﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU McNicholl, Adrian G.
   Amador, Javier
   Ricote, Mercedes
   Canones-Garzon, Pedro J.
   Gene, Emili
   Calvet, Xavier
   Gisbert, Javier P.
CA Spanish Primary Care Soc SEMFyC
   SEMERGEN
   SEMG
   Spanish Assoc Gastroenterology
   OPTICARE Long-Term Educ Project
TI Spanish primary care survey on the management of Helicobacter pylori
   infection and dyspepsia: Information, attitudes, and decisions
SO HELICOBACTER
VL 24
IS 4
AR e12593
DI 10.1111/hel.12593
PD AUG 2019
PY 2019
AB Introduction Dyspepsia and Helicobacter pylori are two of the most
   relevant digestive conditions in primary care. Several consensuses on
   the subject have been published, but the assimilation/implementation of
   these guidelines is uncertain. Aims and Methods To evaluate the
   attitudes, perceptions, limitations, and adherence to recommendations of
   Spanish primary care physicians using an open online survey. Responses
   were anonymously codified. Estimated margin of error was 3.4%. Responses
   were weighted by province, gender, age, and type of practice. Survey was
   performed using the AEG-REDCap platform. Results A total of 1445
   responses, received between December 2017 and April 2018, were analyzed.
   Women represented 54%, and the average age was 48 years; 59% were from
   urban context, 20% from semi-urban, and 21% from rural; 93% provided
   public practice. Over 40% had read at least one Maastricht consensus
   (24% Maastricht V), and 34% had attended a course related to H. pylori.
   16% reported no direct access to any validated diagnostic method, only
   44% to urea breath test, and 33% did not systematically refer to
   eradication confirmation test. The first-line treatment of choice was
   standard triple therapy in 56%, followed by concomitant therapy (28%).
   Only 20% of physicians had optimal adherence to recommendations.
   Conclusion Even though some improvements from guidelines have been
   partially incorporated, the level of penetration of recommendations is
   still poor and delayed. To provide optimal primary care, the barriers
   for implementation, access to diagnostic tests and to continuous medical
   education, should be removed. Rigorous dissemination, implementation,
   and evaluation programs are desired in future consensuses.
RI Gisbert, Javier P/GRY-2719-2022; Gisbert, Javier P/ABB-7531-2021; McNicholl, Adrian Gerald/E-1804-2014
OI Gisbert, Javier P/0000-0003-2090-3445; McNicholl, Adrian
   Gerald/0000-0002-1503-9085
ZR 0
ZS 0
ZB 6
TC 13
Z8 0
ZA 0
Z9 13
U1 1
U2 2
SN 1083-4389
EI 1523-5378
UT WOS:000473988400014
PM 31111627
ER

PT J
AU Isbej, Lorena
   Uribe, Javier
   Carrasco, Olga
   Villarroel, Isaac
   Pizarro, Margarita
   Isabel Jiron, Maria
   Sanhueza, Edgar
   Alvarez-Lobos, Manuel
   Hernandez-Rocha, Cristian
   Rollan, Antonio
   Monsalve, Ximena
   Antonio Diaz, Luis
   Alejandra Cerda, Maria
   Kramer, Tomas
   Munizaga, Fernando
   Riquelme, Arnoldo
TI Experience of continuing online education in gastroenterology for non
   specialist medical doctors
SO REVISTA MEDICA DE CHILE
VL 147
IS 8
BP 1059
EP 1066
PD AUG 2019
PY 2019
AB Background: Continuing education is essential for health professions and
   online courses can be a good way for professional development. Aim: To
   describe the experience with online courses for continuing education in
   hepatology and gastroenterology and to analyze their educational impact.
   Material and Methods: A three years' experience in courses on liver
   diseases and digestive tract is described. Their curricular design,
   methodology, and the educational impact was analyzed using the four
   levels of the Kirkpatrick's model. Results: On average, there were 321
   students per course (2015-2017). 94% were Chilean and 6% from abroad (20
   countries). In the educational impact analysis, in level 1 "reaction":
   93% said that the course fulfilled their expectations and 92% would
   recommend it. In level 2 "learning": 42% approved the courses. Level 3
   "behavior" was not evaluated and level 4 "organizational change"
   highlighted that the traditional face-to-face continuing education model
   of Chilean Gastroenterology Society (SChG) changed to full distance
   model in these three courses, with 1284 students from South America,
   Asia and Europe, in a 3-years-period. Additionally, these programs were
   included in the Medical Society of Santiago (SMS) continuing education
   agenda. Conclusions: The alliance between the SMS and the SChG generated
   on line courses that meet the educational needs of physicians and
   medical students, with excellent results and student perception.
RI Díaz, Luis Antonio/AGQ-5278-2022; Isbej, Lorena/
OI Isbej, Lorena/0000-0002-4272-8484
ZB 0
TC 0
ZS 0
Z8 0
ZR 0
ZA 0
Z9 0
U1 2
U2 6
SN 0034-9887
EI 0717-6163
UT WOS:000493302200015
PM 31859972
ER

PT J
AU Chamberlain, Diane
   Hegney, Desley
   Harvey, Clare
   Knight, Bruce
   Garrahy, Anne
   Tsai, Lily Pei-San
TI The factors influencing the effective early career and rapid transition
   to a nursing specialty in differing contexts of practice: a modified
   Delphi consensus study
SO BMJ OPEN
VL 9
IS 8
DI 10.1136/bmjopen-2018-028541
PD AUG 2019
PY 2019
AB Objectives This study aimed to test and further develop the 'Early
   Career and Rapid Transition to a Nursing Specialty' (TRANSPEC) model to
   a nursing specialty developed from a systematic review. Semi-structured
   interviews of specialist clinically based nurses and a consensus Delphi
   study with an expert panel were used to expand and achieve consensus,
   agreement, reliability and stability of the model.
   Design A modified Delphi, two rounds (64 and 52 Likert items) of
   reiterative online questionnaires and one round as a nominal group
   technique, was informed by qualitative thematic analysis of
   semi-structured interviews.
   Setting and participants Interviews with 14 specialists clinical
   practicing registered nurses and a panel of 25 national experts
   participated in the Delphi study.
   Results The interview participants experienced 14 rapid transitions and
   three were early career transition. The overarching themes from the
   preliminary model were confirmed and further expanded. These were the
   self (personal and professional); the transition processes (final and
   informal); a sense of belonging; and the overarching context of practice
   over a time continuum. In the Delphi, the highest rating item was
   'Specialty work colleagues respect, include, support, and accept
   specialist nurse on completion of transition processes'. Pre-entry was
   highlighted as an important time point prior to transition. All items
   reaching consensus were included in the final model. Cronbach alpha
   increased from 0.725 to 0.875 for the final model.
   Conclusions The TRANSPEC model is a valid and reliable evidence-based
   tool for use in the career pathway and development of nursing
   specialists. Using the Benner model 'Novice to Expert' after the novice
   incomer phase is achieved, further lifelong learning development will
   transform the novice specialist over time continuum.
RI Harvey, Clare/N-1679-2019; Tsai, Lily/; Chamberlain, Diane/; Hegney, Desley/
OI Harvey, Clare/0000-0001-9016-8840; Tsai, Lily/0000-0003-2368-4145;
   Chamberlain, Diane/0000-0002-4157-9966; Hegney,
   Desley/0000-0003-1267-1760
ZS 0
Z8 0
ZR 0
TC 8
ZB 0
ZA 0
Z9 8
U1 5
U2 10
SN 2044-6055
UT WOS:000502537200179
PM 31462470
ER

PT J
AU Courtenay, Molly
   Lim, Rosemary
   Deslandes, Rhian
   Ferriday, Rebecca
   Gillespie, David
   Hodson, Karen
   Reid, Nicholas
   Thomas, Neil
   Chater, Angel
TI Theory-based electronic learning intervention to support appropriate
   antibiotic prescribing by nurses and pharmacists: intervention
   development and feasibility study protocol
SO BMJ OPEN
VL 9
IS 8
DI 10.1136/bmjopen-2018-028326
PD AUG 2019
PY 2019
AB Introduction Nurse and pharmacist independent prescribers manage
   patients with respiratory tract infections and are responsible for
   around 8% of all primary care antibiotic prescriptions. A range of
   factors influence the prescribing behaviour of these professionals,
   however, there are no interventions available specifically to support
   appropriate antibiotic prescribing behaviour by these groups. The aims
   of this paper are to describe (1) the development of an intervention to
   support appropriate antibiotic prescribing by nurse and pharmacist
   independent prescribers and (2) an acceptability and feasibility study
   designed to test its implementation with these prescribers.
   Method and analysisDevelopment of intervention: a three-stage,
   eight-step method was used to identify relevant determinants of
   behaviour change and intervention components based on the Behaviour
   Change Wheel. The intervention is an online resource comprising
   underpinning knowledge and an interactive animation with a variety of
   open and closed questions to assess understanding. Acceptability and
   feasibility of intervention: nurse and pharmacist prescribers (n=12-15)
   will use the intervention. Evaluation includes semi-structured
   interviews to capture information about how the user reacts to the
   design, delivery and content of the intervention and influences on
   understanding and engagement, and a pre-post survey to assess
   participants' perceptions of the impact of the intervention on
   knowledge, confidence and usefulness in terms of application to
   practice. Taking an initial inductive approach, data from interview
   transcripts will be coded and then analysed to derive themes. These
   themes will then be deductively mapped to the Capability, Opportunity,
   Motivation-Behaviour model. Descriptive statistics will be used to
   analyse the survey data, and trends identified.
   Ethics and dissemination Ethical approval for the study has been
   provided by the School of Healthcare Sciences Research Governance and
   Ethics Committee, Cardiff University. The findings will be disseminated
   via publication in peer-reviewed journals and through conference
   presentations.
OI Gillespie, David/0000-0002-6934-2928; Lim, Rosemary/0000-0003-1705-1480;
   Chater, Angel Marie/0000-0002-9043-2565
ZS 0
ZR 0
ZA 0
Z8 0
TC 4
ZB 1
Z9 4
U1 1
U2 1
SN 2044-6055
UT WOS:000502537200163
PM 31427324
ER

PT J
AU Grummer-Strawn, Laurence M.
   Holliday, Faire
   Jungo, Katharina Tabea
   Rollins, Nigel
TI Sponsorship of national and regional professional paediatrics
   associations by companies that make breast-milk substitutes: evidence
   from a review of official websites
SO BMJ OPEN
VL 9
IS 8
DI 10.1136/bmjopen-2019-029035
PD AUG 2019
PY 2019
AB Objectives Professional paediatrics associations play an important role
   in promoting the highest standard of care for women and children.
   Education and guidelines must be made in the best interests of patients.
   Given the importance of breastfeeding for the health, development and
   survival of infants, children and mothers, paediatric associations have
   a particular responsibility to avoid conflicts of interest with
   companies that manufacture breast-milk substitutes (BMSs). The objective
   of this study was to investigate the extent to which national and
   regional paediatric associations are sponsored by BMS companies.
   Methods Data were collected on national paediatric associations based on
   online searches of websites and Facebook pages. Sites were examined for
   evidence of financial sponsorship by the BMS industry, including funding
   of journals, newsletters or other publications, conferences and events,
   scholarships, fellowship, grants and awards. Payment for services, such
   as exhibitor space at conferences or events and paid advertisements in
   publications, was also noted.
   Results Overall, 68 (60%) of the 114 paediatric associations with a
   website or Facebook account documented receiving financial support from
   BMS companies. Sponsorship, particularly of conferences or other events,
   was the most common type of financial support. The prevalence of
   conference sponsorship is highest in Europe and the Americas, where
   about half of the associations have BMS company-sponsored conferences.
   Thirty-one associations (27%) indicated that they received funding from
   BMS companies as payment for advertisements or exhibitor space. Only 18
   associations (16%) have conflict of interest policies, guidelines, or
   criteria posted online.
   Conclusion Despite the well-documented importance of breastfeeding and
   the widespread recognition that commercial influences can shape the
   behaviours of healthcare professionals, national and regional paediatric
   associations commonly accept funding from companies that manufacture and
   distribute BMS. Paediatric associations should function without the
   influence of commercial interests.
RI Jungo, Katharina Tabea/L-8856-2019
OI Jungo, Katharina Tabea/0000-0002-1782-1345
ZR 0
ZA 0
TC 19
Z8 0
ZS 1
ZB 4
Z9 19
U1 0
U2 0
SN 2044-6055
UT WOS:000502537200224
PM 31401600
ER

PT J
AU Sharma, Maulina
   Murphy, Ruth
   Doody, Gillian A.
TI Do we need a core curriculum for medical students? A scoping review
SO BMJ OPEN
VL 9
IS 8
AR e027369
DI 10.1136/bmjopen-2018-027369
PD AUG 2019
PY 2019
AB Objective The General Medical Council (GMC) recommends medical schools
   to develop and implement curricula enabling students to achieve the
   required learning outcomes. UK medical schools follow the GMC's Outcomes
   for graduates, which are generic. GMC plans to introduce a national
   Medical Licensing Assessment (MLA) for the medical graduates wanting to
   practise medicine in the UK in 2022. With no standardised or unified
   undergraduate (UG) curriculum in UK, various specialties have expressed
   concerns about not being represented in medical schools and developed
   specialty-specific core curricula. The aim of this review was to
   identify learned bodies who have developed a core curriculum for UK
   medical schools and highlight the drivers, gaps and future approaches to
   curricular development and implementation.
   Methods A literature search was conducted using online databases
   (EMBASE, MEDLINE, ERIC, HMIC, PubMed and CDSR), search engines and
   related websites (Google and Google Scholar, Department of Health, GMC
   and BMA) for relevant articles from 1996 to 5 March 2019 (20 years). A
   methodological framework to map the key concepts of UG medical
   curriculum was followed. Any relevant body with a core curriculum for UK
   medical UGs was included.
   Results A total of 1283 articles were analysed with 31 articles included
   in the qualitative synthesis, comprising 26 specialties (clinical n=18,
   foundation subjects n=4 and professionalism related n=4). WHO, European
   and national (eg, Royal Colleges of UK) specialty bodies provided
   specific core learning outcomes for the medical graduates. Patient
   safety, disease burden, needs of society and inadequate preparedness of
   medical graduates were drivers for the development of these curricula.
   Conclusions This is the first comprehensive review of literature on UG
   core curricula recommending minimum standards on knowledge and skills,
   in alignment with GMC's Outcomes for graduates for all the UK medical
   students. Adopting and assessing unified standards would help reduce
   variability across UK medical schools for both generic and
   specialty-specific competencies.
OI doody, gillian/0000-0002-3494-438X
TC 12
ZS 0
ZA 0
ZB 2
Z8 0
ZR 0
Z9 12
U1 0
U2 3
SN 2044-6055
UT WOS:000502537200110
PM 31473611
ER

PT J
AU Valtis, Yannis K.
   Rosenberg, Julie D.
   Wachter, Keri
   Kisenge, Rodrick
   Mashili, Fredirick
   Mallya, Rehema Chande
   Walker, Timothy David
   Kabakambira, J. Damascene
   Egide, Abahuje
   Ntacyabukura, Blaise
   Weintraub, Rebecca
TI Better evidence: prospective cohort study assessing the utility of an
   evidence-based clinical resource at the University of Rwanda
SO BMJ OPEN
VL 9
IS 8
DI 10.1136/bmjopen-2018-026947
PD AUG 2019
PY 2019
AB Objective Evidence-based clinical resources (EBCRs) have the potential
   to improve diagnostic and therapeutic accuracy. The majority of US
   teaching medical institutions have incorporated them into clinical
   training. Many EBCRs are subscription based, and their cost is
   prohibitive for most clinicians and trainees in low-income and
   middle-income countries. We sought to determine the utility of EBCRs in
   an East African medical school.
   Setting The University of Rwanda (UR), a medical school located in East
   Africa.
   Participants Medical students and faculty members at UR.
   Interventions We offered medical students and faculty at UR free access
   to UpToDate, a leading EBCR and conducted a cohort study to assess its
   uptake and usage. Students completed two surveys on their study habits
   and gave us permission to access their activity on UpToDate and their
   grades.
   Results Of the 980 medical students invited to enrol over 2years, 547
   did (56%). Of eligible final year students, 88% enrolled. At baseline,
   92% of students reported ownership of an internet-capable device, and
   the majority indicated using free online resources frequently for
   medical education. Enrolled final year students viewed, on average, 1.24
   topics per day and continued to use UpToDate frequently after graduation
   from medical school. Graduating class exam performance was better after
   introduction of UpToDate than in previous years.
   Conclusions Removal of the cost barrier was sufficient to generate high
   uptake of a leading EBCR by senior medical students and habituate them
   to continued usage after graduation.
RI Ntacyabukura, Blaise/AAY-1126-2021; Mashili, Fredirick/
OI Ntacyabukura, Blaise/0000-0002-4584-5686; Mashili,
   Fredirick/0000-0002-5306-6703
ZR 0
TC 3
ZA 0
ZS 0
ZB 1
Z8 0
Z9 3
U1 2
U2 3
SN 2044-6055
UT WOS:000502537200084
PM 31399450
ER

PT J
AU Scott, Erin M.
   Fallah, Parisa N.
   Blitzer, David N.
   NeMoyer, Rachel E.
   Sifri, Ziad
   Surgery, Global
   Hanna, Joseph S.
   Peck, Gregory L.
TI Next Generation of Global Surgeons: Aligning Interest With Early Access
   to Global Surgery Education
SO JOURNAL OF SURGICAL RESEARCH
VL 240
BP 219
EP 226
DI 10.1016/j.jss.2019.03.009
PD AUG 2019
PY 2019
AB Background: Although interest in global surgery is increasing among
   medical students,(1) several questions remain unanswered such as: the
   association of demographics with said interest, the extent that global
   surgical burden education has been integrated into medical education,
   and the availability of global surgery electives. This study aimed to
   assess the current state of global surgery education in the United
   States (U.S.) to support recommendations for future curriculum
   development.
   Materials and methods: An anonymous online survey was distributed to
   medical students currently enrolled in the U.S. Descriptive data were
   compiled regarding interest in and access to global surgery programs;
   demographic data were analyzed using chi-squared testing for categorical
   variables.
   Results: A total of 754 students from 18 medical schools throughout the
   U.S. responded to the survey. Only complete responses were included in
   final analysis (n = 658). Most of the respondents (66%) reported
   interest in global surgery, with a higher proportion of those interested
   being in their preclinical years. However, the majority (79%) reported
   that global surgery issues are rarely or never addressed in their
   required curriculum. Over half of respondents were unaware of whether
   their school even offers such programs.
   Conclusions: Although interest in global surgery is on the rise among
   medical students, results suggest that many currently lack exposure to
   global surgery concepts in their medical education. To that end, early
   exposure may be most effective during the preclinical years, so that the
   next generation may align global surgery participation with clinical
   aspirations, with the ultimate goal of addressing global disparities.
   (C) 2019 Elsevier Inc. All rights reserved.
RI Giles, Andrew/AAD-2029-2022; Jayaram, Anusha/; Alty, Isaac/; Hamilton, Charles/; Hauser, Blake/; Kim, Raymond/; Beck, Nicole/; Ottesen, Taylor/; Still, Megan/; Rehman, Shahyan/
OI Giles, Andrew/0000-0002-9956-0694; Jayaram, Anusha/0000-0003-3776-7419;
   Alty, Isaac/0000-0002-4867-1167; Hamilton, Charles/0000-0003-1042-9575;
   Hauser, Blake/0000-0002-0100-1684; Kim, Raymond/0000-0003-4229-904X;
   Beck, Nicole/0000-0002-5270-1402; Ottesen, Taylor/0000-0002-3777-1955;
   Still, Megan/0000-0002-7665-2692; Rehman, Shahyan/0000-0002-9667-3255
ZA 0
Z8 0
ZR 0
ZS 0
TC 20
ZB 3
Z9 20
U1 0
U2 1
SN 0022-4804
EI 1095-8673
UT WOS:000468740900025
PM 30986637
ER

PT J
AU Zong, Weiyan
   Zhang, Junyi
TI Use of smartphone applications and its impacts on urban life: A survey
   and random forest analysis in Japan
SO SUSTAINABLE CITIES AND SOCIETY
VL 49
AR 101589
DI 10.1016/j.scs.2019.101589
PD AUG 2019
PY 2019
AB This study investigates how various smartphone applications are used,
   and how that use leads to changes in various aspects of urban life.
   Different types of applications and the scope of their impacts on urban
   life are captured based on a life-oriented approach. Data were collected
   via an online survey of 1000 residents living in different cities of
   Japan in December 2017. It was found that 75.1% of respondents owned a
   smartphone and used 3.5 applications on average. Among the users of
   smartphone application(s), 45.4% experienced at least one life change.
   Applying a random forest approach, this study examined the relative
   influence of application usage on urban life as compared to
   built-environment, individual, and household attributes, as well as
   interdependencies across life changes, by building 37 forests with 37000
   trees. It was revealed that applications of "game", "photo, video",
   "utility, tool, efficiency", "shopping", "healthcare, sports, beauty",
   "touring", "education", "book, comic", and "navigation, and map" induce
   changes in work, study, daily trip making, talks between family members,
   time use, sleeping, expenditure, physical exercise, and shopping in a
   complicated manner, even though the built environment attributes are the
   most important predictors to the life changes as a whole.
RI Zhang, Junyi/B-4865-2012
OI Zhang, Junyi/0000-0002-3267-542X
Z8 0
ZR 0
TC 11
ZS 1
ZB 1
ZA 0
Z9 11
U1 4
U2 40
SN 2210-6707
EI 2210-6715
UT WOS:000475860700012
ER

PT J
AU van Schaik, Paul
   Thornhill, Ema
   Davies, Mark
   Flynn, Darren
   Kusev, Petko
TI The use of information in online healthcare provider choice
SO INTERNATIONAL JOURNAL OF HUMAN-COMPUTER STUDIES
VL 128
BP 41
EP 60
DI 10.1016/j.ijhcs.2019.01.005
PD AUG 2019
PY 2019
AB In order to evaluate and facilitate the provision of health information
   online, we must first understand how it is perceived by those who use
   it. Two important considerations in research on patients' information
   use in online healthcare provider choice are the need for a conceptual
   framework for studying information types and methods for studying
   information use. Therefore, our first contribution lies in using
   Donabedian's structure-process-outcome model of healthcare quality to
   identify specific patterns of preference and information use in online
   healthcare provider choice, and differences in information use between
   two healthcare provider types. Our second contribution lies in
   identifying differences in results between data collection methods
   (importance rating/selection, concurrent self-report of online
   information use and retrospective information use) in relation to choice
   tasks. In a mixed-methods design, provider type (primary and secondary
   care) was systematically varied during participants' use of the
   infomediary NHS Choices. Participants preferred process topics over
   structure topics, in contrast with the results of concurrent and
   retrospective self-report. We conclude that the differences in results
   between the types of data collection method reflect underlying
   differences in choice task. Future research should address the use of
   novel infomediary user-interfaces, and infomediaries in relation to the
   use of other information sources and (e-)health literacy.
RI van+Schaik, Paul/AAG-3412-2019; Thornhill, Ema/; Flynn, Darren/; Kusev, Petko/
OI Thornhill, Ema/0000-0002-9677-8188; Flynn, Darren/0000-0001-7390-632X;
   Kusev, Petko/0000-0002-0308-927X
TC 1
ZA 0
ZB 0
Z8 0
ZS 0
ZR 0
Z9 1
U1 4
U2 26
SN 1071-5819
EI 1095-9300
UT WOS:000470944000004
ER

PT J
AU Edinger, Zachariah S.
   Powers, Kelly A.
   Jordan, Kathleen S.
   Callaway, David W.
TI Evaluation of an Online Educational Intervention to Increase Knowledge
   and Self-efficacy in Disaster Responders and Critical Care Transporters
   Caring for Individuals with Developmental Disabilities
SO DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
VL 13
IS 4
BP 677
EP 681
AR PII S1935789318001295
DI 10.1017/dmp.2018.129
PD AUG 2019
PY 2019
AB Objective Disability-related education is essential for disaster
   responders and critical care transporters to ensure positive patient
   outcomes. This pilot study evaluated the effect of an online educational
   intervention on disaster responders and critical care transporters'
   knowledge of and feelings of self-efficacy about caring for individuals
   with developmental disabilities. Methods A 1-group, pretest-posttest,
   quasi-experimental design was used. A convenience sample of 33 disaster
   responders and critical care transporters participated. Results Of the
   33 participants, only 24% had received prior education on this topic,
   and 88% stated that such education would be beneficial to their care of
   patients. Nineteen participants completed both the pretest and posttest,
   and overall performance on knowledge items improved from 66% correct to
   81% correct. Self-efficacy for caring for developmentally disabled
   individuals improved, with all 10 items showing a statistically
   significant improvement. Conclusion Online education is recommended to
   improve the knowledge and self-efficacy of disaster responders and
   critical care transporters who care for this vulnerable population after
   disasters and emergencies. (Disaster Med Public Health Preparedness.
   2019;13:677-681)
OI Powers, Kelly/0000-0003-2413-4962
ZA 0
ZS 0
TC 0
ZB 0
Z8 0
ZR 0
Z9 0
U1 2
U2 13
SN 1935-7893
EI 1938-744X
UT WOS:000486170500006
PM 30602398
ER

PT J
AU Spence, Kelsey L.
   Slater, Josh
   Rosanowski, Sarah M.
   Cardwell, Jacqueline M.
TI A cross-sectional study of horse owners' awareness and perceived risk of
   exotic diseases in the United Kingdom
SO PREVENTIVE VETERINARY MEDICINE
VL 169
AR 104706
DI 10.1016/j.prevetmed.2019.104706
PD AUG 1 2019
PY 2019
AB The international nature of the equine industry provides opportunities
   for the spread of infectious diseases between countries. While
   incursions of exotic diseases into the United Kingdom (UK) equine
   population have been rare, the potential socioeconomic and welfare
   impacts are a significant concern. However, little is known about
   leisure horse owners' ability or willingness to prepare for an exotic
   disease incursion. The objectives of this study were to describe UK
   leisure horse owners' awareness and perceptions of exotic diseases, and
   to identify clusters of horse owners characterised by their awareness
   and perceived risk of exotic diseases. A cross-sectional study of
   leisure horse owners in the UK was conducted between April and July
   2018. Participants (n = 403) completed an online questionnaire with
   questions pertaining to demographics, experiences with endemic diseases,
   and awareness and perceptions of exotic diseases. Hierarchical cluster
   analysis was used to identify groups of participants that were similar
   in regard to their awareness and perceived risk of exotic diseases.
   Participants identified a median of 3 (IQR 2-4) exotic diseases, with
   the most recognised exotic diseases being African horse sickness and
   West Nile virus. The most frequently mentioned clinical signs that
   participants thought were associated with exotic diseases included high
   temperature (57.2%), discharge (46.5%), and lack of energy (41.2%).
   Hierarchical cluster analysis identified three clusters of participants:
   1) those who were aware of exotic diseases and perceived a high amount
   of risk (n = 78); 2) those who were aware of exotic diseases but
   perceived a low amount of risk (n = 111); and 3) those who were less
   aware of exotic diseases and perceived a low amount of risk (n = 214).
   Efforts to communicate the relevance and consequences of exotic diseases
   to horse owners should consider the potential difference in
   receptiveness among horse owners in each cluster. Further investigations
   are required to determine the implications of horse owners' perceived
   risk on exotic disease preparedness.
RI Rosanowski, Sarah/H-5374-2016
OI Rosanowski, Sarah/0000-0002-7950-0029
ZA 0
TC 3
ZB 1
Z8 0
ZR 0
ZS 0
Z9 3
U1 0
U2 8
SN 0167-5877
EI 1873-1716
UT WOS:000483424900014
PM 31311639
ER

PT J
AU Venkat, Heather
   Yaglom, Hayley D.
   Adams, Laura
TI Knowledge, attitudes, and practices relevant to zoonotic disease
   reporting and infection prevention practices among veterinarians -
   Arizona, 2015
SO PREVENTIVE VETERINARY MEDICINE
VL 169
AR 104711
DI 10.1016/j.prevetmed.2019.104711
PD AUG 1 2019
PY 2019
AB Veterinarians play a crucial role in zoonotic disease detection in
   animals and prevention of disease transmission; reporting these zoonoses
   to public health officials is an important first step to protect human
   and animal health. Evidence suggests veterinarians and their staff are
   at higher risk for exposure to zoonoses because of possible interactions
   with infected animals. We examined the knowledge, attitudes, and
   practices of veterinarians regarding zoonotic disease reporting to
   public health agencies and associated infection prevention (IP)
   practices such as personal protective equipment (PPE) use, and the need
   for targeted education and outreach for veterinarians in Arizona. An
   online questionnaire was developed and distributed by email in September
   2015 and was available through November 2015 to all 1,100 members of the
   Arizona Veterinary Medical Association. Chi-square and logistic
   regression analyses were performed. In total, 298 (27%) veterinarians
   from all 15 Arizona counties completed the survey; the majority (70%)
   were female, practiced small animal medicine (84%), and reported
   practicing veterinary medicine for >= 10 years (75%). Only 57% reported
   they knew when to report a suspected zoonotic disease and 60% reported
   they knew how to make that type of report. The majority said they would
   report rabies (97%), plague (96%), and highly pathogenic avian influenza
   (91%) to a state agency. Most respondents reported using PPE (e.g.,
   masks, face shields, and gloves) when performing a surgical procedure
   (96%) or necropsy (94%), although fewer reported using PPE for handling
   clinically ill animals (37%) or healthy animals (17%). Approximately 70%
   reported always using PPE when in contact with animal birthing fluids,
   urine, or feces, and 47% for contact with animal blood, saliva, or other
   body fluids. Veterinarians who agreed that they knew the appropriate
   actions to protect themselves from zoonotic disease exposures were more
   likely to report always washing their hands before eating or drinking at
   work (OR = 3.81, 95% confidence interval (CI) [1.97-7.35], P < 0.01).
   Responses for when to make a report and how to report were not
   significantly different by gender, years of practice, or holding
   additional degrees, but did differ by practice type, age, and number of
   veterinarians in the practice. Small animal veterinarians were less
   likely to report knowing when to make a report compared to other
   veterinarians (P < 0.01). Respondents demonstrated suboptimal zoonotic
   disease reporting and IP practices, including PPE use. Public health
   agencies should improve outreach and education to veterinarians to
   facilitate better zoonotic disease prevention practices and reporting.
ZS 0
ZR 0
ZB 3
TC 5
ZA 0
Z8 0
Z9 5
U1 0
U2 13
SN 0167-5877
EI 1873-1716
UT WOS:000483424900018
PM 31311640
ER

PT J
AU Veldhuijzen, Govert
   van Esch, Aura A.
   Klemt-Kropp, Michael
   Droste, Jochim S. Terhaar Sive
   Drenth, Joost P. H.
TI E-Patient Counseling Trial (E-PACO): Computer Based Education versus
   Nurse Counseling for Patients to Prepare for Colonoscopy
SO JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
IS 150
AR e58798
DI 10.3791/58798
PD AUG 2019
PY 2019
AB Improving patient education focusing on bowel preparation before a
   colonoscopy leads to cleaner colons. Endoscopy units must obtain
   informed consent and perform a risk assessment for sedative use prior to
   a colonoscopy. The current practice in the Netherlands to achieve these
   goals is nurse counseling in an outpatient setting. This is costly and
   has disadvantages in terms of uniformity and time consumption for both
   the patient and the hospital. The hypothesis is that computer-based
   education with use of video and 3D animations may replace nurse
   counseling in most cases, without losing quality of bowel cleanliness
   during colonoscopy.
   This multicenter, randomized, endoscopist blinded clinical trial
   evaluates a primary outcome measure (bowel preparation) during
   colonoscopy. Secondary outcome measures are sickness absence, patient
   anxiety after instruction and prior to colonoscopy, patient satisfaction
   and information re-call. The study will be performed in four endoscopy
   units of different levels (rural, urban, and tertiary). Inclusion
   criteria are adult age and referral for complete colonoscopy. Exclusion
   criteria are Dutch illiteracy, audiovisual handicaps or mental
   disabilities and no (peers with) internet access.
   This trial aims to establish online computer-based education as tool for
   patient education prior to a colonoscopy. By choosing a direct
   comparison with the standard of care (nurse counseling), both endoscopic
   quality measures and patient related outcome measures can be evaluated.
ZR 0
Z8 0
ZS 0
TC 1
ZA 0
ZB 0
Z9 1
U1 1
U2 5
SN 1940-087X
UT WOS:000486589800011
PM 31424431
ER

PT J
AU Schneider, Philip J.
   Pedersen, Craig A.
   Ganio, Michael C.
   Scheckelhoff, Douglas J.
TI ASHP national survey of pharmacy practice in hospital settings:
   Workforce-2018
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 76
IS 15
BP 1127
EP 1141
DI 10.1093/ajhp/zxz102
PD AUG 1 2019
PY 2019
AB Purpose. Results of the 2018 ASHP national survey of pharmacy practice
   in hospital settings pertaining to the pharmacy workforce are presented.
   Methods. Pharmacy directors at 4,897 general and children's
   medical-surgical hospitals in the United States were surveyed using a
   mixed-mode method of contact by mail and email. Survey completion was
   online. IMS Health supplied data on hospital characteristics; the survey
   sample was drawn from the IMS hospital database.
   Results. The survey response rate was 16.6%. The results indicate that
   inpatient staffing has increased for both pharmacists and pharmacy
   technicians. More than half of the respondents reported shortages of
   pharmacy managers, experienced technicians, and experienced pharmacy
   technicians with sterile compounding experience. More than half of the
   respondents reported an excess of entry-level frontline pharmacists. The
   perceived shortage of pharmacists is in decline, while the perceived
   shortage of pharmacy technicians, especially those with years of
   experience, is increasing. Pharmacists commonly chair multidisciplinary
   committees within health systems, and pharmacy leaders often report
   directly to the chief executive officer or chief operating officer; they
   are often responsible for reporting quality information associated with
   medication use to the health system's board. The use of a pharmacist
   credentialing and privileging process beyond licensure has increased
   over the past 4 years. Attention is being devoted to stress in the work
   place and addressing burnout among healthcare professionals, including
   pharmacists.
   Conclusion. The profession is fostering a workforce that is appropriate
   in composition, sufficient in number, and has the competence to improve
   the value and safety of medication use.
RI Schneider, Philip/AAA-8196-2022
OI Schneider, Philip/0000-0001-8740-809X
ZS 0
TC 24
ZB 1
ZA 0
ZR 0
Z8 2
Z9 26
U1 1
U2 5
SN 1079-2082
EI 1535-2900
UT WOS:000490459600007
PM 31361871
ER

PT J
AU Ferwerda, James
TI The FechDeck: A Hand Tool for Exploring Psychophysics
SO ACM TRANSACTIONS ON APPLIED PERCEPTION
VL 16
IS 2
AR 9
DI 10.1145/3313186
PD AUG 2019
PY 2019
AB Learning the methods of psychophysics is an essential part of training
   for perceptual experimentation, and hands-on experience is vital, but
   gaining this experience is difficult because good tools for learning are
   not available. The FechDeck is an ordinary deck of playing cards that
   has been modified to support learning the methods of psychophysics. Card
   backs are printed with noise patterns that span a range of densities.
   Faces are augmented with line segments arranged in "L" patterns. Jokers
   are printed with ruled faces and with backs that serve as standards.
   Instructions provided with the FechDeck allow users to perform threshold
   experiments using Fechner's methods of adjustment, limits, and constant
   stimuli; scaling experiments using Thurstone's ranking, paired
   comparison, and successive categories methods; and Stevens's magnitude
   estimation method. Spreadsheets provided with the deck support easy data
   entry and meaningful data analysis. An online repository supporting the
   FechDeck has been established to facilitate dissemination and to
   encourage open source development of the deck.
ZA 0
Z8 0
ZR 0
TC 0
ZB 0
ZS 0
Z9 0
U1 0
U2 5
SN 1544-3558
EI 1544-3965
UT WOS:000489551500003
ER

PT J
AU Bekdache, Gharid Nourallah
   Berndl, Anne
TI Women with physical disability in pregnancy resident education: a
   national survey as a needs assessment for curriculum improvement in
   obstetrics and gynaecology in Canada
SO BMJ OPEN
VL 9
IS 7
AR e024505
DI 10.1136/bmjopen-2018-024505
PD AUG 2019
PY 2019
AB Objectives To explore the current status to which Canadian obstetrics
   and gynaecology (Ob-Gyn) programmes teach residents about pregnancy in
   patients with physical disabilities, and to assess the level of
   interested in providing formal education sessions in this field. This
   study also assesses the residents' perception of their knowledge and
   their comfort level caring for women with physical disabilities (WWPD),
   which will further determine the need for incorporation of this topic
   into the residency curriculum.
   Design Cross-sectional survey.
   Setting All Canadian English accredited Ob-Gyn residency programmes.
   Participants Programme directors and residents.
   Main outcome measures The current self-reported education and exposure
   Canadian Ob-Gyn residents have surrounding WWPD in pregnancy, and if
   there is an interest in further education in this area.
   Methods An online survey was developed and distributed to all Canadian
   English accredited Ob-Gyn residency programme directors and residents.
   Answers were collected over a 2-month period in 2017, which consisted of
   an initial email and two email reminders. Questions were in three key
   areas: demographic characteristics, knowledge gap and level of interest
   in a formal method of education.
   Results Eighty-four residents and nine programme directors participated
   in the surveys. Eighty-six per cent of residents and all programme
   directors responded that there are no formal scheduled training sessions
   on WWPD as part of the residency curriculum. Two-thirds of the residents
   reported being uncomfortable with the management issues surrounding a
   woman with a disability in pregnancy. A vast majority of residents
   (91.67%) and all programme directors have an interest in incorporating
   this topic into the residency curriculum to meet the need of pregnant
   women with disabilities.
   Conclusions This survey indicated that there is both a need for and
   interest in education in the area of pregnancy and physical disability
   in the Canadian Ob-Gyn residency programme. This information suggests
   that the development of educational materials in this area should be
   considered to address an unmet need with the ultimate goal of improving
   the care provided to WWPD in pregnancy. Future projects in this area
   should focus on content development taking into account the CanMEDS and
   competency-based medical education framework.
OI Nourallah Bekdache, Gharid/0000-0002-2419-6832
ZS 0
ZR 0
Z8 0
ZB 0
TC 7
ZA 0
Z9 7
U1 0
U2 1
SN 2044-6055
UT WOS:000485269700289
PM 31292174
ER

PT J
AU Edwards, Louisa
   Monro, Melody
   Butterfield, Yaron
   Johl, Ravin
   Loftsgard, Kent Cadogan
   Pelletier, Hayley
   McGavin, Colleen
   Lavergne, M. Ruth
TI What matters most to patients about primary healthcare: mixed-methods
   patient priority setting exercises within the PREFeR (PRioritiEs For
   Research) project
SO BMJ OPEN
VL 9
IS 7
AR e025954
DI 10.1136/bmjopen-2018-025954
PD AUG 2019
PY 2019
AB Objectives To identify patient-generated priority topics for future
   primary care research in British Columbia (BC), Canada within a diverse
   patient population.
   Design Mixed-methods priority setting exercises framed by the dialogue
   model, using the nominal group technique (rank-ordered scoring) and
   province-wide online surveys capturing importance ratings of the top 10
   primary healthcare topics from patients and primary care providers.
   Setting BC, Canada.
   Participants Topic identification was completed by 10 patient partners
   (7 female, 3 male) from the BC Primary Health Care Research Network
   Patient Advisory; online surveys were completed by 464 patients and 173
   primary care providers.
   Results The 10 members recruited to the patient advisory provided over
   80 experiences of what stood out for them in BC primary care, which were
   grouped thematically into 18 topics, 10 of which were retained in
   province-wide surveys. Top-rated survey topics for both patients (n=464)
   and providers (n=173) included being unable to find a regular family
   doctor/other primary healthcare provider, support for living with
   chronic conditions, mental health resources and information sharing,
   including electronic medical records. However, all 10 topics were rated
   important, on average, by both groups.
   Conclusions The current project activities demonstrate the feasibility
   of including patients in priority setting exercises for primary
   healthcare in general, rather than focusing on a condition-specific
   population or disease area. There was considerable overlap between
   patient-generated topics and topics previously identified by other
   stakeholders, but patients identified two additional topics (mental
   health resources, improve and strengthen patient-provider
   communication). More similarities than differences in topic importance
   between patients and providers emerged in the online surveys. The
   project activities that follow (rapid literature reviews,
   multistakeholder dialogue) will highlight under-researched topics and
   inform the development of specific research questions.
OI Edwards, Louisa/0000-0001-9371-2805
ZA 0
ZR 0
TC 7
Z8 0
ZB 0
ZS 0
Z9 7
U1 0
U2 1
SN 2044-6055
UT WOS:000485269700284
PM 31292175
ER

PT J
AU Picco, Louisa
   Chang, Sherilyn
   Abdin, Edimansyah
   Chua, Boon Yiang
   Yuan, Qi
   Vaingankar, Janhavi Ajit
   Ong, Samantha
   Yow, Kah Lai
   Chua, Hong Choon
   Chong, Siow Ann
   Subramaniam, Mythily
TI Associative stigma among mental health professionals in Singapore: a
   cross-sectional study
SO BMJ OPEN
VL 9
IS 7
AR e028179
DI 10.1136/bmjopen-2018-028179
PD AUG 2019
PY 2019
AB Objectives (1) Investigate and explore whether different classes of
   associative stigma (the process by which a person experiences
   stigmatisation as a result of an association with another stigmatised
   person) could be identified using latent class analysis; (2) determine
   the sociodemographic and employment-related correlates of associative
   stigma and (3) examine the relationship between associative stigma and
   job satisfaction, among mental health professionals.
   Design Cross-sectional online survey.
   Participants Doctors, nurses and allied health staff, working in
   Singapore.
   Methods Staff (n= 462) completed an online survey, which comprised 11
   associative stigma items and also captured sociodemographic and job
   satisfaction-related information. Latent class analysis was used to
   classify associative stigma on patterns of observed categorical
   variables. Multinomial logistic regression was used to examine
   associations between sociodemographic and employment-related factors and
   the different classes, while multiple linear regression analyses were
   used to examine the relationship between associative stigma and job
   satisfaction.
   Results The latent class analysis revealed that items formed a
   three-class model where the classes were classified as 'no/low
   associative stigma', 'moderate associative stigma' and 'high associative
   stigma'. 48.7%, 40.5% and 10.8% of the population comprised no/low,
   moderate and high associative stigma classes, respectively. Multinomial
   logistic regression showed that years of service and occupation were
   significantly associated with moderate associative stigma, while factors
   associated with high associative stigma were education, ethnicity and
   occupation. Multiple linear regression analyses revealed that high
   associative stigma was significantly associated with lower job
   satisfaction scores.
   Conclusion Associative stigma was not uncommon among mental health
   professionals and was associated with sociodemographic factors and
   poorer job satisfaction. Associative stigma has received comparatively
   little attention from empirical researchers and continued efforts to
   address this understudied yet important construct in conjunction with
   future efforts to dispel misconceptions related to mental illnesses are
   needed.
RI Abdin, Edimansyah/E-6451-2011; Picco, Louisa/AAD-6236-2022; Picco, Louisa/; YUAN, Qi/
OI Abdin, Edimansyah/0000-0002-1016-3298; Picco,
   Louisa/0000-0001-7593-3209; YUAN, Qi/0000-0002-5271-6954
ZB 0
TC 8
ZR 0
ZA 0
Z8 0
ZS 0
Z9 8
U1 0
U2 6
SN 2044-6055
UT WOS:000485269700255
PM 31300500
ER

PT J
AU Wootton, Angie R.
   Legnitto, Dominique A.
   Gruber, Valerie A.
   Dawson-Rose, Carol
   Neilands, Torsten B.
   Johnson, Mallory O.
   Saberi, Parya
TI Telehealth and texting intervention to improve HIV care engagement,
   mental health and substance use outcomes in youth living with HIV: a
   pilot feasibility and acceptability study protocol
SO BMJ OPEN
VL 9
IS 7
AR e028522
DI 10.1136/bmjopen-2018-028522
PD AUG 2019
PY 2019
AB Introduction Youth and young adults living with HIV (YLWH) experience
   worse clinical outcomes than adults and high rates of behavioural health
   challenges that impact their engagement in care and adherence to
   antiretroviral therapy. This study in the San Francisco Bay area aims to
   evaluate the feasibility, acceptability and preliminary clinical
   outcomes of a 12-session telehealth counselling series provided to 80
   YLWH, including education, motivational enhancement and problemsolving
   around HIV care, mental health, substance use and other challenges.
   Findings will provide information about benefits and challenges of
   telehealth counselling for YLWH and will guide the development of new
   technology-based strategies for care.
   Methods and analysis The Youth to Telehealth and Text to Improve
   Engagement in Care study is a pilot randomised, crossover trial
   examining the feasibility and acceptability of a telehealth counselling
   intervention consisting of twelve 2030 min weekly sessions focused on
   identifying and problemsolving around barriers to HIV care access and
   adherence and on addressing mental health, substance use and/or other
   issues. Participants also receive text messages for checkins,
   appointment reminders and to improve engagement. Participants complete
   quantitative online surveys at baseline, 4 and 8 months and qualitative
   exit interviews. Clinical outcomes, including plasma HIV RNA and CD4+
   cell count, are collected from medical records. Study staff will explore
   outcomes of the intervention using quantitative and qualitative methods.
   Ethics and dissemination This study and its protocols have been approved
   by the University of California, San Francisco (UCSF) Institutional
   Review Board. Study staff will work with the UCSF Center for AIDS
   Prevention Studies' Community Engagement Core and the Youth Advisory
   Panel to disseminate results to the community, participants and the
   academic community.
OI Wootton, Angie/0000-0003-1689-4793
ZA 0
Z8 0
TC 12
ZB 1
ZS 0
ZR 0
Z9 12
U1 0
U2 5
SN 2044-6055
UT WOS:000485269700231
PM 31315868
ER

PT J
AU Parikh, Sagar V.
   Bostwick, Jolene R.
   Taubman, Danielle S.
TI Videoconferencing Technology to Facilitate a Pilot Training Course in
   Advanced Psychopharmacology for Psychiatrists
SO ACADEMIC PSYCHIATRY
VL 43
IS 4
BP 411
EP 416
DI 10.1007/s40596-019-01050-w
PD AUG 2019
PY 2019
AB ObjectivePsychopharmacology requires practitioners to continually
   upgrade knowledge and skills, but attendance at live continuing medical
   education events presents many barriers. In addition, technology has
   generated new learning approaches. In response, a videoconference-based
   course on psychopharmacology was developed and evaluated for feasibility
   and acceptability. Specific goals included whether learners would engage
   and whether the technology would work well for both learners and
   instructors. Additional aims included providing guideline-concordant
   psychopharmacology training, enhancing patient safety, and fostering
   case discussion.MethodsThe course used BlueJeans (R) videoconferencing
   technology. Each of the six weekly sessions was taught by a facilitator
   and a speaker. Every class incorporated a 1-h interactive didactic
   presentation, followed by 1h for case reviews. Topics included six major
   psychiatric disorders, managing key drug interactions, and
   pharmacogenomics. Three types of online self-report evaluations were
   conducted-individual session evaluation, overall evaluation, and faculty
   speaker evaluation.ResultsNineteen participants enrolled, with 85% of
   respondents reporting course objectives were met as very good or
   excellent. Moreover, 92% of respondents rated the course as very good or
   excellent. Sixty percent of the faculty were somewhat satisfied and 40%
   were extremely satisfied with the videoconferencing tool. Qualitative
   responses from both participants and faculty were positive
   overall.ConclusionsThis course provides preliminary evidence that an
   online, live longitudinal course in psychopharmacology is both
   acceptable and effective, both for CME learners and teachers. The
   authors plan to disseminate this model of CME to other institutions
   while extending the reach of the present course to more diverse
   practitioners.
OI Bostwick, Jolene/0000-0003-4587-7773
TC 2
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
Z9 2
U1 0
U2 0
SN 1042-9670
EI 1545-7230
UT WOS:000486905000011
PM 30891683
ER

PT J
AU Bushuven, Stefan
   Weidenbusch, Marc
   Mohr, Stefan
   Delis, Achilles
   Fischer, Martin R.
   Juenger, Jana
   Dettenkofer, Markus
TI Cognitive bias in professional hand hygiene and feedback: A national
   online-survey on overconfidence in Germany
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 40
IS 8
BP 943
EP 946
AR PII S0899823X19001569
DI 10.1017/ice.2019.156
PD AUG 2019
PY 2019
AB To evaluate learning motivation barriers in infection control and
   feedback competences, we conducted a national online survey in Germany.
   Among 767 healthcare workers, overconfidence effects could be detected
   independent from age, gender, profession, education, and hospital-size.
   The identified effects may impair learning motivation relevant for
   supervisors and educators in infection control.
RI Anders, Hans-Joachim/ABD-6247-2021; Bushuven, Stefan/
OI Bushuven, Stefan/0000-0001-6272-0714
Z8 0
ZA 0
ZB 2
ZR 0
TC 3
ZS 0
Z9 3
U1 0
U2 1
SN 0899-823X
EI 1559-6834
UT WOS:000475673200018
PM 31294685
ER

PT J
AU Beehler, Sarah
   Boulger, James
   Friedrichsen, Samantha C.
   Onello, Emily C.
TI Teaching Community Health Needs Assessment to First Year Medical
   Students: Integrating with Longitudinal Clinical Experience in Rural
   Communities
SO JOURNAL OF COMMUNITY HEALTH
VL 44
IS 4
BP 784
EP 789
DI 10.1007/s10900-019-00651-8
PD AUG 2019
PY 2019
AB Community health education is especially important for physicians who
   will practice in rural communities. However, the majority of efforts to
   teach community and population health in medical school appear in later
   years and focus on non-rural contexts. This article presents data from a
   formative evaluation of a newly developed curricular component on
   population health and community health assessment for first year medical
   students in a rural longitudinal clinical preceptorship. Curricular
   elements included: a classroom lecture and review of online community
   health databases, an individual homework assignment and a classroom
   debriefing session. In a sample of 210 students, pre- and post-course
   surveys and exam questions assessed gains in awareness and skills over
   the course period. Analyses of data aggregated over four academic years
   (2013-2014 to 2016-2017) showed that first year medical students
   reported significant increases in familiarity with online resources
   (29.5% pre vs. 94.8% post, p<.001), understanding the importance of
   community health assessments (67.5% pre vs. 96.7%, p<.001), knowing how
   to plan a community health assessment (20.0% pre vs. 90.5%, p<.001), and
   awareness of Affordable Care Act expectations for community health
   assessments (12.4% pre vs. 82.4% post, p<.001). Further, students
   performed well on exam questions and reported that this component fit
   well with the objectives of the rural longitudinal clinical
   preceptorship course. Later-year education should reinforce early
   learnings and future studies involving long-term follow-up of physicians
   could assess the impact of early exposure to community health education
   on physician behaviors.
OI Friedrichsen, Samantha/0000-0002-8865-2876
ZB 0
Z8 0
ZA 0
ZR 0
TC 1
ZS 0
Z9 1
U1 0
U2 3
SN 0094-5145
EI 1573-3610
UT WOS:000474569200019
PM 30903327
ER

PT J
AU Norris, J. M.
   Heller, J.
   Gibson, J. S.
   Hardefeldt, L. Y.
   Hyndman, T. H.
   Nielsen, T. D.
   Ward, M. P.
   Govendir, M.
   Chambers, J. P.
   Browning, G. F.
   Wingett, K.
   Britton, S.
TI Development of a veterinary antimicrobial stewardship online training
   program for Australian veterinarians: a national collaborative effort
SO AUSTRALIAN VETERINARY JOURNAL
VL 97
IS 8
BP 290
EP 291
DI 10.1111/avj.12821
PD AUG 2019
PY 2019
CT Australian Veterinary Antimicrobial Stewardship Conference
CY NOV 11-13, 2018
CL AUSTRALIA
RI Ward, Michael/C-5758-2009; Gibson, Justine S/C-2909-2014; Ward, Michael Patrick/W-1897-2019; Heller, Jane/H-9596-2016; Chambers, Paul/; Norris, Jacqueline/; Wingett, Kate/; Hardefeldt, Laura/; Browning, Glenn/P-4459-2014
OI Ward, Michael/0000-0002-9921-4986; Gibson, Justine
   S/0000-0003-2202-8082; Heller, Jane/0000-0003-3993-0160; Chambers,
   Paul/0000-0001-5190-9386; Norris, Jacqueline/0000-0002-0003-6930;
   Wingett, Kate/0000-0002-4519-6946; Hardefeldt,
   Laura/0000-0001-5780-7567; Browning, Glenn/0000-0002-0903-2469
ZA 0
ZB 1
Z8 0
TC 1
ZS 0
ZR 0
Z9 1
U1 0
U2 10
SN 0005-0423
EI 1751-0813
UT WOS:000477911000014
PM 31286468
ER

PT J
AU Ismailov, Rovshan M.
   Khasanova, Zaytuna D.
   Gascon, Pere
TI Knowledge and awareness of biosimilars among oncology patients in
   Colorado, USA
SO FUTURE ONCOLOGY
VL 15
IS 22
BP 2577
EP 2584
DI 10.2217/fon-2019-0194
PD AUG 2019
PY 2019
AB Aim: We aimed to improve oncology patients' knowledge and awareness of
   biosimilars. Subsequently, we conducted an assessment of this knowledge
   by use of an anonymous online survey. Patients & methods: Printed
   materials discussing major topics related to biosimilars were developed
   during Phase I of our educational initiative. The brochures contained a
   link to the online survey. Results: A total of 79 patients responded to
   our survey. More than 70% of survey participants selected the correct
   definition of biosimilars and nearly 80% did so on questions focused on
   regulation, adverse reactions reporting and cost issues related to
   biosimilars. Conclusion: Our results indicate a good level of both
   knowledge and awareness of major topics concerning biosimilars among our
   survey participants.
ZS 0
ZB 2
ZR 0
ZA 0
TC 4
Z8 0
Z9 4
U1 0
U2 2
SN 1479-6694
EI 1744-8301
UT WOS:000485189300004
PM 31339051
ER

PT J
AU Darras, Kathryn E.
   van Merrienboer, Jeroen J. G.
   Toom, Matthew
   Roberson, Nathan D.
   de Bruin, Anique B. H.
   Nicolaou, Savvas
   Forster, Bruce B.
TI Developing the Evidence Base for M-Learning in Undergraduate Radiology
   Education: Identifying Learner Preferences for Mobile Apps
SO CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION
   CANADIENNE DES RADIOLOGISTES
VL 70
IS 3
BP 320
EP 326
DI 10.1016/j.carj.2019.03.007
PD AUG 2019
PY 2019
AB Purpose: There is a lack of evidence for developing radiology mobile
   apps for medical students. This study identifies the characteristics
   which students perceive as most valuable to teaching radiology with
   mobile apps (m-learning).
   Methods: An online anonymous survey was administered to second- to
   fourth-year medical students at a single institution. The survey, which
   was based on established theoretical framework, collected students'
   preferred content organization, content presentation, and delivery
   strategies. The Copeland method was used to rank student preferences and
   a 2-tailed t test was used to determine if student responses were
   related to their clinical experience, with statistical significance at P
   < .05.
   Results: The response rate was 25.6% (163/635). For content
   organization, image interpretation (66.9%), imaging anatomy (61.3%), and
   common pathological conditions (50.3%) were selected as the most
   important. For content presentation, quizzes (49.1%) and case
   presentations (46.0%) were selected as the most useful. Students with
   clinical experience rated algorithms as more important (P < .01) and
   quizzes as less important (P = .03). For delivery strategies, ease of
   use (92.6%), navigation (90.8%), and gestural design (74.8%) were deemed
   the most applicable.
   Conclusion: This study documents medical students' preferences for
   m-learning in radiology. Although learner preferences are not the only
   feature to consider in the development of educational technology, these
   provide the initial framework for radiologists wishing to develop and
   incorporate mobile apps into their teaching. (C) 2019 Canadian
   Association of Radiologists. All rights reserved.
TC 4
Z8 0
ZB 0
ZA 0
ZS 1
ZR 2
Z9 7
U1 1
U2 5
SN 0846-5371
EI 1488-2361
UT WOS:000484651000016
PM 31300315
ER

PT J
AU Evans, Danika K.
   Thiessen, Molly E. W.
TI Novel Approach to Introducing an Ultrasonography Curriculum With Limited
   Instructor Resources
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 119
IS 8
BP 533
EP 540
DI 10.7556/jaoa.2019.095
PD AUG 2019
PY 2019
AB Context: Ultrasonography is becoming more prevalent in clinical
   practice, but medical schools looking to implement preclinical training
   are limited by financial and faculty resources.
   Objective: To design a single-instructor model to save faculty resources
   and to determine whether this model is effective at teaching
   ultrasonography to preclinical medical students.
   Methods: This single-instructor model included 3 components: (1) flipped
   classroom, where students watched an online lecture covering examination
   techniques; (2) in-person scanning sessions, where students scanned each
   other after the instructor went through lecture content and pathologic
   images, a video camera to show probe placement and examination
   technique, and a live feed from an ultrasonography demonstration; and
   (3) feedback on written examination questions and course evaluations.
   Results: When compared with a traditional ultrasonography curriculum,
   which requires approximately 600 instruction hours annually, this
   program required 96 hours. Students reported appreciation of exposure to
   ultrasonography but expressed desire for smaller group sizes and greater
   individual instruction. Students performed well on written test
   questions, with the first-year class answering 88% correctly and the
   second-year class answering 90.6% correctly.
   Conclusions: Although this educational format was used successfully to
   teach introductory ultrasonography to preclinical students, feedback
   suggested that students would prefer more individual instruction. The
   authors look toward implementing a peer-instructor format, forming
   smaller laboratory groups, and improving skill assessment.
ZS 0
Z8 0
TC 0
ZB 0
ZR 0
ZA 0
Z9 0
U1 0
U2 6
SN 0098-6151
EI 1945-1997
UT WOS:000483340100008
PM 31355892
ER

PT J
AU Luster, Fern R.
   Baum, Robin Camhi
   Zou, Christopher
   Risucci, Don
   Ly, Anhphan
   Reiter, Harold
   Miller, D. Douglas
   Dore, Kelly L.
TI Addressing the Diversity-Validity Dilemma Using Situational Judgment
   Tests
SO ACADEMIC MEDICINE
VL 94
IS 8
BP 1197
EP 1203
DI 10.1097/ACM.0000000000002769
PD AUG 2019
PY 2019
AB Purpose To examine the magnitudes of score differences across different
   demographic groups for three academic (grade point average [GPA], old
   Medical College Admission Test [MCAT], and MCAT 2015) and one
   nonacademic (situational judgment test [SJT]) screening measures and one
   nonacademic (multiple mini-interview [MMI]) interview measure (analysis
   1), and the demographic implications of including an SJT in the
   screening stage for the pool of applicants who are invited to interview
   (analysis 2). Method The authors ran the analyses using data from New
   York Medical College School of Medicine applicants from the 2015-2016
   admissions cycle. For analysis 1, effect sizes (Cohen d) were calculated
   for GPA, old MCAT, MCAT 2015, CASPer (an online SJT), and MMI.
   Comparisons were made across gender, race, ethnicity (African American,
   Hispanic/Latino), and socioeconomic status (SES). For analysis 2, a
   series of simulations were conducted to estimate the number of
   underrepresented in medicine (UIM) applicants who would have been
   invited to interview with different weightings of GPA, MCAT, and CASPer
   scores. Results A total of 9,096 applicants were included in analysis 1.
   Group differences were significantly smaller or reversed for CASPer and
   MMI compared with the academic assessments (MCAT, GPA) across nearly all
   demographic variables/indicators. The simulations suggested that a
   higher weighting of CASPer may help increase gender, racial, and ethnic
   diversity in the interview pool; results for low-SES applicants were
   mixed. Conclusions The inclusion of an SJT in the admissions process has
   the potential to widen access to medical education for a number of UIM
   groups.
ZA 0
Z8 0
ZR 0
TC 17
ZB 0
ZS 0
Z9 17
U1 2
U2 15
SN 1040-2446
EI 1938-808X
UT WOS:000482301800033
PM 31033603
ER

PT J
AU Harris, Amanda
   Chandramohan, Suganya
   Awali, Reda A.
   Grewal, Mehr
   Tillotson, Glenn
   Chopra, Teena
TI Physicians' attitude and knowledge regarding antibiotic use and
   resistance in ambulatory settings
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 47
IS 8
BP 864
EP 868
DI 10.1016/j.ajic.2019.02.009
PD AUG 2019
PY 2019
AB Background: The aim of this survey was to assess the attitudes of
   physicians toward antibiotic prescribing and explore their knowledge
   about antimicrobial resistance (AMR) in ambulatory care settings.
   Methods: We conducted a cross-sectional survey that was administered to
   physicians who work primarily in ambulatory care settings in the United
   States. The survey was self-administered, voluntary, and anonymous, and
   was delivered through electronic mail and online forums using a 35-item
   questionnaire.
   Results: The survey was completed by 323 physicians. Ninety-nine percent
   of respondents agreed that AMR is a national problem, but only 63%
   agreed that AMR is a local problem within their own facilities.
   Ninety-four percent of the respondents reported that each antibiotic
   prescription can impact AMR; however, 23% still believed that aggressive
   prescribing is necessary to avoid clinical failures. Factor perceived to
   have a low to moderate impact on the physicians' choice of antibiotic
   was the presence of prescription guidelines (54%). Top measures reported
   to be effective in reducing the emergence of AMR were institution
   specific guidelines (94%), institution specific antibiogram (92%),
   educating health care providers (87%), and regular audits and feedback
   on antibiotic prescribing (86%).
   Conclusions: AMR awareness campaigns and antibiotic stewardships
   incorporating interactive education and feedback, along with input of
   local experts, are critically needed to address the problem of AMR in
   both inpatient and ambulatory settings. (C) 2019 Association for
   Professionals in Infection Control and Epidemiology, Inc. Published by
   Elsevier Inc. All rights reserved.
ZA 0
ZB 2
ZR 0
TC 5
Z8 0
ZS 0
Z9 5
U1 0
U2 4
SN 0196-6553
EI 1527-3296
UT WOS:000476877100003
PM 30926215
ER

PT J
AU Farrington, Rebecca
   Collins, Lisa
   Fisher, Pip
   Danquah, Adam
   Sergeant, Jamie
TI Clinical Debrief: learning and well-being together
SO CLINICAL TEACHER
VL 16
IS 4
SI SI
BP 329
EP 334
DI 10.1111/tct.13055
PD AUG 2019
PY 2019
AB BackgroundClinical environments can be so stressful to medical students
   as to be detrimental to their learning and well-being. Our intervention,
   Clinical Debrief, integrates learning through clinical experience with
   the development of positive coping strategies. Students shared cases and
   experiences during weekly small group classroom discussions, facilitated
   by general practitioners (from outside their current hospital
   placement), throughout two consecutive 12-week blocks of their first
   clinical year. Alongside enquiry-based and clinical reasoning learning,
   we gave students a safe space to reflect on their affect. Our aim was to
   critically examine students' views in Clinical Debrief.
   MethodAnonymised quantitative and qualitative evaluation data were
   collected over 3years using online questionnaires on completion of each
   12-week block. The data relating to psychological supervision were
   analysed independently and in parallel, using thematic analysis for
   qualitative data.
   ResultsA total of 1857 evaluations were extracted (response rate 67%).
   The median (interquartile range) overall rating for Clinical Debrief
   sessions was 9 (8-10), where 10 indicates excellent' and 1 indicates
   significant improvement needed'. The rating for the supervisory aspects
   of the sessions and free-text comments were positive. Students
   appreciated safe environments, the session structure, facilitator role
   modelling, transitional support and processing of emotional experiences.
   DiscussionMandatory integrated longitudinal supervision, using trained
   clinician facilitators, was positively received by students in
   transition to clinical placements. Normalising the emotional impact of
   medical work destigmatises distress. Linking clinical reasoning with
   affective state awareness to contextualise case management, following
   Mezirow's transformative learning theory, brings added benefit to
   learning and well-being. Student demand for the expansion of Clinical
   Debrief is evidence of success.
OI Farrington, Rebecca/0000-0001-6555-3704; Collins,
   Lisa/0000-0001-9435-5555; Fisher, Jean/0000-0003-4510-0665
ZB 1
TC 10
ZS 0
ZA 0
Z8 0
ZR 0
Z9 10
U1 0
U2 2
SN 1743-4971
EI 1743-498X
UT WOS:000482269600006
PM 31309726
ER

