﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Jheeta, Jatinder S.
   Narayan, Omendra
   Krasemann, Thomas
TI Accuracy in interpreting the paediatric ECG: a UK-wide study and the
   need for improvement
SO ARCHIVES OF DISEASE IN CHILDHOOD
VL 99
IS 7
BP 646
EP 648
DI 10.1136/archdischild-2013-305788
PD JUL 2014
PY 2014
AB Background Paediatric ECG interpretation is significant for informed
   treatment of several conditions. Formal training in paediatric ECG is
   rarely undertaken.
   Methods A prospective survey based study module of UK-wide
   paediatricians registered with the UK Royal College of Paediatricians
   and Child Health (RCPCH) was conducted. 10 common clinical conditions
   seen in paediatrics for which there are recognisable ECGs had to be
   interpreted. After provision of an educational page, 10 further ECGs
   were presented.
   Findings 8450 RCPCH members were emailed a link to the online
   survey-study module, of whom 764 participated. Of these, 493 interpreted
   the first 10 ECGs, and 385 interpreted both sets of ECGs. The accuracy
   for the first ECGs was 61.5% (63.5% for those who participated in the
   whole survey), and after use of the educational page increased to 73.3%.
   This was independent from previous ECG training.
   Conclusions The use of an easily accessible online educational page
   improved the accuracy of paediatric ECG interpretation significantly.
   Internet based education can improve the accuracy of paediatric ECG
   interpretation and should be developed further.
RI Narayan, Omendra/AAO-9946-2021
ZA 0
ZB 2
ZS 0
Z8 0
ZR 0
TC 7
Z9 7
U1 0
U2 3
SN 0003-9888
EI 1468-2044
UT WOS:000337916200010
PM 24625668
ER

PT J
AU Rebmann, Terri
   Loux, Travis M.
   Swick, Zachary
   Reddick, David
   Dolgin, Harlan
   Anthony, John
   Prasad, Rohan
TI A NATIONAL STUDY EXAMINING CLOSED POINTS OF DISPENSING (PODS):
   EXISTENCE, PREPAREDNESS, EXERCISE PARTICIPATION, AND TRAINING PROVIDED
SO BIOSECURITY AND BIOTERRORISM-BIODEFENSE STRATEGY PRACTICE AND SCIENCE
VL 12
IS 4
BP 208
EP 216
DI 10.1089/bsp.2014.0014
PD JUL-AUG 2014
PY 2014
AB The Centers for Disease Control and Prevention recommends using open
   points of dispensing (PODs) and alternative modalities, such as closed
   PODs, for mass dispensing of medical countermeasures. However, closed
   POD existence has not been assessed. In 2013 we sent an online
   questionnaire to US Cities Readiness Initiative (CRI) and non-CRI public
   health disaster planners. Chi-square tests were used to determine
   differences between CRIs and non-CRIs when comparing having at least 1
   closed POD, and to compare having a closed POD and perceived mass
   dispensing preparedness. A total of 301 disaster planners participated.
   Almost all (89.3%, n = 218) jurisdictions have considered establishing a
   closed POD, and three-quarters (74.2%, n = 181) currently have at least
   one. CRIs were more likely than non-CRIs to have a closed POD (85.0% vs
   58.5%, X-2 = 21.3, p<.001). Those with 1 or more closed PODs were more
   likely to believe their jurisdiction could distribute medical
   countermeasures within 48 hours compared to those without a closed POD
   (78.5% vs 21.5%; X-2 = 10.8, p=.001). Half had a written plan and/or
   written standing orders (59.1% and 52.5%, respectively). Almost half
   (42%, n = 72) have done no preevent training for POD staff in the past 2
   years; almost 20% (18%, n = 32) do not plan to offer any just-in-time
   training. Nearly 40% (n = 70) have conducted no exercises in the past
   year. Closed PODs contribute to community preparedness; their
   establishment should be followed by development of written plans, worker
   training, and exercises.
OI Rebmann, Terri/0000-0002-1338-8804
TC 9
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
Z9 9
U1 0
U2 1
SN 1538-7135
EI 1557-850X
UT WOS:000340069800007
PM 25014759
ER

PT J
AU Moredich, Cheryl A.
   Kessler, Theresa A.
TI Physical Activity and Nutritional Weight Loss Interventions in Obese,
   Low-Income Women: An Integrative Review
SO JOURNAL OF MIDWIFERY & WOMENS HEALTH
VL 59
IS 4
BP 380
EP 387
DI 10.1111/jmwh.12061
PD JUL-AUG 2014
PY 2014
AB Introduction: Obesity is epidemic in the United States and is considered
   a public health issue that disproportionally affects low-income women.
   Combating obesity among low-income women presents unique challenges that
   must be addressed if weight loss interventions are to be successful. The
   aim of this integrative review was to explore and synthesize the
   literature that addresses physical activity and nutrition interventions
   used to combat obesity in obese, low-income women.
   Methods: A search for original research published between 2006 and 2011
   was conducted in online databases. In addition, a hand search of
   references was performed, and one author was contacted to clarify
   outcome data. Articles that met inclusion criteria targeted obese,
   low-income adult women; focused on physical activity or nutrition
   behavior as an intervention; and measured change in weight as a primary
   outcome. Studies that focused on women who were postpartum or
   breastfeeding and those that used pharmacologic or surgical
   interventions to augment weight loss were excluded.
   Results: A total of 7 articles were chosen for critical appraisal.
   According to a synthesis of the current studies, specific weight loss
   interventions for physical activity and nutrition behavior change for
   obese, low-income women produced the desired outcome of weight loss.
   Participants among these studies voiced a preference for group
   interventions led by peers or medical professionals. Interventions led
   by peer educators were successful and had the advantage of lowering cost
   and increasing sustainability. Pragmatic nutrition education worked
   best, especially when cognizant of cost, food preferences, and culture.
   Even small increases in physical activity augmented weight loss;
   however, safety concerns prevented some low-income women from engaging
   in exercise.
   Discussion: According to this synthesis of the best-available evidence,
   customized weight loss interventions are effective in obese, low-income
   women. By incorporating these evidence-based interventions, clinicians
   can be instrumental in decreasing the burden of obesity in obese,
   low-income women. (C) 2013 by the American College of Nurse-Midwives.
TC 25
ZA 0
Z8 1
ZR 0
ZB 2
ZS 0
Z9 26
U1 0
U2 34
SN 1526-9523
EI 1542-2011
UT WOS:000340275700003
PM 24256087
ER

PT J
AU Yim, Elizabeth
   Sinha, Varsha
   Diaz, Sofia I.
   Kirsner, Robert S.
   Salgado, Christopher J.
TI Wound healing in US medical school curricula
SO WOUND REPAIR AND REGENERATION
VL 22
IS 4
BP 467
EP 472
DI 10.1111/wrr.12198
PD JUL-AUG 2014
PY 2014
AB Approximately 6.5 million Americans suffer from nonhealing wounds. As
   physicians are increasingly expected to manage chronic wounds, the
   degree to which formalized wound care education exists as a clinical
   rotation is unclear. For the first time, the prevalence and
   characteristics of formal wound electives offered by US medical schools
   are documented. Online surveys were distributed to 134 US medical
   schools and to the 74 medical students who completed the wound healing
   elective at the University of Miami regarding their experiences. School
   response rate was 41% (n = 55). We found that out of 55 schools, only 7
   schools offered a formal wound healing elective. The University of Miami
   was the only school to include a surgical component. Students' response
   rate was 39% (n = 29). After completing the elective, 20 students (69%)
   felt confident in their knowledge of surgical and medical wound
   management. A majority of students (76%, n = 22) felt that the elective
   was an important part of the medical school curriculum. In conclusion,
   we found very few schools offer a formal wound elective and recommend
   medical schools in formalizing this education through clinical
   electives. Education should be team-based and multidisciplinary;
   evidence exists that this is the best approach to managing chronic
   wounds. Basic tenets of wound care, both medical and surgical, should be
   emphasized.
ZR 0
ZA 0
ZS 0
Z8 0
TC 16
ZB 3
Z9 16
U1 0
U2 3
SN 1067-1927
EI 1524-475X
UT WOS:000339658700007
PM 24897924
ER

PT J
AU Zaher, Eman
   Keogh, Kelly
   Ratnapalan, Savithiri
TI Effect of domestic violence training Systematic review of randomized
   controlled trials
SO CANADIAN FAMILY PHYSICIAN
VL 60
IS 7
BP 618
EP 624
PD JUL 2014
PY 2014
AB Objective To describe and evaluate the effectiveness of domestic
   violence education in improving physicians' knowledge, recognition, and
   management of abused women.
   Data sources The Cochrane Database of Systematic Reviews, MEDLINE,
   PubMed, PsycINFO, ERIC, and EMBASE were searched for articles published
   between January 1, 2000, and November 1, 2012. This search was
   supplemented by manual searches for relevant articles using a combined
   text-word and MeSH-heading search strategy.
   Study selection Randomized controlled trials were selected that used
   educational interventions among physicians and provided data on the
   effects of the interventions.
   Synthesis Nine randomized controlled trials were included that described
   different educational approaches with various outcome measures. Three
   studies examined the effects of educational interventions among
   postgraduate trainee physicians and found an increase in knowledge but
   no change in behaviour with regard to identifying victims of domestic
   violence. Six studies examined educational interventions for practising
   physicians. Three of these studies used multifaceted physician training
   that combined education with system support interventions to change
   physician behaviour, such as increasing general awareness of domestic
   violence with brochures and posters, providing aids to remind physicians
   how to identify victims, facilitating physician access to victim support
   services, and providing audits and feedback. Multifaceted educational
   interventions included interactive workshops, Web-based learning, and
   experiential training. Another study used focus-group discussions and
   training, and showed improved domestic violence reporting among
   physicians. The remaining 2 studies showed improved perceptions of
   practising physicians' self-efficacy using problem-based online
   learning.
   Conclusion It was difficult to determine the most effective educational
   strategy, as the educational interventions and the outcome measures
   varied among the selected studies. Brief interventions for postgraduate
   trainee physicians improved knowledge but did not seem to affect
   behaviour. Online education using a problem-based learning format
   improved practising physicians' perceptions, knowledge, and skills in
   managing domestic violence. Physician training combined with system
   support interventions seemed to benefit domestic violence victims and
   increase referrals to domestic violence support resources.
TC 61
ZR 0
Z8 0
ZB 6
ZS 3
ZA 0
Z9 64
U1 0
U2 24
SN 0008-350X
EI 1715-5258
UT WOS:000339243000011
PM 25022633
ER

PT J
AU Petersen, Steffen E.
   Almeida, Ana G.
   Alpendurada, Francisco
   Boubertakh, Redha
   Bucciarelli-Ducci, Chiara
   Cosyns, Bernard
   Greil, Gerald F.
   Karamitsos, Theodoros D.
   Lancellotti, Patrizio
   Stefanidis, Alexandros S.
   Tann, Oliver
   Westwood, Mark
   Plein, Sven
CA European Assoc Cardiovasc Imaging
TI Update of the European Association of Cardiovascular Imaging (EACVI)
   Core Syllabus for the European Cardiovascular Magnetic Resonance
   Certification Exam
SO EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING
VL 15
IS 7
BP 728
EP 729
DI 10.1093/ehjci/jeu076
PD JUL 2014
PY 2014
AB An updated version of the European Association of Cardiovascular Imaging
   (EACVI) Core Syllabus for the European Cardiovascular Magnetic Resonance
   (CMR) Certification Exam is now available online. The syllabus lists key
   elements of knowledge in CMR. It represents a framework for the
   development of training curricula and provides expected knowledge-based
   learning outcomes to the CMR trainees, in particular those intending to
   demonstrate CMR knowledge in the European CMR exam, a core requirement
   in the CMR certification process.
RI Karamitsos, Theodoros/AAF-8290-2021; Bucciarelli-Ducci, Chiara/ABE-8891-2020; Almeida, Ana/AAU-2245-2020; Boubertakh, Redha/AAS-2349-2021; Petersen, Steffen E/A-8389-2011; Karamitsos, Theodoros/; Reis, AlessanRSS/; Plein, Sven/; Bucciarelli-Ducci, Chiara/
OI Almeida, Ana/0000-0003-0360-4363; Petersen, Steffen
   E/0000-0003-4622-5160; Karamitsos, Theodoros/0000-0002-4658-5273; Reis,
   AlessanRSS/0000-0001-8486-7469; Plein, Sven/0000-0002-0997-4384;
   Bucciarelli-Ducci, Chiara/0000-0002-2515-0852
ZR 0
ZA 0
Z8 0
ZB 2
ZS 0
TC 16
Z9 16
U1 0
U2 4
SN 2047-2404
EI 2047-2412
UT WOS:000339902000002
PM 24855220
ER

PT J
AU Hansberry, D. R.
   Agarwal, N.
   Gonzales, S. F.
   Baker, S. R.
TI Are We Effectively Informing Patients? A Quantitative Analysis of
   On-Line Patient Education Resources from the American Society of
   Neuroradiology
SO AMERICAN JOURNAL OF NEURORADIOLOGY
VL 35
IS 7
BP 1270
EP 1275
DI 10.3174/ajnr.A3854
PD JUL 2014
PY 2014
AB BACKGROUND AND PURPOSE: The ubiquitous use of the Internet by the public
   in an attempt to better understand their health care requires the
   on-line resources written at an appropriate level to maximize
   comprehension for the average user. The National Institutes of Health
   and the American Medical Association recommend on-line patient education
   resources written at a third-to-seventh grade level. We evaluated the
   readability of the patient education resources provided on the Web site
   of the American Society of Neuroradiology
   (http://www.asnr.org/patientinfo/).
   MATERIALS AND METHODS: All patient education material from the ASNR Web
   site and the Society of Neurointerventional Surgery Web site were
   downloaded and evaluated with the computer software, Readability Studio
   Professional Edition, by using 10 quantitative readability scales: the
   Flesch Reading Ease, Flesch-Kincaid Grade Level, Simple Measure of
   Gobbledygook, Coleman-Liau Index, Gunning Fog Index, New Dale-Chall,
   FORCAST Formula, Fry Graph, Raygor Reading Estimate, and New Fog Count.
   An unpaired t test was used to compare the readability level of
   resources available on the American Society of Neuroradiology and the
   Society of Neurointerventional Surgery Web sites.
   RESULTS: The 20 individual patient education articles were written at a
   13.9 +/- 1.4 grade level with only 5% written at <11th grade level.
   There was no statistical difference between the level of readability of
   the resources on the American Society of Neuroradiology and Society of
   Neurointerventional Surgery Web sites.
   CONCLUSIONS: The patient education resources on these Web sites fail to
   meet the guidelines of the National Institutes of Health and American
   Medical Association. Members of the public may fail to fully understand
   these resources and would benefit from revisions that result in more
   comprehensible information cast in simpler language.
ZS 0
ZB 6
ZR 0
TC 30
Z8 0
ZA 0
Z9 30
U1 0
U2 11
SN 0195-6108
EI 1936-959X
UT WOS:000339138200006
PM 24763420
ER

PT J
AU Herbec, Aleksandra
   Brown, Jamie
   Tombor, Ildiko
   Michie, Susan
   West, Robert
TI Pilot randomized controlled trial of an internet-based smoking cessation
   intervention for pregnant smokers ('MumsQuit')
SO DRUG AND ALCOHOL DEPENDENCE
VL 140
BP 130
EP 136
DI 10.1016/j.drugalcdep.2014.04.010
PD JUL 1 2014
PY 2014
AB Background: Internet-based Smoking Cessation Interventions could help
   pregnant women quit smoking, especially those who do not wish to, or
   cannot, access face-to-face or telephone support. This study aimed to
   preliminarily evaluate the effectiveness and usage of a fully automated
   smoking cessation website targeted to pregnancy, 'MumsQuit', and obtain
   an initial effect-size estimate for a full scale trial.
   Methods: We recruited 200 UK-based pregnant adult smokers online to a
   two-arm double-blind pilot RCT assessing the effectiveness of MumsQuit
   compared with an information-only website. MumsQuit was adapted from a
   generic internet smoking cessation intervention, 'StopAdvisor'. The
   primary outcome was self-reported continuous 4-week abstinence assessed
   at 8 weeks post-baseline. Secondary outcomes were automatically
   collected data on intervention usage.
   Results: Participants smoked 15 cigarettes per day on average, 73% were
   in the first trimester of their pregnancy, 48% were from lower
   socioeconomic backgrounds, and 43% had never used evidence-based
   cessation support. The point estimate of odds ratio for the primary
   outcome was 1.5 (95% CI=0.8-2.9; 28% vs. 21%). Compared with control
   participants, those in the MumsQuit group logged in more often (3.5 vs.
   1.3, p<0.001), viewed more pages (67.4 vs. 5.7, p<0.001) and spent more
   time browsing the website (21.3 min vs. 1.0 min, p < 0.001).
   Conclusions: MumsQuit is an engaging and potentially helpful form of
   support for pregnant women who seek cessation support online, and merits
   further development and evaluation in a full-scale RCT. (C) 2014
   Aleksandra Herbec. Published by Elsevier Ireland Ltd. All rights
   reserved.
RI Brown, Jamie/F-4413-2011; Michie, Susan/A-1745-2010
OI Brown, Jamie/0000-0002-2797-5428; Michie, Susan/0000-0003-0063-6378
TC 21
ZR 0
ZA 0
ZB 1
Z8 0
ZS 0
Z9 21
U1 0
U2 16
SN 0376-8716
EI 1879-0046
UT WOS:000338619300018
PM 24811202
ER

PT J
AU Borzekowski, Dina L. G.
   Guan, Yue
   Smith, Katherine C.
   Erby, Lori H.
   Roter, Debra L.
TI The Angelina effect: immediate reach, grasp, and impact of going public
SO GENETICS IN MEDICINE
VL 16
IS 7
BP 516
EP 521
DI 10.1038/gim.2013.181
PD JUL 2014
PY 2014
AB Background: In May 2013, Angelina Jolie revealed in a New York Times
   opinion piece that she had undergone a preventive double mastectomy
   because she had a family history of cancer and carried a rare mutation
   of the B1ZCA1 gene. Media coverage has been extensive, but it is not
   obviouS what Messages the public took from this personal health story.
   Methods: Weconductecia survey with a representative national, online
   panel of 2,572 adults. participants-described their awarenessandiden,
   tiled information -sources for the Angelina Jolie news story. They also
   reported their understanding, reactions, perceptions, arid subsequent
   activities related to-the story. We asked questions pertaining to
   personal and societal breast cancer risk and hypothetical questions
   regarding preventive surgery if the respondent or a family member were
   in the same position as Ms We. Demographic information was collected, as
   was family rig for breaa and-ovarian cancer, and a gauge clfniiiheracy.
   Results: While three of four Americans were aware of Angelina Jolie's
   double mastectomy, fewer than 10% of respondents had the information
   necessary to accurately interpret Ms Jolie's risk of developing cancer
   relative to.a Woman, unaffected by the BlZCA gene ' mutation. Awareness
   of the Angelina Jolie story was not associated-: with improved
   understanding.
   ConclusiOn: While celebrities" can bring heightened 'awareness: tO
   health issues, there is &need for these-Messages to be accompanied by
   more purposeful- communication: efforts to assist the public in
   understanding and using the complex -diagnostic and treatment
   infortnation that these stories convey.
RI Roter, Debra L/N-8830-2014
Z8 0
ZA 0
ZS 1
TC 113
ZR 0
ZB 18
Z9 113
U1 1
U2 33
SN 1098-3600
EI 1530-0366
UT WOS:000338601400004
PM 24357847
ER

PT J
AU Butler, Anneliese
   Canamucio, Anne
   Macpherson, David
   Skoko, Jennifer
   True, Gala
TI Primary Care Staff Perspectives on a Virtual Learning Collaborative to
   Support Medical Home Implementation
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 29
BP 579
EP 588
DI 10.1007/s11606-013-2668-x
SU 2
PD JUL 2014
PY 2014
AB Many organizations rely on quality improvement collaboratives (QICs) to
   facilitate Patient-Centered Medical Home (PCMH) implementation, and
   there is a trend toward conducting QIC activities virtually to reduce
   costs and expand their reach. However, the evidence base for QICs is
   limited; questions remain about how QICs operate, why they succeed or
   fail, and how they are experienced by participants.
   We surveyed participants in an innovative Virtual Collaborative (VC)
   designed to support PCMH implementation within one Veterans Integrated
   Service Network, to understand why and for whom the VC was more/less
   effective and identify opportunities for improvement.
   This anonymous online survey was designed to assess participants' views
   on the VC's usefulness, impact, and acceptability, and to explore
   variations by role, practice setting, prior training, and overall
   engagement in VC activities.
   Respondents were 353 primary care staff, including providers, nurses,
   and support staff.
   The survey comprised 32 structured and three free-response items.
   Structured items assessed participation in and perceived usefulness of
   VC activities; perceived acceptability of the training format; overall
   perceived impact; and basic demographics. Responses were dichotomized
   and compared using Chi-square tests. Free-response items inviting
   constructive criticism of the VC were coded and summarized to identify
   themes and illustrative quotes.
   The VC most benefited respondents with prior PCMH training and those who
   fully participated in VC activities. Respondents especially valued the
   opportunity to share experiences with other teams. Non-providers and
   those new to PCMH felt learning content did not meet their needs.
   Reported barriers to full participation included staffing constraints,
   insufficient and/or unprotected time, and inadequate leadership support.
   Our study offers practical lessons for others considering a virtual
   collaborative model for PCMH spread. Findings contribute to the evidence
   base for QICs overall and virtual QICs in particular, highlighting the
   value of seeking input from "the trenches.".
ZB 2
TC 13
ZR 0
ZA 0
Z8 0
ZS 0
Z9 13
U1 0
U2 9
SN 0884-8734
EI 1525-1497
UT WOS:000338334700007
PM 24715388
ER

PT J
AU Callese, Tyler E.
   Richards, Christopher T.
   Shaw, Pamela
   Schuetz, Steven J.
   Issa, Nabil
   Paladino, Lorenzo
   Swaroop, Mamta
TI Layperson trauma training in low- and middle-income countries: a review
SO JOURNAL OF SURGICAL RESEARCH
VL 190
IS 1
BP 104
EP 110
DI 10.1016/j.jss.2014.03.029
PD JUL 2014
PY 2014
AB Background: Prehospital trauma systems are rudimentary in many low- and
   middle-income countries (LMICs) and require laypersons to stabilize and
   transport injured patients. The World Health Organization recommends
   educating layperson first responders as an essential step in the
   development of Emergency Medical Services systems in LMICs. This
   systematic review examines trauma educational initiatives for layperson
   first responders in resource-poor settings.
   Materials and methods: Layperson first-responder training and education
   program publications were identified using PubMed MEDLINE and Scopus
   databases. Articles addressing physicians, professional Emergency
   Medical Services training, or epidemiologic descriptions were excluded.
   Publications were assessed by independent reviewers, and those included
   underwent thematic analysis.
   Results: Thirteen publications met inclusion criteria. Four themes
   emerged regarding the development of layperson first-responder training
   programs: (1) An initial needs assessment of a region's existing trauma
   system of care and laypersons' baseline emergency care knowledge focuses
   subsequent educational interventions; (2) effective programs adapt to
   and leverage existing resources; (3) training methods should anticipate
   participants with low levels of education and literacy; and (4)
   postimplementation evaluation allows for curriculum improvement.
   Technology, such as online and remote learning platforms, can be used to
   operationalize each theme.
   Conclusions: Successful training programs for layperson first responders
   in LMICs identify and maximize existing resources are adaptable to
   learners with little formal education and are responsive to
   postimplementation evaluation. Educational platforms that leverage
   technology to deliver content may facilitate first-responder trauma
   education in underresourced areas. Themes identified can inform the
   development of trauma systems of care to decrease mortality and
   physiological severity scores in trauma patients in LMICs. (C) 2014
   Elsevier Inc. All rights reserved.
RI Shaw, Pamela L/F-8847-2010; Callese, Tyler/; Richards, Christopher/
OI Shaw, Pamela L/0000-0003-3698-1608; Callese, Tyler/0000-0002-2088-0143;
   Richards, Christopher/0000-0003-3728-3860
ZA 0
ZB 9
Z8 0
TC 42
ZR 0
ZS 0
Z9 43
U1 0
U2 7
SN 0022-4804
EI 1095-8673
UT WOS:000338444700016
PM 24746252
ER

PT J
AU Vargas, Christina R.
   Chuang, Danielle J.
   Lee, Bernard T.
TI Online patient resources for hernia repair: analysis of readability
SO JOURNAL OF SURGICAL RESEARCH
VL 190
IS 1
BP 144
EP 150
DI 10.1016/j.jss.2014.03.045
PD JUL 2014
PY 2014
AB Background: The limited functional health literacy of a significant
   portion of the adult US population negatively affects their access to
   appropriate online health information about hernia repair surgery. The
   National Institutes of Health and American Medical Association recommend
   that patient-directed content should be written at a sixth-grade reading
   level. This study aims to evaluate readability of the most frequently
   used Internet resources for patient information about hernia repair
   relative to average American literacy.
   Methods: A web search for "hernia repair surgery" was performed, and the
   top 12 Web sites were identified. Relevant articles (n = 102) with
   patient-directed content immediately available from the main sites were
   downloaded. The 12 most popular consumer magazines in circulation were
   also identified, and using the same method, the first 10 articles were
   downloaded from each magazine's Web site for comparison. Readability was
   assessed using 10 established analyses. A t-test was used to compare the
   average grade level of hernia repair and magazine articles for each
   readability test.
   Results: Web-based information about hernia repair had an overall
   average reading grade level of 13.6. All 102 articles were above the
   recommended sixth-grade reading level; these were significantly more
   difficult to read than the comparison group of articles from popular
   magazines.
   Conclusions: Online patient-directed information about hernia repair
   uniformly exceeds the recommended reading level and may be too difficult
   to be understood by a large portion of the US population. (C) 2014
   Elsevier Inc. All rights reserved.
RI Lee, Bernard T./K-1106-2016; Vargas, Christina/
OI Lee, Bernard T./0000-0002-5533-3166; Vargas,
   Christina/0000-0003-2368-3425
ZA 0
Z8 0
ZS 0
ZB 4
TC 17
ZR 0
Z9 17
U1 1
U2 4
SN 0022-4804
EI 1095-8673
UT WOS:000338444700021
PM 24746256
ER

PT J
AU Vukin, Elizabeth
   Greenberg, Robert
   Auerbach, Marc
   Chang, Lucy
   Scotten, Mitzi
   Tenney-Soeiro, Rebecca
   Trainor, Jennifer
   Dudas, Robert
TI Use of Simulation-Based Education: A National Survey of Pediatric
   Clerkship Directors
SO ACADEMIC PEDIATRICS
VL 14
IS 4
BP 369
EP 374
DI 10.1016/j.acap.2014.04.001
PD JUL-AUG 2014
PY 2014
AB OBJECTIVE: To document the prevalence of simulation-based education
   (SBE) for third- and fourth-year medical students; to determine the
   perceived importance of SBE; to characterize the barriers associated
   with establishing SBE.
   METHODS: A 27-item survey regarding simulation was distributed to
   members of the Council on Medical Student Education in Pediatrics
   (COMSEP) as part of a larger survey in 2012.
   RESULTS: Seventy-one (48%) of 147 clerkship directors (CD) at COMSEP
   institutions responded to the survey questions regarding the use of SBE.
   Eighty-nine percent (63 of 71) of CDs reported use of SBE in some form:
   27% of those programs (17 of 63) reported only the use of the
   online-based Computer-Assisted Learning in Pediatrics Program, and 73%
   (46 of 63) reported usage of other SBE modalities. Fifty-four percent of
   CDs (38 of 71) agreed that SBE is necessary to meet the requirements of
   the Liaison Committee on Medical Education (LCME). Multiple barriers
   were reported in initiating and implementing an SBE program.
   CONCLUSIONS: SBE is commonly used for instruction during pediatric
   undergraduate medical education in North American medical schools.
   Barriers to the use of SBE remain despite the perception that it is
   needed to meet requirements of the LCME.
OI Trainor, Jennifer/0000-0003-3566-9735; Chang, Lucy/0000-0002-1562-388X;
   dudas, robert/0000-0001-6837-121X
ZR 0
TC 6
ZA 0
ZS 0
Z8 0
ZB 1
Z9 6
U1 0
U2 1
SN 1876-2859
EI 1876-2867
UT WOS:000338825200009
PM 24976349
ER

PT J
AU Reed, Suzanne
   Shell, Richard
   Kassis, Karyn
   Tartaglia, Kimberly
   Wallihan, Rebecca
   Smith, Keely
   Hurtubise, Larry
   Martin, Bryan
   Ledford, Cynthia
   Bradbury, Scott
   Bernstein, Henry (Hank)
   Mahan, John D.
TI Applying Adult Learning Practices in Medical Education
SO CURRENT PROBLEMS IN PEDIATRIC AND ADOLESCENT HEALTH CARE
VL 44
IS 6
BP 170
EP 181
DI 10.1016/j.cppeds.2014.01.008
PD JUL 2014
PY 2014
AB The application of the best practices of teaching adults to the
   education of adults in medical education settings is important in the
   process of transforming learners to become and remain effective
   physicians. Medical education at all levels should be designed to equip
   physicians with the knowledge, clinical skills, and professionalism that
   are required to deliver quality patient care. The ultimate outcome is
   the health of the patient and the health status of the society. In the
   translational science of medical education, improved patient outcomes
   linked directly to educational events are the ultimate goal and are best
   defined by rigorous medical education research efforts. To best develop
   faculty, the same principles of adult education and teaching adults
   apply. In a systematic review of faculty development initiatives
   designed to improve teaching effectiveness in medical education, the use
   of experiential learning, feedback, effective relationships with peers,
   and diverse educational methods were found to be most important in the
   success of these programs. In this article, we present 5 examples of
   applying the best practices in teaching adults and utilizing the
   emerging understanding of the neurobiology of learning in teaching
   students, trainees, and practitioners. These include (1) use of
   standardized patients to develop communication skills, (2) use of online
   quizzes to assess knowledge and aid self-directed learning, (3) use of
   practice sessions and video clips to enhance significant learning of
   teaching skills, (4) use of case-based discussions to develop
   professionalism concepts and skills, and (5) use of the American Academy
   of Pediatrics PediaLink as a model for individualized learner-directed
   online learning. These examples highlight how experiential leaning,
   providing valuable feedback, opportunities for practice, and stimulation
   of self-directed learning can be utilized as medical education continues
   its dynamic transformation in the years ahead.
RI Kassis, Karyn/E-3351-2011; Tartaglia, Kimberly/E-4177-2011; Hurtubise, Larry/
OI Tartaglia, Kimberly/0000-0002-2768-3505; Hurtubise,
   Larry/0000-0002-2150-8933
ZS 3
ZA 0
ZB 5
ZR 1
TC 56
Z8 0
Z9 58
U1 1
U2 45
SN 1538-5442
EI 1538-3199
UT WOS:000338972900006
PM 24981666
ER

PT J
AU von Mueller, Friederike
   Happel, Christian
   Reinhardt, Joerg
   Kranert, Wolfgang Tilman
   Bockisch, Benjamin
   Groener, Daniel
   Ackermann, Hanns
   Gruenwald, Frank
TI Evaluation of Fear of Radiation and Isolation Before and After
   Radioiodine Therapy
SO THYROID
VL 24
IS 7
BP 1151
EP 1155
DI 10.1089/thy.2013.0461
PD JUL 2014
PY 2014
AB Background: Prior to undergoing radioiodine therapy (RIT), patients
   regularly have concerns about isolation on the ward (mandatory for RIT
   for at least 48 hours in Germany due to radiation protection
   legislation) as well as fear of the presence of radioactive substances.
   In this study, these fears were investigated before and after RIT.
   Methods: A questionnaire was developed for completion both before and
   after radioiodine therapy. Questions included: (i) "Are you afraid of a
   therapy with radioactive substances?" (ii) "Do you have reservations
   about contact with radioactive substances?" and (iii) "Are you anxious
   about isolation?" Possible answers were made in a qualitative
   representation using a scale of 1-4 (4 = full agreement, 3 = mostly
   agreement, 2 = partial agreement, and 1 = no agreement). Further
   questions included, for example, sources of information used prior to
   therapy. A total of 209 patients treated by single or preplanned
   multiple RIT were surveyed over a period of 8 months (return 109).
   Analysis was done in subgroups according to age, education, disease, and
   number of RITs.
   Results: Question 1, "Are you afraid of a therapy with radioactive
   substances?" showed a similar statistically relevant decline in each
   subgroup (p < 0.05), except for patients with multiple RIT (p = 0.81).
   Asked about the handling of radioactive substances and their perception
   about the safety in this regard, the entire collective showed a highly
   statistically significant (p < 0.01) decrease with little variability
   between the groups. The question concerning fear of isolation resulted
   in a significant decrease (p < 0.05) in all subgroups, except for
   patients with multiple RIT (p = 0.13). Analysis of sources of
   information before RIT showed that older patients preferred printed
   material and rarely used online resources, while younger patients used
   the internet more frequently, in addition to printed materials. Finally,
   most patients would undergo radioiodine therapy again (medical
   indication provided), with 54% fully agreeing and only 4% not agreeing.
   Conclusions: The survey demonstrates a reduction in concerns about
   nuclear radiation, use of unsealed radioactive materials, and isolation
   on the ward after RIT. Surprisingly, concerns rise again before a
   subsequent therapy.
RI Happel, Christian/J-5035-2019; Groener, Daniel/ABH-3292-2020
OI Happel, Christian/0000-0001-6786-1452; 
ZR 0
TC 12
ZB 6
ZS 0
ZA 0
Z8 0
Z9 12
U1 0
U2 2
SN 1050-7256
EI 1557-9077
UT WOS:000338947600012
PM 24773146
ER

PT J
AU Poulos, Christine
   Hauber, A. Brett
   Gonzalez, Juan Marcos
   Turpcu, Adam
TI Patients' Willingness to Trade Off Between the Duration and Frequency of
   Rheumatoid Arthritis Treatments
SO ARTHRITIS CARE & RESEARCH
VL 66
IS 7
BP 1008
EP 1015
DI 10.1002/acr.22265
PD JUL 2014
PY 2014
AB Objective. Biologic treatments for rheumatoid arthritis (RA) vary widely
   in both the time required to administer treatment and treatment
   frequency. This study aimed to quantify the rate at which RA patients
   are willing to trade off between the time required to administer
   treatment (duration) and treatment frequency.
   Methods. Respondents with a self-reported physician diagnosis of
   moderate to severe RA completed an online discrete choice experiment
   survey (also known as conjoint analysis). Respondents were presented
   with a series of treatment-choice questions. Each hypothetical treatment
   included 6 attributes: response rate, mode of administration, treatment
   duration, treatment frequency, and the risks of immediate mild and
   serious treatment reactions. Preference weights, also called marginal
   utilities or relative importances, were estimated using mixed-logit
   methods and then used to calculate the marginal rates of substitution
   between attributes, including treatment duration and treatment
   frequency.
   Results. Among the 901 respondents, 505 were in the RA Information,
   Service, and Education group (www.risesupport.com) and 396 were members
   of an online panel. The marginal utility of changes in treatment
   features was largest for a 1-hour change in treatment duration, while a
   1-unit change in the annual frequency of treatment was the second least
   important change. The marginal utility of changes in annual treatment
   frequency depends on the treatment duration and vice versa.
   Conclusion. Respondents would accept treatments with lower efficacy and
   greater risk to achieve lower duration and frequency. Previous studies
   have linked patient preferences to treatment adherence, suggesting that
   reductions in duration or frequency could improve adherence and health
   outcomes.
OI Gonzalez, Juan Marcos/0000-0002-5386-0907; Poulos,
   Christine/0000-0001-7810-3411; Hauber, Brett/0000-0003-3129-7268
ZB 7
Z8 0
ZR 0
TC 28
ZS 0
ZA 0
Z9 28
U1 0
U2 8
SN 2151-464X
EI 2151-4658
UT WOS:000337976700006
PM 24339373
ER

PT J
AU Antonini, Tanya N.
   Raj, Stacey P.
   Oberjohn, Karen S.
   Cassedy, Amy
   Makoroff, Kathi L.
   Fouladi, Maryam
   Wade, Shari L.
TI A Pilot Randomized Trial of an Online Parenting Skills Program for
   Pediatric Traumatic Brain Injury: Improvements in Parenting and Child
   Behavior
SO BEHAVIOR THERAPY
VL 45
IS 4
BP 455
EP 468
PD JUL 2014
PY 2014
AB This pilot study examined changes in parenting skills and child behavior
   following participation in an online positive parenting skills program
   designed for young children with traumatic brain injury (TBI).
   Thirty-seven families with a child between 3 and 9 years of age who
   sustained a moderate to severe TBI were randomly assigned to one of two
   interventions: online parenting skills training (n = 20) or access to
   Internet resources on managing brain injury (n = 17). Parent child
   interaction observations and parent ratings of child behavior were
   collected pre- and post-treatment. Generalized estimating equations and
   mixed models were used to examine changes in parenting skills and child
   behavior problems as well as the moderating role of family income on
   treatment response. Participants in the parenting skills group displayed
   significant improvements in observed positive parenting skills relative
   to participants in the Internet resource group. Income moderated
   improvements in parent ratings of child behavior, with participants in
   the low-income parenting skills group and high-income Internet resource
   group reporting the greatest improvements in behavior. This is the first
   randomized controlled trial examining online parenting skills training
   for families of young children with TBI. Improvements in positive
   parenting skills and child behavior support the utility of this
   intervention, particularly for families from lower socioeconomic
   backgrounds.
TC 54
Z8 0
ZR 0
ZS 0
ZB 5
ZA 0
Z9 54
U1 0
U2 20
SN 0005-7894
EI 1878-1888
UT WOS:000337860400001
PM 24912459
ER

PT J
AU Trepanier, Pascale
   Quach, Caroline
   Gonzales, Milagros
   Fortin, Elise
   Kaouache, Mohammed
   Desmeules, Simon
   Rocher, Isabelle
   Ngenda-Muadi, Muleka
   Frenette, Charles
   Tremblay, Claude
CA Quebec Healthcare-Associated Infec
TI Survey of Infection Control Practices in Hemodialysis Units: Preventing
   Vascular Access-Associated Bloodstream Infections
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 35
IS 7
BP 833
EP 838
DI 10.1086/676862
PD JUL 2014
PY 2014
AB OBJECTIVE. Despite surveillance, the Quebec Healthcare-Associated
   Infections Surveillance Program saw no improvement in vascular
   access-associated bloodstream infections in hemodialysis (HD). We aimed
   to determine the infection control measures recommended and implemented
   in Quebec's HD units, compliance of local protocols to infection control
   practice guidelines, and reasons behind the low prevalence of
   arteriovenous fistulas.
   METHODS. An online survey was elaborated on the basis of the Centers for
   Disease Control and Prevention (CDC) and National Kidney Foundation
   Kidney Disease Outcomes Quality Initiative guidelines. The questionnaire
   was validated (construct, content, face validity, and reliability) and
   sent to all HD units in Quebec (n = 40). Results were analyzed using
   descriptive statistics, linear regression, and Poisson regression.
   RESULTS. Thirty-seven (93%) of 40 HD units participated. Thirty (94%) of
   the 32 centers where central catheters are inserted have written
   insertion protocols. Compliance with practice guidelines is good, except
   for full-body draping during catheter insertion (79%) and ointment use
   at insertion site (3%). Prevention measures for catheter maintenance are
   in accordance with guidelines, except for skin disinfection with at
   least 0.5% chlorhexidine and 70% alcohol (67% compliance) and regular
   antiseptic ointment use at the insertion site (3%). Before fistula
   cannulation, skin preparation is suboptimal; forearm hygiene is
   performed in only 61% of cases. Several factors explain the low rate of
   fistulas, including patient preference (69%) and lack of surgical
   resources (39%; P = .01).
   CONCLUSIONS. Improvement in standardization of care according to
   practice guidelines is necessary. Fistula rate could be increased by
   improving access to surgical resources and patient education. Strategies
   are now being elaborated to address these findings.
RI Quach, Caroline/AAT-6987-2021
OI Quach, Caroline/0000-0002-1170-9475
TC 7
ZB 2
ZS 0
ZR 0
ZA 0
Z8 1
Z9 8
U1 0
U2 10
SN 0899-823X
EI 1559-6834
UT WOS:000337735400008
PM 24915211
ER

PT J
AU Krasne, Sally
   Stevens, Carl D.
   Wilkerson, LuAnn
TI Improving Medical Literature Sourcing by First-Year Medical Students in
   Problem-Based Learning: Outcomes of Early Interventions
SO ACADEMIC MEDICINE
VL 89
IS 7
BP 1069
EP 1074
DI 10.1097/ACM.0000000000000288
PD JUL 2014
PY 2014
AB Purpose
   To describe and report outcomes of interventions implemented in the
   preclerkship curriculum at the David Geffen School of Medicine at UCLA
   to guide students toward use of high-quality information sources and
   build a foundation for developing fluency in applying primary medical
   literature to answer clinical questions.
   Method
   The authors introduced three phases of change to instruction in
   literature searching and sourcing for beginning medical students writing
   learning issue essays: in phase 1 (2003-2006), students were introduced
   to online resources during orientation week and received a lecture on
   high-yield literature searching midway through their first curricular
   block; in phase 2 (2007-2008), the high-yield lecture shifted to
   orientation week, and a resource matrix and librarian-guided workshop on
   locating authoritative sources were added; and in phase 3 (2009), peer
   evaluation and collaboration were implemented. To track changes in
   sourcing skills, the authors analyzed 3,199 references from 665 essays
   written by 465 first-year students for two problem-based learning (PBL)
   cases during the first block of one representative year per phase (2006,
   2008, 2009).
   Results
   Over the study period, the authors found significantly increased
   citations to peer-reviewed journal articles and guidelines and decreased
   citations to general public Web sites and highly abstracted resources.
   Peer feedback and collaboration in phase 3 were associated with
   maintenance of these gains.
   Conclusions
   Early introduction of instruction on medical literature searching and
   sourcing, a librarian-guided workshop, and peer collaboration and
   feedback improved the quality of references cited by students in PBL
   essays during their first curricular block.
Z8 0
ZA 0
ZS 0
ZR 0
TC 2
ZB 2
Z9 4
U1 1
U2 19
SN 1040-2446
EI 1938-808X
UT WOS:000338210000031
PM 24826850
ER

PT J
AU Kjaer, N. K.
   Steenstrup, A. P.
   Pedersen, L. B.
   Halling, A.
TI Continuous professional development for GPs: experience from Denmark
SO POSTGRADUATE MEDICAL JOURNAL
VL 90
IS 1065
BP 383
EP 387
DI 10.1136/postgradmedj-2012-131679
PD JUL 2014
PY 2014
AB Background and objectives Continuous professional development (CPD) for
   Danish general practitioners (GPs) is voluntary and based on funded
   accredited activities. There is an ongoing discussion on how to improve
   this current system by introducing mandatory elements. To inform this
   debate, we set out to identify GPs' current use of CPD and to explore
   the motives behind their choices.
   Methods A mixed-methods study with a combined qualitative and
   quantitative approach was used. In 2012, two focus group interviews were
   conducted, followed up the same year by an online questionnaire sent to
   1079 randomly chosen Danish GPs.
   Results Focus groups: CPD activities are chosen based on personal needs
   analysis, and in order to be professionally updated, to meet engaged
   colleagues and to prevent burnout. GPs also attend CPD to assess their
   own pre-existing level of competence. CPD activities need to be
   experienced as being both meaningful and relevant in order to have an
   impact. Questionnaire: The response rate was 686/1079 (63%). GPs spend
   on average 10.5 days per year on accredited, voluntary CPD activities.
   Workplace-related CPD activities and practice-based small group learning
   played a significant role. The main motivation for choice of CPD
   activities included academic interest, experience of patient-related
   problems in their own surgeries and medical topics where the GPs felt
   insufficiently confident.
   Conclusions Danish GPs are frequent users of voluntary accredited CPD.
   Their CPD choices are motivated by topics strengthening their
   professional capacity and preventing burnout. There would seem to be no
   need for a mandatory system.
OI Pedersen, Line Bjornskov/0000-0001-6804-2045; Kjaer, Niels
   Kristian/0000-0002-1301-2663
ZA 0
ZB 2
TC 24
Z8 0
ZS 0
ZR 0
Z9 24
U1 0
U2 6
SN 0032-5473
EI 1469-0756
UT WOS:000338188300005
PM 24864203
ER

PT J
AU Otte-Trojel, Terese
   de Bont, Antoinette
   Rundall, Thomas G.
   van de Klundert, Joris
TI How outcomes are achieved through patient portals: a realist review
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 21
IS 4
SI SI
BP 751
EP 757
DI 10.1136/amiajnl-2013-002501
PD JUL 2014
PY 2014
AB Objective To examine how patient portals contribute to health service
   delivery and patient outcomes. The specific aims were to examine how
   outcomes are produced, and how variations in outcomes can be explained.
   Methods We used a realist review method, which aims to describe how 'an
   intervention works, for whom, and in what circumstances' by analyzing
   patterns between context, mechanism, and outcomes. We reviewed 32
   evaluation studies of patient portals published since 2003.
   Results The reviewed evaluations indicate that as a complement to
   existing health services, patient portals can lead to improvements in
   clinical outcomes, patient behavior, and experiences. Four different
   mechanisms are reported to yield the reported outcome improvements.
   These are patient insight into personal health information, activation
   of information, interpersonal continuity of care, and service
   convenience. The vast majority of evaluations were conducted in
   integrated health service networks in the USA, and we detected no
   substantial variation in outcomes across these networks.
   Discussion and conclusions Patient portals may impact clinical outcomes
   and health service delivery through multiple mechanisms. Given the
   relative uniformity of evaluation contexts, we were not able to detect
   patterns in how patient portals work in different contexts. Nonetheless,
   it appears from the overwhelming proportion of patient portal
   evaluations coming from integrated health service networks, that these
   networks provide more fertile contexts for patient portals to be
   effective. To improve the understanding of how patient portals work,
   future evaluations of patient portals should capture information about
   mechanisms and context that influence their outcomes.
RI van de klundert, joris/AAF-6545-2021; de Bont, Antoinette/
OI van de klundert, joris/0000-0003-4151-5089; de Bont,
   Antoinette/0000-0002-0745-4537
Z8 0
ZR 0
TC 102
ZS 0
ZB 8
ZA 0
Z9 103
U1 1
U2 26
SN 1067-5027
EI 1527-974X
UT WOS:000337660600032
PM 24503882
ER

PT J
AU DeKoven, M.
   Karkare, S.
   Kelley, L. A.
   Cooper, D. L.
   Pham, H.
   Powers, J.
   Lee, W. C.
   Wisniewski, T.
TI Understanding the experience of caring for children with haemophilia:
   cross-sectional study of caregivers in the United States
SO HAEMOPHILIA
VL 20
IS 4
BP 541
EP 549
DI 10.1111/hae.12379
PD JUL 2014
PY 2014
AB Congenital haemophilia is an inherited bleeding disorder typically
   diagnosed at birth or shortly thereafter. Haemophilia imposes a
   significant burden on patients and their caregivers. The aim of the
   study was to quantify the overall burden of haemophilia on caregivers in
   the USA using a novel disease-specific questionnaire and the previously
   validated CarerQol. Targeted literature review and a previous survey
   conducted by the authors was used to develop an online questionnaire
   with six burden domains of interest to caregivers (emotional stress,
   financial, sacrifice, medical management, child's pain and
   transportation) and several visual analogue scales (VAS). Content
   validity of the questionnaire was confirmed by three haemophilia
   caregivers. The study sample consisted of caregivers of children with
   haemophilia identified via a previously developed opt-in research
   database. Descriptive statistics were employed for demographic and
   clinical characteristics; a generalized linear model (GLM) was used to
   identify factors influencing caregiver burden. A total of 310 caregivers
   completed the survey (45.5% response rate). Most of the participating
   caregivers were mothers of a child with haemophilia (88%), between 35
   and 44years of age (48%), and with a college education or a postgraduate
   degree (63%). Child's pain' was identified as the most burdensome domain
   to caregivers (median score=3.50 out of 5), followed by emotional
   stress' (2.67), financial' (2.40), transportation' (2.33), sacrifice'
   (2.17) and medical management' (2.00) domains. Although higher income
   exhibited a protective effect, episodes of bleeds, current presence of
   an inhibitor and lower caregiver productivity in the past month
   negatively affected caregiver burden per GLM results. Training and
   educational programs should potentially be developed to address
   caregiver burden.
RI Wisniewski, Thomas/Q-6525-2019
OI Wisniewski, Thomas/0000-0002-3379-8966
Z8 0
ZS 1
TC 30
ZB 3
ZR 0
ZA 0
Z9 30
U1 0
U2 5
SN 1351-8216
EI 1365-2516
UT WOS:000337976400036
PM 24472032
ER

PT J
AU Verrilli, Lauren
   Winer, Rachel L.
   Mao, Constance
TI Adherence to Cervical Cancer Screening Guidelines by Gynecologists in
   the Pacific Northwest
SO JOURNAL OF LOWER GENITAL TRACT DISEASE
VL 18
IS 3
BP 228
EP 234
PD JUL 2014
PY 2014
AB Objective. In 2012, US organizations released updated cervical cancer
   screening guidelines calling for less frequent screening. We surveyed
   practicing gynecologists in the Pacific Northwest region to understand
   their screening practices, gauge their uptake of the new guidelines, and
   identify reasons why they may not follow the new guidelines.
   Material and Methods. Gynecologists from Washington, Oregon, Montana,
   and Idaho were sent an online survey on behalf of their state's medical
   association. The survey consisted of 9 questions on sex, practice
   setting, community size, cervical cancer screening practices, and
   reasons for not following the 2012 guidelines.
   Results. Of 947 gynecologists, 123 (13.0%) completed the survey.
   Sixty-four respondents (52.0%) reported that they follow or plan to
   follow the new guidelines. Reasons cited for not following the new
   guidelines included concern over missed opportunities for women's health
   education (43 respondents or 72.9%), patients wanting more frequent
   screening (39 respondents or 66.1%), and concern about missing dysplasia
   or cancerous lesions (28 respondents or 47.5%). Although the new
   guidelines call for a 3-year interval between routine Pap tests or a
   5-year interval between routine Pap/human papillomavirus cotests, 75
   gynecologist respondents (61.0%) still recommended annual or biannual
   Pap screening for patients younger than 30 years, and 55 respondents
   (67.9%) recommended rescreening within 3 years for women 30 years and
   older with negative cotest results.
   Conclusions. While over half of the gynecologist survey respondents
   reported adherence or planned adherence to the 2012 guidelines, over
   half also reported using screening schedules that are more frequent than
   recommended by newguidelines. Concerns highlighted by survey
   participants provide an opportunity for physician and patient education
   on the evidence supporting the new guidelines.
ZR 0
Z8 0
ZS 0
TC 15
ZB 4
ZA 0
Z9 15
U1 0
U2 3
SN 1089-2591
EI 1526-0976
UT WOS:000338030900008
PM 24633168
ER

PT J
AU Thoren, Elisabet Sundewall
   Oberg, Marie
   Wanstrom, Gunilla
   Andersson, Gerhard
   Lunner, Thomas
TI A randomized controlled trial evaluating the effects of online
   rehabilitative intervention for adult hearing-aid users
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 53
IS 7
BP 452
EP 461
DI 10.3109/14992027.2014.892643
PD JUL 2014
PY 2014
AB Objective: Previous research shows that the internet can be used in the
   rehabilitation of hearing-aid users. By further developing the online
   program, it might be possible to foster behavioral changes that will
   positively affect hearing-aid users. Design: A randomized controlled
   study with two groups of participants. The intervention group underwent
   a five-week online intervention while the control group was referred to
   a waiting list. Questionnaires were used as outcome measures. Study
   sample: Seventy-six experienced hearing-aid users participated in the
   study, ranging in age from 26 to 81 years (mean 69.3 years). Results:
   The findings showed significant improvements in the intervention group
   after the intervention, measured by the hearing handicap inventory for
   the elderly. The effects were maintained and improved at the follow-up.
   Furthermore, the results indicated that the participants in the
   intervention group improved at two items of the international outcome
   inventory for hearing aids, and the effects were partly maintained at
   the follow-up. Finally, significant improvements in the domain of
   psychosocial wellbeing were found at the follow-up. Conclusions: This
   study provides further evidence that the internet can be used to deliver
   intervention of rehabilitation to hearing-aid users.
RI Andersson, Gerhard/J-8529-2012
OI Andersson, Gerhard/0000-0003-4753-6745
Z8 0
ZB 28
ZA 0
ZR 0
TC 51
ZS 0
Z9 55
U1 0
U2 30
SN 1499-2027
EI 1708-8186
UT WOS:000337029000006
PM 24749664
ER

PT J
AU Ho, Veronica
   Kumar, Rakesh K.
   Velan, Gary
TI Online testable concept maps: benefits for learning about the
   pathogenesis of disease
SO MEDICAL EDUCATION
VL 48
IS 7
BP 687
EP 697
DI 10.1111/medu.12422
PD JUL 2014
PY 2014
AB CONTEXT Concept maps have been used to promote meaningful learning and
   critical thinking. Although these are crucially important in all
   disciplines, evidence for the benefits of concept mapping for learning
   in medicine is limited.
   METHODS We performed a randomised crossover study to assess the benefits
   of online testable concept maps for learning in pathology by volunteer
   junior medical students. Participants (n = 65) were randomly allocated
   to either of two groups with equivalent mean prior academic performance,
   in which they were given access to either online maps or existing online
   resources for a 2-week block on renal disease. Groups then crossed over
   for a 2-week block on hepatic disease. Outcomes were assessed using
   timed online quizzes, which included questions unrelated to topics in
   the pathogenesis maps as an internal control. Questionnaires were
   administered to evaluate students' acceptance of the maps.
   RESULTS In both blocks, the group with access to pathogenesis maps
   achieved significantly higher average scores than the control group on
   quiz questions related to topics covered by the maps (Block 1: p <
   0.001, Cohen's d = 0.9; Block 2: p = 0.008, Cohen's d = 0.7). However,
   mean scores on unrelated questions did not differ significantly between
   the groups. In a third block on pancreatic disease, both groups received
   pathogenesis maps and collectively performed significantly better on
   quiz topics related to the maps than on unrelated topics (p < 0.01,
   Cohen's d = 0.5). Regression analysis revealed that access to
   pathogenesis maps was the dominant contributor to variance in
   performance on map-related quiz questions. Responses to questionnaire
   items on pathogenesis maps were over-whelmingly positive in both groups.
   CONCLUSIONS These results indicate that online testable pathogenesis
   maps are well accepted and can improve learning of concepts in pathology
   by medical students.
RI Kumar, Rakesh K/J-6124-2012; Velan, Gary/; Ho, Veronica/
OI Kumar, Rakesh K/0000-0002-9531-8411; Velan, Gary/0000-0002-4535-6663;
   Ho, Veronica/0000-0001-8809-4010
ZS 1
ZA 0
TC 14
Z8 1
ZR 0
ZB 2
Z9 16
U1 0
U2 12
SN 0308-0110
EI 1365-2923
UT WOS:000337688300008
PM 24909530
ER

PT J
AU Webb, Emily M.
   Cotton, James B.
   Kane, Kevin
   Straus, Christopher M.
   Topp, Kimberly S.
   Naeger, David M.
TI Teaching Point of Care Ultrasound Skills in Medical School: Keeping
   Radiology in the Driver's Seat
SO ACADEMIC RADIOLOGY
VL 21
IS 7
BP 893
EP 901
DI 10.1016/j.acra.2014.03.001
PD JUL 2014
PY 2014
AB Rationale and Objectives: Ultrasound is used increasingly in medical
   practice as a tool for focused bedside diagnosis and technical
   assistance during procedures. Widespread availability of small portable
   units has put this technology into the hands of many physicians and
   medical students who lack dedicated training, leaving the education and
   introduction of this key modality increasingly to physicians from other
   specialties. We developed a radiology-led program to teach ultrasound
   skills to preclinical medical students.
   Materials and Methods: To develop this new ultrasound program we 1)
   established a program leader, 2) developed teaching materials, 3)
   created a hands-on interactive program, and 4) recruited the necessary
   instructors. The program was piloted with the first- year medical
   student class of 154 students. The introductory session was assessed by
   pre- and post-activity Likert scale-based surveys.
   Results: Of 154 (68.8%) students, 106 completed a voluntary online
   survey before starting the program and 145 students (94.2%) completed a
   voluntary survey after the session. Students found the program
   educationally valuable.(4.64 of 5) and reported that it improved their
   understanding of ultrasound imaging (4.7 of 5). Students' reported
   confidence in identifying abdominal organs, intra-abdominal fluid, and
   Morison pouch that was significantly higher on the postactivity survey
   compared to the presurvey (P < .001 for all).
   Conclusions: We piloted a radiology-led program to teach ultrasound
   skills to preclinical medical students. Students found the experience
   enjoyable and educationally valuable.
OI Naeger, David/0000-0002-1884-280X
Z8 0
ZB 2
TC 25
ZA 0
ZS 0
ZR 0
Z9 25
U1 0
U2 17
SN 1076-6332
EI 1878-4046
UT WOS:000337771100010
PM 24928158
ER

PT J
AU Abedini, Nauzley C.
   Danso-Bamfo, Sandra
   Moyer, Cheryl A.
   Danso, Kwabena A.
   Maekiharju, Heather
   Donkor, Peter
   Johnson, Timothy R. B.
   Kolars, Joseph C.
TI Perceptions of Ghanaian Medical Students Completing a Clinical Elective
   at the University of Michigan Medical School
SO ACADEMIC MEDICINE
VL 89
IS 7
BP 1014
EP 1017
DI 10.1097/ACM.0000000000000291
PD JUL 2014
PY 2014
AB Problem
   International medical electives typically represent a unidirectional
   flow of students from economically advantaged countries in the global
   "North" to resource-poor nations in the global "South." Little is known
   about the impact of bilateral exchanges on students from less affluent
   nations.
   Approach
   Since 2007, students from the University of Michigan Medical School
   (UMMS) and medical schools in Ghana have engaged in a bilateral clinical
   exchange program. A 45-item online survey was distributed to all 73
   Ghanaian medical students who had rotated at UMMS from 2008 to 2010 to
   assess perspectives on the value and impact of their participation.
   Outcomes
   Incoming Ghanaian students outnumbered outgoing UMMS students 73 to 33
   during the study period. Of eligible Ghanaian students, 70% (51/73)
   participated in the survey, with 40 of 51 providing valid data on at
   least 50% of questions. Ninety-seven percent (37/38) reported that the
   UMMS rotation was valuable to their medical training, 90% (35/39)
   reported changes in how they approach patient care, and 77% (24/31)
   reported feeling better equipped to serve patients in their home
   community. Eighty-five percent of students (28/33) felt more inclined to
   pursue training opportunities outside of their home country after their
   rotation at UMMS.
   Next Steps
   More studies are needed to determine the feasibility of bidirectional
   exchanges as well as the short-term and long-term impact of rotations on
   students from underresourced settings and their hosts in more
   resource-rich environments.
OI Kolars, Joseph/0000-0002-2603-188X; Moyer, Cheryl/0000-0002-5796-157X;
   Danso-Bamfo, Sandra/0000-0002-1853-9325
Z8 0
ZS 0
TC 19
ZR 0
ZA 0
ZB 1
Z9 19
U1 0
U2 8
SN 1040-2446
EI 1938-808X
UT WOS:000338210000020
PM 24826847
ER

PT J
AU Sutfin, Erin L.
   Song, Eunyoung Y.
   Reboussin, Beth A.
   Wolfson, Mark
TI What are young adults smoking in their hookahs? A latent class analysis
   of substances smoked
SO ADDICTIVE BEHAVIORS
VL 39
IS 7
BP 1191
EP 1196
DI 10.1016/j.addbeh.2014.03.020
PD JUL 2014
PY 2014
AB Rationale: Hookah smoking continues to be a popular form of tobacco use,
   especially among college students. Although hookahs are commonly used to
   smoke tobacco, anecdotal evidence suggests other substances, including
   herbal shisha, marijuana and hashish may be used. However, little is
   known about the variety of substances smoked in hookahs, or correlates
   associated with different substances smoked.
   Methods: in fall 2010, 3447 students from 8 colleges in N.C. completed
   an online survey.
   Results: 44% of students reported ever smoking tobacco from a hookah. Of
   those ever users, 90% reported smoking flavored tobacco in a hookah, 45%
   marijuana, 37% herbal (non-tobacco) shisha, and 18% hashish. Latent
   class analysis revealed two distinct classes. The most prevalent class
   (77%) primarily smoked flavored tobacco, with minimal use of herbal
   shisha and marijuana and virtually no use of hashish. The second class
   (23%) primarily smoked marijuana, hashish and flavored tobacco with
   moderate use of herbal shisha. Logistic regression analysis adjusting
   for clustering within schools revealed that males, illicit drug users,
   daily, nondaily and former cigarette smokers and those whose mothers had
   higher levels of education were significantly more likely to be in the
   second class compared to the first.
   Conclusions: Rates of lifetime use of hookah were high in our sample of
   college students. While the majority of hookah users smoked tobacco in
   hookahs, they also smoked other substances, notably marijuana and herbal
   shisha. Prevention efforts should recognize that students are using
   hookahs to smoke a variety of substances. (C) 2014 Elsevier Ltd. All
   rights reserved.
RI Reboussin, Beth/AAY-9778-2020; Reboussin, Beth/; Sutfin, Erin/
OI Reboussin, Beth/0000-0002-7318-9081; Sutfin, Erin/0000-0003-2660-8383
ZR 0
Z8 0
ZA 0
ZB 18
TC 42
ZS 1
Z9 42
U1 0
U2 24
SN 0306-4603
EI 1873-6327
UT WOS:000336772000010
PM 24746345
ER

PT J
AU Stephens, Lena D.
   McNaughton, Sarah A.
   Crawford, David
   Ball, Kylie
TI Longitudinal predictors of frequent vegetable and fruit consumption
   among socio-economically disadvantaged Australian adolescents
SO APPETITE
VL 78
BP 165
EP 171
DI 10.1016/j.appet.2014.03.023
PD JUL 1 2014
PY 2014
AB Adequate vegetable and fruit consumption is necessary for preventing
   nutrition-related diseases. Socio-economically disadvantaged adolescents
   tend to consume relatively few vegetables and fruits. However, despite
   nutritional challenges associated with socio-economic disadvantage, a
   minority of adolescents manage to eat vegetables and fruit in quantities
   that are more in line with dietary recommendations. This investigation
   aimed to identify predictors of more frequent intakes of fruits and
   vegetables among adolescents over a 2-year follow-up period. Data were
   drawn from 521 socio-economically disadvantaged (maternal education <=
   Year 10 of secondary school) Australian adolescents aged 12-15 years.
   Participants were recruited from 37 secondary schools and were asked to
   complete online surveys in 2004/2005 (baseline) and 2006/2007
   (follow-up). Surveys comprised a 38-item FFQ and questions based on
   Social Ecological models examining intrapersonal, social and
   environmental influences on diet. At baseline and follow-up,
   respectively, 29% and 24% of adolescents frequently consumed vegetables
   (>= 2 times/day); 33% and 36% frequently consumed fruit (>= 1 time/day).
   In multivariable logistic regressions, baseline consumption strongly
   predicted consumption at follow-up. Frequently being served vegetables
   at dinner predicted frequent vegetable consumption. Female sex, rarely
   purchasing food or drink from school vending machines, and usually being
   expected to eat all foods served predicted frequent fruit consumption.
   Findings suggest nutrition promotion initiatives aimed at improving
   eating behaviours among this at-risk population and should focus on
   younger adolescents, particularly boys; improving adolescent eating
   behaviours at school; and encouraging families to increase home
   availability of healthy foods and to implement meal time rules. (C) 2014
   Elsevier Ltd. All rights reserved.
RI McNaughton, Sarah A/B-2075-2012; Crawford, David A/K-6301-2015; Ball, Kylie/B-5866-2015; Stephens, Lena/
OI McNaughton, Sarah A/0000-0001-5936-9820; Crawford, David
   A/0000-0002-2467-7556; Ball, Kylie/0000-0003-2893-8415; Stephens,
   Lena/0000-0003-4500-7364
ZA 0
ZB 2
Z8 0
ZR 0
TC 11
ZS 1
Z9 12
U1 0
U2 17
SN 0195-6663
EI 1095-8304
UT WOS:000336699100022
PM 24685764
ER

PT J
AU Laanen, M.
   Maes, D.
   Hendriksen, C.
   Gelaude, P.
   De Vliegher, S.
   Rosseel, Y.
   Dewulf, J.
TI Pig, cattle and poultry farmers with a known interest in research have
   comparable perspectives on disease prevention and on-farm biosecurity
SO PREVENTIVE VETERINARY MEDICINE
VL 115
IS 1-2
BP 1
EP 9
DI 10.1016/j.prevetmed.2014.03.015
PD JUL 1 2014
PY 2014
AB To motivate farmers for the implementation of preventive measures for
   animal health, it is crucial to understand their perspective on disease
   prevention and on-farm biosecurity. To study this, an online
   questionnaire was conducted in which 218 pig, 279 cattle and 61 poultry
   farmers in Flanders, Belgium have participated. The participants are
   farmers known for their interest in research and are therefore probably
   better informed on these topics.
   Although approximately half of the respondents in all three sectors are
   convinced of the positive effect of biosecurity on reduction of diseases
   at their farms, the farmers estimated their own level of knowledge on
   biosecurity as being rather low. Less than 10% of the farmers in all
   three sectors were able to give a correct explanation of the term
   'biosecurity', even though the participants are likely to be better
   informed than the average farmer.
   In general, pig, cattle and poultry farmers share comparable ideas on
   disease prevention and biosecurity. Cattle farmers perceived animal
   welfare as more important. Pig farmers indicated stability of the farm
   more important than farmers in the other sectors. Farmers indicate that
   little to no barriers are present for taking preventive measures. The
   often observed absence or limited implementation of biosecurity and
   disease prevention measures is therefore likely due to insufficient
   motivation. Across the species, farmers indicate that insufficient
   information on costs and especially revenues is a major holdback for
   investments in preventive measures. Not surprisingly, more information
   on the economic benefits of measures is indicated as the primary
   interest for taking measures in disease prevention.
   The veterinarian is seen as the main source of information concerning
   disease prevention and biosecurity, so it is important that
   veterinarians have sufficient knowledge on these topics and are able to
   communicate this to farmers. Especially since farmers indicate that
   receiving more explanation by the herd veterinarian increases their
   interest substantially in disease prevention. (C) 2014 Elsevier B.V. All
   rights reserved.
RI Dewulf, jeroen/AAJ-1580-2020; De Vliegher, Sarne/N-7712-2019; De Vliegher, Sarne/J-9491-2012; Rosseel, Yves/
OI Dewulf, jeroen/0000-0001-9843-5990; De Vliegher,
   Sarne/0000-0001-6330-9062; De Vliegher, Sarne/0000-0001-6330-9062;
   Rosseel, Yves/0000-0002-4129-4477
TC 71
ZA 0
ZB 45
Z8 1
ZS 1
ZR 0
Z9 72
U1 1
U2 41
SN 0167-5877
EI 1873-1716
UT WOS:000336353300001
PM 24703250
ER

PT J
AU Ravindran, Rahul
   Kashyap, Mavin
   Lilis, Lydia
   Vivekanantham, Sayinthen
   Phoenix, Gokulan
TI Evaluation of an online medical teaching forum.
SO The clinical teacher
VL 11
IS 4
BP 274
EP 8
DI 10.1111/tct.12139
PD 2014-Jul
PY 2014
AB BACKGROUND: Social media is increasingly being used for teaching and
   assessment. We describe the design and implementation of a Facebook©
   teaching forum for medical students, and evaluate its effectiveness.
   METHODS: A Facebook© teaching forum was set up in a London Hospital to
   assist with learning and assessment for undergraduate medical students.
   An independent online survey was used to collate their experiences.
   Accessibility to the forum, usefulness in stimulating peer-to-peer
   discussion and the use of weekly formative assessments were evaluated
   using a Likert scale.
   RESULTS: In total, 91 per cent (n=68/75) of students who had Facebook©
   joined the teaching forum. The majority of students completed the
   questionnaire (n=39/68, 57%). All students visited the teaching forum
   group at least once a week. A significant proportion attempted all 10
   question sets (n=16/39, 41%). Students felt more comfortable asking
   questions in the forum than in ward rounds and clinics (n=22/39, 56%).
   The general consensus was that Facebook© could be used for educational
   purposes, with just 5 per cent of students (n=2/39) thinking that
   Facebook© should only be used socially and with 92 per cent believing
   that the forum helped to achieve the learning objectives of the
   curriculum (n=36/39).
   DISCUSSION: Facebook© provides a safe environment for learning and
   discussion amongst medical undergraduates undergoing their clinical
   attachments. Furthermore, through formative assessments set by a medical
   educator, it provides a useful revision tool for summative assessments
   and reinforces knowledge learned through conventional teaching methods.
ZR 0
TC 13
ZS 0
ZA 0
Z8 0
ZB 1
Z9 13
U1 0
U2 4
EI 1743-498X
UT MEDLINE:24917096
PM 24917096
ER

PT J
AU Stone, Alan
TI Online assessment: what influences students to engage with feedback?
SO The clinical teacher
VL 11
IS 4
BP 284
EP 9
DI 10.1111/tct.12158
PD 2014-Jul
PY 2014
AB BACKGROUND: The intention of giving written feedback is to close the gap
   between the standard achieved and the standard desired, but students do
   not always read it. Web-based marking tools are increasingly being used
   in assessment practices to deliver the feedback. What motivates students
   to read the feedback provided, especially since the advent of these
   online marking tools, is poorly understood. This research looked at the
   factors likely to influence a medical student's engagement with written
   feedback delivered through an online marking tool (grademark by
   Turnitin). What motivates students to read the feedback provided
   METHODS: Third-year medical students on a UK undergraduate medical
   course submitted an assignment online. A questionnaire was distributed
   to a cohort of them following the release of their results and feedback,
   allowing quantitative and qualitative data collection. Software recorded
   whether they opened their feedback. Previous examination performance
   figures were also collated.
   RESULTS: Online feedback is accessible and acceptable to the majority of
   students. Personal demographics, computer literacy, previous course
   performance, or personal motivational drivers did not predict those who
   did or did not read it. Some students reported seeing little value in
   feedback because of their previous negative experiences. A minority
   found feedback hurtful, and were likely to show avoidance behaviours.
   DISCUSSION: This research found that feedback provided through an online
   marking tool overcame many of the problems associated with handwritten
   feedback, but alone was not enough to ensure universal engagement.
   Feedback dialogues are proposed as a method to overcome negative student
   experiences, enhance tutor performance and encourage future student
   engagement.
ZS 2
Z8 0
ZB 0
ZR 0
ZA 0
TC 10
Z9 12
U1 0
U2 7
EI 1743-498X
UT MEDLINE:24917098
PM 24917098
ER

PT J
AU Bing-You, R. G.
   Trowbridge, R. L.
   Kruithoff, C.
   Daggett, J. L., Jr.
TI Unfreezing the Flexnerian Model: introducing longitudinal integrated
   clerkships in rural communities
SO RURAL AND REMOTE HEALTH
VL 14
IS 3
AR 2944
PD JUL-SEP 2014
PY 2014
AB Introduction: Physician shortages in rural areas remain severe but may
   be ameliorated by recent expansions in medical school class sizes.
   Expanding student exposure to rural medicine by increasing the amount of
   prolonged clinical experiences in rural areas may increase the
   likelihood of students pursuing a career in rural medicine. This
   research sought to investigate the perspective of rural physicians on
   the introduction of a rurally based nine-month Longitudinal Integrated
   Clerkship (LIC).
   Methods: In this mixed-methods study, nine physician leaders were
   interviewed from five Maine, USA, rural hospitals participating in an
   LIC. Semi-structured interviews were audiotaped and transcribed.
   Qualitative analysis techniques were used to code the transcripts and
   develop themes. Forty-seven participating rural LIC preceptors were also
   surveyed through an online survey.
   Results: Four major themes related to implementing the LIC model
   emerged: (1) melting old ways, (2) overcoming fears, (3) synergy of
   energy, and (4) benefits all-around. The faculty were very positive
   about the LIC, with increased job satisfaction, practice morale, and
   ongoing learning, but concerned about the financial impact on
   productivity.
   Conclusions: The importance of these themes and perceptions are
   discussed within the three-stage model of change by Lewin. These results
   describe how the innovative LIC model can conceptually unfreeze the
   traditional Flexnerian construct for rural physicians. Highlighting the
   many stakeholder benefits and addressing the anxieties and fears of
   rural faculty may facilitate the implementation of a rural LIC. Given
   the net favorable perception of rural faculty of the LIC, this
   educational model has the potential to play a major role in increasing
   the rural workforce.
RI Trowbridge, Robert/U-8278-2019
OI Trowbridge, Robert/0000-0002-0460-2733
ZS 1
Z8 0
ZB 0
ZA 0
ZR 0
TC 8
Z9 9
U1 0
U2 1
SN 1445-6354
UT WOS:000343521000046
PM 25142244
ER

PT J
AU Stotland, Naomi E.
   Sutton, Patrice
   Trowbridge, Jessica
   Atchley, Dylan S.
   Conry, Jeanne
   Trasande, Leonardo
   Gerbert, Barbara
   Charlesworth, Annemarie
   Woodruff, Tracey J.
TI Counseling Patients on Preventing Prenatal Environmental Exposures - A
   Mixed- Methods Study of Obstetricians
SO PLOS ONE
VL 9
IS 6
AR e98771
DI 10.1371/journal.pone.0098771
PD JUN 25 2014
PY 2014
AB Objective: Describe the attitudes, beliefs, and practices of U. S.
   obstetricians on the topic of prenatal environmental exposures.
   Study Design: A national online survey of American Congress of
   Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of
   obstetricians.
   Results: We received 2,514 eligible survey responses, for a response
   rate of 14%. The majority (78%) of obstetricians agreed that they can
   reduce patient exposures to environmental health hazards by counseling
   patients; but 50% reported that they rarely take an environmental health
   history; less than 20% reported routinely asking about environmental
   exposures commonly found in pregnant women in the U.S.; and only 1 in 15
   reported any training on the topic. Barriers to counseling included: a
   lack of knowledge of and uncertainty about the evidence; concerns that
   patients lack the capacity to reduce harmful exposures; and fear of
   causing anxiety among patients.
   Conclusion: U.S. obstetricians in our study recognized the potential
   impact of the environment on reproductive health, and the role that
   physicians could play in prevention, but reported numerous barriers to
   counseling patients. Medical education and training, evidence-based
   guidelines, and tools for communicating risks to patients are needed to
   support the clinical role in preventing environmental exposures that
   threaten patient health.
RI Trasande, Leonardo/ABE-6339-2020; Woodruff, Tracey/
OI Woodruff, Tracey/0000-0003-3622-1297
ZA 0
ZR 0
TC 45
Z8 1
ZS 0
ZB 14
Z9 45
U1 0
U2 10
SN 1932-6203
UT WOS:000338709500006
PM 24964083
ER

PT J
AU Nowrouzi-Kia, Behnam
   McGeer, Allison
TI External cues to action and influenza vaccination among post-graduate
   trainee physicians in Toronto, Canada
SO VACCINE
VL 32
IS 30
BP 3830
EP 3834
DI 10.1016/j.vaccine.2014.04.067
PD JUN 24 2014
PY 2014
AB Background: Understanding factors affecting trainee physician choices
   about vaccination may permit the design of more effective vaccination
   programmes.
   Methods: To identify factors associated with seasonal and pandemic
   influenza vaccination, an online questionnaire based on the health
   belief model was sent to trainee physicians registered at the
   postgraduate medical education office at the University of Toronto in
   September 2011.
   Results: 963 complete responses were received from 1884 trainee
   physicians (51%); 28 (2.9%) reported an allergy to vaccine components
   and were excluded from further analysis. Reported seasonal influenza
   vaccination rates in 2008, 2009 and 2010 were 69% (648/935), 75%
   (708/935) and 76% (703/935), respectively; 788 (84%) reported receiving
   the A(H1N1)pdm09 vaccine. In multivariable analysis, number of years of
   post-graduate training (OR for 4+ versus 1-3 post-graduate years 2.2
   (95% CL 1.3, 3.8)) was associated with receipt of the 2009 pandemic
   vaccine, as were four components of the health belief model: odds ratios
   were 4.7 (95% CL 3.0, 7.5) for perceived severity, 1.9 (95% CL 1.2, 2.9)
   for perceived benefits, .35 (95% CL .21, .59) for perceived barriers,
   and 5.8 (95% CLI 3.6, 9.1) for external cues to action. Both vaccinated
   and unvaccinated respondents reported that their decisions were
   significantly influenced by encouragement from their colleagues,
   families and employers.
   Conclusion: Self-reported vaccination coverage among trainee physicians
   was high. External cues to action appear to be particularly important in
   trainee physician vaccination decisions: active institutional promotion
   may increase influenza vaccination rates in trainees. (C) 2014 Elsevier
   Ltd. All rights reserved.
RI mcgeer, allison/H-7747-2014; McGeer, Allison/AAB-6885-2020; Nowrouzi-Kia, Behdin/Y-4486-2018
OI mcgeer, allison/0000-0001-5647-6137; McGeer,
   Allison/0000-0001-5647-6137; Nowrouzi-Kia, Behdin/0000-0002-5586-4282
ZB 5
ZR 0
Z8 0
ZS 0
ZA 0
TC 7
Z9 8
U1 0
U2 10
SN 0264-410X
EI 1873-2518
UT WOS:000338405800017
PM 24837775
ER

PT J
AU Ekeroma, Alec J.
   Kenealy, Tim
   Shulruf, Boaz
   McCowan, Lesley M. E.
   Hill, Andrew
TI Building reproductive health research and audit capacity and activity in
   the pacific islands (BRRACAP) study: methods, rationale and baseline
   results
SO BMC MEDICAL EDUCATION
VL 14
AR 121
DI 10.1186/1472-6920-14-121
PD JUN 19 2014
PY 2014
AB Background: Clinical research and audit in reproductive health is
   essential to improve reproductive health outcomes and to address the
   Millennium Development Goals 4 and 5. Research training, mentoring and a
   supportive participatory research environment have been shown to
   increase research activity and capacity in low to middle income
   countries (LMIC). This paper details the methods, rationale and baseline
   findings of a research program aimed at increasing clinical research
   activity and audit in the six Pacific Islands of Fiji, Samoa, Tonga,
   Vanuatu, Cook Islands and the Solomon Islands.
   Method: Twenty-eight clinician participants were selected by the five
   Ministries of Health and the Fiji National University to undergo a
   research capacity building program which includes a research workshop
   and mentoring support to perform research and audit as teams in their
   country. Data on the participants' characteristics, knowledge and
   experiences were collected from structured interviews, questionnaires,
   focus groups, and an online survey. The interviews and the two focus
   groups were audio-recorded and all replies were analysed in a thematic
   framework.
   Results: The 28 participants included 9 nurses/midwives, 17 medical
   doctors of whom 8 were specialists in reproductive health and 2 other
   health workers. Most (24, 86%) were required to perform research as part
   of their employment and yet 17 (61%) were not confident in writing a
   research proposal, 13 (46%) could not use an electronic spreadsheet and
   the same number had not analysed quantitative data. The limited
   environmental enablers contributed to poor capacity with only 11 (46%)
   having access to a library, 10 (42%) receiving management support and 6
   (25%) having access to an experienced researcher. Barriers to research
   that affected more than 70% of the participants were time constraints,
   poor coordination, no funding and a lack of skills.
   Conclusion: Building a research capacity program appropriate for the
   diversity of Pacific clinicians required research evidence and
   collaborative effort of key stakeholders in the Pacific Islands and the
   region. The participants had limited research knowledge, skills and
   experience and would require individualized training and continuous
   intensive mentorship to realize their potential as clinician researchers
   for their services in the Pacific.
RI Shulruf, Boaz/AAB-8048-2021; Hill, Andrew G/H-7278-2019; Ekeroma, Alec/Y-3211-2019; Ekeroma, Alec/H-4938-2019; Kenealy, Timothy/; McCowan, Lesley/
OI Hill, Andrew G/0000-0001-8672-6379; Ekeroma, Alec/0000-0002-7581-8275;
   Kenealy, Timothy/0000-0001-6002-4766; McCowan,
   Lesley/0000-0001-9915-7873
Z8 0
ZA 0
ZS 2
ZB 0
TC 5
ZR 0
Z9 6
U1 0
U2 19
EI 1472-6920
UT WOS:000338364900002
PM 24947243
ER

PT J
AU Holmes, Bev J.
   Schellenberg, Megan
   Schell, Kara
   Scarrow, Gayle
TI How funding agencies can support research use in healthcare: an online
   province-wide survey to determine knowledge translation training needs
SO IMPLEMENTATION SCIENCE
VL 9
AR 71
DI 10.1186/1748-5908-9-71
PD JUN 6 2014
PY 2014
AB Background: Health research funding agencies are increasingly promoting
   evidence use in health practice and policy. Building on work suggesting
   how agencies can support such knowledge translation (KT), this paper
   discusses an online survey to assess KT training needs of researchers
   and research users as part of a Canadian provincial capacity-building
   effort.
   Methods: The survey comprised 24 multiple choice and open-ended
   questions including demographics, interest in learning KT skills,
   likelihood of participating in training, and barriers and facilitators
   to doing KT at work. More than 1,200 people completed the survey. The
   high number of responses is attributed to an engagement strategy
   involving partner organizations (health authorities, research
   institutes, universities) in survey development and distribution. SPSS
   was used to analyze quantitative results according to respondents'
   primary role, geographic region, and work setting. Qualitative results
   were analyzed in NVivo.
   Results: Over 85 percent of respondents are interested in learning more
   about the top KT skills identified. Research producers have higher
   interest in disseminating research results; research users are more
   interested in the application of research results. About one-half of
   respondents require beginner-level training in KT skills; one-quarter
   need advanced training. Time and cost constraints are the biggest
   barriers to participating in KT training. More than one-half of
   respondents have no financial support for travel and almost one-half
   lack support for registration fees. Time is the biggest challenge to
   integrating KT into work.
   Conclusions: Online surveys are useful for determining knowledge
   translation training needs of researchers, research users and ultimately
   organizations. In this case, findings suggest the importance of
   considering all aspects of KT in training opportunities, while taking
   into account different stakeholder interests. Funders can play a role in
   developing new training opportunities as part of a broad effort, with
   partners, to build capacity for the use of health research evidence.
   Survey results would ideally be complemented with an objective needs
   assessment based on core competencies, and should be acted on in a way
   that acknowledges the complexity of knowledge translation in healthcare,
   existing training activities, and the expertise stakeholders already
   have but may not refer to as knowledge translation.
ZR 0
ZB 0
Z8 0
ZA 0
TC 25
ZS 0
Z9 25
U1 1
U2 17
SN 1748-5908
UT WOS:000338372500001
PM 24906229
ER

PT J
AU Paal, Piret
   Roser, Traugott
   Frick, Eckhard
TI Developments in spiritual care education in German - speaking countries
SO BMC MEDICAL EDUCATION
VL 14
AR 112
DI 10.1186/1472-6920-14-112
PD JUN 5 2014
PY 2014
AB Background: This article examines spiritual care training provided to
   healthcare professionals in Germany, Austria and Switzerland. The paper
   reveals the current extent of available training while defining the
   target group(s) and teaching aims. In addition to those, we will provide
   an analysis of delivered competencies, applied teaching and performance
   assessment methods.
   Methods: In 2013, an anonymous online survey was conducted among the
   members of the International Society for Health and Spiritual Care. The
   survey consisted of 10 questions and an open field for best practice
   advice. SPSS21 was used for statistical data analysis and the MAXQDA2007
   for thematic content analysis.
   Results: 33 participants participated in the survey. The main providers
   of spiritual care training are hospitals (36%, n = 18). 57% (n = 17) of
   spiritual care training forms part of palliative care education. 43% (n
   = 13) of spiritual care education is primarily bound to the Christian
   tradition. 36% (n = 11) of provided trainings have no direct association
   with any religious conviction. 64% (n = 19) of respondents admitted that
   they do not use any specific definition for spiritual care. 22% (n = 14)
   of available spiritual care education leads to some academic degree. 30%
   (n = 19) of training form part of an education programme leading to a
   formal qualification. Content analysis revealed that spiritual training
   for medical students, physicians in paediatrics, and chaplains take
   place only in the context of palliative care education. Courses provided
   for multidisciplinary team education may be part of palliative care
   training. Other themes, such as deep listening, compassionate presence,
   bedside spirituality or biographical work on the basis of logo-therapy,
   are discussed within the framework of spiritual care.
   Conclusions: Spiritual care is often approached as an integral part of
   grief management, communication/interaction training, palliative care,
   (medical) ethics, psychological or religious counselling or cultural
   competencies. Respondents point out the importance of competency based
   spiritual care education, practical training and maintaining the link
   between spiritual care education and clinical practice. Further
   elaboration on the specifics of spiritual care core competencies,
   teaching and performance assessment methods is needed.
RI Frick, Eckhard/AGB-4634-2022; Paal, Piret/J-4565-2019; Paal, Piret/
OI Frick, Eckhard/0000-0002-6753-1004; Paal, Piret/0000-0002-1341-3248
ZA 0
ZR 0
Z8 1
ZB 0
TC 12
ZS 0
Z9 13
U1 0
U2 23
EI 1472-6920
UT WOS:000337316100001
PM 24898431
ER

PT J
AU Rolland, Benjamin
   Paille, Francois
   Fleury, Benoit
   Cottencin, Olivier
   Benyamina, Amine
   Aubin, Henri-Jean
TI Off-Label Baclofen Prescribing Practices among French Alcohol
   Specialists: Results of a National Online Survey
SO PLOS ONE
VL 9
IS 6
AR e98062
DI 10.1371/journal.pone.0098062
PD JUN 2 2014
PY 2014
AB Objective: To evaluate, among alcohol specialists belonging to the
   Societe Francaise d'Alcoologie (SFA), i.e., the French Alcohol Society,
   the proportion of physicians who prescribed off-label baclofen for
   alcohol use disorders (AUDs). The secondary objective was to depict the
   features of individual prescribing and monitoring practices.
   Methods: On-line survey among 484 French alcohol specialists. Physicians
   were asked whether they prescribed baclofen for AUDs. If they did not,
   the reasons for this choice were investigated. If they did, the features
   of the physician's prescribing practice were explored, including the
   number of patients treated, the mean and maximum doses, the monitoring
   precautions and the pharmacovigilance reporting. Participants were also
   asked about their empirical findings on HDB's efficacy and safety.
   Results: In total, 302 physicians (response rate of 62.4%) participated
   in the survey. Data from 296 participants were analysed, representing
   59.4% of all active prescribing physicians belonging to the SFA. HDB use
   was declared by 74.6% of participants (mean dose 109.5+/-43.6 mg/d;
   maximum dose 188+/-93.3 mg/d). However, 79.2% of prescribers had treated
   less than 30 patients, and 67.8% used HDB as a second-line medication.
   Although HDB was perceived as more efficacious than approved drugs by
   54.3% of prescribers, it was also declared less safe by 62.8%.
   Nonetheless, 79.7% of prescribers had never filed any pharmacovigilance
   report. Non-prescribers (25.6%) were primarily deterred by the current
   lack of scientific data and official regulation.
   Conclusion: A majority of French alcohol specialists reported using HDB,
   although often on a limited number of their patients. HDB was considered
   efficacious but also potentially hazardous. Despite this, physicians
   reported minimal safety data to the health security system. While French
   health authorities are planning to draft a specific regulatory measure
   for framing off-label HDB prescribing practices, the sustained education
   of prescribers on spontaneous pharmacovigilance reporting should be
   enhanced.
RI Aubin, Henri-Jean/AAP-8605-2021; ROLLAND, Benjamin/H-6625-2019; ROLLAND, Benjamin/E-7374-2013; COTTENCIN, Olivier OC/I-4024-2015; , Aubin/AAT-9739-2021; Aubin, Henri-Jean/
OI ROLLAND, Benjamin/0000-0002-8666-3635; ROLLAND,
   Benjamin/0000-0002-8666-3635; COTTENCIN, Olivier OC/0000-0003-3663-1405;
   Aubin, Henri-Jean/0000-0002-6604-6672
ZB 22
ZS 0
ZA 0
Z8 0
TC 40
ZR 0
Z9 40
U1 0
U2 2
SN 1932-6203
UT WOS:000336956300036
PM 24887094
ER

PT J
AU Williams, Jason G.
TI Are online learning modules an effective way to deliver hand trauma
   management continuing medical education to emergency physicians?
SO PLASTIC SURGERY
VL 22
IS 2
BP 75
EP 78
DI 10.1177/229255031402200201
PD SUM 2014
PY 2014
AB BACKGROUND: The enormity of modern medical knowledge and the rapidity of
   change have created increased need for ongoing or continuing medical
   education (CME) for physicians. Online CME is attractive for its
   availability at any time and any place, low cost and potentially
   increased effectiveness compared with traditional face-to-face delivery.
   OBJECTIVE: To determine whether online CME modules are an effective
   method for delivering plastic surgery CME to primary care physicians.
   METHODS: A needs assessment survey was conducted among all emergency and
   family physicians in Nova Scotia. Results indicated that this type of
   program was appealing, and that hand trauma related topics were most
   desired for CME. 7 Lesson Builder (SoftChalk LLC, www.softchalk.com) was
   used to construct a multimedia e-learning module that was distributed
   along with a pretest, post-test and feedback questionnaire. Quantitative
   (pre-and post-test scores) and qualitative (feedback responses) data
   were analyzed.
   RESULTS: The 32 participants who completed the study indicated that it
   was a positive and enjoyable experience, and that there was a need for
   more resources like this. Compared with pretest scores, there was a
   significant gain in knowledge following completion of the module
   (P=0.001).
   CONCLUSION: The present study demonstrated that an e-learning format is
   attractive for this population and effective in increasing knowledge.
   This positive outcome will lead to development of additional modules.
ZA 0
ZS 0
Z8 0
ZB 0
ZR 0
TC 11
Z9 11
U1 0
U2 2
SN 1195-2199
UT WOS:000347676400004
PM 25114616
ER

PT J
AU Newall, Elizabeth
   Gratton, Christine
   Maltby, Jane
TI Learning and Teaching in Action
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 31
IS 2
BP 167
EP 171
DI 10.1111/hir.12061
PD JUN 2014
PY 2014
AB This article describes the development and delivery of an online module
   at the University of Nottingham on the literature review process. In
   particular, it discusses how academic librarians collaborated with
   researcher developers at the Graduate School at the University to
   deliver a highly successful online learning experience for students. The
   article provides an overview of the course, a discussion on the
   experiences of both the tutors and participants involved, concentrating
   specifically on those in Medicine and Health Sciences. Details about
   future international collaborations and development of the course are
   also provided.
ZS 0
ZB 0
ZA 0
TC 2
Z8 0
ZR 0
Z9 2
U1 1
U2 13
SN 1471-1834
EI 1471-1842
UT WOS:000338009700010
PM 24762256
ER

PT J
AU Kind, Terry
   Goldman, Ellen
   Fratantoni, Karen
   Wiedermann, Bernhard L.
   Agrawal, Dewesh
   Coddington, Dale
TI Learning to Deliver Care in a Medical Home: A Qualitative Analysis of
   Residents' Reflections on Practice
SO CLINICAL PEDIATRICS
VL 53
IS 7
BP 658
EP 665
DI 10.1177/0009922814526975
PD JUN 2014
PY 2014
AB Objective. We used online structured reflection to improve residents'
   understanding of care delivery in the medical home. Methods. Third-year
   pediatric residents participated in an online curriculum on delivering
   effective, patient-centered primary care in the medical home to children
   with special health care needs. Residents were prompted to respond to
   questions designed to stimulate reflection. We qualitatively assessed
   their responses, graded their depth of reflection, and provided
   structured feedback. Results. Residents identified aspects of their
   practice consistent with medical home principles. Depth of reflection
   increased over time. Residents realized they needed to better understand
   families' financial, emotional, and social needs and increase families'
   involvement in care planning. Residents identified systems issues and
   practice changes to improve care delivery. Conclusions. Online
   reflective writing with feedback is a powerful strategy to improve
   residents' learning. Residents identified and began to make practice
   changes to provide patient-centered care in a medical home.
OI Kind, Terry/0000-0002-3017-5683; Agrawal, Dewesh/0000-0001-5897-5976
ZS 0
Z8 0
TC 1
ZA 0
ZB 0
ZR 0
Z9 1
U1 0
U2 3
SN 0009-9228
EI 1938-2707
UT WOS:000337631200006
PM 24634427
ER

PT J
AU Tan, Yen Y
   Spurdle, Amanda B
   Obermair, Andreas
TI Knowledge, attitudes and referral patterns of lynch syndrome: a survey
   of clinicians in australia.
SO Journal of personalized medicine
VL 4
IS 2
BP 218
EP 44
DI 10.3390/jpm4020218
PD 2014 May 12
PY 2014
AB This study assessed Australian clinicians' knowledge, attitudes and
   referral patterns of patients with suspected Lynch syndrome for genetic
   services. A total of 144 oncologists, surgeons, gynaecologists, general
   practitioners and gastroenterologists from the Australian Medical
   Association and Clinical Oncology Society responded to a web-based
   survey. Most respondents demonstrated suboptimal knowledge of Lynch
   syndrome. Male general practitioners who have been practicing for ≥10
   years were less likely to offer genetic referral than specialists, and
   many clinicians did not recognize that immunohistochemistry testing is
   not a germline test. Half of all general practitioners did not actually
   refer patients in the past 12 months, and 30% of them did not feel that
   their role is to identify patients for genetic referral. The majority of
   clinicians considered everyone to be responsible for making the initial
   referral to genetic services, but a small preference was given to
   oncologists (15%) and general practitioners (13%). Patient information
   brochures, continuing genetic education programs and referral guidelines
   were favoured as support for practice. Targeted education interventions
   should be considered to improve referral. An online family history
   assessment tool with built-in decision support would be helpful in
   triaging high-risk individuals for pathology analysis and/or genetic
   assessment in general practice. 
RI Tan, Yen/AAW-2357-2021; Obermair, Andreas/
OI Tan, Yen/0000-0003-1063-5352; Obermair, Andreas/0000-0003-2199-1117
ZR 0
ZA 0
ZB 2
TC 7
Z8 0
ZS 0
Z9 7
U1 0
U2 0
SN 2075-4426
UT MEDLINE:25563224
PM 25563224
ER

PT J
AU Yee, Melissa
   Simpson-Young, Virginia
   Paton, Rebecca
   Zuo, Yeqin
TI How do GPs want to learn in the digital era?
SO AUSTRALIAN FAMILY PHYSICIAN
VL 43
IS 6
BP 399
EP 402
PD JUN 2014
PY 2014
AB Background
   Various continuing medical education (CME) options are available for
   general practitioners (GPs). These options differ in their clinical
   effectiveness and GPs' preferences for learning format. We report on a
   national survey, conducted by NPS Medicine Wise, identifying Australian
   GPs preferences for CME.
   Methods
   A stratified random sample of 2500 GPs in Australia participated in the
   survey in 2012. Reponses to the questions on GPs' preferences for CME
   activities and motivation for choice were analysed.
   Results
   Most GPs (95%) preferred learning in a group rather than on their own.
   Specifically, 83% preferred face-to-face lecture-based formats; 70%
   preferred interactive group discussions; 66% preferred one-to-one
   teaming with an expert; and 55% preferred online self-education.
   Relevance to clinical practice was the key motivation for participation
   (80%).
   Discussion
   Although GPs are increasingly using online learning, conventional
   face-to-face activities with peers and experts remain popular.
   Lecture-based CME continues to be preferred, despite evidence suggesting
   other modalities may be more effective. CME activities delivered through
   a combination of methods are likely to appeal to the wide range of GP
   preferences while optimising clinical outcomes.
Z8 0
ZB 0
TC 23
ZA 0
ZR 0
ZS 0
Z9 23
U1 0
U2 6
SN 0300-8495
UT WOS:000343948000017
PM 24897992
ER

PT J
AU Larsen, Carolyn M.
   Issa, Meltiady
   Croghan, Ivana T.
   Buechler, Tamara E.
   Burton, M. Caroline
TI Survey of Internal Medicine Physicians Trained in Three Different Eras:
   Reflections on Duty-Hour Reform
SO SOUTHERN MEDICAL JOURNAL
VL 107
IS 6
BP 396
EP 401
DI 10.14423/01.SMJ.0000450720.07163.5a
PD JUN 2014
PY 2014
AB Objectives: To survey internal medicine physicians and residents who
   have completed residency in three different eras of medical training
   regarding their experiences during their intern year and their
   perceptions of duty-hour reform.
   Methods: An online survey was administered to 268 residents, fellows,
   and staff physicians who had completed or were completing residency
   during one of three eras of training: before the 80-hour work week,
   after the 80-hour work week (instituted in 2003), and after the 16-hour
   limit on continuous shifts for interns (instituted in 2011). The survey
   assessed experiences during their intern year of residency and
   perceptions regarding resident duty-hour reform.
   Results: The majority of respondents (n = 32; 54%) indicated that
   duty-hour restrictions would result in residents being less prepared for
   their future careers. In addition, 36% (n = 21) of respondents
   anticipated a decrease in the quality of patient care under the
   restricted duty hours. A total of 41% (n = 24) were undecided regarding
   the impact of duty-hour reform on patient care. Respondents reported
   time spent on independent study, research, and conference attendance did
   not increase following the institution of duty-hour restrictions.
   Conclusions: Survey responses indicated that after 18 months of
   experience with the Accreditation Council for Graduate Medical Education
   duty-hour restrictions, physician opinions were mixed and a substantial
   number remain undecided regarding the impact of duty-hour restrictions
   on resident career preparedness and the quality of patient care.
TC 1
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 1
U1 0
U2 5
SN 0038-4348
EI 1541-8243
UT WOS:000342811900016
PM 24945179
ER

PT J
AU Harris, W. Andrew
   Spencer, Peter
   Winthrop, Kevin
   Kravitz, Jay
TI Training Mid- to Late-Career Health Professionals for Clinical Work in
   Low-Income Regions Abroad
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 34
IS 3
BP 179
EP 185
DI 10.1002/chp.21249
PD SUM 2014
PY 2014
AB Introduction: Oregon Health & Science University (OHSU) Global Health
   Center has developed a unique training program-Professionals' Training
   in Global Health (PTGH)-for mid- and late-career health professionals
   wanting to perform clinical services overseas in low-income countries.
   Methods: A multidisciplinary, multifaceted, structured curriculum
   underpins the clinical retraining, with classes aimed to be practical
   for clinical settings in resource-poor regions of the world.
   Preceptorships in family medicine and emergency medicine offer
   specialists the opportunity to observe primary care physicians
   one-on-one. In addition, PTGH trainees volunteer at free medical clinics
   where they work under the guidance and supervision of a family
   physician. For those individuals who live at some distance from
   Portland, Oregon, the course offers live videoconferencing, as well as
   archived streaming for later review.
   Results: As of November 2013, 79 health professionals have completed the
   course, with 45 graduates having subsequently volunteered on one or more
   overseas medical missions, for a total of 109 medical service visits to
   36 countries. Pre- and post-course testing shows improvements in
   clinical skills and knowledge base.
   Discussion: Professionals' Training in Global Health has a 6-year record
   of interprofessional training and service both overseas and at home. The
   course has trained physicians, nurses, nurse practitioners, physician
   assistants, midwives, paramedics and other health professionals.
ZB 0
ZR 0
TC 1
Z8 0
ZS 0
ZA 0
Z9 1
U1 0
U2 12
SN 0894-1912
EI 1554-558X
UT WOS:000342853000005
PM 25258130
ER

PT J
AU Tuarob, Suppawong
   Tucker, Conrad S.
   Salathe, Marcel
   Ram, Nilam
TI An ensemble heterogeneous classification methodology for discovering
   health-related knowledge in social media messages
SO JOURNAL OF BIOMEDICAL INFORMATICS
VL 49
BP 255
EP 268
DI 10.1016/j.jbi.2014.03.005
PD JUN 2014
PY 2014
AB Objectives: The role of social media as a source of timely and massive
   information has become more apparent since the era of Web 2.0. Multiple
   studies illustrated the use of information in social media to discover
   biomedical and health-related knowledge. Most methods proposed in the
   literature employ traditional document classification techniques that
   represent a document as a bag of words. These techniques work well when
   documents are rich in text and conform to standard English; however,
   they are not optimal for social media data where sparsity and noise are
   norms. This paper aims to address the limitations posed by the
   traditional bag-of-word based methods and propose to use heterogeneous
   features in combination with ensemble machine learning techniques to
   discover health-related information, which could prove to be useful to
   multiple biomedical applications, especially those needing to discover
   health-related knowledge in large scale social media data. Furthermore,
   the proposed methodology could be generalized to discover different
   types of information in various kinds of textual data.
   Methodology: Social media data is characterized by an abundance of short
   social-oriented messages that do not conform to standard languages, both
   grammatically and syntactically. The problem of discovering
   health-related knowledge in social media data streams is then
   transformed into a text classification problem, where a text is
   identified as positive if it is health-related and negative otherwise.
   We first identify the limitations of the traditional methods which train
   machines with N-gram word features, then propose to overcome such
   limitations by utilizing the collaboration of machine learning based
   classifiers, each of which is trained to learn a semantically different
   aspect of the data. The parameter analysis for tuning each classifier is
   also reported.
   Data sets: Three data sets are used in this research. The first data set
   comprises of approximately 5000 hand-labeled tweets, and is used for
   cross validation of the classification models in the small scale
   experiment, and for training the classifiers in the real-world large
   scale experiment. The second data set is a random sample of real-world
   Twitter data in the US. The third data set is a random sample of
   real-world Facebook Timeline posts.
   Evaluations: Two sets of evaluations are conducted to investigate the
   proposed model's ability to discover health-related information in the
   social media domain: small scale and large scale evaluations. The small
   scale evaluation employs 10-fold cross validation on the labeled data,
   and aims to tune parameters of the proposed models, and to compare with
   the stage-of-the-art method. The large scale evaluation tests the
   trained classification models on the native, real-world data sets, and
   is needed to verify the ability of the proposed model to handle the
   massive heterogeneity in real-world social media.
   Findings: The small scale experiment reveals that the proposed method is
   able to mitigate the limitations in the well established techniques
   existing in the literature, resulting in performance improvement of
   18.61% (F-measure). The large scale experiment further reveals that the
   baseline fails to perform well on larger data with higher degrees of
   heterogeneity, while the proposed method is able to yield reasonably
   good performance and outperform the baseline by 46.62% (F-Measure) on
   average. (C) 2014 Elsevier Inc. All rights reserved.
OI Salathe, Marcel/0000-0002-5079-7797; Tuarob,
   Suppawong/0000-0002-5201-5699
ZA 0
ZB 13
TC 68
Z8 0
ZS 0
ZR 0
Z9 68
U1 1
U2 38
SN 1532-0464
EI 1532-0480
UT WOS:000337772200025
PM 24642081
ER

PT J
AU Kessler, E. -M.
   Agines, S.
   Schmidt, C.
   Muehlig, S.
TI Qualification offers in geropsychology. A baseline study
SO ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE
VL 47
IS 4
BP 337
EP 344
DI 10.1007/s00391-013-0553-1
PD JUN 2014
PY 2014
AB The increased need for professional expertise in the domain of aging is
   accompanied by a lack of academic experts in geropsychology.
   In order to analyze whether German universities, universities of applied
   science, and psychotherapy training institutions produce a sufficient
   number of graduates, two studies were conducted.
   A complete survey of all courses and modules (study 1) identified only 4
   master courses (9.3 %) and no bachelor courses with a substantial focus
   on geropsychology. All gerontology courses hold a substantial focus on
   geropsychology; however, only 6 courses are available (5 master, 1
   bachelor). In an online survey (study 2) 55 % of the N = 103
   psychotherapy training institutions (58 % response rate) stated that
   they offer geropsychology classes, though only to an average extent of M
   = 12.7 lessons (a parts per thousand (TM) aEuro parts per thousand 2 %
   of the required theory lessons).
   There is urgent need to expand the number of graduates with academic
   education and clinical training in geropsychology and -psychotherapy.
ZB 1
Z8 0
ZA 0
ZR 0
ZS 0
TC 5
Z9 5
U1 0
U2 4
SN 0948-6704
EI 1435-1269
UT WOS:000340521600013
PM 24271144
ER

PT J
AU van Effenterre, A.
   Hanon, C.
   Llorca, P. -M.
TI Survey among academic teachers about psychiatric training in France
SO ENCEPHALE-REVUE DE PSYCHIATRIE CLINIQUE BIOLOGIQUE ET THERAPEUTIQUE
VL 40
IS 3
BP 208
EP 215
DI 10.1016/j.encep.2013.05.001
PD JUN 2014
PY 2014
AB Introduction. - Given the results of resident psychiatrists' surveys
   conducted in France over the past 3 years, it has become essential to
   also examine the opinion of the academic psychiatrists in charge of
   psychiatry education.
   Goals. - To study the teachers point of view on psychiatric training in
   France, the weaknesses and strengths of the training, recent
   improvements and problems, and to compare their opinion with that of the
   residents.
   Methodology. - A survey was conducted in April 2012 among 125 academic
   teachers professors hospital practitioners (PU-PH), in child Et
   adolescent psychiatry and adult psychiatry. An anonymous online
   questionnaire including seven parts and three open questions was sent to
   the PU-PH.
   Results. - The questionnaire was answered by 79/125 psychiatric PU-PH
   (63%). Results show that a majority of PU-PH (78%) were willing to
   maintain a single training pathway including adult psychiatry and child
   psychiatry with a single diploma, with the addition of a DESC (specific
   and additional Diploma) in forensic psychiatry (72%) and old age
   psychiatry (62%). Almost all respondents suggested the implementation of
   an assessment of teaching and a formal mentorship program. Some aspects
   of training included more controversial issues: such as the length of
   the training, the opening of training to private practice physicians, or
   the European harmonization.
   Conclusion. - The survey stressed some areas of improvement: such
   training in psychotherapy and research, access to supervision as well as
   barriers to improved training including an insufficient number of
   academic practitioners. Compared with other surveys, it emphasized that
   in addition to the need of diversifying the theoretical (thematic,
   interactive media and teaching, teachers, etc.) and the practical aspect
   (training sites), it is essential according to trainees and PU-PH, to
   implement an efficient supervision during residency. (C) L'Encephale,
   Paris, 2013.
RI Fond, Guillaume/D-7646-2011
OI Fond, Guillaume/0000-0003-3249-2030
ZA 0
ZS 0
Z8 0
ZB 0
TC 4
ZR 0
Z9 4
U1 0
U2 0
SN 0013-7006
UT WOS:000340314700002
PM 23993338
ER

PT J
AU Eltorai, Adam E M
   Ghanian, Soha
   Adams, Charles A Jr
   Born, Christopher T
   Daniels, Alan H
TI Readability of patient education materials on the american association
   for surgery of trauma website.
SO Archives of trauma research
VL 3
IS 2
BP e18161
EP e18161
DI 10.5812/atr.18161
PD 2014-Jun
PY 2014
AB BACKGROUND: Because the quality of information on the Internet is of
   dubious worth, many patients seek out reliable expert sources. As per
   the American Medical Association (AMA) and the National Institutes of
   Health (NIH) recommendations, readability of patient education materials
   should not exceed a sixth-grade reading level. The average reading skill
   of U.S. adults is at the eighth-grade level.
   OBJECTIVES: This study evaluates whether a recognized source of expert
   content, the American Association for Surgery of Trauma (AAST) website's
   patient education materials, recommended readability guidelines for
   medical information.
   MATERIALS AND METHODS: Using the well-validated Flesch-Kincaid formula
   to analyze grade level readability, we evaluated the readability of all
   16 of the publicly-accessible entries within the patient education
   section of the AAST website.
   RESULTS: Mean ± SD grade level readability was 10.9 ± 1.8 for all the
   articles. All but one of the articles had a readability score above the
   sixth-grade level. Readability of the articles exceeded the maximum
   recommended level by an average of 4.9 grade levels (95% confidence
   interval, 4.0-5.8; P < 0.0001). Readability of the articles exceeded the
   eighth-grade level by an average of 2.9 grade levels (95% confidence
   interval, 2.0-3.8; P < 0.0001). Only one of the articles had a
   readability score below the eighth-grade level.
   CONCLUSIONS: The AAST's online patient education materials may be of
   limited utility to many patients, as the readability of the information
   exceeds the average reading skill level of adults in the U.S. Lack of
   patient comprehension represents a discrepancy that is not in accordance
   with the goals of the AAST's objectives for its patient education
   efforts.
ZS 0
TC 57
ZR 0
Z8 0
ZB 9
ZA 0
Z9 57
U1 0
U2 2
SN 2251-953X
UT MEDLINE:25147778
PM 25147778
ER

PT J
AU McVey, Ruaidhri M.
   Clarke, Eric
   Segev, Yakir
   Grantcharov, Teodor
   Covens, Allan
TI Determining the Role of a National Objective Assessment of Surgical
   Skills in Gynecological Oncology An e-Delphi Methodology
SO INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
VL 24
IS 6
BP 1098
EP 1104
DI 10.1097/IGC.0000000000000157
PD JUN 2014
PY 2014
AB Objective The aim of this study is to determine a national consensus on
   the role of an objective assessment of technical surgical skills in
   gynecological oncology (GO).
   Methods After approval was obtained from Society of Gynecologic Oncology
   of Canada, A panel of 20 GO leaders was assembled, representing all GO
   fellowship programs, and was asked to participate in an anonymous group
   and respond to an online 49-item questionnaire using a modified Delphi
   methodology.
   Results Ninety-five percent (n = 19) of those invited to participate did
   so. Seventeen of the panelists (89.5%) believed there was no
   sufficiently standardized technical skills assessment for GO fellows,
   whereas 18 responders (95%) believed that fellows should be objectively
   assessed on more than 1 occasion during their training. Consensus was
   predefined as Cronbach greater than 0.8. The panel agreed on what
   procedures should be objectively assessed with a Cronbach of 0.967. An
   overall Cronbach of 0.993 was achieved after a single Delphi round.
   Conclusions We achieved consensus on the possible components and
   logistics of a skills assessment process among a group of highly
   experienced GO trainers in Canada. This study provides the basis for
   further investigation and debate on the potential value, necessity, and
   feasibility of an assessment of advanced surgical and nonsurgical skills
   of GO trainees.
OI Clarke, Eric/0000-0003-0375-6797
ZB 1
ZA 0
Z8 0
ZS 0
ZR 0
TC 2
Z9 2
U1 0
U2 2
SN 1048-891X
EI 1525-1438
UT WOS:000338944500023
PM 24978713
ER

PT J
AU Berking, Matthias
   Wirtz, Carolin M.
   Svaldi, Jennifer
   Hofmann, Stefan G.
TI Emotion regulation predicts symptoms of depression over five years
SO BEHAVIOUR RESEARCH AND THERAPY
VL 57
BP 13
EP 20
DI 10.1016/j.brat.2014.03.003
PD JUN 2014
PY 2014
AB Deficits in emotion regulation have been identified as an important risk
   and maintaining factor for depression. The aim of this study was to
   examine the long-term effects of emotion regulation on symptoms of
   depression. Moreover, we investigated which specific emotion regulation
   skills were associated with subsequent symptoms of depression.
   Participants were 116 individuals (78% women, average age 35.2 years)
   who registered for an online-based assessment of depression and its
   risk-factors and reported at least some symptoms of depression.
   Successful application of emotion regulation skills and depressive
   symptom severity were assessed twice over a 5-year period. We utilized
   cross-lagged panel analyses to assess whether successful skills
   application would be negatively associated with subsequent depressive
   symptom severity. Cross-lagged panel analyses identified successful
   skills application as a significant predictor for depressive symptom
   severity even when controlling for the effects of initial symptoms of
   depression. A comparison of the effect sizes for different emotion
   regulation skills on subsequent depressive symptoms suggests that most
   of the skills included have similar predictive value. These findings
   provide preliminary evidence for the hypotheses that deficits in emotion
   regulation may contribute to the development of depression and that
   interventions systematically enhancing adaptive emotion regulation
   skills may help prevent and treat depressive symptoms. (C) 2014 Elsevier
   Ltd. All rights reserved.
RI Hofmann, Stefan G/B-8769-2014
OI Hofmann, Stefan G/0000-0002-3548-9681
ZB 37
ZR 1
ZS 4
TC 134
Z8 1
ZA 0
Z9 139
U1 2
U2 83
SN 0005-7967
EI 1873-622X
UT WOS:000337777300002
PM 24754907
ER

PT J
AU Robertson, Kis
   Feldman, Katherine
TI Clinician Outreach to Improve the Quality of Rabies Postexposure
   Prophylaxis Administration: Maryland's Experience, 2010-2011
SO VECTOR-BORNE AND ZOONOTIC DISEASES
VL 14
IS 6
BP 454
EP 460
DI 10.1089/vbz.2013.1305
PD JUN 2014
PY 2014
AB Errors in the administration of rabies postexposure prophylaxis (PEP)
   are known to occur despite guidelines promulgated by the Advisory
   Committee on Immunization Practices (ACIP). In addition to elevating a
   patient's PEP failure risk, errors in administration increase medical
   expenses. A record review conducted at a local health department in
   Maryland revealed that similar to 8% of reported PEPs deviated from ACIP
   guidelines. Physicians surveyed at a local hospital also demonstrated
   knowledge gaps concerning use of rabies immune globulin and special
   indications for the five-dose PEP series. In response, we implemented an
   intervention to raise clinician awareness and adherence to recommended
   protocols. Activities included development of a patient fact sheet,
   hospital-based poster, and online training course targeted to a diverse
   group of healthcare providers. We also explored the use of hospital
   informatics in delivering PEP guidance. Clinician outreach by using a
   multipronged approach might increase adherence to recommended protocols.
ZR 1
TC 4
ZB 0
Z8 0
ZS 0
ZA 0
Z9 5
U1 0
U2 3
SN 1530-3667
EI 1557-7759
UT WOS:000337958500010
PM 24754462
ER

PT J
AU George, Pradeep Paul
   Papachristou, Nikos
   Belisario, Jose Marcano
   Wang, Wei
   Wark, Petra A.
   Cotic, Ziva
   Rasmussen, Kristine
   Sluiter, Rene
   Riboli-Sasco, Eva
   Car, Lorainne Tudor
   Musulanov, Eve Marie
   Molina, Joseph Antonio
   Heng, Bee Hoon
   Zhang, Yanfeng
   Wheeler, Erica Lynette
   Al Shorbaji, Najeeb
   Majeed, Azeem
   Car, Josip
TI Online eLearning for undergraduates in health professions: A systematic
   review of the impact on knowledge, skills, attitudes and satisfaction
SO JOURNAL OF GLOBAL HEALTH
VL 4
IS 1
AR 010406
DI 10.7189/jogh.04.010406
PD JUN 2014
PY 2014
AB Background Health systems worldwide are facing shortages in health
   professional workforce. Several studies have demonstrated the direct
   correlation between the availability of health workers, coverage of
   health services, and population health outcomes. To address this
   shortage, online eLearning is increasingly being adopted in health
   professionals' education. To inform policy-making, in online eLearning,
   we need to determine its effectiveness.
   Methods We performed a systematic review of the effectiveness of online
   eLearning through a comprehensive search of the major databases for
   randomised controlled trials that compared online eLearning to
   traditional learning or alternative learning methods. The search period
   was from January 2000 to August 2013. We included articles which
   primarily focused on students' knowledge, skills, satisfaction and
   attitudes toward eLearning and cost-effectiveness and adverse effects as
   secondary outcomes. Two reviewers independently extracted data from the
   included studies. Due to significant heterogeneity among the included
   studies, we presented our results as a narrative synthesis.
   Findings Fifty-nine studies, including 6750 students enrolled in
   medicine, dentistry, nursing, physical therapy and pharmacy studies, met
   the inclusion criteria. Twelve of the 50 studies testing knowledge gains
   found significantly higher gains in the online eLearning intervention
   groups compared to traditional learning, whereas 27 did not detect
   significant differences or found mixed results. Eleven studies did not
   test for differences. Six studies detected significantly higher skill
   gains in the online eLearning intervention groups, whilst 3 other
   studies testing skill gains did not detect differences between groups
   and 1 study showed mixed results. Twelve studies tested students'
   attitudes, of which 8 studies showed no differences in attitudes or
   preferences for online eLearning. Students' satisfaction was measured in
   29 studies, 4 studies showed higher satisfaction for online eLearning
   and 20 studies showed no difference in satisfaction between online
   eLearning and traditional learning. Risk of bias was high for several of
   the included studies.
   Conclusion The current evidence base suggests that online eLearning is
   equivalent, possibly superior to traditional learning. These findings
   present a potential incentive for policy makers to cautiously encourage
   its adoption, while respecting the heterogeneity among the studies.
RI George, Pradeep Paul/ABE-9925-2020; Sluiter, Rene/F-7716-2016; Papachristou, Nikolaos/M-4864-2019; Car, Lorainne Tudor/E-1205-2017; Molina, Joseph Antonio/S-6181-2019; Car, Josip/H-6755-2015; Majeed, Azeem/; Riboli-Sasco, Eva/; Marcano Belisario, Jose Salvador/; Wark, Petra/C-1752-2016
OI George, Pradeep Paul/0000-0003-4743-1425; Papachristou,
   Nikolaos/0000-0002-9741-6437; Car, Lorainne Tudor/0000-0001-8414-7664;
   Car, Josip/0000-0001-8969-371X; Majeed, Azeem/0000-0002-2357-9858;
   Riboli-Sasco, Eva/0000-0002-9922-9125; Marcano Belisario, Jose
   Salvador/0000-0002-3372-2996; Wark, Petra/0000-0003-1020-4640
TC 194
ZA 0
ZR 0
ZB 15
ZS 1
Z8 1
Z9 196
U1 5
U2 55
SN 2047-2978
EI 2047-2986
UT WOS:000209633200011
PM 24976965
ER

PT J
AU Marsch, Amanda F.
   Espiritu, Baltazar
   Groth, John
   Hutchens, Kelli A.
TI The effectiveness of annotated (vs. non-annotated) digital pathology
   slides as a teaching tool during dermatology and pathology residencies
SO JOURNAL OF CUTANEOUS PATHOLOGY
VL 41
IS 6
BP 513
EP 518
DI 10.1111/cup.12328
PD JUN 2014
PY 2014
AB Background With today's technology, paraffin-embedded, hematoxylin &
   eosin-stained pathology slides can be scanned to generate high quality
   virtual slides. Using proprietary software, digital images can also be
   annotated with arrows, circles and boxes to highlight certain diagnostic
   features. Previous studies assessing digital microscopy as a teaching
   tool did not involve the annotation of digital images. The objective of
   this study was to compare the effectiveness of annotated digital
   pathology slides versus non-annotated digital pathology slides as a
   teaching tool during dermatology and pathology residencies. Methods A
   study group composed of 31 dermatology and pathology residents was asked
   to complete an online pre-quiz consisting of 20 multiple choice style
   questions, each associated with a static digital pathology image. After
   completion, participants were given access to an online tutorial
   composed of digitally annotated pathology slides and subsequently asked
   to complete a post-quiz. A control group of 12 residents completed a
   non-annotated version of the tutorial. Results Nearly all participants
   in the study group improved their quiz score, with an average
   improvement of 17%, versus only 3% (P=0.005) in the control group.
   Conclusions These results support the notion that annotated digital
   pathology slides are superior to non-annotated slides for the purpose of
   resident education.
RI Marsch, Amanda/AAL-2771-2020
OI Marsch, Amanda/0000-0002-0817-3956
ZB 5
Z8 1
ZA 0
ZS 0
ZR 0
TC 10
Z9 11
U1 0
U2 2
SN 0303-6987
EI 1600-0560
UT WOS:000337522600007
PM 24620842
ER

PT J
AU Duffin, Kristina Callis
   Garg, Amit
   Armstrong, April W.
   Helliwell, Philip
   Mease, Philip J.
TI Psoriasis and Psoriatic Arthritis Educational Initiatives: An Update
   from the 2013 GRAPPA Annual Meeting
SO JOURNAL OF RHEUMATOLOGY
VL 41
IS 6
BP 1240
EP 1243
DI 10.3899/jrheum.140180
PD JUN 2014
PY 2014
AB At the 2013 annual meeting of the Group for Research and Assessment of
   Psoriasis and Psoriatic Arthritis (GRAPPA), members were updated on
   educational areas in psoriasis and psoriatic arthritis (PsA).
   Discussions included (1) the psoriasis and PsA GRAPPA video project,
   comprising a set of educational online videos that provide standardized
   psoriatic disease endpoint training to clinicians and researchers; (2)
   the GRAPPA Educational Outreach Project, focused on cross-disciplinary
   education for rheumatologists and dermatologists and including several
   collaborations to expand educational sessions globally; (3) the
   Dermatology and Rheumatology Trainee Educational Initiative, that
   provides psoriatic disease education to medical students, residents, and
   fellows training in dermatology and/or rheumatology; and (4) the GRAPPA
   Educational Slide Library, developed as a resource for GRAPPA members
   for their own educational presentations.
ZB 5
ZR 0
TC 5
ZA 0
ZS 0
Z8 0
Z9 5
U1 0
U2 4
SN 0315-162X
EI 1499-2752
UT WOS:000337106600036
PM 24882862
ER

PT J
AU Huebner, Jutta
   Prott, Franz J.
   Micke, Oliver
   Muecke, Ralf
   Senf, Bianca
   Dennert, Gabriele
   Muenstedt, Karsten
CA German Cancer Soc
   PRIO Grp Prevent & Integrat Oncol
TI Online Survey of Cancer Patients on Complementary and Alternative
   Medicine
SO ONCOLOGY RESEARCH AND TREATMENT
VL 37
IS 6
DI 10.1159/000362616
PD JUN 2014
PY 2014
AB Introduction: Complementary and alternative medicine (CAM) is often used
   by cancer patients, yet, communication with the oncologist is poor. The
   objective of our study was to gather information on patients' usage of
   CAM, source of information, and aims, in order to derive strategies to
   improve the communication between physicians and patients on this topic.
   Materials and Methods: An online survey was conducted by linking a
   standardized questionnaire to the largest internet portal for cancer
   patients in Germany. The questionnaire addresses CAM usage, disclosure
   to physicians, source of information, objectives for using CAM, and
   perceived reasons for cancer. Results: Of 170 participants, 77% were
   currently using CAM. Disclosure to a physician was rather high with 63%
   having informed their oncologist. Asked whether the oncologist took time
   to discuss CAM, 74% answered `no'. Most frequently used are biologically
   based therapies, relaxation techniques, prayer, and meditation. Most
   patients want to reduce side effects, boost their immune system, and get
   active. Almost half the participants had positive experiences with some
   type of CAM before they fell ill. Conclusion: Understanding patients'
   concepts of the etiology of cancer and accepting their goals for using
   CAM may help oncologists communicate with their patients and guide them
   to a safe use of CAM.
RI HÃbner, Jutta/AAY-5396-2020
ZA 0
ZS 0
ZB 19
Z8 1
TC 52
ZR 0
Z9 52
U1 1
U2 9
SN 2296-5270
EI 2296-5262
UT WOS:000337039000001
PM 24903760
ER

PT J
AU Bell, Regan
   Harr, Kendal
   Rishniw, Mark
   Pion, Paul
TI Survey of point-of-care instrumentation, analysis, and quality assurance
   in veterinary practice
SO VETERINARY CLINICAL PATHOLOGY
VL 43
IS 2
BP 185
EP 192
DI 10.1111/vcp.12142
PD JUN 2014
PY 2014
AB Background While there have been ASVCP meeting discussions regarding
   quality assurance plans and lack thereof for in-clinic analyzers, there
   are little published data regarding in-clinic quality assurance and
   control practices. Objectives The purpose of this study was the
   identification of the common equipment used in hematologic, biochemical,
   urinalysis, and other testing, and assessment of quality control and
   assurance programs currently being performed in-clinic. Methods All
   members of the Veterinary Information Network (VIN) were solicited to
   participate in an online survey between July and September 2007. Results
   In total, 452 complete or partial responses were received. Eighty-nine
   percent of respondents (361/404) said that veterinary technicians
   (unlicensed, licensed, and registered) performed the majority of
   analyses. Eighty-eight percent (366/417) of respondents performed some
   quality assurance on their laboratory equipment, most commonly on
   chemistry (91%, 324/357), and hematology (84%, 292/347) analyzers, and
   least commonly on fecal analyses (57%, 148/260) and ELISA assays (25%,
   65/256). Ignorance of how to perform quality assurance was the most
   commonly stated reason (49%, 25/51) for lack of a quality assurance
   program. The majority of practices (316/374) utilized
   manufacturer-provided reference intervals without further adjustment or
   assessment. Roughly one-third of respondents (126/374) used reference
   intervals from textbooks, which is discouraged by ASVCP guidelines.
   Conclusions This study found that the majority of respondents were not
   in compliance with ASVCP guidelines, illustrating the need for improved
   education of technical staff, veterinary students, and veterinarians
   regarding limitations of in-clinic laboratory equipment and the
   importance of regular quality control, maintenance, training, and
   reference interval development.
RI Rishniw, Mark/; Harr, Kendal Elizabeth/M-7654-2016
OI Rishniw, Mark/0000-0002-0477-1780; Harr, Kendal
   Elizabeth/0000-0001-5390-3586
ZA 0
TC 14
ZS 0
Z8 0
ZB 8
ZR 1
Z9 15
U1 2
U2 14
SN 0275-6382
EI 1939-165X
UT WOS:000337558500009
PM 24750496
ER

PT J
AU Brown, Carl J.
   Boutros, Marylise
   Morris, Andrew
   Divino, Celia M.
CA Evidence Based Reviews Surg Grp
TI Is a diverting loop ileostomy and colonic lavage an alternative to
   colectomy for the treatment of severe Clostridium difficile-associated
   disease?
SO CANADIAN JOURNAL OF SURGERY
VL 57
IS 3
BP 214
EP 216
DI 10.1503/cjs.005014
PD JUN 2014
PY 2014
AB Objective: To determine whether a colon-sparing diverting ileostomy with
   colonic lavage reduces mortality in patients with severe Clostridium
   difficile-associated disease (CDAD) when compared with colectomy.
   Design: Retrospective cohort study. Setting & patients: Forty-two
   patients with diagnosed severe, complicated CDAD who were treated at the
   University of Pittsburgh Medical Center or VA Pittsburgh Health Care
   System between June 2009 and January 2011 with diverting loop ileostomy
   and colonic lavage (warmed polyethylene glycol 3350/electrolyte solution
   via the ileostomy and postoperative antegrade instillation of vancomycin
   flushes via the ileostomy). Patients were compared with a historical
   control group of 42 patients who had a colectomy. Main outcome:
   Resolution of CDAD. Results: There was no significant difference in age,
   sex, pharmacologic immunosuppression and Acute Physiology and Chronic
   Health Evaluation-II (APACHE-II) scores between the current cohort and
   historical controls. In the ileostomy group, surgery was performed
   laparoscopically in 35 patients (83%). This treatment strategy resulted
   in reduced mortality compared with the historical population (19% v.
   50%; odds ratio [OR] 0.24, p = 0.006). Preservation of the colon was
   achieved in 39 of 42 patients (93%). Conclusion: Loop ileostomy and
   colonic lavage are an alternative to colectomy in the treatment of
   severe, complicated CDAD, resulting in reduced morbidity and
   preservation of the colon.
RI Mastracci, Tara M/; Baxter, Nancy/E-7020-2015; Brown, Carl/
OI Mastracci, Tara M/0000-0002-2532-8614; Baxter,
   Nancy/0000-0003-4793-4620; Brown, Carl/0000-0002-5368-3541
ZS 1
ZR 0
Z8 0
ZB 0
ZA 0
TC 6
Z9 6
U1 0
U2 4
SN 0008-428X
EI 1488-2310
UT WOS:000337748900021
PM 24869615
ER

PT J
AU Hayes, Sean M
   Bowser, Andrew D
   Mortimer, Jim
   Lazure, Patrice
   Peterson, Eric
   Hutson, Thomas E
   Rini, Brian
TI Practice challenges affecting optimal care as identifed by US medical
   oncologists who treat renal cell carcinomas.
SO The Journal of community and supportive oncology
VL 12
IS 6
BP 197
EP 204
PD 2014-Jun
PY 2014
AB BACKGROUND: Approval of new agents provides alternative treatment
   options for medical oncologists and their patients with renal cell
   carcinoma (RCC). Treatment decisions remain challenging in the absence
   of clear evidence supporting optimal selection and sequencing of
   treatment for different patient or tumor characteristics.
   OBJECTIVE: To assess the clinical practice gaps of medical oncologists
   treating patients with RCC.
   METHODS: Medical oncologists practicing in the United States with a case
   load of 1 or more RCC patient(s) a year were recruited to participate in
   either an online case-based survey followed by a 45-minute interview
   (phase 1) or a 15-minute online survey with case vignettes (phase 2).
   Respondents' answers were compared with treatment guidelines and faculty
   experts' recommendations.
   RESULTS: Qualitative interviews (n = 27) and quantitative surveys (n =
   142) were compiled. Clinical performance gaps demonstrating oncologists'
   diffculties to optimally adjust their treatment plan were identifed.
   When presented with an RCC patient with treatment-related hypertension,
   34% of respondents did not select an expert-recommended option. In a
   scenario focused on recognizing clinical signs and symptoms as an
   important component of treatment decision-making, 40% of respondents
   agreed with the expert-recommended approach. For a progressive patient
   with chronic obstructive pulmonary disease, 78% of respondents were
   misaligned with evidence-based treatment options.
   LIMITATIONS: Self-selection and respondent bias may have occurred.
   Sample size may have limited the statistical power.
   CONCLUSIONS: This study identifed clinically relevant performance gaps
   among US oncologists treating RCC patients. Education to assure
   familiarity with the most recent changes is needed.
   FUNDING/SPONSORSHIP: Pfzer Medical Education Group provided fnancial
   support through an educational research grant.
RI Hutson, Thomas/AAS-9639-2020; Lazure, Patrice/
OI Hutson, Thomas/0000-0002-4529-4212; Lazure, Patrice/0000-0002-9278-1718
TC 1
ZA 0
ZR 0
ZS 0
ZB 1
Z8 0
Z9 1
U1 0
U2 0
SN 2330-7749
UT MEDLINE:24999496
PM 24999496
ER

PT J
AU Kunin, Marc
   Julliard, Kell N.
   Rodriguez, Tobias E.
TI Comparing Face-to-Face, Synchronous, and Asynchronous Learning:
   Postgraduate Dental Resident Preferences
SO JOURNAL OF DENTAL EDUCATION
VL 78
IS 6
BP 856
EP 866
PD JUN 2014
PY 2014
AB The Department of Dental Medicine of Lutheran Medical Center has
   developed an asynchronous online curriculum consisting of prerecorded
   PowerPoint presentations with audio explanations. The focus of this
   study was to evaluate if the new asynchronous format satisfied the
   educational needs of the residents compared to traditional lecture
   (face-to-face) and synchronous (distance learning) formats. Lectures
   were delivered to 219 dental residents employing face-to-face and
   synchronous formats, as well as the new asynchronous format; 169 (77
   percent) participated in the study. Outcomes were assessed with
   pretests, posttests, and individual lecture surveys. Results found the
   residents preferred face-to-face and asynchronous formats to the
   synchronous format in terms of effectiveness and clarity of
   presentations. This preference was directly related to the residents'
   perception of how well the technology worked in each format. The
   residents also rated the quality of student-instructor and
   student-student interactions in the synchronous and asynchronous formats
   significantly higher after taking the lecture series than they did
   before taking it. However, they rated the face-to-face format as
   significantly more conducive to student-instructor and student-student
   interaction. While the study found technology had a major impact on the
   efficacy of this curricular model, the results suggest that the
   asynchronous format can be an effective way to teach a postgraduate
   course.
RI Julliard, Kell N/B-9232-2009
OI Julliard, Kell N/0000-0001-9206-5028
ZB 0
ZR 0
ZS 1
ZA 0
TC 41
Z8 0
Z9 41
U1 0
U2 14
SN 0022-0337
EI 1930-7837
UT WOS:000337205400007
PM 24882771
ER

PT J
AU Silva, Debora
   Lewis, Kadriye O.
TI Assessment of Medical Residents Technology Readiness for an Online
   Residents-as-Teachers Curriculum
SO PUERTO RICO HEALTH SCIENCES JOURNAL
VL 33
IS 2
BP 51
EP 57
PD JUN 2014
PY 2014
AB Objective: The University of Puerto Rico School of Medicine has a need
   to expand the current Residents-as-Teachers workshops into a
   comprehensive curriculum. One way to do so is to implement an online
   curriculum, but prior to this, the readiness of the medical residents to
   participate in such a curriculum should be assessed. Our objective was
   to determine whether the residents at the University of Puerto Rico
   School of Medicine are prepared to engage in an online
   Residents-as-Teachers program.
   Methods: This was a descriptive, mixed-method-design study that
   collected qualitative and quantitative data using an online survey and a
   focus-group interview. The study was conducted with students from 11 of
   the residency programs at the University of Puerto Rico School of
   Medicine.
   Results: More than 80% of the participating residents had the technical
   knowledge to engage in an online program; 90.5% thought an online
   Residents-as-Teachers course would be a good alternative to what was
   currently available; 87.5% would be willing to participate in an online
   program, and 68.6% of the residents stated that they preferred an online
   course to a traditional one.
   Conclusion: Determinants of readiness for online learning at the
   University of Puerto Rico School of Medicine were identified and
   discussed. Our results suggest that the majority of the residents who
   participated in this study are ready to engage in an online
   Residents-as-Teachers program. The only potential barrier found was that
   one-third of the residents still preferred a traditional curriculum,
   even when they thought an online Residents-as-Teachers curriculum was a
   good alternative and were willing to participate in the course or
   courses forming part of such a curriculum. Therefore, prior to
   wide-spread implementation of such a curriculum, a pilot test should be
   conducted to maximize the presumed and eventual success of that
   curriculum.
RI Lewis, Kadriye O./AAI-9689-2020
Z8 0
ZB 0
ZS 0
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 3
SN 0738-0658
UT WOS:000336895800003
PM 24964638
ER

