   0.0001, Pearson correlation 0.32). Anesthesiologists were more
   influenced by higher DoA numbers than lower ones. in comparison with
   end-tidal anesthetic concentration monitoring, 30% (25%-35%) of
   respondents felt that DoA monitoring was more effective for prevention
   of intraoperative awareness. Thirty percent (25%-36%) of respondents
   reported having a previous case of awareness.
   CONCLUSIONS: The relatively frequent use of DoA monitoring contrasts
   with patterns in the UK, suggesting greater acceptance by Australian
   anesthesiologists. "Awareness prevention" rather than "recovery
   enhancement" appears to be the primary driver in DoA monitoring use in
   Australia. Highly variable usage patterns of DoA monitoring in the
   context of the current body of evidence suggest the need for greater
   education on the appropriate use of these Monitors.
OI Ben-Menachem, Erez/0000-0002-2429-1813
ZR 0
TC 10
ZA 0
ZS 0
Z8 0
ZB 2
Z9 10
U1 0
U2 8
SN 0003-2999
UT WOS:000343633500026
PM 25006849
ER

PT J
AU Reisner, Sari L.
   Biello, Katie
   Rosenberger, Joshua G.
   Austin, S. Bryn
   Haneuse, Sebastien
   Perez-Brumer, Amaya
   Novak, David S.
   Mimiaga, Matthew J.
TI Using a Two-Step Method to Measure Transgender Identity in Latin
   America/the Caribbean, Portugal, and Spain
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 43
IS 8
BP 1503
EP 1514
DI 10.1007/s10508-014-0314-2
PD NOV 2014
PY 2014
AB Few comparative data are available internationally to examine health
   differences by transgender identity. A barrier to monitoring the health
   and well-being of transgender people is the lack of inclusion of
   measures to assess natal sex/gender identity status in surveys. Data
   were from a cross-sectional anonymous online survey of members (n >
   36,000) of a sexual networking website targeting men who have sex with
   men in Spanish-and Portuguese-speaking countries/territories in Latin
   America/the Caribbean, Portugal, and Spain. Natal sex/gender identity
   status was assessed using a two-step method (Step 1: assigned birth sex,
   Step 2: current gender identity). Male-to-female (MTF) and
   female-to-male (FTM) participants were compared to non-transgender males
   in age-adjusted regression models on socioeconomic status (SES)
   (education, income, sex work), masculine gender conformity,
   psychological health and well-being (lifetime suicidality, past-week
   depressive distress, positive self-worth, general self-rated health,
   gender related stressors), and sexual health (HIV-infection, past-year
   STIs, past-3 month unprotected anal orvaginal sex). The two-step method
   identified 190 transgender participants (0.54 %; 158 MTF, 32 FTM). Of
   the 12 health-related variables, six showed significant differences
   between the three groups: SES, masculine gender conformity, lifetime
   suicidality, depressive distress, positive self-worth, and past-year
   genital herpes. A two-step approach is recommended for health
   surveillance efforts to assess natal sex/gender identity status.
   Cognitive testing to formally validate assigned birth sex and current
   gender identity survey items in Spanish and Portuguese is encouraged.
RI Perez-Brumer, Amaya/AAF-6336-2021; Perez-Brumer, Amaya/
OI Perez-Brumer, Amaya/0000-0003-2441-4358
ZA 0
ZR 0
Z8 4
ZB 22
TC 80
ZS 3
Z9 85
U1 1
U2 22
SN 0004-0002
EI 1573-2800
UT WOS:000343907900004
PM 25030120
ER

PT J
AU Holmes, Laura G.
   Himle, Michael B.
TI Brief Report: Parent-Child Sexuality Communication and Autism Spectrum
   Disorders
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 44
IS 11
SI SI
BP 2964
EP 2970
DI 10.1007/s10803-014-2146-2
PD NOV 2014
PY 2014
AB While considerable research has focused on promoting independence and
   optimizing quality of life for adolescents and young adult with autism
   spectrum disorder (ASD), sexual development and sexuality education have
   been largely neglected. Experts recommend that parents be the primary
   source of sex education for adolescents with ASD, and that sex education
   be tailored to a child's developmental level. Prior studies show that
   parents of youth with ASD are uncertain about how to best communicate
   about sex and which topics to discuss with their children. In the
   current study we administered an online survey to 190 parents of
   adolescents with ASD in order to better understand sexuality
   communication patterns between parents and adolescents with both low and
   high functioning ASD.
OI Graham Holmes, Laura/0000-0001-9928-6798
TC 36
ZR 0
Z8 0
ZS 0
ZA 0
ZB 10
Z9 36
U1 0
U2 26
SN 0162-3257
EI 1573-3432
UT WOS:000343724000026
PM 24854331
ER

PT J
AU Dennis, Ashley A.
   Cleland, Jennifer A.
   Johnston, Peter
   Ker, Jean S.
   Lough, Murray
   Rees, Charlotte E.
TI Exploring stakeholders' views of medical education research priorities:
   a national survey
SO MEDICAL EDUCATION
VL 48
IS 11
BP 1078
EP 1091
DI 10.1111/medu.12522
PD NOV 2014
PY 2014
AB ContextSetting research priorities is important when exploring complex
   issues with limited resources. Only two countries (Canada and New
   Zealand) have previously conducted priority-setting exercises for
   medical education research (MER). This study aimed to identify the views
   of multiple stakeholders on MER priorities in Scotland.
   MethodsThis study utilised a two-stage design to explore the views of
   stakeholders across the medical education continuum using online
   questionnaires. In Stage 1, key informants outlined their top three MER
   priorities and justified their choices. In Stage 2, participants rated
   21 topics generated in Stage 1 according to importance and identified or
   justified their top priorities. A combination of qualitative (i.e.
   framework analysis) and quantitative (e.g. exploratory factor analysis)
   data analyses were employed.
   ResultsViews were gathered from over 1300 stakeholders. A total of 21
   subthemes (or priority areas) identified in Stage 1 were explored
   further in Stage 2. The 21 items loaded onto five factors: the culture
   of learning together in the workplace; enhancing and valuing the role of
   educators; curriculum integration and innovation; bridging the gap
   between assessment and feedback, and building a resilient workforce.
   Within Stage 2, the top priority subthemes were: balancing conflicts
   between service and training; providing useful feedback; promoting
   resiliency and well-being; creating an effective workplace learning
   culture; selecting and recruiting doctors to reflect need, and ensuring
   that curricula prepare trainees for practice. Participant
   characteristics were related to the perceived importance of the factors.
   Finally, five themes explaining why participants prioritised items were
   identified: patient safety; quality of care; investing for the future;
   policy and political agendas, and evidence-based education.
   ConclusionsThis study indicates that, across the spectrum of
   stakeholders and geography, certain MER priorities are consistently
   identified. These priority areas are in harmony with a range of current
   drivers in UK medical education. They provide a platform of evidence on
   which to base decisions about MER programmes in Scotland and beyond.
   Discuss ideas arising from the article at discuss
RI Dennis, Ashley/; Cleland, Jennifer/AAI-9412-2020; Rees, Charlotte/
OI Dennis, Ashley/0000-0002-2744-423X; Cleland,
   Jennifer/0000-0003-1433-9323; Rees, Charlotte/0000-0003-4828-1422
ZA 0
TC 24
ZB 2
Z8 0
ZS 1
ZR 0
Z9 25
U1 1
U2 21
SN 0308-0110
EI 1365-2923
UT WOS:000343813400009
PM 25307635
ER

PT J
AU Alla, Aysha
   Kirkman, Matthew A.
TI PodMedPlus: an online podcast resource for junior doctors
SO MEDICAL EDUCATION
VL 48
IS 11
BP 1126
EP 1127
DI 10.1111/medu.12556
PD NOV 2014
PY 2014
RI Kirkman, Matthew Anthony/D-4096-2012
OI Kirkman, Matthew Anthony/0000-0002-0320-6907
ZB 1
Z8 0
ZA 0
ZS 0
TC 7
ZR 0
Z9 7
U1 0
U2 2
SN 0308-0110
EI 1365-2923
UT WOS:000343813400038
PM 25307665
ER

PT J
AU York, Sloane L.
   Maizels, Max
   Cohen, Elaine
   Stoltz, Rachel Stork
   Jamil, Adeel
   Mcgaghie, William C.
   Gossett, Dana R.
TI Development and evaluation of cesarean section surgical training using
   computer-enhanced visual learning
SO MEDICAL TEACHER
VL 36
IS 11
BP 958
EP 964
DI 10.3109/0142159X.2014.917156
PD NOV 2014
PY 2014
AB Background: Skilled performance of cesarean deliveries is essential in
   obstetrics and gynecology residency. A computer-enhanced visual learning
   module (CEVL Cesarean) was developed to teach cesarean deliveries.
   Methods: An online module presented cesarean deliveries as a series of
   components using text, audio, video and animation. First-year residents
   used CEVL Cesarean and were evaluated intra-operatively by trained
   raters, then provided feedback about surgical performance. Clinical
   outcomes were collected for approximately 50 cesarean deliveries for
   each resident.
   Results: From 2010 to 2011, 12 first-year residents participated in the
   study. About 406 unique observed cesarean deliveries were analyzed.
   Procedures up to each resident's 70th case were analyzed by grouping
   cases in 10 s (cases 1-10 and 11-20), or deciles. Resident performance
   significantly improved by decile [chi(2)(6) = 47.56, p<0.001]. When
   examining each resident's performance, surgical skill acquisition
   plateaued by cases 21-30. Procedural performance, independent of
   resident, also improved significantly by decile [chi(2) (6) = 186.95,
   p<0.001], plateauing by decile 4 (cases 31-40). Throughout the
   observation period, operative time decreased by 3.84 min (p = 0.006).
   Conclusions: Pre-clinical teaching using computer-based modules for
   cesarean sections is feasible to develop. Novice surgeons required at
   least 30 procedures before performing the procedure competently. When
   residents performed competently, operative time and complications
   decreased.
RI Gossett, Dana/AAI-2929-2021; Gossett, Dana/; McGaghie, William/
OI Gossett, Dana/0000-0002-7306-3606; McGaghie, William/0000-0003-1672-0398
ZS 0
ZA 0
Z8 0
ZB 1
TC 6
ZR 0
Z9 6
U1 0
U2 6
SN 0142-159X
EI 1466-187X
UT WOS:000343929600005
PM 25072410
ER

PT J
AU Wang, Chih-Chien
   Hsu, Ming-Chang
TI An exploratory study using inexpensive electroencephalography (EEG) to
   understand flow experience in computer-based instruction
SO INFORMATION & MANAGEMENT
VL 51
IS 7
SI SI
BP 912
EP 923
DI 10.1016/j.im.2014.05.010
PD NOV 2014
PY 2014
AB Flow is an optimal experience that results in intense engagement in an
   activity. In computer-based instructional environment, flow can be used
   to examine learning performance. We used questionnaire survey and
   electroencephalography (EEG) analysis to examine the influence of
   challenge-skill balance on the flow experience and influence of flow
   experience on learning performance in a computer-based instructional
   environment. The results showed that the flow experience of learners
   depends on challenge-skill balance of learning materials. The research
   explored the possibility of using an inexpensive non-medical EEG device
   to research the association between flow experience and challenge-skill
   balance in educational information systems. (C) 2014 Elsevier B.V. All
   rights reserved.
RI Wang, Chih-Chien/A-4879-2010; Wang, Chih-Chien/K-3740-2019; Gomaa, Ahmed/I-6442-2017
OI Wang, Chih-Chien/0000-0001-8940-3655; Gomaa, Ahmed/0000-0003-0869-7888
ZA 0
ZB 3
ZR 0
Z8 0
TC 55
ZS 0
Z9 55
U1 6
U2 80
SN 0378-7206
EI 1872-7530
UT WOS:000343354400009
ER

PT J
AU Koch, Lee F.
TI The nursing educator's role in e-learning: A literature review
SO NURSE EDUCATION TODAY
VL 34
IS 11
BP 1382
EP 1387
DI 10.1016/j.nedt.2014.04.002
PD NOV 2014
PY 2014
AB Background: e-Learning is becoming more commonplace in nursing and
   healthcare professional education. Research has shown that e-learning
   can be just as effective at helping students achieve cognitive learning
   objectives as traditional face-to-face courses, provided that certain
   quality criteria are met. However, the decentralized, asynchronous
   nature of e-leaming precludes spontaneous, personal interaction between
   the instructor and the learner. In addition to this, learning objectives
   in nursing and other healthcare professions are not only within the
   cognitive, but also within the affective and psychomotor domains.
   Objective: This article seeks to answer the following question: How does
   e-learning transform the role of nurse educators?
   Design: Narrative literature review.
   Review methods: A comprehensive database search was conducted using the
   English and German key words "teacher," "educator," "role," "e-leaming,"
   and "nursing" to identify literature that examined the role of (nurse)
   educators in e-leaming.
   Results: The search strategy resulted in the inclusion of 40 sources.
   The majority of the literature is expert opinion and examines the
   educator's role in e-learning from a theoretical point of view (n = 30).
   There is a paucity of empirical research pertaining directly to the
   educator's role (n = 10). Only four sources deal specifically with the
   nurse educator's role.
   Conclusions: The literature agrees on the need for a new role definition
   in light of e-learning. This role is more complex than the educator's
   traditional role. The literature does not provide any indication of how
   the educator's role can be adapted to the specific needs of online nurse
   education. There is a need for more empirical research on this subject.
   (C) 2014 Elsevier Ltd. All rights reserved.
ZS 1
ZR 1
ZB 1
TC 34
Z8 0
ZA 0
Z9 36
U1 1
U2 30
SN 0260-6917
EI 1532-2793
UT WOS:000343364000010
PM 24797277
ER

PT J
AU Hall, Pippa
   Brajtman, Susan
   Weaver, Lynda
   Grassau, Pamela Anne
   Varpio, Lara
TI Learning collaborative teamwork: an argument for incorporating the
   humanities
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 28
IS 6
BP 519
EP 525
DI 10.3109/13561820.2014.915513
PD NOV 2014
PY 2014
AB A holistic, collaborative interprofessional team approach, which
   includes patients and families as significant decision-making members,
   has been proposed to address the increasing burden being placed on the
   health-care system. This project hypothesized that learning activities
   related to the humanities during clinical placements could enhance
   interprofessional teamwork. Through an interprofessional team of
   faculty, clinical staff, students, and patient representatives, we
   developed and piloted the self-learning module, "interprofessional
   education for collaborative person-centred practice through the
   humanities''. The module was designed to provide learners from different
   professions and educational levels with a clinical placement/residency
   experience that would enable them, through a lens of the humanities, to
   better understand interprofessional collaborative person-centred care
   without structured interprofessional placement activities. Learners
   reported the self-paced and self-directed module to be a satisfactory
   learning experience in all four areas of care at our institution, and
   certain attitudes and knowledge were significantly and positively
   affected. The module's evaluation resulted in a revised edition
   providing improved structure and instruction for students with no
   experience in self-directed learning. The module was recently adapted
   into an interactive bilingual (French and English) online e-learning
   module to facilitate its integration into the pre-licensure curriculum
   at colleges and universities.
RI Varpio, Lara/AAJ-6835-2021; Varpio, Lara/
OI Varpio, Lara/0000-0002-1412-4341
ZR 0
ZB 0
Z8 0
ZS 1
ZA 0
TC 16
Z9 17
U1 0
U2 44
SN 1356-1820
EI 1469-9567
UT WOS:000343757500007
PM 24828622
ER

PT J
AU Stoner, Susan A.
   Mikko, A. Tasha
   Carpenter, Kelly M.
TI Web-based training for primary care providers on screening, brief
   intervention, and referral to treatment (SBIRT) for alcohol, tobacco,
   and other drugs
SO JOURNAL OF SUBSTANCE ABUSE TREATMENT
VL 47
IS 5
BP 362
EP 370
DI 10.1016/j.jsat.2014.06.009
PD NOV-DEC 2014
PY 2014
AB This project evaluated a Web-based multimedia training for primary care
   providers in screening, brief intervention, and referral to treatment
   (SBIRT) for unhealthy use of alcohol, tobacco, and other drugs.
   Physicians (n = 37), physician assistants (n = 35), and nurse
   practitioners (n = 20) were recruited nationally by email and randomly
   assigned to online access to either the multimedia training or
   comparable reading materials. At baseline, compared to non-physicians,
   physicians reported lower self-efficacy for counseling patients
   regarding substance use and doing so less frequently. All provider types
   in both conditions showed significant increases in SBIRT-related
   knowledge, self-efficacy, and clinical practices. Although the
   multimedia training was not superior to the reading materials with
   regard to these outcomes, the multimedia training was more likely to be
   completed and rated more favorably. Findings indicate that SBIRT
   training does not have to be elaborate to be effective. However,
   multimedia training may be more appealing to the target audiences. (C)
   2014 Elsevier Inc. All rights reserved.
OI Stoner, Susan/0000-0001-8548-219X
ZB 3
ZS 1
TC 28
ZR 0
Z8 0
ZA 0
Z9 29
U1 0
U2 26
SN 0740-5472
EI 1873-6483
UT WOS:000342542200008
PM 25115136
ER

PT J
AU van Limburg, Maarten
   Sinha, Bhanu
   Lo-Ten-Foe, Jerome R.
   van Gemert-Pijnen, Julia Ewc
TI Evaluation of early implementations of antibiotic stewardship program
   initiatives in nine Dutch hospitals
SO ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
VL 3
AR 33
DI 10.1186/2047-2994-3-33
PD OCT 23 2014
PY 2014
AB Background: Antibiotic resistance is a global threat to patient safety
   and care. In response, hospitals start antibiotic stewardship programs
   to optimise antibiotic use. Expert-based guidelines recommend strategies
   to implement such programs, but local implementations may differ per
   hospital. Earlier published assessments determine maturity of antibiotic
   stewardship programs based on expert-based structure indicators, but
   they disregard that there may be valid deviations from these
   expert-based programs.
   Aim: To analyse the progress and barriers of local implementations of
   antibiotic stewardship programs with stakeholders in nine Dutch
   hospitals and to develop a toolkit that guides implementing local
   antibiotic stewardship programs.
   Methods: An online questionnaire based on published guidelines and
   recommendations, conducted with seven clinical microbiologists, seven
   infectious disease physicians and five clinical pharmacists at nine
   Dutch hospitals.
   Results: Results show local differences in antibiotic stewardship
   programs and the uptake of interventions in hospitals. Antibiotic
   guidelines and antibiotic teams are the most extensively implemented
   interventions. Education, decision support and audit-feedback are deemed
   important interventions and they are either piloted in implementations
   at academic hospitals or in preparation for application in non-academic
   hospitals. Other interventions that are recommended in guidelines -
   benchmarking, restriction and antibiotic formulary - appear to have a
   lower priority. Automatic stop-order, pre-authorization, automatic
   substitution, antibiotic cycling are not deemed to be worthwhile
   according to respondents.
   Conclusion: There are extensive local differences in the implementation
   of antibiotic stewardship interventions. These differences suggest a
   need to further explore the rationale behind the choice of interventions
   in antibiotic stewardship programs. Rather than reporting this
   rationale, this study reports where rationale can play a key role in the
   implementation of antibiotic stewardship programs. A one-size-fits-all
   solution is unfeasible as there may be barriers or valid reasons for
   local experts to deviate from expert-based guidelines. Local experts can
   be supported with a toolkit containing advice based on possible barriers
   and considerations. These parameters can be used to customise an
   implementation of antibiotic stewardship programs to local needs (while
   retaining its expert-based foundation).
OI Sinha, Bhanu/0000-0003-1634-0010
ZR 0
Z8 0
ZA 0
ZS 1
TC 19
ZB 10
Z9 19
U1 0
U2 4
SN 2047-2994
UT WOS:000367289000001
PM 25392736
ER

PT J
AU Pakpoor, Julia
   Handel, Adam E.
   Disanto, Giulio
   Davenport, Richard J.
   Giovannoni, Gavin
   Ramagopalan, Sreeram V.
CA Assoc British Neurologists
TI National survey of UK medical students on the perception of neurology
SO BMC MEDICAL EDUCATION
VL 14
AR 225
DI 10.1186/1472-6920-14-225
PD OCT 21 2014
PY 2014
AB Background: Medical students perceive neurology to be a difficult
   subject, a phenomenon described as "neurophobia". Studies investigating
   student attitudes towards neurology have so far been limited by small
   sample sizes as a consequence of being conducted within a single medical
   school or region. We aimed to conduct the first national survey of the
   perception of neurology among UK medical students.
   Methods: A 24 question online survey was designed and distributed in the
   form of a web-link to all UK medical schools. Responses were collected
   for 10 weeks with reminders sent at 3 and 6 weeks. A prize-draw of 
   pound 300 was offered upon completion of the survey.
   Results: 2877 medical students from 25 of 31 medical schools responded.
   Students found neurology to be significantly more difficult than other
   specialties and were least comfortable drawing up a neurological
   differential diagnosis compared to other specialties (p < 0.0001 for
   neurology vs. each of the other specialties). Neuroanatomy was regarded
   as the most important factor contributing to neurology being perceived
   as difficult.
   Conclusions: The findings of the first national survey addressing this
   issue are consistent with previous research. The perception of neurology
   remains unchanged, in contrast to the rapidly changing demands of
   neurological care in an ageing population. Neurological examination and
   formulating a differential diagnosis are important skills in any medical
   specialty, and combatting "neurophobia" in medical students is therefore
   essential.
OI Handel, Adam/0000-0001-8385-6346
ZR 0
ZB 11
Z8 0
TC 45
ZS 2
ZA 0
Z9 48
U1 0
U2 7
SN 1472-6920
UT WOS:000347347300002
PM 25335431
ER

PT J
AU Polly, Patsie
   Marcus, Nadine
   Maguire, Danni
   Belinson, Zack
   Velan, Gary M.
TI Evaluation of an adaptive virtual laboratory environment using Western
   Blotting for diagnosis of disease
SO BMC MEDICAL EDUCATION
VL 14
AR 222
DI 10.1186/1472-6920-14-222
PD OCT 20 2014
PY 2014
AB Background: Providing large numbers of undergraduate students in
   scientific disciplines with engaging, authentic laboratory experiences
   is important, but challenging. Virtual laboratories (vLABs) are a
   potential means to enable interactive learning experiences. A vLAB
   focusing on Western Blotting was developed and implemented in a 3rd year
   undergraduate Pathology course for science students to facilitate
   learning of technical molecular laboratory skills that are linked to
   development of diagnostic skills. Such skills are important for
   undergraduates in building a conceptual understanding of translation of
   laboratory techniques to changes in human biology due to disease.
   Methods: The Western Blotting vLAB was developed and deployed using the
   Adaptive eLearning Platform (AeLP) developed by Smart Sparrow
   (https://www.smartsparrow.com/). The vLAB was evaluated to assess
   students' perceptions of their laboratory skills relevant to the
   diagnosis of Muscular Dystrophy. A blended learning rotation model was
   applied in which wet laboratory and vLAB environments for Western
   Blotting were both delivered to three consecutive cohorts of 3rd year
   science undergraduates undertaking a Muscle Diseases practical class.
   Evaluation questionnaires were administered at the completion of the
   practical classes.
   Results: Students indicated in online questionnaires that the Western
   Blotting vLAB was at least equivalent to the real lab in their perceived
   development of concepts, laboratory skills and diagnosis of disease.
   Conclusions: vLABs have great potential for improving students'
   development of diagnostic skills. Further studies are required to
   determine the impact of vLABs on student learning.
OI Marcus, Nadine/0000-0002-4996-4850; Velan, Gary/0000-0002-4535-6663
Z8 0
ZR 0
ZB 3
TC 22
ZA 0
ZS 1
Z9 23
U1 0
U2 23
EI 1472-6920
UT WOS:000345784900001
PM 25331335
ER

PT J
AU Johnson, Patrick S.
   Johnson, Matthew W.
TI Investigation of "Bath Salts" Use Patterns Within an Online Sample of
   Users in the United States
SO JOURNAL OF PSYCHOACTIVE DRUGS
VL 46
IS 5
BP 369
EP 378
DI 10.1080/02791072.2014.962717
PD OCT 20 2014
PY 2014
AB "Bath salts" are synthetic stimulant "legal highs" that have recently
   been banned in the US. Epidemiological data regarding bath salts use are
   limited. In the present study, 113 individuals in the US reporting use
   of bath salts completed an anonymous, online survey characterizing
   demographic, experiential, and psychological variables. Respondents were
   more often male, 18-24 years old, and Caucasian/White with some college
   education. Past-year use was typically low (<= 10 days), but marked by
   repeated dosing. Intranasal was the most frequently reported
   administration route and subjective effects were similar to other
   stimulants (e.g., cocaine, amphetamines). Bath salts use was associated
   with increased sexual desire and sexual HIV risk behavior, and met DSM-5
   diagnostic criteria for disordered use in more than half of respondents.
   Bath salts use persists in the US despite federal bans of cathinone-like
   constituents. Self-reported stimulant-like effects of bath salts suggest
   their use as substitutes for traditional illicit stimulants. Data
   revealed more normative outcomes vis-a-vis extreme accounts by media and
   medical case reports. However, indications of product abuse potential
   and sexual risk remain, suggesting bath salts pose potential public
   health harm.
RI Johnson, Matthew/AAA-3299-2020
ZS 0
ZR 0
ZB 53
TC 60
Z8 0
ZA 0
Z9 60
U1 2
U2 14
SN 0279-1072
EI 2159-9777
UT WOS:000343987500003
PM 25364987
ER

PT J
AU Lieb, Klaus
   Scheurich, Armin
TI Contact between Doctors and the Pharmaceutical Industry, Their
   Perceptions, and the Effects on Prescribing Habits
SO PLOS ONE
VL 9
IS 10
AR e110130
DI 10.1371/journal.pone.0110130
PD OCT 16 2014
PY 2014
AB Background: The prescribing behaviour of doctors is influenced by the
   pharmaceutical industry. This study investigated the extent to which
   contacts with pharmaceutical sales representatives (PSR) and the
   perception of these contacts influence prescribing habits.
   Method: An online questionnaire regarding contact with PSRs and
   perceptions of this contact was sent to 1,388 doctors, 11.5% (n = 160)
   of whom completed the survey. Individual prescribing data over a year
   (number of prescriptions, expenditure, and daily doses) for all
   on-patent branded, off-patent branded, and generic drugs were obtained
   from the Bavarian Association of Statutory Health Insurance Physicians.
   Results: 84% of the doctors saw PSR at least once a week, and 14% daily.
   69% accepted drug samples, 39% accepted stationery and 37% took part in
   sponsored continuing medical education (CME) frequently. 5 physicians
   (3%) accepted no benefits at all. 43% of doctors believed that they
   received adequate and accurate information from PSRs frequently or
   always and 42% believed that their prescribing habits were influenced by
   PSR visits occasionally or frequently. Practices that saw PSRs
   frequently had significantly higher total prescriptions and total daily
   doses (but not expenditure) than practices that were less frequently
   visited. Doctors who believed that they received accurate information
   from PSRs showed higher expenditures on off-patent branded drugs (thus
   available as generics) and a lower proportion of generics. The eschewal
   of sponsored CME was associated with a lower proportion of on
   patent-branded drug prescriptions, lower expenditure on off-patent
   branded drug prescriptions and a higher proportion of generics.
   Acceptance of office stationery was associated with higher daily doses.
   Conclusions: Avoidance of industry-sponsored CME is associated with more
   rational prescribing habits. Furthermore, gift acceptance and the belief
   that one is receiving adequate information from a PSR are associated
   with changed prescribing habits. Further studies with larger sample
   sizes are needed.
TC 75
ZS 2
ZR 0
ZB 19
ZA 0
Z8 0
Z9 76
U1 0
U2 19
SN 1932-6203
UT WOS:000343210800059
PM 25330392
ER

PT J
AU Bok, Harold G. J.
   Teunissen, Pim W.
   Boerboom, Tobias B. B.
   Rhind, Susan M.
   Baillie, Sarah
   Tegzes, John
   Annandale, Henry
   Matthew, Susan
   Torgersen, Anne
   Hecker, Kent G.
   Haerdi-Landerer, Christina M.
   Gomez-Lucia, Esperanza
   Ahmad, Bashir
   Muijtjens, Arno M. M.
   Jaarsma, Debbie A. D. C.
   van der Vleuten, Cees P. M.
   van Beukelen, Peter
TI International survey of veterinarians to assess the importance of
   competencies in professional practice and education
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 245
IS 8
BP 906
EP 913
DI 10.2460/javma.245.8.906
PD OCT 15 2014
PY 2014
AB Objective-To determine the perceived importance of specific competencies
   in professional veterinary practice and education among veterinarians in
   several countries.
   Design-Survey-based prospective study.
   Sample-1,137 veterinarians in 10 countries.
   Procedures-Veterinarians were invited via email to participate in the
   study. A framework of 18 competencies grouped into 7 domains (veterinary
   expertise, communication, collaboration, entrepreneurship, health and
   welfare, scholarship, and personal development) was used. Respondents
   rated the importance of each competency for veterinary professional
   practice and for veterinary education by use of a 9-point Likert scale
   in an online questionnaire. Quantitative statistical analyses were
   performed to assess the data.
   Results-All described competencies were perceived as having importance
   (with overall mean ratings [all countries] >= 6.45/9) for professional
   practice and education. Competencies related to veterinary expertise had
   the highest ratings (overall mean, 8.33/9 for both professional practice
   and education). For the veterinary expertise, entrepreneurship, and
   scholarship domains, substantial differences (determined on the basis of
   statistical significance and effect size) were found in importance
   ratings among veterinarians in different countries.
   Conclusions and Clinical Relevance-Results indicated a general consensus
   regarding the importance of specific types of competencies in veterinary
   professional practice and education. Further research into the
   definition of competencies essential for veterinary professionals is
   needed to help inform an international dialogue on the subject.
RI Gomez-Lucia, Esperanza/I-2058-2017; Hecker, Kent/; van der Vleuten, Cees/; Jaarsma, Debbie/; Teunissen, Pim/; Annandale, Cornelius/
OI Gomez-Lucia, Esperanza/0000-0002-5261-0586; Hecker,
   Kent/0000-0001-9129-6166; van der Vleuten, Cees/0000-0001-6802-3119;
   Jaarsma, Debbie/0000-0003-1668-2002; Teunissen, Pim/0000-0002-0930-0048;
   Annandale, Cornelius/0000-0002-0525-8954
TC 15
ZS 0
ZR 0
ZA 0
ZB 2
Z8 0
Z9 15
U1 0
U2 22
SN 0003-1488
EI 1943-569X
UT WOS:000348998600023
PM 25285932
ER

PT J
AU Kornya, Mathew R.
   Little, Susan E.
   Scherk, Margie A.
   Sears, William C.
   Bienzle, Dorothee
TI Association between oral health status and retrovirus test results in
   cats
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 245
IS 8
BP 916
EP 922
DI 10.2460/javma.245.8.916
PD OCT 15 2014
PY 2014
AB Objective-To determine associations between oral health status and
   seropositivity for FIV or FeLV in cats.
   Design-Cross-sectional survey.
   Animals-5,179 cats.
   Procedures-Veterinarians at veterinary clinics and animal shelters
   completed online training on oral conditions in cats and then scored
   oral health status of cats with no known history of vaccination against
   FIV. Age, sex, and results of an ELISA for retroviruses were recorded.
   Results were analyzed by means of standard logistic regression with
   binary outcome. Results-Of 5,179 cats, 237 (4.6%) and 186 (3.6%) were
   seropositive for FIV and FeLV, respectively, and of these, 12 (0.2%)
   were seropositive for FIV and FeLV. Of all 5,179 cats, 1,073 (20.7%) had
   gingivitis, 576 (11.1%) had periodontitis, 203 (3.9%) had stomatitis,
   and 252 (4.9%) had other oral conditions (overall oral disease
   prevalence, 2,104/5,179 [40.6%]). Across all age categories,
   inflammatory oral disease was associated with a significantly higher
   risk of a positive test result for FIV, compared with the seropositivity
   risk associated with other oral diseases or no oral disease. Stomatitis
   was most highly associated with risk of FIV seropositivity. Cats with
   any oral inflammatory disease were more likely than orally healthy cats
   to have a positive test result for FeLV. Increasing age was associated
   with a higher prevalence of oral disease in retrovirus-seronegative
   cats.
   Conclusions and Clinical Relevance-Inflammatory oral disease was
   associated with an increased risk of seropositivity for retroviruses in
   naturally infected cats. Therefore, retroviral status of cats with oral
   inflammatory disease should be determined and appropriate management
   initiated.
RI Bienzle, Dorothee/AAY-5009-2020; Little, Susan/; Kornya, Matthew/
OI Bienzle, Dorothee/0000-0002-2301-2931; Little,
   Susan/0000-0003-2392-9982; Kornya, Matthew/0000-0002-5928-9262
ZB 12
ZS 2
ZA 0
Z8 0
TC 19
ZR 0
Z9 19
U1 0
U2 34
SN 0003-1488
EI 1943-569X
UT WOS:000348998600024
PM 25285933
ER

PT J
AU Garcia, Grant H.
   Taylor, Samuel A.
   Dy, Christopher J.
   Christ, Alexander
   Patel, Ronak M.
   Dines, Joshua S.
TI Online Resources for Shoulder Instability: What Are Patients Reading?
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 96A
IS 20
DI 10.2106/JBJS.M.01228
PD OCT 15 2014
PY 2014
AB Background: Evaluations of the medical literature suggest that many
   online sites provide poor-quality information. The purpose of our study
   was to investigate the value of online resources for patient education
   about shoulder instability.
   Methods: Three search terms ("shoulder instability,'' "loose shoulder,''
   and "shoulder dislocation'') were entered into three Internet search
   engines. Three orthopaedic residents independently gauged the quality
   and accuracy of the information with use of a set of predetermined
   scoring criteria, in addition to noting whether or not four potential
   surgery options were mentioned. The readability of the web sites was
   evaluated with use of the Flesch-Kincaid score.
   Results: Eighty-two unique web sites were evaluated. Quality and
   accuracy were significantly higher with use of the term "shoulder
   instability'' compared with the term "loose shoulder'' (quality, p <
   0.001; accuracy, p = 0.001). However, the reading level was
   significantly more advanced for the "shoulder instability'' web sites (p
   < 0.001). Quality was significantly higher on web sites with reading
   levels above the eighth grade level (p = 0.001) (88% of web sites). Only
   twenty-three sites (28%) mentioned surgical options for shoulder
   instability, and of these, only eight mentioned thermal capsulorrhaphy
   as a primary treatment.
   Conclusions: Online information regarding shoulder instability is often
   inaccurate and/or at an inappropriately high reading level. The quality
   of information is highly dependent on the specific search term used.
   Clinicians need to be aware of the information that is available online
   and should help direct patients to proper sites and guide Internet
   search terms.
OI Christ, Alexander/0000-0002-0447-5762
Z8 0
ZA 0
ZR 0
TC 28
ZS 0
ZB 4
Z9 28
U1 0
U2 1
SN 0021-9355
EI 1535-1386
UT WOS:000343800900004
PM 25320207
ER

PT J
AU Taylor-Rodgers, Eleanor
   Batterham, Philip J.
TI Evaluation of an online psychoeducation intervention to promote mental
   health help seeking attitudes and intentions among young adults:
   Randomised controlled trial
SO JOURNAL OF AFFECTIVE DISORDERS
VL 168
BP 65
EP 71
DI 10.1016/j.jad.2014.06.047
PD OCT 15 2014
PY 2014
AB Background: Research has consistently identified a disparity between the
   prevalence of mental health concerns among young adults and their rates
   of formal help seeking. However, a few randomised controlled trials have
   identified effective interventions for increasing formal help seeking
   among young adults. The aim of this study was to evaluate the
   effectiveness of a brief online psychoeducational intervention,
   targeting depression, anxiety and suicide stigma, for increasing
   positive attitudes towards help seeking and increasing help seeking
   intentions among young adults.
   Method: The study followed a single-blind parallel group randomized
   controlled trial design with 67 young adult (18-25 years) Australian
   participants, assigned to receive online psychoeducation (n=33) or
   online attention-matched control information (n=34) over 3 weeks.
   Participants in the experimental group received information on
   depression, anxiety, and suicide. The control group received information
   unrelated to mental health. Primary outcome measures were mental health
   literacy, mental illness stigma, attitudes toward professional help
   seeking and intentions to seek help. Secondary outcome variables were
   symptomology, satisfaction and adherence.
   Results: Significant between-group differences were found for the pre-
   to post-Lest, including increased anxiety literacy (Cohen's d = 0.65),
   decreased depression stigma (d=0.53), and increased help seeking
   attitudes and intentions for the experimental group (d=0.58 and d=0.53,
   respectively).
   Limitations: Due to the small sample size and homogenous nature of the
   sample, generalisations should be made with caution.
   Conclusions: This study demonstrates the utility and effectiveness of a
   brief online psychoeducation intervention for promoting help seeking
   among young adults. (C) 2014 Elsevier By. All rights reserved.
OI Batterham, Philip/0000-0002-4547-6876
ZB 8
ZA 0
ZS 0
ZR 0
TC 73
Z8 0
Z9 73
U1 3
U2 57
SN 0165-0327
EI 1573-2517
UT WOS:000341483100011
PM 25038293
ER

PT J
AU Andersen, Nina Bjerre
   O'Neill, Lotte
   Gormsen, Lise Kirstine
   Hvidberg, Line
   Morcke, Anne Mette
TI A validation study of the psychometric properties of the Groningen
   Reflection Ability Scale
SO BMC MEDICAL EDUCATION
VL 14
AR 214
DI 10.1186/1472-6920-14-214
PD OCT 10 2014
PY 2014
AB Background: Reflection, the ability to examine critically one's own
   learning and functioning, is considered important for 'the good doctor'.
   The Groningen Reflection Ability Scale (GRAS) is an instrument measuring
   student reflection, which has not yet been validated beyond the original
   Dutch study. The aim of this study was to adapt GRAS for use in a Danish
   setting and to investigate the psychometric properties of GRAS-DK.
   Methods: We performed a cross-cultural adaptation of GRAS from Dutch to
   Danish. Next, we collected primary data online, performed a retest,
   analysed data descriptively, estimated measurement error, performed an
   exploratory and a confirmatory factor analysis to test the proposed
   three-factor structure.
   Results: 361 (69%) of 523 invited students completed GRAS-DK. Their mean
   score was 88 (SD = 11.42; scale maximum 115). Scores were approximately
   normally distributed. Measurement error and test-retest score
   differences were acceptable, apart from a few extreme outliers. However,
   the confirmatory factor analysis did not replicate the original
   three-factor model and neither could a one-dimensional structure be
   confirmed.
   Conclusions: GRAS is already in use, however we advise that use of
   GRAS-DK for effect measurements and group comparison awaits further
   review and validation studies. Our negative finding might be explained
   by a weak conceptualisation of personal reflection.
RI Gormsen, lise/AAE-1957-2019; Hvidberg, Line/; Gormsen, Lise/
OI Hvidberg, Line/0000-0001-9462-9456; Gormsen, Lise/0000-0002-5716-0211
ZR 0
ZB 0
Z8 0
ZA 0
TC 11
ZS 0
Z9 11
U1 2
U2 24
SN 1472-6920
UT WOS:000347346100001
PM 25304774
ER

PT J
AU Sockalingam, Sanjeev
   Khan, Attia
   Tan, Adrienne
   Hawa, Raed
   Abbey, Susan
   Jackson, Timothy
   Zaretsky, Ari
   Okrainec, Allan
TI A Framework for Understanding International Medical Graduate Challenges
   During Transition Into Fellowship Programs
SO TEACHING AND LEARNING IN MEDICINE
VL 26
IS 4
BP 401
EP 408
DI 10.1080/10401334.2014.945393
PD OCT 2 2014
PY 2014
AB Background: Previous studies have highlighted unique needs of
   international medical graduates (IMG) during their transition into
   medical training programs; however, limited data exist on IMG needs
   specific to fellowship training. Purposes: We conducted the following
   mixed-method study to determine IMG fellow training needs during the
   transition into fellowship training programs in psychiatry and surgery.
   Methods: The authors conducted a mixed-methods study consisting of an
   online survey of IMG fellows and their supervisors in psychiatry or
   surgery fellowship training programs and individual interviews of IMG
   fellows. The survey assessed (a) fellows' and supervisors' perceptions
   on IMG challenges in clinical communication, health systems, and
   education domains and (b) past orientation initiatives. In the second
   phase of the study, IMG fellows were interviewed during the latter half
   of their fellowship training, and perceptions regarding orientation and
   adaptation to fellowship in Canada were assessed. Survey data were
   analyzed using descriptive and Mann-Whitney U statistics. Qualitative
   interviews were analyzed using grounded theory methodology. Results: The
   survey response rate was 76% (35/46) and 69% (35/51) for IMG fellows and
   supervisors, respectively. Fellows reported the greatest difficulty with
   adapting to the hospital system, medical documentation, and balancing
   one's professional and personal life. Supervisors believed that fellows
   had the greatest difficulty with managing language and slang in Canada,
   the healthcare system, and an interprofessional team. In Phase 2,
   fellows generated themes of disorientation, disconnection,
   interprofessional team challenges, a need for IMG fellow resources, and
   a benefit from training in a multicultural setting. Conclusions: Our
   study results highlight the need for IMG specific orientation resources
   for fellows and supervisors. Maslow's Hierarchy of Needs may be a useful
   framework for understanding IMG training needs.
RI Okrainec, Allan/AAD-2260-2021; Sockalingam, Sanjeev/I-7212-2016; Zaretsky, Ari/AAP-9598-2020; Jackson, Timothy/; Hawa, Raed/C-4783-2019; Okrainec, Allan/
OI Sockalingam, Sanjeev/0000-0002-9626-1509; Jackson,
   Timothy/0000-0001-8388-016X; Hawa, Raed/0000-0002-6798-6252; Okrainec,
   Allan/0000-0003-1117-958X
ZR 0
TC 12
ZB 1
ZA 0
Z8 0
ZS 0
Z9 12
U1 0
U2 19
SN 1040-1334
EI 1532-8015
UT WOS:000343231200012
PM 25318037
ER

PT J
AU Franasiak, Jason
   Craven, Renatta
   Mosaly, Prithima
   Gehrig, Paola A.
TI Feasibility and Acceptance of a Robotic Surgery Ergonomic Training
   Program
SO JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
VL 18
IS 4
AR 00166
DI 10.4293/JSLS.2014.00166
PD OCT-DEC 2014
PY 2014
AB Background and Objectives: Assessment of ergonomic strain during robotic
   surgery indicates there is a need for intervention. However, limited
   data exist detailing the feasibility and acceptance of ergonomic
   training (ET) for robotic surgeons. This prospective, observational
   pilot study evaluates the implementation of an evidence-based ET module.
   Methods: A two-part survey was conducted. The first survey assessed
   robotic strain using the Nordic Musculoskeletal Questionnaire (NMQ).
   Participants were given the option to participate in either an online or
   an in-person ET session. The ET was derived from Occupational Safety and
   Health Administration guidelines and developed by a human factors
   engineer experienced with health care ergonomics. After ET, a follow-up
   survey including the NMQ and an assessment of the ET were completed.
   Results: The survey was sent to 67 robotic surgeons. Forty-two (62.7%)
   responded, including 18 residents, 8 fellows, and 16 attending
   physicians. Forty-five percent experienced strain resulting from
   performing robotic surgery and 26.3% reported persistent strain. Only
   16.6% of surgeons reported prior ET in robotic surgery. Thirty-five
   (78%) surgeons elected to have in-person ET, which was successfully
   arranged for 32 surgeons (91.4%). Thirty-seven surgeons (88.1%)
   completed the follow-up survey. All surgeons participating in the
   in-person ET found it helpful and felt formal ET should be standard, 88%
   changed their practice as a result of the training, and 74% of those
   reporting strain noticed a decrease after their ET.
   Conclusion: Thus, at a high-volume robotics center, evidence- based ET
   was easily implemented, well-received, changed some surgeons' practice,
   and decreased selfreported strain related to robotic surgery.
RI Franasiak, Jason/AAE-6710-2020
OI Franasiak, Jason/0000-0002-5595-1263
ZS 0
ZB 2
ZR 0
ZA 0
Z8 0
TC 22
Z9 22
U1 0
U2 2
SN 1086-8089
UT WOS:000348437900012
PM 25489213
ER

PT J
AU Zhang, Melvyn W. B.
   Tsang, Tammy
   Cheow, Enquan
   Ho, Cyrus S. H.
   Yeong, Ng Beng
   Ho, Roger C. M.
TI Enabling Psychiatrists to be Mobile Phone App Developers: Insights Into
   App Development Methodologies
SO JMIR MHEALTH AND UHEALTH
VL 2
IS 4
AR e53
DI 10.2196/mhealth.3425
PD OCT-DEC 2014
PY 2014
AB Background: The use of mobile phones, and specifically smartphones, in
   the last decade has become more and more prevalent. The latest mobile
   phones are equipped with comprehensive features that can be used in
   health care, such as providing rapid access to up-to-date evidence-based
   information, provision of instant communications, and improvements in
   organization. The estimated number of health care apps for mobile phones
   is increasing tremendously, but previous research has highlighted the
   lack of critical appraisal of new apps. This lack of appraisal of apps
   has largely been due to the lack of clinicians with technical knowledge
   of how to create an evidence-based app.
   Objective: We discuss two freely available methodologies for developing
   Web-based mobile phone apps: a website builder and an app builder. With
   these, users can program not just a Web-based app, but also integrate
   multimedia features within their app, without needing to know any
   programming language.
   Methods: We present techniques for creating a mobile Web-based app using
   two well-established online mobile app websites. We illustrate how to
   integrate text-based content within the app, as well as integration of
   interactive videos and rich site summary (RSS) feed information. We will
   also briefly discuss how to integrate a simple questionnaire survey into
   the mobile-based app. A questionnaire survey was administered to
   students to collate their perceptions towards the app.
   Results: These two methodologies for developing apps have been used to
   convert an online electronic psychiatry textbook into two Web-based
   mobile phone apps for medical students rotating through psychiatry in
   Singapore. Since the inception of our mobile Web-based app, a total of
   21,991 unique users have used the mobile app and online portal provided
   by WordPress, and another 717 users have accessed the app via a
   Web-based link. The user perspective survey results (n=185) showed that
   a high proportion of students valued the textbook and objective
   structured clinical examination videos featured in the app. A high
   proportion of students concurred that a self-designed mobile phone app
   would be helpful for psychiatry education.
   Conclusions: These methodologies can enable busy clinicians to develop
   simple mobile Web-based apps for academic, educational, and research
   purposes, without any prior knowledge of programming. This will be
   beneficial for both clinicians and users at large, as there will then be
   more evidence-based mobile phone apps, or at least apps that have been
   appraised by a clinician.
RI Ho, Cyrus SH/AAN-9344-2020; Ho, Roger C./ABD-9061-2021; Ho, Roger/ABD-8859-2021; Cheow, Enquan/
OI Ho, Cyrus SH/0000-0002-7092-9566; Ho, Roger C./0000-0001-9629-4493;
   Cheow, Enquan/0000-0002-2085-333X
ZS 0
ZB 3
ZA 0
TC 32
ZR 0
Z8 0
Z9 32
U1 1
U2 31
SN 2291-5222
UT WOS:000209895200016
PM 25486985
ER

PT J
AU McKnight, Michelynn
TI Information prescriptions, 1930-2013: an international history and
   comprehensive review
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 102
IS 4
BP 271
EP 280
DI 10.3163/1536-5050.102.4.008
PD OCT 2014
PY 2014
AB Objectives: Recently, government agencies in several countries have
   promoted information prescription programs to increase patients'
   understanding of their conditions. The practice has a long history and
   many publications, but no comprehensive literature reviews such as this.
   Methods: Using a variety of high-precision and high-recall strategies,
   the researcher searched two dozen online bibliographic databases,
   citation databases, and repositories, as well as many print sources, to
   identify and retrieve documents for review. Of these documents, ninety
   relevant English-language case reports, research reports, and reviews
   published from 1930-2013 met the study criteria.
   Results: Early to mid-twentieth century reports covered long-standing
   practices and used no rigorous research methods. The literature since
   the mid-1990s reports on short-term trial projects, especially of
   government-sponsored programs in the United States and United Kingdom.
   Although the concept of information prescription has been in the
   literature and practiced for decades, no long-term research studies were
   found.
   Conclusions: Most of the literature is anecdotal concerning small pilot
   projects. The reports investigate physician, patient, and librarian
   satisfaction but not changes in patient knowledge or behavior. Many
   twenty-first century projects emphasize materials and projects from
   specific government agencies and commercial enterprises.
   Implications: While the practice is commonly believed to be a good idea
   and there are many publications on the subject, few studies provide any
   evidence of the efficacy of information prescriptions for increased
   patient knowledge. Well-designed and executed large or long-term studies
   might produce needed evidence for professional practice.
ZR 0
TC 14
ZA 0
ZS 0
ZB 1
Z8 0
Z9 15
U1 1
U2 83
SN 1536-5050
UT WOS:000346146200007
PM 25349545
ER