PT J
AU Chan, Linda
   Dennis, Ashley A.
TI Resilience: insights from medical educators
SO CLINICAL TEACHER
VL 16
IS 4
SI SI
BP 384
EP 389
DI 10.1111/tct.13058
PD AUG 2019
PY 2019
AB BackgroundEducators have unique opportunities to cultivate resilience in
   themselves and in their learners across the medical education continuum
   through the formal, informal and hidden curricula. Yet, there is a
   dearth of research exploring how medical educators conceptualise
   resilience, and how they foster learner resilience in medical education.
   MethodsThematic framework analysis was conducted on data collected
   through an online questionnaire, which was part of a larger study
   exploring resilience in medical educators. Open-ended questions examined
   educators' conceptualisations of resilience and how they reported
   supporting resilience in their learners. Sociodemographic
   characteristics were also collected to describe the sample of
   participants.
   FindingsA total of 244 medical educators participated from across the
   UK. They predominantly conceptualised resilience as an individual
   process. Participants mostly reported approaches to fostering learner
   resilience that aligned with the formal and informal curricula.
   Approaches addressing the hidden curriculum were seldom mentioned.
   DiscussionOpportunities exist for faculty development around
   multidimensional conceptualisations of resilience, and for medical
   educators to critically reflect on how their concepts of resilience may
   be influencing their approach to fostering learner resilience.
   Furthermore, the hidden curriculum could be featured as one of the
   multifaceted strategies to support resilience in learners.
OI Dennis, Ashley/0000-0002-2744-423X; Chan, Linda/0000-0002-9802-5059
ZS 0
ZB 0
ZR 0
TC 2
ZA 0
Z8 0
Z9 2
U1 1
U2 5
SN 1743-4971
EI 1743-498X
UT WOS:000482269600016
PM 31397101
ER

PT J
AU Schoen, Lucy E.
   Bogetz, Alyssa L.
   Hom, Melanie A.
   Bernert, Rebecca A.
TI Suicide Risk Assessment and Management Training Practices in Pediatric
   Residency Programs: A Nationwide Needs Assessment Survey
SO JOURNAL OF ADOLESCENT HEALTH
VL 65
IS 2
BP 280
EP 288
DI 10.1016/j.jadohealth.2019.02.012
PD AUG 2019
PY 2019
AB Purpose: Youth suicide is a public health emergency, and its prevention
   is a national imperative. Pediatric providers are critical to risk
   assessment, triage, and intervention, yet little is known about the
   content, quality, and perceived adequacy of suicide prevention pediatric
   residency training. We thus sought to (1) characterize suicide risk
   assessment and management training practices in pediatric residency
   programs nationwide and (2) assess areas of training need to guide
   curricular development.
   Methods: An online nationwide needs assessment was distributed to all
   204 pediatric residency program directors (PDs) and 494 pediatric chief
   residents (CRs) through the Association of Pediatric Program Directors
   listservs (May to June 2017). Descriptive statistics and comparisons
   between PDs and CRs are reported.
   Results: Ninety-five PDs and 210 CRs (47% and 43% response rate,
   respectively) completed the survey. Although 82% of respondents rated
   suicide prevention training in residency as "very" or "extremely"
   important, a minority (18% PDs and 10% CRs) reported adequate
   preparation relative to need. Formal training was not universal (66% PDs
   and 45% CRs) and practices varied across programs (PD median = 3 hours
   [interquartile range: 1-4.5 hours], CR median = 1.5 hours [interquartile
   range: 0-3 hours]). Top-ranked educational priorities included
   interviewing adolescents about risk, risk factor identification, and
   locating community resources. Training barriers included limited time,
   lack of training resources, and need for additional expert faculty to
   guide training.
   Conclusions: PDs and CRs reported constraints to suicide prevention
   training for pediatric residents despite high perceived importance and
   need. Programs may benefit from explicit guidelines and standardized
   curricula that emphasize educational priorities, building on these
   findings. (C) 2019 Society for Adolescent Health and Medicine. All
   rights reserved.
TC 6
ZS 0
ZA 0
Z8 0
ZB 0
ZR 0
Z9 6
U1 1
U2 8
SN 1054-139X
EI 1879-1972
UT WOS:000476483300021
PM 31129034
ER

PT J
AU Aubrey, V.
   Hon, Y.
   Shaw, C.
   Burden, S.
TI Healthy eating interventions in adults living with and beyond colorectal
   cancer: a systematic review
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 32
IS 4
BP 501
EP 511
DI 10.1111/jhn.12651
PD AUG 2019
PY 2019
AB Background Rates of cancer survival are increasing, with more people
   living with and beyond cancer. Lifestyle recommendations for cancer
   survivors are based largely on extrapolation from cancer prevention
   recommendations. The present study aimed to systematically review the
   literature on randomised controlled trials (RCTs) focusing on healthy
   eating interventions in people with colorectal cancer (CRC). Methods A
   structured search of electronic databases was conducted in March 2018
   using medical subject headings (MeSH) and text words related to CRC and
   diet. The results of the literature searches were uploaded to online
   software for data management. Titles and abstracts were screened based
   on the inclusion and exclusion criteria and data were extracted. Quality
   of data was assessed using the Cochrane Handbook. Results Seven studies
   were identified, including six RCTs and one RCT protocol, with a total
   of 2233 participants from six studies, of whom 1010 (45%) had CRC. Three
   studies assessed anthropometrics demonstrating participants who received
   dietary intervention had a greater reduction in measurements. Six
   studies assessed changes in dietary components; however, only one
   demonstrated an increase in dietary fibre. Two studies reported
   improvements in quality of life favouring dietary intervention groups.
   Conclusions The quality of identified studies was variable, with limited
   evidence to support dietary intervention improving dietary intake in
   people living with or after CRC. Studies to date have not been based on
   robust study design that has combined all dietary interventions linked
   to CRC. As a result of the heterogeneity of the studies identified, it
   was difficult to draw strong conclusions.
OI Nelson, Victoria/0000-0003-1800-7051; Hon, YiWen/0000-0002-6105-1309
ZB 3
ZA 0
ZS 0
Z8 0
ZR 0
TC 7
Z9 7
U1 0
U2 10
SN 0952-3871
EI 1365-277X
UT WOS:000475982100010
PM 30941834
ER

PT J
AU Alshaikh, Eman A.
   Almedimigh, Abdulaziz F.
   Alruwaili, Abdulmajeed M.
   Almajnoni, Abdullah H.
   Alhajiahmed, Ali
   Almalki, Thamer S.
   Alfaraj, Sukayna Z.
   Pines, Jesse M.
TI Patient-Focused Online Resources for Melanoma: Highly Variable Content
   and Quality
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 4
BP 775
EP 781
DI 10.1007/s13187-018-1372-2
PD AUG 2019
PY 2019
AB When patients are diagnosed or concerned with the diagnosis of melanoma,
   they commonly use the Internet for information. We assessed the content
   of patient-focused websites about melanoma. We searched for "melanoma"
   in four search engines then assessed the first 30 websites in each
   search. Among included sites, we describe potentially useful content
   about melanoma: website quality, readability, popularity, and social
   media sharing. In 31 included websites, > 80% mentioned the definition
   and risk factors for melanoma, when to seek medical help, how to
   diagnose, and treatment options, and > 70% described preventive
   measures. However, website quality was variable: 61% of websites had
   disclosures, 54% were dated, 41% had a clear author, and 41% had
   references. Average readability ranged from 8th to 12th grade, which is
   above recommended reading levels for patient websites. Despite this
   variation and high reading levels, we identified many high-quality
   melanoma websites for patients.
ZS 0
ZB 0
Z8 0
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 1
SN 0885-8195
EI 1543-0154
UT WOS:000482450900023
PM 29732480
ER

PT J
AU Alnaim, Lamya
TI Evaluation Breast Cancer Information on The Internet in Arabic
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 4
BP 810
EP 818
DI 10.1007/s13187-018-1378-9
PD AUG 2019
PY 2019
AB Nowadays, medical information regarding various diseases and disorders
   is available online. The Internet has become the first choice for the
   patient when it comes to gathering detailed information about a disease
   or problem. Therefore, in view of this frequent occurrence, the
   information that is provided online needs to be accurate; providing
   comprehensive facts, transparency, and quality. A study was carried out
   to determine the accuracy of information related to breast cancer on
   various websites. Websites which share information online about breast
   cancer, in the Arabic language, were selected. The quality of the
   websites was to be evaluated; however, there is no standard method for
   evaluating the quality of health websites. Hence, a rating form was
   developed for this study, to determine the completeness and transparency
   of a specific number of websites using three popular search engines. A
   16-item questionnaire was prepared and validated to determine the
   quality of individual websites in addition to using the DISCERN
   instrument for assessing consumer health information. Most of the
   websites (approximately 47%) were deemed to be commercial in nature.
   Thirty-three percent were developed by non-profit organizations. They
   disseminated information concerning the risk factors (93%), screening,
   mammography (93%), surgical treatment (93%), chemotherapy (89%),
   radiotherapy (93%), and complementary medicine (0%) surrounding the
   treatment of breast cancer. About 67% of the websites were estimated to
   give completely correct information. Incidentally, only five websites
   had a healthcare professional or expert as the author, while nine of
   them had no author. Although numerous breast cancer-related websites
   exist, most do a poor job in providing Arabic-speaking women with
   comprehensive information about breast cancer surgery. Providing
   easily-accessible, high-quality online information has the potential to
   significantly improve patients' experiences.
RI alnaim, lamya/J-9743-2019
OI alnaim, lamya/0000-0001-6442-1646
ZS 0
TC 4
ZA 0
ZB 0
Z8 0
ZR 0
Z9 4
U1 0
U2 3
SN 0885-8195
EI 1543-0154
UT WOS:000482450900028
PM 29923058
ER

PT J
AU Zhao, Shixi
   Chen, Wei-Ju
   Dhar, Shweta U.
   Eble, Tanya N.
   Kwok, Oi-Man
   Chen, Lei-Shih
TI Needs assessment in genetic testing education: A survey of parents of
   children with autism spectrum disorder in the united states
SO AUTISM RESEARCH
VL 12
IS 8
BP 1162
EP 1170
DI 10.1002/aur.2152
PD AUG 2019
PY 2019
AB Understanding parents' educational needs concerning genetic testing for
   their children with autism spectrum disorder (ASD) is important in
   developing tailored, evidence-based health education materials for
   clinical use. Since research is lacking in this area, to bridge the gap,
   we examined genetic testing education needs using a nationwide sample of
   parents of biological children with ASD in the United States.
   Prospective participants were recruited from the interactive autism
   network, and 552 parents of biological children with ASD completed the
   online survey. Most participants (73.7%) were interested in receiving
   health education about genetic testing. Yet, the majority of them
   (64.7%) reported that they did not receive the information needed from
   physicians. Parents who identified as racial/ethnic minorities (P =
   0.029), who had an education degree below college (P = 0.002), or
   displayed low/no awareness of genetic testing (P = 0.003) were more
   interested in receiving health education regarding genetic testing.
   Parents' most desired topics for health education include the accuracy
   of genetic testing (88.4%), cost (85.9%), relevant benefits of such
   testing (83.8%), testing procedure (77.8%), eligibility to undergo
   genetic testing for their children with ASD (62.4%), potential harms
   caused by genetic testing (56.1%), previous use and experience among
   individuals affected by ASD (50.8%), and confidentiality issues (48.0%).
   Furthermore, web-based education was the preferable approach (85.4%).
   Our findings can help develop health education programs and/or materials
   regarding genetic testing for parents and physicians to facilitate
   better physician-parent communication and assist parents in making
   informed medical decisions regarding genetic testing. Autism Res 2019,
   12: 1162-1170. (c) 2019 International Society for Autism Research, Wiley
   Periodicals, Inc. Lay Summary This study examined educational needs on
   genetic testing among 552 American parents of children with autism
   spectrum disorder (ASD). Results showed that most parents expressed
   interests in receiving health education regarding genetic testing
   (73.7%) and favored online education resources (85.4%). Preferred topics
   included accuracy, cost, and testing benefits. Our findings can help
   develop genetic testing related health education programs and materials
   for parents of children with ASD.
RI Chen, Wei-Ju/AAE-6048-2022; Kwok, Oiman/; Zhao, Shixi/
OI Chen, Wei-Ju/0000-0002-5424-7047; Kwok, Oiman/0000-0002-4617-4562; Zhao,
   Shixi/0000-0002-7758-0918
ZB 4
ZR 0
Z8 0
ZS 0
ZA 0
TC 11
Z9 11
U1 2
U2 10
SN 1939-3792
EI 1939-3806
UT WOS:000480592600004
PM 31165588
ER

PT J
AU Dodson, Kelley M.
   Appelbaum, Nital P.
   Lee, Nathaniel
   Amendola, Michael
   Kaplan, Brian
TI Otolaryngology Resident Well-Being and Perceptions of the Clinical
   Learning Environment
SO ENT-EAR NOSE & THROAT JOURNAL
VL 98
IS 7
BP 409
EP 415
DI 10.1177/0145561319840125
PD AUG 2019
PY 2019
AB Objective: To measure the current state of organizational and well-being
   factors in otolaryngology residency programs and associate these
   perceptions with demographics, pursuit of subspecialty fellowships, and
   performance on the Otolaryngology Training Examination (OTE). Materials
   and Methods: Anonymous mail and online survey study of otolaryngology
   residents from the Southern, Mid-Atlantic, and East South-Central
   Regions of the United States. Summary of Results: A total of 46
   otolaryngology residents across 14 residency training programs (22%
   resident response rate) completed our survey. Residents who scored above
   the 80th percentile on the OTE perceived greater organizational support
   (median = 3.84) than residents who scored below the 40th percentile
   (median = 3.31), U = 48.00, P = .047, eta(2) = 0.14. Residents
   interested in fellowship reported less burnout (median = 2.44) compared
   to those who did not plan to pursue fellowship (median = 3.56), U =
   105.00, P = .010, eta(2) = 0.05. Residents pursuing fellowship also
   reported less work-life strain (median = 2.56) than those forgoing
   fellowship (median = 2.89), U = 126.00, P = .044, eta(2) = 0.10.
   Residents with children reported greater work-life strain (median =
   3.11) compared to those without (median = 2.56), U = 60.50, P = .008,
   eta(2) = 0.15. Conclusion: For otolaryngology residents in this survey
   sample, the perception of organizational support and well-being may
   influence resident performance (on OTE examinations) and ultimate career
   goals (fellowship applications). Program directors and coordinators can
   use this information to strengthen the perceptions of organizational
   support as well as improve the clinical learning environment to optimize
   training conditions for their residents. Residency program directors can
   also use the identified study measures to assess resident perceptions of
   the clinical learning environment and well-being for annual evaluation
   and improvement purposes.
RI Appelbaum, Nital/AAY-9435-2020
TC 5
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
Z9 5
U1 1
U2 4
SN 0145-5613
EI 1942-7522
UT WOS:000482427700014
PM 30974991
ER

PT J
AU Niermeyer, Weston L.
   Philips, Ramez H. W.
   Essig, Garth F.
   Moberly, Aaron C.
TI Diagnostic accuracy and confidence for otoscopy: Are medical students
   receiving sufficient training?
SO LARYNGOSCOPE
VL 129
IS 8
BP 1891
EP 1897
DI 10.1002/lary.27550
PD AUG 2019
PY 2019
AB Objectives/Hypothesis To assess the confidence and abilities of medical
   students to diagnose specific types of otologic pathology, and to
   determine how different training experiences in medical school impact
   these outcomes. Study Design Survey analysis. Methods Sixty third- and
   fourth-year medical students completed a computerized online survey.
   Participants answered questions about their otoscopic training
   experience and confidence, and provided diagnoses for 72 digital images
   taken with a high-definition video otoscope that showed common otologic
   pathologies of the tympanic membrane and middle ear space. Results Most
   participants (65%) had received less exposure to otoscopic training in
   medical school than they expected. Confidence in diagnostic ability was
   low. For diagnostic ability, the mean percent correct across pathologies
   was 54% +/- 7.7%. Medical school year (P = .006), intended specialty (P
   = .022), and total number of otolaryngology rotations (P = .048) were
   predictive of diagnostic accuracy on univariable logistic regression
   analyses, but medical school year (P = .039) was the only significant
   independent predictor in multivariable analysis. Intended specialty (P =
   .047) and total number of otolaryngology rotations (P = .035) were
   predictive of prequiz diagnostic confidence on univariable logistic
   regression analyses. Conclusions Medical students were not satisfied
   with their exposure to otoscopic training. Intended specialty, total
   number of otolaryngology rotations, and year in medical school predicted
   diagnostic accuracy. Intended specialty and total number of
   otolaryngology rotations predicted diagnostic confidence. Additional
   studies are needed to investigate how training experiences can be
   improved to optimize otoscopy training during medical school. Level of
   Evidence NA Laryngoscope, 129:1891-1897, 2019
OI Niermeyer, Weston/0000-0001-7580-8731; Philips,
   Ramez/0000-0003-3899-6678
ZR 0
ZA 0
ZS 0
TC 12
ZB 4
Z8 1
Z9 13
U1 1
U2 2
SN 0023-852X
EI 1531-4995
UT WOS:000481836100033
PM 30329157
ER

PT J
AU Dalrymple, Jenny
   McAloney-Kocaman, Kareena
   Flowers, Paul
   McDaid, Lisa M.
   Frankis, Jamie Scott
TI Age-related factors influence HIV testing within subpopulations: a
   cross-sectional survey of MSM within the Celtic nations
SO SEXUALLY TRANSMITTED INFECTIONS
VL 95
IS 5
BP 351
EP 357
DI 10.1136/sextrans-2018-053935
PD AUG 2019
PY 2019
AB Objectives Despite a recent fall in the incidence of HIV within the UK,
   men who have sex with men (MSM) continue to be disproportionately
   affected. As biomedical prevention technologies including pre-exposure
   prophylaxis are increasingly taken up to reduce transmission, the role
   of HIV testing has become central to the management of risk. Against a
   background of lower testing rates among older MSM, this study aimed to
   identify age-related factors influencing recent (<= 12 months) HIV
   testing. Methods Cross-sectional subpopulation data from an online
   survey of sexually active MSM in the Celtic nations-Scotland, Wales,
   Northern Ireland and Ireland (n=2436)-were analysed to compare
   demographic, behavioural and sociocultural factors influencing HIV
   testing between MSM aged 16-25 (n=447), 26-45 (n=1092) and >= 46
   (n=897). Results Multivariate logistic regression demonstrated that for
   men aged >= 46, not identifying as gay (OR 0.62, CI 0.41 to 0.95),
   location (Wales) (OR 0.49, CI 0.32 to 0.76) and scoring higher on the
   personalised Stigma Scale (OR 0.97, CI 0.94 to 1.00) significantly
   reduced the odds for HIV testing in the preceding year. Men aged 26-45
   who did not identify as gay (OR 0.61, CI 0.41 to 0.92) were also
   significantly less likely to have recently tested for HIV. For men aged
   16-25, not having a degree (OR 0.48, CI 0.29 to 0.79), location
   (Republic of Ireland) (OR 0.55, CI 0.30 to 1.00) and scoring higher on
   emotional competence (OR 0.57, CI 0.42 to 0.77) were also significantly
   associated with not having recently tested for HIV. Conclusion Key
   differences in age-related factors influencing HIV testing suggest
   health improvement interventions should accommodate the wide diversities
   among MSM populations across the life course. Future research should
   seek to identify barriers and enablers to HIV testing among the oldest
   and youngest MSM, with specific focus on education and stigma.
CT Medical Sociology Conference of the British-Sociological-Association
CY SEP, 2018
CL Glasgow Caledonian Univ, Glasgow, SCOTLAND
HO Glasgow Caledonian Univ
SP British Sociol Assoc
RI Flowers, Paul/H-5174-2019; Frankis, Jamie/; McDaid, Lisa/; McAloney-Kocaman, Kareena/
OI Flowers, Paul/0000-0001-6239-5616; Frankis, Jamie/0000-0003-3350-5892;
   McDaid, Lisa/0000-0002-7711-8723; McAloney-Kocaman,
   Kareena/0000-0003-4561-9619
Z8 0
ZA 0
ZB 1
ZR 0
ZS 0
TC 5
Z9 5
U1 1
U2 5
SN 1368-4973
EI 1472-3263
UT WOS:000478904200007
PM 31201278
ER

PT J
AU Musits, Andrew N.
   Phrampus, Paul E.
   Lutz, John W.
   Bear, Todd M.
   Maximous, Stephanie, I
   Mrkva, Andrew J.
   O'Donnell, John M.
TI Physician Versus Nonphysician Instruction Evaluating an Expert
   Curriculum-Competent Facilitator Model for Simulation-Based Central
   Venous Catheter Training
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 14
IS 4
BP 228
EP 234
DI 10.1097/SIH.0000000000000374
PD AUG 2019
PY 2019
AB Introduction Healthcare simulation supports educational opportunities
   while maintaining patient safety. To reduce costs and increase the
   availability of training, a randomized controlled study evaluated
   central venous catheter (CVC) insertion training in the simulation
   laboratory with nonphysician competent facilitators (NPCFs) as
   instructors. Method A group of learners naive to central line placement
   participated in a blended curriculum consisting of interactive online
   materials and simulation-based training. Learners were randomized to
   training with NPCFs or attending physician faculty. The primary outcome
   was simulated CVC insertion task performance, graded with a validated
   checklist by blinded physician reviewers. Learner knowledge and
   satisfaction were also evaluated. Analysis was conducted using
   noninferiority testing. Results Eighty-five students, 11 attending
   physicians, and 7 NPCFs voluntarily participated. Noninferiority testing
   of the difference in CVC insertion performance between NPCF-trained
   learners versus physician-trained learners found no significant
   difference [rejecting the null hypothesis of inferiority using an 8%
   noninferiority margin (P < 0.01)]. In addition, there was no difference
   found between the 2 groups on pre/post knowledge scores, self-reported
   learner comfort, course satisfaction, or instructor satisfaction.
   Conclusions An introductory CVC curriculum can be taught to novice
   learners by carefully trained and supported NPCFs and achieve skill and
   knowledge outcomes similar to learners taught by physicians.
OI Bear, Todd/0000-0001-5252-6926
ZR 0
ZA 0
ZB 0
ZS 0
TC 3
Z8 0
Z9 3
U1 2
U2 6
SN 1559-2332
EI 1559-713X
UT WOS:000481449100005
PM 31116170
ER

PT J
AU Salles, Arghavan
   Milam, Laurel
   Sevdalis, Nick
   Alseidi, Adnan
   Mellinger, John
   Stefanidis, Dimitrios
   Nahmias, Jeffry
   Kulaylat, Afif N.
   Kim, Roger H.
   Falcone, John L.
   Arora, Tania K.
   Phitayakorn, Roy
   Cochran, Amalia
TI Multi-institutional Surgical Education Interventions A Scoping Review
SO ANNALS OF SURGERY
VL 270
IS 2
BP 257
EP 269
DI 10.1097/SLA.0000000000003203
PD AUG 2019
PY 2019
AB Objective: The aim of the study was to identify and evaluate scholarship
   in multi-institutional interventional surgical education trials.
   Summary Background Data: Most research on interventions in surgical
   education occurs at individual institutions. These studies typically
   involve a small number of learners in a unique environment, thereby
   limiting their generalizability. The status of multi-institutional
   studies in surgical education remains unknown.
   Methods: We searched the Pubmed, ERIC, PsycINFO, SCOPUS, and CINAHL
   databases for all English language articles published from January 1,
   2000 to December 31, 2015 using the keywords "medical education,''
   "surgical education,'' "multi-institutional,'' "multi-center,'' and
   related terms. Articles published in an English language peer-reviewed
   journal that described an educational intervention conducted at more
   than one institution and involving surgeons were included.
   Results: Of 3511 identified articles, 53 met criteria for full-text
   review and inclusion in this review. The median number of institutional
   sites was 4, with a range of 2 to 54. The 2 most common areas of focus
   were technical skills (43% of studies) and clinical knowledge (32% of
   studies). These were also the 2 most commonly measured outcomes
   (technical skills 32% of studies, clinical knowledge 21% of studies).
   Thirteen percentage of studies measured only learner attitudes and
   perceptions rather than learning outcomes.
   Conclusions: Multi-institutional surgical education studies do not
   uniformly incorporate characteristics of high quality research,
   particularly related to study design, measurable outcomes, and
   assessment tools used. Coordinated support, including grant funding,
   that addresses the challenging nature of multi-institutional surgical
   education research may improve the quality of these studies.
RI Nahmias, Jeffry/ABA-1850-2020; Sevdalis, Nick/AAJ-6280-2020; Kim, Roger/; Cochran, Amalia/; Kulaylat, Afif/
OI Nahmias, Jeffry/0000-0003-0094-571X; Sevdalis, Nick/0000-0001-7560-8924;
   Kim, Roger/0000-0003-0718-7376; Cochran, Amalia/0000-0003-4285-8630;
   Kulaylat, Afif/0000-0001-6334-1791
ZS 0
Z8 0
ZR 0
ZA 0
ZB 2
TC 5
Z9 5
U1 1
U2 5
SN 0003-4932
EI 1528-1140
UT WOS:000480739600064
PM 31306156
ER

PT J
AU Sarkies, Mitchell N.
   Maloney, Stephen
   Symmons, Mark
   Haines, Terry P.
TI Video strategies improved health professional knowledge across different
   contexts: a helix counterbalanced randomized controlled study
SO JOURNAL OF CLINICAL EPIDEMIOLOGY
VL 112
BP 1
EP 11
DI 10.1016/j.jclinepi.2019.04.003
PD AUG 2019
PY 2019
AB Objective: This study aimed to apply a novel helix counterbalanced
   randomized controlled trial design to evaluate the effectiveness of
   video vs. written knowledge translation strategies for improving health
   professional knowledge of evidence provided in scientific journal
   articles.
   Study Design and Setting: A Helix counterbalanced randomized controlled
   trial was used to compare the impact of delivering research information
   via video or written modalities compared to a no-information control
   across three health contexts. Interventions were delivered and data
   collected via an online survey to nursing and allied health
   professionals across five hospitals within a public health service in
   Melbourne, Australia. A knowledge test measuring alignment between
   respondent perceived benefit of the intervention and conclusions listed
   in the journal article was the primary outcome.
   Results: There were 119 participants recruited with n = 13 incomplete
   responses. Exposure to the video increased the likelihood of a knowledge
   test response that was aligned with the research evidence compared to
   the no-information control (OR 2.61; 95% CI 1.40, 4.89; P = 0.003), but
   this was not the case for exposure to the written modality (OR 1.39; 95%
   CI 0.75, 2.57; P = 0.294).
   Conclusion: Providing video knowledge translation strategies to nursing
   and allied health professionals increases the likelihood they will
   understand the main findings from scientific journal articles. (C) 2019
   Elsevier Inc. All rights reserved.
RI Sarkies, Mitchell N/O-1029-2018; Maloney, Stephen/
OI Sarkies, Mitchell N/0000-0001-7318-3598; Maloney,
   Stephen/0000-0003-2612-5162
TC 9
Z8 0
ZS 0
ZR 0
ZA 0
ZB 1
Z9 9
U1 0
U2 5
SN 0895-4356
EI 1878-5921
UT WOS:000480667500002
PM 30998965
ER

PT J
AU Ryan, Anna Therese
   Fisher, Caleb
   Chiavaroli, Neville
TI Medical students as interpreters in health care situations: "... it's a
   grey area"
SO MEDICAL JOURNAL OF AUSTRALIA
VL 211
IS 4
BP 170
EP 174
DI 10.5694/mja2.50235
PD AUG 2019
PY 2019
AB Objective: To examine the extent to which medical students in Australia
   are acting as interpreters in medical settings, and their perceptions of
   this activity.
   Design, setting, participants: Anonymous online survey of final year
   students in the graduate medical program of the University of Melbourne,
   undertaken in 2014.
   Main outcome measures: Numbers of students who had acted or who had been
   asked to act as ad hoc interpreters in health care situations during
   their clinical rotations and outside the medical education context.
   Results: 146 of 319 final year medical students completed the survey
   (46% response). 106 students (73%) reported they could speak at least
   one language in addition to English; none had formal interpreting
   qualifications, but 40 (36%) had been asked to interpret during clinical
   rotations, and 36 (34%) had done so. The students described a diverse
   range of experiences, including complex interactions regarding informed
   consent and the breaking of bad news.
   Conclusion: Medical students frequently acted as interpreters during
   their clinical training. Most did not feel appropriately qualified to
   interpret in clinical situations, and some felt pressured to do so, but
   many found the experience positive. Our study highlights the lack of
   clear guidelines regarding medical student interpreters in Australian
   health care settings.
RI Ryan, Anna T/I-5610-2016; Chiavaroli, Neville/I-8171-2019
OI Ryan, Anna T/0000-0001-7458-027X; Chiavaroli,
   Neville/0000-0003-1488-9747
ZR 0
TC 4
Z8 0
ZS 0
ZB 0
ZA 0
Z9 4
U1 0
U2 0
SN 0025-729X
EI 1326-5377
UT WOS:000481469300010
PM 31187901
ER

PT J
AU Stankovic, Curt
   Wolff, Meg
   Chang, Todd P.
   Macias, Charles
TI A National Patient Safety Curriculum in Pediatric Emergency Medicine
SO PEDIATRIC EMERGENCY CARE
VL 35
IS 8
BP 519
EP 521
DI 10.1097/PEC.0000000000001533
PD AUG 2019
PY 2019
AB Background Patient safety has become an important and required topic in
   medical education. A needs assessment showed that pediatric emergency
   medicine program directors were interested in a common pediatric
   emergency-specific safety curriculum. Objective The objective of this
   study was to describe the development and performance of a web-based
   patient safety curriculum in pediatric emergency medicine. Methods A
   web-based curriculum was created by the Committee on Quality
   Transformation of the Section of Emergency Medicine for the American
   Academy of Pediatrics. The curriculum consisted of emergency-specific
   safety topic didactic sessions with a pretest and posttest assessment.
   Vignette-based scenarios were also included and were discussed locally
   by the program directors. Results Fifty-two percent (37/71) of US
   Pediatric Emergency Medicine fellowship programs enrolled their fellows
   in the patient safety curriculum. Overall, 183 Pediatric Emergency
   Medicine fellows participated in the curriculum. Only 22% (40/183) of
   fellow participants completed the entire curriculum. The curriculum
   showed significant improved safety knowledge based upon the pretest and
   posttest results. Sixty-five percent of responders thought more about
   safety topics after the curriculum was completed, and 85% witnessed a
   safety event in the past month, whereas only 48% reported them.
   Conclusions An online centralized curriculum is an effective platform
   for teaching content in quality and safety to a national group of
   physicians. Local oversight by program directors may improve compliance
   with curriculum completion.
OI Wolff, Margaret/0000-0002-3637-2653; Chang, Todd/0000-0002-4508-2551
Z8 0
ZS 0
ZR 0
ZA 0
TC 1
ZB 1
Z9 1
U1 0
U2 0
SN 0749-5161
EI 1535-1815
UT WOS:000480604000008
PM 31373948
ER

PT J
AU Aloia, Lauren
   Vaporciyan, Ara A.
TI E-Learning Trends and How to Apply Them to Thoracic Surgery Education
SO THORACIC SURGERY CLINICS
VL 29
IS 3
BP 285
EP +
DI 10.1016/j.thorsurg.2019.03.006
PD AUG 2019
PY 2019
AB Education in all fields is vastly different today than it was 20 years
   ago. Constraints on time, access to clinical material and the speed of
   change mandate new more efficient approaches to education. Today, the
   Internet is a powerful tool that students and educators use to
   supplement or replace traditional learning. This technique, referred to
   as E-learning, can deliver a broad array of solutions that enhance
   knowledge and performance. We review some of the current applications of
   E-learning in cardiothoracic surgery and suggest some future
   applications that may further enhance the efficiency of cardiothoracic
   surgical education.
ZS 0
ZB 1
ZR 0
Z8 0
TC 10
ZA 1
Z9 11
U1 2
U2 9
SN 1547-4127
UT WOS:000480509800009
PM 31235297
ER

PT J
AU Smailes, Paula S.
   Zurmehly, Joyce
   Schubert, Carolyn
   Loversidge, Jacqueline M.
   Sinnott, Loraine T.
TI An Electronic Medical Record Training Conversion for Onboarding
   Inpatient Nurses
SO CIN-COMPUTERS INFORMATICS NURSING
VL 37
IS 8
BP 405
EP 412
DI 10.1097/CIN.0000000000000514
PD AUG 2019
PY 2019
AB In recent times, policies stemming from the American Recovery and
   Reinvestment Act of 2009 have served as a stimulus for healthcare
   organizations to adopt an electronic medical record. As a result, nurses
   are now more knowledgeable of and experienced with an electronic medical
   record. In August 2016, our facility converted from instructor-led
   training to electronic learning for inpatient nurse electronic medical
   record training, hoping to capitalize on previous experience with the
   clinical information system. However, a complete program evaluation of
   this transition had yet to be conducted. The purpose of this study was
   to evaluate electronic learning usability and the return on investment
   of an electronic medical record training conversion. Evaluations of
   electronic medical record electronic learning training were collected
   from 75 newly hired, inpatient nurses from November and December 2017,
   and compared to our instructor-led program. Results showed that users
   found it effective and were satisfied with this training method. The
   electronic learning had superior efficiency, reducing training time by
   similar to 50% compared to instructor-led training, while proving to
   yield effectiveness and satisfaction. The return on investment was $18
   540, with a gain of 593.25 hours in nursing time during the study period
   of two months. These results support the organizational decision to
   convert to electronic learning, further supporting the conversion for
   other clinical roles.
RI Zurmehly, Joyce/AAR-5757-2020
ZB 1
TC 3
Z8 0
ZR 0
ZS 0
ZA 0
Z9 3
U1 0
U2 10
SN 1538-2931
EI 1538-9774
UT WOS:000480279000004
PM 30870189
ER

PT J
AU Geffrier, C.
   de Parades, V
   Abramowitz, L.
   Benfredj, P.
   Bonnaud, G.
   Bord, C.
   Bouchard, D.
   Bouguen, G.
   Devulder, F.
   Didelot, J. M.
   Fathallah, N.
   Higuero, T.
   Lesage, X.
   Nouts, A.
   Petit, P.
   Pigot, F.
   Pommaret, E.
   Roumeguere, P.
   Siproudhis, L.
   Staumont, G.
   Zeitoun, J. D.
   Marteau, P.
TI Online training on how to diagnose anoperineal lesions of Crohn's
   disease: Do pictures matter? A nationwide randomized study
SO CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY
VL 43
IS 4
BP 483
EP 496
DI 10.1016/j.clinre.2018.12.003
PD AUG 2019
PY 2019
AB Any gastroenterologist must be trained to properly diagnose anoperineal
   lesions in patients with Crohn's disease (APLOC). The aim of this study
   was to establish whether adding pictures would improve teaching
   effectiveness of the diagnosis of APLOC to French gastroenterology
   trainees.
   Method: Trainees were asked to answer a first web-based survey
   consisting of evaluating 12 pictures of APLOC with a closed answer
   questionnaire. They were then randomized in 2 groups. Group A received
   an online teaching with typical pictures and APLOC definitions and group
   B definitions only. Trainees were asked again seven days later to answer
   a second survey with 12 other pictures of APLOC and 14 experts also
   answered this survey. Diagnostic scores were expressed in %. The primary
   endpoint was the comparison of the score of survey 2 between the two
   groups of trainees. Secondary endpoints were to compare results of
   survey 2 between trainees of both groups and experts, and assess
   diagnosis of each lesion.
   Results: Two hundred fourty eight trainees among 465 answered survey 1,
   and 195 survey 2. The diagnostic score was 71.9% for groups A and B and
   74.6% for experts (differences NS). After training diagnosis of
   ulceration was 72% for group A and 72.9% for group B, fistulae 85.2%
   versus 85.8%, erythema 44.1% vs. 55.6%, anoperineal scars 67.5% vs.
   65.6%, and abscess 100% (differences NS).
   Conclusion: There was no difference between the two teaching methods.
   Further research should be performed aiming at improving teaching
   material and quotation baremes. (C) 2018. Published by Elsevier Masson
   SAS.
RI Bouguen, Guillaume/AAN-7253-2020; Siproudhis, laurent/; Bouguen, Guillaume/; DIDELOT, JEAN-MICHEL/
OI Siproudhis, laurent/0000-0002-2575-6790; Bouguen,
   Guillaume/0000-0002-7444-5905; DIDELOT, JEAN-MICHEL/0000-0003-4706-3319
ZR 0
ZS 0
ZB 0
Z8 0
ZA 0
TC 0
Z9 0
U1 0
U2 0
SN 2210-7401
EI 2210-741X
UT WOS:000476714800023
PM 30935906
ER

PT J
AU Cheema, Ejaz
   Al-Aryan, Aliaa
   Al-Hamid, Abdullah
TI Medicine use and medicine-related problems in patients with liver
   cirrhosis: a systematic review of quantitative and qualitative studies
SO EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY
VL 75
IS 8
BP 1047
EP 1058
DI 10.1007/s00228-019-02688-z
PD AUG 2019
PY 2019
AB PurposeThis review aimed to determine the prevalence, causes and risk
   factors of medicine-related problems (MRPs) in patients with liver
   cirrhosis.MethodsEight online databases were searched up to 30 September
   2018 with no start date. Appropriate Critical Appraisal Skills Programme
   tools were used to assess the quality of included studies.ResultsAn
   overall 16 quantitative and 11 qualitative studies were included in the
   review. Methodological quality of the included studies was variable.
   Mean frequency of MRPs reported in the quantitative studies ranged from
   14 to 23.4%. The most frequent causes of MRPs included drug
   interactions, inappropriate dosing and use of contraindicated drugs. The
   qualitative analysis identified three themes: patient-related factors,
   healthcare professionals' related factors and stigma associated with
   liver cirrhosis.ConclusionMRPs were found to be prevalent in patients
   with liver cirrhosis. Factors contributing to MRPs in liver cirrhosis
   were not limited to medicines' effects and interactions but included
   healthcare systems and patients. Therefore, management of liver
   cirrhosis should not be limited to providing an effective medicine
   therapy and should take into account the patients' behaviour towards the
   condition.
RI cheema, ejaz/AAJ-7960-2020
ZA 0
Z8 0
TC 8
ZS 0
ZR 0
ZB 1
Z9 8
U1 0
U2 2
SN 0031-6970
EI 1432-1041
UT WOS:000475794400003
PM 31079169
ER

PT J
AU Malouff, Timothy D.
   Vallow, Laura A.
   Waddle, Mark R.
   Kaleem, Tasneem
   Zaorsky, Nicholas G.
   Royce, Trevor J.
   Stross, William C.
   May, Byron
   Trifiletti, Daniel M.
TI The Influence of Online Forums on Radiation Oncology Residency Program
   Selection
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 104
IS 5
BP 1009
EP 1011
DI 10.1016/j.ijrobp.2019.04.011
PD AUG 1 2019
PY 2019
RI Zaorsky, Nicholas/H-7826-2019
OI Zaorsky, Nicholas/0000-0002-4932-1986
ZA 0
ZS 0
ZB 1
ZR 0
Z8 0
TC 5
Z9 5
U1 0
U2 0
SN 0360-3016
EI 1879-355X
UT WOS:000475856100012
PM 31022509
ER

PT J
AU Djulbegovic, Mia
   Beckstead, Jason W.
   Fraenkel, Liana
TI The Patient Care Ownership Scale: Development of an Instrument to
   Measure Patient Care Ownership Among Internal Medicine Trainees
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 8
BP 1530
EP 1537
DI 10.1007/s11606-019-05066-8
PD AUG 2019
PY 2019
AB BACKGROUND: Patient care ownership is essential to delivering
   high-quality medical care but appears to be eroding among trainees. The
   lack of an objective measure has limited the study of ownership in
   physicians.
   OBJECTIVE To develop an instrument to measure psychological ownership of
   patient care.
   DESIGN: Cross-sectional study.
   PARTICIPANTS: Internal medicine trainees in a large, academic hospital
   completing an inpatient rotation.
   MAIN MEASURES: Our scale prototype adapted an existing ownership scale
   (developed in the non-medical setting) based on themes identified in
   qualitative studies of patient care ownership. We conducted cognitive
   interviews to determine face validity of the scale items. Our finalized
   scale measures ownership's key constructs: advocacy, responsibility,
   accountability, follow-through, knowledge, communication, initiative,
   continuity of care, autonomy, and perceived ownership. We distributed an
   online, anonymous, 46-question survey to 219 residents; 192 residents
   completed the survey; and 166 responses were included in the analysis.
   We calculated Cronbach's alpha to determine the scale's internal
   consistency. Exploratory factor analysis was used to explore possible
   subscales. We examined construct validity using bivariate and
   correlational analysis.
   KEY RESULTS: The 15-item ownership scale demonstrated good internal
   consistency (Cronbach's alpha = 0.89). We identified three possible
   subscales corresponding to assertiveness, being the go-to person, and
   diligence. Training level and prior intensive care unit experience
   significantly predicted ownership (p < 0.01). There was no significant
   relationship between ownership and age, gender, inpatient service type,
   call schedule, patient turnover, or supervisory experience of the
   attending physician. We found a significant negative correlation between
   ownership and perceived degree of burnout (r = - 0.33),depression (r = -
   0.24), detachment (r = - 0.35), and frustration (r = - 0.31) and a
   significant positive association between ownership and fulfillment (r =
   0.37) and happiness (r = 0.36).
   CONCLUSION: We developed an instrument to quantify patient care
   ownership in residents. Our scale demonstrates good internal consistency
   and preliminary evidence of validity. With further validation, we expect
   this to be a valuable tool to evaluate interventions aimed at improving
   ownership.
ZS 0
Z8 0
ZA 0
ZB 2
ZR 0
TC 8
Z9 8
U1 2
U2 8
SN 0884-8734
EI 1525-1497
UT WOS:000477976700034
PM 31161566
ER

PT J
AU Sloan, Victor S.
   Grosskleg, Shawna
   Wells, George
   Singh, Jasvinder A.
TI The Third Biennial 2018 OMERACT First-time Participant Program: A
   Qualitative and Quantitative Study
SO JOURNAL OF RHEUMATOLOGY
VL 46
IS 8
BP 1036
EP 1040
DI 10.3899/jrheum.181196
PD AUG 1 2019
PY 2019
AB Objective. To assess the expanded/refined first-time participant
   training program.
   Methods. We conducted a refined new participant program at OMERACT 2018
   on days 1-4, in which first-time participants provided feedback with
   online surveys and a nominal group on Day 4.
   Results. Twenty first-time participants attended the introductory
   session and 8-12 attended followup sessions. A high proportion valued
   the newbie session (100%), rating it overall (91%), content-wise (62%),
   for presentation quality (82%), and value for the money (82%) as
   outstanding or good. The nominal group technique identified
   opportunities for further improvement of breakouts/voting.
   Conclusion. The expanded new participant training program is valued by
   attendees.
RI Singh, Jasvinder/R-6172-2019
OI Singh, Jasvinder/0000-0003-3485-0006
ZS 0
TC 1
ZR 0
Z8 0
ZA 0
ZB 0
Z9 1
U1 0
U2 0
SN 0315-162X
EI 1499-2752
UT WOS:000478078100024
PM 30647187
ER

PT J
AU Sanchez-Rios, Juan Pedro
   Garcia-Klepzig, J. L.
   Manu, Chris
   Ahluwalia, Raju
   Luedemann, Claas
   Meloni, Marco
   Lacopi, Elisabetta
   Rodriguez-Saenz De Buruaga, Victor
   Bouillet, Benjamin
   Vouillarmet, Julien
   Luis Lazaro-Martinez, Jose
   Van Acker, Kristien
TI Referral of patients with diabetic foot ulcers in four European
   countries: patient follow-up after first GP visit
SO JOURNAL OF WOUND CARE
VL 28
IS 8
BP S4
EP S14
DI 10.12968/jowc.2019.28.Sup8.S4
SU S
PD AUG 1 2019
PY 2019
AB Objective: This study aimed to analyse the characteristics of patients,
   including demographics, medical history and treatment, with a diabetic
   foot ulcer (DFU) during their first follow-up visit to a general
   practitioner (GP).
   Methods: A two-part quantitative online questionnaire was distributed
   among GPs in France, UK, Germany and Spain. Part one entailed a survey
   of GP's perceptions of referrals for DFU. Part two collected data on
   recently managed DFU cases. The percentage of responses was compared for
   each question and across the four countries for significant differences.
   Results: In part one of the study, 600 questionnaires were collected
   (150 per country) and 1188 patients managed for a DFU were included in
   the second part. About 88% of patients had type 2 diabetes, with a
   significant proportion of suboptimal control (average HbA1c:
   10.64mmol/l). A patient complaint led to diagnosis in 60% of the cases.
   Wounds were found to be more frequently located in the toes and midfoot,
   and were superficial (according to the Texas Wound Classification
   system) in 80% of the cases. More than two-thirds of patients developed
   small wounds (<5cm(2)); more than half of them had infected wounds.
   Approximately 50% of wounds were ischaemic, which triggered the onset of
   a DFU. Follow-up wound examinations before and after hospitalisation
   were performed by nurses, except in Germany where GPs undertook this
   role, including prescribing offloading devices and in the UK where
   follow-up was managed by podiatrists. Ischaemia, wound necrosis,
   suspected osteomyelitis and absence of wound healing were the primary
   reasons for hospital admission during the first month after diagnosis.
   Conclusion: Delay in specialised foot care is a recurring topic in the
   treatment of DFUs, even with different health-care structures across
   Europe. Knowledge and education on DFUs should be reinforced among GPs
   and nurses to establish a global DFU care network between primary and
   specialised care, avoid hospitalisation and adequately manage high-risk
   patients.
RI Bouillet, Benjamin/AAG-8165-2019; MELONI, MARCO/AAO-9248-2020; MARTINEZ, JOSE LUIS LAZARO/AAE-2268-2021; Meloni, Marco/AAB-9309-2019; Manu, Chris/; ahluwalia, raju/
OI MELONI, MARCO/0000-0003-3789-9622; MARTINEZ, JOSE LUIS
   LAZARO/0000-0001-6110-0265; Manu, Chris/0000-0002-1703-7059; ahluwalia,
   raju/0000-0002-2765-7649
TC 1
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
Z9 1
U1 0
U2 8
SN 0969-0700
EI 2062-2916
UT WOS:000480304000002
PM 31393783
ER

PT J
AU Blanker, Marco H.
   Brandenbarg, Pim
   Slijkhuis, Bart G. C.
   Steffens, Martijn G.
   van Balken, Michael R.
   Jellema, Petra
TI Development of an online personalized self-management intervention for
   men with uncomplicated LUTS
SO NEUROUROLOGY AND URODYNAMICS
VL 38
IS 6
BP 1685
EP 1691
DI 10.1002/nau.24040
PD AUG 2019
PY 2019
AB Aims To develop an online platform to facilitate evidence-based
   self-management of lower urinary tract symptoms (LUTS) in men. Methods
   Using the PubMed database (search until January 2017) and relevant
   guidelines, we reviewed evidence for the self-management of LUTS and
   identified suitable components for the intervention. Next, we built an
   algorithm that provided individualized advice based on patient
   characteristics and symptoms for use on an online platform. Men with
   LUTS tested the usability of the intervention and provided feedback.
   Finally, we surveyed urologists and general practitioners to identify
   potential areas for improvement of the intervention. Results We
   identified nine self-help interventions from 48 eligible publications.
   These were as follows: information and education about LUTS, pelvic
   floor muscle training, bladder training, urethral milking, double
   voiding, caffeine management, alcohol management, fluid management, and
   exercise advice. The level of evidence for each item was low due to the
   paucity of research available. Six men with LUTS reported difficulties
   understanding and completing the frequency-volume chart online. The 158
   surveyed physicians agreed (>= 50% positive ratings) on the inclusion of
   seven advice items, but not for double voiding and fluid management.
   Respondents noted that some advice should be provided to all men with
   LUTS, while other advice should only be presented to certain groups.
   Some recommendations for additions were offered. Conclusions Despite a
   lack of evidence for the self-management advice, physicians agreed with
   most of the included advice. The online platform needs further
   development. Therefore, adjustments will be made and we will assess its
   impact in future studies.
RI Blanker, Marco/AAV-7028-2020; Slijkhuis, Bart/; Blanker, Marco/B-4453-2012; Brandenbarg, Pim/
OI Slijkhuis, Bart/0000-0003-2209-0257; Blanker, Marco/0000-0002-1086-8730;
   Brandenbarg, Pim/0000-0002-6909-5111
Z8 0
ZB 0
ZS 0
TC 1
ZA 0
ZR 0
Z9 1
U1 0
U2 2
SN 0733-2467
EI 1520-6777
UT WOS:000477705300028
PM 31107577
ER

PT J
AU Said, Miran
   Jochemsen-van der Leeuw, Ria H. G. A.
   Spek, Bea
   Brand, Paul L. P.
   van Dijk, Nynke
TI Role modelling in the training of hospital-based medical specialists: a
   validation study of the Role Model Apperception Tool (RoMAT)
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 8
IS 4
BP 237
EP 245
DI 10.1007/s40037-019-00527-6
PD AUG 2019
PY 2019
AB Introduction Role modelling is a key component in the training of
   doctors that influences professional behaviour, identity and career
   choices. Clinical teachers and residents are often unaware of this,
   thereby risking transmission of negative behaviour. On the other hand,
   awareness positively affects role model behaviour. To assess role model
   behaviour, the Role Model Apperception Tool (RoMAT) was developed and
   validated in general practice training. The aim of the current study was
   to validate the RoMAT in the hospital-based training setting. Methods
   The authors asked first to last year residents, regardless of their
   specialty, to participate after written approval from their clinical
   teachers. The tool was completed online in 2017. The authors performed a
   principal component analysis and investigated internal consistency,
   construct validity, inter-rater reliability, known-groups comparisons
   and floor and ceiling effects. Results Of the 473 residents contacted,
   187 (40%) completed the questionnaire. As in the primary validation
   study, the authors extracted two components: 'Caring Attitude' and
   'Effectiveness', explaining 67% of the variation with a Cronbach's alpha
   of 0.94 and 0.93 respectively. Evidence for construct validity was found
   and there were no floor or ceiling effects, but inter-rater reliability
   was low. Discussion The RoMAT was internally consistent and valid to
   assess role model behaviour of the clinical teacher towards the resident
   in the hospital-based training of medical specialists. The poor
   inter-rater reliability, most likely due to homogeneous RoMAT responses,
   should be borne in mind when evaluating RoMAT scores on individual
   clinical teachers.
RI Brand, Paul/ABB-3693-2021; van Dijk, Nynke/
OI van Dijk, Nynke/0000-0001-7959-5649
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
TC 3
Z9 3
U1 0
U2 4
SN 2212-2761
EI 2212-277X
UT WOS:000479054400006
PM 31347034
ER

PT J
AU Van Herwegen, Jo
   Ashworth, Maria
   Palikara, Olympia
TI Views of professionals about the educational needs of children with
   neurodevelopmental disorders
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 91
AR 103422
DI 10.1016/j.ridd.2019.05.001
PD AUG 2019
PY 2019
AB Background: Professionals play a key role in supporting children with
   special educational needs in schools. However, the views of those
   working with neurodevelopmental disorders are less known.
   Aims: This study examined the views of professionals (including
   teachers, teaching assistants, educational psychologists, speech and
   language therapists, physio and occupational therapists etc.) working
   with children with Williams Syndrome (WS), Down Syndrome (DS) or with
   Autism Spectrum Disorders (ASD) in terms of how informed professionals
   are about the disorder and their views about the type of support these
   children need to be receiving.
   Methods and procedures: Professionals working with 77 children with ASD,
   26 with DS and 38 with WS completed an online questionnaire.
   Outcomes and results: Professionals in all three groups highlighted
   relevant areas of difficulty for these children, but they did not
   recognise some of the less phenotypical difficulties that children with
   a specific disorder may experience. In addition, there was a disconnect
   between the difficulties identified by the professionals and the type of
   specialist support that may be necessary.
   Conclusions and implications: Although professionals have a lot of
   knowledge about the specific neurodevelopmental disorders, further
   evidence-based training would allow more effective support for children
   with neurodevelopmental disorders in the classroom but also equip
   professionals better and raise their confidence in meeting these
   children's needs.
RI Palikara, Olympia/ABA-8035-2020; Palikara, Olympia/; Van Herwegen, Jo/
OI Palikara, Olympia/0000-0003-3357-9736; Van Herwegen,
   Jo/0000-0001-5316-1818
Z8 0
TC 6
ZS 0
ZA 0
ZB 2
ZR 0
Z9 6
U1 2
U2 16
SN 0891-4222
UT WOS:000477692000007
PM 31247387
ER

PT J
AU Cedars, Benjamin E.
   Cohen, Andrew J.
   Fergus, Kirkpatrick B.
   Baradaran, Nima
   Ndoye, Medina
   Kamal, Puneet
   Breyer, Benjamin N.
TI Qualitative Analysis of the Content Found in Online Discussion Boards
   for Urethral Stricture Disease and Urethroplasty
SO UROLOGY
VL 130
BP 155
EP 161
DI 10.1016/j.urology.2019.03.033
PD AUG 2019
PY 2019
AB OBJECTIVE To describe the patient experience and chief concerns with
   urethroplasty to improve physician understanding and patient education.
   Online discussion boards allow patients with urethral stricture disease
   (USD) to connect with other USD patients. It is unknown how men use
   these web resources and what information is available about
   urethroplasty.
   METHODS Three online forums featuring urethroplasty were identified by
   Google search. Thematic analysis categorized the content of posts using
   manually applied codes, with inter-rater reliability and descriptive
   statistics generated by Dedoose (Los Angeles, CA).
   RESULTS A total of 140 unique posters contributed 553 posts to the
   forums. Posts were categorized as information support (n = 651), issues
   posturethroplasty (n = 470), own experience preurethroplasty (n = 336),
   feelings towards other posters (n = 312), what to expect
   posturethroplasty (n = 265), feelings after urethroplasty (n = 228), and
   considerations before urethroplasty (n = 134). Experience navigating the
   healthcare system with USD (n = 141) and weak urine stream (n = 70) were
   the most frequent preurethroplasty complaints. Postoperative pain (n =
   164) was the most frequent issue. Patients expressed more positivity (n
   = 126) and satisfaction (n = 120) than negativity (n = 33) with
   urethroplasty.
   CONCLUSION Patients participated in online discussions to share
   experiences with USD and urethroplasty, receive emotional support, and
   find answers. Men were more often satisfied than not with their
   urethroplasty outcomes, with 88% of postoperative feelings coded as
   positive or satisfied compared to negative. This study provides
   physicians with insight into the experiences of patients and how to best
   educate them. (C) 2019 Elsevier Inc.
OI Fergus, Kirkpatrick/0000-0002-3559-1109; Cohen,
   Andrew/0000-0002-4508-6747
ZB 1
ZS 0
ZA 0
TC 6
ZR 1
Z8 0
Z9 7
U1 0
U2 5
SN 0090-4295
EI 1527-9995
UT WOS:000476648900038
PM 31129196
ER

PT J
AU Yamaoka, Yui
   Wilsie, Carisa
   Bard, Elizabeth
   Bonner, Barbara L.
TI Interdisciplinary Training Program (ITP) in child abuse and neglect:
   Long term effects
SO CHILD ABUSE & NEGLECT
VL 94
AR 104032
DI 10.1016/j.chiabu.2019.104032
PD AUG 2019
PY 2019
AB Background: University of Oklahoma Health Sciences Center has offered
   Interdisciplinary Training Program (ITP) for Child Abuse and Neglect
   since 1987. However, there are limited evaluations on
   multidisciplinary/interprofessional training for early professionals in
   the field of child abuse and neglect.
   Objective: This study aimed to examine the effects of the ITP on young
   professionals in developing their careers and taking leadership roles in
   the field of child abuse and neglect.
   Methods: The anonymous online survey was conducted for students who
   completed in the ITP from 1989 to 2016 (n = 405, with contact
   information out of total 508 graduates). One hundred seventy nine alumni
   (44.2%) responded to the survey.
   Results: Satisfaction for the ITP was high (m = 9.3, sd = 0.97 on a 10
   point scale with higher numbers being positive). Their current
   contributions to the field of child abuse and neglect were widely seen
   in child advocacy (43.0%), clinical treatment (39.1%), primary
   prevention (29.6%), or research (27.9%). Graduates reported they made
   133 presentations to civic or professional groups and published 69
   articles since they finished the ITP.
   Conclusion: The ITP trainees have made significant contributions to the
   field in clinical treatment, research, and child advocacy. Alumni were
   highly satisfied with their experience and continue to see the
   importance of the ITP to their jobs and career.
RI Yamaoka, Yui/ABF-1748-2020
OI Yamaoka, Yui/0000-0002-4682-4262
Z8 0
ZR 0
ZB 0
ZS 0
TC 2
ZA 0
Z9 2
U1 3
U2 5
SN 0145-2134
EI 1873-7757
UT WOS:000478106700012
PM 31202039
ER

PT J
AU Buckell, John
   Sindelar, Jody L.
TI The impact of flavors, health risks, secondhand smoke and prices on
   young adults' cigarette and e-cigarette choices: a discrete choice
   experiment
SO ADDICTION
VL 114
IS 8
BP 1427
EP 1435
DI 10.1111/add.14610
PD AUG 2019
PY 2019
AB Aims To estimate young adults' preferences for cigarettes and
   e-cigarettes, and how preferences vary by policy-relevant factors. A
   related aim was to provide information on potential
   substitution/complementarity across cigarettes and e-cigarettes ahead of
   policy selection. Design An online discrete choice experiment (DCE) in
   which respondents chose their preferred option among cigarettes, two
   types of e-cigarettes (disposable/reusable) and 'none'. Each
   cigarette-type was characterized by policy-relevant attributes: flavors,
   short-term health risks to self, secondhand smoke risks and price. A
   latent class model identified smoking types that respond differently to
   these. Setting US tobacco market. Participants A total of 2003 young
   adults (aged 18-22 years) who ever tried either cigarettes or
   e-cigarettes, recruited via the survey platform Qualtrics, matched to
   the 2015 National Health Interview Survey by age, gender, education and
   census region. Measurements Respondents' DCE choices. Findings Young
   adults fell into two broad categories. One latent group, termed 'prefer
   smoking group', preferred cigarettes and another, 'prefer vaping group',
   preferred e-cigarettes. The 'prefer smoking group' preferred lower
   prices and lower health harms more than other attributes. The 'prefer
   vaping group' valued these, although price less intensely, and valued
   health and fruit/candy flavors more. Conclusion Banning all flavors in
   cigarettes and e-cigarettes might improve the health of young adults who
   ever tried either cigarettes or e-cigarettes. Young adult ever-triers
   might be deterred from smoking by increasing cigarette prices and
   encouraged to switch to e-cigarettes by reducing the health harms of
   e-cigarettes. Reducing health harms of e-cigarettes could also make the
   'prefer vaping group' less likely to quit, resulting in increased health
   harm.
OI Buckell, John/0000-0002-4157-4217
ZB 5
ZA 0
ZR 0
ZS 0
TC 22
Z8 0
Z9 22
U1 0
U2 22
SN 0965-2140
EI 1360-0443
UT WOS:000475479000014
PM 30866132
ER

PT J
AU Kotti, Bouraoui
   Triana, Lina
   Conde-Green, Alexandra
   Hasbun, Samir Janne
   Cansancao, Alvaro L.
   Agag, Richard L.
TI Assessment of Female Genital Surgery Education in Plastic Surgery
   Training: Report of an Expert Opinion Survey
SO AESTHETIC PLASTIC SURGERY
VL 43
IS 4
BP 1102
EP 1110
DI 10.1007/s00266-019-01394-6
PD AUG 2019
PY 2019
AB BackgroundPatient demand for aesthetic genital surgery has markedly
   increased. The International Society of Aesthetic Plastic Surgery
   reported 95,010 labiaplasties and 50,086 vaginal rejuvenation procedures
   in 2015.MethodsWe performed an online anonymous survey to evaluate the
   teaching of female genital procedures in plastic surgery training
   programs worldwide.ResultsA total of 1033 board certified plastic
   surgeons answered the survey. Most respondents were from the USA,
   Brazil, Mexico and Colombia. The majority of plastic surgeons performing
   these procedures were in private practice (77.62%) and (22.38%) in
   academic settings. Most plastic surgeons (75.63%) did not receive formal
   education in female genital rejuvenation procedures however 54.31% did
   receive education in reconstruction procedures. During their training,
   most were exposed to vaginal reconstruction (15.94%), labia minora
   reduction (11.9%), vulva reconstruction (11.53%), flaps for vaginal
   agenesis (11.39%) and monsplasty (7.98%). Additional training for female
   genital procedures was mostly at meetings and shadowing experts.
   Sixty-two percent reported that patients seldom requested those
   procedures, and 63.73% reported these procedures comprised less than 5%
   of their practice. The most commonly performed procedures were labia
   minora reduction, labia majora augmentation or reduction and monsplasty.
   The materials used were mostly fat grafting, hyaluronic acid injections
   and lasers.ConclusionAdditional formal training during residency for
   aesthetic genital surgery would be beneficial. Additionally, courses at
   meetings would be useful for plastic surgeons who have had insufficient
   training. More studies need to be conducted on the different female
   genital rejuvenation procedures offered in order to evaluate patients'
   long-term outcomes and satisfaction.Level of Evidence VThis journal
   requires that authors assign a level of evidence to each article. For a
   full description of these Evidence-Based Medicine ratings, please refer
   to the Table of Contents or the online Instructions to Authors
   www.springer.com/00266.
CT 24th Biennial Global Congress of the International
   Society-of-Aesthetic-Plastic-Surgery
CY NOV, 2018
CL Miami, FL
SP Int Soc Aesthet Plast Surg
RI Freericks, Anne/ABH-1050-2021; KOTTI, Bouraoui/T-2795-2017
OI KOTTI, Bouraoui/0000-0001-7435-925X
ZB 0
TC 1
Z8 0
ZR 0
ZS 0
ZA 0
Z9 1
U1 0
U2 2
SN 0364-216X
EI 1432-5241
UT WOS:000477008500032
PM 31087118
ER

PT J
AU Jordan, Sarah R.
   Brungardt, Adreanne
   Phimphasone-Brady, Phoutdavone
   Lum, Hillary D.
TI Patient Perspectives on Advance Care Planning via a Patient Portal
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 36
IS 8
BP 682
EP 687
DI 10.1177/1049909119832820
PD AUG 2019
PY 2019
AB Background: Patient portals can offer patients an opportunity to engage
   in the advance care planning (ACP) process outside of clinical visits.
   Objective: To describe patient perspectives on use of patient
   portal-based ACP tools. Design: Interviews with patients who used
   portal-based ACP tools. The tools included an electronic Medical Durable
   Power of Attorney (MDPOA) form to designate a medical decision maker, a
   patient-centered educational web page, online messaging, and patient
   access to completed advance directives stored in the electronic health
   record (EHR). Setting: Regional health-care system with a common EHR.
   Measurements: Semistructured interviews with purposefully sampled
   patients who used the ACP tools. Questions explored motivations for
   using the tools and perceptions about how the tools fit into ACP.
   Analysis followed a grounded hermeneutic editing approach. Results: From
   46 patients (mean age: 49, 63% female), 4 key themes emerged: (1)
   individualized explorations of the ACP tools, (2) personal initiation
   and engagement with ACP tools through the portal, (3) value of
   connecting ACP portal tools to clinical care, and (4) practicality of
   the ACP tools. Patients described benefits of communicating with
   health-care team members who referred them to online ACP tools, as well
   as having the electronic MDPOA form connected to clinical care.
   Conclusions: Patients considered the portal-based ACP tools to be
   practical and feasible to use within the scope of their own ACP
   experiences. Further study is needed to understand whether portal-based
   ACP tools increase the quality and quantity of ACP conversations and
   documentation that is available to inform medical decision-making.
OI Jordan, Sarah/0000-0001-7715-8007
ZS 0
ZB 0
ZR 0
TC 13
ZA 0
Z8 0
Z9 13
U1 1
U2 11
SN 1049-9091
EI 1938-2715
UT WOS:000476723200003
PM 30803245
ER

PT J
AU Noel, Daphney Y.
   Kimberly, Laura L.
   DeMitchell-Rodriguez, Evellyn M.
   Levy-Lambert, Dina
   Ramly, Elie P.
   Alfonso, Allyson R.
   Jacoby, Adam
   Gelb, Bruce E.
   Diaz-Siso, J. Rodrigo
   Kantar, Rami S.
   Rodriguez, Eduardo D.
TI Comprehensive Assessment of Vascularized Composite Allotransplantation
   Patient-Oriented Online Resources
SO ANNALS OF PLASTIC SURGERY
VL 83
IS 2
BP 217
EP 223
DI 10.1097/SAP.0000000000001931
PD AUG 2019
PY 2019
AB Introduction Online resources have become a major source of medical
   information for the general public. To date, there has not been an
   assessment of patient-oriented online resources for face and upper
   extremity transplantation candidates and patients. The goal of this
   study is to perform a comprehensive assessment of these resources.
   Methods Our analysis relied on 2 dimensions: comprehensiveness and
   readability. Comprehensiveness was evaluated using 14 predetermined
   variables. Readability was evaluated using 8 different readability
   scales through the Readability Studio Professional Edition Software
   (Oleander Software, Ltd, Vandalia, Ohio). Data were also collected from
   solid organ transplantation (SOT), specifically kidney and liver,
   programs for comparison. Results Face and upper extremity
   transplantation programs were significantly more likely to list
   exclusion criteria (73.9% vs 41.2%; P = 0.02), the need for life-long
   immunosuppression (87.0% vs 58.8%; P = 0.02), and benefits of
   transplantation (91.3% vs 61.8%; P = 0.01) compared with SOT programs.
   The average readability level of online resources by all face and upper
   extremity transplantation programs exceeded the sixth grade reading
   level recommended by the National Institutes of Health and the American
   Medical Association. The average reading grade level of online resources
   by these programs was also significantly higher than those of SOT with
   both exceeding the recommended reading level (13.95 +/- 1.55 vs 12.60
   +/- 1.65; P = 0.003). Conclusions Future efforts in face and upper
   extremity transplantation should be directed toward developing
   standardized, comprehensive, and intelligible resources with
   high-quality content and simple language.
RI Gelb, Bruce/A-1686-2019; Kantar, Rami/J-7366-2019; Kimberly, Laura/
OI Gelb, Bruce/0000-0002-6559-2858; Kantar, Rami/0000-0002-2245-2054;
   Kimberly, Laura/0000-0001-6873-6266
ZB 0
ZS 0
Z8 0
ZA 0
TC 6
ZR 0
Z9 6
U1 0
U2 2
SN 0148-7043
EI 1536-3708
UT WOS:000476679700018
PM 31232818
ER