PT J
AU Vetter, Thomas R.
   Adhami, Lalleh F.
   Porterfield, John R., Jr.
   Marques, Marisa B.
TI Perceptions About Blood Transfusion: A Survey of Surgical Patients and
   Their Anesthesiologists and Surgeons
SO ANESTHESIA AND ANALGESIA
VL 118
IS 6
BP 1301
EP 1308
DI 10.1213/ANE.0000000000000131
PD JUN 2014
PY 2014
AB BACKGROUND: Although blood transfusion is a common therapeutic
   intervention and a mainstay of treating surgical blood loss, it may be
   perceived by patients and their physicians as having associated risk of
   adverse events. Practicing patient-centered care necessitates that
   clinicians have an understanding of an individual patient's perceptions
   of transfusion practice and incorporate this into shared medical
   decision-making.
   METHODS: A paper survey was completed by patients during routine
   outpatient preoperative evaluation. An online survey was completed by
   attending anesthesiologists and surgeons at the same institution. Both
   surveys evaluated perceptions of the overall risk of transfusions, level
   of concern regarding 5 specific adverse events with transfusion, and
   perceptions of the frequency of those adverse events. Group differences
   were evaluated with conventional inferential biostatistics.
   RESULTS: A total of 294 patients and 73 physicians completed the
   surveys. Among the surveyed patients, 20% (95% confidence interval,
   15%-25%) perceived blood transfusions as "very often risky" or "always
   risky." Greater perceived overall blood transfusion risk was associated.
   with African American race (P = 0.028) and having a high school or less
   level of education (P = 0.022). Greater perceived risk of allergic
   reaction (P = 0.001), fever (P < 0.001), and dyspnea (P = 0.001) were
   associated with African American race. Greater perceived risk of
   allergic reaction (P = 0.009), fever (P = 0.039), dyspnea (P = 0.004),
   human immunodeficiency virus/acquired immune deficiency syndrome and
   hepatitis (P = 0.003), and medical error (P = 0.039) were associated
   with having a high school or less level of education. Patients and
   physicians also differed significantly in their survey responses, with
   physicians reporting greater overall perceived risk with a blood
   transfusion (P = 0.001).
   CONCLUSIONS: Despite improvements in blood transfusion safety in the
   United States and other developed countries, the results of this study
   indicate that a sizeable percentage of patients still perceive
   transfusion as having significant associated risk. Furthermore, patients
   and their anesthesiologists/surgeons differ in their perceptions about
   transfusion-related risks and complications. Understanding patients'
   perceptions of blood transfusion and identifying groups with the greater
   specific concerns will better enable health care professionals to
   address risk during the informed consent process and recommend blood
   management in accordance with the individual patient's values, beliefs,
   and fears or concerns.
OI Marques, Marisa/0000-0002-6689-7856
TC 23
Z8 0
ZA 0
ZB 7
ZR 0
ZS 0
Z9 23
U1 0
U2 18
SN 0003-2999
UT WOS:000336352600021
PM 24842177
ER

PT J
AU Livingstone, Sonia
   Smith, Peter K.
TI Annual Research Review: Harms experienced by child users of online and
   mobile technologies: the nature, prevalence and management of sexual and
   aggressive risks in the digital age
SO JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY
VL 55
IS 6
BP 635
EP 654
DI 10.1111/jcpp.12197
PD JUN 2014
PY 2014
AB Aims and scopeThe usage of mobile phones and the internet by young
   people has increased rapidly in the past decade, approaching saturation
   by middle childhood in developed countries. Besides many benefits,
   online content, contact or conduct can be associated with risk of harm;
   most research has examined whether aggressive or sexual harms result
   from this. We examine the nature and prevalence of such risks, and
   evaluate the evidence regarding the factors that increase or protect
   against harm resulting from such risks, so as to inform the academic and
   practitioner knowledge base. We also identify the conceptual and
   methodological challenges encountered in this relatively new body of
   research, and highlight the pressing research gaps.
   MethodsGiven the pace of change in the market for communication
   technologies, we review research published since 2008. Following a
   thorough bibliographic search of literature from the key disciplines
   (psychology, sociology, education, media studies and computing
   sciences), the review concentrates on recent, high quality empirical
   studies, contextualizing these within an overview of the field.
   FindingsRisks of cyberbullying, contact with strangers, sexual messaging
   (sexting') and pornography generally affect fewer than one in five
   adolescents. Prevalence estimates vary according to definition and
   measurement, but do not appear to be rising substantially with
   increasing access to mobile and online technologies, possibly because
   these technologies pose no additional risk to offline behaviour, or
   because any risks are offset by a commensurate growth in safety
   awareness and initiatives. While not all online risks result in
   self-reported harm, a range of adverse emotional and psychosocial
   consequences is revealed by longitudinal studies. Useful for identifying
   which children are more vulnerable than others, evidence reveals several
   risk factors: personality factors (sensation-seeking, low self-esteem,
   psychological difficulties), social factors (lack of parental support,
   peer norms) and digital factors (online practices, digital skills,
   specific online sites).
   ConclusionsMobile and online risks are increasingly intertwined with
   pre-existing (offline) risks in children's lives. Research gaps, as well
   as implications for practitioners, are identified. The challenge is now
   to examine the relations among different risks, and to build on the risk
   and protective factors identified to design effective interventions.
RI Smith, Peter/B-3106-2016; Livingstone, Sonia/
OI Smith, Peter/0000-0002-5010-5359; Livingstone, Sonia/0000-0002-3248-9862
Z8 1
ZB 16
ZR 6
TC 203
ZA 1
ZS 5
Z9 211
U1 18
U2 348
SN 0021-9630
EI 1469-7610
UT WOS:000336006400010
PM 24438579
ER

PT J
AU Rickert, Vaughn I.
   Gilbert, Amy Lewis
   Aalsma, Matthew C.
TI Proactive Parents Are Assets to the Health and Well-Being of Teens
SO JOURNAL OF PEDIATRICS
VL 164
IS 6
BP 1390
EP 1395
DI 10.1016/j.jpeds.2014.02.015
PD JUN 2014
PY 2014
AB Objectives To analyze parents who self-identified themselves as being
   proactive parents (PPs) compared with non-PPs who were queried about
   their teen's health to understand common adolescent health concerns,
   parenting practices/behaviors around health, and whether their
   adolescent had received a preventive care visit in the last year
   Study design Secondary analyses of parents (n = 504) from a nationally
   representative online panel were surveyed to assess health
   beliefs/attitudes, perceived adolescent health concerns, frequency of
   health discussions, topics that pediatricians should discuss, and their
   teen's last annual visit. Demographics, parental beliefs, frequency of
   health conversations, and topics that physicians should discuss were
   compared. Logistic regression determined the likelihood of PPs compared
   with non-PPs reporting a teen annual health visit within the last year.
   Results Greater education and having a single-child household were
   slightly more common among PPs. PPs expressed greater concern about
   their teens getting good grades, getting sick, and their teen's future
   (P < .001). PPs indicated a greater severity of worry (P < .02) across
   all health topics and rated issues of sexual health, vaccines, and
   stress/mental health as very important for pediatricians to discuss (P <
   .01). Controlling for demographics, PPs were 3.4 (95% CI 2.06-5.56)
   times more likely to report an annual visit of their teen in the last
   year.
   Conclusion PPs are an asset to the health promotion and the well-being
   of their teens. PPs were more likely to have their teen receive an
   annual visit, report more frequent discussions about health, and place a
   high value on physician discussions about health.
ZA 0
TC 9
ZR 0
ZB 2
ZS 1
Z8 0
Z9 9
U1 0
U2 17
SN 0022-3476
EI 1097-6833
UT WOS:000336503200032
PM 24630356
ER

PT J
AU Zhou, Yi Zhou
   Wilde, Alex
   Meiser, Bettina
   Mitchell, Philip B.
   Barlow-Stewart, Kristine
   Schofield, Peter R.
TI Attitudes of medical genetics practitioners and psychiatrists toward
   communicating with patients about genetic risk for psychiatric disorders
SO PSYCHIATRIC GENETICS
VL 24
IS 3
BP 94
EP 101
DI 10.1097/YPG.0000000000000030
PD JUN 2014
PY 2014
AB Objectives The aim of this study was to examine the self-rated
   competencies and perceived roles of medical geneticists, genetic
   counselors, and psychiatrists in the communication of genetic risk for
   psychiatric disorders to patients and families at an increased risk for
   schizophrenia, bipolar disorder or major depressive disorder, and their
   perspectives on training needs in this field. Materials and methods
   Clinically active members of the Human Genetics Society of Australasia
   (HGSA) and the Royal Australian and New Zealand College of Psychiatrists
   (RANZCP) were invited to complete the online survey. A total of 157
   responses were included in data analysis: 17 medical geneticists, 36
   genetics counselors, and 104 psychiatrists. Results In all, 34.4% of the
   respondents disagreed that their professional training had prepared them
   to discuss genetic information about psychiatric illnesses with
   patients. Medical geneticists perceived significantly higher levels of
   self-rated competency to discuss with patients and families genetic
   information on psychiatric disorders compared with genetic counselors
   and psychiatrists (t=-0.61, P=0.001; beta=0.33, 95% confidence interval
   0.16-0.49, P < 0.001). Conclusion Findings suggest deficiencies in
   education and training programs on how to best communicate psychiatric
   genetic risk information to patients, suggesting that specialist
   programs are needed to better support health professionals. As
   self-rated competencies differed among the professional groups, training
   programs need to be tailored to participants' professional backgrounds.
RI Meiser, Bettina/AAG-5480-2021; Barlow-Stewart, Kristine/AAW-9178-2020; Mitchell, Philip/; Schofield, Peter/C-9669-2011
OI Mitchell, Philip/0000-0002-7954-5235; Schofield,
   Peter/0000-0003-2967-9662
ZR 0
ZB 4
ZA 0
ZS 0
Z8 0
TC 10
Z9 10
U1 0
U2 9
SN 0955-8829
EI 1473-5873
UT WOS:000335855400002
PM 24710128
ER

PT J
AU Pepper, Jessica K.
   McRee, Annie-Laurie
   Gilkey, Melissa B.
TI Healthcare Providers' Beliefs and Attitudes About Electronic Cigarettes
   and Preventive Counseling for Adolescent Patients
SO JOURNAL OF ADOLESCENT HEALTH
VL 54
IS 6
BP 678
EP 683
DI 10.1016/j.jadohealth.2013.10.001
PD JUN 2014
PY 2014
AB Purpose: Electronic cigarettes (e-cigarettes) are battery-powered
   nicotine delivery systems that may serve as a "gateway" to tobacco use
   by adolescents. Use of e-cigarettes by U. S. adolescents rose from 3% in
   2011 to 7% in 2012. We sought to describe healthcare providers'
   awareness of e-cigarettes and to assess their comfort with and attitudes
   toward discussing e-cigarettes with adolescent patients and their
   parents.
   Methods: A statewide sample (n = 561) of Minnesota healthcare providers
   (46% family medicine physicians, 20% pediatricians, and 34% nurse
   practitioners) who treat adolescents completed an online survey in April
   2013.
   Results: Nearly all providers (92%) were aware of e-cigarettes, and 11%
   reported having treated an adolescent patient who had used them. The
   most frequently cited sources of information about e-cigarettes were
   patients, news stories, and advertisements, rather than professional
   sources. Providers expressed considerable concern that e-cigarettes
   could be a gateway to tobacco use but had moderately low levels of
   knowledge about and comfort discussing e-cigarettes with adolescent
   patients and their parents. Compared with pediatricians and nurse
   practitioners, family medicine physicians reported knowing more about
   e-cigarettes and being more comfortable discussing them with patients
   (both p < .05). Nearly all respondents (92%) wanted to learn more about
   e-cigarettes.
   Conclusions: Healthcare providers who treat adolescents may need to
   incorporate screening and counseling about e-cigarettes into routine
   preventive services, particularly if the prevalence of use continues to
   increase in this population. Education about e-cigarettes could help
   providers deliver comprehensive preventive services to adolescents at
   risk of tobacco use. (C) 2014 Society for Adolescent Health and
   Medicine. All rights reserved.
OI McRee, Annie-Laurie/0000-0001-6588-5995; Pepper,
   Jessica/0000-0002-3019-9052
TC 72
ZS 0
ZR 0
ZB 14
Z8 0
ZA 0
Z9 72
U1 0
U2 21
SN 1054-139X
EI 1879-1972
UT WOS:000336517400008
PM 24332394
ER

PT J
AU Phillips, Jane L.
   Heneka, Nicole
   Hickman, Louise
   Lam, Lawrence
   Shaw, Tim
TI Impact of a novel online learning module on specialist palliative care
   nurses' pain assessment competencies and patients' reports of pain:
   Results from a quasi-experimental pilot study
SO PALLIATIVE MEDICINE
VL 28
IS 6
BP 521
EP 529
DI 10.1177/0269216314527780
PD JUN 2014
PY 2014
AB Background: Pain is a complex multidimensional phenomenon moderated by
   consumer, provider and health system factors. Effective pain management
   cuts across professional boundaries, with failure to screen and assess
   contributing to the burden of unrelieved pain.
   Aim: To test the impact of an online pain assessment learning module on
   specialist palliative care nurses' pain assessment competencies, and to
   determine whether this education impacted positively on palliative care
   patients' reported pain ratings.
   Design: A quasi-experimental pain assessment education pilot study
   utilising 'Qstream (c)', an online methodology to deliver II case-based
   pain assessment learning scenarios, developed by an interdisciplinary
   expert panel and delivered to participants' work emails over a 28-day
   period in mid-2012. The 'Self-Perceived Pain Assessment Competencies'
   survey and chart audit data, including patient-reported pain intensity
   ratings, were collected pre-intervention (TI) and post-intervention (T2)
   and analysed using inferential statistics to determine key outcomes.
   Setting/participants: Nurses working at two Australian inpatient
   specialist palliative care services in 2012.
   Results: The results reported conform to the Strengthening the Reporting
   of Observational Studies in Epidemiology (STROBE) Guidelines.
   Participants who completed the education intervention (n = 34) increased
   their pain assessment knowledge, assessment tool knowledge and
   confidence to undertake a pain assessment (p < 0.001). Participants were
   more likely to document pain intensity scores in patients' medical
   records than non-participants (95% confidence interval = 7.3%-22.7%, p =
   0.021). There was also a significant reduction in the mean
   patient-reported pain ratings between the admission and audit date at
   post-test of 1.5 (95% confidence interval = 0.7-2.3) units in pain
   score.
   Conclusion: This pilot confers confidence of the education interventions
   capacity to improve specialist palliative care nurses' pain assessment
   practices and to reduce patient-rated pain intensity scores.
RI Phillips, Jane/A-7780-2015; Heneka, Nicole/AAP-1807-2021; Hickman, Louise D/AAV-1449-2020; Lam, Lawrence T./
OI Phillips, Jane/0000-0002-3691-8230; Heneka, Nicole/0000-0001-8102-1871;
   Hickman, Louise D/0000-0002-5116-6559; Lam, Lawrence
   T./0000-0001-6183-6854
TC 23
ZR 0
ZA 0
Z8 1
ZS 0
ZB 1
Z9 23
U1 2
U2 11
SN 0269-2163
EI 1477-030X
UT WOS:000337258800008
PM 24685649
ER

PT J
AU Dopelt, Keren
   Davidovitch, Nadav
   Yahav, Zehava
   Urkin, Jacob
   Bachner, Yaacov G.
TI Reducing health disparities: The social role of medical schools
SO MEDICAL TEACHER
VL 36
IS 6
BP 511
EP 517
DI 10.3109/0142159X.2014.891006
PD JUN 2014
PY 2014
AB Introduction: Medical education based on the principles of social
   medicine can contribute toward reducing health disparities through the
   "creation" of doctors who are more involved in community programs.
   Purpose: This study compared the social medicine orientation of
   graduates from various medical schools in Israel.
   Methods: The authors conducted an online cross-sectional survey in May
   2011 among physicians who are graduates of Israeli medical schools.
   Results: The study included 1050 physicians practicing medicine in
   Israel: 36% who are graduates from the Hebrew University, 26% from Tel
   Aviv University, 22% from the Technion and 16% from Ben-Gurion
   University. A greater percentage of physicians who studied either at the
   Technion or Ben-Gurion are working or have worked in the periphery
   (similar to 50% vs. similar to 30% at the Hebrew and Tel Aviv
   Universities). Among Ben-Gurion graduates, 47% are active in social
   medicine programs vs. 34-38% from other schools. Among physicians active
   in social medicine programs, 32% of Ben-Gurion alumni estimated that
   their medical education greatly influenced their social medicine
   involvement vs. 8-15% from other schools. Hebrew University alumni
   described their studies as more research-oriented. In contrast,
   Ben-Gurion graduates described their studies as more social
   medicine-oriented and they exhibited more positive attitudes about the
   role of physicians in reducing health disparities.
   Discussion: Social medicine-oriented medical education induces a
   socialization process reinforcing human values regarding doctor-patient
   relationships and produces positive attitudes among future doctors about
   social involvement. Findings emphasize the need to develop educational
   programs with this orientation and to strengthen medical schools in the
   periphery.
RI BACHNER, YAACOV G/F-1460-2012; Dopelt, Keren/
OI BACHNER, YAACOV G/0000-0002-8441-853X; Dopelt, Keren/0000-0003-4922-4155
ZB 0
ZA 0
Z8 0
ZR 0
TC 9
ZS 0
Z9 9
U1 0
U2 8
SN 0142-159X
EI 1466-187X
UT WOS:000336908900008
PM 24796237
ER

PT J
AU Collins, Lauren
   Sato, Rino
   LaNoue, Marianna
   Michaluk, Lisa
   Verma, Manisha
TI Impact of a Patient-Centered Medical Home Clerkship Curriculum
SO FAMILY MEDICINE
VL 46
IS 6
BP 440
EP 446
PD JUN 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: The purpose of this study was to assess the
   impact of a patient-centered medical home (PCMH) curriculum introduced
   in a family medicine clerkship in 2011-2012. This new curriculum
   introduced third-year students to the PCMH using a variety of
   interactive educational formats, including case-based, online, and
   experiential PCMH activities.
   METHODS: Qualitative analysis of student reflection essays explored
   themes based on PCMH experiences during family medicine clerkships.
   RESULTS: Pre-curricular needs assessment revealed an important gap in
   students' exposure to and knowledge of PCMH concepts consistent with
   existing literature. Qualitative thematic analysis examined students'
   perceptions of patient experiences in PCMH practices but also revealed
   rich, unprompted, and very positive perceptions of student and provider
   roles and system-based changes in the PCMH model. Only 2.3% of coded
   references (n=10, out of 435) described "negative" emotional reactions
   to PCMH experiences. More than half of student essays described
   important changes in self-assessed knowledge, skills, and attitudes,
   another significant and unexpected result.
   CONCLUSIONS: Successful implementation of innovative PCMH curricula is
   key to preparing a workforce ready to practice in a new model of health
   care delivery. This qualitative study demonstrates that an experiential
   PCMH curriculum can enhance third-year medical student self-assessed
   knowledge of and attitudes toward the PCMH and may improve perceptions
   of a career in primary care.
OI Seedor, Rino/0000-0002-8494-3289
ZS 0
ZB 0
ZR 0
TC 3
ZA 0
Z8 0
Z9 3
U1 2
U2 7
SN 0742-3225
EI 1938-3800
UT WOS:000336826700006
PM 24911299
ER

PT J
AU Simon, Melissa A.
   de la Riva, Erika E.
   Bergan, Raymond
   Norbeck, Carrie
   McKoy, June M.
   Kulesza, Piotr
   Dong, XinQi
   Schink, Julian
   Fleisher, Linda
TI Improving Diversity in Cancer Research Trials: The Story of the Cancer
   Disparities Research Network
SO JOURNAL OF CANCER EDUCATION
VL 29
IS 2
BP 366
EP 374
DI 10.1007/s13187-014-0617-y
PD JUN 2014
PY 2014
AB The participation of racial and ethnic minorities and underserved
   populations in clinical trials is a critical link between scientific
   innovation and improvements in health care delivery and health outcomes.
   However, these population groups continue to be underrepresented in
   research. We describe the development of the Cancer Disparities Research
   Network (CDRN) to improve minority and underserved populations'
   participation in biobanking research. Between February and October 2011,
   we conducted a regional assessment to identify challenges and
   opportunities for cancer trials and biobanking research across the CDRN.
   Representatives from ten CDRN biorepository facilities completed an
   online survey assessing their facilities' minority biospecimen
   collection, biobanking practices, and education/outreach initiatives.
   Representatives of eight facilities also participated in stakeholder
   interviews. The majority (70 %) of facilities reported that specimens
   were available for research, although only one tenth of these specimens
   were from non-White patients. Most facilities collected a patient's age,
   gender, race, medical history, and ethnicity with samples; however, less
   than half also collected family health history, education level,
   household income, or primary language spoken. In addition, few
   institutions collected Asian or Hispanic subgroup information. Only a
   few reported biospecimen collection outreach programs specifically
   targeting minority and underserved populations. Biospecimen directors
   and administrators indicated that funding, biospecimen sharing
   procedures, and standardization barriers limited their facilities from
   collaborating in biospecimen collection programs, despite their great
   interest. These findings suggest that the CDRN can provide opportunities
   for collaboration, resource sharing, and fostering of research ideas to
   address cancer disparities in biospecimen research.
RI MCKOY, JUNE/GRJ-5660-2022
Z8 0
TC 20
ZS 0
ZB 7
ZR 0
ZA 0
Z9 20
U1 1
U2 10
SN 0885-8195
EI 1543-0154
UT WOS:000336390600027
PM 24519744
ER

PT J
AU Pucer, Patrik
   Trobec, Irena
   Zvanut, Bostjan
TI An information communication technology based approach for the
   acquisition of critical thinking skills
SO NURSE EDUCATION TODAY
VL 34
IS 6
BP 964
EP 970
DI 10.1016/j.nedt.2014.01.011
PD JUN 2014
PY 2014
AB Background: Both academics and practitioners agree that critical
   thinking skills are necessary to provide safe and comprehensive nursing
   care. In order to promote the development of critical thinking, nurse
   educators need to keep the teaching/learning process captivating and
   interesting using active learning environments. These can be implemented
   by using modern information and communication technologies that are
   simple, fun, and time and cost effective.
   Objectives: The goal of our study was to design and test an approach,
   which allows individual and fast acquisition of critical thinking skills
   with the use of information and communication technology.
   Design: A combination of qualitative and quantitative research design
   was implemented. The study consisted of a quasi-experiment (phases 1-3):
   (1) pre-test discussion board, (2) use of e-contents based on the
   presented approach, and (3) post-test discussion board. The
   participants' opinion about the presented approach was identified in
   phase 4.
   Settings: The study was performed in May 2012 during the course "Ethics
   and Philosophy in Nursing" at the Faculty of Health Sciences, University
   of Primorska, Slovenia.
   Participants: Forty first-year undergraduate nursing students.
   Methods: Qualitative analysis of the discussion boards (phases 1,3) and
   an anonymous survey with open- and closed-ended questions (phase 4).
   Results: Qualitative analysis of the discussion boards showed a
   significant (p < 0.001) improvement in the percentage of posts (12.2%)
   for which the opinions and conclusions of the participants were
   justified with valid arguments. The survey results indicated that
   participants perceived the e-contents based on the presented approach as
   useful, and that they improved their critical thinking skills.
   Conclusions: Repeated confirmation of the validity of the presented
   approach through methodological triangulation represents a strong
   indication that the presented approach is a valuable tool to develop
   nursing students' critical thinking skills. (C) 2014 Elsevier Ltd. All
   rights reserved.
ZA 0
Z8 1
ZR 0
TC 27
ZS 2
ZB 0
Z9 28
U1 1
U2 67
SN 0260-6917
EI 1532-2793
UT WOS:000336951700016
PM 24581890
ER

PT J
AU Kiesewetter, Jan
   Kager, Moritz
   Lux, Richard
   Zwissler, Bernhard
   Fischer, Martin R.
   Dietz, Isabel
TI German undergraduate medical students' attitudes and needs regarding
   medical errors and patient safety - A national survey in Germany
SO MEDICAL TEACHER
VL 36
IS 6
BP 505
EP 510
DI 10.3109/0142159X.2014.891008
PD JUN 2014
PY 2014
AB Introduction: Errors in medicine and patient safety are topics with
   growing scientific and public attention. In undergraduate medical
   education, these issues are little investigated so far. The aim of this
   study was to collect data regarding attitudes and needs of medical
   students.
   Methods: In a sample of 269 German medical students, data were collected
   using an anonymous online questionnaire. It consisted of three parts:
   (1) international validated questionnaire, (2) questions about the
   German medical education system and (3) demographic data. Data were
   analysed quantitatively and qualitatively.
   Results: One-hundred sixty-seven data sets were analysed (completion
   rate 62%). Twenty-five percent of the respondents stated that they
   already had committed a medical error. Almost half of the participants
   reported that they had been assigned tasks they had not been qualified
   for (47%), or where medical errors could have happened easily (50%).
   Final year students showed less confidence in error disclosure compared
   to younger students (p<0.001). The majority of respondents (64%) wished
   for more education on the issues.
   Discussion: With regard to future curricular developments, a
   consideration of attitudes and needs of medical students regarding the
   topics of medical errors and patient safety seems necessary. A
   goal-directed undergraduate education can promote an open culture and
   can lead to safety and satisfaction for both patients and medical
   professionals.
RI Kiesewetter, Jan/AFQ-5216-2022
OI Kiesewetter, Jan/0000-0001-8165-402X
ZS 0
Z8 0
ZA 0
TC 28
ZR 0
ZB 3
Z9 28
U1 0
U2 8
SN 0142-159X
EI 1466-187X
UT WOS:000336908900007
PM 24597660
ER

PT J
AU Alvarez-Jimenez, M.
   Alcazar-Corcoles, M. A.
   Gonzalez-Blanch, C.
   Bendall, S.
   McGorry, P. D.
   Gleeson, J. F.
TI Online, social media and mobile technologies for psychosis treatment: A
   systematic review on novel user-led interventions
SO SCHIZOPHRENIA RESEARCH
VL 156
IS 1
BP 96
EP 106
DI 10.1016/j.schres.2014.03.021
PD JUN 2014
PY 2014
AB Background: Internet and mobile-based interventions provide a unique
   opportunity to deliver cost-effective, accessible, time-unlimited
   support to people with psychosis. The aims of this study were to
   systematically compile and analyze the evidence on the acceptability,
   feasibility, safety and benefits of online and mobile-based
   interventions for psychosis.
   Methods: Systematic review of peer-reviewed studies examining the
   usability, acceptability, feasibility, safety or efficacy of user-led,
   Internet or mobile-based interventions, with at least 80% of
   participants diagnosed with schizophrenia-spectrum disorders.
   Results: Of 38 potentially relevant articles, 12 were eligible for
   inclusion. Interventions included web-based psycho-education; web-based
   psycho-education plus moderated forums for patients and supporters;
   integrated web-based therapy, social networking and peer and expert
   moderation; web-based CBT; personalized advice based on clinical
   monitoring; and text messaging interventions. Results showed that 74-86%
   of patients used the web-based interventions efficiently, 75-92%
   perceived them as positive and useful, and 70-86% completed or were
   engaged with the interventions over the follow-up. Preliminary evidence
   indicated that online and mobile-based interventions show promise in
   improving positive psychotic symptoms, hospital admissions,
   socialization, social connectedness, depression and medication
   adherence.
   Conclusions: Internet and mobile-based interventions for psychosis seem
   to be acceptable and feasible and have the potential to improve clinical
   and social outcomes. The heterogeneity, poor quality and early state of
   current research precludes any definite conclusions. Future research
   should investigate the efficacy of online and mobile interventions
   through controlled, well-powered studies, which investigate intervention
   and patient factors associated with take-up and intervention effects.
   (C) 2014 Elsevier B. V. All rights reserved.
RI Alvarez-Jimenez, Mario/G-4691-2013; Alcázar-Córcoles, Miguel Ángel/AAE-5735-2020; McGorry, Patrick/O-4115-2019; Gleeson, John F/I-1977-2018; Gonzalez-Blanch, Cesar/AAA-6065-2019; Alcázar-Córcoles, Miguel Ángel/C-4012-2011; McGorry, Patrick/; Bendall, Sarah/; Gonzalez-Blanch, Cesar/
OI Alvarez-Jimenez, Mario/0000-0002-3535-9086; Alcázar-Córcoles, Miguel
   Ángel/0000-0003-1650-2606; Gleeson, John F/0000-0001-7969-492X;
   Alcázar-Córcoles, Miguel Ángel/0000-0003-1650-2606; McGorry,
   Patrick/0000-0002-3789-6168; Bendall, Sarah/0000-0003-1486-6190;
   Gonzalez-Blanch, Cesar/0000-0002-3181-4731
ZR 0
TC 192
Z8 1
ZB 35
ZS 2
ZA 0
Z9 193
U1 2
U2 117
SN 0920-9964
EI 1573-2509
UT WOS:000335452000016
PM 24746468
ER

PT J
AU Punj, Puvesh
   Devitt, Peter G.
   Coventry, Brendon J.
   Whitfield, Robert J.
TI Palpation as a useful diagnostic tool for skin lesions
SO JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
VL 67
IS 6
BP 804
EP 807
DI 10.1016/j.bjps.2014.02.009
PD JUN 2014
PY 2014
AB Introduction: Early identification and accurate diagnosis of malignant
   pigmented skin lesions is essential for effective management and cost
   containment. The aim was to investigate the additional value of tactile
   descriptive information from lesion palpation on the diagnostic accuracy
   of pigmented skin lesions by medical students using computer-driven
   learning.
   Methods: Sixth year medical students (n = 152) from the University of
   Adelaide were invited to participate in an online teaching module on
   pigmented skin lesions. Users were asked to describe, diagnose and
   manage 15 pigmented skin lesions in three separate case studies based on
   pertinent clinical history and visual images of the lesions. Tactile
   descriptive information was then provided and users were asked to
   reflect on their diagnosis and management.
   Results: A total of 66 (43%) of the sixth year students successfully
   completed the online module. Diagnostic accuracy improved significantly
   with the provision of tactile descriptive information for seborrhoeic
   keratosis (p = 0.012), basal cell carcinoma (p = 0.001), squamous cell
   carcinoma (p = 0.02), and dysplastic naevi (p = 0.035). Tactile
   descriptive information was stated by 23% of medical students to be
   important in the clinical diagnosis of pigmented skin lesion. Students
   managed all malignant pigmented skin lesions with either appropriate
   biopsy or specialist referral.
   Conclusions: Palpation information about skin lesions offers useful
   information for improvement of diagnostic accuracy in an online computer
   learning setting for medical students. (C) 2014 British Association of
   Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier
   Ltd. All rights reserved.
Z8 0
ZR 0
TC 6
ZB 0
ZS 0
ZA 0
Z9 7
U1 0
U2 2
SN 1748-6815
EI 1878-0539
UT WOS:000336443300018
PM 24618228
ER

PT J
AU Turnbull, Alison E.
   Krall, Jenna R.
   Ruhl, A. Parker
   Curtis, J. Randall
   Halpern, Scott D.
   Lau, Bryan M.
   Needham, Dale M.
TI A Scenario-Based, Randomized Trial of Patient Values and Functional
   Prognosis on Intensivist Intent to Discuss Withdrawing Life Support
SO CRITICAL CARE MEDICINE
VL 42
IS 6
BP 1455
EP 1462
DI 10.1097/CCM.0000000000000227
PD JUN 2014
PY 2014
AB Objectives: To evaluate the effect of 1) patient values as expressed by
   family members and 2) a requirement to document patients' functional
   prognosis on intensivists' intention to discuss withdrawal of life
   support in a hypothetical family meeting.
   Design: A three-armed, randomized trial.
   Setting: One hundred seventy-nine U.S. hospitals with training programs
   in critical care accredited by the Accreditation Council for Graduate
   Medical Education.
   Subjects: Six hundred thirty intensivists recruited via e-mail
   invitation from a database of 1,850 eligible academic intensivists.
   Interventions: Each intensivist was randomized to review 10, online,
   clinical scenarios with a range of illness severities involving a
   hypothetical patient (Mrs. X). In control-group scenarios, the patient
   did not want continued life support without a reasonable chance of
   independent living. In the first experimental arm, the patient wanted
   life support regardless of functional outcome. In the second
   experimental arm, patient values were identical to the control group,
   but intensivists were required to record the patient's estimated 3-month
   functional prognosis.
   Measurements and Main Results: Response to the question: Would you bring
   up the possibility of withdrawing life support with Mrs. X's family?
   answered using a five-point Likert scale. There was no effect of patient
   values on whether intensivists intended to discuss withdrawal of life
   support (p = 0.81), but intensivists randomized to record functional
   prognosis were 49% more likely (95% CI, 20-85%) to discuss withdrawal.
   Conclusions: In this national, scenario-based, randomized trial, patient
   values had no effect on intensivists' decisions to discuss withdrawal of
   life support with family. However, requiring intensivists to record
   patients' estimated 3-month functional outcome substantially increased
   their intention to discuss withdrawal.
RI Krall, Jenna/P-1288-2018; Turnbull, Alison/; Curtis, J. Randall/
OI Krall, Jenna/0000-0002-6836-149X; Turnbull, Alison/0000-0002-1564-6547;
   Curtis, J. Randall/0000-0001-9529-845X
ZR 0
ZA 0
TC 37
ZS 0
ZB 2
Z8 0
Z9 37
U1 0
U2 8
SN 0090-3493
EI 1530-0293
UT WOS:000336266900031
PM 24584065
ER

PT J
AU Reese, Sara M.
   Gilmartin, Heather
   Rich, Karen L.
   Price, Connie S.
TI Infection prevention needs assessment in Colorado hospitals: Rural and
   urban settings
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 42
IS 6
BP 597
EP 601
DI 10.1016/j.ajic.2014.03.004
PD JUN 2014
PY 2014
AB Background: The purpose of our study was to conduct a needs assessment
   for infection prevention programs in both rural and urban hospitals in
   Colorado.
   Methods: Infection control professionals (ICPs) from Colorado hospitals
   participated in an online survey on training, personnel, and experience;
   ICP time allocation; and types of surveillance. Responses were evaluated
   and compared based on hospital status (rural or urban). Additionally,
   rural ICPs participated in an interview about resources and training.
   Results: Surveys were received from 62 hospitals (77.5% response); 33
   rural (75.0% response) and 29 urban (80.6% response). Fifty-two percent
   of rural ICPs reported multiple job responsibilities compared with 17.2%
   of urban ICPs. Median length of experience for rural ICPs was 4.0 years
   compared with 11.5 years for urban ICPs (P = .008). Fifty-one percent of
   rural ICPs reported no access to infectious disease physicians (0.0%
   urban) and 81.8% of rural hospitals reported no antimicrobial
   stewardship programs (31.0% urban). Through the interviews it was
   revealed that priorities for rural ICPs were training and communication.
   Conclusions: Our study revealed numerous differences between infection
   prevention programs in rural versus urban hospitals. An infection
   prevention outreach program established in Colorado could potentially
   address the challenges faced by rural hospital infection prevention
   departments. Copyright (C) 2014 by the Association for Professionals in
   Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All
   rights reserved.
OI Gilmartin, Heather/0000-0002-0264-4059
ZS 1
ZB 7
ZR 0
TC 10
Z8 0
ZA 0
Z9 10
U1 2
U2 5
SN 0196-6553
EI 1527-3296
UT WOS:000335905500006
PM 24837109
ER

PT J
AU Madeo, Anne C.
   Tercyak, Kenneth P.
   Tarini, Beth A.
   McBride, Colleen M.
TI Effects of Undergoing Multiplex Genetic Susceptibility Testing on Parent
   Attitudes towards Testing Their Children
SO ANNALS OF BEHAVIORAL MEDICINE
VL 47
IS 3
BP 388
EP 394
DI 10.1007/s12160-013-9553-z
PD JUN 2014
PY 2014
AB Parents may pursue common disease risk information about themselves via
   multiplex genetic susceptibility testing (MGST) for their children.
   To prospectively assess whether parents who received MGST disclosed
   their test results to their child, intended to change the child's health
   habits, or have the child tested.
   Eighty parents who opted for free MGST completed an online survey about
   a child in their household before undergoing MGST and a follow-up
   telephone survey 3 months after receiving results.
   Few parents (21 %) disclosed results to the child. Undergoing MGST was
   unrelated to intentions to change the child's health habits but did
   increase parental willingness to test the child. Greater willingness to
   test a child was associated with positive attitudes toward pediatric
   genetic testing and intentions to change the child's health habits.
   The experience of receiving MGST had little impact on parents'
   perceptions or behaviors related to their minor child.
RI Madeo, Anne C/AAA-6186-2022; MADEO, ANNE/; Tarini, Beth/
OI MADEO, ANNE/0000-0003-2048-9491; Tarini, Beth/0000-0003-4272-8668
ZS 0
Z8 0
ZR 0
ZB 1
ZA 0
TC 4
Z9 4
U1 0
U2 1
SN 0883-6612
EI 1532-4796
UT WOS:000335652500016
PM 24338635
ER

PT J
AU Farrer, Louise M.
   Griffiths, Kathleen M.
   Christensen, Helen
   Mackinnon, Andrew J.
   Batterham, Philip J.
TI Predictors of Adherence and Outcome in Internet-Based Cognitive Behavior
   Therapy Delivered in a Telephone Counseling Setting
SO COGNITIVE THERAPY AND RESEARCH
VL 38
IS 3
BP 358
EP 367
DI 10.1007/s10608-013-9589-1
PD JUN 2014
PY 2014
AB This study investigated predictors of adherence and outcome in a sample
   of callers to a national crisis telephone counseling service who were
   randomized to receive a 6-week, online, self-administered
   psychoeducation and cognitive behavioral therapy (CBT) intervention.
   Age, sex, relationship status, employment status, level of education,
   baseline depression symptom severity, and motivation to undertake the
   intervention were examined as predictors of adherence to the
   intervention in participants assigned to receive the online intervention
   (n = 83). Predictors of depression outcome were assessed using mixed
   models repeated measures ANOVA, comparing the two web-CBT intervention
   groups to the tracking and control groups (n = 155). Lower baseline
   depression severity was significantly associated with greater adherence
   to the intervention. A significant interaction was found between
   measurement occasion and motivation to undertake the intervention. At 6
   month follow-up, participants with low and moderate levels of motivation
   had lower depressive symptoms than those with high levels of motivation.
   At 12 month follow-up, those with moderate levels of motivation had
   lower depressive symptoms than those with high motivation. The findings
   suggest that lower pre-intervention depression symptoms may positively
   influence adherence to online treatment for depression, while low and
   moderate levels of motivation appear to be optimal for treatment
   outcome. The factors that relate to adherence and outcome need to be
   understood to prevent dropout and maximize treatment effectiveness in
   online interventions.
RI Christensen, Helen/F-5053-2012; Batterham, Philip/; Mackinnon, Andrew/
OI Christensen, Helen/0000-0003-0435-2065; Batterham,
   Philip/0000-0002-4547-6876; Mackinnon, Andrew/0000-0003-0831-9801
ZA 0
ZB 8
ZS 0
Z8 0
ZR 0
TC 28
Z9 28
U1 0
U2 36
SN 0147-5916
EI 1573-2819
UT WOS:000335657900011
ER

PT J
AU Luckett, Tim
   Davidson, Patricia Mary
   Boyle, Frances
   Liauw, Winston
   Agar, Meera
   Green, Anna
   Lovell, Melanie
CA ImPaCCT Improving Palliative Care
   PoCoG Psychooncology Cooperative
TI Australian survey of current practice and guideline use in adult cancer
   pain assessment and management: Perspectives of oncologists
SO ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
VL 10
IS 2
BP E99
EP E107
DI 10.1111/ajco.12040
PD JUN 2014
PY 2014
AB Aims Cancer pain continues to be undertreated in up to half of cases,
   despite the availability of evidence-based guidelines. This study aimed
   to: (i) identify barriers and facilitators to adult cancer pain
   assessment and management, as perceived by Australian health
   professionals; (ii) establish the perceived need for new Australian
   guidelines and implementation strategy; (iii) identify which guidelines
   are used; (iv) identify barriers and facilitators to guideline use. This
   article focuses on the perceptions of responding oncologists. Methods A
   cross-sectional survey was administered online. Invitations were
   circulated via peak bodies and clinical leaders. Comments were coded
   independently by two researchers. Results In all 76 oncologists
   self-reported high concordance with evidence-based recommendations,
   except validated pain scales. Perceived barriers to pain management
   included insufficient non-pharmacological interventions, access to
   /coordination between services, and time. Only 22 percent of respondents
   reported using pain guidelines. Perceived barriers to guideline use
   included lack of access, awareness and any single standard. Respondents
   were generally supportive of new Australian guidelines and especially an
   implementation strategy. Conclusion Barriers to evidence-based practice
   and guideline use identified by our survey might be addressed via a
   clinical pathway that gives step-by-step guidance on evidence-based
   practice along with a framework for evaluation. Particular attention
   should be paid to promoting use of validated scales, patient education
   and non-pharmacological interventions, training of an appropriately
   skilled workforce and improving care coordination. Challenges are
   discussed.
RI Agar, Meera/AAI-4002-2021; Green, Anna/ABA-2015-2021; Luckett, Tim/; Lovell, Melanie Ruth/; Davidson, Patricia M./; Green, Anna/
OI Agar, Meera/0000-0002-6756-6119; Luckett, Tim/0000-0001-6121-5409;
   Lovell, Melanie Ruth/0000-0002-1407-2748; Davidson, Patricia
   M./0000-0003-2050-1534; Green, Anna/0000-0002-7541-3665
ZR 0
Z8 0
ZB 1
ZS 0
ZA 0
TC 19
Z9 19
U1 0
U2 7
SN 1743-7555
EI 1743-7563
UT WOS:000337538200015
PM 23253101
ER

PT J
AU Stanford, Fatima Cody
   Durkin, Martin W.
   Stallworth, James Rast
   Powell, Caroline Keller
   Poston, Mary Beth
   Blair, Steven N.
TI Factors that Influence Physicians' and Medical Students' Confidence in
   Counseling Patients About Physical Activity
SO JOURNAL OF PRIMARY PREVENTION
VL 35
IS 3
BP 193
EP 201
DI 10.1007/s10935-014-0345-4
PD JUN 2014
PY 2014
AB Less than half of US adults and two-thirds of US high school students do
   not meet current US guidelines for physical activity. We examined which
   factors promoted physicians' and medical students' confidence in
   counseling patients about physical activity. We established an online
   exercise survey targeting attending physicians, resident and fellow
   physicians, and medical students to determine their current level of
   physical activity and confidence in counseling patients about physical
   activity. We compared their personal level of physical activity with the
   2008 Physical Activity Guidelines of the US Department of Health and
   Human Services (USDHHS). We administered a survey in 2009 and 2010 that
   used the short form of the International Physical Activity
   Questionnaire. A total of 1,949 individuals responded to the survey, of
   whom 1,751 (i.e., 566 attending physicians, 138 fellow physicians, 806
   resident physicians, and 215 medical students) were included in this
   analysis. After adjusting for their BMI, the odds that physicians and
   medical students who met USDHHS guidelines for vigorous activity would
   express confidence in their ability to provide exercise counseling were
   more than twice that of physicians who did not meet these guidelines.
   Individuals who were overweight were less likely to be confident than
   those with normal BMI, after adjusting for whether they met the vigorous
   exercise guidelines. Physicians with obesity were even less likely to
   express confidence in regards to exercise counseling. We conclude that
   physicians and medical students who had a normal BMI and met vigorous
   USDHHS guidelines were more likely to feel confident about counseling
   their patients about physical activity. Our findings suggest that
   graduate medical school education should focus on health promotion in
   their students, as this will likely lead to improved health behaviors in
   their students' patient populations.
RI Stanford, Fatima Cody/H-3953-2019
OI Stanford, Fatima Cody/0000-0003-4616-533X
ZB 3
ZA 0
ZR 0
Z8 0
TC 36
ZS 1
Z9 37
U1 0
U2 31
SN 0278-095X
EI 1573-6547
UT WOS:000334938400006
PM 24682887
ER

PT J
AU Settapat, Sittapong
   Achalakul, Tiranee
   Ohkura, Michiko
TI Web-based 3D medical image visualization framework for biomedical
   engineering education
SO COMPUTER APPLICATIONS IN ENGINEERING EDUCATION
VL 22
IS 2
BP 216
EP 226
DI 10.1002/cae.20548
PD JUN 2014
PY 2014
AB Medical imaging is one of the major fields in the multi-disciplinary
   curriculum of biomedical engineering (BME). Biomedical engineers from
   different backgrounds need to understand biology in order to be able to
   develop effective equipment to improve healthcare diagnosis through
   medical images. Visualization tools are important in the learning
   process to improve biomedical engineer's understanding of medical
   imagery. In this work, we design a web-based 3D medical image
   visualization framework that can be used to improve medical image
   understanding in biology and anatomy. Our proposed framework provides
   not only 3D visualization, but also 3D reconstruction for medical
   images. This paper describes the design framework and the technology
   integration, as well as the implementation details. The developed system
   has been used as an educational tool prototype in a BME department. In
   order to evaluate the tool's usability, we tested it with BME students
   as well as doctors. We compared a conventional 2D visualization
   application and our proposed method with regard to system efficiency and
   user satisfaction. The 3D system generally demonstrated better
   performance and a higher level of satisfaction. The students were able
   to use our 3D tool to study 2D images effectively without prior
   background knowledge in anatomy. (c) 2011 Wiley Periodicals, Inc. Comput
   Appl Eng Educ 22:216-226, 2014; View this article online at ; DOI
OI Ohkura, Michiko/0000-0002-2652-0499
Z8 0
ZA 0
ZB 0
ZR 0
TC 7
ZS 0
Z9 7
U1 0
U2 29
SN 1061-3773
EI 1099-0542
UT WOS:000334928900005
ER

PT J
AU Ray, Sumantra
   Laur, Celia
   Douglas, Pauline
   Rajput-Ray, Minha
   van der Es, Mike
   Redmond, Jean
   Eden, Timothy
   Sayegh, Marietta
   Minns, Laura
   Griffin, Kate
   McMillan, Colin
   Adiamah, Alfred
   Gillam, Stephen
   Gandy, Joan
TI Nutrition education and leadership for improved clinical outcomes:
   training and supporting junior doctors to run 'Nutrition Awareness
   Weeks' in three NHS hospitals across England
SO BMC MEDICAL EDUCATION
VL 14
AR 109
DI 10.1186/1472-6920-14-109
PD MAY 29 2014
PY 2014
AB Background: One in four adults are estimated to be at medium to high
   risk of malnutrition when screened using the 'Malnutrition Universal
   Screening Tool' upon admission to hospital in the United Kingdom. The
   Need for Nutrition Education/Education Programme (NNEdPro) Group was
   developed to address this issue and the Nutrition Education and
   Leadership for Improved Clinical Outcomes (NELICO) is a project within
   this group.
   The objective of NELICO was to assess whether an intensive training
   intervention combining clinical and public health nutrition,
   organisational management and leadership strategies, could equip junior
   doctors to contribute to improvement in nutrition awareness among
   healthcare professionals in the National Health Service in England.
   Methods: Three junior doctors were self-selected from the NNEdPro Group
   original training. Each junior doctor recruited three additional team
   members to attend an intensive training weekend incorporating nutrition,
   change management and leadership. This equipped them to run nutrition
   awareness weeks in their respective hospitals. Knowledge, attitudes and
   practices were evaluated at baseline as well as one and four months
   post-training as a quality assurance measure. The number and type of
   educational events held, pre-awareness week Online Hospital Survey
   results, attendance and qualitative feedback from training sessions,
   effectiveness of dissemination methods such as awareness stalls,
   Hospital Nutrition Attitude Survey results and overall feedback were
   also used to determine impact.
   Results: When the weighted average score for knowledge, attitudes and
   practices at baseline was compared with four months post-intervention
   scores, there was a significant increase in the overall score (p =
   0.03). All three hospital teams conducted an effective nutrition
   awareness week, as determined by qualitative data collected from
   interviews and feedback from educational sessions.
   Conclusion: The NELICO project and its resulting nutrition awareness
   weeks were considered innovative in terms of concept and content. It was
   considered useful, both for the junior doctors who showed improvement in
   their nutrition knowledge and reported enthusiasm and for the hospital
   setting, increasing awareness of clinical and public health nutrition
   among healthcare professionals. The NELICO project is one innovative
   method to promote nutrition awareness in tomorrow's doctors and shows
   they have the enthusiasm and drive to be nutrition champions.
OI Adiamah, Alfred/0000-0002-0624-6197; Laur, Celia/0000-0003-4555-1407
ZS 0
Z8 0
ZB 5
TC 14
ZA 0
ZR 0
Z9 14
U1 0
U2 11
SN 1472-6920
UT WOS:000337314500001
PM 24885676
ER

PT J
AU Brown, Nicola
   White, Jennifer
   Brasher, Amanda
   Scurr, Joanna
TI An investigation into breast support and sports bra use in female
   runners of the 2012 London Marathon
SO JOURNAL OF SPORTS SCIENCES
VL 32
IS 9
BP 801
EP 809
DI 10.1080/02640414.2013.844348
PD MAY 28 2014
PY 2014
AB Although it is acknowledged that appropriate breast support during
   exercise is important, no published literature has assessed breast
   support usage in a cohort of female marathon runners. This study aimed
   to identify sport bra use and perceived importance of sports bra use in
   female marathon runners. Bra satisfaction, incidence of bra related
   issues and factors that influence the appropriateness of sports bras
   were also investigated. A 4-part, 30-question survey was administered to
   1397 female runners at the 2012 London marathon registration and via an
   online survey. In total 1285 surveys were completed. Sports bra use and
   its perceived importance was high, however was lower in moderate
   compared to vigorous activity, and lower in participants with smaller
   breasts. Seventy-five per cent of participants reported bra fit issues.
   The most common issues were chaffing and shoulder straps digging in,
   with a higher incidence of issues reported by participants with larger
   breasts. Use of professional bra fitting was low, and perceived
   knowledge of breast health was poor. Engagement with sports bra use is
   high although sports bra design could be improved to alleviate bra fit
   issues experienced by female runners. Educational initiatives are needed
   to ensure females are informed regarding the importance of breast
   support and appropriate bra fit during activity.
OI Wakefield-Scurr, joanna/0000-0001-6691-6239; Brown,
   Nicola/0000-0001-5538-2171; Burbage, Jenny/0000-0002-7028-0381
ZA 1
TC 26
Z8 0
ZS 1
ZR 0
ZB 5
Z9 27
U1 3
U2 33
SN 0264-0414
EI 1466-447X
UT WOS:000333931100001
PM 24479370
ER

PT J
AU McPherson, Amy C.
   Gofine, Miriam L.
   Stinson, Jennifer
TI Seeing Is Believing? A Mixed-Methods Study Exploring the Quality and
   Perceived Trustworthiness of Online Information About Chronic Conditions
   Aimed at Children and Young People
SO HEALTH COMMUNICATION
VL 29
IS 5
BP 473
EP 482
DI 10.1080/10410236.2013.768325
PD MAY 28 2014
PY 2014
AB The numbers of children and young people with chronic conditions are
   increasing. While their information needs may vary, providing health
   care information can have considerable benefits, including better
   emotional health, less distress during treatments, and greater
   satisfaction with medical care. The Internet is increasingly being used
   to communicate health-related information to children about a range of
   chronic conditions. However, the quality of such websites is
   underexplored. Thus, the objectives of this study were to evaluate the
   reliability and quality of online information for children about chronic
   conditions using a standardized evaluation tool, and to explore
   children's and young people's perceptions of quality and trustworthiness
   regarding online health information. The study consisted of two phases.
   In Phase 1, websites about common pediatric chronic conditions aimed at
   children and containing treatment or management options were identified
   and the quality assessment tool DISCERN was completed. Test-retest and
   interrater reliability were calculated. In Phase 2, two focus groups
   with laptop computers were conducted with children and young people with
   a chronic condition to explore their perceptions of trustworthiness of
   online health information. In Phase 1, 165 websites were identified and
   100 met the criteria and were assessed. The mean DISCERN score of all
   sites was 48.16 out of 75 (SD = 7.97, range 28-71, min 15 to max 75).
   Quality scores varied widely across the sample. The internal consistency
   and interrater reliability scores were both lower than previously
   reported in studies using the DISCERN to assess information for adults.
   In Phase 2, two focus groups with a total of six participants aged 11-23
   years revealed a relative lack of concern about the quality and
   trustworthiness of online health information. Older participants
   reported judging the source and authorship of websites, but other
   participants did not question the source of the information they found
   online. Although personal websites were perceived to be less reliable
   than those from well-known medical institutions, they were still valued
   by many of the participants. Overall, there were relatively few websites
   about pediatric chronic conditions aimed at children, with variable
   quality and reliability. However, DISCERN's use with pediatric websites
   across a broad spectrum of developmental stages is limited. Children and
   young people demonstrated a need for more guidance around assessing
   trustworthiness of online information. A more appropriate quality
   assessment tool is warranted, which could usefully be employed by health
   care professionals, children, and parents.
OI McPherson, Amy/0000-0003-4186-3200
ZS 1
ZR 0
TC 16
ZA 0
Z8 1
ZB 3
Z9 17
U1 0
U2 27
SN 1041-0236
EI 1532-7027
UT WOS:000334034600004
PM 24099647
ER

PT J
AU Thibodeau, Evangeline
   Doron, Shira
   Iacoviello, Vito
   Schimmel, Jennifer
   Snydman, David R.
TI Carbapenem-resistant enterobacteriaceae: analyzing knowledge and
   practice in healthcare providers
SO PEERJ
VL 2
AR e405
DI 10.7717/peerj.405
PD MAY 22 2014
PY 2014
AB Background. Gram negative antibiotic resistance is increasing worldwide
   as both carbapenem-resistant enterobacteriaceae (CREs) and
   Enterobacteriaceae producing extended spectrum beta-lactamases (ESBLs)
   become more common.
   Objective. We analyzed clinicians' knowledge regarding resistant
   gram-negative organisms with respect to infection control practices,
   prescribing practices and assessment of their patients' risk for
   resistant infections.
   Design. Online survey.
   Participants. Target population included clinicians who prescribe
   antibiotics i.e., medical doctors and mid-level practitioners, at three
   Massachusetts hospitals.
   Methods. Questionnaires were sent to 3 Tufts-affiliated teaching
   hospitals to assess level of knowledge and elucidate perceptions about
   gram-negative resistance.
   Results. We received 434 responses from 3332 non-infectious disease
   clinicians (13%) surveyed at the three hospitals. 51.1% of clinicians
   correctly scored 50% or greater on the knowledge questions. Internal
   medicine clinicians had higher knowledge scores than non-internal
   medicine clinicians (62% vs 45%; OR = 1.67, p = 0.02). Clinicians within
   three years of training had higher scores than those with more than 10
   years of training (64.3% vs 44%; OR = 2.3, p = 0.002). Clinicians with
   fewer years since training and those with higher knowledge scores were
   more likely to appropriately consider certain patients at risk for
   resistant infections (p < 0.05). 54.4% of clinicians were very concerned
   about gram-negative antibiotic resistance. 64.6% of clinicians felt
   comfortable de-escalating antibiotics as cultures are available.
   Conclusion. We found overall low knowledge scores and much variability
   in the way clinicians assess whether certain patient populations are at
   risk for antibiotic resistance. Internal medicine clinicians and those
   with fewer years since completion of their training scored higher and
   more appropriately considered patients at risk for resistance. The
   majority of clinicians are concerned about gram-negative resistance and
   indicated they would de-escalate antibiotic therapy if they had
   susceptibility information. These results will help focus and target our
   teaching and awareness-raising strategies.
RI Snydman, David R/O-3889-2014
OI Snydman, David R/0000-0003-0119-3978
ZS 0
ZA 0
Z8 1
TC 3
ZB 1
ZR 0
Z9 4
U1 0
U2 0
SN 2167-8359
UT WOS:000347608100009
PM 24883259
ER

PT J
AU El Hachem, May
   Zambruno, Giovanna
   Bourdon-Lanoy, Eva
   Ciasulli, Annalisa
   Buisson, Christiane
   Hadj-Rabia, Smail
   Diociaiuti, Andrea
   Gouveia, Carolina F.
   Hernandez-Martin, Angela
   de Lucas Laguna, Raul
   Dolenc-Voljc, Mateja
   Tadini, Gianluca
   Salvatori, Guglielmo
   De Ranieri, Cristiana
   Leclerc-Mercier, Stephanie
   Bodemer, Christine
TI Multicentre consensus recommendations for skin care in inherited
   epidermolysis bullosa
SO ORPHANET JOURNAL OF RARE DISEASES
VL 9
AR 76
DI 10.1186/1750-1172-9-76
PD MAY 20 2014
PY 2014
AB Background: Inherited epidermolysis bullosa (EB) comprises a highly
   heterogeneous group of rare diseases characterized by fragility and
   blistering of skin and mucous membranes. Clinical features combined with
   immunofluorescence antigen mapping and/or electron microscopy
   examination of a skin biopsy allow to define the EB type and subtype.
   Molecular diagnosis is nowadays feasible in all EB subtypes and required
   for prenatal diagnosis. The extent of skin and mucosal lesions varies
   greatly depending on EB subtype and patient age. In the more severe EB
   subtypes lifelong generalized blistering, chronic ulcerations and
   scarring sequelae lead to multiorgan involvement, major morbidity and
   life-threatening complications. In the absence of a cure, patient
   management remains based on preventive measures, together with
   symptomatic treatment of cutaneous and extracutaneous manifestations and
   complications. The rarity and complexity of EB challenge its appropriate
   care. Thus, the aim of the present study has been to generate
   multicentre, multidisciplinary recommendations on global skin care
   addressed to physicians, nurses and other health professionals dealing
   with EB, both in centres of expertise and primary care setting.
   Methods: Almost no controlled trials for EB treatment have been
   performed to date. For this reason, recommendations were prepared by a
   multidisciplinary team of experts from different European EB centres
   based on available literature and expert opinion. They have been
   subsequently revised by a panel of external experts, using an
   online-modified Delphi method to generate consensus.
   Results: Recommendations are reported according to the age of the
   patients. The major topics treated comprise the multidisciplinary
   approach to EB patients, global skin care including wound care,
   management of itching and pain, and early diagnosis of squamous cell
   carcinoma. Aspects of therapeutic patient education, care of disease
   burden and continuity of care are also developed.
   Conclusion: The recommendations are expected to be useful for daily
   global care of EB patients, in particular in the community setting. An
   optimal management of patients is also a prerequisite to allow them to
   benefit from the specific molecular and cell-based treatments currently
   under development.
RI Zambruno, Giavanna/K-2933-2018; Diociaiuti, Andrea/AAB-8905-2019; Leclerc-Mercier, Stéphanie/AAP-1057-2021; Zambruno, Giovanna/; Hadj-Rabia, Smail/
OI Diociaiuti, Andrea/0000-0003-0879-9825; Zambruno,
   Giovanna/0000-0002-1295-056X; Hadj-Rabia, Smail/0000-0001-6801-7106
TC 65
Z8 0
ZA 0
ZS 4
ZB 21
ZR 7
Z9 75
U1 2
U2 19
SN 1750-1172
UT WOS:000209600700001
PM 24884811
ER

PT J
AU Agarwal, Nitin
   Hansberry, David R.
   Singh, Priyanka L.
   Heary, Robert F.
   Goldstein, Ira M.
TI Quality Assessment of Spinal Cord Injury Patient Education Resources
SO SPINE
VL 39
IS 11
BP E701
EP E704
DI 10.1097/BRS.0000000000000308
PD MAY 15 2014
PY 2014
AB Study Design. Analysis of spinal cord injury patient education
   resources.
   Objective. To assess the quality of online patient education materials
   written about spinal cord injury.
   Summary of Background Data. The use of online materials by health care
   consumers to access medical information presents unique challenges. Most
   Americans have access to the Internet and frequently turn to it as a
   first-line resource.
   Methods. The quality of online patient education materials was evaluated
   via a readability analysis. Materials provided by the National Institute
   of Neurological Disorders and Stroke; Centers for Disease Control and
   Prevention; American Association of Neurological Surgeons; The National
   Spinal Cord Injury Association; Mayo Clinic; U.S. Department of Veterans
   Affairs; Kessler Institute for Rehabilitation; American Academy of
   Neurology; Paralyzed Veterans of America; and the Shepherd Center were
   assessed using the Flesch Reading Ease and Flesch-Kincaid Grade Level
   evaluations with Microsoft Office Word software. Unnecessary formatting
   was removed and the readability was evaluated with the spelling and
   grammar function.
   Results. A total of 104 sections from 10 different Web sites were
   analyzed. Overall, the average values of the Flesch-Kincaid Grade Level
   (11.9) and Flesch Reading Ease (40.2) indicated that most Americans
   would not be able to fully comprehend this material.
   Conclusion. Results indicate that the language used on materials
   provided by the aforementioned sites is perhaps too advanced for the
   average American to fully comprehend. The quality of these education
   resources may be improved via Web site revisions, which might be
   beneficial for improved patient utilization.
OI goldstein, ira/0000-0003-2443-0315
ZR 0
ZB 5
Z8 0
ZA 0
ZS 1
TC 12
Z9 12
U1 0
U2 8
SN 0362-2436
EI 1528-1159
UT WOS:000337462700006
PM 24718059
ER

PT J
AU Paul, Ginny
   Lane, Ellen
TI Inside the Debriefing Room: Multidisciplinary Rapid Response Team
   Training Findings Revealed
SO CLINICAL SIMULATION IN NURSING
VL 10
IS 5
BP E227
EP E233
DI 10.1016/j.ecns.2013.09.005
PD MAY 2014
PY 2014
AB Background: Research indicates that, despite the intent to save lives
   through rapid response teams (RRTs), mortality and morbidity outcome
   data are variable. A reason for that may be a lack of proficient and
   consistent training and education.
   Objectives: To determine whether high-fidelity simulation is an
   effective instructional method for interdisciplinary RRT training.
   Methods: Multidisciplinary health care team members participated in
   high-fidelity simulation scenarios, were evaluated by the instructors
   during the simulation, and then were given the opportunity to give
   informal and formal feedback.
   Results: The results of an anonymous survey sent to all participants
   showed that a majority who completed the online survey (91.4%) found
   this instructional method to be either very effective or somewhat
   effective for teaching in the hospital setting. The majority of
   participants (63.6%) indicated that high-fidelity simulation was their
   preferred method of learning when compared with case studies, online
   learning modules, or classroom/lecture. Major themes and opportunities
   identified for additional training were communication, assessment
   skills, teamwork, critical thinking, cardiopulmonary resuscitation skill
   retention, and timely initiation of RRT calls.
   Conclusions: This pilot study supports the current literature detailing
   the effectiveness of high-fidelity simulation and perceived learner
   outcomes. During crisis situations, there are significant communication
   barriers that can derail care providers from providing the most optimal
   care to the patient. As a result of debriefing, it was found that
   derogatory comments made by the RRT members during previous rapid
   response calls significantly impacted how early subsequent rapid
   responses were called by some participants. (C) 2014 International
   Nursing Association for Clinical Simulation and Learning. Published by
   Elsevier Inc. All rights reserved.
ZB 0
ZA 0
ZS 0
TC 3
ZR 0
Z8 0
Z9 3
U1 0
U2 15
SN 1876-1399
EI 1876-1402
UT WOS:000209624200002
ER

PT J
AU Selek, Salih
   Saleh, Ayman
TI Use of h index and g index for American academic psychiatry
SO SCIENTOMETRICS
VL 99
IS 2
BP 541
EP 548
DI 10.1007/s11192-013-1204-4
PD MAY 2014
PY 2014
AB Several publication metrics are used for the evaluation of academic
   productivity. h index and g index are relatively new statistics for this
   purpose. Our aim is to evaluate academic psychiatrists' h and g indices
   at different academic ranks in the United States. 30 psychiatry programs
   from the American Medical Association's FREIDA online database were
   included to the study. From each academic rank, the total number of
   papers (P (total)), the single authored papers (P (single)) and the h
   and g indexes of faculty members were calculated by using one way ANOVA
   for multiple comparisons as primary analysis test. The metric medians as
   follows; P (total) = 34.5, P (single) = 13, g index = 19.5 and h index =
   9. h index significantly differed between academic ranks except
   chairperson-professor. The other indices failed to distinguish junior
   academic ranks (associated professor-assistant professor) in addition to
   chairperson-professor. The strongest correlation was between h index and
   g indexes. Of the indices evaluated, the h-index is best tracked with
   academic ranking in psychiatry programs studied.
RI Selek, Salih/B-4939-2009
OI Selek, Salih/0000-0001-5197-5682
TC 16
ZA 0
ZB 4
Z8 0
ZR 0
ZS 1
Z9 16
U1 0
U2 49
SN 0138-9130
EI 1588-2861
UT WOS:000334277800018
ER

PT J
AU Celestin, Michael D., Jr.
   Hart, Alton, Jr.
   Moody-Thomas, Sarah
TI Partnering with Health Care Systems to Assess Tobacco Treatment
   Practices and Beliefs Among Clinicians: Evaluating the Process
SO PREVENTING CHRONIC DISEASE
VL 11
AR 130277
DI 10.5888/pcd11.130277
PD MAY 2014
PY 2014
AB Background
   Tobacco is a major cause of preventable illness and death. However,
   clinician use of an evidence-based guideline for treatment of tobacco
   use is low. This case study describes the process for conducting a
   pre-intervention assessment of clinician practices and beliefs regarding
   treatment of tobacco use.
   Community Context
   Louisiana State University Health System, one of the largest safety-net
   public hospital systems in the United States, consists of 10 facilities
   in population centers across the state of Louisiana. The system serves a
   large proportion of the state's underinsured and uninsured, low-income,
   and racial/ethnic minority populations, groups that have high rates of
   tobacco use.
   Methods
   Activities included 1) partnering with hospital administrators to
   generate support for conducting a clinician assessment, 2) identifying
   and adapting a survey tool to assess clinicians' practices and beliefs
   regarding treatment of tobacco use, 3) developing a survey protocol and
   obtaining approval from the institutional review board, and 4)
   administering the survey electronically, using the hospital's e-mail
   system.
   Outcome
   Existing partnerships and system resources aided survey administration.
   Use of the hospital's internal e-mail system and distribution of an
   online survey were effective means to engage clinicians. Following
   notification, 43.6% of 4,508 clinicians opened their e-mail containing
   the invitation letter with a Web link to the survey; of these, 83.1%
   (1,634) completed the survey.
   Interpretation
   Partnering with stakeholders and using existing resources within the
   health care system are essential to successful implementation of a
   system-wide survey of clinician practices and beliefs regarding
   treatment of tobacco use.
RI Celestin, Michael D/M-5297-2013
OI Celestin, Michael D/0000-0001-9619-9461
Z8 0
ZA 0
ZS 0
TC 0
ZR 0
ZB 0
Z9 0
U1 1
U2 2
SN 1545-1151
UT WOS:000343522000009
PM 24874783
ER

PT J
AU Patel, Pooja R.
   Berenson, Abbey B.
TI The internet's role in HPV vaccine education
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 10
IS 5
BP 1166
EP 1170
DI 10.4161/hv.27967
PD MAY 2014
PY 2014
AB The internet is the second most popular source, after healthcare
   providers, of information regarding human papillomavirus (HPV). These
   online searches usually begin with the user entering generic terms in
   the search engine, and then reading the first few results that the
   engine returns. Unfortunately, research shows that much of this
   information obtained about the HPV vaccine is inaccurate and incomplete.
   In this review, we summarize the literature pertaining to online
   information concerning the HPV vaccine and review concerns related to
   obtaining online medical information. Finally, we propose possible
   solutions medical providers can employ in their everyday practice to
   help their patients obtain accurate information through their online
   searches.
Z8 0
ZB 3
ZR 0
ZA 0
TC 11
ZS 1
Z9 12
U1 0
U2 18
SN 2164-5515
EI 2164-554X
UT WOS:000336656700013
PM 24553151
ER

PT J
AU Loria-Castellanos, Jorge
TI Usefulness of an online education platform for the medical and surgical
   emergencies specialty in Mexico
SO REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC
   HEALTH
VL 35
IS 5-6
BP 378
EP 383
PD MAY-JUN 2014
PY 2014
AB Objective. Determine the usefulness of a Moodle-type education platform
   for knowledge development with residents in the medical and surgical
   emergencies (MSE) specialty.
   Methods. This quasi-experimental study compared the departmental
   evaluations of MSE residents in two Mexican hospital units after they
   did their academic work using different educational strategies. The
   control group used a traditional format (classroom-style teaching with
   guided discussion), while the comparison group had access to a variety
   of resources (forums, chat, wikis, downloaded files) on a Moodle-type
   platform. Nonparametric statistics were used. The study was conducted
   during the 2010-2011 and 2011-2012 academic years. Three versions of the
   course were made available online, geared to the academic level of the
   residents (first, second, or third year).
   Results. There were statistically significant differences in the
   mid-year evaluations, and improvements were even greater in the
   evaluations at the end of the academic year, especially for the
   third-year residents. In both academic years, the mid-year evaluations
   reported that only one resident in the control group performed within
   the average range, while the majority were in the lower range. The
   resources most used with the platform Moodle were downloaded files (77%)
   and the forum (63%). Still, 46.4% of the residents said that they
   encountered some type of limitation when they used the platform, the
   main one being lack of time (76.9%).
   Conclusions. The Moodle-type education platform appears to be useful and
   to offer greater opportunities for knowledge development compared with
   the traditional strategies. It is recommended that educational
   strategies based on Moodle-type platforms be implemented for MSE and
   other medical specialties.
RI LORIA-CASTELLANOS, JORGE/N-2363-2019; LORIA-CASTELLANOS, JORGE/J-2410-2016
OI LORIA-CASTELLANOS, JORGE/0000-0001-9269-0034; LORIA-CASTELLANOS,
   JORGE/0000-0001-9269-0034
ZS 0
ZB 0
Z8 0
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 8
SN 1020-4989
UT WOS:000342174200010
PM 25211565
ER

PT J
AU Pitman, Simone
   Xu, Yao-Zhong
   Taylor, Peter
   Turner, Nicholas
TI Spotlight on medicinal chemistry education
SO FUTURE MEDICINAL CHEMISTRY
VL 6
IS 8
BP 865
EP 869
DI 10.4155/FMC.14.51
PD MAY 2014
PY 2014
AB The field of medicinal chemistry is constantly evolving and it is
   important for medicinal chemists to develop the skills and knowledge
   required to succeed and contribute to the advancement of the field.
   Future Medicinal Chemistry spoke with Simone Pitman (SP), Yao-Zhong Xu
   (YX), Peter Taylor (PT) and Nick Turner (NT) from The Open University
   (OU), which offers an MSc in Medicinal Chemistry. In the interview, they
   discuss the MSc course content, online teaching, the future of medicinal
   chemistry education and The OU's work towards promoting widening
   participation. SP is a Qualifications Manager in the Science Faculty at
   The OU. She joined The OU in 1993 and since 1998 has been involved in
   the Postgraduate Medicinal Chemistry provision at The OU. YX is a Senior
   Lecturer in Bioorganic Chemistry at The OU. He has been with The OU from
   2001, teaching undergraduate courses of all years and chairing the
   master's course on medicinal chemistry. PT is a Professor of Organic
   Chemistry at The OU and has been involved with the production and
   presentation of The OU courses in Science and across the university for
   over 30 years, including medicinal chemistry modules at postgraduate
   level. NT is a Lecturer in Analytical Science at The OU since 2009 and
   has been involved in the production of analytical sciences courses, as
   well as contributing to the presentation of a number of science courses
   including medicinal chemistry.
OI Taylor, Peter/0000-0003-3169-4466; Turner, Nicholas/0000-0002-9380-5291;
   Xu, Yao/0000-0002-5713-8030
ZR 0
ZS 0
TC 2
ZB 1
Z8 0
ZA 0
Z9 2
U1 0
U2 13
SN 1756-8919
EI 1756-8927
UT WOS:000338200100010
PM 24962279
ER

PT J
AU Rocha, Paulo Novis
   Azael de Castro, Naara Alethea
TI Opinions of Students from a Brazilian Medical School Regarding Online
   Professionalism
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 29
IS 5
BP 758
EP 764
DI 10.1007/s11606-013-2748-y
PD MAY 2014
PY 2014
AB INTRODUCTION: Unprofessional online behavior by medical students or
   physicians may damage individual careers, and the reputation of
   institutions and the medical profession. What is considered
   unprofessional online behavior, however, is not clearly defined and may
   vary in different cultures.
   OBJECTIVES: To determine the frequency with which students from a
   Brazilian Medical School come across ten given examples of
   unprofessional online behavior by medical students or physicians, and
   gather the opinions of participants regarding the appropriateness of
   these behaviors.
   METHODS: A cross-sectional survey of 350 students from the Medical
   School of Bahia, Brazil. Only those who had a profile in social media
   were included in the final analyses.
   RESULTS: 336/350 (96.0 %) medical students kept a profile in social
   media. Only 13.5 % reported having discussions about online
   professionalism during ethics classes. They reported witnessing the
   investigated examples of unprofessional online behavior with varying
   frequencies, ranging from 13.7 % for "violation of patient's privacy" to
   85.4 % for "photos depicting consumption of alcoholic beverages". Most
   participants felt neutral about posting "pictures in bathing suits",
   whereas the vast majority rated "violation of patient's privacy" as
   totally inappropriate. When presented with a case vignette illustrating
   violation of patients' privacy (publication of pictures of hospitalized
   children or neonates in social media), however, most participants felt
   neutral about it. Participants considered all investigated examples of
   unprofessional online behavior more inappropriate if carried out by
   doctors rather than by students.
   CONCLUSIONS: Medical students are witnessing a high frequency of
   unprofessional online behavior by their peers and physicians. Most
   investigated behaviors were considered inappropriate, especially if
   carried out by physicians. Participants were not able to recognize the
   publication of pictures of hospitalized children or neonates in social
   media as cases of violation of patients' privacy. Further studies are
   needed to determine if an academic curriculum that fosters online
   professionalism will change this scenario.
RI Rocha, Paulo Novis/AAE-3776-2019
OI Rocha, Paulo Novis/0000-0001-9598-6711
ZB 1
TC 16
ZR 0
ZS 3
ZA 0
Z8 0
Z9 19
U1 0
U2 9
SN 0884-8734
EI 1525-1497
UT WOS:000338205700016
PM 24395103
ER

PT J
AU Nguyen, Douglas L.
   Rasheed, Sarah
   Parekh, Nimisha K.
TI Patterns of Internet Use by Gastroenterologists in the Management and
   Education of Patients with Inflammatory Bowel Disease
SO SOUTHERN MEDICAL JOURNAL
VL 107
IS 5
BP 320
EP 323
DI 10.1097/SMJ.0000000000000107
PD MAY 2014
PY 2014
AB Aims: To define the patterns of Internet use among physicians who treat
   inflammatory bowel disease (IBD) and physicians' perceptions of their
   patients' Internet use.
   Methods: An online survey about physician and patient use of the
   Internet was created and e-mailed to gastroenterologists nationwide.
   Surveys were distributed and collected via an online database and a
   subsequent statistical analysis was performed.
   Results: Of the 1000 e-mail invitations sent to practicing
   gastroenterologists in the United States, 223 participants (22.3%)
   completed the survey. A total of 183 (82.1%) physicians reported using
   an Internet-based reference to assist them in deriving management
   strategies for their patients with IBD, with the most commonly utilized
   resource being UpToDate followed by PubMed and the Crohn's and Colitis
   Foundation of America Web site. Although nearly 80% of
   gastroenterologists believed that using the Internet helped them
   facilitate clinical discussions, 183 participants (82.1%) believed that
   inaccurate information found online could sometimes result in increased
   clinic time because physicians must spend more time dispelling
   misleading information.
   Conclusions: Despite a study design biased toward selecting
   gastroenterologists who commonly used the Internet, we demonstrated that
   only 60% of the providers routinely refer their patients to the
   Internet. This underscores the fact that it is important to have a
   centralized "physician-certified" online resource to which physicians
   could readily refer their patients to navigate through various
   disease-specific resources without concern that their patients are
   receiving unreliable or misleading information.
TC 10
ZB 0
ZR 0
ZA 0
Z8 0
ZS 1
Z9 11
U1 0
U2 5
SN 0038-4348
EI 1541-8243
UT WOS:000337786500012
PM 24937734
ER

PT J
AU Burrows-Hudson, Sally
   Kammerer, Jean
   Farrow, Bruce
   Zimmerman, Jeffrey
   Yang, Alex
TI Perceived Status of Patient Care Technician Training and Certification
   Impact in US Hemodialysis Facilities
SO NEPHROLOGY NURSING JOURNAL
VL 41
IS 3
BP 265
EP +
PD MAY-JUN 2014
PY 2014
AB In 2008, the Centers for Medicare and Medicaid Services (CMS) enacted a
   requirement for the mandatory certification of non-licensed
   lzemodialysis patient care technicians (PCTs) effective in 2010. This
   study examined the perceived status of PCT training and the impact of
   the mandatory certification on patient care. Results indicated that
   there are differences between the current and ideal elements of PCT
   training programs; the use of electronic education materials and online
   education courses and programs is limited; and infection control
   practices, vascular access care, and patient safety are the most needed
   areas for future PCT education. Respondents were mixed in their
   perceptions of the impact certification has had on patient care.
ZR 0
ZB 0
TC 5
ZA 0
ZS 0
Z8 0
Z9 5
U1 0
U2 3
SN 1526-744X
EI 2163-5390
UT WOS:000337264600005
PM 25065060
ER

PT J
AU Min, Yul Ha
   Lee, Jong Won
   Shin, Yong-Wook
   Jo, Min-Woo
   Sohn, Guiyun
   Lee, Jae-Ho
   Lee, Guna
   Jung, Kyung Hae
   Sung, Joohon
   Ko, Beom Seok
   Yu, Jong-Han
   Kim, Hee Jeong
   Son, Byung Ho
   Ahn, Sei Hyun
TI Daily Collection of Self-Reporting Sleep Disturbance Data via a
   Smartphone App in Breast Cancer Patients Receiving Chemotherapy: A
   Feasibility Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 16
IS 5
BP 87
EP 100
AR e135
DI 10.2196/jmir.3421
PD MAY 2014
PY 2014
AB Background: Improvements in mobile telecommunication technologies have
   enabled clinicians to collect patient-reported outcome (PRO) data more
   frequently, but there is as yet limited evidence regarding the frequency
   with which PRO data can be collected via smartphone applications (apps)
   in breast cancer patients receiving chemotherapy.
   Objective: The primary objective of this study was to determine the
   feasibility of an app for sleep disturbance-related data collection from
   breast cancer patients receiving chemotherapy. A secondary objective was
   to identify the variables associated with better compliance in order to
   identify the optimal subgroups to include in future studies of
   smartphone-based interventions.
   Methods: Between March 2013 and July 2013, patients who planned to
   receive neoadjuvant chemotherapy for breast cancer at Asan Medical
   Center who had access to a smartphone app were enrolled just before the
   start of their chemotherapy and asked to self-report their sleep
   patterns, anxiety severity, and mood status via a smartphone app on a
   daily basis during the 90-day study period. Push notifications were sent
   to participants daily at 9 am and 7 pm. Data regarding the patients'
   demographics, interval from enrollment to first self-report, baseline
   Beck's Depression Inventory (BDI) score, and health-related quality of
   life score (as assessed using the EuroQol Five Dimensional [EQ5D-3L]
   questionnaire) were collected to ascertain the factors associated with
   compliance with the self-reporting process.
   Results: A total of 30 participants (mean age 45 years, SD 6; range
   35-65 years) were analyzed in this study. In total, 2700 daily push
   notifications were sent to these 30 participants over the 90-day study
   period via their smartphones, resulting in the collection of 1215
   self-reporting sleep-disturbance data items (overall compliance rate =
   45.0%, 1215/ 2700). The median value of individual patient-level
   reporting rates was 41.1% (range 6.7-95.6%). The longitudinal day-level
   compliance curve fell to 50.0% at day 34 and reached a nadir of 13.3% at
   day 90. The cumulative longitudinal compliance curve exhibited a steady
   decrease by about 50% at day 70 and continued to fall to 45% on day 90.
   Women without any form of employment exhibited the higher compliance
   rate. There was no association between any of the other patient
   characteristics (ie, demographics, and BDI and EQ5D-3L scores) and
   compliance. The mean individual patient- level reporting rate was higher
   for the subgroup with a 1-day lag time, defined as starting to
   self-report on the day immediately after enrollment, than for those with
   a lag of 2 or more days (51.6%, SD 24.0 and 29.6%, SD 25.3,
   respectively; P=.03).
   Conclusions: The 90-day longitudinal collection of daily self-reporting
   sleep-disturbance data via a smartphone app was found to be feasible.
   Further research should focus on how to sustain compliance with this
   self-reporting for a longer time and select subpopulations with higher
   rates of compliance for mobile health care.
OI Boden-Albala, Bernadette/0000-0002-3752-329X; Shin,
   Yong-Wook/0000-0002-0360-6118
Z8 3
ZR 0
ZB 13
ZA 0
TC 110
ZS 0
Z9 112
U1 3
U2 40
SN 1438-8871
UT WOS:000336657200007
PM 25092120
ER

PT J
AU O'Neill, Shane Ciaran
   Baker, Joseph Frederick
   Fitzgerald, Conall
   Fleming, Christina
   Rowan, Fiachra
   Byrne, Damien
   Synnott, Keith
TI Cauda Equina Syndrome Assessing the Readability and Quality of Patient
   Information on the Internet
SO SPINE
VL 39
IS 10
BP E645
EP E649
DI 10.1097/BRS.0000000000000282
PD MAY 1 2014
PY 2014
AB Study Design. A readability and quality control Internet-based study
   using recognized quality scoring systems.
   Objective. To assess the readability and quality of Internet information
   relating to cauda equina syndrome accessed through common search
   engines.
   Summary of Background Data. Access to health-related Internet
   information has increased dramatically during the past decade. A signifi
   cant proportion of this information has been demonstrated to be set at
   too high a level for general comprehension. Despite this, searching for
   health-related information is now the third most popular online
   activity.
   Methods. A total of 125 cauda equina syndrome Web sites were analyzed
   from the 5 most popular Internet search engines: Google, Bing, Yahoo,
   Ask, and AOL. Web site authorship was classified: academic, physician,
   medico-legal, commercial, or discussion/ social media. Readability of
   each Web site was assessed using the Flesch Reading Ease score, the
   Flesch-Kincaid grade level, and the Gunning Fog Index. Quality was
   calculated using the DISCERN instrument and The Journal of the American
   Medical Association benchmark criteria. The presence of HON-code
   certification was also assessed.
   Results. Fifty-two individual Web sites were identified and assessed.
   The majority of Web sites were academic or physician compiled (53.8%;
   28/52); however, a significant minority of Web sites were medico-legal
   related (19.2%; 10/52). Just 13.5% (7/52) of Web sites were at or below
   the recommended sixth-grade readability level. HON-code certified Web
   sites achieved signifi cantly greater DISCERN (P = 0.0006) and The
   Journal of the American Medical Association (P = 0.0002) scores.
   Conclusion. Internet information relating to cauda equina syndrome is of
   variable quality and largely set at an inappropriate readability level.
   Given this variability in quality, health care providers should direct
   patients to known sources of reliable, readable online information.
   Identification of reliable sources may be aided by known markers of
   quality such as HON-code certification.
RI Baker, Joseph F/H-2868-2019
OI Baker, Joseph F/0000-0002-8518-8780
ZA 0
ZR 0
TC 34
ZS 1
Z8 0
ZB 7
Z9 35
U1 0
U2 17
SN 0362-2436
EI 1528-1159
UT WOS:000337452400007
PM 24583736
ER

PT J
AU Chrisman, Sara P.
   Schiff, Melissa A.
   Chung, Shana K.
   Herring, Stanley A.
   Rivara, Frederick P.
TI Implementation of Concussion Legislation and Extent of Concussion
   Education for Athletes, Parents, and Coaches in Washington State
SO AMERICAN JOURNAL OF SPORTS MEDICINE
VL 42
IS 5
BP 1190
EP 1196
DI 10.1177/0363546513519073
PD MAY 2014
PY 2014
AB Background: Most states in the United States have passed laws regarding
   concussions, but little is known regarding the implementation of these
   laws. Hypothesis/Purpose: The purpose of this study was to survey high
   school coaches 3 years after the passage of a concussion law to evaluate
   the variation in concussion education and knowledge in the context of
   this law as well as measure the effects of sport (football vs soccer)
   and urban versus rural locations. The hypothesis was that concussion
   education and knowledge would be more extensive in football compared
   with soccer and in urban locations compared with rural locations. Study
   Design: Descriptive epidemiology study. Methods: A mixed-methods (paper
   and online) survey was conducted in 2012 to 2013 on a random sample of
   public high school football, girls' soccer, and boys' soccer coaches in
   Washington State, stratified by urban and rural locality. The survey
   covered the extent of concussion education for coaches, athletes, and
   parents as well as coaches' concussion knowledge and experience.
   Results: Of 496 coaches contacted, 270 responded (54.4%). Nearly all
   coaches answered concussion knowledge questions correctly, and nearly
   all coaches received education via >= 2 modalities (written, video,
   slide presentation, test, and in person). Athlete education was less
   extensive, with 34.7% exposed to >= 2 modalities and 29.5% only signing
   a concussion information form. Parent education was even more limited,
   with 16.2% exposed to >= 2 modalities and 57.9% only signing a
   concussion information form. Significantly more football than soccer
   coaches gave their athletes an in-person talk about concussions (59.1%
   vs 39.4%, respectively; P = .002) and provided concussion education to
   athletes via >= 2 modalities (44.1% vs 29.7%, respectively; P = .02).
   Concussion education for coaches and parents was similar between sports,
   and concussion education for all parties was similar in urban and rural
   localities. Conclusion: Three years after the passage of a concussion
   law in Washington State, high school football and soccer coaches are
   receiving substantial concussion education and have good concussion
   knowledge. Concussion education for athletes and parents is more
   limited. Football players receive more extensive concussion education
   than do soccer players. Clinical Relevance: Clinicians should be aware
   that athletes and parents may not be receiving significant concussion
   education.
OI Chrisman, Sara/0000-0001-5373-7223
ZA 0
TC 78
ZR 0
ZB 21
Z8 0
ZS 0
Z9 78
U1 0
U2 30
SN 0363-5465
EI 1552-3365
UT WOS:000335567700022
PM 24510067
ER

PT J
AU Verrelst, Ruth
   De Clercq, Dirk
   Willems, Tine Marieke
   Victor, Jan
   Witvrouw, Erik
TI Contribution of a Muscle Fatigue Protocol to a Dynamic Stability
   Screening Test for Exertional Medial Tibial Pain
SO AMERICAN JOURNAL OF SPORTS MEDICINE
VL 42
IS 5
BP 1219
EP 1225
DI 10.1177/0363546514524923
PD MAY 2014
PY 2014
AB Background: Enhancing the accuracy of a risk factor screening test is an
   important element of sports injury prevention. Purpose: To determine the
   effect of muscle fatigue on a screening tool for those at risk of
   exertional medial tibial pain (EMTP). Study Design: Cohort study
   (prognosis); Level of evidence, 2. Methods: Sixty-nine female students
   in a physical education program with a mean age of 19.24 +/- 0.86 years
   were tested at the beginning of their first academic year and followed
   for 1 to 2 years. Participants completed an online questionnaire every
   week and a retrospective control questionnaire every 3 months, which
   were used to assess injury follow-up. A diagnosis of EMTP was made by an
   experienced medical doctor. A Cox regression analysis was used to
   identify the potential risk factors by comparing prefatigue and
   postfatigue data between uninjured participants and those with EMTP.
   Both the leg that developed EMTP and the contralateral leg were compared
   with legs of a matched control group. Results: During injury follow-up,
   21 female participants were diagnosed with EMTP. Results of the
   comparison between uninjured versus EMTP participants, respectively, are
   as follows: For the leg at risk in the nonfatigued state, only increased
   range of motion in the transverse plane (ROMT) of the hip during landing
   could be identified as a risk factor (8.44 degrees +/- 2.94 degrees vs
   11.69 degrees +/- 3.41 degrees; P = .002). In the fatigued state,
   increased ROMT of the hip and pelvis during landing (hip: 8.04 degrees
   +/- 2.34 degrees vs 9.36 degrees +/- 3.22 degrees; P = .038; pelvis:
   6.99 degrees +/- 2.20 degrees vs 8.58 degrees +/- 3.13 degrees; P =
   .040) and increased ROMT of the thorax during pushoff (8.83 degrees +/-
   2.74 degrees vs 10.69 degrees +/- 3.20 degrees; P = .036) could be
   identified. For the leg not at risk for EMTP, increased ROMT of the knee
   during landing (10.96 degrees +/- 3.12 degrees vs 14.07 degrees +/- 4.88
   degrees; P = .023) and decreased ROMT of the pelvis during pushoff (8.16
   degrees +/- 3.48 degrees vs 6.47 degrees +/- 2.47 degrees; P = .034)
   were identified in the nonfatigued state but were not significant in the
   fatigued state. Conclusion: Adding a muscle fatigue protocol to the
   single-legged drop jump as a screening test for EMTP risk factors may
   enhance the possibility of identifying the leg at risk in a predisposed
   athlete and might determine the proximal risk factors for that leg at
   risk more thoroughly.
RI Willems, Tine M/G-9675-2017; Victor, Jan/
OI Willems, Tine M/0000-0001-8331-9700; Victor, Jan/0000-0003-3988-9014
ZB 0
TC 8
ZR 0
Z8 0
ZS 0
ZA 0
Z9 8
U1 0
U2 25
SN 0363-5465
EI 1552-3365
UT WOS:000335567700026
PM 24647882
ER

PT J
AU Le Louer, B.
   Lemale, J.
   Garcette, K.
   Orzechowski, C.
   Chalvon, A.
   Girardet, J. -P.
   Tounian, P.
TI Severe nutritional deficiencies in young infants with inappropriate
   plant milk consumption
SO ARCHIVES DE PEDIATRIE
VL 21
IS 5
BP 483
EP 488
DI 10.1016/j.arcped.2014.02.027
PD MAY 2014
PY 2014
AB Over the past few years, we have observed increasing consumption of
   inappropriate plant milks as an alternative to infant milk formula. Some
   families believe that foods labeled as natural are the most healthy and
   an appropriate nutritional choice. However, their composition does not
   respect European recommendations. They are always hypocaloric and
   protein, vitamin, and mineral concentrations are inadequate. The aim of
   this study was to report severe nutritional complications after
   inappropriate plant milk consumption. Between 2008 and 2011, we studied
   severe nutritional deficiencies caused by consumption of plant milks
   bought in health food stores or online shops. Infants were identified in
   our centers and examined through medical history, physical examination,
   and laboratory testing. Nine cases of infants aged from 4 to 14 months
   were observed. In all cases, these milks were used as an alternative to
   milk formulas for supposed cow's milk allergy. At diagnosis, four
   patients were aged 6 months or less. They had received plant milk
   exclusively for 1-3 months. The beverages consumed were rice, soya,
   almond and sweet chestnut milks. In three cases, infants presented
   severe protein-calorie malnutrition with substantial hypoalbuminemia
   (<20 g/L) and diffuse edema. In the other cases, the nutritional
   disorders were revealed by a refractory status epilepticus related to
   severe hypocalcemia (one case), growth arrest of both height and weight
   secondary to insufficient caloric intake (five cases), and severe
   cutaneous involvement (one case). Five children had severe iron
   deficiency anemia (<70 g/L), three children had a very low 25-hydroxy
   vitamin D level (nutritional rickets), and two had severe hyponatremia
   (<130 mmoL/L). Milk alternative beverages expose infants to severe
   nutritional deficiencies. Serious complications can occur. Early,
   exclusive, and extended use is riskier. These diseases are preventable,
   and parental education should be provided. Statutory measures forbidding
   their use in young infants should be organized to slow down the progress
   of this social trend. (C) 2014 Elsevier Masson SAS. All rights reserved.
RI Tounian, Patrick/AAF-6226-2021
ZR 0
ZB 13
Z8 0
ZA 0
TC 25
ZS 1
Z9 26
U1 0
U2 39
SN 0929-693X
EI 1769-664X
UT WOS:000336344500007
PM 24726668
ER

PT J
AU Gawron, Lori M.
   Gawron, Andrew J.
   Kasper, Amanda
   Hammond, Cassing
   Keefer, Laurie
TI Contraceptive method selection by women with inflammatory bowel
   diseases: a cross-sectional survey
SO CONTRACEPTION
VL 89
IS 5
BP 419
EP 425
DI 10.1016/j.contraception.2013.12.016
PD MAY 2014
PY 2014
AB Objective: Women with inflammatory bowel diseases (IBDs) utilize
   contraception at a lower rate than the general population. We sought to
   identify factors associated with contraceptive use and selection of more
   effective methods in IBD patients at risk for unintended pregnancy.
   Study Design: An online survey was distributed to women with IBD in
   January 2013. Contraceptive methods were categorized by effectiveness
   and associations with use explored by demographics, disease
   characteristics and reproductive goals.
   Results: A total of 162 respondents were analyzed: 62% had Crohn's
   disease and 38% ulcerative colitis. Mean age was 31 (range 20-45), 97%
   identified as White, and 53% were nulliparas. Seventy-four percent were
   currently using IBD medications. A quarter of participants (23%) used no
   contraception, 17% used highly effective methods, 41% used short-term
   hormonal methods, and 19% chose barrier/behavioral methods. Prior
   IBD-related surgery, biologic therapy use and low education attainment
   were associated with no contraception use. Of contraceptive users, age,
   parity, insurance status, IBD surgery and prior immunomodulator use were
   associated with highly effective method selection.
   Conclusions: A quarter of women with IBD at risk for pregnancy in this
   study population reported no contraceptive method use. Higher levels of
   IBD activity influence contraceptive use and method selection, which
   could guide future patient and provider educational interventions.
   Implications: Pregnancy planning is important for women with
   inflammatory bowel diseases to avoid adverse outcomes in a disease-poor
   state. Use of contraception assists in avoidance of unintended
   pregnancy. IBD characteristics are targets for educational interventions
   to improve uptake of highly effective contraceptive methods. (C) 2014
   Elsevier Inc. All rights reserved.
OI Gawron, Lori/0000-0003-4431-9729
Z8 0
ZR 0
ZA 0
ZB 4
TC 12
ZS 1
Z9 12
U1 0
U2 4
SN 0010-7824
EI 1879-0518
UT WOS:000336339100017
PM 24486008
ER

PT J
AU Lewis, Stephen P.
   Mahdy, Jasmine C.
   Michal, Natalie J.
   Arbuthnott, Alexis E.
TI Googling Self-injury The State of Health Information Obtained Through
   Online Searches for Self-injury
SO JAMA PEDIATRICS
VL 168
IS 5
BP 443
EP 449
DI 10.1001/jamapediatrics.2014.187
PD MAY 2014
PY 2014
AB IMPORTANCE Nonsuicidal self-injury (NSSI), the deliberate destruction of
   one's body tissue without suicidal intent, is a significant issue for
   many youth. Research suggests that adolescents and emerging adults
   prefer the Internet as a means to retrieve NSSI resources and that
   important others (eg, caregivers) may also seek this information online.
   To our knowledge, no research to date has examined the quality of health
   information regarding NSSI on the Internet.
   OBJECTIVES To examine the scope and nature of web searches for NSSI
   websites and to evaluate the quality of health-information websites
   found via these online searches.
   DESIGN, SETTING, AND PARTICIPANTS Ninety-two NSSI-related search terms
   were identified using the Google AdWords Keywords program. The first
   page of Google search results for each term was content-analyzed for
   website type and health-information websites were further coded for
   credibility, NSSI myth propagation, and quality of health information.
   MAIN OUTCOMES AND MEASURES Frequency of NSSI web searches and indices of
   health information quality.
   RESULTS Nonsuicidal self-injury-related search terms were sought more
   than 42 million times in the past year and health-information websites
   were the most common website type found (21.5%). Of these, a health
   and/or academic institution endorsed only 9.6%. At least one NSSI myth
   was propagated per website, including statements that NSSI indicates a
   mental disorder (49.3%), a history of abuse (40%), or the notion that
   primarily women self-injure (37%). The mean quality of health
   information score on these websites was 3.49 (SD = 1.40) of 7.
   CONCLUSIONS AND RELEVANCE Nonsuicidal self-injury-related search terms
   are frequently sought out worldwide and are likely to yield noncredible
   and low-quality information that may propagate common NSSI myths. These
   data suggest health professionals need to be aware of what information
   is online and should refer young patients and their families to reliable
   online resources to enhance NSSI literacy. Efforts to facilitate
   people's access to credible NSSI resources via the Internet are also
   needed.
ZA 0
TC 41
ZR 0
ZB 4
ZS 1
Z8 0
Z9 42
U1 3
U2 24
SN 2168-6203
EI 2168-6211
UT WOS:000336840200010
PM 24663445
ER

PT J
AU Parks, Susan M.
   Harper, G. Michael
   Fernandez, Helen
   Sauvigne, Karen
   Leipzig, Rosanne M.
TI American Geriatrics Society/Association of Directors of Geriatric
   Academic Programs Curricular Milestones for Graduating Geriatric Fellows
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 62
IS 5
BP 930
EP 935
DI 10.1111/jgs.12821
PD MAY 2014
PY 2014
AB This article describes the curricular milestones for geriatric fellows
   and the process used to develop them. The curricular milestones were
   developed to determine what every graduating geriatric fellow should be
   able to demonstrate to ensure that they will be able to practice
   effectively and safely in all care settings and with different older
   adult populations. Three major domains were identified: Caring for the
   Elderly Patient, Systems-Based Care for Elder Patients, and Geriatric
   Syndromes. Six hundred thirty-five geriatricians each reviewed and
   commented on one domain. These geriatricians represented important
   stakeholder groups: geriatric fellowship program directors; Association
   of Directors of Geriatric Academic Programs (ADGAP) members, who are
   primarily geriatric program and fellowship directors; the American
   Geriatrics Society (AGS) and ADGAP Education Committee; the AGS
   Teacher's Section; Geriatric Academic Career Award awardees; and through
   the American Board of Internal Medicine and the American Board of Family
   Medicine, board-certified geriatricians who spend more than 50% of their
   time in clinical practice. The AGS and ADGAP boards approved the final
   set of 76 Geriatric Curricular Milestones, which were posted on the
   Portal of Geriatric Online Education in December 2012. These curricular
   milestones are intended to assist geriatric fellowship directors as they
   develop curricula and assessments to inform program director reporting
   to the Accreditation Council for Graduate Medical Education in the Next
   Accreditation System, which begins in July 2014.
ZA 0
TC 23
Z8 0
ZS 0
ZR 0
ZB 9
Z9 23
U1 1
U2 8
SN 0002-8614
EI 1532-5415
UT WOS:000336385300020
PM 24749808
ER

PT J
AU Meanley, Steven
   Hickok, Andrew
   Johns, Michelle Marie
   Pingel, Emily S.
   Bauermeister, Jose A.
TI Body Mass Index, Body Esteem, and Unprotected Receptive Anal Intercourse
   Among Young Men Who Have Sex with Men Who Seek Partners Online
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 43
IS 4
BP 735
EP 744
DI 10.1007/s10508-013-0159-0
PD MAY 2014
PY 2014
AB Research examining the relationship between body mass index (BMI) and
   sexual risk outcomes among men who have sex with men (MSM) has yielded
   inconsistent results. Using a web-based survey, single-identified (e.g.,
   not in a relationship) young MSM (N = 431) between the ages of 18 and 24
   years who sought romantic partners online were asked to respond to items
   regarding their BMI, body image (e.g., attribution, dissatisfaction, and
   pride), and sexual risk behaviors. We used Poisson regressions to
   examine the relationships between BMI, body image, and the number of
   unprotected receptive anal intercourse (URAI) occasions and partners in
   the past 2 months. We found a curvilinear relationship between BMI and
   URAI occasions, and a linear relationship between BMI and URAI partners.
   These relationships persisted after accounting for body image. Further,
   we found that body attribution served as a protective factor whereas
   body pride served as a risk factor. We discuss the implications of our
   findings for sexual health education and HIV prevention.
RI Bauermeister, Jose/X-8960-2018
OI Bauermeister, Jose/0000-0002-9276-2306
ZR 0
ZB 1
ZA 0
TC 11
Z8 0
ZS 0
Z9 11
U1 0
U2 21
SN 0004-0002
EI 1573-2800
UT WOS:000335765300009
PM 23979783
ER

PT J
AU Rufino, Andrea Cronemberger
   Madeiro, Alberto
   Batista Castello Girao, Manoel Joao
TI Sexuality Education in Brazilian Medical Schools
SO JOURNAL OF SEXUAL MEDICINE
VL 11
IS 5
BP 1110
EP 1117
DI 10.1111/jsm.12476
PD MAY 2014
PY 2014
AB IntroductionSexuality education has been valued since the 1960s in
   medical schools worldwide. Although recent studies reaffirm the
   importance of incorporating sexuality into medical education, there are
   data gaps concerning how this happens in Brazil.
   AimTo understand how Brazilian medical school professors teach sexuality
   in undergraduate courses.
   MethodsAn exploratory, cross-sectional descriptive study was conducted.
   A total of 207 professors from 110 Brazilian medical schools responded
   to an online semistructured questionnaire about the characteristics of
   the sexuality-related topics offered.
   Main Outcome MeasuresThe main variables assessed were contact hours
   devoted to sexuality, disciplines in which sexuality topics were taught,
   sexuality-related course titles, and sexuality-related topics addressed.
   Questionnaires were tabulated and analyzed using descriptive statistics
   for frequency distribution.
   ResultsThe response rate to the questionnaire was 77.2%. Almost all
   professors (96.3%) addressed sexuality-related topics mainly in the
   third and fourth years as clinical disciplines, with a 6-hour load per
   discipline. Gynecology was the discipline in which sexuality-related
   topics were most often taught (51.5%), followed by urology (18%) and
   psychiatry (15%). Sexuality-related topics were addressed mainly in
   classes on sexually transmitted diseases and AIDS (62.4%) and on the
   anatomy and physiology of the reproductive system (55.4%). About 25% of
   the professors reported teaching courses with a sexuality-related title.
   There was emphasis on the impact of diseases and sexual habits (87.9%)
   and sexual dysfunction (75.9%). Less than 50% of professors addressed
   nonnormative sexuality or social aspects of sexuality.
   ConclusionsThe teaching of sexuality in Brazilian medical schools
   occurred in a nonstandardized and fragmented fashion across several
   disciplines. The topic was incorporated with an organic and pathological
   bias, with a weak emphasis on the social aspects of sexuality and the
   variety of human sexual behaviors. The results point to the need for
   change in the provision of sexuality education in Brazilian medical
   schools. Rufino AC, Madeiro A, and GirAo MJBC. Sexuality education in
   Brazilian medical schools. J Sex Med 2014;11:1110-1117.
RI Girao, Manoel Batista Castello/ABA-6558-2021; Madeiro, Alberto/ACU-0099-2022
Z8 0
ZA 1
ZB 1
ZS 7
TC 19
ZR 0
Z9 25
U1 0
U2 7
SN 1743-6095
EI 1743-6109
UT WOS:000337293700002
PM 24612521
ER

PT J
AU King, C.
   Kelder, J.-A.
   Doherty, K.
   Phillips, R.
   McInerney, F.
   Walls, J.
   Robinson, A.
   Vickers, J.
TI Designing for Quality: The Understanding Dementia MOOC
SO Electronic Journal of e-Learning
VL 12
IS 2
BP 161
EP 71
PD May 2014
PY 2014
AB The introduction of Massive Open Online Courses (MOOCs) as a vehicle for
   education delivery presents opportunities and challenges. In the context
   of the Wicking Dementia Research and Education Centre (Wicking Centre),
   the driver to develop a MOOC was the promise of addressing the
   international deficit in evidence-based dementia education, as well as
   the lack of research into international perspectives on dementia. The
   Wicking Centre's activity integrates research and education, framed by
   the concept of `quality of life across the trajectory of dementia.' With
   dementia emerging as the public health issue of the 21st century, lack
   of dementia education at multiple levels, professional and
   nonprofessional, is of increasing concern. The disruptive character of
   MOOCs, with associated risks and uncertainties, warranted the
   application of a research-oriented project management approach to
   development. This included investing resources in gathering and
   analysing data to underpin each phase of decision-making. We used a
   design-based research approach incorporating the concept of `life-cycle
   of an e-learning design' (Phillips et al. 2012). Data collection and
   analysis focused on three dynamically interacting components: 1)
   expertise in dementia knowledge and dementia education; 2) a
   cohort-centric approach to design and delivery, and 3) models and
   designs for MOOCs currently promoted, discussed and reported in the
   higher education discipline. Laurillard's Conversational Framework,
   relating types of learning, teaching-learning activities and the digital
   technologies that support them (2012), informed the selection of digital
   technology elements for massive-scale engagement of our identified
   cohort. The paper describes the initial design process and the outcomes
   of the limited release pilot that informed the first full offering of
   the MOOC.
RI Kelder, Jo-Anne/J-7914-2014; King, Carolyn/; Walls, Justin/; Vickers, James C/J-7464-2014; Doherty, Kathleen/J-7735-2014
OI Kelder, Jo-Anne/0000-0002-8618-0537; King, Carolyn/0000-0001-5097-8064;
   Walls, Justin/0000-0001-9932-0298; Vickers, James C/0000-0001-5671-4879;
   Doherty, Kathleen/0000-0002-0122-0123
ZA 0
TC 11
ZB 0
ZR 0
Z8 1
ZS 0
Z9 12
U1 0
U2 7
SN 1479-4403
UT INSPEC:14367307
ER

PT J
AU Kerfoot, B. Price
   Turchin, Alexander
   Breydo, Eugene
   Gagnon, David
   Conlin, Paul R.
TI An Online Spaced-Education Game Among Clinicians Improves Their
   Patients' Time to Blood Pressure Control A Randomized Controlled Trial
SO CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
VL 7
IS 3
BP 468
EP 474
DI 10.1161/CIRCOUTCOMES.113.000814
PD MAY 2014
PY 2014
AB Background-Many patients with high blood pressure (BP) do not have
   antihypertensive medications appropriately intensified at clinician
   visits. We investigated whether an online spaced-education (SE) game
   among primary care clinicians can decrease time to BP target among their
   hypertensive patients.
   Methods and Results-A 2-arm randomized trial was conducted over 52 weeks
   among primary care clinicians at 8 hospitals. Educational content
   consisted of 32 validated multiple-choice questions with explanations on
   hypertension management. Providers were randomized into 2 groups: SE
   clinicians were enrolled in the game, whereas control clinicians
   received identical educational content in an online posting. SE game
   clinicians were e-mailed 1 question every 3 days. Adaptive game
   mechanics resent questions in 12 or 24 days if answered incorrectly or
   correctly, respectively. Clinicians retired questions by answering each
   correctly twice consecutively. Posting of relative performance among
   peers fostered competition. Primary outcome measure was time to BP
   target (<140/90 mm Hg). One hundred eleven clinicians enrolled. The SE
   game was completed by 87% of clinicians (48/55), whereas 84% of control
   clinicians (47/56) read the online posting. In multivariable analysis of
   17 866 hypertensive periods among 14 336 patients, the hazard ratio for
   time to BP target in the SE game cohort was 1.043 (95% confidence
   interval, 1.007-1.081; P=0.018). The number of hypertensive episodes
   needed to treat to normalize one additional patient's BP was 67.8. The
   number of clinicians needed to teach to achieve this was 0.43.
   Conclusions-An online SE game among clinicians generated a modest but
   significant reduction in the time to BP target among their hypertensive
   patients.
ZA 0
TC 37
ZR 0
ZS 0
Z8 0
ZB 5
Z9 37
U1 1
U2 12
SN 1941-7705
EI 1941-7713
UT WOS:000336796300018
PM 24847084
ER

PT J
AU Rizk, J.
   Audenet, F.
   Brichart, N.
   Capon, G.
   Dariane, C.
   Fiard, G.
   Lebdai, S.
   Madec, F. -X.
   Maurin, C.
   Sanson, S.
   Tanchoux, C.
   Thibault, F.
   Murez, T.
   Terrasa, J. -B.
   Terrier, J. -E.
TI Research fellowship in the curriculum of French urologists-in-training:
   A study by the French Association of Urologists-in-training (AFUF)
SO PROGRES EN UROLOGIE
VL 24
IS 6
BP 359
EP 366
DI 10.1016/j.purol.2013.10.012
PD MAY 2014
PY 2014
AB Objectives. - To assess motivations, the practical organization and the
   funding of a research fellowship in the training curriculum of French
   urologists-in-training.
   Materials and methods. - An online questionnaire was sent to members of
   the AFUF and to participants of a research training seminar "Graines et
   Sol" organised by the AFU, between July and September 2013. Results are
   presented as the median (interquartile range).
   Results. - Sixty answers out of 115 research fellows (response rate 52%)
   were computed. Median age was 29 years (28-30) during the research year
   and male proportion 75%. The AFU grant was obtained by 57.4% of
   applicants, 56.4% for various grants and 47.6% for the research
   fellowship university grant. The annual gross amount was 29,870
   (sic)(22,710-30,195), without any significant difference between
   residency subdivisions. Financial supplements were obtained by being
   on-duty (26.2%), on-call (28.6%) and replacements (25%). The research
   fellowship year was done between 4th and 5th years of residency (53%),
   for a one-year length (96.7%) and in France (86.6%). Urologic
   cancerology was the thematic the most studied (60%). The research
   fellowship was done in view of an academic career (31.7%) or was done to
   wait for a post-residency position (20.8%). About a quarter was being
   proposed a chief-residency position before the beginning of the research
   year. During this year, 76.7% published. About 63% were interested in
   pursuing with a PhD.
   Conclusion. - This study confirmed the interest for a research
   fellowship by French urologists-in-training. Financial support thanks to
   grants facilitated the conduct of a research fellowship in the aim of an
   academic career for most of them. (C) 2013 Elsevier Masson SAS. All
   rights reserved.
RI Dariane, Charles/L-5248-2019; Fiard, Gaelle/P-2362-2014; Fiard, Gaelle/AAS-4447-2020
OI Fiard, Gaelle/0000-0003-3049-5318
ZB 0
TC 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 0
U1 0
U2 1
SN 1166-7087
EI 2405-5131
UT WOS:000336823700006
PM 24821559
ER

PT J
AU Fiard, G.
   Capon, G.
   Rizk, J.
   Maurin, C.
   Dariane, C.
   Audenet, F.
   Tanchoux, C.
   Brichart, N.
   Lebdai, S.
   Sanson, S.
   Madec, F. -X.
   Thibault, F.
   Terrasa, J. -B.
   Murez, T.
   Terrier, J. -E.
TI The place of simulation in the curriculum of French
   urologists-in-training: A study by the French Association of
   Urologists-in-training (AFUF)
SO PROGRES EN UROLOGIE
VL 24
IS 6
BP 390
EP 396
DI 10.1016/j.purol.2013.10.013
PD MAY 2014
PY 2014
AB Objectives. - To study the place of simulation in the training
   curriculum of French urologists-in-training.
   Materials and methods. - An online questionnaire was sent to all
   residents and fellows members of the AFUF between February and May,
   2013. Results are presented as the median (interquartile range).
   Results. - The answers of 125 urologists-in-training were computed
   (response rate 38%). They were residents in 90 cases (72%), and fellows
   in 35 cases (28%). Median age was 29 (27-30), male proportion 77%. All
   French academic urology departments were represented. Ninety of them
   (72%) had access to a pelvi-trainer and 66 (53%) to animal or cadaveric
   models, although they never used them or less than once a month in 83
   and 97% of cases, respectively. Seventy-two (58%) had used a
   virtual-reality based simulator at least once and 38 (30%) had regular
   access to one, but without supervision in 64% of cases. Factors limiting
   simulation-based training were the lack of available simulators (70%),
   the lack of time (58%), the absence of incitement (34%) and supervision
   (20%). If these conditions were met, 86% of urologists-in-training would
   be ready to spend more than one hour a-week training on a simulator.
   Conclusion. - This study revealed among the sample of respondents a
   limited use of simulation tools for skills aquisition. This was
   explained by a limited availability of these tools but also by an
   insufficient use of the tools when available. (C) 2014 Published by
   Elsevier Masson SAS.
RI Dariane, Charles/L-5248-2019; Fiard, Gaelle/AAS-4447-2020; Fiard, Gaelle/P-2362-2014
OI Fiard, Gaelle/0000-0003-3049-5318; 
TC 10
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
Z9 10
U1 0
U2 2
SN 1166-7087
EI 2405-5131
UT WOS:000336823700010
PM 24821563
ER

PT J
AU Samuelson, Kristin W.
   Koenig, Christopher J.
   McCamish, Nicole
   Choucroun, Gerard
   Tarasovsky, Gary
   Bertenthal, Daniel
   Seal, Karen H.
TI Web-Based PTSD Training for Primary Care Providers: A Pilot Study
SO PSYCHOLOGICAL SERVICES
VL 11
IS 2
BP 153
EP 161
DI 10.1037/a0034855
PD MAY 2014
PY 2014
AB Veterans with posttraumatic stress disorder (PTSD) symptoms frequently
   present to primary care providers (PCPs) and are reluctant to seek out
   or accept referrals to specialty mental health care. Most PCPs have not
   been trained to assess for and manage symptoms of PTSD. Web-based
   programs are increasingly used for medical education, but there are no
   published evaluations of online PTSD trainings for PCPs. We developed a
   70-min Web-based training that focused on military-related PTSD for PCPs
   practicing in Veterans Affairs (VA) hospitals, but was applicable to
   PCPs treating veterans and other trauma-exposed patients outside VA
   settings. The training consisted of four modules: (1) Detection and
   Assessment; (2) Comorbid Conditions and Related Problems; (3)
   Pharmacological Interventions; and (4) Psychotherapeutic Interventions.
   Clinical vignettes dramatized key training concepts. Seventy-three PCPs
   completed the training and assessments pre- and posttraining and 30 days
   later. Paired t tests compared change in PTSD-related knowledge and
   comfort with PTSD-related skills, and qualitative methods were used to
   summarize participant feedback. After the training, mean knowledge score
   improved from 46% to 75% items correct, with sustained improvement at 30
   days. Thirty days posttraining, PCPs reported significantly greater
   comfort regarding PTSD-related skills assessed; 47% reported using
   training content in their clinical practice. Qualitatively, PCPs
   appreciated the flexibility of asynchronous, self-paced online modules,
   but suggested more interactive content. Given the numerous barriers to
   specialty mental health treatment, coupled with a preference among
   veterans with PTSD for accessing treatment through primary care,
   improving PTSD competency among PCPs may help better serve veterans'
   mental health needs.
RI Koenig, Christopher J./AAA-2831-2020; Koenig, Christopher J./
OI Koenig, Christopher J./0000-0003-0884-4120
ZB 1
ZS 0
ZR 0
ZA 0
TC 8
Z8 0
Z9 8
U1 0
U2 13
SN 1541-1559
EI 1939-148X
UT WOS:000336784900004
PM 24364595
ER

PT J
AU Delver, Hilary
   Jackson, Wesley
   Lee, Sonya
   Palacios, Mone
TI FM POD: An Evidence-Based Blended Teaching Skills Program for Rural
   Preceptors
SO FAMILY MEDICINE
VL 46
IS 5
BP 369
EP 377
PD MAY 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: The University of Calgary's Rural Integrated
   Community Clerkship anchors final-year medical student education in 9
   months of family medicine. The purpose of this pilot study was to
   evaluate the Family Medicine Preceptor Online Development (FM POD)
   program, designed to meet the faculty development needs of rural
   preceptors facing challenges of geographical distribution and time
   constraints.
   METHODS: The theoretically based program used a blended learning
   approach, beginning with a face-to-face workshop to strengthen
   participants' social presence during online interactions to follow.
   Asynchronous narrated presentations supplied foundational knowledge
   prior to facilitated synchronous web conferences, where participants
   shared experiences and co-constructed new knowledge. The program was
   evaluated using mixed methods, including surveys and focus group
   discussion.
   RESULTS: Evaluation tools generated data with high internal consistency
   reliability; focus group information substantiated and enriched the
   quantitative survey data. Participants enjoyed collaborating with
   colleagues and rated their learning experiences highly, reporting
   meaningful and statistically significant increases in mean comfort with
   all the precepting skills taught: giving effective feedback, using
   questions to teach, teaching communications skills, helping learners in
   difficulty, and making teaching time-efficient. All effect sizes were
   large. Increased comfort with distance learning technologies was a
   positive consequence.
   CONCLUSIONS: Results support the applicability of principles of social
   constructivism, experiential learning, and reflective learning in these
   participants. The program was highly rated and effectively increased
   participants' comfort with teaching skills, offering practical
   off-the-peg modular faculty development in basic teaching skills for
   distributed faculty. Participants appreciated the flexible delivery
   format, which course developers found readily adaptable for additional
   topics.
Z8 0
ZB 0
ZA 0
TC 3
ZS 0
ZR 0
Z9 3
U1 0
U2 12
SN 0742-3225
EI 1938-3800
UT WOS:000336014700007
PM 24915480
ER

PT J
AU Berner, Eta S.
TI Publications in Academic Medical Centers: Technology-Facilitated Culture
   Clash
SO ACADEMIC MEDICINE
VL 89
IS 5
BP 734
EP 737
DI 10.1097/ACM.0000000000000216
PD MAY 2014
PY 2014
AB Academic culture has a set of norms, expectations, and values that are
   sometimes tacit and sometimes very explicit. In medical school and other
   health professions educational settings, probably the most common norm
   includes placing a high value on peer-reviewed research publications,
   which are seen as the major evidence of scholarly productivity. Other
   features of academic culture include encouraging junior faculty and
   graduate students to share their research results at professional
   conferences and lecturing with slides as a major way to convey
   information. Major values that faculty share with journal editors
   include responsible conduct of research and proper attribution of
   others' words and ideas. Medical school faculty also value technology
   and are often quick to embrace technological advances that can assist
   them in their teaching and research. This article addresses the effects
   of technology on three aspects of academic culture: education,
   presentations at professional meetings, and research publications. The
   technologies discussed include online instruction, dissemination of
   conference proceedings on the Internet, plagiarism-detection software,
   and new technologies deployed by the National Center for Biotechnology
   Information, the home of PubMed. The author describes how the ease of
   deploying new technologies without faculty changing their norms and
   behavior in the areas of teaching and research can lead to conflicts of
   values among key stakeholders in the academic medical community,
   including faculty, journal editors, and professional associations. The
   implications of these conflicts and strategies for managing them are
   discussed.
OI Berner, Eta/0000-0003-4319-2949
ZB 0
ZA 0
ZR 0
Z8 0
TC 2
ZS 0
Z9 2
U1 0
U2 4
SN 1040-2446
EI 1938-808X
UT WOS:000335461800017
PM 24667517
ER

PT J
AU Greer, Annette G.
   Clay, Maria
   Blue, Amy
   Evans, Clyde H.
   Garr, David
TI The Status of Interprofessional Education and Interprofessional
   Prevention Education in Academic Health Centers: A National Baseline
   Study
SO ACADEMIC MEDICINE
VL 89
IS 5
BP 799
EP 805
DI 10.1097/ACM.0000000000000232
PD MAY 2014
PY 2014
AB Purpose Given the emphasis on prevention in U.S. health care reform
   efforts, the importance of interprofessional education (IPE) that
   prepares health professions students to be part of effective health care
   teams is greater than ever. This study examined the prevalence and
   nature of IPE and interprofessional (IP) prevention education in U.S.
   academic health centers.
   Method The authors extracted a 10-item survey from the longer published
   IPE Assessment and Planning Instrument. In September 2010, they sent the
   survey to 346 health professions leaders in health sciences schools and
   colleges at 100 academic health centers. These institutions were
   identified via the online membership list of the Association of Academic
   Health Centers. The authors conducted descriptive statistical analysis
   and cross-tabulations.
   Results Surveys were completed by 127 contacts at 68 universities in 31
   states and the District of Columbia. IPE was more prevalent than IP
   prevention education in all categories of measurement. Respondents
   affirmed existence of IPE in courses (85.0%) and in clinical
   rotations/internships (80.3%). The majority reported personnel with
   responsibility for IPE (68.5%) or prevention education (59.8%) at their
   institutional unit, and 59.8% reported an IPE office or center.
   Conclusions This study provides evidence that IPE and IP prevention
   education exist in academic health centers, but additional attention
   should be paid to the development of IP prevention education. Sample
   syllabi, job descriptions, and policies may be available to support
   adoption of IPE and IP prevention education. Further effort is needed to
   increase the integration of IP and prevention education into practice.
RI Greer, Annette/AAX-6541-2020; Greer, Annette/
OI Greer, Annette/0000-0002-2868-0306
ZR 0
ZB 1
ZS 0
ZA 0
TC 25
Z8 0
Z9 25
U1 0
U2 8
SN 1040-2446
EI 1938-808X
UT WOS:000335461800030
PM 24667499
ER

PT J
AU Abali, Emine Ercikan
   Phadtare, Sangita
   Galt, Jim
   Brodsky, Barbara
TI An online guided e-journal exercise in pre-clerkship years: Oxidative
   phosphorylation in brown adipose tissue
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 42
IS 3
BP 259
EP 269
DI 10.1002/bmb.20785
PD MAY 2014
PY 2014
AB The rationale for this mandatory, guided online e-journal exercise is to
   foster the ability of students to independently read medical and
   scientific literature in a critical manner and to integrate journal
   reading with their basic science knowledge. After a lecture on oxidative
   phosphorylation, students were assigned to read an article on brown
   adipose tissue published in New England Journal of Medicine and were
   guided to analyze the article by answering online questions. After two
   iterations, student surveys about the project, its key pedagogical
   features, and ways to improve it suggest that the students perceived
   these exercises as active learning, which is clinically relevant and
   built on their course material. Furthermore, students agreed that the
   e-journal project was useful for learning how to read an article, for
   reviewing the material learned in class, and for promoting
   evidence-based medicine. This online e-journal exercise models some
   aspects students will experience as future physicians, where it is
   essential to keep up with literature and extract relevant information on
   a tight physician's schedule. This study demonstrated the usefulness of
   guided e-journal exercises as a simple effective active teaching tool
   for preclinical medical students, which can also be used for prehealth
   undergraduate programs. (c) 2014 by The International Union of
   Biochemistry and Molecular Biology, 42(3):XXXXX-XXXXX, 2014.
Z8 0
ZB 0
ZA 0
TC 2
ZS 0
ZR 0
Z9 2
U1 0
U2 10
SN 1470-8175
EI 1539-3429
UT WOS:000335828900010
PM 24599571
ER

PT J
AU Lebensohn, Patricia
   Dodds, Sally
   Brooks, Audrey J.
   Cook, Paula
   Guerrera, Mary
   Sierpina, Victor
   Teets, Raymond
   Woytowicz, John
   Maizes, Victoria
TI INCREASING RESIDENT RECRUITMENT INTO FAMILY MEDICINE: EFFECT OF A UNIQUE
   CURRICULUM IN INTEGRATIVE MEDICINE
SO EXPLORE-THE JOURNAL OF SCIENCE AND HEALING
VL 10
IS 3
BP 187
EP 192
DI 10.1016/j.explore.2014.02.001
PD MAY-JUN 2014
PY 2014
AB Introduction: Healthcare reform is highlighting the need for more family
   practice and other primary care physicians. The Integrative Medicine in
   Residency (IMR) curriculum project helped family medicine residencies
   pilot a new, online curriculum promoting prevention, patient-centered
   care competencies, use of complementary and alternative medicine along
   with conventional medicine for management of chronic illness. A major
   potential benefit of the IMR program is enhanced recruitment into
   participating residencies, which is reported here.
   Methods: Using an online questionnaire, accepted applicants to the eight
   IMR pilot programs (n = 152) and four control programs (is = 50) were
   asked about their interests in learning integrative medicine (IM) and in
   the pilot sites how the presence of the IMR curriculum affected their
   ranking decisions.
   Results: Of residents at the IMR sites, 46.7% reported that the presence
   of the IMR was very important or important in their ranking decision.
   The IMR also ranked fourth overall in importance of ranking after
   geography, quality of faculty, and academic reputation of the residency.
   The majority of IMR residents (87.5%) had high to moderate interest in
   learning IM during their residency; control residents also had a high
   interest in learning IM (61.2%).
   Conclusions: The presence of the IMR curriculum was seen as a strong
   positive by applicants in ranking residencies. Increasing the adoption
   of innovative IM curricula, such as the IMR, by residency programs may
   be helpful in increasing applications of competitive medical students
   into primary care residencies as well as in responding to the expressed
   interest in learning the IM approach to patient care. (C) 2014 Published
   by Elsevier Inc.
ZR 0
Z8 2
ZA 0
ZB 0
TC 7
ZS 0
Z9 8
U1 1
U2 11
SN 1550-8307
EI 1878-7541
UT WOS:000336193000007
PM 24767266
ER

PT J
AU Gomez, Pedro Pablo
   Willis, Ross E.
   Jaramillo, Luis Alejandro
TI Evaluation of a Dedicated, Surgery-Oriented Visiting International
   Medical Student Program
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 3
BP 325
EP 328
DI 10.1016/j.jsurg.2013.09.007
PD MAY-JUN 2014
PY 2014
AB PURPOSE: Programs dedicated to the successful integration of
   international medical graduates into the U.S. surgical residency
   training are scarce and foreign students are often unaware of their
   availability. In 2007, the Department of Surgery at the University of
   Texas Health Science Center at San Antonio developed the Visiting
   International Students in San Antonio (VISSA) program designed to bring
   international senior medical students to rotate at our institution. The
   program has enrolled 55 students who rotated through various general
   surgery services. The purpose of this study was to assess prior
   participants' professional statuses, career selections, and satisfaction
   with our program.
   METHODS: A 21-item anonymous online survey was distributed via e-mail.
   Demographic information, current professional status, lesidency
   specialty selection, assessment of satisfaction, and personal experience
   with the VISSA program were collected.
   RESULTS: We obtained an 84% (46/55) response rate among participants.
   Most respondents were men (75.6%) and younger than 25 years of age
   (82.6%). Students from 14 nations have visited our institution, mostly
   from Latin America (56.5%) and Asia (36.9%). Before visiting our
   program, 80.4% considered applying to a residency program in the United
   States, which increased to 88.9% after rotating at our institution. Of
   our respondents, 42.1% applied to a residency program in the United
   States and 17.4% were accepted to a general surgery position (50%
   categorical and 50% preliminary). Respondents agreed or strongly agreed
   that being part of the VISSA program helped them obtain a general
   surgery residency position (90.4%) and considered our program as their
   first option (77.8%). Independently of their current professional status
   or residency selection process, 100% of respondents would recommend
   participation in our program to colleagues at their medical schools.
   CONCLUSION: A dedicated, surgery-oriented visiting foreign medical
   student program has a positive effect in residency selection,
   application, and professional development. ((C) 2014 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
Z8 0
ZA 0
ZB 0
ZS 0
ZR 0
TC 1
Z9 1
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000336467400008
PM 24797847
ER

PT J
AU Dumestre, Danielle
   Yeung, Justin K.
   Ternple-Oberle, Claire
TI Evidence-Based Microsurgical Skill-Acquisition Series Part 1: Validated
   Microsurgical Models - A Systematic Review
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 3
BP 329
EP 338
DI 10.1016/j.jsurg.2013.09.008
PD MAY-JUN 2014
PY 2014
AB OBJECTIVES: The purpose of this study is to (1) systematically review
   all the literature pertaining to microsurgical training models and to
   (2) determine which of these are specific to and validated for
   microsurgery training.
   DESIGN: PubMed, MEDLINE (OVID/EBSCO), Google Scholar, and Cochrane
   Central Register of Controlled Trials were searched using preset terms.
   The last search date was in July 2012. Articles of all languages, years
   of publication, sample sizes, and model types pertaining to microsurgery
   were included. The eligibility criteria included the use of a
   microsurgical training model on a subject group with statistical
   analysis and measures of validation. Two assessors independently
   reviewed the articles and their references.
   RESULTS: Of the 238 articles reviewed, 9 articles met the criteria.
   Those excluded were predominantly model descriptions that had not been
   validated in a set of learners. The 9 models whose performances were
   assessed in a group of learners included an online curriculum, nonliving
   prosthetics and biologics, and the live rat femoral artery model. Each
   model was evaluated for content, construct, face, and criterion
   (concurrent and predictive) validity, as well as selection and
   observation/expectant bias. Content, construct, concurrent, and face
   validities were consistently demonstrated for all 9 models. Selection
   bias was also reliably well controlled with random allocation of
   participants to each study group. Observation/expectant bias was
   controlled in 6 of the 8 papers. Predictive validity, an arguably more
   difficult factor to measure, was only present in 1 article.
   CONCLUSIONS: Despite a plethora of papers describing microsurgical
   learning tools, only 9 were discovered that provided validation of the
   proposed method of microsurgical skills acquisition. This review depicts
   the need for basic, yet well-designed studies that substantiate the
   effectiveness of microsurgical training models by using a subject group
   and demonstrating a statistical improvement with employment of the
   model. Ease of access, cost, and assessment tools used also require
   attention. ((C) 2014 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
ZB 3
ZA 0
Z8 1
ZS 4
TC 40
ZR 0
Z9 43
U1 0
U2 11
SN 1931-7204
EI 1878-7452
UT WOS:000336467400009
PM 24797848
ER

PT J
AU George, Daniel R.
   Green, Michael J.
   Navarro, Anita M.
   Stazyk, Kelly K.
   Clark, Melissa A.
TI Medical student views on the use of Facebook profile screening by
   residency admissions committees
SO POSTGRADUATE MEDICAL JOURNAL
VL 90
IS 1063
BP 251
EP 253
DI 10.1136/postgradmedj-2013-132336
PD MAY 2014
PY 2014
AB Purpose Previous research has shown that >50% of residency programmes
   indicate that inappropriate Facebook postings could be grounds for
   rejecting a student applicant. This study sought to understand medical
   students' views regarding the impact of their Facebook postings on the
   residency admissions process.
   Study design In 2011-2012, we conducted a national survey of 7144
   randomly selected medical students representing 10% of current enrollees
   in US medical schools. Students were presented with a hypothetical
   scenario of a residency admissions committee searching Facebook and
   finding inappropriate pictures of a student, and were asked how the
   committee ought to regard these pictures.
   Results The response rate was 30% (2109/7144). Respondents did not
   differ from medical students nationally with regard to type of medical
   school and regional representation. Of the three options provided, the
   majority of respondents (63.5%) indicated the pictures should be
   considered along with other factors, but should not be grounds for
   automatic rejection of the application'. A third (33.7%) believed the
   pictures should have no bearing on my application; the pictures are
   irrelevant'. A small minority of respondents (2.8%) felt the pictures
   should be grounds for automatic rejection of the application'.
   Conclusions That the views of students regarding the consequences of
   their online activity differ so greatly from the views of residency
   admissions committees speaks to the need for better communication
   between these parties. It also presents opportunities for medical
   schools to help students in their residency application process by
   increasing awareness of social media screening strategies used by some
   residency programmes, and fostering self-awareness around the use of
   social media during medical school and especially during the residency
   application process.
RI Clark, Melissa A/I-1810-2014; Green, Martin A/H-7567-2012; Green, Michael/
OI Green, Martin A/0000-0002-8860-396X; Green, Michael/0000-0002-4828-4749
TC 13
ZS 0
ZA 0
ZR 0
Z8 0
ZB 0
Z9 13
U1 0
U2 7
SN 0032-5473
EI 1469-0756
UT WOS:000334397200003
PM 24578513
ER

PT J
AU Berenbaum, Francis
TI SCIENCE AND SOCIETY The social (media) side to rheumatology
SO NATURE REVIEWS RHEUMATOLOGY
VL 10
IS 5
BP 314
EP 318
DI 10.1038/nrrheum.2014.20
PD MAY 2014
PY 2014
AB A revolution is underway in the fields of education and health practice.
   Social media are now considered by the new generations of students,
   doctors and patients as a useful tool for learning and for
   doctor-doctor, doctor-patient and patient-patient communications.
   However, should we be excited by this revolution or afraid of it?
   Advantages and challenges of such new tools for medicine in general and
   rheumatology in particular are discussed in this Perspectives.
RI Berenbaum, Francis/AAO-5690-2020
OI Berenbaum, Francis/0000-0001-8252-7815
ZR 0
ZA 0
TC 14
ZS 0
Z8 0
ZB 6
Z9 15
U1 0
U2 7
SN 1759-4790
EI 1759-4804
UT WOS:000335971600010
PM 24595093
ER