PT J
AU Subhi, Yousif
   Andresen, Kristoffer
   Bojsen, Signe Rolskov
   Nilsson, Philip Morkeberg
   Konge, Lars
TI Massive open online courses are relevant for postgraduate medical
   training
SO DANISH MEDICAL JOURNAL
VL 61
IS 10
AR A4923
PD OCT 2014
PY 2014
AB INTRODUCTION: The CanMEDS framework describes seven roles in
   postgraduate training, but training and courses relevant to these roles
   can be limited. Massive open online courses (MOOCs) - free online
   courses in which anyone can participate, anywhere - may improve course
   participation. This study investigates the relevance of MOOCs for
   postgraduate medical training within the CanMEDS framework.
   MATERIAL AND METHODS: We extracted a list of all courses posted by the
   two largest MOOC providers, Coursera and EdX, and reviewed all course
   descriptions and categorised each course into one of three categories -
   "relevant," "possibly relevant" or "not relevant" - reflecting the
   degree of relevance to each of the seven CanMEDS roles. We also noted
   course workload, duration and the name of the educational institution.
   RESULTS: We agreed the most on the role of health advocate (Cronbach's
   alpha = 0.85) and the least on the role of collaborator (Cronbach's
   alpha = 0.46). After a consensus-building process, 165 courses were
   found to be relevant or possibly relevant, mostly to the roles as
   scholar (n = 75) and medical expert (n = 57). The courses had a median
   duration of seven weeks and a median weekly workload of 4.5 hours, and
   were predominantly from North American universities.
   CONCLUSION: A large number of MOOCs are relevant for postgraduate
   medical training. A weekly workload of 4.5 hours may enable course
   participation even for busy clinicians. Physicians should consider these
   free and universally available courses as relevant and potentially
   effective means of education.
RI Subhi, Yousif/ABG-6330-2020; Andresen, Kristoffer/
OI Subhi, Yousif/0000-0001-6620-5365; Andresen,
   Kristoffer/0000-0002-9820-3580
ZB 2
ZA 0
Z8 2
TC 18
ZS 0
ZR 0
Z9 20
U1 0
U2 46
SN 2245-1919
UT WOS:000345394900002
PM 25283619
ER

PT J
AU Zhang, Li
   Wong, Lisa Y. L.
   He, Ying
   Wong, Ian C. K.
TI Pharmacovigilance in China: Current Situation, Successes and Challenges
SO DRUG SAFETY
VL 37
IS 10
BP 765
EP 770
DI 10.1007/s40264-014-0222-3
PD OCT 2014
PY 2014
AB With the integration of the global pharmaceutical economy and the
   gradual transformation of the healthcare insurance system in China, the
   legislative framework for a comprehensive regulatory system monitoring
   the whole process including drug development, manufacture, distribution
   and use has been established by the China Food and Drug Administration
   (CFDA) to ensure the safety and effectiveness of medication use. China
   has established a relatively comprehensive pharmacovigilance system
   covering regulation, organisation and technology from 1989 to 2014. As
   of 2013, one national centre, 34 provincial centres and more than 400
   municipal centres for adverse drug reaction (ADR) monitoring were
   included in the four-level pharmacovigilance network (national,
   provincial, municipal and county) with more than 200,000 grassroot
   organisation users. The China Adverse Drug Reaction Monitoring System
   (CADRMS) is an online spontaneous reporting system which connects the
   four-level pharmacovigilance network. By 2013, CADRMS had received over
   6.6 million ADR case reports. After integrating and analysing
   pharmacovigilance data, the National Centre for ADR Monitoring (NCADRM)
   publishes medication safety information by releasing ADR bulletins,
   National ADR Annual Reports and International Pharmacovigilance
   Newsletters. The NCADRM also routinely provides CADRMS data feedback to
   manufacturers. The CFDA implemented risk management through several
   approaches, including arranging 'manufacturer communication meetings',
   modification of medication package inserts, and restriction, suspension
   or withdrawal of marketing authorisations. Seamless information exchange
   with overseas regulatory authorities and organisations remains an area
   for improvement. Further development of the China pharmacovigilance
   system in terms of signal generation, post-marketing
   pharmacoepidemiology research and education is also needed.
RI Zhang, Li/AAC-3660-2019; Wong, Ian Chi Kei/
OI Zhang, Li/0000-0003-1010-739X; Wong, Ian Chi Kei/0000-0001-8242-0014
TC 27
ZB 13
ZA 0
ZS 0
ZR 0
Z8 6
Z9 32
U1 2
U2 15
SN 0114-5916
EI 1179-1942
UT WOS:000344615300003
PM 25218237
ER

PT J
AU Martina, Camille Anne
   Mutrie, Andria
   Ward, Denham
   Lewis, Vivian
TI A Sustainable Course in Research Mentoring
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 7
IS 5
BP 413
EP 419
DI 10.1111/cts.12176
PD OCT 2014
PY 2014
AB In this report, we describe a six-year experience (2007-2012) in a
   single CTSA awardee institution on the development, implementation and
   evaluation of a hybrid online mentoring curriculum that is applicable to
   CTSA trainees at various levels (graduate, medical students, and junior
   faculty) of career training. The curriculum offers convenience,
   engagement, and financial sustainability. Overall, we found high levels
   of satisfaction with the curriculum and mentoring experience among both
   proteges and mentors. Qualitative data showed remarkable consensus of 14
   of the 15 domains of mentoring that form the framework of the mentoring
   curriculum: (1) accessibility, (2) selectivity, (3) engagement/support,
   (4) teaching/training, (5) clarity of performance/expectations, (6)
   sponsorship/sharing power judiciously, (7) demystifying the system
   (academia), (8) challenging/encouraging risk taking, (9) affirming, (10)
   providing exposure/visibility, (11) being an intentional role model,
   (12) protecting, (13) providing feedback, (14) self-disclosure, and
   lastly (15) counseling, with the fifteenth domain counseling being the
   most controversial. Quantitative survey data of both mentors and
   proteges indicated a high degree of overall satisfaction in their
   mentor-protege dyad with 86% (59) of proteges and 86% (55) of mentors
   responding good or excellent to the quality of time spent. Mentors and
   proteges were most satisfied in the area of research, with 93% (62) of
   proteges and 96% (57) of mentors finding discussions in research very to
   somewhat useful for their own career advancement. Along with wide
   acceptability, this format is a useful option for institutions where
   face-to-face time is limited and education budgets are lean.
ZA 0
Z8 0
TC 19
ZB 5
ZS 0
ZR 0
Z9 19
U1 3
U2 13
SN 1752-8054
EI 1752-8062
UT WOS:000344472100018
PM 24889332
ER

PT J
AU Kroner, Barbara L.
   Wright, Cyndi
   Friedman, Daniel
   Macher, Kim
   Preiss, Liliana
   Misajon, Jade
   Devinsky, Orrin
TI Characteristics of epilepsy patients and caregivers who either have or
   have not heard of SUDEP
SO EPILEPSIA
VL 55
IS 10
BP 1486
EP 1494
DI 10.1111/epi.12799
PD OCT 2014
PY 2014
AB ObjectiveDescribe the characteristics of persons with epilepsy (PWEs)
   and caregivers that have or have not heard of sudden unexpected death in
   epilepsy (SUDEP) prior to completing a survey through the Internet or in
   the clinical setting.
   MethodsAn online survey for adult PWEs and caregivers was solicited by
   e-mail and newsletter to Epilepsy Therapy Project members. A similar
   survey was implemented in a clinic setting of a community hospital. The
   survey asked about seizure characteristics, epilepsy management, fear of
   death, and familiarity with the term SUDEP. Respondents that never heard
   of SUDEP read a definition and responded to questions about their
   initial reactions.
   ResultsSurveys from 1,392 PWEs and 611 caregivers recruited through an
   epilepsy Website and a clinic demonstrated that Internet respondents
   were much more likely to have heard about SUDEP than the clinic
   population (71.1% vs. 38.8%; p<0.001), and caregivers of PWEs were more
   likely to have heard about SUDEP than PWEs (76.2% vs. 65.2%; p<0.001).
   Prior awareness was related to an increased level of education, more
   severe and longer duration of epilepsy, and having an epileptologist as
   the primary care provider. Although most PWEs and caregivers reported
   feelings of fear, anxiety, and sadness after first hearing of SUDEP,
   they wanted to discuss it with their doctor. Persons with epilepsy, and
   especially their caregivers, often worry that the PWEs may die of
   epilepsy or seizures. This worry escalated with knowledge of SUDEP and
   increased epilepsy severity. Approximately half of PWEs and caregivers
   believed that knowledge about SUDEP would influence their epilepsy
   management.
   SignificanceOur results may help epilepsy care providers determine when
   to facilitate a discussion about epilepsy-related mortality and SUDEP
   among patients and caregivers, and to educate those at high risk about
   the importance of seizure control as well as reduce fears about death in
   patients with well-controlled and nonconvulsive epilepsies.
OI Devinsky, Orrin/0000-0003-0044-4632; Preiss,
   Liliana/0000-0002-2978-7260; Kroner, Barbara/0000-0001-6985-8222
ZS 0
ZR 0
Z8 1
ZB 9
ZA 0
TC 32
Z9 33
U1 1
U2 4
SN 0013-9580
EI 1528-1167
UT WOS:000344173800003
PM 25323807
ER

PT J
AU Nickel, Nathan C.
   Chateau, Dan G.
   Martens, Patricia J.
   Brownell, Marni D.
   Katz, Alan
   Burland, Elaine M. J.
   Walld, Randy
   Hu, Mingming
   Taylor, Carole R.
   Sarkar, Joykrishna
   Goh, Chun Yan
CA PATHS Equity Team
TI Data Resource Profile: Pathways to Health and Social Equity for Children
   (PATHS Equity for Children)
SO INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
VL 43
IS 5
BP 1438
EP 1449
DI 10.1093/ije/dyu190
PD OCT 2014
PY 2014
AB The PATHS Data Resource is a unique database comprising data that follow
   individuals from the prenatal period to adulthood. The PATHS Resource
   was developed for conducting longitudinal epidemiological research into
   child health and health equity. It contains individual-level data on
   health, socioeconomic status, social services and education.
   Individuals' data are linkable across these domains, allowing
   researchers to follow children through childhood and across a variety of
   sectors. PATHS includes nearly all individuals that were born between
   1984 and 2012 and registered with Manitoba's universal health insurance
   programme at some point during childhood. All PATHS data are anonymized.
   Key concepts, definitions and algorithms necessary to work with the
   PATHS Resource are freely accessible online and an interactive forum is
   available to new researchers working with these data. The PATHS Resource
   is one of the richest and most complete databases assembled for
   conducting longitudinal epidemiological research, incorporating many
   variables that address the social determinants of health and health
   equity. Interested researchers are encouraged to contact
   [mchp_access@cpe.umanitoba.ca] to obtain access to PATHS to use in their
   own programmes of research.
RI Roos, Noralou/; Metge, Colleen/G-7727-2016; Nickel, Nathan C./J-2537-2014; chateau, Dan/; Fransoo, Randall/; Roos, Leslie L./; Brownell, Marni/; Burland, Elaine/; Katz, Alan/
OI Roos, Noralou/0000-0002-0802-2082; Metge, Colleen/0000-0001-9170-3294;
   Nickel, Nathan C./0000-0001-5836-5297; chateau, Dan/0000-0002-2215-820X;
   Fransoo, Randall/0000-0002-8375-972X; Roos, Leslie
   L./0000-0002-4215-8346; Brownell, Marni/0000-0001-7673-4404; Burland,
   Elaine/0000-0001-9665-3126; Katz, Alan/0000-0001-8280-7024
ZR 0
ZA 0
Z8 0
ZB 10
TC 38
ZS 0
Z9 38
U1 0
U2 8
SN 0300-5771
EI 1464-3685
UT WOS:000343972200015
PM 25212478
ER

PT J
AU Veredas, Francisco J.
   Ruiz-Bandera, Esperanza
   Villa-Estrada, Francisca
   Rufino-Gonzalez, Juan F.
   Morente, Laura
TI A web-based e-learning application for wound diagnosis and treatment
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 116
IS 3
BP 236
EP 248
DI 10.1016/j.cmpb.2014.06.005
PD OCT 2014
PY 2014
AB Pressure ulcers (PrU) are considered as one of the most challenging
   problems that Nursing professionals have to deal with in their daily
   practice. Nowadays, the education on PrUs is mainly based on traditional
   lecturing, seminars and face-to-face instruction, sometimes with the
   support of photographs of wounds being used as teaching material. This
   traditional educational methodology suffers from some important
   limitations, which could affect the efficacy of the learning process.
   This current study has been designed to introduce information and
   communication technologies (ICT) in the education on PrU for
   undergraduate students, with the main objective of evaluating the
   advantages an disadvantages of using ICT, by comparing the learning
   results obtained from using an e-learning tool with those from a
   traditional teaching methodology. In order to meet this major objective,
   a web-based learning system named ePULab has been designed and developed
   as an adaptive e-learning tool for the autonomous acquisition of
   knowledge on PrU evaluation. This innovative system has been validated
   by means of a randomized controlled trial that compares its learning
   efficacy with that from a control group receiving a traditional
   face-to-face instruction. Students using ePULab gave significantly
   better (p < 0.01) learning acquisition scores (from pre-test mean 8.27
   (SD 1.39) to post-test mean 15.83 (SD 2.52)) than those following
   traditional lecture-style classes (from pre-test mean 8.23 (SD 1.23) to
   post-test mean 11.6 (SD 2.52)). In this article, the ePULab software is
   described in detail and the results from that experimental educational
   validation study are also presented and analyzed. (C) 2014 Elsevier
   Ireland Ltd. All rights reserved.
RI Morente, Laura/L-4866-2014; Veredas, Francisco/L-1334-2014; Villa Estrada, Francisca/
OI Veredas, Francisco/0000-0003-0739-2505; Villa Estrada,
   Francisca/0000-0002-7817-812X
ZA 0
ZS 1
ZR 0
Z8 0
TC 10
ZB 1
Z9 10
U1 0
U2 78
SN 0169-2607
EI 1872-7565
UT WOS:000339961000007
PM 25015566
ER

PT J
AU Koelink, Eric
   Boutis, Kathy
TI Paediatrician office follow-up of common minor fractures
SO PAEDIATRICS & CHILD HEALTH
VL 19
IS 8
BP 407
EP 412
DI 10.1093/pch/19.8.407
PD OCT 2014
PY 2014
AB BACKGROUND: Evidence suggests that minor paediatric fractures can be
   followed by primary care paediatricians (PCPs).
   OBJECTIVES: To determine PCP opinions, knowledge and perceived barriers
   to managing minor paediatric fractures in the office.
   METHODS: An online survey was sent between June and September 2013 to
   all paediatricians who subscribed to the American Academy of Pediatrics
   PROS-Net Listerv and to those who were registered with the Scott's
   Canadian Medical Directory as paediatricians who treated children in a
   primary care capacity. The primary outcome was the proportion of PCPs
   who agreed with PCP follow-up of minor paediatric fractures. Secondary
   outcomes included PCP's perceived barriers to office follow-up.
   RESULTS: A total of 1752 surveys were sent; 1235 were eligible and 459
   (37.2%) responded to the survey. Overall, 296 (69.5% [95% CI 65.2% to
   74.0%]) PCPs agreed that minor paediatric fractures could be followed in
   a PCP office. The most frequently reported barriers were lack of
   materials to replace immobilization (58.1%), PCP knowledge deficits
   (44.8%) and a perceived parental preference for an orthopedic surgeon
   (38.6%). Finally, 58.8% of respondents believed that further education
   was necessary if PCPs assumed responsibility for follow-up of midshaft
   clavicle fractures, while 66.5% and 77.1% (P<0.0001) believed this was
   necessary for distal radius buckle and fibular fractures, respectively.
   CONCLUSIONS: More than two-thirds of responding PCPs in Canada and the
   United States agreed that minor common paediatric fractures can be
   followed-up by paediatricians. However, PCPs reported some barriers to
   this management strategy, including a desire for more education on this
   topic.
OI Koelink, Eric/0000-0002-6438-3747
Z8 0
TC 7
ZB 1
ZA 0
ZS 0
ZR 0
Z9 7
U1 0
U2 1
SN 1205-7088
EI 1918-1485
UT WOS:000344635500007
PM 25382996
ER

PT J
AU Thepwongsa, Isaraporn
   Kirby, Catherine
   Schattner, Peter
   Piterman, Leon
TI Online continuing medical education (CME) for GPs: does it work? A
   systematic review
SO AUSTRALIAN FAMILY PHYSICIAN
VL 43
IS 10
BP 52
EP 56
PD OCT 2014
PY 2014
AB Background
   Numerous studies have assessed the effectiveness of online continuing
   medical education (CME) designed to improve healthcare professionals'
   care of patients. The effects of online educational interventions
   targeted at general practitioners (GP), however, have not been
   systematically reviewed.
   Methods
   A computer search was conducted through seven databases for studies
   assessing changes in GPs' knowledge and practice, or patient outcomes
   following an online educational intervention.
   Results
   Eleven studies met the eligibility criteria. Most studies (8/11, 72.7%)
   found a significant improvement in at least one of the following
   outcomes: satisfaction, knowledge or practice change. There was little
   evidence for the impact of online CME on patient outcomes. Variability
   in study design, characteristics of online and outcome measures limited
   conclusions on the effects of online CME.
   Discussion
   Online CME could improve GP satisfaction, knowledge and practices but
   there are very few well-designed studies that focus on this delivery
   method of GP education.
ZA 0
Z8 0
ZS 0
TC 0
ZB 0
ZR 0
Z9 0
U1 0
U2 6
SN 0300-8495
UT WOS:000343948400021
ER

PT J
AU Svider, Peter F.
   Gupta, Amar
   Johnson, Andrew P.
   Zuliani, Giancarlo
   Shkoukani, Mahdi A.
   Eloy, Jean Anderson
   Folbe, Adam J.
TI Evaluation of Otolaryngology Residency Program Websites
SO JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 140
IS 10
BP 956
EP 960
DI 10.1001/jamaoto.2014.1714
PD OCT 2014
PY 2014
AB IMPORTANCE Prior to applying or interviewing, most prospective
   applicants turn to the Internet when evaluating residency programs,
   making maintenance of a comprehensive website critical. While certain
   "intangibles" such as reputation may not be communicated effectively
   online, residency websites are invaluable for conveying other aspects of
   a program. Prior analyses have reported that certain criteria such as
   research experience and didactics are important considerations for
   applicants.
   OBJECTIVE To evaluate the comprehensiveness of otolaryngology residency
   websites.
   DESIGN AND PARTICIPANTS Review of otolaryngology residency program
   websites. Websites of 99 civilian residency programs were searched for
   the presence of 23 criteria.
   MAIN OUTCOMES AND MEASURES Presence of 23 criteria for application
   process, incentives, instruction, research, clinical training, and
   other.
   RESULTS Only 5 programs contained at least three-quarters of the
   criteria analyzed; on average programs reported less than 50% of
   information sought. Among the 99 residency program websites, a
   description of the following criteria was noted: comprehensive faculty
   listing (88%), didactics (80%), contact e-mail (77%), current residents
   (74%), description of facilities (70%), intern schedule (70%), research
   requirements (69%), otolaryngology rotation schedule (64%), other
   courses (61%), ERAS (Electronic Residency Application Service) link
   (55%), year-to-year responsibility progression (47%), call schedule
   (40%), active/ past research projects (37%), area information (34%),
   message from the program director (33%) or chair (23%), selection
   criteria (30%), salary (directly on site) (23%), surgical statistics
   (18%), parking (9%), and meal allowance (7%). The mean (SD) percentage
   present of factors encompassing "clinical training" was 55%(23%),
   significantly higher than the mean (SD) percentage of factors covered
   under the "incentives" category (19% [11%]; P = .01). The proportion of
   overall criteria present on websites did not differ on organizing
   programs by region (range, 42%-49%). Sites for "large" programs(>= 3
   residents per year) were more comprehensive (49% vs 42%; P = .04).
   CONCLUSIONS AND RELEVANCE While further survey of prospective applicants
   would be invaluable in determining which factors are of greatest
   interest, many residency websites appear to be inadequately
   comprehensive. Despite the relative comprehensiveness of criteria
   relevant to clinical training when compared with other aspects of
   websites such as incentives, several crucial aspects of training are
   still not addressed in many sites.
TC 57
ZA 0
ZB 8
Z8 0
ZS 0
ZR 0
Z9 57
U1 0
U2 1
SN 2168-6181
EI 2168-619X
UT WOS:000343936100011
PM 25188904
ER

PT J
AU Cheung, D.
   Lieberman, L.
   Lin, Y.
   Callum, J.
TI Consent for blood transfusion: Do patients understand the risks and
   benefits?
SO TRANSFUSION MEDICINE
VL 24
IS 5
BP 269
EP 273
DI 10.1111/tme.12141
PD OCT 2014
PY 2014
AB Background and ObjectivesBlood transfusion is a frequent medical
   intervention in hospitals. The benefits of, risks of and alternatives to
   blood transfusions are not consistently understood by patients. The
   objective of this study was to assess gaps in knowledge and comfort with
   the current process of consenting patients for blood transfusions. A
   standardised video regarding the risk and benefits of blood transfusions
   was developed and feedback regarding this tool was assessed.
   MethodsAfter informed consent had been obtained, 25 patients receiving
   their first transfusion at a single academic centre were asked to
   complete a survey, watch a standardised educational video and complete a
   follow-up survey.
   ResultsThe patient survey revealed that the information recollected from
   informed consent discussions was variable and incomplete. After the
   informed consent discussion, the majority of patients were comfortable
   with having a blood transfusion, although one-third did express concerns
   or worry about having a blood transfusion. After viewing the video,
   patients felt that the video improved their understanding of the risks
   (73 of 10), benefits (69 of 10) and alternatives (71 of 10) to
   transfusion, but it did not change their comfort with blood transfusion
   consent.
   ConclusionPatients experienced a variable informed consent process prior
   to blood transfusion. Although the video improved their understanding of
   risks, it did not improve patient comfort towards giving consent for
   transfusion as the level of comfort was already high. The video is
   available online () as an optional resource for patients (and
   physicians) who wish to receive standardised and accurate information
   about blood transfusions.
TC 14
ZR 0
ZA 0
ZS 0
Z8 0
ZB 7
Z9 14
U1 0
U2 1
SN 0958-7578
EI 1365-3148
UT WOS:000344168600003
PM 25066199
ER

PT J
AU Li, Linda C.
   Adam, Paul M.
   Backman, Catherine L.
   Lineker, Sydney
   Jones, C. Allyson
   Lacaille, Diane
   Townsend, Anne F.
   Yacyshyn, Elaine
   Yousefi, Charlene
   Tugwell, Peter
   Leese, Jenny
   Stacey, Dawn
TI Proof-of-Concept Study of a Web-Based Methotrexate Decision Aid for
   Patients With Rheumatoid Arthritis
SO ARTHRITIS CARE & RESEARCH
VL 66
IS 10
BP 1472
EP 1481
DI 10.1002/acr.22319
PD OCT 2014
PY 2014
AB Objective. To assess the extent to which an online patient decision aid
   reduced decisional conflict and improved self- management
   knowledge/skills in patients who were considering methotrexate for
   rheumatoid arthritis (RA).
   Methods. We used a mixed-methods pre-post study design. Eligible
   participants had a diagnosis of RA, had been prescribed methotrexate but
   were unsure about starting it, and had access to the internet. Outcome
   included the Decisional Conflict Scale, the Methotrexate in RA Knowledge
   Test, and the Effective Consumer Scale. Paired t-tests were used to
   assess changes before and after the intervention. Randomly selected
   participants were interviewed at the end of the study about their
   experiences with the decision aid.
   Results. Of 30 participants, 23 were women. Mean +/- SD age was 54.9 +/-
   14.9 years and the median disease duration was 1 year (interquartile
   range 0.3-5.0 years). Mean +/- SD decisional conflict changed from 49.50
   +/- 23.17 preintervention to 21.83 +/- 24.12 postintervention (change
   -27.67 [95% confidence interval -39.89, -15.44]; P < 0.001). Knowledge
   of methotrexate improved (mean +/- SD 30.62 +/- 9.26 preintervention and
   41.67 +/- 6.81 postintervention; P < 0.001), but there was no change in
   effective consumer attributes (mean +/- SD 68.24 +/- 12.46
   preintervention and 72.94 +/- 12.74 postintervention; P = 0.15). Three
   themes emerged from interviews of 11 participants: seeking confirmation
   of one's own knowledge of methotrexate, amplifying reluctance when they
   encountered information contradicting their own experiences, and
   clarifying thoughts about the next step during the process.
   Conclusion. Patients' decisional conflict and knowledge improved after
   using the patient decision aid. Interview findings further highlighted
   the power of patients' prior knowledge and experiences with RA on how
   they approach the information presented in a decision aid.
RI Tugwell, Peter/AFD-8076-2022; Li, Linda C./P-8485-2015; Backman, Catherine L/L-3648-2016; Stacey, Dawn/
OI Tugwell, Peter/0000-0001-5062-0556; Li, Linda C./0000-0001-6280-0511;
   Backman, Catherine L/0000-0003-4190-7947; Stacey,
   Dawn/0000-0002-2681-741X
Z8 2
ZS 0
ZA 0
ZR 0
ZB 11
TC 28
Z9 30
U1 0
U2 13
SN 2151-464X
EI 2151-4658
UT WOS:000343011800006
PM 24623617
ER

PT J
AU Anderson, Kayla N.
   Koh, Bibiana D.
   Connor, Jennifer J.
   Koerner, Ascan F.
   Damario, Mark
   Rueter, Martha A.
TI Twins conceived using assisted reproduction: parent mental health,
   family relationships and child adjustment at middle childhood
SO HUMAN REPRODUCTION
VL 29
IS 10
BP 2247
EP 2255
DI 10.1093/humrep/deu190
PD OCT 2014
PY 2014
AB STUDY QUESTION: Compared with singletons, what is the parent mental
   health, parent-child and couple relationship satisfaction, and child
   adjustment of 6- to 12-year-old assisted reproduction technology (ART)
   twins and their families?
   SUMMARY ANSWER: There are no differences between 6- and 12-year-old ART
   twin and singleton families in parent mental health or family
   relationships; however, twins had significantly fewer behavior and
   attention problems than singletons in middle childhood.
   WHAT IS KNOWN ALREADY: When ART twins are younger than 5 years old,
   parents have more mental health difficulties and poorer parent-child
   relationship quality, and no differences have been found in ART twin and
   singletons' psychosocial adjustment. However, studies have only examined
   the implications of ART twin status in families with infant and toddler
   aged children.
   STUDY DESIGN, SIZE, DURATION: A cross-sectional study of 300 6-
   12-year-old ART children (n = 124 twins and n = 176 singletons) from 206
   families at a reproductive endocrinology clinic in the USA.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: Patients from one clinic with
   a child born between 1998 and 2004 were invited to participate in an
   online survey (82% recruitment rate). Participants provided information
   on each 6- to 12-year-old ART child in the family, and responded to
   questions on parent mental health, family relationships and child
   adjustment.
   MAIN RESULTS AND THE ROLE OF CHANCE: There were no differences in parent
   mental health or family relationships in families with 6- to 12-year-old
   ART twins versus singletons. However, twins (M = 2.40, SE = 0.35) had
   significantly fewer behavior problems than singletons (M = 3.47, SE =
   0.36; F(1, 201) = 4.54, b = 1.08, P, 0.05). Twins (M = 1.86, SD = 0.23)
   also had fewer attention problems than singletons (M = 2.64, SD = 0.23;
   F(1, 156) = 5.75, b = 0.78, P, 0.05). Results also suggest that
   full-term twins had significantly fewer attention problems (M = 1.37, SE
   = 0.33; F(1, 222) = 2.65, P = 0.05) than premature twins (M = 2.32, SE =
   0.32, b = 0.95, P < 0.05), full-term singletons (M = 2.25, SE = 0.21, b
   = 0.88, P < 0.05) and premature singletons (M = 2.84, SE = 0.49, b =
   1.47, P = 0.01). There were no significant differences between the other
   groups.
   LIMITATIONS, REASONS FOR CAUTION: Although the response rate is high
   (82%) and family demographics are representative of US ART patients,
   patients are from one US clinic. Responses also are from one family
   member and may be subject to social desirability biases. Additionally,
   our data did not include identification of monozygotic and dizygotic
   twins.
   WIDER IMPLICATIONS OF THE FINDINGS: Studies on infant and toddler ART
   twins suggest these families have parents with more mental health
   difficulties and lower parent-child relationship quality than singleton
   families. This study indicates the negative effects of twin status may
   have ameliorated by middle childhood, and twins may even have more
   optimum psychosocial adjustment than singletons in this developmental
   period.
   STUDY FUNDING/COMPETING INTEREST(S): This research is based on a
   collaborative research effort supported by University of Minnesota
   Agriculture Experiment Station Project Number MN-52-107, a University of
   Minnesota Grant-in-Aid of Research, Artistry and Scholarship grant, a
   University of Minnesota College of Education and Human Development
   Research Development Investment Grant and the M. Janice Hogan
   Fellowship. The authors of this article have no commercial or corporate
   interests to declare.
OI Koerner, Ascan/0000-0001-6679-9677
TC 7
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
Z9 7
U1 0
U2 13
SN 0268-1161
EI 1460-2350
UT WOS:000343418500019
PM 25085798
ER

PT J
AU Caselli, Richard J.
   Langbaum, Jessica
   Marchant, Gary E.
   Lindor, Rachel A.
   Hunt, Katherine S.
   Henslin, Bruce R.
   Dueck, Amylou C.
   Robert, Jason S.
TI Public Perceptions of Presymptomatic Testing for Alzheimer Disease
SO MAYO CLINIC PROCEEDINGS
VL 89
IS 10
BP 1389
EP 1396
DI 10.1016/j.mayocp.2014.05.016
PD OCT 2014
PY 2014
AB Objective: To explore the self-expressed desire for, envisioned reaction
   to, and basic understanding of presymptomatic Alzheimer disease (AD)-
   related genetic and biomarker tests.
   Patients and Methods: The Alzheimer's Prevention Registry is an online
   community of people at least 18 years of age who are interested in AD
   prevention research for purely informational purposes or to be
   considered for possible research participation in future studies.
   Information about presymptomatic testing and an online multiple choice
   format survey were posted from November 1, 2012, through June 20, 2013,
   on the registry website.
   Results: Of 4036 respondents, 80.8% (3195/3952) wanted genetic testing
   if paid by insurance and 58.7% (2261/3851) if it would cost them at
   least $100. A total of 80.2% (3112/3879) wanted biomarker testing. If at
   high risk for AD, 90.5% (3478/3841) endorsed that they would "pursue a
   healthier lifestyle," but 11.6% (427/3706) endorsed " seriously consider
   suicide." The implication of a positive genetic test result was
   incorrectly understood by 13.1% (500/3812) and 32.6% (1255/3848) failed
   to view a positive biomarker test result as evidence of increased risk
   for or the presence of AD.
   Conclusion: Despite efforts to increase public awareness of AD, our
   survey results suggest that greater education of the public is needed.
   Interested patients should probably undergo psychological screening to
   identify those at high risk of adverse psychological outcomes, and
   disclosure of presymptomatic test results should be anchored to tangible
   constructive action plans, such as healthy lifestyle changes, long-term
   care planning, and, when available and appropriate, participation in
   research trials. (C) 2014 Mayo Foundation for Medical Education and
   Research
OI Lindor, Rachel/0000-0003-3099-8388; Robert, Jason/0000-0002-5346-0575
ZB 9
ZA 0
ZR 0
TC 33
Z8 0
ZS 0
Z9 33
U1 1
U2 16
SN 0025-6196
EI 1942-5546
UT WOS:000343230500014
PM 25171823
ER

PT J
AU Whitaker, L.
   Long, J.
   Petroczi, A.
   Backhouse, S. H.
TI Using the prototype willingness model to predict doping in sport
SO SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
VL 24
IS 5
BP E398
EP E405
DI 10.1111/sms.12148
PD OCT 2014
PY 2014
AB To enable preventive measures to be designed, it is important to
   identify modifiable distal and proximal factors underlying doping
   behavior. This study investigated aspects of the prototype willingness
   model in relation to doping. A cross-sectional study was conducted
   involving 729 competitive athletes. Following ethical approval, athletes
   (mean age=28.8 +/- 10.1years; 63% male) completed an online
   questionnaire, which assessed doping-related attitudes, norms, prototype
   perceptions, outcome expectancies, and behavioral willingness. Using
   hierarchical multiple regression analysis, 54.4% of the total variance
   in willingness to dope was explained. Specifically, past doping,
   attitudes, and favorability of performance enhancing substance user
   prototypes were the strongest unique predictors of willingness to dope.
   Athletes appeared most willing to dope if they were to suffer an injury,
   a dip in performance, or think others are doping and getting away with
   it. National-level athletes displayed significantly greater willingness
   to dope (Kruskal-Wallis (2)=35.9, P<0.001) and perceived themselves as
   significantly more similar to a doper (Kruskal-Wallis (2)=13.4, P=0.004)
   than athletes competing at any other level. The findings highlight the
   importance of extending anti-doping provision beyond elite-level sport
   and the need to target athletes' doping-related perceptions.
RI Petroczi, Andrea/ABG-9863-2021; Whitaker, Lisa/; Backhouse, Susan/
OI Petroczi, Andrea/0000-0002-8365-6173; Whitaker,
   Lisa/0000-0002-0686-7946; Backhouse, Susan/0000-0002-4810-5173
Z8 1
ZA 0
ZR 0
ZS 1
ZB 5
TC 26
Z9 27
U1 0
U2 31
SN 0905-7188
EI 1600-0838
UT WOS:000342743300009
PM 25371934
ER

PT J
AU Bezner, Stephanie K.
   Bernstein, Ira H.
   Oldham, Keith T.
   Goldin, Adam B.
   Fischer, Anne C.
   Chen, Li Ern
TI Pediatric surgeons' attitudes toward regionalization of neonatal
   surgical care
SO JOURNAL OF PEDIATRIC SURGERY
VL 49
IS 10
BP 1475
EP 1479
DI 10.1016/j.jpedsurg.2014.03.002
PD OCT 2014
PY 2014
AB Background/Purpose: Research has suggested that high-risk pediatric
   surgical patients have better outcomes when treated in resource-rich
   children's environments. Surgical neonates are a particularly high-risk
   population and some suggest that regionalization might be a strategy to
   improve clinical outcomes in neonatal surgical patients. We conducted a
   national survey of pediatric surgeons in the United States to explore
   their attitudes toward regionalization of neonatal surgical care.
   Methods: Members of the American Pediatric Surgical Association were
   asked to participate in an anonymous online survey to assess both
   attitudes toward regionalization, as well as perceptions of the
   importance of various resources in providing optimal care for surgical
   neonates.
   Results: Overall, 56.2% of participants favored regionalization.
   Surgeons whose practice was part of a training program tended to favor
   regionalization more, as did those from larger group practices and those
   who practiced at free-standing children's hospital. In addition,
   surgeons from larger groups and those involved with training programs
   more strongly favored the premise that a higher level of resource
   commitment should be available to treat surgical neonates.
   Conclusions: The impact of any national strategy to improve neonatal
   surgical outcomes will be large and multifaceted. While the majority of
   pediatric surgeons favor regionalization, our findings demonstrate
   variation in this view and highlight the necessity for surgeon
   involvement and education that will be critical in this effort. (C) 2014
   Elsevier Inc. All rights reserved.
ZA 0
ZS 0
ZB 4
Z8 0
TC 12
ZR 0
Z9 12
U1 0
U2 1
SN 0022-3468
EI 1531-5037
UT WOS:000343140200007
PM 25280649
ER

PT J
AU Anderson, Joshua T.
   Sullivan, T. Barrett
   Ahn, Uri M.
   Ahn, Nicholas U.
TI Analysis of Internet information on the controversial X-Stop device
SO SPINE JOURNAL
VL 14
IS 10
BP 2412
EP 2419
DI 10.1016/j.spinee.2014.01.056
PD OCT 2014
PY 2014
AB BACKGROUND CONTEXT: The Internet is frequently used by patients to aid
   in medical decision making. Multiple studies display the Internet's
   ineffectiveness in presenting high-quality information regarding
   surgical procedures and devices. With recent reports of unacceptably
   high complication rates and poor outcomes with the X-Stop device, it is
   important that online information is comprehensive and accurate. This
   study is the first to examine Internet information on the controversial
   X-Stop.
   PURPOSE: To determine how accurately public information over the
   Internet portrays the existing primary literature on the X-Stop, how
   extensively the X-Stop is characterized online, and how patient decision
   making could foreseeably be affected.
   STUDY DESIGN: This cross-sectional study analyzed publicly available
   Internet information, including videos on the web site YouTube regarding
   the X-Stop device.
   PATIENT SAMPLE: No patients were involved in this study.
   OUTCOME MEASURES: No specific outcome measures were used.
   METHODS: Search engines Google, Yahoo, and Bing were used to identify
   105 web sites providing information on the X-Stop. Videos on the web
   site YouTube were included. Web sites were categorized based on the
   authorship. Each site was analyzed for the provision of appropriate
   patient inclusion and exclusion criteria, surgical and nonsurgical
   treatment alternatives, purported benefits, common complications,
   peer-reviewed literature citations, and descriptions/diagrams of the
   procedure. Data were evaluated for each authorship subgroup and the
   entire group of sites.
   RESULTS: Forty-three percent of sites were authored by a private medical
   group, 4% by an academic medical group, 16% by an insurance company, 9%
   by a biomedical industry, 10% by news sources, and 19% by other.
   Thirty-one percent of web sites and 11% of sites authored by private
   medical groups contained references to peer-reviewed literature.
   Fifty-six percent of web sites reported patient inclusion criteria,
   whereas 33% reported exclusion criteria. Benefits and complications were
   reported within 91% and 23% of sites, respectively. Surgical and
   nonsurgical treatment options were mentioned within 59% and 61% of web
   sites, respectively.
   CONCLUSIONS: Our study demonstrates the Internet's ineffectiveness in
   reporting quality information on the X-Stop. Information was often
   incomplete and potentially misleading. Significant controversy exists
   within primary literature regarding the safety and efficacy of the
   X-Stop. Yet, publicly available Internet information largely provided
   misinformation and did not reflect any such controversy. This raises the
   concern that such information lends itself more toward patient
   recruitment than patient education. Medical professionals need to know
   how this may affect their patients' decision making. (C) 2014 Elsevier
   Inc. All rights reserved.
TC 7
ZA 0
ZB 4
ZS 0
Z8 0
ZR 0
Z9 7
U1 0
U2 15
SN 1529-9430
EI 1878-1632
UT WOS:000343100600017
PM 24509178
ER

PT J
AU Janssen, Anna
   Robinson, Tracy
   Shaw, Tim
TI The Evolution of a Professional Practice Forum: Balancing Peer-to-Peer
   Learning With Course Objectives.
SO JMIR research protocols
VL 3
IS 4
BP e58
EP e58
DI 10.2196/resprot.3287
PD 2014 Oct 31
PY 2014
AB BACKGROUND: The Opioid Treatment Accreditation Course (OTAC) is a
   mandatory accreditation requirement in New South Wales, Australia, and
   aims to prepare medical practitioners for the provision of safe and
   effective Opioid Substitution Treatment to people with opioid
   dependence. The course has a strong focus on safe prescribing practices
   and the course design includes a Professional Practice Forum that is
   engaging for participants and effective at imparting complex ideas and
   concepts that do not place additional time constraints on already
   time-poor health professionals.
   OBJECTIVE: The study aimed to use participatory action research methods
   to develop and evaluate an online Professional Practice Forum that is a
   key component of the OTAC teaching and learning experience.
   METHODS: Three evaluation cycles were implemented with three cohorts of
   participants (N=40) to inform the design and review of the updated OTAC
   course. Overall, the study relied on participatory action research
   methods to enhance a sense of online community and to revise the
   Professional Practice Forum component of the course. Findings from
   survey feedback and an examination of Web metrics were used to monitor
   participant learning and were subsequently subject to thematic analysis
   in order to identify key themes.
   RESULTS: The use of participatory action techniques in the redesign of
   the OTAC course was a successful means of engaging with participants and
   resulted in four revisions based on feedback from facilitators and
   participants. The Professional Practice Forum was rated highly and
   received positive feedback from both moderators and participants.
   CONCLUSIONS: The use of interactive forums in online learning in an
   educational module for adult learners can prove extremely valuable as a
   means for participants to share their expertise and improve their
   learning outcomes. In particular, the use of sticky and welcome threads
   were significant features that enhanced interactions between
   participants and facilitators and resulted in increased quantity and
   quality of postings. These findings can help inform future researchers
   on how to develop peer engagement modules that are amenable to
   assessment and that build an online sense of community.
RI Janssen, Anna/AAE-6751-2019
OI Janssen, Anna/0000-0001-6611-9651
ZS 0
TC 3
ZR 0
Z8 0
ZB 2
ZA 0
Z9 3
U1 0
U2 0
SN 1929-0748
UT MEDLINE:25363273
PM 25363273
ER

PT J
AU Kobewka, Daniel
   Backman, Chantal
   Hendry, Paul
   Hamstra, Stanley J.
   Suh, Kathryn N.
   Code, Catherine
   Forster, Alan J.
TI The feasibility of e-learning as a quality improvement tool
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 20
IS 5
BP 606
EP 610
DI 10.1111/jep.12169
PD OCT 2014
PY 2014
AB Rational, aims and objectivesMany quality problems exist in health care.
   We aim to investigate the feasibility and acceptability of using
   e-learning (defined as computer-based learning modules) to address gaps
   in quality of care.
   MethodsWe performed a qualitative evaluation of participants in a pilot
   e-learning program. Physician members of six medical teaching units
   (MTUs) at a multi-site tertiary care teaching hospital were asked to
   complete two e-learning modules addressing hand hygiene practices and
   management of community-acquired pneumonia (CAP). An e-learning design
   team created online modules that were made available to members of the
   six MTUs for 4 weeks using a password secured website. Use of the
   modules was voluntary. Participants' perceptions of module content, mode
   of delivery, and suggestions for improvement were determined through
   focus groups. We then performed content analysis on the transcripts. We
   used system data to define patterns of module access.
   ResultsOut of 55 eligible users, 30 (55%) logged onto the system at
   least once. Residents (14/30, 47%) were less likely to use the system
   than medical students (9/14, 64%) and attending staff (7/11, 64%).
   Learners at all levels thought the modules were easy to use.
   Participants liked the knowledge-based material in the CAP module
   because it directly applied to their work. There were less favourable
   opinions of the hand hygiene module
   ConclusionsGenerating e-learning modules targeted at gaps in quality of
   care is feasible and acceptable to learners. Future studies should
   assess whether these approaches lead to desired changes in behavior.
RI Backman, Chantal/G-5206-2016; Backman, Chantal/AAV-1661-2020; Hamstra, Stanley/A-3808-2016; Hamstra, Stanley/N-1310-2019
OI Backman, Chantal/0000-0001-7431-8159; Backman,
   Chantal/0000-0001-7431-8159; Hamstra, Stanley/0000-0002-0680-366X;
   Hamstra, Stanley/0000-0002-0680-366X
ZR 0
ZS 0
Z8 0
TC 6
ZB 2
ZA 0
Z9 6
U1 0
U2 36
SN 1356-1294
EI 1365-2753
UT WOS:000342806100009
PM 24828785
ER

PT J
AU Gooi, Zhen
   Ishman, Stacey L.
   Bock, Jonathan M.
   Blumin, Joel H.
   Akst, Lee M.
TI Laryngopharyngeal Reflux: Paradigms for Evaluation, Diagnosis, and
   Treatment
SO ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
VL 123
IS 10
BP 677
EP +
DI 10.1177/0003489414532777
PD OCT 2014
PY 2014
AB Objective: This study aimed to describe current patterns for diagnosis
   and treatment of laryngopharyngeal reflux (LPR) and analyze differences
   between laryngologists and non-laryngologists.
   Methods: American Academy of Otolaryngology Head and Neck Surgery and
   American Broncho-Esophagological Association members were invited to
   complete an online survey regarding evaluation, diagnosis, and treatment
   of LPR. Subgroup analysis was performed to identify differences between
   respondents who completed laryngology fellowships (LF) and those who did
   not (NL).
   Results: Of 159 respondents, 40 were LF. Video documentation of
   laryngopharyngeal exams was almost universal among LF (97% vs 38%, P <
   .0001). Use of rigid (100%, P = .002) and flexible distal-chip
   technologies (94%, P = .004) was more common among LF. Diagnostic
   criteria were similar between the groups, with symptoms of heartburn,
   globus, and throat clearing thought most suggestive of LPR. Adjunctive
   tests most commonly used were barium esophagram and dual-probe pH
   testing with impedance. Laryngology fellowship-trained respondents used
   dual pH probes with impedance more often (P = .004). They were more
   likely to prescribe twice daily proton pump inhibitors with concurrent
   H2-blocker medication initially (P = .004) and to treat for longer than
   4 weeks (P = .0003).
   Conclusion: Otolaryngologists are in agreement on symptoms and physical
   features of LPR; however, significant differences exist between
   laryngologists and non-laryngologists on the use of adjunctive testing
   and treatment strategies.
RI Bock, Jonathan M./J-5910-2019; Akst, Lee/
OI Bock, Jonathan M./0000-0002-4367-7527; Akst, Lee/0000-0002-8925-0545
ZA 0
ZS 0
ZR 0
Z8 2
ZB 7
TC 14
Z9 16
U1 0
U2 6
SN 0003-4894
EI 1943-572X
UT WOS:000342261800001
PM 24789800
ER

PT J
AU Parker, Rhian
   Forrest, Laura
   McCracken, James
   Mcrae, Ian
   Cox, Darlene
TI What primary health-care services are Australian consumers willing to
   accept from nurse practitioners? A National Survey
SO HEALTH EXPECTATIONS
VL 17
IS 5
BP 733
EP 740
DI 10.1111/j.1369-7625.2012.00800.x
PD OCT 2014
PY 2014
AB Background Nurses are becoming increasingly important as providers of
   primary health care in Australia. In November 2010, Medicare provider
   rights and Pharmaceutical Benefits Scheme rights for nurse
   practitioners, working in private practice and in collaboration with a
   medical practitioner, were introduced in Australia. Although
   international evidence suggests that nurse practitioners would be
   appropriate and acceptable providers of care at the first point of
   contact, such as primary health care, there is little Australian
   evidence about what care consumers are willing to accept from nurse
   practitioners.
   Objectives To ascertain what care Australian health-care consumers would
   accept from nurse practitioners in this setting.
   Participants Australian adults over 18 years of age.
   Methods National Survey delivered online. Information about the survey
   was disseminated through a media campaign, stakeholder engagement and
   through the health-care consumer networks nationally.
   Results The total number of respondents that started the survey was n =
   1883. Ninety-five percentage (n = 1784) of respondents completed the
   survey. The majority of respondents were women, aged 25-54 years, had
   completed tertiary education and had an annual household income of more
   than A$80 000. The majority of the respondents (n = 1562, 87%) said they
   would be prepared to see a nurse practitioner for some of their primary
   health-care needs.
   Conclusions The findings of this study suggest consumers are accepting
   of a range of activities undertaken by nurse practitioners in primary
   health care and this has relevance for primary healthcare workforce mix
   and organization, particularly for areas that are underserved by medical
   practitioners.
OI Forrest, Laura/0000-0002-1126-4971; Parker, Rhian/0000-0002-1495-6551
ZS 0
Z8 0
ZA 0
TC 14
ZR 0
ZB 0
Z9 14
U1 0
U2 10
SN 1369-6513
EI 1369-7625
UT WOS:000342581600013
PM 22784392
ER