PT J
AU Berthold, Oliver
   Hoffmann, Ulrike
   Clemens, Vera
   Witt, Andreas
   Fegert, Joerg M.
TI Improving child protection in healthcare: peer counseling, education,
   and research using the example of abusive head trauma
SO BUNDESGESUNDHEITSBLATT-GESUNDHEITSFORSCHUNG-GESUNDHEITSSCHUTZ
VL 62
IS 8
BP 960
EP 969
DI 10.1007/s00103-019-02982-2
PD AUG 2019
PY 2019
AB Too often, diagnosis of maltreatment is missed by healthcare
   professionals - thus denying children in danger from necessary
   protection. Insufficient knowledge and insecurities towards professional
   confidentiality and how to approach child protection services may be the
   reasons for the failure to protect children effectively.In this article,
   we present how acomprehensive concept by the competence center of child
   protection in medicine of the state of Baden-Wurttemberg consisting of
   peer counseling, peer education, and research can add to the prevention
   of maltreatment. One component is peer counseling through a telephone
   helpline that is accessible24/7, the medical child protection hotline.
   The requests to the helpline are analyzed and add to the generation of
   tailored content for the education of doctors, psychotherapists, nurses,
   and other healthcare professionals. As an example, we present the online
   course Child protection in medicine- abasic course for all health
   professionals (so far available only in German). One common issue when
   the child protection hotline is called for counseling is abusive head
   trauma. Research shows that sometimes a diagnosis of abusive head trauma
   might be missed. This condition is most prevalent in children under the
   age of 2 and represents one of the most severe forms of physical abuse
   with high mortality.Inquiries to the medical child protection hotline
   are constantly increasing, but making the service known nationwide to
   all healthcare professionals still poses achallenge. The online course
   is widely used and being constantly improved. The comprehensive concept
   of peer counseling, education, and research is an important contribution
   to the improvement of the prevention of child maltreatment.
RI Clemens, Vera/GQA-6056-2022; Fegert, Jörg M./AAY-2959-2020; Berthold, Oliver/J-9208-2019
OI Berthold, Oliver/0000-0002-3442-7569
ZA 0
ZB 0
TC 4
ZR 0
ZS 0
Z8 0
Z9 4
U1 0
U2 2
SN 1436-9990
EI 1437-1588
UT WOS:000477660900006
PM 31263914
ER

PT J
AU Swamy, Varsha
   Brainin, Philip
   Biering-Sorensen, Tor
   Platz, Elke
TI Ability of non-physicians to perform and interpret lung ultrasound: A
   systematic review
SO EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
VL 18
IS 6
BP 474
EP 483
DI 10.1177/1474515119845972
PD AUG 2019
PY 2019
AB Background: Lung ultrasound is a useful tool in the assessment of
   pulmonary congestion in heart failure that is typically performed and
   interpreted by physicians at the point-of-care. Aims: To investigate the
   ability of nurses, students, and paramedics to accurately identify
   B-lines and pleural effusions for the detection of pulmonary congestion
   in heart failure and to examine the training necessary. Methods and
   results: We conducted a systematic review and searched online databases
   for studies that investigated the ability of nurses, students, and
   paramedics to perform lung ultrasound and detect B-lines and pleural
   effusions. Of 979 studies identified, 14 met our inclusion criteria:
   five in nurses, eight in students, and one in paramedics. After 0-12 h
   of didactic training and 58-62 practice lung ultrasound examinations,
   nurses were able to identify B-lines and pleural effusions with a
   sensitivity of 79-98% and a specificity of 70-99%. In image adequacy
   studies, medical students with 2-9 h of training were able to acquire
   adequate images for B-lines and pleural effusions in 50-100%. Only one
   eligible study investigated paramedic-performed lung ultrasound which
   did not support the ability of paramedics to adequately acquire and
   interpret lung ultrasound images after 2 h of training. Conclusions: Our
   findings suggest that nurses and students can accurately acquire and
   interpret lung ultrasound images after a brief training period in a
   majority of cases. The examination of heart failure patients with lung
   ultrasound by non-clinicians appears feasible and warrants further
   investigation.
OI Biering-Sorensen, Tor/0000-0003-4209-2778; Brainin,
   Philip/0000-0001-6880-0424
ZB 0
ZR 0
TC 11
ZA 0
ZS 0
Z8 0
Z9 11
U1 1
U2 10
SN 1474-5151
EI 1873-1953
UT WOS:000477647400006
PM 31018658
ER

PT J
AU Steffen, Julius
   Lenski, Markus
   Herrmann, Florian E.
   Mueckter, Harald
   Dimitriadis, Konstantinos
   Fischer, Martin R.
TI Improving the Pharmacology Curriculum at a German Medical School: A
   Structured Plan Based on a Student-Guided Large-Scale Study
SO JOURNAL OF CLINICAL PHARMACOLOGY
VL 59
IS 8
BP 1151
EP 1157
DI 10.1002/jcph.1410
PD AUG 2019
PY 2019
AB With rapid progress in medicine, a thorough understanding of
   pharmacology remains crucial. Currently, lecturers are implementing
   competency-based learning objectives in medical curricula around the
   world. Advancing teaching modalities need to be integrated into
   pharmacology courses in a reasonable way. At
   Ludwig-Maximilians-Universitat (LMU) Munich Medical Faculty, a
   systematic evidence-based approach was used to modernize pharmacology
   classes. The needs assessment was conducted by final-year students. It
   included focus groups and a large-scale online survey, which was
   distributed among all medical students at LMU, with 1018 students
   participating (response rate 20%). Survey results showed that most of
   the students (92%) aimed to become pharmacology-adept doctors. Also, a
   majority (88%) stated that their goal was to understand the material
   most critical to application of pharmacology concepts as well as
   prescribing practice. Only 38% of the students reported satisfaction
   with the current curriculum, and 93% supported modernization. Thus far,
   pharmacology teaching at LMU Munich had mainly consisted of lectures
   attended by 200 students. Now, students advocated for a stronger
   integration of clinical pharmacology teaching into clinical subjects in
   the last 2 years of medical school. Specifically, they called for
   classes with smaller groups of students including problem-based learning
   as well as video podcasts. These results provided the foundation for
   change in curriculum at the LMU medical school. In conclusion, a
   structured approach for curriculum development that considers students'
   views is feasible and can reveal their actual goals and demands. The
   approach has proven successful at LMU Munich and is transferrable to
   other universities.
ZB 0
Z8 0
ZR 0
ZA 0
TC 2
ZS 0
Z9 2
U1 0
U2 11
SN 0091-2700
EI 1552-4604
UT WOS:000474279500014
PM 30875103
ER

PT J
AU Farmakis, Shannon G.
   Hardy, Anna K.
   Thomas, Kristen B.
   Lampl, Brooke S.
   McDaniels, Janice D.
   Bowling, Rebecca Hulett
TI Changes in factors influencing fellowship choices among radiology
   residents from 2008 to 2018 and methods that may increase interest in
   the pediatric radiology subspecialty
SO PEDIATRIC RADIOLOGY
VL 49
IS 9
BP 1132
EP 1141
DI 10.1007/s00247-019-04430-4
PD AUG 2019
PY 2019
AB BackgroundFewer residents are choosing a career in pediatric radiology,
   which is contributing to an ongoing shortage of pediatric
   radiologists.ObjectiveTo identify potential causes of reduced interest
   in pediatric radiology as a career given a projected worsening of a
   nationwide shortage of pediatric radiologists.Materials and methodsAn
   online questionnaire using previously published questions was approved
   and distributed by the Program Directors in Diagnostic Radiology to
   diagnostic radiology residents on behalf of the Society for Pediatric
   Radiology (SPR). Descriptive statistics including means with standard
   error and independent t-tests were used to compare mean scores between
   survey years.ResultsNearly all of the 353 respondents (90.9%) planned on
   pursuing a fellowship. The majority (57.7%) identified their fellowship
   subspecialty before the 3rd year of residency with only 5.7% selecting
   pediatric radiology. Overall, 18.2% of survey respondents favored
   academic practice compared to 40% in the pediatric radiology subgroup.
   Fellowship choices were most strongly based on area of strong personal
   interest, marketability and area of strong personal knowledge, while the
   pediatric radiology subgroup emphasized area of strong personal
   interest, increased interaction with other physicians and enjoyable
   residency rotations. The pediatric radiology subgroup believed their
   impact on patient care was more significant than other subspecialties.
   Pediatric radiology job opportunities were thought to be more limited,
   geographically confining, and to have lower salaries than other
   subspecialties. More flexible job opportunities and higher demand were
   identified as factors needing to change before a resident would consider
   a pediatric radiology career.ConclusionThe influence on fellowship
   selection is multifactorial. By emphasizing the favorable job market and
   marketability of pediatric radiology in all practice types/geographic
   locations, correcting perceived salary gaps and stressing the impact on
   patient care as early as medical school, the number of residents
   choosing a career in pediatric radiology may grow.
OI Farmakis, Shannon/0000-0002-0225-6291
TC 11
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
Z9 11
U1 0
U2 0
SN 0301-0449
EI 1432-1998
UT WOS:000477613600003
PM 31165184
ER

PT J
AU Fishbain, Dana
   Danon, Yehuda L.
   Nissanholz-Gannot, Rachel
TI Accreditation systems for Postgraduate Medical Education: a comparison
   of five countries
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 24
IS 3
BP 503
EP 524
DI 10.1007/s10459-019-09880-x
PD AUG 2019
PY 2019
AB There is a widespread consensus about the need for accreditation systems
   for evaluating post-graduate medical education programs, but
   accreditation systems differ substantially across countries. A
   cross-country comparison of accreditation systems could provide valuable
   input into policy development processes. We reviewed the accreditation
   systems of five countries: The United States, Canada, The United
   Kingdom, Germany and Israel. We used three information sources: a
   literature review, an online search for published information and
   applications to some accreditation authorities. We used template
   analysis for coding and identification of major themes. All five systems
   accredit according to standards, and basically apply the same
   accreditation tools: site-visits, annual data collection and
   self-evaluations. Differences were found in format of standards and
   specifications, the application of tools and accreditation consequences.
   Over a 20-year period, the review identified a three-phased process of
   evolution-from a process-based accreditation system, through an
   adaptation phase, until the employment of an outcome-based accreditation
   system. Based on the five-system comparison, we recommend that
   accrediting authorities: broaden the consequences scale; reconsider the
   site-visit policy; use multiple data sources; learn from other
   countries' experiences with the move to an outcome-based system and take
   the division of roles into account.
RI Nissanholtz - Gannot, Rachel/GLU-0927-2022; NISSANHOLTZ-GANNOT, RACHEL/
OI NISSANHOLTZ-GANNOT, RACHEL/0000-0003-4014-2874
ZS 0
ZR 0
Z8 0
TC 1
ZB 0
ZA 0
Z9 1
U1 1
U2 5
SN 1382-4996
EI 1573-1677
UT WOS:000475903500008
PM 30915642
ER

PT J
AU Aitken, Gillian
   Jones, Derek
   Fawns, Tim
   Sutherland, Douglas
   Henderson, Sarah
TI Using Bourdieu to explore graduate attributes in two online Master's
   programmes
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 24
IS 3
BP 559
EP 576
DI 10.1007/s10459-019-09885-6
PD AUG 2019
PY 2019
AB Within the expansion of postgraduate educational qualifications for
   health professionals, graduate attributes have become important markers
   of outcomes and value. However, it is not clear how or when graduate
   attributes develop, or how they are applied in professional practice
   after graduation. We interviewed 17 graduates from two online Master's
   programmes to explore their perceptions of how postgraduate study had
   influenced their practice and professional identity. Our thematic
   analysis produced three main themes (academic voice, infectious
   curiosity, and expanding worldview) which reflected changes in the
   participants' confidence, attitude, perspective, and agency across
   professional and academic settings. We then conducted a secondary phase
   of analysis using Bourdieu's concepts of 'field', 'capital', and
   'habitus'. While graduate attributes have been conceptualised as the
   context-independent acquisition of traits that can be employed by
   individuals, Bourdieu's framework highlights their relational qualities:
   they are caught up in the cultural history and context of the
   student/professional, the reputation of the awarding institution, and
   the graduate's location within a network of professional peers.
RI Aitken, Gillian/AAJ-8616-2021; Fawns, Tim/AAG-9625-2020
OI Aitken, Gillian/0000-0002-5492-1943; Fawns, Tim/0000-0001-5014-2662
TC 5
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
Z9 5
U1 0
U2 3
SN 1382-4996
EI 1573-1677
UT WOS:000475903500011
PM 30915641
ER

PT J
AU Ben Mortenson, W.
   Fuhrer, Marcus J.
   Bilkey, Jessica
   Jutai, Jeffrey
   Alkadri, Jamal
   Aziz, Joseph
   Demers, Louise
TI Comparing Assessments of Physical Functional Independence in Older
   Adults With Mobility Limitations
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 8
BP 637
EP 641
DI 10.1097/PHM.0000000000001092
PD AUG 2019
PY 2019
AB Objectives The aims of the study were (1) to assess the agreement and
   correlation between self-reported functional independence and
   observations of family caregivers in a heterogeneous population of
   community-dwelling older adults with disabilities and (2) to determine
   how self-reports and caregiver reports correlate with evaluator rated
   functional independence over time. Design Data were drawn from a larger,
   randomized controlled trial examining the effects of a
   caregiver-inclusive intervention on outcomes of care recipients and
   their family caregivers. Functional independence measures were obtained
   using a self-report version of the Functional Independence Measure (care
   recipient self-reported Functional Independence Measure, caregiver
   self-reported Functional Independence Measure) and the Functional
   Autonomy Measurement System (evaluator perspective). They were
   administered at baseline (preintervention) and after the intervention at
   6, 22, and 58 wks. Results Bivariate correlation analyses of 90 dyads
   consisting of older care recipients and their family caregivers reported
   moderate to very strong correlations between the three functional
   independence measures across all time points (r(S) = 0.45-0.91, P <
   0.01). Bland-Altman analyses revealed a small systematic bias between
   care recipient and caregiver assessments of functional independence,
   with participants reporting higher scores across all time points (mean
   difference = 2.00-2.97). Conclusions There is substantial consistency
   among the self-assessed, caregiver-assessed, and evaluator assessed
   functional independence of older adults. Caregivers may be used as
   proxies for community-dwelling older adults without severe cognitive
   impairments with functional limitations. To Claim CME Credits Complete
   the self-assessment activity and evaluation online at CME Objectives
   After reviewing this article, readers will be able to: (1) Describe the
   strength of association between self-reported functional independence
   and observations of family caregivers in a heterogeneous population of
   community-dwelling older adults with disabilities over time; (2)
   Describe the level of agreement between self-reported functional
   independence and observations of family caregivers over time; and (3)
   Describe the associations among self-reported, caregiver reported and
   evaluator rated functional independence over time. Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim
   credit commensurate with the extent of their participation in the
   activity.
RI Mortenson, W. Ben/L-7441-2013
OI Mortenson, W. Ben/0000-0002-0183-6163
Z8 0
ZA 0
TC 2
ZR 0
ZS 0
ZB 0
Z9 2
U1 0
U2 2
SN 0894-9115
EI 1537-7385
UT WOS:000475948700007
PM 31318742
ER

PT J
AU Dragan, Irina F.
   Pirc, Miha
   Rizea, Cristina
   Yao, Jie
   Acharya, Aneesha
   Mattheos, Nikos
TI A global perspective on implant education: Cluster analysis of the
   "first dental implant experience" of dentists from 84 nationalities
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 23
IS 3
BP 251
EP 265
DI 10.1111/eje.12426
PD AUG 2019
PY 2019
AB Objectives The aim of this cross-sectional study was to explore the
   demographic and educational patterns related to the dentists' first
   implant dental experience. Material and methods Participants of a
   Massive Open Online Course in implant dentistry who have placed and
   restored implants completed a 25-item online questionnaire investigating
   their pathway of education and assessing their experience with the
   "first implant placement." Exploratory analysis included hierarchical
   clustering using 9 demographic categorical factors. Results A total of
   1015 respondents from 84 countries formed 5 distinct clusters. Age and
   work experience were dominant clustering traits, decreasing from Cluster
   1 to Cluster 5. Clusters 1 and 3 represented "senior" and "younger"
   general dental practitioners, respectively, whilst Clusters 2 and 4
   represented post-graduate educated clinicians. Cluster 5 represented
   recent graduates. Asia, South America and Africa were over-represented
   in "younger" clusters. Time in practice was a significant determinant of
   attitudes, followed by completion of post-graduate education. There were
   significant differences in reported patterns of challenges and
   complications depending on dentists' time in practice, age and
   post-graduate education. Challenge in implant positioning was more
   frequently identified by "young post-graduate" educated dentists. Recent
   graduates reported having the fewest complications of all clusters.
   Obtaining implant education in University settings was most frequently
   recommended by clusters of dentists with post-graduate education.
   Conclusions Time in practice is a parameter to be considered when
   designing implant education. The absence of structured education and
   mentorship might lead to inability to properly assess treatment outcomes
   and identify complications. Quality-assured and practice-directed
   education is needed at a global level, to support in particular, recent
   graduates who now seem to engage with implant dentistry early in their
   career.
RI Mattheos, Nikos/C-8614-2011; Acharya, Aneesha/H-9940-2019; Pirc, Miha/
OI Mattheos, Nikos/0000-0001-7358-7496; Acharya,
   Aneesha/0000-0002-9319-6780; Pirc, Miha/0000-0003-0831-8905
ZB 1
Z8 0
ZS 0
ZA 0
ZR 0
TC 7
Z9 7
U1 0
U2 3
SN 1396-5883
EI 1600-0579
UT WOS:000475475400003
PM 30710398
ER

PT J
AU Burke, Elaine
   Teeling, Mary
   Hennessy, Martina
TI Introduction of an academic internship in Ireland: views of
   undergraduate medical students
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 188
IS 3
BP 1025
EP 1032
DI 10.1007/s11845-018-1917-8
PD AUG 2019
PY 2019
AB Introduction A combined academic and clinical training programme for
   junior doctors in Ireland, the academic track for internship, has
   recently been launched. The academic track offers newly graduated
   doctors protected time within the working week to undertake a research
   project in addition to funding, an academic supervisor, and additional
   training in research skills. This study seeks to investigate the views
   of undergraduate medical students.
   Methods The study population was undergraduate medical students at
   Trinity College Dublin in their penultimate year of study. An online
   questionnaire was designed and disseminated via a gatekeeper.
   Descriptive statistics were used to carry out data analysis on students'
   responses.
   Results The response rate was 50/203 (24.6%). All respondents indicated
   that protected time would be 'very important' or 'important'. The most
   frequently cited reason for participating in the academic track was 'To
   progress my career in a particular specialty' (28/42). The most
   frequently cited anticipated achievement was research publication
   (39/42). The most common response when asked what concerns (if any)
   students had about participating in the programme was 'I am not sure I
   could achieve all the clinical competencies of an intern in addition to
   research' (58%).
   Discussion There was a significant interest in the academic track for
   internship, and it is perceived by students as being of benefit to their
   careers. The value of protected time and an academic supervisor were
   recognised, and a research publication was the most frequently cited
   anticipated outcome. The data gathered in this questionnaire will help
   inform curriculum development and the identification of suitable
   learning outcomes.
OI Hennessy, Martina/0000-0002-2153-5288; Burke, Elaine/0000-0002-9885-8763
ZA 0
ZR 0
TC 2
Z8 0
ZS 0
ZB 1
Z9 2
U1 0
U2 5
SN 0021-1265
EI 1863-4362
UT WOS:000475743900042
PM 30341635
ER

PT J
AU Lupi, Micol M.
   Maweni, Robert M.
   Shirazi, Shahram
   Wali, Umar J.
TI Fluid and electrolyte balance-establishing the knowledge base of
   Foundation Year One doctors
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 188
IS 3
BP 1047
EP 1055
DI 10.1007/s11845-018-1937-4
PD AUG 2019
PY 2019
AB Background Fluid and electrolyte management for hospital inpatients has
   been identified by multiple reports to be suboptimal, with delegation of
   this task to the most junior members of a medical team, Foundation Year
   One (FY1) doctors, also known as interns or house officers, being
   identified as a contributing factor.
   Methods An online survey was distributed nationally via social media to
   FY1 doctors between 21st August 2018 and 19th September 2018. Questions
   focused around cohort characteristics, team behaviours around fluid and
   electrolyte prescribing, as well as teaching and knowledge.
   Results Two hundred eighty-six doctors participated. 67.13% knew the
   daily water requirement of a healthy adult. 58.39 and 79.72% knew the
   daily requirements of potassium and sodium, respectively. 41.26 and
   33.57% knew the potassium and sodium composition of Hartmann's solution
   (1L), respectively, with only 31.12% of candidates knowing the correct
   sodium content of 1L of normal saline 0.9%. FY1 doctors were the
   principle prescribers of fluid therapy (97.55%); senior house officers,
   registrars, and consultants were only actively involved in the process
   51.75, 20.98, and 5.59% of the time, respectively. 30.77 and 23.43% of
   FY1s received guidelines and/or teaching on the topic within their firms
   or as part of their foundation teaching, respectively. At undergraduate
   level, 52.44% of doctors reported the teaching to be "neither poor or
   good," "poor," or "very poor."
   Conclusion The principle knowledge base underlying fluid and electrolyte
   management is still poorly understood by FY1 doctors, with poor teaching
   of the subject at both undergraduate and post-graduate level potentially
   contributing.
ZS 0
ZB 2
ZR 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 1
SN 0021-1265
EI 1863-4362
UT WOS:000475743900044
PM 30484067
ER

PT J
AU Bijol, Vanesa
   Farag, Youssef M. K.
   Harris, David C. H.
   Levin, Adeera
   Roy-Chaudhury, Prabir
   Singh, Ajay K.
   Jhaveri, Kenar D.
TI Renal pathology practice globally: identifying needs and meeting the
   challenge
SO KIDNEY INTERNATIONAL
VL 96
IS 2
BP 258
EP 261
DI 10.1016/j.kint.2018.10.040
PD AUG 2019
PY 2019
RI SINGH, ANIL KUMAR/M-4786-2017; Singh, Ajay/AAF-4414-2020
OI SINGH, ANIL KUMAR/0000-0003-2933-4058; 
ZR 0
Z8 0
ZB 1
TC 2
ZA 0
ZS 0
Z9 2
U1 0
U2 0
SN 0085-2538
EI 1523-1755
UT WOS:000476628300001
PM 31331460
ER

PT J
AU Phillips, Charles A.
   Hunt, Alaina
   Salvesen-Quinn, Mikaela
   Guerra, Jorge
   Schapira, Marilyn M.
   Bailey, L. Charles
   Merchant, Raina M.
TI Health-related Google searches performed by parents of pediatric
   oncology patients
SO PEDIATRIC BLOOD & CANCER
VL 66
IS 8
AR e27795
DI 10.1002/pbc.27795
PD AUG 2019
PY 2019
AB Background Little is known about the specific information parents of
   children with cancer search for online. Understanding the content of
   parents' searches over time could offer insight into what matters most
   to parents and identify knowledge gaps that could inform more
   comprehensive approaches to family education and support. Methods We
   describe parents' health-related Google searches starting six months
   before cancer diagnosis and extending through the date of study
   enrollment, which was at least one month after initiating cancer
   treatment. Searches were obtained retrospectively and grouped into
   health-related and non-health-related categories. The median time to
   parent enrollment from date of cancer diagnosis was 264 days. Results
   Parents searched for health-related topics more frequently than the
   general population (13% vs 5%). Health-related searches increased in the
   months preceding the child's cancer diagnosis and most commonly
   pertained to symptoms and logistics, "directions to hospital."
   Health-related search volume peaked about a month after cancer diagnosis
   when general health-related searches were present in addition to
   cancer-specific searches. Eighteen percent of health-related searches
   were cancer specific, and of these cancer-specific searches, 54%
   pertained to support, for example "cancer quote for son." Conclusions
   Google search content offers insight into what matters to parents of
   cancer patients. Understanding search content could inform more
   comprehensive approaches to family education and support initiatives.
ZR 0
ZA 0
TC 0
Z8 0
ZS 0
ZB 0
Z9 0
U1 0
U2 5
SN 1545-5009
EI 1545-5017
UT WOS:000472549200006
PM 31069926
ER

PT J
AU Garg, Gaurav
   Patil, Amol
   Kasudhan, Kripa Shanker
TI Naturalistic Evaluation of Pharmacotherapy Consultations Provided to
   Hospital Clinicians: A Developing Country's Perspective
SO JOURNAL OF PHARMACY TECHNOLOGY
VL 35
IS 4
BP 155
EP 163
DI 10.1177/8755122519843013
PD AUG 2019
PY 2019
AB Background: Critical appraisal of published literature for hospital
   clinicians has never been taken as an initiative in developing
   countries. Objective: This study was aimed at evaluating the nature of
   pharmacotherapy consultations from the drug information center (DIC) of
   the Postgraduate Institute of Medical Education and Research,
   Chandigarh, India. Methods: The DIC received pharmacotherapy
   consultation requests from January 2016 to December 2017. Various
   aspects such as clinical queries, patient-related factors, and
   disease-related information in these requests were recorded and
   analyzed. Descriptive statistics and chi(2) test were used for the
   analysis of the data and feedback evaluation, respectively. Results:
   During the study, a total of 179 consultation requests were documented.
   On 19 (10.61%) encounters, pharmacotherapy consultations occurred for
   emergency patient care. Of the 179 queries, 31 (17.3%) were answered
   immediately while 148 (82.68%) were answered within an average time of
   1.6 hours. The most common type of query was the pharmacotherapy of
   disease, followed by dose calculation and dose modification.
   Communications with DIC staff took place for timely critical appraisal
   of the medical literature, followed by a judicious selection of higher
   antimicrobials and other drugs. The time taken for answering a query was
   found to be a statistically significant determinant of user satisfaction
   (P < .05). Conclusion: The evidence level-specific drug information
   service was established and catered to hospital clinicians through
   critical evaluation of offline and online resources. DIC services have
   the potential to revolutionize the pharmacy and pharmacology curriculum
   in developing countries.
OI Kasudhan, Kripa Shanker/0000-0002-9208-7697
ZS 0
ZB 0
TC 5
Z8 0
ZA 0
ZR 0
Z9 5
U1 0
U2 1
SN 8755-1225
EI 1549-4810
UT WOS:000473184800003
PM 34861032
ER

PT J
AU Boyd, L.
   Lawson, C.
   MacLeod, W.
   Harianto, S.
TI The use of near peer teachers in the radiography program at Monash
   University
SO RADIOGRAPHY
VL 25
IS 3
BP 190
EP 193
DI 10.1016/j.radi.2018.12.008
PD AUG 2019
PY 2019
AB Introduction: This research investigated the perceptions of fourth year
   students as near peer (NP) teachers, and second year NP learners during
   a pathology unit in the Bachelor of Medical Imaging and Radiation
   Sciences at Monash University.
   Methods: A systematic review of literature was undertaken to inform the
   research design. Semi-structure pre- and post-teaching interviews were
   conducted with four NP teachers. An online survey was conducted with 50
   second year NP learners. Quantitative data was analysed using Microsoft
   Excel. Interview data and 64 free text comments in the online survey
   were analysed using NVivo.
   Results: NP students felt there were significant benefits being involved
   in the NP program, including an explanation of concepts and
   complementary teaching to lecturers. Three of the free text comments
   outlined a negative perception, although in each case the comment
   related to the student's individual learning style rather than being
   negative against the program.
   Conclusion: The benefits to learners in a pathology course was
   consistent to those identified within the literature. Students perceived
   benefits in terms of content delivery, interaction and communication.
   Recommendations were made about the organisation and design for future
   cohorts. (C) 2019 The College of Radiographers. Published by Elsevier
   Ltd. All rights reserved.
OI Lawson, Celeste/0000-0001-5903-6129
TC 3
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
Z9 3
U1 0
U2 2
SN 1078-8174
EI 1532-2831
UT WOS:000474817300007
PM 31301774
ER

PT J
AU Morales Chan, Miguel
   Barchino, Roberto
   Medina-Merodio, Jose-Amelio
   de la Roca, Monica
   Sagastume, Flor
TI MOOCs, an innovative alternative to teach first aid and emergency
   treatment: A practical study
SO NURSE EDUCATION TODAY
VL 79
BP 92
EP 97
DI 10.1016/j.nedt.2019.05.008
PD AUG 2019
PY 2019
AB The fast and constant evolution of Massive Open Online Courses (MOOCs)
   has gained the attention of the educational community, achieving
   widespread popularity among many universities. However, there is very
   little research on the use and acceptance of MOOCs by students in
   disciplines such as health and medicine. The principal focus of this
   study is to explore the behavior of students from a MOOC on Health
   Emergencies, analyzing the completion and drop-out rates. The data were
   collected from three self-administered questionnaires; the first
   identified general demographic information and the students' learning
   preferences, the second determined the level of MOOC adoption and the
   level of identification and satisfaction the students had with the
   course content, and the third measured the completion and drop-out
   rates. The MOOC had more than 2114 registered participants. The enrolled
   students showed high levels of commitment and motivation to learn about
   this topic through a varied of innovative educational resources, such as
   videos, learning activities, and interactive animations. In general, the
   participants expressed their desire to continue learning with this type
   of methodology. However, the results also showed important issues to be
   considered in the design and development of a MOOC of these
   characteristics.
RI Plata, Roberto Barchino/G-5837-2011; Medina-Merodio, Jose-Amelio/I-3234-2015; Morales, Miguel/G-6995-2014
OI Plata, Roberto Barchino/0000-0002-5657-5191; Medina-Merodio,
   Jose-Amelio/0000-0003-3359-4952; Morales, Miguel/0000-0002-8742-8186
ZR 0
ZB 0
ZS 1
ZA 0
TC 18
Z8 2
Z9 21
U1 2
U2 39
SN 0260-6917
EI 1532-2793
UT WOS:000473377700017
PM 31112846
ER

PT J
AU Cenik, Fadime
   Steinhart, Michaela
   Keilani, Mohammad
   Crevenna, Richard
TI The first online conference for breast cancer survivorsSURVIVA 2018: an
   innovative information tool
SO SUPPORTIVE CARE IN CANCER
VL 27
IS 8
BP 2757
EP 2759
DI 10.1007/s00520-019-04810-4
PD AUG 2019
PY 2019
AB PurposeThe implementation of a new online conference tool, with the goal
   of providing competent answers, information, and support from experts in
   their fields, about diagnosis, treatment, and rehabilitation in breast
   cancer patients.MethodsThe implementation process and data of the first
   online conference are described.ResultsFollowing the idea and initiative
   of a breast cancer survivor, and under the umbrella of a leading
   oncologist in breast cancer treatment, and with the cooperation of
   further leading experts in the fields, plus their therapeutic teams, the
   new online conference SURVIVA 2018 was implemented as an innovative
   platformfree of charge, online, and with easy and anonymous accessto
   provide breast cancer survivors with in-depth information and help from
   the leading Austrian experts in their fields. This first online
   conference for German-speaking breast cancer survivors is an innovative
   and modern concept, which seems to have been very well
   accepted.ConclusionThis concept could also be of interest to survivors
   of other cancer entities.
ZS 0
ZR 0
ZB 0
TC 1
ZA 0
Z8 0
Z9 1
U1 0
U2 2
SN 0941-4355
EI 1433-7339
UT WOS:000473204000002
PM 31001693
ER

PT J
AU Changiz, Tahereh
   Yamani, Nikoo
   Shaterjalali, Maria
TI The challenge of planning learning opportunities for clinical medicine:
   a triangulation study in Iran
SO BMC MEDICAL EDUCATION
VL 19
AR 292
DI 10.1186/s12909-019-1719-3
PD JUL 31 2019
PY 2019
AB BackgroundAn essential characteristics of clinical education is the need
   to learn a large number of practical and communication skills along with
   theoretical knowledge. It is challenging to design learning
   opportunities (LOs) for clinical setting. We aimed to determine optimal
   learning opportunities from the viewpoint of Medical curriculum
   planners, to determine the gap between the current condition and the
   optimal condition in medical schools, and to present feasible tactic for
   clinical learning opportunities.MethodsThis study comprised of three
   sub-studies and was conducted using triangulation. The first sub-study
   was performed using the Modified Delphi method with a view to
   identifying optimal learning opportunities. Data was collected by online
   focus group discussion and a questionnaire. The second sub-study was
   conducted with the aim of comparing the current condition and the
   optimal condition. Data was collected from nine medical schools across
   Iran using a checklist, available documents, observation, and interview.
   The third sub-study was conducted using an expert panel comprising of
   seven curriculum planners of the M.D. program. The goal of this phase
   was to provide feasible tactic to improve clinical education in medical
   schools.ResultsIn the first sub-study, the participants determined all
   items, including student-centered learning, non-threatening learning
   environment, and record and management system of clinical learning
   opportunities as implementable learning opportunities with over 70%
   consensus. However, in the second sub-study, student-centered teaching
   methods were practiced in 33% of medical schools and the non-threatening
   learning environment in 67% of the schools, while the record and
   management system of learning opportunities was not launched in any of
   the schools. From the viewpoint of the expert panel members, learning
   opportunities adapted to clinical contents, specification of
   content-based learning opportunities, and continuous supervision on
   learners to achieve the expected learning outcomes were among clinical
   learning opportunities with over 70%
   consensus.ConclusionsStudent-centered clinical learning practices,
   together with virtual learning methods, can lead to clinical
   enhancement. Opportunities such as interactive and participatory
   practices should gain further consideration. Also assigning
   responsibility to learners and monitoring them are strategies for
   enhancement.
OI yamani, Nikoo/0000-0002-7990-092X
TC 1
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 1
U1 1
U2 3
SN 1472-6920
UT WOS:000478022900004
PM 31366343
ER

PT J
AU Abd-Alrazaq, Alaa
   Bewick, Bridgette M.
   Farragher, Tracey
   Gardner, Peter
TI Factors Affecting Patients' Use of Electronic Personal Health Records in
   England: Cross-Sectional Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 7
AR e12373
DI 10.2196/12373
PD JUL 31 2019
PY 2019
AB Background: Electronic personal health records (ePHRs) are secure
   Web-based tools that enable individuals to access, manage, and share
   their medical records. England recently introduced a nationwide ePHR
   called Patient Online. As with ePHRs in other countries, adoption rates
   of Patient Online remain low. Understanding factors affecting patients'
   ePHR use is important to increase adoption rates and improve the
   implementation success of ePHRs.
   Objective: This study aimed to examine factors associated with patients'
   use of ePHRs in England.
   Methods: The unified theory of acceptance and use of technology was
   adapted to the use of ePHRs. To empirically examine the adapted model, a
   cross-sectional survey of a convenience sample was carried out in 4
   general practices in West Yorkshire, England. Factors associated with
   the use of ePHRs were explored using structural equation modeling.
   Results: Of 800 eligible patients invited to take part in the survey,
   624 (78.0%) returned a valid questionnaire. Behavioral intention (BI)
   was significantly influenced by performance expectancy (PE; beta=. 57,
   P<. 001), effort expectancy (EE; beta=. 16, P<. 001), and perceived
   privacy and security (PPS; beta=. 24, P<. 001). The path from social
   influence to BI was not significant (beta=. 03, P=. 18). Facilitating
   conditions (FC) and BI significantly influenced use behavior (UB; beta=.
   25, P<. 001 and beta=. 53, P<. 001, respectively). PE significantly
   mediated the effect of EE and PPS on BI (beta=. 19, P<. 001 and beta=.
   28, P=. 001, respectively). Age significantly moderated 3 paths: PE ->
   BI, EE -> BI, and FC -> UB. Sex significantly moderated only the
   relationship between PE and BI. A total of 2 paths were significantly
   moderated by education and internet access: EE -> BI and FC -> UB.
   Income moderated the relationship between FC and UB. The adapted model
   accounted for 51% of the variance in PE, 76% of the variance in BI, and
   48% of the variance in UB.
   Conclusions: This study identified the main factors that affect
   patients' use of ePHRs in England, which should be taken into account
   for the successful implementation of these systems. For example,
   developers of ePHRs should involve patients in the process of designing
   the system to consider functions and features that fit patients'
   preferences and skills to ensure systems are useful and easy to use. The
   proposed model accounted for 48% of the variance in UB, indicating the
   existence of other, as yet unidentified, factors that influence the
   adoption of ePHRs. Future studies should confirm the effect of the
   factors included in this model and identify additional factors.
RI Abd-Alrazaq, Alaa Ali/ABE-3043-2021; Farragher, Tracey/; Gardner, Peter/
OI Abd-Alrazaq, Alaa Ali/0000-0001-7695-4626; Farragher,
   Tracey/0000-0002-1968-6378; Gardner, Peter/0000-0002-8799-0443
ZR 0
TC 16
ZA 0
ZS 0
ZB 0
Z8 0
Z9 16
U1 2
U2 16
SN 1438-8871
UT WOS:000478078300001
PM 31368442
ER

PT J
AU Westerlaken, Mirjam
   Christiaans-Dingelhoff, Ingrid
   Filius, Renee M.
   de Vries, Bas
   de Bruijne, Martine
   van Dam, Marjel
TI Blended learning for postgraduates; an interactive experience
SO BMC MEDICAL EDUCATION
VL 19
AR 289
DI 10.1186/s12909-019-1717-5
PD JUL 30 2019
PY 2019
AB BackgroundBlended learning has the potential to stimulate effective
   learning and to facilitate high quality education. For postgraduate
   health professionals, blended learning is relatively new. For this group
   we developed, implemented and evaluated two blended learning modules in
   a master program on quality and safety in patient care. Aiming for a
   better preparation compared to traditional textbook homework, the course
   provided not only web lectures and reading, but also interactive
   assignments and collaborative learning. Additional goal was saving time
   for the teachers resulting in a potential cost savings.MethodThe
   experiences of 21 postgraduate health professionals were evaluated with
   two voluntary and anonymous questionnaires beginning of 2017 with a
   special focus on the added value of online interaction, underexposed in
   previous research.ResultsThis evaluation shows that online modules are
   regarded as being an effective preparation for face-to-face meetings for
   postgraduate health professionals. Added value of social interactive
   online preparation was perceived from collaborating and interacting with
   each other. Both the interaction between the students, and the
   e-moderator and teachers were well received.ConclusionsBased on the
   results of this study, we suggest that blended learning may indeed
   increase the level of education and stimulate effective learning for
   postgraduate health care professionals. The professionals experienced
   added value of social interactive online preparation from collaborating
   and interacting with each other. We consider better aligning of the
   online and face-to-face components as one of the highest priorities.
RI van Dam, Marjel/AFT-3071-2022; de Bruijne, Martine/; Christiaans-Dingelhoff, Ingrid/; van Dam, Marjel/
OI de Bruijne, Martine/0000-0003-1838-1158; Christiaans-Dingelhoff,
   Ingrid/0000-0002-0904-2384; van Dam, Marjel/0000-0001-9802-7516
ZA 0
ZS 1
TC 28
ZB 1
Z8 1
ZR 0
Z9 29
U1 2
U2 19
SN 1472-6920
UT WOS:000477943000002
PM 31362735
ER

PT J
AU D'Ignazio, Tara
   Lavoie, Gabriel
   Pomerani, Tommaso
   Lachapelle, Alexander
   Gaucher, Nathalie
TI Pre-exchange training - Developing ethical and cultural competencies in
   medical students
SO MEDICAL TEACHER
VL 41
IS 12
BP 1399
EP 1403
DI 10.1080/0142159X.2019.1641590
EA JUL 2019
PD DEC 2 2019
PY 2019
AB Background: The International Federation of Medical Students'
   Associations (IFMSA) organizes over 15,000 international medical
   exchanges per year in over 100 countries. In the past, there was no
   standardized Pre-Departure Training (PDT) for participants. A PDT is
   important to protect patient safety and prepare students for their
   exchange. Objective: To determine whether a two-hour case-based
   Pre-Departure Training can increase self-reported level of comfort on
   competencies in basic medical ethics, cultural competence, research
   ethics, and recognizing the limits of one's level of skill in medical
   students. Methods: In 2017, the PDT was implemented in nine countries
   for medical students prior to their IFMSA exchange. Participants
   self-evaluated their competencies in an online questionnaire before and
   after the PDT. Results: 234 students from 32 countries completed the
   pre-PDT evaluation and 104 completed both evaluations. Participants
   demonstrated statistically significant improvements in self-reported
   competencies in 16 out of 18 items including voicing lack of skill to a
   supervisor (p < 0.001) and recognizing personal cultural biases (p <
   0.001). Conclusions: A case-based PDT can improve participants'
   self-reported comfort in treating patients from different cultural
   backgrounds and help maintain high ethical standards abroad. The PDT was
   implemented at large within IFMSA in 2018.
OI Pomerani, Tommaso Ivan/0000-0001-5744-7274; Lachapelle,
   Alexander/0000-0001-8561-8990
ZA 0
ZR 0
ZS 1
ZB 1
Z8 0
TC 3
Z9 4
U1 0
U2 2
SN 0142-159X
EI 1466-187X
UT WOS:000479796800001
PM 31366260
ER

PT J
AU Dunne, David M.
   Lefevre, Carmen
   Cunniffe, Brian
   Tod, David
   Close, Graeme L.
   Morton, James P.
   Murphy, Rebecca
TI Performance Nutrition in the digital era - An exploratory study into the
   use of social media by sports nutritionists
SO JOURNAL OF SPORTS SCIENCES
VL 37
IS 21
BP 2467
EP 2474
DI 10.1080/02640414.2019.1642052
EA JUL 2019
PD NOV 2 2019
PY 2019
AB This study aimed to explore how social media is being used by sports
   nutritionists as part of service provision, as well as practitioners'
   experiences and opinions of its use in practice. An exploratory
   sequential mixed methods approach was used during this research.
   Forty-four sports nutritionists completed an online survey detailing
   their personal and professional social media use. Semi-structured
   follow-up interviews were conducted with 16 participants who volunteered
   to do so. Survey responses were collated and reported as descriptive
   statistics. Interviews were thematically analysed. Social media was used
   by 89% of sports nutritionists to support practice, of which 97%
   perceived its use to be beneficial. Platforms were used to deliver
   information and resources, and support athletes online via pages, groups
   and 1-2-1 messaging. Social media facilitated improved communication
   between the practitioner and the athlete, as well as facilitating mobile
   and visual learning. Lack of digital intervention training and time were
   reported as challenges to social media use in practice. Sports
   nutritionists have embraced social media as an extension of service
   provision. Professional education should now consider supporting
   nutritionists' in developing digital professionalism.
OI Dunne, David/0000-0003-1535-383X; Cunniffe, Brian/0000-0003-0602-5164
TC 9
ZA 0
ZR 0
ZS 1
ZB 3
Z8 0
Z9 9
U1 1
U2 12
SN 0264-0414
EI 1466-447X
UT WOS:000479700200001
PM 31345110
ER

PT J
AU Metcalfe, Anna
   Jones, Bridget
   Mayer, Johannes
   Gage, Heather
   Oyebode, Jan
   Boucault, Sarah
   Aloui, Sabrina
   Schwertel, Uta
   Bohm, Markus
   du Montcel, Sophie Tezenas
   Lebbah, Said
   De Mendonca, Alexandre
   De Vugt, Marjolein
   Graff, Caroline
   Jansen, Sabine
   Hergueta, Thierry
   Dubois, Bruno
   Kurz, Alexander
TI Online information and support for carers of people with young-onset
   dementia: A multi-site randomised controlled pilot study
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 34
IS 10
BP 1455
EP 1464
DI 10.1002/gps.5154
EA JUL 2019
PD OCT 2019
PY 2019
AB Objectives The European RHAPSODY project sought to develop and test an
   online information and support programme for caregivers of individuals
   diagnosed with young onset dementia. The objectives were to assess user
   acceptability and satisfaction with the programme and to test outcome
   measures for a larger effectiveness study. Design A pilot randomised
   controlled trial in England, France, and Germany was conducted with 61
   caregivers for adults with young onset Alzheimer's disease or
   frontotemporal degeneration. Evaluations at baseline, week 6, and week
   12 assessed user acceptability and satisfaction. Use of the programme
   was measured from online back-end data. Qualitative feedback on user
   experiences was collected via semi-structured interviews. Measures of
   caregiver well-being (self-efficacy, stress, burden, frequency of
   patient symptoms, and caregiver reactions) were explored for use in a
   subsequent trial. Results Participants logged in online on average once
   a week over a 6-week period, consulting approximately 31% of programme
   content. Seventy percent of participants described the programme as
   useful and easy to use. Eighty-five percent expressed intent to use the
   resource in the future. Reductions in reported levels of stress and
   caregivers' negative reactions to memory symptoms were observed
   following use of the programme. Conclusions Results indicated that the
   RHAPSODY programme was acceptable and useful to caregivers. The
   programme may be complementary to existing services in responding to the
   specific needs of families affected by young onset dementia.
   Distribution of the programme is underway in England, France, Germany,
   and Portugal.
RI du Montcel, Sophie Tezenas/A-6207-2012; Jones, Bridget/AAN-1008-2021; Böhm, Markus/AAF-3762-2020; graff, caroline/A-2545-2009; Oyebode, Jan/; de Mendonca, Alexandre/; Graff, Caroline/; Metcalfe, Anna/
OI du Montcel, Sophie Tezenas/0000-0002-2866-4330; Jones,
   Bridget/0000-0001-9709-1794; Böhm, Markus/0000-0003-2859-5651; Oyebode,
   Jan/0000-0002-0263-8740; de Mendonca, Alexandre/0000-0002-0488-1453;
   Graff, Caroline/0000-0002-9949-2951; Metcalfe, Anna/0000-0002-5727-8914
ZA 0
ZS 0
ZR 0
ZB 2
TC 17
Z8 2
Z9 19
U1 6
U2 29
SN 0885-6230
EI 1099-1166
UT WOS:000479379700001
PM 31111516
ER

PT J
AU Vig, Elizabeth K.
   Merel, Susan E.
TI Ethics Education During Palliative Medicine Fellowship
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 36
IS 12
BP 1076
EP 1080
AR 1049909119864300
DI 10.1177/1049909119864300
EA JUL 2019
PD DEC 2019
PY 2019
AB Background: Palliative care clinicians frequently encounter situations
   in which there are ethical dilemmas about the right thing to do.
   Palliative medicine fellowships are required to include education about
   ethics. Our fellowship increased fellows' ethics education through
   monthly didactics, lectures in a professional development series, and a
   month-long ethics rotation. Methods: We sought input from graduates of
   our palliative medicine fellowship about the content and amount of the
   ethics education they received. Fellowship graduates were invited via
   e-mail to complete an online survey about the ethics education they
   received during fellowship. They were asked questions about their work
   environment, frequency with which they encounter ethical dilemmas, their
   perspectives on the ethics content, the amount of ethics education they
   received during fellowship, and their input on ways to improve the
   ethics education within the fellowship. Results: Twenty-eight (82%) of
   34 fellowship graduates completed the survey; 93% noted that they
   encounter ethical dilemmas in their work, with half encountering these
   on a daily or weekly basis, and 86% noted that colleagues ask them
   questions about ethics because of their palliative medicine training.
   None responded that they had received too much ethics education.
   Fellowship graduates identified ethics content that has been useful
   since completing fellowship and suggested ways to improve ethics
   education for future fellows. Conclusion: Graduates of a palliative
   medicine fellowship encounter ethical dilemmas often and frequently are
   asked questions about ethics. Palliative medicine fellowships may want
   to examine their ethics curriculum to ensure that graduating fellows are
   learning about relevant ethics topics and are comfortable discussing
   ethical dilemmas with others.
TC 4
ZB 0
ZS 1
ZA 0
Z8 0
ZR 0
Z9 5
U1 0
U2 0
SN 1049-9091
EI 1938-2715
UT WOS:000478492700001
PM 31342770
ER

PT J
AU Coleman, E.
   O'Connor, E.
TI The role of WhatsApp (R) in medical education; a scoping review and
   instructional design model
SO BMC MEDICAL EDUCATION
VL 19
AR 279
DI 10.1186/s12909-019-1706-8
PD JUL 25 2019
PY 2019
AB BackgroundTechnological advances have driven huge change in educational
   practices though concerns exist about a lack of evidence informing this
   change, in particular with social media-based medical education
   activities. The purpose of this study was to conduct a scoping review of
   WhatsApp use in medical education, narratively describing how it has
   been used and evaluated, and the theoretical considerations in relevant
   articles.MethodsA modified 5-stage scoping review model was used. We
   performed 2 searches from February 2009 to February 2019 in EBSCO,
   SCOPUS, Web of Science, EMBASE, Medline PubMed and Google Scholar) using
   the term WhatsApp in all search fields. A 3-stage process for study
   selection was performed. Only original articles in English presenting
   original data about WhatsApp in medical education were included. The
   Kirkpatrick model of training evaluation was used to describe learning
   outcomes in included studies.ResultsTwenty-three articles were selected
   for review. Three strategies for WhatsApp use were apparent; primarily
   educational use with a pre-defined curriculum (n=5), primarily
   educational use without a curriculum (n=11), and primarily
   non-educational use (n=7). Most of the educational studies used an
   online moderator and were in a local hospital or university department.
   Studies not primarily educational were national or international and
   seldom included an online moderator. All 5 studies with a pre-defined
   curriculum reported Kirkpatrick level 2 learner knowledge outcomes. A
   majority of the remaining studies only reported Kirkpatrick level 1
   learner attitudes. Seven studies with 647 participants reported an
   improvement in learners' knowledge following WhatsApp learning, though
   methodological weaknesses were apparent. Evidence for underlying
   learning theory considerations were scant throughout the
   studies.ConclusionsWhatsApp is popular and convenient in medical
   education. Current published literature suggests it may also be
   effective as a medical learning tool. By combining the 3 strategies for
   WhatsApp use and the exploration-enactment-assessment integrated
   learning design framework, we propose an instant messenger design model
   for medical education. This may address the need for theory-driven
   instructional design in social media learning. Further research would
   clarify the role of WhatsApp and our design model in this area.
OI Coleman, Eamonn/0000-0001-8240-9907
ZR 0
ZS 1
ZA 0
ZB 4
Z8 0
TC 48
Z9 49
U1 3
U2 17
EI 1472-6920
UT WOS:000477596100006
PM 31345202
ER

PT J
AU St Onge, Joan E.
   Cata, Ann M.
   Horigian, Viviana E.
TI Integration of Public Health in LCME Accredited Medical School in
   Florida: A Survey Based Study
SO CUREUS
VL 11
IS 7
AR e5213
DI 10.7759/cureus.5213
PD JUL 23 2019
PY 2019
AB Introduction: The future physician will face a career challenged by a
   number of significant changes in healthcare, including changes in
   demographics and disease, an increasing focus on population health and
   value-based care, and changes in healthcare funding. National
   organizations have called for medical schools to better prepare students
   for these challenges, and to incorporate more public health education in
   medical school. While many medical schools have responded, the topics
   covered, the timing in the curriculum, and the importance of these
   topics for graduation vary widely. Florida has been a site of growth in
   medical education in the last 10 years. Given that new medical schools
   were developed during a period of increased emphasis on the need for
   public health education, a survey was developed to assess the state of
   public health education in medical schools accredited by the Liaison
   Committee for Medical Education (LCME) in the state of Florida.
   Methods: The survey included questions on school location, size of the
   student body, date of initial LCME accreditation, presence of department
   or school of public health, and presence of a pathway or track in public
   health. The survey asked detailed questions about public health content,
   curricula delivery methods, and timing of the curriculum within the
   four-year course of study as well as the courses providing public health
   content. The survey asked about the value of curricular content and the
   survey itself. The online survey was sent to the associate or senior
   associate deans for education in the seven LCME accredited schools who
   had full or provisional accreditation as of December 2017. Data
   collection occurred between March 14 and March 30, 2018.
   Results: Six of the seven medical schools responded. Of the eleven
   competencies included in the survey, schools reported between five and
   eleven. Three schools cover nine or more of the eleven competencies. The
   number of competencies covered was not statistically influenced by age
   of the school, percentage of underrepresented students in medicine, the
   presence of a school or department of public health, or a special
   pathway or track in public health. The most common teaching method used
   was a didactic lecture, and the least was the structured experience with
   a local health organization. The fourth year of medical school saw the
   least amount of public health education. Five of the six respondents
   felt that the competencies presented here are very important to
   extremely important, and one school feels that they are moderately
   important.
   Discussion: Nationally, education in public health is an important
   component in medical education, but the topics included, educational
   methods used and the importance of the content varies from school to
   school. The state of public health education in medical schools in
   Florida is robust in some schools. The individuals responsible for the
   curriculum support the importance of these topics. The content is
   delivered through a diversity of pedagogical methods. The study results
   demonstrate a number of opportunities for enhancement.
   Conclusion: Given the importance of public health content in medical
   schools, survey methodology using established competencies to assess
   public health curricula could be used in the US to provide an up-to-date
   assessment of the strengths and opportunities for improvement in this
   area.
OI St. Onge, Joan/0000-0002-4703-5417
ZS 0
TC 1
Z8 0
ZR 0
ZB 0
ZA 0
Z9 1
U1 0
U2 2
EI 2168-8184
UT WOS:000476883600009
PM 31565617
ER

PT J
AU Barakat, Sarah
   Maguire, Sarah
   Smith, Kathryn E.
   Mason, Tyler B.
   Crosby, Ross D.
   Touyz, Stephen
TI Evaluating the role of digital intervention design in treatment outcomes
   and adherence to eTherapy programs for eating disorders: A systematic
   review and meta-analysis
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 52
IS 10
SI SI
BP 1077
EP 1094
DI 10.1002/eat.23131
EA JUL 2019
PD OCT 2019
PY 2019
AB Objective Despite the existence of reviews which document the
   effectiveness of online therapies, there is little consensus regarding
   the exact components of online treatment delivery that are most
   effective in maintaining user engagement and reducing eating disorder
   (ED) symptomology. The current review and meta-analysis aimed to
   determine which components of web-based, ED self-help interventions are
   associated with lower attrition and improved therapeutic outcome. Method
   A systematic search of electronic databases (PsycINFO, Medline, Web of
   Science, Scopus) was conducted for published studies of web-based
   interventions for EDs and a meta-analysis of the final included studies
   was performed. Each intervention was coded across four dimensions,
   including the multimedia channels employed (e.g., text, audio, videos),
   degree of user interactivity (e.g., online self-monitoring, skills
   exercises), level of automated feedback (e.g., reminders, personalized
   feedback), and technological device through which the program was
   accessed (e.g., smartphone, computer). Results A final 23 papers were
   included. The results of meta-regressions indicated that higher scores
   on the multimedia subscale were associated with greater ED symptom
   improvement in treatment groups. Conversely, a higher degree of feedback
   in the treatment group was associated with a group difference in ED
   psychopathology favoring the control group. Other intervention
   components were not associated with treatment outcome or dropout.
   Discussion The results are discussed in relation to limitations of the
   scale used to quantify digital intervention features, as well as the
   limited diversity and technological sophistication of available ED
   digital interventions. Such findings indicate the importance of
   understanding the digital components, which differentiate online
   therapeutic programs.
OI Mason, Tyler/0000-0001-7284-7890; Maguire, Sarah/0000-0003-0754-9189;
   Barakat, Sarah/0000-0002-3097-8320
Z8 0
TC 27
ZR 0
ZS 0
ZB 4
ZA 0
Z9 27
U1 0
U2 31
SN 0276-3478
EI 1098-108X
UT WOS:000477520700001
PM 31328815
ER

PT J
AU Murray, Melanie
   Sundin, Deborah
   Cope, Vicki
TI New graduate nurses' clinical safety knowledge by the numbers
SO JOURNAL OF NURSING MANAGEMENT
VL 27
IS 7
BP 1384
EP 1390
DI 10.1111/jonm.12819
EA JUL 2019
PD OCT 2019
PY 2019
AB Aim To explore new graduate registered nurses' knowledge and attitudes
   concerning medical error and patient safety, during their first 6 months
   of professional practice. Background New graduate registered nurses
   demonstrate basic skills and levels of performance due to limited
   exposure and experience in actual situations. There is a concern held
   for their clinical reasoning skills required to recognize patient
   deterioration, posing a threat to patient safety. Methods An online
   questionnaire was used to survey new graduate registered nurses at three
   time points during graduate nurse programmes between August 2016 and
   February 2018. Results A decrease in self-reported knowledge and
   attitudes regarding medical errors was noted over the three time points.
   These results indicate initial confidence in theoretical knowledge and
   attitudes upon completion of undergraduate education, and prior to
   commencing professional practice. Conclusion Results suggest that a
   theory practice gap persists with respect to medical error for
   transitioning new nurses. Impact for Nursing Management New nurses lack
   confidence around compromised patient safety situations and a knowledge
   gap around actions related to medical error. Nurse managers and
   educators should be made aware of this gap to implement strategies to
   decrease risk during novice nurse transition.
RI Murray, Melanie/AAS-8043-2020; Murray, Melanie/; Cope, Vicki/
OI Murray, Melanie/0000-0002-6335-1356; Cope, Vicki/0000-0002-4528-4268
ZR 0
ZB 0
ZA 0
ZS 0
TC 6
Z8 0
Z9 6
U1 5
U2 15
SN 0966-0429
EI 1365-2834
UT WOS:000477505700001
PM 31230379
ER

PT J
AU Felszeghy, Szabolcs
   Pasonen-Seppanen, Sanna
   Koskela, Ali
   Nieminen, Petteri
   Harkonen, Kai
   Paldanius, Kaisa M. A.
   Gabbouj, Sami
   Ketola, Kirsi
   Hiltunen, Mikko
   Lundin, Mikael
   Haapaniemi, Tommi
   Sointu, Erkko
   Bauman, Eric B.
   Gilbert, Gregory E.
   Morton, David
   Mahonen, Anitta
TI Using online game-based platforms to improve student performance and
   engagement in histology teaching
SO BMC MEDICAL EDUCATION
VL 19
AR 273
DI 10.1186/s12909-019-1701-0
PD JUL 22 2019
PY 2019
AB BackgroundHuman morphology is a critical component of dental and medical
   graduate training. Innovations in basic science teaching methods are
   needed to keep up with an ever-changing landscape of technology. The
   purpose of this study was to investigate whether students in a medical
   and dental histology course would have better grades if they used gaming
   software Kahoot (R) and whether gamification effects on learning and
   enjoyment.MethodsIn an effort to both evoke students' interest and
   expand their skill retention, an online competition using Kahoot (R) was
   implemented for first-year students in 2018 (n=215) at the University of
   Eastern Finland. Additionally, closed (160/215) or open-ended (41/215)
   feedback questions were collected and analyzed.ResultsThe Kahoot (R)
   gamification program was successful and resulted in learning gains. The
   overall participant satisfaction using Kahoot (R) was high, with
   students (124/160) indicating that gamification increased their
   motivation to learn. The gaming approach seemed to enable the students
   to overcome individual difficulties (139/160) and to set up
   collaboration (107/160); furthermore, gamification promoted interest
   (109/160), and the respondents found the immediate feedback from senior
   professionals to be positive (146/160). In the open-ended survey, the
   students (23/41) viewed collaborative team- and gamification-based
   learning positively.ConclusionThis study lends support to the use of
   gamification in the teaching of histology and may provide a foundation
   for designing a gamification-integrated curriculum across healthcare
   disciplines.
RI Ketola, Kirsi/O-1071-2016; Harkonen, Kai/; Sointu, Erkko/; Gilbert, Gregory/C-7735-2016
OI Ketola, Kirsi/0000-0001-6484-9861; Harkonen, Kai/0000-0002-8618-8141;
   Sointu, Erkko/0000-0003-4001-7264; Gilbert, Gregory/0000-0003-0879-5496
ZR 0
ZB 4
ZS 5
ZA 0
Z8 0
TC 45
Z9 48
U1 13
U2 51
SN 1472-6920
UT WOS:000476718700002
PM 31331319
ER

PT J
AU Lillevang, Gunver
   Henriksen, Mikael
   Brodersen, John
   Lewandowska, Karolina
   Kjaer, Niels Kristian
TI Why do Danish junior doctors choose general practice as their future
   specialty? Results of a mixed-methods survey
SO EUROPEAN JOURNAL OF GENERAL PRACTICE
VL 25
IS 3
BP 149
EP 156
DI 10.1080/13814788.2019.1639668
EA JUL 2019
PD JUL 3 2019
PY 2019
AB Background: A well-staffed and an efficient primary healthcare sector is
   beneficial for a healthcare system but some countries experience
   problems in recruitment to general practice. Objectives: This study
   explored factors influencing Danish junior doctors' choice of general
   practice as their specialty. Methods: This study is based on an online
   questionnaire collecting quantitative and qualitative data. Two
   focus-group interviews were conducted to inform the construction of the
   questionnaire to ensure high content validity. All Danish junior doctors
   participating in general practice specialist training in 2015 were
   invited to participate in the survey, from which both qualitative and
   quantitative data were collected. The data was analysed using systematic
   text condensation and descriptive statistics. Results: Of 1099 invited,
   670 (61%) junior doctors completed the questionnaire. Qualitative data:
   junior doctors found educational environments and a feasible work-life
   balance were important. They valued patient-centred healthcare,
   doctor-patient relationships based on continuity, and the possibility of
   organizing their work in smaller, manageable units. Quantitative data:
   90.8% stated that the set-up of Danish specialist-training programme
   positively influenced their choice of general practice as their
   specialty. Junior doctors (80.4%) found that their university curriculum
   had too little emphasis on general practice, 64.5% agreed that early
   basic postgraduate training in general practice had a high impact on
   their choice of general practice as their specialty. Conclusion: Several
   factors that might positively affect the choice of general practice were
   identified. These factors may hold the potential to guide recruitment
   strategies for general practice.
OI Kjaer, Niels Kristian/0000-0002-1301-2663; Brodersen, John
   Brandt/0000-0001-9369-3376
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
TC 4
Z9 4
U1 1
U2 4
SN 1381-4788
EI 1751-1402
UT WOS:000479359200001
PM 31339386
ER

PT J
AU Grace, Jacqueline Gilberto
   Schweers, Lisl
   Anazodo, Antoinette
   Freyer, David R.
TI Evaluating and providing quality health information for adolescents and
   young adults with cancer
SO PEDIATRIC BLOOD & CANCER
VL 66
IS 10
AR e27931
DI 10.1002/pbc.27931
EA JUL 2019
PD OCT 2019
PY 2019
AB Adolescents and young adults (AYAs, 15-39 years old) are an ideal
   population to benefit from the ever-expanding number and variety of
   cancer information and health resources available via the Internet and
   other digital platforms. However, the ability of individual AYAs to
   fully utilize such resources depends on their degree of health literacy.
   Across the trajectory of cancer care, an important role for the oncology
   clinician is assisting AYAs and caregivers in accessing quality health
   information consistent with their level of health literacy. Working from
   the premise that all AYAs with cancer and their caregivers deserve to be
   empowered with maximal knowledge about their condition, this review
   provides information to assist oncology clinicians in (1) understanding
   the variety of contemporary online resources that are currently
   available, including their strengths and limitations; (2) evaluating the
   quality of health information; and (3) recommending specific health
   information resources to their AYA patients.
ZR 0
ZS 0
Z8 0
ZA 0
TC 8
ZB 2
Z9 8
U1 3
U2 9
SN 1545-5009
EI 1545-5017
UT WOS:000478215900001
PM 31322817
ER

PT J
AU Al-Busaidi, Ibrahim S.
   Wells, Cameron, I
   Wilkinson, Tim J.
TI Publication in a medical student journal predicts short- and long-term
   academic success: a matched-cohort study
SO BMC MEDICAL EDUCATION
VL 19
AR 271
DI 10.1186/s12909-019-1704-x
PD JUL 19 2019
PY 2019
AB Background: Medical student journals play a critical role in promoting
   academic research and publishing amongst medical students, but their
   impact on students' future academic achievements has not been examined.
   We aimed to evaluate the short- and long-term effects of publication in
   the New Zealand Medical Student Journal (NZMSJ) through examining rates
   of post-graduation publication, completion of higher academic degrees,
   and pursuing an academic career.
   Methods: Student-authored original research publications in the NZMSJ
   during the period 2004-2011 were retrospectively identified. Gender-,
   university- and graduation year-matched controls were identified from
   publicly available databases in a 2:1 ratio (two controls for each
   student authors). Date of graduation, current clinical scope of
   practice, completion of higher academic degrees, and attainment of an
   academic position for both groups were obtained from Google searches,
   New Zealand graduate databases, online lists of registered doctors in
   New Zealand and Australia, and author affiliation information from
   published articles. Pre- and post-graduation PubMed (R)-indexed
   publications were identified using standardised search criteria.
   Results: Fifty publications authored by 49 unique students were
   identified. The median follow-up period after graduation was 7.0years
   (range 2-12years). Compared with controls, student-authors were
   significantly more likely to publish in PubMed (R)-indexed journals (OR
   3.09, p=0.001), obtain a PhD (OR 9.21, p=0.004) or any higher degree (OR
   2.63, p=0.007), and attain academic positions (OR 2.90, p=0.047)
   following graduation.
   Conclusion: Publication in a medical student journal is associated with
   future academic achievement and contributes to develop a clinical
   academic workforce. Future work should aim to explore motivators and
   barriers associated with these findings.
RI Busaidi, Ibrahim Al/U-7233-2019; Wilkinson, Tim/C-5515-2008; Wells, Cameron/
OI Busaidi, Ibrahim Al/0000-0003-2423-4162; Wilkinson,
   Tim/0000-0002-4080-4164; Wells, Cameron/0000-0001-9221-6674
ZS 2
ZA 0
TC 14
ZB 1
ZR 0
Z8 0
Z9 16
U1 0
U2 1
SN 1472-6920
UT WOS:000476485400001
PM 31324236
ER