PT J
AU Jaffar, Akram Abood
TI Exploring the Use of a Facebook Page in Anatomy Education
SO ANATOMICAL SCIENCES EDUCATION
VL 7
IS 3
BP 199
EP 208
DI 10.1002/ase.1404
PD MAY 2014
PY 2014
AB Facebook is the most popular social media site visited by university
   students on a daily basis. Consequently, Facebook is the logical place
   to start with for integrating social media technologies into education.
   This study explores how a faculty-administered Facebook Page can be used
   to supplement anatomy education beyond the traditional classroom.
   Observations were made on students' perceptions and effectiveness of
   using the Page, potential benefits and challenges of such use, and which
   Insights metrics best reflect user's engagement. The Human Anatomy
   Education Page was launched on Facebook and incorporated into anatomy
   resources for 157 medical students during two academic years. Students'
   use of Facebook and their perceptions of the Page were surveyed.
   Facebook's Insights tool was also used to evaluate Page performance
   during a period of 600 days. The majority of in-class students had a
   Facebook account which they adopted in education. Most students
   perceived Human Anatomy Education Page as effective in contributing to
   learning and favored self-assessment posts. The majority of students
   agreed that Facebook could be a suitable learning environment. The
   Insights tool revealed globally distributed fans with considerable Page
   interactions. The use of a faculty-administered Facebook Page provided a
   venue to enhance classroom teaching without intruding into students'
   social life. A wider educational use of Facebook should be adopted not
   only because students are embracing its use, but for its inherent
   potentials in boosting learning. The Insights metrics analyzed in this
   study might be helpful when establishing and evaluating the performance
   of education-oriented Facebook Pages. Anat Sci Educ 7: 199-208. (c) 2013
   American Association of Anatomists.
RI Jaffar, Akram Abood/H-6568-2019
OI Jaffar, Akram Abood/0000-0001-7846-900X
ZB 13
ZA 0
ZS 0
TC 79
Z8 0
ZR 0
Z9 82
U1 0
U2 74
SN 1935-9772
EI 1935-9780
UT WOS:000335398300004
PM 24022984
ER

PT J
AU Beale, Elmus G.
   Tarwater, Patrick M.
   Lee, Vaughan H.
TI A Retrospective Look at Replacing Face- to- Face Embryology Instruction
   With Online Lectures in a Human Anatomy Course
SO ANATOMICAL SCIENCES EDUCATION
VL 7
IS 3
BP 234
EP 241
DI 10.1002/ase.1396
PD MAY 2014
PY 2014
AB Embryology is integrated into the Clinically Oriented Anatomy course at
   the Texas Tech University Health Sciences Center School of Medicine.
   Before 2008, the same instructor presented embryology in 13 face-to-face
   lectures distributed by organ systems throughout the course. For the
   2008 and 2009 offerings of the course, a hybrid embryology instruction
   model with four face-to-face classes that supplemented online recorded
   lectures was used. One instructor delivered the lectures face-to-face in
   2007 and by online videos in 2008-2009, while a second instructor
   provided the supplemental face-to-face classes in 2008-2009. The same
   embryology learning objectives and selected examination questions were
   used for each of the three years. This allowed direct comparison of
   learning outcomes, as measured by examination performance, for students
   receiving only face-to-face embryology instruction versus the hybrid
   approach. Comparison of the face-to-face lectures to the hybrid approach
   showed no difference in overall class performance on embryology
   questions that were used all three years. Moreover, there was no
   differential effect of the delivery method on the examination scores for
   bottom quartile students. Students completed an end-of-course survey to
   assess their opinions. They rated the two forms of delivery similarly on
   a six-point Likert scale and reported that face-to-face lectures have
   the advantage of allowing them to interact with the instructor, whereas
   online lectures could be paused, replayed, and viewed at any time. These
   experiences suggest the need for well-designed prospective studies to
   determine whether online lectures can be used to enhance the efficacy of
   embryology instruction. Anat Sci Educ 7: 234-241. (c) 2013 American
   Association of Anatomists.
RI Beale, Elmus/GNM-8181-2022; Beale, Elmus/
OI Beale, Elmus/0000-0002-7758-0600
ZR 0
Z8 0
ZS 0
TC 37
ZA 0
ZB 3
Z9 38
U1 0
U2 23
SN 1935-9772
EI 1935-9780
UT WOS:000335398300008
PM 23959807
ER

PT J
AU Cook, Jonathan A.
   Hislop, Jennifer
   Adewuyi, Temitope E.
   Harrild, Kirsten
   Altman, Douglas G.
   Ramsay, Craig R.
   Fraser, Cynthia
   Buckley, Brian
   Fayers, Peter
   Harvey, Ian
   Briggs, Andrew H.
   Norrie, John D.
   Fergusson, Dean
   Ford, Ian
   Vale, Luke D.
TI Assessing methods to specify the target difference for a randomised
   controlled trial: DELTA (Difference ELicitation in TriAls) review
SO HEALTH TECHNOLOGY ASSESSMENT
VL 18
IS 28
BP 1
EP +
DI 10.3310/hta18280
PD MAY 2014
PY 2014
AB Background: The randomised controlled trial (RCT) is widely considered
   to be the gold standard study for comparing the effectiveness of health
   interventions. Central to the design and validity of a RCT is a
   calculation of the number of participants needed (the sample size). The
   value used to determine the sample size can be considered the 'target
   difference'. From both a scientific and an ethical standpoint, selecting
   an appropriate target difference is of crucial importance. Determination
   of the target difference, as opposed to statistical approaches to
   calculating the sample size, has been greatly neglected though a variety
   of approaches have been proposed the current state of the evidence is
   unclear.
   Objectives: The aim was to provide an overview of the current evidence
   regarding specifying the target difference in a RCT sample size
   calculation. The specific objectives were to conduct a systematic review
   of methods for specifying a target difference; to evaluate current
   practice by surveying triallists; to develop guidance on specifying the
   target difference in a RCT; and to identify future research needs.
   Design: The biomedical and social science databases searched were
   MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, EMBASE,
   Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane
   Methodology Register, PsycINFO, Science Citation Index, EconLit,
   Education Resources Information Center (ERIC) and Scopus for in-press
   publications. All were searched from 1966 or the earliest date of the
   database coverage and searches were undertaken between November 2010 and
   January 2011. There were three interlinked components: (1) systematic
   review of methods for specifying a target difference for RCTs - a
   comprehensive search strategy involving an electronic literature search
   of biomedical and some non-biomedical databases and clinical trials
   textbooks was carried out; (2) identification of current trial practice
   using two surveys of triallists - members of the Society for Clinical
   Trials (SCT) were invited to complete an online survey and respondents
   were asked about their awareness and use of, and willingness to
   recommend, methods; one individual per triallist group [UK Clinical
   Research Collaboration (UKCRC)registered Clinical Trials Units (CTUs),
   Medical Research Council (MRC) UK Hubs for Trials Methodology Research
   and National Institute for Health Research (NIHR) UK Research Design
   Services (RDS)] was invited to complete a survey; (3) production of a
   structured guidance document to aid the design of future trials the
   draft guidance was developed utilising the results of the systematic
   review and surveys by the project steering and advisory groups.
   Setting: Methodological review incorporating electronic searches, review
   of books and guidelines, two surveys of experts (membership of an
   international society and UK-and Ireland-based triallists) and
   development of guidance.
   Participants: The two surveys were sent out to membership of the SCT and
   UK- and Ireland-based triallists.
   Interventions: The review focused on methods for specifying the target
   difference in a RCT. It was not restricted to any type of intervention
   or condition.
   Main outcome measures: Methods for specifying the target difference for
   a RCT were considered.
   Results: The search identified 11,485 potentially relevant studies. In
   total, 1434 were selected for full-text assessment and 777 were included
   in the review. Seven methods to specify the target difference for a RCT
   were identified - anchor, distribution, health economic,
   opinion-seeking, pilot study, review of evidence base (RoEB) and
   standardised effect size (SES) - each having important variations in
   implementation. A total of 216 of the included studies used more than
   one method. A total of 180 (15%) responses to the SCT survey were
   received, representing 13 countries. Awareness of methods ranged from
   38% (n = 69) for the health economic method to 90% (n = 162) for the
   pilot study. Of the 61 surveys sent out to UK triallist groups, 34 (56%)
   responses were received. Awareness ranged from 97% (n = 33) for the RoEB
   and pilot study methods to only 41% (n = 14) for the distribution
   method. Based on the most recent trial, all bar three groups (91%, n =
   30) used a formal method. Guidance was developed on the use of each
   method and the reporting of the sample size calculation in a trial
   protocol and results paper.
   Conclusions: There is a clear need for greater use of formal methods to
   determine the target difference and better reporting of its
   specification. Raising the standard of RCT sample size calculations and
   the corresponding reporting of them would aid health professionals,
   patients, researchers and funders in judging the strength of the
   evidence and ensuring better use of scarce resources.
RI Briggs, Andrew/ABA-9009-2020; Cook, Jonathan/D-3648-2015; Ramsay, Craig/AAD-8249-2021; Ford, Ian/ABE-6145-2020; Fergusson, Dean/; Fayers, Peter/; Vale, Luke/; Buckley, Brian/
OI Briggs, Andrew/0000-0002-0777-1997; Cook, Jonathan/0000-0002-4156-6989;
   Ramsay, Craig/0000-0003-4043-7349; Fergusson, Dean/0000-0002-3389-2485;
   Fayers, Peter/0000-0003-4778-1513; Vale, Luke/0000-0001-8574-8429;
   Buckley, Brian/0000-0002-6007-9238
ZS 0
ZA 0
Z8 0
ZR 0
TC 51
ZB 9
Z9 51
U1 3
U2 26
SN 1366-5278
EI 2046-4924
UT WOS:000335782200001
PM 24806703
ER

PT J
AU Ly, A. R.
   Goldberg, W. A.
TI New measure for fathers of children with developmental challenges
SO JOURNAL OF INTELLECTUAL DISABILITY RESEARCH
VL 58
IS 5
BP 471
EP 484
DI 10.1111/jir.12044
PD MAY 2014
PY 2014
AB Background
   There is a relative lack of measures tailored to the study of fathers of
   children with developmental challenges (DCs). The goal of the current
   study was to create and validate a brief measure designed to capture the
   perceptions and experiences of these fathers. The Fathers of Children
   with Developmental Challenges (FCDC) questionnaire was designed to
   assess fathers' perceptions of the supports for, and challenges to,
   their efforts to be involved in the rearing of their children.
   Method
   Participants were 101 fathers of children with DCs who completed an
   online survey. Scale validation included tests to determine reliability,
   validity and factor structure. Used to establish validity were measures
   of parenting stress, parenting commitment, parent personality and child
   social-communicative skills.
   Results
   Analyses indicated that the FCDC is reliable (alpha = 0.89),
   demonstrates content validity, construct validity and acts in
   theoretically expected ways. Factor analysis on the 20-item measure
   yielded two sub-scales: (1) impact on parenting, and (2) involvement
   with child intervention.
   Conclusions
   The FCDC fills a gap in the literature by offering an easy-to-administer
   self-report measure of fathers' perceptions of supports for, and
   barriers to, their involvement with their children with DCs. The FCDC
   could assist professionals in delivering support services specifically
   for fathers of children with DCs.
TC 11
ZR 0
ZA 0
ZS 1
Z8 0
ZB 2
Z9 12
U1 1
U2 36
SN 0964-2633
EI 1365-2788
UT WOS:000334177500007
PM 23627678
ER

PT J
AU Holt, Martin
   Hull, Peter
   Lea, Toby
   Guy, Rebecca
   Bourne, Chris
   Prestage, Garrett
   Zablotska, Iryna
   de Wit, John
   Mao, Limin
TI Comprehensive testing for, and diagnosis of, sexually transmissible
   infections among Australian gay and bisexual men: findings from
   repeated, cross-sectional behavioural surveillance, 2003-2012
SO SEXUALLY TRANSMITTED INFECTIONS
VL 90
IS 3
BP 208
EP 215
DI 10.1136/sextrans-2013-051294
PD MAY 2014
PY 2014
AB Objectives To analyse changes in testing for sexually transmissible
   infections (STI) among gay and bisexual men in Melbourne, Sydney and
   Queensland, Australia, particularly comprehensive STI testing (at least
   four tests from different anatomical sites in the previous year), and
   the characteristics of men who had such testing.
   Method Data were analysed from repeated, cross-sectional,
   community-based surveys conducted during 2003-2012. Trends in specific
   STI tests and comprehensive testing were assessed and the
   characteristics of participants who reported comprehensive STI testing
   were identified using multivariate logistic regression, stratified by
   HIV status.
   Results Among HIV-negative and unknown status men (n=51 009),
   comprehensive STI and HIV testing increased substantially from 13% in
   2003 to 34% in 2012. During the same period, comprehensive STI testing
   (excluding HIV testing) increased from 24% to 57% among HIV-positive men
   (n=5532). In both HIV status groups, comprehensive testing was more
   commonly reported by men who had unprotected anal intercourse with
   casual partners, and men with higher numbers of partners. Among
   HIV-negative/unknown status participants, comprehensive STI and HIV
   testing was also associated with education level, regional location and
   finding partners online. Among HIV-positive men, comprehensive STI
   testing was also associated with free time spent with gay men and
   illicit drug use. Comprehensive testing was related to a high annual
   rate of diagnosis with STIs (20% of HIV-negative/unknown status men and
   38% of HIV-positive men).
   Conclusions There has been a substantial improvement in the proportion
   of gay and bisexual men in Melbourne, Sydney and Queensland who report
   comprehensive testing. Comprehensive testing is most likely among men
   whose practices put them at increased risk of infection, and is
   associated with a high rate of STI diagnosis. However, opportunities for
   comprehensive testing are still being missed, suggesting a need for its
   ongoing promotion.
RI Mao, Limin/B-2049-2013; Holt, Martin/X-6482-2019; Guy, Rebecca/; Bourne, Christopher/; Prestage, Garrett/; Lea, Toby/
OI Mao, Limin/0000-0003-0995-5789; Holt, Martin/0000-0002-2586-8274; Guy,
   Rebecca/0000-0002-2929-4634; Bourne, Christopher/0000-0001-7391-3941;
   Prestage, Garrett/0000-0003-3917-8992; Lea, Toby/0000-0001-5942-0550
ZS 0
ZR 0
ZA 0
TC 28
ZB 7
Z8 0
Z9 28
U1 0
U2 4
SN 1368-4973
EI 1472-3263
UT WOS:000334397600011
PM 24234070
ER

PT J
AU Blanco, Maria A.
   Maderer, Ann
   Oriel, Amanda
   Epstein, Scott K.
TI How we launched a developmental student-as-teacher (SAT) program for all
   medical students
SO MEDICAL TEACHER
VL 36
IS 5
BP 385
EP 389
DI 10.3109/0142159X.2014.886770
PD MAY 2014
PY 2014
AB Introduction: Teaching is a necessary skill for medical trainees and
   physicians. We designed and launched a developmental Student-as-Teacher
   program for all students, beginning with the class of 2016.
   Methods: A task force of faculty and students designed the program. The
   goal is to enable all students to acquire basic principles of teaching
   and learning at different stages in their four-year medical school
   career. Upon completion, students will achieve twenty-eight learning
   objectives grouped within four competency domains: (1) Adult and
   Practice-Based Learning; (2) Learning Environment; (3) Instructional
   Design and Performance; and, (4) Learner's Assessment and Evaluation.
   The program combines online learning modules and a field teaching
   experience.
   Results: The entire class of 2016 (N = 200) completed the first online
   module. Students found the module effective, and 70% reported an
   increase in their level of knowledge. Although most students are
   expected to complete their field teaching experience in fourth year,
   twelve students completed their field experience in first year. Reported
   strengths of these experiences include reinforcement of their medical
   knowledge and improvement of their adult teaching skills.
   Conclusions: The program was successfully launched, and students are
   already experiencing the benefits of training in basic teaching skills
   in the first year of the program.
ZA 0
Z8 0
TC 17
ZS 1
ZR 0
ZB 0
Z9 18
U1 0
U2 15
SN 0142-159X
EI 1466-187X
UT WOS:000335246600002
PM 24527838
ER

PT J
AU Evans, Sam
   Baylis, Sonya
   Carabott, Romina
   Jones, Michael
   Lawson, Zoe
   Marsh, Nick
   Payne-James, Jason
   Ramadani, Jona
   Vanezis, Peter
   Kemp, Alison
TI Focussing on the future: Survey results on the image capture of
   patterned cutaneous injuries
SO JOURNAL OF FORENSIC AND LEGAL MEDICINE
VL 24
BP 7
EP 11
DI 10.1016/j.jflm.2014.02.007
PD MAY 2014
PY 2014
AB An investigator who is involved in assessing the likelihood of physical
   abuse must make a decision as to whether the injury seen matches the
   explanation given. In some instances the pattern of these injuries can
   give the investigator a possible link to the cause of the injury.
   Photographic imaging is used to record the patterned cutaneous injuries
   (PCI) and to facilitate forensic interpretation. The current method of
   capturing PCI often results in some form of distortion that causes a
   change to the shape of the patterned injury. The Dermatological
   Patterned Injury Capture and Analysis (DePICA) research group was formed
   to assess current image capture methods and practices. An online survey
   was set up to assess the value of localised imaging protocols and
   training specific to imaging PCI and was made available to law
   enforcement professionals, forensic investigators and hospital staff. 80
   participants responded to the survey. The majority of the survey
   participants have had training in medical or forensic photography,
   however 66 (83%) have not had specific training in how to photograph
   PCI. 41 (51%) of the participants responded that they always use a rigid
   scale and 34 (43%) position the camera so that it is perpendicular to
   the scale and injury. Comments made about the quality of images obtained
   and produced raises concerns about how much knowledge those initiating
   such images have about image relevance in criminal cases. It is evident
   that a clear and comprehensive guide to photographing PCIs is required
   to improve the quality of the photographic evidence that is collected.
   (C) 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All
   rights reserved.
RI Payne-James, Jason/AAP-6588-2021; Payne-James, J Jason/
OI Payne-James, J Jason/0000-0002-3713-8922
TC 4
ZB 0
ZS 0
ZA 0
ZR 0
Z8 0
Z9 4
U1 0
U2 7
SN 1752-928X
EI 1532-2009
UT WOS:000335516600002
PM 24794842
ER

PT J
AU Napolitano, Lena M.
   Savarise, Mark
   Paramo, Juan C.
   Soot, Laurel C.
   Todd, S. Rob
   Gregory, Jay
   Timmerman, Gary L.
   Cioffi, William G.
   Davis, Elisabeth
   Sachdeva, Ajit K.
TI Are General Surgery Residents Ready to Practice? A Survey of the
   American College of Surgeons Board of Governors and Young Fellows
   Association
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 218
IS 5
BP 1063
EP U245
DI 10.1016/j.jamcollsurg.2014.02.001
PD MAY 2014
PY 2014
AB BACKGROUND: General surgery residency training has changed with adoption
   of the 80-hour work week, patient expectations, and the malpractice
   environment, resulting in decreased resident autonomy during the chief
   resident year. There is considerable concern that graduating residents
   are not prepared for independent surgical practice.
   STUDY DESIGN: Two online surveys were developed, one for "young
   surgeons" (American College of Surgeons [ACS] Fellows 45 years of age
   and younger) and one for "older surgeons" (ACS Fellows older than 45
   years of age). The surveys were distributed by email to 2,939 young and
   9,800 older surgeons. The last question was open-ended with a request to
   provide comments. A qualitative and quantitative analysis of all
   comments was performed.
   RESULTS: The response rate was 9.6% (282 of 2,939) of young and 10% (978
   of 9,800) of older surgeons. The majority of young surgeons (94% [58.7%
   strongly agree, 34.9% agree]) stated they had adequate surgical training
   and were prepared for transition to the surgery attending role (91%
   [49.6% strongly agree, 41.1% agree]). In contrast, considerably fewer
   older surgeons believed that there was adequate surgical training (59%
   [18.7% strongly agree, 40.2% agree]) or adequate preparation for
   transition to the surgery attending role (53% [16.93% strongly agree,
   36.13% agree]). The 2 groups' responses were significantly different,
   chi-square test of association (3) = 15.73, p = 0.0012. Older surgeons
   focused considerably more on residency issues (60% vs 42%,
   respectively), and young surgeons focused considerably more on business
   and practice issues (30% vs 14%, respectively).
   CONCLUSIONS: Young and older surgeons' perceptions of general surgery
   residents' readiness to practice independently after completion of
   general surgery residency differ significantly. Future work should focus
   on determination of specific efforts to improve the transition to
   independent surgery practice for the general surgery resident. (C) 2014
   by the American College of Surgeons
RI Napolitano, Lena/AAZ-8651-2021
Z8 0
ZS 2
ZR 0
ZA 0
ZB 16
TC 94
Z9 96
U1 0
U2 10
SN 1072-7515
EI 1879-1190
UT WOS:000334581600025
PM 24661851
ER

PT J
AU Bonrath, Esther M.
   Dedy, Nicolas J.
   Zevin, Boris
   Grantcharov, Teodor P.
TI International consensus on safe techniques and error definitions in
   laparoscopic surgery
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 28
IS 5
BP 1535
EP 1544
DI 10.1007/s00464-013-3348-y
PD MAY 2014
PY 2014
AB Definitions of errors and poor technique in laparoscopic surgery are
   lacking in modern clinical practice. As a result, educators often base
   their teaching on personal experience and individual preferences. The
   objective of this study was to achieve expert consensus regarding these
   definitions in order to provide a framework for a standardized approach
   to teaching safe technique and avoiding common errors in laparoscopic
   surgery.
   A Delphi survey was conducted with an international panel of experts in
   laparoscopic surgery. Survey items for definitions and examples of
   errors and resulting injuries (events) were derived from literature
   reviews and procedural observations. An online platform was used to
   administer the survey. Experts were requested to rate their level of
   agreement regarding survey items on a 5-point Likert-type scale;
   additional comments were facilitated through free-text entries.
   Consensus was defined as Cronbach's alpha > 0.70. Items that were rated
   a parts per thousand yen3 ("somewhat agree") by 75 % or more of the
   panel were included in the consensus list. The Delphi process was
   continued until all subsections of the survey met the defined consensus
   level.
   Two survey rounds were completed with 33 experts from 12 countries
   (round 1) and 25 experts from nine countries (round 2). Overall
   consensus was high for both rounds (alpha = 0.9). Seventeen definitions
   and 39 examples of errors and events were included in the final
   consensus list.
   Standardized definitions and examples of technical errors in
   laparoscopic surgery were established using a consensus-based approach.
   These definitions can serve as uniform nomenclature and can be used by
   educators as a reference guide to ensure standardization in surgical
   training and performance assessment.
RI Zevin, Boris/AAI-1994-2019; Dedy, Nicolas J./AAC-9163-2019
OI Dedy, Nicolas J./0000-0002-4654-3014
ZS 0
ZA 0
ZR 0
TC 13
Z8 0
ZB 1
Z9 13
U1 0
U2 0
SN 0930-2794
EI 1432-2218
UT WOS:000334507000019
PM 24357424
ER

PT J
AU Rosen, Jennifer E.
   Gardiner, Paula
   Saper, Robert B.
   Pearce, Elizabeth N.
   Hammer, Kallista
   Gupta-Lawrence, Rebecca L.
   Lee, Stephanie L.
TI Kelp use in patients with thyroid cancer
SO ENDOCRINE
VL 46
IS 1
BP 123
EP 130
DI 10.1007/s12020-013-0048-2
PD MAY 2014
PY 2014
AB To report on the incidence and use of kelp among patients with thyroid
   cancer. Data were collected using a web-based online anonymous survey
   under Institutional Review Board approval from Boston University. This
   report is based on 27 responses from subjects with thyroid cancer who
   use kelp. Demographic factors and complementary and alternative use were
   included. Respondents were primarily over age 40, white, female and have
   at least a high school education. The top five modalities were
   multivitamins, special diets, herbal supplements, prayer for health
   reasons and herbal tea. Only one patient reported perceiving a
   particular modality had a negative effect on treatment. Complementary
   and alternative medicine (CAM) was more often perceived as being used to
   aid their thyroid cancer treatment than to help with symptoms. On
   average, respondents who use kelp also use at least 11 additional CAM
   modalities. Only 1/2 of respondents who use kelp reported telling their
   physicians about their CAM use, and nearly 1/3 of respondents reported
   their CAM use was neither known, prescribed nor asked about by their
   physicians. In comparison to both national surveys of the general US
   population and patients with thyroid cancer, kelp users with thyroid
   cancer use at least twice the number of additional CAM therapies and
   report their use far less often. Physicians who treat patients with
   thyroid cancer should be aware of these data to further assist in their
   assessment and care.
RI Saper, Robert B/Y-4598-2018; Gardiner, Paula/; Pearce, Elizabeth/
OI Saper, Robert B/0000-0002-0992-6198; Gardiner,
   Paula/0000-0002-3663-000X; Pearce, Elizabeth/0000-0003-3799-0354
ZS 0
ZR 0
ZB 3
ZA 0
Z8 0
TC 5
Z9 5
U1 2
U2 14
SN 1355-008X
EI 1559-0100
UT WOS:000334179700017
PM 24573490
ER

PT J
AU Sethi, Neeraj
   Lane, Gethin
   Newton, Sophie
   Egan, Philip
   Ghosh, Samit
TI Disaster easily averted? - Data confidentiality and the hospital desktop
   computer
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 83
IS 5
BP 385
EP 391
DI 10.1016/j.ijmedinf.2014.02.002
PD MAY 2014
PY 2014
AB Objective: We specifically identified the hospital desktop computer as a
   potential source of breaches in confidentiality. We aimed to evaluate if
   there was accessible, unprotected, confidential information stored on
   the desktop screen on computers in a district general hospital and if
   so, how a teaching intervention could improve this situation.
   Design: An unannounced spot check of 59 ward computers was performed.
   Data were collected regarding how many had confidential information
   stored on the desktop screen without any password protection. An online
   learning module was mandated for healthcare staff and a second cycle of
   inspection performed.
   Setting: A district general hospital.
   Participants: Two doctors conducted the audit. Computers in clinical
   areas were assessed. All clinical staff with computer access underwent
   the online learning module.
   Intervention: An online learning module regarding data protection and
   confidentiality.
   Results: In the first cycle, 55% of ward computers had easily accessible
   patient or staff confidential information stored on their desktop
   screen. This included handovers, referral letters, staff sick leave
   lists, audits and nursing reports. The majority (85%) of computers
   accessed were logged in under a generic username and password. The
   intervention produced an improvement in the second cycle findings with
   only 26% of computers being found to have unprotected confidential
   information stored on them.
   Conclusions: The failure to comply with appropriate confidential data
   protection regulations is a persistent problem. Education produces some
   improvement but we also propose a systemic approach to solving this
   problem. (c) 2014 Elsevier Ireland Ltd. All rights reserved.
ZR 0
ZS 0
ZA 0
ZB 0
TC 7
Z8 0
Z9 7
U1 0
U2 13
SN 1386-5056
EI 1872-8243
UT WOS:000333801500009
PM 24630409
ER

PT J
AU Grimm, Lars J.
   Shapiro, Lauren M.
   Singhapricha, Terry
   Mazurowski, Maciej A.
   Desser, Terry S.
   Maxfield, Charles M.
TI Predictors of an Academic Career on Radiology Residency Applications
SO ACADEMIC RADIOLOGY
VL 21
IS 5
BP 685
EP 690
DI 10.1016/j.acra.2013.10.019
PD MAY 2014
PY 2014
AB Rationale and Objectives: To evaluate radiology residency applications
   to determine if any variables are predictive of a future academic
   radiology career.
   Materials and Methods: Application materials from 336 radiology
   residency graduates between 1993 and 2010 from the Department of
   Radiology, Duke University and between 1990 and 2010 from the Department
   of Radiology, Stanford University were retrospectively reviewed. The
   institutional review boards approved this Health Insurance Portability
   and Accountability Act-compliant study with a waiver of informed
   consent. Biographical (gender, age at application, advanced degrees,
   prior career), undergraduate school (school, degree, research
   experience, publications), and medical school (School, research
   experience, manuscript publications, Alpha Omega Alpha membership,
   clerkship grades, United States Medical Licensing Examination Step 1 and
   2 scores, personal statement and letter of recommendation reference to
   academics, couples match status) data were recorded. Listing in the
   Association of American Medical Colleges Faculty Online Directory and
   postgraduation publications were used to determine academic status.
   Results: There were 72 (21%) radiologists in an academic career and 264
   (79%) in a nonacademic career. Variables associated with an academic
   career were elite undergraduate school (P = .003), undergraduate school
   publications.(P = .018), additional advanced degrees (P = .027), elite
   medical school (P = .006), a research year in medical school (P < .001),
   and medical school publications (P < .001). A multi-variate
   cross-validation analysis showed that these variables are jointly
   predictive of an academic career (P < .001).
   Conclusions: Undergraduate and medical school rankings and publications,
   as well as a medical school research year and an additional advanced
   degree, are associated with an academic career. Radiology residency
   selection committees should consider these factors in the context of the
   residency application if they wish to recruit future academic
   radiologists.
RI Mazurowski, Maciej A/P-4078-2015; Grimm, Lars J/P-3431-2015
OI Mazurowski, Maciej A/0000-0003-4202-8602; Grimm, Lars
   J/0000-0002-3865-3352
ZA 0
Z8 0
ZS 0
ZB 4
ZR 0
TC 25
Z9 25
U1 0
U2 7
SN 1076-6332
EI 1878-4046
UT WOS:000334559200018
PM 24629444
ER

PT J
AU Sullivan, T. Barrett
   Anderson, Joshua T.
   Ahn, Uri M.
   Ahn, Nicholas U.
TI Can Internet Information on Vertebroplasty be a Reliable Means of
   Patient Self-education?
SO CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
VL 472
IS 5
BP 1597
EP 1604
DI 10.1007/s11999-013-3425-5
PD MAY 2014
PY 2014
AB Studies of the quality and accuracy of health and medical information
   available on the Internet have shown that many sources provide
   inadequate information. However, to our knowledge, there are no
   published studies analyzing the quality of information available online
   regarding vertebroplasty. Because this has been a high-volume procedure
   with highly debated efficacy, it is critical that patients receive
   complete, accurate, and well-balanced information before deciding a
   treatment course. Additionally, few studies have evaluated the merit of
   academic site authorship or site certification on information quality,
   but some studies have used measurements of quality that are based
   primarily on subjective criteria or information accuracy rather than
   information completeness.
   The purposes of our study were (1) to evaluate and analyze the
   information on vertebroplasty available to the general public through
   the Internet; (2) to see if sites sponsored by academic institutions
   offered a higher quality of information; and (3) to determine whether
   quality of information varied according to site approval by a
   certification body.
   Three search engines were used to identify 105 web sites (35 per engine)
   offering information regarding vertebroplasty. Sites were evaluated for
   authorship/sponsorship, content, and references cited. Information
   quality was rated as "excellent," "high," "moderate," "low," or
   "unacceptable." Sites also were evaluated for contact information to set
   up an appointment. Data were analyzed as a complete set, then compared
   between authorship types, and finally evaluated by certification status.
   Academic sites were compared with other authorship groups and certified
   sites were compared with noncertified sites using Student's t-test.
   Appropriate indications were referenced in 74% of sites, whereas only
   45% discussed a contraindication to the procedure. Benefits were
   expressed by 100% of sites, but risks were outlined in only 53% (p <
   0.001). Ninety-nine percent of sites provided step-by-step descriptions
   of the procedure, and 44% of sites also included images. Alternative
   treatments were mentioned by 51% of sites. Twenty-seven percent of sites
   referenced peer-reviewed literature, 41% offered experiential or
   noncited data based on American populations, and 7% offered analogous
   data from international populations. Thirty percent of sites provided
   contact information for patient appointment scheduling. Seven percent of
   sites were classified as excellent quality, 6% as high quality, 11% as
   moderate quality, 19% as poor quality, and 57% as unacceptable. Sixteen
   percent of sites were sponsored by academic institutions, 62% by private
   groups, 8% by biomedical device companies, and 14% were sponsored
   otherwise. Academic sites reported fewer risks of the procedure than
   private sites or other sites (p = 0.05 and p = 0.04), but reported more
   risks than industry sites (p = 0.007). Academic sites were more likely
   than sites classified as other to offer contact information for patient
   appointment scheduling (p = 0.004). Nine percent of sites evaluated were
   Health on the Net Foundation (HONCode) certified. No association with
   improved information quality was observed in these sites relative to
   noncertified sites (all p > 0.05).
   Internet information regarding vertebroplasty is not only inadequate for
   proper patient education, but also potentially misleading as sites are
   more likely to present benefits of the procedure than risks. Although
   academic sites might be expected to offer higher-quality information
   than private, industry, or other sites, our data would suggest that they
   do not. HONCode certification cannot be used reliably as a means of
   qualifying website information quality. Academic sites should be
   expected to set a high standard and alter their Internet presence with
   adequate information distribution. Certification bodies also should
   alter their standards to necessitate provision of complete information
   in addition to emphasizing accurate information. Treating physicians may
   want to counsel their patients regarding the limitations of information
   present on the Internet and the pitfalls of current certification
   systems.
   Level IV, economic and decision analyses. See the Instructions for
   Authors for a complete description of levels of evidence.
ZR 0
ZA 0
Z8 0
ZS 1
TC 27
ZB 3
Z9 28
U1 1
U2 18
SN 0009-921X
EI 1528-1132
UT WOS:000334180400037
PM 24338042
ER

PT J
AU Connolly, Anne M.
   Cunningham, Clare
   Sinclair, Adriane J.
   Rao, Arjun
   Lonergan, Amy
   Bye, Ann M. E.
TI 'Beyond Milestones': A randomised controlled trial evaluating an
   innovative digital resource teaching quality observation of normal child
   development
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 50
IS 5
BP 393
EP 398
DI 10.1111/jpc.12485
PD MAY 2014
PY 2014
AB Aims
   The study aimed to create and evaluate the educational effectiveness of
   a digital resource instructing paediatric trainees in a systematic
   approach to critical and quality observation of normal child
   development.
   Methods
   A digital educational resource was developed utilising the skills of an
   expert developmental paediatrician who was videoed assessing normal
   early child development at a series of critical stages. Videos
   illustrated aspects of language, sophistication of play and
   socialisation, cognition, and motor progress. Expert commentary,
   teaching text and summaries were used. A randomised controlled trial
   evaluated the resource. Paediatric trainees were recruited from The
   Sydney Children's Hospitals Network. Outcome measures were repeated at
   three time points (pre-teaching, immediate-post and 1 month) and
   included self-rated attitudes, knowledge of markers of development and
   observational expertise. Qualitative data on teaching usefulness were
   obtained through open-ended questions.
   Results
   Fifty-six paediatric trainees (registrar 79%, women 82%; mean age 31
   years) completed the pre-assessment, 46 the immediate-post and 45 the
   1-month follow-up (20% attrition). Compared with the Control group, the
   Teaching group scored higher over time on markers of development (P =
   0.006), observational expertise (P < 0.0001), confidence (P = 0.035) and
   satisfaction (P < 0.0001). Teaching participants valued the video and
   expert commentary and reported improvement in confidence and
   understanding and acquiring a more structured approach.
   Conclusions
   The 'Beyond Milestones' free online resource for medical professionals <
   password=cunningham> improves knowledge, increases confidence and is
   useful, providing a structured approach to developmental assessment. The
   techniques taught can be applied to every paediatric consultation.
OI Sinclair, Adriane/0000-0002-2341-3065
ZA 0
Z8 0
ZR 0
ZB 0
TC 4
ZS 0
Z9 4
U1 0
U2 19
SN 1034-4810
EI 1440-1754
UT WOS:000334456800012
PM 24373114
ER

PT J
AU van der Putten, W. J.
TI Fit for purpose? Evaluation of an MSc. in Medical Physics
SO PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS
VL 30
IS 3
BP 358
EP 364
DI 10.1016/j.ejmp.2013.11.002
PD MAY 2014
PY 2014
AB The National University of Ireland in Galway established a Master in
   Science (MSc.) program in medical physics in 2002. The course was
   designed to be 90 ECTS1 credits and of one calendar year duration. From
   the outset the MSc. was designed to be part of an overall medical
   physics training program. MSc. programs are now widely used as part of
   the training and education of medical physicists. There is however
   paucity of data on the effectiveness of such courses and the purpose of
   the study reported here is to provide information on one particular MSc.
   course in medical physics. This is relevant to medical physicists who
   are involved in the development and running of medical physics training
   programs. The study used as methodology the Kirkpatrick levels of
   professional training. It was conducted through an online survey, both
   from students who graduated from the course and from students who were
   in the process of completing the course.
   The survey proved to be an effective way to determine attributes of
   modules such as learning outcomes, knowledge imparted, quality of
   teaching materials and others. The survey proved to be remarkably able
   to demonstrate interventions in the individual course modules. Although
   the course was shown to be effective in the imparting of the knowledge
   required to become a qualified medical physicist several areas for
   improvement were identified. These are mainly in the areas of increased
   practical experience and in course delivery. (C) 2013 Associazione
   Italiana di Fisica Medica. Published by Elsevier Ltd. All rights
   reserved.
TC 1
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
Z9 1
U1 0
U2 7
SN 1120-1797
EI 1724-191X
UT WOS:000334094200015
PM 24309504
ER

PT J
AU Bell, Sigall K.
   Kerfoot, B. Price
   Gaufberg, Elizabeth
TI Online tool to promote medical student professionalism and moral
   decision making
SO MEDICAL EDUCATION
VL 48
IS 5
BP 538
EP 539
DI 10.1111/medu.12469
PD MAY 2014
PY 2014
ZR 0
ZB 0
TC 0
ZA 0
Z8 0
ZS 0
Z9 0
U1 0
U2 11
SN 0308-0110
EI 1365-2923
UT WOS:000333935800031
PM 24712958
ER

PT J
AU Grierson, Lawrence E. M.
TI Information processing, specificity of practice, and the transfer of
   learning: considerations for reconsidering fidelity
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 19
IS 2
BP 281
EP 289
DI 10.1007/s10459-014-9504-x
PD MAY 2014
PY 2014
AB Much has been made in the recent medical education literature of the
   incorrect characterization of simulation along a continuum of low to
   high fidelity (Cook et al. JAMA 306(9): 978-988, 2011; Norman et al. Med
   Educ 46(7): 636-647, 2012; Teteris et al. Adv Health Sci Educ 17(1):
   137-144, 2012). For the most part, the common definition within the
   medical education community has been that simulations that present
   highly realistic performance characteristics, contexts, and scenarios
   are referred to as high-fidelity, while simulations that reduce
   to-be-learned skills to simpler constructs or constituent parts are
   referred to as low-fidelity. The issue with this is that
   highly-realistic has tended to mean the degree to which the simulation
   looks like the criterion context with little regard for what features of
   the simulation are in fact relevant to the skill that the educator hopes
   to teach. The inherent assumption that high fidelity simulations lead to
   better learning-an assumption for which there is a lack of supporting
   evidence (Norman et al. Med Educ 46(7): 636-647, 2012)-only exacerbates
   the problem. So much so that some have suggested that the term be
   abandoned all together (Hamstra et al. Acad Med J Assoc Am Med Coll
   2014). While, it is true that fidelity and its importance are
   misconstrued in the medical education literature, the construct, defined
   classically as the degree of faithfulness that exists between two
   entities, is still fundamental to understanding the effectiveness that
   any one simulation might have in preparing learners for clinical
   performance. However, the concept of simulation fidelity must be recast
   in terms of the fundamental information processing events that underpin
   human performance.
OI Grierson, Lawrence/0000-0003-0739-5976
ZA 0
ZS 0
TC 45
Z8 0
ZR 0
ZB 4
Z9 45
U1 0
U2 40
SN 1382-4996
EI 1573-1677
UT WOS:000334678000010
PM 24691891
ER

PT J
AU Miller, Stephannie
   Fulton, Judith
   Mostow, Eliot
TI Integrating Structured Learning and Scholarly Activities into Clerkship
   Rotations: A Win-Win for Students and Preceptors.
SO Advances in wound care
VL 3
IS 5
BP 400
EP 403
PD 2014-May-01
PY 2014
AB Objective: To merge scholarly activity into the curriculum developed for
   medical students electing a rotation in wound care and/or dermatology.
   Approach: The authors adapted the unique wound care curriculum developed
   for medical student rotators and residents to incorporate structured
   scholarly projects, opportunities for mentorship, and feedback for
   continued improvement. Results: Benefits have been observed to both
   students and to the clinic, as reflected by online survey results,
   increased productivity in the form of posters and manuscripts, and
   opportunities for professional networking. Discussion: Rotations and
   clerkships can be transformed from haphazard, bystander observational
   experiences to active participation that enhances comprehension and
   retention, while also providing benefits to preceptors. Innovation:
   Integration between research, education, and clinical activities in a
   structured way can provide opportunity for enhanced learning experiences
   and promote the concept of evidence-based practice. Conclusion: With
   observed benefits to students, researchers, and staff in this clinical
   setting, other clerkship rotation settings should consider an integrated
   and structured approach to learning, which includes scholarly
   activities. Further rigorous program evaluation is necessary to further
   quantify preliminary positive feedback regarding this approach.
ZB 0
TC 1
ZS 0
ZA 0
Z8 0
ZR 0
Z9 1
U1 0
U2 0
SN 2162-1918
UT MEDLINE:24804160
PM 24804160
ER

PT J
AU Cunningham, Christine M.
TI Prezi Presentational Software as an Educational Tool for Analyzing
   Pathology Slides: Promoting a Learner Centered Environment Through
   Technology to Increase Student Satisfaction
SO LABMEDICINE
VL 45
IS 2
BP E73
EP E79
DI 10.1309/LMS0JFCHA7DMQC0M
PD MAY 2014
PY 2014
AB Objective: To test Prezi online presentational software as a learning
   tool for students enrolled in a physiopathology laboratory class.
   Methods: A Prezi presentation was created and used in place of a virtual
   microscopy scanning digital pathology slide during a laboratory session
   attended by a total of 179 students. Review of the normal anatomical
   features and architecture of a tissue was followed by an annotated tour
   covering important aspects of its pathologic characteristics. This was
   also accompanied by comparisons of normal with abnormal tissue to
   facilitate student learning and comprehension. Student feedback was
   gathered for 3 successive trimesters using a survey to assess student
   satisfaction with use of the Prezi presentation as an effective teaching
   strategy in a physiopathology laboratory class.
   Results: Students reported that they preferred the Prezi presentation
   compared with the digital pathology scanning slide technology. Students
   overwhelmingly expressed the desire to shift to the Prezi format from
   the virtual scanning microscope as the type of instructional technology
   used in class.
   Conclusion: Based on student feedback, Prezi is an effective teaching
   tool. The overall success of this exercise and the positive student
   feedback warrant further development of additional Prezi presentations
   for continued use in physiopathology laboratory classes.
TC 1
ZB 0
ZS 0
ZA 0
Z8 0
ZR 0
Z9 1
U1 1
U2 3
SN 0007-5027
EI 1943-7730
UT WOS:000421562600007
ER

PT J
AU Gartner, Fania R.
   Freeman, Liv M.
   Rijnders, Marlies E.
   Middeldorp, Johanna M.
   Bloemenkamp, Kitty W. M.
   Stiggelbout, Anne M.
   van den Akker-van Marle, M. Elske
TI A comprehensive representation of the birth-experience: identification
   and prioritization of birth-specific domains based on a mixed-method
   design
SO BMC PREGNANCY AND CHILDBIRTH
VL 14
AR 147
DI 10.1186/1471-2393-14-147
PD APR 24 2014
PY 2014
AB Background: In obstetrics, effectiveness and cost-effectiveness studies
   often present several specific outcomes with likely contradicting
   results and may not reflect what is important for women. A
   birth-specific outcome measure that combines the core domains into one
   utility score would solve this problem. The aim of this study was to
   investigate which domains are most relevant for women's overall
   experience of labor and birth and should be included in such a measure.
   Methods: A sequential mixed-method design with three steps was applied.
   First, the domains were identified by literature review and online focus
   groups consisting of pregnant women, women who recently gave birth, and
   their partners. Second, in a prioritizing task, women who recently gave
   birth and professionals (midwives, gynecologists, and researchers)
   selected and ranked their top seven domains. Third, the domains that
   were most frequently selected and had the highest ranking scores
   determined the basis for a consensus discussion with experts, whereby
   the definitive list of domains was formed.
   Results: In the first step, 34 birth-specific domains were identified,
   which cover domains regarding the caregivers, intrapersonal aspects of
   the mother, partner support, and contextual and medical aspects of
   birth. Based on the prioritizing task results (step 2) of 96 women and
   89 professionals, this list was reduced to 14 most relevant domains. In
   a consensus discussion, the final seven domains were selected by
   combining several of the 14 remaining domains and giving priority to the
   domains indicated to be relevant by mothers. The seven definite domains
   were: 1) availability of competent health professionals; 2) health
   professionals' support; 3) provision of information; 4) health
   professionals' response to needs and requests; 5) feelings of safety; 6)
   worries about the child's health; and 7) experienced duration until the
   first contact with the child.
   Conclusions: The experienced availability and quality of received care,
   concerns about safety and the baby's health, and first contact with the
   baby are regarded as key aspects for a mother's overall birth
   experience. Therefore, these domains are considered to be the most
   crucial for inclusion in a birth-specific outcome measure.
RI Stiggelbout, Anne M/D-2293-2018; van den Akker-van Marle, M. Elske/
OI Stiggelbout, Anne M/0000-0002-6293-4509; van den Akker-van Marle, M.
   Elske/0000-0002-5269-509X
ZA 0
Z8 0
TC 12
ZR 0
ZS 0
ZB 1
Z9 12
U1 0
U2 18
EI 1471-2393
UT WOS:000335179700001
PM 24758274
ER

PT J
AU Chen, Candice
   Baird, Sarah
   Ssentongo, Katumba
   Mehtsun, Sinit
   Olapade-Olaopa, Emiola Oluwabunmi
   Scott, Jim
   Sewankambo, Nelson
   Talib, Zohray
   Ward-Peterson, Melissa
   Mariam, Damen Haile
   Rugarabamu, Paschalis
TI Physician tracking in sub-Saharan Africa: current initiatives and
   opportunities
SO HUMAN RESOURCES FOR HEALTH
VL 12
AR 21
DI 10.1186/1478-4491-12-21
PD APR 23 2014
PY 2014
AB Background: Physician tracking systems are critical for health workforce
   planning as well as for activities to ensure quality health care - such
   as physician regulation, education, and emergency response. However,
   information on current systems for physician tracking in sub-Saharan
   Africa is limited. The objective of this study is to provide information
   on the current state of physician tracking systems in the region,
   highlighting emerging themes and innovative practices.
   Methods: This study included a review of the literature, an online
   search for physician licensing systems, and a document review of
   publicly available physician registration forms for sub-Saharan African
   countries. Primary data on physician tracking activities was collected
   as part of the Medical Education Partnership Initiative (MEPI) - through
   two rounds over two years of annual surveys to 13 medical schools in 12
   sub-Saharan countries. Two innovations were identified during two MEPI
   school site visits in Uganda and Ghana.
   Results: Out of twelve countries, nine had existing frameworks for
   physician tracking through licensing requirements. Most countries
   collected basic demographic information: name, address, date of birth,
   nationality/citizenship, and training institution. Practice information
   was less frequently collected. The most frequently collected practice
   fields were specialty/ degree and current title/position. Location of
   employment and name and sector of current employer were less frequently
   collected. Many medical schools are taking steps to implement graduate
   tracking systems. We also highlight two innovative practices: mobile
   technology access to physician registries in Uganda and MDNet, a
   public-private partnership providing free mobile-to-mobile voice and
   text messages to all doctors registered with the Ghana Medical
   Association.
   Conclusion: While physician tracking systems vary widely between
   countries and a number of challenges remain, there appears to be
   increasing interest in developing these systems and many innovative
   developments in the area. Opportunities exist to expand these systems in
   a more coordinated manner that will ultimately lead to better workforce
   planning, implementation of the workforce, and better health.
RI Ward, Melissa K./AAJ-6016-2021; Ward, Melissa/; Sewankambo, Nelson/
OI Ward, Melissa/0000-0001-9296-981X; Sewankambo,
   Nelson/0000-0001-9362-053X
TC 5
Z8 0
ZS 0
ZR 0
ZB 1
ZA 0
Z9 5
U1 0
U2 26
EI 1478-4491
UT WOS:000335187200001
PM 24754965
ER

PT J
AU Nickel, Felix
   Jede, Felix
   Minassian, Andreas
   Gondan, Matthias
   Hendrie, Jonathan D.
   Gehrig, Tobias
   Linke, Georg R.
   Kadmon, Martina
   Fischer, Lars
   Mueller-Stich, Beat P.
TI One or two trainees per workplace in a structured multimodality training
   curriculum for laparoscopic surgery? Study protocol for a randomized
   controlled trial-DRKS00004675
SO TRIALS
VL 15
AR 137
DI 10.1186/1745-6215-15-137
PD APR 23 2014
PY 2014
AB Background: Laparoscopy training courses have been established in many
   centers worldwide to ensure adequate skill learning before performing
   operations on patients. Different training modalities and their
   combinations have been compared regarding training effects.
   Multimodality training combines different approaches for optimal
   training outcome. However, no standards currently exist for the number
   of trainees assigned per workplace.
   Methods: This is a monocentric, open, three arm randomized controlled
   trial. The participants are laparoscopically naive medical students from
   Heidelberg University. After a standardized introduction to laparoscopic
   cholecystectomy (LC) with online learning modules, the participants
   perform a baseline test for basic skills and LC performance on a virtual
   reality (VR) trainer. A total of 100 students will be randomized into
   three study arms, in a 2: 2: 1 ratio. The intervention groups
   participate individually (Group 1) or in pairs (Group 2) in a
   standardized and structured multimodality training curriculum. Basic
   skills are trained on the box and VR trainers. Procedural skills and LC
   modules are trained on the VR trainer. The control group (Group C) does
   not receive training between tests. A post-test is performed to reassess
   basic skills and LC performance on the VR trainer. The performance of a
   cadaveric porcine LC is then measured as the primary outcome using
   standardized and validated ratings by blinded experts with the Objective
   Structured Assessment of Technical Skills. The Global Operative
   Assessment of Laparoscopic Surgical skills score and the time taken for
   completion are used as secondary outcome measures as well as the
   improvement of skills and VR LC performance between baseline and
   post-test. Cognitive tests and questionnaires are used to identify
   individual factors that might exert influence on training outcome.
   Discussion: This study aims to assess whether workplaces in laparoscopy
   training courses for beginners should be used by one trainee or two
   trainees simultaneously, by measuring the impact on operative
   performance and learning curves. Possible factors of influence, such as
   the role of observing the training partner, exchange of thoughts, active
   reflection, model learning, motivation, pauses, and sympathy will be
   explored in the data analysis. This study will help optimize the
   efficiency of laparoscopy training courses.
RI Nickel, Felix/I-3430-2019; Müller-Stich, Beat/ABF-5069-2020; Muller-Stich, Beat Peter/; Hendrie, Jonathan/; Gondan, Matthias/
OI Nickel, Felix/0000-0001-6066-8238; Muller-Stich, Beat
   Peter/0000-0002-8552-8538; Hendrie, Jonathan/0000-0002-5677-3868;
   Gondan, Matthias/0000-0001-9974-0057
ZR 0
TC 20
Z8 0
ZA 0
ZS 0
ZB 4
Z9 20
U1 0
U2 10
EI 1745-6215
UT WOS:000335251000001
PM 24754961
ER

PT J
AU Nguyen Toan Tran
   Portela, Anayda
   de Bernis, Luc
   Beek, Kristen
TI Developing Capacities of Community Health Workers in Sexual and
   Reproductive, Maternal, Newborn, Child, and Adolescent Health: A Mapping
   and Review of Training Resources
SO PLOS ONE
VL 9
IS 4
AR e94948
DI 10.1371/journal.pone.0094948
PD APR 15 2014
PY 2014
AB Background: Given country demands for support in the training of
   community health workers (CHWs) to accelerate progress towards reaching
   the Millennium Development Goals in sexual and reproductive health and
   maternal, newborn, child, and adolescent health (SR/MNCAH), the United
   Nations Health Agencies conducted a synthesis of existing training
   resource packages for CHWs in different components of SR/MNCAH to
   identify gaps and opportunities and inform efforts to harmonize
   approaches to developing the capacity of CHWs.
   Methods: A mapping of training resource packages for CHWs was undertaken
   with documents retrieved online and from key informants. Materials were
   classified by health themes and analysed using agreed parameters. Ways
   forward were informed by a subsequent expert consultation.
   Results: We identified 31 relevant packages. They covered different
   components of the SR/MNCAH continuum in varying breadth (integrated
   packages) and depth (focused packages), including family planning,
   antenatal and childbirth care (mainly postpartum haemorrhage), newborn
   care, and childhood care, and HIV. There is no or limited coverage of
   interventions related to safe abortion, adolescent health, and
   gender-based violence. There is no training package addressing the range
   of evidence-based interventions that can be delivered by CHWs as per
   World Health Organization guidance. Gaps include weakness in the
   assessment of competencies of trainees, in supportive supervision, and
   in impact assessment of packages. Many packages represent individual
   programme efforts rather than national programme materials, which could
   reflect weak integration into national health systems.
   Conclusions: There is a wealth of training packages on SR/MNCAH for CHWs
   which reflects interest in strengthening the capacity of CHWs. This
   offers an opportunity for governments and partners to mount a
   synergistic response to address the gaps and ensure an evidence-based
   comprehensive package of interventions to be delivered by CHWs. Packages
   with defined competencies and methods for assessing competencies and
   supervision are considered best practices but remain a gap.
OI Beek, Kristen/0000-0002-1935-5851; Portela, Anayda/0000-0001-6368-1585;
   Tran, Nguyen-Toan/0000-0001-7134-7878
TC 15
ZA 0
ZS 0
ZB 3
Z8 0
ZR 0
Z9 15
U1 1
U2 31
SN 1932-6203
UT WOS:000336922600111
PM 24736623
ER

PT J
AU Kern, Kristine
   Kalus, James
   Bush, Colleen
   Chen, David
   Szandzik, Edward
   Haque, Nadia
TI Variations in pharmacy-based transition-of-care activities in the United
   States: A national survey
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 71
IS 8
BP 648
EP 656
DI 10.2146/ajhp130510
PD APR 15 2014
PY 2014
AB Purpose. A national survey was conducted to assess pharmacist roles in
   transition-of-care (TOC) activities in the United States.
   Methods. An online survey was sent to 1246 pharmacy directors who were
   members of the American Society of Health-System Pharmacists to assess
   their involvement in TOC activities including medication reconciliation,
   admission histories, medication counseling, and postdischarge follow-up;
   pharmacy student and pharmacy technician involvement in TOC activities;
   the use of technology to facilitate TOC activities; and barriers to
   performing such activities.
   Results. A total of 393 respondents completed the survey (31.5% response
   rate). Twenty-seven percent of respondents indicated that pharmacists
   complete medication histories on admission, and 5% indicated that
   pharmacy technicians complete medication histories. Most respondents
   indicated that pharmacists do not routinely or consistently provide
   patients with tools to facilitate medication adherence before hospital
   discharge and that pharmacists do not routinely or consistently follow
   up with patients after discharge. Fifty-six percent of respondents
   indicated that pharmacists provide patient education for specific
   medications or for medications for specific diseases. Few respondents
   indicated that student pharmacists are involved with TOC activities.
   Most respondents either agreed or strongly agreed that it is important
   for pharmacists to be involved in TOC activities for hospitalized
   patients.
   Conclusion. Approximately one third of survey respondents indicated that
   pharmacists complete medication histories. Most respondents indicated
   that pharmacists do not routinely or consistently provide patients with
   tools to facilitate medication adherence before hospital discharge or
   follow up with patients after discharge. Lack of pharmacy staff
   resources and insufficient recognition of the value of pharmacists'
   provision of TOC by health care executives, medical staff, nursing
   staff, and other health care professionals were the most frequently
   cited barriers to pharmacists assuming more significant roles in the TOC
   at the respondent's institution.
ZR 0
TC 26
Z8 0
ZB 0
ZS 0
ZA 0
Z9 26
U1 0
U2 3
SN 1079-2082
EI 1535-2900
UT WOS:000214661500010
PM 24688039
ER

PT J
AU Bosnic-Anticevich, Sinthia Z.
   Stuart, Meg
   Mackson, Judith
   Cvetkovski, Biljana
   Sainsbury, Erica
   Armour, Carol
   Mavritsakis, Sofia
   Mendrela, Gosia
   Travers-Mason, Pippa
   Williamson, Margaret
TI Development and evaluation of an innovative model of inter-professional
   education focused on asthma medication use
SO BMC MEDICAL EDUCATION
VL 14
AR 72
DI 10.1186/1472-6920-14-72
PD APR 7 2014
PY 2014
AB Background: Inter-professional learning has been promoted as the
   solution to many clinical management issues. One such issue is the
   correct use of asthma inhaler devices. Up to 80% of people with asthma
   use their inhaler device incorrectly. The implications of this are poor
   asthma control and quality of life. Correct inhaler technique can be
   taught, however these educational instructions need to be repeated if
   correct technique is to be maintained. It is important to maximise the
   opportunities to deliver this education in primary care. In light of
   this, it is important to explore how health care providers, in
   particular pharmacists and general medical practitioners, can work
   together in delivering inhaler technique education to patients, over
   time. Therefore, there is a need to develop and evaluate effective
   inter-professional education, which will address the need to educate
   patients in the correct use of their inhalers as well as equip health
   care professionals with skills to engage in collaborative relationships
   with each other.
   Methods: This mixed methods study involves the development and
   evaluation of three modules of continuing education, Model 1, Model 2
   and Model 3. A fourth group, Model 4, acting as a control. Model 1
   consists of face-to-face continuing professional education on asthma
   inhaler technique, aimed at pharmacists, general medical practitioners
   and their practice nurses. Model 2 is an electronic online continuing
   education module based on Model 1 principles. Model 3 is also based on
   asthma inhaler technique education but employs a learning intervention
   targeting health care professional relationships and is based on
   sociocultural theory. This study took the form of a parallel group,
   repeated measure design. Following the completion of continuing
   professional education, health care professionals recruited people with
   asthma and followed them up for 6 months. During this period, inhaler
   device technique training was delivered and data on patient inhaler
   technique, clinical and humanistic outcomes were collected. Outcomes
   related to professional collaborative relationships were also measured.
   Discussion: Challenges presented included the requirement of significant
   financial resources for development of study materials and limited
   availability of validated tools to measure health care professional
   collaboration over time.
RI Bosnic-Anticevich, Sinthia/AAD-2526-2021; Armour, Carol/
OI Bosnic-Anticevich, Sinthia/0000-0001-5077-8329; Armour,
   Carol/0000-0002-2930-2227
ZA 0
ZB 2
ZS 0
TC 20
Z8 0
ZR 0
Z9 21
U1 0
U2 23
SN 1472-6920
UT WOS:000334468300001
PM 24708800
ER

PT J
AU Felisberti, Fatima M.
   Sear, Rebecca
TI Postdoctoral Researchers in the UK: A Snapshot at Factors Affecting
   Their Research Output
SO PLOS ONE
VL 9
IS 4
AR e93890
DI 10.1371/journal.pone.0093890
PD APR 4 2014
PY 2014
AB Postdoctoral training is a typical step in the course of an academic
   career, but very little is known about postdoctoral researchers (PDRs)
   working in the UK. This study used an online survey to explore, for the
   first time, relevant environmental factors which may be linked to the
   research output of PDRs in terms of the number of peer-reviewed articles
   per year of PDR employment. The findings showed reliable links between
   the research output and research institutions, time spent as PDR, and
   parental education, whereas no clear links were observed between PDRs'
   output and research area, nationality, gender, number of siblings, or
   work environment. PDRs based in universities tended to publish, on
   average, more than the ones based in research centres. PDRs with
   children tended to stay longer in postdoctoral employment than PDRs
   without children. Moreover, research output tended to be higher in PDRs
   with fathers educated at secondary or higher level. The work environment
   did not affect output directly, but about 1/5 of PDRs were not satisfied
   with their job or institutional support and about 2/3 of them perceived
   their job prospects as "difficult''. The results from this exploratory
   study raise important questions, which need to be addressed in
   large-scale studies in order to understand (and monitor) how PDRs'
   family and work environment interact with their research output-an
   essential step given the crucial role of PDRs in research and
   development in the country.
RI Sear, Rebecca/K-9616-2019; Felisberti, Fatima M/F-3166-2010
OI Sear, Rebecca/0000-0002-4315-0223; Felisberti, Fatima
   M/0000-0002-8703-4400
TC 16
ZR 0
Z8 0
ZS 0
ZB 3
ZA 0
Z9 16
U1 0
U2 21
SN 1932-6203
UT WOS:000334107500086
PM 24705885
ER

PT J
AU Paro, Helena B. M. S.
   Silveira, Paulo S. P.
   Perotta, Bruno
   Gannam, Silmar
   Enns, Sylvia C.
   Giaxa, Renata R. B.
   Bonito, Rosuita F.
   Martins, Milton A.
   Tempski, Patricia Z.
TI Empathy among Medical Students: Is There a Relation with Quality of Life
   and Burnout?
SO PLOS ONE
VL 9
IS 4
AR e94133
DI 10.1371/journal.pone.0094133
PD APR 4 2014
PY 2014
AB Background: We aimed to assess medical students' empathy and its
   associations with gender, stage of medical school, quality of life and
   burnout.
   Method: A cross-sectional, multi-centric (22 medical schools) study that
   employed online, validated, self-reported questionnaires on empathy
   (Interpersonal Reactivity Index), quality of life (The World Health
   Organization Quality of Life Assessment) and burnout (the Maslach
   Burnout Inventory) in a random sample of medical students.
   Results: Out of a total of 1,650 randomly selected students, 1,350
   (81.8%) completed all of the questionnaires. Female students exhibited
   higher dispositional empathic concern and experienced more personal
   distress than their male counterparts (p < 0.05; d >= 0.5). There were
   minor differences in the empathic dispositions of students in different
   stages of their medical training (p < 0.05; f < 0.25). Female students
   had slightly lower scores for physical and psychological quality of life
   than male students (p < 0.05; d < 0.5). Female students scored higher on
   emotional exhaustion and lower on depersonalization than male students
   (p < 0.001; d < 0.5). Students in their final stage of medical school
   had slightly higher scores for emotional exhaustion, depersonalization
   and personal accomplishment (p < 0.05; f < 0.25). Gender (beta = 0.27; p
   < 0.001) and perspective taking (beta = 0.30; p < 0.001) were
   significant predictors of empathic concern scores. Depersonalization was
   associated with lower empathic concern (beta = -0.18) and perspective
   taking (beta = -0.14) (p < 0.001). Personal accomplishment was
   associated with higher perspective taking (beta = 0.21; p < 0.001) and
   lower personal distress (beta = -0.26; p < 0.001) scores.
   Conclusions: Female students had higher empathic concern and personal
   distress dispositions. The differences in the empathy scores of students
   in different stages of medical school were small. Among all of the
   studied variables, personal accomplishment held the most important
   association with decreasing personal distress and was also a predicting
   variable for perspective taking.
RI Paro, Helena B M S/H-1330-2019; Giaxa, Renata Rocha Barreto/H-2170-2019; Gannam, Silmar/D-6974-2011; Silveira, Paulo SP/C-9077-2014; Martins, Milton A/L-7541-2017; Martins, Milton A/D-6658-2012; Sergio Panse Silveira, Paulo/
OI Paro, Helena B M S/0000-0001-6226-3074; Giaxa, Renata Rocha
   Barreto/0000-0003-0813-2107; Gannam, Silmar/0000-0001-5242-3329; Sergio
   Panse Silveira, Paulo/0000-0003-4110-1038
Z8 0
ZB 12
TC 99
ZR 1
ZS 15
ZA 0
Z9 110
U1 1
U2 51
SN 1932-6203
UT WOS:000334107500127
PM 24705887
ER

PT J
AU Zwingenberger, Stefan
   Valladares, Roberto D.
   Walther, Achim
   Beck, Heidrun
   Stiehler, Maik
   Kirschner, Stephan
   Engelhardt, Martin
   Kasten, Philip
TI An epidemiological investigation of training and injury patterns in
   triathletes
SO JOURNAL OF SPORTS SCIENCES
VL 32
IS 6
BP 583
EP 590
DI 10.1080/02640414.2013.843018
PD APR 3 2014
PY 2014
AB Associated with the trend towards increased health consciousness and
   fitness, triathlon has established itself as a sport for masses. The
   goals of this study were to evaluate injury risk factors of
   non-professional triathletes and to compare prospective and
   retrospective evaluation methods. Using an online survey, 212
   triathletes retrospectively answered a questionnaire about their
   training habits and injuries during the past 12 months. Forty-nine of
   these triathletes participated in a 12-month prospective trial. Injuries
   were classified with regard to the anatomical location, type of injury,
   incidence and associated risk factors. Most injuries occurred during
   running (50%) followed by cycling (43%) and swimming (7%). Fifty-four
   per cent (retrospective) and 22% (prospective) of the injuries were
   contusions and abrasions, 38% (retrospective) and 46% (prospective) were
   ligament and capsular injuries, 7% (retrospective) and 32% (prospective)
   were muscle and tendon injuries and 1% (retrospective) and 0%
   (prospective) were fractures. The incidence of an injury per 1000
   training hours was 0.69 (retrospective) and 1.39 (prospective) during
   training and 9.24 (retrospective) and 18.45 (prospective) during
   competition. The main risk factor for injury in non-professional
   triathlon is participation in a competitive triathlon event. A
   retrospective design may underestimate the rate of overuse injuries.
Z8 0
TC 21
ZS 1
ZB 3
ZR 0
ZA 0
Z9 21
U1 0
U2 40
SN 0264-0414
EI 1466-447X
UT WOS:000332276700011
PM 24102132
ER

PT J
AU Yang, Hua
   Chen, Yunxiang
   Zheng, Liqiang
   Xu, Xin
   Cao, Xia
TI Analysis of internet use behaviors among clinical medical students in
   China
SO BMC MEDICAL EDUCATION
VL 14
AR 67
DI 10.1186/1472-6920-14-67
PD APR 2 2014
PY 2014
AB Background: The availability of internet-based information resources is
   increasing and the appropriate use of such resources is an important
   subject for clinical medical students. The aims of this study were to
   investigate the behaviors of clinical medical students regarding the use
   of internet-based activities, to analyze the behavior and
   characteristics of the students' information demands, and to discuss the
   behaviors and time preferences related to internet use of students with
   different levels of education.
   Methods: Librarians obtained real-time feedback from 999 clinical
   medical students to record online activities. The data was recorded in a
   standard form and then analyzed statistically.
   Results: There were significant differences in the use of the internet
   for learning activities among the different groups of clinical medical
   students (P < 0.0001). Learning accounted for 73.5% of all internet use
   for doctoral candidates, 47.6% of internet use for master's candidates,
   28.7% of internet use for seven-year undergraduate students, and 14.1%
   of use for five-year undergraduate students. There was also a
   significant difference in the proportions of leisure and e-commerce
   activities among the student groups (P < 0.0001), with five-year
   students displaying the highest total proportion of these activities
   (59.4% and 18.8%). Internet use for entertainment activities was the
   same for all groups of clinical medical students. Time of day of
   internet use was consistent across all student groups, but internet use
   differed by day of the week (P < 0.01). There was no difference among
   the time of day of internet use for learning, leisure and entertainment
   activities during a single day (P > 0.05), but e-commerce activities
   varied according to time of day (P < 0.05). Learning and e-commerce
   activities by clinical medical students did not vary by day of the week
   (P > 0.05), but the distributions of leisure and entertainment
   activities were different according to day of the week (P < 0.05).
   Conclusions: A stronger demand for learning is associated with a higher
   academic level of clinical medical students. Differences exist among
   student groups regarding internet use behaviors and internet use during
   different time periods.
ZB 2
TC 6
Z8 0
ZA 0
ZS 0
ZR 0
Z9 6
U1 0
U2 15
SN 1472-6920
UT WOS:000334466800001
PM 24690437
ER

PT J
AU Intrator, Orna
   Lima, Julie C.
   Wetle, Terrie Fox
TI Nursing Home Control of Physician Resources
SO JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
VL 15
IS 4
BP 273
EP 280
DI 10.1016/j.jamda.2013.12.009
PD APR 2014
PY 2014
AB Objective: Physician services are increasingly recognized as important
   contributors to quality care provision in nursing homes (NH)s, but
   knowledge of ways in which NHs manage/control physician resources is
   lacking.
   Data: Primary data from surveys of NH administrators and directors of
   nursing from a nationally representative sample of 1938 freestanding
   United States NHs in 2009-2010 matched to Online Survey Certification
   and Reporting, aggregated NH Minimum Data Set assessments, Medicare
   claims, and county information from the Area Resource File.
   Methods: The concept of NH Control of Physician Resources (NHCOPR) was
   measured using NH administrators' reports of management implementation
   of rules, policies, and procedures aimed at coordinating work
   activities. The NHCOPR scale was based on measures of formal
   relationships, physician oversight and credentialing. Scale values
   ranged from weakest (0) to tightest (3) control. Several hypotheses of
   expected associations between NHCOPR and other measures of NH and market
   characteristics were tested.
   Results: The full NHCOPR score averaged 1.58 (standard deviation = 0.77)
   on the 0-3 scale. Nearly 30% of NHs had weak control (NHCOPR <= 1),
   47.5% had average control (NHCOPR between 1 and 2), and the remaining
   24.8% had tight control (NHCOPR >2). NHCOPR exhibited good face-and
   predictive-validity as exhibited by positive associations with more
   beds, more Medicare services, cross coverage, and number of physicians
   in the market.
   Conclusions: The NHCOPR scale capturing NH's formal structure of control
   of physician resources can be useful in studying the impact of NH's
   physician resources on residents' outcomes with potential for targeted
   interventions by education and promotion of NH administration regarding
   physician staff. Published by Elsevier Inc. on behalf of American
   Medical Directors Association, Inc.
ZS 0
TC 6
ZB 1
ZA 0
ZR 0
Z8 0
Z9 6
U1 0
U2 2
SN 1525-8610
EI 1538-9375
UT WOS:000334318800009
PM 24508327
ER

PT J
AU Huang, Yen-Fang
   Yang, Jyh-Yuan
   Nelson, Kenrad E.
   Kuo, Hsu-Sung
   Lew-Ting, Chin-Yin
   Yang, Chin-Hui
   Chen, Chang-Hsun
   Chang, Feng-Yee
   Liu, Hui-Rong
TI Changes in HIV Incidence among People Who Inject Drugs in Taiwan
   following Introduction of a Harm Reduction Program: A Study of Two
   Cohorts
SO PLOS MEDICINE
VL 11
IS 4
DI 10.1371/journal.pmed.1001625
PD APR 2014
PY 2014
AB Editors' Summary
   Background
   About 35 million people worldwide are currently infected with HIV, the
   virus that causes AIDS, and about 2.3 million people become newly
   infected every year. HIV is mainly transmitted through unprotected sex
   with an infected partner. However, people who inject drugs (PWID) have a
   particularly high risk of HIV infection because blood transfer through
   needle and syringe sharing can transmit the virus. It is estimated that
   5%-10% of all people living with HIV are PWID. Indeed, in some regions
   of the world the primary route of HIV transmission is through shared
   drug injection equipment and the prevalence (the proportion of a
   population that has a specific disease) of HIV infection among PWID is
   very high. In Asia, for example, more than a quarter of PWID are HIV
   positive. Because the high prevalence of HIV among PWID poses a global
   health challenge, bodies such as the Joint United Nations Programme on
   HIV/AIDS endorse harm reduction strategies to prevent risky injection
   behaviors among PWID. These strategies include the provision of clean
   needles and syringes, opioid substitution therapy such as methadone
   maintenance treatment, and antiretroviral treatment for HIV-positive
   PWID.
   Why Was This Study Done? ?
   Although harm reduction strategies for combating HIV epidemics among
   PWID have been implemented in several countries, few large-scale studies
   have examined the association between HIV incidence (the proportion of
   new cases of HIV in a population per year) and exposure to harm
   reduction programs among PWID. In this cohort study (an investigation
   that determines the characteristics of a group of people and then
   follows them over time), the researchers determine the association
   between harm reduction programs and HIV incidence among PWID in Taiwan.
   HIV infections used to be rare among the 60,000 PWID living in Taiwan,
   but after the introduction of a new HIV strain into the country in 2003,
   an HIV epidemic spread rapidly. In response, the Taiwanese government
   introduced a pilot program of harm reduction that included the provision
   of clean needles and syringes and health education in July 2005. The
   program was expanded to include methadone maintenance treatment in early
   2006 and implemented nationwide in June 2006.
   What Did the Researchers Do and Find? ?
   The researchers enrolled two study populations. The first cohort
   comprised 3,851 PWID who were incarcerated for illicit drug use between
   2004 and 2010 and who tested positive for HIV upon admission into
   prison. By using the BED assay, which indicates whether an HIV infection
   is recent, the researchers were able to determine the HIV incidence
   among the prisoners. In 2004, the estimated HIV incidence among
   prisoners with a history of drug injection was 6.44%. The incidence
   peaked in 2005 at 18.2%, but fell to 0.3% in 2010.
   The second study population comprised 2,473 individuals who were HIV
   negative on January 1, 2006, and who had been incarcerated for drug use
   crimes but were released on July 16, 2007, during an amnesty. The
   researchers regularly interviewed these participants between their
   release and 2010 about their use of harm reduction interventions, and
   obtained other data about them (for example, diagnosis of HIV infection)
   from official databases. Analysis of all these data indicated that, in
   this cohort, attendance at methadone maintenance treatment clinics and
   frequent use of needle and syringe services were both associated with a
   significantly lower HIV incidence.
   What Do These Findings Mean? ?
   These findings suggest that the introduction of a comprehensive harm
   reduction program in Taiwan was associated with a significant reduction
   in the HIV incidence rate among PWID. These findings must be interpreted
   with caution, however. First, because the participants in the study were
   selected from PWID with histories of incarceration, the findings may not
   be representative of all PWID in Taiwan or of PWID in other countries.
   Second, PWID who chose to use needle and syringe services or methadone
   maintenance treatment clinics might have shared other unknown
   characteristics that affected their risk of HIV infection. Finally, some
   of the reduction in HIV incidence seen during the study is likely to be
   associated with the availability of free treatment, which has been
   offered to all HIV-positive individuals in Taiwan since 1997. Despite
   these limitations, these findings suggest that countries with a high
   prevalence and incidence of HIV among PWID should provide comprehensive
   harm reduction services to their populations to reduce risky drug
   injection behaviors.
   Additional Information
   Please access these websites via the online version of this summary at
   http://dx.doi.org/10.1371/journal.pmed.1001625.
   Information is available from the US National Institute of Allergy and
   Infectious diseases on HIV infection and AIDS
   NAM/aidsmap provides basic information about HIV/AIDS, and summaries of
   recent research findings on HIV care and treatment
   Information is available from Avert, an international AIDS charity, on
   many aspects of HIV/AIDS, including information on injecting drug users
   and HIV/AIDS and on harm reduction and HIV prevention (in English and
   Spanish)
   The US National Institute on Drug Abuse also provides information about
   drug abuse and HIV/AIDS (in English and Spanish)
   The 2013 UNAIDS World AIDS Day report provides up-to-date information
   about the AIDS epidemic and efforts to halt it
   Personal stories about living with HIV/AIDS are available through Avert,
   Nam/aidsmap, and <ext-link ext-link-type="uri"
   xlink:href="http://www.healthtalkonline.
   org/chronichealthissues/HIV" xlink:type="simple">Healthtalkonline
   Background
   Harm reduction strategies for combating HIV epidemics among people who
   inject drugs (PWID) have been implemented in several countries. However,
   large-scale studies using sensitive measurements of HIV incidence and
   intervention exposures in defined cohorts are rare. The aim of this
   study was to determine the association between harm reduction programs
   and HIV incidence among PWID.
   Methods and Findings
   The study included two populations. For 3,851 PWID who entered prison
   between 2004 and 2010 and tested HIV positive upon incarceration, we
   tested their sera using a BED HIV-1 capture enzyme immunoassay to
   estimate HIV incidence. Also, we enrolled in a prospective study a
   cohort of 4,357 individuals who were released from prison via an amnesty
   on July 16, 2007. We followed them with interviews at intervals of 6-12
   mo and by linking several databases. A total of 2,473 participants who
   were HIV negative in January 2006 had interviews between then and 2010
   to evaluate the association between use of harm reduction programs and
   HIV incidence. We used survival methods with attendance at methadone
   clinics as a time-varying covariate to measure the association with HIV
   incidence. We used a Poisson regression model and calculated the HIV
   incidence rate to evaluate the association between needle/syringe
   program use and HIV incidence. Among the population of PWID who were
   imprisoned, the implementation of comprehensive harm reduction programs
   and a lower mean community HIV viral load were associated with a reduced
   HIV incidence among PWID. The HIV incidence in this population of PWID
   decreased from 18.2% in 2005 to 0.3% in 2010. In an individual-level
   analysis of the amnesty cohort, attendance at methadone clinics was
   associated with a significantly lower HIV incidence (adjusted hazard
   ratio: 0.20, 95% CI: 0.06-0.67), and frequent users of needle/syringe
   program services had lower HIV incidence (0% in high NSP users, 0.5% in
   non NSP users). In addition, no HIV seroconversions were detected among
   prison inmates.
   Conclusions
   Although our data are affected by participation bias, they strongly
   suggest that comprehensive harm- reduction services and free treatment
   were associated with reversal of a rapidly emerging epidemic of HIV
   among PWID.
   Please see later in the article for the Editors' Summary
ZB 16
ZR 0
ZA 0
Z8 0
TC 26
ZS 0
Z9 26
U1 0
U2 27
SN 1549-1277
EI 1549-1676
UT WOS:000335465800015
PM 24714449
ER

PT J
AU Nichol, R. J.
   de Klerk, B.
   Nel, M. M.
   Van Zyl, G. J.
   Hay, J. F.
TI Designing an educational programme in mental health for general
   practitioners in South Africa
SO SOUTH AFRICAN JOURNAL OF PSYCHIATRY
VL 20
IS 1
BP 27
EP 30
DI 10.7196/SAJP.487
PD APR 2014
PY 2014
AB Background. With the new Mental Health Care Act in use, additional
   demands will be placed on general practitioners to provide adequate,
   care for mental health patients The College of Psychiatry of the
   Colleges of Medicine of South Africa awards a Postgraduate Diploma in
   Mental Health (PGDipMH) to medical doctors but there is no standardised
   formal tuition or curriculum available to potential candidates.
   Objectives A study was undertaken to design a postgraduate programme
   using a six step process to assist medical practitioners in preparing
   for the PGDipMH.
   Methods. The Delphi research method, a nominal group technique for
   developing forecasts and trends based on the collective opinion of
   knowledgeable experts was used Data obtained by means of dosed items in
   a questionnaire, were analysed, and the opinions and ideas of the expert
   respondents were used to adapt the formulated set of criteria for each
   subsequent round of Delphi This process was repeated until 80% consensus
   or stability had been reached. After the last round, a framework and
   final set of criteria were Compiled.
   Results. The preferred mode of teaching was online distance learning
   utilising electronic learning and limited formal learning. The content
   of the curriculum was based on the findings of the Delphi study experts
   The programme as a complete entity contains six steps.
   Conclusion. Using the recommendations and findings of the Delphi panel,
   a comprehensive programme was developed, which shows an appreciation for
   the interfaces between the different role-players (the patient/so-called
   mental healthcare user and the doctor as learner), outcomes based
   education and distance learning.
ZR 0
ZA 0
TC 0
ZB 0
ZS 1
Z8 0
Z9 1
U1 0
U2 11
SN 1608-9685
UT WOS:000341896000006
ER

PT J
AU Genovesi, A. L.
   Hastings, B.
   Edgerton, E. A.
   Olson, L. M.
TI Pediatric emergency care capabilities of Indian Health Service emergency
   medical service agencies serving American Indians/Alaska Natives in
   rural and frontier
SO RURAL AND REMOTE HEALTH
VL 14
IS 2
AR 2688
PD APR-JUN 2014
PY 2014
AB Introduction: In the USA, the emergency medical services (EMS) system is
   vital for American Indians and Alaska Natives, who are
   disproportionately burdened by injuries and diseases and often live in
   rural areas geographically far from hospitals. In rural areas, where
   significant health disparities exist, EMS is often a primary source of
   healthcare providing a safety net for uninsured individuals or families
   who otherwise lack access to health-related services. EMS is frequently
   the first entry point for children and their families into the
   healthcare system. The Indian Health Service (IHS) supports the
   federally funded, tribally operated EMS agencies to help meet the
   affiliated American Indian and Alaska Natives' pre-hospital needs. While
   periodic assessments of state EMS agencies capabilities to care for
   children occur, it appears a systematic assessment of IHS EMS agencies
   in regards to children had not been previously conducted.
   Methods: A consensus process, involving stakeholders, was used to
   identify topic areas for a survey for assessing the pediatric
   capabilities of IHS EMS. The survey was sent to 75 of 88 IHS EMS agency
   contacts.
   Results: Sixty-one agencies (81%) responded. Nine agencies (15%) did not
   have a medical director. Agencies without a medical director were less
   likely to report the availability of online (p=0.1) or offline (p<0.01)
   pediatric medical direction. Half (51%) of the agencies had a mass
   casualties plan; however, 29% reported responding to a mass casualty
   incident, involving a large number of pediatric patients, that
   overwhelmed their service. Most agencies were well integrated with their
   state EMS system with almost all (95%) collecting EMS patient care data
   and 47% using national standard data elements.
   Conclusions: In some areas, IHS EMS agencies did not have the
   infrastructure to treat pediatric patients during day-to-day operations
   as well as disasters. Similar to operational challenges faced by rural
   EMS agencies, the IHS agencies lacked a medical director, were unable to
   provide pediatric continuing education, and were overwhelmed during mass
   casualty incidents. Moreover, the overall ratio of IHS EMS to service
   population is almost double that for other EMS agencies. In other areas,
   agencies were well integrated with their state EMS system. One possible
   solution to increase capabilities to care for pediatric patients is
   combining and sharing of common resources including medical directors
   with their state EMS systems and authorities.
Z8 0
ZB 2
ZA 0
TC 10
ZS 0
ZR 0
Z9 10
U1 0
U2 8
SN 1445-6354
UT WOS:000343520900018
PM 24852933
ER

PT J
AU Kiah, M. L. M.
   Zaidan, B. B.
   Zaidan, A. A.
   Nabi, Mohamed
   Ibraheem, Rabiu
TI MIRASS: Medical Informatics Research Activity Support System Using
   Information Mashup Network
SO JOURNAL OF MEDICAL SYSTEMS
VL 38
IS 4
AR 37
DI 10.1007/s10916-014-0037-x
PD APR 2014
PY 2014
AB The advancement of information technology has facilitated the automation
   and feasibility of online information sharing. The second generation of
   the World Wide Web (Web 2.0) enables the collaboration and sharing of
   online information through Web-serving applications. Data mashup, which
   is considered a Web 2.0 platform, plays an important role in information
   and communication technology applications. However, few ideas have been
   transformed into education and research domains, particularly in medical
   informatics. The creation of a friendly environment for medical
   informatics research requires the removal of certain obstacles in terms
   of search time, resource credibility, and search result accuracy. This
   paper considers three glitches that researchers encounter in medical
   informatics research; these glitches include the quality of papers
   obtained from scientific search engines (particularly, Web of Science
   and Science Direct), the quality of articles from the indices of these
   search engines, and the customizability and flexibility of these search
   engines. A customizable search engine for trusted resources of medical
   informatics was developed and implemented through data mashup. Results
   show that the proposed search engine improves the usability of
   scientific search engines for medical informatics. Pipe search engine
   was found to be more efficient than other engines.
RI Mat Kiah, Miss Laiha/B-2767-2010; zaidan, bilal/AAJ-7841-2021; zaidan, bilal/F-7292-2010; Zaidan, Aos Alaa/F-7289-2010
OI Mat Kiah, Miss Laiha/0000-0002-1240-5406; Zaidan, Aos
   Alaa/0000-0001-6090-0391
ZA 0
Z8 0
ZS 0
ZR 0
ZB 0
TC 20
Z9 20
U1 0
U2 24
SN 0148-5598
EI 1573-689X
UT WOS:000334503500005
PM 24700079
ER

PT J
AU Thomas, H. M. T.
   Balukrishna, S.
   Devakumar, D.
   Muthuswamy, P.
   Samuel, E. J. J.
TI Can positron emission tomography be more than a diagnostic tool? A
   survey on clinical practice among radiation oncologists in India
SO INDIAN JOURNAL OF CANCER
VL 51
IS 2
BP 145
EP 149
DI 10.4103/0019-509X.138247
PD APR-JUN 2014
PY 2014
AB AIM: The purpose of the survey was to understand the role of positron
   emission tomography (PET) in clinical radiotherapy practice among the
   radiation oncologists' in India. SETTINGS AND DESIGN: An online
   questionnaire was developed to survey the oncologists on their use of
   PET, viewing protocols, contouring techniques practiced, the barriers on
   the use of PET and the need for training in use of PET in radiotherapy.
   The questionnaire was sent to about 500 oncologists and 76 completed
   responses were received. RESULTS: The survey shows that radiation
   oncologists use PET largely to assess treatment response and staging but
   limitedly use it for radiotherapy treatment planning. Only manual
   contouring and fixed threshold based delineation techniques (e.g. 40%
   maximum standard uptake value [SUVmax] or SUV 2.5) are used. Cost is the
   major barrier in the wider use of PET, followed by limited availability
   of FDG radionuclide tracer. Limited or no training was available for the
   use of PET. CONCLUSIONS: Our survey revealed the vast difference between
   literature suggestions and actual clinical practice on the use of PET in
   radiotherapy. Additional training and standardization of protocols for
   use of PET in radiotherapy is essential for fully utilizing the
   capability of PET.
RI Sasidharan, Balu Krishna/AAE-5453-2020; E, James Jebaseelan Samuel/; Thomas, Hannah/
OI E, James Jebaseelan Samuel/0000-0002-8136-2091; Thomas,
   Hannah/0000-0002-1454-512X
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
TC 0
Z9 0
U1 0
U2 0
SN 0019-509X
EI 1998-4774
UT WOS:000340484200014
PM 25104197
ER

PT J
AU Iezzoni, Julia C.
   Ewton, April
   Chevez-Barrios, Patricia
   Moore, Stephen
   Thorsen, Linda M.
   Naritoku, Wesley Y.
TI Selective Pathology Fellowships Diverse, Innovative, and Valuable
   Subspecialty Training
SO ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE
VL 138
IS 4
BP 518
EP 525
DI 10.5858/arpa.2013-0454-SA
PD APR 2014
PY 2014
AB Context.-Although selective pathology fellowships have a long-standing
   history of developing trainees with advanced expertise in specific areas
   of pathology other than those of the American Board of
   Pathology-certified subspecialties, the widespread interest in this
   training continues to grow.
   Objective.-To describe the historical background and current status of
   selective pathology fellowships, and to provide examples of 3 programs.
   In addition, Accreditation Council for Graduate Medical Education
   (ACGME)-accredited programs and nonaccredited programs in Selective
   Pathology are compared.
   Data Sources.-ACGME data banks and publicly available online materials
   were used. Program directors of the fellowships examples in this paper
   provided program-specific information. Additionally, an online survey of
   the program directors and program coordinators of ACGME-accredited
   programs and nonaccredited programs in selective pathology was
   performed.
   Conclusions.-There are currently 76 ACGME-accredited selective pathology
   programs. The programs are distributed between 3 major categories:
   surgical pathology, focused anatomic pathology, and focused clinical
   pathology. Although the vast majority of programs are concerned that
   their funding source may be cut in the next 3 years, most programs will
   not change the number of fellowship positions in their programs. Program
   requirements devoted specifically and solely to selective pathology have
   been developed and are in effect. The value of this training is
   recognized not only by pathologists, but by clinicians as well, in both
   academia and private practice. Importantly, the diversity and innovation
   inherent in selective pathology allow these programs to adeptly address
   new subspecialty areas and technologic advances in the current and
   evolving practice of pathology.
Z8 0
ZB 2
ZS 0
ZA 0
TC 4
ZR 0
Z9 4
U1 0
U2 1
SN 0003-9985
EI 1543-2165
UT WOS:000339552200008
PM 24678683
ER

PT J
AU Paton, Chris
TI Massive open online course for health informatics education.
SO Healthcare informatics research
VL 20
IS 2
BP 81
EP 7
DI 10.4258/hir.2014.20.2.81
PD 2014-Apr
PY 2014
AB OBJECTIVES: This paper outlines a new method of teaching health
   informatics to large numbers of students from around the world through a
   Massive Open Online Course (MOOC).
   METHODS: The Health Informatics Forum is a social networking site for
   educating health informatics students and professionals [corrected]. It
   is running a MOOC for students from around the world that uses creative
   commons licenced content funded by the US government and developed by
   five US universities. The content is delivered through narrated lectures
   with slides that can be viewed online with discussion threads on the
   forum for class interactions. Students can maintain a professional
   profile, upload photos and files, write their own blog posts and post
   discussion threads on the forum.
   RESULTS: The Health Informatics Forum MOOC has been accessed by 11,316
   unique users from 127 countries from August 2, 2012 to January 24, 2014.
   Most users accessed the MOOC via a desktop computer, followed by tablets
   and mobile devices and 55% of users were female. Over 400,000 unique
   users have now accessed the wider Health Informatics Forum since it was
   established in 2008.
   CONCLUSIONS: Advances in health informatics and educational technology
   have both created a demand for online learning material in health
   informatics and a solution for providing it. By using a MOOC delivered
   through a social networking platform it is hoped that high quality
   health informatics education will be able to be delivered to a large
   global audience of future health informaticians without cost.
OI Paton, Chris/0000-0001-6952-9621
ZS 0
ZR 0
ZB 3
TC 15
Z8 2
ZA 0
Z9 18
U1 0
U2 35
SN 2093-3681
UT MEDLINE:24872906
PM 24872906
ER

PT J
AU Nhavoto, Jose Antonio
   Gronlund, Ake
TI Mobile Technologies and Geographic Information Systems to Improve Health
   Care Systems: A Literature Review
SO JMIR MHEALTH AND UHEALTH
VL 2
IS 2
AR e21
DI 10.2196/mhealth.3216
PD APR-JUN 2014
PY 2014
AB Background: A growing body of research has employed mobile technologies
   and geographic information systems (GIS) for enhancing health care and
   health information systems, but there is yet a lack of studies of how
   these two types of systems are integrated together into the information
   infrastructure of an organization so as to provide a basis for data
   analysis and decision support. Integration of data and technical systems
   across the organization is necessary for efficient large-scale
   implementation.
   Objective: The aim of this paper is to identify how mobile technologies
   and GIS applications have been used, independently as well as in
   combination, for improving health care.
   Methods: The electronic databases PubMed, BioMed Central, Wiley Online
   Library, Scopus, Science Direct, and Web of Science were searched to
   retrieve English language articles published in international academic
   journals after 2005. Only articles addressing the use of mobile or GIS
   technologies and that met a prespecified keyword strategy were selected
   for review.
   Results: A total of 271 articles were selected, among which 220
   concerned mobile technologies and 51 GIS. Most articles concern
   developed countries (198/271, 73.1%), and in particular the United
   States (81/271, 29.9%), United Kingdom (31/271, 11.4%), and Canada
   (14/271, 5.2%). Applications of mobile technologies can be categorized
   by six themes: treatment and disease management, data collection and
   disease surveillance, health support systems, health promotion and
   disease prevention, communication between patients and health care
   providers or among providers, and medical education. GIS applications
   can be categorized by four themes: disease surveillance, health support
   systems, health promotion and disease prevention, and communication to
   or between health care providers. Mobile applications typically focus on
   using text messaging (short message service, SMS) for communication
   between patients and health care providers, most prominently reminders
   and advice to patients. These applications generally have modest
   benefits and may be appropriate for implementation. Integration of
   health data using GIS technology also exhibit modest benefits such as
   improved understanding of the interplay of psychological, social,
   environmental, area-level, and sociodemographic influences on physical
   activity. The studies evaluated showed promising results in helping
   patients treating different illnesses and managing their condition
   effectively. However, most studies use small sample sizes and short
   intervention periods, which means limited clinical or statistical
   significance.
   Conclusions: A vast majority of the papers report positive results,
   including retention rate, benefits for patients, and economic gains for
   the health care provider. However, implementation issues are little
   discussed, which means the reasons for the scarcity of large-scale
   implementations, which might be expected given the overwhelmingly
   positive results, are yet unclear. There is also little combination
   between GIS and mobile technologies. In order for health care processes
   to be effective they must integrate different kinds of existing
   technologies and data. Further research and development is necessary to
   provide integration and better understand implementation issues.
Z8 0
ZR 0
ZS 0
ZA 0
TC 29
ZB 2
Z9 29
U1 0
U2 35
SN 2291-5222
UT WOS:000209895000001
PM 25099368
ER

PT J
AU Ryan, Donna J.
   Mikula, Elizabeth Bradshaw
   Germana, Sarah
   Silva, Susan G.
   Derouin, Anne
TI Screening for Critical Congenital Heart Disease in Newborns Using Pulse
   Oximetry Evaluation of Nurses' Knowledge and Adherence
SO ADVANCES IN NEONATAL CARE
VL 14
IS 2
BP 119
EP 128
DI 10.1097/ANC.0000000000000047
PD APR 2014
PY 2014
AB PURPOSE: The purpose of this project was to evaluate the benefits of an
   online nursing education program addressing the significance and
   rationale of an evidence-based critical congenital heart disease (CCHD)
   screening protocol using pulse oximetry implemented on full-term
   newborns delivered at an academic obstetric referral center. The aim was
   to assess nurses' knowledge of the protocol and nurses' adherence to the
   protocol documentation before and after the education module was
   implemented.
   SUBJECTS: Registered nurses working in the birthing center who completed
   the online knowledge tests and an education module.
   DESIGN: A repeated-measures quality improvement study was conducted to
   assess nurses' knowledge of the evidence supporting CCHD screening by
   pulse oximetry and adherence to the correct documentation of the
   screening protocol before, immediately after, and 3 months following
   participation in an online education module.
   METHODS: Nurses' knowledge of the CCHD screening protocol was determined
   by the number of correct answers on a 10-item online test administered
   before and after the education module. Adherence to correct
   documentation of the protocol before and after the education
   intervention was evaluated. The medical charts of 300 newborns delivered
   at the center with pulse oximetry readings performed after 24 hours of
   age and before discharge were randomly selected and reviewed.
   RESULTS: A significant improvement in knowledge test scores was observed
   immediately after the education module (9.1 +/- 1.0), relative to
   baseline (8.4 +/- 1.2; paired t = 3.02, P = .0046). A significant
   increase in knowledge test scores measured at baseline, immediately
   after, and 3 months postintervention was also indicated (F = 3.25; df =
   2, 24; P = .0564). Documentation of the protocol in the medical charts
   for the location of the readings significantly improved after the
   educational intervention (right hand: 28%, 83%, and 90%; right foot:
   27%, 82%, and 89%; both P < .0001).
   CONCLUSIONS: Providing education to staff before implementing new
   practice changes enhances their knowledge. Quality improvement
   monitoring is recommended to ensure nursing adherence to any practice
   change.
RI Derouin, Anne/AAL-3421-2020; Germana, Sarah/
OI Derouin, Anne/0000-0002-9993-7551; Germana, Sarah/0000-0001-6806-9416
TC 3
Z8 0
ZR 1
ZS 1
ZB 3
ZA 0
Z9 5
U1 0
U2 9
SN 1536-0903
EI 1536-0911
UT WOS:000338285800012
PM 24675632
ER

PT J
AU Isenring, Elisabeth
TI Facilitating Deep Student Learning With Online Quizzes Despite an
   Increased Class Size in a Master of Dietetics Studies Program
SO TOPICS IN CLINICAL NUTRITION
VL 29
IS 2
BP 150
EP 157
DI 10.1097/01.TIN.0000445899.05642.cc
PD APR-JUN 2014
PY 2014
AB The University of Queensland, Australia, commenced an innovative Master
   of Dietetics Studies Program in 2009, using adult learning principles to
   foster critical thinking. Medical Nutrition Therapy courses consist of
   3-hour case study workshops and assigned readings. Two educational
   interventions, online quizzes and a discussion board, were trialed to
   enhance supervisor and peer communication and feedback. Student survey,
   case study assignment, and the examination results were used to compare
   deep student learning in the same cohort of dietetic students pre- and
   postintervention and with previous dietetic student cohorts. Data
   revealed that the online quizzes encouraged completion of assigned
   readings that helped students work through the case studies,
   facilitating deep learning. Students wished to continue the online
   assessment (mean = 4.7 of 5). The discussion board was not well used
   because students felt that weekly communication with staff and other
   students was sufficient. Refinements will expand the online question
   pool and investigate the use of a less-structured communication forum.
OI Isenring, Elizabeth/0000-0002-4478-9707
ZB 0
ZA 0
TC 2
Z8 0
ZR 0
ZS 0
Z9 2
U1 2
U2 10
SN 0883-5691
EI 1550-5146
UT WOS:000367225800007
ER

PT J
AU Abbal, B.
   Perbet, S.
   Pereira, B.
   Colomb, S.
   Ehrmann, S.
   Bazin, J. -E.
   Constantin, J. -M.
CA Azurea Grp
TI Use of the intraosseous access in adult patients in France in 2012
SO ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
VL 33
IS 4
BP 221
EP 226
DI 10.1016/j.annfar.2014.02.006
PD APR 2014
PY 2014
AB Objectives. - To evaluate theoretical and practical knowledges of
   intraosseous (IO) access in adults patients in France in 2012.
   Study design. - National observational descriptive transversal study as
   survey of opinion and practices.
   Materials and methods. - An email, with an URL to online computerized
   quiz, was sent to residents and medical doctors who were working, in
   France, in anesthesiologist units, intensive care units or emergency
   units. Several questions were asked about theoretical and practical
   knowledges concerning IO access.
   Results. - After 1359 responses, 396 (29%) practitioners have used an IO
   kit mainly in case of cardiopulmonary arrest in adults (68%). The
   insurance of operators in this technique and the rate of physicians who
   has even put an IO catheter increased with the years of experience of
   physicians. The reasons given for not using an IO access were no trouble
   placing a peripheral vein (77%) and unfamiliarity with the equipment and
   technology (32%). Most of practitioners (753 [55%]) have been trained
   and 90% (n = 265) of untrained doctors believe that training was
   necessary. The powered system was the most used (71%).
   Conclusion. - Only 29% of practitioners have ever used an IO kit. With
   the new IO kits, a theoretical and practical training is needed to
   ensure IO kit used. (C) 2014 Societe francaise d'anesthesie et de
   reanimation (Sfar). Published by Elsevier Masson SAS. All rights
   reserved.
RI Ehrmann, Stephan/H-3034-2019; Pereira, Bruno/
OI Ehrmann, Stephan/0000-0001-6221-4467; Pereira, Bruno/0000-0003-3778-7161
ZS 0
ZR 0
TC 1
ZA 0
Z8 0
ZB 0
Z9 1
U1 0
U2 11
SN 0750-7658
EI 1769-6623
UT WOS:000336642900002
PM 24631005
ER

PT J
AU Boots, L. M. M.
   de Vugt, M. E.
   van Knippenberg, R. J. M.
   Kempen, G. I. J. M.
   Verhey, F. R. J.
TI A systematic review of Internet-based supportive interventions for
   caregivers of patients with dementia
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 29
IS 4
BP 331
EP 344
DI 10.1002/gps.4016
PD APR 2014
PY 2014
RI Boots, Lizzy M.M./M-3054-2013; Kempen, Gertrudis I/H-5978-2016; Boots, Lizzy/AAG-2652-2019; Kempen, Gertrudis/Y-8796-2019
OI Kempen, Gertrudis I/0000-0002-7053-2198; Boots,
   Lizzy/0000-0002-8309-4502; Kempen, Gertrudis/0000-0002-7053-2198
ZA 0
TC 239
ZB 21
Z8 0
ZR 1
ZS 2
Z9 240
U1 5
U2 94
SN 0885-6230
EI 1099-1166
UT WOS:000332952200001
PM 23963684
ER

PT J
AU Lagan, Briege M.
   Dolk, Helen
   White, Bronagh
   Uges, Donald R. A.
   Sinclair, M.
TI Assessing the availability of the teratogenic drug isotretinoin outside
   the pregnancy prevention programme: a survey of e-pharmacies
SO PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
VL 23
IS 4
BP 411
EP 418
DI 10.1002/pds.3565
PD APR 2014
PY 2014
AB PurposeThe increase in online purchasing of medications raises safety
   concerns regarding teratogenic drugs. The use of the teratogenic drug
   isotretinoin' for women of childbearing age requires strict adherence to
   the Pregnancy Prevention Programme (PPP), a risk minimisation measure
   imposed on prescribers and users. We sought to determine how readily
   consumers can purchase isotretinoin online and the associated safety
   procedures and information.
   MethodsA descriptive cross-sectional survey was conducted of 50
   e-pharmacies identified from commonly used search engines. E-pharmacy
   characteristics and isotretinoin PPP specific criteria were evaluated.
   Purchases of isotretinoin from seven e-pharmacies not bearing
   authentication logos and not requiring a prescription were assessed for
   PPP policy adherence, purchasing procedures and compound quality.
   ResultsForty-three (86%) of the e-pharmacies did not have an
   authentication seal/logo. Isotretinoin could be purchased from 42 sites
   without a valid prescription. Information on isotretinoin causing birth
   defects was lacking in 25 of the 50 sites, on not taking isotretinoin in
   pregnancy in 24 sites and not taking isotretinoin if planning or at risk
   of a pregnancy in 33 sites. Of the eight attempted purchases, seven
   arrived, all without any patient information leaflet. All were verified
   as isotretinoin.
   ConclusionThe Internet provides a loophole for purchasing of medications
   known to cause congenital abnormalities, which needs to be addressed by
   medicines regulatory agencies worldwide. The current PPP for
   isotretinoin may be failing to protect mothers and babies from
   preventable harmclinicians need to be aware of this, and the public
   needs to be educated about the potential risks. (c) 2014 The Authors.
   Pharmacoepidemiology and Drug Safety published by John Wiley & Sons,
   Ltd.
OI sinclair, marlene/0000-0003-4444-1505; White,
   Bronagh/0000-0002-5594-8750
Z8 0
TC 12
ZB 3
ZS 0
ZR 0
ZA 0
Z9 12
U1 0
U2 12
SN 1053-8569
EI 1099-1557
UT WOS:000333732300011
PM 24493556
ER

PT J
AU John, Tamara
   Morton, Michaela
   Weissman, Mark
   O'Brien, Ellen
   Hamburger, Ellen
   Hancock, Yolandra
   Moon, Rachel Y.
TI Feasibility of a virtual learning collaborative to implement an obesity
   QI project in 29 pediatric practices
SO INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
VL 26
IS 2
BP 205
EP 213
DI 10.1093/intqhc/mzu012
PD APR 2014
PY 2014
AB Quality improvement (QI) activities are required to maintain board
   certification in pediatrics. However, because of lack of training and
   resources, pediatricians may feel overwhelmed by the need to implement
   QI activities. Pediatricians also face challenges when caring for
   overweight and obese children.
   To create a virtual (online) QI learning collaborative through which
   pediatric practices could easily develop and implement a continuous QI
   process.
   Prospective cohort.
   Pediatric practices that were part of the Childrens National Health
   Network were invited to participate, with the option to receive
   continuing medical education and maintenance of certification credits.
   Practices conducted baseline and monthly chart audits, participated in
   educational webinars and selected monthly practice changes, using
   Plan-Do-Study-Act cycles. Practices reported activities monthly and
   periodic feedback was provided to practices about their performance.
   Improvement in (i) body mass index (BMI) percentile documentation, (ii)
   appropriate nutritional and activity counseling and (iii) follow-up
   management for high-risk patients.
   Twenty-nine practices (120 providers) participated, and 24 practices
   completed all program activities. Monthly chart audits demonstrated
   continuous improvement in documentation of BMI, abnormal weight
   diagnosis, nutrition and activity screening and counseling,
   weight-related health messages and follow-up management of overweight
   and obese patients. Impact of QI activities on visit duration and
   practice efficiency was minimal.
   A virtual learning collaborative was successful in providing a framework
   for pediatricians to implement a continuous QI process and achieve
   practice improvements. This format can be utilized to address multiple
   health issues.
ZS 0
TC 15
ZA 0
ZB 4
ZR 0
Z8 0
Z9 15
U1 0
U2 9
SN 1353-4505
EI 1464-3677
UT WOS:000334687500014
PM 24521703
ER

PT J
AU Solomon, Stephanie
   Bullock, Sherita
   Calhoun, Karen
   Crosby, Lori
   Eakin, Brenda
   Franco, Zeno
   Hardwick, Emily
   Leinberger-Jabari, Andrea
   Newton, Gail
   Odell, Jere
   Paberzs, Adam
   Spellecy, Ryan
TI Piloting a Nationally Disseminated, Interactive Human Subjects
   Protection Program for Community Partners: Unexpected Lessons Learned
   from the Field
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 7
IS 2
BP 172
EP 176
DI 10.1111/cts.12155
PD APR 2014
PY 2014
AB Funders, institutions, and research organizations are increasingly
   recognizing the need for human subjects protections training programs
   for those engaged in academic research. Current programs tend to be
   online and directed toward an audience of academic researchers. Research
   teams now include many nonacademic members, such as community partners,
   who are less likely to respond to either the method or the content of
   current online trainings. A team at the CTSA-supported Michigan
   Institute for Clinical and Health Research at the University of Michigan
   developed a pilot human subjects protection training program for
   community partners that is both locally implemented and adaptable to
   local contexts, yet nationally consistent and deliverable from a central
   administrative source. Here, the developers of the program and the
   collaborators who participated in the pilot across the United States
   describe 10 important lessons learned that align with four major themes:
   The distribution of the program, the implementation of the program, the
   involvement of community engagement in the program, and finally lessons
   regarding the content of the program. These lessons are relevant to
   anyone who anticipates developing or improving a training program that
   is developed in a central location and intended for local
   implementation.
RI Odell, Jere/J-3647-2013; Leinberger-Jabari, Andrea/; Calhoun, Karen/
OI Odell, Jere/0000-0001-5455-1471; Leinberger-Jabari,
   Andrea/0000-0003-2014-9032; Calhoun, Karen/0000-0002-5011-9718
ZB 1
ZS 0
ZA 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 2
SN 1752-8054
EI 1752-8062
UT WOS:000335059900020
PM 24720349
ER

PT J
AU Solomon, Stephanie
   Eakin, Brenda
   Kirk, Rosalind
   Piechowski, Patricia
   Thomas, Barbara
TI Piloting a Nationally Disseminated, Interactive Human Subjects
   Protection Program for Community Partners: Design, Content, and
   Evaluation
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 7
IS 2
BP 177
EP 183
DI 10.1111/cts.12154
PD APR 2014
PY 2014
AB Funders, institutions, and research organizations are increasingly
   recognizing the need for human subjects protections training programs
   for those engaged in academic research. Current programs tend to be
   online and directed toward an audience of academic researchers. Research
   teams now include many nonacademic members, such as community partners,
   who are less likely to respond to either the method or the content of
   current online trainings. A team at the CTSA-supported Michigan
   Institute for Clinical and Health Research at the University of Michigan
   developed a pilot human subjects protection training program for
   community partners that is both locally implemented and adaptable to
   local contexts, yet nationally consistent and deliverable from a central
   administrative source. Here, the developers and the analysts of this
   program discuss its development, its content, and the results of its
   evaluation.
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
TC 3
Z9 3
U1 0
U2 4
SN 1752-8054
EI 1752-8062
UT WOS:000335059900021
PM 24720288
ER

PT J
AU Goldstein, Seth D.
   Papandria, Dominic
   Linden, Allison
   Azzie, Georges
   Borgstein, Eric
   Calland, James Forrest
   Finlayson, Samuel R. G.
   Jani, Pankaj
   Klingensmith, Mary
   Labib, Mohamed
   Lewis, Frank
   Malangoni, Mark A.
   O'Flynn, Eric
   Ogendo, Stephen
   Riviello, Robert
   Abdullah, Fizan
TI A Pilot Comparison of Standardized Online Surgical Curricula for Use in
   Low-and Middle-Income Countries
SO JAMA SURGERY
VL 149
IS 4
BP 341
EP 346
DI 10.1001/jamasurg.2013.4830
PD APR 2014
PY 2014
AB IMPORTANCE Surgical conditions are an important component of global
   disease burden, due in part to critical shortages of adequately trained
   surgical providers in low-and middle-income countries.
   OBJECTIVES To assess the use of Internet-based educational platforms as
   a feasible approach to augmenting the education and training of surgical
   providers in these settings.
   DESIGN, SETTING, AND PARTICIPANTS Access to two online curricula was
   offered to 75 surgical faculty and trainees from 12 low-and
   middle-income countries for 60 days. The Surgical Council on Resident
   Education web portal was designed for general surgery trainees in the
   United States, and the School for Surgeons website was built by the
   Royal College of Surgeons in Ireland specifically for the College of
   Surgeons of East, Central and Southern Africa. Participants completed an
   anonymous online survey detailing their experiences with both platforms.
   Voluntary respondents were daily Internet users and endorsed frequent
   use of both print and online textbooks as references.
   MAIN OUTCOMES AND MEASURES Likert scale survey questionnaire responses
   indicating overall and content-specific experiences with the Surgical
   Council on Resident Education and School for Surgeons curricula.
   RESULTS Survey responses were received from 27 participants. Both online
   curricula were rated favorably, with no statistically significant
   differences in stated willingness to use and recommend either platform
   to colleagues. Despite regional variations in practice context, there
   were few perceived hurdles to future curriculum adoption.
   CONCLUSIONS AND RELEVANCE Both the Surgical Council on Resident
   Education and School for Surgeons educational curricula were well
   received by respondents in low-and middle-income countries. Although one
   was designed for US surgical postgraduates and the other for sub-Saharan
   African surgical providers, there were no significant differences
   detected in participant responses between the two platforms. Online
   educational resources have promise as an effective means to enhance the
   education of surgical providers in low- and middle-income countries.
RI Calland, James/AAR-8664-2021; O'Flynn, Eric/; Goldstein, Seth/; Papandria, Dominic/
OI O'Flynn, Eric/0000-0003-4163-8572; Goldstein, Seth/0000-0001-7806-4109;
   Papandria, Dominic/0000-0001-8190-9141
ZA 0
TC 17
Z8 0
ZS 0
ZR 0
ZB 2
Z9 17
U1 0
U2 4
SN 2168-6254
EI 2168-6262
UT WOS:000334609900006
PM 24522777
ER

PT J
AU Puhl, R. M.
   Luedicke, J.
TI Parental support for policy measures and school-based efforts to address
   weight-based victimization of overweight youth
SO INTERNATIONAL JOURNAL OF OBESITY
VL 38
IS 4
BP 531
EP 538
DI 10.1038/ijo.2013.207
PD APR 2014
PY 2014
AB BACKGROUND: Despite research documenting weight-based victimization
   (WBV) toward overweight youth in the school setting, little work has
   examined parental perceptions of this problem or potential policy
   strategies to help protect youth who are teased and bullied about their
   weight. This study assessed parental reports of WBV in youth and
   parental support for potential measures to address this problem,
   including implementation of school-based resources, policies, and state
   and federal laws.
   METHODS: A national sample of parents in the United States (N = 919)
   completed an online questionnaire about their perceptions of WBV in the
   school setting, including whether or not their child had experienced or
   witnessed WBV. Parents were also asked the degree to which they would
   support potential policy strategies to address WBV in schools, including
   school-based policies and state and federal laws to address weight-based
   bullying in youth.
   RESULTS: Parents perceived overweight youth to be vulnerable to WBV at
   school, but less than half of parents perceived schools to be prepared
   to deal with instances of WBV. Parents (both with and without overweight
   children) agreed that schools should implement anti-bullying policies
   that include specific protections for students who are overweight or
   obese, increase resources available to youth who experience WBV at
   school, and promote awareness about this problem. Over two-thirds of
   parents agreed that state anti-bullying laws should include specific
   protections against weight-related bullying.
   CONCLUSION: These findings indicate that there is substantial support
   from parents, both with and without overweight children, to implement a
   range of policy measures to address this WBV at the school, state, and
   federal level.
RI Puhl, Rebecca/ABE-9260-2021
ZA 0
ZR 0
ZS 0
Z8 0
ZB 1
TC 13
Z9 13
U1 0
U2 22
SN 0307-0565
EI 1476-5497
UT WOS:000334344300008
PM 24216711
ER

PT J
AU Yadav, Satya Prakash
   Rastogi, Neha
   Kharya, Gaurav
   Misra, Ruchira
   Ramzan, Mohammed
   Katewa, Satyendra
   Dua, Vikas
   Bhat, Sunil
   Kellie, Stewart J.
   Howard, Scott C.
TI Barriers to Cure for Children with Cancer in India and Strategies to
   Improve Outcomes: A Report by the Indian Pediatric Hematology Oncology
   Group
SO PEDIATRIC HEMATOLOGY AND ONCOLOGY
VL 31
IS 3
BP 217
EP 224
DI 10.3109/08880018.2014.893596
PD APR 2014
PY 2014
AB The survival of children with cancer in India is inferior to that of
   children in high-income countries. The Indian Pediatric Hematology
   Oncology Group (IPHOG) held a series of online meetings via
   www.Cure4kids.org to identify barriers to cure and develop strategies to
   improve outcomes. Five major hurdles were identified: delayed diagnosis,
   abandonment, sepsis, lack of co-operative groups, and relapse.
   Development of regional networks like IPHOG has allowed rapid
   identification of local causes of treatment failure for children with
   cancer in India and identification of strategies likely to improve care
   and outcomes in the participating centers. Next steps will include
   interventions to raise community awareness of childhood cancer, promote
   early diagnosis and referral, and reduce abandonment and toxic death at
   each center. Starting of fellowship programs in pediatric
   hemato-oncology, short training programs for pediatricians, publishing
   outcome data, formation of parent and patient support groups, choosing
   the right and effective treatment protocol, and setting up of bone
   marrow transplant services are some of the effective steps taken in the
   last decade, which needs to be supported further.
RI Kharya, Gaurav/AAW-1450-2020
OI Kharya, Gaurav/0000-0003-2181-1825
ZR 0
Z8 1
ZB 5
ZS 0
ZA 0
TC 15
Z9 15
U1 0
U2 3
SN 0888-0018
EI 1521-0669
UT WOS:000335379000004
PM 24673115
ER

PT J
AU Fisher, J. E.
TI The use of psychological therapies by mental health nurses in Australia
SO JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING
VL 21
IS 3
BP 264
EP 270
DI 10.1111/jpm.12079
PD APR 2014
PY 2014
AB Accessible summary
   This paper examines the usage of psychological therapies by mental
   health nurses. The paper presents the findings from a questionnaire
   survey of 528 practising mental health nurses in Australia. Key findings
   include:
   Mental health nurses believe employing psychological therapies such as
   cognitive behaviour therapy in their practice will improve therapeutic
   outcomes for consumers.
   Mental health nurses overwhelmingly want to employ psychological
   therapies in their practice.
   They think mental health nursing and hospital and community health
   management is too focussed on medical treatment and risk management,
   which means that their nursing practice is dominated by the
   administration of medication, excessive documentation, and patient
   observation.
   They identify barriers preventing them from practising psychological
   therapies. These include lack of confidence, low nurse morale, no
   support from other nurses, low staffing levels, lack of training
   opportunities, and inadequate support from nursing management.
   This paper reports on a research project which examines the feasibility
   of mental health nurses employing psychological therapies in the nursing
   care of people with severe mental illness. Attitudes towards current
   usage and factors influencing the adoption of psychological therapies
   are investigated. The paper addresses the gap in the Australian nursing
   literature regarding the therapeutic role of mental health nurses (MHN)s
   in relation to the use of evidence-based psychological therapies. This
   paper presents the findings from an online questionnaire survey of 528
   practising MHNs in Australia. The findings demonstrate enthusiastic
   support among nurses towards employing psychological therapies, with 93%
   of respondents indicating they would like to use psychological therapies
   in their current practice. Correspondingly, there is strong demand for
   education and training in applying psychological therapies. A number of
   barriers to implementing psychological therapies are identified. It is
   noted that place of employment is a significant factor, with mental
   health nurses working in the public sector more likely to state
   institutional barriers are restricting their therapeutic potential and
   preventing them from implementing psychological therapies.
ZB 0
Z8 0
TC 10
ZA 0
ZS 0
ZR 0
Z9 10
U1 0
U2 27
SN 1351-0126
EI 1365-2850
UT WOS:000332046300011
PM 23627628
ER

PT J
AU Goldstein, Harold
   Guerra, Ernesto
   Regier, Darrel
TI Targeted Research Training: Developing Minority Psychiatric
   Investigators
SO ACADEMIC PSYCHIATRY
VL 38
IS 2
BP 191
EP 197
DI 10.1007/s40596-014-0036-8
PD APR 2014
PY 2014
AB The primary purpose of this article is to review the career outcomes of
   a research training program specifically targeted to young psychiatric
   researchers from minority populations underrepresented in psychiatry.
   The aims of the program were (1) to support psychiatric investigators
   from under-represented populations in the development and maintenance of
   research careers and (2) to identify the factors which influence
   successful research career development.
   Demographic data from 99 program participants were collected from an
   online survey as part of a systematic program evaluation, and through a
   follow-up internet search. Outcome measures included current academic
   position, number and types of post-training grants received, number of
   peer-reviewed publications, and comparison of post-training career
   outcomes with those from other highly regarded research training
   programs.
   Of the 99 psychiatrists accepted into the program, 55 responded to the
   online survey; additional information on non-responders was obtained
   through a follow-up internet search. Results indicated that 64 % of
   program trainees identified their primary employment setting as
   academic/research; 70 % reported publication of their research findings,
   and 64 % reported the award of post-training research grants. The
   percentage of program graduates appointed to academic faculty positions
   and their receipt of R01 and/or K awards, exceeded that of two highly
   regarded national training programs. The study further identified major
   factors influencing successful research career development.
   Findings from this study strongly suggest that research training
   programs targeted to young minority psychiatrists can be successful in
   supporting the development and maintenance of their research careers.
   The decline in the availability of such programs does not portend well
   for increasing the numbers of underrepresented minority psychiatric
   researchers.
ZS 0
Z8 0
ZB 0
TC 2
ZR 0
ZA 0
Z9 2
U1 0
U2 3
SN 1042-9670
EI 1545-7230
UT WOS:000334414300015
PM 24500874
ER

PT J
AU Hofer, Alexandra
   Parker, Jake
   Atkinson, David
   Moore, Sarah
   Reeve, Carole
   Mak, Donna B.
TI Prevocational exposure to public health in the Kimberley: A pathway to
   rural, remote and public health practice
SO AUSTRALIAN JOURNAL OF RURAL HEALTH
VL 22
IS 2
BP 75
EP 79
DI 10.1111/ajr.12089
PD APR 2014
PY 2014
AB Objective
   To evaluate the Kimberley Population Health Unit (KPHU) prevocational
   public health placement in terms of its contribution to resident medical
   officers' (RMOs') knowledge, skills, career path and aspirations.
   Design
   All RMOs who had completed a public health placement at the KPHU (n =
   27) during 2001-2012 were invited to complete an online survey in
   September 2012.
   Setting
   The KPHU, based in Broome, provides population health services to the
   Kimberley region, far north Western Australia.
   Main outcome measures
   The extent to which RMOs perceived the development of public health
   skills and knowledge during the placement, and the degree to which RMOs
   believe this placement influenced future career pathways and their
   current practice.
   Results
   Twenty-three RMOs (85%) completed the survey. Sixty per cent are
   currently working in general practice or public health medicine; of
   these, 43% have returned to the Kimberley. Over 70% reported that the
   placement developed their knowledge of public health and Aboriginal
   health to a 'great' or 'very great' extent. Sixty-one per cent felt that
   their placement influenced their future desire to work in public health
   'a lot' or 'a great extent'.
   Conclusion
   This placement provides a unique opportunity for RMOs to undertake
   public health and Aboriginal health work in a remote setting. Given the
   increasing demand for prevocational placements, the value of imparting
   sound public health knowledge to the next generation of doctors and the
   urgent need to recruit and retain rural doctors, this placement provides
   a potential model that could be expanded to other locations.
OI Mak, Donna/0000-0003-3215-4330; Atkinson, David/0000-0001-7069-5555;
   Moore, Sarah/0000-0002-4182-0043
ZR 0
ZS 0
Z8 0
ZA 0
TC 1
ZB 0
Z9 1
U1 0
U2 5
SN 1038-5282
EI 1440-1584
UT WOS:000334301100006
PM 24731204
ER

PT J
AU Sgroi, Joseph
   Abbott, Jason
TI Surgical anatomy in obstetrics and gynaecology: The trainees'
   perspective
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 54
IS 2
BP 172
EP 176
DI 10.1111/ajo.12190
PD APR 2014
PY 2014
AB Background
   The aim of the Royal Australian and New Zealand College of Obstetricians
   and Gynaecologists (RANZCOG) Integrated and Elective Training Program is
   to ensure trainees have both clinical and surgical competence. The
   capacity to recognise important anatomical structures underpins this
   aim; however, quantification of RANZCOG trainees' anatomical knowledge
   and their training and assessment is not available.
   Aim
   To survey trainees at all levels relating to applied anatomy, training
   and assessment within the RANZCOG training program.
   Methods
   All accredited RANZCOG trainees were invited to participate in an online
   survey relating to anatomy knowledge, application, assessment and means
   of improving anatomical training.
   Results
   At the commencement of training, 11% of trainees perceived their
   anatomical knowledge as adequate and this increased to 77% by the final
   year of training. For final-year trainees, 78% perceived their anatomy
   knowledge as sufficient to perform a total abdominal hysterectomy and
   87% an ovarian cystectomy or salpingectomy. Eighty-four per cent of
   trainees perceived the RANZCOG training programme as providing
   inadequate anatomy teaching. 100% of respondents supported a RANZCOG
   approved anatomy training course.
   Limitations
   This is a survey-based study and therefore subjective. Consequently,
   accurate determination of anatomical knowledge for RANZCOG trainees is
   inexact.
   Conclusion
   Trainees perceive limitations in their anatomical knowledge. A
   formalised RANZCOG anatomy course would be of value in providing
   structured education and assessment of trainees' knowledge and
   establishing whether there are improvements in surgical competencies.
ZB 1
ZS 0
TC 6
Z8 0
ZR 0
ZA 0
Z9 6
U1 0
U2 2
SN 0004-8666
EI 1479-828X
UT WOS:000334600000014
PM 24576191
ER

PT J
AU Bezner, Stephanie K.
   Hodgman, Erica I.
   Diesen, Diana L.
   Clayton, Joshua T.
   Minkes, Robert K.
   Langer, Jacob C.
   Chen, Li Ern
TI Pediatric surgery on YouTube (TM): Is the truth out there?
SO JOURNAL OF PEDIATRIC SURGERY
VL 49
IS 4
BP 586
EP 589
DI 10.1016/j.jpedsurg.2013.08.004
PD APR 2014
PY 2014
AB Background/Purpose: In 2000, we described the variability of pediatric
   surgical information on the Internet. Since then, online videos have
   become an increasingly popular medium for education and personal
   expression. The purpose of this study was to examine the content and
   quality of videos related to pediatric surgical diagnoses on the
   Internet.
   Methods: YouTube (TM) was searched for videos on gastroschisis,
   congenital diaphragmatic hernia, pediatric inguinal hernia, and pectus
   excavatum. The first 40 English language videos for each diagnosis were
   reviewed for owner and audience characteristics, content and quality.
   Results: A small majority of videos were made by medical professionals
   (50.63%, vs. 41.25% by lay persons and 8.13% by fundraising
   organizations). Eighty percent of videos were intended for a lay
   audience. Videos by medical professionals were more accurate and
   complete than those posted by lay persons.
   Conclusions: The YouTube (TM) videos varied significantly in content and
   quality. Videos by lay persons often focused on the emotional aspect of
   the diagnosis and clinical course. Videos by members of the medical
   profession tended to be more complete and accurate. These findings
   underscore the continued need for high quality pediatric surgical
   information on the Internet for patients and their families. (C) 2014
   Elsevier Inc. All rights reserved.
RI Hodgman, Erica/O-2647-2019; Diesen, DIana/GOE-5969-2022
OI Hodgman, Erica/0000-0003-0014-4939; Diesen, DIana/0000-0001-9691-607X
ZR 0
TC 44
Z8 0
ZB 4
ZS 2
ZA 0
Z9 46
U1 0
U2 12
SN 0022-3468
EI 1531-5037
UT WOS:000334586300018
PM 24726118
ER

PT J
AU Juettemann, A.
   Richter, F.
   Wagner, C.
   Dewey, M.
TI Development of the situation of doctoral students in medicine: Results
   of two surveys at an interval of ten years (2001 and 2011)
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 139
IS 15
BP 767
EP 773
DI 10.1055/s-0034-1369897
PD APR 2014
PY 2014
AB Background and objective: The topic medical dissertation is often
   discussed controversially without quantitative data in Germany. The aim
   of this survey was to analyze the situation of doctoral students in
   medicine again after ten years.
   Methods: Students at Charite-Berlin in their 11th to 14th semester
   completed an online survey about the progress and the support of their
   dissertations (n = 1081). The questionnaire included current and aborted
   dissertations.
   Results: The present evaluation had almost the same percentage of
   respondents (28 %) as in 2001 (31 %) and showed improvements in the
   preparation for scientific work by curricular courses (p < 0.001). 51 %
   were aware of the principles of good scientific practice in 2011, which
   was five times more than in 2001 (10 %, p < 0.001). The knowledge of the
   doctoral topics catalogue doubled in the same time (from 40 % to 81 %, p
   < 0.001). In addition the participants of the Charite graduate program
   felt better prepared for scientific work (p < 0.001). One third still
   criticized the insufficient funds for their doctoral projects. Another
   request was better training in statistics because 50 % received no
   statistical support during the pursue of their thesis.
   Conclusion: The graduate program at Charite has been making a
   significant contribution towards improved preparation for scientific
   work and medical dissertations. However, there are still improvements
   necessary such as better financial support and statistical preparation
   of medical dissertations.
OI Dewey, Marc/0000-0002-4402-2733; Juttemann, Andreas/0000-0003-3727-3021
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
TC 6
Z9 6
U1 0
U2 2
SN 0012-0472
EI 1439-4413
UT WOS:000333681600009
PM 24691689
ER

PT J
AU Peyton, Charles C.
   Badlani, Gopal H.
TI Dedicated Research Time in Urology Residency: Current Status
SO UROLOGY
VL 83
IS 4
BP 719
EP 724
DI 10.1016/j.urology.2013.09.072
PD APR 2014
PY 2014
AB OBJECTIVE To gauge the importance of dedicated research time during
   urology residency and how this influences rank-list preferences when
   applying for residency.
   METHODS An American Urological Association survey was emailed to US
   resident members. The online form consisted of 14 questions addressing
   demographics, career plans, and training program characteristics. Two
   additional Likert-scale question series evaluated rank-list preferences
   and the value of dedicated research time during residency.
   RESULTS A total of 263 of 956 urology residents (27.5%) responded to the
   survey. More than 70% responders valued the opportunity to be involved
   with scholarly research and agreed that doing so will enhance their
   education and/or training. About 88.2% interviewed with at least 1
   program with a dedicated research year. About 33.5% preferred or were
   indifferent to applying to 6-year programs with dedicated research time
   vs a traditional 5-year program. About 76.4% residents preferred doing
   an extra year of research in fellowship as opposed to residency.
   CONCLUSION Dedicated research time is one of many components influencing
   rank-list preference. Residents value the opportunity to participate in
   research, but there is limited interest in an additional year during
   residency. However, one-third of applicants favor or are willing to
   accept an additional year of research in urology residency. (C) 2014
   Elsevier Inc.
ZS 0
ZB 7
ZA 0
Z8 0
ZR 0
TC 13
Z9 13
U1 0
U2 3
SN 0090-4295
EI 1527-9995
UT WOS:000333984000011
PM 24508251
ER

PT J
AU Fletcher, Scott
   MacDonald, Joanna
   Halley, Elaine
TI Reflections on training in psychiatry
SO AUSTRALASIAN PSYCHIATRY
VL 22
IS 2
BP 195
EP 199
DI 10.1177/1039856214522530
PD APR 2014
PY 2014
AB Objective: There is limited information as to whether graduates from
   postgraduate specialist medical training programmes in Australia and New
   Zealand feel prepared for practice, and none regarding the Royal
   Australian and New Zealand College of Psychiatrists' (RANZCP) training
   programme. The aims of this study were: to assess the effectiveness of
   the RANZCP training programme in producing psychiatrists who feel
   prepared for their roles; and to obtain Fellowship applicants'
   perceptions of the training programme.
   Methods: Applicants for Fellowship (i.e. trainees who had successfully
   completed RANZCP training) were invited to complete an anonymous online
   survey that assessed their preparedness for practice and their
   impressions of the training programme, supervision, training specialties
   and course content.
   Results: The response rate was 66% from 101 applicants. Fellowship
   applicants largely felt prepared for practice and had positive
   perceptions of the training programme. The majority stated that most of
   their learning goals were met, but continued training and ongoing
   learning was required. Areas for improvement included assessments,
   administration, the balance between service delivery and training, and
   ongoing training.
   Conclusions: Fellowship applicants largely felt confident in their
   ability to deliver psychiatric services and that the training programme
   was meeting their needs.
TC 3
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
Z9 3
U1 0
U2 1
SN 1039-8562
EI 1440-1665
UT WOS:000334028000019
PM 24526794
ER

PT J
AU Mims, Lisa D.
   Mainous, Arch G., III
   Chirina, Svetlana
   Carek, Peter J.
TI Do ABFM Board Pass Rates or Additional Curriculum Activities Affect
   Match Rates for Family Medicine Residency Programs?
SO FAMILY MEDICINE
VL 46
IS 4
BP 276
EP 281
PD APR 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: While standard characteristics, such as
   location and size of family medicine residency programs, have been found
   to be significantly associated with initial Match rates, the association
   of characteristics potentially related to quality or non-Accreditation
   Council of Graduate Medical Education (ACGME) required curricular
   activities (NRCA) with initial Match rates has not been previously
   studied. The aim of this study is to examine the association between
   initial program Match rates and previously uninvestigated measures of
   potential quality and curriculum.
   METHODS: Using information from the American Academy of Family
   Physicians (AAFP), American Medical Association's (AMA) FRIEDA Online
   database, and National Resident Matching Program (NRMP),
   program-specific information was obtained. Five-year aggregate initial
   Match rates and American Board of Family Medicine (ABFM) board pass
   rates were calculated. The relationship between program quality
   characteristics, such as accreditation cycle length, ABFM examination
   pass rate, and participation in NRCA (ie, specialized tracks, Preparing
   the Personal Physician for Practice (P4) initiative, integrative or
   alternative medicine curriculum, and opportunities for additional
   training through international experiences or training beyond accredited
   length), and initial program Match rates were analyzed.
   RESULTS: Fifty-two percent of residency programs have ABFM board pass
   rates >= 90%. The initial Match rate for programs was significantly
   associated with regional location and program size. No significant
   difference in initial Match rates was found between programs with board
   pass rates >= or < 90% or those with reported additional curricula.
   CONCLUSIONS: The selected measures of program quality and reported
   non-ACGME required curricular activities, as listed in the AMA FRIEDA
   Online database, are not associated with initial Match rates.
OI Mainous, Arch/0000-0002-2535-7685
Z8 0
ZS 0
TC 2
ZB 0
ZA 0
ZR 0
Z9 2
U1 0
U2 2
SN 0742-3225
EI 1938-3800
UT WOS:000334153500005
PM 24788423
ER

PT J
AU Menefee, Deleene S.
   Day, Susan X.
   Lopez, Frederick G.
   McPherson, Robert H.
TI Preliminary Development and Validation of the Supervisee Attachment
   Strategies Scale (SASS)
SO JOURNAL OF COUNSELING PSYCHOLOGY
VL 61
IS 2
BP 232
EP 240
DI 10.1037/a0035600
PD APR 2014
PY 2014
AB The influence of counselor trainees' adult attachment orientations in
   the context of supervision has the potential to inform both training and
   supervision practice. However, the pursuit of such research requires the
   availability of appropriate assessment tools. The present study
   describes the development and validation of the Supervisee Attachment
   Strategies Scale (SASS), a theory-based measure of counseling trainees'
   attachment orientations toward their clinical supervisors. Participants
   were recruited online through their training directors at Association of
   Psychology Postdoctoral and Internship Centers member programs. Data
   were nationally collected from 352 trainees representing programs in the
   United States and Canada. Exploratory factor analysis yielded 2
   interpretable factors along the adult attachment dimensions of avoidance
   vs. engagement and rejection concern vs. security. These 2 factors
   accounted for 55.85% of the interitem variance in the rotated solution
   of the 22-item SASS scale. SASS subscale scores were negatively
   correlated with the supervisory working alliance and predicted greater
   endorsement of role conflict and role ambiguity in the current
   supervisory relationship. Higher avoidance (but not rejection concern)
   predicted diminished perceptions of satisfaction with the overall
   training experience. Findings from this study suggest that trainees who
   engaged in adaptive attachment strategies may be more likely to address
   conflict, negotiate additional explorative opportunities in training,
   and seek out their supervisors in times of uncertainty.
RI Menefee, Deleene/AAZ-3382-2021
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
TC 4
Z9 4
U1 1
U2 16
SN 0022-0167
EI 1939-2168
UT WOS:000334687100005
PM 24660691
ER