PT J
AU Fitzgerald, James M.
   Krause, Katherine E.
   Yermak, Darya
   Dunne, Suzanne
   Hannigan, Ailish
   Cullen, Walter
   Meagher, David
   McGrath, Deirdre
   Finucane, Paul
   Coffey, Calvin
   Dunne, Colum
TI The first survey of attitudes of medical students in Ireland towards
   termination of pregnancy
SO JOURNAL OF MEDICAL ETHICS
VL 40
IS 10
BP 710
EP 713
DI 10.1136/medethics-2013-101608
PD OCT 2014
PY 2014
AB Background Since the UK Abortion Act (1967), women have travelled from
   Ireland to the UK for legal abortion. In 2011 >4000 women did so.
   Knowledge and attitudes of medical students towards abortion have been
   published, however, this is the first such report from Ireland.
   Objective To investigate medical students' attitudes towards abortion in
   Ireland.
   Methods All medical students at the University of Limerick, and
   physicians who graduated from the university within the previous 12
   months, were invited via email to complete an anonymous online survey.
   The questionnaire comprised 17 questions. Quantitative and qualitative
   analyses were performed.
   Results Response rate was 45% (n = 169; 55% women; 88.2% <30 years of
   age; 66.7% Irish; 29.2% North American). Outcomes were: abortion should
   not be legally available (7.1%), abortion should be allowed in limited
   circumstances only (35.5%), abortion should be legally available upon
   request (55%). 72.8% of respondents were moderately/strongly prochoice
   (74% of women/71% of men/72% and 76% of Irish and North American
   respondents, respectively). Students aged >30 years were less likely to
   be prochoice (55%). While 95.2% believed that education on abortion
   should be offered within medical school curricula, 28.8% stated that
   they would decline to terminate pregnancies even if legally permitted.
   While 58.8% indicated that they might perform legal abortions once
   qualified, 25.7% would do so under limited circumstances only.
   Conclusions The majority of participants wanted education regarding
   abortion. Despite being predominantly prochoice, considerably fewer
   students, irrespective of nationality, indicated that they would perform
   abortions.
RI Cullen, Walter/AAD-4327-2019; Cullen, Walter/; Dunne, Colum/
OI Cullen, Walter/0000-0003-1838-5052; Dunne, Colum/0000-0002-5010-3185
ZR 0
Z8 0
ZA 0
TC 8
ZS 0
ZB 0
Z9 8
U1 0
U2 15
SN 0306-6800
EI 1473-4257
UT WOS:000342570900017
PM 23963257
ER

PT J
AU Mulvaney, Shelagh A.
   Jaser, Sarah S.
   Rothman, Russell L.
   Russell, William E.
   Pittel, Eric J.
   Lybarger, Cindy
   Wallston, Kenneth A.
TI Development and validation of the diabetes adolescent problem solving
   questionnaire
SO PATIENT EDUCATION AND COUNSELING
VL 97
IS 1
BP 96
EP 100
DI 10.1016/j.pec.2014.07.005
PD OCT 2014
PY 2014
AB Objective: Problem solving is a critical diabetes self-management skill.
   Because of a lack of clinically feasible measures, our aim was to
   develop and validate a self-report self-management problem solving
   questionnaire for adolescents with type 1 diabetes (T1D).
   Methods: A multidisciplinary team of diabetes experts generated
   questionnaire items that addressed diabetes self-management problem
   solving. Iterative feedback from parents and adolescents resulted in 27
   items. Adolescents from two studies (N= 156) aged 13-17 were recruited
   through a pediatric diabetes clinic and completed measures through an
   online survey. Glycemic control was measured by HbAl c recorded in the
   medical record.
   Results:. Empirical elimination of items using principal components
   analyses resulted in a 13-item unidimensional measure, the diabetes
   adolescent problem solving questionnaire (DAPSQ) that explained 56% of
   the variance. The DAPSQ demonstrated internal consistency (Cronbach's
   alpha = 0.92) and was correlated with diabetes self-management (r =
   0.53, p <. 001), self-efficacy (r = 0.54, p <. 001), and glycemic
   control (r = -0.24, p <. 01).
   Conclusion: The DAPSQ is a brief instrument for assessment of diabetes
   self-management problem solving in youth with T1D and is associated with
   better self-management behaviors and glycemic control.
   Practice implications: The DAPSQ is a clinically feasible self-report
   measure that can provide valuable information regarding level of
   self-management problem solving and guide patient education. (C) 2014
   Elsevier Ireland Ltd. All rights reserved.
OI Rothman, Russsell/0000-0002-1506-3990
TC 7
ZS 0
ZB 1
ZA 0
ZR 0
Z8 0
Z9 7
U1 0
U2 15
SN 0738-3991
UT WOS:000342531800015
PM 25063715
ER

PT J
AU Bailin, Alexandra
   Milanaik, Ruth
   Adesman, Andrew
TI Health implications of new age technologies for adolescents: a review of
   the research
SO CURRENT OPINION IN PEDIATRICS
VL 26
IS 5
BP 605
EP 619
DI 10.1097/MOP.0000000000000140
PD OCT 2014
PY 2014
AB Purpose of review
   Within the past 20 years, there have been profound advances in personal
   technology. Although adolescents have embraced the Internet, video games
   and smart phones, with their extraordinary potential for education,
   entertainment and connecting with peers, respectively, there is a 'dark
   side' to these new age technologies. This article identifies many of the
   adverse physical, psychological, developmental and emotional
   consequences of our new age technologies.
   Recent findings
   As Internet access has become easier, faster and more ubiquitous, there
   is increased evidence of its potential for direct and indirect harm to
   teens. Sexually explicit material is now indiscriminately available to
   youth, and studies have linked pornography with a number of negative
   health effects. Internet addiction is a problem even among teenagers who
   do not view pornography online. The rise of the Internet and social
   media sites now makes it easier for a student to bully a peer, and
   adolescents represent the majority of cyberbullying victims These
   technologies not only carry increased morbidity but also mortality, with
   increased suicides due to cyberbullying and motor vehicle deaths due to
   texting while driving.
   Summary
   Paediatricians play a critical role in educating adolescents and their
   parents about the risks associated with new age technologies.
ZS 1
Z8 0
ZB 10
ZR 0
TC 38
ZA 0
Z9 39
U1 6
U2 294
SN 1040-8703
EI 1531-698X
UT WOS:000341833900013
PM 25160783
ER

PT J
AU Teman, Nicholas R.
   Gauger, Paul G.
   Mullan, Patricia B.
   Tarpley, John L.
   Minter, Rebecca M.
TI Entrustment of General Surgery Residents in the Operating Room: Factors
   Contributing to Provision of Resident Autonomy
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 219
IS 4
BP 778
EP 787
DI 10.1016/j.jamcollsurg.2014.04.019
PD OCT 2014
PY 2014
AB BACKGROUND: Several challenges threaten the traditional premise of
   graduated independence in general surgery training, leading to a lack of
   readiness in graduating surgeons. The objective of this study was to
   determine the factors contributing to faculty decisions to grant
   residents autonomy in the operating room, the barriers to granting this
   autonomy, and the factors that facilitate entrustment.
   STUDY DESIGN: An anonymous online survey was distributed to 239
   attending surgeons at 7 institutions. Questions consisted of open-ended
   and structured 5-point Likert scale questions. Descriptive statistics
   were calculated, and a qualitative analysis of free-text responses was
   performed to identify emergent themes.
   RESULTS: There were 116 attending surgeons who responded to the survey
   (49%). Factors most important to increasing resident responsibility and
   autonomy in the operating room were the resident's observed clinical
   skill and the attending surgeon's confidence level with the operation.
   Factors believed to prevent awarding graduated responsibility and
   autonomy in the operating room included an increased focus on patient
   outcomes, a desire to increase efficiency and finish operations earlier,
   and expectations of attending surgeon involvement by the hospital and
   patients. Among themes discerned in faculty responses to an open-ended
   question about the greatest challenges in graduate surgical education,
   47% of faculty identified work-hour regulations/time restrictions.
   Fourteen percent pointed to a change to a shift-work mentality and
   decreased ownership of responsibility for patients by residents; 13%
   described a lack of resident autonomy due to increased supervision
   requirements.
   CONCLUSIONS: This study identified several factors that attending
   surgeons report as significant limitations to transitioning autonomy to
   surgical residents in the operating room. These issues must be addressed
   in a direct manner if progressive graduated responsibility to
   independence is to occur in the next era of graduate surgical training.
   (C) 2014 by the American College of Surgeons
RI Gauger, Paul/W-8176-2019
ZR 0
ZA 0
TC 122
ZS 3
ZB 22
Z8 0
Z9 125
U1 0
U2 12
SN 1072-7515
EI 1879-1190
UT WOS:000342422500024
PM 25158911
ER

PT J
AU Sloane, Philip D.
   Zimmerman, Sheryl
   Reed, David
   Beeber, Anna Song
   Chisholm, Latarsha
   Kistler, Christine
   Khandelwal, Christine
   Weber, David J.
   Mitchell, C. Madeline
TI Antibiotic Prescribing in 4 Assisted-Living Communities: Incidence and
   Potential for Improvement
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 35
BP S62
EP S68
DI 10.1086/677821
SU 3
PD OCT 2014
PY 2014
AB OBJECTIVE. To describe the prevalence, characteristics, and
   appropriateness of systemic antibiotic use in assisted living (AL) and
   to conduct a preliminary quality improvement intervention trial to
   reduce inappropriate prescribing.
   DESIGN. Pre-post study, with a 13-month intervention period. SETTING.
   Four AL Communities.
   PARTICIPANTS. All prescribers, all AL staff who communicate with
   prescribers, and all patients who had an infection during the baseline
   and intervention periods.
   INTERVENTION. A standardized form for AL staff, an online education
   course and 5 practice briefs for prescribers, and monthly quality
   improvement meetings with AL staff.
   MEASUREMENTS. Monthly inventory of all systemic antibiotic
   prescriptions; interviews with the prescriber, AL staff member, closest
   family member, and patient (when capable) regarding 85 antibiotic
   prescribing episodes (30 baseline, 55 intervention), with data review by
   an expert panel to determine prescribing appropriateness.
   RESULTS. The mean number of systemic antibiotic prescriptions was 3.44
   per 1,000 resident-days at baseline and 3.37 during the intervention, a
   nonsignificant change (P =.30). Few prescribers participated in online
   training. AL staff use of the standardized form gradually increased
   during the program. The proportion of prescriptions rated as probably
   inappropriate was 26% at baseline and 15% during the intervention, a
   nonsignificant trend (P =.25). Drug selection was largely appropriate
   during both time periods.
   CONCLUSIONS. AL antibiotic prescribing rates appear to be approximately
   one-half those seen in nursing homes, with up to a quarter being
   potentially inappropriate. Interventions to improve prescribing must
   reach all physicians and staff and most likely will require long time
   periods to have the optimal effect.
TC 16
ZB 7
Z8 0
ZA 0
ZS 0
ZR 0
Z9 16
U1 0
U2 2
SN 0899-823X
EI 1559-6834
UT WOS:000341939700010
PM 25222900
ER

PT J
AU Marshall, Elizabeth
   York, Janet
   Magruder, Kathryn
   Yeager, Derik
   Knapp, Rebecca
   De Santis, Mark L.
   Burriss, Louisa
   Mauldin, Mary
   Sulkowski, Stan
   Pope, Charlene
   Jobes, David A.
TI Implementation of Online Suicide-Specific Training for VA Providers
SO ACADEMIC PSYCHIATRY
VL 38
IS 5
BP 566
EP 574
DI 10.1007/s40596-014-0039-5
PD OCT 2014
PY 2014
AB Due to the gap in suicide-specific intervention training for mental
   health students and professionals, e-learning is one solution to
   improving provider skills in the Veterans Affairs (VA) health system.
   This study focused on the development and evaluation of an equivalent
   e-learning alternative to the Collaborative Assessment and Management of
   Suicidality (CAMS) in-person training approach at a Veteran Health
   Affairs medical center.
   The study used a multicenter, randomized, cluster, and three group
   design. the development of e-CAMS was an iterative process and included
   pilot testing. Eligible and consenting mental health providers, who
   completed a CAMS pre-survey, were randomized. Provider satisfaction was
   assessed using the standard VA evaluation of training consisting of 20
   items. Two post training focus groups, divided by learning conditions,
   were conducted to assess practice adoption using a protocol focused on
   experiences with training and delivery of CAMS.
   A total of 215 providers in five sites were randomized to three
   conditions: 69 to e-learning, 70 to in-person, 76 to the control. The
   providers were primarily female, Caucasian, midlife providers. Based on
   frequency scores of satisfaction items, both learning groups rated the
   trainings positively. In focus groups representing divided by learning
   conditions, participants described positive reactions to CAMS training
   and similar individual and institutional barriers to full implementation
   of CAMS.
   This is the first evaluation study of a suicide-specific e-learning
   training within the VA. The e-CAMS appears equivalent to the in-person
   CAMS in terms of provider satisfaction with training and practice
   adoption, consistent with other comparisons of training deliveries
   across specialty areas. Additional evaluation of provider confidence and
   adoption and patient outcomes is in progress. The e-CAMS has the
   potential to provide ongoing training for VA and military mental health
   providers and serve as a tutorial for psychiatrists in preparation for
   specialty boards.
RI Stanislaw, Sulkowski/R-9075-2018; Magruder, Kathryn/V-1576-2019; De Santis, Mark/
OI Stanislaw, Sulkowski/0000-0003-3943-8467; De Santis,
   Mark/0000-0002-3611-1779
ZA 0
ZB 2
ZR 0
Z8 0
TC 15
ZS 0
Z9 15
U1 1
U2 20
SN 1042-9670
EI 1545-7230
UT WOS:000342172000009
PM 24563240
ER

PT J
AU Chertok, Ilana R. Azulay
   Barnes, Emily R.
   Gilleland, Diana
TI Academic integrity in the online learning environment for health
   sciences students
SO NURSE EDUCATION TODAY
VL 34
IS 10
BP 1324
EP 1329
DI 10.1016/j.nedt.2013.06.002
PD OCT 2014
PY 2014
AB Background: The online learning environment not only affords
   accessibility to education for health sciences students, but also poses
   challenges to academic integrity. Technological advances contribute to
   new modes of academic dishonesty, although there may be a lack of
   clarity regarding behaviors that constitute academic dishonesty in the
   online learning environment.
   Objective: To evaluate an educational intervention aimed at increasing
   knowledge and improving attitudes about academic integrity in the online
   learning environment among health sciences students.
   Design: A quasi-experimental study was conducted using a survey of
   online learning knowledge and attitudes with strong reliability that was
   developed based on a modified version of a previously developed
   information technology attitudes rating tool with an added knowledge
   section based on the academic integrity statement.
   Setting: Blended-learning courses in a university health sciences
   center.
   Participants: 355 health sciences students from various disciplines,
   including nursing, pre-medical, and exercise physiology students, 161 in
   the control group and 194 in the intervention group.
   Method: The survey of online learning knowledge and attitudes (SOLKA)
   was used in a pre-post test study to evaluate the differences in scores
   between the control group who received the standard course introduction
   and the intervention group who received an enhanced educational
   intervention about academic integrity during the course introduction.
   Results: Post-intervention attitude scores were significantly improved
   compared to baseline scores for the control and intervention groups,
   indicating a positive relationship with exposure to the information,
   with a greater improvement among intervention group participants (p <
   0.001). There was a significant improvement in the mean
   post-intervention knowledge score of the intervention group compared to
   the control group (p = 0.001).
   Conclusion: Recommendations are provided for instructors in promoting
   academic integrity in the online environment. Emphasis should be made
   about the importance of academic integrity in the online learning
   environment in preparation for professional behavior in the
   technologically advancing health sciences arena. (C) 2013 Elsevier Ltd.
   All rights reserved.
Z8 0
ZR 0
TC 29
ZA 0
ZS 0
ZB 1
Z9 29
U1 2
U2 63
SN 0260-6917
EI 1532-2793
UT WOS:000342251200011
PM 23870688
ER

PT J
AU Downs, Nancy
   Feng, Wendy
   Kirby, Brittany
   McGuire, Tara
   Moutier, Christine
   Norcross, William
   Norman, Marc
   Young, Ilanit
   Zisook, Sid
TI Listening to Depression and Suicide Risk in Medical Students: the Healer
   Education Assessment and Referral (HEAR) Program
SO ACADEMIC PSYCHIATRY
VL 38
IS 5
BP 547
EP 553
DI 10.1007/s40596-014-0115-x
PD OCT 2014
PY 2014
AB A growing body of literature documents high rates of burnout,
   depression, and suicidal ideation among physicians and medical students.
   Barriers to seeking mental health treatment in this group include
   concerns about time, stigma, confidentiality, and potential career
   impact. The authors describe a 4-year trial of the Healer Education
   Assessment and Referral (HEAR) program, designed to increase mental
   health services utilization (MHSU) and decrease suicide risk (SR) as
   assessed by an Interactive Screening Program (ISP)at one US medical
   school.
   Over a 4-year period, medical students were engaged in face-to-face,
   campus-wide, educational group programs and were invited to complete an
   individual, online, and anonymous survey. This survey contained the
   9-item Patient Health Questionnaire (PHQ-9) scale to assess depression
   and items to identify suicidal thoughts and behaviors, substance use,
   distressing emotional states, and the use of mental health treatment.
   Students who engaged in this ISP by corresponding electronically with a
   counselor after completing the survey were assessed and when indicated,
   referred to further treatment.
   The HEAR program was delivered to 1,008 medical students. Thirty-four
   percent (343/1,008) completed the online screening portion. Almost 8 %
   of respondents met the criteria for high/significant SR upon analysis of
   the completed screens. Ten out of 13 of the students with SR who
   dialogued with a counselor were not already receiving mental health
   treatment, indicating that this anonymous ISP identified a high
   proportion of an untreated, at risk, and potentially suicidal
   population. MHSU among medical students who completed the survey was
   11.5 % in year 1 and 15.0 % by year 4. SR among medical students was 8.8
   % in year 1 and 6.2 % in year 4 as assessed by the ISP.
   This novel interventional program identified at risk, potentially
   suicidal medical students at one institution. Based on this single-site
   experience, we suggest that future multisite studies incorporate a
   comparison group, acquire baseline (prematriculation) data regarding
   MHSU and SR, and use an individualized yet anonymous identification
   system to measure changes in individual participants' mental health
   status over time.
ZS 2
ZB 5
ZA 0
ZR 0
TC 41
Z8 0
Z9 42
U1 1
U2 17
SN 1042-9670
EI 1545-7230
UT WOS:000342172000006
PM 24705825
ER

PT J
AU Shetty, Anup
   Hammer, Mark
   Gould, Jennifer
   Evens, Ronald
TI Results of the 2014 Survey of the American Alliance of Academic Chief
   Residents in Radiology
SO ACADEMIC RADIOLOGY
VL 21
IS 10
BP 1331
EP 1347
DI 10.1016/j.acra.2014.05.010
PD OCT 2014
PY 2014
AB Rationale and Objectives: The American Alliance of Academic Chief
   Residents in Radiology (A(3)CR(2)) conducts an annual survey of chief
   residents in accredited radiology programs in Mirth America. The survey
   serves as a tool for observing trends and disseminating ideas among
   radiology programs.
   Materials and Methods: An online survey conducted through the
   SurveyMonkey Web site was distributed to chief residents from 187
   Accreditation Council on Graduate Medical Education (ACGME)-accredited
   radiology training programs. A variety of multiple-choice and
   free-response questions were designed to gather information about
   residency program details, benefits, chief resident responsibilities,
   call, preparations for the recent American Board of Radiology Core
   Examination, implementation of selective'S (mini-fellowships),
   fellowships, health care economics and the job market, and ACGME
   milestones.
   Results: Among those surveyed, 212 unique responses from 136 programs
   were provided, yielding a 73% response rate. Data were compared to
   historical data from prior surveys dating back through 2002.
   Conclusions: Programs are increasingly providing 24-hour sonographer
   coverage, full day routine services on weekends, and 24-hour attending
   radiologist coverage. The new American Board of Radiology examination
   format and schedule has driven many changes, including when chief
   residents serve, board preparation and review, and how the final year of
   residency training is structured. Despite facing many changes, there is
   slightly more optimism among chief residents regarding their future job
   prospects.
RI Hammer, Mark/AAR-9625-2020; Shetty, Anup/H-9936-2019
OI Hammer, Mark/0000-0002-1700-7984; Shetty, Anup/0000-0003-0333-9221
ZA 0
ZB 0
TC 25
ZR 0
Z8 0
ZS 0
Z9 25
U1 0
U2 5
SN 1076-6332
EI 1878-4046
UT WOS:000341799400016
PM 25042064
ER

PT J
AU Broglio, Kathleen
   Bookbinder, Marilyn
TI Pilot of an Online Introduction to Palliative Care for Nurses
SO JOURNAL OF HOSPICE & PALLIATIVE NURSING
VL 16
IS 7
BP 420
EP 429
DI 10.1097/NJH.0000000000000089
PD OCT 2014
PY 2014
AB Death is a common occurrence in the hospital setting. Research findings
   indicate that nurses lack knowledge and are uncomfortable with the care
   of seriously ill or dying patients. Most nurses report learning about
   end-of-life care through professional and personal experiences rather
   than their undergraduate programs. Education may improve nursing
   knowledge and ultimately behavior, but there are many competing
   mandatory education requirements. Any widespread education program must
   be brief, easy to administer, and available to nursing staff working
   different shifts. A 30-minute online introduction to palliative care
   (narrated PowerPoint presentation) was created and delivered to
   registered nurses (n = 23) working on a general medical unit. The
   Palliative Care Quiz for Nursing was administered prior to viewing the
   educational presentation, immediately after, and 3 weeks later. Average
   scores of 57.6% before education increased to 72.2% after the online
   session and were sustained at 70% 3 weeks later. Nurses believed the
   education was informative, and most indicated they would change their
   practice. Although many nurses would prefer a live presentation, there
   was acceptance of the online format. The results highlight deficiencies
   in palliative care nursing knowledge and provide direction for future
   nursing palliative care educational endeavors.
ZR 0
ZA 0
ZB 1
ZS 0
TC 10
Z8 0
Z9 10
U1 0
U2 18
SN 1522-2179
EI 1539-0705
UT WOS:000341831900006
ER

PT J
AU Merwin, Rhonda M.
   Moskovich, Ashley A.
   Dmitrieva, Natalia O.
   Pieper, Carl F.
   Honeycutt, Lisa K.
   Zucker, Nancy L.
   Surwit, Richard S.
   Buhi, Lori
TI Disinhibited eating and weight-related insulin mismanagement among
   individuals with type 1 diabetes
SO APPETITE
VL 81
BP 123
EP 130
DI 10.1016/j.appet.2014.05.028
PD OCT 1 2014
PY 2014
AB Objective: Withholding insulin for weight control is a dangerous
   practice among individuals with type I diabetes; yet little is known
   about the factors associated with this behavior. Studies of nondiabetic
   individuals with weight concerns suggest that eating in a disinhibited
   manner (e.g., binge eating) predicts the use of maladaptive compensatory
   strategies (e.g., self-induced vomiting). The purpose of this study was
   to test whether individuals with type 1 diabetes are less restrained in
   their eating when they think their blood glucose (BG) is low and whether
   this contributes to insulin omission for weight control purposes and
   subsequently higher hemoglobin A1c (HbA1c). Methods: Two-hundred and
   seventy-six individuals with type 1 diabetes completed an online survey
   of eating behaviors, insulin dosing and most recent HbA1c. We used
   structural equation modeling to test the hypothesis that disinhibited
   eating when blood sugar is thought to be low predicts weight-related
   insulin mismanagement, and this, in turn, predicts higher HbA1c.
   Results: The majority of participants endorsed some degree of
   disinhibition when they think their blood glucose is low (e.g., eating
   foods they do not typically allow) and corresponding negative affect
   (e.g., guilt/shame). The frequency of disinhibited eating was positively
   associated with weight-related insulin mismanagement. Controlling for
   age, sex, education, and insulin pump use, the model explained 31.3% of
   the variance in weight-related insulin mismanagement and 16.8% of the
   variance in HbA1c. Conclusion: Addressing antecedents to disinhibited
   eating that are unique to type 1 diabetes (e.g., perceived BG level) and
   associated guilt or shame may reduce weight-related insulin omission.
   (C) 2014 Elsevier Ltd. All rights reserved.
OI Pieper, Carl/0000-0003-4809-1725; Dmitrieva, Natalia/0000-0001-7813-9131
TC 22
ZB 8
ZA 0
ZS 0
Z8 0
ZR 0
Z9 22
U1 0
U2 24
SN 0195-6663
EI 1095-8304
UT WOS:000340987000018
PM 24882448
ER

PT J
AU Thoma, Brent
   Joshi, Nikita
   Trueger, Seth
   Chan, Teresa M.
   Lin, Michelle
TI Five Strategies to Effectively Use Online Resources in Emergency
   Medicine
SO ANNALS OF EMERGENCY MEDICINE
VL 64
IS 4
BP 392
EP 395
DI 10.1016/j.annemergmed.2014.05.029
PD OCT 2014
PY 2014
RI Chan, Teresa/T-6676-2017; Thoma, Brent/AAS-8775-2020; Thoma, Brent/ABI-2642-2020; Trueger, N. Seth/
OI Chan, Teresa/0000-0001-6104-462X; Thoma, Brent/0000-0003-1124-5786;
   Trueger, N. Seth/0000-0001-8797-2192
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
TC 39
Z9 39
U1 0
U2 4
SN 0196-0644
EI 1097-6760
UT WOS:000342882900013
PM 24962889
ER

PT J
AU Schilling, T.
   Elff, M.
   Haverich, A.
TI Early public relations of research groups to facilitate industrial
   partnering for future translation activities
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 59
BP S985
EP S985
DI 10.1515/bmt-2014-4423
SU 1
PD OCT 2014
PY 2014
RI Haverich, Axel/AAC-7552-2022
ZR 0
ZA 0
TC 0
Z8 0
ZS 0
ZB 0
Z9 0
U1 0
U2 0
SN 0013-5585
EI 1862-278X
UT WOS:000511887900435
ER

PT J
AU Schumann, S.
   Schneider, M.
   Seifried, J.
   Titschen, V
   Guttmann, J.
TI A Practical training course "Technology of Anaesthesiology and Intensive
   Care Medicine" for physicians
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 59
BP S1210
EP S1210
DI 10.1515/bmt-2014-4549
SU 1
PD OCT 2014
PY 2014
ZB 0
TC 0
ZA 0
ZS 0
ZR 0
Z8 0
Z9 0
U1 0
U2 0
SN 0013-5585
EI 1862-278X
UT WOS:000511887900560
ER

PT J
AU Seifried, J.
   Titschen, V
   Guttmann, J.
   Schumann, S.
TI Demands on a continuing education online-study program for physicians
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 59
BP S1195
EP S1196
DI 10.1515/bmt-2014-4539
SU 1
PD OCT 2014
PY 2014
AB Physicians have an intense and irregular workday life. Thus, they need
   to use their time for continuing education in a most efficient way. This
   presents a major challenge to suppliers of continuing study programs. As
   such a supplier of an online master program we could gain experience in
   this field for about almost four years. By evaluating the master
   program, we found certain requirements which allow working physicians to
   study efficiently and successfully.
   [GRAPHICS]
   .
TC 0
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
Z9 0
U1 0
U2 1
SN 0013-5585
EI 1862-278X
UT WOS:000511887900550
ER

PT J
AU Dyson, Edward W.
   Kolias, Angelos G.
   Burnstein, Rowan M.
   Hutchinson, Peter J. A.
   Garnett, Matthew R.
   Menon, David K.
   Trivedi, Rikin A.
TI Neuro-critical care: A valuable placement during foundation and early
   neurosurgical training
SO BRITISH JOURNAL OF NEUROSURGERY
VL 28
IS 5
BP 675
EP 679
DI 10.3109/02688697.2014.887658
PD OCT 2014
PY 2014
AB Introduction. Neurosciences critical care units (NCCUs) present a unique
   opportunity to junior trainees in neurosurgery as well as foundation
   trainees looking to gain experience in the management of critically ill
   patients with neurological conditions. Placements in NCCUs are
   undertaken in the early years of neurosurgical training or during
   neurosciences themed foundation programmes. We sought to quantify the
   educational benefits of such placements from the trainee perspective.
   Methods. Thirty-two trainees who had undertaken placements at Foundation
   Year 2 (FY2) to Specialty Trainee Year 3 (ST3) level between August 2009
   and April 2013 were invited to take part in an online questionnaire
   survey. Competence in individual skills was self-rated on a ranked scale
   from one (never observed) to five (performed unsupervised) both before
   and after the placement. Trainees were also asked a series of questions
   pertaining to their ability to manage common neurosurgical conditions,
   as well as the perceived educational rigour of their placement. Results.
   Twenty-three responses were received. Eighteen responses were from FY2s
   and seven were from ST1-3 level trainees. Following their placements,
   100% of respondents felt better equipped to deal with neurosurgical and
   neurological emergencies and cranial trauma. Most felt better equipped
   to manage hydrocephalus (95.7%), polytrauma patients (95.7%),
   spontaneous intracranial haemorrhage (91.3%) and spinal trauma (82.6%).
   Significant increases were seen in experience in all practical skills
   assessed. These included central venous catheterisation (p < 0.001),
   intracranial pressure (ICP) bolt insertion (p < 0.001), ICP bolt removal
   (p < 0.001), external ventricular drain (EVD) insertion (p = 0.001) and
   tapping of EVD for cerebrospinal fluid sample (p < 0.001). Conclusion.
   Our results clearly demonstrate the educational benefits of NCCU
   placements in the early stages of a neurosurgical training programme as
   well as in the Foundation Programme. This supports the incorporation of
   a four-to six-month NCCU rotation in early years training as
   educationally valuable.
RI Burnstein, Rowan/AAF-3611-2021; Burnstein, Rowan/; Dyson, Edward William/; Kolias, Angelos/
OI Burnstein, Rowan/0000-0003-2107-1433; Dyson, Edward
   William/0000-0002-2539-5374; Kolias, Angelos/0000-0003-3992-0587
Z8 0
TC 5
ZS 0
ZB 1
ZR 0
ZA 0
Z9 5
U1 0
U2 2
SN 0268-8697
EI 1360-046X
UT WOS:000341753500018
PM 24564243
ER

PT J
AU Nelson, Katharine
   Bagnall, Alan
   Nesbitt, Craig
   Davey, Philip
   Mafeld, Sebastian
TI Developing cross-specialty endovascular simulation training.
SO The clinical teacher
VL 11
IS 6
BP 411
EP 5
DI 10.1111/tct.12174
PD 2014-Oct
PY 2014
AB BACKGROUND: Simulation is increasingly recognised as a valuable tool in
   training tomorrow's doctors. This technology has the potential to
   improve patient safety and address some of the challenges posed by
   recent changes in doctors' training, yet the uptake has been slow in the
   majority of institutions. In our own centre, we noted existing equipment
   was used infrequently. We sought to address this problem through the
   development of a 1-day training course in simulation (SIM) and basic
   interventional skills aimed at trainees from across different
   endovascular specialties.
   METHODS: A 1-day course for trainees in cardiology, interventional
   radiology and vascular surgery was piloted. A variety of endovascular
   simulators were used to teach core skills common to all three
   specialties, under the umbrella theme of safe access, safe navigation
   and safe closure. Independent continuing use of SIM-based training was
   encouraged. Trainee and faculty member experiences of SIM training in a
   cross-specialty environment were explored by interview and online
   questionnaire.
   RESULTS: Thirty-six trainees completed the pilot training course.
   Feedback was almost universally positive, with all trainees agreeing
   that SIM was useful in achieving the course's objectives, and that they
   would recommend the course to a colleague. Cross-specialty training was
   viewed positively by trainees and trainers alike, with benefits
   identified in knowledge and skills sharing, as well as fostering better
   clinical collaboration. SIM-based training was perceived as useful in
   promoting patient safety, and is considered to be a desirable component
   of future training.
   DISCUSSION: We present a SIM-based model that achieves economies of
   scale by delivering common skill-set training for doctors from different
   specialties. Through our experiences piloting this course we discuss how
   the recognised barriers to adopting this new technology may be addressed
   and offer insights into how SIM may be integrated into existing training
   programmes.
TC 9
ZB 0
ZR 0
ZA 0
Z8 0
ZS 0
Z9 9
U1 0
U2 3
EI 1743-498X
UT MEDLINE:25212923
PM 25212923
ER

PT J
AU Guarino, Salvatore
   Leopardi, Eleonora
   Sorrenti, Salvatore
   De Antoni, Enrico
   Catania, Antonio
   Alagaratnam, Swethan
TI Internet-based versus traditional teaching and learning methods.
SO The clinical teacher
VL 11
IS 6
BP 449
EP 53
DI 10.1111/tct.12191
PD 2014-Oct
PY 2014
AB BACKGROUND: The rapid and dramatic incursion of the Internet and social
   networks in everyday life has revolutionised the methods of exchanging
   data. Web 2.0 represents the evolution of the Internet as we know it.
   Internet users are no longer passive receivers, and actively participate
   in the delivery of information. Medical education cannot evade this
   process. Increasingly, students are using tablets and smartphones to
   instantly retrieve medical information on the web or are exchanging
   materials on their Facebook pages. Medical educators cannot ignore this
   continuing revolution, and therefore the traditional academic schedules
   and didactic schemes should be questioned. Analysing opinions collected
   from medical students regarding old and new teaching methods and tools
   has become mandatory, with a view towards renovating the process of
   medical education.
   METHODS: A cross-sectional online survey was created with Google docs
   and administrated to all students of our medical school. Students were
   asked to express their opinion on their favourite teaching methods,
   learning tools, Internet websites and Internet delivery devices. Data
   analysis was performed using spss.
   RESULTS: The online survey was completed by 368 students. Although
   textbooks remain a cornerstone for training, students also identified
   Internet websites, multimedia non-online material, such as the
   Encyclopaedia on CD-ROM, and other non-online computer resources as
   being useful.
   DISCUSSION: The Internet represented an important aid to support
   students' learning needs, but textbooks are still their resource of
   choice. Among the websites noted, Google and Wikipedia significantly
   surpassed the peer-reviewed medical databases, and access to the
   Internet was primarily through personal computers in preference to other
   Internet access devices, such as mobile phones and tablet computers.
   Increasingly, students are using tablets and smartphones to instantly
   retrieve medical information.
RI Sorrenti, Salvatore/AGZ-2978-2022; SORRENTI, Salvatore/AIB-9684-2022; Alagaratnam, Swethan/AAW-2009-2020; CATANIA, Antonio/; Alagaratnam, Swethan/
OI SORRENTI, Salvatore/0000-0003-0427-6648; CATANIA,
   Antonio/0000-0003-0424-1189; Alagaratnam, Swethan/0000-0002-4903-6886
TC 19
ZB 2
ZS 0
Z8 1
ZR 0
ZA 0
Z9 20
U1 0
U2 27
EI 1743-498X
UT MEDLINE:25212932
PM 25212932
ER

PT J
AU Chen, Christina S
   Kaufman, Jedediah A
   Mann, F A
TI ASER core curriculum illustration project-volvulus: a rare cause of
   small bowel obstruction.
SO Emergency radiology
VL 21
IS 5
BP 553
EP 5
DI 10.1007/s10140-014-1224-2
PD 2014-Oct
PY 2014
AB This is the ninth installment of a series that will highlight one case
   per publication issue from the bank of cases available online as part of
   the American Society of Emergency Radiology (ASER) educational
   resources. Our goal is to generate more interest in and use of our
   online materials. To view more cases online, please visit the ASER Core
   Curriculum and Recommendations for Study online at
   http://www.aseronline.org/curriculum/toc.htm . 
ZR 0
TC 0
ZS 0
ZA 0
Z8 0
ZB 0
Z9 0
U1 0
U2 0
EI 1438-1435
UT MEDLINE:24771035
PM 24771035
ER

PT J
AU Rigter, Tessel
   Henneman, Lidewij
   Broerse, Jacqueline E W
   Shepherd, Maggie
   Blanco, Ignacio
   Kristoffersson, Ulf
   Cornel, Martina C
TI Developing a framework for implementation of genetic services: learning
   from examples of testing for monogenic forms of common diseases.
SO Journal of community genetics
VL 5
IS 4
BP 337
EP 47
DI 10.1007/s12687-014-0189-x
PD 2014-Oct
PY 2014
AB Genetics in health care is shifting, and responsibilities of genetic and
   nongenetic specialists are changing, requiring new guidance on how to
   adapt health care to advances in genetic services. This paper explores
   facilitators and barriers in the process of implementation of
   innovations in genetic health care. Furthermore, lessons learnt for
   optimizing development of new genetic services are summarized. Barriers
   and facilitators in transition processes were identified using mixed
   methods, including an online open-ended questionnaire among
   professionals and an international expert meeting. A multi-case study
   approach was used to explore recent experiences with innovations in
   genetic services in different phases of implementation. Barriers
   encountered in transitions in genetic service provision include the
   following: lack of genetic knowledge and skills among nongenetic health
   care providers, resistance to new divisions of responsibilities, and a
   need for more close collaboration and communication between geneticists
   and nongeneticists. Facilitating factors include the following:
   statutory registration of genetic specialists, availability of essential
   staff and equipment, and existence of registries and guidelines. Other
   challenges are experienced in the establishment of the appropriate legal
   and financial structures. A set of points to consider for genetic
   innovation processes is proposed, addressing, e.g., transition
   management and cooperation and communication strategies. 
RI Rigter, Tessel/E-5338-2013; Blanco, Ignacio/D-2565-2013; Cornel, Martina/AAE-8955-2020; Blanco, Ignacio/AAN-5426-2021; Henneman, Lidewij/; Cornel, Martina/
OI Rigter, Tessel/0000-0002-6038-6289; Blanco, Ignacio/0000-0002-7414-7481;
   Blanco, Ignacio/0000-0002-7414-7481; Henneman,
   Lidewij/0000-0003-3531-0597; Cornel, Martina/0000-0002-5397-5544
ZR 0
ZB 7
ZS 0
Z8 0
ZA 0
TC 20
Z9 20
U1 0
U2 3
SN 1868-310X
UT MEDLINE:24895224
PM 24895224
ER

PT J
AU Lin, Hsueh-Chun
   Chiang, Li-Chi
   Wen, Tzu-Ning
   Yeh, Kuo-Wei
   Huang, Jing-Long
TI Development of online diary and self-management system on e-Healthcare
   for asthmatic children in Taiwan
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 116
IS 3
BP 299
EP 310
DI 10.1016/j.cmpb.2014.05.004
PD OCT 2014
PY 2014
AB Objective: Many regional programs of the countries educate asthmatic
   children and their families to manage healthcare data. This study aims
   to establish a Web-based self-management system, eAsthmaCare, to promote
   the electronic healthcare (e-Healthcare) services for the asthmatic
   children in Taiwan. The platform can perform real time online
   functionality based upon a five-tier infrastructure with mutually
   supportive components to acquire asthma diaries, quality of life
   assessments and health educations.
   Methods: We have designed five multi-disciplinary portions on the
   interactive interface functioned with the analytical diagrams: (1)
   online asthma diary, (2) remote asthma assessment, (3) instantaneous
   asthma alert, (4) diagrammatical clinic support, and (5) asthma health
   education. The Internet-based asthma diary and assessment program was
   developed for patients to process self-management healthcare at home. In
   addition, the online analytical charts can help healthcare professionals
   to evaluate multi-domain health information of patients immediately.
   Results: eAsthmaCare was developed by Java (TM) Servlet/JSP technology
   upon Apache Tomcat (TM) web server and Oracle (TM) database. Forty-one
   voluntary asthmatic children (and their parents) were intervened to
   examine the proposed system. Seven domains of satisfiability assessment
   by using the system were applied for approving the development. The
   average scores were scaled in the acceptable range for each domain to
   ensure feasibility of the proposed system.
   Conclusion: The study revealed the details of system infrastructure and
   developed functions that can help asthmatic children in self-management
   for healthcare to enhance communications between patients and hospital
   professionals. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
RI Chiang, Li-Chi/AAW-9661-2020; Yeh, Kuo-Wei/V-3725-2019; Chiang, Li-Chi/; Huang, Jing-Long/; Huang, Jing-Long/
OI Chiang, Li-Chi/0000-0002-6383-7495; Huang,
   Jing-Long/0000-0001-9280-920X; Huang, Jing-Long/0000-0002-3530-7753
ZS 0
ZR 0
Z8 1
TC 11
ZA 0
ZB 1
Z9 12
U1 1
U2 65
SN 0169-2607
EI 1872-7565
UT WOS:000339961000011
PM 24947614
ER

PT J
AU Katz, J. E.
   Roberge, D.
   Coulombe, G.
TI The Cancer Patient's Use and Appreciation of the Internet and Other
   Modern Means of Communication
SO TECHNOLOGY IN CANCER RESEARCH & TREATMENT
VL 13
IS 5
BP 477
EP 484
DI 10.7785/tcrt.2013.600267
PD OCT 2014
PY 2014
AB As computers and smartphones continue to transform the doctor-patient
   relationship, it is essential that healthcare professionals understand
   how their patients wish to interact with these devices. The results from
   a satisfaction questionnaire of 225 Oncology patients treated in 2011 in
   Quebec, Canada provide insight into the manner in which patients have
   been and wish to communicate with their healthcare teams. The survey
   also addressed whether or not patients searched the Internet for
   supplementary information regarding their condition. Generally, patients
   were neutral regarding adopting greater usage of modern means of
   communication. The majority of patients did not want to be contacted via
   e-mail or SMS, nor did the patients want to make appointments or fill
   out surveys online. Forty four percent of patients used the Internet to
   learn more about their condition. Concerning the patients who were not
   provided with links to medically relevant websites, 44% wished their
   doctors had supplied them with such links. Though there was much overlap
   between the 44% of patients who went on the Internet to learn more about
   their condition and the 44% of the patients who wished their physicians
   provided them with such links, 14% of all the patients wished their
   medical teams had provided them with links, but did not independently
   search for medically relevant information about their condition. Using
   chi-square testing education level was found to be the best predictor of
   which patients searched the web for supplementary information about
   their conditions (p = 0.003). Contrary to findings in other studies, a
   comparable proportion of patients in each age-group used the Internet to
   research their condition. Given the wealth of web-resources available to
   cancer patients, it would be beneficial for both healthcare teams and
   their patients if physicians consistently offered a list of trustworthy
   websites to their patients.
ZB 5
TC 15
ZS 1
ZA 0
ZR 0
Z8 0
Z9 15
U1 0
U2 32
SN 1533-0346
EI 1533-0338
UT WOS:000338809500012
PM 24000994
ER

PT J
AU Kraeenbring, Jona
   Penza, Tika Monzon
   Gutmann, Joanna
   Muehlich, Susanne
   Zolk, Oliver
   Wojnowski, Leszek
   Maas, Renke
   Engelhardt, Stefan
   Sarikas, Antonio
TI Accuracy and Completeness of Drug Information in Wikipedia: A Comparison
   with Standard Textbooks of Pharmacology
SO PLOS ONE
VL 9
IS 9
AR e106930
DI 10.1371/journal.pone.0106930
PD SEP 24 2014
PY 2014
AB The online resource Wikipedia is increasingly used by students for
   knowledge acquisition and learning. However, the lack of a formal
   editorial review and the heterogeneous expertise of contributors often
   results in skepticism by educators whether Wikipedia should be
   recommended to students as an information source. In this study we
   systematically analyzed the accuracy and completeness of drug
   information in the German and English language versions of Wikipedia in
   comparison to standard textbooks of pharmacology. In addition,
   references, revision history and readability were evaluated. Analysis of
   readability was performed using the Amstad readability index and the
   Erste Wiener Sachtextformel. The data on indication, mechanism of
   action, pharmacokinetics, adverse effects and contraindications for 100
   curricular drugs were retrieved from standard German textbooks of
   general pharmacology and compared with the corresponding articles in the
   German language version of Wikipedia. Quantitative analysis revealed
   that accuracy of drug information in Wikipedia was 99.7%+/- 0.2% when
   compared to the textbook data. The overall completeness of drug
   information in Wikipedia was 83.8 +/- 1.5% (p<0.001). Completeness
   varied in-between categories, and was lowest in the category
   "pharmacokinetics'' (68.0% +/- 4.2%; p<0.001) and highest in the
   category "indication'' (91.3%+/- 2.0%) when compared to the textbook
   data overlap. Similar results were obtained for the English language
   version of Wikipedia. Of the drug information missing in Wikipedia,
   62.5% was rated as didactically non-relevant in a qualitative
   re-evaluation study. Drug articles in Wikipedia had an average of 14.6
   +/- 1.6 references and 262.8 +/- 37.4 edits performed by 142.7 +/- 17.6
   editors. Both Wikipedia and textbooks samples had comparable, low
   readability. Our study suggests that Wikipedia is an accurate and
   comprehensive source of drug-related information for undergraduate
   medical education.
RI Engelhardt, Stefan/AAA-9329-2019; Gutmann, Jochen/A-5103-2009; Zolk, Oliver/
OI Engelhardt, Stefan/0000-0001-5378-8661; Gutmann,
   Jochen/0000-0002-1394-9202; Zolk, Oliver/0000-0002-8220-3834
ZR 0
ZA 0
TC 52
ZS 0
Z8 1
ZB 6
Z9 53
U1 0
U2 15
SN 1932-6203
UT WOS:000342492700020
PM 25250889
ER

PT J
AU Crockett, Elahe T.
TI A research education program model to prepare a highly qualified
   workforce in biomedical and health-related research and increase
   diversity
SO BMC MEDICAL EDUCATION
VL 14
AR 202
DI 10.1186/1472-6920-14-202
PD SEP 24 2014
PY 2014
AB Background: The National Institutes of Health has recognized a
   compelling need to train highly qualified individuals and promote
   diversity in the biomedical/clinical sciences research workforce. In
   response, we have developed a research-training program known as REPID
   (Research Education Program to Increase Diversity among Health
   Researchers) to prepare students/learners to pursue research careers in
   these fields and address the lack of diversity and health disparities.
   By inclusion of students/learners from minority and diverse backgrounds,
   the REPID program aims to provide a research training and enrichment
   experience through team mentoring to inspire students/learners to pursue
   research careers in biomedical and health-related fields.
   Methods: Students/learners are recruited from the University campus from
   a diverse population of undergraduates, graduates, health professionals,
   and lifelong learners. Our recruits first enroll into an innovative
   on-line introductory course in Basics and Methods in Biomedical Research
   that uses a laboratory Tool-Kit (a lab in a box called the My Dr. ET Lab
   Tool-Kit) to receive the standard basics of research education, e.g.,
   research skills, and lab techniques. The students/learners will also
   learn about the responsible conduct of research, research
   concept/design, data recording/analysis, and scientific
   writing/presentation. The course is followed by a 12-week hands-on
   research experience during the summer. The students/learners also attend
   workshops and seminars/conferences. The students/learners receive
   scholarship to cover stipends, research related expenses, and to attend
   a scientific conference.
   Results: The scholarship allows the students/learners to gain knowledge
   and seize opportunities in biomedical and health-related careers. This
   is an ongoing program, and during the first three years of the program,
   fifty-one (51) students/learners have been recruited. Thirty-six (36)
   have completed their research training, and eighty percent (80%) of them
   have continued their research experiences beyond the program. The
   combination of carefully providing standard basics of research education
   and mentorship has been successful and instrumental for training these
   students/learners and their success in finding biomedical/health-related
   jobs and/or pursuing graduate/medical studies. All experiences have been
   positive and highly promoted.
   Conclusions: This approach has the potential to train a highly qualified
   workforce, change lives, enhance biomedical research, and by extension,
   improve national health-care.
ZB 4
ZS 1
ZR 0
ZA 0
Z8 0
TC 17
Z9 18
U1 1
U2 32
EI 1472-6920
UT WOS:000345782200001
PM 25248498
ER

