﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Hassan, Burhan
   Bernstam, Elmer
   Hines, O. Joe
   Simeone, Diane M.
   Weber, Sharon M.
   Geller, David A.
   Evers, B. Mark
   Meric-Bernstam, Funda
TI Career track of Society of University Surgeons Resident Research Award
   recipients
SO JOURNAL OF SURGICAL RESEARCH
VL 185
IS 1
BP 92
EP 96
DI 10.1016/j.jss.2013.05.023
PD NOV 2013
PY 2013
AB Background: The Society of University Surgeons (SUS) has an ongoing
   competitive funding program to support research training for residents.
   We sought to determine the career track of award recipients.
   Methods: We included in the study SUS resident awardees who completed
   awards from 1989-2007. Characteristics of awardees and their academic
   productivity were extracted from curriculum vitae provided by awardees
   (n = 24), or from online sources (n = 7).
   Results: Awardees spent an average of 2.7 y (range, 1-4 y) of dedicated
   research time during residency. Awardees averaged 9.8 publications
   (range, 1-32), with 5.4 as first author (range, 1-17), with their mentor
   within 3 y of award completion, with an average maximum impact factor of
   5.7. A total of 25 residents (81%) pursued fellowships. At an average
   follow-up of 11.4 y (range, 4-22 y) from the end of the award and 7.2 y
   (range, 0-18 y) from end of clinical training, awardees had a Hirsch
   index of 14.5 (range, 2-48). At the time of the study, 26 awardees (84%)
   were in academic surgery. Of the 23 awardees who had completed surgical
   training >= 3 y earlier, 11 (48%) received independent research funding,
   seven of whom (30%) received R01 or equivalent funding.
   Conclusions: The SUS resident research awardees had a productive
   research experience. Although our retrospective study cannot determine
   causation, the SUS award mechanism delivers on its promise of supporting
   junior surgeon-scientists who pursue academic careers and establish
   independent research programs. Further studies are needed to determine
   how rates of subsequent independent research funding can be improved.
   (C) 2013 Elsevier Inc. All rights reserved.
OI Bernstam, Elmer/0000-0001-7643-791X
ZS 0
Z8 0
ZB 5
ZA 0
TC 11
ZR 0
Z9 11
U1 0
U2 8
SN 0022-4804
EI 1095-8673
UT WOS:000325951100039
PM 23751805
ER

PT J
AU Sellers, Morgan M.
   Reinke, Caroline E.
   Kreider, Susan
   Meise, Chelsey
   Nelis, Kara
   Volpe, Anita
   Anzlovar, Nancy
   Ko, Clifford
   Kelz, Rachel R.
TI American College of Surgeons NSQIP: Quality In-Training Initiative Pilot
   Study
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 217
IS 5
BP 827
EP 832
DI 10.1016/j.jamcollsurg.2013.07.005
PD NOV 2013
PY 2013
AB BACKGROUND: Clinical outcomes data are playing an increasingly important
   role in medical decision-making, reimbursement, and provider evaluation,
   but there are no documented programs that provide outcomes data to
   surgical residents as part of a structured curriculum. Our objectives
   were to develop a national collaborative of training programs to unify
   the efforts between quality and education personnel and demonstrate the
   feasibility of generating customized reports of patient outcomes for use
   in surgical education.
   STUDY DESIGN: The pool of potential hospitals was evaluated by comparing
   ACS NSQIP participants with the roster of clinical sites for general
   surgery residency programs maintained by FREIDA Online. A program and
   user guide was developed to generate custom reports based on
   institutional data, and a voluntary pilot was conducted, consisting of
   initial development, implementation, and feedback stages. Programs that
   successfully completed installation and report generation were queried
   for feedback on time and resources used.
   RESULTS: Of 245 general surgery residency programs, 47% had a
   NSQIP-affiliated sponsor institution, and an additional 31% had at least
   1 NSQIP-affiliated participant institution. Sixty general surgery
   residency programs have expressed interest in collaboration. Seventeen
   pilot sites completed training and installation, and were able to
   independently generate custom reports. The response rate for the
   post-report survey was 50%. Participants reported that training and
   installation typically required one 2-hour phone call, and that total
   time devoted to the project was less than 8 hours.
   CONCLUSIONS: Collaboration between educators and quality improvement
   personnel from a diverse group of organizations to integrate outcomes
   data into surgical education is feasible. Obtaining resident and team
   reports from ACS NSQIP can be done with minimal effort. Future efforts
   will be aimed at developing a national data-centered curriculum for
   general surgery programs. ((C) 2013 by the American College of Surgeons)
RI Kelz, Rachel/AAF-3162-2019; Sellers, Morgan/
OI Sellers, Morgan/0000-0003-2539-9903
ZR 0
ZA 0
TC 33
ZB 8
ZS 0
Z8 0
Z9 33
U1 0
U2 5
SN 1072-7515
EI 1879-1190
UT WOS:000325759500010
PM 24041556
ER

PT J
AU Christensen, John L.
   Miller, Lynn Carol
   Appleby, Paul Robert
   Corsbie-Massay, Charisse
   Godoy, Carlos Gustavo
   Marsella, Stacy C.
   Read, Stephen J.
TI Reducing shame in a game that predicts HIV risk reduction for young
   adult men who have sex with men: a randomized trial delivered nationally
   over the web
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 16
AR 18716
DI 10.7448/IAS.16.3.18716
SU 2
PD NOV 2013
PY 2013
AB Introduction: Men who have sex with men (MSM) often face socially
   sanctioned disapproval of sexual deviance from the heterosexual
   "normal.'' Such sexual stigma can be internalized producing a painful
   affective state (i.e., shame). Although shame (e.g., addiction) can
   predict risk-taking (e.g., alcohol abuse), sexual shame's link to sexual
   risk-taking is unclear. Socially Optimized Learning in Virtual
   Environments (SOLVE) was designed to reduce MSM's sexual shame, but
   whether it does so, and if that reduction predicts HIV risk reduction,
   is unclear. To test if at baseline, MSM's reported past unprotected anal
   intercourse (UAI) is related to shame; MSM's exposure to SOLVE compared
   to a wait-list control (WLC) condition reduces MSM's shame; and
   shame-reduction mediates the link between WLC condition and UAI risk
   reduction.
   Methods: HIV-negative, self-identified African American, Latino or White
   MSM, aged 18-24 years, who had had UAI with a nonprimary/casual partner
   in the past three months were recruited for a national online study.
   Eligible MSM were computer randomized to either WLC or a web-delivered
   SOLVE. Retained MSM completed baseline measures (e.g., UAI in the past
   three months; current level of shame) and, in the SOLVE group, viewed at
   least one level of the game. At the end of the first session, shame was
   measured again. MSM completed follow-up UAI measures three months later.
   All data from 921 retained MSM (WLC condition, 484; SOLVE condition,
   437) were analyzed, with missing data multiply imputed.
   Results: At baseline, MSM reporting more risky sexual behaviour reported
   more shame (r(s) = 0.21; p < 0.001). MSM in the SOLVE intervention
   reported more shame reduction (M = -0.08) than MSM in the control
   condition (M = 0.07; t(919) = 4.24; p < 0.001). As predicted, the
   indirect effect was significant (point estimate -0.10, 95%
   bias-corrected CI [-0.01 to -0.23] such that participants in the SOLVE
   treatment condition reported greater reductions in shame, which in turn
   predicted reductions in risky sexual behaviour at follow-up. The direct
   effect, however, was not significant.
   Conclusions: SOLVE is the first intervention to: (1) significantly
   reduce shame for MSM; and (2) demonstrate that shamereduction, due to an
   intervention, is predictive of risk (UAI) reduction over time.
RI Miller, Lynn/AGZ-7914-2022; Miller, Lynn C/E-8101-2010; Godoy, Carlos/ABA-7675-2020; Christensen, John/
OI Miller, Lynn/0000-0003-3379-3564; Miller, Lynn C/0000-0003-3379-3564;
   Christensen, John/0000-0002-1371-1499
ZB 9
ZA 0
Z8 1
TC 55
ZR 0
ZS 1
Z9 57
U1 0
U2 11
EI 1758-2652
UT WOS:000431539700013
PM 24242264
ER

PT J
AU Rumbach, Anna F.
TI Voice Problems of Group Fitness Instructors: Diagnosis, Treatment,
   Perceived and Experienced Attitudes and Expectations of the Industry
SO JOURNAL OF VOICE
VL 27
IS 6
AR 786.e1
DI 10.1016/j.jvoice.2013.03.012
PD NOV 2013
PY 2013
AB Objectives. To determine the anatomical and physiological nature of
   voice problems and their treatment in those group fitness instructors
   (GFIs) who have sought a medical diagnosis; the impact of voice
   disorders on quality of life and their contribution to activity
   limitations and participation restrictions; and the perceived attitudes
   and level of support from the industry at large in response to
   instructor's voice disorders and need for treatment.
   Study Design. Prospective self-completion questionnaire design.
   Methods. Thirty-eight individuals (3 males and 35 females) currently
   active in the Australian fitness industry who had been diagnosed with a
   voice disorder completed an online self-completion questionnaire
   administered via SurveyMonkey.
   Results. Laryngeal pathology included vocal fold nodules (N = 24), vocal
   fold cysts (N = 2), vocal fold hemorrhage (N = 1), and recurrent chronic
   laryngitis (N = 3). Eight individuals reported vocal strain and muscle
   tension dysphonia without concurrent vocal fold pathology. Treatment
   methods were variable, with 73.68% (N = 28) receiving voice therapy
   alone, 7.89% (N = 3) having voice therapy in combination with surgery,
   and 10.53% (N = 4) having voice therapy in conjunction with medication.
   Three individuals (7.89%) received no treatment for their voice
   disorder. During treatment, 82% of the cohort altered their teaching
   practices. Half of the cohort reported that their voice problems led to
   social withdrawal, decreased job satisfaction, and emotional distress.
   Greater than 65% also reported being dissatisfied with the level of
   industry and coworker support during the period of voice recovery.
   Conclusions. This study identifies that GFIs are susceptible to a number
   of voice disorders that impact their social and professional lives, and
   there is a need for more proactive training and advice on voice care for
   instructors, as well as those in management positions within the
   industry to address mixed approaches and opinions regarding the
   importance of voice care.
RI Rumbach, Anna/C-8847-2011
OI Rumbach, Anna/0000-0002-6542-4942
ZS 0
ZR 0
ZA 0
ZB 1
TC 5
Z8 0
Z9 5
U1 0
U2 18
SN 0892-1997
EI 1873-4588
UT WOS:000327146200019
PM 23876940
ER

PT J
AU Alba, George A.
   Kelmenson, Daniel A.
   Noble, Vicki E.
   Murray, Alice F.
   Currier, Paul F.
TI Faculty staff-guided versus self-guided ultrasound training for internal
   medicine residents
SO MEDICAL EDUCATION
VL 47
IS 11
BP 1099
EP 1108
DI 10.1111/medu.12259
PD NOV 2013
PY 2013
AB ObjectivesUltrasonography is of growing importance within internal
   medicine (IM), but the optimal method of training doctors to use it is
   uncertain. In this study, the authors provide the first objective
   comparison of two approaches to training IM residents in
   ultrasonography.
   MethodsIn this randomised trial, a simulation-based ultrasound training
   curriculum was implemented during IM intern orientation at a tertiary
   care teaching hospital. All 72 incoming interns attended a lecture and
   were given access to online modules. Interns were then randomly assigned
   to a 4-hour faculty-guided (FG) or self-guided (SG) ultrasound training
   session in a simulation laboratory with both human and manikin models.
   Interns were asked to self-assess their competence in ultrasonography
   and underwent an objective structured clinical examination (OSCE) to
   assess their competence in basic and procedurally oriented ultrasound
   tasks. The primary outcome was the score on the OSCE.
   ResultsFaculty-guided training was superior to self-guided training
   based on the OSCE scores. Subjects in the FG training group achieved
   significantly higher OSCE scores on the two subsets of task completion
   (0.9-point difference, 95% confidence interval [CI] 0.27-1.54; p=0.008)
   and ultrasound image quality (2.43-point difference, 95% CI 1.5-3.36;
   p<0.001). Both training groups demonstrated an increase in self-assessed
   competence after their respective training sessions and there was little
   difference between the groups. Subjects rated the FG training group much
   more favourably than the SG training group.
   ConclusionsBoth FG and SG ultrasound training curricula can improve the
   self-reported competence of IM interns in ultrasonography. However, FG
   training was superior to SG training in both skills acquisition and
   intern preference. Incorporating mandatory ultrasound training into IM
   residencies can address the perceived need for ultrasound training,
   improve confidence and procedural skills, and may enhance patient
   safety. However, the optimal training method may require significant
   faculty input.
   Discuss ideas arising from the article at discuss'
Z8 0
ZS 0
TC 26
ZR 0
ZA 0
ZB 4
Z9 26
U1 0
U2 9
SN 0308-0110
EI 1365-2923
UT WOS:000329153200010
PM 24117556
ER

PT J
AU Smith, Patricia M.
   Spadoni, Michelle M.
   Proper, Veronica M.
TI National survey of clinical placement settings across Canada for nursing
   and other healthcare professions-who's using what?
SO NURSE EDUCATION TODAY
VL 33
IS 11
BP 1329
EP 1336
DI 10.1016/j.nedt.2013.02.011
PD NOV 2013
PY 2013
AB Background: The types of pre-licensure clinical placements being used
   and by what health professions are becoming an important and pressing
   issue as concerns about clinical placement shortages and competition for
   placements increase.
   Objective: This study was designed to address a gap in the literature by
   quantifying the range and specific types of pre-licensure clinical
   placements being used by nursing and other health professions.
   Method: This was a Canadian national online cross-sectional survey
   designed to create an inventory of the types of hospital, community,
   long-term care, and innovative settings being used for pre-licensure
   clinical placements by schools of nursing, licensed practical nursing,
   registered psychiatric nursing, midwifery, occupational therapy,
   physiotherapy, and medicine.
   Results: The response rate was 70% (113/162). There was no difference in
   nursing vs. other professions in the general types of placements
   used-hospitals (97%), community (93%), and long-term care (93%), or
   travel out of the academic community for placements (85%) which was
   primarily intra-provincial and rural. Medical and surgical inpatient
   units were the specific types of placements most commonly used by all
   respondents (93%). The significant differences included more nursing
   schools using inpatient maternal/child (p < 0.001), mental health (p =
   0.006), and pediatric (p = 0.006), and community public health (p <
   0.001), and more other healthcare professions using hospital outpatient
   orthopedic (p = 0.002) and research placements (p = 0.001). The
   innovative placements reported by respondents were all community-based
   and quite diverse (e.g., summer camps, businesses, etc.).
   Conclusions: This inventory of pre-licensure clinical placements fills a
   gap in the literature and revealed a broad and diverse range of settings
   being used by nursing and other healthcare professions, especially in
   the community. The diversity raises questions as to whether the
   organization of clinical education in the past is the best way to meet
   the needs of tomorrow's healthcare providers, yet it also offers new
   possibilities for re-contextualizing pre-licensure clinical education.
   (C) 2013 Elsevier Ltd. All rights reserved.
ZR 0
TC 15
Z8 0
ZS 0
ZA 0
ZB 0
Z9 15
U1 0
U2 16
SN 0260-6917
EI 1532-2793
UT WOS:000326198900012
PM 23490437
ER

PT J
AU Richmond, Nicholas A.
   Lamel, Sonia A.
   Davidson, Jeffrey M.
   Martins-Green, Manuela
   Sen, Chandan K.
   Tomic-Canic, Marjana
   Vivas, Alejandra C.
   Braun, Liza R.
   Kirsner, Robert S.
TI US-National Institutes of Health-funded research for cutaneous wounds in
   2012
SO WOUND REPAIR AND REGENERATION
VL 21
IS 6
BP 789
EP 792
DI 10.1111/wrr.12099
PD NOV 2013
PY 2013
AB Chronic cutaneous wounds are a major burden on patients, healthcare
   providers, and the US healthcare system. This study, carried out in part
   by the Wound Healing Society's Government Regulatory Committee, aimed to
   evaluate the current state of National Institutes of Health funding of
   cutaneous wound healing-related research projects. National Institutes
   of Health Research Portfolio Online Reporting Tools Expenditures &
   Results system was used to identify wound healing projects funded by the
   National Institutes of Health in the 2012 fiscal year. Research projects
   focusing on cutaneous wound prevention/education, mechanisms,
   complications, treatment, or imaging/monitoring were included in the
   analysis. Ninety-one projects were identified, totaling a collective
   funding of $29,798,991 and median funding of $308,941. Thirteen
   institutes/centers from the National Institutes of Health were
   responsible for awarding funds; three of which (National Institute of
   Arthritis and Musculoskeletal and Skin Diseases, National Institute of
   General Medical Sciences, National Institute of Diabetes and Digestive
   and Kidney Diseases) accounted for 60.4% of the grant funding. The
   predominant funding mechanisms included R01 (48.3%), R43 (14.3%), and
   R21 (9.9%). New applications and pre-existing applications accounted for
   39.6 and 55.0% of the awarded grants, respectively. Grants awarded to
   investigators affiliated with universities accounted for 68.1% of grants
   and 25.3% were to investigators in the private sector. This analysis of
   current National Institutes of Health funding may facilitate more
   transparency of National Institutes of Health-allocated research funds
   and serve as an impetus to procure additional support for the field of
   wound healing.
RI Davidson, Jeff/AAI-7288-2021
ZA 0
TC 33
ZB 15
Z8 0
ZS 0
ZR 0
Z9 33
U1 0
U2 8
SN 1067-1927
EI 1524-475X
UT WOS:000326327100148
PM 24134696
ER

PT J
AU Chang, Daniel T.
   Shaffer, Jenny L.
   Haffty, Bruce G.
   Wilson, Lynn D.
TI Factors that Determine Academic Versus Private Practice Career Interest
   in Radiation Oncology Residents in the United States: Results of a
   Nationwide Survey
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 87
IS 3
BP 464
EP 470
DI 10.1016/j.ijrobp.2013.07.002
PD NOV 1 2013
PY 2013
AB Purpose: To determine what factors US radiation oncology residents
   consider when choosing academic or nonacademic careers.
   Methods and Materials: A 20-question online survey was developed and
   sent to all US radiation oncology residents to assess factors that
   influence their career interest. Residents were asked to rate their
   interest in academics (A) versus private practice (PP) on a 0 (strong
   interest in A) to 100 (strong interest in PP) scale. Responses were
   classified as A (0-30), undecided (40-60), and PP (70-100). Residents
   were also asked to rank 10 factors that most strongly influenced their
   career interest.
   Results: Three hundred thirty-one responses were collected, of which 264
   were complete and form the basis for this analysis. Factors that
   correlated with interest in A included having a PhD (P=.018),
   postgraduate year level (P=.0006), research elective time (P=.0003),
   obtaining grant funding during residency (P=.012), and number of
   publications before residency (P=.0001), but not number of abstracts
   accepted in the past year (P=.65) or publications during residency
   (P=.67). The 3 most influential factors for residents interested in A
   were: (1) baseline interest before residency; (2) academic role models;
   and (3) research opportunities during residency. The 3 most influential
   factors for residents interested in PP were: (1) baseline interest
   before residency; (2) academic role models; and (3) academic pressure
   and obligations.
   Conclusions: Interest in A correlated with postgraduate year level,
   degree, and research time during residency. Publications before but not
   during residency correlated with academic interest, and baseline
   interest was the most influential factor. These data can be used by
   residency program directors to better understand what influences
   residents' career interest. (C) 2013 Elsevier Inc.
OI Chang, Daniel/0000-0003-2760-1554
TC 10
ZA 0
ZS 0
ZB 4
ZR 0
Z8 0
Z9 10
U1 0
U2 6
SN 0360-3016
UT WOS:000325165300014
PM 23972721
ER

PT J
AU Connor, Jennifer J.
   Brix, Cassandra M.
   Trudeau-Hern, Stephanie
TI The diagnosis of provoked vestibulodynia: steps and roadblocks in a long
   journey
SO SEXUAL AND RELATIONSHIP THERAPY
VL 28
IS 4
BP 324
EP 335
DI 10.1080/14681994.2013.842969
PD NOV 1 2013
PY 2013
AB Provoked vestibulodynia (PVD) is estimated to afflict up to 8% of women
   in the USA. In previous research, women with PVD report embarking on a
   lengthy path before obtaining a diagnosis. This paper explores how year
   symptoms began, and how demographic characteristics and assertiveness
   may affect timeliness of a diagnosis. The experience of receiving a
   diagnosis is described. Eighty-five participants were recruited through
   a Listserv and Facebook support group and answered an online survey.
   Dependent measures included number of appointments before receiving a
   diagnosis and length of time (months) after symptoms began before
   receiving a diagnosis. An open-ended question was analyzed. Thirty-five
   percent attended more than 15 appointments and 37% reported more than 36
   months between first symptoms and receiving a diagnosis. The length of
   time to a diagnosis correlated with amount of education and year
   symptoms began. Four themes emerged in thematic analyses: necessary
   self-research, medical care frustrations, empathic health care
   appreciation, and a negative emotional experience along their journey.
   Women who began experiencing symptoms after 2005 were diagnosed in less
   time than those experiencing symptoms earlier, indicating an improvement
   in diagnostic procedures. However, women continue to have to describe
   having to visit many physicians before receiving a diagnosis.
Z8 0
ZA 0
ZS 0
ZB 1
TC 7
ZR 0
Z9 7
U1 0
U2 9
SN 1468-1994
EI 1468-1749
UT WOS:000328060100003
ER

PT J
AU Roberts, Jason
TI Get Connected With Headache Online
SO HEADACHE
VL 53
IS 10
BP 1539
EP 1540
DI 10.1111/head.12248
PD NOV 2013
PY 2013
ZB 2
ZA 0
Z8 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 2
SN 0017-8748
EI 1526-4610
UT WOS:000327253600002
PM 24266333
ER

PT J
AU Schutte, Aletta E.
   Wright, Caradee Y.
   Langdon, Genevieve
   Lochner, Christine
   Myers, Bronwyn
TI What is the research experience of young scientists in South Africa?
SO SOUTH AFRICAN JOURNAL OF SCIENCE
VL 109
IS 11-12
AR a0040
DI 10.1590/sajs.2013/a0040
PD NOV-DEC 2013
PY 2013
AB The results of an online survey - the SAYAS Survey of Young Scientists
   that involved the participation of 1021 postgraduate students and
   postdoctoral fellows from tertiary institutions in South Africa - were
   released in a report launched in November 2013. In this commentary we
   highlight some of the key findings from the report: The Research
   Experience of Young Scientists in South Africa.(1)
RI Myers, Bronwyn/AAT-7788-2021; Schutte, Aletta E/E-5126-2018; Langdon, Genevieve/
OI Myers, Bronwyn/0000-0003-0235-6716; Schutte, Aletta
   E/0000-0001-9217-4937; Langdon, Genevieve/0000-0002-0396-9787
ZR 0
Z8 0
ZA 0
ZS 1
TC 2
ZB 0
Z9 2
U1 0
U2 7
SN 0038-2353
EI 1996-7489
UT WOS:000327947600003
ER

PT J
AU Holden, Norman E.
   Coplen, Tyler B.
TI ConfChem Conference on A Virtual Colloquium to Sustain and Celebrate IYC
   2011 Initiatives in Global Chemical Education: The IUPAC Periodic Table
   of Isotopes for the Educational Community
SO JOURNAL OF CHEMICAL EDUCATION
VL 90
IS 11
BP 1550
EP 1551
DI 10.1021/ed3008236
PD NOV 2013
PY 2013
AB The IUPAC Periodic Table of the Isotopes (www.ciaaw.org) was prepared as
   an educational outreach effort to expose teachers, students, and the
   general public to the existence of both stable and radioactive isotopes
   of the chemical elements. This Table provides information on the
   isotopes of each element, including the mass number and fraction of each
   isotope in a stable or a long-lived radioactive chemical element. These
   data allow scientists to determine the atomic weight of each element,
   which connects the microscopic and the macroscopic worlds. For many
   elements, there is a variation in the fraction of an element's isotopes
   in naturally occurring substances. The atomic weight is variable beyond
   its measurement uncertainty and the upper and lower bounds of the
   standard atomic weight are presented as an interval, rather than as a
   value with uncertainty, for 10 elements. The Table provides examples of
   the importance of both the stable and radioactive isotopes in our
   everyday world because of the variability of the stable isotope ratios
   or the radioactive decay of the unstable isotopes. There are 440
   examples of applications to our everyday life. Applications, such as
   medical, industrial, geo-chronological, earth and planetary science,
   biological and forensic science, and anthropological are shown. Readers
   of the conference paper responded with questions, and the answers to the
   questions are included. This communication summarizes one of the invited
   papers to the ConfChem online conference A Virtual Colloquium to Sustain
   and Celebrate IYC 2011 Initiates in Global Chemistry Education held from
   May 18 to June 28, 2012, and jointly hosted by the ACS DivCHED Committee
   on Computers in Chemical Education and the IUPAC Committee on Chemistry
   Education.
ZB 0
ZS 0
ZR 0
Z8 0
TC 2
ZA 0
Z9 2
U1 1
U2 13
SN 0021-9584
EI 1938-1328
UT WOS:000327747900033
ER

PT J
AU Stenvinkel, Peter
   Ikizler, T. Alp
   Mallamaci, Francesca
   Zoccali, Carmine
TI Obesity and nephrology: results of a knowledge and practice pattern
   survey
SO NEPHROLOGY DIALYSIS TRANSPLANTATION
VL 28
BP 99
EP 104
DI 10.1093/ndt/gft193
SU 4
PD NOV 2013
PY 2013
AB Background. Obesity, the largest epidemic of modern time, carries a
   markedly increased risk of type-2 diabetes, cancer, fatty liver, sleep
   apnea, hypertension, dyslipidemia and atherosclerotic cardiovascular
   disease. In addition, obesity increases the risk of chronic kidney
   disease (CKD) and its progression to end-stage renal disease (ESRD).
   There are limited data regarding the basic knowledge of nephrologists on
   how to assess and manage obesity in the setting of CKD.
   Methods. To learn more about practice patterns among nephrologists, a
   survey on obesity was published online in NDT-Educational between 8
   November 2012 and 31 January 2013. Three-hundred and ninety-nine
   responses were received mostly from nephrologists in Europe (57%), South
   and Central America (12%) and the Middle East (10%). The majority
   practiced in clinical nephrology (64%) and outpatient dialysis clinics
   (23%). Whereas 54% of the participants worked in hospitals, 31% worked
   in academic centers.
   Results. Most participants stated that the number of obese patients has
   increased both among their CKD stage 2-5 patients and in their dialysis
   clinics during the last 10 years. For routine estimation of body fat
   content in the dialysis clinic, the majority of nephrologists (43%)
   still rely on the body mass index (BMI). A majority (72%) does not think
   that weight gain should be promoted in dialysis patients with a BMI of
   <35 kg/m(2). The survey also showed that 30% of the responders did not
   have any predetermined cut-off level for BMI. However, 29% used a
   cut-off level of 35 kg/m(2) and 27% used a cut-off level of 30 kg/m(2)
   for approval for kidney transplantation in their clinics.
   Conclusions. The level of understanding of the intricacies of obesity in
   the setting of CKD needs improvement among nephrologists. Similarly,
   there is no consensus regarding weight management strategies in CKD
   patients with obesity. Studies are needed in this orphan area of renal
   research.
RI Zoccali, Carmine/B-9445-2009; Zoccali, Carmine/AAR-4473-2020; Stenvinkel, Peter/; Ikizler, Talat/
OI Zoccali, Carmine/0000-0002-6616-1996; Stenvinkel,
   Peter/0000-0002-8785-4820; Ikizler, Talat/0000-0002-5717-4218
ZB 9
ZA 0
TC 25
ZR 0
Z8 2
ZS 0
Z9 27
U1 0
U2 6
SN 0931-0509
EI 1460-2385
UT WOS:000326749000013
PM 23737484
ER

PT J
AU Kinderman, Peter
   Schwannauer, Matthias
   Pontin, Eleanor
   Tai, Sara
TI Psychological Processes Mediate the Impact of Familial Risk, Social
   Circumstances and Life Events on Mental Health
SO PLOS ONE
VL 8
IS 10
AR e76564
DI 10.1371/journal.pone.0076564
PD OCT 16 2013
PY 2013
AB Background: Despite widespread acceptance of the 'biopsychosocial
   model', the aetiology of mental health problems has provoked debate
   amongst researchers and practitioners for decades. The role of
   psychological factors in the development of mental health problems
   remains particularly contentious, and to date there has not been a large
   enough dataset to conduct the necessary multivariate analysis of whether
   psychological factors influence, or are influenced by, mental health.
   This study reports on the first empirical, multivariate, test of the
   relationships between the key elements of the biospychosocial model of
   mental ill-health.
   Methods and Findings: Participants were 32,827 (age 18-85 years)
   self-selected respondents from the general population who completed an
   open-access online battery of questionnaires hosted by the BBC. An
   initial confirmatory factor analysis was performed to assess the
   adequacy of the proposed factor structure and the relationships between
   latent and measured variables. The predictive path model was then tested
   whereby the latent variables of psychological processes were positioned
   as mediating between the causal latent variables (biological, social and
   circumstantial) and the outcome latent variables of mental health
   problems and well-being. This revealed an excellent fit to the data, S-B
   chi(2) (3199, N = 23,397) = 126654.8, p<.001; RCFI = .97; RMSEA = .04
   (.038-.039). As hypothesised, a family history of mental health
   difficulties, social deprivation, and traumatic or abusive
   life-experiences all strongly predicted higher levels of anxiety and
   depression. However, these relationships were strongly mediated by
   psychological processes; specifically lack of adaptive coping,
   rumination and self-blame.
   Conclusion: These results support a significant revision of the
   biopsychosocial model, as psychological processes determine the causal
   impact of biological, social, and circumstantial risk factors on mental
   health. This has clear implications for policy, education and clinical
   practice as psychological processes such as rumination and self-blame
   are amenable to evidence-based psychological therapies.
OI Tai, Sara/0000-0002-8316-5796
Z8 0
ZS 0
ZB 14
ZR 0
TC 51
ZA 0
Z9 51
U1 1
U2 24
SN 1932-6203
UT WOS:000326019400071
PM 24146890
ER

PT J
AU Dunne, Suzanne S.
   Cummins, Niamh M.
   Hannigan, Ailish
   Shannon, Bill
   Dunne, Colum
   Cullen, Walter
TI Generic medicines: an evaluation of the accuracy and accessibility of
   information available on the internet
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 13
AR 115
DI 10.1186/1472-6947-13-115
PD OCT 7 2013
PY 2013
AB Background: Internationally, generic medicines are increasingly seen as
   a key strategy to reduce healthcare expenditure, therefore awareness and
   knowledge transfer regarding generic medicines are valid areas of
   research. Although the Internet is a frequently used source of medical
   information, the accuracy of material found online is variable. The aim
   of this study was to evaluate information provided on the Internet
   regarding generic medicines in terms of quality of information and
   readability.
   Methods: Internet searches for information regarding generic medicine
   were completed, with a pre-defined search term, using the Google search
   engine, in five English-speaking geographical regions (US, UK, Ireland,
   Canada and Australia). Search results likely to be looked at by a
   searcher were collated and assessed for the quality of generic
   medicine-related information in the websites, using a novel customised
   Website Quality Assessment (WQA) tool; and for readability, using
   existing methods. The reproducibility of the tools between two
   independent reviewers was evaluated and correlations between WQA score,
   readability statistics and Google search engine results page ranking
   were assessed.
   Results: Wikipedia was the highest-ranking search result in 100% of
   searches performed. Considerable variability of search results returned
   between different geographical regions was observed, including that
   websites identified in the Australian search generated the highest
   number of country specific websites; searches performed using computers
   with Irish, British, American and Canadian IP addresses appear to be
   more similar to each other than the google.com search performed in
   Australia; and the Canadian google.ca results show a notable difference
   from any of the other searches. Of the 24 websites assessed, none scored
   a perfect WQA score. Notably, strong correlation was seen between WQA
   and readability scores and ranking on google.com search results.
   Conclusions: This novel evaluation of websites providing information on
   generic medicines showed that, of the websites likely to be seen by a
   searcher, none demonstrated a combination of scoring highly on quality
   of information (as evinced by WQA score) and readability. Therefore,
   there is a gap in online knowledge provision on this topic which, if
   filled by a website designed using the WQA tool developed in this study,
   has an improved likelihood of ranking highly in google.com search
   results.
RI Cullen, Walter/AAD-4327-2019; Cummins, Niamh/AAG-9658-2021; Cullen, Walter/; Dunne, Colum/; Cummins, Niamh/
OI Cullen, Walter/0000-0003-1838-5052; Dunne, Colum/0000-0002-5010-3185;
   Cummins, Niamh/0000-0002-7118-9563
ZR 0
ZA 0
Z8 0
ZB 2
ZS 0
TC 9
Z9 9
U1 0
U2 29
SN 1472-6947
UT WOS:000325696000001
PM 24099099
ER

PT J
AU Lacasta Tintorer, David
   Flayeh Beneyto, Souhel
   Alzaga Reig, Xavier
   Mundet Tuduri, Xavier
   Anton De la Fuente, Josep
   Maria Manresa, Josep
   Toran Monserrat, Pere
   Saigi Rubio, Francesc
TI Impact of the implementation of an online network support tool among
   clinicians of Primary Health Care and Specialists: ECOPIH Project
SO BMC FAMILY PRACTICE
VL 14
AR 146
DI 10.1186/1471-2296-14-146
PD OCT 3 2013
PY 2013
AB Background: There has been created an online communication tool with the
   objective to improve the communication among different levels of care,
   between Primary Care clinicians and Specialists. This tool is web 2.0
   based technology (ECOPIH project). It allows to review clinical cases
   and to share knowledge. Our study will evaluate its impact in terms of
   reduction on the number of referrals to three specialties two years
   after the use of this tool.
   Methods/Design: Open, multicenter, controlled, non random intervention
   study over 24 months. Study population includes 131 Primary Care
   Physicians assigned to nine health centers. The study will compare the
   clinicians that use the ECOPIH with the ones that do not use the tool.
   Also, professionals that start to use the tool during the period time of
   the study will be included.
   The number of annual referrals during the first and second year will be
   analyzed and retrospectively compared with the previous year to the
   implementation of the tool. Moreover, it will be assessed the level of
   satisfaction of the professionals with the tool and to what extend the
   tool responds to their needs.
   Discussion: The implementation of ECOPIH in the field of Primary Health
   Care can decrease the number of referrals from primary care to
   specialist care.
   It is expected that the reduction will be more noticeable in the group
   of professionals that use more intensively the tool. Furthermore, we
   believe that it can be also observed with the professionals that read
   the contributions of the others.
   We anticipate high degree of customer satisfaction as it is a very
   helpful resource never used before in our environment.
RI Gutowski, Emily/N-1491-2015; Torán-Monserrat, Pere/AAY-4396-2021; Saigí-Rubió, Francesc/I-3927-2017; Manresa, Josep M/J-2626-2015; Lacasta Tintorer, David/
OI Torán-Monserrat, Pere/0000-0002-9865-7427; Saigí-Rubió,
   Francesc/0000-0001-9616-1551; Manresa, Josep M/0000-0001-8306-5798;
   Lacasta Tintorer, David/0000-0002-3882-1870
ZB 0
Z8 0
ZR 0
ZS 0
TC 3
ZA 0
Z9 3
U1 0
U2 3
EI 1471-2296
UT WOS:000327449900001
PM 24088387
ER

PT J
AU Hibbert, Emily J.
   Lambert, Tim
   Carter, John N.
   Learoyd, Diana L.
   Twigg, Stephen
   Clarke, Stephen
TI A randomized controlled pilot trial comparing the impact of access to
   clinical endocrinology video demonstrations with access to usual
   revision resources on medical student performance of clinical
   endocrinology skills
SO BMC MEDICAL EDUCATION
VL 13
AR 135
DI 10.1186/1472-6920-13-135
PD OCT 3 2013
PY 2013
AB Background: Demonstrating competence in clinical skills is key to course
   completion for medical students. Methods of providing clinical
   instruction that foster immediate learning and potentially serve as
   longer-term repositories for on-demand revision, such as online videos
   demonstrating competent performance of clinical skills, are increasingly
   being used. However, their impact on learning has been little studied.
   The aim of this study was to determine the value of adjunctive on-demand
   video-based training for clinical skills acquisition by medical students
   in endocrinology.
   Methods: Following an endocrinology clinical tutorial program, 2nd year
   medical students in the pre-assessment revision period were recruited
   and randomized to either a set of bespoke on-line clinical skills
   training videos (TV), or to revision as usual (RAU). The skills
   demonstrated on video were history taking in diabetes mellitus (DMH),
   examination for diabetes lower limb complications (LLE), and examination
   for signs of thyroid disease (TE). Students were assessed on these
   clinical skills in an observed structured clinical examination two weeks
   after randomization. Assessors were blinded to student randomization
   status.
   Results: For both diabetes related clinical skills assessment tasks,
   students in the TV group performed significantly better than those in
   the RAU group. There were no between group differences in thyroid
   examination performance. For the LLE, 91.7% (n = 11/12) of students
   randomized to the video were rated globally as competent at the skill
   compared with 40% (n = 4/10) of students not randomized to the video (p
   = 0.024). For the DMH, 83.3% (n = 10/12) of students randomized to the
   video were rated globally as competent at the skill compared with 20% (n
   = 2/10) of students not randomized to the video (p = 0.007).
   Conclusion: Exposure to high quality videos demonstrating clinical
   skills can significantly improve medical student skill performance in an
   observed structured clinical examination of these skills, when used as
   an adjunct to clinical skills face-to-face tutorials and deliberate
   practice of skills in a blended learning format. Video demonstrations
   can provide an enduring, on-demand, portable resource for revision,
   which can even be used at the bedside by learners. Such resources are
   cost-effectively scalable for large numbers of learners.
RI Hibbert, Emily/ABE-4549-2020; Clarke, Stephen/
OI Hibbert, Emily/0000-0002-1151-2816; Clarke, Stephen/0000-0001-5817-1222
Z8 1
ZS 0
ZA 0
TC 30
ZB 2
ZR 0
Z9 31
U1 0
U2 29
SN 1472-6920
UT WOS:000325791000001
PM 24090039
ER

PT J
AU De Zoysa, N.
   Amin, N.
   Harries, M.
TI Training tomorrow's laryngologists - head and neck training alone is not
   sufficient
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 127
IS 10
BP 1001
EP 1006
DI 10.1017/S0022215113001989
PD OCT 2013
PY 2013
AB Background: Diagnostic ability is essential in laryngology. The UK
   Higher Surgical Training syllabus includes competencies specific to
   laryngology. This study aimed to identify the factors in training that
   lead to a consultant level of laryngology-related diagnostic ability.
   Method: An online test of training experience was constructed using
   laryngoscopy videos obtained from a specialist UK voice clinic.
   Participation was aimed at both trainees and trainers via invitation
   through national ENT forums.
   Results: There were 51 complete responses. Trainees with six months of
   laryngology experience scored significantly higher than those without
   this experience (p < 0.001). There was no improvement in score
   demonstrated for those with head and neck specialty experience without
   laryngology experience. Trainees who had completed 12 months of
   laryngology, or 6 months of laryngology coupled with 12 months of head
   and neck training, scored similarly to their consultant trainers.
   Conclusion: It is recommended that all trainees have at least six months
   of experience in a specialist voice or laryngology placement prior to
   gaining the Certificate of Completion of Training.
TC 1
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
Z9 1
U1 0
U2 0
SN 0022-2151
EI 1748-5460
UT WOS:000331847900012
PM 24067129
ER

PT J
AU Prober, Charles G.
   Khan, Salman
TI Medical Education Reimagined: A Call to Action
SO ACADEMIC MEDICINE
VL 88
IS 10
BP 1407
EP 1410
DI 10.1097/ACM.0b013e3182a368bd
PD OCT 2013
PY 2013
AB The authors propose a new model for medical education based on the
   flipped classroom design. In this model, students would access brief
   (similar to 10 minute) online videos to learn new concepts on their own
   time. The content could be viewed by the students as many times as
   necessary to master the knowledge in preparation for classroom time
   facilitated by expert faculty leading dynamic, interactive sessions
   where students can apply their newly mastered knowledge. The authors
   argue that the modern digitally empowered learner, the unremitting
   expansion of biomedical knowledge, and the increasing specialization
   within the practice of medicine drive the need to reimagine medical
   education. The changes that they propose emphasize the need to define a
   core curriculum that can meet learners where they are in a digitally
   oriented world, enhance the relevance and retention of knowledge through
   rich interactive exercises, and facilitate in-depth learning fueled by
   individual students' aptitude and passion. The creation and adoption of
   this model would be meaningfully enhanced by cooperative efforts across
   medical schools.
TC 248
ZS 0
ZA 0
ZB 28
Z8 3
ZR 0
Z9 252
U1 0
U2 114
SN 1040-2446
EI 1938-808X
UT WOS:000325706200009
PM 23969367
ER

PT J
AU Mehta, Neil B.
   Hull, Alan L.
   Young, James B.
   Stoller, James K.
TI Just Imagine: New Paradigms for Medical Education
SO ACADEMIC MEDICINE
VL 88
IS 10
BP 1418
EP 1423
DI 10.1097/ACM.0b013e3182a36a07
PD OCT 2013
PY 2013
AB For all its traditional successes, the current model of medical
   education in the United States and Canada is being challenged on issues
   of quality, throughput, and cost, a process that has exposed numerous
   shortcomings in its efforts to meet the needs of the nations' health
   care systems. A radical change in direction is required because the
   current path will not lead to a solution. The 2010 publication Educating
   Physicians: A Call for Reform of Medical School and Residency identifies
   several goals for improving the medical education system, and proposals
   have been made to reform medical education to meet these goals. Enacting
   these recommendations practically and efficiently, while training more
   health care providers at a lower cost, is challenging. To advance
   solutions, the authors review innovations that are disrupting higher
   education and describe a vision for using these to create a new model
   for competency-based, learner-centered medical education that can better
   meet the needs of the health care system while adhering to the spirit of
   the above proposals. These innovations include collaboration amongst
   medical schools to develop massive open online courses for didactic
   content; faculty working in small groups to leverage this online content
   in a flipped-classroom model; and digital badges for credentialing
   entrustable professional activities over the continuum of learning.
RI Mehta, Neil/AAL-9824-2020; Hull, Alan/ABD-1539-2021; Mehta, Neil/
OI Hull, Alan/0000-0001-8951-358X; Mehta, Neil/0000-0001-8342-4252
ZS 4
ZB 10
ZR 0
TC 187
Z8 1
ZA 0
Z9 191
U1 2
U2 163
SN 1040-2446
EI 1938-808X
UT WOS:000325706200013
PM 23969368
ER

PT J
AU Frederick-Dyer, Katherine C.
   Faulkner, Austin R.
   Chang, Ted T.
   Heidel, R. Eric
   Pasciak, Alexander S.
TI Online Training on the Safe Use of Fluoroscopy Can Result in a
   Significant Decrease in Patient Dose
SO ACADEMIC RADIOLOGY
VL 20
IS 10
BP 1272
EP 1277
DI 10.1016/j.acra.2013.07.008
PD OCT 2013
PY 2013
AB Rationale and Objectives: Concerns over medical radiation exposure have
   received national press in recent years, and training in the appropriate
   use of radiation has become an essential component of every radiology
   residency program. Appropriate training is particularly important in
   fluoroscopy because it is commonly used by inexperienced radiology
   residents and has the potential to impart relatively high patient
   radiation doses. In an effort to minimize the radiation doses received
   by patients, our institution has recently initiated an online training
   program in the safe use of fluoroscopy. This course is required and must
   be completed by new radiology residents before their first fluoroscopy
   rotation. The goal of this study was to determine if the use of an
   online course in the safe use of fluoroscopy could result in decreased
   patient dose without affecting diagnostic quality.
   Materials and Methods: Four years of retrospective procedural data for
   residents performing gastrointestinal and genitourinary fluoroscopic
   procedures without specialized training were reviewed. Incoming
   residents took an American Medical Association-accredited online
   training program in the safe use of fluoroscopy the week before their
   first fluoroscopy rotation. Patient dose and diagnostic quality data,
   inferred from the frequency of attending physician intervention
   necessary to complete the procedure, were collected for all exams
   performed by the new group of residents after completion of the training
   course. This was then compared to data from prior classes and stratified
   by procedure type.
   Results: Statistically significant reductions in both average
   fluoroscopy time (FT) or dose-area-product (DAP) were found for many of
   the fluoroscopic procedures performed by residents who participated in
   the online fluoroscopy training program. Specifically, statistically
   significant reductions in FT for barium enema, cystogram, defecogram,
   and esophagram procedures (P < .001) were found. Esophagram and upper
   gastrointestinal studies were completed with a significantly lower DAP
   (P < .001). The average reduction in DAP across all procedures performed
   by first-year residents was 38%, whereas the average reduction in FT was
   25%. Based on a review of data from all procedures performed, there was
   no statistically significant loss in diagnostic quality.
   Conclusion: An online training program can be effectively used to
   provide radiation safety instruction immediately before the start of a
   resident's fluoroscopy rotation, decreasing patient dose without
   affecting diagnostic quality.
RI Heidel, Robert Eric/GSE-4942-2022; Frederick-Dyer, Katherine/
OI Heidel, Robert Eric/0000-0002-1518-8072; Frederick-Dyer,
   Katherine/0000-0002-3281-1452
TC 15
ZR 0
Z8 0
ZB 2
ZS 0
ZA 0
Z9 15
U1 0
U2 3
SN 1076-6332
EI 1878-4046
UT WOS:000325194600012
PM 24029059
ER

PT J
AU Arya, Rahul
   Morrison, Trevor
   Zumwalt, Ann
   Shaffer, Kitt
TI Making Education Effective and Fun: Stations-Based Approach to Teaching
   Radiology and Anatomy to Third-Year Medical Students
SO ACADEMIC RADIOLOGY
VL 20
IS 10
BP 1311
EP 1318
DI 10.1016/j.acra.2013.07.012
PD OCT 2013
PY 2013
AB Rationale and Objectives: A hands-on stations-based approach to teaching
   anatomy to third-year medical students is used at Boston University. The
   goal of our study was to demonstrate that such an interactive,
   team-based approach to teaching anatomy would be well received and be
   helpful in recall, comprehension, and reinforcement of anatomy learned
   in the first year of Medical school.
   Materials and Methods: Each radiology-anatomy correlation lab was
   focused on one particular anatomic part, such as skull base, pelvis,
   coronary anatomy, etc. Four stations, including a three-dimensional
   model, computer, ultrasound, and posters, were created for each lab.
   Informed consent was obtained before online survey dissemination to
   assess the effectiveness and quality of radiology-anatomy correlation
   lab. This study was approved by our institutional institutional review
   board, and data were analyzed using a chi(2) test.
   Results: Survey data were collected from February 2010 through March
   2012. The response rate was 33.5%. Overall, the highest percentage of
   students (46%) found the three-dimensional model station to be the most
   valuable. The computer station was most helpful in recall of the
   anatomic principles from the first year of medical school. Regarding the
   quality of the anatomy lab, less than 2% of the students thought that
   the images were of poor quality or the material presented was not
   clinically relevant.
   Discussion: Our results indicate that an interactive, team-based
   approach to teaching anatomy was well received by the medical students.
   It was engaging and students were able to benefit from it in multiple
   ways.
OI Shaffer, Kitt/0000-0001-6488-6988; Zumwalt, Ann/0000-0002-4557-4273
ZA 0
TC 17
Z8 0
ZR 0
ZB 1
ZS 1
Z9 18
U1 0
U2 15
SN 1076-6332
EI 1878-4046
UT WOS:000325194600018
PM 24029065
ER

PT J
AU Paget, Michael
   Wu, Caren
   McIlwrick, Joann
   Woloschuk, Wayne
   Wright, Bruce
   McLaughlin, Kevin
TI Rater variables associated with ITER ratings
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 18
IS 4
BP 551
EP 557
DI 10.1007/s10459-012-9391-y
PD OCT 2013
PY 2013
AB Advocates of holistic assessment consider the ITER a more authentic way
   to assess performance. But this assessment format is subjective and,
   therefore, susceptible to rater bias. Here our objective was to study
   the association between rater variables and ITER ratings. In this
   observational study our participants were clerks at the University of
   Calgary and preceptors who completed online ITERs between February 2008
   and July 2009. Our outcome variable was global rating on the ITER (rated
   1-5), and we used a generalized estimating equation model to identify
   variables associated with this rating. Students were rated "above
   expected level" or "outstanding" on 66.4 % of 1050 online ITERs
   completed during the study period. Two rater variables attenuated ITER
   ratings: the log transformed time taken to complete the ITER [beta =
   -0.06, 95 % confidence interval (-0.10, -0.02), p = 0.002], and the
   number of ITERs that a preceptor completed over the time period of the
   study [beta = -0.008 (-0.02, -0.001), p = 0.02]. In this study we found
   evidence of leniency bias that resulted in two thirds of students being
   rated above expected level of performance. This leniency bias appeared
   to be attenuated by delay in ITER completion, and was also blunted in
   preceptors who rated more students. As all biases threaten the internal
   validity of the assessment process, further research is needed to
   confirm these and other sources of rater bias in ITER ratings, and to
   explore ways of limiting their impact.
OI Wright, Bruce/0000-0002-5056-9356; Paget, Michael/0000-0002-3322-7661
ZA 0
Z8 0
ZB 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 9
SN 1382-4996
EI 1573-1677
UT WOS:000324105900002
PM 22777161
ER

PT J
AU Holder, Martina
   Smith, Kelly M.
   Fugit, Ann
   Macaulay, Tracy
   Cook, Aaron M.
TI National survey of pharmacy residency on-call programs
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 70
IS 19
BP 1676
EP 1680
DI 10.2146/ajhp120639
PD OCT 1 2013
PY 2013
AB Purpose. The results of a national survey to evaluate on-call practices
   and responsibilities of pharmacy residents nationwide, as well as
   opinions related to duty-hour changes, are reported.
   Methods. A 39-question survey was distributed to 1292 residency program
   directors (RPDs) listed in the American Society of Health-System
   Pharmacists (ASHP) online residency directory, which includes programs
   in all stages of the accreditation process. The survey opened on
   November 7, 2011, and closed on November 28, 2011. The survey collected
   demographic information and answers to questions about the residency's
   on-call component (if applicable) and barriers to the creation of an
   on-call component. Respondents were also asked to indicate their support
   of or opposition to the adoption of the 2011 Accreditation Council for
   Graduate Medical Education (ACGME) duty-hour rules and identify the
   areas of greatest concern.
   Results. Of the 1292 RPDs listed in the ASHP online residency directory
   to whom the survey was sent, 521 surveys were completed, yielding a
   response rate of 40%. Of these, 471 identified their residency program
   as including or excluding an on-call component. Of the 138 programs with
   on-call services, 102 programs (74%) indicated the inclusion of an
   overnight experience. Programs that did not utilize an on-call component
   indicated barriers such as a perceived lack of demand (39%) and
   duty-hour limitations (21%). Common on-call activities included drug
   information consults and therapeutic drug monitoring. There was not a
   clear consensus from RPDs regarding the adoption of the 2011 ACGME
   duty-hour standards.
   Conclusion. Among usable responses to a survey of pharmacy residency
   programs, 29% indicated that their program included an on-call
   component. On-call programs varied greatly in activities, location,
   hours, and requirements.
RI Smith, Kelly M/AAV-9795-2020; Cook, Aaron/
OI Cook, Aaron/0000-0001-8539-902X
ZA 0
TC 6
ZB 1
ZR 0
Z8 0
ZS 0
Z9 6
U1 0
U2 6
SN 1079-2082
EI 1535-2900
UT WOS:000330327000014
PM 24048604
ER

PT J
AU Matarelli, Steven A.
TI Sexual Sensation Seeking and Internet Sex-Seeking of Middle Eastern Men
   Who Have Sex with Men
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 42
IS 7
BP 1285
EP 1297
DI 10.1007/s10508-013-0073-5
PD OCT 2013
PY 2013
AB Despite recent evidence of stabilization in many developed nations, new
   human immunodeficiency virus (HIV) infections remain a public health
   concern globally. Efforts remain fragile in a number of world regions
   due to incomplete or inconsistent social policies concerning HIV,
   criminalization of same-sex encounters, social stigma, and religious
   doctrine. Middle Eastern men who have sex with men (MSM) remain one of
   the most hidden and stigmatized of all HIV risk groups. High-risk sexual
   bridging networks from these men to low prevalence populations (e.g., to
   spouse to offspring) are emerging HIV transmission pathways throughout
   the region. This cross-sectional, exploratory study investigated Sexual
   Sensation Seeking Scale (SSSS) scores to predict numbers of recent MSM
   sexual activities and to predict any recent unprotected receptive anal
   intercourse (URAI) activities in 86 Middle Eastern MSM who resided in
   the Middle East and who used the Internet to sex-seek. In a multivariate
   hierarchical regression, higher SSSS scores predicted higher numbers of
   recent MSM sexual activities (p = .028) and URAI (p = .022). In a
   logistic regression, higher SSSS scores increased the likelihood of
   engaging in URAI activities threefold (OR 3.0, 95 % CI 1.15-7.85, p =
   .025). Age and drug/alcohol use during sexual activities served as
   covariates in the regression models and were not significant in any
   analyses. Despite numerous hurdles, adopting Internet-based,
   non-restricted HIV education and prevention public health programs in
   the Middle East could instrumentally enhance efforts toward reducing the
   likelihood of new HIV transmissions in MSM and their sexual partners,
   ultimately contributing to an improved quality of life.
ZB 2
Z8 3
ZS 0
ZA 0
ZR 0
TC 12
Z9 15
U1 0
U2 15
SN 0004-0002
EI 1573-2800
UT WOS:000325619200020
PM 23440562
ER

PT J
AU Shigaki, Cheryl L.
   Smarr, Karen L.
   Siva, Chokkalingam
   Ge, Bin
   Musser, Dale
   Johnson, Rebecca
TI RAHelp: An Online Intervention for Individuals With Rheumatoid Arthritis
SO ARTHRITIS CARE & RESEARCH
VL 65
IS 10
BP 1573
EP 1581
DI 10.1002/acr.22042
PD OCT 2013
PY 2013
AB Objective. To test an intervention for improving self-management in
   rheumatoid arthritis (RA) using an online, cognitive-behavioral,
   self-management group program (RAHelp), with weekly telephone support.
   Methods. A 2-group, randomized study design was used to compare an
   intervention for RA versus a waiting-list control condition. The
   intervention used a secure web site (RAHelp.org) to provide a 10-week
   program with weekly educational modules for improving self-efficacy in
   self-management of RA, plus tools for group interaction. Weekly
   telephone contacts were made to encourage use of program tools and apply
   newly learned skills. A nationwide convenience sample of 106 adult
   participants (mean age 50 years, 93% women) was recruited primarily
   through online advertisements. Main outcome measures included the
   Arthritis Impact Measurement Scales 2 (affective, physical, role,
   social, and pain/symptom components), Arthritis Self-Efficacy Scale
   (ASES), Center for Epidemiologic Studies Depression Scale, Quality of
   Life Scale (QLS), Rapid Assessment of Disease Activity in Rheumatology,
   Social Provisions Scale, and University of California, Los Angeles
   Loneliness Scale 3.
   Results. Group differences with large and moderate effect sizes (ES)
   were found immediately postintervention for self-efficacy (ASES; ES
   0.92, P = 0.00001) and quality of life (QLS; ES 0.66, P = 0.003),
   respectively. At 9 months postintervention, differences in self-efficacy
   (ASES; ES 0.92, P = 0.00001) and quality of life (QLS; ES 0.71, P =
   0.004) remained robust.
   Conclusion. RAHelp appears to have beneficial effects in terms of
   self-efficacy and quality of life among individuals with RA who are
   willing to use an online service format.
Z8 1
ZA 0
ZS 0
ZR 0
TC 45
ZB 9
Z9 46
U1 0
U2 33
SN 2151-464X
EI 2151-4658
UT WOS:000324915300003
PM 23666599
ER

PT J
AU Venker, Courtney E.
   Eernisse, Elizabeth R.
   Saffran, Jenny R.
   Weismer, Susan Ellis
TI Individual Differences in the Real-Time Comprehension of Children with
   ASD
SO AUTISM RESEARCH
VL 6
IS 5
BP 417
EP 432
DI 10.1002/aur.1304
PD OCT 2013
PY 2013
AB Many children with autism spectrum disorders (ASD) demonstrate deficits
   in language comprehension, but little is known about how they process
   spoken language as it unfolds. Real-time lexical comprehension is
   associated with language and cognition in children without ASD,
   suggesting that this may also be the case for children with ASD. This
   study adopted an individual differences approach to characterizing
   real-time comprehension of familiar words in a group of 34 three- to
   six-year-olds with ASD. The looking-while-listening paradigm was
   employed; it measures online accuracy and latency through
   language-mediated eye movements and has limited task demands. On
   average, children demonstrated comprehension of the familiar words, but
   considerable variability emerged. Children with better accuracy were
   faster to process the familiar words. In combination, processing speed
   and comprehension on a standardized language assessment explained 63% of
   the variance in online accuracy. Online accuracy was not correlated with
   autism severity or maternal education, and nonverbal cognition did not
   explain unique variance. Notably, online accuracy at age 51/2 was
   related to vocabulary comprehension 3 years earlier. The words typically
   learned earliest in life were processed most quickly. Consistent with a
   dimensional view of language abilities, these findings point to
   similarities in patterns of language acquisition in typically developing
   children and those with ASD. Overall, our results emphasize the value of
   examining individual differences in real-time language comprehension in
   this population. We propose that the looking-while-listening paradigm is
   a sensitive and valuable methodological tool that can be applied across
   many areas of autism research. Autism Res 2013, ..: ..-... (c) 2013
   International Society for Autism Research, Wiley Periodicals, Inc.
Z8 0
ZR 0
ZB 18
ZS 1
ZA 0
TC 37
Z9 37
U1 1
U2 28
SN 1939-3792
EI 1939-3806
UT WOS:000325933600012
PM 23696214
ER

PT J
AU Rabin, Borsika A.
   Gaglio, Bridget
   Sanders, Tristan
   Nekhlyudov, Larissa
   Dearing, James W.
   Bull, Sheana
   Glasgow, Russell E.
   Marcus, Alfred
TI Predicting Cancer Prognosis Using Interactive Online Tools: A Systematic
   Review and Implications for Cancer Care Providers
SO CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
VL 22
IS 10
BP 1645
EP 1656
DI 10.1158/1055-9965.EPI-13-0513
PD OCT 2013
PY 2013
AB Cancer prognosis is of keen interest for patients with cancer, their
   caregivers, and providers. Prognostic tools have been developed to guide
   patient-physician communication and decision-making. Given the
   proliferation of prognostic tools, it is timely to review existing
   online cancer prognostic tools and discuss implications for their use in
   clinical settings. Using a systematic approach, we searched the
   Internet, Medline, and consulted with experts to identify existing
   online prognostic tools. Each was reviewed for content and format.
   Twenty-two prognostic tools addressing 89 different cancers were
   identified. Tools primarily focused on prostate (n = 11), colorectal (n
   = 10), breast (n = 8), and melanoma (n = 6), although at least one tool
   was identified for most malignancies. The input variables for the tools
   included cancer characteristics (n = 22), patient characteristics (n =
   18), and comorbidities (n = 9). Effect of therapy on prognosis was
   included in 15 tools. The most common predicted outcome was
   cancer-specific survival/mortality (n = 17). Only a few tools (n = 4)
   suggested patients as potential target users. A comprehensive repository
   of online prognostic tools was created to understand the
   state-of-the-art in prognostic tool availability and characteristics.
   Use of these tools may support communication and understanding about
   cancer prognosis. Dissemination, testing, refinement of existing, and
   development of new tools under different conditions are needed. (C) 2013
   AACR.
OI Dearing, James/0000-0002-4518-3870
ZA 0
ZB 11
ZS 0
TC 38
Z8 0
ZR 0
Z9 40
U1 1
U2 12
SN 1055-9965
EI 1538-7755
UT WOS:000325631200001
PM 23956026
ER

PT J
AU Pape-Koehler, C.
   Chmelik, C.
   Heiss, M. M.
   Lefering, R.
TI Learning success of students in surgery with a multimedia-based manual.
   A prospective randomized trial
SO CHIRURG
VL 84
IS 10
BP 875
EP 880
DI 10.1007/s00104-013-2529-5
PD OCT 2013
PY 2013
AB Teaching surgery to students means covering two main learning fields:
   theoretical knowledge and practical skills. The objective of this study
   was to compare a multimedia-based surgical procedure manual to a
   text-based one in a student population.
   This randomized controlled trial in a pre-post-retention test design was
   conducted online with the participation of 101 medical students.
   Subjects studied the performance of a laparoscopic cholecystectomy
   either in a multimedia-based (MMG) or text-based (TG) presentation. The
   post-test surveyed the knowledge gain and 3 months later a retention
   test assessed the sustainability of that knowledge.
   The study showed a significant knowledge gain in the intragroup
   comparison. Regarding the procedural knowledge, the MMG scored
   significantly higher in Delta post-test with 3.84 (MMG) vs 2.98 (TG)
   correct answers (p = 0.040). This finding was confirmed in the retention
   test. The MMG (7.17) scored overall significantly higher than the TG
   (6.41) with correct answers (p = 0.028).
   Multimedia-based learning can be regarded as an alternative to
   text-based learning. Students learn factual knowledge equally well with
   both devices but the MMG scored higher in procedural and more complex
   knowledge.
ZS 0
TC 2
Z8 0
ZR 0
ZA 0
ZB 0
Z9 2
U1 0
U2 7
SN 0009-4722
EI 1433-0385
UT WOS:000326388000009
PM 24018915
ER

PT J
AU Maloney, Stephen
   Paynter, Sophie
   Storr, Michael
   Morgan, Prue
TI Implementing student self-video of performance.
SO The clinical teacher
VL 10
IS 5
BP 323
EP 7
DI 10.1111/tct.12027
PD 2013-Oct
PY 2013
AB BACKGROUND: Resource and curriculum constraints within contemporary
   university programmes limit opportunities for supervision and feedback
   of student practice. This study investigated the technological
   challenges, solutions and educational rewards in implementing Web-based
   student self-video of performance as a method to foster the development
   of student self-evaluation.
   METHODS: Physiotherapy students (n = 60) in their final preclinical
   semester participated in the study. All students received guidelines for
   constructing and uploading self-videos of performance to a Web-based
   learning system. Students completed a reflective task on each video
   submission after receiving online tutor feedback and viewing an exemplar
   peer performance. Students completed a survey of their learning
   experiences and challenges in completing the learning tasks. Technical
   information on submissions was obtained in usage reports from the
   Web-based learning system.
   RESULTS: Students were successful in recording and uploading digital
   videos of performance for remote tutor review. Students and tutors
   encountered technical problems that could be rectified and potentially
   avoided through activity design. Students reported that the utility of
   Web-based self-video for enhancing clinical performance outweighed the
   additional time and effort required in participation.
   CONCLUSIONS: Web-based student self-video of performance, with remote
   tutor feedback and guided reflection, is a feasible method for
   increasing students' capacity for reflection and self-evaluation.
   Although technical difficulties are inherent in any technology-reliant
   activity, the students' increasing competence with emerging technologies
   encourage self-video teaching and learning activities as a resource for
   facilitating clinical skill development.
OI Storr, Michael/0000-0002-0985-8711; Maloney,
   Stephen/0000-0003-2612-5162; Paynter, Sophie/0000-0003-3967-3387;
   Morgan, Prue/0000-0002-2573-6562
TC 9
ZR 0
Z8 0
ZA 0
ZB 3
ZS 0
Z9 9
U1 0
U2 9
EI 1743-498X
UT MEDLINE:24015739
PM 24015739
ER

PT J
AU Hacker, Karen
   Bhuiya, Nazmim
   Pernice, Joan
   Khan, Sami M.
   Sequist, Thomas D.
   Tendulkar, Shalini A.
TI Assessing Research Interest and Capacity in Community Health Centers
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 6
IS 5
BP 391
EP 397
DI 10.1111/cts.12046
PD OCT 2013
PY 2013
AB ObjectiveCommunity health centers (CHCs) have great potential to
   participate in the development of evidence-based primary care but face
   obstacles to engagement in clinical translational research.
   MethodsTo understand factors associated with CHC interest in building
   research infrastructure, Harvard Catalyst and the Massachusetts League
   of Community Health Centers conducted an online survey of medical
   directors in all 50 Massachusetts CHC networks.
   ResultsThirty-two (64%) medical directors completed the survey
   representing 126 clinical sites. Over 80% reported that their primary
   care providers (PCPs) were slightly to very interested in future
   clinical research and that they were interested in building research
   infrastructure at their CHC. Frequently cited barriers to participation
   in research included financial issues, lack of research skills, and lack
   of research infrastructure. In bivariate analyses, PCP interest in
   future clinical research and a belief that involvement in research
   contributed to PCP retention were significantly associated with interest
   in building research infrastructure.
   ConclusionCHCs critical role in caring for vulnerable populations
   ideally positions them to raise relevant research questions and
   translate evidence into practice. Our findings suggest a high interest
   in engagement in research among CHC leadership. CTSAs have a unique
   opportunity to support local CHCs in this endeavor.
TC 5
Z8 0
ZR 0
ZA 0
ZB 1
ZS 0
Z9 5
U1 1
U2 7
SN 1752-8054
EI 1752-8062
UT WOS:000325637000011
PM 24127928
ER

PT J
AU Wieland, Amanda C.
   Quallick, Matthew
   Truesdale, Aimee
   Mettler, Pamela
   Bambha, Kiran M.
TI Identifying Practice Gaps to Optimize Medical Care for Patients with
   Nonalcoholic Fatty Liver Disease
SO DIGESTIVE DISEASES AND SCIENCES
VL 58
IS 10
BP 2809
EP 2816
DI 10.1007/s10620-013-2740-8
PD OCT 2013
PY 2013
AB Background Nonalcoholic fatty liver disease (NAFLD) is a leading cause
   of chronic liver disease. Primary care providers (PCPs), in contrast to
   gastroenterology/hepatology (GI/Hep) providers, are the first medical
   contact for the majority of patients with, or at risk for, NAFLD. PCP
   awareness of and facility with NAFLD is critical for management of these
   patients.
   Aim The purpose of this study was to assess understanding and practice
   patterns of PCPs and non-GI/Hep subspecialty providers with respect to
   the diagnosis and management of NAFLD.
   Methods We administered an online, 61-question survey to 479 providers
   in internal medicine, family medicine, endocrinology, cardiology, and
   obstetrics and gynecology (ObGyn) across three health systems: academic
   medical center, safety-net health system and managed care health system.
   Results There were 246 respondents (51 %), with the majority (87 %)
   being PCPs (internal medicine, family medicine, ObGyn). Only 31 % of
   providers identified NAFLD as a clinically important diagnosis in their
   practice. Although 65 % of providers reported some degree of facility in
   diagnosing NAFLD, less than half (47 %) were comfortable managing NAFLD.
   Only 33 % refer patients with suspected NAFLD to GI/Hep. Subspecialists
   in endocrinology and cardiology reported greater clinical concern over
   NAFLD and were more likely (67 %) to refer patients with suspected NAFLD
   to GI/Hep.
   Conclusions The majority of providers do not identify NAFLD as a
   clinically important diagnosis and do not refer to GI/Hep. However, 83 %
   expressed a need for education on NAFLD. Our data reveal practice gaps
   within NAFLD care and identify opportunities for targeted education to
   guide PCPs in the evaluation and management of NAFLD.
RI Guinan, Irazu S/C-4498-2017
TC 37
ZS 0
Z8 0
ZA 0
ZB 14
ZR 0
Z9 37
U1 1
U2 5
SN 0163-2116
EI 1573-2568
UT WOS:000324778900023
PM 23843097
ER

PT J
AU Drury, John
   Kemp, Verity
   Newman, Jonathan
   Novelli, David
   Doyle, Christopher
   Walter, Darren
   Williams, Richard
TI Psychosocial care for persons affected by emergencies and major
   incidents: a Delphi study to determine the needs of professional first
   responders for education, training and support
SO EMERGENCY MEDICINE JOURNAL
VL 30
IS 10
BP 831
EP +
DI 10.1136/emermed-2012-201632
PD OCT 2013
PY 2013
AB Background The role of ambulance clinicians in providing psychosocial
   care in major incidents and emergencies is recognised in recent
   Department of Health guidance. The study described in this paper
   identified NHS professional first responders' needs for education about
   survivors' psychosocial responses, training in psychosocial skills, and
   continuing support.
   Method Ambulance staff participated in an online Delphi questionnaire,
   comprising 74 items (Round 1) on 7-point Likert scales. Second-round and
   third-round participants each received feedback based on the previous
   round, and responded to modified versions of the original items and to
   new items for clarification.
   Results One hundred and two participants took part in Round 1; 47
   statements (64%) achieved consensus. In Round 2, 72 people from Round 1
   participated; 15 out of 39 statements (38%) achieved consensus. In Round
   3, 49 people from Round 2 participated; 15 out of 27 statements (59%)
   achieved consensus. Overall, there was consensus in the following areas:
   'psychosocial needs of patients' (consensus in 34/37 items); 'possible
   sources of stress in your work' (8/9); 'impacts of distress in your
   work' (7/10); 'meeting your own emotional needs' (4/5); 'support within
   your organisation' (2/5); 'needs for training in psychosocial skills for
   patients' (15/15); 'my needs for psychosocial training and support'
   (5/6).
   Conclusions Ambulance clinicians recognise their own education needs and
   the importance of their being offered psychosocial training and support.
   The authors recommend that, in order to meet patients' psychosocial
   needs effectively, ambulance clinicians are provided with education and
   training in a number of skills and their own psychosocial support should
   be enhanced.
RI Drury, John/AAO-4119-2020; Drury, John/A-6479-2012; newman, jonathan/; Walter, Darren/
OI Drury, John/0000-0002-7748-5128; Drury, John/0000-0002-7748-5128;
   newman, jonathan/0000-0003-2080-6143; Walter, Darren/0000-0002-0819-3287
ZS 0
TC 10
Z8 0
ZR 0
ZA 0
ZB 0
Z9 10
U1 0
U2 24
SN 1472-0205
EI 1472-0213
UT WOS:000328131300014
PM 23144077
ER

PT J
AU Nucci, Marcio
   Varon, Andrea G.
   Garnica, Marcia
   Akiti, Tiyomi
   Barreiros, Gloria
   Trope, Beatriz Moritz
   Nouer, Simone A.
TI Increased Incidence of Invasive Fusariosis with Cutaneous Portal of
   Entry, Brazil
SO EMERGING INFECTIOUS DISEASES
VL 19
IS 10
BP 1567
EP 1572
DI 10.3201/eid1910.120847
PD OCT 2013
PY 2013
AB Invasive fusariosis (IF) is an infection with Fusarium spp. fungi that
   primarily affects patients with hematologic malignancies and
   hematopoietic cell transplant recipients. A cutaneous portal of entry is
   occasionally reported. We reviewed all cases of IF in Brazil during
   2000-2010, divided into 2 periods: 2000-2005 (period 1) and 2006-2010
   (period 2). We calculated incidence rates of IF and of superficial
   infections with Fusarium spp. fungi identified in patients at a
   dermatology outpatient unit. IF incidence for periods 1 and 2 was 0.86
   cases versus 10.23 cases per 1,000 admissions (p<0.001), respectively;
   superficial fusarial infection incidence was 7.23 versus 16.26 positive
   cultures per 1,000 superficial cultures (p<0.001), respectively. Of 21
   cases of IF, 14 showed a primary cutaneous portal of entry. Further
   studies are needed to identify reservoirs of these fungi in the
   community and to implement preventive measures for patients at risk.
RI Garnica, Marcia/D-5854-2013
OI Garnica, Marcia/0000-0003-1067-6680
ZR 1
ZS 3
TC 59
ZB 42
Z8 0
ZA 0
Z9 62
U1 0
U2 6
SN 1080-6040
EI 1080-6059
UT WOS:000328173900002
PM 24050318
ER

PT J
AU Skirton, Heather
   Barnoy, Sivia
   Ingvoldstad, Charlotta
   van Kessel, Ingrid
   Patch, Christine
   O'Connor, Anita
   Serra-Juhe, Clara
   Stayner, Barbara
   Voelckel, Marie-Antoinette
TI A Delphi study to determine the European core curriculum for Master
   programmes in genetic counselling
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 21
IS 10
BP 1060
EP 1066
DI 10.1038/ejhg.2012.302
PD OCT 2013
PY 2013
AB Genetic counsellors have been working in some European countries for at
   least 30 years. Although there are great disparities between the
   numbers, education, practice and acceptance of these professionals
   across Europe, it is evident that genetic counsellors and genetic nurses
   in Europe are working autonomously within teams to deliver patient care.
   The aim of this study was to use the Delphi research method to develop a
   core curriculum to guide the educational preparation of these
   professionals in Europe. The Delphi method enables the researcher to
   utilise the views and opinions of a group of recognised experts in the
   field of study; this study consisted of four phases. Phases 1 and 4
   consisted of expert workshops, whereas data were collected in phases 2
   and 3 (n = 35) via online surveys. All participants in the study were
   considered experts in the field of genetic counselling. The topics
   considered essential for genetic counsellor training have been organised
   under the following headings: (1) counselling; (2) psychological issues;
   (3) medical genetics; (4) human genetics; (5) ethics, law and sociology;
   (6) professional practice; and (7) education and research. Each topic
   includes the knowledge, skills and attitudes required to enable genetic
   counsellors to develop competence. In addition, it was considered by the
   experts that clinical practice should comprise 50% of the educational
   programme. The core Master programme curriculum will enable current
   courses to be assessed and inform the design of future educational
   programmes for European genetic counsellors.
RI Barnoy, Sivia/AAT-7275-2021; Serra-Juhe, Clara/M-6968-2015; Patch, Christine/; Skirton, Heather/
OI Barnoy, Sivia/0000-0002-9358-3422; Serra-Juhe,
   Clara/0000-0001-8471-8391; Patch, Christine/0000-0002-4191-0663;
   Skirton, Heather/0000-0002-3639-5265
ZS 0
ZB 2
ZA 0
ZR 0
TC 9
Z8 0
Z9 9
U1 0
U2 18
SN 1018-4813
EI 1476-5438
UT WOS:000324727200012
PM 23340512
ER

PT J
AU Cranston, Mark
   Semple, Colin
   Duckitt, Roger
   Vardi, Moshe
   Lindgren, Stefan
   Davidson, Christopher
   Palsson, Runolfur
CA Internal Med Competencies Working
TI The practice of internal medicine in Europe: organisation, clinical
   conditions and procedures
SO EUROPEAN JOURNAL OF INTERNAL MEDICINE
VL 24
IS 7
BP 627
EP 632
DI 10.1016/j.ejim.2013.08.005
PD OCT 2013
PY 2013
AB Background: Current information on the role of internists in the
   European countries is scarce. This report describes the results of a
   survey of the practice of internists in Europe.
   Methods: Two online questionnaire-based surveys were carried out by the
   European Board of Internal Medicine, one on the practice of internists
   and the other on postgraduate training in internal medicine. The
   national internal medicine societies of all 30 member countries of the
   European Federation of Internal Medicine were invited to participate.
   The responses were reviewed by internal medicine trainees from the
   respective countries and summaries of the data were sent to the national
   societies for approval. Descriptive analysis of the data on the practice
   of internists was carried out.
   Results: Twenty-seven countries (90%) completed the questionnaire and
   approved their datasets. In 8 European countries, most internists
   practised internal medicine alone and in 7 countries at least half of
   physicians practised internal medicine together with a subspecialty.
   Internal medicine was considered a hospital-based specialty in most
   countries. The majority of selected presenting problems and diagnoses
   were rated as commonly encountered in all countries. More variability
   between countries was observed in the performance of diagnostic and
   therapeutic procedures.
   Conclusion: Many similarities exist in the practice of internal medicine
   between the European countries, while some differences are present that
   likely reflect the variable impact of subspecialisation. The results of
   the survey should prove valuable for the definition of specific
   competencies and development of a common curriculum for internal
   medicine at the European level. (C) 2013 European Federation of Internal
   Medicine. Published by Elsevier B. V. All rights reserved.
RI Lember, Margus/H-2306-2015
ZB 1
TC 9
ZA 0
ZS 0
Z8 0
ZR 1
Z9 10
U1 0
U2 8
SN 0953-6205
EI 1879-0828
UT WOS:000324384700012
PM 24028929
ER

PT J
AU Cranston, Mark
   Slee-Valentijn, Monique
   Davidson, Christopher
   Lindgren, Stefan
   Semple, Colin
   Palsson, Runolfur
CA Internal Med Competencies Working
TI Postgraduate education in internal medicine in Europe
SO EUROPEAN JOURNAL OF INTERNAL MEDICINE
VL 24
IS 7
BP 633
EP 638
DI 10.1016/j.ejim.2013.08.006
PD OCT 2013
PY 2013
AB Background: Limited information exists on the framework and content of
   postgraduate education in internal medicine in Europe. This report
   describes the results of a survey of postgraduate training in internal
   medicine in the European countries.
   Methods: Two online questionnaire-based surveys were carried out by the
   European Board of Internal Medicine, one on the practice of internists
   and the other on postgraduate training in internal medicine. The
   national internal medicine societies of all 30 member countries of the
   European Federation of Internal Medicine were invited to participate.
   The responses were reviewed by internal medicine residents from the
   respective countries and summaries of the data were sent to the national
   societies for approval. Descriptive analysis of the data on postgraduate
   training in internal medicine was performed.
   Results: Twenty-seven countries (90%) completed the questionnaire and
   approved their datasets. The length of training ranged from four to six
   years and was commonly five years. The majority of countries offered
   training in internal medicine and a subspecialty. A common trunk of
   internal medicine was frequently a component of subspecialty training
   programmes. Hospital inpatient service was the predominant setting used
   for training. A final certifying examination was in place in 14
   countries.
   Conclusion: Although some similarities exists, there appear to be
   significant differences in the organisation, content and governance of
   postgraduate training in internal medicine between the European
   countries. Our findings will prove invaluable for harmonisation of
   training and qualification in internal medicine in Europe. (C) 2013
   European Federation of Internal Medicine. Published by Elsevier B. V.
   All rights reserved.
RI Lember, Margus/H-2306-2015
TC 7
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 7
U1 0
U2 8
SN 0953-6205
UT WOS:000324384700013
PM 24028928
ER

PT J
AU Patel, Chirag R.
   Cherla, Deepa V.
   Sanghvi, Saurin
   Baredes, Soly
   Eloy, Jean Anderson
TI Readability assessment of online thyroid surgery patient education
   materials
SO HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND
   NECK
VL 35
IS 10
BP 1421
EP 1425
DI 10.1002/hed.23157
PD OCT 2013
PY 2013
AB BackgroundPublished guidelines recommend written health information be
   written at or below the sixth-grade level. We evaluate the readability
   of online materials related to thyroid surgery.
   MethodsThyroid surgery materials were evaluated using Flesch Reading
   Ease Score (FRES), Flesch Kincaid Grade Level (FKGL), Gunning Frequency
   of Gobbledygook (GFOG), and Simple Measure of Gobbledygook (SMOG).
   ResultsThirty-one documents were evaluated. FRES scores ranged from 29.3
   to 67.8 (possible range = 0 to 100), and averaged 50.5. FKGL ranged from
   6.9 to 14.9 (possible range = 3 to 12), and averaged 10.4. SMOG scores
   ranged from 11.8 to 14.5 (possible range = 3 to 19), and averaged 13.0.
   GFOG scores ranged from 10.6 to 18.0 (possible range = 3 to 19), and
   averaged 13.5.
   ConclusionsReadability scores for online thyroid surgery materials are
   higher (i.e., more difficult) than the recommended levels. However,
   readability is only one aspect of comprehension. Written information
   should be designed with that fact in mind. (c) 2012 Wiley Periodicals,
   Inc. Head Neck 35: 1421-1425, 2013
RI Patel, Chirag/I-1306-2019
OI Patel, Chirag/0000-0002-4101-5757
ZB 7
Z8 0
TC 38
ZA 0
ZR 0
ZS 0
Z9 38
U1 1
U2 7
SN 1043-3074
UT WOS:000325091000018
PM 22972634
ER

PT J
AU Agusti, C.
   Fernandez-Lopez, L.
   Mascort, J.
   Carrillo, R.
   Aguado, C.
   Montoliu, A.
   Puigdangolas, X.
   De la Poza, M.
   Rifa, B.
   Casabona, J.
TI Attitudes to rapid HIV testing among Spanish General Practitioners
SO HIV MEDICINE
VL 14
SI SI
BP 53
EP 56
DI 10.1111/hiv.12055
SU 3
PD OCT 2013
PY 2013
AB Objectives
   The objectives of this study were to investigate the acceptability of
   rapid HIV testing among general practitioners in Spain and to identify
   perceived barriers and needs in order to implement rapid testing in
   primary care settings.
   Methods
   An anonymous questionnaire was distributed online to all members of the
   two largest Spanish scientific medical societies for family and
   community medicine. The study took place between 15th June and 31st
   October 2010.
   Results
   Completed questionnaires were returned by 1308 participants. The
   majority (90.8%) of respondents were General Practitioners (GP). Among
   all respondents, 70.4% were aware of the existence of rapid tests for
   the diagnosis of HIV but they did not know how to use them. Nearly 80%
   of participants would be willing to offer rapid HIV testing in their
   practices and 74.7% would be confident of the results obtained by these
   tests. The barriers most commonly identified by respondents were a lack
   of time and a need for training, both in the use of rapid tests (44.3%
   and 56.4%, respectively) and required pre- and post-test counselling
   (59.2% and 34.5%, respectively).
   Conclusions
   This study reveals a high level of acceptance and willingness on the
   part of GPs to offer rapid HIV testing in their practices. Nevertheless,
   the implementation of rapid HIV testing in primary care will not be
   possible without moving from comprehensive pre-test counselling towards
   brief pre-test information and improving training in the use of rapid
   tests.
RI Fernàndez, Laura/AAQ-4778-2020; Carrillo, Ricard/; Montoliu, Alexandra/; Casabona-Barbara, Jordi/; de la Poza, Mariam/
OI Fernàndez, Laura/0000-0002-6353-3942; Carrillo,
   Ricard/0000-0002-2240-0369; Montoliu, Alexandra/0000-0002-4251-7062;
   Casabona-Barbara, Jordi/0000-0003-4816-5536; de la Poza,
   Mariam/0000-0001-5993-1596
ZB 4
Z8 0
TC 9
ZS 0
ZR 0
ZA 0
Z9 9
U1 0
U2 4
SN 1464-2662
UT WOS:000323652200013
PM 24033906
ER

PT J
AU Fischer, Jonas
   Geurts, Jeroen
   Valderrabano, Victor
   Huegle, Thomas
TI Educational Quality of YouTube Videos on Knee Arthrocentesis
SO JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
VL 19
IS 7
BP 373
EP 376
DI 10.1097/RHU.0b013e3182a69fb2
PD OCT 2013
PY 2013
AB Background: Knee arthrocentesis is a commonly performed diagnostic and
   therapeutic procedure in rheumatology and orthopedic surgery. Classic
   teaching of arthrocentesis skills relies on hands-on practice under
   supervision. Video-based online teaching is an increasingly utilized
   educational tool in higher and clinical education. YouTube is a popular
   video-sharing Web site that can be accessed as a teaching source.
   Objective: The objective of this study was to assess the educational
   value of YouTube videos on knee arthrocentesis posted by health
   professionals and institutions during the period from 2008 to 2012.
   Methods: The YouTube video database was systematically searched using 5
   search terms related to knee arthrocentesis. Two independent clinical
   reviewers assessed videos for procedural technique and educational value
   using a 5-point global score, ranging from 1 = poor quality to 5 =
   excellent educational quality. As validated international guidelines are
   lacking, we used the guidelines of the Swiss Society of Rheumatology as
   criterion standard for the procedure.
   Results: Of more than thousand findings, 13 videos met the inclusion
   criteria. Of those, 2 contained additional animated video material: one
   was purely animated, and one was a check list. The average length was
   3.31 +/- 2.28 minutes. The most popular video had 1388 hits per month.
   Our mean global score for educational value was 3.1 +/- 1.0. Eight
   videos (62 %) were considered useful for teaching purposes. Use of a
   "no-touch" procedure, meaning that once disinfected the skin remains
   un-touched before needle penetration, was present in all videos. Six
   videos (46%) demonstrated full sterile conditions. There was no clear
   preference of a medial (n = 8) versus lateral (n = 5) approach.
   Conclusions: A discreet number of YouTube videos on knee arthrocentesis
   appeared to be suitable for application in a Web-based format for
   medical students, fellows, and residents. The low-average mean global
   score for overall educational value suggests an improvement of future
   video-based instructional materials on YouTube would be necessary before
   regular use for teaching could be recommended.
RI Geurts, Jeroen/H-9608-2019
OI Geurts, Jeroen/0000-0002-4367-4641
ZB 12
TC 79
ZS 1
ZR 0
ZA 0
Z8 0
Z9 79
U1 4
U2 20
SN 1076-1608
EI 1536-7355
UT WOS:000330462100003
PM 24048116
ER

PT J
AU Agarwal, Nitin
   Chaudhari, Amit
   Hansberry, David R.
   Tomei, Krystal L.
   Prestigiacomo, Charles J.
TI A comparative analysis of neurosurgical online education materials to
   assess patient comprehension
SO JOURNAL OF CLINICAL NEUROSCIENCE
VL 20
IS 10
BP 1357
EP 1361
DI 10.1016/j.jocn.2012.10.047
PD OCT 2013
PY 2013
AB Americans have increasingly utilized the internet as a first-line
   resource for a variety of information, including healthcare-oriented
   materials. Therefore, these online resources should be written at a
   level the average American can understand. Patient education resources
   specifically written for and available to the public were downloaded
   from the American Association of Neurological Surgeons website and
   assessed for their level of readability using the Flesch Reading Ease,
   Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook Grading,
   Coleman-Liau Index, and Gunning-Fog Index. A total of 71 subsections
   from different neurosurgical specialties were reviewed, including
   Cerebrovascular, Spine and Peripheral Nerves, Neurotrauma and Critical
   Care, Pain, Pediatric, Stereotactic and Functional, and Tumor material.
   All neurosurgical subspecialty education material provided on the
   American Association of Neurological Surgeons website was uniformly
   written at a level that was too high, as assessed by all modalities. In
   order to reach a larger patient population, patient education materials
   on the American Association of Neurological Surgeons website should be
   revised with the goal of simplifying readability. (C) 2013 Elsevier Ltd.
   All rights reserved.
RI Prestigiacomo, Charles J/B-3911-2018
OI Prestigiacomo, Charles J/0000-0002-5979-2378
ZB 14
TC 33
ZS 0
ZR 0
Z8 0
ZA 0
Z9 33
U1 0
U2 9
SN 0967-5868
EI 1532-2653
UT WOS:000326422500005
PM 23809099
ER

PT J
AU Tukey, Melissa H.
   Wiener, Renda Soylemez
TI The current state of fellowship training in pulmonary artery catheter
   placement and data interpretation: A national survey of pulmonary and
   critical care fellowship program directors
SO JOURNAL OF CRITICAL CARE
VL 28
IS 5
BP 857
EP 861
DI 10.1016/j.jcrc.2013.06.003
PD OCT 2013
PY 2013
AB Purpose: Given decreasing use of pulmonary artery (PA) catheterization,
   we sought to evaluate whether current pulmonary and critical care
   fellows have adequate opportunity to obtain proficiency in PA catheter
   placement and data interpretation.
   Methods: All US pulmonary and critical care program directors were
   invited to participate in an anonymous online survey regarding current
   training opportunities in PA catheterization.
   Results: The response rate was 51% (69/136). Eighty-three percent
   reported that the number of PA catheterizations performed by fellows
   within their program has decreased in the past decade. Fifty-four
   percent estimated that their fellows currently participate in less than
   10 supervised procedures during fellowship. The most frequently
   identified barriers to training were procedure volume and reluctance to
   place PA catheters in the medical intensive care unit. Forty-three
   percent of respondents agreed that training in PA catheter placement is
   currently adequate within their program, and 55% agreed that training in
   data interpretation is adequate. Only 39% of respondents believe that PA
   catheter placement should continue to be an Accreditation Council for
   Graduate Medical Education training requirement.
   Conclusions: Many current pulmonary and critical care fellows do not
   have the opportunity to gain proficiency in PA catheterization.
   Fellowship training programs should consider alternate means of training
   fellows in PA catheter data interpretation, such as simulation. (C) 2013
   Elsevier Inc. All rights reserved.
RI Wiener, Renda/AAO-1557-2020; Wiener, Renda/
OI Wiener, Renda/0000-0001-7712-2135
TC 6
ZA 0
ZS 0
ZR 0
ZB 0
Z8 1
Z9 7
U1 0
U2 4
SN 0883-9441
UT WOS:000324374700045
PM 23876703
ER

PT J
AU Bouland, Andrew J.
   Jenkins, J. Lee
   Levy, Matthew J.
TI ASSESSING ATTITUDES TOWARD SPINAL IMMOBILIZATION
SO JOURNAL OF EMERGENCY MEDICINE
VL 45
IS 4
BP E117
EP E125
DI 10.1016/j.jemermed.2013.03.046
PD OCT 2013
PY 2013
AB Background: Prospective studies have improved knowledge of prehospital
   spinal immobilization. The opinion of Emergency Medical Services (EMS)
   providers regarding spinal immobilization is unknown, as is their
   knowledge of recent research advances. Study Objectives: To examine the
   attitudes, knowledge, and comfort of prehospital and Emergency
   Department (ED) EMS providers regarding spinal immobilization performed
   under a nonselective protocol. Methods: An online survey was conducted
   from May to July of 2011. Participants were drawn from the Howard County
   Department of Fire and Rescue Services and the Howard County General
   Hospital ED. The survey included multiple choice questions and responses
   on a modified Likert scale. Correlation analysis and descriptive data
   were used to analyze results. Results: Comfort using the Kendrick
   Extrication Device was low among ED providers. Experienced providers
   were more likely to indicate comfort using this device. Respondents
   often believed that spinal immobilization is appropriate in the
   management of penetrating trauma to the chest and abdomen. Reported use
   of padding decreased along with the frequency with which providers
   practice and encounter immobilized patients. Respondents often indicated
   that they perform spinal immobilization due solely to mechanism of
   injury. Providers who feel as if spinal immobilization is often
   performed unnecessarily were more likely to agree that immobilization
   causes an unnecessary delay in patient care. Conclusions: The results
   demonstrate the need for improved EMS education in the use of the
   Kendrick Extrication Device, backboard padding, and spinal
   immobilization in the management of penetrating trauma. The attitudes
   highlighted in this study are relevant to the implementation of a
   selective spinal immobilization protocol. (C) 2013 Elsevier Inc.
RI Levy, Matthew/AAH-8135-2021
OI Levy, Matthew/0000-0001-8144-3281
Z8 0
ZS 1
TC 13
ZB 2
ZA 0
ZR 0
Z9 13
U1 0
U2 16
SN 0736-4679
EI 1090-1280
UT WOS:000324859400006
PM 23932464
ER

PT J
AU Weng, Yi-Hao
   Kuo, Ken N.
   Yang, Chun-Yuh
   Lo, Heng-Lien
   Shih, Ya-Hui
   Chiu, Ya-Wen
TI Information-searching behaviors of main and allied health professionals:
   a nationwide survey in Taiwan
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 19
IS 5
BP 902
EP 908
DI 10.1111/j.1365-2753.2012.01871.x
PD OCT 2013
PY 2013
AB Rationale, aims and objectives There are a variety of resources to
   obtain health information, but few studies have examined if main and
   allied health professionals prefer different methods. The current study
   was to investigate their information-searching behaviours. Methods A
   constructed questionnaire survey was conducted from January through
   April 2011 in nationwide regional hospitals of Taiwan. Questionnaires
   were mailed to main professionals (physicians and nurses) and allied
   professionals (pharmacists, physical therapists, technicians and
   others), with 6160 valid returns collected. Results Among all
   professional groups, the most commonly used resource for seeking health
   information was a Web portal, followed by colleague consultations and
   continuing education. Physicians more often accessed Internet-based
   professional resources (online databases, electronic journals and
   electronic books) than the other groups (P<0.05). In contrast, physical
   therapists more often accessed printed resources (printed journals and
   textbooks) than the other specialists (P<0.05). And nurses, physical
   therapists and technicians more often asked colleagues and used
   continuing education than the other groups (P<0.01). The most commonly
   used online database was Micromedex for pharmacists and MEDLINE for
   physicians, technicians and physical therapists. Nurses more often
   accessed Chinese-language databases rather than English-language
   databases (P<0.001). Conclusions This national survey depicts the
   information-searching pattern of various health professionals. There
   were significant differences between and within main and allied health
   professionals in their information searching. The data provide clinical
   implications for strategies to promote the accessing of evidence-based
   information.
RI Shih, Ya-Hui/B-7853-2019
OI Shih, Ya-Hui/0000-0002-5128-124X
TC 12
ZB 0
ZR 0
ZS 0
ZA 0
Z8 0
Z9 12
U1 0
U2 9
SN 1356-1294
EI 1365-2753
UT WOS:000329285500026
PM 22672429
ER

PT J
AU Archambault, Patrick M.
   van de Belt, Tom H.
   Grajales, Francisco J., III
   Faber, Marjan J.
   Kuziemsky, Craig E.
   Gagnon, Susie
   Bilodeau, Andrea
   Rioux, Simon
   Nelen, Willianne L. D. M.
   Gagnon, Marie-Pierre
   Turgeon, Alexis F.
   Aubin, Karine
   Gold, Irving
   Poitras, Julien
   Eysenbach, Gunther
   Kremer, Jan A. M.
   Legare, France
TI Wikis and Collaborative Writing Applications in Health Care: A Scoping
   Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 10
BP 4
EP 38
AR e210
DI 10.2196/jmir.2787
PD OCT 2013
PY 2013
AB Background: Collaborative writing applications (eg, wikis and Google
   Documents) hold the potential to improve the use of evidence in both
   public health and health care. The rapid rise in their use has created
   the need for a systematic synthesis of the evidence of their impact as
   knowledge translation (KT) tools in the health care sector and for an
   inventory of the factors that affect their use.
   Objective: Through the Levac six-stage methodology, a scoping review was
   undertaken to explore the depth and breadth of evidence about the
   effective, safe, and ethical use of wikis and collaborative writing
   applications (CWAs) in health care.
   Methods: Multiple strategies were used to locate studies. Seven
   scientific databases and 6 grey literature sources were queried for
   articles on wikis and CWAs published between 2001 and September 16,
   2011. In total, 4436 citations and 1921 grey literature items were
   screened. Two reviewers independently reviewed citations, selected
   eligible studies, and extracted data using a standardized form. We
   included any paper presenting qualitative or quantitative empirical
   evidence concerning health care and CWAs. We defined a CWA as any
   technology that enables the joint and simultaneous editing of a webpage
   or an online document by many end users. We performed qualitative
   content analysis to identify the factors that affect the use of CWAs
   using the Gagnon framework and their effects on health care using the
   Donabedian framework.
   Results: Of the 111 studies included, 4 were experimental, 5
   quasi-experimental, 5 observational, 52 case studies, 23 surveys about
   wiki use, and 22 descriptive studies about the quality of information in
   wikis. We classified them by theme: patterns of use of CWAs (n= 26),
   quality of information in existing CWAs (n= 25), and CWAs as KT tools
   (n= 73). A high prevalence of CWA use (ie, more than 50%) is reported in
   58% (7/12) of surveys conducted with health care professionals and
   students. However, we found only one longitudinal study showing that CWA
   use is increasing in health care. Moreover, contribution rates remain
   low and the quality of information contained in different CWAs needs
   improvement. We identified 48 barriers and 91 facilitators in 4 major
   themes (factors related to the CWA, users' knowledge and attitude
   towards CWAs, human environment, and organizational environment). We
   also found 57 positive and 23 negative effects that we classified into
   processes and outcomes.
   Conclusions: Although we found some experimental and quasi-experimental
   studies of the effectiveness and safety of CWAs as educational and KT
   interventions, the vast majority of included studies were observational
   case studies about CWAs being used by health professionals and patients.
   More primary research is needed to find ways to address the different
   barriers to their use and to make these applications more useful for
   different stakeholders.
RI Gagnon, Marie-Pierre/I-3013-2019; van de Belt, Tom H/AAN-4345-2020; Meinders, Marjan J/L-4302-2015; Eysenbach, Gunther/AAJ-7158-2020; Nelen, Willianne/N-4239-2013; van de Belt, Tom H/Q-1677-2015; Kremer, J.A.M./H-8063-2014; GRAJALES III, Francisco J./I-3302-2014; Legare, France/
OI Gagnon, Marie-Pierre/0000-0002-0782-5457; van de Belt, Tom
   H/0000-0002-5401-8973; Meinders, Marjan J/0000-0001-6491-7035;
   Eysenbach, Gunther/0000-0001-6479-5330; van de Belt, Tom
   H/0000-0002-5401-8973; Kremer, J.A.M./0000-0002-0495-0201; GRAJALES III,
   Francisco J./0000-0003-2942-4889; Legare, France/0000-0002-2296-6696
ZB 10
Z8 0
ZR 0
ZS 0
TC 44
ZA 0
Z9 44
U1 1
U2 77
SN 1438-8871
UT WOS:000326501500001
PM 24103318
ER

PT J
AU Papadopoulos, Lazaros
   Pentzou, Afroditi-Evaggelia
   Louloudiadis, Konstantinos
   Tsiatsos, Thrasyvoulos-Konstantinos
TI Design and Evaluation of a Simulation for Pediatric Dentistry in Virtual
   Worlds
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 10
BP 299
EP 310
AR e240
DI 10.2196/jmir.2651
PD OCT 2013
PY 2013
AB Background: Three-dimensional virtual worlds are becoming very popular
   among educators in the medical field. Virtual clinics and patients are
   already used for case study and role play in both undergraduate and
   continuing education levels. Dental education can also take advantage of
   the virtual world's pedagogical features in order to give students the
   opportunity to interact with virtual patients (VPs) and practice in
   treatment planning.
   Objective: The objective of this study was to design and evaluate a
   virtual patient as a supplemental teaching tool for pediatric dentistry.
   Methods: A child VP, called Erietta, was created by utilizing the
   programming and building tools that online virtual worlds offer. The
   case is about an eight-year old girl visiting the dentist with her
   mother for the first time. Communication techniques such as Tell-Show-Do
   and parents' interference management were the basic elements of the
   educational scenario on which the VP was based. An evaluation of the
   simulation was made by 103 dental students in their fourth year of
   study. Two groups were formed: an experimental group which was exposed
   to the simulation (n=52) and a control group which did not receive the
   simulation (n=51). At the end, both groups were asked to complete a
   knowledge questionnaire and the results were compared.
   Results: A statistically significant difference between the two groups
   was found by applying a t test for independent samples (P<.001), showing
   a positive learning effect from the VP. The majority of the participants
   evaluated the aspects of the simulation very positively while 69%
   (36/52) of the simulation group expressed their preference for using
   this module as an additional teaching tool.
   Conclusions: This study demonstrated that a pediatric dentistry VP built
   in a virtual world offers significant learning potential when used as a
   supplement to the traditional teaching techniques.
RI Tsiatsos, Thrasyvoulos/W-5386-2019
OI Tsiatsos, Thrasyvoulos/0000-0002-4946-9585
ZS 0
ZB 1
TC 26
ZR 0
ZA 0
Z8 0
Z9 26
U1 0
U2 27
SN 1438-8871
UT WOS:000326501500023
PM 24168820
ER

PT J
AU Fisher, William A.
   Kohut, Taylor
   Salisbury, Claire M. A.
   Salvadori, Marina I.
TI Understanding Human Papillomavirus Vaccination Intentions: Comparative
   Utility of the Theory of Reasoned Action and the Theory of Planned
   Behavior in Vaccine Target Age Women and Men
SO JOURNAL OF SEXUAL MEDICINE
VL 10
IS 10
BP 2455
EP 2464
DI 10.1111/jsm.12211
PD OCT 2013
PY 2013
AB Introduction Human papillomavirus (HPV) is an exceedingly prevalent
   sexually transmitted infection with serious medical, sexual, and
   relationship consequences. HPV vaccine protection is available but
   vaccine uptake is very inconsistent.
   AimsThis research applies two major theories of health behavior uptake,
   the Theory of Reasoned Action and the Theory of Planned Behavior, in an
   effort to understand intentions to receive HPV vaccine among vaccine
   target age women and men. The Theory of Reasoned Action asserts that
   attitudes toward HPV vaccination and perceptions of social support for
   HPV vaccination are the determinants of intentions to be vaccinated,
   whereas the Theory of Planned Behavior holds that attitudes toward
   vaccination, perceptions of social support for vaccination, and
   perceived ability to get vaccinated are the determinants of intentions
   to be vaccinated.
   MethodsCanadian university men (N=118) and women (N=146) in the HPV
   vaccine target age range took part in this correlational study online.
   Main Outcome MeasuresParticipants completed standard measures of
   attitudes toward HPV vaccination, perceptions of social support for
   vaccination, perceived ability to get vaccinated, beliefs about
   vaccination, and intentions to be vaccinated in the coming semester.
   ResultsFindings confirmed the propositions of the Theory of Reasoned
   Action and indicated that attitudes toward undergoing HPV vaccination
   and perceptions of social support for undergoing HPV vaccination
   contributed uniquely to the prediction of women's (R-2=0.53) and men's
   (R-2=0.44) intentions to be vaccinated in the coming semester.
   Conclusion Clinical and public health education should focus on
   strengthening attitudes and perceptions of social support for HPV
   vaccination, and on the basic beliefs that appear to underlie attitudes
   and perceptions of social support for HPV vaccination, in efforts to
   promote HPV vaccine uptake. Fisher WA, Kohut T, Salisbury CMA, and
   Salvadori MI. Understanding human papillomavirus vaccination intentions:
   Comparative utility of the Theory of Reasoned Action and the Theory of
   Planned Behavior in vaccine target age women and men. J Sex Med
   2013;10:2455-2464.
ZR 1
ZB 16
TC 49
ZS 0
Z8 0
ZA 1
Z9 51
U1 4
U2 74
SN 1743-6095
EI 1743-6109
UT WOS:000325463600013
PM 23745833
ER

PT J
AU Kulatunga, Gumindu G. A. K.
   Marasinghe, Rohana B.
   Karunathilake, Indika M.
   Dissanayake, Vajira H. W.
TI Development and implementation of a web-based continuing professional
   development (CPD) programme on medical genetics
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 19
IS 7
BP 388
EP 392
DI 10.1177/1357633X13506525
PD OCT 2013
PY 2013
AB We developed, implemented and evaluated a web-based continuing
   professional development (CPD) programme on medical genetics.
   Development of the CPD programme followed the ADDIE model, i.e.
   Analysis, Design, Develop, Implement and Evaluation. An invitation to
   participate in a needs analysis survey was sent to all doctors on the
   email list of the Sri Lanka Medical Association. A total of 129
   completed surveys was received (57% of the 228 who accessed the online
   survey). The average age of respondents was 42 years (range 27-81). The
   male: female ratio was approximately 2 : 1. Almost all respondents (96%)
   selected web-based CPD programmes, or web-based and conventional
   lectures, as their preferred method of learning. The programme was
   piloted on a group of 10 doctors. The average pre-knowledge score was
   40.3 and the post-knowledge score was 62.1 marks out of 100 (P = 0.002).
   We conclude that a web-based CPD programme on medical genetics is
   feasible in Sri Lanka.
RI Kulatunga, Gumindu/W-7731-2019; Dissanayake, Vajira/ABE-8419-2020; Karunathilake, Indika/
OI Kulatunga, Gumindu/0000-0003-2164-5361; Karunathilake,
   Indika/0000-0001-9772-116X
ZB 1
ZA 0
ZS 0
ZR 0
Z8 0
TC 3
Z9 3
U1 0
U2 10
SN 1357-633X
EI 1758-1109
UT WOS:000326680800007
PM 24218351
ER

PT J
AU Greyson, Devon
   Surette, Soleil
   Dennett, Liz
   Chatterley, Trish
TI "You're just one of the group when you're embedded'': report from a
   mixed-method investigation of the research-embedded health librarian
   experience
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 101
IS 4
BP 287
EP 297
DI 10.3163/1536-5050.101.4.010
PD OCT 2013
PY 2013
AB Objective: Embedded librarianship has received much attention in recent
   years. A model of embeddedness rarely discussed to date is that of
   research-embedded health librarians (REHLs). This study explores the
   characteristics of Canadian REHLs and the situations in which they are
   employed.
   Methods: The authors employed a sequential, mixed-method design. An
   online survey provided descriptive statistics about REHLs' positions and
   work experiences. This informed a series of focus group interviews that
   expanded upon the survey. Through constant comparison, we conducted
   qualitative descriptive analysis of the interviews.
   Results: Based on twenty-nine survey responses and four group
   interviews, we created a portrait of a "typical'' REHL and discovered
   themes relevant to REHL work. REHLs may identify more strongly as
   researchers than as librarians, with corresponding professional needs
   and rewards. REHLs value "belonging'' to the research team, involvement
   in full project lifecycles, and in-depth relationships with nonlibrarian
   colleagues. Despite widely expressed job satisfaction, many REHLs
   struggle with isolation from library and information science peers and
   relative lack of job security.
   Conclusions: REHLs differ from non-embedded health librarians, as well
   as from other types of embedded librarians. REHLs' work also differs
   from just a decade or two ago, prior to widespread Internet access to
   digital resources.
RI Dennett, Elizabeth/H-7843-2013; Greyson, Devon/
OI Dennett, Elizabeth/0000-0003-0758-5411; Greyson,
   Devon/0000-0003-4860-384X
ZB 1
ZA 0
ZR 0
Z8 0
ZS 0
TC 16
Z9 17
U1 1
U2 64
SN 1536-5050
UT WOS:000326406700015
PM 24163600
ER

PT J
AU Kean, Emily B.
TI Assessment and impact of a new role as an embedded librarian in nursing
   online journal clubs
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 101
IS 4
BP 335
EP 338
DI 10.3163/1536-5050.101.4.018
PD OCT 2013
PY 2013
RI Kean, Emily B./AAP-1679-2020; Kean, Emily B./AAC-9135-2022
OI Kean, Emily B./0000-0003-3135-9588
ZB 1
TC 9
ZR 0
ZA 1
Z8 0
ZS 1
Z9 12
U1 0
U2 27
SN 1536-5050
UT WOS:000326406700023
PM 24163608
ER

PT J
AU Dyar, O. J.
   Howard, P.
   Nathwani, D.
   Pulcini, C.
CA ESGAP
TI Knowledge, attitudes, and beliefs of French medical students about
   antibiotic prescribing and resistance
SO MEDECINE ET MALADIES INFECTIEUSES
VL 43
IS 10
BP 423
EP 430
DI 10.1016/j.medmal.2013.07.010
PD OCT 2013
PY 2013
AB Objectives. - We had for aim to learn about medical students' knowledge
   and perspectives on antibiotic prescribing and bacterial resistance.
   Methods. - Penultimate and final year students at a French medical
   school were invited to participate in an anonymous online survey in
   summer 2012.
   Results. - The response rate was 20% (60/297). Penultimate and final
   year students gave similar answers. Students felt more confident in
   diagnosing an infection, and less confident in choosing the correct dose
   and interval of antibiotic administration. Seventy-nine percent of
   students wanted more training on antibiotic treatments. Sixty-nine
   percent of students knew that antibiotic prescriptions were
   inappropriate or unnecessary in 21-60% of the cases, and 95% believed
   that these prescriptions were unethical. Only 27% knew that more than
   80% of antibiotic prescriptions were made in community practice.
   Students believed that the most important causes of resistance were that
   too many prescriptions were made and broad-spectrum antibiotic use; 27%
   believed poor hand hygiene was "not at all important". Ninety-four
   percent believed resistance was a national problem, and 69% mentioned it
   as a problem in their hospital. Sixty-three percent thought that the
   antibiotics they would prescribe would contribute to resistance, and 96%
   thought resistance would be a greater problem in the future. Twenty-two
   percent knew MRSA bacteremia rates had decreased over the past decade in
   France.
   Conclusions. - Medical students are aware that antibiotic resistance is
   a current and growing problem. They would like more training on
   antibiotic selection. (C) 2013 Elsevier Masson SAS. All rights reserved.
RI Howard, Philip/I-8217-2014; Pulcini, Celine/
OI Howard, Philip/0000-0002-5096-0240; Pulcini, Celine/0000-0001-5074-2270
ZR 0
Z8 0
TC 37
ZB 23
ZA 0
ZS 0
Z9 37
U1 0
U2 17
SN 0399-077X
UT WOS:000327687400004
PM 24016770
ER

PT J
AU Steehler, Kevin R.
   Steehler, Matthew K.
   Pierce, Matthew L.
   Harley, Earl H.
TI Social Media's Role in Otolaryngology-Head and Neck Surgery: Informing
   Clinicians, Empowering Patients
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 149
IS 4
BP 521
EP 524
DI 10.1177/0194599813501463
PD OCT 2013
PY 2013
AB With the increasing availability of the Internet in the United States,
   patients are more frequently seeking medical information online.
   Oftentimes, the medical information that patients find on traditional
   websites is unreliable. It is a physician's duty to ensure that patients
   are being educated properly. Providing sound medical information through
   social media websites is one way in which physicians may accomplish this
   goal, while also improving clinic reputation, patient volume, and
   doctor-patient communication.
ZS 0
ZB 3
TC 19
Z8 0
ZR 0
ZA 0
Z9 19
U1 1
U2 18
SN 0194-5998
EI 1097-6817
UT WOS:000324472800001
PM 23959818
ER

PT J
AU Foroudi, Farshad
   Daniel Pham
   Bressel, Mathias
   Tongs, David
   Rolfo, Aldo
   Styles, Colin
   Gill, Suki
   Kron, Tomas
TI The utility of e-Learning to support training for a multicentre bladder
   online adaptive radiotherapy trial (TROG 10.01-BOLART)
SO RADIOTHERAPY AND ONCOLOGY
VL 109
IS 1
BP 165
EP 169
DI 10.1016/j.radonc.2012.10.019
PD OCT 2013
PY 2013
AB Background and purpose: An e-Learning programme appeared useful for
   providing training and information regarding a multi-centre image guided
   radiotherapy trial. The aim of this study is to demonstrate the utility
   of this e-Learning programme.
   Materials and methods: Modules were created on relevant pelvic anatomy,
   Cone Beam CT soft tissue recognition and trial details. Radiation
   therapist participants' knowledge and confidence were evaluated before,
   at the end of, and after at least 6 weeks of e-Learning (long term).
   Results: One hundred and eighty-five participants were recruited from 12
   centres, with 118 in the first, and 67 in the second cohort. One hundred
   and forty-six participants had two tests (pre and post e-Learning) and
   39 of these had three tests (pre, post, and long term). There was an
   increase confidence after completion of modules (p < 0.001). The first
   cohort pre scores increased from 67 +/- 11 to 79 +/- 8 (p < 0.001) post.
   The long term same question score was 73 +/- 14 (p = 0.025, comparing to
   pre-test), and different questions' score was 77 +/- 13 (p = 0.014). In
   the second cohort, pre-test scores were 64 +/- 10, post-test same
   question score 78 +/- 9 (p < 0.001) and different questions' score 81
   +/- 11 (p <0.001).
   Conclusions: e-Learning for a multi-centre clinical trial was feasible
   and improved confidence and knowledge. (C) 2012 Elsevier Ireland Ltd.
   All rights reserved.
RI Kron, Tomas/A-7217-2010
OI Kron, Tomas/0000-0002-5189-4046
ZB 4
ZR 0
ZS 0
TC 18
Z8 0
ZA 0
Z9 18
U1 0
U2 4
SN 0167-8140
UT WOS:000327920800027
PM 23182055
ER

PT J
AU Reichow, Brian
   Shefcyk, Allison
   Bruder, Mary Beth
TI Quality comparison of websites related to developmental disabilities
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 34
IS 10
BP 3077
EP 3083
DI 10.1016/j.ridd.2013.06.013
PD OCT 2013
PY 2013
AB The Internet is commonly used to seek health-related information, but
   little is known about the quality of websites on developmental
   disabilities. Therefore, we sought to evaluate the characteristics and
   quality of websites located by searching ten common terms related to
   developmental disabilities and explore relations between website
   characteristics and website quality in order to make recommendations on
   ways to ensure locating good online information. We located 208 unique
   websites in our November 2012 US searches of Google and Bing. Two
   independent coders evaluated 10 characteristics of the websites and two
   different coders assessed the quality of the websites. From the 208
   websites, 104 (50%) provided relevant information about the disability
   being searched. Of these 104 websites, those found to be of highest
   quality were least likely to be a sponsored result, contain
   advertisements, be from a for-profit company, and did contain references
   to peer-reviewed publications or had a top-level domain of .gov or .org.
   Individuals with developmental disabilities and their family members who
   choose to obtain disability-related information online should remain
   vigilant to ensure that they locate high-quality and accurate
   information and should not replace information obtained from health-care
   professionals and educational specialists with information found online.
   (C) 2013 Elsevier Ltd. All rights reserved.
RI Reichow, Brian/R-8160-2019
OI Reichow, Brian/0000-0001-8305-3105
ZB 1
TC 9
ZS 0
ZA 0
Z8 1
ZR 0
Z9 9
U1 0
U2 19
SN 0891-4222
UT WOS:000324968500004
PM 23891722
ER

PT J
AU Lin, Chu-Sui
   Chang, Shu-Hui
   Liou, Wen-Ying
   Tsai, Yu-Show
TI The development of a multimedia online language assessment tool for
   young children with autism
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 34
IS 10
BP 3553
EP 3565
DI 10.1016/j.ridd.2013.06.042
PD OCT 2013
PY 2013
AB This study aimed to provide early childhood special education
   professionals with a standardized and comprehensive language assessment
   tool for the early identification of language learning characteristics
   (e.g., hyperlexia) of young children with autism. In this study, we used
   computer technology to develop a multi-media online language assessment
   tool that presents auditory or visual stimuli. This online comprehensive
   language assessment consists of six subtests: decoding, homographs,
   auditory vocabulary comprehension, visual vocabulary comprehension,
   auditory sentence comprehension, and visual sentence comprehension.
   Three hundred typically developing children and 35 children with autism
   from Tao-Yuan County in Taiwan aged 4-6 Participated in this study. The
   Cronbach alpha values of the six subtests ranged from .64 to .97. The
   variance explained by the six subtests ranged from 14% to 56%, the
   current validity of each subtest with the Peabody Picture Vocabulary
   Test-Revised ranged from .21 to .45, and the predictive validity of each
   subtest with WISC-III ranged from .47 to .75. This assessment tool was
   also found to be able to accurately differentiate children with autism
   up to 92%. These results indicate that this assessment tool has both
   adequate reliability and validity. Additionally, 35 children with autism
   have completed the entire assessment in this study without exhibiting
   any extremely troubling behaviors. However, future research is needed to
   increase the sample size of both typically developing children and young
   children with autism and to overcome the technical challenges associated
   with internet issues. (C) 2013 Elsevier Ltd. All rights reserved.
ZB 2
ZA 0
Z8 0
TC 10
ZS 0
ZR 0
Z9 10
U1 1
U2 40
SN 0891-4222
UT WOS:000324968500052
PM 23962602
ER

PT J
AU Bergeron, C. D.
   Foster, C.
   Friedman, D. B.
   Tanner, A.
   Kim, S-H
TI Clinical trial recruitment in rural South Carolina: a comparison of
   investigators' perceptions and potential participant eligibility
SO RURAL AND REMOTE HEALTH
VL 13
IS 4
AR 2567
PD OCT-DEC 2013
PY 2013
AB Introduction: Participation in clinical trial (CT) research can help
   decrease health disparities in rural communities. The purpose of this
   study was to examine the perceptions of principal investigators (PIs)
   regarding CT participation barriers and recruitment efforts in rural
   South Carolina, USA and to assess the actual pool of potential CT
   participants in rural and urban South Carolina. The ultimate goal was to
   evaluate the fit between PIs' perceptions and the pool of eligible
   participants in rural South Carolina.
   Methods: An online survey was conducted with 119 CT PIs from South
   Carolina's five main academic medical centers located in urban areas of
   the state, for a response rate of 31%. Secondary data analyses were also
   conducted using data from government health insurance plans, including
   the 2009 South Carolina Medicaid, the 2009 State Health Plan (SHP) data,
   and census data from the 2005-2009 American Community Survey (ACS). Both
   parametric and non-parametric statistics were used to analyze survey and
   secondary data.
   Results: Principal investigators perceived greater recruitment barriers
   in rural areas than in the general population. They indicated having
   difficulty finding CT participants in rural areas compared to the
   general population (t=-2.985, p=0.004). Rural residents were
   significantly more likely to be perceived as lacking knowledge and
   understanding about CT than the general public (t=-2.105, p=0.038),
   having significantly lower literacy than the general public (t=-2.058,
   p=0.043), lacking information about available CTs (t=-2.913, p=0.005),
   and having limited accessibility to trial sites compared to the general
   population (t=-4.380, p=0.000). Patients' insurance coverage, however,
   was not found to be a significant barrier for CT participation (t=0.418,
   p=0.677). Secondary data variables were aligned with these barriers.
   Data revealed that rural residents have slightly lower educational
   attainment than urban citizens (t=5.384, p=0.000), and more people live
   below poverty level in rural areas (23%) than in urban areas (15%)
   (t=4.86, p=0.000). The secondary data analyses also showed that the
   majority of rural citizens covered by the SHP and Medicaid are eligible
   for CTs. ACS data revealed that 75% of people in rural areas meet one or
   more basic eligibility requirements to participate in CTs compared to
   83% in urban areas.
   Conclusions: Some important barriers hinder CT enrollment of rural
   participants, such as accessibility to trial sites, poverty, lack of
   knowledge about CTs, among others. Data suggested that insurance
   coverage, however, is not a barrier to CT participation. Although CT PIs
   are correct in considering these barriers in rural areas, there still
   exists a large pool of potentially eligible CT participants in rural
   South Carolina. PIs, who were recruited from urban academic medical
   centers, may therefore be perpetuating unhelpful rural myths about CT
   eligibility in rural communities. Despite their remote locations, rural
   citizens should take part in medical research. Greater communication
   between PIs and rural participants and better education of PIs on
   communication strategies are needed to enhance CT participation in rural
   South Carolina.
RI Bergeron, Caroline D./AAD-8292-2019; Atherton, Iain/
OI Bergeron, Caroline D./0000-0002-7238-4213; Atherton,
   Iain/0000-0002-1822-3240
Z8 0
ZB 5
TC 16
ZS 0
ZR 0
ZA 0
Z9 16
U1 0
U2 10
SN 1445-6354
UT WOS:000343520700017
PM 24325179
ER

PT J
AU Vaporciyan, Ara Asadur
   Yang, Stephen C.
   Baker, Craig J.
   Fann, James I.
   Verrier, Edward D.
TI Cardiothoracic surgery residency training: Past, present, and future
SO JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
VL 146
IS 4
BP 759
EP 767
DI 10.1016/j.jtcvs.2013.06.004
PD OCT 2013
PY 2013
AB Background: A dramatic transformation of cardiothoracic surgical
   education has evolved over the past few decades.
   Methods: We begin by presenting recognized catalysts of this change,
   organized by whom they primarily affect: the trainees, the trainers, and
   the profession as a whole. Our trainees' prior training is different,
   and their current demographics and priorities have changed. There is
   less incentive to teach, with time-honored traditions of education
   inadequate to meet the needs of trainees. Concurrently, our profession
   has to adjust to new regulations, increasing financial constraints, and
   an expanding body of knowledge and technology. To address these issues
   requires developing new models of education and assessment that can
   thrive in today's environment. We discuss efforts in the United States
   and abroad, including new training paradigms ranging from restructuring
   existing models to novel approaches (eg, competency-based training).
   Training tools are being developed, such as online instruction,
   simulation-based learning, and regular student-centered assessments.
   Finally, models that recognize and reward teaching as a scholarly
   activity are being implemented.
   Conclusions: Like the radical advances we have witnessed in surgical
   therapy, surgical education requires creative and perhaps disruptive
   changes if we are to continue to produce well-trained additions to our
   professional ranks.
ZB 1
TC 47
ZA 0
ZS 0
ZR 0
Z8 4
Z9 51
U1 0
U2 9
SN 0022-5223
EI 1097-685X
UT WOS:000324481400016
PM 23870155
ER

PT J
AU Sarkissian, Hagop
   Hardy, Sarah
   Plante, Mark
   Mingin, Gerald
TI Pediatric Resident Exposure to Urology: Identifying a Need
SO JOURNAL OF UROLOGY
VL 190
IS 4
BP 1618
EP 1621
DI 10.1016/j.juro.2013.02.3230
SU S
PD OCT 2013
PY 2013
AB Purpose: We evaluated current trends of pediatric urology exposure
   during the 3-year pediatric residency period nationwide. We also
   evaluated the opinions of urology and pediatric residency program
   directors regarding the need for additional exposure to pediatric
   urology.
   Materials and Methods: From February to October 2011 we administered 2
   concurrent electronic surveys. One set was sent to urology residency
   program directors and the other was sent to pediatric residency program
   directors. The surveys consisted of 6 and 12 questions, respectively.
   The questions were created to best evaluate exposure to pediatric
   urology from the perspective of each cohort. Response data were analyzed
   using the chi-square test and case-control methods.
   Results: Of the 117 accredited urology residency program directors and
   190 pediatric residency program directors 51 (43.5%) and 78 (41.1%),
   respectively, completed the survey. Urology program directors answered
   favorably by a margin of 66% toward increased involvement with pediatric
   residents, while 84.6% of pediatric residency directors would like
   increased exposure to pediatric urology. Furthermore, 87% of pediatric
   residency directors reported that they do not require residents to have
   a formal pediatric urology rotation. However, in 65% of pediatric
   programs residents received some form of didactic education.
   Conclusions: These results show the desire on the part of urology and
   pediatric residency program directors for pediatric residents to have
   greater exposure to pediatric urology, particularly didactic and bedside
   teaching in the management of pediatric urological disorders. Increasing
   pediatric resident exposure to pediatric urological pathology and
   treatment during training would have a positive impact on the subsequent
   diagnosis and care of pediatric urological conditions.
ZR 0
ZB 4
ZS 0
ZA 0
TC 5
Z8 0
Z9 5
U1 0
U2 0
SN 0022-5347
EI 1527-3792
UT WOS:000209459300048
PM 23791905
ER

PT J
AU Dym, R. Joshua
   Burns, Judah
   Taragin, Benjamin H.
TI Appropriateness of Imaging Studies Ordered by Emergency Medicine
   Residents: Results of an Online Survey
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 201
IS 4
BP W619
EP W625
DI 10.2214/AJR.12.10487
PD OCT 2013
PY 2013
AB OBJECTIVE. The purpose of this study is to determine the proficiency of
   emergency medicine residents in selecting appropriate radiologic
   examinations for specific clinical scenarios and to ascertain whether
   their training improves competency in this area over the course of their
   residency.
   MATERIALS AND METHODS. An online multiple-choice questionnaire was
   created. It included 10 clinical scenarios excerpted from the American
   College of Radiology Appropriateness Criteria guidelines and instructed
   residents to select the most appropriate initial imaging study. A link
   and invitation to the survey were e-mailed to the residency program
   directors and coordinators of all American Council for Graduate Medical
   Education-accredited emergency medicine residency training programs with
   the request that they be forwarded to their current residents. Responses
   were graded, with correct answers derived from the American College of
   Radiology guidelines. Results were stratified by year of emergency
   medicine training, and an analysis of variance was performed.
   RESULTS. A total of 583 residents from at least 77 different emergency
   medicine residency training programs completed the survey. Overall, the
   average number of questions answered correctly was 7.1 of 10 (SD, 1.2).
   First-through fourth-year residents averaged 6.9 (SD, 1.3), 7.1 (SD,
   1.2), 7.1 (SD, 1.1), and 7.5 (SD, 1.1) correct answers, respectively.
   Analysis of variance found no significant difference between the scores
   of the four classes (p = 0.09).
   CONCLUSION. Emergency medicine residents do not show significant
   improvement over the course of their residency in their ability to
   choose appropriate imaging studies. This finding suggests that there is
   a role for more-rigorous focused instruction to better familiarize
   residents with appropriateness guidelines for diagnostic imaging
   selection.
RI taragin, benjamin/AAO-1599-2020
TC 14
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
Z9 14
U1 0
U2 8
SN 0361-803X
UT WOS:000324868000014
PM 24059401
ER

PT J
AU Jaensch, Samantha L.
   Baysari, Melissa T.
   Day, Richard O.
   Westbrook, Johanna I.
TI Junior doctors' prescribing work after-hours and the impact of
   computerized decision support
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 82
IS 10
BP 980
EP 986
DI 10.1016/j.ijmedinf.2013.06.014
PD OCT 2013
PY 2013
AB Background and objective: computerized provider order entry (CPOE)
   systems with integrated decision support (DS) can reduce prescribing
   errors, but their impact may vary depending on the clinical setting.
   This study aimed to assess the impact of partial implementation of CPOE
   on junior doctors' prescribing work after-hours and to examine
   differences in junior doctors' use of DS during transcribing and their
   own prescribing tasks.
   Methods: Twelve junior doctors at a 350-bed teaching hospital in Sydney,
   Australia were shadowed between 16:30 and 22:30 over eight weeks for 65
   h. CPOE was available on all wards except for the emergency department
   (ED). All medication tasks, computerized alerts, prescriber responses,
   and uses of reference material were recorded.
   Results: Of 306 medication orders entered into the CPOE, 78.4% were
   transcribed from paper ED charts. A total of 113 alerts were triggered,
   most (78%) were read but only 6(5%) resulted in prescribers changing an
   order. Reference material was accessed three times more frequently when
   junior doctors made their own prescribing decisions than when they
   transcribed other doctors' orders, but a similar proportion of alerts
   was read during decision-making and transcribing tasks.
   Conclusion: Junior doctors spent most of their after-hours prescribing
   time transcribing other doctors' orders. This is a new task brought
   about by partial CPOE implementation. Junior doctors read computerized
   alerts and used online reference material to support their
   decision-making. However they rarely made changes to a medication order
   following alert generation, suggesting the alert information was often
   not clinically relevant. (C) 2013 Elsevier Ireland Ltd. All rights
   reserved.
RI Westbrook, Johanna I/J-9045-2018; Day, Richard/D-8699-2011; Jaensch, Samantha/; Baysari, Melissa/
OI Westbrook, Johanna I/0000-0003-1083-8192; Day,
   Richard/0000-0002-6045-6937; Jaensch, Samantha/0000-0002-0397-4420;
   Baysari, Melissa/0000-0003-1645-9126
Z8 0
ZR 0
TC 12
ZA 0
ZS 0
ZB 4
Z9 13
U1 0
U2 9
SN 1386-5056
UT WOS:000324312000008
PM 23891565
ER

PT J
AU Steinhaeuser, J.
   Miksch, A.
   Hermann, K.
   Joos, S.
   Loh, A.
   Goetz, K.
TI What do medical students think of family medicine? - Results of an
   online cross-sectional study in the federal state of Baden-Wuerttemberg
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 138
IS 42
BP 2136
EP 2141
DI 10.1055/s-0033-1349450
PD OCT 2013
PY 2013
AB Background: In the context of physician shortages, critical factors
   influencing career choice need to be better understood. The aim of this
   study was to explore experiences students have had with family medicine
   in order to develop additional strategies for recruiting family medicine
   trainees.
   Methods: Students from the five medical faculties in the federal state
   of Baden-Wuerttemberg were invited to participate in an online-survey
   via email. A purpose-built questionnaire was used. In addition to
   descriptive statistics, analysis included linear partial correlations
   controlled for age, gender, and semester, which were calculated between
   the variable "I believe family medicine is an attractive job" and the 31
   variables of the survey. Linear regression was used to analyze the
   influence of experiences with family medicine and statements about
   family medicine to the perception of family medicine as an attractive
   specialty.
   Results: 1299 students participated in the survey. About half of the
   participants (49.7%) considered working as a primary care physician to
   be attractive or partly attractive. 49.6% of students reported positive
   experiences with family medicine as a patient and 33.1% as a family
   member. 24.3% reported positive experiences during the compulsory 1-2
   weeks general practice internship and 18.1% during a four weeks elective
   placement. For 302 participants (23.3%), family medicine is presented
   positively in the media. 178 (13.7%) consider family medicine to have
   high importance in both undergraduate and postgraduate education.
   Positive influences on judging attractiveness of family medicine were:
   own experience with family medicine as a clinical elective (rpart=
   +0.450), own experience with family medicine as a patient (rpart=
   +0.218), perception that family medicine offers a diversified working
   day (rpart= +0.259), and perception that family medicine offers a good
   salary (rpart= +0.242).
   Conclusion: To enable students during undergraduate studies to have
   practical experience with family medicine seems to be an important
   influence on judging family medicine attractive.
RI Goetz, Katja/D-9079-2012; Joos, Stefanie/
OI Joos, Stefanie/0000-0002-5810-529X
TC 9
ZB 0
ZS 0
ZA 0
ZR 0
Z8 0
Z9 9
U1 1
U2 5
SN 0012-0472
EI 1439-4413
UT WOS:000329796100004
PM 23918593
ER

PT J
AU Ilper, H.
   Kunz, T.
   Walcher, F.
   Zacharowski, K.
   Byhahn, C.
TI An Online Emergency Physician Survey - Demography, Education and
   Experience of German Emergency Physicians
SO NOTARZT
VL 29
IS 5
BP 197
EP 202
DI 10.1055/s-0033-1343294
PD OCT 2013
PY 2013
AB German emergency patients are treated by (emergency) physicians (EP).
   The entry level to emergency medicine differs. Manual skills experience
   (e. g. tracheal intubation) and knowledge of guidelines are minimum
   requirements. It is currently unclear who works as an EP and what
   medical experience he or she has. The anonymous survey was online from
   10/15/2010 to 11/16/2011 and distribution was supported by leading
   physicians informing society members. Online networks informed
   independent physicians. 2091 EP took part, 1991 datasets were evaluated,
   100 datasets were excluded. All results are shown as mean +/- standard
   deviation and range (minimum-maximum). Mean age of the EP was 42 +/- 8
   years (26-71 years), 80% (n = 1604) were male, 20% (n = 387) were
   female. Participants finished medical school in 1997 +/- 8 years
   (1964-2010). Base specialty during rotation was anesthesiology 59%,
   internal medicine 32%, surgery 26%, trauma surgery/orthopedics 21%,
   others 16%. Consultants were 75%. Main income source was answered as
   "hospital physician" by 77%, "resident doctor" by 15%, "professional
   emergency physician" by 7%. The participants use a widespread chance for
   CME (Continuing Medical Education). The participants appear experienced
   in medicine and emergency medicine. They use a widespread chance for
   CME. Most of the participants work in anaesthesiology.
Z8 0
ZR 0
TC 0
ZA 0
ZS 0
ZB 0
Z9 0
U1 0
U2 3
SN 0177-2309
EI 1438-8693
UT WOS:000330533400001
ER