PT J
AU Windish, Ryan
   Stuart, Peter
   de la Cruz, Raymund
   Murray, Alistair
TI Enhancing intern emergency medicine education using a combined didactic
   and web-based learning curriculum: The EDGE programme
SO EMERGENCY MEDICINE AUSTRALASIA
VL 31
IS 5
BP 837
EP 842
DI 10.1111/1742-6723.13352
EA JUL 2019
PD OCT 2019
PY 2019
AB Objective: To assess the effectiveness of an education programme that
   integrates web-based learning into classroom sessions.
   Methods: This prospective study involved a convenience sample of ED
   interns rotating at two study site hospitals between April 2015 and
   January 2017. Interns undertook weekly ED classroom-based education and
   were given access to a web-based learning resource with completion being
   voluntary. To assess change in medical knowledge multiple choice
   examinations were administered during week 1 and week 10 of the term.
   The study's primary end-point was the effect of the web-based resource
   on participants' knowledge. The median % of online modules completed by
   participants (75%) was used as a cut-off to create two groups. The %
   improvement between the test scores at week 1 and week 10 of each group
   were then compared. Intern satisfaction with the programme was also
   assessed using a satisfaction survey.
   Results: The average examination score for all participants was
   significantly higher at week 10 than week 1 (80% vs 68%; P < 0.001). The
   primary end-point, % improvement between the week 1 and week 10 scores
   of those that completed <= 75% of web-based modules (mean 16%; 95% CI
   12-20%) and those that completed >75% of web-based modules (mean 27%;
   95% CI 20-34%), showed a statistically significant difference (P =
   0.03). Interns surveyed were also highly satisfied with programme.
   Conclusions: This blended curriculum that integrates a web-based
   resource into classroom learning shows promise in enhancing intern
   emergency medicine education.
RI Windish, Ryan L/L-8153-2016
OI Windish, Ryan L/0000-0002-7706-4315
Z8 0
ZR 0
ZA 0
ZS 0
ZB 1
TC 2
Z9 2
U1 0
U2 0
SN 1742-6731
EI 1742-6723
UT WOS:000478332700001
PM 31321877
ER

PT J
AU Car, Lorainne Tudor
   Soong, Aijia
   Kyaw, Bhone Myint
   Chua, Kee Leng
   Low-Beer, Naomi
   Majeed, Azeem
TI Health professions digital education on clinical practice guidelines: a
   systematic review by Digital Health Education collaboration
SO BMC MEDICINE
VL 17
AR 139
DI 10.1186/s12916-019-1370-1
PD JUL 18 2019
PY 2019
AB BackgroundClinical practice guidelines are an important source of
   information, designed to help clinicians integrate research evidence
   into their clinical practice. Digital education is increasingly used for
   clinical practice guideline dissemination and adoption. Our aim was to
   evaluate the effectiveness of digital education in improving the
   adoption of clinical practice guidelines.MethodsWe performed a
   systematic review and searched seven electronic databases from January
   1990 to September 2018. Two reviewers independently screened studies,
   extracted data and assessed risk of bias. We included studies in any
   language evaluating the effectiveness of digital education on clinical
   practice guidelines compared to other forms of education or no
   intervention in healthcare professionals. We used the Grading of
   Recommendations, Assessment, Development and Evaluations (GRADE)
   approach to assess the quality of the body of evidence.ResultsSeventeen
   trials involving 2382 participants were included. The included studies
   were diverse with a largely unclear or high risk of bias. They mostly
   focused on physicians, evaluated computer-based interventions with
   limited interactivity and measured participants' knowledge and
   behaviour. With regard to knowledge, studies comparing the effect of
   digital education with no intervention showed a moderate, statistically
   significant difference in favour of digital education intervention
   (SMD=0.85, 95% CI 0.16, 1.54; I-2=83%, n=3, moderate quality of
   evidence). Studies comparing the effect of digital education with
   traditional learning on knowledge showed a small, statistically
   non-significant difference in favour of digital education (SMD=0.23, 95%
   CI -0.12, 0.59; I-2=34%, n=3, moderate quality of evidence). Three
   studies measured participants' skills and reported mixed results. Of
   four studies measuring satisfaction, three studies favoured digital
   education over traditional learning. Of nine studies evaluating
   healthcare professionals' behaviour change, only one study comparing
   email-delivered, spaced education intervention to no intervention
   reported improvement in the intervention group. Of three studies
   reporting patient outcomes, only one study comparing email-delivered,
   spaced education games to non-interactive online resources reported
   modest improvement in the intervention group. The quality of evidence
   for outcomes other than knowledge was mostly judged as low due to risk
   of bias, imprecision and/or inconsistency.ConclusionsHealth professions
   digital education on clinical practice guidelines is at least as
   effective as traditional learning and more effective than no
   intervention in terms of knowledge. Most studies report little or no
   difference in healthcare professionals' behaviours and patient outcomes.
   The only intervention shown to improve healthcare professionals'
   behaviour and modestly patient outcomes was email-delivered, spaced
   education. Future research should evaluate interactive, simulation-based
   and spaced forms of digital education and report on outcomes such as
   skills, behaviour, patient outcomes and cost.
RI Car, Lorainne Tudor/E-1205-2017; Soong, Aijia/; Majeed, Azeem/
OI Car, Lorainne Tudor/0000-0001-8414-7664; Soong,
   Aijia/0000-0001-6217-8961; Majeed, Azeem/0000-0002-2357-9858
ZB 2
TC 32
Z8 0
ZA 0
ZR 0
ZS 1
Z9 32
U1 3
U2 10
SN 1741-7015
UT WOS:000475929400001
PM 31315642
ER

PT J
AU Eley, Charlotte, V
   Young, Vicki L.
   Hayes, Catherine, V
   McNulty, Cliodna A. M.
TI Evaluation of an e-Learning platform for educators to improve education
   around infection prevention and antibiotics
SO TECHNOLOGY PEDAGOGY AND EDUCATION
VL 28
IS 5
BP 485
EP 501
DI 10.1080/1475939X.2019.1634138
EA JUL 2019
PD OCT 20 2019
PY 2019
AB e-Bug, an international educational resource for educators to teach
   children about hygiene and antibiotics, developed free e-Learning for
   educators to increase knowledge about e-Bug and develop skills to
   optimise use. Educators completed an online evaluation survey after
   completing the e-Learning. Quantitative data were analysed using
   Microsoft Excel. Two qualitative focus groups explored educator views;
   data were thematically analysed. One hundred participants participated.
   Overall impression of the e-Learning was very good/good (88%). Eighty
   per cent stated that their perceived knowledge of e-Bug improved after
   completing the training. Four main themes emerged from qualitative data:
   attributes of the e-Learning, perceived educator self-development,
   promotion and accreditation of educator training, and the delivery of
   educator training. Educators suggested modifications. Authors conclude
   that e-Learning is a suitable tool to aid educator learning; educators
   view the e-Bug e-Learning as a valuable continuous professional
   development resource to improve educator knowledge, confidence and
   skills to teach about hygiene topics.
RI Hayes, Catherine/AAN-3689-2021; McNulty, Cliodna Ann Miriam/; Young, Vicki/; Eley, Charlotte/
OI Hayes, Catherine/0000-0001-6411-1023; McNulty, Cliodna Ann
   Miriam/0000-0003-4969-5360; Young, Vicki/0000-0002-9816-7858; Eley,
   Charlotte/0000-0002-4593-7337
ZA 0
Z8 0
ZR 0
TC 5
ZB 1
ZS 0
Z9 5
U1 0
U2 8
SN 1475-939X
EI 1747-5139
UT WOS:000476090100001
ER

PT J
AU Jabali, Oqab
   Saeedi, Munther
   Shbeitah, Ghada
   Ayyoub, Abed Alkarim
TI Medical faculty members' perception of smartphones as an educational
   tool
SO BMC MEDICAL EDUCATION
VL 19
AR 264
DI 10.1186/s12909-019-1697-5
PD JUL 17 2019
PY 2019
AB BackgroundThe rapid adoption of modern technology has changed many
   aspects of our life and communication; it has the power to influence and
   change the way we teach, learn and practice different types of
   professions mainly teaching and health care providing. Smartphone
   applications are increasingly becoming popular and widespread.
   Generally, these applications are likely to play a significant role in
   supporting education, in general, and medical education, in particular.
   This study aims at investigating how medical faculty members are using
   smartphones in medical education and practice, and how they perceive
   them as an educational tool at university level.MethodsThe researchers
   have distributed an online questionnaire - including three parts: a
   demographic part with five variables; a 15-item part of various
   applications of the smartphones; and a 14-item part measuring attitudes
   towards using these smartphones - among medical faculty members at two
   Palestinian universities.Setting and participantsMedical faculty members
   working at two Palestinian universities. Data have been collected from
   30 participants out of 72 representing a response rate of
   41.6%.ResultsThe average skills score with smartphones usage is (3.18)
   which tells that faculty members use smartphones to support their
   teaching practices. In general, faculty members are positive towards
   smartphones as a prospective teaching tool since the average attitude
   towards using smartphones is (3.60). The study results show no
   significant differences among faculty members based on the five
   demographic variables, i.e. university, title, department affiliation,
   gender, and years of experience.ConclusionIt seems that the majority of
   faculty members believe that smartphones would be a significant
   instrument as well as addition to their teaching practices.
RI Jabali, Oqab/AAP-2036-2020; ayyoub, abd alkarim/AAO-8605-2021
OI Jabali, Oqab/0000-0003-1156-6205; 
ZS 0
TC 4
Z8 0
ZB 0
ZA 0
ZR 0
Z9 4
U1 0
U2 1
SN 1472-6920
UT WOS:000475923500001
PM 31315611
ER

PT J
AU Fernando, G. V. M. C.
   Prathapan, S.
TI What do young doctors know of palliative care; how do they expect the
   concept to work?: A "palliative care' knowledge and opinion survey among
   young doctors
SO BMC RESEARCH NOTES
VL 12
AR 419
DI 10.1186/s13104-019-4462-2
PD JUL 16 2019
PY 2019
AB ObjectivesDiscipline of palliative care is still evolving in developed
   parts of the world while it remains at an infantile stage in Sri Lanka
   which has not been formally assessed as of today. We aimed at evaluating
   the level of palliative care knowledge and opinions among young medical
   graduates. A descriptive cross-sectional study was carried out among
   pre-residency medical graduates of Sri Lanka through a social media
   based online survey. The pre-tested questionnaire assessed the level of
   knowledge on general principles, service organization, clinical
   management and ethical considerations while it also evaluated their
   opinions.ResultsResponse rate was 35.8% (n=351). The average score among
   the respondents was 37.25% [standard deviation (SD)=11.975]. Specific
   knowledge on general principles was adequate (score >= 50%) with an
   average of 62.61%, SD=24.5 while ethics was observed to be the area with
   the poorest knowledge (average score=19.55%, SD=22). Average scores for
   service organization and managerial aspects were 34.54%, SD=17.6 and
   32.26%, SD=22.3, respectively. The majority (>90%) believed that de-novo
   establishment of hospice, hospital and community-based palliative
   services would sustainably improve holistic patient care. Measures must
   be taken to optimize basic palliative care knowledge among the
   undergraduates in view of achieving Universal Health Coverage in the
   long term.
RI FERNANDO, GVM CHAMATH/L-8729-2018
OI FERNANDO, GVM CHAMATH/0000-0003-2689-7306
ZB 1
ZR 0
Z8 0
ZA 0
ZS 0
TC 4
Z9 4
U1 0
U2 0
EI 1756-0500
UT WOS:000475781200003
PM 31311576
ER

PT J
AU Yang, H. H.
   Ward, M. P.
   Fawcett, A.
TI DVM students report higher psychological distress than the Australian
   public, medical students, junior medical officers and practicing
   veterinarians
SO AUSTRALIAN VETERINARY JOURNAL
VL 97
IS 10
BP 373
EP 381
DI 10.1111/avj.12845
EA JUL 2019
PD OCT 2019
PY 2019
AB Aim To measure the stress levels of Doctor of Veterinary Medicine (DVM)
   students at the University of Sydney using the Kessler Psychological
   Distress Scale (K10) questionnaire. Methods DVM students in years 1 to 4
   were surveyed in semester 2 of 2018. The voluntary online survey
   consisted of 6 demographic questions and the K10 scale, a standardised
   measure of stress commonly used in Australia by medical practitioners
   for evaluation and referral to mental health professionals. Academic
   year cohorts were compared to identify differences in stress levels.
   Cohorts were compared to published K10 scores from various populations
   including the Australian public, medical students, practicing
   veterinarians, and Junior Medical Officers (JMOs). Results The response
   rate was 54.4% (n = 237). DVM students experienced a higher level of
   psychological distress (mean 24, median 23, range 10-50) than the
   Australian population (mean 14.5, median 13, range 10-50), medical
   students (mean 18.4, median 16, range 10-50), practicing veterinarians
   (mean 16.7, median 15.5, range 10-30), and JMOs (mean 18.1, median 16,
   range 10-50). Female students (median 23) had a significantly higher
   level of psychological distress compared to male students (median 18) (p
   = 0.0005). International students (median 23) had a higher level of
   psychological stress than domestic students (median 22) (p = 0.0488).
   Different year cohorts, age range, work hours, and exercise were not
   associated with difference in stress levels. Conclusion Based on higher
   levels of stress in DVM students than that of the general population,
   practicing veterinarians, JMOs and medical students, there is an urgent
   need for evidence-based interventions to target stress in DVM students.
RI Ward, Michael Patrick/W-1897-2019; Ward, Michael/C-5758-2009; Quain, Anne/
OI Ward, Michael/0000-0002-9921-4986; Quain, Anne/0000-0001-9159-4569
Z8 0
ZS 1
ZR 0
TC 8
ZA 0
ZB 2
Z9 8
U1 2
U2 13
SN 0005-0423
EI 1751-0813
UT WOS:000476029200001
PM 31310017
ER

PT J
AU Touyz, Lauren M.
   Cohen, Jennifer
   Cohn, Richard J.
   Garnett, Sarah P.
   Anazodo, Antoinette
   Gohil, Paayal
   Grech, Allison M.
   Ng, Anthea
   Wakefield, Claire E.
TI Childhood cancer survivors report preferring lifestyle interventions
   delivered in person rather than online: An adolescent and parent
   perspective
SO PEDIATRIC BLOOD & CANCER
VL 66
IS 10
AR e27922
DI 10.1002/pbc.27922
EA JUL 2019
PD OCT 2019
PY 2019
AB Background Maintaining a healthy lifestyle can protect adolescent
   survivors of pediatric cancer against chronic diseases such as obesity
   and cardiovascular disease. In this study, we examined the attitudes of
   adolescent survivors of pediatric cancer and their parents toward
   improving lifestyle behaviors after cancer treatment, including their
   preferences for intervention delivery and perceived barriers and
   benefits to healthy eating and exercise. Methods We recruited adolescent
   survivors of childhood cancer aged 11-19 years and their parents, from
   two hospitals. Participants completed a questionnaire via mail or at
   routine oncology clinic visits. Results Thirty-three adolescents
   (response rate 39%, mean age 15, 61% male) and 32 parents (representing
   30 parent-child dyads) participated. Parents were significantly more
   interested in having their child participate in a lifestyle intervention
   than adolescents (41% of adolescents and 72% of parents, P = .012). Both
   groups preferred that the survivor receive lifestyle support face to
   face rather than online. Adolescents preferred to involve their friends
   (39% of adolescents and 19% of parents) whereas parents preferred to
   involve the family in a lifestyle intervention (15% of adolescents and
   47% of parents, P = .006). Adolescents and their parents perceived a
   dislike of the taste of fruits and vegetables, fatigue, lack of
   motivation, and fear of injury as barriers to change. They perceived
   that keeping healthy and having more energy were benefits to
   participation. Participants indicated that interventions that provide
   face-to-face personal training and dietary education at a local gym
   would be well accepted. Conclusions Adolescents who have had cancer in
   childhood have a preference for face-to-face contact with health
   professionals to overcome the barriers to participation in a lifestyle
   intervention.
OI Touyz, Lauren M/0000-0002-7283-232X
ZA 0
ZB 2
ZR 0
Z8 0
ZS 0
TC 7
Z9 7
U1 0
U2 5
SN 1545-5009
EI 1545-5017
UT WOS:000476005900001
PM 31309668
ER

PT J
AU Offiah, Gozie
   Ekpotu, Lenin P.
   Murphy, Siobhan
   Kane, Daniel
   Gordon, Alison
   O'Sullivan, Muireann
   Sharifuddin, Sue Faye
   Hill, A. D. K.
   Condron, Claire M.
TI Evaluation of medical student retention of clinical skills following
   simulation training
SO BMC MEDICAL EDUCATION
VL 19
AR 263
DI 10.1186/s12909-019-1663-2
PD JUL 16 2019
PY 2019
AB BackgroundAdequate clinical skills training is a challenge for present
   day medical education. Simulation Based Education (SBE) is playing an
   increasingly important role in healthcare education worldwide to teach
   invasive procedures. The impact of this teaching on students along with
   retention of what is taught is not fully understood. The purpose of this
   study was to evaluate the retention levels of practical skills taught
   and assessed by SBE and to explore the degree of re-training required to
   restore decayed performance. In exploring this aim, the study further
   investigates how skilled performance decays over time and which
   dimensions of clinical skills were more likely to decay.MethodsStudy
   participants were 51 final year medical students. They were provided
   with online pre-course videos and procedural guides asynchronously with
   repeatedly access. 7 of the skills taught over 2years using task
   trainers were selected. Following demonstration from faculty, students
   practiced in small groups with faculty facilitated supervision and peer
   support prior to formal testing. Score sheets with itemised procedure
   checklists detailing the minimum passing standard (MPS) for each skill
   were designed. To test retention of skills, 18months later, there was an
   unannounced test to demonstrate proficiency in the skills. Students were
   asked to complete a questionnaire indicating how many times and where
   they had practiced or performed the skills.Results55% of the students
   were deficient in 3 or more skills and 4% were not competent in 5 or
   more skills. A significant number of students had never practiced some
   skills following the initial teaching session. A relationship was noted
   with the number of times students self-declared that they had practiced
   and their performance. Decay is evident in both psychomotor and
   cognitive domains of the skills.ConclusionA curriculum with deliberate
   practice significantly increases the competence of students in defined
   clinical skills. Deliberate practice of clinical skills, under
   supervision of an engaged instructor, is a key component of the mastery
   model. Experiences and assessments in the clinical setting need to be
   augmented with focus on direct observation and focused feedback to
   reinforce the skills acquired in the simulated setting.
RI Condron, Claire/AAF-8475-2020; Kane, Daniel/
OI Condron, Claire/0000-0001-8946-4263; Kane, Daniel/0000-0002-9523-4840
ZA 0
ZB 2
Z8 0
TC 24
ZR 0
ZS 1
Z9 25
U1 2
U2 8
SN 1472-6920
UT WOS:000475771700001
PM 31311546
ER

PT J
AU Healy, Michael G.
   Traeger, Lara N.
   Axelsson, Carl Gustaf Stefan
   Wongsirimeteekul, Praelada
   Hamnvik, Ole-Petter R.
   Tomeo Ryan, Catherine
   Akresh-Gonzales, Josette
   O'Rourke, Matthew
   Phitayakorn, Roy
TI NEJM Knowledge plus Question of the Week: A Novel Virtual Learning
   Community Effectively Utilizing an Online Discussion Forum
SO MEDICAL TEACHER
VL 41
IS 11
BP 1270
EP 1276
DI 10.1080/0142159X.2019.1635685
EA JUL 2019
PD NOV 2 2019
PY 2019
AB Objectives: Asynchronous virtual learning communities provide learners
   with the ability to enhance their learning and contribute to their
   peers' learning in a safe environment. However, the tone and content of
   learner comments, the level of engagement among learners, and the role
   of moderators have not been well studied within non-course-related
   virtual learning communities. Therefore, we sought to explore these
   characteristics using the NEJM Knowledge+ Question of the Week (NEJM
   Knowledge+ QoW) forum, a web-based asynchronous virtual learning
   community. Methods: We reviewed 73 NEJM Knowledge+ questions posted on
   the QoW forum between 2015 and 2016. We then selected three QoWs to
   analyze through a multistep coding process based on three broad criteria
   that aligned with our study aims. Results: Learner comments reflected
   both positive and critical tones, with learners sharing their own
   clinical practice and local experiences to contextualize their
   perspectives and reactions to both the QoW answer and the responses of
   other learners. Learners also commonly requested moderators to act as
   expert referees. Conclusion: Asynchronous virtual learning communities
   can engage learners by providing the opportunity to enhance their
   knowledge through responding to proposed medical scenarios and sharing
   their experiences in a discussion forum. Future work should examine the
   impact that geographic region has on asynchronous virtual learning
   communities and the role of moderators in shaping the learning
   experience.
Z8 0
ZA 0
TC 2
ZB 0
ZR 0
ZS 0
Z9 2
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000476674300001
PM 31314643
ER

PT J
AU Pedersen, Craig A.
   Schneider, Philip J.
   Ganio, Michael C.
   Scheckelhoff, Douglas J.
TI ASHP national survey of pharmacy practice in hospital settings:
   Monitoring and patient education-2018
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 76
IS 14
BP 1038
EP 1058
DI 10.1093/ajhp/zxz099
PD JUL 15 2019
PY 2019
AB Purpose The results of the 2018 ASHP national survey of pharmacy
   practice in hospital settings are presented.
   Methods Pharmacy directors at 4,897 general and children's
   medical-surgical hospitals in the United States were surveyed using a
   mixed-mode method of contact by mail and email. Survey completion was
   online using Qualtrics. IMS Health supplied data on hospital
   characteristics; the survey sample was drawn from IMS's hospital
   database.
   Results The response rate was 16.6%. The percentage of hospitals that
   routinely have pharmacists assigned to provide drug therapy management
   has increased. Transitions-of-care processes have generally increased
   over the last 6 years. The percentage of hospitals with pharmacists in a
   wide variety of clinic types and clinical practice areas has increased
   over the last 2 years. Opioid stewardship programs are emerging in many
   U.S. hospitals, with pharmacists participating or taking the lead in
   program implementation. Outsourcing of compounded sterile product
   preparation is common. The proportion of hospitals not using any
   technology when compounding sterile preparations has declined. Pharmacy
   departments commonly track and monitor trends for administrative,
   operational, quality, and outcome metrics.
   Conclusion Pharmacists continue to improve drug therapy monitoring for
   patients in U.S. hospitals. They are also responding to public health
   issues related to medication use. These advancements include taking an
   active role in opioid stewardship programs, safe compounding of sterile
   medications for patients, and reducing the need for hospital-based care.
RI Schneider, Philip/AAA-8196-2022
OI Schneider, Philip/0000-0001-8740-809X
ZB 1
Z8 1
ZS 1
TC 36
ZA 0
ZR 0
Z9 37
U1 1
U2 8
SN 1079-2082
EI 1535-2900
UT WOS:000482417500010
PM 31361881
ER

PT J
AU Mulcahey, Mary K.
   Nemeth, Chelsea
   Trojan, Jeffrey D.
   O'Connor, Mary, I
TI The Perception of Pregnancy and Parenthood Among Female Orthopaedic
   Surgery Residents
SO JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
VL 27
IS 14
BP 527
EP 532
DI 10.5435/JAAOS-D-18-00216
PD JUL 15 2019
PY 2019
AB Introduction: Orthopaedic surgery has the lowest percentage of female
   residents of all surgical specialties. Female medical students
   maybelieve that the demands of the specialty, both during training and
   in clinical practice, may be less conducive to becoming a parent. The
   purpose of this study was to determine the perceptions of and
   experiences with pregnancy and parenthood among female orthopaedic
   surgery trainees.
   Methods: An anonymous 24-question online survey was distributed to all
   current female orthopaedic surgery trainees in the United States via the
   American Academy of Orthopaedic Surgeons Diversity Advisory Board.
   Survey questions included the demographics of the residents' programs,
   the parental status of the respondents, and their experiences with
   pregnancy and parenthood during training.
   Results: Of the respondents, 83.7% did not have children during
   residency and were not currently pregnant. Furthermore, 48.4% responded
   that they had deferred having children because they were in residency.
   One hundred and thirteen respondents (59.5%) reported that they
   experienced bias from co-residents about women having children during
   residency, whereas 94 (49.5%) reported such bias from attendings.
   Conclusion: This study demonstrates that most female orthopaedic
   trainees do not have children during residency. Most respondents
   experienced bias from co-residents about women having children during
   residency, and nearly half experienced such bias from orthopaedic
   attendings. Combating bias about pregnancy during residency mafy help
   encourage more women to pursue a career in orthopaedics.
TC 26
ZS 0
ZB 4
Z8 0
ZA 0
ZR 0
Z9 26
U1 0
U2 2
SN 1067-151X
EI 1940-5480
UT WOS:000480825300010
PM 30499893
ER

PT J
AU McLean, Sian A.
   Caldwell, Belinda
   Roberton, Michelle
TI Reach Out and Recover: Intentions to seek treatment in individuals using
   online support for eating disorders
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 52
IS 10
SI SI
BP 1137
EP 1149
DI 10.1002/eat.23133
EA JUL 2019
PD OCT 2019
PY 2019
AB Objective The aim of this study was to explore characteristics and
   treatment-seeking intentions of consumers accessing an online resource
   for eating disorders support, Reach Out and Recover (ROAR). Factors
   associated with treatment-seeking intent among visitors to ROAR were
   also examined. Method Participants were 200 visitors to the website aged
   18 to 60 plus. The majority of participants (93.5%) identified as women.
   Responses to self-report questions assessing treatment-seeking
   intention, eating disorder symptoms and their impact on health, and
   attitudes to treatment were collected. Results Participants experienced
   a range of eating disorder symptoms, yet the majority (86.0%) was not
   receiving treatment. Importantly, of those not in treatment, the
   majority (82.6%) indicated that they planned to get treatment. In
   addition, more than half of participants (52.9%) downloaded a report to
   present to their health practitioner to facilitate communication with a
   health professional. Intention to seek treatment and download of the
   report were positively associated with motivation to change, confidence
   to achieve change, greater frequency of binge eating, and greater
   recognition of the impact of eating disorder symptoms on relationships
   and well-being but not with stigma or ambivalence. Discussion Study
   findings indicated that the ROAR website was accessed by individuals for
   whom it was designed, namely those experiencing eating disorder symptoms
   who are not receiving treatment. Encouragingly, participants had strong
   intentions to seek treatment, and the majority downloaded a report that
   could be used to facilitate the first step toward treatment. Greater
   focus on enhancing motivation and confidence to change may further
   promote treatment-seeking.
ZB 4
TC 9
ZA 0
Z8 0
ZR 0
ZS 0
Z9 9
U1 0
U2 6
SN 0276-3478
EI 1098-108X
UT WOS:000478506900001
PM 31298791
ER

PT J
AU Rohrbasser, Adrian
   Kirk, Ulrik Bak
   Arvidsson, Eva
TI Use of quality circles for primary care providers in 24 European
   countries: an online survey of European Society for Quality and Safety
   in family practice delegates
SO SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
VL 37
IS 3
BP 302
EP 311
DI 10.1080/02813432.2019.1639902
EA JUL 2019
PD JUL 3 2019
PY 2019
AB Objective: To identify and describe the core characteristics and the
   spread of quality circles in primary healthcare in European countries.
   Design: An online survey was conducted among European Society for
   Quality and Safety in Family Practice (EQuiP) delegates. To allow
   comparison with earlier results, a similar survey as in a study from
   2000 was used. Setting: Primary Health Care in European countries.
   Subjects: General practitioners, delegated experts of the European
   Society for Quality and Safety in Family Practice (EQuiP). Main outcome
   measures: (1) Attendance in quality circles (2) their objectives (3)
   methods of quality improvement quality circles use (4) facilitator's
   role and training (5) role of institutions (6) supporting material and
   data sources quality circles use. Results: 76% of the delegates
   responded, representing 24 of 25 countries. In 13 countries, more than
   10% of general practitioners participated in quality circles, compared
   with eight countries in 2000. The focus of quality circles moved from
   continuous medical education to quality improvement. Currently, quality
   circles groups use case-based discussions, educational materials and
   local opinion leaders in addition to audit and feedback. Some national
   institutions provide training for facilitators and data support for
   quality circle groups. Conclusion: The use of quality circles has
   increased in European countries with a shift in focus from continuous
   medical education to quality improvement. Well-trained facilitators are
   important, as is the use of varying didactic methods and quality
   improvement tools. Qualitative inquiry is necessary to examine why QCs
   thrive or fail in different countries and systems.
RI Rohrbasser, Adrian/I-5350-2013; Kirk, Ulrik Bak/
OI Rohrbasser, Adrian/0000-0001-6718-6821; Kirk, Ulrik
   Bak/0000-0003-1683-2189
TC 6
ZA 0
ZR 0
ZS 0
ZB 0
Z8 0
Z9 6
U1 1
U2 4
SN 0281-3432
EI 1502-7724
UT WOS:000476112200001
PM 31299865
ER

PT J
AU Rezaee, Michael E.
   Goddard, Briana
   Sverrisson, Einar F.
   Seigne, John D.
   Dagrosa, Lawrence M.
TI 'Dr Google': trends in online interest in prostate cancer screening,
   diagnosis and treatment
SO BJU INTERNATIONAL
VL 124
IS 4
BP 629
EP 634
DI 10.1111/bju.14846
EA JUL 2019
PD OCT 2019
PY 2019
AB Objectives To examine trends in online search behaviours related to
   prostate cancer on a national and regional scale using a dominant major
   search engine. Materials and Methods Google Trends was queried using the
   terms 'prostate cancer', 'prostate-specific antigen' (PSA), and
   'prostate biopsy' between January 2004 and January 2019. Search volume
   index (SVI), a measure of relative search volume on Google, was obtained
   for all terms and examined by region and time period: pre-US Preventive
   Services Task Force (USPSTF) Grade D draft recommendation on PSA
   screening; during the active Grade D recommendation; and after
   publication of the recent Grade C draft recommendation. Results Online
   interest in PSA screening differed by time period (P < 0.01). The SVI
   for PSA screening was greater pre-Grade D draft recommendation (82.7)
   compared to during the recommendation (74.5), while the SVI for PSA
   screening was higher post-Grade C draft recommendation (90.4) compared
   to both prior time periods. Similar results were observed for prostate
   biopsy and prostate cancer searches. At the US state level, online
   interest in prostate cancer was highest in South Carolina (SVI 100) and
   lowest in Hawaii (SVI 64). For prostate cancer treatment options, online
   interest in cryotherapy, prostatectomy and prostate cancer surgery
   overall increased, while searches for active surveillance, external beam
   radiation, brachytherapy and high-intensity focused ultrasonography
   remained stable. Conclusion Online interest in prostate cancer has
   changed over time, particularly in accordance with USPSTF screening
   guidelines. Google Trends may be a useful tool in tracking public
   interest in prostate cancer screening, diagnosis, and treatment,
   especially as it relates to major shifts in practice guidelines.
Z8 0
TC 11
ZS 1
ZA 0
ZR 0
ZB 2
Z9 11
U1 0
U2 1
SN 1464-4096
EI 1464-410X
UT WOS:000477238900001
PM 31206954
ER

PT J
AU Eagleson, Claire
   Cvejic, Rachael C.
   Weise, Janelle
   Davies, Kimberley
   Trollor, Julian N.
TI Subspecialty training pathways in intellectual and developmental
   disability psychiatry in Australia and New Zealand: current status and
   future opportunities
SO AUSTRALASIAN PSYCHIATRY
VL 27
IS 5
BP 513
EP 518
AR 1039856219839468
DI 10.1177/1039856219839468
EA JUL 2019
PD OCT 2019
PY 2019
AB Objectives: This study aimed to examine the training experiences of and
   determine capacity to train future Australian and New Zealand
   psychiatrists working in intellectual and developmental disability
   mental health. Methods: Australian and New Zealand psychiatrists with
   expertise or interest in intellectual and developmental disability
   mental health completed an online survey detailing their training
   pathway, support for subspecialty training and capacity to provide
   rotations in this area. Results: Psychiatrists (n=71) indicated the most
   common reasons they started practicing in intellectual and developmental
   disability mental health, and these included seeing people with
   intellectual or developmental disability in a service in which they
   worked, or personal experience with intellectual or developmental
   disability. Compared to those trained overseas, psychiatrists trained in
   Australia or New Zealand had lower ratings of the sufficiency of
   education received in intellectual and developmental disability mental
   health. Of the total respondents, 80% supported the development of
   subspecialty training. Augmentation of intellectual and developmental
   disability mental health content in the intermediate stage of training
   was also strongly supported. Participants identified 80 potential
   six-month training rotations in this area. Conclusions: Psychiatrists
   working in intellectual and developmental disability mental health
   strongly support enhancements to intellectual or developmental
   disability training, including the development of subspecialty training,
   and can identify potential training capacity if such subspecialty
   training was developed.
RI Weise, Janelle/N-7806-2017; Eagleson, Claire/; Cvejic, Rachael/; Trollor, Julian/; Davies, Kimberley/
OI Weise, Janelle/0000-0003-0783-5898; Eagleson,
   Claire/0000-0002-1908-3526; Cvejic, Rachael/0000-0001-8026-2155;
   Trollor, Julian/0000-0002-7685-2977; Davies,
   Kimberley/0000-0003-2379-8644
ZB 0
TC 3
ZR 0
ZS 0
Z8 0
ZA 0
Z9 3
U1 0
U2 2
SN 1039-8562
EI 1440-1665
UT WOS:000476683000001
PM 31294610
ER

PT J
AU Aldryhim, Ahmed Y.
   Alomair, Abdulrahman
   Alqhtani, Meshari
   Mahmoud, Mansour A.
   Alshammari, Thamir M.
   Pont, Lisa G.
   Kamal, Khalid M.
   Aljadhey, Hisham
   Mekonnen, Alemayehu B.
   Alwhaibi, Monira
   Balkhi, Bander
   Alhawassi, Tariq M.
TI Factors that facilitate reporting of adverse drug reactions by
   pharmacists in Saudi Arabia
SO EXPERT OPINION ON DRUG SAFETY
VL 18
IS 8
BP 745
EP 752
DI 10.1080/14740338.2019.1632287
EA JUL 2019
PD AUG 3 2019
PY 2019
AB Objectives: Adverse drug reactions (ADRs) are a pervasive global
   problem, and its management is integral to patient safety and healthcare
   quality. Pharmacists play a pivotal role in monitoring and reporting
   ADRs, which has a direct impact on patient care. The aim of this study
   was to identify potential factors that facilitate pharmacists in
   community and hospital settings to report ADRs. Methods: A
   cross-sectional, online survey using a validated questionnaire was
   administered to pharmacists working in community and hospital pharmacies
   in Saudi Arabia. Results: 1,717 community and 153 hospital pharmacists
   participated in this study. Only 10.2% and 26.8% of community and
   hospital pharmacists, respectively, admitted ever reporting an ADR. The
   most reported factors that may facilitate ADRs reporting have included
   ongoing improvements in therapeutic knowledge about ADRs, attending
   educational programs with continuous medical education credits, the
   seriousness of the experienced ADRs and accessibility to patients'
   medical profile. The impact of peers by seeing colleagues reporting ADRs
   and ADRs due to herbal or traditional medicine were the least important
   factors reported by pharmacists. Conclusion: The study identified
   factors that can effectively address the under-reporting of ADRs by
   pharmacists. A multi-stakeholder, multi-pronged approach of ADR
   reporting is needed to develop greater awareness of this issue among
   pharmacists.
RI Pont, Lisa/AAU-5561-2020; Alshammari, Thamir M/AAV-6891-2020; Alhawassi, Tariq M./AAH-7436-2019; Pont, Lisa/; Aldryhim, Ahmed/; Mekonnen, Alemayehu/; mahmoud, mansour/
OI Alshammari, Thamir M/0000-0002-5630-2468; Alhawassi, Tariq
   M./0000-0001-5675-9516; Pont, Lisa/0000-0002-8545-716X; Aldryhim,
   Ahmed/0000-0001-7900-5389; Mekonnen, Alemayehu/0000-0002-6826-4817;
   mahmoud, mansour/0000-0002-2521-0464
TC 9
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 9
U1 0
U2 4
SN 1474-0338
EI 1744-764X
UT WOS:000476046800001
PM 31232612
ER

PT J
AU Barat, Atena
   Goldacre, Michael J.
   Lambert, Trevor W.
TI Junior doctors' early career choices do not predict career destination
   in neurology: 40years of surveys of UK medical graduates
SO BMC MEDICAL EDUCATION
VL 19
AR 257
DI 10.1186/s12909-019-1650-7
PD JUL 10 2019
PY 2019
AB BackgroundThe rapidly rising rates of brain diseases due to the growing
   ageing population and the explosion in treatment options for many
   neurological conditions increase the demand for neurologists. We report
   trends in doctors' career choices for neurology; investigate factors
   driving their choices; and compare doctors' original choices with their
   specialty destinations.MethodsA multi-cohort, multi-purpose nation-wide
   study using both online and postal questionnaires collected data on
   career choice, influencing factors, and career destinations. UK-trained
   doctors completed questionnaires at one, three, five, and ten years
   after qualification. They were classified into three groups: graduates
   of 1974-1983, graduates of 1993-2002, and graduates of
   2005-2015.ResultsNeurology was more popular among graduates of 2005-2015
   than earlier graduates; however, its attraction for graduates of
   2005-2015 doctors reduced over time from graduation. A higher percentage
   of men than women doctors chose neurology as their first career choice.
   For instance, among graduates of 2005-2015, 2.2% of men and 1.1% of
   women preferred neurology as first choice in year 1. The most
   influential factor on career choice was enthusiasm for and commitment to
   the specialty in all cohorts and all years after graduation. Only 39%
   who chose neurology in year 1 progressed to become neurologists later.
   Conversely, only 28% of practicing neurologists in our study had decided
   to become neurologists in their first year after qualification. By year
   3 this figure had risen to 65%, and by year 5 to 76%.ConclusionsCareer
   decision-making among UK medical graduates is complicated. Early choices
   for neurology were not highly predictive of career destinations. Some
   influential factors in this process were identified. Improving mentoring
   programmes to support medical graduates, provide career counselling,
   develop professionalism, and increase their interest in neurology were
   suggested.
TC 2
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 2
U1 1
U2 4
SN 1472-6920
UT WOS:000475536200002
PM 31292002
ER

PT J
AU Bentvelzen, Adam C.
   Crawford, John D.
   Theobald, Adam
   Maston, Kate
   Slavin, Melissa J.
   Reppermund, Simone
   Kang, Kristan
   Numbers, Katya
   Brodaty, Henry
   Sachdev, Perminder
   Kochan, Nicole A.
TI Validation and Normative Data for the Modified Telephone Interview for
   Cognitive Status: The Sydney Memory and Ageing Study
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 67
IS 10
BP 2108
EP 2115
DI 10.1111/jgs.16033
EA JUL 2019
PD OCT 2019
PY 2019
AB OBJECTIVES Telephone-based cognitive screens, such as the Telephone
   Interview for Cognitive Status (TICS), can potentially reduce the
   barriers and costs of assessing older adults. However, validation of
   clinically relevant psychometric properties is lacking in a large and
   comprehensively assessed sample of older adults. Furthermore, published
   normative data may lack sensitivity as they have not used
   regression-based demographic corrections or accounted for cases with
   subsequent dementia. We address these gaps using the modified TICS
   (TICS-M; a modified, 13-item, 39-point version) and provide an online
   norms calculator for clinicians and researchers. DESIGN Prospective
   longitudinal study. SETTING Sydney, Australia. PARTICIPANTS A total of
   617 community-living older adults, aged from 71 to 91 years.
   MEASUREMENTS The measures used included the TICS-M, the Mini-Mental
   State Examination (MMSE), Addenbrooke's Cognitive Examination-Revised
   (ACE-R), and a comprehensive neuropsychological test battery.
   Descriptive statistics, correlations, area under the curve, and
   regression analyses were used to determine the validity and normative
   properties of the TICS-M. RESULTS TICS-M total scores (mean = 24.20; SD
   = 3.76) correlated well with the MMSE (0.70) and ACE-R (0.80) and
   moderately with neuropsychological tests tested noncontemporaneously. A
   cutoff score of 21 or lower reliably distinguished between those with
   and without incident dementia after 1 year (sensitivity = 77%;
   specificity = 88%) but was less reliable at distinguishing mild
   cognitive impairment from normal cognition. TICS-M scores decreased with
   age and increased with higher education levels. The robust normative
   sample, which excluded incident dementia cases, scored higher on the
   TICS-M and with less variability than the whole sample. An online
   calculator is provided to compute regression-based norms and reliable
   change statistics. CONCLUSIONS In a large sample of community-dwelling
   older adults, the TICS-M performed well in terms of construct validity
   against typical screening tools and neuropsychological measures and
   diagnostic validity for incident dementia. The comprehensive,
   regression-based, and robust normative data provided will help improve
   the sensitivity, accessibility, and cost-effectiveness of cognitive
   testing with older adults.
RI Numbers, Katya/AAU-8963-2021; Sachdev, Perminder/ABC-1137-2020; Bentvelzen, Adam/; Brodaty, Henry/; Kang, Kristan/
OI Numbers, Katya/0000-0002-7009-2401; Sachdev,
   Perminder/0000-0002-9595-3220; Bentvelzen, Adam/0000-0001-7477-3223;
   Brodaty, Henry/0000-0001-9487-6617; Kang, Kristan/0000-0002-2057-1033
ZA 0
ZS 0
Z8 0
ZB 2
ZR 0
TC 14
Z9 14
U1 0
U2 4
SN 0002-8614
EI 1532-5415
UT WOS:000477185200001
PM 31290146
ER

PT J
AU Mahoney, Bere
   Walklet, Elaine
   Bradley, Eleanor
   O'Hickey, Steve
TI Improving adrenaline autoinjector adherence: A psychologically informed
   training for healthcare professionals
SO IMMUNITY INFLAMMATION AND DISEASE
VL 7
IS 3
BP 214
EP 228
DI 10.1002/iid3.264
EA JUL 2019
PD SEP 2019
PY 2019
AB Background Clinicians draw on instructional approaches when training
   patients with anaphylaxis to use adrenaline autoinjectors, but patient
   use is poor. Psychological barriers to these behaviours exist but are
   not considered routinely when training patients to use autoinjectors.
   Health Psychology principles suggest exploring these factors with
   patients could improve their autoinjector use. Objective To evaluate the
   impact of a 90-minute workshop training clinicians in strategies and
   techniques for exploring and responding to psychological barriers to
   autoinjector use with patients. Attendees' knowledge, confidence and
   likelihood of using the strategies were expected to improve. Methods
   Impact was evaluated using a longitudinal mixed-method design.
   Twenty-nine clinicians (general and specialist nurses, general
   practitioners, and pharmacists) supporting patients with anaphylaxis in
   UK hospitals and general practice attended. Self-rated knowledge,
   confidence, and likelihood of using the strategies taught were evaluated
   online 1 week before, 1 to 3, and 6 to 8 weeks after the workshop.
   Clinicians were invited for telephone interview after attending to
   explore qualitatively the workshop impact. Results chi(2) analyses were
   significant in most cases (P < .05), with sustained (6-8 weeks)
   improvements in knowledge, confidence, and likelihood of using the
   strategies taught. Thematic analysis of interview data showed the
   workshop enhanced attendees' knowledge of the care pathway,
   understanding of patient's experience of anaphylaxis as psychological
   not purely physical, and altered their communication with this and other
   patient groups. However, interviewees perceived lack of time and
   organisational factors as barriers to using the strategies and
   techniques taught in clinical contexts. Conclusion Training clinicians
   in psychologically informed strategies produce sustained improvements in
   their confidence and knowledge around patient autoinjector education,
   and their likelihood of using strategies in clinical practice. Clinical
   Relevance Exploring psychological barriers should be part of training
   patients with anaphylaxis in autoinjector use.
RI Bradley, Eleanor/AAM-2207-2020; Mahoney, Bere/
OI Bradley, Eleanor/0000-0001-5877-2298; Mahoney, Bere/0000-0002-7414-8185
TC 6
ZA 0
ZS 0
ZB 1
ZR 0
Z8 0
Z9 6
U1 1
U2 2
EI 2050-4527
UT WOS:000477544200001
PM 31290265
ER

PT J
AU Kim, Kidong
   Lee, Banghyun
   Park, Youngmi
   Jung, Eun Young
   Kim, Seul Ki
   Suh, Dong Hoon
   Choi, Bo Ram
TI Factors encouraging mobile instant messaging service use in medical
   education
SO PEERJ
VL 7
AR e7275
DI 10.7717/peerj.7275
PD JUL 8 2019
PY 2019
AB Background. Mobile instant messaging services are being increasingly
   used for educational purposes, but their effectiveness in medical
   education is not well known. We assessed whether students' use of Kakao
   Talk (a mobile instant messaging service) during the early period of a
   week of clinical education influenced its use for academic purposes
   during a later period of the same week.
   Methods. The online communication records of 151 third-year medical
   students (in 39 clinical education groups) who used Kakao Talk during
   clinical education were reviewed. The 39 groups were categorized as low,
   middle, or high according to the number of total chats (on all subjects,
   not just academic) per student over five days. The relationship between
   the number of total chats during the first two days and the number of
   academic chats during the last three days (of five-day chatroom weeks)
   was analyzed.
   Results. The number of total and academic chats over all five days, the
   first two days, and the last three days was highest in groups with the
   highest number of total chats per student. Similarly, the highest number
   of students posting total and academic chats was found in these groups.
   In addition, the number of academic chats per student and the frequency
   of questions raised by students were also highest in these groups.
   During the last three days, the number of students posting total chats
   was lower than that during the first two days, and the number of
   academic chats per student posting academic chats was higher. The number
   of total chats on the first or second day positively correlated with the
   maximum value of academic chats on the third to fifth days.
   Conclusion. High frequency mobile instant messaging use early on in
   clinical education might encourage its use for academic purposes during
   later periods.
TC 0
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 0
U1 0
U2 2
SN 2167-8359
UT WOS:000474334600009
PM 31328039
ER

PT J
AU Kam, Bee Sung
   Yune, So Jung
   Lee, Sang Yeoup
   Im, Sun Ju
   Baek, Sun Yong
TI Impact of video feedback system on medical students' perception of their
   clinical performance assessment
SO BMC MEDICAL EDUCATION
VL 19
AR 252
DI 10.1186/s12909-019-1688-6
PD JUL 8 2019
PY 2019
AB BackgroundProviding feedback on student performance in the clinical
   performance assessment (CPA) is meaningful in that it helps students
   understand their strengths and weaknesses. This study compared students'
   perception of their CPA scores before and after providing personalized
   video feedback.MethodsTwo identical online surveys of Year 1 medical
   students (N=103) that had undergone CPA were conducted to evaluate
   students' perceptions about their CPA scores before and after video
   feedback. Students were given their test scores with assessment analysis
   reports immediately after completing the CPA. Top-scored students from
   each station agreed to provide their video-recorded performance to the
   rest of the students.ResultsAfter comparing their performance video and
   top-scored video at each station, medical students were more aware of
   their CPA total score, clinical performance examination (CPX) total
   score, score of each CPX station, section score for the CPX station,
   history taking section score, physical examination section score, and
   doctor-patient relationship section score. Moreover, students became
   more convinced of their own weaknesses from their history taking and
   patient education section after viewing video feedback than
   before.ConclusionThe use of the video feedback system might help
   students recognize their CPA results and identify their strengths and
   weaknesses.
RI Lee, Sang Yeoup/AAV-2125-2020; Lee, Sang Yeoup/
OI Lee, Sang Yeoup/0000-0002-3585-9910
ZS 0
ZA 0
Z8 0
TC 3
ZR 0
ZB 0
Z9 3
U1 1
U2 3
SN 1472-6920
UT WOS:000475535900001
PM 31286961
ER

PT J
AU Bhamra, Sukvinder K.
   Slater, Adrian
   Howard, Caroline
   Heinrich, Michael
   Johnson, Mark R. D.
TI Health care professionals' personal and professional views of herbal
   medicines in the United Kingdom
SO PHYTOTHERAPY RESEARCH
VL 33
IS 9
BP 2360
EP 2368
DI 10.1002/ptr.6418
EA JUL 2019
PD SEP 2019
PY 2019
AB Health care professionals (HCPs) have a pivotal role in optimizing
   patient care and should be familiar with complementary and alternative
   medicines. The aim of the study was to explore UK-based HCP personal and
   professional opinions and experiences of herbal medicines (HMs). An
   online questionnaire was distributed via social media to recruit (n =
   112) a range of HCPs from across the United Kingdom. HCPs from primary
   and secondary care, the private sector, and academia took part. A large
   proportion of participants (62%) said they did not personally use any
   HMs, and 38% did use HMs. HCPs who had personally used HMs had a
   positive impression of HMs and were more likely to recommend HMs to
   patients than those who had not used HMs themselves. Participants were
   given the opportunity to share their perceptions on the safety and
   efficacy of HMs and their experiences with patients reporting adverse
   drug reactions to HMs and herb-drug interactions. HCPs identified their
   lack of knowledge on HMs and insufficient training, which made them
   unable to advise patients on the safe use of HMs. More education on HMs
   would help improve HCP knowledge of HMs and help them make better
   informed decisions when considering patient pharmaceutical care plans.
RI Slater, Adrian/B-6067-2008; Bhamra, Sukvinder/; Howard, Caroline/; Johnson, Mark/
OI Slater, Adrian/0000-0001-8016-3106; Bhamra,
   Sukvinder/0000-0002-0032-0552; Howard, Caroline/0000-0003-1739-6569;
   Johnson, Mark/0000-0002-1427-2010
Z8 0
ZA 0
ZS 0
TC 6
ZR 0
ZB 2
Z9 7
U1 0
U2 10
SN 0951-418X
EI 1099-1573
UT WOS:000474728600001
PM 31282109
ER

PT J
AU Yang, Jin
   Liu, Jieling
   Xing, Fanfan
   Ye, Haiyan
   Dai, Guijian
   Liu, Meiyuan
   Lo, Simon Kam-Fai
   Lau, Ricky Wing-Tong
   Chiu, Kelvin Hei-Yeung
   Chan, Jasper Fuk-Woo
   Yuen, Kwok-Yung
TI Nosocomial transmission of chickenpox and varicella zoster virus
   seroprevalence rate amongst healthcare workers in a teaching hospital in
   China
SO BMC INFECTIOUS DISEASES
VL 19
AR 582
DI 10.1186/s12879-019-4222-x
PD JUL 5 2019
PY 2019
AB BackgroundVaricella zoster virus (VZV) is a highly contagious
   herpesvirus with potential for nosocomial transmission. However, the
   importance of nosocomial chickenpox outbreak in China has often been
   ignored. With the increasing immunocompromised population in China, a
   thorough review of issues related to nosocomial transmission and the
   seroprevalence rate of VZV among healthcare workers is
   necessary.MethodsRetrospective case finding for nosocomial transmission
   of chickenpox was conducted between January 1, 2013 and December 31,
   2017. Cases were identified based on clinical features compatible with
   chickenpox. A cross-sectional study on the seroprevalence rate of VZV
   among healthcare workers (HCWs) was conducted between January 1, 2014
   and December 31, 2017. The serum VZV antibodies of 1804 HCWs were
   measured by enzyme-linked immunosorbent assay (ELISA). The
   seroprevalence rate of VZV antibodies, the positive predictive value and
   negative predictive value of self-reported history of varicella were
   analyzed. The economic impact associated with nosocomial transmission of
   VZV was also assessed.ResultsA total of 8 cases of chickenpoxwere
   identified in three nosocomial transmissions,including 4 HCWs whowere
   infected nosocomially. The overall seroprevalence rate of VZV was 88.4%,
   which significantly increased with age (P<0.01). The seroprevalence
   rates of HCWs with different genders and occupations showed no
   statistically significant differences. The positive and negative
   predictive values of a self-reported history of varicella were 80.8 and
   10.6% respectively. An estimation of 163.3 person-days of work were lost
   in each nosocomial transmission and 86.7 infection control unit
   person-hours were required for each outbreak investigation. The cost of
   VZV IgG ELISA screening was estimated to be 83 USD per nosocomial
   transmission.ConclusionsNosocomial transmission of VZV occurred
   repeatedly in the hospital setting. An alarming 11.6% of HCWs were
   seronegative for VZV, which might increase the risk of nosocomial
   infection and outbreak for other susceptible co-workers and patients.
   This is especially important in the setting of a teaching hospital where
   many immunocompromised patients were managed. Furthermore, the positive
   predictive value of self-reported varicella on seroprevalence rate in
   our study was lower than those reported in other countries, therefore
   serological testing of VZV antibodies with subsequent vaccination for
   all non-immune HCWs should be considered.
RI Chiu, Hei Yeung Kelvin/AAF-8780-2020; Chan, Jasper F. W./D-8007-2013; Yuen, Kwok-yung/
OI Chan, Jasper F. W./0000-0001-6336-6657; Yuen,
   Kwok-yung/0000-0002-2083-1552
ZS 0
ZB 2
ZR 0
Z8 2
ZA 0
TC 6
Z9 8
U1 1
U2 2
SN 1471-2334
UT WOS:000474554100001
PM 31277589
ER

PT J
AU Annetts, Sue
   Day, Richard
TI The informed study project: An innovative online self evaluation of
   fitness to practise within a professional higher education degree
   programme
SO INNOVATIONS IN EDUCATION AND TEACHING INTERNATIONAL
VL 56
IS 4
BP 529
EP 541
DI 10.1080/14703297.2019.1577162
PD JUL 4 2019
PY 2019
AB Pre-entry information and transitional support are identified as key
   factors promoting student success and retention, encouraging a
   pro-active approach to entry into Higher Education. Furthermore the
   Equality Act, in terms of anticipatory duty, emphasises this. However,
   some student groups studying for professional degrees, such as
   physiotherapy, need additional information in terms of responsibilities
   related with fitness to practise. These drivers initiated the
   development of the Informed Study Project (ISP), a bespoke on-line
   self-evaluation of fitness to practise. The ISP has successfully been
   embedded into the admissions process for BSc (Hons) physiotherapy
   students for 7 years. Evaluation using a Bristol Online Survey for the
   most recent cohort (respondents = 34) showed that 100% of students felt
   that the material was well presented and useful; 79% stated it
   positively affected the likelihood of them choosing to study
   physiotherapy at Cardiff University; 100% stated that they felt excited
   about studying at Cardiff.
OI Annetts, Sue/0000-0002-7229-9414
ZA 0
ZS 0
TC 1
Z8 0
ZR 0
ZB 0
Z9 1
U1 0
U2 4
SN 1470-3297
EI 1470-3300
UT WOS:000472545300013
ER

PT J
AU White, Marney A.
   Whittaker, Steve D.
   Gores, Ashton M.
   Allswede, Dana
TI Evaluation of a Self-Care Intervention to Improve Student Mental Health
   Administered through a Distance-Learning Course
SO AMERICAN JOURNAL OF HEALTH EDUCATION
VL 50
IS 4
SI SI
BP 213
EP 224
DI 10.1080/19325037.2019.1616012
PD JUL 4 2019
PY 2019
AB Background: Graduate training is a high-risk period for worsening mental
   health. Previous research reported the effectiveness of a
   classroom-based self-care intervention for graduate students. Purpose:
   The study evaluated the effectiveness of an online self-care
   intervention for graduate-level students to prevent worsening mental
   health. Methods: Participants were 187 students in public health. The
   intervention consisted of behavior change assignments designed to
   increase health-promoting behaviors within four domains (nutrition,
   physical activity, mental health, social support). Students received
   bonus points for maintaining health behaviors for the duration of the
   12-week semester. Outcomes included measures of nutrition, physical
   activity, depression, anxiety, and perceived stress. The study employed
   a control group of students not enrolled in the course (n = 29).
   Results: Health promotion behaviors increased over the course of the
   semester (ps<.001), with the largest effect sizes for increases in fruit
   and vegetable intake and physical activity. Improvements in
   self-reported health were reported. Control students reported no
   improvements. Discussion: The study provides support for the utility of
   a brief self-care intervention for students in the health sciences.
   Translation to Health Education Practice: This disseminable intervention
   can support student well-being in a variety of academic programs.A AJHE
   Self-Study quiz is online for this article via the SHAPE America Online
   Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars
RI White, Marney/AAC-9016-2019; White, Marney/
OI White, Marney/0000-0001-9856-6608
ZB 1
ZS 0
Z8 0
TC 8
ZA 0
ZR 0
Z9 8
U1 2
U2 15
SN 1932-5037
EI 2168-3751
UT WOS:000474652900003
ER

PT J
AU Menor-Campos, David J.
   Knight, Sarah
   Sanchez-Munoz, Carolina
   Lopez-Rodriguez, Rocio
TI Human-Directed Empathy and Attitudes Toward Animal Use: A Survey of
   Spanish Veterinary Students
SO ANTHROZOOS
VL 32
IS 4
BP 471
EP 487
DI 10.1080/08927936.2019.1621518
PD JUL 4 2019
PY 2019
AB Veterinary practitioners are thought of as guardians of animal health
   and wellbeing, and are considered important in the development of
   policies on animals. Measuring veterinary students' attitudes toward
   animals and animal use is needed when assessing the effectiveness of
   education programs focused on animal welfare and ethics. The present
   study examined Spanish veterinary students' attitudes toward different
   types of animal use, their human-directed empathy, and the relationship
   between these and various personal variables. The sample comprised 200
   students who completed an online questionnaire. Attitudes toward animal
   use varied significantly, depending on the type of use in question.
   There was also a relationship between attitudes toward animal use, one
   component of human-directed empathy, "Empathic Concern," and a number of
   personal variables such as gender, career choice, and contact with
   animal welfare organizations. Concern about the use of animals for
   research and animal management was lower in students who were in the
   later years of their studies. Reasons for this and the role of
   veterinary education are discussed.
RI Knight, Sarah/AAZ-9337-2020; knight, sarah/ABC-6856-2021; Menor Campos, David Jose/
OI knight, sarah/0000-0002-5082-2534; Menor Campos, David
   Jose/0000-0003-3033-4936
ZA 0
ZR 0
TC 2
ZS 0
Z8 0
ZB 0
Z9 2
U1 0
U2 14
SN 0892-7936
EI 1753-0377
UT WOS:000473209000003
ER

PT J
AU Strom, Janni
   Hoybye, Mette Terp
   Laursen, Malene
   Jorgensen, Lene Bastrop
   Nielsen, Claus Vinther
TI Lumbar Spine Fusion Patients' Use of an Internet Support Group: Mixed
   Methods Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 7
AR e9805
DI 10.2196/jmir.9805
PD JUL 4 2019
PY 2019
AB Background: Internet use within health care contexts offers the
   possibility to provide both health information and peer support.
   Internet Support Groups (ISGs) for patients may offer advantages, which
   are not found in face-to-face support. In patients undergoing lumbar
   spine fusion (LSF), ISGs could have a particular potential, as peer
   support on the web might bridge the decreased satisfaction with social
   life and social isolation found within these patients. ISGs might in
   this way contribute to increasing the functioning and overall
   health-related quality of life. However, LSF patients may generally
   belong to a group of citizens not prone to internet and online peer
   support. However, our knowledge of how LSF patients use ISGs is limited.
   Objective: The aim of this study was to describe the characteristics of
   users of an ISG and thematically explore the content of ISG interactions
   in Danish patients undergoing instrumented LSF because of degenerative
   spine disorders.
   Methods: Participants were recruited from a randomized controlled trial
   and included in a prospective cohort with a mixed methods design.
   Sociodemographic characteristics and information on psychological
   well-being (symptoms of anxiety and depression) were obtained at
   baseline and 1 to 5 weeks before surgery. Usage of the ISG was
   registered from baseline until 3 months after surgery. All posts and
   comments were collected, and content analysis was performed.
   Results: A total of 48 participants comprised the study population, with
   a mean age of 53 years (range 29-77). Of the participants, 54% (26/48)
   were female, 85% (41/48) were cohabitating, 69% (33/48) were unemployed,
   and the majority (69% [33/48]) had secondary education. Approximately
   one-third of the participants had symptoms of depression (35%, 17/48)
   and anxiety (29%, 14/48). Overall, 90% (43/48) of the participants
   accessed the ISG. No correlations were found between sociodemographic
   characteristics and access to the ISG. Women were more prone to be
   active users, contributing with posts (P=.04). Finally, active users
   contributing with posts or comments had viewed more pages, whereas
   passive users, users without posts or comments, had more interactions
   with the ISG (P<.001). The ISG contained 180 conversation threads,
   generating 354 comments. The 180 conversation threads in the ISG were
   constituted by 671 independent dialogue sequences. On the basis of those
   671 dialogue sequences, 7 thematic categories emerged.
   Conclusions: Sociodemographic characteristics were not predictors of ISG
   use in this study, and active use was found to be gender dependent.
   Content of interactions on the ISG emerged within 7 thematic categories
   and focused on social recognition, experience of pain or use of pain
   medication, experience of physical activity or physical rehabilitation,
   expression of psychosocial well-being, advising on and exploring the
   ISG, and employment, which seemed to correspond well with the prevalent
   occurrence of symptoms of anxiety and depression.
RI Jørgensen, Lene Bastrup/AAM-8993-2021; Høybye, Mette Terp/I-3758-2019; Laursen, Malene/AAC-7339-2019; Strøm, Janni/Y-5037-2019; Laursen, Malene/M-7734-2017; Nielsen, Claus Vinther/
OI Jørgensen, Lene Bastrup/0000-0001-7873-6139; Høybye, Mette
   Terp/0000-0001-6914-2697; Strøm, Janni/0000-0001-6986-776X; Laursen,
   Malene/0000-0002-7546-7671; Nielsen, Claus Vinther/0000-0002-2467-1103
TC 4
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
Z9 4
U1 0
U2 9
SN 1438-8871
UT WOS:000474338300001
PM 31274113
ER

PT J
AU Nobles, Alicia L.
   Curtis, Brett A.
   Ngo, Duc A.
   Vardell, Emily
   Holstege, Christopher P.
TI Health insurance literacy: A mixed methods study of college students
SO JOURNAL OF AMERICAN COLLEGE HEALTH
VL 67
IS 5
BP 469
EP 478
DI 10.1080/07448481.2018.1486844
PD JUL 4 2019
PY 2019
AB Objective: This study examines the health insurance literacy, or the
   ability to use health insurance effectively, of college students.
   Participants: A total of 455 students from a large, public university
   completed an online questionnaire in November 2016. Methods: A
   questionnaire examined students' knowledge of commonly encountered
   health insurance terms and ability to apply that knowledge to determine
   cost-sharing in a clinical setting. Results: The majority of students
   were able to correctly identify the most commonly encountered terms, but
   could not identify terms related to plan types and options. Eighty-eight
   percent of students could not determine their cost-sharing for two
   presented scenarios. Approximately half of the students indicated they
   had been confused about their health insurance plan, with one-quarter of
   students stopping or delaying medical care due to confusion.
   Conclusions: Outreach and education for students should target specific
   deficits in knowledge such as those identified in this study.
RI Nobles, Alicia/AAG-7841-2021
TC 13
ZS 0
Z8 0
ZB 0
ZA 0
ZR 0
Z9 13
U1 0
U2 18
SN 0744-8481
EI 1940-3208
UT WOS:000473243500010
PM 29979956
ER

PT J
AU Prnjak, Katarina
   Jukic, Ivan
TI Searching for Eating Disorder-related Topics on the Internet: What
   Distinguishes Symptomatic from Asymptomatic Women?
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 23
IS 3
BP 213
EP 226
DI 10.1080/15398285.2019.1647072
PD JUL 3 2019
PY 2019
AB The purpose of this study was to examine what topics searched on the
   Internet can differentiate between women symptomatic and asymptomatic
   for eating disorder (ED). Two-hundred-twenty-eight women (M-age = 30.5
   +/- 9.43) completed a measure of ED and frequency of online seeking for
   ED-related topics. ED symptomatic women more frequently searched
   ED-related topics online. The most discriminating topic was Food, which
   was accentuated among women who recently experienced significant
   weight-loss and those who reported food dominance in their life. More
   attention should be devoted to Internet use in women since this online
   searching behavior might be a good indicator of potential ED.
RI Jukic, Ivan/K-8897-2019; Prnjak, Katarina/
OI Jukic, Ivan/0000-0002-0900-9410; Prnjak, Katarina/0000-0002-6152-5025
Z8 0
ZA 0
ZR 0
TC 0
ZS 0
ZB 0
Z9 0
U1 1
U2 2
SN 1539-8285
EI 1539-8293
UT WOS:000487040300003
ER