PT J
AU Smith, Christopher J.
   George, Jyothis T.
   Warriner, David
   McGrane, David J.
   Rozario, Kavithia S.
   Price, Hermione C.
   Wilmot, Emma G.
   Kar, Partha
   Stratton, Irene M.
   Jude, Edward B.
   McKay, Gerard A.
TI Differences in level of confidence in diabetes care between different
   groups of trainees: the TOPDOC diabetes study
SO BMC MEDICAL EDUCATION
VL 14
AR 191
DI 10.1186/1472-6920-14-191
PD SEP 17 2014
PY 2014
AB Background: There is an increasing prevalence of diabetes. Doctors in
   training, irrespective of specialty, will have patients with diabetes
   under their care. The aim of this further evaluation of the TOPDOC
   Diabetes Study data was to identify if there was any variation in
   confidence in managing diabetes depending on the geographical location
   of trainees and career aspirations.
   Methods: An online national survey using a pre-validated questionnaire
   was administered to trainee doctors. A 4-point confidence rating scale
   was used to rate confidence in managing aspects of diabetes care and a
   6-point scale used to quantify how often trainees would contribute to
   the management of patients with diabetes. Responses were grouped
   depending on which UK country trainees were based and their intended
   career choice.
   Results: Trainees in Northern Ireland reported being less confident in
   IGT diagnosis, use of IV insulin and peri-operative management and were
   less likely to adjust oral treatment, contact specialist, educate
   lifestyle, and optimise treatment. Trainees in Scotland were less likely
   to contact a specialist, but more likely to educate on lifestyle, change
   insulin, and offer follow-up advice. In Northern Ireland, Undergraduate
   (UG) and Postgraduate (PG) training in diagnosis was felt less adequate,
   PG training in emergencies less adequate, and reporting of need for
   further training higher. Trainees in Wales felt UG training to be
   inadequate. In Scotland more trainees felt UG training in diagnosis and
   optimising treatment was inadequate. Physicians were more likely to
   report confidence in managing patients with diabetes and to engage in
   different aspects of diabetes care. Aspiring physicians were less likely
   to feel the need for more training in diabetes care; however a clear
   majority still felt they needed more training in all aspects of care.
   Conclusions: Doctors in training have poor confidence levels dealing
   with diabetes related care issues. Although there is variability between
   different groups of trainees according to geographical location and
   career aspirations, this is a UK wide issue. There should be a UK wide
   standardised approach to improving training for junior doctors in
   diabetes care with local training guided by specific needs.
RI Kar, Partha/AAT-4839-2020; stratton, irene/AAZ-3627-2020; Wilmot, Emma G/; George, Jyothis/
OI stratton, irene/0000-0003-1172-7865; Wilmot, Emma G/0000-0002-8698-6207;
   George, Jyothis/0000-0002-5299-775X
Z8 0
TC 3
ZB 0
ZA 0
ZS 0
ZR 0
Z9 3
U1 0
U2 1
SN 1472-6920
UT WOS:000342643700001
PM 25227271
ER

PT J
AU Lin, Xianchai
   Wang, Mei
   Zuo, Yajing
   Li, Mingge
   Lin, Xiaofeng
   Zhu, Siping
   Zheng, Yongxin
   Yu, Minbin
   Lamoureux, Ecosse L.
TI Health Literacy, Computer Skills and Quality of Patient-Physician
   Communication in Chinese Patients with Cataract
SO PLOS ONE
VL 9
IS 9
AR e107615
DI 10.1371/journal.pone.0107615
PD SEP 16 2014
PY 2014
AB Purpose: The aim of the study was to assess levels of health literacy
   and computer skills in Chinese patients with cataract, and their impact
   on the doctor-patient relationship.
   Methods: We undertook a cross-sectional study of cataract patients
   scheduled for cataract extraction procedures in Guangdong Province,
   China. Generic health literacy was assessed using 3 established
   screening questions. Adequate computer skills was determined if patients
   had used a computer and routinely used search engines on the Internet.
   Socio-demographic measures (e. g., age, sex, education) were obtained
   from a standardized interview. Participants who indicated that they
   could not understand what their doctors mean were considered to have had
   poor patient-physician communications.
   Results: Of the 211 participants, 92 (43.6%) had inadequate health
   literacy and 204 (96.7%) inadequate computer skills. In multivariate
   analysis, females were more likely to have inadequate health literacy
   (odds ratio = 2.5, 95% confidence intervals [CI]: 1.3 to 4.7). People
   with inadequately health literacy were more likely to have a poor
   patient-physician communication (odds ratio = 3.5, 95% CIs: 1.3 to 9.0).
   Similar associations were found for inadequate computer skills.
   Conclusion: Chinese elderly patients with cataract have inadequate
   health literacy and very limited computer skills, which place them at
   high risk of misunderstanding and mismanaging their ocular conditions.
   Patient education information other than online materials may improve
   the eye care and outcomes of these patients.
RI Lamoureux, Ecosse/Z-5482-2019
TC 18
ZB 3
ZS 0
ZR 0
Z8 0
ZA 0
Z9 18
U1 0
U2 22
SN 1932-6203
UT WOS:000344317700068
PM 25226299
ER

PT J
AU Lewis, Kadriye O.
   Frank, Graeme R.
   Nagel, Rollin
   Turner, Teri L.
   Ferrell, Cynthia L.
   Sangvai, Shilpa G.
   Donthi, Rajesh
   Mahan, John D.
TI Pediatric trainees' engagement in the online nutrition curriculum:
   preliminary results
SO BMC MEDICAL EDUCATION
VL 14
AR 190
DI 10.1186/1472-6920-14-190
PD SEP 16 2014
PY 2014
AB Background: The Pediatric Nutrition Series (PNS) consists of ten online,
   interactive modules and supplementary educational materials that have
   utilized web-based multimedia technologies to offer nutrition education
   for pediatric trainees and practicing physicians. The purpose of the
   study was to evaluate pediatric trainees' engagement, knowledge
   acquisition, and satisfaction with nutrition modules delivered online in
   interactive and non-interactive formats.
   Methods: From December 2010 through August 2011, pediatric trainees from
   seventy-three (73) different U. S. programs completed online nutrition
   modules designed to develop residents' knowledge of counseling around
   and management of nutritional issues in children. Data were analyzed
   using SPSS version 19. Both descriptive and inferential statistics were
   used in comparing interactive versus non-interactive modules.
   Pretest/posttest and module evaluations measured knowledge acquisition
   and satisfaction.
   Results: Three hundred and twenty-two (322) pediatric trainees completed
   one or more of six modules for a total of four hundred and forty-two
   (442) accessions. All trainees who completed at least one module were
   included in the study. Two-way analyses of variance (ANOVA) with
   repeated measures (pre/posttest by interactive/non-interactive format)
   indicated significant knowledge gains from pretest to posttest (p <
   0.002 for all six modules). Comparisons between interactive and
   non-interactive formats for Module 1 (N = 85 interactive, N = 95
   non-interactive) and Module 5 (N = 5 interactive, N = 16
   non-interactive) indicated a parallel improvement from the pretest to
   posttest, with the interactive format significantly higher than the
   non-interactive modules (p < .05). Both qualitative and quantitative
   data from module evaluations demonstrated that satisfaction with modules
   was high. However, there were lower ratings for whether learning
   objectives were met with Module 6 (p < 0.03) and lecturer rating (p <
   0.004) compared to Module 1. Qualitative data also showed that
   completion of the interactive modules resulted in higher resident
   satisfaction.
   Conclusions: This initial assessment of the PNS modules shows that
   technology-mediated delivery of a nutrition curriculum in residency
   programs has great potential for providing rich learning environments
   for trainees while maintaining a high level of participant satisfaction.
RI Lewis, Kadriye O./AAI-9689-2020
ZB 3
ZR 0
ZA 0
ZS 0
Z8 0
TC 10
Z9 10
U1 0
U2 13
SN 1472-6920
UT WOS:000342643400001
PM 25223502
ER

PT J
AU Corriere, Mark D.
   Minang, Laura B.
   Sisson, Stephen D.
   Brancati, Frederick L.
   Kalyani, Rita Rastogi
TI The use of clinical guidelines highlights ongoing educational gaps in
   physicians' knowledge and decision making related to diabetes
SO BMC MEDICAL EDUCATION
VL 14
AR 186
DI 10.1186/1472-6920-14-186
PD SEP 8 2014
PY 2014
AB Background: Clinical guidelines for type 2 diabetes are a resource for
   providers to manage their patients and may help highlight specific areas
   in need of further education and training. We sought to determine how
   often guidelines are used and the relationship to physicians'
   diabetes-related knowledge and decision making.
   Methods: Existing users of electronic clinical support tools were
   invited to complete an online questionnaire. A knowledge score was
   calculated for five questions related to prevention of diabetes and
   treatment of its complications. We explored the association of clinical
   guideline use with diabetes-related knowledge and self-reported decision
   making using logistic regression models, adjusted for key covariates.
   Results: Of 383 physicians completing the questionnaire, 53% reported
   using diabetes guidelines routinely. Mean diabetes knowledge score for
   guideline users (GU) was significantly higher than non-guideline users
   (NGU) (3.37 +/- 0.072 vs. 2.76 +/- 0.084; p < 0.001). GU were
   significantly more likely to report a good understanding of type 2
   diabetes medications (OR = 2.99, 95% CI 1.95-4.61; p < 0.001). GU were
   less likely to report their unfamiliarity with insulin as an important
   barrier to early insulin use (OR = 0.41, 0.21-0.80; p = 0.007) and with
   pharmacologic options as a barrier to prescribing intensive
   multifactorial interventions (OR = 0.32, 0.17-0.58; p < 0.001).
   Associations remained significant after adjusting for physician
   specialty, practice volume and frequency diagnosing or treating diabetes
   patients.
   Conclusions: Significant gaps exist in diabetes-related knowledge and
   decision making among practicing physicians, as highlighted by clinical
   guideline use. The development of educational and training strategies to
   address these needs may ultimately improve outcomes for patients with
   diabetes and should be investigated in the future.
ZB 5
ZA 0
ZR 0
TC 15
ZS 0
Z8 0
Z9 15
U1 1
U2 8
SN 1472-6920
UT WOS:000341453500001
PM 25199672
ER

PT J
AU O'Donnell, Patrick
   McAuliffe, Eilish
   O'Donovan, Diarmuid
TI Unchallenged good intentions: a qualitative study of the experiences of
   medical students on international health electives to developing
   countries
SO HUMAN RESOURCES FOR HEALTH
VL 12
AR 49
DI 10.1186/1478-4491-12-49
PD SEP 4 2014
PY 2014
AB Background: Irish medical students have a long and proud history of
   embarking on international health electives (IHEs) to broaden their
   experience in the developing world. Although there are many opinions in
   the literature about IHEs, there is a dearth of empirical research that
   explores the experience and the value of these experiences to medical
   students. Most students who participate in these IHEs from Irish medical
   schools are members of student IHE societies, which are entirely run by
   students themselves. There are varying levels of preparation and
   interaction with the medical schools in planning these experiences. This
   study explores the experiences of a sample of students who completed
   IHEs in 2012.
   Methods: This qualitative study used anonymized one-on-one interviews
   with medical students in Irish medical schools who completed IHEs to
   developing countries in 2012. Students were recruited using online
   noticeboards of student societies and e-mail. Purposive sampling was
   used to find students from different medical schools, some who had
   travelled with medical student IHE societies and others who had
   travelled independently. Seven male and seven female students
   participated. Interviews were conducted until saturation was reached.
   Data were then analyzed thematically.
   Results: The main themes identified were the perceived benefits of IHEs,
   the difficulties experienced with the distribution of charitable
   donations, the emotional impact on the students of participating in the
   IHEs, awareness of scope of practice by students, and issues with the
   current structure of IHEs.
   Conclusions: The informal relationship that currently exists between
   student societies and the medical schools results in poor accountability
   and reporting requirements on IHEs. Clearer guidelines and
   identification of learning outcomes for students would be helpful. The
   findings are relevant to medical students internationally.
OI McAuliffe, Eilish/0000-0002-9714-5040; O'Donnell,
   Patrick/0000-0001-7710-7832; O'Donovan, Diarmuid/0000-0001-8771-7271
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
TC 12
Z9 12
U1 0
U2 12
EI 1478-4491
UT WOS:000341949000001
PM 25185948
ER

PT J
AU Ulrich, Beth
   Kear, Tamara
TI Patient Safety Culture in Nephrology Nurse Practice Settings: Initial
   Findings
SO NEPHROLOGY NURSING JOURNAL
VL 41
IS 5
BP 459
EP 475
PD SEP-OCT 2014
PY 2014
AB Patient safety culture has been studied in many practice settings, but
   there is a dearth of information on the culture of safety in nephrology
   nurse practice settings. This research study employed the use of an
   online survey to assess patient safety cultures in nephrology nurse
   practice settings. The survey was created using items from two Agency
   for Healthcare Research and Quality (AHRQ) survey assessment tools the
   Hospital Survey on Patient Safety Culture and the Medical Office Survey
   on Patient Safety Culture. Select items from these tools were combined
   to address the safety of care delivered in hospital and outpatient
   nephrology nurse practice settings. Almost 1,000 nephrology nurses
   responded to the survey. Analysis of results and comparison with AHRQ
   comparative data found high ratings for teamwork, but indicted a
   continued need for additional education and attention related to hand
   hygiene, medication administration safety, communication, and
   prioritization in nephrology practice settings. Nurses in all nephrology
   nurse practice settings need to routinely assess and positively
   contribute to the culture of patient safety in their practice settings,
   and lead and engage in efforts to ensure that patients are safe.
TC 14
ZS 2
ZA 0
ZR 0
Z8 0
ZB 1
Z9 16
U1 0
U2 9
SN 1526-744X
EI 2163-5390
UT WOS:000342531000004
PM 26295089
ER

PT J
AU Brennan, Nicola
   Edwards, Sarah
   Kelly, Narcie
   Miller, Alice
   Harrower, Lucy
   Mattick, Karen
TI Qualified doctor and medical students' use of resources for accessing
   information: what is used and why?
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 31
IS 3
BP 204
EP 214
DI 10.1111/hir.12072
PD SEP 2014
PY 2014
AB Background: Learning to access information using resources such as books
   and search engines is an important and fast changing challenge for
   doctors and medical students. Many resources exist to support
   evidence-based clinical decision-making, but a wide range of factors
   influences their use.
   Objective: To explore qualified doctor and medical students' use of
   resources for accessing information and to determine what is used and
   why.
   Methods: A stratified sample of 46 participants was recruited in Devon,
   UK. Participants kept a self-report diary of resources used over a week.
   The diaries were then used to stimulate recall within a semi-structured
   interview. Diary data were collated into tables of resource use.
   Qualitative data from the interviews were transcribed verbatim and
   thematically analysed.
   Results: Many resources were used by participants but typically for a
   short duration of time. Categories of reasons for accessing resources
   were 'to check', 'to learn' and 'to demonstrate'. The two main factors
   influencing choice of information resource were 'ease of access' and
   'quality of information'. Students accessed more information, for a
   longer duration.
   Discussion & Conclusion: Resources must be quick to use, easy to access
   and tailored to the different purposes that they serve for qualified
   doctors and medical students.
RI Edwards, Sarah/AAC-9533-2021; Brennan, Nicola/
OI Edwards, Sarah/0000-0001-8966-5065; Brennan, Nicola/0000-0002-2165-0155
ZA 0
ZS 2
ZB 1
TC 24
Z8 0
ZR 0
Z9 26
U1 0
U2 44
SN 1471-1834
EI 1471-1842
UT WOS:000341151500004
PM 25041386
ER

PT J
AU Wallace, Richard L.
   Woodward, Nakia J.
   Clamon, Travis S.
TI A mixed-methods analysis of a library-based hand-held intervention with
   rural clinicians
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 31
IS 3
BP 215
EP 226
DI 10.1111/hir.12076
PD SEP 2014
PY 2014
AB Background: The East Tennessee State University Quillen College of
   Medicine Library has participated for several years in projects to
   provide rural clinicians with health information resources.
   Objectives: To determine whether a strategy of hand-held devices with a
   best-evidence point-of-care disease tool and a drug database paired with
   access to a medical library for full-text articles and training to use
   the tools would be an affordable way to meet the information needs of
   rural underserved clinicians.
   Methods: This study is a mixed-methods methodology. The first project
   was evaluated using a randomised controlled trial (RCT) methodology. The
   second was evaluated qualitatively using interviews and focus groups.
   Results: The quantitative findings discovered that clinicians equipped
   with a hand-held device with evidence-based software more frequently
   found answers to clinical questions, found answers more quickly, were
   more satisfied with information they found and use expensive resources
   such as continuing medical education, online databases and textbooks
   less than the group that did not have access to online technology.
   Qualitative results supported the quantitative findings.
   Conclusion: Librarians can implement a three-pronged strategy of the
   secondary literature via a hand-held, the primary literature via
   Loansome Doc and quality training to meet basic information needs of
   rural clinicians.
OI Clamon, Travis/0000-0002-7760-9549; Woodward, Nakia/0000-0002-4274-0002
ZR 0
ZS 0
ZA 0
ZB 1
Z8 0
TC 5
Z9 6
U1 6
U2 39
SN 1471-1834
EI 1471-1842
UT WOS:000341151500005
PM 25155980
ER

PT J
AU Zahn, C.
   Schaeffeler, N.
   Giel, K.E.
   Wessel, D.
   Thiel, A.
   Zipfel, S.
   Hesse, F.W.
TI Video clips for YouTube: collaborative video creation as an educational
   concept for knowledge acquisition and attitude change related to obesity
   stigmatization
SO Education and Information Technologies
VL 19
IS 3
BP 603
EP 21
DI 10.1007/s10639-013-9277-5
PD Sept. 2014
PY 2014
AB Mobile phones and advanced web-based video tools have pushed forward new
   paradigms for using video in education: Today, students can readily
   create and broadcast their own digital videos for others and create
   entirely new patterns of video-based information structures for modern
   online-communities and multimedia environments. This paradigm shift in
   video usage can be used for advanced learning about complex topics in
   higher education, for example, learning about socio-scientific or
   medical topics. Yet-technology aside-applicable educational concepts
   using collaborative video creation as a method need to be developed. In
   the present study, we investigate a specific concept designed to fight
   obesity stigmatization by developing knowledge using a
   learning-through-design-approach. We expected that creating videos can
   actually contribute to a deeper understanding of obesity and to a
   reduction in stigmatizing attitudes-when compared to a control
   condition. Dependent measures were based on the students' video
   products, obesity-related knowledge and attitudes. The course group
   assessed their own knowledge on causes of obesity and stigmatization
   because of obesity higher in the post-test than a control group who read
   a newspaper article on the topic. A corresponding significant reduction
   in stigmatizing attitudes was found. In sum, results indicate
   significant differences between students who produced YouTube videos and
   a control group of students. The results are interpreted as a
   confirmation of our initial assumptions and evidence indicating that the
   program is successfully applicable in higher education.
RI Norbert, Schaffeler/O-3224-2019; Schaffeler, Norbert/; Zipfel, Stephan/
OI Schaffeler, Norbert/0000-0001-6569-921X; Zipfel,
   Stephan/0000-0003-1659-4440
ZB 0
ZR 0
ZA 0
ZS 0
TC 13
Z8 0
Z9 13
U1 0
U2 2
SN 1360-2357
UT INSPEC:15049368
ER

PT J
AU Remschmidt, Cornelius
   Walter, Dietmar
   Schmich, Patrick
   Wetzstein, Matthias
   Delere, Yvonne
   Wichmann, Ole
TI Knowledge, attitude, and uptake related to human papillomavirus
   vaccination among young women in Germany recruited via a social media
   site
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 10
IS 9
BP 2527
EP 2535
DI 10.4161/21645515.2014.970920
PD SEP 2014
PY 2014
AB Background: Many industrialized countries have introduced human
   papillomavirus (HPV) vaccination of young women, but vaccine uptake
   often remains suboptimal. This study aimed to investigate whether a
   social media site like Facebook is an appropriate tool to assess
   knowledge, attitude and uptake related to HPV vaccination in young women
   in Germany.
   Methods: Between December 2012 and January 2013 two different targeting
   strategies were implemented on Facebook, providing a link to an online
   questionnaire. Advertisements were displayed to female Facebook users
   aged 18-25 years living in Germany. During the simple targeting
   strategy, advertisements comprised health-related images along with
   various short titles and text messages. During the focused strategy,
   advertisements were targeted to users who in addition had certain
   fashion brands or pop stars listed on their profiles. The targeting
   strategies were compared with respect to participant characteristics.
   Univariate and multivariate analyses were used to identify factors
   associated with HPV vaccine uptake.
   Results: A total of 1161 women participated. The two targeting
   strategies resulted in significant differences regarding educational
   status and migrant background. Overall, awareness of HPV was high, but
   only 53% received at least one vaccine dose. In multivariate analysis,
   HPV vaccine uptake was independently associated with a physician's
   recommendation and trust in vaccine effectiveness. Concerns of adverse
   effects were negatively associated with vaccine uptake.
   Discussion: Social network recruitment permits fast and convenient
   access to young people. Sample characteristics can be manipulated by
   adjusting targeting strategies. There is further need for promoting
   knowledge of HPV vaccination among young women. Physicians have a major
   role in the vaccination decision-making process of young women.
ZB 5
ZA 0
TC 21
ZR 0
ZS 1
Z8 0
Z9 21
U1 0
U2 23
SN 2164-5515
EI 2164-554X
UT WOS:000348316800011
PM 25483492
ER

PT J
AU Larson, Heidi J.
   Wilson, Rose
   Hanley, Sharon
   Parys, Astrid
   Paterson, Pauline
TI Tracking the global spread of vaccine sentiments: The global response to
   Japan's suspension of its HPV vaccine recommendation
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 10
IS 9
BP 2543
EP 2550
DI 10.4161/21645515.2014.969618
PD SEP 2014
PY 2014
AB In June 2013 the Japanese Ministry of Health, Labor, and Welfare (MHLW)
   suspended its HPV vaccination recommendation after a series of highly
   publicized alleged adverse events following immunization stoked public
   doubts about the vaccine's safety. This paper examines the global spread
   of the news of Japan's HPV vaccine suspension through online media, and
   takes a retrospective look at non-Japanese media sources that were used
   to support those claiming HPV vaccine injury in Japan. Methods: Two
   searches were conducted. One searched relevant content in an archive of
   Google Alerts on vaccines and vaccine preventable diseases. The second
   search was conducted using Google Search on January 6th 2014 and on July
   18th 2014, using the keywords, "HPV vaccine Japan" and "cervical cancer
   vaccine Japan." Both searches were used as Google Searches render more
   (and some different) results than Google Alerts. Results: Online media
   collected and analyzed totalled 57. Sixty 3 percent were published in
   the USA, 23% in Japan, 5% in the UK, 2% in France, 2% in Switzerland, 2%
   in the Philippines, 2% in Kenya and 2% in Denmark. The majority took a
   negative view of the HPV vaccine, the primary concern being vaccine
   safety. Discussion: The news of Japan's suspension of the HPV vaccine
   recommendation has traveled globally through online media and social
   media networks, being applauded by anti-vaccination groups but not by
   the global scientific community. The longer the uncertainty around the
   Japanese HPV vaccine recommendation persists, the further the public
   concerns are likely to travel.
RI Hanley, Sharon/H-2181-2012; Larson, Heidi J./N-1018-2017
OI Hanley, Sharon/0000-0002-7554-004X; Larson, Heidi J./0000-0002-8477-7583
ZS 1
ZB 52
TC 93
ZA 0
ZR 0
Z8 0
Z9 93
U1 1
U2 24
SN 2164-5515
EI 2164-554X
UT WOS:000348316800013
PM 25483472
ER

PT J
AU Weuve, Celest
   Pitney, William A.
   Martin, Malissa
   Mazerolle, Stephanie M.
TI Experiences With Workplace Bullying Among Athletic Trainers in the
   Collegiate Setting
SO JOURNAL OF ATHLETIC TRAINING
VL 49
IS 5
BP 696
EP 705
DI 10.4085/1062-6050-49.3.16
PD SEP-OCT 2014
PY 2014
AB Context: Workplace bullying (WPB) is a series of persistent negative
   interactions that affect a clinician's ability to perform his or her
   role. Although WPB has been studied in other health professions, to
   date, no information exists pertaining to WPB in athletic training.
   Objective: To determine the prevalence of WPB in the collegiate setting
   and examine factors that influence its occurrence.
   Design: Cross-sectional study.
   Setting: Collegiate setting.
   Patients or Other Participants: There were 723 (329 female, 394 male)
   athletic trainers (ATs) aged 37.5 +/- 10.4 years.
   Main Outcome Measure(s): We collected data via the validated and
   reliable online Athletic Training Environment Survey. Descriptive
   statistics were obtained to determine a bullying score for each AT and
   examine the prevalence of WPB. Chi-square analyses were performed to
   examine the differences between (1) sex, (2) academic degree level, (3)
   employment title, and (4) National Athletic Trainers' Association
   district.
   Results: A total of 106 participants (14.7%) had a score of 2 or higher,
   indicating they were bullied in the athletic training setting. Of those
   bullied, 47 (44.3%) were women and 59 (55.7%) were men. There was no
   difference between women and men with respect to having experienced
   bullying (chi(2)(1) = 0.068, P = .794). Moreover, no difference existed
   in the prevalence of bullying among ATs holding various degrees
   (chi(2)(3) = 6.73, P = .081) or among ATs holding various titles within
   an organization (chi(2)(5) = 3.55, P = .616). More (chi(2)(1) = 23.77, P
   = < .001) perpetrators were male (74.2%, n = 75) than female (25.8%, n =
   26); of these, 38.2% (n = 39) were coaches, 17.6% (n = 18) were
   supervisory ATs, and 8.8% (n = 9) were coworker ATs.
   Conclusions: Bullying was experienced by both male and female ATs in the
   collegiate setting, and a higher number of bullies were male. More
   research is necessary to explore WPB in other work settings.
ZB 1
ZR 0
Z8 0
ZS 0
ZA 0
TC 5
Z9 5
U1 0
U2 15
SN 1062-6050
EI 1938-162X
UT WOS:000347555600017
PM 25098660
ER

PT J
AU Peccora, Christian D.
   Gimlich, Robert
   Cornell, Richard P.
   Vacanti, Charles A.
   Ehrenfeld, Jesse M.
   Urman, Richard D.
TI Anesthesia Report Card - A Customizable Tool for Performance Improvement
SO JOURNAL OF MEDICAL SYSTEMS
VL 38
IS 9
AR 105
DI 10.1007/s10916-014-0105-2
PD SEP 2014
PY 2014
AB Purpose Measuring and providing performance feedback to physicians has
   gained momentum not only as a way to comply with regulatory
   requirements, but also as a way to improve patient care. Measurement of
   structural, process, and outcome metrics in a reliable, evidence-based,
   specialty-specific manner maximizes the probability of improving
   physician performance. The manner in which feedback is provided
   influences whether the measurement tool will be successful in changing
   behavior. We created an innovative reporting tool template for
   anesthesiology practitioners designed to provide detailed, continuous
   feedback covering many aspects of clinical practice.
   Methods The literature regarding quality metric measurement and feedback
   strategies was examined to design a reporting tool that could provide
   high quality information and result in improved performance of clinical
   and academic tasks. A committee of department leaders and information
   technology professionals was tasked with determining the measurement
   criteria and infrastructure needed to generate these reports. Data was
   collected in a systematic, unbiased manner, and reports were populated
   with information from multiple databases and software systems. Feedback
   would be based on frequently updated information and allow for analysis
   of historical performance as well as comparison amongst peers.
   Results A template for an anesthesia report card was created. Categories
   included compliance, credentialing and qualifications, education,
   clinical and operating room responsibilities, and academic achievements.
   Physicians were able to choose to be evaluated in some of the categories
   and had to meet a minimum number of criteria within each category. This
   allowed for customization to each practitioner's practice. Criteria were
   derived from the measures of academic and clinical proficiency, as well
   as quality metrics. Criteria were objective measures and data gathering
   was often automated. Reports could be generated that were updated daily
   and provided historical information, and information about peers in the
   department and within each subspecialty group.
   Conclusions We demonstrate the creation of an online anesthesia report
   card that incorporates metrics most likely to engender positive changes
   in practice and academic responsibilities. This tool provides timely and
   customized information for each anesthesia practitioner, designed to be
   easily modifiable to improve the quantity, quality, and substance of
   metrics being measured. Finally, our tool could serve as a template for
   a performance measuring tool that can be customizable to a wide variety
   of practice settings, and upon which both monetary and non-monetary
   incentives might be based in the future.
RI Urman, Richard/AAH-7758-2019; Ehrenfeld, Jesse/AAI-2951-2020; Urman, Richard/ABG-4830-2020
OI Urman, Richard/0000-0002-0516-5977; 
TC 21
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 21
U1 0
U2 15
SN 0148-5598
EI 1573-689X
UT WOS:000340450500005
PM 25038890
ER

PT J
AU Bramstedt, Katrina A.
   Prang, Melissa
   Dave, Sameer
   Shin, Paul Ng Hung
   Savy, Amani
   Fatica, Richard A.
TI Telemedicine as an ethics teaching tool for medical students within the
   nephrology curriculum
SO PROGRESS IN TRANSPLANTATION
VL 24
IS 3
BP 294
EP 297
DI 10.7182/pit2014289
PD SEP 2014
PY 2014
AB A novel patient-centered approach was used to deliver ethics curriculum
   to medical students. Two medical school clinicians designed a
   telemedicine session linking their facilities (across 2 continents). The
   session, Exploring the Patient Experience Through Telemedicine: Dialysis
   and End-Stage Renal Disease, allowed second-year medical students to
   explore various parameters of quality of life experienced by dialysis
   patients. A panel of 4 medical students interviewed a dialysis patient
   via Skype video connection between the medical school and the hospital's
   dialysis unit. Interview questions were adapted from the Kidney Disease
   Quality of Life instrument. During the live video-streamed interview,
   the remaining 23 second-year medical students observed the session.
   Afterward, the 23 were offered a voluntary anonymous online feedback
   survey (15 responded). The 4 panelists submitted narrative responses to
   2 open-ended questions about their experience. All 15 responding
   students "Strongly agreed" or "Agreed" that the session was an aid to
   their professionalism skills and behaviors; 14 of 15 "Strongly agreed"
   or "Agreed" that telemedicine technology contributed to their
   understanding of the topic; 12 of 15 "Strongly agreed" that the session
   improved their understanding of the psychosocial burdens of dialysis,
   quality of life, and human suffering, and increased their empathy toward
   patients; and 12 of 15 "Strongly agreed" or "Agreed" that the session
   encouraged reflective thinking and was an aid to improving their
   communication skills. Telemedicine can be an effective and feasible
   method to deliver an ethics curriculum with a patient-centered approach.
   Additionally, the cross-cultural experience exposes students to
   additional contextual features of medicine. (C) 2014 NATCO, The
   Organization for Transplant Professionals
RI Bramstedt, Katrina Andrea/J-4785-2019
OI Bramstedt, Katrina Andrea/0000-0001-5446-0123
ZS 0
ZA 0
TC 16
ZR 0
Z8 0
ZB 4
Z9 16
U1 0
U2 15
SN 1526-9248
EI 2164-6708
UT WOS:000344984100012
PM 25193732
ER

PT J
AU de Mortel, Thea van
   Silberberg, Peter
   Ahern, Christine
   Pit, Sabrina
TI Stakeholders' views of shared learning models in general practice: a
   national survey
SO AUSTRALIAN FAMILY PHYSICIAN
VL 43
IS 9
BP 633
EP 638
PD SEP 2014
PY 2014
AB Background
   The number of learners requiring general practice placements creates
   supervisory capacity constraints. This research examined how a shared
   learning model may affect training capacity.
   Methods
   A national anonymous online survey of Australian general practitioner
   (GP) supervisors, GP registrars, prevocational trainees and medical
   students was conducted.
   Results
   A total of 1122 surveys were completed: 75% of learners had participated
   in shared learning; 25% of multi-level learner practices were not using
   shared learning. Learners were positive about shared learning
   (4.3-4.415), considering it an effective way to learn that created
   training capacity (4.1-4.2/5). 79-88% of learners preferred a mixture of
   one-to-one teaching and shared learning. Supervisors thought shared
   learning was more cost- and time-efficient, and created training
   capacity (4.3-4.4/5).
   Discussion
   Shared learning models have the potential to increase GP training
   capacity. Many practices are not utilising shared learning, representing
   capacity loss. Regional training providers should emphasise positive
   aspects of shared learning to facilitate uptake.
OI Achilova, Diyora/0000-0002-7645-9497
ZS 0
ZA 0
Z8 0
ZB 0
ZR 0
TC 3
Z9 3
U1 0
U2 0
SN 0300-8495
UT WOS:000343948300016
PM 25225650
ER

PT J
AU Sparks, Jeffrey A.
   Iversen, Maura D.
   Kroouze, Rachel Miller
   Mahmoud, Taysir G.
   Triedman, Nellie A.
   Kalia, Sarah S.
   Atkinson, Michael L.
   Lu, Bing
   Deane, Kevin D.
   Costenbader, Karen H.
   Green, Robert C.
   Karlson, Elizabeth W.
TI Personalized Risk Estimator for Rheumatoid Arthritis (PRE-RA) Family
   Study: Rationale and design for a randomized controlled trial evaluating
   rheumatoid arthritis risk education to first-degree relatives
SO CONTEMPORARY CLINICAL TRIALS
VL 39
IS 1
BP 145
EP 157
DI 10.1016/j.cct.2014.08.007
PD SEP 2014
PY 2014
AB We present the rationale, design features, and protocol of the
   Personalized Risk Estimator for Rheumatoid Arthritis (PRE-RA) Family
   Study (ClinicalTrials.gov NCT02046005). The PRE-RA Family Study is an
   NIH-funded prospective, randomized controlled trial designed to compare
   the willingness to change behaviors in first-degree relatives of
   rheumatoid arthritis (RA) patients without RA after exposure to RA risk
   educational programs. Consented subjects are randomized to receive
   education concerning their personalized RA risk based on demographics,
   RA-associated behaviors, genetics, and biomarkers or to receive standard
   RA information. Four behavioral factors associated with RA risk were
   identified from prior studies for inclusion in the risk estimate;
   cigarette smoking, excess body weight, poor oral health, and low fish
   intake. Personalized RA risk information is presented through an online
   tool that collects data on an individual's specific age, gender, family
   history, and risk-related behaviors; presents genetic and biomarker
   results; displays relative and absolute risk of RA; and provides
   personalized feedback and education. The trial outcomes will be changes
   in willingness to alter behaviors from baseline to 6 weeks, 6 months,
   and 12 months in the three intervention groups. The design and the
   execution of this trial that targets a special population at risk for
   RA, while incorporating varied risk factors into a single risk tool,
   offer distinct challenges. We provide the theoretical rationale for the
   PRE-RA Family Study and highlight particular design features of this
   trial that utilize personalized risk education as an intervention. (C)
   2014 Elsevier Inc. All rights reserved.
RI Iversen, Maura/O-5388-2015; Sparks, Jeffrey/Z-1574-2018
OI Iversen, Maura/0000-0003-4708-9914; Sparks, Jeffrey/0000-0002-5556-4618
Z8 0
ZS 0
ZB 13
ZA 0
ZR 0
TC 28
Z9 28
U1 0
U2 17
SN 1551-7144
EI 1559-2030
UT WOS:000343620100017
PM 25151341
ER

PT J
AU Hu, Jie
   Wang, Zhiqiang
TI In-home antibiotic storage among Australian Chinese migrants
SO INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
VL 26
BP 103
EP 106
DI 10.1016/j.ijid.2014.04.017
PD SEP 2014
PY 2014
AB Objectives: To estimate the prevalence of in-home antibiotic storage
   among Australian Chinese migrants and to identify the risk factors
   associated with storing antibiotics at home.
   Methods: Four hundred and sixty-nine Chinese migrants in Australia who
   were recruited through Chinese social websites completed an online
   questionnaire about antibiotic use. Logistic regression analysis was
   conducted to assess the associations between possible risk factors and
   storing antibiotics at home.
   Results: According to the web-based survey, 220 (47%) out of 469
   participants reported having antibiotics stored at home. Previous use of
   antibiotics, bringing antibiotics in from outside Australia, and a
   pro-attitude to the use of leftover antibiotics were significantly
   associated with storing antibiotics at home after adjusting for age,
   gender, and household annual income. Participants who self-reported an
   awareness of antibiotic side effects or resistance had a slightly higher
   but not significant risk of storing antibiotics at home.
   Conclusions: Approximately half of the participants in this study had
   antibiotics stored at home. The risk of using the antibiotics stored at
   home without medical consultation is of concern. Education programs need
   to target those with high-risk behaviours to curtail the inappropriate
   practice of antibiotic use and storage among Australian Chinese
   migrants. (C) 2014 The Authors. Published by Elsevier Ltd on behalf of
   International Society for Infectious Diseases.
RI Wang, Zhiqiang/A-5835-2010; Hu, Jie/
OI Wang, Zhiqiang/0000-0002-5839-743X; Hu, Jie/0000-0003-2940-6525
ZB 4
Z8 0
TC 14
ZA 0
ZR 0
ZS 0
Z9 14
U1 0
U2 9
SN 1201-9712
EI 1878-3511
UT WOS:000343818300023
PM 25046273
ER

PT J
AU Burden, Christy
   Fox, Robert
   Lenguerrand, Erik
   Hinshaw, Kim
   Draycott, Timothy J.
   James, Mark
TI Curriculum development for basic gynaecological laparoscopy with
   comparison of expert trainee opinions; prospective cross-sectional
   observational study
SO EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
VL 180
BP 1
EP 7
DI 10.1016/j.ejogrb.2014.05.036
PD SEP 2014
PY 2014
AB Objective: To develop content for a basic laparoscopic curriculum in
   gynaecology.
   Study design: Prospective cross-sectional observational study. Modified
   Delphi method with three iterations undertaken by an invited group of
   national experts across the United Kingdom (UK). Two anonymous online
   surveys and a final physical group meeting were undertaken. junior
   trainees in gynaecology undertook a parallel iteration of the Delphi
   process for external validation. Population included: expert panel
   certified specialists in minimal-access gynaecological surgery, RCOG
   national senior trainee representatives, and medical educationalists,
   junior trainees group regional trainees in gynaecology in first and
   second year of speciality training.
   Results: Experts (n = 37) reached fair to almost complete significant
   agreement (kappa = 0.100-0.8159; p < 0.05) on eight out of nine
   questions by the second iteration. Trainees (n = 19) agreed with the
   experts on 89% (51/57) of categories to be included in the curriculum.
   Findings indicated that 39 categories should be included in the
   curriculum. Port placement, laparoscopic equipment and patient selection
   were ranked the most important theoretical categories. Hand-eye
   coordination, camera navigation and entry techniques were deemed the
   most valuable skills. Diagnostic laparoscopy, laparoscopic
   sterilisation, and laparoscopic salpingectomy were the operations agreed
   to be most important for inclusion. Simulation training was agreed as
   the method of skill development. The expert panel favoured box trainers,
   whereas the junior trainee group preferred virtual reality simulators. A
   basic simulation laparoscopic hand-eye co-ordination test was proposed
   as a final assessment of competence in the curriculum.
   Conclusion: Consensus was achieved on the content of a basic
   laparoscopic curriculum in gynaecology, in a cost- and time-effective,
   scientific process. The Delphi method provided a simple, structured
   consumer approach to curriculum development that combined views of
   trainers and trainees that could be used to develop curricula in other
   areas of post-graduate education. (C) 2014 Elsevier Ireland Ltd. All
   rights reserved.
OI Burden, Christy/0000-0001-6409-5238; Lenguerrand,
   Erik/0000-0002-0371-731X; Hinshaw, Kim/0000-0003-0468-4326
TC 10
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
Z9 10
U1 0
U2 5
SN 0301-2115
EI 1872-7654
UT WOS:000343384700002
PM 24973478
ER

PT J
AU Haluza, D.
   Kundi, M.
   Vogl, S.
TI Sociodemographic Aspects are Associated with Breast Cancer Screening
   Behaviour of Female Patients: Results of a Cross-Sectional Survey
SO GESUNDHEITSWESEN
VL 76
IS 8-9
BP 500
EP 507
DI 10.1055/s-0033-1349870
PD SEP 2014
PY 2014
AB Zusammenfassung In osterreich werden fur Frauen ab einem Alter von 40
   Jahren Mammografieuntersuchungen zur Brustkrebsfruherkennung in Form von
   opportunistischem Screening angeboten. Trotz offentlicher Diskussion
   uber Nutzen und Risiken dieser Screeningprogramme fehlen
   Evidenzbasierte, online oder in gedruckter Form verfugbare
   Informationsmaterialien fur Patientinnen. Die vorliegende
   Forschungsarbeit beschreibt den mittels Fragebogenerhebung untersuchten
   Zusammenhang der soziodemografischen Faktoren Migrationshintergrund,
   Bildung und Alter mit dem individuellen Brustkrebsscreeningverhalten von
   Patientinnen und der Nutzung unterschiedlicher Informationsquellen zum
   Thema Brustkrebs. In der monozentrischen Querschnittsuntersuchung
   partizipierten Patientinnen (n=333) der Ambulanz der Abteilung fur
   Spezielle Gynakologie des Allgemeinen Krankenhauses Wien, osterreich.
   Insgesamt 93,4% (n=282) der befragten Frauen hatten bereits am
   Mammografie-Screening teilgenommen. Wahrend 86,3% der teilnehmenden
   Frauen regelma ss ige facharztliche Besuche angaben, gingen Patientinnen
   mit Migrationshintergrund seltener (p=0,02), besser gebildete und altere
   Frauen jedoch eher haufiger (p<0,02) zu einer/m Frauenarztin/arzt.
   Teilnehmerinnen mit einer hoheren abgeschlossenen Ausbildung (p=0,04)
   und in einem Alter zwischen 50 und 69 Jahren (p<0,05) fuhlten sich
   besser uber Brustkrebs informiert, wohingegen das Vorhandensein eines
   Migrationshintergrundes in keinem Zusammenhang mit dem subjektiven
   Informationsstand der Frauen stand. Informationen uber Brustkrebs fanden
   die befragten Patientinnen gro ss teils (67,9%) bei einer/m Arztin/Arzt
   sowie in einschlagigen Broschuren (33%). Auch Massenmedien dienten als
   haufig genannte Informationsquelle (22,8%), hingegen wurde das Internet
   (10,5%) fur diesen Zweck weniger genutzt. Die Ergebnisse der
   vorliegenden Studie zeigen, dass Patientinnen das arztliche Gesprach als
   wichtigste Informationsquelle fur medizinische Fragestellungen zum Thema
   Brustkrebs bewerteten. Es ist demnach zu fordern, dass das offentliche
   Gesundheitssystem durch Bereitstellung einheitlicher,
   Qualitatsgesicherter Aufklarungs- und Informationsmaterialien einen
   Beitrag zur positiven Gesundheitskommunikation leistet.
   Abstract In Austria, opportunistic mammography screening for detection
   of early-stages breast cancer is offered for women older than 40 years.
   In spite of public discussions on the effectiveness of mammography
   screening, evidence-based educative information material for female
   patients available online and in print is lacking. The present study
   describes the influence of the 3 sociodemographic characteristics
   migration background, education, and age on the individual's breast
   cancer screening behaviour as well as on the usage of various
   information sources on breast cancer for patients. In total, 333
   outpatients of the Department of Obstetrics and Gynaecology, General
   Hospital, Vienna, Austria, participated in a monocentric cross-sectional
   study. Regarding breast cancer screening, 93.4% (n=282) of the female
   patients had at least one previous mammogram. Furthermore, 86.3% of the
   participants regularly consulted their gynaecologist, while women with
   migration background reported less frequent (p=0.02), and well-educated
   as well as older patients reported more frequent (p<0.02) gynaecological
   consultations. Higher-educated women (p=0.04) and participants aged
   between 50 and 69 years (p<0.05) felt better informed on breast
   cancer-related topics, whereas a migration background was not associated
   with the perceived level of information. Medical doctors (67.9%) as well
   as pertinent folders (33%) were the most relevant information sources on
   breast cancer. Mass media (22.8%) were also a relevant information
   source on this issue, whereas the Internet (10.5%) was quite rarely
   referred to for this purpose. The results of the present study show that
   female patients perceived the medical doctor as the most important
   source of medical information on breast cancer. The public health-care
   system could facilitate positive health communication in the
   doctors/patient relationship by providing homogenous, quality assured
   educative information material.
RI Haluza, Daniela/H-7294-2019
OI Haluza, Daniela/0000-0001-5619-2863
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
TC 2
Z9 2
U1 2
U2 11
SN 0941-3790
EI 1439-4421
UT WOS:000342848500012
PM 23913396
ER

PT J
AU Iskander, John
   Ari, Mary
   Chen, Bin
   Hall, Sharon
   Ghiya, Neelam
   Popovic, Tanja
TI Public Health Grand Rounds at the Centers for Disease Control and
   Prevention: Evaluation Feedback From a Broad Community of Learners
SO JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
VL 20
IS 5
BP 542
EP 550
DI 10.1097/PHH.0b013e3182aa6560
PD SEP-OCT 2014
PY 2014
AB Objective: To evaluate the relevance and educational benefit of monthly
   Public Health Grand Rounds (GR), an hour-long interactive lecture series
   featuring 1 current, relevant public health topic. Design: Quantitative
   and qualitative analysis of data evaluating GR format and content
   submitted by 2063 continuing education (CE) participants. Setting:
   Survey data submitted electronically to the Centers for Disease Control
   and Prevention online CE system from January 2010 through December 2011.
   Participants: Physicians, nurses, pharmacists, health education
   specialists, and other health care professionals seeking CE credits for
   Public Health GR. Main Outcome Measures: Proportion of respondents
   agreeing or strongly agreeing that GR is using educational strategies
   that enhance user learning and is meeting preidentified learning
   objectives. Results: On questions involving instructional strategies and
   delivery methods, 95.0% and 95.6% of respondents, respectively, agreed
   or strongly agreed that the GR was conducive to learning. More than 90%
   of respondents agreed or strongly agreed that they could describe the
   burden of the disease/condition in question and identify key preventive
   interventions, knowledge gaps, and measures of public health progress.
   Conclusions: These evaluation results indicate that the GR is meeting
   content-specific and educational needs of diverse health care
   professionals. The GR models organized scientific discussions on
   evidence and translation into real-world impacts of decreased morbidity,
   mortality, and health care costs, and links public health to clinical
   practice. This promotes a greater understanding of the interplay of
   different health fields and may lead to greater and cross-disciplinary
   collaborations.
ZR 0
ZA 0
ZB 1
TC 2
Z8 0
ZS 0
Z9 2
U1 2
U2 6
SN 1078-4659
EI 1550-5022
UT WOS:000343127100014
PM 24100242
ER

PT J
AU Strain, W. D.
   Cos, X.
   Hirst, M.
   Vencio, S.
   Mohan, V.
   Voko, Z.
   Yabe, D.
   Blueher, M.
   Paldanius, P. M.
TI Time to do more: Addressing clinical inertia in the management of type 2
   diabetes mellitus
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 105
IS 3
BP 302
EP 312
DI 10.1016/j.diabres.2014.05.005
PD SEP 2014
PY 2014
AB Aims: Clinical inertia, the tendency to maintain current treatment
   strategies despite results demanding escalation, is thought to
   substantially contribute to the disconnect between clinical aspirations
   for patients with diabetes and targets achieved. We wished to explore
   potential causes of clinical inertia among physicians and people with
   diabetes.
   Methods: A 20-min online survey of 652 adults with diabetes and 337
   treating physicians in six countries explored opinions relating to
   clinical inertia from both perspectives, in order to correlate
   perceptions and expectations relating to diagnosis, treatment, diabetes
   complications and therapeutic escalation.
   Results: Physicians had low expectations for their patients, despite the
   belief that the importance of good glycaemic control through lifestyle
   and pharmacological interventions had been adequately conveyed.
   Conversely, people with diabetes had, at best, a rudimentary
   understanding of the risks of complications and the importance of good
   control; indeed, only a small proportion believed lifestyle changes were
   important and the majority did not intend to comply.
   Conclusions: The principal findings of this survey suggest that
   impairments in communication are at the heart of clinical inertia. This
   manuscript lays out four key principles that we believe are achievable
   in all environments and can improve the lives of people with diabetes.
   (C) 2014 The Authors. Published by Elsevier Ireland Ltd. This is an open
   access article under the CC BY-NC-SA license
   (http://creativecommons.org/licenses/by-nc-sa/3.0/).
RI Strain, William/Y-9858-2019; Vencio, Sérgio/L-9554-2013; Yabe, Daisuke/J-6682-2014; Vokó, Zoltán/O-3747-2019; Paldanius, Päivi/AAR-6793-2020; Vokó, Zoltán/H-1153-2017; COS CLARAMUNT, FRANCESC XAVIER/; Paldanius, Paivi Maria/
OI Strain, William/0000-0002-6826-418X; Vencio, Sérgio/0000-0001-9283-486X;
   Yabe, Daisuke/0000-0002-5334-7687; Vokó, Zoltán/0000-0002-1004-1848;
   Vokó, Zoltán/0000-0002-1004-1848; COS CLARAMUNT, FRANCESC
   XAVIER/0000-0003-3943-479X; Paldanius, Paivi Maria/0000-0001-5997-4879
ZA 0
ZR 1
ZS 3
Z8 0
ZB 20
TC 65
Z9 66
U1 0
U2 15
SN 0168-8227
EI 1872-8227
UT WOS:000342377100007
PM 24956964
ER