PT J
AU Jansen, Bannin De Witt
   Weckmann, Michelle
   Nguyen, Christopher M.
   Parsons, Carole
   Hughes, Carmel M.
TI A cross-national cross-sectional survey of the attitudes and perceived
   competence of final-year medicine, nursing and pharmacy students in
   relation to end-of-life care in dementia
SO PALLIATIVE MEDICINE
VL 27
IS 9
SI SI
BP 847
EP 854
DI 10.1177/0269216313483661
PD OCT 2013
PY 2013
AB Background: Little is known about the attitudes of healthcare
   professional students' perceived competence and confidence in treating
   those with dementia who are at the end of life.
   Aim: To explore the attitudes of final year medical, nursing and
   pharmacy students towards people with dementia and to evaluate their
   perceived competence and confidence dealing with biomedical and
   psychosocial issues within the context of palliative care provision to
   patients with dementia.
   Design: Cross-sectional survey using a questionnaire.
   Setting/participants: Final-year students in each profession from
   Queen's University Belfast (Northern Ireland) and the University of Iowa
   (USA) were recruited.
   Method: Three versions of an online questionnaire (containing the
   Attitudes to Dementia Questionnaire and a series of questions on
   end-of-life care in dementia) were distributed.
   Results: A total of 368 responses were received (response rate 42.3%).
   All respondents reported positive attitudes towards people with
   dementia. US nursing students reported significantly more positive
   attitudes than the medical students of United States and Northern
   Ireland. Medical students were more likely to report low confidence in
   discussing non-medical aspects of dying, whereas nursing students were
   most likely to feel prepared and confident to do this. Medical and
   nursing students reported low confidence with aspects of
   medication-related care; however, data from the pharmacy samples of
   Northern Ireland and United States suggested that these students felt
   confident in advising other healthcare professionals on
   medication-related issues.
   Conclusions: While healthcare students hold positive attitudes towards
   people with dementia, some clinical tasks remain challenging and further
   basic training may be of benefit.
ZB 0
Z8 0
ZA 0
ZR 0
TC 17
ZS 0
Z9 17
U1 0
U2 40
SN 0269-2163
EI 1477-030X
UT WOS:000324624600008
PM 23612960
ER

PT J
AU Wang, Minhong
   Wu, Bian
   Kinshuk
   Chen, Nian-Shing
   Spector, J. Michael
TI Connecting problem-solving and knowledge-construction processes in a
   visualization-based learning environment
SO COMPUTERS & EDUCATION
VL 68
BP 293
EP 306
DI 10.1016/j.compedu.2013.05.004
PD OCT 2013
PY 2013
AB Learning through problem solving has been widely adopted as an effective
   learning paradigm in challenging domains such as medical education. For
   effective learning through practical experience, problem solving and
   knowledge construction should be highly integrated and reciprocally
   reinforcing. However, both knowledge construction and problem solving
   are complex cognitive processes, which cannot be easily captured and
   mastered. Temporal problem-soltfing experience can be forgotten, and
   knowledge embedded in problem-solving experience may not be transferable
   to new problems. This study aimed to address the challenge via proposing
   a computer-based learning environment, where a visualization-based
   cognitive tool was designed to make thinking and learning in a problem
   context visible and to connect problem-solving and
   knowledge-construction activities throughout the learning process. An
   online learning program using the proposed learning environment was
   delivered to thirty-five students from two medical schools. The design
   of the proposed learning environment and its effects on problem-based
   learning are examined with implications for further studies. (C) 2013
   Elsevier Ltd. All rights reserved.
RI Chen, Nian-Shing/B-7035-2009; Spector, Jonathan M/B-1780-2014; Kinshuk/D-3764-2014; Wang, Minhong/; wu, bian/
OI Chen, Nian-Shing/0000-0001-7768-0997; Spector, Jonathan
   M/0000-0002-6270-3073; Kinshuk/0000-0003-3923-9003; Wang,
   Minhong/0000-0002-1084-6814; wu, bian/0000-0003-0391-2630
ZS 0
ZA 0
ZB 1
TC 40
ZR 0
Z8 0
Z9 40
U1 5
U2 86
SN 0360-1315
EI 1873-782X
UT WOS:000324080800028
ER

PT J
AU Pierce, J. Thomas
TI Continuing Education"The Action Level"(R)
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE
VL 10
IS 10
BP D147
EP D149
DI 10.1080/15459624.2013.825562
PD OCT 1 2013
PY 2013
AB Access The Action Level (R) Questions online at:
   Access The Action Level (R) Answers online at:
   Access The Action Level (R) Registration Form online at:
   The Action Level,(R) a self-study, continuing education program,
   provides a convenient and interesting opportunity for individuals to
   expand their knowledge in relevant areas of industrial hygiene, as well
   as occupational and environmental safety and health. The program is
   approved by both the American Board of Industrial Hygiene, and the Board
   of Certified Safety Professionals, which award Certification Maintenance
   (CM) points and Continuance of Certification (COC) points, respectively,
   for successful participation. Participants must read each issue of the
   Journal, answer The Action Level,(R) questions, and return the completed
   answer sheet at the end of that issue's The Action Level,(R) column. To
   earn the designated CM or COC credit, a score of 70 percent or better is
   required within a 12-month period. Certified Industrial Hygienists and
   Certified Associate Industrial Hygienists may earn 2 points per year.
   Certified Safety Professionals may earn 1.2 points per year. Enrollment
   is possible each month, but points are awarded only four times each
   yearin March, June, September, and Decemberto participants who score an
   average of 70 percent or better within each three-month period. If you
   register in October 2013, you will receive 0.5 CM points and/or 0.3 COC
   points after you have completed answers sheets for October, November,
   and December, 2013, and scored a 70 percent or better average on them
   (only in your first quarter of enrollment, if enrolling in the middle of
   the quarter, will you be permitted to submit answer sheets for two
   months and receive full credit; three answer sheets are required for all
   other quarters). In the next quarter, you'll receive 0.5 CM points
   and/or 0.3 COC points after satisfactorily completing answer sheets for
   the January, February, and March 2014 issues, and so on. To enroll,
   complete the registration form and the answer sheet at the end of this
   The Action Level,(R) column. The cost is $219 (ACGIH (R)/AIHA
   members)/$249 (nonmembers) for one year. Nonmembers are encouraged to
   become members to take advantage of the member discount. For more
   information regarding ACGIH (R) membership, call 513-742-2020, or apply
   online at . Checks must be in U.S. currency, drawn on a U.S. bank, and
   payable to ACGIH (R). We also accept AmEx, MasterCard, Discover, and
   Visa.
   This continuing education program fee is separate from the Journal
   subscription cost. The fee covers administration costs, and is
   nonrefundable.
   Submissions must be received by the date listed on each answer sheet.
TC 0
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
Z9 0
U1 0
U2 0
SN 1545-9624
UT WOS:000324087500002
ER

PT J
AU Lokshina, I.V.
   Bartolacci, M.R.
TI Redesigning the Healthcare Model to Address Obesity Problem Using
   Incentives Delivered through a Combination of Processes and Mobile
   Technologies
SO International Journal of Interdisciplinary Telecommunications and
   Networking
VL 5
IS 4
BP 92
EP 106
DI 10.4018/ijitn.2013100106
PD Oct.-Dec. 2013
PY 2013
AB Obesity and other lifestyle-related illnesses are among the top global
   healthcare challenges today. Obesity in young population is an alarming
   predictor for obesity in adulthood, but also entails different short
   term health complications. Knowing how to stay healthy is not enough to
   motivate young individuals to adopt healthy lifestyles. However,
   relevant progress can be achieved with use of incentives delivered
   through combination of processes and mobile technologies. Recognizing
   effectiveness of new healthcare model to prevent obesity in young
   population, an innovative multi-dimensional cross-disciplinary ICT
   framework should be developed, which uses sophisticated game mechanics
   to motivate behavior changes towards healthier lifestyles and supports
   three main functions: individual & environmental monitoring, including
   wearable sensors, mobile phones and multimedia diaries; feedback to
   users, presenting personalized healthy options for alternative
   lifestyles; and social connectivity, encouraging involvement in sharing
   experiences through social networks and social engagement. System
   development should be based on user-centered design, social and
   networking games and online education and supported by a wide
   stakeholder's ecosystem, including health authorities and research
   institutions, industries and academia from the ICT and healthcare
   sectors, as well as food companies and SMEs.
ZR 0
ZS 0
TC 1
ZA 0
ZB 0
Z8 0
Z9 1
U1 0
U2 1
SN 1941-8663
UT INSPEC:14766074
ER

PT J
AU Eguchi, Hisashi
   Wada, Koji
TI Knowledge of HBV and HCV and Individuals' Attitudes Toward HBV- and
   HCV-Infected Colleagues: A National Cross-Sectional Study among a
   Working Population in Japan
SO PLOS ONE
VL 8
IS 9
AR e76921
DI 10.1371/journal.pone.0076921
PD SEP 26 2013
PY 2013
AB Prejudice and discrimination in the workplace regarding the risk of
   transmission of Hepatitis B virus (HBV) and Hepatitis C virus (HCV) are
   increased by excess concerns due to a lack of relevant knowledge.
   Education to increase knowledge about HBV and HCV and their prevention
   could be the first step to reduce prejudice and discrimination. This
   study aimed to determine the association between the level of knowledge
   and negative attitudes toward HBV- and HCV-infected colleagues among the
   Japanese working population. An online anonymous nationwide survey
   involving about 3,000 individuals was conducted in Japan. The
   questionnaire consisted of knowledge of HBV and HCV, and attitudes
   toward HBV- and HCV-infected colleagues in the workplace. Knowledge was
   divided into three categories: "ensuring daily activities not to be
   infected"; "risk of infection"; and "characteristics of HBV/HCV
   hepatitis", based on the result of factor analysis. Multiple logistic
   regression analysis was applied. A total of 3,129 persons responded to
   the survey: 36.0% reported they worried about the possibility of
   transmission of HBV and HCV from infected colleagues; 32.1% avoided
   contact with infected colleagues; and 23.7% had prejudiced opinions
   about HBV and HCV infection. The participants were classified into
   tertiles. A higher level of knowledge of HBV and HCV was significantly
   associated with these three negative attitudes (P for trend < 0.005).
   This study suggests that increasing knowledge may decrease individuals'
   negative attitudes towards HBV- and HCV-infected colleagues. Thus, we
   should promote increased knowledge of HBV and HCV in stages to reduce
   negative attitudes toward HBV- and HCV-infected colleagues.
ZR 0
Z8 0
ZS 0
TC 19
ZB 9
ZA 0
Z9 19
U1 0
U2 6
SN 1932-6203
UT WOS:000325220000074
PM 24086765
ER

PT J
AU Hussain, Rafat
   Guppy, Michelle
   Robertson, Suzanne
   Temple, Elizabeth
TI Physical and mental health perspectives of first year undergraduate
   rural university students
SO BMC PUBLIC HEALTH
VL 13
AR 848
DI 10.1186/1471-2458-13-848
PD SEP 15 2013
PY 2013
AB Background: University students are often perceived to have a privileged
   position in society and considered immune to ill-health and disability.
   There is growing evidence that a sizeable proportion experience poor
   physical health, and that the prevalence of psychological disorders is
   higher in university students than their community peers. This study
   examined the physical and mental health issues for first year Australian
   rural university students and their perception of access to available
   health and support services.
   Methods: Cross-sectional study design using an online survey form based
   on the Adolescent Screening Questionnaire modeled on the internationally
   recognised HEADSS survey tool. The target audience was all first-year
   undergraduate students enrolled in an on-campus degree program. The
   response rate was 41% comprising 355 students 244 females, 111 males).
   Data was analysed using standard statistical techniques including
   descriptive and inferential statistics; and thematic analysis of the
   open-ended responses.
   Results: The mean age of the respondents was 20.2 years SD 4.8). The
   majority of the students lived in on-campus residential college style
   accommodation, and a third combined part-time paid work with full-time
   study. Most students reported being in good physical health. However, on
   average two health conditions were reported over the past six months,
   with the most common being fatigue 56%), frequent headaches 26%) and
   allergies 24%). Mental health problems included anxiety 25%), coping
   difficulties 19.7%) and diagnosed depression 8%). Most respondents
   reported adequate access to medical doctors and support services for
   themselves 82%) and friends 78%). However the qualitative comments
   highlighted concerns about stigma, privacy and anonymity in seeking
   counselling.
   Conclusions: The present study adds to the limited literature of
   physical and mental health issues as well as barriers to service
   utilization by rural university students. It provides useful baseline
   data for the development of customised support programs at rural
   campuses. Future research using a longitudinal research design and
   multi-site studies are recommended to facilitate a deeper understanding
   of health issues affecting rural university students.
RI Hussain, Rafat/H-1950-2016; Temple, Liz/F-7092-2014; Guppy, Michelle/
OI Temple, Liz/0000-0001-5625-9298; Guppy, Michelle/0000-0001-7256-4938
ZR 1
TC 38
ZS 3
Z8 1
ZA 0
ZB 3
Z9 43
U1 1
U2 15
EI 1471-2458
UT WOS:000324462700001
PM 24034822
ER

PT J
AU Oppong, Raymond
   Mistry, Hema
   Frew, Emma
TI Health economics education in undergraduate medical training:
   introducing the health economics education (HEe) website
SO BMC MEDICAL EDUCATION
VL 13
AR 126
DI 10.1186/1472-6920-13-126
PD SEP 13 2013
PY 2013
AB In the UK, the General Medical Council clearly stipulates that upon
   completion of training, medical students should be able to discuss the
   principles underlying the development of health and health service
   policy, including issues relating to health economics. In response,
   researchers from the UK and other countries have called for a need to
   incorporate health economics training into the undergraduate medical
   curricula. The Health Economics education website was developed to
   encourage and support teaching and learning in health economics for
   medical students. It was designed to function both as a forum for
   teachers of health economics to communicate and to share resources and
   also to provide instantaneous access to supporting literature and
   teaching materials on health economics. The website provides a range of
   free online material that can be used by both health economists and
   non-health economists to teach the basic principles of the discipline.
   The Health Economics education website is the only online education
   resource that exists for teaching health economics to medical
   undergraduate students and it provides teachers of health economics with
   a range of comprehensive basic and advanced teaching materials that are
   freely available. This article presents the website as a tool to
   encourage the incorporation of health economics training into the
   undergraduate medical curricula.
RI Frew, Emma/AAO-5141-2021; Oppong, Raymond/AAV-5867-2020; Mistry, Hema/
OI Frew, Emma/0000-0002-5462-1158; Oppong, Raymond/0000-0002-0815-4616;
   Mistry, Hema/0000-0002-5023-1160
ZB 1
Z8 0
ZS 1
ZA 0
ZR 0
TC 6
Z9 6
U1 3
U2 15
SN 1472-6920
UT WOS:000324764200001
PM 24034906
ER

PT J
AU Debin, Marion
   Turbelin, Clement
   Blanchon, Thierry
   Bonmarin, Isabelle
   Falchi, Alessandra
   Hanslik, Thomas
   Levy-Bruhl, Daniel
   Poletto, Chiara
   Colizza, Vittoria
TI Evaluating the Feasibility and Participants' Representativeness of an
   Online Nationwide Surveillance System for Influenza in France
SO PLOS ONE
VL 8
IS 9
AR e73675
DI 10.1371/journal.pone.0073675
PD SEP 11 2013
PY 2013
AB The increasing Internet coverage and the widespread use of digital
   devices offer the possibility to develop new digital surveillance
   systems potentially capable to provide important aid to epidemiological
   and public health monitoring and research. In France, a new nationwide
   surveillance system for influenza-like illness, GrippeNet.fr, was
   introduced since the 2011/2012 season based on an online participatory
   mechanism and open to the general population. We evaluate the
   recruitment and participation of users to the first pilot season with
   respect to similar efforts in Europe to assess the feasibility of
   establishing a participative network of surveillance in France. We
   further investigate the representativeness of the GrippeNet.fr
   population along a set of indicators on geographical, demographic,
   socio-economic and health aspects. Participation was widespread in the
   country and with rates comparable to other European countries with
   partnered projects running since a longer time. It was not
   representative of the general population in terms of age and gender,
   however all age classes were represented, including the older classes
   (65+ years old), generally less familiar with the digital world, but
   considered at high risk for influenza complications. Once adjusted on
   demographic indicators, the GrippeNet.fr population is found to be more
   frequently employed, with a higher education level and vaccination rate
   with respect to the general population. A similar propensity to commute
   for work to different regions was observed, and no significant
   difference was found for asthma and diabetes. Results show the
   feasibility of the system, provide indications to inform adjusted
   epidemic analyses, and highlight the presence of specific population
   groups that need to be addressed by targeted communication strategies to
   achieve a higher representativeness in the following seasons.
RI FALCHI, Alessandra/AAQ-8039-2020; BLANCHON, Thierry/AAK-6254-2020; DEBIN, Marion/; Alessandra, FALCHI/; Poletto, Chiara/; Colizza, Vittoria/
OI DEBIN, Marion/0000-0002-5146-7642; Alessandra,
   FALCHI/0000-0003-0799-1460; Poletto, Chiara/0000-0002-4051-1716;
   Colizza, Vittoria/0000-0002-2113-2374
ZR 0
Z8 0
ZB 7
ZS 0
TC 32
ZA 0
Z9 32
U1 0
U2 8
SN 1932-6203
UT WOS:000326734500040
PM 24040020
ER

PT J
AU AlKabba, Abdulaziz F.
   Hussein, Ghaiath M. A.
   Kasule, Omar H.
   Jarallah, Jamal
   Alrukban, Mohamed
   Alrashid, Abdulaziz
TI Teaching and evaluation methods of medical ethics in the Saudi public
   medical colleges: cross-sectional questionnaire study
SO BMC MEDICAL EDUCATION
VL 13
AR 122
DI 10.1186/1472-6920-13-122
PD SEP 10 2013
PY 2013
AB Background: Saudi Arabia is considered one of the most influential
   Muslim countries being as the host of the two most holy places for
   Muslims, namely Makkah and Madina. This was reflected in the emphasis on
   teaching medical ethics in a lecture-based format as a part of the
   subject of Islamic culture taught to medical students. Over the last few
   years, both teaching and evaluation of medical ethics have been changing
   as more Saudi academics received specialized training and qualifications
   in bioethics from western universities.
   Methods: This study aims at studying the current teaching methods and
   evaluation tools used by the Saudi public medical schools. It is done
   using a self-administered online questionnaire.
   Results: Out of the 14 medical schools that responded, the majority of
   the responding schools (6; 42.8%), had no ethics departments; but all
   schools had a curriculum dedicated to medical ethics. These curricula
   were mostly developed by the faculty staff (12; 85.7%). The most popular
   teaching method was lecturing (13; 92.8%). The most popular form of
   student assessment was a paper-based final examination (6; 42.8%) at the
   end of the course that was allocated 40% or more of the total grade of
   the ethics course. Six schools (42.8%) allocated 15-30% of the total
   grade to research.
   Conclusion: Although there is a growing interest and commitment in
   teaching ethics to medical students in Saudi schools; there is lack of
   standardization in teaching and evaluation methods. There is a need for
   a national body to provide guidance for the medical schools to harmonize
   the teaching methods, particularly introducing more interactive and
   students-engaging methods on the account of passive lecturing.
RI Hussein, Ghaiath MA/I-7016-2015; alkaabba, abdulaziz/P-1329-2016
OI Hussein, Ghaiath MA/0000-0003-3325-5651; alkaabba,
   abdulaziz/0000-0003-2211-9806
ZA 0
ZB 5
Z8 0
ZR 0
ZS 1
TC 20
Z9 20
U1 0
U2 18
SN 1472-6920
UT WOS:000325789900001
PM 24020917
ER

PT J
AU Mwai, Grace W.
   Mburu, Gitau
   Torpey, Kwasi
   Frost, Peter
   Ford, Nathan
   Seeley, Janet
TI Role and outcomes of community health workers in HIV care in sub-Saharan
   Africa: a systematic review
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 16
AR 18586
DI 10.7448/IAS.16.1.18586
PD SEP 10 2013
PY 2013
AB Introduction: The provision of HIV treatment and care in sub-Saharan
   Africa faces multiple challenges, including weak health systems and
   attrition of trained health workers. One potential response to overcome
   these challenges has been to engage community health workers (CHWs).
   Methodology: A systematic literature search for quantitative and
   qualitative studies describing the role and outcomes of CHWs in HIV care
   between inception and December 2012 in sub-Saharan Africa was performed
   in the following databases: PubMed, PsychINFO, Embase, Web of Science,
   JSTOR, WHOLIS, Google Scholar and SAGE journals online. Bibliographies
   of included articles were also searched. A narrative synthesis approach
   was used to analyze common emerging themes on the role and outcomes of
   CHWs in HIV care in sub-Saharan Africa.
   Results: In total, 21 studies met the inclusion criteria, documenting a
   range of tasks performed by CHWs. These included patient support
   (counselling, home-based care, education, adherence support and
   livelihood support) and health service support (screening, referral and
   health service organization and surveillance). CHWs were reported to
   enhance the reach, uptake and quality of HIV services, as well as the
   dignity, quality of life and retention in care of people living with
   HIV. The presence of CHWs in clinics was reported to reduce waiting
   times, streamline patient flow and reduce the workload of health
   workers. Clinical outcomes appeared not to be compromised, with no
   differences in virologic failure and mortality comparing patients under
   community-based and those under facility-based care. Despite these
   benefits, CHWs faced challenges related to lack of recognition,
   remuneration and involvement in decision making.
   Conclusions: CHWs can clearly contribute to HIV services delivery and
   strengthen human resource capacity in sub-Saharan Africa. For their
   contribution to be sustained, CHWs need to be recognized, remunerated
   and integrated in wider health systems. Further research focusing on
   comparative costs of CHW interventions and successful models for
   mainstreaming CHWs into wider health systems is needed.
OI Seeley, Janet/0000-0002-0583-5272; Mburu, Gitau/0000-0002-5812-0529;
   Torpey, Kwasi/0000-0003-1628-2922
ZB 50
ZA 0
Z8 1
ZR 0
ZS 7
TC 195
Z9 198
U1 0
U2 42
EI 1758-2652
UT WOS:000324165400001
PM 24029015
ER

PT J
AU Young, Sean D.
   Cumberland, William G.
   Lee, Sung-Jae
   Jaganath, Devan
   Szekeres, Greg
   Coates, Thomas
TI Social Networking Technologies as an Emerging Tool for HIV Prevention A
   Cluster Randomized Trial
SO ANNALS OF INTERNAL MEDICINE
VL 159
IS 5
BP 318
EP +
DI 10.7326/0003-4819-159-5-201309030-00005
PD SEP 3 2013
PY 2013
AB Background: Social networking technologies are an emerging tool for HIV
   prevention.
   Objective: To determine whether social networking communities can
   increase HIV testing among African American and Latino men who have sex
   with men (MSM).
   Design: Randomized, controlled trial with concealed allocation.
   (ClinicalTrials.gov: NCT01701206)
   Setting: Online.
   Patients: 112 MSM based in Los Angeles, more than 85% of whom were
   African American or Latino.
   Intervention: Sixteen peer leaders were randomly assigned to deliver
   information about HIV or general health to participants via Facebook
   groups over 12 weeks. After participants accepted a request to join the
   group, participation was voluntary. Group participation and engagement
   were monitored. Participants could request a free, home-based HIV
   testing kit and completed questionnaires at baseline and 12-week
   follow-up.
   Measurements: Participant acceptance of and engagement in the
   intervention and social network participation, rates of home-based HIV
   testing, and sexual risk behaviors.
   Results: Almost 95% of intervention participants and 73% of control
   participants voluntarily communicated using the social platform.
   Twenty-five of 57 intervention participants (44%) requested home-based
   HIV testing kits compared with 11 of 55 control participants (20%)
   (difference, 24 percentage points [95% CI, 8 to 41 percentage points]).
   Nine of the 25 intervention participants (36%) who requested the test
   took it and mailed it back compared with 2 of the 11 control
   participants (18%) who requested the test. Retention at study follow-up
   was more than 93%.
   Limitation: Only 2 Facebook communities were included for each group.
   Conclusion: Social networking communities are acceptable and effective
   tools to increase home-based HIV testing among at-risk populations.
OI Young, Sean D./0000-0001-6052-4875; Jaganath, Devan/0000-0002-8555-5667
Z8 1
ZR 0
ZB 31
ZA 0
TC 122
ZS 1
Z9 123
U1 0
U2 30
SN 0003-4819
EI 1539-3704
UT WOS:000324245900002
PM 24026317
ER

PT J
AU de Costa, Caroline M.
   Permezel, Michael
   Farrell, Louise M.
   Coffey, Anne E.
   Rane, Ajay
TI Integrating parental leave into specialist training: experience of
   trainees and recently graduated RANZCOG Fellows
SO MEDICAL JOURNAL OF AUSTRALIA
VL 199
IS 5
BP 359
EP 362
DI 10.5694/mja13.10312
PD SEP 2 2013
PY 2013
AB Objectives: To ascertain the views of trainees and recently graduated
   Fellows of the Royal Australian and New Zealand College of Obstetricians
   and Gynaecologists on their experiences of taking parental leave during
   specialist training.
   Design: An anonymous online survey, conducted over a 1-month period from
   16 August 2012 to 14 September 2012, of participants' experiences of
   taking parental leave and of the effects of parental leave taken by
   trainee colleagues on participants' own training.
   Setting and participants: All trainees undertaking training for the
   Fellowship of the College, and all Fellows who had graduated in the past
   6 years were invited to take part. Of the total 1051 invitees, 261
   responded to the survey.
   Main outcome measures: Ease with which parental leave was granted,
   ability to return to a training post after taking leave, and
   participants' experiences of views expressed about parental leave in the
   work environment.
   Results: Most participants requesting parental leave were able to access
   it and return to a training post; however, a small proportion
   experienced difficulties. Among female respondents who had taken
   parental leave, 28 (26.2%) reported being asked about their intentions
   for future pregnancy during the training application process, and 45
   (42.1%) reported receiving negative comments about this in the work
   environment.
   Conclusions: While in most instances parental leave is accessible
   automatically, a small but significant number of trainees reported
   encountering difficulties. These matters are being addressed within our
   own College, and our results are likely to be relevant to all bodies
   involved in postgraduate medical training, particularly given the
   increasing feminisation of the medical workforce.
Z8 0
ZA 0
ZR 0
ZS 0
TC 9
ZB 0
Z9 9
U1 0
U2 1
SN 0025-729X
EI 1326-5377
UT WOS:000326252700027
PM 23992194
ER

PT J
AU Fernanda Sanchez-Peralta, Luisa
   Sanchez-Fernandez, Javier
   Blas Pagador, Jose
   Miguel Sanchez-Margallo, Francisco
TI New technologies in minimally invasive surgery training: what do
   surgeons demand?
SO CIRUGIA Y CIRUJANOS
VL 81
IS 5
BP 412
EP 419
PD SEP-OCT 2013
PY 2013
AB Background: Minimally invasive surgery might greatly benefit from the
   Information and Communications Technologies. The objective of this work
   is to determine the better approach to include those technologies, in
   particular an e-Learning platform, into an in-person training course.
   Methods: An online survey was sent to all participants in any of the
   laparoscopic training courses at Jesus Uson Minimally Invasive Surgery
   Centre. This survey included questions regarding new technologies used
   for training. Once all data were gathered, a descriptive analysis was
   performed.
   Results: 382 questionnaires were sent of which 102 were correctly
   received back. This means a response rate equal to 30%. Current
   theoretical training means are watching surgical videos (85 - 83.3%) and
   assisting to in-person training courses (77 - 75.5%). Participants rated
   as useful the use of new technologies for training (4.1 +/- 0.9) and
   they would mainly use it both before and after assisting to an in-person
   training course (80 - 78.4%).
   Conclusions: It is proposed a methodology that provides participants
   with didactic resources based on surgical videos, both before and after
   assisting to an in-person training course. Through the application of
   this methodology, an improvement and reduction of the time that surgeons
   expend in training is aimed.
RI Sánchez-Peralta, Luisa F/G-9772-2012; Carrasco, Jose Blas Pagador/J-9858-2016; Sánchez-Peralta, Luisa F./M-2976-2018; Sánchez-Margallo, Francisco M./I-5605-2019; Sanchez Fernandez, Javier/
OI Carrasco, Jose Blas Pagador/0000-0002-4382-5075; Sánchez-Peralta, Luisa
   F./0000-0002-7630-353X; Sánchez-Margallo, Francisco
   M./0000-0003-2138-988X; Sanchez Fernandez, Javier/0000-0002-2117-9981
Z8 0
ZA 0
ZS 1
ZR 0
ZB 2
TC 5
Z9 6
U1 0
U2 7
SN 0009-7411
UT WOS:000327659600008
PM 25125059
ER

PT J
AU Cascio, M.I.
   Botta, V.C.
   Anzaldi, V.E.
TI The role of self efficacy and internal locus of control in online
   learning
SO Journal of E-Learning and Knowledge Society
VL 9
IS 3
BP 95
EP 106
PD 2013
PY 2013
AB The aim of the study is to analyze the structure of the relations among
   training goals achievement and some psychological features considered
   significant in Distance Learning (DL) where teacher's role is less
   active and students must be more autonomous in learning tasks.
   Self-Regulated Learners (SRLs) are able to activate and to sustain
   cognitions, behaviours, and emotions in a systematic way to reach
   learning goals in DL. Due to the difficulty in operationally defining
   SRL's construct, this survey describes a study on the effects of
   self-efficacy and Locus of Control (LOC) in online learning.
   Self-efficacy represents people's beliefs about their capabilities to
   produce designated levels of performance: people with a strong sense of
   self-efficacy view challenging problems, develop deeper interest in the
   activities in which they participate and recover quickly from setbacks
   and disappointments. Moreover, individuals with internal LOC engage in
   learning processes more than do individuals with external LOC, because
   the learners believe that the achievement of training goals depends on
   their effort. The output demonstrates that online learning degree is
   influenced by the combined effect of internal LOC and external
   motivation to learn, as obtaining Continuing Medical Education (CME)
   credits. These results are strictly related to the research context,
   because the opportunity to acquire CME credits seems to be one of the
   most important motivational factor to attend DL courses, since it allows
   health professionals to continue their education or training while still
   working or with family responsibilities. In section 1 it is briefly
   described the general framework of survey. In Sections 2 there is
   illustrated the aim of the paper and in Section 3 instruments and
   methods. In Section 4 we describe datasets and statistical tools, while
   in Section 5 we discuss concluding points and open questions.
RI Cascio, Maura Ignazia/F-5403-2017
OI Cascio, Maura Ignazia/0000-0003-0770-5743
ZA 0
TC 7
Z8 0
ZB 0
ZS 0
ZR 0
Z9 7
U1 0
U2 5
SN 1826-6223
UT INSPEC:14472663
ER

PT J
AU Frischtak, Helena
   Sinha, Pranay
TI THE HITCHHIKER'S GUIDE TO GLOBAL HEALTH BLOGGING
SO PERSPECTIVES IN BIOLOGY AND MEDICINE
VL 56
IS 4
BP 602
EP 610
DI 10.1353/pbm.2013.0039
PD FAL 2013
PY 2013
AB Social media use in modern medicine is fraught with ethical dilemmas and
   risks of unprofessional behavior. This essay surveys the existing
   literature on the possibilities and pitfalls of social media use by
   health-care professionals and concludes that non-engagement with social
   media is not an option. A mindful approach, not vague guidelines or long
   checklists, will foster a generation of physicians comfortable using
   online platforms for education and reflection. The use of social media
   during global health experiences abroad has been largely ignored in the
   literature and presents special challenges. With a view to starting a
   reflective dialogue on this subject, this essay identifies some
   ethically nebulous aspects of global health blogging. The discussion
   focuses on physician and student blogging, but these principles should
   apply to other online platforms as well and should prove valuable for
   health-care professionals who are engaged in developing guidelines,
   educating medical students and resident physicians, or in sharing their
   experiences and insights on the internet.
RI Sinha, Pranay/AAQ-9269-2020
OI Sinha, Pranay/0000-0002-4233-0871
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
TC 0
Z9 0
U1 0
U2 4
SN 0031-5982
EI 1529-8795
UT WOS:000335091500008
PM 24769750
ER

PT J
AU Duplaga, Mariusz
TI The Acceptance of e-Health Solutions Among Patients with Chronic
   Respiratory Conditions
SO TELEMEDICINE AND E-HEALTH
VL 19
IS 9
BP 683
EP 691
DI 10.1089/tmj.2012.0306
PD SEP 1 2013
PY 2013
AB Objective: The main objective of this study was to assess the acceptance
   of the use of e-health applications by patients suffering from bronchial
   asthma and other chronic respiratory conditions. Subjects and Methods:
   The questionnaire, consisting of 73 items, was distributed among 200
   patients remaining under the care of a tertiary-care pulmonology center
   in Krakow, Poland (return rate, 82.5%; n=165). Results:The mean age
   (standard deviation) of respondents was 50.8 (14.9) years. Of the
   respondents, 48.5% (n=80) suffered from bronchial asthma, 29.1% (n=48)
   from chronic obstructive pulmonary disease, and 32.1% (n=53) from other
   respiratory diseases. The Internet was used by 58.2% (n=96) of
   respondents. The most frequent types of health-related information
   searched for online included diseases (59.4%) and treatments
   (medication, 54.2%; treatment options, 58.3%), as well as information
   about physicians and healthcare institutions (32.3% and 31.3%,
   respectively). The differences between acceptance scores for specific
   e-health applications were significant (analysis of variance, Friedman
   chi-squared=166.315, p<0.001). The respondents revealed the highest
   acceptance of e-health solutions allowing them to book appointments with
   physicians, access laboratory test results, view educational resources,
   and renew prescriptions. The acceptance of the most popular e-health
   applications depended on the duration of disease, respondent's age and
   education, and his or her use of computers and the Internet.
   Conclusions:Patients suffering from chronic respiratory conditions
   demonstrate higher levels of acceptance of e-health applications such as
   appointment booking, prescription renewal, and access to information
   (laboratory test results, educational resources) than of solutions
   directly related to medical care (communication with healthcare
   providers, disease monitoring).
OI Duplaga, Mariusz/0000-0001-6963-8414
TC 29
Z8 0
ZR 0
ZS 1
ZB 5
ZA 0
Z9 30
U1 1
U2 25
SN 1530-5627
EI 1556-3669
UT WOS:000324056600007
PM 23734700
ER

PT J
AU Birr, Steven
   Moench, Jeanette
   Sommerfeld, Dirk
   Preim, Uta
   Preim, Bernhard
TI The LiverAnatomyExplorer A WebGL-Based Surgical Teaching Tool
SO IEEE COMPUTER GRAPHICS AND APPLICATIONS
VL 33
IS 5
BP 48
EP 58
DI 10.1109/MCG.2013.41
PD SEP-OCT 2013
PY 2013
RI Preim, Bernhard/E-8037-2015; Preim, Bernhard/AAF-6565-2021
OI Preim, Bernhard/0000-0001-9826-9478; 
ZR 0
ZS 0
ZB 1
TC 17
ZA 0
Z8 0
Z9 19
U1 0
U2 9
SN 0272-1716
UT WOS:000323877000008
PM 24808081
ER

PT J
AU Clairoux, Natalie
   Desbiens, Sylvie
   Clar, Monique
   Dupont, Patrice
   St-Jean, Monique
TI Integrating information literacy in health sciences curricula: a case
   study from Quebec
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 30
IS 3
BP 201
EP 211
DI 10.1111/hir.12025
PD SEP 2013
PY 2013
AB Objective To portray an information literacy programme demonstrating a
   high level of integration in health sciences curricula and a teaching
   orientation aiming towards the development of lifelong learning skills.
   The setting is a French-speaking North American university. Methods The
   offering includes standard workshops such as MEDLINE searching and
   specialised sessions such as pharmaceutical patents searching. A
   contribution to an international teaching collaboration in Haiti where
   workshops had to be thoroughly adapted to the clientele is also
   presented. Online guides addressing information literacy topics
   complement the programme. Results and evaluation A small team of
   librarians and technicians taught 276hours of library instruction (LI)
   during the 2011-2012 academic year. Methods used for evaluating
   information skills include scoring features of literature searches and
   user satisfaction surveys. Discussion Privileged contacts between
   librarians and faculty resulting from embedded LI as well as from active
   participation in library committees result in a growing reputation of
   library services across academic departments and bring forth
   collaboration opportunities. Sustainability and evolution of the LI
   programme is warranted by frequent communication with partners in the
   clinical field, active involvement in academic networks and health
   library associations, and reflective professional strategies.
RI Clairoux, Natalie/B-6762-2011; Dupont, Patrice/C-7761-2014; Clar, Monique/K-6060-2014
OI Clairoux, Natalie/0000-0002-6720-7415; Dupont,
   Patrice/0000-0003-3634-6858; Clar, Monique/0000-0001-8898-4478
ZR 0
ZA 0
Z8 0
ZS 0
TC 11
ZB 1
Z9 12
U1 1
U2 72
SN 1471-1834
EI 1471-1842
UT WOS:000325930900004
PM 23981021
ER

PT J
AU Senn, Heather
   Wilton, James
   Sharma, Malika
   Fowler, Shawn
   Tan, Darrell H. S.
TI Knowledge of and Opinions on HIV Preexposure Prophylaxis Among
   Front-Line Service Providers at Canadian AIDS Service Organizations
SO AIDS RESEARCH AND HUMAN RETROVIRUSES
VL 29
IS 9
BP 1183
EP 1189
DI 10.1089/aid.2013.0090
PD SEP 2013
PY 2013
AB Oral daily tenofovir/emtricitabine (Truvada) is approved in the United
   States for HIV preexposure prophylaxis (PrEP) but has generated
   controversy in the media and within HIV-affected communities. We
   conducted an online survey about PrEP-related knowledge, experience,
   opinions, and learning needs, and received 160 responses from service
   providers at Canadian AIDS Service Organizations. Respondents were
   cautiously optimistic about PrEP and 48.8% believed that PrEP warranted
   Health Canada approval. In multivariable logistic regression, support
   for PrEP approval was associated with more years working in HIV (odds
   ratio = 1.89 per decade, 95% CI = 1.10, 3.25), low baseline familiarity
   with PrEP (OR = 3.24, 95% CI = 1.01, 14.41), and knowing someone who had
   used PrEP (OR = 4.39, 95% CI = 1.28,15.08). Participants major concerns
   about PrEP were similar to those highlighted in other publications, and
   some issues specific to certain target populations were raised. Several
   participants (26.2%) had been asked about PrEP in the past year and
   10.6% knew of one or more Canadian who had used PrEP. Despite clients'
   interest, most participants thought that they (60.6%) or their
   organization (63.1%) did not have enough current knowledge about PrEP,
   highlighting the need for further education on this novel HIV prevention
   strategy.
OI Sharma, Malika/0000-0002-3729-4554; Wilton, James/0000-0002-2295-7511
ZA 0
TC 19
ZS 0
Z8 0
ZB 5
ZR 0
Z9 19
U1 0
U2 13
SN 0889-2229
UT WOS:000323372600001
PM 23731254
ER

PT J
AU Gould, Dinah
   Drey, Nicholas
TI Student nurses' experiences of infection prevention and control during
   clinical placements
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 41
IS 9
BP 760
EP 763
DI 10.1016/j.ajic.2013.01.025
PD SEP 2013
PY 2013
AB Background: Little is known about nursing students' experiences of
   infection control in the clinical setting despite its importance
   protecting patients and reducing risks of occupational exposure.
   Methods: We conducted an online survey involving a fixed choice
   Likert-type scale with 19 items and an open question to solicit more
   detailed information with a national sample of student nurses in the
   United Kingdom.
   Results: Four hundred eighty-eight student nurses completed
   questionnaires. All participants reported lack of compliance for every
   item on the Likert scale, most frequently from community settings and
   long-term care facilities for older people. Incidents most commonly
   witnessed were failure to comply with hand hygiene protocols, failure to
   comply with isolation precautions, poor standards of cleaning in the
   patient environment, not changing personal protective clothing between
   patients, and poor management of sharp instruments. Qualified nurses did
   not provide good role models. Medical staff were the occupational group
   most heavily criticized for poor compliance.
   Conclusion: Students demonstrated sound understanding of infection
   control and were able to identify lack of compliance on the basis of
   preclinical classroom instruction. The study findings indicate that
   ensuring safe infection control practice remains a challenge in the
   United Kingdom despite its high priority. Copyright (c) 2013 by the
   Association for Professionals in Infection Control and Epidemiology,
   Inc. Published by Elsevier Inc. All rights reserved.
RI Drey, Nicholas/P-9014-2019
OI Drey, Nicholas/0000-0003-0752-9049
ZA 0
ZR 0
ZB 1
TC 23
ZS 1
Z8 0
Z9 23
U1 0
U2 24
SN 0196-6553
EI 1527-3296
UT WOS:000323599600005
PM 23993761
ER

PT J
AU Svider, Peter F.
   Blake, Danielle M.
   Setzen, Michael
   Folbe, Adam J.
   Baredes, Soly
   Eloy, Jean Anderson
TI Rhinology fellowship training and its scholarly impact
SO AMERICAN JOURNAL OF RHINOLOGY & ALLERGY
VL 27
IS 5
BP E131
EP E134
DI 10.2500/ajra.2013.27.3947
PD SEP-OCT 2013
PY 2013
AB Background: Previous examination of the impact of fellowship training on
   scholarly productivity among otolaryngologists found that head and neck
   surgeons and otologists had a higher mean h-index than
   fellowship-trained rhinologists. Because fellowship training in
   rhinology is a historically newer trend, the objectives of the present
   analysis were to further characterize research productivity among
   fellowship-trained academic rhinologists, including geographic and
   temporal trends, to gain insight into the future direction of scholarly
   pursuits within the field.
   Methods: Fellowship-trained rhinologists in academic practices were
   identified from the American Rhinologic Society online listings and
   organized by academic rank, number of years in practice, location, and
   h-index, as calculated using the Scopus database.
   Results: Mean h-index rose with increasing years in practice after
   fellowship. The h-index, number of publications, and the E-factor (a
   newly described bibliometric) increased with successive academic rank.
   The E-factor for rhinologists in this current analysis was not
   statistically different from the values calculated for other
   otolaryngology subspecialties (p > 0.05).
   Conclusion: Fellowship-training in rhinology is a relatively recent
   development, with half of the academic rhinologists included in this
   analysis having completed fellowship training within the past 5 years.
   Scholarly productivity among academic rhinologists increases with
   academic seniority. As the current cohort of fellowship-trained
   rhinologists progress in their academic careers, previously described
   deficits in scholarly productivity relative to other subspecialties are
   expected to diminish.
ZR 0
TC 23
ZA 0
ZB 3
Z8 0
ZS 0
Z9 23
U1 0
U2 2
SN 1945-8924
EI 1945-8932
UT WOS:000326759700003
PM 24278993
ER

PT J
AU Ng, Victor K.
   Burke, Clarissa A.
   Narula, Archna
TI Residents as teachers Survey of Canadian family medicine residents
SO CANADIAN FAMILY PHYSICIAN
VL 59
IS 9
BP E421
EP E427
PD SEP 2013
PY 2013
AB Objective To examine Canadian family medicine residents' perspectives
   surrounding teaching opportunities and mentorship in teaching.
   Design A 16-question online survey.
   Setting Canadian family medicine residency programs.
   Participants Between May and June 2011, all first-and second-year family
   medicine residents registered in 1 of the 17 Canadian residency programs
   as of September 2010 were invited to participate. A total of 568 of 2266
   residents responded.
   Main outcome measures Demographic characteristics, teaching
   opportunities during residency, and resident perceptions about teaching.
   Results A total of 77.7% of family medicine residents indicated that
   they were either interested or highly interested in teaching as part of
   their future careers, and 78.9% of family medicine residents had had
   opportunities to teach in various settings. However, only 60.1% of
   respondents were aware of programs within residency intended to support
   residents as teachers, and 33.0% of residents had been observed during
   teaching encounters.
   Conclusion It appears that most Canadian family medicine residents have
   the opportunity to teach during their residency training. Many are
   interested in integrating teaching as part of their future career goals.
   Family medicine residencies should strongly consider programs to support
   and further develop resident teaching skills.
TC 7
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 7
U1 0
U2 3
SN 0008-350X
EI 1715-5258
UT WOS:000325558800004
PM 24029529
ER

PT J
AU Simkiss, D. E.
   Stallard, N.
   Thorogood, M.
TI A systematic literature review of the risk factors associated with
   children entering public care
SO CHILD CARE HEALTH AND DEVELOPMENT
VL 39
IS 5
BP 628
EP 642
DI 10.1111/cch.12010
PD SEP 2013
PY 2013
AB Children who enter public care are among the most vulnerable in society.
   In addition to services for their medical needs, a focus on identifying
   and intervening with families in need where children are at high risk of
   entering public care is a public health priority. This paper aims to
   identify the characteristics of children, their parents or their social
   circumstances which are associated with children entering public care.
   The databases searched were CSA Illumina, British Education Index,
   ChildData, CINAHL, Excerpta Medica, MEDLINE, the Campbell and Cochrane
   Collaborations, NHS Centre for Reviews and Dissemination, NHS Evidence,
   Social Care Online and TRIP; from start dates to 7 February 2011. A
   total of 6417 titles were reviewed. After review, 10 papers with cohort
   or case-control methodologies met the inclusion criteria and the
   included papers were appraised using questions from the Critical
   Appraisal Skills Programme to guide the critique of case-control and
   cohort studies. A narrative synthesis is used to describe the research
   identified. Socio-economic status, maternal age at birth, health risk
   factors and other factors including learning difficulties, membership of
   an ethnic minority group and single parenthood are described as risk
   factors associated with children entering public care. Health risk
   factors have been explored using databases developed for other purposes
   such as health insurance or hospital discharge. A number of risk factors
   for children entering public care are identified from the literature,
   some were culturally specific and may not generalize. The interaction
   between different risk factors needs testing in longitudinal data sets.
OI Stallard, Nigel/0000-0001-7781-1512
TC 37
ZS 0
ZR 0
Z8 0
ZB 8
ZA 0
Z9 37
U1 1
U2 76
SN 0305-1862
EI 1365-2214
UT WOS:000323150400002
PM 23210455
ER

PT J
AU Omurtag, Kenan
   Turek, Paul
TI Incorporating Social Media Into Practice: A Blueprint for Reproductive
   Health Providers
SO CLINICAL OBSTETRICS AND GYNECOLOGY
VL 56
IS 3
BP 463
EP 470
DI 10.1097/GRF.0b013e3182988cec
PD SEP 2013
PY 2013
AB Industries are quick to adopt online applications that consumers are
   using to attract attention to products or services. The adoption of
   social media among medical professionals, although slow, is an
   inexorable reality particularly in reproductive health, where patients
   typically use online resources to pursue their health concerns. On the
   basis of the literature and personal experience with social media in
   infertility care, we provide guidance for reproductive health
   practitioners on how to use social media effectively.
ZB 2
TC 8
Z8 0
ZA 0
ZS 0
ZR 0
Z9 8
U1 0
U2 13
SN 0009-9201
EI 1532-5520
UT WOS:000323230700006
PM 23722919
ER

PT J
AU Cosyns, Bernard
   Garbi, Madalina
   Separovic, Jadranka
   Pasquet, Agnes
   Lancellotti, Patrizio
CA European Assoc Cardiovasc Imaging
TI Update of the Echocardiography Core Syllabus of the European Association
   of Cardiovascular Imaging (EACVI)
SO EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING
VL 14
IS 9
BP 837
EP 839
DI 10.1093/ehjci/jet140
PD SEP 2013
PY 2013
AB The update of the Echocardiography Core Syllabus of European Association
   of Cardiovascular Imaging (EACVI) is now available online. The
   Echocardiography Core Syllabus enumerates the elements of knowledge to
   be taught, represents a framework for the development of local training
   curricula and provides expected learning outcomes to the
   echocardiography learner.
OI Garbi, Madalina/0000-0001-9520-8186
ZB 1
Z8 2
ZS 0
ZA 0
ZR 0
TC 53
Z9 55
U1 0
U2 7
SN 2047-2404
EI 2047-2412
UT WOS:000322953100001
PM 23867135
ER

PT J
AU Gardiner, Paula
   Filippelli, Amanda C.
   Lebensohn, Patricia
   Bonakdar, Robert
TI FAMILY MEDICINE RESIDENCY PROGRAM DIRECTORS ATTITUDES AND KNOWLEDGE OF
   FAMILY MEDICINE CAM COMPETENCIES
SO EXPLORE-THE JOURNAL OF SCIENCE AND HEALING
VL 9
IS 5
BP 299
EP 307
DI 10.1016/j.explore.2013.06.002
PD SEP-OCT 2013
PY 2013
AB Context: Little is known about the incorporation of integrative medicine
   (IM) and complementary and alternative medicine (CAM) into family
   medicine residency programs.
   Objective: The Society for Teachers of Family Medicine (STEM) approved a
   set of CAM/IM competencies for family medicine residencies. We hope to
   evaluate whether residency programs are implementing such competencies
   into their curriculum using an online survey tool. We also hope to
   assess the knowledge and attitudes of Residency Directors (RDs) on the
   CAM/IM competencies.
   Design: A survey was distributed by the Council of Academic Family
   Medicine (CAFM) Educational Research Alliance to RDs via e-mail The
   survey was distributed to 431 RDs. Of those who received it, 212
   responded, giving a response rate of 49.1%. Questions assessed the
   knowledge and attitudes of CAM/IM competencies and incorporation of
   CAM/IM into the residency curriculum.
   Results: Forty-five percent of RDs were aware of the competencies. In
   terms of RD attitudes, 58% reported that CAM/IM is an important
   component of residents' curriculum; yet, 60% report not having specific
   learning objectives for CAM/IM in their residency curriculum. Among all
   programs, barriers to CAM/IM implementation included time in residents'
   schedules (77%); faculty training (75%); access to CAM experts (43%);
   lack of reimbursement (43%); and financial resources (29%).
   Conclusions: While many RDs are aware of the STFM CAM/IM competencies
   and acknowledge their role in residence education, there are many
   barriers that prevent residencies from implementing the STFM CAM/IM
   competencies.
OI Gardiner, Paula/0000-0002-3663-000X
Z8 1
ZA 0
TC 8
ZB 0
ZR 0
ZS 1
Z9 9
U1 16
U2 42
SN 1550-8307
EI 1878-7541
UT WOS:000325300000008
PM 24021471
ER

PT J
AU Lebensohn, Patricia
   Dodds, Sally
   Benn, Rita
   Brooks, Audrey J.
   Birch, Michele
   Cook, Paula
   Schneider, Craig
   Sroka, Selma
   Waxman, Dael
   Maizes, Victoria
TI Resident Wellness Behaviors: Relationship to Stress, Depression, and
   Burnout
SO FAMILY MEDICINE
VL 45
IS 8
BP 541
EP 549
PD SEP 2013
PY 2013
AB BACKGROUND AND OBJECTIVES: Stress in medical education has been well
   documented, often with the primary focus on negative factors such as
   depression and burnout. Few studies have attempted to assess well-being
   mediating behaviors. This study describes the relationship between
   wellness behaviors and measures of well-being at the start of family
   medicine residency.
   METHODS: Using an online questionnaire, first-year family medicine
   residents (n=168) completed standardized measures exploring perceived
   stress, depression, satisfaction with life, and burnout. A lifestyle
   wellness behavior measure was developed for the study.
   RESULTS: Average reported perceived stress levels were consistent with
   ranges found for medical students and residents. Twenty-three percent of
   residents scored in a range consistent with depression risk. In terms of
   burnout risk, 13.7% scored in the high emotional exhaustion range and
   23.8% in the high depersonalization range. Two thirds reported high life
   satisfaction. Higher depersonalization and less time in nurturing
   relationships were associated with greater likelihood of medication use
   for sleep, mood, and anxiety in females. Higher alcohol use was
   associated with increased levels of perceived stress, burnout, and
   depression. The two wellness behaviors most associated with higher
   well-being were restful sleep and exercise.
   CONCLUSIONS: At the start of residency, well-being measures are
   consistent with findings in medical school. Restful sleep and exercise
   were associated with more positive well-being. Future longitudinal data
   analysis will help clarify the effect of residency training in
   well-being and lifestyle behaviors. Identification of protective factors
   and coping mechanisms could guide residencies in incorporating support
   services for residents.
ZS 3
Z8 1
ZR 0
ZA 0
ZB 10
TC 84
Z9 86
U1 0
U2 43
SN 0742-3225
EI 1938-3800
UT WOS:000324353500003
PM 24129866
ER

PT J
AU Pedro, Juliana
   Canavarro, Maria Cristina
   Boivin, Jacky
   Gameiro, Sofia
TI Positive experiences of patient-centred care are associated with
   intentions to comply with fertility treatment: findings from the
   validation of the Portuguese version of the PCQ-Infertility tool
SO HUMAN REPRODUCTION
VL 28
IS 9
BP 2462
EP 2472
DI 10.1093/humrep/det259
PD SEP 2013
PY 2013
AB Are positive experiences of different aspects of patient-centred care
   (PCC) associated with higher intentions to comply with fertility
   treatment?
   Positive experiences regarding information received, respect from staff
   about values and preferences, continuity in treatment and competence of
   staff are directly associated with higher compliance intentions, while
   positive experiences regarding accessibility to and involvement in the
   treatment and communication with staff are indirectly associated, via
   associations with less concerns about treatment.
   The quality of infertility services can influence patients intentions to
   comply with treatment. Patients cite negative care experiences as one of
   the main reasons why they discontinue treatment prematurely. Delivering
   PCC in routine infertility care is associated with higher quality of
   life and lower distress during treatment.
   In this cross-sectional study of 265 women and 83 men, we investigated
   first, the psychometric properties of the Portuguese version of the
   Patient-Centredness Questionnaire (PCQ)-Infertility tool, which assesses
   infertility PCC, and secondly, the associations between PCC and
   intentions to comply with treatment.
   Men and women undergoing fertility diagnostic investigation or treatment
   at Portuguese fertility clinics were recruited online and in clinical
   setting. Participants filled out a socio-demographic and fertility data
   file and other questionnaires to assess PCC (PCQ-Infertility),
   intentions to comply with treatment (FertiQoL Persistence Scale),
   wellbeing (Anxiety and Depression subscales of the BSI and FertiQoL),
   concerns about treatment (CART Scale) and treatment tolerability
   (FertiQoL Tolerability Domain).
   There were 265 women and 83 men who completed the questionnaires. The
   confirmatory factor analysis for the PCQ-Infertility indicated a good
   fit [X-2 479.097; P 0.001; comparative fit index 0.929; root mean square
   error of approximation 0.058 (0.0510.065)]. All PCQ-Infertility
   dimensions showed good internal consistency ( 0.70, excepting for
   organization: 0.57). Information provision, respect for patients values,
   continuity of care and competence of the team were directly associated
   with higher intentions to comply with treatment (r from 0.13 to 0.23).
   Greater accessibility, patient involvement and good communication were
   negatively associated with concerns about treatment (r from 0.14 to
   0.16) and less concerns were associated with higher intentions to comply
   with treatment (r from 0.14 to 0.15).
   Of the sample, 49 were recruited online. Patients recruited online had
   higher education and were more likely to be undergoing assisted
   reproduction treatment and this could have influenced the ratings of PCC
   reported. We did not account for treatment prognosis factors and/or
   doctor censuring and this may have resulted in underestimation of the
   strength of associations reported involving compliance intentions. The
   cross-sectional design of the study does not allow for cause and effect
   analysis between the study variables.
   To promote treatment compliance, clinics should allow patients to
   establish stable relationships with a reference doctor who is competent
   and respectful of their interests and values and who provides them with
   the information they need. Clinics can also alleviate their patients
   concerns regarding medical procedures by ensuring that these
   professionals are easily accessible, have good communication skills, and
   involve patients in the treatment process and associated
   decision-making. The Portuguese version of the PCQ-Infertility tool is
   valid and reliable.
   No external funding was either sought or obtained for this study and no
   competing interests are declared.
   NA.
RI Pedro, Juliana/S-6305-2019; Boivin, Jacky/A-1666-2010; Canavarro, Maria Cristina/A-9893-2013; Gameiro, Sofia/E-2866-2010
OI Pedro, Juliana/0000-0003-1959-4921; Boivin, Jacky/0000-0001-9498-1708;
   Canavarro, Maria Cristina/0000-0002-5083-7322; Gameiro,
   Sofia/0000-0003-2496-2004
ZR 0
ZB 10
ZA 0
TC 24
ZS 1
Z8 1
Z9 25
U1 1
U2 19
SN 0268-1161
EI 1460-2350
UT WOS:000323596400018
PM 23820421
ER

PT J
AU Gray, Kathleen
   Elliott, Kristine
   Wale, Janet
TI A community education initiative to improve using online health
   information: Participation and impact
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 38
IS 3
BP 171
EP 181
DI 10.3109/17538157.2012.705201
PD SEP 2013
PY 2013
AB The Internet has become a major source of health information for the
   general public and has the potential to influence health behaviours;
   however, most people lack the knowledge and skills to use it
   insightfully. This paper reports on the evaluation of a community
   education program, in which a team of clinicians and consumer
   representatives from a large metropolitan hospital partnered with a
   major public library to provide free interactive workshops for the
   general public. The aim of the workshops was to improve participants'
   ability to find and use evidence-based health information on the
   Internet. The aim of the evaluation reported here was to study
   participation in and impact of these workshops. Researchers administered
   pre- and post-workshop surveys to 89 members of the general public who
   participated in a workshop. This study found not only similarities in
   participants' pre-workshop use of online health information compared
   with population-level studies but also some interesting differences. The
   workshop was found to have an overall positive impact on changing the
   way participants intended to look for and use health information in the
   future, and on improving their knowledge about evidence-based health
   information, with 63.5% of respondents stating that they would use
   health information in the future to ask a doctor new questions. These
   findings offer important evidence of the need to plan nuanced health
   literacy education and information strategies for the general public.
RI Gray, Kathleen/AAI-9415-2020; Wale, Janet/AAI-7062-2020; Elliott, Kristine/
OI Gray, Kathleen/0000-0003-1616-2170; Elliott,
   Kristine/0000-0002-7599-0358
Z8 0
ZB 3
TC 5
ZA 0
ZS 0
ZR 0
Z9 5
U1 1
U2 53
SN 1753-8157
EI 1753-8165
UT WOS:000321371400001
PM 23324099
ER

PT J
AU Klemenc-Ketis, Zalika
   Kersnik, Janko
TI Seeking health advice on the Internet in patients with health problems:
   A cross-sectional population study in Slovenia
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 38
IS 3
BP 280
EP 290
DI 10.3109/17538157.2013.764306
PD SEP 2013
PY 2013
AB Aim: To determine the one-month prevalence of the seeking of web-based
   health information in the general adult population and to identify the
   symptoms associated with more frequent searching for information online.
   Methods: This was an observational cross-sectional study in a
   representative sample of 1,002 randomly selected Slovenian inhabitants.
   We used the method of computer-assisted telephone interviews. The
   questionnaire consisted of demographic questions, questions about the
   prevalence and duration of pre-selected symptoms in the past month,
   questions on the presence of chronic disease and a question about using
   the Internet for seeking health advice in the past month.
   Results: Among 774 respondents who reported having had symptoms in the
   past month, 25.8% of them reported seeking health information on the
   Internet. The factors found to be independently associated with the
   seeking of health information on the Internet were a younger age, a
   higher education level and the presence of constipation, irritability,
   fatigue, memory impairment and excessive sweating in the past month.
   Conclusions: The study showed that the Internet was a common source of
   health information in the general adult population, particularly used
   for symptoms which are common but not well defined and not associated
   with a particular disease.
RI Klemenc-Ketis, Zalika/V-6251-2019
OI Klemenc-Ketis, Zalika/0000-0002-0270-1754
ZA 0
ZR 0
TC 10
Z8 0
ZB 1
ZS 0
Z9 10
U1 0
U2 9
SN 1753-8157
EI 1753-8165
UT WOS:000321371400009
PM 23514043
ER

PT J
AU Andolsek, K.
   Rosenberg, M. T.
   Abdolrasulnia, M.
   Stowell, S. A.
   Gardner, A. J.
TI Complex cases in primary care: report of a CME-certified series
   addressing patients with multiple comorbidities
SO INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
VL 67
IS 9
BP 911
EP 917
DI 10.1111/ijcp.12175
PD SEP 2013
PY 2013
AB Aim: To assess whether participation in a series of continuing medical
   education-certified activities presenting complicated case scenarios
   resulted in evidence-based decision making for patients with chronic
   comorbid conditions. Methods: A series of interactive live workshops and
   online case studies presented evidence-based, practical information
   addressing the care of patients with multiple chronic diseases to
   primary care physicians. Clinical case vignettes were used to assess
   workshop participant knowledge and competence. Results were compared
   with those of matched non-participant controls. Online participants were
   surveyed to evaluate immediate knowledge gains from the activity.
   Results: Overall, physician workshop participants were 27% more
   knowledgeable of evidence-based treatment decisions. Participants were
   more likely to refer a patient with rheumatoid arthritis to a
   rheumatologist (57% vs. 36%; p=0.035) and showed better recognition of
   medications that can contribute to overactive bladder symptoms (36% vs.
   18%; p=0.043) compared with non-participant controls. Non-significant
   differences in favour of participants included evidence-based decisions
   regarding the management of osteoporosis, attention deficit
   hyperactivity disorder in adults and type 2 diabetes mellitus in
   adolescents. Online participants demonstrated significant knowledge
   gains (p<0.001) on 17 of 18 assessment questions across all therapeutic
   areas. Discussion: Chronic comorbid conditions afflict a sizable
   minority of patients. However, specific recommendations and education
   surrounding patient management are often overlooked because of the
   inherent difficulty of treating this group. Highly interactive
   educational activities can improve participant knowledge and competency
   in treating these patients by providing an opportunity to interact with
   faculty experts, receive immediate feedback and practice new skills.
   Conclusion: Interactive educational activities that discuss complicated
   case scenarios can improve participant application of evidence-based
   medicine for patients with multiple chronic comorbidities.
RI Andolsek, Kathryn/ABB-4457-2020; Andolsek, Kathryn/AAP-6370-2020
OI Andolsek, Kathryn/0000-0001-7994-3869
Z8 0
TC 5
ZS 0
ZR 0
ZB 1
ZA 0
Z9 5
U1 0
U2 6
SN 1368-5031
EI 1742-1241
UT WOS:000323164800014
PM 23952468
ER

PT J
AU Hoyle, Danielle
   Slater, Judith
   Williams, Chris
   Schmidt, Ulrike
   Wade, Tracey D.
TI Evaluation of a web-based skills intervention for carers of people with
   anorexia nervosa: A randomized controlled trial
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 46
IS 6
BP 634
EP 638
DI 10.1002/eat.22144
PD SEP 2013
PY 2013
AB Objective: To investigate the feasibility and usefulness of an online
   information and skills development intervention for carers of
   individuals with anorexia nervosa (AN) and individuals with AN.
   Method: Thirty-seven carers and seventeen individuals with AN were
   recruited; carers completed the intervention Overcoming Anorexia Online
   (OAO), with random allocation to receiving additional clinician guidance
   (OAO-G) or no guidance (OAO-NoG). Level of expressed emotion, distress,
   depressive symptoms, experience of caregiving, and impact of eating
   disorder symptoms were assessed in carers and perceptions of changes in
   their carers' expressed emotion were assessed in individuals with AN.
   Participants completed questionnaires at pre-intervention,
   post-intervention and 3-month follow-up.
   Results: Significant reductions were found for carer intrusiveness,
   negative experiences of caregiving, and the impact of starvation and
   guilt. Within group effect sizes suggested mixed findings with respect
   to whether greater benefits were conferred for carers receiving
   clinician guidance. Decreases in perceived intrusiveness of the carer by
   the individual with AN were associated with a large effect size.
   Discussion: Results demonstrate the feasibility and usefulness of an
   online intervention for carers. Further examination of the efficacy of
   the intervention for both carers and individuals with AN is warranted.
   (c) 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:634-638)
OI Wade, Tracey/0000-0003-4402-770X
Z8 0
ZS 0
ZA 0
ZB 2
TC 37
ZR 0
Z9 37
U1 0
U2 20
SN 0276-3478
EI 1098-108X
UT WOS:000323436800014
PM 23712500
ER

PT J
AU Tang, C. J.
   Chan, S. W.
   Zhou, W. T.
   Liaw, S. Y.
TI Collaboration between hospital physicians and nurses: An integrated
   literature review
SO INTERNATIONAL NURSING REVIEW
VL 60
IS 3
BP 291
EP 302
DI 10.1111/inr.12034
PD SEP 2013
PY 2013
AB Background: Ineffective physician-nurse collaboration has been shown to
   cause work dissatisfaction among physicians and nurses and compromised
   the quality of patient care.
   Aim: The review sought to explore: (1) attitudes of physicians and
   nurses toward physician-nurse collaboration; (2) factors affecting
   physician-nurse collaboration; and (3) strategies to improve
   physician-nurse collaboration.
   Methods: A literature search was conducted in the following databases:
   CINAHL, PubMed, Wiley Online Library and Scopus from year 2002 to 2012,
   to include papers that reported studies on physician-nurse collaboration
   in the hospital setting.
   Findings: Seventeen papers were included in this review. Three of the
   reviewed articles were qualitative studies and the other 14 were
   quantitative studies. Three key themes emerged from this review: (1)
   attitudes towards physician-nurse collaboration, where physicians viewed
   physician-nurse collaboration as less important than nurses but rated
   the quality of collaboration higher than nurses; (2) factors affecting
   physician-nurse collaboration, including communication, respect and
   trust, unequal power, understanding professional roles, and task
   prioritizing; and (3) improvement strategies for physician-nurse
   collaboration, involving inter-professional education and
   interdisciplinary ward rounds.
   Conclusion: This review has highlighted important aspects of
   physician-nurse collaboration that could be addressed by future research
   studies. These include: developing a comprehensive instrument to assess
   collaboration in greater depth; conducting rigorous intervention studies
   to evaluate the effectiveness of improvement strategies for
   physician-nurse collaboration; and examining the role of senior
   physicians and nurses in facilitating collaboration among junior
   physicians and nurses. Other implications include inter-professional
   education to empower nurses in making clinical decisions and putting in
   place policies to resolve workplace issues.
RI Chan, Sally Wai Chi/ABB-8520-2020
OI Chan, Sally Wai Chi/0000-0001-5484-4645
Z8 3
ZB 10
TC 109
ZS 1
ZR 0
ZA 0
Z9 112
U1 0
U2 68
SN 0020-8132
EI 1466-7657
UT WOS:000323317700006
PM 23961790
ER

PT J
AU Durning, Steven J.
   Ratcliffe, Temple
   Artino, Anthony R., Jr.
   van der Vleuten, Cees
   Beckman, Thomas J.
   Holmboe, Eric
   Lipner, Rebecca S.
   Schuwirth, Lambert
TI How Is Clinical Reasoning Developed, Maintained, and Objectively
   Assessed? Views from Expert Internists and Internal Medicine Interns
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 33
IS 4
BP 215
EP 223
DI 10.1002/chp.21188
PD SEP 2013
PY 2013
AB IntroductionThere is limited understanding of how clinical reasoning is
   developed, maintained, and objectively assessed. Using the theoretical
   lens of deliberate practice, we explored physicians' views on clinical
   reasoning. We compared responses from internists (faculty) and internal
   medicine interns, to identify potential qualitative and/or quantitative
   differences in how clinical reasoning is developed and maintained.
   MethodsParticipants' free-text comments regarding how clinical reasoning
   is developed, maintained, and objectively assessed were analyzed. Three
   investigators coded responses using a constant-comparative, grounded
   theory approach. We also compared the frequencies of each theme between
   the 2 groups.
   ResultsTwenty-two faculty and 17 interns participated in this study.
   Faculty and intern themes for how clinical reasoning is developed,
   maintained, and objectively assessed were similar, but quantitative and
   qualitative differences emerged. Interrater reliability of themes was
   high (overall kappa: 0.92; range: 0.88-0.98). Only experts (faculty)
   mentioned the value of teaching for development and maintenance of
   clinical reasoning. Interns focused on knowledge acquisition activities
   and use of online resources. Experts and intern participants both
   struggled with how to best measure clinical reasoning; direct
   observation was rarely mentioned as a strategy.
   DiscussionConsistent with our theoretical expectations, we found
   quantitative and qualitative differences in participants' responses,
   which have implications for teaching and assessment of clinical
   reasoning. By capturing the types of activities and their relative
   frequencies within and between these groups, this work adds to the
   deliberate practice literature.
RI Artino, Anthony R./A-7475-2009
OI Artino, Anthony R./0000-0003-2661-7853
TC 14
ZR 0
Z8 0
ZS 0
ZB 1
ZA 0
Z9 14
U1 0
U2 10
SN 0894-1912
EI 1554-558X
UT WOS:000328584300003
PM 24347100
ER

PT J
AU Li, Descartes
   Hall, Stephen E.
   Tong, Lowell D.
   Rollins, Mark D.
TI The Electroconvulsive Therapy and Anesthesia Exercise (ECTAE) The
   Creation of an Interdisciplinary Learning Activity for Medical Students
SO JOURNAL OF ECT
VL 29
IS 3
BP 214
EP 218
DI 10.1097/YCT.0b013e3182801b22
PD SEP 2013
PY 2013
AB Objectives: Demonstration of the effectiveness for medical student
   teaching of the electroconvulsive therapy (ECT) Yanesthesia exercise
   (ECTAE). The ECTAE is a self-directed, interdisciplinary (psychiatry and
   anesthesia) learning exercise. Students are taught the assessment of
   mood and cognition using structured interviewing methods (psychiatry),
   basic airway and pharmacologic management (anesthesia), and informed
   consent and interdisciplinary communication (both). There are online
   pre-exercise and postexercise assessments.
   Methods: Third-year medical students reviewed educational reference
   materials, participated in ECT clinical encounters with both psychiatry
   and anesthesia, and debriefed after completion of the interdisciplinary
   exercise. The impact of the exercise was evaluated through online pre-
   and postexercise assessments. Quantitative and qualitative results for 3
   student cohorts (2007 through 2010) were analyzed.
   Results: Thirty-eight students participated the study over 3 years. Mean
   scores for 21 true-false questions increased from 14.3 to 17.5 (n = 30)
   with P < 0.0001. Similarly, mean scores for 11 multiple choice questions
   increased from 6.8 to 8.9 (n = 22) with P < 0.0001. Thirty of 31
   students who completed the program evaluation reported greater comfort
   level discussing and recommending ECT after participation in ECTAE.
   Conclusions: The ECTAE is an effective learning activity for medical
   students, which incorporates cross-disciplinary learning objectives
   through self-directed exercises, online assessments, and actual clinical
   experience of ECT. It improves student knowledge of both psychiatry and
   anesthesia learning objectives, as well as increasing comfort about ECT.
   Further research could determine if this activity is easily
   transportable to other academic settings.
TC 3
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
Z9 3
U1 2
U2 6
SN 1095-0680
EI 1533-4112
UT WOS:000330362100022
PM 23377747
ER

PT J
AU Larkin, Helen
   Hitch, Danielle
   Watchorn, Valerie
   Ang, Susan
   Stagnitti, Karen
TI Readiness for interprofessional learning: a cross-faculty comparison
   between architecture and occupational therapy students
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 27
IS 5
BP 413
EP 419
DI 10.3109/13561820.2013.779233
PD SEP 2013
PY 2013
AB Health and wellbeing includes a need for built environments to
   accommodate and be inclusive of the broadest range of people and a
   corresponding need to ensure graduates are ready to engage in this field
   of interprofessional and inter-industry practise. All too often,
   interprofessional education in higher education is neglected with a
   tendency towards educational silos, particularly at a cross-faculty
   level. This paper reports on an initiative that embedded universal
   design practice education into the curricula of first year architecture
   and third year occupational therapy students and evaluated the impact on
   students' readiness for interprofessional learning. The Readiness for
   Interprofessional Learning Scale (RIPLS) was given to students at the
   beginning and end of the semester during which students participated in
   a variety of online and face-to-face curriculum initiatives. Results
   showed that at the beginning of semester, occupational therapy students
   were significantly more positive about interprofessional learning than
   their architecture counterparts. Post-results showed that this trend
   continued but that occupational therapy students became less positive on
   some items after the interprofessional learning experience. This study
   provides insights into the interprofessional learning experiences of a
   group of students who have not previously been studied within the
   available literature.
RI Hitch, Danielle/I-2546-2019; stagnitti, karen/; Ang, Susan/
OI Hitch, Danielle/0000-0003-2798-2246; stagnitti,
   karen/0000-0002-6215-3390; Ang, Susan/0000-0003-0180-584X
ZA 0
ZS 0
ZB 0
TC 6
ZR 0
Z8 0
Z9 6
U1 0
U2 21
SN 1356-1820
EI 1469-9567
UT WOS:000322779500011
PM 23914981
ER

PT J
AU Chittenden, Eva H.
   Anderson, Wendy G.
   Lai, Cindy J.
   O'Sullivan, Patricia
TI An Evaluation of Interactive Web-Based Curricula for Teaching Code
   Status Discussions
SO JOURNAL OF PALLIATIVE MEDICINE
VL 16
IS 9
BP 1070
EP 1073
DI 10.1089/jpm.2012.0611
PD SEP 1 2013
PY 2013
AB Background: Teaching resuscitation discussions to medical students and
   residents is time intensive and should be taught by teachers with
   competence in this area of clinical practice. There are plenty of data
   that these discussions are often inadequate, and that communication
   skills training, while time and faculty intensive, improves these
   conversations. The role of online instruction in teaching communication
   skills, such as resuscitation discussions, is not established.
   Objective: The study objective was to evaluate the effectiveness of an
   interactive online curriculum in teaching code status discussions to
   third-year medical students at one medical school. Design: In this study
   we block randomized third-year medical students to one of two web-based
   curricula versus a similar written curriculum and used standardized
   patient scores on a communication exercise to measure differences in
   performance. We used student surveys to measure student satisfaction
   with the curricula. Setting/subjects: Of 121 students participating in
   the study between April 2007 and March 2008, 88 were randomized to one
   of two website formats and 33 to the written curriculum. Measurements:
   We compared average scores on content and communication checklists
   between groups. Results: There were no differences between the three
   groups in the primary outcome of student performance. We could not
   analyze data on satisfaction with or completion rates for the three
   curricula due to poor response rates to the student surveys.
   Conclusions: This block randomized study of web-based curricula versus a
   written curriculum did not show differences in student performance in
   code status discussions. The optimal use of online communication
   training remains unclear and requires further investigation.
OI O'Sullivan, Patricia/0000-0002-8706-4095
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
TC 7
Z9 7
U1 1
U2 11
SN 1096-6218
EI 1557-7740
UT WOS:000324468400014
PM 23937063
ER

PT J
AU Dedy, Nicolas J.
   Zevin, Boris
   Bonrath, Esther M.
   Grantcharov, Teodor P.
TI Current Concepts of Team Training in Surgical Residency: A Survey of
   North American Program Directors
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 5
BP 578
EP 584
DI 10.1016/j.jsurg.2013.04.011
PD SEP-OCT 2013
PY 2013
AB OBJECTIVES: The purpose of the present survey was to (1) establish the
   prevalence of Crew Resource Management (CRM)- and team-training
   interventions among general surgery residency programs of the United
   States and Canada; (2) to characterize current approaches to training
   and assessment of nontechnical skills; and (3) to inquire about program
   directors' (PDs') recommendations for future curricula in graduate
   medical education.
   DESIGN: An online questionnaire was developed by the authors and
   distributed via email to the directors of all accredited general surgery
   residency programs across the United States and Canada. After 3 email
   reminders, paper versions were sent to all nonresponders.
   PARTICIPANTS AND SETTING: PDs of accredited general surgery residency
   programs in the United States and Canada.
   RESULTS: One hundred twenty (47%) PDs from the United States and 9 (53%)
   from Canada responded to the survey. Of all respondents, 32% (n = 40)
   indicated conducting designated team-training interventions for
   residents. Three main instructional strategies were identified: combined
   approaches using simulation and didactic methods (42%, n = 16);
   predominantly simulation-based approaches (37%, n = 14); and didactic
   approaches (21%, n = 8). Correspondingly, 83% (n = 93) of respondents
   recommended a combination of didactic methods and opportunities for
   practice for future curricula. A high agreement between responding PDs
   was shown regarding learning objectives for a proposed team-based
   training curriculum (alpha = 0.95).
   CONCLUSIONS: The self-reported prevalence of designated CRM- and
   team-training interventions among responding surgical residency programs
   was low. For the design of future curricula, the vast majority of
   responding PDs advocated for the combination of interactive didactic
   methods and opportunities for practice. ((c) 2013 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
RI Zevin, Boris/AAI-1994-2019; Dedy, Nicolas J./AAC-9163-2019
OI Dedy, Nicolas J./0000-0002-4654-3014
ZR 0
ZB 4
ZA 0
TC 9
ZS 0
Z8 0
Z9 9
U1 0
U2 14
SN 1931-7204
EI 1878-7452
UT WOS:000324784400005
PM 24016367
ER

PT J
AU Naeve-Velguth, Susan
   Christensen, Sara A.
   Woods, Suzanne
TI Simulated Patients in Audiology Education: Student Reports
SO JOURNAL OF THE AMERICAN ACADEMY OF AUDIOLOGY
VL 24
IS 8
BP 740
EP 746
DI 10.3766/jaaa.24.8.10
PD SEP 2013
PY 2013
AB Background: Despite increased attention in recent years to audiology
   counseling education, students remain concerned about their abilities to
   interact with patients in challenging situations, such as when breaking
   difficult news. Simulated patients, or actors trained to portray
   patients in clinical scenarios, have been used for many years in medical
   schools to teach and assess students' interpersonal skills, and are just
   beginning to be used in audiology programs. Although research suggests
   that medical students value simulated patient experiences, little is
   known about whether the same is true for audiology students.
   Purpose: The purpose of this study was to survey audiology students who
   had completed a simulated patient counseling experience as part of their
   graduate coursework at Central Michigan University, to learn about their
   experiences and views of this instructional format.
   Research Design: This study used descriptive and comparative statistics
   to report student observations and to determine if student responses to
   evaluative questions differed from chance.
   Study Sample: Study participants included 29 audiology students who had
   completed a "breaking difficult news" simulated patient experience as
   part of their required graduate coursework in patient counseling.
   Data Collection and Analysis: Participants completed an online survey
   that included seven evaluative five-point Likert-scale questions about
   their simulated patient counseling experience. Participants also
   completed one multiple-choice question on suggestions for future
   simulated-patient sessions.
   Results: For each of the seven evaluative questions, a majority of
   participants (76-100%) responded positively, agreeing or strongly
   agreeing that the experience was helpful to their learning. For each of
   these evaluative questions, a chi(2) analysis revealed that the
   distribution of positive (i.e., strongly agree and agree) to nonpositive
   (i.e., neutral, disagree, and strongly disagree) responses differed
   significantly from chance (p < .0001, df = 1). The results also
   indicated that when asked which of several suggested clinical scenarios
   would be helpful for future sessions, simulations of challenging patient
   types (i.e., hostile, rambling, and noncommunicative patients) were
   supported by most (62-90%) respondents.
   Conclusions: The results of the present study are consistent with
   findings of medical students' positive perceptions of simulated patient
   experiences as well as those previously reported for audiology students.
   Together, these data support the continued use of simulated patients as
   a method of instruction for audiology counseling education for breaking
   difficult news, and suggest a potential value of using simulated patient
   interactions for training counseling skills in other clinical situations
   and scenarios.
ZA 0
ZB 5
TC 10
ZS 1
Z8 0
ZR 0
Z9 10
U1 1
U2 13
SN 1050-0545
EI 2157-3107
UT WOS:000325666400010
PM 24131609
ER

PT J
AU Boutis, Kathy
   Pecaric, Martin
   Shiau, Maria
   Ridley, Jane
   Gladding, Sophie P.
   Andrews, John S.
   Pusic, Martin V.
TI A hinting strategy for online learning of radiograph interpretation by
   medical students
SO MEDICAL EDUCATION
VL 47
IS 9
BP 877
EP 887
DI 10.1111/medu.12182
PD SEP 2013
PY 2013
AB CONTEXT We examined whether a hint' manoeuvre increases the time novice
   medical learners spend on reviewing a radiograph, thereby potentially
   increasing their interpretation accuracy.
   METHODS Senior year medical students were recruited into a randomised
   control, three-arm, multicentre trial. Students reviewed an online
   50-case learning set that varied in degree of hint' intervention. The
   hint' was a dialogue box that appeared after a student submitted an
   answer, encouraging the student to re-evaluate their interpretation. The
   students in the control group received no hints. In the weak
   intervention group, students received hints' with 66% of their incorrect
   interpretations and 33% of those that were correct. In the strong
   intervention group, the incorrect interpretation hint frequency was 80%,
   whereas for correct responses it was 20%. All students completed a
   20-case post-test immediately and 2weeks after the 50 cases. The primary
   outcome was student performance on the immediate post-test, measured as
   the ability to discriminate between normal and abnormal films (dPrime).
   Secondary outcomes included the probability of considering the hint,
   time spent on learning cases and knowledge retention at 2weeks.
   RESULTS We enrolled 117 medical students from three sites into the three
   study groups: control (36), weak intervention (40) and strong
   intervention (41) groups. The mean (standard deviation) dPrime in the
   control, weak and strong groups were 0.4 (1.1), 0.7 (1.1) and 0.4 (0.9),
   respectively (P=0.4). In the weak and strong groups, participants
   reconsidered answers in 556 of 1944 (28.6%) hinting opportunities, and
   those who reconsidered their answers spent a mean (95% confidence
   interval) of 13.9 (11.9, 16.0) seconds longer on each case. There were
   no significant differences in knowledge retention at 2weeks between the
   groups (P=0.2).
   CONCLUSIONS Although the implemented hinting strategy did result in
   students spending more time considering a proportion of the cases,
   overall it was not effective in improving student performance.
RI Shiau, Maria/GQH-8481-2022; Andrews, John/
OI Andrews, John/0000-0002-2008-2686
TC 8
ZB 1
ZA 0
ZR 0
Z8 0
ZS 0
Z9 8
U1 0
U2 8
SN 0308-0110
EI 1365-2923
UT WOS:000322915600008
PM 23931537
ER

PT J
AU Dietrich, Christoph F.
   Rudd, Lynne
TI The EFSUMB website, a guide for better understanding
SO MEDICAL ULTRASONOGRAPHY
VL 15
IS 3
BP 215
EP 223
DI 10.11152/mu.2013.2066.153.cfd1lr2
PD SEP 2013
PY 2013
AB The aim of the paper is to introduce readers to EFSUMB's wide ranging
   activities which have embraced modern technology. The most recent is the
   Atlas www.efsumb-atlas.org primarily introduced to accompany the
   Elastography, CEUS Liver and Non Liver Guidelines but intended to expand
   to all areas to offer a database of images which can be freely
   downloaded. Hosting eBooks on our website is another new departure, most
   importantly the EFSUMB Course Book on Ultrasound which is also in a
   printed form but allowing chapters to be updated online, an online
   Student Edition of the ECB to be launched at EUROSON 2013. EFSUMB has
   been active with updating Guidelines; those mentioned above have all
   been revised or written in the last two years. The EFSUMB Newsletter in
   the EJU promotes our activities and topical articles intended to reach
   all our members with the mailing of Issue 1. The Case of the Month
   continues to be one of EFSUMB's most visited sites and in the last few
   years has been translated into seven different languages including
   Chinese. In conclusion this article aims to provide a guide to the
   website educational sites of the European Federation of Societies for
   Ultrasound in Medicine and Biology (EFSUMB).
RI Dietrich, Christoph/AAB-7514-2020
ZA 0
ZR 0
ZS 0
TC 30
Z8 0
ZB 12
Z9 30
U1 0
U2 9
SN 1844-4172
EI 2066-8643
UT WOS:000334023600008
PM 23979617
ER

PT J
AU Nagarkar, Purushottam A.
   Janis, Jeffrey E.
TI Fixing the Match: A Survey of Resident Behaviors
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 132
IS 3
BP 711
EP 719
DI 10.1097/PRS.0b013e31829ad2bb
PD SEP 2013
PY 2013
AB Background: The authors studied residency applicant attitudes toward
   rank list creation, communication with programs, and the impact of these
   factors on their performance in the Match.
   Methods: An anonymous, 26-question, multiple-choice, online survey was
   distributed to the program coordinators of every Accreditation Council
   for Graduate Medical Education-accredited program participating in the
   National Resident Matching Program for whom e-mail addresses were
   available. The survey addressed five areas: (1) demographics and
   interview characteristics, (2) preinterview and interview factors, (3)
   postinterview contact, (4) importance of various factors in rank list
   creation, and (5) Match outcome. Survey responses were analyzed with
   Microsoft Excel.
   Results: A total of 1179 responses were received. It was not possible to
   calculate a response rate, because the number of residents receiving the
   survey was not known. The majority of respondents (78 percent) reported
   postinterview contact with a program. A large portion of respondents (42
   percent) considered such contact to be important in the creation of
   their rank lists. Half of all respondents admitted to exaggerating their
   interest in a program during or after an interview. The majority of
   respondents (87.5 percent) received no assistance in covering the costs
   of second-look visits to programs.
   Conclusions: Applicants may be modifying their rank lists in response to
   post-interview contact from programs; furthermore, they usually have no
   assistance in paying for the cost of second looks. To level the playing
   field for students and programs alike, the authors propose that the
   National Resident Matching Program modify residency interview rules to
   (1) disallow any postinterview contact between programs and students,
   and (2) disallow second looks.
RI Janis, Jeffrey/W-6760-2019
OI Janis, Jeffrey/0000-0001-6103-4798
ZS 0
Z8 0
ZR 0
TC 23
ZB 7
ZA 0
Z9 23
U1 0
U2 2
SN 0032-1052
EI 1529-4242
UT WOS:000329984000059
PM 23676970
ER

PT J
AU Weiland, Tracey J.
   Marck, Claudia H.
   Jelinek, George A.
   Neate, Sandra L.
   Hickey, Bernadette B.
TI Attitudes of Australian emergency department clinicians toward organ and
   tissue donation: an analysis of cultural and religious influences
SO PROGRESS IN TRANSPLANTATION
VL 23
IS 3
BP 278
EP 289
DI 10.7182/pit2013511
PD SEP 2013
PY 2013
AB Objectives-To determine Australian emergency department clinicians'
   cultural and religious barriers to organ and tissue donation (OTD).
   Method-A national cross-sectional survey of physicians and nurses
   working in Australian emergency departments. An online questionnaire of
   133 items was delivered via e-mail.
   Results-Responses were received from 599 of 2969 (20%) physicians and
   212 of 1026 (21%) nurses. Respondents were generally representative of
   the colleges. Participants were from 26 cultures and 9 religious groups.
   Self-rated competence in OTD tasks was low for some minority groups:
   South American, Caribbean, and Pacific Islanders reported little
   competence in identifying, referring, and caring for potential donors,
   introducing OTD to families, and approaching distressed families. Those
   of Arabic, Jewish, North African, and Middle Eastern background reported
   low competence in referring and caring for potential donors and
   comforting distressed families. They reported low support for OTD after
   cardiac death, low familiarity with OTD processes after cardiac death,
   and poor familiarity with the coroner's process. Those of Southern Asian
   background reported low comfort in undertaking OTD processes, poor
   familiarity with the coroner's process, and low competence in caring for
   potential donors. Those of Islamic faith reported low competence in
   identifying potential donors, low support for OTD after cardiac death,
   and thought that the emergency department was an inappropriate location
   to identify potential donors. Those of Buddhist and Hindu faiths
   reported low competence in identifying potential donors. Respondent
   numbers for members of minority groups were low, thereby limiting the
   statistical accuracy of results.
   Conclusions-Among clinicians working in Australian emergency
   departments, religion and culture may be barriers to facilitating OTD in
   emergency departments because of the perceptions and attitudes held by
   particular religious and cultural groups. Improving access to education
   may address these differences. (C) 2013 NATCO, The Organization for
   Transplant Professionals
RI Weiland, Tracey/Y-2029-2018; Jelinek, George/; Marck, Claudia/
OI Weiland, Tracey/0000-0002-4053-5507; Jelinek,
   George/0000-0001-6157-0910; Marck, Claudia/0000-0002-3173-1522
ZA 0
Z8 0
TC 8
ZB 2
ZR 0
ZS 0
Z9 8
U1 0
U2 10
SN 1526-9248
EI 2164-6708
UT WOS:000344983400013
PM 23996949
ER

PT J
AU Ibrahim, Ahmed K.
   Kelly, Shona J.
   Glazebrook, Cris
TI Socioeconomic status and the risk of depression among UK higher
   education students
SO SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
VL 48
IS 9
BP 1491
EP 1501
DI 10.1007/s00127-013-0663-5
PD SEP 2013
PY 2013
AB Many university students experience some symptoms of depression during
   the course of their studies but there is evidence that students from
   less advantaged backgrounds may be more vulnerable.
   The study was a cross-sectional online survey of 923 undergraduate
   students attending 6 UK Universities in the academic year 2009-2010 who
   completed a modified version of the Zagazig Depression Scale (ZDS).
   Overall, 58.1 % of female and 59.9 % of male study participants screened
   positive for depression (ZDS score > 10). In the fully adjusted model,
   final year students (OR = 1.8) who lived in a more deprived area (OR =
   2.3) were more likely to report higher rates of depressive symptoms.
   Additionally, students with high perceived control (OR = 1.6) whose
   mothers were highly educated (OR = 0.5) and from a family of a high
   affluence (OR = 0.3) were less likely to suffer from higher rates of
   depressive symptoms. The relationship between lower social economic
   status and depression was partly mediated by low sense of control.
   Students from less advantaged backgrounds are more at risk of depression
   but a strong sense of control over one's life may be protective.
   Since depression has strong impact on students' learning and quality of
   life universities should consider confidential screening for mental
   health problems and provide additional support for students.
RI Kelly, Shona J./D-1815-2010; Ibrahim, Ahmed Mohamed Khair Shabib/I-3190-2019; Ibrahim, Ahmed/A-5733-2013; Ibrahim, Ahmed/; Glazebrook, Cristine/
OI Kelly, Shona J./0000-0003-4002-048X; Ibrahim, Ahmed Mohamed Khair
   Shabib/0000-0002-2286-7188; Ibrahim, Ahmed/0000-0001-7038-217X;
   Glazebrook, Cristine/0000-0002-7459-9445
Z8 0
TC 34
ZB 7
ZS 1
ZA 0
ZR 0
Z9 34
U1 2
U2 67
SN 0933-7954
EI 1433-9285
UT WOS:000323290200014
PM 23412652
ER

PT J
AU Turvey, Carolyn
   Coleman, Mirean
   Dennison, Oran
   Drude, Kenneth
   Goldenson, Mark
   Hirsch, Phil
   Jueneman, Robert
   Kramer, Greg M.
   Luxton, David D.
   Maheu, Marlene M.
   Malik, Tania S.
   Mishkind, Matt C.
   Rabinowitz, Terry
   Roberts, Lisa J.
   Sheeran, Thomas
   Shore, Jay H.
   Shore, Peter
   van Heeswyk, Frank
   Wregglesworth, Brian
   Yellowlees, Peter
   Zucker, Murray L.
   Krupinski, Elizabeth A.
   Bernard, Jordana
TI ATA Practice Guidelines for Video-Based Online Mental Health Services
SO TELEMEDICINE AND E-HEALTH
VL 19
IS 9
BP 722
EP 730
DI 10.1089/tmj.2013.9989
PD SEP 1 2013
PY 2013
OI Luxton, David/0000-0002-8234-0011; Turvey, Carolyn/0000-0002-8219-8676
ZA 0
ZR 0
Z8 1
ZB 8
ZS 2
TC 82
Z9 84
U1 1
U2 10
SN 1530-5627
EI 1556-3669
UT WOS:000324056600014
PM 23909884
ER

PT J
AU Lamb, Christopher R.
   Dale, Vicki H. M.
TI APPROACHES TO INSPECTING COMPUTED TOMOGRAPHIC AND MAGNETIC RESONANCE
   STUDIES
SO VETERINARY RADIOLOGY & ULTRASOUND
VL 54
IS 5
BP 478
EP 488
DI 10.1111/vru.12064
PD SEP 2013
PY 2013
AB There is a need to better understand how to optimally inspect large
   image datasets. The aim of the present study was to complement
   experimental studies of visual perception by using an online
   questionnaire to collect opinions of practicing veterinary radiologists
   about the approaches they use when inspecting clinical computed X-ray
   tomography (CT) and/or magnetic resonance (MR) studies, and to test
   associations between radiologist's approaches and their training,
   experience, or caseload. Questionnaires were received from 90/454 (20%)
   American College of Veterinary Radiology (ACVR) Diplomates and 58/156
   (37%) European College of Veterinary Diagnostic Imaging (ECVDI)
   Diplomates, providing 139 complete responses for CT studies and 116 for
   MR. Questionnaire responses differed for the following variables:
   specialty college, years since Board Certification, CT and MR caseload,
   and type of practice. ACVR Diplomates more frequently inspected multiple
   anatomic structures in CT and MR images before moving on to the next
   image, and ECVDI Diplomates more frequently inspected a specific
   anatomic structure through a series, then went back and checked another
   structure. A significant number of radiologists indicated that they
   initially ignore the history, adopt relatively rigid search patterns
   with emphasis on viewing images in a predetermined order with minimal
   deviation, and arrange series of images to facilitate comparisons
   between images, such as pre- and postcontrast images. Radiologists
   tended to adopt similar approaches for both CT and MR studies. Findings
   from this study could be used as foci for teaching novices how to
   approach large imaging studies, and provide guidance for case-based
   assessment of trainees. (C) 2013 Veterinary Radiology & Ultrasound.
RI Lamb, Christopher R./G-3963-2014; Dale, Vicki/AAG-2616-2019; Dale, Vicki Harcus Morgan/
OI Dale, Vicki Harcus Morgan/0000-0001-6623-7412
Z8 0
ZS 0
ZR 0
ZA 0
ZB 1
TC 3
Z9 3
U1 0
U2 10
SN 1058-8183
EI 1740-8261
UT WOS:000324090300004
PM 23763448
ER

PT J
AU Balas, Michele C.
   Burke, William J.
   Gannon, David
   Cohen, Marlene Z.
   Colburn, Lois
   Bevil, Catherine
   Franz, Doug
   Olsen, Keith M.
   Ely, E. Wesley
   Vasilevskis, Eduard E.
TI Implementing the Awakening and Breathing Coordination, Delirium
   Monitoring/Management, and Early Exercise/Mobility Bundle into Everyday
   Care: Opportunities, Challenges, and Lessons Learned for Implementing
   the ICU Pain, Agitation, and Delirium Guidelines
SO CRITICAL CARE MEDICINE
VL 41
IS 9
BP S116
EP S127
DI 10.1097/CCM.0b013e3182a17064
SU 1
PD SEP 2013
PY 2013
AB Objective: The awakening and breathing coordination, delirium
   monitoring/management, and early exercise/mobility bundle is an
   evidence-based interprofessional multicomponent strategy for minimizing
   sedative exposure, reducing duration of mechanical ventilation, and
   managing ICU-acquired delirium and weakness. The purpose of this study
   was to identify facilitators and barriers to awakening and breathing
   coordination, delirium monitoring/management, and early
   exercise/mobility bundle adoption and to evaluate the extent to which
   bundle implementation was effective, sustainable, and conducive to
   dissemination.
   Design: Prospective, before-after, mixed-methods study.
   Setting: Five adult ICUs, one step-down unit, and a special care unit
   located in a 624-bed academic medical center
   Subjects: Interprofessional ICU team members at participating
   institution.
   Interventions and Measurements: In collaboration with the participating
   institution, we developed, implemented, and refined an awakening and
   breathing coordination, delirium monitoring/management, and early
   exercise/mobility bundle policy. Over the course of an 18-month period,
   all ICU team members were offered the opportunity to participate in
   numerous multimodal educational efforts. Three focus group sessions,
   three online surveys, and one educational evaluation were administered
   in an attempt to identify facilitators and barriers to bundle adoption.
   Main Results: Factors believed to facilitate bundle implementation
   included: 1) the performance of daily, interdisciplinary, rounds; 2)
   engagement of key implementation leaders; 3) sustained and diverse
   educational efforts; and 4) the bundle's quality and strength. Barriers
   identified included: 1) intervention-related issues (e. g., timing of
   trials, fear of adverse events), 2) communication and care coordination
   challenges, 3) knowledge deficits, 4) workload concerns, and 5)
   documentation burden. Despite these challenges, participants believed
   implementation ultimately benefited patients, improved interdisciplinary
   communication, and empowered nurses and other ICU team members.
   Conclusions: In this study of the implementation of the awakening and
   breathing coordination, delirium monitoring/management, and early
   exercise/mobility bundle in a tertiary care setting, clear factors were
   identified that both advanced and impeded adoption of this complex
   intervention that requires interprofessional education, coordination,
   and cooperation. Focusing on these factors preemptively should enable a
   more effective and lasting implementation of the bundle and better care
   for critically ill patients. Lessons learned from this study will also
   help healthcare providers optimize implementation of the recent ICU
   pain, agitation, and delirium guidelines, which has many similarities
   but also some important differences as compared with the awakening and
   breathing coordination, delirium monitoring/management, and early
   exercise/mobility bundle.
RI Ely, E. Wesley/Z-2018-2019; Balas, Michele Christina/C-6683-2014; Vasilevskis, Eduard/AAA-3065-2019; Franz, Douglas/
OI Ely, E. Wesley/0000-0003-3957-2172; Vasilevskis,
   Eduard/0000-0001-8165-5321; Franz, Douglas/0000-0001-8971-7400
ZR 0
ZB 18
TC 146
ZA 0
Z8 8
ZS 3
Z9 156
U1 2
U2 53
SN 0090-3493
EI 1530-0293
UT WOS:000331152200010
PM 23989089
ER

PT J
AU King, Alice
   Sharma-Crawford, Ian
   Shaaban, Aimen F.
   Inge, Thomas H.
   Crombleholme, Timothy M.
   Warner, Brad W.
   Lovvorn, Harold N., III
   Keswani, Sundeep G.
TI The pediatric surgeon's road to research independence: utility of
   mentor-based National Institutes of Health grants
SO JOURNAL OF SURGICAL RESEARCH
VL 184
IS 1
BP 66
EP 70
DI 10.1016/j.jss.2013.03.050
PD SEP 2013
PY 2013
AB Background: The current research environment for academic surgeons
   demands that extramural funding be obtained. Financial support from the
   National Institutes of Health (NIH) is historically the gold standard
   for funding in the biomedical research community, with the R01 funding
   mechanism viewed as indicator of research independence. The NIH also
   supports a mentor-based career development mechanism (K-series awards)
   in order to support early-stage investigators. The goal of this study
   was to investigate the grants successfully awarded to pediatric
   surgeon-scientists and then determine the success of the K-series award
   recipients at achieving research independence.
   Methods: In July 2012, all current members of the American Pediatric
   Surgery Association (APSA) were queried in the NIH database from
   1988-2012 through the NIH Research Portfolio Online Reporting Tools. The
   following factors were analyzed: type of grant, institution, amount of
   funding, and funding institute or center.
   Results: Among current APSA members, there have been 83 independent
   investigators receiving grants, representing 13% of the current APSA
   membership, with 171 independent grants funded through various
   mechanisms. Six percent currently have active NIH funding, with $7.2
   million distributed in 2012. There have been 28 K-series grants awarded.
   Of the recipients of expired K08 awards, 39% recipients were
   subsequently awarded an R01 grant. A total of 63% of these K-awarded
   investigators transitioned to an independent NIH award mechanism.
   Conclusions: Pediatric surgeon-scientists successfully compete for NIH
   funding. Our data suggest that although the K-series funding mechanism
   is not the only path to research independence, over half of the
   pediatric surgeons who receive a K-award are successful in the
   transition to independent investigator. (C) 2013 Elsevier Inc. All
   rights reserved.
RI Crombleholme, Timothy/Y-1477-2019; Inge, Thomas/AAG-3372-2020; Shaaban, Aimen/
OI Inge, Thomas/0000-0001-7782-1112; Shaaban, Aimen/0000-0002-9459-107X
ZA 0
ZS 0
Z8 0
ZR 0
TC 23
ZB 8
Z9 23
U1 0
U2 4
SN 0022-4804
UT WOS:000323609400012
PM 23582227
ER

PT J
AU Ramaswamy, Ravishankar
TI How to Teach Medication Management: A Review of Novel Educational
   Materials in Geriatrics
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 61
IS 9
BP 1598
EP 1601
DI 10.1111/jgs.12404
PD SEP 2013
PY 2013
AB Medication management is an important component of medical education,
   particularly in the field of geriatrics. The Association of American
   Medical Colleges has put forth 26 minimum geriatrics competencies under
   eight domains for graduating medical students; medication management is
   one of these domains. The Portal of Geriatric Online education
   (www.POGOe.org) is an online public repository of geriatrics educational
   materials and modules developed by geriatrics educators and academicians
   in the United States, freely available for use by educators and learners
   in the field. The three POGOe materials presented in this review
   showcase pearls of medication management for medical and other
   professional students in novel learning formats that can be administered
   without major prior preparation. The review compares and contrasts the
   three materials in descriptive and tabular formats to enable its
   appropriate use by educators in promoting self-learning or group
   learning among their learners.
RI Ramaswamy, Ravishankar/I-2789-2019; Ramaswamy, Ravishankar/
OI Ramaswamy, Ravishankar/0000-0001-5253-9508
ZR 0
ZB 1
Z8 0
ZS 0
TC 5
ZA 0
Z9 5
U1 1
U2 4
SN 0002-8614
EI 1532-5415
UT WOS:000324307200021
PM 23888871
ER

PT J
AU Gorospe, Emmanuel C.
   Oxentenko, Amy S.
TI Preprocedural Considerations in Gastrointestinal Endoscopy
SO MAYO CLINIC PROCEEDINGS
VL 88
IS 9
BP 1010
EP 1016
DI 10.1016/j.mayocp.2013.06.002
PD SEP 2013
PY 2013
AB Target Audience: The target audience for Mayo Clinic Proceedings is
   primarily internal medicine physicians and other clinicians who wish to
   advance their current knowledge of clinical medicine and who wish to
   stay abreast of advances in medical research.
   Statement of Need: General internists and primary care physicians must
   maintain an extensive knowledge base on a wide variety of topics
   covering all body systems as well as common and uncommon disorders. Mayo
   Clinic Proceedings aims to leverage the expertise of its authors to help
   physicians understand best practices in diagnosis and management of
   conditions encountered in the clinical setting.
   Accreditation: College of Medicine, Mayo Clinic is accredited by the
   Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians.
   Credit Statement: College of Medicine, Mayo Clinic designates this
   journal-based CME activity for a maximum of 1.0 AMA PRA Category 1
   Credit(s).(TM) Physicians should claim only the credit commensurate with
   the extent of their participation in the activity.
   Learning Objectives: On completion of this article, you should be able
   to (1) manage anticoagulation and antiplatelet therapy for endoscopic
   procedures, (2) state the indications for prophylactic antibiotics in
   endoscopic procedures, (3) describe which patients may require
   anesthesia-assisted sedation for endoscopy, and (4) recommend optimal
   bowel preparation in colonoscopy.
   Disclosures: As a provider accredited by ACCME, College of Medicine,
   Mayo Clinic (Mayo School of Continuous Professional Development) must
   ensure balance, independence, objectivity, and scientific rigor in its
   educational activities. Course Director(s), Planning Committee members,
   faculty, and all others who are in a position to control the content of
   this educational activity are required to disclose all relevant
   financial relationships with any commercial interest related to the
   subject matter of the educational activity. Safeguards against
   commercial bias have been put in place. Faculty also will disclose any
   off-label and/or investigational use of pharmaceuticals or instruments
   discussed in their presentation. Disclosure of this information will be
   published in course materials so that those participants in the activity
   may formulate their own judgments regarding the presentation. In their
   editorial and administrative roles, William L. Lanier, Jr, MD, Terry L.
   Jopke, Kimberly D. Sankey, and Nicki M. Smith, MPA, have control of the
   content of this program but have no relevant financial relationship(s)
   with industry. The authors report no competing interests.
   Method of Participation: In order to claim credit, participants must
   complete the following:
   1. Read the activity.
   2. Complete the online CME Test and Evaluation. Participants must
   achieve a score of 80% on the CME Test. One retake is allowed.
   Participants should locate the link to the activity desired at
   http://bit.ly/16XoGdW. On successful completion of the online test and
   evaluation, you can instantly download and print your certificate of
   credit.
   Estimated Time: The estimated time to complete each article is
   approximately 1 hour.
   Hardware/Software: PC or MAC with Internet access.
   Date of Release: 9/1/2013
   Expiration Date: 8/31/2015 (Credit can no longer be offered after it has
   passed the expiration date.)
   Privacy Policy: http://www.mayoclinic.org/global/privacy.html
   Questions? Contact dletcsupport@mayo.edu.
ZS 0
ZR 0
ZA 0
Z8 1
ZB 2
TC 8
Z9 9
U1 0
U2 5
SN 0025-6196
EI 1942-5546
UT WOS:000324334200017
PM 24001493
ER

PT J
AU Wong, Victor W.
   Gurtner, Geoffrey C.
   Longaker, Michael T.
TI Wound Healing: A Paradigm for Regeneration
SO MAYO CLINIC PROCEEDINGS
VL 88
IS 9
BP 1022
EP 1031
DI 10.1016/j.mayocp.2013.04.012
PD SEP 2013
PY 2013
AB Target Audience: The target audience for Mayo Clinic Proceedings is
   primarily internal medicine physicians and other clinicians who wish to
   advance their current knowledge of clinical medicine and who wish to
   stay abreast of advances in medical research.
   Statement of Need: General internists and primary care physicians must
   maintain an extensive knowledge base on a wide variety of topics
   covering all body systems as well as common and uncommon disorders. Mayo
   Clinic Proceedings aims to leverage the expertise of its authors to help
   physicians understand best practices in diagnosis and management of
   conditions encountered in the clinical setting.
   Accreditation: College of Medicine, Mayo Clinic is accredited by the
   Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians.
   Credit Statement: College of Medicine, Mayo Clinic designates this
   journal-based CME activity for a maximum of 1.0 AMA PRA Category 1
   Credit(s).(TM) Physicians should claim only the credit commensurate with
   the extent of their participation in the activity.
   Learning Objectives: On completion of this article, you should be able
   to (1) describe noncellular components of the wound environment that
   contribute to cutaneous tissue repair, (2) distinguish between different
   types of skin stem cells and their respective niches, and (3) describe
   how mechanical forces influence wound repair on the tissue, cellular,
   and molecular levels.
   Disclosures: As a provider accredited by ACCME, College of Medicine,
   Mayo Clinic (Mayo School of Continuous Professional Development) must
   ensure balance, independence, objectivity, and scientific rigor in its
   educational activities. Course Director(s), Planning Committee members,
   faculty, and all others who are in a position to control the content of
   this educational activity are required to disclose all relevant
   financial relationships with any commercial interest related to the
   subject matter of the educational activity. Safeguards against
   commercial bias have been put in place. Faculty also will disclose any
   off-label and/or investigational use of pharmaceuticals or instruments
   discussed in their presentation. Disclosure of this information will be
   published in course materials so that those participants in the activity
   may formulate their own judgments regarding the presentation.
   In their editorial and administrative roles, William L. Lanier, Jr, MD,
   Terry L. Jopke, Kimberly D. Sankey, and Nicki M. Smith, MPA, have
   control of the content of this program but have no relevant financial
   relationship(s) with industry. The authors report no competing
   interests.
   Method of Participation: In order to claim credit, participants must
   complete the following:
   1. Read the activity.
   2. Complete the online CME Test and Evaluation. Participants must
   achieve a score of 80% on the CME Test. One retake is allowed.
   Participants should locate the link to the activity desired at
   http://bit.ly/18YvD0B. Upon successful completion of the online test and
   evaluation, you can instantly download and print your certificate of
   credit.
   Estimated Time: The estimated time to complete each article is
   approximately 1 hour.
   Hardware/Software: PC or MAC with Internet access.
   Date of Release: 08/01/2013
   Expiration Date: 07/31/2015 (Credit can no longer be offered after it
   has passed the expiration date.)
   Privacy Policy: http://www.mayoclinic.org/global/privacy.html
   Questions? Contact dletcsupport@ mayo.edu.
ZA 0
ZS 2
ZR 0
TC 51
Z8 3
ZB 30
Z9 56
U1 0
U2 45
SN 0025-6196
EI 1942-5546
UT WOS:000324334200019
PM 24001495
ER

PT J
AU Hallas, Peter
   Brabrand, Mikkel
   Folkestad, Lars
TI Complication with intraosseous access: scandinavian users' experience.
SO The western journal of emergency medicine
VL 14
IS 5
BP 440
EP 3
DI 10.5811/westjem.2013.1.12000
PD 2013-Sep
PY 2013
AB INTRODUCTION: Intraosseous access (IO) is indicated if vascular access
   cannot be quickly established during resuscitation. Complication rates
   are estimated to be low, based on small patient series, model or cadaver
   studies, and case reports. However, user experience with IO use in
   real-life emergency situations might differ from the results in the
   controlled environment of model studies and small patient series. We
   performed a survey of IO use in real-life emergency situations to assess
   users' experiences of complications.
   METHODS: An online questionnaire was sent to Scandinavian emergency
   physicians, anesthesiologists and pediatricians.
   RESULTS: 1,802 clinical cases of IO use was reported by n=386
   responders. Commonly reported complications with establishing IO access
   were patient discomfort/pain (7.1%), difficulties with penetration of
   periosteum with IO needle (10.3%), difficulties with aspiration of bone
   marrow (12.3%), and bended/broken needle (4.0%). When using an
   established IO access the reported complications were difficulties with
   injection fluid and drugs after IO insertion (7.4%), slow infusion
   (despite use of pressure bag) (8.8%), displacement after insertion
   (8.5%), and extravasation (3.7%). Compartment syndrome and osteomyelitis
   occurred in 0.6% and 0.4% of cases respectively.
   CONCLUSION: In users' recollection of real-life IO use, perceived
   complications were more frequent than usually reported from model
   studies. The perceived difficulties with using IO could affect the
   willingness of medical staff to use IO. Therefore, user experience
   should be addressed both in education of how to use, and research and
   development of IOs.
RI Folkestad, Lars/K-3181-2015; Folkestad, Lars/X-5774-2019; Hallas, Peter/; Brabrand, Mikkel/F-7276-2011
OI Folkestad, Lars/0000-0001-6266-6439; Folkestad,
   Lars/0000-0001-6266-6439; Hallas, Peter/0000-0001-7659-9724; Brabrand,
   Mikkel/0000-0002-3340-8251
ZA 0
ZB 5
ZR 0
ZS 0
Z8 0
TC 27
Z9 27
U1 0
U2 2
SN 1936-900X
UT MEDLINE:24106537
PM 24106537
ER

PT J
AU Otsuka, Shelley H.
   Tayal, Neeraj H.
   Porter, Kyle
   Embi, Peter J.
   Beatty, Stuart J.
TI Improving Herpes Zoster Vaccination Rates Through Use of a Clinical
   Pharmacist and a Personal Health Record
SO AMERICAN JOURNAL OF MEDICINE
VL 126
IS 9
DI 10.1016/j.amjmed.2013.02.018
PD SEP 2013
PY 2013
AB BACKGROUND: Preventative health services, including herpes zoster
   vaccination rates, remain low despite known benefits. A new care model
   to improve preventative health services is warranted. The objective of
   this study is to investigate whether the functions of an electronic
   medical record, in combination with a pharmacist as part of the care
   team, can improve the herpes zoster vaccination rate.
   METHODS: This study was a 6-month, randomized controlled trial at a
   General Internal Medicine clinic at The Ohio State University. The 2589
   patients aged 60 years and older without documented herpes zoster
   vaccination in the electronic medical record were stratified on the
   basis of activated personal health record status, an online tool used to
   share health information between patient and provider. Of the 674
   personal health record users, 250 were randomized to receive information
   regarding the herpes zoster vaccination via an electronic message and
   424 were randomized to standard of care. Likewise, of the 1915
   nonpersonal health record users, 250 were randomized to receive the same
   information via the US Postal Service and 1665 were randomized to
   standard of care. After pharmacist chart review, eligible patients were
   mailed a herpes zoster vaccine prescription. Herpes zoster vaccination
   rates were compared by chi-square tests.
   RESULTS: Intervention recipients had significantly higher vaccination
   rates than controls in both personal health record (relative risk, 2.7;
   P = .0007) and nonpersonal health record (relative risk, 2.9; P = .0001)
   patient populations.
   CONCLUSIONS: Communication outside of face-to-face office visits, by
   both personal health record electronic message and information by mail,
   can improve preventative health intervention rates compared with
   standard care. (C) 2013 Elsevier Inc. All rights reserved.
RI Embi, Peter J/E-3030-2011; Embi, Peter/AAF-2740-2021; Beatty, Stuart/
OI Embi, Peter/0000-0002-7733-0847; Beatty, Stuart/0000-0001-8709-4588
TC 12
ZS 0
ZA 0
ZB 5
ZR 0
Z8 0
Z9 12
U1 0
U2 16
SN 0002-9343
EI 1555-7162
UT WOS:000324046500025
PM 23830534
ER

PT J
AU Zhang, Jin
   Zhao, Yiming
TI A user term visualization analysis based on a social question and answer
   log
SO INFORMATION PROCESSING & MANAGEMENT
VL 49
IS 5
BP 1019
EP 1048
DI 10.1016/j.ipm.2013.04.003
PD SEP 2013
PY 2013
AB The authors of this paper investigate terms of consumers' diabetes based
   on a log from the Yahoo!Answers social question and answers (Q&A) forum,
   ascertain characteristics and relationships among terms related to
   diabetes from the consumers' perspective, and reveal users' diabetes
   information seeking patterns. In this study, the log analysis method,
   data coding method, and visualization multiple-dimensional scaling
   analysis method were used for analysis. The visual analyses were
   conducted at two levels: terms analysis within a category and category
   analysis among the categories in the schema. The findings show that the
   average number of words per question was 128.63, the average number of
   sentences per question was 8.23, the average number of words per
   response was 254.83, and the average number of sentences per response
   was 16.01. There were 12 categories (Cause & Pathophysiology, Sign &
   Symptom, Diagnosis & Test, Organ & Body Part, Complication & Related
   Disease, Medication, Treatment, Education & Info Resource, Affect,
   Social & Culture, Lifestyle, and Nutrient) in the diabetes related
   schema which emerged from the data coding analysis. The analyses at the
   two levels show that terms and categories were clustered and patterns
   were revealed. Future research directions are also included. (c) 2013
   Elsevier Ltd. All rights reserved.
RI zhang, jin/A-6769-2010; Zhao, Yiming/C-9783-2015
OI Zhao, Yiming/0000-0001-8182-456X
ZA 0
Z8 0
ZR 0
ZS 0
TC 19
ZB 0
Z9 19
U1 2
U2 56
SN 0306-4573
EI 1873-5371
UT WOS:000323023900004
ER

PT J
AU Wang, Man Ping
   Viswanath, Kasisomayajula
   Lam, Tai Hing
   Wang, Xin
   Chan, Sophia S.
TI Social Determinants of Health Information Seeking among Chinese Adults
   in Hong Kong
SO PLOS ONE
VL 8
IS 8
AR e73049
DI 10.1371/journal.pone.0073049
PD AUG 23 2013
PY 2013
AB Background: Health communication inequalities were observed in Western
   population but less is known about them among the Chinese. We
   investigated health information seeking behaviours and its social
   determinants among Chinese adults in Hong Kong.
   Methods: Probability-based sample surveys over telephone were conducted
   in 2009, 2010/11 and 2012 to monitor family health and information use.
   Frequency of health information seeking from television, radio,
   newspapers/magazines and Internet were recorded and dichotomised as >= 1
   time/month and <1 time/month (reference). Logistic regression was used
   to yield adjusted odds ratios (aOR) of health information seeking for
   different demographic characteristics, socioeconomic status (education,
   employment and income), chronic disease and behaviours (smoking,
   drinking and physical activity).
   Results: Among 4553 subjects in all surveys, most (85.1%) had sought
   health information monthly from newspapers/magazines (66.2%), television
   (61.4%), radio (35.6%) or Internet (33.2%). Overall, being male, lower
   education attainment, lower household income, ever-smoking and physical
   inactivity were associated with less frequent health information seeking
   (all P<0.05). Compared with younger people, older people were less
   likely to search health information from Internet but more like to
   obtain it from radio (both P for trend <0.001). Having chronic diseases
   was associated with frequent health information seeking from television
   (aOR = 1.25, 95% CI: 1.07-1.47) and Internet (aOR = 1.46, 95% CI:
   1.24-1.73).
   Conclusions: This study has provided the first evidence on health
   information inequalities from a non-Western population with advanced
   mass media and Internet penetration. Socioeconomic inequalities and
   behavioural clustering of health information seeking suggested more
   resources are needed for improving health communication in disadvantage
   groups.
RI Lam, Tai Hing/C-4317-2009; Wang, Man Ping/
OI Lam, Tai Hing/0000-0002-2033-9971; Wang, Man Ping/0000-0003-4000-2388
ZB 9
ZA 0
TC 40
ZR 0
Z8 1
ZS 0
Z9 41
U1 2
U2 31
SN 1932-6203
UT WOS:000324403200040
PM 24009729
ER

PT J
AU Barnes, Neil
   Calverley, Peter M. A.
   Kaplan, Alan
   Rabe, Klaus F.
TI Chronic obstructive pulmonary disease and exacerbations: Patient
   insights from the global Hidden Depths of COPD survey
SO BMC PULMONARY MEDICINE
VL 13
AR 54
DI 10.1186/1471-2466-13-54
PD AUG 23 2013
PY 2013
AB Background: Although chronic obstructive pulmonary disease (COPD) is a
   major global health burden there is a lack of patient awareness of
   disease severity, particularly in relation to exacerbations.
   Methods: We conducted a global patient survey using an innovative,
   internet-based methodology to gain insight into patient perceptions of
   COPD and exacerbations in a real-world sample typical of today's
   working-age COPD population.
   Results: Two thousand patients with COPD (53%), chronic bronchitis (52%)
   and/or emphysema (22%) from 14 countries completed an online
   questionnaire developed by the authors. The Medical Research Council
   (MRC) breathlessness scale was used to delineate symptom severity. Over
   three quarters of patients (77%) had experienced an exacerbation, with
   27% of MRC 1 and 2 patients and 52% of MRC 3, 4 and 5 patients requiring
   hospitalization as a result of an exacerbation. While a majority of MRC
   1 and 2 patients (51%) reported being back to normal within a few days
   of an exacerbation, 23% of MRC 3, 4 and 5 patients took several weeks to
   return to normal and 6% never fully recovered. A high proportion of
   patients (39%) took a 'wait and see' approach to exacerbations.
   Despite the high prevalence of exacerbations and their negative impact
   on quality of life, 73% of MRC 1 and 2 patients and 64% of MRC 3, 4 and
   5 patients felt that they had control of their COPD. However, 77% of all
   patients were worried about their long-term health, and 38% of MRC 1 and
   2 patients and 59% of MRC 3, 4 and 5 patients feared premature death due
   to COPD.
   Conclusions: To reduce the adverse effects of COPD on patients' quality
   of life and address their fears for the future, we need better patient
   education and improved prevention and treatment of exacerbations.
RI Rabe, Klaus F./AAW-6296-2021
OI Rabe, Klaus F./0000-0002-7020-1401
ZS 0
TC 48
Z8 0
ZB 4
ZR 0
ZA 0
Z9 48
U1 0
U2 8
SN 1471-2466
UT WOS:000323779300001
PM 23971625
ER

PT J
AU Maidenbaum, Shachar
   Levy-Tzedek, Shelly
   Chebat, Daniel-Robert
   Amedi, Amir
TI Increasing Accessibility to the Blind of Virtual Environments, Using a
   Virtual Mobility Aid Based On the "EyeCane": Feasibility Study
SO PLOS ONE
VL 8
IS 8
AR e72555
DI 10.1371/journal.pone.0072555
PD AUG 19 2013
PY 2013
AB Virtual worlds and environments are becoming an increasingly central
   part of our lives, yet they are still far from accessible to the blind.
   This is especially unfortunate as such environments hold great potential
   for them for uses such as social interaction, online education and
   especially for use with familiarizing the visually impaired user with a
   real environment virtually from the comfort and safety of his own home
   before visiting it in the real world. We have implemented a simple
   algorithm to improve this situation using single-point depth
   information, enabling the blind to use a virtual cane, modeled on the
   "EyeCane" electronic travel aid, within any virtual environment with
   minimal preprocessing. Use of the Virtual-EyeCane, enables this
   experience to potentially be later used in real world environments with
   identical stimuli to those from the virtual environment. We show the
   fast-learned practical use of this algorithm for navigation in simple
   environments.
RI Levy-Tzedek, Shelly/E-8612-2017; Chebat, Daniel-Robert/L-1840-2019; Chebat, Daniel-Robert/AAG-5664-2019; Maidenbaum, Shachar/K-4277-2019; Amedi, Amir/; Maidenbaum, Shachar/
OI Chebat, Daniel-Robert/0000-0003-1252-9393; Amedi,
   Amir/0000-0001-5042-2533; Maidenbaum, Shachar/0000-0002-2078-3896
ZA 0
Z8 1
TC 42
ZB 10
ZS 0
ZR 0
Z9 43
U1 1
U2 26
SN 1932-6203
UT WOS:000323425700176
PM 23977316
ER

PT J
AU McCluskey, Annie
   Vratsistas-Curto, Angela
   Schurr, Karl
TI Barriers and enablers to implementing multiple stroke guideline
   recommendations: a qualitative study
SO BMC HEALTH SERVICES RESEARCH
VL 13
AR 323
DI 10.1186/1472-6963-13-323
PD AUG 19 2013
PY 2013
AB Background: Translating evidence into practice is an important final
   step in the process of evidence-based practice. Medical record audits
   can be used to examine how well practice compares with published
   evidence, and identify evidence-practice gaps. After providing audit
   feedback to professionals, local barriers to practice change can be
   identified and targetted with focussed behaviour change interventions.
   This study aimed to identify barriers and enablers to implementing
   multiple stroke guideline recommendations at one Australian stroke unit.
   Methods: A qualitative methodology was used. A sample of 28 allied
   health, nursing and medical professionals participated in a group or
   individual interview. These interviews occurred after staff had received
   audit feedback and identified areas for practice change. Questions
   focused on barriers and enablers to implementing guideline
   recommendations about management of: upper limb sensory impairments,
   mobility including sitting balance; vision; anxiety and depression;
   neglect; swallowing; communication; education for stroke survivors and
   carers; advice about return to work and driving. Qualitative data were
   analysed for themes using theoretical domains described by Michie and
   colleagues (2005).
   Results: Six group and two individual interviews were conducted,
   involving six disciplines. Barriers were different across disciplines.
   The six key barriers identified were: (1) Beliefs about capabilities of
   individual professionals and their discipline, and about patient
   capabilities (2) Beliefs about the consequences, positive and negative,
   of implementing the recommendations (3) Memory of, and attention to,
   best practices (4) Knowledge and skills required to implement best
   practice; (5) Intention and motivation to implement best practice, and
   (6) Resources. Some barriers were also enablers to change. For example,
   occupational therapists required new knowledge and skills (a barrier),
   to better manage sensation and neglect impairments while
   physiotherapists generally knew how to implement best-practice mobility
   rehabilitation (an enabler).
   Conclusions: Findings add to current knowledge about barriers to change
   and implementation of multiple guideline recommendations. Major
   challenges included sexuality education and depression screening.
   Limited knowledge and skills was a common barrier. Knowledge about
   specific interventions was needed before implementation could commence,
   and to maintain treatment fidelity. The provision of detailed online
   intervention protocols and manuals may help clinicians to overcome the
   knowledge barrier.
OI Vratsistas-Curto, Angela/0000-0002-0204-0570
ZA 0
Z8 0
TC 79
ZS 0
ZB 9
ZR 0
Z9 79
U1 2
U2 49
EI 1472-6963
UT WOS:000323345400001
PM 23958136
ER

PT J
AU Padwal, Raj S.
   Sharma, Arya M.
   Fradette, Miriam
   Jelinski, Susan
   Klarenbach, Scott
   Edwards, Alun
   Majumdar, Sumit R.
TI The evaluating self-management and educational support in severely obese
   patients awaiting multidisciplinary bariatric care (EVOLUTION) trial:
   rationale and design
SO BMC HEALTH SERVICES RESEARCH
VL 13
AR 321
DI 10.1186/1472-6963-13-321
PD AUG 17 2013
PY 2013
AB Background: In Canada, demand for multidisciplinary bariatric (obesity)
   care far outstrips capacity. Consequently, prolonged wait times exist
   and contribute to substantial health impairments.
   A supportive, educational intervention (with in-person and web-based
   versions) designed to enhance the self-management skills of patients
   wait-listed for multidisciplinary bariatric medical and surgical care
   has been variably implemented across Alberta, Canada. However, its
   effectiveness has not been evaluated. Our objectives were: 1. To
   determine if this program improves clinical and humanistic outcomes and
   is cost-effective compared to a control intervention; and 2. To compare
   the effectiveness and cost-effectiveness of in-person group-based versus
   web-based care. We hypothesize that both the web-based and in-person
   programs will reduce body weight and improve outcomes compared to the
   control group. Furthermore, we hypothesize that the in-person version
   will be more effective but more costly than the web-based version.
   Methods/Design: This pragmatic, prospective controlled trial will enrol
   660 wait-listed subjects (220 per study arm) from regional bariatric
   programs in Alberta and randomly assign them to: 1. an in-person,
   group-based intervention (9 modules delivered over 10 sessions); 2. a
   web-based intervention (13 modules); and 3. controls who will receive
   mailed literature. Subjects will have three months to review the content
   assigned to them (the intervention period) after which they will
   immediately enter the weight management clinic. Data will be collected
   at baseline and every 3 months for 9 months (study end), including: 1.
   Clinical [5% weight loss responders (primary outcome), absolute and %
   weight losses, changes in obesity-related comorbidities]; 2. Humanistic
   (health related quality of life, patient satisfaction, depression, and
   self-efficacy); and 3. Economic (incremental costs and utilities and
   cost per change in BMI assessed from the third party health care payor
   perspective) outcomes. Covariate-adjusted baseline-to-nine-month
   change-scores will be compared between groups for each outcome using
   linear regression for continuous outcomes and logistic regression for
   dichotomous ones.
   Discussion: Our findings will determine whether this intervention is
   effective and cost-effective compared to controls and if online or
   in-person care delivery is preferred. This information will be useful
   for clinicians, health-service providers and policy makers and should be
   generalizable to similar publically-funded bariatric care programs.
RI Padwal, Raj/G-6903-2016
OI Padwal, Raj/0000-0003-3541-2817
TC 9
ZA 0
Z8 0
ZB 1
ZS 0
ZR 0
Z9 9
U1 0
U2 11
SN 1472-6963
UT WOS:000323262000001
PM 24059346
ER

PT J
AU Stadlbauer, Vanessa
   Steiner, Peter
   Schweiger, Martin
   Sereinigg, Michael
   Tscheliessnigg, Karl-Heinz
   Freidl, Wolfgang
   Stiegler, Philipp
TI Knowledge and attitude of ICU nurses, students and patients towards the
   Austrian organ donation law
SO BMC MEDICAL ETHICS
VL 14
AR 32
DI 10.1186/1472-6939-14-32
PD AUG 16 2013
PY 2013
AB Background: A survey on the knowledge and attitudes towards the Austrian
   organ donation legislation (an opt-out solution) of selected groups of
   the Austrian population taking into account factors such as age, gender,
   level of education, affiliation to healthcare professions and health
   related studies was conducted.
   Methods: An online survey among 3 target groups (ICU nurses, health
   science students and non health science students) was performed and
   results were compared to the answers from transplantation patients to a
   paper questionnaire. A total of 8415 persons were asked to participate
   in the survey and 2025 (24%) persons correctly completed the
   questionnaire. 1945 online responses (ICU nurses n = 185; students of
   health sciences n = 1277; students of non-health science related courses
   n = 483) were analysed and data were compared to 80 manually filled-in
   responses from patients from a previous study.
   Results: 84% of participants state that they know the Austrian organ
   donation legislation; this percentage varies significantly (p < 0.05)
   within the target groups and is influenced by demographic variables of
   the participants. 74% think that the law is good and 79% do not favour a
   change. Opinions and attitudes towards the legal situation are
   positively influenced by the affiliation to healthcare professions and
   health-related fields of study. Interviewed persons who were aware of
   the legislation before the survey had a more positive attitude towards
   the existing legislation (77% versus 74%, p < 0.05).
   Conclusions: The information level on Austrian organ donation
   legislation is high. ICU nurses and those who did not know the law
   before were most critical towards the existing legislation. Therefore
   education to increase knowledge in the general population and
   goal-oriented efforts to increase awareness in the target groups should
   be emphasized.
OI Stadlbauer, Vanessa/0000-0001-5508-8271; Stiegler,
   Philipp/0000-0002-0952-3030
TC 22
Z8 1
ZA 0
ZS 0
ZB 4
ZR 0
Z9 23
U1 0
U2 16
SN 1472-6939
UT WOS:000323329100001
PM 23948068
ER

PT J
AU Barker, Daniel
   Ferrier, David E. K.
   Holland, Peter W. H.
   Mitchell, John B. O.
   Plaisier, Heleen
   Ritchie, Michael G.
   Smart, Steven D.
TI 4273 pi: Bioinformatics education on low cost ARM hardware
SO BMC BIOINFORMATICS
VL 14
AR 243
DI 10.1186/1471-2105-14-243
PD AUG 12 2013
PY 2013
AB Background: Teaching bioinformatics at universities is complicated by
   typical computer classroom settings. As well as running software locally
   and online, students should gain experience of systems administration.
   For a future career in biology or bioinformatics, the installation of
   software is a useful skill. We propose that this may be taught by
   running the course on GNU/Linux running on inexpensive Raspberry Pi
   computer hardware, for which students may be granted full administrator
   access.
   Results: We release 4273 pi, an operating system image for Raspberry Pi
   based on Raspbian Linux. This includes minor customisations for
   classroom use and includes our Open Access bioinformatics course, 4273
   pi Bioinformatics for Biologists. This is based on the final-year
   undergraduate module BL4273, run on Raspberry Pi computers at the
   University of St Andrews, Semester 1, academic year 2012-2013.
   Conclusions: 4273 pi is a means to teach bioinformatics, including
   systems administration tasks, to undergraduates at low cost.
RI Mitchell, John BO/F-9863-2010; Ritchie, Michael G/F-7055-2013; Ferrier, David E.K./D-7595-2013; Holland, Peter/; Mitchell, John/
OI Ritchie, Michael G/0000-0001-7913-8675; Ferrier, David
   E.K./0000-0003-3247-6233; Holland, Peter/0000-0003-1533-9376; Mitchell,
   John/0000-0002-0379-6097
ZS 0
ZA 0
ZB 6
Z8 0
ZR 0
TC 15
Z9 15
U1 2
U2 32
SN 1471-2105
UT WOS:000323178800001
PM 23937194
ER