PT J
AU Miller, Suzanne M.
   Roussi, Pagona
   Scarpato, John
   Wen, Kuang-Yi
   Zhu, Fang
   Roy, Gem
TI Randomized trial of print messaging: the role of the partner and
   monitoring style in promoting provider discussions about prostate cancer
   screening among African American men
SO PSYCHO-ONCOLOGY
VL 23
IS 4
BP 404
EP 411
DI 10.1002/pon.3437
PD APR 2014
PY 2014
AB ObjectiveAlthough African American (AA) men are at elevated risk for
   prostate cancer, medical guidelines do not present consistent screening
   recommendations for this group. However, all guidelines stress the need
   for screening decision making with a provider. This study evaluated the
   effectiveness of a brochure for the female partners of AA men, designed
   to help promote such discussion on the part of their mates. We also
   explored the effect of the partner's monitoring style (i.e., the extent
   to which the partner typically attends to health threats) on promoting
   discussion.
   MethodsFemale partners of AA men (N=231) were randomized to receive
   either a prostate cancer screening Centers for Disease Control brochure
   for AA men, combined with a partner' brochure containing strategies to
   promote men's initiation of a provider visit to discuss screening, or
   the Centers for Disease Control brochure only and completed
   preintervention and post-intervention surveys online.
   ResultsThe message groups did not differ on taking active steps to
   engage in provider discussion: relative risk ratio (RRR)=0.99, p=.98;
   thinking about it: RRR=1.13, p=.74. However, among partners who received
   the partner brochure, monitoring style was associated with thinking
   about initiating a provider visit' on the part of the mate (RRR=1.74,
   p<.01). Across conditions, monitoring style was also associated with
   taking active steps to initiate a provider visit' on the part of the
   mate (RRR=1.38, p<.05).
   ConclusionsHigh monitoring partners may be effective in influencing
   their AA mates to initiate provider discussion, particularly when
   tailored messaging is provided. Copyright (c) 2013 John Wiley & Sons,
   Ltd.
ZR 0
TC 8
ZA 0
ZB 1
Z8 0
ZS 0
Z9 8
U1 0
U2 5
SN 1057-9249
EI 1099-1611
UT WOS:000333553400006
PM 24130097
ER

PT J
AU Alt-Epping, B.
   Bauer, J.
   Schuler, U.
   Nauck, F.
   Strohscheer, I.
TI Pain therapy in oncology. Results of a nationwide survey
SO SCHMERZ
VL 28
IS 2
BP 157
EP 165
DI 10.1007/s00482-014-1412-8
PD APR 2014
PY 2014
AB Pain is one of the most prevalent and distressing symptoms of patients
   suffering from cancer. In the field of oncology comprehensive expertise
   is pursued not only with respect to the administration of anticancer
   treatment but to all fields that relate to the needs of cancer patients.
   However, the results of studies have revealed persisting and relevant
   deficits in pain therapy in the setting of oncology.
   An online survey was performed involving all members of the German
   Society for Hematology and Medical Oncology (DGHO) with respect to
   training and continuing education in pain therapy, the relevance for
   routine oncology and knowledge, to determine the level of expertise in
   pain therapy and the assessment of tumor-specific therapy.
   A total of 183 out of 1,962 questionnaires could be evaluated.
   Oncologists are often engaged in pain therapy and 80 % of the
   respondents perceived themselves as being primarily responsible for pain
   control. Education and assessment were identified as barriers to
   sufficient pain therapy. Case vignettes revealed only few relevant
   therapeutic misinterpretations.
   This first survey of German oncologists exploring expertise in cancer
   pain therapy, showed similar problems in education and pain assessment
   as previous international studies. Despite the claimed responsibility
   for pain management, there were a small but relevant number of
   oncologists who showed serious therapeutic misinterpretations in case
   studies.
RI Alt-Epping, Bernd/AAX-4113-2020; Schuler, Ulrich S/A-1113-2008
ZS 0
Z8 0
TC 7
ZA 0
ZB 0
ZR 0
Z9 7
U1 0
U2 1
SN 0932-433X
EI 1432-2129
UT WOS:000334409900006
PM 24718746
ER

PT J
AU Mayorga, Eduardo P
   Bekerman, Jesica G
   Palis, Ana G
TI Webinar software: a tool for developing more effective lectures (online
   or in-person).
SO Middle East African journal of ophthalmology
VL 21
IS 2
BP 123
EP 7
DI 10.4103/0974-9233.129756
PD 2014 Apr-Jun
PY 2014
AB PURPOSE: To describe the use of online seminars (webinars) to improve
   learning experience for medical residents and fostering critical
   thinking.
   MATERIALS AND METHODS: Sixty-one online seminars (webinars) for
   residents were developed from April 2012 to February 2013. Residents
   attended the lectures in the same room as the presenter or from distant
   locations. Residents interacted with the presenter using their personal
   computers, tablets, or smartphones. They were able to ask questions and
   answer the instructor's multiple choice or open-ended questions. The
   lecture dynamics consisted of: (1) The presentation of a clinical case
   by an expert on the clinical topic; (2) the instructor asked open-ended
   and multiple-choice questions about the problem-resolution process; (3)
   participants responded questions individually; (4) participants received
   feedback on their answers; (5) a brief conference was given on the
   learning objectives and the content, also fostering interactive
   participation; (6) lectures were complemented with work documents.
   RESULTS: This method allowed for exploration of learning of scientific
   knowledge and the acquisition of other medical competences (such as
   patient care, interpersonal and communication skills, and
   professionalism). The question-and-answer activity and immediate
   feedback gave attendees the chance to participate actively in the
   conference, reflect on the topic, correct conceptual errors, and
   exercise critical thinking. All these factors are necessary for
   learning.
   CONCLUSIONS: This modality, which facilitates interaction, active
   participation, and immediate feedback, could allow learners to acquire
   knowledge more effectively.
ZS 0
ZA 0
Z8 0
ZR 0
ZB 3
TC 21
Z9 21
U1 0
U2 3
EI 0975-1599
UT MEDLINE:24791102
PM 24791102
ER

PT J
AU Sacks, Rachel
   Emerson, Carol
TI Genitourinary Medicine trainees' experience and training needs in the
   management of patients disclosing sexual violence
SO INTERNATIONAL JOURNAL OF STD & AIDS
VL 25
IS 5
BP 366
EP 368
DI 10.1177/0956462413506886
PD APR 2014
PY 2014
AB The British Association for Sexual Health and HIV (BASHH) Sexual
   Violence group assessed the level of confidence of Genitourinary
   Medicine (GUM) trainees in managing patients disclosing sexual violence
   using an online survey. Twenty-eight percent of current UK GUM trainees
   responded. The results demonstrated wide variation in trainees'
   experience and confidence in managing these patients, which was
   dependent on the patient type, as well as the gender of the trainee and
   the number of years' experience the trainee had in the specialty. There
   were also differences in the reported availability of training in this
   specialist area. Regular accessible training in identification and
   management of patients disclosing sexual violence is recommended for GUM
   trainees.
ZR 0
ZS 0
ZB 0
Z8 0
ZA 0
TC 1
Z9 1
U1 0
U2 0
SN 0956-4624
EI 1758-1052
UT WOS:000333398600009
PM 24100285
ER

PT J
AU Lane, C.
   Wedlake, L. J.
   Dougherty, L.
   Shaw, C.
TI Attitudes towards and knowledge of nutrition support amongst health care
   professionals on London intensive care units
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 27
BP 339
EP 351
DI 10.1111/jhn.12152
SU 2
PD APR 2014
PY 2014
AB BackgroundNutrition support on intensive care units (ICUs) has gained a
   higher profile ever since the development of published guidelines (Clin.
   Nutr. 2006, 25, 210; J. Parenter. Enteral Nutr. 2009, 33, 277; ; Clin.
   Nutr. 2009, 28, 387). However, there are limited data available on
   knowledge and attitudes towards nutrition support specific to ICU.
   MethodsAn online survey was sent to all healthcare professionals working
   on ICUs across London via an e-mail link. The aim of the study was to
   assess the knowledge base of and attitudes of staff towards nutrition
   support, within an ICU setting, and to understand their educational
   needs. The results were analysed using descriptive statistics.
   ResultsAttitudes were in line with the evidence in current nutrition
   guidelines. The proportion of healthcare professionals who were regarded
   as demonstrating sufficient understanding of the evidence set out in the
   nutrition support guidelines were 44% of clinicians, 26% of nurses, 76%
   of dietitians and 67% of other staff. In total, 59% of staff wanted more
   education on a number of aspects related to nutrition support on ICU.
   ConclusionsThe present study highlights the need for more prominent
   dissemination of the current guidelines and illustrates the preferred
   mode. Specific gaps in knowledge regarding energy intake and the use of
   parenteral feeding are highlighted. It is hoped that the present survey
   will help to guide education in this area.
OI Wedlake, Linda/0000-0001-6644-0947
ZS 0
ZR 0
Z8 0
ZA 0
ZB 3
TC 11
Z9 11
U1 0
U2 10
SN 0952-3871
EI 1365-277X
UT WOS:000333409800040
PM 24033658
ER

PT J
AU Craig, Simon
   Naidoo, Parmanand
TI Emergencies in radiology: A survey of radiologists and radiology
   trainees
SO JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
VL 58
IS 2
BP 164
EP 171
DI 10.1111/1754-9485.12125
PD APR 2014
PY 2014
AB Introduction
   Emergencies in radiology are infrequent but potentially lethal.
   Australian and New Zealand radiologists are advised to undergo
   resuscitation training at least every three years; however, little is
   known about their experience and confidence in managing common
   emergencies relevant to their clinical practice. This paper describes
   the current experience and confidence of radiologists and radiology
   trainees in Australia and New Zealand in the management of common
   medical emergencies.
   Methods
   A cross-sectional online survey of trainees and fellows of the Royal
   Australian and New Zealand College of Radiology collected data on
   training and learning preferences relating to resuscitation and
   life-support skills, access to emergency medical care, and knowledge,
   confidence and ability in managing a variety of medical emergencies.
   Results
   There were 602 responses to the survey (response rate 23.4%). The
   majority of respondents were interested in learning more about the
   management of contrast reactions, cardiac arrest, ischaemic chest pain
   and basic life support. Self-rated knowledge, confidence and ability
   were higher in respondents who had completed life-support training
   within the previous three years. In this group, however, more than 40%
   rated their ability at managing contrast reactions as poor or fair,
   while more than 60% rated their ability as poor or fair for management
   of cardiac arrest, basic life support, advanced life support and dosing
   of adrenaline. Preferred resuscitation training modalities included
   simulation, small-group tutorials and workshops.
   Conclusion
   Self-reported level of skill and expertise in the management of
   potential emergencies in radiology is suboptimal among a large number of
   respondents. Consideration should be given to addressing this by
   improving access to specific training.
RI Craig, Simon/H-9410-2019; Craig, Simon/
OI Craig, Simon/0000-0003-2594-1643
ZA 0
TC 3
ZS 0
ZB 0
Z8 0
ZR 0
Z9 3
U1 0
U2 8
SN 1754-9477
EI 1754-9485
UT WOS:000333692700005
PM 24118884
ER

PT J
AU Penzel, Thomas
   Pevernagie, Dirk
   Dogas, Zoran
   Grote, Ludger
   de Lacy, Simone
   Rodenbeck, Andrea
   Bassetti, Claudio
   Berg, Soren
   Cirignotta, Fabio
   d'Ortho, Marie-Pia
   Garcia-Borreguero, Diego
   Levy, Patrick
   Nobili, Lino
   Paiva, Teresa
   Peigneux, Philippe
   Pollmaecher, Thomas
   Riemann, Dieter
   Skene, Debra J.
   Zucconi, Marco
   Espie, Colin
CA Sleep Med Comm
   European Sleep Res Soc
TI Catalogue of knowledge and skills for sleep medicine
SO JOURNAL OF SLEEP RESEARCH
VL 23
IS 2
BP 222
EP 238
DI 10.1111/jsr.12095
PD APR 2014
PY 2014
AB Summmary Sleep medicine is evolving globally into a medical
   subspeciality in its own right, and in parallel, behavioural sleep
   medicine and sleep technology are expanding rapidly. Educational
   programmes are being implemented at different levels in many European
   countries. However, these programmes would benefit from a common,
   interdisciplinary curriculum. This catalogue of knowledge and skills'
   for sleep medicine is proposed, therefore, as a template for developing
   more standardized curricula across Europe. The Board and The Sleep
   Medicine Committee of the European Sleep Research Society (ESRS) have
   compiled the catalogue based on textbooks, standard of practice
   publications, systematic reviews and professional experience, validated
   subsequently by an online survey completed by 110 delegates specialized
   in sleep medicine from different European countries. The catalogue
   comprises 10 chapters covering physiology, pathology, diagnostic and
   treatment procedures to societal and organizational aspects of sleep
   medicine. Required levels of knowledge and skills are defined, as is a
   proposed workload of 60 points according to the European Credit Transfer
   System (ECTS). The catalogue is intended to be a basis for sleep
   medicine education, for sleep medicine courses and for sleep medicine
   examinations, serving not only physicians with a medical speciality
   degree, but also PhD and MSc health professionals such as clinical
   psychologists and scientists, technologists and nurses, all of whom may
   be involved professionally in sleep medicine. In the future, the
   catalogue will be revised in accordance with advances in the field of
   sleep medicine.
RI Cirignotta, Fabio/ABC-9202-2020; Dogas, Zoran/E-3269-2017; Lévy, Patrick/M-6903-2014; Penzel, Thomas/M-2344-2014; LEVY, Patrick/AAX-2802-2020; Riemann, Dieter/R-4013-2019; Nobili, Lino/AAB-6398-2020; Zucconi, Marco/AAN-4994-2020; Grote, Ludger/C-9958-2013; Nobili, Lino/K-7738-2016; Espie, Colin/; Riemann, Dieter/; Garcia-Borreguerro, Diego/; Pevernagie, Dirk/; Skene, Debra/; Paiva, Maria Teresa Aguiar dos Santos/; Peigneux, Philippe/
OI Cirignotta, Fabio/0000-0002-7079-3830; Dogas, Zoran/0000-0003-3138-3887;
   Lévy, Patrick/0000-0003-3632-1327; Penzel, Thomas/0000-0002-4304-0112;
   LEVY, Patrick/0000-0003-3174-7935; Nobili, Lino/0000-0001-9317-5405;
   Nobili, Lino/0000-0001-9317-5405; Espie, Colin/0000-0002-1294-8734;
   Riemann, Dieter/0000-0002-1968-6220; Garcia-Borreguerro,
   Diego/0000-0003-1083-9654; Pevernagie, Dirk/0000-0002-7372-8583; Skene,
   Debra/0000-0001-8202-6180; Paiva, Maria Teresa Aguiar dos
   Santos/0000-0002-7937-7841; Peigneux, Philippe/0000-0003-4745-1434
ZS 0
Z8 0
ZR 0
ZB 7
ZA 0
TC 11
Z9 11
U1 1
U2 17
SN 0962-1105
EI 1365-2869
UT WOS:000332774100014
PM 24118650
ER

PT J
AU Scherphof, Charlotte S.
   van den Eijnden, Regina J. J. M.
   Lugtig, Peter
   Engels, Rutger C. M. E.
   Vollebergh, Wilma A. M.
TI Adolescents' use of nicotine replacement therapy for smoking cessation:
   predictors of compliance trajectories
SO PSYCHOPHARMACOLOGY
VL 231
IS 8
BP 1743
EP 1752
DI 10.1007/s00213-014-3511-8
PD APR 2014
PY 2014
AB Previous research has shown limited efficacy of nicotine replacement
   therapy (NRT) among adolescents and generally low compliance rates. As
   higher compliance rates are associated with improved abstinence rates,
   the present study examined predictors of NRT compliance.
   This study aims to test whether different NRT compliance trajectories
   can be distinguished among adolescents, to test whether these
   trajectories can be predicted by demographic, smoking-related, and
   personality factors, and to examine abstinence rates for each
   trajectory.
   Data were used from a randomized controlled trial that tested the
   efficacy of nicotine patches versus placebo patches among 265 Dutch
   adolescents. During NRT treatment, adolescents filled out six online
   questionnaires in which they reported on the number of days they used
   the patches. Predictors (i.e., demographic and smoking-related factors
   and personality characteristics) and end-of-treatment abstinence were
   also administered through these self-reports. Latent class growth
   analysis (LCGA) was used to analyze compliance data by classifying
   individuals into similar growth trajectories.
   Three compliance trajectories were found (i.e., "compliers" (n = 89),
   "moderate decreasers" (n = 41), and "strong decreasers" (n = 127)). The
   compliers can be characterized by higher levels of conscientiousness and
   agreeableness and lower levels of extraversion compared with the strong
   decreasers, and by higher levels of conscientiousness and education
   compared with the moderate decreasers. Among the compliers, a
   substantially higher percentage of adolescents achieved abstinence at
   end-of-treatment (10 %) compared with the moderate decreasers (3 %) and
   the strong decreasers (6 %).
   These findings could be the starting point for person-tailored
   interventions that aim to enhance NRT compliance rates among
   adolescents.
RI van den Eijnden, Regina/P-5510-2019; Vollebergh, Wilma A M/C-2323-2012; Lugtig, Peter/L-5081-2019; San Pedro, Angelet/F-5049-2014; Engels, Rutger/
OI Vollebergh, Wilma A M/0000-0003-3532-3072; Lugtig,
   Peter/0000-0001-8548-6828; Engels, Rutger/0000-0003-1944-9126
ZS 0
ZA 0
ZR 0
Z8 0
ZB 0
TC 11
Z9 11
U1 0
U2 14
SN 0033-3158
EI 1432-2072
UT WOS:000333521400025
PM 24595505
ER

PT J
AU Diem, Gunter
   Dorner, Thomas Ernst
TI [Public health education in Austria. An overview].
FT Public Health Ausbildung in Osterreich. Ein Uberblick.
SO Wiener medizinische Wochenschrift (1946)
VL 164
IS 7-8
BP 131
EP 40
DI 10.1007/s10354-014-0278-9
PD 2014-Apr
PY 2014
AB The future challenges for the Austrian health care system require an
   increasing number of public health experts of different professions in
   all fields of public health. In this article the offer of public health
   education in Austrian universities and universities for applied sciences
   was searched based on the predominantly online available information on
   web platforms of the schools. Currently (2013), there are three
   postgraduate public health university courses and two public health
   doctoral programs in Austria. Additionally, 34 degree programmes could
   be identified, in which parts of public health are covered. But also in
   medical curricula at Austrian medical schools, public health contents
   have found their place. In Austria, there is already a multifaceted
   offer for public health education. However, to build an appropriate
   public health work force, capable to manage the public health challenges
   in all its dimensions in terms of health in all policies, this offer
   should still be intensified. 
OI Dorner, Thomas Ernst/0000-0002-5218-1160
ZB 0
ZR 0
ZS 0
TC 1
Z8 0
ZA 0
Z9 1
U1 0
U2 0
EI 1563-258X
UT MEDLINE:24715195
PM 24715195
ER

PT J
AU Obdeijn, M. C.
   Alewijnse, J. V.
   Mathoulin, C.
   Liverneaux, P.
   Tuijthof, G. J. M.
   Schijven, M. P.
TI Development and validation of a computer-based learning module for wrist
   arthroscopy
SO CHIRURGIE DE LA MAIN
VL 33
IS 2
BP 100
EP 105
DI 10.1016/j.main.2014.01.001
PD APR 2014
PY 2014
AB The objective of this study was to develop and validate a computer-based
   module for wrist arthroscopy to which a group of experts could consent.
   The need for such a module was assessed with members of the European
   Wrist Arthroscopy Society (EWAS). The computer-based module was
   developed through several rounds of consulting experts on the content.
   The module's learning enhancement was tested in a randomized controlled
   trial with 28 medical students who were assigned to the computer-based
   module group or lecture group. The design process led to a useful tool,
   which is supported by a panel of experts. Although the computer based
   module did not enhance learning, the participants did find the module
   more pleasant to use. Developing learning tools such as this
   computer-based module can improve the teaching of wrist arthroscopy
   skills. (C) 2014 Published by Elsevier Masson SAS.
RI Schijven, Marlies/B-9767-2016; Tuijthof, Gabrielle/AAT-6776-2020
OI Schijven, Marlies/0000-0001-7013-0116; 
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
TC 9
Z9 9
U1 0
U2 6
SN 1297-3203
EI 1769-6666
UT WOS:000336419700003
PM 24560535
ER

PT J
AU Dabscheck, Eli J
   Hew, Mark
   Irving, Louis
   Steinfort, Daniel
TI Bronchoscopic training and practice in australia and New Zealand is
   inconsistent with published society guidelines.
SO Journal of bronchology & interventional pulmonology
VL 21
IS 2
BP 117
EP 22
DI 10.1097/LBR.0000000000000048
PD 2014-Apr
PY 2014
AB BACKGROUND: The Australasian practice and training in bronchoscopy has
   not previously been reported and procedure volumes among Australasian
   respiratory consultants and trainees are unknown. We surveyed the
   current practice of flexible bronchoscopy in Australasia and determined
   adherence to published recommendations.
   METHODS: Adult physician and trainee members of the Thoracic Society of
   Australia New Zealand (TSANZ) were e-mailed a web-link to an online
   survey. Survey responses were benchmarked against TSANZ recommendations.
   RESULTS: The response rate was 42% overall and 78% among trainees.
   Forty-nine percent of consultants performed less than the recommended 50
   procedures per year. Sixty percent of trainees were unlikely to achieve
   the recommended 200 supervised bronchoscopies during training. Less than
   20% of trainees received adequate training in advanced bronchoscopic
   techniques such as transbronchial lymph node aspiration. The majority of
   physicians performing such advanced techniques were not performing
   sufficient numbers to satisfy published recommendations.
   CONCLUSIONS: A large proportion of Australasian bronchoscopists do not
   meet "numbers-based" recommendations. This empirical data support the
   2012 TSANZ interventional guidelines' call to move beyond procedural
   volume as the sole determinant of technical competence. There is an
   urgent need to explore alternative means of developing and defining
   bronchoscopic proficiency.
RI Steinfort, Daniel/AAO-6898-2020
OI Steinfort, Daniel/0000-0002-8998-2949
ZS 0
Z8 0
ZB 0
ZA 0
TC 8
ZR 0
Z9 8
U1 0
U2 0
EI 1948-8270
UT MEDLINE:24739684
PM 24739684
ER

PT J
AU Friedell, Mark L.
   VanderMeer, Thomas J.
   Cheatham, Michael L.
   Fuhrman, George M.
   Schenarts, Paul J.
   Mellinger, John D.
   Morris, Jon B.
TI Perceptions of Graduating General Surgery Chief Residents: Are They
   Confident in Their Training?
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 218
IS 4
BP 695
EP 703
DI 10.1016/j.jamcollsurg.2013.12.022
PD APR 2014
PY 2014
AB BACKGROUND: Debate exists within the surgical education community about
   whether 5 years is sufficient time to train a general surgeon, whether
   graduating chief residents are confident in their skills, why residents
   choose to do fellowships, and the scope of general surgery practice
   today.
   STUDY DESIGN: In May 2013, a 16-question online survey was sent to every
   general surgery program director in the United States for dissemination
   to each graduating chief resident (CR).
   RESULTS: Of the 297 surveys returned, 76% of CRs trained at university
   programs, 81% trained at 5-year programs, and 28% were going directly
   into general surgery practice. The 77% of CRs who had done > 950 cases
   were significantly more comfortable than those who had done less (p <
   0.0001). Only a few CRs were uncomfortable performing a laparoscopic
   colectomy (7%) or a colonoscopy (6%), and 80% were comfortable being on
   call at a Level I trauma center. Compared with other procedures, CRs
   were most uncomfortable with open common bile duct explorations (27%),
   pancreaticoduodenectomies (38%), hepatic lobectomies (48%), and
   esophagectomies (60%) (p < 0.00001). Of those going into fellowships,
   67% said they truly had an interest in that specialty and only 7% said
   it was because they were not confident in their surgical skills.
   CONCLUSIONS: Current graduates of general surgery residencies appear to
   be confident in their skills, including care of the trauma patient.
   Fellowships are being chosen primarily because of an interest in the
   subspecialty. General surgery residency no longer provides adequate
   training in esophageal or hepatopancreatobiliary surgery. (C) 2014 by
   the American College of Surgeons
OI Mellinger, John/0000-0002-4230-311X
ZA 0
ZB 9
ZR 0
TC 85
Z8 0
ZS 1
Z9 86
U1 0
U2 8
SN 1072-7515
EI 1879-1190
UT WOS:000333250300036
PM 24529805
ER

PT J
AU Ellaway, Rachel H.
   Pusic, Martin
   Yavner, Steve
   Kalet, Adina L.
TI Context matters: emergent variability in an effectiveness trial of
   online teaching modules
SO MEDICAL EDUCATION
VL 48
IS 4
BP 386
EP 396
DI 10.1111/medu.12389
PD APR 2014
PY 2014
AB ContextConducting research in real life settings (effectiveness studies)
   can introduce many confounding factors. Efficacy studies seek to control
   for researcher bias and data quality rather than considering how the
   efficacy of an intervention is changed by the contexts in which it is
   used. Relatively little is known about the impact of context on
   educational interventions, in particular on multimedia learning.
   MethodsAn effectiveness study to understand implementation variance of
   online educational modules in surgery clerkships was conducted in six US
   medical schools participating in an efficacy trial of different
   multimedia designs. Student and teacher experiences were captured
   through focus groups and one-to-one interviews with trial participants
   and their teachers. Audio-recordings of these sessions were transcribed
   and analysed using grounded theory techniques.
   ResultsDifferences were identified in student and teacher perceptions of
   how the educational intervention had been implemented and how its uptake
   had been influenced by context-dependent factors: (i) the intervention
   was implemented in different ways to suit different educational contexts
   and this influenced how students and teachers responded to it; (ii) the
   ways students and teachers interacted with, and behaved around, the
   intervention influenced its uptake; (iii) the way the intervention was
   perceived by students and teachers influenced its uptake; and (iv) the
   medium and design of the intervention had a directing influence on its
   uptake.
   ConclusionsIt was observed that each institutional context formed a
   complex educational ecology. The intervention became interwoven with
   different educational ecologies so that it could no longer be considered
   a stable variable across the study. We suggest that researchers should
   conduct implementation-profiling studies in advance of any
   intervention-based research to account for the constructing nature of
   educational ecologies on their interventions and in doing so to more
   clearly differentiate between efficacy and effectiveness studies.
   Discuss ideas arising from the article at '
RI Kalet, Adina/AAA-3440-2021; Pusic, Martin/
OI Kalet, Adina/0000-0003-4855-0223; Pusic, Martin/0000-0001-5236-6598
ZR 0
TC 39
ZS 0
Z8 0
ZA 0
ZB 2
Z9 40
U1 0
U2 23
SN 0308-0110
EI 1365-2923
UT WOS:000333446700009
PM 24606622
ER

PT J
AU Mason, Philip B.
   Turgeon, Brianna M.
   Cossman, Jeralynn S.
   Lay, David M.
TI The use of technology and perceptions of its effectiveness in training
   physicians
SO MEDICAL TEACHER
VL 36
IS 4
BP 333
EP 339
DI 10.3109/0142159X.2014.887837
PD APR 2014
PY 2014
AB Background: Technology has been incorporated into the classrooms of
   future healthcare professionals for decades and vast research has
   investigated its effectiveness. Much less attention, however, has
   examined how medical schools are actually using technology and
   telemedicine to aid teaching.
   Aims: It is unclear how medical schools use technology as pedagogical
   aids. This study investigates technology and telemedicine use in
   physician training in the United States.
   Methods: We distributed an online survey on technology and telemedicine
   use through the American Association of Colleges of Osteopathic Medicine
   and the Association of American Medical Colleges.
   Results: Both allopathic and osteopathic institutions train students
   with various forms of technology, but appear to be doing so differently.
   Few schools use telemedicine in the classroom and even fewer require it.
   Conclusion: Osteopathic institutions report more positive attitudes
   toward e-learning and technology, but allopathic schools on an average
   have more technology available and longer years of use.
RI Cossman, Jeralynn/Y-1219-2019
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
TC 7
Z9 7
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000333179300007
PM 24548180
ER

PT J
AU Ross, Michael T.
   Nikolic, Nebojsa
   Peeraer, Griet
   Murt, Ahmet
   Kroica, Juta
   Elcin, Melih
   Hope, David
   Cumming, Allan D.
TI Report of the MEDINE2 Bachelor of Medicine (Bologna First Cycle) Tuning
   Project
SO MEDICAL TEACHER
VL 36
IS 4
BP 314
EP 321
DI 10.3109/0142159X.2014.887836
PD APR 2014
PY 2014
AB Background: European Higher Education institutions are expected to adopt
   a three-cycle system of Bachelor, Master and Doctor degrees as part of
   the Bologna Process. Tuning methodology was previously used by the
   MEDINE Thematic Network to gain consensus on core learning outcomes (LO)
   for primary medical degrees (Master of Medicine) across Europe.
   Aims: The current study, undertaken by the MEDINE2 Thematic Network,
   sought to explore stakeholder opinions on core LO for Bachelor of
   Medicine degrees.
   Method: Key stakeholders were invited to indicate, on a Likert scale, to
   what extent they thought students should have achieved each of the
   Master of Medicine LO upon successful completion of the first three
   years of university education in medicine (Bachelor of Medicine).
   Results: There were 560 responses to the online survey, representing
   medical students, academics, graduates, employers, patients, and
   virtually all EU countries. There was broad consensus between
   respondents that all LO previously defined for primary medical degrees
   should be achieved to some extent by the end of the first three years.
   Conclusions: The findings promote integration of undergraduate medical
   curricula, and also offer a common framework and terminology for
   discussing what a European Bachelor of Medicine graduate can and cannot
   do, promoting mobility, graduate employability and patient safety.
RI Kroica, Juta/AAT-5683-2021; Kroica, Juta/ADR-2947-2022; Murt, Ahmet/AAC-2423-2021; Kroiča, Juta/AAX-3350-2021; Elcin, Melih/
OI Kroica, Juta/0000-0003-0805-7063; Kroica, Juta/0000-0003-0805-7063;
   Elcin, Melih/0000-0002-1652-906X
ZR 0
TC 8
ZB 0
ZS 2
Z8 0
ZA 0
Z9 9
U1 0
U2 10
SN 0142-159X
EI 1466-187X
UT WOS:000333179300005
PM 24593658
ER

PT J
AU Cicero, Mark X.
   Brown, Linda
   Overly, Frank
   Yarzebski, Jorge
   Meckler, Garth
   Fuchs, Susan
   Tomassoni, Anthony
   Aghababian, Richard
   Chung, Sarita
   Garrett, Andrew
   Fagbuyi, Daniel
   Adelgais, Kathleen
   Goldman, Ran
   Parker, James
   Auerbach, Marc
   Riera, Antonio
   Cone, David
   Baum, Carl R.
TI CREATION AND DELPHI-METHOD REFINEMENT OF PEDIATRIC DISASTER TRIAGE
   SIMULATIONS
SO PREHOSPITAL EMERGENCY CARE
VL 18
IS 2
BP 282
EP 289
DI 10.3109/10903127.2013.856505
PD APR-JUN 2014
PY 2014
AB Objective. There is a need for rigorously designed pediatric disaster
   triage (PDT) training simulations for paramedics. First, we sought to
   design three multiple patient incidents for EMS provider training
   simulations. Our second objective was to determine the appropriate
   interventions and triage level for each victim in each of the
   simulations and develop evaluation instruments for each simulation. The
   final objective was to ensure that each simulation and evaluation tool
   was free of bias toward any specific PDT strategy. Methods. We created
   mixed-methods disaster simulation scenarios with pediatric victims: a
   school shooting, a school bus crash, and a multiple-victim house fire.
   Standardized patients, high-fidelity manikins, and low-fidelity manikins
   were used to portray the victims. Each simulation had similar acuity of
   injuries and 10 victims. Examples include children with special
   health-care needs, gunshot wounds, and smoke inhalation. Checklist-based
   evaluation tools and behaviorally anchored global assessments of
   function were created for each simulation. Eight physicians and
   paramedics from areas with differing PDT strategies were recruited as
   Subject Matter Experts (SMEs) for a modified Delphi iterative critique
   of the simulations and evaluation tools. The modified Delphi was managed
   with an online survey tool. The SMEs provided an expected triage
   category for each patient. The target for modified Delphi consensus was
   >= 85%. Using Likert scales and free text, the SMEs assessed the
   validity of the simulations, including instances of bias toward a
   specific PDT strategy, clarity of learning objectives, and the
   correlation of the evaluation tools to the learning objectives and
   scenarios. Results. After two rounds of the modified Delphi, consensus
   for expected triage level was >85% for 28 of 30 victims, with the
   remaining two achieving >85% consensus after three Delphi iterations. To
   achieve consensus, we amended 11 instances of bias toward a specific PDT
   strategy and corrected 10 instances of noncorrelation between
   evaluations and simulation. Conclusions. The modified Delphi process,
   used to derive novel PDT simulation and evaluation tools, yielded a high
   degree of consensus among the SMEs, and eliminated biases toward
   specific PDT strategies in the evaluations. The simulations and
   evaluation tools may now be tested for reliability and validity as part
   of a prehospital PDT curriculum.
OI Meckler, Garth/0000-0002-6057-0465; Cone, David/0000-0002-7437-959X;
   Goldman, Ran D./0000-0001-8318-5415
TC 15
ZB 1
ZS 0
Z8 0
ZR 0
ZA 0
Z9 15
U1 0
U2 15
SN 1090-3127
EI 1545-0066
UT WOS:000333098000016
PM 24401167
ER

PT J
AU Engle, Xavier
   Aird, James
   Tho, Ly
   Bintcliffe, Fiona
   Monsell, Fergal
   Gollogly, Jim
   Noor, Saqib
TI Combining continuing education with expert consultation via telemedicine
   in Cambodia
SO TROPICAL DOCTOR
VL 44
IS 2
BP 62
EP 68
DI 10.1177/0049475513515654
PD APR 2014
PY 2014
AB Telemedicine has the potential to increase access to both clinical
   consultation and continuing medical education in Cambodia. We present a
   Cambodian surgical centre's experience with a collaboration in which
   complicated orthopaedic cases were presented to a panel of consultants
   using free online videoconferencing software, providing a combined
   opportunity for both continuing education and the enhancement of patient
   care. Effects of the case conference on patient care were examined via a
   retrospective review and clinician perspectives were elicited via a
   qualitative survey. The case conference altered patient care in 69% of
   cases. All Cambodian staff reported learning from the conference and 78%
   reported changes in their care for patients not presented at the
   conference. Real-time videoconferencing between consultants in the
   developed world and physicians in a developing country may be an
   effective, low-cost and easily replicable means of combining direct
   benefits to patient care with continuing medical education.
TC 3
ZB 1
ZR 0
ZA 0
ZS 0
Z8 0
Z9 3
U1 0
U2 10
SN 0049-4755
EI 1758-1133
UT WOS:000333034900002
PM 24322763
ER

PT J
AU Zhang, Charlie
   Cho, Kristy
   Chu, Jackson
   Yang, Jonathan
TI Bridging the Gap: Enhancing Cultural Competence of Medical Students
   Through Online Videos
SO JOURNAL OF IMMIGRANT AND MINORITY HEALTH
VL 16
IS 2
BP 326
EP 327
DI 10.1007/s10903-012-9755-7
PD APR 2014
PY 2014
Z8 0
ZA 0
TC 3
ZB 1
ZS 0
ZR 0
Z9 3
U1 0
U2 4
SN 1557-1912
EI 1557-1920
UT WOS:000332652800019
PM 23250730
ER

PT J
AU Abu-Zaid, Ahmed
   Altinawi, Basmah
TI Perceived barriers to physician-scientist careers among female
   undergraduate medical students at the College of Medicine - Alfaisal
   University: A Saudi Arabian perspective
SO MEDICAL TEACHER
VL 36
BP S3
EP S7
DI 10.3109/0142159X.2014.886006
SU 1
PD APR 2014
PY 2014
AB Introduction: At present, only a negligible number of matriculating and
   graduating female medical students express interest in
   physician-scientist careers. The aim of this study is to explore the
   perceived barriers towards pursuing physician-scientist careers by
   female undergraduate medical students at College of Medicine - Alfaisal
   University, Saudi Arabia.
   Methods: An online, anonymous, self-rating survey was administered. The
   survey assessed students' perceived barriers towards potential
   physician-scientist careers by responding to typical 5-point Likert
   scale statements.
   Results: One hundred sixteen students (116/171) participated in the
   survey with a 67.8% response rate. The top three barriers to such
   physician-scientist careers were greater preference towards patient care
   than research (75%), lack of conviction as regards merging a fruitful
   research profession with satisfying motherhood life (52.6%) and paucity
   of recognizing successful and well-known female physician-scientist role
   models in the country (48.3%).
   Discussion: Our results showed that the perceived barriers to
   physician-scientist careers by College of Medicine - Alfaisal
   University's female undergraduate medical students were largely
   identical to the Western literature with few differences and more
   influence of cultural reasons. It is crucial for medical educators in
   Saudi Arabia to work on mechanisms that stimulate female students'
   interest in research and resolve all barriers that stand in the face of
   students towards considering physician-scientist careers.
OI Abu-Zaid, Ahmed/0000-0003-2286-2181
Z8 0
TC 19
ZA 0
ZS 0
ZB 4
ZR 0
Z9 19
U1 0
U2 8
SN 0142-159X
EI 1466-187X
UT WOS:000332847600002
PM 24617781
ER

PT J
AU Duffy, Megen
TI Have You FOAMed?
SO AMERICAN JOURNAL OF NURSING
VL 114
IS 4
BP 59
EP 63
DI 10.1097/01.NAJ.0000445694.42251.a7
PD APR 2014
PY 2014
TC 0
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
Z9 0
U1 0
U2 0
SN 0002-936X
EI 1538-7488
UT WOS:000336378400027
PM 24681481
ER

PT J
AU Radecki, Ryan P.
   Rezaie, Salim R.
   Lin, Michelle
TI Global Emergency Medicine Journal Club: Social Media Responses to the
   November 2013 Annals of Emergency Medicine Journal Club
SO ANNALS OF EMERGENCY MEDICINE
VL 63
IS 4
BP 490
EP 494
DI 10.1016/j.annemergmed.2014.01.033
PD APR 2014
PY 2014
AB The Annals November 2013 Journal Club issue marked one of the first
   collaborations with Academic Life in Emergency Medicine, a medical
   education blog, in an effort to promote a worldwide, transparent, online
   effort to perform critical appraisals of journal articles. The Global
   Emergency Medicine Journal Club was hosted on the blog for 1 week during
   November 18 to 24, 2013, with comments moderated on the blog and on
   Twitter. This summary article compiles the discussion and insights.
OI Radecki, Ryan/0000-0001-8590-6618
ZS 0
Z8 0
ZR 0
ZB 2
TC 29
ZA 0
Z9 29
U1 0
U2 7
SN 0196-0644
UT WOS:000334647300027
PM 24655449
ER

PT J
AU Daniel, Laura
   N-Wilfong, Donamarie
TI Empowering interprofessional teams to perform effective handoffs through
   online hybrid simulation education.
SO Critical care nursing quarterly
VL 37
IS 2
BP 225
EP 9
DI 10.1097/CNQ.0000000000000023
PD 2014 Apr-Jun
PY 2014
AB In recent years, the health care field has recognized the importance of
   handoff communications, as these crucial events may have serious
   implications for patient safety if not completed properly. To perform
   these handoffs correctly, patient information and responsibility must be
   exchanged accurately and thoroughly between health care providers
   despite any distractions, interruptions, and/or cultural issues that may
   exist. To overcome any such obstacles, institutions have experimented
   with various approaches over the years to determine the best method to
   ensure the highest probability of effective exchanges. This article
   describes major barriers that exist to efficient handoff communications
   and proposes an online, hybrid simulation course as a primary solution
   to many of the interpersonal obstacles. This highly accessible course
   uses the dynamic approach of teaching handoff communication with
   pretests/posttests, videos, a PowerPoint presentation, and interactive
   exercises. This course emphasizes the importance of teamwork and the
   SBAR standardization method and has been well received by residents,
   fellows, and employees of a large health system. 
TC 5
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 5
U1 0
U2 2
EI 1550-5111
UT MEDLINE:24595260
PM 24595260
ER

PT J
AU Rodgers, Delores J
TI AOA continuing medical education.
SO The Journal of the American Osteopathic Association
VL 114
IS 4
BP 295
EP 8
DI 10.7556/jaoa.2014.056
PD 2014-Apr
PY 2014
AB The author provides an update on the current continuing medical
   education (CME) cycle, which began on January 1, 2013, and will end on
   December 31, 2015. The author also highlights changes to the CME process
   and the re-engineering of the CME program for the current cycle. Topic
   areas include recent changes in CME policies and the challenges
   associated with awarding and recording credits for the 2013-2015 CME
   cycle. In addition, the article provides information regarding online
   CME. 
TC 1
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 1
U1 0
U2 1
EI 1945-1997
UT MEDLINE:24677470
PM 24677470
ER

PT J
AU Kind, Terry
   Patel, Pradip D.
   Lie, Desiree
   Chretien, Katherine C.
TI Twelve tips for using social media as a medical educator
SO MEDICAL TEACHER
VL 36
IS 4
BP 284
EP 290
DI 10.3109/0142159X.2013.852167
PD APR 2014
PY 2014
AB Background: We now live, learn, teach and practice medicine in the
   digital era. Social networking sites are used by at least half of all
   adults. Engagement with social media can be personal, professional, or
   both, for health-related and educational purposes. Use is often public.
   Lapses in professionalism can have devastating consequences, but when
   used well social media can enhance the lives of and learning by health
   professionals and trainees, ultimately for public good. Both risks and
   opportunities abound for individuals who participate, and health
   professionals need tips to enhance use and avoid pitfalls in their use
   of social media and to uphold their professional values.
   Aims and methods: This article draws upon current evidence, policies,
   and the authors' experiences to present best practice tips for health
   professions educators, trainees, and students to build a framework for
   navigating the digital world in a way that maintains and promotes
   professionalism.
   Results and conclusions: These practical tips help the newcomer to
   social media get started by identifying goals, establishing comfort, and
   connecting. Furthermore, users can ultimately successfully contribute,
   engage, learn, and teach, and model professional behaviors while
   navigating social media.
OI Kind, Terry/0000-0002-3017-5683
ZB 7
Z8 0
ZA 0
ZS 2
TC 71
ZR 0
Z9 73
U1 1
U2 32
SN 0142-159X
EI 1466-187X
UT WOS:000333179300002
PM 24261897
ER

PT J
AU Goodin, Joel B
   Duffy, Ryan D
   Borges, Nicole J
   Ulman, Catherine A
   D'Brot, Vanessa M
   Manuel, R Stephen
TI Medical students with low self-efficacy bolstered by calling to medical
   speciality.
SO Perspectives on medical education
VL 3
IS 2
BP 89
EP 100
DI 10.1007/s40037-014-0110-7
PD 2014-Apr
PY 2014
AB This study was performed to understand the degree to which medical
   students' self-efficacy (SE) moderates the influence of calling on
   students' speciality commitment, emphasizing the need to understand
   variables that predict primary care specialization. The researchers
   hypothesized that students who perceived their career as a calling would
   be more committed to their speciality, especially when students had high
   SE. Medical students (Years 1-4; N=152) completed an online survey to
   rate their calling, speciality commitment, and SE. Calling was measured
   by the Brief Calling scale (Dik et al., J Career Assess 20:242-263,
   2012), while speciality choice was measured by Hollenbeck et al. (J Appl
   Psychol 74:18-23, 1989) measure of commitment. SE was measured by the
   Jerusalem and Schwarzer'sgeneral SE scale (seeScholz et al., Eur J
   Psychol Assess 18:242-51, 2002). Calling (r=0.24, p<0.01) and SE
   (r=0.20, p<0.05) were found to moderately correlate with speciality
   commitment, thus emphasizing the possibility that they may have an
   interaction. The interaction of calling and SE significantly predicted
   speciality commitment (beta=-0.20, t(148)=-2.55, p<0.05) and explained a
   significant proportion of variance in speciality commitment (R (2)=0.12,
   F(3, 148)=6.875, p<0.001). Students with a high presence of calling may
   have high speciality commitment, despite low SE. 
ZA 0
ZS 0
TC 14
ZR 0
Z8 0
ZB 2
Z9 14
U1 0
U2 4
SN 2212-2761
UT MEDLINE:24531931
PM 24531931
ER

PT J
AU Izquierdo Soriano, J.V.
   Buendia Garcia, F.
   Ortega Monzo, J.L.
   Tabernero, E.
TI E-Learning Experiences in La Ribera Health Department
SO Journal of Information Technology Research
VL 7
IS 2
BP 7
EP 23
DI 10.4018/jitr.2014040102
PD April-June 2014
PY 2014
AB This paper shows how the training of health professionals is improving
   thanks to the use of new technologies, in particular e-learning. This
   type of technology is widely used in medical education and there are
   multiple research works that report its effective deployment by health
   professionals and students. However, there is a need to incorporate
   e-learning platforms and online methods in healthcare organizations
   through a systematic and rigorous approach what is proposed in the
   current work. This approach has been applied since 2009 in the context
   of La Ribera Health Department implementing a high number of e-learning
   experiences. The obtained outcomes reveal how useful have been these
   experiences to promote an organized and effective professional training.
TC 1
Z8 0
ZB 0
ZS 0
ZR 0
ZA 0
Z9 1
U1 0
U2 0
SN 1938-7857
UT INSPEC:15116883
ER

PT J
AU Jimenez, M.F.
   Rodriguez-Conde, M.J.
   Olmos-Miguelanez, S.
   Varela, G.
   Lozano, F.S.
   Garcia, F.J.
   Martinez-Abad, F.
TI Impact of the Objective Evaluation of Clinical and Surgical Basic Skills
   (CSBS) On Medicine Students (Spain):
SO Journal of Information Technology Research
VL 7
IS 2
BP 52
EP 62
DI 10.4018/jitr.2014040105
PD April-June 2014
PY 2014
AB This work presents the design, implementation and results of a research
   project in medical education conducted from 2007 to 2011, on the
   learning of some basic clinical and surgical skills in Medicine
   (University of Salamanca, Spain). This project has been conducted in
   collaboration with the Educational Research Institute of the same
   university. The hypothesis of the study that teaching methods based on a
   learning process guided by the direct practice on models, along with the
   modeling through an online teaching platform, produce a high level of
   learning, measured by using the direct observation of the behavior. The
   learning results are positive, although some methodological
   inconveniences have been found in the evaluation process, in relation
   with the causes of the variability between skills and evaluators.
RI Varela, Gonzalo/ABC-1583-2020; Martinez-Abad, Fernando/H-3129-2015; Rodriguez-Conde, Maria-Jose/B-8279-2011; Varela, Gonzalo/AAE-8177-2022; GARCIA-PENALVO, Francisco Jose/D-5445-2013; MIGUELANEZ, SUSANA OLMOS/P-4577-2014; Jimenez, Marcelo/I-2536-2017
OI Martinez-Abad, Fernando/0000-0002-1783-8198; Rodriguez-Conde,
   Maria-Jose/0000-0002-2509-1901; Varela, Gonzalo/0000-0002-4498-7842;
   GARCIA-PENALVO, Francisco Jose/0000-0001-9987-5584; MIGUELANEZ, SUSANA
   OLMOS/0000-0002-0816-4179; Jimenez, Marcelo/0000-0003-2184-0159
ZB 0
ZR 0
TC 1
ZS 0
Z8 0
ZA 0
Z9 1
U1 0
U2 1
SN 1938-7857
UT INSPEC:15116885
ER

PT J
AU Bednarczyk, Joseph
   Pauls, Merril
   Fridfinnson, Jason
   Weldon, Erin
TI Characteristics of evidence-based medicine training in Royal College of
   Physicians and Surgeons of Canada emergency medicine residencies - a
   national survey of program directors
SO BMC MEDICAL EDUCATION
VL 14
AR 57
DI 10.1186/1472-6920-14-57
PD MAR 21 2014
PY 2014
AB Background: Recent surveys suggest few emergency medicine (EM) training
   programs have formal evidence-based medicine (EBM) or journal club
   curricula. Our primary objective was to describe the methods of EBM
   training in Royal College of Physicians and Surgeons of Canada (RCPSC)
   EM residencies. Secondary objectives were to explore attitudes regarding
   current educational practices including e-learning, investigate barriers
   to journal club and EBM education, and assess the desire for national
   collaboration.
   Methods: A 16-question survey containing binary, open-ended, and 5-pt
   Likert scale questions was distributed to the 14 RCPSC-EM program
   directors. Proportions of respondents (%), median, and IQR are reported.
   Results: The response rate was 93% (13/14). Most programs (85%) had
   established EBM curricula. Curricula content was delivered most
   frequently via journal club, with 62% of programs having 10 or more
   sessions annually. Less than half of journal clubs (46%) were led
   consistently by EBM experts. Four programs did not use a critical
   appraisal tool in their sessions (31%). Additional teaching formats
   included didactic and small group sessions, self-directed e-learning,
   EBM workshops, and library tutorials. 54% of programs operated
   educational websites with EBM resources. Program directors attributed
   highest importance to two core goals in EBM training curricula: critical
   appraisal of medical literature, and application of literature to
   patient care (85% rating 5 - "most importance", respectively). Podcasts,
   blogs, and online journal clubs were valued for EBM teaching roles
   including creating exposure to literature (4, IQR 1.5) and linking
   literature to clinical practice experience (4, IQR 1.5) (1-no merit,
   5-strong merit). Five of thirteen respondents rated lack of expert
   leadership and trained faculty educators as potential limitations to EBM
   education. The majority of respondents supported the creation of a
   national unified EBM educational resource (4, IQR 1) (1-no support,
   5-strongly support).
   Conclusions: RCPSC-EM programs have established EBM teaching curricula
   and deliver content most frequently via journal club. A lack of EBM
   expert educators may limit content delivery at certain sites. Program
   directors supported the nationalization of EBM educational resources. A
   growing usage of electronic resources may represent an avenue to link
   national EBM educational expertise, facilitating future collaborative
   educational efforts.
Z8 1
ZR 0
ZS 0
ZA 0
TC 15
ZB 0
Z9 16
U1 0
U2 20
EI 1472-6920
UT WOS:000334463500002
PM 24650317
ER

PT J
AU Jang, Hye Won
   Kim, Kyong-Jee
TI Use of online clinical videos for clinical skills training for medical
   students: benefits and challenges
SO BMC MEDICAL EDUCATION
VL 14
AR 56
DI 10.1186/1472-6920-14-56
PD MAR 21 2014
PY 2014
AB Background: Multimedia learning has been shown effective in clinical
   skills training. Yet, use of technology presents both opportunities and
   challenges to learners. The present study investigated student use and
   perceptions of online clinical videos for learning clinical skills and
   in preparing for OSCE (Objective Structured Clinical Examination). This
   study aims to inform us how to make more effective us of these
   resources.
   Methods: A mixed-methods study was conducted for this study. A 30-items
   questionnaire was administered to investigate student use and
   perceptions of OSCE videos. Year 3 and 4 students from 34 Korean medical
   schools who had access to OSCE videos participated in the online survey.
   Additionally, a semi-structured interview of a group of Year 3 medical
   students was conducted for an in-depth understanding of student
   experience with OSCE videos.
   Results: 411 students from 31 medical schools returned the
   questionnaires; a majority of them found OSCE videos effective for their
   learning of clinical skills and in preparing for OSCE. The number of
   OSCE videos that the students viewed was moderately associated with
   their self-efficacy and preparedness for OSCE (p < 0.05). One-thirds of
   those surveyed accessed the video clips using mobile devices; they
   agreed more with the statement that it was convenient to access the
   video clips than their peers who accessed the videos using computers (p
   < 0.05). Still, students reported lack of integration into the
   curriculum and lack of interaction as barriers to more effective use of
   OSCE videos.
   Conclusions: The present study confirms the overall positive impact of
   OSCE videos on student learning of clinical skills. Having faculty
   integrate these learning resources into their teaching, integrating
   interactive tools into this e-learning environment to foster
   interactions, and using mobile devices for convenient access are
   recommended to help students make more effective use of these resources.
RI Kim, Kyong-Jee/K-1278-2012
OI Kim, Kyong-Jee/0000-0002-1936-5128
ZB 8
TC 77
ZR 0
Z8 1
ZA 0
ZS 1
Z9 78
U1 3
U2 43
SN 1472-6920
UT WOS:000334463500001
PM 24650290
ER

PT J
AU Riggs, Damien W.
   Coleman, Katrina
   Due, Clemence
TI Healthcare experiences of gender diverse Australians: a mixed-methods,
   self-report survey
SO BMC PUBLIC HEALTH
VL 14
AR 230
DI 10.1186/1471-2458-14-230
PD MAR 6 2014
PY 2014
AB Background: To date the healthcare experiences of gender diverse
   Australians have received little attention. Previous international
   research indicates a range of both negative and positive healthcare
   experiences amongst this diverse population, with negative experiences
   being those most frequently reported.
   Method: An online survey was designed to examine the healthcare
   experiences of gender diverse Australians. The survey included Likert
   scales asking participants to rate their mental and physical health, and
   their experiences with psychiatrists, general practitioners and surgeons
   (in terms of perceived comfort, discrimination and information
   provision). Open-ended questions provided the opportunity for
   participants to further elaborate on their experiences. Data were
   collected between June 2012 and July 2013. Quantitative data analysis
   was conducted utilising SPSS 17.0, including ANCOVAs and correlations to
   examine the relationships between variables. Qualitative data were coded
   by the authors in terms of negative or positive responses and the
   validity of ratings were assessed utilising Cohen's kappa.
   Results: 110 people assigned male at birth (MAAB) and 78 people assigned
   female at birth (FAAB) completed two separate surveys. All identified as
   gender diverse as defined in this paper. 70% of participants had
   accessed a psychiatrist. Participants MAAB rated their experiences with
   psychiatrists more highly than participants FAAB. 80% of participants
   had accessed a general practitioner. Comfort with, and respect from,
   general practitioners were both positively correlated with mental
   health, whilst discrimination was negatively correlated with mental
   health. 42.5% of participants had undertaken sex-affirming surgery.
   Those who had such surgery reported higher levels of physical and mental
   health than those who had not undertaken surgery. Participants MAAB
   reported more positive experiences of surgery than did participants
   FAAB.
   Conclusions: Findings highlight the need for increased education of
   medical practitioners in regards to engaging with gender diverse
   clients.
OI Riggs, Damien/0000-0003-0961-9099; Due, Clemence/0000-0001-6485-6076
ZA 0
Z8 0
ZS 0
ZR 0
ZB 5
TC 58
Z9 58
U1 2
U2 10
EI 1471-2458
UT WOS:000332729800001
PM 24597614
ER

PT J
AU Moazami, Fariborz
   Bahrampour, Ehsan
   Azar, Mohammad Reza
   Jahedi, Farzad
   Moattari, Marzieh
TI Comparing two methods of education (virtual versus traditional) on
   learning of Iranian dental students: a post-test only design study
SO BMC MEDICAL EDUCATION
VL 14
AR 45
DI 10.1186/1472-6920-14-45
PD MAR 5 2014
PY 2014
AB Background: The importance of using technologies such as e-learning in
   different disciplines is discussed in the literature. Researchers have
   measured the effectiveness of e-learning in a number of fields.
   Considering the lack of research on the effectiveness of online learning
   in dental education particularly in Iran, the advantages of these
   learning methods and the positive university atmosphere regarding the
   use of online learning. This study, therefore, aims to compare the
   effects of two methods of teaching (virtual versus traditional) on
   student learning.
   Methods: This post-test only design study approached 40, fifth year
   dental students of Shiraz University of Medical Sciences. From this
   group, 35 students agreed to participate. These students were randomly
   allocated into two groups, experimental (virtual learning) and
   comparison (traditional learning). To ensure similarity between groups,
   we compared GPAs of all participants by the Mann-Whitney U test (P >
   0.05). The experimental group received a virtual learning environment
   courseware package specifically designed for this study, whereas the
   control group received the same module structured in a traditional
   lecture form. The virtual learning environment consisted of online and
   offline materials. Two identical valid, reliable post-tests that
   consisted of 40 multiple choice questions (MCQs) and 4 essay questions
   were administered immediately (15 min) after the last session and two
   months later to assess for knowledge retention. Data were analyzed by
   SPSS version 20.
   Results: A comparison of the mean knowledge score of both groups showed
   that virtual learning was more effective than traditional learning
   (effect size = 0.69).
   Conclusion: The newly designed virtual learning package is feasible and
   will result in more effective learning in comparison with lecture-based
   training. However further studies are needed to generalize the findings
   of this study.
RI Moazami, Fariborz/H-3339-2016; Jahedi, Farzad/A-8269-2011; Azar, Mohammad Reza/H-2842-2016; Bahrampour, Ehsan/C-4283-2017
OI Moazami, Fariborz/0000-0002-3035-2926; Jahedi,
   Farzad/0000-0002-1265-3493; Azar, Mohammad Reza/0000-0003-3963-0512;
   Bahrampour, Ehsan/0000-0001-7467-5770
ZS 5
ZB 2
TC 49
ZA 0
ZR 0
Z8 0
Z9 51
U1 2
U2 15
SN 1472-6920
UT WOS:000334457300001
PM 24597923
ER

PT J
AU Sung, Re-Jiau
   Chiu, Chaochang
   Chiu, Nan-Hsing
   Hsiao, Chih-Hao
TI Online detection of concerned HIV-related messages in web forums
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 26
IS 3
BP 337
EP 342
DI 10.1080/09540121.2013.819408
PD MAR 4 2014
PY 2014
AB Web forums become the means of online communication and information
   sharing sources for the learning about health care and related treatment
   knowledge. By adopting web crawlers and natural language processing
   techniques, the automatic identification approach of the concerned
   HIV-related messages is proposed to facilitate the health authorities
   and social support groups in instant counseling. The proposed supervised
   GA/k-means for classification approach can help construct an effective
   identification and classification model with acceptable classification
   performance accompanied with its full flexibility to develop different
   fitness functions in accordance with the need of different requirements.
   Furthermore, with the aid of correspondence analysis, the most
   frequently used terms in concerned HIV-related messages are identified
   and focus on risky sexual behavior whereas unconcerned messages are
   those who of worried well.
ZR 0
ZB 1
Z8 0
TC 3
ZS 0
ZA 0
Z9 3
U1 0
U2 23
SN 0954-0121
EI 1360-0451
UT WOS:000329425100010
PM 23876022
ER

PT J
AU Strunz, Eric C.
   Addiss, David G.
   Stocks, Meredith E.
   Ogden, Stephanie
   Utzinger, Juerg
   Freeman, Matthew C.
TI Water, Sanitation, Hygiene, and Soil-Transmitted Helminth Infection: A
   Systematic Review and Meta-Analysis
SO PLOS MEDICINE
VL 11
IS 3
DI 10.1371/journal.pmed.1001620
PD MAR 2014
PY 2014
AB Editors' Summary
   Background
   Worldwide, more than a billion people are infected with soil-transmitted
   helminths (STHs), parasitic worms that live in the human intestine
   (gut). These intestinal worms, including roundworm, hookworm, and
   whipworm, mainly occur in tropical and subtropical regions and are most
   common in developing countries, where personal hygiene is poor, there is
   insufficient access to clean water, and sanitation (disposal of human
   feces and urine) is inadequate or absent. STHs colonize the human
   intestine and their eggs are shed in feces and enter the soil. Humans
   ingest the eggs, either by touching contaminated ground or eating
   unwashed fruit and vegetables grown in such soil. Hookworm may enter the
   body by burrowing through the skin, most commonly when bare-footed
   individuals walk on infected soil. Repeated infection with STHs leads to
   a heavy parasite infestation of the gut, causing chronic diarrhea,
   intestinal bleeding, and abdominal pain. In addition the parasites
   compete with their human host for nutrients, leading to malnutrition,
   anemia, and, in heavily infected children, stunting of physical growth
   and slowing of mental development.
   Why Was This Study Done? ?
   While STH infections can be treated in the short-term with deworming
   medication, rapid re-infection is common, therefore a more comprehensive
   program of improved water, sanitation, and hygiene (WASH) is needed.
   WASH strategies include improvements in water access (e.g., water
   quality, water quantity, and distance to water), sanitation access
   (e.g., access to improved latrines, latrine maintenance, and fecal
   sludge management), and hygiene practices (e.g., handwashing before
   eating and/or after defecation, water treatment, soap use, wearing
   shoes, and water storage practices). WASH strategies have been shown to
   be effective for reducing rates of diarrhea and other neglected tropical
   diseases, such as trachoma; however, there is limited evidence linking
   specific WASH access or practices to STH infection rates. In this
   systematic review and meta-analysis, the researchers investigate whether
   WASH access or practices lower the risk of STH infections. A systematic
   review uses predefined criteria to identify all the research on a given
   topic; a meta-analysis is a statistical method that combines the results
   of several studies.
   What Did the Researchers Do and Find? ?
   The researchers identified 94 studies that included measurements of the
   relationship between WASH access and practices with one or more types of
   STHs. Meta-analyses of the data from 35 of these studies indicated that
   overall people with access to WASH strategies or practices were about
   half as likely to be infected with any STH. Specifically, a lower odds
   of infection with any STH was observed for those people who use treated
   water (odd ratio [OR] of 0.46), have access to sanitation (OR of 0.66),
   wear shoes (OR of 0.30), and use soap or have soap availability (OR of
   0.53) compared to those without access to these practices or strategies.
   In addition, infection with roundworm was less than half as likely in
   those who practiced handwashing both before eating and after defecating
   than those who did not practice handwashing (OR of 0.38 and 0.45,
   respectively).
   What Do These Findings Mean? ?
   The studies included in this systematic review and meta-analysis have
   several shortcomings. For example, most were cross-sectional
   surveys-studies that examined the effect of WASH strategies on STH
   infections in a population at a single time point.
   Given this study design, people with access to WASH strategies may have
   shared other characteristics that were actually responsible for the
   observed reductions in the risk of STH infections. Consequently, the
   overall quality of the included studies was low and there was some
   evidence for publication bias (studies showing a positive association
   are more likely to be published than those that do not). Nevertheless,
   these findings confirm that WASH access and practices provide an
   effective control measure for STH. Controlling STHs in developing
   countries would have a huge positive impact on the physical and mental
   health of the population, especially children, therefore there should be
   more emphasis on expanding access to WASH as part of development
   guidelines and targets, in addition to short-term preventative
   chemotherapy currently used.
   Additional Information
   Please access these websites via the online version of this summary at
   http://dx.doi.org/10.1371/journal.pmed.1001620.
   The US Centers for Disease Control and Prevention also provides detailed
   information on roundworm, whipworm, and hookworm infections
   The World Health Organization provides information on soil-transmitted
   helminths, including a description of the current control strategy
   Children Without Worms (CWW) partners with Johnson & Johnson,
   GlaxoSmithKline, the World Health Organization, national ministries of
   health and education, non-governmental organizations, and others to
   promote treatment and prevention of soil-transmitted helminthiasis. CWW
   advocates a four-pronged, comprehensive control strategy-Water,
   Sanitation, Hygiene Education, and Deworming (WASHED) to break the cycle
   of reinfection
   The Global Network for Neglected Tropical Diseases, an advocacy
   initiative dedicated to raising the awareness, political will, and
   funding necessary to control and eliminate the most common neglected
   tropical diseases, provides information on infections with roundworm
   (ascariasis), whipworm (trichuriasis), and hookworm
   WASH for the Neglected Tropical Diseases is a repository of information
   on WASH and the neglected tropical diseases (NTDs) such as
   soil-transmitted helminthiasis, and features a resource titled "WASH and
   the NTDs: A Manual for WASH Implementers."
   Two international programs promoting water sanitation are the <ext-link
   ext-link-type="uri" xlink:href="http://www.who.
   int/water_sanitation_health/en/" xlink:type="simple">World Health
   Organization Water Sanitation and Health program and the World Health
   Organization/United Nations Childrens Fund Joint Monitoring Programme
   for Water Supply and Sanitation
   Background
   Preventive chemotherapy represents a powerful but short-term control
   strategy for soil-transmitted helminthiasis. Since humans are often
   re-infected rapidly, long-term solutions require improvements in water,
   sanitation, and hygiene (WASH). The purpose of this study was to
   quantitatively summarize the relationship between WASH access or
   practices and soil-transmitted helminth (STH) infection.
   Methods and Findings
   We conducted a systematic review and meta-analysis to examine the
   associations of improved WASH on infection with STH (Ascaris
   lumbricoides, Trichuris trichiura, hookworm [Ancylostoma duodenale and
   Necator americanus], and Strongyloides stercoralis). PubMed, Embase, Web
   of Science, and LILACS were searched from inception to October 28, 2013
   with no language restrictions. Studies were eligible for inclusion if
   they provided an estimate for the effect of WASH access or practices on
   STH infection. We assessed the quality of published studies with the
   Grades of Recommendation, Assessment, Development and Evaluation (GRADE)
   approach. A total of 94 studies met our eligibility criteria; five were
   randomized controlled trials, whilst most others were cross-sectional
   studies. We used random-effects meta-analyses and analyzed only adjusted
   estimates to help account for heterogeneity and potential confounding
   respectively.
   Use of treated water was associated with lower odds of STH infection
   (odds ratio [OR] 0.46, 95% CI 0.36-0.60). Piped water access was
   associated with lower odds of A. lumbricoides (OR 0.40, 95% CI
   0.39-0.41) and T. trichiura infection (OR 0.57, 95% CI 0.45-0.72), but
   not any STH infection (OR 0.93, 95% CI 0.28-3.11). Access to sanitation
   was associated with decreased likelihood of infection with any STH (OR
   0.66, 95% CI 0.57-0.76), T. trichiura (OR 0.61, 95% CI 0.50-0.74), and
   A. lumbricoides (OR 0.62, 95% CI 0.44-0.88), but not with hookworm
   infection (OR 0.80, 95% CI 0.61-1.06). Wearing shoes was associated with
   reduced odds of hookworm infection (OR 0.29, 95% CI 0.18-0.47) and
   infection with any STH (OR 0.30, 95% CI 0.11-0.83). Handwashing, both
   before eating (OR 0.38, 95% CI 0.26-0.55) and after defecating (OR 0.45,
   95% CI 0.35-0.58), was associated with lower odds of A. lumbricoides
   infection. Soap use or availability was significantly associated with
   lower infection with any STH (OR 0.53, 95% CI 0.29-0.98), as was
   handwashing after defecation (OR 0.47, 95% CI 0.24-0.90).
   Observational evidence constituted the majority of included literature,
   which limits any attempt to make causal inferences. Due to underlying
   heterogeneity across observational studies, the meta-analysis results
   reflect an average of many potentially distinct effects, not an average
   of one specific exposure-outcome relationship.
   Conclusions
   WASH access and practices are generally associated with reduced odds of
   STH infection.
   Pooled estimates from all meta-analyses, except for two, indicated at
   least a 33% reduction in odds of infection associated with individual
   WASH practices or access. Although most WASH interventions for STH have
   focused on sanitation, access to water and hygiene also appear to
   significantly reduce odds of infection. Overall quality of evidence was
   low due to the preponderance of observational studies, though recent
   randomized controlled trials have further underscored the benefit of
   handwashing interventions. Limited use of the Joint Monitoring Program's
   standardized water and sanitation definitions in the literature
   restricted efforts to generalize across studies. While further research
   is warranted to determine the magnitude of benefit from WASH
   interventions for STH control, these results call for multi-sectoral,
   integrated intervention packages that are tailored to social-ecological
   contexts.
   Please see later in the article for the Editors' Summary
RI Freeman, Matthew/ABE-6245-2020
OI Freeman, Matthew/0000-0002-1517-2572
ZR 0
ZS 7
TC 399
Z8 1
ZA 0
ZB 223
Z9 410
U1 12
U2 257
SN 1549-1277
EI 1549-1676
UT WOS:000333408000007
PM 24667810
ER

PT J
AU Bourgault, Annette M.
   Heath, Janie
   Hooper, Vallire
   Sole, Mary Lou
   Waller, Jennifer L.
   NeSmith, Elizabeth G.
TI FACTORS INFLUENCING CRITICAL CARE NURSES' ADOPTION OF THE AACN PRACTICE
   ALERT ON VERIFICATION OF FEEDING TUBE PLACEMENT
SO AMERICAN JOURNAL OF CRITICAL CARE
VL 23
IS 2
BP 134
EP 143
DI 10.4037/ajcc2014558
PD MAR 1 2014
PY 2014
AB Background Clinical practice guidelines are intended to bridge the
   research-practice gap, yet little is known about how critical care
   nurses adopt guidelines. Feeding tube verification practices remain
   variable and have led to patient harm and death.
   Objectives To examine factors influencing critical care nurses' adoption
   of the American Association of Critical-Care Nurses (AACN) practice
   alert on verification of feeding tube placement and its 4 recommended
   clinical practices.
   Methods Critical care nurses were invited to participate in a national,
   online questionnaire, guided by Rogers' diffusion of innovation
   framework. Descriptive statistics and logistic regression were used for
   data analysis. Alpha level was set at 0.05.
   Results Fifty-five percent of the 370 participating nurses were aware of
   the practice alert, and 45% had adopted it in practice. Only 29% of the
   adopters had also implemented all 4 clinical practices. Significant
   predictors of adoption included BSN or higher nursing education and
   guideline characteristics of observability and trialability. Predictors
   of implementation of the clinical practices included staff nurse/charge
   nurse role, academic medical center, research/web-based information
   sources, and perception of a policy. Policy was the only significant
   predictor of implementation of all 4 practices. Adoption of the practice
   alert was also a predictor for 2 of 4 clinical practices.
   Conclusions Personal and organizational factors influenced
   implementation of practices associated with an AACN practice alert.
   Although a research-practice gap exists, the practice alert was a
   significant source of information for 2 of the clinical practices.
RI Bourgault, Annette M./AAI-9421-2021
OI Bourgault, Annette M./0000-0001-7679-5661
ZB 1
Z8 0
ZS 0
ZA 0
TC 11
ZR 0
Z9 11
U1 0
U2 10
SN 1062-3264
EI 1937-710X
UT WOS:000338930400006
PM 24585162
ER

PT J
AU Kiefner-Burmeister, Allison E.
   Hoffmann, Debra A.
   Meers, Molly R.
   Koball, Afton M.
   Musher-Eizenman, Dara R.
TI Food consumption by young children: A function of parental feeding goals
   and practices
SO APPETITE
VL 74
BP 6
EP 11
DI 10.1016/j.appet.2013.11.011
PD MAR 1 2014
PY 2014
AB Staggering health implications are associated with poor child diet.
   Given the importance of parents in impacting children's eating outcomes,
   the current study examined a theoretical framework in which both
   parental feeding goals and practices impact specific healthy and
   unhealthy child eating behaviors. Participants were 171 mothers of 3-6
   year old children who were diverse both socioeconomically and with
   regard to BMI. Mothers completed questionnaires via Mechanical Turk, an
   online workforce through Amazon.com. Structural Equation Modeling showed
   an adequate model fit in which Negative Feeding Practices (e.g., using
   food as a reward) mediated the relationship between Health-Related
   Feeding Goals (i.e., feeding children with health-oriented goals in
   mind) and Negative Eating Behaviors (e.g., consumption of candy and
   snacks). However, Negative Feeding Practices did not mediate the
   relationship between Health-Related Feeding Goals and Positive Eating
   Behaviors (i.e., fruits and vegetables). These findings suggest the
   important role of habitual food parenting practices in children's eating
   and have implications for parental health education programs. (C) 2013
   Elsevier Ltd. All rights reserved.
ZR 0
ZA 0
ZB 22
Z8 0
ZS 6
TC 68
Z9 72
U1 0
U2 53
SN 0195-6663
EI 1095-8304
UT WOS:000331481800002
PM 24275668
ER

PT J
AU Hamui Sutton, Alicia
   Flores Hernandez, Fernando
   Gutierrez Barreto, Samuel
   Castro Ramirez, Senyasen
   Lavalle Montalvo, Carlos
   Vilar Puig, Pelayo
TI Correlations between the dimensions of clinical learning environments
   from the perspective of medical residents
SO GACETA MEDICA DE MEXICO
VL 150
IS 2
BP 144
EP 153
PD MAR-APR 2014
PY 2014
AB Objectives: The aim of the present study was to establish correlations
   between the dimensions of clinical learning environments (ACA)
   considering variables like: health institutions, hospital offices,
   specialty, and year of residency. Methods: 4,189 doctors were evaluated
   through an online survey in 2012. Results: The results revealed that the
   dimension of "educational processes" correlated best with others;
   specialties with the best ACA from the view of the medical residents
   were Internal Medicine and Surgery; and the third year residents had
   less favorable perceptions of their ACA. Conclusions: The pursuance of
   the academic program is relevant to physicians in training and teachers
   play an important role in the educational process.
RI Gutiérrez-Barreto, Samuel/ABA-9519-2021
OI Gutiérrez-Barreto, Samuel/0000-0003-3598-1358
ZR 0
ZA 0
TC 0
ZS 1
Z8 0
ZB 0
Z9 1
U1 0
U2 4
SN 0016-3813
UT WOS:000338202300005
PM 24603995
ER

PT J
AU Gorrindo, Tristan
   Chevalier, Lydia
   Goldfarb, Elizabeth
   Hoeppner, Bettina B.
   Birnbaum, Robert J.
TI Autonomic Arousal and Learning in Web-Based Simulation: A Feasibility
   Study
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 34
BP S17
EP S22
DI 10.1002/chp.21234
SU 1
PD SPR 2014
PY 2014
AB Introduction Autonomic arousal is an important component of
   understanding learning as it is related to cognitive effort, attention,
   and emotional arousal. Currently, however, little is known about its
   relationship to online education. We conducted a study to determine the
   feasibility of measuring autonomic arousal and engagement in online
   continuing medical education (CME). Method Using the Computer Simulation
   Assessment Tool (CSAT) platform, health care providers were randomly
   assigned to either high- or low-valence versions of a Web-based
   simulation on risk assessment for a returning veteran. Data were
   collected on participants' actions within the simulation, self-reported
   cognitive engagement, knowledge retention, and autonomic arousal
   measured using galvanic skin response (GSR). Results Participants in the
   high-valence condition (n = 7) chose a lower percentage of critical
   actions (M = 79.2, SD = 4.2) than participants in the low valence (n =
   8) condition (M = 83.9, SD = 3.6, t(1,14) = 2.44, p = .03). While not
   statistically significant, high-valence participants reported higher
   cognitive engagement. Participants in the high-valence condition showed
   a larger increase in physiologic arousal when comparing mean tonic GSR
   during the orientation simulation to the study simulation (high-valence
   mean difference = 4.21 S, SD = 1.23 vs low-valence mean difference =
   1.64 S, SD = 2.32, t(1,13) = -2.62, p = .01). Discussion In addition to
   being consistent with previous engagement research, this experiment
   functioned as a feasibility study for measuring autonomic arousal in
   online CME. The current study provides a framework for future studies,
   which may use neurophysiology to identify the critical autonomic and
   engagement components associated with effective online learning.
RI Goldfarb, Elizabeth/Q-2828-2019
OI Goldfarb, Elizabeth/0000-0001-9869-7771
ZB 1
Z8 0
ZA 0
ZR 0
TC 3
ZS 0
Z9 3
U1 0
U2 13
SN 0894-1912
EI 1554-558X
UT WOS:000337629500005
PM 24935879
ER

PT J
AU Kellams, Ann
   Savla, Jyoti
   Akers, Lisa
   Eberly, Tamara
   Boutsalis, George
   Sriraman, Natasha
TI The Impact of a Physician Performance Improvement Project for
   Maintenance of Certification on an Important Clinical Outcome: Exclusive
   Breastfeeding
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 34
BP S30
EP S31
DI 10.1002/chp.21233
SU 1
PD SPR 2014
PY 2014
RI Savla, Jyoti/J-7125-2015; Savla, Jyoti/N-6085-2019
OI Savla, Jyoti/0000-0001-7142-3770; Savla, Jyoti/0000-0001-7142-3770
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
TC 1
Z9 1
U1 0
U2 4
SN 0894-1912
EI 1554-558X
UT WOS:000337629500007
ER

PT J
AU Salinas, Gregory D.
TI Trends in Physician Preferences for and Use of Sources of Medical
   Information in Response to Questions Arising at the Point of Care:
   2009-2013
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 34
BP S11
EP S16
DI 10.1002/chp.21224
SU 1
PD SPR 2014
PY 2014
AB Introduction Recent information on the preferences and trends of medical
   information sources for US practicing physicians in the past several
   years is lacking. The purpose of this study was to identify current
   format preferences and attitudes of physicians as well as trends over
   time to provide timely information for use in educational planning.
   Methods A survey instrument was developed and distributed in 2013 to US
   practicing physicians in several specialties. Data were aggregated and
   analyzed to understand trends across these physicians. Differences
   between and among demographic subsets of physicians, such as practice
   type and location, were observed by the use of inferential statistics.
   Additionally, using a similar survey fielded in 2009, these findings
   were analyzed to observe potential changes in the past 4 years. Results
   Peer-reviewed journal articles and continuing medical education (CME)
   are reported to be the most useful sources of medical information by
   physicians. Non-CME promotional meetings, pharmaceutical sales
   representatives, and managed care organizations are least useful or
   influential. Physicians are receiving more clinical questions from
   patient encounters in 2013 compared to 2009, and spend more time
   searching for information online. The use of many formats to receive
   medical information is increasing, including both technology-derived and
   traditional formats. Discussion Increases in clinical questions and time
   spent online indicate a heightened need for efficiencies in searching
   for medical information. New uses of technology in medical information
   delivery may allow educators an avenue to meet the rising needs of
   physicians.
Z8 0
ZS 0
ZA 0
ZR 0
ZB 3
TC 23
Z9 23
U1 0
U2 13
SN 0894-1912
EI 1554-558X
UT WOS:000337629500004
PM 24935878
ER

PT J
AU Shrier, Ian
   Safai, Parissa
   Charland, Lyn
TI Return to play following injury: whose decision should it be?
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 48
IS 5
DI 10.1136/bjsports-2013-092492
PD MAR 2014
PY 2014
AB Background Return-to-play (RTP) decision-making is required for every
   injured athlete. However, these decisions often lead to conflict between
   sport medicine professionals, athletes, coaches and sport associations.
   This study explores differences in professionals' opinion about which
   criteria should be used for RTP decisions, and who is best able to
   evaluate them.
   Methods We surveyed Canadian sport medicine physicians,
   physiotherapists, athletic therapists, chiropractors, massage
   therapists, athletes, coaches and representatives from three sport
   associations. The 10 min online survey asked respondents to rate
   criteria as mandatory to irrelevant on a five-point Likert scale, and to
   indicate which profession was best able to evaluate the criteria.
   Results In general, medical doctors, physiotherapists and athletic
   therapists were considered best able to assess factors related to risk
   of injury and complications from injury. Each clinician group (except
   sport massage therapists) generally believed their own profession has
   the best capacity to evaluate the criteria. Athletes, coaches and sport
   associations were considered to have the best capacity to assess factors
   related to competition (desire, psychological and financial impact and
   loss of competitive standing). There remained considerable heterogeneity
   both between and within stakeholder groups.
   Conclusions We found that differences in approach to RTP decisions were
   generally greater within versus between-stakeholder groups. If shared
   decision-making is to become the norm in clinical sport medicine, we
   need to begin a discussion on which discrepancies are due to lack of
   training (resolved through education) or scientific knowledge (resolved
   through research) or simply reflect the divergence of personal/societal
   values.
RI Shrier, Ian/AAI-6502-2020
OI Shrier, Ian/0000-0001-9914-3498
ZR 0
ZA 0
ZB 4
TC 39
Z8 0
ZS 0
Z9 39
U1 0
U2 17
SN 0306-3674
EI 1473-0480
UT WOS:000337321200009
PM 24009011
ER

PT J
AU Verrelst, Ruth
   De Clercq, Dirk
   Vanrenterghem, Jos
   Willems, Tine
   Palmans, Tanneke
   Witvrouw, Erik
TI The role of proximal dynamic joint stability in the development of
   exertional medial tibial pain: a prospective study
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 48
IS 5
DI 10.1136/bjsports-2012-092126
PD MAR 2014
PY 2014
AB Objective To prospectively determine risk factors contributing to the
   development of exertional medial tibial pain (EMTP).
   Methods Data were prospectively collected on healthy female students in
   physical education, who were freshmen in 2010-2011 and 2011-2012.
   Eighty-six female students aged 19.38 +/- 0.85 years, were tested at the
   beginning of their first academic year. Kinematic parameters in the
   frontal and transverse plane were measured during a single-leg drop jump
   (SLDJ). For further analysis, the SLDJ task was divided in two phases:
   touchdown until maximal knee flexion (MKF) and then MKF until take-off,
   representing landing and push-off phase, respectively. The injury
   follow-up of the students was assessed using a weekly online
   questionnaire and a 3-monthly retrospective control questionnaire. 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 During injury follow-up (1-2 years), 22 participants were
   diagnosed with EMTP. The results of this study identified that increased
   range of motion (ROM) in the transverse plane of hip and thorax during
   landing (p = 0.010 and 0.026, respectively) and during push off (p =
   0.019 and 0.045, respectively) are predictive parameters for the
   development of EMTP in women.
   Conclusions Increased ROM values of hip and thorax in the transverse
   plane, which can be interpreted as impaired ability to maintain dynamic
   joint stability resulting in increased accessory movements, are
   significant contributors to the development of EMTP in women.
RI Willems, Tine M/G-9675-2017; Vanrenterghem, Jos/
OI Willems, Tine M/0000-0001-8331-9700; Vanrenterghem,
   Jos/0000-0002-1682-8430
Z8 0
ZA 0
ZB 4
ZR 0
ZS 0
TC 15
Z9 15
U1 0
U2 28
SN 0306-3674
EI 1473-0480
UT WOS:000337321200008
PM 24100288
ER

PT J
AU Wolbrink, Traci A.
   Kissoon, Niranjan
   Burns, Jeffrey P.
TI The Development of an Internet-Based Knowledge Exchange Platform for
   Pediatric Critical Care Clinicians Worldwide
SO PEDIATRIC CRITICAL CARE MEDICINE
VL 15
IS 3
BP 197
EP 205
DI 10.1097/PCC.0000000000000051
PD MAR 2014
PY 2014
AB Objectives: Advances in Internet technology now enable unprecedented
   global collaboration and collective knowledge exchange. Up to this time,
   there have been limited efforts to use these technologies to actively
   promote knowledge exchange across the global pediatric critical care
   community. To develop an open-access, peer-reviewed, not-for-profit
   Internet-based learning application, OPENPediatrics, a collaborative
   effort with the World Federation of Pediatric Intensive and Critical
   Care Societies, was designed to promote postgraduate educational
   knowledge exchange for physicians, nurses, and others caring for
   critically ill children worldwide.
   Design: Description of program development.
   Setting: International multicenter tertiary pediatric critical care
   units across six continents.
   Subjects: Multidisciplinary pediatric critical care providers.
   Interventions: A software application, providing information on demand,
   curricular pathways, and videoconferencing, downloaded to a local
   computer.
   Measurements and Main Results: In 2010, a survey assessing postgraduate
   educational needs was distributed through World Federation of Pediatric
   Intensive and Critical Care Societies to constituent societies. Four
   hundred and twenty-nine critical care providers from 49 countries
   responded to the single e-mail survey request. Respondents included 68%
   physicians and 28% nurses who care for critically ill children.
   Fifty-two percent of respondents reported accessing the Internet at
   least weekly to obtain professional educational information. The five
   highest requests were for educational content on respiratory care
   [mechanical ventilation] (48% [38%]), sepsis (28%), neurology (25%),
   cardiology (14%), extracorporeal membrane oxygenation (10%), and ethics
   (8%). Based on these findings, and in collaboration with researchers in
   adult learning and online courseware, an application was developed and
   is currently being used by 770 registered users in 60 countries.
   Conclusions: We describe here the development and implementation of an
   Internet-based application which is among the first efforts designed to
   promote global knowledge exchange for physicians and nurses caring for
   critically ill children. This application has the potential to evolve
   new methods in postgraduate education. Ongoing assessment of the
   efficacy of Internet-based learning platforms will be necessary.
RI Wolbrink, Traci/T-7211-2019; Kissoon, Niranjan/AAC-6140-2021; Burns, Jeffrey P/AAW-8474-2021; Kissoon, Niranjan/
OI Kissoon, Niranjan/0000-0001-8847-9973
Z8 0
ZA 0
ZS 0
TC 14
ZR 0
ZB 3
Z9 14
U1 0
U2 19
SN 1529-7535
EI 1947-3893
UT WOS:000335331700005
PM 24395000
ER

PT J
AU Kashikar-Zuck, Susmita
   Cunningham, Natoshia
   Sil, Soumitri
   Bromberg, Maggie H.
   Lynch-Jordan, Anne M.
   Strotman, Daniel
   Peugh, James
   Noll, Jennie
   Ting, Tracy V.
   Powers, Scott W.
   Lovell, Daniel J.
   Arnold, Lesley M.
TI Long-Term Outcomes of Adolescents With Juvenile-Onset Fibromyalgia in
   Early Adulthood
SO PEDIATRICS
VL 133
IS 3
BP E592
EP E600
DI 10.1542/peds.2013-2220
PD MAR 2014
PY 2014
AB OBJECTIVE:This prospective longitudinal study examined the long-term
   physical and psychosocial outcomes of adolescents with juvenile-onset
   fibromyalgia (JFM), compared with healthy control subjects, into early
   adulthood.METHODS:Adolescent patients with JFM initially seen at a
   pediatric rheumatology clinic (n = 94) and age- and gender-matched
   healthy control subjects (n = 33) completed online measures of
   demographic characteristics, pain, physical functioning, mood symptoms,
   and health care utilization at approximate to 6 years' follow-up (mean
   age: 21 years). A standard in-person tender-point examination was
   conducted.RESULTS:Patients with JFM had significantly higher pain (P <
   .001), poorer physical function (P < .001), greater anxiety (P < .001)
   and depressive symptoms (P < .001), and more medical visits (P <
   .001)than control subjects. The majority (>80%) of JFM patients
   continued to experience fibromyalgia symptoms into early adulthood, and
   51.1% of the JFM sample met American College of Rheumatology criteria
   for adult fibromyalgia at follow-up. Patients with JFM were more likely
   than control subjects to be married and less likely to obtain a college
   education.CONCLUSIONS: Adolescent patients with JFM have a high
   likelihood of continued fibromyalgia symptoms into young adulthood.
   Those who met criteria for fibromyalgia in adulthood exhibited the
   highest levels of physical and emotional impairment. Emerging
   differences in educational attainment and marital status were also found
   in the JFM group. JFM is likely to be a long-term condition for many
   patients, and this study for the first time describes the wide-ranging
   impact of JFM on a variety of physical and psychosocial outcomes that
   seem to diverge from their same-age peers.
OI Powers, Scott/0000-0002-5348-9650; Sil, Soumitri/0000-0001-7207-0524
ZA 0
ZR 0
Z8 0
ZB 20
TC 71
ZS 1
Z9 71
U1 0
U2 11
SN 0031-4005
EI 1098-4275
UT WOS:000335330700040
PM 24567017
ER

PT J
AU Mittal, Vineeta
   Darnell, Cindy
   Walsh, Brian
   Mehta, Amit
   Badawy, Mohamed
   Morse, Rustin
   Pop, Rodica
   Tidwell, Jerithea
   Sheehan, Maeve
   McDermott, Sandra
   Cannon, Carolyn
   Kahn, Jeffrey
TI Inpatient Bronchiolitis Guideline Implementation and Resource
   Utilization
SO PEDIATRICS
VL 133
IS 3
BP E730
EP E737
DI 10.1542/peds.2013-2881
PD MAR 2014
PY 2014
AB BACKGROUND:Provider-dependent practice variation in children
   hospitalized with bronchiolitis is not uncommon. Clinical practice
   guidelines (CPGs) can streamline practice and reduce utilization
   however, CPG implementation is complex.METHODS:A multidisciplinary team
   developed and implemented CPGs for management of bronchiolitis for
   children <2 years old. Children with comorbidities, ICU admissions, and
   outside hospital transfers were excluded. Implementation involved
   teamwork and collaboration, provider education, online access to CPGs,
   order sets, data sharing, and monthly team meetings. Resource
   utilization was defined as use of chest x-rays (CXRs), antibiotics,
   steroids, and more than 2 doses of inhaled bronchodilator use. Outcome
   metrics included length of stay (LOS) and readmission rate.
   Bronchiolitis season was defined as September to April. Data were
   collected for 2 seasons post implementation.RESULTS:The number
   CPG-eligible patients in the pre- and 2 postimplementation periods were
   similar (1244, preimplementation; 1159, postimplementation season 1;
   1283 postimplementation season 2). CXRs decreased from 59.7% to 45.1% (P
   < .0001) in season 1 to 39% (P < .0001) in season 2. Bronchodilator use
   decreased from 27% to 20% (P < .01) in season 1 to 14% (P < .002) in
   season 2. Steroid use significantly reduced from 19% to 11% (P < .01).
   Antibiotic use did not change significantly (P = .16). LOS decreased
   from 2.3 to 1.8 days (P < .0001) in season 1 and 1.9 days (P < .05) in
   season 2. All-cause 7-day readmission rate did not change (P =
   .45).CONCLUSIONS:Bronchiolitis CPG implementation resulted in reduced
   use of CXRs, bronchodilators, steroids, and LOS without affecting 7-day
   all-cause readmissions.
RI Walsh, Brian K./M-1298-2019; Cannon, Carolyn/AAM-3510-2020; Walsh, Brian Kendall/V-6509-2018
OI Walsh, Brian K./0000-0003-3352-8816; Cannon,
   Carolyn/0000-0002-2491-0389; 
Z8 0
ZS 1
ZB 26
ZR 0
ZA 0
TC 63
Z9 63
U1 0
U2 6
SN 0031-4005
EI 1098-4275
UT WOS:000335330700057
PM 24534398
ER

PT J
AU Fine, Perry G.
   Bradshaw, David H.
   Cohen, Mitchell J.
   Connor, Stephen R.
   Donaldson, Gary
   Gharibo, Christopher
   Gidal, Barry E.
   Muir, James Cameron
   Tselentis, Helen N.
TI Evaluation of the Performance Improvement CME Paradigm for Pain
   Management in the Long-Term Care Setting
SO PAIN MEDICINE
VL 15
IS 3
BP 403
EP 409
DI 10.1111/pme.12339
PD MAR 2014
PY 2014
AB ObjectiveA performance improvement continuing medical education (PI CME)
   activity was designed to assist clinicians with accurately identifying
   and appropriately managing persistent pain in long-term care facility
   (LTCF) residents.
   DesignVolunteer LTCFs participated in a three-stage PI CME model
   consisting of: 1) baseline assessment, 2) implementation of practice
   improvement interventions, and 3) reassessment. Expert faculty chose
   performance measures and interventions for the activity. A champion was
   designated ateach LTCF to collect resident charts and enter data into an
   online database.
   SettingEight LTCFs located across the United States participated in the
   activity.
   PatientsFifty resident charts were randomly selected by each LTCF
   champion (25 for stage 1 and 25 for stage 3); a total of 350 charts were
   reviewed.
   InterventionsIn addition to a toolkit containing numerous performance
   improvement resources, an in-service meeting led by an expert faculty
   member was conducted at each LTCF.
   Outcome MeasuresStage 3 data were collected 6 weeks after implementation
   of interventions and compared with stage 1 baseline data to measure
   change in performance.
   ResultsAggregate data collected from seven LTCFs completing the PI CME
   activity through stage 3 revealed improvements from baseline in four of
   five performance measures.
   ConclusionsThis CME activity allowed for collection of data
   demonstrating performance improvement in persistent pain management. The
   tools used as part of the intervention (available at ) may help other
   clinicians enhance their management of LTCF residents with persistent
   pain.
RI Connor, Stephen R/B-3353-2009
OI Connor, Stephen R/0000-0003-0332-2067
ZA 0
ZS 0
TC 5
ZR 0
Z8 0
ZB 0
Z9 5
U1 0
U2 1
SN 1526-2375
EI 1526-4637
UT WOS:000332318600007
PM 24423103
ER

PT J
AU Silvestre, Jason
   Tomlinson-Hansen, Sandra
   Fosnot, Joshua
   Taylor, Jesse A.
TI Plastic Surgery Residency Websites A Critical Analysis of Accessibility
   and Content
SO ANNALS OF PLASTIC SURGERY
VL 72
IS 3
BP 265
EP 269
DI 10.1097/SAP.0000000000000125
PD MAR 2014
PY 2014
AB Background Medical students applying for plastic surgery residency
   utilize the Internet to manage their residency applications. Applicants
   often apply to many programs and rely on advice from colleagues,
   mentors, and information gathered from plastic surgery residency
   websites (PSRWs). The purpose of the present study was to evaluate
   integrated and combined PSRWs with respect to accessibility, resident
   recruitment, and education.
   Methods Websites from all 63 integrated and combined plastic surgery
   residencies available to graduating medical students during the 2013
   academic year were available for study inclusion. Databases from
   national bodies for plastic surgery education were analyzed for
   accessibility of information. PSRWs were evaluated for comprehensiveness
   in the domains of resident education and recruitment. Residency programs
   were compared according to program characteristics using the Student t
   test and ANOVA with Tukey method.
   Results Of the 63 residencies available to graduating medical students,
   only 57 had combined or integrated program information on their PSRWs
   (90.5%). In the domain of resident recruitment, evaluators found an
   average of 5.5 of 15 content items (36.7%). As a whole, 26.3% of PSRWs
   had academic conference schedules, 17.5% had call schedules, and only
   8.8% had operative case listings. For resident education, PSRWs provided
   an average of 4.6 of 15 content items (30.7%). Only 31.6% of PSRWs had
   interview schedules, 24.6% had graduate fellowship information, and 5.3%
   had information on board exam performance. Upon comparison, programs in
   the Midwest had more online recruitment content than programs in the
   West (47.1% vs. 24.2%, P < 0.01). Additionally, programs with a larger
   class of incoming residents (2 vs. 1) had greater online recruitment
   content (40.0% vs. 26.7%, P < 0.05). Larger programs with 3 integrated
   spots had more online education content than smaller programs with only
   1 integrated spot (40.0% vs. 19.4%, P < 0.01).
   Conclusion PSRWs are often not readily accessible and do not provide
   basic information that allow residency applicants to use this
   recruitment tool effectively. The paucity of online content suggests
   PSRWs are underutilized as an educational and recruitment tool. These
   findings have implications for applicants and plastic surgery residency
   programs, and there may be future opportunity to utilize this tool more
   effectively.
ZA 0
ZB 5
ZS 0
ZR 0
Z8 0
TC 52
Z9 52
U1 0
U2 3
SN 0148-7043
EI 1536-3708
UT WOS:000334767500002
PM 24509136
ER

PT J
AU St-Onge, Maude
   Mandelzweig, Keren
   Marshall, John C.
   Scales, Damon C.
   Granton, John
TI Critical care trainees' career goals and needs: A Canadian survey
SO CANADIAN RESPIRATORY JOURNAL
VL 21
IS 2
BP 93
EP 95
DI 10.1155/2014/520237
PD MAR-APR 2014
PY 2014
AB Background: For training programs to meet the needs of trainees, an
   understanding of their career goals and expectations is required.
   Objectives: Canadian critical care medicine (CCM) trainees were surveyed
   to understand their career goals in terms of clinical work, research,
   teaching, administration and management; and to identify their
   perceptions regarding the support they need to achieve their goals.
   Methods: The online survey was sent to all trainees registered in a
   Canadian adult or pediatric CCM program. It documented the participants'
   demographics; their career expectations; the perceived barriers and
   enablers to achieve their career goals; and their perceptions relating
   to their chances of developing a career in different areas.
   Results : A response rate of 85% (66 of 78) was obtained. The majority
   expected to work in an academic centre. Only approximately one-third
   (31%) estimated their chances of obtaining a position in CCM as >75%.
   The majority planned to devote 25% to 75% of their time performing
   clinical work and <25% in education, research or administration. The
   trainees perceived that there were limited employment opportunities.
   Networking and having specialized expertise were mentioned as being
   facilitators for obtaining employment. They expressed a need for more
   protected time, resources and mentorship for nonclinical tasks during
   training.
   Conclusion: CCM trainees perceived having only limited support to help
   them to achieve their career goals and anticipate difficulties in
   obtaining successful employment. They identified several gaps that could
   be addressed by training programs, including more mentoring in the areas
   of research, education and administration.
RI St-Onge, Maude/B-3066-2015
OI St-Onge, Maude/0000-0001-5157-1442
Z8 0
TC 4
ZR 0
ZB 0
ZA 0
ZS 0
Z9 4
U1 0
U2 1
SN 1198-2241
EI 1916-7245
UT WOS:000334664600008
PM 24724149
ER

PT J
AU Barnett, Stephen
   Jones, Sandra C.
   Caton, Tim
   Iverson, Don
   Bennett, Sue
   Robinson, Laura
TI Implementing a Virtual Community of Practice for Family Physician
   Training: A Mixed-Methods Case Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 16
IS 3
BP 238
EP 250
AR e83
DI 10.2196/jmir.3083
PD MAR 2014
PY 2014
AB Background: GP training in Australia can be professionally isolating,
   with trainees spread across large geographic areas, leading to problems
   with rural workforce retention. Virtual communities of practice (VCoPs)
   may provide a way of improving knowledge sharing and thus reducing
   professional isolation.
   Objective: The goal of our study was to review the usefulness of a
   7-step framework for implementing a VCoP for general practitioner (GP)
   training and then evaluated the usefulness of the resulting VCoP in
   facilitating knowledge sharing and reducing professional isolation.
   Methods: The case was set in an Australian general practice training
   region involving 55 first-term trainees (GPT1s), from January to July
   2012. ConnectGPR was a secure, online community site that included
   standard community options such as discussion forums, blogs, newsletter
   broadcasts, webchats, and photo sharing. A mixed-methods case study
   methodology was used. Results are presented and interpreted for each
   step of the VCoP 7-step framework and then in terms of the outcomes of
   knowledge sharing and overcoming isolation.
   Results: Step 1, Facilitation: Regular, personal facilitation by a group
   of GP trainers with a co-ordinating facilitator was an important factor
   in the success of ConnectGPR. Step 2, Champion and Support: Leadership
   and stakeholder engagement were vital. Further benefits are possible if
   the site is recognized as contributing to training time. Step 3, Clear
   Goals: Clear goals of facilitating knowledge sharing and improving
   connectedness helped to keep the site discussions focused. Step 4, A
   Broad Church: The ConnectGPR community was too narrow, focusing only on
   first-term trainees (GPT1s). Ideally there should be more involvement of
   senior trainees, trainers, and specialists. Step 5, A Supportive
   Environment: Facilitators maintained community standards and encouraged
   participation. Step 6, Measurement Benchmarking and Feedback: Site
   activity was primarily driven by centrally generated newsletter
   feedback. Viewing comments by other participants helped users benchmark
   their own knowledge, particularly around applying guidelines. Step 7,
   Technology and Community: All the community tools were useful, but chat
   was limited and users suggested webinars in future. A larger user base
   and more training may also be helpful. Time is a common barrier. Trust
   can be built online, which may have benefit for trainees that cannot
   attend face-to-face workshops. Knowledge sharing and isolation outcomes:
   28/34 (82%) of the eligible GPT1s enrolled on ConnectGPR. Trainees
   shared knowledge through online chat, forums, and shared photos. In
   terms of knowledge needs, GPT1s rated their need for cardiovascular
   knowledge more highly than supervisors. Isolation was a common theme
   among interview respondents, and ConnectGPR users felt more supported in
   their general practice (13/14, 92.9%).
   Conclusions: The 7-step framework for implementation of an online
   community was useful. Overcoming isolation and improving connectedness
   through an online knowledge sharing community shows promise in GP
   training. Time and technology are barriers that may be overcome by
   training, technology, and valuable content. In a VCoP, trust can be
   built online. This has implications for course delivery, particularly in
   regional areas. VCoPs may also have a specific role assisting overseas
   trained doctors to interpret their medical knowledge in a new context.
RI Jones, Sandra C/D-3854-2011; Bennett, Sue/I-4643-2012; Bennett, Sue/AAR-9616-2021; Robinson, Laura/
OI Jones, Sandra C/0000-0002-0258-3348; Bennett, Sue/0000-0001-9607-6285;
   Bennett, Sue/0000-0001-9607-6285; Robinson, Laura/0000-0002-3409-475X
TC 41
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 41
U1 1
U2 61
SN 1438-8871
UT WOS:000334021200020
PM 24622292
ER

PT J
AU Lang, Patrick O.
   Bickel, Kyle D.
TI Distal Radius Fracturesr: Percutaneous Treatment Versus Open Reduction
   With Internal Fixation
SO JOURNAL OF HAND SURGERY-AMERICAN VOLUME
VL 39
IS 3
BP 546
EP 548
DI 10.1016/j.jhsa.2013.11.039
PD MAR 2014
PY 2014
AB Statement of Need: This (ME activity was developed by the JHS review
   section editors and review article authors as a convenient education
   tool to help increase or affirm reader's knowledge. The overall goal of
   the activity is for participants to evaluate the appropriateness of
   clinical data and apply it to their practice and the provision of
   patient care.
   Accreditation: The ASSH is accredited by the Accreditation Council for
   Continuing Medical Education to provide continuing, Medical education,
   for physicians,
   AMA PRA Credit Designation: the American Society for Surgery of the Hand
   designates this Journal-Based- (ME activity for a maximum of 2.00 "AMA
   PRA Category 1 CreditsTm". Physicians should claim only the credit
   commensurate with the extent of their participation in the activity. A
   SSN Disclaimer: The material presented in this (ME activity is made
   available by the ASSH for educational purposes only. This material is
   not intended to represent the only methods or the best procedures
   appropriate for the medical situation(s) discussed, but rather it it
   intended to present an approach, view, statement, or opinion of the
   authors that may be helpful, or of interest, to other practitioners.
   Examinees agree to participate in this medical education activity,
   sponsored by the ASSN, with full knowledge and awareness that they waive
   any claim thermay have against the ASSH for reliance on any information
   presented. The approval of the US Food and Drug Administration is
   required for procedures and drugs that are considered experimental.
   Instrumentation systems discussed Or reviewed during this educational
   activity May not yet have received FDA approval.
   Provider Information can be found at
   http://www.assh.org/Pages/ContactUs.aspx. Technical Requirements for the
   Online Examination can be found at http://jhandsurg. org/cme/home.
   Privacy Policy can be found at
   http://www.assh.org/pages/ASSHPrivacyPolicy.aspx. 'ASSN Disclosure
   Policy: As a provider accredited by the ACCME, the ASSN most ensure
   balance, independence, objectivity, and scientific rigor in all its
   activities. Disclosures for this Aiticle Editors David C. Ring, MD, PhD,
   has no relevant conflicts of interest to disclose.
   Authors All authors of this journal-based (ME activity have no relevant
   conflicts of interest to disclose. In the printed or PDF version of-this
   article, author affiliations can be found at the bottom of the first
   page. Planners Ghazi M. Rayon, MD, has no relevant conflicts of interest
   to disclose. The editorial and education staff involved with this
   journal-based (ME activity has no relevant conflicts of interest to
   disclose. Learning Objectives Appraise the evidence regarding treatment
   of an unstable distal radius fracture. Discuss the available literature
   relevant to percutaneous pin fixation for a distal radius fracture.
   Review the literature related to external fixation for a distal radius
   fracture. Assess the literature pertinent to internal fixation for a
   distal radius fracture. Compare treatment outcomes for external versus
   internal fixation for a distal radius fracture. Deadline: Each
   examination purchased in 2014 Must be completed by January 31, 2015, to
   'be eligible for (ME. A certificate-will be issued upon completion of
   the activity. Estimated time to complete each month's JHS (ME activity
   is up to 2 hours. Copyright @ 2014 by the American Society for Surgery
   of the Hand. All rights reserved.
ZS 0
Z8 0
ZR 0
TC 2
ZA 0
ZB 0
Z9 2
U1 0
U2 7
SN 0363-5023
EI 1531-6564
UT WOS:000333225000025
PM 24495626
ER

PT J
AU Murphy, Robert F.
   Littleton, Travis W.
   Throckmorton, Thomas W.
   Richardson, David R.
TI Discordance in Current Procedural Terminology Coding for Foot and Ankle
   Procedures Between Residents and Attending Surgeons
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 2
BP 182
EP 185
DI 10.1016/j.jsurg.2013.07.005
PD MAR-APR 2014
PY 2014
AB OBJECTIVE: Because of the importance of current procedural terminology
   (CPT) coding in both resident education evaluation and practice
   management, this study was undertaken to evaluate the correlation and
   interrater reliability between residents and attending physicians in CPT
   boding for orthopedic foot and ankle surgeries as well as to determine
   attending surgeons' and residents' familiarity with and confidence in
   the coding process.
   METHODS: CPT codes from resident case logs were compared with those
   submitted by attending surgeons, and Pearson's correlation coefficient
   and interrater reliability were calculated to examine coding congruency.
   An online survey was also used to examine attending surgeon and resident
   perceptions and habits regarding CPT codes and the coding process.
   RESULTS: CPT codes recorded by 20 residents (1164) were compared with
   those recorded by 3 attending foot and ankle surgeons (1259).
   Correlation between attending and resident codes was poor (r = -0.015).
   Interrater reliability demonstrated a kappa value of 0.04, indicating
   poor agreement. Compared with attending CPT coding, residents
   concordantly coded 42% of the time, with an individual resident range
   from 2% to 65%. Additionally, 43% of residents reported being
   uncomfortable about foot and ankle CPT coding, and they reported rarely
   or never discussing CPT codes with attending surgeons in the
   perioperative period.
   CONCLUSIONS: Resident and attending surgeon concordance in CPT coding
   for foot and ankle procedures is poor, and residents have a low level of
   confidence in logging CPT codes, possibly because of a lack of training
   and preparation in coding. Because CPT coding is used not only for
   practice management but also has implications for evaluating
   institutions by accreditation bodies, educational initiatives to improve
   resident confidence and accuracy with CPT coding may be warranted. (c)
   2014 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.
Z8 0
ZA 0
ZR 0
ZB 0
TC 6
ZS 0
Z9 6
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000333435100009
PM 24602706
ER

PT J
AU Brooks, Kathleen D.
   Acton, Robert D.
   Hemesath, Karla
   Schmitz, Connie C.
TI Surgical Skills Acquisition: Performance of Students Trained in a Rural
   Longitudinal Integrated Clerkship and Those From a Traditional Block
   Clerkship on a Standardized Examination Using Simulated Patients
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 2
BP 246
EP 253
DI 10.1016/j.jsurg.2013.08.008
PD MAR-APR 2014
PY 2014
AB OBJECTIVES: Rural longitudinal integrated clerkship (LIC) programs for
   third-year medical students provide strong educational curricula and can
   nurture interest in rural surgical practice. Students learn technical
   skills in an apprenticeship model. Variability in instruction, and
   patient experiences across sites, coupled with a lack of simulation
   facilities, raise some concerns about technical skill development. To
   explore the adequacy of skills acquisition for students in the
   University of Minnesota Rural Physician Associate Program (RPAP), this
   study compared RPAP students' performance on a scenario-based Objective
   Structured Assessment of Technical Skills (OSATS) with that of
   traditional surgery block clerkship students (Course 7500).
   DESIGN, SEWING, AND PARTICIPANTS: This is a nonexperimental post-only
   study. All enrolled students (n 254) completed the OSATS examination.
   Students in the Course 7500 (n = 222) completed 15 hours of simulation
   skills training and supervised practice during their 6-week clerkship.
   RPAP students (n = 32) completed 3 hours of skills training before their
   9-month rural assignment. Both groups had access to comprehensive Online
   materials. Mean OSATS checklist, global rating, and total scores were
   compared at the end of training using t tests (p < 0.05). Self-reported
   OR and clinical experiences were explored.
   RESULTS: Both groups did well on the OSATS. There were no statistical
   differences in completion time, checklist scores, mean global ratings,
   or total scores. RPAP students reported significantly more days in the
   OR, surgery cases, and first assists. Experience with OSATS tasks
   reported by RPAP students during clinical rotations correlated with
   their OSATS performance.
   CONCLUSION: This study supports the viability of the LIC model for
   fundamental skills acquisition when augmented with introductory
   simulation skills training and online resources. It also suggests that
   simulation fills a training gap for students in a traditional surgery
   block clerkship program. It opens a dialog about the potential
   partnership of surgery departments with rural LICs to address rural
   general surgery shortages. Further research in this aspect is needed.
   (C) 2014 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.
OI Hemesath, Karla/0000-0002-9153-6518
ZB 2
ZS 0
Z8 0
ZA 0
ZR 0
TC 12
Z9 12
U1 0
U2 10
SN 1931-7204
EI 1878-7452
UT WOS:000333435100020
PM 24602717
ER

PT J
AU DeLong, Michael R.
   Hughes, Duncan B.
   Tandon, Vickram J.
   Choi, Bryan D.
   Zenn, Michael R.
TI Factors Influencing Fellowship Selection, Career Trajectory, and
   Academic Productivity among Plastic Surgeons
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 133
IS 3
BP 730
EP 736
DI 10.1097/01.prs.0000438043.98762.51
PD MAR 2014
PY 2014
AB Background: Several factors influence the career trajectory of
   graduating plastic surgeons, and the authors' study sought to capture
   characteristics of plastic surgery trainees as they relate to outcomes,
   including fellowship selection, career choice, and academic
   productivity.
   Methods: Anonymous online survey data were obtained from members of the
   American Society of Plastic Surgeons. Correlative analysis was performed
   implementing the Pearson chi-square test, the Mann-Whitney test, and the
   Kendall tau-b correlation to determine significant correlations defined
   by values of p < 0.05.
   Results: Of 4543 survey invitations sent, a total of 624 plastic
   surgeons (13.7 percent) completed the study. Greater numbers of
   publications on entering residency (p < 0.05) and on graduating from
   residency (p < 0.0001), stronger perceived mentorship during residency
   (p < 0.01), graduating from an integrated program (p < 0.01), and
   fellowship training (p < 0.001) were all correlated with a future career
   in academia. In addition, fellowship training and number of publications
   during and before residency were correlated with eventual academic
   productivity (p < 0.05). Lastly, individual tendency to prioritize
   economics (p < 0.01) or geographic location (p < 0.05) was associated
   with eventual private practice, whereas prioritization of research (p <
   0.01) and culture of training institute (p < 0.001) predicted academic
   careers.
   Conclusions: Graduating plastic surgery residents from integrated
   programs, with greater numbers of publications, stronger mentor
   relationships, and fellowship training were more likely to become
   academic surgeons. Among this academic cohort, fellowship training and
   greater numbers of publications before and during residency were
   significantly correlated with increased academic productivity as an
   attending surgeon.
ZS 1
ZA 0
TC 70
Z8 0
ZR 0
ZB 6
Z9 71
U1 0
U2 4
SN 0032-1052
EI 1529-4242
UT WOS:000333243600074
PM 24572862
ER

PT J
AU Lauer, Anna-Christina
   Reddemann, Andreas
   Meier-Wronski, Claus-Peter
   Bias, Harald
   Goedecke, Karin
   Arendt, Michael
   Peters, Harm
   Gross, Manfred
TI Needlestick and sharps injuries among medical undergraduate students
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 42
IS 3
BP 235
EP 239
DI 10.1016/j.ajic.2013.08.013
PD MAR 2014
PY 2014
AB Background: Needlestick and sharps injuries (NSIs) can cause a
   transmission of bloodborne diseases. In this study, injury rate,
   accident mechanisms, and targets for preventive strategies were
   investigated at a major university hospital hosting different medical
   study programs.
   Methods: In 2009 and 2010, cross-sectional anonymous surveys were
   carried out among medical undergraduate students. Furthermore, all NSIs
   reported to the accident insurer from 2007 to 2010 were analyzed. This
   spans the comprehensive introduction of safety instruments in the
   university hospital in 2008.
   Results: The online survey was completed by 1,214 students in 2009 and
   917 students in 2010. Results show an injury rate of 21.4% per year
   (mean value). Accidents are mostly related to vein puncture, surgical
   procedures, and instrument disposal. Comparing 2 parallel medical
   programs, the educational curriculum using objective structured clinical
   examinations, which are associated with significantly lower NSI
   incidences. The rate of under-reporting is 53% (mean value). Analysis of
   the injury reports made to the accident insurer showed a 50% decrease in
   NSIs surrounding the introduction of safe instruments.
   Conclusion: Undergraduate medical students are at high risk of NSIs.
   Safe instruments and university instructions can prevent NSIs. Reporting
   procedures should be part of medical undergraduate training. Copyright
   (C) 2014 by the Association for Professionals in Infection Control and
   Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
RI Peters, Harm/AAE-5643-2019; Peters, Harm/
OI Peters, Harm/0000-0003-1441-7512
TC 21
Z8 0
ZB 5
ZS 0
ZA 0
ZR 0
Z9 21
U1 0
U2 11
SN 0196-6553
EI 1527-3296
UT WOS:000332311500006
PM 24387948
ER

PT J
AU Hansberry, David R.
   John, Ann
   John, Elizabeth
   Agarwal, Nitin
   Gonzales, Sharon F.
   Baker, Stephen R.
TI A Critical Review of the Readability of Online Patient Education
   Resources From RadiologyInfo.Org
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 202
IS 3
BP 566
EP 575
DI 10.2214/AJR.13.11223
PD MAR 2014
PY 2014
AB OBJECTIVE. Health consumers and their families rely on the Internet as a
   source of authoritative information regarding the procedures used to
   reach a diagnosis, effect treatment, and influence prognosis. In
   radiology, online materials can be a means by which to offer patients
   comprehensible explanations of the capabilities, the risks and rewards,
   and the techniques under our purview. Consequently, estimations of
   health literacy should take into account the reading level of the
   average American when composing and transmitting such information to the
   lay public without the mediation of a referring physician.
   MATERIALS AND METHODS. In December 2012, patient education reports from
   the files of RadiologyInfo. org, a jointly sponsored website of the
   American College of Radiology and the Radiological Society of North
   America, were downloaded to assess their textual sophistication. All 138
   patient education articles including the glossary were analyzed for
   their respective level of " readability" using the following 10
   evaluative scales: Flesch Reading Ease, Flesch-Kincaid Grade Level,
   Simple Measure of Gobbledygook Grading, ColemanLiau Index, Gunning Fog
   Index, New Dale-Chall scale, FORCAST, Fry graph, Raygor Readability
   Estimate, and New Fog Count.
   RESULTS. The 138 online patient education articles were written, on
   average, between the 10th and 14th grade levels, which exceeds both the
   American Medical Association and the National Institutes of Health
   recommendations that patient education resources be comprehensible to
   those who read no higher than the seventh grade level.
   CONCLUSION. Patients may accrue a greater benefit from written articles
   available on RadiologyInfo. org if the texts were revised to be in
   compliance with the National Institutes of Health and American Medical
   Association grade level recommendations. This could lead to a broadened
   appreciation of the capabilities of radiology's role in general and
   enhanced understanding of imaging techniques and their application to
   clinical practice.
Z8 0
ZR 0
ZB 8
ZS 0
TC 52
ZA 0
Z9 52
U1 0
U2 9
SN 0361-803X
EI 1546-3141
UT WOS:000332510900032
PM 24555593
ER

PT J
AU Ghobrial, George M.
   Mehdi, Angud
   Maltenfort, Mitchell
   Sharan, Ashwini D.
   Harrop, James S.
TI Variability of patient spine education by Internet search engine
SO CLINICAL NEUROLOGY AND NEUROSURGERY
VL 118
BP 59
EP 64
DI 10.1016/j.clineuro.2013.12.013
PD MAR 2014
PY 2014
AB Background: Patients are increasingly reliant upon the Internet as a
   primary source of medical information. The educational experience varies
   by search engine, search term, and changes daily. There are no tools for
   critical evaluation of spinal surgery websites.
   Purpose: To highlight the variability between common search engines for
   the same search terms. To detect bias, by prevalence of specific kinds
   of websites for certain spinal disorders. Demonstrate a simple scoring
   system of spinal disorder website for patient use, to maximize the
   quality of information exposed to the patient.
   Study design: Ten common search terms were used to query three of the
   most common search engines. The top fifty results of each query were
   tabulated. A negative binomial regression was performed to highlight the
   variation across each search engine.
   Results: Google was more likely than Bing and Yahoo search engines to
   return hospital ads (P=0.002) and more likely to return scholarly sites
   of peer-reviewed lite (P= 0.003). Educational web sites, surgical group
   sites, and online web communities had a significantly higher likelihood
   of returning on any search, regardless of search engine, or search
   string (P= 0.007). Likewise, professional websites, including hospital
   run, industry sponsored, legal, and peer-reviewed web pages were less
   likely to be found on a search overall, regardless of engine and search
   string (P= 0.078).
   Conclusion: The Internet is a rapidly growing body of medical
   information which can serve as a useful tool for patient education. High
   quality information is readily available, provided that the patient uses
   a consistent, focused metric for evaluating online spine surgery
   information, as there is a clear variability in the way search engines
   present information to the patient. Published by Elsevier B.V.
ZS 0
ZA 0
ZB 2
Z8 0
ZR 0
TC 14
Z9 14
U1 0
U2 4
SN 0303-8467
EI 1872-6968
UT WOS:000332920300013
PM 24529231
ER

PT J
AU Meyer, M. F.
   Bacher, R.
   Roth, K. S.
   Beutner, D.
   Luers, J. C.
TI Systematic analysis of the readability of patient information on
   websites of German nonuniversity ENT hospitals
SO HNO
VL 62
IS 3
BP 186
EP +
DI 10.1007/s00106-013-2799-8
PD MAR 2014
PY 2014
AB Besides their function as one of the main contact points, websites of
   hospitals serve as medical information portals. All patients should be
   able to understand medical information texts; regardless of their
   literacy skills and educational level. Online texts should thus have an
   appropriate structure to ease their comprehension.
   Patient information texts on every German nonuniversity ENT hospital
   website (n = 125) were systematically analysed. For ten different ENT
   topics a representative medical information text was extracted from each
   website. Using objective text parameters and five established
   readability indices, the texts were analysed in terms of their
   readability and structure. Furthermore, we stratified the analysis in
   relation to the hospital organisation system and geographical region in
   Germany.
   Texts from 142 internet sites could be used for the definite analysis.
   On average, texts consisted of 15 sentences and 237 words. Readability
   indices congruously showed that the analysed texts could generally only
   be understood by a well-educated or even academic reader.
   The majority of patient information texts on German hospital websites
   are difficult to understand for most patients. In order to fulfil their
   goal of adequately informing the general population about disease,
   therapeutic options and the particular focal points of the clinic, a
   revision of most medical texts on the websites of German ENT hospitals
   is recommended.
RI Luers, Jan Christoffer/AAB-8330-2020
OI Luers, Jan Christoffer/0000-0002-8273-2234
ZS 0
ZA 0
TC 5
ZR 0
Z8 0
ZB 0
Z9 5
U1 0
U2 12
SN 0017-6192
EI 1433-0458
UT WOS:000332799100007
PM 24610087
ER

PT J
AU Singh, Pritam
   Aggarwal, Rajesh
   Darzi, Ara
TI Review of Selected National Surgical Curricula: Quantity is Not the Sole
   Marker of Quality
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 2
BP 229
EP 240
DI 10.1016/j.jsurg.2013.07.015
PD MAR-APR 2014
PY 2014
AB BACKGROUND: Despite marked global variations in length and structure of
   surgical training programs, their common end product is a trained
   surgeon capable of independent practice. If variations exist, yet the
   end product is similar, modifications to curricula could potentially
   enhance the quality and efficiency of surgical training. This review
   evaluates global general surgery training programs and compares their
   curricula against the established standards for assessment of curricula.
   METHODS: A convenience sampling method was employed during an online
   search for nationally recognized general surgery curricula. Curricula of
   Australia, Canada, Hong Kong, the United Kingdom, and the United States
   of America were individually reviewed and subsequently evaluated against
   the General Medical Council's "Standards for curricula and assessment
   systems."
   RESULTS: Postgraduate surgical training is completed in 5 years in
   Canada and the United States, whereas this takes a minimum of 7, 7, and
   10 years in Australia, Hong Kong, and the United Kingdom, respectively.
   However, when their general surgery curricula are objectively compared,
   they are remarkably similar. The principle disparities noted were in
   documentation and standardization of the structured in-training
   assessment system.
   CONCLUSIONS: This review highlights variations in the structure of
   general surgery training programs globally. There is a need for an
   objective method to assess training quality, not reliant upon quantity
   alone. An evidence-based approach is the gold standard in patient care;
   it is essential to invest resources into developing an evidence-based
   curricular approach to ensure surgical training quality can be
   accurately evaluated to maintain and enhance the standards. (C) 2014
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
TC 5
Z9 5
U1 0
U2 2
SN 1931-7204
EI 1878-7452
UT WOS:000333435100018
PM 24602715
ER

PT J
AU DeMarco, Mario P.
   Bream, Kent D. W.
   Klusaritz, Heather A.
   Margo, Katherine
TI Comparison of Textbook to fmCases on Family Medicine Clerkship Exam
   Performance
SO FAMILY MEDICINE
VL 46
IS 3
BP 174
EP 179
PD MAR 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: The use of online learning with virtual cases
   has become commonplace in medical education. A series of fmCASES has
   been developed to assist with learning for clerkship students in family
   medicine. It has not been shown whether this series of cases improves
   student learning during their clerkship compared to traditional learning
   modalities.
   METHODS: We designed an intervention study to replace the traditional
   family medicine clerkship textbook with the fmCASES curriculum at one
   medical school. We then compared two consecutive cohorts of family
   medicine clerkship students by examining their performance on overall
   and small groups of exam questions at the end of the clerkship.
   RESULTS: Data were obtained for 95% of students across the 2-year study.
   Overall performance on the end of clerkship exam was unchanged with the
   transition to fmCASES. Student performance was variable based on subject
   area and source of examination question.
   CONCLUSIONS: Using a set of online cases to replace a traditional
   textbook did not change overall performance on the end-of-clerkship
   assessment. However, our findings suggest that students demonstrated
   proficiency in answering questions that came from the sources they
   studied from. This finding should be considered when curricula
   transition to greater use of online learning resources.
RI Bream, Kent/AAB-6556-2022
OI Bream, Kent/0000-0002-5592-3625
ZS 0
ZR 0
ZA 0
Z8 0
ZB 0
TC 6
Z9 6
U1 0
U2 2
SN 0742-3225
EI 1938-3800
UT WOS:000332753800003
PM 24652634
ER

PT J
AU Choudhury, Noura
   Khanwalkar, Ashoke
   Kraninger, Jennifer
   Vohra, Adam
   Jones, Kohar
   Reddy, Shalini
TI Peer Mentorship in Student-Run Free Clinics: The Impact on Preclinical
   Education
SO FAMILY MEDICINE
VL 46
IS 3
BP 204
EP 208
PD MAR 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: Our study examines the perceptions of
   first-year medical students (MS1s) toward fourth-year colleagues (MS4s)
   in student-run free clinics to investigate the impact of peer mentorship
   on augmenting the clinical education received by MS1s in a primary care
   setting. To our knowledge, this is the first study examining the impact
   of MS4 mentorship in free clinics.
   METHODS: A 55-item online questionnaire was administered to MS1s 9
   months after matriculation in April 2012. Questions focused on MS1
   perceptions of MS4 impact on comfort with patients, self-reported
   improvement in clinical skills, and overall satisfaction with mentorship
   in free clinics. The MS4s referenced in the questionnaire were enrolled
   in a longitudinal service-learning elective. Results were analyzed using
   one-sample Wilcoxon sign-ranked median test and ordered logistic
   regression with STATA software.
   RESULTS: Fifty-five of 77 (71.4%) eligible students began the online
   survey, with 48 (62.3%) completing it. Responses reflected experiences
   at four student-run free clinics. Overall, MS4 presence improved MS1
   comfort with patients and enhanced interactions with attendings. MS1s
   were satisfied with the level of MS4 mentorship and agreed that MS4s had
   a distinct mentoring role from attendings. Ordered logistic regression
   showed that presence of MS4s was significantly associated with
   self-reported improvements to physical exam skills at one clinic
   CONCLUSIONS: At each clinic, MS1s reported improved comfort with
   patients and satisfaction with mentorship received from MS4s. MS4s did
   not merely duplicate the role of attending physicians but enhanced
   interactions between MS1s and physicians. This suggests that the
   consistent presence of MS4s is a valuable adjunct to the educational
   experience of free clinics volunteering for MS1s.
OI Vohra, Adam/0000-0002-7417-6346
TC 11
ZR 0
ZA 0
ZB 0
Z8 0
ZS 0
Z9 11
U1 1
U2 12
SN 0742-3225
EI 1938-3800
UT WOS:000332753800008
PM 24652639
ER

PT J
AU Gordon, Adam Lee
   Blundell, Adrian
   Dhesi, Jugdeep K.
   Forrester-Paton, Calum
   Forrester-Paton, Jayne
   Mitchell, Hannah K.
   Bracewell, Nicola
   Mjojo, Jocelyn
   Masud, Tahir
   Gladman, John R. F.
TI UK medical teaching about ageing is improving but there is still work to
   be done: the Second National Survey of Undergraduate Teaching in Ageing
   and Geriatric Medicine
SO AGE AND AGEING
VL 43
IS 2
BP 293
EP 297
DI 10.1093/ageing/aft207
PD MAR 2014
PY 2014
AB Introduction: in 2008, a UK national survey of undergraduate teaching
   about ageing and geriatric medicine identified deficiencies, including
   failure to adequately teach about elder abuse, pressure ulcers and bio-
   and social gerontology. We repeated the survey in 2013 to consider
   whether the situation had improved.
   Method: the deans of all 31 UK medical schools were invited to nominate
   a respondent with an overview of their undergraduate curriculum.
   Nominees were invited by email and letter to complete an online
   questionnaire quantifying topics taught, type of teaching and assessment
   undertaken, and the amount of time spent on teaching.
   Results: one school only taught pre-clinical medicine and declined to
   participate. Of the 30 remaining schools, 20 responded and 19 provided
   analysable data. The majority of the schools (95-100%) provided teaching
   in delirium, dementia, stroke, falls, osteoporosis, extra-pyramidal
   disorders, polypharmacy, incontinence, ethics and mental capacity. Only
   68% of the schools taught about elder abuse. Thirty-seven per cent
   taught a recognised classification of the domains of health used in
   Comprehensive Geriatric Assessment (CGA). The median (range) total time
   spent on teaching in ageing and geriatric medicine was 55.5 (26-192) h.
   There was less reliance on informal teaching and improved assessment:
   teaching ratios compared with the 2008 survey.
   Conclusions: there was an improvement in teaching and assessment of
   learning outcomes in ageing and geriatric medicine for UK undergraduates
   between 2008 and 2013. However, further work is needed to increase the
   amount of teaching time devoted to ageing and to improve teaching around
   elder abuse and the domains of health used in CGA.
RI Gordon, Adam/C-3934-2018; Dhesi, Jugdeep/K-5631-2019; Gladman, John/M-7429-2015; Mitchell, Hannah Katherine/
OI Gordon, Adam/0000-0003-1676-9853; Dhesi, Jugdeep/0000-0003-0815-0233;
   Gladman, John/0000-0002-8506-7786; Mitchell, Hannah
   Katherine/0000-0002-4153-7424
ZR 0
TC 38
ZB 8
ZA 0
Z8 0
ZS 0
Z9 38
U1 1
U2 14
SN 0002-0729
EI 1468-2834
UT WOS:000332028600028
PM 24375323
ER

PT J
AU Emery, Sherry
   Aly, Eman H.
   Vera, Lisa
   Alexander, Robert L., Jr.
TI Tobacco Control in a Changing Media Landscape How Tobacco Control
   Programs Use the Internet
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 46
IS 3
BP 293
EP 296
DI 10.1016/j.amepre.2013.11.005
PD MAR 2014
PY 2014
AB Background: More than 80% of U.S. adults use the Internet, 65% of online
   adults use social media, and more than 60% use the Internet to find and
   share health information.
   Purpose: State tobacco control campaigns could effectively harness the
   powerful, inexpensive online messaging opportunities. Characterizing
   current Internet presence of state-sponsored tobacco control programs is
   an important first step toward informing such campaigns.
   Methods: A research specialist searched the Internet for state-sponsored
   tobacco control resources and social media presence for each state in
   2010 and 2011, to develop a resource inventory and observe change over 6
   months. Data were analyzed and websites coded for interactivity and
   content between July and October 2011.
   Results: Although all states have tobacco control websites, content and
   interactivity of those sites remain limited. State tobacco control
   program use of social media appears to be increasing over time.
   Conclusions: Information presented on the Internet by state-sponsored
   tobacco control programs remains modest and limited in interactivity,
   customization, and search engine optimization. These programs could take
   advantage of an important opportunity to communicate with the public
   about the health effects of tobacco use and available community
   cessation and prevention resources.
Z8 1
ZR 0
ZA 0
TC 5
ZB 0
ZS 0
Z9 6
U1 0
U2 11
SN 0749-3797
EI 1873-2607
UT WOS:000331591700010
PM 24512869
ER

PT J
AU Sohmer, Benjamin
   Hudson, Christopher
   Hudson, Jordan
   Posner, Glenn D.
   Naik, Viren
TI Transesophageal echocardiography simulation is an effective tool in
   teaching psychomotor skills to novice echocardiographers
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 61
IS 3
BP 235
EP 241
DI 10.1007/s12630-013-0081-x
PD MAR 2014
PY 2014
AB Performance of transesophageal echocardiography (TEE) requires the
   psychomotor ability to obtain interpretable echocardiographic images.
   The purpose of this study was to determine the effectiveness of a
   simulation-based curriculum in which a TEE simulator is used to teach
   the psychomotor skills to novice echocardiographers and to compare
   instructor-guided with self-directed online delivery of the curriculum.
   After institutional review board approval, subjects inexperienced in TEE
   completed an online review of TEE material prior to a baseline pre-test
   of TEE psychomotor skills using the simulator. Subjects were randomized
   to two groups. The first group received an instructor-guided lesson of
   TEE psychomotor skills with the simulator. The second group received a
   self-directed slide presentation of TEE psychomotor skills with the
   simulator. Both lessons delivered identical information. Following their
   respective training sessions, all subjects performed a post-test of
   their TEE psychomotor skills using the simulator. Two assessors rated
   the TEE performances using a validated scoring system for acquisition of
   images.
   Pre-test TEE simulator scores were similar between the two instruction
   groups (9.0 vs 5.0; P = 0.28). The scores in both groups improved
   significantly following training, regardless of the method of
   instruction (P < 0.0001). The improvement in scores (post-test scores
   minus pre-test scores) did not differ significantly between instruction
   groups (12.5 vs 14.5; P = 0.55). There was strong inter-rater
   reliability between assessors (alpha = 0.98; 95% confidence interval
   [CI]: 0.97 to 0.99).
   High-fidelity TEE simulators are an effective training adjunct for the
   acquisition of basic TEE psychomotor skills. There was no difference in
   improvement between the different modalities of instruction. Further
   research will examine the need for a faculty resource for a curriculum
   in which a simulator is used as an adjunct.
ZS 0
ZR 0
Z8 0
TC 20
ZA 0
ZB 4
Z9 20
U1 0
U2 7
SN 0832-610X
EI 1496-8975
UT WOS:000331998500004
PM 24271567
ER

PT J
AU Houwink, Elisa J. F.
   van Teeffelen, Sarah R.
   Muijtjens, Arno M. M.
   Henneman, Lidewij
   Jacobi, Florijn
   van Luijk, Scheltus J.
   Dinant, Geert Jan
   van der Vleuten, Cees
   Cornel, Martina C.
TI Sustained effects of online genetics education: a randomized controlled
   trial on oncogenetics
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 22
IS 3
BP 310
EP 316
DI 10.1038/ejhg.2013.163
PD MAR 2014
PY 2014
AB Medical professionals are increasingly expected to deliver genetic
   services in daily patient care. However, genetics education is
   considered to be suboptimal and in urgent need of revision and
   innovation. We designed a Genetics e-learning Continuing Professional
   Development (CPD) module aimed at improving general practitioners'
   (GPs') knowledge about oncogenetics, and we conducted a randomized
   controlled trial to evaluate the outcomes at the first two levels of the
   Kirkpatrick framework (satisfaction, learning and behavior). Between
   September 2011 and March 2012, a parallel-group, pre- and post-retention
   (6-month follow-up) controlled group intervention trial was conducted,
   with repeated measurements using validated questionnaires. Eighty Dutch
   GP volunteers were randomly assigned to the intervention or the control
   group. Satisfaction with the module was high, with the three item's
   scores in the range 4.1-4.3 (5-point scale) and a global score of 7.9
   (10-point scale). Knowledge gains post test and at retention test were
   0.055 (P < 0.05) and 0.079 (P < 0.01), respectively, with moderate
   effect sizes (0.27 and 0.31, respectively). The participants appreciated
   applicability in daily practice of knowledge aspects (item scores
   3.3-3.8, five-point scale), but scores on self-reported identification
   of disease, referral to a specialist and knowledge about the
   possibilities/limitations of genetic testing were near neutral (2.7-2.8,
   five-point scale). The Genetics e-learning CPD module proved to be a
   feasible, satisfactory and clinically applicable method to improve
   oncogenetics knowledge. The educational effects can inform further
   development of online genetics modules aimed at improving physicians'
   genetics knowledge and could potentially be relevant internationally and
   across a wider range of potential audiences.
RI Cornel, Martina/AAE-8955-2020; Henneman, Lidewij/; van der Vleuten, Cees/; Houwink, Isa/; Cornel, Martina/
OI Henneman, Lidewij/0000-0003-3531-0597; van der Vleuten,
   Cees/0000-0001-6802-3119; Houwink, Isa/0000-0002-9927-7266; Cornel,
   Martina/0000-0002-5397-5544
ZB 18
ZR 0
Z8 0
ZS 0
ZA 0
TC 35
Z9 35
U1 0
U2 20
SN 1018-4813
EI 1476-5438
UT WOS:000331393700006
PM 23942200
ER