PT J
AU Hendrix, Kristin S.
   Finnell, S. Maria E.
   Zimet, Gregory D.
   Sturm, Lynne A.
   Lane, Kathleen A.
   Downs, Stephen M.
TI Vaccine Message Framing and Parents' Intent to Immunize Their Infants
   for MMR
SO PEDIATRICS
VL 134
IS 3
BP E675
EP E683
DI 10.1542/peds.2013-4077
PD SEP 2014
PY 2014
AB BACKGROUND AND OBJECTIVE: Emphasizing societal benefits of vaccines has
   been linked to increased vaccination intentions in adults. It is unclear
   if this pattern holds for parents deciding whether to vaccinate their
   children. The objective was to determine whether emphasizing the
   benefits of measles-mumps-rubella (MMR) vaccination directly to the
   vaccine recipient or to society differentially impacts parents' vaccine
   intentions for their infants.
   METHODS: In a national online survey, parents (N = 802) of infants <12
   months old were randomly assigned to receive 1 of 4 MMR vaccine
   messages: (1) the Centers for Disease Control and Prevention Vaccine
   Information Statement (VIS), (2) VIS and information emphasizing the MMR
   vaccine's benefits to the child, (3) VIS and information emphasizing
   societal benefits, or (4) VIS and information emphasizing benefits both
   to the child and society. Parents reported their likelihood of
   vaccinating their infants for MMR on a response scale of 0 (extremely
   unlikely) to 100 (extremely likely).
   RESULTS: Compared with the VIS-only group (mean intention = 86.3),
   parents reported increased vaccine intentions for their infants when
   receiving additional information emphasizing the MMR vaccine's benefits
   either directly to the child (mean intention = 91.6, P = .01) or to both
   the child and society (mean intention = 90.8, P = .03). Emphasizing the
   MMR vaccine's benefits only to society did not increase intentions (mean
   intention = 86.4, P = .97).
   CONCLUSIONS: We did not see increases in parents' MMR vaccine intentions
   for their infants when societal benefits were emphasized without mention
   of benefits directly to the child. This finding suggests that providers
   should emphasize benefits directly to the child. Mentioning societal
   benefits seems to neither add value to, nor interfere with, information
   highlighting benefits directly to the child.
OI Zimet, Gregory/0000-0003-3835-937X
TC 53
ZA 0
ZR 0
Z8 0
ZB 19
ZS 0
Z9 53
U1 1
U2 62
SN 0031-4005
EI 1098-4275
UT WOS:000341362600006
PM 25136038
ER

PT J
AU Leanza, Francesco
   Hauser, Diane
TI Teens, Technology, and Health Care
SO PRIMARY CARE
VL 41
IS 3
BP 559
EP +
DI 10.1016/j.pop.2014.05.006
PD SEP 2014
PY 2014
AB Teens are avid users of new technologies and social media. Nearly 95% of
   US adolescents are online at least occasionally. Health care
   professionals and organizations that work with teens should identify
   online health information that is both accurate and teen friendly. Early
   studies indicate that some of the new health technology tools are
   acceptable to teens, particularly texting, computer-based psychosocial
   screening, and online interventions. Technology is being used to provide
   sexual health education, medication reminders for contraception, and
   information on locally available health care services. This article
   reviews early and emerging studies of technology use to promote teen
   health.
Z8 0
ZR 0
TC 9
ZS 0
ZA 0
ZB 0
Z9 9
U1 0
U2 40
SN 0095-4543
EI 1558-299X
UT WOS:000342543800009
PM 25124206
ER

PT J
AU Piessen, G.
   Louvet, A.
   Robriquet, L.
   Bailleux, E.
   Jourdain, M.
   Cosson, M.
TI Setting-up and evaluation of an educational program for the teaching of
   breast and pelvic examination in undergraduate medical students: The
   "PRESAGE" simulation center experience of the medicine university of
   Lille, France
SO GYNECOLOGIE OBSTETRIQUE & FERTILITE
VL 42
IS 9
BP 591
EP 596
DI 10.1016/j.gyobfe.2014.07.004
PD SEP 2014
PY 2014
AB Objectives. - To report the setting-up of a new educational program in
   the teaching of female pelvic and breast examinations and to investigate
   and compare the views and experience of undergraduate medical students
   and teachers on the program.
   Patients and methods. - Prospective evaluation of the teaching program
   through completion of a satisfaction questionnaire including items
   related to the educational value of the session by the students and the
   teachers.
   Results. The educational program included an online preparation for the
   session, 3 workshops on training models (breast examination, pelvic
   examination, cervical snear procedure) and a video clip. In total, 419
   (80.6%) of 520 second study year students (and 15 [50%] of 30 teachers
   [13 doctors and 17 midwifes] responded to the questionnaire). The
   students and the teachers were either very satisfied (56.6% and 13.4%,
   respectively) or satisfied (43.2% and 86.6%, respectively). On average,
   89.7% of students wanted more lessons of this type and all teachers felt
   these useful or very useful training for students.
   Discussion and conclusion. Teaching sessions for pelvic and breast
   examination, which make combined use of videos and training models, are
   associated with a high degree of satisfaction from teachers and students
   in their second student's year. (C) 2014 Elsevier Masson SAS. All rights
   reserved.
RI Piessen, guillaume/AAE-9818-2019; Louvet, Alexandre/S-4422-2018
OI Piessen, guillaume/0000-0001-8243-8310; Louvet,
   Alexandre/0000-0002-5293-007X
Z8 0
ZS 0
ZB 0
TC 5
ZA 0
ZR 0
Z9 5
U1 0
U2 4
SN 1297-9589
EI 1769-6682
UT WOS:000342277200008
PM 25164165
ER

PT J
AU van Ryn, Michelle
   Hardeman, Rachel R.
   Phelan, Sean M.
   Burke, Sara E.
   Przedworski, Julia
   Allen, Michele L.
   Burgess, Diana J.
   Ridgeway, Jennifer
   White, Richard O.
   Dovidio, John F.
TI Psychosocial predictors of attitudes toward physician empathy in
   clinical encounters among 4732 1st year medical students: A report from
   the CHANGES study
SO PATIENT EDUCATION AND COUNSELING
VL 96
IS 3
BP 367
EP 375
DI 10.1016/j.pec.2014.06.009
PD SEP 2014
PY 2014
AB Objective: Medical school curricula intended to promote empathy varies
   widely. Even the most effective curricula leave a significant group of
   students untouched. Pre-existing student factors influence their
   response to learning experiences. We examined the individual predictors
   of first semester medical students' attitudes toward the value of
   physician empathy in clinical encounters.
   Methods: First year students (n = 4732) attending a stratified random
   sample of 49 US medical schools completed an online questionnaire that
   included measures of dispositional characteristics, attitudes and
   beliefs, self-concept and well-being.
   Results: Discomfort with uncertainty, close-mindedness, dispositional
   empathy, elitism, medical authoritarianism, egalitarianism, self-concept
   and well-being all independently predicted first year medical students'
   attitudes toward the benefit of physician empathy in clinical
   encounters.
   Conclusion: Students vary on their attitude toward the value of
   physician empathy when they start medical school. The individual factors
   that predict their attitudes toward empathy may also influence their
   response to curricula promoting empathic care.
   Practice implications: Curricula in medical school promoting empathic
   care may be more universally effective if students' preexisting
   attitudes are taken into account. Messages about the importance of
   physician empathy may need to be framed in ways that are consistent with
   the beliefs and prior world-views of medical students. (C) 2014
   Published by Elsevier Ireland Ltd.
RI Burgess, Diana/A-1946-2016; van Ryn, Michelle/
OI van Ryn, Michelle/0000-0002-4258-7319
ZA 0
Z8 0
TC 28
ZR 0
ZB 4
ZS 1
Z9 29
U1 0
U2 18
SN 0738-3991
UT WOS:000342271100016
PM 25065328
ER

PT J
AU Young, Sean D.
   Holloway, Ian
   Jaganath, Devan
   Rice, Eric
   Westmoreland, Drew
   Coates, Thomas
TI Project HOPE: Online Social Network Changes in an HIV Prevention
   Randomized Controlled Trial for African American and Latino Men Who Have
   Sex With Men
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 104
IS 9
BP 1707
EP 1712
DI 10.2105/AJPH.2014.301992
PD SEP 2014
PY 2014
AB Objectives. We examined whether and how an HIV prevention
   diffusion-based intervention spread throughout participants' online
   social networks and whether changes in social network ties were
   associated with increased HIV prevention and testing behaviors.
   Methods. We randomly assigned 112 primarily racial/ethnic minority men
   who have sex with men (MSM) to receive peer-delivered HIV (intervention)
   or general health (control) information over 12 weeks through closed
   Facebook groups. We recorded participants' public Facebook friend
   networks at baseline (September 2010) and follow-up (February 2011), and
   assessed whether changes in network growth were associated with changes
   in health engagement and HIV testing.
   Results. Within-group ties increased in both conditions from baseline to
   follow-up. Among the intervention group, we found a significant positive
   relation between increased network ties and using social media to
   discuss sexual behaviors. We found a positive trending relationship
   between increased network ties and likelihood of HIV testing, follow-up
   for test results, and participation in online community discussions. No
   significant differences were seen within control groups.
   Conclusions. Among high-risk MSM, peer-led social media HIV prevention
   interventions can increase community cohesion. These changes appear to
   be associated with increased HIV prevention and testing behaviors.
RI Westmoreland, Drew A/AAX-5412-2021; Jaganath, Devan/; Young, Sean D./
OI Westmoreland, Drew A/0000-0003-4085-7941; Jaganath,
   Devan/0000-0002-8555-5667; Young, Sean D./0000-0001-6052-4875
ZA 0
ZS 0
ZR 0
ZB 15
Z8 0
TC 74
Z9 74
U1 0
U2 34
SN 0090-0036
EI 1541-0048
UT WOS:000341864400038
PM 25033137
ER

PT J
AU Donnelly, Kyla Z.
   Foster, Tina C.
   Thompson, Rachel
TI What matters most? The content and concordance of patients' and
   providers' information priorities for contraceptive decision making
SO CONTRACEPTION
VL 90
IS 3
BP 280
EP 287
DI 10.1016/j.contraception.2014.04.012
PD SEP 2014
PY 2014
AB Objective(s): The objective of this study was to identify women's and
   health care providers' information priorities for contraceptive decision
   making and counseling, respectively.
   Study Design: Cross-sectional surveys were administered online to
   convenience samples of 417 women and 188 contraceptive care providers
   residing in the United States. Participants were provided with a list of
   34 questions related to the features of contraceptive options and rated
   the importance of each. Participants also ranked the questions in
   descending order of importance. For both women and providers, we
   calculated the mean importance rating for each question and the
   proportion that ranked each question in their three most important
   questions.
   Results: The average importance ratings given by women and providers
   were similar for 18 questions, but dissimilar for the remaining 16
   questions. The question rated most important for women was "How does it
   work to prevent pregnancy?" whereas, for providers, "How often does a
   patient need to remember to use it?" and "How is it used?" were rated
   equally. The eight questions most frequently selected in the top three
   by women and/or providers were related to the safety of the method,
   mechanism of action, mode of use, side effects, typical- and perfect-use
   effectiveness, frequency of administration and when it begins to prevent
   pregnancy.
   Conclusion(s): Although we found considerable concordance between
   women's and provider's information priorities, the presence of some
   inconsistencies highlights the importance of patient-centered
   contraceptive counseling and, in particular, shared contraceptive
   decision making.
   Implications: This study provides insights into the information
   priorities of women for their contraceptive decision making and health
   care providers for contraceptive counseling. These insights are critical
   both to inform the development of decision support tools for
   implementation in contraceptive care and to guide the delivery of
   patient-centered care. (C) 2014 Elsevier Inc. All rights reserved.
OI Thompson, Rachel/0000-0002-1009-0746
Z8 0
TC 56
ZR 0
ZA 0
ZB 17
ZS 3
Z9 57
U1 0
U2 12
SN 0010-7824
EI 1879-0518
UT WOS:000341738600013
PM 24863169
ER

PT J
AU Bibault, Jean-Emmanuel
   Leroy, Thomas
   Blanchard, Pierre
   Biau, Julian
   Cervellera, Mathilde
   Diaz, Olivia
   Faivre, Jean Christophe
   Fumagalli, Ingrid
   Lescut, Nicolas
   Martin, Valentine
   Pichon, Baptiste
   Riou, Olivier
   Thureau, Sebastien
   Giraud, Philippe
TI Mobile Technology and Social Media in the Clinical Practice of Young
   Radiation Oncologists: Results of a Comprehensive Nationwide
   Cross-sectional Study
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 90
IS 1
BP 231
EP 237
DI 10.1016/j.ijrobp.2014.05.012
PD SEP 1 2014
PY 2014
AB Purpose: Social media and mobile technology are transforming the way in
   which young physicians are learning and practicing medicine. The true
   impact of such technologies has yet to be evaluated.
   Methods and Materials: We performed a nationwide cross-sectional survey
   to better assess how young radiation oncologists used these
   technologies. An online survey was sent out between April 24, 2013, and
   June 1, 2013. All residents attending the 2013 radiation oncology French
   summer course were invited to complete the survey. Logistic regressions
   were performed to assess predictors of use of these tools in the
   hospital on various clinical endpoints.
   Results: In all, 131 of 140 (93.6%) French young radiation oncologists
   answered the survey. Of these individuals, 93% owned a smartphone and
   32.8% owned a tablet. The majority (78.6%) of the residents owning a
   smartphone used it to work in their department. A total of 33.5% had
   more than 5 medical applications installed. Only 60.3% of the residents
   verified the validity of the apps that they used. In all, 82.9% of the
   residents had a social network account.
   Conclusions: Most of the residents in radiation oncology use their
   smartphone to work in their department for a wide variety of tasks.
   However, the residents do not consistently check the validity of the
   apps that they use. Residents also use social networks, with only a
   limited impact on their relationship with their patients. Overall, this
   study highlights the irruption and the risks of new technologies in the
   clinical practice and raises the question of a possible regulation of
   their use in the hospital. (C) 2014 Elsevier Inc.
RI Blanchard, Pierre/AAC-8695-2019; Biau, Julian/X-9035-2019; Riou, Olivier/Z-1987-2019; FUMAGALLI, Ingrid/Q-3275-2018; Bibault, Jean-Emmanuel/; FAIVRE, Jean-Christophe/
OI Blanchard, Pierre/0000-0003-4785-3409; Biau, Julian/0000-0002-1570-4487;
   FUMAGALLI, Ingrid/0000-0001-8904-1500; Bibault,
   Jean-Emmanuel/0000-0002-1728-6776; FAIVRE,
   Jean-Christophe/0000-0002-2617-3562
TC 17
ZB 1
ZA 0
Z8 0
ZS 1
ZR 0
Z9 18
U1 0
U2 10
SN 0360-3016
EI 1879-355X
UT WOS:000341456500031
PM 24986747
ER

PT J
AU Kahn, Steven A.
   Woods, Jason
   Sipes, Jan C.
   Toscano, Nicole
   Bell, Derek E.
TI Firefighter Safety: Rampant Unsafe Practices as Documented in Mainstream
   Media
SO JOURNAL OF BURN CARE & RESEARCH
VL 35
IS 5
BP 426
EP 430
DI 10.1097/BCR.0000000000000016
PD SEP-OCT 2014
PY 2014
AB More than 30,000 firefighters are injured on the fireground each year.
   Literature suggests that injury often occurs when protective gear is not
   used properly. According to firefighters, failure to correctly wear
   protective equipment occurs for several reasons: 1) gear not used
   because of haste, 2) cumbersome gear can sometimes interfere with
   performance, and 3) cultural factors. The purpose of this study is to
   quantify improper gear and tactic use in a publicly available, online
   video repository in order to better understand unsafe firefighting. This
   was an Institutional Review Board-exempt study of public video records.
   A search for "fire fighting videos" was conducted at YouTube
   (www.youtube.com). The first 50 videos that contained volunteer or
   career firefighters at work fighting fires were selected evaluated for
   appropriate use of personal protective equipment and for safe behavior.
   The videos were evaluated by two highly experienced professional
   firefighters. Of the 50 videos reviewed, 25 (50%) demonstrated
   violations of firefighting safety principles. Of the unsafe videos, 21
   (42%) displayed firefighters improperly using gear, while the other 4
   (8%) were related to unsound tactics. The most common problem was
   failure to wear or properly secure a self-contained breathing apparatus
   when appropriate (14 videos or 28%). The second most common failure was
   lack of helmet, hood, or approved gloves (11 videos or 22%). In
   conclusion, firefighting as documented on YouTube is often unsafe
   because of failure to properly use personal protective equipment. Half
   of the videos reviewed contained unsafe practices. With such a
   shockingly high rate of unsafe firefighting, the profession is in need
   of additional education and reform. In response to this epidemic, a
   multidisciplinary educational program has been developed to improve
   firefighter awareness of gear limitations and burn injury risk.
   Effectiveness of educational programs should be documented in additional
   prospective studies.
ZB 6
TC 12
ZS 0
Z8 0
ZR 0
ZA 0
Z9 12
U1 0
U2 22
SN 1559-047X
EI 1559-0488
UT WOS:000342098600024
PM 25106028
ER

PT J
AU Bundy, David G.
   Morawski, Lori F.
   Lazorick, Suzanne
   Bradbury, Scott
   Kamachi, Karen
   Suresh, Gautham K.
TI Education in Quality Improvement for Pediatric Practice: An Online
   Program to Teach Clinicians QI
SO ACADEMIC PEDIATRICS
VL 14
IS 5
BP 517
EP 525
DI 10.1016/j.acap.2014.05.008
PD SEP-OCT 2014
PY 2014
AB BACKGROUND: Education in Quality Improvement for Pediatric Practice
   (EQIPP) is an online program designed to improve evidence-based care
   delivery by teaching front-line clinicians quality improvement (QI)
   skills. Our objective was to evaluate EQIPP data to characterize 1)
   participant enrollment, use patterns, and demographics; 2) changes in
   performance in clinical QI measures from baseline to follow-up
   measurement; and 3) participant experience.
   METHODS: We conducted an observational study of EQIPP participants
   utilizing 1 of 3 modules (asthma, immunizations, gastroesophageal reflux
   disease) from 2009 to 2013. Enrollment and use, demographic, and quality
   measure data were extracted directly from the EQIPP system; participant
   experience was assessed via an optional online survey.
   RESULTS: Study participants (n = 3501) were diverse in their gender,
   age, and race; most were board certified. Significant quality gaps were
   observed across many of the quality measures at baseline; sizable
   improvements were observed across most quality measures at follow-up.
   Participants were generally satisfied with their experience. The most
   influential module elements were collecting and analyzing data, creating
   and implementing aim statements and improvement plans, and completing
   "QI Basics."
   CONCLUSIONS: Online educational programs, such as EQIPP, hold promise
   for front-line clinicians to learn QI. The sustainability of the
   observed improvements in care processes and their linkage to
   improvements in health outcomes are unknown and are an essential topic
   for future study.
OI Lazorick, Suzanne/0000-0002-5578-1356
ZR 0
Z8 0
ZS 0
ZA 0
ZB 1
TC 11
Z9 11
U1 0
U2 4
SN 1876-2859
EI 1876-2867
UT WOS:000341900200016
PM 25169163
ER

PT J
AU Antonoff, Mara B.
   Verrier, Edward D.
   Yang, Stephen C.
   Lin, Jules
   DeArmond, Daniel T.
   Allen, Mark S.
   Varghese, Thomas K., Jr.
   Sengewald, Darcy
   Vaporciyan, Ara A.
TI Online Learning in Thoracic Surgical Training: Promising Results of
   Multi-Institutional Pilot Study
SO ANNALS OF THORACIC SURGERY
VL 98
IS 3
BP 1057
EP 1063
DI 10.1016/j.athoracsur.2014.04.062
PD SEP 2014
PY 2014
AB Background. Cardiothoracic surgical education faces numerous challenges,
   including reduced duty hours and diminishing prioritization of teaching,
   in the setting of rapidly advancing knowledge, skills, and case
   complexity. Pass rates on the American Board of Thoracic Surgery exam
   remain suboptimal, and new training formats are being evaluated. We
   hypothesize that Internet-based courses can be developed and implemented
   to supplement learning of basic topics in cardiothoracic surgery.
   Methods. After a needs assessment, 4 online self-study courses were
   developed by content experts using a Moodle [modular object-oriented
   dynamic learning environment] platform. As a pilot cohort, students from
   4 thoracic surgery training programs participated, accessing courses at
   their own pace. Each course included general and detailed readings,
   multimedia content, discussion forum, and a question-bank supported quiz
   (90% required to pass, multiple attempts allowed). Utilization and exam
   data were tracked electronically. The t tests were used to compare first
   versus final-year traditional track trainees. Post-course surveys
   collected data on trainee attitudes.
   Results. Nineteen students completed 4 courses on tracheal disease. Mean
   time spent per course and quiz attempts to pass were 1.35 hours and
   2.86, respectively. Scores improved with successive attempts. Senior
   trainees showed a trend toward less time per course and fewer quiz
   attempts. Post-course surveys uniformly demonstrated perceived benefits
   from the content and quizzes in an easy-to-navigate format.
   Conclusions. Online courses can be developed and integrated within
   cardiothoracic training programs. This pilot demonstrates evidence of
   active learning as shown through the embedded assessments.
   Internet-based courses may serve as a means of supplementing modern
   thoracic surgical training. Further development and evaluation are
   warranted. (C) 2014 by The Society of Thoracic Surgeons
CT 50th Annual Meeting of the Society-of-Thoracic-Surgeons
CY JAN 25-29, 2014
CL Orlando, FL
SP Soc Thorac Surg
OI Lin, Jules/0000-0003-4733-0659
ZA 0
TC 25
ZS 0
ZB 0
Z8 0
ZR 0
Z9 25
U1 0
U2 5
SN 0003-4975
EI 1552-6259
UT WOS:000341982700047
PM 25085560
ER

PT J
AU Robinson, Emma L.
   Ball, Lauren E.
   Leveritt, Michael D.
TI Obesity Bias Among Health and Non-Health Students Attending an
   Australian University and Their Perceived Obesity Education
SO JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR
VL 46
IS 5
BP 390
EP 395
DI 10.1016/j.jneb.2013.12.003
PD SEP-OCT 2014
PY 2014
AB Objective: This study compared the level of prejudice against obese
   individuals (obesity bias) among final-year health and non-health
   students, and associated obesity education.
   Methods: Cross-sectional online survey of 479 final-year students (292
   health and 187 non-health) from Griffith University, Australia. Implicit
   and explicit obesity bias was measured using validated tools, and
   perceived obesity education ranked from "none" to "excellent." Data were
   analyzed quantitatively using analysis of variance and independent
   sample t tests. Statistical significance was set at P < .05.
   Results: Students' mean age was 26.2 +/- 7.6 years and body mass index
   was 23.2 +/- 4.7 kg/m(2). Health and non-health students exhibited
   significant levels of obesity bias. Non-health students were more likely
   to suggest that obese individuals lacked willpower (P = .03). Students'
   self-reported obesity education varied considerably. Those who reported
   a higher level of genetics-related obesity education were less likely to
   believe that obese individuals were "bad" (P = .002) or to show concern
   about putting on weight (P = .01).
   Conclusions and Implications: Obesity bias exists in health students in
   Australia and is similar to non-health students' obesity bias levels.
   Students' self-reported genetics-related obesity education may be
   associated with obesity bias. Modifications to existing health curricula
   should be considered to reduce obesity bias among future health
   professionals.
RI Leveritt, Michael D/F-9309-2011; Ball, Lauren/AAD-6972-2019; Ball, Lauren/ABB-2864-2021; Leveritt, Michael/
OI Ball, Lauren/0000-0002-5394-0931; Leveritt, Michael/0000-0003-1326-5625
ZS 1
ZA 0
Z8 1
TC 15
ZB 1
ZR 0
Z9 15
U1 1
U2 18
SN 1499-4046
EI 1878-2620
UT WOS:000342137100015
PM 24502966
ER

PT J
AU Hansberry, David R.
   Ramchand, Tekchand
   Patel, Shyam
   Kraus, Carl
   Jung, Jin
   Agarwal, Nitin
   Gonzales, Sharon F.
   Baker, Stephen R.
TI Are we failing to communicate? Internet-based patient education
   materials and radiation safety
SO EUROPEAN JOURNAL OF RADIOLOGY
VL 83
IS 9
BP 1698
EP 1702
DI 10.1016/j.ejrad.2014.04.013
PD SEP 2014
PY 2014
AB Introduction: Patients frequently turn to the Internet when seeking
   answers to healthcare related inquiries including questions about the
   effects of radiation when undergoing radiologic studies. We investigate
   the readability of online patient education materials concerning
   radiation safety from multiple Internet resources.
   Methods: Patient education material regarding radiation safety was
   downloaded from 8 different websites encompassing: (1) the Centers for
   Disease Control and Prevention, (2) the Environmental Protection Agency,
   (3) the European Society of Radiology, (4) the Food and Drug
   Administration, (5) the Mayo Clinic, (6) MedlinePlus, (7) the Nuclear
   Regulatory Commission, and (8) the Society of Pediatric Radiology. From
   these 8 resources, a total of 45 articles were analyzed for their level
   of readability using 10 different readability scales.
   Results: The 45 articles had a level of readability ranging from 9.4 to
   the 17.2 grade level. Only 3/45 (6.7%) were written below the 10th grade
   level. No statistical difference was seen between the readability level
   of the 8 different websites.
   Conclusions: All 45 articles from all 8 websites failed to meet the
   recommendations set forth by the National Institutes of Health and
   American Medical Association that patient education resources be written
   between the 3rd and 7th grade level. Rewriting the patient education
   resources on radiation safety from each of these 8 websites would help
   many consumers of healthcare information adequately comprehend such
   material. (C) 2014 Published by Elsevier Ireland Ltd.
ZR 0
ZA 0
ZS 0
ZB 7
TC 23
Z8 0
Z9 23
U1 0
U2 8
SN 0720-048X
EI 1872-7727
UT WOS:000340834800027
PM 24968965
ER

PT J
AU Jiwa, Moyez
   Long, Anne
   Shaw, Tim
   Pagey, Georgina
   Halkett, Georgia
   Pillai, Vinita
   Meng, Xingqiong
TI The Management of Acute Adverse Effects of Breast Cancer Treatment in
   General Practice: A Video-Vignette Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 16
IS 9
AR e204
DI 10.2196/jmir.3585
PD SEP 2014
PY 2014
AB Background: There has been a focus recently on the use of the Internet
   and email to deliver education interventions to general practitioners
   (GPs). The treatment of breast cancer may include surgery, radiotherapy,
   chemotherapy, and/or hormone treatment. These treatments may have acute
   adverse effects. GPs need more information on the diagnosis and
   management of specific adverse effects encountered immediately after
   cancer treatment.
   Objective: The goal was to evaluate an Internet-based educational
   program developed for GPs to advise patients with acute adverse effects
   following breast cancer treatment.
   Methods: During phase 1, participants viewed 6 video vignettes of
   actor-patients reporting 1 of 6 acute symptoms following surgery and
   chemotherapy and/or radiotherapy treatment. GPs indicated their
   diagnosis and proposed management through an online survey program. They
   received feedback about each scenario in the form of a specialist clinic
   letter, as if the patient had been seen at a specialist clinic after
   they had attended the GP. This letter incorporated extracts from local
   guidelines on the management of the symptoms presented. This feedback
   was sent to the GPs electronically on the same survey platform. In phase
   2, all GPs were invited to manage similar cases as phase 1. Their
   proposed management was compared to the guidelines. McNemar test was
   used to compare data from phases 1 and 2, and logistic regression was
   used to explore the GP characteristics that were associated with
   inappropriate case management.
   Results: A total of 50 GPs participated. Participants were younger and
   more likely to be female than other GPs in Australia. For 5 of 6
   vignettes in phase 1, management was consistent with expert opinion in
   the minority of cases (6%-46%). Participant demographic characteristics
   had a variable effect on different management decisions in phase 1. The
   variables modeled explained 15%-28% of the differences observed.
   Diagnosis and management improved significantly in phase 2, especially
   for diarrhea, neutropenia, and seroma sample cases. The proportion of
   incorrect management responses was reduced to a minimum (25.3%-49.3%) in
   phase 2.
   Conclusions: There was evidence that providing feedback by experts on
   specific cases had an impact on GPs' knowledge about how to
   appropriately manage acute treatment adverse effects. This educational
   intervention could be targeted to support the implementation of shared
   care during cancer treatment.
RI Long, Anne/G-4093-2019; Halkett, Georgia/A-1449-2008; Meng, Xingqiong/
OI Halkett, Georgia/0000-0003-4065-4044; Meng,
   Xingqiong/0000-0001-8935-358X
TC 9
ZB 1
ZR 0
ZA 0
Z8 1
ZS 0
Z9 10
U1 0
U2 8
SN 1438-8871
UT WOS:000341433000007
PM 25274131
ER

PT J
AU Maurer, Douglas
   Stephens, Mark
   Reamy, Brian
   Crownover, Brian
   Crawford, Paul
   Chang, Tammy
TI Family Physicians' Knowledge of Commonly Overused Treatments and Tests
SO JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
VL 27
IS 5
BP 699
EP 703
DI 10.3122/jabfm.2014.05.140003
PD SEP-OCT 2014
PY 2014
AB Purpose: In 2010, several primary care physician organizations drafted
   the "Promoting Good Stewardship in Clinical Practice" list for family
   medicine to advance the appropriate use of 5 commonly ordered treatments
   and tests. The goal was to achieve excellent patient care while
   appropriately conserving health care resources. The purpose of this
   study was to assess knowledge regarding the appropriate use of these
   treatments and tests among the memberships of the Uniformed Services
   Academy of Family Physicians (USAFP) and the Council of Academic Family
   Medicine (CAFM).
   Methods: An online, cross-sectional survey of all family physician
   members of the USAFP and the CAFM was conducted. The survey consisted of
   5 clinical cases administered as part of a larger omnibus CAFM
   Educational Research Alliance survey and a separate USAFP membership
   survey. The primary outcome was correct answers to clinical scenarios.
   Results: The response rate was 11% (n = 236 of 2165) for members of
   USAFP and 47% (n = 519 of 1099) for CAFM members, with an overall
   response rate of 23% (n = 755 of 3264). Overall, respondents answered
   78% of cases correctly (USAFP 79%, CAFM 78%; no significant difference).
   In rank order, respondents were most likely to answer the Papanicolaou
   test question correctly (90.1%), followed by the low-back pain (86.7%),
   the dual-energy X-ray absorptiometry screening (85.4%), the sinusitis
   (66.5%), and the cardiac screening questions (61.4%).
   Conclusion: Among the family physicians surveyed, knowledge about the
   appropriate use of commonly overused tests and treatments was high. Two
   clinical scenarios (sinusitis and cardiac screening) demonstrate areas
   where further education could improve care and reduce costs.
RI Crawford, Paul/ABG-9386-2020; Stephens, Mark/A-2679-2015; Crawford, Paul/; Chang, Tammy/; , Mark/
OI Crawford, Paul/0000-0001-7484-8328; Chang, Tammy/0000-0002-3580-9438; ,
   Mark/0000-0003-0156-1638
ZA 0
ZB 0
Z8 0
TC 5
ZS 0
ZR 0
Z9 5
U1 0
U2 3
SN 1557-2625
EI 1558-7118
UT WOS:000341891500015
PM 25201940
ER

PT J
AU Quitadamo, Paolo
   Urbonas, Vaidotas
   Papadopoulou, Alexandra
   Roman, Enriqueta
   Pavkov, Danijela J.
   Orel, Rok
   Dias, Jorge A.
   Kostovski, Aco
   Miele, Erasmo
   Villani, Alberto
   Staiano, Annamaria
TI Do Pediatricians Apply the 2009 NASPGHAN-ESPGHAN Guidelines for the
   Diagnosis and Management of Gastroesophageal Reflux After Being Trained?
SO JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
VL 59
IS 3
BP 356
EP 359
DI 10.1097/MPG.0000000000000408
PD SEP 2014
PY 2014
AB Background: According to a recent survey, the 2009 North American
   Society for Pediatric Gastroenterology, Hepatology, and
   Nutrition-European Society for Pediatric Gastroenterology, Hepatology,
   and Nutrition gastroesophageal reflux guidelines are poorly adhered to
   by European primary care pediatricians. The main issue raised from the
   survey was the prescription of unnecessary acid suppressive medications,
   especially in infants. No inquiry into the reasons was made. The primary
   objective of the present study was to assess the applicability of the
   guidelines in European primary care pediatricians undergoing specific
   trainings.
   Methods: One hundred pediatricians involved in the previous survey
   agreed to participate and were randomly divided into 2 groups: one group
   was trained in the guidelines through an online podcast and the other
   group was trained through a synopsis. During the following 3 months,
   each involved pediatrician was asked to enroll every consecutive infant,
   child, or adolescent with suggestive reflux symptoms. For every enrolled
   patient, pediatricians filled in a report concerning their diagnostic
   and therapeutic choices.
   Results: A total of 382 patients (boys/girls 186/196,
   infants/children/adolescents 194/123/65) were enrolled by pediatricians.
   Infants with unexplained crying and/or distressed behavior who were
   prescribed proton-pump inhibitors were 3.7% compared with 45.2% of the
   survey data obtained before the training (P<0.05). Infants with
   uncomplicated recurrent regurgitation and vomiting who were prescribed
   proton-pump inhibitors were 4.5% against 37.1% of the baseline survey
   data (P<0.05). The overall rate of children managed in full compliance
   with the guidelines was 46.1% after the training compared with 1.8%
   before the training (P<0.05). No significant differences were seen
   between pediatricians from podcast and synopsis group.
   Conclusions: The North American Society for Pediatric Gastroenterology,
   Hepatology, and Nutrition-European Society for Pediatric
   Gastroenterology, Hepatology, and Nutrition gastroesophageal reflux
   guidelines have good applicability, despite that they are presently
   poorly adhered to by European primary care pediatricians. Simple,
   inexpensive trainings were proven to be effective in increasing
   adherence by pediatricians. The increase in compliance clearly favors
   the role of continuous medical education through simple educational
   tools and subsequent assessment of practice.
RI Staiano, Annamaria/H-3026-2011; Urbonas, Vaidotas/CAA-1389-2022; Dias, Jorge/AAY-2074-2021; Dias, Jorge Amil/AAN-4687-2021; Urbonas, Vaidotas/ACF-6173-2022
OI Staiano, Annamaria/0000-0003-0586-1339; Dias, Jorge/0000-0003-2704-4508;
   Urbonas, Vaidotas/0000-0002-7779-5484
ZA 0
TC 12
Z8 0
ZS 3
ZB 9
ZR 0
Z9 15
U1 0
U2 8
SN 0277-2116
EI 1536-4801
UT WOS:000341080700022
PM 24762458
ER

PT J
AU D'Antiga, Lorenzo
   Nicastro, Emanuele
   Papadopoulou, Alexandra
   Mearin, Maria L.
   Tzivinikos, Christos
   Vandenplas, Yvan
   van Goudoever, Hans
   Baumann, Ulrich
   Troncone, Riccardo
   Koletzko, Berthold
TI European Society for Pediatric Gastroenterology, Hepatology, and
   Nutrition Syllabus for Subspecialty Training: Moving Towards a European
   Standard
SO JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
VL 59
IS 3
BP 417
EP 422
DI 10.1097/MPG.0000000000000464
PD SEP 2014
PY 2014
AB The requirements for and conditions of subspecialty training in
   paediatric gastroenterology, hepatology, and nutrition (PGHN) are rather
   variable across European countries. The European Society for Pediatric
   Gastroenterology, Hepatology, and Nutrition (ESPGHAN) agreed on a
   training syllabus aimed to foster a harmonised European PGHN curriculum
   and to support national PGHN societies and governmental bodies to
   promote and establish high-quality training programmes and levels of
   certification in the field. The document provides PGHN training
   prerequisites and objectives and the basic knowledge elements to acquire
   the clinical, technical, and management skills needed. Guidelines and
   instruments for self-monitoring and appraisal are proposed, and a
   logbook is available online. These training standards are a first step
   towards a European certification and recognition as a specialist in
   PGHN.
RI Nicastro, Emanuele/AAJ-2274-2020; D'Antiga, Lorenzo/AAH-4485-2019; Nicastro, Emanuele/K-1260-2018; D'Antiga, Lorenzo/AAU-6924-2020; van Goudoever, Johannes (Hans)/
OI Nicastro, Emanuele/0000-0002-4518-9375; D'Antiga,
   Lorenzo/0000-0001-7150-3148; van Goudoever, Johannes
   (Hans)/0000-0003-3960-1703
TC 15
Z8 0
ZA 0
ZR 0
ZB 8
ZS 0
Z9 15
U1 0
U2 6
SN 0277-2116
EI 1536-4801
UT WOS:000341080700032
PM 24979319
ER

PT J
AU AlJamal, Yazan N.
   Ali, Shahzad M.
   Ruparel, Raaj K.
   Brahmbhatt, Rushin D.
   Yadav, Siddhant
   Farley, David R.
TI The rationale for combining an online audiovisual curriculum with
   simulation to better educate general surgery trainees
SO SURGERY
VL 156
IS 3
BP 723
EP 728
DI 10.1016/j.surg.2014.04.049
PD SEP 2014
PY 2014
AB Background. Surgery interns' training has historically been weighted
   toward patient care, operative observation, and sleeping when possible.
   With more protected free time and less clinical time, real educational
   hours for trainees in 2013 are precious.
   Methods. We created a 20-session (3 hours each) simulation curriculum
   (with pre- and post-tests) and a 24/7 online audiovisual (AV) curriculum
   for surgery interns. Friday morning simulation sessions emphasize
   operative skills and judgment. AV clips (using operating room,
   whiteboard, and simulation center videos) take learners through 20
   different general surgery operations with follow-up quizzes. We report
   our early experience with this novel setup.
   Results. Thirty-two surgical interns (2012-2013) attended simulation
   sessions on 20 separate subjects (hernia, breast, hepatobiliary,
   endocrine, etc). Post-test scores improved (P < .05) and trainees
   enjoyed using surgical skills for 3 hours each Friday morning (mean,
   >4.5; Likert scale, 1-5). The AV curriculum feedback is similar (mean,
   >4.3) and usage is available 24/7 preparing learners for both operating
   room and simulation sessions. Most simulation sessions utilize
   low-fidelity models to keep costs <$50 per session. Scores on our
   semiannual Surgical Olympics (mean score of 49.6 in July vs 82.9 in
   January; P <. 05) improved significantly, suggesting that interns are
   improving their surgical skills and knowledge.
   Conclusion. Residents enjoy and learn from the step-by-step, in-house,
   AV curriculum and both appreciate and thrive on the 'hands-on'
   simulation sessions mimicking operations they see in real operating
   rooms. The cost of these programs is not prohibitive and the programs
   offer simulated repetitions for duty-hour-regulated trainees.
OI AlJamal, Yazan/0000-0002-0056-2711
TC 24
ZR 0
ZB 3
Z8 0
ZA 0
ZS 0
Z9 24
U1 0
U2 2
SN 0039-6060
UT WOS:000341228200030
PM 25086791
ER

PT J
AU Barnes, Margaux J.
   Pressey, Joseph
   Adams, Julia
   Hensler, Molly A.
   Madan-Swain, Avi
TI Physician and Nurse Beliefs of Phase 1 Trials in Pediatric Oncology
SO CANCER NURSING
VL 37
IS 5
BP E48
EP E52
DI 10.1097/NCC.0000000000000099
PD SEP-OCT 2014
PY 2014
AB Background: In order to improve the survival of children with cancer,
   novel therapies must be identified. Promising agents are tested in phase
   1 trials in order to identify appropriate dosing and describe toxicity
   in children. The identification and referral of candidate patients for
   phase 1 trials rely heavily on medical providers who must balance their
   own perceptions of phase 1 trials with the desires and willingness of
   the patient and his/her family. Objective: The goal of the present study
   was to evaluate and compare physician and nurse perceptions regarding
   the beliefs, expectations, and perceived benefits of phase 1 clinical
   trials. Methods: A survey consisting of 21 questions was sent to 419
   physicians and nurses practicing pediatric oncology at 30 different
   institutions. With the exception of 10 demographic questions, items were
   either rank ordered or rated on 5-point Likert scales. Results:
   Ninety-four physicians and 122 nurses completed the online survey.
   Physicians and nurses differed in their knowledge of the goals and
   medical effects of phase 1 clinical trials. Conclusions: Physicians and
   nurses hold positive beliefs regarding phase 1 clinical trials and
   support their role in the treatment of children with cancer. Education
   is necessary to increase nurses' knowledge of the goals and outcomes.
   Implications for Practice: These findings suggest that continued
   education of nurses as well as physicians about the goals, execution,
   and monitoring of phase 1 therapy would be worthwhile.
RI Pressey, Joseph G/AAP-2782-2020
OI Pressey, Joseph G/0000-0003-1816-3281
Z8 0
ZR 0
ZA 0
ZB 1
ZS 0
TC 5
Z9 5
U1 0
U2 8
SN 0162-220X
EI 1538-9804
UT WOS:000341497500006
PM 25140639
ER

PT J
AU Jacquet, Gabrielle A.
   Hansoti, Bhakti
   Levine, Adam C.
   Martin, Ian B. K.
CA Global Emergency Med Acad
TI CAREER PATHS AND PRACTICE PATTERNS OF GLOBAL EMERGENCY MEDICINE
   PHYSICIANS: A CROSS-SECTIONAL SURVEY
SO JOURNAL OF EMERGENCY MEDICINE
VL 47
IS 3
BP 348
EP 354
DI 10.1016/j.jemermed.2014.01.029
PD SEP 2014
PY 2014
AB Background: Increasing numbers of emergency medicine (EM) residents and
   fellows are completing additional training with the intention of
   pursuing careers in global emergency medicine (GEM). At the same time,
   many academic emergency departments (EDs) are investing in the
   development of GEM divisions and global/international EM fellowship
   programs. However, the path for a successful career in this subspecialty
   has still not been defined. Objective: Our aim was to survey emergency
   physicians engaged in GEM in order to characterize their practice
   patterns and career paths, and to identify barriers to a successful
   career. Methods: An online survey assessing demographics, timing and
   content of work, financing and barriers, and academic productivity was
   deployed to emergency physicians. Descriptive statistics were analyzed
   using STATA software. Results: A total of 116 attending emergency
   physicians responded. Female respondents tended to be younger (51% vs.
   27%; p = 0.012). Younger respondents were more likely to have completed
   advanced GEM training (20% vs. 7%; p = 0.037). Most (73%) respondents
   spent fewer than 3 months annually abroad. Self funding was the most
   common (47%) source of funding, while only 16% reported receiving grant
   support. Lack of time and funding were the most commonly encountered
   barriers to a career inGEM(64% and 55%, respectively). Conclusions: Our
   survey provides an understanding of the amount of time that emergency
   physicians in GEM spend abroad and the types of activities in which they
   are currently engaged, as well as the barriers that need to be overcome
   in order to achieve fulfilling careers in this field. (C) 2014 Elsevier
   Inc.
RI Levine, Adam/F-1813-2016; Hansoti, Bhakti/; Jacquet, Gabrielle A./
OI Levine, Adam/0000-0003-3982-3824; Hansoti, Bhakti/0000-0003-0188-9764;
   Jacquet, Gabrielle A./0000-0001-9486-5512
ZB 0
ZA 0
ZS 0
TC 4
ZR 0
Z8 0
Z9 4
U1 0
U2 10
SN 0736-4679
EI 1090-1280
UT WOS:000341443300027
PM 24698508
ER

PT J
AU Guerrasio, Jeannette
   Furfari, Kristin A.
   Rosenthal, Laura D.
   Nogar, Carmella L.
   Wray, Kinsey W.
   Aagaard, Eva M.
TI Failure to fail: The institutional perspective
SO MEDICAL TEACHER
VL 36
IS 9
BP 799
EP 803
DI 10.3109/0142159X.2014.910295
PD SEP 2014
PY 2014
AB Purpose: To determine institutional barriers to placing failing students
   on probation, dismissing students.
   Methods: An online survey study was distributed to Student Affairs Deans
   or the equivalent at allopathic (MD) and osteopathic (DO) medical
   schools, and physician assistant (PA) and nurse practitioner (NP)
   schools across the United States. Nineteen (40%) of the 48 schools
   responded: six MD, four DO, five PA and four NP. The survey contained
   demographic questions and questions regarding probation and dismissal.
   Themes were independently coded and combined via consensus based on
   grounded theory. The survey was distributed until saturation of
   qualitative responses were achieved.
   Results: Respondents identified variations in the use of probation and
   dismissal and a wide range of barriers, with the greatest emphasis on
   legal concerns. Respondents felt that students were graduating who
   should not be allowed to graduate, and that the likelihood of a student
   being placed on probation or being terminated was highly variable.
   Discussion: Our results suggest that institution culture at heath
   professions schools across the United States may represent an obstacle
   in placing failing learners on probation and dismissing learners who
   should not graduate. Additional studies are needed to prove if these
   concerns are founded or merely fears.
Z8 0
TC 27
ZB 4
ZA 0
ZR 0
ZS 0
Z9 27
U1 1
U2 8
SN 0142-159X
EI 1466-187X
UT WOS:000341304500010
PM 24845780
ER

PT J
AU Singh, Pritam
   Aggarwal, Rajesh
   Zevin, Boris
   Grantcharov, Teodor
   Darzi, Ara
TI A Global Delphi Consensus Study on Defining and Measuring Quality in
   Surgical Training
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 219
IS 3
BP 346
EP +
DI 10.1016/j.jamcollsurg.2014.03.051
PD SEP 2014
PY 2014
AB BACKGROUND: Evidence suggests that patient outcomes can be associated
   with the quality of surgical training. To raise the standards of
   surgical training, a tool to measure training quality is needed. The
   objective of this study was to define the elements of high-quality
   surgical training and methods to measure them.
   STUDY DESIGN: Modified Delphi methodology was used to achieve
   international expert consensus. Seventy statements about indicators and
   measures of training quality were developed based on themes from
   semi-structured interviews of surgeons. Eighty-three experts in surgical
   education from 13 countries were invited to complete an online survey
   ranking each statement on a 5-point Likert scale. Consensus was
   predefined as Cronbach's alpha >= 0.80. Once consensus was achieved,
   statements ranked >= 4 by >= 80% of experts were used as themes to
   develop the Surgical Training Quality Assessment Tool (S-QAT).
   RESULTS: Fifty-three (64%) experts from 11 countries responded.
   Consensus was achieved after 2 rounds of voting (Cronbach's alpha =
   0.930). Thirty-five statements were selected as themes for the Surgical
   Training Quality Assessment Tool. Statements defining training quality
   covered the following subjects: relationship between the trainer and
   trainee, operative exposure, supervision, feedback, structure and
   organization, and structured teaching programs. Consensus statements on
   measuring training quality included trainee feedback, trainer feedback,
   timetable structure, and trainee improvement. There was agreement that
   measuring training quality would have a positive effect on training.
   CONCLUSIONS: International expert consensus was achieved on defining and
   measuring high-quality surgical training. This has been translated into
   the (S-QAT) to evaluate surgical training programs. Competition created
   by comparing training quality might raise the standards of surgical
   education. (C) 2014 by the American College of Surgeons
RI Zevin, Boris/AAI-1994-2019
TC 24
Z8 0
ZS 0
ZR 0
ZB 1
ZA 0
Z9 24
U1 0
U2 6
SN 1072-7515
EI 1879-1190
UT WOS:000341415100005
PM 25026872
ER