PT J
AU Tavolacci, Marie Pierre
   Ladner, Joel
   Grigioni, Sebastien
   Richard, Laure
   Villet, Herve
   Dechelotte, Pierre
TI Prevalence and association of perceived stress, substance use and
   behavioral addictions: a cross-sectional study among university students
   in France, 2009-2011
SO BMC PUBLIC HEALTH
VL 13
AR 724
DI 10.1186/1471-2458-13-724
PD AUG 6 2013
PY 2013
AB Background: University students face multiple stressors such as academic
   overload, constant pressure to succeed, competition with peers as well
   as concerns about the future. Stress should not be considered on its
   own, but should be associated with potential risk behaviors leading to
   onset of substance use and related problems heightened during the
   university period. The aim of this study was to determine the prevalence
   of main substance use and behavioral addictions among students in higher
   education in France and to examine the relationship with perceived
   stress.
   Methods: A self-administered questionnaire was filled out by university
   student volunteers from Upper Normandy (France) either by anonymous
   online questionnaire or by paper questionnaire. Data collected included
   socioeconomic characteristics, Perceived Stress Scale (PSS), substance
   use (tobacco, alcohol, and cannabis) and hazardous behaviors: alcohol
   abuse problems, smoking, consumption of cannabis, eating disorders, and
   cyber addiction.
   Results: A total of 1876 students were included. Mean PSS score was 15.9
   (standard deviation = 7.2). Highly stressed students (4th quartile) were
   compared with lesser stressed students (1st quartile). A positive
   relation was observed between female gender, regular smokers, alcohol
   abuse problems, risk of cyberaddiction and especially eating disorders
   (AOR = 5.45, 95% CI = 3.42-8.69), and increasing PSS score. PSS score
   however, was not significantly related to the curriculum, regular
   alcohol use, drunkenness or binge drinking even after additional
   controlling for use of other substances. We found a significant negative
   association between stress and practice of sport: students with the most
   physical activity were less likely to report perceived stress (4th
   quartile: AOR = 0.57, 95% CI = 0.39-0.80).
   Conclusions: This cross-sectional study among university students in
   France revealed that perceived stress was associated not only with known
   risks such as alcohol misuse, but also with new risks such as eating
   disorders and cyber addiction. These results could help to develop
   preventive interventions focussing on these risk behaviors and
   subsequently improving stress coping capacity in this high-risk
   population.
RI Tavolacci, Marie-Pierre/O-8167-2018; Ladner, Joel/AAU-3564-2020
OI Tavolacci, Marie-Pierre/0000-0003-3980-819X; 
ZR 0
ZS 1
ZB 32
Z8 2
TC 142
ZA 0
Z9 144
U1 4
U2 149
SN 1471-2458
UT WOS:000323003800001
PM 23919651
ER

PT J
AU Schneider, Francine
   Schulz, Daniela N.
   Pouwels, Loes H. L.
   de Vries, Hein
   van Osch, Liesbeth A. D. M.
TI The use of a proactive dissemination strategy to optimize reach of an
   internet-delivered computer tailored lifestyle intervention
SO BMC PUBLIC HEALTH
VL 13
AR 721
DI 10.1186/1471-2458-13-721
PD AUG 5 2013
PY 2013
AB Background: The use of reactive strategies to disseminate effective
   Internet-delivered lifestyle interventions restricts their level of
   reach within the target population. This stresses the need to invest in
   proactive strategies to offer these interventions to the target
   population. The present study used a proactive strategy to increase
   reach of an Internet-delivered multi component computer tailored
   intervention, by embedding the intervention in an existing online health
   monitoring system of the Regional Public Health Services in the
   Netherlands.
   Methods: The research population consisted of Dutch adults who were
   invited to participate in the Adult Health Monitor (N = 96,388) offered
   by the Regional Public Health Services. This Monitor consisted of an
   online or a written questionnaire. A prospective design was used to
   determine levels of reach, by focusing on actual participation in the
   lifestyle intervention. Furthermore, adequacy of reach among the target
   group was assessed by composing detailed profiles of intervention users.
   Participants' characteristics, like demographics, behavioral and mental
   health status and quality of life, were included in the model as
   predictors.
   Results: A total of 41,155 (43%) people participated in the Adult Health
   Monitor, of which 41% (n = 16,940) filled out the online version. More
   than half of the online participants indicated their interest (n = 9169;
   54%) in the computer tailored intervention and 5168 participants (31%)
   actually participated in the Internet-delivered computer tailored
   intervention. Males, older respondents and individuals with a higher
   educational degree were significantly more likely to participate in the
   intervention. Furthermore, results indicated that especially
   participants with a relatively healthier lifestyle and a healthy BMI
   were likely to participate.
   Conclusions: With one out of three online Adult Health Monitor
   participants actually participating in the computer tailored lifestyle
   intervention, the employed proactive dissemination strategy succeeded in
   ensuring relatively high levels of reach. Reach among at-risk
   individuals (e. g. low socioeconomic status and unhealthy lifestyle) was
   modest. It is therefore essential to further optimize reach by putting
   additional effort into increasing interest in the lifestyle intervention
   among at-risk individuals and to encourage them to actually use the
   intervention.
   Trial registration: Dutch Trial Register (NTR1786) and Medical Ethics
   Committee of Maastricht University and the University Hospital
   Maastricht (NL2723506809/MEC0903016).
RI Fazli, Ghazal/AAE-8320-2022; Schulz, Daniela/
OI Schulz, Daniela/0000-0002-1016-432X
Z8 0
ZA 0
TC 8
ZR 0
ZS 0
ZB 0
Z9 8
U1 0
U2 45
SN 1471-2458
UT WOS:000323117400001
PM 23914991
ER

PT J
AU Langton, Julia M.
   Blanch, Bianca
   Pesa, Nicole
   Park, Jae Min
   Pearson, Sallie-Anne
TI How do medical doctors use a web-based oncology protocol system? A
   comparison of Australian doctors at different levels of medical training
   using logfile analysis and an online survey
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 13
AR 82
DI 10.1186/1472-6947-13-82
PD AUG 4 2013
PY 2013
AB Background: Electronic decision support is commonplace in medical
   practice. However, its adoption at the point-of-care is dependent on a
   range of organisational, patient and clinician-related factors. In
   particular, level of clinical experience is an important driver of
   electronic decision support uptake. Our objective was to examine the way
   in which Australian doctors at different stages of medical training use
   a web-based oncology system (www. eviq. org. au).
   Methods: We used logfiles to examine the characteristics of eviQ
   registrants (2009-2012) and patterns of eviQ use in 2012, according to
   level of medical training. We also used a web-based survey to evaluate
   the way doctors at different levels of medical training use the online
   system and to elicit perceptions of the system's utility in oncology
   care.
   Results: Our study cohort comprised 2,549 eviQ registrants who were
   hospital-based medical doctors across all levels of training. 65% of the
   cohort used eviQ in 2012, with 25% of interns/residents, 61% of advanced
   oncology trainees and 47% of speciality-qualified oncologists accessing
   eviQ in the last 3 months of 2012. The cohort accounted for 445,492
   webhits in 2012. On average, advanced trainees used eviQ up to
   five-times more than other doctors (42.6 webhits/month compared to 22.8
   for specialty-qualified doctors and 7.4 webhits/month for interns/
   residents). Of the 52 survey respondents, 89% accessed eviQ's
   chemotherapy protocols on a daily or weekly basis in the month prior to
   the survey. 79% of respondents used eviQ at least weekly to initiate
   therapy and to support monitoring (29%), altering (35%) or ceasing
   therapy (19%). Consistent with the logfile analysis, advanced oncology
   trainees report more frequent eviQ use than doctors at other stages of
   medical training.
   Conclusions: The majority of the Australian oncology workforce are
   registered on eviQ. The frequency of use directly mirrors the clinical
   role of doctors and attitudes about the utility of eviQ in
   decision-making. Evaluations of this kind generate important data for
   system developers and medical educators to drive improvements in
   electronic decision support to better meet the needs of clinicians. This
   end-user focus will optimise the uptake of systems which will translate
   into improvements in processes of care and patient outcomes.
OI Langton, Julia/0000-0001-5668-5764
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
TC 3
Z9 3
U1 0
U2 9
SN 1472-6947
UT WOS:000322907400001
PM 23915178
ER

PT J
AU Orozco-Beltran, Domingo
   Ruescas-Escolano, Esther
   Isabel Navarro-Palazon, Ana
   Cordero, Alberto
   Gaubert-Tortosa, Maria
   Navarro-Perez, Jorge
   Carratala-Munuera, Concepcion
   Pertusa-Martinez, Salvador
   Soler-Bahilo, Enrique
   Brotons-Munto, Francisco
   Bort-Cubero, Jose
   Angel Nunez-Martinez, Miguel
   Bertomeu-Martinez, Vicente
   Francisco Gil-Guillen, Vicente
CA PROPRESE Res Team
TI Effectiveness of a new health care organization model in primary care
   for chronic cardiovascular disease patients based on a multifactorial
   intervention: the PROPRESE randomized controlled trial
SO BMC HEALTH SERVICES RESEARCH
VL 13
AR 293
DI 10.1186/1472-6963-13-293
PD AUG 2 2013
PY 2013
AB Background: To evaluate the effectiveness of a new multifactorial
   intervention to improve health care for chronic ischemic heart disease
   patients in primary care. The strategy has two components: a)
   organizational for the patient/professional relationship and b) training
   for professionals.
   Methods/design: Experimental study. Randomized clinical trial. Follow-up
   period: one year. Study setting: primary care, multicenter (15 health
   centers). For the intervention group 15 health centers are selected from
   those participating in ESCARVAL study. Once the center agreed to
   participate patients are randomly selected from the total amount of
   patients with ischemic heart disease registered in the electronic health
   records. For the control group a random sample of patients with ischemic
   heart disease is selected from all 72 health centers electronic records.
   Intervention components: a) Organizational intervention on the
   patient/professional relationship. Centered on the Chronic Care Model,
   the Stanford Expert Patient Program and the Kaiser Permanente model:
   Teamwork, informed and active patient, decision making shared with the
   patient, recommendations based on clinical guidelines, single electronic
   medical history per patient that allows the use of indicators for risk
   monitoring and stratification. b) Formative strategy for professionals:
   4 face-to-face training workshops (one every 3 months), monthly update
   clinical sessions, online tutorial by a cardiologist, availability
   through the intranet of the action protocol and related documents.
   Measurements: Blood pressure, blood glucose, HbA1c, lipid profile and
   smoking. Frequent health care visits. Number of hospitalizations related
   to vascular disease. Therapeutic compliance. Drug use.
   Discussion: This study aims to evaluate the efficacy of a multifactorial
   intervention strategy involving patients with ischemic heart disease for
   the improvement of the degree of control of the cardiovascular risk
   factors and of the quality of life, number of visits, and number of
   hospitalizations.
RI Cordero, Alberto/GNW-2600-2022; Carratala-Munuera, Concepcion/ABH-1205-2020; González Timoneda, Alba/C-8205-2019; Guillén, Vicente Francisco Gil/AAE-8201-2019; Alcaniz, Mariano L./I-9659-2016; PERTUSA, SALVADOR/; Orozco-Beltran, Domingo/; Gil-Guillen, Vicente F/; BERTOMEU MARTINEZ, VICENTE/
OI Cordero, Alberto/0000-0003-0000-7109; Carratala-Munuera,
   Concepcion/0000-0002-1303-6294; González Timoneda,
   Alba/0000-0003-1871-7758; Alcaniz, Mariano L./0000-0001-9207-0636;
   PERTUSA, SALVADOR/0000-0002-2990-5570; Orozco-Beltran,
   Domingo/0000-0002-8231-2635; Gil-Guillen, Vicente F/0000-0003-3793-9786;
   BERTOMEU MARTINEZ, VICENTE/0000-0002-3553-0963
ZA 0
Z8 2
ZS 0
ZB 1
TC 3
ZR 0
Z9 5
U1 1
U2 34
SN 1472-6963
UT WOS:000322759300001
PM 23915267
ER

PT J
AU Hansen, S.
   Schwab, F.
   Behnke, M.
   Geffers, C.
   Gastmeier, P.
CA PROHIBIT Consortium
TI Compliance with national guidelines for the prevention of central venous
   catheter-associated-Infections in German intensive care units
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 138
IS 34-35
BP 1706
EP 1710
DI 10.1055/s-0033-1349439
PD AUG 2013
PY 2013
AB Background and Objective: Aim of the survey was to determine the
   compliance with national guidelines for the prevention of central venous
   catheter (CVC)-associated bloodstream infection in German intensive care
   units (ICUs). Methods: Within the pan-European PROHIBIT (Prevention of
   Hospital Infections by Intervention and Training) survey on infection
   control an online-questionnaire was answered by German ICU staff.
   Questions concerned insertion and handling of CVC. Continuous data are
   presented in median including interquartile range (IQR); categorical
   parameters are summarized by percentage. Results: Ninety-two percent of
   ICUs created local guidelines for the prevention of CVC-associated
   sepsis according to national guidelines. Eleven percent did not provide
   educational sessions for health care workers concerning sepsis
   prevention routinely. The subclavian vein was the favored insertion site
   in 17 % of ICUs. A standardized approach for daily assessment of the
   need of the CVC was established in 39 % of ICUs. Impregnated (antiseptic
   or antibiotic) CVCs were used by every fourth ICU. Single-use vials were
   not used as single-use vials by a third of ICUs. Conclusion: There are
   still many German ICUs in which national guidelines are not implemented.
   Training of staff is necessary to raise awareness for prevention
   measures and to contribute to a good quality of patient care.
RI HANSEN, Sonja/GPT-0286-2022; Gastmeier, Petra/; Behnke, Michael/; Geffers, Christine/
OI HANSEN, Sonja/0000-0002-5523-8580; Gastmeier, Petra/0000-0001-5520-4287;
   Behnke, Michael/0000-0002-3993-9651; Geffers,
   Christine/0000-0003-3047-6416
TC 7
ZB 1
ZR 0
Z8 0
ZS 0
ZA 0
Z9 7
U1 0
U2 3
SN 0012-0472
EI 1439-4413
UT WOS:000330471500005
PM 23934588
ER

PT J
AU Huri, Emre
   Surcel, Cristian
   Larre, Stephane
   Miano, Roberto
   Sorget, Jade
TI International Young Urological Association: a global platform network
   for young urologists
SO CANADIAN JOURNAL OF UROLOGY
VL 20
IS 4
BP 6878
EP 6879
PD AUG 2013
PY 2013
AB Despite the growth of the digital era, rapid spread of information, and
   real-time communication, there are several urologists throughout the
   world who do not have access to urological scientific programs, academic
   training programs, or memberships to well-established urological
   organizations, associations, and societies.
   The International Young Urological Association (IYUA) is a non-profit
   organization that was created to specifically address and facilitate
   access for urologists that for geopolitical, economical, or other
   reasons would not otherwise have these opportunities available to them.
   The IYUA's non-competitive nature allows for urologists to use the IYUA
   as an initial platform to network with globally established
   organizations to deliver scientific training programs, courses, and
   meetings in less common locations.
   It is our objective to demonstrate the IYUA's mission and facets that
   may contribute to the increased academic and scientific education of
   professionals in Urology where the access to these resources can be
   challenging.
OI Miano, Roberto/0000-0003-2445-1204
ZB 0
TC 1
Z8 0
ZA 0
ZR 0
ZS 0
Z9 1
U1 0
U2 1
SN 1195-9479
UT WOS:000323294900015
PM 23930618
ER

PT J
AU Wojcieszek, Aleena M.
   Thompson, Rachel
TI Conceiving of change: a brief intervention increases young adults'
   knowledge of fertility and the effectiveness of in vitro fertilization
SO FERTILITY AND STERILITY
VL 100
IS 2
BP 523
EP 529
DI 10.1016/j.fertnstert.2013.03.050
PD AUG 2013
PY 2013
AB Objective: To examine the effectiveness of an educational intervention
   in increasing knowledge of fertility and the effectiveness of IVF among
   university students in Australia.
   Design: Two-group, pretest-posttest design.
   Setting: A large metropolitan university in Queensland, Australia.
   Patient(s): One hundred thirty-seven male and female undergraduate
   students.
   Intervention(s): Online information brochure on fertility (intervention
   group), or an online information brochure on home ownership (control
   group).
   Main Outcome Measure(s): Knowledge of fertility, knowledge of IVF
   effectiveness, and desired age at commencement and completion of
   childbearing, assessed immediately before and after exposure to the
   brochure.
   Result(s): Exposure to the brochure resulted in significant increases in
   knowledge of fertility and knowledge of IVF effectiveness in the
   intervention group and significant decreases in desired age at
   commencement and completion of childbearing. No changes were observed in
   the control group.
   Conclusion(s): Educational intervention is a worthwhile endeavor that
   can increase knowledge of fertility and IVF effectiveness in the
   short-term. Further research is needed to evaluate whether increased
   knowledge persists and affects intentions in the longer-term. Because
   the determinants of timing of childbearing are highly multifactorial,
   fertility education should be paired with policies and practices that
   support men and women to make informed decisions about the timing of
   childbearing. (C) 2013 by American Society for Reproductive Medicine.
RI Wojcieszek, Aleena M/S-8668-2019; Thompson, Rachel/
OI Wojcieszek, Aleena M/0000-0001-8099-6087; Thompson,
   Rachel/0000-0002-1009-0746
ZA 0
ZS 0
ZR 0
TC 41
ZB 14
Z8 0
Z9 41
U1 0
U2 14
SN 0015-0282
EI 1556-5653
UT WOS:000322633200044
PM 23628107
ER

PT J
AU Pias-Peleteiro, Leticia
   Cortes-Bordoy, Javier
   Martinon-Torres, Federico
TI Dr Google What about the human papillomavirus vaccine?
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 9
IS 8
BP 1712
EP 1719
DI 10.4161/hv.25057
PD AUG 1 2013
PY 2013
AB Objectives: To assess and analyze the information and recommendations
   provided by Google Web Search (Google) in relation to web searches on
   the HPV vaccine, indications for females and males and possible adverse
   effects. Materials and Methods: Descriptive cross-sectional study of the
   results of 14 web searches. Comprehensive analysis of results based on
   general recommendation given (favorable/dissuasive), as well as
   compliance with pre-established criteria, namely design, content and
   credibility. Sub-analysis of results according to site category: general
   information, blog/forum and press. Results: In the comprehensive
   analysis of results, 72.2% of websites offer information favorable to
   HPV vaccination, with varying degrees of content detail, vs. 27.8% with
   highly dissuasive content in relation to HPV vaccination. The most
   frequent type of site is the blog or forum. The information found is
   frequently incomplete, poorly structured, and often lacking in updates,
   bibliography and adequate citations, as well as sound credibility
   criteria (scientific association accreditation and/or trust mark
   system). Conclusions: Google, as a tool which users employ to locate
   medical information and advice, is not specialized in providing
   information that is necessarily rigorous or valid from a scientific
   perspective. Search results and ranking based on Google's generalized
   algorithms can lead users to poorly grounded opinions and statements,
   which may impact HPV vaccination perception and subsequent decision
   making.
RI Martinon-Torres, Federico/E-4982-2016
OI Martinon-Torres, Federico/0000-0002-9023-581X
Z8 0
ZB 3
TC 14
ZR 0
ZA 0
ZS 1
Z9 14
U1 0
U2 11
SN 2164-5515
EI 2164-554X
UT WOS:000327547800018
PM 23744505
ER

PT J
AU Vicente, Benjamin
   Rosel, Leonardo
TI Challenges for psychiatric recruitment and training in Chile
SO INTERNATIONAL REVIEW OF PSYCHIATRY
VL 25
IS 4
BP 413
EP 418
DI 10.3109/09540261.2013.822348
PD AUG 2013
PY 2013
AB This paper aims to describe the current challenges to recruitment of
   psychiatrists in Chile, and investigate factors related to interest in
   psychiatry from medical students of the Chilean Biobio Region. An online
   survey was completed by 39 medical students currently performing the
   internship. This survey included questions regarding socio-demographic
   aspects, probability of choosing a medical speciality, influencing
   factors on the choice of the medical speciality, and personal features.
   Students were separated in two groups for the analysis based on their
   likelihood of choosing psychiatry as a career. A total of 35.9% of the
   respondents showed some degree of interest in psychiatry. Factors
   considered important by the respondents were academic opportunities,
   training vacancies, and balance between job and personal life. The low
   participation in the study does not allow the extrapolation of data to
   the national situation, and may represent response bias to those already
   interested in psychiatry as a career. However, Chile has an average
   psychiatrist rate per number of inhabitants for the region, but an
   uneven distribution of this resource. National policies must be focused
   on this issue in order to reduce the gap in mental healthcare.
RI Vicente, Benjamin/R-2563-2019
TC 1
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
Z9 1
U1 0
U2 2
SN 0954-0261
EI 1369-1627
UT WOS:000324534800008
PM 24032495
ER

PT J
AU Halder, Neel
   Hadjidemetriou, Christiana
   Pearson, Rachel
   Farooq, Kitty
   Lydall, Gregory J.
   Malik, Amit
   Bhugra, Dinesh
TI Student career choice in psychiatry: Findings from 18 UK medical schools
SO INTERNATIONAL REVIEW OF PSYCHIATRY
VL 25
IS 4
BP 438
EP 444
DI 10.3109/09540261.2013.824414
PD AUG 2013
PY 2013
AB Psychiatry recruitment continues to be a problem in the UK and
   large-scale studies are required to understand the factors surrounding
   this. A quantitative, cross-sectional online survey, incorporating
   demographics, career choices, teaching exposure, attitudes to psychiatry
   and personality factors, was administered to final-year UK medical
   students. A total of 484 students from 18 medical schools responded (66%
   women). Sixteen (16%) had chosen psychiatry at medical school entry. By
   final year, 15 respondents (3%) had decided to pursue a career in
   psychiatry, while another 78 (17%) were seriously considering it. There
   was little difference in the quality ratings of lectures and small group
   teaching between those interested in psychiatry and those not.
   Experience of 'enrichment activities' (psychiatry special study modules
   or components, psychiatric research, university psychiatry clubs, and
   psychiatry electives) were significantly more likely to take up
   psychiatry. Causality cannot, however, be determined in this study. The
   study identified several distinct groups of UK students: those deciding
   on psychiatry before medical school and maintaining that career choice,
   those deciding on psychiatry during medical school, and those interested
   in other fields. Addressing psychiatry teaching and exposure may improve
   recruitment into the speciality.
TC 27
ZA 0
ZB 3
ZR 0
Z8 0
ZS 0
Z9 27
U1 0
U2 2
SN 0954-0261
EI 1369-1627
UT WOS:000324534800012
PM 24032499
ER

PT J
AU Dvoracek, Boris
   Nawka, Alexander
   Nawkova, Lucie
   Vevera, Jan
   Lydall, Gregory
   Malik, Amit
   Farooq, Kitty
   Bhugra, Dinesh
TI Recruitment to psychiatry in the Czech Republic: 'Waiting for
   resuscitation'?
SO INTERNATIONAL REVIEW OF PSYCHIATRY
VL 25
IS 4
BP 466
EP 471
DI 10.3109/09540261.2013.821405
PD AUG 2013
PY 2013
AB Recruitment to psychiatry is becoming a serious obstacle in providing
   first-class mental health treatment in many countries worldwide. We
   attempt to address this burning issue by examining medical student's
   attitudes towards psychiatry and factors influencing their career choice
   in the Czech Republic. In 2010, 71 students in their last year of
   medical school at the First Faculty of Medicine, Charles University,
   Prague were recruited in this quantitative cross-sectional online study.
   From the sample, 16% (n - 11) of students were considering psychiatry as
   a career path. An important factor in choosing psychiatry as a career
   path was personal/family presence of mental illness. Longer experience
   with psychiatry placement also contributed to the choice of psychiatry,
   as well as participation in elective courses or psychiatric research
   projects. Students considering psychiatry were less systematic compared
   to the group not considering psychiatry. Low reported levels of
   recruitment to psychiatry present a problematic issue in the Czech
   Republic. To make psychiatry more appealing to medical students,
   proactive steps by the relevant stakeholders need to be implemented.
   These strategies should include steps such as allocating more time for
   psychiatry in the medical curriculum, better quality of lectures, and
   the inclusion of additional elective courses.
RI Nawka, Alexander/O-7259-2017; Vevera, Jan/M-1874-2017
OI Nawka, Alexander/0000-0002-5564-8694; Vevera, Jan/0000-0002-9065-1741
Z8 0
ZS 0
TC 1
ZA 0
ZR 0
ZB 1
Z9 1
U1 1
U2 6
SN 0954-0261
EI 1369-1627
UT WOS:000324534800016
PM 24032503
ER

PT J
AU Spreckelsen, Cord
   Finsterer, Sonja
   Cremer, Jan
   Schenkat, Hennig
TI Can Social Semantic Web Techniques Foster Collaborative Curriculum
   Mapping In Medicine?
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 8
AR e169
DI 10.2196/jmir.2623
PD AUG 2013
PY 2013
AB Background: Curriculum mapping, which is aimed at the systematic
   realignment of the planned, taught, and learned curriculum, is
   considered a challenging and ongoing effort in medical education.
   Second-generation curriculum managing systems foster knowledge
   management processes including curriculum mapping in order to give
   comprehensive support to learners, teachers, and administrators. The
   large quantity of custom-built software in this field indicates a
   shortcoming of available IT tools and standards.
   Objective: The project reported here aims at the systematic adoption of
   techniques and standards of the Social Semantic Web to implement
   collaborative curriculum mapping for a complete medical model
   curriculum.
   Methods: A semantic MediaWiki (SMW)-based Web application has been
   introduced as a platform for the elicitation and revision process of the
   Aachen Catalogue of Learning Objectives (ACLO). The semantic wiki uses a
   domain model of the curricular context and offers structured
   (form-based) data entry, multiple views, structured querying, semantic
   indexing, and commenting for learning objectives ("LOs"). Semantic
   indexing of learning objectives relies on both a controlled vocabulary
   of international medical classifications (ICD, MeSH) and a folksonomy
   maintained by the users. An additional module supporting the global
   checking of consistency complements the semantic wiki. Statements of the
   Object Constraint Language define the consistency criteria. We evaluated
   the application by a scenario-based formative usability study, where the
   participants solved tasks in the (fictional) context of 7 typical
   situations and answered a questionnaire containing Likert-scaled items
   and free-text questions.
   Results: At present, ACLO contains roughly 5350 operational (ie,
   specific and measurable) objectives acquired during the last 25 months.
   The wiki-based user interface uses 13 online forms for data entry and 4
   online forms for flexible searches of LOs, and all the forms are
   accessible by standard Web browsers. The formative usability study
   yielded positive results (median rating of 2 ("good") in all 7 general
   usability items) and produced valuable qualitative feedback, especially
   concerning navigation and comprehensibility. Although not asked to, the
   participants (n=5) detected critical aspects of the curriculum (similar
   learning objectives addressed repeatedly and missing objectives), thus
   proving the system's ability to support curriculum revision.
   Conclusions: The SMW-based approach enabled an agile implementation of
   computer-supported knowledge management. The approach, based on standard
   Social Semantic Web formats and technology, represents a feasible and
   effectively applicable compromise between answering to the individual
   requirements of curriculum management at a particular medical school and
   using proprietary systems.
RI Spreckelsen, Cord/M-7326-2016
OI Spreckelsen, Cord/0000-0002-7301-1566
ZB 0
ZS 0
Z8 0
TC 8
ZA 0
ZR 0
Z9 8
U1 0
U2 39
SN 1438-8871
UT WOS:000324620700019
PM 23948519
ER

PT J
AU Robinson, Robert L.
   Burk, Martha S.
TI Tablet Computer Use by Medical Students in the United States
SO JOURNAL OF MEDICAL SYSTEMS
VL 37
IS 4
AR 9959
DI 10.1007/s10916-013-9959-y
PD AUG 2013
PY 2013
AB The value of tablet computer use in education is an area of considerable
   interest. Preliminary investigations shows that medical students feel
   that tablet computers were a positive addition to the preclinical
   curriculum. To better understand how and why medical students use tablet
   computers, we conducted an online survey of medical students in the
   United States This study shows frequent tablet computer use by medical
   students. Students in clinical years of medical school are the most
   frequent users of tablet computers. The high frequency of tablet
   computer use suggest that this may be an important area for medical
   educators to explore.
RI Robinson, Robert/G-1598-2013
OI Robinson, Robert/0000-0002-6059-650X
ZB 2
ZA 0
TC 18
Z8 1
ZR 0
ZS 0
Z9 20
U1 0
U2 22
SN 0148-5598
EI 1573-689X
UT WOS:000323671800008
PM 23832806
ER

PT J
AU Esen, U. I.
TI Foundation doctors' views of medical professionalism
SO JOURNAL OF OBSTETRICS AND GYNAECOLOGY
VL 33
IS 6
BP 553
EP 556
DI 10.3109/01443615.2013.807783
PD AUG 2013
PY 2013
AB The views of Foundation Years 1 and 2 doctors on medical professionalism
   were investigated using focus groups, in respect of definitions and
   components, teaching, learning and assessment. They were able to define
   and identify the components of medical professionalism, as well as
   components that could be taught. They felt medical professionalism was
   poorly taught and assessed. They recognised the dangers the online
   environment posed to medical professionalism but felt public
   expectations for doctors could at times be unrealistic. The profile,
   teaching and assessment of medical professionalism need to be improved.
   This can be achieved by teaching and assessing it as a standalone entity
   rather that within medical ethics as it is currently taught, and raising
   its profile to that of academic subjects.
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
TC 2
Z9 2
U1 1
U2 9
SN 0144-3615
EI 1364-6893
UT WOS:000322781800004
PM 23919848
ER

PT J
AU Ng, Victor
   Irwin, Jennifer D.
TI Prescriptive Medicine: The Importance of Preparing Canadian Medical
   Students to Counsel Patients Toward Physical Activity
SO JOURNAL OF PHYSICAL ACTIVITY & HEALTH
VL 10
IS 6
BP 889
EP 899
DI 10.1123/jpah.10.6.889
PD AUG 2013
PY 2013
AB Background: Physical activity (PA) is powerful for preventing and
   treating many chronic diseases. Physicians' own PA behaviors are
   correlated with their likelihood to counsel patients regarding PA.
   Medical students' PA-related attitudes and behaviors reflect what can be
   expected from our future physicians. Methods: A 27-item online survey
   was used to determine the percentage of Canadian medical students
   meeting the Canadian physical activity recommendations, and their
   self-reported perception of relevance and frequency of exercise
   counseling during patient encounters. We generated cross-tabulations
   with the independent covariates and our statistical comparison was based
   on the generalized estimating equation (GEE) algorithm to adjust for
   schools (clusters). Results: While 64% (969/1510) of medical students
   met the MVPA recommendation, only 25% discussed PA counseling with
   patients. Most (80% and 90%, respectfully) believed physicians should
   adhere to a healthy lifestyle to effectively encourage their patients to
   do so, and that their credibility increased if they stayed fit
   themselves. Conclusions: Medical students are interested in and
   receptive to the importance of PA. However, not only is there
   improvement needed for the more than one-third of medical students who
   are insufficiently active themselves, but substantial change is needed
   regarding the vast majority of students' current counseling behaviors.
ZA 0
ZB 0
ZS 0
ZR 0
TC 5
Z8 0
Z9 5
U1 0
U2 3
SN 1543-3080
UT WOS:000323630700015
PM 23072743
ER

PT J
AU Perry, J.
   Watkins, M.
   Gilbert, A.
   Rawlinson, J.
TI A systematic review of the evidence on service user involvement in
   interpersonal skills training of mental health students
SO JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING
VL 20
IS 6
BP 525
EP 540
DI 10.1111/j.1365-2850.2012.01955.x
PD AUG 2013
PY 2013
AB Accessible Summary center dot This review looks at the involvement of
   people who have experienced mental health difficulties in teaching
   mental health students communication skills. center dot A systematic
   review of the English language publications from 1990-2010 was carried
   out using a wide range of sources including online databases such as the
   Cumulative Index to Nursing and Allied Health Literature (CINAHL),
   PsycINFO and MEDLINE (Ovid). center dot The overall goal was to assess
   the quality of existing evidence in this area and synthesis of findings
   on the effect of teaching involving people who have experienced mental
   health problems on students' ability to communicate. The conclusions of
   the review were: 1 Overall this type of teaching was acceptable to
   students and of value. 2 When service users teach about communication
   there is a move in student's practice towards improved attitudes towards
   people with mental health difficulties. 3 Some students were concerned
   that the people teaching them were not sufficiently representative of
   most people with mental health difficulties. 4 This type of teaching
   made professionals reflect more deeply on the way they communicate.
   Recommendations were also made to improve future research: 1 Researchers
   should use a clear definition of what constitutes good communication. 2
   If skill in communication is being measured tried and tested measures
   should be used to do this and an experimental approach should be
   adopted. 3 A mixture of methods that both measure changes in skills and
   behaviour and elicit peoples actual experience of this type of teaching
   seems to be the best way of researching this area. Abstract Service user
   involvement has become a common feature of education programmes for
   mental health students. However, little is known about the effects of
   this type of education on the interpersonal skills of students taking
   part. This paper reports findings from a systematic review that formed
   part of a wider investigation into service user involvement in teaching
   interpersonal skills. The review aimed to locate and assess the quality
   of the published evidence relating to the effects of service user
   involvement on mental health students interpersonal skills and to
   synthesize results, using a definition of interpersonal skill that
   includes attitudes, empathy and skills as its key components. Results
   from this study indicate that the quality of evidence in this area is
   poor. However, sufficient synthesis of the evidence base was possible to
   allow conclusions and recommendations for both research and practice.
   Conclusions were that the involvement of service users in this area is
   both acceptable and valuable for students and had specific impacts on
   attitudes, empathy and skills. Some difficulties and reservations about
   the style of involvement are discussed. Recommendations for the conduct
   of future research are also made.
ZA 0
Z8 0
ZS 0
ZB 1
ZR 0
TC 37
Z9 37
U1 0
U2 40
SN 1351-0126
UT WOS:000320776700007
PM 22845684
ER

PT J
AU Nazione, Samantha
   Silk, Kami J.
TI Patient race and perceived illness responsibility: effects on provider
   helping and bias
SO MEDICAL EDUCATION
VL 47
IS 8
BP 780
EP 789
DI 10.1111/medu.12203
PD AUG 2013
PY 2013
AB Objectives Health care disparities represent a major issue impacting the
   quality of care in the USA. Provider biases have been identified as
   contributing to health care disparities. This study examined the helping
   intentions and biases reported by medical students based on patient race
   and perceived patient responsibility. The study was guided by the
   responsibility-affect-helping model (RAHM), which proposes that helping
   behaviour is a function of perceived responsibility and affect.
   Methods In a 2x3 online experiment, medical students (n=231) viewed a
   health chart and dialogue for either a Black or a White patient, in
   which the dialogue included a manipulation of the patient's rationales
   for his non-compliance with diet recommendations (responsible, not
   responsible, no responsibility assigned). After viewing the
   manipulation, medical students completed measures regarding perceived
   patient responsibility, affect, intention to help, perceptions of the
   patient and ethnocentrism.
   Results The RAHM was supported, such that increased perceived patient
   responsibility led to increased provider anger and reduced provider
   helping intentions, whereas decreased perceived patient responsibility
   led to increased provider empathy and helping intentions. Additionally,
   an interaction effect between race and perceived patient responsibility
   occurred such that bias toward the Black patient was most likely to
   occur in the control condition.
   Conclusions Perceived patient responsibility affects provider helping
   intentions and interacts with patient race to influence provider
   perceptions of patient characteristics. Communication on rationales for
   non-compliance as associated with perceived responsibility may lead to
   better or worse patient care as providers make attributions about
   patients based on these factors.
ZA 0
ZR 0
ZS 0
ZB 0
TC 7
Z8 0
Z9 7
U1 1
U2 22
SN 0308-0110
EI 1365-2923
UT WOS:000321502700009
PM 23837424
ER

PT J
AU Longstaff, Holly
   McDonald, Michael
   Bailey, Jennifer
TI Communicating Risks and Benefits About Ethically Controversial Topics:
   the Case of Induced Pluripotent Stem (iPS) Cells
SO STEM CELL REVIEWS AND REPORTS
VL 9
IS 4
BP 388
EP 396
DI 10.1007/s12015-012-9407-2
PD AUG 2013
PY 2013
AB Many are supportive of approaches that incorporate lay citizens into
   policy making and risk management decisions. However, a great deal of
   learning must first take place about how citizen engagement for
   controversial topics is best accomplished. Online risk communication
   efforts are increasing in popularity but there is little empirical
   evidence accrued to demonstrate the effectiveness of such methods. The
   intention of our overall study is to create a powerful method for
   in-depth two-way communication with the public and expert communities
   about complex and sensitive issues at the heart of stem cell (SC)
   research. The fundamental objective is to raise awareness of SC science
   with lay citizens by fostering more holistic or "all things considered"
   ethical judgments. Our risk communication study demonstrates that lay
   citizens are both interested in, and capable of learning about, complex
   scientific issues provided the right tools are used to convey
   information and assess understanding. Our results show that it is worth
   the time and effort for SC researchers to continue posting podcasts and
   FAQ's about their work for non-expert communities to view. In addition,
   despite having increased our participants' risk perceptions about
   induced pluripotent stem (iPS) cell research, almost all were very
   supportive of this type of research in Canada by the end of the survey.
   In other words, participants understood that this research did in fact
   pose some risks and learned a great deal about both the risks and
   benefits of iPS cell research, and still thought this research was
   worthwhile to pursue.
OI Longstaff, Holly/0000-0002-1662-0832
Z8 0
TC 4
ZR 0
ZS 1
ZB 2
ZA 0
Z9 4
U1 1
U2 40
SN 1550-8943
EI 1558-6804
UT WOS:000323260500002
PM 22941397
ER

PT J
AU Batterham, Philip J.
   Calear, Alison L.
   Christensen, Helen
TI Correlates of Suicide Stigma and Suicide Literacy in the Community
SO SUICIDE AND LIFE-THREATENING BEHAVIOR
VL 43
IS 4
BP 406
EP 417
DI 10.1111/sltb.12026
PD AUG 2013
PY 2013
AB Public knowledge and attitudes toward suicide may influence help-seeking
   for suicidality. This study aimed to identify correlates of suicide
   attitudes and knowledge. Australian adults were invited to complete an
   online survey, with 1,286 responders. Less exposure to suicide, older
   age, male gender, less education, and culturally diverse backgrounds
   were associated with poorer knowledge; while younger age, male gender,
   and culturally diverse backgrounds were associated with more
   stigmatizing attitudes toward people who die by suicide. The results
   suggest suicide literacy and stigma reduction programs would benefit
   community members, particularly males and individuals from culturally
   diverse backgrounds.
RI Calear, Alison L/D-4191-2009; Christensen, Helen/F-5053-2012; Batterham, Philip/
OI Calear, Alison L/0000-0002-7028-725X; Christensen,
   Helen/0000-0003-0435-2065; Batterham, Philip/0000-0002-4547-6876
Z8 0
ZA 0
ZS 1
TC 126
ZR 0
ZB 20
Z9 126
U1 0
U2 30
SN 0363-0234
EI 1943-278X
UT WOS:000322818200006
PM 23556504
ER

PT J
AU Reiter, Paul L.
   McRee, Annie-Laurie
   Pepper, Jessica K.
   Gilkey, Melissa B.
   Galbraith, Kayoll V.
   Brewer, Noel T.
TI Longitudinal Predictors of Human Papillomavirus Vaccination Among a
   National Sample of Adolescent Males
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 103
IS 8
BP 1419
EP 1427
DI 10.2105/AJPH.2012.301189
PD AUG 2013
PY 2013
AB Objectives. We conducted a longitudinal study to examine human
   papillomavirus (HPV) vaccine uptake among male adolescents and to
   identify vaccination predictors.
   Methods. In fall 2010 and 2011, a national sample of parents with sons
   aged 11 to 17 years (n = 327) and their sons (n = 228) completed online
   surveys. We used logistic regression to identify predictors of HPV
   vaccination that occurred between baseline and follow-up.
   Results. Only 2% of sons had received any doses of HPV vaccine at
   baseline, with an increase to 8% by follow-up. About 55% of parents who
   had ever received a doctor's recommendation to get their sons HPV
   vaccine did vaccinate between baseline and follow-up, compared with only
   1% of parents without a recommendation. Fathers (odds ratio = 0.29; 95%
   confidence interval = 0.09, 0.80) and non-Hispanic White parents (odds
   ratio = 0.29; 95% confidence interval = 0.11, 0.76) were less likely to
   have vaccinated sons. Willingness to get sons HPV vaccine decreased from
   baseline to follow-up among parents (P <.001) and sons (P =.003).
   Conclusions. Vaccination against HPV remained low in our study and
   willingness to vaccinate may be decreasing. Physician recommendation and
   education about HPV vaccine for males may be key strategies for
   improving vaccination.
RI Brewer, Noel T/C-4375-2008; Gyan, Kayoll/; McRee, Annie-Laurie/; Pepper, Jessica/
OI Brewer, Noel T/0000-0003-2241-7002; Gyan, Kayoll/0000-0001-7032-7234;
   McRee, Annie-Laurie/0000-0001-6588-5995; Pepper,
   Jessica/0000-0002-3019-9052
ZA 0
ZR 0
Z8 0
TC 104
ZB 44
ZS 0
Z9 104
U1 0
U2 21
SN 0090-0036
EI 1541-0048
UT WOS:000330997500031
PM 23763402
ER

PT J
AU Moksnes, Havard
   Engebretsen, Lars
   Risberg, May Arna
TI Prevalence and Incidence of New Meniscus and Cartilage Injuries After a
   Nonoperative Treatment Algorithm for ACL Tears in Skeletally Immature
   Children A Prospective MRI Study
SO AMERICAN JOURNAL OF SPORTS MEDICINE
VL 41
IS 8
BP 1771
EP 1779
DI 10.1177/0363546513491092
PD AUG 2013
PY 2013
AB Background: The increased risk of long-term osteoarthritis from
   concomitant injuries to the menisci or cartilage after an anterior
   cruciate ligament (ACL) injury in adults is well established. In
   skeletally immature children, ACL reconstruction is often recommended to
   reduce the risk of new intra-articular injuries. However, the prevalence
   and incidence of new injuries after nonoperative treatment of ACL
   injuries in children are unknown.
   Purpose: To prospectively investigate the incidence of new injuries to
   the menisci and joint cartilage in nonoperatively treated, skeletally
   immature children with a known ACL injury by use of bilateral 3.0-T MRI.
   Study Design: Case series; Level of evidence, 4.
   Methods: Forty skeletally immature children with a ruptured ACL (41
   knees) followed a nonoperative treatment algorithm and were evaluated
   with bilateral 3.0-T MRI on 2 occasions (MRI1 and MRI2). The
   intra-articular structures were analyzed by 2 independent MRI
   radiologists. Monitoring of participation in physical activities was
   accomplished through a monthly online activity survey. Descriptive
   statistics and frequencies were extracted from the scoring forms and
   compared using the Fisher exact test.
   Results: Fourteen girls (35%) and 26 boys (65%) with a mean age of 11.0
   1.4 years at the time of injury were included. Time from injury to the
   final follow-up was 3.8 +/- 1.4 years. Eighty-eight percent of the
   ACL-deficient children confirmed monthly participation in pivoting
   sports and/or in physical education classes in school. The prevalence of
   meniscus injuries in the 28 nonreconstructed knees was 28.5% at MRI1 and
   MRI2, and the incidence of new meniscus and cartilage injuries in the
   nonreconstructed knees from MRI1 to MRI2 was 3.6%. Thirteen children
   underwent ACL reconstruction, with a prevalence of meniscus procedures
   of 46.2%. The incidence of new meniscus injuries from diagnostic MRI to
   final follow-up was 19.5%. Surgical treatments for meniscus injuries
   were performed in 8 of the 41 knees.
   Conclusion: The incidence of new injuries to menisci and joint cartilage
   was low between MRI1 and MRI2 in the 28 nonreconstructed knees.
   Thirty-two percent of the knees required ACL reconstruction, and 19.5%
   required meniscus surgeries during the 3.8 +/- 1.4 years of follow-up
   from injury. Further follow-up is needed to evaluate the long-term knee
   health in these children.
TC 56
ZA 0
ZB 12
Z8 1
ZR 1
ZS 0
Z9 58
U1 0
U2 13
SN 0363-5465
EI 1552-3365
UT WOS:000325708000008
PM 23771955
ER

PT J
AU Cochran, Amalia
   Hauschild, Tricia
   Elder, William B.
   Neumayer, Leigh A.
   Brasel, Karen J.
   Crandall, Marie L.
TI Perceived gender-based barriers to careers in academic surgery
SO AMERICAN JOURNAL OF SURGERY
VL 206
IS 2
BP 263
EP 268
DI 10.1016/j.amjsurg.2012.07.044
PD AUG 2013
PY 2013
AB BACKGROUND: Women represent roughly 50% of US medical students and one
   third of US surgery residents. Within academic surgery departments,
   however, women are disproportionately underrepresented, particularly at
   senior levels. The aim of this study was to test the hypothesis that
   female surgeons perceive different barriers to academic careers relative
   to their male colleagues.
   METHODS: A modified version of the Career Barriers Inventory-Revised was
   administered to senior surgical residents and early-career surgical
   faculty members at 8 academic medical centers using an online survey
   tool. Likert-type scales were used to measure respondents' agreement
   with each survey item. Fisher's exact test was used to identify
   significant differences on the basis of gender.
   RESULTS: Respondents included 70 women (44 residents, 26 faculty
   members) and 84 men (41 residents, 43 faculty members). Women
   anticipated or perceived active discrimination in the form of being
   treated differently and experiencing negative comments about their sex,
   findings that differed notably from those for male counterparts.
   Sex-based negative attitudes inhibited the career aspirations of female
   surgeons. The presence of overt and implicit bias resulted in a sense
   that sex is a barrier to female surgeons' career development in academic
   surgery. No differences were observed between male and female
   respondents with regard to career preparation or structural barriers.
   CONCLUSIONS: Female academic surgeons experience challenges that are
   perceived to differ from their male counterparts. Women who participated
   in this study reported feeling excluded from the dominant culture in
   departments of surgery. This study may help guide transformative
   initiatives within academic surgery departments. (c) 2013 Elsevier Inc.
   All rights reserved.
RI Crandall, Marie/L-9066-2019; Cochran, Amalia/
OI Crandall, Marie/0000-0002-6536-3123; Cochran, Amalia/0000-0003-4285-8630
TC 180
ZB 26
ZR 0
Z8 0
ZA 0
ZS 3
Z9 182
U1 0
U2 40
SN 0002-9610
EI 1879-1883
UT WOS:000322707900018
PM 23414631
ER

PT J
AU Ahmadi, Negar
   Dubois, Luc
   McKenzie, Marg
   Brown, Carl J.
   MacLean, Anthony R.
   McLeod, Robin S.
TI Role of Evidence-Based Reviews in Surgery in teaching critical appraisal
   skills and in journal clubs
SO CANADIAN JOURNAL OF SURGERY
VL 56
IS 4
BP E98
EP E102
DI 10.1503/cjs.007512
PD AUG 2013
PY 2013
AB Background: Evidence-Based Reviews in Surgery (EBRS) is a program
   developed to teach critical appraisal skills to general surgeons and
   residents. The purpose of this study was to assess the use of EBRS by
   general surgery residents across Canada and to assess residents'
   opinions regarding EBRS and journal clubs.
   Methods: We surveyed postgraduate year 2-5 residents from 15 general
   surgery programs. Data are presented as percentages and means.
   Results: A total of 231 residents (58%, mean 56% per program, range
   0%-100%) responded: 172 (75%) residents indicated that they know about
   EBRS and that it is used in their programs. More than 75% of residents
   who use EBRS agreed or strongly agreed that the EBRS clinical and
   methodological articles and reviews are relevant. Only 55 residents
   (24%) indicated that they used EBRS online. Most residents (198 [86%])
   attend journal clubs. The most common format is a mandatory meeting held
   at a special time every month with faculty members with epidemiological
   and clinical expertise. Residents stated that EBRS articles were used
   exclusively (13%) or in conjunction with other articles (57%) in their
   journal clubs. Most respondents (176 of 193 [91%]) stated that journal
   clubs are very or somewhat valuable to their education.
   Conclusion: The EBRS program is widely used among general surgery
   residents across Canada. Although most residents who use EBRS rate it
   highly, a large proportion are unaware of EBRS online features. Thus,
   future efforts to increase awareness of EBRS online features and
   increase its accessibility are required.
RI McLeod, Robin/K-1476-2013; Brown, Carl/
OI Brown, Carl/0000-0002-5368-3541
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
TC 2
Z9 2
U1 0
U2 4
SN 0008-428X
EI 1488-2310
UT WOS:000330718700010
PM 23883511
ER

PT J
AU King, Angela
TI A trainee's guide to surviving ePortfolio
SO CLINICAL MEDICINE
VL 13
IS 4
BP 367
EP 369
DI 10.7861/clinmedicine.13-4-367
PD AUG 2013
PY 2013
AB NHS ePortfolio is currently the standard assessment method used for most
   UK training programmes, from the Foundation Programme to core and
   specialty training years. This article discusses the terminology used in
   online assessments and gives a hands-on guide for trainees in how to
   successfully use ePortfolio.
ZS 0
Z8 0
ZA 0
TC 3
ZR 0
ZB 0
Z9 3
U1 0
U2 5
SN 1470-2118
EI 1473-4893
UT WOS:000326251100011
PM 23908506
ER

PT J
AU Tamler, R.
   Dunn, A. S.
   Green, D. E.
   Skamagas, M.
   Breen, T. L.
   Looker, H. C.
   LeRoith, D.
TI Effect of online diabetes training for hospitalists on inpatient
   glycaemia
SO DIABETIC MEDICINE
VL 30
IS 8
BP 994
EP 998
DI 10.1111/dme.12151
PD AUG 2013
PY 2013
AB Aim An online diabetes course for medical residents led to lower patient
   blood glucose, but also increased hypoglycaemia despite improved trainee
   confidence and knowledge. Based on these findings, we determined whether
   an optimized educational intervention delivered to hospitalists
   (corresponding to an Acute Physician or Specialist in Acute Hospital
   Medicine in the UK) improved inpatient glycaemia without concomitant
   hypoglycaemia.
   Methods All 22 hospitalists at an academic medical centre were asked to
   participate in an online curriculum on the management of inpatient
   dysglycaemia in autumn 2009 and a refresher course in spring 2010.
   Results All hospitalists completed the initial intervention. Median
   event blood glucose decreased from 9.3 mmol/l (168 mg/dl)
   pre-intervention to 7.8 mmol/l (141 mg/dl) post-intervention and 8.5
   mmol/l (153 mg/dl) post-refresher (P < 0.001 for both). Hospitalizations
   categorized as hyperglycaemia decreased from 83.3 to 55.6% (P = 0.014),
   with a trend towards euglycaemia (10-28.9%, P = 0.08) and no change in
   hypoglycaemia. Hyperglycaemic patient-days decreased from 72.0 to 57.3%
   (P = 0.004), with greater target glycaemia (27.3-39.4%, P = 0.016) and
   no change in hypoglycaemia.
   Conclusions An optimized online educational intervention delivered to
   hospitalists yielded significant improvements in inpatient glycaemia
   without increased hypoglycaemia.
TC 11
ZB 2
ZA 0
Z8 0
ZR 0
ZS 0
Z9 11
U1 0
U2 3
SN 0742-3071
EI 1464-5491
UT WOS:000321844200018
PM 23398488
ER

PT J
CA European Society of Radiology (ESR)
TI MD PhD programmes with relevance to imaging. Results from a European
   survey.
SO Insights into imaging
VL 4
IS 4
BP 409
EP 15
DI 10.1007/s13244-013-0249-5
PD 2013-Aug
PY 2013
AB BACKGROUND: Scientific research is an important part of radiology. PhDs
   for MDs are becoming increasingly important for an academic career.
   Developments in training for young radiologists show that the interest
   in completing a PhD programme with a focus on imaging is significantly
   increasing.
   METHODS: It can be assumed that PhDs of relevance to imaging provide
   excellent training for later scientific work during radiology residency.
   To evaluate the situation for the availability of PhD programmes with
   relevance to imaging, a European survey was performed. In total, 100
   universities and institutions from 24 European countries responded.
   RESULTS: In 50.5% of the responses the universities/institutions offer
   imaging-related PhD programmes. In 25.6% of responses radiology
   departments run their own PhD programme. With regard to handling PhD and
   radiology training, the most common response was that a PhD is allowed
   in parallel to radiology training (38.9%), should be completed partly
   (15.3%) and must be completed first (8.3%). The most common responses
   for the duration of PhD programmes were 3years and 4years (27.8% each).
   CONCLUSION: In conclusion, the survey has shown that imaging-related PhD
   programmes are available for radiologists and that radiology departments
   should be encouraged and supported to develop their own PhD programmes.
   Finally, this survey may be the first step to develop an online database
   comprising all these PhD programmes throughout Europe, allowing easy
   access to this information.
   MAIN MESSAGES:  PhD programmes with relevance to imaging are becoming
   increasingly important for young radiologists.  In Europe about half of
   the universities/institutions offer imaging-related PhD programmes;
   about a quarter of radiology departments run their own PhD programme. 
   Where radiology departments have the appropriate facilities and staff
   they should be encouraged and supported to develop their own PhD
   programme.  An online database comprising PhD programmes worldwide would
   be a useful tool for radiologists, allowing for easy access to this
   information.  PhD programmes are a valuable asset not only for
   clinicians, but also for universities, institutions and individual
   radiology programmes alike.
ZS 0
ZA 0
Z8 0
TC 3
ZR 0
ZB 0
Z9 3
U1 0
U2 0
SN 1869-4101
UT MEDLINE:23722569
PM 23722569
ER

PT J
AU Moreno, Megan A.
TI School Readiness
SO JAMA PEDIATRICS
VL 167
IS 8
BP 784
EP 784
DI 10.1001/jamapediatrics.2013.2959
PD AUG 2013
PY 2013
Z8 0
ZS 1
ZA 0
ZR 0
TC 7
ZB 1
Z9 7
U1 0
U2 10
SN 2168-6203
UT WOS:000323551200017
PM 24100395
ER

PT J
AU Jelacic, Srdjan
   Bowdle, Andrew
   Togashi, Kei
   VonHomeyer, Peter
TI The Use of TEE Simulation in Teaching Basic Echocardiography Skills to
   Senior Anesthesiology Residents
SO JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
VL 27
IS 4
BP 670
EP 675
DI 10.1053/j.jvca.2013.01.016
PD AUG 2013
PY 2013
AB Objective: The authors evaluated the educational benefits of using a
   first-generation Heart Works simulator to teach senior anesthesiology
   residents basic echocardiography skills.
   Design: Prospective observational study.
   Setting: A single academic medical center (teaching hospital).
   Participants: Thirty-seven senior (fourth-year) anesthesiology residents
   participated in this study.
   Interventions: Groups of 3 senior anesthesiology residents participated
   in a single 3-hour tutorial in the simulation laboratory in the authors'
   institution during their cardiothoracic anesthesiology rotation. A
   cardiothoracic anesthesiology faculty member demonstrated the use of the
   transesophageal echocardiography (TEE) simulator and instructed the
   residents on obtaining standard TEE views of normal anatomy.
   Measurements and Main Results: Prior to the laboratory session, the
   residents took an online multiple-choice pretest with 25 questions
   related to safety, probe manipulation, clinical application, and
   pathology, which was accompanied by echo images of normal cardiac
   anatomy and video clips of pathology. Three to four weeks after the TEE
   tutorial, the residents completed an online post-test and evaluation of
   the teaching session. There was a statistically significant increase in
   knowledge of normal echocardiographic anatomy (p = 0.04), with an
   average improvement in normal echocardiographic anatomy scores of 15%.
   Conclusions: Virtual reality TEE simulation technology was endorsed
   strongly by residents, produced a statistically significant improvement
   in knowledge of normal echocardiographic anatomy, and could be effective
   for teaching basic echocardiography to anesthesiology residents. (C)
   2013 Elsevier Inc. All rights reserved.
OI , Peter/0000-0002-8290-8260; Jelacic, Srdjan/0000-0002-6617-9870
ZB 4
ZR 0
ZS 0
Z8 5
ZA 0
TC 30
Z9 35
U1 0
U2 6
SN 1053-0770
EI 1532-8422
UT WOS:000322418200007
PM 23849523
ER

PT J
AU Cipriano, Sarah D.
   Dybbro, Eric
   Boscardin, Christy K.
   Shinkai, Kanade
   Berger, Timothy G.
TI Online learning in a dermatology clerkship: Piloting the new American
   Academy of Dermatology Medical Student Core Curriculum
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 69
IS 2
BP 267
EP 272
DI 10.1016/j.jaad.2013.04.025
PD AUG 2013
PY 2013
AB Background: Multiple studies have shown that both current and future
   primary care providers have insufficient education and training in
   dermatology. To address the limitations and wide variability in medical
   student dermatology instruction, the American Academy of Dermatology
   (AAD) created a standardized, online curriculum for both dermatology
   learners and educators.
   Objective: We sought to determine the impact of the integration of the
   AAD online curriculum into a 2-week introductory dermatology clerkship
   for fourth-year medical students.
   Methods: In addition to their clinical duties, we assigned 18 online
   modules at a rate of 1 to 3 per day. We evaluated knowledge acquisition
   using a 50-item, multiple-choice pretest and posttest. Postmodule and
   end-of-course questionnaires contained both closed and open-ended items
   soliciting students' perceptions about usability and satisfaction.
   Results: All 51 participants significantly improved in their dermatology
   knowledge (P < .001). The majority of students found the modules easy to
   navigate (95%) and worth their time (93%). All respondents supported the
   continuation of the modules as part of the dermatology clerkship.
   Limitations: Without a control group who did not experience the online
   curriculum, we are unable to isolate the specific impact of the online
   modules on students' learning.
   Conclusion: This study demonstrates the successful integration of this
   educational resource into a 2-week, university-based dermatology
   clerkship. Students' perceptions regarding usability and satisfaction
   were overwhelmingly positive, suggesting that the online curriculum is
   highly acceptable to learners. Widespread use of this curriculum may be
   a significant advancement in standardized dermatology learning for
   medical students.
CT Dermatology Research agenda conference
CY JUN 22-23, 2012
CL Washington, DC
OI Boscardin, Christy/0000-0002-9070-8859
ZR 0
ZS 0
TC 27
Z8 0
ZB 4
ZA 0
Z9 27
U1 0
U2 3
SN 0190-9622
UT WOS:000322068100036
PM 23683728
ER

PT J
AU Patel, Vishal
   Aggarwal, Rajesh
   Cohen, Daniel
   Taylor, Dave
   Darzi, Ara
TI Implementation of an Interactive Virtual-World Simulation for Structured
   Surgeon Assessment of Clinical Scenarios
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 217
IS 2
BP 270
EP 279
DI 10.1016/j.jamcollsurg.2013.03.023
PD AUG 2013
PY 2013
AB BACKGROUND: A novel simulation technology has emerged through the use of
   online 3-dimensional virtual worlds in which it is feasible to create
   virtual patients. This study establishes the face, content and construct
   validity of online 3-dimensional virtual patients in Second Life (a
   3-dimensional virtual world accessible via the Internet).
   STUDY DESIGN: Sixty-three surgeons of the following grades participated
   in this study: intern (n = 20); junior resident (n = 15); senior
   resident (n = 18), and attending (n = 10). All subjects assessed a
   series of 3 virtual patients (level 1) with different surgical
   presentations, such as lower gastrointestinal bleeding, acute
   pancreatitis, and small bowel obstruction. The junior resident group
   managed an additional 3 cases (level 2) with the same presentation but
   of increasing complexity. The senior resident and attending groups
   completed a total of 9 cases (level 1 to 3). The primary outcomes
   measures were the face and content validity rated on a 7-point Likert
   scale and a performance score based on a performance rating.
   RESULTS: The simulation demonstrated high face and content validity
   ratings. Eight of 9 cases, with the exception of the level 3 small bowel
   obstruction, demonstrated significant differences in performance among
   the user groups (p < 0.01). Additional subset analysis demonstrated that
   the attending group performed best for performance ratings.
   CONCLUSIONS: This novel form of simulation demonstrated high face and
   content validity. Performance assessed in managing a series of virtual
   patients varies with different levels of surgical training. This
   simulation can be used to differentiate among these levels and can be
   implemented as a unique form of assessment. (C) 2013 by the American
   College of Surgeons
RI Callahan, Charles D/L-1641-2013; Taylor, Dave/AAD-5830-2021
OI Taylor, Dave/0000-0003-0864-9966
ZB 2
Z8 0
TC 17
ZR 0
ZS 0
ZA 0
Z9 17
U1 0
U2 12
SN 1072-7515
UT WOS:000323167000015
PM 23870219
ER

PT J
AU Bleakley, Amy
   Jordan, Amy B.
   Hennessy, Michael
TI The Relationship Between Parents' and Children's Television Viewing
SO PEDIATRICS
VL 132
IS 2
BP E364
EP E371
DI 10.1542/peds.2012-3415
PD AUG 2013
PY 2013
AB OBJECTIVE: To examine the effect of parental television viewing on
   children's television viewing compared with traditional predictors such
   as household television access, parental rules, and demographic
   characteristics of the child, parent, and household.
   METHODS: An online survey using national samples of 1550 parents with
   children in 3 age groups (children <= 5 years, children aged 6-11 years,
   and adolescents aged 12-17 years), weighted to be representative of US
   parents with children in each age group. Adolescents (n = 629) of
   participating parents were also surveyed.
   RESULTS: Parent television time is associated with child television time
   and had a stronger relationship to child time than access to television
   in the home or the child's bedroom, as well as parental rules about
   television viewing and coviewing. This pattern persisted across all age
   groups of children.
   CONCLUSIONS: Educating parents about the relationship between their own
   and their child's viewing may be a useful strategy for interventions
   that aim to reduce children's excessive television viewing.
   Additionally, health professionals can engage parents in a discussion
   about how family television time is associated with increased television
   time for children.
OI Hennessy, Michael/0000-0001-7176-3089; Bleakley, Amy/0000-0002-4539-4424
TC 68
ZB 5
Z8 0
ZS 2
ZR 0
ZA 0
Z9 70
U1 2
U2 70
SN 0031-4005
EI 1098-4275
UT WOS:000322957300007
PM 23858418
ER

PT J
AU Scott, Lancer A.
   Swartzentruber, Derrick A.
   Davis, Christopher Ashby
   Maddux, P. Tim
   Schnellman, Jennifer
   Wahlquist, Amy E.
TI Competency in Chaos: Lifesaving Performance of Care Providers Utilizing
   a Competency-Based, Multi-Actor Emergency Preparedness Training
   Curriculum
SO PREHOSPITAL AND DISASTER MEDICINE
VL 28
IS 4
BP 322
EP 333
DI 10.1017/S1049023X13000368
PD AUG 2013
PY 2013
AB Objective: Providing comprehensive emergency preparedness training (EPT)
   to care providers is important to the future success of disaster
   operations in the US. Few EPT programs possess both competency-driven
   goals and metrics to measure performance during a multi-patient
   simulated disaster.
   Methods: A 1-day (8-hour) EPT course for care providers was developed to
   enhance provider knowledge, skill, and comfort necessary to save lives
   during a simulated disaster. Nine learning objectives, 18 competencies,
   and 34 performance objectives were developed. During the 2-year
   demonstration of the curriculum, 24 fourth-year medical students and 17
   Veterans Hospital Administration (VHA) providers were recruited and
   volunteered to take the course (two did not fully complete the research
   materials). An online pre-test, two post-tests, course assessment,
   didactic and small group content, and a 6-minute clinical casualty
   scenario were developed. During the scenario, trainees working in teams
   were confronted with three human simulators and 10 actor patients
   simultaneously. Unless appropriate performance objectives were met, the
   simulators "died" and the team was exposed to "anthrax." After the
   scenario, team members participated in a facilitator-led debriefing
   using digital video and then repeated the scenario.
   Results: Trainees (N = 39) included 24 (62%) medical students; seven
   (18%) physicians; seven (18%) nurses; and one (3%) emergency manager.
   Forty-seven percent of the VHA providers reported greater than 16 annual
   hours of disaster training, while 15 (63%) of the medical students
   reported no annual disaster training. The mean (SD) score for the
   pre-test was 12.3 (3.8), or 51% correct, and after the training, the
   mean (SD) score was 18.5 (2.2), or 77% (P < .01). The overall rating for
   the course was 96 out of 100. Trainee self-assessment of "Overall Skill"
   increased from 63.3 out of 100 to 83.4 out of 100 and "Overall
   Knowledge" increased from 49.3 out of 100 to 78.7 out of 100 (P < .01).
   Of the 34 performance objectives during the disaster scenario, 23 were
   completed by at least half of the teams during their first attempt. All
   teams except one (8 of 9) could resuscitate two simulators and all teams
   (9 of 9) helped prevent anthrax exposure during their second scenario
   attempt.
   Conclusions: The 1-day EPT course for novice and experienced care
   providers recreated a multi-actor clinical disaster and enhanced
   provider knowledge, comfort level, and EPT skill. A larger-scale study,
   or multi-center trial, is needed to further study the impact of this
   curriculum and its potential to protect provider and patient lives.
ZR 0
Z8 0
ZB 1
ZS 0
TC 19
ZA 0
Z9 19
U1 1
U2 19
SN 1049-023X
EI 1945-1938
UT WOS:000445143300003
PM 23731521
ER

PT J
AU Seifried, Jasmin
   Guttmann, Josef
   Schumann, Stefan
TI PHYSICO-TECHNICAL MEDICINE - TEACHING TECHNICAL SKILLS TO THE PHYSICIAN
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 58
DI 10.1515/bmt-2013-4411
SU 1
PD AUG 2013
PY 2013
AB The online Master degree program "MasterOnline Physico-Technical
   Medicine" is an offer of continued medical education for medical
   professionals. In 2012 the study program was evaluated in a
   questionnaire.
   Students of the second semester were comfortable with the workload, the
   study content, and the medical relevance of the content. Their overall
   rating of the lectures was very positive.
OI Schumann, Stefan/0000-0003-0773-7489
ZS 0
ZR 0
ZA 0
TC 0
Z8 0
ZB 0
Z9 0
U1 0
U2 1
SN 0013-5585
EI 1862-278X
UT WOS:000497714000182
PM 24043166
ER

PT J
AU Steinert, F.
   Klein, St
   Granow, R.
TI Experiences with Online Courses for Regulatory Affairs - Modules for
   Continuing Education and Master Programmes as well
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 58
DI 10.1515/bmt-2013-4413
SU 1
PD AUG 2013
PY 2013
AB Basic knowledge in the regulatory affairs field is essential for nearly
   every person working in the medical technology science or industry.
   Nevertheless, persons coming from other sectors into a medical firm, or
   students not having studied Biomedical Engineering or similar programs,
   do not have this knowledge.
   The paper describes the requirements, the development and first
   experiences with a "Regulatory Affairs" on-line course.
ZS 0
TC 0
ZA 0
Z8 0
ZR 0
ZB 0
Z9 0
U1 1
U2 4
SN 0013-5585
EI 1862-278X
UT WOS:000497714000295
PM 24043168
ER

PT J
AU Dupuis, Josee
   Coutu, Josee
   Laneuville, Odette
TI Application of linear mixed-effect models for the analysis of exam
   scores: Online video associated with higher scores for undergraduate
   students with lower grades
SO COMPUTERS & EDUCATION
VL 66
BP 64
EP 73
DI 10.1016/j.compedu.2013.02.011
PD AUG 2013
PY 2013
AB In higher education, many of the new teaching interventions are
   introduced in the format of audio-visual files distributed through the
   Internet. A pedagogical tool consisting of questions listed as learning
   objectives and answers presented using online videos was designed as a
   supplement for a molecular biology course and made available to a large
   class of upper-level undergraduate students. The aim of the current
   study was to evaluate the impact of online videos on test scores. For
   this, linear mixed-effect models were fitted to the data and used to
   jointly estimate the effect on exam scores of video access and a set
   other variables including gender, academic year course segment and
   cumulative grade point average (CGPA) of students. On average, scores
   for the segment of the course corresponding to the introduction of the
   online videos increased by 2%. Interestingly, students with lower CGPAs
   benefited the most from access to online videos; if CGPA = 4.0/10, then
   Overage score increase was 6.2%. For students with a higher CGPA of
   8.0/10.0, the average increase of scores was 1.0%. The measure of exam
   performance represents a preliminary evaluation of the educational
   intervention described. Overall, the availability of videos
   demonstrating the application of concepts to solve problems in molecular
   biology was associated with statistically significantly higher scores on
   the exams. (C) 2013 Elsevier Ltd. All rights reserved.
OI Dupuis, Josee/0000-0003-2871-3603
ZB 3
Z8 0
ZA 0
TC 21
ZS 0
ZR 0
Z9 21
U1 2
U2 53
SN 0360-1315
EI 1873-782X
UT WOS:000317871400006
ER

PT J
AU Murphy, Gail Tomblin
   MacKenzie, Adrian
   Rigby, Janet
   Rockwood, Kenneth
   Gough, Amy
   Greeley, Gogi
   Montpetit, Frederick
   Dill, Donna
   Alder, Robert
   Lackie, Kelly
TI Service-Based Health Human Resources Planning for Older Adults
SO JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
VL 14
IS 8
BP 611
EP 615
DI 10.1016/j.jamda.2013.03.018
PD AUG 2013
PY 2013
AB Objectives: To test a service-based health human resources (HHR)
   planning approach for older adults in the context of home and long term
   care (LTC); to create a practical template/tools for use in various
   jurisdictions and/or health care settings.
   Design: The most serious health needs of seniors in 2 Canadian
   jurisdictions were identified and linked to the specific services and
   associated competencies required of health care providers (HCPs)to
   address those needs. The amounts of each service required were
   quantified and compared against the capacity of HCPs to perform the
   services, measured using a self-assessment survey, by using a previously
   developed analytical framework.
   Setting: Home and LTC sectors in Nova Scotia and Nunavut, Canada.
   Participants: Regulated and nonregulated HCPs were invited to complete
   either an online or paper-based competency self-assessment survey.
   Results: Survey response rates in Nova Scotia and Nunavut were 11% (160
   responses) and 20% (22 responses), respectively. Comparisons of the
   estimated number of seniors likely to need each service with the number
   who can be served by the workforces in each jurisdiction indicated that
   the workforces in both jurisdictions are sufficiently numerous, active,
   productive, and competent to provide most of the services likely to be
   required. However, significant gaps were identified in pharmacy
   services, ongoing client assessment, client/family education and
   involvement, and client/family functional and social supports.
   Conclusion: Service-based HHR planning is feasible for identifying gaps
   in services required by older adults, and can guide policy makers in
   planning hiring/recruitment, professional development, and provider
   education curricula. Implementation will require commitment of policy
   makers and other stakeholders, as well as ongoing evaluation of its
   effectiveness. More broadly, the ongoing effectiveness of the approach
   will depend on workforce planning being conducted in an iterative way,
   driven by regular reevaluation of population health needs and HHR
   effectiveness. Copyright (C) 2013 - American Medical Directors
   Association, Inc.
RI Rockwood, Kenneth/AAD-8951-2019; MacKenzie, Adrian/; Lackie, Kelly/
OI MacKenzie, Adrian/0000-0002-8690-9113; Lackie, Kelly/0000-0001-8912-2853
ZB 1
TC 6
Z8 0
ZR 0
ZA 0
ZS 0
Z9 6
U1 1
U2 21
SN 1525-8610
UT WOS:000324328200014
PM 23664018
ER

PT J
AU Duffin, Kristina Callis
   Armstrong, April W.
   Mease, Philip J.
TI Psoriasis and Psoriatic Arthritis Video Project: An Update from the 2012
   GRAPPA Annual Meeting
SO JOURNAL OF RHEUMATOLOGY
VL 40
IS 8
BP 1455
EP 1456
DI 10.3899/jrheum.130463
PD AUG 2013
PY 2013
AB The Group for Research and Assessment of Psoriasis and Psoriatic
   Arthritis (GRAPPA) has developed online videos intended to provide
   training on the most commonly used physical examination measures for
   psoriasis and psoriatic arthritis (PsA). At the 2012 GRAPPA annual
   meeting, attendees were updated on the development, availability, use,
   and validation of these video modules. To date, 1300 users from 45
   different countries have used the Psoriasis Area and Severity Index
   (PASI) module at least once. Results were presented from a recently
   completed study of pre- and post-video scoring of the PASI by
   experienced and naive physicians and patient assessors. Future
   modifications of the video collection were also discussed.
TC 4
Z8 0
ZR 0
ZS 0
ZA 0
ZB 4
Z9 4
U1 0
U2 1
SN 0315-162X
UT WOS:000323192300041
PM 23908546
ER

PT J
AU Ward, Elizabeth Cochran
   Kwan, James
   Garlan, Karen
   Bassett, Elizabeth
   Klein, Linda
TI 'To teach or not to teach?' Factors that motivate and constrain
   Australian emergency medicine physicians to teach medical students
SO EMERGENCY MEDICINE AUSTRALASIA
VL 25
IS 4
BP 353
EP 358
DI 10.1111/1742-6723.12104
PD AUG 2013
PY 2013
AB Objective: Clinical teaching in the ED is crucial to the education of
   medical students. We attempted to identify and describe Australian
   emergency physicians who are currently clinical teachers and to elicit
   the factors that motivate and constrain them to teach.
   Methods: An online survey was emailed to all Advanced Trainee and
   Emergency Physician ( Fellow) members of the ACEM.
   Results: Our response rate was 28%. The 639 survey respondents were
   broadly representative of the total ACEM membership in level of
   training, gender and geographic distribution across all Australian
   states and territories. Although only 30% of survey respondents had a
   university teaching position, 74% were actively teaching medical
   students. Ninety per cent of all respondents agreed they would either
   commence teaching or increase the amount of time they contributed if
   they had protected teaching time. Other important facilitators were
   feelings of personal satisfaction and receiving continuing medical
   education credits. Written comments were received from 162 respondents.
   Qualitative analysis identified three main themes: personal, systemic
   and university-related factors. Systemic and university factors were
   most frequently cited as barriers to teaching, whereas personal factors
   were motivators.
   Conclusions: Although most emergency physicians are willing to teach,
   systemic and university factors associated with teaching medical
   students acted against success of this outcome.
ZB 0
TC 10
ZA 0
ZS 0
Z8 0
ZR 0
Z9 10
U1 0
U2 4
SN 1742-6731
EI 1742-6723
UT WOS:000322591400012
PM 23911027
ER

PT J
AU McCleskey, Maj Patrick E.
TI Clinic teaching made easy: A prospective study of the American Academy
   of Dermatology core curriculum in primary care learners
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 69
IS 2
BP 273
EP U218
DI 10.1016/j.jaad.2012.12.955
PD AUG 2013
PY 2013
AB Background: Dermatology instruction for primary care learners is
   limited, and the American Academy of Dermatology (AAD) has developed a
   new core curriculum for dermatology.
   Objective: This study sought to prospectively evaluate short-term
   knowledge acquisition and long-term knowledge retention after using the
   AAD core curriculum during a clinical dermatology clerkship.
   Methods: Resident physicians and physician assistant students performing
   clerkships at military dermatology clinics were given access to the AAD
   core curriculum teaching modules before their public availability.
   Knowledge acquisition was measured with pretests and posttests, and a
   follow-up quiz was given up to a year after the dermatology rotation to
   assess knowledge retention.
   Results: In all, 82 primary care learners met inclusion criteria.
   Knowledge improved significantly from pretest to posttest (60.1 vs 77.4,
   P < .01). Of the 10 factors evaluated, only high use of the World Wide
   Web site was significantly associated with improved posttest scores
   (70.8 vs 82.2, P = .003). Long-term follow-up scores available from 38
   participants were only slightly lower than their posttest scores (70.5
   vs 78.9, P < .01) at a median time of 6.8 months after the clerkship.
   Students found the online modules clear, engaging, and worth their time
   and preferred them to other teaching methods such as textbook reading
   and lectures.
   Limitations: The nonrandomized study was voluntary, so individual
   performance may be influenced by selection bias.
   Conclusion: The more learners used the online curriculum, the better
   they scored on the posttest. This demonstrates the efficacy of the AAD
   core curriculum in teaching its goals and objectives for primary care
   learners performing a dermatology clerkship.
CT Dermatology Research agenda conference
CY JUN 22-23, 2012
CL Washington, DC
ZA 0
TC 15
ZR 0
ZS 0
Z8 0
ZB 0
Z9 15
U1 3
U2 10
SN 0190-9622
UT WOS:000322068100037
PM 23415684
ER

PT J
AU Kozusko, J.
   Dietrich, H.
   Abdel-Haq, A.
   Weichelt, C.
   Hebestadt, S.
   Kuss, J.
   Rudolph, I
   Malberg, H.
   Morgenstern, U.
TI BENEFITS OF BLENDED LEARNING IN BIOMEDICAL ENGINEERING
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 58
DI 10.1515/bmt-2013-4414
SU 1
PD AUG 2013
PY 2013
AB Blended learning represents a way in which to solve the problem of
   limited human resources at the universities and still maintain high
   standards in education of biomedical engineers. The e-learning system
   THERAGNOSOS for Biomedical Engineering students has been developed using
   the authoring tool IDEA 7 Professional. THERAGNOSOS allows
   implementation of blended learning - a combination of presence
   activities and e-learning. Introducing enhanced scenario with delayed
   feedback in exercises lead to improvement of exam results in the pilot
   course on medical terminology. Laboratory exercises are accompanied by
   an e-learning tutorial which increases efficiency of mentoring. Further
   development of e-learning at German universities is a necessary
   condition to keep step with respected excellence universities in English
   speaking countries.
Z8 0
TC 0
ZB 0
ZA 0
ZR 0
ZS 0
Z9 0
U1 0
U2 1
SN 0013-5585
EI 1862-278X
UT WOS:000497714000214
PM 24043171
ER

PT J
AU Mena, Guillermo
   Llupia, Anna
   Garcia-Basteiro, Alberto L.
   Sequera, Victor-Guillermo
   Aldea, Marta
   Maria Bayas, Jose
   Trilla, Antoni
TI Educating on professional habits: attitudes of medical students towards
   diverse strategies for promoting influenza vaccination and factors
   associated with the intention to get vaccinated
SO BMC MEDICAL EDUCATION
VL 13
AR 99
DI 10.1186/1472-6920-13-99
PD JUL 18 2013
PY 2013
AB Background: Influenza vaccination coverage in medical students is
   usually low. Unlike health care workers, there is little information on
   the attitudes to and predictors of vaccination among medical students,
   and their attitudes towards institutional strategies for improving rates
   are unknown.
   Methods: This cross-sectional study evaluated the effect of three
   influenza vaccination promotional strategies (Web page, video and
   tri-fold brochure) on medical students' intention to get vaccinated and
   associated factors. A total of 538 medical students were asked to answer
   an anonymous questionnaire assessing the intention to get vaccinated
   after exposure to any of the promotional strategies. Sociodemographic
   data collected included: sex, age, university year, influenza risk group
   and cohabiting with member of a risk group.
   Results: Four hundred twenty-one students answered the questionnaire, of
   whom 312 (74.1%) were female, 113 (26.8%) had done clinical rotations,
   and 111 (26.6%) reported intention to get the flu shot. Logistic
   regression showed the web group had a greater intention to get
   vaccinated than the reference group (OR: 2.42 95% CI: 1.16-5.03). Having
   done clinical rotations (OR: 2.55 95% CI: 1.36-4.38) and having received
   the shot in previous flu seasons (OR: 13.69 95% CI: 7.86-23.96) were
   independently associated with the intention to get vaccinated.
   Conclusion: Given that previous vaccination is a factor associated with
   the intention to get vaccinated, education on vaccination of health care
   workers should begin while they are students, thereby potentiating the
   habit. In addition, the intention to get vaccinated was greater during
   the clinical phase of the university career, suggesting this is a good
   time to introduce promotion strategies. Online promotional campaigns,
   such as a thematic Web to promote vaccination of health workers, could
   improve the intention to get vaccinated.
RI Llupià, Anna/AAD-2093-2021; Trilla, Antoni/G-2446-2018; Sequera, Victor-Guillermo/; Llupia, Anna/; Aldea, Marta/; MENA PINILLA, GUILLERMO/
OI Sequera, Victor-Guillermo/0000-0002-7707-1363; Llupia,
   Anna/0000-0001-8284-7560; Aldea, Marta/0000-0001-7389-8075; MENA
   PINILLA, GUILLERMO/0000-0003-0147-6302
ZS 0
TC 17
Z8 0
ZR 0
ZA 0
ZB 10
Z9 17
U1 0
U2 12
EI 1472-6920
UT WOS:000323450300001
PM 23866902
ER

PT J
AU Wang, Guoqin
   Wada, Koji
   Hoshi, Keika
   Sasaki, Nanae
   Ezoe, Satoshi
   Satoh, Toshihiko
TI Association of Knowledge of HIV and Other Factors with Individuals'
   Attitudes toward HIV Infection: A National Cross-Sectional Survey among
   the Japanese Non-Medical Working Population
SO PLOS ONE
VL 8
IS 7
AR e68495
DI 10.1371/journal.pone.0068495
PD JUL 16 2013
PY 2013
AB Background: The stigma of and discrimination because of HIV has been
   described as the most important obstacle to prevention and treatment
   efforts. The purpose of this study was to investigate negative attitudes
   and prejudice toward HIV among the Japanese non-medical working
   population and to explore contributing factors.
   Methods: An online anonymous nationwide survey involving approximately
   3,000 individuals was conducted in Japan. Questions ranged from
   background information and HIV knowledge to individuals' attitudes
   towards HIV infection in the workplace. Descriptive statistics and
   logistic regression were applied for analysis.
   Results: Thirty-three percent of participants feared transmission of HIV
   from infected colleagues, 34% tended to avoid contact with them and 40%
   had prejudiced opinions about HIV infection. Despite a relatively high
   level of knowledge of HIV/AIDS overall (11.9 +/- 3.3 from 15 points),
   only 50% of individuals were aware of some issues. Greater knowledge was
   associated with less negative attitudes towards HIV infection (OR 0.39,
   95% CI 0.31-0.48 for prejudiced opinion, high compared with low level of
   knowledge), whereas greater health consciousness was inversely related
   to attitude (OR 1.97, 95% CI 1.50-2.58 for prejudiced opinion, high
   compared with low health consciousness).
   Conclusion: Knowledge neutralizes peoples' negative attitudes towards
   HIV infection, whereas greater health consciousness may worsen them.
   Educational programs should balance knowledge with health consciousness
   to improve the efficacy of HIV interventions.
Z8 0
ZR 0
ZB 4
ZA 0
ZS 0
TC 10
Z9 10
U1 1
U2 7
SN 1932-6203
UT WOS:000322064300039
PM 23874644
ER

PT J
AU Groenwold, Rolf H. H.
   Knol, Mirjam J.
TI Learning styles and preferences for live and distance education: an
   example of a specialisation course in epidemiology
SO BMC MEDICAL EDUCATION
VL 13
AR 93
DI 10.1186/1472-6920-13-93
PD JUL 2 2013
PY 2013
AB Background: Distance learning through the internet is increasingly
   popular in higher education. However, it is unknown how participants in
   epidemiology courses value live vs. distance education.
   Methods: All participants of a 5-day specialisation course in
   epidemiology were asked to keep a diary on the number of hours they
   spent on course activities (both live and distance education).
   Attendance was not compulsory during the course and participants were
   therefore also asked for the reasons to attend live education (lectures
   and practicals). In addition, the relation between participants'
   learning styles (Index of Learning Styles) and their participation in
   live and distance education was studied.
   Results: All 54 (100%) participants in the course completed the
   questionnaire on attendance and 46 (85%) completed the questionnaire on
   learning styles. The number of hours attending live education was
   negatively correlated with the number of hours going studying distance
   learning materials (Pearson correlation -0.5; p < 0.001). The most
   important reasons to attend live education was to stay focused during
   lectures (50%), and to ask questions during practicals (50%). A lack of
   time was the most important reason not to attend lectures (52%) or
   practicals (61%). Learning styles were not association with the number
   of hours spent on live or distance education.
   Conclusion: Distance learning may play an important role in epidemiology
   courses, since it allows participants to study whenever and wherever
   they prefer, which provides the opportunity to combine courses with
   clinical duties. An important requirement for distance learning
   education appears to be the possibility to ask questions and to interact
   with instructors.
OI Groenwold, Rolf/0000-0001-9238-6999
ZB 0
ZS 2
Z8 0
ZA 0
ZR 0
TC 5
Z9 6
U1 0
U2 37
SN 1472-6920
UT WOS:000321445500001
PM 23819522
ER

PT J
AU Hwang, Kevin O.
   Ottenbacher, Allison J.
   Graham, Amanda L.
   Thomas, Eric J.
   Street, Rick L.
   Vernon, Sally W.
TI Online Narratives and Peer Support for Colorectal Cancer Screening A
   Pilot Randomized Trial
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 45
IS 1
BP 98
EP 107
DI 10.1016/j.amepre.2013.02.024
PD JUL 2013
PY 2013
AB Background: Delivering personal narratives and peer support for CRC
   screening in an online weight-loss community could be an efficient
   approach to engaging individuals at increased risk, because obesity is
   associated with excess colorectal cancer (CRC) mortality and lower
   screening rates.
   Purpose: Evaluate user engagement and impact of narratives and peer
   support for promoting CRC screening in an online weight-loss community.
   Design: Pilot randomized trial.
   Setting/participants: Members of an online weight-loss community who
   were not up-to-date with CRC screening were enrolled in the study in
   2011.
   Intervention: Basic and Enhanced groups (n=153 each) both received
   education. The Enhanced group also received narratives and peer support
   for CRC screening in online forums.
   Main outcome measures: The main measures were user engagement,
   psychosocial outcomes, and self-report CRC screening at 6 months.
   Analyses were conducted with (1) the full sample of participants and (2)
   a minimum dose sample of those who participated in their assigned
   intervention to a minimum degree. Analyses were completed in 2012.
   Results: Participants were mostly female (92%) with a mean age of 56
   years. More than 90% in both groups viewed the educational information.
   Only 57% in the Enhanced group joined the online team. The Enhanced
   group had greater improvement in motivation for screening than the Basic
   group at 1 month (p=0.03). In the full sample, there was no difference
   in CRC screening at 6 months (Enhanced 19% vs Basic 16%, adjusted
   OR=1.33, 95% CI=0.73, 2.42). In the minimum dose sample, fecal Occult
   blood testing was higher in the Enhanced (14%) vs Basic (7%) group
   (adjusted OR=2.49, 95% CI=1.01, 6.17).
   Conclusions: Although no between-group differences in CRC screening were
   seen at 6 months, this study did demonstrate that it is feasible to
   deploy a narrative and peer support intervention for CRC screening in a
   randomized trial among members of an online community. However,
   modifications are needed to improve user engagement.
OI Hwang, Kevin/0000-0002-2932-512X; Graham, Amanda/0000-0003-3036-9653;
   Ottenbacher, Allison/0000-0002-8974-5580
TC 12
ZS 0
ZB 1
Z8 2
ZA 0
ZR 0
Z9 14
U1 0
U2 15
SN 0749-3797
EI 1873-2607
UT WOS:000320827500012
PM 23790994
ER

PT J
AU Washington, Thomas Alex
   Robles, Gabriel
   Malotte, Kevin
TI Factors Associated with HIV-Testing History among Black Men Who Have Sex
   with Men (BMSM) in Los Angeles County
SO BEHAVIORAL MEDICINE
VL 39
IS 3
BP 52
EP 59
DI 10.1080/08964289.2013.779565
PD JUL 1 2013
PY 2013
AB Black men who have sex with men (BMSM) are disproportionately affected
   with HIV, and nearly half are unaware of their status. Those unaware of
   their status are more likely to engage in risky behavior; thus,
   HIV-testing uptake is crucial. This study explored correlates of
   past-two-year HIV-testing history. BMSM (n = 102) completed
   self-administered questionnaires. Fisher exact test indicated that BMSM
   at clubs/bars and Gay Pride events had higher rates of being tested
   within the past two years (86%-65%) than did participants who responded
   to online advertisements (44%, p < .001). Among those untested for HIV,
   slightly half reported receptive anal sex without a condom (48%, p =
   .033), used the Internet seeking sex (54%, p < .001), low HIV knowledge
   (52%, p = .005), and less education. Literacy and tailored online
   interventions might be worth considering to increase HIV-testing uptake.
ZA 0
ZB 2
TC 11
ZS 0
Z8 0
ZR 0
Z9 11
U1 0
U2 8
SN 0896-4289
EI 1940-4026
UT WOS:000322864200002
PM 23930896
ER

PT J
AU Steel, Joanne
   Ferguson, Alison
   Spencer, Elizabeth
   Togher, Leanne
TI Speech pathologists' current practice with cognitive-communication
   assessment during post-traumatic amnesia: A survey
SO BRAIN INJURY
VL 27
IS 7-8
BP 819
EP 830
DI 10.3109/02699052.2013.775492
PD JUL 2013
PY 2013
AB Primary objective: To investigate speech pathologists' current practice
   with adults who are in post-traumatic amnesia (PTA).
   Method: Speech pathologists with experience of adults in PTA were
   invited to take part in an online survey through Australian professional
   email/internet-based interest groups.
   Results: Forty-five speech pathologists responded to the online survey.
   The majority of respondents (78%) reported using informal, observational
   assessment methods commencing at initial contact with people in PTA or
   when patients' level of alertness allowed and initiating formal
   assessment on emergence from PTA. Seven respondents (19%) reported
   undertaking no assessment during PTA. Clinicians described using a range
   of techniques to monitor cognitive-communication during PTA, including
   static, dynamic, functional and impairment-based methods.
   Conclusions: The study confirmed that speech pathologists have a key
   role in the multidisciplinary team caring for the person in PTA,
   especially with family education and facilitating interactions with the
   rehabilitation team and family. Decision-making around timing and means
   of assessment of cognitive-communication during PTA appeared primarily
   reliant on speech pathologists' professional experience and the culture
   of their workplace. The findings support the need for further research
   into the nature of cognitive-communication disorder and resolution over
   this period.
RI Togher, Leanne/AAC-7083-2019; Steel, Joanne/AAA-2744-2022; Togher, Leanne/
OI Steel, Joanne/0000-0002-5478-5865; Togher, Leanne/0000-0002-4518-6748
TC 19
ZS 0
ZR 0
ZA 0
ZB 9
Z8 0
Z9 19
U1 0
U2 16
SN 0269-9052
EI 1362-301X
UT WOS:000320806200008
PM 23758272
ER

PT J
AU Terra, J. B.
   Meijer, J. M.
   Jonkman, M. F.
   Diercks, G. F. H.
TI The n- vs. u-serration is a learnable criterion to differentiate
   pemphigoid from epidermolysis bullosa acquisita in direct
   immunofluorescence serration pattern analysis
SO BRITISH JOURNAL OF DERMATOLOGY
VL 169
IS 1
BP 100
EP 105
DI 10.1111/bjd.12308
PD JUL 2013
PY 2013
AB Background Serration pattern analysis of direct immunofluorescence (DIF)
   allows the differentiation of epidermolysis bullosa acquisita from other
   subtypes of pemphigoid. In daily practice its use is limited due to lack
   of experience and unfamiliarity.
   Objectives To test the learnability of DIF serrated-pattern recognition
   in groups with various a priori levels of competence.
   Methods An online nversusu-test (www.nversusu.umcg.nl) was created,
   which contained 26 DIF images of the epidermal basement membrane zone,
   IgG stained and photographed with a magnification of x40 and x63. All
   images represented patients with a form of subepidermal autoimmune
   bullous disease. Thirteen DIF images were presented before and 13 DIF
   images after an instruction video about n- and u-serrated patterns.
   There were three options to choose from: n-serrated, u-serrated or
   undetermined. The test was completed by three groups of professionals:
   dermatology residents in training at the University Medical Center
   Groningen (UMCG), international experts on bullous diseases, and
   dermatologists and pathologists who had participated in the Groningen
   blistering course during the past 10years.
   Results The overall number of correct answers of serration patterns was
   significantly higher after instruction than before instruction (median
   9<bold>0</bold> correct answers vs. 11<bold>0</bold> correct answers,
   P<0<bold>001</bold>). Participants showed a mean improvement after
   instruction of 15<bold>4</bold>% in the UMCG group (66<bold>7</bold>%
   vs. 82<bold>1</bold>%), 16<bold>2</bold>% in the international expert
   group (67<bold>2</bold>% vs. 83<bold>4</bold>%) and 12<bold>1</bold>% in
   the blistering course group (60<bold>7</bold>% vs. 72<bold>8</bold>%).
   The u-serrated pattern was better recognized than the n-serrated
   pattern.
   Conclusions Serration pattern analysis by DIF can be learned
   irrespective of background of expertise.
RI Diercks, Gilles/P-7413-2019; Jonkman, Marcel F./H-4647-2011; Meijer, Joost/AAA-5146-2022; Diercks, Gilles/
OI Meijer, Joost/0000-0001-7654-3528; Diercks, Gilles/0000-0001-8053-216X
ZS 0
ZR 2
TC 40
Z8 1
ZA 0
ZB 11
Z9 43
U1 0
U2 4
SN 0007-0963
UT WOS:000321436900018
PM 23489262
ER

PT J
AU Johnson, I. P.
   Palmer, E.
   Burton, J.
   Brockhouse, M.
TI Online learning resources in anatomy: What do students think?
SO CLINICAL ANATOMY
VL 26
IS 5
BP 556
EP 563
DI 10.1002/ca.22219
PD JUL 2013
PY 2013
AB An interventional cohort comparison study with pretesting and
   post-testing in semesters 1 and 2 was undertaken of 159 medical students
   in year 3 of the MMBS course at the University of Adelaide in 2010. The
   intervention comprised the provision of a number of additional online
   resources in semester 2. Students' views on online anatomy were also
   sought by a questionnaire delivered at the end of semesters 1 and 2 and
   via a small focus group at the end of the study. Anatomy assessment
   results after the introduction of online anatomy were compared with a
   total of three control semesters in 2009 and 2010. There was >90% broad
   agreement before the intervention that wet specimens, tutors and
   discussions with other students helped students learn anatomy. After the
   intervention, these views remained, but there was additionally >90%
   broad agreement that text books helped them learn anatomy, that they had
   good access to anatomical specimens, and there was less agreement that
   lectures helped. The intervention left students' views on online anatomy
   largely unchanged and made no significant difference to summative
   assessment scores. Focus group discussions revealed that students want
   anatomy tutors to help direct them to reputable and relevant sites. The
   provision of more online resources in anatomy did not affect student
   views or learning outcomes. While students may need help from tutors in
   selecting appropriate online resources, wet specimens, textbooks, and
   discussions with tutors and other students remain the preferred means of
   learning anatomy. Clin. Anat. 26:556-563, 2013. (c) 2013 Wiley
   Periodicals, Inc.
RI Palmer, Edward/AAF-7339-2020; Ameliorate, Joshua Luke/F-7820-2016; Johnson, Ian/; Palmer, Edward/
OI Ameliorate, Joshua Luke/0000-0002-9125-5695; Johnson,
   Ian/0000-0001-5951-6990; Palmer, Edward/0000-0001-9654-5213
ZS 1
ZA 0
Z8 0
ZB 1
TC 29
ZR 0
Z9 30
U1 0
U2 11
SN 0897-3806
EI 1098-2353
UT WOS:000320544500006
PM 23408730
ER

PT J
AU Holt, R. I. G.
   Nicolucci, A.
   Burns, K. Kovacs
   Escalante, M.
   Forbes, A.
   Hermanns, N.
   Kalra, S.
   Massi-Benedetti, M.
   Mayorov, A.
   Menendez-Torre, E.
   Munro, N.
   Skovlund, S. E.
   Tarkun, I.
   Wens, J.
   Peyrot, M.
CA DAWN2 Study Grp
TI Diabetes Attitudes, Wishes and Needs second study (DAWN2 (TM)):
   Cross-national comparisons on barriers and resources for optimal
   care-healthcare professional perspective
SO DIABETIC MEDICINE
VL 30
IS 7
BP 789
EP 798
DI 10.1111/dme.12242
PD JUL 2013
PY 2013
AB Aims The second Diabetes Attitudes, Wishes and Needs (DAWN2) study
   sought cross-national comparisons of perceptions on healthcare provision
   for benchmarking and sharing of clinical practices to improve diabetes
   care. Methods In total, 4785 healthcare professionals caring for people
   with diabetes across 17countries participated in an online survey
   designed to assess diabetes healthcare provision, self-management and
   training. Results Between 61.4 and 92.9% of healthcare professionals
   felt that people with diabetes needed to improve various self-management
   activities; glucose monitoring (range, 29.3-92.1%) had the biggest
   country difference, with a between-country variance of 20%. The need for
   a major improvement in diabetes self-management education was reported
   by 60% (26.4-81.4%) of healthcare professionals, with a 12%
   between-country variance. Provision of diabetes services differed among
   countries, with many healthcare professionals indicating that major
   improvements were needed across a range of areas, including healthcare
   organization [30.6% (7.4-67.1%)], resources for diabetes prevention
   [78.8% (60.4-90.5%)], earlier diagnosis and treatment [67.9%
   (45.0-85.5%)], communication between team members and people with
   diabetes [56.1% (22.3-85.4%)], specialist nurse availability [63.8%
   (27.9-90.7%)] and psychological support [62.7% (40.6-79.6%)]. In some
   countries, up to one third of healthcare professionals reported not
   having received any formal diabetes training. Societal discrimination
   against people with diabetes was reported by 32.8% (11.4-79.6%) of
   participants. Conclusions This survey has highlighted concerns of
   healthcare professionals relating to diabetes healthcare provision,
   self-management and training. Identifying between-country differences in
   several areas will allow benchmarking and sharing of clinical practices.
RI Skovlund, Soren/AAK-3058-2020; Wens, Johan/K-2705-2013; Torre, Edelmiro Menéndez/G-1547-2013; Kovacs Burns, Katharina/AAA-5993-2022; Menendez Torre, Edelmiro Luis/AFR-2604-2022; Comaschi, Marco/AAC-7265-2020; Hermanns, Norbert/AAG-7060-2020; Forbes, Angus/; Mayorov, Alexander Y./; Holt, Richard/
OI Skovlund, Soren/0000-0003-3464-0885; Wens, Johan/0000-0002-0229-9064;
   Torre, Edelmiro Menéndez/0000-0002-9548-7821; Kovacs Burns,
   Katharina/0000-0002-6322-0778; Menendez Torre, Edelmiro
   Luis/0000-0002-9548-7821; Comaschi, Marco/0000-0002-6261-0838; Hermanns,
   Norbert/0000-0002-2903-2677; Forbes, Angus/0000-0003-3331-755X; Mayorov,
   Alexander Y./0000-0001-5825-3287; Holt, Richard/0000-0001-8911-6744
ZB 14
ZS 1
TC 99
ZA 0
ZR 0
Z8 2
Z9 102
U1 0
U2 24
SN 0742-3071
EI 1464-5491
UT WOS:000320784900004
PM 23710839
ER

PT J
AU Postema, Pieter G.
   Neville, Jon
   de Jong, Jonas S. S. G.
   Romero, Klaus
   Wilde, Arthur A. M.
   Woosley, Raymond L.
TI Safe drug use in long QT syndrome and Brugada syndrome: comparison of
   website statistics
SO EUROPACE
VL 15
IS 7
BP 1042
EP 1049
DI 10.1093/europace/eut018
PD JUL 2013
PY 2013
AB We sought to obtain insights into the efficacy of two websites, and ,
   that have the intention to prevent fatal arrhythmias due to unsafe drug
   use in Long QT syndrome and Brugada syndrome.
   Prospective web-use statistical analysis combined with online surveys
   were employed. Our main outcome measure was the percentage of Long QT
   syndrome patients and Brugada syndrome patients reporting refraining or
   discontinuation of possible unsafe drugs. QTdrugs.org has received 3 100
   000 visitors from 180 countries. Most visitors originated from the
   Americas (87), as compared with Europe (7), Asia (3), Oceania (2), and
   Africa (1). The QTdrugs.org survey yielded 340 respondents: 34 were
   patients and 50 medical professionals. Of the patients, 79 reported that
   they refrained from, and 61 reported discontinuing drugs due to the
   website. The website was very much appreciated by 65 of the respondents
   and 30 found it rather helpful. The BrugadaDrugs.org received 48 000
   visitors from 154 countries. Most visitors originated from Europe (46)
   and the Americas (39), but less from Asia (10), Oceania (4), and Africa
   (1). The BrugadaDrugs.org survey yielded 178 respondents: 68 were
   patients and 21 medical professionals. Of the patients, 72 reported
   refraining from, and 48 discontinuing drugs due to the website. The
   website was very much appreciated by 72 of the respondents and 25 found
   it rather helpful.
   These websites are extensively used, they promote drug awareness, and
   they help patients to avoid possible pro-arrhythmic drugs. Visitors find
   the websites valuable but should note their limitations.
RI Postema, Pieter/ABC-1469-2020; Woosley, Raymond/AAE-4874-2020
OI Postema, Pieter/0000-0003-2863-9159; Woosley,
   Raymond/0000-0002-2588-328X
TC 42
Z8 2
ZR 0
ZA 0
ZS 0
ZB 12
Z9 43
U1 0
U2 4
SN 1099-5129
EI 1532-2092
UT WOS:000320858100024
PM 23533266
ER

PT J
AU Heidelbaugh, Joel
   Cooke, James
   Wimsatt, Leslie
TI Opportunities for Medical Student Engagement With Family Medicine
SO FAMILY MEDICINE
VL 45
IS 7
BP 484
EP 491
PD JUL-AUG 2013
PY 2013
AB BACKGROUND AND OBJECTIVES: Several factors have been linked to the
   decline in medical student choice of a career in primary care (eg,
   gender, race, family income, student debt), yet understanding remains
   limited regarding the availability of curricular and co-curricular
   experiences for medical students within family medicine that may play a
   role, particularly one-on-one opportunities such as faculty mentoring
   and advising. Our study sought to collect baseline data on family
   medicine learning experiences during predoctoral training.
   METHODS: An online 21-question survey was sent to family medicine
   departments at US allopathic medical schools between January and March
   2012 (84.6% response rate) to capture institutional representation and
   experiences within family medicine.
   RESULTS: Most institutions reported offering family medicine interest
   groups (98.1%), electives (97.1%), and clerkships (90.4%). Career
   advising as an elective course component was available at 53.8% of
   schools and as part of a required course at 46.2%. Comparison of public
   versus private institutions revealed differences in rural medicine
   experiences, admissions preferences, and residency director involvement
   in hands-on and small- group teaching. Additional differences were noted
   by total enrollment, number of family medicine faculty in senior
   leadership positions, and proportion of full-time clinical faculty
   teaching family medicine.
   CONCLUSIONS: Availability of family medicine curricular programming,
   formal advising/mentoring opportunities, and full-time faculty as
   teachers and senior administrators differed across various
   characteristics of medical schools. Results can be used to direct future
   research on medical student engagement with family medicine educational
   experiences relative to recruitment.
RI Wimsatt, Leslie/AAI-9558-2021; Cooke, James/; Wimsatt, Leslie/
OI Cooke, James/0000-0002-4761-7185; Wimsatt, Leslie/0000-0001-8380-0676
ZB 0
ZR 0
ZS 0
Z8 0
TC 7
ZA 0
Z9 7
U1 0
U2 13
SN 0742-3225
EI 1938-3800
UT WOS:000321795700004
PM 23846967
ER

PT J
AU Gaur, Aditya H.
   Miller, Marlene R.
   Gao, Cuilan
   Rosenberg, Carol
   Morrell, Gloria C.
   Coffin, Susan E.
   Huskins, W. Charles
TI Evaluating Application of the National Healthcare Safety Network Central
   Line-Associated Bloodstream Infection Surveillance Definition: A Survey
   of Pediatric Intensive Care and Hematology/Oncology Units
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 34
IS 7
BP 663
EP 670
DI 10.1086/671005
PD JUL 2013
PY 2013
AB OBJECTIVE. To evaluate the application of the National Healthcare Safety
   Network (NHSN) central line-associated bloodstream infection (CLABSI)
   definition in pediatric intensive care units (PICUs) and pediatric
   hematology/oncology units (PHOUs) participating in a multicenter quality
   improvement collaborative to reduce CLABSIs; to identify sources of
   variability in the application of the definition.
   DESIGN. Online survey using 18 standardized case scenarios. Each
   described a positive blood culture in a patient and required a yes-or-no
   answer to the question "Is this a CLABSI?" NHSN staff responses were the
   reference standard.
   SETTING. Sixty-five US PICUs and PHOUs.
   PARTICIPANTS. Staff who routinely adjudicate CLABSIs using NHSN
   definitions.
   RESULTS. Sixty responses were received from 58 (89%) of 65 institutions;
   78% of respondents were infection preventionists, infection control
   officers, or infectious disease physicians. Responses matched those of
   NHSN staff for 78% of questions. The mean (SE) percentage of concurring
   answers did not differ for scenarios evaluating application of 1 of the
   3 criteria ("known pathogen," 78% [1.7%]; "skin contaminant, >1 year of
   age," 76% [SE, 2.5%]; "skin contaminant, <= 1 year of age," 81% [3.8%];
   P = .3). The mean percentage of concurring answers was lower for
   scenarios requiring respondents to determine whether a CLABSI was
   present or incubating on admission (64% [4.6%]; P = .017) or to
   distinguish between primary and secondary bacteremia (65% [2.5%]; P =
   .021).
   CONCLUSIONS. The accuracy of application of the CLABSI definition was
   suboptimal. Efforts to reduce variability in identifying CLABSIs that
   are present or incubating on admission and in distinguishing primary
   from secondary bloodstream infection are needed.
RI Gaur, Aditya H/N-8057-2018; Huskins, W. Charles/
OI Gaur, Aditya H/0000-0002-6639-5231; Huskins, W.
   Charles/0000-0002-9989-175X
ZR 0
Z8 0
ZS 0
ZB 8
ZA 0
TC 15
Z9 15
U1 0
U2 6
SN 0899-823X
UT WOS:000319974000002
PM 23739069
ER

PT J
AU Chen, He-Ming
   Hu, Zhong-Kai
   Zheng, Xiao-Lin
   Yuan, Zhao-Shun
   Xu, Zhao-Bin
   Yuan, Ling-Qing
   Perez, Vinicio A De Jesus
   Yuan, Ke
   Orcholski, Mark
   Liao, Xiao-Bo
TI Effectiveness of YouTube as a Source of Medical Information on Heart
   Transplantation.
SO Interactive journal of medical research
VL 2
IS 2
BP e28
EP e28
DI 10.2196/ijmr.2669
PD 2013 Nov 21
PY 2013
AB BACKGROUND: In this digital era, there is a growing tendency to use the
   popular Internet site YouTube as a new electronic-learning (e-learning)
   means for continuing medical education. Heart transplantation (HTx)
   remains the most viable option for patients with end-stage heart failure
   or severe coronary artery disease. There are plenty of freely accessible
   YouTube videos providing medical information about HTx.
   OBJECTIVE: The aim of the present study is to determine the
   effectiveness of YouTube as an e-learning source on HTx.
   METHODS: In order to carry out this study, YouTube was searched for
   videos uploaded containing surgical-related information using the four
   keywords: (1) "heart transplantation", (2) "cardiac transplantation",
   (3) "heart transplantation operation", and (4) "cardiac transplantation
   operation". Only videos in English (with comments or subtitles in
   English language) were included. Two experienced cardiac surgeons
   watched each video (N=1800) and classified them as useful, misleading,
   or recipients videos based on the HTx-relevant information. The kappa
   statistic was used to measure interobserver variability. Data was
   analyzed according to six types of YouTube characteristics including
   "total viewership", "duration", "source", "days since upload", "scores"
   given by the viewers, and specialized information contents of the
   videos.
   RESULTS: A total of 342/1800 (19.00%) videos had relevant information
   about HTx. Of these 342 videos, 215 (62.8%) videos had useful
   information about specialized knowledge, 7/342 (2.0%) were found to be
   misleading, and 120/342 (35.1%) only concerned recipients' individual
   issues. Useful videos had 56.09% of total viewership share
   (2,175,845/3,878,890), whereas misleading had 35.47%
   (1,375,673/3,878,890). Independent user channel videos accounted for a
   smaller proportion (19% in total numbers) but might have a wider impact
   on Web viewers, with the highest mean views/day (mean 39, SD 107) among
   four kinds of channels to distribute HTx-related information.
   CONCLUSIONS: YouTube videos on HTx benefit medical professionals by
   providing a substantial amount of information. However, it is a
   time-consuming course to find high-quality videos. More authoritative
   videos by trusted sources should be posted for dissemination of reliable
   information. With an improvement of ranking system and content providers
   in future, YouTube, as a freely accessible outlet, will help to meet the
   huge informational needs of medical staffs and promote medical education
   on HTx.
Z8 0
ZS 1
TC 32
ZR 0
ZA 0
ZB 4
Z9 33
U1 1
U2 5
SN 1929-073X
UT MEDLINE:24263225
PM 24263225
ER

PT J
AU McLeod, Sharynne
   Verdon, Sarah
   Bowen, Caroline
CA Int Expert Panel Multilingual Chil
TI International aspirations for speech-language pathologists' practice
   with multilingual children with speech sound disorders: Development of a
   position.paper
SO JOURNAL OF COMMUNICATION DISORDERS
VL 46
IS 4
BP 375
EP 387
DI 10.1016/j.jcomdis.2013.04.003
PD JUL-AUG 2013
PY 2013
AB A major challenge for the speech-language pathology profession in many
   cultures is to address the mismatch between the "linguistic homogeneity
   of the speech-language pathology profession and the linguistic diversity
   of its clientele" (Caesar & Kohler, 2007, p. 198). This paper outlines
   the development of the Multilingual Children with Speech Sound
   Disorders: Position Paper created to guide speech-language pathologists'
   (SLPs') facilitation of multilingual children's speech. An international
   expert panel was assembled comprising 57 researchers (SLPs, linguists,
   phoneticians, and speech scientists) with knowledge about multilingual
   children's speech, or children with speech sound disorders. Combined,
   they had worked in 33 countries and used 26 languages in professional
   practice. Fourteen panel members met for a one-day workshop to identify
   key points for inclusion in the position paper. Subsequently, 42
   additional panel members participated online to contribute to drafts of
   the position paper. A thematic analysis was undertaken of the major
   areas of discussion using two data sources: (a) face-to-face workshop
   transcript (133 pages) and (b) online discussion artifacts (104 pages).
   Finally, a moderator with international expertise in working with
   children with speech sound disorders facilitated the incorporation of
   the panel's recommendations. The following themes were identified:
   definitions, scope, framework, evidence, challenges, practices, and
   consideration of a multilingual audience. The resulting position paper
   contains guidelines for providing services to multilingual children with
   speech sound disorders
   (http://www.csu.edu.au/research/multilingual-speech/position-paper). The
   paper is structured using the International Classification of
   Functioning, Disability and Health: Children and Youth Version (World
   Health Organization, 2007) and incorporates recommendations for (a)
   children and families, (b) SLPs' assessment and intervention, (c) SLPs'
   professional practice, and (d) SLPs' collaboration with other
   professionals.
   Learning outcomes: Readers will 1. recognize that multilingual children
   with speech sound disorders have both similar and different needs to
   monolingual children when working with speech-language pathologists. 2.
   Describe the challenges for speech-language pathologists who work with
   multilingual children. 3. Recall the importance of cultural competence
   for speech-language pathologists. 4. Identify methods for international
   collaboration and consultation. 5. Recognize the importance of engaging
   with families and people within their local communities for supporting
   multilingual children in context. (C) 2013 Elsevier Inc. All rights
   reserved.
RI Crowe, Kathryn/C-8009-2016; Bowen, Caroline/R-1224-2019; Verdon, Sarah E/N-5629-2014; McLeod, Sharynne/I-8088-2014; Cruz-Ferreira, Madalena/B-3040-2008; Khattab, Ghada/F-2254-2011; Grech, Helen/AAQ-5163-2020; Pascoe, Michelle/AAE-9764-2019; Neumann, Sandra/; Munson, Benjamin/; Wren, Yvonne/; Mennen, Ineke/; MacLeod, Andrea A.N./; Zajdo, Krisztina/; Hopf, Suzanne Catherine/P-3249-2016
OI Crowe, Kathryn/0000-0003-3496-5129; Bowen, Caroline/0000-0002-0008-2873;
   Verdon, Sarah E/0000-0002-7503-5860; McLeod,
   Sharynne/0000-0002-7279-7851; Cruz-Ferreira,
   Madalena/0000-0002-0146-7580; Khattab, Ghada/0000-0002-8451-8135; Grech,
   Helen/0000-0003-4569-6155; Pascoe, Michelle/0000-0002-6972-9575;
   Neumann, Sandra/0000-0003-0024-4198; Munson,
   Benjamin/0000-0002-1547-6912; Wren, Yvonne/0000-0002-1575-453X; Mennen,
   Ineke/0000-0002-2757-0818; MacLeod, Andrea A.N./0000-0002-4752-9476;
   Zajdo, Krisztina/0000-0002-6047-2275; Hopf, Suzanne
   Catherine/0000-0001-5572-9956
ZA 0
TC 29
ZS 2
ZR 0
Z8 2
ZB 2
Z9 32
U1 2
U2 45
SN 0021-9924
EI 1873-7994
UT WOS:000324608300007
PM 23731648
ER

PT J
AU Wiley, Susan
   Schonfeld, David J.
   Fredstrom, Bridget
   Huffman, Lynne
TI Research Training of Developmental-Behavioral Pediatrics Fellows: A
   Survey of Fellowship Directors by Developmental-Behavioral Pediatrics
   Research Network
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 34
IS 6
BP 406
EP 413
DI 10.1097/DBP.0b013e31829a7bfe
PD JUL-AUG 2013
PY 2013
AB Objective:
   To describe research training in Developmental-Behavioral Pediatrics
   (DBP) Fellowship Programs.
   Methods:
   Thirty-five US-accredited DBP fellowships were contacted through the
   Developmental-Behavioral Pediatrics Research Network to complete an
   online survey on scholarly work and research training.
   Results:
   With an 83% response rate, responding programs represented 110 (87
   filled) fellowship positions. External funding for fellowship positions
   was minimal (11 positions fully funded, 13 funded above 50% of cost).
   Structured research training included didactic lectures, web-based
   training, university courses, direct mentoring, journal clubs, and
   required reading. Of the 159 fellows described, spanning a 5-year
   training period, the majority chose projects relying on their own data
   collection (57%) rather than joining an existing research study and
   focused on clinical research (86%). Among 96 fellows with completed
   scholarly work, 29% were observational/epidemiological studies, 22%
   secondary analyses of large data sets, 16% community-based research, and
   15% survey design. A limited number of fellows pursued basic science,
   meta-analysis/critical appraisal of the literature, or analysis of
   public policy. Barriers to successful fellow research are as follows:
   lack of time and money, challenges in balancing clinical demands and
   protected faculty research time, limited faculty research opportunities,
   time or expertise, and a lack of infrastructure for fellow research
   mentoring.
   Conclusions:
   The scholarly work of fellows in DBP fellowship programs has primarily
   focused on clinical research using observational/epidemiological
   research and secondary analysis of large data set. Barriers largely in
   faculty time and expertise for research mentoring and inadequate funding
   in programs that have high clinical demands and little resources for
   research efforts were noted.
ZA 0
Z8 0
ZS 0
ZB 4
ZR 0
TC 5
Z9 5
U1 0
U2 9
SN 0196-206X
EI 1536-7312
UT WOS:000330358800054
PM 23838586
ER

PT J
AU Quick, V. M.
   Byrd-Bredbenner, C.
TI Disturbed eating behaviours and associated psychographic characteristics
   of college students
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 26
SI SI
BP 53
EP 63
DI 10.1111/jhn.12060
SU 1
PD JUL 2013
PY 2013
AB Background Young adulthood is a stressful transition period that may
   increase the risk for disturbed eating, especially for college students.
   The present study aimed to explore disturbed eating behaviours and a
   broad array of associated psychographic characteristics in a large,
   diverse sample of college students. Methods College students (n=2604;
   58% white; 63% female) enrolled at three large, public US universities
   in 2009 and 2010 were recruited to take an online survey. The survey
   included reliable and valid disturbed eating behaviour and associated
   psychographic characteristic measures. Results Many participants engaged
   in disturbed eating practices. For example, one-quarter of women and
   one-fifth of men engaged in dietary restraint. One in seven reported
   regularly binge eating. One-third used inappropriate compensatory
   behaviours (self-induced vomiting, medicine misuse and excessive
   exercise) as a means for controlling weight and/or shape, with the rate
   of these behaviours reaching clinically significant levels for 4%, 3%
   and 5% of participants, respectively. Examination of psychographic
   characteristics revealed that one-fifth had moderate levels of
   depression and anxiety severity and almost half engaged in at least one
   obsessive-compulsive disorder type behaviour. Females felt under more
   pressure to attain the media physical appearance standard than males.
   Conclusions The findings of the present study suggest that nutrition
   education interventions for college students may be needed to address
   disturbed eating behaviours and to provide guidance on how to seek
   professional help. The findings also suggest that it may be prudent for
   healthcare professionals to routinely screen college students for
   disturbed eating behaviours and offer interventions early when treatment
   is likely to be most effective.
RI Byrd-Bredbenner, Carol/F-8064-2015; Quick, Virginia/
OI Byrd-Bredbenner, Carol/0000-0002-8010-3987; Quick,
   Virginia/0000-0002-4338-963X
ZR 0
ZS 3
ZA 0
Z8 0
ZB 10
TC 33
Z9 36
U1 1
U2 60
SN 0952-3871
EI 1365-277X
UT WOS:000320722400008
PM 23627697
ER

PT J
AU Howard, A. J.
   Ferguson, M.
   Wilkinson, P.
   Campbell, K. L.
TI Involvement in research activities and factors influencing research
   capacity among dietitians
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 26
SI SI
BP 180
EP 187
DI 10.1111/jhn.12053
SU 1
PD JUL 2013
PY 2013
AB Background A healthcare professional's aptitude to develop research
   skills and actively engage in research is necessary to optimise
   healthcare efficacy. The present study investigated the factors that
   contribute to research capacity within the Australian dietetic
   workforce. Methods Queensland-based dietitians scored their department
   and individual skill or success in research on a 10-point scale using an
   anonymous online survey that incorporated the validated Research
   Capacity in Context tool. Descriptive statistics were assessed against
   geographical setting, dietetic experience and the proportion of role
   (Full Time Equivalent; FTE) designated to research. Research activities
   were defined by the number of items currently involved in or completed
   in the past 6months (n=11). Factors associated with research activities
   were assessed by multivariable linear regression. Results Dietitians
   (n=130) identified having a moderate skill or success in 14 research
   items [mean (SD) 5.1 (1.7)] and perceived that their departments
   provided a moderate level of research support in 19 research items [mean
   (SD) 6.1 (2.5)]. Geographical setting, the proportion of role designated
   to research (FTE) and participation in research activities were
   associated with individual and department ratings of research skill or
   success. Research involvement was predicted by the proportion of role
   (FTE) designated to research (=0.34, t=4.16, P<0.001) and years of
   experience in dietetics (=0.32, t=2.67, P<0.009). Conclusions A
   dietitian's capacity for research is related to professional experience
   and the designation of research in the role description. The findings of
   the present study will provide a baseline of research capacity and
   expertise among dietitians, and also inform the strategic development of
   building research capacity.
RI Ferguson, Maree/C-2578-2014; Campbell, Katrina/
OI Ferguson, Maree/0000-0003-3402-4425; Campbell,
   Katrina/0000-0002-4479-1284
ZS 0
Z8 0
TC 38
ZR 0
ZB 1
ZA 0
Z9 38
U1 1
U2 10
SN 0952-3871
EI 1365-277X
UT WOS:000320722400024
PM 23577923
ER

PT J
AU Osborn, Chandra Y.
   Mayberry, Lindsay Satterwhite
   Wallston, Kenneth A.
   Johnson, Kevin B.
   Elasy, Tom A.
TI Understanding Patient Portal Use: Implications for Medication Management
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 7
BP 204
EP 215
AR e133
DI 10.2196/jmir.2589
PD JUL 2013
PY 2013
AB Background: The Internet can be leveraged to provide disease management
   support, including medication adherence promotion that, when tailored,
   can effectively improve adherence to medications. The growing adoption
   of patient portals represents an opportunity to support medication
   management and adherence more broadly, but virtually no data exist about
   the real and potential impact of existing portals on these outcomes.
   Objective: We sought to (1) understand who uses an existing patient
   portal and reasons for use and nonuse, (2) understand how portal users
   are using a portal to manage their medications, and (3) explore
   participants' ideas for improving portal functionality for medication
   management and adherence support.
   Methods: A total of 75 adults with type 2 diabetes participated in a
   mixed-methods study involving focus groups, a survey, and a medical
   chart review. We used quantitative data to identify differences between
   portal users and nonusers, and to test the relationship between the
   frequency of portal use and glycemic control among users. We used
   qualitative methods to understand how and why participants use a portal
   and their ideas for improving its medication management functionality.
   Results: Of the enrolled participants, 81% (61/75) attended a focus
   group and/or completed a survey; portal users were more likely than
   nonusers to participate in that capacity (Fisher exact test; P=.01).
   Users were also more likely than nonusers to be Caucasian/white (Fisher
   exact test; P<.001), have higher incomes (Fisher exact test; P=.005),
   and be privately insured (Fisher exact test; P<.001). Users also tended
   to have more education than nonusers (Mann-Whitney U; P=.05), although
   this relationship was not significant at P<.05. Among users, more
   frequent use of a portal was associated with better A1C (Spearman rho
   =-0.30; P=.02). Reasons for nonuse included not knowing about the portal
   (n=3), not having access to a computer (n=3), or having a family member
   serve as an online delegate (n=1). Users reported using the portal to
   request prescription refills/reauthorizations and to view their
   medication list, and they were enthusiastic about the idea of added
   refill reminder functionality. They were also interested in added
   functionality that could streamline the refill/reauthorization process,
   alert providers to fill/refill nonadherence, and provide information
   about medication side effects and interactions.
   Conclusions: Although there are disparities in patient portal use,
   patients use portals to manage their medications, are enthusiastic about
   further leveraging portals to support medication management and
   adherence, and those who use a portal more frequently have better
   glycemic control. However, more features and functionality within a
   portal platform is needed to maximize medication management and
   adherence promotion.
RI Mayberry, Lindsay/H-3819-2019; Osborn, Chandra/
OI Mayberry, Lindsay/0000-0002-0654-4151; Osborn,
   Chandra/0000-0002-7668-028X
TC 85
Z8 1
ZS 0
ZB 8
ZA 0
ZR 0
Z9 86
U1 4
U2 35
SN 1438-8871
UT WOS:000324620300016
PM 23823974
ER

PT J
AU Schwarz, Daniel
   Stourac, Petr
   Komenda, Martin
   Harazim, Hana
   Kosinova, Martina
   Gregor, Jakub
   Hulek, Richard
   Smekalova, Olga
   Krikava, Ivo
   Stoudek, Roman
   Dusek, Ladislav
TI Interactive Algorithms for Teaching and Learning Acute Medicine in the
   Network of Medical Faculties MEFANET
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 7
BP 298
EP 311
AR e135
DI 10.2196/jmir.2590
PD JUL 2013
PY 2013
AB Background: Medical Faculties Network (MEFANET) has established itself
   as the authority for setting standards for medical educators in the
   Czech Republic and Slovakia, 2 independent countries with similar
   languages that once comprised a federation and that still retain the
   same curricular structure for medical education. One of the basic goals
   of the network is to advance medical teaching and learning with the use
   of modern information and communication technologies.
   Objective: We present the education portal AKUTNE.CZ as an important
   part of the MEFANET's content. Our focus is primarily on
   simulation-based tools for teaching and learning acute medicine issues.
   Methods: Three fundamental elements of the MEFANET e-publishing system
   are described: (1) medical disciplines linker, (2)
   authentication/authorization framework, and (3) multidimensional quality
   assessment. A new set of tools for technology-enhanced learning have
   been introduced recently: Sandbox (works in progress), WikiLectures
   (collaborative content authoring), Moodle-MEFANET (central learning
   management system), and Serious Games (virtual casuistics and
   interactive algorithms). The latest development in MEFANET is designed
   for indexing metadata about simulation-based learning objects, also
   known as electronic virtual patients or virtual clinical cases. The
   simulations assume the form of interactive algorithms for teaching and
   learning acute medicine. An anonymous questionnaire of 10 items was used
   to explore students' attitudes and interests in using the interactive
   algorithms as part of their medical or health care studies. Data
   collection was conducted over 10 days in February 2013.
   Results: In total, 25 interactive algorithms in the Czech and English
   languages have been developed and published on the AKUTNE.CZ education
   portal to allow the users to test and improve their knowledge and skills
   in the field of acute medicine. In the feedback survey, 62 participants
   completed the online questionnaire (13.5%) from the total 460 addressed.
   Positive attitudes toward the interactive algorithms outnumbered
   negative trends.
   Conclusions: The peer-reviewed algorithms were used for conducting
   problem-based learning sessions in general medicine (first aid,
   anesthesiology and pain management, emergency medicine) and in nursing
   (emergency medicine for midwives, obstetric analgesia, and anesthesia
   for midwifes). The feedback from the survey suggests that the students
   found the interactive algorithms as effective learning tools,
   facilitating enhanced knowledge in the field of acute medicine. The
   interactive algorithms, as a software platform, are open to academic use
   worldwide. The existing algorithms, in the form of simulation-based
   learning objects, can be incorporated into any educational website
   (subject to the approval of the authors).
RI Dušek, Ladislav/G-8794-2013; Stourac, Petr/J-3610-2012; Kosinova, Martina/K-2354-2015; Gregor, Jakub/AAU-7521-2021; Harazim, Hana/D-7296-2015; Stoudek, Roman/L-5019-2015; Smekalova, Olga/E-5555-2013; Schwarz, Daniel/B-6847-2012; Krikava, Ivo/F-9596-2013; Hulek, Richard/; Gregor, Jakub/; Dusek, Ladislav/
OI Stourac, Petr/0000-0003-1944-5926; Kosinova,
   Martina/0000-0002-2982-8974; Stoudek, Roman/0000-0002-6459-5256;
   Smekalova, Olga/0000-0002-6171-5566; Schwarz,
   Daniel/0000-0002-7261-0022; Krikava, Ivo/0000-0002-9155-6017; Hulek,
   Richard/0000-0002-0133-7970; Gregor, Jakub/0000-0003-2431-7873; Dusek,
   Ladislav/0000-0002-8589-4378
ZB 2
Z8 0
TC 32
ZS 0
ZR 0
ZA 0
Z9 32
U1 0
U2 70
SN 1438-8871
UT WOS:000324620300023
PM 23835586
ER

PT J
AU Wu, Yelena P.
   Rohan, Jennifer M.
   Martin, Staci
   Hommel, Kevin
   Greenley, Rachel Neff
   Loiselle, Kristin
   Ambrosino, Jodie
   Fredericks, Emily M.
TI Pediatric Psychologist Use of Adherence Assessments and Interventions
SO JOURNAL OF PEDIATRIC PSYCHOLOGY
VL 38
IS 6
SI SI
BP 595
EP 604
DI 10.1093/jpepsy/jst025
PD JUL 2013
PY 2013
AB Objective To document current clinical practices for medical regimen
   adherence assessment and intervention in the field of pediatric
   psychology. Methods 113 members of the Society of Pediatric Psychology
   completed an anonymous online survey that assessed use of adherence
   assessments and interventions in clinical practice, barriers and
   facilitators to their use, and preferred resources for obtaining
   information on adherence assessments and interventions. Results
   Respondents reported using a range of adherence assessment and
   intervention strategies, some of which are evidence-based. Barriers to
   implementing these clinical strategies included time constraints and
   lack of familiarity with available clinical tools. Respondents reported
   that education about effective clinical tools would facilitate their use
   of adherence assessments and interventions. Conclusions Future research
   and clinical efforts in adherence should consider developing practical
   tools for clinical practice, making accessible resources to promote
   dissemination of these tools, and increase understanding of clinician
   implementation of adherence assessments and interventions.
ZS 1
Z8 0
TC 19
ZR 0
ZB 1
ZA 0
Z9 20
U1 0
U2 7
SN 0146-8693
EI 1465-735X
UT WOS:000321463000002
PM 23658375
ER

PT J
AU Falcone, John L.
TI Home-Field Advantage: The Role of Selection Bias in the General Surgery
   National Residency Matching Program
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 4
BP 461
EP 465
DI 10.1016/j.jsurg.2013.03.007
PD JUL-AUG 2013
PY 2013
AB BACKGROUND: For academic general surgery residency programs, graduation
   from the affiliated allopathic medical school is one criterion used in
   resident selection. The magnitude of this criterion is unknown. The aim
   of this study is to describe the nature of this phenomenon, with the
   hypothesis that states with fewer medical schools would accept more home
   program graduates than states with more medical schools.
   METHODS: In this cross-sectional study from 2012, each allopathic
   medical school that participates in the American Medical College
   Application Service was geographically matched to its academic general
   surgery program that participates in the Electronic Residency
   Application Service. Program websites were evaluated for categorical
   resident rosters with medical school matriculation data. The percentage
   of categorical home program residents was described for each program. A
   1-tailed 2-sample t-test was performed between programs in states with
   fewer (n <= 2) medical schools and programs in states with more (n > 2)
   medical schools, using an alpha = 0.05.
   RESULTS: Of the 127 residency programs that met inclusion criteria,
   there were 64/127 (50.4%) programs with online categorical resident
   rosters and medical school graduation data. There was a mean of 26.4 +/-
   12.3 included residents per residency training program. The mean program
   percentage of home program categorical general surgery residents was
   24.6% +/- 15.2%. The median number of medical schools per state was 2
   (Interquartile Range [1-4]). A 1-tailed 2-sample t-test showed that the
   home program percentage rate in states with <= 2 medical schools [n =
   17] (30.1% +/- 18.4%) was greater than the home program percentage rate
   in states with > 2 medical schools [n = 47] (22.6% +/- 13.5%) (p =
   0.04).
   CONCLUSIONS: Approximately, one-quarter of categorical general surgery
   slots are filled with home program graduates. States with fewer medical
   schools are more likely to fill general surgery slots with home program
   graduates than states with more medical schools. These selection
   criteria are important to general surgery programs and future
   applicants. (c) 2013 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
OI Falcone, John/0000-0002-6420-3582
ZS 0
TC 17
ZB 0
ZR 0
ZA 0
Z8 0
Z9 17
U1 1
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000320211000005
PM 23725933
ER

PT J
AU Ponce, Brent A.
   Determann, Jason R.
   Boohaker, Hike A.
   Sheppard, Evan
   McGwin, Gerald, Jr.
   Theiss, Steven
TI Social Networking Profiles and Professionalism Issues in Residency
   Applicants An Original Study-Cohort Study
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 4
BP 502
EP 507
DI 10.1016/j.jsurg.2013.02.005
PD JUL-AUG 2013
PY 2013
AB OBJECTIVE: To determine the frequency of social networking, the degree
   of information publicly disclosed, and whether unprofessional content
   was identified in applicants from the 2010 Residency Match.
   BACKGROUND: Medical professionalism is an essential competency for
   physicians to learn, and information found on social networking sites
   may be hazardous to the doctor-patient relationship and an institution's
   public perception. No study has analyzed the social network content of
   applicants applying for residency.
   METHODS: Online review of social networking Facebook profiles of
   graduating medical students applying for a residency in orthopedic
   surgery. Evidence of unprofessional content was based upon Accreditation
   Council for Graduate Medical Education guidelines. Additional recorded
   applicant data included as follows: age, United States Medical Licensing
   Examination part I score, and residency composite score. Relationship
   between professionalism score and recorded data points was evaluated
   using an analysis of variance.
   RESULTS: Nearly half of all applicants, 46% (200/431), had a Facebook
   profile. The majority of profiles (85%) did not restrict online access
   to their profile. Unprofessional content was identified in 16% of
   resident applicant profiles. Variables associated with lower
   professionalism scores included unmarried relationship status and lower
   residency composite scores.
   CONCLUSION: It is critical for healthcare professionals to recognize
   both the benefits and risks present with electronic communication and to
   vigorously protect the content of material allowed to be publically
   accessed through the Internet. (c) 2013 Association of Program Directors
   in Surgery. Published by Elsevier Inc. All rights reserved.
ZA 0
ZR 0
ZB 2
Z8 0
ZS 1
TC 27
Z9 27
U1 0
U2 21
SN 1931-7204
EI 1878-7452
UT WOS:000320211000010
PM 23725938
ER