PT J
AU Kiscaden, Elizabeth
   Newman, Bobbi
   Malachowski, Margot
   Martin, Carolyn
TI Developing an Online Consumer Health Course for Public Library Staff
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 23
IS 3
BP 249
EP 260
DI 10.1080/15398285.2019.1646585
PD JUL 3 2019
PY 2019
AB The National Network of Libraries of Medicine, Greater Midwest Region
   (NNLM GMR) received funding to support the evaluation and development of
   an asynchronous consumer health information course. Requirements of this
   project included: incorporating recommendations from NNLM instructors,
   National Library of Medicine staff and public library staff; piloting
   the revised course with a nationwide cohort; incorporating feedback from
   the pilot; and delivering a second instance of the revised course. The
   revised course meets existing requirements for public library
   certification and for Level 1 certification of the Medical Library
   Association's Consumer Health Information Specialization.
OI Martin, Carolyn/0000-0001-9134-026X; Kiscaden,
   Elizabeth/0000-0001-7230-030X; Malachowski, Margot/0000-0002-6608-4302;
   Newman, Bobbi/0000-0002-6270-9993
ZS 0
ZB 0
TC 0
Z8 0
ZR 0
ZA 0
Z9 0
U1 5
U2 19
SN 1539-8285
EI 1539-8293
UT WOS:000487040300005
PM 32792867
ER

PT J
AU Mesquita, Joao
   Maniar, Natasha
   Baykaner, Tina
   Rogers, Albert J.
   Swerdlow, Mark
   Alhusseini, Mahmood I.
   Shenasa, Fatemah
   Brizido, Catarina
   Matos, Daniel
   Freitas, Pedro
   Santos, Ana Rita
   Rodrigues, Gustavo
   Silva, Claudia
   Rodrigo, Miguel
   Dong, Yan
   Clopton, Paul
   Ferreira, Antonio M.
   Narayan, Sanjiv M.
TI Online webinar training to analyse complex atrial fibrillation maps: A
   randomized trial
SO PLOS ONE
VL 14
IS 7
AR e0217988
DI 10.1371/journal.pone.0217988
PD JUL 3 2019
PY 2019
AB Background
   Specific tools have been recently developed to map atrial fibrillation
   (AF) and help guide ablation. However, when used in clinical practice,
   panoramic AF maps generated from multipolar intracardiac electrograms
   have yielded conflicting results between centers, likely due to their
   complexity and steep learning curve, thus limiting the proper assessment
   of its clinical impact.
   Objectives
   The main purpose of this trial was to assess the impact of online
   training on the identification of AF driver sites where ablation
   terminated persistent AF, through a standardized training program.
   Extending this concept to mobile health was defined as a secondary
   objective.
   Methods
   An online database of panoramic AF movies was generated from a
   multicenter registry of patients in whom targeted ablation terminated
   non-paroxysmal AF, using a freely available method (Kuklik et al-method
   A) and a commercial one (RhythmView-method B). Cardiology Fellows naive
   to AF mapping were enrolled and randomized to training vs no training
   (control). All participants evaluated an initial set of movies to
   identify sites of AF termination. Participants randomized to training
   evaluated a second set of movies in which they received feedback on
   their answers. Both groups re-evaluated the initial set to assess the
   impact of training. This concept was then migrated to a smartphone
   application (App).
   Results
   12 individuals (median age of 30 years (IQR 28-32), 6 females) read 480
   AF maps. Baseline identification of AF termination sites by ablation was
   poor (40%+/- 12% vs 42%+/- 11%, P = 0.78), but similar for both mapping
   methods (P = 0.68). Training improved accuracy for both methods A (P =
   0.001) and B (p = 0.012); whereas controls showed no change in accuracy
   (P = NS). The Smartphone App accessed AF maps from multiple systems on
   the cloud to recreate this training environment.
   Conclusion
   Digital online training improved interpretation of panoramic AF maps in
   previously inexperienced clinicians. Combining online clinical data,
   smartphone apps and other digital resources provides a powerful,
   scalable approach for training in novel techniques in electrophysiology.
RI Mesquita, João/ABA-1119-2021; Rodrigo, Miguel/C-6174-2016; Rogers, Albert J./AAT-6177-2021; Freitas, Pedro/J-7876-2019; Narayan, Sanjiv/; Ferreira, Antonio/; Mesquita, Joao/; Brizido, Catarina/; Matos, Daniel/
OI Rodrigo, Miguel/0000-0002-6092-6847; Rogers, Albert
   J./0000-0001-6585-534X; Freitas, Pedro/0000-0001-9968-477X; Narayan,
   Sanjiv/0000-0001-7552-5053; Ferreira, Antonio/0000-0002-1623-7382;
   Mesquita, Joao/0000-0001-6965-4457; Brizido,
   Catarina/0000-0001-5614-5880; Matos, Daniel/0000-0002-1554-6116
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
TC 4
Z9 4
U1 0
U2 1
SN 1932-6203
UT WOS:000484927300011
PM 31269029
ER

PT J
AU Gordon, Morris
   Farnan, Jeanne
   Grafton-Clarke, Ciaran
   Ahmed, Ridwaan
   Gurbutt, Dawne
   McLachlan, John
   Daniel, Michelle
TI Non-technical skills assessments in undergraduate medical education: A
   focused BEME systematic review: BEME Guide No. 54
SO MEDICAL TEACHER
VL 41
IS 7
BP 732
EP 745
DI 10.1080/0142159X.2018.1562166
PD JUL 3 2019
PY 2019
AB Consensus on how to assess non-technical skills is lacking. This
   systematic review aimed to evaluate the evidence regarding non-technical
   skills assessments in undergraduate medical education, to describe the
   tools used, learning outcomes and the validity, reliability and
   psychometrics of the instruments. A standardized search of online
   databases was conducted and consensus reached on included studies. Data
   extraction, quality assessment, and content analysis were conducted per
   Best Evidence in Medical Education guidelines. Nine papers met the
   inclusion criteria. Assessment methods broadly fell into three
   categories: simulated clinical scenarios, objective structured clinical
   examinations, and questionnaires or written assessments. Tools to assess
   non-technical skills were often developed locally, without reference to
   conceptual frameworks. Consequently, the tools were rarely validated,
   limiting dissemination and replication. There were clear themes in
   content and broad categories in methods of assessments employed. The
   quality of this evidence was poor due to lack of theoretical
   underpinning, with most assessments not part of normal process, but
   rather produced as a specific outcome measure for a teaching-based
   study. While the current literature forms a good starting position for
   educators developing materials, there is a need for future work to
   address these weaknesses as such tools are required across health
   education.
RI McLachlan, John/AAF-4203-2021; Daniel, Michelle/AAG-2790-2019; Grafton-Clarke, Ciaran/AAC-7159-2021; Gordon, Morris/; McLachlan, John/
OI Daniel, Michelle/0000-0001-8961-7119; Grafton-Clarke,
   Ciaran/0000-0002-8537-0806; Gordon, Morris/0000-0002-1216-5158;
   McLachlan, John/0000-0001-5493-2645
ZR 0
ZS 0
ZA 0
Z8 0
TC 21
ZB 0
Z9 21
U1 2
U2 20
SN 0142-159X
EI 1466-187X
UT WOS:000478103600001
PM 30736714
ER

PT J
AU Magsamen-Conrad, Kate
   Dillon, Jeanette M.
   Verhoff, China Billotte
   Faulkner, Sandra L.
TI Online Health-Information Seeking Among Older Populations: Family
   Influences and the Role of the Medical Professional
SO HEALTH COMMUNICATION
VL 34
IS 8
BP 859
EP 871
DI 10.1080/10410236.2018.1439265
PD JUL 3 2019
PY 2019
AB There are myriad technological devices, computer programs, and online
   information sources available for people to manage their health and the
   health of others. However, people must be technologically and health
   literate and capable of accessing, analyzing, and sharing the
   information they encounter. The authors interviewed middle-aged and
   older adults about their online health information seeking behavior and
   discovered that technology and health literacy are influenced by a
   collective ability to manage the health and technological needs of a
   family. We used information management theory to frame participants'
   experiences of their self-efficacy using technology to manage the health
   of loved ones. Findings suggest that health can be co-managed if at
   least one person in a family unit is technologically "savvy" and able to
   effectively share health information. However, individuals' confidence
   in their own literacy often depends on others, usually family members
   who tend to "do" instead of "teach."
OI Magsamen-Conrad, Kate/0000-0002-7488-959X; Faulkner,
   Sandra/0000-0001-9146-1424
ZR 0
ZA 0
ZB 1
TC 17
ZS 0
Z8 0
Z9 17
U1 7
U2 85
SN 1041-0236
EI 1532-7027
UT WOS:000472051900007
PM 29474125
ER

PT J
AU Liu, Mandong
   Cardenas, Valeria
   Zhu, Yujun
   Enguidanos, Susan
TI YouTube Videos as a Source of Palliative Care Education: A Review
SO JOURNAL OF PALLIATIVE MEDICINE
VL 22
IS 12
BP 1568
EP 1573
DI 10.1089/jpm.2019.0047
EA JUL 2019
PD DEC 1 2019
PY 2019
AB Background: The lack of consumer knowledge and misconception of services
   could impede requests for and acceptance of palliative care. YouTube has
   been widely used for health information dissemination. Objective: To
   explore the availability and characteristics of palliative care
   educational videos on YouTube and determine how palliative care is
   portrayed in these videos. Methods: Keyword search and snowball methods
   were used to identify palliative care videos on YouTube. A structured
   data collection protocol was developed to record characteristics of a
   video. Descriptive analysis was used to describe the video features;
   logistic regression was conducted to determine the association between
   video characteristics and number of views per day. Results: A total of
   833 videos were screened; 84 met criteria for analysis. The most
   prominent video styles were providing palliative care information (85%)
   and personal testimony (50%). One-third were uploaded by
   hospice/palliative care services or medical organizations, while another
   one-third by advocacy organizations. More than two-thirds mentioned
   "end-of-life" and 35% mentioned "hospice." Physicians most frequently
   appeared and served as protagonists. Protagonists were primarily female
   (71.0%), aged 18-64 years (81.7%), and white (90.3%). Compared with
   videos uploaded by health care agencies, those uploaded by advocacy
   organizations had 6.41 times higher odds of having more than one view
   per day (p = 0.002). Conclusion: Online videos may not provide accurate
   and appropriate information on palliative care. There is minimal ethnic
   diversity in terms of physician and family representation. More research
   is needed to determine the effectiveness of these videos in improving
   consumer knowledge of palliative care.
RI Liu, Mandong/AAG-4345-2021; Cardenas, Valeria/AAP-2629-2021; Liu, Mandong/; Cardenas, Valeria/
OI Liu, Mandong/0000-0002-0536-9785; Cardenas, Valeria/0000-0003-0116-9038
ZR 0
ZA 0
ZS 0
TC 14
Z8 1
ZB 0
Z9 15
U1 4
U2 11
SN 1096-6218
EI 1557-7740
UT WOS:000474167500001
PM 31264910
ER

PT J
AU Buchan, Duncan S.
   Donnelly, Samantha
   McLellan, Gillian
   Gibson, Ann-Marie
   Arthur, Rosemary
TI A feasibility study with process evaluation of a teacher led resource to
   improve measures of child health
SO PLOS ONE
VL 14
IS 7
AR e0218243
DI 10.1371/journal.pone.0218243
PD JUL 2 2019
PY 2019
AB Previous school-based interventions have produced positive effects upon
   measures of children's health and wellbeing but such interventions are
   often delivered by external experts which result in short-term effects.
   Thus, upskilling and expanding the resources available to classroom
   teachers could provide longer-term solutions. This paper presents a
   feasibility study of an online health resource (Healthy Schools
   Resource: HSR) developed to assist primary school teachers in the
   delivery of health-related education. Four schools (n = 2 intervention)
   participated in this study. Study feasibility was assessed by
   recruitment, retention and completion rates of several outcomes
   including height, weight, waist circumference, blood pressure and
   several metabolic markers including HDL-cholesterol, triglycerides,
   glucose and dietary knowledge following a 10-12-week intervention
   period. The process evaluation involved fidelity checks of teachers' use
   of the HSR and post-intervention teacher interviews. A total of 614
   consent forms were issued and 267 were returned (43%), of which, 201
   confirmed consent for blood sampling (75%). Retention of children
   participating in the study was also high (96%). Of the 13 teachers who
   delivered the intervention to the children, four teachers were excluded
   from further analyses as they did not participate in the fidelity
   checks. Overall, teachers found the online resource facilitative of
   teaching health and wellbeing and several recommendations regarding the
   resource were provided to inform further evaluations. Recruitment and
   retention rates suggest that the teacher led intervention is feasible
   and acceptable to both teachers, parents and children. Initial findings
   provide promising evidence that given a greater sample size, a longer
   intervention exposure period and changes made to the resource, teachers'
   use of HSR could enhance measures of health and wellbeing in children.
OI Donnelly, Samantha/0000-0002-1735-0600; Gibson,
   Ann-Marie/0000-0003-2516-7985; Buchan, Duncan S/0000-0002-4320-4615
TC 0
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
Z9 0
U1 1
U2 1
SN 1932-6203
UT WOS:000484921200008
PM 31265466
ER

PT J
AU Kononowicz, Andrzej A.
   Woodham, Luke A.
   Edelbring, Samuel
   Stathakarou, Natalia
   Davies, David
   Saxena, Nakul
   Car, Lorainne Tudor
   Carlstedt-Duke, Jan
   Car, Josip
   Zary, Nabil
TI Virtual Patient Simulations in Health Professions Education: Systematic
   Review and Meta-Analysis by the Digital Health Education Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 7
AR e14676
DI 10.2196/14676
PD JUL 2 2019
PY 2019
AB Background: Virtual patients are interactive digital simulations of
   clinical scenarios for the purpose of health professions education.
   There is no current collated evidence on the effectiveness of this form
   of education.
   Objective: The goal of this study was to evaluate the effectiveness of
   virtual patients compared with traditional education, blended with
   traditional education, compared with other types of digital education,
   and design variants of virtual patients in health professions education.
   The outcomes of interest were knowledge, skills, attitudes, and
   satisfaction.
   Methods: We performed a systematic review on the effectiveness of
   virtual patient simulations in pre- and postregistration health
   professions education following Cochrane methodology. We searched 7
   databases from the year 1990 up to September 2018. No language
   restrictions were applied. We included randomized controlled trials and
   cluster randomized trials. We independently selected studies, extracted
   data, and assessed risk of bias and then compared the information in
   pairs. We contacted study authors for additional information if
   necessary. All pooled analyses were based on random-effects models.
   Results: A total of 51 trials involving 4696 participants met our
   inclusion criteria. Furthermore, 25 studies compared virtual patients
   with traditional education, 11 studies investigated virtual patients as
   blended learning, 5 studies compared virtual patients with different
   forms of digital education, and 10 studies compared different design
   variants. The pooled analysis of studies comparing the effect of virtual
   patients to traditional education showed similar results for knowledge
   (standardized mean difference [SMD]=0.11, 95% CI -0.17 to 0.39, I-2=74%,
   n=927) and favored virtual patients for skills (SMD=0.90, 95% CI 0.49 to
   1.32, I-2=88%, n=897). Studies measuring attitudes and satisfaction
   predominantly used surveys with item-by-item comparison. Trials
   comparing virtual patients with different forms of digital education and
   design variants were not numerous enough to give clear recommendations.
   Several methodological limitations in the included studies and
   heterogeneity contributed to a generally low quality of evidence.
   Conclusions: Low to modest and mixed evidence suggests that when
   compared with traditional education, virtual patients can more
   effectively improve skills, and at least as effectively improve
   knowledge. The skills that improved were clinical reasoning, procedural
   skills, and a mix of procedural and team skills. We found evidence of
   effectiveness in both high-income and low-and middle-income countries,
   demonstrating the global applicability of virtual patients. Further
   research should explore the utility of different design variants of
   virtual patients.
RI Edelbring, Samuel/AAG-2373-2020; Car, Josip/H-6755-2015; Woodham, Luke/AAY-7303-2020; Car, Lorainne Tudor/E-1205-2017; Kononowicz, Andrzej A/ABG-8696-2020; Carlstedt-Duke, Jan/; Woodham, Luke/; Zary, Nabil/; Edelbring, Samuel/
OI Car, Josip/0000-0001-8969-371X; Car, Lorainne Tudor/0000-0001-8414-7664;
   Kononowicz, Andrzej A/0000-0003-2956-2093; Carlstedt-Duke,
   Jan/0000-0001-7784-5296; Woodham, Luke/0000-0003-4170-2925; Zary,
   Nabil/0000-0001-8999-6999; Edelbring, Samuel/0000-0002-1110-0782
ZR 0
TC 94
ZA 0
Z8 1
ZS 2
ZB 7
Z9 97
U1 11
U2 47
SN 1438-8871
UT WOS:000474337600001
PM 31267981
ER

PT J
AU Lima, Diego Laurentino
   Cordeiro, Raquel Nogueira
   Carvalho, Gustavo Lopes
TI Academic league of videolaparoscopy: A new strategy to awaken the
   interest of medical students in minimally invasive surgery
SO JOURNAL OF MINIMAL ACCESS SURGERY
VL 16
IS 1
BP 97
EP 98
DI 10.4103/jmas.JMAS_41_19
PD JAN-MAR 2020
PY 2020
RI Lima, Diego Laurentino/AAL-4497-2020
OI Lima, Diego Laurentino/0000-0001-7383-1284
ZR 0
TC 7
ZB 0
ZS 1
Z8 0
ZA 0
Z9 8
U1 0
U2 0
SN 0972-9941
EI 1998-3921
UT WOS:000506367500021
PM 31571671
ER

PT J
AU Mahmuda, Mahmuda
   Miah, Mohammad Abdul Awal
   Elshazly, Mohamed
   Khan, Sanjida
   Tay, Alvin Kuowei
   Ventevogel, Peter
TI Contextual adaptation and piloting of Group Integrative Adapt Therapy
   (IAT-G) amongst Rohingya refugees living in Bangladesh
SO INTERVENTION-INTERNATIONAL JOURNAL OF MENTAL HEALTH PSYCHOSOCIAL WORK
   AND COUNSELLING IN AREAS OF ARMED CONFLICT
VL 17
IS 2
BP 149
EP 159
DI 10.4103/INTV.INTV_48_19
PD JUL-DEC 2019
PY 2019
AB A main gap in the delivery of mental health and psychosocial (MHPSS)
   services to Rohingya refugees in Cox's Bazar district in Bangladesh is
   the limited coverage of psychotherapeutic interventions. There is a
   shortage of mental health professionals who can provide culturally
   adapted and linguistically appropriate psychotherapeutic interventions
   that are congruent with the refugee experience. This article describes
   preliminary work on training Bangladeshi psychologists and
   para-professionals in applying a novel group-based psychological
   intervention for refugees, Group Integrative Adapt Therapy (IAT-G). This
   is a pragmatic, eclectic and transdiagnostic approach, based on the
   Adaptation and Development After Persecution and Trauma (ADAPT) model.
   It aims to help refugees to develop resilience and capacities for
   managing maladaptive reactions to trauma and post-migration living
   difficulties. This paper describes the key strategies and challenges
   during the first phase of the project. Activities included an extensive
   desk review, a one-week training workshop with competency assessments,
   cultural adaptation of the treatment manual and assessment measures,
   training on digital literacy and electronic data collection and a
   blended supervisory model (involving onsite and online sessions). It
   proved to be generally feasible but not easy to introduce IAT-G in this
   population.
RI Tay, Alvin Kuowei/AAW-3508-2021
OI Tay, Alvin Kuowei/0000-0002-9330-3929
ZR 0
ZA 0
ZS 0
ZB 1
Z8 0
TC 14
Z9 14
U1 0
U2 1
SN 1571-8883
EI 1872-1001
UT WOS:000512721100005
ER

PT J
AU Terndrup, Christopher
   Streed, Carl G., Jr.
   Tiberio, Perry
   Black, Marissa
   Davis, John
   Apfel, Ariella
   Blackstock, Oni J.
   Edelman, E. Jennifer
   Berkenblit, Gail
TI A Cross-sectional Survey of Internal Medicine Resident Knowledge,
   Attitudes, Behaviors, and Experiences Regarding Pre-Exposure Prophylaxis
   for HIV Infection
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 7
BP 1258
EP 1278
DI 10.1007/s11606-019-04947-2
PD JUL 2019
PY 2019
AB BACKGROUND: Pre-exposure prophylaxis (PrEP) for HIV is effective, yet
   many providers continue to lack knowledge and comfort in providing this
   intervention. It remains unclear whether internal medicine (IM)
   residents receive appropriate training in PrEP care and if this affects
   their future practices.
   OBJECTIVE: We sought to evaluate the relationship between current IM
   residents' prior PrEP training and knowledge, comfort, and practice
   regarding the provision of PrEP.
   DESIGN AND PARTICIPANTS: We created an online survey to assess IM
   residents' knowledge, attitudes, and behaviors related to PrEP. The
   survey was distributed among five IM programs across the USA.
   KEY RESULTS: We had a 35% response rate. Of 229 respondents, 96% (n =
   220) had heard of PrEP but only 25% (n = 51) had received prior training
   and 11% (n = 24) had prescribed PrEP. Compared with those without, those
   with prior training reported good to excellent knowledge scores
   regarding PrEP (80% versus 33%, p<0.001), more frequent prescribing (28%
   versus 7%, p = 0.001), and higher comfort levels with evaluating risk
   for HIV, educating patients, and monitoring aspects of PrEP (75% versus
   26%, 56% versus 16%, and 47% versus 8%, respectively; all p values
   <0.0001). While only 25% (n = 51) had received prior training, 75% (n =
   103) of respondents reported that training all providers at their
   continuity clinic sites would improve implementation.
   CONCLUSIONS: We found that prior training was associated with higher
   levels of self-reported PrEP knowledge, comfort, and prescribing
   behaviors. Given the significant need for PrEP, IM residents should be
   trained to achieve adequate knowledge and comfort levels to prescribe
   it. This study demonstrates that providing appropriate PrEP training for
   IM residents may lead to an increase in the pool of graduating IM
   residents prescribing PrEP.
OI Streed Jr, Carl/0000-0003-3075-253X
ZS 1
Z8 0
ZR 0
ZA 0
TC 9
ZB 1
Z9 10
U1 0
U2 1
SN 0884-8734
EI 1525-1497
UT WOS:000475559500041
PM 31020604
ER

PT J
AU Frasca, Katherine
   Castillo-Mancilla, Jose
   McNulty, Monica C.
   Connors, Susan
   Sweitzer, Elizabeth
   Zimmer, Shanta
   Madinger, Nancy
TI A Mixed Methods Evaluation of an Inclusive Sexual History Taking and HIV
   Prevention Curriculum for Trainees
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 7
BP 1279
EP 1288
DI 10.1007/s11606-019-04958-z
PD JUL 2019
PY 2019
AB BACKGROUND: Health disparities exist in HIV risk in the USA among the
   lesbian-gay-bisexual-transgender-queer (LGBTQ) community. There is also
   scarce literature on curricula for HIV prevention and pre-exposure
   prophylaxis (PrEP) for trainees.
   AIM: To create a curriculum to train residents to perform inclusive
   sexual history taking and HIV prevention care. The curriculum covers
   sexual history, LGBTQ health, sexually transmitted infections, and HIV
   risk assessment and risk reduction counseling including use of PrEP.
   SETTING: A dedicated PrEP Clinic was created within an Academic Medical
   Center Outpatient HIV Clinic. Patients were primarily LGBTQ identified,
   but also included HIV sero-discordant couples, cisgender individuals,
   heterosexual invididuals, and those with experience of homelessness, sex
   work, and substance abuse.
   PARTICIPANTS: Thirty-four internal medicine residents completed the
   course between November 2017 and May 2018.
   PROGRAM DESCRIPTION: The curriculum was delivered as Just in Time
   Teaching (JiTT) via online virtual patient cases followed by directly
   observed clinical care at a large urban PrEP clinic.
   PROGRAM EVALUATION AND RESULTS: The effectiveness of the curriculum was
   assessed through paired pre/post-self-assessment surveys (n=19),
   additional post-surveys on the online modules (n=22), and interviews
   (n=9). Many respondents reported no prior training or inadequate prior
   training in the course content. As a result of the course, participants
   reported statistically significant increased confidence and comfort in
   all seven HIV prevention topic areas, with the greatest gains in safe
   sex counseling for LGBTQ patients and in discussing PrEP (mean changes
   of 1.21, 1.58 on 5-point Likert scale, respectively, p<0.0001). Six of
   nine interviewees post-course had applied what they learned to patient
   care; five indicated their learning would benefit patients.
   DISCUSSION: An HIV prevention curriculum focused on cultural humility in
   care can improve trainee's skills in HIV risk reduction counseling,
   including PrEP, among all patients including those identifying as LGBTQ.
RI Castillo-Mancilla, Jose/AAN-5116-2020; Castillo-Mancilla, Jose/
OI Castillo-Mancilla, Jose/0000-0003-1242-1745
Z8 0
ZR 0
ZA 0
ZB 1
ZS 0
TC 19
Z9 19
U1 0
U2 10
SN 0884-8734
EI 1525-1497
UT WOS:000475559500042
PM 31037543
ER

PT J
AU Pinto, Maria
   Fernandez-Pascual, Rosaura
   Caballero-Mariscal, David
   Sales, Dora
   Guerrero, David
   Uribe, Alejandro
TI Scientific production on mobile information literacy in higher
   education: a bibliometric analysis (2006-2017)
SO SCIENTOMETRICS
VL 120
IS 1
BP 57
EP 85
DI 10.1007/s11192-019-03115-x
PD JUL 2019
PY 2019
AB This paper offers a bibliometric analysis of the scientific production
   on Mobile Information Literacy in Higher Education published between
   2006 and 2017, taking into account papers covered by Web of Science,
   Scopus, Library and Information Science Abstracts, Library and
   Information Science and Technology Abstract, and Education Resources
   Information Center. Bibliometrics, as an integral part of research
   evaluation methodology, helps us to identify the subject's evolution
   over the period studied. In this research we aim to: (a) identify the
   most relevant journals that publish literature in this field, (b)
   calculate the authors' average productivity and identify the most
   productive authors, and (c) discover the most significant trends in this
   academic field, through statistical and co-occurrence word analyses of
   the titles and the keywords used to index papers. The bibliometric
   results of this research provide a snapshot of the literature on Mobile
   Information Literacy that highlights the most relevant journals,
   authors, and trending keywords.
RI Pascual, Rosaura Fernandez/H-5721-2015; Tirado, Alejandro Uribe/A-3120-2010; Sales, Dora/N-9720-2016
OI Pascual, Rosaura Fernandez/0000-0002-3005-7353; Tirado, Alejandro
   Uribe/0000-0002-0381-1269; Sales, Dora/0000-0002-6290-2013
TC 13
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 13
U1 6
U2 119
SN 0138-9130
EI 1588-2861
UT WOS:000471656400004
ER

PT J
AU Aria, Reza
   Archer, Norm
TI The role of support and sustainability elements in the adoption of an
   online self-management support system for chronic illnesses
SO JOURNAL OF BIOMEDICAL INFORMATICS
VL 95
AR 103215
DI 10.1016/j.jbi.2019.103215
PD JUL 2019
PY 2019
AB The direct cost of treating chronic disease in Canada has risen to an
   average of 58% of healthcare spending. Thus, more attention is being
   directed to technologically supported health self-management and
   lifestyle change, to help patients mitigate and manage their own
   conditions. This study investigates how support elements (decision
   support and education) and sustainability elements (rewards systems),
   can help to motivate patients to adopt proposed technologies. A proposed
   model was tested using data collected from two potential user groups:
   198 online and 83 in-person, using an identical survey. Although the
   system was built and ready to use at the time this study was conducted,
   in order to keep the experience of both groups identical, a video
   simulation (of the system) was used to familiarize both groups of users
   with the system. The study reveals that: individual perceptions on
   usability, ease of use, and hedonic motivation were influenced by the
   proposed support elements. Support elements enhance user perceptions of
   usability and ease of use, while sustainability elements positively
   affect user motivations, thus encouraging their decisions to adopt and
   use the technology. The study implies that, for better success at
   helping patients to self-manage their health, special attention should
   be paid to support and sustainability elements.
ZR 0
TC 3
Z8 0
ZS 0
ZB 1
ZA 0
Z9 3
U1 0
U2 8
SN 1532-0464
EI 1532-0480
UT WOS:000525695600019
PM 31132456
ER

PT J
AU Sachdeva, Sandeep
   Dwivedi, Nidhi
   Taneja, Neha
TI Systematic Evaluation of Published Research Studies Conducted Among
   Medical Undergraduate Students on Learning Environment in Medical
   Colleges of India Using the DREEM Inventory Tool
SO INDIAN JOURNAL OF COMMUNITY HEALTH
VL 31
IS 3
BP 353
EP 362
PD JUL-SEP 2019
PY 2019
AB Objective: To evaluate original studies conducted among medical
   undergraduate students to assess education and learning environment in
   India using DREEM (Dundee Ready Educational Environment Measure) tool.
   Material & Methods: The online search engine PUBMED and Google scholar
   were utilized to short list original published research studies on
   learning environment. The eligibility criteria included: study conducted
   in India upon medical students using DREEM tool; information on sample
   size, total, and sub-domain DREEM score available. Fourteen original
   research publications with a total sample size of 4215 medical students
   were considered. Results: Total DREEM score (range, 0-200) was 119.5
   that indicated that there was more positive education environment in
   selected medical colleges of country. The average score of different sub
   domains of DREEM also supported the positive environment. Sub-domain
   DREEM mean scores derived through this analysis was SPL-28.7 (range,
   0-48); SPA-28.4 (range, 0-48); SPT-25.8 (range, 0-44); SASP-20.2 (range,
   0-32); and SSSP-16.4 (range, 0-28). The scores of all the studies were
   in the similar range except two. Mean score of most (80%) of the items
   (40/50) lied between 2 and 3 (range, 0-4) indicating that these areas
   were 'neither strong nor weak' but could be 'enhanced'. Some aspect of
   the learning and education environment with average score of less than 2
   include inherent challenges of the extensive medical course; the
   teaching over-emphasizes factual learning (item-25); students are able
   to memorize all the matter (item-27); and rarely feel bored (item-14)
   require attention. However, issues like teaching is too teacher centered
   (item-48); the teachers are authoritarian (item-9); and the teachers get
   angry in class (item-39) requires sensitization and introspection by the
   esteem faculty members. Conclusion: Overall students perceived
   progressive and positive developmental milieu in the learning
   environment in the selected medical colleges of India
ZR 0
ZS 0
ZB 0
TC 1
ZA 0
Z8 0
Z9 1
U1 0
U2 1
SN 0971-7587
EI 2248-9509
UT WOS:000505059100010
ER

PT J
AU Barkin, Jodie A.
   Westermann, Amy
   Hoos, William
   Moravek, Cassadie
   Matrisian, Lynn
   Wang, Hongwei
   Shemanski, Lynn
   Barkin, Jamie S.
   Rahib, Lola
TI Frequency of Appropriate Use of Pancreatic Enzyme Replacement Therapy
   and Symptomatic Response in Pancreatic Cancer Patients
SO PANCREAS
VL 48
IS 6
BP 780
EP 786
DI 10.1097/MPA.0000000000001330
PD JUL 2019
PY 2019
AB Objectives Pancreatic cancer (PC) and its treatments can result in
   pancreatic exocrine insufficiency that requires pancreatic enzyme
   replacement therapy (PERT). Appropriate PERT usage is during meals and
   snacks. The aim was to determine the frequency of appropriate use of
   PERT and its impact on symptom alleviation in PC through a
   patient-reported outcomes online platform. Methods Users in the
   Pancreatic Cancer Action Network's Patient Registry were prompted to
   answer a standalone questionnaire about their experience with PERT.
   Results Two hundred sixty-two users completed the PERT questionnaire
   (January 2016-January 2018). Patients who reported taking PERT with
   meals had higher alleviation of symptoms compared with those taking PERT
   prior to or after meals. Specifically, "feeling of indigestion,"
   "light-colored or orange stools," and "visible food particles in stool"
   were significantly decreased. Patients taking PERT with meals reported
   weight gain and less weight loss. Conclusions Of the 89% of PC patients
   prescribed PERT, 65% were prescribed PERT appropriately with all meals
   and snacks. Overall compliance with PERT administration guidelines was
   low (50% [105/208]). Improvement in symptoms significantly correlated
   with appropriate use of PERT. Increase in PC patient and provider
   education about appropriate PERT usage and administration is warranted.
OI Hoos, William/0000-0001-7784-6539; Westermann, Amy/0000-0003-1209-4043
Z8 0
ZS 0
TC 11
ZR 0
ZA 0
ZB 2
Z9 11
U1 0
U2 2
SN 0885-3177
EI 1536-4828
UT WOS:000472654300010
PM 31210656
ER

PT J
AU Pesala, Samuli
   Virtanen, Mikko J.
   Mukka, Milla
   Ylilammi, Kimi
   Mustonen, Pekka
   Kaila, Minna
   Helve, Otto
TI Healthcare professionals' queries on oseltamivir and influenza in
   Finland 2011-2016-Can we detect influenza epidemics with specific online
   searches?
SO INFLUENZA AND OTHER RESPIRATORY VIRUSES
VL 13
IS 4
BP 364
EP 371
DI 10.1111/irv.12640
PD JUL 2019
PY 2019
AB Background Healthcare professionals (HCPs) search medical information
   during their clinical work using Internet sources. In Finland,
   Physician's Databases (PD) serve as an Internet medical portal aimed at
   HCPs. Influenza epidemics appear seasonal outbreaks causing public
   health concern. Oseltamivir can be used to treat influenza. Little is
   known about HCPs' queries on oseltamivir and influenza from dedicated
   online medical portals and whether queries could be used as an
   additional source of information for disease surveillance when detecting
   influenza epidemics. Methods We compared HCPs' queries on oseltamivir
   and influenza from PD to influenza diagnoses from the primary healthcare
   register in Finland 2011-2016. The Moving Epidemic Method (MEM)
   calculated the starts of influenza epidemics. Laboratory reports of
   influenza A and influenza B were assessed. Paired differences compared
   queries, diagnoses, and laboratory reports by using starting weeks.
   Kendall's correlation test assessed the season-to-season similarity.
   Results We found that PD and the primary healthcare register showed
   visually similar patterns annually. Paired differences in the mean
   showed that influenza epidemics based on queries on oseltamivir started
   earlier than epidemics based on diagnoses by -0.80 weeks (95% CI: -1.0,
   0.0) with high correlation (tau = 0.943). Queries on influenza preceded
   queries on oseltamivir by -0.80 weeks (95% CI: -1.2, 0.0) and diagnoses
   by -1.60 weeks (95% CI: -1.8, -1.0). Conclusions HCPs' queries on
   oseltamivir and influenza from Internet medical databases correlated
   with register diagnoses of influenza. Therefore, they should be
   considered as a supplementary source of information for disease
   surveillance when detecting influenza epidemics.
RI Kaila, Minna/; Virtanen, Mikko/; Helve, Otto/; Pesala, Samuli/E-6486-2017
OI Kaila, Minna/0000-0002-9645-4925; Virtanen, Mikko/0000-0003-4120-4432;
   Helve, Otto/0000-0001-6254-3180; Pesala, Samuli/0000-0002-6090-1367
ZR 0
TC 2
ZA 0
ZB 0
ZS 0
Z8 0
Z9 2
U1 0
U2 3
SN 1750-2640
EI 1750-2659
UT WOS:000472569800006
PM 30843371
ER

PT J
AU Chefdeville, E.
   Pages, A. S.
TI Parental management of children's fever: Assessment of knowledge and use
   of health record information
SO ARCHIVES DE PEDIATRIE
VL 26
IS 5
BP 275
EP 281
DI 10.1016/j.arcped.2019.05.011
PD JUL 2019
PY 2019
AB Introduction: To assess parents' knowledge regarding how to deal with
   children's fever in comparison to the updated recommendations published
   in 2016 by the HAS and to collect their views on the fever advice card
   of the 2006 health record to offer suggestions for possible improvements
   in order to disseminate the message.
   Methods: Observational, descriptive, quantitative national study
   conducted with an online questionnaire among adult parents with children
   born between 2006 and 2017 who had a French health record.
   Results: A total of 3295 parents were included from 03/12/2017 to
   04/02/2018. The concordance of knowledge compared to current
   recommendations has improved in 10 years, especially regarding physical
   treatment (31% of parents had all the right answers) and drugs (95%
   paracetamol monotherapy). Shortcomings mainly concern the definition of
   fever, the idea that the temperature is correlated with severity, and
   the lack of knowledge of the sign of severity "age less than 3 months."
   The use of the fever advice card in the health record is limited (33% of
   parents only). They approve by a large majority its promotion and the
   standardization of the message of healthcare professionals.
   Conclusions: The improvement of how parents manage their child's fever
   first requires an update of the knowledge of healthcare professionals to
   homogenize their messages and practices. One of their essential roles is
   to inform parents of the existence of the fever advice card updated in
   the 2018 health record, which most particularly contains information
   that remains poorly known by parents. The health record should be the
   medium of dialogue with families to promote children's health. (C) 2019
   French Society of Pediatrics. Published by Elsevier Masson SAS. All
   rights reserved.
OI Pages, Anne-Sophie/0000-0003-0282-2705
ZB 0
ZA 0
TC 1
Z8 0
ZR 0
ZS 0
Z9 1
U1 0
U2 4
SN 0929-693X
EI 1769-664X
UT WOS:000481563300007
PM 31281035
ER

PT J
AU O'Brien, Emily C.
   Rodriguez, Ana Maria
   Kum, Hye-Chung
   Schanberg, Laura E.
   Fitz-Randolph, Marcy
   O'Brien, Sean M.
   Setoguchi, Soko
TI Patient perspectives on the linkage of health data for research:
   Insights from an online patient community questionnaire
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 127
BP 9
EP 17
DI 10.1016/j.ijmedinf.2019.04.003
PD JUL 2019
PY 2019
AB Objective: To examine the patient perspective on the risks and benefits
   of linking existing data sources for research.
   Materials and methods: Between December 2015 and February 2016, we
   fielded a questionnaire in PatientsLikeMe, an online patient community
   representing over 2500 health conditions. The questionnaire was
   developed using subject matter expertise and patient feedback from a
   concept elicitation phase (N = 57 patients). The final questionnaire
   consisted of 37 items.
   Results: Of n = 5741 who opened the email invitation, n = 3516
   respondents completed the questionnaire (61.2%). Of these, 73.8% were
   women, 86.4% were Caucasian, 14.5% were 65 or older, and 44.9% had
   completed college or post-graduate education. Questionnaire respondents
   indicated that the most important benefits of sharing data were "helping
   my doctor make better decisions about my health" (94%) and "helping make
   new therapies available faster" (94%). The most important data sharing
   risk identified was health data being "stolen by hackers" (87%). Of 693
   patients who were not comfortable with researchers accessing their
   de-identified data, most reported that their comfort levels would
   increase if they were able to learn how their data was protected (84%).
   In general, responders felt more comfortable when unique identifiers
   such as social security number (90%) and insurance ID (82%) were removed
   from the data for linkage and research use.
   Discussion: The majority of patients in a US-based online community are
   comfortable with researchers accessing their de-identified data for
   research purposes.
   Conclusions: Developing methods to link databases minimizing the
   exposure of unique identifiers may improve patient comfort levels with
   linking data for research purposes.
RI Kum, Hye-Chung/ABE-5562-2020; Rodríguez, Ana/GQR-0554-2022; Kum, Hye-Chung/GWN-0869-2022
OI Kum, Hye-Chung/0000-0002-6882-8053; 
TC 15
Z8 0
ZB 4
ZA 0
ZR 0
ZS 0
Z9 15
U1 0
U2 13
SN 1386-5056
EI 1872-8243
UT WOS:000468596800002
PM 31128837
ER

PT J
AU Khurshid, Rukhshan
   Nizami, Naim Ahmad
   Zia, Mudasar
   Mahmood, Maira
   Afzal, Hurriat
   Khanam, Andleeb
TI Perception of Teachers' Knowledge, Attitude and Teaching Skills for
   Promoting Educational Integrity: Views of Government/Private medical
   students
SO PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES
VL 13
IS 3
BP 608
EP 610
PD JUL-SEP 2019
PY 2019
AB Background: Aligning the knowledge of teachers and student may be
   helpful to change the attitudes of students, to lessen the academic
   treachery, and improve the outcomes of student.
   Aim: To find out the view of medical students about the Perception of
   teachers' knowledge, attitude and teaching skills for promoting
   educational integrity.
   Methods: 150 students from Government and 150 students from private
   medical institute were included in the study. A questionnaire based on
   the views of student for their teacher was filled by the students.
   Results: Mean age of both groups of students was 19.00 years. Females
   were more than males. According to students of Govt institute, the
   Characteristics and Qualities of a Teacher were highly scored as
   compared to the views of students of private institute. Survey on
   Students Perspectives of adequacy of medical education also indicate
   that students are highly positive and tried to gain different learning
   method by which they can achieved good knowledge of the subject as
   compared to the students of private institute.
   Conclusion: It is concluded student of Govt institute are more satisfied
   with their instructor compare to student of Private Institute. However,
   further research is needed to explore the efficacy of the instructive
   interventions for endorsing academic integrity and avoiding academic
   misbehavior.
Z8 0
ZA 0
TC 0
ZR 0
ZS 0
ZB 0
Z9 0
U1 0
U2 6
SN 1996-7195
UT WOS:000496818300033
ER

PT J
AU Grov, Christian
   Westmoreland, Drew A.
   Carneiro, Pedro B.
   Stief, Matthew
   MacCrate, Caitlin
   Mirzayi, Chloe
   Pantalone, David W.
   Patel, Viraj V.
   Nash, Denis
TI Recruiting vulnerable populations to participate in HIV prevention
   research: findings from the Together 5000 cohort study
SO ANNALS OF EPIDEMIOLOGY
VL 35
BP 4
EP 11
DI 10.1016/j.annepidem.2019.05.003
PD JUL 2019
PY 2019
AB Purpose: The aim of the article was to examine factors associated with
   completing enrollment milestones in the Together 5000 cohort of at-risk
   men (n = 8661), transmen (n = 53), and transwomen (n = 63) who have sex
   with men.
   Methods: Between 2017 and 2018, participants completed an online
   enrollment survey and were offered opportunities to complete an
   incentivized secondary online survey as well as self-administered
   at-home HIV testing (OraSure). We explored factors associated with
   completing each study component.
   Results: In total, 8777 individuals completed our enrollment survey,
   6166 (70.3%) completed the secondary survey, and 5010 returned the
   at-home HIV test kit that was mailed to them (81.3% of those mailed a
   kit). In our multivariable models, those who were White, with more years
   of education, were more likely to complete study components, although
   the magnitude of these associations was small. For example, 50.9% of
   those enrolled, 47.9% of those completing the secondary survey, and
   46.8% of those completing HIV testing were persons of color a
   statistically significant, but meaningfully insignificant decline.
   Conclusions: These findings highlight the need for researchers to
   identify barriers that may prevent persons of color and younger
   individuals from participating in research studies. (C) 2019 Elsevier
   Inc. All rights reserved.
RI Nash, Denis/AFI-7485-2022; Westmoreland, Drew/GMX-2667-2022; Westmoreland, Drew A/AAX-5412-2021; Nash, Denis/
OI Westmoreland, Drew A/0000-0003-4085-7941; Nash,
   Denis/0000-0002-3280-5386
ZS 0
TC 29
ZA 0
Z8 0
ZR 0
ZB 9
Z9 29
U1 0
U2 3
SN 1047-2797
EI 1873-2585
UT WOS:000476576100002
PM 31182379
ER

PT J
AU Murray, Kieran Edward
   Murray, Timothy Eanna
   O'Rourke, Anna Caroline
   Low, Candice
   Veale, Douglas James
TI Readability and Quality of Online Information on Osteoarthritis: An
   Objective Analysis With Historic Comparison
SO INTERACTIVE JOURNAL OF MEDICAL RESEARCH
VL 8
IS 3
AR e12855
DI 10.2196/12855
PD JUL-SEP 2019
PY 2019
AB Background: Osteoarthritis (OA) is the most common cause of disability
   in people older than 65 years. Readability of online OA information has
   never been assessed. A 2003 study found the quality of online OA
   information to be poor.
   Objective: The aim of this study was to review the readability and
   quality of current online information regarding OA.
   Methods: The term osteoarthritis was searched across the three most
   popular English language search engines. The first 25 pages from each
   search engine were analyzed. Duplicate pages, websites featuring paid
   advertisements, inaccessible pages (behind a pay wall, not available for
   geographical reasons), and nontext pages were excluded. Readability was
   measured using Flesch Reading Ease Score, Flesch-Kincaid Grade Level,
   and Gunning-Fog Index. Website quality was scored using the Journal of
   the American Medical Association (JAMA) benchmark criteria and the
   DISCERN criteria. Presence or absence of the Health On the Net
   Foundation Code of Conduct (HONcode) certification, age of content,
   content producer, and author characteristics were noted.
   Results: A total of 37 unique websites were found suitable for analysis.
   Readability varied by assessment tool from 8th to 12th grade level. This
   compares with the recommended 7th to 8th grade level. Of the 37, 1
   (2.7%) website met all 4 JAMA criteria. Mean DISCERN quality of
   information for OA websites was "fair," compared with the "poor" grading
   of a 2003 study. HONcode-endorsed websites (43%, 16/37) were of a
   statistically significant higher quality.
   Conclusions: Readability of online health information for OA was either
   equal to or more difficult than the recommended level.
OI Veale, Douglas/0000-0003-2802-4971; Orourke, Anna/0000-0002-3259-5390
ZS 2
ZA 0
Z8 0
ZB 2
ZR 0
TC 15
Z9 15
U1 0
U2 1
SN 1929-073X
UT WOS:000488621100005
PM 31538953
ER

PT J
AU Lohse, Barbara
   Prescott, Melissa Pflugh
   Cunningham-Sabo, Leslie
TI Eating Competent Parents of 4th Grade Youth from a Predominantly
   Non-Hispanic White Sample Demonstrate More Healthful Eating Behaviors
   than Non-Eating Competent Parents
SO NUTRIENTS
VL 11
IS 7
AR 1501
DI 10.3390/nu11071501
PD JUL 2019
PY 2019
AB The purpose of this study was to determine if the associations between
   eating competence (EC) and eating behaviors that were found in a USA
   sample of predominantly Hispanic parents of 4th grade youth could be
   replicated in a USA sample of predominantly non-Hispanic white parents
   of 4th graders. Baseline responses from parents (n = 424; 94% white) of
   youth participating in a year-long educational intervention were
   collected using an online survey. Validated measures included the Satter
   Eating Competence Inventory (ecSI 2.0 (TM)), in-home fruit/vegetable
   (FV) availability, healthful eating behavior modeling, and FV
   self-efficacy/outcome expectancies (SE/OE). Data were analyzed with
   general linear modeling and cluster analyses. The findings replicated
   those from the primarily Hispanic sample. Of the 408 completing all ecSI
   2.0 (TM) items, 86% were female, 65% had a 4-year degree or higher, and
   53% were EC (ecSI 2.0 (TM) score >= 32). Compared with non-EC parents,
   EC modeled more healthful eating, higher FV SE/OE, and more in-home FV
   availability. Behaviors clustered into those striving toward more
   healthful practices (strivers; n = 151) and those achieving them
   (thrivers; n = 255). Striver ecSI 2.0 (TM) scores were lower than those
   of thrivers (29.6 +/- 7.8 vs. 33.7 +/- 7.6; p < 0.001). More EC parents
   demonstrated eating behaviors associated with childhood obesity
   prevention than non-EC parents, encouraging education that fosters
   parent EC, especially in tandem with youth nutrition education.
OI Lohse, Barbara/0000-0002-9959-9038; Prescott,
   Melissa/0000-0002-6317-6674
TC 5
Z8 0
ZA 0
ZR 0
ZB 1
ZS 0
Z9 5
U1 0
U2 4
EI 2072-6643
UT WOS:000478885400102
PM 31262065
ER

PT J
AU Grzych, Guillaume
   Schraen-Maschke, Susanna
TI Interactive pedagogic tools: evaluation of three assessment systems in
   medical education
SO ANNALES DE BIOLOGIE CLINIQUE
VL 77
IS 4
BP 429
EP 435
DI 10.1684/abc.2019.1464
PD JUL-AUG 2019
PY 2019
AB Training in biology, pharmacy and medicine are essential in laboratory
   medicine in faculty and especially with recent residency modifications.
   Active learning improves critical thinking and is an essential component
   of health education. Interactive assessment systems for the interactive
   participation of students have emerged. Recently, many offers of
   audience response system (ARS) accessible by personal electronic devices
   such as smartphone, tablet or computer are available. These systems seem
   to be an effective teaching innovation according to students. We aimed
   to evaluate three pedagogical tools during real school lectures in order
   to be able to select them according to the needs: Votar, Socrative and
   Wooclap. Methods: Three connected participation tools will be tested
   during teaching at Lille University, faculty of pharmacy by 3 different
   teachers. 75 fifth-year pharmacy students divided into 2 groups of
   students will have attended at least one session using each of the
   systems studied. After lessons, an online questionnaire with 9 questions
   was submitted to students on their interest in each system. Questions
   measured student perception using a 1 to 10 scale. Results and
   discussion: 62 of 75 students completed online surveys and were included
   in the study. According students, ARS by smartphone or computer improve
   their education. Favorite application seems to be Socrative and Wooclap.
   This study provides student perception comparison of ARS. To complete,
   additional studies are needed to establish their efficacy after several
   month.
RI GRZYCH, Guillaume/C-8094-2019; Grzych, Guillaume/
OI Grzych, Guillaume/0000-0003-2813-0109
TC 4
ZS 1
ZB 1
ZR 0
Z8 0
ZA 0
Z9 5
U1 1
U2 15
SN 0003-3898
EI 1950-6112
UT WOS:000481616600012
PM 31418704
ER

PT J
AU Tapp, Alan
   Nancarrow, Clive
   Morey, Yvette
   Warren, Stella
   Bowtell, Nicola
   Verne, Julia
TI Public responses to volunteer community care: Propositions for old age
   and end of life
SO PLOS ONE
VL 14
IS 7
AR e0218597
DI 10.1371/journal.pone.0218597
PD JUL 1 2019
PY 2019
AB Background
   Funding shortages and an ageing population have increased pressures on
   state or insurance funded end of life care for older people. Across the
   world, policy debate has arisen about the potential role volunteers can
   play, working alongside health and social care professionals in the
   community to support and care for the ageing and dying.
   Aims
   The authors examined self-reported levels of care for the elderly by the
   public in England, and public opinions of community volunteering
   concepts to care for the elderly at the end of life. In particular,
   claimed willingness to help and to be helped by local people was
   surveyed.
   Methods
   A sample of 3,590 adults in England aged 45 or more from an online
   access panel responded to a questionnaire in late 2017. The survey data
   was weighted to be representative of the population within this age
   band. Key literature and formative qualitative research informed the
   design of the survey questionnaire, which was further refined after
   piloting.
   Results
   Preferences for different models of community volunteering were
   elicited. There was a preference for 'formal' models with increased
   wariness of 'informal' features. Whilst 32% of adults said they 'might
   join' depending on whom the group helped, unsurprisingly more personal
   and demanding types of help significantly reduced the claimed
   willingness to help. Finally, willingness to help (or be helped) by
   local community carers or volunteers was regarded as less attractive
   than care being provided by personal family, close friends or indeed
   health and care professionals.
   Conclusion
   Findings suggest that if community volunteering to care for elderly
   people at the end of life in England is to expand it may require
   considerable attention to the model including training for volunteers
   and protections for patients and volunteers as well as public education
   and promotion. Currently, in England, there is a clear preference for
   non-medical care to be delivered by close family or social care
   professionals, with volunteer community care regarded only as a back-up
   option.
Z8 0
ZB 1
ZS 0
TC 2
ZA 0
ZR 0
Z9 2
U1 1
U2 7
SN 1932-6203
UT WOS:000484918700017
PM 31260482
ER

PT J
AU Gulati, Ankush
   Schwarzlmuller, Thomas
   du Plessis, Elsa
   Softeland, Eirik
   Gray, Robert, Jr.
   Biermann, Martin
TI Evaluation of a new e-learning framework for teaching nuclear medicine
   and radiology to undergraduate medical students
SO ACTA RADIOLOGICA OPEN
VL 8
IS 7
AR 2058460119860231
DI 10.1177/2058460119860231
PD JUL 2019
PY 2019
AB Background Radiology and nuclear medicine have traditionally been taught
   in a series of lectures and seminars concluded by an examination testing
   knowledge rather than skills. Purpose To emphasize skills in the
   students' learning process, we developed and evaluated a new e-learning
   framework for teaching medical imaging. Material and Methods The
   framework consists of electronic lectures, a learning management system
   (LMS), and a diagnostic viewing system. Students were to review positron
   emission tomography/computed tomography (PET/CT) examinations of five
   cases of lung cancer. The framework was evaluated in an objective
   structured clinical examination (OSCE) taken by 139 undergraduate
   students at the end of their third year, and in a comparative survey of
   two groups of 85 and 84 students in the fifth and sixth year who were
   taught the same oncology course with and without mandatory PET/CT
   exercises, respectively. Results Of the 139 third-year students, 134
   (96%) passed the OSCE PET/CT station according to the predefined
   criteria. While 85/85 (100%) of the fifth-year students had taken
   exercises when they were mandatory, only 2/84 (2%) of the sixth-year
   students had reviewed the cases on a voluntary basis (P < 0.001). Of the
   25 survey responders in the fifth year, 24 (96%) agreed that the
   mandatory PET/CT exercises had promoted their learning while the
   sixth-year students, whose course concluded with a multiple-choice
   examination, emphasized the utility of online lectures. Conclusion The
   new e-learning framework teaches students basic competency in PET/CT
   navigation and interpretation and is associated with a high degree of
   student satisfaction.
RI Biermann, Martin/AAM-8791-2020; Gray, Jr., Robert M./; Softeland, Eirik/
OI Biermann, Martin/0000-0002-5550-1035; Gray, Jr., Robert
   M./0000-0002-9834-1676; Softeland, Eirik/0000-0002-2638-9048
ZS 0
ZB 0
ZA 0
TC 7
ZR 0
Z8 0
Z9 7
U1 0
U2 0
EI 2058-4601
UT WOS:000487507000001
PM 31360540
ER

PT J
AU Gayed, Aimee
   Bryan, Bridget T.
   LaMontagne, Anthony D.
   Milner, Allison
   Deady, Mark
   Calvo, Rafael A.
   Mackinnon, Andrew
   Christensen, Helen
   Mykletun, Arnstein
   Glozier, Nicholas
   Harvey, Samuel B.
TI A Cluster Randomized Controlled Trial to Evaluate HeadCoach An Online
   Mental Health Training Program for Workplace Managers
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 61
IS 7
BP 545
EP 551
DI 10.1097/JOM.0000000000001597
PD JUL 2019
PY 2019
AB Objective: Mental ill-health is now the leading cause of sickness
   absence and occupational incapacity in high-income countries. This study
   evaluated HeadCoach online manager training, designed to improve
   confidence, and managerial behaviors that create mentally healthy
   workplaces. Methods: A cluster randomized controlled trial was conducted
   comparing managers who received HeadCoach (N = 87) to waitlist control
   (N = 123). Managers' confidence and behavior were investigated at
   baseline, postintervention, and follow-up. Psychological distress of
   direct reports was evaluated. Results: Confidence significantly
   increased postintervention only; however, per-protocol analyses
   indicated a significant improvement for program completers compared with
   control at both time points. Responsive and preventive behaviors
   significantly improved. Psychological distress of direct reports
   remained unchanged. Conclusions: HeadCoach online mental health training
   is an effective and scalable way to improve managers' confidence and
   workplace practices around mental health. The impact on direct reports
   remains unknown.
RI LaMontagne, Anthony Daniel/AAX-3285-2021; Christensen, Helen/F-5053-2012; Harvey, Samuel/; Glozier, Nick/; Bryan, Bridget/
OI LaMontagne, Anthony Daniel/0000-0002-5811-5906; Christensen,
   Helen/0000-0003-0435-2065; Harvey, Samuel/0000-0001-9580-3743; Glozier,
   Nick/0000-0002-0476-9146; Bryan, Bridget/0000-0002-7232-2717
TC 10
ZA 0
ZB 2
ZR 0
ZS 0
Z8 0
Z9 10
U1 0
U2 4
SN 1076-2752
EI 1536-5948
UT WOS:000480785100006
PM 31045851
ER

PT J
AU Schwatka, Natalie V.
   Tenney, Liliana
   Dally, Miranda
   Brockbank, Claire V. S.
TI Health Risk Calculator An Online, Interactive Tool to Estimate how
   Health Impacts Workers' Compensation Claim Incidence and Cost
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 61
IS 7
BP 597
EP 604
DI 10.1097/JOM.0000000000001619
PD JUL 2019
PY 2019
AB Objective: The purpose of this paper is to describe and evaluate a
   web-based, educational Health Risk Calculator that communicates the
   value of investing in employee health and well-being for the prevention
   of workrelated injuries, illnesses, and fatalities. Methods: We
   developed and evaluated the calculator following the RE-AIM framework.
   We assessed effectiveness via focus groups (n = 15) and a post-use
   survey (n = 33) and reach via website analytics. Results: We observed
   evidence for the calculator's usability, educational benefit, and
   encouragement of action to improve worker health and safety. Website
   analytics data demonstrated that we reached over 300 users equally in
   urban and rural areas within 3 months after launch. Conclusion: We urge
   researchers to consider the ways in which they can communicate their
   empirical research findings to their key stake-holders and to evaluate
   their communication efforts.
OI Schwatka, Natalie/0000-0002-3768-9572
TC 1
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
Z9 1
U1 0
U2 3
SN 1076-2752
EI 1536-5948
UT WOS:000480785100012
PM 31022100
ER

PT J
AU Siddiqui, Shahla
   Tee, Lik Han
TI What Intensivists Say About an Opt-Out System for Organ Donation
SO TRANSPLANTATION PROCEEDINGS
VL 51
IS 6
BP 1651
EP 1654
DI 10.1016/j.transproceed.2019.05.017
PD JUL-AUG 2019
PY 2019
AB Background. Singapore has had an opt-out organ donation system since the
   inception of the Human Organ Transplant Act in 2009. This law allows all
   Singapore citizens and permanent residents to donate their organs after
   confirmation of brain death, usually in the setting of devastating brain
   injury or stroke in an intensive care unit (ICU) setting, and such cases
   are referred to the National Organ Transplant Unit team by intensivists
   after the presumed clinical brain stem death testing. The further
   confirmatory tests, coordination with surgeons to find suitable
   recipients, and communication with family members is then carried out by
   the transplant coordinators from the National Organ Transplant Unit and
   not the clinicians. Despite a decade of the institution of the Act, the
   rates of organ donation remain low. This survey is the first aimed to
   assess the concerns and recommendations of the intensivists in
   Singapore.
   Methods. This was an anonymous survey sent to 120 intensivists
   registered in Singapore with a 58% response rate. The survey included 14
   open-ended questions. The respondents included both private and public
   sector intensivists. A qualitative analysis was carried out to analyze
   the emergent themes from the survey.
   Results. A total of 79% of the respondents mentioned raising awareness
   through publicity, education, and advertising; 34% mentioned educating
   physicians and engaging ICU physicians in further planning of the organ
   transplant program in Singapore; 35% felt that publicizing more real
   stories of recipients would help. Generally, there was unease at the
   opt-out system infringing basic rights.
   Conclusion. This is the first survey to elicit the responses of the
   referring physicians for organ transplant. Their opinions suggest that a
   wider awareness and buy-in is needed both by the public and the ICU
   physicians, and addressing their valid moral concerns is essential in
   bridging this gap.
TC 0
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
Z9 0
U1 0
U2 4
SN 0041-1345
EI 1873-2623
UT WOS:000482696500003
PM 31399156
ER

PT J
AU Tesser, Charles Dalcanale
   Ocampo More, Ari Ojeda
   Santos, Melissa Costa
   Cunha da Silva, Emiliana Domingues
   Pelachini Farias, Fatima Terezinha
   Botelho, Lucio Jose
TI Auriculotherapy in primary health care: A large-scale educational
   experience in Brazil
SO JOURNAL OF INTEGRATIVE MEDICINE-JIM
VL 17
IS 4
BP 302
EP 309
DI 10.1016/j.joim.2019.03.007
PD JUL 2019
PY 2019
AB Auriculotherapy consists of physical stimuli applied to the outer ear
   and is commonly associated with traditional Chinese medicine (TCM). The
   authors present and discuss the development of a course that offers a
   semi-on-site auriculotherapy course for Brazilian primary health care
   (PHC) professionals. The course was funded by the Brazilian Ministry of
   Health and developed at the Federal University of Santa Catarina in 2015
   by a team of experts in auriculotherapy. It consisted of 75 h of
   distance learning (five sequential modules) and 5 h of on-site learning.
   The modules included the following items: (1) introduction to
   integrative practices; (2) ear reflexology; (3) introduction to TCM; (4)
   biomedical view of auriculotherapy; and (5) auriculotherapy in PHC. The
   teaching material included a workbook for each module, 14 video lectures
   and an interactive ear (online resource) to study location and
   application to the main auricular points. The on-site lectures follow a
   structured script of ear palpation techniques, auricular seed insertion
   practice and clinical case discussions, under the supervision of trained
   instructors. The course was offered in 2016 and 2017 and on-site
   lectures took place in 25 cities, covering all Brazilian regions, in
   coordination with municipal or state boards of health. A total of 4273
   health professionals concluded the training and their evaluation of the
   course was highly positive. The Brazilian experience of large-scale
   training shows the potential to disseminate auriculotherapy in the
   context of PHC, given that its practice is fast, easy to learn, safe,
   effective for different health problems and well accepted by the
   patients. (C) 2019 Shanghai Changhai Hospital. Published by Elsevier
   B.V. All rights reserved.
RI Moré, Ari O/J-3642-2014
OI Moré, Ari O/0000-0003-4073-4087
ZA 0
ZS 2
ZR 0
ZB 0
TC 3
Z8 0
Z9 5
U1 2
U2 11
SN 2095-4964
UT WOS:000472160400010
PM 31076373
ER

PT J
AU Karsy, Michael
   Henderson, Fraser, Jr.
   Tenny, Steven
   Guan, Jian
   Amps, Jeremy W.
   Friedman, Allan H.
   Spiotta, Alejandro M.
   Patel, Sunil
   Kestle, John R. W.
   Jensen, Randy L.
   Couldwell, William T.
TI Attitudes and opinions of US neurosurgical residents toward research and
   scholarship: a national survey
SO JOURNAL OF NEUROSURGERY
VL 131
IS 1
BP 252
EP 263
DI 10.3171/2018.3.JNS172846
PD JUL 2019
PY 2019
AB OBJECTIVE The analysis of resident research productivity in neurosurgery
   has gained significant recent interest. Resident scholarly output
   affects departmental productivity, recruitment of future residents, and
   likelihood of future research careers. To maintain and improve
   opportunities for resident research, the authors evaluated factors that
   affect resident attitudes toward neurosurgical research on a national
   level.
   METHODS An online survey was distributed to all US neurosurgical
   residents. Questions assessed interest in research, perceived
   departmental support of research, and resident-perceived limitations in
   pursuing research. Residents were stratified based on number of
   publications above the median (AM; >= 14) or below the median (BM; < 14)
   for evaluation of factors influencing productivity.
   RESULTS A total of 278 resident responses from 82 US residency programs
   in 30 states were included (a 20% overall response rate). Residents
   predominantly desired future academic positions (53.2%), followed by
   private practice with some research (40.3%). Residents reported a mean
   +/- SD of 11 +/- 14 publications, which increased with postgraduate year
   level. The most common type of research involved retrospective cohort
   studies (24%) followed by laboratory/bench-top (19%) and case reports
   (18%). Residents as a group spent on average 14.1 +/- 18.5 hours (median
   7.0 hours) a week on research. Most residents (53.6%) had >= 12 months
   of protected research time. Mentorship (92.4%), research exposure
   (89.9%), and early interest in science (78.4%) had the greatest impact
   on interest in research while the most limiting factors were time
   (91.0%), call scheduling (47.1%), and funding/grants (37.1%). AM
   residents cited research exposure (p = 0.003), neurosurgery conference
   exposure (p = 0.02), formal research training prior to residency (p =
   0.03), internal funding sources (p = 0.05), and software support (p =
   0.02) as most important for their productivity. Moreover, more
   productive residents applied and received a higher number of < $10,000
   and >= $10,000 grants (p < 0.05). A majority of residents (82.4%) agreed
   or strongly agreed with pursuing research throughout their professional
   careers. Overall, about half of residents (49.6%) were encouraged toward
   continued neurosurgical research, while the rest were neutral (36.7%) or
   discouraged (13.7%). Free-text responses helped to identify solutions on
   a departmental, regional, and national level that could increase
   interest in neurosurgical research.
   CONCLUSIONS This survey evaluates various factors affecting resident
   views toward research, which may also be seen in other specialties.
   Residents remain enthusiastic about neurosurgical research and offer
   several solutions to the ever-scarce commodities of time and funding
   within academic medicine.
RI Karsy, Michael/AAH-8583-2020; Tenny, Steven/; Guan, Jian/
OI Karsy, Michael/0000-0002-0422-7937; Tenny, Steven/0000-0002-5547-2262;
   Guan, Jian/0000-0002-4762-7113
ZR 0
ZS 0
TC 16
ZA 0
ZB 5
Z8 0
Z9 16
U1 0
U2 1
SN 0022-3085
EI 1933-0693
UT WOS:000475838400032
PM 30117774
ER