PT J
AU Kessler, Chad
   Shakeel, Faizan
   Hern, H. Gene
   Jones, Jonathan S.
   Comes, Jim
   Kulstad, Christine
   Gallahue, Fiona A.
   Burns, Boyd David
   Knapp, Barry J.
   Gang, Maureen
   Davenport, Moira
   Osborne, Ben
   Velez, Larissa I.
TI A Survey of Handoff Practices in Emergency Medicine
SO AMERICAN JOURNAL OF MEDICAL QUALITY
VL 29
IS 5
BP 408
EP 414
DI 10.1177/1062860613503364
PD SEP-OCT 2014
PY 2014
AB This study aimed to assess practices in emergency department (ED)
   handoffs as perceived by emergency medicine (EM) residency program
   directors and other senior-level faculty and to determine if there are
   deficits in resident handoff training. This cross-sectional survey study
   was guided by the Kern model for medical curriculum development. A
   12-member Council of Emergency Medicine Residency Directors (CORD)
   Transitions in Care task force of EM physicians performed these steps
   and constructed a survey. The survey was distributed to the CORD
   listserv. There were 147 responses to the anonymous survey, which were
   collected using an online tool. At least 41% of the 158 American College
   of Graduate Medical Education EM residency programs were represented.
   More than half (56.6%) of responding EM physicians reported that their
   ED did not use a standardized handoff. There also exists a dearth of
   formal handoff training and handoff proficiency assessments for EM
   residents.
OI Burns, Boyd/0000-0002-1055-8687; Gallahue, Fiona/0000-0002-2690-3270;
   Gang, Maureen/0000-0003-1747-2410
Z8 0
TC 10
ZA 0
ZB 1
ZR 0
ZS 0
Z9 10
U1 0
U2 10
SN 1062-8606
EI 1555-824X
UT WOS:000341284000006
PM 24071713
ER

PT J
AU Agarwal, Nitin
   Feghhi, Daniel P.
   Gupta, Raghav
   Hansberry, David R.
   Quinn, John C.
   Heary, Robert F.
   Goldstein, Ira M.
TI A comparative analysis of minimally invasive and open spine surgery
   patient education resources
SO JOURNAL OF NEUROSURGERY-SPINE
VL 21
IS 3
BP 468
EP 474
DI 10.3171/2014.5.SPINE13600
PD SEP 2014
PY 2014
AB Object. The Internet has become a widespread source for disseminating
   health information to large numbers of people. Such is the case for
   spine surgery as well. Given the complexity of spinal surgeries, an
   important point to consider is whether these resources are easily read
   and understood by most Americans. The average national reading grade
   level has been estimated to be at about the 7th grade. In the present
   study the authors strove to assess the readability of open spine surgery
   resources and minimally invasive spine surgery resources to offer
   suggestions to help improve the readability of patient resources.
   Methods. Online patient education resources were downloaded in 2013 from
   50 resources representing either traditional open back surgery or
   minimally invasive spine surgery. Each resource was assessed using 10
   scales from Readability Studio Professional Edition version 2012.1.
   Results. Patient education resources representing traditional open back
   surgery or minimally invasive spine surgery were all found to be written
   at a level well above the recommended 6th grade level. In general,
   minimally invasive spine surgery materials were written at a higher
   grade level.
   Conclusions. The readability of patient education resources from spine
   surgery websites exceeds the average reading ability of an American
   adult. Revisions may be warranted to increase quality and patient
   comprehension of these resources to effectively reach a greater patient
   population.
TC 25
ZB 10
ZR 0
Z8 0
ZA 0
ZS 0
Z9 25
U1 1
U2 12
SN 1547-5654
EI 1547-5646
UT WOS:000340688600024
PM 24926930
ER

PT J
AU Sutton, Paul A.
   Mason, John
   Vimalachandran, Dale
   McNally, Scarlett
TI Attitudes, Motivators, and Barriers to a Career in Surgery: A National
   Study of UK Undergraduate Medical Students
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 5
BP 662
EP 667
DI 10.1016/j.jsurg.2014.03.005
PD SEP-OCT 2014
PY 2014
AB INTRODUCTION: Numerous factors influence the career choices of
   undergraduate medical students, although little work has focused
   specifically on the surgical specialties. We aimed to investigate
   medical students' early experiences of surgery along with the motivators
   and barriers to selecting a surgical career.
   METHODS: All final-year medical students were invited to participate in
   an online survey. A range of quantitative data (expressed as a
   proportion of total respondents) and qualitative data (grouped and
   thematically analyzed) were collected to evaluate students' attitudes to
   careers in surgery and potential influences on these.
   RESULTS: A total of 482 students from 20 medical schools throughout
   England and Wales completed the survey. Overall, 91% of respondents had
   work experience before medical school, in which the greatest
   satisfaction was reported in the 21% who undertook placements in
   surgery. In addition, 58% expressed a desire to spend time working
   abroad and 59% to undertake a period of research; the primary motivator
   for both was career/professional development. Surgery was the most
   popular career choice amongst respondents. The 2 most important factors
   in decisions pertaining to their career were reported as interest in the
   specialty and work-life balance. Students draw career advice from
   numerous sources, most commonly mentors (49%) and student surgical
   societies (46%). Only 1% wanted more website information, with personal
   contact being paramount.
   DISCUSSION: It is vital for the continuing strength of the profession
   and the quality of surgery for the public that we continue to attract
   the best undergraduates into careers in surgery. Surgeons of all grades
   must be aware that how they are perceived by students affects future
   career choices. Early experiences of surgery are fundamental in
   assisting medical students to make informed career choices. (C) 2014
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.
RI Vimalachandran, Dale/J-5693-2019; Nguyen, Van Anh/F-5139-2019
OI Vimalachandran, Dale/0000-0001-5817-8969; 
ZR 0
Z8 0
ZB 4
ZS 2
ZA 0
TC 38
Z9 39
U1 0
U2 14
SN 1931-7204
EI 1878-7452
UT WOS:000340986500004
PM 24776853
ER

PT J
AU Dua, Anahita
   Sudan, Ranjan
   Desai, Sapan S.
TI Improvement in American Board of Surgery In-Training Examination
   Performance With a Multidisciplinary Surgeon-Directed Integrated
   Learning Platform
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 5
BP 689
EP 693
DI 10.1016/j.jsurg.2014.02.007
PD SEP-OCT 2014
PY 2014
AB BACKGROUND: The American Board of Surgery In-Training Examination
   (ABSITE) is a predictor of resident performance on the general surgery
   qualifying examination and plays a role in obtaining competitive
   fellowships. A learning management system (LMS) permits the delivery of
   a structured curriculum that appeals to the modern resident owing to the
   ease of accessibility and all-in-one organization. This study
   hypothesizes that trainees using a structured surgeon-directed LMS will
   achieve improved ABSITE scores compared with those using an unstructured
   approach to the examination.
   STUDY DESIGN: A multidisciplinary print and digital review course with
   practice questions, review textbooks, weekly reading assignments, and
   slide and audio reviews integrated within an online LMS was made
   available to postgraduate year (PGY)-3 and PGY-4 residents in 2008 and
   2009. Surveys were emalled requesting ABSITE scores to compare outcomes
   in those trainees that used the course with those who used an
   unstructured approach. Statistical analysis was conducted via
   descriptive statistics and Pearson chi-square with p < 0.05 deemed
   statistically significant.
   RESULTS: Surveys were mailed to 508 trainees. There was an 80% (408)
   response rate. Residents who used structured approaches in both the
   years achieved the highest scores, followed by those who adopted a
   structured approach in PGY-4. The residents using an unstructured
   approach in both the years showed no significant improvement.
   CONCLUSION: Residents who used a structured LMS performed significantly
   better than their counterparts who used an unstructured approach. A
   properly constructed online education curriculum has the potential to
   improve ABSITE scores. (C) 2014 Association of Program Directors in
   Surgery. Published by Elsevier Inc. All rights reserved.
ZR 1
ZS 0
Z8 0
TC 7
ZA 0
ZB 0
Z9 8
U1 0
U2 8
SN 1931-7204
EI 1878-7452
UT WOS:000340986500008
PM 24776859
ER

PT J
AU Kiguchi, Misaki
   Leake, Andrew
   Switzer, Galen
   Mitchell, Erica
   Makaroun, Michel
   Chaer, Rabih A.
TI Perceptions of Society for Vascular Surgery Members and Surgery
   Department Chairs of the Integrated 0+5 Vascular Surgery Training
   Paradigm
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 5
BP 716
EP 725
DI 10.1016/j.jsurg.2014.02.005
PD SEP-OCT 2014
PY 2014
AB INTRODUCTION: As the first generation of integrated (0 + 5) vascular
   surgery (VS) residents enter the job market, this survey sought to
   understand how the surgical community perceives this training paradigm.
   METHODS: An anonymous online survey was e-mailed to surgery chairpersons
   (n = 193) and Society for Vascular Surgery (SVS) members (n = 2193) in
   the United States/Canada with 26% (n = 38) and 14% (n = 309) response
   rates, respectively. Respondents were asked about their practice
   background, residency program, hiring patterns, and perceptions of the 0
   + 5 training.
   RESULTS: Response rates were 26% (n = 38) and 14% (n = 309) for surgery
   chairpersons and SVS members, respectively. SVS respondents were from
   academic (62%) and private (38%) practices and included staff surgeons
   (62%), program directors (15%), and division chiefs (22%). Only 33% had
   a 0 + 5 program, and 57% had a VS fellowship. Overall, 94% were likely
   to hire a new vascular surgeon in the next 5 years. In some categories,
   SVS respondents believed 0 + 5 residents would be less prepared than 5 +
   2 residents. Only 32% thought that 0 + 5 residents have the same level
   of surgical maturity, and 36% thought that they have the same level of
   open operative skills as 5 + 2 trainees. Another 34% thought 0 + 5
   residents will need additional fellowship training in open surgery.
   However, there was also a general perception from SVS respondents that 0
   + 5 residents would be prepared for clinical practice (67%) and would
   have equal endovascular skills to 5 + 2 trainees (92%). The chairpersons
   had similar perceptions as SVS members. Both SVS members (88%) and
   chairpersons (86%) would consider interviewing a 0 + 5 graduate for
   faculty position; 83% and 72%, respectively, would consider hiring.
   Moreover, 93% of SVS respondents who currently have a 0 + 5 program and
   86% of SVS respondents who do not would consider hiring a 0 + 5
   graduate. Both SVS members (62%) and chairpersons (50%) believed the 0 +
   5 paradigm is essential for the advancement of VS.
   CONCLUSIONS: Overall perceptions of 0 + 5 graduates were positive and
   indicated their likely acceptance into the VS workforce. Although there
   were some reservations regarding the 0 + 5 graduates' maturity level and
   open operative skills, the surgical community was willing to interview
   and hire these trainees for staff positions. Further follow-up will be
   required to evaluate their performance in clinical practice. Published
   by Elsevier Inc. on behalf of the Association of Program Directors in
   Surgery
ZR 0
Z8 0
ZB 5
ZS 0
TC 17
ZA 0
Z9 17
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000340986500012
PM 25088369
ER

PT J
AU Shetty, Shohan
   Zevin, Boris
   Grantcharov, Teodor P.
   Roberts, Kurt E.
   Duffy, Andrew J.
TI Perceptions, Training Experiences, and Preferences of Surgical Residents
   Toward Laparoscopic Simulation Training: A Resident Survey
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 5
BP 727
EP 733
DI 10.1016/j.jsurg.2014.01.006
PD SEP-OCT 2014
PY 2014
AB INTRODUCTION: Simulation training for surgical residents can shorten
   learning curves, improve technical skills, and expedite competency.
   Several studies have shown that skills learned in the simulated
   environment are transferable to the operating room. Residency programs
   are trying to incorporate simulation into the resident training
   curriculum to supplement the hands-on experience gained in the operating
   room.
   Despite the availability and proven utility of surgical simulators and
   simulation laboratories, they are still widely underutilized by surgical
   trainees. Studies have shown that voluntary use leads to minimal
   participation in a training curriculum. Although there are several
   simulation tools, there is no clear evidence of the superiority of one
   tool over the other in skill acquisition.
   The purpose of this study was to explore resident perceptions, training
   experiences, and preferences regarding laparoscopic simulation training.
   Our goal was to profile resident participation in surgical skills
   simulation, recognize potential barriers to voluntary simulator use, and
   identify simulation tools and tasks preferred by residents. Furthermore,
   this study may help to inform whether mandatory/protected training time,
   as part of the residents' curriculum is essential to enhance
   participation in the simulation laboratory.
   METHODS: A cross-sectional study on general surgery residents
   (postgraduate years 1-5) at Yale University School of Medicine and the
   University of Toronto via an online questionnaire was conducted.
   Overall, 67 residents completed the survey. The institutional review
   board approved the methods of the study.
   RESULTS: Overall, 95.5% of the participants believed that simulation
   training improved their laparoscopic skills. Most respondents (92.5%)
   perceived that skills learned during simulation training were
   transferrable to the operating room. Overall, 56.7% of participants
   agreed that proficiency in a simulation curriculum should be mandatory
   before operating room experience. The simulation laboratory was most
   commonly used during work hours; lack of free time du
   ring work hours was most commonly cited as a reason for
   underutilization. Factors influencing use of the simulation laboratory
   in order of importance were the need for skill development, an interest
   in minimally invasive surgery, mandatory/protected time in a simulation
   environment as part of the residency program curriculum, a
   recommendation by an attending surgeon, and proximity of the simulation
   center.
   The most preferred simulation tool was the live animal model followed by
   cadaveric tissue. Virtual reality simulators were among the
   least-preferred (25%) simulation tools. Most residents (91.0%) felt that
   mandatory/protected time in a simulation environment should be
   introduced into resident training protocols.
   CONCLUSIONS: Mandatory and protected time in a simulation environment as
   part of the resident training curriculum may improve participation in
   simulation training. A comprehensive curriculum, which includes the use
   of live animals, cadaveric tissue, and virtual reality simulators, may
   enhance the laparoscopic training experience and interest level of
   surgical trainees. (C) 2014 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
RI Zevin, Boris/AAI-1994-2019
ZB 8
Z8 2
TC 54
ZA 0
ZR 0
ZS 5
Z9 59
U1 0
U2 19
SN 1931-7204
EI 1878-7452
UT WOS:000340986500014
PM 24794063
ER

PT J
AU Angelini, Diane
   Howard, Elisabeth
TI OBSTETRIC TRIAGE: A Systematic Review of the Past Fifteen Years:
   1998-2013
SO MCN-THE AMERICAN JOURNAL OF MATERNAL-CHILD NURSING
VL 39
IS 5
BP 284
EP 297
DI 10.1097/NMC.0000000000000069
PD SEP-OCT 2014
PY 2014
AB Background: Triage concepts have shifted the focus of obstetric care to
   include obstetric triage units. The purpose of this systematic review is
   to examine the literature on use of triage concepts in obstetrics during
   a 15-year time frame.
   Methods: A systematic review was completed of the obstetric triage
   literature from 1998 to 2013 using the electronic online databases from
   PubMed, CINHAL, Ovid, and Cochrane Library Reviews within the English
   language. Reference lists of articles were reviewed to identify other
   pertinent publications. Both peer-reviewed and non peer-reviewed
   documents were used. Inclusion criteria: articles specifically related
   to obstetric triage or obstetric emergency practices in the hospital
   setting. Exclusion criteria included: manuscripts that focused on
   general, nonobstetric emergency and triage units, telephone triage,
   out-of-hospital practices, other clinical conditions, and references
   outside the time frame of 1998-2013.
   Results: Key categories were identified: legal issues and impact of
   Emergency Medical Treatment and Active Labor Act (EMTALA); liability
   pitfalls; risk stratification (acuity tools); clinical decision aids;
   utilization, patient flow, and patient satisfaction; impact on
   interprofessional education and advanced nursing practice; and
   management of selected clinical conditions. Components of a best
   practice model for obstetric triage are introduced..
   Conclusion: Seven key triage categories from the literature were
   identified and best practices were developed for obstetric triage units
   from this systematic review. Both can be used to guide future practice
   and research within obstetric triage.
ZB 1
Z8 0
TC 27
ZR 0
ZS 0
ZA 0
Z9 27
U1 1
U2 6
SN 0361-929X
EI 1539-0683
UT WOS:000341074100004
PM 24905040
ER

PT J
AU Back, Susan J.
   Gurian, Michael S.
   Reid, Janet R.
   Darge, Kassa
TI How and how well do pediatric radiology fellows learn ultrasound skills?
   A national survey
SO PEDIATRIC RADIOLOGY
VL 44
IS 9
BP 1058
EP 1064
DI 10.1007/s00247-014-2980-6
PD SEP 2014
PY 2014
AB Ultrasound (US) comprises a significant portion of pediatric imaging.
   Technical as well as interpretive skills in US imaging are consequently
   fundamental in training pediatric radiologists. Unfortunately,
   formalized technical education regarding US imaging in pediatric
   fellowships has lagged.
   We surveyed pediatric fellows and program directors regarding US
   scanning education to improve this experience moving forward.
   We conducted an online survey from February 2011 to March 2011 of all
   United States pediatric radiology body imaging fellows and fellowship
   program directors. Questions posed to fellows assessed their educational
   US experiences during their residencies and fellowships. Directors were
   asked to evaluate US educational opportunities in their programs.
   Among the respondents, 43.9% of fellows undertook on-call US scanning
   without a sonographer during residency, 23.3% during fellowship; 41.8%
   of fellows and 58.6% of program directors reported that their fellowship
   had a dedicated curriculum to facilitate independent US scanning. Both
   fellows and program directors cited the volume of cases requiring
   immediate dictation as an obstacle to scanning. Fewer program directors
   than fellows identified lack of sufficient staffing as an obstacle, but
   more identified fellow disinterest. Program directors and fellows alike
   rated independent US scanning as highly important to pediatric
   radiologists' future success.
   Pediatric radiology fellowship directors and fellows agree that
   technical US skills are crucial to the practice of pediatric radiology.
   However, the groups identify different obstacles to training. As US
   instruction is developing in undergraduate medicine and subspecialists
   are acquiring point-of-care US skills, pediatric radiology education
   should address the obstacles to US training and formalize a curriculum
   at the fellowship level.
RI Darge, Kassa/AAF-5995-2021
Z8 0
ZR 0
TC 1
ZS 0
ZB 0
ZA 0
Z9 1
U1 0
U2 0
SN 0301-0449
EI 1432-1998
UT WOS:000340870400003
PM 24733295
ER

PT J
AU Vargas, Christina R.
   Koolen, Pieter G. L.
   Chuang, Danielle J.
   Ganor, Oren
   Lee, Bernard T.
TI Online Patient Resources for Breast Reconstruction: An Analysis of
   Readability
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 134
IS 3
BP 406
EP 413
DI 10.1097/PRS.0000000000000472
PD SEP 2014
PY 2014
AB Background: Online resources for health information are commonly used by
   many patients. The discrepancy between functional health literacy and
   available patient information is recognized as an important contributor
   to health disparities. To provide understandable patient information,
   the National Institutes of Health and the American Medical Association
   have advised that health literature for patients be written at a
   sixth-grade reading level. This study identifies the most popular,
   online, patient-targeted resources for breast reconstruction
   information, and evaluates readability of these sites in the context of
   literacy in the United States.
   Methods: A Web search for "breast reconstruction" was performed using
   the two largest Internet search engines, and the top 10 websites common
   to both were identified. Patient-targeted content was downloaded from
   all relevant articles immediately available from the main sites. A total
   of 114 articles were assessed for readability using 10 established
   analyses. Readability stores were also calculated for the groups of
   articles arranged by website for comparison.
   Results: The average reading level was 11.5 across all evaluated sites
   (Coleman-Liau, 11.8; Flesch-Kincaid, 10.9; FORCAST, 10.7; Fry, 12;
   Gunning Fog, 12.7; New Dale-Chall, 10.6; New Fog Count, 9.7; Raygor
   Estimate, 12; and Simple Measure of Gobbledygook, 13). Readability
   comparison by individual website demonstrated disparity in average
   reading level from 9.7 to 14.9.
   Conclusions: Online patient resources for breast reconstruction exceed
   recommended reading levels and are too difficult to be understood by a
   large portion of the population. Significant variability between sites
   provides an opportunity to direct patients to appropriate websites for
   their level of health literacy.
RI Lee, Bernard T./K-1106-2016; Ganor, Oren/; Vargas, Christina/
OI Lee, Bernard T./0000-0002-5533-3166; Ganor, Oren/0000-0001-6382-4320;
   Vargas, Christina/0000-0003-2368-3425
ZB 8
ZA 0
TC 46
Z8 1
ZR 0
ZS 0
Z9 47
U1 0
U2 10
SN 0032-1052
EI 1529-4242
UT WOS:000341069200002
PM 25158700
ER

PT J
AU Foster, J. D.
   Gash, K. J.
   Carter, F. J.
   West, N. P.
   Acheson, A. G.
   Horgan, A. F.
   Longman, R. J.
   Coleman, M. G.
   Moran, B. J.
   Francis, N. K.
TI Development and evaluation of a cadaveric training curriculum for low
   rectal cancer surgery in the English LOREC National Development
   Programme
SO COLORECTAL DISEASE
VL 16
IS 9
BP O308
EP O319
DI 10.1111/codi.12576
PD SEP 2014
PY 2014
AB Aim The National Development Programme for Low Rectal Cancer in England
   (LOREC) was commissioned in response to wide variation in the outcome of
   patients with low rectal cancer. One of the aims of LOREC was to enhance
   surgical techniques in managing low rectal cancer. This study reports on
   the development and evaluation of a novel national technical skills
   cadaveric training curriculum in extralevator abdominoperineal excision.
   Method Three sites were commissioned for the cadaveric workshops, each
   delivering the same training curriculum. Training was undertaken in
   pairs using a fresh-frozen cadaveric model under the supervision of
   expert mentors. Global assessment score (GAS) forms were developed to
   promote reflective learning. Feedback on the impact of the workshop was
   obtained from a sample of delegates at the end of the course, and also
   after 3-23 months via an online questionnaire.
   Results Overall 112 consultant colorectal surgeons attended one of 15
   cadaveric technical skills training workshops. Seventy-six per cent of
   delegates reported easy identification of anatomy in the cadaveric
   model; 67% found tissue planes easy to interpret. Ninety-six percent of
   delegates felt the workshop would influence their future practice; 96%
   reported increased awareness of important anatomy. Only 2% of delegates
   wished to pursue supplementary formal training from LOREC.
   Conclusion Fresh-frozen cadavers could provide an effective training
   model for low rectal surgery. A structured 1-day cadaveric workshop has
   facilitated the dissemination of technical skills for management of low
   rectal cancer. Attending the cadaveric workshop enhanced delegates'
   confidence in performing this procedure.
RI Coleman, Mark/T-8890-2019; Francis, Nader/; West, Nicholas/
OI Francis, Nader/0000-0001-8498-9175; West, Nicholas/0000-0002-0346-6709
ZS 0
ZB 1
ZR 0
Z8 0
ZA 0
TC 10
Z9 10
U1 0
U2 2
SN 1462-8910
EI 1463-1318
UT WOS:000340496100002
PM 24460775
ER

PT J
AU Howard, A. Fuchsia
   Hasan, Haroon
   Bobinski, Mary Anne
   Nurcombe, Wendy
   Olson, Robert
   Parkinson, Maureen
   Goddard, Karen
TI Parents' perspectives of life challenges experienced by long-term
   paediatric brain tumour survivors: work and finances, daily and social
   functioning, and legal difficulties
SO JOURNAL OF CANCER SURVIVORSHIP
VL 8
IS 3
BP 372
EP 383
DI 10.1007/s11764-013-0331-5
PD SEP 2014
PY 2014
AB Background Paediatric brain tumour survivors (PBTS) are at high risk for
   medical, neurocognitive and psychological sequelea during adulthood.
   Details illustrating the types and breadth of these chronic sequelae are
   essential to fully comprehend their impact on daily living.
   Purpose This study describes Canadian parents of PBTS perspectives of
   life challenges experienced by their now adult son or daughter related
   to work and finances, daily and social functioning, and legal
   difficulties. Method Parents of PBTS completed an anonymous online
   exploratory survey.
   Findings Forty-six of 60 invited parents completed the survey. Parents
   reported that PBTS experienced difficulty gaining or sustaining
   employment (65 %) because of their health and/or a disability and
   employers reticence to hire and adequately support PBTS. Independent
   living was considered unaffordable for PBTS who received a disability
   allowance (82 %) and those who were employed (50 %). Thirty percent
   indicated their family experienced hardship because of PBTS medical
   expenses, which were usually paid for out of pocket (76 %). Although the
   majority of PBTS were independent with daily tasks and social
   functioning, a subgroup required continuous support. Forty percent of
   employed PBTS received limited assistance to accommodate their special
   needs. Parents indicated their son or daughter had been the victim of
   theft, fraud or assault (37 %), and commonly considered them vulnerable,
   in need of protection and feared for their future safety.
   Conclusion Research that further illuminates the hardships facing PBTS
   and informs the development of support and resources to address PBTS
   vulnerabilities is warranted.
   Implications for Cancer Survivors PBTS are at risk for unemployment,
   financial challenges and legal difficulties, which appear to be poorly
   addressed by health and social programs.
RI Olson, Robert Anton/S-5982-2019; Howard, Fuchsia/
OI Olson, Robert Anton/0000-0003-4532-6197; Howard,
   Fuchsia/0000-0001-5704-1733
ZA 0
Z8 0
ZR 0
ZB 1
TC 10
ZS 0
Z9 10
U1 0
U2 20
SN 1932-2259
EI 1932-2267
UT WOS:000340232200006
PM 24563168
ER

PT J
AU Beran, Tanya N.
   Kaba, Alyshah
   Caird, Jeff
   McLaughlin, Kevin
TI The good and bad of group conformity: a call for a new programme of
   research in medical education
SO MEDICAL EDUCATION
VL 48
IS 9
BP 851
EP 859
DI 10.1111/medu.12510
PD SEP 2014
PY 2014
AB CONTEXT Given that a significant portion of medical education occurs in
   various social settings (small groups, large classes, clinical
   environments), it is critical to examine how group members interact. One
   type of influence on these interactions is conformity, whereby an
   individual changes his or her own behaviour to match incorrect responses
   of others in a group. Conformity to peer pressure has been replicated in
   experimental research conducted in many countries over the last 60
   years. There is newly emerging empirical evidence of this effect in
   medical education, suggesting that subtle motivations and pressures
   within a group may prevent students from challenging or questioning
   information that seems incorrect.
   OBJECTIVES This narrative review aims to present an overview of theory
   and findings in research into conformity in the fields of social
   psychology, business, sociology and aviation theory to demonstrate its
   direct relevance to medical education and the health professions.
   METHODS We searched online databases (MEDLINE, PubMed, PsycINFO and
   Pro-Quest) from the University of Calgary catalogue. We also searched
   citations in articles reviewed and references provided by colleagues. We
   limited our narrative review to publications released between 1950 and
   2012. RESULTS Group conformity behaviour may be one of a number of
   communication challenges associated with interprofessional care, and may
   represent a factor contributing to the burden of adverse events. This
   paper calls for a new programme of research into conformity in medical
   education that provides systematic empirical evidence of its relevance
   and applications in education, health care and practice.
   CONCLUSIONS This review reveals decades of anecdotal and empirical
   evidence that conformity is a pervasive phenomenon across disciplines.
   Further research is needed to elucidate which situations pose the
   greatest risk for the occurrence of conformity, how to manage it in
   practice and its implications for patient safety.
ZS 0
ZA 0
ZB 2
TC 21
Z8 0
ZR 0
Z9 21
U1 0
U2 41
SN 0308-0110
EI 1365-2923
UT WOS:000340415000005
PM 25113112
ER

PT J
AU Johnson, Marilyn
   Oxley, Jennie
   Newstead, Stuart
   Charlton, Judith
TI Safety in numbers? Investigating Australian driver behaviour, knowledge
   and attitudes towards cyclists
SO ACCIDENT ANALYSIS AND PREVENTION
VL 70
BP 148
EP 154
DI 10.1016/j.aap.2014.02.010
PD SEP 2014
PY 2014
AB A key tenet of the safety in numbers theory is that as the number of
   people cycling increases, more drivers will also be cyclists and
   therefore will give greater consideration to cyclists when driving. We
   tested this theory in relation to self-reported behaviour, attitudes and
   knowledge in relation to cycling. An online survey was conducted of
   Australian drivers (n = 1984) who were also cyclists (cyclist-drivers)
   and drivers who did not cycle (drivers). Cyclist-drivers were 1.5 times
   more likely than drivers to report safe driving behaviours related to
   sharing the roads with cyclists (95% Cl: 1.1-1.9, p < 0.01).
   Cyclist-drivers had better knowledge of the road rules related to
   cycling infrastructure than drivers: however knowledge of road rules
   related to bike lanes was low for both groups. Drivers were more likely
   than cyclist-drivers to have negative attitudes (e.g. cyclists are
   unpredictable and repeatedly overtaking cyclists is frustrating).
   Findings from this study highlight the need for increased education and
   awareness in relation to safe driving behaviour, road rules and
   attitudes towards cyclists. Specific recommendations are made for
   approaches to improve safety for cyclists. (C) 2014 Published by
   Elsevier Ltd.
OI Oxley, Jennie/0000-0002-7519-1994; Charlton, Judith/0000-0002-5990-2151;
   Newstead, Stuart/0000-0001-7165-6320
Z8 0
ZS 0
ZR 0
ZB 15
TC 43
ZA 0
Z9 43
U1 1
U2 38
SN 0001-4575
EI 1879-2057
UT WOS:000337855300018
PM 24769133
ER

PT J
AU Murray, Suzanne
   Obholz, Kevin L
   Bowser, Andrew D
   Mortimer, Jim
   Lazure, Patrice
   Peterson, Eric
   Armitage, James O
   Smith, B Douglas
TI Practice gaps and barriers to optimal care of hematologic malignancies
   in the United States.
SO The Journal of community and supportive oncology
VL 12
IS 9
BP 329
EP 338
PD 2014-Sep
PY 2014
AB BACKGROUND: Treating patients with hematologic malignancies can be
   challenging for physicians because of the rapidly evolving standards of
   care and relatively low incidence of these diseases.
   OBJECTIVE: To identify clinical challenges among hematologists and
   medical oncologists regarding the provision of care to patients with
   chronic myeloid leukemia (CML), acute lymphoblastic leukemia (ALL), or
   B-cell lymphomas. Methods Hematologists and medical oncologists in
   active practice in the United States and who have a case load of ≥ 1
   patient a year with CML, ALL, or B-cell lymphoma were recruited. The
   initial qualitative phase consisted of an online case-based survey
   followed by an interview exploring the contextual and behavioral factors
   that influence treatment decisions (n = 27). The analysis of qualitative
   data then informed a quantitative phase, in which 121 participants
   completed an online survey composed of case vignettes, multiple choice,
   and semantic differential rating scale questions. The respondents'
   answers were compared with recommendations from treatment guidelines and
   faculty experts.
   RESULTS: A higher frequency of bone marrow biopsies was reported
   compared with expert faculty recommendations by 74% of oncologists. Many
   respondents failed to recognize the clinical relevance of BCR-ABL
   mutations other than T315I. Respondents reported perceiving difficulties
   in individualizing treatment and interpreting response to treatment in
   patients with ALL and B-cell lymphomas. Fewer than 30% of respondents
   recognized the mechanisms of action of 5 of the 9 promising
   investigational agents presented.
   LIMITATIONS: Participant self-selection bias is a possibility because
   participation was voluntary. Practice gaps are not based on clinical
   data, but hypothetical case situations and self-report.
   CONCLUSIONS: Findings from this study can guide education to address the
   identified challenges in caring for patients with hematologic
   malignancies and improving patient care.
   FUNDING: This needs assessment was financially supported with an
   educational research grant from Pfizer Medical Education Group to the
   Annenberg Center for Health Sciences at Eisenhower.
OI Lazure, Patrice/0000-0002-9278-1718
ZA 0
Z8 0
ZR 0
ZB 1
ZS 0
TC 2
Z9 2
U1 0
U2 1
SN 2330-7749
UT MEDLINE:25811037
PM 25811037
ER

PT J
AU MacDonald, N E
   Bortolussi, R
   Kabakyenga, J
   Pemba, S
   Estambale, B
   Kollmann, K H M
   Odoi Adome, R
   Appleton, M
TI MicroResearch: finding sustainable local health solutions in East Africa
   through small local research studies.
SO Journal of epidemiology and global health
VL 4
IS 3
BP 185
EP 93
DI 10.1016/j.jegh.2014.01.002
PD 2014-Sep
PY 2014
AB BACKGROUND: Sub-Saharan African countries have urged grassroots input to
   improve research capacity. In East Africa, MicroResearch is fostering
   local ability to find sustainable solutions for community health
   problems. At 5years, the following reports its progress.
   METHODS: The MicroResearch program had three integrated components: (1)
   2-week training workshops; (2) small proposal development with
   international peer review followed by project funding, implementation,
   knowledge translation; (3) coaching from experienced researchers.
   Evaluation included standardized questions after completion of the
   workshops, 2013 online survey of recent workshop participants and
   discussions at two East Africa MicroResearch Forums in 2013.
   RESULTS: Between 2008 and 2013, 15 workshops were conducted at 5 East
   Africa sites with 391 participants. Of the 29 projects funded by
   MicroResearch, 7 have been completed; of which 6 led to changes in local
   health policy/practice. MicroResearch training stimulated 13 other
   funded research projects; of which 8 were external to MicroResearch.
   Over 90% of participants rated the workshops as excellent with 20%
   spontaneously noting that MicroResearch changed how they worked. The
   survey highlighted three local research needs: mentors, skills and
   funding - each addressed by MicroResearch. On-line MicroResearch and
   alumni networks, two knowledge translation partnerships and an East
   Africa Leaders Consortium arose from the MicroResearch Forums.
   CONCLUSION: MicroResearch helped build local capacity for
   community-directed interdisciplinary health research.
ZR 0
ZS 0
TC 9
Z8 0
ZB 0
ZA 0
Z9 9
U1 0
U2 0
EI 2210-6014
UT MEDLINE:25107654
PM 25107654
ER

PT J
AU Bradley, Renate
   Schofield, Susie
TI The Undergraduate Medical Radiation Science Students' Perception of
   Using the e-Portfolio in Their Clinical Practicum.
SO Journal of medical imaging and radiation sciences
VL 45
IS 3
BP 230
EP 243
DI 10.1016/j.jmir.2014.04.004
PD 2014-Sep
PY 2014
AB PURPOSE: Portfolios have been discussed in the literature as a method of
   encouraging health care professionals to reflect on practice and to
   self-assess. In undergraduate education, it is envisioned as an
   authentic assessment of the student's development. Readiness to practice
   for graduates of the joint University of Toronto and The Michener
   Institute undergraduate Medical Radiation Sciences (MRS) program
   includes the demonstrated ability to reflect. A study was done to
   evaluate the learning e-portfolio being used by the MRS radiation
   therapy students in the clinical practicum. This article discusses
   student perspectives.
   METHODS: In 2010, the undergraduate radiation therapy class (N = 50) was
   invited to participate in the study after the electronic portfolio was
   used in their clinical placement for the first time. An online survey
   and focus group discussions were organized to get their perspectives.
   This was action research from which descriptive and thematic analyses
   are presented.
   RESULTS: Nineteen students consented to participate in the study. The
   respondents reported that the e-portfolio helped them to develop a sense
   of responsibility for their own professional development (88%), to
   improve their reflective (80%), and self-assessment skills (80%). The
   themes that emerged are in alignment with other studies for a learning
   portfolio, although the electronic format posed an additional challenge
   for the students.
   CONCLUSIONS: The e-portfolio was perceived to be an effective tool to
   enhance professional skills, including their understanding of
   professional development expectations as future MRS graduates. One of
   the limitations of this study was it had a small number of participants;
   however, as a springboard, it provided an important view of the
   potential of the e-portfolio and the format of support required for the
   learners in the undergraduate radiation therapy program.
ZS 0
ZR 0
TC 5
Z8 0
ZB 0
ZA 0
Z9 5
U1 0
U2 1
EI 1876-7982
UT MEDLINE:31051974
PM 31051974
ER

PT J
AU Renger, Ralph
   Granillo, Brenda
TI Lessons Learned in Testing the Feasibility of Evaluating Transfer of
   Training to an Operations Setting
SO JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
VL 20
SI SI
BP S30
EP S36
DI 10.1097/PHH.0000000000000059
SU 5
PD SEP-OCT 2014
PY 2014
AB Introduction: The purpose of the study was to explore the feasibility,
   identify challenges, and offer solutions to evaluating transfer of
   training to the operations setting. Background: The assumption
   underlying public health emergency preparedness training is competencies
   and capabilities will transfer to the operations setting. However, there
   are no studies describing methods for evaluating the transfer of
   training. Methods: An online training course that mimicked field
   decision making was selected. A functional exercise was developed and
   aligned with the goals and objectives of the online course. Transfer of
   training was assessed at the individual capability level and at the
   agency level by examining changes in emergency operating plans.
   Conclusions: It was concluded the ability to evaluate transfer of
   training to an operations setting is feasible. However, it requires more
   deliberate and coordinated planning between the exercise and the
   training than the current status quo. Lessons Learned: Eight lessons
   learned are shared including the need to design training courses to
   align to an operation-based exercise, and not vice versa, the need to
   rely on qualitative approaches, and the need for an a priori evaluation
   rubric.
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 5
SN 1078-4659
EI 1550-5022
UT WOS:000209680500006
PM 25072487
ER

PT J
AU Archibald, Douglas
   Macdonald, Colla J.
   Plante, Judith
   Hogue, Rebecca J.
   Fiallos, Javier
TI Residents' and preceptors' perceptions of the use of the iPad for
   clinical teaching in a family medicine residency program
SO BMC MEDICAL EDUCATION
VL 14
AR 174
DI 10.1186/1472-6920-14-174
PD AUG 20 2014
PY 2014
AB Background: As Family Medicine programs across Canada are transitioning
   into a competency-based curriculum, medical students and clinical
   teachers are increasingly incorporating tablet computers in their work
   and educational activities. The purpose of this pilot study was to
   identify how preceptors and residents use tablet computers to implement
   and adopt a new family medicine curriculum and to evaluate how they
   access applications (apps) through their tablet in an effort to support
   and enhance effective teaching and learning.
   Methods: Residents and preceptors (n = 25) from the Family Medicine
   program working at the Pembroke Regional Hospital in Ontario, Canada,
   were given iPads and training on how to use the device in clinical
   teaching and learning activities and how to access the online
   curriculum. Data regarding the use and perceived contribution of the
   iPads were collected through surveys and focus groups. This mixed
   methods research used analysis of survey responses to support the
   selection of questions for focus groups.
   Results: Reported results were categorized into: curriculum and
   assessment; ease of use; portability; apps and resources; and
   perceptions about the use of the iPad in teaching/learning setting. Most
   participants agreed on the importance of accessing curriculum resources
   through the iPad but recognized that these required enhancements to
   facilitate use. The iPad was considered to be more useful for activities
   involving output of information than for input. Participants' responses
   regarding the ease of use of mobile technology were heterogeneous due to
   the diversity of computer proficiency across users. Residents had a
   slightly more favorable opinion regarding the iPad's contribution to
   teaching/learning compared to preceptors.
   Conclusions: iPad's interface should be fully enhanced to allow easy
   access to online curriculum and its built-in resources. The differences
   in computer proficiency level among users should be reduced by sharing
   knowledge through workshops led by more skillful iPad users. To
   facilitate collection of information through the iPad, the design of
   electronic data-input forms should consider the participants' reported
   negative perceptions towards typing data through mobile devices.
   Technology deployment projects should gather sufficient evidence from
   pilot studies in order to guide efforts to adapt resources and
   infrastructure to relevant needs of Family Medicine teachers and
   learners.
RI Archibald, Douglas/GRO-3416-2022; Archibald, Douglas/
OI Archibald, Douglas/0000-0001-6751-9788
ZS 1
Z8 0
ZR 0
ZA 0
ZB 2
TC 18
Z9 19
U1 0
U2 24
SN 1472-6920
UT WOS:000340973800001
PM 25138307
ER

PT J
AU Sharma, Malika
   Wilton, James
   Senn, Heather
   Fowler, Shawn
   Tan, Darrell H. S.
TI Preparing for PrEP: Perceptions and Readiness of Canadian Physicians for
   the Implementation of HIV Pre-Exposure Prophylaxis
SO PLOS ONE
VL 9
IS 8
AR e105283
DI 10.1371/journal.pone.0105283
PD AUG 18 2014
PY 2014
AB Recent evidence has demonstrated the efficacy of pre-exposure
   prophylaxis (PrEP) for HIV prevention, but concerns persist around its
   use. Little is known about Canadian physicians' knowledge of and
   willingness to prescribe PrEP. We disseminated an online survey to
   Canadian family, infectious disease, internal medicine, and public
   health physicians between September 2012-June 2013 to determine
   willingness to prescribe PrEP. Criteria for analysis were met by 86
   surveys. 45.9% of participants felt "very familiar" with PrEP, 49.4%
   felt that PrEP should be approved by Health Canada, and 45.4% of
   respondents were willing to prescribe PrEP. Self-identifying as an HIV
   expert (odds ratio, OR=4.1, 95% confidence interval, CI=1.6-10.2),
   familiarity with PrEP (OR=5.0, 95%CI=1.3-19.0) and having been asked by
   patients about PrEP (OR=4.0, 95%CI=1.5-10.5) were positively associated
   with willingness to prescribe PrEP on univariable analysis. The latter
   two were the strongest predictors on multivariate analysis. Participants
   cited cost and efficacy as major concerns. 75.3% did not feel that
   information had been adequately disseminated among physicians. In
   summary, Canadian physicians demonstrate varying levels of support for
   PrEP and express concerns about its implementation. Further research on
   real-world effectiveness, continuing medical education, and clinical
   support is needed to prepare physicians for this prevention strategy.
OI Sharma, Malika/0000-0002-3729-4554; Wilton, James/0000-0002-2295-7511
ZR 0
ZA 0
Z8 0
ZS 0
TC 44
ZB 15
Z9 44
U1 0
U2 5
SN 1932-6203
UT WOS:000341302700098
PM 25133648
ER

PT J
AU Tran, Bach Xuan
   Nong, Vuong Minh
   Maher, Rachel Marie
   Nguyen, Phuong Khanh
   Luu, Hoat Ngoc
TI A Systematic Review of Scope and Quality of Health Economic Evaluation
   Studies in Vietnam
SO PLOS ONE
VL 9
IS 8
AR e103825
DI 10.1371/journal.pone.0103825
PD AUG 14 2014
PY 2014
AB Introduction: The application of health economic evaluation (HEE)
   evidence can play an important role in strategic planning and policy
   making. This study aimed to assess the scope and quality of existing
   research, with the goal of elucidating implications for improving the
   use of HEE evidence in Vietnam.
   Methods: A comprehensive search strategy was developed to search medical
   online databases (Medline, Google Scholar, and Vietnam Medical
   Databases) to select all types of HEE studies except cost-only analyses.
   Two researchers assessed the quality of selected studies using the
   Quality of Health Economic Studies (QHES) instrument.
   Results: We selected 26 studies, including 6 published in Vietnam. The
   majority of these studies focused on infectious diseases (14 studies),
   with HIV being the most common topic (5 studies). Most papers were
   cost-effectiveness studies that measured health outcomes using DALY
   units. Using QHES, we found that the overall quality of HEE studies
   published internationally was much higher (mean score 88.7+13.3) than
   that of those published in Vietnam (mean score 67.3+22.9). Lack of
   costing perspectives, reliable data sources and sensitivity analysis
   were the main shortcomings of the reviewed studies.
   Conclusion: This review indicates that HEE studies published in Vietnam
   are limited in scope and number, as well as by several important
   technical errors or omissions. It is necessary to formalize the process
   of health economic research in Vietnam and to institutionalize the links
   between researchers and policy-makers. Additionally, the quality of HEE
   should be enhanced through education about research techniques, and the
   implementation of standard HEE guidelines.
OI Nong, Vuong/0000-0003-3331-4738
Z8 0
ZA 0
TC 24
ZS 0
ZR 0
ZB 3
Z9 24
U1 1
U2 9
SN 1932-6203
UT WOS:000341017000020
PM 25122180
ER

PT J
AU Lewin, Linda Orkin
   Robert, Nancy J.
   Raczek, John
   Carraccio, Carol
   Hicks, Patricia J.
TI An online evidence based medicine exercise prompts reflection in third
   year medical students
SO BMC MEDICAL EDUCATION
VL 14
AR 164
DI 10.1186/1472-6920-14-164
PD AUG 9 2014
PY 2014
AB Background: Reflective practice is a desirable trait in physicians, yet
   there is little information about how it is taught to or learned by
   medical students. The purpose of this study was to determine whether an
   online Evidence Based Medicine (EBM) exercise with a face-to-face
   debriefing session would prompt third year medical students to reflect
   on their current skills and lead them to further reflection on clinical
   decision making in the future.
   Methods: All third year medical students at the University Of Maryland
   School Of Medicine who completed their pediatrics clerkship between
   7/1/09 and 2/11/11 were required to complete the EBM exercise. Following
   completion each student received a personal report (Learning Profile) of
   their responses and attended a one hour large group debriefing session.
   Student responses to a survey following the debriefing sessions were
   analyzed using a post-test survey design with a single experimental
   cohort.
   Results: Ninety-five percent of students completing the debriefing
   survey indicated that the debriefing session helped them better
   understand their learning profiles; 68% stated that their profiles
   allowed them to evaluate themselves and their decisions. Sixty-three
   percent noted that participating in the exercise and the debrief would
   lead them to either learn more about EBM and use EBM more in the future
   or reflect more on their own decision making.
   Conclusions: The EBM exercise was a successful way to introduce the
   concept of reflective practice to third year medical students, and the
   graphic Learning Profiles were effective instigators of discussion and
   reflection.
OI Hicks, Patricia/0000-0003-3781-780X
ZR 0
ZB 0
TC 3
ZA 0
ZS 0
Z8 0
Z9 3
U1 0
U2 9
SN 1472-6920
UT WOS:000341452300001
PM 25106435
ER

PT J
AU Bol, Nadine
   van Weert, Julia C. M.
   de Haes, Hanneke C. J. M.
   Loos, Eugene F.
   de Heer, Steven
   Sikkel, Dirk
   Smets, Ellen M. A.
TI Using Cognitive and Affective Illustrations to Enhance Older Adults'
   Website Satisfaction and Recall of Online Cancer-Related Information
SO HEALTH COMMUNICATION
VL 29
IS 7
BP 678
EP 688
DI 10.1080/10410236.2013.771560
PD AUG 9 2014
PY 2014
AB This study examined the effect of adding cognitive and affective
   illustrations to online health information (vs. text only) on older
   adults' website satisfaction and recall of cancer-related information.
   Results of an online experiment among younger and older adults showed
   that illustrations increased satisfaction with attractiveness of the
   website. Younger adults were significantly more satisfied with the
   comprehensibility of the website than older adults, whereas older adults
   were more satisfied with perceived emotional support from the website
   than younger adults. Being more emotionally satisfied with the website
   led to greater recall of information for older adults, but not for
   younger adults. Illustrations can be used to enhance older adults'
   website satisfaction and consequently recall of online cancer-related
   information.
RI Loos, Eugene/AAE-8976-2019; Bol, Nadine/; Smets, Ellen/
OI Bol, Nadine/0000-0002-6895-9512; Smets, Ellen/0000-0002-8145-8595
ZA 0
ZB 1
ZR 0
TC 41
ZS 0
Z8 0
Z9 41
U1 0
U2 37
SN 1041-0236
EI 1532-7027
UT WOS:000334826900005
PM 24160560
ER