PT J
AU Davis, Leah
   Johnson, Lynne
   Allen, Steven R.
   Kim, Patrick K.
   Sims, Carrie A.
   Pascual, Jose L.
   Holena, Daniel N.
TI Practitioner Perceptions of Trauma Video Review
SO JOURNAL OF TRAUMA NURSING
VL 20
IS 3
BP 150
EP 154
DI 10.1097/JTN.0b013e3182a172b6
PD JUL-SEP 2013
PY 2013
AB Purpose: Multidisciplinary trauma team education through trauma video
   review (TVR) is a useful performance improvement tool, but video
   recording resuscitations may cause providers anxiety. We examined
   perceptions of educational value and anxiety associated with being
   reviewed in TVR. Methods: Trauma team members were asked to complete an
   anonymous online survey. Educational scores (E scores) and anxiety
   scores (A score) were calculated from survey responses. Respondents were
   divided into groups by roles: trainees (T; medical students, residents,
   and fellows), attending surgeons (A), and nurses (N). Kruskal-Wallis
   test was used for statistical testing. Findings: A total of 39 subjects
   completed the survey (T = 17, 43%; A = 8, 23%; N = 14, 35%). TVR scored
   high in educational value (median E score 90; IQR = 78-96) but provoked
   moderate anxiety (median A score 27; IQR = 20-36). No significant
   differences in E scores were seen between groups. A scores were not
   significantly different between groups N and T (20 vs 33; P =.11) or
   groups T and A (33 vs. 35; P = 1.0) but were significantly higher in
   group A than in group N (36 vs 20; P =.04). Conclusions: Despite
   perceptions of educational value, TVR is associated with anxiety among
   providers, which is different between groups. Continued assessment of
   perceptions regarding TVR may allow for modifications to maintain
   educational value while decreasing anxiety.
OI Holena, Daniel/0000-0003-3424-5754
Z8 0
ZB 0
ZS 1
ZA 0
ZR 0
TC 8
Z9 8
U1 0
U2 2
SN 1078-7496
EI 1932-3883
UT WOS:000209273900006
PM 24005118
ER

PT J
AU Hall, Wendy A.
TI Consumerism and consumer complexity: Implications for university
   teaching and teaching evaluation
SO NURSE EDUCATION TODAY
VL 33
IS 7
BP 720
EP 723
DI 10.1016/j.nedt.2013.03.004
PD JUL 2013
PY 2013
AB A contemporary issue is the effects of a corporate production metaphor
   and consumerism on university education. Efforts by universities to
   attract students and teaching strategies aimed at 'adult learners' tend
   to treat student consumers as a homogeneous group with similar
   expectations. In this paper, I argue that consumer groups are not
   uniform. I use Dagevos' theoretical approach to categorize consumers as
   calculating, traditional, unique, and responsible. Based on the
   characteristics of consumers occupying these categories, I describe the
   implications of the varying consumer expectations for teaching. I also
   consider the implications for evaluation of teaching and call for
   research taking consumer types into account when evaluating teaching.
   (c) 2013 Elsevier Ltd. All rights reserved.
OI Hall, Wendy/0000-0002-3816-2908
Z8 0
TC 12
ZA 0
ZS 0
ZR 1
ZB 0
Z9 12
U1 0
U2 19
SN 0260-6917
UT WOS:000322293400005
PM 23582877
ER

PT J
AU Allen, Michael J. M.
   Asbridge, Mark M.
   MacDougall, Peter C.
   Furlan, Andrea D.
   Tugalev, Oleg
TI Self-reported practices in opioid management of chronic noncancer pain:
   A survey of Canadian family physicians
SO PAIN RESEARCH & MANAGEMENT
VL 18
IS 4
BP 177
EP 184
DI 10.1155/2013/528645
PD JUL-AUG 2013
PY 2013
AB BACKGROUND: In May 2010, a new Canadian guideline on prescribing opioids
   for chronic noncancer pain (CNCP) was released. To assess changes in
   family physicians' (FPs) prescribing of opioids following the release of
   the guideline, it is necessary to know their practices before the
   guideline was widely disseminated.
   OBJECTIVES: To determine FPs' practices and knowledge in prescribing
   opioids for CNCP in relation to the Canadian guideline, and to determine
   factors that hinder or enable FPs in prescribing opioids for CNCP.
   METHODS: An online survey was developed and FPs who manage CNCP were
   electronically contacted through the College of Family Physicians of
   Canada, university continuing medical education offices and provincial
   regulatory colleges.
   RESULTS: A total of 710 responses were received. FPs followed a
   precautionary approach to prescribing opioids and already practiced in
   accordance with Canadian guideline recommendations by discussing adverse
   effects, monitoring for aberrant drug-related behaviour and advising
   caution when driving. However, FPs seldom discontinued opioids even if
   they were ineffective and were unaware of the 'watchful dose' of
   opioids, the daily dose at which patients may need reassessment or
   closer monitoring. Only two of nine knowledge questions were answered
   correctly by more than 40% of FPs. The main enabler to optimal opioid
   prescribing was having access to a patient's opioid history from a
   provincial prescription monitoring program. The main barriers to optimal
   prescribing were concerns about addiction and misuse.
   CONCLUSIONS: While FPs follow a precautionary approach to prescribing
   opioids for CNCP, there are substantial practice and knowledge gaps,
   with implications for patient safety and costs.
RI Furlan, Andrea/AAH-2711-2019
OI Furlan, Andrea/0000-0001-6138-8510
ZS 0
ZB 3
ZR 0
Z8 0
ZA 0
TC 28
Z9 28
U1 0
U2 3
SN 1203-6765
EI 1918-1523
UT WOS:000328153800004
PM 23717824
ER

PT J
AU Lind, Jennifer N.
   Tinker, Sarah C.
   Broussard, Cheryl S.
   Reefhuis, Jennita
   Carmichael, Suzan L.
   Honein, Margaret A.
   Olney, Richard S.
   Parker, Samantha E.
   Werler, Martha M.
CA Natl Birth Defects Prevention
TI Maternal medication and herbal use and risk for hypospadias: data from
   the National Birth Defects Prevention Study, 1997-2007
SO PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
VL 22
IS 7
BP 783
EP 793
DI 10.1002/pds.3448
PD JUL 2013
PY 2013
AB Purpose To investigate associations between maternal use of common
   medications and herbals during early pregnancy and risk for hypospadias
   in male infants. Methods We used data from the National Birth Defects
   Prevention Study, a multi-site, population-based, case-control study. We
   analyzed data from 1537 infants with second-degree or third-degree
   isolated hypospadias and 4314 live-born male control infants without
   major birth defects, with estimated dates of delivery from 1997 to 2007.
   Exposure was reported use of prescription or over-the-counter
   medications or herbal products, from 1month before to 4months after
   conception. Adjusted odds ratios (aORs) and 95% confidence intervals
   (CIs) were estimated using multivariable logistic regression, adjusting
   for maternal age, race/ethnicity, education, pre-pregnancy body mass
   index, previous live births, maternal subfertility, study site, and
   year. Results We assessed 64 medication and 24 herbal components.
   Maternal uses of most components were not associated with an increased
   risk of hypospadias. A new associations was observed for venlafaxine
   (aOR 2.4; 95%CI 1.0, 6.0) [Correction made here after initial online
   publication.]. The previously reported association for clomiphene
   citrate was confirmed (aOR 1.9; 95%CI 1.2, 3.0). Numbers were relatively
   small for exposure to other specific patterns of fertility agents, but
   elevated aORs were observed for the most common of them. Conclusions
   Overall, findings were reassuring that hypospadias is not associated
   with most medication components examined in this analysis. New
   associations will need to be confirmed in other studies. Increased risks
   for hypospadias associated with various fertility agents raise the
   possibility of confounding by underlying subfertility. Copyright (c)
   2013 John Wiley & Sons, Ltd.
OI Werler, Martha/0000-0003-3392-6814; Parker, Samantha/0000-0002-7193-077X
TC 28
ZA 0
ZB 19
Z8 0
ZS 0
ZR 0
Z9 28
U1 0
U2 13
SN 1053-8569
EI 1099-1557
UT WOS:000325867800013
PM 23620412
ER

PT J
AU Ferreira, Antonio Miguel
   Bettencourt, Nuno
   Matos, Pedro
   Oliveira, Luis
   Almeida, Ana G.
CA Soc Portuguesa Cardiologia
TI Familiarity and perceptions of Portuguese cardiologists concerning
   cardiac magnetic resonance and cardiac computed tomography: The extent
   of the task ahead
SO REVISTA PORTUGUESA DE CARDIOLOGIA
VL 32
IS 7-8
BP 601
EP 608
DI 10.1016/j.repc.2012.11.004
PD JUL-AUG 2013
PY 2013
AB Introduction: Rapid advances in cardiac magnetic resonance (CMR) and
   cardiac computed tomography angiography (CCTA) pose challenges for
   practicing physicians in terms of awareness of their indications,
   contraindications, advantages and pitfalls.
   Methods: We conducted a nationwide online survey assessing the
   familiarity, perceptions and patterns of use concerning these imaging
   modalities based on a questionnaire sent to all physician members of the
   Portuguese Society of Cardiology.
   Results: The responses from 205 physicians (21% response rate) were
   analyzed. Roughly half of them requested less than one CMR (51%) or CCTA
   (52%) per week.
   Suspected coronary artery disease in symptomatic patients with
   intermediate pretest probability was considered a good or excellent
   indication for CCTA by 59% of respondents when performed as a
   second-line exam, and by 29% as a first-line exam. Cardiac masses,
   congenital heart disease and cardiomyopathies were considered good or
   excellent indications for CMR by over 90% of respondents, while
   assessment of myocardial viability and acute myocardial infarction with
   normal coronary arteries were considered good or excellent indications
   by 75% and 65% of respondents, respectively. Less than half (39%)
   answered all the questions regarding contraindications for CMR
   correctly, and 15% were unaware that CMR does not involve ionizing
   radiation. The main reasons for not referring a patient for CMR were
   limited availability (45%) and cost (36%).
   Conclusions: Portuguese cardiologists appear to be moderately aware of
   the indications, contraindications and advantages of these new imaging
   modalities. Greater efforts should be made to improve physician
   education on this subject in order to improve patient care. (C) 2012
   Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.
   All rights reserved.
RI Matos, Pedro/AAX-3957-2021; Almeida, Ana/AAU-2245-2020; Bettencourt, Nuno/AAX-1905-2020; Ferreira, Antonio/; Reis, AlessanRSS/
OI Almeida, Ana/0000-0003-0360-4363; Bettencourt, Nuno/0000-0002-9582-7881;
   Ferreira, Antonio/0000-0002-1623-7382; Reis,
   AlessanRSS/0000-0001-8486-7469
ZB 0
Z8 0
TC 0
ZA 0
ZS 0
ZR 0
Z9 0
U1 0
U2 3
SN 0870-2551
EI 0304-4750
UT WOS:000324721800006
PM 23827417
ER

PT J
AU Barghouti, Farihan F.
   Yassein, Nada A.
   Jaber, Ruba M.
   Khader, Noor J.
   Al Shokhaibi, Somayya
   Almohtaseb, Anas
   AbuRmaileh, Nuha
TI Short Course in Evidence-Based Medicine Improves Knowledge and Skills of
   Undergraduate Medical Students: A Before-and-After Study
SO TEACHING AND LEARNING IN MEDICINE
VL 25
IS 3
BP 191
EP 194
DI 10.1080/10401334.2013.797348
PD JUL 1 2013
PY 2013
AB Background: Providing evidence-based care is recognized as a key skill
   for health care workers from diverse professions and cultures. Purpose:
   We aimed to assess the effectiveness of a short course in evidence-based
   medicine (EBM) to change the knowledge and skills of undergraduate
   medical students and point to possible incorporation of EBM in their
   curriculum. Methods: This is a before-and-after study that was evaluated
   by the Fresno questionnaire. A 2-week short course of lectures,
   seminars, online search, and answering worksheets was conducted on 54
   fifth-year medical students rotating through the family medicine
   department at Jordan University Hospital from September 1 until
   mid-December 2011. Results: The students achieved a mean score of 26.7
   out of 200 in the pretest and 119.5 in the posttest. The mean difference
   between the pre- and posttests was 92.8, a statistically significant
   result with a 95% confidence interval of 84.7, 101.0 (p < .0001) with an
   effect size of 4.2 standard deviation units. Conclusions: A short course
   in EBM will significantly improve the skills and knowledge of
   undergraduate medical students.
RI barghouty, farihan/X-2618-2019; Jaber, Ruba M/E-7613-2017; barghouti, farihan/; Jaber, Ruba/
OI barghouti, farihan/0000-0002-7450-7125; Jaber, Ruba/0000-0001-9081-2990
ZS 0
ZB 0
TC 9
ZR 0
ZA 0
Z8 0
Z9 9
U1 0
U2 6
SN 1040-1334
EI 1532-8015
UT WOS:000321688200002
PM 23848323
ER

PT J
AU Bauer, Irmgard
   Hall, Sheila
   Sato, Nahoko
TI Providing travel health care - the nurses' role: An international
   comparison
SO TRAVEL MEDICINE AND INFECTIOUS DISEASE
VL 11
IS 4
BP 214
EP 224
DI 10.1016/j.tmaid.2013.04.004
PD JUL-AUG 2013
PY 2013
AB Background: In many countries, the responsibility for travel health ties
   with medical practitioners who delegate certain tasks to nursing staff.
   Elsewhere, nurses have taken a leading role and work independently in
   private or hospital-based clinics, occupational health departments and
   general practices. The purpose of this study was to examine the roles
   and challenges faced by nurses providing travel health care in
   Australia, Japan and the UK, and to compare educational and professional
   needs.
   Methods: Nurses involved in travel health care were invited to complete
   an online questionnaire with multiple choice, open-ended, and Likert
   Scale questions. SurveyMonkey's statistical facilities analysed
   quantitative data; thematic content analysis was applied to qualitative
   responses.
   Results: Differences and similarities between the three countries were
   conveyed by 474 participants focusing on current positions, work
   arrangements, and educational and practical concerns. Clinical practice
   issues, including vaccination and medication regulations, were
   highlighted with the differences between countries explained by the
   respective history of travel health care development and the involvement
   within their nursing profession.
   Conclusion: The call for more educational opportunities, including more
   support from employers, and a refinement of the role as travel health
   nurse appears to be international. Nurses require support networks
   within the field, and the development of a specialist "travel health
   nurse" would give a stronger voice to their concerns and needs for
   specific education and training in travel health care. (C) 2013 Elsevier
   Ltd. All rights reserved.
OI Bauer, Irmgard/0000-0002-8305-3700
Z8 0
TC 1
ZA 0
ZS 0
ZB 0
ZR 0
Z9 1
U1 0
U2 13
SN 1477-8939
EI 1873-0442
UT WOS:000323996100003
PM 23702427
ER

PT J
AU Martin, Stanley I.
   Way, David P.
   Verbeck, Nicole
   Nagel, Rollin
   Davis, John A.
   Vandre, Dale D.
TI The Impact of Lecture Attendance and Other Variables on How Medical
   Students Evaluate Faculty in a Preclinical Program
SO ACADEMIC MEDICINE
VL 88
IS 7
BP 972
EP 977
DI 10.1097/ACM.0b013e318294e99a
PD JUL 2013
PY 2013
AB Purpose
   High-quality audiovisual recording technology enables medical students
   to listen to didactic lectures without actually attending them. The
   authors wondered whether in-person attendance affects how students
   evaluate lecturers.
   Method
   This is a retrospective review of faculty evaluations completed by
   first- and second-year medical students at the Ohio State University
   College of Medicine during 2009-2010. Lecture-capture technology was
   used to record all lectures. Attendance at lectures was optional;
   however, all students were required to complete lecturer evaluation
   forms. Students rated overall instruction using a five-option response
   scale. They also reported their attendance. The authors used analysis of
   variance to compare the lecturer ratings of attendees versus
   nonattendees. The authors included additional independent variablesyear
   of student, student grade/rank in class, and lecturer degreein the
   analysis.
   Results
   The authors analyzed 12,092 evaluations of 220 lecturers received from
   358 students. The average number of evaluations per lecturer was 55.
   Seventy-four percent (n = 8,968 evaluations) of students attended the
   lectures they evaluated, whereas 26% (n = 3,124 evaluations) viewed them
   online. Mean lecturer ratings from attendees was 3.85 compared with 3.80
   by nonattendees (P .05; effect size: 0.055). Student's class grade and
   year, plus lecturer degree, also affected students' evaluations of
   lecturers (effect sizes: 0.055-0.3).
   Conclusions
   Students' attendance at lectures, year, and class grade, as well as
   lecturer degree, affect students' evaluation of lecturers. This finding
   has ramifications on how student evaluations should be collected,
   interpreted, and used in promotion and tenure decisions in this evolving
   medical education environment.
RI Way, David/AAE-7428-2020; Martin, Stanley/E-3600-2011; Way, David/
OI Way, David/0000-0002-1896-3425
ZA 0
TC 9
ZS 0
ZR 0
Z8 0
ZB 0
Z9 9
U1 0
U2 17
SN 1040-2446
EI 1938-808X
UT WOS:000323038400027
PM 23702517
ER

PT J
AU Maggio, Lauren A.
   Tannery, Nancy H.
   Chen, H. Carrie
   ten Cate, Olle
   O'Brien, Bridget
TI Evidence-Based Medicine Training in Undergraduate Medical Education: A
   Review and Critique of the Literature Published 2006-2011
SO ACADEMIC MEDICINE
VL 88
IS 7
BP 1022
EP 1028
DI 10.1097/ACM.0b013e3182951959
PD JUL 2013
PY 2013
AB Purpose
   To characterize recent evidence-based medicine (EBM) educational
   interventions for medical students and suggest future directions for EBM
   education.
   Method
   The authors searched the MEDLINE, Scopus, Educational Resource
   Information Center, and Evidence-Based Medicine Reviews databases for
   English-language articles published between 2006 and 2011 that featured
   medical students and interventions addressing multiple EBM skills. They
   extracted data on learner and instructor characteristics, educational
   settings, teaching methods, and EBM skills covered.
   Results
   The 20 included articles described interventions delivered in 12
   countries in classroom (75%), clinic (25%), and/or online (20%)
   environments. The majority (60%) focused on clinical students, whereas
   30% targeted preclinical students and 10% included both. EBM skills
   addressed included recognizing a knowledge gap (20%), asking a clinical
   question (90%), searching for information (90%), appraising information
   (85%), applying information (65%), and evaluating practice change (5%).
   Physicians were most often identified as instructors (60%); co-teachers
   included librarians (20%), allied health professionals (10%), and
   faculty from other disciplines (10%). Many studies (60%) included
   interventions at multiple points during one year, but none were
   longitudinal across students' tenures. Teaching methods varied.
   Intervention efficacy could not be determined.
   Conclusions
   Settings, learner levels and instructors, teaching methods, and covered
   skills differed across interventions. Authors writing about EBM
   interventions should include detailed descriptions and employ more
   rigorous research methods to allow others to draw conclusions about
   efficacy. When designing EBM interventions, educators should consider
   trends in medical education (e.g., online learning, interprofessional
   education) and in health care (e.g., patient-centered care, electronic
   health records).
RI Chen, Huiju/AAH-2836-2022; Cate, Olle Th.J. ten/W-8382-2018; Tannery, Nancy Hrinya/B-5688-2009; Chen, Huiju/AFM-0484-2022; Maggio, Lauren/
OI Chen, Huiju/0000-0003-1663-1598; Cate, Olle Th.J.
   ten/0000-0002-6379-8780; Tannery, Nancy Hrinya/0000-0003-3478-3720;
   Chen, Huiju/0000-0003-1663-1598; Maggio, Lauren/0000-0002-2997-6133
ZA 0
ZB 7
ZS 1
Z8 1
ZR 0
TC 83
Z9 86
U1 0
U2 55
SN 1040-2446
EI 1938-808X
UT WOS:000323038400036
PM 23702528
ER

PT J
AU Bhasin, Bhavna
   Estrella, Michelle M.
   Choi, Michael J.
TI Online CKD Education for Medical Students, Residents, and Fellows:
   Training in a New Era
SO ADVANCES IN CHRONIC KIDNEY DISEASE
VL 20
IS 4
BP 347
EP 356
DI 10.1053/j.ackd.2013.04.003
PD JUL 2013
PY 2013
AB CKD and its complications are associated with substantial morbidity and
   mortality. Studies have highlighted significant deficiencies in resident
   knowledge and awareness of CKD and its complications. There is a need to
   improve CKD education through medical school and residency. There is
   also a need to provide alternatives to traditional teaching methods to
   meet the challenges of learning in the context of work-hour restrictions
   and increasing workload among residents and fellows. Internet-based
   learning resources offer various educational tools, including websites,
   kidney blogs, online modules, and smartphone applications, which could
   potentially and efficiently advance CKD knowledge among medical
   trainees. In this review, we describe several online resources for CKD
   education that could be useful for medical students, residents, and
   fellows. Increased awareness of these tools and their utilization may
   significantly influence and hopefully improve the recognition and
   management of patients with CKD. Future studies may help evaluate the
   effectiveness of these online learning methods and their effect on CKD
   patient outcomes. In addition, in light of increased concern about
   nephrology workforce issues, the potential for these online tools to
   augment interest in nephrology careers should be investigated. (C) 2013
   by the National Kidney Foundation, Inc. All rights reserved.
ZB 1
ZS 0
ZA 0
Z8 0
TC 4
ZR 0
Z9 4
U1 0
U2 12
SN 1548-5595
EI 1548-5609
UT WOS:000321464300008
PM 23809287
ER

PT J
AU Shariff, Afreen I.
   Fang, Xiangming
   Desai, Tejas
TI Using Social Media to Create a Professional Network Between
   Physician-Trainees and the American Society of Nephrology
SO ADVANCES IN CHRONIC KIDNEY DISEASE
VL 20
IS 4
BP 357
EP 363
DI 10.1053/j.ackd.2013.03.005
PD JUL 2013
PY 2013
AB Twitter is the fastest growing social media network. It offers
   participants the ability to network with other individuals. Medical
   societies are interested in helping individuals network to boost
   recruitment, encourage collaboration, and assist in job placement. We
   hypothesized that the American Society of Nephrology (ASN) successfully
   used Twitter to create a network between participants and itself to stay
   connected with its members. Tweets from 3 Twitter networking sessions
   during Kidney Week 2011 were analyzed for content. These messages were
   used to create a network between all participants of the networking
   sessions. The network was analyzed for strength and influence by
   calculating clustering coefficients (CC) and eigenvector centrality (EC)
   scores, respectively. Eight moderators and 9 trainees authored 376
   Twitter messages. Most tweets by trainees (64%) and moderators (61%)
   discussed 1 of 3 themes: networking, education, or navigating Kidney
   Week 2011. A total of 25 online network connections were established
   during the 3 sessions; 20% were bidirectional. The CC for the network.
   was 0.300. All moderators formed at least 1 connection, but 7 of the 9
   trainees failed to make any connections. ASN made 5 unidirectional and 0
   bidirectional connections with a low EC of 0.108. ASN was unable to form
   powerful connections with trainees through Twitter, but medical
   societies should not be discouraged by the results reported in this
   investigation. As societies become more familiar with Twitter and
   understand the mechanisms to develop connections, these societies will
   have a greater influence within increasingly stronger networks. (C) 2013
   by the National Kidney Foundation, Inc. All rights reserved.
ZB 1
ZA 0
Z8 0
TC 6
ZS 0
ZR 0
Z9 6
U1 0
U2 9
SN 1548-5595
EI 1548-5609
UT WOS:000321464300009
PM 23809288
ER

PT J
AU Koczka, Charles P.
   Geraldino-Pardilla, Laura B.
   Goodman, Adam J.
   Gress, Frank G.
TI A Nationwide Survey of Gastroenterologists and Their Acquisition of
   Knowledge
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 108
IS 7
BP 1033
EP 1035
DI 10.1038/ajg.2012.309
PD JUL 2013
PY 2013
AB OBJECTIVES: The Gastroenterology (GI) Core Curriculum is a culmination
   of efforts from the American Association for the Study of Liver
   Diseases, the American College of Gastroenterology, the American
   Gastroenterological Association, and the American Society for
   Gastrointestinal Endoscopy to develop a review of knowledge and skills
   for those training in a gastrointestinal subspecialty. Fellows are
   expected to conduct scholarly activity, attend seminars, and read
   textbooks and syllabus materials. While efforts to standardize education
   across the nation are welcomed, we sought to ascertain the learning
   preferences of GI fellows and attending physicians.
   METHODS: A national online survey was e-mailed to directors of US adult
   GI programs, who were also asked to invite their colleagues and fellows
   to participate.
   RESULTS: While majorities of both fellows and attendings affirmed
   regular attendance at national conferences, more attendings affirmed
   that their knowledge was improved by their participation. Asked how they
   acquire knowledge best, 45 fellows and 67 attendings responded; 42% of
   attendings favored journal articles, and 40% of fellows favored
   conferences. More attendings than fellows felt that writing a manuscript
   and belonging to a GI society improved knowledge.
   CONCLUSIONS: We believe the Gastroenterology Core Curriculum provides
   trainees with essential tools for becoming an autonomous
   gastroenterologist who can appreciate various learning modalities.
RI Geraldino-Pardilla, Laura/AAO-5233-2020; Goodman, Adam/
OI Goodman, Adam/0000-0002-3429-1067
ZA 0
TC 3
ZS 0
Z8 0
ZR 0
ZB 2
Z9 3
U1 0
U2 2
SN 0002-9270
UT WOS:000321305300002
PM 23820990
ER

PT J
AU Whillier, Stephney
   Lystad, Reidar P.
TI The effect of face-to-face teaching on student knowledge and
   satisfaction in an undergraduate neuroanatomy course
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 4
BP 239
EP 245
DI 10.1002/ase.1338
PD JUL 2013
PY 2013
AB The total number of anatomy teaching hours has declined in medical
   courses worldwide. Conversely, face-to-face teaching in undergraduate
   neuroanatomy at Macquarie University increased by 50% in 2011. Our aim
   was to investigate whether this influenced student performance and
   overall satisfaction with the course. One hundred eighty-one students
   consented to participate in this study. A questionnaire was administered
   to rate the course, and final grades from the old and new unit cohorts
   were compared. The old and new unit cohorts did not differ in their
   final grades (P = 0.249). However, the new unit cohort rated their
   knowledge of the material higher compared to the old unit cohort (P =
   0.013), and reported higher levels of satisfaction with the course (P <
   0.001). In an era in which teaching time for anatomy has been reduced at
   tertiary institutions, and there is much lamenting of the effect this
   will have, there is a paucity of literature on whether the decrease
   really influences neuroanatomical knowledge. This is the first study, to
   the best of our knowledge, to show that an increase in total
   face-to-face teaching hours does not improve student grades, but does
   increase student satisfaction with the course. Anat Sci Educ 6: 239-245.
   (c) 2012 American Association of Anatomists.
RI Lystad, Reidar/D-1611-2013; Whillier, Stephney/AAC-8550-2020
OI Lystad, Reidar/0000-0003-0506-0902; Whillier,
   Stephney/0000-0002-5093-4376
ZA 0
ZR 0
ZB 1
Z8 0
ZS 2
TC 6
Z9 8
U1 0
U2 8
SN 1935-9772
EI 1935-9780
UT WOS:000322368800006
PM 23225606
ER

PT J
AU Barbeau, Michele L.
   Johnson, Marjorie
   Gibson, Candace
   Rogers, Kem A.
TI The development and assessment of an online microscopic anatomy
   laboratory course
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 4
BP 246
EP 256
DI 10.1002/ase.1347
PD JUL 2013
PY 2013
AB Increasing enrollment in post-secondary institutions across North
   America, along with an increase in popularity of and demand for distance
   education is pressuring institutions to offer a greater number and
   variety of courses online. A fully online laboratory course in
   microscopic anatomy (histology) which can be taught simultaneously with
   a face-to-face (F2F) version of the same course has been developed. This
   full year course was offered in the Fall/Winter (FW) terms in both F2F
   and online formats. To ensure that the online course was of the same
   quality as the F2F format, a number of performance indicators were
   evaluated. The same course, offered exclusively online during the summer
   with a compressed time frame, was also evaluated. Senior undergraduate
   students self-selected which version of the course they would enroll in.
   Course assessment outcomes were compared while incoming grades were used
   as a predictor for course performance. There were no significant
   differences between the incoming grades for the F2F FW and Online FW
   courses; similarly, there were no significant differences between
   outcomes for these formats. There were significant differences between
   the incoming grades of the F2F FW and Summer Online students. However,
   there were no significant differences among any of the outcomes for any
   of the formats offered. Incoming grades were strong, significant
   predictors of course performance for both formats. These results
   indicate that an online laboratory course in microscopic anatomy is an
   effective format for delivering histology course content, therefore
   giving students greater options for course selections. Anat Sci Educ 6:
   246-256. (c) 2013 American Association of Anatomists.
OI Rogers, Kem/0000-0002-6234-2634
ZB 2
ZA 0
TC 40
Z8 1
ZR 0
ZS 0
Z9 41
U1 1
U2 24
SN 1935-9772
EI 1935-9780
UT WOS:000322368800007
PM 23364905
ER

PT J
AU Trelease, Robert B.
   Nieder, Gary L.
TI Transforming clinical imaging and 3D data for virtual reality learning
   objects: HTML5 and mobile devices implementation
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 4
BP 263
EP 270
DI 10.1002/ase.1330
PD JUL 2013
PY 2013
AB Web deployable anatomical simulations or virtual reality learning
   objects can easily be produced with QuickTime VR software, but their use
   for online and mobile learning is being limited by the declining support
   for web browser plug-ins for personal computers and unavailability on
   popular mobile devices like Apple iPad and Android tablets. This article
   describes complementary methods for creating comparable, multiplatform
   VR learning objects in the new HTML5 standard format, circumventing
   platform-specific limitations imposed by the QuickTime VR multimedia
   file format. Multiple types or dimensions of anatomical information can
   be embedded in such learning objects, supporting different kinds of
   online learning applications, including interactive atlases, examination
   questions, and complex, multi-structure presentations. Such HTML5 VR
   learning objects are usable on new mobile devices that do not support
   QuickTime VR, as well as on personal computers. Furthermore, HTML5 VR
   learning objects can be embedded in ebook document files, supporting the
   development of new types of electronic textbooks on mobile devices that
   are increasingly popular and self-adopted for mobile learning. Anat Sci
   Educ 6: 263-270. (c) 2012 American Association of Anatomists.
OI Trelease, Robert/0000-0001-9669-9140
ZB 0
ZS 1
TC 20
Z8 1
ZA 0
ZR 0
Z9 21
U1 0
U2 61
SN 1935-9772
EI 1935-9780
UT WOS:000322368800009
PM 23212750
ER

PT J
AU Schook, Romane M
   Linssen, Cilia
   Festen, Jan
   Schramel, Franz Mnh
   Lammers, Ernst
   Zaanen, Peter
   Postmus, Pieter E
TI Website visitors asking questions online to lung cancer specialists:
   what do they want to know?
SO Interactive journal of medical research
VL 2
IS 2
BP e15
EP e15
DI 10.2196/ijmr.1749
PD 2013 Aug 06
PY 2013
AB BACKGROUND: In 2003 the Dutch Lung Cancer Information Centre (Longkanker
   Informatie Centrum) launched a website containing information on lung
   cancer accessible to anyone.
   OBJECTIVE: Our study aim was to inventorize the information needs of the
   visitors of this website by analyzing the questions they asked the lung
   cancer specialists in the websites interactive section "Ask the
   Physician".
   METHODS: The first 2000 questions posted up until May 2006 have been
   classified by visitors' wish, type of required information, identity,
   gender, and phase during treatment course.
   RESULTS: Our results show that 1893 (1158/1893, 61%) of the questions
   were asked by a loved one/caregiver and (239/1893 13%) by patients. 1
   out of 3 questions was asked by a daughter/grand-daughter. Most
   questions concerned specific information on lung cancer and lung cancer
   course (817/1893, 43%). The most inquired specific information topics
   were therapy side effects, diagnostics, general information on lung
   cancer, and regular therapy. Furthermore, questioners wanted to verify
   their own doctor's information (122/1893, 6%), a diagnosis (267/1893,
   14%), and a prognosis (204/1893, 11%).
   CONCLUSIONS: Lung cancer patients and their caregivers asked the most
   questions in the interactive website section. The most frequently
   requested information was more detailed information. These include
   specific information on lung cancer (regular therapy, diagnostics, and
   disease symptoms), verification of what the doctor has said, diagnosis,
   and prognosis. Most of the requested information could have been
   obtained from treating specialists, indicating that current information
   supply to lung cancer patients and their caregivers may not be matching
   their needs sufficiently. The further implementation of an online
   dialogue with lung cancer specialists might be a solution.
RI Himmel, Wolfgang/AAV-4497-2021; postmus, pieter/
OI Himmel, Wolfgang/0000-0003-3523-5486; postmus,
   pieter/0000-0002-7774-2868
ZR 0
TC 10
ZA 0
Z8 0
ZB 2
ZS 0
Z9 10
U1 0
U2 0
SN 1929-073X
UT MEDLINE:23919980
PM 23919980
ER

PT J
AU Townsend, Anne
   Adam, Paul
   Li, Linda C
   McDonald, Michael
   Backman, Catherine L
TI Exploring eHealth Ethics and Multi-Morbidity: Protocol for an Interview
   and Focus Group Study of Patient and Health Care Provider Views and
   Experiences of Using Digital Media for Health Purposes.
SO JMIR research protocols
VL 2
IS 2
BP e38
EP e38
DI 10.2196/resprot.2732
PD 2013 Oct 17
PY 2013
AB BACKGROUND: eHealth is a broad term referring to the application of
   information and communication technologies in the health sector, ranging
   from health records to medical consultations (telemedicine) and multiple
   forms of health education, support, and tools. By providing increased
   and anytime access to information, opportunities to exchange experiences
   with others, and self-management support, eHealth has been heralded as
   transformational. It has the potential to accelerate the shift from
   traditional "passive patient" to an informed, engaged, and empowered
   "patient as partner," equipped to take part in shared decision-making,
   and take personal responsibility for self-managing their illness.
   OBJECTIVE: The objective of our study is to examine how people with
   chronic illness use eHealth in their daily lives, how it affects
   patient-provider relationships, and the ethical and practical
   ramifications for patients, providers, and service delivery.
   METHODS: This two-phase qualitative study is ongoing. We will
   purposively sample 60-70 participants in British Columbia, Canada. To be
   eligible, patient participants have to have arthritis and at least one
   other chronic health condition; health care providers (HCPs) need a
   caseload of patients with multi-morbidity (>25%). To date we have
   recruited 36 participants (18 patients, 18 HCPs). The participants
   attended 7 focus groups (FGs), 4 with patients and 3 with rehabilitation
   professionals and physicians. We interviewed 4 HCPs who were unable to
   attend a FG. In phase 2, we will build on FG findings and conduct 20-24
   interviews with equal numbers of patients and HCPs (rehabilitation
   professionals and physicians). As in the FGs conducted in phase I, the
   interviews will use a semistructured, but flexible, discussion guide.
   All discussions are being audiotaped and transcribed verbatim. Constant
   comparisons and a narrative approach guides the analyses. A relational
   ethics conceptual lens is being applied to the data to identify emergent
   ethical issues.
   RESULTS: This study explores ethical issues in eHealth. Our goal is to
   identify the role of eHealth in the lives of people with multiple
   chronic health conditions and to explore how eHealth impacts the patient
   role, self-managing, and the patient-HCP relationship. The ethical lens
   facilitates a systematic critical analysis of emergent ethical issues
   for further investigation and pinpoints areas of practice that require
   interventions as eHealth develops and use increases both within and
   outside of the clinical setting.
   CONCLUSIONS: The potential benefits and burdens of eHealth need to be
   identified before an ethical framework can be devised.
RI Backman, Catherine L/L-3648-2016; Li, Linda C./P-8485-2015
OI Backman, Catherine L/0000-0003-4190-7947; Li, Linda
   C./0000-0001-6280-0511
TC 29
Z8 0
ZA 0
ZS 0
ZB 2
ZR 0
Z9 29
U1 0
U2 9
SN 1929-0748
UT MEDLINE:24135260
PM 24135260
ER

PT J
AU Eloy, Jean Anderson
   Svider, Peter F.
   Kovalerchik, Olga
   Baredes, Soly
   Kalyoussef, Evelyne
   Chandrasekhar, Sujana S.
TI Gender Differences in Successful NIH Grant Funding in Otolaryngology
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 149
IS 1
BP 77
EP 83
DI 10.1177/0194599813486083
PD JUL 2013
PY 2013
AB Objective To evaluate gender differences in NIH funding among faculty in
   otolaryngology departments and discuss potential reasons for these
   differences.
   Study Design and Setting Analysis of NIH funding data available on the
   online NIH RePORTER system.
   Methods Fiscal year 2011 and 2012 NIH funding awards to principal
   investigators (PIs) in otolaryngology departments were obtained and used
   to examine faculty listings from otolaryngology departments for academic
   rank and gender. The Scopus database was used to determine publication
   range of these faculty members.
   Results Individual mean NIH awards to men ($362,946 $21,247 standard
   error of mean) were higher than those to women ($287,188 +/- $38,029).
   Male PIs were found to have higher mean NIH funding totals (aggregating
   grants for PIs with multiple awards) than female PIs ($498,593 vs
   $359,276). Upon organization by academic rank and years active, men had
   significantly higher funding levels at both the level of assistant
   professor and at 10 to 20 years of experience. Of all NIH grants
   awarded, men had a higher percentage of the more prestigious R-series
   grants (76.2%) than did women (63.4%).
   Conclusions Male faculty members have higher NIH funding levels than
   their female colleagues, a disparity that exists separate from career
   longevity, as it is true both at the rank of assistant professor and for
   those with 10 to 20 years of research experience. The larger proportion
   of R-series NIH grants awarded to male faculty may contribute to this
   finding. This discrepancy in percentage and dollars of funding exists
   despite the increasing percentages of women in higher ranks.
Z8 0
ZS 0
ZR 0
ZA 0
TC 97
ZB 20
Z9 97
U1 0
U2 12
SN 0194-5998
EI 1097-6817
UT WOS:000329427400011
PM 23585148
ER

PT J
AU Love, Brad
   Moskowitz, Michal C.
   Crook, Brittani
   Thompson, Charee M.
   Donovan-Kicken, Erin
   Stegenga, Kristin
   Macpherson, Catherine Fiona
   Johnson, Rebecca H.
TI Defining adolescent and young adult (AYA) exercise and nutrition needs:
   Concerns communicated in an online cancer support community
SO PATIENT EDUCATION AND COUNSELING
VL 92
IS 1
BP 130
EP 133
DI 10.1016/j.pec.2013.02.011
PD JUL 2013
PY 2013
AB Objective: To describe topics, needs, and concerns related to nutrition
   and exercise that adolescents and young adults affected by a serious
   illness(cancer) discuss online.
   Methods: Investigators conducted a qualitative content analysis of
   messages related to nutrition and exercise posted on an online young
   adult cancer forum.
   Results: AYAs described several functions achieved through nutrition and
   exercise, such as fighting cancer losing weight, obtaining nutrients
   despite side effects of treatment, promoting general health, enjoyment,
   and promoting mental/emotional health. AYAs also discussed several
   problems that interfere with nutrition and exercise goals, such as side
   effects of steroids, physiological problems with eating, safety concerns
   or physical limitations due to treatment, poor follow through with
   behavioral change, stress, and low energy.
   Conclusion: AYAs discuss specific ways nutrition and exercise help
   achieve a variety of functions that may be physical or psychological,
   cancer-specific or general. AYAs describe several concerns and barriers
   that impede their nutrition and exercise goals.
   Practice implications: Clinicians should also consider relevant medical
   and personal variables that partly determine nutrition and exercise
   concerns. Clinicians can anticipate barriers to desired
   nutrition/exercise change and develop interventions that address these
   barriers in appropriately tailored ways, including using digital media.
   (C) 2012 Elsevier Ireland Ltd. All rights reserved.
RI Love, Brad/P-4068-2019; Thompson, Charee/
OI Love, Brad/0000-0002-3865-5219; Thompson, Charee/0000-0002-5946-7153
Z8 0
ZA 0
ZR 0
ZB 1
TC 14
ZS 0
Z9 14
U1 0
U2 22
SN 0738-3991
UT WOS:000321483700020
PM 23490173
ER

PT J
AU Skovgaard, Lasse
   Nicolajsen, Peter Halkier
   Pedersen, Elena
   Kant, Matthias
   Fredrikson, Sten
   Verhoef, Marja
   Meyrowitsch, Dan
TI Differences between users and non-users of complementary and alternative
   medicine among people with multiple sclerosis in Denmark: A comparison
   of descriptive characteristics
SO SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
VL 41
IS 5
BP 492
EP 499
DI 10.1177/1403494813481646
PD JUL 2013
PY 2013
AB Aims: The aim of this study was to investigate differences in
   socio-economic characteristics between CAM users and CAM non-users among
   people with MS in Denmark as well as differences in characteristics
   related to the use of CAM among CAM users and the use of conventional
   treatments among CAM non-users. Methods: An internet-based questionnaire
   was used to collect data from 3361 patient members of the Danish MS
   society. A letter with a personal code was sent to all respondents,
   asking them to fill out the questionnaire online. Reminders to
   non-respondents were sent twice and the final response rate was 55.5%.
   Statistical associations were presented as odds ratios and with
   respective 95% confidence intervals. Results: People with MS in Denmark
   use a wide range of CAM treatments for a variety of reasons. CAM users
   were more likely to be of female gender, 18-40 years of age, educated at
   bachelor level or above, and have a high income compared to CAM
   non-users (p < 0.05). CAM users more often addressed
   non-specific/preventive treatment purposes through their use of CAM
   treatments, they communicated less often with a medical doctor about the
   CAM treatments used, and they experienced less side effects as well as
   less positive effects from the CAM treatments used when compared with
   the use of conventional treatments among CAM non-users (p < 0.05).
   Conclusions: People with MS in Denmark reported use of a large range of
   CAM treatments. CAM users differed from CAN non-users in relation to
   socio-economic factors as well as treatment characteristics.
RI Fredrikson, Sten/AAI-7144-2020; Fredrikson, Sten/; Meyrowitsch, Dan/
OI Fredrikson, Sten/0000-0002-8042-3286; Meyrowitsch,
   Dan/0000-0003-1108-8987
ZS 0
ZA 0
TC 15
Z8 0
ZB 3
ZR 0
Z9 15
U1 0
U2 9
SN 1403-4948
EI 1651-1905
UT WOS:000319684100008
PM 23548494
ER

PT J
AU Wongkoon, Siriwan
   Jaroensutasinee, Mullica
   Jaroensutasinee, Krisanadej
TI THE MOSQUITO ONLINE ADVANCED ANALYTIC SERVICE: A CASE STUDY FOR SCHOOL
   RESEARCH PROJECTS IN THAILAND
SO SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH
VL 44
IS 4
BP 574
EP 585
PD JUL 2013
PY 2013
AB The Mosquito Online Advanced Analytic Service (MOAAS) provides an
   essential tool for querying, analyzing, and visualizing patterns of
   mosquito larval distribution in Thailand. The MOAAS was developed using
   Structured Query Language (SQL) technology as a web-based tool for data
   entry and data access, webMathematica technology for data analysis and
   data visualization, and Google Earth (TM) and Google Maps (TM) for
   Geographic Information System (GIS) visualization. Fifteen selected
   schools in Thailand provided test data for MOAAS. Users performed data
   entry using the web-service, data analysis, and data visualization tools
   with webMathematica, data visualization with bar charts, mosquito larval
   indices, and three-dimensional (3D) bar charts overlaying on the Google
   Earth (TM) and Google Maps (TM). The 3D bar charts of the number of
   mosquito larvae were displayed along with spatial information. The
   mosquito larvae information may be useful for dengue control efforts and
   health service communities for planning and operational activities.
RI Kajornkasirat, Siriwan/CAA-1169-2022
ZA 0
Z8 0
ZR 0
TC 1
ZB 1
ZS 0
Z9 1
U1 0
U2 4
SN 0125-1562
UT WOS:000323406500005
PM 24050090
ER

PT J
AU Gundogdu, Cemal
   Oguzoncul, A. Ferdane
TI THE RELATIONSHIP BETWEEN SMOKING AND EXERCISE AMONG PHYSICAL EDUCATION
   TEACHERS IN TURKEY
SO SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH
VL 44
IS 4
BP 712
EP 717
PD JUL 2013
PY 2013
AB We studied the relationship between smoking and exercise among physical
   education teachers in Turkey. An online questionnaire was used to
   collect data. The responses of 1,995 teachers who completed the
   questionnaire were evaluated. The mean age of the participants was 31.0
   +/- 4.7 years; 67.4% of the participants were male. The smoking rate was
   65.2%. The mean age of onset of smoking was 16.6 +/- 2.6 years. The age
   of starting smoking increased with higher parental education level.
   There were no differences between smokers and nonsmokers with respect to
   gender. Of smokers, 51.2% were married; 52.4% were in the 30-39 year old
   age group. The most common reasons for starting smoking were the
   influence of friends and emulation. The most common reason for trying to
   quit smoking among men was future health concerns and among women was
   current health concerns. We found smoking was less common among
   participants who exercised regularly. The level of nicotine dependence
   was significantly lower among participants who exercised regularly
   compared to those who did not. This study suggests physical education
   teachers, who are role models for their students, have a high smoking
   rate. We believe urgent action is needed to reduce the smoking rate and
   increase the quit rate among physical education teachers.
Z8 0
ZR 0
ZA 0
ZS 0
ZB 1
TC 2
Z9 2
U1 0
U2 7
SN 0125-1562
UT WOS:000323406500023
PM 24050108
ER

PT J
AU Yarger, John B.
   James, T. A.
   Ashikaga, T.
   Hayanga, A. J.
   Takyi, V.
   Lum, Y.
   Kaiser, H.
   Mammen, J.
TI Characteristics in response rates for surveys administered to surgery
   residents
SO SURGERY
VL 154
IS 1
BP 38
EP 45
DI 10.1016/j.surg.2013.04.060
PD JUL 2013
PY 2013
AB Background. Surveys are important research tools that permit the
   accumulation of information from large samples that would otherwise be
   impractical to collect. Resident surveys have been used frequently to
   monitor the quality of postgraduate training. Low response rates
   threaten the utility of this research tool. The purpose of this study
   was to determine the standard response rate of surveys administered to
   surgery residents and identify characteristics associated with achieving
   greater response rates.
   Methods. A search of peer-reviewed literature published between
   September 2003 and June 2011 was performed with the use of PubMed with
   Medical Subject Headings: "internship and residency," "surgery," "data
   collection," and "questionnaires." For inclusion, articles must have
   described a survey given to active surgery residents within the United
   States. Surveys were evaluated based on the following criteria:
   population size, response rate, incentive use, follow-up use, survey
   format (online vs paper), and institution versus national.
   Results. Of 433 initial results, 47 met inclusion criteria with a mean
   response rate of 65.3%. Surveys administered in paper format had a
   greater response rate compared with those given electronically (mean
   78.6% vs 36.4%, respectively, P < .001). Greatest mean response rates
   were seen for institutional surveys compared with those given nationally
   (83.1% vs 42% respectively, P < .001)
   Conclusion. Our review demonstrated that paper surveys administered at
   the institutional level and during assemblies integrated into residents'
   schedules demonstrated enhanced response rates. The validity and
   generalizability of data collected through such survey's will improve as
   the aspects which dictate response rate are better understood and
   implemented.
CT 5th Annual Meeting of the
   Consortium-of-ACS-Accredited-Education-Institutes
CY MAR 16-17, 2012
CL Chicago, IL
SP Consortium ACS, Accredited Educ Inst
TC 47
ZA 0
Z8 0
ZS 0
ZB 8
ZR 0
Z9 46
U1 1
U2 11
SN 0039-6060
UT WOS:000321168400007
PM 23809484
ER

PT J
AU Rowe, Michael
   Bozalek, Vivienne
   Frantz, Jose
TI Using Google Drive to facilitate a blended approach to authentic
   learning
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 44
IS 4
SI SI
BP 594
EP 606
DI 10.1111/bjet.12063
PD JUL 2013
PY 2013
AB While technology has the potential to create opportunities for
   transformative learning in higher education, it is often used to merely
   reinforce didactic teaching that aims to control access to expert
   knowledge. Instead, educators should consider using technology to
   enhance communication and provide richer, more meaningful platforms for
   the social construction of knowledge. By using technology to engage in
   shared learning experiences that extend beyond the walls of the
   classroom, we can create opportunities to develop the patterns of
   thinking that students need to participate in complex, real world
   situations. We used authentic learning as a framework to guide the
   implementation of a case-based, blended module in a South African
   physiotherapy department. Google Drive was used as a collaborative
   online authoring environment in which small groups of students used
   clinical cases to create their own content, guided by a team of
   facilitators. This paper describes an innovative approach to clinical
   education using authentic learning as a guiding framework, and Google
   Drive as an implementation platform. We believe that this approach led
   to the transformation of student learning practices, altered power
   relationships in the classroom and facilitated the development of
   critical attitudes towards knowledge and authority.
RI Frantz, Jose M/O-9604-2014; Bozalek, Vivienne/; Rowe, Michael/
OI Frantz, Jose M/0000-0002-8296-5601; Bozalek,
   Vivienne/0000-0002-3212-1910; Rowe, Michael/0000-0002-1538-6052
ZB 0
ZA 5
ZS 0
Z8 0
TC 36
ZR 0
Z9 41
U1 1
U2 47
SN 0007-1013
EI 1467-8535
UT WOS:000319886600007
ER

PT J
AU [Anonymous]
TI ARHP Announcements
SO ARTHRITIS CARE & RESEARCH
VL 65
IS 7
BP 22A
EP 22A
DI 10.1002/acr.22064
PD JUL 2013
PY 2013
Z8 0
ZR 0
ZS 0
ZB 0
TC 0
ZA 0
Z9 0
U1 0
U2 0
SN 2151-464X
UT WOS:000321184000001
ER

PT J
AU Tandjung, Ryan
   Senn, Oliver
   Marty, Franz
   Krauss, Linda
   Rosemann, Thomas
   Badertscher, Nina
TI Career after successful medical board examination in general practice -
   a cross-sectional survey
SO SWISS MEDICAL WEEKLY
VL 143
AR w13839
DI 10.4414/smw.2013.13839
PD JUN 25 2013
PY 2013
AB QUESTION UNDER STUDY: Switzerland is facing a shortage of general
   practitioners (GPs). Knowledge of the factors influencing career choice
   is crucial for increasing the attractiveness of general practice. The
   aim of our study was to report the working conditions of recently
   certified GPs and the effect of vocational training in general practice
   on GP skills and knowledge, and economic skills. Furthermore, we
   recorded when GPs chose general practice as a career, as well as
   potential barriers to and facilitators of their decision.
   METHODS: Study design: Cross-sectional survey with an online-based
   questionnaire. Study group: 1,133 physicians certified in general
   practice between the years 2000 and 2010.
   RESULTS: The response rate was 40.6% (456); 426 (44.1% females) were
   included in further analysis. A total of 341 (80.0%) were currently
   working in general practice. Female GPs were significantly more often
   employed (rather than working independently), working part-time and in
   group practices. Fifty-two (12.2%) of the participants did not work in
   general practice although they had intended to earlier. The majority
   (54.3%) of the participants working as GPs decided to become a GP during
   their residency. Overall, 60.6% of all participants completed vocational
   training in a general practice, which significantly improved
   self-perceived general practice skills compared with their colleagues
   without such training.
   CONCLUSIONS: Residency is a more important time-period than medical
   school for career decisions to become a GP. Attractive residency
   programmes must be developed to engage physicians in this vulnerable
   phase. The workplace settings of female GPs were significantly different
   from those ofmale GPs. Vocational training in general practice had a
   positive effect on self-perceived GP skills.
OI Senn, Oliver/0000-0003-4422-7250
Z8 0
ZR 0
ZS 0
ZB 1
TC 12
ZA 0
Z9 12
U1 0
U2 10
SN 1424-7860
EI 1424-3997
UT WOS:000321947000001
PM 23801165
ER

PT J
AU Nordfeldt, Sam
   Angarne-Lindberg, Teresia
   Nordwall, Maria
   Ekberg, Joakim
   Bertero, Carina
TI As Facts and Chats Go Online, What Is Important for Adolescents with
   Type 1 Diabetes?
SO PLOS ONE
VL 8
IS 6
AR e67659
DI 10.1371/journal.pone.0067659
PD JUN 21 2013
PY 2013
AB Background: Continued refinement of resources for patient information,
   education and support is needed. Considering the rapid development of
   new communication practices, the perspectives of young people themselves
   warrant more attention using a wide research focus. The purpose of this
   study was to understand information-seeking behaviours, Internet use and
   social networking online in adolescents with type 1 diabetes (T1DM).
   This applied to their everyday life, including the context of diabetes
   and their experiences and need of contact with T1DM peers.
   Methodology/Principal Findings: Twenty-four adolescents aged 10-17 years
   with T1DM were recruited from a county hospital in the south-east of
   Sweden. Qualitative data were obtained using eight focus groups, wherein
   each participant engaged in a 60-90 minute video/audio-recorded session.
   The focus group data were transcribed and analysed using qualitative
   content analysis. Some demographic and medical information was also
   collected. The three main categories that were identified; Aspects of
   Security, Updating, and Plainness and their sub-categories gave
   significant information about how to enhance information retrieval and
   peer contacts related to T1DM. Regarding the persons'
   information-seeking behaviour, Internet use, and use of social media
   some differences could be identified depending on gender and age.
   Conclusions/Significance: Sensitivity and adaptation to users' needs and
   expectations seem crucial in the development of future online resources
   for adolescents with T1DM. To start with, this could mean applying a
   wider range of already existing information and communication
   technologies. Health practitioners need to focus on the areas of
   security of information and communication, frequency of updating, and
   simplicity of design-less is more.
RI Berterö, Carina/H-8659-2019
OI Berterö, Carina/0000-0003-1588-135X
ZB 1
ZR 0
TC 13
Z8 0
ZS 0
ZA 0
Z9 13
U1 1
U2 32
SN 1932-6203
UT WOS:000320846500150
PM 23805322
ER

PT J
AU Dixon, Cinnamon A.
   Castillo, Jonathan
   Castillo, Heidi
   Hom, Katherine A.
   Schubert, Charles
TI Global health opportunities within pediatric subspecialty fellowship
   training programs: surveying the virtual landscape
SO BMC MEDICAL EDUCATION
VL 13
AR 88
DI 10.1186/1472-6920-13-88
PD JUN 20 2013
PY 2013
AB Background: There is growing interest in global health among medical
   trainees. Medical schools and residencies are responding to this trend
   by offering global health opportunities within their programs. Among
   United States (US) graduating pediatric residents, 40% choose to
   subspecialize after residency training. There is limited data, however,
   regarding global health opportunities within traditional post-residency,
   subspecialty fellowship training programs. The objectives of this study
   were to explore the availability and type of global health opportunities
   within Accreditation Council for Graduate Medical Education
   (ACGME)-accredited pediatric subspecialty fellowship training programs,
   as noted by their online report, and to document change in these
   opportunities over time.
   Methods: The authors performed a systematic online review of
   ACGME-accredited fellowship training programs within a convenience
   sample of six US pediatric subspecialties. Utilizing two data sources,
   the American Medical Association-Fellowship and Residency Electronic
   Interactive Database Access (AMA-FREIDA) and individual program
   websites, all programs were coded for global health opportunities and
   opportunity types were stratified into predefined categories.
   Comparisons were made between 2008 and 2011 using Fisher exact test. All
   analyses were conducted using SAS Software v. 9.3 (SAS Institute Inc.,
   Cary, NC).
   Results: Of the 355 and 360 programs reviewed in 2008 and 2011
   respectively, there was an increase in total number of programs listing
   global health opportunities on AMA-FREIDA (16% to 23%, p=0.02) and on
   individual program websites (8% to 16%, p=0.004). Nearly all
   subspecialties had an increased percentage of programs offering global
   health opportunities on both data sources; although only critical care
   experienced a significant increase (p=0.04, AMA-FREIDA). The types of
   opportunities differed across all subspecialties.
   Conclusions: Global health opportunities among ACGME-accredited
   pediatric subspecialty fellowship programs are limited, but increasing
   as noted by their online report. The availability and types of these
   opportunities differ by pediatric subspecialty.
ZB 6
ZS 0
Z8 0
ZR 0
ZA 0
TC 10
Z9 10
U1 0
U2 6
SN 1472-6920
UT WOS:000320874400001
PM 23787005
ER

PT J
AU Reeder, Anthony I
   Jopson, Janet A
   Gray, Andrew R
TI Vitamin D insufficiency and deficiency: New Zealand general
   practitioners' perceptions of risk factors and clinical management.
SO The New Zealand medical journal
VL 126
IS 1376
BP 49
EP 61
PD 2013 Jun 14
PY 2013
AB AIMS: To report perceptions regarding vitamin D sources; risk factors,
   prevention and management of vitamin D deficiency and insufficiency;
   supplement prescribing practices; patients' enquiries.
   METHODS: A NSW survey instrument was adapted and pre-tested for NZ
   conditions. Royal NZ College of General Practitioners online weekly
   newsletter recipients were provided an electronic survey link. The
   Medical Council emailed an invitation and online survey link to
   non-respondents. Hard copy questionnaires were posted to remaining
   non-respondents.
   RESULTS: 1089 GPs responded (32% participation). Several sources of
   information on vitamin D were identified. Sun exposure was considered
   the main vitamin D source in summer (85%), but in winter (47%)
   supplements (13%) and food sources were more commonly mentioned. Daily
   sunlight exposure at low UV times (79%) was identified as the main
   factor preventing deficiency, followed by high-dose supplements and
   fortified foods (54% each), winter sun-protection relaxation (48%),
   daily low-dose supplements (47%), daily sunlight exposure at peak UV
   times (35%) and relaxation of sun protection, year-round. Patient
   characteristics prompting alertness to vitamin D status included being
   housebound or institutionalised (96%), wearing concealing clothing
   (88%), past history of bone fractures (87%), age over 65 years (84%),
   poor nutrition (71%) and current bone disease (69%). Insufficiency and
   deficiency were managed primarily through high-dose supplementation and
   advice to receive more sunlight. Almost half (47%) had received patient
   requests for vitamin D testing, and 40% requests for prescribed vitamin
   D.
   CONCLUSIONS: Study results should help inform possible educational and
   other interventions to optimise vitamin D and sun-exposure advice.
RI Gray, Andrew Robert/L-9161-2015; Reeder, Anthony I/G-3989-2011
OI Gray, Andrew Robert/0000-0003-4299-2194; 
ZS 1
ZR 0
ZB 2
ZA 0
Z8 0
TC 4
Z9 5
U1 0
U2 3
EI 1175-8716
UT MEDLINE:23822961
PM 23822961
ER

PT J
AU Heinzow, Hauke S.
   Friederichs, Hendrik
   Lenz, Philipp
   Schmedt, Andre
   Becker, Jan C.
   Hengst, Karin
   Marschall, Bernhard
   Domagk, Dirk
TI Teaching ultrasound in a curricular course according to certified EFSUMB
   standards during undergraduate medical education: a prospective study
SO BMC MEDICAL EDUCATION
VL 13
AR 84
DI 10.1186/1472-6920-13-84
PD JUN 11 2013
PY 2013
AB Background: As a non-invasive and readily available diagnostic tool,
   ultrasound is one of the most important imaging techniques in medicine.
   Ultrasound is usually trained during residency preferable according to
   German Society of Ultrasound in Medicine (DEGUM) standards. Our
   curriculum calls for undergraduate training in ultrasound of medical
   students in their 4th year of undergraduate education. An explorative
   pilot study evaluated the acceptance of this teaching method, and
   compared it to other practical activities in medical education at
   Muenster University.
   Methods: 240 medical students in their 4th year of undergraduate medical
   education participated in the training and completed a pre- and
   post-questionnaire for self-assessment of technical knowledge,
   self-assurance of the procedure, and motivation in performing ultrasound
   using a Likert scale. Moreover, students were asked about their interest
   in pursuing a career in internal medicine. To compare this training to
   other educational activities a standardized online evaluation tool was
   used. A direct observation of procedural skills assessment (DOPS) for
   the first time applied on ultrasound aimed to independently assess the
   success of our teaching method.
   Results: There was a significant increase in technical knowledge and
   self-assurance (p < 0.001) of the students' self-assessments. The
   clinical relevance and self-motivation of the teaching were evaluated
   positively. The students' DOPS results demonstrated proficiency in the
   understanding of anatomic structures shown in ultrasonographic images,
   including terminology, machine settings, and transducer frequencies.
   Conclusions: Training ultrasound according to certified DEGUM standards
   was successful and should be offered in undergraduate medical education.
   The evaluation of the course affirmed the necessity, quality and
   clinical relevance of the course with a top ranking score of hands-on
   training courses within the educational activities of the Medical
   Faculty of Muenster.
RI Becker, Jan C/H-3934-2014; Friederichs, Hendrik/AAH-6696-2021
OI Friederichs, Hendrik/0000-0001-9671-5235
ZA 0
ZB 8
Z8 0
ZR 0
TC 62
ZS 3
Z9 61
U1 0
U2 29
EI 1472-6920
UT WOS:000320873800001
PM 23758796
ER

PT J
AU Pichlhoefer, Otto
   Toenies, Hans
   Spiegel, Wolfgang
   Wilhelm-Mitteraecker, Andree
   Maier, Manfred
TI Patient and preceptor attitudes towards teaching medical students in
   General Practice
SO BMC MEDICAL EDUCATION
VL 13
AR 83
DI 10.1186/1472-6920-13-83
PD JUN 7 2013
PY 2013
AB Background: Curricula in most western medical universities include
   teaching in the primary care setting as core elements. This affects
   GP-teachers, their patients and their interaction. Therefore, it was the
   aim of this study to assess the influence of the presence of medical
   students in the teaching practice on the attitudes of both GPs and
   patients.
   Methods: Seventy-four GP-preceptors were invited to answer an online
   survey. Patients attending consultations with a medical student present
   completed questionnaires either before the consultation (WR group) or
   immediately after consultation (AC group).
   Results: Fifty-nine preceptors completed the online survey. Physicians
   showed positive attitudes towards their activities as preceptors: 95%
   expressed a positive attitude predominantly towards being a role model
   and to represent the discipline and for 64% remuneration was not
   important. In 28 practices 508 questionnaires were completed by patients
   in the WR-group and 346 by the AC-group. Only 12% (WR) and 7.2% (AC) of
   patients expressed a preference for being seen by the doctor alone.
   While 16% of doctors rated that confidentiality of the doctor-patient
   relationship is compromised, only 4.1% (WR) and 1.7% (AC) of patients
   felt so.
   Conclusion: The motivation to be a preceptor is primarily driven by
   personal and professional values and not by economic incentives.
   Further, patients have even more positive attitudes than the preceptors
   towards the presence of students during their consultation. Reservations
   to teaching students in GP-practices are, therefore, unwarranted.
OI Pichlhofer, Otto/0000-0002-5294-6661
ZR 0
TC 12
ZB 0
Z8 0
ZS 2
ZA 0
Z9 14
U1 0
U2 17
SN 1472-6920
UT WOS:000320337400001
PM 23758778
ER

PT J
AU Patrao, Luis
   Zorro, Sara
   Silva, Jorge
   Castelo-Branco, Miguel
   Ribeiro, Joao
TI Flight Physiology Training Experiences and Perspectives: Survey of 117
   Pilots
SO AVIATION SPACE AND ENVIRONMENTAL MEDICINE
VL 84
IS 6
BP 620
EP 624
DI 10.3357/ASEM.3545.2013
PD JUN 2013
PY 2013
AB Introduction: Human factors and awareness of flight physiology play a
   crucial role in flight safety. Even so, international legislation is
   vague relative to training requirements in hypoxia and altitude
   physiology. Methods: Based on a previously developed survey, an adapted
   questionnaire was formulated and released online for Portuguese pilots.
   Specific questions regarding the need for pilot attention monitoring
   systems were added to the original survey. There were 117 pilots, 2 of
   whom were women, who completed the survey. Results: Most of the pilots
   had a light aviation license and flew in unpressurized cabins at a
   maximum ceiling of 10,000 ft (3048 m). The majority of the respondents
   never experienced hypoxic symptoms. In general, most of the individuals
   agreed with the importance of an introductory hypoxia course without
   altitude chamber training (ACT) for all pilot populations, and with a
   pilot monitoring system in order to increase flight safety. Discussion:
   Generally, most of the pilots felt that hypoxia education and training
   for unpressurized aircraft is not extensive enough. However, almost all
   the respondents were willing to use a flight physiology monitoring
   system in order to improve flight safety.
RI Patrao, Luis/A-2244-2013; Sousa, Miguel Castelo-branco/F-7869-2010; Castelo-Branco, Miguel/F-3866-2019; Silva, Jorge/; Zorro, Sara/
OI Patrao, Luis/0000-0002-1053-0318; Sousa, Miguel
   Castelo-branco/0000-0002-6191-5912; Castelo-Branco,
   Miguel/0000-0003-4364-6373; Silva, Jorge/0000-0003-2863-8068; Zorro,
   Sara/0000-0003-3929-8994
ZS 0
ZR 0
TC 4
Z8 1
ZB 0
ZA 0
Z9 5
U1 0
U2 11
SN 0095-6562
EI 1943-4448
UT WOS:000332996100010
PM 23745291
ER

PT J
AU Castillo, Renan C.
   Wegener, Stephen T.
   Newell, Mary Zadnik
   Carlini, Anthony R.
   Bradford, Anna N.
   Heins, Sara E.
   Wysocki, Elizabeth
   Pollak, Andrew N.
   Teter, Harry
   MacKenzie, Ellen J.
TI Improving outcomes at Level I trauma centers: An early evaluation of the
   trauma survivors network
SO JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
VL 74
IS 6
BP 1534
EP 1540
DI 10.1097/TA.0b013e3182921606
PD JUN 2013
PY 2013
AB BACKGROUND: The Trauma Survivors Network (TSN), a program developed to
   help patients and families manage the psychosocial impact of their
   injuries, combines information access, self-management training, peer
   support, and online social networking. The purpose of this study was to
   evaluate the effectiveness of the TSN in improving patient reported
   outcomes among orthopedic trauma patients at a Level I trauma center.
   METHODS: We prospectively enrolled 251 patients with either severe
   lower-extremity injuries or polytrauma in two cohorts: one group (n =
   125) before implementation of the TSN and one group (n = 126) after
   implementation. Participants were interviewed during their initial
   hospital stay and at 6 months. Outcomes evaluated at 6 months included
   depression, anxiety, self-efficacy, health status, and patient
   activation.
   RESULTS: Participation in the individual components of the TSN was low,
   ranging between 3% for the NextSteps self-management program and 27% for
   receipt of the Patient and Family Handbook. There were no statistically
   significant differences between treatment and control groups in
   self-efficacy, anxiety, health status, or activation. There were
   statistically significant differences in depression (24% of patients
   with probable depression in the TSN group vs. 40% in the control group,
   p = 0.02). However, the groups were not balanced with respect to sex,
   education, and baseline social support. After controlling for these
   differences, the TSN group still had 49% lower odds (95% confidence
   interval, 0% to 74%) of depression (p = 0.05).
   CONCLUSION: The TSN represents a potentially important step toward the
   development of comprehensive psychosocial support programs for trauma
   survivors. Despite improvements in one important outcome, a key finding
   of this evaluation is the low rate of use of program components. This
   finding highlights the need for greater understanding of use barriers
   and efforts to increase adoption. (Copyright (C) 2013 by Lippincott
   Williams & Wilkins)
RI Carlini, Anthony/AAN-1153-2020; Heins, Sara/
OI Carlini, Anthony/0000-0003-1419-4515; Heins, Sara/0000-0003-0196-9000
ZS 0
ZR 0
ZA 0
ZB 3
Z8 0
TC 38
Z9 38
U1 0
U2 16
SN 2163-0755
EI 2163-0763
UT WOS:000331739800023
PM 23694884
ER

PT J
AU Yi, Paul H.
   Ganta, Abhishek
   Hussein, Khalil I.
   Frank, Rachel M.
   Jawa, Andrew
TI Readability of Arthroscopy-Related Patient Education Materials From the
   American Academy of Orthopaedic Surgeons and Arthroscopy Association of
   North America Web Sites
SO ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
VL 29
IS 6
BP 1108
EP 1112
DI 10.1016/j.arthro.2013.03.003
PD JUN 2013
PY 2013
AB We sought to assess the readability levels of arthroscopy-related
   patient education materials available on the Web sites of the American
   Academy of Orthopaedic Surgeons (AAOS) and the Arthroscopy Association
   of North America (AANA). We identified all articles related to
   arthroscopy available in 2012 from the online patient education
   libraries of AAOS and AANA. After performing follow-up editing, we
   assessed each article with the Flesch-Kincaid (FK) readability test.
   Mean readability levels of the articles from the AAOS Web site and the
   AANA Web site were compared. We also determined the number of articles
   with readability levels at or below the eighth-grade level (the average
   reading ability of the US adult population) and sixth-grade level (the
   widely recommended level for patient education materials). Intraobserver
   reliability and interobserver reliability of FK grade assessment were
   evaluated. A total of 62 articles were reviewed (43 from AAOS and 19
   from AANA). The mean overall FK grade level was 10.2 (range, 5.2 to 12).
   The AAOS articles had a mean FK grade level of 9.6 (range, 5.2 to 12),
   whereas the AANA articles had a mean FK grade level of 11.4 (range, 8.7
   to 12); the difference was significant (P < .0001). Only 3 articles had
   a readability level at or below the eighth-grade level and only 1 was at
   or below the sixth-grade level; all were from AAOS. Intraobserver
   reliability and interobserver reliability were excellent (intraclass
   correlation coefficient of 1 for both). Online patient education
   materials related to arthroscopy from AAOS and AANA may be written at a
   level too difficult for a large portion of the patient population to
   comprehend.
OI Jawa, Andrew/0000-0002-1888-6183
ZA 0
Z8 0
ZS 0
ZB 5
ZR 0
TC 29
Z9 29
U1 0
U2 5
SN 0749-8063
EI 1526-3231
UT WOS:000320589600022
PM 23726111
ER

PT J
AU Duhon, Lucy
   Jameson, Jodi
TI Health information outreach: a survey of US academic libraries,
   highlighting a midwestern university's experience
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 30
IS 2
BP 121
EP 137
DI 10.1111/hir.12017
PD JUN 2013
PY 2013
AB Background and objectives As a result of their involvement in a campus
   health fair, the authors of this paper became interested in the extent
   to which other academic libraries were engaged in health information
   outreach (HIO). The authors present the results of a nationwide survey
   they conducted in 2010 and share a specific example of HIO at their own
   institution. Methods The authors conducted an online survey of
   approximately 1700 U.S. general academic and academic health science
   libraries with the objective to create a broad picture of HIO activity
   and its context within patron information-seeking behavior. Results The
   survey yielded a 21% response rate. Nearly 55% of all respondents
   indicated that their libraries did not participate in HIO, while 37%
   indicated that they did. Other responses yielded information on patron
   usage patterns concerning health information, specific types of HIO that
   libraries are involved in, and barriers to library involvement in HIO.
   Conclusions As libraries' traditional roles and information delivery
   methods evolve, librarians must do more to provide services that are
   relevant and accessible to users. Even as virtual services become more
   commonplace, librarians involved in HIO should consider also increasing
   their visibility by collaborating with others on campus.
RI Duhon, Lucy/C-3448-2013; Jameson, Jodi/M-6783-2017
OI Duhon, Lucy/0000-0002-1312-3208; Jameson, Jodi/0000-0002-6923-0344
Z8 0
ZR 0
TC 14
ZA 0
ZS 0
ZB 2
Z9 16
U1 0
U2 18
SN 1471-1834
EI 1471-1842
UT WOS:000319286900003
PM 23692453
ER

PT J
AU Ryan, David
   Barnett, Robert
   Cott, Cheryl
   Dalziel, William
   Gutmanis, Iris
   Jewell, David
   Kelley, Mary Lou
   Liu, Barbara
   Puxty, John
TI Geriatrics, Interprofessional Practice, and Interorganizational
   Collaboration: A Knowledge-to-Practice Intervention for Primary Care
   Teams
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 33
IS 3
BP 180
EP 189
DI 10.1002/chp.21183
PD JUN 2013
PY 2013
AB IntroductionCaring for frail seniors requires health professionals with
   skills and knowledge in 3 core competencies: geriatrics,
   interprofessional practice, and interorganizational collaboration.
   Despite a growing population of frail seniors in all developed
   countries, significant gaps exist in preparation of health professionals
   in these skills. To help close these gaps, a knowledge-to-practice (KTP)
   process was undertaken to increase the capacity of newly created family
   health teams and longer standing Community Health Centers in the
   Province of Ontario, Canada.
   MethodsEach team identified a staff member to become its facilitator in
   the 3 core skill sets. Guided by a KTP framework, a set of training
   modules were created, compiled into a digital toolkit for transfer into
   practice, translated in a multimethods workshop, and implemented using a
   variety of strategies to optimize practice change.
   ResultsStaff from 82% of the targeted primary care teams learned to use
   the toolkit in a train-the-facilitator process that was highly valued,
   and prompted a range of changes in personal and team practice. A digital
   toolkit for primary care teams remains an enduring and often used
   resource.
   DiscussionClosing the knowledge gap in the core competencies for frailty
   focused care is complex. A KTP framework helped guide a staged
   multimethod process that produced both individual and team practice
   change and on online toolkit that has a continuing influence.
ZA 0
TC 13
ZS 0
ZR 0
ZB 2
Z8 0
Z9 13
U1 1
U2 29
SN 0894-1912
EI 1554-558X
UT WOS:000325001000006
PM 24078366
ER

PT J
AU Gosdin, Craig
   Simmons, Jeffrey
   Yau, Connie
   Sucharew, Heidi
   Carlson, Douglas
   Paciorkowski, Natalia
TI Survey of academic pediatric hospitalist programs in the US:
   Organizational, administrative, and financial factors
SO JOURNAL OF HOSPITAL MEDICINE
VL 8
IS 6
BP 285
EP 291
DI 10.1002/jhm.2020
PD JUN 2013
PY 2013
AB BACKGROUND Many pediatric academic centers have hospital medicine
   programs. Anecdotal data suggest that variability exists in program
   structure. OBJECTIVE To provide a description of the organizational,
   administrative, and financial structures of academic pediatric hospital
   medicine (PHM). METHODS This online survey focused on the
   organizational, administrative, and financial aspects of academic PHM
   programs, which were defined as hospitalist programs at US institutions
   associated with accredited pediatric residency program (n=246) and
   identified using the Accreditation Council for Graduate Medical
   Education (ACGME) Fellowship and Residency Electronic Interactive
   Database. PHM directors and/or residency directors were targeted by both
   mail and the American Academy of Pediatrics Section on Hospital Medicine
   LISTSERV. RESULTS The overall response rate was 48.8% (120/246). 81.7%
   (98/120) of hospitals reported having an academic PHM program, and 9.1%
   (2/22) of hospitals without a program reported plans to start a program
   in the next 3 years. Over a quarter of programs provide coverage at
   multiple sites. Variability was identified in many program factors,
   including hospitalist workload and in-house coverage provided.
   Respondents reported planning increased in-house hospitalist coverage
   coinciding with the 2011 ACGME work-hour restrictions. Few programs
   reported having revenues greater than expenses (26% single site, 4%
   multiple site). CONCLUSIONS PHM programs exist in the majority of
   academic centers, and there appears to be variability in many program
   factors. This study provides the most comprehensive data on academic PHM
   programs and can be used for benchmarking as well as program
   development. Journal of Hospital Medicine 2013;8:285-291. (c) 2013
   Society of Hospital Medicine
RI Sucharew, Heidi/M-4338-2015
ZA 0
TC 7
ZB 1
ZR 0
ZS 0
Z8 0
Z9 7
U1 0
U2 6
SN 1553-5592
UT WOS:000320137100001
PM 23447445
ER

PT J
AU Liang, Bo
   Scammon, Debra L.
TI Incidence of Online Health Information Search: A Useful Proxy for Public
   Health Risk Perception
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 6
AR e114
DI 10.2196/jmir.2401
PD JUN 2013
PY 2013
AB Background: Internet users use search engines to look for information
   online, including health information. Researchers in medical informatics
   have found a high correlation of the occurrence of certain search
   queries and the incidence of certain diseases. Consumers' search for
   information about diseases is related to current health status with
   regard to a disease and to the social environments that shape the
   public's attitudes and behaviors.
   Objective: This study aimed to investigate the extent to which public
   health risk perception as demonstrated by online information searches
   related to a health risk can be explained by the incidence of the health
   risk and social components of a specific population's environment. Using
   an ecological perspective, we suggest that a population's general
   concern for a health risk is formed by the incidence of the risk and
   social (eg, media attention) factors related with the risk.
   Methods: We constructed a dataset that included state-level data from 32
   states on the incidence of the flu; a number of social factors, such as
   media attention to the flu; private resources, such as education and
   health insurance coverage; public resources, such as hospital beds and
   primary physicians; and utilization of these resources, including
   inpatient days and outpatient visits. We then explored whether online
   information searches about the flu (seasonal and pandemic flu) can be
   predicted using these variables. We used factor analysis to construct
   indexes for sets of social factors (private resources, public
   resources). We then applied panel data multiple regression analysis to
   exploit both time-series and cross-sectional variation in the data over
   a 7-year period.
   Results: Overall, the results provide evidence that the main effects of
   independent variables-the incidence of the flu (P<.001); social factors,
   including media attention (P<.001); private resources, including life
   quality (P<.001) and health lifestyles (P=.009); and public resources,
   such as hospital care utilization (P=.008) and public health funds
   (P=.02)-have significant effects on Web searches for queries related to
   the flu. After controlling for the number of reported disease cases and
   Internet access rate by state, we estimate the contribution of social
   factors to the public health risk perception levels by state
   (R-2=23.37%). The interaction effects between flu incidence and social
   factors for our search terms did not add to the explanatory power of our
   regression models (R-2<1%).
   Conclusions: Our study suggests a practical way to measure the public's
   health risk perception for certain diseases using online information
   search volume by state. The social environment influences public risk
   perception regardless of disease incidence. Thus, monitoring the social
   variables can be very helpful in being ready to respond to the public's
   behavior in dealing with public health threats.
OI Scammon, Debra/0000-0002-8212-3076
ZB 3
TC 20
ZS 0
Z8 0
ZA 0
ZR 0
Z9 20
U1 0
U2 38
SN 1438-8871
UT WOS:000321961500016
PM 23773974
ER

PT J
AU Fabricant, Peter D.
   Dy, Christopher J.
   Patel, Ronak M.
   Blanco, John S.
   Doyle, Shevaun M.
TI Internet Search Term Affects the Quality and Accuracy of Online
   Information About Developmental Hip Dysplasia
SO JOURNAL OF PEDIATRIC ORTHOPAEDICS
VL 33
IS 4
BP 361
EP 365
DI 10.1097/BPO.0b013e31827d0dd2
PD JUN 2013
PY 2013
AB Background: The recent emphasis on shared decision-making has increased
   the role of the Internet as a readily accessible medical reference
   source for patients and families. However, the lack of professional
   review creates concern over the quality, accuracy, and readability of
   medical information available to patients on the Internet.
   Methods: Three Internet search engines (Google, Yahoo, and Bing) were
   evaluated prospectively using 3 difference search terms of varying
   sophistication ("congenital hip dislocation," "developmental dysplasia
   of the hip," and "hip dysplasia in children"). Sixty-three unique Web
   sites were evaluated by each of 3 surgeons (2 fellowship-trained
   pediatric orthopaedic attendings and 1 orthopaedic chief resident) for
   quality and accuracy using a set of scoring criteria based on the
   AAOS/POSNA patient education Web site. The readability (literacy grade
   level) of each Web site was assessed using the Fleisch-Kincaid score.
   Results: There were significant differences noted in quality, accuracy,
   and readability of information depending on the search term used. The
   search term "developmental dysplasia of the hip" provided higher quality
   and accuracy compared with the search term "congenital hip dislocation."
   Of the 63 total Web sites, 1 (1.6%) was below the sixth grade reading
   level recommended by the NIH for health education materials and 8
   (12.7%) Web sites were below the average American reading level (eighth
   grade).
   Conclusions: The quality and accuracy of information available on the
   Internet regarding developmental hip dysplasia significantly varied with
   the search term used. Patients seeking information about DDH on the
   Internet may not understand the materials found because nearly all of
   the Web sites are written at a level above that recommended for
   publically distributed health information.
   Clinical Relevance: Physicians should advise their patients to search
   for information using the term "developmental dysplasia of the hip" or,
   better yet, should refer patients to Web sites that they have personally
   reviewed for content and clarity. Orthopaedic surgeons, professional
   societies, and search engines should undertake efforts to ensure that
   patients have access to information about DDH that is both accurate and
   easily understandable.
OI Fabricant, Peter/0000-0002-8070-685X
Z8 0
ZR 0
ZB 4
ZA 0
ZS 0
TC 33
Z9 33
U1 0
U2 8
SN 0271-6798
EI 1539-2570
UT WOS:000319044800006
PM 23653022
ER

PT J
AU Bateman, James
   Allen, Maggie
   Samani, Dipti
   Kidd, Jane
   Davies, David
TI Virtual patient design: exploring what works and why. A grounded theory
   study
SO MEDICAL EDUCATION
VL 47
IS 6
BP 595
EP 606
DI 10.1111/medu.12151
PD JUN 2013
PY 2013
AB Objectives Virtual patients (VPs) are online representations of clinical
   cases used in medical education. Widely adopted, they are well placed to
   teach clinical reasoning skills. International technology standards mean
   VPs can be created, shared and repurposed between institutions. A
   systematic review has highlighted the lack of evidence to support which
   of the numerous VP designs may be effective, and why. We set out to
   research the influence of VP design on medical undergraduates. Methods
   This is a grounded theory study into the influence of VP design on
   undergraduate medical students. Following a review of the literature and
   publicly available VP cases, we identified important design properties.
   We integrated them into two substantial VPs produced for this research.
   Using purposeful iterative sampling, 46 medical undergraduates were
   recruited to participate in six focus groups. Participants completed
   both VPs, an evaluation and a 1-hour focus group discussion. These were
   digitally recorded, transcribed and analysed using grounded theory,
   supported by computer-assisted analysis. Following open, axial and
   selective coding, we produced a theoretical model describing how
   students learn from VPs. Results We identified a central core phenomenon
   designated learning from the VP'. This had four categories: VP
   Construction; External Preconditions; StudentVP Interaction, and
   Consequences. From these, we constructed a three-layer model describing
   the interactions of students with VPs. The inner layer consists of the
   student's cognitive and behavioural preconditions prior to sitting a
   case. The middle layer considers the VP as an encoded object', an
   e-learning artefact and as a constructed activity', with associated
   pedagogic and organisational elements. The outer layer describes
   cognitive and behavioural change. Conclusions This is the first grounded
   theory study to explore VP design. This original research has produced a
   model which enhances understanding of how and why the delivery and
   design of VPs influence learning. The model may be of practical use to
   authors, institutions and researchers.
RI Davies, David/A-1534-2014; Bateman, James/; Allen, Maggie/
OI Davies, David/0000-0002-7573-2762; Bateman, James/0000-0003-1952-2821;
   Allen, Maggie/0000-0003-4658-338X
ZA 0
ZB 0
Z8 0
ZR 3
TC 37
ZS 1
Z9 39
U1 1
U2 42
SN 0308-0110
EI 1365-2923
UT WOS:000318803400011
PM 23662877
ER

PT J
AU Walter, Garry
   Soh, Nerissa Li-Wey
   Jaconelli, Sanna Norgren
   Lampe, Lisa
   Malhi, Gin S.
   Hunt, Glenn
TI Medical students' subjective ratings of stress levels and awareness of
   student support services about mental health
SO POSTGRADUATE MEDICAL JOURNAL
VL 89
IS 1052
BP 311
EP 315
DI 10.1136/postgradmedj-2012-131343
PD JUN 2013
PY 2013
AB Purpose To descriptively assess medical students' concerns for their
   mental and emotional state, perceived need to conceal mental problems,
   perceived level of support at university, knowledge and use of student
   support services, and experience of stresses of daily life.
   Study design From March to September 2011, medical students at an
   Australian university were invited to complete an anonymous online
   survey.
   Results 475 responses were received. Students rated study and
   examinations (48.9%), financial concerns (38.1%), isolation (19.4%) and
   relationship concerns (19.2%) as very or extremely stressful issues.
   Knowledge of available support services was high, with 90.8% indicating
   they were aware of the university's medical centre. Treatment rates were
   modest (31.7%). Students' concerns about their mental state were
   generally low, but one in five strongly felt they needed to conceal
   their emotional problems.
   Conclusions Despite widespread awareness of appropriate support
   services, a large proportion of students felt they needed to conceal
   mental and emotional problems. Overall treatment rates for students who
   were greatly concerned about their mental and emotional state appeared
   modest, and, although comparable with those of similarly aged community
   populations, may reflect undertreatment. It would be appropriate for
   universities to address stressors identified by students. Strategies for
   encouraging distressed students to obtain appropriate assessment and
   treatment should also be explored. Those students who do seek healthcare
   are most likely to see a primary care physician, suggesting an important
   screening role for these health professionals.
RI Lampe, Lisa Anne/H-6078-2019; Hunt, Glenn/G-5934-2012; Malhi, Gin/Z-2418-2019; Hunt, glenn/; Malhi, Gin/
OI Lampe, Lisa Anne/0000-0001-5540-8810; Hunt, glenn/0000-0002-8088-9406;
   Malhi, Gin/0000-0002-4524-9091
ZR 0
ZB 0
Z8 0
TC 11
ZA 0
ZS 0
Z9 11
U1 0
U2 36
SN 0032-5473
EI 1469-0756
UT WOS:000319209300002
PM 23468555
ER

PT J
AU Arbour-Nicitopoulos, K. P.
   Ginis, K. A. Martin
   Latimer-Cheung, A. E.
   Bourne, C.
   Campbell, D.
   Cappe, S.
   Ginis, S.
   Hicks, A. L.
   Pomerleau, P.
   Smith, K.
TI Development of an evidence-informed leisure time physical activity
   resource for adults with spinal cord injury: the SCI Get Fit Toolkit
SO SPINAL CORD
VL 51
IS 6
BP 491
EP 500
DI 10.1038/sc.2013.7
PD JUN 2013
PY 2013
AB Objectives: To systematically develop an evidence-informed leisure time
   physical activity (LTPA) resource for adults with spinal cord injury
   (SCI).
   Setting: Canada.
   Methods: The Appraisal of Guidelines, Research and Evaluation (AGREE) II
   protocol was used to develop a toolkit to teach and encourage adults
   with SCI how to make smart and informed choices about being physically
   active. A multidisciplinary expert panel appraised the evidence and
   generated specific recommendations for the content of the toolkit. Pilot
   testing was conducted to refine the toolkit's presentation.
   Results: Recommendations emanating from the consultation process were
   that the toolkit be a brief, evidence-based resource that contains
   images of adults with tetraplegia and paraplegia, and links to more
   detailed online information. The content of the toolkit should include
   the physical activity guidelines (PAGs) for adults with SCI, activities
   tailored to manual and power chair users, the benefits of LTPA, and
   strategies to overcome common LTPA barriers for adults with SCI. The
   inclusion of action plans and safety tips was also recommended.
   Conclusion: These recommendations have resulted in the development of an
   evidence-informed LTPA resource to assist adults with SCI in meeting the
   PAGs. This toolkit will have important implications for consumers,
   health care professionals and policy makers for encouraging LTPA in the
   SCI community.
RI Arbour-Nicitopoulos, Kelly/AEY-9487-2022; Hicks, Audrey/AAF-7199-2021; Arbour, Kelly/AER-8296-2022; Latimer, Amy/; MARTIN GINIS, KATHLEEN/
OI Arbour-Nicitopoulos, Kelly/0000-0003-1011-3669; Latimer,
   Amy/0000-0002-0442-6848; MARTIN GINIS, KATHLEEN/0000-0002-7076-3594
ZS 0
ZB 5
ZA 0
ZR 0
TC 18
Z8 0
Z9 18
U1 0
U2 11
SN 1362-4393
EI 1476-5624
UT WOS:000320224100013
PM 23608809
ER

PT J
AU Buchs, Nicolas C.
   Pugin, Francois
   Volonte, Francesco
   Hagen, Monika E.
   Morel, Philippe
TI Impact of robotic general surgery course on participants' surgical
   practice
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 27
IS 6
BP 1968
EP 1972
DI 10.1007/s00464-012-2695-4
PD JUN 2013
PY 2013
AB Courses, including lectures, live surgery, and hands-on session, are
   part of the recommended curriculum for robotic surgery. However, for
   general surgery, this approach is poorly reported. The study purpose was
   to evaluate the impact of robotic general surgery course on the practice
   of participants.
   Between 2007 and 2011, 101 participants attended the Geneva
   International Robotic Surgery Course, held at the University Hospital of
   Geneva, Switzerland. This 2-day course included theory lectures, dry
   lab, live surgery, and hands-on session on cadavers. After a mean of
   30.1 months (range, 2-48), a retrospective review of the participants'
   surgical practice was performed using online research and surveys.
   Among the 101 participants, there was a majority of general (58.4 %) and
   colorectal surgeons (10.9 %). Other specialties included urologists (7.9
   %), gynecologists (6.9 %), pediatric surgeons (2 %), surgical
   oncologists (1 %), engineers (6.9 %), and others (5.9 %). Data were
   fully recorded in 99 % of cases; 46 % of participants started to perform
   robotic procedures after the course, whereas only 6.9 % were already
   familiar with the system before the course. In addition, 53 % of the
   attendees worked at an institution where a robotic system was already
   available. All (100 %) of participants who started a robotic program
   after the course had an available robotic system at their institution.
   A course that includes lectures, live surgery, and hands-on session with
   cadavers is an effective educational method for spreading robotic
   skills. However, this is especially true for participants whose
   institution already has a robotic system available.
OI Buchs, Nicolas/0000-0001-9255-3929
Z8 0
ZA 0
ZR 0
ZS 0
TC 3
ZB 0
Z9 3
U1 0
U2 3
SN 0930-2794
EI 1432-2218
UT WOS:000319361900016
PM 23292560
ER

PT J
AU McCauley, Jenna L.
   Back, Sudie E.
   Brady, Kathleen T.
TI Pilot of a brief, web-based educational intervention targeting safe
   storage and disposal of prescription opioids
SO ADDICTIVE BEHAVIORS
VL 38
IS 6
BP 2230
EP 2235
DI 10.1016/j.addbeh.2013.01.019
PD JUN 2013
PY 2013
AB Prescription opioid misuse has been declared an American epidemic and a
   significant proportion of misused opioids are diverted from legitimate
   prescriptions. Patient education,regarding appropriate use and the
   dangers of misuse has been identified as a key intervention target. The
   current study presents findings from the open pilot of a
   patient-tailored, brief, web-based intervention designed to improve
   knowledge of safe medication use, storage and disposal.
   Methods: Subjects were 62 treatment-seeking outpatients at two diverse
   outpatient health clinics (dental and pain management) who were
   prescribed an opioid medication. Subjects completed an online assessment
   of risk factors for prescription opioid misuse and the 15-minute Script
   Safety intervention. Knowledge and misuse behaviors were assessed at
   baseline, immediately post intervention (knowledge only) and at one-week
   and one-month follow up. Knowledge regarding safe prescription opioid
   use, storage and disposal improved significantly from pre to post
   intervention and was sustained at follow up (% correct from baseline to
   one-month follow up: unsafe to retain unused pills, 66.1% vs. 96.5%;
   unsafe to borrow pills from family/friends, 87.1% vs. 98.2%; best to
   store pills in cool, dry, secure location, 45.2% vs. 89.5%; not
   recommended to use expired medications, 75.8% vs. 96.5%; not recommended
   to flush all medications down the toilet, 45.2% vs. 82.5%, ps<.01).
   Reductions in self-reported misuse behaviors were also observed.
   Although preliminary, the findings highlight the potential utility of
   integrating brief, web-based educational interventions in community and
   primary health care settings. Published by Elsevier Ltd.
OI Brady, Kathleen/0000-0002-3944-8051
Z8 0
ZS 0
ZB 17
TC 66
ZA 0
ZR 0
Z9 66
U1 1
U2 20
SN 0306-4603
EI 1873-6327
UT WOS:000318325600005
PM 23501140
ER

PT J
AU Schuijers, Johannes A.
   McDonald, Stuart J.
   Julien, Brianna L.
   Lexis, Louise A.
   Thomas, Colleen J.
   Chan, Siew
   Samiric, T.
TI The effectiveness of separating theory and practicum as a conduit to
   learning physiology
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 37
IS 2
BP 153
EP 156
DI 10.1152/advan.00161.2012
PD JUN 2013
PY 2013
AB Many conventional science courses contain subjects embedded with
   laboratory-based activities. However, research on the benefits of
   positioning the practicals within the theory subject or developing them
   distinctly from the theory is largely absent. This report compared
   results in a physiology theory subject among three different cohorts of
   students: those taking the theory subject alone, those taking it
   concurrent with a physiology practicum subject, and those who previously
   took the subject when it had practicums embedded within the one subject.
   The path model shows that students taking both physiology theory and
   physiology practicum attained a significantly higher result in online
   tests compared with those who took the theory subject alone (P < 0.05)
   and that this translated to a significantly higher result in the
   end-of-semester examination. Similarly, students taking both physiology
   theory and the physiology practicum attained a significantly higher
   end-examination result compared with those who took the physiology
   subject in previous years when the practicums were embedded within the
   theory subject (P < 0.05). In both cases, this increase was largely
   attained in components that tested critical thinking and deep learning
   (short theory application questions and extended written questions). We
   conclude that students undertaking both physiology theory and the
   physiology practicum most likely performed better in the theory subject
   due to better problem-solving skills and a more developed understanding
   of theoretical content. We suggest that consideration be given in all
   science curricula to the separation of theory and practicum by
   developing two subjects with clearly defined different learning
   outcomes.
OI McDonald, Stuart/0000-0001-5190-3179
ZB 0
Z8 0
TC 6
ZS 0
ZR 0
ZA 0
Z9 6
U1 0
U2 15
SN 1043-4046
EI 1522-1229
UT WOS:000319805100004
PM 23728132
ER

PT J
AU Marden, Nicole Y.
   Ulman, Lesley G.
   Wilson, Fiona S.
   Velan, Gary M.
TI Online feedback assessments in physiology: effects on students' learning
   experiences and outcomes
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 37
IS 2
BP 192
EP 200
DI 10.1152/advan.00092.2012
PD JUN 2013
PY 2013
AB Online formative assessments have become increasingly popular; however,
   formal evidence supporting their educational benefits is limited. This
   study investigated the impact of online feedback quizzes on the learning
   experiences and outcomes of undergraduate students enrolled in an
   introductory physiology course. Four quiz models were tested, which
   differed in the amount of credit available, the number of attempts
   permitted, and whether the quizzes were invigilated or unsupervised,
   timed or un-timed, or open or closed book. All quizzes were composed of
   multiple-choice questions and provided immediate individualized
   feedback. Summative end-of-course examination marks were analyzed with
   respect to performance in quizzes and were also compared with
   examination performance in the year before the quizzes were introduced.
   Online surveys were conducted to gather students' perceptions regarding
   the quizzes. The vast majority of students perceived online quizzes as a
   valuable learning tool. For all quiz models tested, there was a
   significant relationship between performance in quizzes and
   end-of-course examination scores. Importantly, students who performed
   poorly in quizzes were more likely to fail the examination, suggesting
   that formative online quizzes may be a useful tool to identify students
   in need of assistance. Of the four quiz models, only one quiz model was
   associated with a significant increase in mean examination performance.
   This model had the strongest formative focus, allowing multiple
   unsupervised and untimed attempts. This study suggests that the format
   of online formative assessments is critical in achieving the desired
   impact on student learning. Specifically, such assessments are most
   effective when they are low stakes.
OI Velan, Gary/0000-0002-4535-6663
ZS 1
ZR 0
ZB 2
TC 31
Z8 1
ZA 0
Z9 31
U1 3
U2 32
SN 1043-4046
EI 1522-1229
UT WOS:000319805100009
PM 23728137
ER

PT J
AU Wong, Maria M.
   Rowland, Sarah E.
TI Self-Determination and Substance Use: Is Effortful Control a Mediator?
SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
VL 37
IS 6
BP 1040
EP 1047
DI 10.1111/acer.12062
PD JUN 2013
PY 2013
AB Background Alcohol and other drug use among college students are highly
   common in the United States. This study examined the relationships
   between 2 motivational orientations (i.e., autonomy and controlled
   orientations) and substance use and related problems among college
   students. It also examined whether effortful control mediated the
   relationship between these motivational orientations and substance use.
   Methods Study participants were 644 undergraduate students (67.2%
   female; 87.2% Caucasian) who completed a series of online questionnaires
   as a part of a larger longitudinal study on sleep and substance use. The
   mean age of participants was 23.58 (SD=6.861). Results Students with a
   higher autonomy orientation were more likely than their counterparts to
   report that they did not drink in the last 6months. In contrast,
   students with a higher controlled orientation were less likely to report
   that they did not drink. Among those who drank in the last 6months,
   effortful control significantly mediated the effects of autonomy
   orientation and controlled orientation on frequency of alcohol use
   within that time frame. Autonomy orientation positively predicted
   effortful control, which was associated with a decrease in the expected
   frequency of drinking. In contrast, controlled orientation negatively
   predicted effortful control, which was associated with an increase in
   the expected frequency of drinking. Controlled orientation also
   significantly predicted the presence of alcohol-related problems and
   illicit drug use. Conclusions Intervention and prevention programs on
   college drinking could incorporate education about strategies for
   self-control, including strategies for withstanding peer pressure and
   diverting one's attention to activities unrelated to substance use.
   Focusing on strategies of self-control may be a useful starting point
   for a more in-depth discussion about the motivations, values, and
   psychological needs satisfaction that are associated with drinking and
   other drug use.
TC 11
ZR 0
Z8 0
ZB 2
ZA 0
ZS 0
Z9 11
U1 0
U2 10
SN 0145-6008
EI 1530-0277
UT WOS:000319513700019
PM 23421347
ER

PT J
AU Russo, Paul
   Szczech, Lynda A.
   Torres, Gail S.
   Swartz, Marilyn D.
TI Patient and Caregiver Knowledge and Utilization of Partial Versus
   Radical Nephrectomy: Results of a National Kidney Foundation Survey to
   Assess Educational Needs of Kidney Cancer Patients and Caregivers
SO AMERICAN JOURNAL OF KIDNEY DISEASES
VL 61
IS 6
BP 939
EP 946
DI 10.1053/j.ajkd.2013.01.028
PD JUN 2013
PY 2013
AB Background: In response to requests from patients, caregivers, and
   physicians for information on kidney cancer, the National Kidney
   Foundation (NKF) conducted a survey to assess the educational needs of
   the kidney cancer community. Key areas of assessment were patient and
   caregiver knowledge of risk factors for chronic kidney disease (CKD),
   including kidney cancer and nephrectomy, and of kidney-sparing surgical
   options.
   Study Design: Survey to assess educational needs of patients with kidney
   cancer and caregivers.
   Setting & Participants: Respondents were invited through physician
   referrals and online sources and included 365 adult patients with kidney
   cancer and 52 caregivers.
   Predictor: Age, geographic region, and cancer stages 1-2 versus 3-4.
   Outcomes & Measurements: Survey responses were descriptively analyzed,
   with data compared and weighted to the population age and geographic
   characteristics of the general kidney cancer population.
   Results: 83% of 181 early-stage patients, 92% of 123 late-stage
   patients, and 86% of 113 patients who did not know their stage received
   radical nephrectomy. Although 62% agreed that radical nephrectomy for
   cancer treatment is a risk factor for CKD, only 40% agreed that losing
   part or all of 1 kidney from injury or a disease other than cancer is a
   risk factor for CKD. 56% agreed that kidney cancer can be related to
   CKD.
   Limitations: We did not have patient medical records to validate
   responses and we do not know the number of people who were invited to
   take the survey but declined.
   Conclusions: There is a lack of patient awareness that kidney cancer and
   radical nephrectomy are risk factors for CKD. Only a minority of
   patients underwent partial nephrectomy or were given it as an option for
   their early-stage kidney cancer. This suggests a knowledge deficit among
   physicians, surgeons, patients, and caregivers alike that there is a
   bidirectional relationship between kidney cancer and CKD and that
   kidney-sparing surgery is preferable when feasible. (c) 2013 by the
   National Kidney Foundation, Inc.
ZA 0
Z8 0
ZB 2
TC 6
ZS 0
ZR 0
Z9 6
U1 0
U2 7
SN 0272-6386
EI 1523-6838
UT WOS:000318999200015
PM 23523238
ER

PT J
AU Gauchotte, Guillaume
   Ameisen, David
   Boutonnat, Jean
   Battistella, Maxime
   Copie, Christiane
   Garcia, Stephane
   Rigau, Valerie
   Galateau-Salle, Francoise
   Terris, Benoit
   Vergier, Beatrice
   Wendum, Dominique
   Bertheau, Philippe
CA Coll Pathologistes
TI The inter-university learning website: A national university network for
   online teaching of pathology
SO ANNALES DE PATHOLOGIE
VL 33
IS 3
BP 162
EP 168
DI 10.1016/j.annpat.2013.04.004
PD JUN 2013
PY 2013
AB Building online teaching materials is a highly time and energy consuming
   task for teachers of a single university. With the help of the College
   des pathologistes, we initiated a French national university network for
   building mutualized online teaching pathology cases, tests and other
   pedagogic resources. Nineteen French universities are associated to this
   project, initially funded by UNF3S (http://www.unf3s.org/). One national
   e-learning Moodle platform
   (http://virtual-slides.univ-paris7.fr/moodle/) contains texts, medias
   and URL pointing toward decentralized virtual slides. The Moodle
   interface has been explained to the teachers since september 2011 using
   web-based conferences with screen-sharing. The following contents have
   been created: 20 clinical cases, several tests with multiple choices and
   short answer questions, and gross examination videos. A survey with 16
   teachers and students showed a 94% satisfaction rate, most of the 16
   participants being favorable to the development of e-learning, in
   parallel with other courses in classroom. These tools will be further
   developed for the different study levels of pathology. In conclusion,
   these tools offer very interesting perspectives for pathology teaching.
   The organization of a national inter-university network is a useful way
   to create and share numerous and good-quality pedagogic resources. (C)
   2013 Elsevier Masson SAS. All rights reserved.
RI jean, Boutonnat/M-7078-2014; Salle, Francoise BJ Galateau/J-1530-2015; Battistella, Maxime/K-2949-2012; Terris, Benoit/P-1497-2017; Ameisen, David/; galateau salle, francoise/
OI Salle, Francoise BJ Galateau/0000-0003-3642-0165; Battistella,
   Maxime/0000-0002-7053-7431; Ameisen, David/0000-0001-9232-208X; galateau
   salle, francoise/0000-0002-2814-1644
ZS 0
ZB 0
TC 3
Z8 0
ZA 0
ZR 0
Z9 3
U1 0
U2 22
SN 0242-6498
UT WOS:000321686600004
PM 23790654
ER

PT J
AU Gyorki, David E.
   Shaw, Tim
   Nicholson, James
   Baker, Caroline
   Pitcher, Meron
   Skandarajah, Anita
   Segelov, Eva
   Mann, G. Bruce
TI Improving the impact of didactic resident training with online spaced
   education
SO ANZ JOURNAL OF SURGERY
VL 83
IS 6
SI SI
BP 477
EP 480
DI 10.1111/ans.12166
PD JUN 2013
PY 2013
AB Background Educational programmes are frequently developed to improve
   the knowledge of medical trainees. The impact of a programme may be
   limited if there is no follow-up to reinforce the message. Online Spaced
   Education (SE) has been developed to address this limitation. This study
   was performed to assess whether an SE programme would improve the impact
   of a didactic seminar. Method A randomized trial of an online SE
   programme occurred as part of the 2010 Clinical Oncology Society of
   Australia Breast Cancer Trainee Workshop. Consenting participants were
   randomized to undertake SE or not and were then invited to undertake a
   22-question knowledge test. A questionnaire was administered relating to
   the perceived value of the SE programme. Participants consisted largely
   of surgical and medical oncology trainees. Results Two hundred people
   attended the workshop and 97 consented to randomization. Thirty-eight of
   49 randomized to the SE group commenced the SE course. Seventy-one
   percent of participants answered each question at least once and 55% of
   participants completed the entire programme. Fifty-nine participants
   completed the post-test. The SE participants performed significantly
   better than the control group (P < 0.05). The questionnaire was
   completed by 26 of the SE group. Ninety-two percent strongly agreed or
   agreed that SE would improve their practice and 96% agreed that SE
   effectively reinforced key aspects of workshop. Conclusion This study
   demonstrates the utility of SE to increase knowledge retention following
   a face-to-face workshop. The programme was very well received by the
   participants and may be an appropriate reinforcing methodology for other
   similar seminars.
RI Segelov, Eva/Q-7611-2019; Skandarajah, Anita/; Mann, Bruce/; Baker, Caroline/
OI Segelov, Eva/0000-0002-4410-6144; Skandarajah,
   Anita/0000-0001-7702-4850; Mann, Bruce/0000-0002-2508-9203; Baker,
   Caroline/0000-0002-3327-7271
Z8 0
ZA 0
ZS 0
ZR 0
TC 16
ZB 1
Z9 16
U1 0
U2 7
SN 1445-1433
EI 1445-2197
UT WOS:000319986000019
PM 23617607
ER

PT J
AU Shaikh, Faisal M.
   Babar, Mahwash
   Cross, K. Simon
TI Mini-Med School: promoting awareness of medicine as a career for
   suburban and rural high-school students
SO ANZ JOURNAL OF SURGERY
VL 83
IS 6
SI SI
BP 481
EP 486
DI 10.1111/j.1445-2197.2012.06288.x
PD JUN 2013
PY 2013
AB Background There is a global shortage of medical manpower. One approach
   to resolve such deficiencies is to effectively promote health careers to
   high-school students. Summer programmes held by medical faculties
   provide ideal opportunities for pre-medical students to examine the
   possible career opportunities in medicine. Methods The Royal College of
   Surgeons in Ireland has recently launched a Mini-Medical School' (MMS)
   programme for suburban and rural high-school students in the South
   Eastern Region of Ireland. This paper illustrates the MMS project and
   describes the participants' reaction and evaluation of the programme and
   the factors influencing their desire to practise medicine in future.
   Results A total of 90 students completed the online survey (response
   rate 75%). Eighty-two per cent of the students indicated definitive and
   strong desire to study medicine after secondary school. There was no
   difference in interest between male and female students (P-value 0.665).
   The main factors influencing this interest were personal. Forty-four per
   cent of participants attributed this to the opportunity to help others
   while 30% to the intellectual challenge, whereas family, friends and
   other factors accounted for the rest of influential factors to study
   medicine. The majority agreed (60%) that the programme was quite
   accessible and easy to have a place. Opinions about the content of the
   programme focussed mainly on the interactive sessions. Forty-seven per
   cent liked the live patient-doctor interaction session the most, and 43%
   found the live video session very informative. Conclusion The MMS is a
   highly effective platform for both the medical specialties and the
   high-school students.
ZS 0
TC 12
ZR 0
ZB 3
Z8 0
ZA 0
Z9 12
U1 0
U2 4
SN 1445-1433
UT WOS:000319986000020
PM 23107576
ER

PT J
AU Ehdaivand, Shahrzad
   Chapin, Kimberle C.
   Andrea, Sarah
   Gnepp, Douglas R.
TI Are biosafety practices in anatomical laboratories sufficient? A survey
   of practices and review of current guidelines
SO HUMAN PATHOLOGY
VL 44
IS 6
BP 951
EP 958
DI 10.1016/j.humpath.2012.09.018
PD JUN 2013
PY 2013
AB Biosafety practices in anatomical pathology laboratories are crucial to
   prevent unnecessary exposures to both chemical and biological agents.
   Regulatory and guidance agencies have general regulations and
   recommendations regarding anatomical pathology laboratory biosafety
   practices. This study aimed to determine if professionals' perceptions
   and actual practice mirror these guidelines. Current available
   regulations and recommendations for biosafety practices in anatomical
   pathology laboratories were reviewed and used to construct a brief,
   validated online survey distributed to anatomical pathology
   professionals. The survey was completed by 39 survey participants in
   pathology departments from diverse institutions. An average of 44% of
   respondents reported receiving inadequate biosafety training. At survey
   initiation, 61.5% of respondents felt that the risks of chemical and
   infectious disease exposures had been clearly explained to them;
   however, by completion of the survey, only 21% believed risks to be
   clearly explained. Respondents use a variety of personal protective
   equipment, yet only 60% would have been classified as meeting
   recommendations. Most respondents reported having a needle stick or cut
   (56.3%) or formalin exposure by splash or prolonged direct skin contact
   (62.5%). The survey indicated that there is a dire need for improved
   training in anatomical pathology biosafety as daily practices do not
   reflect current guidelines. In addition, improved training on exposure
   risks, including needle-stick injuries, personal protective equipment,
   and chemical hazards, is needed. Finally, the success of this training
   should be monitored locally as regulatory agency requirements do not
   seem to alter daily practice. (C) 2013 Elsevier Inc. All rights
   reserved.
TC 1
Z8 2
ZA 0
ZB 1
ZR 0
ZS 0
Z9 3
U1 2
U2 10
SN 0046-8177
UT WOS:000319711600002
PM 23317543
ER

PT J
AU Burk, Dorothy T.
   Lee, Lisa M. J.
   Lambert, H. Wayne
TI Embryology and Histology Education in North American Dental Schools: The
   Basic Science Survey Series
SO JOURNAL OF DENTAL EDUCATION
VL 77
IS 6
BP 744
EP 756
PD JUN 2013
PY 2013
AB As part of the Basic Science Survey Series (BSSS) for Dentistry, members
   of the American Dental Education Association (ADEA) Anatomical Sciences
   Section surveyed faculty members teaching embryology and histology
   courses at North American dental schools. The survey was designed to
   assess, among other things, curriculum content, utilization of
   laboratories, use of computer-assisted instruction (CAI), and recent
   curricular changes. Responses were received from fifty-nine (88.1
   percent) of the sixty-seven U.S. and Canadian dental schools. Findings
   suggest the following: 1) a trend toward combining courses is evident,
   though the integration was predominantly discipline-based; 2) embryology
   is rarely taught as a stand-alone course, as content is often covered in
   gross anatomy, oral histology, and/or in an integrated curriculum; 3)
   the number of contact hours in histology is decreasing; 4) a trend
   toward reduction in formal laboratory sessions, particularly in
   embryology, is ongoing; and 5) use of CAI tools, including virtual
   microscopy, in both embryology and histology has increased.
   Additionally, embryology and histology content topic emphasis is
   identified within this study. Data, derived from this study, may be
   useful to new instructors, curriculum and test construction committees,
   and colleagues in the anatomical sciences, especially when determining a
   foundational knowledge base.
OI Lambert, H. Wayne/0000-0002-0202-6779
TC 13
ZA 0
ZB 0
ZS 1
ZR 0
Z8 0
Z9 13
U1 0
U2 11
SN 0022-0337
EI 1930-7837
UT WOS:000320221300010
PM 23740911
ER

PT J
AU Romero, Phoebe C. M.
   Kinney, Megan A.
   Taylor, Sarah L.
   Levender, Michelle M.
   David, Lisa R.
   Goldman, Neal D.
   Khanna, Vishal C.
   Williford, Phillip M.
   Feldman, Steven R.
TI Nonmelanoma skin cancer treatment training varies across different
   medical specialists
SO JOURNAL OF DERMATOLOGICAL TREATMENT
VL 24
IS 3
BP 215
EP 220
DI 10.3109/09546634.2012.671916
PD JUN 2013
PY 2013
AB Background: Physicians from various specialties treat patients with
   nonmelanoma skin cancer (NMSC). The isolation of specialties from each
   other may result in different approaches to skin cancer training.
   Purpose: Our purpose was to determine the type and amount of NMSC
   surgical training that is received during dermatology, general surgery,
   internal medicine, otolaryngology, and plastic surgery residencies.
   Methods: E-mail contact information for residency program directors of
   all accredited programs in each specialty was compiled through the
   American Medical Association's online residency database. A total of 920
   residency program directors were emailed surveys concerning the training
   of residents in the treatment of NMSC. Results: Forty-two of 920 surveys
   were returned. All surveyed specialty groups, except internal medicine,
   had training in NMSC treatment including simple excision, split
   thickness skin grafts, and tissue rearrangement. A majority of the
   dermatology and plastic surgery programs instruct their residents in
   Mohs micrographic surgery and full thickness skin grafts.
   Electrodessication and curettage was most often instructed in
   dermatology, general surgery, and plastic surgery programs. Conclusion:
   Greater consistency in NMSC treatment training may be beneficial.
   Because different approaches may be best suited to particular clinical
   situations, NMSC treatment training should include adequate exposure to
   all NMSC treatment techniques.
RI Feldman, Steven R./AAH-6971-2021
OI Feldman, Steven R./0000-0002-0090-6289
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 1
SN 0954-6634
UT WOS:000318359100009
PM 22385124
ER

PT J
AU Deuchert, Eva
   Kauer, Lukas
   Zannol, Flurina Meisen
TI Would You Train Me with My Mental Illness? Evidence from a Discrete
   Choice Experiment
SO JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS
VL 16
IS 2
BP 67
EP 80
PD JUN 2013
PY 2013
AB Background: Mental illness is the prime reason for the inflow into
   disability insurance in many countries. The integration of persons with
   a disability into the regular labor market is costly and in the case of
   mentally ill persons, particularly difficult. Supported Education and
   Employment - a rehabilitation method that directly places patients in a
   realistic work environment - has been shown to be effective in
   increasing competitive employment. However, it has not yet been widely
   implemented.
   Aims of the Study: We evaluate ex-ante the willingness to participate in
   Supported Education and Employment and the barriers to do so from the
   employer's perspective.
   Methods: We conducted a discrete choice experiment implemented in an
   online survey. The survey was carried out among all Swiss companies
   which provide standard dual-track vocational education and training for
   commercial occupations in Eastern Switzerland. We presented respondents
   (employees who are responsible for vocational training and/or for the
   selection of applicants) with a sample of five hypothetical profiles.
   These profiles vary along different medical diagnoses, different illness
   related (dys-)functions, and other characteristics that may be
   associated with a company's willingness to accept the candidate (such as
   school performance, motivation, and illness related absences).
   Respondents were asked whether or not they would train this person.
   Results: 22% of the profiles are accepted. However, our results
   demonstrate that the hypothetical bias - which is the difference between
   individual saying what they would do in a hypothetical setting and what
   they will do when they have the opportunity - is severe. Correcting for
   this bias using follow-up scales ("Are you sure?") reduces the overall
   acceptance in our sample to 9%. Keeping in mind the response rate to our
   survey of 35%, overall acceptance may be as low as 3%. Non-cognitive
   dysfunctions (e.g. non-adherence to regulations, difficulties with
   contacts with others) that are related to mental disorders, are the main
   deterrents. Patients with psychotic disorders are particularly
   disadvantaged.
   Implications for Health Policy: Although there are no direct costs to
   the employer, a wide introduction of Supported Vocational Education and
   Training is likely to fail at the current stage with the unwillingness
   of companies to train people with special needs. There may be additional
   incentives needed, for example in form of subsidies or legal
   requirements. Even though our experiment has been tailored to the Swiss
   system, our results may also be relevant in other countries with similar
   dual-track education systems.
OI Kauer, Lukas/0000-0003-1754-6942
ZR 0
Z8 0
ZB 1
ZS 0
TC 6
ZA 0
Z9 6
U1 0
U2 27
SN 1091-4358
UT WOS:000321080200003
PM 23999204
ER

PT J
AU Fink, Regina M.
   Oman, Kathleen S.
   Youngwerth, Jeanie
   Bryant, Lucinda L.
TI A Palliative Care Needs Assessment of Rural Hospitals
SO JOURNAL OF PALLIATIVE MEDICINE
VL 16
IS 6
BP 638
EP 644
DI 10.1089/jpm.2012.0574
PD JUN 2013
PY 2013
AB Background: Palliative care services are lacking in rural hospitals.
   Implementing palliative care services in rural and remote areas requires
   knowledge of available resources, specific barriers, and a commitment
   from the hospital and community.
   Objective: The purpose of the study was to determine awareness,
   knowledge, barriers, and resources regarding palliative care services in
   rural hospitals.
   Methods: A descriptive survey design used an investigator-developed
   needs assessment to survey 374 (40% response rate) health care providers
   (chief executive officers, chiefs of medical staff, chief nursing
   officers, and social worker directors) at 236 rural hospitals (<100
   beds) in seven Rocky Mountain states.
   Results: Significant barriers to integrating palliative care exist: lack
   of administrative support, mentorship, and access to palliative care
   resources; inadequate basic knowledge about palliative care strategies;
   and limited training/skills in palliative care. Having contractual
   relationships with local hospices is a key facilitator. Respondents
   (56%) want to learn more about palliative care, specifically focusing on
   pain management, communication techniques, and end-of-life care issues.
   Webinar and online courses were suggested as strategies to promote long
   distance learning.
   Conclusions: It is imperative for quality of care that rural hospitals
   have practitioners who are up to date on current evidence and practice
   within a palliative care framework. Unique challenges exist to
   implementing palliative care services in rural hospitals. Opportunities
   for informing rural areas focus around utilizing existing hospice
   resources and relationships, and favoring Web-based classes and online
   courses. The development of a multifaceted intervention to facilitate
   education about palliative care and cultivate palliative care services
   in rural settings is indicated.
Z8 0
ZR 0
ZS 0
TC 24
ZB 1
ZA 0
Z9 24
U1 0
U2 19
SN 1096-6218
EI 1557-7740
UT WOS:000319736900012
PM 23607812
ER

PT J
AU Al-Hadithy, Nada
   Ghosh, Sudip
TI Smartphones and the plastic surgeon
SO JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
VL 66
IS 6
BP E155
EP E161
DI 10.1016/j.bjps.2013.02.014
PD JUN 2013
PY 2013
AB Surgical trainees are facing limited training opportunities since the
   introduction of the European Working Time Directive. Smartphone sales
   are increasing and have usurped computer sales for the first time. In
   this context, smartphones are an important portable reference and
   educational tool, already in the possession of the majority of surgeons
   in training. Technology in the palm of our hands has led to a revolution
   of accessible information for the plastic surgery trainee and surgeon.
   This article reviews the uses of smartphones and applications for
   plastic surgeons in education, telemedicine and global health. A
   comprehensive guide to existing and upcoming learning materials and
   clinical tools for the plastic surgeon is included. E-books, podcasts,
   educational videos, guidelines, work-based assessment tools and online
   logbooks are presented.
   In the limited resource setting of modern clinical practice, savvy
   plastic surgeons can select technological tools to democratise access to
   education and best clinical care. (C) 2013 British Association of
   Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier
   Ltd. All rights reserved.
ZR 0
ZS 1
ZB 1
Z8 2
TC 31
ZA 0
Z9 34
U1 2
U2 25
SN 1748-6815
UT WOS:000319114200001
PM 23523169
ER

PT J
AU Simborg, Donald W.
   Detmer, Don Eugene
   Berner, Eta S.
TI The wave has finally broken: now what?
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 20
IS E1
BP E21
EP E25
DI 10.1136/amiajnl-2012-001508
PD JUN 2013
PY 2013
AB In 2005, the authors published a paper, 'Will the wave finally break? A
   brief view of the adoption of electronic medical records in the United
   States', which predicted that rapid adoption of electronic health
   records (EHR) would occur in the next 5 years given appropriate
   incentives. The wave has finally broken with the stimulus of the health
   information technology for economic and clinical health legislation in
   2009, and there have been both positive and negative developments in the
   ensuing years. The positive developments, among others described, are
   increased adoption of EHR, the emergence of a national network
   infrastructure and the recognition of clinical informatics as a medical
   specialty. Problems that still exist include, among others described,
   continued user interface problems, distrust of EHR-generated notes and
   an increased potential for fraud and abuse. It is anticipated that in
   the next 5 years there will be near universal EHR adoption, greater
   emphasis on standards and interoperability, greater involvement of
   Congress in health information technology (IT), breakthroughs in user
   interfaces, compelling online medical and IT education, both increased
   use of data analytics for personalized healthcare and a realization of
   the difficulties of this approach, a blurring of the distinction between
   EHR and telemedicine, a resurgence of computer-assisted diagnosis and
   the emergence of a 'continuously learning' healthcare system.
OI Berner, Eta/0000-0003-4319-2949
ZR 0
ZA 0
ZS 0
TC 17
ZB 2
Z8 0
Z9 17
U1 0
U2 36
SN 1067-5027
EI 1527-974X
UT WOS:000319192100006
PM 23538723
ER

PT J
AU Rock, Thomas A.
   Xiao, Rui
   Fieldston, Evan
TI General Pediatric Attending Physicians' and Residents' Knowledge of
   Inpatient Hospital Finances
SO PEDIATRICS
VL 131
IS 6
BP 1072
EP 1080
DI 10.1542/peds.2012-1753
PD JUN 2013
PY 2013
AB BACKGROUND AND OBJECTIVE: There is evidence suggesting that physicians
   have a limited foundation of knowledge on health care finances and
   limited awareness of hospital costs and charges. The objective was to
   analyze general pediatric attending physicians' and residents' knowledge
   of costs, charges, and reimbursements for care rendered in the inpatient
   setting.
   METHODS: An online survey was administered to all general pediatric
   attending physicians who work on the inpatient service and the entire
   pediatric residency program at The Children's Hospital of Philadelphia
   (CHOP) in spring of 2011. Participants' estimates of costs, charges, and
   reimbursements for several common tests, medications, and services were
   obtained and analyzed.
   RESULTS: A total of 38 attending physicians and 100 residents
   participated in the study (84% and 76% response rates, respectively).
   The majority of both attending physicians (71%) and residents (75%)
   characterized their understanding as "Minimally knowledgeable" or
   "Completely unaware". Only 15% of attending physicians' estimates and
   11% of residents' estimates were within 625% of true values across all
   surveyed costs, charges, and reimbursements. Percent error did not vary
   by level of experience or self-reported knowledge for attending
   physicians and residents.
   CONCLUSIONS: Attending physicians and residents demonstrated limited
   knowledge of costs, charges, and reimbursements as shown by a low
   accuracy of estimates and a high percent error, compared with the actual
   values. To meet expectations for competency in systems-based practice
   and to be effective stewards of medical resources, it appears that
   pediatricians need further financial education.
ZS 0
ZB 5
ZR 0
Z8 0
ZA 0
TC 25
Z9 25
U1 0
U2 3
SN 0031-4005
UT WOS:000322840200050
PM 23713110
ER

PT J
AU Fox, Susannah
TI After Dr Google: Peer-to-Peer Health Care
SO PEDIATRICS
VL 131
BP S224
EP S225
DI 10.1542/peds.2012-3786K
SU 4
PD JUN 2013
PY 2013
AB Although the majority of US adults has Internet access and gathers
   health information online, the Internet does not replace clinicians.
   People rate health professionals as their top source for technical
   questions such as diagnosis and treatment, but nonprofessionals (eg,
   friends and family) are rated higher for emotional support and quick
   remedies. For their most recent health issue, 21% of adults say they
   turned to others who have the same health condition; evidence of
   people's interest in connecting with and learning from each other.
   People living with chronic diseases (and their caregivers) are
   especially likely to say they look online for peer advice. They are
   pioneering new ways of pursuing health by banding together and sharing
   knowledge; so-called peer-to-peer health care. Practical tips from
   fellow patients and caregivers can have far-reaching implications for
   clinical outcomes. As a parent of a chronically ill child observed: "We
   all work collaboratively, but I notice that my doctor doesn't. After
   I've talked with my community online, I go back to him and ask, 'What do
   your colleagues say about this issue?' And it's clear it didn't occur to
   him to ask them." Clinicians might do well to look into online patient
   communities and consider recommending them as resources for their
   patients. Clinicians might look at patient networks as a model for their
   own collaborative learning process as well. Linking the expertise of
   patients, families, and clinicians holds promise for further improving
   care and outcomes.
Z8 0
TC 38
ZR 0
ZB 5
ZA 0
ZS 0
Z9 38
U1 3
U2 11
SN 0031-4005
UT WOS:000321674900008
PM 23729765
ER

PT J
AU Drazic, Yvonne Nelly
   Caltabiano, Marie Louise
TI Chronic hepatitis B and C: Exploring perceived stigma, disease
   information, and health-related quality of life
SO NURSING & HEALTH SCIENCES
VL 15
IS 2
BP 172
EP 178
DI 10.1111/nhs.12009
PD JUN 2013
PY 2013
AB Research indicates that chronic hepatitis C affects people's quality of
   life, but such reports are scarce about hepatitis B. This Australian
   study explored whether perceived stigma and satisfaction with received
   information and care were related to health-related quality of life in
   people with chronic hepatitis B or C. A questionnaire was constructed
   comprising demographic questions and existing scales to measure the
   variables. The 77 participants were recruited through various online
   channels. The median age was 48years, 74% had hepatitis C, 60% were
   female, and 73% were Caucasian. Participants with Hepatitis B reported
   substantially less perceived stigma than those with Hepatitis C, but
   there was no significant difference between the two groups in
   health-related quality of life. Participants with Hepatitis C reported
   higher satisfaction with received information. The results highlight
   specific aspects to consider in the care of people with chronic
   hepatitis. For example, people with hepatitis B do not seem to enjoy
   better health-related quality of life despite lower perceived
   stigmatization. Therefore, these patients may require other improvements
   in service delivery such as the provision of more culturally appropriate
   information and education about chronic hepatitis B.
RI Caltabiano, Marie/M-7208-2015
OI Caltabiano, Marie/0000-0003-2597-3143
ZS 0
TC 17
ZB 5
Z8 0
ZR 0
ZA 0
Z9 17
U1 0
U2 15
SN 1441-0745
EI 1442-2018
UT WOS:000319879100006
PM 23171324
ER

PT J
AU Tan, Kieng
   Dawdy, Krista
   Di Prospero, Lisa
TI Understanding Radiation Therapists' Perceptions and Approach to Clinical
   Competence Assessment of Medical Radiation Sciences Students.
SO Journal of medical imaging and radiation sciences
VL 44
IS 2
BP 100
EP 105
DI 10.1016/j.jmir.2012.10.002
PD 2013-Jun
PY 2013
AB BACKGROUND: Within the academic clinical setting, radiation therapists
   are required to assess students' performance and competence as part of
   their clinical practice portfolio. Anecdotal feedback from the clinical
   setting identified challenges in assessment that emerged as a result of
   variation in who, how, and the context in which the assessment was being
   completed. A survey was distributed to gain insight into the current
   state of clinical competency assessment.
   METHODOLOGY: Radiation therapists (n = 75) from two affiliated clinical
   sites within an undergraduate program were surveyed. The online survey
   consisted of open and closed questions. The survey was divided into
   three principal themes on the assessment of clinical competence: (1) who
   completes the assessment, (2) how clinical competence is assessed, and
   (3) what measures are utilized in the assessment. The survey also
   captured the clinical experience and formal training in education and
   assessment of respondents.
   RESULTS: All respondents were aware that clinical teaching was part of
   their portfolio, but only 45 (60.0%) enjoyed teaching students, 41
   (55.4%) rated themselves as very comfortable assessing competence, and
   69 (93.2%) were aware of documentation and support on how to evaluate.
   All collaborate with team members and slightly less with the clinical
   educators. Sixty-four (86.5%) defined successful competence as
   sustainability over a defined period of time, measuring both clinical
   knowledge and application.
   CONCLUSIONS: Processes surrounding the assessment of clinical competence
   are congruent among all clinical teachers, supporting their reliability.
   Enhanced collaboration with clinical educators in both support and
   training will increase the validity of clinical assessment. In addition,
   to minimize variability in clinical assessment, the focus should be
   placed on training the assessors and not controlling the assessment
   process.
OI Tan, Kieng/0000-0002-6671-1062
ZB 0
TC 2
ZS 0
ZA 0
ZR 0
Z8 0
Z9 2
U1 1
U2 1
EI 1876-7982
UT MEDLINE:31051931
PM 31051931
ER

PT J
AU Rohwer, Anke
   Young, Taryn
   van Schalkwyk, Susan
TI Effective or just practical? An evaluation of an online postgraduate
   module on evidence-based medicine (EBM)
SO BMC MEDICAL EDUCATION
VL 13
AR 77
DI 10.1186/1472-6920-13-77
PD MAY 27 2013
PY 2013
AB Background: Teaching the steps of evidence-based medicine (EBM) to
   undergraduate as well as postgraduate health care professionals is
   crucial for implementation of effective, beneficial health care
   practices and abandonment of ineffective, harmful ones. Stellenbosch
   University in Cape Town, South Africa, offers a 12-week, completely
   online module on EBM within the Family Medicine division, to medical
   specialists in their first year of training. The aim of this study was
   to formatively evaluate this module; assessing both the mode of
   delivery; as well as the perceived effectiveness and usefulness thereof.
   Methods: We used mixed methods to evaluate this module: A document
   review to assess whether the content of the module reflects important
   EBM competencies; a survey of the students to determine their
   experiences of the module; and semi-structured interviews with the
   tutors to explore their perspectives of the module. Ethics approval was
   obtained.
   Results: The document review indicated that EBM competencies were
   covered adequately, although critical appraisal only focused on
   randomised controlled trials and guidelines. Students had a positive
   attitude towards the module, but felt that they needed more support from
   the tutors. Tutors felt that students engaged actively in discussions,
   but experienced difficulties with understanding certain concepts of EBM.
   Furthermore, they felt that it was challenging explaining these via the
   online learning platform and saw the need to incorporate more advanced
   technology to better connect with the students. In their view the key to
   successful learning of EBM was to keep it relevant and applicable to
   everyday practice. Tutors also felt that an online module on EBM was
   advantageous, since doctors from all over the world were able to
   participate.
   Conclusion: Our study has shown that the online module on EBM was
   effective in increasing EBM knowledge and skills of postgraduate
   students and was well received by both students and tutors. Students and
   tutors experienced generic challenges that accompany any educational
   intervention of EBM (e. g. understanding difficult concepts), but in
   addition had to deal with challenges unique to the online learning
   environment. Teachers of EBM should acknowledge these so as to enhance
   and successfully implement EBM teaching and learning for all students.
RI van Schalkwyk, Susan/AAA-2841-2021; van Schalkwyk, Susan/ABD-2638-2020; Young, Taryn/
OI van Schalkwyk, Susan/0000-0003-1596-6791; Young,
   Taryn/0000-0003-2406-081X
TC 24
ZB 5
ZS 0
ZR 0
ZA 0
Z8 0
Z9 24
U1 0
U2 21
SN 1472-6920
UT WOS:000320043900001
PM 23710548
ER