PT J
AU Grassi, M. C.
   Sansone, A.
   Basili, S.
   Ferketich, A. K.
TI Knowledge of nicotine dependence and treatment in clinical practice
   improved after an e-learning course among medical students
SO CLINICA TERAPEUTICA
VL 170
IS 4
BP E252
EP E257
DI 10.7417/CT.2019.2143
PD JUL-AUG 2019
PY 2019
AB Objective. Tobacco smoking is the leading cause of preventable death in
   developed countries and smokers should be encouraged to quit. Physicians
   are instrumental in this, but recent reports suggest inadequate training
   in medical school. We aimed to assess the knowledge of nicotine
   dependence and its treatment among Italian medical students.
   Study design. Prospective observational study.
   Methods. We developed an online course consisting of 11 Didactic Modules
   (6 for Tobacco Dependence I, TDI, and 5 for TDII) on nicotine dependence
   and treatment. The course was administered to 4th and 5th year medical
   students in Italy in Academic Years 2016-17 (Course A) and 2017-18
   (Course B). A validated questionnaire was used before and after each
   part in order to measure knowledge of smoking epidemiology, health
   effects and benefits of giving up smoking ("Score 1", TDI), and
   effectiveness of cessation treatments ("Score 2", TDII).
   Results. 324 students took both TDI and TDII and completed all
   questionnaires (Course A, n = 245; Course B, n = 79). 55 students were
   current smokers (17%). A significant increase in score 1 and 2 was
   observed at the end of both TDI (pre-course 47.2 +/- 13.1, post-course
   66.0 +/- 12.3, p < 0.0001) and TDII (pre-course 55.6 +/- 11.5,
   post-course 68.1 +/- 10.9, p < 0.0001). The prevalence of students
   wishing for a smoke-free medical school significantly increased between
   the beginning of TDI (74.4%, 241/324) and the end of TDII (88%, 285/324;
   p < 0.0001).
   Conclusions. This e-learning course has proven to be an effective tool
   in teaching students on nicotine dependence and treatment.
RI Grassi, Maria Caterina/D-5058-2009; Sansone, Andrea/H-6451-2016
OI Grassi, Maria Caterina/0000-0002-8022-0526; Sansone,
   Andrea/0000-0002-1210-2843
ZB 1
TC 6
ZA 0
ZR 0
Z8 0
ZS 0
Z9 6
U1 0
U2 2
SN 0009-9074
EI 1972-6007
UT WOS:000483022000006
PM 31304511
ER

PT J
AU Sheats, M. K.
   Royal, K.
   Kedrowicz, A.
TI Using readability software to enhance the health literacy of equine
   veterinary clients: An analysis of 17 American Association of Equine
   Practitioners' newsletter and website articles
SO EQUINE VETERINARY JOURNAL
VL 51
IS 4
BP 552
EP 555
DI 10.1111/evj.13042
PD JUL 2019
PY 2019
AB Background Veterinarians often provide supplemental healthcare
   information to horse owners via newsletters and website articles.
   However, articles written above the reading level of the intended
   audience contributes to misunderstanding. To ensure that the text in
   equine healthcare articles and brochures is consistent with the literacy
   of clients, veterinarians can adopt guidelines set forth by the National
   Institutes of Health (NIH) and the American Medical Association (AMA)
   for a target 6th grade readability level. Objectives The goal of this
   study was to evaluate the readability levels of a sample of American
   Association of Equine Practitioners' (AAEP) newsletter and website
   articles prepared expressly for veterinarians to download and share with
   their clients. Examples from these handouts are used to illustrate
   principles and techniques veterinary professionals can use to align
   their writing with the literacy of their intended audience. Study design
   Software-based readability analysis of 17 AAEP newsletter and website
   articles. Methods A free online readability calculator was used to
   generate a consensus grade level readability score for 17 downloadable
   AAEP veterinary newsletter and website articles. Results Sixteen of 17
   articles were written above the recommended 6th grade reading level.
   Main limitations We propose that a 6th grade readability level, as set
   forth by the AMA, is a reasonable target for the diverse population that
   makes up veterinary clients; however, there is currently no research
   that establishes this target for veterinary clients and the American
   Veterinary Medical Association (AVMA) has yet to issue a consensus
   statement on the subject. Conclusions Awareness of the issue of client
   literacy and use of tools such as readability analysis software can help
   veterinarians provide clients with 'easy-to-read' written materials that
   deliver a message that clients can comprehend, thus improving their
   health literacy and empowering them as partners in the veterinary-client
   relationship.
RI Sheats, M. Katie/AAF-8663-2020; Kedrowicz, April/; Royal, Kenneth/E-6355-2017
OI Sheats, M. Katie/0000-0002-5270-4566; Kedrowicz,
   April/0000-0002-6464-2294; Royal, Kenneth/0000-0002-5508-1480
ZB 1
ZA 0
ZS 0
ZR 0
TC 7
Z8 0
Z9 7
U1 0
U2 6
SN 0425-1644
EI 2042-3306
UT WOS:000474075200022
PM 30447160
ER

PT J
AU Miranda, Patricia
   Moleiro, Pascoal
   Gaspar, Pedro
   Luz, Alexandra
TI Contraception for Adolescents: Knowledge and Practices in Portugal
SO ACTA MEDICA PORTUGUESA
VL 32
IS 7-8
BP 505
EP 513
DI 10.20344/amp.11088
PD JUL-AUG 2019
PY 2019
AB Introduction: Adolescents are a target group for reproductive health
   intervention. Family physicians, gynecologists and pediatricians are the
   main providers of contraceptive counseling.
   Material and Methods: Correlational, cross-sectional study, approved by
   the ethics committee of Leiria Hospital, Portugal. Data was collected
   through a validated online questionnaire (Cronbach's alpha and
   Exploratory Factorial Analysis) using a semantic differential scale (1 -
   Totally Agree; 5 - Totally Disagree). Higher scores were indicative of
   greater knowledge or suitability concerning the matter in question.
   Results were compared by gender, specialty, years of career and rank:
   consultant or resident.
   Results: We received 338 responses (51% family physicians, 29%
   pediatricians, 20% gynecologists), 66% were specialists, 36% had been
   working for less than 5 years and 17% for more than 20 years. Awareness
   of national recommendations was higher in gynecologists [4.38 (1.09)]
   and in the female gender [3.65 (1.41)] with statistically significant
   differences. Gynecologists had more recent training [3.79 (1.42)] and
   considered themselves to be up-to-date [4.41 (0.70)], p < 0.001.
   Discussion: The questionnaire showed reliability and validity.
   Gynecologists were more familiarized with adolescent contraception;
   pediatricians and young clinicians highlighted the need for an update on
   this matter. Gynecologists had more training and considered themselves
   up-to-date, so training in this area seems to have a positive impact.
   Conclusion: Knowledge about contraceptive counseling is not yet
   sufficient, so it is very important to invest in the continuous medical
   education of clinicians.
RI Gaspar, Pedro/AAF-7404-2022; Gaspar, Pedro/AFK-0411-2022
ZA 0
ZS 0
ZB 0
ZR 0
Z8 0
TC 1
Z9 1
U1 0
U2 1
SN 1646-0758
UT WOS:000478088900006
PM 31445530
ER

PT J
AU Gardner, Aimee K.
   Dunkin, Brian J.
TI Pursuing Excellence The Power of Selection Science to Provide Meaningful
   Data and Enhance Efficiency in Selecting Surgical Trainees
SO ANNALS OF SURGERY
VL 270
IS 1
BP 188
EP 192
DI 10.1097/SLA.0000000000002806
PD JUL 2019
PY 2019
AB Introduction: As current screening methods for selecting surgical
   trainees are receiving increasing scrutiny, development of a more
   efficient and effective selection system is needed. We describe the
   process of creating an evidence-based selection system and examine its
   impact on screening efficiency, faculty perceptions, and improving
   representation of underrepresented minorities.
   Methods: The program partnered with an expert in organizational science
   to identify fellowship position requirements and associated
   competencies. Situational judgment tests, personality profiles,
   structured interviews, and technical skills assessments were used to
   measure these competencies. The situational judgment test and
   personality profiles were administered online and used to identify
   candidates to invite for on-site structured interviews and skills
   testing. A final rank list was created based on all data points and
   their respective importance. All faculty completed follow-up surveys
   regarding their perceptions of the process. Candidate demographic and
   experience data were pulled from the application website.
   Results: Fifty-five of 72 applicants met eligibility requirements and
   were invited to take the online assessment, with 50 (91%) completing it.
   Average time to complete was 42 +/- 12 minutes. Eighteen applicants
   (35%) were invited for on-site structured interviews and skills
   testing-a greater than 50% reduction in number of invites compared to
   prior years. Time estimates reveal that the process will result in a
   time savings of 68% for future iterations, compared to traditional
   methodologies. Fellowship faculty (N = 5) agreed on the value and
   efficiency of the process. Underrepresented minority candidates
   increased from an initial 70% to 92% being invited for an interview and
   ranked using the new screening tools.
   Discussion: Applying selection science to the process of choosing
   surgical trainees is feasible, efficient, and well-received by faculty
   for making selection decisions.
ZS 0
ZB 0
TC 10
ZR 0
Z8 0
ZA 0
Z9 10
U1 1
U2 2
SN 0003-4932
EI 1528-1140
UT WOS:000480733100040
PM 29727333
ER

PT J
AU Feindel, Andrea
   Rosenberg, Gerrit
   Steinhaeuser, Jost
   Mozr, Cornelia
   Goetz, Katja
TI Primary care practice assistants' attitudes towards tasking shifting and
   their perceptions of the challenges of task shifting - Development of a
   questionnaire
SO HEALTH & SOCIAL CARE IN THE COMMUNITY
VL 27
IS 4
BP E323
EP E333
DI 10.1111/hsc.12736
PD JUL 2019
PY 2019
AB Shifting tasks from medical staff to non-medical staff is a common
   practice for promoting the efficient use of healthcare resources. The
   aim of this study was to develop and pilot test a questionnaire that
   evaluates practice assistants' attitudes towards task shifting and their
   perceptions of the challenges of task shifting (acronym: ACD
   questionnaire) and to assess the psychometric properties of the
   questionnaire. The development and pilot testing of the questionnaire
   occurred from March 2016 to March 2017 and was based on guided and
   cognitive interviews with practice assistants. Then, an online survey
   was conducted throughout Germany from June to August 2017 to determine
   the questionnaire's psychometric properties. A factorial analysis was
   conducted via principal component analysis, and reliability was assessed
   using Cronbach's alpha. The questionnaire included four themes: "working
   conditions and job satisfaction", "confidence to execute delegated
   tasks", "excessive demands associated with executing delegated tasks"
   and "relevance of task shifting for patient care". A total of 274
   practice assistants with an average age of 38.2 years participated in
   the online survey. Each theme included components that showed good to
   very good reliability (Cronbach's alpha 0.64-0.91). The ACD
   questionnaire provides a way, for the first time, to evaluate delegable
   tasks, including practice assistants' attitudes towards task shifting
   and their perceptions of the challenges generated by these tasks. The
   questionnaire also indicates which components of practice assistants'
   professional training should be intensified.
ZR 0
ZA 0
TC 2
Z8 0
ZB 0
ZS 0
Z9 2
U1 0
U2 3
SN 0966-0410
EI 1365-2524
UT WOS:000471832800014
PM 30834640
ER

PT J
AU Faleiros, Fabiana
   Warschausky, Seth
   Kappler, Christoph
   Schutt, William
   Cintra, Michel M.
   Rabeh, Soraia A. N.
   Gimenes, Fernanda R. E.
TI Bladder Self-management in the Transition to Adulthood With Spina Bifida
   in 3 Countries A Comparative Study
SO JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING
VL 46
IS 4
BP 321
EP 326
DI 10.1097/WON.0000000000000545
PD JUL-AUG 2019
PY 2019
AB PURPOSE: The purpose of this study was to evaluate bladder
   self-management in transition to adult care for patients with spina
   bifida (SB) in 3 countries with similar clinical practice and different
   social, cultural, and economic milieu.
   STUDY DESIGN: Cross-sectional study.
   SUBJECTS AND SETTING: The sample comprised 90 participants: 27 reside in
   Brazil, 36 reside in Germany, and 27 reside in the United States.
   Demographic characteristics of the sample are based on country. The
   distribution of sex in the Brazilian sample was 18 males and 9 females,
   the German group had 11 males and 25 females, and the United States
   group had 8 males and 19 females. The age range of the cumulative sample
   was 13 to 29 years. The age of the German sample (mean 23.56, standard
   deviation [SD] 4.60 years) was significantly higher (analysis of
   variance, F-(2,F- 87) = 13.62, P < .001) than the other 2 groups (Brazil
   mean 20.56 years, SD 5.24; US mean 19.44 years, SD 4.70).
   METHODS: Demographic, clinical, and social variable data were collected
   via an online questionnaire distributed to multiple regions of Germany
   and a multidisciplinary myelomeningocele clinic at the University of
   Michigan in the Midwestern United States. In Brazil, participants
   completed a printed version of the survey. In Germany and the United
   States, an electronic version of the survey was made available online.
   German and English versions of the survey, originally developed in
   Portuguese for persons residing in Brazil, were translated and
   validated.
   RESULTS: The majority of participants (94.4%) performed intermittent
   catheterization (IC), 76.5% performed IC independently, whereas 23.5%
   required assistance with IC or catheterized with aids (handles, leg
   spreaders, and penis or labia holder). There were no statistically
   significant group differences in independent self-catheterization by
   gender. There were significant national group differences in level of
   lesion (P = .016), use of shunt (P =. 012), and medication for bladder
   management (P < .001). Among participants 18 years and older, there were
   significantly higher levels of education in the German and the US
   samples than in the Brazilian sample (P < .001).
   CONCLUSIONS: Although there were national group differences in medical
   characteristics and management of SB, differences in independent
   self-catheterization were not significant. Findings suggest that support
   from family/caregivers and health care providers appears to facilitate
   transition to independent self-care, regardless of national context.
RI Faleiros, FABIANA/F-6038-2013; Gimenes, Fernanda Raphael Escobar/F-6692-2012; Kappler, Christoph/F-9865-2019
OI Faleiros, FABIANA/0000-0003-3723-7944; Gimenes, Fernanda Raphael
   Escobar/0000-0002-5174-112X; Kappler, Christoph/0000-0002-3154-3134
ZB 2
ZR 0
ZS 0
TC 7
ZA 0
Z8 0
Z9 7
U1 0
U2 4
SN 1071-5754
EI 1528-3976
UT WOS:000480718600011
PM 31274863
ER

PT J
AU Hildebrandt, Natalie
   Tipold, Andrea
   Schaper, Elisabeth
TI Studying veterinary medicine as a parent - status quo and possibilities
   how to improve the compatibility of family life and studies
SO BERLINER UND MUNCHENER TIERARZTLICHE WOCHENSCHRIFT
VL 132
IS 7-8
BP 377
EP 389
DI 10.2376/0005-9366-18026
PD JUL-AUG 2019
PY 2019
AB In Germany, the majority of veterinary students is female. At the
   University of Veterinary Medicine Hannover, Foundation, students with
   children are enrolled in the undergraduate and doctoral programs.
   Therefore, the aim of the current study was to determine if and to what
   extent digital teaching material can improve the compatibility between
   family life and studies. The current study is divided into a qualitative
   and a quantitative part. The qualitative part consists of guided
   individual interviews with students with children at the University of
   Veterinary Medicine Hannover, as well as focus group surveys of all
   students enrolled in different years. The quantitative part comprises
   two online surveys with veterinary students in Germany and veterinarians
   working in the different fields of the profession asked to
   retrospectively evaluate the compatibility between family life and
   studies. Surveys and interviews included questions about personal
   circumstances and digital teaching material. The present study shows
   that the learning environment still needs improvement, despite all the
   support the university already offers to students with children.
   Interview partners and survey respondents revealed the best time for
   family planning during studies between the fifth and the eighth semester
   and during doctoral studies. The high workload, the lack of flexibility
   in terms of mandatory seminars and practical training courses are
   considered to be problematic for all veterinary students, not only for
   students with children. The results suggest that digital complementary
   teaching material can contribute to increase the flexibility of students
   in terms of time and space. The majority of all veterinary students
   questioned in the present study specified that digital teaching material
   is a useful supplement for physical attendance and supports independent
   studying. In almost all cases students are able to make use of
   e-learning material. Students acknowledge the possibility to review
   lessons as exam preparation or catch up on missed lessons. This is
   particularly useful for students with children, since they primarily
   learn in the evening hours at home between 10 and 12 o'clock (n = 24).
   The complementary use of digital teaching in veterinary education should
   be further developed, since all students can benefit from the advantages
   and consequently the whole program could be improved.
ZR 0
ZB 1
Z8 0
ZA 0
TC 1
ZS 0
Z9 1
U1 0
U2 6
SN 0005-9366
EI 1439-0299
UT WOS:000476575600005
ER

PT J
AU Cunningham, Barbara Jane
   Daub, Olivia May
   Cardy, Janis Oram
TI Barriers to implementing evidence-based assessment procedures:
   Perspectives from the front lines in pediatric speech-language pathology
SO JOURNAL OF COMMUNICATION DISORDERS
VL 80
BP 66
EP 80
DI 10.1016/j.jcomdis.2019.05.001
PD JUL-AUG 2019
PY 2019
AB Purpose: This practice-based research study was a collaborative effort
   between researchers and speech-language pathologists (SLPs). The purpose
   of the study was to assess SLPs' perceptions of barriers for two new
   evidence-based assessment procedures to be implemented in practice.
   Procedures were for (1) program-level outcome monitoring and (2)
   individual vulnerability testing for children who are deaf or hard of
   hearing. These procedures were summarized for clinicians in an online
   learning module.
   Method: After finishing the online learning module, SLPs completed
   electronic surveys to identify perceived barriers to implementation.
   Fifty-four SLPs completed an online survey specific to the program-level
   outcome monitoring procedures. Twenty-five also completed an online
   survey specific to individual vulnerability testing. Surveys were
   structured using the Ottawa Model of Research Use, which assesses
   barriers within three components: (1) the practice environment; (2)
   clinicians' knowledge, skills, and beliefs; and (3) the evidence-based
   innovation (development and content of the online learning module).
   Results: Most items specific to program-level outcome monitoring were
   rated positively. Some barriers were identified within the practice
   environment and evidence-based innovation, but clinicians' skills,
   knowledge, and beliefs were not barriers to implementation. For
   individual vulnerability testing, barriers were noted across all
   components of the Ottawa Model of Research Use.
   Conclusions: This work demonstrates the value of including front-line
   clinicians in the development of evidence-based assessment procedures.
   Through practice-based research, we identified SLPs' perceived barriers
   to implementation, allowing for modifications to be made to the online
   learning module prior to wider-scale implementation. The barriers
   identified and methods used in our work may be useful to other
   researchers and programs involved in developing materials and methods
   for the implementation of evidence-based assessment procedures.
RI Daub, Olivia/AAH-1819-2020; Cardy, Janis Oram/AAF-4147-2019
OI Cardy, Janis Oram/0000-0002-7170-6145
Z8 0
ZR 0
ZB 2
ZS 0
ZA 0
TC 5
Z9 5
U1 0
U2 7
SN 0021-9924
EI 1873-7994
UT WOS:000476582700006
PM 31085404
ER

PT J
AU Ioannides, Pericles J.
   Wei, Randy L.
TI Radiation oncology resident education in palliative care
SO ANNALS OF PALLIATIVE MEDICINE
VL 8
IS 3
BP 305
EP 311
DI 10.21037/apm.2019.01.07
PD JUL 2019
PY 2019
AB Palliative and supportive care education for radiation oncologists in
   training is essential to deliver comprehensive care to patients. Surveys
   on palliative care education among radiation oncology program directors
   and residents demonstrate a disparity in formal teaching and didactics.
   Integration of formal didactics, communications skills programs, and
   teaching modules are being piloted at academic centers. A dedicated
   palliative radiation oncology service has been implemented and the
   experience evaluated. Future directions to improve resident education in
   palliative care include improving access and time dedicated to formal
   didactics, online and interactive modules, rotation in a palliative care
   service, emphasis on board examinations, and consideration of an
   advanced palliative care fellowship for radiation oncologists. This is
   the first review of the available literature reviewing formal palliative
   education in radiation oncology training programs in the United States.
RI Ioannides, Pericles/AAA-4249-2020
Z8 0
ZR 0
ZS 0
ZB 0
TC 6
ZA 0
Z9 6
U1 0
U2 1
SN 2224-5820
EI 2224-5839
UT WOS:000477888300010
PM 30823839
ER

PT J
AU Gelfand, Amy A.
   Buse, Dawn C.
   Cabana, Michael D.
   Grimes, Barbara
   Goadsby, Peter J.
   Allen, I. Elaine
TI The Association Between Parental Migraine and Infant Colic: A
   Cross-Sectional, Web-Based, US Survey Study
SO HEADACHE
VL 59
IS 7
BP 988
EP 1001
DI 10.1111/head.13575
PD JUL 2019
PY 2019
AB Background Infant colic, or excessive crying in an otherwise healthy
   infant, is common, although the cause(s) are not known. This study aimed
   to determine whether parental migraine is associated with infant colic.
   Methods This was a cross-sectional online survey study of biological
   parents of 4-8 week olds in the United States during February and March
   2017 and October 2017-April 2018. Parents self-reported information
   about their and their infant's health using validated instruments
   wherever possible. Parents were recruited using social media
   advertisements and completed the survey online. Migraine was identified
   with a validated screener using modified International Classification of
   Headache Disorders 3rd edition criteria. Parental depression and anxiety
   were screened with the Patient Health Questionnaire-2 (PHQ-2) and
   Generalized Anxiety Disorder Scale-2 (GAD-2). Parental seasonal
   allergies and asthma were assessed by self-report. Infant colic was
   determined based on parental response to the question, "Has your baby
   cried for at least 3 hours on at least 3 days in the last week?" Results
   A total of 1,715 surveys were completed over 2 recruitment periods;
   1,419 formed the analysis set. Eight hundred twenty-seven were completed
   by biological mothers and 592 by biological fathers. Mean (SD) maternal
   age: 28.9 (5.1) years; 33.5% had migraine/probable migraine. Maternal
   migraine was associated with increased odds of infant colic: OR 1.7
   (1.3-2.4). Among mothers with migraine, headache frequency >= 15
   days/month was associated with higher risk of infant colic (OR 2.5
   (1.2-5.3)); and anxiety was borderline associated (OR 1.7 (1.0-2.9)).
   Mean (SD) paternal age was 31.6 (4.5) years; 20.8% had migraine/probable
   migraine. Paternal migraine was not associated with infant colic: OR 1.0
   (0.7-1.5). Fathers with depression (OR 2.4 (1.4-4.3)) or anxiety (OR 1.7
   (1.1-2.7)) were more likely to have a baby with colic but having a girl
   infant was protective: (OR 0.7 (0.5-0.97)). Conclusions Mothers with
   migraine are more likely to have a baby with colic, while fathers with
   migraine are not. Further research is needed to determine the mechanisms
   underlying these findings. In the meantime, clinicians may wish to
   counsel parents with a maternal history of migraine about the increased
   possibility of having a colicky infant and provide resources and
   education about infant crying.
RI Goadsby, Peter J/Z-1970-2019; Gelfand, Amy/
OI Goadsby, Peter J/0000-0003-3260-5904; Gelfand, Amy/0000-0002-0911-7905
ZA 0
TC 9
ZB 3
ZR 0
ZS 0
Z8 1
Z9 10
U1 0
U2 7
SN 0017-8748
EI 1526-4610
UT WOS:000475398800007
PM 31222745
ER

PT J
AU Rutherford, Ashley E.
   Yale, Randall S.
   Finn, Mary F.
TI Malaria Prophylaxis Adherence Among Aircrew Members
SO AEROSPACE MEDICINE AND HUMAN PERFORMANCE
VL 90
IS 7
BP 643
EP 646
DI 10.3357/AMHP.5306.2019
PD JUL 2019
PY 2019
AB INTRODUCTION: Joint Base Charleston's C-17 Globemaster III mission is
   executed by 400 active-duty members from three operational and support
   wings. Aircrew and mission-essential personnel travel to locations with
   endemic diseases which are mostly eradicated in the United States.
   Recently, two members contracted malaria after missions in Africa which
   required advanced hospital care. Personnel were provided
   chemoprophylaxis, but the members who contracted malaria were among
   several who chose not to take it. This preliminary survey assessed
   aircrew malaria prophylaxis adherence and examined potential factors
   contributing to nonadherence.
   METHODS: JB Charleston aircrew members who visited the Flight and
   Operational Medicine Clinic between January and April 2018 were
   administered a retrospective, online survey. Researchers performed
   descriptive statistics and Chi-squared analysis.
   RESULTS: Most respondents were pilots under 30 yr of age and were
   prescribed malaria chemoprophylaxis while on a mission. More than
   two-thirds of respondent aircrew members did not take the medication as
   prescribed or did not take it at all. Of those, over half of respondents
   stated too many pills/too many days and medication side effects as the
   main reasons for nonadherence. Furthermore, almost 70% of adherent
   members experienced negative medication side effects such as nausea and
   heightened dreams. There was no statistical relationship between crew
   position, age, side effects, and prophylaxis adherence.
   DISCUSSION: Numerous factors contribute to poor prophylaxis regimen
   compliance among aircrew members. This study highlighted the need for
   risk-based policy validation, improved patient education, prophylaxis
   enforcement, process improvements to facilitate adherence, and
   evaluation of perceived vs. actual risk.
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 1
Z9 1
U1 0
U2 1
SN 2375-6314
EI 2375-6322
UT WOS:000472550400008
PM 31227039
ER

PT J
AU Fajardo, Michael Anthony
   Weir, Kristie Rebecca
   Bonner, Carissa
   Gnjidic, Danijela
   Jansen, Jesse
TI Availability and readability of patient education materials for
   deprescribing: An environmental scan
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 85
IS 7
BP 1396
EP 1406
DI 10.1111/bcp.13912
PD JUL 2019
PY 2019
AB Aims To identify and evaluate content and readability of freely
   available online deprescribing patient education materials (PEMs).
   Methods Systematic review of PEMs using MEDLINE, Embase, CINAHL,
   PsycINFO and The Cochrane Library of Systematic Reviews from inception
   to 25 September 2017 to identify PEMs. Additionally, deprescribing
   researchers and health professionals were surveyed to identify
   additional materials. Known repositories of materials were searched
   followed by a systematic Google search (22-28 January 2018). Materials
   were evaluated using an approach informed by the Patient Education
   Material Assessment Tool and the International Patient Decision Aids
   Standards Inventory. Readability of text-based materials was assessed
   using the US-based Gunning-Fog Index and Flesch-Kincaid Grade level.
   Results Forty-eight PEMs were identified. PEMs addressing deprescribing
   of medications for symptom control (81%) were most common. Preventative
   medications were rarely addressed and material (39%) focused on older
   people. Only 37% of PEMs provided information about both potential
   benefits (e.g. reducing risk of side effects) and harms (e.g. withdrawal
   symptoms, increased risk of disease) of deprescribing, while 40%
   focussed on benefits only. Readability indices indicated an average
   minimum reading level of Grade 12. Option Grids and Decision Aids (mean
   reading level below Grade 10) were most suitable for people with average
   literacy levels. Conclusions Over 1/3 of deprescribing PEMs present
   potential benefits and harms of deprescribing indicating most of the
   freely available materials are not balanced. Most PEMs are pitched above
   average reading levels making them inaccessible for low health literacy
   populations.
RI Weir, Kristie/AAW-9890-2020; Fajardo, Michael Anthony/I-1626-2019; Jansen, Jesse/
OI Fajardo, Michael Anthony/0000-0002-1302-009X; Jansen,
   Jesse/0000-0002-7739-0049
Z8 0
ZA 0
TC 22
ZR 0
ZS 0
ZB 5
Z9 22
U1 0
U2 6
SN 0306-5251
EI 1365-2125
UT WOS:000473090600006
PM 30848837
ER

PT J
AU Wang, Peter (Zhan Tao)
   Chan, Ernest
   Forster, Adam
   De Dios, Jennifer Vergel
   Sener, Alp
   Dave, Sumit
   Chahine, Saad
TI Perceptions on Competence by Design in urology
SO CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL
VL 13
IS 7
BP E183
EP E189
DI 10.5489/cuaj.5610
PD JUL 2019
PY 2019
AB Introduction: The Royal College of Physicians and Surgeons of Canada has
   begun implementing Competence by Design (CBD). However, it is unclear
   how much urology trainees and faculty know about CBD, their attitudes
   towards this change, and their willingness to embrace and participate in
   this new model of training.
   Methods: This cross-sectional study was conducted through an online
   survey, which was administered to all trainees and faculty at Canadian
   urology programs prior to the implementation of CBD. The final survey
   consisted of eight demographic questions, 17 five-point Likert items,
   one visual analog scale question, 11 multiple-choice questions, and two
   open-ended questions.
   Results: A total of 74 participants (38 faculty and 36 trainees) across
   12 universities responded, with a completion rate of 82.4%. This
   corresponded to an overall response rate of 20.5%. Overall, there was a
   lack of resounding enthusiasm towards this shift to CBD in urology.
   Although both trainees and faculty had overall positive perceptions of
   CBD on assessment, teaching, and readiness, most agreed that this
   transition will be costly and associated with increased requirements for
   time, funding, and administrative support. Furthermore, there were
   significant concerns regarding the lack of valid assessment tools and
   evidence for the validity of entrustable professional activities.
   Conclusions: While this survey has demonstrated an appreciation for the
   benefits of CBD, challenges are equally anticipated. CBD in urology will
   be a fertile research area; this study has identified several important
   educational questions regarding the model's effectiveness and
   consequences, thus, providing collaborative opportunities among all
   Canadian programs.
ZR 0
TC 2
ZA 0
ZS 0
ZB 0
Z8 0
Z9 2
U1 0
U2 2
SN 1911-6470
EI 1920-1214
UT WOS:000476724200001
PM 30472984
ER

PT J
AU Esfehani, Reza Jafarzadeh
   Kamalimanesh, Batool
   Dashti, Sareh
   Esfehani, Ali Jafarzadeh
TI Factors Influencing the Decision to Have Child Among Iranian Couples; An
   Online Survey
SO INTERNATIONAL JOURNAL OF WOMENS HEALTH AND REPRODUCTION SCIENCES
VL 7
IS 3
BP 287
EP 293
DI 10.15296/ijwhr.2019.48
PD JUL 2019
PY 2019
AB Objectives: Total fertility rate (TFR) in Iran is declining to the
   lowest low level over the past 30 years. In order to increase the TFR,
   the influencing factors for willingness to have child should be
   identified. The aim of this study was to identify the factors that
   influence the willingness of Iranian men and women to have child.
   Materials and Methods: This cross-sectional study was conducted on
   married Iranian men and women through an online survey. A questionnaire
   consisting of demographic characteristics, including age of subject, age
   of spouse, duration of marriage, number of children, education level of
   subjects and his/her spouse, current pregnancy status of subject or
   spouse, contraception use and type of contraception, and a validated
   questionnaire to identify the factors affecting willingness to have
   child in 4 domains (inter family factors, social factors, medical and
   parental factors and emotional and child related factors) were filled by
   subjects.
   Results: A total of 731 subjects (23.1% male and 66.9% female) answered
   the online questions. Mean age of subjects was 31.80 +/- 6.83 years.
   Willingness to have child was significantly related to spousal age
   difference (P =0.002, odds ratio [OR] =0.90), number of children (P<
   0.001, OR=0.21), being pregnant (P < 0.001, OR=82.91), level of
   education in spouse (P= 0.03, OR=2.18), inter family factors score (P<
   0.001, OR=1.14), social factors score (P< 0.001, OR=0.87) and emotional
   and child related factors (P < 0.001, OR=1.52).
   Conclusions: This study revealed that willingness to have child in
   Iranian men and women is mostly influenced by personal and spousal
   factors.
RI Dashti, Sareh/AAM-3977-2020; kamalimanesh, batool/; Dashti, sareh/; Jafarzadeh Esfehani, Ali/
OI kamalimanesh, batool/0000-0002-9045-2777; Dashti,
   sareh/0000-0003-2145-4290; Jafarzadeh Esfehani, Ali/0000-0002-4185-2694
ZB 0
ZS 0
TC 0
ZA 0
ZR 0
Z8 0
Z9 0
U1 0
U2 4
SN 2330-4456
UT WOS:000476640100009
ER

PT J
AU Fujioka, Jamie K.
   Mirza, Raza M.
   Klinger, Christopher A.
   McDonald, Lynn P.
TI Medical assistance in dying: implications for health systems from a
   scoping review of the literature
SO JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
VL 24
IS 3
BP 207
EP 216
DI 10.1177/1355819619834962
PD JUL 2019
PY 2019
AB Objective Medical assistance in dying (MAiD) is the medical provision of
   substances to end a patient's life at their voluntary request. While
   legal in several countries, the implementation of MAiD is met with
   ethical, legislative and clinical challenges, which are often
   overshadowed by moral discourse. Our aim was to conduct a scoping review
   to explore key barriers for the integration of MAiD into existing health
   systems. Methods We searched electronic databases (CINAHL, Embase,
   MEDLINE, and PsycINFO) and grey literature sources from 1990 to 2017.
   Studies discussing barriers and/or challenges to implementing MAiD from
   a health system's perspective were included. Full-text papers were
   screened against inclusion/exclusion criteria for article selection. A
   thematic content analysis was conducted to summarize data into themes to
   highlight key implementation barriers. Results The final review included
   35 articles (see online Appendix 1). Six categories of implementation
   challenges emerged: regulatory (n = 26), legal (n = 15), social (n = 9),
   logistical (n = 9), financial (n = 3) and compatibility with palliative
   care (n = 3). Within four of the six identified implementation barriers
   (regulatory, legal, social and logistical) were subthemes, which
   described barriers related to legalizing MAiD in more detail. Conclusion
   Despite multiple challenges related to its implementation, MAiD remains
   a requested end-of-life option, requiring careful examination to ensure
   adequate integration into existing health services. Comprehensive models
   of care incorporating multidisciplinary teams and regulatory oversight
   alongside improved clinician education may be effective to streamline
   MAiD services.
Z8 0
TC 10
ZB 0
ZA 0
ZS 0
ZR 0
Z9 10
U1 1
U2 9
SN 1355-8196
EI 1758-1060
UT WOS:000475345200009
PM 31291767
ER

PT J
AU Dolezalova, Pavla
   Anton, Jordi
   Avcin, Tadej
   Beresford, Michael W.
   Brogan, Paul A.
   Constantin, Tamas
   Egert, Yona
   Foeldvari, Ivan
   Foster, Helen E.
   Hentgen, Veronique
   Kone-Paut, Isabelle
   Kuemmerle-Deschner, Jasmine B.
   Lahdenne, Pekka
   Magnusson, Bo
   Martini, Alberto
   McCann, Liza
   Minden, Kirsten
   Ozen, Seza
   Schoemaker, Casper
   Quartier, Pierre
   Ravelli, Angelo
   Rumba-Rozenfelde, Ingrida
   Ruperto, Nicola
   Vastert, Sebastian
   Wouters, Carine
   Zulian, Francesco
   Wulffraat, Nico M.
   Huemer, Christian
   Joos, Rik
   Mihaylova, Dimitrina
   Harjacek, Miroslav
   Mina, Elpida
   Dolezalova, Pavla
   Nielsen, Susan
   Lahdenne, Pekka
   Quartier, Pierre
   Foell, Dirk
   Vougiouka, Olga
   Orban, Ilona
   Uziel, Yosef
   Ruperto, Nicolino
   Rumba-Rozenfelde, Ingrida
   Wulffraat, Nico M.
   Flato, Berit
   Smolewska, Elzbieta
   Melo-Gomes, Jose Antonio
   Lazar, Calin
   Susic, Gordana
   Dallos, Tomas
   Avcin, Tadej
   De Inocencio, Jaime
   Berntson, Lillemor
   Hofer, Michael
   Ozen, Seza
   Boyko, Yaryna
   Beresford, Michael W.
   Patrone, Elisa
   Rinaldi, Mariangela
   Scala, Silvia
   Silvestri, Giuseppe
CA SHARE Consortium
   PRINTO
TI The European network for care of children with paediatric rheumatic
   diseases: care across borders
SO RHEUMATOLOGY
VL 58
IS 7
BP 1188
EP 1195
DI 10.1093/rheumatology/key439
PD JUL 2019
PY 2019
AB Objectives To provide an overview of the paediatric rheumatology (PR)
   services in Europe, describe current delivery of care and training, set
   standards for care, identify unmet needs and inform future specialist
   service provision.
   Methods An online survey was developed and presented to national
   coordinating centres of the Paediatric Rheumatology International Trials
   Organisation (PRINTO) (country survey) and to individual PR centres
   (centre and disease surveys) as a part of the European Union (EU) Single
   Hub and Access point for paediatric Rheumatology in Europe project. The
   survey contained components covering the organization of PR care,
   composition of teams, education, health care and research facilities and
   assessment of needs.
   Results Response rates were 29/35 (83%) for country surveys and 164/288
   (57%) for centre surveys. Across the EU, approximately one paediatric
   rheumatologist is available per million population. In all EU member
   states there is good access to specialist care and medications, although
   biologic drug availability is worse in Eastern European countries. PR
   education is widely available for physicians but is insufficient for
   allied health professionals. The ability to participate in clinical
   trials is generally high. Important gaps were identified, including lack
   of standardized clinical guidelines/recommendations and insufficient
   adolescent transition management planning.
   Conclusion This study provides a comprehensive description of current
   specialist PR service provision across Europe and did not reveal any
   major differences between EU member states. Rarity, chronicity and
   complexity of diseases are major challenges to PR care. Future work
   should facilitate the development, dissemination and implementation of
   standards of care, treatment and service recommendations to further
   improve patient-centred health care across Europe.
RI Beresford, Michael William/AAB-5261-2021; Scala, Silvia/AAA-7349-2020; Boyko, Yaryna/AAM-2481-2021; HENTGEN, Véronique/AAR-1348-2021; Wulffraat, Nico M/AAE-8929-2020; Ruperto, Nicolino/K-3349-2018; Anton, Jordi/A-9848-2017; Kone-paut, Isabelle/AAF-6296-2019; Hofer, Michaël/AAA-7244-2021; Berntson, Lillemor/AAH-3224-2020; De Inocencio, Jaime/AAI-8881-2020; McCann, Liza/AAA-8311-2021; OZEN, SEZA/I-9096-2013; Zulian, Francesco/AAC-6600-2022; Boyko, Yaryna/; Wouters, Carine/; Schoemaker, Casper/; MARTINI, Alberto/; De Inocencio, Jaime/; McCann, Liza/; Harjacek, Miroslav/; Brogan, Paul/
OI Beresford, Michael William/0000-0002-5400-9911; Wulffraat, Nico
   M/0000-0001-9548-5562; Ruperto, Nicolino/0000-0001-8407-7782; Anton,
   Jordi/0000-0002-8792-4219; Hofer, Michaël/0000-0001-8953-329X; Berntson,
   Lillemor/0000-0003-3962-0453; Zulian, Francesco/0000-0002-2479-3485;
   Boyko, Yaryna/0000-0001-6264-0917; Wouters, Carine/0000-0002-6426-8845;
   Schoemaker, Casper/0000-0002-9547-0616; MARTINI,
   Alberto/0000-0001-7642-1459; De Inocencio, Jaime/0000-0002-0438-0245;
   McCann, Liza/0000-0002-0372-5758; Harjacek,
   Miroslav/0000-0002-8322-9702; Brogan, Paul/0000-0001-6178-6893
ZB 4
TC 11
Z8 0
ZS 0
ZA 0
ZR 0
Z9 11
U1 0
U2 15
SN 1462-0324
EI 1462-0332
UT WOS:000473771900012
PM 30668879
ER

PT J
AU Stephens, Georgina C.
   Rees, Charlotte E.
   Lazarus, Michelle D.
TI How does Donor Dissection Influence Medical Students' Perceptions of
   Ethics? A Cross-Sectional and Longitudinal Qualitative Study
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 4
SI SI
BP 332
EP 348
DI 10.1002/ase.1877
PD JUL 2019
PY 2019
AB The contribution of donor dissection to modern anatomy pedagogy remains
   debated. While short-term anatomy knowledge gains from dissection are
   questionable, studies suggest that donor dissection may have other
   impacts on students including influencing medical students' professional
   development, though evidence for such is limited. To improve the
   understanding of how anatomy education influences medical student
   professional development, the cross-sectional and longitudinal impacts
   of donor dissection on medical students' perceptions of ethics were
   explored. A cross-sectional and longitudinal qualitative study was
   undertaken at an Australian university where student responses to online
   discussion forums and in-person interviews were analyzed. Data were
   collected across the 1.5 years that undergraduate medical students
   received anatomy instruction (three semesters during first and second
   years). A total of 207 students participated in the online discussion
   forums, yielding 51,024 words; 24 students participated in at least 1 of
   11 interviews, yielding over 11 hours of interview data. Framework
   analysis identified five themes related to ethics in an anatomical
   education context: (1) Dignity, (2) Beneficence, (3) Consent, (4)
   Justification for versus the necessity of dissection, and (5) Dichotomy
   of objectification and personification. The dominant themes of students'
   ethical perceptions changed with time, with a shift from focusing on
   donors as people, toward the utility of donors in anatomy education.
   Additionally, themes varied by student demographics including gender,
   ancestry, and religiosity. Together this study suggests a strong impact
   of donor dissection on priming students' focus on medical ethics and
   provides further advocacy for formal and purposeful integration of
   medical ethics with anatomy education.
OI Lazarus, Michelle/0000-0003-0996-4386; Rees,
   Charlotte/0000-0003-4828-1422
ZS 0
Z8 0
TC 22
ZR 0
ZA 0
ZB 2
Z9 22
U1 0
U2 3
SN 1935-9772
EI 1935-9780
UT WOS:000474487400002
PM 30903742
ER

PT J
AU Fourniquet, Sophie E.
   Beiter, Kaylin J.
   Mussell, Jason C.
TI Ethical Rationales and Guidelines for the Continued Use of Archival
   Collections of Embryonic and Fetal Specimens
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 4
SI SI
BP 407
EP 416
DI 10.1002/ase.1897
PD JUL 2019
PY 2019
AB Benefits from the use of cadavers in anatomical education are well
   described. Historically, human embryos and fetal cadavers were used in
   anatomy education to understand development and congenital
   malformations. Recently, three-dimensional printed models produced from
   archival fetal specimens, and online repositories of images from
   archival collections of embryos and fetuses, have been used as an
   educational tool in human development courses. Given that the archival
   specimens were likely obtained prior to the era of informed consent,
   this raises questions about their appropriate and ethical use. Because
   some institutions in the United States retain archival collections of
   embryonic and fetal specimens that were once used as educational tools,
   their existence and utility require frequent reexamination against
   contemporary ethical frameworks to guide appropriate use or utilization.
   Four ethical rationales for uses of these collections are examined,
   including destruction, indefinite storage, use in research, and use in
   health professions education. Guidelines for the use of archival
   collections of human embryos and fetuses are presented. Indefinite
   storage and use in health professions education are supported, while use
   in research is also permitted, however, such use is limited and
   dependent on circumstance and purpose. The development of current
   digital repositories and three-dimensionally printed models based on
   archival collections that were collected without informed consent, or
   those promoting commercial opportunity, are not supported. New embryonic
   and fetal donations obtained with informed consent should include
   reference to potential uses with new technology and virtual, genetic, or
   imaging applications.
RI Mussell, Jason/AAA-4363-2020; MUSSELL, JASON/
OI MUSSELL, JASON/0000-0003-4123-3356
TC 4
Z8 0
ZB 3
ZR 0
ZA 0
ZS 0
Z9 4
U1 0
U2 20
SN 1935-9772
EI 1935-9780
UT WOS:000474487400008
PM 31127982
ER

PT J
AU Silverman, Howard D.
   Steen, Elaine B.
   Carpenito, Jacqueline N.
   Ondrula, Christopher J.
   Williamson, Jeffrey J.
   Fridsma, Douglas B.
TI Domains, tasks, and knowledge for clinical informatics subspecialty
   practice: results of a practice analysis
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 26
IS 7
BP 586
EP 593
DI 10.1093/jamia/ocz051
PD JUL 2019
PY 2019
AB Objective: The study sought to develop a comprehensive and current
   description of what Clinical Informatics Subspecialty (CIS) physician
   diplomates do and what they need to know.
   Materials and Methods: Three independent subject matter expert panels
   drawn from and representative of the 1695 CIS diplomates certified by
   the American Board of Preventive Medicine contributed to the development
   of a draft CIS delineation of practice (DoP). An online survey was
   distributed to all CIS diplomates in July 2018 to validate the draft
   DoP. A total of 316 (18.8%) diplomates completed the survey. Survey
   respondents provided domain, task, and knowledge and skill (KS) ratings;
   qualitative feedback on the completeness of the DoP; and detailed
   professional background and demographic information.
   Results: This practice analysis resulted in a validated, comprehensive,
   and contemporary DoP comprising 5 domains, 42 tasks, and 139 KS
   statements.
   Discussion: The DoP that emerged from this study differs from the 2009
   CIS Core Content in 2 respects. First, the DoP reflects the growth in
   amount, types, and utilization of health data through the addition of a
   practice domain, tasks, and KS statements focused on data analytics and
   governance. Second, the final DoP describes CIS practice in terms of
   tasks in addition to identifying knowledge required for competent
   practice.
   Conclusions: This study (1) articulates CIS diplomate tasks and
   knowledge used in practice, (2) provides data that will enable the
   American Board of Preventive Medicine CIS examination to align with
   current practice, (3) informs clinical informatics fellowship program
   requirements, and (4) provides insight into maintenance of certification
   requirements.
ZS 0
ZA 0
ZR 0
Z8 0
TC 18
ZB 1
Z9 18
U1 0
U2 4
SN 1067-5027
EI 1527-974X
UT WOS:000474273800003
PM 31037303
ER

PT J
AU George, Tracy P.
   Murphy, Pamela Ford
   DeCristofaro, Claire
   Hucks, J. Marty
TI Student Perceptions Regarding Collaborative intraprofessional Nursing
   Education
SO NURSE EDUCATOR
VL 44
IS 4
BP 226
EP 230
DI 10.1097/NNE.0000000000000584
PD JUL-AUG 2019
PY 2019
AB Background: Teamwork is an important factor in the provision of
   high-quality health care. There is a lack of research on collaboration
   between nursing students at different program levels.
   Purpose: The purpose of this project was to determine student
   perceptions about collaborative learning activities between prelicensure
   BSN and MSN students.
   Methods: Community assessments by BSN students identified health needs
   and issues for 6 underserved populations. Online MSN students used these
   assessments to create low-literacy patient education pamphlets. In turn,
   BSN students provided educational sessions at community sites using the
   pamphlets. Both groups completed presurveys and postsurveys assessing
   their perceptions of collaborative learning.
   Results: There were statistically significant differences between the
   respondent groups for 3 survey questions about how this project helped
   prepare them for future practice and professional collaboration. Eight
   qualitative themes were identified.
   Conclusion: Although desiring more face-to-face interaction between
   groups, students reported that collaboration was important.
ZS 0
ZB 0
TC 1
ZA 0
ZR 0
Z8 0
Z9 1
U1 1
U2 4
SN 0363-3624
EI 1538-9855
UT WOS:000474255800022
PM 30052589
ER

PT J
AU Gmmash, Afnan S.
   Effgen, Susan K.
TI Early Intervention Therapy Services for Infants With or at Risk for
   Cerebral Palsy
SO PEDIATRIC PHYSICAL THERAPY
VL 31
IS 3
BP 242
EP 249
DI 10.1097/PEP.0000000000000619
PD JUL 2019
PY 2019
AB Objective: The purpose of this study was to explore the practices
   physical therapists and occupational therapists use in early
   intervention (EI) for infants with or at risk for cerebral palsy (CP).
   Methods: A survey was disseminated nationally to EI providers using an
   online anonymous link. Results: Two hundred sixty-nine therapists
   completed at least 50% of the survey. Four percent of therapists use the
   General Movement Assessment to predict CP, 57% reported infants at risk
   for CP receive therapy once a week, 89% identified parents' goals as the
   most important factor in customizing the EI program, and 75% provide
   parents with home programs. However, 73% never or rarely use outcome
   measures to prioritize parents' goals; 31% provide parents with
   individualized home program and more than 60% never assess environmental
   enrichment. Conclusion: Therapists do not incorporate sufficient
   strategies for goal-oriented interventions, comprehensive parent
   education, and optimum environmental enrichment.
OI Gmmash, Afnan/0000-0001-6844-8993
ZB 0
TC 6
Z8 0
ZR 0
ZS 0
ZA 0
Z9 6
U1 0
U2 6
SN 0898-5669
EI 1538-005X
UT WOS:000474249800006
PM 31225829
ER

PT J
AU Severin, Richard
   Wang, Edward
   Wielechowski, Adam
   Phillips, Shane A.
TI Outpatient Physical Therapist Attitudes Toward and Behaviors in
   Cardiovascular Disease Screening: A National Survey
SO PHYSICAL THERAPY
VL 99
IS 7
BP 833
EP 848
DI 10.1093/ptj/pzz042
PD JUL 2019
PY 2019
AB Background Screening the cardiovascular system is an important and
   necessary component of the physical therapist examination to ensure
   patient safety, appropriate referral, and timely medical management of
   cardiovascular disease (CVD) and risk factors. The most basic screening
   includes a measurement of resting blood pressure (BP) and heart rate
   (HR). Previous work demonstrated that rates of BP and HR screening and
   perceptions toward screening by physical therapists are inadequate.
   Objective The purpose was to assess the current attitudes and behaviors
   of physical therapists in the United States regarding the screening of
   patients for CVD or risk factors in outpatient orthopedic practice.
   Design This was a cross-sectional, online survey study.
   Methods Data were collected from an anonymous adaptive online survey
   delivered via an email list.
   Results A total of 1812 surveys were included in this analysis. A
   majority of respondents (n=931; 51.38%) reported that at least half of
   their current caseload included patients either with diagnosed CVD or at
   moderate or greater risk of a future occurrence. A total of 14.8% of
   respondents measured BP and HR on the initial examination for each new
   patient. The most commonly self-reported barriers to screening were lack
   of time (37.44%) and lack of perceived importance (35.62%). The most
   commonly self-reported facilitators of routine screening were perceived
   importance (79.48%) and clinic policy (38.43%). Clinicians who managed
   caseloads with the highest CVD risk were the most likely to screen.
   Limitations Although the sampling population included was large and
   representative of the profession, only members of the American Physical
   Therapy Association Orthopaedic Section were included in this survey.
   Conclusions Despite the high prevalence of patients either diagnosed
   with or at risk for CVD, few physical therapists consistently included
   BP and HR on the initial examination. The results of this survey suggest
   that efforts to improve understanding of the importance of screening and
   modifications of clinic policy could be effective strategies for
   improving rates of HR and BP screening.
OI Severin, Richard/0000-0003-3432-6634
TC 10
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 10
U1 0
U2 0
SN 0031-9023
EI 1538-6724
UT WOS:000474564600003
PM 30883642
ER

PT J
AU Henning, Oliver
   Alfstad, Kristin A.
   Nakken, Karl O.
   Lossius, Morten I.
TI A call for better information about epilepsy: The patients'
   perspective-An online survey
SO SEIZURE-EUROPEAN JOURNAL OF EPILEPSY
VL 69
BP 173
EP 179
DI 10.1016/j.seizure.2019.04.015
PD JUL 2019
PY 2019
AB Purpose: For people with epilepsy (PWE), insufficient information and
   knowledge about the disease might have a negative influence on outcome
   and lead to poorer quality of life. In contrast, good information may
   increase empowerment and reduce stigma. This study investigated whether
   Norwegian PWE want information about different epilepsy-related issues,
   whether they actually obtain the information that they seek, and the
   extent to which they are satisfied with the information they receive.
   Furthermore, we examined which factors that might have influenced the
   degree of specific information given to PWE.
   Methods: We invited PWE visiting the homepage of the Norwegian Epilepsy
   Association to complete a web-based questionnaire about their
   perspective on obtaining information about epilepsy-related issues. The
   survey was accessible for a four-month period during 2017.
   Results: More than 90% of respondents (n = 1182) wished general
   information about epilepsy, and over 75% wanted information on more
   specific issues, like epilepsy surgery. Depending on the subject, the
   proportion of respondents that reported receiving the information they
   wished varied from 6.6% to 91.9%. Obtaining information about epilepsy
   surgery and neurostimulation was significantly associated with male
   gender. Having tonic-clonic seizures was associated with obtaining
   information about the diagnosis, an organized lifestyle, regular sleep,
   and consumption of alcohol.
   Conclusions: This study provides insights on how PWE experience
   provision of relevant information about epilepsy. Although most PWE
   considered that they obtained information on general epilepsy issues,
   most PWE interested in information on non-medical treatments and
   psychosocial issues reported that they did not obtain the information
   they wanted.
ZS 0
TC 6
ZR 0
ZA 0
ZB 1
Z8 0
Z9 6
U1 0
U2 1
SN 1059-1311
EI 1532-2688
UT WOS:000474500800029
PM 31054491
ER

PT J
AU Oldenburg, Elizabeth
   Muckler, Virginia C.
   Thompson, Julie
   Smallheer, Benjamin
TI Pulmonary Artery Catheters Impact of e-Learning on Hemodynamic
   Assessments
SO CRITICAL CARE NURSING QUARTERLY
VL 42
IS 3
SI SI
BP 304
EP 314
DI 10.1097/CNQ.0000000000000260
PD JUL-SEP 2019
PY 2019
AB Pulmonary artery catheters (PACs) are invasive devices placed in
   critically ill patients to monitor hemodynamic data. They are a
   high-risk, and in some settings a low-volume, medical device due to the
   complex insertion procedure and potentially lethal complications.
   Smaller intensive care units (ICUs) have large variances in exposure to
   PACs, therefore strengthening ICU nurses' belief in their ability to
   manage these hemodynamic monitoring devices is of utmost importance. The
   design is a single-group, pre/posttest study conducted on a 15-bed ICU
   to survey nurses' self-efficacy, knowledge, and satisfaction of an
   e-learning educational module. Both PAC and noninvasive cardiac output
   monitor patient application data were collected prior to and following
   the intervention. Fifteen ICU nurses completed all components of the
   module. Confidence in ability to accurately interpret hemodynamic data
   increased from pre- to postintervention (P < .001), and knowledge also
   increased from pre- to postintervention, albeit not statistically
   significantly (P = .088). Overall, nurses reported satisfaction with the
   educational module. With increased self-efficacy, nurses can feel
   empowered and motivated to further improve patient care management.
   Thus, workplaces should continue to advocate for additional educational
   tools for high-risk, low-volume devices.
RI Smallheer, Benjamin/AAP-2786-2020; Smallheer, Benjamin/
OI Smallheer, Benjamin/0000-0002-6190-0526
ZS 0
ZB 0
Z8 0
TC 0
ZA 0
ZR 0
Z9 0
U1 0
U2 0
SN 0887-9303
EI 1550-5111
UT WOS:000474247200011
PM 31135481
ER

PT J
AU Patel, K.
   Ward, S.
   Gash, K.
   Ferguson, H.
   Mason, M.
   McKay, S. C.
   Kumar, B.
   Sudlow, A.
   Sutton, P. A.
   Humm, G.
   Mohan, H. M.
TI Prospective cohort study of surgical trainee experience of access to
   gastrointestinal endoscopy training in the UK and Ireland
SO INTERNATIONAL JOURNAL OF SURGERY
VL 67
BP 113
EP 116
DI 10.1016/j.ijsu.2019.01.002
PD JUL 2019
PY 2019
AB Introduction: Surgical trainees are reporting barriers to training in
   gastrointestinal (GI) endoscopy. This snapshot survey aimed to gather
   data on variation in access to quality GI endoscopy training for
   Colorectal and Upper Gastrointestinal (GI) surgical trainees across the
   UK and Ireland.
   Materials and methods: An online 20-point survey was designed and
   distributed nationally to surgical trainee members of the Association of
   Surgeons in Training (ASiT), Dukes and The Roux Group (formerly
   Association of Upper Gastrointestinal Surgeons of Great Britain and
   Ireland Trainees). The survey was designed in collaboration with The
   Roux Group for Upper GI trainees and the Dukes' Club for Colorectal
   trainees.
   Results: 218 responses were received, most with a Colorectal or Upper GI
   sub-specialty interest (colorectal 56.0%; upper GI surgery 25.7%). Only
   28.6% of trainees attended a dedicated training endoscopy list at least
   once a week with 28.1% not attending any at all. Less than half of
   trainees reported having endoscopy formally timetabled on rotas (36.9%).
   Most trainees (88.0%) encountered difficulties in gaining endoscopy
   training including lack of available lists (77.2%), conflicting
   operative commitments (59.4%), preferential allocation of lists to
   gastroenterology trainees (57.9%) and resistance from endoscopy
   departmental leads (38.6%). Regarding JAG accreditation, 77.1%
   respondents felt it should be mandatory prior to CCT with 80.3%
   believing this would lead to better access to dedicated endoscopy
   training equivalent to gastroenterology trainees. 93.1% trainees felt
   that attaining JAG accreditation by surgical trainees was important to
   patient care.
   Discussion: This study demonstrates significant barriers in accessing GI
   endoscopy training for general surgical trainees which urgently needs to
   be improved. In order to meet JAG training requirements for surgical
   trainees, a multifaceted collaborative approach from surgical and
   gastroenterology training bodies, local JAG trainers and the General
   Surgery SAC and JCST is required. This is to ensure that endoscopy is
   promoted and a robust model of training is successfully designed and
   delivered to general surgery trainees.
RI Ferguson, Henry/AAO-9444-2020; KUMAR, BHASKAR/; Ferguson, Henry/; McKay, Siobhan/
OI KUMAR, BHASKAR/0000-0001-5705-1384; Ferguson, Henry/0000-0002-7047-6798;
   McKay, Siobhan/0000-0003-0590-2153
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
TC 3
Z9 3
U1 0
U2 1
SN 1743-9191
EI 1743-9159
UT WOS:000473195200022
PM 30708061
ER

PT J
AU Barr-Walker, Jill
   Bass, Michelle B.
   Werner, Debra A.
   Kellermeyer, Liz
TI Measuring impostor phenomenon among health sciences librarians
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 3
BP 323
EP 332
DI 10.5195/jmla.2019.644
PD JUL 2019
PY 2019
AB Objective: Impostor phenomenon, also known as impostor syndrome, is the
   inability to internalize accomplishments while experiencing the fear of
   being exposed as a fraud. Previous work has examined impostor phenomenon
   among academic college and research librarians, but health sciences
   librarians, who are often asked to be experts in medical subject areas
   with minimal training or education in these areas, have not yet been
   studied. The aim of this study was to measure impostor phenomenon among
   health sciences librarians.
   Methods: A survey of 2,125 eligible Medical Library Association (MLA)
   members was taken from October to December 2017. The online survey
   featuring the Harvey Impostor Phenomenon scale, a validated measure of
   impostor phenomenon, was administered, and one-way analysis of variance
   (ANOVA) was used to examine relationships between impostor phenomenon
   scores and demographic variables.
   Results: A total of 703 participants completed the survey (33% response
   rate), and 14.5% of participants scored >= 42 on the Harvey scale,
   indicating possible impostor feelings. Gender, race, and library setting
   showed no associations, but having an educational background in the
   health sciences was associated with lower impostor scores. Age and years
   of experience were inversely correlated with impostor phenomenon, with
   younger and newer librarians demonstrating higher scores.
   Conclusions: One out of seven health sciences librarians in this study
   experienced impostor phenomenon, similar to previous findings for
   academic librarians. Librarians, managers, and MLA can work to recognize
   and address this issue by raising awareness, using early prevention
   methods, and supporting librarians who are younger and/or new to the
   profession.
RI Barr-Walker, Jill/AAO-5038-2020; Werner, Debra/; Kellermeyer, Liz/; Bass, Michelle/
OI Barr-Walker, Jill/0000-0002-8448-1184; Werner,
   Debra/0000-0002-5455-5541; Kellermeyer, Liz/0000-0001-6115-4343; Bass,
   Michelle/0000-0003-2353-4227
ZR 0
Z8 0
ZS 0
ZB 1
TC 9
ZA 0
Z9 10
U1 1
U2 10
SN 1536-5050
UT WOS:000473325000004
PM 31258438
ER

PT J
AU Read, Kevin B.
   Koos, Jessica
   Miller, Rebekah S.
   Miller, Cathryn F.
   Phillips, Gesina A.
   Scheinfeld, Laurel
   Surkis, Alisa
TI A model for initiating research data management services at academic
   libraries
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 3
BP 432
EP 441
DI 10.5195/jmla.2019.545
PD JUL 2019
PY 2019
AB Background: Librarians developed a pilot program to provide training,
   resources, strategies, and support for medical libraries seeking to
   establish research data management (RDM) services. Participants were
   required to complete eight educational modules to provide the necessary
   background in RDM. Each participating institution was then required to
   use two of the following three elements: (1) a template and strategies
   for data interviews, (2) the Teaching Toolkit to teach an introductory
   RDM class, or (3) strategies for hosting a data class series.
   Case Presentation: Six libraries participated in the pilot, with between
   two and eight librarians participating from each institution. Librarians
   from each institution completed the online training modules. Each
   institution conducted between six and fifteen data interviews, which
   helped build connections with researchers, and taught between one and
   five introductory RDM classes. All classes received very positive
   evaluations from attendees. Two libraries conducted a data series, with
   one bringing in instructors from outside the library.
   Conclusion: The pilot program proved successful in helping participating
   librarians learn about and engage with their research communities,
   jump-start their teaching of RDM, and develop institutional partnerships
   around RDM services. The practical, hands-on approach of this pilot
   proved to be successful in helping libraries with different environments
   establish RDM services. The success of this pilot provides a proven path
   forward for libraries that are developing data services at their own
   institutions.
RI Scheinfeld, Laurel/AAE-5760-2021; Read, Kevin/; Surkis, Alisa/; Miller, Rebekah/
OI Scheinfeld, Laurel/0000-0002-7789-3623; Read, Kevin/0000-0002-7511-9036;
   Surkis, Alisa/0000-0002-9777-2693; Miller, Rebekah/0000-0002-9783-8234
ZS 1
TC 11
Z8 0
ZA 0
ZB 0
ZR 0
Z9 11
U1 3
U2 30
SN 1536-5050
UT WOS:000473325000016
PM 31258450
ER

PT J
AU Lotta, Schepel
   Kirsi, Aronpuro
   Kirsi, Kvarnstrom
   Anna-Riia, Holmstrom
   Lasse, Lehtonen
   Outi, Lapatto-Reiniluoto
   Raisa, Laaksonen
   Kerstin, Carlsson
   Marja, Airaksinen
TI Strategies for improving medication safety in hospitals: Evolution of
   clinical pharmacy services
SO RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY
VL 15
IS 7
BP 873
EP 882
DI 10.1016/j.sapharm.2019.02.004
PD JUL 2019
PY 2019
AB Background: Medication safety risks are the most important preventable
   factors jeopardizing patient safety. To manage these risks, extending
   pharmacists' involvement in patient care and patient safety work has
   been systematically addressed in patient safety initiatives since the
   early 2000s.
   Objective: To explore the extent and range of clinical pharmacy services
   in Finnish hospitals to promote medication safety: 1) in 2011, when the
   first National Patient Safety Strategy, the new Health Care Act and the
   Medicines Policy 2020 had been recently enacted; and 2) five years later
   in 2016.
   Methods: The study was conducted in 2011 and 2016 as a national online
   survey targeted to hospital pharmacies (n= 24) and medical dispensaries
   (n= 131 in 2011; n= 28 in 2016). The questions were analyzed using
   descriptive statistics and qualitative content analysis.
   Results: Overall response rate was 60% in 2011 and 52% in 2016. Clinical
   pharmacy services were provided by 51% of the responding units in 2011,
   whereas by 85% in 2016. The reported number of clinical pharmacists had
   increased during the five years. The most notable increase in reported
   tasks occurred in conducting medication reconciliations (+ 63% increase
   in the number of providing units). By 2016 pharmacists had extended
   their tasks particularly towards system-based medication safety work: e.
   g. developing instructions for medication-use (91% of the responding
   units), creating and updating medication safety plans (87%) and using
   medication error reports in developing the process of medication use
   safer (78%). Pharmacists' participation in long-term continuing
   education became more common in 2016, which was perceived as helpful in
   extending their responsibilities to improve medication safety.
   Conclusion: Pharmacists' involvement in patient care and system-based
   medication safety work was reported to become more common in Finnish
   hospitals during 2011-2016. This development is in line with patient
   safety policy initiatives and its impact on patient care outcomes should
   be followed up.
OI Holmstrom, Anna-Riia/0000-0002-3908-5430; Kvarnstrom,
   Kirsi/0000-0002-3136-5972; Lehtonen, Lasse/0000-0002-3443-3838
ZA 0
TC 8
Z8 0
ZR 0
ZS 1
ZB 3
Z9 9
U1 5
U2 9
SN 1551-7411
EI 1934-8150
UT WOS:000473206000012
PM 30928317
ER