PT J
AU Novak, Iona
TI Evidence-Based Diagnosis, Health Care, and Rehabilitation for Children
   With Cerebral Palsy
SO JOURNAL OF CHILD NEUROLOGY
VL 29
IS 8
SI SI
BP 1141
EP 1156
DI 10.1177/0883073814535503
PD AUG 2014
PY 2014
AB Safer and more effective interventions have been invented for children
   with cerebral palsy, but the rapid expansion of the evidence base has
   made keeping up-to-date difficult. Unfortunately, outdated care is being
   provided. The aims were to survey the questions parents asked
   neurologists and provide evidence-based answers, using knowledge
   translation techniques. Parents asked the following questions: (1)
   what's wrong with my baby? An algorithm for early diagnosis was
   proposed. (2) What is cerebral palsy and what online resources are
   current? Reputable information websites were sourced and hyperlinks
   provided. (3) The prognosis? Prognostic data from meta-analyses were
   summarized in an infographic. (4) What interventions offer the most
   evidence-supported results? Systematic review data about the most
   effective interventions was mapped into a bubble chart infographic.
   Finally, (5) What can we expect? Predictors and facilitators of good
   outcomes were summarized. This article provides an overview of the most
   up-to-date diagnostic practices and evidence-based intervention options.
RI Novak, Iona E/B-3061-2014
OI Novak, Iona E/0000-0001-6001-4867
TC 100
ZB 29
ZR 1
ZA 1
ZS 3
Z8 4
Z9 107
U1 0
U2 24
SN 0883-0738
EI 1708-8283
UT WOS:000340167900024
PM 24958005
ER

PT J
AU Toth Csabane Vrauko Katalin
   Vitrai Jozsef
   Mucsi Gyula
   Rurik Imre
TI Attitude of family physicians for reporting infectious diseases
SO ORVOSI HETILAP
VL 155
IS 31
BP 1228
EP 1235
DI 10.1556/OH.2014.29903
PD AUG 2014
PY 2014
AB Introduction: Reporting liability of family physicians/general
   practitioners is the keystone for proper surveillance of infectious
   diseases. Aim: The aim of the study was to find out why some of the
   family physicians neglect to report infectious diseases to the health
   authorities and determine their motivation and attitude towards the
   infectious disease reporting system. Method: Self-fill-in questionnaire
   was used to obtain data. Of the 228 family physicians who were called to
   participate in the study 116 family physicians sent back evaluable
   questionnaires. Descriptive statistic method was used to analyze the
   data and determine the reporting frequencies and ratios. Results: Family
   physicians reported nearly 50% of all reported cases of infectious
   diseases. The main reason of underreporting was the lack of knowledge
   about the rules of the reporting system. According to most family
   physicians, an online based reporting system would be much more
   efficient instead of a paper based one. Conclusions: The authors
   conclude that education of family physicians would be mandatory in order
   to improve reporting of infectious diseases.
RI VITRAI, József/ABC-5447-2021
OI VITRAI, József/0000-0001-9267-806X
ZR 0
TC 1
ZA 0
ZB 0
Z8 0
ZS 0
Z9 1
U1 0
U2 5
SN 0030-6002
EI 1788-6120
UT WOS:000349234900003
ER

PT J
AU Mettiainen, Sari
   Luojus, Katja
   Salminen, Satu
   Koivula, Meeri
TI Web course on medication administration strengthens nursing students'
   competence prior to graduation
SO NURSE EDUCATION IN PRACTICE
VL 14
IS 4
BP 368
EP 373
DI 10.1016/j.nepr.2014.01.009
PD AUG 2014
PY 2014
AB Background: Nursing students' competence has been found inadequate in
   mastering of pharmacotherapy regulations and prescriptions,
   pharmacology, medical calculations, fractional and decimal numbers, and
   mathematics on the whole.
   Objectives: The study investigated the efficacy of an additional
   medication administration web course in increasing nursing students'
   self-evaluated competence on medication administration.
   Design: Finnish nursing students self-evaluated their medication
   administration competence before and after the web-based medication
   course. Design was quasi-experimental.
   Participants: 244 students answered the questionnaire before and 192
   after the web course.
   Methods: An online self-evaluation questionnaire was developed to
   measure students' competence on basic pharmacotherapy, intravenous
   medication and infusion, blood transfusion and epidural medication. The
   data was analysed with SPSS 18.0 software using descriptive analyses and
   comparing sum variables with Man-Whitney U-test.
   Results: The medication administration web course, which took 8 h on
   average, significantly improved self-evaluated competence of nursing
   students in all the fields. Prior to the education most defects were
   found in matters concerning compatibility and adverse effects of
   pharmaceuticals and solutions and in epidural medication competency. The
   education strengthened all these competencies.
   Conclusions: It is necessary to revise medication administration before
   graduation and web-based learning can be used in it. (C) 2014 Elsevier
   Ltd. All rights reserved.
ZB 0
TC 9
ZS 2
ZA 0
Z8 0
ZR 0
Z9 11
U1 0
U2 13
SN 1471-5953
UT WOS:000349568200009
PM 24508302
ER

PT J
AU McAndrew, Maureen
   Pierre, Gaelle C.
   Kojanis, Lee C.
TI Effectiveness of an Online Tutorial on Intimate Partner Violence for
   Dental Students: A Pilot Study
SO JOURNAL OF DENTAL EDUCATION
VL 78
IS 8
BP 1176
EP 1181
PD AUG 2014
PY 2014
AB This pilot study sought to determine whether New York University College
   of Dentistry's online tutorial on domestic violence is effective for
   dental students poised to embark on their professional careers. The
   modular program is based on the RADAR model developed by the
   Massachusetts Medical Society. RADAR stands for Routinely screen, Ask
   direct questions, Document findings, Assess patient safety, and Review
   options and refer as indicated. An objective and validated measure, the
   Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS),
   was given pre- and post-tutorial to determine whether it impacted senior
   dental students' knowledge, attitudes, beliefs, and behaviors about
   intimate partner violence. Study participants were twenty-five senior
   dental students (7 percent of a class of 358) who had not received
   didactic instruction in domestic violence for over two years. A
   quasi-experimental research design was utilized. Data analysis indicated
   statistically significant improvements in composite scale scores on the
   PREMIS Perceived Preparation, Perceived Knowledge, and Actual Knowledge
   sections. There was a statistically significant improvement on the
   self-efficacy and constraint opinion scales. The other six opinion scale
   scores showed improved but not statistically significant scores. This
   online tutorial was found to be effective in increasing the
   participants' perceived preparation, knowledge, and self-efficacy and
   decreasing perceptions of provider constraints in managing victims of
   intimate partner violence.
TC 12
ZR 0
ZA 0
ZS 1
ZB 0
Z8 0
Z9 12
U1 0
U2 6
SN 0022-0337
EI 1930-7837
UT WOS:000347279100011
PM 25086151
ER

PT J
AU Wiesenfeld, Lesley
   Abbey, Susan
   Takahashi, Sue Glover
   Abrahams, Caroline
TI Choosing Psychiatry as a Career: Motivators and Deterrents at a Critical
   Decision-Making Juncture
SO CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
VL 59
IS 8
BP 450
EP 454
DI 10.1177/070674371405900808
PD AUG 2014
PY 2014
AB Objective: To examine factors influencing the choice of psychiatry as a
   career between residency program application and ranking decision
   making.
   Methods: Using an online questionnaire, applicants to the largest
   Canadian psychiatry residency program were surveyed about the impact of
   various factors on their ultimate decision to enter psychiatry residency
   training.
   Results: Applicants reported that patient-related stigma was a motivator
   in considering psychiatry as a career, but that negative comments from
   colleagues, friends, and family about choosing psychiatry was a
   deterrent. Training program length, limited treatments, and insufficient
   clerkship exposure were noted as deterrents to choosing psychiatry,
   though future job prospects, the growing role of neuroscience, and
   diagnostic complexity positively influenced choosing psychiatry as a
   specialty. Research and elective time away opportunities were deemed
   relatively unimportant to ranking decisions, compared with more highly
   weighted factors, such as program flexibility, emphasis on
   psychotherapy, service-training balance, and training program location.
   Most applicants also reported continuing to fine tune ranking decisions
   between the application and ranking submission deadline.
   Conclusions: Stigma, exposure to psychiatry, diagnostic complexity, and
   an encouraging job market were highlighted as positive influences on the
   choice to enter psychiatry residency. Interview and information days
   represent opportunities for continued targeted recruitment activity for
   psychiatry residency programs.
ZS 0
ZB 1
ZA 0
TC 20
Z8 0
ZR 0
Z9 20
U1 0
U2 4
SN 0706-7437
EI 1497-0015
UT WOS:000346374100008
PM 25161070
ER

PT J
AU Colella, Christine L.
   Beery, Theresa A.
TI Teaching Differential Diagnosis to Nurse Practitioner Students in a
   Distance Program
SO JOURNAL OF NURSING EDUCATION
VL 53
IS 8
BP 433
EP 438
DI 10.3928/01484834-20140724-02
PD AUG 2014
PY 2014
AB An interactive case study (ICS) is a novel way to enhance the teaching
   of differential diagnosis to distance learning nurse practitioner
   students. Distance education renders the use of many teaching strategies
   commonly used with face-to-face students difficult, if not impossible.
   To meet this new pedagogical dilemma and to provide excellence in
   education, the ICS was developed. Kolb's theory of experiential learning
   supported efforts to follow the utilization of the ICS. This study
   sought to determine whether learning outcomes for the distance learning
   students were equivalent to those of on-campus students who engaged in a
   live-patient encounter. Accuracy of differential diagnosis lists
   generated by onsite and online students was compared. Equivalency
   testing assessed clinical, rather than only statistical, significance in
   data from 291 students. The ICS responses from the distance learning and
   onsite students differed by 4.9%, which was within the a priori
   equivalence estimate of 10%. Narrative data supported the findings.
ZS 0
ZB 1
TC 8
ZA 0
ZR 0
Z8 0
Z9 8
U1 0
U2 8
SN 0148-4834
EI 1938-2421
UT WOS:000345263000002
PM 25050561
ER

PT J
AU Maheux, Brigitte
   Cote, Luc
   Sobanjo, Omobola
   Authier, Louise
   Lajeunesse, Julie
   Leclerc, Mylene
   Lefort, Louise
TI Collaboration between family physicians and nurse clinicians Opinions of
   graduates in family medicine
SO CANADIAN FAMILY PHYSICIAN
VL 60
IS 8
BP E416
EP E422
PD AUG 2014
PY 2014
AB Objective To determine whether graduating family physicians are exposed
   to collaboration between family physicians and nurse clinicians during
   their training, as well as their opinions about shared care between
   doctors and nurse clinicians in the delivery of patient care.
   Design Anonymous online survey.
   Setting Two French-Canadian university family medicine residency
   programs.
   Participants The 2010 and 2011 graduating family physicians (N = 343)
   from the University of Montreal and Laval University in Quebec.
   Main outcome measures The extent to which nurse clinicians in graduating
   family physicians' training milieu were involved in preventive and
   curative patient care activities, and graduates' opinions about nurse
   clinicians sharing care with physicians.
   Results Of 343 graduates, 186 (54.2%) participated in the survey.
   Although as residents in family medicine their exposure to shared care
   with nurse clinicians was somewhat limited, respondents indicated that
   they were generally quite open to the idea of sharing care with nurse
   clinicians. More than 70% of respondents agreed or strongly agreed that
   nurse clinicians could adjust, according to protocols of clinical
   guidelines, the treatment of patients with diabetes, hypertension, and
   asthma, as well as regulate medication for pain control in terminally
   ill patients. By contrast, respondents were less favourable to nurse
   clinicians adjusting the treatment of patients with depression. More
   than 80% of respondents agreed or strongly agreed that nurse clinicians
   could initiate treatment via a medical directive for routine hormonal
   contraception, acne, uncomplicated cystitis, and sexually transmitted
   infections. Respondents' opinions on nurse clinicians initiating
   treatment for pharyngitis and otitis were more divided.
   Conclusion Graduating family physicians are quite open to collaborating
   with nurse clinicians. Although they have observed some collaboration
   between physicians and nurses, there are areas of shared clinical
   activities in which they would benefit from further exposure and
   training.
ZS 0
ZB 0
ZA 0
TC 1
ZR 0
Z8 0
Z9 1
U1 0
U2 11
SN 0008-350X
EI 1715-5258
UT WOS:000343809500004
PM 25122832
ER

PT J
AU Raigani, Siavash
   Numanoglu, Alp
   Schwachter, Marc
   Ponsky, Todd A.
TI Online Resources in Pediatric Surgery: The New Era of Medical
   Information
SO EUROPEAN JOURNAL OF PEDIATRIC SURGERY
VL 24
IS 4
BP 308
EP 312
DI 10.1055/s-0034-1386649
PD AUG 2014
PY 2014
AB Tele-education has the potential to facilitate rapid sharing and
   dissemination of current research and knowledge among pediatric surgeons
   around the world. Classically, the exchange of surgical research
   occurred via national surgical conferences, articles published in
   peer-reviewed journals, and textbooks. The advent of Web 2.0 and the
   rapid pace of technologic advancement have allowed knowledge, education,
   and research to be exchanged online. Virtual symposiums act as online
   conferences where participants present and debate new research and
   surgical techniques in real-time web meetings. Resource libraries allow
   up-to-date information to be archived and viewed at the user's
   convenience, bypassing the need to wait long periods for paper
   publications. Tele-education allows pediatric surgeons to connect and
   share ideas around the world, while saving time and money.
OI Numanoglu, Alp/0000-0003-2026-6423
ZS 0
Z8 0
ZR 0
ZA 0
ZB 1
TC 6
Z9 6
U1 0
U2 1
SN 0939-7248
EI 1439-359X
UT WOS:000343012600010
PM 25111279
ER

PT J
AU Matta, Rano
   Doiron, Chris
   Leveridge, Michael J.
TI The Dramatic Increase in Social Media in Urology
SO JOURNAL OF UROLOGY
VL 192
IS 2
BP 494
EP 498
DI 10.1016/j.juro.2014.02.043
PD AUG 2014
PY 2014
AB Purpose: Social media are established tools for rapid information
   dissemination to a broad audience. A major use has been the compilation
   of conference specific messaging known as tweets via preselected
   hashtags on Twitter. We analyzed Twitter use between consecutive years
   at the AUA (American Urological Association) and CUA (Canadian
   Urological Association) annual meetings.
   Materials and Methods: Publicly available tweets containing the
   established meeting hashtags were abstracted from an online archive.
   Tweets were categorized by author type and by content as informative
   (based on research presented at the conference) or uninformative
   (unrelated to presented data) according to an established classification
   scheme.
   Results: We analyzed 5,402 tweets during the combined 18 meeting days,
   of which 4,098 were original and 1,304 were rebroadcast prior tweets.
   There was a large increase in Twitter use at the 2013 annual meetings
   compared to the 2012 meetings (4,591 tweets from a total of 540 accounts
   vs 811 from 134). Biotechnology analysts represented the highest volume
   of tweets (226 or 28%) in 2012 but in 2013 this majority shifted to
   urologists (2,765 or 60%). Of the tweets 29% were categorized as
   informative in 2012, which increased to 41% at the 2013 meetings.
   Conclusions: Twitter has emerged as a significant communication platform
   at urological meetings. Use increased dramatically between 2012 and
   2013. Urologists have increasingly led this discussion with an increased
   focus on data arising from meeting proceedings. This adjunct to
   traditional meeting activity merits the attention of urologists and the
   professional associations that host such meetings.
TC 77
Z8 0
ZR 0
ZB 18
ZS 3
ZA 0
Z9 78
U1 0
U2 10
SN 0022-5347
EI 1527-3792
UT WOS:000342095400073
PM 24576656
ER

PT J
AU Kostas, Tia
   Zimmerman, Kristin
   Salow, Marci
   Simone, Mark
   Whitmire, Natalie
   Rudolph, James L.
   McMahon, Graham T.
TI Improving Medication Management Competency of Clinical Trainees in
   Geriatrics
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 62
IS 8
BP 1568
EP 1574
DI 10.1111/jgs.12933
PD AUG 2014
PY 2014
AB The authors hypothesized that an interprofessional workshop would
   improve geriatrics trainees' medication management. The workshop was
   based on a needs assessment and comprised an interactive session with
   pharmacists on managing medications in elderly adults. Participants were
   trainees in their geriatrics rotation at a tertiary care medical center.
   Trainees completed a medication appropriateness survey for three
   patients, one of which was their own. After the workshop, trainees
   reviewed medications of the three patients. Trainees completed online
   surveys after their rotation and 3 months later. Of 95 trainees rotating
   through geriatrics, 76 (80%) attended the workshop and completed the
   worksheet. Trainees' scores on reviewing medication lists improved
   significantly, from 6.7 +/- 2.3 to 7.7 +/- 2.0 out of 11 for
   standardized patient 1 (P < .001) and from 5.7 +/- 1.8 to 6.4 +/- 1.5
   out of 11 for standardized patient 2 (P = .009). Trainees' scores on
   their own patients' lists also improved significantly, from 5.6 +/- 1.5
   to 6.6 +/- 1.5 out of 10 (P < .001). After the workshop, 95% (71/75)
   planned to change the medication regimen of the patient they presented,
   and 93% (68/73) planned to change other patients' medications based on
   information learned during the workshop. Three months later, 35% (12/34)
   had made changes to the regimen of the patient they discussed during the
   workshop, and 71% (15/21) had made changes to other patients' regimens.
   Seventy-eight percent (18/23) rated the workshop as the top nonclinical
   experience of their geriatrics rotation. In conclusion, this
   interprofessional medication management workshop improved trainees'
   ability to perform medication reviews accurately and led to change in
   self-reported prescribing behavior.
RI McMahon, Graham/D-3740-2009
OI McMahon, Graham/0000-0003-4288-6535
ZA 0
ZB 3
ZS 0
ZR 0
TC 12
Z8 0
Z9 12
U1 0
U2 12
SN 0002-8614
EI 1532-5415
UT WOS:000340482800020
PM 25040361
ER

PT J
AU Liyanagunawardena, Tharindu Rekha
   Williams, Shirley Ann
TI Massive Open Online Courses on Health and Medicine: Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 16
IS 8
AR e191
DI 10.2196/jmir.3439
PD AUG 2014
PY 2014
AB Background: Massive open online courses (MOOCs) have become immensely
   popular in a short span of time. However, there is very little research
   exploring MOOCs in the discipline of health and medicine.
   Objective: We aim to provide a review of MOOCs related to health and
   medicine offered by various MOOC platforms in 2013, by analyzing and
   comparing the various offerings, their target audience, typical length
   of course, and credentials offered. We also discuss opportunities and
   challenges presented by MOOCs in health and medicine.
   Methods: Health and medicine-related MOOCs were gathered using several
   methods to ensure the richness and completeness of data. Identified MOOC
   platform websites were used to gather the lists of offerings. In
   parallel, these MOOC platforms were contacted to access official data on
   their offerings. Two MOOC aggregator sites (Class Central and MOOC List)
   were also consulted to gather data on MOOC offerings. Eligibility
   criteria were defined to concentrate on the courses that were offered in
   2013 and primarily on the subject of health and medicine. All language
   translations in this paper were done using Google Translate.
   Results: The search identified 225 courses, of which 98 were eligible
   for the review. Over half (58%, 57/98) of the MOOCs considered were
   offered on the Coursera platform, and 94% (92/98) of all the MOOCs were
   offered in English. Universities offered 90 MOOCs, and the John Hopkins
   University offered the largest number of MOOCs (12/90). Only three MOOCs
   were offered by developing countries (China, West Indies, and Saudi
   Arabia). The duration of MOOCs varied from 3-20 weeks with an average
   length of 6.7 weeks. On average, MOOCs expected a participant to work on
   the material for 4.2 hours a week. Verified certificates were offered by
   14 MOOCs, while three others offered other professional recognition.
   Conclusions: The review presents evidence to suggest that MOOCs can be
   used as a way to provide continuous medical education. It also shows the
   potential of MOOCs as a means of increasing health literacy among the
   public.
ZR 0
TC 137
ZA 0
ZB 16
ZS 3
Z8 4
Z9 142
U1 2
U2 228
SN 1438-8871
UT WOS:000341430200008
PM 25123952
ER

PT J
AU Kosa, Katherine M.
   Cates, Sheryl C.
   Hall, Aron J.
   Brophy, Jenna E.
   Fraser, Angela
TI Gaps in Food Safety Professionals' Knowledge about Noroviruses
SO JOURNAL OF FOOD PROTECTION
VL 77
IS 8
BP 1336
EP 1341
DI 10.4315/0362-028X.JFP-13-550
PD AUG 2014
PY 2014
AB Noroviruses (NoVs) are the most common etiologic agents of endemic and
   epidemic foodborne disease in the United States. Food safety
   professionals play an important role in protecting the public from
   foodborne illness. A survey of food safety professionals (n = 314) was
   conducted to characterize their knowledge of NoVs and to identify gaps
   in this knowledge. To recruit individuals, 25 professional organizations
   promoted the survey via their Web sites, newsletters, and/or e-mail
   distribution lists. The survey used true or false and open-ended
   questions to assess knowledge about NoVs, including attribution,
   transmission, and prevention and control strategies, including food
   handling practices. The online survey was available from mid-October
   2012 to mid-January 2013. Of the 314 respondents, 66.2% correctly
   identified NoVs as one of the three most common causes of foodborne
   disease in the United States. Only 5.4% of respondents correctly
   identified the three most common settings for NoV infections, and 65.0%
   of respondents had the misperception that cruise ships are one of the
   three most common settings. Seventeen respondents (5.4%) answered all 20
   true-or-false questions correctly, 33 respondents (10.5%) answered at
   least 19 of the 20 questions correctly, and 186 respondents (65.0%)
   answered at least 15 of the 20 questions correctly (i.e., a score of 75%
   or higher). The. content domain in which respondents had the most
   incorrect answers was food handling practices. Thirty-eight percent of
   respondents incorrectly responded that it is safe for restaurant workers
   infected with NoVs to handle packaged food, food equipment, and
   utensils. About half of respondents did not know the recommended
   sanitizing solution for eliminating NoVs from a contaminated surface:
   The survey findings identified several important gaps in food safety
   professionals' knowledge of NoVs. The study results will inform the
   development of a Web-based educational module on NoVs to improve efforts
   to prevent the spread of NoVs in retail and institutional food
   establishments.
OI Brophy, Jenna/0000-0003-2915-6335; Cates, Sheri/0000-0001-8248-0180;
   Kosa, Katherine/0000-0002-6461-527X
ZB 3
ZS 0
ZA 0
TC 7
ZR 0
Z8 0
Z9 7
U1 0
U2 11
SN 0362-028X
EI 1944-9097
UT WOS:000340012400010
PM 25198594
ER

PT J
AU Goodman, Anna L.
   Masuet-Aumatell, Cristina
   Halbert, Jay
   Zuckerman, Jane N.
TI Awareness of Meningococcal Disease among Travelers from the United
   Kingdom to the Meningitis Belt in Africa
SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
VL 91
IS 2
BP 281
EP 286
DI 10.4269/ajtmh.13-0763
PD AUG 2014
PY 2014
AB Meningococcal disease causes considerable morbidity and has a high
   case-fatality rate. In the United Kingdom, the meningococcal
   quadrivalent vaccine is recommended for travelers visiting the
   meningitis belt of Africa. We analyzed 302 responses to a
   cross-sectional study conducted in 2010 of travelers who had visited the
   meningitis belt recently or were shortly due to travel there. Using the
   results of an online questionnaire, we assessed knowledge and
   understanding of meningococcal disease and likelihood of uptake of
   meningococcal immunization before travel. Meningococcal vaccine uptake
   was 30.1%. Although global scores in the questionnaire did not correlate
   with vaccine uptake, knowledge of the meningitis belt and knowledge of
   certain key symptoms or signs were statistically associated with high
   vaccine uptake. We conclude that improved education of travelers may
   improve vaccine uptake before travel to the meningitis belt in Africa.
RI Masuet-Aumatell, Cristina/E-5028-2017; Goodman, Anna/
OI Masuet-Aumatell, Cristina/0000-0001-7000-7345; Goodman,
   Anna/0000-0003-0643-9017
ZA 0
Z8 0
ZS 0
TC 11
ZR 0
ZB 6
Z9 11
U1 1
U2 3
SN 0002-9637
EI 1476-1645
UT WOS:000339863800014
PM 24891461
ER

PT J
AU Bujnowska-Fedak, Maria Magdalena
   Pirogowicz, Iwona
TI Support for e-Health Services Among Elderly Primary Care Patients
SO TELEMEDICINE AND E-HEALTH
VL 20
IS 8
BP 696
EP 704
DI 10.1089/tmj.2013.0318
PD AUG 2014
PY 2014
AB Background: E-health has a substantial potential to improve access to as
   well as support efficient and effective care for the elderly. Questions
   remain and must be addressed, however, regarding the challenges faced by
   the elderly in the use of this technology. The aim of the study was to
   assess the attitude (needs) and preferences of the elderly in a selected
   region of Poland regarding selected e-health services and the factors
   associated with them. Materials and Methods: The study was conducted
   among 286 patients over 60 years of age being served by general
   practitioners in southwest Poland's Lower Silesia Province. The
   assessment pertaining to e-health was based on a specially designed
   questionnaire. Results: Nearly one-third of the study respondents had a
   computer at home, and 61% of these (19% of all surveyed elderly) used
   it. Twenty-two percent of respondents used the Internet, at least
   occasionally, whereas 62% used mobile phones. Approximately 41% (n =
   116) of the elderly had a favorable attitude toward e-health services
   (labeled here as supporters) and were willing to use it if/when offered
   an opportunity to do so. A substantial majority (84%) of supporters
   expressed a desire to receive simple medical recommendations via mobile
   phone or a computer, although significant majorities (61% and 60%,
   respectively) would like to receive the results of tests by e-mail or
   short message service reminders for scheduled visits or prescribed
   medications. Slightly less than half (47%) of e-health supporters would
   request appointments online. Among the more important factors associated
   with support of e-health services were urban residence, higher
   education, and normal cognitive function, as well as having a computer,
   Internet access, or a mobile phone. Conclusions: The majority of elderly
   patients in this Polish community are not overly enthusiastic about
   using information and communications technology tools in their
   healthcare. Nevertheless, a substantial percentage (41%) among this
   group support selected e-health services.
RI Bujnowska-Fedak, Maria Magdalena/ABD-2237-2021
OI Bujnowska-Fedak, Maria Magdalena/0000-0002-4624-5025
TC 43
ZB 4
Z8 0
ZS 0
ZR 0
ZA 0
Z9 43
U1 3
U2 46
SN 1530-5627
EI 1556-3669
UT WOS:000340522400004
PM 24359252
ER

PT J
AU Cohen, Henry
   Margolis, Alvaro
   Gonzalez, Nicolas
   Martinez, Elisa
   Sanguinetti, Alberto
   Garcia, Sofia
   Lopez, Antonio
TI Implementation and evaluation of a blended learning course on
   gastroesophageal reflux disease for physicians in Latin America
SO GASTROENTEROLOGIA Y HEPATOLOGIA
VL 37
IS 7
BP 402
EP 407
DI 10.1016/j.gastrohep.2014.01.004
PD AUG-SEP 2014
PY 2014
AB Integrating evidence-based clinical practice guidelines on
   gastroesophageal reflux disease into medical practice is of prime
   importance in Latin America, given its high prevalence in this region.
   The aim of this project was to implement and assess an educational
   intervention on gastroesophageal reflux disease, aimed at primary care
   physicians in Latin America, with contents based on current clinical
   guidelines.
   The course included initial activities, whether face-to-face or through
   distance learning, and a 2-month period of Internet study and
   interaction. A pilot test was carried out in Uruguay, which was then
   repeated in 5 countries (Mexico, Colombia, Venezuela, Argentina and
   again in Uruguay). A global template was designed, which was then
   adapted to each of the countries: this was done with the participation
   of local institutions and leaders. Local credits were given for
   recertification. Participation was free.
   Of 3,110 physicians invited to participate, 1,143 (36.8%) started the
   course. Of these, 587 (51.4%) accessed at least half the contents of the
   course and 785 (68.7%) took part in the clinical discussions. A total of
   338 (29.6%) completed all the requirements of the course and received a
   certificate.
   Among physicians who took both the pre- and post-intervention knowledge
   tests, scores improved from 60 to 80% (P < .001). Ninety-two percent of
   planned changes in clinical practice were related to the pedagogic aims
   of the course.
   In conclusion, a multifaceted, 2-phase continuing education course was
   successfully imparted in Latin America, with an overall design that was
   adapted to each country. Determination of specific needs and the
   participation of national experts were fundamental to the success of the
   course. (C) 2013 Elsevier Espana, S.L. and AEEH y AEG. All rights
   reserved.
OI Margolis, Alvaro/0000-0002-2631-2323
TC 6
ZS 1
ZB 0
Z8 0
ZR 0
ZA 0
Z9 6
U1 0
U2 11
SN 0210-5705
UT WOS:000341060600003
PM 24679378
ER

PT J
AU Tian, Chenlu
   Champlin, Sara
   Mackert, Michael
   Lazard, Allison
   Agrawal, Deepak
TI Readability, suitability, and health content assessment of web-based
   patient education materials on colorectal cancer screening
SO GASTROINTESTINAL ENDOSCOPY
VL 80
IS 2
BP 284
EP +
DI 10.1016/j.gie.2014.01.034
PD AUG 2014
PY 2014
AB Background: Colorectal cancer (CRC) screening rates in the Unites States
   are still below target level. Web-based patient education materials are
   used by patients and providers to provide supplemental information on
   CRC screening. Low literacy levels and patient perceptions are
   significant barriers to screening. There are little data on the quality
   of these online materials from a health literacy standpoint or whether
   they address patients' perceptions.
   Objective: To evaluate the readability, suitability, and health content
   of web-based patient education materials on colon cancer screening.
   Design: Descriptive study.
   Setting: Web-based patient materials.
   Interventions: Twelve reputable and popular online patient education
   materials were evaluated. Readability was measured by using the
   Flesch-Kincaid Reading Grade Level, and suitability was determined by
   the Suitability Assessment of Materials, a scale that considers
   characteristics such as content, graphics, layout/typography, and
   learning stimulation. Health content was evaluated within the framework
   of the Health Belief Model, a behavioral model that relates patients'
   perceptions of susceptibility to disease, severity, and benefits and
   barriers to their medical decisions. Each material was scored
   independently by 3 reviewers.
   Main Outcome Measurements: Flesch-Kincaid Reading Grade Level score,
   Suitability Assessment of Materials score, health content score.
   Results: Readability for 10 of 12 materials surpassed the maximum
   recommended sixth-grade reading level. Five were 10th grade level and
   above. Only 1 of 12 materials received a superior suitability score; 3
   materials received inadequate scores. Health content analysis revealed
   that only 50% of the resources discussed CRC risk in the general
   population and <25% specifically addressed patients at high risk, such
   as African Americans, smokers, patients with diabetes, and obese
   patients. For perceived barriers to screening, only 8.3% of resources
   discussed embarrassment, 25% discussed pain with colonoscopy, 25%
   addressed cost of colonoscopy, and none specifically mentioned the need
   to get colonoscopy when no symptoms are present. No material discussed
   the social benefits of screening.
   Limitations: Descriptive design.
   Conclusion: Most online patient education materials for CRC screening
   are written beyond the recommended sixth-grade reading level, with
   suboptimal suitability. Health content is lacking in addressing key
   perceived risks, barriers, and benefits to CRC screening. Developing
   more appropriate and targeted patient education resources on CRC may
   improve patient understanding and promote screening.
RI Agrawal, Deepak/L-6592-2019
OI Agrawal, Deepak/0000-0001-7224-6921
ZB 3
ZA 0
TC 47
ZR 0
Z8 0
ZS 0
Z9 47
U1 0
U2 24
SN 0016-5107
EI 1097-6779
UT WOS:000341151700011
PM 24674352
ER

PT J
AU Grace, Sherry L.
   Poirier, Paul
   Norris, Colleen M.
   Oakes, Garth H.
   Somanader, Deborah S.
   Suskin, Neville
CA Canadian Assoc Cardiac Rehabil
TI Pan-Canadian Development of Cardiac Rehabilitation and Secondary
   Prevention Quality Indicators
SO CANADIAN JOURNAL OF CARDIOLOGY
VL 30
IS 8
BP 945
EP 948
DI 10.1016/j.cjca.2014.04.003
PD AUG 2014
PY 2014
AB The Canadian Cardiovascular Society (CCS) is implementing the Canadian
   Heart Health Strategy and Action Plan recommendation to build knowledge
   infrastructure, through its Data Definitions and Quality Indicator (QI)
   project. The CCS selected cardiac rehabilitation (CR) and secondary
   prevention as a content area for QI development. In accordance with the
   CCS QI Best Practice Methodology, rapid reviews of the literature were
   conducted. A long list of 37 QIs, in the areas of structure, process,
   and outcome were developed. Through an online survey, 26 (42%) of all
   contacted external experts rated each QI on importance, scientific
   acceptability, and feasibility, using a 7-point scale. The overall mean
   rating was 5.4 +/- 1.4. Through a consensus process, the working group
   excluded 8 QIs based on this feedback, and several others were revised.
   A 30-day Web consultation was then undertaken, to solicit input from the
   broader CCS and CR community. A "top 5" list of QIs was requested by the
   CCS, which were: (1) inpatients referred to CR; (2) wait times from
   referral to CR enrollment; (3) patient self-management education; (4)
   increase in exercise capacity; and (5) emergency response strategy.
   Knowledge translation activities are now under way to promote
   utilization of the QIs and ultimately improve CR care.
RI suskin, neville/G-3349-2011; Grace, Sherry L/H-1388-2013; Oakes, Garth/; Norris, Colleen/
OI suskin, neville/0000-0002-5456-1351; Grace, Sherry
   L/0000-0001-7063-3610; Oakes, Garth/0000-0003-2975-0895; Norris,
   Colleen/0000-0002-6793-9333
ZB 17
ZA 0
TC 68
ZR 0
Z8 1
ZS 2
Z9 70
U1 0
U2 12
SN 0828-282X
EI 1916-7075
UT WOS:000339993600018
PM 25064585
ER

PT J
AU Salsman, John M.
   Garcia, Sofia F.
   Yanez, Betina
   Sanford, Stacy D.
   Snyder, Mallory A.
   Victorson, David
TI Physical, Emotional, and Social Health Differences Between Posttreatment
   Young Adults With Cancer and Matched Healthy Controls
SO CANCER
VL 120
IS 15
BP 2247
EP 2254
DI 10.1002/cncr.28739
PD AUG 1 2014
PY 2014
AB BACKGROUND: Young adults (YAs; ages 18-39 years) with cancer face
   interrupted developmental milestones and increased stressors that can
   adversely influence psychosocial adjustment. Transitioning from active
   treatment to posttreatment survivorship can be particularly challenging.
   The purpose of this study is to describe the health-related quality of
   life (HRQL) and psychological adaptation of YAs after treatment,
   relative to young adults without cancer. METHODS: Three cohorts of YAs
   of mixed cancer diagnoses (N=120, 0-12 months after treatment; N=102,
   13-24 months after treatment; and N=113, 25-60 months after treatment;
   combined M=31.8 years old, combined sex=68% women) and an age-,
   education-, sex-, and partner status-matched group of healthy control
   participants (HCs; N=335) were recruited via an online research panel.
   All participants completed measures assessing demographic and clinical
   characteristics, HRQL (physical, emotional, social, and spiritual), and
   psychological adaptation (anxiety, depression, positive affect,
   posttraumatic growth). Measure content was slightly modified for
   applicability to HCs without a cancer history. RESULTS: Multivariate
   analysis of covariance found a significant main effect for group (YAs
   versus HCs) and a significant group-by-cohort interaction. YAs reported
   poorer physical (P=.005, d=.22) and emotional well-being (P=.011, d=.20)
   but better social well-being (P<.001, d=.49). YAs reported comparatively
   stable scores (P=.74) for posttraumatic growth compared to HCs, who
   reported greater posttraumatic growth across cohorts (P=.01, d=16).
   CONCLUSIONS: Findings underscore the negative and positive sequelae for
   YAs and highlight the need for comprehensive assessment among YA
   survivors of cancer. A matched, HC group allows the HRQL and
   psychological adaptation of YAs to be placed in context, enabling a more
   precise determination of the impact of cancer on YAs. (C) 2014 American
   Cancer Society.
OI Salsman, John M./0000-0003-2317-4006
ZR 0
ZA 0
TC 47
ZS 1
ZB 8
Z8 1
Z9 48
U1 1
U2 20
SN 0008-543X
EI 1097-0142
UT WOS:000340241500006
PM 24888335
ER

PT J
AU Traxler, Rita M.
   Callinan, Laura S.
   Holman, Robert C.
   Steiner, Claudia
   Guerra, Marta A.
TI Leptospirosis-Associated Hospitalizations, United States, 1998-2009
SO EMERGING INFECTIOUS DISEASES
VL 20
IS 8
BP 1273
EP 1279
DI 10.3201/eid2008.130450
PD AUG 2014
PY 2014
AB A small percentage of persons with leptospirosis, a re-emerging
   zoonosis, experience severe complications that require hospitalization.
   The number of leptospirosis cases in the United States is unknown. Thus,
   to estimate the hospitalization rate for this disease, we analyzed US
   hospital discharge records for 1998-2009 for the total US population by
   using the Nationwide Inpatient Sample. During that time, the aver-age
   annual rate of leptospirosis-associated hospitalizations was 0.6
   hospitalizations/1,000,000 population. Leptospirosis-associated
   hospitalization rates were higher for persons >20 years of age and for
   male patients. For leptospirosis-associated hospitalizations, the
   average age of patients at admission was lower, the average length of
   stay for patients was longer, and hospital charges were higher than
   those for nonleptospirosis infectious disease associated
   hospitalizations. Educating clinicians on the signs and symptoms of
   leptospirosis may result in earlier diagnosis and treatment and,
   thereby, reduced disease severity and hospitalization costs.
Z8 1
ZB 19
ZS 0
TC 30
ZA 0
ZR 0
Z9 31
U1 1
U2 11
SN 1080-6040
EI 1080-6059
UT WOS:000339864000001
PM 25076111
ER

PT J
AU Pucher, Philip H.
   Batrick, Nicola
   Taylor, Dave
   Chaudery, Muzzafer
   Cohen, Daniel
   Darzi, Ara
TI Virtual-world hospital simulation for real-world disaster response:
   Design and validation of a virtual reality simulator for mass casualty
   incident management
SO JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
VL 77
IS 2
BP 315
EP 321
DI 10.1097/TA.0000000000000308
PD AUG 2014
PY 2014
AB BACKGROUND: Mass casualty incidents are unfortunately becoming more
   common. The coordination of mass casualty incident response is highly
   complex. Currently available options for training, however, are limited
   by either lack of realism or prohibitive expense and by a lack of
   assessment tools. Virtual worlds represent a potentially cost-effective,
   immersive, and easily accessible platform for training and assessment.
   The aim of this study was to assess feasibility of a novel
   virtual-worlds-based system for assessment and training in major
   incident response.
   METHODS: Clinical areas were modeled within a virtual, online hospital.
   A major incident, incorporating virtual casualties, allowed multiple
   clinicians to simultaneously respond with appropriate in-world
   management and transfer plans within limits of the hospital's available
   resources. Errors, delays, and completed actions were recorded, as well
   as Trauma-NOnTECHnical Skills (T-NOTECHS) score. Performance was
   compared between novice and expert clinician groups.
   RESULTS: Twenty-one subjects participated in three simulations: pilot (n
   = 7), novice (n = 8), and expert groups (n = 6). The novices committed
   more critical events than the experts, 11 versus 3, p = 0.006; took
   longer to treat patients, 560 (299) seconds versus 339 (321) seconds, p
   = 0.026; and achieved poorer T-NOTECHS scores, 14 (2) versus 21.5 (3.7),
   p = 0.003, and technical skill, 2.29 (0.34) versus 3.96 (0.69), p =
   0.001. One hundred percent of the subjects thought that the simulation
   was realistic and superior to existing training options.
   CONCLUSION: A virtual-worlds-based model for the training and assessment
   of major incident response has been designed and validated. The
   advantages of customizability, reproducibility, and recordability
   combined with the low cost of implementation suggest that this
   potentially represents a powerful adjunct to existing training methods
   and may be applicable to further areas of surgery as well. Copyright (C)
   2014 by Lippincott Williams & Wilkins
RI Taylor, Dave/AAD-5830-2021
OI Taylor, Dave/0000-0003-0864-9966
ZR 0
TC 31
ZB 4
ZS 0
ZA 0
Z8 4
Z9 35
U1 1
U2 29
SN 2163-0755
EI 2163-0763
UT WOS:000340255700022
PM 25058260
ER

PT J
AU Mooney, Janice
   Spalding, Nicola
   Poland, Fiona
   Grayson, Peter
   Leduc, Renee
   McAlear, Carol A.
   Richesson, Rachel L.
   Shereff, Denise
   Merkel, Peter A.
   Watts, Richard A.
TI The informational needs of patients with ANCA-associated
   vasculitis-development of an informational needs questionnaire
SO RHEUMATOLOGY
VL 53
IS 8
BP 1414
EP 1421
DI 10.1093/rheumatology/keu026
PD AUG 2014
PY 2014
AB Objective. The aim of the study was to compare the informational needs
   of patients with ANCA-associated vasculitis (AAV).
   Methods. We developed a Vasculitis Informational Needs Questionnaire
   that was distributed to members of Vasculitis UK (VUK) by mail and
   registrants of the Vasculitis Clinical Research Consortium (VCRC) online
   registry with self-reported AAV. Patients were asked to use a 5-point
   scale (1 = not important, 5 = extremely important) to rank aspects of
   information in the following domains: disease, investigations,
   medication, disease management and psychosocial care. The source and
   preferred method of educational delivery were recorded.
   Results. There were 314 VUK and 273 VCRC respondents. Respondents rated
   information on diagnosis, prognosis, investigations, treatment and side
   effects as extremely important. Information on patient support groups
   and psychosocial care was less important. There was no difference in the
   ratings of needs based on group, sex, age, disease duration, disease or
   method of questionnaire delivery. The most-preferred methods of
   providing information for both groups were by a doctor (with or without
   written material) or web based; educational courses and compact
   disc/digital video disc (CD/DVD) were the least-preferred methods.
   Conclusion. This study demonstrates that people with AAV seek specific
   information concerning their disease, treatment regimes and side effects
   and the results of investigations. Individuals preferred to receive this
   information from a doctor. Patients with AAV should be treated in a
   similar manner to patients with other chronic illnesses in which patient
   education is a fundamental part of care.
OI Poland, Fiona/0000-0003-0003-6911
TC 17
ZR 0
ZB 2
Z8 0
ZA 0
ZS 0
Z9 17
U1 0
U2 10
SN 1462-0324
EI 1462-0332
UT WOS:000340052100010
PM 24625507
ER

PT J
AU Turner, Daniel
   Jopt, Konstantin
   Nieder, Timo O.
   Briken, Peer
TI German Medical Students' Interest in and Knowledge about Human Sexuality
   in 1972 and 2012
SO JOURNAL OF SEXUAL MEDICINE
VL 11
IS 8
BP 1914
EP 1926
DI 10.1111/jsm.12595
PD AUG 2014
PY 2014
AB Introduction. During the 1970s, a growing number of medical schools
   began to recognize the importance of medical education concerning human
   sexuality. Currently, most medical schools provide at least some
   instruction in human sexuality.
   Aim. In light of this development, the present study aimed to compare
   the interest in and knowledge about human sexuality of medical students
   from two different time periods.
   Methods. The answers to a self-constructed questionnaire of 236 students
   in 1972 were compared with those of 259 students in 2012. Students were
   asked whether they were interested in education regarding human
   sexuality and which specific topics they felt should be included in the
   medical curriculum. The students' knowledge in the following domains was
   assessed: sexual development, sexual behavior, sexual physiology and
   psychology, and sexual medicine.
   Main Outcome Measures. The two cohorts were compared with regard to
   those specific sexuality-related topics in which the students were most
   and least interested in. Furthermore, the number of correct responses to
   the knowledge questions was compared.
   Results. While in 1972, 99.2% of the students were interested in medical
   education about human sexuality, in 2012, 80.3% showed an interest. The
   connection of disorders from different medical disciplines with
   sexuality was rated as most interesting by both the students from 1972
   and 2012. Medical students from 2012 gave 50.3% correct answers to the
   knowledge questions, whereas students from 1972 correctly answered 46.3%
   of the questions.
   Conclusions. Although interest in education concerning human sexuality
   has decreased, the majority of students view it as an important topic.
   Nevertheless, medical students still lack knowledge about important
   aspects of human sexuality (e. g., psychosexual development and relative
   safety of different contraceptives). Therefore, more time should be
   dedicated to education concerning human sexuality and its cultural,
   societal, and health aspects in particular.
OI Nieder, Timo/0000-0003-3052-5169
TC 20
Z8 0
ZA 0
ZS 0
ZR 0
ZB 2
Z9 20
U1 0
U2 14
SN 1743-6095
EI 1743-6109
UT WOS:000340251000004
PM 24909295
ER

PT J
AU Cheak-Zamora, Nancy C.
   Farmer, Janet E.
   Mayfield, Wayne A.
   Clark, Mary J.
   Marvin, Alison R.
   Law, J. Kiely
   Law, Paul A.
TI Health Care Transition Services for Youth With Autism Spectrum Disorders
SO REHABILITATION PSYCHOLOGY
VL 59
IS 3
BP 340
EP 348
DI 10.1037/a0036725
PD AUG 2014
PY 2014
AB Objective: Little is known about accessibility to health care transition
   (HCT) services (HCT) for youth with autism spectrum disorders (ASD).
   This study examined how often youth with ASD receive HCT services and
   how access varied by individual, family, and health system
   characteristics. Method: Questionnaires were completed by 101 parents of
   youth with ASD (ages 12-17 years) enrolled in a national online autism
   registry. Descriptive statistics and bivariate analysis were used to
   examine a composite HCT variable and its components. Results: Fewer than
   15% of youth received HCT services. Although 41% received at least 1 HCT
   discussion, only 3% received all 3. One-quarter had a discussion with
   their health care provider about transitioning to an adult provider,
   adult health care needs, or insurance retention, and 31% of providers
   encouraged youth to take on more responsibilities. Most caregivers
   reported not needing 1 or more of the discussions. Results varied
   significantly when the sample was divided by age, with older youth more
   likely to have received transition services than younger adolescents.
   Conclusions: These findings indicate a significant disparity in access
   to HCT services for youth with ASD. Further research is needed to
   understand this disparity and develop interventions to improve HCT both
   for youth with ASD and those with other disabling health conditions.
   Additionally, many caregivers do not recognize the importance of HCT
   services. Education and training for caregivers, youth, and providers is
   essential to ensure all parties are working together to address
   transition issues early and often.
OI Cheak-Zamora, Nancy/0000-0003-3645-3469
ZB 9
TC 29
ZR 0
ZA 0
Z8 0
ZS 0
Z9 29
U1 0
U2 16
SN 0090-5550
EI 1939-1544
UT WOS:000340432500011
PM 25019309
ER

PT J
AU Verrelst, Ruth
   De Clercq, Dirk
   Willems, Tine Marieke
   Roosen, Philip
   Witrouw, Erik
TI Contralateral Risk Factors Associated with Exertional Medial Tibial Pain
   in Women
SO MEDICINE & SCIENCE IN SPORTS & EXERCISE
VL 46
IS 8
BP 1546
EP 1553
DI 10.1249/MSS.0000000000000280
PD AUG 2014
PY 2014
AB Purpose: This study aimed to prospectively analyze the role of factors
   on the contralateral side of the kinetic chain in the development of
   exertional medial tibial pain (EMTP). Methods: Eighty-one female
   physical education students were tested at the beginning of their first
   academic year. Within the testing protocol, contralateral isokinetic hip
   muscle strength and full-body kinematic parameters during a single-leg
   drop jump were evaluated. Online questionnaires were administered
   weekly, and personal interviews were conducted every 3 months to assess
   injury follow-up. EMTP was diagnosed by an experienced medical doctor.
   Cox regression analysis was used to identify the potential risk factors
   for the development of EMTP. Results: After exclusion of subjects with
   diagnosed bilateral EMTP, 11 subjects were included in the EMTP group.
   Fifty-three subjects did not develop any lower extremity overuse injury
   and were included in the control group. The leg not at risk within
   subjects who developed EMTP was compared with an uninjured leg of those
   in the control group. Increased transverse plane motion for the
   contralateral lower leg segment during landing phase was found to be a
   significant predictor (P = 0.012) for EMTP. Analysis of the isokinetic
   data did not reveal altered hip muscle strength parameters for the leg
   not at risk within the EMTP group. Conclusions: Impaired dynamic joint
   stability or accessory movements were found in the transverse plane of
   the contralateral lower leg segment of EMTP subjects. This contralateral
   instability might have contributed to altered movement patterns within
   the kinetic chain function of EMTP subjects. No contralateral hip muscle
   strength parameters were found to predict EMTP in this study.
RI Willems, Tine M/G-9675-2017
OI Willems, Tine M/0000-0001-8331-9700
TC 7
ZS 0
Z8 0
ZB 1
ZA 0
ZR 0
Z9 7
U1 0
U2 27
SN 0195-9131
EI 1530-0315
UT WOS:000339259700009
PM 24518196
ER