PT J
AU Wijdenes, Miranda
   Henneman, Lidewij
   Qureshi, Nadeem
   Kostense, Piet J.
   Cornel, Martina C.
   Timmermans, Danielle R. M.
TI Using web-based familial risk information for diabetes prevention: a
   randomized controlled trial
SO BMC PUBLIC HEALTH
VL 13
AR 485
DI 10.1186/1471-2458-13-485
PD MAY 17 2013
PY 2013
AB Background: It has been suggested that family history information may be
   effective in motivating people to adopt health promoting behaviour. The
   aim was to determine if diabetic familial risk information by using a
   web-based tool leads to improved self-reported risk-reducing behaviour
   among individuals with a diabetic family history, without causing false
   reassurance among those without a family history.
   Methods: An online sample of 1,174 healthy adults aged 35-65 years with
   a BMI >= 25 was randomized into two groups receiving an online diabetes
   risk assessment. Both arms received general tailored diabetes prevention
   information, whilst the intervention arm also received familial risk
   information after completing a detailed family history questionnaire.
   Separate analysis was performed for four groups (family history group:
   286 control versus 288 intervention group; no family history: 269
   control versus 266 intervention group). Primary outcomes were
   self-reported behavioural outcomes: fat intake, physical activity, and
   attitudes towards diabetes testing. Secondary outcomes were illness and
   risk perceptions.
   Results: For individuals at familial risk there was no overall
   intervention effect on risk-reducing behaviour after three months,
   except for a decrease in self-reported saturated fat intake among
   low-educated individuals (Beta (b) -1.01, 95% CI -2.01 to 0.00).
   Familial risk information resulted in a decrease of diabetes risk
   worries (b -0.21, -0.40 to -0.03). For individuals without family
   history no effect was found on risk-reducing behaviour and perceived
   risk. A detailed family history assessment resulted in a greater
   percentage of individuals reporting a familial risk for diabetes
   compared to a simple enquiry.
   Conclusions: Web-based familial risk information reduced worry related
   to diabetes risk and decreased saturated fat intake of those at greatest
   need of preventative care. However, the intervention was not effective
   for the total study population on improving risk-reducing behaviour. The
   emphasis on familial risk does not seem to result in false reassurance
   among individuals without family history. Additionally, a detailed
   family history questionnaire identifies more individuals at familial
   risk than a simple enquiry.
RI Cornel, Martina/AAE-8955-2020; Henneman, Lidewij/; Cornel, Martina/; Qureshi, Nadeem/
OI Henneman, Lidewij/0000-0003-3531-0597; Cornel,
   Martina/0000-0002-5397-5544; Qureshi, Nadeem/0000-0003-4909-0644
TC 9
ZB 3
ZR 0
ZA 0
ZS 0
Z8 0
Z9 9
U1 0
U2 13
EI 1471-2458
UT WOS:000321776700001
PM 23683372
ER

PT J
AU Burr, Steven A.
   Brodier, Elizabeth
   Wilkinson, Simon
TI Delivery and use of individualised feedback in large class medical
   teaching
SO BMC MEDICAL EDUCATION
VL 13
AR 63
DI 10.1186/1472-6920-13-63
PD MAY 3 2013
PY 2013
AB Background: Formative feedback that encourages self-directed learning in
   large class medical teaching is difficult to deliver. This study
   describes a new method, blueprinted feedback, and explores learner's
   responses to assess its appropriate use within medical science teaching.
   Methods: Mapping summative assessment items to their relevant learning
   objectives creates a blueprint which can be used on completion of the
   assessment to automatically create a list of objectives ranked by the
   attainment of the individual student. Two surveys targeted medical
   students in years 1, 2 and 3. The behaviour-based survey was released
   online several times, with 215 and 22 responses from year 2, and 187,
   180 and 21 responses from year 3. The attitude-based survey was
   interviewer-administered and released once, with 22 responses from year
   2 and 3, and 20 responses from year 1.
   Results: 88-96% of learners viewed the blueprinted feedback report,
   whilst 39% used the learning objectives to guide further learning.
   Females were significantly more likely to revisit learning objectives
   than males (p = 0.012). The most common reason for not continuing
   learning was a hurdle mentality' of focusing learning elsewhere once a
   module had been assessed.
   Conclusions: Blueprinted feedback contains the key characteristics
   required for effective feedback so that with further education and
   support concerning its use, it could become a highly useful tool for the
   individual and teacher.
OI Burr, Steven/0000-0002-0222-605X; Brodier, Elizabeth/0000-0001-7650-967X
ZA 0
TC 9
ZB 0
ZS 1
Z8 0
ZR 0
Z9 9
U1 0
U2 18
SN 1472-6920
UT WOS:000321445000001
PM 23642040
ER

PT J
AU Young, Sean D.
   Szekeres, Greg
   Coates, Thomas
TI The Relationship between Online Social Networking and Sexual Risk
   Behaviors among Men Who Have Sex with Men (MSM)
SO PLOS ONE
VL 8
IS 5
AR e62271
DI 10.1371/journal.pone.0062271
PD MAY 1 2013
PY 2013
AB Online social networking usage is growing rapidly, especially among
   at-risk populations, such as men who have sex with men (MSM). However,
   little research has studied the relationship between online social
   networking usage and sexual risk behaviors among at-risk populations.
   One hundred and eighteen Facebook-registered MSM (60.1% Latino, 28%
   African American; 11.9% other) were recruited from online (social
   networking websites and banner advertisements) and offline (local
   clinics, restaurants and organizations) venues frequented by minority
   MSM. Inclusion criteria required participants to be men who were 18
   years of age or older, had had sex with a man in the past 12 months,
   were living in Los Angeles, and had a Facebook account. Participants
   completed an online survey on their social media usage and sexual risk
   behaviors. Results from a multivariable regression suggest that number
   of sexual partners met from online social networking technologies is
   associated with increased: 1) likelihood of having exchanged sex for
   food, drugs, or a place to stay within the past 3 months; 2) number of
   new partners within the past 3 months; 3) number of male sex partners
   within the past 3 months; and 4) frequency of engaging in oral sex
   within the past 3 months, controlling for age, race, education, and
   total number of sexual partners. Understanding the relationship between
   social media sex-seeking and sexual risk behaviors among at-risk
   populations will help inform population-focused HIV prevention and
   treatment interventions.
OI Young, Sean D./0000-0001-6052-4875
ZA 0
TC 56
ZR 0
ZS 0
Z8 1
ZB 10
Z9 57
U1 0
U2 29
SN 1932-6203
UT WOS:000319167000035
PM 23658716
ER

PT J
AU Manikam, Logan
   Blackwell, Nicholas
   Banerjee, Jaydip
   Nightingale, Peter
   Lakhanpaul, Monica
TI Improving assessment of paediatric acute breathing difficulties in
   medical education: a cluster randomized controlled trial
SO ACTA PAEDIATRICA
VL 102
IS 5
BP e205
EP e209
DI 10.1111/apa.12187
PD MAY 2013
PY 2013
AB Aim Impact assessment of an adjunct to standard teaching on knowledge
   gain and self-assessed confidence for students undertaking their
   paediatric attachment and evaluation of an acute breathing difficulties
   (ABDs) learning package. Methods Pragmatic cluster randomized controlled
   trial involving 248 UK medical undergraduates within six paediatric
   clinical rotations. Intervention groups received an online ABD learning
   package consisting of symptom-based decision-making pathways underpinned
   by a ratified ABD evidence-based guideline. Control groups received an
   online dummy package. Outcome measures were a pre- and post-intervention
   multiple choice question assessment and confidence questionnaire
   utilising 5-point Likert scales. Results Significant knowledge gain in
   the intervention group (mean 6.84, 95% CI 5.56-8.12) versus no such
   difference in the control group, significant improvement in
   self-assessed confidence in intervention group versus no such difference
   in control group and significant confidence differences in ABD-specific
   statements were noted. In the satisfaction questionnaire, the learning
   content was noted to be new to only 16% participants. Conclusion
   Supplementation of standard teaching with an interactive delivery method
   resulted in cognitive gain and self-assessed confidence improvement in
   interaction with children with ABDs. This indicates that a well-designed
   tool can help prepare students for direct interaction with sick children
   as a junior clinician. Trial Registration: ISRCTN27499282.
OI Manikam, Logan/0000-0001-5288-3325; Lakhanpaul,
   Monica/0000-0002-9855-2043
ZS 0
ZR 0
TC 2
ZB 0
Z8 0
ZA 0
Z9 2
U1 0
U2 3
SN 0803-5253
EI 1651-2227
UT WOS:000317361400006
PM 23398452
ER

PT J
AU Pierides, Kristen
   Duggan, Paul
   Chur-Hansen, Anna
   Gilson, Amaya
TI Medical student self-reported confidence in obstetrics and gynaecology:
   development of a core clinical competencies document
SO BMC MEDICAL EDUCATION
VL 13
AR 62
DI 10.1186/1472-6920-13-62
PD MAY 1 2013
PY 2013
AB Background: Clinical competencies in obstetrics and gynaecology have not
   been clearly defined for Australian medical students, the growing
   numbers of which may impact clinical teaching. Our aim was to administer
   and validate a competencies list, for self-evaluation by medical
   students of their confidence to manage common clinical tasks in
   obstetrics and gynaecology; to evaluate students' views on course
   changes that may result from increasing class sizes.
   Methods: A draft list of competencies was peer-reviewed, and discussed
   at two student focus groups. The resultant list was administered as part
   of an 81 item online survey.
   Results: Sixty-eight percent (N = 172) of those eligible completed the
   survey. Most respondents (75.8%) agreed or strongly agreed that they
   felt confident and well equipped to recognise and manage most common and
   important obstetric and gynaecological conditions. Confidence was
   greater for women, and for those who received a higher assessment grade.
   Free-text data highlight reasons for lack of clinical experience that
   may impact perceived confidence.
   Conclusions: The document listing competencies for medical students and
   educators is useful for discussions around a national curriculum in
   obstetrics and gynaecology in medical schools, including the best
   methods of delivery, particularly in the context of increasing student
   numbers.
RI Chur-Hansen, Anna/H-9947-2019
OI Chur-Hansen, Anna/0000-0002-2935-2689
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
TC 7
Z9 7
U1 2
U2 7
EI 1472-6920
UT WOS:000318863000001
PM 23634953
ER

PT J
AU Tomky, Donna
TI Diabetes Education: Looking Through the Kaleidoscope
SO CLINICAL THERAPEUTICS
VL 35
IS 5
BP 734
EP 739
DI 10.1016/j.clinthera.2013.02.028
PD MAY 2013
PY 2013
AB Background: Diabetes self-management education (DSME) is a critical
   element of care for all people with diabetes and those at risk for
   developing diabetes. In spite of growing evidence of the value of DSME
   in reducing hospitalization costs, improvement in glucose, weight and
   medication adherence, DSME remains an underutilized insurance benefit
   and access to qualified diabetes educators is problematic.
   Purpose: This paper reviews the current challenges, principles and
   evidence of DSME, importance of integration of diabetes education with
   clinical care, and the future of diabetes educators and education in the
   emerging health care delivery models.
   Data sources: Scientific literature review, Pub Med, EBP websites and
   other online literature databases and resources.
   Limitations: This is not a systematic literature review or meta-analysis
   of diabetes education.
   Conclusion: Because diabetes is a complex condition reaching pandemic
   proportions, which requires self-management of the chronic disease on a
   daily basis, the future of DSME faces challenges in the current fee for
   service environment. The National Standards for Diabetes self-management
   education and support and the American Association of Diabetes Educators
   Practice Guidelines offers new concepts for meeting the future demand of
   diabetes educators and education. (C) 2013 Elsevier HS Journals, Inc.
   All rights reserved.
Z8 4
ZR 0
ZS 3
TC 4
ZA 0
ZB 0
Z9 11
U1 1
U2 10
SN 0149-2918
EI 1879-114X
UT WOS:000319637500022
PM 23688538
ER

PT J
AU Bailey, S.
   Bullock, A.
   Cowpe, J.
   Barnes, E.
   Thomas, H.
   Thomas, R.
   Kavadella, A.
   Kossioni, A.
   Karaharju-Suvanto, T.
   Suomalainen, K.
   Kersten, H.
   Povel, E.
   Giles, M.
   Walmsley, A. D.
   Soboleva, U.
   Liepa, A.
   Akota, I.
TI Core continuing professional development (CPD) topics for the European
   dentist
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 17
SI SI
BP 23
EP 28
DI 10.1111/eje.12047
SU 1
PD MAY 2013
PY 2013
AB Introduction In the context of free movement, EU-citizens need assurance
   that dental practitioners providing their care have a degree/license to
   practice that meets EU-standards and that they maintain their knowledge
   and skills through ongoing education. Aim One aim of the DentCPD'
   project (HYPERLINK http://www.dentcpd.org' www.dentcpd.org) was to
   identify and agree essential CPD requirements for EU dentists. This
   paper reports the consensus process and outcomes. Methods Agreement on
   core components of CPD was achieved through a three stage process: an
   online survey of dental educators' (n=143) views on compulsory topics; a
   paper-based questionnaire to practitioners (n=411); leading to a
   proposal discussed at the Association for Dental Education (ADEE) 2011
   Lifelong Learning special interest group (SIG). Results From the online
   survey and practitioner questionnaire, high levels of agreement were
   achieved for medical emergencies (89%), infection control (79%) and the
   medically compromised patient (71%). The SIG (34 attendees from 16
   countries) concluded that these three CPD topics plus radiation
   protection should be core-compulsory and three CPD topics should be
   core-recommended (health and safety, pain management, and safeguarding
   children & vulnerable adults). They also agreed that the teaching of all
   topics should be underpinned by evidence-based dentistry. Conclusion
   Building four core topics into CPD requirements and making
   quality-approved education and training available will ensure that all
   dentists have up-to-date knowledge and skills in topic areas of direct
   relevance to patient safety. In turn, this will contribute to patients
   having access to comparably high standards of oral health care across
   Europe.
RI Kossioni, Anastassia E/AAA-3193-2020; Soboleva, Una/S-2124-2018; Walmsley, Anthony D/V-8585-2018; Suomalainen, Kimmo/; Bullock, Alison/; Walmsley, Damien/; Karaharju-Suvanto, Terhi/; Barnes, Emma/
OI Kossioni, Anastassia E/0000-0003-0610-6984; Soboleva,
   Una/0000-0002-0574-8400; Suomalainen, Kimmo/0000-0002-3335-6762;
   Bullock, Alison/0000-0003-3800-2186; Walmsley,
   Damien/0000-0003-4970-0764; Karaharju-Suvanto,
   Terhi/0000-0003-1228-6862; Barnes, Emma/0000-0001-6447-6647
ZA 0
ZS 0
ZR 0
TC 5
ZB 0
Z8 0
Z9 5
U1 0
U2 34
SN 1396-5883
UT WOS:000317859500006
PM 23581736
ER

PT J
AU Kossioni, A. E.
   Kavadella, A.
   Tzoutzas, I.
   Bakas, A.
   Tsiklakis, K.
   Bailey, S.
   Bullock, A.
   Cowpe, J.
   Barnes, E.
   Thomas, H.
   Thomas, R.
   Karaharju-Suvanto, T.
   Suomalainen, K.
   Kersten, H.
   Povel, E.
   Giles, M.
   Walmsley, D.
   Soboleva, U.
   Liepa, A.
   Akota, I.
TI The development of an exemplar e-module for the continuing professional
   development of European dentists
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 17
SI SI
BP 38
EP 44
DI 10.1111/eje.12029
SU 1
PD MAY 2013
PY 2013
AB Aim To present the development of an exemplar e-module for dental
   continuing professional development (CPD) provided by dental schools and
   other dental educational providers. Materials and methods The exemplar
   e-module covered the topic of Sterilisation and cross-infection control
   in the dental practice' as this is one of the most recommended topics
   for dental CPD in Europe. It was developed by a group of topic experts,
   adult learning and distance learning experts and a technical developer.
   Major concerns were pedagogy, interoperability, usability and cost
   reduction. Open-source material was used to reduce the cost of
   development. Results The e-module was pre-piloted in dental
   practitioners for usability and then evaluated by experts in the field
   and dental academics through an electronic questionnaire and an online
   presentation and discussion at the ADEE 2012 Special Interest Group on
   DentCPD-Lifelong learning. This facilitated refinement before final
   production. A Creative Commons License was implemented to ensure the
   developers' rights and facilitate wider distribution and access to CPD
   providers. Discussion and conclusions The e-module was developed
   according to well-defined pedagogical and technical guidelines for
   developing e-learning material for adult learners. It was structured to
   promote self-study by directing learners through their study, promoting
   interaction with the material, offering explanation and providing
   feedback. Content validity was ensured by extensive review by experts.
   The next step would be to expand the evaluation to practising dentists
   in various countries after relevant translations, and adaptations to
   local policies have been made.
RI Soboleva, Una/S-2124-2018; Walmsley, Anthony D/V-8585-2018; Kossioni, Anastassia E/AAA-3193-2020; Karaharju-Suvanto, Terhi/; Walmsley, Damien/; Suomalainen, Kimmo/; Bullock, Alison/; Barnes, Emma/
OI Soboleva, Una/0000-0002-0574-8400; Kossioni, Anastassia
   E/0000-0003-0610-6984; Karaharju-Suvanto, Terhi/0000-0003-1228-6862;
   Walmsley, Damien/0000-0003-4970-0764; Suomalainen,
   Kimmo/0000-0002-3335-6762; Bullock, Alison/0000-0003-3800-2186; Barnes,
   Emma/0000-0001-6447-6647
ZA 0
ZS 0
ZR 0
TC 5
Z8 0
ZB 1
Z9 5
U1 1
U2 28
SN 1396-5883
EI 1600-0579
UT WOS:000317859500008
PM 23581738
ER

PT J
AU Boman, Ase
   Povlsen, Lene
   Dahlborg-Lyckhage, Elisabeth
   Hanas, Ragnar
   Borup, Ina
TI Fathers' encounter of support from paediatric diabetes teams; the
   tension between general recommendations and personal experience
SO HEALTH & SOCIAL CARE IN THE COMMUNITY
VL 21
IS 3
BP 263
EP 270
DI 10.1111/hsc.12013
PD MAY 2013
PY 2013
AB The purpose of this grounded theory study was to explore and discuss how
   fathers involved in caring for a child with type 1 diabetes experienced
   support from Swedish paediatric diabetes teams (PDTs) in everyday life
   with their child. Eleven fathers of children with type 1 diabetes,
   living in Sweden and scoring high on involvement on the Parental
   Responsibility Questionnaire, participated. Data were collected from
   January 2011 to August 2011, initially through online focus group
   discussions in which 6 of 19 invited fathers participated. Due to high
   attrition, the data collection continued in eight individual interviews.
   A semi-structured interview guide was used, and the fathers were asked
   to share experiences of their PDT's support in everyday life with their
   child. A simultaneous and constant comparison approach to data
   collection and analysis allowed the core category to emerge: the tension
   between general recommendations and personal experience. This core
   category illuminates how the fathers experienced tension between
   managing their unique everyday life with their child and balancing this
   to meet their PDT's expectations with regard to blood glucose levels.
   The core category was supported by two categories: the tension between
   the fathers'and their PDT's knowledge, whereby fathers reported
   discrepancies between their PDT's medical knowledge and their own unique
   knowledge of their child; and the tension between the fathers'and their
   PDT's goals, whereby the fathers identified differences between the
   familys' and their PDT's goals. As a dimension of the core category,
   fathers felt trust or distrust in their PDT. We conclude that to achieve
   high-quality support for children with diabetes and to enhance their
   health and well-being, involved fathers' knowledge of their unique
   family situation needs to be integrated into the diabetes treatment.
OI Boman, Ase/0000-0003-3792-6600
ZS 0
TC 9
ZA 0
Z8 0
ZR 0
ZB 0
Z9 9
U1 0
U2 17
SN 0966-0410
EI 1365-2524
UT WOS:000317076400005
PM 23190009
ER

PT J
AU Glynn, Ronan W.
   O'Duffy, Fergal
   O'Dwyer, Tadhg P.
   Colreavy, Micheal P.
   Rowley, Helena M.
TI Patterns of Internet and smartphone use by parents of children attending
   a pediatric otolaryngology service
SO INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
VL 77
IS 5
BP 699
EP 702
DI 10.1016/j.ijporl.2013.01.021
PD MAY 2013
PY 2013
AB Objectives: To assess Internet use and the influence of smartphones on
   health-information seeking by parents and carers of children with ENT
   conditions.
   Methods: A paper-based questionnaire was circulated to parents attending
   otolaryngology services in both the out-patient and day-case settings at
   a tertiary referral centre.
   Results: 79.5% of questionnaires were returned. 29.9% had consulted the
   Internet for ENT-related information. Factors associated with increased
   rates of ENT-related online activity included younger age, university
   education, and access to a smartphone (all p <= 0.001). 65.7% and 57.7%
   had found the information which they had found online to be
   understandable and helpful, respectively; however, just 25.5% felt that
   it had influenced the medical decisions they had made for their child.
   50.3% had previously or intended to discuss information found online
   with their surgeon. 9.2% had searched online for information regarding
   their child's surgeon; 19.6% of these said that this had been a factor
   in choosing that particular surgeon. On ranking 8 information sources in
   terms of importance (scale 0-5), the ENT Surgeon ranked as most
   important (mean = 4.63), whilst the Internet ranked lowest (3.10). 48.6%
   of respondents or their partners had an Internet-enabled smartphone;
   45.2% said they would definitely use an iPhone app regarding their
   child's condition if one was available. 36.1% reported they would
   definitely use the Internet in the future.
   Conclusions: Whilst online sources must increasingly be considered in
   the dialogue with parents, it is clear that parents still rate the
   clinical team as most important for information gathering.
   Clinician-provided websites and smartphone applications may be the key
   to ensuring the provision of quality information into the future. (C)
   2013 Elsevier Ireland Ltd. All rights reserved.
ZB 6
ZA 0
TC 23
ZS 0
ZR 0
Z8 0
Z9 23
U1 0
U2 18
SN 0165-5876
EI 1872-8464
UT WOS:000318384000016
PM 23434200
ER

PT J
AU Calear, Alison L.
   Christensen, Helen
   Mackinnon, Andrew
   Griffiths, Kathleen M.
TI Adherence to the MoodGYM program: Outcomes and predictors for an
   adolescent school-based population
SO JOURNAL OF AFFECTIVE DISORDERS
VL 147
IS 1-3
BP 338
EP 344
DI 10.1016/j.jad.2012.11.036
PD MAY 2013
PY 2013
AB Background: Program adherence has been associated with improved
   intervention outcomes for mental and physical conditions. The aim of the
   current study is to investigate adolescent adherence to an
   Internet-based depression prevention program in schools to identify the
   effect of adherence on outcomes and to ascertain the predictors of
   program adherence.
   Methods: Data for the current study (N=1477) was drawn from the
   YouthMood Project, which was conducted to test the effectiveness of the
   MoodGYM program in reducing and preventing symptoms of anxiety and
   depression in an adolescent school-based population. The current study
   compares intervention effects across three sub-groups: high adherers,
   low adherers and the wait-list control condition.
   Results: When compared to the control condition, participants in the
   high adherence intervention group reported stronger intervention effects
   at post-intervention and 6-month follow-up than participants in the low
   adherence group for anxiety (d=0.34-0.39 vs. 0.11-0.22), and male
   (d=0.43-0.59 vs. 0.26-0.35) and female depression (d=0.13-0.20 vs.
   0.02-0.04). No significant intervention effects were identified between
   the high and low adherence groups. Being in Year 9, living in a rural
   location and having higher pre-intervention levels of depressive
   symptoms or self-esteem were predictive of greater adherence to the
   MoodGYM program.
   Limitations: The program trialled is Internet-based and therefore the
   predictors of adherence identified may not generalise to face-to-face
   interventions.
   Conclusions: The current study provides preliminary support for the
   positive relationship between program adherence and outcomes in a school
   environment. The identification of significant predictors of adherence
   will assist in identifying the type of user who will engage most with an
   online depression prevention program. (C) 2012 Elsevier B.V. All rights
   reserved.
RI Christensen, Helen/F-5053-2012; Calear, Alison L/D-4191-2009; Mackinnon, Andrew/
OI Christensen, Helen/0000-0003-0435-2065; Calear, Alison
   L/0000-0002-7028-725X; Mackinnon, Andrew/0000-0003-0831-9801
ZR 0
Z8 0
ZA 0
TC 55
ZB 9
ZS 0
Z9 55
U1 1
U2 34
SN 0165-0327
UT WOS:000316790400048
PM 23245469
ER

PT J
AU Barnett, Stephen
   Jones, Sandra C.
   Bennett, Sue
   Iverson, Don
   Bonney, Andrew
TI Perceptions of Family Physician Trainees and Trainers Regarding the
   Usefulness of a Virtual Community of Practice
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 15
IS 5
AR e92
DI 10.2196/jmir.2555
PD MAY 2013
PY 2013
AB Background: Training for Australian general practice, or family
   medicine, can be isolating, with registrars (residents or trainees)
   moving between rural and urban environments, and between hospital and
   community clinic posts. Virtual communities of practice (VCoPs), groups
   of people sharing knowledge about their domain of practice online and
   face-to-face, may have a role in overcoming the isolation associated
   with general practice training.
   Objective: This study explored whether Australian general practice
   registrars and their supervisors (trainers) would be able to use, and
   would be interested in using, a VCoP in the form of a private online
   network for work and training purposes. It also sought to understand the
   facilitators and barriers to intention to use such a community, and
   considers whether any of these factors may be modifiable.
   Methods: A survey was developed assessing computer, Internet, and social
   media access and usage, confidence, perceived usefulness, and barriers,
   facilitators, and intentions to use a private online network for
   training purposes. The survey was sent by email link to all 139
   registrars and 224 supervisors in one of Australia's 17 general practice
   training regions. Complete and usable responses were received from 131
   participants (response rate=0.4).
   Results: Most respondents had access to broadband at home (125/131,
   95.4%) and at work (130/131, 99.2%). Registrars were more likely to
   spend more than 2 hours on the Internet (P=.03), and to use social media
   sites for nonwork purposes (P=.01). On a 5-point Likert scale,
   confidence was high (mean 3.93, SD 0.63) and was negatively associated
   with higher age (P=.04), but not associated with training stage. Social
   media confidence was lower, with registrars more confident than
   supervisors for almost all social media activities. On a 5-point Likert
   scale, overall usefulness was scored positively (n=123, mean 3.63, SD
   0.74), and was not significantly associated with age or training level.
   The main concerns of respondents were worries about privacy (registrar:
   61/81, 75.3%; supervisor: 30/50, 60.0%) and insufficient time
   (registrar: 41/81, 50.6%; supervisor: 36/50, 72.0%). Using a
   multivariate generalized linear regression model, training stage and
   perceived usefulness were positively predictive, and concerns about
   privacy and time were negatively predictive of intention to use a
   private online network.
   Conclusions: General practice registrars and supervisors are interested
   in using a private online network, or VCoP, for work and training
   purposes. Important considerations are the extent to which concerns such
   as privacy and usefulness may be overcome by training and support to
   offset some other concerns, such as time barriers. Participants at an
   early stage in their training are more receptive to using an online
   network. More senior registrars and supervisors may benefit from more
   training and promotion of the online network to improve their
   receptiveness.
RI Jones, Sandra C/D-3854-2011; Bennett, Sue/I-4643-2012; Bonney, Andrew/Y-5212-2019; Bennett, Sue/AAR-9616-2021
OI Jones, Sandra C/0000-0002-0258-3348; Bennett, Sue/0000-0001-9607-6285;
   Bonney, Andrew/0000-0003-2477-1646; Bennett, Sue/0000-0001-9607-6285
ZR 0
Z8 0
ZS 1
TC 29
ZB 2
ZA 0
Z9 30
U1 2
U2 40
SN 1438-8871
UT WOS:000321960900012
PM 23666237
ER

PT J
AU Yuen, Jacqueline K.
   Mehta, Sonal S.
   Roberts, Jordan E.
   Cooke, Joseph T.
   Reid, M. Carrington
TI A Brief Educational Intervention To Teach Residents Shared Decision
   Making in the Intensive Care Unit
SO JOURNAL OF PALLIATIVE MEDICINE
VL 16
IS 5
BP 531
EP 536
DI 10.1089/jpm.2012.0356
PD MAY 2013
PY 2013
AB Background: Effective communication is essential for shared decision
   making with families of critically ill patients in the intensive care
   unit (ICU), yet there is limited evidence on effective strategies to
   teach these skills.
   Objective: The study's objective was to pilot test an educational
   intervention to teach internal medicine interns skills in discussing
   goals of care and treatment decisions with families of critically ill
   patients using the shared decision making framework.
   Design: The intervention consisted of a PowerPoint online module
   followed by a four-hour workshop implemented at a retreat for medicine
   interns training at an urban, academic medical center.
   Measurements: Participants (N=33) completed post-intervention
   questionnaires that included self-assessed skills learned, an open-ended
   question on the most important learning points from the workshop, and
   retrospective pre- and post-workshop comfort level with ICU
   communication skills. Participants rated their satisfaction with the
   workshop.
   Results: Twenty-nine interns (88%) completed the questionnaires.
   Important self-assessed communication skills learned reflect key
   components of shared decision making, which include assessing the
   family's understanding of the patient's condition (endorsed by 100%) and
   obtaining an understanding of the patient/family's perspectives, values,
   and goals (100%). Interns reported significant improvement in their
   comfort level with ICU communication skills (pre 3.26, post 3.73 on a
   five-point scale, p = 0.004). Overall satisfaction with the intervention
   was high (mean 4.45 on a five-point scale).
   Conclusions: The findings suggest that a brief intervention designed to
   teach residents communication skills in conducting goals of care and
   treatment discussions in the ICU is feasible and can improve their
   comfort level with these conversations.
RI Roberts, Jordan/AAQ-4942-2021; Roberts, Jordan/GRI-9287-2022; Reid, Cary/; Yuen, Jacqueline/
OI Roberts, Jordan/0000-0002-0976-5697; Reid, Cary/0000-0001-8117-662X;
   Yuen, Jacqueline/0000-0002-9682-4367
ZB 2
ZS 0
ZR 0
Z8 0
TC 28
ZA 0
Z9 28
U1 0
U2 5
SN 1096-6218
UT WOS:000319004100014
PM 23621707
ER

PT J
AU Koh, Steve
   Cattell, Gwyn M.
   Cochran, David M.
   Krasner, Aaron
   Langheim, Frederick J. P.
   Sasso, David A.
TI Psychiatrists' Use of Electronic Communication and Social Media and a
   Proposed Framework for Future Guidelines
SO JOURNAL OF PSYCHIATRIC PRACTICE
VL 19
IS 3
BP 254
EP 263
DI 10.1097/01.pra.0000430511.90509.e2
PD MAY 2013
PY 2013
AB Background. Recent and ongoing advances in information technology
   present opportunities and challenges in the practice of medicine. Among
   all medical subspecialties, psychiatry is uniquely suited to help guide
   the medical profession's response to the ethical, legal, and therapeutic
   challenges-especially with respect to boundaries-posed by the rapid
   proliferation of social media in medicine. Ironically, while limited
   guidelines exist for other branches of medicine, guidelines for the
   responsible use of social media and information technology in psychiatry
   are lacking. Objective. To collect data about patterns of use of
   electronic communications and social media among practicing
   psychiatrists and to establish a conceptual framework for developing
   professional guidelines. Methods. A structured survey was developed to
   assess the use of email, texting, and social media among the active
   membership of the Group for the Advancement of Psychiatry (GAP) to gain
   insight into current practices across a spectrum of the field and to
   identify areas of concern not addressed in existing guidelines. This
   survey was distributed by mail and at an annual meeting of the GAP and a
   descriptive statistical analysis was conducted with SPSS. Results. Of
   the 212 members, 178 responded (84% response rate). The majority of
   respondents (58%) reported that they rarely or never evaluated their
   online presence, while 35% reported that they had at some time searched
   for information online about patients. Only 20% posted content about
   themselves online and few of these restricted that information.
   Approximately 25% used email to communicate with patients, and very few
   obtained written consent to do so. Conclusion. Discipline-specific
   guidelines for psychiatrists' interactions with social media and
   electronic communications are needed. Informed by the survey described
   here, a review of the literature, and consensus opinion, a framework for
   developing such a set of guidelines is proposed. The model integrates
   four key areas: treatment frame, patient privacy, medicolegal concerns,
   and professionalism. This conceptual model, applicable to many
   psychiatric settings, including clinical practice, residency training,
   and continuing medical education, will be helpful in developing
   discipline-wide guidelines for psychiatry and can be applied to a
   decision-making process by individual psychiatrists in day-to-day
   practice. (Journal of Psychiatric Practice 2013;19:254-263)
OI Robert, Janice/0000-0002-4426-146X; Cochran, David/0000-0003-2927-1798
ZR 0
TC 23
ZB 4
Z8 0
ZS 0
ZA 0
Z9 23
U1 1
U2 32
SN 1527-4160
EI 1538-1145
UT WOS:000318872800011
PM 23653084
ER

PT J
AU Chapman, Stephen J.
   Hakeem, Abdul R.
   Marangoni, Gabriele
   Prasad, K. Raj
TI How can we Enhance Undergraduate Medical Training in the Operating Room?
   A Survey of Student Attitudes and Opinions
SO JOURNAL OF SURGICAL EDUCATION
VL 70
IS 3
BP 326
EP 333
DI 10.1016/j.jsurg.2013.01.008
PD MAY-JUN 2013
PY 2013
AB BACKGROUND AND PURPOSE: Teaching in the operating room (OR) may add
   substantial value to undergraduate medical education but at present, the
   value of this as a core-learning environment is unclear. We assessed
   student attitudes to see how the experience may be improved.
   METHODS: All medical students from University of Leeds, UK were invited
   to complete an online-based questionnaire. The questionnaire gathered
   quantitative and qualitative responses relating to previous experiences,
   acquired benefits, and desired improvements. Students rated their
   overall satisfaction on a 10-point scale.
   RESULTS: A total of 292 students (20.8%) responded to the survey, out of
   whom 91.4% had previous OR experience. The median overall satisfaction
   was 7/10; 43.1% described bad or unfavorable experiences. Common themes
   included feeling intimidated, unwelcome, or ignored by staff;
   unrealistic expectations of knowledge, and poor or inadequate learning
   experiences. Benefits of attending the OR were improvements in scrub
   technique (82.3%), knowledge of anatomy (72.3%), anesthetics (67.5%),
   and surgical procedures (86.1%). Desired improvements included more
   opportunity to participate in the procedure (74.4%), encouragement from
   supervisors (73.6%), improved teaching (71.4%), and better induction to
   the OR environment (56%).
   DISCUSSION AND CONCLUSIONS: Overall satisfaction of OR teaching is
   reasonable and many benefits are derived from attending the OR. However,
   bad experiences are common and this is detrimental to the student
   learning experience. The experience may be of increased value to
   undergraduate medical education within a dedicated and structured
   surgical teaching program. (J Surg 70:326-333. (C) 2013 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
RI Chapman, Stephen J/I-2171-2019
OI Chapman, Stephen J/0000-0003-2413-5690
ZR 0
ZA 0
ZS 0
ZB 4
TC 36
Z8 0
Z9 36
U1 0
U2 12
SN 1931-7204
EI 1878-7452
UT WOS:000318139800009
PM 23618441
ER

PT J
AU Sahm, Stephan
TI Of mugs, meals and more: the intricate relations between physicians and
   the medical industry
SO MEDICINE HEALTH CARE AND PHILOSOPHY
VL 16
IS 2
BP 265
EP 273
DI 10.1007/s11019-012-9391-y
PD MAY 2013
PY 2013
AB Empirical research has proven the influence exerted by the medical
   industry on physicians' decision-making. Physicians are the gatekeepers
   who determine how money is spent within the healthcare system. Hence,
   they are the target group of powerful lobbies in the field, i.e. the
   manufacturers of medical devices and the pharmaceutical industry. As
   clinical research lies in the hands of physicians, they play an
   exclusive and central role in launching new medical products. There are
   many ethical problems involved here: physicians may develop a mindset of
   entitlement; biased decisions may put patients at risk; academic
   interests and research activities will no longer be free if they are
   influenced considerably by financial incentives; fair resource
   allocation may be restricted. An aspect that has been neglected so far
   is the administrators' involvement as they not rarely expect physicians
   to acquire external financial resources from industry as benefits often
   lie with the institutions. To "protect" physicians from undue sway may
   be in the best interest of patients in order to guarantee a fair
   allocation of resources and to prevent the application of technologies
   (and medications) that would not have been used according to current
   standards of care. The latter may and obviously does put patients at
   risk. On the other hand, medico-industrial relations are of great
   importance. A considerable part of medical progress is driven by private
   industry. Yet, any co-operation between those who care for patients and
   industry ultimately has to serve the patient. Hence, strong policies to
   guide conduct are sorely needed. The following points are held to be
   pivotal in order to secure ethical conduct: (1) professional codes of
   ethics; (2) a stronger academic attitude amongst medical staff, (3)
   rules of transparency for medico-industrial relations including online
   disclosure and limiting scale of payments, (4) establishing rules (and
   laws) that ban unethical conduct and mandate vigorous surveillance of
   adherence to guidelines.
RI Embrett, Mark G./H-4466-2014
OI Embrett, Mark G./0000-0002-3969-0219
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
Z9 2
U1 1
U2 25
SN 1386-7423
EI 1572-8633
UT WOS:000317134600014
PM 22407146
ER

PT J
AU Deo, Madhav G.
TI Research-oriented medical education for graduate medical students
SO NATIONAL MEDICAL JOURNAL OF INDIA
VL 26
IS 3
BP 169
EP 173
PD MAY-JUN 2013
PY 2013
AB Background. In most parts of the world, medical education Is
   predominantly geared to create service personnel for medical and health
   services. Training in research is ignored, which is a major handicap for
   students who are motivated to do research. The main objective of this
   study was to develop, for such students, a cost-effective 'in-study'
   research training module that could be adopted even by medical colleges,
   which have a modest research infrastructure, in different regions of
   India.
   Methods. Short-duration workshops on the clinical and laboratory
   medicine research methods including clinical protocol development were
   held in different parts of India to facilitate participation of students
   from various regions. Nine workshops covering the entire country were
   conducted between July 2010 and December 2011. Participation was
   voluntary and by Invitation only to the recipients of the Indian Council
   of Medical Research Short-term Studentship programme (ICMR-STS), which
   was taken as an index of students' research motivation. Faculty was
   drawn from the medical institutions In the region. All expenses on
   students, including their travel, and that of the faculty were borne by
   the academy. Impact of the workshop was judged by the performance of the
   participants in pre- and post-workshop tests with multiple-choice
   questions (MCQs) containing the same set of questions. There was no
   negative marking. Anonymous student feedback was obtained using a
   questionnaire.
   Results. Forty-one per cent of the 1009 invited students attended the
   workshops. These workshops had a positive impact on the participants.
   Only 20% students could pass and just 2.3% scored > 80% marks in the
   pre-workshop test. There was a three-fold increase in the pass
   percentage and over 20% of the participants scored > 80% marks (A grade)
   in the post-workshop test. The difference between the pre- and
   post-workshop performance was statistically significant at all the
   centres. In the feedback from participants, the workshop received an
   average rating of 8.1 on a scale of 1 to 10.
   Conclusion. This cost-effective, 'in-study' module of short-duration
   'mobile' workshops can be used to educate graduate medical students in
   basic research procedures employed in clinical and laboratory medicine
   research. The module is suitable for resource-strapped developing
   nations.
ZR 0
ZB 0
ZA 0
ZS 0
TC 3
Z8 0
Z9 3
U1 1
U2 5
SN 0970-258X
UT WOS:000340322000011
PM 24476167
ER

PT J
AU Huebner, Jutta
   Senf, Bianca
   Micke, Oliver
   Muecke, Ralph
   Stoll, Christoph
   Prott, Franz J.
   Muenstedt, Karsten
   Dennert, Gabriele
CA German Canc Soc
TI Online Information on Complementary and Alternative Medicine for Cancer
   Patients: Evidence-Based Recommendations
SO ONKOLOGIE
VL 36
IS 5
BP 273
EP 278
DI 10.1159/000350307
PD MAY 2013
PY 2013
AB Background: Many cancer patients use complementary and alternative
   medicine (CAM). Most websites offering online information on CAM are not
   helpful for them. Methods: We extracted decisive elements for online
   information on CAM by analyzing the literature on the information needs
   of cancer patients and on counseling cancer patients on CAM. Results:
   Key issues for online information on CAM are the qualification of the
   authors, transparency and accountability of the information, description
   of the aims, a scientific approach, description of treatment
   alternatives, support for the patient-physician relationship,
   individualized information, a summary of the information, disclosure of
   funding, and the privacy policy. Conclusions: The communicative
   challenge will be to convey information without destroying hope and
   motivation. We suggest that CAM topics should be integrated into broader
   information provided on cancer (etiology, conventional treatment). By
   also providing information for physicians, such a website could promote
   shared decision-making. Online information will gain the status of
   independent expert knowledge if provided by a well-known scientific
   organization as, e.g., a national cancer society.
RI HÃbner, Jutta/AAY-5396-2020; Mücke, Ralph/AAS-5297-2020
ZS 0
TC 5
ZB 1
ZR 0
Z8 1
ZA 0
Z9 6
U1 1
U2 14
SN 0378-584X
EI 1423-0240
UT WOS:000319848400006
PM 23689222
ER

PT J
AU Schuetze, B.
TI Legal framework of data protection. Current requirements in Germany and
   requirements in planned European Union regulations
SO RADIOLOGE
VL 53
IS 5
BP 437
EP 440
DI 10.1007/s00117-013-2485-6
PD MAY 2013
PY 2013
AB The federal system in Germany necessitates that in addition to federal
   laws, country and church-specific legislations must also be considered
   during the evaluation of relevant legal stipulations concerning data
   protection. Furthermore, there are also special legal regulations for
   hospitals in almost every federal state which are governed by the
   principle of subsidiarity: special legal regulations are to be
   preferentially used, so that findings from one federal state are
   difficult to transfer to another federal state.
   Patient data may only be used and processed without legal regulations
   with informed consent of the patient. The use of patient data for
   purposes of quality assurance, research and further education of
   students and doctors is possible under the present laws according to a
   positive weighting of interests. Patient data can also be exchanged via
   online services for the purposes of patient care; however, informed
   consent of the patient for medical online services is almost always
   unavoidable.
ZR 0
ZB 0
ZA 0
Z8 0
TC 0
ZS 0
Z9 0
U1 0
U2 7
SN 0033-832X
UT WOS:000319270300008
PM 23494282
ER

PT J
AU Luo, Miao
   Feng, Yuan
   Li, Taoping
TI Sleep medicine knowledge, attitudes, and practices among medical
   students in Guangzhou, China
SO SLEEP AND BREATHING
VL 17
IS 2
BP 687
EP 693
DI 10.1007/s11325-012-0743-x
PD MAY 2013
PY 2013
AB This study aimed to describe the knowledge, attitudes, and practices of
   Chinese medical students towards sleep medicine.
   The authors surveyed medical students at Southern Medical University in
   2009. Students completed a questionnaire before and after attending a
   3-h sleep disorders course.
   All 324 questionnaires were returned. Less than one half of the students
   were aware that restless legs syndrome, somniloquy, and teeth grinding
   are sleep disorders. Only a small percentage of students knew that sleep
   disorders are related to diabetes, anemia, hyperlipidemia, and attention
   deficit syndrome. After the 3-h sleep disorders course, the percentage
   of students who regarded snoring, restless legs syndrome, nightmares,
   and somniloquy as sleep disorders increased from 64.9 to 92.7 %, 40.8 to
   64.4 %, 48.0 to 60.3 %, and 33.5 to 59.9 % (P < 0.001), respectively.
   Sleep problems were considered to be a significant issue by 93.8 % of
   the students. The students thought that people with sleep disorders
   should seek treatment. Of the students, 81.3 % were interested in sleep
   medicine. The students considered that it is necessary to set up
   specialized sleep medicine departments to manage sleep disorders. Of the
   students, 76.8 % thought they or their friends had sleep problems, and
   44.8 % consulted physicians about sleep problems. Greater than two
   thirds of the students (67.1 %) did not have formal education about
   sleep medicine. Few students were aware of medical schools offering a
   course in sleep medicine. Most of the students liked learning in the
   form of elective courses, lectures, or online course. The students also
   realized that having sleep medicine knowledge is needed as a physician.
   Chinese medical students attached importance to sleep disorders, but
   knew little about sleep disorders. Knowledge of sleep medicine can be
   improved with a short training course.
RI 冯, 媛/F-7295-2012
OI 冯, 媛/0000-0002-6369-0737
ZB 1
ZS 1
ZA 0
Z8 1
TC 7
ZR 0
Z9 9
U1 0
U2 13
SN 1520-9512
EI 1522-1709
UT WOS:000319075800042
PM 22752711
ER

PT J
AU Monroe, Alicia
   Quinn, Erin
   Samuelson, Wayne
   Dunleavy, Dana M.
   Dowd, Keith W.
TI An Overview of the Medical School Admission Process and Use of Applicant
   Data in Decision Making: What Has Changed Since the 1980s?
SO ACADEMIC MEDICINE
VL 88
IS 5
BP 672
EP 681
DI 10.1097/ACM.0b013e31828bf252
PD MAY 2013
PY 2013
AB Purpose
   To investigate current medical school admission processes and whether
   they differ from those in 1986 when they were last reviewed by the
   Association of American Medical Colleges (AAMC).
   Method
   In spring 2008, admission deans from all MD-granting U. S. and Canadian
   medical schools using the Medical College Admission Test (MCAT) were
   invited to complete an online survey that asked participants to describe
   their institution's admission process and to report the use and rate the
   importance of applicant data in making decisions at each stage.
   Results
   The 120 responding admission officers reported using a variety of data
   to make decisions. Most indicated using interviews to assess applicants'
   personal characteristics. Compared with 1986, there was an increase in
   the emphasis placed on academic data during pre-interview screening.
   While GPA data were among the most important data in decision making at
   all stages in 1986, data use and importance varied by the stage of the
   process in 2008: MCAT scores and undergraduate GPAs were rated as the
   most important data for deciding whom to invite to submit secondary
   applications and interview, whereas interview recommendations and
   letters of recommendation were rated as the most important data in
   deciding whom to accept.
   Conclusions
   This study underscores the complexity of the medical school admission
   process and suggests increased use of a holistic approach that considers
   the whole applicant when making admission decisions. Findings will
   inform AAMC initiatives focused on transforming admission processes.
ZB 6
TC 60
ZS 1
Z8 0
ZA 0
ZR 0
Z9 61
U1 0
U2 23
SN 1040-2446
UT WOS:000318025600031
PM 23524917
ER

PT J
AU Dehmer, Jeffrey J.
   Amos, Keith D.
   Farrell, Timothy M.
   Meyer, Anthony A.
   Newton, Warren P.
   Meyers, Michael O.
TI Competence and Confidence With Basic Procedural Skills: The Experience
   and Opinions of Fourth-Year Medical Students at A Single Institution
SO ACADEMIC MEDICINE
VL 88
IS 5
BP 682
EP 687
DI 10.1097/ACM.0b013e31828b0007
PD MAY 2013
PY 2013
AB Purpose
   Data indicate that students are unprepared to perform basic medical
   procedures on graduation. The authors' aim was to characterize
   graduating students' experience with and opinions about these skills.
   Method
   In 2011, an online survey queried 156 fourth-year medical students about
   their experience with, and actual and desired levels of competence for,
   nine procedural skills (Foley catheter insertion, nasogastric tube
   insertion, venipuncture, intravenous catheter insertion, arterial
   puncture, basic suturing, endotracheal intubation, lumbar puncture, and
   thoracentesis). Students self-reported competence on a four-point Likert
   scale (4 = independently performs skill; 1 = unable to perform skill).
   Data were analyzed by analysis of variance and Student t test. A
   five-point Likert scale was used to assess student confidence.
   Results
   One hundred thirty-four (86%) students responded. Two skills were
   performed more than two times by over 50% of students: Foley catheter
   insertion and suturing. Mean level of competence ranged from 3.13 +/-
   0.75 (Foley catheter insertion) to 1.7 +/- 0.7 (thoracentesis). A gap in
   desired versus actual level of puncture, and thoracentesis). Students
   self-reported competence on a four-point Likert scale (4 = independently
   performs skill; 1 = unable to perform skill). Data were analyzed by
   analysis of variance and Student t test. A five-point Likert scale was
   used to assess student confidence. Results One hundred thirty-four (86%)
   students responded. Two skills were performed more than two times by
   over 50% of students: Foley catheter insertion and suturing. Mean level
   of competence ranged from 3.13 +/- 0.75 (Foley catheter insertion) to
   1.7 +/- 0.7 (thoracentesis). A gap in desired versus actual level of
   competence existed for all procedures (P<.0001). There was a correlation
   between the number of times a procedure had been performed and
   self-reported competence for all skills except arterial puncture and
   suturing.
   Conclusions
   Participants had performed most skills infrequently and rated themselves
   as being unable to perform them without assistance. Strategies to
   improve student experience and competence of procedural skills must
   evolve to improve the technical competency of graduating students
   because their current competency varies widely.
OI Farrell, Timothy/0000-0001-9528-2087
ZS 3
ZR 0
ZA 0
TC 70
ZB 10
Z8 0
Z9 72
U1 0
U2 5
SN 1040-2446
UT WOS:000318025600032
PM 23524922
ER

PT J
AU Reardon, Claudia L.
   Dottl, Susan
   Krahn, Dean
TI Psychiatry Student Interest Groups: What They Are and What They Could Be
SO ACADEMIC PSYCHIATRY
VL 37
IS 3
BP 175
EP 178
DI 10.1176/appi.ap.11100190
PD MAY-JUN 2013
PY 2013
AB Objective: Medical student interest groups across all specialties help
   students explore various specialties. There are no published reports on
   psychiatry student interest group (PSIG) curricula. The aim was to
   develop elements of a curriculum for such groups, based on data elicited
   from medical students and faculty members through a multi-institutional
   online survey.
   Method: The authors electronically surveyed 172 United States
   psychiatric residency training directors to determine the activities
   they felt to be important for inclusion in PSIG curricula. Similarly,
   they surveyed U.S. medical student PSIG leaders to ascertain the
   activities they felt important to include in such groups, and the
   current content of their groups.
   Results: Authors received responses from 64 program directors and 44
   PSIG leaders. Based on integration of the results of both surveys, and
   the practices of existing groups, they propose elements of a curriculum
   for PSIGs. Medical student PSIG leaders are particularly interested in
   activities that involve residents. Other curricular topics of interest
   both to students and training directors include those that focus on
   student/physician mental health and various psychiatry subspecialties or
   practice settings. Training directors are willing to be involved with a
   wide variety of PSIG activities.
   Conclusions: The results of these surveys should help to guide PSIG
   leaders and faculty members in optimizing their PSIG curricula by
   helping them to include those activities felt to be of most interest by
   students and of most relevance by training directors.
TC 4
Z8 0
ZS 0
ZB 1
ZA 0
ZR 0
Z9 4
U1 0
U2 1
SN 1042-9670
UT WOS:000318459000006
PM 23632927
ER

PT J
AU Keynejad, Roxanne
   Ali, Faisal R.
   Finlayson, Alexander E. T.
   Handuleh, Jibriil
   Adam, Gudon
   Bowen, Jordan S. T.
   Leather, Andrew
   Little, Simon J.
   Whitwell, Susannah
TI Telemedicine for Peer-to-Peer Psychiatry Learning Between UK and
   Somaliland Medical Students
SO ACADEMIC PSYCHIATRY
VL 37
IS 3
BP 182
EP 186
DI 10.1176/appi.ap.11080148
PD MAY-JUN 2013
PY 2013
AB Objective: The proportion of U.K. medical students applying for
   psychiatry training continues to decline, whereas, in Somaliland, there
   are no public-sector psychiatrists. This pilot study assessed the
   usefulness and feasibility of online, instant messenger, peer-to-peer
   exchange for psychiatry education between cultures.
   Method: Twenty medical students from King's College, London, and
   Hargeisa University (Somaliland) met online in pairs every 2 weeks to
   discuss prearranged psychiatric topics, clinical cases, and treatment
   options, completing online evaluations throughout.
   Results: Average ratings of the enjoyment, academic helpfulness, and
   interest of sessions were 4.31, 3.56, and 4.54 (of a maximum of 5),
   respectively; 83% would recommend the partnership to a friend.
   Conclusion: This partnership enabled students on both sides to exploit
   psychiatry-learning resources at the other's disposal, outside the
   standard medical education context, illustrating the benefits to medical
   students in dramatically different locations of partnership through
   telemedicine. This pilot study presents an. innovative, cost-effective,
   under-used approach to international medical education.
RI , RoxanneKeynejad/N-6276-2018; Handuleh, Jibril I.M/I-6054-2019; Little, Simon/; Ali, Faisal/; Leather, Andy/
OI , RoxanneKeynejad/0000-0003-4434-3526; Handuleh, Jibril
   I.M/0000-0003-2662-1078; Little, Simon/0000-0001-6249-6230; Ali,
   Faisal/0000-0002-8588-791X; Leather, Andy/0000-0003-0500-5962
ZB 1
TC 15
Z8 0
ZR 0
ZA 0
ZS 0
Z9 15
U1 0
U2 16
SN 1042-9670
EI 1545-7230
UT WOS:000318459000008
PM 23632929
ER

PT J
AU Voogt, Carmen V.
   Poelen, Evelien A. P.
   Kleinjan, Marloes
   Lemmers, Lex A. C. J.
   Engels, Rutger C. M. E.
TI The Effectiveness of the 'What Do You Drink' Web-based Brief Alcohol
   Intervention in Reducing Heavy Drinking among Students: A Two-arm
   Parallel Group Randomized Controlled Trial
SO ALCOHOL AND ALCOHOLISM
VL 48
IS 3
BP 312
EP 321
DI 10.1093/alcalc/ags133
PD MAY-JUN 2013
PY 2013
AB Aims: To evaluate the effectiveness of a web-based brief alcohol
   intervention 'What Do You Drink' (WDYD) among heavy drinking students at
   1- and 6-month post-intervention. Additionally, it was investigated
   whether certain subgroups would benefit more than others from the WDYD
   intervention. Methods: A two-arm parallel group randomized controlled
   trial was conducted online in the Netherlands in 2010-2011. Inclusion
   criteria were: (1) being between 18- and 24-year old, (2) reporting
   heavy drinking in the past 6 months, (3) being motivated to change
   alcohol consumption, (4) having access to the Internet and (5) giving
   informed consent. Participants (n = 913) were randomized to the
   experimental (WDYD intervention) or control condition (no intervention).
   Measures were heavy drinking, frequency of binge drinking and weekly
   alcohol consumption. Results: Analyses according to the
   intention-to-treat principle revealed no significant main intervention
   effects in reducing the alcohol measures at the follow-up assessments.
   Secondary analyses revealed that gender, freshmen and fraternity or
   sorority membership did not moderate the effect of the WDYD intervention
   at both follow-ups. Readiness to change, problem drinking and carnival
   participation moderated intervention effects such that contemplators,
   those with severe symptoms of alcohol abuse or dependence, and those who
   participated in carnival benefited more than others from the WDYD
   intervention regarding weekly alcohol consumption at 1-month follow-up.
   Conclusions: The WDYD intervention was not effective in reducing the
   alcohol measures among heavy drinking students at 1- and 6-month
   post-intervention. However, there is preliminary evidence that the WDYD
   intervention is effective in lowering drinking levels for subgroups of
   heavy drinking students in the short term.
RI Kleinjan, Marloes/AAF-1128-2019; Engels, Rutger/; Kleinjan, Marloes/
OI Engels, Rutger/0000-0003-1944-9126; Kleinjan,
   Marloes/0000-0002-4545-5549
ZR 0
Z8 0
TC 33
ZB 14
ZA 0
ZS 0
Z9 33
U1 0
U2 41
SN 0735-0414
EI 1464-3502
UT WOS:000318548800009
PM 23303466
ER

PT J
AU Phillips, S.
   Stewart, P. A.
   Bilgin, A. B.
TI A survey of the management of neuromuscular blockade monitoring in
   Australia and New Zealand
SO ANAESTHESIA AND INTENSIVE CARE
VL 41
IS 3
BP 374
EP 379
DI 10.1177/0310057X1304100316
PD MAY 2013
PY 2013
AB This survey of anaesthetists in Australia and New Zealand aimed to
   investigate their attitudes and practice relating to the management of
   neuromuscular blockade monitoring. All medical Practitioner members
   (3188) of the Australian and New Zealand Societies of Anaesthetists were
   invited to complete an anonymous survey, which was available online for
   two months. A total of 678 survey questionnaires were completed
   (response rate 21%). Most respondents (71.4%) underestimated the
   incidence of residual neuromuscular blockade and 63.2% believed this to
   be a significant clinical problem. Objective monitoring of neuromuscular
   function was used routinely only by 17% of respondents, although 70%
   believed routine monitoring would reduce the incidence of residual
   neuromuscular blockade. Only 25% of respondents correctly indicated that
   quantitative train-of-four counts of greater than 90% were the accepted
   criteria for safe extubation, with 52% using clinical judgement only.
   Only 29% of respondents believed neuromuscular function monitors should
   be part of minimum monitoring standards; quantitative neuromuscular
   function monitors were not available in 42% of the hospitals in which
   the respondents practiced. Despite the low response rate, the large
   sample size and heterogeneity of respondents make the findings of this
   survey concerning. There is a need for more education, availability of
   appropriate monitoring equipment and evidence-based guidelines for
   management of neuromuscular blockade in Australia and New Zealand.
RI Phillips, Stephanie/J-2220-2012; Phillips, Stephanie/; Bilgin, Ayse/
OI Phillips, Stephanie/0000-0002-7938-9367; Bilgin,
   Ayse/0000-0001-8760-5763
Z8 0
ZB 17
ZS 2
ZA 0
ZR 0
TC 43
Z9 43
U1 1
U2 6
SN 0310-057X
UT WOS:000318888100016
PM 23659401
ER

PT J
AU Niazi, Ahtsham U.
   Tait, Gordon
   Carvalho, Jose C. A.
   Chan, Vincent W.
TI The use of an online three-dimensional model improves performance in
   ultrasound scanning of the spine: a randomized trial
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 60
IS 5
BP 458
EP 464
DI 10.1007/s12630-013-9903-0
PD MAY 2013
PY 2013
AB The use of ultrasound for neuraxial blockade is a new application of
   technology that is rapidly becoming accepted as a standard of care. This
   new skill has shown to improve success, but it is a challenge to teach.
   To assist with teaching the use of ultrasound in regional anesthesia of
   the lumbar spine, we have developed an interactive educational model
   (http://pie.med.utoronto.ca/vspine" or http://www.usra.ca/vspine.php).
   In this study, we aimed to determine whether use of this model for a
   two-week period would improve the performance of novice operators in
   determining defined landmarks during real-time ultrasound imaging of the
   lumbar spine.
   We evaluated the educational benefit of the ultrasound module by
   randomly assigning 16 postgraduate first-year (PGY1) anesthesia
   residents to either a control group with password-protected access to
   only the lumbar anatomy module or to an intervention group with access
   to the complete module. All residents had access to the module for two
   weeks following a full-day workshop that is part of the university
   teaching program which consists of a didactic lecture on
   ultrasound-facilitated neuraxial anesthesia, mentored teaching on
   cadaveric spine dissections, and hands-on ultrasound scanning of live
   models. At the end of the two weeks, the performance of the residents
   was evaluated using a 12-item task-specific checklist while carrying out
   a scout scan on a live model.
   The control group had a median score of 5.5 (25(th) percentile: 4,
   75(th) percentile: 18), while the intervention group had a median score
   of 11.5 (25(th) percentile: 8, 75(th) percentile: 12) in the
   task-specific checklist, with a significant difference of 6 (confidence
   interval 1.5 to 10.5) between groups (P = 0.021).
   Our results show superior performance by the residents who had access to
   both components of the module, indicating that access to the interactive
   ultrasound spine module improves knowledge and skills prior to clinical
   care.
RI Chan, Vincent/AAY-3553-2020
TC 8
ZS 0
ZA 0
Z8 1
ZR 0
ZB 3
Z9 10
U1 0
U2 2
SN 0832-610X
EI 1496-8975
UT WOS:000317978100006
PM 23400584
ER

PT J
AU Ahram, Mamoun
   Othman, Areej
   Shahrouri, Manal
TI Public support and consent preference for biomedical research and
   biobanking in Jordan
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 21
IS 5
BP 567
EP 570
DI 10.1038/ejhg.2012.213
PD MAY 2013
PY 2013
AB The success of any biobank depends on a number of factors including
   public's view of research and the extent to which it is willing to
   participate in research. As a prototype of surrounding countries, public
   interest in research and biobanking in addition to the influence and
   type of informed consent for biobanking were investigated in Jordan.
   Data were collected as part of a national survey of 3196 individuals
   representing the Jordanian population. The majority of respondents
   (88.6%) had a positive perception of the level of research in Jordan and
   they overwhelmingly (98.2%) agreed to the concept of investing as a
   country in research. When respondents were asked if the presence of an
   informed consent would influence their decision to participate in
   biobanking, more individuals (19.8%) considered having an informed
   consent mechanism as a positive factor than those who considered it to
   have negative connotations (13.1%). However, a substantial portion (65%)
   did not feel it affected their decision. The majority of survey
   participants (64%) expressed willingness to participate in biobanking
   and over 90% of them preferred an opt-in consent form whether general
   (75.2%) or specific for disease or treatment (16.9%). These results
   indicate a promising ground for research and biobanking in Jordan.
   Educational programs or mass awareness campaigns to promote
   participation in biobanking and increase awareness about informed
   consent and individual rights in research will benefit both the
   scientific community as well as the public. European Journal of Human
   Genetics (2013) 21, 567-570; doi:10.1038/ejhg.2012.213; published online
   12 September 2012
RI Ahram, Mamoun/D-8497-2015; Othman, Areej/
OI Ahram, Mamoun/0000-0003-4457-3604; Othman, Areej/0000-0003-4813-8319
Z8 0
ZR 0
ZB 6
ZS 0
ZA 0
TC 30
Z9 30
U1 0
U2 5
SN 1018-4813
EI 1476-5438
UT WOS:000317727300015
PM 22968133
ER

PT J
AU Niroomandi, S.
   Gonzalez, D.
   Alfaro, I.
   Bordeu, F.
   Leygue, A.
   Cueto, E.
   Chinesta, F.
TI Real-time simulation of biological soft tissues: a PGD approach
SO INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING
VL 29
IS 5
BP 586
EP 600
DI 10.1002/cnm.2544
PD MAY 2013
PY 2013
AB We introduce here a novel approach for the numerical simulation of
   nonlinear, hyperelastic soft tissues at kilohertz feedback rates
   necessary for haptic rendering. This approach is based upon the use of
   proper generalized decomposition techniques, a generalization of PODs.
   Proper generalized decomposition techniques can be considered as a means
   of a priori model order reduction and provides a physics-based
   meta-model without the need for prior computer experiments. The
   suggested strategy is thus composed of an offline phase, in which a
   general meta-model is computed, and an online evaluation phase in which
   the results are obtained at real time. Results are provided that show
   the potential of the proposed technique, together with some benchmark
   test that shows the accuracy of the method. Copyright (c) 2013 John
   Wiley & Sons, Ltd.
RI ALFARO, ICIAR/K-7500-2015; González, David/G-1536-2011; Chinesta, Francisco/ABD-1528-2021; Leygue, Adrien/D-9420-2012; Cueto, Elias/A-2452-2010
OI ALFARO, ICIAR/0000-0002-9135-866X; González, David/0000-0003-3003-5856;
   Leygue, Adrien/0000-0003-0714-822X; Cueto, Elias/0000-0003-1017-4381
ZA 0
ZB 6
TC 45
ZR 0
Z8 0
ZS 0
Z9 45
U1 0
U2 30
SN 2040-7939
EI 2040-7947
UT WOS:000318435500003
PM 23495247
ER

PT J
AU Armstrong, April W.
   Parsi, Kory
   Schupp, Clayton W.
   Mease, Philip J.
   Duffin, Kristina C.
TI Standardizing Training for Psoriasis Measures Effectiveness of an Online
   Training Video on Psoriasis Area and Severity Index Assessment by
   Physician and Patient Raters
SO JAMA DERMATOLOGY
VL 149
IS 5
BP 577
EP 582
DI 10.1001/jamadermatol.2013.1083
PD MAY 2013
PY 2013
AB Importance: Because the Psoriasis Area and Severity Index (PASI) is the
   most commonly used and validated disease severity measure for clinical
   trials, it is imperative to standardize training to ensure reliability
   in PASI scoring for accurate assessment of disease severity.
   Objective: To evaluate whether an online PASI training video improves
   scoring accuracy among patients with psoriasis and physicians on first
   exposure to PASI.
   Design: This equivalency study compared PASI assessment performed by
   patients and PASI-naive physicians with that of PASI-experienced
   physicians at baseline and after standardized video training. The study
   was conducted from March 15, 2011, to September 1, 2011.
   Setting: Outpatient psoriasis clinic at University of California, Davis.
   Participants: Forty-two psoriasis patients and 14 PASI-naive physicians
   participated in the study. The scores from 12 dermatologists experienced
   in PASI evaluation were used as the criterion standard against which
   other scores were compared.
   Main Outcome Measures: Aggregate and component PASI scores from image
   sets corresponding to mild, moderate, and severe psoriasis.
   Results: After viewing the training video, PASI-naive physicians
   produced equivalent scores for all components of PASI; patients provided
   equivalent scores for most PASI components, with the exception of area
   scores for moderate-to-severe psoriasis images. After the online video
   training, the PASI-naive physicians and patients exhibited improved
   accuracy in assigning total PASI scores for mild (Mean(experienced)
   (physician) - Mean(PASI-naive physician): 1.2; Mean(experienced
   physician) - Mean(patient): -2.1), moderate (Mean(experienced physician)
   - Mean(PASI-naive physician): 0; Mean(experienced physician) -
   Mean(patient): -5.7), and severe (Mean(experienced physician) -
   Mean(PASI-naive physician): -5.1; Mean(experienced physician) -
   Mean(patient): -10.4) psoriasis, respectively.
   Conclusions and Relevance: Use of an online PASI training video
   represents an effective tool in improving accuracy in PASI scoring by
   both health care professionals and patients. The video-based online
   platform for disseminating standardized training on the use of validated
   instruments in dermatology represents a novel form of standardized
   education.
ZA 0
TC 32
ZB 8
ZR 0
Z8 0
ZS 0
Z9 32
U1 1
U2 4
SN 2168-6068
UT WOS:000319672100012
PM 23426158
ER

PT J
AU Wong, Geoff
   Greenhalgh, Trish
   Westhorp, Gill
   Buckingham, Jeanette
   Pawson, Ray
TI RAMESES publication standards: realist syntheses
SO JOURNAL OF ADVANCED NURSING
VL 69
IS 5
BP 1005
EP 1022
DI 10.1111/jan.12095
PD MAY 2013
PY 2013
AB Background There is growing interest in realist synthesis as an
   alternative systematic review method. This approach offers the potential
   to expand the knowledge base in policy-relevant areas for example, by
   explaining the success, failure or mixed fortunes of complex
   interventions. No previous publication standards exist for reporting
   realist syntheses. This standard was developed as part of the RAMESES
   (Realist And MEta-narrative Evidence Syntheses: Evolving Standards)
   project. The project's aim is to produce preliminary publication
   standards for realist systematic reviews. Design A mixed method study
   synthesising data between 20112012 from a literature review, online
   Delphi panel and feedback from training, workshops and email list.
   Methods We: (a) collated and summarized existing literature on the
   principles of good practice in realist syntheses; (b) considered the
   extent to which these principles had been followed by published
   syntheses, thereby identifying how rigour may be lost and how existing
   methods could be improved; (c) used a three-round online Delphi method
   with an interdisciplinary panel of national and international experts in
   evidence synthesis, realist research, policy and/or publishing to
   produce and iteratively refine a draft set of methodological steps and
   publication standards; (d) provided real-time support to ongoing realist
   syntheses and the open-access RAMESES online discussion list to capture
   problems and questions as they arose; and (e) synthesized expert input,
   evidence syntheses and real-time problem analysis into a definitive set
   of standards. Results We identified 35 published realist syntheses,
   provided real-time support to 9 ongoing syntheses and captured questions
   raised in the RAMESES discussion list. Through analysis and discussion
   within the project team, we summarized the published literature and
   common questions and challenges into briefing materials for the Delphi
   panel, comprising 37 members. Within 3 rounds this panel had reached
   consensus on 19 key publication standards, with an overall response rate
   of 91%. Conclusions This project used multiple sources to develop and
   draw together evidence and expertise in realist synthesis. For each item
   we have included an explanation for why it is important and guidance on
   how it might be reported. Realist synthesis is a relatively new method
   for evidence synthesis and as experience and methodological developments
   occur, we anticipate that these standards will evolve to reflect further
   methodological developments. We hope that these standards will act as a
   resource that will contribute to improving the reporting of realist
   syntheses.
RI Greenhalgh, Trisha/B-1825-2015; Wong, Geoff/; Westhorp, Gillian/
OI Greenhalgh, Trisha/0000-0003-2369-8088; Wong, Geoff/0000-0002-5384-4157;
   Westhorp, Gillian/0000-0001-8451-2860
Z8 1
TC 57
ZR 0
ZB 3
ZA 0
ZS 0
Z9 58
U1 1
U2 33
SN 0309-2402
EI 1365-2648
UT WOS:000316810400003
PM 23356726
ER

PT J
AU Eberman, Lindsey E.
   Kahanov, Leamor
TI Athletic Trainer Perceptions of Life-Work Balance and Parenting Concerns
SO JOURNAL OF ATHLETIC TRAINING
VL 48
IS 3
BP 416
EP 423
DI 10.4085/1062-6050-48.2.01
PD MAY-JUN 2013
PY 2013
AB Context: Life-work balance may be one reason for retention concerns
   among athletic trainers (ATs), yet evidence does not exist to support
   the supposition.
   Objective: To assess the perceptions of ATs regarding life-work balance,
   specifically on parenting issues.
   Design: Survey.
   Setting: Online survey at www.surveymonkey.com.
   Patients or Other Participants: A random sample of National Athletic
   Trainers' Association members (N = 9516) received the survey; 20.6% (n =
   1962; male 954, female 816; age = 37 +/- 10 years, experience = 13 +/- 9
   years) completed any portion of the survey. Most respondents worked in
   the college/university (34.5%, n = 657 of 1908) and secondary school
   settings (25.9%, n = 476 of 1908). A majority of participants (50.7%, n
   = 898 of 1770) were parents.
   Intervention(s): We calculated frequencies and percentages and used
   Mann-Whitney U tests and Kruskal-Wallis tests to identify the
   differences between sexes and among job settings on life-work balance
   measures among parents.
   Main Outcome Measures: The questionnaire included 8 life-work balance
   items, 7 parenting challenge items, and 3 nonparent items.
   Results: The results indicate that sex and setting significantly
   affected perceptions about parenting. Males articulated a stronger sense
   of difficulty in finding balance as a working parent (P < .001; 1.95 +/-
   1.98). Females felt more strongly than males that managing work and
   family was stressful (P = .04; 3.86 +/- 1.13) and caused burnout (P =
   .004; 3.50 +/- 1.24), and that their energy tended to fall short of
   their needs (P < .001; 3.74 +/- 1.15). The decision not to have children
   was strongly affected by the work setting (P = .014; 3.37 +/- 1.42).
   Both college/university (4.14 +/- 0.85) and secondary school (4.03 +/-
   0.90) ATs would prefer to spend more time at home, as compared with ATs
   in other settings (P < .001). College/university ATs (P = .025; 3.17 +/-
   1.23) felt most strongly that their families were neglected because of
   work. In none of the settings did ATs feel that their employment
   settings were particularly tolerant of their parenting responsibilities
   (P = .027; 1.72 +/- 1.97).
   Conclusions: Male and female employees had similar perceptions of
   life-work balance, but occupational setting may affect these
   perceptions.
ZA 0
ZB 14
ZR 0
Z8 0
ZS 0
TC 20
Z9 20
U1 0
U2 13
SN 1062-6050
EI 1938-162X
UT WOS:000323894600014
PM 23675801
ER

PT J
AU Dodd, Gerald D., III
   Naeger, David M.
TI Radiology Online: Information, Education, and Networking-A Summary of
   the 2012 Intersociety Committee Summer Conference
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 10
IS 5
BP 345
EP 348
DI 10.1016/j.jacr.2012.12.002
PD MAY 2013
PY 2013
AB The "new online" (Web 2.0) world is evolving rapidly, and the digital
   information, education, and networking resources available to
   radiologists have exploded over the past 2 decades. The 2012
   Intersociety Committee Summer Conference attendees explored the online
   resources that have been produced by societies, universities, and
   commercial entities. Specific attention was given to identifying the
   best products and packaging them in tablet computers for use by
   residents and practicing radiologists. The key functions of social
   networking websites and the possible roles they can play in radiology
   were explored as well. It was the consensus of the attendees that
   radiologic digital resources and portable electronic devices have
   matured to the point that they should become an integral part of our
   educational programs and clinical practice.
OI Naeger, David/0000-0002-1884-280X
ZS 0
TC 3
ZA 0
Z8 0
ZB 0
ZR 0
Z9 3
U1 0
U2 2
SN 1546-1440
UT WOS:000319098300016
PM 23462567
ER

PT J
AU Kaspar, Mathias
   Parsad, Nigel M.
   Silverstein, Jonathan C.
TI An optimized web-based approach for collaborative stereoscopic medical
   visualization
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 20
IS 3
BP 535
EP 543
DI 10.1136/amiajnl-2012-001057
PD MAY 2013
PY 2013
AB Objective Medical visualization tools have traditionally been
   constrained to tethered imaging workstations or proprietary client
   viewers, typically part of hospital radiology systems. To improve
   accessibility to real-time, remote, interactive, stereoscopic
   visualization and to enable collaboration among multiple viewing
   locations, we developed an open source approach requiring only a
   standard web browser with no added client-side software.
   Materials and Methods Our collaborative, web-based, stereoscopic,
   visualization system, CoWebViz, has been used successfully for the past
   2 years at the University of Chicago to teach immersive virtual anatomy
   classes. It is a server application that streams server-side
   visualization applications to client front-ends, comprised solely of a
   standard web browser with no added software.
   Results We describe optimization considerations, usability, and
   performance results, which make CoWebViz practical for broad clinical
   use. We clarify technical advances including: enhanced threaded
   architecture, optimized visualization distribution algorithms, a wide
   range of supported stereoscopic presentation technologies, and the
   salient theoretical and empirical network parameters that affect our
   web-based visualization approach.
   Discussion The implementations demonstrate usability and performance
   benefits of a simple web-based approach for complex clinical
   visualization scenarios. Using this approach overcomes technical
   challenges that require third-party web browser plug-ins, resulting in
   the most lightweight client.
   Conclusions Compared to special software and hardware deployments,
   unmodified web browsers enhance remote user accessibility to interactive
   medical visualization. Whereas local hardware and software deployments
   may provide better interactivity than remote applications, our
   implementation demonstrates that a simplified, stable, client approach
   using standard web browsers is sufficient for high quality
   three-dimensional, stereoscopic, collaborative and interactive
   visualization.
RI Kaspar, Mathias/AAQ-4147-2021; Silverstein, Jonathan/
OI Silverstein, Jonathan/0000-0002-9252-6039
ZS 0
ZB 3
TC 11
ZA 0
Z8 0
ZR 0
Z9 11
U1 0
U2 23
SN 1067-5027
EI 1527-974X
UT WOS:000317477500021
PM 23048008
ER

PT J
AU Ajjawi, Rola
   Schofield, Susie
   McAleer, Sean
   Walker, David
TI Assessment and feedback dialogue in online distance learning
SO MEDICAL EDUCATION
VL 47
IS 5
BP 527
EP +
DI 10.1111/medu.12158
PD MAY 2013
PY 2013
OI Ajjawi, Rola/0000-0003-0651-3870; Walker, David/0000-0002-0281-4775
ZS 1
Z8 0
TC 4
ZB 0
ZA 0
ZR 0
Z9 4
U1 1
U2 20
SN 0308-0110
EI 1365-2923
UT WOS:000317527200033
PM 23574084
ER

PT J
AU Ahmed, Samar
TI Tailoring online faculty development programmes: overcoming faculty
   resistance
SO MEDICAL EDUCATION
VL 47
IS 5
BP 535
EP 535
DI 10.1111/medu.12192
PD MAY 2013
PY 2013
RI Ahmed, Samar Abd elAzim/O-8842-2015
OI Ahmed, Samar Abd elAzim/0000-0001-8119-9258
Z8 0
TC 4
ZA 0
ZS 0
ZB 1
ZR 0
Z9 4
U1 0
U2 5
SN 0308-0110
UT WOS:000317527200044
PM 23574096
ER

PT J
AU Remenyi, Bo
   Carapetis, Jonathan
   Wyber, Rosemary
   Taubert, Kathryn
   Mayosi, Bongani M.
TI Position statement of the World Heart Federation on the prevention and
   control of rheumatic heart disease
SO NATURE REVIEWS CARDIOLOGY
VL 10
IS 5
BP 284
EP 292
DI 10.1038/nrcardio.2013.34
PD MAY 2013
PY 2013
AB In the 21st century, rheumatic fever (RF) and rheumatic heart disease
   (RHD) are neglected diseases of marginalized communities. Globally, RHD
   remains the most-common cardiovascular disease in young people aged <25
   years. Although RF and RHD have been almost eradicated in areas with
   established economies, migration from low-income to high-income settings
   might be responsible for a new burden of RHD in high-income countries.
   The World Heart Federation (WHF) and its Working Group on RF and RHD
   unites global experts, combines their experience and enthusiasm, and
   provides a platform for RHD control. This paper is a declaration of the
   WHF institutional strategic goal-a 25% reduction in premature deaths
   from RF and RHD among individuals aged <25 years by the year 2025. The
   position statement affirms WHF commitments to five key strategic
   targets: comprehensive register-based control programmes, global access
   to benzathine penicillin G, identification and development of public
   figures as 'RHD champions', expansion of RHD training hubs, and support
   for vaccine development. In this paper, we also review existing barriers
   to RF and RHD control and identify the actions required to change the
   trajectory of control for these diseases. This approach provides the
   foundation for governments, civil society, patient advocates,
   clinicians, researchers, and funding agencies to develop partnerships
   and unify global efforts to control RF and RHD. The WHF plans to expand
   this position statement to an operational plan that will be founded on
   science, research, and quantifiable progress indicators to impact
   positively on the millions of people who are affected by RHD and its
   long-term sequelae. Remenyi, B. et al. Nat. Rev. Cardiol. 10, 284-292
   (2013); published online 2 April 2013; doi: 10.1038/nrcardio.2013.34
RI Carapetis, Jonathan R/H-8933-2014; Mayosi, Bongani/
OI Carapetis, Jonathan R/0000-0002-1182-9792; Mayosi,
   Bongani/0000-0001-6641-8950
Z8 4
ZS 6
ZB 50
TC 166
ZR 2
ZA 0
Z9 172
U1 0
U2 21
SN 1759-5002
EI 1759-5010
UT WOS:000317963000008
PM 23546444
ER

PT J
AU Carpenter, Roger
   Theeke, Laurie
   Smothers, Angel
TI Enhancing Course Grades and Evaluations Using Distance Education
   Technologies
SO NURSE EDUCATOR
VL 38
IS 3
BP 114
EP 117
DI 10.1097/NNE.0b013e31828dc2d7
PD MAY-JUN 2013
PY 2013
AB Delivering appropriate amounts of course content using appropriate
   methods is a concern for nursing faculty. To address this problem,
   webcasting, Camtasia, and Wimba Live Classroom were evaluated for impact
   on course grades and student evaluations in a medical-surgical nursing
   course. The addition of Camtasia resulted in improved final grades and
   Student Evaluations of Instruction scores that reflected enhanced
   critical thinking, teacher effectiveness, and overall learning. Students
   preferred recorded content that could be viewed on mobile devices.
Z8 0
TC 10
ZR 0
ZB 0
ZS 0
ZA 0
Z9 10
U1 0
U2 25
SN 0363-3624
EI 1538-9855
UT WOS:000318004700017
PM 23608913
ER

PT J
AU Koevoets, Rosanne
   de Glas, Nini A.
   Le Bourlout, Catherine
   Huizinga, Tom W. J.
   Allaart, Cornelia F.
   Dougados, Maxime
   Gossec, Laure
TI Autonomous online health assessment questionnaire registry in daily
   clinical practice
SO RHEUMATOLOGY
VL 52
IS 5
BP 883
EP 887
DI 10.1093/rheumatology/kes389
PD MAY 2013
PY 2013
AB Objective. Tight control in RA necessitates frequent disease monitoring;
   patients might participate by self-assessment of their functional
   status. Therefore, we assessed the feasibility and acceptability of
   autonomous online registry of physical functioning.
   Methods. In two tertiary-care centres (in the Netherlands and France),
   consecutive RA patients were approached to perform autonomous registry
   of the HAQ in an electronic medical record. Feasibility and
   acceptability of autonomous HAQ registry was assessed through: (i) the
   percentage of acceptances; (ii) the time needed to register the HAQ (the
   Netherlands); (iii) patient satisfaction with autonomous registry; and
   (iv) willingness for future home-based HAQ completion, either
   self-declared (the Netherlands) or actual file access from home within 6
   months (France).
   Results. In all, 214 patients were approached; 163 agreed to
   participate; 137 (64% of 214) had complete data that were analysed.
   Median age was 56 years (range 20-78 years), 80% were female, median
   disease duration was 9 years. The median time needed to fill in the HAQ
   in the waiting room was 5.8 min; patient satisfaction was high (mean
   score 4.1 out of 5), self-declared willingness for autonomous registry
   at home was 73%. In the 6-month follow-up period, 46% of patients
   accessed their medical file from home at least once.
   Conclusion. Many RA patients reported willingness to self-monitor their
   disease online, but fewer than half of the patients actually did. To
   enhance patient autonomous monitoring, progress is needed in terms of
   Internet access, continuous patient support and, importantly, convincing
   patients that they will benefit from autonomous monitoring.
RI de Glas, Nienke A/AAL-3546-2021; Dougados, Maxime/P-5287-2016; Kramaric, Tomislava Pavic/D-4873-2017; de Glas, Nienke/
OI de Glas, Nienke/0000-0001-8350-4252
TC 11
Z8 0
ZR 0
ZA 0
ZS 0
ZB 1
Z9 11
U1 0
U2 4
SN 1462-0324
EI 1462-0332
UT WOS:000318114400019
PM 23300329
ER

PT J
AU Pascual, Thomas N. B.
   Dondi, Maurizio
   Paez, Diana
   Kashyap, Ravi
   Nunez-Miller, Rodolfo
TI IAEA Programs in Empowering the Nuclear Medicine Profession Through
   Online Educational Resources
SO SEMINARS IN NUCLEAR MEDICINE
VL 43
IS 3
BP 161
EP 166
DI 10.1053/j.semnuclmed.2012.11.005
PD MAY 2013
PY 2013
AB The International Atomic Energy Agency's (IAEA) programme in human
   health aims to enhance the capabilities in Member States to address
   needs related to the prevention, diagnosis, and treatment of diseases
   through the application of nuclear techniques. It has the specific
   mission of fostering the application of nuclear medicine techniques as
   part of the clinical management of certain types of diseases. Attuned to
   the continuous evolution of this specialty as well as to the advancement
   and diversity of methods in delivering capacity building efforts in this
   digital age, the section of nuclear medicine of the IAEA has enhanced
   its program by incorporating online educational resources for nuclear
   medicine professionals into its repertoire of projects to further its
   commitment in addressing the needs of its Member States in the field of
   nuclear medicine. Through online educational resources such as the Human
   Health Campus website, e-learning modules, and scheduled interactive
   webinars, a validation of the commitment by the IAEA in addressing the
   needs of its Member States in the field of nuclear medicine is
   strengthened while utilizing the advanced internet and communications
   technology which is progressively becoming available worldwide. The
   Human Health Campus (< www.humanhealth.iaea.org >) is the online
   educational resources initiative of the Division of Human Health of the
   IAEA geared toward enhancing professional knowledge of health
   professionals in radiation medicine (nuclear medicine and diagnostic
   imaging, radiation oncology, and medical radiation physics), and
   nutrition. E-learning modules provide an interactive learning
   environment to its users while providing immediate feedback for each
   task accomplished. Webinars, unlike webcasts, offer the opportunity of
   enhanced interaction with the learners facilitated through slide shows
   where the presenter guides and engages the audience using video and live
   streaming. This paper explores the IAEA's available online educational
   resources programs geared toward the enhancement of the nuclear medicine
   profession as delivered by the section of nuclear medicine of the IAEA.
   Semin Nucl Med 43:161-166 (C) 2013 Elsevier Inc. All rights reserved.
OI Pascual, Thomas NB/0000-0001-6444-7803
ZS 1
TC 5
ZB 0
ZR 0
ZA 0
Z8 0
Z9 6
U1 0
U2 15
SN 0001-2998
EI 1558-4623
UT WOS:000317445500003
PM 23561452
ER

PT J
AU Patterson, Heather E.
   Nunez, Margarita
   Philotheou, Geraldine M.
   Hutton, Brian F.
TI Meeting the Challenges of Global Nuclear Medicine Technologist Training
   in the 21st Century: The IAEA Distance Assisted Training (DAT) Program
SO SEMINARS IN NUCLEAR MEDICINE
VL 43
IS 3
BP 195
EP 201
DI 10.1053/j.semnuclmed.2012.11.010
PD MAY 2013
PY 2013
AB Many countries have made significant investments in nuclear medicine
   (NM) technology with the acquisition of modern equipment and
   establishment of facilities, however, often appropriate training is not
   considered as part of these investments. Training for NM professionals
   is continually evolving, with a need to meet changing requirements in
   the workforce. Even places where established higher education courses
   are available, these do not necessarily cater to the practical component
   of training and the ever-changing technology that is central to medical
   imaging. The continuing advances in NM technology and growth of
   applications in quantitative clinical assessment place increases the
   pressure on technologists to learn and practice new techniques. Not only
   is training to understand new concepts limited but often there is
   inadequate training in the basics of NM and this can be a major
   constraint to the effective use of the evolving technology. Developing
   appropriate training programs for the broader international NM community
   is one of the goals of the International Atomic Energy Agency (IAEA). A
   particularly successful and relevant development has been the program on
   'distance assisted training (DAD for NM professionals'. The development
   of DAT was initiated in the 1990s through Australian Government funding,
   administered under auspices of the IAEA through its Regional Cooperative
   Agreement, involving most countries in Asia that are Member States of
   the IAEA. The project has resulted in the development of a set of
   training modules which are designed for use under direct supervision in
   the workplace, delivered through means of distance-learning. The program
   has undergone several revisions and peer reviews with the current
   version providing a comprehensive training package that is now available
   online. DAT has been utilized widely in Asia or the Pacific region,
   Latin America, and parts of Africa and Europe. Currently there are
   approximately 1000 registered participants, including persons providing
   student support, in the program. Semin Nucl Med 43:195-201 (C) 2013
   Elsevier Inc. All rights reserved.
ZB 1
ZA 0
ZR 0
ZS 1
Z8 0
TC 6
Z9 7
U1 1
U2 9
SN 0001-2998
UT WOS:000317445500008
PM 23561457
ER

PT J
AU George, Daniel R.
   Dellasega, Cheryl
   Whitehead, Megan M.
   Bordon, Alan
TI Facebook-based stress management resources for first-year medical
   students: A multi-method evaluation
SO COMPUTERS IN HUMAN BEHAVIOR
VL 29
IS 3
BP 559
EP 562
DI 10.1016/j.chb.2012.12.008
PD MAY 2013
PY 2013
AB Student anxiety and doubt about academic performance in the early years
   of medical school have been well documented. Stress management programs
   can be helpful but are challenged by shortages of time, personnel, and
   resources. Therefore, popular online social networks such as Facebook
   may offer an innovative strategy for addressing student stress and
   supporting coping. This pilot study explored whether first-year medical
   students could benefit from a stress management intervention based
   exclusively on Facebook. During orientation week at Penn State College
   of Medicine, participants were randomly assigned to a Facebook stress
   management group that addressed problematic issues during the first
   semester. The intervention took place during the first eleven weeks of
   medical school. A multi-method evaluation of the intervention was
   completed using descriptive statistics for demographics and frequencies
   and qualitative procedures for focus group data. The accessibility and
   ease of use of a Facebook-based stress management program proved
   valuable for medical students, particularly early in the semester when
   engagement was greatest. These preliminary results suggest that medical
   schools might consider adding an online social networking component to
   existing stress management programming. This online strategy may also be
   of benefit to other health professionals and students from other health
   disciplines. (c) 2012 Elsevier Ltd. All rights reserved.
Z8 0
ZA 0
ZR 0
ZB 6
TC 48
ZS 0
Z9 48
U1 3
U2 100
SN 0747-5632
EI 1873-7692
UT WOS:000316769300006
ER

PT J
AU Tapia-Conyer, Roberto
   Gallardo-Rincon, Hector J.
   Garcia-Garcia, Guillermo
   Saucedo-Martinez, Rodrigo
   De la Torre-Campos, Librado
   Renoirte-Lopez, Karina
TI Online CKD education program for health-care professionals
SO KIDNEY INTERNATIONAL SUPPLEMENTS
VL 3
IS 2
BP 174
EP 177
DI 10.1038/kisup.2013.8
PD MAY 2013
PY 2013
AB Online learning has become an increasingly popular approach to medical
   education. We describe the first E-learning Diploma to be offered to
   primary health-care professionals in Mexico that provides comprehensive
   training in the detection and treatment of chronic non-communicable
   diseases. The Diploma is divided into five consecutive modules. Each
   module includes workshops, case discussions, and selected readings that
   include elements of integrated prevention and early detection, changes
   in lifestyle, clinical care, and adequate use of technology. Between 1
   March 2010 and February 2011, 844 students from eight states were
   enrolled. Three hundred sixty-two students were accredited from the
   course, with an average score of 9.6 out of 10; 19% of the students
   scored 10. The main reasons for not finishing the course were poor
   compliance and lack of motivation. The E-Learning Diploma offers a
   valuable educational tool for training health-care professionals in the
   detection and treatment of chronic kidney disease and other chronic
   non-communicable diseases.
OI Tapia-Conyer, Roberto/0000-0001-9425-7322
ZA 0
ZR 0
TC 1
Z8 0
ZS 0
ZB 0
Z9 1
U1 1
U2 8
SN 2157-1724
EI 2157-1716
UT WOS:000319811000008
ER

PT J
AU Adams, E.
   Hill, E.
   Watson, E.
TI Fertility preservation in cancer survivors: a national survey of
   oncologists' current knowledge, practice and attitudes
SO BRITISH JOURNAL OF CANCER
VL 108
IS 8
BP 1602
EP 1615
DI 10.1038/bjc.2013.139
PD APR 30 2013
PY 2013
AB Background: Around 1 in 10 of all cancer cases occur in adults of
   reproductive age. Cancer and its treatments can cause long-term effects,
   such as loss of fertility, which can lead to poor emotional adjustment.
   Unmet information needs are associated with higher levels of anxiety. US
   research suggests that many oncologists do not discuss fertility. Very
   little research exists about fertility information provision in the
   United Kingdom. This study aimed to explore current knowledge, practice
   and attitudes among oncologists in the United Kingdom regarding
   fertility preservation in patients of child-bearing age.
   Methods: A national online survey of 100 oncologists conducted online
   via medeconnect, a company which has exclusive access to the
   doctors.net.uk membership of GMC registered doctors.
   Results: Oncologists saw fertility preservation (FP) as mainly a women's
   issue, and yet only felt knowledgeable about sperm storage, not other
   methods of FP; 87% expressed a need for more information. Most reported
   discussing the impact of treatment on fertility with patients, but only
   38% reported routinely providing patients with written information, and
   1/3 reported they did not usually refer patients who had questions about
   fertility to a specialist fertility service. Twenty-three per cent had
   never consulted any FP guidelines. The main barriers to initiating
   discussions about FP were lack of time, lack of knowledge, perceived
   poor success rates of FP options, poor patient prognosis and, to a
   lesser extent, if the patient already had children, was single, or could
   not afford FP treatment.
   Conclusion: The findings from this study suggest a deficiency in UK
   oncologist's knowledge about FP options and highlights that the
   provision of information to patients about FP may be sub-optimal.
   Oncologists may benefit from further education, and further research is
   required to establish if patients perceive a need for further
   information about FP options.
RI Watson, Eila/R-1182-2019
OI Watson, Eila/0000-0002-3592-1315
TC 113
ZS 1
Z8 5
ZA 0
ZR 0
ZB 28
Z9 118
U1 1
U2 21
SN 0007-0920
EI 1532-1827
UT WOS:000318406400008
PM 23579214
ER

PT J
AU Sin, Jacqueline
   Henderson, Claire
   Pinfold, Vanessa
   Norman, Ian
TI The E Sibling Project - exploratory randomised controlled trial of an
   online multi-component psychoeducational intervention for siblings of
   individuals with first episode psychosis
SO BMC PSYCHIATRY
VL 13
AR 123
DI 10.1186/1471-244X-13-123
PD APR 26 2013
PY 2013
AB Background: Siblings of individuals with first episode psychosis are
   natural partners to promote service users' recovery and are themselves
   vulnerable to mental ill health due to the negative impact of psychosis
   within the family. This study aims to develop and undertake a
   preliminary evaluation of the efficacy of an online multi-component
   psychoeducational intervention for siblings of individuals with first
   episode psychosis. The impetus for the intervention arose from siblings'
   expressed needs for peer support and information on psychosis, coping
   and management strategies for common symptoms and ways to promote
   recovery.
   Methods/Design: The project design draws on the Medical Research Council
   framework for the design and evaluation of complex interventions. Mixed
   methods comprising collection of qualitative focus group data,
   systematic review and expert advisory group consultation are used to
   develop the theoretical basis for and design of the intervention. This
   protocol focuses on the modelling and piloting phase which uses a
   randomised controlled trial with factorial design to test the efficacy
   of the intervention. Outcome data on participants' mental wellbeing,
   knowledge, perceived self-efficacy and experiences of caregiving will be
   assessed at baseline, at end of the intervention (10 weeks later) and at
   10 week follow-up. In addition, a post-intervention semi-structured
   interview with 20% of the participants will explore their experiences
   and acceptability of the intervention.
   Discussion: This multi-component online psychoeducational intervention
   aims to enhance siblings' knowledge about psychosis and their coping
   capacity, thus potentially improving their own mental wellbeing and
   promoting their contribution to service users' recovery. The factorial
   design randomised controlled trial with a supplementary process
   evaluation using semi-structured interviews and usage-monitoring will
   collect preliminary evidence of efficacy, feasibility and acceptability,
   as well as feedback about the barriers and strategies to using such an
   innovative resource. The RCT will provide data for estimating the likely
   effect size of the intervention on outcomes for siblings and inform the
   development of a definitive future trial.
RI Henderson, Claire/E-4664-2010; Norman, Ian J/D-6090-2011; Norman, Ian/; Sin, Jacqueline/
OI Henderson, Claire/0000-0002-6998-5659; Norman, Ian/0000-0001-7567-2977;
   Sin, Jacqueline/0000-0003-0590-7165
ZS 0
ZB 2
ZR 0
TC 22
ZA 0
Z8 0
Z9 22
U1 0
U2 30
EI 1471-244X
UT WOS:000319041000001
PM 23622123
ER

PT J
AU Ilper, H.
   Kunz, T.
   Walcher, F.
   Zacharowski, K.
   Byhahn, C.
CA Gleichberechtigte Erstautoren
TI An online emergency physician - survey demography, education and
   experience of German emergency physicians
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 138
IS 17
BP 880
EP 885
DI 10.1055/s-0033-1343128
PD APR 26 2013
PY 2013
AB Background and objective: German emergency patients are treated by
   (emergency) physicians (EP). The entry level to emergency medicine
   differs. Manual skills experience (e.g. tracheal intubation) and
   knowledge of guidelines are minimum requirements. It is currently
   unclear who works as an EP and what medical experience he or she has.
   Methods: The anonymous survey was online from 10/15/2010 to 11/16/2011
   and distribution was supported by leading physicians informing society
   members. Online networks informed independent physicians.
   Results: 2091 EP took part, 1991 datasets were evaluated, 100 datasets
   were excluded. All results are shown as mean standard deviation and
   range (minimum - maximum). Mean age of the EP was 42 +/- 8 years (26-71
   years), 80% (n = 1604) were male, 20% (n = 387) were female.
   Participants finished medical school in 1997 +/- 8 years (1964-2010).
   Base specialty during rotation was anesthesiology 59%, internal medicine
   32%, surgery 26%, trauma surgery/orthopedics 21%, others 16%.
   Consultants were 75%. Main income source was answered as "hospital
   physician" by 77%, "resident doctor" by 15%, "professional emergency
   physician" by 7%. The participants use a widespread chance for CME
   (Continuing Medical Education).
   Conclusion: The participants appear experienced in medicine and
   emergency medicine. They use a widespread chance for CME. Most of the
   participants work in anaesthesiology.
ZS 0
ZR 0
TC 11
ZB 4
ZA 0
Z8 0
Z9 12
U1 0
U2 2
SN 0012-0472
EI 1439-4413
UT WOS:000319795700006
PM 23592344
ER

PT J
AU Van Sickle, David
   Magzamen, Sheryl
   Maenner, Matthew J.
   Crane, Julian
   Corden, Timothy E.
TI Variability in the Labeling of Asthma among Pediatricians
SO PLOS ONE
VL 8
IS 4
AR e62398
DI 10.1371/journal.pone.0062398
PD APR 24 2013
PY 2013
AB Objective: Few studies have examined variability among physicians in the
   perception and interpretation of asthma symptoms. We report the results
   of a pilot study to investigate the variability of symptom description
   and diagnostic labeling and nomenclature among a group of clinicians
   using standardized audiovisual presentations of asthma.
   Methods: Practicing pediatricians in Wisconsin recruited from an
   electronic mailing list were shown the International Study of Asthma and
   Allergies in Childhood (ISAAC) video questionnaire online, and asked to
   describe the symptoms and signs they observed and suggest possible
   diagnostic labels for each presentation.
   Results: A total of 113 pediatricians (mean age = 43 years; 56% female)
   responded to >= 1 of the 5 video scenes. The number of practitioners who
   described the principal symptom(s) of asthma depicted in the 5 sequences
   ranged from 5.5% for Scene 5 (featuring both dyspnea and wheeze), to
   100% for Scene 4 (featuring cough). The number who suggested label of
   'asthma' as a possible cause of the presentations ranged from 69.7% for
   Scene 3 (featuring nocturnal wheeze), to 92.7% for Scene 2 (featuring
   exercise induced wheeze).
   Conclusion: There is important unexplained variation in the perceptions
   and labeling of asthma symptoms among pediatricians. These differences
   may influence the likelihood of diagnosis and the apparent prevalence of
   asthma. Many participants suggested that the ISAAC video be used in the
   education and training of pediatricians.
OI Van Sickle, David/0000-0002-3703-2060
ZA 0
ZR 0
ZS 0
Z8 0
TC 7
ZB 2
Z9 7
U1 0
U2 2
SN 1932-6203
UT WOS:000318340400106
PM 23638066
ER

PT J
AU Nordfeldt, Sam
   Angarne-Lindberg, Teresia
   Nordwall, Maria
   Krevers, Barbro
TI Parents of Adolescents with Type 1 Diabetes - Their Views on Information
   and Communication Needs and Internet Use. A Qualitative Study
SO PLOS ONE
VL 8
IS 4
AR e62096
DI 10.1371/journal.pone.0062096
PD APR 23 2013
PY 2013
AB Background: Little is known about parents' views on the use of online
   resources for information, education and support regarding childhood
   type 1 diabetes (T1DM). Considering the rapidly evolving new
   communication practices, parents' perspectives need to be explored. The
   main purpose of this paper was to explore parents' perceptions of their
   information-seeking, Internet use, and social networking online. This
   applied to their everyday life, including the contexts of T1DM and
   contact with peers. A second aim was to identify implications for future
   development of Internet use in this respect.
   Methodology/Principal Findings: Twenty-seven parents of 24 young persons
   aged 10-17 with T1DM participated in eight focus group interviews during
   their regular visits to a county hospital. Focus group discussions were
   video/audio-taped, transcribed and analysed using inductive qualitative
   content analysis. Self-reported demographic and medical information was
   also collected. A main theme was Finding things out, including two
   sub-themes, Trust and Suitability. The latter were key factors affecting
   parents' perceptions of online resources. Parents' choice of information
   source was related to the situation, previous experiences and knowledge
   about sources and, most importantly, the level of trust in the source. A
   constantly present background theme was Life situation, including two
   sub-themes, Roles and functions and Emotions and needs. Parents'
   information-seeking regarding T1DM varied greatly, and was closely
   associated with their life situation, the adolescents development phases
   and the disease trajectory.
   Conclusions/Significance: Health practitioners and system developers
   need to focus on creating trust and suitability for users' needs. They
   should understand the children's diverse needs, which depend on their
   life situation, on the children's development, and on the disease
   trajectory. To enhance trust in online health information and support
   services, the participation of local practitioners is crucial.
ZS 1
ZR 0
ZB 7
Z8 0
TC 27
ZA 0
Z9 28
U1 1
U2 37
SN 1932-6203
UT WOS:000318008400136
PM 23626772
ER

PT J
AU Hipple, Bethany
   Nabi-Burza, Emara
   Hall, Nicole
   Regan, Susan
   Winickoff, Jonathan P.
TI Distance-based training in two community health centers to address
   tobacco smoke exposure of children
SO BMC PEDIATRICS
VL 13
AR 56
DI 10.1186/1471-2431-13-56
PD APR 17 2013
PY 2013
AB Background: The CEASE (Clinical Effort Against Secondhand Smoke
   Exposure) intervention was developed to help pediatricians routinely and
   effectively address the harms of family smoking behaviors. Based on
   paper versions of CEASE, we partnered with the American Academy of
   Pediatrics' online education department and developed a completely
   distance-based training, including an online CME training, handouts and
   education materials for families, and phone and email support.
   Methods: The pediatric offices of two low income health clinics with
   primarily Medicaid populations were selected for the study. Pre and post
   intervention data by survey of the parents was collected in both
   practices (Practice 1 n = 470; Practice 2 n = 177). The primary outcome
   for this study was a comparison of rates of clinician's asking and
   advising parents about smoking and smoke-free home and cars.
   Results: Exit surveys of parents revealed statistically significant
   increases in rates of clinicians asking about parental smoking (22% vs.
   41%), smoke-free rules (25% vs. 44%), and asking about other smoking
   household members (26% vs. 48%).
   Conclusions: Through a completely distance based intervention, we were
   able to train pediatricians who see low income children to ask parents
   about smoking, smoke-free home and car rules, and whether other
   household members smoke. Implementing a system to routinely ask about
   family tobacco use and smoke-free home and car rules is a first step to
   effectively addressing tobacco in a pediatric office setting. By knowing
   which family members use tobacco, pediatricians can take the next steps
   to help families become completely tobacco-free.
OI nabi, emara/0000-0002-3910-1824; Regan, Susan/0000-0003-0940-2017
ZR 0
ZA 0
ZS 0
ZB 0
TC 7
Z8 0
Z9 7
U1 0
U2 4
SN 1471-2431
UT WOS:000318613500001
PM 23594832
ER

PT J
AU Farnan, Jeanne M.
   Sulmasy, Lois Snyder
   Worster, Brooke K.
   Chaudhry, Humayun J.
   Rhyne, Janelle A.
   Arora, Vineet M.
CA Amer Coll Phys Ethics
   Amer Coll Phys Council Associates
   Federation State Med Boards
TI Online Medical Professionalism: Patient and Public Relationships: Policy
   Statement From the American College of Physicians and the Federation of
   State Medical Boards
SO ANNALS OF INTERNAL MEDICINE
VL 158
IS 8
BP 620
EP +
DI 10.7326/0003-4819-158-8-201304160-00100
PD APR 16 2013
PY 2013
AB User-created content and communications on Web-based applications, such
   as networking sites, media sharing sites, or blog platforms, have
   dramatically increased in popularity over the past several years, but
   there has been little policy or guidance on the best practices to inform
   standards for the professional conduct of physicians in the digital
   environment. Areas of specific concern include the use of such media for
   nonclinical purposes, implications for confidentiality, the use of
   social media in patient education, and how all of this affects the
   public's trust in physicians as patient-physician interactions extend
   into the digital environment. Opportunities afforded by online
   applications represent a new frontier in medicine as physicians and
   patients become more connected. This position paper from the American
   College of Physicians and the Federation of State Medical Boards
   examines and provides recommendations about the influence of social
   media on the patient-physician relationship, the role of these media in
   public perception of physician behaviors, and strategies for
   physician-physician communication that preserve confidentiality while
   best using these technologies. Ann Intern Med. 2013;158:620-627.
   www.annals.org For author affiliations, see end of text. This article
   was published at www.annals.org on 11 April 2013.
OI Arora, Vineet/0000-0002-4745-7599
TC 230
ZB 37
ZS 4
ZA 0
ZR 0
Z8 0
Z9 232
U1 2
U2 57
SN 0003-4819
EI 1539-3704
UT WOS:000318062100018
PM 23579867
ER

PT J
AU Vanderhoek, Amanda J.
   Hammal, Fadi
   Chappell, Alyssa
   Wild, T. Cameron
   Raupach, Tobias
   Finegan, Barry A.
TI Future physicians and tobacco: an online survey of the habits, beliefs
   and knowledge base of medical students at a Canadian University
SO TOBACCO INDUCED DISEASES
VL 11
AR 9
DI 10.1186/1617-9625-11-9
PD APR 4 2013
PY 2013
AB Background: Little is known about the knowledge and attitudes towards
   tobacco use among medical students in Canada. Our objectives were to
   estimate the prevalence of tobacco use among medical students, assess
   their perceived level of education about tobacco addiction management
   and their preparedness to address tobacco use with their future
   patients.
   Methods: A cross-sectional online survey was administered to University
   of Alberta undergraduate medical school trainees. The 32-question survey
   addressed student demographics, tobacco use, knowledge and attitudes
   around tobacco and waterpipe smoking, tobacco education received in
   medical school, as well as knowledge and competency regarding tobacco
   cessation interventions.
   Results: Of 681 polled students, 301 completed the survey. Current
   (defined as "use within the last 30 days") cigarette, cigar/cigarillo
   and waterpipe smoking prevalence was 3.3%, 6% and 6%, respectively. One
   third of the respondents had ever smoked a cigarette, but 41% had tried
   cigars/cigarillos and 40% had smoked a waterpipe at some time in the
   past. Students reported moderate levels of education on a variety of
   tobacco-related subjects but were well-informed on the role of tobacco
   in disease causation. The majority of students in their final two years
   of training felt competent to provide tobacco cessation interventions,
   but only 10% definitively agreed that they had received enough training
   in this area.
   Conclusions: Waterpipe exposure/current use was surprisingly high among
   this sample of medical students, a population well educated about the
   role of tobacco in disease causation. The majority of respondents
   appeared to be adequately prepared to manage tobacco addiction but
   education could be improved, particularly training in behavioral
   modification techniques used in tobacco use cessation.
RI Raupach, Tobias/H-4737-2014
Z8 0
ZB 3
TC 26
ZS 2
ZA 0
ZR 0
Z9 27
U1 0
U2 5
SN 1617-9625
UT WOS:000327204500001
PM 23557392
ER

PT J
AU Mistraletti, Giovanni
   Mantovani, Elena S.
   Cadringher, Paolo
   Cerri, Barbara
   Corbella, Davide
   Umbrello, Michele
   Anania, Stefania
   Andrighi, Elisa
   Barello, Serena
   Di Carlo, Alessandra
   Martinetti, Federica
   Formenti, Paolo
   Spanu, Paolo
   Iapichino, Gaetano
CA SedaEN Investigators
TI Enteral vs. intravenous ICU sedation management: study protocol for a
   randomized controlled trial
SO TRIALS
VL 14
AR 92
DI 10.1186/1745-6215-14-92
PD APR 3 2013
PY 2013
AB Background: A relevant innovation about sedation of long-term Intensive
   Care Unit (ICU) patients is the 'conscious target': patients should be
   awake even during the critical phases of illness. Enteral sedative
   administration is nowadays unusual, even though the gastrointestinal
   tract works soon after ICU admission. The enteral approach cannot
   produce deep sedation; however, it is as adequate as the intravenous
   one, if the target is to keep patients awake and adapted to the
   environment, and has fewer side effects and lower costs.
   Methods/Design: A randomized, controlled, multicenter, single-blind
   trial comparing enteral and intravenous sedative treatments has been
   done in 12 Italian ICUs. The main objective was to achieve and maintain
   the desired sedation level: observed RASS = target RASS +/- 1. Three
   hundred high-risk patients were planned to be randomly assigned to
   receive either intravenous propofol/midazolam or enteral
   melatonin/hydroxyzine/lorazepam. Group assignment occurred through
   online minimization process, in order to balance variables potentially
   influencing the outcomes (age, sex, SAPS II, type of admission, kidney
   failure, chronic obstructive pulmonary disease, sepsis) between groups.
   Once per shift, the staff recorded neurological monitoring using
   validated tools. Three flowcharts for pain, sedation, and delirium have
   been proposed; they have been designed to treat potentially correctable
   factors first, and, only once excluded, to administer neuroactive drugs.
   The study lasted from January 24 to December 31, 2012. A total of 348
   patients have been randomized, through a centralized website, using a
   specific software expressly designed for this study. The created network
   of ICUs included a mix of both university and non-university hospitals,
   with different experience in managing enteral sedation. A dedicated
   free-access website was also created, in both Italian and English, for
   continuous education of ICU staff through CME courses.
   Discussion: This 'educational research' project aims both to compare two
   sedative strategies and to highlight the need for a profound cultural
   change, improving outcomes by keeping critically-ill patients awake.
   Trial registration number: Clinicaltrials.gov #NCT01360346
RI Lucchini, Alberto AL/L-7507-2016; FORMENTI, Paolo/GLR-4902-2022; Mistraletti, Giovanni/O-5859-2017; Barello, Serena/ABD-6168-2020; Lucchini, Alberto/O-2160-2019; Gattinoni, Luciano/; Rezoagli, Emanuele/; Protti, Alessandro/; Umbrello, Michele/
OI Lucchini, Alberto AL/0000-0002-7475-277X; FORMENTI,
   Paolo/0000-0001-8081-7480; Mistraletti, Giovanni/0000-0001-8322-1623;
   Barello, Serena/0000-0002-8514-2563; Lucchini,
   Alberto/0000-0002-7475-277X; Gattinoni, Luciano/0000-0001-5380-2494;
   Rezoagli, Emanuele/0000-0002-4506-7212; Protti,
   Alessandro/0000-0002-0172-6079; Umbrello, Michele/0000-0003-4356-3543
ZA 0
TC 15
ZS 0
Z8 0
ZR 0
ZB 4
Z9 16
U1 0
U2 7
EI 1745-6215
UT WOS:000318735800001
PM 23551983
ER

PT J
AU James, David
   Yates, Janet
   Ferguson, Eamonn
TI Can the 12-item general health questionnaire be used to identify medical
   students who might 'struggle' on the medical course? A prospective study
   on two cohorts
SO BMC MEDICAL EDUCATION
VL 13
AR 48
DI 10.1186/1472-6920-13-48
PD APR 2 2013
PY 2013
AB Background: Students who fail to thrive on the Nottingham undergraduate
   medical course frequently suffer from anxiety, depression or other
   mental health problems. These difficulties may be the cause, or the
   result of, academic struggling. Early detection of vulnerable students
   might direct pastoral care and remedial support to where it is needed.
   We investigated the use of the short-form General Health Questionnaire
   (GHQ-12) as a possible screening tool.
   Methods: Two consecutive cohorts (2006 and 2007) were invited to
   complete the GHQ-12. The questionnaire was administered online, during
   the second semester (after semester 1 exams) for the 2006 cohort and
   during the first semester for the 2007 cohort. All data were held
   securely and confidentially. At the end of the course, GHQ scores were
   examined in relation to course progress.
   Results: 251 students entered the course in 2006 and 254 in 2007; 164
   (65%) and 160 (63%), respectively, completed the GHQ-12. In both
   cohorts, the study and non-study groups were very similar in terms of
   pre-admission socio-demographic characteristics and overall course
   marks. In the 2006 study group, the GHQ Likert score obtained part-way
   through the first year was negatively correlated with exam marks during
   Years 1 and 2, but the average exam mark in semester 1 was the sole
   independent predictor of marks in semester 2 and Year 2. No correlations
   were found for the 2007 study group but the GHQ score was a weak
   positive predictor of marks in semester 2, with semester 1 average exam
   mark again being the strongest predictor. A post-hoc moderated-mediation
   analysis suggested that significant negative associations of GHQ scores
   with semester 1 and 2 exams applied only to those who completed the GHQ
   after their semester 1 exams. Students who were identified as GHQ
   'cases' in the 2006 group were statistically less likely to complete the
   course on time (OR = 4.74, p 0.002). There was a non-significant trend
   in the same direction in the 2007 group.
   Conclusions: Results from two cohorts provide insufficient evidence to
   recommend the routine use of the GHQ-12 as a screening tool. The timing
   of administration could have a critical influence on the results, and
   the theoretical and practical implications of this finding are
   discussed. Low marks in semester 1 examinations seem be the best single
   indicator of students at risk for subsequent poor performance.
OI Ferguson, Eamonn/0000-0002-7678-1451
TC 15
ZA 0
ZS 2
ZR 0
ZB 3
Z8 0
Z9 17
U1 0
U2 33
SN 1472-6920
UT WOS:000317360500001
PM 23548161
ER

PT J
AU Carey, S.
   Ferrie, S.
   Ryan, R.
   Beaton, J.
   Young, J.
   Allman-Farinelli, M.
TI Long-term nutrition intervention following major upper gastrointestinal
   surgery: a prospective randomized controlled trial
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 67
IS 4
BP 324
EP 329
DI 10.1038/ejcn.2013.17
PD APR 2013
PY 2013
AB BACKGROUND/OBJECTIVES: Nutritional status has been shown to affect
   quality of life, tolerance of future treatments and survival in people
   having undergone major upper gastrointestinal surgery. The objective of
   this trial was to assess the impact of intense individualized dietary
   advice following major upper gastrointestinal surgery on nutritional
   status, dietary intake, gastrointestinal symptoms and quality of life,
   compared to the current usual care.
   SUBJECTS/METHODS: On discharge from hospital, people having had major
   upper gastrointestinal surgery were randomized to have dietetic
   follow-up fortnightly for 6 months or to a control group. Data
   collection was conducted at baseline, and at 1, 3 and 6 months.
   RESULTS: Twenty-seven people were randomized to either the intervention
   or control group. There was a small but non-significant difference in
   percent weight loss in the intervention (-0.8 +/- 8.8) compared to the
   control group (-2.7 +/- 9.7) at 6 months. There were no other
   differences between the two groups.
   CONCLUSIONS: This small study did not demonstrate that intense
   individualized dietary advice leads to improvements in nutritional
   status and quality of life for people having had major upper
   gastrointestinal surgery. The study does highlight that this group is at
   high nutritional risk, and does support the need for a larger
   multicentre study. European Journal of Clinical Nutrition (2013) 67,
   324-329; doi:10.1038/ejcn.2013.17; published online 6 February 2013
OI Ferrie, Suzie/0000-0001-6100-0117
Z8 4
ZA 0
ZB 2
TC 9
ZR 0
ZS 1
Z9 13
U1 1
U2 17
SN 0954-3007
EI 1476-5640
UT WOS:000317036600004
PM 23388664
ER

PT J
AU Kaczmarczyk, Joseph M.
   Chuang, Alice
   Dugoff, Lorraine
   Abbott, Jodi F.
   Cullimore, Amie J.
   Dalrymple, John
   Davis, Katrina R.
   Hueppchen, Nancy A.
   Katz, Nadine T.
   Nuthalapaty, Francis S.
   Pradhan, Archana
   Wolf, Abigail
   Casey, Petra M.
TI e-Professionalism: A New Frontier in Medical Education
SO TEACHING AND LEARNING IN MEDICINE
VL 25
IS 2
BP 165
EP 170
DI 10.1080/10401334.2013.770741
PD APR 1 2013
PY 2013
AB Background: This article, prepared by the Association of Professors of
   Gynecology and Obstetrics Undergraduate Medical Education Committee,
   discusses the evolving challenges facing medical educators posed by
   social media and a new form of professionalism that has been termed
   e-professionalism. Summary: E-professionalism is defined as the
   attitudes and behaviors that reflect traditional professionalism
   paradigms but are manifested through digital media. One of the major
   functions of medical education is professional identity formation;
   e-professionalism is an essential and increasingly important element of
   professional identity formation, because the consequences of violations
   of e-professionalism have escalated from academic sanctions to
   revocation of licensure. Conclusion: E-professionalism should be
   included in the definition, teaching, and evaluation of medical
   professionalism. Curricula should include a positive approach for the
   proper professional use of social media for learners.
OI Dalrymple, John/0000-0001-5183-1937; /0000-0001-5101-3299
ZB 3
ZS 2
ZR 0
Z8 0
TC 48
ZA 0
Z9 50
U1 0
U2 33
SN 1040-1334
EI 1532-8015
UT WOS:000316654100010
PM 23530680
ER

PT J
AU Perez, Bradford A.
   von Isenburg, Megan A.
   Yu, Miao
   Tuttle, Brandi D.
   Adams, Martha B.
TI Exploring the impact of tablet computers on medical training at an
   academic medical center
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 101
IS 2
BP 154
EP 157
DI 10.3163/1536-5050.101.2.012
PD APR 2013
PY 2013
RI Tuttle, Brandi/I-8252-2014; von Isenburg, Megan/R-8105-2016; von Isenburg, Megan/
OI Tuttle, Brandi/0000-0003-3726-853X; von Isenburg,
   Megan/0000-0001-6084-5775
ZB 2
ZS 0
Z8 0
ZR 0
ZA 0
TC 6
Z9 7
U1 0
U2 9
SN 1536-5050
UT WOS:000319858300012
PM 23646032
ER

PT J
AU Okita, Sandra Y.
   Turkay, Selen
   Kim, Mihwa
   Murai, Yumiko
TI Learning by teaching with virtual peers and the effects of technological
   design choices on learning
SO COMPUTERS & EDUCATION
VL 63
BP 176
EP 196
DI 10.1016/j.compedu.2012.12.005
PD APR 2013
PY 2013
AB Advancements in technology have brought about new forms of learning and
   online instruction that allow communication through virtual
   representations without physically meeting in person. This study builds
   on previous work involving recursive feedback that tests the hypothesis
   that an important facet of learning-by-teaching is the opportunity to
   watch one's pupil perform. Sixty graduate students examined the value of
   recursive feedback that occurred when tutors observed their pupil
   subsequently apply what they had been taught. The study took place in
   the virtual environment Second Life where adults tutored another adult
   about human biology through their virtual representations. The tutors
   who observed their pupil avatar interact with an examiner exhibited
   superior learning relative to several control conditions that included
   learning-by-teaching elements but not recursive feedback. The second
   study examined the effect of popular design choices on recursive
   feedback during learning-by-teaching (e.g., customization, look-alike
   features). The customization condition involved tutoring a pupil avatar
   that the participant customized prior to the study and observing the
   pupil avatar answer questions. The doppelganger look-alike condition
   involved tutoring a pupil avatar that looked like the participant and
   observing the pupil avatar answer questions. Results showed that
   conscious awareness of look-alike features and the extent to which one
   customizes the pupil avatar influences learning. (C) 2012 Elsevier Ltd.
   All rights reserved.
RI lopez, Silvia/C-9946-2014; Turkay, Selen/K-6199-2017
OI Turkay, Selen/0000-0001-8684-2070
ZB 0
ZS 0
ZR 0
Z8 0
ZA 0
TC 26
Z9 26
U1 0
U2 45
SN 0360-1315
EI 1873-782X
UT WOS:000317369900017
ER

PT J
AU Tergas, Ana I.
   Sheth, Sangini B.
   Green, Isabel C.
   Giuntoli, Robert L., II
   Winder, Abigail D.
   Fader, Amanda N.
TI A Pilot Study of Surgical Training Using a Virtual Robotic Surgery
   Simulator
SO JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
VL 17
IS 2
BP 219
EP 226
DI 10.4293/108680813X13654754535872
PD APR-JUN 2013
PY 2013
AB Background and Objectives: Our objectives were to compare the utility of
   learning a suturing task on the virtual reality da Vinci Skills
   Simulator versus the da Vinci Surgical System dry laboratory platform
   and to assess user satisfaction among novice robotic surgeons.
   Methods: Medical trainees were enrolled prospectively; one group trained
   on the virtual reality simulator, and the other group trained on the da
   Vinci dry laboratory platform. Trainees received pretesting and
   post-testing on the dry laboratory platform. Participants then completed
   an anonymous online user experience and satisfaction survey.
   Results: We enrolled 20 participants. Mean pretest completion times did
   not significantly differ between the 2 groups. Training with either
   platform was associated with a similar decrease in mean time to
   completion (simulator platform group, 64.9 seconds [P = .04]; dry
   laboratory platform group, 63.9 seconds [P < .01]). Most participants
   (58%) preferred the virtual reality platform. The majority found the
   training "definitely useful" in improving robotic surgical skills (mean,
   4.6) and would attend future training sessions (mean, 4.5).
   Conclusion: Training on the virtual reality robotic simulator or the dry
   laboratory robotic surgery platform resulted in significant improvements
   in time to completion and economy of motion for novice robotic surgeons.
   Although there was a perception that both simulators improved
   performance, there was a preference for the virtual reality simulator.
   Benefits unique to the simulator platform include autonomy of use,
   computerized performance feedback, and ease of setup. These features may
   facilitate more efficient and sophisticated simulation training above
   that of the conventional dry laboratory platform, without loss of
   efficacy.
ZB 3
TC 24
ZA 0
ZR 0
ZS 0
Z8 1
Z9 25
U1 0
U2 11
SN 1086-8089
UT WOS:000323045800009
PM 23925015
ER

PT J
AU Su, N.
   Cheang, P. P.
   Khalil, H.
TI Do rhinology care pathways in primary care influence the quality of
   referrals to secondary care?
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 127
IS 4
BP 364
EP 367
DI 10.1017/S0022215113000169
PD APR 2013
PY 2013
AB Background: Chronic sinusitis is the most common routine presentation
   for a general ENT surgeon. The 2007 'Primary Care Guidelines: European
   Position Paper on the Primary Care Diagnosis and Management of
   Rhinosinusitis and Nasal Polyps' aimed to deliver evidence-based
   guidelines for the diagnosis and management of rhinosinusitis in
   specialist and primary care.
   Objective: The aim of this audit was to assess the information provided
   in the referral letters to the ENT department regarding patients with
   potential rhinosinusitis, and compare this to the information required
   for the rhinology care pathways.
   Method: We evaluated one month of referrals to the ENT department.
   Results: The quality of information in the referral letters was poor.
   Only 22 per cent of patient referrals included basic information about
   symptoms, duration and treatment.
   Conclusion: We plan to investigate why general practitioners are not
   complying with the pathway. In addition, the pathways will be more
   widely disseminated via the 'Map of Medicine' (an online resource for
   general practitioners). This should facilitate the receipt of the best
   evidence-based treatment for patients prior to referral to secondary
   care.
RI Khalil, Hisham/GSN-0324-2022; Khalil, Hisham/
OI Khalil, Hisham/0000-0003-0472-9336
Z8 0
TC 7
ZR 0
ZA 0
ZS 0
ZB 0
Z9 7
U1 2
U2 5
SN 0022-2151
EI 1748-5460
UT WOS:000317235200008
PM 23480558
ER

PT J
AU Zalpuri, Saurabh
   Middelburg, Rutger A.
   van de Watering, Leo
   Vamvakas, Eleftherios
   Zwaginga, Jaap Jan
   van der Born, Johanna G.
TI Association Vs Causality in Transfusion Medicine: Understanding
   Multivariable Analysis in Prediction Vs Etiologic Research
SO TRANSFUSION MEDICINE REVIEWS
VL 27
IS 2
BP 74
EP 81
DI 10.1016/j.tmrv.2013.02.002
PD APR 2013
PY 2013
AB In the current medical literature, etiologic and prediction research
   aims are frequently confused. Investigators tend to use principles from
   prediction research for their etiologic research questions, which
   results in misleading interpretation of risk factor findings at hand. We
   used a questionnaire-based survey to quantify the proportion of
   International Society of Blood Transfusion (ISBT) 2012, Cancun, visitors
   who felt confident with a causal interpretation of a stepwise logistic
   regression model. We designed and distributed a short online
   questionnaire survey addressing questions about a constructed abstract
   entitled "Association of transfusion and clinical outcomes in a large
   cohort" among the participants of ISBT 2012, Cancun. In addition to
   asking questions about the demographics (age, sex, country of
   employment, and highest education level) of the participants, we
   designed 7 statements representing possible interpretations of the
   findings presented in the abstract and asked the participants to mark
   Agree, Disagree, or Do Not Know for each statement. Based on the
   responses to these statements, we quantified the proportion of
   participants who inferred causality from stepwise multivariable models
   built to examine a question of association (or prediction). Thirty
   percent to 40% of the respondents agreed that a stepwise model was a
   valid method to adjust for confounding, and 60% of them agreed to a
   causal interpretation of a model built for prediction purposes. These
   findings suggest that a large proportion of ISBT visitors confuse
   etiology with prediction in the published transfusion medicine research.
   Using the results as a platform, we aim to delineate the distinction
   between etiologic and prediction research, issues of confounding
   accompanying these research aims and how a multivariable model deals
   with confounding. (C) 2013 Elsevier Inc. All rights reserved.
RI Middelburg, Rutger/N-9134-2017; van der Bom, Johanna G./G-1965-2018
OI Middelburg, Rutger/0000-0002-6545-7277; van der Bom, Johanna
   G./0000-0001-9095-2475
ZS 0
ZA 0
ZR 0
ZB 7
Z8 0
TC 12
Z9 12
U1 0
U2 2
SN 0887-7963
EI 1532-9496
UT WOS:000317796300002
PM 23489995
ER

PT J
AU Wulff-Burchfield, E. M.
   Jagasia, M.
   Savani, B. N.
TI Long-term follow-up of informal caregivers after allo-SCT: a systematic
   review
SO BONE MARROW TRANSPLANTATION
VL 48
IS 4
BP 469
EP 473
DI 10.1038/bmt.2012.123
PD APR 2013
PY 2013
AB Currently, more than 40 000 patients undergo allogeneic hematopoietic
   SCT (HSCT) annually throughout the world, and the numbers are increasing
   rapidly. Long-term survival after allogeneic-HSCT (allo-HSCT) has also
   improved significantly since its inception over 40 years ago due to
   improved supportive care and early recognition of long-term
   complications. In long-term follow-up after transplantation, the focus
   of care moves beyond cure of the original disease to late effects and
   quality of life. Nearly one-fourth of the long-term survivors are likely
   to have chronic consequences of HSCT, which require frequent help by
   caregivers, particularly informal caregivers such as spouses, partners
   or children. The physical and psychosocial consequences for patients
   undergoing HSCT have been extensively reported. There has, however, been
   far less investigation into the long-term follow-up of caregivers of
   HSCT recipients. This article provides an overview on addressing
   caregiver issues after HSCT. The rapidly growing population of long-term
   HSCT survivors creates an obligation not only to educate patients and
   physicians about the late complications observed in patients but also to
   follow up caregivers for their psychosocial support needs. Bone Marrow
   Transplantation (2013) 48, 469-473; doi: 10.1038/bmt.2012.123; published
   online 25 June 2012
ZR 0
TC 28
ZS 3
ZB 5
Z8 0
ZA 0
Z9 30
U1 0
U2 17
SN 0268-3369
UT WOS:000317032500001
PM 22732697
ER

PT J
AU Arch, Joanna J.
TI Pregnancy-specific anxiety: which women are highest and what are the
   alcohol-related risks?
SO COMPREHENSIVE PSYCHIATRY
VL 54
IS 3
BP 217
EP 228
DI 10.1016/j.comppsych.2012.07.010
PD APR 2013
PY 2013
AB In a national US sample of pregnant women (n=311), we investigated the
   question of who becomes highly anxious about pregnancy by examining
   putative sociodemographic, pregnancy- and mental health-related
   predictors of pregnancy anxiety. We also assessed the contribution of
   pregnancy anxiety to the risk of significant alcohol consumption during
   pregnancy. English-speaking pregnant women aged 18+years were recruited
   online. Results indicated that sociodemographic factors (younger age,
   white, unmarried, lower education, lower household income, no previous
   children), feelings about current pregnancy (unwanted), and general
   anxiety (higher general and state anxiety) predicted higher
   pregnancy-related anxiety, whereas age, religiosity, number of weeks
   pregnant, unplanned pregnancy, and maternal depressive symptoms did not.
   Pregnancy anxiety was the single strongest predictor of alcohol drinking
   risk during pregnancy (p<.001, Delta R-2=.10) a relationship that held
   after controlling for other significant predictors. Pregnancy anxiety
   also represented the strongest predictor of screening positively for
   drinking risk during pregnancy at the total T-ACE (an alcohol risk
   screener for pregnancy) level of 3+ (odds ratio 95% CI=1.61-4.14,
   p<.001), though not at the level of 2+ (odds ratio 95% CI=0.98-1.68,
   p=.07). We discuss implications for the link between maternal mental
   health and birth/ child outcomes. (C) 2013 Elsevier Inc. All rights
   reserved.
ZB 17
ZS 0
ZR 0
ZA 0
TC 58
Z8 3
Z9 61
U1 0
U2 31
SN 0010-440X
EI 1532-8384
UT WOS:000317246500003
PM 22943960
ER