PT J
AU Smith, Claire F.
   Martinez-Alvarez, Concepcion
   McHanwell, Stephen
TI The context of learning anatomy: does it make a difference?
SO JOURNAL OF ANATOMY
VL 224
IS 3
SI SI
BP 270
EP 278
DI 10.1111/joa.12089
PD MAR 2014
PY 2014
AB This study set out to ascertain whether the context in which anatomy is
   learnt made a difference to students' perceptions of learning. An
   Approach to Learning Inventory (ASSIST) and a 31-item Anatomy Learning
   Experience Questionnaire (ALE) were administered to 224 students (77
   dental, 132 medical and 19 speech and language) as a multi-site study.
   Results revealed that 45% adopted a strategic, 39% a deep and 14% a
   surface approach. Trends between professions are similar for a deep or
   strategic approach (both similar to 40%). However, a surface approach
   differed between professions (7% dentistry, 16% medicine, 26% speech and
   language science). Dental students responded more to being able to use
   their knowledge than did other groups (P=0.0001). Medical students found
   the dissecting environment an intimidating one and subsequently reported
   finding online resources helpful (P=0.015 and P=0.003, respectively).
   Speech and language science students reported that they experienced
   greater difficulties with learning anatomy; they reported finding the
   amount to learn daunting (P=0.007), struggled to remember what they did
   last semester (P=0.032) and were not confident in their knowledge base
   (P=0.0001). All students responded strongly to the statement I feel that
   working with cadaveric material is an important part of becoming a
   doctor/dentist/health care professional'. A strong response to this
   statement was associated with students adopting a deep approach
   (P=0.0001). This study has elucidated that local curriculum factors are
   important in creating an enabling learning environment. There are also a
   number of generic issues that can be identified as being inherent in the
   learning of anatomy as a discipline and are experienced across courses,
   different student groups and institutions.
OI MARTINEZ ALVAREZ, MARIA CONCEPCION/0000-0002-8089-3173
ZA 0
ZS 1
ZR 0
Z8 0
TC 45
ZB 5
Z9 46
U1 0
U2 13
SN 0021-8782
EI 1469-7580
UT WOS:000331098100004
PM 23930933
ER

PT J
AU Sawdon, Marina
   Finn, Gabrielle
TI The 'unskilled and unaware' effect is linear in a real-world setting
SO JOURNAL OF ANATOMY
VL 224
IS 3
SI SI
BP 279
EP 285
DI 10.1111/joa.12072
PD MAR 2014
PY 2014
AB Self-assessment ability in medical students and practising physicians is
   generally poor, yet essential for academic progress and professional
   development. The aim of this study was to determine undergraduate
   medical students' ability to self-assess their exam performance
   accurately in a real-world, high-stakes exam setting, something not
   previously investigated. Year 1 and Year 2 medical students (n=74)
   participated in a self-assessment exercise. Students predicted their
   exam grade (%) on the anatomy practical exam. This exercise was
   completed online immediately after the exam. Students' predicted exam
   grades were correlated with their actual attained exam grades using a
   Pearson's correlation. Demographic data were analysed using an
   independent t-test. A negative correlation was found between students'
   overall predicted and attained exam grades (P<0.0001). There was a
   significant difference between the students' predicted grades and actual
   grades in the bottom, 3rd and top (P<0.0001), but not 2nd quartiles of
   participants. There was no relationship between the students' entry
   status into medical school and self-assessment ability (Year 1: P=0.112;
   Year 2: P=0.236) or between males and females (Year 1: P=0.174).
   However, a relationship was determined for these variables in Year 2
   (P=0.022). The number of hours of additional self-directed learning
   undertaken did not influence students' self-assessment in both years.
   Our results demonstrate the unskilled and unaware' phenomenon in a
   real-world, high-stakes and practice-related setting. Students in all
   quartiles were unable to self-assess their exam performance, except for
   a group of mid-range students in the 2nd quartile. Poor performers were
   shown to overestimate their ability and, conversely, high achievers to
   underestimate their performance. We present evidence of a strong,
   significant linear relationship between medical students' ability to
   self-assess their performance in an anatomy practical exam, and their
   actual performance; in a real world setting. Despite the limited ability
   to self-assess reported in the literature, our results may inform
   approaches to revalidation, which currently frequently rely on an
   ability to self-assess.
RI Finn, Gabrielle Maria/AAL-6366-2020; Finn, Gabrielle/; Sawdon, Marina/
OI Finn, Gabrielle/0000-0002-0419-694X; Sawdon, Marina/0000-0002-8668-257X
TC 17
ZS 0
ZR 0
ZB 3
Z8 0
ZA 0
Z9 17
U1 0
U2 5
SN 0021-8782
EI 1469-7580
UT WOS:000331098100005
PM 23781887
ER

PT J
AU Scott, Jonathan L.
   Moxham, Bernard J.
   Rutherford, Stephen M.
TI Building an open academic environment - a new approach to empowering
   students in their learning of anatomy through 'Shadow Modules'
SO JOURNAL OF ANATOMY
VL 224
IS 3
SI SI
BP 286
EP 295
DI 10.1111/joa.12112
PD MAR 2014
PY 2014
AB Teaching and learning in anatomy is undertaken by a variety of
   methodologies, yet all of these pedagogies benefit from students
   discussing and reflecting upon their learning activities. An approach of
   particular potency is peer-mediated learning, through either
   peer-teaching or collaborative peer-learning. Collaborative,
   peer-mediated, learning activities help promote deep learning approaches
   and foster communities of practice in learning. Students generally
   flourish in collaborative learning settings but there are limitations to
   the benefits of collaborative learning undertaken solely within the
   confines of modular curricula. We describe the development of
   peer-mediated learning through student-focused and student-led study
   groups we have termed Shadow Modules'. The Shadow Module' takes place
   parallel to the formal academically taught module and facilitates
   collaboration between students to support their learning for that
   module. In Shadow Module' activities, students collaborate towards
   curating existing online open resources as well as developing learning
   resources of their own to support their study. Through the use of
   communication technologies and Web 2.0 tools these resources are able to
   be shared with their peers, thus enhancing the learning experience of
   all students following the module. The Shadow Module activities have the
   potential to lead to participants feeling a greater sense of engagement
   with the subject material, as well as improving their study and
   group-working skills and developing digital literacy. The outputs from
   Shadow Module collaborative work are open-source and may be utilised by
   subsequent student cohorts, thus building up a repository of learning
   resources designed by and for students. Shadow Module activities would
   benefit all pedagogies in the study of anatomy, and support students
   moving from being passive consumers to active participants in learning.
OI Scott, Jonathan Lee/0000-0003-2368-8218
Z8 0
ZS 0
ZB 1
ZR 0
TC 15
ZA 0
Z9 15
U1 2
U2 43
SN 0021-8782
EI 1469-7580
UT WOS:000331098100006
PM 24117249
ER

PT J
AU Dyar, Oliver J.
   Pulcini, Celine
   Howard, Philip
   Nathwani, Dilip
CA ESGAP
TI European medical students: a first multicentre study of knowledge,
   attitudes and perceptions of antibiotic prescribing and antibiotic
   resistance
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 69
IS 3
BP 842
EP 846
DI 10.1093/jac/dkt440
PD MAR 2014
PY 2014
AB Objectives: To learn about medical students' knowledge of and
   perspectives on antibiotic prescribing and resistance, with the aim of
   helping to develop educational programmes.
   Methods: Final-year students at seven European medical schools were
   invited to participate in an online survey in 2012.
   Results: The response rate was 35% (338/961). Most students (74%) wanted
   more education on choosing antibiotic treatments. Students at all
   schools felt most confident in diagnosing an infection and least
   confident in choosing combination therapies, choosing the correct dose
   and interval of administration and not prescribing in cases of
   diagnostic uncertainty. Students felt that too many prescriptions and
   too much broad-spectrum antibiotic use were the most important
   contributors to resistance; some (24%) believed poor hand hygiene was
   not at all important. Most students (92%) believed that resistance is a
   national problem. Most (66%) felt that the antibiotics they would
   prescribe would contribute to resistance, and almost all (98%) felt that
   resistance would be a greater problem in the future. Most students (83%)
   incorrectly thought that rates of methicillin-resistant Staphylococcus
   aureus (MRSA) bacteraemia had significantly increased over the past
   decade in their countries. There was little appreciation of the relative
   burden of resistance in Europe compared with road traffic accidents
   (around two to three times greater mortality) and lung cancer (around 10
   times greater mortality).
   Conclusions: Students wanted further education on antibiotic
   prescribing, and areas of lack of confidence were found. Students
   overestimated the current burden of resistant bacteria and were unaware
   of successes in reducing MRSA infections. Educational and stewardship
   programmes may benefit from including more cases of diagnostic
   uncertainty, and highlighting successes such as MRSA prevention, as
   evidence for the importance of current interventions.
RI Pagani, Leonardo/K-1885-2019; Howard, Philip/I-8217-2014
OI Pagani, Leonardo/0000-0002-2553-9147; Howard, Philip/0000-0002-5096-0240
ZR 0
ZA 0
TC 115
ZB 55
ZS 3
Z8 0
Z9 116
U1 0
U2 19
SN 0305-7453
EI 1460-2091
UT WOS:000331827200041
PM 24191307
ER

PT J
AU Williams, Olajide
   Hecht, Mindy F.
   DeSorbo, Alexandra L.
   Huq, Saima
   Noble, James M.
TI Effect of a Novel Video Game on Stroke Knowledge of 9-to 10-Year-Old,
   Low-Income Children
SO STROKE
VL 45
IS 3
BP 889
EP 892
DI 10.1161/STROKEAHA.113.002906
PD MAR 2014
PY 2014
AB Background and Purpose Improving actionable stroke knowledge of a
   witness or bystander, which in some cases are children, may improve
   response to an acute stroke event.
   Methods We used a quasiexperimental pre-test post-test design to
   evaluate actionable stroke knowledge of 210 children aged 9 to 10 years
   in response to a single, 15-minute exposure to a stroke education video
   game conducted in the school computer laboratory. After immediate
   post-test, we provided remote password-protected online video game
   access and encouraged children to play at their leisure from home. An
   unannounced delayed post-test occurred 7 weeks later.
   Results Two hundred ten children completed pretest, 205 completed
   immediate post-test, whereas 198 completed delayed post-test. One
   hundred fifty-six (74%) children had Internet access at home, and 41
   (26%), mostly girls, played the video game remotely. There was
   significant improvement in stroke symptom composite scores, calling 911,
   and all individual stroke knowledge items, including a distractor across
   the testing sequence (P<0.05). Children who played the video game
   remotely demonstrated significant improvement in knowledge of 1 symptom
   (sudden imbalance) compared with children who did not (P<0.05), although
   overall composite scores showed no difference.
   Conclusions Stroke education video games may represent novel means for
   improving and sustaining actionable stroke knowledge of children.
RI Noble, James McCallum/AAA-4218-2020
OI Noble, James McCallum/0000-0003-0648-6702
ZS 1
TC 17
Z8 0
ZB 3
ZR 0
ZA 0
Z9 17
U1 0
U2 10
SN 0039-2499
EI 1524-4628
UT WOS:000331876800059
PM 24481976
ER

PT J
AU Longmuir, Kenneth J.
TI Interactive computer-assisted instruction in acid-base physiology for
   mobile computer platforms
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 38
IS 1
BP 34
EP 41
DI 10.1152/advan.00083.2013
PD MAR 2014
PY 2014
AB In this project, the traditional lecture hall presentation of acid-base
   physiology in the first-year medical school curriculum was replaced by
   interactive, computer-assisted instruction designed primarily for the
   iPad and other mobile computer platforms. Three learning modules were
   developed, each with similar to 20 screens of information, on the
   subjects of the CO2-bicarbonate buffer system, other body buffer
   systems, and acid-base disorders. Five clinical case modules were also
   developed. For the learning modules, the interactive, active learning
   activities were primarily step-by-step learner control of explanations
   of complex physiological concepts, usually presented graphically. For
   the clinical cases, the active learning activities were primarily
   question-and-answer exercises that related clinical findings to the
   relevant basic science concepts. The student response was remarkably
   positive, with the interactive, active learning aspect of the
   instruction cited as the most important feature. Also, students cited
   the self-paced instruction, extensive use of interactive graphics, and
   side-by-side presentation of text and graphics as positive features.
   Most students reported that it took less time to study the subject
   matter with this online instruction compared with subject matter
   presented in the lecture hall. However, the approach to learning was
   highly examination driven, with most students delaying the study of the
   subject matter until a few days before the scheduled examination. Wider
   implementation of active learning computer-assisted instruction will
   require that instructors present subject matter interactively, that
   students fully embrace the responsibilities of independent learning, and
   that institutional administrations measure instructional effort by
   criteria other than scheduled hours of instruction.
ZA 0
TC 19
ZB 2
ZR 0
ZS 2
Z8 0
Z9 20
U1 0
U2 26
SN 1043-4046
EI 1522-1229
UT WOS:000332413500006
PM 24585467
ER

PT J
AU Spandorfer, John
   Puklus, Tanya
   Rose, Victoria
   Vahedi, Mithaq
   Collins, Lauren
   Giordano, Carolyn
   Schmidt, Richard
   Braster, Chris
TI Peer Assessment Among First Year Medical Students in Anatomy
SO ANATOMICAL SCIENCES EDUCATION
VL 7
IS 2
BP 144
EP 152
DI 10.1002/ase.1394
PD MAR 2014
PY 2014
AB Peer assessment has been shown to be an effective tool to promote
   professionalism in medical students. Peer assessment may be particularly
   useful in anatomy dissection laboratory as the required close
   collaboration and long hours of anatomy laboratory provide students
   insights into their peers' work habits and interpersonal skills. The
   objective of this study was to quantitatively and qualitatively analyze
   the use of a validated peer assessment tool in Gross Anatomy. Students
   in a first year medical school class evaluated three members of their
   dissection group using an online survey tool. The mid-course and
   end-of-course evaluation included open-ended comments, as well as a
   five-point scale that measured three work habits, two interpersonal
   attributes and one overall score. All 267 students completed the
   assignment. The overall score and four of the five other assessed
   categories showed significant improvement from the mid- to end-of-course
   evaluations. Quantitative and qualitative data also revealed significant
   improvement among the students who received the lowest mid-course
   assessments. Seventy-six percent of the class agreed with the statement:
   Based on the feedback I received, I made a change in how I worked with
   or taught my peers. The use of this peer assessment tool used by
   students in anatomy was associated with improvements in work habits and
   interpersonal attributes, particularly by the cohort of students who
   received the lowest mid-course feedback. Peer assessment offers students
   an opportunity to improve their interpersonal skills and work habits.
   Anat Sci Educ 7: 144-152. (c) 2013 American Association of Anatomists.
ZS 0
ZB 2
TC 25
Z8 0
ZA 0
ZR 0
Z9 25
U1 1
U2 26
SN 1935-9772
EI 1935-9780
UT WOS:000331878900008
PM 23959790
ER

PT J
AU Gardner, S. P.
   Roberts-Thomson, K. F.
TI The effect of a change in selection procedures on students' motivation
   to study dentistry
SO AUSTRALIAN DENTAL JOURNAL
VL 59
IS 1
BP 2
EP 8
DI 10.1111/adj.12141
PD MAR 2014
PY 2014
AB BackgroundThe aim of this study was to determine whether changes in
   student selection criteria at The University of Adelaide effected a
   change in motivation and influencing factors to study dentistry by
   comparing cohorts.
   MethodsOnline questionnaire completed by first-year dentistry students
   at The University of Adelaide between 1993-1996 and 1997-2005.
   ResultsAll 666 students completed the questionnaire with 647 suitable
   for analysis. The likelihood of students being motivated for a career in
   dentistry because it fits with family' was greater for the 1997-2005
   cohort (OR = 1.68, 95% CI = 1.14-2.49, p<0.01) than it was for 1993-1996
   enrollees, whereas status' became less important (OR = 0.47, 95% CI =
   0.30-0.73, p<0.01). Being influenced by a dentist (OR = 2.41, 95% CI =
   1.63-3.55, p<0.001) or a dental employee (OR = 3.19, 95% CI = 0.90-4.85,
   p<0.001) was much greater for the 1997-2005 group than it was for the
   1993-1996 cohort. Where students came from, parents' level of education
   and gender were not significant in the multivariate analysis of factors
   associated with motivation and influences of students' career choice.
   ConclusionsChanges to the selection procedure were associated with
   increased emphasis on lifestyle factors and the dental profession, but
   not with the desire to help people or the importance of the work itself
   in students' decision to study dentistry.
ZR 0
ZB 0
ZS 0
Z8 0
TC 6
ZA 0
Z9 6
U1 0
U2 7
SN 0045-0421
EI 1834-7819
UT WOS:000331801300002
PM 24495269
ER

PT J
AU Thiruthaneeswaran, N.
   Turner, S.
   Milross, C.
   Gogna, K.
TI Promoting a Research Culture among Junior Radiation Oncologists:
   Outcomes from the Introduction of the Australian and New Zealand
   Research Requirement in Training
SO CLINICAL ONCOLOGY
VL 26
IS 3
BP 162
EP 173
DI 10.1016/j.clon.2013.12.007
PD MAR 2014
PY 2014
AB Aim: Since 2005, radiation oncology trainees in Australia and New
   Zealand have had to undertake a piece of original research during
   training, and submit a manuscript, as first author, for senior
   peer-review. Satisfactory completion of this requirement is one
   component of eligibility to sit the Royal Australian and New Zealand
   College of Radiologists Fellowship examinations. The purpose of this
   study was to examine the value of this curriculum requirement, including
   the publication rates and potential barriers to trainee research.
   Materials and methods: An online survey was sent to 116 radiation
   oncologists/trainees who trained since the mandatory research
   requirement was introduced (2005-2011). Questions concerned research
   topics, publications, subsequent research activity, perceptions on
   barriers to research and aids to conducting research during training. A
   web-based search of PubMed by author name was carried out to complete
   and verify publication statistics.
   Results: In total, 108 (93.1%) of the 116 trainees across 20 centres who
   submitted their research papers to the Radiation Oncology Faculty
   Research Committee were successful in meeting the required standard
   first time. Half of these trainees ultimately published their paper in a
   peer-reviewed journal. Of trainees responding to the survey, 62%
   presented their research at a scientific meeting. Most of the studies
   were either retrospective (62.3%) or dosimetry/physics projects (10.1%).
   The main problems encountered in conducting projects were competing
   clinical commitments and lack of dedicated research time. Notably, long
   ethics approval processes, lack of supervision and statistical support
   for projects were not considered barriers.
   Conclusion: This mandatory research requirement ensures trainees
   initiate and complete at least one project during their training. Since
   the introduction of this curriculum component, half of the research
   projects have resulted in publication in a peer-reviewed journal.
   Increased 'protected time' and training in scientific writing and
   methods may improve publication rates and quality. This first review of
   the Australian and New Zealand radiation oncology trainee research
   requirement highlights areas that need to be addressed to further
   support and foster a research culture among junior radiation
   oncologists. Crown Copyright (C) 2014 Published by Elsevier Ltd on
   behalf of The Royal College of Radiologists. All rights reserved.
RI GOGNA, Nirdosh/D-5055-2012; Milross, Chris G/G-7556-2015; Thiruthaneeswaran, Niluja/
OI Thiruthaneeswaran, Niluja/0000-0002-0253-0895
ZB 1
TC 14
ZS 0
Z8 0
ZA 0
ZR 0
Z9 14
U1 0
U2 4
SN 0936-6555
EI 1433-2981
UT WOS:000330725800009
PM 24447718
ER

PT J
AU Grant, Arthur C.
   Abdel-Baki, Samah G.
   Weedon, Jeremy
   Arnedo, Vanessa
   Chari, Geetha
   Koziorynska, Ewa
   Lushbough, Catherine
   Maus, Douglas
   McSween, Tresa
   Mortati, Katherine A.
   Reznikov, Alexandra
   Omurtag, Ahmet
TI EEG interpretation reliability and interpreter confidence: A large
   single-center study
SO EPILEPSY & BEHAVIOR
VL 32
BP 102
EP 107
DI 10.1016/j.yebeh.2014.01.011
PD MAR 2014
PY 2014
AB The intrarater and interrater reliability (I&IR) of EEG interpretation
   has significant implications for the value of EEG as a diagnostic tool.
   We measured both the intrarater reliability and the interrater
   reliability of EEG interpretation based on the interpretation of
   complete EEGs into standard diagnostic categories and rater confidence
   in their interpretations and investigated sources of variance in EEG
   interpretations. During two distinct time intervals, six board-certified
   clinical neurophysiologists classified 300 EEGs into one or more of
   seven diagnostic categories and assigned a subjective confidence to
   their interpretations. Each EEG was read by three readers. Each reader
   interpreted 150 unique studies, and 50 studies were re-interpreted to
   generate intrarater data. A generalizability study assessed the
   contribution of subjects, readers, and the interaction between subjects
   and readers to interpretation variance. Five of the six readers had a
   median confidence of >= 99%, and the upper quartile of confidence values
   was 100% for all six readers. Intrarater Cohen's kappa (kappa(c)) ranged
   from 0.33 to 0.73 with an aggregated value of 0.59. Cohen's kappa ranged
   from 0.29 to 0.62 for the 15 reader pairs, with an aggregated Fleiss
   kappa of 0.44 for interrater agreement. Cohen's kappa was not
   significantly different across rater pairs (chi-square = 17.3, df = 14,
   p = 0.24). Variance due to subjects (i.e., EEGs) was 65.3%, due to
   readers was 3.9%, and due to the interaction between readers and
   subjects was 30.8%. Experienced epileptologists have very high
   confidence in their EEG interpretations and low to moderate I&IR, a
   common paradox in clinical medicine. A necessary, but insufficient,
   condition to improve EEG interpretation accuracy is to increase
   intrarater and interrater reliability. This goal could be accomplished,
   for instance, with an automated online application integrated into a
   continuing medical education module that measures and reports EEG I&IR
   to individual users. (C) 2014 Elsevier Inc. All rights reserved.
OI Maus, Douglas/0000-0002-8195-8637; OMURTAG, AHMET/0000-0002-3773-8506
ZB 29
TC 63
ZR 1
ZA 0
Z8 0
ZS 0
Z9 64
U1 0
U2 11
SN 1525-5050
EI 1525-5069
UT WOS:000332398600020
PM 24531133
ER

PT J
AU Beattie, Jill
   Brady, Lisa
   Tobias, Tracey
TI Improving Clinician Confidence and Skills: Piloting a Web-Based Learning
   Program for Clinicians in Supportive Care Screening of Cancer Patients
SO JOURNAL OF CANCER EDUCATION
VL 29
IS 1
BP 38
EP 43
DI 10.1007/s13187-013-0539-0
PD MAR 2014
PY 2014
AB Lean thinking and quality improvement processes identified a need to
   develop and implement a short concise web-based program for clinicians
   to increase their confidence and skills in supportive care screening of
   cancer patients. An independent pretest-posttest design evaluated the
   program which consisted of three modules, a self-directed learning quiz,
   and multimedia. Questionnaires were completed anonymously via
   SurveyMonkeyA (R). There was an increase in mean scores from pre- to
   post-program in perceived knowledge (pre M = 1.97 SD = .847; post M =
   3.05 SD = .486; 3 months M = 2.72 SD = .575), educational preparedness
   (pre M = 2.33 SD = .957; post M = 3.45 SD = .510; 3 months M = 3.05 SD =
   .486), and confidence (pre M = 2.39 SD = .998; post M = 3.32 SD = .646;
   3 months M = 3.28 SD = .826), indicating improvement in readiness to
   implement supportive care screening. The number of participants using
   the tool increased from 57.57 % pre-program to 77.78 % 3 months
   post-program. Overall, participants agreed that screening elicited more
   patient information (post M = 3.82 SD = 1.006; 3 months M = 3.83 SD =
   .786) and would assist in addressing patients' supportive care needs
   (post M = 4.00 SD.926; 3 months M = 3.94 SD = .998). It was unclear
   whether they had made more appropriate referrals as a result of their
   participation in the program (post M = 3.29 SD = 1.102; 3 months M =
   3.11 SD = .963). The majority of participants agreed that the web-based
   program provided the required information to implement supportive care
   screening (post M = 3.83 SD = 1.032; 3 months M = 3.61 SD = .702), and
   that the quiz helped their learning (post M = 3.68 SD = 1.041; 3 months
   M = 3.65 SD = .702). This pilot indicates that provision of a short
   concise web-based program may improve clinicians' confidence and skills
   to implement supportive care screening with cancer patients. A larger
   matched-group pretest-posttest study is recommended.
Z8 0
ZS 0
TC 4
ZR 0
ZA 0
ZB 0
Z9 4
U1 1
U2 8
SN 0885-8195
EI 1543-0154
UT WOS:000330972900010
PM 23996207
ER

PT J
AU Buriak, Susan E.
   Potter, Jennifer
TI Impact of an Online Survivorship Primer on Clinician Knowledge and
   Intended Practice Changes
SO JOURNAL OF CANCER EDUCATION
VL 29
IS 1
BP 114
EP 121
DI 10.1007/s13187-013-0556-z
PD MAR 2014
PY 2014
AB The number of adult cancer survivors in the USA is expected to double by
   the year 2050. A call for increased survivorship care and provider
   training came from the Institute of Medicine (IOM) in the form of a
   landmark report in 2006. A shortage of physicians complicates the burden
   of survivorship care. The purpose of this effort was to design, develop,
   and evaluate a fully accredited, evidence-based continuing medical
   education (CME) and continuing education (CE) intervention to address
   the established knowledge gap for breast cancer, prostate cancer,
   colorectal cancer, and non-Hodgkin lymphoma survivorship education.
   Delivered through the Medscape Education (WebMD) platform, the course
   covered epidemiology, survivor issues, and currently available
   guidelines using illustrative patient cases. Knowledge gain was
   evaluated using a pretest-posttest design. Program evaluation was
   assessed by survey. Additional areas examined included post-intervention
   inquiry regarding expected changes to clinical practice. The results of
   this educational intervention demonstrated the effectiveness of
   internet-based CME/CE for cancer survivorship. Learning gain was
   significant (p < 0.0005). Effect size (d = 1.71) suggested extremely
   high practical significance, as the difference between the means was
   larger than 1 standard deviation. Significant knowledge gains were
   observed for each survivorship knowledge question across all clinical
   specialties studied. Nearly 100 % of participants agreed that the course
   contributed to survivorship care and was organized effectively.
   Participants reported that the course was designed effectively (97.2 %),
   and 68.1 % responded in favor of adopting alternative communication
   strategies with patients and families upon completion of the course.
ZR 0
TC 8
Z8 0
ZA 0
ZB 0
ZS 0
Z9 8
U1 0
U2 5
SN 0885-8195
EI 1543-0154
UT WOS:000330972900022
PM 24104208
ER

PT J
AU Zarin-Pass, M.
   Belkora, J.
   Volz, S.
   Esserman, L.
TI Making Better Doctors: A Survey of Premedical Interns Working as Health
   Coaches
SO JOURNAL OF CANCER EDUCATION
VL 29
IS 1
BP 167
EP 174
DI 10.1007/s13187-013-0565-y
PD MAR 2014
PY 2014
AB We operate a decision support program in a medical center in San
   Francisco. In this program, postbaccalaureate, premedical interns
   deliver decision and communication, aids to patients. We asked whether
   working in this program helped these premedical interns develop key
   physician competencies. To measure physician competencies, we adopted
   the standards of the Accreditation Committee on Graduate Medical
   Education (ACGME), which accredits residency programs in the USA. The
   ACGME competencies are patient care, medical knowledge, practice-based
   learning, interpersonal and communication skills, professionalism, and
   systems-based practice. We developed a survey for our program alumni to
   rate themselves on a scale from 0 (none) to 100 (perfect) on each
   competency, before and after their time in our program. The survey also
   solicited free-text comments regarding each competency. In June 2012, we
   e-mailed all 47 alumni a link to our online survey and then analyzed
   responses received by July 15, 2012. We visually explored the
   distributions of ratings and compared medians. We selected the most
   specific and concrete comments from the qualitative responses.
   Respondents (21/47 or 45 %) reported that their participation in
   Decision Services increased their competencies across the board.
   Qualitative comments suggest that this is because students accompanied
   patients on their clinic journeys (seeing multiple facets of the systems
   of care) while also actively facilitating patient physician
   communication. Providing decision support can improve self-ratings of
   crucial physician competencies. Educators should consider deploying
   premedical and medical students as decision support coaches to increase
   competencies through experiential learning.
OI Belkora, Jeffrey/0000-0002-0719-4325
ZB 0
ZS 0
ZR 0
Z8 0
TC 4
ZA 0
Z9 4
U1 0
U2 17
SN 0885-8195
EI 1543-0154
UT WOS:000330972900029
PM 24163016
ER

PT J
AU Bhalla, Varun K.
   Bolduc, Aaron
   Lewis, Frank
   NeSmith, Elizabeth
   Hogan, Christopher
   Edmunds, Jennifer S.
   Hentges, Traci B.
   Medeiros, Regina S.
   Holsten, Steven B.
TI Verification of Resident Bedside-Procedure Competency by Intensive Care
   Nursing Staff
SO JOURNAL OF TRAUMA NURSING
VL 21
IS 2
BP 57
EP 60
DI 10.1097/JTN.0000000000000030
PD MAR-APR 2014
PY 2014
AB Background: Recent efforts by the Accreditation Council for Graduate
   Medical Education to standardize resident education and demonstrate
   objective clinical proficiency have led toward more accurate
   documentation of resident competencies. Particularly with regard to
   bedside procedures, hospitals are now requiring certification of
   competency before allowing a provider to perform them independently. The
   current system at our institution uses a time-consuming, online
   verification system. This study provided an alternative method through
   an identification card with a list of bedside procedures. Our aim was an
   easier verification method for nurses, allowing fewer delays of bedside
   procedures and more time for nursing to patient care. Methods: We
   performed a prospective, controlled study, using general surgical
   residents and surgical intensive care nurses. Subjects performed an
   initial survey of their experience with the current online system in
   place to identify resident bedside procedure competency. Phase I
   involved educating the subjects about this current system followed by
   another survey. Phase II involved introducing our proficiency card.
   After 3 months, we conducted a final survey to evaluate opinions on the
   proficiency card, comparing it with the online verification method.
   Results: Nursing postintervention responses indicated that significantly
   less time was required to validate a resident's proficiency (P=.04).
   Prior to the introduction of the proficiency card, only 15% of nurses
   reported a verification time of 5 minutes or less, compared with 64%
   postintervention. In addition, nurses rated the card validation as an
   easier, more efficient method of verification (P=.02). Conclusions: We
   believe that its continued use will not only improve the adherence to a
   mandatory hospital policy but also result in a less-cumbersome
   verification process, allowing more time for physician and
   nurse-to-patient care.
ZS 0
ZR 0
Z8 0
ZB 0
ZA 0
TC 3
Z9 3
U1 0
U2 2
SN 1078-7496
EI 1932-3883
UT WOS:000349636300006
PM 24614293
ER

PT J
AU Eloy, Jean Anderson
   Mady, Leila J.
   Svider, Peter F.
   Mauro, Kevin M.
   Kalyoussef, Evelyne
   Setzen, Michael
   Baredes, Soly
   Chandrasekhar, Sujana S.
TI Regional Differences in Gender Promotion and Scholarly Productivity in
   Otolaryngology
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 150
IS 3
BP 371
EP 377
DI 10.1177/0194599813515183
PD MAR 2014
PY 2014
AB Objectives
   To identify whether regional differences exist in gender disparities in
   scholarly productivity and faculty rank among academic
   otolaryngologists.
   Study Design and Setting
   Academic otolaryngologists' bibliometric data analyses.
   Methods
   Online faculty listings from 98 otolaryngology departments were
   organized by gender, academic rank, fellowship training status, and
   institutional location. The Scopus database was used to assess
   bibliometrics of these otolaryngologists, including the h-index, number
   of publications, and publication experience.
   Results
   Analysis included 1127 otolaryngologists, 916 men (81.3%) and 211 women
   (18.7%). Female faculty comprised 15.4% in the Midwest, 18.8% in the
   Northeast, 21.3% in the South, and 19.0% in the West (P = .44). Overall,
   men obtained significantly higher senior academic ranks (associate
   professor or professor) compared to women (59.8% vs 40.2%, P < .0001).
   Regional gender differences in senior faculty were found in the South
   (59.8% men vs 37.3% women, P = .0003) and Northeast (56.4% men vs 24.1%
   women, P < .0001) with concomitant gender differences in scholarly
   impact, as measured by the h-index (South, P = .0003; Northeast, P =
   .0001). Among geographic subdivisions, female representation at senior
   ranks was lowest in the Mid-Atlantic (22.0%), New England (30.8%), and
   West South Central (33.3%), while highest in Pacific (60.0%) and
   Mountain (71.4%) regions. No regional gender differences were found in
   fellowship training patterns (P-values > .05).
   Conclusion
   Gender disparities in academic rank and scholarly productivity exist
   most notably in the Northeast, where women in otolaryngology are most
   underrepresented relative to men at senior academic ranks and in
   scholarly productivity.
TC 34
ZB 4
ZR 0
ZA 0
ZS 0
Z8 0
Z9 34
U1 1
U2 21
SN 0194-5998
EI 1097-6817
UT WOS:000331705800008
PM 24356877
ER

PT J
AU File, Wilson
   Bylund, Carma L.
   Kesselheim, Jennifer
   Leonard, David
   Leavey, Patrick
TI Do Pediatric Hematology/Oncology (PHO) Fellows Receive Communication
   Training?
SO PEDIATRIC BLOOD & CANCER
VL 61
IS 3
BP 502
EP 506
DI 10.1002/pbc.24742
PD MAR 2014
PY 2014
AB PurposeThe Accreditation Council for Graduate Medical Education (ACGME)
   has established communication as a core competency for physicians in
   training. However, data suggest that most pediatric residents perceive
   inadequate training in the delivery of bad news and the majority of
   former trainees in pediatric oncology received no formal training in the
   delivery of bad news during fellowship. The study examines communication
   training in ACGME accredited US pediatric hematology-oncology (PHO)
   fellowship programs.
   MethodsAn online survey was distributed to 315 PHO fellows in training
   via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow
   email registry. Each fellow received an initial request to participate
   and 2 reminders, while participation was encouraged through a random
   incentive drawing.
   ResultsOne hundred and ten fellows (35%) responded. Eighty percent of
   respondents perceived communication training to be important to fellow
   education, however only 32% reported receiving communication training
   (other than direct observation). The most common reported teaching
   method of fellowship communication training was formal lecture (42%).
   Twenty-three percent of respondents reported neither communication
   training nor frequent feedback on their communication skills from
   faculty observation. This same group was the least satisfied with their
   programs' approach to teaching communication (P<0.001).
   ConclusionsThere is limited communication training in PHO fellowships
   despite ACGME requirements and fellows' interest in this training.
   Didactic learning remains the most frequently described training method,
   yet educational theory identifies the limitation of didactic lectures
   alone. Communication training employing novel teaching methods and
   emphasizing communication challenges identified by fellows should be
   developed and evaluated. Pediatr Blood Cancer 2014;61:502-506. (c) 2013
   Wiley Periodicals, Inc.
ZS 1
Z8 0
ZB 10
ZA 0
ZR 0
TC 27
Z9 27
U1 0
U2 8
SN 1545-5009
EI 1545-5017
UT WOS:000329585300019
PM 24039096
ER

PT J
AU Parish, Carrigan L
   Singer, Richard
   Abel, Stephen
   Metsch, Lisa R
TI Addressing the oral healthcare needs of special needs children:
   pediatric nurses' self-perceived effectiveness.
SO Special care in dentistry : official publication of the American
   Association of Hospital Dentists, the Academy of Dentistry for the
   Handicapped, and the American Society for Geriatric Dentistry
VL 34
IS 2
BP 88
EP 95
DI 10.1111/scd.12035
PD 2014 Mar-Apr
PY 2014
AB OBJECTIVES: To examine the oral health knowledge and practices of
   pediatric nurses who coordinate healthcare services for special needs
   children and to identify those factors that influenced their perceived
   effectiveness in managing their patients' oral health needs.
   METHODS: Self-reported data were collected from 376 nurses employed at
   Children's Medical Services who responded to an online survey. Likert
   scale scores were used to specifically assess the nurses' perceived
   effectiveness in addressing the oral health needs of special needs
   children.
   RESULTS: Characteristics significantly associated with special needs
   pediatric nurses who described themselves as "effective or very
   effective" included: the self-perception of being very knowledgeable
   about basic oral health, receiving four or more hours of continuing
   education training, and securing dental appointments for the majority of
   their pediatric special needs patients with minimal waiting times.
   CONCLUSION: Findings reveal that oral health knowledge significantly
   influenced nurses' perceived effectiveness in addressing the oral health
   needs of special needs children, as well as their ability to secure
   timely dental appointments. These results support the need to
   incorporate oral health education into nursing curricula and expand upon
   the dental workforce available and willing to treat disabled patients.
RI Singer, D.M.D., M.S., Ph.D., Richard/AAE-8195-2022
OI Singer, D.M.D., M.S., Ph.D., Richard/0000-0002-1754-7438
ZB 0
TC 4
ZS 0
ZR 0
Z8 0
ZA 0
Z9 4
U1 1
U2 2
EI 1754-4505
UT MEDLINE:24588493
PM 24588493
ER

PT J
AU Vassiliou, Melina C.
   Dunkin, Brian J.
   Fried, Gerald M.
   Mellinger, John D.
   Trus, Thadeus
   Kaneva, Pepa
   Lyons, Calvin
   Korndorffer, James R., Jr.
   Ujiki, Michael
   Velanovich, Vic
   Kochman, Michael L.
   Tsuda, Shawn
   Martinez, Jose
   Scott, Daniel J.
   Korus, Gary
   Park, Adrian
   Marks, Jeffrey M.
TI Fundamentals of endoscopic surgery: creation and validation of the
   hands-on test
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 28
IS 3
BP 704
EP 711
DI 10.1007/s00464-013-3298-4
PD MAR 2014
PY 2014
AB The Fundamentals of Endoscopic Surgery (TM) (FES) program consists of
   online materials and didactic and skills-based tests. All components
   were designed to measure the skills and knowledge required to perform
   safe flexible endoscopy. The purpose of this multicenter study was to
   evaluate the reliability and validity of the hands-on component of the
   FES examination, and to establish the pass score.
   Expert endoscopists identified the critical skill set required for
   flexible endoscopy. They were then modeled in a virtual reality
   simulator (GI Mentor (TM) II, Simbionix (TM) Ltd., Airport City, Israel)
   to create five tasks and metrics. Scores were designed to measure both
   speed and precision. Validity evidence was assessed by correlating
   performance with self-reported endoscopic experience (surgeons and
   gastroenterologists [GIs]). Internal consistency of each test task was
   assessed using Cronbach's alpha. Test-retest reliability was determined
   by having the same participant perform the test a second time and
   comparing their scores. Passing scores were determined by a contrasting
   groups methodology and use of receiver operating characteristic curves.
   A total of 160 participants (17 % GIs) performed the simulator test.
   Scores on the five tasks showed good internal consistency reliability
   and all had significant correlations with endoscopic experience. Total
   FES scores correlated 0.73, with participants' level of endoscopic
   experience providing evidence of their validity, and their internal
   consistency reliability (Cronbach's alpha) was 0.82. Test-retest
   reliability was assessed in 11 participants, and the intraclass
   correlation was 0.85. The passing score was determined and is estimated
   to have a sensitivity (true positive rate) of 0.81 and a 1-specificity
   (false positive rate) of 0.21.
   The FES hands-on skills test examines the basic procedural components
   required to perform safe flexible endoscopy. It meets rigorous standards
   of reliability and validity required for high-stakes examinations, and,
   together with the knowledge component, may help contribute to the
   definition and determination of competence in endoscopy.
RI korndorffer, james/ABE-3143-2020; Korndorffer, James/; Fried, Gerald/; Mellinger, John/
OI Korndorffer, James/0000-0002-0508-6339; Fried,
   Gerald/0000-0001-6434-0555; Mellinger, John/0000-0002-4230-311X
Z8 0
ZB 5
ZA 0
TC 77
ZR 0
ZS 0
Z9 77
U1 0
U2 10
SN 0930-2794
EI 1432-2218
UT WOS:000331961500002
PM 24253562
ER

PT J
AU Hoffmann, Henry
   Dell-Kuster, Salome
   Rosenthal, Rachel
TI Medical students' career expectations and interest in opting for a
   surgical career
SO SWISS MEDICAL WEEKLY
VL 144
AR w13932
DI 10.4414/smw.2014.13932
PD FEB 24 2014
PY 2014
AB BACKGROUND: Whilst surgery will face an imminent workforce shortage, an
   increasing majority of students decide against a surgical career. This
   study evaluated the current career expectations of medical students and
   tested a hands-on virtual reality (VR) intervention as a tool to
   increase their interest in surgery.
   METHODS: Randomly selected medical students of the University of Basel
   received a short questionnaire to rank their interest in five different
   postgraduate working environments prior to a lecture. After the lecture
   they participated in a hands-on VR demonstration. Thereafter an online
   questionnaire regarding workplace expectations, surgery and VR was sent
   to the students.
   RESULTS: The online questionnaire response rate was 87% (225/258).
   Before using the VR intervention, a nonsurgical career was preferred by
   the majority of students, followed by a surgical career,
   cross-disciplinary specialties, research and, finally, nonclinical work.
   Surgery (n = 99, 44%) and emergency medicine (n = 111, 49%) were rated
   as incompatible with a good work-life balance. Further drawbacks to
   surgery were apprehension of competitive mentality, unclear career
   perspectives and longer working hours. The VR intervention had limited
   impact on re-ranking the five working sectors and slightly increased the
   students' interest in surgery.
   CONCLUSION: Students' work environment expectations, their declining
   interest in a surgical career and the increasing need for surgeons
   represent challenges for surgical societies to address, in order to
   improve the attractiveness of surgery amongst students. VR sessions may
   be integrated as part of the actions required to improve students'
   interest in a surgical career and should be further evaluated within
   controlled study designs.
RI Dell-Kuster, Salome/H-4259-2017; Dell-Kuster, Salome/P-2653-2019
OI Dell-Kuster, Salome/0000-0001-7219-7138; Dell-Kuster,
   Salome/0000-0001-7219-7138
ZB 0
ZS 0
TC 4
ZA 0
ZR 0
Z8 0
Z9 4
U1 0
U2 6
SN 1424-7860
EI 1424-3997
UT WOS:000331942100002
PM 24567266
ER

PT J
AU Taye, Bineyam
TI Online discussion for block teaching in postgraduate health
   professionals' curriculum: the Ethiopian experience
SO BMC MEDICAL EDUCATION
VL 14
AR 29
DI 10.1186/1472-6920-14-29
PD FEB 12 2014
PY 2014
AB Background: Online discussions as a method of instruction are a new
   approach in Ethiopia. There is no previous study in the Ethiopian
   context that has assessed students' engagement and learning experience
   using this instruction method, which may offer a valuable complement to
   other instruction methods for intensive block teaching in a
   resource-limited environment. The aim of this study was to assess the
   value of online discussions in supporting students' engagement and
   interaction with their peers and teachers in a block teaching
   postgraduate health professionals' curriculum.
   Methods: The research was conducted at Addis Ababa University College of
   Health Sciences, School of Medical Laboratory Sciences (SMLS), which has
   structured the curriculum around intensive block teaching. Between
   December 2011 and February 2012, two groups of full-time (N = 21) and
   part-time (N = 52) postgraduate students participated in online
   discussions as part of a Biostatistics and Research Methods module, in
   addition to other instructional methods. Every week, the course
   instructor initiated the online discussion by posting an assignment and
   articles with a few discussion questions. To evaluate the participants'
   collective learning experience, the content of the email messages
   generated during these online discussions was analyzed qualitatively.
   Result: A total of 702 emails were exchanged during the three week
   module, of which 250 emails (35.6%) were posted by full-time students
   and 452 emails (64.4%) by part-time Continuing Education Program (CEP)
   students. During the online discussion forum, students identified
   different statistical data analysis tools and their application for
   given data sets. In terms of message contents, 67% of full-time and 64%
   of part-time students' messages were classified as learning experiences.
   However, a slightly higher proportion of part-time students' posts were
   social messages. The majority of students in both groups reported high
   levels of satisfaction with their online experience.
   Conclusion: Online discussion could be a valuable addition to
   face-to-face classroom teaching to improve students' engagement and
   interaction in an intensive block teaching postgraduate curriculum where
   learners are engaged in a full work load with academic studies.
TC 5
ZR 0
ZS 1
Z8 0
ZB 0
ZA 0
Z9 5
U1 1
U2 11
SN 1472-6920
UT WOS:000334383600001
PM 24521146
ER

PT J
AU Falavigna, Asdrubal
   Botelho, Ricardo Vieira
   Teles, Alisson Roberto
   da Silva, Pedro Guarise
   Martins, Delio
   Guyot, Juan Pablo
   Gonzalez, Alvaro Silva
   Jimenez Avila, Jose Maria
   Aparecido Defino, Helton Luiz
TI Twelve Years of Scientific Production on Medline by Latin American Spine
   Surgeons
SO PLOS ONE
VL 9
IS 2
AR e87945
DI 10.1371/journal.pone.0087945
PD FEB 5 2014
PY 2014
AB Background: Despite the small contribution of LA in the Science Citation
   Index (SCI), a growing contribution by LA research to international
   literature has been observed in recent years.
   Study Design: Systematic review.
   Purpose: To evaluate the scientific contribution of Latin American (LA)
   Spine Surgeons in the last decade.
   Methods: A literature search of publications by LA spinal surgeons on
   topics concerning the spine or spinal cord was performed using an online
   database; Pubmed.gov. The results were limited to articles published
   from January 2000 to December 2011. The quality of the publication was
   evaluated with the journal impact factor (IF), Oxford classification and
   number of citations.
   Results: This study comprised 320 articles published in the Medline
   database by LA spine surgeons from 2000 to 2011. In recent years, there
   has been an increase in the number of publications by LA spine surgeons.
   It was observed that 38.4% of LA papers were published in LA journals.
   46.6% of the articles were published in journals with an IF lower than
   1, and there was no statistically significant difference in the number
   of articles published in journals with a higher IF during the period.
   Linear-by-linear association analysis demonstrated an improvement in the
   level of evidence provided by LA articles published in recent years.
   Conclusions: This study showed a growth in the number of publications in
   last 12 years by LA spinal surgeons. It is necessary to discuss a way to
   increase quantity and quality of scientific publications, mainly through
   a better education in research.
RI Filho, Delio Eulalio Martins/AAN-9742-2021; Teles, Alisson R./U-5661-2018; Martins, Delio E/B-2809-2013; Falavigna, Asdrubal/H-5123-2012; Avila, José María Jiménez/AAZ-2463-2020; Defino, Helton/O-1928-2013; Guyot, Juan Pablo/
OI Filho, Delio Eulalio Martins/0000-0001-5510-3507; Teles, Alisson
   R./0000-0003-2169-8156; Martins, Delio E/0000-0001-5510-3507; Falavigna,
   Asdrubal/0000-0002-0016-3198; Defino, Helton/0000-0003-4274-0130; Guyot,
   Juan Pablo/0000-0001-6524-4426
TC 7
ZA 0
Z8 0
ZS 0
ZR 0
ZB 2
Z9 7
U1 0
U2 5
SN 1932-6203
UT WOS:000330829200088
PM 24505336
ER

PT J
AU Gallagher, Martin
   Cass, Alan
   Bellomo, Rinaldo
   Finfer, Simon
   Gattas, David
   Lee, Joanne
   Lo, Serigne
   McGuinness, Shay
   Myburgh, John
   Parke, Rachael
   Rajbhandari, Dorrilyn
CA POST-RENAL Study Investigators
   ANZICS Clinical Trials Grp
TI Long-Term Survival and Dialysis Dependency Following Acute Kidney Injury
   in Intensive Care: Extended Followup of a Randomized Controlled Trial
SO PLOS MEDICINE
VL 11
IS 2
AR e1001601
DI 10.1371/journal.pmed.1001601
PD FEB 2014
PY 2014
AB Background The incidence of acute kidney injury (AKI) is increasing
   globally and it is much more common than end-stage kidney disease. AKI
   is associated with high mortality and cost of hospitalisation. Studies
   of treatments to reduce this high mortality have used differing renal
   replacement therapy (RRT) modalities and have not shown improvement in
   the short term. The reported long-term outcomes of AKI are variable and
   the effect of differing RRT modalities upon them is not clear. We used
   the prolonged follow-up of a large clinical trial to prospectively
   examine the long-term outcomes and effect of RRT dosing in patients with
   AKI.
   Methods and Findings We extended the follow-up of participants in the
   Randomised Evaluation of Normal vs. Augmented Levels of RRT (RENAL)
   study from 90 days to 4 years after randomization. Primary and secondary
   outcomes were mortality and requirement for maintenance dialysis,
   respectively, assessed in 1,464 (97%) patients at a median of 43.9
   months (interquartile range [IQR] 30.0-48.6 months) post randomization.
   A total of 468/743 (63%) and 444/721 (62%) patients died in the lower
   and higher intensity groups, respectively (risk ratio [RR] 1.04, 95% CI
   0.96-1.12, p=0.49). Amongst survivors to day 90, 21 of 411 (5.1%) and 23
   of 399 (5.8%) in the respective groups were treated with maintenance
   dialysis (RR 1.12, 95% CI 0.63-2.00, p=0.69). The prevalence of
   albuminuria among survivors was 40% and 44%, respectively (p=0.48).
   Quality of life was not different between the two treatment groups. The
   generalizability of these findings to other populations with AKI
   requires further exploration.
   Conclusions Patients with AKI requiring RRT in intensive care have high
   long-term mortality but few require maintenance dialysis. Long-term
   survivors have a heavy burden of proteinuria. Increased intensity of RRT
   does not reduce mortality or subsequent treatment with dialysis.
   Trial registration www.ClinicalTrials.gov NCT00221013Please see later in
   the article for the Editors' Summary Editors' Summary Background
   Throughout life, the kidneys perform the essential task of filtering
   waste products (from the normal breakdown of tissues and from food) and
   excess water from the blood to make urine. Chronic kidney disease
   (caused, for example, by diabetes) gradually destroys the kidneys'
   filtration units (the nephrons), eventually leading to life-threatening
   end-stage kidney disease. However, the kidneys can also stop working
   suddenly because of injury, infection, or poisoning. Acute kidney injury
   (AKI) is much more common than end-stage kidney disease and its
   incidence is increasing worldwide. In the US, for example, the number of
   hospitalizations that included an AKI diagnosis rose from 4,000 in 1996
   to 23,000 in 2008. Moreover, nearly half of patients with AKI will die
   shortly after the condition develops. Symptoms of AKI include changes in
   urination, swollen feet and ankles, and tiredness. Treatments for AKI
   aim to prevent fluid and waste build up in the body and treat the
   underlying cause (e.g., severe infection or dehydration) while allowing
   the kidneys time to recover. In some patients, it is sufficient to limit
   the fluid intake and to reduce waste build-up by eating a diet that is
   low in protein, salt, and potassium. Other patients need renal
   replacement therapy (RRT), life-supporting treatments such as
   hemodialysis and hemofiltration, two processes that clean the blood by
   filtering it outside the body.
   Why Was This Study Done? The long-term outcomes of AKI (specifically,
   death and chronic kidney disease) and the effects of different RRT
   modalities on these outcomes are unclear. A recent controlled trial that
   randomly assigned patients with AKI who were managed in intensive care
   units (ICUs) to receive two different intensities of continuous
   hemodiafiltration (a combination of hemodialysis and hemofiltration)
   found no difference in all-cause mortality (death) at 90 days. Here, the
   researchers extend the follow-up of this trial (the Randomized
   Evaluation of Normal vs. Augmented Levels of renal replacement therapy
   [RENAL] study) to investigate longer-term mortality, the variables that
   predict mortality, treatment with long-term dialysis (an indicator of
   chronic kidney disease), and functional outcomes in patients with AKI
   treated with different intensities of continuous RRT.
   What Did the Researchers Do and Find? For the Prolonged Outcomes Study
   of RENAL (POST-RENAL), the researchers extended the follow-up of the
   RENAL participants up to 4 years. Over an average follow-up of 43.9
   months, 63% of patients in the lower intensity treatment group died
   compared to 62% of patients in the higher intensity group. Overall, a
   third of patients who survived to 90 days died during the extended
   follow-up. Among the survivors to day 90, 5.1% and 5.8% of patients in
   the lower and higher intensity groups, respectively, were treated with
   maintenance dialysis during the extended follow-up. Among survivors who
   consented to analysis, 40% and 44% of patients in the lower and higher
   intensity groups, respectively, had albuminuria (protein in the urine,
   an indicator of kidney damage). Patients in both groups had a similar
   quality life (determined through telephone interviews). Finally,
   increasing age, APACHE III score (a scoring system that predicts the
   survival of patients in ICU), and serum creatinine level (an indicator
   of kidney function) at randomization were all predictors of long-term
   mortality.
   What Do These Findings Mean? These findings indicate that patients with
   AKI in ICUs who require RRT have a high long-term mortality. They show
   that few survivors require maintenance dialysis for chronic kidney
   disease but that there is a substantial rate of albuminuria among
   survivors despite relative preservation of kidney function. The findings
   also suggest that the intensity of RRT has no significant effect on
   mortality or the need for dialysis. Because these findings were obtained
   in a randomized controlled trial, they may not be generalizable to other
   patient populations. Moreover, although data on mortality and
   maintenance dialysis were available for all the trial participants,
   clinical and biochemical outcomes were only available for some
   participants and may not be representative of all the participants.
   Despite these study limitations, these findings suggest that survivors
   of AKI may be at a high risk of death or of developing chronic kidney
   disease. Survivors of AKI are, therefore, at high risk of further
   illness and long-term albuminuria reduction strategies may offer a
   therapeutic intervention for this group of patients.
   Additional Information Please access these websites via the online
   version of this summary at
   http://dx.doi.org/10.1371/journal.pmed.1001601.
   The US National Kidney and Urologic Diseases Information Clearinghouse
   provides information about the kidneys and about all aspects of kidney
   disease and its treatment; the US National Kidney Disease Education
   Program provides resources to help improve the understanding, detection,
   and management of kidney disease (in English and Spanish)
   The Mayo Clinic provides information for patients about acute kidney
   injury
   Wikipedia has a page on acute kidney injury (note that Wikipedia is a
   free online encyclopedia that anyone can edit; available in several
   languages)
   The not-for-profit UK National Kidney Federation provides support and
   information for patients with kidney disease and for their carers,
   including a link to a video about acute kidney injury
   World Kidney Day, a joint initiative between the International Society
   of Nephrology and the International Federation of Kidney Foundations
   (IFKF), aims to raise awareness about kidneys and kidney disease; its
   website provides information about acute kidney injury
   The MedlinePlus Encyclopedia has a pages about acute kidney failure and
   about renal dialysis
   The UK National Institute for Health and Care Excellence (NICE) recently
   published new guidelines on the treatment of acute kidney injury; a
   clinical practice guideline for acute kidney injury produced by KDIGO (a
   not-for-profit organization that aims to improve the care and outcomes
   of kidney disease patients worldwide through the development and
   implementation of global clinical practice guidelines) is available; the
   Acute Kidney Injury app provides a fast and simple way to explore
   guidelines on the diagnosis, prevention, and management of AKI
RI Lo, Serigne/L-6220-2018; Gattas, David/AAN-9668-2020; Parke, Rachael/AAX-4004-2021; Jenkins, Marisa/; SHEHABI, Yahya/; Lipman, Jeffrey/; Myburgh, John/; Bass, Frances/; Bhonagiri, Deepak/; Whereat, Sarah/; Cass, Alan/; Mitchell, Imogen/; Gallagher, Martin/; Micallef, Sharon/; French, Craig/; Bellomo, Rinaldo/; Whitehead, Christina/; McGuinness, Shay/; Rajbhandari, Dorrilyn/; Finfer, Simon/; Jun, Min/; Bates, Samantha Jean/
OI Lo, Serigne/0000-0001-5092-5544; Gattas, David/0000-0002-9282-7093;
   Parke, Rachael/0000-0003-4209-0334; Jenkins, Marisa/0000-0002-9646-9342;
   SHEHABI, Yahya/0000-0003-4707-7462; Lipman, Jeffrey/0000-0002-5965-9876;
   Myburgh, John/0000-0003-4088-7016; Bass, Frances/0000-0003-3826-8558;
   Bhonagiri, Deepak/0000-0003-4376-6682; Whereat,
   Sarah/0000-0002-1933-5914; Cass, Alan/0000-0002-3923-3173; Mitchell,
   Imogen/0000-0001-6013-4922; Gallagher, Martin/0000-0001-9187-6187;
   Micallef, Sharon/0000-0002-8496-2324; French, Craig/0000-0003-1363-9711;
   Bellomo, Rinaldo/0000-0002-1650-8939; Whitehead,
   Christina/0000-0003-4561-7082; McGuinness, Shay/0000-0003-0620-4787;
   Rajbhandari, Dorrilyn/0000-0001-8883-0428; Finfer,
   Simon/0000-0002-2785-5864; Jun, Min/0000-0003-1460-7535; Bates, Samantha
   Jean/0000-0002-8613-1946
TC 81
ZB 24
ZS 2
ZA 0
ZR 1
Z8 5
Z9 89
U1 1
U2 41
SN 1549-1277
EI 1549-1676
UT WOS:000331841200010
PM 24523666
ER

PT J
AU Shah, Baiju R.
   Bhattacharyya, Onil
   Yu, Catherine H. Y.
   Mamdani, Muhammad M.
   Parsons, Janet A.
   Straus, Sharon E.
   Zwarenstein, Merrick
TI Effect of an Educational Toolkit on Quality of Care: A Pragmatic Cluster
   Randomized Trial
SO PLOS MEDICINE
VL 11
IS 2
AR e1001588
DI 10.1371/journal.pmed.1001588
PD FEB 2014
PY 2014
AB Background Printed educational materials for clinician education are one
   of the most commonly used approaches for quality improvement. The
   objective of this pragmatic cluster randomized trial was to evaluate the
   effectiveness of an educational toolkit focusing on cardiovascular
   disease screening and risk reduction in people with diabetes.
   Methods and Findings All 933,789 people aged 40 years with diagnosed
   diabetes in Ontario, Canada were studied using population-level
   administrative databases, with additional clinical outcome data
   collected from a random sample of 1,592 high risk patients. Family
   practices were randomly assigned to receive the educational toolkit in
   June 2009 (intervention group) or May 2010 (control group). The primary
   outcome in the administrative data study, death or non-fatal myocardial
   infarction, occurred in 11,736 (2.5%) patients in the intervention group
   and 11,536 (2.5%) in the control group (p=0.77). The primary outcome in
   the clinical data study, use of a statin, occurred in 700 (88.1%)
   patients in the intervention group and 725 (90.1%) in the control group
   (p=0.26). Pre-specified secondary outcomes, including other clinical
   events, processes of care, and measures of risk factor control, were
   also not improved by the intervention. A limitation is the high baseline
   rate of statin prescribing in this population.
   Conclusions The educational toolkit did not improve quality of care or
   cardiovascular outcomes in a population with diabetes. Despite being
   relatively easy and inexpensive to implement, printed educational
   materials were not effective. The study highlights the need for a
   rigorous and scientifically based approach to the development,
   dissemination, and evaluation of quality improvement interventions.
   Trial Registration http://www.ClinicalTrials.gov NCT01411865 and
   NCT01026688Please see later in the article for the Editors' Summary
   Editors' Summary Background Clinical practice guidelines help health
   care providers deliver the best care to patients by combining all the
   evidence on disease management into specific recommendations for care.
   However, the implementation of evidence-based guidelines is often far
   from perfect. Take the example of diabetes. This common chronic disease,
   which is characterized by high levels of sugar (glucose) in the blood,
   impairs the quality of life of patients and shortens life expectancy by
   increasing the risk of cardiovascular diseases (conditions that affect
   the heart and circulation) and other life-threatening conditions.
   Patients need complex care to manage the multiple risk factors (high
   blood sugar, high blood pressure, high levels of fat in the blood) that
   are associated with the long-term complications of diabetes, and they
   need to be regularly screened and treated for these complications.
   Clinical practice guidelines for diabetes provide recommendations on
   screening and diagnosis, drug treatment, and cardiovascular disease risk
   reduction, and on helping patients self-manage their disease.
   Unfortunately, the care delivered to patients with diabetes frequently
   fails to meet the standards laid down in these guidelines.
   Why Was This Study Done? How can guideline adherence and the quality of
   care provided to patients be improved? A common approach is to send
   printed educational materials to clinicians. For example, when the
   Canadian Diabetes Association (CDA) updated its clinical practice
   guidelines in 2008, it mailed educational toolkits that contained
   brochures and other printed materials targeting key themes from the
   guidelines to family physicians. In this pragmatic cluster randomized
   trial, the researchers investigate the effect of the CDA educational
   toolkit that targeted cardiovascular disease screening and treatment on
   the quality of care of people with diabetes. A pragmatic trial asks
   whether an intervention works under real-life conditions and whether it
   works in terms that matter to the patient; a cluster randomized trial
   randomly assigns groups of people to receive alternative interventions
   and compares outcomes in the differently treated clusters.
   What Did the Researchers Do and Find? The researchers randomly assigned
   family practices in Ontario, Canada to receive the educational toolkit
   in June 2009 (intervention group) or in May 2010 (control group). They
   examined outcomes between July 2009 and April 2010 in all patients with
   diabetes in Ontario aged over 40 years (933,789 people) using
   population-level administrative data. In Canada, administrative
   databases record the personal details of people registered with
   provincial health plans, information on hospital visits and
   prescriptions, and physician service claims for consultations,
   assessments, and diagnostic and therapeutic procedures. They also
   examined clinical outcome data from a random sample of 1,592 patients at
   high risk of cardiovascular complications. In the administrative data
   study, death or non-fatal heart attack (the primary outcome) occurred in
   about 11,500 patients in both the intervention and control group. In the
   clinical data study, the primary outcome?use of a statin to lower blood
   fat levels?occurred in about 700 patients in both study groups.
   Secondary outcomes, including other clinical events, processes of care,
   and measures of risk factor control were also not improved by the
   intervention. Indeed, in the administrative data study, some processes
   of care outcomes related to screening for heart disease were
   statistically significantly worse in the intervention group than in the
   control group, and in the clinical data study, fewer patients in the
   intervention group reached blood pressure targets than in the control
   group.
   What Do These Findings Mean? These findings suggest that the CDA
   cardiovascular diseases educational toolkit did not improve quality of
   care or cardiovascular outcomes in a population with diabetes. Indeed,
   the toolkit may have led to worsening in some secondary outcomes
   although, because numerous secondary outcomes were examined, this may be
   a chance finding. Limitations of the study include its length, which may
   have been too short to see an effect of the intervention on clinical
   outcomes, and the possibility of a ceiling effectthe control group in
   the clinical data study generally had good care, which left little room
   for improvement of the quality of care in the intervention group.
   Overall, however, these findings suggest that printed educational
   materials may not be an effective way to improve the quality of care for
   patients with diabetes and other complex conditions and highlight the
   need for a rigorous, scientific approach to the development,
   dissemination, and evaluation of quality improvement interventions.
   Additional Information Please access these websites via the online
   version of this summary at
   http://dx.doi.org/10.1371/journal.pmed.1001588.
   The US National Diabetes Information Clearinghouse provides information
   about diabetes for patients, health care professionals, and the general
   public (in English and Spanish)
   The UK National Health Service Choices website provides information
   (including some personal stories) for patients and carers about type 2
   diabetes, the commonest form of diabetes
   The Canadian Diabetes Association also provides information about
   diabetes for patients (including some personal stories about living with
   diabetes) and health care professionals; its latest clinical practice
   guidelines are available on its website
   The UK National Institute for Health and Care Excellence provides
   general information about clinical guidelines and about health care
   quality standards in the UK
   The US Agency for Healthcare Research and Quality aims to improve the
   quality, safety, efficiency, and effectiveness of health care for all
   Americans (information in English and Spanish); the US National
   Guideline Clearinghouse is a searchable database of clinical practice
   guidelines
   The International Diabetes Federation provides information about
   diabetes for patients and health care professionals, along with
   international statistics on the burden of diabetes
RI Zwarenstein, Merrick F/P-5210-2014; Sattar, Naveed/
OI Zwarenstein, Merrick F/0000-0003-0162-7027; Sattar,
   Naveed/0000-0002-1604-2593
ZB 3
Z8 0
ZR 1
ZS 0
TC 14
ZA 0
Z9 15
U1 1
U2 22
SN 1549-1277
EI 1549-1676
UT WOS:000331841200002
PM 24505216
ER

PT J
AU Stocks, Meredith E.
   Ogden, Stephanie
   Haddad, Danny
   Addiss, David G.
   McGuire, Courtney
   Freeman, Matthew C.
TI Effect of Water, Sanitation, and Hygiene on the Prevention of Trachoma:
   A Systematic Review and MetaAnalysis
SO PLOS MEDICINE
VL 11
IS 2
AR e1001605
DI 10.1371/journal.pmed.1001605
PD FEB 2014
PY 2014
AB Background Trachoma is the world's leading cause of infectious
   blindness. The World Health Organization (WHO) has endorsed the SAFE
   strategy in order to eliminate blindness due to trachoma by 2020 through
   surgery, antibiotics, facial cleanliness, and environmental improvement.
   While the S and A components have been widely implemented, evidence and
   specific targets are lacking for the F and E components, of which water,
   sanitation, and hygiene (WASH) are critical elements. Data on the impact
   of WASH on trachoma are needed to support policy and program
   recommendations. Our objective was to systematically review the
   literature and conduct meta-analyses where possible to report the
   effects of WASH conditions on trachoma and identify research gaps.
   Methods and Findings We systematically searched PubMed, Embase, ISI Web
   of Knowledge, MedCarib, Lilacs, REPIDISCA, DESASTRES, and African Index
   Medicus databases through October 27, 2013 with no restrictions on
   language or year of publication. Studies were eligible for inclusion if
   they reported a measure of the effect of WASH on trachoma, either active
   disease indicated by observed signs of trachomatous inflammation or
   Chlamydia trachomatis infection diagnosed using PCR. We identified 86
   studies that reported a measure of the effect of WASH on trachoma. To
   evaluate study quality, we developed a set of criteria derived from the
   GRADE methodology. Publication bias was assessed using funnel plots. If
   three or more studies reported measures of effect for a comparable WASH
   exposure and trachoma outcome, we conducted a random-effects
   meta-analysis. We conducted 15 meta-analyses for specific
   exposure-outcome pairs. Access to sanitation was associated with lower
   trachoma as measured by the presence of trachomatous
   inflammation-follicular or trachomatous inflammation-intense (TF/TI)
   (odds ratio [OR] 0.85, 95% CI 0.75-0.95) and C. trachomatis infection
   (OR 0.67, 95% CI 0.55-0.78). Having a clean face was significantly
   associated with reduced odds of TF/TI (OR 0.42, 95% CI 0.32-0.52), as
   were facial cleanliness indicators lack of ocular discharge (OR 0.42,
   95% CI 0.23-0.61) and lack of nasal discharge (OR 0.62, 95% CI
   0.52-0.72). Facial cleanliness indicators were also associated with
   reduced odds of C. trachomatis infection: lack of ocular discharge (OR
   0.40, 95% CI 0.31-0.49) and lack of nasal discharge (OR 0.56, 95% CI
   0.37-0.76). Other hygiene factors found to be significantly associated
   with reduced TF/TI included face washing at least once daily (OR 0.76,
   95% CI 0.57-0.96), face washing at least twice daily (OR 0.85, 95% CI
   0.80-0.90), soap use (OR 0.76, 95% CI 0.59-0.93), towel use (OR 0.65,
   95% CI 0.53-0.78), and daily bathing practices (OR 0.76, 95% CI
   0.53-0.99). Living within 1 km of a water source was not found to be
   significantly associated with TF/TI or C. trachomatis infection, and the
   use of sanitation facilities was not found to be significantly
   associated with TF/TI.
   Conclusions We found strong evidence to support F and E components of
   the SAFE strategy. Though limitations included moderate to high
   heterogenity, low study quality, and the lack of standard definitions,
   these findings support the importance of WASH in trachoma elimination
   strategies and the need for the development of standardized approaches
   to measuring WASH in trachoma control programs.Please see later in the
   article for the Editors' Summary Editors' Summary Background Trachoma is
   a bacterial eye infection, which if left untreated may lead to
   irreversible blindness. Repeated infections over many years cause
   scarring on the eyelid, making the eyelashes turn inward. This causes
   pain and damage to the cornea at the front of the eye, which eventually
   leads to loss of vision. The disease is most common in rural areas in
   low-income countries, specifically sub-Saharan Africa. It spreads easily
   through contact with the discharge from an infected eye or nose, by
   hands, or by flies landing on the face. Women and children are more
   often affected than men. Trachoma is the world's leading cause of
   preventable blindness. A global alliance, led by The World Health
   Organization, is aiming to eliminate trachoma by 2020 by adopting the
   SAFE strategy. There are four components of this strategy. Two relate to
   treating the diseasesurgery and antibiotics. The other two components
   relate to long-term prevention by promoting facial cleanliness and
   environmental changes (for example improving access to water and
   sanitation or reducing the breeding grounds for flies).
   Why Was This Study Done? The SAFE approach has been very successful in
   reducing the number of people with trachoma from 84 million in 2003 to
   21.4 million in 2012. However, it is widely recognized that efforts need
   to be scaled up to reach the 2020 goal. Furthermore, if current
   improvements are to be sustained, then more attention needs to be given
   to the F and E elements and effective prevention. This study aimed to
   identify the most effective ways to improve hygiene, sanitation, and
   access to water for better trachoma control, and to find better ways of
   monitoring progress. The overall goal was to summarize the evidence in
   order to devise strategic and cost-effective approaches to trachoma
   prevention.
   What Did the Researchers Do and Find? The researchers conducted a
   systematic review, which involved first identifying and then assessing
   the quality of all of the research published on this topic. They then
   carried out a statistical analysis of the combined data from these
   studies, with the aim of drawing more robust conclusions (a
   meta-analysis). The analysis involved 15 different water, sanitation,
   and hygiene exposures (either hardware or practices, as determined by
   what was available in the literature) to determine which had the biggest
   impact on reducing the levels of trachoma. Most of the data came from
   studies carried out in Africa. The findings suggested that 11 of these
   exposures made a significant difference to the risk of infection or
   clinical symptoms of the disease. Improving personal hygiene had the
   greatest impact. Effective measures included face washing once or twice
   a day, using soap, using a towel, and daily bathing. Similarly, access
   to a sanitation facility, rather than open ground, also had a positive
   impact. The researchers also analyzed the data relating to water access.
   However, the studies so far have not yet measured this in a way that
   addresses the issues relevant to trachoma infection. Most studies have
   looked at whether the distance from a water source has an impact (and it
   seems it does not), whereas it may be more important to assess whether
   people have access to clean water or to enough water to wash. Many of
   these analyses require additional research to further clarify the impact
   of individual water, sanitation, and hygiene exposure on disease.
   What Do These Findings Mean? Overall, the results support that notion
   that water, sanitation, and hygiene are important components of an
   integrated strategy to control trachoma. Based on the research available
   to date, the two most effective ways are face washing and having access
   to a household-level sanitation facility, typically a simple pit
   latrine. The findings also point to ways in which current policy could
   be improved. Firstly, public health guidance should be placing greater
   emphasis on keeping the face clean. Current advice tends to focus on
   washing with clean water, but use of soap appears more effective. There
   are also opportunities for organizations to collaborate in this area.
   For example, organizations focusing on the prevention of diarrhea in
   children, which promote handwashing, could at the same time campaign for
   face washing to reduce transmission of trachoma. The second policy area
   to target is access to good quality sanitation. Such policy initiatives
   need to be better resourced in countries where trachoma is a problem.
   For example, although sub-Saharan Africa has the world's highest burden
   of trachoma, more than 50% of households there still do not have access
   to any sanitation facility. There were a number of limitations to this
   study, which may affect the strength of the conclusions. The researchers
   found that many studies on this topic were observational, meaning that
   they did not assess an intervention and employ a control group, thus
   they are of limited rigor for assessing the impact of a water,
   sanitation, and hygiene intervention on trachoma. There was also a lot
   of variation in the way that different studies had defined and measured
   improvements to water, sanitation, and hygiene access. This made it
   difficult to make comparisons. Standard methods and indicators need to
   be developed for this purpose. The study also highlighted gaps in the
   research. More work is required to determine precisely what is needed in
   terms of access to water to reduce the incidence of trachoma. Similarly,
   in terms of improving sanitation, it is still unclear whether ensuring
   every household has a simple, onsite facility would be more effective
   than providing clean communal facilities. The potential role of schools
   in promoting relevant public health measures also needs investigation.
   Additional Information Please access these Web sites via the online
   version of this summary at
   http://dx.doi.org/10.1371/journal.pmed.1001605.
   WHO provides information on trachoma (in several languages)
   The US Centers for Disease Control and Prevention provide information on
   trachoma
   International Trachoma Initiative is dedicated to the goal of
   elimination of blinding trachoma
   The Carter Center: Trachoma Control Program has a Trachoma Health
   Education Materials Library
   WASHNTD has an online manual resource for NTDs for WASH policy and
   programming
RI Freeman, Matthew/ABE-6245-2020; Haddad, Danny/; McGuire, Courtney/
OI Freeman, Matthew/0000-0002-1517-2572; Haddad, Danny/0000-0002-6299-1984;
   McGuire, Courtney/0000-0002-8074-9171
Z8 1
TC 119
ZR 0
ZB 56
ZS 1
ZA 0
Z9 119
U1 3
U2 119
SN 1549-1277
EI 1549-1676
UT WOS:000331841200006
PM 24586120
ER

PT J
AU Pereira, Juanan
   Echeazarra, Leyre
   Sanz-Santamaria, Silvia
   Gutierrez, Julian
TI Student-generated online videos to develop cross-curricular and
   curricular competencies in Nursing Studies
SO COMPUTERS IN HUMAN BEHAVIOR
VL 31
BP 580
EP 590
DI 10.1016/j.chb.2013.06.011
PD FEB 2014
PY 2014
AB In response to the necessity of implementing innovative strategies and
   new teaching methodologies for the design of University degrees
   curricula according to the new educational model put forward by the
   European Space of Higher Education, we launched a pilot project in the
   Department of Nursing Studies of a university of the north of Spain
   based on the use of three technological tools (Power point, OpenMeetings
   and Babelium). Nursing students (n = 29) were asked to create video
   recorded oral presentations about different techniques of diagnosis in
   medical imaging that were peer-, self- and teacher assessed. Self-report
   questionnaires were used to assess the effectiveness of the experiment
   and Kappa statistic analysis was used to determine the suitability of
   the assessment method. The results of the study showed that working with
   self and peer recorded videos proves to be a better didactic method to
   develop both cross-curricular competencies (intrapersonal, interpersonal
   and instrumental) and curricular specific competencies (in this case,
   knowledge about different techniques of diagnosis in medical imaging)
   than traditional methodologies. The data also suggest that there is an
   acceptable correspondence between self-, peer- and hetero-assessment.
   (C) 2013 Elsevier Ltd. All rights reserved.
RI Echeazarra, Leyre/H-4789-2011; Pereira, Juanan/P-5654-2019
OI Echeazarra, Leyre/0000-0002-3935-1903; Pereira,
   Juanan/0000-0002-7935-3612
Z8 0
ZB 0
ZS 0
ZA 0
ZR 0
TC 27
Z9 27
U1 0
U2 32
SN 0747-5632
EI 1873-7692
UT WOS:000332055300065
ER

PT J
AU Kalpathy-Cramer, Jayashree
   Awan, Musaddiq
   Bedrick, Steven
   Rasch, Coen R. N.
   Rosenthal, David I.
   Fuller, Clifton D.
TI Development of a Software for Quantitative Evaluation Radiotherapy
   Target and Organ-at-Risk Segmentation Comparison
SO JOURNAL OF DIGITAL IMAGING
VL 27
IS 1
BP 108
EP 119
DI 10.1007/s10278-013-9633-4
PD FEB 2014
PY 2014
AB Modern radiotherapy requires accurate region of interest (ROI) inputs
   for plan optimization and delivery. Target delineation, however, remains
   operator-dependent and potentially serves as a major source of treatment
   delivery error. In order to optimize this critical, yet observer-driven
   process, a flexible web-based platform for individual and cooperative
   target delineation analysis and instruction was developed in order to
   meet the following unmet needs: (1) an open-source/open-access platform
   for automated/semiautomated quantitative interobserver and intraobserver
   ROI analysis and comparison, (2) a real-time interface for radiation
   oncology trainee online self-education in ROI definition, and (3) a
   source for pilot data to develop and validate quality metrics for
   institutional and cooperative group quality assurance efforts. The
   resultant software, Target Contour Testing/Instructional Computer
   Software (TaCTICS), developed using Ruby on Rails, has since been
   implemented and proven flexible, feasible, and useful in several
   distinct analytical and research applications.
RI Fuller, Clifton D./AAB-4012-2019; Rasch, Coen/; Kalpathy-Cramer, Jayashree/; Bedrick, Steven/; Rosenthal, David/
OI Fuller, Clifton D./0000-0002-5264-3994; Rasch, Coen/0000-0001-6950-3376;
   Kalpathy-Cramer, Jayashree/0000-0001-8906-9618; Bedrick,
   Steven/0000-0002-0163-9397; Rosenthal, David/0000-0001-7124-7447
Z8 0
ZB 3
ZA 0
TC 9
ZS 0
ZR 0
Z9 9
U1 0
U2 13
SN 0897-1889
EI 1618-727X
UT WOS:000330733700014
PM 24043593
ER

PT J
AU Jones, Rachel
   Finlay, Fiona
TI Medical students' experiences and perception of support following the
   death of a patient in the UK, and while overseas during their elective
   period
SO POSTGRADUATE MEDICAL JOURNAL
VL 90
IS 1060
BP 69
EP 74
DI 10.1136/postgradmedj-2012-131474
PD FEB 2014
PY 2014
AB Aims To investigate medical students' experiences and perception of
   support following a patient's death, contrasting their experiences in
   the UK, and while overseas during their elective period.
   Methods An anonymous online questionnaire was distributed to all final
   year medical students at one UK medical school in November 2009.
   Results 220 students were contacted, 60% responded. 72% (94) of medical
   students had been involved in end-of-life care at some point during
   their course; students on elective experiencing patient death across all
   ages. Some students saw many patients dying during their elective
   period. Students had mixed emotions following a patient's death. In the
   UK, students reported feeling shocked, upset and sad. When overseas,
   many students were angry or frustrated, and many reported feelings of
   injustice. Following a death, students found talking to people
   beneficial, but when overseas they turned to friends and family using
   email and Facebook, rather than talking to local doctors and nurses.
   Only 13% (16) of medical students thought their medical training had
   prepared them sufficiently to deal with death. Of those who did feel
   prepared some said they had gained this knowledge through working as a
   healthcare assistant.
   Conclusions Students feel ill prepared for experiencing the death of a
   patient. Even though they may have 'medical knowledge' they are still
   lacking in emotional support and are often inadequately supported around
   the time of a patient's death. Medical schools should consider their
   curricula so that students are aware of the possible experiences and
   emotions which they may face when involved with the death of a patient,
   and students should be given advice on whom to turn to for support.
TC 5
ZA 0
Z8 0
ZR 0
ZB 0
ZS 1
Z9 5
U1 0
U2 12
SN 0032-5473
EI 1469-0756
UT WOS:000337784800003
PM 23824344
ER

PT J
AU Morawska, Alina
   Tometzki, Helen
   Sanders, Matthew R.
TI An Evaluation of the Efficacy of a Triple P-Positive Parenting Program
   Podcast Series
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 35
IS 2
BP 128
EP 137
DI 10.1097/DBP.0000000000000020
PD FEB-MAR 2014
PY 2014
AB Objective: Parenting programs based on cognitive-behavioral and social
   learning principles are effective in changing child behavior problems
   and parenting styles. However, such programs typically have limited
   population reach. The current study aimed to evaluate the efficacy of a
   brief radio series that provided parenting advice based on the Triple
   P-Positive Parenting Program. Method: One hundred thirty-nine parents of
   children aged 2 to 10 years who had concerns about their child's
   behavioral and/or emotional adjustment were recruited, randomly assigned
   to either an intervention or waitlist control group, and completed
   online self-report measures. Parents in the intervention group were
   given access to seven Triple P podcasts online over a period of 2 weeks.
   Results: Parents in the intervention group improved significantly more
   than parents in the control group, from pre- to postintervention, on
   measures of child behavioral problems and parenting style,
   self-efficacy, and confidence. These short-term intervention effects
   were maintained at the 6-month follow-up. Conclusion: These results
   suggest that brief radio and online parenting programs can be effective
   and have the potential to reach a large proportion of parents
   experiencing child behavior problems. Limitations, clinical
   significance, and future research suggestions are discussed.
RI Sanders, Matthew R/C-1941-2013; Morawska, Alina/
OI Sanders, Matthew R/0000-0003-3479-6337; Morawska,
   Alina/0000-0002-9404-5423
ZA 0
ZB 3
TC 25
Z8 0
ZS 0
ZR 1
Z9 26
U1 2
U2 25
SN 0196-206X
EI 1536-7312
UT WOS:000336849800063
PM 24343191
ER

PT J
AU Hortal, Virginia Alonso
   Fiuza Moreira, Carlos Otavio
   Bochner, Rosany
   Leal, Maria do Carmo
TI Professional paths of alumni from doctorate programs in health and
   biological sciences
SO REVISTA DE SAUDE PUBLICA
VL 48
IS 1
BP 1
EP 9
DI 10.1590/S0034-8910.2014048004629
PD FEB 2014
PY 2014
AB OBJECTIVE: To analyze the career path and professional satisfaction of
   alumni from the doctorate degree programs in health sector.
   METHODS: Exploratory study with 827 alumni of doctoral programs in
   public health, biological and health sciences at the Fundacao Oswaldo
   Cruz, RJ, Southeastern Brazil, from1984 to 2007. The subjects were
   grouped in three cross-temporal cohorts according to year. The profiles
   of the alumni were analyzed, their career paths mapped and information
   on the perceptions of the education they received and the reasons that
   led them to choose the institute for their doctoral courses gathered, as
   well as their evaluations of the courses. The data were collected by
   means of an online questionnaire.
   RESULTS: There are differences between cohorts of alumni related to the
   periods they followed the courses, their distinct educational
   backgrounds and labor processes between those from the biological and
   health sciences areas, and to the specificities of the different areas
   where the institution offers doctoral courses: public health, biological
   and health sciences.
   CONCLUSIONS: The results allow the academic management of the
   educational processes to expend its knowledge, thus establishing a
   baseline for tracking the trajectory of alumni, and may contribute to
   upgrading the follow up process of Brazilian graduate programs.
OI Bochner, Rosany/0000-0002-8797-8874
ZR 0
ZA 0
TC 6
ZB 1
Z8 0
ZS 8
Z9 10
U1 2
U2 16
SN 0034-8910
EI 1518-8787
UT WOS:000335570500001
PM 24789631
ER

PT J
AU d'Avila, Luciana Souza
   de Assis, Lucilia Nunes
   de Melo, Marilene Barros
   Brant, Luiz Carlos
TI Adherence to the Ongoing Education Program for family doctors in a
   southeastern Brazilian state
SO CIENCIA & SAUDE COLETIVA
VL 19
IS 2
BP 401
EP 416
DI 10.1590/1413-81232014192.01162013
PD FEB 2014
PY 2014
AB Ongoing Health Education is a strategy for transformation of health
   practices, though the adherence of professionals is one of the
   challenges facing its implementation. Thus, the objective of this study
   was to investigate the factors associated with adherence of family
   doctors to the Ongoing Education Program in a southeastern Brazilian
   state from the perception of supervisors. It is a cross-sectional and
   quantitative study with the use of online questionnaires. Data were
   analyzed using the chi-square test with ongoing correction to determine
   the association between structure, topics, activities and difficulties
   of the supervisors working in Ongoing Health Education, difficulties of
   the physicians in Primary Health Care (PHC) and poor and good adherence
   to the program. Excellent medical participation was statistically
   related to the adequacy of physical space (p = 0.001), a
   multidisciplinary approach (p = 0.035) and epidemiological aspects (p =
   0.043). Low adherence was associated with the inadequacy of the physical
   structure, difficulty understanding the methodology, less time in a
   supervisory position, multiple workdays, among others. A good adherence
   to Ongoing Health Education is a possibility for collective
   reconstruction of the everyday work of physicians in Primary Health
   Care.
OI d'Avila, Luciana/0000-0001-6998-4587
ZR 0
ZS 13
ZA 0
ZB 0
TC 5
Z8 0
Z9 14
U1 0
U2 1
SN 1413-8123
EI 1678-4561
UT WOS:000334604800009
PM 24863817
ER

PT J
AU Bauer, Bruce
   Williams, Erin
   Stratman, Erik J.
TI Cosmetic Dermatologic Surgical Training in US Dermatology Residency
   Programs Identifying and Overcoming Barriers
SO JAMA DERMATOLOGY
VL 150
IS 2
BP 125
EP 129
DI 10.1001/jamadermatol.2013.6713
PD FEB 2014
PY 2014
AB IMPORTANCE The public and other medical specialties expect
   dermatologists who offer cosmetic dermatology services to provide
   competent care. There are numerous barriers to achieving cosmetic
   dermatology competency during residency. Many dermatology residents
   enter the workforce planning to provide cosmetic services. If a training
   gap exists, this may adversely affect patient safety.
   OBJECTIVES To identify resources available for hands-on cosmetic
   dermatology training in US dermatology residency training programs and
   to assess program director (PD) attitudes toward cosmetic dermatology
   training during residency and strategies, including discounted pricing,
   used by training programs to overcome barriers related to
   resident-performed cosmetic dermatology procedures.
   DESIGN, SETTING, AND PARTICIPANTS An online survey in academic
   dermatology practices among PDs of US dermatology residency programs.
   MAIN OUTCOMES AND MEASURES Frequency of cosmetic dermatology devices and
   injectables used for dermatology resident hands-on cosmetic dermatology
   training, categorizing PD attitudes toward cosmetic dermatology training
   during residency and describing residency-related discounted pricing
   models.
   RESULTS Responses from PDs were received from 53 of 114 (46%) US
   dermatology residency programs. All but 3 programs (94%) offered
   hands-on cosmetic dermatology training using botulinum toxin, and 47 of
   53 (89%) provided training with hyaluronic acid fillers. Pulsed dye
   lasers represented the most common laser use experienced by residents
   (41 of 52 [79%]), followed by Q-switched Nd: YAG (30 of 52 [58%]).
   Discounted procedures were offered by 32 of 53 (60%) programs, with
   botulinum toxin (30 of 32 [94%]) and fillers (27 of 32 [84%]) most
   prevalent and with vascular lasers (17 of 32 [53%]) and hair removal
   lasers (12 of 32 [38%]) less common. Various discounting methods were
   used. Only 20 of 53 (38%) PDs believed that cosmetic dermatology should
   be a necessary aspect of residency training; 14 of 52 (27%) PDs thought
   that residents should not be required to perform any cosmetic
   dermatology procedures.
   CONCLUSIONS AND RELEVANCE Although almost every program provides
   hands-on cosmetic dermatology training, there are barriers to training,
   including patient preferences, costs of procedures and products, and PD
   attitudes toward cosmetic dermatology training. To promote patient
   safety, procedural competency is imperative.
ZR 0
TC 20
Z8 0
ZS 0
ZB 0
ZA 0
Z9 20
U1 0
U2 1
SN 2168-6068
EI 2168-6084
UT WOS:000333042800005
PM 24337066
ER

PT J
AU Chun, Robert
   Preciado, Diego
   Brown, David J.
   Elluru, Ravindra
   Ishman, Stacey L.
   Kerschner, Joseph
   Richter, Gresham T.
   Sulman, Cecille
TI Choosing a Fellowor Fellowship A Survey of Pediatric Otolaryngologists
SO JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 140
IS 2
BP 102
EP 105
DI 10.1001/jamaoto.2013.5859
PD FEB 2014
PY 2014
AB IMPORTANCE The numbers of pediatric otolaryngology fellowship programs
   and applicants have increased over the past 5 years. However, the
   qualities desired in programs and applicants have not been explored.
   OBJECTIVE To determine the factors that fellowship program directors and
   applicants believe to be most important in choosing a fellow and the
   factors most important to fellowship applicants in choosing a program.
   DESIGN, SETTING, AND PARTICIPANTS Cohort study using an anonymous online
   survey of 2012 pediatric otolaryngology fellowship program directors and
   applicants. Respondents were asked to rank a list of 10 qualities from
   most to least important for judging the strength of a fellowship
   applicant. Applicants also assessed the importance of factors in
   choosing a fellowship.
   MAIN OUTCOMES AND MEASURES Rank of each factor by members of each group.
   RESULTS Thirty-two of 47 applicants (68%) and 15 of 31 fellowship
   directors (48%) completed the survey. For applicants, the most important
   factors when choosing a fellowship program were gaining strong
   experience in airway management and otology, faculty reputation, and
   location, whereas Accreditation Council for Graduate Medical Education
   (ACGME) accreditation, fellowship longevity, and salary were less
   important. For choosing an applicant, applicants indicated that the
   interview, prior applicant knowledge (trusted recommendation), and
   letters of recommendation, sequentially, should be given the greatest
   weight. Directors reported that they used the same top 3 factors to rank
   applicants, but knowledge or trusted recommendation of the applicant
   ranked first. Applicants who successfully matched interviewed at (mean,
   9.5 vs 3.0; P = .003), applied at (mean, 11.6 vs 4.3; P = .02), and
   ranked (mean, 8.3 vs 2.3; P < .001) more fellowship programs than those
   who did not. United States Medical Licensing Examination scores higher
   than 230 and AOA membership status did not significantly affect
   fellowship match.
   CONCLUSIONS AND RELEVANCE Personal knowledge or a trusted colleague's
   recommendation may be the most important determinant when pediatric
   otolaryngology fellowship programs choose an applicant. When fellows
   choose a program, the opportunity to gain surgical experience in both
   otology and airway management is crucial, but ACGME accreditation status
   seems less important. Successful applicants ranked and interviewed at
   more fellowship programs than nonmatching applicants.
RI Chun, Robert/AGX-9718-2022; Ishman, Stacey/
OI Ishman, Stacey/0000-0003-0997-9692
ZA 0
ZB 4
ZR 0
Z8 0
ZS 0
TC 28
Z9 28
U1 0
U2 0
SN 2168-6181
EI 2168-619X
UT WOS:000332767800003
PM 24288048
ER

PT J
AU Jiwa, Moyez
   Halkett, Georgia
   Meng, Xingqiong
   Pillai, Vinita
   Berg, Melissa
   Shaw, Tim
TI Supporting Patients Treated for Prostate Cancer: A Video Vignette Study
   With an Email-Based Educational Program in General Practice
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 16
IS 2
AR e63
DI 10.2196/jmir.3003
PD FEB 2014
PY 2014
AB Background: Men who have been treated for prostate cancer in Australia
   can consult their general practitioner (GP) for advice about symptoms or
   side effects at any time following treatment. However, there is no
   evidence that such men are consistently advised by GPs and patients
   experience substantial unmet need for reassurance and advice.
   Objective: The intent of the study was to evaluate a brief, email-based
   educational program for GPs to manage standardized patients presenting
   with symptoms or side effects months or years after prostate cancer
   treatment.
   Methods: GPs viewed six pairs of video vignettes of actor-patients
   depicting men who had been treated for prostate cancer. The
   actor-patients presented problems that were attributable to the
   treatment of cancer. In Phase 1, GPs indicated their diagnosis and
   stated if they would prescribe, refer, or order tests based on that
   diagnosis. These responses were compared to the management decisions for
   those vignettes as recommended by a team of experts in prostate cancer.
   After Phase 1, all the GPs were invited to participate in an email-based
   education program (Spaced Education) focused on prostate cancer.
   Participants received feedback and could compare their progress and
   their performance with other participants in the study. In Phase 2, all
   GPs, regardless of whether they had completed the program, were invited
   to view another set of six video vignettes with men presenting similar
   problems to Phase 1. They again offered a diagnosis and stated if they
   would prescribe, refer, or order tests based on that diagnosis.
   Results: In total, 64 general practitioners participated in the project,
   57 GPs participated in Phase 1, and 45 in Phase 2. The Phase 1 education
   program was completed by 38 of the 57 (59%) participants. There were no
   significant differences in demographics between those who completed the
   program and those who did not. Factors determining whether management of
   cases was consistent with expert opinion were number of sessions worked
   per week (OR 0.78, 95% CI 0.67-0.90), site of clinical practice (remote
   practice, OR 2.25, 95% CI 1.01-5.03), number of patients seen per week
   (150 patients or more per week, OR 10.66, 95% CI 3.40-33.48), and type
   of case viewed. Completion of the Spaced Education did impact whether
   patient management was consistent with expert opinion (not completed, OR
   0.88, 95% CI 0.5-1.56).
   Conclusions: The management of standardized patients by GPs was
   particularly unlikely to be consistent with expert opinion in the
   management of impotence and bony metastasis. There was no evidence from
   this standardized patient study that Spaced Education had an impact on
   the management of patients in this context. However, the program was not
   completed by all participants. Practitioners with a greater clinical
   load were more likely to manage cases as per expert opinion.
RI Halkett, Georgia/A-1449-2008; Meng, Xingqiong/; Berg, Melissa/; Jiwa, Moyez/
OI Halkett, Georgia/0000-0003-4065-4044; Meng,
   Xingqiong/0000-0001-8935-358X; Berg, Melissa/0000-0003-2487-5488; Jiwa,
   Moyez/0000-0002-0948-4166
Z8 0
ZA 0
TC 7
ZB 1
ZR 0
ZS 0
Z9 7
U1 0
U2 3
SN 1438-8871
UT WOS:000332397500028
PM 24571952
ER

PT J
AU McLaughlin, Jacqueline E.
   Roth, Mary T.
   Glatt, Dylan M.
   Gharkholonarehe, Nastaran
   Davidson, Christopher A.
   Griffin, LaToya M.
   Esserman, Denise A.
   Mumper, Russell J.
TI The Flipped Classroom: A Course Redesign to Foster Learning and
   Engagement in a Health Professions School
SO ACADEMIC MEDICINE
VL 89
IS 2
BP 236
EP 243
DI 10.1097/ACM.0000000000000086
PD FEB 2014
PY 2014
AB Recent calls for educational reform highlight ongoing concerns about the
   ability of current curricula to equip aspiring health care professionals
   with the skills for success. Whereas a wide range of proposed solutions
   attempt to address apparent deficiencies in current educational models,
   a growing body of literature consistently points to the need to rethink
   the traditional in-class, lecture-based course model. One such proposal
   is the flipped classroom, in which content is offloaded for students to
   learn on their own, and class time is dedicated to engaging students in
   student-centered learning activities, like problem-based learning and
   inquiry-oriented strategies. In 2012, the authors flipped a required
   first-year pharmaceutics course at the University of North Carolina
   Eshelman School of Pharmacy. They offloaded all lectures to self-paced
   online videos and used class time to engage students in active learning
   exercises. In this article, the authors describe the philosophy and
   methodology used to redesign the Basic Pharmaceutics II course and
   outline the research they conducted to investigate the resulting
   outcomes. This article is intended to serve as a guide to instructors
   and educational programs seeking to develop, implement, and evaluate
   innovative and practical strategies to transform students' learning
   experience. As class attendance, students' learning, and the perceived
   value of this model all increased following participation in the flipped
   classroom, the authors conclude that this approach warrants careful
   consideration as educators aim to enhance learning, improve outcomes,
   and fully equip students to address 21st-century health care needs.
RI w, Chipchipchick/AAN-1349-2021
Z8 6
ZS 17
ZR 1
ZB 24
ZA 5
TC 573
Z9 599
U1 31
U2 865
SN 1040-2446
EI 1938-808X
UT WOS:000330305900017
PM 24270916
ER

PT J
AU Brendryen, Havar
   Lund, Ingunn Olea
   Johansen, Ayna Beate
   Riksheim, Marianne
   Nesvag, Sverre
   Duckert, Fanny
TI Balance-a pragmatic randomized controlled trial of an online intensive
   self-help alcohol intervention
SO ADDICTION
VL 109
IS 2
BP 218
EP 226
DI 10.1111/add.12383
PD FEB 2014
PY 2014
AB AimsTo compare a brief versus a brief plus intensive self-help version
   of Balance', a fully automated online alcohol intervention, on
   self-reported alcohol consumption.
   DesignA pragmatic randomized controlled trial. Participants in both
   conditions received an online single session screening procedure
   including personalized normative feedback. The control group also
   received an online booklet about the effects of alcohol. The treatment
   group received the online multi-session follow-up program, Balance.
   SettingOnline study in Norway.
   ParticipantsAt-risk drinkers were recruited by internet advertisements
   and assigned randomly to one of the two conditions (n=244).
   MeasurementsThe primary outcome was self-reported alcohol consumption
   the previous week measured 6 months after screening.
   FindingsRegression analysis, using baseline carried forward imputation
   (intent-to-treat), with baseline variables as covariates, showed that
   intervention significantly affected alcohol consumption at 6 months
   (B=2.96; 95% confidence interval=0.02-5.90; P=0.049). Participants in
   the intensive self-help group drank an average of three fewer standard
   alcohol units compared with participants in the brief self-help group.
   ConclusionsThe online Balance intervention, added to a brief online
   screening intervention, may aid reduction in alcohol consumption
   compared with the screening intervention and an educational booklet.
OI Brendryen, Havar/0000-0003-3860-9754; Lund, Ingunn
   Olea/0000-0001-7412-4776; Riksheim Stavseth,
   Marianne/0000-0002-9324-6194
TC 25
ZS 0
ZA 0
Z8 0
ZB 8
ZR 0
Z9 25
U1 1
U2 32
SN 0965-2140
EI 1360-0443
UT WOS:000329551300018
PM 24134709
ER

PT J
AU Li, Michael Jonathan
   DiStefano, Anthony
   Mouttapa, Michele
   Gill, Jasmeet K.
TI Bias-motivated bullying and psychosocial problems: Implications for HIV
   risk behaviors among young men who have sex with men
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 26
IS 2
BP 246
EP 256
DI 10.1080/09540121.2013.811210
PD FEB 1 2014
PY 2014
AB The present study aimed to determine whether the experience of
   bias-motivated bullying was associated with behaviors known to increase
   the risk of HIV infection among young men who have sex with men (YMSM)
   aged 18-29, and to assess whether the psychosocial problems moderated
   this relationship. Using an Internet-based direct marketing approach in
   sampling, we recruited 545 YMSM residing in the USA to complete an
   online questionnaire. Multiple linear regression analyses tested three
   regression models where we controlled for sociodemographics. The first
   model indicated that bullying during high school was associated with
   unprotected receptive anal intercourse within the past 12 months, while
   the second model indicated that bullying after high school was
   associated with engaging in anal intercourse while under the influence
   of drugs or alcohol in the past 12 months. In the final regression
   model, our composite measure of HIV risk behavior was found to be
   associated with lifetime verbal harassment. None of the psychosocial
   problems measured in this study - depression, low self-esteem, and
   internalized homonegativity - moderated any of the associations between
   bias-motivated bullying victimization and HIV risk behaviors in our
   regression models. Still, these findings provide novel evidence that
   bullying prevention programs in schools and communities should be
   included in comprehensive approaches to HIV prevention among YMSM.
OI Li, Michael/0000-0003-2457-604X
ZB 5
TC 17
ZA 0
ZR 0
Z8 0
ZS 0
Z9 17
U1 0
U2 10
SN 0954-0121
EI 1360-0451
UT WOS:000328811500015
PM 23796024
ER

PT J
AU Al-Azri, Hilal
   Ratnapalan, Savithiri
TI Problem-based learning in continuing medical education Review of
   randomized controlled trials
SO CANADIAN FAMILY PHYSICIAN
VL 60
IS 2
BP 157
EP 165
PD FEB 2014
PY 2014
AB Objective To investigate the effects of problem-based learning (PBL) in
   continuing medical education.
   Data sources PubMed, MEDLINE, EMBASE, CINAHL, and ERIC databases were
   searched for randomized controlled trials published in English from
   January 2001 to May 2011 using key words problem-based learning,
   practice-based, self-directed, learner-centered, and active learning,
   combined with continuing medical education, continuing professional
   development, post professional, postgraduate, and adult learning.
   Study selection Randomized controlled trials that described the effects
   of PBL on knowledge enhancement, performance improvement, participants'
   satisfaction, or patients' health outcomes were selected for analysis.
   Synthesis Fifteen studies were included in this review: 4 involved
   postgraduate trainee doctors, 10 involved practising physicians, and I
   had both groups. Online learning was used in 7 studies. Among
   Postgraduate trainees PBL showed no significant differences in knowledge
   gain compared with lectures or non-case-based learning. In continuing
   education, PBL showed no significant difference in knowledge gain when
   compared with other methods. Several studies did not provide an
   educational intervention for the control group. Physician performance
   improvement showed an upward trend in groups participating in PBL, but
   no significant difference's were noted in health outcomes.
   Conclusion Online PBL is a useful method of delivering continuing
   medical education. There is limited evidence that PBL in continuing
   education would enhance physicians' performance or improve health
   outcomes.
Z8 4
TC 25
ZS 4
ZR 0
ZB 3
ZA 0
Z9 33
U1 1
U2 30
SN 0008-350X
EI 1715-5258
UT WOS:000332187200017
PM 24522680
ER

PT J
AU Mammo, Zaid N.
   Yousif, Fouad
   Lam, Wai-Ching
TI Educational outcomes of The University of Toronto Visiting Professor
   Rounds Series
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 49
IS 1
BP 96
EP 101
DI 10.1016/j.jcjo.2013.09.019
PD FEB 2014
PY 2014
AB Objective: To assess how the University of Toronto Visiting Professors
   Rounds Series (UTVPRS) influenced the knowledge, perceptions, and
   clinical decision making of Canadian ophthalmologists.
   Design: Longitudinal cross-sectional.
   Participants: Eight hundred and fifty ophthalmologists registered with
   the Canadian Ophthalmological Society.
   Methods: Online surveys, using multiple-choice and reflection questions,
   were administered before and after online viewing of the University of
   Toronto Ophthalmology grand rounds as screencasts.
   Results: At 18 months, 124 users registered and watched 429 screencasts.
   Most participants found UTVPRS to be organized and user friendly. Mean
   prescreencast correct scores were 1008 versus 1288 postscreencast (p =
   0.002). Postscreencast, 73% of participants replied in favour of
   changing future practice.
   Conclusions: UTVPRS was well received with demonstrated knowledge gain
   and potential practice change. The long-term and patient-related
   outcomes of the results require further research.
OI Lam, Wai-Ching/0000-0003-2057-9374
ZB 0
Z8 0
ZA 0
ZS 0
TC 0
ZR 0
Z9 0
U1 0
U2 6
SN 0008-4182
EI 1715-3360
UT WOS:000331150300032
PM 24513365
ER

PT J
AU Brown, Menna
   Bullock, Alison
TI Evaluating PLATO: postgraduate teaching and learning online.
SO The clinical teacher
VL 11
IS 1
BP 10
EP 4
DI 10.1111/tct.12052
PD 2014-Feb
PY 2014
AB BACKGROUND:  The use of the Internet as a teaching medium has increased
   rapidly over the last decade. PLATO (postgraduate learning and teaching
   online) was launched in 2008 by the e-learning unit (ELU) of Wales
   Deanery. Located within Learning@NHSWales, a Moodle virtual learning
   environment (VLE), it hosts a wide range of freely available courses and
   resources tailored to support the education, training and continuing
   professional development (CPD) needs of health care professionals
   working across the National Health Service (NHS) Wales. The evaluation
   aimed to identify the costs and benefits of PLATO, report its value as
   attributed by users, identify potential cost savings and make
   recommendations.
   METHODS:  Five courses (case studies) were selected, representing the
   range of available e-learning resources: e-induction; fetal heart
   monitoring; cervical screening; GP prospective trainers; and tools for
   trainers. Mixed methods were used: one-to-one qualitative interviews,
   focus group discussions and surveys explored user views, and identified
   individual and organisational value.
   RESULTS:  Qualitative findings identified six key areas of value for
   users: ELU support and guidance; avoidance of duplication and
   standardisation; central reference; local control; flexibility for
   learners; and specific features. Survey results (n=72) indicated 72 per
   cent of consultants reported that PLATO was easy to access and user
   friendly. E-learning was rated as 'very/important' for CPD by 79 per
   cent of respondents. Key challenges were: access, navigation, user
   concerns, awareness and support.
   DISCUSSION:  PLATO supports education and helps deliver UK General
   Medical Council standards. Future plans should address the suggested
   recommendations to realise cost savings for NHS Wales and the Wales
   Deanery. The findings have wider applicability to others developing or
   using VLEs.
OI Bullock, Alison/0000-0003-3800-2186; Brown, Menna/0000-0003-1427-1648
TC 8
Z8 0
ZB 0
ZR 0
ZS 0
ZA 0
Z9 8
U1 0
U2 4
EI 1743-498X
UT MEDLINE:24405912
PM 24405912
ER

PT J
AU Han, Heeyoung
   Nelson, Erica
   Wetter, Nathan
TI Medical students' online learning technology needs.
SO The clinical teacher
VL 11
IS 1
BP 15
EP 9
DI 10.1111/tct.12092
PD 2014-Feb
PY 2014
AB PURPOSE: This study investigated medical students' online learning
   technology needs at a medical school. The study aimed to provide
   evidence-based guidance for technology selection and online learning
   design in medical education.
   METHODS: The authors developed a 120-item survey in collaboration with
   the New Technology in Medical Education (NTIME) committee at the
   Southern Illinois University School of Medicine (SIUSOM). Overall, 123
   of 290 medical students (42%) at the medical school participated in the
   survey. The survey focused on five major areas: students' hardware and
   software use; perception of educational technology (ET) in general;
   online behaviours; perception of ET use at the school; and demographic
   information.
   RESULTS: Students perceived multimedia tools, scheduling tools,
   communication tools, collaborative authoring tools, learning management
   systems and electronic health records useful educational technologies
   for their learning. They did not consider social networking tools useful
   for their learning, despite their frequent use. Third-year students were
   less satisfied with current technology integration in the curriculum,
   information sharing and collaborative learning than other years.
   Students in clerkships perceived mobile devices as useful for their
   learning. Students using a mobile device (i.e. a smartphone) go online,
   text message, visit social networking sites and are online during
   classes more frequently than non-users.
   CONCLUSIONS: Medical students' ET needs differ between preclinical and
   clinical years. Technology supporting ubiquitous mobile learning and
   health information technology (HIT) systems at hospitals and out-patient
   clinics can be integrated into clerkship curricula.
OI Han, Heeyoung/0000-0002-7286-2473
Z8 0
TC 25
ZR 0
ZS 1
ZA 0
ZB 2
Z9 28
U1 0
U2 12
EI 1743-498X
UT MEDLINE:24405913
PM 24405913
ER

PT J
AU Catling, Finneas
   Williams, Jane
   Baker, Robert
TI A prescribing e-tutorial for medical students.
SO The clinical teacher
VL 11
IS 1
BP 33
EP 7
DI 10.1111/tct.12100
PD 2014-Feb
PY 2014
AB BACKGROUND: UK medical students' confidence in their prescribing skills
   is low, and a significant proportion of prescriptions written by
   foundation year 1 (FY1) doctors contain errors. The Prescribing Safety
   Assessment (PSA) is a new national examination aimed at ensuring
   prescribing competence in undergraduates, but few PSA-specific
   preparatory resources are available to students.
   METHODS: A needs analysis was performed and an online e-tutorial
   (Prepare for the PSA) was designed. The e-tutorial consists mainly of a
   practise exam that closely mirrors the format of the PSA itself. After
   completing each question the user receives personalised feedback, and is
   given the opportunity to further their knowledge using interactive
   learning activities. A facility for users to contribute their own
   questions is included, and the e-tutorial also explains the rationale
   underlying the PSA and directs users to further learning resources.
   Numerous attempts were made to encourage the use of the e-tutorial
   amongst UK medical students and educators. A total of 248 final-year
   students at a UK medical school were asked to evaluate the e-tutorial
   and rate their prescribing confidence before and after completing it.
   RESULTS: The response rate in the evaluation was 72.7-73.9percent. The
   results show that completing the e-tutorial is associated with highly
   significant (p<0.0001) increases in confidence across all prescribing
   skills.
   DISCUSSION: Our e-tutorial is effective and meets the needs of medical
   students. Once the e-tutorial is disseminated more widely and is
   expanded by user-contributed questions, we hope that it will become
   established as a national platform for collaborative prescribing
   education.
RI Catling, Finneas Jacob Robson/AAM-4501-2020
OI Catling, Finneas Jacob Robson/0000-0003-2815-4362
Z8 0
ZA 0
ZS 0
ZB 2
ZR 0
TC 4
Z9 4
U1 0
U2 3
EI 1743-498X
UT MEDLINE:24405917
PM 24405917
ER

PT J
AU Tran, Katherine
   Tran, Gui Tong
   Fuller, Richard
TI West Yorkshire Mentor Scheme: teaching and development.
SO The clinical teacher
VL 11
IS 1
BP 48
EP 52
DI 10.1111/tct.12058
PD 2014-Feb
PY 2014
AB BACKGROUND: The West Yorkshire Mentoring Scheme (WYMS) was created to
   provide a framework for clinical supervision, teaching and support by
   foundation year (FY) doctors for final-year medical students. Although
   established literature highlights the benefits of near-peer teaching,
   the accompanying mentoring role has little been explored. This study
   explored the impact of the WYMS for FY doctors and final-year medical
   students.
   METHOD: FY1 mentors were individually paired with fifth-year medical
   students from the University of Leeds. The scheme aims to provide
   support, teaching and skills development for both mentors and mentees,
   as students rotate through clinical placements and assistantships. At
   the end of each academic year, FY1s and medical students are invited to
   complete an online questionnaire to highlight their experiences. These
   data were used to explore the impact of the scheme, and thematic
   analysis was employed to determine the results.
   RESULTS: Forty-nine medical students and 122 FY1s responded: 98percent
   of mentors and 100percent of mentees would recommend the scheme to their
   peers. Thematic analysis demonstrated that the scheme proved useful in
   skills development, teaching supervision and increasing preparedness for
   work.
   DISCUSSION: WYMS is well received, beneficial and an excellent, local
   adjunct to clinical placements. It is of significant value to final-year
   students and their FY mentors, assisting in the development of student
   assistantships and clinical placement design. For FY doctors, it is a
   rewarding scheme that develops essential attributes of time management,
   communication and leadership for mentors and for the junior doctors who
   organise the scheme.
ZR 0
ZS 0
ZA 0
TC 12
ZB 0
Z8 0
Z9 12
U1 0
U2 1
EI 1743-498X
UT MEDLINE:24405920
PM 24405920
ER

PT J
AU Yeh, Yu-Ting
   Chen, Hsiang-Yin
   Cheng, Kuei-Ju
   Hou, Ssu-An
   Yen, Yu-Hsuan
   Liu, Chien-Tsai
TI Evaluating an online pharmaceutical education system for pharmacy
   interns in critical care settings
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 113
IS 2
BP 682
EP 689
DI 10.1016/j.cmpb.2013.11.006
PD FEB 2014
PY 2014
AB Incorporating electronic learning (eLearning) system into professional
   experimental programs such as pharmacy internships is a challenge.
   However, none of the current systems can fully support the unique needs
   of clinical pharmacy internship. In this study we enhanced a commercial
   eLearning system for clinical pharmacy internship (The Clinical Pharmacy
   Internship eLearning System, CPIES). The KAP questionnaire was used to
   evaluate the performance of group A with the traditional teaching model
   and group B with the CPIES teaching model. The CPIES teaching model
   showed significant improvement in interns' knowledge and practice (p =
   0.002 and 0.031, respectively). The traditional teaching model only
   demonstrated significant improvement in practice (p = 0.011). Moreover,
   professionalism, such as attitudes on cooperating with other health
   professionals, is developed by learning from a good mentor. The on-line
   teaching and traditional teaching methods should undoubtedly be blended
   in a complete teaching model in order to improve learners' professional
   knowledge, facilitate correct attitude, and influence good practice. (C)
   2013 Elsevier Ireland Ltd. All rights reserved.
RI Malone, Patrick/AAT-7940-2020; Chen, Shawn Hsiang-Yin/; cheng, kuei-ju/; Liu, Chien-Tsai/
OI Chen, Shawn Hsiang-Yin/0000-0001-5535-7152; cheng,
   kuei-ju/0000-0003-1314-5834; Liu, Chien-Tsai/0000-0002-8192-3258
ZR 0
Z8 0
ZA 0
ZS 0
ZB 2
TC 9
Z9 9
U1 0
U2 41
SN 0169-2607
EI 1872-7565
UT WOS:000330137600023
PM 24315478
ER

PT J
AU Eyal, Sara
   Rasaby, Sivan
   Ekstein, Dana
TI Concomitant therapy in people with epilepsy: Potential drug-drug
   interactions and patient awareness
SO EPILEPSY & BEHAVIOR
VL 31
BP 369
EP 376
DI 10.1016/j.yebeh.2013.09.041
PD FEB 2014
PY 2014
AB People with epilepsy (PWE) may use prescription and over-the-counter
   (OTC) drugs for the treatment of concomitant diseases. Combinations of
   these drugs, as well as dietary supplements, with antiepileptic drugs
   (AEDs) may lead to reduced control of seizures and of coexisting medical
   conditions and increased risk of adverse drug reactions (ADRs). The aims
   of this study were to obtain comprehensive lists of medications, dietary
   supplements, botanicals, and specific food components used by adult PWE
   and to evaluate the potential for interactions involving AEDs and
   patients' awareness of such potential interactions. We conducted a
   prospective, questionnaire-based study of PWE attending the
   Hadassah-Hebrew University Epilepsy Clinic over a period of 7 months.
   The questionnaire interview included the listing of medications,
   medicinal herbs, dietary supplements, and specific food components
   consumed and the knowledge of potential drug-drug interactions (DDIs),
   and it was conducted by a pharmacist. Drug-drug interactions were
   analyzed via the Micromedex online database. Out of 179 patients who
   attended the clinic over the study period, we interviewed 73 PWE, of
   which 71 were included in our final analysis. The mean number of AEDs
   consumed per subject was 1.7 (SD: 0.8, range: 1-4). Forty (56%) subjects
   were also treated with other prescription and/or OTC medications, and
   thirty-four (48%) took dietary supplements. Drug families most prone to
   DDIs involving AEDs included antipsychotic agents, selective serotonin
   reuptake inhibitors, and statins. Two-thirds of study participants (67%)
   knew that DDIs may lead to ADRs, but only half (56%) were aware of the
   potential for reduced seizure control. Only 44% always reported
   treatment with AEDs to medical professionals. This study provides for
   the first time a comprehensive picture of prescription and OTC drugs and
   food supplements used by PWE. Despite a considerable potential for DDIs
   involving AEDs, patient awareness is limited, highlighting the
   importance of patient and caregiver education. (C) 2013 Elsevier Inc.
   All rights reserved.
OI Eyal, Sara/0000-0003-1275-6094
ZR 0
ZA 0
ZB 6
ZS 0
Z8 1
TC 16
Z9 17
U1 0
U2 11
SN 1525-5050
EI 1525-5069
UT WOS:000330192700066
PM 24211058
ER

PT J
AU Brumini, G.
   Spalj, S.
   Mavrinac, M.
   Biocina-Lukenda, D.
   Strujic, M.
   Brumini, M.
TI Attitudes towards e-learning amongst dental students at the universities
   in Croatia
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 18
IS 1
BP 15
EP 23
DI 10.1111/eje.12068
PD FEB 2014
PY 2014
AB AimTo develop and test the psychometric characteristics of a
   questionnaire that measures attitudes towards e-learning, as well as to
   study attitudes about e-learning and to identify variables related to
   those attitudes amongst dental students.
   Subject and MethodsThe study was conducted from November 2010 to
   December 2011 at all three Croatian dental schools. A questionnaire
   entitled Attitude Towards e-Learning' consisting of 12 questions about
   socio-demographic data and 22 statements about attitude towards
   e-learning was self-administered by 386 students. Factorial analysis and
   Cronbach's alpha were used to test the psychometric characteristics of
   the questionnaire. Multiple regression analysis was used to identify
   variables related to attitudes towards e-learning.
   ResultsFactorial analysis confirmed two factors: positive attitude and
   negative attitude, which interpret 58% of the total variance and had
   good internal consistency of =0.852 and 0.668, respectively. The average
   score of positive attitude was 426, indicating a highly positive
   attitude towards e-learning. The average score of negative attitude was
   27 +/- 6, indicating minor negative attitude. Higher age and study year,
   usage of the Internet in education, more frequent usage of Facebook and
   more attendance of e-courses demonstrated a significant influence on
   positive attitude towards e-learning (R-2=0.304; P<0.001). Lower year of
   study and less frequent attendance of e-courses had a significant
   influence on negative attitude (R-2=0.268; P<0.001).
   ConclusionsDental students have generally positive attitudes towards
   e-learning. Teachers should adopt strategies to change negative
   attitudes by introducing more e-learning courses in lower study years
   and should encourage students to use the Internet in their education and
   communication with teachers and colleagues.
RI Brumini, Gordana/O-4925-2018; Mavrinac, Martina/R-9703-2018; brumini, martina/L-7746-2017; Spalj, Stjepan/O-5970-2018
OI Brumini, Gordana/0000-0003-2401-3212; Mavrinac,
   Martina/0000-0002-6424-2573; brumini, martina/0000-0002-0826-2377;
   Spalj, Stjepan/0000-0003-4836-3903
ZB 1
TC 25
ZS 1
Z8 0
ZA 0
ZR 0
Z9 26
U1 0
U2 23
SN 1396-5883
EI 1600-0579
UT WOS:000330801100004
PM 24423171
ER

PT J
AU Thomas, J. S.
   Koo, M.
   Shakib, S.
   Wu, J.
   Khanal, S.
TI Impact of a compulsory final year medical student curriculum on junior
   doctor prescribing
SO INTERNAL MEDICINE JOURNAL
VL 44
IS 2
BP 156
EP 160
DI 10.1111/imj.12316
PD FEB 2014
PY 2014
OI Thomas, Josephine/0000-0001-8124-5920
ZB 4
Z8 0
TC 6
ZA 0
ZR 0
ZS 0
Z9 7
U1 0
U2 2
SN 1444-0903
EI 1445-5994
UT WOS:000331354000007
PM 24528813
ER

PT J
AU Penta, Marcela A.
   Baban, Adriana
TI Dangerous Agent or Saviour? HPV Vaccine Representations on Online
   Discussion Forums in Romania
SO INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
VL 21
IS 1
BP 20
EP 28
DI 10.1007/s12529-013-9340-z
PD FEB 2014
PY 2014
AB Purpose: Whereas Romanian health officials have launched two national
   human papillomavirus (HPV) vaccination campaigns, the uptake rate
   remained insignificant. Understanding local perceptions of the vaccine
   is necessary, as they could inform future educational programmes. Given
   that social media provide new opportunities to communicate about
   vaccination, this paper sought to explore the public's constructions of
   the HPV vaccine as they were expressed on Internet discussion forums.
   Methods: Twenty discussion forums, with a total sample size of 2,240
   comments (2007-2012), were included. We conducted a thematic analysis
   with a focus on language, informed by a discourse analytic approach.
   Results: Positive discourses relying on evidence-based arguments or
   cancer-related experiences battled with negative discourses that focused
   mostly on pseudo-scientific information and affect-based testimonials.
   Both camps made use of appeals to authority in order to provide powerful
   messages. Critics expressed high levels of mistrust in the health system
   and perceived the vaccine as dangerous, as part of a conspiracy, as
   unnecessary or as a promoter of promiscuity. By contrast, supporters
   considered the HPV vaccine to be helpful and criticized the
   irrationality of opponents. Ambivalence and uncertainty also emerged,
   along with criticism toward the suboptimal organization of the
   vaccination programmes. Findings highlight ways in which views about the
   vaccine are embedded in broader perspectives about science, the national
   medical system, society development and economic inequality.
   Conclusion: Online posts are likely to elicit fear and doubts around
   vaccination, which in turn may impair decisions. Findings indicate that
   targeted education campaigns are needed in order to address public
   concerns about vaccination.
ZB 7
ZA 0
Z8 0
ZS 0
ZR 0
TC 27
Z9 27
U1 0
U2 27
SN 1070-5503
EI 1532-7558
UT WOS:000332005600004
PM 24057409
ER

PT J
AU Gutierrez, Natalia
   Kindratt, Tiffany B.
   Pagels, Patti
   Foster, Barbara
   Gimpel, Nora E.
TI Health Literacy, Health Information Seeking Behaviors and Internet Use
   Among Patients Attending a Private and Public Clinic in the Same
   Geographic Area
SO JOURNAL OF COMMUNITY HEALTH
VL 39
IS 1
BP 83
EP 89
DI 10.1007/s10900-013-9742-5
PD FEB 2014
PY 2014
AB Despite the growing body of health information available online,
   patients with limited health literacy may lack either internet access or
   skills necessary to utilize this information. Nonetheless, patients at
   all health literacy levels may prefer other primary sources to obtain
   health information. We conducted a cross-sectional study to measure
   health literacy of patients attending two clinics in Dallas, TX and
   determine associations between health literacy, health information
   access and internet usage before and after controlling for confounders.
   Patients from both clinics (county N = 265; private N = 233) completed a
   brief survey which included sociodemographics, internet patterns,
   confidence in filling out medical forms and a self-administered Newest
   Vital Sign to measure health literacy. In the county clinic, most
   patients (61.5 %) were Hispanic, had low income (<$19,000/year), limited
   education (< 11th grade) and a high likelihood or possibility of limited
   health literacy (68.5 %). In the private clinic, participants were
   mostly black (40.4 %) or white (38.6 %), had higher incomes (a parts per
   thousand yen$46,000), higher education (technical college or college)
   and adequate health literacy (75.1 %). The primary source of obtaining
   health information in both clinics was their health care professional
   (50.6 % county; 40.1 % private). In multivariate analyses to determine
   differences by health literacy level, there were no statistically
   significant differences between patients with limited and adequate
   health literacy and their primary information source. Regardless of
   health literacy, patients rely on their health care providers to obtain
   health information. These results showcase the importance of providers'
   effective communication with patients to make shared decisions about
   their health regardless of other factors.
RI Kindratt, Tiffany/GQZ-3218-2022; Kindratt, Tiffany/
OI Kindratt, Tiffany/0000-0003-3513-5290
ZA 0
ZS 0
TC 55
ZR 0
ZB 3
Z8 0
Z9 55
U1 1
U2 74
SN 0094-5145
EI 1573-3610
UT WOS:000329655100011
PM 23900880
ER

PT J
AU Haney, Nora M.
   Kinsella, Stuart D.
   Morey, Jose M.
TI United States Medical School Graduate Interest in Radiology Residency
   Programs as Depicted by Online Search Tools
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 11
IS 2
BP 193
EP 197
DI 10.1016/j.jacr.2013.06.023
PD FEB 2014
PY 2014
AB Recent media publications have indicated a tough job market in medical
   specialty positions for medical school graduates, specifically in the
   field of radiology. Internet search tools, such as Google Trends, have
   proved useful in the prediction of certain diseases on the basis of the
   search volume index for a specific term. The authors hypothesized that
   online search tools might be useful in the prediction of US medical
   school graduates' interest in residency positions in radiology. Google
   Trends indicated an increase over time in searches for "radiology
   salary" and a decrease over time in searches for "radiology residency."
   National Resident Matching Program results for diagnostic radiology
   showed an increase from 2004 to 2009 in the percentage of US graduates
   entering radiology but a dramatic drop from 2010 to 2013. This occurred
   even while the total number of US graduates active in the National
   Resident Matching Program increased. This finding might have been
   foretold on the basis of online query result trends. Online search data
   may be a useful insight into the interests of US medical school
   graduates and may be predictive of unfilled radiology residency
   positions and eventual increased shortages of community radiologists
   coming from US medical schools.
OI Haney, Nora/0000-0002-8403-7198
ZR 0
TC 13
Z8 0
ZB 1
ZS 0
ZA 0
Z9 13
U1 0
U2 4
SN 1546-1440
UT WOS:000331990900021
PM 24120904
ER

PT J
AU Ilic, Dragan
   Maloney, Stephen
TI Methods of teaching medical trainees evidence-based medicine: a
   systematic review
SO MEDICAL EDUCATION
VL 48
IS 2
BP 124
EP 135
DI 10.1111/medu.12288
PD FEB 2014
PY 2014
AB ContextThe principles of evidence-based medicine (EBM) provide
   clinicians with the ability to identify, source, appraise and integrate
   research evidence into medical decision making. Despite the mantra of
   EBM encouraging the use of evidence to inform practice, there appears
   little evidence available on how best to teach EBM to medical trainees.
   A systematic review was performed to identify what type of educational
   method is most effective at increasing medical trainees' competency in
   EBM.
   MethodsA systematic review of randomised controlled trials (RCTs) was
   performed. Electronic searches were performed across three databases.
   Two reviewers independently searched, extracted and reviewed the
   articles. The quality of each study was assessed using the Cochrane
   Collaboration's risk of bias assessment tool.
   ResultsIn total, 177 citations were returned, from which 14 studies were
   RCTs and examined for full text. Nine of the studies met the inclusion
   criteria and were included in this review. Learner competency in EBM
   increased post-intervention across all studies. However, no difference
   in learner outcomes was identified across a variety of educational
   modes, including lecture versus online, direct versus self-directed,
   multidisciplinary versus discipline-specific groups, lecture versus
   active small group facilitated learning.
   ConclusionsThe body of evidence available to guide educators on how to
   teach EBM to medical trainees is small, albeit of a good quality. The
   major limitation in assessing risk of bias was the inability to blind
   participants to an educational intervention and lack of clarity
   regarding certain aspects within studies. Further evidence, and
   transparency in design, is required to guide the development and
   implementation of educational strategies in EBM, including modes of
   teaching and the timing of delivering EBM content within the broader
   medical curriculum. Further research is required to determine the
   effects of timing, content and length of EBM courses and teaching
   methods.
   Discuss ideas arising from the article at discuss'
RI Maloney, Stephen/; Ilic, Dragan/I-2437-2014
OI Maloney, Stephen/0000-0003-2612-5162; Ilic, Dragan/0000-0001-5127-9185
ZB 3
Z8 2
ZS 2
ZR 0
ZA 0
TC 88
Z9 91
U1 0
U2 45
SN 0308-0110
EI 1365-2923
UT WOS:000329491100016
PM 24528395
ER

PT J
AU Jain, Anuja
   Petty, Elizabeth M.
   Jaber, Reda M.
   Tackett, Sean
   Purkiss, Joel
   Fitzgerald, James
   White, Casey
TI What is appropriate to post on social media? Ratings from students,
   faculty members and the public
SO MEDICAL EDUCATION
VL 48
IS 2
BP 157
EP 169
DI 10.1111/medu.12282
PD FEB 2014
PY 2014
AB ObjectivesThe purpose of this study was to ascertain what medical
   students, doctors and the public felt was unprofessional for medical
   students, as future doctors, to post on a social media site,
   Facebook((R)). The significance of this is that unprofessional content
   reflects poorly on a student, which in turn can significantly affect a
   patient's confidence in that student's clinical abilities.
   MethodsAn online survey was designed to investigate the perceptions of
   University of Michigan medical students, attending physicians and
   non-health care university-wide employees (that serves as a subset of
   the public) regarding mock medical students' Facebook((R)) profile
   screenshots. For each screenshot, respondents used a 5-point Likert
   scale to rate appropriateness' and whether they would be comfortable'
   having students posting such content as their future doctors.
   ResultsCompared with medical students, faculty members and public groups
   rated images as significantly less appropriate (p<0.001) and indicated
   that they would be less comfortable (p<0.001) having posting students as
   future doctors. All three groups rated screenshots containing derogatory
   or private information about patients, followed by images suggesting
   marijuana use, as least appropriate. Images conveying intimate
   heterosexual couples were rated as most appropriate. Overall, the doctor
   group, females and older individuals were less permissive when compared
   with employee and student groups, males and younger individuals,
   respectively.
   ConclusionsThe most significant conclusion of our study is that faculty
   members, medical students and the public' have different thresholds of
   what is acceptable on a social networking site. Our findings will prove
   useful for students to consider the perspectives of patients and faculty
   members when considering what type of content to post on their social
   media sites. In this way, we hope that our findings provide insight for
   discussions, awareness and the development of guidelines related to
   online professionalism for medical students.
   Discuss ideas arising from the article at discuss'
OI Tackett, Sean/0000-0001-5369-7225
ZA 0
TC 51
ZS 2
ZR 0
Z8 0
ZB 4
Z9 53
U1 0
U2 59
SN 0308-0110
EI 1365-2923
UT WOS:000329491100007
PM 24528398
ER

PT J
AU Edwards, Daniel
   Wilkinson, David
   Canny, Benedict J.
   Pearce, Jacob
   Coates, Hamish
TI Developing outcomes assessments for collaborative, cross-institutional
   benchmarking: Progress of the Australian Medical Assessment
   Collaboration
SO MEDICAL TEACHER
VL 36
IS 2
BP 139
EP 147
DI 10.3109/0142159X.2013.849798
PD FEB 2014
PY 2014
AB Background: The Australian Medical Assessment Collaboration (AMAC) began
   in 2010. This article charts the development of the collaboration over
   its initial years.
   Aims: AMAC was instigated as a way of improving the quality of medical
   education through the recognition of the need for tools for comparison
   and evaluation of learning outcomes, acknowledgement of the need for
   high quality assessment, and to share expertise in these areas. In a
   climate of increasing regulation and accountability, this collaboration
   was formed as a means of increasing assessment practices by, with and
   for medical schools.
   Method: This article provides an overview of the background issues
   stimulating the development of AMAC, discussion of the formation of the
   collaboration and reflection on the lessons learnt through these
   processes.
   Results: In a relatively short space of time, AMAC has fostered
   substantial collaboration among schools; developed an Assessment
   Framework, items and an online assessment; and provided benchmarking
   reports to students and schools.
   Conclusion: The intention here is to provide guidance for others (within
   the medical education community and those in other disciplines) with
   similar intentions and aims, by outlining the developmental pathway of
   the project and the systematic lessons that the collaboration team has
   learnt in establishing AMAC.
RI Coates, Hamish/G-2627-2015; Edwards, Daniel/ABC-6676-2020
OI Coates, Hamish/0000-0001-5763-3229; Edwards, Daniel/0000-0002-1154-8405
ZA 0
Z8 0
ZS 0
TC 10
ZB 0
ZR 0
Z9 10
U1 0
U2 7
SN 0142-159X
EI 1466-187X
UT WOS:000330855000007
PM 24171466
ER

PT J
AU Walsh, Kenneth P.
   Rehman, Saqib
   Goldhirsh, Jessie
TI Disparities in Internet Use Among Orthopedic Outpatients
SO ORTHOPEDICS
VL 37
IS 2
BP E133
EP E140
DI 10.3928/01477447-20140124-14
PD FEB 2014
PY 2014
AB Internet access has lagged behind for patients with lower incomes and
   from certain ethnic groups. This study investigated the possible
   improvement of access to health-related information on the Internet for
   all patients in an urban outpatient setting, regardless of socioeconomic
   background. A 28-question survey was completed by 100 orthopedic
   outpatients evaluating associations between their age, ethnicity,
   income, or education level and their access to the Internet. The survey
   also examined how patients used the Internet to obtain information about
   their medical condition, their privacy concerns when conducting online
   research, and their use of mobile phones as a primary means of Internet
   access.
Z8 0
TC 11
ZS 0
ZA 0
ZR 0
ZB 0
Z9 11
U1 0
U2 10
SN 0147-7447
EI 1938-2367
UT WOS:000331879300006
PM 24679198
ER

PT J
AU Kurup, Viji
   Dabu-Bondoc, Susan
   Senior, Audrey
   Dai, Feng
   Hersey, Denise
   Vadivelu, Nalini
TI Concern for Pain in the Pre-Operative Period- Is the Internet Being Used
   for Information By Patients?
SO PAIN PRACTICE
VL 14
IS 2
BP E69
EP E75
DI 10.1111/papr.12081
PD FEB 2014
PY 2014
AB ObjectivesThis study was conducted to provide information regarding
   prevalence of pain, type of provider managing pain, and use of Internet
   for information regarding pain, among patients coming for presurgical
   anesthesia consultation at a major academic institution.
   MethodsWith IRB approval, patients were invited to participate in a
   voluntary and anonymous 14 question survey given to them when they
   presented for anesthesia consultation prior to their surgical procedure.
   The qualitative/categorical data were summarized by number (percentage
   [%]) and analyzed by Chi-square test or Fisher's exact test as
   appropriate. All data analyses were performed using the statistical
   software SAS, v9.2.
   ResultsA total of 1039 patients were asked to complete the survey and
   670 patients returned their responses (response rate=64.5%). 83% of
   patients had a history of prior surgery. 57% were concerned about
   postoperative pain. 30% of patients had chronic pain for more than
   3months pre-operatively. 16% of patients had looked online for
   information regarding pain. Pain physicians were involved in pain
   management only in 3.8% of these patients.
   DiscussionPatients are presenting for surgery with significant
   pre-operative pain issues. Knowing this information pre-operatively will
   help healthcare personnel manage postsurgical pain more effectively.
   Patients are also using the Internet to obtain information regarding
   pain. As providers, there may be value to directing patients to reliable
   information online during consultation. As all physicians will
   eventually be managing chronic pain in their patients, pain education
   should be given priority in medical school curriculum.
RI Hersey, Denise/AHE-6389-2022; Hersey, Denise/
OI Hersey, Denise/0000-0002-2350-4725
TC 5
ZR 0
ZB 2
ZS 0
ZA 0
Z8 0
Z9 5
U1 0
U2 4
SN 1530-7085
EI 1533-2500
UT WOS:000331149200008
PM 23692356
ER