PT J
AU Vargas, Christina R.
   Chuang, Danielle J.
   Ganor, Oren
   Lee, Bernard T.
TI Readability of online patient resources for the operative treatment of
   breast cancer
SO SURGERY
VL 156
IS 2
BP 311
EP 318
DI 10.1016/j.surg.2014.03.004
PD AUG 2014
PY 2014
AB Background. Increasing use of Internet resources for health information
   is important in promoting patient involvement in medical care and
   decision-making. The National Institutes of Health and American Medical
   Association have recommended that patient health information should be
   written at a sixth-grade reading level. This study evaluates the
   readability of the most commonly used Internet resources for the
   operative treatment of breast cancer in the context of average American
   literacy.
   Methods. The top 10 websites for "breast cancer surgery" based on public
   Internet search engines were identified. Patient-directed content was
   downloaded from all relevant articles on these sites. A total of 104
   articles were assessed with the use of 10 established readability
   analyses. Average readability scores were analyzed for all articles as
   well as by website.
   Results. The overall average reading level across all sites was 12.9;
   this was similar between tests (Coleman-Liau 12.6, Flesch Kincaid 12.3,
   FORCAST 11.2, Fry 14, Gunning Fog 14.4, New Dale-Chall 12.4, New Fog 11,
   Raygor 14, and Simple Measure of Gobbledygook 14.3). Comparing
   readability by website showed disparity in average reading level from
   11.2 to 16.5.
   Conclusion. Online patient resources for breast cancer surgery exceed
   recommended reading levels and are too difficult to be understood by a
   large portion of the United States population.
RI Lee, Bernard T./K-1106-2016; Ganor, Oren/; Vargas, Christina/
OI Lee, Bernard T./0000-0002-5533-3166; Ganor, Oren/0000-0001-6382-4320;
   Vargas, Christina/0000-0003-2368-3425
ZA 0
ZR 0
TC 39
ZS 0
Z8 0
ZB 10
Z9 39
U1 0
U2 12
SN 0039-6060
UT WOS:000339463700014
PM 24953268
ER

PT J
AU Hansberry, David R.
   Kraus, Carl
   Agarwal, Nitin
   Baker, Stephen R.
   Gonzales, Sharon F.
TI Health Literacy in Vascular and Interventional Radiology: A Comparative
   Analysis of Online Patient Education Resources
SO CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
VL 37
IS 4
BP 1034
EP 1040
DI 10.1007/s00270-013-0752-6
PD AUG 2014
PY 2014
AB Purpose The Internet is frequently accessed by patients as a resource
   for medical knowledge. However, the provided material is typically
   written at a level well above the recommended 7th grade level. A clear
   understanding of the capabilities, limitations, risks, and benefits of
   interventional radiology by patients, both current and prospective, is
   hindered when the textual information offered to the public is pitched
   at a level of sophistication too high for general comprehension.
   Methods In January 2013, all 25 patient education resources from the
   Cardiovascular and Interventional Radiology Society of Europe (CIRSE)
   Web site (http://www.cirse.org) and all 31 resources from the Society of
   Interventional Radiology (SIR) Web site (http://www.sirweb.org) were
   analyzed for their specific level of readability using ten quantitative
   scales: Flesch Reading Ease, Flesch-Kincaid Grade Level, Simple Measure
   of Gobbledygook, Gunning fog index, New Fog Count, Coleman-Liau index,
   FORCAST formula, Fry graph, Raygor Readability Estimate, and New
   Dale-Chall.
   Results Collectively, the patient education resources on the CIRSE Web
   site are written at the 12.3 grade level, while the resources on the SIR
   Web site are written at the 14.5 grade level.
   Conclusion Educational health care materials available on both the CIRSE
   and the SIR Web sites are presented in language in the aggregate that
   could be too difficult for many lay people to fully understand. Given
   the complex nature of vascular and interventional radiology, it may be
   advantageous to rewrite these educational resources at a lower reading
   level to increase comprehension.
ZS 0
TC 23
ZA 0
ZB 4
Z8 0
ZR 0
Z9 23
U1 0
U2 8
SN 0174-1551
EI 1432-086X
UT WOS:000339729100021
PM 24482028
ER

PT J
AU Connor, K.
   Brady, R. R. W.
   de Beaux, A.
   Tulloh, B.
TI Contemporary hernia smartphone applications (apps)
SO HERNIA
VL 18
IS 4
BP 557
EP 561
DI 10.1007/s10029-013-1130-7
PD AUG 2014
PY 2014
AB Smartphone technology and downloadable applications (apps) have created
   an unprecedented opportunity for access to medical information and
   healthcare-related tools by clinicians and their patients. Here, we
   review the current smartphone apps in relation to hernias, one of the
   most common operations worldwide. This article presents an overview of
   apps relating to hernias and discusses content, the presence of medical
   professional involvement and commercial interests.
   The most widely used smartphone app online stores (Google Play, Apple,
   Nokia, Blackberry, Samsung and Windows) were searched for the following
   hernia-related terms: hernia, inguinal, femoral, umbilical, incisional
   and totally extraperitoneal. Those with no reference to hernia or hernia
   surgery were excluded.
   26 smartphone apps were identified. Only 9 (35 %) had named medical
   professional involvement in their design/content and only 10 (38 %) were
   reviewed by consumers. Commercial interests/links were evident in 96 %
   of the apps. One app used a validated mathematical algorithm to help
   counsel patients about post-operative pain.
   There were a relatively small number of apps related to hernias in view
   of the worldwide frequency of hernia repair. This search identified many
   opportunities for the development of informative and validated
   evidence-based patient apps which can be recommended to patients by
   physicians. Greater regulation, transparency of commercial interests and
   involvement of medical professionals in the content and peer-review of
   healthcare-related apps is required.
OI Brady, Richard/0000-0002-1905-6384
Z8 0
ZS 0
ZB 3
ZA 0
TC 18
ZR 0
Z9 18
U1 0
U2 6
SN 1265-4906
EI 1248-9204
UT WOS:000339876400016
PM 23801277
ER

PT J
AU Chen, Andrew
   Halen, Jon P. Ver
   Basu, C. Bob
   Khan, Sami
   Wang, Howard
   Jeffers, Lynn
CA Young Plastic Surg Steering Comm
TI Young Plastic Surgeons Forum Member Survey: Part I. Investing in the
   Future: Attitudes toward the Plastic Surgery Foundation
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 134
IS 2
BP 343
EP 350
DI 10.1097/PRS.0000000000000393
PD AUG 2014
PY 2014
AB Background: Professional and social changes have resulted in decreased
   involvement in organizations. Little is currently known about young
   plastic surgeons' attitudes toward the Plastic Surgery Foundation and
   its sponsored activities. The authors gathered opinions of young plastic
   surgeons to determine factors related to participation.
   Methods: A 21-question online survey was e-mailed to all 2155 members of
   the Young Plastic Surgeons Forum. Questions were related to
   demographics, current involvement, and initiatives in education,
   research, funding, and health policy.
   Results: Of 2155 forum members, 397 responded (19 percent response
   rate). Most had not contributed to the Plastic Surgery Foundation. The
   primary reason cited was financial hardship, and respondents noted this
   would change with increased practice revenue. Involvement in American
   Society of Plastic Surgeons committees correlated with contribution to
   Plastic Surgery Foundation. The main educational initiatives favored by
   Young Plastic Surgeons included critical analysis of
   literature/evidence-based medicine, statistical analysis, and
   compensation issues. According to respondents, primary areas for
   organizational focus should be clinical research, increased
   representation of young surgeons, and leadership development.
   Respondents would be more willing to donate if they could earmark their
   contributions for specific purposes, including leadership training,
   clinical research, and medical missions.
   Conclusions: Methods to recruit and retain young surgeons into the
   American Society of Plastic Surgeons and in contributing to the Plastic
   Surgery Foundation should include opportunities to participate at a
   decreased cost, focus on compensation issues, clinical research,
   leadership development, and increased young surgeon representation.
   These data should be used to guide efforts to increase young member
   involvement.
RI Basu, C Bob/AAJ-3357-2021; Jeffers, Lynn/
OI Jeffers, Lynn/0000-0001-5153-6049
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
TC 4
Z9 4
U1 0
U2 2
SN 0032-1052
EI 1529-4242
UT WOS:000339777300021
PM 25068332
ER

PT J
AU Halen, Jon P. Ver
   Chen, Andrew
   Jeffers, Lynn
   Basu, C. Bob
CA ASPS Young Plastic Surg Steering
TI Young Plastic Surgeons Forum Member Survey: Part II. Advocacy in Plastic
   Surgery: Opinions toward the ASPS and PlastyPAC
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 134
IS 2
BP 353
EP 360
DI 10.1097/PRS.0000000000000323
PD AUG 2014
PY 2014
AB Background: Given the continued evolution of the American health system,
   the authors explored young plastic surgeons' attitudes on challenges
   affecting the specialty and the future role of organized plastic surgery
   and its advocacy mission.
   Methods: A 21-question online survey was distributed to all members of
   the Young Plastic Surgeons Forum. Questions were related to
   demographics, attitudes toward policy issues, participation in the
   American Society of Plastic Surgeons, and its advocacy efforts.
   Results: The survey was e-mailed to 2155 Forum members, of which 397
   responded (19% response rate). Young plastic surgeons appear to be
   interested in American Society of Plastic Surgeons and PlastyPAC, as
   evidenced by a higher than normal response rate to this survey and rate
   of contribution. However, a lack of awareness about the details of the
   organizations and mechanisms for involvement remains. Scope-of-practice
   issues and encroachment on the specialty by noncore providers remain the
   top concern of young plastic surgeons. Other top concerns were financial
   barriers to participation in advocacy efforts and concerns with return
   on investment on PlastyPAC contributions. A majority received minimal or
   no public policy education on issues affecting plastic surgery during
   training. A minority currently participate in American Society of
   Plastic Surgeons advocacy efforts.
   Conclusions: These data represent the first such collection of opinions
   from Young Plastic Surgeons members regarding goals and directions of
   the American Society of Plastic Surgeons and PlastyPAC. These
   organizations are in a uniquely strong position to enlist participation
   from and provide for the future success of the profession's younger
   members.
RI Basu, C Bob/AAJ-3357-2021; Jeffers, Lynn/
OI Jeffers, Lynn/0000-0001-5153-6049
Z8 0
ZR 0
TC 4
ZS 0
ZB 0
ZA 0
Z9 4
U1 0
U2 2
SN 0032-1052
EI 1529-4242
UT WOS:000339777300023
PM 25068334
ER

PT J
AU Jain, Anuja V.
   Bickham, David
TI Adolescent health literacy and the Internet: challenges and
   opportunities
SO CURRENT OPINION IN PEDIATRICS
VL 26
IS 4
BP 435
EP 439
DI 10.1097/MOP.0000000000000119
PD AUG 2014
PY 2014
AB Purpose of review
   Adolescents have increasingly turned to the Internet as a resource for
   insight into their health questions and concerns. However, the extent to
   which adolescents will benefit from using the Internet as a source for
   health information will be determined in great part by their level of
   media literacy and health literacy. The purpose of this review is to
   explore challenges that adolescents face when using the Internet to
   access health information and opportunities for intervention.
   Recent findings
   Adolescents must be able to access, understand, analyze, and evaluate
   health information on the Internet and then apply this information to
   make appropriate health decisions. Challenges faced by adolescents fall
   into the realm of functional literacy (e.g., not being able to spell a
   medical term needed in a search), critical literacy (e.g., not being
   able to differentiate accurate from inaccurate online health
   information), and, lastly, interactive literacy (e.g., translating
   online health information to appropriate health behaviors).
   Summary
   More research is needed in this field to better understand the
   challenges and to propose effective solutions. However, a multifaceted
   approach that engages policymakers, educators, healthcare providers,
   online health information providers, and parents may be positioned to
   make the largest impact.
ZR 1
ZB 3
ZA 0
ZS 1
Z8 0
TC 22
Z9 24
U1 3
U2 41
SN 1040-8703
EI 1531-698X
UT WOS:000339158500006
PM 24886952
ER

PT J
AU Profato, Jessica
   Gordon, Erynn S.
   Dixon, Shannan
   Kwan, Andrea
TI Assessing the Integration of Genomic Medicine in Genetic Counseling
   Training Programs
SO JOURNAL OF GENETIC COUNSELING
VL 23
IS 4
BP 679
EP 688
DI 10.1007/s10897-013-9677-0
PD AUG 2014
PY 2014
AB Medical genetics has entered a period of transition from genetics to
   genomics. Genetic counselors (GCs) may take on roles in the clinical
   implementation of genomics. This study explores the perspectives of
   program directors (PDs) on including genomic medicine in GC training
   programs, as well as the status of this integration. Study methods
   included an online survey, an optional one-on-one telephone interview,
   and an optional curricula content analysis. The majority of respondents
   (15/16) reported that it is important to include genomic medicine in
   program curricula. Most topics of genomic medicine are either "currently
   taught" or "under development" in all participating programs. Interview
   data from five PDs and one faculty member supported the survey data.
   Integrating genomics in training programs is challenging, and it is
   essential to develop genomics resources for curricula.
TC 5
ZS 0
Z8 0
ZB 0
ZA 0
ZR 0
Z9 5
U1 1
U2 6
SN 1059-7700
EI 1573-3599
UT WOS:000339374400027
PM 24399091
ER

PT J
AU Laack, Torrey A.
   Dong, Yue
   Goyal, Deepi G.
   Sadosty, Annie T.
   Sun, Harpreet S.
   Dunn, William F.
TI Short-term and Long-term Impact of the Central Line Workshop on Resident
   Clinical Performance During Simulated Central Line Placement
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 9
IS 4
BP 228
EP 233
DI 10.1097/SIH.0000000000000015
PD AUG 2014
PY 2014
AB Introduction: The Central Line Workshop (CLW) was introduced at our
   institution to better train residents in safe placement of the central
   venous catheter (CVC). This study sought to determine if immediate
   performance improvements from the CLW are sustained 3 months after the
   training for residents with various levels of experience.
   Methods: Twenty-six emergency medicine residents completed the CLW,
   which includes online modules and experiential sessions in anatomy,
   ultrasound, sterile technique, and procedural task training.
   Demonstration of the synthesis of these skills including placement of
   both internal jugular and subclavian CVCs was assessed using a task
   trainer. Each resident was also tested approximately 3 months before and
   3 months after the CLW. Residents were assessed using a validated CVC
   proficiency scale.
   Results: Residents' CVC proficiency scores (percentage of items
   performed correctly during the assessment station) improved after CLW
   (0.6 vs. 0.93, P <0.05). At 3 months after CLW testing, there was
   apparent skill decay from the CLW but overall improvement compared with
   baseline testing (0.6 vs. 0.8, P <0.05). There was no significant
   difference in procedure time after CLW training. The postgraduate year 1
   group showed the greatest improvement of CVC skill after CLW training.
   Conclusions: Resident CVC placement performance improved immediately
   after the CLW. Although performance 3 months after the CLW revealed
   evidence of skill decay, it was improved when compared with initial
   baseline assessment. Novice learners had the greatest benefit from the
   CLW.
RI Dong, Yue/B-7597-2008
OI Dong, Yue/0000-0002-1737-6536
TC 32
ZR 0
ZS 0
ZA 0
Z8 0
ZB 3
Z9 32
U1 0
U2 5
SN 1559-2332
EI 1559-713X
UT WOS:000340813700003
PM 24401920
ER

PT J
AU Huh, Jina
   Liu, Leslie S.
   Neogi, Tina
   Inkpen, Kori
   Pratt, Wanda
TI Health Vlogs as Social Support for Chronic Illness Management
SO ACM TRANSACTIONS ON COMPUTER-HUMAN INTERACTION
VL 21
IS 4
AR 23
DI 10.1145/2630067
PD AUG 2014
PY 2014
AB Studies have shown positive impact of video blogs (vlogs) on patient
   education. However, we know little on how patient-initiated vlogs shape
   the relationships among vloggers and viewers. We qualitatively analyzed
   72 vlogs on YouTube by users diagnosed with HIV, diabetes, or cancer and
   1,274 comments posted to the vlogs to understand viewers' perspectives
   on the vlogs. We found that the unique video medium allowed intense and
   enriched personal and contextual disclosure to the viewers, leading to
   strong community-building activities and social support among vloggers
   and commenters, both informationally and emotionally. Furthermore, the
   unique communication structure of the vlogs allowed ad hoc small groups
   to form, which showed different group behavior than typical text-based
   social media, such as online communities. We provide implications to the
   Health Care Industry (HCI) community on how future technologies for
   health vlogs could be designed to further support chronic illness
   management.
RI Huh-Yoo, Jina/AAN-7442-2021; Pratt, Wanda/
OI Huh-Yoo, Jina/0000-0001-5811-9256; Pratt, Wanda/0000-0003-4035-0198
ZS 0
TC 38
ZA 0
ZB 3
Z8 0
ZR 0
Z9 38
U1 0
U2 0
SN 1073-0516
EI 1557-7325
UT WOS:000341387500004
PM 26146474
ER

PT J
AU Merritt, Christopher J.
   Tharp, Ian J.
   Furnham, Adrian
TI Trauma type affects recognition of Post-Traumatic Stress Disorder among
   online respondents in the UK and Ireland
SO JOURNAL OF AFFECTIVE DISORDERS
VL 164
BP 123
EP 129
DI 10.1016/j.jad.2014.04.013
PD AUG 1 2014
PY 2014
AB Background: Mental Health Literacy (MHL) predicts help-seeking for
   mental health difficulties. Public surveys show high recognition of
   Post-Traumatic Stress Disorder (PTSD) in relation to military contexts,
   but this has not been investigated with other sources of trauma.
   Methods: A self-selecting sample of 2960 participants from UK and
   Ireland completed an online survey. Participants viewed one of three
   vignettes that described either a male or female character experiencing
   identical PTSD symptoms, that differed only by trauma source (military
   combat, industrial accident, sexual assault). Participants were asked to
   state i) whether a mental health problem was being experienced, ii) what
   it was and iii) what help should be sought.
   Results: Trauma type was a key predictor of classification as a mental
   health problem, correct identification of PTSD, and help-seeking
   suggestions. For participants shown the military scenario the odds of
   recognising PTSD were 52 times higher than for those shown the sexual
   assault vignette, and 2.2 times higher than for those shown the accident
   scenario. Age (younger), gender (female), education (university), and
   personal mental health experience were additional significant predictors
   of higher recognition of PTSD.
   Limitations: Reasons for failing to recognise a mental health
   problem/PTSD were not explored. The online convenience sampling method
   may limit generalisability of results.
   Conclusions: Recognition of PTSD is significantly affected by trauma
   source. The data confirmed the pervasive association with military
   combat and suggest under recognition of PTSD from other traumas,
   particularly sexual assaulL Awareness campaigns may aim to increase MHL
   of PTSD from diverse trauma sources. (C) 2014 Elsevier B.V. All rights
   reserved.
RI Furnham, Adrian/ABB-2072-2020; Tharp, Ian/AAA-5668-2020
TC 7
ZB 1
Z8 0
ZS 0
ZR 0
ZA 0
Z9 7
U1 0
U2 24
SN 0165-0327
EI 1573-2517
UT WOS:000336436000021
PM 24856565
ER

PT J
AU Yu, Catherine H.
   Parsons, Janet A.
   Hall, Susan
   Newton, David
   Jovicic, Aleksandra
   Lottridge, Danielle
   Shah, Baiju R.
   Straus, Sharon E.
TI User-centered design of a web-based self-management site for individuals
   with type 2 diabetes - providing a sense of control and community
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 14
AR 60
DI 10.1186/1472-6947-14-60
PD JUL 23 2014
PY 2014
AB Background: To design and test a web-based self-management tool for
   patients with type 2 diabetes for its usability and feasibility.
   Methods: An evidence-based, theory-driven website was created for
   patients with type 2 diabetes. Twenty-three patients with type 2
   diabetes aged >= 25 years were recruited from 2 diabetes care centers in
   Toronto, Canada. We employed focus group methodology to assess
   acceptability, sustainability, strengths and weaknesses of the
   self-management website. Based on these results, revisions were made to
   the website. Three cycles of individual usability testing sessions using
   cognitive task analysis were conducted with patients with type 2
   diabetes. Revisions to the website were made based on results from this
   testing.
   Results: We identified five themes concerning participants' experiences
   of health care and related unmet needs: 1) Desire for information and
   for greater access to timely and personalized care to gain a sense of
   control of their disease; 2) Desire for community (sharing experiences
   with others) to fulfill practical and emotional needs; 3) Potential
   roles of an online self-management website in self-empowerment, behavior
   change, self-management and health care delivery; 4) Importance of a
   patient-centered perspective in presenting content (e.g. common
   assumptions, medical nomenclature, language, messaging, sociocultural
   context); 5) Barriers and facilitators to use of a self-management
   website (including perceived relevance of content, incorporation into
   usual routine, availability for goal-directed use, usability issues).
   Conclusions: Participants outlined a series of unmet health care needs,
   and stated that they wanted timely access to tailored knowledge about
   their condition, mechanisms to control and track their disease, and
   opportunities to share experiences with other patients. These findings
   have implications for patients with type 2 diabetes of diverse ages,
   socioeconomic backgrounds, and disease severity, as well as to the
   design of other computer-based resources for chronic disease management.
OI Lottridge, Danielle/0000-0002-5541-4425; Newton,
   David/0000-0001-9680-2726
ZA 0
TC 25
ZS 0
Z8 0
ZB 2
ZR 0
Z9 25
U1 0
U2 19
EI 1472-6947
UT WOS:000209585800001
PM 25056379
ER

PT J
AU Carruthers, Erin C.
   Rogers, Pamela
   Backman, Catherine L.
   Goldsmith, Charles H.
   Gignac, Monique A.
   Marra, Carlo
   Village, Judy
   Li, Linda C.
   Esdaile, John M.
   Lacaille, Diane
TI "Employment and arthritis: making it work" a randomized controlled trial
   evaluating an online program to help people with inflammatory arthritis
   maintain employment (study protocol)
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 14
AR 59
DI 10.1186/1472-6947-14-59
PD JUL 21 2014
PY 2014
AB Background: Arthritis and musculoskeletal conditions are the leading
   cause of long-term work disability (WD), an outcome with a major impact
   on quality of life and a high cost to society. The importance of
   decreased at-work productivity has also recently been recognized.
   Despite the importance of these problems, few interventions have been
   developed to reduce the impact of arthritis on employment. We have
   developed a novel intervention called "Making It Work", a program to
   help people with inflammatory arthritis (IA) deal with employment
   issues, prevent WD and improve at-work productivity. After favorable
   results in a proof-of-concept study, we converted the program to a
   web-based format for broader dissemination and improved accessibility.
   The objectives of this study are: 1) to evaluate in a randomized
   controlled trial (RCT) the effectiveness of the program at preventing
   work cessation and improving at-work productivity; 2) to perform a
   cost-utility analysis of the intervention.
   Methods/Design: 526 participants with IA will be recruited from British
   Columbia, Alberta, and Ontario in Canada. The intervention consists of
   a) 5 online group sessions; b) 5 web-based e-learning modules; c)
   consultations with an occupational therapist for an ergonomic work
   assessment and a vocational rehabilitation counselor. Questionnaires
   will be administered online at baseline and every 6 months to collect
   information about demographics, disease measures, costs, work-related
   risk factors for WD, quality of life, and work outcomes. Primary
   outcomes include at-work productivity and time to work cessation of > 6
   months for any reason. Secondary outcomes include temporary work
   cessation, number of days missed from work per year, reduction in hours
   worked per week, quality adjusted life year for the cost utility
   analysis, and changes from baseline in employment risk factors. Analysis
   of Variance will evaluate the intervention's effect on at-work
   productivity, and multivariable Cox regression models will estimate the
   risk of work cessation associated with the intervention after
   controlling for risk factors for WD and other important predictors
   imbalanced at baseline.
   Discussion: This program fills an important gap in arthritis health
   services and addresses an important and costly problem. Knowledge gained
   from the RCT will be useful to health care professionals, policy
   planners and arthritis stakeholders.
RI Backman, Catherine L/L-3648-2016; Li, Linda C./P-8485-2015; Marra, Carlo/AAE-4904-2021
OI Backman, Catherine L/0000-0003-4190-7947; Li, Linda
   C./0000-0001-6280-0511; Marra, Carlo/0000-0002-2625-2121
ZR 0
ZA 0
ZB 5
Z8 0
ZS 0
TC 10
Z9 10
U1 0
U2 34
EI 1472-6947
UT WOS:000341052700001
PM 25043631
ER

PT J
AU Sanchez-Rola, Iskander
   Garcia Zapirain, Begona
TI Mobile NBM - android medical mobile application designed to help in
   learning how to identify the different regions of interest in the
   brain's white matter
SO BMC MEDICAL EDUCATION
VL 14
AR 148
DI 10.1186/1472-6920-14-148
PD JUL 18 2014
PY 2014
AB Background: One of the most critical tasks when conducting neurological
   studies is identifying the different regions of interest in the brain's
   white matter. Currently few programs or applications are available that
   serve as an interactive guide in this process. This is why a mobile
   application has been designed and developed in order to teach users how
   to identify the referred regions of the brain. It also enables users to
   share the results obtained and take an examination on the knowledge thus
   learnt. In order to provide direct user-user or user-developer contact,
   the project includes a website and a Twitter account.
   Results: An application has been designed with a basic, minimalist look,
   which anyone can access easily in order to learn to identify a specific
   region in the brain's white matter. A survey has also been conducted on
   people who have used it, which has shown that the application is
   attractive both in the student (final mean satisfaction of 4.2/5) and in
   the professional (final mean satisfaction of 4.3/5) environment. The
   response obtained in the online part of the project reflects the high
   practical value and quality of the application, as shown by the fact
   that the website has seen a large number of visitors (over 1000
   visitors) and the Twitter account has a high number of followers (over
   280 followers).
   Conclusions: Mobile NBM is the first mobile application to be used as a
   guide in the process of identifying a region of interest in the brain's
   white matter. Although initially not many areas are available in the
   application, new ones can be added as required by users in their
   respective studies. Apart from the application itself, the online
   resources provided (website and Twitter account) significantly enhance
   users' experience.
RI Zapirain, Begoña Garcia/L-5619-2014
OI Zapirain, Begoña Garcia/0000-0002-9356-1186
ZB 0
ZS 2
ZR 0
ZA 0
Z8 0
TC 2
Z9 4
U1 1
U2 27
EI 1472-6920
UT WOS:000339516700001
PM 25037858
ER

PT J
AU Taveira-Gomes, Tiago
   Saffarzadeh, Areo
   Severo, Milton
   Jorge Guimaraes, M.
   Ferreira, Maria Amelia
TI A novel collaborative e-learning platform for medical students - ALERT
   STUDENT
SO BMC MEDICAL EDUCATION
VL 14
AR 143
DI 10.1186/1472-6920-14-143
PD JUL 14 2014
PY 2014
AB Background: The increasing complexity of medical curricula would benefit
   from adaptive computer supported collaborative learning systems that
   support study management using instructional design and learning object
   principles. However, to our knowledge, there are scarce reports
   regarding applications developed to meet this goal and encompass the
   complete medical curriculum. The aim of ths study was to develop and
   assess the usability of an adaptive computer supported collaborative
   learning system for medical students to manage study sessions.
   Results: A study platform named ALERT STUDENT was built as a free web
   application. Content chunks are represented as Flashcards that hold
   knowledge and open ended questions. These can be created in a
   collaborative fashion. Multiple Flashcards can be combined into custom
   stacks called Notebooks that can be accessed in study Groups that belong
   to the user institution. The system provides a Study Mode that features
   text markers, text notes, timers and color-coded content prioritization
   based on self-assessment of open ended questions presented in a Quiz
   Mode. Time spent studying and Perception of knowledge are displayed for
   each student and peers using charts. Computer supported collaborative
   learning is achieved by allowing for simultaneous creation of Notebooks
   and self-assessment questions by many users in a pre-defined Group. Past
   personal performance data is retrieved when studying new Notebooks
   containing previously studied Flashcards. Self-report surveys showed
   that students highly agreed that the system was useful and were willing
   to use it as a reference tool.
   Conclusions: The platform employs various instructional design and
   learning object principles in a computer supported collaborative
   learning platform for medical students that allows for study management.
   The application broadens student insight over learning results and
   supports informed decisions based on past learning performance. It
   serves as a potential educational model for the medical education
   setting that has gathered strong positive feedback from students at our
   school.
   This platform provides a case study on how effective blending of
   instructional design and learning object principles can be brought
   together to manage study, and takes an important step towards bringing
   information management tools to support study decisions and improving
   learning outcomes.
RI Ferreira, Maria Amélia/AAQ-5080-2021; Severo, Milton/I-3497-2012; Taveira-Gomes, Tiago/; Saffarzadeh, Areo/; Guimaraes, M. Jorge/
OI Ferreira, Maria Amélia/0000-0001-6789-3796; Severo,
   Milton/0000-0002-5787-4871; Taveira-Gomes, Tiago/0000-0002-0998-6000;
   Saffarzadeh, Areo/0000-0001-6817-2958; Guimaraes, M.
   Jorge/0000-0002-1588-7391
Z8 0
ZB 3
ZS 0
ZA 0
ZR 0
TC 18
Z9 19
U1 0
U2 52
EI 1472-6920
UT WOS:000340970600001
PM 25017028
ER

PT J
AU Shuaib, Waqas
   Iftikhar, Hira
   Alweis, Richard
   Shahid, Hassan
TI Warfarin Therapy: Survey of Patients' Knowledge of their Drug Regimen.
SO The Malaysian journal of medical sciences : MJMS
VL 21
IS 4
BP 37
EP 41
PD 2014-Jul
PY 2014
AB BACKGROUND: Warfarin is utilised for the treatment of thromboembolic
   disease. Its use demands a careful and continual monitoring given its
   narrow therapeutic index and potentially life-threatening complications.
   The aim of this study was to assess the extent of patients' knowledge of
   their warfarin therapy.
   METHODS: A total of 200 consecutive patients from a single community
   hospital completed an online survey questionnaire (www.eSurveysPro.com).
   Using the responses to the questionnaire, we recorded compliance to
   warfarin therapy, knowledge about drug interactions, adverse effects of
   warfarin therapy, complications, and resulting hospitalisation.
   RESULTS: We recruited 200 patients, 55% (109/200) women and 45% (91/200)
   men, among which 88% were compliant with their daily medication. Of the
   200 patients, 56% were unaware of any potential drug interactions, 58%
   were unaware of any adverse effects, 27% had experienced adverse
   effects, 12% had been hospitalised because of adverse effects (33% of
   which were due to bleeding), and 65% kept a personal record of their
   international normalised ratio.
   CONCLUSION: Despite the high level of compliance, patient knowledge of
   warfarin therapy was low. Given the potential drug interactions and
   complexities involved with warfarin therapy, it is of high importance
   that medical professionals educate their patients and make them aware of
   any impending signs of emergent medical complications.
ZB 1
ZR 0
TC 9
Z8 0
ZA 0
ZS 0
Z9 9
U1 0
U2 0
SN 1394-195X
UT MEDLINE:25977620
PM 25977620
ER

PT J
AU Jang, Haeran
   An, Ji-Young
TI Social Network Analysis of Elders' Health Literacy and their Use of
   Online Health Information.
SO Healthcare informatics research
VL 20
IS 3
BP 216
EP 25
DI 10.4258/hir.2014.20.3.216
PD 2014-Jul
PY 2014
AB OBJECTIVES: Utilizing social network analysis, this study aimed to
   analyze the main keywords in the literature regarding the health
   literacy of and the use of online health information by aged persons
   over 65.
   METHODS: Medical Subject Heading keywords were extracted from articles
   on the PubMed database of the National Library of Medicine. For health
   literacy, 110 articles out of 361 were initially extracted. Seventy-one
   keywords out of 1,021 were finally selected after removing repeated
   keywords and applying pruning. Regarding the use of online health
   information, 19 articles out of 26 were selected. One hundred forty-four
   keywords were initially extracted. After removing the repeated keywords,
   74 keywords were finally selected.
   RESULTS: Health literacy was found to be strongly connected with 'Health
   knowledge, attitudes, practices' and 'Patient education as topic.'
   'Computer literacy' had strong connections with 'Internet' and 'Attitude
   towards computers.' 'Computer literacy' was connected to 'Health
   literacy,' and was studied according to the parameters 'Attitude towards
   health' and 'Patient education as topic.' The use of online health
   information was strongly connected with 'Health knowledge, attitudes,
   practices,' 'Consumer health information,' 'Patient education as topic,'
   etc. In the network, 'Computer literacy' was connected with 'Health
   education,' 'Patient satisfaction,' 'Self-efficacy,' 'Attitude to
   computer,' etc.
   CONCLUSIONS: Research on older citizens' health literacy and their use
   of online health information was conducted together with study of
   computer literacy, patient education, attitude towards health, health
   education, patient satisfaction, etc. In particular, self-efficacy was
   noted as an important keyword. Further research should be conducted to
   identify the effective outcomes of self-efficacy in the area of
   interest.
Z8 0
ZR 0
ZA 0
TC 7
ZS 0
ZB 1
Z9 7
U1 0
U2 10
SN 2093-3681
UT MEDLINE:25152835
PM 25152835
ER

PT J
AU Smith, Susan C.
   O'Hagan, Emma C.
TI Taking library instruction into the online environment: one health
   sciences library's experience
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 102
IS 3
BP 196
EP 200
DI 10.3163/1536-5050.102.3.010
PD JUL 2014
PY 2014
AB In 2012, an academic health sciences library serving a large research
   university and medical center introduced synchronous online training for
   a diverse group of users, including clinicians, researchers, faculty,
   and distance students. Participants in these "Express Training" classes
   completed two surveys to assess their experiences. Survey results
   indicated classes were well received but revealed some areas for
   improvement. Included are issues that should be considered when
   implementing online library instruction to meet the diverse needs of
   academic health sciences library users. Given the popularity of online
   training among on-campus and distance users, it will be continued and
   expanded.
OI O'Hagan, Emma/0000-0002-7467-5057
TC 4
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
Z9 4
U1 0
U2 10
SN 1536-5050
UT WOS:000346145700010
PM 25031561
ER

PT J
AU MacDonald, Katherine A.
   Hrynchak, Patricia K.
   Spafford, Marlee M.
TI Evidence-based practice instruction by faculty members and librarians in
   North American optometry and ophthalmology programs
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 102
IS 3
BP 210
EP U79
DI 10.3163/1536-5050.102.3.013
PD JUL 2014
PY 2014
AB North American optometry and ophthalmology faculty members and vision
   science librarians were surveyed online (14% response rate) about
   teaching evidence-based practice (EBP). Similar to studies of other
   health care programs, all five EBP steps (Ask, Acquire, Appraise, Apply,
   Assess) were taught to varying degrees. Optometry and ophthalmology EBP
   educators may want to place further emphasis on (1) the Apply and Assess
   steps, (2) faculty-and student-generated questions and self-assessment
   in clinical settings, (3) online teaching strategies, (4) programmatic
   integration of EBP learning objectives, and (5) collaboration between
   faculty members and librarians.
RI MacDonald, Katherine/D-4298-2014; Hrynchak, Patricia/
OI MacDonald, Katherine/0000-0002-2881-0596; Hrynchak,
   Patricia/0000-0002-3187-0338
ZS 0
TC 8
ZB 1
Z8 0
ZR 0
ZA 0
Z9 9
U1 0
U2 13
SN 1536-5050
UT WOS:000346145700013
PM 25031564
ER

PT J
AU Bornkessel, Alexandra
   Furberg, Robert
   Lefebvre, R. Craig
TI Social Media: Opportunities for Quality Improvement and Lessons for
   Providers-A Networked Model for Patient-Centered Care Through Digital
   Engagement
SO CURRENT CARDIOLOGY REPORTS
VL 16
IS 7
AR 504
DI 10.1007/s11886-014-0504-5
PD JUL 2014
PY 2014
AB Social media brings a new dimension to health care for patients,
   providers, and their support networks. Increasing evidence demonstrates
   that patients who are more actively involved in their healthcare
   experience have better health outcomes and incur lower costs. In the
   field of cardiology, social media are proposed as innovative tools for
   the education and update of clinicians, physicians, nurses, and medical
   students. This article reviews the use of social media by healthcare
   providers and patients and proposes a model of "networked care" that
   integrates the use of digital social networks and platforms by both
   patients and providers and offers recommendations for providers to
   optimize their use and understanding of social media for quality
   improvement.
OI Furberg, Robert/0000-0002-3803-1879
TC 20
ZR 0
Z8 0
ZA 0
ZS 0
ZB 1
Z9 20
U1 0
U2 32
SN 1523-3782
EI 1534-3170
UT WOS:000345086300007
PM 24947833
ER

PT J
AU Adams, William M.
   Mazerolle, Stephanie M.
   Casa, Douglas J.
   Huggins, Robert A.
   Burton, Laura
TI The Secondary School Football Coach's Relationship With the Athletic
   Trainer and Perspectives on Exertional Heat Stroke
SO JOURNAL OF ATHLETIC TRAINING
VL 49
IS 4
BP 469
EP 477
DI 10.4085/1062-6050-49.3.01
PD JUL-AUG 2014
PY 2014
AB Context: Prior researchers have examined the first-aid knowledge and
   decision making among high school coaches, but little is known about
   their perceived knowledge of exertional heat stroke (EHS) or their
   relationships with an athletic trainer (AT).
   Objective: To examine secondary school football coaches' perceived
   knowledge of EHS and their professional relationship with an AT.
   Design: Qualitative study.
   Setting: Web-based management system.
   Patients or Other Participants: Thirty-eight secondary school head
   football coaches (37 men, 1 woman) participated in this study. Their
   average age was 47 +/- 10 years old, and they had 12 +/- 9 years'
   experience as a head football coach.
   Data Collection and Analysis: Participants responded to a series of
   online questions that were focused on their perceived knowledge of EHS
   and professional relationships with ATs. Data credibility was
   established through multiple-analyst triangulation and peer review. We
   analyzed the data by borrowing from the principles of a general
   inductive approach.
   Results: Two dominant themes emerged from the data: perceived
   self-confidence of the secondary school coach and the influence of the
   AT. The first theme highlighted the perceived confidence, due to basic
   emergency care training, of the coach regarding management of an
   emergency situation, despite a lack of knowledge. The second theme
   illustrated the secondary school coach's positive professional
   relationships with ATs regarding patient care and emergency procedures.
   Of the coaches who participated, 89% (34 out of 38) indicated positive
   interactions with their ATs.
   Conclusions: These secondary school coaches were unaware of the
   potential causes of EHS or the symptoms associated with EHS, and they
   had higher perceived levels of self-confidence in management abilities
   than indicated by their perceived knowledge level. The secondary school
   football coaches valued and understood the role of the AT regarding
   patient and emergency care.
RI Adams, William/K-3312-2014; Burton, Laura/; Huggins, Robert/
OI Adams, William/0000-0001-7372-8455; Burton, Laura/0000-0002-3454-3228;
   Huggins, Robert/0000-0003-2174-8088
ZS 0
TC 20
ZA 0
ZR 0
Z8 0
ZB 9
Z9 20
U1 1
U2 7
SN 1062-6050
EI 1938-162X
UT WOS:000342768700006
PM 24933433
ER

PT J
AU Tinloy, Jennifer
   Kaul, Shailja
   Ulbrecht, Jan
   Schaefer, Eric
   Gabbay, Robert A.
TI Podiatric Physicians' Perspectives on Their Role in Promoting Self-Care
   in High-Risk Patients with Diabetes
SO JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION
VL 104
IS 4
BP 387
EP 393
DI 10.7547/0003-0538-104.4.387
PD JUL-AUG 2014
PY 2014
AB Background: Foot self-care is key in preventing morbidity in high-risk
   diabetic patients. Motivational interviewing (MI) is an approach to
   encourage behavior change by patients that can be used in medical
   settings. The goal was to explore how podiatric physicians promote
   self-care in such patients and whether they use MI techniques.
   Methods: We conducted a 19-question online survey of US-based practicing
   podiatric physicians. Most answers were on a 5-point scale. The MI index
   was the sum of answers to five relevant questions.
   Results: Of 843 podiatric physicians, 86% considered foot self-care to
   be very important for high-risk diabetic patients, and 90% felt that it
   was their role to discuss foot self-care with them; 49% felt that they
   had training and were successful in promoting behavior change, but most
   were definitely (38%) or possibly (46%) interested in learning more.
   Only 24% of respondents scored at least 15 of 20 on the MI index. Higher
   MI scores were associated with more face time and more time discussing
   foot self-care but were not related to podiatric physicians' age, sex,
   geographic location, percentage of time in surgery, or years in
   practice. Reported barriers to counseling were lack of reimbursed time
   and poor patient engagement.
   Conclusions: Most podiatric physicians view self-care behavior among
   high-risk diabetic patients and their role in promoting it as very
   important; most feel already proficient, but only a few demonstrate MI
   skills; most are willing to learn more. Success in behavioral
   counseling, such as MI, is likely to require more time and may be
   encouraged by a move from fee-for-service to outcome-based
   reimbursement.
ZB 0
ZS 0
TC 3
Z8 0
ZA 0
ZR 0
Z9 3
U1 0
U2 10
SN 8750-7315
EI 1930-8264
UT WOS:000342690700010
PM 25076083
ER

PT J
AU Avsar, Ummu Zeynep
   Avsar, Umit
   Cansever, Zeliha
   Acemoglu, Hamit
   Cayir, Yasemin
   Khan, Abdul Sattar
TI Evidence based medicine: Teaching, learning and practice: Results of a
   cross-sectional study from Turkey
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 64
IS 7
BP 762
EP 765
PD JUL 2014
PY 2014
AB Objective: To assess the level of understanding related to the
   significance of evidence-based medicine among physicians.
   Methods: The cross-sectional study was conducted between March and
   October 2012 using an online questionnaire that was sent out to
   physicians and academics working as faculty at training hospitals across
   Turkey. The questionnaire consisted of questions about the knowledge,
   attitude and behaviour towards evidence-based medicine. Seven of the
   questions pertained to the learning of evidence-based medicine, six were
   about teaching evidence-based medicine, and six were about its practice.
   SPSS 20 was used for statistical analyses.
   Results: The questionnaire was returned duly filled by 79 physicians. Of
   them, 41(51.9%) were males; and 57(72.2%) were part of the faculty. Only
   1(1.2%) participant had attended a course about evidence-based medicine
   during undergraduate education, while 19(24.05)had attended one after
   graduation. Besides, 26(32.9%) academics were teaching some concepts of
   evidence-based medicine, and 21(26.6%) were giving some information
   about clinical guidelines.
   Conclusion: The study found that levels of learning and teaching of
   evidence-based medicine among physicians were inadequate. They should be
   emphasised at both pre- and post-graduate tiers.
RI Acemoglu, Hamit/B-6959-2016; Cayir, Yasemin/I-7208-2019; Khan, Abdul Sattar/AAD-8319-2021; Acemoglu, Hamit/T-6098-2019
OI Acemoglu, Hamit/0000-0002-4667-8103; Cayir, Yasemin/0000-0001-9133-5460;
   
TC 6
ZA 0
ZB 0
ZR 0
ZS 0
Z8 1
Z9 7
U1 0
U2 2
SN 0030-9982
UT WOS:000337768600008
PM 25255582
ER

PT J
AU McDonnell, Lisa A.
   Pipe, Andrew L.
   Westcott, Courtney
   Perron, Sue
   Younger-Lewis, Deborah
   Elias, Nadine
   Nooyen, Jessica
   Reid, Robert D.
TI Perceived vs Actual Knowledge and Risk of Heart Disease in Women:
   Findings From a Canadian Survey on Heart Health Awareness, Attitudes,
   and Lifestyle
SO CANADIAN JOURNAL OF CARDIOLOGY
VL 30
IS 7
BP 827
EP 834
DI 10.1016/j.cjca.2014.05.007
PD JUL 2014
PY 2014
AB Background: Heart disease is a leading cause of morbidity and mortality
   in men and women. Our understanding of heart disease stems chiefly from
   clinical trials on men, but key features of the disease differ in women.
   This article reports findings from the first Canadian national survey of
   women that focuses on knowledge, perceptions, and lifestyle related to
   heart health.
   Methods: A cross-country survey using an adaptation of an instrument
   used in the United States was undertaken in spring of 2013. Based on
   online (208) and telephone (1446) responses from a randomly selected
   sample of women aged 25 or older, a total sample of 1654 weighted
   percentage estimates were produced. The overall response rate was 12.5%.
   Results: Just under half of women were able to name smoking as a risk
   factor of heart disease, and less than one quarter named hypertension or
   high cholesterol. Fewer than half of women knew the major symptoms of
   heart disease. Most women prefer to receive information on heart health
   from their doctor, but only slightly more than half report that their
   doctor includes discussion of prevention and lifestyle during clinical
   consultations.
   Conclusions: Most women lack knowledge of heart disease symptoms and
   risk factors, and significant proportions are unaware of their own risk
   status. The findings underscore the opportunity for patient education
   and intervention regarding risk and prevention of heart disease.
Z8 0
ZA 0
ZB 8
TC 47
ZS 0
ZR 0
Z9 47
U1 1
U2 12
SN 0828-282X
EI 1916-7075
UT WOS:000339981300018
PM 24970793
ER

PT J
AU Thangasamy, Isaac A.
   Leveridge, Michael
   Davies, Benjamin J.
   Finelli, Antonio
   Stork, Brian
   Woo, Henry H.
TI International Urology Journal Club via Twitter: 12-Month Experience
SO EUROPEAN UROLOGY
VL 66
IS 1
BP 112
EP 117
DI 10.1016/j.eururo.2014.01.034
PD JUL 2014
PY 2014
AB Background: Online journal clubs have increasingly been utilised to
   overcome the limitations of the traditional journal club. However, to
   date, no reported online journal club is available for international
   participation.
   Objective: To present a 12-mo experience from the International Urology
   Journal Club, the world's first international journal club using
   Twitter, an online micro-blogging platform, and to demonstrate the
   viability and sustainability of such a journal club.
   Design, setting, and participants: #urojc is an asynchronous 48-h
   monthly journal club moderated by the Twitter account @iurojc. The open
   invitation discussions focussed on papers typically published within the
   previous 2-4 wk. Data were obtained via third-party Twitter analysis
   services.
   Outcome measurements and statistical analysis: Outcomes analysed
   included number of total and new users, number of tweets, and
   qualitative analysis of the relevance of tweets. Analysis was undertaken
   using GraphPad software, Microsoft Excel, and thematic qualitative
   analysis.
   Results and limitations: The first 12 mo saw a total of 189 unique users
   representing 19 countries and 6 continents. There was a mean of 39
   monthly participants that included 14 first-time participants per month.
   The mean number of tweets per month was 195 of which 62% represented
   original tweets directly related to the topic of discussion and 22%
   represented retweets of original posts. A mean of 130 832 impressions,
   or reach, were created per month. The @iurojc moderator account has
   accumulated >1000 followers. The study is limited by potentially
   incomplete data extracted by third-party Twitter analysers.
   Conclusions: Social media provides a potential for enormous
   international communication that has not been possible in the past. We
   believe the pioneering #urojc is both viable and sustainable. There is
   unlimited scope for journal clubs in other fields to follow the example
   of #urojc and utilise online portals to revitalise the traditional
   journal club while fostering international relationships. (C) 2014
   Published by Elsevier B.V. on behalf of European Association of Urology.
RI Stork, Brian/AAJ-6791-2020; Woo, Henry/AAO-7421-2020; Thangasamy, Isaac A/E-1536-2014
OI Woo, Henry/0000-0003-4099-0339; Thangasamy, Isaac A/0000-0003-1820-6114
Z8 0
ZR 0
ZB 27
ZA 0
TC 111
ZS 2
Z9 113
U1 0
U2 21
SN 0302-2838
EI 1873-7560
UT WOS:000339736800030
PM 24548686
ER

EF