PT J
AU Schuld, C.
   Wiese, J.
   Franz, S.
   Putz, C.
   Stierle, I.
   Smoor, I.
   Weidner, N.
   Rupp, R.
CA EMSCI Study Grp
TI Effect of formal training in scaling, scoring and classification of the
   International Standards for Neurological Classification of Spinal Cord
   Injury
SO SPINAL CORD
VL 51
IS 4
BP 282
EP 288
DI 10.1038/sc.2012.149
PD APR 2013
PY 2013
AB Study Design: Prospective, longitudinal cohort study.
   Objectives: To quantify the effect of formal training in the
   International Standards for Neurological Classification of Spinal Cord
   Injury (ISNCSCI) on the classification accuracy and to identify the most
   difficult ISNCSCI rules.
   Settings: European Multicenter Study on Human Spinal Cord Injury
   (EMSCI).
   Methods: EMSCI participants rated five challenging cases of full
   sensory, motor and anorectal examinations before (pre-test) and after
   (post-test) an ISNCSCI instructional course. Classification variables
   included sensory and motor levels (ML), completeness, ASIA Impairment
   Scale (AIS) and the zones of partial preservation.
   Results: 106 attendees were trained in 10 ISNCSCI workshops since 2006.
   The number of correct classifications increased significantly
   (P<0.00001) from 49.6% (2628 of 5300) in pre-testing to 91.5% (4849 of
   5300) in post-testing. Every attendee improved, 12 (11.3%) achieved 100%
   correctness. Sensory levels (96.8%) and completeness (96.2%) are easiest
   to rate in post-testing, while ML (81.9%) and AIS (88.1%) are more
   difficult to determine. Most of the errors in ML determination arise
   from sensory levels in the high cervical region (C2-C4), where by
   convention the ML is presumed to be the same as the sensory level. The
   most difficult step in AIS classification is the determination of motor
   incompleteness.
   Conclusion: ISNCSCI training significantly improves the classification
   skills regardless of the experience in spinal cord injury medicine.
   These findings need to be considered for the appropriate preparation and
   interpretation of clinical trials in spinal cord injury. Spinal Cord
   (2013) 51, 282-288; doi:10.1038/sc.2012.149; published online 27
   November 2012
ZA 0
ZR 1
ZS 0
ZB 23
Z8 1
TC 46
Z9 48
U1 1
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000317107400006
PM 23184026
ER

PT J
AU Newman, Robert J.
   Cummings, Doyle M.
   Lukosius, Eric
   Patel, Hiren
   Carmon, Trena
TI A Survey of Exercise Stress Test Training in US Family Medicine
   Residency Programs
SO FAMILY MEDICINE
VL 45
IS 4
BP 247
EP 251
PD APR 2013
PY 2013
AB BACKGROUND AND OBJECTIVES: Only 12 % of family physicians perform
   exercise stress testing (EST) in the office even though there are many
   indications for its use. The purpose of this study was to obtain updated
   information about attitudes toward EST training from family medicine
   residency program directors in the United States.
   METHODS: A survey regarding EST training was designed and sent to all US
   family medicine residency program directors by e-mail and online survey
   method with telephone follow-up for non-respondents.
   RESULTS: A total of 179 responses were received from 440 US family
   medicine programs, for a 41% response rate. A majority (77%) of program
   directors felt office-based EST was a valuable test for risk
   stratification, and 64% felt that family physicians should offer this
   test in the office. Despite these attitudes, only 33% of family medicine
   residency programs offer EST in their offices now, and only 36% of
   programs reported offering EST training to their residents. This
   reflects a 16% reduction compared to the last survey done in 1993. The
   most important barriers to EST training reported were lack of equipment
   and lack of expert faculty.
   DISCUSSION: Most family medicine training programs want to train their
   residents in performing EST, but only 36% are doing so. Specifically
   addressing the barriers to this training will be key to more widespread
   use of this important test in family medicine settings. (Fam Med
   2013;45(4):247-51.)
OI CUMMINGS, DOYLE/0000-0002-8237-7885
ZB 0
Z8 0
ZA 0
TC 0
ZS 0
ZR 0
Z9 0
U1 0
U2 2
SN 0742-3225
UT WOS:000317258200004
PM 23553087
ER

PT J
AU Jones, Emma
   Sinclair, Julia M. A.
   Holt, Richard I. G.
   Barnard, Katharine D.
TI Social Networking and Understanding Alcohol-Associated Risk for People
   with Type 1 Diabetes: Friend or Foe?
SO DIABETES TECHNOLOGY & THERAPEUTICS
VL 15
IS 4
BP 308
EP 314
DI 10.1089/dia.2012.0327
PD APR 2013
PY 2013
AB Background: Online communication has become popular in recent years,
   especially for young people. Limited research exists into how people
   with type 1 diabetes mellitus (T1DM) discuss risks about diabetes.
   Alcohol use by people with T1DM, as in the rest of society, is common
   and may adversely affect diabetes management. This study reviewed the
   literature on social networking as a communication tool and conducted a
   systematic search of social networking sites to determine whether people
   with T1DM use them to discuss risks associated with diabetes and alcohol
   consumption.
   Materials and Methods: Systematic literature review was performed
   followed by an Internet search and forum identification relating to T1DM
   and alcohol. Qualitative coding and thematic analysis of publicly
   available data retrieved from social networking sites were undertaken.
   Results: In the literature review, 292 articles were identified, of
   which six met the inclusion criteria. Widespread use of social media for
   medical advice pertaining to diabetes was reported. The quality and
   safety of online advice were reported as variable. Ten Web sites with
   247 individual postings about alcohol and diabetes were selected for
   analysis, which revealed six themes ranging from safety and seeking and
   provision of advice to wider views about behaviors, opinions, and
   experiences of people with T1DM and alcohol. No specific professional
   health information was identified on any sites, and inaccurate
   information was common.
   Conclusions: Online resources are used by people with T1DM to find
   information about diabetes and alcohol consumption. Easily signposted
   and accessible professional online resources would ensure people can
   access appropriate advice to minimize risks of alcohol use.
RI Sinclair, Julia/AAD-8049-2019; Holt, Richard/
OI Sinclair, Julia/0000-0002-1905-2025; Holt, Richard/0000-0001-8911-6744
ZR 0
ZA 0
ZS 0
TC 19
ZB 4
Z8 0
Z9 19
U1 0
U2 25
SN 1520-9156
EI 1557-8593
UT WOS:000317347400006
PM 23421853
ER

PT J
AU Chisholm, Christopher B.
   Dodge, William R.
   Balise, Ray R.
   Williams, Sarah R.
   Gharahbaghian, Laleh
   Beraud, Anne-Sophie
TI FOCUSED CARDIAC ULTRASOUND TRAINING: HOW MUCH IS ENOUGH?
SO JOURNAL OF EMERGENCY MEDICINE
VL 44
IS 4
BP 818
EP 822
DI 10.1016/j.jemermed.2012.07.092
PD APR 2013
PY 2013
AB Background: Focused transthoracic echocardiography (F-TTE) is an
   important tool to assess hemodynamically unstable patients in the
   Emergency Department. Although its scope has been defined by the
   American College of Emergency Physicians, more research is needed to
   define an optimal F-TTE training program, including assessment of
   proficiency. Objective: The goal of this study was to determine the
   effectiveness of current standards in post-residency training to reach
   proficiency in F-TTE. Methods: Fourteen staff Emergency Physicians were
   enrolled in a standardized teaching curriculum specifically designed to
   meet the 2008 American College of Emergency Physicians' guidelines for
   general ultrasound training applied to echocardiography. This training
   program consisted of 6 h of didactics and 6 h of scanning training,
   followed by independent scanning over a 5-month period. Acquisition of
   echocardiographic knowledge was assessed by an online pre- and
   post-test. At the conclusion of the study, a hands-on skills test
   assessed the trainees' ability to perform and interpret F-TTE. Results:
   Ninety percent of trainees passed the written post-test. Two views, the
   parasternal long and short axis, were easily obtainable, regardless of
   the level of training or the number of ultrasounds completed. Other
   views were more difficult to master, but strong trends toward increased
   competency were evident after 10 h of mixed didactic and scanning
   training and > 45 ultrasounds. Conclusions: A short, 12-h didactic
   training in F-TTE provided proficiency in image interpretation and in
   obtaining adequate images from the parasternal window. More extensive
   training is needed to master the apical and subcostal windows in a
   timely manner. Published by Elsevier Inc.
OI Balise, Raymond/0000-0002-9856-5901
TC 32
ZB 5
ZA 0
Z8 0
ZR 0
ZS 1
Z9 33
U1 0
U2 9
SN 0736-4679
EI 1090-1280
UT WOS:000317282000024
PM 23351569
ER

PT J
AU Tobin, Catherine D.
   Clark, Carlee A.
   McEvoy, Matthew D.
   Reves, J. G.
   Schaefer, John J.
   Wolf, Bethany J.
   Reeves, Scott T.
TI An Approach to Moderate Sedation Simulation Training
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 8
IS 2
BP 114
EP 123
DI 10.1097/SIH.0b013e3182786209
PD APR 2013
PY 2013
AB Introduction: Each year millions of patients undergo procedures that
   require moderate sedation. These patients are at risk of complications
   from oversedation that can progress to respiratory depression or even
   death. This article describes the creation of a simulation-based medical
   education course for nonanesthesiologists who use sedation in their
   specialty practice and preliminary data from our precourse and
   postcourse assessments.
   Methods: Our course combined online and lecture-based didactics with
   simulation education to teach moderate sedation and basic emergency
   airway management to nonanesthesiologists. After online precourse
   materials were reviewed, participants attended an 8-hour
   simulation-based training course focused on the recognition of different
   levels of sedation, medication titration, sedation reversal, and airway
   support and rescue. To evaluate the course, precourse, and postcourse
   educational impacts, cognitive and simulation tests were administered.
   Participants completed a postcourse survey.
   Results: To date, 45 physicians have participated in the course. We have
   cognitive performance data on 19 participants and survey data for 45
   participants. Postcourse simulation tests results were improved compared
   with precourse tests. Our course was rated "better" or "much better" in
   comparison to courses using lecture-only format by 100% of the
   participants.
   Conclusions: A course using a combination of didactic and simulation
   education to teach moderate sedation is described. Our initial data
   demonstrated a significant increase in knowledge, skills, and clinical
   judgment. Future research efforts should focus on examining the validity
   and reliability of scenario scoring and the impact of training on
   clinical practice. (Sim Healthcare 8:114-123, 2013)
RI Tobin, Catherine/AAA-5672-2019; Wolf, Bethany/
OI Wolf, Bethany/0000-0002-7124-5158
ZA 0
TC 14
Z8 0
ZS 3
ZB 1
ZR 0
Z9 16
U1 0
U2 4
SN 1559-2332
EI 1559-713X
UT WOS:000317039600008
PM 23299051
ER

PT J
AU Threatt, Jennifer
   Williamson, Jennifer F.
   Huynh, Kyle
   Davis, Richard M.
TI Ocular Disease, Knowledge and Technology Applications in Patients With
   Diabetes
SO AMERICAN JOURNAL OF THE MEDICAL SCIENCES
VL 345
IS 4
BP 266
EP 270
DI 10.1097/MAJ.0b013e31828aa6fb
PD APR 2013
PY 2013
AB An estimated 25.8 million children and adults in the United States,
   approximately 8.3% of the population, have diabetes. Diabetes prevalence
   varies by race and ethnicity. African Americans have the highest
   prevalence (12.6%), followed closely by Hispanics (11.8%), Asian
   Americans (8.4%) and whites (7.1%). The purpose of this article was to
   discuss the ocular complications of diabetes, the cultural and racial
   differences in diabetes knowledge and the role of telemedicine as a
   means to reach the undeserved who are at risk of complications.
   Information on the pathophysiology of ocular disease in patients with
   diabetes and the role of telemedicine in diabetes care was derived from
   a literature review. National Institutes of Health online resources were
   queried to present data on the racial and cultural understandings of
   diabetes and diabetes-related complications. The microvascular ocular
   complications of diabetes are discussed for retinopathy, cataracts,
   glaucoma and ocular surface disease. Racial and cultural differences in
   knowledge of recommended self-care practices are presented. These
   differences, in part, may explain health disparities and the increased
   risk of diabetes and its complications in rural minority communities.
   Finally, advances in telemedicine technology are discussed that show
   improvements in metabolic control and cardiovascular risk in adults with
   type 2 diabetes. Improving provider and patient understanding of
   diabetes complications may improve management and self-care practices
   that are important for diabetes control. Telemedicine may improve access
   to diabetes specialists and may improve self-management education and
   diabetes control particularly in rural and underserved communities.
ZS 1
ZA 0
ZR 0
TC 30
Z8 0
ZB 16
Z9 31
U1 0
U2 15
SN 0002-9629
EI 1538-2990
UT WOS:000316851800004
PM 23531956
ER

PT J
AU Kadmon, M.
   Bender, M. J.
   Adili, F.
   Arbab, D.
   Heinemann, M. K.
   Hofmann, H. S.
   Koenig, S.
   Kueper, M. A.
   Obertacke, U.
   Rennekampff, H. -O.
   Rolle, U.
   Ruecker, M.
   Sader, R.
   Tingart, M.
   Tolksdorf, M. M.
   Tronnier, V.
   Will, B.
   Walcher, F.
CA Deutsch Gesellschaft Chirurg CAL
TI Competency-based medical education. National catalogue of learning
   objectives in surgery
SO CHIRURG
VL 84
IS 4
BP 277
EP 285
DI 10.1007/s00104-012-2449-9
PD APR 2013
PY 2013
AB Competency-based medical education is a prerequisite to prepare students
   for the medical profession. A mandatory professional qualification
   framework is a milestone towards this aim. The National Competency-based
   Catalogue of Learning Objectives for Undergraduate Medical Education
   (NKLM) of the German Medical Faculty Association (MFT) and the German
   Medical Association will constitute a basis for a core curriculum of
   undergraduate medical training. The Surgical Working Group on Medical
   Education (CAL) of the German Association of Surgeons (DGCH) aims at
   formulating a competency-based catalogue of learning objectives for
   surgical undergraduate training to bridge the gap between the NKLM and
   the learning objectives of individual medical faculties. This is
   intended to enhance the prominence and visibility of the surgical
   discipline in the context of medical education. On the basis of
   different faculty catalogues of learning objectives, the catalogue of
   learning objectives of the German Association of Orthopedics and
   Orthopedic Surgery and the Swiss Catalogue of Learning Objectives
   representatives of all German Surgical Associations cooperated towards a
   structured selection process of learning objectives and the definition
   of levels and areas of competencies. After completion the catalogue of
   learning objectives will be available online on the webpage of the DGCH.
RI Koenig, Sarah/G-9844-2014; Rolle, Udo/AAI-7424-2020; Arbab, Dariusch/
OI Rolle, Udo/0000-0002-1268-6092; Arbab, Dariusch/0000-0002-3752-6175
ZS 0
ZR 0
ZA 0
TC 37
ZB 2
Z8 0
Z9 37
U1 0
U2 12
SN 0009-4722
EI 1433-0385
UT WOS:000316817200004
PM 23494054
ER

PT J
AU Bakhache, P.
   Rodrigo, C.
   Davie, S.
   Ahuja, A.
   Sudovar, B.
   Crudup, T.
   Rose, M.
TI Health care providers' and parents' attitudes toward administration of
   new infant vaccines-a multinational survey
SO EUROPEAN JOURNAL OF PEDIATRICS
VL 172
IS 4
BP 485
EP 492
DI 10.1007/s00431-012-1904-4
PD APR 2013
PY 2013
AB The New Vaccinations of Infants in Practice online survey in seven
   countries evaluated vaccination-related attitudes and concerns of
   parents of infants and health care providers (HCPs) who provide
   pediatric medical care. The survey showed that HCPs and parents were
   open to adding new vaccines to the immunization schedule, even if it
   requires co-administration with current vaccines or introduction of new
   office visits. Parental disease awareness campaigns would be helpful to
   achieve widespread acceptance of changes to vaccination schedules. In
   addition, HCPs would ideally provide disease education to parents to
   accompany recommendations for a new vaccine.
RI Rodrigo, Carlos/F-7602-2017
OI Rodrigo, Carlos/0000-0003-1140-2585
TC 32
ZR 0
ZB 16
ZA 0
Z8 1
ZS 0
Z9 33
U1 0
U2 5
SN 0340-6199
UT WOS:000316682700007
PM 23271490
ER

PT J
AU Wilson, Lynn D.
   Haffty, Bruce G.
   Smith, Benjamin D.
TI A Profile of Academic Training Program Directors and Chairs in Radiation
   Oncology
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 85
IS 5
BP 1168
EP 1171
DI 10.1016/j.ijrobp.2012.10.035
PD APR 1 2013
PY 2013
AB Purpose: To identify objective characteristics and benchmarks for
   program leadership in academic radiation oncology.
   Methods and Materials: A study of the 87 Accreditation Council for
   Graduate Medical Education radiation oncology training program directors
   (PD) and their chairs was performed. Variables included age, gender,
   original training department, highest degree, rank, endowed chair
   assignment, National Institutes of Health (NIH) funding, and Hirsch
   index (H-index). Data were gathered from online sources such as
   departmental websites, NIH RePORTER, and Scopus.
   Results: There were a total of 87 PD. The median age was 48, and 14
   (16%) were MD/PhD. A total of 21 (24%) were female, and rank was
   relatively equally distributed above instructor. Of the 26 professors,
   at least 7 (27%) were female. At least 24 (28%) were working at the
   institution from which they had received their training. A total of 6
   individuals held endowed chairs. Only 2 PD had active NIH funding in
   2012. The median H-index was 12 (range, 0-51) but the index dropped to 9
   (range, 0-38) when those who served as both PD and chair were removed
   from the group. A total of 76 chairs were identified at the time of the
   study. The median age was 55, and 9 (12%) were MD/PhD. A total of 7 (9%)
   of the chairs were female, and rank was professor for all with the
   exception of 1 who was listed as "Head" and was an associate professor.
   Of the 76 chairs, at least 10 (13%) were working at the institution from
   which they received their training. There were a total of 21 individuals
   with endowed chairs. A total of 13 (17%) had NIH funding in 2012. The
   median H-index was 29 (range, 3-60).
   Conclusions: These data provide benchmarks for individuals and
   departments evaluating leadership positions in the field of academic
   radiation oncology. Such data are useful for evaluating leadership
   trends over time and comparing academic radiation oncology with other
   specialties. (C) 2013 Elsevier Inc.
OI Smith, Benjamin/0000-0001-7866-1093
Z8 0
ZA 0
ZR 0
TC 17
ZS 0
ZB 5
Z9 17
U1 0
U2 12
SN 0360-3016
UT WOS:000316790500018
PM 23517807
ER

PT J
AU Wilkinson, Tom M.
   Wilkinson, Tim J.
TI Preparation courses for a medical admissions test: effectiveness
   contrasts with opinion
SO MEDICAL EDUCATION
VL 47
IS 4
BP 417
EP 424
DI 10.1111/medu.12124
PD APR 2013
PY 2013
AB Objectives The Undergraduate Medicine and Health Sciences Admissions
   Test (UMAT) is used to rank applicants for admission to many medical
   schools. This study aimed to determine the effects of preparation
   courses on UMAT performance and on students' perceptions of their
   performance. Methods We asked students who sat the UMAT twice across two
   consecutive years to complete an online survey. The survey was
   administered in 2010 and 2011 to gather information on preparation
   activities, costs of preparation activities and students' opinions
   regarding their expected performance. Survey responses were compared
   with student scores on the second taking of the UMAT, adjusted for prior
   UMAT scores and university performance. Results The study (cohort:
   n=263) was sufficiently powered to investigate two forms of preparation:
   courses offered by MedEntry (a UMAT preparation provider), and tutoring
   offered by the students' halls of residence. Neither was found to
   significantly affect UMAT score (p=0.09 for MedEntry courses; p=0.50 for
   halls of residence tutoring). There was no relationship between total
   time or money spent preparing and UMAT performance. However, students
   taking MedEntry courses and students spending more money on UMAT
   preparation were more likely to predict an improved score (p<0.001 for
   both). A total of 85% of students improved their score on the second
   sitting, irrespective of preparation. Conclusions The use of either of
   two common forms of UMAT preparation does not translate to an
   improvement in UMAT score. However, in accordance with confirmation bias
   theory, the association between money spent on preparatory courses and
   self-assessed predicted score suggests that students' belief in the
   effectiveness of such courses may be confounded by their financial
   outlay.
RI Wilkinson, Tim/C-5515-2008; Wilkinson, Tom/
OI Wilkinson, Tim/0000-0002-4080-4164; Wilkinson, Tom/0000-0003-1771-3851
ZR 0
Z8 0
TC 10
ZA 0
ZB 0
ZS 0
Z9 10
U1 0
U2 10
SN 0308-0110
EI 1365-2923
UT WOS:000316621400012
PM 23488761
ER

PT J
AU Auerbach, Marc
   Chang, Todd P.
   Reid, Jennifer
   Quinones, Casandra
   Krantz, Amanda
   Pratt, Amanda
   Gerard, James Matthew
   Mehta, Renuka
   Pusic, Martin
   Kessler, David Oren
TI Are Pediatric Interns Prepared to Perform Infant Lumbar Punctures? A
   Multi-Institutional Descriptive Study
SO PEDIATRIC EMERGENCY CARE
VL 29
IS 4
BP 453
EP 457
DI 10.1097/PEC.0b013e31828a2011
PD APR 2013
PY 2013
AB Background: There are few data describing pediatric interns'
   experiences, knowledge, attitudes, and skills related to common
   procedures. This information would help guide supervisors' decisions
   about interns' preparedness and training needs.
   Objectives: This study aimed to describe pediatric interns' medical
   school experiences, knowledge, attitudes, and skills with regard to
   infant lumbar punctures (LPs) and to describe the impact of these
   factors on interns' infant LP skills.
   Methods: This prospective cross-sectional descriptive study was
   conducted at 21 academic medical centers participating during 2010.
   Participants answered 8 knowledge questions, 3 attitude questions, and 6
   experience questions online. Skills were assessed on an infant LP
   simulator using a 15-item subcomponent checklist and a 4-point global
   assessment.
   Results: Eligible interns numbered 493, with 422 (86%) completing
   surveys and 362 (73%) completing skills assessments. The majority
   287/422 (68%) had never performed an infant LP; however, 306 (73%) had
   observed an infant LP during school. The mean (SD) knowledge score was
   63% (+/-21%). The mean (SD) subcomponent skills checklist score was 73%
   (+/-21%). On the global skills assessment, 225 (62%) interns were rated
   as beginner, and 137 (38%) were rated as competent, proficient, or
   expert. Independent predictors of an above-beginner simulator
   performance included infant LP experience on a patient (odds ratio [OR],
   2.2; 95% confidence interval [CI], 1.4-3.5), a knowledge score greater
   than 65% (OR, 2.4; 95% CI, 1.5-3.7), or self-reported confidence (OR,
   3.5; 95% CI, 1.9-6.4).
   Conclusions: At the start of residency, the majority of pediatric
   interns have little experience, poor knowledge, and low confidence and
   are not prepared to perform infant LPs.
OI Pusic, Martin/0000-0001-5236-6598; Chang, Todd/0000-0002-4508-2551
TC 15
ZS 1
ZB 3
Z8 0
ZR 0
ZA 0
Z9 15
U1 0
U2 5
SN 0749-5161
EI 1535-1815
UT WOS:000317103300008
PM 23528505
ER

PT J
AU Bury, Tracy J.
   Stokes, Emma K.
TI A Global View of Direct Access and Patient Self-Referral to Physical
   Therapy: Implications for the Profession
SO PHYSICAL THERAPY
VL 93
IS 4
BP 449
EP 459
DI 10.2522/ptj.20120060
PD APR 2013
PY 2013
AB Background. International policy advocates for direct access, but the
   extent to which it exists worldwide was unknown.
   Objective. The purpose of this study was to map the presence of direct
   access to physical therapy services in the member organizations of the
   World Confederation for Physical Therapy (WCPT) in the context of
   physical therapist practice and health systems.
   Design. A 2-stage, mixed-method, descriptive study was conducted.
   Methods. A purposive sample of member organizations of WCPT in Europe
   was used to refine the survey instrument, followed by an online survey
   sent to all WCPT member organizations. Data were analyzed using
   descriptive statistics, and content analysis was used to analyze
   open-ended responses to identify themes.
   Results. A response rate of 68% (72/106) was achieved. Direct access to
   physical therapy was reported by 58% of the respondents, with greater
   prevalence in private settings. Organizations reported that professional
   (entry-level) education equipped physical therapists for direct access
   in 69% of the countries. National physical therapy associations (89%)
   and the public (84%) were thought to be in support of direct access,
   with less support perceived from policy makers (35%) and physicians
   (16%). Physical therapists' ability to assess, diagnose, and refer
   patients on to specialists was more prevalent in the presence of direct
   access.
   Limitations. The findings may not be representative of the Asia Western
   Pacific (AWP) region, where there was a lower response rate.
   Conclusions. Professional legislation, the medical profession,
   politicians, and policy makers are perceived to act as both barriers to
   and facilitators of direct access. Evidence for clinical effectiveness
   and cost-effectiveness and examples of good practice are seen as vital
   resources that could be shared internationally, and professional
   leadership has an important role to play in facilitating change and
   advocacy.
Z8 0
ZA 0
TC 56
ZB 7
ZS 0
ZR 0
Z9 56
U1 0
U2 22
SN 0031-9023
EI 1538-6724
UT WOS:000317028100002
PM 23197847
ER

PT J
AU Thapper, Muryum
   Roussou, Euthalia
TI Medical students' attitude towards rheumatology training at foundation
   years' level in the UK and rationale behind the students' choice:
   results from a national survey
SO RHEUMATOLOGY INTERNATIONAL
VL 33
IS 4
BP 933
EP 938
DI 10.1007/s00296-012-2482-5
PD APR 2013
PY 2013
AB The aims are to assess whether medical students are interested in
   rheumatology as a training post during post-medical-school and prior to
   specialty training that is covered by foundation years (FY) training in
   the UK, to determine the time spent in the undergraduate training in
   rheumatology and whether the desire for musculoskeletal (MsK) medicine
   training (rheumatology and orthopaedics taken together) is enhanced
   during FY training and to analyse the rationale behind their choice for
   rheumatology alone or combined with orthopaedics. An online
   questionnaire was distributed to all 31 UK medical schools, addressed to
   fourth-, fifth- and sixth-year medical students. The questionnaire was
   completed by 256 students from 11 of 31 medical schools existed in the
   UK in 2009. Most respondents (n = 156; 60.9 %) received 3 weeks (96 h)
   exposure to rheumatology, whilst one-fifth (n = 53; 20.7 %) had received
   no exposure in rheumatology. A total of 122 students of the 256 that
   responded (47.6 %) would like to do rheumatology as part of their
   training and 116 (45.3 %) would like to have more posts available in
   rheumatology. However, when asked to choose 6 specialties, out of 21,
   which would be most useful for post-university training, rheumatology
   was amongst the bottom three, attracting only 9.4 % of respondent
   students. A total of 68 of 256 (26.5 %) students, however, expressed a
   desire for MsK medicine: 44/256 (17.1 %) for orthopaedics and 24/256
   (9.4 %) for rheumatology. From a total of 49 of 256 (19.1 %) open-ended
   responses obtained, 25 (51 %) were from those medical students willing
   to have exposure in MsK medicine: 15 of 44 (34 %) willing to have
   orthopaedics and 10 of 24 (41.6 %) willing to have rheumatology.
   Analysis of the responses revealed that it is mostly the specialty
   choice that guides towards specialty training. One in five of the
   medical students responded to had received (actual or perceived) no
   exposure to rheumatology during their undergraduate years. Career choice
   that derived mostly from undergraduate exposure is the driving force
   behind medical students' choice for foundation year training.
OI Roussou, Euthalia/0000-0003-4806-3329
TC 3
ZR 0
ZS 0
ZA 0
ZB 1
Z8 0
Z9 3
U1 0
U2 3
SN 0172-8172
EI 1437-160X
UT WOS:000316971800017
PM 22829415
ER

PT J
AU Backhouse, S. H.
   Whitaker, L.
   Petroczi, A.
TI Gateway to doping? Supplement use in the context of preferred
   competitive situations, doping attitude, beliefs, and norms
SO SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
VL 23
IS 2
BP 244
EP 252
DI 10.1111/j.1600-0838.2011.01374.x
PD APR 2013
PY 2013
AB Nutritional supplement (NS) use is widespread in sport. This study
   applied an integrated social cognitive approach to examine doping
   attitudes, beliefs, and self-reported doping use behavior across NS
   users (n=96) and nonusers (n=116). Following ethical approval, 212
   competitive athletes (age mean=21.4, s=4.5; 137 males) completed
   self-reported measures of doping-related social cognitions and
   behaviors, presented in an online format where completion implied
   consent. Significantly more NS users (22.9%) reported doping compared
   with nonusers (6.0%; U=4628.0, P<0.05). NS users presented significantly
   more positive attitudes toward doping (U=3152.0, P<0.05) and expressed a
   significantly greater belief that doping is effective (U=3152.0,
   P<0.05). When presented with the scenario that performance-enhancing
   substances are effective and increase the possibility of winning, NS
   users were significantly more in favor of competing in situations that
   allow doping (U=3504.5, P<0.05). In sum, doping use is three-and-a-half
   times more prevalent in NS users compared with nonusers. This finding is
   accompanied by significant differences in doping attitudes, norms, and
   beliefs. Thus, this article offers support for the gateway hypothesis;
   athletes who engage in legal performance enhancement practices appear to
   embody an at-risk group for transition toward doping. Education should
   be appropriately targeted.
RI Petroczi, Andrea/ABG-9863-2021; Whitaker, Lisa/; Backhouse, Susan/
OI Petroczi, Andrea/0000-0002-8365-6173; Whitaker,
   Lisa/0000-0002-0686-7946; Backhouse, Susan/0000-0002-4810-5173
ZR 1
TC 92
ZS 2
ZB 11
Z8 0
ZA 0
Z9 93
U1 1
U2 80
SN 0905-7188
EI 1600-0838
UT WOS:000316757200022
PM 22092778
ER

PT J
AU Blackmur, James P.
   Clement, Rhys G. E.
   Brady, Richard R. W.
   Oliver, Christopher W.
TI Surgical training 2.0: How contemporary developments in information
   technology can augment surgical training
SO SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND
   IRELAND
VL 11
IS 2
BP 105
EP 112
DI 10.1016/j.surge.2012.12.001
PD APR 2013
PY 2013
AB Background: The current surgical trainee is faced with reduced training
   time compared to predecessors as a result of changes in working
   practices. The past decade has seen marked developments in the
   information technology sector. This editorial will review how modem
   technological innovations could augment current surgical training.
   Methods: We review the literature and summarize important developments
   in information technology that could assist the modem surgical trainee.
   We also look at some of the challenges faced by use of this technology.
   Findings: Developments in mobile internet connectivity will improve
   access to online resources for the surgical trainee. Web 2.0 will
   revolutionise the way trainees interact with textbooks, journals,
   webpages and each other. Simulators could help to fill gaps created by
   reduced operating hours. To maximize the effectiveness of these
   resources they,need to be accessible and incorporated into training in a
   structured way, ensuring patient safety and accuracy of information.
   Conclusion: Contemporary developments in technology offer benefits to
   the surgical trainee and could fill gaps left by reduced operating
   times. In order to ensure efficient use of technology and patient
   safety, bodies such as the Royal Colleges and Training Programmes must
   embrace these developments. (c) 2012 Royal College of Surgeons of
   Edinburgh (Scottish charity number SC005317) and Royal College of
   Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.
RI Blackmur, James/ABM-7695-2022; Oliver, Christopher W./F-7374-2018; Brady, Richard/; Blackmur, James/
OI Oliver, Christopher W./0000-0003-1331-6429; Brady,
   Richard/0000-0002-1905-6384; Blackmur, James/0000-0001-7267-837X
Z8 0
ZR 0
TC 2
ZA 4
ZS 0
ZB 0
Z9 6
U1 0
U2 18
SN 1479-666X
UT WOS:000316975900010
PM 23312553
ER

PT J
AU Ballew, Paula
   Castro, Sarah
   Claus, Julie
   Kittur, Nupur
   Brennan, Laura
   Brownson, Ross C.
TI Developing web-based training for public health practitioners: what can
   we learn from a review of five disciplines?
SO HEALTH EDUCATION RESEARCH
VL 28
IS 2
BP 276
EP 287
DI 10.1093/her/cys098
PD APR 2013
PY 2013
AB During a time when governmental funding, resources and staff are
   decreasing and travel restrictions are increasing, attention to
   efficient methods of public health workforce training is essential. A
   literature review was conducted to inform the development and delivery
   of web-based trainings for public health practitioners. Literature was
   gathered and summarized from five disciplines: Information Technology,
   Health, Education, Business and Communications, following five research
   themes: benefits, barriers, retention, promotion and evaluation. As a
   result, a total of 138 articles relevant to web-based training design
   and implementation were identified. Key recommendations emerged,
   including the need to conduct formative research and evaluation, provide
   clear design and layout, concise content, interactivity, technical
   support, marketing and promotion and incentives. We conclude that there
   is limited application of web-based training in public health. This
   review offers an opportunity to learn from other disciplines. Web-based
   training methods may prove to be a key training strategy for reaching
   our public health workforce in the environment of limited resources.
TC 30
Z8 0
ZA 0
ZR 0
ZB 4
ZS 0
Z9 30
U1 0
U2 29
SN 0268-1153
EI 1465-3648
UT WOS:000316273100008
PM 22987862
ER

PT J
AU Cohn, Amanda
   Richters, Juliet
TI 'My Vagina Makes Funny Noises': Analyzing Online Forums to Assess the
   Real Sexual Health Concerns of Young People
SO INTERNATIONAL JOURNAL OF SEXUAL HEALTH
VL 25
IS 2
BP 93
EP 103
DI 10.1080/19317611.2012.719852
PD APR 1 2013
PY 2013
AB . One hundred online sexual health forum pages were analyzed to identify
   sexual health concerns of young people. Pages collected from five
   popular forum Web sites posted in August 2011 were indexed, noting
   demographics, primary complaint, type of question and response,
   misconceptions of medical concepts, and general keywords. Gaps in
   knowledge were identified regarding tampon use, menstrual fluid,
   hormonal contraception, sexually transmitted infections, and signs of
   pregnancy. Forum participants searched online using symptoms, a finding
   that suggests Web sites providing sexual health information to young
   people should be organized by symptom. Sex education should inform
   students about transmission risks associated with common sexual
   practices rather than focusing on diseases and should teach how to find
   and access local services.
RI Richters, Juliet/AAD-2402-2019; Richters, Juliet/
OI Richters, Juliet/0000-0003-0469-5762
ZS 0
ZB 1
ZA 0
TC 15
ZR 0
Z8 0
Z9 15
U1 0
U2 31
SN 1931-7611
EI 1931-762X
UT WOS:000316657000001
ER

PT J
AU Tsugihashi, Yukio
   Kakudate, Naoki
   Yokoyama, Yoko
   Yamamoto, Yosuke
   Mishina, Hiroki
   Fukumori, Norio
   Nakamura, Fumiaki
   Takegami, Misa
   Ohno, Shinya
   Wakita, Takafumi
   Watanabe, Kazuhiro
   Yamaguchi, Takuhiro
   Fukuhara, Shunichi
TI A novel Internet-based blended learning programme providing core
   competency in clinical research
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 19
IS 2
BP 250
EP 255
DI 10.1111/j.1365-2753.2011.01808.x
PD APR 2013
PY 2013
AB Rationale, aims and objectives We developed a novel Internet-based
   blended learning programme that allows busy health care professionals to
   attain core competency in clinical research. This study details the
   educational strategies and learning outcomes of the programme. Method
   This study was conducted at Kyoto University and seven satellite
   campuses from September 2009 to March 2010. A total of 176 health care
   professionals who had never attempted to attain core competency in
   clinical research were enrolled. The participants were supplied with a
   novel programme comprising the following four strategies: online live
   lectures at seven satellite campuses, short examinations after each
   lecture, an Internet-based feedback system and an end-of-course
   examination. We assessed the proportion of attendance at the lectures as
   the main outcome. In addition, we evaluated interaction via the feedback
   system and scores for end-of-course examination. Results Of the 176
   participants, 134 (76%) reported working more than 40 hours per week.
   The mean proportion of attendance over all 23 lectures was 82%. A total
   of 156 (89%) participants attended more than 60% of all lectures and
   were eligible for the end-of-course examination. A total of the
   participants accessed the feedback system 3564 times and asked 284
   questions. No statistically significant differences were noted in the
   end-of-course scores among medical doctors, pharmacists, registered
   nurses and other occupations. Conclusions We developed an Internet-based
   blended learning programme providing core competency in clinical
   research. Most busy health care professionals completed the programme
   successfully. In addition, the participants could attain the core
   competency effectively, regardless of their occupation.
RI Fukumori, Norio/F-1531-2017; Wakita, Takafumi/
OI Fukumori, Norio/0000-0001-5586-7910; Wakita,
   Takafumi/0000-0003-2293-5918
ZR 0
ZS 0
ZA 0
Z8 1
ZB 1
TC 4
Z9 5
U1 1
U2 21
SN 1356-1294
EI 1365-2753
UT WOS:000315964800005
PM 22132690
ER

PT J
AU Ivory, Kimberley
   Bandler, Lilon
   Hawke, Catherine
   Armstrong, Bruce
TI A clinical approach to population medicine.
SO The clinical teacher
VL 10
IS 2
BP 94
EP 8
DI 10.1111/j.1743-498X.2012.00618.x
PD 2013-Apr
PY 2013
AB BACKGROUND: An epidemic of chronic disease in an ageing population
   obliges us to train medical students to participate in patient and
   population-centred health systems as members of connected teams with the
   skills to work in an increasingly pluralistic cultural environment.
   CONTEXT: Like many others, the graduate-entry Sydney Medical Program
   struggles with teaching population medicine to students who often
   perceive it to be less relevant than clinical studies. Evaluation found
   that although students were aware of the importance of population
   medicine to clinical practice, they felt the existing programme lacked
   integration with their clinical education and did not develop
   professional skills.
   INNOVATION: Experience told us that clinicians apply the principles of
   population medicine in every consultation, understanding that individual
   health outcomes are moderated by the social determinants of health. We
   applied this knowledge to develop an integrated, community-engaged
   population medicine curriculum for our students in their final two
   clinical years. Each student will follow a patient with a chronic health
   condition in the community over 14 months. They will consider their
   patient's experience with chronic disease and its management through a
   population medicine lens. Students share their learning in tutorial
   sessions and through online assessment tasks.
   IMPLICATION: A comprehensive evaluation of patient, faculty and student
   experiences of the programme will allow us to assess whether we have
   achieved our goal of revealing to students how the application of the
   principles of population medicine is essential to excellence in daily
   clinical practice. Early data suggest that students feel positive and
   excited about this curriculum innovation.
RI Armstrong, Bruce/K-9464-2015
OI Armstrong, Bruce/0000-0001-8940-7525
ZS 0
Z8 0
TC 11
ZA 0
ZB 2
ZR 0
Z9 11
U1 0
U2 7
EI 1743-498X
UT MEDLINE:23480110
PM 23480110
ER

PT J
AU Kasabwala, Khushabu
   Misra, Poonam
   Hansberry, David R.
   Agarwal, Nitin
   Baredes, Soly
   Setzen, Michael
   Anderson Eloy, Jean
TI Readability assessment of the American Rhinologic Society patient
   education materials
SO INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY
VL 3
IS 4
BP 325
EP 333
DI 10.1002/alr.21097
PD APR 2013
PY 2013
AB Background The extensive amount of medical literature available on the
   Internet is frequently accessed by patients. To effectively contribute
   to healthcare decision-making, these online resources should be worded
   at a level that is readable by any patient seeking information. The
   American Medical Association and National Institutes of Health recommend
   the readability of patient information material should be between a 4th
   to 6th grade level. In this study, we evaluate the readability of online
   patient education information available from the American Rhinologic
   Society (ARS) website using 9 different assessment tools that analyze
   the materials for reading ease and grade level of the target audience.
   Methods Online patient education material from the ARS was downloaded in
   February 2012 and assessed for level of readability using the Flesch
   Reading Ease, Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook
   (SMOG) Grading, Coleman-Liau Index, Gunning-Fog Index, FORCAST formula,
   Raygor Readability Estimate, the Fry Graph, and the New Dale-Chall
   Readability Formula. Each article was pasted as plain text into a
   Microsoft (R) Word (R) document and each subsection was analyzed using
   the software package Readability Studio Professional Edition Version
   2012.1. Results All healthcare education materials assessed were written
   between a 9th grade and graduate reading level and were considered
   difficult to read by the assessment scales. Conclusion Online patient
   education materials on the ARS website are written above the recommended
   6th grade level and may require revision to make them easily understood
   by a broader audience. (C) 2013 ARS-AAOA, LLC.
OI Misra, Poonam/0000-0002-8589-6840; Kasabwala,
   Khushabu/0000-0003-4478-5922
Z8 0
ZS 0
TC 36
ZR 0
ZA 0
ZB 12
Z9 36
U1 0
U2 10
SN 2042-6976
EI 2042-6984
UT WOS:000317362900011
PM 23044857
ER

PT J
AU DeSilets, Lynore D.
TI No Longer a Passing Fad
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 44
IS 4
BP 149
EP 150
DI 10.3928/00220124-20130327-92
PD APR 2013
PY 2013
AB As massive open online courses (MOOCs) move into the area of
   professional development, this column provides information on the
   current status of education that is available to health care providers.
   J Contin Educ Nurs 2013; 44(4): 149-150.
ZS 0
ZA 0
ZR 0
TC 3
Z8 1
ZB 0
Z9 4
U1 0
U2 30
SN 0022-0124
UT WOS:000317588000002
PM 23573818
ER

PT J
AU Pham, Daniel
   Roxby, Paul
   Kron, Tomas
   Rolfo, Aldo
   Foroudi, Farshad
TI Introduction of online adaptive radiotherapy for bladder cancer through
   a multicentre clinical trial (Trans-Tasman Radiation Oncology Group
   10.01): Lessons learned.
SO Journal of medical physics
VL 38
IS 2
BP 59
EP 66
DI 10.4103/0971-6203.111308
PD 2013-Apr
PY 2013
AB Online adaptive radiotherapy for bladder cancer is a novel radiotherapy
   technique that was found feasible in a pilot study at a single academic
   institution. In September 2010 this technique was opened as a
   multicenter study through the Trans-Tasman Radiation Oncology Group
   (TROG 10.01 bladder online adaptive radiotherapy treatment). Twelve
   centers across Australia and New-Zealand registered interest into the
   trial. A multidisciplinary team of radiation oncologists, radiation
   therapists and medical physicists represented the trial credentialing
   and technical support team. To provide timely activation and proper
   implementation of the adaptive technique the following key areas were
   addressed at each site: Staff education/training; Practical image guided
   radiotherapy assessment; provision of help desk and feedback. The trial
   credentialing process involved face-to-face training and technical
   problem solving via full day site visits. A dedicated "help-desk" team
   was developed to provide support for the clinical trial. 26% of the
   workload occurred at the credentialing period while the remaining 74%
   came post-center activation. The workload was made up of the following
   key areas; protocol clarification (36%), technical problems (46%) while
   staff training was less than 10%. Clinical trial credentialing is
   important to minimizing trial deviations. It should not only focus on
   site activation quality assurance but also provide ongoing education and
   technical support.
RI Kron, Tomas/A-7217-2010
OI Kron, Tomas/0000-0002-5189-4046
Z8 0
ZR 0
ZS 0
ZA 0
TC 7
ZB 2
Z9 8
U1 0
U2 2
SN 0971-6203
UT MEDLINE:23776308
PM 23776308
ER

PT J
AU Rodgers, Delores J
TI AOA continuing medical education.
SO The Journal of the American Osteopathic Association
VL 113
IS 4
BP 320
EP 38
PD 2013-Apr
PY 2013
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 details the changes to the CME guide
   for osteopathic physicians, the requirements for Category 1 CME sponsors
   accredited by the American Osteopathic Association (AOA), and new online
   CME opportunities. Topic areas include recent changes in CME policies
   and the continuing challenges associated with awarding and recording CME
   credits for osteopathic physicians who hold specialty board
   certification. In addition, the article provides an update for
   osteopathic specialists and subspecialists in requesting AOA Category
   1-A credit for American Medical Association Physician's Recognition
   Award Category 1 courses.
TC 2
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
Z9 2
U1 0
U2 0
EI 1945-1997
UT MEDLINE:23576256
PM 23576256
ER

PT J
AU Knijnenburg, Sebastiaan L.
   Kremer, Leontien C.
   Versluys, A. Birgitta
   Braam, Katja I.
   Mud, Minke S.
   van der Pal, Heleen J.
   Caron, Huib N.
   Jaspers, Monique W.
TI Evaluation of a patient information website for childhood cancer
   survivors
SO SUPPORTIVE CARE IN CANCER
VL 21
IS 4
BP 919
EP 926
DI 10.1007/s00520-012-1604-7
PD APR 2013
PY 2013
AB Childhood cancer survivors (CCS) are in need of specialized information
   about late effects of treatment. In the current study, we assessed the
   perceived usability and satisfaction with the content of a national
   website with information on late effects and analyzed possible
   determinants related to website usability and content satisfaction.
   CCS and their parents were contacted through our local follow-up program
   and via online media to complete an online questionnaire regarding their
   baseline characteristics, medical decision style, and the usability and
   content of the website. Usability was evaluated using the System
   Usability Scale (SUS), a validated questionnaire resulting in a score
   from 0 to 100. For the content rating, we constructed a six-item scale
   resulting in a score from 1 to 5 (Cronbach's alpha, 0.83). Comments were
   analyzed qualitatively.
   Fifty-five survivors and forty-three parents of survivors completed the
   questionnaire. Median age of respondents was 41 years (range, 17-58).
   Respondents rated the website's usability with a mean SUS score of 72.5
   (95 % CI, 69.2-74.9). The mean content rating was 3.7 (95 % CI,
   3.5-3.8). No determinants were significantly related to the perceived
   usability or content satisfaction in multivariate analyses. Qualitative
   analysis revealed respondents' preference for more detailed and even
   scientific information on late effects.
   Respondents were satisfied with the usability and the contents of a
   website that targeted at their information needs. As knowledge about
   late effects is still limited among survivors, a website can be a
   valuable resource to improve their knowledge, promote healthy behavior,
   and in the end, improve their quality of life.
OI Kremer, Leontien/0000-0001-7422-3248; kremer,
   leontien/0000-0002-7619-7845; Braam, Katja/0000-0003-3034-7438
ZS 0
ZR 0
Z8 0
ZB 3
TC 16
ZA 0
Z9 16
U1 0
U2 12
SN 0941-4355
UT WOS:000315444600003
PM 23007883
ER

PT J
AU Chew, Boon How
   Zain, Azhar Md
   Hassan, Faezah
TI Emotional intelligence and academic performance in first and final year
   medical students: a cross-sectional study
SO BMC MEDICAL EDUCATION
VL 13
AR 44
DI 10.1186/1472-6920-13-44
PD MAR 27 2013
PY 2013
AB Background: Research on emotional intelligence (EI) suggests that it is
   associated with more pro-social behavior, better academic performance
   and improved empathy towards patients. In medical education and clinical
   practice, EI has been related to higher academic achievement and
   improved doctor-patient relationships. This study examined the effect of
   EI on academic performance in first- and final-year medical students in
   Malaysia.
   Methods: This was a cross-sectional study using an objectively-scored
   measure of EI, the Mayer-Salovey-Caruso Emotional Intelligence Test
   (MSCEIT). Academic performance of medical school students was measured
   using continuous assessment (CA) and final examination (FE) results. The
   first- and final-year students were invited to participate during their
   second semester. Students answered a paper-based demographic
   questionnaire and completed the online MSCEIT on their own.
   Relationships between the total MSCEIT score to academic performance
   were examined using multivariate analyses.
   Results: A total of 163 (84 year one and 79 year five) medical students
   participated (response rate of 66.0%). The gender and ethnic
   distribution were representative of the student population. The total EI
   score was a predictor of good overall CA (OR 1.01), a negative predictor
   of poor result in overall CA (OR 0.97), a predictor of the good overall
   FE result (OR 1.07) and was significantly related to the final-year FE
   marks (adjusted R-2 = 0.43).
   Conclusions: Medical students who were more emotionally intelligent
   performed better in both the continuous assessments and the final
   professional examination. Therefore, it is possible that emotional skill
   development may enhance medical students' academic performance.
RI Chew, Boon-How/B-2385-2010; Chew, Boon How/GPS-9821-2022; HASSAN, FAEZAH/
OI Chew, Boon-How/0000-0002-8627-6248; HASSAN, FAEZAH/0000-0002-0891-3934
ZB 5
ZS 3
Z8 0
ZR 1
ZA 1
TC 82
Z9 85
U1 2
U2 80
SN 1472-6920
UT WOS:000317360200002
PM 23537129
ER

PT J
AU Calear, Alison L.
   Christensen, Helen
   Griffiths, Kathleen M.
   Mackinnon, Andrew
TI The Y-Worri Project: study protocol for a randomised controlled trial
SO TRIALS
VL 14
AR 76
DI 10.1186/1745-6215-14-76
PD MAR 19 2013
PY 2013
AB Background: Anxiety disorders are one of the most common psychological
   problems in adolescents. The school system has been identified as an
   ideal setting for the implementation of prevention and early
   intervention programs for anxiety; however, few programs are routinely
   delivered in schools and little is known about the best delivery
   methods. The aim of the current project is two-fold: to test the
   effectiveness of an intervention program for anxiety relative to a
   control condition, and to compare two methods of implementing the
   program.
   Methods/design: This study is a three-arm cluster randomised controlled
   trial consisting of a wait-list control condition and two intervention
   conditions evaluating the effectiveness of an Internet-based program for
   preventing generalised anxiety. The first intervention condition will
   involve classroom teachers supervising student completion of the
   intervention program, while the second intervention condition will
   involve the classroom teacher and an education officer from the local
   youth mental health centre supervising the program's completion. At
   least 30 schools from across Australia will be recruited to the trial,
   with adolescents aged between 14 and 18 years invited to participate.
   Participants in the intervention conditions will complete the e-couch
   Anxiety and Worry program during class periods over six weeks. The
   primary outcome measure will be a scale reflecting the number and
   severity of generalised anxiety symptoms, while secondary outcomes will
   be symptoms of depression, social anxiety and anxiety sensitivity. Data
   will be collected at pre-intervention, post-intervention, 6- and
   12-month follow-up. Intention-to-treat analyses will be conducted.
   Discussion: If demonstrated effective, a new service delivery model for
   the implementation of mental health programs in schools could be
   indicated. Such a model would significantly contribute to the mental
   health of young people in Australia by providing preventive
   interventions for mental health problems and consequently reducing the
   need for clinical services.
RI Calear, Alison L/D-4191-2009; Christensen, Helen/F-5053-2012; Mackinnon, Andrew/
OI Calear, Alison L/0000-0002-7028-725X; Christensen,
   Helen/0000-0003-0435-2065; Mackinnon, Andrew/0000-0003-0831-9801
Z8 0
ZS 0
ZB 1
TC 6
ZA 0
ZR 0
Z9 6
U1 0
U2 20
EI 1745-6215
UT WOS:000317142900001
PM 23506049
ER

PT J
AU Foo, Jonathon
   Gale, Jesse
   Poynter, Maria
   Blackett, James
TI The New Zealand Vocational Trainee 2011 Survey: a national snapshot of
   vocational training.
SO The New Zealand medical journal
VL 126
IS 1371
BP 54
EP 62
PD 2013 Mar 15
PY 2013
AB AIM: To assess the opinions of New Zealand vocational trainees about the
   quality of their training.
   METHOD: We surveyed New Zealand vocational trainees using an online
   questionnaire based on the Australian Medical Association Specialist
   Trainee Survey, in September and October 2011.
   RESULTS: The response rate was 24.8% with representation across training
   programs. Trainees expressed a high level of satisfaction with most
   aspects of their training, and results compare favourably with
   Australia. Access to training in the private sector, and value for money
   emerged as areas of concern, but also highlight the importance of
   reimbursed costs in the satisfaction of New Zealand trainees. Work life
   balance is of increasing importance to young doctors, and an unmet
   desire for extended leave from medical practice may present an issue for
   workforce capacity and training flexibility in years to come.
   CONCLUSION: This survey provides a snapshot and a baseline, for future
   comparisons.
RI Gale, Jesse/AAB-7406-2019
OI Gale, Jesse/0000-0002-6616-445X
ZS 0
ZB 0
TC 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 1
EI 1175-8716
UT MEDLINE:23793121
PM 23793121
ER

PT J
AU Schulz, Arndt P.
   Joensson, Anders
   Kasch, Richard
   Jettoo, Prithee
   Bhandari, Mohit
TI Sources of information influencing decision-making in orthopaedic
   surgery - an international online survey of 1147 orthopaedic surgeons
SO BMC MUSCULOSKELETAL DISORDERS
VL 14
AR 96
DI 10.1186/1471-2474-14-96
PD MAR 14 2013
PY 2013
AB Background: Manufacturers of implants and materials in the field of
   orthopaedics use significant amounts of funding to produce informational
   material to influence the decision-making process of orthopaedic
   surgeons with regards to choice between novel implants and techniques.
   It remains unclear how far orthopaedic surgeons are really influenced by
   the materials supplied by companies or whether other, evidence-based
   publications have a higher impact on their decision-making. The
   objective was to evaluate the subjective usefulness and usage of
   different sources of information upon which orthopaedic surgeons base
   their decisions when acquiring new implants or techniques.
   Methods: We undertook an online survey of 1174 orthopaedic surgeons
   worldwide (of whom n = 305 were head of their department). The
   questionnaire included 34 items. Sequences were randomized to reduce
   possible bias. Questions were closed or semi-open with single or
   multiple answers. The usage and relevance of different sources of
   information when learning about and selecting orthopaedic treatments
   were evaluated. Orthopaedic surgeons and trainees were targeted, and
   were only allowed to respond once over a period of two weeks. Baseline
   information included country of workplace, level of experience and
   orthopaedic subspecialisation. The results were statistically evaluated.
   Results: Independent scientific proof had the highest influence on
   decisions for treatment while OEM (Original Equipment Manufacturer)
   driven activities like newsletters, white papers or workshops had the
   least impact. Comparison of answers from the three best-represented
   countries in this study (Germany, UK and USA) showed some significant
   differences: Scientific literature and congresses are significantly more
   important in the US than in the UK or Germany, although they are very
   important in all countries.
   Conclusions: Independent and peer-reviewed sources of information are
   preferred by surgeons when choosing between methods and implants.
   Manufacturers of medical devices in orthopaedics employ a considerable
   workforce to inform or influence hospital managers and leading doctors
   with marketing activities. Our results indicate that it might be far
   more effective to channel at least some of these funds into
   peer-reviewed research projects, thereby assuring significantly higher
   acceptance of the related products.
RI Schulz, Arndt P/E-2907-2010; Bhandari, Mohit/AAQ-1675-2021; Schulz, Arndt P./AAV-7099-2020
OI Schulz, Arndt P/0000-0002-4927-549X; Schulz, Arndt
   P./0000-0002-4927-549X
ZA 0
ZR 0
Z8 0
TC 2
ZS 0
ZB 1
Z9 2
U1 0
U2 17
SN 1471-2474
UT WOS:000316250400001
PM 23496954
ER

PT J
AU Forster, Lesley
   Assareh, Hassan
   Watts, Lisa D.
   McLachlan, Craig S.
TI Additional years of Australian Rural Clinical School undergraduate
   training is associated with rural practice
SO BMC MEDICAL EDUCATION
VL 13
AR 37
DI 10.1186/1472-6920-13-37
PD MAR 7 2013
PY 2013
AB Background: To understand the influence of the number of years spent at
   an Australian rural clinical school (RCS) on graduate current, preferred
   current and intended location for rural workforce practice.
   Methods: Retrospective online survey of medical graduates who spent 1-3
   years of their undergraduate training in the University of New South
   Wales (UNSW) Rural Clinical School. Associations with factors (gender,
   rural versus non-rural entry, conscription versus non-conscript and
   number of years of RCS attendance) influencing current, preferred
   current and intended locations were assessed using X-2 test. Factors
   that were considered significant at P < 0.1 were entered into a logistic
   regression model for further analysis.
   Results: 214 graduates responded to the online survey. Graduates with
   three years of previous RCS training were more likely to indicate rural
   areas as their preferred current work location, than their colleagues
   who spent one year at an RCS campus (OR = 3.0, 95% CI = 1.2-7.4, P =
   0.015). Also RCS graduates that spent three years at an RCS were more
   likely to intend to take up rural medical practice after completion of
   training compared to the graduates with one year of rural placement (OR
   = 5.1, 95% CI = 1.8-14.2, P = 0.002). Non-rural medicine entry graduates
   who spent three years at rural campuses were more likely to take up
   rural practice compared to those who spent just one year at a rural
   campus (OR = 8.4, 95% CI = 2.1-33.5, P = 0.002).
   Conclusions: Increasing the length of time beyond a year at an
   Australian RCS campus for undergraduate medical students is associated
   with current work location, preferred current work location and intended
   work location in a rural area. Spending three years in a RCS
   significantly increases the likelihood of rural career intentions of
   non-rural students.
OI McLachlan, Craig/0000-0001-9843-8980
ZB 0
Z8 0
ZS 0
TC 20
ZR 0
ZA 0
Z9 20
U1 0
U2 9
EI 1472-6920
UT WOS:000316219900001
PM 23607311
ER

PT J
AU Whyte, Rebecca
   Quince, Thelma
   Benson, John
   Wood, Diana
   Barclay, Stephen
TI Medical students' experience of personal loss: incidence and
   implications
SO BMC MEDICAL EDUCATION
VL 13
AR 36
DI 10.1186/1472-6920-13-36
PD MAR 6 2013
PY 2013
AB Background: Medical students are generally young people, often away from
   home for the first time and undertaking a course in which they are
   learning to care for people at all stages of life, including those
   approaching death. Existing research indicates that their experiences of
   personal bereavement may have significant implications for their
   pastoral welfare and medical learning. No previous studies have tracked
   medical student experience of bereavement longitudinally and no recent
   data are available from the UK.
   Aims: The study aims to identify medical students' experience of
   personal bereavement: the prevalence prior to and during the course and
   their relationship with those who died.
   Method: Paper and online questionnaire including questions about recent
   personal loss. Setting / Participants: Four cohorts of core science and
   clinical medical students at the University of Cambridge, 1021
   participants in total.
   Results: Mean response rate was 65.2% for core science students and
   72.8% for clinical students. On entry to the core science course, 23.1%
   of all students had experienced a loss at some point. Between 13.0% and
   22.5% experienced bereavement during years 1 - 5 of the course: some
   (1.3% - 6.3%) experienced multiple or repeated losses. Close deaths
   reported were most commonly those of grandparents followed by friends.
   Conclusions: Medical students commonly experience close personal
   bereavement, both before and during their course. Educators need to be
   aware of the range of personal and educational implications of
   bereavement for medical students, and ensure that appropriate help is
   available. Further research could explore incidence of loss at other
   medical schools and investigate the impact and depth of experience of
   loss.
OI Barclay, Stephen/0000-0002-4505-7743
Z8 0
ZS 3
ZB 0
TC 17
ZR 0
ZA 0
Z9 20
U1 0
U2 17
SN 1472-6920
UT WOS:000316219800001
PM 23497189
ER

PT J
AU Ness-Jensen, Eivind
   Lindam, Anna
   Lagergren, Jesper
   Hveem, Kristian
TI Weight Loss and Reduction in Gastroesophageal Reflux. A Prospective
   Population-Based Cohort Study: The HUNT Study
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 108
IS 3
BP 376
EP 382
DI 10.1038/ajg.2012.466
PD MAR 2013
PY 2013
AB OBJECTIVES: High body mass index (BMI) is an established risk factor of
   gastroesophageal reflux symptoms (GERS). The aim of this study was to
   clarify if weight loss reduces GERS.
   METHODS: The study was part of the Nord-Trondelag health study (the HUNT
   study), a prospective population-based cohort study conducted in
   Nord-Trondelag County, Norway. All residents of the county from 20 years
   of age were invited. In 1995-1997 (HUNT 2) and 2006-2009 (HUNT 3),
   58,869 and 44,997 individuals, respectively, responded to a
   questionnaire on heartburn and acid regurgitation. Among these, 29,610
   individuals (61% response rate) participated at both times and were
   included in the present study. The association between weight loss and
   reduction of GERS was calculated using logistic regression. The analyses
   were stratified by antireflux medication and the results adjusted for
   sex, age, cigarette smoking, alcohol consumption, education, and
   physical exercise.
   RESULTS: Weight loss was dose-dependently associated with a reduction of
   GERS and an increased treatment success with antireflux medication.
   Among individuals with >3.5 units decrease in BMI, the adjusted odds
   ratio (OR) of loss of any (minor or severe) GERS was 1.98 (95%
   confidence interval (CI) 1.45-2.72) when using no or less than weekly
   antireflux medication, and 3.95 (95% CI 2.03-7.65) when using at least
   weekly antireflux medication. The corresponding ORs of loss of severe
   GERS was 0.90 (95% CI 0.32-2.55) and 3.11 (95% CI 1.13-8.58).
   CONCLUSIONS: Weight loss was dose-dependently associated with both a
   reduction of GERS and an increased treatment success with antireflux
   medication in the general population. Am J Gastroenterol
   2013;108:376-382; doi:10.1038/ajg.2012.466; published online 29 January
   2013
RI Hveem, Kristian/AFV-4683-2022; Lagergren, Jesper/; Ness-Jensen, Eivind/; Lindam, Anna/
OI Lagergren, Jesper/0000-0002-5143-5448; Ness-Jensen,
   Eivind/0000-0001-6005-0729; Lindam, Anna/0000-0002-6230-0354
ZS 4
ZR 1
ZA 0
TC 60
ZB 14
Z8 2
Z9 66
U1 0
U2 6
SN 0002-9270
EI 1572-0241
UT WOS:000316600500011
PM 23358462
ER

PT J
AU Grigera, Daniel E.
   Arruda Mello, Paulo Augusto
   Barbosa, Wilma Lelis
   Casiraghi, Javier Fernando
   Grossmann, Rodolfo Perez
   Peyret, Alejo
TI Level of agreement among Latin American glaucoma subspecialists on the
   diagnosis and treatment of glaucoma: results of an online survey
SO ARQUIVOS BRASILEIROS DE OFTALMOLOGIA
VL 76
IS 3
BP 163
EP 169
DI 10.1590/S0004-27492013000300007
PD MAR-JUN 2013
PY 2013
AB Purpose: The aim of this research was to assess the level of agreement
   among glaucoma experts in Latin America on key practices related to
   treatment and diagnosis of glaucoma.
   Methods: An online questionnaire was sent to a multinational panel of
   glaucoma experts. The questionnaire contained 107 statements on the
   medical treatment (Part 1) and diagnosis (Part 2) of glaucoma, and was
   developed in Spanish and translated into English. Agreement was defined
   as >= 70% of respondents.
   Results: Fifty participants from 14 countries completed the
   questionnaire. For the medical treatment of glaucoma, nearly all
   respondents (98% or greater) confirmed that medical treatment as
   first-line therapy is preferred to surgery, prostaglandin analogs are
   the medication of first choice for primary open-angle glaucoma (POAG),
   longitudinal monitoring of efficacy should include intraocular pressure,
   structural and functional status, as well as if patients' quality of
   life is impaired by the high cost of medication. For the diagnosis of
   glaucoma section, all respondents confirmed that, after initial
   examination, gonioscopy should be repeated over time, standard automated
   perimetry is the most important functional examination for diagnosis and
   monitoring of primary open-angle glaucoma, central corneal thickness is
   important in assessment of glaucoma, and computerized imaging tests help
   in clinical evaluation of optic disc.
   Conclusions: This survey shows a high level of agreement on most aspects
   of glaucoma diagnosis and treatment among Latin American glaucoma
   experts. Areas of disagreement highlight the need for further evidence
   or education. These findings will be useful for guiding future efforts
   to optimize glaucoma practice by clinicians in Latin America.
OI Grigera, Daniel/0000-0003-4864-4502
Z8 0
ZB 2
TC 3
ZS 0
ZA 0
ZR 0
Z9 3
U1 0
U2 4
SN 0004-2749
EI 1678-2925
UT WOS:000323010700007
PM 23929077
ER

PT J
AU Master, Zubin
   Zarzeczny, Amy
   Rachul, Christen
   Caulfield, Timothy
TI What's Missing? Discussing Stem Cell Translational Research in
   Educational Information on Stem Cell "Tourism"
SO JOURNAL OF LAW MEDICINE & ETHICS
VL 41
IS 1
SI SI
BP 254
EP 268
DI 10.1111/jlme.12017
PD SPR 2013
PY 2013
AB Stem cell tourism is a growing industry in which patients pursue
   unproven stem cell therapies for a wide variety of illnesses and
   conditions. It is a challenging market to regulate due to a number of
   factors including its international, online, direct-to-consumer
   approach. Calls to provide education and information to patients, their
   families, physicians, and the general public about the risks associated
   with stem cell tourism are mounting. Initial studies examining the
   perceptions of patients who have pursued stem cell tourism indicate many
   are highly critical of the research and regulatory systems in their home
   countries and believe them to be stagnant and unresponsive to patient
   needs. We suggest that educational material should include an
   explanation of the translational research process, in addition to other
   aspects of stem cell tourism, as one means to help promote greater
   understanding and, ideally, curb patient demand for unproven stem cell
   interventions. The material provided must stress that strong scientific
   research is required in order for therapies to be safe and have a
   greater chance at being effective. Through an analysis of educational
   material on stem cell tourism and translational stem cell research from
   patient groups and scientific societies, we describe essential elements
   that should be conveyed in educational material provided to patients.
   Although we support the broad dissemination of educational material on
   stem cell translational research, we also acknowledge that education may
   simply not be enough to engender patient and public trust in domestic
   research and regulatory systems. However, promoting patient autonomy by
   providing good quality information to patients so they can make better
   informed decisions is valuable in itself, irrespective of whether it
   serves as an effective deterrent of stem cell tourism.
OI Master, Zubin/0000-0002-3462-4546
TC 24
ZR 0
Z8 0
ZB 8
ZA 0
ZS 0
Z9 24
U1 3
U2 18
SN 1073-1105
EI 1748-720X
UT WOS:000317909200017
PM 23581669
ER

PT J
AU Fajt, Virginia R.
   Scott, H. Morgan
   McIntosh, W. Alex
   Dean, Wesley R.
   Vincent, Virginia C.
TI Survey of Instructors Teaching about Antimicrobial Resistance in the
   Veterinary Professional Curriculum in the United States
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 40
IS 1
BP 35
EP 44
DI 10.3138/jvme.0511-049R1
PD SPR 2013
PY 2013
AB The objective of this study was to ascertain current teaching methods
   for antimicrobial resistance (AMR) in veterinary professional curricula
   and to find out what veterinary instructors consider to be prioritized
   subtopics related to AMR. The sampling frame was instructors in
   veterinary professional programs at US colleges of veterinary medicine
   who provide instruction about antibiotics or AMR in the disciplines of
   microbiology, pharmacology, public health, epidemiology, internal
   medicine, surgery, or related subjects. Identified instructors were
   invited to participate in an online survey of current teaching methods
   related to subtopics of AMR. From 1,207 invitations, 306 completed
   surveys were available for analysis (25% response rate) with the largest
   number of respondents stating their contact hours about antibiotics
   occur in the discipline of "medicine-food animal." The median contact
   time suggested for AMR in the core veterinary curriculum was 3-5 hours,
   and for antibiotics in general, 16-20 hours. Subtopics of AMR were
   prioritized based on respondents' indication that they use or would use
   various teaching tools. The most common teaching tool for all topics was
   projected text (i.e., slides or PowerPoint slides) and the least common
   were video clips, non-course Web sites, online modules, and laboratory
   experiments. Recommendations for identifying the priorities of AMR
   content coverage and learning outcomes are made.
RI McIntosh, William/ABG-5696-2020; Scott, Harvey/ABC-9935-2020; Fajt, Virginia/AAN-8785-2020; Dean, Wesley/
OI Scott, Harvey/0000-0002-0538-5961; Fajt, Virginia/0000-0003-0697-7149;
   Dean, Wesley/0000-0003-1096-4711
TC 1
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
Z9 1
U1 0
U2 24
SN 0748-321X
EI 1943-7218
UT WOS:000316845900006
PM 23475410
ER

PT J
AU Lewis, Petra J.
   Chen, Jim Y.
   Lin, Dana J.
   McNulty, Nancy J.
TI Radiology ExamWeb: Development and Implementation of a National
   Web-Based Examination System for Medical Students in Radiology
SO ACADEMIC RADIOLOGY
VL 20
IS 3
BP 290
EP 296
DI 10.1016/j.acra.2012.09.023
PD MAR 2013
PY 2013
AB Rationale and Objectives: Faculty are often limited in time, knowledge,
   and resources to develop efficient, effective, and valid computer-based
   examinations to evaluate students. Our purpose was to develop a
   web-based pool of standardized National Board of Medical Examiners
   (NBME)-format, peer-reviewed, and peer-tested questions based on the
   Alliance of Medical Student Educators in Radiology (AMSER) National
   Medical Student Curriculum to evaluate the radiologic knowledge of
   medical students.
   Materials and Methods: Members of the AMSER Electronics Committee
   submitted questions they had written for their institutions and later
   developed a 113-question standardized examination. Questions were edited
   by 24 subspeciality editors and then further edited by the authors to
   NBME recommendations. Software was developed using commercially
   available software (www.ExamWeb.com) with extensive modifications and
   additions following initial deployment. Students take examinations
   online and receive their scores immediately. Items were validated by
   identifying those answered >30 times and analyzing the following: number
   of times deployed, number of times correctly answered,
   distractor-specific breakdown, difficulty level (P), and point biserial
   coefficient (rbi).
   Results: Radiology ExamWeb (REW) is available online with 3500
   registered students from 65 institutions and 1800 active questions.
   Instructors can create examinations or use "shared examinations" made by
   another instructor but enabled for other institutions to administer or
   modify. More than 300 shared examinations have been developed. The AMSER
   curriculum was converted into database format and crosschecked with
   question items to ensure that the question pool adequately covered the
   spectrum of the curriculum. An AMSER standardized examination has been
   developed and deployed within REW.
   Conclusions: REW has provided medical student educators with the means
   to evaluate students in a systematic way, using a nationally edited and
   regularly reviewed web-based process.
OI Chen, Jim/0000-0002-1306-8210; Lin, Dana/0000-0001-6211-8862
ZB 2
ZS 0
TC 15
ZA 0
ZR 0
Z8 0
Z9 15
U1 0
U2 11
SN 1076-6332
EI 1878-4046
UT WOS:000316369200005
PM 23452473
ER

PT J
AU Blackmon, Kevin N.
   Huda, Walter
   Lewis, Madelene C.
   Tipnis, Sameer
   Mah, Eugene
   Frey, Donald G.
TI A Web Based Foundations of Radiological Physics for Diagnostic Radiology
   Residents
SO ACADEMIC RADIOLOGY
VL 20
IS 3
BP 338
EP 344
DI 10.1016/j.acra.2012.10.002
PD MAR 2013
PY 2013
AB Rationale and Objects: We describe a new web-based physics course for
   radiology residents preparing for the Exam of the Future (EOF).
   Materials and Methods: A course was developed with a total of 12
   web-based modules. Six modules were focused on "imaging" and six on
   "radiation." A module was-subdivided-into nine short "nuggets."
   Traditional lectures were replaced by modules using prerecorded lectures
   (Tegrity) to a secure website (WebCT). Each module was accompanied by
   three quizzes, each consisting of ten questions designed to reinforce
   covered materials. All online modules were accompanied by a noon
   conference that employed an Audience Response System (Turning Point).
   Seventeen first-year residents over 2 consecutive years beginning in
   July 2010 took this new course, and participated in an anonymous online
   follow-up survey (Survey Monkey).
   Results: The recorded 12 modules had an overall average duration of 72
   19 minutes. Ten of 17 residents expressed a preference of 15 minutes for
   nugget duration. Highest personal assessment scores of each resident's
   understanding were obtained in human radiation risks and radiation
   protection. Residents considered supplemental noon conferences to be
   important for learning radiological physics. Satisfaction level was
   largely positive, with five residents highly satisfied, nine residents
   somewhat satisfied, two residents neutral, and only one resident
   somewhat dissatisfied.
   Conclusions: Our Foundations of Radiological Physics course was well
   received and served as the springboard for mastering x-ray-based imaging
   modalities of radiography, mammography, fluoroscopy, interventional
   radiology, and computed tomography.
ZA 0
ZS 0
Z8 0
ZB 0
TC 2
ZR 0
Z9 2
U1 0
U2 8
SN 1076-6332
UT WOS:000316369200011
PM 23452479
ER

PT J
AU Pourmand, Ali
   Lucas, Raymond
   Nouraie, Mehdi
TI Asynchronous Web-Based Learning, a Practical Method to Enhance Teaching
   in Emergency Medicine
SO TELEMEDICINE AND E-HEALTH
VL 19
IS 3
BP 169
EP 172
DI 10.1089/tmj.2012.0119
PD MAR 2013
PY 2013
AB Objective: To compare medical knowledge acquisition among emergency
   medicine (EM) residents who attend weekly core content lectures with
   those absent but asynchronously viewing the same lectures in a Web-based
   electronic platform. Subjects and Methods: During the study period all
   EM residents attending or absent from weekly educational conferences
   were given a quiz on the covered material. During Phase 1, absentees
   were not given supplemental educational content for missed lectures.
   During Phase 2, absentees were sent a link to an online multimedia
   module containing an audiovisual recording of the actual missed lecture
   with presentation slides. Scores between attendees and absentees during
   both phases were compared using a repeated-measures analysis to evaluate
   the effect of the supplemental online module on knowledge acquisition.
   Results: Thirty-nine EM residents (equally distributed in postgraduate
   years 1-4) were studied during a 15-week period. Overall and after
   adjusting for sex and postgraduate year level, both lecture attendance
   (b = 27; 95% confidence interval, 22-32; p < 0.0001) and Web-based
   learning (b = 32; 95% confidence interval, 26-37; p < 0.0001) were
   associated with significant increases in test scores compared with
   residents who were absent and not receiving supplemental Web-based
   learning. Neither the self-perceived level of mastery with the lecture
   topic nor the amount of reported reading was found to be a predictor of
   test scores. Conclusions: In an EM residency program, asynchronous
   Web-based learning may result in medical knowledge acquisition similar
   to or better than attending traditional core content lectures. The
   percentage of curriculum delivery by asynchronous learning that may be
   used to achieve overall terminal learning objectives in medical
   knowledge acquisition requires further study.
RI Nouraie, Seyed Mehdi/O-4071-2018; , Ali/; Pourmand, Ali/
OI Nouraie, Seyed Mehdi/0000-0001-7465-0581; , Ali/0000-0002-3674-5106;
   Pourmand, Ali/0000-0002-8440-8454
ZS 1
ZB 0
ZA 0
ZR 0
TC 11
Z8 0
Z9 12
U1 0
U2 17
SN 1530-5627
UT WOS:000316059300006
PM 23356380
ER

PT J
AU Sadasivam, Rajani S.
   Kinney, Rebecca L.
   Lemon, Stephenie C.
   Shimada, Stephanie L.
   Allison, Jeroan J.
   Houston, Thomas K.
TI Internet health information seeking is a team sport: Analysis of the Pew
   Internet Survey
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 82
IS 3
BP 193
EP 200
DI 10.1016/j.ijmedinf.2012.09.008
PD MAR 2013
PY 2013
AB Background: Previous studies examining characteristics of Internet
   health information seekers do not distinguish between those who only
   seek for themselves, and surrogate seekers who look for health
   information for family or friends. Identifying the unique
   characteristics of surrogate seekers would help in developing Internet
   interventions that better support these information seekers.
   Objective: To assess differences between self seekers versus those that
   act also as surrogate seekers.
   Methods: We analyzed data from the cross-sectional Pew Internet and
   American Life Project November/December 2008 health survey. Our
   dependent variable was self-report of type of health information seeking
   (surrogate versus self seeking). Independent variables included
   demographics, health status, and caregiving. After bivariate
   comparisons, we then developed multivariable models using logistic
   regression to assess characteristics associated with surrogate seeking.
   Results: Out of 1250 respondents who reported seeking health information
   online, 56% (N = 705) reported being surrogate seekers. In multivariable
   models, compared with those who sought information for themselves only,
   surrogate seekers were more likely both married and a parent (OR = 1.57,
   CI = 1.08, 2.28), having good (OR = 2.05, CI = 1.34, 3.12) or excellent
   (OR = 2.72, CI = 1.70, 4.33) health status, being caregiver of an adult
   relative (OR = 1.76, CI = 1.34, 2.30), having someone close with a
   serious medical condition (OR = 1.62, CI = 1.21, 2.17) and having
   someone close to them facing a chronic illness (OR = 1.55, CI = 1.17,
   2.04).
   Conclusions: Our findings provide evidence that information needs of
   surrogate seekers are not being met, specifically of caregivers.
   Additional research is needed to develop new functions that support
   surrogate seekers. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
RI Houston, Thomas/F-2469-2013; Allison, Jeroan/
OI Allison, Jeroan/0000-0003-4472-2112
ZA 0
Z8 0
ZR 0
ZS 2
TC 61
ZB 2
Z9 62
U1 5
U2 78
SN 1386-5056
EI 1872-8243
UT WOS:000315799800006
PM 23149121
ER

PT J
AU Addison, John
   Whitcombe, Jo
   Glover, Steven William
TI How doctors make use of online, point-of-care clinical decision support
   systems: a case study of UpToDate (c)
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 30
IS 1
BP 13
EP 22
DI 10.1111/hir.12002
PD MAR 2013
PY 2013
AB Background Online point-of-care evidence-based information tools are
   becoming increasingly popular. Objectives To discover how doctors
   actually use one such tool UpToDate in clinical practice. Methods An
   online survey was distributed to doctors at healthcare organisations in
   the north-west of England which subscribed to UpToDate. Some survey
   questions asked for quantifiable data (e.g. demographic details), whilst
   other questions were open-ended and sought examples of clinical
   scenarios and actual point-of-care use of UpToDate. Open-ended responses
   were then analysed into emerging themes. Results The open-ended
   responses include evidence illustrating a large variety of clinical
   scenarios in which the use of UpToDate influenced clinical practice.
   Conclusions These results show how just one point-of-care tool is used
   in a variety of ways that benefit the patient, the doctor and the
   healthcare organisation. Direct quotations reported will provide
   compelling evidence for librarians to present to senior managers who may
   be unsure of the value of point-of-care tools in clinical practice.
RI Whitcombe, Jo/AAW-7275-2021
OI Whitcombe, Jo/0000-0003-3100-1033
ZB 4
ZR 0
ZS 0
TC 17
Z8 0
ZA 0
Z9 17
U1 1
U2 24
SN 1471-1834
EI 1471-1842
UT WOS:000315090400003
PM 23413790
ER

PT J
AU Jacques, V.
   Vial, F.
   Lerintiu, M.
   Thilly, N.
   Mc Nelis, U.
   Raft, J.
   Bouaziz, H.
TI Enhanced recovery following uncomplicated elective caesarean section in
   France: A survey of national practice
SO ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
VL 32
IS 3
BP 142
EP 148
DI 10.1016/j.annfar.2013.01.016
PD MAR 2013
PY 2013
AB Introduction. - Enhanced recovery is a concept currently recognised and
   adopted in a number of surgical specialties. In obstetrics however, this
   concept remains surprisingly underdeveloped. The purpose of this survey
   was to study the practice of obstetric anaesthetists in France as
   regards the recovery of women undergoing uncomplicated, elective
   caesarean section.
   Material and method. - An online 39-point questionnaire was displayed
   for 2 months on the Caro (Club d'anesthesie reanimation en obstetrique)
   website. The questionnaire related to uncomplicated, elective Caesarean
   sections and aimed to define the following: preoperative information
   given regarding the recovery period, intraoperative care - both
   anaesthetic and surgical, postoperative analgesia, measures taken to
   prevent post-partum haemorrhage, reintroduction of fluids and diet,
   return to mobility, local practices designed to promote bonding between
   mother and baby.
   Results. - The overall response rate for our survey was 45%. Forty-nine
   percent of practitioners report that patients are provided with specific
   information on the recovery period preoperatively. Sixty percent of
   those surveyed state the absence of any specific recovery protocol for
   this patient population in their hospital. Eighty-one percent of
   respondents state that, in the majority of cases, patients are admitted
   on the eve of surgery and remain hospitalised for more than 72 hours
   (89%). Ninety-nine percent of practitioners employ a regional technique
   to deliver anaesthesia for elective section and 44% rely on intrathecal
   morphine for postoperative analgesia. The concept of 'Patient Controlled
   Oral Analgesia' (PCOA), although widely recognised, is used by only 17%
   of practitioners. Forty-one percent of practitioners report the
   reintroduction of fluids as soon as patients return to the ward
   following surgery and at the same time as the urinary catheter is
   removed (51%). Diet is commenced 4 to 6 hours following surgery amongst
   40% of those surveyed. Fifty-one percent of practitioners report removal
   of the intravenous catheter 24 hours postoperatively. Finally, 49% of
   practitioners feel patients are independently functioning and mobile
   within 24 hours of surgery.
   Conclusion. - This survey of national practice shows that the concept of
   'enhanced recovery' following elective caesarean section can be again
   developed. Standardisation of practice with the design of local
   protocols relating to postoperative analgesia, timing of removal of the
   intravenous access and urinary catheter, time to first mobilisation and
   to commencement of diet would appear to be warranted. Surely this
   surgery, more than any other, merits an expeditious and effective return
   to normal and independent function, allowing mother to better look after
   baby. (C) 2013 Societe francaise d'anesthesie et de reanimation (Star).
   Published by Elsevier Masson SAS. All rights reserved.
Z8 0
TC 18
ZR 0
ZA 0
ZB 5
ZS 0
Z9 18
U1 1
U2 10
SN 0750-7658
UT WOS:000317878900007
PM 23433933
ER

PT J
AU Volk, Michael L.
   Fisher, Natalie
   Fontana, Robert J.
TI Patient Knowledge About Disease Self-Management in Cirrhosis
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 108
IS 3
BP 302
EP 305
DI 10.1038/ajg.2012.214
PD MAR 2013
PY 2013
AB OBJECTIVES: We aimed to understand and improve patient knowledge about
   self-management of cirrhosis.
   METHODS: We gave 150 outpatients with cirrhosis a survey to test disease
   self-management knowledge. We then gave them a concise educational
   booklet and, 3 months later, a follow-up survey. We analyzed demographic
   and clinical correlates of baseline knowledge, and compared knowledge
   scores before and after the intervention.
   RESULTS: Only 53% of the 15 questions were answered correctly in the
   baseline survey. The most commonly missed items related to diet, such as
   the sodium content of sea salt, as well as the safety of medications,
   such as acetaminophen and statins. After the intervention, 77% of
   patients returned the follow-up survey. This group's median knowledge
   score improved from 53% to 67%; improvement occurred across all domains
   tested.
   CONCLUSIONS: Cirrhosis patients lack the knowledge to effectively manage
   their disease. A simple educational intervention may improve patient
   knowledge. SUPPLEMENTARY MATERIAL is linked to the online version of the
   paper at http://www.nature.com/ajg Am J Gastroenterol 2013;108:302-305;
   doi:10.1038/ajg.2012.214
ZA 0
ZS 0
ZB 18
TC 49
ZR 1
Z8 0
Z9 50
U1 0
U2 11
SN 0002-9270
UT WOS:000316600500002
PM 23459041
ER

PT J
AU Golubic, R.
   Ekelund, U.
   Wijndaele, K.
   Luben, R.
   Khaw, K-T
   Wareham, N. J.
   Brage, S.
TI Rate of weight gain predicts change in physical activity levels: a
   longitudinal analysis of the EPIC-Norfolk cohort
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 3
BP 404
EP 409
DI 10.1038/ijo.2012.58
PD MAR 2013
PY 2013
AB OBJECTIVE: To investigate the relationship of body weight and its
   changes over time with physical activity (PA).
   DESIGN: Population-based prospective cohort study (Norfolk cohort of the
   European Prospective Investigation into Cancer and Nutrition,
   EPIC-Norfolk, United Kingdom).
   SUBJECTS: A total of 25 639 men and women aged 39-79 years at baseline.
   PA was self-reported. Weight and height were measured by standard
   clinical procedures at baseline and self-reported at 18-month and
   10-year follow-ups (calibrated against clinical measures). Main outcome
   measure was PA at the 10-year follow-up.
   RESULTS: Body weight and PA were inversely associated in cross-sectional
   analyses. In longitudinal analyses, an increase in weight was associated
   with higher risk of being inactive 10 years later, after adjusting for
   baseline activity, 18-month activity, sex, baseline age, prevalent
   diseases, socioeconomic status, education, smoking, total daily energy
   intake and alcohol intake. Compared with stable weight, a gain in weight
   of >2 kg per year in the short-, medium-and long-term was consistently
   and significantly associated with greater likelihood of physical
   inactivity after 10 years, with the most pronounced effect for long-term
   weight gain, OR = 1.89 (95% CI: 1.30-2.70) in fully adjusted analysis.
   Weight gain of 0.5-2 kg per year over long-term was substantially
   associated with physical inactivity after full adjustment, OR = 1.26
   (95% CI: 1.11-1.41).
   CONCLUSION: Weight gain (during short-, medium-and long-term) is a
   significant determinant of future physical inactivity independent of
   baseline weight and activity. Compared with maintaining weight, moderate
   (0.5-2 kg per year) and large weight gain (>2 kg per year) significantly
   predict future inactivity; a potentially vicious cycle including further
   weight gain, obesity and complications associated with a sedentary
   lifestyle. On the basis of current predictions of obesity trends, we
   estimate that the prevalence of inactivity in England would exceed 60%
   in the year 2020. International Journal of Obesity (2013) 37, 404-409;
   doi:10.1038/ijo.2012.58; published online 24 April 2012
RI Khaw, Kay-Tee/AAZ-3209-2021; Brage, Soren/C-6415-2013; Luben, Robert N/H-5519-2015; Ekelund, Ulf/AAE-8471-2019; Golubic, Rajna/GNH-4374-2022; Wijndaele, Katrien/H-5465-2013; Golubic, Rajna/
OI Brage, Soren/0000-0002-1265-7355; Luben, Robert N/0000-0002-5088-6343;
   Ekelund, Ulf/0000-0003-2115-9267; Wijndaele,
   Katrien/0000-0003-2199-7981; Golubic, Rajna/0000-0003-0419-9582
ZS 0
ZB 28
ZR 0
ZA 0
Z8 0
TC 50
Z9 50
U1 0
U2 20
SN 0307-0565
EI 1476-5497
UT WOS:000316931400011
PM 22531093
ER

PT J
AU Hart, John, Jr.
   Kraut, Michael A.
   Womack, Kyle B.
   Strain, Jeremy
   Didehbani, Nyaz
   Bartz, Elizabeth
   Conover, Heather
   Mansinghani, Sethesh
   Lu, Hanzhang
   Cullum, C. Munro
TI Neuroimaging of Cognitive Dysfunction and Depression in Aging Retired
   National Football League Players A Cross-sectional Study
SO JAMA NEUROLOGY
VL 70
IS 3
BP 326
EP 335
DI 10.1001/2013.jamaneurol.340
PD MAR 2013
PY 2013
AB Objectives: To assess cognitive impairment and depression in aging
   former professional football (National Football League [NFL]) players
   and to identify neuroimaging correlates of these dysfunctions.
   Design: We compared former NFL players with cognitive impairment and
   depression, cognitively normal retired players who were not depressed,
   and matched healthy control subjects.
   Setting: Research center in the North Texas region of the United States.
   Patients: Cross-sectional sample of former NFL players with and without
   a history of concussion recruited from the North Texas region and age-,
   education-, and IQ-matched controls. Thirty-four retired NFL players
   (mean age, 61.8 years) underwent neurological and neuropsychological
   assessment. A subset of 26 players also underwent detailed neuroimaging;
   imaging data in this subset were compared with imaging data acquired in
   26 healthy matched controls.
   Main Outcome Measures: Neuropsychological measures, clinical diagnoses
   of depression, neuroimaging measures of white matter pathology, and a
   measure of cerebral blood flow.
   Results: Of the 34 former NFL players, 20 were cognitively normal. Four
   were diagnosed as having a fixed cognitive deficit; 8, mild cognitive
   impairment; 2, dementia; and 8, depression. Of the subgroup in whom
   neuroimaging data were acquired, cognitively impaired participants
   showed the greatest deficits on tests of naming, word finding, and
   visual/verbal episodic memory. We found significant differences in white
   matter abnormalities in cognitively impaired and depressed retired
   players compared with their respective controls. Regional blood flow
   differences in the cognitively impaired group (left temporal pole,
   inferior parietal lobule, and superior temporal gyrus) corresponded to
   regions associated with impaired neurocognitive performance (problems
   with memory, naming, and word finding).
   Conclusions: Cognitive deficits and depression appear to be more common
   in aging former NFL players compared with healthy controls. These
   deficits are correlated with white matter abnormalities and changes in
   regional cerebral blood flow. JAMA Neurol. 2013;70(3):326-335. Published
   online January 7, 2013. doi: 10.1001/2013.jamaneurol.340
RI Womack, Kyle/O-5422-2018; Cullum, C. Munro/AAC-2496-2019; Didehbani, Nyaz/; Hart, John/; Mansinghani, Sethesh/
OI Womack, Kyle/0000-0002-6060-9075; Cullum, C. Munro/0000-0001-9706-5465;
   Didehbani, Nyaz/0000-0001-6121-5759; Hart, John/0000-0003-3919-8125;
   Mansinghani, Sethesh/0000-0001-5861-3764
Z8 0
ZB 108
TC 208
ZS 0
ZR 0
ZA 0
Z9 209
U1 2
U2 100
SN 2168-6149
EI 2168-6157
UT WOS:000316804400006
PM 23303193
ER

PT J
AU Conrod, Patricia J.
   O'Leary-Barrett, Maeve
   Newton, Nicola
   Topper, Lauren
   Castellanos-Ryan, Natalie
   Mackie, Clare
   Girard, Alain
TI Effectiveness of a Selective, Personality-Targeted Prevention Program
   for Adolescent Alcohol Use and Misuse A Cluster Randomized Controlled
   Trial
SO JAMA PSYCHIATRY
VL 70
IS 3
BP 334
EP 342
DI 10.1001/jamapsychiatry.2013.651
PD MAR 2013
PY 2013
AB Context: Selective school-based alcohol prevention programs targeting
   youth with personality risk factors for addiction and mental health
   problems have been found to reduce substance use and misuse in those
   with elevated personality profiles.
   Objectives: To report 24-month outcomes of the Teacher-Delivered
   Personality-Targeted Interventions for Substance Misuse Trial (Adventure
   trial) in which school staff were trained to provide interventions to
   students with 1 of 4 high-risk (HR) profiles: anxiety sensitivity,
   hopelessness, impulsivity, and sensation seeking and to examine the
   indirect herd effects of this program on the broader low-risk (LR)
   population of students who were not selected for intervention.
   Design: Cluster randomized controlled trial.
   Setting: Secondary schools in London, United Kingdom.
   Participants: A total of 1210 HR and 1433 LR students in the ninth grade
   (mean [SD] age, 13.7 [0.33] years).
   Intervention: Schools were randomized to provide brief
   personality-targeted interventions to HR youth or treatment as usual
   (statutory drug education in class).
   Main Outcome Measures: Participants were assessed for drinking, binge
   drinking, and problem drinking before randomization and at 6-monthly
   intervals for 2 years.
   Results: Two-part latent growth models indicated long-term effects of
   the intervention on drinking rates (beta = -0.320, SE=0.145, P=.03) and
   binge drinking rates (beta = -0.400, SE=0.179, P=.03) and growth in
   binge drinking (beta = -0.716, SE=0.274, P=.009) and problem drinking
   (beta = -0.452, SE=0.193, P=.02) for HR youth. The HR youth were also
   found to benefit from the interventions during the 24-month follow-up on
   drinking quantity (beta = -0.098, SE=0.047, P=.04), growth in drinking
   quantity (beta = -0.176, SE=0.073, P=.02), and growth in binge drinking
   frequency (beta = -0.183, SE=0.092, P=.047). Some herd effects in LR
   youth were observed, specifically on drinking rates (beta = -0.259,
   SE=0.132, P=.049) and growth of binge drinking (beta = -0.244, SE=0.073,
   P=.001), during the 24-month follow-up.
   Conclusions: Findings further support the personality targeted approach
   to alcohol prevention and its effectiveness when provided by trained
   school staff. Particularly novel are the findings of some mild herd
   effects that result from this selective prevention program. Trial
   Registration: clinicaltrials.gov Identifier: NCT00776685 JAMA
   Psychiatry. 2013;70(3):334-342. Published online January 23, 2013.
   doi:10.1001/jamapsychiatry.2013.651
RI Conrod, Patricia J/P-4187-2018; Ryan, Natalie Castellanos/J-3272-2012; Newton, Nicola/; Mackie, Clare Jayne/
OI Ryan, Natalie Castellanos/0000-0002-7077-1340; Newton,
   Nicola/0000-0001-6305-2623; Mackie, Clare Jayne/0000-0002-0355-2543
Z8 0
ZA 0
TC 199
ZB 96
ZR 1
ZS 1
Z9 199
U1 3
U2 98
SN 2168-622X
EI 2168-6238
UT WOS:000316730300011
PM 23344135
ER

PT J
AU Hansberry, David R.
   Suresh, Ragha
   Agarwal, Nitin
   Heary, Robert F.
   Goldstein, Ira M.
TI Quality assessment of online patient education resources for peripheral
   neuropathy
SO JOURNAL OF THE PERIPHERAL NERVOUS SYSTEM
VL 18
IS 1
BP 44
EP 47
DI 10.1111/jns5.12006
PD MAR 2013
PY 2013
AB Given its practicality, the internet is a primary resource for patients
   afflicted with diseases like peripheral neuropathy. Therefore, it is
   important that the readily available online resources on peripheral
   neuropathy are tailored to the general public, particularly concerning
   readability. Patient education resources were downloaded from the US
   National Library of Medicine, Mayo Clinic, National Institute of
   Neurological Disorders and Stroke, Neuropathy.org, GBS/CIDP Foundation
   International, Hereditary Neuropathy Foundation, Charcot-Marie-Tooth
   Association, Foundation for Peripheral Neuropathy, and Neuropathy Action
   Foundation websites. All patient education material related to
   peripheral neuropathy was evaluated for its level of readability using
   the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level. The FRE
   scores averaged 43.4 with only the US National Library of Medicine
   scoring above 60 (76.5). The Flesch-Kincaid Grade Level scores averaged
   11.0. All scores were above a seventh-grade level except the US National
   Library of Medicine, which had a score of a fifth-grade reading level.
   Most Americans may not fully benefit from patient education resources
   concerning peripheral neuropathy education on many of the websites. Only
   the US National Library of Medicine, which is written at a fifth-grade
   level, is likely to benefit the average American.
OI goldstein, ira/0000-0003-2443-0315
ZR 0
Z8 0
ZS 0
ZA 0
ZB 7
TC 15
Z9 15
U1 0
U2 5
SN 1085-9489
UT WOS:000316696100007
PM 23521643
ER

PT J
AU Hickey, Kathleen T.
   Sciacca, Robert R.
   McCarthy, Mary S.
TI Descriptive survey of Summer Genetics Institute nurse graduates in the
   USA
SO NURSING & HEALTH SCIENCES
VL 15
IS 1
BP 3
EP 8
DI 10.1111/j.1442-2018.2012.00693.x
PD MAR 2013
PY 2013
AB The purpose of this study was to describe the clinical, research,
   educational, and professional activities that nurses are engaged in
   following participation in a 2month intramural genetics training
   program. An online survey was administered in 2010 to graduates of the
   program sponsored by the US National Institute of Nursing Research from
   2000 to 2009, in Bethesda, Maryland, USA. The electronic, voluntary
   survey was sent to 189 graduates via email. The survey included
   demographic characteristics, educational preparation, professional roles
   and responsibilities, and attitudes about genetic testing and privacy
   issues. Of the 95 graduates responding to the survey, 74% had doctorates
   and 70% were advanced practice nurses. All respondents reported
   incorporating genetics knowledge into daily clinical, academic, or
   research practices since completing the program, with 72% reporting
   being involved in genetically-focused research (52% with research
   funding), 32% incorporating genetics into patient care, and 79%
   providing genetics education. Respondents working in a hospital setting
   or academic institution were more likely to desire additional training
   in genetics. National Institute of Nursing Research graduates have
   successfully integrated genomics into a variety of nursing practices.
RI Hickey, Kathleen T/G-5754-2013
ZS 0
Z8 0
TC 4
ZA 0
ZR 0
ZB 0
Z9 4
U1 0
U2 11
SN 1441-0745
EI 1442-2018
UT WOS:000316574400002
PM 22676234
ER

PT J
AU Pulsford, David
   Jackson, Georgina
   O'Brien, Terri
   Yates, Sue
   Duxbury, Joy
TI Classroom-based and distance learning education and training courses in
   end-of-life care for health and social care staff: A systematic review
SO PALLIATIVE MEDICINE
VL 27
IS 3
BP 221
EP 235
DI 10.1177/0269216311429496
PD MAR 2013
PY 2013
AB Background: Staff from a range of health and social care professions
   report deficits in their knowledge and skills when providing end-of-life
   and palliative care, and education and training has been advocated at a
   range of levels.
   Aims: To review the literature related to classroom-based and distance
   learning education and training initiatives for health and social care
   staff in end-of-life and palliative care, in terms of their target
   audience, extent, modes of delivery, content and teaching and learning
   strategies, and to identify the most effective educational strategies
   for enhancing care.
   Design: A systematic review of the literature evaluating classroom-based
   and distance learning education and training courses for health and
   social care staff in end-of-life and palliative care.
   Data sources: Online databases CINAHL, MEDLINE, EMBASE and PSYCHINFO
   between January 2000 and July 2010. Studies were selected that discussed
   specific education and training initiatives and included pre-and
   post-test evaluation of participants' learning.
   Results: 30 studies met eligibility criteria. The majority reported
   successful outcomes, though there were some exceptions. Level of prior
   experience and availability of practice reinforcement influenced
   learning. Participative and interactive learning strategies were
   predominantly used along with discussion of case scenarios.
   Multi-professional learning was infrequently reported and service user
   and carer input to curriculum development and delivery was reported in
   only one study.
   Conclusions: Classroom-based education and training is useful for
   enhancing professionals' skills and perceived preparedness for
   delivering end-of-life care but should be reinforced by actual practice
   experience.
ZA 0
ZB 0
ZR 0
ZS 1
Z8 0
TC 41
Z9 42
U1 1
U2 44
SN 0269-2163
EI 1477-030X
UT WOS:000316752200003
PM 22126845
ER

PT J
AU Thomas, Garry R.
   Eng, Lawson
   de Wolff, Jacob F.
   Grover, Samir C.
TI An Evaluation of Wikipedia as a Resource for Patient Education in
   Nephrology
SO SEMINARS IN DIALYSIS
VL 26
IS 2
BP 159
EP 163
DI 10.1111/sdi.12059
PD MAR-APR 2013
PY 2013
AB Wikipedia, a multilingual online encyclopedia, is a common starting
   point for patient medical searches. As its articles can be authored and
   edited by anyone worldwide, the credibility of the medical content of
   Wikipedia has been openly questioned. Wikipedia medical articles have
   also been criticized as too advanced for the general public. This study
   assesses the comprehensiveness, reliability, and readability of
   nephrology articles on Wikipedia. The International Statistical
   Classification of Diseases and Related problems, 10th Edition (ICD-10)
   diagnostic codes for nephrology (N00N29.8) were used as a topic list to
   investigate the English Wikipedia database. Comprehensiveness was
   assessed by the proportion of ICD-10 codes that had corresponding
   articles. Reliability was measured by both the number of references per
   article and proportion of references from substantiated sources.
   Finally, readability was assessed using three validated indices
   (Flesch-Kincaid grade level, Automated readability index, and Flesch
   reading ease). Nephrology articles on Wikipedia were relatively
   comprehensive, with 70.5% of ICD-10 codes being represented. The
   articles were fairly reliable, with 7.1 +/- 9.8 (mean +/- SD) references
   per article, of which 59.7 +/- 35.0% were substantiated references.
   Finally, all three readability indices determined that nephrology
   articles are written at a college level. Wikipedia is a comprehensive
   and fairly reliable medical resource for nephrology patients that is
   written at a college reading level. Accessibility of this information
   for the general public may be improved by hosting it at alternative
   Wikipedias targeted at a lower reading level, such as the Simple English
   Wikipedia.
RI Eng, Lawson/AAB-8539-2020; Eng, Lawson/
OI Eng, Lawson/0000-0002-4816-8385
Z8 0
ZB 4
TC 29
ZS 0
ZR 0
ZA 0
Z9 29
U1 0
U2 11
SN 0894-0959
UT WOS:000316700700008
PM 23432369
ER

PT J
AU Akkoc, Y.
   Ersoz, M.
   Yildiz, N.
   Erhan, B.
   Alaca, R.
   Gok, H.
   Zinnuroglu, M.
   Ozcete, Z. A.
   Tunc, H.
   Kaya, K.
   Alemdaroglu, E.
   Sarigul, M.
   Konukcu, S.
   Gunduz, B.
   Bardak, A. N.
   Ozcan, S.
   Demir, Y.
   Gunes, S.
   Uygunol, K.
CA Neurogenic Bladder Turkish Res Grp
TI Effects of different bladder management methods on the quality of life
   in patients with traumatic spinal cord injury
SO SPINAL CORD
VL 51
IS 3
BP 226
EP 231
DI 10.1038/sc.2012.131
PD MAR 2013
PY 2013
AB Study design: Multi-center, cross-sectional study.
   Objectives: To investigate the effects of different bladder management
   methods on the quality of life (QoL) in patients with spinal cord injury
   (SCI).
   Setting: Turkey.
   Methods: Consecutive SCI patients (n = 195, 74.4% males), for whom at
   least 6 months had elapsed since the injury, were included and evaluated
   in five groups: normal spontaneous micturition (NSM), micturition with
   assisted maneuvers (MAM), aseptic intermittent catheterization by
   patient (IC-P), aseptic IC by an attendant/caregiver (IC-A) and
   indwelling catheterization. The King's Health Questionnaire was used to
   evaluate the patients' QoL.
   Results: The bladder management groups were similar regarding age, time
   elapsed since injury, education level, marital and occupational status.
   There was no difference among the groups in general health perception,
   personal relationships and sleep/energy domain scores. While the NSM
   group had generally the lowest scores, that is, better QoL, the IC-A
   group had the highest scores, that is, poorer QoL, in most of the
   domains. When the patients were grouped according to the frequency of
   urinary incontinence or American Spinal Injury Association Impairment
   Scale grades, no difference was found in the domain scores of the groups
   except the symptom severity domain scores. No significant difference was
   found between paraplegic and tetraplegic patients in the King's Health
   Questionnaire domains.
   Conclusion: The QoL was notably affected in SCI patients in IC-A group
   and negative effects on emotional status, physical and social activity
   limitations were observed, as well. Spinal Cord (2013) 51, 226-231;
   doi:10.1038/sc.2012.131; published online 13 November 2012
RI Akkoç, Yeşim/AAM-4211-2021; Gok, Haydar/D-6202-2015; Gunes, Secilay/E-2615-2018
OI Akkoç, Yeşim/0000-0003-0480-499X; Gok, Haydar/0000-0002-3659-6489;
   Gunes, Secilay/0000-0002-1231-7094
TC 29
ZA 0
ZR 0
ZS 1
Z8 2
ZB 10
Z9 32
U1 1
U2 17
SN 1362-4393
EI 1476-5624
UT WOS:000316721300013
PM 23147134
ER

PT J
AU Salter, J. E.
   Smith, S. D.
   Ethans, K. D.
TI Positive and negative affect in individuals with spinal cord injuries
SO SPINAL CORD
VL 51
IS 3
BP 252
EP 256
DI 10.1038/sc.2012.105
PD MAR 2013
PY 2013
AB Study design: Participants with spinal cord injuries (SCIs) and healthy
   controls completed standardized questionnaires assessing depression
   level, positive and negative affect, and personality traits.
   Objectives: To identify the specific characteristics of emotional
   experiences affected by spinal cord injury.
   Setting: A Canadian rehabilitation center. Individuals with SCIs were
   recruited from a list of patients who had volunteered to participate in
   studies being conducted by the SCI clinic. Healthy controls were
   recruited from the community, but tested in the SCI clinic.
   Methods: Thirty-six individuals with complete (ASIA A) SCIs and 36 age-,
   gender- and education-matched controls participated in this study. SCI
   participants were classified as cervical (C1-C7), upper thoracic (T1-T5)
   or lower thoracic/upper lumbar (T6-L2). All participants completed the
   Beck Depression Inventory, the Positive and Negative Affect Schedules,
   the NEO Neuroticism Questionnaire, and the harm avoidance scale of the
   Tridimensional Personality Questionnaire. Data were analyzed using
   independent-samples t-tests (when contrasting SCI and controls) and
   analysis of variance (when comparing across SCI groups).
   Results: Participants with SCIs experienced significantly less positive
   affect than controls. The two groups did not differ in their experience
   of negative affect. Participants with SCIs also reported greater levels
   of depression. Depression scores improved with an increasing number of
   years post injury.
   Conclusion: Individuals with SCIs are characterized by specific
   emotional dysfunction related to the experience of positive emotions,
   rather than a tendency to ruminate on negative emotions. The results
   suggest that these individuals would benefit from rehabilitation
   programs that include training in positive psychology. Spinal Cord
   (2013) 51, 252-256; doi:10.1038/sc.2012.105; published online 11
   September 2012
Z8 0
ZB 4
ZR 0
ZA 0
TC 11
ZS 0
Z9 11
U1 0
U2 13
SN 1362-4393
UT WOS:000316721300017
PM 22964753
ER

PT J
AU Prezzia, Charles
   Vorona, Gregory
   Greenspan, Robin
TI Fourth-Year Medical Student Opinions and Basic Knowledge Regarding the
   Field of Radiology
SO ACADEMIC RADIOLOGY
VL 20
IS 3
BP 272
EP 283
DI 10.1016/j.acra.2012.10.004
PD MAR 2013
PY 2013
AB Rationale and Objectives: This study evaluates the opinions and
   knowledge of fourth-year US medical students regarding radiology and
   analyzes the influence of a required or nonrequired radiology rotation
   as a reflection of the effectiveness of radiology medical student
   education.
   Methods and Materials: Our institutional review board granted exempt
   status. An invitation e-mail was sent to 137 US medical schools. Upon
   receiving approval a second email was sent containing our voluntary
   anonymous online survey hyperlink to forward to their fourth-year class.
   Survey topics included demographics, radiology educational experiences,
   attitudes toward the field, and basic radiology knowledge. Responses
   were collected between August 4 and September 26, 2011.
   Results: A total of 444 fourth-year medical students from 37 medical
   schools participated: 89% planned to enter a nonradiology specialty,
   10.8% were required to take a dedicated radiology rotation, 34.9%
   completed one, 77% planned to complete one by graduation, 88.4% thought
   radiology often changes patient care or is at least as important as
   physical exam, 91.4% underestimated the cancer risk of an abdomen and
   pelvis computed tomography by at least one order of magnitude, and 72.9%
   by at least two orders. Seventy-seven percent had never heard of the
   American College of Radiology (ACR) Appropriateness Criteria.
   Respondents underestimated the potential risks of magnetic resonance
   imaging (MRI); with 58.3% aware intravenous gadolinium can cause
   nephrogenic systemic fibrosis and 79.4% aware of potential injury from
   metallic projectiles. 40.4% indicated that non-radiologist clinicians in
   specific medical specialties interpret their respective imaging studies
   at least as accurately as corresponding subspecialty radiologists. Other
   results include student opinions regarding teleradiology, radiologist
   lifestyle, and compensation.
   Conclusions: Fourth-year medical students recognize the importance of
   radiology but are poorly informed regarding radiation safety, MRI
   safety, and ACR Appropriateness Criteria, despite 34.9% having a
   dedicated rotation. This highlights the need for adoption of the
   Alliance of Medical Student Educators in Radiology curriculum.
ZS 0
ZA 0
ZR 0
ZB 0
TC 37
Z8 0
Z9 37
U1 0
U2 13
SN 1076-6332
UT WOS:000316369200003
PM 23452471
ER

PT J
AU Grayev, Allison
   Ziemlewicz, Timothy
   Kim, David
   Romandine, Amy
   Robbins, Jessica
TI Residents Perception of a Novel End-of-Rotation Evaluation Method
SO ACADEMIC RADIOLOGY
VL 20
IS 3
BP 312
EP 319
DI 10.1016/j.acra.2012.11.004
PD MAR 2013
PY 2013
AB Rationale and Objectives: With the advent of the new core and certifying
   examinations, a need has arisen to restructure learning and assessment
   to better reflect the emphasis on continuous learning throughout
   residency. We developed a multiparametric end-of-rotation (EOR)
   evaluation tool to assess medical knowledge, oral presentation, and
   written communication skills administered to the residents at the end of
   each core subspecialty rotation. The benefit of continual assessment is
   obvious from a program perspective; the purpose of this article is to
   evaluate the residents' perception of the process.
   Materials and Methods: All residents (n = 31,28 postgraduate years two
   through five and 3 postgraduate year one) participate in the mandatory
   EOR evaluation as a required component of the residency program. After
   receiving Institutional Review Board approval, informed consent was
   obtained from the residents wishing to participate in quarterly
   16-question online surveys assessing their experience. Each survey
   consists of 15 questions with Likert scale responses (1 through 5 from
   strongly disagree to strongly agree) and one free text answer. Data are
   collected quarterly, starting in September 2011.
   Results: Overall, the-residents' response has been positive. The new
   evaluation method is felt to be more meaningful than (average 3.9,
   standard deviation 0.9) and is favored by the residents over the
   traditional competency-based evaluation (average 4.0, standard deviation
   1.0). However, residents retain neutral attitudes regarding preparation
   for boards or changes in study habits (average score 3.6, standard
   deviation 0.9 and 3.6, and standard deviation 1.1, respectively).
   Conclusion: Residents rate the EOR evaluation experience positively,
   although they do not report changes in study habits or increased
   preparedness for the new certifying examination.
RI Ziemlewicz, Timothy J/C-3995-2015
OI Ziemlewicz, Timothy J/0000-0002-7033-1062
TC 3
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 3
U1 0
U2 2
SN 1076-6332
UT WOS:000316369200008
PM 23452476
ER

PT J
AU Chapman, Teresa
   Chew, Felix S.
TI Introductory Lecture Series for First-Year Radiology Residents:
   Implementation, Investment and Assessment
SO ACADEMIC RADIOLOGY
VL 20
IS 3
BP 332
EP 337
DI 10.1016/j.acra.2012.10.010
PD MAR 2013
PY 2013
AB Rationale and Objectives: A lecture series aimed at providing new
   radiology residents a rapid course on the fundamental concepts of
   professionalism, safety, and interpretation of diagnostic imaging was
   established. Evaluation of the course's educational value was attempted
   through surveys.
   Materials and Methods: Twenty-six live 45-minute lectures presented by
   16 or 17 faculty members were organized exclusively for the first class
   of radiology residents, held over a 2-month period at the beginning of
   certain weekdays. Online surveys were conducted after the course to
   gather feedback from residents. Average resident rotation evaluation
   scores were measured over the first semester for the two classes before
   and after this new course implementation.
   Results: The lecture series was successfully organized and implemented.
   A total of 33 residents sat through the course over three summers.
   Faculty reported a reasonable number of preparation hours, and 100% of
   residents indicated they valued the course. Comparison of class average
   evaluation scores before and after the existence of this 2-month course
   did not significantly change.
   Conclusions: This collection of introductory lectures on
   professionalism, safety, and diagnostic imaging, delivered early in the
   first year of the radiology residency, requires a reasonable number of
   invested preparation hours by the faculty but results in a universal
   increase in resident confidence. However, we were unable to demonstrate
   an objective improvement in resident performance on clinical rotations.
RI Chew, Felix/AAN-3045-2021
OI Chew, Felix/0000-0003-2711-2013
TC 8
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
Z9 8
U1 0
U2 2
SN 1076-6332
UT WOS:000316369200010
PM 23452478
ER

PT J
AU Bhargava, Puneet
   Lackey, Amanda E.
   Dhand, Sabeen
   Moshiri, Mariam
   Jambhekar, Kedar
   Pandey, Tarun
TI Radiology Education 2.0-On the Cusp of Change: Part 1. Tablet Computers,
   Online Curriculums, Remote Meeting Tools and Audience Response Systems
SO ACADEMIC RADIOLOGY
VL 20
IS 3
BP 364
EP 372
DI 10.1016/j.acra.2012.11.002
PD MAR 2013
PY 2013
AB We are in the midst of an evolving educational revolution. Use of
   digital devices such as smart phones and tablet computers is rapidly
   increasing among radiologists who now regularly use them for medical,
   technical, and administrative tasks. These electronic tools provide a
   wide array of new tools to the radiologists allowing for faster, more
   simplified, and widespread distribution of educational material. The
   utility, future potential, and limitations of some these powerful tools
   are discussed in this article.
OI Bhargava, Puneet/0000-0002-3849-9666
Z8 0
ZR 0
ZA 0
ZS 0
ZB 3
TC 30
Z9 30
U1 0
U2 10
SN 1076-6332
UT WOS:000316369200015
PM 23452483
ER

PT J
AU Leng, Graham
TI Use of acupuncture in hospices and palliative care services in the UK
SO ACUPUNCTURE IN MEDICINE
VL 31
IS 1
BP 16
EP 22
DI 10.1136/acupmed-2012-010230
PD MAR 2013
PY 2013
AB Purpose The aim of the present work was to evaluate the availability of
   acupuncture in UK hospices and specialist palliative care services and
   to identify any barriers to the use of acupuncture in these settings, to
   determine the characteristics of available acupuncture services and of
   practitioners providing acupuncture, and to determine awareness of the
   evidence base for the use of acupuncture in palliative care.
   Methods An online questionnaire with an invitation to participate was
   circulated by email to 263 hospices and specialist palliative care
   services in the UK.
   Results A response rate of 54% was obtained. Acupuncture was provided by
   59% of services that responded. In general, small numbers of patients
   receive acupuncture as part of their palliative care treatment as
   inpatients, day patients or outpatients. Most practitioners were
   regulated health professionals who had received a Western-style training
   in acupuncture and used a Western-style medical acupuncture approach.
   Where acupuncture was not available the commonest reason given was the
   lack of a suitable practitioner. Most agreed that if funding and a
   suitable practitioner were available, acupuncture would be a useful
   addition to their service. The level of awareness of specific types of
   evidence supporting the use of acupuncture in palliative care was low,
   but most respondents were aware that some evidence existed.
   Conclusions There is a need to increase training in acupuncture for
   healthcare professionals working in palliative care. There is also a
   need to raise awareness of the potential benefits to patients and the
   evidence base supporting the use of acupuncture in palliative care.
RI cmu, library/L-1810-2013
Z8 2
ZA 0
TC 7
ZB 2
ZR 0
ZS 0
Z9 9
U1 0
U2 20
SN 0964-5284
EI 1759-9873
UT WOS:000316371700005
PM 23103882
ER

PT J
AU Rich, Peter
   Guy, Richard
TI A "Do-It-Yourself" interactive bone structure module: Development and
   evaluation of an online teaching resource
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 2
BP 107
EP 113
DI 10.1002/ase.1312
PD MAR-APR 2013
PY 2013
AB A stand-alone online teaching module was developed to cover an area of
   musculoskeletal anatomy (structure of bone) found to be difficult by
   students. The material presented in the module was not formally
   presented in any other way, thus providing additional time for other
   curriculum components, but it was assessed in the final examination. The
   module was developed using in-house software designed for academics with
   minimal computer experience. The efficacy and effectiveness of the
   module was gauged via student surveys, testing student knowledge before
   and after module introduction, and analysis of final examination
   results. At least 74% of the class used the module and student responses
   were positive regarding module usability (navigation, interaction) and
   utility (learning support). Learning effectiveness was demonstrated by
   large significant improvements in the post-presentation test scores for
   users compared with non-users and by the percentage of correct responses
   to relevant multiple choice questions in the final examination.
   Performance on relevant short answer questions in the final examination
   was, on average, comparable to that for other components. Though limited
   by study structure, it was concluded that the module produced learning
   outcomes equivalent to those generated by more traditional teaching
   methods. This Do-It-Yourself e-learning approach may be particularly
   useful for meeting specific course needs not catered for by commercial
   applications or where there are cost limitations for generation of
   online learning material. The specific approaches used in the study can
   assist in development of effective online resources in anatomy. Anat Sci
   Educ 6: 107113. (c) 2012 American Association of Anatomists.
ZR 0
TC 10
ZA 0
Z8 0
ZB 1
ZS 0
Z9 11
U1 3
U2 41
SN 1935-9772
UT WOS:000316264600005
PM 23027675
ER

PT J
AU David, Alan K.
TI Medical Education on a Collision Course: Sooner Rather Than Later?
SO FAMILY MEDICINE
VL 45
IS 3
BP 159
EP 163
PD MAR 2013
PY 2013
AB BACKGROUND: The escalating cost of medical education does not have
   transparency. This results in high percentages of medical students with
   progressively rising levels of indebtedness that are only exceeded by
   the increases in tuition. Indebtedness is a factor in specialty choice
   along with the "business" of medicine that reimburses procedural-based
   physicians much more than cognitive primary care-based services. In
   response to perceived increased physician demand by 2025, medical
   schools have increased enrollments, and new schools are online or in
   development. Despite the inevitable increase in medical graduates, the
   number of residency positions is static and may even contract. While
   these phenomena are being studied individually, almost no one is
   examining the bigger picture: increasing numbers of highly indebted
   students vying for static numbers of residency positions, especially in
   the more highly remunerative specialties. The workforce is out of
   balance now, and the desired workforce outcomes are not universally
   agreed upon, let alone how to achieve them. This collision of forces is
   imminent. Family medicine can become "counter culture" once again and
   advocate for change with education/cost data, political expertise, and
   outcome measures. Returning to our roots by advocating ultimately for
   the patient is fundamental to our discipline. (Fam Med
   2013;45(3):159-63.)
ZA 0
ZS 0
TC 7
Z8 0
ZB 3
ZR 0
Z9 7
U1 0
U2 6
SN 0742-3225
EI 1938-3800
UT WOS:000316166300002
PM 23463427
ER

PT J
AU Schrijver, Iris
   Natkunam, Yasodha
   Galli, Stephen
   Boyd, Scott D.
TI Integration of Genomic Medicine into Pathology Residency Training The
   Stanford Open Curriculum
SO JOURNAL OF MOLECULAR DIAGNOSTICS
VL 15
IS 2
BP 141
EP 148
DI 10.1016/j.jmoldx.2012.11.003
PD MAR 2013
PY 2013
AB Next-generation sequencing methods provide an opportunity for molecular
   pathology laboratories to perform genomic testing that is far more
   comprehensive than single-gene analyses. Genome-based test results are
   expected to develop into an integral component of diagnostic clinical
   medicine and to provide the basis for individually tailored health care.
   To achieve these goals, rigorous interpretation of high-quality data
   must be informed by the medical history and the phenotype of the
   patient. The discipline of pathology is well positioned to implement
   genome-based testing and to interpret its results, but new knowledge and
   skills must be included in the training of pathologists to develop
   expertise in this area. Pathology residents should be trained in
   emerging technologies to integrate genomic test results appropriately
   with more traditional testing, to accelerate clinical studies using
   genomic data, and to help develop appropriate standards of data quality
   and evidence-based interpretation of these test results. We have created
   a genomic pathology curriculum as a first step in helping pathology
   residents build a foundation for the understanding of genomic medicine
   and its implications for clinical practice. This curriculum is freely
   accessible online. (J Mol Diagn 2013, 15: 141-148;
   http://dx.doi.org/10.1016/j.jmoldx.2012.11.003)
RI Natkunam, Yasodha/L-5454-2015
OI Natkunam, Yasodha/0000-0002-9816-1018
ZB 13
ZR 0
TC 15
ZA 0
Z8 0
ZS 0
Z9 15
U1 0
U2 4
SN 1525-1578
EI 1943-7811
UT WOS:000315841600001
PM 23313248
ER

PT J
AU Roser, Florian
   Pfister, Gerd
   Tatagiba, Marcos
   Ebner, Florian H.
TI Live surgery in neurosurgical training courses: essential infrastructure
   and technical set-up
SO ACTA NEUROCHIRURGICA
VL 155
IS 3
BP 541
EP 545
DI 10.1007/s00701-012-1578-8
PD MAR 2013
PY 2013
AB Training courses in neurosurgery are essential educational elements of
   residency. Teaching methods vary due to cultural differences, monetary
   restrictions and infrastructure conditions. Anatomical dissection
   courses combined with annotated live surgeries performed by senior
   surgeons have proved to be best accepted by students.
   In this technical note, we provide detailed information about the
   necessary requirements, resources and optimal performance of live
   surgeries in neurosurgical training courses.
   From 2007 to 2012, 12 neurosurgical training courses with live surgeries
   were organised at the Department of Neurosurgery. Here, we share our
   experience and report the essential set-up for these courses. Our
   department organised seven skull base, four cervical spine and one
   spinal cord stimulation hands-on dissection course with live surgeries.
   The course structure included lectures, cadaver dissections and live
   surgeries. The technical set-up included video transmission via an
   IP-based network with fibreglass backbone between the operating theatre
   (OR) and lecture room. During surgery, bidirectional discussions offered
   the participants the ability to interject and ask questions. Important
   issues included the careful selection of live operated patients with
   clearly presented pathology for the didactic cases used to demonstrate
   the technique. A live surgery should include the entire procedure:
   intraoperative set-up, positioning, anaesthesiological procedures and
   handling of intraoperative situations.
   A professionally prepared step-by-step educational program including
   surgical anatomy, cadaver dissection and live surgeries with online
   discussion offers a high level of training and enriches both the
   participants and instructors.
OI Roser, Florian/0000-0002-7854-6789
ZS 0
Z8 0
TC 7
ZR 0
ZB 2
ZA 0
Z9 7
U1 0
U2 13
SN 0001-6268
EI 0942-0940
UT WOS:000314760100022
PM 23242711
ER

PT J
AU Raghunathan, Karthik
   Connelly, Neil Roy
   Friderici, Jennifer
   Naglieri-Prescod, Deborah
   Joyce, Ryan
   Prasanna, Praveen
   Ponnusamy, Nandakumar
TI Unwarranted Variability in Antibiotic Prophylaxis for Cesarean Section
   Delivery: A National Survey of Anesthesiologists
SO ANESTHESIA AND ANALGESIA
VL 116
IS 3
BP 644
EP 648
DI 10.1213/ANE.0b013e318276cf72
PD MAR 2013
PY 2013
AB BACKGROUND: Current guidelines from the American College of
   Obstetricians and Gynecologists recommend antibiotic prophylaxis for
   cesarean delivery immediately before incision. The purpose of this study
   was to measure and describe correlates of adherence to these guidelines
   in a sample of United States anesthesiologists.
   METHODS: We invited a random sample of the membership of the American
   Society of Anesthesiologists (n = 10,000) to complete an online survey.
   RESULTS: Of 1052 respondents (10.5%) with complete information for
   analysis, 63.5% (95% confidence interval 60.6%, 66.3%, n = 668) reported
   preincision prophylaxis as the standard of care for scheduled cesarean
   delivery. Twenty-eight percent (n = 299) agreed that the
   anesthesiologist should take primary responsibility for prophylaxis
   timing. In a multivariable model, significant variability in preincision
   prophylaxis was noted for hospital type (community versus teaching, 62%
   vs 70%, P = 0.004), region (West versus Southeast, 70% vs 59%, P = 0.01;
   West versus Southwest, 70% vs 58%, P = 0.02), and respondents' belief in
   appropriate preincision timing (those endorsing routine preincision
   administration [80%], routine after cord clamp administration [17%], at
   the discretion of the obstetrician [47%], and the belief that more
   information was needed [43%]) (P < 0.001 all comparisons). Respondents'
   belief about appropriate preincision timing was the strongest
   discriminator in the model (change in area under the receiver operating
   characteristic curve = 0.13 vs <= 0.02 for all others).
   CONCLUSION: Adherence with current prophylactic antibiotic
   administration guidelines for cesarean delivery is not uniform.
   Education initiatives, regulatory maneuvers, and process improvement
   should be targeted at sites where anesthesiologists do not comply with
   current guidance. (Anesth Analg 2013;116:644-8)
Z8 0
TC 4
ZA 0
ZB 0
ZR 0
ZS 0
Z9 4
U1 0
U2 5
SN 0003-2999
UT WOS:000315540400023
PM 23400990
ER

PT J
AU Krishnan, Sundar
   Kuhl, Taften
   Ahmed, Waseemuddin
   Togashi, Kei
   Ueda, Kenichi
TI Efficacy of an Online Education Program for Ultrasound Diagnosis of
   Pneumothorax
SO ANESTHESIOLOGY
VL 118
IS 3
BP 715
EP 721
DI 10.1097/ALN.0b013e31827f0979
PD MAR 2013
PY 2013
AB Background: Experienced ultrasonographers can rule out pneumothorax
   reliably. The authors hypothesized that with basic training, anesthesia
   residents and faculty can also reliably rule out pneumothorax when
   presented with an optimal ultrasound image of the chest.
   Methods: The study investigators created a library of 99 ultrasound
   video images of the chest with or without pneumothorax obtained from 53
   patients undergoing elective thoracic surgery. After a 5-min tutorial,
   the physicians were invited to take a quiz based on 20 ultrasound videos
   randomly selected from the library. Sensitivity and specificity were
   calculated for overall performance, and a generalized estimating
   equations model was created to identify significant independent
   covariates affecting performance. To detect the retention rate for this
   skill, participants were asked to take the quiz again 6 months later.
   Results: Seventy-nine anesthesia residents and faculty took part in the
   study. The sensitivity and specificity for ruling out pneumothorax was
   86.6% and 85.6% respectively. On generalized estimating equation model,
   participants were significantly less likely to identify ultrasound
   features of pneumothorax if there was probe movement (P value = 0.002;
   OR 2.69; 95% CI 1.61-4.5) or heartbeat (P < 0.001; OR 3.54; 95% CI
   2.27-5.51) on the ultrasound video. The median and interquartile ranges
   for scores (90%, and 80-95% respectively) did not change from the first
   to the second quiz.
   Conclusion: After viewing a 5-min online training video, physicians can
   reliably rule out pneumothorax on an optimal ultrasound image. They are
   also able to retain this skill for up to 6 months.
RI Ueda, K./AAC-4492-2019; Krishnan, Sundar/
OI Ueda, K./0000-0002-4559-4581; Krishnan, Sundar/0000-0001-7382-2396
TC 18
ZR 0
ZA 0
ZB 3
ZS 0
Z8 0
Z9 18
U1 0
U2 11
SN 0003-3022
UT WOS:000315192900030
PM 23291625
ER

PT J
AU Daniluk, Judith C.
   Koert, Emily
TI The other side of the fertility coin: a comparison of childless men's
   and women's knowledge of fertility and assisted reproductive technology
SO FERTILITY AND STERILITY
VL 99
IS 3
BP 839
EP 846
DI 10.1016/j.fertnstert.2012.10.033
PD MAR 2013
PY 2013
AB Objective: To determine childless men's knowledge about fertility and
   assisted reproductive technology (ART) treatments and family building
   options, compared to knowledge of a sample of childless women.
   Design: Self-report questionnaire comprising 2 self-ratings and 20
   knowledge questions related to later childbearing and ART.
   Setting: Online survey.
   Patient(s): A total of 599 presumed fertile, childless men between the
   ages of 20 and 50 years.
   Intervention(s): None.
   Main Outcome Measure(s): Knowledge of fertility and ART as measured by
   the male version of the Fertility Awareness Survey.
   Result(s): The majority of participants rated themselves as having some
   knowledge or being fairly knowledgeable about fertility and ART.
   However, on the 20 knowledge questions, overall knowledge was limited,
   with more than 50% of the sample answering correctly only 4 of 20
   knowledge questions. The men demonstrated even less knowledge of
   fertility and ART than childless women.
   Conclusion(s): Given that the childless men in our study had no coherent
   body of knowledge regarding age-related fertility and ART treatment and
   family-building options, men may be contributing to the trend to delay
   childbearing. If they are to be effective in supporting informed
   fertility and childbearing decisions, education programs must target
   both women and men. (Fertil Steril (R) 2013;99:839-46. (C) 2013 by
   American Society for Reproductive Medicine.)
ZB 17
Z8 0
ZS 0
ZR 0
TC 55
ZA 0
Z9 55
U1 0
U2 28
SN 0015-0282
EI 1556-5653
UT WOS:000315589300039
PM 23148926
ER

PT J
AU Colaco, Marc
   Svider, Peter F.
   Agarwal, Nitin
   Eloy, Jean Anderson
   Jackson, Imani M.
TI Readability Assessment of Online Urology Patient Education Materials
SO JOURNAL OF UROLOGY
VL 189
IS 3
BP 1048
EP 1052
DI 10.1016/j.juro.2012.08.255
PD MAR 2013
PY 2013
AB Purpose: The National Institutes of Health, American Medical
   Association, and United States Department of Health and Human Services
   recommend that patient education materials be written at a fourth to
   sixth grade reading level to facilitate comprehension. We examined and
   compared the readability and difficulty of online patient education
   materials from the American Urological Association and academic urology
   departments in the Northeastern United States.
   Materials and Methods: We assessed the online patient education
   materials for difficulty level with 10 commonly used readability
   assessment tools, including the Flesch Reading Ease Score,
   Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook, Gunning
   Frequency of Gobbledygook, New Dale-Chall Test, Coleman-Liau index, New
   Fog Count, Raygor Readability Estimate, FORCAST test and Fry score.
   Results: Most patient education materials on the websites of these
   programs were written at or above the eleventh grade reading level.
   Conclusions: Urological online patient education materials are written
   above the recommended reading level. They may need to be simplified to
   facilitate better patient understanding of urological topics.
Z8 0
ZA 0
ZR 0
ZS 0
ZB 19
TC 78
Z9 78
U1 0
U2 14
SN 0022-5347
UT WOS:000315109600086
PM 23017508
ER

PT J
AU Champenois, Karen
   Cousien, Anthony
   Ndiaye, Bakhao
   Soukouna, Yougoudou
   Baclet, Veronique
   Alcaraz, Isabelle
   Choisy, Philippe
   Chaud, Pascal
   Velter, Annie
   Gallay, Anne
   Yazdanpanah, Yazdan
TI Risk factors for syphilis infection in men who have sex with men:
   results of a case-control study in Lille, France
SO SEXUALLY TRANSMITTED INFECTIONS
VL 89
IS 2
BP 128
EP 132
DI 10.1136/sextrans-2012-050523
PD MAR 2013
PY 2013
AB Background Substantial increases in syphilis have been reported since
   the early 2000s in northern countries, particularly among men who have
   sex with men (MSM). The authors aimed to identify risk factors for early
   syphilis in MSM in Lille, a large urban area of northern France.
   Methods A matched case-control study was conducted in MSM aged >= 18
   years. Cases were diagnosed with primary, secondary or early latent
   syphilis between April 2008 and June 2010. Controls sought care in STIs
   clinics or were followed in an HIV clinic. Controls had no history of
   and no current syphilis. They were matched to cases for age and HIV
   status. Multivariate conditional logistic regression models were used to
   identify risk factors for early syphilis.
   Results 53 patients with early syphilis were enrolled. Average age was
   37 years, and 47% were HIV-infected. For analysis, they were matched to
   90 controls. Factors associated with syphilis were: low educational
   attainment (OR=5.38, 95% CI 1.94 to 14.94; p=0.001), receptive oral sex
   with casual male partners without a condom (OR=4.86, 95% CI 1.63 to
   14.48; p=0.005) and anal sex toy use with casual male partners (OR=2.72,
   95% CI 1.01 to 7.32; p=0.05). Seeking of sex partners online (OR=5.17,
   95% CI 1.33 to 20.11), use of poppers (OR=2.2, 95% CI 1.1 to 4.3) and
   erectile dysfunction drugs (OR=1.9, 95% CI 1.0 to 13.2) were associated
   with syphilis only in the univariate analysis.
   Conclusions Receptive oral sex without a condom and use of anal sex toys
   were identified as presenting a major risk of syphilis infection.
   Although these practices have been shown to present low risk of HIV
   transmission, the general public is unaware of their impact on
   transmission of other STIs.
OI Cousien, Anthony/0000-0003-3396-1038
ZA 0
ZS 0
TC 18
ZB 8
ZR 0
Z8 0
Z9 19
U1 0
U2 9
SN 1368-4973
EI 1472-3263
UT WOS:000315207800015
PM 22679099
ER