PT J
AU Hilton-Kamm, Debra
   Sklansky, Mark
   Chang, Ruey-Kang
TI How Not to Tell Parents About Their Child's New Diagnosis of Congenital
   Heart Disease: An Internet Survey of 841 Parents
SO PEDIATRIC CARDIOLOGY
VL 35
IS 2
BP 239
EP 252
DI 10.1007/s00246-013-0765-6
PD FEB 2014
PY 2014
AB An online survey for parents of children with congenital heart disease
   (CHD) was developed to study the perceptions and experiences of parents
   when receiving the diagnosis. The survey was distributed to online
   support groups. A total of 841 responses from parents of children with
   CHD in the United States were received over a 4-week period in 2010. The
   authors hypothesized that the counseling and demeanor of the pediatric
   cardiologist (PC) may be important factors in determining whether
   parents of children with CHD seek second opinions, and that the
   terminology used in counseling may be variably interpreted. Of the 841
   respondents, 349 (41 %) received the diagnosis prenatally. A minority of
   the respondents received: support group information (14 %), Internet
   resources (21 %), success rates at other hospitals (16 %), or maximum
   ages of survivors (29 %). Among 26 % of the parents who reported seeking
   a second opinion from another PC, the majority (71 %) chose the second
   PC for long-term follow-up care. Those receiving a prenatal diagnosis
   were more likely to seek a second opinion than those receiving the
   diagnosis postnatally (32 vs 22 %; p < 0.01). Parents' perception of the
   PC's compassion and empathy was inversely related to the likelihood of
   seeking a second opinion. Parents were more likely to seek a second
   opinion when they were not optimistic about their child's life
   expectancy, felt pressured by the PC to terminate the pregnancy, were
   told that their child's death was "somewhat" or "very" likely, or were
   told the child's CHD was "rare" (all p < 0.01). Two thirds (66 %) of the
   respondents were told that their child's condition was "rare." The
   majority of these (77 %) reported that the term was used by the PC.
   "Rare" was interpreted as "occurring in less than a million births" by
   25 %, and as "few or no other people alive with this defect" by 27 %.
   Parental interpretation of "rare" was unrelated to their levels of
   education. As reported by the respondents, 13 % felt pressured to
   terminate the pregnancy by the PC. Those with hypoplastic left heart
   syndrome were more likely to report feeling pressure to terminate the
   pregnancy by the PC (21 vs 9 %; p < 0.001) or the perinatologist (23 vs
   14 %; p = 0.026). The approach to counseling and the demeanor of the PC
   have important implications for parents' perceptions of their child's
   chance of survival. The information given at diagnosis, the manner in
   which it is presented, and the parents' understanding and interpretation
   of that information are critical factors in shaping parents' perceptions
   and management decisions.
ZA 0
ZB 5
ZR 0
ZS 1
TC 28
Z8 0
Z9 28
U1 0
U2 12
SN 0172-0643
EI 1432-1971
UT WOS:000330621300007
PM 23925415
ER

PT J
AU Lana, Alberto
   Faya-Ornia, Goretti
   Luisa Lopez, Maria
TI Impact of a web-based intervention supplemented with text messages to
   improve cancer prevention behaviors among adolescents: Results from a
   randomized controlled trial
SO PREVENTIVE MEDICINE
VL 59
BP 54
EP 59
DI 10.1016/j.ypmed.2013.11.015
PD FEB 2014
PY 2014
AB Objective. To assess the impact of a web-based intervention supplemented
   with text messages to reduce cancer risk linked with smoking, unhealthy
   diet, alcohol consumption, obesity, sedentary lifestyle and sun
   exposure.
   Methods. A total of 2001 voluntary adolescents from Spain and Mexico
   were recruited between 2009 and 2012 and randomly assigned to: one
   control group and two experimental groups, which received exclusively
   the online intervention (experimental group 1) or the intervention
   supplemented with encouraging text messages (experimental group 2). The
   educational intervention was based on both: successful psychosocial
   models (i.e. A.S.E. and Transtheoretical model) and the school
   curriculum.
   Results. After a 9-month follow-up, the prevalence of students who did
   not eat fruit was reduced significantly in all groups: experimental
   group 1 (62.6%), experimental group 2 (71.5%) and even the control group
   (66.8%). Being overweight was only reduced in the experimental group 2
   (19.6%). The total cancer behavioral risk score, which ranged from 0 to
   100 points (highest risk), was significantly reduced in the experimental
   group 1 (3.5 points) and in the experimental group 2 (-53 points). The
   text-supplemented online intervention increased the probability of
   improving the post-test total cancer behavioral risk (OR = 1.62).
   Conclusion. The web-based intervention supplemented with text messages
   had a positive global impact, but it lead to only minimal changes in
   risky behaviors. This intervention appears useful in controlling
   overweight adolescents. (C) 2013 Elsevier Inc. All rights reserved.
RI Ornia, Goretti Faya/A-7393-2016; Lana, Alberto/G-9794-2015
OI Lana, Alberto/0000-0003-0500-8805
ZB 5
Z8 0
TC 30
ZR 0
ZS 0
ZA 0
Z9 30
U1 1
U2 41
SN 0091-7435
EI 1096-0260
UT WOS:000330682200010
PM 24287124
ER

PT J
AU Roxburgh, C. S.
   Richards, C. H.
   O'Neill, S.
   Ramsay, G.
   Velineni, R.
   Robson, A. J.
   Watt, D. G.
   Mittapalli, D.
   Milburn, J. A.
   Robertson, A. G.
   Jamieson, N. B.
CA Scottish Surgical Res Grp
TI A national survey of attitudes to research in Scottish General Surgery
   Trainees
SO SCOTTISH MEDICAL JOURNAL
VL 59
IS 1
BP 9
EP 15
DI 10.1177/0036933013518142
PD FEB 2014
PY 2014
AB Introduction: Given the importance placed on awareness and participation
   in research by Speciality and Training organisations, we sought to
   survey Scottish trainee attitudes to exposure to research practice
   during training and research in or out of programme.
   Methods: An online survey was distributed to core and specialist
   trainees in general surgery in Scotland.
   Results: Over a 4-month period, 108 trainees (75 ST/SPRs and 33 CTs)
   completed the survey. In their current post, most were aware of ongoing
   research projects (77%) and 55% were aware of trial recruitment. Only
   47% attend regular journal clubs. Most believe that they are expected to
   present (89%) and publish (82%) during training. Most (59%) thought that
   participation in research is well supported. 57% were advised to
   undertake time out of programme research, mostly by consultants (48%)
   and training committee (36%). Of the 57 with time out of programme
   research experience, most did so in early training (37%) or between
   ST3-5 (47%). 28 out of the 36 (78%) without a national training number
   secured one after starting research. Most undertook research in a local
   academic unit (80%) funded by small grants (47%) or internally (33%).
   Most research (69%) was clinically orientated (13/55 clinical, 25/55
   translational). 56% of those completing time out of programme research
   obtained an MD or PhD. About 91% thought that research was relevant to a
   surgical career.
   Conclusions: Most trainees believe that research is an important part of
   training. Generally, most trainees are exposed to research practices
   including trial recruitment. However, <50% attend regular journal clubs,
   a pertinent point, given the current 'exit exam' includes the assessment
   of critical appraisal skills.
RI Jamieson, Nigel/X-1071-2019; Robertson, Andrew/AAI-3953-2021; MITTAPALLI, DEVENDER/D-8144-2018; O'Neill, Stephen/L-4515-2013
OI Jamieson, Nigel/0000-0002-9552-4725; MITTAPALLI,
   DEVENDER/0000-0002-4932-1572; O'Neill, Stephen/0000-0002-3252-340X
ZA 0
Z8 0
ZS 0
ZR 0
ZB 0
TC 3
Z9 3
U1 0
U2 1
SN 0036-9330
EI 2045-6441
UT WOS:000331615800056
PM 24434857
ER

PT J
AU De Leo, Gianluca
   Diggs, Leigh A.
   Radici, Elena
   Mastaglio, Thomas W.
TI Measuring Sense of Presence and User Characteristics to Predict
   Effective Training in an Online Simulated Virtual Environment
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 9
IS 1
BP 1
EP 6
DI 10.1097/SIH.0b013e3182a99dd9
PD FEB 2014
PY 2014
AB Introduction
   Virtual-reality solutions have successfully been used to train
   distributed teams. This study aimed to investigate the correlation
   between user characteristics and sense of presence in an online
   virtual-reality environment where distributed teams are trained. A
   greater sense of presence has the potential to make training in the
   virtual environment more effective, leading to the formation of teams
   that perform better in a real environment. Being able to identify,
   before starting online training, those user characteristics that are
   predictors of a greater sense of presence can lead to the selection of
   trainees who would benefit most from the online simulated training.
   Methods
   This is an observational study with a retrospective postsurvey of
   participants' user characteristics and degree of sense of presence.
   Twenty-nine members from 3 Air Force National Guard Medical Service
   expeditionary medical support teams participated in an online virtual
   environment training exercise and completed the Independent Television
   Commission-Sense of Presence Inventory survey, which measures sense of
   presence and user characteristics. Nonparametric statistics were applied
   to determine the statistical significance of user characteristics to
   sense of presence.
   Results
   Comparing user characteristics to the 4 scales of the Independent
   Television Commission-Sense of Presence Inventory using Kendall tau test
   gave the following results: the user characteristics "how often you play
   video games" (tau(26) = -0.458, P < 0.01) and "television/film
   production knowledge" (tau(27) = -0.516, P < 0.01) were significantly
   related to negative effects. Negative effects refer to adverse
   physiologic reactions owing to the virtual environment experience such
   as dizziness, nausea, headache, and eyestrain. The user characteristic
   "knowledge of virtual reality" was significantly related to engagement
   (tau(26) = 0.463, P < 0.01) and negative effects (tau(26) = -0.404, P <
   0.05).
   Conclusions
   Individuals who have knowledge about virtual environments and experience
   with gaming environments report a higher sense of presence that
   indicates that they will likely benefit more from online virtual
   training. Future research studies could include a larger population of
   expeditionary medical support, and the results obtained could be used to
   create a model that predicts the level of presence based on the user
   characteristics. To maximize results and minimize costs, only those
   individuals who, based on their characteristics, are supposed to have a
   higher sense of presence and less negative effects could be selected for
   online simulated virtual environment training.
OI De Leo, Gianluca/0000-0001-6836-8360; Diggs, Leigh/0000-0003-4822-2350
TC 42
ZB 5
ZR 0
ZA 0
Z8 1
ZS 1
Z9 44
U1 0
U2 26
SN 1559-2332
EI 1559-713X
UT WOS:000334502300001
PM 24310164
ER

PT J
AU Jenkins, M Sue
   Bean, W Geinor
   Luke, Karl
TI Part-time, e-learning interprofessional pain management education for
   the primary and community care setting.
SO British journal of pain
VL 8
IS 1
BP 16
EP 26
DI 10.1177/2049463713502944
PD 2014-Feb
PY 2014
AB Chronic pain is a long-term condition, which has a major impact on
   patients, carers and the health service. Despite the Chief Medical
   Officer setting chronic pain and its management as a national priority
   in 2008, the utilisation of health services by patients with long-term
   conditions is increasing, people with pain-related problems are not seen
   early enough and pain-related attendances to accident and emergency
   departments is increasing. Early assessment with appropriate
   evidence-based intervention and early recognition of when to refer to
   specialist and specialised services is key to addressing the growing
   numbers suffering with chronic pain. Pain education is recommended in
   many guidelines, as part of the process to address pain in these issues.
   Cardiff University validated an e-learning, master's level pain
   management module for healthcare professionals working in primary and
   community care. The learning outcomes revolve around robust early
   assessment and management of chronic pain in primary and community care
   and the knowledge when to refer on. The module focuses on the
   biopsychosocial aspects of pain and its management, using a blog as an
   online case study assessment for learners to demonstrate their
   knowledge, understanding and application to practice. The module has
   resulted in learners developing evidence-based recommendations, for pain
   management in clinical practice. 
RI Luke, Karl/AAU-3331-2021
OI Luke, Karl/0000-0002-7765-6126
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
TC 3
Z9 3
U1 0
U2 3
SN 2049-4637
UT MEDLINE:26516530
PM 26516530
ER

PT J
AU Young, Taryn
   Rohwer, Anke
   Volmink, Jimmy
   Clarke, Mike
TI What Are the Effects of Teaching Evidence-Based Health Care (EBHC)?
   Overview of Systematic Reviews
SO PLOS ONE
VL 9
IS 1
AR e86706
DI 10.1371/journal.pone.0086706
PD JAN 28 2014
PY 2014
AB Background: An evidence-based approach to health care is recognized
   internationally as a key competency for healthcare practitioners. This
   overview systematically evaluated and organized evidence from systematic
   reviews on teaching evidence-based health care (EBHC).
   Methods/Findings: We searched for systematic reviews evaluating
   interventions for teaching EBHC to health professionals compared to no
   intervention or different strategies. Outcomes covered EBHC knowledge,
   skills, attitudes, practices and health outcomes. Comprehensive searches
   were conducted in April 2013. Two reviewers independently selected
   eligible reviews, extracted data and evaluated methodological quality.
   We included 16 systematic reviews, published between 1993 and 2013.
   There was considerable overlap across reviews. We found that 171 source
   studies included in the reviews related to 81 separate studies, of which
   37 are in more than one review. Studies used various methodologies to
   evaluate educational interventions of varying content, format and
   duration in undergraduates, interns, residents and practicing health
   professionals. The evidence in the reviews showed that multifaceted,
   clinically integrated interventions, with assessment, led to
   improvements in knowledge, skills and attitudes. Interventions improved
   critical appraisal skills and integration of results into decisions, and
   improved knowledge, skills, attitudes and behaviour amongst practicing
   health professionals. Considering single interventions, EBHC knowledge
   and attitude were similar for lecture-based versus online teaching.
   Journal clubs appeared to increase clinical epidemiology and
   biostatistics knowledge and reading behavior, but not appraisal skills.
   EBHC courses improved appraisal skills and knowledge. Amongst practicing
   health professionals, interactive online courses with guided critical
   appraisal showed significant increase in knowledge and appraisal skills.
   A short workshop using problem-based approaches, compared to no
   intervention, increased knowledge but not appraisal skills.
   Conclusions: EBHC teaching and learning strategies should focus on
   implementing multifaceted, clinically integrated approaches with
   assessment. Future rigorous research should evaluate minimum components
   for multifaceted interventions, assessment of medium to long-term
   outcomes, and implementation of these interventions.
OI Young, Taryn/0000-0003-2406-081X
Z8 1
ZA 0
TC 138
ZS 2
ZR 0
ZB 13
Z9 140
U1 0
U2 27
SN 1932-6203
UT WOS:000330510000073
PM 24489771
ER

PT J
AU Peng, Ying
   Wu, Xi
   Atkins, Salla
   Zwarentein, Merrick
   Zhu, Ming
   Zhan, Xing Xin
   Zhang, Fan
   Ran, Peng
   Yan, Wei Rong
TI Internet-based health education in China: a content analysis of websites
SO BMC MEDICAL EDUCATION
VL 14
AR 16
DI 10.1186/1472-6920-14-16
PD JAN 27 2014
PY 2014
AB Background: The Internet is increasingly being applied in health
   education worldwide; however there is little knowledge of its use in
   Chinese higher education institutions. The present study provides the
   first review and highlights the deficiencies and required future
   advances in Chinese Internet-based health education.
   Methods: Two authors independently conducted a duplicate Internet search
   in order to identify information regarding Internet-based health
   education in China.
   Results: The findings showed that Internet-based education began in
   China in September 1998. Currently, only 16 of 150 (10.7%) health
   education institutions in China offer fee-based online undergraduate
   degree courses, awarding associates and/or bachelors degrees. Fifteen of
   the 16 institutions were located in the middle or on the eastern coast
   of China, where were more developed than other regions. Nursing was the
   most popular discipline in Internet-based health education, while some
   other disciplines, such as preventive medicine, were only offered at one
   university. Besides degree education, Chinese institutions also offered
   non-degree online training and free resources. The content was mainly
   presented in the form of PowerPoint slides or videos for self-learning.
   Very little online interactive mentoring was offered with any of the
   courses.
   Conclusions: There is considerable potential for the further development
   of Internet-based health education in China. These developments should
   include a focus on strengthening cooperation among higher education
   institutions in order to develop balanced online health curricula, and
   on enhancing distance education in lowand middle-income regions to meet
   extensive learning demands.
RI Zwarenstein, Merrick F/P-5210-2014; Atkins, Salla/ABH-1071-2021; Peng, Ying/; Atkins, Salla/
OI Zwarenstein, Merrick F/0000-0003-0162-7027; Peng,
   Ying/0000-0002-6459-3154; Atkins, Salla/0000-0002-4116-893X
TC 14
ZS 0
ZR 0
Z8 0
ZA 0
ZB 2
Z9 14
U1 1
U2 39
SN 1472-6920
UT WOS:000334377500002
PM 24467710
ER

PT J
AU Schermel, Alyssa
   Mendoza, Julio
   Henson, Spencer
   Dukeshire, Steven
   Pasut, Laura
   Emrich, Teri E.
   Lou, Wendy
   Qi, Ying
   L'Abbe, Mary R.
TI Canadians' Perceptions of Food, Diet, and Health - A National Survey
SO PLOS ONE
VL 9
IS 1
AR e86000
DI 10.1371/journal.pone.0086000
PD JAN 23 2014
PY 2014
AB Background: Poor nutrition is harmful to one's health as it can lead to
   overweight and obesity and a number of chronic diseases. Understanding
   consumer perceptions toward diet and nutrition is critical to advancing
   nutrition-related population health interventions to address such
   issues. The purpose of this paper was to examine Canadians' perceived
   health and diet status, compared to their actual health status, and
   general concern about their own diet and beliefs about health. Also
   analyzed were some of the perceived barriers to eating "healthy" foods,
   with a focus on the availability of "healthy" processed foods.
   Methods: Two surveys were administered online to a group of Canadian
   panelists from all ten provinces during May 2010 to January 2011. Thirty
   thousand were invited; 6,665 completed the baseline survey and 5,494
   completed the second survey. Panelists were selected to be nationally
   representative of the Canadian adult population by age, sex, province
   and education level, according to 2006 census data.
   Results: Approximately one third of Canadians perceived their health or
   diet to be very good while very few Canadians perceived their health or
   diet to be very poor. While the majority of Canadians believed food and
   nutrition to be very important for improving one's health, fewer
   Canadians were concerned about their own diets. The majority of
   Canadians reported difficulty finding "healthy" processed foods (low in
   salt and sugar and with sufficient vitamins and minerals). Many also
   reported difficulty finding healthy foods that are affordable.
   Conclusion: Although consumers believe that nutrition is one of the most
   important factors for maintaining health, there are still a number of
   attitudinal and perceived environmental barriers to healthy eating.
RI labbe, mary/AAC-3392-2020; Dukeshire, Steven/
OI Dukeshire, Steven/0000-0001-9187-3453
ZS 0
Z8 0
ZA 0
ZR 0
TC 9
ZB 3
Z9 9
U1 0
U2 12
SN 1932-6203
UT WOS:000330288000037
PM 24465832
ER

PT J
AU Grindlay, Douglas J. C.
   Dean, Rachel S.
   Christopher, Mary M.
   Brennan, Marnie L.
TI A survey of the awareness, knowledge, policies and views of veterinary
   journal Editors-in-Chief on reporting guidelines for publication of
   research
SO BMC VETERINARY RESEARCH
VL 10
AR 10
DI 10.1186/1746-6148-10-10
PD JAN 10 2014
PY 2014
AB Background: Wider adoption of reporting guidelines by veterinary
   journals could improve the quality of published veterinary research. The
   aims of this study were to assess the knowledge and views of veterinary
   Editors-in-Chief on reporting guidelines, identify the policies of their
   journals, and determine their information needs. Editors-in-Chief of 185
   journals on the contact list for the International Association of
   Veterinary Editors (IAVE) were surveyed in April 2012 using an online
   questionnaire which contained both closed and open questions.
   Results: The response rate was 36.8% (68/ 185). Thirty-six of 68 editors
   (52.9%) stated they knew what a reporting guideline was before receiving
   the questionnaire. Editors said they had found out about reporting
   guidelines primarily through articles in other journals, via the
   Internet and through their own journal. Twenty of 57 respondents (35.1%)
   said their journal referred to reporting guidelines in its instructions
   to authors. CONSORT, REFLECT, and ARRIVE were the most frequently cited.
   Forty-four of 68 respondents (68.2%) believed that reporting guidelines
   should be adopted by all refereed veterinary journals. Qualitative
   analysis of the open questions revealed that lack of knowledge, fear,
   resistance to change, and difficulty in implementation were perceived as
   barriers to the adoption of reporting guidelines by journals. Editors
   suggested that reporting guidelines be promoted through communication
   and education of the veterinary community, with roles for the IAVE and
   universities. Many respondents believed a consensus policy on guideline
   implementation was needed for veterinary journals.
   Conclusions: Further communication and education about reporting
   guidelines for editors, authors and reviewers has the potential to
   increase their adoption by veterinary journals in the future.
RI Brennan, Marnie/H-2351-2011; Dean, Rachel/; Grindlay, Douglas/
OI Brennan, Marnie/0000-0002-4893-6583; Dean, Rachel/0000-0002-0796-2785;
   Grindlay, Douglas/0000-0002-0992-7182
ZB 9
ZA 0
Z8 0
TC 32
ZR 0
ZS 0
Z9 32
U1 0
U2 8
EI 1746-6148
UT WOS:000334551300001
PM 24410882
ER

PT J
AU Palmer, Edward
   Devitt, Peter
TI The assessment of a structured online formative assessment program: a
   randomised controlled trial
SO BMC MEDICAL EDUCATION
VL 14
AR 8
DI 10.1186/1472-6920-14-8
PD JAN 9 2014
PY 2014
AB Background: Online formative assessment continues to be an important
   area of research and methods which actively engage the learner and
   provide useful learning outcomes are of particular interest. This study
   reports on the outcomes of a two year study of medical students using
   formative assessment tools.
   Method: The study was conducted over two consecutive years using two
   different strategies for engaging students. The Year 1 strategy involved
   voluntary use of the formative assessment tool by 129 students. In Year
   2, a second cohort of 130 students was encouraged to complete the
   formative assessment by incorporating summative assessment elements into
   it. Outcomes from pre and post testing students around the formative
   assessment intervention were used as measures of learning. To compare
   improvement scores between the two years a two-way Analysis of Variance
   (ANOVA) model was fitted to the data.
   Results: The ANOVA model showed that there was a significant difference
   in improvement scores between students in the two years (mean
   improvement percentage 19% vs. 38.5%, p < 0.0001). Students were more
   likely to complete formative assessment items if they had a summative
   component. In Year 2, the time spent using the formative assessment tool
   had no impact on student improvement, nor did the number of assessment
   items completed.
   Conclusion: The online medium is a valuable learning resource, capable
   of providing timely formative feedback and stimulating student-centered
   learning. However the production of quality content is a time-consuming
   task and careful consideration must be given to the strategies employed
   to ensure its efficacy. Course designers should consider the potential
   positive impact summative components to formative assessment may have on
   student engagement and outcomes.
RI Palmer, Edward/AAF-7339-2020; Palmer, Edward/
OI Palmer, Edward/0000-0001-9654-5213
ZA 0
TC 14
ZR 0
Z8 1
ZB 1
ZS 0
Z9 15
U1 3
U2 34
SN 1472-6920
UT WOS:000330059300001
PM 24400883
ER

PT J
AU Stein, Mart L.
   van Steenbergen, Jim E.
   Chanyasanha, Charnchudhi
   Tipayamongkholgul, Mathuros
   Buskens, Vincent
   van der Heijden, Peter G. M.
   Sabaiwan, Wasamon
   Bengtsson, Linus
   Lu, Xin
   Thorson, Anna E.
   Kretzschmar, Mirjam E. E.
TI Online Respondent-Driven Sampling for Studying Contact Patterns Relevant
   for the Spread of Close-Contact Pathogens: A Pilot Study in Thailand
SO PLOS ONE
VL 9
IS 1
AR e85256
DI 10.1371/journal.pone.0085256
PD JAN 8 2014
PY 2014
AB Background: Information on social interactions is needed to understand
   the spread of airborne infections through a population. Previous studies
   mostly collected egocentric information of independent respondents with
   self-reported information about contacts. Respondent-driven sampling
   (RDS) is a sampling technique allowing respondents to recruit contacts
   from their social network. We explored the feasibility of webRDS for
   studying contact patterns relevant for the spread of respiratory
   pathogens.
   Materials and Methods: We developed a webRDS system for facilitating and
   tracking recruitment by Facebook and email. One-day diary surveys were
   conducted by applying webRDS among a convenience sample of Thai
   students. Students were asked to record numbers of contacts at different
   settings and self-reported influenza-like-illness symptoms, and to
   recruit four contacts whom they had met in the previous week. Contacts
   were asked to do the same to create a network tree of socially connected
   individuals. Correlations between linked individuals were analysed to
   investigate assortativity within networks.
   Results: We reached up to 6 waves of contacts of initial respondents,
   using only non-material incentives. Forty-four (23.0%) of the initially
   approached students recruited one or more contacts. In total 257 persons
   participated, of which 168 (65.4%) were recruited by others. Facebook
   was the most popular recruitment option (45.1%). Strong assortative
   mixing was seen by age, gender and education, indicating a tendency of
   respondents to connect to contacts with similar characteristics. Random
   mixing was seen by reported number of daily contacts.
   Conclusions: Despite methodological challenges (e. g. clustering among
   respondents and their contacts), applying RDS provides new insights in
   mixing patterns relevant for close-contact infections in real-world
   networks. Such information increases our knowledge of the transmission
   of respiratory infections within populations and can be used to improve
   existing modelling approaches. It is worthwhile to further develop and
   explore webRDS for the detection of clusters of respiratory symptoms in
   social networks.
RI Buskens, Vincent/B-3134-2012; Stein, Mart/U-8914-2019; Buskens, Vincent/N-8762-2019; lu, xin/C-1940-2009; Tipayamongkholgul, Mathuros/; Thorson, Anna/; Stein, Mart/; van der Heijden, Peter/; Kretzschmar, Mirjam/
OI Buskens, Vincent/0000-0002-4483-7238; Buskens,
   Vincent/0000-0002-4483-7238; lu, xin/0000-0002-3547-6493;
   Tipayamongkholgul, Mathuros/0000-0002-2585-1659; Thorson,
   Anna/0000-0002-8703-6561; Stein, Mart/0000-0003-0502-7993; van der
   Heijden, Peter/0000-0002-3345-096X; Kretzschmar,
   Mirjam/0000-0002-4394-7697
ZB 12
ZA 0
TC 24
ZR 0
ZS 0
Z8 0
Z9 24
U1 0
U2 20
SN 1932-6203
UT WOS:000329862500230
PM 24416371
ER

PT J
AU Jacoby, Jennifer C.
   Heugh, Sheelagh
   Bax, Christopher
   Branford-White, Christopher
TI Enhancing learning through formative assessment
SO INNOVATIONS IN EDUCATION AND TEACHING INTERNATIONAL
VL 51
IS 1
BP 72
EP 83
DI 10.1080/14703297.2013.771970
PD JAN 2 2014
PY 2014
AB The student cohort on the University Science Extended Degree (SED)
   course is diverse in terms of educational experience. One of the key
   facets of teaching at this level is to engage and prepare students for
   higher levels of education in the sciences. The purpose of this
   evaluation is to relate a specific virtual framework, designed for
   students participating on biology modules contained in the SED course,
   with levels of student engagement. Central to this is the use of weekly
   on-line formative tests that students are expected to complete in their
   own time. Whilst over-all module pass rates remain stable, results
   indicate that a substantial proportion of students completed all of
   these assessments, and this appears to be directly linked to attainment
   of higher grades. Student feedback indicated that over 80% of responding
   students found the tests helpful. This model relating to learning and
   teaching encourages students to take responsibility for their own
   learning experience.
OI Heugh, Sheelagh/0000-0003-1222-5998
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
TC 11
Z9 11
U1 4
U2 34
SN 1470-3297
EI 1470-3300
UT WOS:000329897800008
ER

PT J
AU Chamberlain, R. S.
   Klaassen, Z.
   Meadows, M. C.
   Weitzman, S.
   Loukas, M.
TI St George's University's Medical Student Research Institute: A Novel,
   Virtual Programme for Medical Research Collaboration
SO WEST INDIAN MEDICAL JOURNAL
VL 63
IS 1
BP 81
EP 87
DI 10.7727/wimj.2013.022
PD JAN 2014
PY 2014
AB Objective: Medical student research involvement has evolved to be a core
   component of medical education and is becoming increasingly vital to
   success in the United States residency match. We sought to develop a
   research website allowing students and research faculty to collaborate
   and complete projects online.
   Methods: The Medical Student Research Institute (MSRI) was developed by
   the St George's University School of Medicine in 2009 to encourage,
   support, facilitate and centralize medical student research.
   Results: There are 63 active students in the MSRI (22 students in basic
   science and 41 students in clinical rotations). The mean GPA for basic
   science student members was 3.81 +/- 0.27 and was 3.80 +/- 0.20 for
   clinical student members. The mean United States Medical Licensing
   Examination (USMLE) Step 1 score was 241.6 +/- 17.5. Since 2009, MSRI
   students have published 87 manuscripts in 33 different journals and have
   presented at 14 different national and international conferences.
   Conclusion: A web-based MSRI provides a virtual, entirely online
   resource for coordinating remote research collaboration between medical
   students and faculty whose opportunities would be otherwise limited.
   Initial experiences with the programme have been positive and the
   framework and concept of the MSRI provides a platform for university and
   medical schools to provide research opportunities to students who may
   not have face-to-face access to research faculty.
ZS 0
ZB 0
Z8 0
TC 1
ZA 0
ZR 0
Z9 1
U1 0
U2 0
SN 0043-3144
EI 2309-5830
UT WOS:000365565100016
PM 25303200
ER

PT S
AU Hale, Timothy M.
   Goldner, Melinda
   Stern, Mike
   Drentea, Patricia
   Cotten, Shelia R.
BE Kronenfeld, JJ
TI PATTERNS OF ONLINE HEALTH SEARCHING 2002-2010: IMPLICATIONS FOR SOCIAL
   CAPITAL, HEALTH DISPARITIES AND THE DE-PROFESSIONALIZATION OF MEDICAL
   KNOWLEDGE
SO TECHNOLOGY, COMMUNICATION, DISPARITIES AND GOVERNMENT OPTIONS IN HEALTH
   AND HEALTH CARE SERVICES
SE Research in the Sociology of Health Care
VL 32
BP 35
EP 60
DI 10.1108/S0275-495920140000032016
PD 2014
PY 2014
AB Purpose - Since 2000, there has been a dramatic increase in the number
   of individuals using the Internet, including for health purposes.
   Internet usage has increased from 46% of adults in 2000 to 79% in 2010.
   The purpose of this chapter is to examine changes in one type of
   Internet usage: online health searching. We examine the impact of
   traditional digital inequality factors on online health searching, and
   whether these patterns have changed over time.
   Methodology - Using data from five surveys ranging from 2002 to 2010 (n
   = 5,967 for all five surveys combined), we examine changing patterns of
   online health searching over the past decade.
   Findings - Effects vary by inequality factor and time period examined.
   Despite the diffusion of the Internet, most of these gaps persist, and
   even strengthen, over time. Gender, age, and education gaps persist over
   time and appear to be increasing. An exception to this is the importance
   of broadband connection. Research limitations Since these data were
   collected, the use of mobile devices to access the Internet has
   increased. Research is needed on types of access and devices used for
   online health activities. Implications Larger scale inequalities play
   important roles in online health searching. Providing access and skills
   in evaluating online health information is needed for older and less
   educated groups. The results of this study have implications for the
   de-professionalization of medical knowledge.
   Originality - This is the first study to examine digital inequality
   factors in online health information seeking over the breadth of this
   time period.
Z8 0
ZR 0
ZA 0
ZS 0
ZB 1
TC 8
Z9 8
U1 0
U2 3
SN 0275-4959
BN 978-1-78350-636-1; 978-1-78350-645-3
UT WOS:000358161700003
ER

PT J
AU Watkins, D.
   Dummer, P.
   Hawthorne, K.
   Cousins, J.
   Emmett, C.
   Johnson, M.
TI Healthcare Students' Perceptions of Electronic Feedback Through
   GradeMarkreg
SO Journal of Information Technology Education
VL 13
BP 27
EP 47
PD 2014
PY 2014
AB This paper reports on the findings from a study undertaken to explore
   students' perceptions of the timeliness, accessibility, consistency, and
   quality of feedback and grading received electronically. The system used
   was GradeMarkreg, an electronic tool available through the plagiarism
   software provider, Turnitinreg. 296 students from the Schools of Nursing
   and Midwifery, Medicine, and Dentistry at Cardiff University were
   included in the study. Data collection included an online survey and a
   focus group for each discipline. Findings revealed that the use of
   GradeMarkreg improved the timeliness and accessibility of feedback due
   to its immediate availability via any personal computer with internet
   access. The use of annotation was proven to be valuable; however
   consistency and quality of feedback were affected by markers' individual
   comments, issues which GradeMarkreg may not necessarily address.
   Findings provide insight into what quality feedback could look like from
   the students' perspective, which can help improve academic practice.
   Overall the study outcomes suggest there are benefits to using
   innovative technology such as GradeMarkreg to enhance learning. The
   paper provides valuable lessons that could assist others in adopting a
   pragmatic and planned approach to the introduction of electronic
   feedback using a system such as GradeMarkreg.
RI Dummer, Paul M/F-3063-2012; Watkins, Sheryl Dianne/
OI Dummer, Paul M/0000-0002-0726-7467; Watkins, Sheryl
   Dianne/0000-0002-0292-8887
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
TC 5
Z9 5
U1 0
U2 0
SN 1539-3585
UT INSPEC:15324007
ER

PT J
AU D'Alessandro, Paul Robert
   Frager, Gerri
TI Theatre: An innovative teaching tool integrated into core undergraduate
   medical curriculum
SO ARTS & HEALTH
VL 6
IS 3
BP 191
EP 204
DI 10.1080/17533015.2013.822398
PD 2014
PY 2014
AB Background: Ed's Story: The Dragon Chronicles is a verbatim play based
   on the journal of a 16-year-old with advanced cancer and transcripts
   from 25 interviews conducted after his death with his family, friends
   and health care team. After cross-country performances directed at
   health professionals and the general public, a viewing was incorporated
   into core undergraduate medical curriculum at our institution. We
   collected and compared responses of trainees who viewed the play
   voluntarily in extra-curricular settings and those who viewed a
   mandatory curriculum performance. Methods: Trainees completed
   confidential, online surveys within one year of viewing. A total of 46
   trainees from five Canadian medical schools completed surveys after
   voluntary extra-curricular viewings (60.9% female, 39.1% male, mean age
   26.2 +/- 3.2 years). Of 84 eligible second-year medical students, 60
   students completed surveys after mandatory curricular viewing (68.3%
   female, 31.7% male, mean age 26.0 +/- 2.9 years, response rate 71.4%).
   Results: In both cohorts, a majority of trainees agreed that the play
   was a good learning experience (84.8%, 93.3%), should be experienced by
   all medical students (75.5%, 84.5%) and taught lessons they will use in
   their careers (71.1%, 84.7%). Trainees highlighted the play's realism,
   the insight gained into patient experiences and that they preferred the
   play to other teaching modalities. A greater percentage of trainees in
   the mandatory curriculum cohort agreed that a viewing should be
   incorporated into medical curriculum (86.7% vs. 45.3%, chi(2) = 20.3, p
   < 0.001). Conclusions: Medical trainees responded positively to this
   verbatim play in both extra-curricular and curricular settings.
RI DAlessandro, Paul/GOJ-7447-2022
OI DAlessandro, Paul/0000-0002-4118-2256
ZR 0
ZB 0
TC 4
ZA 0
Z8 0
ZS 0
Z9 4
U1 0
U2 10
SN 1753-3015
EI 1753-3023
UT WOS:000357677800001
ER

PT J
AU Horton, Evan R.
   Morin, Anna
   Pervanas, Helen C.
   Mukherjee, S. Mimi
   Belliveau, Paul
TI A Novel Structured Format for Engaging Pharmacy Students in Bioethics
   Discussions
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 78
IS 9
AR 171
DI 10.5688/ajpe789171
PD 2014
PY 2014
AB Objective: To describe an active, structured ethics/professionalism
   discussion format developed for an elective course titled Ethics and
   Professionalism in Pharmacy.
   Design: The format uses the acronym ETHICS (Evaluate, Teach, Hear,
   Interview, Concede, Self-reflect). Before class, students evaluated
   (Evaluate) literature pertaining to ethics/professionalism topics. Class
   consisted of faculty-led ethics/professionalism lecture (Teach),
   student-driven, case discussion, and online self-reflection. Guided by
   Hear, Interview, and Concede, groups addressed cases from stakeholder
   perspectives (patient, pharmacist, etc.) considering ethical rules and
   principles. At the end of class, students answered self-reflection
   questions. Precourse and postcourse surveys evaluated the impact on
   students' perceptions of ethical and professional tenets.
   Assessment: The format allowed students to actively engage in
   ethics/professionalism discussions, transforming class into an
   interactive, structured, student-centered session with self-reflection.
   Conclusion: The format allowed application of concepts to controversial
   situations. Although the format was created for a pharmacy elective, it
   is adaptable to any teaching situation.
ZS 0
ZR 0
ZB 1
TC 10
Z8 0
ZA 0
Z9 10
U1 0
U2 1
SN 0002-9459
EI 1553-6467
UT WOS:000346349400014
PM 26056409
ER

PT S
AU Krupinski, Elizabeth A.
BE Pietka, E
   Kawa, J
   Wieclawek, W
TI Teledermatology & Teledermoscopy: Optimizing Technology & Information by
   Optimizing Users
SO INFORMATION TECHNOLOGIES IN BIOMEDICINE, VOL 4
SE Advances in Intelligent Systems and Computing
VL 284
BP 85
EP 94
DI 10.1007/978-3-319-06596-0_8
PD 2014
PY 2014
AB The main method of skin cancer detection is direct examination of the
   skin by a trained professional. There is a shortage of dermatologists, a
   situation that could influence timely diagnosis and management of skin
   cancer. Teledermatology and teledermoscopy could overcome some of these
   barriers. To develop training programs we need to understand how
   dermatologists view digital skin images. Two dermatologists and 4
   residents viewed 20 photographs and dermatoscopic images of benign and
   malignant lesions while eye position was recorded. They then completed
   an online training course and returned to repeat the cases. There were
   some differences in search and diagnoses although more as a function of
   experience than the online course. Further work is needed but we can
   characterize visual search in teledermatology settings.
ZS 0
TC 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 0
U1 0
U2 1
SN 2194-5357
EI 2194-5365
BN 978-3-319-06596-0; 978-3-319-06595-3
UT WOS:000352133400009
D2 10.1007/978-3-319-06596-0
ER

PT J
AU Holmes, C.
   Hermann, K.
   Kozlowski, K.
TI Integrating Web 2.0 Technologies in Educational and Clinical Settings:
   An Isomorphic Perspective
SO Journal of Technology in Human Services
VL 32
IS 1-2
BP 65
EP 80
DI 10.1080/15228835.2013.860363
PD 2014
PY 2014
AB This article discusses the benefits of incorporating technology,
   particularly Web 2.0 applications, into education as a way to not only
   meet students' changing needs but also to model techniques and skills
   students can use as counseling practitioners. Furthermore, this article
   provides four concrete Web-based applications and suggestions for use in
   both clinical and school counseling settings. In addition, the examples
   portray an isomorphic perspective of teaching and clinical practice;
   when students practice technological interventions in the classroom,
   they are better able to incorporate these techniques in counseling.
OI Holmes, Courtney/0000-0001-8431-109X
TC 5
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
Z9 5
U1 0
U2 0
SN 1522-8835
UT INSPEC:15081372
ER

PT J
AU Cirilli, M.
   Dosanjh, M.
TI EDUCATION AND TRAINING IN MEDICAL IMAGING FOR CONVENTIONAL AND PARTICLE
   RADIATION THERAPY THROUGH THE EC FUNDED ENVISION AND ENTERVISION
SO ROMANIAN REPORTS IN PHYSICS
VL 66
IS 1
BP 22
EP 29
PD 2014
PY 2014
AB A key challenge in particle therapy today is quality assurance during
   treatment, which needs advanced medical imaging techniques. This issue
   is tackled by the EC funded project ENVISION, an R&D consortium of
   sixteen leading European research centres and one industrial partner,
   co-ordinated by CERN. ENVISION covers developments in Time Of Flight
   in-beam PET, in-beam single particle tomography, organ motion monitoring
   techniques, simulation, and treatment planning. Additionally, ENVISION
   serves as a training platform for the ENTERVISION project, a Marie-Curie
   Initial Training Network aimed at educating young researchers in online
   3D digital imaging for hadron therapy. ENTERVISION brings together ten
   academic institutes and research centres of excellence and a leading
   European company in particle therapy, and is coordinated by CERN. Its
   multi-disciplinary training programme of ENTERVISION includes a
   diversified portfolio of scientific courses, complemented by specific
   courses aimed at developing soft skills. The ENTERVISION researchers
   will also benefit from the involvement in the research activity of
   ENVISION, and in the European Network for Light Ion Hadron Therapy
   (ENLIGHT). The trainees are encouraged to build a multidisciplinary
   network which will not only help them with their future careers but
   ultimately improve the transfer of knowledge and collaboration between
   the various disciplines of cancer treatment.
CT 1st Annual Conference of the Romanian-Society-of-Hadrontherapy (RSH)
CY FEB 21-24, 2013
CL Predeal, ROMANIA
OI Dosanjh, Manjit/0000-0003-1378-349X
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 1
Z9 1
U1 0
U2 2
SN 1221-1451
EI 1841-8759
UT WOS:000333776200004
ER

PT J
AU Whittaker, A.L.
   Howarth, G.S.
   Lymn, K.A.
TI Evaluation of Facebookcopy to create an online learning community in an
   undergraduate animal science class
SO Educational Media International
VL 51
IS 2
BP 135
EP 45
DI 10.1080/09523987.2014.924664
PD 2014
PY 2014
AB There has been widespread comment on the use and impact of Web 2.0
   technologies in education. Given the use of such technologies,
   particularly social networking sites such as Facebook amongst the
   student body, it would be remiss of educators to not consider their use
   as part of a pedagogical strategy. This paper provides a preliminary
   investigation into the success of Facebook as a tool for formation of an
   online learning community amongst a group of undergraduate science
   students. A quantitative examination of participant numbers and traffic
   on the site was undertaken. In order to determine functionality of the
   group, a semi-qualitative examination of category of response posting
   was also performed. It was concluded that Facebook is a promising tool
   to establish an online educational community under the conditions
   imposed in our study. The main benefits are in establishment of
   affective communication, social support, and a problem-solving strategy.
RI Whittaker, Alexandra L/D-9642-2013; Howarth, Gordon/AAM-8699-2020
OI Whittaker, Alexandra L/0000-0001-9011-8296; Howarth,
   Gordon/0000-0001-6979-6084
ZB 0
ZR 0
ZA 0
Z8 0
TC 23
ZS 1
Z9 24
U1 0
U2 3
SN 0952-3987
UT INSPEC:15047278
ER

PT C
AU Boyd, Kyle
   Nugent, Chris
   Donnelly, Mark
   Bond, Raymond
   Sterritt, Roy
   Hartin, Phillip
GP IEEE
TI An Investigation into the Usability of the STAR Training and Re-skilling
   Website for Carers of Persons with Dementia
SO 2014 36TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 4139
EP 4142
PD 2014
PY 2014
AB Due to the successes in medical science people are now beginning to live
   much longer. With this brings increased problems associated with ageing,
   with one exemplar being dementia. Persons with dementia require care
   with activities of daily living, for example, with washing, dressing and
   eating. This requires additional care, which is usually provided by
   family and friends who assume the role of informal carers. Provision of
   care by informal carers brings irreversible changes to their lives that
   can lead to depression and feelings of loneliness. In part, these
   changes are linked with carers having insufficient understanding and
   training with dementia. The EU funded STAR project created an web portal
   that aims to provide the necessary online training that carers need,
   however, the usability of such a provision warrants investigation. This
   paper presents the findings of a usability test conducted on five carers
   of people with dementia while using the STAR Training Website. For the
   21 usability issues identified, the paper outlines proposed solutions.
CT 36th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY AUG 26-30, 2014
CL Chicago, IL
SP IEEE Engn Medicine & Biol Soc
OI Bond, Raymond/0000-0002-1078-2232; Sterritt, Roy/0000-0002-4035-9363;
   Nugent, Chris/0000-0003-0882-7902; Boyd, Kyle/0000-0002-5161-4833;
   Hartin, Phillip/0000-0001-5671-8095
ZB 0
Z8 0
TC 4
ZA 0
ZR 0
ZS 0
Z9 4
U1 0
U2 4
SN 1557-170X
BN 978-1-4244-7929-0
UT WOS:000350044704034
PM 25570903
ER

PT J
AU Moule, Pam
   Gibbard, Emma
   Pollard, Katherine
TI Men affected by prostate cancer: a survey of general practitioners'
   learning needs.
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 25
IS 5
BP 257
EP 62
PD 2014-Sep
PY 2014
AB BACKGROUND: With incidence rates for prostate cancer increasing each
   year in the UK, information and support for men with prostate cancer is
   crucial. Yet GPs have identified this as an area where they lack
   knowledge and confidence. Prostate Cancer UK commissioned a training
   needs analysis for healthcare professionals to inform the development of
   their education and training strategy. This paper presents the findings
   for GPs, taken from a wider study of healthcare professionals.
   AIM: To complete a review of current education provision and need to
   inform the development of an educational strategy for UK healthcare
   professionals.
   METHOD: A mixed methods study including a web-based review of education
   provision in prostate cancer in the UK, an online questionnaire and
   telephone interviews.
   RESULTS: The web-site search identified five educational opportunities
   specifically targeted at GPs. A total of 72 GPs responded to the online
   questionnaire. Of those responding, 39 (54.2%) GPs identified the need
   for further education and training in order to care effectively for men
   with prostate cancer.
   CONCLUSION: GPs identified a number of training needs to enable them to
   support men with prostate cancer. There was no clear preferred mode of
   educational delivery, with online learning seen as acceptable.
ZA 0
ZS 0
ZB 1
Z8 0
TC 2
ZR 0
Z9 2
U1 0
U2 1
SN 1473-9879
UT MEDLINE:25625832
PM 25625832
ER

PT J
AU Morgan, Matt
   Dory, Valerie
   Lubarsky, Stuart
   Walsh, Kieran
TI What steps are necessary to create written or web-based
   selected-response assessments?
SO Journal of educational evaluation for health professions
VL 11
BP 28
EP 28
DI 10.3352/jeehp.2014.11.28
PD 2014
PY 2014
AB Before we work out what constitutes an assessment's value for a given
   cost in medical education, we must first outline the steps necessary to
   create an assessment, and then assign a cost to each step. In this study
   we undertook the first phase of this process: we sought to work out all
   the steps necessary to create written selected-response assessments.
   First, the lead author created an initial list of potential steps for
   developing written assessments. This was then distributed to the other
   three authors. These authors independently added further steps to the
   list. The lead author incorporated the contributions of these others and
   created a second draft. This process was repeated until consensus was
   achieved amongst the study's authors. Next, the list was shared by means
   of an online questionnaire with 100 healthcare professionals with
   experience in medical education. The results of the authors' and
   healthcare professionals' thoughts and feedback on the steps, needed to
   create written assessment, are outlined below in full. We outlined the
   steps that are necessary to create written or web-based
   selected-response assessments. 
OI Morgan, Matt/0000-0002-2357-7190
ZB 0
Z8 0
ZS 0
ZA 0
TC 0
ZR 0
Z9 0
U1 0
U2 1
SN 1975-5937
UT MEDLINE:25417862
PM 25417862
ER

PT J
AU Zhang, Melvyn W. B.
   Ho, Cyrus S. H.
   Ho, Roger C. M.
TI Methodology of development and students' perceptions of a psychiatry
   educational smartphone application
SO TECHNOLOGY AND HEALTH CARE
VL 22
IS 6
BP 847
EP 855
DI 10.3233/THC-140861
PD 2014
PY 2014
AB BACKGROUND: The usage of Smartphones and smartphone applications in the
   recent decade has indeed become more prevalent. Previous research has
   highlighted the lack of critical appraisal of new applications. In
   addition, previous research has highlighted a method of using just the
   Internet Browser and a text editor to create an application, but this
   does not eliminate the challenges faced by clinicians. In addition, even
   though there has been a high rate of smartphone applications usage and
   acceptance, it is common knowledge that it would cost clinicians as well
   as their centers a lot to develop smartphone applications that could be
   catered to their needs, and help them in their daily educational needs.
   OBJCETIVE: The objectives of the current research are thus to highlight
   a cost-effective methodology of development of interactive education
   smartphone applications, and also to determine whether medical students
   are receptive towards having smartphone applications and their
   perspectives with regards to the contents within.
   METHODOLOGY: In this study, we will elaborate how the Mastering
   Psychiatry Online Portal and web-based mobile application were developed
   using HTML5 as the core programming language. The online portal and
   web-based application was launched in July 2012 and usage data were
   obtained. Subsequently, a native application was developed, as it was
   funded by an educational grant and students are recruited after their
   end of posting clinical examination to fill up a survey questionnaire
   relating to perspectives.
   RESULTS: Our initial analytical results showed that since inception to
   date, for the online portal, there have been a total of 15,803 views,
   with a total of 2,109 copies of the online textbook being downloaded. As
   for the online videos, 5,895 viewers have watched the training videos
   from the start till the end. 722 users have accessed the mobile textbook
   application. A total of 185 students participated in the perspective
   survey, with the majority having positive perspectives about the
   implementation of a smartphone application in psychiatry.
   CONCLUSIONS: This is one of the few studies that describe how an
   educational application could be developed using a simple and cost
   effective methodology and this study has also demonstrated students'
   perspectives towards Smartphone in psychiatric education. Our methods
   might apply to future research involving the use of technology in
   education.
RI Ho, Roger/ABD-8859-2021; Ho, Cyrus SH/AAN-9344-2020; Ho, Roger C./ABD-9061-2021
OI Ho, Cyrus SH/0000-0002-7092-9566; Ho, Roger C./0000-0001-9629-4493
ZB 2
Z8 0
ZS 0
TC 23
ZA 1
ZR 0
Z9 24
U1 0
U2 5
SN 0928-7329
EI 1878-7401
UT WOS:000346974800006
PM 25318956
ER

PT J
AU Lee, Mi Joon
   Yoo, Eun Kwang
TI Effects of the program for improving drinking culture (PIDC) on changes
   in drinking behaviors of workplace employees
SO ASIA LIFE SCIENCES
BP 29
EP 44
SU 10
PD 2014
PY 2014
AB In Korean drinking culture, alcohol consumption does not merely cause
   problems to individuals, but has expanded its reaches to families,
   businesses and the society. This study evaluated the effects of an
   intervention on the consumption of alcohol of workplace employees.
   Pre-post control group design was done using an online self-entry
   questionnaire for pre- and post-intervention. One thousand eight hundred
   and twenty six (1,826) workplace employees of a company which has many
   branches nationally were involved in this study. The intervention mainly
   consisted of education, an advertisement campaign using memorable
   slogans and publicizing them through e-mail, short message service (SMS)
   and the company webpage. The intervention lasted for six months with
   pre- and post-testing conducted in December 2012 and July 2013,
   respectively. Dependent-samples paired t-test was done using SPSS.
   Amount of alcohol abuse and problematic alcohol abuse were measured by
   AUDIT-K. There was a statistically significant difference in the amount
   of alcohol abuse and AUDIT-K pre-post intervention.
ZB 0
TC 0
Z8 0
ZS 0
ZR 0
ZA 0
Z9 0
U1 0
U2 6
SN 0117-3375
UT WOS:000348482600003
ER

PT J
AU Bramall, Alexa N.
   Bernstein, Mark
TI Improving Information Provision for Neurosurgical Patients: A
   Qualitative Study
SO CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
VL 41
IS 1
BP 66
EP 73
DI 10.1017/S0317167100016280
PD JAN 2014
PY 2014
AB Background: Patients confronted with the daunting prospect of a
   potentially life-altering procedure with uncertain outcome demonstrate
   high levels of anxiety and need for information. Regardless. many
   patients are left unsatisfied by the amount of information received from
   physicians. This study sought to examine the information-seeking
   patterns of patients and suggest ways to optimize the communication of
   medical information, specifically within the context of neurosurgery.
   Methods: Semi-structured interviews were conducted with 31 neurosurgical
   patients operated on for benign or malignant brain tumors. Interviews
   were transcribed and subjected to thematic analysis in NVivo10. Results:
   Three major themes relating to information-seeking by neurosurgical
   patients were identified: 1) almost all patients searched for
   information on the Internet; 2) in addition to characterizing the tumor
   as benign or malignant, patients sought additional information such as
   the location of the tumor in the brain; and 3) patients with malignant
   tumors were less likely to seek information online and more likely to
   consider alternative therapies. To improve the provision of information
   to neurosurgical patients. physicians can 1) offer to review imaging
   results with patients; 2) promote an environment open to questions; 3)
   provide information in a forthright manner, avoiding the use of medical
   jargon; and 4) consider guiding patients to reliable Internet sites and
   facilitating written records of consultations. Conclusions: There are
   many ways that physicians can improve the provision of information to
   patients, including providing written information and physician
   recommended online resources, and being mindful of patient perceived
   time constraints and barriers to effective communication.
TC 16
ZA 0
ZR 0
ZB 4
ZS 0
Z8 0
Z9 16
U1 0
U2 5
SN 0317-1671
EI 2057-0155
UT WOS:000347575700013
PM 24384340
ER

PT J
AU Baron, Philip
TI Overcoming obstacles in learning cybernetic psychology
SO KYBERNETES
VL 43
IS 9-10
BP 1301
EP 1309
DI 10.1108/K-07-2014-0150
PD 2014
PY 2014
AB Purpose - When reviewing the prospectus of mainstream universities that
   offer psychology majors, one would be hard-pressed to find any
   cybernetic approaches included in their course material. This is an
   unfortunate observation as most psychological problems arise in a
   relational context. Reasons for this status quo are presented. The
   purpose of this paper is to reduce obstacles for prospective learners in
   cybernetic psychology, with the hope that cybernetic psychology may be
   assimilated and seen as an equal footing paradigm in mainstream
   psychology teachings.
   Design/methodology/approach - A popular cybernetics web site is often
   used by students who are learning cybernetic psychology. Using the
   responses from students who frequent the online resource, solutions are
   presented based on the questions that students have asked the author of
   the site.
   Findings - Students are taught different therapy paradigms in terms of
   models; the psychodynamic model, the medical model, the person-centred
   model; the systems model and so forth. Their position to the model is
   external and they can critically evaluate the different models and apply
   each model in an interpretation and analysis of various psychology case
   studies. Cybernetic psychology becomes problematic when that line of
   thinking is used.
   Practical implications - Cybernetic psychology stands as an ethical
   choice for therapy. Reducing the boundaries for cybernetic therapies to
   be assimilated in the mainstream context, especially if offered by
   universities as an equal footing paradigm, which would be in keeping
   with the WHO's call for responsible ethical therapy interventions.
   Originality/value - There is limited information on how to perform
   cybernetic psychology. This is understandable owing to the nature of
   cybernetics; however, reliable and stable approaches should still be
   available for students who are new to this epistemology. There needs to
   be an entering point into this way of thinking so that cybernetic
   psychology remains accessible to newcomers.
RI Baron, Philip/S-5278-2019
OI Baron, Philip/0000-0003-3245-7526
Z8 0
ZB 4
TC 7
ZS 0
ZR 0
ZA 0
Z9 7
U1 0
U2 8
SN 0368-492X
EI 1758-7883
UT WOS:000347782600004
ER

PT J
AU Addo-Atuah, Joyce
   Dutta, Arjun
   Kovera, Craig
TI INSTRUCTIONAL DESIGN AND ASSESSMENT A Global Health Elective Course in a
   PharmD Curriculum
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 78
IS 10
PD 2014
PY 2014
AB Objective. To describe the design, development, and the first 4
   implementations of a Global Health elective course intended to prepare
   pharmacy students pursue global health careers and to evaluate student
   perceptions of the instructional techniques used and of skills developed
   during the course.
   Design. Following the blended curriculum model used at Touro College of
   Pharmacy, the Global Health course combined team-based learning (TBL)
   sessions in class, out-of-class team projects, and online self-directed
   learning with classroom teaching and discussion sessions.
   Assessment. Student performance was assessed with TBL sessions, team
   projects, and class presentations, online quizzes, and final
   examinations. A precourse and postcourse survey showed improvement in
   global health knowledge and attitudes, and in the perception of
   pharmacists' role and career opportunities in global health. Significant
   improvement in skills applicable to global health work was reported and
   students rated highly the instructional techniques, value, and relevance
   of the course.
   Conclusion. The Global Health elective course is on track to achieve its
   intended goal of equipping pharmacy students with the requisite
   knowledge and applicable skills to pursue global health careers and
   opportunities. After taking this course, students have gone on to pursue
   global field experiences.
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
TC 3
Z9 3
U1 1
U2 11
SN 0002-9459
EI 1553-6467
UT WOS:000348582000014
ER

PT J
AU Davtyan, Mariam
   Brown, Brandon
   Folayan, Morenike Oluwatoyin
TI Addressing Ebola-related Stigma: Lessons Learned from HIV/AIDS
SO GLOBAL HEALTH ACTION
VL 7
AR 26058
DI 10.3402/gha.v7.26058
PD 2014
PY 2014
AB Background: HIV/AIDS and Ebola Virus Disease (EVD) are contemporary
   epidemics associated with significant social stigma in which communities
   affected suffer from social rejection, violence, and diminished quality
   of life.
   Objective: To compare and contrast stigma related to HIV/AIDS and EVD,
   and strategically think how lessons learned from HIV stigma can be
   applied to the current EVD epidemic.
   Methods: To identify relevant articles about HIV/AIDS and EVD-related
   stigma, we conducted an extensive literature review using multiple
   search engines. PubMed was used to search for relevant peer-reviewed
   journal articles and Google for online sources. We also consulted the
   websites of the World Health Organization (WHO), Centers for Disease
   Control and Prevention (CDC), and the National Institutes of Health to
   retrieve up-to-date information about EVD and HIV/AIDS.
   Results: Many stigmatizing attitudes and behaviors directed towards
   those with EVD are strikingly similar to those with HIV/AIDS but there
   are significant differences worthy of discussion. Both diseases are
   life-threatening and there is no medical cure. Additionally
   misinformation about affected groups and modes of transmission runs
   rampant. Unlike in persons with EVD, historically criminalized and
   marginalized populations carry a disproportionately higher risk for HIV
   infection. Moreover, mortality due to EVD occurs within a shorter time
   span as compared to HIV/AIDS.
   Conclusions: Stigma disrupts quality of life, whether it is associated
   with HIV infection or EVD. When addressing EVD, we must think beyond the
   immediate clinical therapeutic response, to possible HIV implications of
   serum treatment. There are emerging social concerns of stigma associated
   with EVD infection and double stigma associated with EVD and HIV
   infection. Drawing upon lessons learned from HIV, we must work to
   empower and mobilize prominent members of the community, those who
   recovered from the disease, and organizations working at the grassroots
   level to disseminate clear and accurate information about EVD
   transmission and prevention while promoting stigma reduction in the
   process. In the long run, education, prevention, and a therapeutic
   vaccine will be the optimal solutions for reducing the stigma associated
   with both EVD and HIV.
RI Folayan, Morenike/A-8632-2018; Brown, Brandon/
OI Folayan, Morenike/0000-0002-9008-7730; Brown,
   Brandon/0000-0002-6348-4108
TC 81
ZR 0
Z8 3
ZB 22
ZS 2
ZA 0
Z9 85
U1 0
U2 46
SN 1654-9880
UT WOS:000345125600001
ER

PT J
AU Stewart, Sherry M.
   Dowers, Kristy L.
   Cerda, Jacey R.
   Schoenfeld-Tacher, Regina M.
   Kogan, Lori R.
TI Microscope Use in Clinical Veterinary Practice and Potential
   Implications for Veterinary School Curricula
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 41
IS 4
BP 331
EP 336
DI 10.3138/jvme.0614-063R
PD 2014
PY 2014
AB Microscopy (skill of using a microscope) and the concepts of cytology
   (study of cells) and histology (study of tissues) are most often taught
   in professional veterinary medicine programs through the traditional
   method of glass slides and light microscopes. Several limiting factors
   in veterinary training programs are encouraging educators to explore
   innovative options for teaching microscopy skills and the concepts of
   cytology and histology. An anonymous online survey was administered
   through the Colorado Veterinary Medical Association to Colorado
   veterinarians working in private practice. It was designed to assess
   their current usage of microscopes for cytological and histological
   evaluation of specimens and their perceptions of microscope use in their
   veterinary education. The first part of the survey was answered by 183
   veterinarians, with 104 indicating they had an onsite diagnostic lab.
   Analysis pertaining to the use of the microscope in practice and in
   veterinary programs was conducted on this subset. Most respondents felt
   the amount of time spent in the curriculum using a microscope was just
   right for basic microscope use and using the microscope for viewing and
   learning about normal and abnormal histological sections and clinical
   cytology. Participants felt more emphasis could be placed on clinical
   and diagnostic cytology. Study results suggest that practicing
   veterinarians frequently use microscopes for a wide variety of
   cytological diagnostics. However, only two respondents indicated they
   prepared samples for histological evaluation. Veterinary schools should
   consider these results against the backdrop of pressure to implement
   innovative teaching techniques to meet the changing needs of the
   profession.
OI Schoenfeld, Regina/0000-0003-1884-0270
TC 5
ZB 1
Z8 0
ZR 0
ZA 0
ZS 0
Z9 5
U1 1
U2 8
SN 0748-321X
EI 1943-7218
UT WOS:000347230500003
PM 25270653
ER

PT J
AU Wong, Terri H.
   Ip, Eric J.
   Lopes, Ingrid
   Rajagopalan, Vanishree
TI Pharmacy Students' Performance and Perceptions in a Flipped Teaching
   Pilot on Cardiac Arrhythmias
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 78
IS 10
PD 2014
PY 2014
AB Objective. To implement the flipped teaching method in a 3-class pilot
   on cardiac arrhythmias and to assess the impact of the intervention on
   academic performance and student perceptions.
   Design. An intervention group of 101 first-year pharmacy students, who
   took the class with the flipped teaching method, were supplied with
   prerecorded lectures prior to their 3 classes (1 class in each of the
   following subjects: basic sciences, pharmacology, and therapeutics) on
   cardiac arrhythmias. Class time was focused on active-learning and
   case-based exercises. Students then took a final examination that
   included questions on cardiac arrhythmias. The examination scores of the
   intervention group were compared to scores of the Spring 2011 control
   group of 105 first-year students who took the class with traditional
   teaching methods. An online survey was conducted to assess student
   feedback from the intervention group.
   Assessment. The mean examination scores of the intervention group were
   significantly higher than the mean examination scores of the control
   group for the cardiac arrhythmia classes in pharmacology (with 89.6 +/-
   2.0% vs 56.8 +/- 2.2%, respectively) and therapeutics (89.2 +/- 1.4% vs
   73.7 +/- 2.1%, respectively). The survey indicated higher student
   satisfaction for flipped classes with highly rated learning objectives,
   recordings, and in-class activities.
   Conclusion. Use of the flipped teaching method in a 3-class pilot on
   cardiac arrhythmias improved examination scores for 2 of the 3 classes
   (pharmacology and therapeutics). Student satisfaction was influenced by
   the quality of the learning objectives, prerecorded lectures, and
   inclass active-learning activities.
ZA 1
ZR 0
ZS 0
ZB 1
Z8 0
TC 19
Z9 20
U1 1
U2 22
SN 0002-9459
EI 1553-6467
UT WOS:000348582000012
ER

PT J
AU Achab, Sophia
   Chatton, Anne
   Khan, Riaz
   Thorens, Gabriel
   Penzenstadler, Louise
   Zullino, Daniele
   Khazaal, Yasser
TI Early Detection of Pathological Gambling: Betting on GPs' Beliefs and
   Attitudes
SO BIOMED RESEARCH INTERNATIONAL
VL 2014
AR 360585
DI 10.1155/2014/360585
PD 2014
PY 2014
AB Pathological gambling (PG) is an addictive disorder with harm related to
   the high psychiatric comorbidity and increased suicidal risk. Prevalence
   rates in general population range from 0.2% to 2.1%. Problem gamblers
   are hard to attract to treatment programs for several proper reasons and
   for obstacles (e.g., accessibility). To address these obstacles, primary
   care (where the problem gambling (PrG) prevalence seems to be 6.2%) has
   a crucial role to play (i.e., identifying and referring patients to
   specialized treatment programs and treating at first line when needed
   and possible) in the era of online gambling offer expansion. The present
   work aimed to collect data on resources in the field from GPs
   themselves, using a 24-item online questionnaire. Swiss French-speaking
   participants were asked about their screening practice and knowledge.
   The results state that the vast majority of them are aware of the
   existence and the potential impact of PrG on their patients. However,
   PrG screening is not systematic and their knowledge of adequate
   treatments or referral methods is scarce. GPs being central to health
   screening in general, targeted advice and training on short screening
   tools and better knowledge of referral pathways should be promoted and
   continued to empower the GP's management skills in a public health
   approach.
RI achab, sophia/S-2869-2019; Penzenstadler, Louise/AHA-7999-2022; khazaal, yasser/
OI achab, sophia/0000-0002-3861-3297; khazaal, yasser/0000-0002-8549-6599
ZR 0
Z8 0
ZS 0
TC 7
ZB 1
ZA 0
Z9 7
U1 0
U2 9
SN 2314-6133
EI 2314-6141
UT WOS:000347810800001
PM 25243136
ER

PT J
AU Boeckle, Markus
   Liegl, Gregor
   Leitner, Anton
   Pieh, Christoph
TI How burdensome is the treatment of patients with somatoform disorders?
SO ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE
VL 60
IS 4
BP 383
EP 391
DI 10.13109/zptm.2014.60.4.383
PD 2014
PY 2014
AB Objectives: This study examines the influence of self-perceived
   emotional stress during the treatment of patients with somatoform
   disorders. It asks whether emotional stress can be influenced by
   psychosomatic education.
   Methods: Via online questionnaire general practitioners were asked about
   the prevalence of patients presenting with somatoform disorders and
   emotional stress during treatment.
   Results: The prevalence of somatoform disorders in general practices was
   estimated at around 27.7 %. Practitioners educated in psychosomatic
   medicine estimate the prevalence of patients with somatoform disorders
   higher than practitioners without such education (n = 79; r = 0.242; p =
   0.032). The treatment of patients presenting with somatoform disorders
   causes 42.6 % more emotional stress among general practitioners compared
   with the treatment of an average patient (n = 79; t = 16.67; p <=
   0.001). Doctors with additional education in psychosomatic medicine rate
   stress 17.2 % lower than doctors without such education (n = 79; t =
   1.875; p = 0.033).
   Conclusions: General practitioners experience the treatment of patients
   presenting with somatoform disorders as emotionally stressful. This
   emotional stress is mainly explained by increases in time expenditure,
   but it can be reduced by additional psychosomatic education.
RI Boeckle, Markus/A-9968-2010; Liegl, Gregor/I-2197-2019; Pieh, Christoph/GSN-1242-2022; Pieh, Christoph/
OI Boeckle, Markus/0000-0002-0738-2764; Liegl, Gregor/0000-0001-9073-817X;
   Pieh, Christoph/0000-0003-2708-303X
ZB 0
TC 4
ZA 0
ZS 0
Z8 0
ZR 0
Z9 4
U1 0
U2 3
SN 1438-3608
EI 2196-8349
UT WOS:000347491600007
PM 25528873
ER

PT J
AU Qayumi, Karim
   Pachev, George
   Zheng, Bin
   Ziv, Amitai
   Koval, Valentyna
   Badiei, Sadia
   Cheng, Adam
TI Status of simulation in health care education: an international survey.
SO Advances in medical education and practice
VL 5
BP 457
EP 67
DI 10.2147/AMEP.S65451
PD 2014
PY 2014
AB Simulation is rapidly penetrating the terrain of health care education
   and has gained growing acceptance as an educational method and patient
   safety tool. Despite this, the state of simulation in health care
   education has not yet been evaluated on a global scale. In this project,
   we studied the global status of simulation in health care education by
   determining the degree of financial support, infrastructure, manpower,
   information technology capabilities, engagement of groups of learners,
   and research and scholarly activities, as well as the barriers,
   strengths, opportunities for growth, and other aspects of simulation in
   health care education. We utilized a two-stage process, including an
   online survey and a site visit that included interviews and debriefings.
   Forty-two simulation centers worldwide participated in this study, the
   results of which show that despite enormous interest and enthusiasm in
   the health care community, use of simulation in health care education is
   limited to specific areas and is not a budgeted item in many
   institutions. Absence of a sustainable business model, as well as
   sufficient financial support in terms of budget, infrastructure,
   manpower, research, and scholarly activities, slows down the movement of
   simulation. Specific recommendations are made based on current findings
   to support simulation in the next developmental stages. 
RI Zheng, Bin/ACR-9720-2022; Zheng, Bin/CAF-2106-2022; Cheng, Adam/L-9496-2017
OI Zheng, Bin/0000-0003-3476-5936; Cheng, Adam/0000-0002-1039-7502
ZS 3
TC 46
ZR 1
Z8 0
ZB 2
ZA 0
Z9 48
U1 0
U2 4
SN 1179-7258
UT MEDLINE:25489254
PM 25489254
ER

PT J
AU Lee, Sandra W. W.
   Clement, Naomi
   Tang, Natalie
   Atiomo, William
TI The current provision of community-based teaching in UK medical schools:
   an online survey and systematic review
SO BMJ OPEN
VL 4
IS 12
AR e005696
DI 10.1136/bmjopen-2014-005696
PD 2014
PY 2014
AB Objective: To evaluate the current provision and outcome of
   community-based education (CBE) in UK medical schools.
   Design and data sources: An online survey of UK medical school websites
   and course prospectuses and a systematic review of articles from PubMed
   and Web of Science were conducted. Articles in the systematic review
   were assessed using Rossi, Lipsey and Freeman's approach to programme
   evaluation.
   Study selection: Publications from November 1998 to 2013 containing
   information related to community teaching in undergraduate medical
   courses were included.
   Results: Out of the 32 undergraduate UK medical schools, one was
   excluded due to the lack of course specifications available online.
   Analysis of the remaining 31 medical schools showed that a variety of
   CBE models are utilised in medical schools across the UK. Twenty-eight
   medical schools (90.3%) provide CBE in some form by the end of the first
   year of undergraduate training, and 29 medical schools (93.5%) by the
   end of the second year. From the 1378 references identified, 29 papers
   met the inclusion criteria for assessment. It was found that CBE mostly
   provided advantages to students as well as other participants, including
   GP tutors and patients. However, there were a few concerns regarding the
   lack of GP tutors' knowledge in specialty areas, the negative impact
   that CBE may have on the delivery of health service in education
   settings and the cost of CBE.
   Conclusions: Despite the wide variations in implementation, community
   teaching was found to be mostly beneficial. To ensure the relevance of
   CBE for 'Tomorrow's Doctors', a national framework should be
   established, and solutions sought to reduce the impact of the challenges
   within CBE.
   Strengths and limitations of this study: This is the first study to
   review how community-based education is currently provided throughout
   Medical Schools in the UK. The use of Rossi, Lipsey and Freeman's method
   of programme evaluation means that the literature was analysed in a
   consistent and comprehensive way. However, a weakness is that data from
   the online survey was obtained from online medical school prospectuses.
   This means the data may be incomplete or out of date. Data in the
   literature review may also be skewed by publication bias.
OI Atiomo, William/0000-0002-5027-3504
TC 16
ZR 0
ZB 2
ZA 0
ZS 0
Z8 0
Z9 16
U1 0
U2 12
SN 2044-6055
UT WOS:000345762900004
PM 25448625
ER

PT J
AU Kolade, Victor O
   Salim, Howiada H
   Siddiqui, Mohammed
TI A survey of primary care resident attitudes toward continuity clinic
   patient handover.
SO Journal of community hospital internal medicine perspectives
VL 4
IS 5
BP 25087
EP 25087
DI 10.3402/jchimp.v4.25087
PD 2014
PY 2014
AB BACKGROUND: Transfer of clinic patients from graduating residents to
   interns or junior residents occurs every year, affecting large numbers
   of patients. Breaches in care continuity may occur, with potential for
   risk to patient safety. Several guidelines have been developed for
   implementing standardized inpatient sign-outs, but no specific
   guidelines exist for outpatient handover.
   METHODS: Residents in primary care programs - internal medicine, family
   medicine, and pediatrics - at a US academic medical center were invited
   to participate in an online survey. The invitation was extended
   approximately 2 years after electronic medical record (EMR) rollout
   began at the institution.
   RESULTS: Of 71 eligible residents, 22 (31%) responded to the survey. Of
   these, 18 felt that handover of ambulatory patients was at least
   moderately important - but only one affirmed the existence of a system
   for handover. IM residents perceived that they had the highest
   proportion of high-risk patients (p=0.042); transition-of-care letters
   were more important to IM residents than other respondents (p=0.041).
   CONCLUSION: There is room for improvement in resident acknowledgement of
   handover processes in continuity clinics. In this study, IM residents
   attached greater importance to a specific handover tool than other
   primary care residents. Thus, the different primary care specialties may
   need to have different handover tools available to them within a shared
   EMR system.
OI Siddiqui, Mohammed/0000-0002-8463-6537
ZS 0
Z8 0
ZA 0
ZB 0
TC 6
ZR 0
Z9 6
U1 0
U2 1
SN 2000-9666
UT MEDLINE:25432645
PM 25432645
ER

PT J
AU Boo, Yookyung
   Han, Whiejong M.
   Lim, Hyunsook
   Choi, Youngjin
TI Analysis of questions regarding morbidity coding posted to the online
   coding clinic of the Korean Medical Record Association
SO HEALTH INFORMATION MANAGEMENT JOURNAL
VL 43
IS 3
BP 29
EP 36
DI 10.1177/183335831404300304
PD 2014
PY 2014
AB Accuracy and consistency in morbidity coding are important in both
   clinical research and practice. However, Health Information Managers
   (HIMs) sometimes face difficulties in assigning morbidity codes. To
   assist them, the Korean Medical Record Association operates an online
   coding clinic bulletin board, on which HIMs can post questions and
   receive answers. Frequency analysis and Fisher's exact testing were
   performed to identify differences among the types of questions posted
   and the characteristics of the HIMs who posted them. Through statistical
   analysis, it was found that HIMs working at hospitals with fewer than
   500 beds and those with more than 10 years of work experience were found
   to post more questions than other HIMs. The study also identified the
   characteristics of HIMs who require more coding education and particular
   diagnoses for which further training is required. Our findings will
   assist the development of coding procedures, guidelines, education
   programs, and a more user-friendly database.
ZA 0
TC 0
Z8 0
ZS 0
ZR 0
ZB 0
Z9 0
U1 0
U2 5
SN 1833-3583
EI 1833-3575
UT WOS:000346151000004
PM 27009794
ER

PT J
AU Frith, Matthew
   Togher, Leanne
   Ferguson, Alison
   Levick, Wayne
   Docking, Kimberley
TI Assessment practices of speech-language pathologists for cognitive
   communication disorders following traumatic brain injury in adults: An
   international survey
SO BRAIN INJURY
VL 28
IS 13-14
BP 1657
EP 1666
DI 10.3109/02699052.2014.947619
PD 2014
PY 2014
AB Primary objective: This study's objective was to examine the current
   assessment practices of SLPs working with adults with acquired cognitive
   communication impairments following a TBI.
   Methods and procedures: Two hundred and sixty-five SLPs from the UK, the
   US, Canada, Australia and New Zealand responded to the online survey
   stating the areas of communication frequently assessed and the
   assessment tools they use.
   Main outcomes and results: SLPs reported that they routinely assessed
   functional communication (78.8%), whereas domains such as discourse were
   routinely assessed by less than half of the group (44.3%). Clinicians
   used aphasia and cognitive communication/high level language tools and
   tools assessing functional performance, discourse, pragmatic skills or
   informal assessments were used by less than 10% of the group. The
   country and setting of service delivery influenced choice of assessment
   tools used in clinical practice.
   Conclusions: These findings have implications for training of SLPs in a
   more diverse range of assessment tools for this clinical group. The
   findings raise questions regarding the statistical validity and
   reliability of assessments currently used in clinical practice. It
   highlights the need for further research into how SLPs can be supported
   in translating current evidence about the use of assessment tools into
   clinical practice.
RI Togher, Leanne/AAC-7083-2019; Docking, Kimberley/; Togher, Leanne/
OI Docking, Kimberley/0000-0001-9996-7235; Togher,
   Leanne/0000-0002-4518-6748
ZB 11
ZS 0
Z8 1
TC 46
ZR 0
ZA 0
Z9 47
U1 0
U2 56
SN 0269-9052
EI 1362-301X
UT WOS:000344696600004
PM 25158134
ER

PT J
AU Browne, Jennifer
   D'Amico, Emily
   Thorpe, Sharon
   Mitchell, Colin
TI Feltman: evaluating the acceptability of a diabetes education tool for
   Aboriginal health workers
SO AUSTRALIAN JOURNAL OF PRIMARY HEALTH
VL 20
IS 4
BP 319
EP 322
DI 10.1071/PY14040
PD 2014
PY 2014
AB There is an urgent need to address the lack of Aboriginal-specific
   diabetes prevention and management resources. Following consultation
   with Victorian Aboriginal health workers, the Victorian Aboriginal
   Community Controlled Health Organisation and Diabetes Australia-Victoria
   developed 'Feltman', a life-sized felt body showing the main organs
   involved in the digestion and metabolism of food, and the main parts of
   the body affected by diabetes. Feltman was distributed to all Victorian
   Aboriginal Community Controlled Health Organisations and an additional
   32 Victorian organisations. In total, 276 people from 57 organisations
   were trained to use Feltman. An online evaluation survey was developed
   and sent to all people who were trained to use Feltman in Victoria.
   Sixty-six people completed the survey. All respondents agreed Feltman
   was an appropriate tool for the Aboriginal community, 89% of health
   workers felt more confident in their ability to discuss diabetes with
   their community but would like further training to maintain skills and
   confidence and 70% of workers had used Feltman with the community.
   Qualitative feedback noted its strength as a highly visual resource that
   was popular with the Aboriginal community. Workers reported that Feltman
   was a highly acceptable diabetes education resource, which they believed
   had increased knowledge and improved the management of diabetes among
   clients.
ZA 0
ZB 1
ZS 0
Z8 0
ZR 0
TC 12
Z9 12
U1 0
U2 7
SN 1448-7527
EI 1836-7399
UT WOS:000344527000002
PM 25033700
ER

PT J
AU Jamar, E.
   Newbury, J.
   Mills, D.
TI Early career location of University of Adelaide rural cohort medical
   students
SO RURAL AND REMOTE HEALTH
VL 14
IS 1
AR 2592
PD JAN-MAR 2014
PY 2014
AB Introduction: In 2001 the Australian Government Department of Health
   began what is now the Rural Clinical Training and Support (RCTS) program
   which funds rural background selection and rural clinical education in
   an attempt to increase the rural medical workforce. At the University of
   Adelaide, students of the 6-year undergraduate medical program have the
   opportunity to complete the whole of their fifth year of clinical
   studies at one of eight rural locations. This study seeks to track the
   early career movements of these graduates in order to determine the
   program's rural medical workforce impact.
   Methods: The retrospective study involved graduates who had studied a
   rural fifth year between 2003 and 2010 inclusive. Only domestic students
   were included in the study. One hundred and twenty four out of a
   possible 12 7 participants were contacted by email and asked to complete
   a 28-question online survey using SurveyMonkey. The survey included
   questions regarding career choices since graduation and experiences
   during the RCTS program. Quantitative data was analysed using
   descriptive statistics and qualitative data underwent thematic analysis.
   Results: The survey response rate was 58.2% with 7 4 useable responses.
   Respondents described the career choices they had made since graduation,
   including the stage they were at in their training, the speciality they
   had chosen and their location during each year. Data showed that between
   2009 and 2012 between 20.8 % and 34.1% of respondents were located in a
   rural area (Australian Standard Geographical Classification - Remoteness
   Areas 2-5). More than half of respondents have spent time in a rural
   area since graduation and 85.1% of respondents indicated they had
   intentions to work in a rural area in the future. In saying this, 8
   years post-graduation is not long enough to assess the rural work force
   outcome. Graduates move frequently between practice locations even at 8
   years post-graduation; only five respondents had completed postgraduate
   training. The RCTS program is important in the progression from medical
   school to rural practice, including the initial decision to take part in
   it. The interest of some respondents who were practising in rural areas
   in 2012, and were initially 'very interested' in rural practice, either
   'slightly' or 'significantly increased'.
   Conclusions: These results show that the RCTS program can supplement an
   initial interest in rural medicine.
ZS 0
ZB 1
ZR 0
Z8 0
ZA 0
TC 25
Z9 25
U1 1
U2 13
SN 1445-6354
UT WOS:000343520800015
PM 24506734
ER

PT J
AU Thepwongsa, I.
   Kirby, C.
   Paul, C.
   Piterman, L.
TI Management of type 2 diabetes: Australian rural and remote general
   practitioners' knowledge, attitudes, and practices
SO RURAL AND REMOTE HEALTH
VL 14
IS 1
AR 2449
PD JAN-MAR 2014
PY 2014
AB Background: The gap between current and evidence-based best practice
   management of chronic diseases in Australian general practice is widely
   acknowledged. This study seeks to explore some of the factors
   underpinning this gap in relation to type 2 diabetes management in rural
   and remote general practice settings.
   Methods: A cross-sectional survey of 854 general practitioners (GPs)
   currently practising in rural and remote Australian communities with
   populations between 10 000 and 30 000.
   Results: A total of 209 completed surveys were returned for an overall
   response rate of 24.5%. GPs reported on their education preferences,
   knowledge, attitudes and practices relating to type 2 diabetes. GPs
   indicated a strong preference for face-to-face education options such as
   conferences and seminars (75.2%). Whilst structured online education
   activities were less utilised than face-to-face options, GPs reported a
   desire to undertake more of their education online in the future. Survey
   findings revealed gaps in GP knowledge around the medical management of
   diabetes. The most prevalent self-reported learning needs related to
   pharmacological management (n=87, (45.5%)). Correspondingly, in the GP
   knowledge test, GPs received the lowest mean score for the section on
   medical management. GPs also reported having the least confidence in
   providing effective insulin treatment, compared with other aspects of
   diabetes management. GPs identified an array of difficulties encountered
   in providing best practice diabetes care, which were classified into
   three main categories: GP clinical management problems, patient-related
   challenges and health system-related difficulties.
   Conclusion: This national survey highlights a number of barriers to GP
   provision of best practice diabetes care in rural and remote Australia.
   Despite the availability of education programs and clinical practice
   guidelines, GPs revealed deficits in knowledge and confidence in type 2
   diabetes management. GPs identified numerous challenges to effective
   patient care, some but not all of which can be addressed through
   continuing professional development. GP preferences for continuing
   medical education and information may inform future activities, to
   specifically address the needs of GPs in rural and remote locations.
ZB 3
ZA 0
Z8 0
ZS 0
ZR 0
TC 14
Z9 14
U1 0
U2 13
SN 1445-6354
UT WOS:000343520800005
ER

PT J
AU Butcher, K
   Bamford, R
   Burke, D
TI Innovation in e-learning: learning for all.
SO Ecancermedicalscience
VL 8
BP 467
EP 467
DI 10.3332/ecancer.2014.467
PD 2014
PY 2014
AB Online learning is not a new concept for most in the medical profession.
   However, surgical oncology is poorly represented, and in a world of
   ever-changing research evidence, relying on published texts may not be
   efficient learning or an accurate representation of current practice for
   many trainees. This article demonstrates how our educational
   collaborative, ePOSSOM, approaches the problem. It outlines the
   development process of the whole project between ecancer and the Severn
   School of Surgery, UK, and provides links to the pilot completed modules
   on pancreatic cancer and its treatment for the reader to experience. 
TC 3
ZS 0
ZA 0
Z8 0
ZB 0
ZR 0
Z9 3
U1 0
U2 1
SN 1754-6605
UT MEDLINE:25374615
PM 25374615
ER

PT J
AU Kratochvil, Jiri
TI Efficiency of e-learning in an information literacy course for medical
   students at the Masaryk University
SO ELECTRONIC LIBRARY
VL 32
IS 3
BP 322
EP 340
DI 10.1108/EL-07-2012-0087
PD 2014
PY 2014
AB Purpose - The purpose of this paper is to argue that e-learning can be a
   viable alternative teaching method for information literacy according to
   a comparison of librarian's time spent on face-to-face teaching with
   tutoring the e-learning course, average time spent in a week on learning
   by the students, time flexibility of e-learning, students' satisfaction
   with e-learning and students' ability to gain practical skills and
   theoretical knowledge through e-learning.
   Design/methodology/approach - Satisfaction of medical students with
   e-learning and their average weekly time spent learning were assessed
   through surveys designed in Google Documents. Weekly time spent by
   students learning in class and the number of the librarian's teaching
   hours were set by the university schedule, and time spent on tutoring
   e-learning was measured. Details of accesses to study materials and
   submission of tasks as well as exam results were collected from Masaryk
   University Learning Management System.
   Findings - In 2011, 50 per cent less time was expended on tutoring
   e-learning than time spent with the same number of students in the
   previous three years in the classroom. One-third of the students learned
   for more hours a week through e-learning than students in class. No
   significant difference in gained theoretical knowledge between these
   students was found. On average, 90 per cent of tasks submitted to
   e-learning were correct the first time. e-learning was appreciated by
   the students for its time (93 per cent) and space (83 per cent)
   flexibility, the online materials (62 per cent) and self-managing
   learning time (55 per cent). Details of access to the study materials
   confirmed time flexibility.
   Originality/value - Due to time saved and considering the lack of any
   significant difference in the knowledge gained by students, e-learning
   can be a viable alternative teaching method for information literacy.
RI Kratochvíl, Jiří/A-7677-2010
OI Kratochvíl, Jiří/0000-0002-1126-0516
ZR 0
ZA 0
ZS 0
TC 12
ZB 1
Z8 0
Z9 12
U1 1
U2 77
SN 0264-0473
EI 1758-616X
UT WOS:000341725000004
ER

PT J
AU Gilmour, Jean
   Huntington, Annette
   Bogossian, Fiona
   Leadbitter, Bernadette
   Turner, Catherine
TI Medical education and informal teaching by nurses and midwives.
SO International journal of medical education
VL 5
BP 173
EP 7
DI 10.5116/ijme.53f5.ee77
PD 2014 Aug 31
PY 2014
AB OBJECTIVE: The aim of this study was to examine the contribution of
   nurses and midwives to the education of medical colleagues in the
   clinical context.
   METHODS: The research design was a cross-sectional survey using an
   online questionnaire. A subsample of 2906 respondents, from a total of
   4763 nurses and midwives participating in a web-based study, had taught
   doctors in the 12 months prior to the survey. The questionnaire
   generated mainly categorical data analysed with descriptive statistics.
   RESULTS: In the group of respondents who taught doctors (n =2906), most
   provided informal teaching (92.9%, n=2677). Nearly a quarter (23.9%,
   n=695) self-rated the amount of time spent teaching as at least moderate
   in duration. The most common named teaching topics were documentation
   (74.8%, n=2005) and implementing unit procedures (74.3, n=1987),
   followed by medication charting (61.9%, n=1657) and choosing correct
   medications (55.8%, n=1493). Respondents felt their contributions were
   unrecognised by the doctors and students they taught (43.9%, n=1256).
   CONCLUSIONS: Educational contributions while unrecognised could be
   considered positively by the respondents. However, discussion of
   teaching responsibilities is necessary to support the development of
   teaching protocols and supervision responsibilities as respondents
   reported teaching clinical medical tasks related to medications, consent
   and other skills within the medical domain. Study limitations include
   the nature of self-reported responses which cannot be validated and data
   drawn from a survey concluded in 2009.
RI Turner, Catherine/C-5118-2008; Bogossian, Fiona/F-2273-2010
OI Turner, Catherine/0000-0002-2687-932X; Bogossian,
   Fiona/0000-0001-9909-5852
ZS 0
ZR 0
ZB 1
Z8 0
TC 3
ZA 0
Z9 3
U1 0
U2 0
EI 2042-6372
UT MEDLINE:25341227
PM 25341227
ER

PT J
AU Wright, Amy Conley
   Taylor, Sarah
TI Advocacy by Parents of Young Children With Special Needs: Activities,
   Processes, and Perceived Effectiveness
SO JOURNAL OF SOCIAL SERVICE RESEARCH
VL 40
IS 5
SI SI
BP 591
EP 605
DI 10.1080/01488376.2014.896850
PD 2014
PY 2014
AB This article examines parental advocacy for young children with
   disabilities using a subset of data drawn from a larger exploratory and
   descriptive study on parental advocacy for children with disabilities
   from birth to age 18 with a sample of 400 participants. Because this
   article focuses on parents of children from birth to age 6, only parents
   (n = 76) meeting this criterion were selected. Data were collected
   through an online survey, with a snowball sample generated through
   e-mail lists and social media groups. The survey included questions on
   demographics, types of advocacy settings, perceived effectiveness of
   advocacy efforts, and an example of a successful advocacy effort.
   Parental advocacy was most common in schools, medical clinics, social
   services, and social media and involved processes such as educating
   oneself about the child's condition and rights for services, educating
   others including professionals, and making persistent efforts. These
   findings suggest advocacy on behalf of children with disabilities starts
   early and is important from birth to age 6. Policy and socialwork
   practice should help parents with support, knowledge, and skills to be
   effective advocates for their children. Future research is recommended
   to explore the relationships between advocacy, empowerment, coping, and
   resilience in parents of children with special needs.
RI Wright, Amy Conley/AAI-4072-2021
OI Wright, Amy Conley/0000-0001-7421-005X
ZB 2
ZS 0
ZR 0
Z8 0
ZA 0
TC 32
Z9 32
U1 0
U2 21
SN 0148-8376
EI 1540-7314
UT WOS:000342321100002
ER

PT J
AU Jalalat, Sheila Z
   Wagner, Richard F Jr
TI Utility of a dermatology interest group blog: the impact of medical
   student interest groups and Web 2.0 tools as educational resources.
SO Advances in medical education and practice
VL 5
BP 331
EP 7
DI 10.2147/AMEP.S70776
PD 2014
PY 2014
AB The open access University of Texas Dermatology Interest Group blog was
   established in 2004 for the purposes of increasing communication and
   collaboration between medical students and dermatology faculty,
   residents, and alumni, as well as to promote educational opportunities
   and the missions for which the interest group was created. This blog is
   unique because of its longevity and continuous postings directed toward
   the educational and professional needs of medical students and
   residents. A blog user survey was performed to assess viewers' thoughts,
   purpose of viewing, demographic profile, subscriber status, usage of the
   blog and other Web 2.0 tools (forums, Facebook, blogs, Twitter,
   podcasts), and perceived usefulness. Sixty-one anonymous online surveys
   were completed during a 1-month period. Statistical analyses of the
   responses demonstrated that the utilization of web-based tools and the
   blog were valuable resources for students, especially for blog
   subscribers, those more involved in an interest group, and those reading
   the blog for a longer period of time. The usefulness and impact of this
   method of communication and dissemination of information in medical
   education may encourage other student groups, faculty advisors, and
   educators to implement similar educational tools at their institutions. 
ZR 0
ZS 0
ZB 0
Z8 0
TC 7
ZA 0
Z9 7
U1 0
U2 4
SN 1179-7258
UT MEDLINE:25298742
PM 25298742
ER

PT J
AU Graham, Susan
   Eley, Diann
   Cameron, Ian
   Thistlethwaite, Jill
TI Inclusion of rehabilitation medicine concepts in school of medicine
   resources
SO DISABILITY AND REHABILITATION
VL 36
IS 18
BP 1555
EP 1561
DI 10.3109/09638288.2013.851743
PD 2014
PY 2014
AB Purpose: To perform a gap analysis of rehabilitation medicine learning
   objectives (RMLOs) coverage within school of medicine (SOM) curriculum
   and educational resources as a basis for development of educational
   resources to fill any identified gaps. Method: Following ethics
   approval, interviews were carried out with SOM academics and clinicians
   to assess the relevance of a set of RMLOs and the extent to which RMLOs
   were addressed in SOM resources. Interviewee opinion was quantified via
   Likert scales and additional free comments were subjected to thematic
   analysis. Results: Most RMLOs were perceived as relevant by more than
   half of the 18 participants. There was evidence of relevant material
   relating to each RMLO in SOM resources. Thematic analysis suggested that
   rehabilitation medicine was addressed at the SOM in less detail than
   outlined in the RMLOs, and that additional rehabilitation content could
   be included in SOM resources across a number of courses and year levels.
   Conclusions: Rehabilitation medicine is considered relevant by
   clinicians and academics at the SOM. The most effective way of filling
   identified gaps in coverage of rehabilitation medicine at the SOM will
   be via engagement across a number of medical and surgical disciplines.
RI Eley, Diann S/C-3331-2008; Thistlethwaite, Jill/
OI Eley, Diann S/0000-0001-7256-9325; Thistlethwaite,
   Jill/0000-0001-8122-4679
ZA 0
Z8 2
ZB 1
ZS 0
ZR 0
TC 1
Z9 3
U1 0
U2 7
SN 0963-8288
EI 1464-5165
UT WOS:000341971300012
PM 24195688
ER

PT J
AU Zhang, Melvyn W. B.
   Ho, Cyrus S. H.
   Fang, Pan
   Lu, Yanxia
   Ho, Roger C. M.
TI Methodology of developing a smartphone application for crisis research
   and its clinical application
SO TECHNOLOGY AND HEALTH CARE
VL 22
IS 4
BP 547
EP 559
DI 10.3233/THC-140819
PD 2014
PY 2014
AB BACKGROUND: Recent advancement in Internet based technologies have
   resulted in the growth of a sub-specialized field, termed as
   "Infodemiology" and "Infoveillance". Infoveillence refers to the
   collation of infodemiology measures for the purpose of surveillance and
   trending. Previous research has only demonstrated the research potential
   of Web 2.0 medium in collation of data in crisis situation.
   OBJECTIVES: The objectives for the current study are to demonstrate the
   methodology of implementation of a smartphonebased application for
   dissemination and collation of information during a crisis situation.
   METHODS: The Haze Smartphone application was developed using an online
   application builder and using HTML5 as the core programming language. A
   five-phase developmental method including a) formulation of user
   requirements, b) system design, c) system development, d) system
   evaluation and finally e) system application and implementation were
   adopted. The smartphone application was deployed during a one-week
   period via a self-sponsored Facebook post and via direct dissemination
   of the web-links by emails.
   RESULTS: A total of 298 respondents took part in the survey within the
   application. Most of them were between the ages of 20-to 29-years old
   and had a university education. More individuals preferred the option of
   accessing and providing feedback to a survey on physical and
   psychological wellbeing via direct access to a Web-based questionnaire.
   In addition, the participants reported a mean number of 4.03 physical
   symptoms (SD 2.6). The total Impact of Event Scale-Revised (IES-R) score
   was 18.47 (SD 11.69), which indicated that the study population did
   experience psychological stress but not posttraumatic stress disorder.
   The perceived dangerous Pollutant Standards Index (PSI) level and the
   number of physical symptoms were associated with higher IES-R Score (P <
   0.05)
   CONCLUSIONS: This study demonstrates how a smartphone application could
   potentially be used to acquire research data in a crisis situation.
   However, it is crucial for future research to further evaluate its
   effectiveness in a crisis situation.
RI Yanxia, Lu/K-7383-2013; Ho, Roger/ABD-8859-2021; Ho, Roger C./ABD-9061-2021; Ho, Cyrus SH/AAN-9344-2020
OI Yanxia, Lu/0000-0003-0878-7525; Ho, Roger C./0000-0001-9629-4493; Ho,
   Cyrus SH/0000-0002-7092-9566
TC 24
ZR 0
ZB 6
ZS 2
ZA 0
Z8 0
Z9 25
U1 0
U2 12
SN 0928-7329
EI 1878-7401
UT WOS:000343008000004
PM 24898865
ER

PT J
AU Shultz, Laura A. Schwent
   Pedersen, Heather A.
   Roper, Brad L.
   Rey-Casserly, Celiane
TI Supervision in Neuropsychological Assessment: A Survey of Training,
   Practices, and Perspectives of Supervisors
SO CLINICAL NEUROPSYCHOLOGIST
VL 28
IS 6
BP 907
EP 925
DI 10.1080/13854046.2014.942373
PD 2014
PY 2014
AB Within the psychology supervision literature, most theoretical models
   and practices pertain to general clinical or counseling psychology.
   Supervision specific to clinical neuropsychology has garnered little
   attention. This survey study explores supervision training, practices,
   and perspectives of neuropsychology supervisors. Practicing
   neuropsychologists were invited to participate in an online survey via
   listservs and email lists. Of 451 respondents, 382 provided supervision
   to students, interns, and/or fellows in settings such as VA medical
   centers (37%), university medical centers (35%), and private practice
   (15%). Most supervisors (84%) reported supervision was discussed in
   graduate school minimally or not at all. Although 67% completed informal
   didactics or received continuing education in supervision, only 27%
   reported receiving training specific to neuropsychology supervision.
   Notably, only 39% were satisfied with their training in providing
   supervision and 77% indicated they would likely participate in training
   in providing supervision, if available at professional conferences.
   Results indicate that clinical neuropsychology as a specialty has paid
   scant attention to developing supervision models and explicit training
   in supervision skills. We recommend that the specialty develop models of
   supervision for neuropsychological practice, supervision standards and
   competencies, training methods in provision of supervision, and
   benchmark measures for supervision competencies.
ZB 1
ZS 0
ZR 0
Z8 0
TC 15
ZA 0
Z9 15
U1 1
U2 10
SN 1385-4046
EI 1744-4144
UT WOS:000342051600002
PM 25116655
ER

PT J
AU MacNamara, Meghan E
TI Narrative learning in the virtual landscape: a model from a
   baccalaureate program.
SO Creative nursing
VL 20
IS 3
BP 159
EP 63
PD 2014
PY 2014
AB This article explores the implications of presenting a medical
   humanities curriculum in a virtual format, using as a model a fully
   online humanities course taught in both traditional 15-week and
   accelerated 5-week formats. The course explores narrative competency and
   allows baccalaureate students to deepen their practical skills with
   increased awareness of narrative constructions. The online course design
   fosters growth in many areas of communication that have otherwise been
   absent in face-to-face courses taught by this educator. In the virtual
   format, students showed increased investment in the course content and
   an openness to communicating their experience as well as to critically
   challenging their colleagues on narrative-based dilemmas, such as those
   centered around building empathy, remaining nonjudgmental when
   challenged with ethical dilemmas, and awareness of signs within
   themselves of disengagement and burnout.
ZA 0
TC 0
ZB 0
ZR 0
ZS 0
Z8 0
Z9 0
U1 0
U2 0
SN 1078-4535
UT MEDLINE:25252377
PM 25252377
ER

PT J
AU Cheng, Yung-Ming
TI Extending the expectation-confirmation model with quality and flow to
   explore nurses' continued blended e-learning intention
SO INFORMATION TECHNOLOGY & PEOPLE
VL 27
IS 3
BP 230
EP 258
DI 10.1108/ITP-01-2013-0024
PD 2014
PY 2014
AB Purpose - The purpose of this paper is to propose a hybrid model based
   on the expectation-confirmation model (ECM), flow theory, and updated
   DeLone and McLean information system (IS) success model to examine
   whether quality factors as the antecedents to nurse beliefs affected
   nurses' intention to continue using the blended electronic learning
   (e-learning) system.
   Design/methodology/approach - Sample data for this study were collected
   from nurses at five hospitals in Taiwan. A total of 500 questionnaires
   were distributed, 396 (79.2 percent) questionnaires were returned.
   Consequently, 378 usable questionnaires were analyzed in this study,
   with a usable response rate of 75.6 percent. Collected data were
   analyzed using structural equation modeling.
   Findings - Information quality, system quality, support service quality,
   and instructor quality contribute significantly to perceived usefulness
   (PU), confirmation, and flow, which together explain nurses'
   satisfaction with the usage of the blended e-learning system, and this
   in turn leads to their continued system usage intention.
   Originality/value - First, the application of the ECM with the view of
   updated DeLone and McLean IS success model reveals deep insights into
   quality evaluation (including information quality, system quality, and
   support service quality) in the field of nurses' e-learning continuance
   intention. Especially, this study additionally contributes to the
   identification of instructor quality that may lead to nurses' continued
   blended e-learning usage intention. Next, the empirical evidence on
   capturing both extrinsic motivator (i.e. PU) and intrinsic motivator
   (i.e. flow) for completely explaining quality antecedents of nurses'
   blended e-learning continuance intention is well documented.
ZR 0
ZB 3
TC 73
ZS 0
Z8 1
ZA 0
Z9 74
U1 8
U2 97
SN 0959-3845
EI 1758-5813
UT WOS:000341785200001
ER

PT J
AU Rycroft-Malone, Jo
   Burton, Christopher
   Hall, Beth
   McCormack, Brendan
   Nutley, Sandra
   Seddon, Diane
   Williams, Lynne
TI Improving skills and care standards in the support workforce for older
   people: a realist review
SO BMJ OPEN
VL 4
IS 5
AR e005356
DI 10.1136/bmjopen-2014-005356
PD 2014
PY 2014
AB Introduction: In the context of a population that is growing older, and
   a number of high-profile scandals about care standards in hospital and
   community settings, having a skilled and knowledgeable workforce caring
   for older people is an ethical and policy imperative. Support workers
   make up the majority of the workforce in health and social care services
   for older people (aged 65 years and over), and yet little is known about
   the best way to facilitate their development. Given this gap, this
   review will draw on evidence to address the question: how can workforce
   development interventions improve the skills and the care standards of
   support workers within older people's health and social care services?
   Methods and analysis: As we are interested in how and why workforce
   development interventions might work, in what circumstances and with
   whom, we will conduct a realist review, sourcing evidence from health,
   social care, policing and education. The review will be conducted in
   four steps over 18 months to (1) construct a theoretical framework, that
   is, the review's programme theories; (2) retrieve, review and synthesise
   evidence relating to interventions designed to develop the support
   workforce guided by the programme theories; (3) 'test out' our synthesis
   findings and refine the programme theories, establish their practical
   relevance/potential for implementation and (4) formulate recommendations
   about improvements to current workforce development interventions to
   contribute to the improvement of care standards in older people's health
   and social care services, potentially transferrable to other services.
   Ethics and dissemination: Ethical approval is not required to undertake
   this review. Knowledge exchange activities through stakeholder
   engagement and online postings are embedded throughout the lifetime of
   the project. The main output from this review will be a new theory
   driven framework for skill development for the support workforce in
   health and social care for older people.
RI Hall, Beth/L-7834-2015; Burton, Christopher/
OI Hall, Beth/0000-0003-4980-3720; Burton, Christopher/0000-0003-1159-1494
ZA 0
TC 21
ZR 0
ZB 1
ZS 0
Z8 0
Z9 21
U1 0
U2 14
SN 2044-6055
UT WOS:000336976900076
PM 24879830
ER

PT J
AU AlBuhairan, Fadia S
   Olsson, Tina M
TI Advancing adolescent health and health services in Saudi Arabia:
   exploring health-care providers' training, interest, and perceptions of
   the health-care needs of young people.
SO Advances in medical education and practice
VL 5
BP 281
EP 7
DI 10.2147/AMEP.S66272
PD 2014
PY 2014
AB BACKGROUND: Adolescent health is regarded as central to global health
   goals. Investments made in adolescent health and health services protect
   the improvements witnessed in child health. Though Saudi Arabia has a
   large adolescent population, adolescent health-care only began to emerge
   in recent years, yet widespread uptake has been very limited.
   Health-care providers are key in addressing and providing the necessary
   health-care services for adolescents, and so this study was conducted
   with the aim of identifying opportunities for the advancement of
   knowledge transfer for adolescent health services in Saudi Arabia.
   METHODS: This Web-based, cross-sectional study was carried out at four
   hospitals in Saudi Arabia. Physicians and nurses were invited to
   participate in an online survey addressing their contact with adolescent
   patients, and training, knowledge, and attitudes towards adolescent
   health-care.
   RESULTS: A total of 232 professionals participated. The majority (82.3%)
   reported sometimes or always coming into contact with adolescent
   patients. Less than half (44%), however, had received any sort of
   training on adolescent health during their undergraduate or postgraduate
   education, and only 53.9% reported having adequate knowledge about the
   health-care needs of adolescents. Nurses perceived themselves as having
   more knowledge in the health-care needs of adolescents and reported
   feeling more comfortable in communicating with adolescents as compared
   with physicians. The majority of participants were interested in gaining
   further skills and knowledge in adolescent health-care and agreed or
   strongly agreed that adolescents have specific health-care needs that
   are different than children or adults (82.3% and 84.0%, respectively).
   With respect to health services, the majority (85.8%) believed that
   adolescents should be hospitalized in adolescent-specific wards. Only
   26.7% of health-care providers believed that patients should be
   transferred from child to adult health-care services at 12-13 years of
   age, as is currently practiced in the country.
   CONCLUSION: A gap exists between the training, knowledge and skills of
   health-care providers, and the needs to address health-care issues of
   adolescents in Saudi Arabia. This coupled with the fact that health-care
   providers are interested in gaining more knowledge and skills and are
   supportive of changes in the health-care system provides an opportunity
   for building local capacity and instituting medical and nursing
   education and health-care reform that can better serve the needs of the
   country's young population.
OI Olsson, Tina/0000-0002-7351-9140; AlBuhairan, Fadia/0000-0002-7377-503X
Z8 0
ZA 0
ZS 0
ZR 0
TC 8
ZB 0
Z9 8
U1 0
U2 0
SN 1179-7258
UT MEDLINE:25214805
PM 25214805
ER

PT J
AU Tolsgaard, Martin G.
   Ku, Cheryl
   Woods, Nicole N.
   Kulasegaram, Kulamakan Mahan
   Brydges, Ryan
   Ringsted, Charlotte
TI Quality of randomised controlled trials in medical education reported
   between 2012 and 2013: a systematic review protocol
SO BMJ OPEN
VL 4
IS 7
AR e005155
DI 10.1136/bmjopen-2014-005155
PD 2014
PY 2014
AB Introduction: Research in medical education has increased in volume over
   the past decades but concerns have been raised regarding the quality of
   trials conducted within this field. Randomised controlled trials (RCTs)
   involving educational interventions that are reported in biomedical
   journals have been criticised for their insufficient conceptual,
   theoretical framework. RCTs published in journals dedicated to medical
   education, on the other hand, have been questioned regarding their
   methodological rigour. The aim of this study is therefore to assess the
   quality of RCTs of educational interventions reported in 2012 and 2013
   in journals dedicated to medical education compared to biomedical
   journals with respect to objective quality criteria.
   Methods and analysis: RCTs published between 1 January 2012 and 31
   December 2013 in English are included. The search strategy is developed
   with the help of experienced librarians to search online databases for
   key terms. All of the identified RCTs are screened based on their titles
   and abstracts individually by the authors and then compared in pairs to
   assess agreement. Data are extracted from the included RCTs by
   independently scoring each RCT using a data collection form. The data
   collection form consists of four steps. Step 1 includes confirmation of
   RCT eligibility; step 2 consists of the CONSORT checklist; step 3
   consists of the Medical Education Research Study Quality Instrument
   framework; step 4 consists of a Medical Education Extension (MEdEx) to
   the CONSORT checklist. The MEdEx includes the following elements:
   Description of scientific background, explanation of rationale, quality
   of research questions and hypotheses, clarity in the description of the
   use of the intervention and control as well as interpretation of
   results.
   Ethics and dissemination: This review is the first to systematically
   examine the quality of RCTs conducted in medical education. We plan to
   disseminate the results through publications and presentation at
   relevant conferences. Ethical approval is not sought for this review.
RI Woods, Nicole N/K-2412-2014; Kulasegaram, Kulamakan/H-6663-2016; tolsgaard, Martin/AES-2153-2022; Ringsted, Charlotte/AAG-9389-2019; Brydges, Ryan/; Woods, Nicole/
OI tolsgaard, Martin/0000-0001-9197-5564; Brydges,
   Ryan/0000-0001-5203-7049; Woods, Nicole/0000-0002-2976-1108
ZB 0
Z8 0
TC 4
ZS 0
ZA 0
ZR 0
Z9 4
U1 0
U2 3
SN 2044-6055
UT WOS:000339720900063
PM 25079932
ER

PT J
AU Cole, Duncan
   Cunningham, Anne Marie
TI How to ... curate online 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 25
IS 3
BP 176
EP 8
PD 2014-May
PY 2014
Z8 0
ZB 0
ZR 0
TC 0
ZA 0
ZS 0
Z9 0
U1 0
U2 2
SN 1473-9879
UT MEDLINE:25198478
PM 25198478
ER

PT B
AU Ashe, David
   Yeoman, Pippa
   Shaw, Tim
BE Carvalho, L
   Goodyear, P
TI QSTREAM Learning in the 'In-between'
SO ARCHITECTURE OF PRODUCTIVE LEARNING NETWORKS
BP 168
EP 180
PD 2014
PY 2014
RI Yeoman, Pippa/AAT-1629-2021
ZS 0
ZB 0
ZR 0
ZA 0
TC 0
Z8 0
Z9 0
U1 0
U2 2
BN 978-0-415-81656-4; 978-0-203-59109-3; 978-0-415-81655-7
UT WOS:000341148600012
ER

PT C
AU Pletneva, Natalia
   de Castaneda, Rafael Ruiz
   Baroz, Frederic
   Boyer, Celia
BE Lovis, C
   Seroussi, B
   Hasman, A
   PapeHaugaard, L
   Saka, O
   Andersen, SK
TI General vs Health Specialized Search Engine: a Blind Comparative
   Evaluation of Top Search Results
SO E-HEALTH - FOR CONTINUITY OF CARE
SE Studies in Health Technology and Informatics
VL 205
BP 201
EP 205
DI 10.3233/978-1-61499-432-9-201
PD 2014
PY 2014
AB This paper presents the results of a blind comparison of top ten search
   results retrieved by Google.ch (French) and Khresmoi for everyone, a
   health specialized search engine. Participants - students of the Faculty
   of Medicine of the University of Geneva had to complete three tasks and
   select their preferred results. The majority of the participants have
   largely preferred Google results while Khresmoi results showed potential
   to compete in specific topics. The coverage of the results seems to be
   one of the reasons. The second being that participants do not know how
   to select quality and transparent health web pages. More awareness,
   tools and education about the matter is required for the students of
   Medicine to be able to efficiently distinguish trustworthy online health
   information.
CT 25th European Medical Informatics Conference (MIE)
CY AUG 31-SEP 03, 2014
CL Istanbul, TURKEY
RI Boyer, Celia/AAT-9282-2020
ZS 0
ZR 0
TC 3
ZB 0
Z8 0
ZA 0
Z9 3
U1 0
U2 4
SN 0926-9630
EI 1879-8365
BN 978-1-61499-432-9; 978-1-61499-431-2
UT WOS:000454226100040
PM 25160174
ER

PT C
AU Stathakarou, Natalia
   Zary, Nabil
   Kononowicz, Andrzej A.
BE Lovis, C
   Seroussi, B
   Hasman, A
   PapeHaugaard, L
   Saka, O
   Andersen, SK
TI Virtual Patients in Massive Open Online Courses - Design Implications
   and Integration Strategies
SO E-HEALTH - FOR CONTINUITY OF CARE
SE Studies in Health Technology and Informatics
VL 205
BP 793
EP 797
DI 10.3233/978-1-61499-432-9-793
PD 2014
PY 2014
AB Massive Open Online Courses (MOOCs) are raising extensive attention
   across disciplines, while it becomes evident that rethinking of learning
   designs that work well in these environments is needed. In the field of
   medical education, where the technology of MOOCs is not widely adopted
   yet, we wish to investigate the potential offered by virtual patients
   for the purpose of clinical reasoning skills training. In this paper we
   describe three use case scenarios employing virtual patients' features
   in MOOCs: (1) collective evaluation of decision making in the context of
   uncertainty; (2) collective repurposing of cases and division of
   discussion into subgroups focusing on local variances in healthcare; (3)
   division of content in short cases for flexible selection and adaptive
   learning with virtual patients. We also present technical requirements
   for implementing the use case scenarios and future work plans.
CT 25th European Medical Informatics Conference (MIE)
CY AUG 31-SEP 03, 2014
CL Istanbul, TURKEY
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 9
Z8 0
ZA 0
ZS 0
ZR 0
ZB 1
Z9 9
U1 0
U2 8
SN 0926-9630
EI 1879-8365
BN 978-1-61499-432-9; 978-1-61499-431-2
UT WOS:000454226100155
PM 25160296
ER

PT J
AU Usher, Kim
   Woods, Cindy
   Casella, Evan
   Glass, Nel
   Wilson, Rhonda
   Mayner, Lidia
   Jackson, Debra
   Brown, Janie
   Duffy, Elaine
   Mather, Carey
   Cummings, Elizabeth
   Irwin, Pauletta
TI Australian health professions student use of social media
SO COLLEGIAN
VL 21
IS 2
SI SI
BP 95
EP 101
DI 10.1016/j.colegn.2014.02.004
PD 2014
PY 2014
AB Increased bandwidth, broadband network availability and improved
   functionality have enhanced the accessibility and attractiveness of
   social media. The use of the Internet by higher education students has
   markedly increased. Social media are already used widely across the
   health sector but little is currently known of the use of social media
   by health profession students in Australia. A cross-sectional study was
   undertaken to explore health profession students' use of social media
   and their media preferences for sourcing information. An electronic
   survey was made available to health profession students at ten
   participating universities across most Australian states and
   territories. Respondents were 637 first year students and 451 final year
   students. The results for first and final year health profession
   students indicate that online media is the preferred source of
   information with only 20% of students nominating traditional
   peer-reviewed journals as a preferred information source. In addition,
   the results indicate that Facebook (R) usage was high among all students
   while use of other types of social media such as Twitter (R) remains
   comparatively low.
   As health profession students engage regularly with social media, and
   this use is likely to grow rather than diminish, educational
   institutions are challenged to consider the use of social media as a
   validated platform for learning and teaching. (C) 2014 Australian
   College of Nursing Ltd. Published by Elsevier Ltd.
RI Wilson, Rhonda L./H-6045-2019; Woods, Cindy E/H-6185-2016; Mather, Carey Ann/J-7191-2014; Usher, Kim/ABB-2803-2020; Jackson, Debra/ABG-1948-2020; Jackson, Debra/D-2843-2009; Brown, Janie/T-7861-2019; Cummings, Elizabeth/G-6296-2013; Mayner, Lidia/; Usher AM, Kim/; Irwin, Pauletta/
OI Wilson, Rhonda L./0000-0001-9252-2321; Woods, Cindy
   E/0000-0001-5790-069X; Mather, Carey Ann/0000-0002-4301-0028; Jackson,
   Debra/0000-0001-5252-5325; Brown, Janie/0000-0001-8502-4252; Cummings,
   Elizabeth/0000-0001-6501-7450; Mayner, Lidia/0000-0002-1291-9095; Usher
   AM, Kim/0000-0002-9686-5003; Irwin, Pauletta/0000-0003-3242-4273
ZS 2
Z8 0
ZR 0
ZB 0
ZA 0
TC 54
Z9 55
U1 0
U2 33
SN 1322-7696
EI 1876-7575
UT WOS:000337995300004
PM 25109207
ER

PT J
AU Appleton, Jessica
   Fowler, Cathrine
   Brown, Nicola
TI Friend or foe? An exploratory study of Australian parents' use of
   asynchronous discussion boards in childhood obesity
SO COLLEGIAN
VL 21
IS 2
SI SI
BP 151
EP 158
DI 10.1016/j.colegn.2014.02.005
PD 2014
PY 2014
AB Background: The use of Internet and social media is increasing in every
   area of life. Parents are increasingly using online mediums to seek
   information about their children's health. Therefore, this is becoming
   an increasingly important topic area for health professionals to
   acknowledge. Developing an understanding about the dissemination of
   child health information through these online mediums will assist health
   professional to continue to engage and support parents to seek and share
   accurate and safe child health information.
   Aim: To explore parents' use of asynchronous online discussion boards
   for child health information seeking, advice and social support.
   Method: A qualitative descriptive approach using an a priori template
   analysis was used to explore 34 discussions threads sampled from two
   Australian based online parenting discussion forums. To contain the
   scope of this study the threads chosen focused on childhood obesity in
   the Australian context.
   Results: Four major themes related to parents' use of asynchronous
   online discussion boards were found. These were seeking advice, sharing
   advice, social support and making judgement. This final theme of making
   judgements included parents' perceptions of health professionals'
   advice.
   Conclusion: Asynchronous online discussion boards are online mediums
   being utilised for seeking and sharing child health related information
   and support between parents. The notion that these online communities
   are usually supportive and provide accurate health information is
   challenged by the results of this study. This study found the forum
   environment can provide inaccurate information and in some instances can
   be judgemental and foster defensive attitudes. (C) 2014 Australian
   College of Nursing Ltd. Published by Elsevier Ltd.
RI /I-2324-2019; Fowler, Cathrine/F-8091-2017; Brown, Nicola/
OI /0000-0001-5416-4471; Fowler, Cathrine/0000-0002-7838-8434; Brown,
   Nicola/0000-0001-9042-3901
TC 20
Z8 0
ZA 0
ZS 1
ZB 0
ZR 0
Z9 21
U1 0
U2 11
SN 1322-7696
EI 1876-7575
UT WOS:000337995300011
PM 25109214
ER

PT J
AU Korzeniowska, Elzbieta
   Puchalski, Krzysztof
TI POLISH EMPLOYEES ON THE INTERNET AS A SOURCE OF INFORMATION ABOUT HEALTH
   AND DISEASE
SO MEDYCYNA PRACY
VL 65
IS 1
BP 1
EP 13
PD 2014
PY 2014
AB Background: This paper presents the opinions of Polish employees on how
   they think of and use the Internet in the context of health, including
   occupational health. The outcomes show the usefulness of this medium In
   the ongoing activities regarding health education and promotion in this
   target group Material and Methods The, analysis focuses on the empirical
   data from the first representative research on the working population:in
   Poland, conducted in 2012 among 1012, using the structured structured
   interview Method. Results': Employees:believe-that the Internet plays a
   positive role in helping employees stay healthy; They appreciate its
   importance as a tool to support people with similar health problems and
   the alternative source of information, on health issues. Workers are
   mostly unhappy With information overload about health and difficulty in
   identifying the reliable : , ones. Significant number of employees
   expect the websites,expert control and even perpetrators ' punishment.
   Around half of the Workers look for the needed Information on the
   Internet and the saline number get acquainted with it if they chine
   across it by chance. The study Shows that there was a small employees'
   interest regarding data on occupational health hazards, how to :
   counteract them and legal regulations on health at work. If it was a
   case though, they used the web. Employees expect greater,: use of the
   Internet in their workplaces regarding occupational health issues than
   ever before Conclusions: It was found that there - are necessary
   foundations to treat the Internet as an influencing tool in health
   education and promotion campaigns aimed: at-employees.
OI Korzeniowska, Elzbieta/0000-0003-3580-1302; Puchalski,
   Krzysztof/0000-0003-0865-0414
ZR 0
ZS 0
ZB 1
TC 2
Z8 0
ZA 0
Z9 2
U1 0
U2 0
SN 0465-5893
UT WOS:000338755700001
PM 24834689
ER

PT J
AU Grall, Kristi H
   Stoneking, Lisa R
   DeLuca, Lawrence A
   Waterbrook, Anna L
   Pritchard, T Gail
   Denninghoff, Kurt R
TI An innovative longitudinal curriculum to increase emergency medicine
   residents' exposure to rarely encountered and technically challenging
   procedures.
SO Advances in medical education and practice
VL 5
BP 229
EP 36
DI 10.2147/AMEP.S58073
PD 2014
PY 2014
AB BACKGROUND: Procedural skills have historically been taught at the
   bedside. In this study, we aimed to increase resident knowledge of
   uncommon emergency medical procedures to increase residents' procedural
   skills in common and uncommon emergency medical procedures and to
   integrate cognitive training with hands-on procedural instruction using
   high- and low-fidelity simulation.
   METHODS: We developed 13 anatomically/physiologically-based procedure
   modules focusing on uncommon clinical procedures and/or those requiring
   higher levels of technical skills. A departmental expert directed each
   session with collaboration from colleagues in related subspecialties.
   Sessions were developed based on Manthey and Fitch's stages of
   procedural competency including 1) knowledge acquisition, 2)
   experience/technical skill development, and 3) competency evaluation. We
   then distributed a brief, 10-question, online survey to our residents in
   order to solicit feedback regarding their perceptions of increased
   knowledge and ability in uncommon and common emergency medical
   procedures, and their perception of the effectiveness of integrated
   cognitive training with hands-on instruction through high- and
   low-fidelity simulation.
   RESULTS: Fifty percent of our residents (11/22) responded to our survey.
   Responses indicated the procedure series helped with understanding of
   both uncommon (65% strongly agreed [SA], 35% agreed [A]) and common (55%
   SA, 45% A) emergency medicine procedures and increased residents'
   ability to perform uncommon (55% SA, 45% A) and common (45% SA, 55% A)
   emergency medical procedures. In addition, survey results indicated that
   the residents were able to reach their goal numbers.
   CONCLUSION: Based on survey results, the procedure series improved our
   residents' perceived understanding of and perceived ability to perform
   uncommon and more technically challenging procedures. Further, results
   suggest that the use of a cognitive curriculum model as developed by
   Manthey and Fitch is adaptable and could be modified to fit the needs of
   other medical specialties.
ZA 0
TC 3
ZB 0
ZR 0
Z8 0
ZS 0
Z9 3
U1 0
U2 0
SN 1179-7258
UT MEDLINE:25083138
PM 25083138
ER

PT J
AU Mowbray, Fiona
   Amlot, Richard
   Rubin, G. James
TI Predictors of protective behaviour against ticks in the UK: A mixed
   methods study
SO TICKS AND TICK-BORNE DISEASES
VL 5
IS 4
BP 392
EP 400
DI 10.1016/j.ttbdis.2014.01.006
PD 2014
PY 2014
AB The objective of this research was to determine the most appropriate
   protective behaviours to promote in order to protect members of the
   public from Lyme borreliosis, to identify the drivers and barriers for
   these behaviours, and to determine the strongest predictors of
   tick-protective behaviour. We used a mixed methods study with
   qualitative interviews and a quantitative web survey. Interviews with
   topic experts and members of the public suggested that predictors of
   tick checking included perceived disease likelihood and severity as well
   as overall awareness of ticks and tick-borne disease. Twenty-four
   percent of participants regularly checked for ticks after walking in a
   tick-endemic area. The strongest predictors of checking for ticks were
   greater levels of knowledge, perceived likelihood of being bitten,
   self-efficacy about tick removal, and lower levels of disgust about
   ticks. Barriers to checking included forgetfulness and lacking time.
   At-risk members of the UK public require information to increase
   awareness of ticks and protective behaviours, particularly tick
   checking. Information may be most effective if it focuses on increasing
   self-efficacy while also reducing disgust. (C) 2014 Elsevier GmbH. All
   rights reserved.
OI Mowbray, Fiona/0000-0002-3297-4163
ZB 12
Z8 0
TC 29
ZA 0
ZS 0
ZR 0
Z9 30
U1 0
U2 30
SN 1877-959X
EI 1877-9603
UT WOS:000338002000006
PM 24713278
ER

PT J
AU Porter, Andrea L.
   Pitterle, Michael E.
   Hayney, Mary S.
TI Comparison of Online Versus Classroom Delivery of an Immunization
   Elective Course
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 78
IS 5
AR 96
DI 10.5688/ajpe78596
PD 2014
PY 2014
AB Objective. To compare performance and preferences of students who were
   randomly allocated to classroom or online sections of an elective course
   on immunization.
   Methods. Students were randomly assigned to either the classroom or
   online section. All course activities (lectures, quizzes, case
   discussions, vaccine administration, and final examination) were the
   same for both sections, except for the delivery of lecture material.
   Assessment. Students were surveyed on their preferences at the beginning
   and end of the semester. At the end of the semester, the majority of
   students in the classroom group preferred classroom or blended delivery
   while the majority of students in the online group preferred blended or
   online delivery (p < 0.01). Student performance was compared at the end
   of the semester. There was no significant difference for any of the
   grades in the course between the 2 sections.
   Conclusion. There was no difference in student performance between the
   classroom and online sections, suggesting that online delivery is an
   effective way to teach students about immunization.
OI Porter, Andrea/0000-0003-4362-0341
Z8 0
ZS 1
ZB 1
ZR 0
TC 33
ZA 0
Z9 33
U1 1
U2 7
SN 0002-9459
EI 1553-6467
UT WOS:000338428800008
PM 24954936
ER

PT S
AU Cook, David A.
BE Steinert, Y
TI Faculty Development Online
SO FACULTY DEVELOPMENT IN THE HEALTH PROFESSIONS: A FOCUS ON RESEARCH AND
   PRACTICE
SE Innovation and Change in Professional Education
VL 11
BP 217
EP 241
DI 10.1007/978-94-007-7612-8_11
PD 2014
PY 2014
ZR 0
Z8 0
ZS 0
TC 5
ZA 0
ZB 0
Z9 5
U1 0
U2 1
SN 1572-1957
BN 978-94-007-7612-8; 978-94-007-7611-1
UT WOS:000337096100012
D2 10.1007/978-94-007-7612-8
ER

PT J
AU Chadderdon, Linda M.
   Lloyd, James W.
   Pazak, Helene E.
TI New Directions for Veterinary Technology
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 41
IS 1
BP 96
EP 101
DI 10.3138/jvme.0713-102R
PD 2014
PY 2014
AB Veterinary technology has generally established itself well in
   companion-animal and mixed-animal veterinary medical practice, but the
   career's growth trajectory is uncertain. Michigan State University (MSU)
   convened a national conference, "Creating the Future of Veterinary
   Technology-A National Dialogue,'' in November 2011 to explore ways to
   elevate the veterinary technician/technologist's role in the veterinary
   medical profession and to identify new directions in which the career
   could expand. Veterinary technicians/technologists might advance their
   place in private practice by not only improving their clinical skills,
   but by also focusing on areas such as practice management, leadership
   training, business training, conflict resolution, information
   technology, and marketing/communications. Some new employment settings
   for veterinary technicians/technologists include more participation
   within laboratory animal medicine and research, the rural farm industry,
   regulatory medicine, and shelter medicine. Achieving these ends would
   call for new training options beyond the current 2-year and 4-year
   degree programs. Participants suggested specialty training programs,
   hybrid programs of various types, online programs, veterinary technician
   residency programs of 12-18 months, and more integration of veterinary
   technician/technology students and veterinary medicine students at
   colleges of veterinary medicine.
TC 3
Z8 0
ZA 0
ZB 2
ZS 0
ZR 0
Z9 3
U1 0
U2 16
SN 0748-321X
EI 1943-7218
UT WOS:000338044700013
PM 24393780
ER

PT J
AU Mimiaga, Matthew J.
   White, Jaclyn M.
   Krakower, Douglas S.
   Biello, Katie B.
   Mayer, Kenneth H.
TI Suboptimal awareness and comprehension of published preexposure
   prophylaxis efficacy results among physicians in Massachusetts
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 26
IS 6
BP 684
EP 693
DI 10.1080/09540121.2013.845289
PD 2014
PY 2014
AB In 2010, the centre for the AIDS Programme of Research in South Africa
   (CAPRISA) 004 and iPrEx trials (microbicide gel containing tenofovir and
   oral pill containing tenofovir-emtricitabine, respectively) demonstrated
   that antiretroviral preexposure prophylaxis (PrEP) reduced the risk of
   HIV acquisition among high-risk individuals. To determine the
   facilitators and barriers to PrEP provision by health-care providers, we
   conducted an online, quantitative survey of Massachusetts-area
   physicians following the publication of the CAPRISA and iPrEx results.
   We assessed awareness and comprehension of efficacy data, prescribing
   experience, and anticipated provision of oral and topical PrEP among
   physicians, as well as demographic and behavioral factors associated
   with PrEP awareness and prescribing intentions. The majority of HIV
   specialists and generalist physicians were aware of data from these PrEP
   trials and able to correctly interpret the results, however, correct
   interpretation of findings tended to vary according to specialty (i.e.,
   HIV specialists had greater awareness than generalists). In addition,
   provider concerns regarding PrEP efficacy and safety, as well its
   ability to divert funds from other HIV prevention resources, were
   associated with decreased intentions to prescribe both oral and topical
   PrEP. Findings suggest that a substantial proportion of physicians who
   may have contact with at-risk individuals may benefit from interventions
   that provide accurate data on the risks and benefits of PrEP in order to
   facilitate effective PrEP discussions with their patients. Future
   studies to develop and test interventions aimed at health-care providers
   should be prioritized to optimize implementation of PrEP in clinical
   settings.
RI Hughto, Jaclyn White/GNH-6189-2022
ZR 0
ZS 1
ZA 0
ZB 17
TC 57
Z8 0
Z9 57
U1 0
U2 6
SN 0954-0121
EI 1360-0451
UT WOS:000337221100003
PM 24116985
ER

PT J
AU Grissom, Thomas E.
   Sappenfield, Joshua
   Galvagno, Samuel M., Jr.
   Cherry, Shane V.
   Chang, Yu-Cherng Channing
   Hu, Peter F.
TI Performance Assessment in Airway Management Training for
   Nonanesthesiology Trainees An Analysis of 4,282 Airway Procedures
   Performed at a Level-1 Trauma Center
SO ANESTHESIOLOGY
VL 120
IS 1
BP 185
EP 195
DI 10.1097/ALN.0000000000000064
PD JAN 2014
PY 2014
AB Background: Although the use of an anesthesiology "airway" rotation to
   train the nonanesthesiologist is commonly employed, little data exist on
   the utility, clinical exposure, and outcomes of these programs.
   Methods: A prospectively collected observational dataset of airway
   procedures completed by trainees in a 4-week, anesthesiology-based,
   airway rotation at an academic, level-1 trauma center from July 2010 to
   September 2012 was reviewed. Prospectively defined data points were
   collected through an online data tool and included patient demographics,
   location, date, best laryngoscopic view, and attempt details. At the
   authors' institution, an attending trauma anesthesiologist is present
   for all intubation attempts. The primary outcome was first-attempt
   success.
   Results: A total of 4,282 self-reported, airway procedures were
   identified. The median number of procedures performed was 50.4 +/- 13.2
   (range, 20 to 93; 25th quartile = 41; 75th quartile = 57). Multivariate
   logistic regression analysis modeling of first-attempt success rate
   identified two independent predictors of success: rotation week (odds
   ratio, 1.42; 95% CI, 1.32 to 1.61; P < 0.0001) and number of previous
   intubation attempts before rotation (odds ratio, 1.23; 95% CI, 1.03 to
   1.46; P = 0.02. In addition, the percentage of cases with a
   self-reported laryngoscopic grade 1 view increased significantly from 61
   to 74% (P = 0.015) from week 1 to week 4 of the rotation.
   Conclusions: An anesthesiology-based program for airway training of
   nonanesthesiologists demonstrates improved self-reported, perceived
   first-attempt success over the course of training with improved ability
   to visualize glottic structures.
RI Grissom, Thomas E./AAH-5749-2019; Galvagno, Samuel/
OI Galvagno, Samuel/0000-0001-5563-4092
ZB 1
ZR 0
ZA 0
TC 8
ZS 0
Z8 0
Z9 8
U1 0
U2 1
SN 0003-3022
EI 1528-1175
UT WOS:000337231400026
PM 24201030
ER

PT J
AU Fisher, J M
   Hunt, K
   Garside, M J
TI Geriatrics for juniors: tomorrow's geriatricians or another lost tribe?
SO The journal of the Royal College of Physicians of Edinburgh
VL 44
IS 2
BP 106
EP 10
DI 10.4997/JRCPE.2014.203
PD 2014
PY 2014
AB BACKGROUND: To meet the needs of the ageing population, more geriatric
   medicine doctors are required. We aimed to determine: (i) career
   preferences of junior doctors with an interest in geriatric medicine,
   (ii) factors influencing the likelihood of junior doctors undertaking a
   career in geriatric medicine and (iii) whether a geriatric medicine
   conference for junior doctors influenced their views on the specialty
   and their likelihood of choosing it as a career option.
   METHODS: All delegates who registered to attend the 'Geriatrics for
   Juniors' conference (G4J) were invited to complete both a pre- and
   post-conference survey online. Delegates' free-text responses were
   subjected to thematic analysis. Differences between paired ordinal data
   from pre- and post-conference surveys were determined using the Wilcoxon
   signed rank test.
   RESULTS: A total of 108 delegates attended G4J. Pre- and post-conference
   survey response rates were 67% and 51% respectively. Commonly reported
   deterrents to a career in geriatric medicine included 'being the medical
   registrar' (27.1% of respondents) and 'second-class specialty' (20.6%).
   There was a statistically significant difference between pre- and
   post-conference responses, with a tendency towards less agreement with
   the statement 'the prospect of being the medical registrar puts me off
   applying for higher specialty training in geriatric medicine' (Z=-2.512;
   p=0.012).
   CONCLUSIONS: The perceived unattractive nature of the medical registrar
   role may deter some junior doctors from a career in geriatric medicine.
   A lack of clarity regarding the nature of the specialty still exists.
   Targeted educational interventions, such as G4J, may positively
   influence junior doctors' perceptions of the specialty and the role of
   the medical registrar.
RI Fisher, James/AAX-1550-2021
OI Fisher, James/0000-0002-4886-6060
ZR 0
ZS 0
Z8 0
TC 9
ZB 1
ZA 0
Z9 9
U1 0
U2 2
EI 2042-8189
UT MEDLINE:24999769
PM 24999769
ER