PT J
AU Glass, Ryan
   Rosca, Oana
   Raab, Stephen
   Szabelska, Jolanta
   Chau, Karen
   Sheikh-Fayyaz, Silvat
   Cocker, Rubina
TI Applying the Paris system for reporting urine cytology to challenging
   cytology cases
SO DIAGNOSTIC CYTOPATHOLOGY
VL 47
IS 7
BP 675
EP 681
DI 10.1002/dc.24166
PD JUL 2019
PY 2019
AB Background Implementing the Paris system for reporting urine cytology
   (TPS) can substantiate atypical diagnosis while improving
   standardization and risk stratification. This study evaluates its
   performance and reproducibility in challenging cases and examines
   whether focused education of morphological features can improve
   outcomes. Methods In our prior study, urine cytology cases diagnosed as
   "atypical" with surgical follow-up were used. Cases showing poor
   agreement in that study were collected for this one. Representative
   photographs of each case were taken and distributed via online
   questionnaires. Participants were asked to render an initial diagnosis
   and evaluate the presence of several morphological features. Educational
   material was distributed, followed by additional questionnaires. Results
   Three participants evaluated 40 cases before and after educational
   materials. TPS diagnoses were significantly more specific (0.23 vs 0.59,
   P = 0.004) and more accurate (0.43 vs 0.66, P = 0.0125) than diagnoses
   made with our institutional system. Fewer overall cases were diagnosed
   as "atypical" with TPS. TPS education resulted in slightly, though not
   significantly, more specific diagnoses (0.25 vs 0.59, P = 0.083).
   Interobserver agreement decreased for nuclear-to-cytoplasmic (N/C)
   ratio, TPS diagnoses and initial diagnoses, and increased for all other
   features. TPS resulted in downgrading of cases with biopsy-proven low
   grade urothelial neoplasm (LGUN) from "atypical" to negative for high
   grade urothelial carcinoma (NHGUC) (P = 0.018). Conclusions Use of TPS
   in challenging urine cytology cases can improve specificity, risk
   stratification, and diagnostic accuracy while decreasing the number of
   "atypical" diagnoses. Though training can help cytopathologists better
   apply these criteria, it is unclear how to effectively improve
   evaluation of N/C ratio.
RI ROSCA, OANA/AAC-7152-2020
OI ROSCA, OANA/0000-0003-1167-9373
ZB 4
Z8 0
ZR 0
TC 8
ZA 0
ZS 0
Z9 8
U1 0
U2 7
SN 8755-1039
EI 1097-0339
UT WOS:000471073500008
PM 31017746
ER

PT J
AU Ceulemans, Michael
   Van Calsteren, Kristel
   Allegaert, Karel
   Foulon, Veerle
TI Beliefs about medicines and information needs among pregnant women
   visiting a tertiary hospital in Belgium
SO EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY
VL 75
IS 7
BP 995
EP 1003
DI 10.1007/s00228-019-02653-w
PD JUL 2019
PY 2019
AB PurposeTo explore beliefs about medicines and information needs among
   pregnant women visiting a tertiary hospital in Belgium and to identify
   patient characteristics associated with beliefs about medicines.MethodsA
   cross-sectional study was performed at the outpatient obstetrics clinic
   of the University Hospital Leuven, Belgium, between December 2016 and
   March 2017. All pregnant women 18years were invited to complete a web
   survey. The survey consisted of general and pregnancy-specific
   statements of the Beliefs about Medicines questionnaire and questions
   about information needs. Descriptive statistics, chi-square tests,
   Fisher's exact tests, and multinomial logistic regression were used to
   analyze the findings.ResultsIn total, 372 pregnant women participated.
   Most women showed positive attitudes towards medicines in general.
   However, almost 90% of women agreed to have a higher threshold to use
   medicines during pregnancy compared with non-pregnant situations.
   Likewise, 40% preferred natural remedies during pregnancy. Education in
   healthcare and education level were the main determinants associated
   with beliefs, with highly educated women showing a higher threshold to
   use medicines during pregnancy (p=0.005). Most women searched online for
   pregnancy-related information (85%) and for information about medicines
   (74%). However, less than one-third discussed online-retrieved
   information with healthcare professionals (HCPs).ConclusionsPregnant
   women visiting a tertiary hospital in Belgium showed a higher threshold
   to use medicines during pregnancy compared with non-pregnant situations
   and had high information needs, including for information about
   medicines during pregnancy. HCPs should be aware of women's individual
   beliefs, guide them towards reliable websites, and discuss
   online-retrieved information during counseling.
RI allegaert, karel/C-3611-2016; Ceulemans, Michael/G-5368-2019; Foulon, Veerle/
OI allegaert, karel/0000-0001-9921-5105; Ceulemans,
   Michael/0000-0002-4130-5869; Foulon, Veerle/0000-0002-4053-3915
Z8 0
ZS 1
ZR 0
ZA 0
ZB 2
TC 16
Z9 17
U1 3
U2 8
SN 0031-6970
EI 1432-1041
UT WOS:000472049600014
PM 30834472
ER

PT J
AU Kocyigit, Burhan Fatih
   Akaltun, Mazlum Serdar
TI Does YouTube provide high quality information? Assessment of secukinumab
   videos
SO RHEUMATOLOGY INTERNATIONAL
VL 39
IS 7
BP 1263
EP 1268
DI 10.1007/s00296-019-04322-8
PD JUL 2019
PY 2019
AB The Internet is a widely used source for obtaining health-related
   information. With the widespread use of the Internet, access to
   information has become easier. YouTube is one of the major sources for
   health-related videos globally. YouTube provides a wide range of
   health-related information, but there are doubts about its quality and
   reliability. Therefore, we aimed to assess the quality of the most
   viewed secukinumab videos on YouTube. This is a descriptive study. A
   total of 180 secukinumab videos returned by the YouTube search engine
   (http://www.youtube.com) in response to a keywords query were evaluated
   in the study. The Global Quality Scale (GQS) was used to assess
   educational quality, and three groups were created: high quality,
   intermediate quality, and low quality. Video parameters were compared
   among the quality groups. After applying the exclusion criteria, 53
   videos were analyzed; 18 (34%) videos were in the high-quality group, 17
   (32%) were in the intermediate-quality group, and 18 (34%) were in the
   low-quality group. No significant difference was detected in terms of
   the number of views, likes, dislikes, and comments per day between the
   groups (p>0.05). YouTube has a mixed structure of high, intermediate,
   and low-quality videos. The number of views, likes, dislikes, and
   comments per day should not be accepted as an indicator of quality for
   YouTube videos. In addition, patients should consider the importance of
   sources when obtaining online health-related information.
RI Kocyigit, Burhan Fatih/AAX-4980-2021; Akaltun, Mazlum Serdar/AAM-8914-2020; Akaltun, Mazlum Serdar/AAH-3215-2020
OI Kocyigit, Burhan Fatih/0000-0002-6065-8002; Akaltun, Mazlum
   Serdar/0000-0002-9666-9483
TC 27
ZB 8
ZA 0
ZS 0
Z8 0
ZR 0
Z9 27
U1 1
U2 8
SN 0172-8172
EI 1437-160X
UT WOS:000471206100015
PM 31069444
ER

PT J
AU Li, Ben
   Salata, Konrad
   de Mestral, Charles
   Hussain, Mohamad A.
   Aljabri, Badr A.
   Lindsay, Thomas F.
   Verma, Subodh
   Al-Omran, Mohammed
TI Perceptions of Canadian Vascular Surgeons Toward Pharmacologic Risk
   Reduction in Patients with Peripheral Artery Disease: 2018 Update
SO ANNALS OF VASCULAR SURGERY
VL 58
BP 166
EP +
DI 10.1016/j.avsg.2018.11.034
PD JUL 2019
PY 2019
AB Background: Vascular surgeons have a central role in managing peripheral
   artery disease (PAD). This study assessed their knowledge, attitudes,
   and behaviors regarding pharmacologic risk reduction in PAD and results
   were compared to a similar 2004 survey conducted by our group.
   Methods: An online questionnaire was administered to 161 active members
   of the Canadian Society for Vascular Surgery.
   Results: Forty-eight participants (30%) completed the survey.
   Recommended targets for low-density lipoprotein cholesterol, blood
   pressure, and glucose were known by 52%, 38%, and 50% of vascular
   surgeons, respectively. Almost all participants recognized antiplatelet
   dosages and statin indications, but less than half could identify
   indications (29%) and precautions (44%) for angiotensin converting
   enzyme (ACE) inhibitor therapy. A majority (58%) routinely evaluate risk
   factors in <50% of their patients. Most vascular surgeons regularly
   provide risk reduction counseling, but less than 10% initiate or modify
   antihypertensive or ACE inhibitor therapy. Compared to 2004, knowledge
   of targets and indications/precautions for common cardiovascular
   medications and frequency of risk factor assessment have not changed.
   Rates of counseling for diabetes control and statin prescription have
   improved, but remain suboptimal. Regarding newer medications with
   cardiovascular benefit, less than 10% would prescribe proprotein
   convertase subtilisin/kexin type 9 and sodium-glucose cotransporter 2
   inhibitors if they were available. The majority of vascular surgeons
   rate their PAD risk reduction knowledge as average and support an
   up-to-date Canadian PAD guideline. Most participants believe that risk
   reduction therapy is best provided by family physicians and internists,
   but also acknowledge that vascular surgeons should be well-versed in
   assessing and managing risk factors in PAD.
   Conclusions: Significant knowledge and action gaps exist among Canadian
   vascular surgeons with regards to pharmacologic cardiovascular risk
   reduction in PAD. Although there is recognition that vascular surgeons
   are central to the medical management of patients with PAD, few
   routinely evaluate risk factors and prescribe medications. There is
   little evidence of sufficient improvement since 2004. New educational
   and clinical strategies are needed to improve PAD risk reduction
   pharmacotherapy among Canadian vascular surgeons.
RI Lindsay, Thomas/AAF-1039-2020; Hussain, Mohamad/
OI Hussain, Mohamad/0000-0003-2471-8167
TC 9
ZR 2
ZB 5
ZA 0
Z8 0
ZS 0
Z9 11
U1 0
U2 1
SN 0890-5096
EI 1615-5947
UT WOS:000472166800022
PM 30771465
ER

PT J
AU Gonzalez, Jimmy
   Bryant, Samantha
   Hogan, Michael
   Bai, Sandra
   Fierro, Lesley
   Hermes-DeSantis, Evelyn R.
TI Comparison of Postdoctoral Pharmacy Training Programs: Drug Information
   Residencies and Medical Information Fellowships
SO THERAPEUTIC INNOVATION & REGULATORY SCIENCE
VL 53
IS 4
BP 446
EP 454
DI 10.1177/2168479018793375
PD JUL 2019
PY 2019
AB Pharmacy graduates interested in postdoctoral training opportunities in
   drug information or Medical Information have the option to pursue either
   a fellowship within the pharmaceutical industry or a clinical residency.
   Limited resources exist for pharmacy students to gain insight into the
   differences between drug information (DI) and medical information (MI)
   training programs. The purpose of this project is to identify available
   opportunities for postdoctoral training in DI or MI disciplines and to
   identify similarities and differences between them. DI residencies and
   MI fellowships were identified by examination of the American Society of
   Health-System Pharmacists (ASHP) and the American College of Clinical
   Pharmacy (ACCP) residency directories, the ASHP Personal Placement
   Service (PPS) index, and online keyword searching for nonindexed
   programs. The authors investigated individual programs via publicly
   available information to classify core responsibilities and skill sets
   developed; a total of 24 DI residency programs and 33 MI fellowships
   focusing or containing at least 1 component in medical information were
   evaluated. All ASHP-accredited DI residencies offered teaching,
   formulary management, adverse drug reaction and medication error
   reporting, drug utilization evaluation, and policy development as
   professional growth opportunities. The most commonly encountered
   development activities in MI fellowships were creating standard response
   documents, collaborating with cross functional teams, teaching or
   precepting, and reviewing promotional materials. Institutions and health
   care providers (HCPs) are the primary recipients of DI services whereas
   MI services respond to consumers, payors, HCPs, and external
   organizations. Employment prospects commonly overlap between the 2
   training programs.
RI Gonzalez, Jimmy/AAK-4908-2021
OI Gonzalez, Jimmy/0000-0002-3665-0158
ZA 0
ZB 0
ZR 0
Z8 0
TC 2
ZS 0
Z9 2
U1 0
U2 6
SN 2168-4790
EI 2168-4804
UT WOS:000472182800006
PM 30176737
ER

PT J
AU Howarth, Robyn A.
   Vova, Joshua
   Blackwell, Laura S.
TI Early Functional Outcomes for Pediatric Patients Diagnosed with
   Anti-N-Methyl-d-Aspartate Receptor Encephalitis during Inpatient
   Rehabilitation
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 7
BP 529
EP 535
DI 10.1097/PHM.0000000000001087
PD JUL 2019
PY 2019
AB Objective The aims of the current study were to characterize the
   demographic and clinical presentation of pediatric patients diagnosed
   with anti-N-methyl-d-aspartate receptor encephalitis who require
   inpatient rehabilitation, to examine early functional outcomes, and to
   investigate predictors of early recovery. Design A retrospective chart
   review was conducted for 27 pediatric patients diagnosed with
   anti-N-methyl-d-aspartate receptor encephalitis who received intensive
   inpatient neurorehabilitation. Results On average, patients were 10.6
   yrs of age (range, 2-18 yrs) at the time of symptom onset. Average time
   to treatment from symptom onset was 27.2 days (range, 5-91 days).
   Patients displayed significant improvements between admission and
   discharge Functional Independence Measure for Children (WeeFIM)
   Developmental Functional Quotient (DFQ) scores across patients (P <
   0.01). Mean Functional Independence Measure for Children Total
   Developmental Functional Quotient score at admission was 28.6 (range,
   15.0-62.6) and at discharge was 54.3 (range, 14.2-91.9). Younger age at
   onset, seizures, and number of treatments received were associated with
   worse functional outcomes at discharge. Time to initiate treatment was
   not found to be associated with early functional outcomes. Conclusion
   Pediatric patients diagnosed with anti-N-methyl-d-aspartate receptor
   encephalitis displayed significant functional gains during inpatient
   rehabilitation, despite persistent functional deficits at discharge,
   suggesting the need for ongoing monitoring and intervention. To Claim
   CME Credits Complete the self-assessment activity and evaluation online
   at CME Objectives Upon completion of this article, the reader should be
   able to (1) Recognize the clinical presentation of
   anti-N-methyl-d-aspartate receptor encephalitis in pediatric patients,
   (2) Appreciate the role of rehabilitation in the care of the pediatric
   patient with anti-N-methyl-d-aspartate receptor encephalitis, and (3)
   Identify demographic and clinical variables that predict poor functional
   outcomes after rehabilitation in pediatric patients with
   anti-N-methyl-d-aspartate receptor encephalitis. Level Advanced.
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim
   credit commensurate with the extent of their participation in the
   activity.
TC 10
ZB 3
ZA 0
ZR 0
Z8 0
ZS 0
Z9 10
U1 0
U2 0
SN 0894-9115
EI 1537-7385
UT WOS:000472213800008
PM 30379652
ER

PT J
AU Yeh, Vicky J. -H.
   Sherwood, Gwen
   Durham, Carol F.
   Kardong-Edgren, Suzie
   Schwartz, Todd A.
   Beeber, Linda S.
TI Online Simulation-Based Mastery Learning with Deliberate Practice:
   Developing Interprofessional Communication Skill
SO CLINICAL SIMULATION IN NURSING
VL 32
BP 27
EP 38
DI 10.1016/j.ecns.2019.04.005
PD JUL 2019
PY 2019
AB Background: New nursing graduates rarely achieve practice-ready
   competency in reporting critical information to other health care
   professionals.
   Methods: This experimental group comparison study used an online
   asynchronized simulation intervention based on deliberate practice
   incorporated with mastery Learning to explore the impacts on students'
   critical incident reporting skill.
   Results: The intervention group (n = 22) demonstrated higher performance
   and confidence Levels than the control group (n = 21), although few
   participants achieved mastery standard, indicating more practice and/or
   a Longer Learning period was needed.
   Conclusion: The online intervention offered flexible and safe
   opportunities for students to practice a skill with Limited real-Life
   practice opportunities. (C) 2019 International Nursing Association for
   Clinical Simulation and Learning. Published by Elsevier Inc. All rights
   reserved.
RI Kardong-Edgren, Suzan (Suzie)/; Yeh, Vicky J.-H./; Schwartz, Todd/D-4995-2012
OI Kardong-Edgren, Suzan (Suzie)/0000-0002-5794-4075; Yeh, Vicky
   J.-H./0000-0002-2860-4143; Schwartz, Todd/0000-0002-0232-2543
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
TC 9
Z9 9
U1 1
U2 10
SN 1876-1399
EI 1876-1402
UT WOS:000472153500005
ER

PT J
AU Sharifabadi, Anahita Dehmoobad
   Clarkin, Chantalle
   Doja, Asif
TI Perceptions of competency-based medical education from medical student
   discussion forums
SO MEDICAL EDUCATION
VL 53
IS 7
BP 666
EP 676
DI 10.1111/medu.13803
PD JUL 2019
PY 2019
AB Background Competency-based medical education (CBME) is becoming widely
   implemented in medical education. Trainees' perceptions of CBME are
   important factors in the implementation and acceptance of CBME. Online
   discussion groups allow unique insight into trainees' perceptions of
   CBME during residency training. Methods We analysed 867 posts from 20
   discussion threads in Premed 101 (Canadian) and 2756 posts from 50
   threads in Student Doctor Network (SDN) (American) using NVivo 11.
   Inductive content analysis was used to develop a data-driven coding
   scheme that evolved throughout the analysis. Measures were taken to
   ensure the trustworthiness of findings, including co-coding of a
   subsample of 600 posts, peer debriefing, consensus-based analytical
   decision making and the maintenance of an audit trial. Results Medical
   residents and students participating in the discussion forums emphasised
   select themes regarding the implementation of CBME in residency
   training. Concerns about CBME in Canada primarily involved its
   implications for the length of residency and post-residency
   opportunities. Posts on the American forum had a prominent focus on
   differing areas, such as the subjectivity in the assessment of core
   competencies and the role of CBME in termination of a resident's
   position. Conclusions Online discussion groups have the potential to
   provide unique insight into perceptions of CBME. The presented concerns
   may have implications for refining the model of CBME and illustrate the
   importance of providing clarification for trainees regarding length of
   training and evaluation structures from those involved in designing of
   CBME programmes.
OI Doja, Asif/0000-0003-1457-071X
Z8 0
ZR 0
TC 6
ZS 0
ZB 0
ZA 0
Z9 6
U1 0
U2 4
SN 0308-0110
EI 1365-2923
UT WOS:000471702900007
PM 30690769
ER

PT J
AU McGuire, Kevin J.
   Sparks, Michael B.
   Gitajn, Ida L.
   Henderson, Eric R.
   Jevsevar, David S.
   Paddock, Nicholas G.
   Coe, Marcus P.
TI Selecting Residents for Predetermined Factors Identified and Thought to
   be Important for Work Performance and Satisfaction: A Methodology
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 4
BP 949
EP 961
DI 10.1016/j.jsurg.2019.02.004
PD JUL-AUG 2019
PY 2019
AB OBJECTIVE: The medical profession seeks to hire and train individuals
   who consistently meet and/or exceed both job and cultural expectations.
   Resident selection is often not structured to meet this goal. The
   objective of this quality improvement project was to evaluate a classic
   unscripted interview process (OI) in conjunction with a structured,
   scripted interview process (SI) developed using an established hiring
   methodology from industry not yet utilized in health care. Qualitative
   questions we sought to answer: (1) Can SI be practically applied to the
   selection of residents? (2) Is there a significant difference in the
   relative position of applicants between the OI and SI rank lists? (3)
   Qualitatively, does SI help the evaluation/discussion of the affective
   domain?
   METHODS: Design: Prospective qualitative comparison of OI versus SI.
   Setting: Dartmouth Hitchcock Medical Center, Lebanon, NH.
   Participants: Applicants were assessed by OI and SI. SI factors were
   selected based on a job profile. Interview scripts were created from
   validated behavioral and attitudinal questions. Online assessments
   assessed 2 important attributes - adaptability and values. Rank lists
   were compared for relative rank position of applicants. Feedback from
   faculty was obtained.
   RESULTS: Fifty-two applicants. Critical attributes were self-management,
   integrator-synthesizer, versatility, communication, and achievement.
   Absolute mean difference in rank/applicant was 9.8 (standard deviation
   8.9, Range 0-36) positions. Comparing the top 20 candidates of each rank
   list, 40% of those applicants were only on one list. Faculty felt that
   applicants were given a greater opportunity to show "who they are."
   CONCLUSIONS: In conjunction with OI, an industry proven methodology was
   practically applied to define and select for high performance for the
   authors' specific institution. Comparing CH and SI resulted in
   substantial differences in rank lists. This initiative seemed to provide
   a structure to evaluate values and motivations that are inherently
   difficult to assess. Faculty felt SI in conjunction with OI gave a
   greater chance for applicants to show "who they are." (C) 2019
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.
OI McGuire, Kevin/0000-0003-1069-4790; Henderson, Eric/0000-0002-0371-010X
ZR 0
TC 2
Z8 0
ZA 0
ZB 0
ZS 0
Z9 2
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000470800100007
PM 30846348
ER

PT J
AU Martin, Rachel
   Hsu, June
   Soliman, Mark K.
   Bastawrous, Amir L.
   Cleary, Robert K.
TI Incorporating a Detailed Case Log System to Standardize Robotic Colon
   and Rectal Surgery Resident Training and Performance Evaluation
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 4
BP 1022
EP 1029
DI 10.1016/j.jsurg.2018.12.011
PD JUL-AUG 2019
PY 2019
AB OBJECTIVE: This study was designed to evaluate a novel case log used as
   part of a standardized robotic colon and rectal surgery resident
   training program.
   DESIGN: This observational study describes a detailed procedure log
   developed to standardize training of residents in robotic colorectal
   surgery. The procedure log tracks resident total case numbers and
   execution of specific steps of eleven colorectal procedures. Case log
   data were accumulated and analyzed to assess resident progress.
   SETTING/PARTICIPANTS: The study includes colon and rectal surgery
   residents during the 2016-2017 academic year. The national Colon and
   Rectal Surgery Robotic Training Program was developed and implemented
   during the 2010-2011 academic year in response to increasing adoption of
   robotic-assisted colorectal surgery. This program evolved to include
   online modules, dry lab exercises, simulation and cadaveric courses.
   RESULTS: Forty of 93 residents in 54 colon and rectal surgery programs
   participated in the case log system and the comprehensive training
   program. Residents participated as console surgeon in an average of 28
   cases (range 1-115). Sixty-five percent of participating residents
   performed >= 20 complex colorectal cases as console surgeon. Of the 1080
   operations entered, the three most frequently performed procedures were
   low anterior resections (n = 360, 33.3%), sigmoid resections (n = 172,
   15.9%), and right colectomies with intracorporeal anastomosis (n = 138,
   12.8%). Residents with 10 or more robotic cases had a 27% increase in
   cases as console surgeon and a 28% decrease in cases completed as
   bedside assistant. Experience and progression to the console varied by
   resident and by program.
   CONCLUSION: This detailed standardized case log system provides
   comprehensive assessment of resident experience that allows preparation
   for a robotic colon and rectal surgery practice after fellowship. As
   adoption of the robotic approach for colon and rectal cases continues to
   increase, novel methods that evaluate teaching methods and resident
   progress warrant further study. (C) 2019 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.
OI Bastawrous, Amir/0000-0003-1440-0323; Soliman, Mark/0000-0002-0392-7261
Z8 0
ZR 0
TC 9
ZS 0
ZA 0
ZB 0
Z9 9
U1 0
U2 8
SN 1931-7204
EI 1878-7452
UT WOS:000470800100015
PM 30665735
ER

PT J
AU Trivedi, Dharmadev B.
TI Educational Value of Surgical Multidisciplinary Team Meetings for
   Learning Non-Technical Skills - A Pilot Survey of Trainees From Two UK
   Deaneries
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 4
BP 1034
EP 1047
DI 10.1016/j.jsurg.2019.02.001
PD JUL-AUG 2019
PY 2019
AB OBJECTIVE: This prospective survey study aimed to identify trainee
   surgeons' views on the educational potential of multi-disciplinary team
   (MDT) meetings for learning non-technical skills and relevant issues
   around using MDT meetings as an educational instrument.
   DESIGN: An online survey questionnaire containing eight closed and three
   open-ended questions; was developed based on established educational
   theories. Responses were anonymous.
   SETTING: This survey study was designed as professional project for
   masters in medical education degree at Warwick University. The study
   received ethical approval from the Biomedical Science Research and
   Ethics Committee of Warwick University.
   PARTICIPANTS: Trainee surgeons and non-trainee junior surgical doctors
   within two regions (Health Education Kent Surrey and Sussex, Health
   Education Wessex) in the UK were invited through an email to take the
   survey with the help of regional heads of surgery and coordinators.
   RESULTS: Twenty eight (28) out of 420 invitees completed the survey.
   High internal consistency was observed for questionnaire (Cronbach's
   alpha = 0.924). 71.42% (20/28) respondents attended MDT at least once a
   week. 75.9% of participants indicated the importance of attendance to
   MDT meetings with any level of involvement; passive attendance
   considered the least important (5/28, 17.9%, p=0.005). Trainees felt
   included in the team by attendance to MDT meetings (Median score 5,
   p=0.027). MDT meetings were considered important for learning all
   domains of non-technical skills for surgeons taxonomy (cumulative mean
   score 2.4, p=001). Respondents considered MDT as a valuable tool for
   learning non-technical skills for surgeons on Miller's pyramid for
   learning (Cumulative mean 5.6, p=0.025). Free text answers indicated
   agreement to the learning opportunity provided by MDT meetings.
   Consistent suggestions of increasing trainee participation were
   obtained.
   CONCLUSION: Results indicate consistently positive views from trainees
   about the educational value of MDT meeting in general and for
   non-technical skills, Trainee participation, in the form of
   case-preparation, presentation, and discussion are recommended by
   respondents. (C) 2019 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
Z8 1
TC 6
ZR 0
ZB 1
ZA 0
ZS 0
Z9 7
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000470800100017
PM 30792161
ER

PT J
AU Frantzen, Lea
   Cohen, Jean-David
   Trope, Sonia
   Beck, Morgane
   Munos, Audrey
   Sittler, Marie-Annick
   Diebolt, Rita
   Metzler, Isabelle
   Sordet, Christelle
TI Patients' information and perspectives on biosimilars in rheumatology: A
   French nation-wide survey
SO JOINT BONE SPINE
VL 86
IS 4
BP 491
EP 496
DI 10.1016/j.jbspin.2019.01.001
PD JUL 2019
PY 2019
AB Objective: To assess the patients' information about biosimilars and to
   identify the patients' incentives and deterrents to concur with the use
   of biosimilars.
   Methods: Nation-wide cross-sectional study assessing information and
   concerns about biosimilars of French patients treated for rheumatic
   inflammatory diseases, whether they were treated or not by a biological
   DMARD. The assessment was available online from March to July 2017.
   Results: Among the 629 respondents, 43% knew what biosimilars were. The
   main sources of information were rheumatologists and patient
   associations. Among patients treated with a biosimilar, 44% were not
   informed before they received the treatment. The patients' concerns
   focused on the non-similar molecular structure (46%), efficacy (60%) and
   safety (57%) comparatively to the originator biologic. 15% of
   respondents would refuse to switch their biologic to its biosimilar.
   More than 50% of respondents would warily accept to switch medications
   and interrupt the treatment if in doubt. Being informed about
   biosimilars and a good understanding of the definition of biosimilars
   were characteristics associated with better adherence to biosimilars.
   The rheumatologist was considered the most influent source of
   information about biosimilars and was considered reliable when deciding
   to switch a biologic to its biosimilar. Patient were reluctant to
   substitution of the medications by pharmacists (2%). Medico-economical
   issues acted as an incentive and a deterrent to accept the switch of
   medication.
   Conclusion: Biosimilars are largely unknown to patients. Information
   seems to be instrumental in improving the patients' adherence to
   biosimilars and could help preserving the therapeutic relationship and
   avoiding a nocebo effect. (C) 2019 Societe francaise de rhumatologie.
   Published by Elsevier Masson SAS. All rights reserved.
OI TROPE, Sonia/0000-0002-7321-9287; Sordet,
   Christelle/0000-0001-6382-8735; Beck, Morgane/0000-0002-6877-7022
ZB 5
ZR 0
Z8 0
ZS 0
ZA 0
TC 18
Z9 18
U1 0
U2 1
SN 1297-319X
EI 1778-7254
UT WOS:000469817100012
PM 30659920
ER

PT J
AU Sciarretta, Jason D.
   Atchison, Christine D.
   Onayemi, Ayolola O.
   Davis, John M.
TI Starting Line for Scholarly Activity in New Residency Programs: Lessons
   Learned for Institutional Success
SO JOURNAL OF SURGICAL RESEARCH
VL 239
BP 136
EP 141
DI 10.1016/j.jss.2019.02.008
PD JUL 2019
PY 2019
AB Background: One focal point of Graduate Medical Education (GME) is
   scholarly activity and its integration into clinical practice by
   evidence-based learning. Program directors and educational leaders view
   scholarly work as the foundation for continuing resident education;
   however, the high demand of scholarly activity can be cumbersome for
   newly accredited residency programs.
   Methods: We reviewed all scholarly activity over a 2-y period
   (2015-2017) involving three new GME programs at a single institution
   (internal medicine, surgery, and transitional year). A voluntary
   anonymous online survey was distributed to all residents to assess their
   perceptions and expectations regarding research, review prior research
   experience, and analyze any barriers or successes within the research
   program.
   Results: The survey was distributed to 61 residents with a response rate
   of 59% (36/61), including postgraduate years 1-5. Respondent
   demographics included males (55.6%), ages 26-30 y (63.9%), and
   respondents commonly being postgraduate yeare1 (58.3%) level. In total,
   171 scholarly activities were recorded. Survey review of resident basic
   research knowledge, concepts, and experience included preresidency
   research (91.7%), prior scholarly activity (79.2%), and interest to meet
   career goals (66.7%). Barriers or delays in research were lack of
   structured curriculum (50%), technical support (45.8%), research
   experience (37.5%), and interest (33%).
   Conclusions: Newly accredited GME training programs can avoid an
   unnecessary institutional deficiency in scholarly activity by developing
   a structured and comprehensive research curriculum. Resident engagement,
   developing a mentor-mentee relationship, and research experience before
   residency can allow a successful research program. (C) 2019 Elsevier
   Inc. All rights reserved.
ZR 0
Z8 0
ZB 1
ZA 0
TC 0
ZS 0
Z9 1
U1 0
U2 5
SN 0022-4804
EI 1095-8673
UT WOS:000466078100019
PM 30826564
ER

PT J
AU McKinley, Sophia K.
   Hashimoto, Daniel A.
   Mansur, Arian
   Cassidy, Douglas
   Petrusa, Emil
   Mullen, John T.
   Phitayakorn, Roy
   Gee, Denise W.
TI Feasibility and Perceived Usefulness of Using Head-Mounted Cameras for
   Resident Video Portfolios
SO JOURNAL OF SURGICAL RESEARCH
VL 239
BP 233
EP 241
DI 10.1016/j.jss.2019.01.041
PD JUL 2019
PY 2019
AB Background: There is limited guidance on how to longitudinally
   administer simulation materials or to incorporate video recordings into
   assessment portfolios of simulated surgical skills.
   Materials and methods: We launched a longitudinal weekly simulation
   curriculum for PGY1-PGY3 surgical residents based on the ACS/APDS
   Curriculum. Residents underwent monthly objective structured assessment
   of technical skills (OSATS) while wearing head-mounted cameras. Videos
   of OSATS performance accrued into individual online video portfolios.
   Residents were surveyed about their attitudes toward video recording.
   Results: Twenty-seven general surgical residents participated,
   completing 161 OSATS encompassing 11 distinct skills and generating 258
   videos of simulated skills performance. The overall survey response rate
   was 88%. Residents viewed the curriculum favorably overall, and 36.4% of
   residents accessed their videos. Of those who did not watch their
   videos, 78.6% cited not having enough time, whereas 28.6% did not think
   the videos would be useful. Over 95% of surveyed residents expressed
   interest in having a video library of attending-performed procedures,
   59.1% were interested in having their own operations recorded, and 45.5%
   were interested in video-based coaching.
   Conclusions: Residents viewed longitudinal administration of the
   ACS/APDS Curriculum positively. Although video recording in simulation
   is feasible, resident interest may be higher for intraoperative
   recordings than for simulated skills. (C) 2019 Published by Elsevier
   Inc.
CT 3rd Annual Meeting of the Society-of-Asian-Academic-Surgeons (SAAS)
CY SEP, 2018
CL Milwaukee, MI
SP Soc Asian Acad Surg
RI Hashimoto, Daniel A./H-3473-2019; Petrusa, Emil/
OI Hashimoto, Daniel A./0000-0003-4725-3104; Petrusa,
   Emil/0000-0002-7482-0402
ZA 0
ZS 0
Z8 0
ZR 0
ZB 1
TC 8
Z9 8
U1 0
U2 11
SN 0022-4804
EI 1095-8673
UT WOS:000466078100032
PM 30856516
ER

PT J
AU Harriman, David
   Singla, Rohit
   Nguan, Christopher
TI The Resident Report Card: A Tool for Operative Feedback and Evaluation
   of Technical Skills
SO JOURNAL OF SURGICAL RESEARCH
VL 239
BP 261
EP 268
DI 10.1016/j.jss.2019.02.006
PD JUL 2019
PY 2019
AB Background: Competency-based medical education surgical curriculums will
   require frequent, recorded trainee performance evaluations. It is our
   hypothesis that written feedback after each operation can be used to
   chart surgical progress, can identify under-performing trainees, and
   will prove beneficial for resident learning.
   Methods: The resident report card (RRC) is an online, easy-to-use
   evaluation tool designed to facilitate the creation and distribution of
   resident technical assessments. RRC data were collected from urologic
   trainees and analyzed using ANOVA and post hoc testing to confirm our
   hypothesis. A standardized survey was sent to residents, gauging their
   views on the RRC.
   Results: Over a 5-y period, 958 RRCs with the resident listed as the
   primary operator were collected across 29 different procedures. Resident
   cohort and individual performance scores stratified by postgraduate year
   (PGY) were shown to significantly improve when all procedures (cohort,
   6.5 perpendicular to 1.9 [PGY-1] to 9.1 perpendicular to 1.0 [PGY-5];
   individual [resident M], 8.8 perpendicular to 1.8 [PGY-3] to 9.4 +/- 0.7
   [PGY-5], P < 0.01) and specific procedures (laparoscopic donor
   nephrectomy: cohort, 7.3 +/- 1.3 [PGY-3] to 8.9 +/- 1.0 [PGY-5];
   individual [resident I], 7.2 +/- 1.3 [PGY-3] to 9.5 +/- 0.6 [PGY-5], P <
   0.01) were analyzed. Individual residents were able to be compared to
   their own peer group and to the average scores across all evaluated
   residents. Surveyed residents were overwhelmingly positive about the
   RRC.
   Conclusions: The RRC adds further evidence to the fact that
   standardized, formative, and timely assessment can capture trainee
   performance over time and against comparator cohorts in an acceptable
   format to residents and academic training programs. (C) 2019 Elsevier
   Inc. All rights reserved.
ZA 0
ZS 0
ZR 0
TC 4
ZB 0
Z8 0
Z9 4
U1 1
U2 4
SN 0022-4804
EI 1095-8673
UT WOS:000466078100035
PM 30884382
ER

PT J
AU Matalon, Shanna A.
   Guenette, Jeffrey P.
   Smith, Stacy E.
   Uyeda, Jennifer W.
   Chua, Alicia S.
   Gaviola, Glenn C.
   Durfee, Sara M.
TI Factors Influencing Choice of Radiology and Relationship to Resident Job
   Satisfaction
SO CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
VL 48
IS 4
BP 333
EP 341
DI 10.1067/j.cpradiol.2018.03.008
PD JUL-AUG 2019
PY 2019
AB Purpose: Identify when current radiology residents initially became
   interested in radiology, which factors influenced their decision to
   pursue a career in radiology, and which factors correlate with job
   satisfaction.
   Methods: An online survey was distributed to United States radiology
   residents between December 7, 2016 and March 31, 2017. Respondents
   identified the most appealing aspects of radiology during medical
   school, identified experiences most influential in choosing radiology,
   and scored job satisfaction on visual analog scales. Relative importance
   was compared with descriptive statistics. Satisfaction scores were
   compared across factors with analysis of variance and post-hoc Tukey
   tests.
   Results: 488 radiology residents responded (age 30.8 +/- 3.2 years; 358
   male, 129 female, 1 unknown; 144 PGY2, 123 PGY3, 103 PGY4, 118 PGY5).
   The most influential aspects in choosing radiology were the intellectual
   (n=187, 38%), imaging (n=100, 20%), and procedural (n=96, 20%)
   components and potential lifestyle (n=69, 14%). Radiology clerkship
   reading room shadowing (n=143, 29%), radiologist mentor (n=98, 20%),
   non-radiology clerkship imaging exposure (n=77, 16%), and radiology
   clerkship interventions exposure (n=75, 15%) were most influential.
   Choosing radiology because of potential lifestyle correlated with less
   job satisfaction than choosing radiology for intellectual (p=0.0004) and
   imaging (p=0.0003) components.
   Conclusion: Recruitment of medical students into radiology may be most
   effective when radiology clerkships emphasize the intellectual and
   imaging components of radiology through reading room shadowing and
   exposure to interventions. Choosing radiology for lifestyle correlates
   with less job satisfaction, at least during residency. (C) 2018 Elsevier
   Inc. All rights reserved.
RI Chua, Alicia/AAA-3628-2019; Guenette, Jeffrey/; Chua, Alicia/
OI Guenette, Jeffrey/0000-0002-4684-5469; Chua, Alicia/0000-0001-6908-8539
ZA 0
ZB 0
Z8 0
ZS 0
TC 8
ZR 0
Z9 8
U1 0
U2 4
SN 0363-0188
UT WOS:000468633500007
PM 29656882
ER

PT J
AU Buendia, Felix
   Gayoso-Cabada, Joaquin
   Sierra, Jose-Luis
TI Generation of Standardized E-Learning Content from Digital Medical
   Collections
SO JOURNAL OF MEDICAL SYSTEMS
VL 43
IS 7
AR 188
DI 10.1007/s10916-019-1330-5
PD JUL 2019
PY 2019
AB In this paper, we describe a new approach to generating standardized
   e-Learning content from existing medical collections. The core of this
   approach is a tool called Clavy, which makes it possible to retrieve
   information items from medical collections, to transform these items
   into meaningful learning units, and to export them in the form of
   standardized e-Learning packages. In addition to describing the
   approach, we assess its feasibility by applying it to the generation of
   IMS Content Packages from MedPix, an online database of medical cases in
   the domain of radiology.
RI Gayoso-Cabada, Joaquin/O-7377-2014; Sierra, Jose Luis/J-6935-2014
OI Gayoso-Cabada, Joaquin/0000-0002-1304-469X; Sierra, Jose
   Luis/0000-0002-0317-0510
ZB 0
ZR 0
Z8 0
ZA 0
TC 4
ZS 0
Z9 4
U1 0
U2 9
SN 0148-5598
EI 1573-689X
UT WOS:000468184200001
PM 31104150
ER

PT J
AU Teoh, Leanne
   Stewart, Kay
   Marino, Rodrigo J.
   McCulloug, Michael John
TI Perceptions, attitudes and factors that influence prescribing by general
   dentists in Australia: A qualitative study
SO JOURNAL OF ORAL PATHOLOGY & MEDICINE
VL 48
IS 7
SI SI
BP 647
EP 654
DI 10.1111/jop.12909
EA JUN 2019
PD AUG 2019
PY 2019
AB Background Longitudinal studies of dental prescribing in Australia show
   that dentists make some inappropriate prescribing choices; literature
   has shown that dentists tend to overprescribe antibiotics and prescribe
   for incorrect indications. The unnecessary use of antibiotics is a
   contributing factor towards the development of antibiotic resistance.
   The aims of the study were to obtain a greater understanding of the
   perceptions, attitudes and factors that influence dental prescribing for
   all major relevant drug classes. Method Semi-structured interviews of 15
   purposively sampled dentists practising in Victoria, Australia were
   conducted from June-September 2018. Two dentists practised in rural
   areas and the remainder in urban locations. The range of clinical
   experience varied from 2.5 to 37 years, with a mean of 13 years. The
   transcripts were analysed thematically. Results Dentists generally
   preferred amoxicillin as first-line therapy for odontogenic infections,
   with some confusion about the spectrum and uses of antibiotics.
   Overprescribing was evident, mostly due to basing judgement for use of
   antibiotics on symptoms rather than clinical signs. Other factors, such
   as time pressure, patient expectations, pressure from assistant staff,
   concern about online criticism and medico-legal considerations,
   influenced prescribing. Of the dentists who prescribed anxiolytics, most
   did not have a care protocol for their sedated patients. Conclusion A
   variety of prescribing practices were described, and future
   interventions should target misconceptions around the appropriate use
   and choice of antibiotics, resources to address the shortfall in
   knowledge of therapeutics, patient education and staff training, as well
   as appropriate care and monitoring of sedated patients.
OI McCullough, Michael/0000-0001-7829-4684; Marino,
   Rodrigo/0000-0002-3061-843X
ZB 6
Z8 0
ZS 0
ZA 0
ZR 0
TC 10
Z9 10
U1 0
U2 2
SN 0904-2512
EI 1600-0714
UT WOS:000474075900001
PM 31254315
ER

PT J
AU Koletic, Goran
   Kohut, Taylor
   Stulhofer, Aleksandar
TI Associations between adolescents' use of sexually explicit material and
   risky sexual behavior: A longitudinal assessment
SO PLOS ONE
VL 14
IS 6
AR e0218962
DI 10.1371/journal.pone.0218962
PD JUN 26 2019
PY 2019
AB The unprecedented accessibility and affordability of online sexually
   explicit material (SEM) has facilitated widespread use among adolescents
   and growing concerns over adverse reproductive health outcomes. Although
   SEM-induced risky sexual behavior is among key concerns, there is a
   paucity of longitudinal research addressing this issue. This study aimed
   to assess the longitudinal association between frequency of SEM use and
   risky sexual behavior among adolescents in two independent 5-wave panel
   samples of Croatian adolescents (n = 368; n = 247). The indicators of
   risky sexual behavior were: (1) not using a condom at most recent sexual
   intercourse, and (2) reporting two or more sexual partners. Multilevel
   logistic regression analysis with a lagged component was used to explore
   the associations of interest. Controlling for sociodemographic
   characteristics, pubertal timing and sensation seeking, frequency of SEM
   use was not associated with the two indicators of sexual risk taking.
   This study's findings are relevant for health and educational experts,
   but also for concerned parents.
OI Stulhofer, Aleksandar/0000-0001-5138-3644
ZR 0
ZS 0
ZB 2
TC 11
ZA 0
Z8 0
Z9 11
U1 1
U2 7
SN 1932-6203
UT WOS:000482883600072
PM 31242258
ER

PT J
AU Steinborn, Maya L.
   Nusbaum, Emily A.
TI Cripping Human Rights Education with Disability Studies: An
   Undergraduate Reading List
SO EDUCATIONAL STUDIES-AESA
VL 55
IS 4
SI SI
BP 489
EP 504
DI 10.1080/00131946.2019.1630128
EA JUN 2019
PD JUL 4 2019
PY 2019
AB Aiming to place disability studies in conversation with other
   antioppressive educational frameworks, this article "crips" human rights
   education (HRE), a field that, by definition, teaches people about
   equality, dignity, and respect. A theoretical sampling of HRE journals
   and an online library database uncovers that human rights scholarship
   largely overlooks disability outside a medical or legal framework,
   though disability scholars consistently reference human rights in their
   work. We argue that these absences exemplify the active erasure of
   disability at the ontological level, and in response we urge scholars to
   reconceptualize where and how politics, activism, and social change take
   place. This "visibilizing" project follows Baxi's dictum that HRE must
   constantly adapt to people's localized experiences and the needs of
   future generations. We offer a reading list to begin this "visibilizing"
   project in undergraduate university settings, proposing that teachers
   use "Disability and Human Rights Praxis: Intersectional,
   Interdisciplinary Readings for Educators" to conceptualize how they
   might pair disability studies in education and HRE texts to facilitate
   interdisciplinary class discussions and student projects.
Z8 0
ZB 0
TC 0
ZR 0
ZA 0
ZS 0
Z9 0
U1 1
U2 3
SN 0013-1946
EI 1532-6993
UT WOS:000473844300001
ER

PT J
AU Quadra, Gabrielle R.
   Silva, Pamela S. A.
   Paranaiba, Jose R.
   Josue, Iollanda I. P.
   Souza, Helena
   Costa, Rafaela
   Fernandez, Marcos
   Vilas-Boas, Jessica
   Roland, Fabio
TI Investigation of medicines consumption and disposal in Brazil: A study
   case in a developing country
SO SCIENCE OF THE TOTAL ENVIRONMENT
VL 671
BP 505
EP 509
DI 10.1016/j.scitotenv.2019.03.334
PD JUN 25 2019
PY 2019
AB The incorrect disposal of medicines can be harmful to the environment.
   Here, we aim to understand the consumption and disposal of medicines in
   Brazil using online forms. 64% of the respondents have the habit to
   self-medicate. 66% of respondents dispose the disused or expired
   medicines in the garbage. 71.9% of respondents never receive any
   information about correct disposal of medicines. 95.2% of respondents
   believe that residues of medicines can be harmful to the environment.
   Environmental education can provide information to the population and
   help to mitigate pharmaceuticals pollution. (C) 2019 Elsevier B.V. All
   rights reserved.
RI FERNANDEZ, MARCOS ANTONIO DOS SANTOS/AAH-7086-2021; Quadra, Gabrielle Rabelo/E-2573-2018; Quadra, Gabrielle/W-2493-2019; Paranaíba, José R./S-8556-2019
OI FERNANDEZ, MARCOS ANTONIO DOS SANTOS/0000-0001-6583-9841; Quadra,
   Gabrielle Rabelo/0000-0001-6547-4934; Paranaíba, José
   R./0000-0003-0081-1295
ZS 0
ZA 0
ZB 8
Z8 0
TC 16
ZR 0
Z9 16
U1 0
U2 20
SN 0048-9697
EI 1879-1026
UT WOS:000466090500052
PM 30933805
ER

PT J
AU Ames, Elizabeth G.
   Burrows, Heather L.
TI Differing Experiences with Breastfeeding in Residency Between Mothers
   and Coresidents
SO BREASTFEEDING MEDICINE
VL 14
IS 8
BP 575
EP 579
DI 10.1089/bfm.2019.0001
EA JUN 2019
PD OCT 1 2019
PY 2019
AB Background: Returning to work and lack of support for expressing breast
   milk (pumping) at work is often cited as a reason that mothers
   discontinue breastfeeding, particularly among female physicians. It is
   unclear how these perceived difficulties affect resident mothers and how
   resident teams perceive coresidents who choose to pump at work. The goal
   of this study was to identify differences in perception of resident
   mothers and their coresidents about breastfeeding residents pumping.
   Materials and Methods: An online survey in 2017 was sent to 413
   residents in Pediatrics, Internal Medicine, Family Medicine, and
   Anesthesia at the University of Michigan Health System. Results: A total
   of 82 residents completed the survey (20% response rate). Resident
   mothers (15% of respondents self-identified as a mother) were asked
   specific questions regarding their experiences with breastfeeding.
   Almost all mothers (92%) encountered difficulty in breastfeeding after
   returning to work. The majority of mothers reported that their mood was
   affected by these difficulties (85%). The most common challenge that
   breastfeeding residents encountered was not enough time to pump. The
   majority of all residents surveyed (74%) have worked with a
   breastfeeding resident. Forty percent of breastfeeding residents felt
   that their pumping adversely affected the team, whereas only 10% of
   coresidents felt the same. Conclusions: Breastfeeding residents
   encountered significant difficulties that affected their well-being when
   breastfeeding while returning to work. They also felt that their pumping
   can be detrimental to their job. However, their coresidents felt that
   pumping had no major setbacks to team efficiency or patient care and did
   not create additional work.
ZS 0
ZR 0
Z8 0
TC 5
ZA 0
ZB 0
Z9 5
U1 1
U2 2
SN 1556-8253
EI 1556-8342
UT WOS:000472404300001
PM 31219317
ER

PT J
AU Yu, Qiao
   Xu, Liyi
   Li, Lili
   Zhi, Min
   Gu, Yubei
   Wang, Xinying
   Guo, Hong
   Li, Yue
   Fan, Yihong
   Yang, Bolin
   Xue, Meng
   Lv, Minfang
   Xu, Dingting
   Zhang, Hanyun
   Li, Yan
   Song, Yongmao
   Deng, Qun
   Huang, Xiaoxu
   Zhong, Jing
   Hu, Wen
   Zhu, Yimiao
   Wang, Xiaoying
   Cai, Jianting
   Chen, Yan
TI Internet and WeChat used by patients with Crohn's disease in China: a
   multi-center questionnaire survey
SO BMC GASTROENTEROLOGY
VL 19
AR 97
DI 10.1186/s12876-019-1011-3
PD JUN 20 2019
PY 2019
AB BackgroundCurrently, WeChat is widely used in disease education for
   patients with Crohn's disease (CD) in China. It is beneficial for the
   patients to actively engage in their disease management.MethodsIn this
   study, we examined the source and expectations of disease information
   for Chinese CD patients, analysing the content of popular WeChat public
   accounts and their potential association with medication
   adherence.ResultsBetween November 24th, 2017 and April 10th, 2018,
   online questionnaires were sent to CD patients from eight different
   large urban hospitals in China. In all, 436 patients with CD were
   surveyed, and 342 patients responded. Patients most frequently visited
   Baidu (65%), WeChat (61%) and medical websites such as Haodaifu (35%)
   when searching for IBD-related information. Among ten WeChat IBD public
   accounts, the China Crohn's and Colitis Foundation (CCCF) (73%), IBD
   Academic Officer (21%) and IBD in love (21%) were the most popular. CD
   patients were most interested in information from the internet about
   diet and day-to-day health-related living with IBD (83%), an
   introduction to the disease (80%), and medication advances and side
   effects (80%). The correlation between the information provided by the
   top five WeChat public accounts and patients' expectations was low.
   Additionally, most patients (64%) had greater confidence in overcoming
   the disease after learning about CD through their internet searches.
   Medical adherence was also related to internet access and income
   (p<0.05).ConclusionsWeChat has become a major source of information for
   IBD education in China, but the content of WeChat didn't fully meet
   patients' expectations. Therefore, future initiatives should aim to
   provide high-quality information that based on patients' demands.
RI Yang, Bo-Lin/AAS-9457-2021
Z8 1
ZR 0
ZA 0
ZB 2
TC 18
ZS 0
Z9 19
U1 2
U2 11
SN 1471-230X
UT WOS:000472479600002
PM 31221086
ER

PT J
AU Pearson, Carly
   Swindale, Rosanna
   Keighley, Peter
   McKinlay, Alison Ruth
   Ridsdale, Leone
TI Not Just a Headache: Qualitative Study About Web-Based Self-Presentation
   and Social Media Use by People With Migraine
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 6
AR e10479
DI 10.2196/10479
PD JUN 19 2019
PY 2019
AB Background: To help with a long-term but invisible medical condition
   such as migraine, many people seek information and support on social
   media. The effect of using social media for people with migraine is not
   fully understood and remains to be investigated.
   Objective: The aim of this study was to describe how people with
   migraine use social media and how social media use affects their
   identity and sense of self.
   Methods: A total of 20 participants who experienced migraine were
   recruited via migraine-specific charities. Semistructured interviews
   were conducted with questions based on a topic guide. Interviews were
   transcribed verbatim, and transcripts were analyzed using thematic
   analysis.
   Results: People with migraine are using social media to obtain
   information to better understand their condition and treatment options.
   Social media offers instant access to continuous information and social
   support. This exchange of social support and information was viewed as
   mutually beneficial. Participants viewed social media as an outlet to
   vent frustrations and validate the migraine experience. Several
   participants pointed out that the invisible and episodic nature of
   migraine can lead to societal misunderstanding of the impact and or
   severity of their condition. Some participants masked their online
   migraine-related behavior using different sites or closed online groups
   to control who saw their migraine-related content. Participating in
   closed social media groups sometimes changed Web-based behavior in other
   areas of the platform. This illustrates the complex relationship between
   migraine, social media, and identity.
   Conclusions: How migraine is part of an individual's identity and how
   this is represented online can vary. Social media can provide people who
   experience migraine with instant and continuous access to support and
   information, from a group of empathic others with similar lived
   experiences. Social media is used to validate the illness experience, as
   well as provide reassurance and help reduce feelings of isolation.
RI McKinlay, Alison R./AAT-2627-2021; Ridsdale, Leone/; Swindale, Rosanna/; Keighley, Peter/; McKinlay, Alison/
OI Ridsdale, Leone/0000-0002-2234-2859; Swindale,
   Rosanna/0000-0003-2119-963X; Keighley, Peter/0000-0002-4083-1066;
   McKinlay, Alison/0000-0002-3271-3502
ZB 1
ZS 0
ZR 0
TC 3
Z8 0
ZA 0
Z9 3
U1 0
U2 6
SN 1438-8871
UT WOS:000472235600001
PM 31219049
ER

PT J
AU Sui, Xincheng
   Reddy, Priscilla
   Nyembezi, Anam
   Naidoo, Pamela
   Chalkidou, Kalipso
   Squires, Neil
   Ebrahim, Shah
TI Cuban medical training for South African students: a mixed methods study
SO BMC MEDICAL EDUCATION
VL 19
AR 216
DI 10.1186/s12909-019-1661-4
PD JUN 17 2019
PY 2019
AB BackgroundAchieving universal health care coverage will require greater
   investment in primary health care, particularly in rural and underserved
   populations in low and middle-income countries. South Africa has
   invested in training black students from disadvantaged backgrounds in
   Cuba and large numbers of these Cuban-trained students are now returning
   for final year and internship training in South Africa. There is
   controversy about the scheme, the quality and relevance of training
   received and the place of Cuban-trained doctors in the health care
   system. Exploring the experiences of Cuban- and South African-trained
   students, recent graduates and medical school faculty may help
   understand and resolve the current controversy.MethodsUsing a mixed
   methods approach, in-depth interviews and a focus group discussion were
   held with deans of medical schools, senior faculty, and Cuban-trained
   and South African-trained students and recent graduates. An online
   structured questionnaire, adapted from the USA medical student survey,
   was developed and administered to Cuban- and South African-trained
   students and recent graduates.ResultsSouth African students trained in
   Cuba have had beneficial experiences which orientate them towards
   primary health care and prevention. Their subsequent training in South
   Africa is intended to fill skill gaps related to TB, HIV and major
   trauma. However this training is ad hoc and variable in duration and
   demoralizing for some students. Cuban-trained students have stronger
   aspirations than those trained in South Africa to work in rural and
   underserved communities from which many of them are
   drawn.ConclusionAttempts to assimilate returning Cuban-trained students
   will require a reframing of the current negative narrative by focusing
   on positive aspects of their training, orientation towards primary care
   and public health, and their aspirations to work in rural and
   under-served urban areas. Cuban-trained doctors could be part of the
   solution to South Africa's health workforce problems.
RI Nyembezi, Anam/AAT-1142-2020
OI Nyembezi, Anam/0000-0003-4799-405X
ZA 0
ZR 0
ZS 0
TC 5
Z8 0
ZB 1
Z9 5
U1 0
U2 3
SN 1472-6920
UT WOS:000471866100003
PM 31208423
ER

PT J
AU Hutzschenreuter, Luise
   Huebner, Nils-Olaf
   Dittmann, Kathleen
   Hassel, Angela-Verena
   Flessa, Steffen
TI Potential of innovations in hygiene management - a managerial
   perspective
SO ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
VL 8
AR 100
DI 10.1186/s13756-019-0555-x
PD JUN 14 2019
PY 2019
AB BackgroundAssessment of the current situation is crucial before
   introducing innovative infection prevention measures. According to the
   literature, hospital managers should take on the role of power promoters
   in adopting infection prevention measures due to their position and
   decision-making authority. However, there is no empirical evidence for
   whether or not this assumption is valid. This paper reports German
   hospital managers' perceptions of current challenges in infection
   prevention and control and innovative prevention measures. We analysed
   the managerial promoters and barriers of adopting innovations in order
   to derive recommendations for improving the innovation process in
   hospitals using the novel AHOI-approach to actively involve patients and
   their relatives in anti-infection measures.MethodsAll 3877 medical,
   nursing and administrative managers of German hospitals were invited to
   participate in an online survey. The first set of questions intended to
   determine their perception of problems of hygiene management in their
   institution and in particular in the interaction with patients and their
   relatives. The second set of questions was asked to identify potential
   challenges and barriers to combating nosocomial infections and involving
   patients and their relatives in infection prevention.ResultsTwo hundred
   six managers from German hospitals participated in the survey.
   Transmission of pathogens was seen as the main problem in the inpatient
   area, especially in acute care hospitals and stationary geriatric care.
   Barriers to the implementation of novel infection prevention concepts
   were primarily perceived as lack of time and refinancing by health
   insurance providers. The surveyed hospital managers assessed that the
   active involvement of patients and their relatives in infection
   prevention could strengthen the infection prevention of their
   institution.ConclusionsHospital managers are open to innovative hygiene
   interventions. In particular, they welcome the active involvement of
   patients and their relatives in infection prevention. Therefore,
   financial and institutional barriers, such as insufficient funding of
   hygiene management, must be overcome.
RI Flessa, Steffen/AEO-9609-2022
ZB 1
ZA 0
TC 5
Z8 0
ZS 0
ZR 0
Z9 5
U1 0
U2 2
SN 2047-2994
UT WOS:000471711500002
PM 31249682
ER

PT J
AU Nwankwor, Odiraa C.
   McKelvie, Brianna
   Frizzola, Meg
   Hunter, Krystal
   Kabara, Halima S.
   Oduwole, Abiola
   Oguonu, Tagbo
   Kissoon, Niranjan
TI A National Survey of Resources to Address Sepsis in Children in Tertiary
   Care Centers in Nigeria
SO FRONTIERS IN PEDIATRICS
VL 7
AR 234
DI 10.3389/fped.2019.00234
PD JUN 11 2019
PY 2019
AB Background: Infections leading to sepsis are major contributors to
   mortality and morbidity in children world-wide. Determining the capacity
   of pediatric hospitals in Nigeria to manage sepsis establishes an
   important baseline for quality-improvement interventions and resource
   allocations.
   Objectives: To assess the availability and functionality of resources
   and manpower for early detection and prompt management of sepsis in
   children at tertiary pediatric centers in Nigeria.
   Methods: This was an online survey of tertiary pediatric hospitals in
   Nigeria using a modified survey tool designed by the World Federation of
   Pediatric Intensive and Critical Care Societies (WFPICCS). The survey
   addressed all aspects of pediatric sepsis identification, management,
   barriers and readiness.
   Results: While majority of the hospitals 97% (28/29) reported having
   adequate triage systems, only 60% (16/27) follow some form of guideline
   for sepsis management. There was no consensus national guideline for
   management of pediatric sepsis. Over 50% of the respondents identified
   deficit in parental education, poor access to healthcare services,
   failure to diagnose sepsis at referring institutions, lack of medical
   equipment and lack of a definitive protocol for managing pediatric
   sepsis, as significant barriers.
   Conclusions: Certain sepsis-related interventions were reportedly
   widespread, however, there is no standardized sepsis protocol, and
   majority of the hospitals do not have pediatric intensive care units
   (PICU). These findings could guide quality improvement measures at
   institutional level, and healthcare policy/spending at the national
   level.
RI Nwankwor, Odiraa C/A-4643-2019; Kissoon, Niranjan/AAC-6140-2021; Oduwole, Abiola/; Kissoon, Niranjan/
OI Oduwole, Abiola/0000-0003-0334-0601; Kissoon,
   Niranjan/0000-0001-8847-9973
ZB 2
TC 5
ZS 1
ZA 0
ZR 0
Z8 0
Z9 6
U1 0
U2 1
SN 2296-2360
UT WOS:000471263000001
PM 31245338
ER

PT J
AU Laks, Michel
   Guerra, Carla Morales
   Miraglia, Joao Luiz
   Medeiros, Eduardo Alexandrino
TI Distance learning in antimicrobial stewardship: innovation in medical
   education
SO BMC MEDICAL EDUCATION
VL 19
AR 191
DI 10.1186/s12909-019-1623-x
PD JUN 7 2019
PY 2019
AB BackgroundThis study aimed to analyse the impact that web-based distance
   learning has on knowledge gain in medical students, as well as student
   perceptions of the methodology.MethodsThis was an educational
   intervention study conducted at a tertiary teaching hospital in the city
   of SAo Paulo, Brazil. From 2008 to 2014, we offered a free web-based
   distance learning course, covering antimicrobial use and microbial
   resistance, to fifth-year medical students. The course encompassed 100h
   of activities, with five theoretical modules, exercises and simulations,
   within a virtual learning environment. The students were tutored in
   their online activities, and some classes were conducted in real time
   for live discussions. In addition, students underwent face-to-face
   assessments of their knowledge of the topic before and after the course.
   Statistical analysis was performed and the means of the overall scores
   were obtained, as were the respective 95% confidence intervals (CIs).
   The means were compared by two-tailed paired t-tests and by the paired
   Wilcoxon test.ResultsOf 814 eligible medical students, 606 (74.45%)
   completed the entire course during the study period. The mean score for
   knowledge of the topic was significantly higher on the final assessment
   than on the initial assessment (p<0.001). We found that dedication (in
   hours) was directly proportional to the level of participation, as
   reflected in the mean final score (p=0.009) and in the proportion of
   students who passed (p=0.028). All of the participants considered their
   knowledge adequate or insufficient before the course, stating that it is
   quite important or important to address the topic during medical
   education. Although dedication levels were low, 70.5% stated that they
   had learned quite a lot or more than expected about the topic and would
   dedicate more time to it if they could.ConclusionsThe use of a virtual
   learning environment can promote teaching and learning in the infectious
   diseases field, specifically for antimicrobial stewardship, increasing
   knowledge significantly, and should be considered for inclusion in the
   final stages of medical education.
RI Medeiros, Eduardo A/B-9825-2012; Laks, Michel/ABI-4294-2020; Miraglia, Joao Luiz/; Laks, Michel/
OI Medeiros, Eduardo A/0000-0002-6205-259X; Miraglia, Joao
   Luiz/0000-0002-4788-6254; Laks, Michel/0000-0003-4372-1011
ZS 0
ZB 4
ZR 0
ZA 0
TC 11
Z8 0
Z9 11
U1 0
U2 10
SN 1472-6920
UT WOS:000470786000002
PM 31174524
ER

PT J
AU Silva, Luciana Costa
   de Almeida Troncon, Luiz Ernesto
   Panuncio-Pinto, Maria Paula
TI Perceptions of occupational therapy students and clinical tutors on the
   attributes of a good role model
SO SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY
VL 26
IS 4
BP 283
EP 293
DI 10.1080/11038128.2018.1508495
PD JUN 7 2019
PY 2019
AB Background: Occupational therapy students learn in different
   environments, where role modelling takes place. Nevertheless, little is
   known about student and tutors perceptions on model ' s characteristics.
   Objectives: The aims of this study were to investigate the perceptions
   of occupational therapy students on the most important attributes of
   role models and to confront their views with those of clinical tutors.
   Methods: A sample of 61 students completed a structured, standardized
   online questionnaire. Ten clinical tutors regarded by students as good
   models underwent a semi-structured individual interview. Data were
   analyzed quantitatively and qualitatively (thematic content analysis).
   Results: The most important attributes of a good role model according to
   student perception were: good relationship with patients, integrity and
   ethical behaviour, respectful relationships with colleagues, patient
   management skills, commitment to personal and professional growth and
   enthusiasm for the profession. Clinical tutors believed that they were
   nominated as good role models because they demonstrated empathy towards
   patients, good relationships with students and enthusiasm for their
   profession.
   Conclusions and Significance: Perceptions of occupational therapy
   students and clinical tutors about role models characteristics were
   similar. Identification of attributes of good role models may inform
   teacher training and faculty development in occupational therapy.
TC 4
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 4
U1 0
U2 5
SN 1103-8128
EI 1651-2014
UT WOS:000466155000005
PM 30354854
ER