PT J
AU Stewart, Alice
   Inglis, Garry
   Jardine, Luke
   Koorts, Pieter
   Davies, Mark William
TI A randomised controlled trial of blended learning to improve the newborn
   examination skills of medical students
SO ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION
VL 98
IS 2
BP F141
EP F144
DI 10.1136/archdischild-2011-301252
PD MAR 2013
PY 2013
AB Objective To evaluate the hypotheses that a blended learning approach
   would improve the newborn examination skills of medical students and
   yield a higher level of satisfaction with learning newborn examination.
   Method Undergraduate medical students at a tertiary teaching hospital
   were individually randomised to receive either a standard neonatology
   teaching programme (control group), or additional online access to the
   PENSKE Baby Check Learning Module (blended learning group). The primary
   outcome was performance of newborn examination on standardised
   assessment by blinded investigators. The secondary outcomes were
   performance of all 'essential' items of the examination, and participant
   satisfaction.
   Results The recruitment rate was 88% (71/81). The blended learning group
   achieved a significantly higher mean score than the control group
   (p=0.02) for newborn examination. There was no difference for
   performance of essential items, or satisfaction with learning newborn
   examination. The blended learning group rated the module highly for
   effective use of learning time and ability to meet specific learning
   needs.
   Conclusions A blended learning approach resulted in a higher level of
   performance of newborn examination on standardised assessment. This is
   consistent with published literature on blended learning and has
   implications for all neonatal clinicians including junior doctors,
   midwifes and nurse practitioners.
RI Davies, Mark William/A-7262-2008; Jardine, Luke A/C-6984-2011; Jardine, Luke Anthony/V-6670-2019; Koorts, Pieter J/A-4471-2016
OI Davies, Mark William/0000-0003-2179-4367; Jardine, Luke
   A/0000-0002-7986-4279; Jardine, Luke Anthony/0000-0002-7986-4279;
   Koorts, Pieter J/0000-0001-7505-2014
ZB 0
TC 16
ZA 0
ZS 0
ZR 0
Z8 0
Z9 16
U1 0
U2 18
SN 1359-2998
EI 1468-2052
UT WOS:000316090800013
PM 22684155
ER

PT J
AU Gerstel, L.
   Zwanikken, P. A. C.
   Hoffman, A.
   Diederichs, C.
   Borchert, M.
   Peterhans, B.
TI Fifteen years of the tropEd Masters in International Health programme:
   what has it delivered? Results of an alumni survey of masters students
   in international health
SO TROPICAL MEDICINE & INTERNATIONAL HEALTH
VL 18
IS 3
BP 377
EP 384
DI 10.1111/tmi.12050
PD MAR 2013
PY 2013
AB Objectives In 20102011, recent graduates (2008 or earlier) of the
   Masters in International Health (MIH) (as offered by over 30
   universities and institutions collaborating in the tropEd network) were
   surveyed. We aimed to examine whether the competencies gained proved
   appropriate for alumni's current positions and to develop the programme
   according to alumni's needs. Methods An online questionnaire was sent to
   327 alumni. One hundred and seventy-seven responded and 99 met the
   inclusion criteria. We calculated frequency distributions of the answers
   and performed a bivariate analysis of certain variables. Results Alumni
   feel confident in all areas covered by the MIH. Most competencies
   acquired are perceived as essential or very relevant to their current
   position. Many respondents (77%) changed jobs after graduation, mostly
   from curative care to public health. More African and Asian alumni work
   in their country of origin (66% and 63%, respectively) than alumni from
   other continents (42%). The respondents had mostly worked at a national
   or provincial level, but after graduating mostly worked at international
   or national level. Alumni said that the network's mobility and
   flexibility had important advantages and disadvantages. Conclusions This
   is the first alumni survey of the MIH programme offered through the
   international network tropEd. The results suggest that competencies
   gained by graduates are relevant for their current careers. We recommend
   offering better guidance to students planning modules and to improve
   administration.
OI Zwanikken, Prisca/0000-0003-0436-8198
ZR 0
Z8 0
TC 10
ZB 1
ZA 0
ZS 0
Z9 10
U1 0
U2 12
SN 1360-2276
UT WOS:000315103700017
PM 23294376
ER

PT J
AU Blevins, Jo Young
TI Status of Oral Health Care in Hospitalized Children
SO MCN-THE AMERICAN JOURNAL OF MATERNAL-CHILD NURSING
VL 38
IS 2
BP 115
EP 119
DI 10.1097/NMC.0b013e318269daac
PD MAR-APR 2013
PY 2013
AB Purpose: The purpose of the study was to determine the level of oral
   health care provided to hospitalized children on acute care units at a
   children's hospital in an academic medical center with a dental school.
   Study Design and Methods: The research design was descriptive. Data were
   collected using a short written survey for parents and a brief online
   survey for nurses. A convenience sample of 49 pediatric nurses and 59
   parents of hospitalized children participated.
   Results: According to the parents, 17% of the hospitalized children
   brushed their teeth more than once a day, yet 60% of these same children
   brushed more than once a day when at home. According to the nurse
   respondents, their assessments, interventions, health teaching, and
   referrals related to oral care are done infrequently. Over 40% of the
   nurses responded that they do not educate patients about oral hygiene,
   and 61.2% provide no nutritional education in relation to oral health.
   The majority (65.3%) had never entered documentation related to broken
   teeth or cavities, and 85.7% had never advised patients to see a
   dentist.
   Clinical Implications: The findings of this study indicate a need for
   improved oral health care for hospitalized children. Pediatric nurses
   can contribute to the identification, care, and prevention of oral
   health problems in children. This begins by performing and documenting
   oral assessments, ensuring patients brush their teeth, including oral
   health promotion in parent-child education, and making needed oral
   health referrals.
ZR 0
TC 3
ZS 0
ZA 0
Z8 0
ZB 1
Z9 3
U1 0
U2 11
SN 0361-929X
EI 1539-0683
UT WOS:000315356100010
PM 23426054
ER

PT J
AU Khanal, Santosh
   Buckley, Tom
   Harnden, Chris
   Koo, Michelle
   Peterson, Gregory
   Ryan, Anna
   Tse, Justin
   Westbury, Juanita
   Zuo, Yeqin
TI Effectiveness of a national approach to prescribing education for
   multiple disciplines
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 75
IS 3
SI SI
BP 756
EP 762
DI 10.1111/j.1365-2125.2012.04399.x
PD MAR 2013
PY 2013
AB Aims To evaluate the effectiveness of a national approach to prescribing
   education on health professional students' prescribing and therapeutics
   knowledge, across multiple disciplines. Methods In a university
   examination setting, 83 medical, 40 pharmacy and 13 nurse practitioner
   students from three different universities completed a set of multiple
   choice questions (MCQs) before and after completing an online module
   from the National Prescribing Curriculum (NPC). To minimize
   overestimation of knowledge, students had to indicate the level of
   certainty for each answer on a three-point scale. MCQs were scored using
   a validated certainty-based marking scheme resulting in a composite
   score (maximum 30 and minimum 60). Students were asked to rate their
   perception of usefulness of the module. Results At the pre-module phase,
   there were no significant differences in the composite MCQ scores
   between the medical (9.0 +/- 10.3), pharmacy (10.2 +/- 10.6) and nurse
   practitioner (8.0 +/- 10.7) students. The scores improved significantly
   for all groups at the post-module phase (P<0.01 for all groups) by
   similar extents (post-module results: medical, 14.5 +/- 9.6; pharmacy,
   14.4 +/- 9.9; nurse practitioner, 12.1 +/- 9.6). 39.4% of the MCQs
   answered incorrectly with high level of certainty at the pre-module
   phase were still answered incorrectly with high level of certainty at
   the post-module phase. Almost all students (with no significant
   difference between the groups) found the NPC modules, post-module MCQs
   and feedback useful as a learning tool. Conclusions A national online
   approach to prescribing education can improve therapeutics knowledge of
   students from multiple disciplines of health care and contribute towards
   streamlining interdisciplinary learning in medication management.
RI Breen, Juanita L/J-7495-2014; Khanal, Santosh/D-1856-2013; Ryan, Anna T/I-5610-2016; Peterson, Gregory/
OI Breen, Juanita L/0000-0002-9932-9513; Khanal,
   Santosh/0000-0003-2688-1355; Ryan, Anna T/0000-0001-7458-027X; Peterson,
   Gregory/0000-0002-6764-3882
ZB 2
ZA 0
Z8 0
TC 8
ZS 0
ZR 0
Z9 8
U1 1
U2 19
SN 0306-5251
UT WOS:000314654800016
PM 22844974
ER

PT J
AU Schmieder, Roland E.
   Grassi, Guido
   Kjeldsen, Sverre E.
TI Patients with treatment-resistant hypertension report increased stress
   and anxiety: a worldwide study
SO JOURNAL OF HYPERTENSION
VL 31
IS 3
BP 610
EP 615
DI 10.1097/HJH.0b013e32835d6e53
PD MAR 2013
PY 2013
AB Objective: Treatment-resistant hypertension (rHTN) is defined as blood
   pressure (BP) that remains above goal despite compliance with at least
   three antihypertensive medications including a diuretic all at maximum
   tolerated doses or BP controlled on at least four drugs. An increased
   risk for cardiovascular events is associated with rHTN compared with
   controlled hypertension (HTN). The purpose of this study was to assess
   the emotional impact of rHTN on patients compared with the impact of
   uncontrolled hypertension (uHTN).
   Methods: We conducted an online survey in an international cohort of
   2649 patients with uHTN and 1925 patients with rHTN. Adults
   self-reported as having uHTN or rHTN in eight countries (Brazil, France,
   Germany, Italy, Japan, Spain, United Kingdom, and United States)
   responded to a series of questions about their perceptions regarding the
   impact of HTN on their lives. The raw data were weighted by demographic
   variables, the propensity for respondents to be online (except data from
   Brazil and Japan), and the relative population of each country surveyed.
   Results: Respondents from both groups reported a substantial emotional
   impact from HTN. People with rHTN reported consistently greater impact
   than patients with uHTN, including a poorer perception of their overall
   health, greater degree of concern over their elevated BP, and a greater
   impact on their everyday lives.
   Conclusion: In addition to the known risks to physical health, rHTN
   presents a substantial emotional burden to patients. An awareness of the
   emotional consequences of rHTN may help healthcare providers to
   communicate more effectively with their patients and, ultimately, to
   provide better care.
ZB 6
ZS 1
Z8 0
ZR 0
ZA 0
TC 21
Z9 22
U1 0
U2 9
SN 0263-6352
EI 1473-5598
UT WOS:000314632800024
PM 23303395
ER

PT J
AU Agarwal, Jayant P.
   Mendenhall, Shaun D.
   Moran, Linh A.
   Hopkins, Paul N.
TI Medical Student Perceptions of the Scope of Plastic and Reconstructive
   Surgery
SO ANNALS OF PLASTIC SURGERY
VL 70
IS 3
BP 343
EP 349
DI 10.1097/SAP.0b013e31823b6c19
PD MAR 2013
PY 2013
AB Background: The scope of plastic surgery is not well understood by
   people outside the field. Better educating medical students about
   plastic surgery may improve understanding of the field, establish
   appropriate referral patterns early on, and assist with career
   decision-making. The purpose of this study was to assess medical student
   understanding of plastic surgery and to analyze the impact of prior
   plastic surgery clinical exposure on this understanding.
   Methods: An online survey consisting of 24 clinical scenarios was
   administered to medical students of the University of Utah. After
   indicating their level of training and whether they had prior clinical
   exposure to plastic surgery or other surgical subspecialties, students
   selected one or more appropriate surgical subspecialties to manage each
   scenario.
   Results: Of 408 students, 230 (56.4%) responded to the survey. Prior
   clinical exposure to plastic surgery was reported by 15.8% to 29.4% of
   students (first to fourth year). Overall, 92% of students chose at least
   one acceptable surgical specialty for referral. Plastic surgery was
   selected by only 54% of students for all conditions, and this did not
   improve throughout medical school. Senior students (third and fourth
   years) with prior plastic surgery exposure chose plastic surgery more
   often than those without prior exposure (71% vs. 51%, P < 0.0001).
   Plastic surgery was chosen most frequently for rhinoplasty and breast
   reconstruction and less frequently for hand/peripheral nerve surgery and
   wound surgery.
   Conclusions: Improved medical student education about the scope of
   plastic surgery is needed, especially in the areas of hand/peripheral
   nerve surgery and general reconstructive surgery.
CT 56th Annual Meeting of the Plastic-Surgery-Research-Council
CY APR 27-30, 2011
CL Louisville, KY
SP Plast Surg Res Council
ZA 0
TC 34
ZB 2
Z8 0
ZR 0
ZS 0
Z9 34
U1 0
U2 9
SN 0148-7043
UT WOS:000315093400020
PM 23038146
ER

PT J
AU Jensen, Jan L.
   Bigham, Blair L.
   Blanchard, Ian E.
   Dainty, Katie N.
   Socha, Doug
   Carter, Alix
   Brown, Lawrence H.
   Travers, Andrew H.
   Craig, Alan M.
   Brown, Ryan
   Morrison, Laurie J.
TI The Canadian National EMS Research Agenda: a mixed methods consensus
   study
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 15
IS 2
BP 73
EP 82
DI 10.2310/8000.2013.130894
PD MAR 2013
PY 2013
AB Introduction: Research is essential for the development of
   evidence-based emergency medical services (EMS) systems of care. When
   resources are scarce and gaps in evidence are large, a national agenda
   may inform the growth of EMS research in Canada. This mixed methods
   consensus study explores current barriers and existing strengths within
   Canadian EMS research, provides recommendations, and suggests EMS topics
   for future study.
   Methods: Purposeful sampling was employed to invite EMS research
   stakeholders from various roles across the country. Study phases
   consisted of 1) baseline interviews of a subsample, 2) roundtable
   discussion, and 3) an online Delphi survey, in which participants scored
   each statement for importance. Consensus was defined a priori and met if
   80% scored a statement as "important" or "very important."
   Results: Fifty-three stakeholders participated, representing researchers
   (37.7%), EMS administrators (24.6%), clinicians/providers (20.7%), and
   educators (17.0%). Participation rates were as follows: interviews, 13
   of 13 (100%); roundtable, 47 of 53 (89%); survey round 1, 50 of 53
   (94%); survey round 2, 47 of 53 (89%); and survey round 3, 40 of 53
   (75%). A total of 141 statements were identified as important: 20
   barriers, 54 strengths/opportunities, 31 recommendations, and 36
   suggested topics for future research. Like statements were synthesized,
   resulting in barriers (n = 10), strengths/opportunities (n = 24), and
   recommendations (n = 19), which were categorized as time, opportunities,
   and funding; education and mentorship; culture of research and
   collaboration; structure, process, and outcome of research; EMS and
   paramedic practice; and the future of the EMS Research Agenda.
   Conclusion: Consensus-based key messages from this agenda should be
   considered when designing, funding, and publishing EMS research and will
   advance EMS research locally, regionally, and nationally.
RI Dainty, Katie/AAI-8842-2020; Dainty, Katie N/P-3539-2014; Dainty, Katie/Y-7287-2019; Brown, Ryan/K-6809-2019; morrison, laurie J/A-6325-2012; Carter, Alix/; Brown, Lawrence/
OI Dainty, Katie N/0000-0002-2906-8813; Brown, Ryan/0000-0002-2577-8500;
   morrison, laurie J/0000-0001-8369-9774; Carter,
   Alix/0000-0003-1542-1521; Brown, Lawrence/0000-0002-5940-1840
ZB 0
TC 15
Z8 0
ZR 0
ZS 0
ZA 0
Z9 15
U1 1
U2 7
SN 1481-8035
UT WOS:000331144000004
PM 23458138
ER

PT J
AU Nezafati, Kaveh A.
   Carroll, Bryan
   Storrs, Frances J.
   Cruz, Ponciano D., Jr.
TI Making Contact for Contact Dermatitis: A Survey of the Membership of the
   American Contact Dermatitis Society
SO DERMATITIS
VL 24
IS 2
BP 47
EP 49
DI 10.1097/DER.0b013e31828cbb15
PD MAR-APR 2013
PY 2013
AB Background The American Contact Dermatitis Society (ACDS) is the
   principal organization representing the subspecialty of contact
   dermatitis in the United States.
   Objective The aim of this study was to characterize ACDS members with
   respect to demographic characteristics, patch-test practices, and
   sentiments regarding the Society and its journal Dermatitis.
   Methods We conducted cross-sectional postal and online surveys of ACDS
   members.
   Results More than a third of ACDS members responded to the survey, 92%
   of whom practice dermatology, and most of whom are community
   practitioners. Responders manage patients with allergic and irritant
   dermatitis at a similar frequency. On average, they patch test 4
   patients per week using 66 allergens per patient, which often include
   customized trays. Almost half of these practitioners learned patch
   testing from their residency programs. Most of the responders read and
   value the Society journal, value the Contact Allergen Management Program
   database, and attend society meetings.
   Conclusions The ACDS is comprised overwhelmingly of dermatologists who
   are primarily community-based, young relative to the start of their
   practices, and use the Society's resources for continuing education.
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
TC 2
Z9 2
U1 0
U2 1
SN 1710-3568
EI 2162-5220
UT WOS:000335459400001
PM 23474443
ER

PT J
AU Cohen, Zoe
   Cohen, J. John
TI Inflammablog: peer-to-peer online learning in immunology
SO IMMUNOLOGIC RESEARCH
VL 55
IS 1-3
SI SI
BP 71
EP 74
DI 10.1007/s12026-012-8374-7
PD MAR 2013
PY 2013
AB Is it possible for students in different courses, at different academic
   levels, and at different universities to learn immunology together using
   the Internet? We teach a colloquium on inflammation for undergraduates
   at the University of Arizona and a lecture course on human immunology
   for graduate students and clinical and basic science fellows at the
   University of Colorado Anschutz Medical Campus. Students in these
   programs, being scattered about large campuses, have little time for
   student-directed discussion and peer interactions, and they never have
   the opportunity to meet students in the course in the other state.
   Instead of requiring the usual essays and term papers, we set up a blog
   (an online discussion group) for the two courses, and required all
   students to post, and comment on other posts, within and between the
   courses. Student writing is normally directed at a single reader, the
   instructor, which seems like a waste of talent; we encouraged peer
   exchanges. Furthermore, we were interested in observing the interactions
   between the Colorado students, who were older and sometimes experienced
   professionals, and the younger Arizonans. We used a blog because it is
   administratively impossible to enroll the students in two universities
   in a single courseware (learning management system) site. Blogging has
   offered insights into students' comfort with this form of social medium,
   and into the potential for this approach in light of the rapid adoption
   of blended and massively open online courses.
ZB 0
ZR 0
ZS 0
TC 3
ZA 0
Z8 0
Z9 3
U1 0
U2 60
SN 0257-277X
UT WOS:000313359100008
PM 22971987
ER

PT J
AU Tormey, W. P.
   Moore, T.
TI Poisonings and clinical toxicology: a template for Ireland
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 182
IS 1
BP 17
EP 23
DI 10.1007/s11845-012-0828-3
PD MAR 2013
PY 2013
AB Poisons information is accessed around the clock in the British Isles
   from six centres of which two are in Ireland at Dublin and Belfast
   accompanied by consultant toxicologist advisory service. The numbers of
   calls in Ireland are down to about 40 per day due to easy access to
   online data bases. Access to Toxbase, the clinical toxicology database
   of the National Poisons Information Service is available to National
   Health Service (NHS) health professionals and to Emergency Departments
   and Intensive Care units in the Republic of Ireland. There are 59
   Toxbase users in the Republic of Ireland and 99 % of activity originates
   in Emergency Departments. All United States Poison Control Centres
   primarily use Poisindex which is a commercial database from Thomson
   Reuters.
   Information on paracetamol, diazepam, analgesics and psycho-active
   compounds are the commonest queries. Data from telephone and computer
   accesses provide an indicator of future trends in both licit and illicit
   drug poisons which may direct laboratory analytical service
   developments. Data from National Drug-Related Deaths Index is the most
   accurate information on toxicological deaths in Ireland. Laboratory
   toxicology requirements to support emergency departments are listed.
   Recommendations are made for a web-based open access Toxbase or
   equivalent; for a co-location of poisons information and laboratory
   clinical toxicology; for the establishment of a National Clinical
   Toxicology Institute for Ireland; for a list of accredited medical
   advisors in clinical toxicology; for multidisciplinary case conferences
   in complex toxicology cases for coroners; for the establishment of a
   national clinical toxicology referral out-patients service in Ireland.
OI Moore, Tara/0000-0002-7659-9326; Moore, Johnny/0000-0001-8451-9421
ZS 0
Z8 0
ZA 0
TC 6
ZR 0
ZB 4
Z9 6
U1 0
U2 17
SN 0021-1265
EI 1863-4362
UT WOS:000313038500003
PM 22581098
ER

PT J
AU McInnes, D. Keith
   Solomon, Jeffrey L.
   Shimada, Stephanie L.
   Petrakis, Beth A.
   Bokhour, Barbara G.
   Asch, Steven M.
   Nazi, Kim M.
   Houston, Thomas K.
   Gifford, Allen L.
TI Development and Evaluation of an Internet and Personal Health Record
   Training Program for Low-income Patients With HIV or Hepatitis C
SO MEDICAL CARE
VL 51
IS 3
BP S62
EP S66
DI 10.1097/MLR.0b013e31827808bf
SU 1
PD MAR 2013
PY 2013
AB Background: Vulnerable populations face difficulties accessing and using
   the internet and personal health record (PHR) systems for health-related
   purposes. Populations disconnected from the internet also tend to be
   disconnected from health care services.
   Objectives: To develop and evaluate an intervention to increase skills
   in health-related internet and PHR use for vulnerable populations with
   limited computer and internet experience.
   Research Design: Preevaluation and postevaluation using quantitative
   surveys, semistructured interviews, focus groups, and ethnographic
   observation.
   Subjects: Fourteen low-income Veterans receiving care at Veterans
   Affairs medical centers for human immunodeficiency virus or hepatitis C.
   Measures: Internet and PHR use, self-efficacy, patient activation,
   disease knowledge, predictors of medication adherence.
   Results: At follow-up one (FU1), mean number of internet for health
   features used increased from 1.57 to 4.07 (P < 0.001) as did number of
   PHR features, from 0.36 to 2.00 (P < 0.001). Mean self-efficacy
   increased at FU1, from 7.12 to 8.60, (P = 0.009) and was maintained at
   follow-up two (FU2). Patient activation increased only at FU2, from 3.42
   to 3.61 (P = 0.03). Disease specific knowledge showed borderline
   increase at FU1, from 67.9% to 72.2% (P = 0.05), whereas there were no
   changes in predictors of medication adherence. Qualitative findings
   underscored the interest in using internet and PHRs and their
   contribution to increased engagement in care. Training cost per
   participant was $287.
   Conclusions: Group training of vulnerable patients represents a
   cost-effective method to increase internet and PHR skills, and improve
   patient confidence in finding health-related information, making online
   health-related transactions, and interacting with health care providers.
RI Gifford, Allen L/D-9329-2016; Bokhour, Barbara/
OI Gifford, Allen L/0000-0001-6442-1128; Bokhour,
   Barbara/0000-0001-8238-0745
ZA 0
ZB 3
Z8 0
ZS 0
TC 27
ZR 0
Z9 27
U1 0
U2 14
SN 0025-7079
EI 1537-1948
UT WOS:000337917300011
PM 23407015
ER

PT J
AU Van Sickle, David
   Magzamen, Sheryl
   Truelove, Shaun
   Morrison, Teresa
TI Remote Monitoring of Inhaled Bronchodilator Use and Weekly Feedback
   about Asthma Management: An Open-Group, Short-Term Pilot Study of the
   Impact on Asthma Control
SO PLOS ONE
VL 8
IS 2
AR e55335
DI 10.1371/journal.pone.0055335
PD FEB 27 2013
PY 2013
AB Objective: Adequate symptom control is a problem for many people with
   asthma. We asked whether weekly email reports on monitored use of
   inhaled, short-acting bronchodilators might improve scores on composite
   asthma-control measures.
   Methods: Through an investigational electronic medication sensor
   attached to each participant's inhaler, we monitored 4 months' use of
   inhaled, short-acting bronchodilators. Participants completed surveys,
   including the Asthma Control Test (TM) (ACT), to assess asthma control
   at entry and monthly thereafter. After the first month, participants
   received weekly email reports for 3 months. The reports summarized
   inhaled bronchodilator use during the preceding week and provided
   suggestions derived from National Asthma Education and Prevention
   Program (NAEPP) guidelines. Paired t-tests and random-effects mixed
   models were implemented to assess changes in primary asthma endpoints.
   Results: Thirty individuals participated in the 4-month study; 29
   provided complete asthma control information. Mean age was 36.8 years
   (range: 19-74 years); 52% of respondents were female. Mean ACT scores
   were 17.6 (Standard Deviation [SD] = 3.35) at entry and 18.4 (SD = 3.60)
   at completion of the first month. No significant difference appeared
   between ACT values at entry and completion of the first month (p =
   0.66); however, after participants began receiving email reports and
   online information about their inhaler use, mean ACT scores increased
   1.40 points (95% CI: 0.61, 2.18) for each subsequent study month.
   Significant decreases occurred in 2-week histories of daytime symptoms
   (beta = -1.35, 95% CI: -2.65, -0.04) and nighttime symptoms (beta =
   -0.84, 95% CI: -1.25, -0.44); no significant change in activity
   limitation (beta = -0.21, 95% CI: -0.69, 0.26) was observed.
   Participants reported increased awareness and understanding of asthma
   patterns, level of control, bronchodilator use (timing, location) and
   triggers, and improved preventive practices.
   Conclusions: Weekly email reports and access to online charts
   summarizing remote monitoring of inhaled bronchodilator frequency and
   location were associated with improved asthma control and a decline in
   day-to-day asthma symptoms.
RI Truelove, Shaun/D-4187-2018
OI Truelove, Shaun/0000-0003-0538-0607
ZB 5
ZA 0
ZS 0
ZR 3
TC 38
Z8 0
Z9 42
U1 1
U2 9
SN 1932-6203
UT WOS:000315519000008
PM 23460785
ER

PT J
AU Brandt, Jason
   Sullivan, Campbell
   Burrell, Larry E., II
   Rogerson, Mark
   Anderson, Allan
TI Internet-Based Screening for Dementia Risk
SO PLOS ONE
VL 8
IS 2
AR e57476
DI 10.1371/journal.pone.0057476
PD FEB 21 2013
PY 2013
AB The Dementia Risk Assessment (DRA) is an online tool consisting of
   questions about known risk factors for dementia, a novel verbal memory
   test, and an informant report of cognitive decline. Its primary goal is
   to educate the public about dementia risk factors and encourage clinical
   evaluation where appropriate. In Study 1, more than 3,000 anonymous
   persons over age 50 completed the DRA about themselves; 1,000 people
   also completed proxy reports about another person. Advanced age, lower
   education, male sex, complaints of severe memory impairment, and
   histories of cerebrovascular disease, Parkinson's disease, and brain
   tumor all contributed significantly to poor memory performance. A high
   correlation was obtained between proxy-reported decline and actual
   memory test performance. In Study 2, 52 persons seeking first-time
   evaluation at dementia clinics completed the DRA prior to their visits.
   Their responses (and those of their proxy informants) were compared to
   the results of independent evaluation by geriatric neuropsychiatrists.
   The 30 patients found to meet criteria for probable Alzheimer's disease,
   vascular dementia, or frontotemporal dementia differed on the DRA from
   the 22 patients without dementia (most other neuropsychiatric
   conditions). Scoring below criterion on the DRA's memory test had
   moderately high predictive validity for clinically diagnosed dementia.
   Although additional studies of larger clinical samples are needed, the
   DRA holds promise for wide-scale screening for dementia risk.
OI Brandt, Jason/0000-0001-7381-6244
TC 10
ZR 0
ZA 0
ZS 0
ZB 5
Z8 1
Z9 10
U1 0
U2 21
SN 1932-6203
UT WOS:000315186000106
PM 23437393
ER

PT J
AU Altamirano-Bustamante, Myriam M.
   Altamirano-Bustamante, Nelly F.
   Lifshitz, Alberto
   Mora-Magana, Ignacio
   de Hoyos, Adalberto
   Teresa Avila-Osorio, Maria
   Quintana-Vargas, Silvia
   Aguirre, Jorge A.
   Mendez, Jorge
   Murata, Chiharu
   Nava-Diosdado, Rodrigo
   Martinez-Gonzalez, Oscar
   Calleja, Elisa
   Vargas, Raul
   Manuel Mejia-Arangure, Juan
   Cortez-Dominguez, Araceli
   Vedrenne-Gutierrez, Fernand
   Sueiras, Perla
   Garduno, Juan
   Islas-Andrade, Sergio
   Salamanca, Fabio
   Kumate-Rodriguez, Jesus
   Reyes-Fuentes, Alejandro
TI Promoting networks between evidence-based medicine and values-based
   medicine in continuing medical education
SO BMC MEDICINE
VL 11
AR 39
DI 10.1186/1741-7015-11-39
PD FEB 15 2013
PY 2013
AB Background: In recent years, medical practice has followed two different
   paradigms: evidence-based medicine (EBM) and values-based medicine
   (VBM). There is an urgent need to promote medical education that
   strengthens the relationship between these two paradigms. This work is
   designed to establish the foundations for a continuing medical education
   (CME) program aimed at encouraging the dialogue between EBM and VBM by
   determining the values relevant to everyday medical activities.
   Methods: A quasi-experimental, observational, comparative, prospective
   and qualitative study was conducted by analyzing through a concurrent
   triangulation strategy the correlation between healthcare
   personnel-patient relationship, healthcare personnel's life history, and
   ethical judgments regarding dilemmas that arise in daily clinical
   practice. In 2009, healthcare personnel working in Mexico were invited
   to participate in a free, online clinical ethics course. Each
   participant responded to a set of online survey instruments before and
   after the CME program. Face-to-face semi-structured interviews were
   conducted with healthcare personnel, focusing on their views and
   representations of clinical practice.
   Results: The healthcare personnel's core values were honesty and
   respect. There were significant differences in the clinical practice
   axiology before and after the course (P < 0.001); notably, autonomy
   climbed from the 10th (order mean (OM) = 8.00) to the 3rd position (OM =
   5.86). In ethical discernment, the CME program had an impact on autonomy
   (P <= 0.0001). Utilitarian autonomy was reinforced in the participants
   (P <= 0.0001). Regarding work values, significant differences due to the
   CME intervention were found in openness to change (OC) (P < 0.000),
   self-transcendence (ST) (P < 0.001), and self-enhancement (SE) (P <
   0.019). Predominant values in life history, ethical discernment and
   healthcare personnel-patient relation were beneficence, respect and
   compassion, respectively.
   Conclusions: The healthcare personnel participating in a CME
   intervention in clinical ethics improved high-order values: Openness to
   change (OC) and Self Transcendence (ST), which are essential to
   fulfilling the healing ends of medicine. The CME intervention
   strengthened the role of educators and advisors with respect to
   healthcare personnel. The ethical values developed by healthcare
   professionals arise from their life history and their professional
   formation.
RI Mejia-Arangure, Juan Manuel/T-6743-2019; /ABI-8453-2020; Mora-Magana, Ignacio/G-9578-2018; Espinosa, Juan Garduño/B-9867-2014; Altamirano, Myriam/GPW-5376-2022; de Hoyos, Adalberto/; Murata, Chiharu/; Calleja-Sordo, Elisa/
OI Mejia-Arangure, Juan Manuel/0000-0001-8027-6231; /0000-0002-9402-4219;
   Mora-Magana, Ignacio/0000-0002-6476-8516; Espinosa, Juan
   Garduño/0000-0002-3000-4948; de Hoyos, Adalberto/0000-0001-7509-7714;
   Murata, Chiharu/0000-0003-3144-1864; Calleja-Sordo,
   Elisa/0000-0003-4584-2247
ZB 3
ZS 2
ZR 0
Z8 0
ZA 0
TC 26
Z9 28
U1 1
U2 16
SN 1741-7015
UT WOS:000318430900001
PM 23414220
ER

PT J
AU DeCamp, Matthew
   Rodriguez, Joce
   Hecht, Shelby
   Barry, Michele
   Sugarman, Jeremy
TI An ethics curriculum for short-term global health trainees
SO GLOBALIZATION AND HEALTH
VL 9
AR 5
DI 10.1186/1744-8603-9-5
PD FEB 14 2013
PY 2013
AB Background: Interest in short-term global health training and service
   programs continues to grow, yet they can be associated with a variety of
   ethical issues for which trainees or others with limited global health
   experience may not be prepared to address. Therefore, there is a clear
   need for educational interventions concerning these ethical issues.
   Methods: We developed and evaluated an introductory curriculum, "Ethical
   Challenges in Short-term Global Health Training."The curriculum was
   developed through solicitation of actual ethical issues experienced by
   trainees and program leaders; content drafting; and external content
   review. It was then evaluated from November 1, 2011, through July 1,
   2012, by analyzing web usage data and by conducting user surveys. The
   survey included basic demographic data; prior experience in global
   health and global health ethics; and assessment of cases within the
   curriculum.
   Results: The ten case curriculum is freely available at
   http://ethicsandglobalhealth.org. An average of 238 unique visitors
   accessed the site each month (standard deviation, 19). Of users who had
   been abroad before for global health training or service, only 31%
   reported prior ethics training related to short-term work. Most users
   (62%) reported accessing the site via personal referral or their
   training program; however, a significant number (28%) reported finding
   the site via web search, and 8% discovered it via web links. Users
   represented different fields: medicine (46%), public health (15%), and
   nursing (11%) were most common. All cases in the curriculum were
   evaluated favorably.
   Conclusions: The curriculum is meeting a critical need for an
   introduction to the ethical issues in short-term global health training.
   Future work will integrate this curriculum within more comprehensive
   curricula for global health and evaluate specific knowledge and
   behavioral effects, including at training sites abroad.
RI DeCamp, Matthew/N-6028-2014; DeCamp, Matthew/; Sugarman, Jeremy/
OI DeCamp, Matthew/0000-0002-9371-8729; Sugarman,
   Jeremy/0000-0001-7022-8332
ZR 0
ZA 0
TC 38
ZB 6
ZS 0
Z8 0
Z9 38
U1 1
U2 26
SN 1744-8603
UT WOS:000315939700001
PM 23410089
ER

PT J
AU Zou, Huachun
   Wu, Zunyou
   Yu, Jianping
   Li, Min
   Ablimit, Muhtar
   Li, Fan
   Poundstone, Katharine
TI Internet-Facilitated, Voluntary Counseling and Testing (VCT)
   Clinic-Based HIV Testing among Men Who Have Sex with Men in China
SO PLOS ONE
VL 8
IS 2
AR e51919
DI 10.1371/journal.pone.0051919
PD FEB 13 2013
PY 2013
AB Objective: To explore the feasibility of using Internet outreach to
   encourage men who have sex with men (MSM) to get tested for HIV at
   voluntary counseling and testing (VCT) clinics in Beijing and Urumqi,
   China.
   Methods: From June to August 2007, two volunteers contacted MSM using
   instant messaging, online chat rooms, mobile phone, and e-mail (active
   recruitment). Banners with study information were put at the front pages
   of three major Chinese gay websites (passive recruitment). Those
   contacted were offered a modest financial incentive to seek HIV testing
   at existing VCT clinics. Those who subsequently sought HIV testing
   services at VCT clinics and provided informed consent completed a
   questionnaire and a blood draw to test for HIV and syphilis.
   Results: A total of 3,332 MSM were contacted and 429 attended VCT
   clinics. One out of every 4 men that were recruited through instant
   messaging actually went for HIV testing, while the recruitment yields
   for online gay chat rooms, mobile phone contact, and email were 1:6,
   1:10, and 1:140, respectively. The majority of participants (80%,
   317/399) reported being motivated to seek HIV testing out of concern for
   their health, and only 3% (11/399) reported being motivated by the
   financial incentive. Active recruitment tend to recruit MSM who are
   younger (X-2 = 11.400, P = 0.001), never tested for HIV (X-2 = 4.281, P
   = 0.039), tested less often (X-2 = 5.638, P = 0.018).
   Conclusion: Internet outreach is a promising way to encourage MSM to
   seek HIV testing at existing VCT clinics. Active recruitment can target
   MSM who are younger, never tested for HIV and tested less often.
RI Zou, Huachun/AAU-6097-2020
ZA 0
TC 47
ZR 0
Z8 2
ZB 16
ZS 0
Z9 48
U1 0
U2 27
SN 1932-6203
UT WOS:000315970300007
PM 23418417
ER

PT J
AU Bowie, Paul
   Skinner, Joe
   de Wet, Carl
TI Training health care professionals in root cause analysis: a
   cross-sectional study of post-training experiences, benefits and
   attitudes
SO BMC HEALTH SERVICES RESEARCH
VL 13
AR 50
DI 10.1186/1472-6963-13-50
PD FEB 7 2013
PY 2013
AB Background: Root cause analysis (RCA) originated in the manufacturing
   engineering sector but has been adapted for routine use in healthcare to
   investigate patient safety incidents and facilitate organizational
   learning. Despite the limitations of the RCA evidence base, healthcare
   authorities and decision makers in NHS Scotland - similar to those
   internationally - have invested heavily in developing training
   programmes to build local capacity and capability, and this is a
   cornerstone of many organizational policies for investigating
   safety-critical issues. However, to our knowledge there has been no
   systematic attempt to follow-up and evaluate post-training experiences
   of RCA-trained staff in Scotland. Given the significant investment in
   people, time and funding we aimed to capture and learn from the reported
   experiences, benefits and attitudes of RCA-trained staff and the
   perceived impact on healthcare systems and safety.
   Methods: We adapted a questionnaire used in a published Australian
   research study to undertake a cross sectional online survey of health
   care professionals (e. g. nursing & midwifery, medical doctors and
   pharmacists) formally trained in RCA by a single territorial health
   board region in NHS Scotland.
   Results: A total of 228/469 of invited staff completed the survey (48%).
   A majority of respondents had yet to participate in a post-training RCA
   investigation (n=127, 55.7%). Of RCA-experience staff, 71 had assumed a
   lead investigator role (70.3%) on one or more occasions. A clear
   majority indicated that their improvement recommendations were generally
   or partly implemented (82%). The top three barriers to RCA success were
   cited as: lack of time (54.6%), unwilling colleagues (34%) and
   inter-professional differences (31%). Differences in agreement levels
   between RCA-experienced and inexperienced respondents were noted on
   whether a follow-up session would be beneficial after conducting RCA
   (65.3% v 39.4%) and if peer feedback on RCA reports would be of
   educational value (83.2% v 37.0%). Comparisons with the previous
   research highlighted significant differences such as less reported
   difficulties within RCA teams (P<0.001) and a greater proportion of
   respondents taking on RCA leadership roles in this study (P<0.001).
   Conclusion: This study adds to our knowledge and understanding of the
   need to improve the effectiveness of RCA training and frontline
   practices in healthcare settings. The overall evidence points to a
   potential organisational learning need to provide RCA-trained staff with
   continuous development opportunities and performance feedback.
   Healthcare authorities may wish to look more critically at whom they
   train in RCA, and how this is delivered and supported educationally to
   maximize cost-benefits, organizational learning and safer patient care.
ZB 2
ZS 3
Z8 0
ZA 0
ZR 0
TC 25
Z9 25
U1 0
U2 3
SN 1472-6963
UT WOS:000315037700001
PM 23391260
ER

PT J
AU Wong, Eric Y.
   Jordan, Wilbert C.
   Malebranche, David J.
   DeLaitsch, Lori L.
   Abravanel, Rebecca
   Bermudez, Alisha
   Baugh, Bryan P.
TI HIV testing practices among black primary care physicians in the United
   States
SO BMC PUBLIC HEALTH
VL 13
AR 96
DI 10.1186/1471-2458-13-96
PD FEB 2 2013
PY 2013
AB Background: The Centers for Disease Control and Prevention recommends
   routine HIV testing in all healthcare settings, but it is unclear how
   consistently physicians adopt the recommendation. Making the most of
   each interaction between black physicians and their patients is
   extremely important to address the HIV health disparities that
   disproportionately afflict the black community. The goal of this
   survey-based study was to evaluate the perceptions and practices of
   black, primary care physicians regarding HIV testing.
   Methods: A physician survey was administered at the 2010 National
   Medical Association Annual Convention, via online physician panels, and
   by email. Physician eligibility criteria: black race; practicing at
   least 1 year in the US; practice comprised of at least 60% adults and
   20% black patients. Contingency tables and ordinary least squares
   regression were used for comparisons and statistical analyses. A
   Chi-square test compared percentages of physicians who gave a particular
   response and a t-test compared the means of values provided by
   physicians.
   Results: Physicians over-estimated HIV prevalence and believed that HIV
   is a crisis in the black community, yet reported that only 34% of
   patients were HIV tested in the past year. Physicians reported that 67%
   of those patients tested did so due to a physician recommendation.
   Physicians who were younger, female, obstetricians/gynecologists, and
   had a higher proportion of black, low-socioeconomic status, and Medicaid
   patients reported higher testing rates. Most testing was risk-based
   rather than routine, and three of the five most commonly reported
   barriers to testing were related to disease stigma and perceived value
   judgments. Physicians reported that in-office patient informational
   materials, increased media attention, additional education and training
   on HIV testing, government mandates requiring routine testing, and
   accurate pre-packed tests would most help them test more frequently for
   HIV.
   Conclusions: In this sample of black, primary care physicians, HIV
   testing practices differed according to physician characteristics and
   practice demographics, and overall reported testing rates were low. More
   physician education and training around testing guidelines is needed to
   enable more routine testing, treatment, and long-term management of
   patients with HIV.
ZB 8
ZA 0
ZS 0
ZR 0
Z8 0
TC 17
Z9 17
U1 0
U2 10
SN 1471-2458
UT WOS:000315814700001
ER

PT J
AU El Bcheraoui, Charbel
   Sutton, Madeline Y.
   Hardnett, Felicia P.
   Jones, Sandra B.
TI Patterns of condom use among students at historically Black colleges and
   universities: Implications for HIV prevention efforts among college-age
   young adults
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 25
IS 2
BP 186
EP 193
DI 10.1080/09540121.2012.687864
PD FEB 1 2013
PY 2013
AB Over 1.1 million Americans are living with human immunodeficiency virus
   (HIV), and African-American youth and young adults are
   disproportionately affected. Condoms are the most effective prevention
   tool, yet data regarding condom use patterns for African-American
   college youth are lacking. To inform and strengthen HIV prevention
   strategies with African-American college-age youth, we surveyed students
   attending 24 historically Black colleges and universities regarding
   condom use patterns. Students were administered anonymous questionnaires
   online to explore knowledge, attitudes, and practices related to condom
   use during last sexual intercourse (LSI). Among 824 sexually active
   respondents (51.8% female, median age 20 years, 90.6% heterosexuals),
   526 (63.8%) reported condom use during LSI. Students who used condoms
   for disease prevention, whose mothers completed high school or had some
   college education or completed college were more likely to have used a
   condom during LSI. Spontaneity of sexual encounters, not feeling at risk
   of HIV, and partner-related perceptions were associated with condom
   non-use during LSI (p<0.05). Over a third of our college youth sample
   did not use a condom during LSI and may benefit from increased condom
   education efforts. These efforts should highlight condoms effectiveness
   in protection from HIV. Future HIV education and prevention strategies
   with similar groups of young adults should explore the implications of
   maternal education, clarify perceptions of HIV risk, and consider
   strategies that increase consistent condom use to interrupt sexual
   transmission of HIV.
ZA 0
Z8 0
ZS 2
TC 39
ZR 0
ZB 5
Z9 39
U1 0
U2 21
SN 0954-0121
EI 1360-0451
UT WOS:000312445300007
PM 22670599
ER

PT J
AU Barchi, Francis H.
   Kasimatis-Singleton, Megan
   Kasule, Mary
   Khulumani, Pilate
   Merz, Jon F.
TI Building research capacity in Botswana: a randomized trial comparing
   training methodologies in the Botswana ethics training initiative
SO BMC MEDICAL EDUCATION
VL 13
AR 14
DI 10.1186/1472-6920-13-14
PD FEB 1 2013
PY 2013
AB Background: Little empirical data are available on the extent to which
   capacity-building programs in research ethics prepare trainees to apply
   ethical reasoning skills to the design, conduct, or review of research.
   A randomized controlled trial was conducted in Botswana in 2010 to
   assess the effectiveness of a case-based intervention using email to
   augment in-person seminars.
   Methods: University faculty and current and prospective IRB/REC members
   took part in a semester-long training program in research ethics.
   Participants attended two 2-day seminars and were assigned at random to
   one of two on-line arms of the trial. Participants in both arms
   completed on-line international modules from the Collaborative
   Institutional Training Initiative. Between seminars, intervention-arm
   participants were also emailed a weekly case to analyze in response to
   set questions; responses and individualized faculty feedback were
   exchanged via email. Tests assessing ethics knowledge were administered
   at the start of each seminar. The post-test included an additional
   section in which participants were asked to identify the ethical issues
   highlighted in five case studies from a list of multiple-choice
   responses. Results were analyzed using regression and ANOVA.
   Results: Of the 71 participants (36 control, 35 intervention) enrolled
   at the first seminar, 41 (57.7%) attended the second seminar (19
   control, 22 intervention). In the intervention arm, 19 (54.3%)
   participants fully completed and 8 (22.9%) partially completed all six
   weekly cases. The mean score was higher on the post-test (30.3/40) than
   on the pre-test (28.0/40), and individual post-and pre-test scores were
   highly correlated (r = 0.65, p < 0.0001). Group assignment alone did not
   have an effect on test scores (p > 0.84), but intervention-arm subjects
   who completed all assigned cases answered an average of 3.2 more
   questions correctly on the post-test than others, controlling for
   pre-test scores (p = 0.003).
   Conclusions: Completion of the case-based intervention improved
   respondents' test scores, with those who completed all six email cases
   scoring roughly 10% better than those who failed to complete this task
   and those in the control arm. There was only suggestive evidence that
   intensive case work improved ethical issue identification, although
   there was limited ability to assess this outcome due to a high drop-out
   rate.
OI Merz, Jon/0000-0002-0612-7104
ZS 0
ZA 0
Z8 0
ZB 1
TC 10
ZR 0
Z9 10
U1 0
U2 5
EI 1472-6920
UT WOS:000315774400001
PM 23368699
ER

PT J
AU Borges, T. D.
   Sans, E. C. O.
   Braga, J. S.
   Machado, M. F.
   Molento, C. F. M.
TI Teaching pain and animal welfare in Veterinary Medicine courses in
   Brazil
SO ARQUIVO BRASILEIRO DE MEDICINA VETERINARIA E ZOOTECNIA
VL 65
IS 1
BP 29
EP 36
DI 10.1590/S0102-09352013000100005
PD FEB 2013
PY 2013
AB The curricula of veterinary medicine should provide tools for future
   professionals to meet society demands, which include direct concerns for
   the animals. The overall scenario of education in veterinary medicine on
   issues of animal welfare and pain was studied. This study was conducted
   through the analysis of documents available online and via
   questionnaires to coordinators of veterinary medicine programs. The
   program description, its curriculum and course content descriptions were
   considered. Results show that 46% of the 94 institutions studied offer
   an animal welfare course and 26% offer an ethology course. We observed a
   direct relationship with the physical component of animal welfare; the
   other two components, the behavioral and psychological ones, do not
   receive similar attention throughout the programs. In the study of
   course contents of the veterinary programs, the term 'animal welfare' is
   used in a diffuse manner and the term 'pain' appears in 54% of the
   programs studied, mainly related to disciplines covering its pathology,
   physiology, pharmacology and anesthesiology. We conclude that in the
   teaching of veterinary medicine in Brazil there is an emphasis on the
   physical realm of animal welfare, and that there is room for improvement
   in the naturalness and psychological realms and in the teaching of pain.
Z8 0
ZR 0
ZS 0
ZB 2
TC 5
ZA 0
Z9 5
U1 0
U2 18
SN 0102-0935
EI 1678-4162
UT WOS:000315962100005
ER

PT J
AU Bowlin, Steven J.
   Xia, Fang
   Wang, Wenyi
   Robinson, Keisha D.
   Stanek, Eric J.
TI Twelve-Month Frequency of Drug-Metabolizing Enzyme and Transporter-Based
   Drug-Drug Interaction Potential in Patients Receiving Oral
   Enzyme-Targeted Kinase Inhibitor Antineoplastic Agents
SO MAYO CLINIC PROCEEDINGS
VL 88
IS 2
BP 139
EP 148
DI 10.1016/j.mayocp.2012.10.020
PD FEB 2013
PY 2013
AB Objective: To describe 12-month rates and patterns of coprescription of
   drugs that potentially create drug-drug interactions (DDIs) through
   shared metabolic or transport pathways for 9 enzyme-targeted kinase
   inhibitor oral antineoplastic drugs (OADs).
   Patients and Methods: We used a deidentified pharmacy claims database
   identifying patients prescribed dasatinib, erlotinib, everolimus,
   imatinib, lapatinib, nilotinib, pazopanib, sorafenib, or sunitinib
   between January 1, 2008, and May 31, 2010. Coprescribing was 1 or more
   overlapping days of supply between the OAD and potential DDI drugs
   during the 12-month period beginning on the OAD index date. Product
   labels identified the cytochrome P450 metabolic enzymes used and whether
   P-glycoprotein was used by the OADs. Drugs that induce and/or inhibit
   these pathways were identified from the label and online resources.
   Results: Sample sizes ranged from 96 (pazopanib group) to 4617 (imatinib
   group). Coprescribing rates with drugs that may decrease OAD
   effectiveness were 359/1546 (23%) (sunitinib group) to 1851/3263 (57%)
   (erlotinib group). Coprescribing rates with drugs that may increase OAD
   toxicity were 364/1546 (24%) (sunitinib group) to 71/96 (74%) (pazopanib
   group). Patients coprescribed DDI drugs had a median of 1 to 4 more
   medications present on the OAD index date than those not coprescribed a
   DDI drug. Most groups coprescribed DDI drugs had a median of 180 or more
   OAD days of supply during follow-up. The proportion of OAD days of
   supply with overlapping days of DDI drugs ranged from 7% to 85%.
   Generally, oncologists prescribed the OAD and nononcologists the DDI
   drug.
   Conclusion: Coprescription of drugs that induce or inhibit metabolic
   pathways used by enzyme-targeted kinase inhibitor OADs is high. The
   clinical consequences need further study. (C) 2013 Mayo Foundation for
   Medical Education and Research square Mayo Clin Proc. 2013;88(2):139-148
ZR 0
ZB 19
ZS 0
ZA 0
TC 33
Z8 0
Z9 33
U1 0
U2 6
SN 0025-6196
EI 1942-5546
UT WOS:000317331000007
PM 23374617
ER

PT J
AU Peyrot, Mark
   Burns, Katharina Kovacs
   Davies, Melanie
   Forbes, Angus
   Hermanns, Norbert
   Holt, Richard
   Kalra, Sanjay
   Nicolucci, Antonio
   Pouwer, Frans
   Wens, Johan
   Willaing, Ingrid
   Skovlund, Soren E.
CA Global DAWN2 Study Grp
TI Diabetes Attitudes Wishes and Needs 2 (DAWN2): A multinational,
   multi-stakeholder study of psychosocial issues in diabetes and
   person-centred diabetes care
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 99
IS 2
BP 174
EP 184
DI 10.1016/j.diabres.2012.11.016
PD FEB 2013
PY 2013
AB Aims: The Diabetes Attitudes Wishes and Needs 2 (DAWN2) study aims to
   provide a holistic assessment of diabetes care and management among
   people with diabetes (PWD), family members (FM), and healthcare
   professionals (HCPs) and explores potential drivers leading to active
   management.
   Methods: DAWN2 survey over 16,000 individuals (similar to 9000 PWD,
   similar to 2000 FM of PWD, and similar to 5000 HCPs) in 17 countries
   across 4 continents. Respondents complete a group-specific
   questionnaire; items are designed to allow cross-group comparisons on
   common topics. The questionnaires comprise elements from the original
   DAWN study (2001), as well as psychometrically validated instruments and
   novel questions developed for this study to assess self-management,
   attitudes/beliefs, disease impact/burden, psychosocial distress,
   health-related quality of life, healthcare provision/receipt, social
   support and priorities for improvement in the future. The questionnaires
   are completed predominantly online or by telephone interview,
   supplemented by face-to-face interviews in countries with low internet
   access. In each country, recruitment ensures representation of the
   diabetes population in terms of geographical distribution, age, gender,
   education and disease status.
   Discussion: DAWN2 aims to build on the original DAWN study to identify
   new avenues for improving diabetes care. This paper describes the study
   rationale, goals and methodology. (C) 2012 Elsevier Ireland Ltd. All
   rights reserved.
RI Hermanns, Norbert/AAG-7060-2020; Skovlund, Soren/AAK-3058-2020; Kovacs Burns, Katharina/AAA-5993-2022; Wens, Johan/K-2705-2013; Willaing, Ingrid/; Forbes, Angus/; Pouwer, Frans/; Holt, Richard/; Davies, Melanie/
OI Hermanns, Norbert/0000-0002-2903-2677; Skovlund,
   Soren/0000-0003-3464-0885; Kovacs Burns, Katharina/0000-0002-6322-0778;
   Wens, Johan/0000-0002-0229-9064; Willaing, Ingrid/0000-0002-3082-8816;
   Forbes, Angus/0000-0003-3331-755X; Pouwer, Frans/0000-0002-8172-9818;
   Holt, Richard/0000-0001-8911-6744; Davies, Melanie/0000-0002-9987-9371
ZA 0
TC 153
Z8 14
ZS 2
ZR 0
ZB 28
Z9 167
U1 0
U2 27
SN 0168-8227
EI 1872-8227
UT WOS:000317122400019
PM 23273515
ER

PT J
AU Meeney, A.
   Mudhar, H. S.
TI Histopathological reporting of corneal pathology by a biomedical
   scientist: the Sheffield Experience
SO EYE
VL 27
IS 2
BP 272
EP 276
DI 10.1038/eye.2012.282
PD FEB 2013
PY 2013
AB Aims The advanced specialist diploma in ophthalmic pathology was jointly
   ratified by the Royal College of Pathologists and the Institute of
   Biomedical Science in 2008. It results in extended roles for suitably
   qualified Biomedical Scientists (BMSs) in ophthalmic pathology specimen
   dissection and histological reporting of selected specimens,
   specifically non-neoplastic corneas. This study aimed to examine the
   reporting of corneal histology by a BMS training towards this diploma in
   comparison with a Consultant Ophthalmic Pathologist.
   Methods This report covers a non-interventional, prospective examination
   of BMS's diagnostic skills. After 6 months training, 50 consecutive
   corneal cases were reported by the BMS and the same case reported by the
   consultant ophthalmic pathologist. The BMS's diagnosis was compared with
   the final consultant's diagnosis. This exercise was then repeated after
   24 months of training.
   Results After 6 months, the BMS's diagnoses matched the consultant
   diagnoses in 44/50 (88%) cases. After 24 months, the BMS's diagnoses
   matched the consultant diagnoses in 48/50 (96%) of cases.
   Conclusions The results indicate that BMS's reporting of corneal
   histology is a real and safe possibility. Furthermore, it indicated
   deficiencies in BMS's diagnostic skills to inform further
   training/knowledge acquisition. Eye (2013) 27, 272-276;
   doi:10.1038/eye.2012.282; published online 4 January 2013
Z8 0
ZA 0
TC 4
ZB 2
ZR 0
ZS 0
Z9 4
U1 1
U2 1
SN 0950-222X
EI 1476-5454
UT WOS:000316807600020
PM 23288137
ER

PT J
AU Littman, A. J.
   Jacobson, I. G.
   Boyko, E. J.
   Powell, T. M.
   Smith, T. C.
CA Millennium Cohort Study Team
TI Weight change following US military service
SO INTERNATIONAL JOURNAL OF OBESITY
VL 37
IS 2
BP 244
EP 253
DI 10.1038/ijo.2012.46
PD FEB 2013
PY 2013
AB BACKGROUND: Although overweight and obesity are less prevalent among
   active-duty military personnel compared with similar persons not serving
   in the military, no such differences have been observed between veterans
   and non-veterans.
   OBJECTIVES: To assess the magnitude of weight changes before, concurrent
   with and following discharge from the military, relative to weight
   during service, and to determine the demographic, service-related and
   psychological characteristics associated with clinically important
   weight gain among those who were discharged from military service during
   follow-up.
   METHODS: Eligible Millennium Cohort Study participants (n = 38 686)
   completed the questionnaires approximately every 3 years (2001, 2004 and
   2007) that were used to estimate annual weight changes, as well as the
   percentage experiencing clinically important weight gain, defined as >=
   10%. Analyses were stratified by sex.
   RESULTS: Weight gain was greatest around the time of discharge from
   service and in the 3 years before discharge (1.0-1.3 kg per year), while
   it was nearly half as much during service (0.6-0.7 kg per year) and >= 3
   years after service ended (0.7 kg per year). Consequently, 6-year weight
   gain was over 2 kg greater in those who were discharged compared with
   those who remained in the military during follow-up (5.7 vs 3.5 kg in
   men; 6.3 vs 4.0 kg in women). In those who were discharged, younger age,
   less education, being overweight at baseline, being in the active-duty
   component (vs Reserve/National Guard) and having experienced deployment
   with combat exposures (vs non-deployment) were associated with increased
   risks of clinically important weight gain.
   CONCLUSIONS: This study provides the first prospectively collected
   evidence for an increased rate of weight gain around the time of
   military discharge that may explain previously reported higher rates of
   obesity in veterans, and identifies characteristics of higher-risk
   groups. Discharge from military service presents a window of risk and
   opportunity to prevent unhealthy weight gain in military personnel and
   veterans. International Journal of Obesity (2013) 37, 244-253;
   doi:10.1038/ijo.2012.46; published online 10 April 2012
RI Boyko, Edward J/G-2484-2017
OI Boyko, Edward J/0000-0002-3695-192X
ZR 0
TC 41
ZA 0
ZB 8
Z8 1
ZS 0
Z9 42
U1 0
U2 7
SN 0307-0565
UT WOS:000316932100014
PM 22491091
ER

PT J
AU Shulman, Lisa M.
   Katzel, Leslie I.
   Ivey, Frederick M.
   Sorkin, John D.
   Favors, Knachelle
   Anderson, Karen E.
   Smith, Barbara A.
   Reich, Stephen G.
   Weiner, William J.
   Macko, Richard F.
TI Randomized Clinical Trial of 3 Types of Physical Exercise for Patients
   With Parkinson Disease
SO JAMA NEUROLOGY
VL 70
IS 2
BP 183
EP 190
DI 10.1001/jamaneurol.2013.646
PD FEB 2013
PY 2013
AB Objective: To compare the efficacy of treadmill exercises and stretching
   and resistance exercises in improving gait speed, strength, and fitness
   for patients with Parkinson disease.
   Design: A comparative, prospective, randomized, single-blinded clinical
   trial of 3 types of physical exercise.
   Setting: The Parkinson's Disease and Movement Disorders Center at the
   University of Maryland and the Baltimore Veterans Affairs Medical
   Center, Geriatric Research Education and Clinical Center.
   Patients: A total of 67 patients with Parkinson disease who had gait
   impairment were randomly assigned to 1 of 3 arms of the trial.
   Interventions: (1) A higher-intensity treadmill exercise (30 minutes at
   70%-80% of heart rate reserve), (2) a lower-intensity treadmill
   exercise(50 minutes at 40%-50% of heart rate reserve), and (3)
   stretching and resistance exercises (2 sets of 10 repetitions on each
   leg on 3 resistance machines [leg press, leg extension, and curl]).
   These exercises were performed 3 times a week for 3 months.
   Main Outcome Measures: The primary outcome measures were gait speed
   (6-minute walk), cardiovascular fitness (peak oxygen consumption per
   unit time [(V) over dotO(2)], and muscle strength (1-repetition maximum
   strength).
   Results: All 3 types of physical exercise improved distance on the
   6-minute walk: lower-intensity treadmill exercise (12% increase; P =
   .001), stretching and resistance exercises (9% increase; P < .02), and
   higher-intensity treadmill exercise (6% increase; P = .07), with no
   between-group differences. Both treadmill exercises improved peak (V)
   over dotO(2) (7%-8% increase; P < .05) more than did the stretching and
   resistance exercises. Only stretching and resistance improved muscle
   strength (16% increase; P < .001).
   Conclusions: The effects of exercise were seen across all 3 exercise
   groups. The lower-intensity treadmill exercise resulted in the greatest
   improvement in gait speed. Both the higher- and lower-intensity
   treadmill exercises improved cardiovascular fitness. Only the stretching
   and resistance exercises improved muscle strength. Therefore, exercise
   can improve gait speed, muscle strength, and fitness for patients with
   Parkinson disease. The combination of treadmill and resistance exercises
   may result in greater benefit and requires further investigation. JAMA
   Neurol. 2013;70(2):183-190. Published online November 5, 2012.
   doi:10.1001/jamaneurol.2013.646
RI Anderson, Karen E./AAR-1228-2020
Z8 1
TC 188
ZS 9
ZB 53
ZR 1
ZA 0
Z9 196
U1 1
U2 65
SN 2168-6149
EI 2168-6157
UT WOS:000316801300005
PM 23128427
ER

PT J
AU Coulibaly, Judith Didi-Kouko
   Dago-Akribi, Hortense Aka
   Oyoua, Blandine
   Koffi-Gnagne, Yolande
   Adoubi, Innocent
   Echimane, Kouassi Antoine
TI First year results of "APAAC Infos Services"
SO BULLETIN DU CANCER
VL 100
IS 2
BP 173
EP 177
DI 10.1684/bdc.2013.1694
PD FEB 2013
PY 2013
AB Context. In Ivory Coast, the APAAC association "Let us help persons
   living with cancer or affected by cancer", in French "Aidons les
   Personnes Atteintes ou Affectees par le Cancer" (APAAC), set up the
   first ivorian call center to support persons living with or affected by
   cancer and to inform population about cancer. Purposes of the study. To
   show the feasibility of such a service in a developing country and to
   present the first results. Methodology. This helpline is, since January
   28th, 2010, directly accessible to the population by a fixed phone
   number. The population can, with a local cost call, contact a
   specialists team (psychologist, adviser in help relation or doctor), in
   total confidentiality, every Thursday from 3 pm till 5 pm.
   OutsideThursdays, informations about cancer are available on vocal
   server 24 hours a day and seven days a week. Callers are welcomed by a
   message inviting them either to listen to a recorded message about
   cancer or about APAAC association or finally to speak to a specialist
   online. Retrospective study based on the statistics of the call center.
   Because of a problem arisen on the statistics software, our results
   carry only over the period from August to December, 2010. Results. We
   had, during this period, 462 calls among which 23 in August, 58 in
   September, 67 in October, 230 in November and 84 in December. Reasons of
   the increasing of the figures are justify by the poster campaign in
   September and the communication around the service on television program
   in November. On these 462 calls, we had 35 real communications among
   whom 10 calls interrupted. The reason was the lack of call credit. The
   average of the call time was of 20 minutes for the conversations with
   the specialists. Three hundred and forty-three persons stopped to the
   welcome message, 341 (9%) listen information on the cancer, 27 (6%)
   listen information about the association. Sixteen persons wished to
   speak to specialists but were not regrettably able to make it because
   having called up except the hours of presence. Three hundred and
   fifty-five calls took place the working days. The most sought time slots
   were the ones of 7 am to 6 pm. Conclusion. Those results raises
   questions about the necessity to create and to continue this kind of
   telephone counseling for cancer, but also on the need of communication
   and extension of listening days and hours. In our country context with a
   population with weak resources, the necessity of access to free call was
   also raised.
ZA 0
TC 0
Z8 0
ZB 0
ZR 0
ZS 0
Z9 0
U1 0
U2 5
SN 0007-4551
UT WOS:000315953000014
PM 23407212
ER

PT J
AU Haffey, Faye
   Brady, Richard R. W.
   Maxwell, Simon
TI A Comparison of the Reliability of Smartphone Apps for Opioid Conversion
SO DRUG SAFETY
VL 36
IS 2
BP 111
EP 117
DI 10.1007/s40264-013-0015-0
PD FEB 2013
PY 2013
AB Background Many medical professionals use smartphone applications (apps)
   on a daily basis to support clinical decision making. Opioid switching
   (conversion of one opioid to another at equianalgesic dose) is common in
   clinical practice and often challenging for doctors. Apps providing an
   opioid conversion tool can therefore be a useful resource. Despite rapid
   growth in the use of medical apps, the lack of robust regulation and
   peer review to ensure the accuracy and reliability of app content is
   currently an area of concern.
   Method We searched major online app stores for apps providing an opioid
   dose conversion tool. We assessed output variability between apps in the
   dose calculation of seven opioid switches, as well as assessing the
   level of professional medical involvement in the authorship, creation
   and design of the apps.
   Results Of 23 different apps identified, more than half (n = 12; 52 %)
   had no stated medical professional involvement and only 11 (48 %) apps
   provided direct references to primary sources for their opioid
   conversion ratios. Conversion of 1 mg of oral morphine to oral codeine
   demonstrated the largest conversion output range (median 6.67 mg, range
   3.333-12 mg). Conversion of 1 mg of oral morphine to methadone ranged
   from 0.05-0.67 mg, with only 44 % of methadone-converting apps (n = 4)
   commenting that the conversion ratio changes with magnitude of methadone
   dose. Overall, 35 % of apps (n = 8) did not warn the user about the
   standard practice of dose reduction when opioid switching. There was a
   statistically significant difference in the mean conversion output for
   hydromorphone (oral) between apps with and without medical professional
   involvement (0.2256 vs 0.2536; p = 0.0377).
   Conclusions There are significant concerns with regard to the
   reliability of information provided by apps offering opioid dose
   conversion, with lack of information regarding evidence-based content
   and peer review in many cases. It is crucial that better regulation of
   medical apps is instigated in order to ensure that patient safety is
   maintained.
OI Brady, Richard/0000-0002-1905-6384
ZR 0
Z8 0
TC 61
ZB 11
ZS 0
ZA 0
Z9 62
U1 0
U2 16
SN 0114-5916
EI 1179-1942
UT WOS:000316357900004
PM 23322549
ER

PT J
AU Coleman, Jamie J.
   Esposito, Thomas J.
   Rozycki, Grace S.
   Feliciano, David V.
TI Acute care surgery: Now that we have built it, will they come?
SO JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
VL 74
IS 2
BP 463
EP 468
DI 10.1097/TA.0b013e31827a0bcf
PD FEB 2013
PY 2013
AB BACKGROUND: Concern over lack of resident interest caused by the
   nonoperative nature and compromised lifestyle associated with a career
   as a "trauma surgeon'' has led to the emergence of a new acute care
   surgery (ACS) specialty. This study examined the opinions of current
   general surgical residents about training and careers in this new field.
   METHODS: A 36-item online anonymous survey regarding ACS was sent to the
   program directors of 55 randomly selected general surgery (GS) training
   programs for distribution to their categorical residents. The national
   sample consisted of 1,515 PGY 1 to 5 trainees.
   RESULTS: Response rate was 45%. More than 90% of residents had an
   appropriate understanding of the components of ACS as generally
   described (trauma, surgical critical care, and emergency GS). Nearly
   half (46%) of all respondents have considered ACS as a career. Overall,
   ACS ranked as the second most appealing career ahead of surgical
   critical care and trauma but behind GS. Most residents believed that ACS
   offers better or equivalent case complexity (88%), scope of practice
   (84%), case volume (75%), and level of reimbursement (69%) compared with
   GS alone. Respondents who answered ACS had a better scope of practice
   (61% vs. 36%), lifestyle as an attending surgeon (77% vs. 34%), or level
   of reimbursement (83% vs. 38%) compared with GS were twice as likely (p
   < 0.0001) to have considered ACS as a career. Overall, 40% of the
   residents believed that ACS offers a worse lifestyle in comparison with
   GS.
   CONCLUSION: These results suggest that there is notable interest in the
   emerging specialty of ACS. The level of resident interest in ACS as a
   fellowship and career may be increased by marketing those aspects of
   practice, which are viewed positively and addressing negative
   perceptions related to lifestyle. It may be appealing to add an elective
   GS component to certain ACS practice options. (J Trauma Acute Care Surg.
   2013; 74: 463-469. Copyright (C) 2013 by Lippincott Williams & Wilkins)
ZA 0
TC 26
ZB 12
Z8 0
ZR 0
ZS 0
Z9 26
U1 0
U2 6
SN 2163-0755
EI 2163-0763
UT WOS:000316321200031
PM 23354239
ER

PT J
AU Li, Michelle Y.
   Kelly, Julian
   Subhi, Rami
   Were, Wilson
   Duke, Trevor
TI Global use of the WHO Pocket Book of Hospital Care for Children
SO PAEDIATRICS AND INTERNATIONAL CHILD HEALTH
VL 33
IS 1
BP 4
EP 17
DI 10.1179/2046905512Y.0000000017
PD FEB 2013
PY 2013
AB Background: Studies in the last decade have identified major
   deficiencies in the care of seriously ill children in hospitals in
   developing countries. Effective implementation of clinical guidelines is
   an important strategy for improving quality of care. In 2005 the World
   Health Organization produced the Pocket Book of Hospital Care for
   Children - Guidelines for Management of Common Childhood Illnesses in
   Rural and District Hospitals with Limited Resources.
   Objective: To determine the worldwide distribution, uptake and use of
   the WHO Pocket Book of Hospital Care for Children.
   Methods: A systematic online and postal survey was conducted to assess
   coverage and uptake of the Pocket Book in low- and middle-income
   countries (LMICs). More than 1000 key stakeholders with varied roles and
   responsibilities for child health in 194 countries were invited to
   participate. Indicators used to measure implementation of the guidelines
   included local adaptation, use as standard treatment and incorporation
   into undergraduate and postgraduate training.
   Results: Information was gathered from 354 respondents representing 134
   countries; these included 98 LMICs and 50 countries with under-5
   childhood mortality rates>40 deaths/1000 live births. Sixty-four LMICs
   (44% of 145 LMICs worldwide) including 42 high-mortality countries (66%
   of 64 high-mortality countries worldwide) reported at least partial
   implementation of the Pocket Book. However, uptake remains fragmented
   within countries.
   Conclusion: More than half of all LMICs with high rates of child
   mortality have reported use and substantial implementation activities, a
   considerable achievement given minimal resources available for
   implementation. Improving the accessibility of the Pocket Book and its
   implementation tools to health workers, and developing a strategic
   approach to implementation in each country could improve quality of
   hospital care for children and support efforts towards achieving the
   Millennium Development Goal 4 targets.
TC 20
ZS 0
Z8 0
ZB 9
ZR 0
ZA 0
Z9 20
U1 0
U2 9
SN 2046-9047
EI 2046-9055
UT WOS:000316053100003
PM 23485489
ER

PT J
AU Robinson, Georgeanna F. W. B.
   Erlen, Judith A.
   Rubio, Doris M.
   Kapoor, Wishwa N.
   Poloyac, Samuel M.
TI Development, Implementation, and Evaluation of an Interprofessional
   Course in Translational Research
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 6
IS 1
BP 50
EP 56
DI 10.1111/cts.12024
PD FEB 2013
PY 2013
AB The advancement of research from basic science discovery to clinical
   application requires the extensive collaboration of individuals from
   multiple disciplines, therefore the ability to work as an effective
   interprofessional team is essential for researchers in clinical and
   translational science (CTS). Courses that build interprofessional skills
   are a key component in CTS education, but the development of these
   courses poses numerous administrative and educational challenges. This
   paper describes the processes of designing, implementing, and evaluating
   an innovative graduate-level course that combines online lectures and
   in-class facilitated group discussions to promote interprofessional
   interactions. The course offers students the opportunity to interact
   with and learn from individuals in a variety of disciplines, and it
   requires students to engage in interprofessional group work to meet the
   course objectives. During the past 4 years, 96 students from the schools
   of medicine, pharmacy, nursing, public health, and health and
   rehabilitation sciences at a large urban university have completed the
   course. The course has been well-received, with 87% of students rating
   its overall quality as excellent, good, or satisfactory. The course
   offers educators a model to teach graduate students the skills that are
   essential for becoming effective CTS researchers. Clin Trans Sci 2012;
   Volume #: 17
OI Robinson, Georgeanna/0000-0001-6205-2867
Z8 0
TC 7
ZS 0
ZB 2
ZR 0
ZA 0
Z9 7
U1 2
U2 17
SN 1752-8054
UT WOS:000314919700013
PM 23399090
ER

PT J
AU Melvin, Ann J.
   Edwards, Kelly
   Malone, Jason
   Hassell, Laurie
   Wilfond, Benjamin S.
TI Role for CTSAs in Leveraging a Distributed Research Infrastructure to
   Engage Diverse Stakeholders in Emergent Research Policy Development
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 6
IS 1
BP 57
EP 59
DI 10.1111/j.1752-8062.2012.00444.x
PD FEB 2013
PY 2013
AB This paper is a case study of our regional Clinical Translational
   Science Award's (CTSA) development of a coordinated response to the
   advanced notice of proposed rulemaking on Human Subjects Research
   Protections during the fall of 2011. Our CTSA was well positioned to
   quickly activate and coordinate a response to this important and time
   sensitive issue because we had established infrastructure and resources
   both within our CTSA and through our partnering institutions, existing
   relationships with key individuals in the institutions, and credibility
   as a trusted source of information. Three town hall meetings were
   organized and a Website was created to collect online comments.
   Ultimately, comments were collected, prioritized, and organized into a
   single, coordinated response. This case study demonstrates the value of
   a distributed research infrastructure and the role CTSAs like our
   Institute of Translational Health Sciences can play to engage the
   regional research community about important developments in the research
   landscape and to respond to requests for feedback to policy makers. Clin
   Trans Sci 2013; Volume 6: 5759
ZR 0
TC 3
ZB 0
ZS 0
ZA 0
Z8 0
Z9 3
U1 0
U2 3
SN 1752-8054
EI 1752-8062
UT WOS:000314919700014
PM 23399091
ER

PT J
AU Panchal, Sonia
   Khare, Manjiri
   Moorthy, Arumugam
   Samanta, Ash
TI Catch me if you can: a national survey of rheumatologists and
   obstetricians on the use of DMARDs during pregnancy
SO RHEUMATOLOGY INTERNATIONAL
VL 33
IS 2
BP 347
EP 353
DI 10.1007/s00296-012-2418-0
PD FEB 2013
PY 2013
AB The use of disease-modifying anti-rheumatic drugs and biological therapy
   is variable throughout pregnancy. This questionnaire-based study was
   undertaken to explore and compare the current practice amongst
   rheumatologists and obstetricians across the UK, regarding the use of
   drugs during pregnancy. A questionnaire was devised to address issues
   regarding individual drugs used during preconception, pregnancy and
   lactation. Members of the British Society of Rheumatology, Midlands
   Rheumatology Society and the British Maternal Fetal Medicine Society
   were emailed. Results were analysed by the online survey software and
   Fisher's exact testing. Our results show differences between
   rheumatologists and obstetricians. A total of 500 members of each
   society were emailed. There were 102 (20 %) versus 33 (7 %) respondents.
   With regard to medication, in relation to advice given before
   conception, hydroxychloroquine 80 versus 61 % continue, 19 versus 15 %
   discontinue (p = 1.0); sulphasalazine 59 versus 70 % continue, 41 versus
   6 % discontinue (p = 0.002); azathioprine 62 versus 58 % continue, 36
   versus 21 % discontinue (p = 0.37); methotrexate 0 versus 3 % continue,
   100 versus 76 % discontinue (p = 0.2); leflunomide 0 versus 0 %
   continue, 98 versus 42 % discontinue (p = 1.0); anti-TNF therapy 7
   versus 15 % continue, 54 versus 54 % discontinue (p = 0.05); and
   rituximab 2 versus 12 % continue, 95 versus 52 % (p = 0.01) would
   discontinue prior to conception. This survey is the first of its nature
   amongst rheumatologists and obstetricians. Most would give advice to
   continue with sulphasalazine, azathioprine and stop methotrexate and
   leflunomide. We observed no uniform practice and therefore recommend
   guidelines.
ZA 0
TC 11
Z8 1
ZB 4
ZR 2
ZS 1
Z9 15
U1 1
U2 12
SN 0172-8172
EI 1437-160X
UT WOS:000314186900012
PM 22451029
ER

PT J
AU McGready, John
   Brookmeyer, Ron
TI Evaluation of student outcomes in online vs. campus biostatistics
   education in a graduate school of public health
SO PREVENTIVE MEDICINE
VL 56
IS 2
BP 142
EP 144
DI 10.1016/j.ypmed.2012.11.020
PD FEB 2013
PY 2013
AB Objective. To compare student outcomes between concurrent online and
   on-campus sections of an introductory biostatistics course offered at a
   United States school of public health in 2005.
   Methods. Enrolled students (95 online, 92 on-campus) were invited to
   participate in a confidential online survey. The course outcomes were
   compared between the two sections adjusting for differences in student
   characteristics.
   Results. Seventy-two online (76%) and 66 (72%) on-campus enrollees
   participated. Unadjusted final exam scores for the online and on-campus
   sections were respectively 85.1 and 86.3 (p = 0.50) in term 1, and 87.8
   and 86.8 (p = 0.51) in term 2. After adjustment for student
   characteristics, the average difference in scores between the two
   sections was - 1.5 (95% CI: -5.4, 2.5) in term 1, and 0.8 (95% CI: -2.7,
   4.3) in term 2.
   Conclusions. The results demonstrate that online and on-campus course
   formats of an introductory biostatistics course in a graduate school of
   public health can achieve similar student outcomes. (c) 2012 Elsevier
   Inc. All rights reserved.
Z8 0
ZB 1
ZA 0
ZS 0
ZR 0
TC 11
Z9 11
U1 1
U2 17
SN 0091-7435
EI 1096-0260
UT WOS:000314382600010
PM 23219758
ER

PT J
AU Gordon, Judith S.
   Mahabee-Gittens, E. Melinda
   Andrews, Judy A.
   Christiansen, Steven M.
   Byron, David J.
TI A Randomized Clinical Trial of a Web-Based Tobacco Cessation Education
   Program
SO PEDIATRICS
VL 131
IS 2
BP E455
EP E462
DI 10.1542/peds.2012-0611
PD FEB 2013
PY 2013
AB OBJECTIVES: We report the results of a randomized clinical trial of a
   3-hour, web-based, tobacco cessation education program, the Web-Based
   Respiratory Education About Tobacco and Health (WeBREATHe) program, for
   practicing pediatric respiratory therapists (RTs), registered nurses
   (RNs), and nurse practitioners (NPs).
   METHODS: Two hundred fifteen RTs (n = 40), RNs (n = 163), and NPs (n =
   12) employed at the Children's Hospital of Philadelphia and the
   Children's Hospital, University of Colorado at Denver, participated in
   this study. All study activities were completed online. After
   consenting, participants were randomly assigned to either the training
   (intervention) or delayed training (control) condition. The training
   condition consisted of a 3-hour continuing education unit course plus
   ongoing online resources. Participants were assessed at baseline, 1
   week, and 3 months after enrollment.
   RESULTS: Participants in the training condition were more likely to
   increase their tobacco cessation intervention behaviors than their
   delayed training counterparts (F[1, 213] = 32.03, P < .001). Training
   participants showed significantly greater levels of advise (F[1, 213] =
   7.22, P < .001); assess (F[1, 213] = 19.56, P < .001); and particularly
   assist/arrange (F[1213] = 35.52, P < .001). In addition, training
   condition participants rated the program highly on measures of consumer
   satisfaction.
   CONCLUSIONS: The WeBREATHe program is the first evidence-based education
   program in tobacco cessation designed specifically for pediatric RTs,
   RNs, and NPs. Engagement in WeBREATHe increased participants' tobacco
   cessation-related behaviors. Pediatrics 2013;131:e455-e462
ZA 0
TC 25
ZB 2
ZR 0
Z8 0
ZS 0
Z9 25
U1 0
U2 9
SN 0031-4005
EI 1098-4275
UT WOS:000314355100014
PM 23319529
ER

PT J
AU Belford, Robert
   Herreid, Clyde
TI ConfChem Conference on Case-Based Studies in Chemical Education: An
   Online Conference
SO JOURNAL OF CHEMICAL EDUCATION
VL 90
IS 2
BP 254
EP 255
DI 10.1021/ed200775e
PD FEB 2013
PY 2013
AB Case-based studies have been used for years in business, law, and
   medical education but have only recently been applied to science
   education. The spring 2011 online ConfChem conference, Case-Based
   Studies in Chemical Education, showcases pioneering work in the
   application of case studies to chemical education. This conference was
   held from May 6 to June 20, 2011 and was organized by Clyde F. Herreid,
   director of the National Center for Case Study Teaching in Science
   (NCCSTS) and hosted by the ACS Committee on Computers in Chemical
   Education. This communication is the first of eight based on the
   presentations in this conference, introduces the NCCSTS, ConfChem
   conferences, and provides an overview of the use of case studies in
   chemical education.
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
TC 3
Z9 3
U1 1
U2 15
SN 0021-9584
UT WOS:000315242000022
ER

PT J
AU Ahire, Mrinalini
   Sheridan, Judith
   Regbetz, Shane
   Stacey, Phillip
   Scott, James G.
TI Back to basics: Informing the public of co-morbid physical health
   problems in those with mental illness
SO AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
VL 47
IS 2
BP 177
EP 184
DI 10.1177/0004867412450753
PD FEB 2013
PY 2013
AB Objective: Those with mental illness are at increased risk of physical
   health problems. The current study aimed to examine the information
   available online to the Australian public about the increased risk and
   consequences of physical illness in those with mental health problems
   and the services available to address these co-morbidities.
   Methods: A structured online search was conducted with the search engine
   Google Australia (www.google.com.au) using generic search terms 'mental
   health information Australia', 'mental illness information Australia',
   'depression', 'anxiety', and 'psychosis'. The direct content of websites
   was examined for information on the physical co-morbidities of mental
   illness. All external links on high-profile websites [the first five
   websites retrieved under each search term (n = 25)] were examined for
   information pertaining to physical health.
   Results: Only 4.2% of websites informing the public about mental health
   contained direct content information about the increased risk of
   physical co-morbidities. The Australian Government's Department of
   Health and Ageing site did not contain any information. Of the
   high-profile websites, 62% had external links to resources about
   physical health and 55% had recommendations or resources for physical
   health. Most recommendations were generic.
   Conclusions: Relative to the seriousness of this problem, there is a
   paucity of information available to the public about the increased
   physical health risks associated with mental illness. Improved public
   awareness is the starting point of addressing this health inequity.
RI Scott, James Graham/D-5900-2012
OI Scott, James Graham/0000-0002-0744-0688
Z8 0
TC 4
ZA 0
ZB 1
ZS 0
ZR 0
Z9 4
U1 0
U2 16
SN 0004-8674
UT WOS:000314468400012
PM 22707483
ER

PT J
AU Likic, Robert
   White, Casey
   Cinti, Sandro
   Purkiss, Joel
   Fantone, Joseph
   Chapman, Chris
   Bielen, Luka
   Francetic, Igor
   Engleberg, Cary
TI Online learning applied to a course on rational therapeutics: an
   international comparison between final year students of two medical
   schools
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 75
IS 2
BP 373
EP 380
DI 10.1111/j.1365-2125.2012.04370.x
PD FEB 2013
PY 2013
AB Introduction Poor prescribing is probably the most common cause of
   preventable medication errors and many of these events involve junior
   doctors. In 2009, an electronic problem-based therapeutics course
   developed at the University of Michigan Medical School (UMMS) was
   translated and adapted for use at the University of Zagreb Medical
   School (UZMS). Methods After students from both schools took the course
   in 2010, we compared their responses with an online questionnaire
   addressing the course quality and its effectiveness. Results There were
   no statistically significant differences in the overall average grades
   awarded for the course (UZMS 4.11?+/-?0.86 vs. UMMS 3.96?+/-?0.93; 95%
   CI mean difference (MD) 0.36, 0.07; P?=?0.175) with both student groups
   expressing high satisfaction rates with its quality, accessibility and
   overall design. UZMS students reported spending less time working
   through the course than their American colleagues (2.14?+/-?1.01 vs.
   2.89?+/-?1.02 on a five point Likert scale; 95% CI MD 0.51, 0.99;
   P?<?0.05). Furthermore, Croatian students indicated greater difficulty
   with course materials (3.54?+/- 0.59 vs. 3.25?+/-?0.59; 95% CI MD 0.42,
   0.15; P?<?0,05) and weekly multiple choice questions (3.83 +/-?0.62 vs.
   3.4?+/-?0.61; 95% CI MD 0.58, 0.29; P?<?0,05) compared with the UMMS
   students. Conclusion It is possible to adapt and translate successfully
   whole online teaching resources and implement them internationally in
   different countries and health care systems, achieving similar, high
   student satisfaction rates while decreasing administrative and cost
   burdens. Web based learning may have great potential to offer a cost
   effective and safe environment in which prescribing skills can be
   improved.
RI Likic, Robert/J-6401-2019
OI Likic, Robert/0000-0003-1413-4862
ZS 0
ZA 0
ZR 0
ZB 2
TC 6
Z8 0
Z9 6
U1 0
U2 15
SN 0306-5251
UT WOS:000313554200008
PM 22759217
ER

PT J
AU Beach, Elizabeth Francis
   Gilliver, Megan
   Williams, Warwick
TI Leisure noise exposure: Participation trends, symptoms of hearing
   damage, and perception of risk
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 52
BP S20
EP S25
DI 10.3109/14992027.2012.743050
SU 1
PD FEB 2013
PY 2013
AB Objective: Leisure activities that emit high noise levels have the
   potential to expose participants to excessive noise exposure, which can
   result in hearing damage. This study investigated young people's
   participation in high-noise leisure activities and the relationship
   between their leisure noise exposure, symptoms of hearing damage, and
   perception of risk. Design: Participants completed an online survey
   relating to participation in selected high-noise leisure activities,
   symptoms of hearing damage, and beliefs about the risk posed by these
   activities. Study sample: One thousand 18- to 35-year-old Australian
   adults completed the survey. Results: Annual noise exposure from the
   five leisure activities ranged from 0-6.77 times the acceptable noise
   exposure, with nightclubs posing the greatest risk. Those who attended
   one noisy activity were more likely to attend others, in particular
   nightclubs, pubs, and live music events. Noise exposure was correlated
   with early warning signs of hearing damage and perceived risk of damage.
   Conclusions: Active young adults who engage in noisy activities are
   showing early signs of hearing damage. Furthermore, they perceive the
   risk associated with their activities. The challenge for researchers and
   hearing health practitioners is to convert self-perceived risk into
   positive hearing health behaviours for long-term hearing health.
TC 39
ZB 18
ZS 2
ZA 0
Z8 1
ZR 0
Z9 46
U1 0
U2 44
SN 1499-2027
EI 1708-8186
UT WOS:000314532400004
PM 23373738
ER

PT J
AU Gilliver, Megan
   Beach, Elizabeth Francis
   Williams, Warwick
TI Noise with attitude: Influences on young people's decisions to protect
   their hearing
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 52
BP S26
EP S32
DI 10.3109/14992027.2012.743049
SU 1
PD FEB 2013
PY 2013
AB Objective: To investigate young people's experiences and attitudes
   towards hearing health and their participation in noise reduction
   behaviours, to better understand how education and prevention messages
   may be better targeted. Design: An online survey was used to investigate
   participants' own hearing health, their engagement with noise reduction
   behaviour, and their beliefs about hearing health and the risk posed by
   leisure activities. Study sample: Results are presented for 1000
   Australian young adults (18 - 35 years). Results: Most participants
   reported current good hearing health, although over a fifth showed
   possible early warning signs of damage. Approximately half of
   participants took steps to reduce their noise exposure. However,
   preventative action was not related to hearing loss symptomology, or
   perceived personal risk of noise-related damage. Participants'
   engagement with hearing health was related to beliefs about the risk
   posed by leisure noise, hearing health awareness, and the importance of
   hearing. Conclusions: There is a need to further educate young people
   about the risks posed to hearing by leisure activity participation and
   factors that may assist improve hearing health. It is important that
   hearing health messages move past the traditional emphasis on knowledge,
   and move towards the use of more personalized motivators of noise
   reduction behaviour.
OI Gilliver, Megan/0000-0002-4353-1085
ZR 0
ZS 0
ZB 5
TC 10
ZA 0
Z8 0
Z9 11
U1 1
U2 21
SN 1499-2027
EI 1708-8186
UT WOS:000314532400005
PM 23373739
ER

PT J
AU Camm, Christian F.
   Sunderland, Nicholas
   Camm, A. John
TI A Quality Assessment of Cardiac Auscultation Material on YouTube
SO CLINICAL CARDIOLOGY
VL 36
IS 2
BP 77
EP 81
DI 10.1002/clc.22080
PD FEB 2013
PY 2013
AB Background: YouTube is a highly utilized Web site that contains a large
   amount of medical educational material. Although some studies have
   assessed the education material contained on the Web site, little
   analysis of cardiology content has been made. This study aimed to assess
   the quality of videos relating to heart sounds and murmurs contained on
   YouTube. Hypothesis: We hypothesized that the quality of video files
   purporting to provide education on heart auscultation would be highly
   variable. Methods: Videos were searched for using the terms heart
   sounds, heart murmur, and heart auscultation. A built-in educational
   filter was employed, and manual rejection of non-English language and
   nonrelated videos was undertaken. Remaining videos were analyzed for
   content, and suitable videos were scored using a purpose-built tool.
   Results: YouTube search located 3350 videos in total, and of these, 22
   were considered suitable for scoring. The average score was 4.07 out of
   7 (standard deviation, 1.35). Six videos scored 5.5 or greater and 5
   videos scoring 2.5 or less. There was no correlation between video score
   and YouTube indices of preference (hits, likes, dislikes, or search
   page). The quality of videos found in this study was highly variable.
   YouTube indications of preference were of no value in determining the
   value of video content. Therefore, teaching institutions or professional
   societies should endeavor to identify and highlight good online teaching
   resources. Conclusions: YouTube contains many videos relating to cardiac
   auscultation, but very few are valuable education resources. The authors
   have no funding, financial relationships, or conflicts of interest to
   disclose. 1
OI Sunderland, Nicholas/0000-0003-3625-630X; Camm,
   Christian/0000-0003-2122-4225
ZR 0
Z8 0
ZB 8
TC 45
ZA 0
ZS 2
Z9 46
U1 2
U2 20
SN 0160-9289
EI 1932-8737
UT WOS:000314976700004
PM 23172251
ER

PT J
AU Kantarjian, Hagop M.
   Larson, Richard A.
   Cortes, Jorge E.
   Deering, Kathleen L.
   Mauro, Michael J.
TI Current Practices in the Management of Chronic Myeloid Leukemia
SO CLINICAL LYMPHOMA MYELOMA & LEUKEMIA
VL 13
IS 1
BP 48
EP 54
DI 10.1016/j.clml.2012.07.009
PD FEB 2013
PY 2013
AB A cross-sectional survey of board certified hematologists/oncologists
   was conducted to describe current chronic myeloid leukemia (CML)
   practice patterns and compare these self-reported practices with the
   clinical guidelines. Overall, the reported practice patterns regarding
   CML treatment were in accordance with guidelines; however, decisions
   also appear to be based on the attitudes, beliefs, and personal
   experience of the responding physicians.
   Background: A previous survey of physician self-reported practice
   patterns in the management of CML was conducted in 2005. The National
   Comprehensive Cancer Network and European LeukemiaNet guidelines now
   include nilotinib and dasatinib in their treatment algorithms for CML.
   To assess these new guidelines, a cross-sectional survey of US
   hematologists and/or oncologists was conducted in December 2010 through
   an online survey. Materials and Methods: The survey had 43 questions
   consisting of items updated from the 2005 survey to reflect changes in
   clinical practice, tyrosine kinase inhibitor therapy, and current
   guidelines. Results: Analysis of the responses from 507 board certified
   medical oncologists/hematologists suggests that the use of imatinib 400
   mg as an initial treatment option had decreased from 62% in 2005 to 52%
   in the 2010 survey. Currently, nearly 40% of physicians would choose
   either nilotinib or dasatinib as first-line treatment. From the surveyed
   physicians, achievement of at least a major molecular response (MMR) is
   the predominant treatment goal in chronic phase CML. Conclusion: This
   survey emphasizes the need for continued updates and education regarding
   optimal therapy, monitoring practices, and therapeutic end points in
   CML. Clinical Lymphoma, Myeloma & Leukemia, Vol. 13, No. 1, 48-54
   Published by Elsevier Inc.
RI Larson, Richard A./AAE-7223-2019; Cortes, Jorge/; Deering, Katie/
OI Larson, Richard A./0000-0001-9168-3203; Cortes,
   Jorge/0000-0002-8636-1071; Deering, Katie/0000-0003-1438-444X
TC 8
ZA 0
ZS 0
ZB 3
ZR 0
Z8 0
Z9 8
U1 0
U2 6
SN 2152-2650
UT WOS:000314795100008
PM 23103085
ER

PT J
AU Sampson, Christopher S.
   Renz, Nicholas R.
   Wagner, Jason C.
TI An Inexpensive and Novel Model for Perimortem Cesarean Section
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 8
IS 1
BP 49
EP 51
DI 10.1097/SIH.0b013e318271489c
PD FEB 2013
PY 2013
AB Introduction: Perimortem cesarean section is a rare, time-critical, and
   potentially life-saving procedure for both the fetus and mother. This
   makes perimortem cesarean section an ideal and recommended subject for
   simulation learning and practice.
   Methods: Various attempts have been made to produce models to simulate
   emergency caesarian sections. We designed a cost-effective and easy to
   assemble model that can be used with any high fidelity simulator.
   The model was used as part of a simulation education module that is part
   of resident educational conferences. After the simulation day, residents
   were asked to fill out an anonymous online survey using a 5-point Likert
   scale.
   Results: Thirty-four emergency medicine residents took part in a
   perimortem caesarian section case. Nine (26%) completed the online
   survey. Eight respondents agreed or strongly agreed [4.33 (0.71)] that
   the model helped to familiarize them with a perimortem cesarean section.
   Eight residents also agreed or strongly agreed [4 (0.87)] that they were
   better prepared to perform this procedure, and 9 residents felt that
   knowledge from this session would help with their emergency department
   rotations [4.11 (0.33)]. Six residents agreed or strongly agreed that
   this model was a good replication of human anatomy [3.78 (0.97)]. All
   respondents agreed or strongly agreed [4.56 (0.53)] that this session
   enhanced learning more than traditional lectures and reading alone.
   Conclusion: We present here an inexpensive, easy to make, and portable
   model, which can be used to simulate an emergency caesarian section.
   (Sim Healthcare 8:49-51, 2013)
RI Renz, Nicholas/AAL-4053-2021
Z8 0
TC 3
ZB 0
ZA 0
ZS 1
ZR 0
Z9 4
U1 0
U2 8
SN 1559-2332
EI 1559-713X
UT WOS:000314807500009
PM 23288030
ER

PT J
AU Lorig, Kate
   Ritter, Philip L.
   Plant, Kathryn
   Laurent, Diana D.
   Kelly, Pauline
   Rowe, Sally
TI The South Australia Health Chronic Disease Self-Management Internet
   Trial
SO HEALTH EDUCATION & BEHAVIOR
VL 40
IS 1
BP 67
EP 77
DI 10.1177/1090198112436969
PD FEB 2013
PY 2013
AB Objectives. To evaluate the effectiveness of an online chronic disease
   self-management program for South Australia residents. Method. Data were
   collected online at baseline, 6 months, and 12 months. The intervention
   was an asynchronous 6-week chronic disease self-management program
   offered online. The authors measured eight health status measures, seven
   behaviors, and four utilization measures; self-efficacy; and health care
   satisfaction. Results. Two hundred fifty-four South Australian adults
   with one or more chronic conditions completed baseline data. One hundred
   forty-four completed 6 months and 194 completed 1 year. Significant
   improvements (p < .05) were found at 6 months for four health status
   measures, six health behaviors, self-efficacy, and visits to emergency
   departments. At 12 months, five health status indicators, six health
   behaviors, self-efficacy, and visits to emergency departments remained
   significant. Satisfaction with health care trended toward significance.
   Discussion. The peer-led online program was both acceptable and useful
   for this population. It appeared to decrease symptoms, improve health
   behaviors, self-efficacy, and reduce health care utilization up to 1
   year. This intervention also has large potential implications for the
   use of a public health education model for reaching large numbers of
   people. It demonstrates that an Internet self-management program, which
   includes social media, can reach rural and underserved people as well as
   be effective and reduce health care costs. If this intervention can be
   brought to scale, it has the potential for improving the lives of large
   numbers of people with chronic illness. It represents a way the medical
   care and public health sectors can interact.
ZR 0
ZB 6
ZA 0
Z8 1
TC 45
ZS 0
Z9 46
U1 0
U2 22
SN 1090-1981
EI 1552-6127
UT WOS:000330294000009
PM 22491008
ER

PT J
AU Fillmore, W. Jonathan
   Teeples, Tyson J.
   Cha, Stephen
   Viozzi, Christopher F.
   Arce, Kevin
TI Chief Resident Case Experience and Autonomy Are Associated With Resident
   Confidence and Future Practice Plans
SO JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
VL 71
IS 2
BP 448
EP 461
DI 10.1016/j.joms.2012.05.006
PD FEB 2013
PY 2013
AB Purpose: To measure oral and maxillofacial surgery (OMS) chief resident
   case experience, including autonomy, and discover the role of this
   experience in developing resident confidence and determining the scope
   of practice on completion of training.
   Materials and Methods: A cross-sectional study was conducted using an
   online questionnaire made available to residents near the completion of
   their final year of training in United States OMS training programs.
   Predictors were the case numbers and autonomy level. Outcomes were the
   anticipated frequency of practice, confidence to meet the standard of
   care, and changes in anticipated practice scope. Each was measured in 10
   domains within the scope of OMS.
   Results: Eighty-four residents (44%) completed the 116-item
   questionnaire. All respondents were "very confident" in their ability to
   meet the standard of care in mandibular trauma and dentoalveolar
   surgery. Autonomy was associated with the confidence to meet the
   standard of care in midface trauma, temporomandibular joint,
   orthognathic, cosmetic, pathology, reconstructive, and craniofacial
   surgery. Associations were noted between primary surgeon cases and
   confidence in midface trauma, temporomandibular joint, orthognathic,
   cosmetic, and craniofacial surgery. Case numbers were associated with an
   anticipated frequency of practice within the domains of midface trauma,
   temporomandibular joint, cosmetic, and pathology surgery.
   Conclusions: Results of this study suggest an association between a
   resident's surgical case experience (overall exposure and autonomy) and
   that resident's future plans for practice and confidence to meet the
   standard of care in this specialty. OMS training curricula should evolve
   to incorporate an evaluation of competence and an appropriate transfer
   of responsibility and experience to residents, thus maximizing
   confidence and future practice opportunities. (C) 2013 American
   Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg
   71:448-461, 2013
ZR 0
Z8 0
ZS 0
ZB 3
ZA 0
TC 22
Z9 22
U1 0
U2 6
SN 0278-2391
EI 1531-5053
UT WOS:000314710200050
PM 22871309
ER

PT J
AU Topps, David
   Helmer, Joyce
   Ellaway, Rachel
TI YouTube as a Platform for Publishing Clinical Skills Training Videos
SO ACADEMIC MEDICINE
VL 88
IS 2
BP 192
EP 197
DI 10.1097/ACM.0b013e31827c5352
PD FEB 2013
PY 2013
AB The means to share educational materials have grown considerably over
   the years, especially with the multitude of Internet channels available
   to educators. This article describes an innovative use of YouTube as a
   publishing platform for clinical educational materials.
   The authors posted online a series of short videos for teaching clinical
   procedures anticipating that they would be widely used. The project Web
   site attracted little traffic, alternatives were considered, and YouTube
   was selected for exploration as a publication channel. YouTube's
   analytics tools were used to assess uptake, and viewer comments were
   reviewed for specific feedback in support of evaluating and improving
   the materials posted.
   The uptake was much increased with 1.75 million views logged in the
   first 33 months. Viewer feedback, although limited, proved useful. In
   addition to improving uptake, this approach also relinquishes control
   over how materials are presented and how the analytics are generated.
   Open and anonymous access also limits relationships with end users.
   In summary, YouTube was found to provide many advantages over
   selfpublication, particularly in terms of technical simplification,
   increased audience, discoverability, and analytics. In contrast to the
   transitory interest seen in most YouTube content, the channel has seen
   sustained popularity. YouTube's broadcast model diffused aspects of the
   relationship between educators and their learners, thereby limiting its
   use for more focused activities, such as continuing medical education.
RI Topps, David/L-1747-2015; Ellaway, Rachel/L-6746-2013
OI Topps, David/0000-0003-3593-544X; Ellaway, Rachel/0000-0002-3759-6624
ZA 0
Z8 0
TC 88
ZB 7
ZS 1
ZR 0
Z9 88
U1 0
U2 45
SN 1040-2446
EI 1938-808X
UT WOS:000314351900020
PM 23269305
ER

PT J
AU Lie, Desiree
   Trial, Janet
   Schaff, Pamela
   Wallace, Robert
   Elliott, Donna
TI "Being the Best We Can Be": Medical Students' Reflections on Physician
   Responsibility in the Social Media Era
SO ACADEMIC MEDICINE
VL 88
IS 2
BP 240
EP 245
DI 10.1097/ACM.0b013e31827bf5fc
PD FEB 2013
PY 2013
AB Purpose
   To examine attitudes, self-reported behaviors, and intended actions
   related to medical students' use of online social media after an
   educational intervention.
   Method
   In 2011, 180 first-year medical students at the Keck School of Medicine
   participated in a required two-hour session on the relevance of online
   social media use to professionalism. Students submitted postsession
   written reflections about their online presence and professional roles.
   The authors qualitatively analyzed and coded these reflections for
   emerging themes. They also examined postsession evaluations and
   conducted a four-month follow-up survey to identify changes in students'
   online social networking behaviors.
   Results
   All 180 students submitted written reflections and postsession
   evaluations. The authors identified 10 theme categories within three
   domains (immediate action, intended future action, value change) from
   the reflections. The most common themes were "role awareness" (144/539),
   "did nothing" (94/539), and "intention to edit" (84/539). On a scale of
   1 to 5, students rated the overall session quality at 3.92 (standard
   deviation 0.28). Sixty-four percent (115/180) of the students responded
   to the follow-up survey. Of those, 40% (46/115) reported editing or
   changing their Web presence after the session, and 24% (28/115)
   anticipated spending less time on online social networking.
   Conclusions
   Attending a required session in a professionalism course led to
   thoughtful reflection, increased professional role awareness, and
   intention to edit and monitor future online presence among first-year
   medical students. After four months, students reported continued
   monitoring and editing of their online presence. Future studies should
   examine whether reinforcement throughout training is needed to maintain
   vigilance.
Z8 0
ZA 0
ZR 0
ZS 2
TC 33
ZB 1
Z9 35
U1 0
U2 40
SN 1040-2446
UT WOS:000314351900028
PM 23269290
ER

PT J
AU Bunting, Laura
   Tsibulsky, Ivan
   Boivin, Jacky
TI Fertility knowledge and beliefs about fertility treatment: findings from
   the International Fertility Decision-making Study
SO HUMAN REPRODUCTION
VL 28
IS 2
BP 385
EP 397
DI 10.1093/humrep/des402
PD FEB 2013
PY 2013
AB STUDY QUESTION: How good is fertility knowledge and what are treatment
   beliefs in an international sample of men and women currently trying to
   conceive?
   SUMMARY ANSWER: The study population had a modest level of fertility
   knowledge and held positive and negative views of treatment.
   WHAT IS KNOWN ALREADY: Few studies have examined general fertility
   treatment attitudes but studies of specific interventions show that
   attitudes are related to characteristics of the patient, doctor and
   context. Further, research shows that fertility knowledge is poor.
   However, the majority of these studies have examined the prevalence of
   infertility, the optimal fertile period and/or age-related infertility
   in women, in university students and/or people from high-resource
   countries making it difficult to generalize findings.
   STUDY DESIGN, SIZE, DURATION: A cross-sectional sample completed the
   International Fertility Decision-making Study (IFDMS) over a 9-month
   period, online or via social research panels and in fertility clinics.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: Participants were 10 045
   people (8355 women, 1690 men) who were on average 31.8 years old, had
   been trying to conceive for 2.8 years with 53.9% university educated.
   From a total of 79 countries, sample size was >100 in 18 countries. All
   79 countries were assigned to either a very high Human Development Index
   (VH HDI) or a not very high HDI (NVH HDI). The IFDMS was a 45-min,
   64-item English survey translated into 12 languages. The inclusion
   criteria were the age between 18 and 50 years and currently trying to
   conceive for at least 6 months. Fertility knowledge was assessed using a
   13-item correct/incorrect scale concerned with risk factors,
   misconceptions and basic fertility facts (range: 0-100% correct).
   Treatment beliefs were assessed with positive and negative statements
   about fertility treatment rated on a five-point agree/disagree response
   scale.
   MAIN RESULTS AND THE ROLE OF CHANCE: Average correct score for Fertility
   Knowledge was 56.9%, with greater knowledge significantly related to
   female gender, university education, paid employment, VH HDI and prior
   medical consultation for infertility (all P < 0.001). The mean agreement
   scores for treatment beliefs showed that agreement for positive items
   (safety, efficacy) was correlated with agreement for negative items
   (short/long-term physical/emotional effects) (P. 0.001). People who had
   given birth/fathered a child, been trying to conceive for less than 12
   months, who had never consulted for a fertility problem and who lived in
   a country with an NVH HDI agreed less with negative beliefs. HDI,
   duration of trying to conceive and help-seeking were also correlates of
   higher positive beliefs, alongside younger age, living in an urban area
   and having stepchildren. Greater fertility knowledge was associated with
   stronger agreement on negative treatment beliefs items (P < 0.001) but
   was unrelated to positive treatment beliefs items.
   LIMITATIONS, REASONS FOR CAUTION: There was volunteer bias insofar as
   more women, people of higher education and people with fertility
   problems (i.e. met criteria for infertility, had consulted a medical
   doctor, had conceived with fertility treatment) participated and this
   was true in VH and NVH HDI countries. The bias may mean that people in
   this sample had better fertility knowledge and less favourable treatment
   beliefs than is the case in the general population.
   WIDER IMPLICATIONS OF THE FINDINGS: Educational interventions should be
   directed at improving knowledge of fertility health. Future prospective
   research should be aimed at investigating how fertility knowledge and
   treatment beliefs affect childbearing and help-seeking decision-making.
   STUDY FUNDING/COMPETING INTEREST(S): Merck-Serono S. A.
   Geneva-Switzerland (an affiliate of Merck KGaA Darmstadt, Germany) and
   the Economic and Social Research Council (ESRC, UK) funded this project
   (RES-355-25-0038, 'Fertility Pathways Network'). L. B. is funded by a
   postdoctoral fellowship from the Medical Research Council (MRC) and the
   ESRC (PTA-037-27-0192). I. T. is an employee of Merck-Serono S. A.
   Geneva-Switzerland (an affiliate of Merck KGaA Darmstadt, Germany).
RI Boivin, Jacky/A-1666-2010
OI Boivin, Jacky/0000-0001-9498-1708
ZB 26
Z8 3
TC 116
ZS 1
ZR 0
ZA 0
Z9 120
U1 2
U2 55
SN 0268-1161
EI 1460-2350
UT WOS:000313835800016
PM 23184181
ER

PT J
AU Haji, Faizal A.
   Dubrowski, Adam
   Drake, James
   de Ribaupierre, Sandrine
TI Needs assessment for simulation training in neuroendoscopy: a Canadian
   national survey
SO JOURNAL OF NEUROSURGERY
VL 118
IS 2
BP 250
EP 257
DI 10.3171/2012.10.JNS12767
PD FEB 2013
PY 2013
AB Object. In recent years, dramatic changes in surgical education have
   increased interest in simulation-based training for complex surgical
   skills. This is particularly true for endoscopic third ventriculostomy
   (ETV), given the potential for serious intraoperative errors arising
   from surgical inexperience. However, prior to simulator development, a
   thorough assessment of training needs is essential to ensure development
   of educationally relevant platforms. The purpose of this study was to
   conduct a national needs assessment addressing specific goals of
   instruction, to guide development of simulation platforms, training
   curricula, and assessment metrics for ETV.
   Methods. Canadian neurosurgeons performing ETV were invited to
   participate in a structured online questionnaire regarding the
   procedural steps for ETV, the frequency and significance of
   intraoperative errors committed while learning the technique, and
   simulation training modules of greatest potential educational benefit.
   Descriptive data analysis was completed for both quantitative and
   qualitative responses.
   Results. Thirty-two (55.2%) of 58 surgeons completed the survey. All
   believed that virtual reality simulation training for ETV would be a
   valuable addition to clinical training. Selection of ventriculostomy
   site, navigation within the ventricles, and performance of the
   ventriculostomy ranked as the most important steps to simulate.
   Technically inadequate ventriculostomy and inappropriate fenestration
   site selection were ranked as the most frequent/significant errors. A
   standard ETV module was thought to be most beneficial for resident
   training.
   Conclusions. To inform the development of a simulation-based training
   program for ETV, the authors have conducted a national needs assessment.
   The results provide valuable insight to inform key design elements
   necessary to construct an educationally relevant device and educational
   program. (http://thejns.org/doi/abs/10.3171/2012.10.JNS12767)
RI Haji, Faizal Aminmohamed/U-5309-2019; de Ribaupierre, Sandrine/B-7707-2015; de Ribaupierre, Sandrine/H-1844-2013; Haji, Faizal/
OI de Ribaupierre, Sandrine/0000-0001-7096-2289; Haji,
   Faizal/0000-0002-5342-1840
ZS 0
Z8 1
ZA 0
TC 31
ZB 9
ZR 0
Z9 32
U1 0
U2 14
SN 0022-3085
EI 1933-0693
UT WOS:000313937900005
PM 23216468
ER

PT J
AU Robson, Jacob
TI Considerations for Physician Training in a New Era of Medical Education
SO JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
VL 56
IS 2
BP 111
EP 112
DI 10.1097/MPG.0b013e31827fc770
PD FEB 2013
PY 2013
ZA 0
ZR 0
ZB 0
ZS 0
Z8 0
TC 0
Z9 0
U1 0
U2 2
SN 0277-2116
UT WOS:000314099600006
PM 23201710
ER

PT J
AU Feist, Mark
   Ciccarelli, Mary
   McFerron, Brian A.
   Molleston, Jean P.
TI Methods and Effects of a Case-based Pediatric Gastroenterology Online
   Curriculum
SO JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
VL 56
IS 2
BP 161
EP 165
DI 10.1097/MPG.0b013e31825677d7
PD FEB 2013
PY 2013
AB Objectives: Asynchronous learning, using Web-based instruction, is
   developing a growing role in medical education. Restrictions on resident
   work hours continue to require restructuring of formal educational
   activities in many programs. The objectives of this curriculum
   development project was to determine whether using blended learning with
   case-based online modules supplemented by faculty-facilitated case
   discussion was effective and well received.
   Methods: The pediatric gastroenterology curriculum, completed during a
   4-week subspecialty rotation, consists of 8 case-based online modules
   and four 1-hour didactic sessions. The curriculum was pilot tested using
   a 1-group, pretest/posttest design as well as a survey to assess both
   knowledge acquisition and learner satisfaction. Resident evaluations of
   the rotation were examined during a 4-year pre- and postimplementation
   period.
   Results: Twenty-one learners participated in pilot testing of the
   curriculum. After completing the curriculum, there was a significant
   improvement in post-test medical knowledge scores (pretest 73%, posttest
   92%, P < 0.001). The satisfaction survey showed that learners were
   highly satisfied with the course format, and this teaching method was
   actually preferred to more traditional methods of teaching. Pilot
   learners reported increased comfort in caring for patients with
   gastrointestinal complaints. Evaluations of the gastroenterology
   rotation improved significantly across multiple domains in the years
   after implementation of the curriculum.
   Conclusions: This curriculum, which uses online teaching reinforced by
   faculty-facilitated case discussion, was both effective and well
   received by learners. The implementation of this curriculum appears to
   have had sustained beneficial effects on the learning environment beyond
   the simple acquisition of medical knowledge.
ZA 0
ZB 6
ZR 0
TC 15
ZS 0
Z8 0
Z9 15
U1 0
U2 8
SN 0277-2116
EI 1536-4801
UT WOS:000314099600016
PM 23328454
ER

PT J
AU Young, Sean D.
   Jaganath, Devan
TI Online Social Networking for HIV Education and Prevention: A
   Mixed-Methods Analysis
SO SEXUALLY TRANSMITTED DISEASES
VL 40
IS 2
BP 162
EP 167
DI 10.1097/OLQ.0b013e318278bd12
PD FEB 2013
PY 2013
AB Background: The purpose of this study is to use mixed
   (qualitative/quantitative) methods to determine (1) the feasibility and
   acceptability of using online social networking to facilitate
   HIV-related discussions and (2) the relationship between HIV-related
   online discussions and requests for a home-based HIV testing kit among
   men who have sex with men.
   Methods: Participants, primarily African American and Latino, were
   invited to join a "secret" group on the social networking Web site,
   Facebook. Peer leaders, trained in HIV prevention, posted HIV-related
   content. Participants were not obligated to respond to discussions or
   remain within the group. Participant public group conversations were
   qualitatively and thematically analyzed. Quantitative methods tested
   associations between qualitative data, participants' demographic
   information, and likelihood of requesting a home-based HIV testing kit.
   Results: Latino and African American participants (n = 57) voluntarily
   used Facebook to discuss the following HIV-related topics (n = 485
   conversations): prevention and testing, knowledge, stigma, and advocacy.
   Older participants more frequently discussed prevention and testing,
   stigma, and advocacy, although younger participants more frequently
   discussed HIV knowledge-related conversations. As the study progressed,
   the proportion of messages related to prevention and testing and HIV
   stigma increased. Multivariate analysis showed that participants posting
   about HIV prevention and testing (compared with those who did not) were
   significantly more likely to request an HIV testing kit (odds ratio,
   11.14; P = 0.001).
   Conclusions: Facebook can serve as an innovative forum to increase both
   HIV prevention discussions and HIV testing requests among at-risk
   groups.
OI Jaganath, Devan/0000-0002-8555-5667; Young, Sean D./0000-0001-6052-4875
ZR 0
ZB 10
ZA 0
ZS 0
TC 64
Z8 1
Z9 64
U1 0
U2 36
SN 0148-5717
EI 1537-4521
UT WOS:000313618100015
PM 23324979
ER

PT J
AU Vanneste, Rachel
   Chiu, Sui Mei
   Russell, Laura
   Fitzpatrick, Jennifer
TI Effects of Second Language Usage on Genetic Counseling Training and
   Supervision
SO JOURNAL OF GENETIC COUNSELING
VL 22
IS 1
BP 58
EP 75
DI 10.1007/s10897-012-9509-7
PD FEB 2013
PY 2013
AB We conducted an exploratory study of the experiences of genetic
   counselors who have either trained or supervised in a second language to
   assess the relevance of this issue to genetic counseling training and
   supervision. Two hundred-thirty NSGC members, CAGC members and genetic
   counseling students completed the online questionnaire. Many of the
   respondents reported that training and supervision differed when another
   language was involved. Supervisors reported difficulty in assessing
   students' counseling skills and discomfort with an incomplete
   understanding of session content. Students described a greater focus on
   vocabulary at the expense of psychosocial dimensions. Despite this, most
   felt that using another language enhanced their training experience. As
   such, training programs might consider increasing support to these
   learners and supervisors by explicitly acknowledging the challenges they
   face, providing students with language tools to aid in their acquisition
   of basic skills and providing supervisors with new methods for assessing
   student counseling skills when using other languages.
OI Vanneste, Rachel/0000-0003-1282-2573
ZB 0
ZA 0
ZR 0
Z8 0
TC 8
ZS 0
Z9 8
U1 0
U2 22
SN 1059-7700
UT WOS:000314028900007
PM 22648537
ER

PT J
AU Grov, Christian
   Hirshfield, Sabina
   Remien, Robert H.
   Humberstone, Mike
   Chiasson, Mary Ann
TI Exploring the Venue's Role in Risky Sexual Behavior Among Gay and
   Bisexual Men: An Event-Level Analysis from a National Online Survey in
   the U.S.
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 42
IS 2
BP 291
EP 302
DI 10.1007/s10508-011-9854-x
PD FEB 2013
PY 2013
AB Venue-based characteristics (e.g., alcohol in bars, anonymous chat
   online, dark/quiet spaces in bathhouses) can impact how men who have sex
   with men (MSM) negotiate sex and HIV-associated risk behavior. We sought
   to determine the association between HIV-associated risk factors and the
   venues where MSM met their most recent new (first-time) male sex
   partner, using data from a 2004 to 2005 national online anonymous survey
   of MSM in the U.S. (n = 2,865). Most men (62%) met their partner through
   the Internet. Among those reporting anal sex during their last encounter
   (n = 1,550), half had not used a condom. In multivariate modeling, and
   among men reporting anal sex during their last encounter, venue where
   partner was met was not significantly associated with unprotected anal
   intercourse (UAI). Nevertheless, venue was related to other factors that
   contextualized men's sexual encounters. For example, HIV status
   disclosure was lowest among men who met their most recent partner in a
   park, outdoors, or other public place and highest among men who met
   their most recent partner online. Alcohol use prior to/during the last
   sexual encounter was highest among men who met their most recent partner
   in a bathhouse or a bar/club/party/event. These data suggest it is
   possible to reach men online who seek sex in many different venues, thus
   potentially broadening the impact of prevention messages delivered in
   virtual environments. Although not associated with UAI, venues are
   connected to social-behavioral facets of corresponding sexual
   encounters, and may be important arenas for differential HIV and STI
   education, treatment, and prevention.
RI Hirshfield, Sabina/AAE-4412-2021
OI Hirshfield, Sabina/0000-0002-2649-469X
ZA 0
ZS 0
ZR 0
ZB 24
Z8 2
TC 89
Z9 91
U1 0
U2 27
SN 0004-0002
EI 1573-2800
UT WOS:000313363100013
PM 22012413
ER

PT J
AU Van Dongen, Janelle
   Rieger, Georg
TI A Resource for Using Real-World Examples in the Physics Classroom
SO PHYSICS TEACHER
VL 51
IS 2
BP 105
EP 107
DI 10.1119/1.4775533
PD FEB 2013
PY 2013
RI Rieger, Georg/R-5123-2019
TC 2
ZR 0
ZA 0
ZB 0
Z8 0
ZS 0
Z9 2
U1 0
U2 2
SN 0031-921X
UT WOS:000209532000018
ER

PT J
AU Bailey, S.
   Bullock, A.
   Cowpe, J.
   Barnes, E.
   Thomas, H.
   Thomas, R.
   Kavadella, A.
   Kossioni, A.
   Karaharju-Suvanto, T.
   Suomalainen, K.
   Kersten, H.
   Povel, E.
   Giles, M.
   Walmsley, A. D.
   Soboleva, U.
   Liepa, A.
   Akota, I.
TI Core continuing professional development (CPD) topics for the European
   dentist
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 17
IS 1
BP e82
EP e87
DI 10.1111/eje.12010
PD FEB 2013
PY 2013
AB Introduction In the context of free movement, EU-citizens need assurance
   that dental practitioners providing their care have a degree/license to
   practice that meets EU-standards and that they maintain their knowledge
   and skills through ongoing education. Aim One aim of the DentCPD project
   (HYPERLINK http://www.dentcpd.org www.dentcpd.org) was to identify and
   agree essential CPD requirements for EU dentists. This paper reports the
   consensus process and outcomes. Methods Agreement on core components of
   CPD was achieved through a three stage process: an online survey of
   dental educators' (n similar to=similar to 143) views on compulsory
   topics; a paper-based questionnaire to practitioners (n similar
   to=similar to 411); leading to a proposal discussed at the Association
   for Dental Education (ADEE) 2011 Lifelong Learning special interest
   group (SIG). Results From the online survey and practitioner
   questionnaire, high levels of agreement were achieved for medical
   emergencies (89%), infection control (79%) and the medically compromised
   patient (71%). The SIG (34 attendees from 16 countries) concluded that
   these three CPD topics plus radiation protection should be
   core-compulsory and three CPD topics should be core-recommended (health
   and safety, pain management, and safeguarding children & vulnerable
   adults). They also agreed that the teaching of all topics should be
   underpinned by evidence-based dentistry. Conclusion Building four core
   topics into CPD requirements and making quality-approved education and
   training available will ensure that all dentists have up-to-date
   knowledge and skills in topic areas of direct relevance to patient
   safety. In turn, this will contribute to patients having access to
   comparably high standards of oral health care across Europe.
RI Soboleva, Una/S-2124-2018; Kossioni, Anastassia E/AAA-3193-2020; Barnes, Emma/; Bullock, Alison/; Walmsley, Damien/
OI Soboleva, Una/0000-0002-0574-8400; Kossioni, Anastassia
   E/0000-0003-0610-6984; Barnes, Emma/0000-0001-6447-6647; Bullock,
   Alison/0000-0003-3800-2186; Walmsley, Damien/0000-0003-4970-0764
ZB 0
Z8 0
ZA 0
ZR 0
ZS 0
TC 4
Z9 4
U1 0
U2 10
SN 1396-5883
UT WOS:000312944100022
PM 23279419
ER

PT J
AU Asarbakhsh, Mariam
   Sandars, John
TI E-learning: the essential usability perspective.
SO The clinical teacher
VL 10
IS 1
BP 47
EP 50
DI 10.1111/j.1743-498X.2012.00627.x
PD 2013-Feb
PY 2013
AB BACKGROUND: Usability is the ease with which something can be used, but
   this essential concept appears to be rarely considered when using
   technology for teaching and learning in medical education.
   CONTEXT: There is an increasing use of technology in an attempt to
   enhance teaching and learning in medical education, from the use of
   websites and virtual learning environments (VLEs) to interactive online
   tutorials to blogs and podcasts. However, research suggests that the
   potential use of technology to enhance teaching and learning in medical
   education is often not fully realised. One aspect is the perceived
   usefulness of the technology, but another is the usability as perceived
   by the learner.
   INNOVATION: The purpose of this article is to introduce the concept of
   usability in relation to the use of technology to enhance teaching and
   learning in medical education, the essential factors that should be
   considered in the design and implementation of using technology, and to
   describe how the usability can be tested.
   IMPLICATIONS: Careful attention needs to be made to the main factors
   that determine usability: the learner and context; the technology being
   used; and the content.
ZA 2
ZS 1
ZR 0
Z8 0
ZB 1
TC 41
Z9 44
U1 0
U2 26
EI 1743-498X
UT MEDLINE:23294744
PM 23294744
ER

PT J
AU Abendroth, Martin
   Harendza, Sigrid
   Riemer, Martin
TI Clinical decision making: a pilot e-learning study.
SO The clinical teacher
VL 10
IS 1
BP 51
EP 5
DI 10.1111/j.1743-498X.2012.00629.x
PD 2013-Feb
PY 2013
AB BACKGROUND: As many medical schools focus on student-centred learning
   strategies, e-learning provides a useful approach to foster clinical
   decision-making skills in a case-based way. We developed an e-learning
   module based on real patient cases for final-year students as a
   self-directed studying tool.
   METHODS: Ten patient cases were developed from patients treated in the
   emergency room. Original documents were integrated into the virtual
   patient system CASUS() . In total, 522 students from three different
   terms of their final year were invited to use the e-learning module.
   Students filled out a self-assessment questionnaire regarding clinical
   decision-making skills before and after the module, and were also asked
   to fill out an evaluation form.
   RESULTS: Only 30 per cent of the students invited participated in the
   e-learning module, and even fewer filled out the questionnaires.
   Nevertheless, the students participating liked the online cases and
   valued the relevance of the diseases. An increase in the self-assessment
   rating of clinical decision-making skills after the e-learning module
   was only seen for students in the first term of their final year.
   Additionally, those students showed significantly lower scores in their
   pre-module clinical decision-making skills compared with students in
   terms two and three of their final year.
   DISCUSSION:  Even though the overall participation was small,
   participating students were satisfied with the e-learning module and
   were motivated to work with the cases. A better integration into the
   clinical curriculum and a stronger association with an exam might
   provide an even better learning opportunity for medical students with
   respect to the acquisition of clinical decision-making skills.
ZS 1
TC 13
ZB 1
ZA 0
Z8 0
ZR 0
Z9 14
U1 0
U2 6
EI 1743-498X
UT MEDLINE:23294745
PM 23294745
ER

PT J
AU Nyhsen, Christiane M
   Steinberg, Laura J
   O'Connell, Janice E
TI Undergraduate radiology teaching from the student's perspective.
SO Insights into imaging
VL 4
IS 1
BP 103
EP 9
DI 10.1007/s13244-012-0206-8
PD 2013-Feb
PY 2013
AB OBJECTIVES: To obtain medical students' evaluation of the quality of
   undergraduate radiology teaching received, preferred teaching methods
   and resources. This is a follow-up project to an earlier study of junior
   doctors who felt that radiology teaching left them ill prepared for
   medical practice.
   METHODS: A questionnaire to third and fifth year medical students
   undertaking clinical rotations at Newcastle University, UK.
   RESULTS: The questionnaire was completed by 57/60 (95 %) of third and
   37/40 (93 %) of final year medical students. Students received minimal
   radiology teaching in pre-clinical years, feeling this was insufficient.
   The majority of students rated interactive case-based teaching as
   effective. Self-directed learning resources such as textbooks, journals
   and even online learning modules were perceived as less effective. Other
   types of web resources rated higher. Motivation for most students when
   studying radiology was to achieve learning objectives needed to pass
   their next exams and/or to improve as a doctor.
   CONCLUSIONS: Medical students criticise the lack of radiology teaching
   in pre-clinical undergraduate years. Radiology teaching should be
   represented in all undergraduate years, preferably delivered via
   interactive teaching sessions. Currently available e-learning modules do
   not meet the students' learning needs and there is a call for reliable,
   up-to-date open access electronic resources.
   MAIN MESSAGES:  Radiology teaching should be represented in all
   pre-clinical and clinical undergraduate years.  Medical students rate
   interactive case-based teaching sessions as very effective.  There is a
   call for reliable, up-to-date open access electronic resources for
   medical students.
ZB 4
ZR 0
Z8 0
ZS 1
ZA 0
TC 34
Z9 35
U1 0
U2 3
SN 1869-4101
UT MEDLINE:23225253
PM 23225253
ER

PT J
AU Sucha, M.
   Engelhardt, S.
   Sarikas, A.
TI Internet discussion forums as part of a student-centred teaching concept
   of pharmacology
SO NAUNYN-SCHMIEDEBERGS ARCHIVES OF PHARMACOLOGY
VL 386
MA 281
BP S69
EP S69
SU 1
PD FEB 2013
PY 2013
RI Engelhardt, Stefan/AAA-9329-2019
OI Engelhardt, Stefan/0000-0001-5378-8661
ZS 0
ZA 0
ZR 0
TC 1
ZB 0
Z8 0
Z9 1
U1 0
U2 0
SN 0028-1298
EI 1432-1912
UT WOS:000209476400282
PM 23467549
ER

PT J
AU Gillois, Pierre
   Pagonis, Daniel
   Vuillez, Jean-Philippe
   Bosson, Jean-Luc
   Romanet, Jean-Paul
TI Towards a pedagogical e-learning approach to improve preparation for
   medical school curriculum in Grenoble: Results over the 10 last years
SO PRESSE MEDICALE
VL 42
IS 2
BP E44
EP E52
DI 10.1016/j.lpm.2012.02.051
PD FEB 2013
PY 2013
AB Introduction > Before 2005, at Grenoble, the teaching of the first year
   of medicine satisfied neither the students, nor the teachers anxious to
   exempt a correctly targeted effective teaching.
   Methods > By 2006, the Grenoblenative teaching method was reformed
   indepth with the introduction of information and communication
   technology (ICT) in education. Each sequence was over 4 weeks
   connecting: selflearning using multimedia resources, questions submitted
   online, meetings with teaching staff for interactive questionanswer
   sessions in the presence of the teacher,) tutorials animated by older
   students for Multiple Choice Question (MCQ) training in preparation for
   the exams. The whole health formation was structured in 12 cycles of
   this same structured sequence. Since 2010, this method was extended from
   the faculty of medicine to the faculty of pharmacy and maieutic. Each
   year, more than1600 students, 40 teachers and 140 tutors are concerned.
   The ICT laboratory was responsible for the production of the multi-media
   support, of the management of the questions online, the collection and
   the treatment of the evaluations of the lesson by the students. It also
   took part in the preparation of the MCQ trainings and after each
   sequence, delivered to students their personal ranking.
   Results > Staffs between teachers and students are organized for the 12
   cycles. The teachers' and students' opinions were analyzed to evaluate
   the reforms and allow teaching methods to be adapted accordingly. The
   expressed satisfaction' rate vary from 85% with more than 91% by
   students and teachers. The intensive use of new information and
   communication technologies is well accepted, by both sides: teachers and
   students. After each tutorial, students had their results and their
   rank, which are linked with the contest result. The mean of the 12 notes
   obtained during the tutorials is correlated with the note with the
   contest (R of Spearman = 0.75). Student profiles at registration and
   success in the exams following the reform are described. The keys to
   success (e. g. social background, high school specialization) seem to be
   modified by the reform providing greater equality of opportunity between
   students.
   Conclusion > Since 2006, the teachers have adopted this teaching reform.
   All the returns from the students but also the staff and the teachers,
   allowed us to improve teachings quality. This teaching reform modified
   the profiles and the characteristics of the students received with the
   contest as well as the nature of the factors of this success.
RI bosson, jean-luc/AAP-5163-2020
OI bosson, jean-luc/0000-0003-0967-6026
ZR 0
ZS 0
TC 3
ZB 0
Z8 0
ZA 0
Z9 3
U1 0
U2 7
SN 0755-4982
EI 2213-0276
UT WOS:000474206600002
PM 22920445
ER