PT J
AU Agarwal, Jayant P.
   Mendenhall, Shaun D.
   Hopkins, Paul N.
TI Medical Student Perceptions of Plastic Surgeons as Hand Surgery
   Specialists
SO ANNALS OF PLASTIC SURGERY
VL 72
IS 1
BP 89
EP 93
DI 10.1097/SAP.0b013e3182583f3b
PD JAN 2014
PY 2014
AB Purpose: Plastic surgeons are often not perceived as hand surgery
   specialists. Better educating medical students about the plastic
   surgeon's role in hand surgery may improve the understanding of the
   field for future referring physicians. The purposes of this study were
   to assess medical students' understanding of hand surgery specialists
   and to analyze the impact of prior plastic, orthopedic, and general
   surgery clinical exposure on this understanding.
   Methods: An online survey including 8 hand-related clinical scenarios
   was administered to students at a large academic medical center. After
   indicating training level and prior clinical exposure to plastic surgery
   or other surgical subspecialties, students selected one or more
   appropriate surgical subspecialists for management of surgical hand
   conditions.
   Results: A response rate of 56.4% was achieved. Prior clinical exposure
   to plastic, orthopedic, and general surgery was reported by 29%, 43%,
   and 90% of fourth year students, respectively. Students generally chose
   at least 1 acceptable specialty for management of hand conditions with
   improvement over the course of their training (P = 0.008). Overall,
   students perceived orthopedic surgeons as hand specialists more so than
   plastic and general surgeons. Clinical exposure to plastic surgery
   increased the selection of this specialty for nearly all scenarios
   (22%-46%, P = 0.025). Exposure to orthopedic and general surgery was
   associated with a decrease in selection of plastic surgery for treatment
   of carpal tunnel and hand burns, respectively.
   Conclusions: Medical students have a poor understanding of the plastic
   surgeon's role in hand surgery. If plastic surgeons want to continue to
   be recognized as hand surgeons, they should better educate medical
   students about their role in hand surgery. This can be achieved by
   providing a basic overview of plastic surgery to all medical students
   with emphasis placed on hand and peripheral nerve surgery.
TC 11
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
Z9 11
U1 0
U2 2
SN 0148-7043
EI 1536-3708
UT WOS:000338008600021
PM 24149406
ER

PT C
AU Licurse, Mindy Y.
   Cook, Tessa S.
BE Law, MY
   Cook, TS
TI PearlTrees web-based interface for teaching informatics in the radiology
   residency
SO MEDICAL IMAGING 2014: PACS AND IMAGING INFORMATICS: NEXT GENERATION AND
   INNOVATIONS
SE Proceedings of SPIE
VL 9039
AR 90390N
DI 10.1117/12.2044374
PD 2014
PY 2014
AB Radiology and imaging informatics education have rapidly evolved over
   the past few decades. With the increasing recognition that future growth
   and maintenance of radiology practices will rely heavily on radiologists
   with fundamentally sound informatics skills, the onus falls on radiology
   residency programs to properly implement and execute an informatics
   curriculum. In addition, the American Board of Radiology may choose to
   include even more informatics on the new board examinations. However,
   the resources available for didactic teaching and guidance most
   especially at the introductory level are widespread and varied. Given
   the breadth of informatics, a centralized web-based interface designed
   to serve as an adjunct to standardized informatics curriculums as well
   as a stand-alone for other interested audiences is desirable. We present
   the development of a curriculum using PearlTrees, an existing
   web-interface based on the concept of a visual interest graph that
   allows users to collect, organize, and share any URL they find online as
   well as to upload photos and other documents. For our purpose, the group
   of "pearls" includes informatics concepts linked by appropriate
   hierarchal relationships. The curriculum was developed using a
   combination of our institution's current informatics fellowship
   curriculum, the Practical Imaging Informatics textbook(1) and other
   useful online resources. After development of the initial interface and
   curriculum has been publicized, we anticipate that involvement by the
   informatics community will help promote collaborations and foster
   mentorships at all career levels.
CT Conference on Medical Imaging - PACS and Imaging Informatics - Next
   Generation and Innovations
CY FEB 18-20, 2014
CL San Diego, CA
SP SPIE; Modus Med Devices Inc; XIFIN Inc; Ventana Med Syst Inc; Intrace
   Med
RI Cook, Tessa S/R-7037-2019
OI Cook, Tessa S/0000-0002-6007-7267
ZA 0
ZB 1
Z8 0
ZS 0
TC 1
ZR 0
Z9 1
U1 0
U2 2
SN 0277-786X
EI 1996-756X
BN 978-0-8194-9832-8
UT WOS:000337584000020
ER

PT J
AU Merlo, Lisa J.
   Sutton, Jill A.
   Gold, Mark S.
TI Brief Educational Intervention to Improve Medical Student Competence in
   Managing Patients Exposed to Secondhand Smoke
SO SUBSTANCE ABUSE
VL 35
IS 2
BP 163
EP 167
DI 10.1080/08897077.2013.821438
PD 2014
PY 2014
AB .Background: Secondhand smoke (SHS) exposure may lead to the development
   of various diseases and conditions. One way to reduce SHS exposure is to
   screen for it within each primary care examination so that appropriate
   counseling can be directed to affected individuals. There has been
   little attention to improving medical education about SHS exposure and
   screening. The goal of this study was to develop an SHS-related
   educational intervention for medical students, with the purpose of
   improving knowledge regarding consequences of SHS exposure, and
   increasing intent to screen patients for exposure. Methods: Medical
   students (N = 405) were given a measure assessing their knowledge of SHS
   exposure and intent to screen. Two groups of students served as controls
   (i.e., a posttest-only group and a pre/posttest group), and one group
   participated in the SHS education intervention. A factorial analysis
   with repeated measures and chi-square analyses were used to assess the
   differences between the groups to determine the impact of the SHS
   education intervention (ie, online lectures and a standardized patient
   interaction) on knowledge and intent to screen. Results: Results of
   pretesting demonstrated that medical students had little knowledge of
   SHS exposure, averaging scores between 63% and 69% on the examination.
   One control group was reassessed a year later with no educational
   intervention. They did not demonstrate a significant change in their
   pre- to posttest scores, although the vast majority (approximate to 95%)
   reported intending to screen future patients. Students who participated
   in the SHS educational intervention significantly improved their scores
   from pre- to posttest (P <.001), and 100% also reported intending to
   screen future patients. Conclusions: This study suggests that brief
   education regarding the consequences of SHS exposure may improve medical
   students' knowledge and increase intent to screen. Future research
   should assess the long-term impact of educational programs on improved
   clinical care.
RI Merlo, Lisa J./AAU-9179-2020
OI Merlo, Lisa J./0000-0003-3613-7853
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
TC 1
Z9 1
U1 0
U2 3
SN 0889-7077
EI 1547-0164
UT WOS:000337244900013
PM 24821353
ER

PT J
AU Nipp, Cheri M
   Vogtle, Laura K
   Warren, Mary
TI Clinical application of low vision rehabilitation strategies after
   completion of a computer-based training module.
SO Occupational therapy in health care
VL 28
IS 3
BP 296
EP 305
DI 10.3109/07380577.2014.908335
PD 2014-Jul
PY 2014
AB This study evaluated changes in occupational therapists' practice
   behaviors after completion of an online continuing education (CE)
   program delivered over a hospital Intranet system. The setting was a
   large rural medical system covering parts of two southeastern states. A
   convenience sample of 28 occupational therapists and occupational
   therapy assistants was recruited from the facility therapy staff. A CE
   module on low vision assessment and treatment was delivered using the
   hospital Intranet and a follow-up survey assessing practice change was
   carried out 8 weeks later. Most participants reported an increase in
   their comfort level when treating clients with low vision after course
   completion. Fifty percent of participants reported screening for vision
   impairments, increased use of environmental modifications, and more
   referrals to other vision specialists. Outcomes suggest that
   Internet-delivered CE programs can improve knowledge and affect
   practice.
OI Vogtle, Laura/0000-0003-4559-0537
ZA 0
ZR 0
ZB 0
Z8 0
ZS 0
TC 6
Z9 6
U1 0
U2 3
EI 1541-3098
UT MEDLINE:24971896
PM 24971896
ER

PT C
AU Park, Hyejin
   Park, Min Sook
BE Saranto, K
   Weaver, CA
   Chang, P
TI Cancer Information Seeking Behaviors and Information Needs among Korean
   Americans
SO NURSING INFORMATICS 2014: EAST MEETS WEST ESMART+
SE Studies in Health Technology and Informatics
VL 201
BP 401
EP 406
DI 10.3233/978-1-61499-415-2-401
PD 2014
PY 2014
AB Linguistically and culturally isolated Korean Americans have less access
   to health service and cancer screening tests than all U.S population.
   Lack of adequate cancer information is one of the barriers to undergoing
   cancer screening tests. It is necessary to understand their current
   cancer information-seeking behaviors and information needs if we are to
   more effectively provide adequate cancer information. The purpose of the
   study was to identify cancer information seeking behaviors and
   information needs among Korean Americans. Data were collected from one
   of the biggest websites for the Korean community in the USA. A total of
   273 free-texts from January to June 2013 were reviewed and analyzed for
   this study. The extracted terms were categorized based on the coding
   system. The primary reason for asking questions was inquiry followed by
   sharing experiences. The main topics of the postings were categorized as
   medical or non-medical. In relation to types of cancer, breast cancer
   was the greatest concern. The findings from this study can help in
   establishing more effective strategies to provide better cancer
   information among Korean Americans by assessing their current cancer
   information seeking trends and information needs.
CT 12th International Congress on Nursing Informatics (NI)
CY JUN 21-25, 2014
CL Taipei, TAIWAN
ZS 0
TC 3
Z8 0
ZR 0
ZA 0
ZB 0
Z9 3
U1 0
U2 3
SN 0926-9630
EI 1879-8365
BN 978-1-61499-415-2; 978-1-61499-414-5
UT WOS:000452553000056
PM 24943573
ER

PT J
AU Topaz, Maxim
   Golfenshtein, Nadya
   Bowles, Kathryn H.
TI The Omaha System: a systematic review of the recent literature
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 21
IS 1
BP 163
EP 170
DI 10.1136/amiajnl-2012-001491
PD JAN 2014
PY 2014
AB Background The Omaha System (OS) is one of the oldest of the American
   Nurses Association recognized standardized terminologies describing and
   measuring the impact of healthcare services. This systematic review
   presents the state of science on the use of the OS in practice,
   research, and education.
   Aims (1) To identify, describe and evaluate the publications on the OS
   between 2004 and 2011, (2) to identify major trends in the use of the OS
   in research, practice, and education, and (3) to suggest areas for
   future research.
   Methods Systematic search in the largest online healthcare databases
   (PUBMED, CINAHL, Scopus, PsycINFO, Ovid) from 2004 to 2011.
   Methodological quality of the reviewed research studies was evaluated.
   Results 56 publications on the OS were identified and analyzed. The
   methodological quality of the reviewed research studies was relatively
   high. Over time, publications' focus shifted from describing clients'
   problems toward outcomes research. There was an increasing application
   of advanced statistical methods and a significant portion of authors
   focused on classification and interoperability research. There was an
   increasing body of international literature on the OS. Little research
   focused on the theoretical aspects of the OS, the effective use of the
   OS in education, or cultural adaptations of the OS outside the USA.
   Conclusions The OS has a high potential to provide meaningful and high
   quality information about complex healthcare services. Further research
   on the OS should focus on its applicability in healthcare education,
   theoretical underpinnings and international validity. Researchers
   analyzing the OS data should address how they attempted to mitigate the
   effects of missing data in analyzing their results and clearly present
   the limitations of their studies.
RI Topaz, Maxim/AAQ-7121-2021
OI Topaz, Maxim/0000-0002-2358-9837
ZA 0
TC 38
ZS 0
ZB 3
ZR 0
Z8 13
Z9 51
U1 1
U2 34
SN 1067-5027
EI 1527-974X
UT WOS:000336716000024
PM 23744786
ER

PT J
AU Lofters, Aisha
   Slater, Morgan
   Fumakia, Nishit
   Thulien, Naomi
TI "Brain drain" and "brain waste": experiences of international medical
   graduates in Ontario.
SO Risk management and healthcare policy
VL 7
BP 81
EP 9
DI 10.2147/RMHP.S60708
PD 2014
PY 2014
AB BACKGROUND: "Brain drain" is a colloquial term used to describe the
   migration of health care workers from low-income and middle-income
   countries to higher-income countries. The consequences of this migration
   can be significant for donor countries where physician densities are
   already low. In addition, a significant number of migrating physicians
   fall victim to "brain waste" upon arrival in higher-income countries,
   with their skills either underutilized or not utilized at all. In order
   to better understand the phenomena of brain drain and brain waste, we
   conducted an anonymous online survey of international medical graduates
   (IMGs) from low-income and middle-income countries who were actively
   pursuing a medical residency position in Ontario, Canada.
   METHODS: Approximately 6,000 physicians were contacted by email and
   asked to fill out an online survey consisting of closed-ended and
   open-ended questions. The data collected were analyzed using both
   descriptive statistics and a thematic analysis approach.
   RESULTS: A total of 483 IMGs responded to our survey and 462 were
   eligible for participation. Many were older physicians who had spent a
   considerable amount of time and money trying to obtain a medical
   residency position. The top five reasons for respondents choosing to
   emigrate from their home country were: socioeconomic or political
   situations in their home countries; better education for children;
   concerns about where to raise children; quality of facilities and
   equipment; and opportunities for professional advancement. These same
   reasons were the top five reasons given for choosing to immigrate to
   Canada. Themes that emerged from the qualitative responses pertaining to
   brain waste included feelings of anger, shame, desperation, and regret.
   CONCLUSION: Respondents overwhelmingly held the view that there are not
   enough residency positions available in Ontario and that this
   information is not clearly communicated to incoming IMGs. Brain waste
   appears common among IMGs who immigrate to Canada and should be made a
   priority for Canadian policy-makers.
OI Slater, Morgan/0000-0003-3967-2501
Z8 0
ZA 0
ZS 0
TC 24
ZR 0
ZB 2
Z9 24
U1 2
U2 7
SN 1179-1594
UT MEDLINE:24868176
PM 24868176
ER

PT C
AU Illiger, Kristin
   Egbert, Nicole
   Krueckeberg, Jorn
   Stiller, Gerald
   Kupka, Thomas
   Huebner, Ursula
   Behrends, Marianne
BE Horbst, A
   Hayn, D
   Schreier, G
   Ammenwerth, E
TI Transferring Learning to Practice with e-Learning - Experiences in
   Continuing Education in the Field of Ambient Assisted Living
SO EHEALTH2014 - HEALTH INFORMATICS MEETS EHEALTH: OUTCOMES RESEARCH: THE
   BENEFIT OF HEALTH-IT
SE Studies in Health Technology and Informatics
VL 198
BP 180
EP 187
DI 10.3233/978-1-61499-397-1-180
PD 2014
PY 2014
AB The article describes an analysis of the use of e-learning to improve
   the learning transfer to practice in continuing education. Therefore an
   e-learning offer has been developed as a part between two attendance
   periods of a training course in the field of Ambient Assisted Living
   (AAL). All participants of the course were free to use the e-learning
   offer. After the end of the e-learning part we compared the e-learning
   users to the other participants. Using an online questionnaire we
   explored if there are differences in the activities in the field AAL
   after the training course. The results show that e-learning is
   beneficial especially for communication processes. Due to the fact that
   the possibility to talk about the learning content is an essential
   factor for the learning transfer, e-learning can improve the learning
   success.
CT 38th IEEE International Geoscience and Remote Sensing Symposium (IGARSS)
CY JUL 22-27, 2018
CL Valencia, SPAIN
SP Inst Elect & Elect Engineers; Inst Elect & Elect Engineers Geoscience &
   Remote Sensing Soc; European Space Agcy
ZR 0
ZS 0
ZA 0
Z8 0
TC 0
ZB 0
Z9 0
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-397-1; 978-1-61499-396-4
UT WOS:000450675600024
PM 24825701
ER

PT J
AU Yoon, JungWon
   Kim, Soojung
TI Internet use by international graduate students in the USA seeking
   health information
SO ASLIB JOURNAL OF INFORMATION MANAGEMENT
VL 66
IS 2
BP 118
EP 133
DI 10.1108/AJIM-01-2013-0005
PD 2014
PY 2014
AB Purpose - Considering that the internet is a useful source for health
   information, especially by foreign-born students, this exploratory study
   aimed to investigate international graduate students' internet use in
   the context of seeking health information.
   Design/methodology/approach - Data were collected from 54 Korean
   graduate students in the USA using a survey questionnaire. Quantitative
   analysis using SPSS was conducted to describe Korean graduate students'
   internet use for seeking health information and to identify factors that
   possibly influence their health-information seeking activities.
   Findings - The survey participants preferred Korean resources because of
   language problems and the internet was the primary source. They reported
   difficulties in identifying appropriate health information sources and
   understanding medical information. They often sought online health
   information to solve their or their family's current health problems and
   consequently, personal relevance was regarded as an important evaluation
   criterion, as was accuracy.
   Research limitations/implications - By looking at an understudied user
   group, this study leads to a better understanding of the patterns of
   internet use for seeking health information among a specific ethnic
   group. The findings of this study demonstrate the needs of health
   education materials and guidelines that introduce credible health
   information sources and medical information for Korean graduate students
   and their families.
   Originality/value - Despite the increasing number of international
   students in the USA, there is a lack of research on the health
   information-seeking behavior of international students. The findings of
   this study will help health education specialists and health information
   professionals provide international students with necessary health
   information.
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
TC 25
Z9 24
U1 4
U2 68
SN 2050-3806
EI 1758-3748
UT WOS:000334976300001
ER

PT J
AU Janda, Monika
   Stoneham, Melissa
   Youl, Philippa
   Crane, Phil
   Sendall, Marguerite C.
   Tenkate, Thomas
   Kimlin, Michael
TI What Encourages Sun Protection among Outdoor Workers from Four
   Industries?
SO JOURNAL OF OCCUPATIONAL HEALTH
VL 56
IS 1
BP 62
EP 72
DI 10.1539/joh.13-0179-OA
PD JAN 2014
PY 2014
AB Objectives: We aimed to identify current practice of sun protection and
   factors associated with effective use in four outdoor worker industries
   in Queensland, Australia. Methods: Workplaces in four industries with a
   high proportion of outdoor workers (building/construction,
   rural/farming, local government, and public sector industries) were
   identified using an online telephone directory, screened for
   eligibility, and invited to participant via mail (n=15, recruitment rate
   37%). A convenience sample of workers were recruited within each
   workplace (n=162). Workplaces' sun protective policies and procedures
   were identified using interviews and policy analysis with workplace
   representatives, and discussion groups and computer-assisted telephone
   interviews with workers. Personal characteristics and sun protection
   knowledge, attitudes and behaviors were collated and analysed. Results:
   Just over half the workplaces had an existing policy which referred to
   sun protection (58%), and most provided at least some personal
   protective equipment (PPE), but few scheduled work outside peak sun
   hours (43%) or provided skin checks (21%). Several worker and workplace
   characteristics were associated with greater sun protection behaviour
   among workers, including having received education on the use of PPE
   (p<0.001), being concerned about being in the sun (p=0.002); and working
   in a smaller workplace (p=0.035). Conclusions: Uptake of sun protection
   by outdoor workers is affected by a complex interplay of both workplace
   and personal factors, and there is a need for effective strategies
   targeting both the workplace environment and workers' knowledge,
   attitudes and behaviors to decrease harmful sun exposure further.
RI Janda, Monika/C-3723-2009; Stoneham, Melissa/R-7373-2019; Kimlin, Michael/; Sendall, Marguerite Claire/
OI Janda, Monika/0000-0002-1728-8085; Stoneham,
   Melissa/0000-0001-8745-2664; Kimlin, Michael/0000-0002-9536-8646;
   Sendall, Marguerite Claire/0000-0002-1239-9173
ZS 0
Z8 0
ZB 6
TC 24
ZA 0
ZR 0
Z9 24
U1 0
U2 15
SN 1341-9145
EI 1348-9585
UT WOS:000331667600008
PM 24270927
ER

PT J
AU Artemiou, Elpida
   Adams, Cindy L.
   Toews, Lorraine
   Violato, Claudio
   Coe, Jason B.
TI Informing Web-Based Communication Curricula in Veterinary Education: A
   Systematic Review of Web-Based Methods Used for Teaching and Assessing
   Clinical Communication in Medical Education
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 41
IS 1
BP 44
EP 54
DI 10.3138/jvme.0913-126R
PD 2014
PY 2014
AB We determined the Web-based configurations that are applied to teach
   medical and veterinary communication skills, evaluated their
   effectiveness, and suggested future educational directions for Web-based
   communication teaching in veterinary education. We performed a
   systematic search of CAB Abstracts, MEDLINE, Scopus, and ERIC limited to
   articles published in English between 2000 and 2012. The review focused
   on medical or veterinary undergraduate to clinical-or residency-level
   students. We selected studies for which the study population was
   randomized to the Web-based learning (WBL) intervention with a post-test
   comparison with another WBL or non-WBL method and that reported at least
   one empirical outcome. Two independent reviewers completed relevancy
   screening, data extraction, and synthesis of results using Kirkpatrick
   and Kirkpatrick's1 framework. The search retrieved 1,583 articles, and
   10 met the final inclusion criteria. We identified no published articles
   on Web-based communication platforms in veterinary medicine; however,
   publications summarized from human medicine demonstrated that WBL
   provides a potentially reliable and valid approach for teaching and
   assessing communication skills. Student feedback on the use of virtual
   patients for teaching clinical communication skills has been positive,
   though evidence has suggested that practice with virtual patients
   prompted lower relation-building responses. Empirical outcomes indicate
   that WBL is a viable method for expanding the approach to teaching
   history taking and possibly to additional tasks of the veterinary
   medical interview.
RI Toews, Lorraine/N-1848-2014; Violato, Claudio/
OI Toews, Lorraine/0000-0003-4692-0358; Violato,
   Claudio/0000-0001-7551-5621
ZS 0
TC 10
ZA 0
ZB 3
Z8 1
ZR 0
Z9 11
U1 3
U2 29
SN 0748-321X
EI 1943-7218
UT WOS:000338044700006
PM 24418922
ER

PT J
AU Shaw, T.
   McGregor, D.
   Sinclair, S.
   Sutherland, R.
   Munro, A.
   Ross, J.
TI E-learning portal for professional development in cancer care
SO Education + Training
VL 56
IS 2-3
BP 165
EP 78
DI 10.1108/ET-11-2012-0113
PD 2014
PY 2014
AB Purpose - Cancer care is complex and an integrated cancer pathway
   involves many health professionals in a variety of care settings using
   many skills. The widely distributed and heterogeneous nature of the
   cancer workforce raises significant challenges with respect to
   professional development. Cancer Learning is a government-funded
   initiative designed to provide access to a wide range of quality online
   learning resources for all health care professionals involved in the
   care of cancer patients and their families. The purpose of this paper is
   to discuss these issues. Design/methodology/approach - A multi-phase
   project, led by a consortium of national stakeholders in cancer care,
   informed the design, build, and deployment of Cancer Learning; an
   online, evidence based, information and learning portal to support
   professional development of health professionals across the continuum of
   cancer care in Australia. An action research approach allowed for an
   iterative process of ongoing dynamic evaluation and improvement of this
   workforce improvement resource. Findings - The National Government
   Agency, Cancer Australia's Cancer Learning online hub has been
   supporting the professional development requirements of cancer care
   professionals since the site deployment in 2007. Since launch, site
   usage continues to grow and evaluations have been positive. Time
   constraints of health professionals continue to be a major barrier to
   sustained online learning participation. Originality/value - This
   research recount of the development and implementation of an Australia
   first national online learning initiative highlights the rigorous
   approach undertaken for the delivery of a quality evidence-based
   resource for the professional development of all health professionals
   involved in the delivery of cancer care.
ZS 0
TC 3
ZB 0
ZR 0
Z8 0
ZA 0
Z9 3
U1 0
U2 0
SN 0040-0912
UT INSPEC:14201638
ER

PT J
AU Smith, Kay H
TI Aging and Health Literacy.
SO Journal of consumer health on the Internet
VL 18
IS 1
BP 94
EP 100
PD 2014-Jan-01
PY 2014
AB A recent study comparing older adults' health literacy skills with their
   satisfaction with health care providers' communication efforts did not
   find a correlation between the two measures. However, the results were
   interesting, including the fact that almost 40 percent of participants
   experienced moderate to severe difficulties in understanding everyday
   health information as presented in a food label (Newest Vital Sign
   assessment). This has implications for senior patient engagement in
   health care, particularly at a time when so many health transactions
   such as scheduling and records requests, not to mention general health
   information, are moving to online only format. Librarians should be
   aware of the issues surrounding health literacy in older adults and work
   with providers to address those deficits in health care navigation in
   this population.
OI Smith, Kay/0000-0002-0932-1412
ZS 1
Z8 0
ZA 0
ZR 0
TC 4
ZB 0
Z9 5
U1 0
U2 6
SN 1539-8285
UT MEDLINE:24634614
PM 24634614
ER

PT J
AU Alegria, Dylan Archbold Hufty
   Boscardin, Christy
   Poncelet, Ann
   Mayfield, Chandler
   Wamsley, Maria
TI Using tablets to support self-regulated learning in a longitudinal
   integrated clerkship
SO MEDICAL EDUCATION ONLINE
VL 19
AR 23638
DI 10.3402/meo.v19.23638
PD 2014
PY 2014
AB Introduction: The need to train physicians committed to learning
   throughout their careers has prompted medical schools to encourage the
   development and practice of self-regulated learning by students.
   Longitudinal integrated clerkships (LICs) require students to exercise
   self-regulated learning skills. As mobile tools, tablets can potentially
   support self-regulation among LIC students.
   Methods: We provided 15 LIC students with tablet computers with access
   to the electronic health record (EHR), to track their patient cohort,
   and a multiplatform online notebook, to support documentation and
   retrieval of self-identified clinical learning issues. Students received
   a 1-hour workshop on the relevant features of the tablet and online
   notebook. Two focus groups with the students were used to evaluate the
   program, one early and one late in the year and were coded by two
   raters.
   Results: Students used the tablet to support their self-regulated
   learning in ways that were unique to their learning styles and increased
   access to resources and utilization of down-time. Students who used the
   tablet to self-monitor and target learning demonstrated the utility of
   tablets as learning tools.
   Conclusions: LICs are environments rich in opportunity for
   self-regulated learning. Tablets can enhance students' ability to
   develop and employ self-regulatory skills in a clinical context.
RI SOUZA, CRISOMAR Lobo de/Q-2347-2019
ZA 0
Z8 1
TC 23
ZR 0
ZS 0
ZB 1
Z9 25
U1 3
U2 47
SN 1087-2981
UT WOS:000332845100001
PM 24646438
ER

PT J
AU Damodaran, L.
   Olphert, C. W.
   Sandhu, J.
TI Falling Off the Bandwagon? Exploring the Challenges to Sustained Digital
   Engagement by Older People
SO GERONTOLOGY
VL 60
IS 2
BP 163
EP 173
DI 10.1159/000357431
PD 2014
PY 2014
AB Objectives: This study examines older people's use of information and
   communication technologies (ICTs) and identifies the factors which can
   prevent or promote their sustained use. Methods: A mixed methods
   approach was adopted. Quantitative and qualitative data were collected
   by a survey of 323 older ICT users (aged >= 50 years) between 2011 and
   2012. These data were supplemented by qualitative data obtained through
   in-depth interviews, focus groups and storytelling. Quantitative data
   were analysed using PASW including bivariate and multivariate analyses.
   Qualitative data were analysed using an inductive, thematic approach.
   Results:The findings show that, contrary to some stereotypes, many older
   people are enthusiastic, competent and confident users of ICTs. However,
   they report a range of challenges in reaching and maintaining this
   situation. These include technological complexity and change,
   age-related capability changes and a lack of learning and support
   mechanisms. Intrinsic motivation and social support are important in
   enabling older people to overcome these challenges. Discussion:Getting
   older people online has been a high priority in many countries over the
   past decade. However, little attention has been paid to whether and how
   their usage can be sustained over time. We discuss the implications of
   the findings for policy and practice. (C) 2013 S. Karger AG, Basel
OI Sandhu, Jatinder/0000-0002-8567-2249
ZS 0
ZR 0
ZA 0
Z8 0
ZB 2
TC 19
Z9 19
U1 1
U2 38
SN 0304-324X
EI 1423-0003
UT WOS:000331773700010
PM 24356488
ER

PT J
AU Vora, Rupal S.
   Kinney, Marjorie N.
TI Connectedness, Sense of Community, and Academic Satisfaction in a Novel
   Community Campus Medical Education Model
SO ACADEMIC MEDICINE
VL 89
IS 1
BP 182
EP 187
DI 10.1097/ACM.0000000000000072
PD JAN 2014
PY 2014
AB Purpose Developing a sense of community and establishing connectivity
   are important in enhancing learners' success and preventing their sense
   of isolation. The A.T. Still University School of Osteopathic Medicine
   in Arizona (SOMA) has implemented a novel approach to medical education
   in which, beginning in the second year, students are geographically
   dispersed to 11 community campuses associated with community health
   centers around the United States, at both inner-city and rural
   locations. This study assessed students' sense of community, academic
   satisfaction, and level of connectedness in their first through fourth
   years of medical school at SOMA.
   Method The Rovai Classroom Community Scale and open-ended questions were
   administered via an online survey instrument to 412 students enrolled at
   SOMA for the 2011-2012 academic year. Participation was voluntary, and
   all results were anonymous. Data were analyzed using one-way ANOVA to
   compare results between classes.
   Results Comparisons revealed an increasing degree of isolation and a
   decreasing sense of community and academic satisfaction progressing from
   the first through fourth years of medical school. Students suggested
   possible solutions that may be applied to medical schools and other
   graduate schools to improve the level of connectedness for students who
   are learning at a distance.
   Conclusions Connectivity, sense of community, and academic satisfaction
   may decrease for students in undergraduate medical education
   participating in a combination of distance learning and intermittent
   in-person activities. Interventions have the potential to improve these
   parameters. Long-term follow-up of students' satisfaction is suggested.
ZS 0
ZB 0
TC 11
ZA 0
ZR 0
Z8 0
Z9 11
U1 1
U2 23
SN 1040-2446
EI 1938-808X
UT WOS:000329189900039
PM 24280857
ER

PT J
AU Kaminski, Gerry M.
   Schoettker, Pamela J.
   Alessandrini, Evaline A.
   Luzader, Carolyn
   Kotagal, Uma
TI A Comprehensive Model to Build Improvement Capability in a Pediatric
   Academic Medical Center
SO ACADEMIC PEDIATRICS
VL 14
IS 1
BP 29
EP 39
DI 10.1016/j.acap.2013.02.007
PD JAN-FEB 2014
PY 2014
AB Cincinnati Children's Hospital Medical Center developed a comprehensive
   model to build quality improvement (QI) capability to support its goal
   to transform its delivery system through a series of training courses.
   Two online modules orient staff to basic concepts and terminology and
   prepare them to participate more effectively in QI teams The basic
   program (Rapid Cycle Improvement Collaborative, RCIC) is focused on
   developing the capability to use basic QI tools and complete a
   narrow-scoped project in approximately 120 days. The Intermediate
   Improvement Science Series ((IS2)-S-2) program is a leadership course
   focusing on improvement skills and developing a broader and deeper
   understanding of QI in the context of the organization and external
   environment. The Advanced Improvement Methods (AIM) course and Quality
   Scholars Program stimulate the use of more sophisticated methods and
   prepare Cincinnati Children's Hospital Medical Center (CCHMC) and
   external faculty to undertake QI research. The Advanced Improvement
   Leadership Systems (AILS) sessions enable interprofessional care
   delivery system leadership teams to effectively lead a system of care,
   manage a portfolio of projects, and to deliver on CCHMC's strategic
   plan. Implementing these programs has shown us that 1) a multilevel
   curricular approach to building improvement capability is pragmatic and
   effective, 2) an interprofessional learning environment is critical to
   shifting mental models, 3) repetition of project experience with
   coaching and feedback solidifies critical skills, knowledge and
   behaviors, and 4) focusing first on developing capable interprofessional
   improvement leaders, versus engaging in broad general QI training across
   the whole organization, is effective.
OI Kaminski, Geraldine/0000-0003-1959-4606
ZS 0
ZR 0
TC 21
Z8 0
ZB 1
ZA 0
Z9 21
U1 0
U2 15
SN 1876-2859
EI 1876-2867
UT WOS:000329563100007
PM 24369867
ER

PT J
AU Balanay, Jo Anne G.
   Adesina, Adepeju
   Kearney, Gregory D.
   Richards, Stephanie L.
TI Assessment of Occupational Health and Safety Hazard Exposures Among
   Working College Students
SO AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
VL 57
IS 1
BP 114
EP 124
DI 10.1002/ajim.22256
PD JAN 2014
PY 2014
AB Background Adolescents and young adults have higher injury rates than
   their adult counterparts in similar jobs. This study used the working
   college student population to assess health and safety hazards in the
   workplace, characterize related occupational diseases and injuries, and
   describe worker health/safety activities provided by employers.
   MethodsCollege students (17 years old) were assessed via online surveys
   about work history, workplace exposure to hazards, occupational
   diseases/injuries, and workplace health/safety activities.
   ResultsApproximately half (51%) of participants (n=1,147) were currently
   employed at the time of the survey or had been employed while enrolled
   in college. Restaurants (other than fast food) were the most frequently
   reported work setting. The most reported workplace hazards included
   noise exposure and contact with hot liquids/surfaces. Twenty percent of
   working students experienced injury at work; some injuries were severe
   enough to limit students' normal activities for >3 days (30%) or require
   medical attention (44%). Men had significantly higher prevalence of
   injuries (P=0.05) and near-misses (P<0.01) at work than women. Injury
   occurrence was associated with near-misses (AOR=5.08, P<0.01) and
   co-worker injuries (AOR=3.19, P<0.01) after gender and age adjustments.
   Most (77%) received worker safety training and half were given personal
   protective equipment (PPE) by their employers.
   ConclusionsRisk reduction from workplace injuries and illnesses among
   working college students may be achieved by implementing occupational
   health and safety (OHS) strategies including incorporation of OHS in the
   college curriculum, promotion of OHS by university/college student
   health services, and improving awareness of OHS online resources among
   college students, employers, and educators. Am. J. Ind. Med. 57:114-124,
   2014. (c) 2013 Wiley Periodicals, Inc.
RI /AAD-1974-2020; Kearney, Greg/
OI /0000-0003-3173-3293; Kearney, Greg/0000-0001-9684-9516
ZR 1
ZB 0
TC 11
ZS 0
ZA 0
Z8 0
Z9 12
U1 1
U2 35
SN 0271-3586
EI 1097-0274
UT WOS:000327787100013
PM 24105882
ER

PT J
AU Young, Sean D.
   Jaganath, Devan
TI Feasibility of Using Social Networking Technologies for Health Research
   Among Men Who Have Sex With Men: A Mixed Methods Study
SO AMERICAN JOURNAL OF MENS HEALTH
VL 8
IS 1
BP 6
EP 14
DI 10.1177/1557988313476878
PD JAN 2014
PY 2014
AB This study aims to assess the feasibility and acceptability of using
   social networking as a health research platform among men who have sex
   with men (MSM). Fifty-five MSM (primarily African American and Latino)
   were invited to join a secret group on the social networking website,
   Facebook. Peer leaders, trained in health education, posted
   health-related content to groups. The study and analysis used mixed
   (qualitative and quantitative) methods. Facebook conversations were
   thematically analyzed. Latino and African American participants
   voluntarily used social networking to discuss health-related knowledge
   and personal topics (exercise, nutrition, mental health, disease
   prevention, and substance abuse) with other group participants (N = 564
   excerpts). Although Latinos comprised 60% of the sample and African
   Americans 25.5%, Latinos contributed 82% of conversations and African
   Americans contributed only 15% of all conversations. Twenty-four percent
   of posts from Latinos and 7% of posts from African Americans were
   related to health topics. Results suggest that Facebook is an acceptable
   and engaging platform for facilitating and documenting health
   discussions for mixed methods research among MSM. An understanding of
   population differences is needed for crafting effective online social
   health interventions.
OI Jaganath, Devan/0000-0002-8555-5667; Young, Sean D./0000-0001-6052-4875
ZA 0
ZR 0
Z8 0
ZB 4
TC 13
ZS 0
Z9 13
U1 0
U2 23
SN 1557-9883
EI 1557-9891
UT WOS:000327992900002
PM 23407600
ER

PT J
AU Kerr, Zachary Y.
   Marshall, Stephen W.
   Comstock, R. Dawn
   Casa, Douglas J.
TI Exertional Heat Stroke Management Strategies in United States High
   School Football
SO AMERICAN JOURNAL OF SPORTS MEDICINE
VL 42
IS 1
BP 70
EP 77
DI 10.1177/0363546513502940
PD JAN 2014
PY 2014
AB Background: The 5-year period of 2005-2009 saw more exertional heat
   stroke-related deaths in organized sports than any other 5-year period
   in the past 35 years. The risk of exertional heat stroke appears highest
   in football, particularly during the preseason.
   Purpose: To estimate the incidence of exertional heat stroke events and
   assess the utilization of exertional heat stroke management strategies
   during the 2011 preseason in United States high school football
   programs.
   Study Design: Cross-sectional study; Level of evidence, 3.
   Methods: A self-administered online questionnaire addressing the
   incidence of exertional heat stroke events and utilization of exertional
   heat stroke management strategies (eg, removing athlete's football
   equipment, calling Emergency Medical Services [EMS]) was completed in
   May to June 2012 by 1142 (18.0%) athletic trainers providing care to
   high school football athletes during the 2011 preseason.
   Results: Among all respondents, 20.3% reported treating at least 1
   exertional heat stroke event. An average of 0.50 1.37 preseason
   exertional heat stroke events were treated per program. Athletic
   trainers responding to exertional heat stroke reported using an average
   of 6.6 +/- 1.8 management strategies. The most common management
   strategies were low-level therapeutic interventions such as removing the
   athlete's football equipment (98.2%) and clothing (77.8%) and moving the
   athlete to a shaded area (91.6%). Few athletic trainers reported active
   management strategies such as calling EMS (29.3%) or using a rectal
   thermometer to check core body temperature (0.9%). Athletic trainers in
   states with mandated preseason heat acclimatization guidelines reported
   a higher utilization of management strategies such as cooling the
   athlete through air conditioning (90.1% vs 65.0%, respectively; P <
   .001), immersion in ice water (63.0% vs 45.4%, respectively; P = .01),
   or fans (54.3% vs 42.0%, respectively; P = .06) and monitoring the
   athlete's temperature (60.5% vs 46.2%, respectively; P = .04).
   Conclusion: Preseason exertional heat stroke events, which are likely to
   be fatal if untreated, were reported by one fifth of all athletic
   trainers in high school football programs. The standard of care is (and
   should be) to treat proactively; therefore, treatment is not a perfect
   proxy for incidence. Nevertheless, there is an urgent need for improved
   education and awareness of exertional heat stroke in high school
   football. Areas of improvement include the greatly increased use of
   rectal thermometers and immersion in ice water.
OI Kerr, Zachary/0000-0003-1423-1259; Marshall, Stephen/0000-0002-2664-9233
ZS 0
ZA 0
ZR 0
TC 27
Z8 1
ZB 8
Z9 27
U1 1
U2 12
SN 0363-5465
EI 1552-3365
UT WOS:000329325600014
PM 24013346
ER

PT J
AU Raikos, Athanasios
   Waidyasekara, Pasan
TI How Useful is YouTube in Learning Heart Anatomy?
SO ANATOMICAL SCIENCES EDUCATION
VL 7
IS 1
BP 12
EP 18
DI 10.1002/ase.1361
PD JAN 2014
PY 2014
AB Nowadays more and more modern medical degree programs focus on
   self-directed and problem-based learning. That requires students to
   search for high quality and easy to retrieve online resources. YouTube
   is an emerging platform for learning human anatomy due to easy access
   and being a free service. The purpose of this study is to make a
   quantitative and qualitative analysis of the available human heart
   anatomy videos on YouTube. Using the search engine of the platform we
   searched for relevant videos using various keywords. Videos with
   irrelevant content, animal tissue, non-English language, no sound,
   duplicates, and physiology focused were excluded from further
   elaboration. The initial search retrieved 55,525 videos, whereas only
   294 qualified for further analysis. A unique scoring system was used to
   assess the anatomical quality and details, general quality, and the
   general data for each video. Our results indicate that the human heart
   anatomy videos available on YouTube conveyed our anatomical criteria
   poorly, whereas the general quality scoring found borderline. Students
   should be selective when looking up on public video databases as it can
   prove challenging, time consuming, and the anatomical information may be
   misleading due to absence of content review. Anatomists and institutions
   are encouraged to prepare and endorse good quality material and make
   them available online for the students. The scoring rubric used in the
   study comprises a valuable tool to faculty members for quality
   evaluation of heart anatomy videos available on social media platforms.
   Anat Sci Educ. 7: 12-18. (c) 2013 American Association of Anatomists.
RI Raikos, Athanasios/AAR-5075-2020; Raikos, Athanasios/G-8570-2015
OI Raikos, Athanasios/0000-0003-0362-4196
ZA 0
ZR 0
ZB 9
ZS 1
TC 69
Z8 1
Z9 72
U1 1
U2 44
SN 1935-9772
EI 1935-9780
UT WOS:000328933200003
PM 23564745
ER

PT J
AU Muzaffar, Henna
   Chapman-Novakofski, Karen
   Castelli, Dada M.
   Scherer, Jane A.
TI The HOT (Healthy Outcome for Teens) project. Using a web-based medium to
   influence attitude, subjective norm, perceived behavioral control
   and-intention for obesity and type 2 diabetes prevention
SO APPETITE
VL 72
BP 82
EP 89
DI 10.1016/j.appet.2013.09.024
PD JAN 1 2014
PY 2014
AB We hypothesized that Theory of Planned Behavior (TPB) constructs
   (behavioral belief, attitude, subjective norm, perceived behavioral
   control, knowledge and behavioral intention) regarding preventive
   behaviors for obesity and type 2 diabetes will change favorably after
   completing the web-based intervention, HOT (Healthy Outcome for Teens)
   project, grounded in the TPB; and that passive online learning (POL)
   group will improve more than the active online learning (AOL) group. The
   secondary hypothesis was to determine to what extent constructs of the
   TPB predict intentions. 216 adolescents were recruited, 127 randomly
   allocated to the treatment group (AOL) and 89 to the control group
   (POL). The subjects completed a TPB questionnaire pre and post
   intervention. Both POL and AOL groups showed significant improvements
   from pretest to posttest survey. However, the results indicated no
   significant difference between POL and AOL for all constructs except
   behavioral belief. Correlational analysis indicated that all TPB
   constructs were significantly correlated with intentions for pretest and
   posttest for both groups. Attitude and behavioral control showed
   strongest correlations. Regression analysis indicated that TPB
   constructs were predictive of intentions and the predictive power
   improved post intervention. Behavioral control consistently predicted
   intentions for all categories and was the strongest predictor for
   pretest scores. For posttest scores, knowledge and attitude were the
   strongest predictors for POL and AOL groups respectively. Thus, HOT
   project improved knowledge and the TPB constructs scores for targeted
   behaviors, healthy eating and physical activity, for prevention of
   obesity and type 2 diabetes. Published by Elsevier Ltd.
ZR 0
ZA 0
ZB 3
Z8 0
ZS 0
TC 17
Z9 18
U1 2
U2 61
SN 0195-6663
EI 1095-8304
UT WOS:000329268300011
PM 24099704
ER

PT J
AU Goon, S. S. H.
   Stamatakis, E. A.
   Adapa, R. M.
   Kasahara, M.
   Bishop, S.
   Wood, D. F.
   Wheeler, D. W.
   Menon, D. K.
   Gupta, A. K.
TI Clinical decision-making augmented by simulation training: neural
   correlates demonstrated by functional imaging: a pilot study
SO BRITISH JOURNAL OF ANAESTHESIA
VL 112
IS 1
BP 124
EP 132
DI 10.1093/bja/aet326
PD JAN 2014
PY 2014
AB Investigation of the neuroanatomical basis of clinical decision-making,
   and whether this differs when students are trained via online training
   or simulation training, could provide valuable insight into the means by
   which simulation training might be beneficial.
   The aim of this pilot prospective parallel group cohort study was to
   investigate the neural correlates of clinical decision-making, and to
   determine if simulation as opposed to online training influences these
   neural correlates. Twelve third-year medical students were randomized
   into two groups and received simulation-based or online-based training
   on anaphylaxis. This was followed by functional magnetic resonance
   imaging scanning to detect brain activation patterns while answering
   multiple choice questions (MCQs) related to anaphylaxis, and unrelated
   non-clinical (control) questions. Performance in the MCQs, salivary
   cortisol levels, heart rate, and arterial pressure were also measured.
   Comparing neural responses to clinical and non-clinical questions (in
   all participants), significant areas of activation were seen in the
   ventral anterior cingulate cortex and medial prefrontal cortex. These
   areas were activated in the online group when answering action-based
   questions related to their training, but not in the simulation group.
   The simulation group tended to react more quickly and accurately to
   clinical MCQs than the online group, but statistical significance was
   not reached.
   The activation areas seen could indicate increased stress when answering
   clinical questions compared with general non-clinical questions, and in
   the online group when answering action-based clinical questions. These
   findings suggest simulation training attenuates neural responses related
   to stress when making clinical decisions.
RI Wheeler, Daniel/L-8609-2019; Adapa, Ram/D-7925-2012; Stamatakis, Emmanuel Andreas/; Wheeler, Daniel/
OI Adapa, Ram/0000-0002-9845-8532; Stamatakis, Emmanuel
   Andreas/0000-0001-6955-9601; Wheeler, Daniel/0000-0001-7692-6887
ZA 0
ZB 0
TC 1
ZR 0
ZS 0
Z8 0
Z9 1
U1 0
U2 10
SN 0007-0912
EI 1471-6771
UT WOS:000328404700019
PM 24065729
ER

PT J
AU Pinto, Jamie M.
   Chu, Dorothy
   Petrova, Anna
TI Pediatric Residents' Perceptions of Family-Centered Rounds as Part of
   Postgraduate Training
SO CLINICAL PEDIATRICS
VL 53
IS 1
BP 66
EP 70
DI 10.1177/0009922813501377
PD JAN 2014
PY 2014
AB Purpose. Although family-centered rounds (FCRs) are recommended as
   standard practice, limited data address pediatric residents' opinions of
   FCRs. In the present study, we assessed residents' perceptions with
   respect to rounding experience and postgraduate year (PGY). Methods. An
   anonymous online questionnaire was distributed to pediatric residents
   from nine accredited programs in New Jersey. Results. Of 95 residents
   who completed questionnaires, 69.5% participated in FCRs and traditional
   rounds, 17.9% in FCRs, and 12.6% in traditional rounds. Irrespective of
   rounding experience and PGY, the majority believed that FCRs benefit
   families and pediatric training, felt that an attending's style greatly
   affects their experience, report discomfort sharing sensitive
   information and answering questions, and did not support the superiority
   of FCRs for efficiency and professional satisfaction. Conclusions.
   Concerns regarding discomfort, attending approach and efficiency are
   potential barriers to residents' full acceptance of FCRs that should be
   addressed to improve the efficacy of postgraduate pediatric training.
ZA 0
ZS 0
TC 12
ZR 0
Z8 0
ZB 2
Z9 12
U1 0
U2 4
SN 0009-9228
EI 1938-2707
UT WOS:000327990900011
PM 24027230
ER

PT J
AU Wasserman, M.
   Baxter, N. N.
   Rosen, B.
   Burnstein, M.
   Halverson, A. L.
TI Systematic Review of Internet Patient Information on Colorectal Cancer
   Surgery
SO DISEASES OF THE COLON & RECTUM
VL 57
IS 1
BP 64
EP 69
DI 10.1097/DCR.0000000000000011
PD JAN 2014
PY 2014
AB BACKGROUND: Patients diagnosed with colorectal cancer often seek
   information on the Internet to help them make treatment decisions.
   OBJECTIVE: The aim of this study is to evaluate the quality of Web-based
   patient information regarding surgery for colorectal cancer.
   DESIGN: This study is a cross-sectional survey of patient-directed Web
   sites.
   SETTINGS: The search engine Google (Mountain View, CA) and the search
   terms colorectal cancer surgery, colon cancer surgery, and rectal cancer
   surgery were used to identify Web sites.
   MAIN OUTCOME MEASURES: To assess quality, we used the DISCERN
   instrument, a validated questionnaire developed to analyze written
   consumer health information on treatment options to aid consumers in
   evaluating the quality of health-related information on treatment
   choices for a specific health problem. An additional colorectal
   cancer-specific questionnaire was used to evaluate Web site content for
   colorectal cancer surgical treatment. Two independent assessors reviewed
   each Web site.
   RESULTS: Searches revealed a total of 91 distinct Web sites, of which 37
   met inclusion criteria. Web site affiliation was as follows: 32%
   open-access general information, 24% hospital/health care organization,
   and 19% professional medical society. Twelve (32.4%) Web sites had clear
   aims, 10 (27.0%) had identifiable references to their sources of
   information, and 9 (24.3%) noted the date of published information. Ten
   sites (27.0%) provided some description of the surgical procedure, 8
   (21.6%) discussed either the risks or the benefits of surgery, and 4
   (10.8%) addressed quality-of-life issues. Nineteen (51.4%) Web sites
   discussed postoperative complications, and 7 (18.9%) discussed
   stoma-related maintenance/care.
   LIMITATIONS: The small sample size and interrater reliability bias are
   limitations of this study.
   CONCLUSIONS: The quality of online patient information regarding
   colorectal cancer treatment is highly variable, often incomplete, and
   does not adequately convey the information necessary for patients to
   make well-informed medical decisions regarding treatment for colorectal
   cancer. An opportunity exists for professional medical societies to
   create more comprehensive online patient information materials that may
   serve as a resource to physicians and their patients (see Video,
   Supplemental Digital Content 1, http://links.lww.com/DCR/A122).
RI Baxter, Nancy N/E-7020-2015
OI Baxter, Nancy N/0000-0003-4793-4620
ZA 0
Z8 1
ZR 0
ZS 1
ZB 12
TC 57
Z9 58
U1 0
U2 22
SN 0012-3706
EI 1530-0358
UT WOS:000328461600011
PM 24316947
ER

PT J
AU Capewell, Sarah
   Stewart, Kirsty
   Bowie, Paul
   Kelly, Moya
TI Trainees' experiences of a four-year programme for specialty training in
   general practice.
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 25
IS 1
BP 18
EP 25
PD 2014-Jan
PY 2014
AB In 2012 the first Scottish cohort of trainees completed a four-year
   training programme in general practice. In the same year, the Royal
   College of General Practitioners (RCGP) successfully made the
   educational case for lengthening training from three to four years in
   the rest of the UK. This project sought to evaluate the experiences of
   the initial four-year cohorts (2012 and 2013) to gain the Certificate of
   Completion of Training (CCT). We aimed to capture trainees' experiences
   of the training programme and how well it prepared them for independent
   general practice. We also investigated whether perceived levels of
   clinical confidence in key areas of the curriculum improved over time.
   To achieve this we undertook a cross-sectional online questionnaire
   survey. Open-ended questions were included to elicit more in-depth
   responses by participants on all issues. A total of 20/49 trainees in
   2012 (40%) and 46/50 trainees in 2013 (92%) completed the survey.
   Perceived mean levels of clinical confidence in the key curriculum
   domains surveyed in 2012/13 were generally high, particularly in
   clinical domains or topics such as cancer management (94%) and
   paediatrics (94%). It was lowest in non-clinical domains such as GP
   partnership (57%), practice management (68%) and leadership (65%), but
   also in some skills specific to general practice that are of importance
   where healthcare delivery is increasingly community-based such as public
   health (63%) and caring for the long-term unemployed (33%). This small
   study will inform the implementation of an integrated, community-based
   model of training to enable GP trainees to achieve the clinical and
   generalist skills required in the immediate future. 
Z8 0
TC 9
ZA 0
ZB 0
ZS 0
ZR 0
Z9 9
U1 0
U2 0
SN 1473-9879
UT MEDLINE:24423797
PM 24423797
ER

PT J
AU Johnson, Mike
TI Create a free online educational resource.
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 25
IS 2
BP 122
EP 4
PD 2014-Mar
PY 2014
ZA 0
ZS 0
ZR 0
Z8 0
TC 0
ZB 0
Z9 0
U1 0
U2 0
SN 1473-9879
UT MEDLINE:24593980
PM 24593980
ER

PT J
AU Egnew, Thomas R.
   Lewis, Peter R.
   Schaad, Douglas C.
   Karuppiah, Sabesan
   Mitchell, Suzanne
TI Medical Student Perceptions of Medical School Education About Suffering:
   A Multicenter Pilot Study
SO FAMILY MEDICINE
VL 46
IS 1
BP 39
EP 44
PD JAN 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: Little is known about what students perceive
   they are taught about suffering in medical school. We sought to explore
   medical student perceptions of their medical school education about
   suffering.
   METHODS: We used an online survey of medical students enrolled in four
   US medical schools with chi-square analysis of responses by gender and
   pre-clinical/clinical status.
   RESULTS: A total of 1,043 students (38%) responded and indicated that
   teaching about suffering is occurring in the schools surveyed.
   Respondents most strongly endorsed statements that their medical school
   education explicitly teaches that the relief of suffering is an inherent
   function of being a physician (46.5%) and that most of what they learned
   about dealing with suffering patients is taught by modeling (46.6%).
   They reported that their education explicitly teaches about suffering
   (32.8%), provides a good understanding of suffering (31.7%), and teaches
   how to interact with suffering patients (31.7%). Students gave the least
   support to statements that their education prepares them to personally
   deal with their reactions to the suffering of patients (25.1%) and
   teaches how to diagnose suffering (15.3%). Responses varied markedly
   according to gender and clinical status at two of the four schools
   surveyed.
   CONCLUSIONS: Teaching about suffering is occurring in the schools
   surveyed and can be variably experienced according to gender and
   clinical status. Implied curricular gaps include teaching about how to
   diagnose suffering and how to personally deal with the feelings that
   arise when caring for suffering patients. Further research on how
   students are learning about suffering is warranted to guide curriculum
   development and implementation.
Z8 0
ZS 0
ZA 0
TC 3
ZB 0
ZR 0
Z9 3
U1 0
U2 5
SN 0742-3225
EI 1938-3800
UT WOS:000329683700007
PM 24415507
ER

PT J
AU Platt, Jodyn
   Bollinger, Juli
   Dvoskin, Rachel
   Kardia, Sharon L. R.
   Kaufman, David
TI Public preferences regarding informed consent models for participation
   in population-based genomic research
SO GENETICS IN MEDICINE
VL 16
IS 1
BP 11
EP 18
DI 10.1038/gim.2013.59
PD JAN 2014
PY 2014
AB Purpose: Some large population biobanks that house biospecimens and
   health information for research seek broad consent from participants,
   whereas others reconsent for specific new studies. Understanding
   research participants' attitudes and preferences about broad and narrow
   consent may improve recruitment, retention, and public support.
   Methods: An online survey was conducted among a representative sample of
   4,659 US adults to examine relationships between consent preferences and
   demographic factors, beliefs about privacy and the value of research,
   and the perceived trustworthiness of researchers.
   Results: Participants preferred broad consent (52%) over study-by-study
   consent models (48%). Higher preferences for study-by-study consent
   observed among black non-Hispanic respondents and respondents with lower
   income and education were explained by differences in the prevalence of
   one or more beliefs about the study. Respondents with fears about
   research and those who would feel respected if asked for permission for
   each research use preferred study-by-study consent. Preference for broad
   consent was related to the desire not to be bothered with multiple
   requests and the belief that the study could lead to improved
   treatments, cures, and lives saved.
   Conclusion: These data suggest that support for broad consent is
   contingent on sufficient information about data use. Work with research
   participants and community leaders to understand, respond to, and
   influence opinions about a given, ongoing study may improve uptake of
   broad consent.
OI Platt, Jodyn/0000-0003-4902-4903
TC 53
Z8 0
ZS 0
ZR 0
ZB 17
ZA 0
Z9 53
U1 0
U2 22
SN 1098-3600
EI 1530-0366
UT WOS:000329304300002
PM 23660530
ER

PT J
AU Meuser, Thomas M
   Carr, David B
   Berg-Weger, Marla
   Irmiter, Cheryl
   Peters, Karen E
   Schwartzberg, Joanne G
TI The instructional impact of the American Medical Association's Older
   Drivers Project online curriculum.
SO Gerontology & geriatrics education
VL 35
IS 1
BP 64
EP 85
DI 10.1080/02701960.2013.823603
PD 2014
PY 2014
AB The Older Drivers Project (ODP) of the American Medical Association has
   provided evidence-based training for clinicians since 2003. More than
   10,000 physicians and other professionals have been trained via an
   authoritative manual, the Physician's Guide to Assessing & Counseling
   Older Drivers, and an associated continuing medical education
   five-module curriculum offered formally by multidisciplinary teams from
   12 U.S. States from 2003 to 2008. An hour-long, online version was
   piloted with medical residents and physicians (N = 259) from six
   academic and physician office sites from 2010 to 2011. Pre/postsurveys
   were completed. Most rated the curriculum of high quality and relevant
   to their practice. A majority (88%) reported learning a new technique or
   tool, and 89% stated an intention to incorporate new learning into their
   daily clinical practice. More than one half (62%) reported increased
   confidence in addressing driving. This transition from in-person to
   online instruction will allow the ODP to reach many more clinicians, at
   all levels of training, in the years to come.
OI Carr, David/0000-0003-2641-3850
ZA 0
ZR 0
ZS 0
Z8 0
TC 6
ZB 3
Z9 6
U1 0
U2 2
EI 1545-3847
UT MEDLINE:24266732
PM 24266732
ER

PT J
AU Holliday, Emma B.
   Jagsi, Reshma
   Thomas, Charles R., Jr.
   Wilson, Lynn D.
   Fuller, Clifton D.
TI Standing on the Shoulders of Giants: Results From the Radiation Oncology
   Academic Development and Mentorship Assessment Project (ROADMAP)
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 88
IS 1
BP 18
EP 24
DI 10.1016/j.ijrobp.2013.09.035
PD JAN 1 2014
PY 2014
AB Purpose: To analyze survey information regarding mentorship practices
   and cross-correlate the results with objective metrics of academic
   productivity among academic radiation oncologists at US Accreditation
   Council for Graduate Medical Education (ACGME)-accredited residency
   training programs.
   Methods and Materials: An institutional review board-approved survey for
   the Radiation Oncology Academic Development and Mentorship Assessment
   Project (ROADMAP) was sent to 1031 radiation oncologists employed at an
   ACGME-accredited residency training program and administered using an
   international secure web application designed exclusively to support
   data capture for research studies. Data collected included demographics,
   presence of mentorship, and the nature of specific mentoring activities.
   Productivity metrics, including number of publications, number of
   citations, h-index, and date of first publication, were collected for
   each survey respondent from a commercially available online database,
   and m-index was calculated.
   Results: A total of 158 academic radiation oncologists completed the
   survey, 96 of whom reported having an academic/scientific mentor.
   Faculty with a mentor had higher numbers of publications, citations, and
   h- and m-indices. Differences in gender and race/ethnicity were not
   associated with significant differences in mentorship rates, but those
   with a mentor were more likely to have a PhD degree and were more likely
   to have more time protected for research. Bivariate fit regression
   modeling showed a positive correlation between a mentor's h- index and
   their mentee's h- index (R-2 = 0.16; P<.001). Linear regression also
   showed significant correlates of higher h- index, in addition to having
   a mentor (P=.001), included a longer career duration (P<.001) and fewer
   patients in treatment (P=.02).
   Conclusions: Mentorship is widely believed to be important to career
   development and academic productivity. These results emphasize the
   importance of identifying and striving to overcome potential barriers to
   effective mentorship. (C) 2014 Elsevier Inc.
RI Fuller, Clifton D./AAB-4012-2019; Jagsi, Reshma/
OI Fuller, Clifton D./0000-0002-5264-3994; Jagsi,
   Reshma/0000-0001-6562-1228
ZB 8
Z8 1
ZR 0
ZS 0
TC 31
ZA 0
Z9 31
U1 0
U2 10
SN 0360-3016
EI 1879-355X
UT WOS:000328857900006
PM 24210670
ER

PT J
AU Jennings, Susan
   Russell, Nancy
   Jennings, Blair
   Slee, Valerie
   Sterling, Lisa
   Castells, Mariana
   Valent, Peter
   Akin, Cem
TI The Mastocytosis Society Survey on Mast Cell Disorders: Patient
   Experiences and Perceptions
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
VL 2
IS 1
BP 70
EP 76
DI 10.1016/j.jaip.2013.09.004
PD JAN-FEB 2014
PY 2014
AB BACKGROUND: Mast cell diseases include mastocytosis and mast cell
   activation syndromes, some of which have been shown to involve clonal
   defects in mast cells that result in abnormal cellular proliferation or
   activation. Numerous clinical studies of mastocytosis have been
   published, but no population-based comprehensive surveys of patients in
   the United States have been identified. Few mast cell disease specialty
   centers exist in the United States, and awareness of these mast cell
   disorders is limited among nonspecialists. Accordingly, information
   concerning the experiences of the overall estimated population of these
   patients has been lacking.
   OBJECTIVE: To identify the experiences and perceptions of patients with
   mastocytosis, mast cell activation syndromes, and related disorders, The
   Mastocytosis Society (TMS), a US based patient advocacy, research, and
   education organization, conducted a survey of its members and other
   people known or suspected to be part of this patient population.
   METHODS: A Web-based survey was publicized through clinics that treat
   these patients and through TMS's newsletter, Web site, and online blogs.
   Both online and paper copies of the questionnaire were provided,
   together with required statements of consent.
   RESULTS: The first results are presented for 420 patients. These results
   include demographics, diagnoses, symptoms, allergies, provoking factors
   of mast cell symptoms, and disease impact.
   CONCLUSION: Patients with mastocytosis and mast cell activation
   syndromes have provided clinical specialists, collaborators, and other
   patients with information to enable them to explore and deepen their
   understanding of the experiences and perceptions of people coping with
   these disorders. (C) 2013 The Authors. Published by Elsevier Inc.
RI Test, PV/U-9451-2019; Gamperl, Susi/V-2715-2019; Valent, Peter/B-8533-2016; Test, Test/Y-7921-2019; Akin, Cem/
OI Gamperl, Susi/0000-0003-0456-5095; Valent, Peter/0000-0003-0456-5095;
   Akin, Cem/0000-0001-6301-4520
Z8 0
ZR 0
ZA 0
ZS 0
ZB 32
TC 80
Z9 80
U1 0
U2 2
SN 2213-2198
EI 2213-2201
UT WOS:000354197300011
PM 24565772
ER

PT J
AU Lentze, Michael J.
TI Challenge of Meeting Fellowship Procedural Guidelines in Therapeutic
   Endoscopy and Liver Biopsy
SO JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
VL 58
IS 1
BP 3
EP 4
DI 10.1097/MPG.0000000000000182
PD JAN 2014
PY 2014
TC 2
ZS 0
ZR 0
Z8 0
ZA 0
ZB 1
Z9 2
U1 0
U2 0
SN 0277-2116
EI 1536-4801
UT WOS:000329188000004
PM 24051485
ER

PT J
AU O'Heron, Colette T.
   Jarman, Benjamin T.
TI A Strategic Approach to Quality Improvement and Patient Safety Education
   and Resident Integration in a General Surgery Residency
SO JOURNAL OF SURGICAL EDUCATION
VL 71
IS 1
BP 18
EP 20
DI 10.1016/j.jsurg.2013.09.018
PD JAN-FEB 2014
PY 2014
AB OBJECTIVE: To outline a structured approach for general surgery resident
   integration into institutional quality improvement and patient safety
   education and development.
   DESIGN: A strategic plan to address Accreditation Council for Graduate
   Medical Education (ACGME) Clinical Learning Environment Review
   assessments for resident integration into Quality Improvement and
   Patient Safety initiatives is described.
   SETTING: Gundersen Lutheran Medical Foundation is an independent
   academic medical center graduating three categorical residents per year
   within an integrated multi-specialty health system serving 19 counties
   over 3 states.
   RESULTS: The quality improvement and patient safety education program
   includes a formal lecture series, online didactic sessions, mandatory
   quality improvement or patient safety projects, institutional committee
   membership, an opportunity to serve as a designated American College of
   Surgeons National Surgical Quality Improvement Project and Quality in
   Training representative, mandatory morbidity and mortality conference
   attendance and clinical electives in rural surgery and international
   settings.
   CONCLUSIONS: Structured education regarding and participation in quality
   improvement and patient safety programs are able to be accomplished
   during general surgery residency. The long-term outcomes and benefits of
   these strategies are unknown at this time and will be difficult to
   measure with objective data. (C) 2014 Association of Program Directors
   in Surgery. Published by Elsevier Inc. All rights reserved.
ZR 0
ZS 0
ZB 0
Z8 2
TC 14
ZA 0
Z9 16
U1 0
U2 5
SN 1931-7204
EI 1878-7452
UT WOS:000329951100009
PM 24411418
ER

PT J
AU Wells, Brian J.
   Kattan, Michael W.
   Cooper, Gregory S.
   Jackson, Leila
   Koroukian, Siran
TI ColoRectal Cancer Predicted Risk Online (CRC-PRO) Calculator Using Data
   from the Multi-Ethnic Cohort Study
SO JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
VL 27
IS 1
BP 42
EP 55
DI 10.3122/jabfm.2014.01.130040
PD JAN-FEB 2014
PY 2014
AB Background: Better risk predictions for colorectal cancer (CRC) could
   improve prevention strategies by allowing clinicians to more accurately
   identify high-risk individuals. The National Cancer Institute's CRC risk
   calculator was created by Freedman et al using case control data.
   Methods: An online risk calculator was created using data from the
   Multi-Ethnic Cohort Study, which followed > 180,000 patients for the
   development of CRC for up to 11.5 years through linkage with cancer
   registries. Forward stepwise regression tuned to the c statistic was
   used to select the most important variables for use in separate Cox
   survival models for men and women. Model accuracy was assessed using
   10-fold cross-validation.
   Results: Patients in the cohort experienced 2762 incident cases of CRC.
   The final model for men contained age, ethnicity, pack-years of smoking,
   alcoholic drinks per day, body mass index, years of education, regular
   use of aspirin, family history of colon cancer, regular use of
   multivitamins, ounces of red meat intake per day, history of diabetes,
   and hours of moderate physical activity per day. The final model for
   women included age, ethnicity, years of education, use of estrogen,
   history of diabetes, pack-years of smoking, family history of colon
   cancer, regular use of multivitamins, body mass index, regular use of
   nonsteroidal anti-inflammatory drugs, and alcoholic drinks per day. The
   calculator demonstrated good accuracy with a cross-validated c statistic
   of 0.681 in men and 0.679 in women, and it seems to be well calibrated
   graphically. An electronic version of the calculator is available at
   http://rcalc.ccf.org.
   Conclusion: This calculator seems to be accurate, is user friendly, and
   has been internally validated in a diverse population.
RI Koroukian, Siran/S-9127-2019; Kattan, Michael/AAF-9735-2021; Wells, Brian J/
OI Koroukian, Siran/0000-0002-8106-9581; Kattan,
   Michael/0000-0002-3840-4161; Wells, Brian J/0000-0001-7310-6525
ZS 0
ZB 26
ZA 0
Z8 3
TC 45
ZR 1
Z9 49
U1 1
U2 15
SN 1557-2625
EI 1558-7118
UT WOS:000329292000009
PM 24390885
ER

PT J
AU Kogan, Lori R.
   Schoenfeld-Tacher, Regina
   Gould, Lauren
   Viera, Ann R.
   Hellyer, Peter W.
TI Providing an information prescription in veterinary medical clinics: a
   pilot study
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 102
IS 1
BP 41
EP 46
DI 10.3163/1536-5050.102.1.008
PD JAN 2014
PY 2014
AB Objective: The study assesses the impact on client behavior and
   attitudes toward receiving an information prescription as part of a
   veterinary office visit.
   Methods: A random sample of veterinary clinics from a Western US
   metropolitan area was asked to distribute an information prescription in
   addition to their customary veterinary services. All clients, regardless
   of the reason for their visit, were presented with an information
   prescription: a handout that included the uniform resource locator (URL)
   to a general veterinary medicine website, < www.veterinarypartner.com >
   and several tips to help their clients make more informed choices about
   where to seek pet health information online.
   Results: Nearly 40% of clients who reported that they remembered
   receiving the information prescription accessed the website at least
   once. Of the clients who reported accessing the suggested website, 86.3%
   reported finding it "very helpful'' or "somewhat helpful.'' Nearly all
   the clients (87.9%) reported feeling the information on the site helped
   them make better decisions for their pets. Most clients reported that it
   helped them talk to their veterinarians (89.9%) and added to the
   information they received during their veterinary visits (83.5%).
   Conclusions: Clients appreciate and utilize veterinary prescriptions,
   suggesting that this is a tool that both veterinarians and librarians
   can use to improve animal health and client relations. Implications: The
   value placed on reliable Internet information by veterinary clients
   suggests several opportunities for librarians to become more proactive
   in partnering with veterinarians to facilitate the education of pet
   owners.
RI Schoenfeld, Regina/; Viera, Ann/B-6350-2008
OI Schoenfeld, Regina/0000-0003-1884-0270; Viera, Ann/0000-0003-3718-4803
ZS 0
Z8 0
ZB 1
ZR 0
ZA 0
TC 12
Z9 12
U1 1
U2 21
SN 1536-5050
UT WOS:000329782700009
PM 24415918
ER

PT J
AU Abbas, Syed Muslim
   Lee, Andrew
   Mubashir, Hafsa
TI Competencies required from public health professionals by health based
   organisations and the role of academia
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 64
IS 1
BP 57
EP 63
PD JAN 2014
PY 2014
AB Objective: To examine the complementarity between what is taught in
   Masters of Public Health courses and real world expectations of
   practitioner organisations.
   Methods: The online survey of academic institutions and health-related
   organisations from high- and low-/middle-income countries was conducted
   between May 16 and August 1, 2011. A combination of snowballing and
   purposive sampling was used to recruit the respondents. The survey
   questionnaire was devised using a validated competencies framework.
   Results: A total of 45 organisations responded to the survey. They were
   evenly distributed between academic institutions and practitioner
   organisations, high-income countries and low/middle income ones. There
   was marked disparity in rating for 14 (22%) of the 63 competencies
   examined. Practitioner organisations valued practical competencies such
   as contracting and negotiation skills, whereas academic institutions
   favoured research-based elements such as critical thinking and
   data-collection skills. Practitioner organisations also rated less
   highly course modules such as the dissertation component and research
   methods.
   Conclusions: The lack of congruence between what is taught and what is
   required could result in public health practitioners being ill-prepared
   for the demands of the real world. Greater engagement between academic
   institutions and practitioner organisations is necessary to ensure that
   Masters of Public Health courses are appropriate and up-to-date.
RI Lee, Andrew CK/A-2153-2010; Syed, Muslim Abbas/
OI Lee, Andrew CK/0000-0002-9795-3793; Syed, Muslim
   Abbas/0000-0003-4372-1935
ZS 0
TC 5
Z8 0
ZA 0
ZR 0
ZB 0
Z9 5
U1 0
U2 2
SN 0030-9982
UT WOS:000329257900016
PM 24605715
ER

PT J
AU Lewiss, Resa E.
   Hoffmann, Beatrice
   Beaulieu, Yanick
   Phelan, Mary Beth
TI Point-of-Care Ultrasound Education The Increasing Role of Simulation and
   Multimedia Resources
SO JOURNAL OF ULTRASOUND IN MEDICINE
VL 33
IS 1
BP 27
EP 32
DI 10.7863/ultra.33.1.27
PD JAN 2014
PY 2014
AB This article reviews the current technology, literature, teaching
   models, and methods associated with simulation-based point-of-care
   ultrasound training. Patient simulation appears particularly well suited
   for learning point-of-care ultrasound, which is a required core
   competency for emergency medicine and other specialties. Work hour
   limitations have reduced the opportunities for clinical practice, and
   simulation enables practicing a skill multiple times before it maybe
   used on patients. Ultrasound simulators can be categorized into 2
   groups: low and high fidelity. Low-fidelity simulators are usually
   static simulators, meaning that they have nonchanging anatomic examples
   for sonographic practice. Advantages are that the model maybe reused
   over time, and some simulators can be homemade. High-fidelity simulators
   are usually high-tech and frequently consist of many computer-generated
   cases of virtual sonographic anatomy that can be scanned with a mock
   probe. This type of equipment is produced commercially and is more
   expensive. High-fidelity simulators provide students with an active and
   safe learning environment and make a reproducible standardized
   assessment of many different ultrasound cases possible. The advantages
   and disadvantages of using low- versus high-fidelity simulators are
   reviewed. An additional concept used in simulation-based ultrasound
   training is blended learning. Blended learning may include face-to-face
   or online learning often in combination with a learning management
   system. Increasingly, with simulation and Web-based learning
   technologies, tools are now available to medical educators for the
   standardization of both ultrasound skills training and competency
   assessment.
OI Hoffmann, Beatrice/0000-0002-1820-9430
ZB 5
ZA 0
ZR 0
ZS 1
TC 64
Z8 0
Z9 64
U1 0
U2 28
SN 0278-4297
EI 1550-9613
UT WOS:000329538800004
PM 24371095
ER

PT J
AU Wilkinson, David
   Schafer, Jennifer
   Hewett, David
   Eley, Diann
   Swanson, Dave
TI Global benchmarking of medical student learning outcomes? Implementation
   and pilot results of the International Foundations of Medicine Clinical
   Sciences Exam at The University of Queensland, Australia
SO MEDICAL TEACHER
VL 36
IS 1
BP 62
EP 67
DI 10.3109/0142159X.2013.849331
PD JAN 2014
PY 2014
AB Objective: To report pilot results for international benchmarking of
   learning outcomes among 426 final year medical students at the
   University of Queensland (UQ), Australia.
   Methods: Students took the International Foundations of Medicine (IFOM)
   Clinical Sciences Exam (CSE) developed by the National Board of Medical
   Examiners, USA, as a required formative assessment. IFOM CSE comprises
   160 multiple-choice questions in medicine, surgery, obstetrics,
   paediatrics and mental health, taken over 4.5 hours.
   Outcomes: Significant implementation issues; IFOM scores and
   benchmarking with International Comparison Group (ICG) scores and United
   States Medical Licensing Exam (USMLE) Step 2 Clinical Knowledge (CK)
   scores; and correlation with UQ medical degree cumulative grade point
   average (GPA).
   Results: Implementation as an online exam, under university-mandated
   conditions was successful. Mean IFOM score was 531.3 (maximum
   779-minimum 200). The UQ cohort performed better (31% scored below 500)
   than the ICG (55% below 500). However 49% of the UQ cohort did not meet
   the USMLE Step 2 CK minimum score. Correlation between IFOM scores and
   UQ cumulative GPA was reasonable at 0.552 (p < 0.001).
   Conclusions: International benchmarking is feasible and provides a
   variety of useful benchmarking opportunities.
RI Eley, Diann S/C-3331-2008
OI Eley, Diann S/0000-0001-7256-9325
Z8 0
ZR 0
ZS 0
ZA 0
TC 9
ZB 0
Z9 9
U1 0
U2 6
SN 0142-159X
EI 1466-187X
UT WOS:000330286600008
PM 24164636
ER

PT J
AU Miller, Aaron E.
   Cohen, Bruce A.
   Krieger, Stephen C.
   Markowitz, Clyde E.
   Mattson, David H.
   Tselentis, Helen N.
TI Constructing an adaptive care model for the management of
   disease-related symptoms throughout the course of multiple
   sclerosis-performance improvement CME
SO MULTIPLE SCLEROSIS JOURNAL
VL 20
IS 1
BP 18
EP 23
DI 10.1177/1352458513495937
PD JAN 2014
PY 2014
AB Background: Symptom management remains a challenging clinical aspect of
   MS.
   Objective: To design a performance improvement continuing medical
   education (PI CME) activity for better clinical management of multiple
   sclerosis (MS)-related depression, fatigue, mobility impairment/falls,
   and spasticity.
   Methods: Ten volunteer MS centers participated in a three-stage PI CME
   model: A) baseline assessment; B) practice improvement CME intervention;
   C) reassessment. Expert faculty developed performance measures and
   activity intervention tools. Designated MS center champions reviewed
   patient charts and entered data into an online database. Stage C data
   were collected eight weeks after implementation of the intervention and
   compared with Stage A baseline data to measure change in performance.
   Results: Aggregate data from the 10 participating MS centers (405
   patient charts) revealed performance improvements in the assessment of
   all four MS-related symptoms. Statistically significant improvements
   were found in the documented assessment of mobility impairment/falls
   (p=0.003) and spasticity (p<0.001). For documentation of care plans,
   statistically significant improvements were reported for fatigue
   (p=0.007) and mobility impairment/falls (p=0.040); non-significant
   changes were noted for depression and spasticity.
   Conclusions: Our PI CME interventions demonstrated performance
   improvement in the management of MS-related symptoms. This PI CME model
   (available at www.achlpicme.org/ms/toolkit) offers a new perspective on
   enhancing symptom management in patients with MS.
Z8 0
TC 5
ZS 0
ZA 0
ZB 0
ZR 0
Z9 5
U1 0
U2 2
SN 1352-4585
EI 1477-0970
UT WOS:000328607800005
PM 23921134
ER

PT J
AU Hoonpongsimanont, W.
   Murphy, M.
   Kim, C. H.
   Nasir, D.
   Compton, S.
TI Emergency medicine resident well-being: stress and satisfaction
SO OCCUPATIONAL MEDICINE-OXFORD
VL 64
IS 1
BP 45
EP 48
DI 10.1093/occmed/kqt139
PD JAN 2014
PY 2014
AB Background Emergency medicine (EM) residents are exposed to many
   work-related stressors, which affect them both physically and
   emotionally. It is unknown, however, how EM residents perceive the
   effect of these stressors on their well-being and how often they use
   unhealthy coping mechanisms to manage stress.
   Aims To evaluate EM residents' perceptions of stressors related to their
   overall well-being and the prevalence of various coping mechanisms.
   Methods An online survey instrument was developed to gauge resident
   stress, satisfaction with current lifestyle, stress coping mechanisms
   and demographics. A stratified random sample of EM residents from three
   postgraduate years (PGY-I, PGY-II and PGY-III) was obtained. Descriptive
   statistics and one-way analysis of variance were used to compare
   residents across PGY level.
   Results There were 120 potential participants in each of the three PGYs.
   The overall response rate was 30% (109) with mean age of 30 and 61% were
   male. On a 0-4 scale (0 = completely dissatisfied), respondents in PGY-I
   reported significantly less satisfaction with lifestyle than those in
   PGY-II and III (mean rating: 1.29, 1.66 and 1.70, respectively; P <
   0.001). There were no significant differences in mean ratings between
   PGYs on each of the other stress categories: work relationships (1.37),
   work environment (1.10) and response to patients (1.08). Residents
   reported exercise (94%), hobbies (89%) and use of alcohol (71%) as
   coping methods.
   Conclusions Residents reported low satisfaction with current lifestyle.
   This dissatisfaction was unrelated to perceived work-related stress.
   Some undesirable coping methods were prevalent, suggesting that training
   programs could focus on promotion of healthy group activities.
RI Compton, Scott/AAF-5657-2020; Compton, Scott/
OI Compton, Scott/0000-0003-3942-6490
ZA 0
TC 20
Z8 0
ZB 2
ZR 0
ZS 0
Z9 20
U1 0
U2 5
SN 0962-7480
EI 1471-8405
UT WOS:000329306900012
PM 24306263
ER

PT J
AU McGregor, Freia
   Somner, John E. A.
   Bourne, Rupert R.
   Munn-Giddings, Carol
   Shah, Peter
   Cross, Vinette
TI Social media use by patients with glaucoma: what can we learn?
SO OPHTHALMIC AND PHYSIOLOGICAL OPTICS
VL 34
IS 1
BP 46
EP 52
DI 10.1111/opo.12093
PD JAN 2014
PY 2014
AB Purpose: Much health-related information is available on the internet
   but its quality is known to be variable. This research aimed to analyse
   the ophthalmic content of social media platforms which has yet to be
   formally assessed. Methods: Five online social media platforms were
   selected, the International Glaucoma Association (IGA) forum, Facebook,
   Twitter, YouTube and Patient-Opinion.org.uk. A total of 3785 items were
   scraped from the sites, collated and analysed using simple thematic
   analysis by two coders. Results: Fourteen themes were identified. The
   most commonly discussed topics included treatments, care experiences,
   promotions and support. Un-moderated sites contain more misleading
   information. Complementary therapies and treatments with a poor evidence
   base are presented more positively than established, evidence-based
   treatments. Conclusion: Online forums give patients a space to air
   questions, grievances, suggestions and to provide mutual support. The
   information they contain may be of use to physicians by flagging adverse
   drug reactions, areas for service improvement or topics about which
   patients require more information. There is a risk of exposure to
   misleading content which is heightened in un-moderated sites. Social
   media platforms may be an adjunct to current care models by providing a
   supportive and educational online community if these risks are
   understood.
ZR 0
Z8 0
ZB 3
TC 28
ZS 0
ZA 0
Z9 28
U1 0
U2 31
SN 0275-5408
EI 1475-1313
UT WOS:000328226900005
PM 24325434
ER

PT J
AU Fedewa, Michael V.
   Gist, Nicholas H.
   Evans, Ellen M.
   Dishman, Rod K.
TI Exercise and Insulin Resistance in Youth: A Meta-Analysis
SO PEDIATRICS
VL 133
IS 1
BP E163
EP E174
DI 10.1542/peds.2013-2718
PD JAN 2014
PY 2014
AB BACKGROUND AND OBJECTIVES: The prevalence of obesity and diabetes is
   increasing among children, adolescents, and adults. Although estimates
   of the efficacy of exercise training on fasting insulin and insulin
   resistance have been provided, for adults similar estimates have not
   been provided for youth. This systematic review and meta-analysis
   provides a quantitative estimate of the effectiveness of exercise
   training on fasting insulin and insulin resistance in children and
   adolescents.
   METHODS: Potential sources were limited to peer-reviewed articles
   published before June 25, 2013, and gathered from the PubMed,
   SPORTDiscus, Physical Education Index, and Web of Science online
   databases. Analysis was limited to randomized controlled trials by using
   combinations of the terms adolescent, child, pediatric, youth, exercise
   training, physical activity, diabetes, insulin, randomized trial, and
   randomized controlled trial. The authors assessed 546 sources, of which
   4.4% ( 24 studies) were eligible for inclusion. Thirty-two effects were
   used to estimate the effect of exercise training on fasting insulin,
   with 15 effects measuring the effect on insulin resistance. Estimated
   effects were independently calculated by multiple authors, and conflicts
   were resolved before calculating the overall effect.
   RESULTS: Based on the cumulative results from these studies, a small to
   moderate effect was found for exercise training on fasting insulin and
   improving insulin resistance in youth ( Hedges' d effect size = 0.48
   [95% confidence interval: 0.22-0.74], P < .001 and 0.31 [ 95% confidence
   interval: 0.06-0.56], P < .05, respectively).
   CONCLUSIONS: These results support the use of exercise training in the
   prevention and treatment of type 2 diabetes.
RI Dishman, Rodney/AAG-8047-2019
Z8 1
ZS 2
ZB 41
ZA 0
TC 90
ZR 0
Z9 92
U1 1
U2 34
SN 0031-4005
EI 1098-4275
UT WOS:000329168400021
PM 24298011
ER

PT J
AU Holland, Neil R
   Grinberg, Ilya
   Tabby, David
TI A standardized online clinical education and assessment tool for
   neurology clerkship students assigned to multiple sites.
SO Perspectives on medical education
VL 3
IS 1
BP 41
EP 5
DI 10.1007/s40037-013-0097-5
PD 2014-Jan
PY 2014
AB The Drexel neurology clerkship experience can vary from large groups at
   a university hospital inpatient unit to smaller groups at private
   physician offices. Evaluations are based on the site director's
   subjective assessment and performance on the National Board of Medical
   Examiners neurology shelf examination. We are developing a standardized
   online clinical neurology course and quiz for the whole clerkship. We
   piloted the course and quiz at a single site for one academic year and
   compared their test scores with a control group of students at other
   clerkship sites who took the online quiz without viewing the course.
   Students at the pilot site achieved higher scores both on the neurology
   shelf examination and the clinical quiz and also reported higher
   teaching satisfaction scores than students at all other sites. There was
   a 97% participation rate in the online quiz from the other sites. Use of
   this online course and quiz provides effective standardized clinical
   neurology teaching and evaluation that can be applied to students across
   multiple sites. 
OI Holland, Neil/0000-0001-5173-5996
ZS 0
Z8 0
ZR 0
TC 3
ZB 0
ZA 0
Z9 3
U1 0
U2 5
SN 2212-2761
UT MEDLINE:24307398
PM 24307398
ER

PT J
AU Abu-Zaid, Ahmed
   Alnajjar, Asma
TI Female second-year undergraduate medical students' attitudes towards
   research at the College of Medicine, Alfaisal University: a Saudi
   Arabian perspective.
SO Perspectives on medical education
VL 3
IS 1
BP 50
EP 5
DI 10.1007/s40037-013-0093-9
PD 2014-Jan
PY 2014
AB There is a rapidly increasing movement towards integrating scientific
   research training into undergraduate medical education. The aim of this
   study was to explore the perceived attitudes of female second-year
   undergraduate medical students towards research at the College of
   Medicine, Alfaisal University, Saudi Arabia, as well as to explore if
   any differences exist between students with and without previous
   research experiences. An online, anonymous, cross-sectional, self-rating
   survey was administered. A two-tailed Mann-Whitney U test was used to
   compare the mean 5-point Likert scale responses between students with
   and without previous research experiences. Sixty-one students (61/81)
   participated in the survey with a 75.3% response rate. Nineteen
   participants (31.1%) had previous research experiences. Overall, all
   students demonstrated positive attitudes towards undergraduate research.
   There were significant statistical differences in the means of attitudes
   towards undergraduate research between students with versus without
   previous research experiences in regards to the following statements:
   'my adequate possession of research knowledge and skills promotes
   participation in future research activities' (3.4 vs. 2.9; p<0.02), 'I
   will participate in scientific research activities throughout my
   undergraduate medical education' (3.7 vs. 3.1; p<0.00), and 'I have no
   interest at all in scientific research' (1.6 vs. 2.4; p<0.01). Previous
   exposure to scientific research experiences promotes more positive
   attitudes towards scientific research. 
OI Abu-Zaid, Ahmed/0000-0003-2286-2181
ZA 0
TC 12
ZS 0
ZR 0
Z8 0
ZB 3
Z9 12
U1 0
U2 0
SN 2212-2761
UT MEDLINE:24288125
PM 24288125
ER

PT J
AU Chiang, Wen-Chu
   Ko, Patrick Chow-In
   Chang, Anna Marie
   Chen, Wei-Ting
   Liu, Sot Shih-Hung
   Huang, Yu-Sheng
   Chen, Shey-Ying
   Lin, Chien-Hao
   Cheng, Ming-Tai
   Chong, Kah-Meng
   Wang, Hui-Chih
   Yang, Chih-Wei
   Liao, Mao-Wei
   Wang, Chen-Hsiung
   Chien, Yu-Chun
   Lin, Chi-Hung
   Liu, Yueh-Ping
   Lee, Bin-Chou
   Chien, Kuo-Long
   Lai, Mei-Shu
   Ma, Matthew Huei-Ming
TI Bystander-initiated CPR in an Asian metropolitan: Does the socioeconomic
   status matter?
SO RESUSCITATION
VL 85
IS 1
BP 53
EP 58
DI 10.1016/j.resuscitation.2013.07.033
PD JAN 2014
PY 2014
AB Objectives: To determine the association of neighborhood socioeconomic
   status (SES) with bystanderinitiated cardiopulmonary resuscitation (CPR)
   and patient outcomes of out of hospital cardiac arrests (OHCAs) in an
   Asian metropolitan area.
   Methods: We performed a retrospective study in a prospectively collected
   cohort from the Utstein registry of adult non-traumatic OHCAs in Taipei,
   Taiwan. Average real estate value was assessed as the first proxy of
   SES. Twelve administrative districts in Taipei City were categorized
   into low versus high SES areas to test the association. The primary
   outcome was bystander-initiated CPR, and the secondary outcome was
   patient survival status. Factors associated with bystander-initiated CPR
   were adjusted for in multivariate analysis. The mean household income
   was assessed as the second proxy of SES to validate the association.
   Results: From January 1, 2008 to December 30, 2009, 3573 OHCAs received
   prehospital resuscitation in the community. Among these, 617(17.3%)
   cases received bystander CPR. The proportion of bystander CPR in low-SES
   vs. high-SES areas was 14.5% vs. 19.6% (p < 0.01). Odds ratio of
   receiving bystander-initiated CPR in low-SES areas was 0.72 (95%
   confidence interval: [0.60-0.88]) after adjusting for age, gender,
   witnessed status, public collapse, and OHCA unrecognized by the online
   dispatcher. Survival to discharge rate was significantly lower in
   low-SES areas vs. high-SES areas (4.3% vs. 6.8%; p < 0.01). All results
   above remained consistent in the analyses by mean household income.
   Conclusions: Patients who experienced an OHCA in low-SES areas were less
   likely to receive bystanderinitiated CPR, and demonstrated worse
   survival outcomes. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
RI CHIANG, WEN-CHU/AAH-6057-2021; MA, MATTHEW HUEI-MING/; Liu, Shih-Hung/; CHEN, SHEY-YING/; YANG, CHIH-WEI/; Lai, Mei-shu/; Lin, Chien-Hao/; Wang, Hui-Chih/; CHENG, MING-TAI/
OI CHIANG, WEN-CHU/0000-0001-8620-7982; MA, MATTHEW
   HUEI-MING/0000-0002-4388-9984; Liu, Shih-Hung/0000-0003-4178-1694; CHEN,
   SHEY-YING/0000-0002-5855-6170; YANG, CHIH-WEI/0000-0001-7904-0395; Lai,
   Mei-shu/0000-0001-6130-3468; Lin, Chien-Hao/0000-0003-1045-1457; Wang,
   Hui-Chih/0000-0001-9279-5688; CHENG, MING-TAI/0000-0003-2781-340X
TC 45
ZS 0
ZR 0
ZA 0
ZB 12
Z8 1
Z9 46
U1 0
U2 7
SN 0300-9572
UT WOS:000330620400028
PM 24056397
ER

PT J
AU McCartney, Shirley
   Weltin, Markus
   Burchiel, Kim J.
TI Use of an Artificial Neural Network for Diagnosis of Facial Pain
   Syndromes: An Update
SO STEREOTACTIC AND FUNCTIONAL NEUROSURGERY
VL 92
IS 1
BP 44
EP 52
DI 10.1159/000353188
PD 2014
PY 2014
AB Background: Based on a classification scheme for facial pain syndromes
   and a binomial (yes/no) facial pain questionnaire, we previously
   reported on the ability of an artificial neural network (ANN) to
   recognize and correctly diagnose patients with different facial pain
   syndromes. Objectives: We now report on an updated questionnaire, the
   development of a secure web-based neural network application and details
   of ANNs trained to diagnose patients with different facial pain
   syndromes. Methods: Online facial pain questionnaire responses collected
   from 607 facial pain patients (395 female, 65%, ratio F/M 1.86/1) over 5
   years and 7 months were used for ANN training. Results: Sensitivity and
   specificity of the currently running ANN for trigeminal neuralgia type 1
   and trigeminal neuralgia type 2 are 92.4 and 62.5% and 87.8 and 96.4%,
   respectively. Sensitivity and specificity are 86.7 and 95.2% for
   trigeminal neuropathic pain, 0 and 100% for trigeminal deafferentation
   pain and 100% for symptomatic trigerninal neuralgia and postherpetic
   neuralgia. Sensitivity is 50% for nervus intermedius neuralgia (NIN) and
   0% for atypical facial pain (AFP), glossopharyngeal neuralgia (GPN) and
   temporomandibular joint disorder (TMJ). Specificity for AFP, NIN and TMJ
   is 99% and for GPN, 100%. Conclusions: We demonstrate the utilization of
   question-based historical self-assessment responses used as inputs to
   design an ANN for the purpose of diagnosing facial pain syndromes
   (outputs) with high accuracy. (C) 2013 S. Karger AG, Basel
TC 8
Z8 0
ZS 0
ZR 0
ZA 0
ZB 4
Z9 8
U1 1
U2 14
SN 1011-6125
EI 1423-0372
UT WOS:000330151800007
PM 24217113
ER

PT J
AU Huynh, Thien J.
   Flaherty, Matthew L.
   Gladstone, David J.
   Broderick, Joseph P.
   Demchuk, Andrew M.
   Dowlatshahi, Dar
   Meretoja, Atte
   Davis, Stephen M.
   Mitchell, Peter J.
   Tomlinson, George A.
   Chenkin, Jordan
   Chia, Tze L.
   Symons, Sean P.
   Aviv, Richard I.
TI Multicenter Accuracy and Interobserver Agreement of Spot Sign
   Identification in Acute Intracerebral Hemorrhage
SO STROKE
VL 45
IS 1
BP 107
EP 112
DI 10.1161/STROKEAHA.113.002502
PD JAN 2014
PY 2014
AB Background and Purpose Rapid, accurate, and reliable identification of
   the computed tomography angiography spot sign is required to identify
   patients with intracerebral hemorrhage for trials of acute hemostatic
   therapy. We sought to assess the accuracy and interobserver agreement
   for spot sign identification.
   Methods A total of 131 neurology, emergency medicine, and neuroradiology
   staff and fellows underwent imaging certification for spot sign
   identification before enrolling patients in 3 trials targeting
   spot-positive intracerebral hemorrhage for hemostatic intervention
   (STOP-IT, SPOTLIGHT, STOP-AUST). Ten intracerebral hemorrhage cases
   (spot-positive/negative ratio, 1:1) were presented for evaluation of
   spot sign presence, number, and mimics. True spot positivity was
   determined by consensus of 2 experienced neuroradiologists. Diagnostic
   performance, agreement, and differences by training level were analyzed.
   Results Mean accuracy, sensitivity, and specificity for spot sign
   identification were 87%, 78%, and 96%, respectively. Overall sensitivity
   was lower than specificity (P<0.001) because of true spot signs
   incorrectly perceived as spot mimics. Interobserver agreement for spot
   sign presence was moderate (k=0.60). When true spots were correctly
   identified, 81% correctly identified the presence of single or multiple
   spots. Median time needed to evaluate the presence of a spot sign was
   1.9 minutes (interquartile range, 1.2-3.1 minutes). Diagnostic
   performance, interobserver agreement, and time needed for spot sign
   evaluation were similar among staff physicians and fellows.
   Conclusions Accuracy for spot identification is high with opportunity
   for improvement in spot interpretation sensitivity and interobserver
   agreement particularly through greater reliance on computed tomography
   angiography source data and awareness of limitations of multiplanar
   images. Further prospective study is needed.
RI Meretoja, Atte/H-6531-2019; Tomlinson, George A/L-5432-2016; Meretoja, Atte/G-7381-2014; Demchuk, Andrew M/E-1103-2012; Dowlatshahi, Dar/; Gladstone, David/; Huynh, Thien/
OI Meretoja, Atte/0000-0001-6433-1931; Tomlinson, George
   A/0000-0002-9328-6399; Meretoja, Atte/0000-0001-6433-1931; Demchuk,
   Andrew M/0000-0002-4930-7789; Dowlatshahi, Dar/0000-0003-1379-3612;
   Gladstone, David/0000-0003-0612-5544; Huynh, Thien/0000-0001-9319-952X
Z8 0
TC 22
ZR 0
ZS 0
ZB 9
ZA 0
Z9 22
U1 0
U2 3
SN 0039-2499
EI 1524-4628
UT WOS:000328823400028
PM 24281226
ER

PT J
AU Adelman, Eric E.
   Meurer, William J.
   Nance, Dorinda K.
   Kocan, Mary Jo
   Maddox, Kate E.
   Morgenstern, Lewis B.
   Skolarus, Lesli E.
TI Stroke Awareness Among Inpatient Nursing Staff at an Academic Medical
   Center
SO STROKE
VL 45
IS 1
BP 271
EP 273
DI 10.1161/STROKEAHA.113.002905
PD JAN 2014
PY 2014
AB Background and Purpose Because 10% of strokes occur in hospitalized
   patients, we sought to evaluate stroke knowledge and predictors of
   stroke knowledge among inpatient and emergency department nursing staff.
   Methods Nursing staff completed an online stroke survey. The survey
   queried outcome expectations (the importance of rapid stroke
   identification), self-efficacy in recognizing stroke, and stroke
   knowledge (to name 3 stroke warning signs or symptoms). Adequate stroke
   knowledge was defined as the ability to name 2 stroke warning signs.
   Logistic regression was used to identify the association between stroke
   symptom knowledge and staff characteristics (education, clinical
   experience, and nursing unit), stroke self-efficacy, and outcome
   expectations.
   Results A total of 875 respondents (84% response rate) completed the
   survey and most of the respondents were nurses. More than 85% of
   respondents correctly reported 2 stroke warning signs or symptoms.
   Greater self-efficacy in identifying stroke symptoms (odds ratio, 1.13;
   95% confidence interval, 1.01-1.27) and higher ratings for the
   importance of rapid identification of stroke symptoms (odds ratio, 1.23;
   95% confidence interval, 1.002-1.51) were associated with stroke
   knowledge. Clinical experience, educational experience, nursing unit,
   and personal knowledge of a stroke patient were not associated with
   stroke knowledge.
   Conclusions Stroke outcome expectations and self-efficacy are associated
   with stroke knowledge and should be included in nursing education about
   stroke.
RI Meurer, William J/A-7547-2010; Adelman, Eric/
OI Meurer, William J/0000-0002-1158-5302; Adelman, Eric/0000-0002-3559-5580
ZA 0
ZR 0
TC 11
ZS 0
Z8 0
ZB 3
Z9 11
U1 2
U2 19
SN 0039-2499
EI 1524-4628
UT WOS:000328823400054
PM 24135928
ER

PT J
AU O'Reilly, Erin
   McNeill, Kathleen G.
   Mavor, Kenneth I.
   Anderson, Katrina
TI Looking Beyond Personal Stressors: An Examination of How Academic
   Stressors Contribute to Depression in Australian Graduate Medical
   Students
SO TEACHING AND LEARNING IN MEDICINE
VL 26
IS 1
BP 56
EP 63
DI 10.1080/10401334.2013.857330
PD JAN 1 2014
PY 2014
AB Background: Medical school is a challenging environment that requires
   students to deal effectively with stress borne out of the medical
   education environment, as well as their personal lives. Previous
   research has not systemically distinguished between academic and
   personal sources of stress, and in particular has not explored the
   independent contribution that academic stressors make to medical student
   depression. Purposes: This study aimed to investigate whether academic
   stressors make a unique contribution to the level of depressive symptoms
   in medical students, over and above the contribution made by personal
   stressors alone. Methods: Sixty-seven medical students completed an
   online questionnaire designed to measure the total number of recent life
   events (personal and academic), and their perceived impact, using a
   modified version of the Psychiatric Epidemiology Research Interview Life
   Events Scale. Depressive symptoms were measured using the Centre for
   Epidemiological Studies Depression Scale. Results: Both the total number
   of personal stressors, r(67) = .363, p = .003, and their perceived
   impact, r(67) = .412, p = .001, were found to be positively related to
   depressive symptoms. A positive relationship was also observed between
   depressive symptoms and the total number of academic stressors, r(67) =
   .321, p = .008, and their perceived impact, r(67) = .489, p < .001. In
   addition, it was found that the perceived impact of academic stressors
   was able to explain higher levels of depressive symptoms in medical
   students over and above the effect afforded by personal stressors alone.
   Conclusion: The findings of this study suggest that stress borne out of
   the medical school environment contributes to depressive symptoms in
   medical students over and above the contribution made by personal
   stressors alone. This indicates that although it is important to help
   students cope with stress borne out of their personal lives,
   interventions by medical schools aimed at reducing the impact of
   academic stressors on medical student depression may also be of great
   importance.
RI Mavor, Ken/E-6475-2011
OI Mavor, Ken/0000-0002-3160-3889
Z8 0
ZS 0
ZR 0
ZA 0
ZB 2
TC 26
Z9 26
U1 0
U2 27
SN 1040-1334
EI 1532-8015
UT WOS:000330104500008
PM 24405347
ER

PT J
AU Schoettle, Brandon
   Sivak, Michael
TI The Reasons for the Recent Decline in Young Driver Licensing in the
   United States
SO TRAFFIC INJURY PREVENTION
VL 15
IS 1
BP 6
EP 9
DI 10.1080/15389588.2013.839993
PD JAN 1 2014
PY 2014
AB Objective: This survey examined why a substantial percentage of young
   adults currently do not have a driver's license and the future plans of
   this group concerning obtaining a license.
   Method: A questionnaire was developed to examine several issues related
   to an individual's decision not to obtain a driver's license. An online
   survey was conducted, yielding useable responses from 618 persons aged
   18 to 39 without a driver's license.
   Results: The top 8 reasons for not having a driver's license were as
   follows: (1) too busy or not enough time to get a driver's license
   (determined by personal priorities), (2) owning and maintaining a
   vehicle is too expensive, (3) able to get transportation from others,
   (4) prefer to bike or walk, (5) prefer to use public transportation, (6)
   concerned about how driving impacts the environment, (7) able to
   communicate and/or conduct business online instead, and (8)
   disability/medical/vision problems. Of the respondents, 22% indicated
   that they plan to never obtain a driver's license. On the other hand,
   69% expect to get a driver's license within the next 5years. Young
   adults without a driver's licensein comparison with the general
   population of the same agetend to have less education and higher
   unemployment. However, the present study was not designed to investigate
   whether there is a causal relationship or the direction of the effect if
   there were such a relationship.
RI Schoettle, Brandon Alan/AAD-6652-2021
OI Schoettle, Brandon Alan/0000-0002-7010-6420
TC 33
ZS 0
Z8 0
ZR 0
ZA 0
ZB 3
Z9 33
U1 0
U2 17
SN 1538-9588
EI 1538-957X
UT WOS:000327421900002
PM 24279960
ER

PT J
AU Shantz, Jesse Alan Slade
   Leiter, Jeff R. S.
   Gottschalk, Tania
   MacDonald, Peter Benjamin
TI The internal validity of arthroscopic simulators and their effectiveness
   in arthroscopic education
SO KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
VL 22
IS 1
BP 33
EP 40
DI 10.1007/s00167-012-2228-7
PD JAN 2014
PY 2014
AB The purpose of this systematic review was to identify standard
   procedures for the validation of arthroscopic simulators and determine
   whether simulators improve the surgical skills of users.
   Arthroscopic simulator validation studies and randomized trials
   assessing the effectiveness of arthroscopic simulators in education were
   identified from online databases, as well as, grey literature and
   reference lists. Only validation studies and randomized trials were
   included for review. Study heterogeneity was calculated and where
   appropriate, study results were combined employing a random effects
   model.
   Four hundred and thirteen studies were reviewed. Thirteen studies met
   the inclusion criteria assessing the construct validity of simulators. A
   pooled analysis of internal validation studies determined that
   simulators could discriminate between novice and experts, but not
   between novice and intermediate trainees on time of completion of a
   simulated task. Only one study assessed the utility of a knee simulator
   in training arthroscopic skills directly and demonstrated that the skill
   level of simulator-trained residents was greater than
   non-simulator-trained residents.
   Excessive heterogeneity exists in the literature to determine the
   internal and transfer validity of arthroscopic simulators currently
   available. Evidence suggests that simulators can discriminate between
   novice and expert users, but discrimination between novice and
   intermediate trainees in surgical education should be paramount.
   International standards for the assessment of arthroscopic simulator
   validity should be developed to increase the use and effectiveness of
   simulators in orthopedic surgery.
   Diagnostic study, Level III.
RI Gottschalk, Tania/B-7205-2016; Gottschalk, Tania/AAC-6766-2019
OI Gottschalk, Tania/0000-0003-1052-4062; Gottschalk,
   Tania/0000-0003-1052-4062
ZB 4
Z8 0
ZA 0
ZS 1
ZR 0
TC 28
Z9 29
U1 0
U2 1
SN 0942-2056
EI 1433-7347
UT WOS:000329241300005
PM 23052120
ER

PT J
AU Castilho Barilli, E.
   Freitas Barretto, S.
   Moura Lima, C.
   Antonio Menezes, M.
TI Assessment of the use of online communities to integrate educational
   processes development teams: An experience in popular health education
SO Interactive Technology and Smart Education
VL 11
IS 4
BP 270
EP 86
DI 10.1108/ITSE-09-2014-0029
PD 2014
PY 2014
AB Purpose - The aim of this paper is to present the use of virtual
   communities in work processes in Popular Education, a field strongly
   supported by presentiality because of historical social inequalities in
   Brazil. It presents the assessment of the Virtual Community Work (CVT)
   used in the Popular Healthcare Education Policy (PNEPS).
   Design/methodology/approach - The exploratory research adopted two paths
   of analysis, one quantitative (using questionnaire) aimed to collect the
   participants' perceptions regarding the navigation, tools and features
   of CVT, and the other qualitative through observation of the
   interventions in its different spaces, having discourse analysis as the
   technique for analysis. Findings - The hands-on nature of Popular
   Education, revealed in the posts and in the speech of the participants,
   showed the potential and challenges of the territory and the need for
   change, both of the professional's outlook on his or her own work
   process and working with health in the communities that are, still
   today, very centered around authoritarian models. Research
   limitations/implications - Because the participation was not mandatory,
   the reduced number of participants was the main limitation of this work.
   Practical implications - The health problems specified in the
   interactions and much discussed in CVT may help the consolidation of the
   policy as the main practical implication. Social implications -
   Contribute to the creation of a network for the exchange of educational
   experiences in the field of Popular Education. Originality/value - The
   innovating character of this work lies in the application of Virtual
   Community in the field of popular education within the health sector as
   a strategy for implementation of a national policy.
RI de Freitas SFB BARRETTO, Stenio/E-9278-2010
OI de Freitas SFB BARRETTO, Stenio/0000-0002-1445-4412
Z8 0
ZB 0
ZR 0
ZS 0
TC 1
ZA 0
Z9 1
U1 0
U2 0
SN 1741-5659
UT INSPEC:15897142
ER

PT J
AU Murrell, Vicki S
TI The failure of medical education to develop moral reasoning in medical
   students.
SO International journal of medical education
VL 5
BP 219
EP 25
DI 10.5116/ijme.547c.e2d1
PD 2014 Dec 27
PY 2014
AB OBJECTIVE: The goal of this study was to determine differences in moral
   judgment among students in medical school.
   METHODS: This cross-sectional study involved students currently enrolled
   in undergraduate medical education. Recruited via email, 192 students
   took an online version of the Defining Issues Test to determine their
   current stage of moral judgment, as well as their percentage of
   postconventional thought. Independent variables included year of
   graduation, which indicated curriculum completion as well as
   participation in a professionalism course. Data was analyzed primarily
   using One-Way Analysis of Variance.
   RESULTS: Of the 192 participants, 165 responses were utilized. ANOVA
   showed no significant differences in moral judgment between or among any
   of the student cohorts, which were grouped by year of matriculation.
   Comparisons included students in the four years of medical school,
   divided by graduation year; students about to graduate (n=30) vs. those
   still in school (n=135); and students who had participated in a course
   in professionalism (n=91) vs. those who had not (n=74).
   CONCLUSIONS: These results demonstrate a lack of evolution in the moral
   reasoning of medical students and raise the issue of what might
   stimulate positive changes in moral judgment during the medical school
   experience.
Z8 0
ZR 0
ZA 0
ZB 2
ZS 2
TC 32
Z9 34
U1 0
U2 1
EI 2042-6372
UT MEDLINE:25543016
PM 25543016
ER

PT J
AU Kolade, Victor O
   Staton, Lisa J
   Jayarajan, Ramesh
   Bentley, Nanette K
   Huang, Xiangke
TI Feasibility of an innovative third-year chief resident system: an
   internal medicine residency leadership study.
SO Journal of community hospital internal medicine perspectives
VL 4
DI 10.3402/jchimp.v4.24511
PD 2014
PY 2014
AB INTRODUCTION: The role of the internal medicine chief resident includes
   various administrative, academic, social, and educational
   responsibilities, fulfillment of which prepares residents for further
   leadership tasks. However, the chief resident position has historically
   only been held by a few residents. As fourth-year chief residents are
   becoming less common, we considered a new model for rotating third-year
   residents as the chief resident.
   METHODS: Online surveys were given to all 29 internal medicine residents
   in a single university-based program after implementation of a
   leadership curriculum and specific job description for the third-year
   chief resident. Chief residents evaluated themselves on various aspects
   of leadership. Participation was voluntary. Descriptive statistics were
   generated using SPSS version 21.
   RESULTS: Thirteen junior (first- or second-year) resident responses
   reported that the chief residents elicited input from others (mean
   rating 6.8), were committed to the team (6.8), resolved conflict (6.7),
   ensured efficiency, organization and productivity of the team (6.7),
   participated actively (7.0), and managed resources (6.6). Responses from
   senior residents averaged 1 point higher for each item; this pattern
   repeated itself in teaching evaluations. Chief resident self-evaluators
   were more comfortable running a morning report (8.4) than with being
   chief resident (5.8).
   CONCLUSION: The feasibility of preparing internal medicine residents for
   leadership roles through a rotating PGY-3 (postgraduate year) chief
   residency curriculum was explored at a small internal medicine
   residency, and we suggest extending the study to include other programs.
ZS 0
ZA 0
ZB 0
ZR 0
TC 2
Z8 1
Z9 3
U1 0
U2 2
SN 2000-9666
UT MEDLINE:25147630
PM 25147630
ER

PT J
AU Hong Huang
   Apouey, B.
   Andrews, J.
TI Racial and ethnic disparities in awareness of cancer genetic testing
   among online users: internet use, health knowledge, and
   socio-demographic correlates
SO Journal of Consumer Health on the Internet
VL 18
IS 1
BP 15
EP 30
DI 10.1080/15398285.2014.869165
PD 2013
PY 2013
AB The increased availability of genetic information online has led to
   growing concerns regarding health disparities among racial and ethnic
   groups and the need to examine the role of race/ethnicity in genetic
   testing awareness. Online users from a national representative sample
   were analyzed to explain the racial/ethnic differences in genetic
   testing awareness. The analysis indicated that health-related knowledge,
   online information-seeking behaviors, and information trust of the
   Internet were correlated with the prediction for awareness of online
   genetic testing information in different ethnic groups. The study also
   highlights these differences and identifies the priority ranking of the
   factors that reflect racial gaps. These findings suggest that the
   diversities in amount of trust of online information sources, education
   initiatives of health services, and knowledge of the existence of
   clinical trials and Centers for Disease Control and Prevention need to
   be considered more closely for racial/ethnic subgroups.
RI Apouey, Benedicte/S-8030-2019; Huang, Hong/G-5957-2016
OI Apouey, Benedicte/0000-0003-1575-8423; Huang, Hong/0000-0002-8957-4881
Z8 0
ZS 0
TC 6
ZA 0
ZR 0
ZB 1
Z9 6
U1 0
U2 0
SN 1539-8285
UT INSPEC:15081267
ER

PT J
AU Mujawar, Imran
   Sabatino, Matt
   Mitchell, Stephen Ray
   Walker, Benjamin
   Weissinger, Peggy
   Plankey, Michael
TI A 12-year comparison of students' perspectives on diversity at a Jesuit
   Medical School
SO MEDICAL EDUCATION ONLINE
VL 19
AR 23401
DI 10.3402/meo.v19.23401
PD 2014
PY 2014
AB Background: Many studies have assessed perspectives of medical students
   toward institutional diversity, but few of them have attempted to map
   changes in diversity climate over time. Objective: This study aims to
   investigate changes in diversity climate at a Jesuit medical institution
   over a 12-year period.
   Methods: In 1999, 334 medical students completed an anonymous
   self-administered online survey, and 12 years later, 406 students
   completed a comparable survey in 2011. Chi-square tests assessed the
   differences in percent responses to questions of the two surveys,
   related to three identities: gender, race, and sexual orientation.
   Results: The 1999 versus 2011 samples were 46% versus 49% female, 61%
   versus 61% Caucasian, and 41% vs. 39% aged 25 years or older. Findings
   suggested improvements in medical students' perceptions surrounding
   equality 'in general' across the three identities (p<0.001); 'in the
   practice of medicine' based on gender (p<0.001), race/ethnicity (p =
   0.60), and sexual orientation (p = 0.43); as well as in the medical
   school curriculum, including course text content, professor's delivery
   and student-faculty interaction (p<0.001) across the three identities.
   There was a statistically significant decrease in experienced or
   witnessed events related to gender bias (p<0.001) from 1999 to 2011;
   however, reported events of bias based on race/ethnicity (p = 0.69) and
   sexual orientation (p = 0.58) only showed small decreases.
   Conclusions: It may be postulated that the improvement in students'
   self-perceptions of equality and diversity over the past 12 years may
   have been influenced by a generational acceptance of cultural diversity
   and, the inclusion of diversity training courses within the medical
   curriculum. Diversity training related to race and sexual orientation
   should be expanded, including a follow-up survey to assess the
   effectiveness of any intervention.
RI Sabatino, Matthew/AAO-2856-2020
OI Sabatino, Matthew/0000-0002-3514-7366
ZB 1
ZS 1
ZR 0
TC 2
Z8 0
ZA 0
Z9 2
U1 0
U2 0
SN 1087-2981
UT WOS:000332091500001
ER

PT J
AU Mueller, Alexandra
TI Teaching lesbian, gay, bisexual and transgender health in a South
   African health sciences faculty: addressing the gap
SO BMC MEDICAL EDUCATION
VL 13
AR 174
DI 10.1186/1472-6920-13-174
PD DEC 27 2013
PY 2013
AB Background: People who identity as lesbian, gay, bisexual and
   transgender (LGBT) have specific health needs. Sexual orientation and
   gender identity are social determinants of health, as homophobia and
   heteronormativity persist as prejudices in society. LGBT patients often
   experience discrimination and prejudice in health care settings. While
   recent South African policies recognise the need for providing LGBT
   specific health care, no curricula for teaching about LGBT health
   related issues exist in South African health sciences faculties. This
   study aimed to determine the extent to which LGBT health related content
   is taught in the University of Cape Town's medical curriculum.
   Methods: A curriculum mapping exercise was conducted through an online
   survey of all academic staff at the UCT health sciences faculty,
   determining LGBT health related content, pedagogical methodology and
   assessment.
   Results: 127 academics, across 31 divisions and research units in the
   Faculty of Health Sciences, responded to the survey, of which 93
   completed the questionnaire. Ten taught some content related to LGBT
   health in the MBChB curriculum. No LGBT health related content was
   taught in the allied health sciences curricula. The MBChB curriculum
   provided no opportunity for students to challenge their own attitudes
   towards LGBT patients, and key LGBT health topics such as safer sex,
   mental health, substance abuse and adolescent health were not addressed.
   Conclusion: At present, UCTs health sciences curricula do not adequately
   address LGBT specific health issues. Where LGBT health related content
   is taught in the MBChB curriculum, it is largely discretionary,
   unsystematic and not incorporated into the overarching structure.
   Coordinated initiatives to integrate LGBT health related content into
   all health sciences curricula should be supported, and follow an
   approach that challenges students to develop professional attitudes and
   behaviour concerning care for patients from LGBT backgrounds, as well as
   providing them with specific LGBT health knowledge. Educating health
   professions students on the health needs of LGBT people is essential to
   improving this population's health by providing competent and
   non-judgmental care.
RI Muller, Alexandra/M-1415-2015
OI Muller, Alexandra/0000-0002-3254-7591
ZR 0
ZA 0
ZB 7
Z8 0
TC 50
ZS 9
Z9 56
U1 0
U2 47
SN 1472-6920
UT WOS:000330056100003
PM 24373219
ER

PT J
AU Rothman, Sheila M.
   Brudney, Karen F.
   Adair, Whitney
   Rothman, David J.
TI Medical Communication Companies and Industry Grants
SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
VL 310
IS 23
BP 2554
EP 2558
DI 10.1001/jama.2013.281638
PD DEC 18 2013
PY 2013
AB IMPORTANCE Medical communication companies (MCCs) are among the most
   significant health care stakeholders, supported mainly by drug and
   device companies. How MCCs share or protect physicians' personal data
   requires greater transparency.
   OBJECTIVE To explore the financial relationships between MCCs and drug
   and device companies, to describe the characteristics of the large MCCs,
   and to explore whether they accurately represent themselves to
   physicians.
   DESIGN We combined data from the 2010 grant registries of 14
   pharmaceutical and device companies; grouped recipients into categories
   such as MCCs, academic medical centers, disease-targeted advocacy
   organizations, and professional associations; and created a master list
   of 19 272 grants.
   MAIN OUTCOMES AND MEASURES Determine the distribution of funds from drug
   and device companies to various entities and assess the characteristics
   of large MCCs.
   RESULTS Of the 6493 recipients of more than $657 million grant awards
   from drug and device companies, 18 of 363 MCCs received 26%, academic
   medical centers received 21%, and disease-targeted organizations
   received 15%. For-profit MCCs received 77% of funds (208 of 363). Among
   the top 5% of MCCs, 14 of 18 were for-profit. All 18 offered continuing
   medical education: 14 offered live and 17 offered online CME courses.
   All required physicians to provide personal data. Ten stated that they
   shared information with unnamed third parties. Eight stated they did not
   share information, but almost all added exceptions. None required
   explicit physician consent to their sharing policies.
   CONCLUSIONS AND RELEVANCE Medical communication companies receive
   substantial support from drug and device companies. Physicians who
   interact with MCCs should be aware that all require personal data from
   the physician and some share these data with unnamed third parties.
ZR 0
TC 10
ZB 1
Z8 0
ZS 0
ZA 0
Z9 10
U1 0
U2 6
SN 0098-7484
EI 1538-3598
UT WOS:000328503600025
PM 24346991
ER

PT J
AU Mathieu, Sylvain
   Couderc, Marion
   Glace, Baptiste
   Tournadre, Anne
   Malochet-Guinamand, Sandrine
   Pereira, Bruno
   Dubost, Jean-Jacques
   Soubrier, Martin
TI Construction and utilization of a script concordance test as an
   assessment tool for dcem3 (5th year) medical students in rheumatology
SO BMC MEDICAL EDUCATION
VL 13
AR 166
DI 10.1186/1472-6920-13-166
PD DEC 13 2013
PY 2013
AB Background: The script concordance test (SCT) is a method for assessing
   clinical reasoning of medical students by placing them in a context of
   uncertainty such as they will encounter in their future daily practice.
   Script concordance testing is going to be included as part of the
   computer-based national ranking examination (iNRE). This study was
   designed to create a script concordance test in rheumatology and use it
   for DCEM3 (fifth year) medical students administered via the online
   platform of the Clermont-Ferrand medical school.
   Methods: Our SCT for rheumatology teaching was constructed by a panel of
   19 experts in rheumatology (6 hospital-based and 13 community-based).
   One hundred seventy-nine DCEM3 (fifth year) medical students were
   invited to take the test. Scores were computed using the scoring key
   available on the University of Montreal website. Reliability of the test
   was estimated by the Cronbach alpha coefficient for internal
   consistency.
   Results: The test comprised 60 questions. Among the 26 students who took
   the test (26/179: 14.5%), 15 completed it in its entirety. The reference
   panel of rheumatologists obtained a mean score of 76.6 and the 15
   students had a mean score of 61.5 (p = 0.001). The Cronbach alpha value
   was 0.82.
   Conclusions: An online SCT can be used as an assessment tool for medical
   students in rheumatology. This study also highlights the active
   participation of community-based rheumatologists, who accounted for the
   majority of the 19 experts in the reference panel.
   A script concordance test in rheumatology for 5th year medical students
RI Couderc, Marion/L-5715-2015; Couderc, Marion/; Pereira, Bruno/
OI Couderc, Marion/0000-0002-2001-1132; Pereira, Bruno/0000-0003-3778-7161
TC 11
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
Z9 11
U1 1
U2 4
EI 1472-6920
UT WOS:000330054400001
PM 24330600
ER

PT J
AU Schandelmaier, Stefan
   Fischer, Katrin
   Mager, Ralph
   Hoffmann-Richter, Ulrike
   Leibold, Andrea
   Bachmann, Monica S.
   Kedzia, Sarah
   Jeger, Joerg
   Marelli, Renato
   Kunz, Regina
   De Boer, Wout E. L.
TI Evaluation of work capacity in Switzerland: a survey among psychiatrists
   about practice and problems
SO SWISS MEDICAL WEEKLY
VL 143
AR w13890
DI 10.4414/smw.2013.13890
PD DEC 13 2013
PY 2013
AB QUESTIONS UNDER STUDY: In Switzerland, psychiatric evaluations of work
   capacity for determining a person's eligibility for disability benefits
   are being criticised for a lack of transparency and high inter-rater
   variability. The aims of this study were to learn about the current
   practice of psychiatrists, to explore possible sources for lack of
   transparency and variability, and to contrast practice with current
   professional guidance.
   METHODS: A national online-survey among psychiatrists who performed five
   or more evaluations of work capacity per year. Based on discussions with
   experts and a literature review, we structured questions focusing on
   reporting on work capacity, the description of a claimant's previous
   job, and measures of quality assurance.
   RESULTS: A total of 129 psychiatrists responded (31% of estimated 412
   eligible psychiatrists). The majority reported using instructions of the
   insurers (77%), peer consulting (65%) and process guidelines (51%). They
   expressed a claimant's work capacity as free text and percentage work
   capacity (49%), percentage only (23%), or free text only (14%). A total
   of 13% used instruments to document work capacity. Psychiatrists
   considered three different interpretations of percentage work capacity
   as equally applicable. A job description was regarded as mandatory to
   determine work capacity by 90% but only 26% received it and found it
   mostly deficient.
   CONCLUSIONS: The transparency and reliability of Swiss psychiatrists'
   conclusions on a claimant's work capacity may be reduced by unsystematic
   reporting, variable interpretation of the percentage work capacity, lack
   of a detailed job description and insufficient quality control.
   Education, engagement of insurers and new guidelines might be effective
   means of implementing improvements.
RI Schandelmaier, Stefan/GLV-3722-2022
OI Schandelmaier, Stefan/0000-0002-8429-0337
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
TC 10
Z9 10
U1 0
U2 7
SN 1424-7860
EI 1424-3997
UT WOS:000328484000004
PM 24338835
ER

PT J
AU Halkoaho, Arja
   Matveinen, Mari
   Leinonen, Ville
   Luoto, Kirsi
   Keranen, Tapani
TI Education of research ethics for clinical investigators with Moodle tool
SO BMC MEDICAL ETHICS
VL 14
AR 53
DI 10.1186/1472-6939-14-53
PD DEC 12 2013
PY 2013
AB Background: In clinical research scientific, legal as well as ethical
   aspects are important. It is well known that clinical investigators at
   university hospitals have to undertake their PhD-studies alongside their
   daily work and reconciling work and study can be challenging. The aim of
   this project was to create a web based course in clinical research
   bioethics (5 credits) and to examine whether the method is suitable for
   teaching bioethics. The course comprised of six modules: an initial
   examination (to assess knowledge in bioethics), information on research
   legislation, obtaining permissions from authorities, writing an essay on
   research ethics, preparing one's own study protocol, and a final exam.
   All assignments were designed with an idea of supporting students to
   reflect on their learning with their own research.
   Methods: 57 PhD-students (medical, nursing and dental sciences) enrolled
   and 46 completed the course. Course evaluation was done using a
   questionnaire. The response rate was 78%. Data were analyzed using
   quantitative methods and qualitative content analysis.
   Results: The course was viewed as useful and technically easy to
   perform. Students were pleased with the guidance offered. Personal
   feedback from teachers about students' own performance was seen
   advantageous and helped them to appreciate how these aspects could be
   applied their own studies. The course was also considered valuable for
   future research projects.
   Conclusions: Ethical issues and legislation of clinical research can be
   understood more easily when students can reflect the principles upon
   their own research project. Web based teaching environment is a feasible
   learning method for clinical investigators.
OI Halkoaho, Arja/0000-0002-0095-3683
ZS 1
ZA 0
ZB 3
Z8 0
ZR 1
TC 14
Z9 15
U1 0
U2 35
SN 1472-6939
UT WOS:000330061400001
PM 24330709
ER

PT J
AU Boeker, Martin
   Andel, Peter
   Vach, Werner
   Frankenschmidt, Alexander
TI Game-Based E-Learning Is More Effective than a Conventional
   Instructional Method: A Randomized Controlled Trial with Third-Year
   Medical Students
SO PLOS ONE
VL 8
IS 12
AR e82328
DI 10.1371/journal.pone.0082328
PD DEC 5 2013
PY 2013
AB Background: When compared with more traditional instructional methods,
   Game-based e-learning (GbEl) promises a higher motivation of learners by
   presenting contents in an interactive, rule-based and competitive way.
   Most recent systematic reviews and meta-analysis of studies on
   Game-based learning and GbEl in the medical professions have shown
   limited effects of these instructional methods.
   Objectives: To compare the effectiveness on the learning outcome of a
   Game-based e-learning (GbEl) instruction with a conventional
   script-based instruction in the teaching of phase contrast microscopy
   urinalysis under routine training conditions of undergraduate medical
   students.
   Methods: A randomized controlled trial was conducted with 145 medical
   students in their third year of training in the Department of Urology at
   the University Medical Center Freiburg, Germany. 82 subjects where
   allocated for training with an educational adventure-game (GbEl group)
   and 69 subjects for conventional training with a written script-based
   approach (script group). Learning outcome was measured with a 34 item
   single choice test. Students' attitudes were collected by a
   questionnaire regarding fun with the training, motivation to continue
   the training and self-assessment of acquired knowledge.
   Results: The students in the GbEl group achieved significantly better
   results in the cognitive knowledge test than the students in the script
   group: the mean score was 28.6 for the GbEl group and 26.0 for the
   script group of a total of 34.0 points with a Cohen's d effect size of
   0.71 (ITT analysis). Attitudes towards the recent learning experience
   were significantly more positive with GbEl. Students reported to have
   more fun while learning with the game when compared to the script-based
   approach.
   Conclusions: Game-based e-learning is more effective than a script-based
   approach for the training of urinalysis in regard to cognitive learning
   outcome and has a high positive motivational impact on learning.
   Game-based e-learning can be used as an effective teaching method for
   self-instruction.
RI Boeker, Martin/N-3854-2016; Vach, Werner/F-2512-2011; Andel, Peter Michael/
OI Boeker, Martin/0000-0003-2972-2042; Vach, Werner/0000-0003-1865-8399;
   Andel, Peter Michael/0000-0002-6176-4165
ZA 0
Z8 0
TC 65
ZB 8
ZS 1
ZR 0
Z9 67
U1 1
U2 79
SN 1932-6203
UT WOS:000328566100099
PM 24349257
ER

PT J
AU Keenan, Jeremy D.
   Hotez, Peter J.
   Amza, Abdou
   Stoller, Nicole E.
   Gaynor, Bruce D.
   Porco, Travis C.
   Lietman, Thomas M.
TI Elimination and Eradication of Neglected Tropical Diseases with Mass
   Drug Administrations: A Survey of Experts
SO PLOS NEGLECTED TROPICAL DISEASES
VL 7
IS 12
AR e2562
DI 10.1371/journal.pntd.0002562
PD DEC 2013
PY 2013
AB Background Lymphatic filariasis, onchocerciasis, schistosomiasis,
   soil-transmitted helminths, and trachoma are the five most prevalent
   neglected tropical diseases in the world, and each is frequently treated
   with mass drug administrations. We performed a survey of neglected
   tropical diseases experts to elicit their opinions on the role of mass
   drug administrations for the elimination of these infections.
   Methodology/Principal Findings We sent an online survey to corresponding
   authors who had published an article about a neglected tropical disease
   from 2007 to 2011. Of 825 unique authors who were invited to complete
   the survey, 365 (44.2%) responded, including 234 (28.4%) who answered
   questions regarding one of the five most prevalent neglected tropical
   diseases. Respondents had varying opinions about the goals of
   programmatic activities for their chosen neglected tropical disease,
   with elimination or eradication identified as the most important goal by
   87% of lymphatic filariasis respondents, 66% of onchocerciasis
   respondents, 55% of trachoma respondents, 24% of schistosomiasis
   respondents, and 21% of soil-transmitted helminth respondents. Mass drug
   administrations, other non-medication health measures, and education
   were generally thought to be more important for elimination than vector
   control, development of a new tool, or the presence of a secular trend.
   Drug resistance was thought to be a major limitation of mass drug
   administrations for all five neglected tropical diseases. Over half of
   respondents for lymphatic filariasis and trachoma thought that repeated
   mass drug administrations could eliminate infection within ten years of
   the initiation of mass treatments.
   Conclusions/Significance Respondents for lymphatic filariasis,
   onchocerciasis, and trachoma were more enthusiastic about the prospects
   of elimination and eradication than were respondents for schistosomiasis
   or soil-transmitted helminths. Mass drug administrations were generally
   believed to be among the most important factors for the success of
   elimination efforts for each of the five neglected tropical diseases,
   highlighting the opportunity for integrating drug distributions.
   Author Summary Mass drug administrations are used for each of the five
   most common neglected tropical diseases: lymphatic filariasis,
   onchocerciasis, schistosomiasis, soil-transmitted helminths, and
   trachoma. Three of these infectionslymphatic filariasis, onchocerciasis,
   and trachomaare officially targeted for elimination, and mass drug
   administrations play a key role in the elimination plans for each. While
   progress has been demonstrated for each of these diseases, it is unclear
   whether researchers of these diseases think that elimination is
   feasible, or whether mass drug administrations should play an important
   role given the potential for drug resistance. We performed a survey of
   neglected tropical diseases experts to assess their opinions on the
   likelihood of elimination and the role of mass drug administrations for
   the five most common neglected tropical diseases. Most experts in
   lymphatic filariasis, onchocerciasis, and trachoma thought elimination
   was the appropriate goal of treatment programs, whereas most experts in
   schistosomiasis and soil-transmitted helminths thought that treatment
   programs were intended to control, but not eliminate, infection. Drug
   resistance was thought to be a major limitation for each of the
   infections. Although there were differences between the five infections,
   mass drug administrations, non-medication health measures, and education
   were generally thought to be the most important pieces of a control
   program.
RI Keenan, Jeremy/AAO-5882-2020; Hotez, Peter/
OI Keenan, Jeremy/0000-0002-7118-1457; Hotez, Peter/0000-0001-8770-1042
TC 53
ZR 0
ZB 44
ZA 0
ZS 0
Z8 0
Z9 53
U1 1
U2 31
SN 1935-2735
UT WOS:000329168100035
PM 24340111
ER

PT J
AU Pickett, Stephanie D.
   James, Rebecca L.
   Mahajan, Sangeeta T.
TI Teaching robotic surgery skills: comparing the methods of generalists
   and subspecialists
SO INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
VL 9
IS 4
BP 472
EP 476
DI 10.1002/rcs.1511
PD DEC 2013
PY 2013
AB BackgroundTo compare opinions of general and subspecialty obstetricians
   and gynecologists regarding teaching robotic surgery (RS) to residents.
   MethodsAfter obtaining IRB approval, 2189 gynecologic surgeons trained
   on the DaVinci Surgical System (R) (Intuitive Surgical, Sunnydale, CA)
   were asked to complete an online survey. Anonymous responses were
   obtained and compared using the chi-squared test, including opinions on
   training residents in RS.
   ResultsOf these 303 respondents, 161 practiced general obstetrics and
   gynecology (generalists'), and 138 were self-described subspecialists'
   (+/- fellowship training). The majority of subspecialists (82%) taught
   residents, and 63% allowed resident participation. Only 44% of
   generalists taught residents, and 36% allowed participation. Regarding
   ideal RS training time, generalists favored residency (39%), while
   subspecialists favored fellowship. (46%, P<0.001)
   ConclusionsWhile many generalists and subspecialists incorporate
   training residents into their robotic cases, there is still disparity
   regarding the extent of participation. Standardized training curriculums
   should be a goal of residencies with RS. Copyright (c) 2013 John Wiley &
   Sons, Ltd.
ZA 0
TC 3
ZS 0
ZR 0
ZB 0
Z8 0
Z9 3
U1 0
U2 2
SN 1478-5951
EI 1478-596X
UT WOS:000328555500013
PM 23897782
ER