PT J
AU Wong, Geoff
   Greenhalgh, Trish
   Westhorp, Gill
   Buckingham, Jeanette
   Pawson, Ray
TI RAMESES publication standards: realist syntheses
SO BMC MEDICINE
VL 11
AR 21
DI 10.1186/1741-7015-11-21
PD JAN 29 2013
PY 2013
AB Background: There is growing interest in realist synthesis as an
   alternative systematic review method. This approach offers the potential
   to expand the knowledge base in policy-relevant areas - for example, by
   explaining the success, failure or mixed fortunes of complex
   interventions. No previous publication standards exist for reporting
   realist syntheses. This standard was developed as part of the RAMESES
   (Realist And MEta-narrative Evidence Syntheses: Evolving Standards)
   project. The project's aim is to produce preliminary publication
   standards for realist systematic reviews.
   Methods: We (a) collated and summarized existing literature on the
   principles of good practice in realist syntheses; (b) considered the
   extent to which these principles had been followed by published
   syntheses, thereby identifying how rigor may be lost and how existing
   methods could be improved; (c) used a three-round online Delphi method
   with an interdisciplinary panel of national and international experts in
   evidence synthesis, realist research, policy and/or publishing to
   produce and iteratively refine a draft set of methodological steps and
   publication standards; (d) provided real-time support to ongoing realist
   syntheses and the open-access RAMESES online discussion list so as to
   capture problems and questions as they arose; and (e) synthesized expert
   input, evidence syntheses and real-time problem analysis into a
   definitive set of standards.
   Results: We identified 35 published realist syntheses, provided
   real-time support to 9 on-going syntheses and captured questions raised
   in the RAMESES discussion list. Through analysis and discussion within
   the project team, we summarized the published literature and common
   questions and challenges into briefing materials for the Delphi panel,
   comprising 37 members. Within three rounds this panel had reached
   consensus on 19 key publication standards, with an overall response rate
   of 91%.
   Conclusion: This project used multiple sources to develop and draw
   together evidence and expertise in realist synthesis. For each item we
   have included an explanation for why it is important and guidance on how
   it might be reported. Realist synthesis is a relatively new method for
   evidence synthesis and as experience and methodological developments
   occur, we anticipate that these standards will evolve to reflect further
   methodological developments. We hope that these standards will act as a
   resource that will contribute to improving the reporting of realist
   syntheses. To encourage dissemination of the RAMESES publication
   standards, this article is co-published in the Journal of Advanced
   Nursing and is freely accessible on Wiley Online Library
   (http://www.wileyonlinelibrary.com/journal/jan). Please see related
   article http://www.biomedcentral.com/1741-7015/11/20 and
   http://www.biomedcentral.com/1741-7015/11/22
RI Greenhalgh, Trisha/B-1825-2015; Westhorp, Gillian/; Wong, Geoff/
OI Greenhalgh, Trisha/0000-0003-2369-8088; Westhorp,
   Gillian/0000-0001-8451-2860; Wong, Geoff/0000-0002-5384-4157
ZS 1
Z8 1
ZB 48
ZA 0
TC 616
ZR 0
Z9 617
U1 1
U2 46
SN 1741-7015
UT WOS:000318426700002
PM 23360677
ER

PT J
AU Romer, Daniel
   Peters, Ellen
   Strasser, Andrew A.
   Langleben, Daniel
TI Desire versus Efficacy in Smokers' Paradoxical Reactions to Pictorial
   Health Warnings for Cigarettes
SO PLOS ONE
VL 8
IS 1
AR e54937
DI 10.1371/journal.pone.0054937
PD JAN 29 2013
PY 2013
AB Pictorial health warnings on cigarette packs create aversive emotional
   reactions to smoking and induce thoughts about quitting; however,
   contrary to models of health behavior change, they do not appear to
   alter intentions to quit smoking. We propose and test a novel model of
   intention to quit an addictive habit such as smoking (the
   efficacy-desire model) that can explain this paradoxical effect. At the
   core of the model is the prediction that self-efficacy and desire to
   quit an addictive habit are inversely related. We tested the model in an
   online experiment that randomly exposed smokers (N = 3297) to a
   cigarette pack with one of three increasing levels of warning intensity.
   The results supported the model's prediction that despite the effects of
   warnings on aversion to smoking, intention to quit smoking is an
   inverted U-shape function of the smoker's self-efficacy for quitting. In
   addition, smokers with greater (lesser) quit efficacy relative to
   smoking efficacy increase (decrease) intentions to quit. The findings
   show that previous failures to observe effects of pictorial warning
   labels on quit intentions can be explained by the contradictory
   individual differences that warnings produce. Thus, the model explains
   the paradoxical finding that quit intentions do not change at the
   population level, even though smokers recognize the implications of
   warnings. The model suggests that pictorial warnings are effective for
   smokers with stronger quit-efficacy beliefs and provides guidance for
   how cigarette warnings and tobacco control strategies can be designed to
   help smokers quit.
RI Langleben, Daniel D/K-7407-2014
ZS 0
ZR 0
TC 33
Z8 0
ZA 0
ZB 8
Z9 33
U1 0
U2 15
SN 1932-6203
UT WOS:000315483200020
PM 23383006
ER

PT J
AU Spring, Bonnie
   Duncan, Jennifer M.
   Janke, E. Amy
   Kozak, Andrea T.
   McFadden, H. Gene
   DeMott, Andrew
   Pictor, Alex
   Epstein, Leonard H.
   Siddique, Juned
   Pellegrini, Christine A.
   Buscemi, Joanna
   Hedeker, Donald
TI Integrating Technology Into Standard Weight Loss Treatment A Randomized
   Controlled Trial
SO JAMA INTERNAL MEDICINE
VL 173
IS 2
BP 105
EP 111
DI 10.1001/jamainternmed.2013.1221
PD JAN 28 2013
PY 2013
AB Background: A challenge in intensive obesity treatment is making care
   scalable. Little is known about whether the outcome of
   physician-directed weight loss treatment can be improved by adding
   mobile technology.
   Methods: We conducted a 2-arm, 12-month study (October 1, 2007, through
   September 31, 2010). Seventy adults (body mass index >25 and <= 40
   [calculated as weight in kilograms divided by height in meters squared])
   were randomly assigned either to standard-of-care group treatment alone
   (standard group) or to the standardand connective mobile technology
   system (1 mobile group). Participants attended biweekly weight loss
   groups held by the Veterans Affairs outpatient clinic. The + mobile
   group was provided personal digital assistants to self-monitor diet and
   physical activity; they also received biweekly coaching calls for 6
   months. Weight was measured at baseline and at 3-, 6-, 9-, and 12-month
   follow-up.
   Results: Sixty-nine adults received intervention (mean age, 57.7 years;
   85.5% were men). A longitudinal intent-to-treat analysis indicated that
   the + mobile group lost a mean of 3.9 kg more (representing 3.1% more
   weight loss relative to the control group; 95% CI, 2.2-5.5 kg) than the
   standard group at each postbaseline time point. Compared with the
   standard group, the + mobile group had significantly greater odds of
   having lost 5% or more of their baseline weight at each postbaseline
   time point (odds ratio, 6.5; 95% CI, 2.5-18.6).
   Conclusions: The addition of a personal digital assistant and telephone
   coaching can enhance short-term weight loss in combination with an
   existing system of care. Mobile connective technology holds promise as a
   scalable mechanism for augmenting the effect of physiciandirected weight
   loss treatment.
   Trial Registration: clinicaltrials. gov Identifier: NCT00371462 JAMA
   Intern Med. 2013;173(2):105-111. Published online December 10, 2012.
   doi:10.1001/jamainternmed.2013.1221
RI Hedeker, Donald/R-7055-2019; Epstein, Leonard/AAE-5619-2021; Pellegrini, Christine/ABA-4362-2021; Spring, Bonnie/
OI Spring, Bonnie/0000-0003-0692-9868
ZS 1
ZR 1
TC 131
Z8 0
ZA 0
ZB 33
Z9 133
U1 0
U2 33
SN 2168-6106
EI 2168-6114
UT WOS:000317239700006
PM 23229890
ER

PT J
AU Weinberg, David S.
   Keenan, Eileen
   Ruth, Karen
   Devarajan, Karthik
   Rodoletz, Michelle
   Bieber, Eric J.
TI A Randomized Comparison of Print and Web Communication on Colorectal
   Cancer Screening
SO JAMA INTERNAL MEDICINE
VL 173
IS 2
BP 122
EP 129
DI 10.1001/2013.jamainternmed.1017
PD JAN 28 2013
PY 2013
AB Background: New methods to enhance colorectal cancer (CRC) screening
   rates are needed. The web offers novel possibilities to educate patients
   and to improve health behaviors, such as cancer screening. Evidence
   supports the efficacy of health communications that are targeted and
   tailored to improve the uptake of recommendations.
   Methods: We identified unscreened women at average risk for CRC from the
   scheduling databases of obstetrics and gynecology practices in 2 large
   health care systems. Participants consented to a randomized controlled
   trial that compared CRC screening uptake after receipt of CRC screening
   information delivered via the web or in print form. Participants could
   also be assigned to a control (usual care) group. Women in the
   interventional arms received tailored information in a high- or
   low-monitoring Cognitive Social Information Processing model-defined
   attentional style. The primary outcome was CRC screening participation
   at 4 months.
   Results: A total of 904 women were randomized to the interventional or
   control group. At 4 months, CRC screening uptake was not significantly
   different in the web (12.2%), print (12.0%), or control (12.9%) group.
   Attentional style had no effect on screening uptake for any group. Some
   baseline participant factors were associated with greater screening,
   including higher income (P=.03), stage of change (P<.001), and physician
   recommendation to screen (P<.001).
   Conclusions: A web-based educational intervention was no more effective
   than a print-based one or control (no educational intervention) in
   increasing CRC screening rates in women at average risk of CRC. Risk
   messages tailored to attentional style had no effect on screening
   uptake. In average-risk populations, use of the Internet for health
   communication without additional enhancement is unlikely to improve
   screening participation.
   Trial Registration: clinicaltrials.gov Identifier: NCT00459030 JAMA
   Intern Med. 2013;173(2):122-129. Published online December 17, 2012.
   doi:10.1001/2013.jamainternmed.1017
RI Fazli, Ghazal/AAE-8320-2022
ZS 0
TC 14
Z8 0
ZA 0
ZR 0
ZB 5
Z9 14
U1 0
U2 8
SN 2168-6106
EI 2168-6114
UT WOS:000317239700009
PM 23128366
ER

PT J
AU Marlow, Laura A. V.
   Zimet, Gregory D.
   McCaffery, Kirsten J.
   Ostini, Remo
   Waller, Jo
TI Knowledge of human papillomavirus (HPV) and HPV vaccination: An
   international comparison
SO VACCINE
VL 31
IS 5
BP 763
EP 769
DI 10.1016/j.vaccine.2012.11.083
PD JAN 21 2013
PY 2013
AB Since vaccination against human papillomavirus (HPV) became available,
   awareness of HPV has dramatically increased. Implementation of a vaccine
   program varies internationally yet no studies have explored the
   influence this has on the public's knowledge of HPV. The present study
   aimed to explore differences in awareness of HPV and HPV knowledge
   across three countries: The US, UK and Australia.
   Participants (n = 2409) completed a validated measure of HPV knowledge
   as part of an online survey. There were higher levels of HPV awareness
   among men and women in the US than the UK and Australia. Being male and
   having a lower educational level was associated with lower HPV awareness
   in all three countries. Awareness of HPV vaccine was higher in women
   from the US than the UK and Australia. Women in the US scored
   significantly higher on general HPV knowledge (on a 15-item scale) than
   women in the UK and Australia, but there were no between country
   differences in HPV vaccine knowledge (on a 6-item scale). When asked
   about country-specific vaccine availability, participants in the US were
   less able to identify the correct answers than participants in the UK
   and Australia. More than half of participants did not know: HPV can
   cause genital warts; most sexually active people will get HPV at some
   point in their life; or HPV doesn't usually need treatment.
   Pharmaceutical advertising campaigns could explain why awareness of HPV
   and HPV vaccine is higher in the US and this has helped to get some
   important messages across. Significant gaps in HPV knowledge remain
   across all three countries. (C) 2012 Elsevier Ltd. All rights reserved.
RI Ostini, Remo/F-6871-2010; McCaffery, Kirsten/K-7945-2019; Waller, Jo/C-1705-2008; Marlow, Laura A.V/
OI Ostini, Remo/0000-0002-3931-2701; McCaffery,
   Kirsten/0000-0003-2696-5006; Waller, Jo/0000-0003-4025-9132; Marlow,
   Laura A.V/0000-0003-1709-2397
ZB 27
TC 107
ZS 2
Z8 4
ZR 0
ZA 0
Z9 111
U1 4
U2 46
SN 0264-410X
EI 1873-2518
UT WOS:000314626000007
PM 23246310
ER

PT J
AU Agolory, Simon G.
   Barbot, Oxiris
   Averhoff, Francisco
   Weiss, Don
   Wilson, Elisha
   Egger, Joseph
   Miller, Jeffery
   Ogbuanu, Ikechukwu
   Walton, Sabrina
   Kahn, Emily
TI Implementation of Non-Pharmaceutical Interventions by New York City
   Public Schools to Prevent 2009 Influenza A
SO PLOS ONE
VL 8
IS 1
AR e50916
DI 10.1371/journal.pone.0050916
PD JAN 15 2013
PY 2013
AB Introduction: Children are important transmitters of influenza in the
   community and a number of non-pharmaceutical interventions (NPIs),
   including hand washing and use of hand sanitizer, have been recommended
   to mitigate the transmission of influenza, but limited information is
   available regarding schools' ability to implement these NPIs during an
   influenza outbreak. We evaluated implementation of NPIs during fall 2009
   in response to H1N1 pandemic influenza (pH1N1) by New York City (NYC)
   public schools.
   Methods: From January 25 through February 9, 2010, an online survey was
   sent to all the 1,632 NYC public schools and principals were asked to
   participate in the survey or to designate a school nurse or other school
   official with knowledge of school policies and characteristics to do so.
   Results: Of 1,633 schools, 376(23%) accessed and completed the survey.
   Nearly all respondents (99%) implemented at least two NPIs. Schools that
   had a Flu Response Team (FRT) as a part of school emergency preparedness
   plan were more likely to implement the NPI guidelines recommended by NYC
   public health officials than schools that did not have a FRT.
   Designation of a room for isolating ill students, for example, was more
   common in schools with a FRT (72%) than those without (53%) (p < 0.001).
   Conclusions: Implementing an NPI program in a large school system to
   mitigate the effects of an influenza outbreak is feasible, but there is
   potential need for additional resources in some schools to increase
   capacity and adherence to all recommendations. Public health
   influenza-preparedness plans should include school preparedness planning
   and FRTs.
RI Agolory, Simon/AIF-4664-2022; Kahn, Emily/
OI Agolory, Simon/0000-0001-5023-5754; Kahn, Emily/0000-0001-7812-7958
ZA 0
ZB 4
Z8 0
ZS 0
ZR 0
TC 13
Z9 13
U1 0
U2 9
SN 1932-6203
UT WOS:000314707700004
PM 23341877
ER

PT J
AU Cantrell, Jennifer
   Vallone, Donna M.
   Thrasher, James F.
   Nagler, Rebekah H.
   Feirman, Shari P.
   Muenz, Larry R.
   He, David Y.
   Viswanath, Kasisomayajula
TI Impact of Tobacco-Related Health Warning Labels across Socioeconomic,
   Race and Ethnic Groups: Results from a Randomized Web-Based Experiment
SO PLOS ONE
VL 8
IS 1
AR e52206
DI 10.1371/journal.pone.0052206
PD JAN 14 2013
PY 2013
AB Background: The U. S. Family Smoking Prevention and Tobacco Control Act
   of 2009 requires updating of the existing text-only health warning
   labels on tobacco packaging with nine new warning statements accompanied
   by pictorial images. Survey and experimental research in the U. S. and
   other countries supports the effectiveness of pictorial health warning
   labels compared with text-only warnings for informing smokers about the
   risks of smoking and encouraging cessation. Yet very little research has
   examined differences in reactions to warning labels by race/ethnicity,
   education or income despite evidence that population subgroups may
   differ in their ability to process health information. The purpose of
   the present study was to evaluate the potential impact of pictorial
   warning labels compared with text-only labels among U. S. adult smokers
   from diverse racial/ethnic and socioeconomic subgroups.
   Methods/Findings: Participants were adult smokers recruited from two
   online research panels (n = 3,371) into a web-based experimental study
   to view either the new pictorial warnings or text-only warnings.
   Participants viewed the labels and reported their reactions. Adjusted
   regression models demonstrated significantly stronger reactions for the
   pictorial condition for each outcome salience (b = 0.62, p < .001);
   perceived impact (b = 0.44, p < .001); credibility (OR = 1.41, 95% CI =
   1.22-1.62), and intention to quit (OR = 1.30, 95% CI = 1.10-1.53). No
   significant results were found for interactions between condition and
   race/ethnicity, education, or income. The only exception concerned the
   intention to quit outcome, where the condition-by-education interaction
   was nearly significant (p = 0.057).
   Conclusions: Findings suggest that the greater impact of the pictorial
   warning label compared to the text-only warning is consistent across
   diverse racial/ethnic and socioeconomic populations. Given their great
   reach, pictorial health warning labels may be one of the few tobacco
   control policies that have the potential to reduce communication
   inequalities across groups. Policies that establish strong pictorial
   warning labels on tobacco packaging may be instrumental in reducing the
   toll of the tobacco epidemic, particularly within vulnerable
   communities.
ZB 19
Z8 0
TC 98
ZA 0
ZS 1
ZR 0
Z9 99
U1 2
U2 32
SN 1932-6203
UT WOS:000314759400012
PM 23341895
ER

PT J
AU Yuan, Kai
   Cheng, Ping
   Dong, Tao
   Bi, Yanzhi
   Xing, Lihong
   Yu, Dahua
   Zhao, Limei
   Dong, Minghao
   von Deneen, Karen M.
   Liu, Yijun
   Qin, Wei
   Tian, Jie
TI Cortical Thickness Abnormalities in Late Adolescence with Online Gaming
   Addiction
SO PLOS ONE
VL 8
IS 1
AR e53055
DI 10.1371/journal.pone.0053055
PD JAN 9 2013
PY 2013
AB Online gaming addiction, as the most popular subtype of Internet
   addiction, had gained more and more attention from the whole world.
   However, the structural differences in cortical thickness of the brain
   between adolescents with online gaming addiction and healthy controls
   are not well unknown; neither was its association with the impaired
   cognitive control ability. High-resolution magnetic resonance imaging
   scans from late adolescence with online gaming addiction (n = 18) and
   age-, education- and gender-matched controls (n = 18) were acquired. The
   cortical thickness measurement method was employed to investigate
   alterations of cortical thickness in individuals with online gaming
   addiction. The color-word Stroop task was employed to investigate the
   functional implications of the cortical thickness abnormalities. Imaging
   data revealed increased cortical thickness in the left precentral
   cortex, precuneus, middle frontal cortex, inferior temporal and middle
   temporal cortices in late adolescence with online gaming addiction;
   meanwhile, the cortical thicknesses of the left lateral orbitofrontal
   cortex (OFC), insula, lingual gyrus, the right postcentral gyrus,
   entorhinal cortex and inferior parietal cortex were decreased.
   Correlation analysis demonstrated that the cortical thicknesses of the
   left precentral cortex, precuneus and lingual gyrus correlated with
   duration of online gaming addiction and the cortical thickness of the
   OFC correlated with the impaired task performance during the color-word
   Stroop task in adolescents with online gaming addiction. The findings in
   the current study suggested that the cortical thickness abnormalities of
   these regions may be implicated in the underlying pathophysiology of
   online gaming addiction.
RI Tian, Jie/H-1190-2011; Yuan, Kai/I-4150-2016; 秦, 伟/J-9770-2016; Yu, Dahua/N-7242-2013; Life, PAM/M-9552-2013; Yuan, Kai/M-9403-2013; tian, jie/M-6336-2013; Dong, Minghao/A-6425-2014
OI Tian, Jie/0000-0003-0498-0432; Yuan, Kai/0000-0002-3098-1124; 秦,
   伟/0000-0003-4583-0406; Yu, Dahua/0000-0001-7850-7512; Dong,
   Minghao/0000-0002-0190-6985
ZB 38
Z8 3
ZA 0
ZR 1
TC 88
ZS 1
Z9 92
U1 2
U2 89
SN 1932-6203
UT WOS:000313551500045
PM 23326379
ER

PT J
AU Weng, Yi-Hao
   Kuo, Ken N.
   Yang, Chun-Yuh
   Lo, Heng-Lien
   Shih, Ya-Hui
   Chen, Chiehfeng
   Chiu, Ya-Wen
TI Increasing utilization of Internet-based resources following efforts to
   promote evidence-based medicine: a national study in Taiwan
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 13
AR 4
DI 10.1186/1472-6947-13-4
PD JAN 7 2013
PY 2013
AB Background: Since the beginning of 2007, the National Health Research
   Institutes has been promoting the dissemination of evidence-based
   medicine (EBM). The current study examined longitudinal trends of
   behaviors in how hospital-based physicians and nurses have searched for
   medical information during the spread of EBM.
   Methods: Cross-sectional postal questionnaire surveys were conducted in
   nationally representative regional hospitals of Taiwan thrice in 2007,
   2009, and 2011. Demographic data were gathered concerning gender, age,
   working experience, teaching appointment, academic degree, and
   administrative position. Linear and logistic regression models were used
   to examine predictors and changes over time.
   Results: Data from physicians and nurses were collected in 2007 (n =
   1156), 2009 (n = 2975), and 2011 (n = 3999). There were significant
   increases in the use of four Internet-based resources - Web portals,
   online databases, electronic journals, and electronic books - across the
   three survey years among physicians and nurses (p < 0.001). Access to
   textbooks and printed journals, however, did not change over the 4-year
   study period. In addition, there were significant relationships between
   the usage of Internet-based resources and users' characteristics. Age
   and faculty position were important predictors in relation to the usage
   among physicians and nurses, while academic degree served as a critical
   factor among nurses only.
   Conclusions: Physicians and nurses used a variety of sources to look for
   medical information. There was a steady increase in use of
   Internet-based resources during the diffusion period of EBM. The
   findings highlight the importance of the Internet as a prominent source
   of medical information for main healthcare professionals.
RI Shih, Ya-Hui/B-7853-2019; Chen, Chiehfeng/; Kuo, Kuang-Ming/
OI Shih, Ya-Hui/0000-0002-5128-124X; Chen, Chiehfeng/0000-0002-1595-6553;
   Kuo, Kuang-Ming/0000-0002-8552-3016
ZB 0
TC 42
ZS 2
ZA 0
Z8 0
ZR 0
Z9 45
U1 0
U2 11
EI 1472-6947
UT WOS:000318566000001
PM 23289500
ER

PT J
AU Ogunrin, Olubunmi A.
   Ogundiran, Temidayo O.
   Adebamowo, Clement
TI Development and pilot testing of an online module for ethics education
   based on the Nigerian National Code for Health Research Ethics
SO BMC MEDICAL ETHICS
VL 14
AR 1
DI 10.1186/1472-6939-14-1
PD JAN 2 2013
PY 2013
AB Background: The formulation and implementation of national ethical
   regulations to protect research participants is fundamental to ethical
   conduct of research. Ethics education and capacity are inadequate in
   developing African countries. This study was designed to develop a
   module for online training in research ethics based on the Nigerian
   National Code of Health Research Ethics and assess its ease of use and
   reliability among biomedical researchers in Nigeria.
   Methodology: This was a three-phased evaluation study. Phase one
   involved development of an online training module based on the Nigerian
   Code of Health Research Ethics (NCHRE) and uploading it to the
   Collaborative Institutional Training Initiative (CITI) website while the
   second phase entailed the evaluation of the module for
   comprehensibility, readability and ease of use by 45 Nigerian biomedical
   researchers. The third phase involved modification and re-evaluation of
   the module by 30 Nigerian biomedical researchers and determination of
   test-retest reliability of the module using Cronbach's alpha.
   Results: The online module was easily accessible and comprehensible to
   95% of study participants. There were significant differences in the
   pretest and posttest scores of study participants during the evaluation
   of the online module (p = 0.001) with correlation coefficients of 0.9
   and 0.8 for the pretest and posttest scores respectively. The module
   also demonstrated excellent test-retest reliability and internal
   consistency as shown by Cronbach's alpha coefficients of 0.92 and 0.84
   for the pretest and posttest respectively.
   Conclusion: The module based on the Nigerian Code was developed, tested
   and made available online as a valuable tool for training in cultural
   and societal relevant ethical principles to orient national and
   international biomedical researchers working in Nigeria. It would
   complement other general research ethics and Good Clinical Practice
   modules. Participants suggested that awareness of the online module
   should be increased through seminars, advertisement on government
   websites and portals used by Nigerian biomedical researchers, and
   incorporation of the Code into the undergraduate medical training
   curriculum.
RI Olubunmi, Ogunrin A/AAC-9774-2021; Adebamowo, Clement/C-8778-2011
OI Olubunmi, Ogunrin A/0000-0002-0006-291X; Adebamowo,
   Clement/0000-0002-6571-2880
ZB 2
TC 11
ZA 0
Z8 0
ZS 0
ZR 0
Z9 11
U1 0
U2 14
SN 1472-6939
UT WOS:000321551600001
PM 23281968
ER

PT J
AU Vromans, Lisette
   Doyle, Gerardine
   Petak-Opel, Silvia
   Rodiger, Alexander
   Roettgermann, Martina
   Schluessel, Elke
   Stetter, Eva
TI Shaping medicinal product information: a before and after study
   exploring physicians' perspectives on the summary of product
   characteristics
SO BMJ OPEN
VL 3
IS 8
AR e003033
DI 10.1136/bmjopen-2013-003033
PD 2013
PY 2013
AB Objective: To establish, in the context of the revised European
   Pharmacovigilance Directive and based on physicians' perspectives, how
   Summaries of Product Characteristics (SmPCs) could be more user friendly
   and better support physicians' interactions with patients, thereby
   improving patients' own understanding of their medicines.
   Design: Qualitative focus group discussions (step 1), development of an
   alternative SmPC (step 2) and an online quantitative survey (step 3)
   comparing the alternative SmPC to the currently approved version.
   Setting: Office-based physicians (n=218) from all federal states of
   Germany.
   Participants: 218 German physicians participated, with an equal
   representation of office-based general practitioners and specialists.
   For step 1 (n=18), physicians were recruited who frequently consulted
   SmPCs.
   Outcome measures: Planned and performed: Mayring's qualitative content
   analysis of focus group discussions (step 1), rating on a five-point
   Likert scale of preference of current versus alternative SmPCs (step 3).
   Results: Physicians confirmed the importance of SmPCs as a comprehensive
   source of medicinal product information, but were moderately satisfied
   with the current SmPCs, utilised it infrequently and were more likely to
   engage additional sources of information. The alternative SmPC was
   consistently preferred. It differed in the way information for
   particular patient groups was presented, included additional sections
   (synopsis, checklist for patient information) and used a tabular format.
   Physicians indicated that SmPCs should be available with search and
   hyperlink functions, as well as be automatically updated and integrated
   in available practice software or similar solutions.
   Conclusions: This research contributes to the development of an
   official, reliable medicinal product information system meeting the
   needs of a modern information society while providing the reliability of
   an officially authorised source. In the context of health literacy,
   SmPCs should be established as the primary information source for
   healthcare professionals to ensure compliant and safe utilisation of
   medicinal products.
ZS 0
ZA 0
TC 15
ZB 7
ZR 1
Z8 0
Z9 16
U1 0
U2 4
SN 2044-6055
UT WOS:000330561300060
PM 23965932
ER

PT C
AU Papakonstantinou, Despina
   Poulymenopoulou, Mikaela
   Malamateniou, Flora
   Vassilacopoulos, George
BE Mantas, J
   Hasman, A
TI Enabling the use of enhanced medical SOPs by an mLearning training
   solution
SO INFORMATICS, MANAGEMENT AND TECHNOLOGY IN HEALTHCARE
SE Studies in Health Technology and Informatics
VL 190
BP 86
EP 88
DI 10.3233/978-1-61499-276-9-86
PD 2013
PY 2013
AB Standard Operating Procedures (SOPs) has been introduced as a way to
   provide direction, improve communication, reduce training time and
   improve work consistency. In healthcare, SOPs may be considered as a
   means that can fundamentally change the way healthcare is provided,
   affecting all types of healthcare stakeholders and improving healthcare
   decisions and patient safety. Nowadays, providing ehealth services is a
   necessity, even though some healthcare organizations are reluctant to
   fully use them. An online mobile training facility embedded within
   ehealth services may increase the likelihood of their adoption by
   healthcare professionals, who feel that, when needed, they are provided
   the necessary support for performing each task, as handheld devices and
   other mobile technologies are showing increased adoption rates. This
   paper presents a mobile service that provides training content on SOPs,
   that can be embedded in a relevant ehealth service and can be accessed
   by authorized healthcare professionals where and when needed.
CT 11th International Conference on Informatics, Management, and Technology
   in Healthcare (ICIMTH)
CY JUL 05-07, 2013
CL Athens, GREECE
Z8 0
TC 3
ZB 0
ZA 0
ZR 0
ZS 0
Z9 3
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-61499-276-9; 978-1-61499-275-2
UT WOS:000341032900024
PM 23823384
ER

PT C
AU Schmidt, Thomas
BE Mantas, J
   Hasman, A
TI Informal education of medical doctors on the Internet
SO INFORMATICS, MANAGEMENT AND TECHNOLOGY IN HEALTHCARE
SE Studies in Health Technology and Informatics
VL 190
BP 92
EP 94
DI 10.3233/978-1-61499-276-9-92
PD 2013
PY 2013
AB Physicians achieve parts of their knowledge informally on the Internet.
   In a first study we analyzed the quality of online content of prenatal
   screening and diagnosis on elements like Wikipedia, Twitter or YouTube.
   Furthermore, own content was published on blogs, forums and static
   pages, and visitor's data was measured. The second study consists of
   three surveys among physicians: Doctors use public pages like blogs or
   Wikipedia rather than professional or scientific communities and talk
   about patients via mailing lists or direct messages.
CT 11th International Conference on Informatics, Management, and Technology
   in Healthcare (ICIMTH)
CY JUL 05-07, 2013
CL Athens, GREECE
ZB 1
ZA 0
ZR 0
ZS 0
Z8 0
TC 7
Z9 7
U1 0
U2 6
SN 0926-9630
BN 978-1-61499-276-9; 978-1-61499-275-2
UT WOS:000341032900026
PM 23823386
ER

PT C
AU Le, Xuan Hung
   Luque, Amneris E.
   Wang, Dongwen
BE Lehmann, CU
   Ammenwerth, E
   Nohr, C
TI Assessing the Usage of a Guideline-Driven Interactive Case Simulation
   Tool for Insomnia Screening and Treatment in an HIV Clinical Education
   Program
SO MEDINFO 2013: PROCEEDINGS OF THE 14TH WORLD CONGRESS ON MEDICAL AND
   HEALTH INFORMATICS, PTS 1 AND 2
SE Studies in Health Technology and Informatics
VL 192
BP 323
EP 327
DI 10.3233/978-1-61499-289-9-323
PD 2013
PY 2013
AB Interactive case simulation tools (ICSTs) are important vehicles to
   disseminate medical knowledge. We conducted a study to examine the usage
   of an insomnia screening and treatment case simulation tool in an HIV
   clinical education program. Using system usage diagrams (SUDs) as an
   instrument, we quantified visit frequency and length of stay for
   different types of system resources. Preliminary results have shown that
   both recommendations and interactive decision diagrams were frequently
   used, with the former having a longer length of stay but fewer visits.
   Case simulation functions seemed to be able to engage users. Future
   research is required to verify the generalizability of the identified
   usage patterns, to investigate issues in usability design, and to
   perform correlation analyses on system usage and context parameters.
CT 14th World Congress on Medical and Health Informatics (MEDINFO)
CY AUG 20-23, 2013
CL Copenhagen, DENMARK
Z8 0
ZS 0
ZB 0
ZA 0
TC 5
ZR 0
Z9 5
U1 0
U2 0
SN 0926-9630
BN 978-1-61499-289-9; 978-1-61499-288-2
UT WOS:000341021700066
PM 23920569
ER

PT C
AU Eysenbach, Gunther
BE Lehmann, CU
   Ammenwerth, E
   Nohr, C
TI CONSORT-EHEALTH: Implementation of a Checklist for Authors and Editors
   to Improve Reporting of Web-Based and Mobile Randomized Controlled
   Trials
SO MEDINFO 2013: PROCEEDINGS OF THE 14TH WORLD CONGRESS ON MEDICAL AND
   HEALTH INFORMATICS, PTS 1 AND 2
SE Studies in Health Technology and Informatics
VL 192
BP 657
EP 661
DI 10.3233/978-1-61499-289-9-657
PD 2013
PY 2013
AB Background: Randomized trials of web-based and mobile interventions pose
   very specific issues and challenges, A set of best practices on how to
   conduct and report such trials was recently summarized in the
   CONSORT-EHEALTH statement (Consolidated Standards of Reporting Trials of
   Electronic and Mobile HEalth Applications and onLine TeleHealth),
   published in August 2011 as draft and in December 2011 as journal
   article (V1.6.1). The purpose of this presentation is to review the
   results of the pilot implementation at the Journal of Medical Internet
   Research (JMIR), a leading eHealth journal, where reporting of trials in
   accordance with CONSORT-EHEALTH became mandatory in late 2011. Methods:
   Authors of all randomized trials submitted to JMIR were asked to
   complete an electronic questionnaire, which involved copying pertinent
   manuscript sections into a CONSORT EHEALTH database form, were asked to
   score the importance of CONSORT EHEALTH items, and were asked to provide
   narrative feedback on the value of the process. Results: Between August
   2011 and November 2012, 67 randomized trials were submitted, of which 61
   were intended for publication in JMIR. Authors reported that it took
   between 1 and 16 hours to complete the checklist including making
   required changes to their manuscripts. 72% (48/67) of authors reported
   they made minor changes to the manuscript, 6% (4/67) made major changes.
   Most authors felt it was a useful process that improved their
   manuscripts: 63% (42/67) said it improved their manuscript, 13% (9/67)
   said it did not, 12% (8/67) indicated that it had improved a little.
   Conclusions: The CONSORT EHEALTH statement and checklist appeared
   successful in improving the quality of reporting. The checklist should
   be endorsed and used by authors and editors of other journals.
CT 14th World Congress on Medical and Health Informatics (MEDINFO)
CY AUG 20-23, 2013
CL Copenhagen, DENMARK
RI Eysenbach, Gunther/AAJ-7158-2020
OI Eysenbach, Gunther/0000-0001-6479-5330
ZS 1
Z8 1
ZR 0
ZB 1
ZA 0
TC 48
Z9 50
U1 0
U2 8
SN 0926-9630
EI 1879-8365
BN 978-1-61499-289-9; 978-1-61499-288-2
UT WOS:000341021700135
PM 23920638
ER

PT C
AU Chakrabarti, Debkumar
   Deori, Manoj
   Pandit, Sangeeta
   Ravi, T.
BE Yusuff, RM
   Ahmad, SA
   Daruis, DDI
   Deros, BM
   Dawal, SZM
TI Virtual Ergonomics Laboratory: Human Body Dimension Relevance
SO CURRENT TRENDS IN ERGONOMICS
SE Advanced Engineering Forum
VL 10
BP 22
EP +
DI 10.4028/www.scientific.net/AEF.10.22
PD 2013
PY 2013
AB Ergonomics has become an integral part of design education curriculum,
   where input content demands demonstration through citing and analysing
   appropriate design experiences. It has come to fore through many
   academic forum discussions and meetings that to internalise various
   ergonomics issues relevant hands on experiences on this are necessary.
   To impart a feel of laboratory experimentation as well as application
   relevance to a greater number of learners, a virtual environment
   scenario could go along.
   A virtual presentation of ergonomics laboratory experiments on physical
   anthropometry and its design dimension consequences has been tried out.
   It contains a total of eleven sections. The topic opens with the
   introductory session where the subject matter and the laboratory
   experiment methodology in general was considered; this was followed by
   ten specific topics with flash based self-learning modules and data
   support on Indian population was provided to have a ready reference.
   Some of these topic specific experiment sections are also backed with
   video demonstrations.
   A whole set of virtual laboratory module under development, for users'
   feedback, has already been uploaded in the net. The experiments are
   self-explanatory, dovvnloadable and easy to perform. The feedback
   collected so far (online and also through direct demonstration surveys),
   confirms its usefulness both by the teachers and student-learners of
   Ergonomics specialisation and design programmes. This paper reports the
   salient features with content outline of the educational and free to use
   virtual anthropometric experiments manual developed which is being
   fine-tuned at ITT Guwahati.
CT 2nd International Conference on Ergonomics (ICE 2013)
CY SEP 02-04, 2013
CL Kuala Lumpur, MALAYSIA
SP Natl Inst Occupat Safety & Hlth; Pertubuhan Keselamatan Sosial; Ctr Prod
   Design & Mfg; Univ Malaysia, Fac Engn; Philippine Ergonom Soc; Croatian
   Ergonom Soc; SAE Int, Malaysia Sect; Univ Kebangsaan Malaysia; Univ
   Putra Malaysia; Natl Defense Univ; Univ Sultan Zainal Abidin; Univ
   Malaysia Pahang; Perhimpunan Ergonomi Indonesia; Board Engineers
   Malaysia; Malaysia Design Council; Malaysian Soc Engn & Technol
RI Chakrabarti, Debkumar/GSE-1809-2022; Deori, Manoj/AAN-1521-2020; Deori, Manoj/AAW-2249-2021
OI Chakrabarti, Debkumar/0000-0003-3747-3832; Deori,
   Manoj/0000-0002-3705-1931
TC 0
ZB 0
ZS 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 3
SN 2234-9898
BN 978-3-03785-964-3
UT WOS:000336235100004
ER

PT J
AU Prisciandaro, Joann I.
TI Review of online educational resources for medical physicists
SO JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS
VL 14
IS 6
BP 368
EP 387
DI 10.1120/jacmp.v14i6.4476
PD 2013
PY 2013
AB Medical physicists are often involved in the didactic training of
   graduate students, residents ( both physics and physicians), and
   technologists. As part of continuing medical education, we are also
   involved in maintenance of certification projects to assist in the
   education of our peers. As such, it is imperative that we remain current
   concerning available educational resources. Medical physics journals
   offer book reviews, allowing us an opportunity to learn about newly
   published books in the field. A similar means of communication is not
   currently available for online educational resources. This information
   is conveyed through informal means. This review presents a summary of
   online resources available to the medical physics community that may be
   useful for educational purposes.
TC 4
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 4
U1 0
U2 12
SN 1526-9914
UT WOS:000326931100028
PM 24257289
ER

PT J
AU Rebbeck, T.
   Macedo, L.
   Paul, P.
   Trevena, L.
   Cameron, I. D.
TI General practitioners' knowledge of whiplash guidelines improved with
   online education
SO AUSTRALIAN HEALTH REVIEW
VL 37
IS 5
BP 688
EP 694
DI 10.1071/AH13057
PD 2013
PY 2013
RI Macedo, Luciana/ABC-5953-2021; Rebbeck, Trudy/AAF-6300-2021; Trevena, Lyndal/
OI Macedo, Luciana/0000-0002-1840-2951; Rebbeck, Trudy/0000-0002-4453-4739;
   Trevena, Lyndal/0000-0003-1419-1832
ZS 0
ZA 0
Z8 0
ZB 1
ZR 0
TC 15
Z9 15
U1 1
U2 5
SN 0156-5788
EI 1449-8944
UT WOS:000332573500022
PM 24160566
ER

PT J
AU Mitchell, Elizabeth W.
   Verbiest, Sarah
TI Effective Strategies for Promoting Preconception Health-From Research to
   Practice
SO AMERICAN JOURNAL OF HEALTH PROMOTION
VL 27
IS 3
BP S1
EP S3
DI 10.4278/ajhp/27.3.c1
SU S
PD JAN-FEB 2013
PY 2013
TC 8
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
Z9 8
U1 0
U2 10
SN 0890-1171
EI 2168-6602
UT WOS:000323479400005
PM 23286657
ER

PT J
AU Knox, Shane
   Cullen, Walter
   Dunne, Colum
TI Continuous professional competence (CPC) for emergency medical
   technicians in Ireland: educational needs assessment.
SO BMC emergency medicine
VL 13
BP 25
EP 25
DI 10.1186/1471-227X-13-25
PD 2013 Dec 17
PY 2013
AB BACKGROUND: As in other countries, the Irish Regulator for Pre-Hospital
   practitioners, the Pre-Hospital Emergency Care Council (PHECC), will
   introduce a Continuous Professional Competence (CPC) framework for all
   Emergency Medical Technicians (EMTs), Paramedics and Advanced Paramedics
   (APs). This framework involves EMTs participating in regular and
   structured training to maintain professional competence and enable
   continuous professional developments. To inform the development of this
   framework, this study aimed to identify what EMTs consider the optimum
   educational outcomes and activity and their attitude towards CPC.
   METHODS: All EMTs registered in Ireland (n = 925) were invited via email
   to complete an anonymous online survey. Survey questions were designed
   based on Continuous Professional Development (CPD) questionnaires used
   by other healthcare professions. Quantitative and qualitative analyses
   were performed.
   RESULTS: Response rate was 43% (n = 399). 84% of participants had been
   registered in Ireland for less than 24 months, while 59% had been
   registered EMTs for more than one year. Outcomes were: evidence of CPC
   should be a condition for EMT registration in Ireland (95%), 78%
   believed that EMTs who do not maintain CPC should be denied the option
   to re-register. Although not required to do so at the time of survey,
   69% maintained a professional portfolio and 24% had completed up to 20
   hours of CPC activities in the prior 12 months. From a list of 22
   proposed CPC activities, 97% stated that practical scenario-based
   exercises were most relevant to their role. E-learning curricula without
   practical components were considered irrelevant (32%), but the majority
   of participants (91%) welcomed access to e-learning when supplemented by
   related practical modules.
   CONCLUSION: EMTs are supportive of CPC as a key part of their
   professional development and registration. Blended learning, which
   involves clinical and practical skills and e-learning, is the optimum
   approach.
RI Cullen, Walter/AAD-4327-2019; Cullen, Walter/; Dunne, Colum/
OI Cullen, Walter/0000-0003-1838-5052; Dunne, Colum/0000-0002-5010-3185
ZB 0
ZR 0
Z8 0
ZS 0
TC 5
ZA 0
Z9 5
U1 0
U2 3
EI 1471-227X
UT MEDLINE:24345064
PM 24345064
ER

PT J
AU Lia, C.
   Cavaggioni, G.
TI The selection process in the Faculty of Medicine: the usefulness of a
   psychological and aptitude assessment
SO CLINICA TERAPEUTICA
VL 164
IS 1
BP 39
EP 42
DI 10.7417/CT.2013.1510
PD JAN-FEB 2013
PY 2013
AB The selection process in the Faculty of Medicine: the usefulness of a
   psychological and aptitude assessment In almost all the universities
   worldwide, the admission to the Faculty of Medicine is subject to a
   specific selection process. In most cases tests are used to assess the
   cognitive abilities of the candidates. However, a growing number of
   universities (particularly American and Canadian) is using a set of
   instruments to evaluate non-cognitive skills in addition to these tests.
   Among the most commonly used tools are included personal interviews,
   Multiple Mini Interview (MMI), Personal Quality Assessment (PQA). In
   Italy in the last decade increasing emphasis was placed on assessing
   students' attitudes through the use of orientation tests (given in
   classrooms or online fillable), as part of several projects that involve
   collaboration between secondary school and university. Nevertheless, the
   admission to the Faculty of Medicine does not yet provide a
   psychological and aptitude assessment, but relies exclusively on
   cognitive features. In a similar way to what is already the case with
   the selection of personnel in law enforcement agency, we propose a
   selection model that includes an assessment of psychological features
   and aptitudes of the candidates, as well as cognitive skills. Clin Ter
   2013; 164(1):39-42. doi: 10.7417/CT.2013.1510
Z8 0
ZB 1
ZS 0
TC 1
ZR 0
ZA 0
Z9 1
U1 0
U2 12
SN 0009-9074
EI 1972-6007
UT WOS:000315845400010
PM 23455742
ER

PT J
AU Parks, Adam R
   Atkinson, Paul
   Verheul, Glenn
   Leblanc-Duchin, Denise
TI Can medical learners achieve point-of-care ultrasound competency using a
   high-fidelity ultrasound simulator?: a pilot study.
SO Critical ultrasound journal
VL 5
IS 1
BP 9
EP 9
DI 10.1186/2036-7902-5-9
PD 2013 Nov 19
PY 2013
AB BACKGROUND: Point-of-care ultrasound (PoCUS) is currently not a
   universal component of curricula for medical undergraduate and
   postgraduate training. We designed and assessed a simulation-based PoCUS
   training program for medical learners, incorporating image acquisition
   and image interpretation for simulated emergency medical pathologies. We
   wished to see if learners could achieve competency in simulated
   ultrasound following focused training in a PoCUS protocol.
   METHODS: Twelve learners (clerks and residents) received standardized
   training consisting of online preparation materials, didactic teaching,
   and an interactive hands-on workshop using a high-fidelity ultrasound
   simulator (CAE Vimedix). We used the Abdominal and Cardiothoracic
   Evaluation by Sonography (ACES) protocol as the curriculum for PoCUS
   training. Participants were assessed during 72 simulated emergency
   cardiorespiratory scenarios. Their ability to complete an ACES scan
   independently was assessed. Data was analyzed using R software.
   RESULTS: Participants independently generated 574 (99.7%) of the 576
   expected ultrasound windows during the 72 simulated scenarios and
   correctly interpreted 67 (93%) of the 72 goal-directed PoCUS scans.
   CONCLUSIONS: Following a focused training process using medical
   simulation, medical learners demonstrated an ability to achieve a degree
   of competency to both acquire and correctly interpret cardiorespiratory
   PoCUS findings using a high-fidelity ultrasound simulator.
ZA 0
ZR 0
TC 37
Z8 0
ZB 3
ZS 1
Z9 37
U1 0
U2 1
SN 2036-3176
UT MEDLINE:24245514
PM 24245514
ER

PT J
AU Morris, Megan A
   Dudgeon, Brian J
   Yorkston, Kathryn
TI A qualitative study of adult AAC users' experiences communicating with
   medical providers.
SO Disability and rehabilitation. Assistive technology
VL 8
IS 6
BP 472
EP 81
DI 10.3109/17483107.2012.746398
PD 2013-Nov
PY 2013
AB PURPOSE: To study the experiences of adults who use augmentative and
   alternative communication (AAC) systems and methods when interacting
   with medical providers, specifically primary care providers.
   METHOD: Individual face-to-face interviews were conducted with 12
   participants, four of whom also participated in an online focus group.
   Diagnoses of the participants included cerebral palsy, undifferentiated
   developmental disability, head and neck cancer, amyotrophic lateral
   sclerosis and primary lateral sclerosis. Transcripts from the interviews
   and the focus group were analyzed to create a list of codes. From these
   codes themes that captured particular concepts discussed were
   identified.
   RESULTS: Participants described multiple frustrations in communicating
   with medical care providers. Themes that arose included: planning and
   preparing for the appointment, time barriers, inappropriate assumptions,
   relationship building and establishing rapport, medical decision making
   and implementing the plan. All but one participant reported bringing a
   caregiver with them to their appointments and this person, whether a
   family member, friend or paid aide, had a substantial role throughout
   the appointment.
   CONCLUSIONS: The participants' stories highlight important barriers they
   experience when communicating with medical providers. These barriers
   bring attention to the need for education for physicians, caregivers and
   patients with communication disabilities, along with increased research
   to improve patient-provider communication.
   IMPLICATIONS FOR REHABILITATION: Patients with communication
   disabilities face multiple barriers to communicating with medical care
   providers. Patients, caregivers, and medical care providers all play a
   role in effective and ineffective communication during appointments.
   Education for medical care providers, caregivers, and patients with
   communication disabilities, along with increased research is needed to
   improve patient-provider communication.
TC 31
Z8 0
ZA 0
ZR 0
ZS 0
ZB 4
Z9 31
U1 0
U2 4
EI 1748-3115
UT MEDLINE:23350909
PM 23350909
ER

PT J
AU Yardley, Sarah
   Hookey, Claire
   Lefroy, Janet
TI Designing whole-task learning opportunities for integrated end-of-life
   care: a practitioner-derived enquiry.
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 24
IS 6
BP 436
EP 43
PD 2013-Sep
PY 2013
AB INTRODUCTION: Knowledge and skills to contribute to high-quality
   patient-centred end-of-life care are essential for newly qualified
   doctors. End-of-life care is a multifaceted complex task but learning
   opportunities are often fragmented in undergraduate curricula. Wholetask
   models provide a framework for delivery of learning activities which
   equips students to function in variable complex contexts.
   OBJECTIVES: To create learning experiences that would help students to
   integrate the knowledge, skills and behaviours needed when encountering
   patients near the end-of-life, including during transitions between
   primary and secondary care settings.
   METHODS: We describe the development, implementation, content and
   evaluation of an educational intervention for undergraduate medical
   students. This comprised a study day offering whole-task learning
   opportunities for integrated end-of-life care combined with a
   longitudinal placement. Our research drew on two data sources:
   reflective summaries and end-of-semester, online, anonymous student
   questionnaires. Thematic analysis of student reflective writing
   demonstrated learning in multiple domains.
   RESULTS AND DISCUSSION: Our intervention formed an important link
   between classroom learning and clinical practice due to its design
   according to whole-task models: learners were engaged in solving
   real-world problems, new knowledge was applied and integrated in
   practice, students built on existing knowledge longitudinally, and
   experienced professionals supported putting knowledge into action.
   Although set in the UK the issues we address are of relevance worldwide.
ZR 0
ZS 0
Z8 0
TC 4
ZB 0
ZA 0
Z9 4
U1 0
U2 3
SN 1473-9879
UT MEDLINE:24196600
PM 24196600
ER

PT J
AU Craswell, Alison
   Moxham, Lorna
   Broadbent, Marc
TI Perinatal data collection: current practice in the Australian nursing
   and midwifery healthcare context
SO HEALTH INFORMATION MANAGEMENT JOURNAL
VL 42
IS 1
BP 11
EP 17
DI 10.1177/183335831304200102
PD 2013
PY 2013
AB The collection of perinatal data within Queensland, Australia, has
   traditionally been achieved via a paper form completed by midwives after
   each birth. Recently, with an increase in the use of e-health systems in
   healthcare, perinatal data collection has migrated to an online system.
   It is suggested that this move from paper to an e-health platform has
   resulted in improvement to error rates, completion levels, timeliness of
   data transfer from healthcare institutions to the perinatal data
   collection and subsequent publication of data items. Worldwide,
   perinatal data are collected utilising a variety of methods, but
   essentially data are used for similar purposes: to monitor outcome
   patterns within obstetrics and midwifery. T his paper discusses current
   practice in relation to perinatal data collection worldwide and within
   Australia, with a specific focus on Queensland, highlights relevant
   issues for midwives, and points to the need for further research into
   the efficient use of an e-health platform for perinatal data collection.
RI Broadbent, Marc/M-8742-2016; Moxham, Lorna/; Craswell, Alison/
OI Broadbent, Marc/0000-0001-9667-2132; Moxham, Lorna/0000-0002-4127-6383;
   Craswell, Alison/0000-0001-8603-3134
ZB 0
ZR 0
TC 6
Z8 0
ZA 0
ZS 0
Z9 6
U1 1
U2 4
SN 1833-3583
EI 1833-3575
UT WOS:000318220500002
PM 23640918
ER

PT J
AU Sadideen, Hazim
   Alvand, Abtin
   Saadeddin, Munir
   Kneebone, Roger
TI Surgical experts: Born or made?
SO INTERNATIONAL JOURNAL OF SURGERY
VL 11
IS 9
BP 773
EP 778
DI 10.1016/j.ijsu.2013.07.001
PD 2013
PY 2013
AB The concept of surgical expertise and the processes involved in its
   development are topical, and there is a constant drive to identify
   reliable measures of expert performance in surgery. This review explores
   the notion of whether surgical experts are "born" or "made", with
   reference to educational theory and pertinent literature. Peer-reviewed
   publications, books, and online resources on surgical education,
   expertise and training were reviewed. Important themes and aspects of
   expertise acquisition were identified in order to better understand the
   concept of a surgical expert.
   The definition of surgical expertise and several important aspects of
   its development are highlighted. Innate talent plays an important role,
   but is insufficient on its own to produce a surgical expert. Multiple
   theories that explore motor skill acquisition and memory are relevant,
   and Ericsson's theory of the development of competence followed by
   deliberate self-practice has been especially influential. Psychomotor
   and non-technical skills are necessary for progression in the current
   climate in light of our training curricula; surgical experts are
   adaptive experts who excel in these.
   The literature suggests that surgical expertise is reached through
   practice; surgical experts are made, not born. A deeper understanding of
   the nature of expert performance and its development will ensure that
   surgical education training programmes are of the highest possible
   quality. Surgical educators should aim to develop an expertise-based
   approach, with expert performance as the benchmark. (C) 2013 Surgical
   Associates Ltd. Published by Elsevier Ltd. All rights reserved.
OI Sadideen, Hazim/0000-0002-1452-2331; Alvand, Abtin/0000-0001-6069-978X
ZR 0
ZS 2
TC 47
ZB 16
ZA 0
Z8 0
Z9 49
U1 0
U2 11
SN 1743-9191
EI 1743-9159
UT WOS:000326977200007
PM 23838344
ER

PT J
AU King, Stephen D W
   Dimmers, Martha A
   Langer, Shelby
   Murphy, Patricia E
TI Doctors' attentiveness to the spirituality/religion of their patients in
   pediatric and oncology settings in the Northwest USA.
SO Journal of health care chaplaincy
VL 19
IS 4
BP 140
EP 64
DI 10.1080/08854726.2013.829692
PD 2013
PY 2013
AB Research indicates that spirituality/religion is important to many
   patients and they want this to be an integrated component of their care.
   This study's aim was to better understand doctors' attentiveness to
   patients'/families' spiritual/religious concerns and the contributing
   factors for this in the Northwest USA as well as doctor's attitudes
   about referrals to chaplains. Study participants included 108
   pediatricians and oncologists who completed an online self-report
   questionnaire regarding their beliefs about the health relevance of
   patients' spirituality/religion and their attentiveness to this. Few
   doctors routinely addressed this concern. Doctors who were Christian,
   did not expect negative reactions to inquiring, and were knowledgeable
   regarding chaplains were more likely to address spirituality/religion.
   Doctors who felt less adequate in addressing spirituality/religion and
   were concerned about patients negative reactions were less likely to
   value referral to chaplains. On the other hand, those who had an
   understanding regarding chaplains were more likely to support referral. 
OI Langer, Shelby L/0000-0002-6034-1830
ZA 0
ZR 0
ZS 0
ZB 1
TC 18
Z8 0
Z9 18
U1 0
U2 2
EI 1528-6916
UT MEDLINE:24070435
PM 24070435
ER

PT J
AU Sarnquist, Clea
   Sawyer, Mark
   Calvin, Kris
   Mason, Wilbert
   Blumberg, Dean
   Luther, Jeffrey
   Maldonado, Yvonne
TI Communicating About Vaccines and Vaccine Safety: What Are Medical
   Residents Learning and What Do They Want to Learn?
SO JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
VL 19
IS 1
BP 40
EP 46
DI 10.1097/PHH.0b013e3182495776
PD JAN-FEB 2013
PY 2013
AB Objective: Physicians spend significant amounts of time discussing
   vaccine safety concerns with patients and parents. This study aimed to
   better understand the educational needs of US residents regarding
   vaccine safety communication, primarily by quantifying the vaccine
   safety communication training that residents currently receive and
   elucidating residents' preferences around education about vaccines and
   vaccine safety communication. Design: A mixed-methods needs assessment
   consisting of focus groups and a survey. Setting/Participants: A
   convenience sample of 303 medical residents in pediatrics, family
   medicine, and internal medicine from across the United States
   participated in an online, anonymous survey from March through June
   2010. In addition, 9 focus groups with 47 resident participants were
   held. Main Outcome Measures/Results: The sample included residents in
   pediatrics (239, 80.2%), internal or family medicine (30, 10.1%), and
   dual medicine-pediatrics (29, 9.7%); 20.6% of the residents reported
   "not learning" about vaccine safety communication in their residency
   programs. Preferred learning methods, which were also the most commonly
   used methods, included didactic lectures and role-modeling/cases.
   Electronic teaching method were not only less desired but also very
   rarely utilized. More than 95% of residents reported thinking that
   vaccine safety communication would be very or somewhat important in
   their careers. Conclusions: Improving education on vaccine safety
   communication within US residency programs, as well as offering
   self-learning opportunities, can better prepare physicians for their
   careers.
TC 15
ZA 0
ZR 0
ZB 7
ZS 0
Z8 0
Z9 15
U1 0
U2 7
SN 1078-4659
EI 1550-5022
UT WOS:000311830300011
PM 23169402
ER

PT J
AU Wilson, Laurie N.
   Wainwright, Gail A.
   Stehly, Christy D.
   Stoltzfus, Jill
   Hoff, William S.
TI Assessing the Academic and Professional Needs of Trauma Nurse
   Practitioners and Physician Assistants
SO JOURNAL OF TRAUMA NURSING
VL 20
IS 1
BP 51
EP 55
DI 10.1097/JTN.0b013e31828661e9
PD JAN-FEB 2013
PY 2013
AB Because of multiple changes in the health care environment, the use of
   services of physician assistants (PAs) and nurse practitioners (NPs) in
   trauma and critical care has expanded. Appropriate training and ongoing
   professional development for these providers are essential to optimize
   clinical outcomes. This study offers a baseline assessment of the
   academic and professional needs of the contemporary trauma PAs/NPs in
   the United States. A 14-question electronic survey, using SurveyMonkey,
   was distributed to PAs/NPs at trauma centers identified through the
   American College of Surgeons Web site and other online resources.
   Demographic questions included trauma center level, provider type, level
   of education, and professional affiliations. Likert scale questions were
   incorporated to assess level of mentorship, comfort level with training,
   and individual perceived needs for academic and professional
   development. There were 120 survey respondents: 60 NPs and 60 PAs.
   Sixty-two respondents (52%) worked at level I trauma centers and 95
   (79%) were hospital-employed. Nearly half (49%) reported working in
   trauma centers for 3 years or less. One hundred nineteen respondents
   (99%) acknowledged the importance of trauma-specific education; 98 (82%)
   were required by their institution to obtain such training. Thirty-five
   respondents (32%) reported receiving $1000 per year or less as a
   continuing medical education benefit. Insufficient mentorship,
   professional development, and academic development were identified by 22
   (18%), 16 (13%), and 30 (25%) respondents, respectively. Opportunities
   to network with trauma PAs/NPs outside their home institution were
   identified as insufficient by 79 (66%). While PAs/NPs in trauma centers
   recognize the importance of continued contemporary trauma care and
   evidence-based practices, attending trauma-related education is not
   universally required by their employers. Financial restrictions may pose
   an additional impediment to academic development. Therefore,
   resource-efficient opportunities should be a prime consideration for
   advanced practitioners education, especially since half of the reported
   workforce has 3 years or less experience. The Eastern Association of
   Trauma and other organizations can provide an ideal venue for
   mentorship, academic development, and networking that is vital to PA/NP
   professional development and, ultimately, quality patient care.
TC 7
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
Z9 7
U1 0
U2 1
SN 1078-7496
EI 1932-3883
UT WOS:000209273700010
PM 23459433
ER

PT J
AU Morihara, Sarah K.
   Jackson, David S.
   Chun, Maria B. J.
TI Making the professionalism curriculum for undergraduate medical
   education more relevant
SO MEDICAL TEACHER
VL 35
IS 11
BP 908
EP 914
DI 10.3109/0142159X.2013.820273
PD 2013
PY 2013
AB Background: This study was an assessment of the professionalism
   curriculum at a community-based medical school from the perspective of
   undergraduate medical students.
   Aims: The goal of this study was to ascertain the perspectives of
   faculty and students on their interpretations of professionalism and its
   role in medical education to improve and expand existing professionalism
   curricula.
   Method: An online survey was created and sent to all students (n = 245)
   and selected faculty (n = 41). The survey utilized multiple choice and
   open-ended questions to allow responders to provide their insights on
   the definition of professionalism and detail how professionalism is
   taught and evaluated at their institution. A content analysis was
   conducted to categorize open-ended responses and the resulting themes
   were further examined using SPSS 20.0 for Windows (IBM Corp., Armonk,
   NY) frequency analyses.
   Results: Students and faculty respondents were similar in their
   definitions of medical professionalism and their perceptions of teaching
   methods. Role modeling was the most common and preferred method of
   professionalism education. Responses to whether evaluations of
   professional behavior were effective suggested both students and faculty
   are unclear about current professionalism assessments.
   Conclusion: This study showed that a cohesive standardized definition of
   professionalism is needed, as well as clearer guidelines on how
   professionalism is assessed.
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 19
Z9 19
U1 0
U2 18
SN 0142-159X
EI 1466-187X
UT WOS:000325765500011
PM 23931736
ER

PT J
AU Wojcikowski, Ken
   Kirk, Leslie
TI Immediate detailed feedback to test-enhanced learning: An effective
   online educational tool
SO MEDICAL TEACHER
VL 35
IS 11
BP 915
EP 919
DI 10.3109/0142159X.2013.826793
PD 2013
PY 2013
AB Background: Test-enhanced learning has gained popularity because it is
   an effective way to increase retention of knowledge; provided the
   student receives the correct answer soon after the test is taken.
   Aim: To determine whether detailed feedback provided to test-enhanced
   learning questions is an effective online educational tool for improving
   performance on complex biomedical information exams.
   Methods: A series of online multiple choice tests were developed to test
   knowledge of biomedical information that students were expected to know
   after each patient-case. Following submission of the student answers,
   one cohort (n = 52) received answers only while the following year, a
   second cohort (n = 51) received the answers with detailed feedback
   explaining why each answer was correct or incorrect.
   Results: Students in both groups progressed through the series of online
   tests with little assessor intervention. Students receiving the answers
   along with the explanations within their feedback performed
   significantly better in the final biomedical information exam than those
   students receiving correct answers only.
   Conclusions: This pilot study found that the detailed feedback to
   test-enhanced learning questions is an important online learning tool.
   The increase in student performance in the complex biomedical
   information exam in this study suggests that detailed feedback should be
   investigated not only for increasing knowledge, but also be investigated
   for its effect on retention and application of knowledge.
Z8 0
ZB 1
ZR 0
ZA 0
TC 22
ZS 0
Z9 22
U1 0
U2 11
SN 0142-159X
EI 1466-187X
UT WOS:000325765500012
PM 24003913
ER

PT J
AU Huwendiek, Soeren
   Duncker, Cecilia
   Reichert, Friedrich
   De Leng, Bas A.
   Dolmans, Diana
   van der Vleuten, Cees P. M.
   Haag, Martin
   Hoffmann, Georg Friedrich
   Toenshoff, Burkhard
TI Learner preferences regarding integrating, sequencing and aligning
   virtual patients with other activities in the undergraduate medical
   curriculum: A focus group study
SO MEDICAL TEACHER
VL 35
IS 11
BP 920
EP 929
DI 10.3109/0142159X.2013.826790
PD 2013
PY 2013
AB Context: E-learning resources, such as virtual patients (VPs), can be
   more effective when they are integrated in the curriculum. To gain
   insights that can inform guidelines for the curricular integration of
   VPs, we explored students' perceptions of scenarios with integrated and
   non-integrated VPs aimed at promoting clinical reasoning skills.
   Methods: During their paediatric clerkship, 116 fifth-year medical
   students were given at least ten VPs embedded in eight integrated
   scenarios and as non-integrated add-ons. The scenarios differed in the
   sequencing and alignment of VPs and related educational activities,
   tutor involvement, number of VPs, relevance to assessment and
   involvement of real patients. We sought students' perceptions on the VP
   scenarios in focus group interviews with eight groups of 4-7 randomly
   selected students (n = 39). The interviews were recorded, transcribed
   and analysed qualitatively.
   Results: The analysis resulted in six themes reflecting students'
   perceptions of important features for effective curricular integration
   of VPs: (i) continuous and stable online access, (ii) increasing
   complexity, adapted to students' knowledge, (iii) VP-related workload
   offset by elimination of other activities, (iv) optimal sequencing
   (e.g.: lecture -1 to 2 VP(s) - tutor-led small group discussion - real
   patient) and (V) optimal alignment of VPs and educational activities,
   (vi) inclusion of VP topics in assessment.
   Conclusions: The themes appear to offer starting points for the
   development of a framework to guide the curricular integration of VPs.
   Their impact needs to be confirmed by studies using quantitative
   controlled designs.
RI Huwendiek, Sören/ABD-9244-2020; Reichert, Friedrich/AAU-3398-2021; van der Vleuten, Cees/
OI Huwendiek, Sören/0000-0001-6116-9633; van der Vleuten,
   Cees/0000-0001-6802-3119
Z8 0
TC 27
ZA 0
ZS 0
ZR 0
ZB 3
Z9 27
U1 0
U2 13
SN 0142-159X
EI 1466-187X
UT WOS:000325765500013
PM 24003850
ER

PT J
AU Cook, David A.
   Steinert, Yvonne
TI Online learning for faculty development: A review of the literature
SO MEDICAL TEACHER
VL 35
IS 11
BP 930
EP 937
DI 10.3109/0142159X.2013.827328
PD 2013
PY 2013
AB Background: With the growing presence of computers and Internet
   technologies in personal and professional lives, it seems prudent to
   consider how online learning has been and could be harnessed to promote
   faculty development.
   Aims: Discuss advantages and disadvantages of online faculty
   development, synthesize what is known from studies involving health
   professions faculty members, and identify next steps for practice and
   future research.
   Method: We searched MEDLINE for studies describing online instruction
   for developing teaching, leadership, and research skills among health
   professions faculty, and synthesized these in a narrative review.
   Results: We found 20 articles describing online faculty development
   initiatives for health professionals, including seven quantitative
   comparative studies, four studies utilizing defined qualitative methods,
   and nine descriptive studies reporting anecdotal lessons learned. These
   programs addressed diverse topics including clinical teaching,
   educational assessment, business administration, financial planning, and
   research skills. Most studies enrolled geographically-distant learners
   located in different cities, provinces, or countries. Evidence suggests
   that online faculty development is at least comparable to traditional
   training, but learner engagement and participation is highly variable.
   It appears that success is more likely when the course addresses a
   relevant need, facilitates communication and social interaction, and
   provides time to complete course activities.
   Conclusions: Although we identified several practical recommendations
   for success, the evidence base for online faculty development is sparse
   and insubstantial. Future research should include rigorous,
   programmatic, qualitative and quantitative investigations to understand
   the principles that govern faculty member engagement and success.
ZS 0
TC 56
Z8 1
ZR 0
ZA 0
ZB 3
Z9 56
U1 4
U2 52
SN 0142-159X
EI 1466-187X
UT WOS:000325765500014
PM 24006931
ER

PT J
AU Cocksedge, Samuel T.
   Taylor, David C. M.
TI The National Student Survey: Is it just a bad DREEM?
SO MEDICAL TEACHER
VL 35
IS 12
BP E1638
EP E1643
DI 10.3109/0142159X.2013.835388
PD 2013
PY 2013
AB Background: In this article, we consider the need for medical schools to
   improve the overall experience given to students by gaining appropriate
   feedback and ask whether the UK National Student Survey (NSS) is an
   appropriate tool.
   Aims: We compare the currently used NSS data against data collected via
   an alternative, well validated, questionnaire - the Dundee Ready
   Education Environment Measure (DREEM).
   Methods: The DREEM data was collected in January to April 2011, from the
   same cohort of students who were completing the UK online NSS. The NSS
   results were released into the public domain as frequency tables from
   which we calculated the standard deviations of each item. The DREEM
   questionnaire data were rescaled to match the NSS questionnaire data.
   Results: The results were similar from each questionnaire, with a wide
   range of responses. Both DREEM and NSS data showed Assessment and
   Feedback to be the greatest problem, but the DREEM questions were
   specific, contextualised and could be used for curriculum development.
   Conclusions: This comparison shows the benefits of using a medical
   school-specific questionnaire to gain quality feedback in order to
   precisely alter elements of the course rather than relying on a generic
   questionnaire to gauge students' opinions.
RI Taylor, David C M/H-3670-2013
OI Taylor, David C M/0000-0002-3296-2963
ZB 1
ZA 0
TC 6
ZR 0
ZS 1
Z8 0
Z9 7
U1 0
U2 8
SN 0142-159X
EI 1466-187X
UT WOS:000327306200004
PM 24050781
ER

PT J
AU De Kleijn, Renske A. M.
   Bouwmeester, Rianne A. M.
   Ritzen, Magda M. J.
   Ramaekers, Stephan P. J.
   Van Rijen, Harold V. M.
TI Students' motives for using online formative assessments when preparing
   for summative assessments
SO MEDICAL TEACHER
VL 35
IS 12
BP E1644
EP E1650
DI 10.3109/0142159X.2013.826794
PD 2013
PY 2013
AB Background: Formative assessments intend to provide feedback on student
   performance in order to improve and accelerate learning. Several studies
   have indicated that students using online formative assessments (OFAs),
   have better results on their exams.
   Aims: The present study aims to provide insight in student reasons for
   using or not using available OFAs.
   Method: Three OFAs with feedback were available in a second year
   undergraduate course in physiology for biomedical sciences students (N =
   147). First, students received an open questionnaire about why they did
   (not) complete the first two OFAs. Based on this data, a closed
   questionnaire was developed and distributed among students. Exploratory
   factor analysis (EFA) was applied.
   Results: The results indicate reasons why students do (not) use the
   OFAs. The EFA for using the OFAs indicated three factors, that were
   interpreted as collecting (1) feed up, (2) feed forward, and (3) feed
   back information. The main reasons for not using the OFAs were lack of
   time and having completed the questions before.
   Conclusions: Students' reasons for using OFAs can be described in terms
   of collecting feed up, forward and back information and students'
   reasons for not using OFAs can be student-, teacher-, or mode-related.
OI van Rijen, Harold/0000-0001-6740-7428
TC 14
ZS 0
ZB 1
ZA 0
Z8 0
ZR 1
Z9 14
U1 1
U2 21
SN 0142-159X
EI 1466-187X
UT WOS:000327306200005
PM 24050678
ER

PT J
AU Delgaty, Laura
TI A critical examination of the time and workload involved in the design
   and delivery of an e-module in postgraduate clinical education
SO MEDICAL TEACHER
VL 35
IS 5
BP E1173
EP E1180
DI 10.3109/0142159X.2012.737963
PD 2013
PY 2013
AB Background: Although there is increasing pressure on Universities to
   implement e-learning, this 'glorious revolution' has been met with
   disappointing results and universities have struggled to engage academic
   staff, who are major stakeholders, with its use. Although literature
   suggests online teaching adds to traditional faculty workload,
   information surrounding the actual 'cost' to individuals is sparse. For
   academics involved in postgraduate clinical education, it is even more
   incomplete. Involvement can be a risky undertaking for academics
   unfamiliar with the resources required.
   Aims: This study outlines staff resources required to create an e-module
   for busy, practicing clinicians.
   Method: Data (web analytics, email traffic, and work logs) was collected
   and statistical analysis performed outlining time involved, work
   patterns and responsibilities.
   Results: Data analysis revealed 75% of academic time occurred out of
   normal office hours. Sixteen total staff hours (12 planning and four
   delivery) were required to support one hour student online activity.
   Technical responsibilities were essential throughout, but unpredictable.
   Conclusions: Universities struggle to engage staff with e-learning due
   to its unrecognized and (many academics believe) unsustainable workload.
   Avoiding 'traditional' workload assumptions that are inaccurate, this
   study provides academics and managers involved in clinical education
   clear guidance and an increased understanding of workload with a goal to
   inform practice.
TC 15
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
Z9 15
U1 1
U2 22
SN 0142-159X
EI 1466-187X
UT WOS:000318361000008
PM 23151211
ER

PT J
AU van Schravendijk, C.
   Maerz, R.
   Garcia-Seoane, J.
TI Exploring the integration of the biomedical research component in
   undergraduate medical education
SO MEDICAL TEACHER
VL 35
IS 6
BP E1243
EP E1251
DI 10.3109/0142159X.2013.768337
PD 2013
PY 2013
AB Background: A task force of MEDINE (Thematic Network on Medical
   Education in Europe) organized a survey of European Medical Schools.
   Aim: To investigate the link between education and biomedical research
   in the medical curriculum questioning university staff responsible for
   the curriculum.
   Method: The survey was online between 10/2006 and 3/2007. Answers
   pertained to the situation in the academic year 2005/06.
   Results: Ninety-one medical schools/faculties in 26 countries
   participated, but response rates to some questions were lower due to
   incomplete responses. In undergraduate programs, 3/4 of the schools
   offer research courses and in 2/3 students can do research themselves.
   However, in most schools, fewer than 10% students choose this option. In
   about half the medical schools writing a thesis is a requirement for
   graduation, although the term "thesis" is interpreted broadly. Color map
   analysis revealed the link between medical education and biomedical
   research: about 25% of the medical schools had little emphasis on
   research in their undergraduate curriculum.
   Conclusions: We identified the curriculum elements most suitable to
   improve the link between medical education and research for the initial
   stage (years 1-3) as literature search techniques, statistics and
   epidemiology, while for the advanced stage (years 4-6), writing a thesis
   was most relevant.
Z8 0
TC 16
ZR 0
ZB 5
ZA 0
ZS 0
Z9 16
U1 0
U2 2
SN 0142-159X
EI 1466-187X
UT WOS:000321486100007
PM 23363401
ER

PT J
AU Denecke, K.
   Krieck, M.
   Otrusina, L.
   Smrz, P.
   Dolog, P.
   Nejdl, W.
   Velasco, E.
TI How to Exploit Twitter for Public Health Monitoring?
SO METHODS OF INFORMATION IN MEDICINE
VL 52
IS 4
BP 326
EP 339
DI 10.3414/ME12-02-0010
PD 2013
PY 2013
AB Objectives: Detecting hints to public health threats as early as
   possible is crucial to prevent harm from the population. However, many
   disease surveillance strategies rely upon data whose collection requires
   explicit reporting (data transmitted from hospitals, laboratories or
   physicians). Collecting reports takes time so that the reaction time
   grows. Moreover, context information on individual cases is often lost
   in the collection process. This paper describes a system that tries to
   address these limitations by processing social media for identifying
   information on public health threats. The primary objective is to study
   the usefulness of the approach for supporting the monitoring of a
   population's health status.
   Methods: The developed system works in three main steps: Data from
   Twitter, blogs, and forums as well as from TV and radio channels are
   continuously collected and filtered by means of keyword lists. Sentences
   of relevant texts are classified relevant or irrelevant using a binary
   classifier based on support vector machines. By means of statistical
   methods known from bio-surveillance, the relevant sentences are further
   analyzed and signals are generated automatically when unexpected
   behavior is detected. From the generated signals a subset is selected
   for presentation to a user by matching with user queries or profiles. In
   a set of evaluation experiments, public health experts assessed the
   generated signals with respect to correctness and relevancy. In
   particular, it was assessed how many relevant and irrelevant signals are
   generated during a specific time period.
   Results: The experiments show that the system provides information on
   health events identified in social media. Signals are mainly generated
   from Twitter messages posted by news agencies. Personal tweets, i.e.
   tweets from persons observing some symptoms, only play a minor role for
   signal generation given a limited volume of relevant messages. Relevant
   signals referring to real world outbreaks were generated by the system
   and monitored by epidemiologists for example during the European
   football championship. But, the number of relevant signals among
   generated signals is still very small: The different experiments yielded
   a proportion between 5 and 20% of signals regarded as "relevant" by the
   users. Vaccination or education campaigns communicated via Twitter as
   well as use of medical terms in other contexts than for outbreak
   reporting led to the generation of irrelevant signals.
   Conclusions: The aggregation of information into signals results in a
   reduction of monitoring effort compared to other existing systems.
   Against expectations, only few messages are of personal nature,
   reporting on personal symptoms. Instead, media reports are distributed
   over social media channels. Despite the high percentage of irrelevant
   signals generated by the system, the users reported that the effort in
   monitoring aggregated information in form of signals is less demanding
   than monitoring huge social-media data streams manually. It remains for
   the future to develop strategies for reducing false alarms.
RI Smrz, Pavel/A-4763-2016; Dolog, Peter/C-7732-2014; Denecke, Kerstin/AAE-7114-2020; Smrz, Pavel/; Nejdl, Wolfgang/
OI Dolog, Peter/0000-0003-1842-9131; Denecke, Kerstin/0000-0001-6691-396X;
   Smrz, Pavel/0000-0002-5638-1362; Nejdl, Wolfgang/0000-0003-3374-2193
TC 36
ZA 0
ZS 0
Z8 0
ZR 0
ZB 10
Z9 37
U1 0
U2 61
SN 0026-1270
EI 2511-705X
UT WOS:000323468700007
PM 23877537
ER

PT J
AU Boland, M. R.
   Miotto, R.
   Gao, J.
   Weng, C.
TI Feasibility of Feature-based Indexing, Clustering, and Search of
   Clinical Trials
SO METHODS OF INFORMATION IN MEDICINE
VL 52
IS 5
BP 382
EP 394
DI 10.3414/ME12-01-0092
PD 2013
PY 2013
AB Background: When standard therapies fail, clinical trials provide
   experimental treatment opportunities for patients with drug-resistant
   illnesses or terminal diseases. Clinical Trials can also provide free
   treatment and education for individuals who otherwise may not have
   access to such care. To find relevant clinical trials, patients often
   search online; however, they often encounter a significant barrier due
   to the large number of trials and in-effective indexing methods for
   reducing the trial search space.
   Objectives: This study explores the feasibility of feature-based
   indexing, clustering, and search of clinical trials and informs designs
   to automate these processes.
   Methods: We decomposed 80 randomly selected stage III breast cancer
   clinical trials into a vector of eligibility features, which were
   organized into a hierarchy. We clustered trials based on their
   eligibility feature similarities. In a simulated search process,
   manually selected features were used to generate specific eligibility
   questions to filter trials iteratively.
   Results: We extracted 1,437 distinct eligibility features and achieved
   an inter-rater agreement of 0.73 for feature extraction for 37 frequent
   features occurring in more than 20 trials. Using all the 1,437 features
   we stratified the 80 trials into six clusters containing trials
   recruiting similar patients by patient-characteristic features, five
   clusters by disease-characteristic features, and two clusters by mixed
   features. Most of the features were mapped to one or more Unified
   Medical Language System (UMLS) concepts, demonstrating the utility of
   named entity recognition prior to mapping with the UMLS for automatic
   feature extraction.
   Conclusions: It is feasible to develop feature-based indexing and
   clustering methods for clinical trials to identify trials with similar
   target populations and to improve trial search efficiency.
OI Boland, Mary Regina/0000-0001-8576-6408; Miotto,
   Riccardo/0000-0002-7815-6000
TC 15
ZR 0
ZA 0
ZB 6
Z8 0
ZS 0
Z9 15
U1 1
U2 13
SN 0026-1270
EI 2511-705X
UT WOS:000326480900003
PM 23666475
ER

PT J
AU Mendelsohn, Daniel
   Lipsman, Nir
   Lozano, Andres M.
   Taira, Takaomi
   Bernstein, Mark
TI The Contemporary Practice of Psychiatric Surgery: Results from a Global
   Survey of Functional Neurosurgeons
SO STEREOTACTIC AND FUNCTIONAL NEUROSURGERY
VL 91
IS 5
BP 306
EP 313
DI 10.1159/000348323
PD 2013
PY 2013
AB Background: Interest in neurosurgery for psychiatric diseases (NPD) has
   grown globally. We previously reported the results of a survey of North
   American functional neurosurgeons that evaluated general attitudes
   towards NPD and the future directions of the field. Objectives: The
   purpose of this study was to expand on our previous work and obtain a
   snapshot in time of global attitudes towards NPD among practicing
   functional neurosurgeons. We measure general and regional trends in
   functional neurosurgery and focus specifically on surgery for mind and
   mood, while exploring the future prospects of the field. Methods: We
   designed an online survey and distributed it electronically to 881
   members of the following international organizations: World Society for
   Stereotactic and Functional Neurosurgery, European Society for
   Stereotactic and Functional Neurosurgery, Asian-Australasian Society for
   Stereotactic Functional Neurosurgery and the South and Latin American
   Society for Stereotactic and Functional Neurosurgery. Subsequent
   statistical and thematic analysis was performed on the data obtained.
   Results: Of 881 surveys distributed, 106 were returned (12.8%).
   Eighty-two percent of functional neurosurgeon respondents were
   fellowship trained, with movement disorders and pain making up the
   majority of their practice. Psychiatric indications are the most
   frequently treated conditions for 34% of survey respondents, and over
   half of participants (51%) perform epilepsy surgery. Of the psychiatric
   conditions, obsessive-compulsive disorder and depression are the most
   common disorders treated. The majority of respondents (90%) felt
   optimistic about the future of NPD. Two thirds cited the reluctance of
   psychiatrists to refer patients as the greatest obstacle facing the
   field, and a majority reported that a cultural stigma surrounding
   psychiatric diseases exists in their community. In response to
   hypothetical situations involving cognitive and personality enhancement,
   opinions varied, but the majority opposed enhancement interventions.
   Regional variations were examined as well and uncovered distinct
   attitudinal differences depending on geographic location. Conclusions:
   Surgery for psychiatric conditions is an expanding field within
   functional neurosurgery. The opinions of international functional
   neurosurgeons were largely in line with those of their North American
   colleagues. Optimism regarding the future of NPD predominates, and
   future editions of this survey can be used to track the evolution of
   neurosurgeons' attitudes towards NPD and neuroenhancement. Copyright (C)
   2013 S. Karger AG, Basel
RI Lozano, Andres M/A-5058-2012; Taira, Takaomi/; Lozano, Andres/
OI Taira, Takaomi/0000-0002-9982-4493; Lozano, Andres/0000-0001-8257-3694
ZA 0
Z8 0
ZB 6
ZR 0
TC 12
ZS 0
Z9 13
U1 0
U2 9
SN 1011-6125
EI 1423-0372
UT WOS:000323778500005
PM 23797416
ER

PT J
AU Roberts, Nicole K.
   Coplit, Lisa D.
TI Future Focus for Professional Development
SO TEACHING AND LEARNING IN MEDICINE
VL 25
SI SI
BP S57
EP S61
DI 10.1080/10401334.2013.842913
SU 1
PD JAN 1 2013
PY 2013
AB Professional development has evolved from individually focused
   sabbaticals and professional leaves to institutionally focused programs
   with an interest in developing faculty members' ability to teach in
   various environments as well as to succeed in the many endeavors they
   undertake. We address various issues related to professional development
   in the medical school arena. Professional development in medical school
   takes place in a context where faculty are stretched to engage in
   research and service not only for their own sake but also to financially
   support their institutions. This obligates professional developers to
   acknowledge and address the environments in which teaching faculty work,
   and to use approaches to professional development that honor the time
   and efforts of teaching faculty. These approaches may be brief
   interventions that make use of principles of education, and may include
   online offerings. Professional development will be most effective when
   professional developers acknowledge that most faculty members aspire to
   excellence in teaching, but they do so in an environment that pushes
   them to address competing concerns. Offering professional development
   opportunities that fit within the workplace environment, take little
   time, and build upon faculty's existing knowledge will assist in
   enhancing faculty success.
ZA 0
TC 3
ZR 0
Z8 0
ZB 0
ZS 0
Z9 3
U1 1
U2 14
SN 1040-1334
EI 1532-8015
UT WOS:000327135600009
PM 24246108
ER

PT J
AU Doyle, Nancy Wolcott
   Jacobs, Karen
TI Accommodating student learning styles and preferences in an online
   occupational therapy course
SO WORK-A JOURNAL OF PREVENTION ASSESSMENT & REHABILITATION
VL 44
IS 3
BP 247
EP 253
DI 10.3233/WOR-121501
PD 2013
PY 2013
AB Occupational therapy's online education must be research-based and
   inclusive. One way to provide a more inclusive online learning
   experience is to attend to individual learning styles and preferences.
   This study uses the best available evidence on learning styles and
   online education to develop, implement, and study occupational therapy
   students' experiences with an online learning module and related
   assignment. Eight students consented to take an online survey after
   completing a learning module and related assignment in an online
   post-professional graduate course in occupational therapy. The survey
   explored their learning experience and its applicability to clinical
   work. Data gathered from multiple-choice, Likert-scale, and open-ended
   questions were descriptively analyzed. Results from this study suggest
   that students find the study of learning styles and preferences
   enjoyable and applicable to their clinical work, but are often motivated
   by factors such as time and technology when selecting the format of a
   course assignment.
OI Jacobs, Karen/0000-0002-4718-990X
ZB 0
TC 6
Z8 0
ZA 0
ZS 1
ZR 0
Z9 7
U1 0
U2 18
SN 1051-9815
EI 1875-9270
UT WOS:000314803100002
PM 23324674
ER

PT J
AU Peluso, Michael J.
   Forrestel, Amy K.
   Hafler, Janet P.
   Rohrbaugh, Robert M.
TI Structured Global Health Programs in US Medical Schools: A Web-Based
   Review of Certificates, Tracks, and Concentrations
SO ACADEMIC MEDICINE
VL 88
IS 1
BP 124
EP 130
DI 10.1097/ACM.0b013e3182765768
PD JAN 2013
PY 2013
AB Purpose
   To determine the prevalence and requirements of structured,
   longitudinal, nondegree global health (GH) programs (e.g., certificates,
   tracks, concentrations) in U.S. MD-granting medical schools.
   Method
   In March 2011, two reviewers independently searched the Web sites of all
   133 U.S. MD-granting medical schools and reviewed Google search results
   seeking evidence of, information about, and the requirements of
   structured GH programs. The authors excluded programs that were not open
   to medical students, granted a degree, and/or required medical students
   to extend training time.
   Results
   Of 133 institutions analyzed, 32 (24%) had evidence of a structured GH
   program. Of the 30 (94%) programs for which the authors could find
   further information online, 16/30 (53%) were administered by the medical
   school, whereas 13/30 (43%) were administered by a different entity
   within the university; 1/30 (3%) was jointly administered. All 30 of the
   programs required additional didactic course work. The median number of
   courses was 4 (range: 1-12). Of the 30 schools with GH programs, 22
   (73%) required an international experiential component, but only 12/30
   (40%) specifically required an international clinical experience. Only 1
   school (3%) directly addressed language or cultural proficiency.
   Conclusions
   Although structured GH programs were offered at one-quarter of U.S.
   medical schools, little standardization across programs existed in terms
   of requirements for didactic, clinical, scholarly, and cultural
   components. Online GH program information is not easily accessible, but
   it may be valuable in the development of new structured programs, the
   refinement of programs that already exist, and students' selection of
   medical schools.
ZB 3
Z8 0
ZS 0
ZR 0
TC 34
ZA 0
Z9 35
U1 0
U2 11
SN 1040-2446
UT WOS:000312795900033
PM 23165271
ER

PT J
AU Finlay, Andrew Y.
TI Put the Student in Charge: Take Part in the Biggest Revolution Ever in
   Teaching and Learning in Dermatology
SO ACTA DERMATO-VENEREOLOGICA
VL 93
IS 1
BP 23
EP 26
DI 10.2340/00015555-1427
PD 2013
PY 2013
OI Finlay, Andrew Y/0000-0003-2143-1646
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 3
SN 0001-5555
EI 1651-2057
UT WOS:000313373300004
PM 22948480
ER

PT J
AU Gangat, Mariam
   Klein, Genna W
   Cohen, Hillel W
   Heptulla, Rubina A
TI National study of continuity clinic satisfaction in pediatric fellowship
   training.
SO Advances in medical education and practice
VL 4
BP 165
EP 9
DI 10.2147/AMEP.S51069
PD 2013
PY 2013
AB BACKGROUND: A national online survey was conducted to evaluate pediatric
   subspecialty fellow satisfaction regarding continuity clinic experience.
   METHODS: An anonymous online survey (SurveyMonkey) was developed to
   evaluate demographics of the program, clinic organization, and patient
   and preceptor characteristics, and to compare fellow satisfaction when
   fellows were the primary providers with faculty supervision versus
   attending-run clinics assisted by fellows or a combination of the two
   models. Pediatric subspecialty fellows in a 3-year Accreditation Council
   for Graduate Medical Education accredited program in the United States
   (excluding emergency medicine, neonatology, and critical care) were
   invited to participate.
   RESULTS: There were 644 respondents and nearly half (54%) of these had
   fellow-run clinics. Eighty-six percent of fellows responded that they
   would prefer to have their own continuity clinics. Higher satisfaction
   ratings on maintaining continuity of care, being perceived as the
   primary provider, and feeling that they had greater autonomy in patient
   management were associated with being part of a fellow-run clinic
   experience (all P < 0.001). Additionally, fellow-run clinics were
   associated with a feeling of increased involvement in designing a
   treatment plan based on their differential diagnosis (P < 0.001). There
   were no significant associations with patient or preceptor
   characteristics.
   CONCLUSION: Fellow-run continuity clinics provide fellows with a greater
   sense of satisfaction and independence in management plans.
ZR 0
ZA 0
ZS 0
ZB 0
TC 3
Z8 0
Z9 3
U1 0
U2 3
SN 1179-7258
UT MEDLINE:24101886
PM 24101886
ER

PT J
AU Greacen, Tim
   Friboulet, David
   Blachier, Audrey
   Fugon, Lionel
   Hefez, Serge
   Lorente, Nicolas
   Spire, Bruno
TI Internet-using men who have sex with men would be interested in
   accessing authorised HIV self-tests available for purchase online
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 25
IS 1
BP 49
EP 54
DI 10.1080/09540121.2012.687823
PD 2013
PY 2013
AB Men who have sex with men (MSM) recruited in sex venues have been shown
   to be interested in accessing HIV home-tests if reliable and authorised
   tests were available. To what extent is this true for MSM recruited
   online? In an online survey in French on the use of unauthorised HIV
   home-tests purchased online, MSM previously unaware of the existence of
   these tests were asked if they would be interested in accessing them if
   these tests were authorised. Among 5908 non-HIV positive respondents,
   86.5% expressed interest. Independent variables associated with interest
   included: being younger, living in smaller towns, having a job but not
   tertiary education and living in a conventional family with one's
   parents or a wife and family. Interested men were also more likely to
   have never done the standard HIV test or not in the last year, to have
   casual sex partners but on average not more than once a week, to take
   sexual risks with these partners, to live their sex-lives with men in
   absolute secrecy and yet often to try to make a date to see their sex
   partners again. Of the 5109 respondents interested in accessing
   self-tests purchasable online, 4362 (85.4%) answered an open question on
   their reasons for being interested. Using thematic analysis, principle
   themes identified proved to be similar to those found in earlier studies
   with MSM recruited in sex venues: convenience, rapidity accessing
   results and privacy. In answer to a closed question, men not interested
   chose as reasons: satisfaction with current method, doubts about
   reliability, not wanting to be alone when discovering results and fear
   of incorrect use. In conclusion, although the online questionnaire may
   have introduced selection bias over-representing men already interested,
   many Internet-using MSM are interested in accessing self-tests available
   for purchase online.
RI Spire, Bruno/F-5546-2013; Lorente, Nicolas/AAB-5279-2019
OI Spire, Bruno/0000-0002-3546-8020; Lorente, Nicolas/0000-0002-5320-1493
ZR 0
TC 33
Z8 4
ZA 0
ZB 8
ZS 0
Z9 37
U1 0
U2 15
SN 0954-0121
UT WOS:000311783600007
PM 22670681
ER

PT J
AU Svider, Peter F.
   Agarwal, Nitin
   Choudhry, Osamah J.
   Hajart, Aaron F.
   Baredes, Soly
   Liu, James K.
   Eloy, Jean Anderson
TI Readability assessment of online patient education materials from
   academic otolaryngology-head and neck surgery departments
SO AMERICAN JOURNAL OF OTOLARYNGOLOGY
VL 34
IS 1
BP 31
EP 35
DI 10.1016/j.amjoto.2012.08.001
PD JAN-FEB 2013
PY 2013
AB Purpose: The aim of this study was to compare the readability of online
   patient education materials among academic otolaryngology departments in
   the mid-Atlantic region, with the purpose of determining whether these
   commonly used online resources were written at a level readily
   understood by the average American.
   Methods: A readability analysis of online patient education materials
   was performed using several commonly used readability assessments
   including the Flesch Reading Ease Score, the FleschKincaid Grade Level,
   Simple Measure of Gobbledygook, Gunning Frequency of Gobbledygook, the
   New Dale-Chall Test, the Coleman-Liau Index, the New Fog Count, the
   Raygor Readability Estimate, the FORCAST test, and the Fry Graph.
   Results: Most patient education materials from these programs were
   written at or above an 11th grade reading level, considerably above
   National Institutes of Health guidelines for recommended difficulty.
   Conclusions: Patient educational materials from academic otolaryngology
   Web sites are written at too difficult a reading level for a significant
   portion of patients and can be simplified. (C) 2013 Elsevier Inc. All
   rights reserved.
OI Choudhry, Osamah/0000-0002-2790-2894
Z8 0
TC 73
ZR 0
ZA 0
ZS 0
ZB 14
Z9 73
U1 0
U2 18
SN 0196-0709
EI 1532-818X
UT WOS:000312571200006
PM 22959363
ER

PT J
AU Cuddy, Monica M.
   Swanson, David B.
   Drake, Richard L.
   Pawlina, Wojciech
TI Changes in anatomy instruction and USMLE performance: Empirical evidence
   on the absence of a relationship
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 1
BP 3
EP 10
DI 10.1002/ase.1343
PD JAN-FEB 2013
PY 2013
AB Anatomy instruction has evolved over the past two decades as many
   medical schools have undergone various types of curricular reform. To
   provide empirical evidence about whether or not curricular changes
   impact the acquisition and retention of anatomy knowledge, this study
   investigated the effect of variation in gross anatomy course hours,
   curricular approach (stand-alone versus integrated), and laboratory
   experience (dissection versus dissection and prosection) on USMLE Steps
   1 and 2 Clinical Knowledge (CK) scores. Gross anatomy course directors
   at 54 United States schools provided information about their gross
   anatomy courses via an online survey (response rate of 42%). Survey
   responses were matched with USMLE scores for 6,411 examinees entering
   LCME-accredited schools in 2007 and taking Step 1 for the first time in
   2009. Regression analyses were conducted to examine relationships
   between gross anatomy instructional characteristics and USMLE
   performance. Step 1 total scores, Step 1 gross anatomy sub-scores, and
   Step 2 CK scores were unrelated to instructional hours, controlling for
   MCAT scores. Examinees from schools with integrated curricula scored
   slightly lower on Steps 1 and 2 CK than those from stand-alone courses
   (effect sizes of 2.1 and 1.9 on score scales with SDs of 22 and 20,
   respectively). Examinees with dissection and prosection experience
   performed slightly better on Step 2 CK than examinees in courses with
   dissection only laboratories (effect size of 1.2). Results suggest
   variation in course hours is unrelated to performance on Steps 1 and 2
   CK. Although differences were observed in relation to curricular
   approach and laboratory experience, effect sizes were small. Anat Sci
   Educ 6: 310. (c) 2012 American Association of Anatomists.
TC 36
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
Z9 36
U1 0
U2 23
SN 1935-9772
UT WOS:000313248300002
PM 23297159
ER

PT J
AU Tworek, Janet K.
   Jamniczky, Heather A.
   Jacob, Christian
   Hallgrimsson, Benedikt
   Wright, Bruce
TI The LINDSAY Virtual Human Project: An immersive approach to anatomy and
   physiology
SO ANATOMICAL SCIENCES EDUCATION
VL 6
IS 1
BP 19
EP 28
DI 10.1002/ase.1301
PD JAN-FEB 2013
PY 2013
AB The increasing number of digital anatomy teaching software packages
   challenges anatomy educators on how to best integrate these tools for
   teaching and learning. Realistically, there exists a complex interplay
   of design, implementation, politics, and learning needs in the
   development and integration of software for education, each of which may
   be further amplified by the somewhat siloed roles of programmers,
   faculty, and students. LINDSAY Presenter is newly designed software that
   permits faculty and students to model and manipulate three-dimensional
   anatomy presentations and images, while including embedded quizzes,
   links, and text-based content. A validated tool measuring impact across
   pedagogy, resources, interactivity, freedom, granularity, and factors
   outside the immediate learning event was used in conjunction with
   observation, field notes, and focus groups to critically examine the
   impact of attitudes and perceptions of all stakeholders in the early
   implementation of LINDSAY Presenter before and after a three-week trial
   period with the software. Results demonstrate that external, personal
   media usage, along with students' awareness of the need to apply anatomy
   to clinical professional situations drove expectations of LINDSAY
   Presenter. A focus on the software over learning, which can be expected
   during initial orientation, surprisingly remained after three weeks of
   use. The time-intensive investment required to create learning content
   is a detractor from user-generated content and may reflect the
   consumption nature of other forms of digital learning. Early excitement
   over new technologies needs to be tempered with clear understanding of
   what learning is afforded, and how these constructively support future
   application and integration into professional practice. Anat Sci Educ.
   (c) 2012 American Association of Anatomists.
RI Hallgrimsson, Benedikt/A-9616-2008; Jamniczky, Heather/; Wright, Bruce/
OI Hallgrimsson, Benedikt/0000-0002-7192-9103; Jamniczky,
   Heather/0000-0002-2514-8226; Wright, Bruce/0000-0002-5056-9356
ZA 0
ZS 1
ZB 3
TC 23
ZR 0
Z8 0
Z9 25
U1 0
U2 38
SN 1935-9772
EI 1935-9780
UT WOS:000313248300004
PM 22791664
ER

PT J
AU Wake, Melissa
   Campbell, Michele W.
   Turner, Megan
   Price, Anna
   Sabin, Matthew A.
   Davis, Elizabeth
   Baur, Louise A.
TI How training affects Australian paediatricians' management of obesity
SO ARCHIVES OF DISEASE IN CHILDHOOD
VL 98
IS 1
BP 3
EP 8
DI 10.1136/archdischild-2012-301659
PD JAN 2013
PY 2013
AB Objective Secondary care could be the optimal sector for managing child
   and adolescent obesity, given low primary care uptake and limited
   tertiary services. We aimed to determine Australian paediatricians'
   self-reported competence and training in managing obesity and, in a
   linked patient-level audit, whether these predict rates of measurement
   and obesity diagnosis.
   Design, setting and patients Australian Paediatric Research Network
   members completed an online survey, plus a prospective patient-level
   audit of up to 100 consecutive consultations over 2 weeks.
   Main outcome measures Survey: self-reported competencies, training in
   and use of clinical skills in obesity and its comorbidities. Audit:
   paediatricians reported each child's height, weight, age, sex and
   diagnoses including overweight/obesity.
   Results Of 166 (44.7% response) paediatricians, most felt very/quite
   competent in assessing (89%) and managing (68%) obesity, but few in
   making a difference to obesity (20%) or managing hypertension (45%),
   insulin resistance (32%), fatty liver disease (22%) or dyslipidaemia
   (21%). The audit of 200 (66.2% response) paediatricians included 8345
   patients. On average paediatricians recorded height and weight for 66.5%
   of patients (SD 30.0%, range 0-100%). Of the 296 (12.3%) patients obese
   by CDC cutpoints, 118 (39.9%) were diagnosed as obese; perceived
   competence increased the odds of recording this diagnosis but not
   measurement. Training levels were low, showed little association with
   measurement or obesity diagnosis, and skills learnt were not routinely
   used.
   Conclusions There is a clear need for better paediatrician training in
   obesity management. However, care and outcomes for obese children are
   unlikely to improve unless effective management models can be
   operationalised systematically.
RI Sabin, Matthew/B-3539-2012; Wake, Melissa/J-1396-2012; Baur, Louise/AAE-3413-2021; Baur, Louise/; Price, Anna/; Davis, Elizabeth/
OI Sabin, Matthew/0000-0002-1828-7404; Wake, Melissa/0000-0001-7501-9257;
   Baur, Louise/0000-0002-4521-9482; Price, Anna/0000-0002-8117-8059;
   Davis, Elizabeth/0000-0003-4244-5473
ZS 0
ZR 0
TC 20
ZB 5
Z8 0
ZA 0
Z9 20
U1 0
U2 9
SN 0003-9888
EI 1468-2044
UT WOS:000312593100003
PM 22798694
ER

PT J
AU Mehta, Akanksha
   Li, Philip S.
TI Male infertility microsurgical training
SO ASIAN JOURNAL OF ANDROLOGY
VL 15
IS 1
SI SI
BP 61
EP 66
DI 10.1038/aja.2012.86
PD JAN 2013
PY 2013
AB Microsurgical training is imperative for urologists and clinical
   andrologists specializing in male infertility. Success in male
   infertility microsurgery is heavily dependent on the surgeon's
   microsurgical skills. Laboratory-based practice to enhance microsurgical
   skills improves the surgeon's confidence, and reduces stress and
   operating time, benefiting both the patient and the surgeon. This review
   provides guidelines for setting up a microsurgical laboratory to develop
   and enhance microsurgical skills using synthetic and animal models. The
   role of emerging techniques, such as robotic-assisted microsurgery, is
   also discussed. Asian Journal of Andrology (2013) 15, 61-66;
   doi:10.1038/aja.2012.86; published online 19 November 2012
ZA 0
ZB 5
ZS 0
Z8 6
ZR 0
TC 10
Z9 14
U1 0
U2 5
SN 1008-682X
EI 1745-7262
UT WOS:000313209500012
PM 23160265
ER

PT J
AU Khan, Nuzhath
   Khan, Mohammed S.
   Dasgupta, Prokar
   Ahmed, Kamran
TI The surgeon as educator: fundamentals of faculty training in surgical
   specialties
SO BJU INTERNATIONAL
VL 111
IS 1
BP 171
EP 178
DI 10.1111/j.1464-410X.2012.11336.x
PD JAN 2013
PY 2013
AB Objective
   To explore faculty training in the field of surgical specialities with a
   focus on the educational aspect of faculty training. Teaching is an
   important commitment for academic surgeons alongside duties of patient
   care, research and continuing professional development. Educating
   surgical faculty in the skills of teaching is becoming increasingly
   important and the realisation that clinical expertise does not
   necessarily translate to teaching expertise has led to the notion that
   faculty members require formal training in teaching methods and
   educational theory to teach effectively. The aim of faculty training or
   development is to increase knowledge and skills in teaching, research
   and administration of faculty members.
   Materials and Methods
   A range of resources, e. g. journal articles, books and online
   literature was reviewed to investigate faculty development programmes in
   surgery.
   Various issues were addressed, e. g. the need for faculty development,
   evaluating the various types of training programmes and their outcomes,
   and exploring barriers to faculty training.
   Recommendations were provided based on the findings.
   Results
   There is increased recognition that faculty members require basic
   training in educational theory and teaching skills to teach effectively.
   Most faculty training programmes are workshops and short courses, which
   use participant satisfaction as an outcome measure. However, there is
   growing consensus that longer term interventions, e. g. seminar series,
   longitudinal programmes and fellowships, produce more sustainable change
   in learning, behaviour and organisational culture.
   Barriers to faculty development include lack of protected time, reward
   and recognition for teaching.
   Conclusion
   Recommendations are made including better documentation of faculty
   training interventions within surgery, further investigation into the
   effectiveness of long-vs short-term interventions, improved methodology,
   and increased recognition and reward for educational accomplishments.
OI Ahmed, Kamran/0000-0002-5135-9211; Dasgupta, Prokar/0000-0001-8690-0445
ZS 0
ZR 0
ZB 5
ZA 0
Z8 1
TC 28
Z9 29
U1 0
U2 20
SN 1464-4096
EI 1464-410X
UT WOS:000315160900030
PM 22928668
ER

PT J
AU Jackson, Emma J.
   Moreton, Adam
TI Safety during night shifts: a cross-sectional survey of junior doctors'
   preparation and practice
SO BMJ OPEN
VL 3
IS 9
AR e003567
DI 10.1136/bmjopen-2013-003567
PD 2013
PY 2013
AB Objectives: We aimed to determine whether junior doctors and trusts in
   the region make use of published evidence relating to best practice
   during night shift work that can safeguard alertness, reduce fatigue and
   limit mistakes. We surveyed junior doctors' preparation for and practice
   during night shifts, and the working and living conditions offered by
   hospitals for junior doctors carrying out night duties.
   Design: Cross-sectional survey.
   Setting: An anonymous online questionnaire was sent to junior doctors
   training within Health Education North West from 13 December 2012 to 14
   February 2013.
   Participants: 32% (16/42) of trusts within Health Education North West
   sent the survey to 2139 junior doctor email addresses; 24.5% (524/2139)
   entered data into the survey.
   Results: 91.6% of surveyed junior doctors worked night shifts. Prior to
   starting night shifts, 65% do not have a 'prophylactic' afternoon nap.
   At work, half (49%) can access a room with a reclining chair while 24%
   have a room with a bed. 37% 'never' achieve a 'natural break' on night
   shift; 53% 'never' achieve the recommended 20 45 min nap. 91% of
   respondents were unaware of the duration of sleep inertia that can
   affect alertness upon waking. When converting between day/night shifts,
   2% use light lamps and 6% use non-benzodiazepine sedatives. Principal
   themes from free text analysis were feeling lethargic or unwell during
   night shifts, concern for patient and personal safety and inability to
   rest or take breaks.
   Conclusions: The trainees surveyed find night shifts difficult, yet do
   not/are unable to implement evidence-based recommendations to limit
   fatigue. Results suggest those surveyed experience a lack of rest
   facilities within their place of work and a demanding workload. The
   results may indicate the need to increase awareness of the potential
   benefits associated with different interventions that can help mitigate
   the fatigue associated with rotating shift work.
OI Moreton, Adam/0000-0001-9818-3199
Z8 0
ZS 0
ZA 0
TC 19
ZB 5
ZR 0
Z9 19
U1 0
U2 10
SN 2044-6055
UT WOS:000330541900071
PM 24056488
ER

PT J
AU Pidala, J.
   Craig, B. M.
   Lee, S. J.
   Majhail, N.
   Quinn, G.
   Anasetti, C.
TI Practice variation in physician referral for allogeneic hematopoietic
   cell transplantation
SO BONE MARROW TRANSPLANTATION
VL 48
IS 1
BP 63
EP 67
DI 10.1038/bmt.2012.95
PD JAN 2013
PY 2013
AB Hematological malignancy patients not referred by their primary
   hematologist/medical oncologist suffer disparate access to allogeneic
   hematopoietic cell transplantation (HCT). However, investigation into
   physician, system and patient factors relevant to this decision making
   is lacking. We surveyed a national randomized sample of practicing
   hematologists/medical oncologists identified through the AMA (American
   Medical Association) masterfile. A modified Dillman approach was
   utilized to encourage survey response. From 1200 surveyed, a total of
   113 physicians responded. In all, 68% were male, 62% identified as
   White/non-Hispanic, 79% practiced in non-academic settings and 80%
   reported spending 75-100% of their professional effort in clinical care.
   Using clinical vignettes, we detected significantly increased odds for
   HCT non-referral according to age (age 60 vs 30, odds ratio (OR) 8.3,
   95% confidence interval (CI): 5.9-11.7, P<0.0001), insurance coverage
   (no coverage vs coverage, OR 6.9, 95% CI: 5.2-9.1, P<0.0001) and race
   (African-American vs Caucasian, OR 2.4, 95% CI: 1.9-2.9, P<0.0001).
   Physician (perception of HCT risks), system (insurance coverage) and
   patient (age, social support and co-morbid illness) factors were
   strongly endorsed by respondents as important determinants of their HCT
   referral practices. These data speak to important factors relevant to
   HCT referral practices, and highlight several opportunities for
   education and intervention to reduce current disparities. Bone Marrow
   Transplantation (2013) 48, 63-67; doi:10.1038/bmt.2012.95; published
   online 18 June 2012
RI Quinn, Gwendolyn/H-7673-2019
OI Quinn, Gwendolyn/0000-0002-4208-9889
TC 51
ZA 0
ZR 0
ZB 15
Z8 0
ZS 0
Z9 51
U1 0
U2 4
SN 0268-3369
EI 1476-5365
UT WOS:000313519100013
PM 22705801
ER

PT J
AU Lebrun, Constance M.
   Mrazik, Martin
   Prasad, Abhaya S.
   Tjarks, B. Joel
   Dorman, Jason C.
   Bergeron, Michael F.
   Munce, Thayne A.
   Valentine, Verle D.
TI Sport concussion knowledge base, clinical practises and needs for
   continuing medical education: a survey of family physicians and
   cross-border comparison
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 47
IS 1
BP 54
EP 59
DI 10.1136/bjsports-2012-091480
PD JAN 2013
PY 2013
AB Context Evolving concussion diagnosis/management tools and guidelines
   make Knowledge Transfer and Exchange (KTE) to practitioners challenging.
   Objective Identify sports concussion knowledge base and practise
   patterns in two family physician populations; explore current/preferred
   methods of KTE.
   Design A cross-sectional study.
   Setting Family physicians in Alberta, Canada (CAN) and North/South
   Dakota, USA.
   Participants CAN physicians were recruited by mail: 2.5% response rate
   (80/3154); US physicians through a database: 20% response rate
   (109/545).
   Intervention/instrument Online survey.
   Main and secondary outcome measures Diagnosis/management strategies for
   concussions, and current/preferred KTE.
   Results Main reported aetiologies: sports/recreation (52.5% CAN);
   organised sports (76.5% US). Most physicians used clinical examination
   (93.8% CAN, 88.1% US); far fewer used the Sport Concussion Assessment
   Tool (SCAT1/SCAT2) and balance testing. More US physicians initially
   used concussion-grading scales (26.7% vs 8.8% CAN, p=0.002);
   computerised neurocognitive testing (19.8% vs 1.3% CAN; p<0.001) and
   Standardised Assessment of Concussion (SAC) (21.8% vs 7.5% CAN;
   p=0.008). Most prescribed physical rest (83.8% CAN, 75.5% US), while
   fewer recommended cognitive rest (47.5% CAN, 28.4% US; p=0.008).
   Return-to-play decisions were based primarily on clinical examination
   (89.1% US, 73.8% CAN; p=0.007); US physicians relied more on
   neurocognitive testing (29.7% vs 5.0% CAN; p<0.001) and recognised
   guidelines (63.4% vs 23.8% CAN; p<0.001). One-third of Canadian
   physicians received KTE from colleagues, websites and medical school
   training. Leading KTE preferences included Continuing Medical Education
   (CME) courses and online CME.
   Conclusions Existing published recommendations regarding
   diagnosis/management of concussion are not always translated into
   practise, particularly the recommendation for cognitive rest;
   predicating enhanced, innovative CME initiatives.
RI Lebrun, Constance/K-6430-2013
Z8 0
ZS 0
ZB 12
TC 45
ZR 0
ZA 0
Z9 45
U1 1
U2 45
SN 0306-3674
EI 1473-0480
UT WOS:000313762100015
PM 23178923
ER

PT J
AU Reiff, M.
   Ross, K.
   Mulchandani, S.
   Propert, K. J.
   Pyeritz, R. E.
   Spinner, N. B.
   Bernhardt, B. A.
TI Physicians' perspectives on the uncertainties and implications of
   chromosomal microarray testing of children and families
SO CLINICAL GENETICS
VL 83
IS 1
BP 23
EP 30
DI 10.1111/cge.12004
PD JAN 2013
PY 2013
AB Reiff M, Ross K, Mulchandani S, Propert KJ, Pyeritz RE, Spinner NB,
   Bernhardt BA. Physicians' perspectives on the uncertainties and
   implications of chromosomal microarray testing of children and families.
   Clin Genet 2013: 83: 23-30. (C) John Wiley & Sons A/S. Published by
   Blackwell Publishing Ltd, 2012 Chromosomal microarray analysis (CMA) has
   improved the diagnostic rate of genomic disorders in pediatric
   populations, but can produce uncertain and unexpected findings. This
   article explores clinicians' perspectives and identifies challenges in
   effectively interpreting results and communicating with families about
   CMA. Responses to an online survey were obtained from 40 clinicians who
   had ordered CMA. Content included practice characteristics and
   perceptions, and queries about a hypothetical case involving uncertain
   and incidental findings. Data were analyzed using nonparametric
   statistical tests. Clinicians' comfort levels differed significantly for
   explaining uncertain, abnormal, and normal CMA results, with lowest
   levels for uncertain results. Despite clinical guidelines recommending
   informed consent, many clinicians did not consider it pertinent to
   discuss the potential for CMA to reveal information concerning
   biological parentage or predisposition to late-onset disease, in a
   hypothetical case. Many non-genetics professionals ordering CMA did not
   feel equipped to interpret the results for patients, and articulated
   needs for education and access to genetics professionals. This
   exploratory study highlights key challenges in the practice of genomic
   medicine, and identifies needs for education, disseminated practice
   guidelines, and access to genetics professionals, especially when
   dealing with uncertain or unexpected findings.
OI Reiff, Marian/0000-0003-1199-6598
ZS 0
Z8 0
TC 44
ZB 23
ZR 0
ZA 0
Z9 44
U1 0
U2 13
SN 0009-9163
EI 1399-0004
UT WOS:000312544000005
PM 22989118
ER

PT J
AU Steinauer, Jody E.
   Hawkins, Mitchel
   Turk, Jema K.
   Darney, Phil
   Preskill, Felisa
   Landy, Uta
TI Opting out of abortion training: benefits of partial participation in a
   dedicated family planning rotation for ob-gyn residents
SO CONTRACEPTION
VL 87
IS 1
BP 88
EP 92
DI 10.1016/j.contraception.2012.09.002
PD JAN 2013
PY 2013
AB Background: This study was conducted to describe the experiences of
   residents who opt out of some components of a dedicated abortion
   rotation.
   Study Design: Eligible residents at programs receiving funding from the
   Kenneth J. Ryan Residency Training Program in Abortion and Family
   Planning were invited to complete a cross-sectional, online survey.
   Results: The majority of residents who opted out of some portion of the
   family planning training reported that the rotation positively affected
   skills in pregnancy options counseling, cervical dilation,
   first-trimester ultrasound, techniques of first-trimester uterine
   evacuation and other skills. Twenty-one of the 65 (31%) did an elective
   abortion, and 56 (84%) completed aspirations for at least one
   non-elective indication including therapeutic abortion and miscarriage.
   While no resident desired additional elective abortion training, 11
   (16%) wanted additional uterine aspiration and 14 (21%) wanted
   additional second-trimester uterine aspiration training for non-elective
   indications.
   Conclusion: Providing access to an abortion rotation for residents who
   do not plan to do elective abortions gives them the opportunity to
   improve their skills in family planning, therapeutic abortion and
   miscarriage management. (c) 2013 Elsevier Inc. All rights reserved.
RI turk, jema/GRR-9919-2022
Z8 0
ZS 1
ZR 0
ZA 0
TC 13
ZB 7
Z9 13
U1 0
U2 4
SN 0010-7824
EI 1879-0518
UT WOS:000312748400016
PM 23062522
ER

PT J
AU Beach, Elizabeth
   Williams, Warwick
   Gilliver, Megan
TI Estimating Young Australian Adults' Risk of Hearing Damage From Selected
   Leisure Activities
SO EAR AND HEARING
VL 34
IS 1
BP 75
EP 82
DI 10.1097/AUD.0b013e318262ac6c
PD JAN-FEB 2013
PY 2013
AB Objective: Several previous studies have attempted to estimate the risk
   of noise-induced hearing loss from loud leisure noise. Some of these
   studies may have overestimated the risk because they used noise
   estimates taken from the higher end of reported levels. The aim of the
   present study was to provide a realistic estimate of the number of young
   Australian adults who may be at risk of hearing damage and eventual
   hearing loss from leisure-noise exposure.
   Design: Average noise levels at five high-noise leisure activities, (1)
   nightclubs; (2) pubs, bars, and registered clubs; (3) fitness classes;
   (4) live sporting events; (5) concerts and live music venues, were
   calculated using 108 measurements taken from a large database of leisure
   noise measurements. In addition, an online survey was administered to a
   convenience sample of 1000 young adults aged 18 to 35 years, who
   reported the time spent at these leisure activities and the frequency
   with which they undertook the activities. They also answered questions
   about tinnitus and their perceived risk of hearing damage. Although the
   survey data cannot be considered representative of the population of
   young Australian adults, it was weighted to this population in respect
   of age, gender, education, and location. The survey data and the average
   noise levels were used to estimate each individual's annual noise
   exposure, and in turn, estimate those at risk of hearing damage from
   leisure-noise exposure.
   Results: For the majority of participants (n = 868), the accumulated
   leisure noise level was within the acceptable workplace limit. However,
   132 participants or 14.1% (population weighted) were exposed to an
   annual noise dose greater than the acceptable workplace noise limit. By
   far, the main source of high-risk leisure noise was from nightclubs.
   Those with more leisure-noise exposure experienced more tinnitus and
   perceived themselves to be more at risk than those with lower noise
   exposures.
   Conclusions: It is recommended that nightclub operators reduce noise
   levels, display warnings, and provide earplugs for patrons and
   employees. Health promoters should focus their attention on those young
   adults who are most at risk and provide them with targeted practical
   advice about reducing their leisure-noise exposure and avoiding hearing
   loss. (Ear & Hearing 2013;34:75-82)
ZR 0
Z8 0
ZA 0
ZS 1
TC 44
ZB 18
Z9 47
U1 1
U2 40
SN 0196-0202
UT WOS:000312639800009
PM 22976343
ER

PT J
AU Kaur, Inderpreet
   Lucas, Beverley
TI GP tutor opinions on quality criteria generated for undergraduate
   education in primary care: a practice-based educational evaluation.
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 24
IS 3
BP 185
EP 94
PD 2013-May
PY 2013
AB This study explores GP tutor views of a nationally derived list of
   quality criteria for undergraduate and postgraduate practice-based
   teaching. Whilst these published criteria provided a means of
   benchmarking locally, an evaluation of utility in practice required
   further exploration. This educational evaluation was conducted within a
   West Yorkshire locality as a means of supporting their practice-based
   primary care education. A survey approach using an online Likert scaled
   questionnaire was distributed to all GP tutors with an additional
   opportunity for free text qualitative comments. Data were analysed using
   an online reporting package for survey results (MarketSight) and
   thematic analysis of qualitative data. Key findings were that in general
   all the criteria were rated having a high level of importance with 83%
   of GPs claiming they would find such a list important in directing their
   learning and teaching approach. The opinions on out-of-hours experiences
   for medical students were also interesting as they differed greatly.
   These findings will be of interest to those involved in the organisation
   and delivery of medical education within primary care as the list of
   criteria could act as a structural guide for directing medical student
   teaching, learning and its quality assurance. Implications for further
   research include the utility of core criteria and the exploration of
   out-of-hours experience for medical student education.
ZR 0
ZS 0
ZB 0
Z8 0
TC 1
ZA 0
Z9 1
U1 0
U2 2
SN 1473-9879
UT MEDLINE:23676874
PM 23676874
ER

PT S
AU Househ, Mowafa
BE Courtney, KL
   Shabestari, O
   Kuo, A
TI The Use of Social Media in Healthcare: Organizational, Clinical, and
   Patient Perspectives
SO ENABLING HEALTH AND HEALTHCARE THROUGH ICT: AVAILABLE, TAILORED AND
   CLOSER
SE Studies in Health Technology and Informatics
VL 183
BP 244
EP 248
DI 10.3233/978-1-61499-203-5-244
PD 2013
PY 2013
AB The purpose of this review paper is to explore the impacts of social
   media on healthcare organizations, clinicians, and patients. This study
   found that healthcare organizations, clinicians and patients can benefit
   from the use of social media. For healthcare organizations, social media
   can be used primarily for community engagement activities such as
   fundraising, customer service and support, the provision of news and
   information, patient education, and advertising new services. The study
   also found that the most widely used social media venues for physicians
   were online communities where physicians can read news articles, listen
   to experts, research new medical developments, network, and communicate
   with colleagues regarding patient issues. Patients can benefit from the
   use of social media through education, obtaining information,
   networking, performing research, receiving support, goal setting, and
   tracking personal progress. Future research should further examine other
   financial, technological, informational, ethical, legal, and privacy
   issues surrounding the use of social media in healthcare.
RI Househ, Mowafa/GPX-8430-2022; Househ, Mowafa/GPX-8317-2022
OI Househ, Mowafa/0000-0002-3648-6271
Z8 0
ZS 0
ZA 0
TC 124
ZR 0
ZB 11
Z9 124
U1 0
U2 23
SN 0926-9630
EI 1879-8365
BN 978-1-61499-203-5; 978-1-61499-202-8
UT WOS:000324305500041
PM 23388291
ER

PT J
AU Codenotti, M.
   Maestranzi, G.
   De Benedetto, U.
   Querques, G.
   Della Valle, P.
   Iuliano, L.
   Fogliato, G.
   D'Angelo, A.
   Bandello, F.
TI Continuing Medical Education: Vitreomacular traction syndrome: a
   comparison of treatment with intravitreal plasmin enzyme vs spontaneous
   vitreous separation without treatment
SO EYE
VL 27
IS 1
BP 22
EP 27
DI 10.1038/eye.2012.248
PD JAN 2013
PY 2013
AB Purpose To evaluate the effects of intravitreal autologous plasmin
   enzyme (APE) in patients with focal vitreomacular traction (VMT).
   Methods APE was obtained by incubation of patient-derived purified
   plasminogen with streptokinase, and intravitreally injected 5-12 days
   later. Twenty-four hours after injection, in case of incomplete VMT
   release, a pars plana vitrectomy was performed. The hyaloid internal
   limiting membrane adherence and removal of the posterior hyaloid were
   intraoperatively evaluated.
   Results Thirteen patients were recruited. During preparation of APE,
   five patients had spontaneous release of VMT. Eight patients received
   APE injection (2 IU). In five patients, spontaneous resolution of VMT
   occurred before APE administration. Twenty-four hours after injection,
   persistence of VMT was detected in all the eight treated patients.
   Best-corrected visual acuity was 0.51 +/- 0.37 LogMAR at baseline,
   improving to 0.23 +/- 0.14 LogMAR at 6 months (P = 0.002). Foveal
   thickness was 464 +/- 180 mu m at baseline, reducing to 246 +/- 59 mu m
   at 6 months (P < 0.001). Hyaloid was intraoperatively judged 'partially
   detached' in seven cases and 'totally detached' in one case. Hyaloid
   peeling was evaluated 'easy' in six eyes and 'very easy' in two eyes.
   Conclusions In the current study, there was a large percentage of
   spontaneous resolution of VMT before an APE administration. A single
   intravitreal APE injection seems insufficient to induce a complete
   posterior vitreous detachment in these patients. Eye (2013) 27, 22-27;
   doi:10.1038/eye.2012.248; published online 14 December 2012
RI bandello, francesco/AAH-2405-2019; Iuliano, Lorenzo/X-1333-2019; Iuliano, Lorenzo/L-5889-2019; Valle, Patrizia Della/AAA-4089-2019; D'Angelo, Armando/K-2583-2018; Fogliato, Giovanni/; Codenotti, Marco/; Querques, Giuseppe/
OI bandello, francesco/0000-0003-3238-9682; Iuliano,
   Lorenzo/0000-0001-6664-1327; Iuliano, Lorenzo/0000-0001-6664-1327;
   Valle, Patrizia Della/0000-0002-2790-3088; D'Angelo,
   Armando/0000-0002-9857-4509; Fogliato, Giovanni/0000-0001-5627-8210;
   Codenotti, Marco/0000-0002-7221-7941; Querques,
   Giuseppe/0000-0002-3292-9581
ZB 9
ZS 0
TC 11
ZA 0
ZR 0
Z8 1
Z9 11
U1 0
U2 4
SN 0950-222X
UT WOS:000313557200003
PM 23238441
ER

PT J
AU Thaler, Lore
TI Echolocation may have real-life advantages for blind people: an analysis
   of survey data
SO FRONTIERS IN PHYSIOLOGY
VL 4
AR 98
DI 10.3389/fphys.2013.00098
PD 2013
PY 2013
AB Some people can echolocate by making sonar emissions (e.g.,
   mouth-clicks, finger snaps, feet shuffling, humming, cane tapping, etc.)
   and listening to the returning echoes. To date there are no statistics
   available about how many blind people use echolocation, but anecdotal
   reports in the literature suggest that perhaps between 20 and 30% of
   totally blind people may use it, suggesting that echolocation affords
   broad functional benefits. Consistent with the notion that blind
   individuals benefit from the use of echolocation, previous research
   conducted under controlled experimental conditions has shown that
   echolocation improves blind people's spatial sensing ability. The
   current study investigated if there is also evidence for functional
   benefits of echolocation in real life. To address this question the
   current study conducted an online survey. Thirty-seven blind people
   participated. Linear regression analyses of survey data revealed that,
   while statistically controlling for participants' gender, age, level of
   visual function, general health, employment status, level of education,
   Braille skill, and use of other mobility means, people who use
   echolocation have higher salary, and higher mobility in unfamiliar
   places, than people who do not use echolocation. The majority of our
   participants (34 out of 37) use the long cane, and all participants who
   reported to echolocate, also reported to use the long cane. This
   suggests that the benefit of echolocation that we found might be
   conditional upon the long cane being used as well. The investigation was
   correlational in nature, and thus cannot be used to determine causality.
   In addition, the sample was small (N = 37), and one should be cautious
   when generalizing the current results to the population. The data,
   however, are consistent with the idea that echolocation offers real-life
   advantages for blind people, and that echolocation may be involved in
   peoples' successful adaptation to vision loss.
Z8 0
ZB 18
TC 40
ZA 0
ZS 0
ZR 0
Z9 41
U1 0
U2 18
SN 1664-042X
UT WOS:000346774000096
PM 23658546
ER

PT J
AU van den Berg, Gerrit
   van Eijsden, Manon
   Galindo-Garre, Francisca
   Vrijkotte, Tanja G. M.
   Gemke, Reinoud J. B. J.
TI Explaining Socioeconomic Inequalities in Childhood Blood Pressure and
   Prehypertension The ABCD Study
SO HYPERTENSION
VL 61
IS 1
BP 35
EP +
DI 10.1161/HYPERTENSIONAHA.111.00106
PD JAN 2013
PY 2013
AB Much remains to be understood about the socioeconomic inequalities in
   hypertension that continue to exist. We investigated the association of
   socioeconomic status with blood pressure and prehypertension in
   childhood. In a prospective cohort, 3024 five- to six-year-old children
   had blood pressure measurements and available information on potential
   explanatory factors, namely birth weight, gestational age, smoking
   during pregnancy, pregnancy-induced hypertension, familial hypertension,
   maternal body mass index, breastfeeding duration, domestic tobacco
   exposure, and body mass index. The systolic and diastolic blood
   pressures of children from mid-educated women were 1.0-mm Hg higher (95%
   CI, 0.4-1.7) and 0.9-mm Hg higher (95% CI, 0.3-1.4), and the blood
   pressures of children with low-educated women were 2.2-mm Hg higher (95%
   CI, 1.4-3.0) and 1.7-mm Hg higher (95% CI, 1.1-2.4) compared with
   children with high-educated women. Children with mid- (odds ratio, 1.50;
   95% CI, 1.18-1.92) or low-educated mothers (odds ratio, 1.80; 95% CI,
   1.35-2.42) were more likely to have prehypertension compared with
   children with high-educated mothers. Using path analyses, birth weight,
   breastfeeding duration, and body mass index were determined as having a
   role in the association of maternal education with offspring blood
   pressure and prehypertension. The socioeconomic gradient in hypertension
   appears to emerge from childhood as the results show a higher blood
   pressure and more prehypertension in children from lower socioeconomic
   status families. Socioeconomic disparities could be reduced by improving
   3 factors in particular, namely birth weight, breastfeeding duration,
   and body mass index, but other factors might also play a role.
   (Hypertension. 2013;61:35-41.) circle Online Data Supplement
OI Vrijkotte, Tanja/0000-0003-3641-4048
ZA 0
ZR 0
ZB 12
Z8 0
ZS 2
TC 35
Z9 35
U1 0
U2 15
SN 0194-911X
EI 1524-4563
UT WOS:000312386200015
PM 23129697
ER

PT J
AU Schechter-Perkins, Elissa M
   Forget, Nicolas P
   Mallon, William K
TI A survey of the beliefs regarding international emergency medicine among
   fourth-year medical students planning on matching in emergency medicine.
SO International journal of emergency medicine
VL 6
IS 1
BP 18
EP 18
DI 10.1186/1865-1380-6-18
PD 2013 Jun 20
PY 2013
AB BACKGROUND: With the recent growth of fellowships in international
   emergency medicine, the authors sought to evaluate medical students'
   attitudes toward international emergency medicine and to determine the
   effects these attitudes have on their residency selection.
   METHODS: 
   STUDY DESIGN: Cross-sectional survey.
   DATA COLLECTION: An anonymous, eight-question online survey was
   distributed to all members of the American Academy of Emergency Medicine
   Resident and Student section. This survey was also distributed to
   fourth-year medical students rotating through the Emergency Department
   at Los Angeles County and the University of Southern California.
   RESULTS: Ninety-eight surveys were collected, 61 from rotating students
   and 37 from the AAEM mailing. There were no statistically significant
   differences in responses between the two groups. Of the respondents,
   49.4% of have been exposed to IEM, and 46.9% have participated in
   international health projects. Ninety-four percent agree that IEM is an
   exciting career option. Seventy-nine percent said programs with IEM
   opportunities are more appealing than those without, and 45% said the
   presence of IEM opportunities would be an important factor in rank list;
   53% believe that IEM requires formal public health training, and 63%
   believe it requires tropical medicine training; 68.3%of respondents
   speak a language in addition to English. This subset was more likely to
   have participated in IEM projects previously (p = 0.026) but not more
   likely to make match choices based on IEM.
   CONCLUSIONS: Half of medical students surveyed had prior experience in
   international health, and most agree that international emergency
   medicine is an exciting career option. Over two thirds believe that the
   presence of IEM opportunities will be a factor in their match list
   decision.
OI Schechter-Perkins, Elissa/0000-0003-1798-9663
TC 0
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
Z9 0
U1 0
U2 2
SN 1865-1372
UT MEDLINE:23787034
PM 23787034
ER

PT J
AU Clark, Michele
   Gray, Marion
   Mooney, Jane
TI New graduate occupational therapists' perceptions of near-misses and
   mistakes in the workplace.
SO International journal of health care quality assurance
VL 26
IS 6
BP 564
EP 76
PD 2013
PY 2013
AB PURPOSE: The purpose of this paper is to explore the perceptions of
   near-misses and mistakes among new graduate occupational therapists from
   Australia and Aotearoa/New Zealand (NZ), and their knowledge of current
   incident reporting systems.
   DESIGN/METHODOLOGY/APPROACH: New graduate occupational therapists in
   Australia and Aotearoa/NZ in their first year of practice (n = 228)
   participated in an online electronic survey that examined five areas of
   work preparedness. Near-misses and mistakes was one focus area.
   FINDINGS: The occurrence and disclosure of practice errors among new
   graduate occupational therapists are similar between Australian and
   Aotearoa/NZ participants. Rural location, structured supervision and
   registration status significantly influenced the perceptions and
   reporting of practice errors. Structured supervision significantly
   impacted on reporting procedure knowledge. Current registration status
   was strongly correlated with perceptions that the workplace encouraged
   event reporting.
   RESEARCH LIMITATIONS/IMPLICATIONS: Areas for further investigation
   include investigating the perceptions and knowledge of practice errors
   within a broader profession and the need to explore definitional aspects
   and contextual factors of adverse events that occur in allied health
   settings. Selection bias may be a factor in this study.
   PRACTICAL IMPLICATIONS: Findings have implications for university and
   workplace structures, such as clinical management, supervision, training
   about practice errors and reporting mechanisms in allied health.
   ORIGINALITY/VALUE: Findings may enable the development of better
   strategies for detecting, managing and preventing practice errors in the
   allied health professions.
Z8 0
ZR 0
ZA 0
ZB 0
TC 3
ZS 0
Z9 3
U1 0
U2 0
SN 0952-6862
UT MEDLINE:24003756
PM 24003756
ER

EF