PT J
AU Dalla Nora, Carlise Rigon
   Junges, Jose Roque
TI Humanization policy in primary health care: a systematic review
SO REVISTA DE SAUDE PUBLICA
VL 47
IS 6
BP 1186
EP 1200
DI 10.1590/S0034-8910.2013047004581
PD DEC 2013
PY 2013
AB OBJECTIVE: To analyze humanization practices in primary health care in
   the Brazilian Unified Health System according to the principles of the
   National Humanization Policy.
   METHODS: A systematic review of the literature was carried out, followed
   by a meta-synthesis, using the following databases: BDENF (nursing
   database), BDTD (Brazilian digital library of theses and dissertations),
   CINAHL (Cumulative Index to nursing and allied health literature),
   LILACS (Latin American and Caribbean health care sciences literature),
   MedLine (International health care sciences literature), PAHO
   (Pan-American Health Care Organization Library) and SciELO (Scientific
   Electronic Library Online). The following descriptors were used:
   Humanization; Humanizing Health Care; Reception: Humanized care:
   Humanization in health care; Bonding; Family Health Care Program;
   Primary Care; Public Health and Sistema Unico de Saude (the Brazilian
   public health care system). Research articles, case studies, reports of
   experiences, dissertations, theses and chapters of books written in
   Portuguese, English or Spanish, published between 2003 and 2011, were
   included in the analysis.
   RESULTS: Among the 4,127 publications found on the topic, 40 studies
   were evaluated and included in the analysis, producing three main
   categories: the first referring to the infrastructure and organization
   of the primary care service, made clear the dissatisfaction with the
   physical structure and equipment of the services and with the flow of
   attendance, which can facilitate or make difficult the access. The
   second, referring to the health work process, showed issues about the
   insufficient number of professionals, fragmentation of the work
   processes, the professional profile and responsibility. The third
   category, referring to the relational technologies, indicated the
   reception, bonding, listening, respect and dialog with the service
   users.
   CONCLUSIONS: Although many practices were cited as humanizing they do
   not produce changes in the health services because of the lack of more
   profound analysis of the work processes and ongoing education in the
   health care services.
RI Nora, Carlise Rigon Dalla/AAB-2855-2020; Rigon Dalla Nora, Carlise/
OI Nora, Carlise Rigon Dalla/0000-0001-5501-2146; Rigon Dalla Nora,
   Carlise/0000-0003-0087-0439
Z8 0
ZS 14
ZA 0
TC 22
ZR 0
ZB 1
Z9 26
U1 2
U2 25
SN 0034-8910
EI 1518-8787
UT WOS:000333038600017
PM 24626556
ER

PT J
AU Erikson, Clese E.
   Danish, Sana
   Jones, Karen C.
   Sandberg, Shana F.
   Carle, Adam C.
TI The Role of Medical School Culture in Primary Care Career Choice
SO ACADEMIC MEDICINE
VL 88
IS 12
BP 1919
EP 1926
DI 10.1097/ACM.0000000000000038
PD DEC 2013
PY 2013
AB Purpose To examine individual-level and medical-school-level factors,
   including the school's primary care culture, that are associated with
   medical students' likelihood of practicing primary care.
   Method In spring 2010, the Association of American Medical Colleges
   Center for Workforce Studies invited all fourth-year medical students at
   a stratified random sample of 20 U.S. MD-granting medical schools to
   participate in an online survey examining factors in specialty choice
   decisions. Schools were stratified according to the historical
   percentage of their graduates who became practicing primary care
   physicians. Multilevel logistic regression modeling was used to
   determine which individual- and school-level characteristics
   significantly predicted students' likelihood of practicing primary care.
   Results Of the 2,604 students invited, 1,661 (64%) responded. Of the
   1,554 students with complete data on variables of interest, 207 (13%)
   planned to enter a primary care residency and stated they were very
   likely to become a primary care physician on completion of training.
   Students who attended schools with high reported levels of badmouthing
   primary care were less likely to practice primary care (OR, 0.6; 95% CI,
   0.4-0.9). Attending a school where students had greater than the median
   number of positive experiences in primary care clerkships increased the
   likelihood of practicing primary care (OR, 1.6; 95% CI, 1.1-2.3).
   Overall, 8% of the total variation in a student's likelihood of
   practicing primary care was attributable to school-level factors.
   Conclusions Although individual students' characteristics and
   preferences drive specialty choice decisions, the prevailing primary
   care culture at a school also plays a role.
OI Sandberg, Shana/0000-0001-9014-3635
Z8 1
ZS 1
ZA 0
TC 71
ZR 0
ZB 7
Z9 73
U1 0
U2 20
SN 1040-2446
EI 1938-808X
UT WOS:000327433000036
PM 24128615
ER

PT J
AU McKenzie, Karen
TI A comparison of the effectiveness of a game informed online learning
   activity and face to face teaching in increasing knowledge about
   managing aggression in health settings
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 18
IS 5
BP 917
EP 927
DI 10.1007/s10459-012-9430-8
PD DEC 2013
PY 2013
AB The present study compared the impact of face to face teaching with a
   short online game informed learning activity on health participants'
   knowledge about, and confidence in, managing aggressive situations. Both
   forms of teaching resulted in a significant increase in participants'
   knowledge and confidence. Face to face training led to significantly
   greater increases in knowledge but was equivalent in terms of
   confidence. Both forms of teaching were rated positively, but face to
   face teaching received significantly higher ratings than the online
   activity. The study suggests that short online game informed learning
   activities may offer an effective alternative for health professional
   training where face to face training is not possible. Further research
   is needed on the longer term impact of both types of training on
   practice.
OI McKenzie, Karen/0000-0002-0400-416X
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
TC 8
Z9 8
U1 0
U2 37
SN 1382-4996
EI 1573-1677
UT WOS:000326890200005
PM 23184436
ER

PT J
AU Felder, E.
   Fauler, M.
   Geiler, S.
TI Introducing e-learning/teaching in a physiology course for medical
   students: acceptance by students and subjective effect on learning
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 37
IS 4
BP 337
EP 342
DI 10.1152/advan.00158.2012
PD DEC 2013
PY 2013
AB Retrieval of information has substantially changed within the last two
   decades. Naturally, this has also affected learning/teaching techniques,
   and methods that are commonly referred to as "e-learning" have become an
   important part in modern education. Institutions have to decide if (and
   how) to implement this new form of teaching but face the problem that
   little subject-specific research has been published for different
   teaching modes and methods. The present study compares a course module
   of the physiology laboratory course for medical students in the
   preclinical phase before and after the introduction of computer-aided
   course instructions (CACI). Students were provided with an online
   questionnaire containing Likert items evaluating workspace redesign,
   acceptance of course instructions, incentive to actively participate in
   the course, and subjective gain of knowledge. CACI was clearly preferred
   over the previously used paper workbook. However, the questionnaire also
   revealed that the gain in knowledge, as subjectively perceived by the
   students, had not improved, which is in agreement with several studies
   that neglected a beneficial effect of e-learning on learning success. We
   conclude that the CACI meet today's student's expectations and that
   introducing this system seems justified from this perspective.
ZA 0
TC 10
ZB 0
ZR 0
ZS 0
Z8 0
Z9 10
U1 0
U2 34
SN 1043-4046
EI 1522-1229
UT WOS:000327819500009
PM 24292910
ER

PT J
AU Watson, Natasha
   Massarotto, Alicia
   Caputo, Lisa
   Flicker, Leon
   Beer, Christopher
TI e-ageing: Development and evaluation of a flexible online geriatric
   medicine educational resource for diverse learners
SO AUSTRALASIAN JOURNAL ON AGEING
VL 32
IS 4
BP 222
EP 228
DI 10.1111/j.1741-6612.2012.00622.x
PD DEC 2013
PY 2013
AB AimsTo determine preferred content and format for online education
   modules in aged care among inter-professional learners; to develop
   resources that meet user preferences.
   MethodsStakeholders were interviewed. A survey was administered to all
   health/medical students and teachers at The University of Western
   Australia. An iterative process was used to develop modules, and user
   feedback was collated.
   ResultsThe educational needs of each discipline related primarily to
   foundation level knowledge in major aged care topics. Stakeholders
   sought modules incorporating communication skills, cultural and social
   issues and the importance of a multidisciplinary approach to aged care.
   Students from all disciplines sought online materials that are
   interactive, engaging, case-based and locally relevant. Online modules
   were developed. Evaluation of the modules by users has been strongly
   positive.
   ConclusionThere was consensus regarding the major curricular areas that
   online resources should encompass. The e-ageing modules developed in
   this project have been evaluated positively by users.
RI Flicker, Leon/AAE-1530-2022; Etherton-Beer, Christopher/B-2714-2014
OI Flicker, Leon/0000-0002-3650-0475; Etherton-Beer,
   Christopher/0000-0001-5148-0188
ZR 0
ZS 0
Z8 0
TC 3
ZA 0
ZB 0
Z9 3
U1 0
U2 3
SN 1440-6381
EI 1741-6612
UT WOS:000328933000008
PM 24373041
ER

PT J
AU Furriel, Frederico T. G.
   Laguna, Maria P.
   Figueiredo, Arnaldo J. C.
   Nunes, Pedro T. C.
   Rassweiler, Jens J.
TI Training of European urology residents in laparoscopy: results of a
   pan-European survey
SO BJU INTERNATIONAL
VL 112
IS 8
BP 1223
EP 1228
DI 10.1111/bju.12410
PD DEC 2013
PY 2013
AB Objective
   To assess the participation of European urology residents in urological
   laparoscopy, their training patterns and facilities available in
   European Urology Departments.
   Materials and Methods
   A survey, consisting of 23 questions concerning laparoscopic training,
   was published online as well as distributed on paper, during the Annual
   European Association of Urology Congress in 2012.
   Exposure to laparoscopic procedures, acquired laparoscopic experience,
   training patterns, training facilities and motivation were evaluated.
   Data was analysed with descriptive statistics.
   Results
   In all, 219 European urology residents answered the survey.
   Conventional laparoscopy was available in 74% of the respondents'
   departments, while robotic surgery was available in 17% of the
   departments.
   Of the respondents, 27% were first surgeons and 43% were assistants in
   conventional laparoscopic procedures. Only 23% of the residents rated
   their laparoscopic experience as at least satisfactory'; 32% of the
   residents did not attend any course or fellowship on laparoscopy.
   Dry laboratory was the most frequent setting for training (33%),
   although 42% of the respondents did not have access to any type of
   laparoscopic laboratory.
   The motivation to perform laparoscopy was rated as high' or very high'
   by 77% of the respondents, and 81% considered a post-residency
   fellowship in laparoscopy.
   Conclusions
   Urological laparoscopy is available in most European training
   institutions, with residents playing an active role in the procedure.
   However, most of them consider their laparoscopic experience to be poor.
   Moreover, the availability of training facilities and participation in
   laparoscopy courses and fellowships are low and should be encouraged.
OI Figueiredo, Arnaldo/0000-0002-7157-0081; Furriel,
   Frederico/0000-0002-8833-6865
ZB 14
ZA 0
TC 33
ZS 2
Z8 0
ZR 1
Z9 34
U1 0
U2 5
SN 1464-4096
EI 1464-410X
UT WOS:000326418800031
PM 24053711
ER

PT J
AU Laurence, Caroline O.
   Zajac, Ian T.
   Lorimer, Michelle
   Turnbull, Deborah A.
   Sumner, Karen E.
TI The impact of preparatory activities on medical school selection
   outcomes: a cross-sectional survey of applicants to the university of
   Adelaide medical school in 2007
SO BMC MEDICAL EDUCATION
VL 13
AR 159
DI 10.1186/1472-6920-13-159
PD DEC 1 2013
PY 2013
AB Background: Selection into medical school is highly competitive with
   more applicants than places. Little is known about the preparation that
   applicants undertake for this high stakes process. The study aims to
   determine what preparatory activities applicants undertake and what
   difficulties they encounter for each stage of the application process to
   medical school and in particular what impact these have on the outcome.
   Methods: A cross-sectional survey of 1097 applicants who applied for a
   place in the University of Adelaide Medical School in 2007 and
   participated in the UMAT (Undergraduate Medicine and Health Sciences
   Admission Test) and oral assessment components of the selection process.
   The main outcome measures were an offer of an interview and offer of a
   place in the medical school and were analysed using logistic regression.
   Results: The odds of a successful outcome increased with each additional
   preparatory activity undertaken for the UMAT (odds ratio 1.22, 95%
   confidence interval 1.11 to 1.33; P < 0.001) and the oral assessment
   (1.36, 1.19 to 1.55; P < 0.001) stage of selection. The UMAT preparatory
   activities associated with the offer of an interview were attendance of
   a training course by a private organisation (1.75, 1.35 to 2.27: P <
   0.001), use of online services of a private organisation (1.58, 1.23 to
   2.04; P < 0.001), and familiarising oneself with the process (1.52, 1.15
   to 2.00; p = 0.021). The oral assessment activities associated with an
   offer of a place included refining and learning a personal resume (9.73,
   2.97 to 31.88; P < 0.001) and learning about the course structure (2.05,
   1.29 to 3.26; P = 0.022). For the UMAT, applicants who found
   difficulties with learning for this type of test (0.47, 0.35 to 0.63: P
   < 0.001), with the timing of UMAT in terms of school exams (0.48, 0.5 to
   0.66; P < 0.001) and with the inability to convey personal skills with
   the UMAT (0.67, 0.52 to 0.86; P = 0.026) were significantly less likely
   to be offered an interview.
   Conclusions: Medical schools make an enormous effort to undertake a
   selection process that is fair and equitable and which selects students
   most appropriate for medical school and the course they provide. Our
   results indicate that performance in the selection processes can be
   improved by training. However, if these preparatory activities may be
   limited to those who can access them, the playing field is not even and
   increasing equity of access to medical schools will not be achieved.
RI Laurence, Caroline O/C-9015-2011; Laurence, Caroline/AAE-1473-2019; Zajac, Ian T/H-8955-2013; Zajac, Ian T/C-1348-2014; Zajac, Ian/; Lorimer, Michelle/
OI Laurence, Caroline O/0000-0002-8506-5238; Laurence,
   Caroline/0000-0002-8506-5238; Zajac, Ian/0000-0002-7786-3993; Lorimer,
   Michelle/0000-0003-3785-4395
ZB 0
ZS 0
Z8 0
ZR 0
TC 7
ZA 0
Z9 7
U1 1
U2 22
SN 1472-6920
UT WOS:000328497100004
PM 24289521
ER

PT J
AU Chaudhury, Prosanto K.
   Stephen, Wesley J.
   Dozois, Eric J.
CA Evidence Based Reviews Surg Grp
TI Does the long-term use of aspirin decrease the risk of death due to
   cancer?
SO CANADIAN JOURNAL OF SURGERY
VL 56
IS 6
BP 427
EP 429
DI 10.1503/cjs.025513
PD DEC 2013
PY 2013
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.
ZA 0
ZB 0
TC 0
Z8 0
ZS 0
ZR 0
Z9 0
U1 0
U2 12
SN 0008-428X
EI 1488-2310
UT WOS:000330360400022
PM 24284152
ER

PT J
AU Sadowski, Daniel J.
   Ellimoottil, Chandy S.
   Tejwani, Ajay
   Gorbonos, Alex
TI Proton therapy for prostate cancer online: patient education or
   marketing?
SO CANADIAN JOURNAL OF UROLOGY
VL 20
IS 6
BP 7015
EP 7020
PD DEC 2013
PY 2013
AB Introduction: Proton therapy (PT) for prostate cancer is an expensive
   treatment with limited evidence of benefit over conventional
   radiotherapy. We sought to study whether online information on PT for
   prostate cancer was balanced and whether the website source influenced
   the content presented.
   Materials and methods: We applied a systematic search process to
   identify 270 weblinks associated with PT for prostate cancer,
   categorized the websites by source, and filtered the results to 50
   websites using predetermined criteria. We then used a customized version
   of the DISCERN instrument, a validated tool for assessing the quality of
   consumer health information, to evaluate the remaining websites for
   balance of content and description of risks, benefits and uncertainty.
   Results: Depending on the search engine and key word used, proton center
   websites (PCWs) made up 10%-47% of the first 30 encountered links. In
   comparison, websites from academic and nonacademic medical centers
   without ownership stake in proton centers appeared much less frequently
   as a search result (0%-3%). PCWs scored lower on DISCERN questions
   compared to other sources for being balanced/unbiased (p < 0.001),
   mentioning areas of uncertainty (p < 0.001), and describing risks of PT
   (p < 0.001). PCWs scored higher for describing the benefits of treatment
   (p = 0.003).
   Conclusions: Patients should be aware that online information regarding
   PT for prostate cancer may represent marketing by proton centers rather
   than comprehensive and unbiased patient education. An awareness of these
   results will also better prepare clinicians to address the potential
   biases of patients with prostate cancer who search the Internet for
   health information.
Z8 0
ZS 0
ZA 0
TC 6
ZB 2
ZR 0
Z9 6
U1 2
U2 6
SN 1195-9479
UT WOS:000328717300004
PM 24331342
ER

PT J
AU Nesbitt, Alexander
   Baird, Freya
   Canning, Benjamin
   Griffin, Ann
   Sturrock, Alison
TI Student perception of workplace-based assessment.
SO The clinical teacher
VL 10
IS 6
BP 399
EP 404
DI 10.1111/tct.12057
PD 2013-Dec
PY 2013
AB BACKGROUND: Workplace-based assessment (WPBA) is key to medical
   education, providing a framework through which the trainee can be
   assessed and receive feedback in the clinical setting. WPBA was
   introduced in 2008-2009 to students in year 4 at University College
   London Medical School (UCLMS). Students raised concerns about the lack
   of standardisation in grading. As a result, white-space areas were
   introduced on WPBA forms. The aim of this was to permit assessors to
   expand their feedback, thereby enhancing its developmental potential.
   The aim of the project was to assess student perception of WPBA at
   UCLMS, and to determine whether re-designing the form had altered this
   perception.
   METHOD: An online survey was circulated to students in year 4 at the end
   of the academic year 2009-2010, and was repeated with the next cohort of
   year-4 students at the end of the academic year 2010-2011. Students were
   asked to express a level of agreement with 12 statements and for
   free-text comments on their experience with WPBA. Survey responses were
   analysed using an unpaired two-tailed Student's t-test, and QSR NVivo
   was used to manage the thematic analysis of the free-text comments.
   RESULTS: Although there was no significant difference in student
   perception between cohorts, the analysis of free-text comments
   highlighted several themes for discussion.
   CONCLUSION: Students at UCLMS find WPBA valuable in highlighting areas
   for improvement and obtaining personalised feedback. They find the
   grading of WPBA too subjective, and that the attitudes of the assessors
   sometimes reduce its educational value. Suggestions are made to improve
   the value of WPBA in undergraduate medical education.
Z8 1
ZS 1
ZR 0
TC 16
ZB 0
ZA 0
Z9 18
U1 0
U2 3
EI 1743-498X
UT MEDLINE:24219526
PM 24219526
ER

PT J
AU Kurup, Viji
   Hersey, Denise
TI The changing landscape of anesthesia education: is Flipped Classroom the
   answer?
SO CURRENT OPINION IN ANESTHESIOLOGY
VL 26
IS 6
BP 726
EP 731
DI 10.1097/ACO.0000000000000004
PD DEC 2013
PY 2013
AB Purpose of reviewEducators in the specialty of anesthesiology are facing
   a number of challenges. A new generation of residents are entering the
   specialty and they have unique learning styles and expectations. The new
   duty hour regulations also encroach on the time available to the
   residents for education. In the last decade, a number of models for
   teaching and learning have been proposed to tackle these issues.Recent
   findingsRecent research has looked at learning gains and acceptability
   of online material in medical education as well as specific models that
   can be implemented to address the challenges.SummaryThe Flipped
   Classroom' model seems to combine the best of both worlds. It allows the
   learner to assimilate basic information (lower order cognitive skills)
   from material that is placed online, allowing asynchronous learning. It
   frees up the teacher to use the face-to-face interaction time in the
   operating room and classroom for training the student in advanced
   concepts (higher order cognitive skills). This model allows efficient
   and effective use of time and technology, but involves the redesign of
   how in person time between faculty and residents are spent, along with
   the faculty development to effectively engage this new type of
   curriculum.
RI Hersey, Denise/AHE-6389-2022; Hersey, Denise/
OI Hersey, Denise/0000-0002-2350-4725
ZR 0
TC 46
Z8 0
ZA 1
ZB 9
ZS 1
Z9 48
U1 2
U2 138
SN 0952-7907
EI 1473-6500
UT WOS:000328153000014
PM 24126692
ER

PT J
AU Carnaby, Giselle D.
   Harenberg, Lindsay
TI What is "Usual Care" in Dysphagia Rehabilitation: A Survey of USA
   Dysphagia Practice Patterns
SO DYSPHAGIA
VL 28
IS 4
BP 567
EP 574
DI 10.1007/s00455-013-9467-8
PD DEC 2013
PY 2013
AB The scope of dysphagia rehabilitation has been expanding. Therapeutic
   approaches have begun to move away from the use of behavioral
   compensations and maneuvers only, toward a greater emphasis on
   research-supported exercise-based therapies. Given the change in focus
   and demand for evidence-based practice, this study surveyed licensed
   speech language pathologists who treat dysphagic adults to ascertain the
   utilization of exercise-based techniques and supportive research in
   treatment decision-making. A web-based survey was created using
   Qualtrics online software. The survey consisted of 29 questions on
   demographics and treatment options for a deidentified patient in a
   video-supported fictional scenario. Initially, a field test was
   conducted by sending the survey to a sample population of 12 local
   speech pathologists working in adult dysphagia rehabilitation. Responses
   were collated and analyzed for item agreement and internal consistency.
   A blast e-mail containing a link to the modified survey was then sent
   out to members of the American Speech Language Hearing Association
   Special Interest Group 13. Participants were given 2 months to complete
   the survey. A total of 254 responses were analyzed using descriptive,
   correlative, and associative methods. Respondents were experienced
   speech-language pathologists (SLP) working in primarily acute and
   rehabilitation settings and treating more than 50 dysphagic cases in a
   6-month period. They reported treating dysphagic patients daily for an
   average of 30 min a session. Follow-up of treated patients was
   infrequent. Most respondents reported using self-developed assessment
   techniques, and as a group they recommended 47 different treatment
   techniques and more than 90 different treatment combinations for the
   same hypothetical patient case. The majority of respondents also
   described the common outcome of dysphagia treatment as returning a
   patient to a safe and functional oral diet, but not preinjury status.
   Results demonstrate a lack of uniformity in the treatment schemes and
   strategies used by SLP to treat dysphagic patients. The concept of
   "usual care practice" for dysphagia is not supported. Utilization of
   research-supported assessment techniques and exercise-based approaches
   was also sparse. These data clearly highlight ongoing challenges to
   professional education and growth in the area of dysphagia management.
RI Carnaby, GISELLE/AGW-2711-2022
OI Carnaby, GISELLE/0000-0002-3724-2818
ZA 0
TC 65
ZB 12
ZS 1
Z8 0
ZR 0
Z9 65
U1 6
U2 35
SN 0179-051X
EI 1432-0460
UT WOS:000328217900011
PM 23670700
ER

PT J
AU Jones, Ray B.
   Ashurst, Emily J.
TI Online anonymous discussion between service users and health
   professionals to ascertain stakeholder concerns in using e-health
   services in mental health
SO HEALTH INFORMATICS JOURNAL
VL 19
IS 4
BP 281
EP 299
DI 10.1177/1460458212474908
PD DEC 2013
PY 2013
AB Implementation of e-health in mental health services requires that we
   are aware of stakeholders' concerns. We ascertained the views of mental
   health professionals and mental health service users through the (1)
   development of 12 topics based on the research literature, (2)
   presentation to 31 participants (19 mental health professionals and 12
   mental health service users) and discussion in three 1-week programmes,
   (3) thematic analysis of transcripts, and (4) comparison with the
   literature to identify areas requiring attention in e-health
   implementation. This method of engaging mental health service users and
   mental health professionals was effective. We identified areas that (1)
   should be the first to implement (e.g. discussion forums, email, and
   Skype), (2) where further education and engagement are necessary before
   e-health methods could be used (e.g. unsupported computerised cognitive
   behavioural therapy, computer-patient interviewing, and patient access
   to online medical records), and (3) for further research (e.g. the
   impact of bad online experiences).
ZA 0
Z8 0
ZR 0
ZB 1
ZS 0
TC 12
Z9 12
U1 0
U2 31
SN 1460-4582
EI 1741-2811
UT WOS:000329918000003
PM 24255052
ER

PT J
AU Vosbergen, Sandra
   Janzen, Jolien
   Stappers, Pieter Jan
   van Zwieten, Myra C. B.
   Lacroix, Joyca
   Idema, Karin
   van den Broek, Inge
   Kemps, Hareld M. C.
   Kraaijenhagen, Roderik A.
   Peek, Niels
TI A qualitative participatory study to identify experiences of coronary
   heart disease patients to support the development of online
   self-management services
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 82
IS 12
BP 1183
EP 1194
DI 10.1016/j.ijmedinf.2013.09.001
PD DEC 2013
PY 2013
AB Objective: Web-based self-management services remain underutilized in
   current practice. Our aim was to gain insight into disease and
   self-management experiences of patients in early and progressive stages
   of coronary heart disease (CHD), to understand moderating effects of
   daily life experiences on the utilization of web-based self-management
   services and preconditions for use.
   Methods: We applied generative research techniques, which stem from the
   field of product design and are characterized by the use of creative
   processes. Three groups of patients with CHD received a sensitizing
   package to document and reflect on their health, and were subsequently
   either interviewed or participated in a focus group session.
   Results: In total, 23 patients participated in this study. Emerging
   themes were (1) fear for recurrent events, (2) experiences with
   professional care, (3) the perceived inability to prevent disease
   progression, (4) the desire to go on living without thinking about the
   disease everyday, (5) the social environment as a barrier to or
   facilitator for self-management, and (6) the need for information
   tailored to personal preferences.
   Conclusion: How patients experience their disease varies between stable
   and post-acute stages, as well as between early and progressive stages
   of CHD. Patients in post-acute stages of the disease seem to be most
   amenable to support, while patients in stable stages want to live their
   life without being reminded of their disease. In the context of
   self-management, web-based services should be adapted to the variation
   in needs that occur in the different stages of CHD and new strategies to
   fit such services to these needs should be developed. Furthermore, they
   should be tailored to patients' individual health situation and
   preferences, support patient empowerment, and manage expectations
   regarding the progression of their disease. (C) 2013 Elsevier Ireland
   Ltd. 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 4
TC 20
ZA 0
ZS 0
ZR 0
Z9 21
U1 0
U2 25
SN 1386-5056
EI 1872-8243
UT WOS:000327531000013
PM 24113277
ER

PT J
AU Morandi, A.
   Davis, D.
   Taylor, J. K.
   Bellelli, G.
   Olofsson, B.
   Kreisel, S.
   Teodorczuk, A.
   Kamholz, B.
   Hasemann, W.
   Young, J.
   Agar, M.
   de Rooij, S. E.
   Meagher, D.
   Trabucchi, M.
   MacLullich, A. M.
TI Consensus and variations in opinions on delirium care: a survey of
   European delirium specialists
SO INTERNATIONAL PSYCHOGERIATRICS
VL 25
IS 12
BP 2067
EP 2075
DI 10.1017/S1041610213001415
PD DEC 2013
PY 2013
AB Background: There are still substantial uncertainties over best practice
   in delirium care. The European Delirium Association (EDA) conducted a
   survey of its members and other interested parties on various aspects of
   delirium care.
   Methods: The invitation to participate in the online survey was
   distributed among the EDA membership. The survey covered assessment,
   treatment of hyperactive and hypoactive delirium, and organizational
   management.
   Results: A total of 200 responses were collected (United Kingdom 28.6%,
   Netherlands 25.3%, Italy 15%, Switzerland 9.7%, Germany 7.1%, Spain
   3.8%, Portugal 2.5%, Ireland 2.5%, Sweden 0.6%, Denmark 0.6%, Austria
   0.6%, and others 3.2%). Most of the responders were doctors (80%),
   working in geriatrics (45%) or internal medicine (14%). Ninety-two per
   cent of the responders assessed patients for delirium daily. The most
   commonly used assessment tools were the Confusion Assessment Method
   (52%) and the Delirium Observation Screening Scale (30%). The first-line
   choice in the management of hyperactive delirium was a combination of
   non-pharmacological and pharmacological approaches (61%). Conversely,
   non-pharmacological management was the first-line choice in hypoactive
   delirium (67%). Delirium awareness (34%), knowledge (33%), and lack of
   education (13%) were the most commonly reported barriers to improving
   the detection of delirium. Interestingly, 63% of the responders referred
   patients after an episode of delirium to a follow-up clinic.
   Conclusions: This is the first systematic survey involving an
   international group of specialists in delirium. Several areas of lack of
   consensus were found. These results emphasise the importance of further
   research to improve care of this major unmet medical need.
RI Davis, Daniel/F-9995-2012; Hasemann, Wolfgang/AAF-2186-2019; Bellelli, Giuseppe/H-6443-2019; Agar, Meera/AAI-4002-2021; Teodorczuk, Andrew/R-3345-2016; young, john/; MacLullich, Alasdair/; Taylor, Joanne K/F-4747-2011
OI Davis, Daniel/0000-0002-1560-1955; Hasemann,
   Wolfgang/0000-0003-2417-3785; Bellelli, Giuseppe/0000-0001-5430-0947;
   Agar, Meera/0000-0002-6756-6119; Teodorczuk, Andrew/0000-0003-0802-718X;
   young, john/0000-0003-4085-9306; MacLullich,
   Alasdair/0000-0003-3159-9370; Taylor, Joanne K/0000-0001-9882-0119
ZB 25
ZA 0
TC 57
ZR 0
Z8 2
ZS 0
Z9 61
U1 2
U2 25
SN 1041-6102
EI 1741-203X
UT WOS:000326935600015
PM 23962713
ER

PT J
AU Mitchell, Jason W.
   Horvath, Keith J.
TI Factors Associated With Regular HIV Testing Among a Sample of US MSM
   With HIV-Negative Main Partners
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 64
IS 4
BP 417
EP 423
PD DEC 1 2013
PY 2013
AB HIV transmission is common within men who have sex with men (MSM)
   couples; despite recommendations that MSM who engage in risky sexual
   behaviors get tested biannually/annually, little is known about the
   testing patterns of MSM while in a current primary relationship. This
   study compared demographic and relationship characteristics of groups of
   MSM with different testing patterns while in their primary relationships
   and assessed which factors were associated with regular or irregular
   testing. Two hundred seventy-five HIV-negative male couples/550 MSM were
   recruited online to complete a survey in 2011. Since the start of their
   relationship, 21% of MSM tested for HIV every 3, 4, or 6 months; 29%
   tested once a year; 30% tested only when they felt at risk for HIV; and
   20% never tested for HIV. Bivariate analyses indicated that men who had
   never been tested while in their relationship were younger, less
   educated, had greater trust in their partner, and were less likely to be
   in a couple that had 1 or both men having had sex with someone else. In
   the multivariate analyses, testing at regular intervals was associated
   with higher education, having a sexual agreement, being in a couple that
   had 1 or both men having had sex with someone else, and having lower
   faith in trust toward the main partner. Findings suggest that many MSM's
   testing behaviors while in their primary relationship do not align with
   their risk profile. Trust seems to be a barrier to regular HIV testing,
   which may be addressed by encouraging MSM to negotiate clear sexual
   agreements with their primary partner.
ZB 14
Z8 2
ZR 0
ZA 0
TC 39
ZS 0
Z9 41
U1 0
U2 16
SN 1525-4135
EI 1077-9450
UT WOS:000330454200013
PM 23933766
ER

PT J
AU Edmunds, Matthew R.
   Barry, Robert J.
   Denniston, Alastair K.
TI Readability Assessment of Online Ophthalmic Patient Information
SO JAMA OPHTHALMOLOGY
VL 131
IS 12
BP 1610
EP 1616
DI 10.1001/jamaophthalmol.2013.5521
PD DEC 2013
PY 2013
AB IMPORTANCE Patients increasingly use the Internet to access information
   related to their disease, but poor health literacy is known to impact
   negatively on medical outcomes. Multiple agencies have recommended that
   patient-oriented literature be written at a fourth- to sixth-grade (9-12
   years of age) reading level to assist understanding. The readability of
   online patient-oriented materials related to ophthalmic diagnoses is not
   yet known.
   OBJECTIVE To assess the readability of online literature specifically
   for a range of ophthalmic conditions.
   DESIGN AND SETTING Body text of the top 10 patient-oriented websites for
   16 different ophthalmic diagnoses, covering the full range of ophthalmic
   subspecialties, was analyzed for readability, source (United Kingdom vs
   non-United Kingdom, not for profit vs commercial), and appropriateness
   for sight-impaired readers.
   MAIN OUTCOMES AND MEASURES Four validated readability formulas were
   used: Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level
   (FKGL), Simple Measure of Gobbledygook (SMOG), and Gunning Fog Index
   (GFOG). Data were compared with the Mann-Whitney test (for 2 groups) and
   Kruskal-Wallis test (for more than 2 groups) and correlation was
   assessed by the Spearman r.
   RESULTS None of the 160 webpages had readability scores within published
   guidelines, with 83% assessed as being of "difficult" readability.
   Not-for-profit webpages were of significantly greater length than
   commercial webpages (P = .02) and UK-based webpages had slightly
   superior readability scores compared with those of non-UK webpages (P =
   .004 to P < .001, depending on the readability formula used). Of all
   webpages evaluated, only 34% included facility to adjust text size to
   assist visually impaired readers.
   CONCLUSIONS AND RELEVANCE To our knowledge, this is the first study to
   assess readability of patient-focused webpages specifically for a range
   of ophthalmic diagnoses. In keeping with previous studies in other
   medical conditions, we determined that readability scores were inferior
   to those recommended, irrespective of the measure used. Although
   readability is only one aspect of how well a patient-oriented webpage
   may be comprehended, we recommend the use of readability scoring when
   producing such resources in the future. Minimum readability policies and
   inclusion of facilities within webpages to maximize viewing potential
   for visually impaired readers are important to ensure that online
   ophthalmic patient information is accessible to the broadest audience
   possible.
RI Denniston, Alastair/ABD-1238-2020; Barry, Robert/
OI Denniston, Alastair/0000-0001-7849-0087; Barry,
   Robert/0000-0002-6435-0048
TC 57
Z8 0
ZB 9
ZA 0
ZR 0
ZS 0
Z9 57
U1 0
U2 9
SN 2168-6165
EI 2168-6173
UT WOS:000329850600018
PM 24178035
ER

PT J
AU Harned, Melanie S.
   Dimeff, Linda A.
   Woodcock, Eric A.
   Contreras, Ignacio
TI Predicting adoption of exposure therapy in a randomized controlled
   dissemination trial
SO JOURNAL OF ANXIETY DISORDERS
VL 27
IS 8
SI SI
BP 754
EP 762
DI 10.1016/j.janxdis.2013.02.006
PD DEC 2013
PY 2013
AB The present study examined organizational, client, and therapist
   characteristics as predictors of use of and proficiency in exposure
   therapy (ET) after training. Therapists naive to ET (N= 181) were
   randomized to: (1) online training (OLT), (2) OLT plus motivational
   enhancement (ME), or (3) OLT + ME plus a learning community. Twelve
   weeks after training, self-reported use of ET in clinical practice was
   high (87.5%) and therapists demonstrated moderate clinical proficiency.
   Use of ET was predicted by therapist degree, self-efficacy, and
   knowledge. Clinical proficiency was predicted by therapist anxiety
   sensitivity, attitudes, and knowledge, as well as organizational and
   client barriers. Several of these effects were moderated by training
   condition, indicating that therapists who received more comprehensive
   training were less impacted by barriers and showed enhanced adoption in
   the presence of facilitating factors. Overall, these results suggest
   that the primary barriers to the adoption of ET are therapist, not
   organizational or client, factors. (C) 2013 Elsevier Ltd. All rights
   reserved.
ZS 0
Z8 0
ZA 0
ZR 0
TC 66
ZB 20
Z9 66
U1 1
U2 8
SN 0887-6185
EI 1873-7897
UT WOS:000328525800003
PM 23538148
ER

PT J
AU Vismara, Laurie A.
   McCormick, Carolyn
   Young, Gregory S.
   Nadhan, Anna
   Monlux, Katerina
TI Preliminary Findings of a Telehealth Approach to Parent Training in
   Autism
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 43
IS 12
BP 2953
EP 2969
DI 10.1007/s10803-013-1841-8
PD DEC 2013
PY 2013
AB Telehealth or online communication technologies may lessen the gap
   between intervention requirements for children with autism spectrum
   disorders (ASDs) and the available resources to provide these services.
   This study used a video conferencing and self-guided website to provide
   parent training in the homes of children with ASD. The first eight
   families to complete the 12-week online intervention and three-month
   follow up period served as pilot data. Parents' intervention skills and
   engagement with the website, as well as children's verbal language and
   joint attention skills were assessed. Preliminary research suggests
   telehealth may support parental learning and improve child behaviors for
   some families. This initial assessment of new technologies for making
   parent training resources available to families with ASD merits further,
   in-depth study.
OI McCormick, Carolyn/0000-0002-1015-0809
ZS 1
Z8 0
ZB 35
TC 175
ZA 0
ZR 1
Z9 175
U1 1
U2 48
SN 0162-3257
EI 1573-3432
UT WOS:000326802200017
PM 23677382
ER

PT J
AU Silk, Kami J.
   Perrault, Evan K.
   Nazione, Samantha
   Pace, Kristin
   Hager, Polly
   Springer, Steven
TI Localized Prostate Cancer Treatment Decision-Making Information Online:
   Improving its Effectiveness and Dissemination for Nonprofit and
   Government-Supported Organizations
SO JOURNAL OF CANCER EDUCATION
VL 28
IS 4
BP 709
EP 716
DI 10.1007/s13187-013-0515-8
PD DEC 2013
PY 2013
AB The current study reports findings from evaluation research conducted to
   identify how online prostate cancer treatment decision-making
   information can be both improved and more effectively disseminated to
   those who need it most. A multi-method, multi-target approach was used
   and guided by McGuire's Communication Matrix Model. Focus groups (n =
   31) with prostate cancer patients and their family members, and in-depth
   interviews with physicians (n = 8), helped inform a web survey (n = 89).
   Results indicated that physicians remain a key information source for
   medical advice and the Internet is a primary channel used to help make
   informed prostate cancer treatment decisions. Participants reported a
   need for more accessible information related to treatment options and
   treatment side effects. Additionally, physicians indicated that the best
   way for agencies to reach them with new information to deliver to
   patients is by contacting them directly and meeting with them
   one-on-one. Advice for organizations to improve their current prostate
   cancer web offerings and further ways to improve information
   dissemination are discussed.
ZA 0
ZS 0
Z8 0
ZR 0
ZB 4
TC 10
Z9 10
U1 0
U2 10
SN 0885-8195
EI 1543-0154
UT WOS:000326286200018
PM 23907786
ER

PT J
AU Lyons, Sarah K.
   Libman, Ingrid M.
   Sperling, Mark A.
TI Diabetes in the Adolescent: Transitional Issues
SO JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
VL 98
IS 12
BP 4639
EP 4645
DI 10.1210/jc.2013-2890
PD DEC 2013
PY 2013
AB Content: Orchestrating a seamless transition from pediatric to adult
   care can be a daunting task in caring for youth with diabetes mellitus.
   This clinical review focuses on physical and psychosocial aspects
   affecting the care of adolescents and young adults with diabetes,
   evaluates how these aspects can be barriers in the process of
   transitioning these patients to adult diabetes care, and provides
   clinical approaches to optimizing the transition process in order to
   improve diabetes care and outcomes.
   Evidence Acquisition and Synthesis: A PubMed search identified articles
   related to transition to adult diabetes care and physical and
   psychosocial assessment of adolescents with diabetes. An Internet search
   for transition of diabetes care identified online transition resources.
   The synthesis relied on the cumulative experience of the authors. We
   identify barriers to successful transition and provide a checklist for
   streamlining the process.
   Conclusions: Key points in the transition to adult diabetes care
   include: 1) starting the process at least 1 year before the anticipated
   transition; 2) assessing individual patients' readiness and preparedness
   for adult care; 3) providing guidance and education to the patient and
   family; 4) utilizing transition guides and resources; and 5) maintaining
   open lines of communication between the pediatric and adult providers.
   No current single approach is effective for all patients. Challenges
   remain in successful transition to avoid short-and long-term
   complications of diabetes mellitus.
OI Lyons, Sarah/0000-0002-3686-0112
TC 36
ZB 6
Z8 0
ZS 0
ZA 0
ZR 0
Z9 36
U1 3
U2 15
SN 0021-972X
EI 1945-7197
UT WOS:000328477200031
PM 24152689
ER

PT J
AU Senecal, Emily L.
   Heitz, Corey
   Beeson, Michael S.
TI CREATION AND IMPLEMENTATION OF A NATIONAL EMERGENCY MEDICINE FOURTH-YEAR
   STUDENT EXAMINATION
SO JOURNAL OF EMERGENCY MEDICINE
VL 45
IS 6
BP 924
EP 933
DI 10.1016/j.jemermed.2013.05.051
PD DEC 2013
PY 2013
AB Background: A National Board of Medical Examiners examination does not
   exist for Emergency Medicine (EM) students. To fill this void, the
   Clerkship Directors in Emergency Medicine tasked a committee with
   development of an examination for 4th-year (M4) EM students, based on a
   published syllabus, and consisting of questions written according to
   published question-writing guidelines. Study Objectives: Describe
   examination development and statistics at 9 months. Methods: The
   committee reviewed an existing EM student question database at
   www.saemtests.org for statistical performance, compliance with
   item-writing guidelines, and topic inclusion within the published EM M4
   syllabus. For syllabus topics without existing questions, committee
   members wrote new items. LXR 6.0 software (Applied Measurement
   Professionals, Inc., Georgetown, SC) was used for examination
   administration. Data gathered included numbers of examinations
   completed, mean scores with SD, and point biserial correlation (rpb).
   Results: Of the 553 questions assessed, 157 questions met the stated
   criteria, and 37 were included in the examination. Thirteen new
   questions were written by committee members to cover all curriculum
   topics. The National EM M4 Examination was released online August 1,
   2011. Nine months later, the examination had been completed 1642 times
   by students from 27 clerkships. Mean score was 79.69% (SD 3.89).
   Individual question difficulties ranged from 26% to 99%. Question rpbs
   ranged from 0.067 to 0.353, mean 0.213 (SD 0.066). Conclusions: A
   national group of EM educators developed an examination to assess a
   published clerkship syllabus. The examination contains questions written
   according to published item-writing guidelines, and exhibits content
   validity, appropriate difficulty levels, and adequate question
   discriminatory ability. (C) 2013 Elsevier Inc.
ZB 0
TC 8
Z8 0
ZS 0
ZA 0
ZR 0
Z9 8
U1 0
U2 2
SN 0736-4679
EI 1090-1280
UT WOS:000327535800037
PM 23948604
ER

PT J
AU Jimbo, Masahito
   Shultz, Cameron Garth
   Nease, Donald Eugene
   Fetters, Michael Derwin
   Power, Debra
   Ruffin, Mack Thomas
TI Perceived Barriers and Facilitators of Using a Web-Based Interactive
   Decision Aid for Colorectal Cancer Screening in Community Practice
   Settings: Findings From Focus Groups With Primary Care Clinicians and
   Medical Office Staff
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 12
AR e286
DI 10.2196/jmir.2914
PD DEC 2013
PY 2013
AB Background: Information is lacking about the capacity of those working
   in community practice settings to utilize health information technology
   for colorectal cancer screening.
   Objective: To address this gap we asked those working in community
   practice settings to share their perspectives about how the
   implementation of a Web-based patient-led decision aid might affect
   patient-clinician conversations about colorectal cancer screening and
   the day-to-day clinical workflow.
   Methods: Five focus groups in five community practice settings were
   conducted with 8 physicians, 1 physician assistant, and 18 clinic staff.
   Focus groups were organized using a semistructured discussion guide
   designed to identify factors that mediate and impede the use of a
   Web-based decision aid intended to clarify patient preferences for
   colorectal cancer screening and to trigger shared decision making during
   the clinical encounter.
   Results: All physicians, the physician assistant, and 8 of the 18 clinic
   staff were active participants in the focus groups. Clinician and staff
   participants from each setting reported a belief that the Web-based
   patient-led decision aid could be an informative and educational tool;
   in all but one setting participants reported a readiness to recommend
   the tool to patients. The exception related to clinicians from one
   clinic who described a preference for patients having fewer screening
   choices, noting that a colonoscopy was the preferred screening modality
   for patients in their clinic. Perceived barriers to utilizing the
   Web-based decision aid included patients' lack of Internet access or low
   computer literacy, and potential impediments to the clinics' daily
   workflow. Expanding patients' use of an online decision aid that is both
   easy to access and understand and that is utilized by patients outside
   of the office visit was described as a potentially efficient means for
   soliciting patients' screening preferences. Participants described that
   a system to link the online decision aid to a computerized reminder
   system could promote a better understanding of patients' screening
   preferences, though some expressed concern that such a system could be
   difficult to keep up and running.
   Conclusions: Community practice clinicians and staff perceived the
   Web-based decision aid technology as promising but raised questions as
   to how the technology and resultant information would be integrated into
   their daily practice workflow. Additional research investigating how to
   best implement online decision aids should be conducted prior to the
   widespread adoption of such technology so as to maximize the benefits of
   the technology while minimizing workflow disruptions.
RI Nease, Donald/B-6206-2013; Ruffin, Mack/
OI Nease, Donald/0000-0001-8323-3720; Ruffin, Mack/0000-0001-8336-478X
ZA 0
TC 16
Z8 0
ZR 0
ZS 0
ZB 2
Z9 16
U1 0
U2 24
SN 1438-8871
UT WOS:000329817600009
PM 24351420
ER

PT J
AU Levi, Benjamin H.
   Wilkes, Michael
   Der-Martirosian, Claudia
   Latow, Polly
   Robinson, Mark
   Green, Michael J.
TI An Interactive Exercise in Advance Care Planning for Medical Students
SO JOURNAL OF PALLIATIVE MEDICINE
VL 16
IS 12
BP 1523
EP 1527
DI 10.1089/jpm.2013.0039
PD DEC 1 2013
PY 2013
AB Background: With the growing need to train medical professionals how to
   engage their patients in advance care planning, this study examines
   medical students' experience using an interactive, online decision aid
   to help consenting adults complete an advance directive. Methods:
   Third-year medical students at the University of California, Davis (UC
   Davis) used an online, multimedia decision aid to help an adult discuss
   his or her wishes for medical treatment and create a formal advance
   directive for health care. Students then wrote essays about their
   experiences, and an iterative analysis was used for thematic
   categorization. Results: Four distinct thematic categories emerged from
   students' essays: 1) students' personal experiences with advance care
   planning; 2) participants' experiences; 3) recommendations for practice
   regarding advance care planning; and 4) feedback about the online
   decision aid. Conclusions: An interactive, online decision aid can play
   a meaningful role in educating medical professionals about advance care
   planning.
RI Green, Martin A/H-7567-2012; Green, Michael/
OI Green, Martin A/0000-0002-8860-396X; Green, Michael/0000-0002-4828-4749
TC 9
ZA 0
ZR 0
ZB 0
ZS 1
Z8 0
Z9 10
U1 2
U2 14
SN 1096-6218
EI 1557-7740
UT WOS:000328220000007
PM 24175635
ER

PT J
AU Shaeer, Osama
   Shaeer, Eman
TI The Global Online Sexuality Survey: Public Perception of Female Genital
   Cutting among Internet Users in the Middle East
SO JOURNAL OF SEXUAL MEDICINE
VL 10
IS 12
BP 2904
EP 2911
DI 10.1111/jsm.12163
PD DEC 2013
PY 2013
AB IntroductionFemale genital cutting (FGC) is a ritual involving cutting
   part or all of the female external genitalia, performed primarily in
   Africa. Understanding the motivation behind FGC whether religious or
   otherwise is important for formulating the anti-FGC messages in
   prevention and awareness campaigns.
   AimThe study aims to provide an investigation of opinion over FGC, the
   root motive/s behind it, in addition to the current prevalence of FGC
   among Internet users in the Middle East.
   MethodsThe Global Online Sexuality Survey was undertaken in the Middle
   East via paid advertising on Facebook (R), comprising 146 questions.
   Main Outcome MeasuresThe main outcomes are the prevalence of and public
   opinion on FGC among Internet users.
   Results31.6% of 992 participants experienced FGC at an average age of
   9.63.5 years, mostly in Egypt (50.2%). FGC was performed among both
   Muslims (36.9%) and Christians (18.8%), more in rural areas (78.7%) than
   urban (47.4%), and was performed primarily by doctors (54.7%) and nurses
   (9.5%). Whether or not it is necessary for female chastity, FGC was
   reported as highly necessary (22.5%), and necessary (21.6%). This was
   more among males, particularly among those with rural origin, with no
   difference as per educational level. This is in contrast to only 3.7%
   regarding FGC as a mandate of Islam. Religious opinion among Muslims
   was: 55.4% anti-FGC and 44.6% pro-FGC.
   ConclusionAn important motivation driving FGC seems to be males seeking
   female chastity rather than religion, especially with FGC not being an
   Islamic mandate, not to undermine the importance of religion among other
   motives. School and university education were void of an effective
   anti-FGC message, which should be addressed. There is a shift toward
   doctors and nurses for performing FGC, which is both a threat and an
   opportunity. We propose that the primary message against FGC should be
   delivered by medical and paramedical personnel who can deliver a
   balanced and confidential message. Shaeer O and Shaeer E. The Global
   Online Sexuality Survey: Public perception of female genital cutting
   among Internet users in the Middle East. J Sex Med 2013;10:2904-2911.
OI Shaeer, Osama/0000-0002-3811-9969
TC 5
ZB 2
ZS 0
ZR 0
ZA 0
Z8 0
Z9 5
U1 0
U2 17
SN 1743-6095
EI 1743-6109
UT WOS:000327583600003
PM 23578396
ER

PT J
AU Raetz, Jaqueline
TI Review: Two Online Curricula on Transitions of Care
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 61
IS 12
BP 2199
EP 2202
DI 10.1111/jgs.12564
PD DEC 2013
PY 2013
AB Transitional care is an important part of geriatric medicine that has
   not traditionally been taught to residents through formal curricula.
   This article reviews two online curricula available through the Portal
   of Geriatric Online Education. The two products reviewed here,
   appropriate for resident training, focus on care transitions from
   hospital to other care settings.
ZS 0
ZR 0
ZB 1
Z8 0
ZA 0
TC 1
Z9 1
U1 1
U2 10
SN 0002-8614
EI 1532-5415
UT WOS:000328416000019
PM 24479149
ER

PT J
AU Franco, Pierfrancesco
   Ciammella, Patrizia
   Cornetto, Andrea Peruzzo
   De Bari, Berardino
   Buglione, Michela
   Livi, Lorenzo
   Alongi, Filippo
   Filippi, Andrea Riccardo
TI The STYRO 2011 project: a survey on perceived quality of training among
   young Italian radiation oncologists
SO MEDICAL ONCOLOGY
VL 30
IS 4
AR 729
DI 10.1007/s12032-013-0729-y
PD DEC 2013
PY 2013
AB In order to evaluate the perceived quality of training and education
   among young Italian radiation oncologists (age <40), AIRO Giovani
   (Italian Association of Radiation Oncology-Young Members Working Group)
   carried out a nationwide online survey in 2011, employing a
   63-item-based questionnaire, addressed to physician's self-perception of
   personal training experience (during decade 2001-2011). Issues explored
   investigated demographics data,
   duration/organization/content/characteristics of residency programs, the
   quality of education in clinical oncology, radiation oncology,
   management and communication attitudes. A total of 382 questionnaires
   were sent out to physicians and 217 (56.8 %) were returned with 197
   (51.6 %) appropriately filled in and considered for the analysis. The
   general perception of education and training is positive in most of the
   explored fields, however some specific contexts and skills still require
   optimization (combination therapy, peculiar clinical scenarios,
   particular radiotherapy technical issues, structural organization of
   residency programs). The present report is expected to be useful for
   residents, program directors and scientific societies (such as AIRO), to
   further continue the effort in the improvement of training in radiation
   oncology.
RI Ciammella, Patrizia/AAB-4222-2021; livi, lorenzo/K-8934-2016; Buglione di Monale e Bastia, Michela/AAC-7240-2022; Filippi, Andrea Riccardo/AAC-7660-2022; Filippi, Andrea Riccardo/AGE-6975-2022; Alongi, Filippo/; Franco, Pierfrancesco/; De Bari, Berardino/; BUGLIONE DI MONALE E BASTIA, Michela/
OI Ciammella, Patrizia/0000-0003-4315-1645; livi,
   lorenzo/0000-0002-7755-9422; Filippi, Andrea
   Riccardo/0000-0001-7159-7869; Filippi, Andrea
   Riccardo/0000-0001-7159-7869; Alongi, Filippo/0000-0002-6569-8628;
   Franco, Pierfrancesco/0000-0003-2276-0687; De Bari,
   Berardino/0000-0003-0117-3360; BUGLIONE DI MONALE E BASTIA,
   Michela/0000-0002-5485-1260
Z8 0
ZS 0
TC 11
ZB 5
ZA 0
ZR 0
Z9 11
U1 0
U2 10
SN 1357-0560
EI 1559-131X
UT WOS:000327858800034
PM 24072510
ER

PT J
AU Clark, Ashley Erin
   Adamian, Maria
   Taylor, Jacquelyn Y.
TI An Overview of Epigenetics in Nursing
SO NURSING CLINICS OF NORTH AMERICA
VL 48
IS 4
BP 649
EP +
DI 10.1016/j.cnur.2013.08.004
PD DEC 2013
PY 2013
AB Epigenetic changes to the genome are biochemical alterations to the DNA
   that do not change an individual's genome but do change and influence
   gene expression. The nursing profession is qualified to conduct and
   integrate epigenetic-focused nursing research into practice. This
   article discusses current epigenetic nursing research, provides an
   overview of how epigenetic research relates to nursing practice, makes
   recommendations, and provides epigenetic online resources for nursing
   research. An overview of major epigenetic studies in nursing (specific
   to childbirth studies, preeclampsia, metabolic syndrome, immunotherapy
   cancer, and pain) is provided, with recommendations on next steps.
ZA 0
Z8 1
ZB 1
ZS 0
TC 12
ZR 0
Z9 13
U1 0
U2 7
SN 0029-6465
EI 1558-1357
UT WOS:000328917100009
PM 24295192
ER

PT J
AU George, Paul
   Dumenco, Luba
   Dollase, Richard
   Taylor, Julie Scott
   Wald, Hedy S.
   Reis, Shmuel P.
TI Introducing technology into medical education: Two pilot studies
SO PATIENT EDUCATION AND COUNSELING
VL 93
IS 3
BP 522
EP 524
DI 10.1016/j.pec.2013.04.018
PD DEC 2013
PY 2013
AB Objectives: Educators are integrating new technology into medical
   curriculum. The impact of newer technology on educational outcomes
   remains unclear. We aimed to determine if two pilot interventions, (1)
   introducing iPads into problem-based learning (PBL) sessions and (2)
   online tutoring would improve the educational experience of our
   learners.
   Methods: We voluntarily assigned 26 second-year medical students to
   iPad-based PBL sessions. Five students were assigned to Skype for exam
   remediation. We performed a mixed-method evaluation to determine
   efficacy.
   Results: Pilot 1: Seventeen students completed a survey following their
   use of an iPad during the second-year PBL curriculum. Students noted the
   iPad allows for researching information in real time, annotating lecture
   notes, and viewing sharper images. Data indicate that iPads have value
   in medical education and are a positive addition to the curriculum.
   Pilot 2: Students agreed that online tutoring is at least or more
   effective than in-person tutoring.
   Conclusions: In our pilot studies, students experienced that iPads and
   Skype are beneficial in medical education and can be successfully
   employed in areas such as PBL and remediation.
   Practice implications: Educators should continue to further examine
   innovative opportunities for introducing technology into medical
   education. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
ZS 0
ZB 5
Z8 0
ZA 0
ZR 0
TC 33
Z9 34
U1 0
U2 32
SN 0738-3991
UT WOS:000329267300025
PM 23684367
ER

PT J
AU Bury, T. J.
   Stokes, E. K.
TI Direct access and patient/client self-referral to physiotherapy: a
   review of contemporary practice within the European Union
SO PHYSIOTHERAPY
VL 99
IS 4
BP 285
EP 291
DI 10.1016/j.physio.2012.12.011
PD DEC 2013
PY 2013
AB Background Direct access refers to service users being able to refer
   themselves to physiotherapy without a third-party referral. It
   represents a model of practice supported globally by the profession,
   growing research evidence and health policy in some health systems. To
   the authors' knowledge, no research has been reported to ascertain the
   extent to which direct access is available within the physiotherapy
   profession within the European Union (EU).
   Objectives To survey member organisations of the World Confederation for
   Physical Therapy (WCPT); establish the number of member states within
   the EU where it is possible for individuals seeking physiotherapy
   services to self-refer; describe the legislative/regulatory and
   reimbursement contexts in which physiotherapy services are delivered;
   examine if physiotherapy practice is different in member states where
   direct access is permitted compared with member states where direct
   access is not permitted; and to describe the barriers and facilitators
   to direct access perceived by member organisations of the WCPT.
   Design Cross-sectional, online survey using a purposive sample.
   Participants Member organisations of the WCPT in the EU.
   Results Direct access is not available in all member states of the EU,
   despite the majority having legislation to regulate the profession, and
   entry-level education programmes that produce graduates with the
   requisite competencies. Key barriers perceived are those that can
   influence policy development, including the views of the medical
   profession and politicians. Support of service users and politicians, as
   well as professional autonomy, are seen as key facilitators.
   Conclusion These results represent the first report of a comprehensive
   mapping of direct access to physiotherapy and contexts within the EU. In
   over half of member states, service users can self-refer to
   physiotherapists. These results provide insights to further individuals'
   understanding about the similarities and differences in working
   practices and service delivery factors, such as reimbursement across and
   within EU member states. The synergies between barriers and facilitators
   indicate the importance of targeted advocacy strategies in the
   introduction of direct access/self-referral to physiotherapy. (C) 2013
   Chartered Society of Physiotherapy. Published by Elsevier Ltd. All
   rights reserved.
ZA 0
TC 23
ZR 0
ZS 0
ZB 3
Z8 0
Z9 23
U1 0
U2 13
SN 0031-9406
EI 1873-1465
UT WOS:000326977700004
PM 23537881
ER

PT J
AU Gordon, Caroline
   Isenberg, David
   Lerstrom, Kirsten
   Norton, Yvonne
   Nikai, Enkeleida
   Pushparajah, Daphnee S.
   Schneider, Matthias
TI The substantial burden of systemic lupus erythematosus on the
   productivity and careers of patients: a European patient-driven online
   survey
SO RHEUMATOLOGY
VL 52
IS 12
BP 2292
EP 2301
DI 10.1093/rheumatology/ket300
PD DEC 2013
PY 2013
AB Objective. The objective of this study was to explore the burden of SLE
   and its effect on patients' lives.
   Methods. The Lupus European Online (LEO) survey included
   patient-designed questions on demographics, SLE diagnosis, and the
   impact of SLE on careers. Three SLE-specific patient-reported outcome
   (PRO) questionnaires were also completed: the Lupus Quality of Life
   (LupusQoL), the Fatigue Severity Scale (FSS), and the Work Productivity
   and Activity Impairment (WPAI)-Lupus v2.0. The survey was available
   online in five languages from May through August 2010. All
   self-identified SLE participants were eligible to respond. Survey
   results were analysed using descriptive statistics. Multivariate linear
   regression explored factors contributing to impaired productivity.
   Results. Of the 2070 European SLE patients completing the survey, 93.1%
   were women, 86.7% were aged < 50 years and 71.8% had a college or
   university education. More than two-thirds of respondents (69.5%)
   reported that SLE affected their careers; 27.7% changed careers within a
   year of diagnosis. All LupusQoL domains (score range 0-100) were
   impaired, with fatigue (median domain score 43.8) being the most
   affected and intimate relationships (median domain score 75.0) the
   least. Most patients (82.5%) reported fatigue (FSS score epsilon 4).
   Productivity was impaired across all WPAI domains, both at work and in
   general activities. Fatigue, an inability to plan and reduced physical
   health were significantly associated with impaired productivity.
   Patients whose careers were affected by SLE had worse health-related
   quality of life, more fatigue and worse productivity than patients whose
   careers were not affected.
   Conclusion. LEO survey respondents reported that SLE negatively affects
   their daily lives, productivity and career choices.
OI Isenberg, David/0000-0001-9514-2455; Gordon,
   Caroline/0000-0002-1244-6443
ZS 1
ZR 1
Z8 2
ZB 27
ZA 0
TC 57
Z9 61
U1 0
U2 15
SN 1462-0324
EI 1462-0332
UT WOS:000327430400025
PM 24049101
ER

PT J
AU Louw, Vernon J.
   Nel, Marietjie M.
   Hay, John F.
TI Factors affecting the current status of transfusion medicine education
   in South Africa
SO TRANSFUSION AND APHERESIS SCIENCE
VL 49
IS 3
BP 665
EP 672
DI 10.1016/j.transci.2013.05.003
PD DEC 2013
PY 2013
AB Education in transfusion medicine, aimed at clinical transfusion
   practice, is limited in most South African pre- and postgraduate medical
   training programs. A number of local and global factors impact on the
   need for and provision of transfusion medicine education programs in
   South Africa, which are discussed in this paper. A perspective is
   provided on the effects of issues such as global versus local training
   need, blood safety, appropriate use of blood in resource-restrained
   environments, the presence or absence of national blood policies,
   standardization of training, medical migration and workforce diversity.
   Harnessing support for the development of training programs for medical
   doctors and new opportunities for developing a career in transfusion
   medicine are discussed. Commentary is also provided on online learning,
   social networking and integration of modern paradigms of learning, such
   as screencasting and online learning, into teaching programs. This
   article should provide anyone in medical education or program
   development, in particular in the field of transfusion medicine, with an
   indication of the factors that should be considered when embarking on
   such an endeavor. (C) 2013 Published by Elsevier Ltd.
RI Louw, Vernon/ABA-1753-2020
OI Louw, Vernon/0000-0002-2885-3342
TC 8
ZB 3
ZR 0
ZS 2
ZA 0
Z8 0
Z9 9
U1 0
U2 3
SN 1473-0502
EI 1878-1683
UT WOS:000329012500058
PM 23743009
ER

PT J
AU Arthur, Samuelina
   Bangha, Martin
   Sankoh, Osman
TI Review of contributions from HDSSs to research in sexual and
   reproductive health in low- and middle-income countries
SO TROPICAL MEDICINE & INTERNATIONAL HEALTH
VL 18
IS 12
BP 1463
EP 1487
DI 10.1111/tmi.12209
PD DEC 2013
PY 2013
AB ObjectiveTo evaluate the contributions of the INDEPTH Network of health
   and demographic surveillance system (HDSS) members to research efforts
   and interventions on reproductive health in low- and middle-income
   countries (LMICs).
   MethodsReview of peer-reviewed published papers on sexual and
   reproductive health (SRH) that use the HDSS framework through (i) an
   online search for publications using terminology related to HDSS, HIV,
   Maternal health, adolescent sexual and reproductive health, family
   planning/contraceptives and fertility, and (ii) asking INDEPTH member
   centres for information on their published papers on SRH publications
   that used the HDSS framework. A paper was included in the review only if
   it used HDSS data, dealt with SRH issues, and had been published in a
   peer-reviewed international journal.
   ResultsMost of the papers in the review focused on HIV, maternal health,
   family planning and adolescent sexual and reproductive health (ASRH).
   Generally, people are knowledgeable about HIV. School attendance
   considerably delays entry into motherhood and reduces the probability of
   entering into early marriage or sexual union. The general decline in
   maternal mortality over the last decade is partly due to better access
   to emergency obstetric services, improved education of women and
   reduction in fertility.
   ConclusionSexual and reproductive health is a significant public health
   need, yet little research has been published in this area to inform
   policy. The HDSS framework is ideal for SRH research, as it offers the
   advantage to track and monitor progress of relevant health and
   demographic indicators, especially in family planning, marriage and
   fertility studies.
RI Sankoh, Osman/ABB-3755-2020; Bangha, Martin/
OI Sankoh, Osman/0000-0003-4405-9808; Bangha, Martin/0000-0002-2201-8004
ZR 0
ZB 0
TC 4
ZA 0
Z8 0
ZS 0
Z9 4
U1 1
U2 20
SN 1360-2276
EI 1365-3156
UT WOS:000327053900005
PM 24237785
ER

PT J
AU Mishra, Kirtishri
   Snow-Lisy, Devon C.
   Ross, Jonathan
   Goldfarb, David A.
   Goldman, Howard
   Campbell, Steven C.
TI Evaluation of a Case-based Urology Learning Program
SO UROLOGY
VL 82
IS 6
BP 1207
EP 1210
DI 10.1016/j.urology.2013.09.007
PD DEC 2013
PY 2013
AB OBJECTIVE
   To address the challenges that today's trainees encounter, such as
   information overload and reduced immersion in the field, and recognizing
   their preference for novel educational resources, an electronic
   case-based urology learning program was developed. Each case was
   designed to illustrate the basic principles of the disease process and
   the fundamentals of evaluation and management using the Socratic method,
   recapitulating a prototypical patient encounter.
   METHODS A 21-question survey was developed after review of published
   reports of classroom and clinical learning environment surveys. The
   target group was 2 pilot urology training programs (the Cleveland Clinic
   and University Hospitalse-Case Medical Center). The responses were
   entirely anonymous.
   RESULTS A total of 32 trainees participated (8 fellows and 24
   residents), representing a 53% response rate. Most trainees (79%) were
   able to process cases within an average of <= 10 minutes. Of the
   trainees, 91% reported referring back to particular cases for patient
   care, to review for examinations, or for studying. Most trainees
   believed a case-based urology learning program would be a potentially
   important resource for clinical practice (69%) and for preparing for the
   in-service (63%) or board (69%) examinations. Most trainees believed the
   program met its goals of illustrating the basics principles of the
   disease process (88%), outlining the fundamentals of evaluation and
   management (94%), and improving the trainees' knowledge base (91%).
   CONCLUSION An electronic case-based urology learning program is feasible
   and useful and stimulates learning at all trainee levels. (C) 2013
   Elsevier Inc.
ZS 0
Z8 4
ZB 2
TC 5
ZA 0
ZR 0
Z9 9
U1 0
U2 11
SN 0090-4295
EI 1527-9995
UT WOS:000327540300008
PM 24295241
ER

PT J
AU Lee, Linda
   Weston, W. Wayne
   Hillier, Loretta M.
TI Developing Memory Clinics in Primary Care: An Evidence-Based
   Interprofessional Program of Continuing Professional Development
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 33
IS 1
BP 24
EP 32
DI 10.1002/chp.21163
PD WIN 2013
PY 2013
AB Introduction: Primary care is challenged to meet the needs of patients
   with dementia. A training program was developed to increase capacity for
   dementia care through the development of Family Health Team (FHT)-based
   interprofessional memory clinics. The interprofessional training program
   consisted of a 2-day workshop, 1-day observership, and 2-day mentorship
   program. Methods: An online survey was completed by participants prior
   to the training workshop and a similar survey at least 6 months
   following completion of the program to measure perceived changes related
   to knowledge, ability, and confidence to assess and manage memory
   problems, and comfort in speaking to patients and caregivers about
   concerns regarding dementia. Participants also completed a paper-based
   reaction survey at the end of the workshop and observership day.
   Results: Twenty-two FHTs, with 124 health professionals, participated in
   this program. At follow-up there were statistically significant
   increases in self-reported knowledge of and ability to assess and manage
   cognitive impairment, confidence, comfort level in speaking to patients
   about memory problems, and the ability of participants' FHT to manage
   cognitive impairment independently. Engagement in dementia care practice
   activities increased following the program. All but one FHT successfully
   formed a memory clinic. Discussion: This training program represents a
   significant opportunity to bring about evidence-based practice change
   through a capacity development initiative to support primary care
   providers to maintain the majority of dementia care within primary care
   practice. The provision of practical knowledge and resources and
   incorporating best teaching practices to maximize knowledge transfer
   contributed to the success of this program.
ZR 0
TC 41
ZS 1
Z8 3
ZA 0
ZB 3
Z9 44
U1 0
U2 173
SN 0894-1912
UT WOS:000316808600005
PM 23512557
ER

PT J
AU Hornos, Eduardo H.
   Pleguezuelos, Eduardo M.
   Brailovsky, Carlos A.
   Harillo, Leandro D.
   Dory, Valerie
   Charlin, Bernard
TI The Practicum Script Concordance Test: An Online Continuing Professional
   Development Format to Foster Reflection on Clinical Practice
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 33
IS 1
BP 59
EP 66
DI 10.1002/chp.21166
PD WIN 2013
PY 2013
AB Introduction: Judgment in the face of uncertainty is an important
   dimension of expertise and clinical competence. However, it is
   challenging to conceive continuing professional development (CPD)
   initiatives aimed at helping physicians enhance their clinical judgment
   skills in ill-defined situations. We present an online script
   concordance-based CPD program (the Practicum Script Concordance Test,
   copyright (c) 2006 by Practicum Foundation), a tool that can be used to
   support health professionals in the development of their reflective
   clinical reasoning ability. We describe the rationale and principles and
   report on the implementation of 2 online programs based on this new CPD
   initiative. Method: The Practicum Script Concordance Test program
   consists of daily testing and feedback over the course of a year using
   SCT items. Feedback is both global (eg, health professionals are told
   their cumulative mean score) and specific (eg, they can view the expert
   panel's responses together with their justifications for their answers).
   Participants have the option of contacting a personal tutor, to whom
   they can send questions. Data regarding feasibility, participation, and
   acceptability were collected. Results: Initial implementation took place
   in Mexico where 1901 physicians (1349 paediatricians, 552 cardiologists)
   were enrolled in Practicum programs. Around 70% of those enrolled
   pursued the program and were very satisfied with its format and content.
   The online format was an important factor in the development and
   maintenance of the programs. Dropouts had issues with the SCT concept
   and the time required to participate. Discussion: The on-line Practicum
   Script Concordance Test program was designed to foster expertise
   development based on practice, reflection and feedback. Although further
   research is needed to examine its impact physicians' practice and
   ultimately on patient outcomes, it is an original and promising
   development in CPD.
OI Dory, Valerie/0000-0002-5814-5654
ZS 0
Z8 0
ZB 3
ZA 0
ZR 0
TC 20
Z9 20
U1 0
U2 71
SN 0894-1912
EI 1554-558X
UT WOS:000316808600009
PM 23512561
ER

PT J
AU Wilson, Lynda Law
   Rice, Marti
   Jones, Carolynn T.
   Joiner, Cynthia
   LaBorde, Jennifer
   McCall, Kimberly
   Jester, Penelope M.
   Carter, Sheree C.
   Boone, Chrissy
   Onwuzuligbo, Uzoma
   Koneru, Alaya
TI Enhancing Research Capacity for Global Health: Evaluation of a
   Distance-Based Program for International Study Coordinators
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 33
IS 1
BP 67
EP 75
DI 10.1002/chp.21167
PD WIN 2013
PY 2013
AB Introduction: Due to the increasing number of clinical trials conducted
   globally, there is a need for quality continuing education for health
   professionals in clinical research manager (CRM) roles. This article
   describes the development, implementation, and evaluation of a
   distance-based continuing education program for CRMs working outside the
   United States. Methods: A total of 692 applications were received from
   CRMs in 50 countries. Of these, 166 were admitted to the program in two
   cohorts. The program, taught online and in English, included 4 required
   and 1 optional course. Course materials were also provided as hard
   copies and on CDs. A pretest/posttest design was used to evaluate the
   outcome of the program in terms of changes in knowledge, participants'
   capacity-building activities at their research sites; and participant
   and supervisor perceptions of program impact. Results: Participants
   demonstrated significant improvements in knowledge about clinical
   research, rated course content and teaching strategies positively, and
   identified the opportunity for interactions with international peers as
   a major program strength. Challenges for participants were limited time
   to complete assignments and erratic Internet access. Participants
   offered capacity-building programs to 5061 individuals at their research
   sites. Supervisors indicated that they would recommend the program and
   perceived the program improved CRM effectiveness and site research
   capacity. Discussion: Results suggest that this type of continuing
   education program addresses a growing need for education of CRMs working
   in countries that have previously had limited involvement with global
   clinical trials.
RI Jones, Carolynn T/F-1525-2015; Jones, Carolynn/AAW-8030-2021
OI Jones, Carolynn/0000-0002-0669-7860
ZR 0
Z8 0
ZS 0
TC 6
ZA 0
ZB 0
Z9 6
U1 0
U2 137
SN 0894-1912
UT WOS:000316808600010
PM 23512562
ER

PT J
AU Yong-Mi Kim
TI Does Online Searching Cause or Enforce Health Information Disparity?
SO Journal of Information & Knowledge Management
VL 12
IS 4
BP 1350032 (10 pp.)
EP 1350032 (10 pp.)
DI 10.1142/S0219649213500329
PD Dec. 2013
PY 2013
AB A growing number of people are seeking health information on the
   Internet. To meet demands, healthcare providers are increasingly
   disseminating information online. While online health information has
   enhanced the dissemination of health information and improved people's
   health-related knowledge, critics posit that such dissemination has
   widened knowledge disparities in health information and health benefits
   as a result. Drawing on existing studies, this study identified the main
   causes of such disparity, namely education, health literacy, computer
   self-efficacy (CSE) and usage of health-related social media. The
   finding showed that education resided at the centre of the disparity and
   impacted other elements. An interesting finding is although individuals
   possess high levels of CSE, the efficacy does not highly impact their
   health benefits, meaning that computer does not directly cause health
   information disparity but is the tool to promote health-related
   knowledge disparity.
ZA 0
ZB 0
ZR 0
TC 2
Z8 0
ZS 0
Z9 2
U1 0
U2 2
SN 0219-6492
UT INSPEC:14015663
ER

PT J
AU Kirkpatrick, Terry
   Manoukian, Linda
   Dear, Blake F.
   Johnston, Luke
   Titov, Nickolai
TI A feasibility open trial of internet-delivered cognitive-behavioural
   therapy (iCBT) among consumers of a non-governmental mental health
   organisation with anxiety
SO PEERJ
VL 1
AR e210
DI 10.7717/peerj.210
PD NOV 28 2013
PY 2013
AB Background. To date the efficacy and acceptability of internet-delivered
   cognitive behavioural treatments (iCBT) has been examined in clinical
   trials and specialist facilities. The present study reports the
   acceptability, feasibility and preliminary efficacy of an established
   iCBT treatment course (the Wellbeing Course) administered by a
   not-for-profit non-governmental organisation, the Mental Health
   Association (MHA) of New South Wales, to consumers with symptoms of
   anxiety.
   Methods. Ten individuals who contacted the MHA's telephone support line
   or visited the MHA's website and reported at least mild symptoms of
   anxiety (GAD-7 total scores >= 5) were admitted to the study.
   Participants were provided access to the Wellbeing Course, which
   comprises five online lessons and homework assignments, and brief weekly
   support from an MHA staff member via telephone and email. The MHA staff
   member was an experienced mental health professional and received
   minimal training in administering the intervention.
   Results. All 10 participants completed the course within the 8 weeks.
   Post-treatment and two month follow-up questionnaires were completed by
   all participants. Mean within-group effect sizes (Cohen's d) for the
   Generalized Anxiety Disorder 7 Item (GAD-7) and Patient Health
   Questionnaire 9 Item (PHQ-9) were large (i.e., > .80) and consistent
   with previous controlled research. The Course was also rated as highly
   acceptable with all 10 participants reporting it was worth their time
   and they would recommend it to a friend.
   Conclusions. These results provide support for the potential clinical
   utility of iCBT interventions and the acceptability and feasibility of
   employing non-governmental mental health organisations to deliver these
   treatments. However, further research is needed to examine the clinical
   efficacy and cost-effectiveness of delivering iCBT via such
   organisations.
OI Dear, Blake/0000-0001-9324-3092; Titov, Nickolai/0000-0002-7268-729X
ZS 0
ZA 0
TC 9
ZB 1
ZR 0
Z8 0
Z9 9
U1 0
U2 5
SN 2167-8359
UT WOS:000209191700001
PM 24349897
ER

PT J
AU Cook, David A.
   Sorensen, Kristi J.
   Hersh, William
   Berger, Richard A.
   Wilkinson, John M.
TI Features of Effective Medical Knowledge Resources to Support Point of
   Care Learning: A Focus Group Study
SO PLOS ONE
VL 8
IS 11
AR e80318
DI 10.1371/journal.pone.0080318
PD NOV 25 2013
PY 2013
AB Objective: Health care professionals access various information sources
   to quickly answer questions that arise in clinical practice. The
   features that favorably influence the selection and use of knowledge
   resources remain unclear. We sought to better understand how clinicians
   select among the various knowledge resources available to them, and from
   this to derive a model for an effective knowledge resource.
   Methods: We conducted 11 focus groups at an academic medical center and
   outlying community sites. We included a purposive sample of 50 primary
   care and subspecialist internal medicine and family medicine physicians.
   We transcribed focus group discussions and analyzed these using a
   constant comparative approach to inductively identify features that
   influence the selection of knowledge resources.
   Results: We identified nine features that influence users' selection of
   knowledge resources, namely efficiency (with sub-features of
   comprehensiveness, searchability, and brevity), integration with
   clinical workflow, credibility, user familiarity, capacity to identify a
   human expert, reflection of local care processes, optimization for the
   clinical question (e. g., diagnosis, treatment options, drug side
   effect), currency, and ability to support patient education. No single
   existing resource exemplifies all of these features.
   Conclusion: The influential features identified in this study will
   inform the development of knowledge resources, and could serve as a
   framework for future research in this field.
RI Hersh, William/AAH-6106-2019
OI Hersh, William/0000-0002-4114-5148
ZA 0
ZB 8
TC 39
Z8 0
ZR 0
ZS 0
Z9 39
U1 0
U2 25
SN 1932-6203
UT WOS:000327543500036
PM 24282535
ER

PT J
AU Goldzweig, Caroline Lubick
   Orshansky, Greg
   Paige, Neil M.
   Towfigh, Ali Alexander
   Haggstrom, David A.
   Miake-Lye, Isomi
   Beroes, Jessica M.
   Shekelle, Paul G.
TI Electronic Patient Portals: Evidence on Health Outcomes, Satisfaction,
   Efficiency, and Attitudes
SO ANNALS OF INTERNAL MEDICINE
VL 159
IS 10
BP 677
EP +
DI 10.7326/0003-4819-159-10-201311190-00006
PD NOV 19 2013
PY 2013
AB Background: Patient portals tied to provider electronic health record
   (EHR) systems are increasingly popular.
   Purpose: To systematically review the literature reporting the effect of
   patient portals on clinical care.
   Data Sources: PubMed and Web of Science searches from 1 January 1990 to
   24 January 2013.
   Study Selection: Hypothesis-testing or quantitative studies of patient
   portals tethered to a provider EHR that addressed patient outcomes,
   satisfaction, adherence, efficiency, utilization, attitudes, and patient
   characteristics, as well as qualitative studies of barriers or
   facilitators, were included.
   Data Extraction: Two reviewers independently extracted data and
   addressed discrepancies through consensus discussion.
   Data Synthesis: From 6508 titles, 14 randomized, controlled trials; 21
   observational, hypothesis-testing studies; 5 quantitative, descriptive
   studies; and 6 qualitative studies were included. Evidence is mixed
   about the effect of portals on patient outcomes and satisfaction,
   although they may be more effective when used with case management. The
   effect of portals on utilization and efficiency is unclear, although
   patient race and ethnicity, education level or literacy, and degree of
   comorbid conditions may influence use.
   Limitation: Limited data for most outcomes and an absence of reporting
   on organizational and provider context and implementation processes.
   Conclusion: Evidence that patient portals improve health outcomes, cost,
   or utilization is insufficient. Patient attitudes are generally
   positive, but more widespread use may require efforts to overcome
   racial, ethnic, and literacy barriers. Portals represent a new
   technology with benefits that are still unclear. Better understanding
   requires studies that include details about context, implementation
   factors, and cost.
ZA 0
ZB 42
Z8 1
ZR 0
TC 311
ZS 0
Z9 313
U1 7
U2 88
SN 0003-4819
EI 1539-3704
UT WOS:000328732700016
PM 24247673
ER

PT J
AU Lloyd, Hilary
   Hinton, Tina
   Bullock, Shane
   Babey, Anna-Marie
   Davis, Elizabeth
   Fernandes, Lynette
   Hart, Joanne
   Musgrave, Ian
   Ziogas, James
TI An evaluation of pharmacology curricula in Australian science and
   health-related degree programs
SO BMC MEDICAL EDUCATION
VL 13
AR 153
DI 10.1186/1472-6920-13-153
PD NOV 19 2013
PY 2013
AB Background: Pharmacology is a biomedical discipline taught in basic
   science and professional degree programs. In order to provide
   information that would facilitate pharmacology curricula to be refined
   and developed, and approaches to teaching to be updated, a national
   survey was undertaken in Australia that investigated pharmacology course
   content, teaching and summative assessment methods.
   Methods: Twenty-two institutions participated in a purpose-built online
   questionnaire, which enabled an evaluation of 147 courses taught in 10
   different degrees. To enable comparison, degrees were grouped into four
   major degree programs, namely science, pharmacy, medicine and nursing.
   The pharmacology content was then classified into 16 lecture themes,
   with 2-21 lecture topics identified per theme. The resultant data were
   analysed for similarities and differences in pharmacology curricula
   across the degree programs.
   Results: While all lecture themes were taught across degree programs,
   curriculum content differed with respect to the breadth and hours of
   coverage. Overall, lecture themes were taught most broadly in medicine
   and with greatest coverage in pharmacy. Reflecting a more traditional
   approach, lectures were a dominant teaching method (at least 90% of
   courses). Sixty-three percent of science courses provided practical
   classes but such sessions occurred much less frequently in other degree
   programs, while tutorials were much more common in pharmacy degree
   programs (70%). Notably, problem-based learning was common across
   medical programs. Considerable diversity was found in the types of
   summative assessment tasks employed. In science courses the most common
   form of in-semester assessment was practical reports, whereas in other
   programs pen-and-paper quizzes predominated. End-of-semester assessment
   contributed 50-80% to overall assessment across degree programs.
   Conclusion: The similarity in lecture themes taught across the four
   different degree programs shows that common knowledge-and
   competency-based learning outcomes can be defined for pharmacology. The
   authors contend that it is the differences in breadth and coverage of
   material for each lecture theme, and the differing teaching modes and
   assessment that characterise particular degree programs. Adoption of
   pharmacology knowledge-based learning outcomes that could be tailored to
   suit individual degree programs would better facilitate the sharing of
   expertise and teaching practice than the current model where
   pharmacology curricula are degree-specific.
RI Fernandes, Lynette/H-9175-2014; Musgrave, Ian/; Hart, Joanne/
OI Fernandes, Lynette/0000-0003-3768-1340; Musgrave,
   Ian/0000-0003-1016-0588; Hart, Joanne/0000-0002-9473-0383
ZR 0
ZA 0
ZB 3
Z8 1
TC 10
ZS 0
Z9 11
U1 0
U2 46
EI 1472-6920
UT WOS:000328495100002
PM 24252183
ER

PT J
AU Steck, Andreas
   Struhal, Walter
   Sergay, Stephen M.
   Grisold, Wolfgang
CA Educ Comm World Federation Neurolo
TI The global perspective on neurology training: The World Federation of
   Neurology survey
SO JOURNAL OF THE NEUROLOGICAL SCIENCES
VL 334
IS 1-2
BP 30
EP 47
DI 10.1016/j.jns.2013.07.012
PD NOV 15 2013
PY 2013
AB This World Federation of Neurology (WFN) study aimed to characterize the
   status quo of post-graduate neurology training throughout the world and
   enable a better orientation on global training in neurology. Basic data
   on training curricula and working conditions of neurology residents and
   neurologists in 39 countries worldwide were evaluated. Our data show
   considerable differences in manpower and training, but a continuous
   improvement within the last 10 years of observation. Worldwide a spread
   of interim evaluations and final examinations of different types are
   used. Online resources will undoubtedly profoundly change skill and
   knowledge acquisition and training practices in Neurology in the coming
   years. (C) 2013 Elsevier B.V. All rights reserved.
ZR 0
ZB 7
ZS 0
Z8 0
TC 16
ZA 0
Z9 16
U1 0
U2 2
SN 0022-510X
EI 1878-5883
UT WOS:000327674800008
PM 23953945
ER

PT J
AU Yuan, Kai
   Jin, Chenwang
   Cheng, Ping
   Yang, Xuejuan
   Dong, Tao
   Bi, Yanzhi
   Xing, Lihong
   von Deneen, Karen M.
   Yu, Dahua
   Liu, Junyu
   Liang, Jun
   Cheng, Tingting
   Qin, Wei
   Tian, Jie
TI Amplitude of Low Frequency Fluctuation Abnormalities in Adolescents with
   Online Gaming Addiction
SO PLOS ONE
VL 8
IS 11
AR e78708
DI 10.1371/journal.pone.0078708
PD NOV 4 2013
PY 2013
AB The majority of previous neuroimaging studies have demonstrated both
   structural and task-related functional abnormalities in adolescents with
   online gaming addiction (OGA). However, few functional magnetic
   resonance imaging (fMRI) studies focused on the regional intensity of
   spontaneous fluctuations in blood oxygen level-dependent (BOLD) during
   the resting state and fewer studies investigated the relationship
   between the abnormal resting-state properties and the impaired cognitive
   control ability. In the present study, we employed the amplitude of low
   frequency fluctuation (ALFF) method to explore the local features of
   spontaneous brain activity in adolescents with OGA and healthy controls
   during resting-state. Eighteen adolescents with OGA and 18 age-,
   education-and gender-matched healthy volunteers participated in this
   study. Compared with healthy controls, adolescents with OGA showed a
   significant increase in ALFF values in the left medial orbitofrontal
   cortex (OFC), the left precuneus, the left supplementary motor area
   (SMA), the right parahippocampal gyrus (PHG) and the bilateral middle
   cingulate cortex (MCC). The abnormalities of these regions were also
   detected in previous addiction studies. More importantly, we found that
   ALFF values of the left medial OFC and left precuneus were positively
   correlated with the duration of OGA in adolescents with OGA. The ALFF
   values of the left medial OFC were also correlated with the color-word
   Stroop test performance. Our results suggested that the abnormal
   spontaneous neuronal activity of these regions may be implicated in the
   underlying pathophysiology of OGA.
RI Tian, Jie/H-1190-2011; Yuan, Kai/M-9403-2013; Yu, Dahua/N-7242-2013; tian, jie/M-6336-2013; Yuan, Kai/I-4150-2016; 秦, 伟/J-9770-2016
OI Tian, Jie/0000-0003-0498-0432; Yu, Dahua/0000-0001-7850-7512; Yuan,
   Kai/0000-0002-3098-1124; 秦, 伟/0000-0003-4583-0406
ZB 22
ZR 0
Z8 1
ZS 0
TC 49
ZA 0
Z9 50
U1 0
U2 42
SN 1932-6203
UT WOS:000326503400085
PM 24223843
ER

PT J
AU Thomas, Jenny
TI Exploring the use of asynchronous online discussion in health care
   education: A literature review
SO COMPUTERS & EDUCATION
VL 69
BP 199
EP 215
DI 10.1016/j.compedu.2013.07.005
PD NOV 2013
PY 2013
AB This paper highlights the different options associated with asynchronous
   online discussion (AOD) use in health care education which may have an
   impact on their effectiveness. The review was carried out following a
   search of specific databases, websites, key journals, references and key
   authors. All studies published between 2006 and 2012 that met specific
   inclusion/exclusion criteria were subject to quality appraisal. Fourteen
   studies met the quality appraisal criteria: six qualitative, four
   quasi-experimental, one observational and three mixed methods. Data
   extraction coupled with narrative synthesis enabled the description of
   options that emerged and exploration of the relationships within and
   between studies. Study design as well as methodological quality was
   mixed. However, several useful factors emerged which may impact on
   effectiveness. These include (a) the mode of e-moderation (b) provision
   of AOD for participants in the clinical setting to critically reflect,
   analyse and resolve clinical issues and (c) increased amount of time
   spent reading the AOD (but not the number of discussion 'hits').
   Research in this area appears to be in its infancy and one of the main
   recommendations is that further studies are required which focus on
   comparing the same type of AOD with and without a specific intervention
   in order to make any robust conclusions. (C) 2013 Elsevier Ltd. All
   rights reserved.
Z8 0
ZB 1
ZA 1
TC 29
ZS 0
ZR 0
Z9 30
U1 0
U2 35
SN 0360-1315
EI 1873-782X
UT WOS:000325600400018
ER

PT J
AU Zhang, Chupei
   Gotsis, Marientina
   Jordan-Marsh, Maryalice
TI Social media microblogs as an HPV vaccination forum
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 9
IS 11
BP 2483
EP 2489
DI 10.4161/hv.25599
PD NOV 2013
PY 2013
AB The 2006 US FDA approval of the human papillomavirus (HPV) vaccine
   brought new hope for cancer prevention. Gardasil and Cervarix are widely
   available vaccines that can deter HPV infection, which causes 70% of
   cervical cancer. Acceptance of vaccination varies due to a lack of HPV
   awareness and HPV vaccine knowledge. Recent observations of the Chinese
   microblog "SinaWeibo" suggest a new approach to engage health
   professionals and consumer website bloggers. Websites that present the
   latest fashion, fitness or beauty news and ways to obtain "deals" have
   created informative blogs or online communities that appeal to female
   users. Some users raise health questions of their peers. Health
   professionals, as website bloggers, can introduce vaccine news or
   respond to conversations between bloggers and their followers. By
   transforming medical vocabulary into ordinary chat, microblogs may
   promote efficiency in vaccine education and communication. A web-based,
   interactive social media-microblog could offer an ideal platform to
   speed up information dissemination and increase targeted communication.
RI Gotsis, Marientina/ABE-3234-2020
OI Gotsis, Marientina/0000-0002-0753-5708
ZS 0
TC 18
ZB 5
ZA 0
Z8 0
ZR 0
Z9 18
U1 1
U2 16
SN 2164-5515
EI 2164-554X
UT WOS:000330382300034
PM 23842072
ER

PT J
AU Jones, Paul R.
   Brooks, John H. M.
   Wylie, Ann
TI Realising the potential for an Olympic legacy; teaching medical students
   about sport and exercise medicine and exercise prescribing
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 47
IS 17
BP 1090
EP 1094
DI 10.1136/bjsports-2013-092386
PD NOV 2013
PY 2013
AB Background Physicians are increasingly being called upon to promote
   physical activity (PA) among patients. However, a paucity of exercise
   medicine teaching in the UK undergraduate medical curricula prevents
   students from acquiring the necessary knowledge and skills to do so. To
   address this issue, King's College London School of Medicine introduced
   an exercise medicine strand of teaching. This study evaluated the
   acceptability of exercise promotion behaviour change lectures and
   explored the knowledge and attitudes of the students who received it.
   Methods Students were invited to complete a 6-item online questionnaire
   prior to and after exercise medicine lectures. The questionnaire
   assessed beliefs regarding the importance of PA in disease prevention
   and management, in addition to their confidence in advising patients on
   PA recommendations. A focus group (n=7) explored students' attitudes
   towards and knowledge of PA promotion and exercise prescribing.
   Results In total, 121 (15%) first-year and second-year MBBS students
   completed the questionnaire. Students' beliefs regarding the importance
   of PA in managing disease and their confidence in PA promotion among
   patients increased after the teaching (p<0.001). More students were able
   to correctly identify the Chief Medical Officer recommended adult PA
   guidelines (p<0.05). Students were enthusiastic about the exercise
   medicine teaching, strongly supportive of its continued inclusion in the
   curriculum and advocated its importance for patients and themselves as
   future doctors.
   Conclusions Behaviour change teaching successfully improved students'
   knowledge of and confidence regarding PA promotion. These improvements
   are a step forward and may increase the rates and success of physician
   PA counselling in the future.
RI Wylie, Ann/J-6082-2019; Jones, Paul/E-4210-2016; Brooks, John/
OI Wylie, Ann/0000-0001-6626-0751; Jones, Paul/0000-0002-9770-3938; Brooks,
   John/0000-0003-2935-7858
ZS 0
ZB 1
ZR 0
Z8 0
ZA 0
TC 14
Z9 14
U1 0
U2 13
SN 0306-3674
EI 1473-0480
UT WOS:000336524900010
PM 23787360
ER

PT J
AU Hui, Y.
   Safir, O.
   Dubrowski, A.
   Carnahan, H.
TI What skills should simulation training in arthroscopy teach residents? A
   focus on resident input
SO INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
VL 8
IS 6
BP 945
EP 953
DI 10.1007/s11548-013-0833-7
PD NOV 2013
PY 2013
AB Our purpose was to identify what surgical skills trainees consider
   important to possess before performing in the operating room and the
   components of an optimal simulator.
   An online survey composed of 35 questions was completed by 67 orthopedic
   residents from across Canada. The questions examined the opinions of
   residents for their perspective on what constitutes an optimal design of
   an arthroscopic simulator.
   The average year of residency of the respondents was 3.2, and the
   average number of arthroscopies assisted on was 66.1 with a range of
   0-300. Identification of structures and navigation of the arthroscope
   were ranked highly in terms of importance for trainee surgeons to
   possess before performing in the operating room. Higher fidelity
   simulation models such as cadaveric specimens or the use of synthetic
   knees were preferred over lower fidelity simulation models such as
   virtual reality simulators or bench top models.
   The information from trainees can be used in the development of a
   simulator for medical education as well as program and curriculum
   design. The report also highlights the importance of the pre-RCT phases
   leading to the development of the most effective simulation programs.
Z8 1
ZR 0
ZA 0
ZB 4
ZS 0
TC 15
Z9 16
U1 0
U2 7
SN 1861-6410
EI 1861-6429
UT WOS:000326455900008
PM 23535939
ER

PT J
AU Lyons, Anthony
   Pitts, Marian
   Grierson, Jeffrey
TI Methamphetamine use in a nationwide online sample of older Australian
   HIV-positive and HIV-negative gay men
SO DRUG AND ALCOHOL REVIEW
VL 32
IS 6
BP 603
EP 610
DI 10.1111/dar.12072
PD NOV 2013
PY 2013
AB Introduction and Aims.Use of methamphetamine appears to be greater among
   gay men than in the general population, yet little data are available on
   factors associated with use, especially among older men. This study
   identifies factors associated with reported methamphetamine use among
   older Australian gay men.
   Design and Methods.Data were collected from an online survey involving
   1135 HIV-positive and HIV-negative gay-identified men aged 40 years and
   older.
   Results.One in eight men in the sample, or 13%, reported using
   methamphetamine in the past 12 months. Patterns of reported use were
   similar across the country, with no significant differences between
   major states and territories. Reported methamphetamine use was
   considerably more prevalent among HIV-positive (24%) than HIV-negative
   men (11%). In a multivariable logistic regression, reported use was
   significantly greater among men in their 40s compared with those in
   their 50s and older (P=0.002), who were single as opposed to being in an
   ongoing relationship (P=0.03), who were HIV-positive (P=0.003), and who
   reported using other drugs for non-medical purposes in the past 12
   months (P<0.001). Socioeconomic status and psychosocial variables, such
   as experiences of discrimination and psychological distress, were not
   significant factors for reported methamphetamine use.
   Discussion and Conclusions.Relatively high rates of reported use of
   methamphetamine were found across the country in this online sample of
   older Australian gay men. National approaches to health education
   strategies may be needed, with a focus on high prevalence populations,
   such as those infected with HIV. [Lyons A, Pitts M, Grierson J.
   Methamphetamine use in a nationwide online sample of older Australian
   HIV-positive and HIV-negative gay men. Drug Alcohol Rev 2013;32:603-610]
OI Grierson, Jeffrey/0000-0003-1619-2054; Lyons,
   Anthony/0000-0001-9569-6909
ZS 0
Z8 0
TC 19
ZA 0
ZR 0
ZB 8
Z9 19
U1 0
U2 2
SN 0959-5236
EI 1465-3362
UT WOS:000326965900008
PM 24219659
ER

PT J
AU Forte, Marcos
   de Souza, Wanderley L.
   da Silva, Roseli F.
   do Prado, Antonio F.
   Rodrigues, Jose F., Jr.
TI A Ubiquitous Reflective E-Portfolio Architecture
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 82
IS 11
BP 1111
EP 1122
DI 10.1016/j.ijmedinf.2013.06.005
PD NOV 2013
PY 2013
AB Background: In nurse and in medicine courses, the use of reflective
   portfolios as a pedagogical tool is becoming a common practice; in the
   last years, this practice has gradually migrated from paper-based to
   electronic-based portfolios. Current approaches for reflective
   e-portfolios, however, do not widely operate at outdoor sites, where
   data networks are limited or nonexistent. Considering that many of the
   activities related to nurse and medicine courses relate to professional
   practices conducted in such conditions, these network shortcomings
   restrict the adoption of e-portfolios.
   Purpose: The present study describes the requirements specification,
   design, implementation, and evaluation of the Ubiquitous Reflective
   E-Portfolio Architecture, a solution proposed to support the development
   of systems based on mobile and wired access for both online and offline
   operation.
   Methods: We have implemented a prototype named Professional Practice
   Module to evaluate the Ubiquitous Reflective E-Portfolio Architecture;
   the module was based on requirements observed during the professional
   practice, the paper-based portfolio in use, and related learning
   meetings in the Medicine Course of a Brazilian University. The
   evaluation of the system was carried out with a learning group of 2nd
   year students of the medicine course, who answered to extensive
   evaluation questionnaires.
   Results: The prototype proved to be operational in the activities of the
   professional practice of the Medicine Course object of the study,
   including homework tasks, patient care, data sharing, and learning
   meetings. It also demonstrated to be versatile with respect to the
   availability of the computer network that, many times, was not
   accessible. Moreover, the students considered the module useful and easy
   to use, but pointed out difficulties about the keyboard and the display
   sizes of the netbook devices, and about their operational system.
   Lastly, most of the students declared preference for the electronic
   Professional Practice Module in internal and in group activities, and
   for the paper-based version while in patient attendance.
   Conclusions: There is evidence that the environment where the
   professional practice takes place influences the usage of the
   e-portfolio. Mobile devices were able to support students in their
   professional practice; however, these devices present characteristics
   that must be judiciously selected, otherwise, they may limit the
   execution of important tasks. The main shortcoming identified during the
   evaluation tests was about the use of the module, and of the access
   device, during patient attendance. For this reason, we have envisioned a
   new version of the Professional Practice Module that shall follow a
   twofold requisite: by one side, it will include all the features of the
   module, to be used at the university or in the students' homes; from the
   other side, it will include only the features that are essential for the
   practice of patient attendance. (C) 2013 Elsevier Ireland Ltd. All
   rights reserved.
RI Rodrigues, Jose F/E-1197-2011
OI Rodrigues, Jose F/0000-0001-8318-1780
ZS 0
TC 7
ZA 0
ZB 0
Z8 0
ZR 0
Z9 7
U1 0
U2 16
SN 1386-5056
EI 1872-8243
UT WOS:000326372800016
PM 23850148
ER

PT J
AU Lang, Valerie J.
   Kogan, Jennifer
   Berman, Norm
   Torre, Dario
TI The Evolving Role of Online Virtual Patients in Internal Medicine
   Clerkship Education Nationally
SO ACADEMIC MEDICINE
VL 88
IS 11
BP 1713
EP 1718
DI 10.1097/ACM.0b013e3182a7f28f
PD NOV 2013
PY 2013
AB Purpose Despite the significant resources required to develop and
   maintain virtual patient (VP) programs, little is known about why this
   innovation has been adopted and how it is implemented. Understanding
   needs and implementation strategies is important for effective
   curriculum planning.
   Method In 2009 and 2011, surveys were offered to 110U.S. internal
   medicine clerkship directors regarding their goals for adoption of
   Simulated Internal Medicine Patient Learning Experience VPs. In 2011,
   respondents were asked how they implemented VPs in their curricula.
   Results were analyzed using chi-square and Fisher exact test.
   Results Responses were obtained from 33 clerkship directors in 2009 and
   45 in 2011. Comparing 2009 with 2011, improving students' knowledge
   (29/33 [88%] versus 40/45 [91%]), differential diagnoses (27/33 [82%]
   versus 38/45 [86%]), and ability to identify key findings (26/33 [79%]
   versus 38/45 [86%]) remained somewhat or very important reasons for
   adopting VPs. Meeting Liaison Committee on Medical Education ED-2 (31/33
   [94%] versus 33/45 [73%], P = .011) and ED-8 requirements (25/33 [76%]
   versus 25/45 [56%], P = .004) declined in importance. Eight of 38 (21%)
   replaced a learning activity with VPs, 9/38 (24%) integrated VPs into
   other learning activities, and 21/38 (55%) simply added VPs onto their
   curricula.
   Conclusions This large, multi-institutional study reports national
   trends in VP adoption and inte gration. Meeting cognitive learning
   objectives remained an important reason for adopting VPs, whereas
   meeting regulatory requirements decreased significantly in importance.
   Opportunities remain for m ore systematically integrating VPs into
   clerkship curricula. Clarifying the changing goals may help with this
   process.
RI Lang, Valerie/AAZ-8057-2020
OI Lang, Valerie/0000-0003-1119-5029
TC 9
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 9
U1 0
U2 3
SN 1040-2446
EI 1938-808X
UT WOS:000329929500040
PM 24072116
ER

PT J
AU Cherniak, William A.
   Drain, Paul K.
   Brewer, Timothy F.
TI Educational Objectives for International Medical Electives: A Literature
   Review
SO ACADEMIC MEDICINE
VL 88
IS 11
BP 1778
EP 1781
DI 10.1097/ACM.0b013e3182a6a7ce
PD NOV 2013
PY 2013
AB Purpose Although most medical schools and residency programs offer
   international medical electives (IMEs), little guidance on the
   educational objectives for these rotations exists; thus, the authors
   reviewed the literature to compile and categorize a comprehensive set of
   educational objectives for IMEs.
   Method In February and July 2012, the authors searched SciVerse Scopus
   online, which includes the Embase and MEDLINE databases, using specified
   terms. From the articles that met their inclusion criteria, they
   extracted the educational objectives of IMEs and sorted them into
   preelective, intraelective, and postelective objectives.
   Results The authors identified and reviewed 255 articles, 11 (4%) of
   which described 22 educational objectives. Among those 22 objectives, 5
   (23%), 15 (68%), and 2 (9%) were, respectively, preelective,
   intraelective, and postelective objectives. Among preelective
   objectives, only cultural awareness appeared in more than 2 articles
   (3/11; 27%). Among intraelective objectives, the most commonly defined
   were enhancing clinical skills and understanding different health care
   systems (9/11; 82%). Learning to manage diseases rarely seen at home and
   increasing cultural awareness appeared in nearly half (5/11; 45%) of all
   articles. Among postelective objectives, reflecting on experiences
   through a written project was most common (9/11; 82%).
   Conclusions The authors identified 22 educational objectives for IMEs in
   the published literature, some of which were consistent across
   institutions. These consistencies, in conjunction with future research,
   can be used as a framework on which institutions can build their own IME
   curricula, ultimately helping to ensure that their medical trainees have
   a meaningful learning experience while abroad.
OI Drain, Paul/0000-0003-3300-3817; Cherniak, William/0000-0003-3001-2400
ZA 0
TC 33
ZB 3
Z8 0
ZR 0
ZS 1
Z9 34
U1 1
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000329929500049
PM 24072105
ER

PT J
AU Klein, Melissa
   Niebuhr, Virginia
   D'Alessandro, Donna
TI Innovative Online Faculty Development Utilizing the Power of Social
   Media
SO ACADEMIC PEDIATRICS
VL 13
IS 6
BP 564
EP 569
DI 10.1016/j.acap.2013.07.005
PD NOV-DEC 2013
PY 2013
AB OBJECTIVE: Faculty development (FD) is important for continued
   professional development, but expense and distance remain challenging.
   These challenges could be minimized by the free and asynchronous nature
   of social media (SM). We sought to determine the utility and
   effectiveness of conducting a national online FD activity on Facebook by
   assessing participants' perceptions and use and facilitators'
   challenges.
   METHODS: An educational activity of a national FD program was managed on
   a closed Facebook group. Activities included postings of educational
   technology goals, abstracting an article, and commenting on peers'
   postings. Sources of quantitative data included the Facebook postings
   and the survey responses. Surveys before, after, and 6 months after the
   activity assessed knowledge, attitudes and self-reported behaviors.
   Sources of qualitative data were the open-ended survey questions and the
   content of the Facebook postings.
   RESULTS: All participants completed the FD activity and evaluations,
   yielding 38 postings and 115 comments. Before the activity, 88% had a
   personal Facebook account, 64% were somewhat/very confident using
   Facebook, 77% thought SM would be useful for professional networking,
   and 12% had used it professionally. Six months after the activity,
   professional usage had increased to 35%. Continued use of Facebook for
   future presentations of this FD activity was recommended by 76%.
   Qualitative analysis yielded 12 types of Facebook postings and 7 themes
   related to using SM for FD.
   CONCLUSIONS: Conducting a national PI) activity on Facebook yielded
   excellent participation rates and positive participant impressions, and
   it affected professional usage. Facebook may become an additional tool
   in the educator's toolbox for FD as a result of its acceptability and
   accessibility. KEYWORDS: Academic Pediatric Association; Educational
   Scholar's Program; Facebook; faculty development; social media
OI D'Alessandro, Donna/0000-0001-7972-9088
ZA 0
ZS 0
ZR 0
ZB 1
Z8 0
TC 15
Z9 15
U1 0
U2 15
SN 1876-2859
EI 1876-2867
UT WOS:000327688600014
PM 24238683
ER

PT J
AU Cook, Alyssa F.
   Sobotka, Sarah A.
   Ross, Lainie F.
TI Teaching and Assessment of Ethics and Professionalism: A Survey of
   Pediatric Program Directors
SO ACADEMIC PEDIATRICS
VL 13
IS 6
BP 570
EP 576
DI 10.1016/j.acap.2013.07.009
PD NOV-DEC 2013
PY 2013
AB OBJECTIVE: The Accreditation Council for Graduate Medical Education
   requires residency programs to provide instruction in and evaluation of
   competency in ethics and professionalism. We examined current practices
   and policies in ethics and professionalism in pediatric training
   programs, utilization of newly available resources on these topics, and
   recent concerns about professional behavior raised by social media.
   METHODS: From May to August 2012, members of the Association of
   Pediatric Program Directors identified as categorical program directors
   in the APPD database were surveyed regarding ethics and professionalism
   practices in their programs, including structure of their curricula,
   methods of trainee assessment, use of nationally available resources,
   and policies regarding social media.
   RESULTS: The response rate was 61% (122 of 200). Most pediatric programs
   continue to teach ethics and professionalism in an unstructured manner.
   Many pediatric program directors are unaware of available ethics and
   professionalism resources. Although most programs lack rigorous
   evaluation of trainee competency in ethics and professionalism, 30% (35
   of 116) of program directors stated they had not allowed a trainee to
   graduate or sit for an examination because of unethical or
   unprofessional conduct. Most programs do not have formal policies
   regarding social media use by trainees, and expectations vary widely.
   CONCLUSIONS: Pediatric training programs are slowly adopting the
   educational mandates for ethics and professionalism instruction.
   Resources now exist that can facilitate curriculum development in both
   traditional content areas such as informed consent and privacy as well
   as newer content areas such as social media use.
OI Sobotka, Sarah/0000-0001-7352-2043
ZS 0
ZR 0
ZB 2
TC 16
Z8 0
ZA 0
Z9 16
U1 0
U2 9
SN 1876-2859
EI 1876-2867
UT WOS:000327688600015
PM 24238684
ER

PT J
AU Lindgren, S.
   Pikwer, A.
   Ricksten, S. -E.
   Akeson, J.
TI Survey of central venous catheterisation practice in Sweden
SO ACTA ANAESTHESIOLOGICA SCANDINAVICA
VL 57
IS 10
BP 1237
EP 1244
DI 10.1111/aas.12190
PD NOV 2013
PY 2013
AB BackgroundClinical guidelines on central venous catheterisation were
   introduced by the Swedish Society of Anaesthesiology and Intensive Care
   Medicine in 2011. The purpose of this study was to investigate current
   national practice and assess to what extent these guidelines influence
   clinical routines in Swedish operating wards and intensive care units.
   MethodsAn invitation to participate in an online survey regarding
   central venous catheterisation was sent to 65 departments of
   anaesthesiology and intensive care medicine in Sweden. The survey aimed
   at investigating routine standards (part 1) and 24-h clinical practice
   (part 2).
   ResultsForty-seven (72%) and 49 (75%) of 65 departments took part in
   parts 1 and 2, respectively, and 73% adhered to the national guidelines.
   Many units monitored mechanical (42%) and infectious (69%)
   complications. Ultrasound was used by more than 50%. Checklists for
   insertion were used by 22%. Physicians inserted most catheters. No
   serious complications were reported during the 24-h study period.
   Ninety-seven non-tunnelled, 17 venous ports, 9 tunnelled and 8
   peripheral central venous catheters were inserted. Ninety-three (71%)
   catheters were inserted in operating rooms, and 31 (24%) in intensive
   care units. Catheterisations were followed up by chest X-ray in most
   departments.
   ConclusionKnowledge of the Swedish guidelines was adequate, and most
   participating departments had local catheterisation routines. We could
   identify some variation in practice, but overall adherence to the
   guidelines was good. Nevertheless, monitoring of procedures and
   complications of cannulation and maintenance could be in need of
   improvement. Accepted for publication 18 August 2013 (c) 2013 The Acta
   Anaesthesiologica Scandinavica Foundation. Published by John Wiley &
   Sons Ltd
ZA 0
ZR 0
TC 7
ZS 0
Z8 0
ZB 1
Z9 7
U1 0
U2 3
SN 0001-5172
EI 1399-6576
UT WOS:000328487700002
PM 24102163
ER

PT J
AU Hiivala, Nora
   Mussalo-Rauhamaa, Helena
   Murtomaa, Heikki
TI Patient safety incident prevention and management among Finnish dentists
SO ACTA ODONTOLOGICA SCANDINAVICA
VL 71
IS 6
BP 1663
EP 1670
DI 10.3109/00016357.2013.797103
PD NOV 2013
PY 2013
AB Objective. Assessing current patient safety incident (PSI) prevention
   measures and risk management practices among Finnish dentists. Materials
   and methods. A total of 1041 dentists practicing in the private or
   public sectors in southern Finland completed an online questionnaire
   concerning PSI prevention, PSI-reporting systems, feedback and knowledge
   gained from device incidents and patient-generated safety information
   and the knowledge of national PS-guidance. The answers were handled
   anonymously. Statistical evaluations were performed using chi-square
   analysis. Results. Dentists suggested multiple methods for preventing
   PSIs related to dental diagnostics, various treatments, equipment and
   devices, medications, communication, infection control and general
   practice safety. Preventive methods reported most frequently included
   working with caution and forethought, keeping accurate patient records
   and the availability of correct patient information. A special
   PSI-reporting system was used by less than one third of respondents.
   Feedback received on PS-related data and the utilization of guidebooks
   varied significantly between the studied dentist groups. Conclusions.
   Several PSI prevention techniques are already used in Finland. However,
   wide variation exists in PSI prevention and risk management practices
   among Finnish dentists. Systematic implementation of available safety
   methods would probably prevent several PSIs. The results indicate that
   the more dentists know about PS risks, the easier it is for them to
   recognize situations possibly leading to patient harm. Anonymous PSI
   reports, patient complaints and claims data should, therefore, be
   actively used for mutual learning. Increased PS education in dentistry
   is also needed.
ZB 1
TC 10
ZR 0
ZA 0
Z8 0
ZS 2
Z9 11
U1 0
U2 5
SN 0001-6357
EI 1502-3850
UT WOS:000326678700046
PM 24087859
ER

PT J
AU Feuerstein, Joseph D.
   Gifford, Anne E.
   Akbari, Mona
   Goldman, Jonathan
   Leffler, Daniel A.
   Sheth, Sunil G.
   Cheifetz, Adam S.
TI Systematic Analysis Underlying the Quality of the Scientific Evidence
   and Conflicts of Interest in Gastroenterology Practice Guidelines
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 108
IS 11
BP 1686
EP 1693
DI 10.1038/ajg.2013.150
PD NOV 2013
PY 2013
AB OBJECTIVES: The practice guidelines published by the American
   Gastroenterological Association (AGA) and the American College of
   Gastroenterology (ACG) are used to establish standards of care and
   improve patient outcomes. We examined the guidelines for quality of
   evidence, methods of grading evidence, and conflicts of interest (COIs).
   METHODS: All 81 (AGA and ACG) guidelines available online on 26 July
   2012 were reviewed for the presence of grading of evidence and COIs. In
   total, 570 recommendations were evaluated for level of evidence and
   methods used to grade the evidence. The data were evaluated in aggregate
   and by society.
   RESULTS: Only 31 % (n=25) of the guidelines graded the levels of
   evidence. A total of 12 systems were used to grade the quality of
   evidence in these 25 guidelines. Of the 570 recommendations reviewed,
   only 29 % (n=165) were supported by the highest quality of evidence,
   level A; 37 % (n=210) level B, 29 % (n=165) level C, and 5 % (n=30)
   level D. Since 2007, 87 % (n=13/15) of the ACG guidelines graded the
   evidence compared with only 33 % of the AGA guidelines (n=4/12).
   Furthermore, 70 % (n=57/81) of the guidelines failed to disclose any
   information regarding COIs. Of the 24 articles commenting on COIs, 67 %
   reported COIs.
   CONCLUSIONS: Although the majority of the gastroenterology guidelines
   fail to grade the quality of evidence, more recent ACG guidelines grade
   majority of their recommendations. When the evidence is graded, most of
   the supporting evidence is based on lower-quality evidence. In addition,
   most of the guidelines fail to comment on COIs, and when disclosed,
   numerous COIs were present. This study highlights the critical need to
   revise the guideline development process. Future guidelines should
   clearly state the quality of evidence for their recommendations, utilize
   a standard grading system, and be transparent regarding all COIs.
RI Feuerstein, Joseph David/AAF-5183-2020
ZA 0
TC 17
Z8 0
ZB 5
ZS 1
ZR 0
Z9 18
U1 0
U2 5
SN 0002-9270
EI 1572-0241
UT WOS:000326921800002
PM 24192942
ER

PT J
AU Klugman, Craig M.
   Usatine, Richard P.
TI An Evaluation of 2 Online Advance Directive Programs
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 30
IS 7
BP 657
EP 663
DI 10.1177/1049909112463116
PD NOV 2013
PY 2013
AB Since 1995, studies have shown mixed results in the efficacy of advance
   directives. With new technologies, advance care planning is being
   transformed through video, computer programs, electronic registries, and
   electronic health records. In Nevada and Texas, Web sites and mobile
   applications provide education, guided interviews, storage, and
   retrieval in multiple languages. Drawing on 371 completed evaluations
   from both states, the authors show that increasingly people are finding
   advance directive information on the Internet, completing directives to
   be prepared and to have control, and that the attraction of these Web
   sites is their ease of use. Users report where they keep their
   documents, with whom they have end-of-life conversations, and what
   medical care requests they make.
ZR 0
ZB 0
ZA 0
Z8 0
TC 8
ZS 0
Z9 8
U1 0
U2 11
SN 1049-9091
EI 1938-2715
UT WOS:000329525600007
PM 23087248
ER

PT J
AU Lam, Richard
   Lin, Victor S.
   Senelick, Wendy S.
   Hong-Phuc Tran
   Moore, Alison A.
   Koretz, Brandon
TI Older Adult Consumers' Attitudes and Preferences on Electronic
   Patient-Physician Messaging
SO AMERICAN JOURNAL OF MANAGED CARE
VL 19
SI SI
BP ESP7
EP ESP11
PD NOV 2013
PY 2013
AB Objective: To evaluate and compare the attitudes and preferences of
   younger and older adults regarding health information exchange with
   providers, and identify barriers and limitations to meaningful use.
   Study Design: Cross-sectional study.
   Methods: Qualitative and quantitative data gathered from online surveys
   of younger and older adult patients enrolled in a freestanding,
   Internet-based patient-physician messaging system that requires an
   individual account. This messaging system is only a secure messaging
   center, and does not allow for direct access to personal medical
   records.
   Results: Data were collected from 324 patients (or proxy users) who
   reported their age, with 55.2% of respondents under the age of 65 years
   (mean age 48.2 years) and 44.8% of respondents 65 years or older (mean
   age 74.9 years). Family and non-family caregivers (proxy users) (mean
   age 59.2 years) comprised 21.0% of respondents. Overall, 83.9% of all
   respondents preferred to communicate with the provider via e-mail, and
   84.5% of users found the messaging system easy to use, with a majority
   utilizing the messaging system to communicate about health questions
   and/or medication requests. Finally, 83% of user respondents were
   satisfied with the messaging system. Results highlight several areas
   where improvement is needed to increase patient use and satisfaction
   including adequate patient education, user-friendly interface, and
   provider engagement. No significant differences between the younger and
   older adult populations were found.
   Conclusion: Although a majority of enrolled older adult patients have
   positive attitudes about health information exchange, electronic
   communication platforms must address key issues in consumer education,
   physician commitment, and adoption of an accessible interface to ensure
   productive older adult consumer participation.
ZS 0
TC 15
ZA 0
ZB 1
Z8 0
ZR 0
Z9 15
U1 0
U2 3
SN 1088-0224
UT WOS:000209759900002
PM 24511886
ER

PT J
AU Martyn, Helen
   Barrett, Anthony
   Nicholson, Helen D.
TI Medical Students' Understanding of the Concept of a Soul
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 6
BP 410
EP 414
DI 10.1002/ase.1372
PD NOV 2013
PY 2013
AB The concept of a soul has been discussed throughout religious,
   philosophical, and scientific circles, yet no definitive description
   exists. Recent interviews with medical students during the production of
   a documentary film identified that many believed in the concept of a
   soul. This study explores students' understanding of the concept of a
   soul. The 2011 cohort of second-year medical students at the University
   of Otago in Dunedin, New Zealand were invited to participate in an
   online survey with a free text response asking students to describe
   their understanding of the soul. The descriptions of the soul included
   the soul as a spirit or life force and some described the soul as giving
   a person their values and personality. Students discussed the location
   of a soul with most stating that the soul was not attached to the body,
   but others mentioned the heart or the brain as the seat of the soul. A
   common theme related to the mortality of the soul emerged, with most
   believing that the soul left the body at death. Some students' concept
   of a soul was related to their religious beliefs, while others who did
   not believe in the concept of a soul described it as a myth used to
   bring comfort at the time of death. Medical students have varied
   opinions on the concept and importance of the soul. It is important to
   recognize the diversity of views when exploring the process of death and
   spirituality with medical students. Anat Sci Educ 6: 410-414. (c) 2013
   American Association of Anatomists.
ZB 0
Z8 0
ZR 0
TC 10
ZS 0
ZA 0
Z9 10
U1 0
U2 17
SN 1935-9772
EI 1935-9780
UT WOS:000326157500008
PM 23650081
ER

PT J
AU Kotze, Sanet Henriet
   Driescher, Natasha Darne
   Mole, Calvin Gerald
TI The Translucent Cadaver: A Follow-Up Study to Gauge the Efficacy of
   Implementing Changes Suggested by Students
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 6
BP 433
EP 439
DI 10.1002/ase.1365
PD NOV 2013
PY 2013
AB In a study conducted in 2011, the use of full body digital X-ray images
   (Lodox((R)) Statscan((R))) and drawings were described for surface
   anatomy education during which suggestions were made by students on how
   to improve the method. Educational innovations should continuously be
   adjusted and improved to provide the best possible scenario for student
   learning. This study, therefore, reports on the efficacy of implementing
   some of these suggestions. Suggestions incorporated into the follow-up
   study included: (1) The inclusion of eight strategically placed labeled
   digital X-ray images to the dissection halls, (2) The placement of both
   labeled and unlabeled digital X-ray images online, (3) The inclusion of
   informal oral questions on surface anatomy during dissection, (4) The
   requirement of students to submit individual drawings in addition to
   group drawings into their portfolios, and (5) Integrating information on
   how to recognize anatomical structures on X-rays into gross anatomy
   lectures given prior to dissection. Students were requested to complete
   an anonymous questionnaire. The results of the drawings, tests and
   questionnaires were compared to the results from the 2011 cohort. During
   2012, an increased usage of the digital X-rays and an increase in
   practical test marks in three out of the four modules (statistically
   significant only in the cardiovascular module) were reported. More
   students from the 2012 cohort believed the images enhanced their
   experience of learning surface anatomy and that its use should be
   continued in future. The suggested changes, therefore, had a positive
   effect on surface anatomy education. Anat Sci Educ 6: 433-439. (c) 2013
   American Association of Anatomists.
OI Kotze, Sanet/0000-0003-0853-2178; Mole, Calvin/0000-0001-8483-8190
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
TC 5
Z9 5
U1 0
U2 6
SN 1935-9772
EI 1935-9780
UT WOS:000326157500010
PM 23533087
ER

PT J
AU Labeau, Sonia O.
TI Is there a place for e-learning in infection prevention?
SO AUSTRALIAN CRITICAL CARE
VL 26
IS 4
BP 167
EP 172
DI 10.1016/j.aucc.2013.10.002
PD NOV 2013
PY 2013
AB Background: In the last few decades, e-learning, a method which
   integrates information technology and the learning process by using
   materials delivered through the internet, has become widely used in
   educational initiatives for healthcare professionals.
   Purpose: To evaluate whether there is a place for e-learning in the
   field of infection prevention.
   Methods: Non-comprehensive review of the literature.
   Findings: E-learning courses in the field of infection prevention and
   control are still scarce, often restricted to local initiatives and not
   specifically directed toward critical care providers. Although
   methodological flaws and potential biases hamper the generalizability of
   results from some currently available studies, findings related to both
   learners' satisfaction and effectiveness suggest that e-learning might
   prove an effective educational tool for the (continuing) education of
   healthcare providers. Further investigations, including research
   pertaining to the cost-effectiveness of e-learning, are required to
   provide a better insight in these issues.
   Conclusion: Further research is required to determine the
   (cost)effectiveness of e-learning in general, and in the field of
   infection prevention and control in particular. Current insights suggest
   that e-learning should be based Web 2.0 technologies to address a wide
   range of learning styles and to optimize interactivity. As a gap in the
   literature was detected with respect to e-learning modules on infection
   prevention and control which are specifically oriented toward critical
   care providers, it can be recommended to promote the development and
   subsequent assessment of such tools that meet high-quality standards.
   (C) 2013 Australian College of Critical Care Nurses Ltd. Published by
   Elsevier Australia (a division of Reed International Books Australia Pty
   Ltd). All rights reserved.
OI Labeau, Sonia/0000-0003-3863-612X
ZR 0
TC 5
ZB 1
ZS 0
ZA 0
Z8 0
Z9 5
U1 0
U2 21
SN 1036-7314
EI 1878-1721
UT WOS:000327769800005
PM 24183831
ER

PT J
AU Parslow, Graham R.
TI Websites of Note
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 41
IS 6
BP 452
EP 455
DI 10.1002/bmb.20743
PD NOV 2013
PY 2013
TC 0
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 0
U1 0
U2 1
SN 1470-8175
EI 1539-3429
UT WOS:000327207900014
PM 24259339
ER

PT J
AU Mountjoy, Margo
   Junge, Astrid
TI The role of International Sport Federations in the protection of the
   athlete's health and promotion of sport for health of the general
   population
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 47
IS 16
BP 1023
EP U75
DI 10.1136/bjsports-2013-092999
PD NOV 2013
PY 2013
AB Objective To determine the priorities and activities of International
   Sport Federations (IFs) with respect to the promotion of health in their
   sport and for the general population.
   Methods All 35 IFs participating in Olympic Games in 2014 or in 2016
   were asked to rate the importance of 10 indicated topics, and to report
   their programmes, guidelines or research activities on 16 health-related
   topics using an online questionnaire (response rate 97%).
   Results On average, the fight against doping' had the highest priority
   followed by health of their elite athlete' and image as a safe sport'.
   The topics with the lowest importance ratings were health of their
   recreational athlete', increasing the number of recreational athletes'
   and health of the general population'. All except one IF reported to
   have health-related programmes/guidelines/research activities; most IFs
   had 7 or 8 of the listed activities. Eight IFs (23.5%) stated to have
   activities for prevention of chronic diseases in the general population'
   but only FIFA and FINA reported related projects.
   Conclusions IFs aimed to protect the health of their elite athletes
   through a variety of activities, however the health and number of their
   recreational athletes was of low importance for them. Thus, IFs are
   missing an important opportunity to increase the popularity of their
   sport, and to contribute to the health of the general population by
   encouraging physical activity through their sport. FIFA's Football for
   Health' and FINA's Swim for All' projects could serve as role models.
OI Junge, Astrid/0000-0002-6815-9793
ZA 0
ZR 0
TC 20
ZS 1
Z8 0
ZB 3
Z9 20
U1 0
U2 29
SN 0306-3674
EI 1473-0480
UT WOS:000325530900004
PM 24055779
ER

PT J
AU Black, Kirsten I.
   Lotke, Pamela
   Lira, Josefina
   Peers, Tina
   Zite, Nikki B.
TI Global survey of healthcare practitioners' beliefs and practices around
   intrauterine contraceptive method use in nulliparous women
SO CONTRACEPTION
VL 88
IS 5
BP 650
EP 656
DI 10.1016/j.contraception.2013.06.005
PD NOV 2013
PY 2013
AB Background: Despite the efficacy and safety of intrauterine
   contraceptive methods (IUCs), healthcare providers (HCPs) are sometimes
   reluctant to recommend their use, particularly in nulliparous women.
   This study sought to understand the global practitioner perceived
   impediments to IUC provision.
   Study Design: We developed an online survey for HCPs administered across
   4 regions comprising 15 countries. We sought their attitudes to IUC
   provision; their perceived barriers to IUC use, particularly in
   nulliparous women; as well as their knowledge of the World Health
   Organization Medical Eligibility Criteria (WHO MEC) for contraceptive
   use.
   Results: We received 1862 responses from HCPs in 15 countries grouped
   into 4 regions, with an average country response rate of 18%. For
   analysis, the results were grouped into these regions: Latin America,
   402 (21.6%); USA, 156 (8.4%); Europe and Canada, 1103 (59.2%); and
   Australia, 201 (10.8%). The two most frequently identified perceived
   barriers to IUC use in nulliparous women were difficulty of insertion
   (56.6%) and pelvic inflammatory disease (PlD) (49.2%), but responses
   differed by region and HCP type. Only 49.7% recognized the correct WHO
   MEC category for IUC use in nulliparous women.
   Discussion: The results of this survey confirm that, across the four
   regions, the two main barriers to IUC provision for nulliparous women
   are concern about the difficulty of insertion and PID. Providers'
   knowledge of the WHO MEC was lacking universally. A global effort is
   required to improve understanding of the evidence and knowledge of
   available guidelines for IUC use. (C) 2013 Elsevier Inc. All rights
   reserved.
OI Black, Kirsten/0000-0003-0030-2431
TC 31
ZR 0
ZS 1
ZB 5
ZA 0
Z8 0
Z9 32
U1 0
U2 9
SN 0010-7824
EI 1879-0518
UT WOS:000325912400012
PM 23871553
ER

PT J
AU Brna, P. M.
   Dooley, J. M.
   Esser, M. J.
   Perry, M. S.
   Gordon, K. E.
TI Are YouTube seizure videos misleading? Neurologists do not always agree
SO EPILEPSY & BEHAVIOR
VL 29
IS 2
BP 305
EP 307
DI 10.1016/j.yebeh.2013.08.003
PD NOV 2013
PY 2013
AB The internet has become the first stop for the public and patients to
   seek health-related information. Video-sharing websites are particularly
   important sources of information for those seeking answers about
   seizures and epilepsy. Because of the widespread popularity of YouTube,
   we sought to explore whether a seizure diagnosis and classification
   could reliably be applied. All videos related to "seizures" were
   reviewed, and irrelevant videos were excluded. The remaining 162
   nonduplicate videos were analyzed by 4 independent pediatric
   neurologists who classified the events as epilepsy seizures,
   nonepileptic seizures, or indeterminate. Videos designated as epilepsy
   seizures were then classified into focal, generalized, or unclassified.
   At least 3 of the 4 reviewers agreed that 35% of the videos showed that
   the events were "epilepsy seizures", at least 3 of the 4 reviewers
   agreed that 28% of the videos demonstrated that the events were
   "nonepileptic seizures", and there was good agreement that 7% of the
   videos showed that the event was "indeterminate". Overall, interrater
   agreement was moderate at k = 0.57 for epilepsy seizures and k = 0.43
   for nonepileptic seizures. For seizure classification, reviewer
   agreement was greatest for "generalized seizures" (k = 0.45) and
   intermediate for " focal seizures" (k = 0.27), and there was no
   agreement for unclassified events (k = 0.026, p = 0.2). Overall,
   neurology reviewer agreement suggests that only approximately one-third
   of the videos designated as "seizures" on the most popular video-sharing
   website, YouTube, definitely depict a seizure. Caution should be
   exercised in the use of such online video media for accessing
   educational or self-diagnosis aids for seizures. (C) 2013 Elsevier Inc.
   All rights reserved.
ZR 0
TC 21
ZB 6
Z8 0
ZS 1
ZA 0
Z9 22
U1 0
U2 10
SN 1525-5050
EI 1525-5069
UT WOS:000325422500009
PM 24035669
ER

PT J
AU Marsac, Meghan L.
   Hildenbrand, Aimee K.
   Kohser, Kristen L.
   Winston, Flaura K.
   Li, Yimei
   Kassam-Adams, Nancy
TI Preventing Posttraumatic Stress Following Pediatric Injury: A Randomized
   Controlled Trial of a Web-Based Psycho-Educational Intervention for
   Parents
SO JOURNAL OF PEDIATRIC PSYCHOLOGY
VL 38
IS 10
BP 1101
EP 1111
DI 10.1093/jpepsy/jst053
PD NOV-DEC 2013
PY 2013
AB Objective The study objective is to evaluate the feasibility and
   efficacy of a web-based intervention for parents (AfterTheInjury.org
   [ATI]) in promoting emotional recovery following pediatric injury.
   Methods 100 children with injuries requiring medical attention and their
   parents were randomly assigned to the intervention or usual care.
   Efficacy outcomes included parent knowledge and child and parent
   posttraumatic stress symptoms (PTSS). Results All parents in the
   intervention group completed the intervention (directed use of ATI) in
   the hospital. 56% reported using ATI online post-discharge, and 100% of
   these parents found it helpful. Parent knowledge increased immediately
   post-intervention, but there was no significant intervention impact on
   parent knowledge or PTSS at a 6-week follow-up. Relationships between
   knowledge and PTSS were identified. Conclusions Brief web-based
   interventions introduced during child hospitalization are a feasible
   strategy to reach many parents following pediatric injury. Preventing
   psychological symptoms may require more than parental education alone.
OI Kassam-Adams, Nancy/0000-0001-7412-1428; Hildenbrand,
   Aimee/0000-0003-0147-3232
Z8 0
TC 35
ZA 0
ZR 0
ZS 0
ZB 5
Z9 35
U1 0
U2 17
SN 0146-8693
EI 1465-735X
UT WOS:000326740000006
PM 23912164
ER

PT J
AU Papasavas, Pavlos
   Filippa, Dawn
   Reilly, Patricia
   Chandawarkar, Rajiv
   Kirton, Orlando
TI Effect of a Mandatory Research Requirement on Categorical Resident
   Academic Productivity in a University-Based General Surgery Residency
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 6
BP 715
EP 719
DI 10.1016/j.jsurg.2013.09.003
PD NOV-DEC 2013
PY 2013
AB BACKGROUND: Our general surgery residency (46 residents, graduating 6
   categoricals per year) offers the opportunity for 2 categorical
   residents at the end of their second year to choose a 2-year research
   track. Academic productivity for the remaining categorical residents was
   dependent on personal interest and time investment. To increase academic
   productivity within the residency, a mandatory research requirement was
   implemented in July 2010. We sought to examine the effect of this annual
   individual requirement.
   METHODS: The research requirement consisted of several components: a
   curriculum of monthly research meetings and lectures, assigned faculty
   to act as research mentors, an online repository of research projects
   and ideas, statistical support, and a faculty member appointed Director
   of Research. In July 2010, the requirement was applied to all
   categorical postgraduate year 1-3 residents and expanded to postgraduate
   year 1-4 in 2011. The research requirement culminated in an annual
   research day at the end of the academic year. We compared the number of
   abstract presentations in local, national, and international meetings
   between the first 2 years of the research program and the 2 years before
   it. We also compared the total number of publications between the 2
   periods, acknowledging that any differences at this point do not
   necessarily reflect an effect of the research requirement.
   RESULTS: From July 2008 to June 2010 (Period A), there were 18 podium
   and poster presentations in local, national, and international meetings,
   and 30 publications in peer-reviewed journals, whereas between July 2010
   and June 2012 (Period B), there were 58 presentations and 32
   publications. In Period A 9 of 60 (15%) categorical residents had a
   podium or poster presentation in comparison with Period B when 23 of 58
   (40%) categorical residents had a podium or poster presentation (p <
   0.01).
   CONCLUSION: The institution of a mandatory research requirement resulted
   in a 3-fold increase in scientific presentations in our surgical
   residency. We believe that the mandatory nature of the program is a key
   component to its success. We expect to see an increase in the number of
   publications as a result of this research requirement in the next
   several years. ((C) 2013 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
TC 30
Z8 0
ZB 3
ZA 0
ZS 0
ZR 0
Z9 30
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000327104400007
PM 24209646
ER

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