PT J
AU Graham, Blair
   Elbeltagi, Hadir
   Nelmes, Pam
   Jenkin, Annie
   Smith, Jason E.
TI What difference can a year make? Findings from a survey exploring
   student, alumni and supervisor experiences of an intercalated degree in
   emergency care
SO BMC MEDICAL EDUCATION
VL 19
AR 188
DI 10.1186/s12909-019-1579-x
PD JUN 6 2019
PY 2019
AB BackgroundOne third of UK medical students undertake an intercalated
   degree, typically in traditional academic disciplines. It is less usual
   for students to undertake intercalated degrees that are directly aligned
   to a clinical speciality with longitudinal placements.This cross
   sectional survey aims to explore the self-reported experiences of
   students, alumni and supervisors associated with a clinically oriented
   intercalated degree in emergency care featuring a longitudinal placement
   in a hospital emergency department over a 9-month academic year. Themes
   for exploration include student clinical and academic development,
   effect on career choice, supervisor experience and the effect on host
   institutions.MethodsCurrent students, previous alumni, and clinical
   placement supervisors associated with a single intercalated degree
   programme in urgent and emergency care since 2005 were identified from
   records and using social media. Separate online surveys were then
   developed and distributed to current students/ previous alumni and
   consultant physician supervisors, between May and August 2016. Results
   are presented using basic descriptive statistics and selected free text
   comments.ResultsResponses were obtained from 37 out of 46 contactable
   students, and 14 out of 24 supervisors (80 and 63%, respectively).
   Students self-reported increased confidence in across a range of
   clinical and procedural competencies. Supervisors rated student
   competence in clinical, inter-professional and academic writing skills
   to be commensurate with, or in many cases exceeding, the level expected
   of a final year medical student. Supervisors reported a range of
   benefits to their own professional and personal development from
   supervising students, which included improved teaching and mentoring
   skills, providing intellectual challenge, and helping with the
   completion of audits and service improvement
   projects.ConclusionsStudents report the acquisition of a range of
   clinical, academic, and inter-professional skills following their
   intercalated BSc year. A positive experience was reported by
   supervisors, extending to host institutions. Students reported feeling
   more enthusiastic about emergency medicine careers on completion.
   However, as students embarking on this degree naturally bring
   pre-existing interest in the area, it is not possible to attribute
   causation to these associations. Further investigation is also required
   to determine the longer term effect of clinically oriented intercalated
   degrees on career choice.
RI Smith, Jason Edward/H-9380-2013
OI Smith, Jason Edward/0000-0002-6143-0421
ZR 0
ZB 0
ZS 0
TC 3
Z8 0
ZA 0
Z9 3
U1 2
U2 7
EI 1472-6920
UT WOS:000470993900002
PM 31170966
ER

PT J
AU Adu, Mary D.
   Malabu, Usman H.
   Malau-Aduli, Aduli E. O.
   Malau-Aduli, Bunmi S.
TI Enablers and barriers to effective diabetes self-management: A
   multi-national investigation
SO PLOS ONE
VL 14
IS 6
AR e0217771
DI 10.1371/journal.pone.0217771
PD JUN 5 2019
PY 2019
AB Objective
   The study aimed to identify the common gaps in skills and self-efficacy
   for diabetes self-management and explore other factors which serve as
   enablers of, and barriers to, achieving optimal diabetes
   self-management. The information gathered could provide health
   professionals with valuable insights to achieving better health outcomes
   with self-management education and support for diabetes patients.
   Methods
   International online survey and telephone interviews were conducted on
   adults who have type 1 or type 2 diabetes. The survey inquired about
   their skills and self-efficacy in diabetes self-management, while the
   interviews assessed other enablers of, and barriers to, diabetes
   self-management. Surveys were analysed using descriptive and inferential
   statistics. Interviews were analysed using inductive thematic analysis.
   Results
   Survey participants (N = 217) had type 1 diabetes (38.2%) or type 2
   diabetes (61.8%), with a mean age of 44.56 SD 11.51 and were from 4
   continents (Europe, Australia, Asia, America). Identified gaps in
   diabetes self-management skills included the ability to: recognize and
   manage the impact of stress on diabetes, exercise planning to avoid
   hypoglycemia and interpreting blood glucose pattern levels.
   Self-efficacy for healthy coping with stress and adjusting medications
   or food intake to reach ideal blood glucose levels were minimal. Sixteen
   participants were interviewed. Common enablers of diabetes
   self-management included: (i) the will to prevent the development of
   diabetes complications and (ii) the use of technological devices. Issues
   regarding: (i) frustration due to dynamic and chronic nature of diabetes
   (ii) financial constraints (iii) unrealistic expectations and (iv) work
   and environment-related factors limited patients' effective
   self-management of diabetes.
   Conclusions
   Educational reinforcement using technological devices such as mobile
   application has been highlighted as an enabler of diabetes
   self-management and it could be employed as an intervention to alleviate
   identified gaps in diabetes self-management. Furthermore, improved
   approaches that address financial burden, work and environment-related
   factors as well as diabetes distress are essential for enhancing
   diabetes self-management.
RI Malau-Aduli, Aduli Enoch Othniel/C-2419-2014; Alletag, Maddelyn/AGZ-1346-2022; Adu, Damilola Mary/
OI Malau-Aduli, Aduli Enoch Othniel/0000-0002-3660-7862; Adu, Damilola
   Mary/0000-0003-0046-9215
ZA 0
ZB 11
Z8 1
TC 58
ZR 0
ZS 1
Z9 60
U1 6
U2 19
SN 1932-6203
UT WOS:000470087800038
PM 31166971
ER

PT J
AU Boutron, Isabelle
   Haneef, Romana
   Yavchitz, Amelie
   Baron, Gabriel
   Novack, John
   Oransky, Ivan
   Schwitzer, Gary
   Ravaud, Philippe
TI Three randomized controlled trials evaluating the impact of "spin" in
   health news stories reporting studies of pharmacologic treatments on
   patients'/caregivers' interpretation of treatment benefit
SO BMC MEDICINE
VL 17
AR 105
DI 10.1186/s12916-019-1330-9
PD JUN 4 2019
PY 2019
AB BackgroundNews stories represent an important source of information. We
   aimed to evaluate the impact of spin (i.e., misrepresentation of study
   results) in health news stories reporting studies of pharmacologic
   treatments on patients'/caregivers' interpretation of treatment
   benefit.MethodsWe conducted three two-arm, parallel-group,
   Internet-based randomized trials (RCTs) comparing the interpretation of
   news stories reported with or without spin. Each RCT considered news
   stories reporting a different type of study: (1) pre-clinical study, (2)
   phase I/II non-RCT, and (3) phase III/IV RCT. For each type of study, we
   identified news stories reported with spin that had earned mention in
   the press. Two versions of the news stories were used: the version with
   spin and a version rewritten without spin. Participants were
   patients/caregivers involved in Inspire, a large online community of
   more than one million patients/caregivers. The primary outcome was
   participants' interpretation assessed by one specific question What do
   you think is the probability that treatment X' would be beneficial to
   patients? (scale, 0 [very unlikely] to 10 [very likely]).ResultsFor each
   RCT, 300 participants were randomly assigned to assess a news story with
   spin (n=150) or without spin (n=150), and 900 participants assessed a
   news story. Participants were more likely to consider that the treatment
   would be beneficial to patients when the news story was reported with
   spin. The mean (SD) score for the primary outcome for abstracts reported
   with and without spin for pre-clinical studies was 7.5 (2.2) versus 5.8
   (2.8) (mean difference [95% CI] 1.7 [1.0-2.3], p<0.001); for phase I/II
   non-randomized trials, 7.6 (2.2) versus 5.8 (2.7) (mean difference 1.8
   [1.0-2.5], p<0.001); and for phase III/IV RCTs, 7.2 (2.3) versus 4.9
   (2.8) (mean difference 2.3 [1.4-3.2], p<0.001).ConclusionsSpin in health
   news stories reporting studies of pharmacologic treatments affects
   patients'/caregivers' interpretation.Trial
   registrationClinicalTrials.gov, NCT03094078, NCT03094104, NCT03095586
RI Oransky, Ivan/J-9412-2019
OI Oransky, Ivan/0000-0002-0746-9288
ZA 0
ZS 0
ZR 0
ZB 4
TC 22
Z8 0
Z9 22
U1 1
U2 4
SN 1741-7015
UT WOS:000470112200001
PM 31159786
ER

PT J
AU Castro-Sanchez, Enrique
   Sood, Anuj
   Rawson, Timothy Miles
   Firth, Jamie
   Holmes, Alison Helen
TI Forecasting Implementation, Adoption, and Evaluation Challenges for an
   Electronic Game-Based Antimicrobial Stewardship Intervention: Co-Design
   Workshop With Multidisciplinary Stakeholders
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 6
AR e13365
DI 10.2196/13365
PD JUN 4 2019
PY 2019
AB Background: Serious games have been proposed to address the lack of
   engagement and sustainability traditionally affecting interventions
   aiming to improve optimal antibiotic use among hospital prescribers.
   Objective: The goal of the research was to forecast gaps in
   implementation, adoption and evaluation of game-based interventions, and
   co-design solutions with antimicrobial clinicians and digital and
   behavioral researchers.
   Methods: A co-development workshop with clinicians and academics in
   serious games, antimicrobials, and behavioral sciences was organized to
   open the International Summit on Serious Health Games in London, United
   Kingdom, in March 2018. The workshop was announced on social media and
   online platforms. Attendees were asked to work in small groups provided
   with a laptop/tablet and the latest version of the game On call:
   Antibiotics. A workshop leader guided open group discussions around
   implementation, adoption, and evaluation threats and potential
   solutions. Workshop summary notes were collated by an observer.
   Results: There were 29 participants attending the workshop. Anticipated
   challenges to resolve reflected implementation threats such as an
   inadequate organizational arrangement to scale and sustain the use of
   the game, requiring sufficient technical and educational support and a
   streamlined feedback mechanism that made best use of data arriving from
   the game. Adoption threats included collective perceptions that a game
   would be a ludic rather than professional tool and demanding efforts to
   integrate all available educational solutions so none are seen as
   inferior. Evaluation threats included the need to combine game metrics
   with organizational indicators such as antibiotic use, which may be
   difficult to enable.
   Conclusions: As with other technology-based interventions, deploying
   game-based solutions requires careful planning on how to engage and
   support clinicians in their use and how best to integrate the game and
   game outputs onto existing workflows. The ludic characteristics of the
   game may foster perceptions of unprofessionalism among gamers, which
   would need buffering from the organization.
RI Castro-Sanchez, Enrique/H-7893-2019; Rawson, Timothy/AAH-1662-2019; Sood, Anuj/; Holmes, Alison/
OI Castro-Sanchez, Enrique/0000-0002-3351-9496; Rawson,
   Timothy/0000-0002-2630-9722; Sood, Anuj/0000-0002-8984-276X; Holmes,
   Alison/0000-0001-5554-5743
ZB 2
ZR 0
ZS 0
ZA 0
Z8 0
TC 6
Z9 7
U1 1
U2 7
SN 1438-8871
UT WOS:000470668900001
PM 31165712
ER

PT J
AU Goh, Poh Sun
   Sandars, John
TI Increasing tensions in the ubiquitous use of technology for medical
   education
SO MEDICAL TEACHER
VL 41
IS 6
BP 716
EP 718
DI 10.1080/0142159X.2018.1540773
PD JUN 3 2019
PY 2019
AB The ubiquitous use of technology in medical education creates increasing
   tensions related to the benefits and disadvantages of the ease of access
   to content and the opportunity to monitor online behavior. We recommend
   a collaborative understanding by all stakeholders, from learners and
   educators to higher education institutions and professional regulatory
   authorities, to inform future practice and policy.
OI Sandars, John/0000-0003-3930-387X; Goh, Poh-Sun/0000-0002-1531-2053
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
TC 3
Z9 3
U1 0
U2 1
SN 0142-159X
EI 1466-187X
UT WOS:000483250200020
PM 30646780
ER

PT J
AU Lv, Qing
   Jiang, Yutong
   Qi, Jun
   Zhang, Yanli
   Zhang, Xi
   Fang, Linkai
   Tu, Liudan
   Yang, Mingcan
   Liao, Zetao
   Zhao, Minjing
   Guo, Xinghua
   Qiu, Minli
   Gu, Jieruo
   Lin, Zhiming
TI Using Mobile Apps for Health Management: A New Health Care Mode in China
SO JMIR MHEALTH AND UHEALTH
VL 7
IS 6
AR e10299
DI 10.2196/10299
PD JUN 3 2019
PY 2019
AB Background: China has a large population; however, medical resources are
   unevenly distributed and extremely limited, and more medical services
   are needed. With the development and ever-increasing popularity of
   mobile internet communication, China has created a mode of mobile health
   (mHealth) care to resolve this problem.
   Objective: The aim of this study was (1) to describe the problems
   associated with China's medical care practice, (2) explore the need for
   and the feasibility of internet-based medical care in China, and (3)
   analyze the functionality of and services offered by internet-based
   health care platforms for the management of chronic diseases.
   Methods: Data search was performed by searching national websites, the
   popular search engine Baidu, the App Store, and websites of internet
   medical care institutions, using search terms like "mobile health,"
   "Internet health," "mobile medical," "Internet medical," "digital
   medical," "digital health," and "online doctor." A total of 6 mobile
   apps and websites with the biggest enrollment targeting doctors and end
   users with chronic diseases in China were selected.
   Results: We recognized the limitations of medical and health care
   providers and unequal distribution of medical resources in China An
   mHealth care platform is a novel and efficient way for doctors and
   patients to follow up and manage chronic diseases. Services offered by
   these platforms include reservation and payment, medical consultation,
   medical education assessment, pharmaceutical and medical instruments
   sales, electronic medical records, and chronic disease management.
   China's health policies are now strongly promoting the implementation of
   mHealth solutions, particularly in response to the increasing burden of
   chronic diseases and aging in the population.
   Conclusions: China's internet-based medical and health care mode can
   benefit the populace by providing people with high-quality medical
   resources. This can help other countries and regions with high
   population density and unevenly distributed medical resources manage
   their health care concerns.
OI Qi, Jun/0000-0002-1453-7760; JIANG, YUTONG/0000-0001-6558-4201; gu,
   jieruo/0000-0002-8785-0600; Zhang, Xi/0000-0001-7975-4152
ZS 0
ZB 1
ZR 0
Z8 2
ZA 0
TC 18
Z9 20
U1 10
U2 48
SN 2291-5222
UT WOS:000470735900001
PM 31162131
ER

PT J
AU Chin, Ronald Yoon-Kong
   Tjahjono, Richard
   Rutledge, Michael John Raymond
   Lambert, Tim
   Deboever, Nathaniel
TI The evaluation of e-learning resources as an adjunct to otolaryngology
   teaching: a pilot study
SO BMC MEDICAL EDUCATION
VL 19
AR 181
DI 10.1186/s12909-019-1618-7
PD JUN 3 2019
PY 2019
AB BackgroundThe concept of e-Learning has been rapidly accepted as an
   important component of medical education and is especially adept at
   teaching clinical skills. However, their impact on learning,
   particularly in Otolaryngology Head and Neck Surgery (OHNS) medical
   school curriculum, has yet to be adequately explored. The aim of this
   pilot study is to develop interactive e-Learning resources and evaluate
   their impact in enhancing OHNS teaching in medical school.MethodsThis
   pilot study is a randomized controlled trial assessing the effectiveness
   of e-Learning resources in enhancing the current traditional lecture and
   tutorial-based teaching of OHNS in medical school. Nineteen final-year
   medical students from the University of Sydney were recruited for this
   study, who were randomly allocated into intervention group with
   additional e-Learning resources (Group A) and control group (Group B).
   Student knowledge was assessed through objective structured clinical
   examinations (OSCE) with use of standardized forms for objective
   scoring. Assessors were blinded to student randomization status. A
   post-study questionnaire was distributed to assess student feedback on
   the e-Learning resources.ResultsEight students were allocated to Group A
   and 11 students to Group B. Group A performed significantly better than
   Group B in the overall examination scores (78.5013.88 v. 55.82 +/- 8.23;
   P=<0.01). With the minimum pass mark of 65%, the majority of students in
   Group A was able to pass the OSCE assessments, while the majority of
   students in Group B failed (87.50% v. 9.10%; P=0.01). The post-test
   questionnaire on the e-Learning resources showed very favorable feedback
   from the students' perspective.Conclusion Results from our pilot study
   suggests that the use of interactive online e-Learning resources can be
   a valuable adjunct in supplementing OHNS teaching in medical school, as
   they are readily accessible and allow flexible on-demand learning.
   Future studies involving large numbers of medical students are needed to
   validate these results.
ZA 0
ZB 1
ZS 0
Z8 0
ZR 0
TC 6
Z9 6
U1 0
U2 6
SN 1472-6920
UT WOS:000470110400003
PM 31159793
ER

PT J
AU Richardson, Miles
   Hunt, Anne
   Hinds, Joe
   Bragg, Rachel
   Fido, Dean
   Petronzi, Dominic
   Barbett, Lea
   Clitherow, Theodore
   White, Matthew
TI A Measure of Nature Connectedness for Children and Adults: Validation,
   Performance, and Insights
SO SUSTAINABILITY
VL 11
IS 12
AR 3250
DI 10.3390/su11123250
PD JUN 2 2019
PY 2019
AB With benefits to both human well-being and pro-nature conservation
   behaviors, nature connectedness is emerging as an important
   psychological construct for a sustainable future. The growing research
   and applied and policy-related interests require a straightforward
   measure of nature connectedness that is suitable for both children and
   adult populations. To establish the reliability of the new Nature
   Connection Index (NCI) three factor analyses were conducted. One was
   based on a large Monitor of Engagement with the Natural Environment
   (MENE) dataset for adults (n = 3568) with a replication from data sets
   collected online (n = 553), and a third used MENE data from children (n
   = 351). To validate the NCI as a measure for nature connectedness an
   online comparison study (n = 153) included the NCI alongside other
   established measures. The results showed that the NCI was a reliable and
   valid scale that offers a short, simple alternative to other measures of
   nature connectedness, particularly for populations including both
   children and adults, measured face to face or online. The utility of the
   NCI is also supported, with variations associated with various
   pro-environmental and pro-conservation behaviors observed, and
   importantly the NCI also revealed changes in nature connectedness across
   the lifespan.
OI White, Mathew Philip/0000-0002-4168-7289; Petronzi,
   Dominic/0000-0002-3872-2725; Fido, Dean/0000-0001-8454-3042; Barbett,
   Lea/0000-0001-6111-9513; Richardson, Miles/0000-0002-7223-7053
ZS 0
ZA 0
Z8 0
ZB 14
ZR 1
TC 53
Z9 55
U1 11
U2 53
EI 2071-1050
UT WOS:000473753700020
ER

PT J
AU Rodrigues Pinto Correa, Paulo Cesar
   de Oliveira Santos Pereira, Rayanna Mara
   Temporao, Jose Gomes
   Cavalcante, Tania Maria
   Lisboa, Oscar Campos
   de Azevedo, Lucas Guimaraes
   Brinker, Titus Josef
   Bernardes-Souza, Breno
TI EAT-Brazil Award for Tobacco Control: a brief description of its first
   edition
SO REVISTA DA ASSOCIACAO MEDICA BRASILEIRA
VL 65
IS 6
BP 775
EP 778
DI 10.1590/1806-9282.65.6.775
PD JUN 2019
PY 2019
AB Smoking is a major global risk factor for preventable death and
   disability. EAT is an acronym for Education Against Tobacco, a
   multinational network of physicians and medical students that aims to
   improve tobacco control by means of school-based prevention targeted at
   adolescents through counseling, use of software and support materials.
   The first EAT-Brazil Award, launched in March 2018, was a competition
   designed to encourage the proposal of objective solutions for tobacco
   control in Brasil, and identify new talents in the area. Brazilian
   undergraduate students from any field of study could submit a one-page
   essay on the subject, competing for the amount of R$ 1000.00 (one
   thousand reais). There were a total of 39 applicants (20 women and 19
   men) from 9 Brazilian states and 18 undergraduate programs, with a mean
   age of 225 years (SD = 3.7). Data from an online anonymous questionnaire
   answered after the submission of their essays revealed that most
   applicants were students of institutions from in the state of Minas
   Gerais (n = 26/39; 66.6%), studied medicine (n = 20/39,51.3%), and had
   no prior knowledge of the EAT-Brazil Network (n = 27/39, 69.2%). The
   winner of the award was Lucas Guimaraes de Azevedo, a fourth-year
   medical student at Federal University of Western Bahia.The next editions
   of the award should focus on increasing the number of applicants and
   diversifying their geographical distribution.
RI Corrêa, Paulo CRP/F-1013-2016; Bernardes-Souza, Breno/F-1554-2016; Campos Lisboa, Oscar/; temporao, jose/; Mara de Oliveira Santos Pereira, Rayanna/; Brinker, Titus Josef/; Azevedo, Lucas/
OI Bernardes-Souza, Breno/0000-0003-1806-2501; Campos Lisboa,
   Oscar/0000-0003-2073-6296; temporao, jose/0000-0001-7162-2905; Mara de
   Oliveira Santos Pereira, Rayanna/0000-0002-2720-6514; Brinker, Titus
   Josef/0000-0002-3620-5919; Azevedo, Lucas/0000-0002-5332-0257
Z8 0
ZA 0
ZR 0
TC 1
ZB 0
ZS 0
Z9 1
U1 0
U2 1
EI 1806-9282
UT WOS:000476653100010
PM 31340303
ER

PT J
AU Murphy, Jeannette
TI Wither health science librarianship? Many questions, many options
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 36
IS 2
BP 195
EP 198
DI 10.1111/hir.12264
PD JUN 2019
PY 2019
AB The 2019 virtual issue of the Health Information and Libraries Journal
   (HILJ) is published to link to the 2019 EAHIL Workshop taking place in
   Basel, Switzerland on 17-20 June 2019. The workshop is structured around
   six topics: (i) Roadmap of our Profession; (ii) Technology Uptake; (iii)
   Ecology of Scholarly Communications; (iv) Impact + Assessment; (v)
   Benchmarking + Advocacy; (vi) Evidence-Based Practice. These themes have
   been used to compile this virtual issue, which contains published
   articles selected from HILJ from the March 2019 issue through to June
   2017. The virtual issue mirrors the format of a regular issue of HILJ,
   namely a review article, five original articles and articles from our
   three regular features: 'Dissertations into Practice', 'International
   Perspectives and Initiatives' and 'Teaching and Learning in Action'. The
   authors come from the UK, Canada, Australia, Italy, Iran and Belgium.
   All articles included in this virtual issue are available free online.
ZB 0
Z8 0
ZR 0
ZA 0
TC 0
ZS 0
Z9 0
U1 1
U2 3
SN 1471-1834
EI 1471-1842
UT WOS:000472981500010
PM 31166089
ER

PT J
AU Zografos, Laurie J.
   Andrews, Elizabeth
   Wolin, Dan L.
   Calingaert, Brian
   Davenport, Eric K.
   Hollis, Kelly A.
   Djokanovic, Nada
   Racanelli, Vito S.
   Petraro, Paul
   Vassilev, Zdravko P.
TI Evaluation of Physician Knowledge of the Key Safety Information for
   Aflibercept in Canada: Evaluation of Risk-Minimization Measures
SO PHARMACEUTICAL MEDICINE
VL 33
IS 3
BP 235
EP 246
DI 10.1007/s40290-019-00278-z
PD JUN 2019
PY 2019
AB BackgroundAs part of the risk-management plan (RMP) for aflibercept,
   materials have been developed to educate physicians in Canada on the key
   safety information and safe use for aflibercept.ObjectiveThe objectives
   of this study were to assess whether physicians in Canada received and
   reviewed the aflibercept educational materials (i.e. vial preparation
   instruction card, intravitreal injection procedure video, and product
   monograph) and to evaluate their knowledge of key safety
   information.MethodsRetinal specialists and ophthalmologists who
   prescribe and/or administer aflibercept were recruited to complete a
   survey. Physicians could complete and return a paper questionnaire by
   mail or complete the questionnaire online via a study website.ResultsOf
   the 308 physicians invited to participate in the survey, 95 (31%)
   completed the questionnaire. Nearly all physicians (98%) reported
   receiving at least one of the educational materials. The proportion of
   correct responses to individual questions on storage and preparation of
   aflibercept ranged from 54 to 98%. Physician knowledge was high on the
   recommended dose of aflibercept (91%), dose preparation (91-96% on
   individual items), and dosing guidelines (75-95% on individual items).
   Most physicians knew the contraindications for aflibercept (89%) and
   that aflibercept should not be used in pregnancy unless clearly
   indicated by medical need in which benefits outweigh risks (60%); 21%
   responded more conservatively that aflibercept should never be used in
   pregnancy. Knowledge was high for most questions about injection
   procedures (91-99% on individual items); however, fewer physicians (24%)
   correctly reported that the eye should be covered with a sterile drape.
   Knowledge was high for possible side effects (89-100% on individual
   items) and actions to take in relation to the potential for increased
   intraocular pressure (86-93% on individual items).ConclusionNearly all
   physicians (98%) reported having received the product monograph, and
   most (82%) reported having received the vial preparation instruction
   card; nearly half (46%) reported having received the intravitreal
   injection procedure video. Physicians' knowledge of the most important
   topics was high. Knowledge varied for topics that are less frequently
   encountered (e.g. use in women of childbearing potential) and for
   recommendations that are not standard medical practice in Canada (e.g.
   use of sterile drape).
OI Davenport, Eric/0000-0002-2461-7000; Andrews, Elizabeth
   B./0000-0003-1131-5983; Calingaert, Brian/0000-0001-8177-6326; Hollis,
   Kelly/0000-0003-0659-6135
TC 2
ZS 0
Z8 0
ZR 0
ZB 1
ZA 0
Z9 2
U1 0
U2 0
SN 1178-2595
EI 1179-1993
UT WOS:000469054500007
PM 31933288
ER

PT J
AU Miehlke, Stephan
   von Arnim, Ulrike
   Schlag, Christoph
   Frieling, Thomas
   Madisch, Ahmed
   Loibl, Rudolf
   Mainz, Dagmar
   Labenz, Joachim
TI Clinical management of eosinophilic esophagitis - a nationwide survey
   among gastroenterologists in Germany
SO ZEITSCHRIFT FUR GASTROENTEROLOGIE
VL 57
IS 6
BP 745
EP 752
DI 10.1055/a-0885-1963
PD JUN 2019
PY 2019
AB Background Eosinophilic esophagitis (EoE) is an increasingly recognized
   immune-mediated esophageal disease and a common cause for dysphagia and
   food bolus obstruction. The aim of this study was to evaluate the
   current clinical management of EoE among adult gastroenterologists in
   Germany.
   Methods We performed a cross-sectional study of 1393 adult
   gastroenterologists using a questionnaire containing 22 questions to
   general, diagnostic, and therapeutic aspects of EoE. The
   self-administered online survey was conducted between November 2017 and
   February 2018. Data capture and analysis was performed using
   SurveyMonkey.
   Results The overall responder rate was 29.6 %. More than half of the
   responders (54.9 %) felt to observe a significant increase of EoE
   patients. The EREFS score was mostly either unknown (44.3 %) or not
   routinely used (52.2 %). If EoE was suspected, most responders obtained
   multiple esophageal biopsies (n = 3-4: 35.7 %; n > 4: 61.6 %). The
   preferred primary treatment was proton pump inhibitors (PPI) in 37.2 %
   and topical steroids in 35.0 % of responders. PPI regimens were highly
   diverse, with only half of responders using high-dose PPI regimens.
   Allergy testing was often initiated (always 25.4 %, sometimes 48.9 %).
   The most common dietary therapy was 6-food elimination diet (52 %),
   followed by allergy test-directed diets (16 %) and 2-food elimination
   diet (16.5 %). The majority of responders indicated a need for long-term
   treatment (i.e., 23 % of responders in > 50 % their patients and 47.7 %
   of responders in 25 - 50 % of their patients).
   Conclusions Among gastroenterologists in Germany, substantial variation
   in the adherence to published EoE guidelines appears to exist. This
   indicates the need for intensified education and national guidelines in
   order to optimize and harmonize the clinical management of EoE patients.
ZR 0
Z8 0
ZS 0
ZB 6
TC 16
ZA 0
Z9 16
U1 0
U2 2
SN 0044-2771
EI 1439-7803
UT WOS:000474851600018
PM 31170743
ER

PT J
AU Kotecha, Dipak
   Bax, Jeroen J.
   Carrera, Celine
   Casadei, Barbara
   Merkely, Bela
   Anker, Stefan D.
   Vardas, Panos E.
   Kearney, Peter P.
   Roffi, Marco
   Ros, Michelle
   Vahanian, Alec
   Weidinger, Franz
   Beeri, Ronen
   Budaj, Andrzej
   Calabro, Paolo
   Czerwinska-Jelonkiewicz, Katarzyna
   D'Ascenzi, Flavio
   De Potter, Tom
   Fox, Kevin F.
   Hartikainen, Juha
   McAdam, Brendan
   Milicic, Davor
   Pasquet, Agnes A.
   Sionis, Alessandro
   Sohaib, S. M. Afzal
   Tsioufis, Costas
   Verhorst, Patrick M. J.
   Kirchhof, Paulus
TI Roadmap for cardiovascular education across the European Society of
   Cardiology: inspiring better knowledge and skills, now and for the
   future
SO EUROPEAN HEART JOURNAL
VL 40
IS 21
BP 1728
EP 1738
DI 10.1093/eurheartj/ehy058
PD JUN 1 2019
PY 2019
AB Aims The provision of high-quality education allows the European Society
   of Cardiology (ESC) to achieve its mission of better cardiovascular
   practice and provides an essential component of translating new evidence
   to improve outcomes
   Methods and results The 4th ESC Education Conference, held in Sophia
   Antipolis (December 2016), brought together ESC education leaders,
   National Directors of Training of 43 ESC countries, and representatives
   of the ESC Young Community. Integrating national descriptions of
   education and cardiology training, we discussed innovative pathways to
   further improve knowledge and skills across different training
   programmes and health care systems. We developed an ESC roadmap
   supporting better cardiology training and continued medical education
   (CME), noting: (i) The ESC provides an excellent framework for unbiased
   and up-to-date cardiovascular education in close cooperation with its
   National Societies. (ii) The ESC should support the harmonization of
   cardiology training, curriculum development, and professional dialogue
   and mentorship. (iii) ESC congresses are an essential forum to learn and
   discuss the latest developments in cardiovascular medicine. (iv) The ESC
   should create a unified, interactive educational platform for cardiology
   training and continued cardiovascular education combining Webinars,
   eLearning Courses, Clinical Cases, and other educational programmes,
   along with ESC Congress content, Practice Guidelines and the next ESC
   Textbook of Cardiovascular Medicine. (v) ESC-delivered online education
   should be integrated into National and regional cardiology training and
   CME programmes.
   Conclusion These recommendations support the ESC to deliver excellent
   and comprehensive cardiovascular education for the next generation of
   specialists. Teamwork between international, national and local partners
   is essential to achieve this objective.
RI Vardas, Panos/AAD-5219-2022; Alina, Kerimkulova/H-9330-2017; Kinova, Elena Todorova/U-7132-2018; D'Ascenzi, Flavio/AAP-7223-2020; Kirchhof, Paulus/AAT-7074-2021; Altun, Armagan/ABB-5844-2020; Poposka, Lidija/N-6851-2019; Kotecha, Dipak/Q-2827-2016; Beeri, Ronen/A-4035-2009; Calabro, Paolo/AAC-2704-2022; vardas, panos/ABF-7144-2020; Vardas, Panos/AAP-5694-2021; Hrafnkelsdottir, THordis Jona/; Mascherbauer, Julia/; Casadei, Barbara/; Czerwinska-Jelonkiewicz, Katarzyna/; Merkely, Bela/; Sadaba, Rafael/; Budaj, Andrzej/
OI Alina, Kerimkulova/0000-0002-4649-753X; Kinova, Elena
   Todorova/0000-0001-9935-720X; D'Ascenzi, Flavio/0000-0002-0947-6836;
   Kirchhof, Paulus/0000-0002-1881-0197; Altun,
   Armagan/0000-0002-3233-8263; Poposka, Lidija/0000-0002-2539-6828;
   Kotecha, Dipak/0000-0002-2570-9812; Beeri, Ronen/0000-0002-8014-0702;
   Hrafnkelsdottir, THordis Jona/0000-0002-4398-2898; Mascherbauer,
   Julia/0000-0001-7478-1450; Casadei, Barbara/0000-0002-6801-1617;
   Czerwinska-Jelonkiewicz, Katarzyna/0000-0002-6988-4946; Merkely,
   Bela/0000-0001-6514-0723; Sadaba, Rafael/0000-0003-3776-4744; Budaj,
   Andrzej/0000-0002-6395-2098
ZR 0
ZB 2
ZS 0
ZA 0
TC 9
Z8 0
Z9 9
U1 1
U2 6
SN 0195-668X
EI 1522-9645
UT WOS:000490129100014
PM 30226525
ER

PT J
AU Pappa, Dimitra
   Papadopoulos, Homer
TI A Use Case of the Application of Advanced Gaming and Immersion
   Technologies for Professional Training: The GAMEPHARM Training
   Environment for Physiotherapists
SO ELECTRONIC JOURNAL OF E-LEARNING
VL 17
IS 2
BP 157
EP 170
DI 10.34190/JEL.17.2.08
PD JUN 2019
PY 2019
AB Immersive technologies are gaining momentum in professional training.
   Advanced AR/VR and gaming technologies allow for authentic learning
   experiences that are close to real-life conditions, problems, and
   applications, something that can revolutionise fields like medical
   training, which traditionally relied on textbook-based theoretical
   education and clinical placements. The present paper discusses the
   application of advanced gaming and immersion technologies for the
   continuous training of physiotherapists. Presently, this professional
   group remains largely underserved by online training services. The paper
   argues that the inherent complexity of physical therapy training could
   be served effectively by immersive learning innovations and
   professionals could benefit greatly. The paper applies the Design
   Science Research Methodology (DSRM) to design a suitable training
   solution for the promotion of authentic, comprehensive learning. Our
   analysis targets and consolidates the findings from three distinct
   pillars: (a) the requirements of the application area in question; (b)
   the current state-of-the-art and emerging directions in game-based
   professional education and training; and (c) existing applications of
   game-based learning in the field of healthcare. Subsequently, the paper
   consolidates the findings to produce the system requirements and
   presents the design of a prototype training environment for
   physiotherapists that builds on advanced gaming technologies. Within the
   proposed system design, augmented reality modules are embedded alongside
   the game simulation and virtual world environment to provide
   participants with an authentic simulated game scenario in which to
   immerse themselves.
RI Pappa, Dimitra/AAE-1859-2021
ZA 0
ZR 0
Z8 0
TC 1
ZS 0
ZB 0
Z9 1
U1 0
U2 15
SN 1479-4403
UT WOS:000492050200003
ER

PT J
AU Jones, L. F.
   Meyrick, J.
   Bath, J.
   Dunham, O.
   McNulty, C. A. M.
TI Effectiveness of behavioural interventions to reduce urinary tract
   infections and Escherichia coli bacteraemia for older adults across all
   care settings: a systematic review
SO JOURNAL OF HOSPITAL INFECTION
VL 102
IS 2
BP 200
EP 218
DI 10.1016/j.jhin.2018.10.013
PD JUN 2019
PY 2019
AB Background: Escherichia coli bacteraemia rates in the UK have risen;
   rates are highest among older adults. Previous urinary tract infections
   (UTIs) and catheterization are risk factors.
   Aim: To examine effectiveness of behavioural interventions to reduce E.
   coli bacteraemia and/or symptomatic UTIs for older adults.
   Methods: Sixteen databases, grey literature, and reference lists were
   searched. Titles and/or abstracts were scanned and selected papers were
   read fully to confirm suitability. Quality was assessed using Critical
   Appraisal Skills Programme guidelines and Scottish Intercollegiate
   Guidelines Network grading.
   Findings: Twenty-one studies were reviewed, and all lacked
   methodological quality. Six multi-faceted hospital interventions
   including education, with audit and feedback or reminders reduced UTIs
   but only three supplied statements of significance. One study reported
   decreasing catheter-associated UTI (CAUTI) by 88% (F (1,20) = 7.25).
   Another study reported reductions in CAUTI from 11.17 to 10.53 during
   Phase I and by 0.39 during Phase II (chi(2) = 254). A third study
   reported fewer UTIs per patient week (risk ratio = 0.39). Two hospital
   studies of online training and catheter insertion and care simulations
   decreased CAUTIs from 33 to 14 and from 10.40 to 0. Increasing nursing
   staff, community continence nurses, and catheter removal reminder
   stickers reduced infection. There were no studies examining prevention
   of E. coli bacteraemias.
   Conclusion: The heterogeneity of studies means that one effective
   intervention cannot be recommended. We suggest that feedback should be
   considered because it facilitated reductions in UTI when used alone or
   in multi-faceted interventions including education, audit or catheter
   removal protocols. Multi-faceted education is likely to be effective.
   Catheter removal protocols, increased staffing, and patient education
   require further evaluation. Crown Copyright (C) 2018 Published by
   Elsevier Ltd on behalf of The Healthcare Infection Society.
RI Meyrick, Jane/AAC-5029-2019; Jones, Leah Ffion/F-7586-2019; McNulty, Cliodna Ann Miriam/; Jones, Leah/
OI Meyrick, Jane/0000-0002-2510-9251; McNulty, Cliodna Ann
   Miriam/0000-0003-4969-5360; Jones, Leah/0000-0002-0448-3471
Z8 2
ZB 5
ZA 0
TC 9
ZS 0
ZR 0
Z9 11
U1 1
U2 5
SN 0195-6701
EI 1532-2939
UT WOS:000468438500011
PM 30359646
ER

PT J
AU Jamieson, Jennifer A.
   Gougeon, Laura
TI Adults following a gluten-free diet report little dietary guidance in a
   pilot survey exploring relationships between dietary knowledge,
   management, and adherence in Nova Scotia, Canada
SO NUTRITION RESEARCH
VL 66
BP 107
EP 114
DI 10.1016/j.nutres.2019.02.005
PD JUN 2019
PY 2019
AB The strict nature of a gluten-free diet (GFD) poses a challenge for
   patient adherence and for clinicians to provide comprehensive
   client-centered care. Evidence on the relationship between nutrition
   knowledge, food skills, dietary management, and adherence can guide
   healthcare professionals counseling patients following this diet. In
   this explanatory pilot study, a province-wide survey (phase I) with 68
   community-dwelling Nova Scotians following a GFD was conducted to
   investigate relationships between personal, social, and health care
   factors and dietary adherence using a mixed-methods approach. A
   sub-sample of 19 survey respondents were interviewed (phase II) to
   explore contextual experiences related to GFD knowledge, food skills,
   dietary management, and adherence using a food literacy lens. Here, we
   report findings from phase I, in which 37 participants with self
   reported celiac disease (CD) and 31 participants reporting non-celiac
   reasons for wheat restriction (NCWR) completed a detailed 41-item online
   questionnaire. Self-reported data combined for both CD and NCWR
   respondents showed 76% perceived their health status as good to
   excellent. Most (62%) reported not receiving GFD advice from a health
   professional. Respondents with higher frequency of intentional
   consumption of gluten were more likely to have fewer correct answers to
   a food label quiz (p = -0.44; P = .0002). Most participants (75%) made
   at least one error in identifying gluten-free and gluten-containing
   foods, which may lead to unintentional gluten consumption and/or
   unnecessarily restricting safe foods. Findings from this exploratory
   study suggest patients may lack adequate referrals and support within
   the health care system and the community, adding to individual
   challenges of GFD adherence. (C) 2019 Elsevier Inc. All rights reserved.
RI Jamieson, Jen/AAG-4178-2022; Jamieson, Jen/AFA-2370-2022; Jamieson, Jen/AFK-5294-2022; Gougeon, Laura/B-2682-2009
OI Jamieson, Jen/0000-0002-5844-3643; Gougeon, Laura/0000-0001-6576-7809
ZR 0
Z8 0
TC 5
ZA 0
ZB 2
ZS 0
Z9 5
U1 0
U2 5
SN 0271-5317
UT WOS:000473372500010
PM 30954342
ER

PT J
AU Venkatesh, Balasubramanian
   Ashbolt, Michael
   Hart, Philip
   Raper, Raymond
TI Assessment of the College of Intensive Care Medicine's capacity to
   train: a survey of trainees and directors
SO CRITICAL CARE AND RESUSCITATION
VL 21
IS 2
BP 126
EP 131
PD JUN 2019
PY 2019
AB Background: In Australia and New Zealand, the numbers of intensive care
   medicine trainees have increased significantly over the past 15 years.
   This has implications for supervision, clinical and procedural
   experience, and availability of rotations. The College of Intensive Care
   Medicine of Australia and New Zealand (CICM) decided to estimate the
   current training resources using several domains.
   Methods: An online survey was sent to all CICM trainees (n = 528) and
   all directors of intensive care units (ICUs) (n = 106), using the
   SurveyMonkey tool.
   Results: The overall response rate for the survey was 44% (trainees,
   38%; directors, 72%). Most trainees had a 1:1 day-night roster system.
   Experience among trainees with common ICU procedures appeared limited.
   Fifty-six per cent of trainees reported spending more than 20% of their
   time attending medical emergency team calls. Difficulty accessing
   anaesthesia, medicine, paediatric and rural terms were reported by 35%,
   26% 46% and 40% of trainees, respectively. Thirty-seven percent of
   trainees reported having to wait at least 1 year and 10% waited up to 2
   years over and above their required training time to secure an
   anaesthesia term. Owing to gaps in experience in certain modules,
   one-third of final-year trainees felt underprepared to take on a role as
   a specialist, an observation shared by 1 5% of directors.
   Conclusion: This report has provided an assessment of the available
   resources within Australia and New Zealand for training doctors in
   intensive care medicine, and has identified significant limitations and
   concerns among trainees and ICU directors regarding the capacity to
   train. The findings call for a review of the training program, including
   a determination of optimal numbers of training positions.
OI Venkatesh, Bala/0000-0002-3234-5244
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
TC 1
Z9 1
U1 0
U2 1
SN 1441-2772
UT WOS:000488889900009
PM 31142243
ER

PT J
AU da Silva Junior, Arilto Eleuterio
   Carvalho, Jesus Paula
   Mauricette Derchain, Sophie Francoise
   Rodrigues, Angelica Nogueira
   Moretti, Renato
   Candido, Eduardo Batista
   dos Reis, Ricardo
   Santiagol, Aline Evangelista
   da Silva Filho, Agnaldo Lopes
TI Interest In and Practices Related to Gynecologic Oncology among Members
   of the Brazilian Federation of Associations of Gynecology and Obstetrics
SO REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA
VL 41
IS 6
BP 394
EP 399
DI 10.1055/s-0039-1692467
PD JUN 2019
PY 2019
AB Objective The present study aims to obtain basic demographic
   information, the level of interest and of training in gynecology
   oncology among Brazilian obstetricians and gynecologists (OB-GYNs) to
   create a professional profile. Methods An online questionnaire was sent
   to 16,008 gynecologists affiliated to the Brazilian Federation of
   Associations of Gynecology and Obstetrics (FEBRASGO, in the Portuguese
   acronym). We considered gynecologists dedicated to gynecologic oncology
   (OB-GYNs ONCO) those who self-reported that > 50% of their daily
   practice consists in working with women's cancer care. Results A total
   of 1,608 (10%) of 16,008 FEBRASGO members responded. The OB-GYNs are
   concentrated in the southern and southeastern states of Brazil.
   Gynecologic oncology was considered the 8th greatest area of interest in
   gynecology among the OB-GYNs. A total of 95 (5.9%) of the OB-GYNs were
   considered OB-GYNs ONCO. Obstetricians and gynecologists are actively
   engaged in cancer care: > 60% of them dedicate up to 25% of their daily
   practice to oncology. The role of the physicians in screening and
   prevention, diagnosis, in the treatment of precancerous lesions, and in
   low complexity surgical procedures is notably high. Gynecologists
   dedicated to gynecologic oncology in Brazil have a heterogeneous,
   nonstandardized and short training period in gynecologic oncology. These
   professionals had a more significantly role in performing medium- and
   high-complexity operations compared with OB-GYNs (65.2% versus 34%, and
   47.3% versus 8.4%, respectively). Conclusion The role of OB-GYNs and of
   OB-GYNs ONCO appears to be complementary. Obstetricians and
   gynecologists act more often in screening and prevention and in
   low-complexity surgical procedures, whereas OB-GYNs ONCO are more
   involved in highly complex cases. Strategies to raise standards in
   cancer training and to encourage the recognition of gynecologic oncology
   as a subspecialty should be adopted in Brazil.
RI Derchain, Sophie FM/I-9500-2014; Carvalho, Jesus Paula/O-7464-2019; CARVALHO, JESUS PAULA/G-8387-2018; Moretti-Marques, Renato/; Santiago, Aline Evangelista/O-5808-2018
OI Derchain, Sophie FM/0000-0003-1029-9993; CARVALHO, JESUS
   PAULA/0000-0003-4495-057X; Moretti-Marques, Renato/0000-0001-9997-6668;
   Santiago, Aline Evangelista/0000-0002-4562-3784
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
TC 0
Z9 0
U1 0
U2 1
SN 0100-7203
EI 1806-9339
UT WOS:000473091800006
PM 31247668
ER

PT J
AU Naylor, Katarzyna
   Torres, Anna
   Domanska-Glonek, Ewa
   Torres, Kamil
TI Technology integration into a curriculum using simulation techniques
SO KUWAIT MEDICAL JOURNAL
VL 51
IS 2
BP 181
EP 188
PD JUN 2019
PY 2019
AB Objectives: Nowadays, education strives to introduce more practical
   aspects, including simulation into the curriculum. Technology is meant
   to facilitate a more practical side of classes as well as to provide a
   viable testing tool.
   Design: We decide to investigate the influence of modern technology used
   with simulation techniques during one of the courses employing
   self-reported questionnaire and assessment results. The research is a
   cohort study. The research reviews the value of the course in terms of
   acquiring procedural skills using modern technology by medical students
   before entering a clinical setting.
   Setting: The research was led in a newly-developed Centre for Medical
   Simulation, Medical University of Lublin.
   Subjects: The students sample consisted of 299 second year medical
   students in the Medical University of Lublin.
   Intervention: Introduction of a novel course, Basic Clinical Skills
   using simulation and online resources.
   Main outcome measure: Students' opinions were analysed and compared with
   assessment outcomes.
   Result: 223 participants stated their definite content with the
   training, grading it 5 out of 5. 237 medical students agreed with the
   definite importance of its contents considering their future profession.
   218 confirmed a definite increase in their knowledge (72.9%) because of
   that course. Assessment results confirmed the high level of
   participants' abilities after course completion.
   Conclusions: The research confirms the usefulness of modern technology
   in the implementation of curricular changes, enabling unification of the
   procedures in terms of basic clinical skills in further practice.
RI Naylor, Katarzyna/I-8933-2019; Torres, Kamil/; Torres, Anna/
OI Naylor, Katarzyna/0000-0002-1307-5015; Torres,
   Kamil/0000-0001-5602-3744; Torres, Anna/0000-0002-4254-0545
ZB 0
ZR 0
Z8 0
ZA 0
TC 0
ZS 0
Z9 0
U1 0
U2 0
SN 1607-8047
EI 0023-5776
UT WOS:000488219700011
ER

PT J
AU Whitney, Gina M.
   Thomas, James J.
   Austin, Thomas M.
   Fanfan, Jemel
   Yaster, Myron
TI Radiation Safety Perceptions and Practices Among Pediatric
   Anesthesiologists: A Survey of the Physician Membership of the Society
   for Pediatric Anesthesia
SO ANESTHESIA AND ANALGESIA
VL 128
IS 6
BP 1242
EP 1248
DI 10.1213/ANE.0000000000003773
PD JUN 2019
PY 2019
AB BACKGROUND: Pediatric anesthesiologists are exposed to ionizing
   radiation from x-rays on an almost daily basis. Our goal was to
   determine the culture of safety in which they work and how they adhere
   to preventative strategies that minimize exposure risk in their daily
   practice.
   METHODS: After Institutional Review Board waiver and approval of the
   Society for Pediatric Anesthesia's research and quality and safety
   committees, an electronic e-mail questionnaire was sent to the Society's
   physician, nontrainee members and consisted of questions specific to
   provider use of protective lead shielding, the routine use of
   dosimeters, and demographic information. Univariate analyses were
   performed using the Wilcoxon rank sum test for ordinal variables, the
   Fisher exact test for categorical variables, and the Spearman test to
   analyze correlation between 2 ordinal variables, while a proportional
   odds logistic regression was used for a multivariable ordinal outcome
   analysis. P values of <.05 were considered statistically significant.
   RESULTS: Twenty-one percent (674/3151) of the surveyed anesthesiologists
   completed the online questionnaire. Radiation exposure is ubiquitous
   (98.7%), and regardless of sex, most respondents were either concerned
   or very concerned about radiation exposure (76.8%); however, women were
   significantly more concerned than men (proportional odds ratio, 1.66
   [95% confidence interval, 1.20-2.31]; P = .002). Despite this and
   independent of sex, level of concern was not associated with use of a
   radiation dosimeter (P = .85), lead glasses (odds ratio, 1.07 [95%
   confidence interval, 0.52-2.39]; P = 1.0), or a thyroid shield (P =
   .12). Dosimeters were rarely (13%) or never used (52%) and were mandated
   in only 28.5% of institutions. Virtually none of the respondents had
   ever taken a radiation safety course, received a personal radiation dose
   report, notification of their radiation exposure, or knew how many
   millirem/y was considered safe. Half of the respondents were female, and
   while pregnant, 73% (151/206) tried to avoid radiation exposure by
   requesting not to be assigned to cases requiring x-rays. These requests
   were honored 78% (160/206) of the time.
   DISCUSSION: Despite universal exposure to ionizing radiation from
   x-rays, pediatric anesthesiologists do not routinely adhere to
   strategies designed to limit the intensity of this exposure and rarely
   work in institutions in which a culture of radiation safety exists. Our
   study highlights the need to improve radiation safety education, the
   need to change the safety culture within the operating rooms and imaging
   suites, and the need to more fully investigate the utility of
   dosimeters, lead shielding, and eye safety measures in pediatric
   anesthesia practice.
ZB 2
ZS 0
Z8 0
TC 5
ZA 0
ZR 0
Z9 5
U1 0
U2 0
SN 0003-2999
UT WOS:000480725200051
PM 31094794
ER

PT J
AU van den Berg, M.
   Baysal, O.
   Nelen, W. L. D. M.
   Braat, D. D. M.
   Beerendonk, C. C. M.
   Hermens, R. P. M. G.
TI Professionals' barriers in female oncofertility care and strategies for
   improvement
SO HUMAN REPRODUCTION
VL 34
IS 6
BP 1074
EP 1082
DI 10.1093/humrep/dez062
PD JUN 2019
PY 2019
AB STUDY QUESTION: What are healthcare professionals' barriers and
   strategies for improvement in female oncofertility care?
   SUMMARY ANSWER: Professionals perceived barriers in knowledge, attitude
   and organization of oncofertility care and suggested strategies to
   improve oncofertility care.
   WHAT IS KNOWN ALREADY: The potential loss of fertility is one of the
   most important undesirable side effects of cancer treatment in women of
   reproductive age. Unfortunately, despite guideline recommendations, not
   all patients are informed about their fertility risks and referred for
   fertility preservation (FP) counselling. Insight into barriers for
   discussing FP and appropriate referral is necessary before improvements
   can be made.
   STUDY DESIGN, SIZE, DURATION: The aim of this was study was to identify
   barriers and gather improvement suggestions through semi-structured
   in-depth interviews conducted with 24 professionals working in
   oncofertility care. Subsequently, an expert panel meeting was held to
   reach consensus on a set of improvement strategies.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: Oncological professionals were
   recruited from the three Dutch expertise hospitals for female FP and
   their affiliated hospitals. The expert panel consisted of six healthcare
   professionals, five survivors and two researchers. In the Dutch setting,
   financial aspects do not play a role in oncofertility care.
   MAIN RESULTS AND THE ROLE OF CHANCE: Barriers were identified and
   categorized into the patient level (e.g. focus on surviving cancer), the
   professional level (e.g. lack of awareness, knowledge, time, and
   attitude), or the organizational level (e.g. unavailable written
   information, disagreement on who is responsible for discussing
   infertility risks). The expert panel reached consensus on essential
   elements for a multifaceted improvement programme: development of
   information materials (leaflets, online decision aid), education of
   professionals, a role for specialized oncology nurses in informing
   patients and patient navigators at the fertility department to
   facilitate referral and counselling, medical record reminders, standard
   consultations with a gynaecologist and agreement on responsibility.
   LIMITATIONS, REASONS FOR CAUTION: Selection bias could have occurred
   because it is likely that only professionals with interest in
   oncofertility care participated. However, this would mean that the
   barriers were underestimated.
   WIDER IMPLICATIONS OF THE FINDINGS: This study forms the basis for the
   development of a multifaceted oncofertility programme, which is
   essential to increase adherence to the national clinical guideline.
RI Hermens, Rosella P.M.G./N-3581-2014; van den Berg, Michelle/
OI Hermens, Rosella P.M.G./0000-0001-7624-7120; van den Berg,
   Michelle/0000-0002-3625-1405
Z8 0
ZR 0
ZA 0
ZS 0
ZB 3
TC 13
Z9 13
U1 1
U2 12
SN 0268-1161
EI 1460-2350
UT WOS:000484056100012
PM 31111876
ER

PT J
AU Ruberto, Irene
   Yaglom, Hayley
   Erhart, Laura M.
   Plante, Lydia
   Weiss, Joli
   Golenko, Catherine
   Casal, Mariana
   McCotter, Orion
   Adams, Laura
   Ernst, Kacey
   Komatsu, Ken
TI Dengue Knowledge, Attitudes, and Practices Among Arizona Health Care
   Providers, 2014-2015
SO VECTOR-BORNE AND ZOONOTIC DISEASES
VL 19
IS 6
BP 434
EP 440
DI 10.1089/vbz.2018.2370
PD JUN 1 2019
PY 2019
AB Background: Detection of local dengue transmission requires an aware and
   engaged medical community, as health care providers are the front line
   of public health surveillance. To assess the knowledge, attitude, and
   practice about dengue, an online survey was distributed among Arizona
   health care providers during 2014 and 2015. Materials and Methods: The
   survey consisted of a total of 10 knowledge, attitude, and practice
   questions divided as follows: 5 knowledge questions, 2 attitude
   questions, and 3 practice questions. The link to the Qualtrics survey
   was distributed through the Arizona Health Alert Network to a total of
   4582 e-mail addresses, of which 335 participants opened the survey, and
   196 completed and submitted their responses. Results: Less than half the
   respondents reported choosing the right dengue diagnostic test (40.4%)
   or understanding the epidemiology of dengue in Arizona (40.9%). Slightly
   more than half the respondents reported frequently asking for travel
   history (59%), and three-fourth of them would notify the local health
   department on suspicion of a dengue patient (76.1%). Survey score was
   associated with providers specialized in infectious diseases (1.88, 95%
   CI: 0.42-3.33, p = 0.01), medical doctors or doctors of osteopathic
   medicine (1.82, 95% CI: 0.98-2.65, p < 0.0001), and respondents who
   reported to have heard about the increase in dengue cases in Sonora
   (Mexico) in fall 2014 (1.51, 95% CI: 0.67-2.34, p = 0.0005), indicating
   better survey performance. Conclusions: These results indicate that
   education for health care providers on dengue should be improved
   particularly among general practice noninfectious disease providers who
   might be the first point of care for dengue patients. Findings suggest
   that additional training on clinical management, asking travel history,
   and notifying the local health department on suspicion of a dengue
   patient are needed.
RI Plante, Lydia/GVU-1687-2022
ZB 1
TC 2
ZR 0
Z8 0
ZA 0
ZS 0
Z9 2
U1 0
U2 1
SN 1530-3667
EI 1557-7759
UT WOS:000474303200008
PM 30802177
ER

PT J
AU Daniel, Dennis
   Wolbrink, Traci
TI Comparison of healthcare professionals' motivations for using different
   online learning materials
SO PEDIATRIC INVESTIGATION
VL 3
IS 2
SI SI
BP 96
EP 101
DI 10.1002/ped4.12131
PD JUN 2019
PY 2019
AB ImportanceOnline learning is increasingly prevalent throughout all
   stages of medical education. There is little published literature
   exploring what motivates healthcare professionals to engage with
   different types of e-learning content. Learner motivations must be
   understood in order to design effective educational solutions and to
   optimize the overall online learning experience.
   ObjectiveExamine engagement, satisfaction, and motivations of healthcare
   professionals using OPENPediatrics, an open-access medical e-learning
   platform.
   MethodsRetrospective analysis of online survey data. Users were asked to
   report engagement and satisfaction with the platform, as well as to
   select motivations for using different types of content on the site:
   Courses, Simulators, and World Shared Practice Forum videos.
   ResultsMajority of respondents were physicians and nurses in North
   America and Europe. Overall satisfaction with the platform was high.
   Most frequently cited motivations for using Courses and Simulators were:
   learn basic and in-depth information around topics, and learn how to
   deliver safer or more effective patient care. For World Shared Practice
   Forum videos, most commonly cited motivations were: learn in-depth
   information about a topic, learn the latest advances or developments in
   an area, and learn how to deliver safer or more effective patient care.
   InterpretationWe appreciated both commonalities and differences in
   learning motivations among clinicians accessing different kinds of
   medical e-learning content. Respondents were consistently motivated to
   learn in order to deliver safer or more effective patient care, but they
   reported using different types of educational content depending on
   whether they were learning basic information versus updating or changing
   their knowledge.
ZR 0
ZS 0
TC 3
ZA 0
Z8 0
ZB 0
Z9 3
U1 0
U2 2
EI 2574-2272
UT WOS:000648352100007
PM 32851299
ER

PT J
AU Fitzsimmons-Craft, Ellen E.
   Balantekin, Katherine N.
   Graham, Andrea K.
   Smolar, Lauren
   Park, Dan
   Mysko, Claire
   Funk, Burkhardt
   Taylor, C. Barr
   Wilfley, Denise E.
TI Results of disseminating an online screen for eating disorders across
   the US: Reach, respondent characteristics, and unmet treatment need
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 52
IS 6
BP 721
EP 729
DI 10.1002/eat.23043
PD JUN 2019
PY 2019
AB ObjectiveThe treatment gap between those who need and those who receive
   care for eating disorders is wide. Scaling a validated, online screener
   that makes individuals aware of the significance of their
   symptoms/behaviors is a crucial first step for increasing access to
   care. The objective of the current study was to determine the reach of
   disseminating an online eating disorder screener in partnership with the
   National Eating Disorders Association (NEDA), as well to examine the
   probable eating disorder diagnostic and risk breakdown of adult
   respondents. We also assessed receipt of any treatment.
   MethodParticipants completed a validated eating disorder screen on the
   NEDA website over 6 months in 2017.
   ResultsOf 71,362 respondents, 91.0% were female, 57.7% 18-24years, 89.6%
   non-Hispanic, and 84.7% White. Most (86.3%) screened positive for an
   eating disorder. In addition, 10.2% screened as high risk for the
   development of an eating disorder, and only 3.4% as not at risk. Of
   those screening positive for an eating disorder, 85.9% had never
   received treatment and only 3.0% were currently in treatment.
   DiscussionThe NEDA online screen may represent an important eating
   disorder detection tool, as it was completed by >71,000 adult
   respondents over just 6 months, the majority of whom screened positive
   for a clinical/subclinical eating disorder. The extremely high
   percentage of individuals screening positive for an eating disorder who
   reported not being in treatment suggests a wide treatment gap and the
   need to offer accessible, affordable, evidence-based intervention
   options, directly linked with screening.
OI Taylor, C. Barr/0000-0002-4564-6548
Z8 0
ZS 0
ZB 11
TC 25
ZA 0
ZR 0
Z9 25
U1 4
U2 9
SN 0276-3478
EI 1098-108X
UT WOS:000478830200011
PM 30761560
ER

PT J
AU Cooper, Katelyn M.
   Gin, Logan E.
   Brownell, Sara E.
TI Diagnosing differences in what Introductory Biology students in a fully
   online and an in-person biology degree program know and do regarding
   medical school admission
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 43
IS 2
BP 221
EP 232
DI 10.1152/advan.00028.2019
PD JUN 2019
PY 2019
AB Increasingly, institutions of higher education are adopting fully online
   degree programs to provide students with cost-effective, accessible
   postsecondary education. A concern these degrees raise is: Will students
   be prepared for the next step of their career paths after completing
   their Bachelor's degree online? Biology undergraduates often begin their
   degrees wanting to become medical doctors, but no studies have explored
   whether students in a fully online biology degree program are being
   prepared to be admitted to medical school. In this study, we surveyed
   Introductory Biology students at one institution who were pursuing
   Bachelor of Science degrees in Biological Sciences, either in an online
   or an in-person program. The most prevalent career goal for both
   in-person students (65.2%) and online students (39.7%) was a medical
   doctor. Online students were more confident in their intentions to
   become doctors than their in-person peers. However, online students knew
   fewer criteria that medical schools consider when admitting students
   than in-person students [in-person: mean = 3.7 (SD 1.6); online: mean =
   2.7 (SD 1.7)] and were less likely to plan to become involved in
   premedical activities, such as undergraduate research. Finally, compared
   with in-person students, fewer online students were able to name at
   least one science student (in-person: 76.7%; online: 9.7%). academic
   advisor (in-person: 21.3%; online: 6.5%), and faculty member (in-person:
   33.7%; online: 6.5%) with whom they could talk about pursuing a career
   in medicine. This work highlights knowledge gaps between students
   enrolled in a fully online biology degree and an in-person biology
   degree that are important for developers of online biology degree
   programs to understand and rectify to better prepare online biology
   students for admission to medical school.
RI Cooper, Katelyn/ABI-4286-2020
OI Cooper, Katelyn/0000-0001-8427-7741
ZB 3
Z8 0
TC 17
ZR 0
ZA 0
ZS 0
Z9 17
U1 2
U2 8
SN 1043-4046
EI 1522-1229
UT WOS:000481684000003
PM 31088159
ER

PT J
AU de Moel-Mandel, Caroline
   Graham, Melissa
   Taket, Ann
TI Snapshot of medication abortion provision in the primary health care
   setting of regional and rural Victoria
SO AUSTRALIAN JOURNAL OF RURAL HEALTH
VL 27
IS 3
BP 237
EP 244
DI 10.1111/ajr.12510
PD JUN 2019
PY 2019
AB Objective This study aimed to identify enablers and barriers to the
   provision of medication abortion in the primary health care setting of
   regional and rural areas of Victoria, Australia. Design An online
   cross-sectional questionnaire was used. Setting Regional and rural areas
   of Victoria, Australia. Participants Thirty-nine GPs and 30 primary
   health care nurses. Main outcome measures Abortion views, medication
   abortion knowledge and practice, interest in medication abortion
   training and provision, and perceived uptake barriers. Results Most
   participants reported being consulted by women with unintended
   pregnancies and most of them included abortion counselling in their
   consultation. However, familiarity with provision of medication abortion
   was limited, and only five GPs and two primary health care nurses were
   currently medication abortion providers. The majority of participants
   expressed a high level of interest in receiving medication abortion
   training, but indicated a wide range of barriers to service provision,
   such as a lack of training opportunities, legal uncertainties or
   surgical access concerns in case of complications. Conclusions Findings
   demonstrate the need for education on medication abortion and training
   opportunities. Most identified barriers to service uptake are
   addressable and relate to a lack of local support services, including
   the absence of a 24-hour contact advice service, insufficient follow-up
   access and a lack of local ultrasound facilities. These barriers require
   educational programs at professional, organisational and community level
   to ensure that interested rural and regional primary health care
   providers can start offering medication abortion for their patients.
RI Taket, Ann R/G-1381-2010
OI Taket, Ann R/0000-0002-0971-5884
ZS 0
Z8 0
ZA 0
ZR 0
TC 8
ZB 0
Z9 8
U1 1
U2 6
SN 1038-5282
EI 1440-1584
UT WOS:000471720100008
PM 31070843
ER

PT J
AU Arnolds, Marin M.
   Feltman, Dalia M.
TI Informed Consent for Bedside Procedures in Pediatric and Neonatal ICUs:
   A Nationwide Survey
SO PEDIATRIC CRITICAL CARE MEDICINE
VL 20
IS 6
BP E251
EP E257
DI 10.1097/PCC.0000000000001921
PD JUN 2019
PY 2019
AB Objectives: Primary objectives were to discover current practices of
   informed consent for bedside procedures in the PICU and neonatal ICU and
   how trainees learn to obtain consent. We also attempted to gauge if
   program directors felt that one method of consent was subjectively
   superior to another in the way it fulfilled established ethical criteria
   for informed consent.
   Design: An online anonymous survey. Participants were asked about how
   and by whom informed consent is currently obtained, training practices
   for fellows, and attitudes about how different consent methods fulfill
   ethical criteria.
   Setting: All U.S. fellowship programs for neonatology (n = 98) and
   pediatric critical care (n = 66) in the fall of 2017.
   Subjects: Neonatal and pediatric critical care fellowship program
   directors.
   Interventions: None.
   Measurements and Main Results: The overall response rate was 50% (82 of
   164). The most common method for obtaining consent in both ICU types was
   via a written, separate (procedurespecific) consent (63% neonatal ICUs,
   83% PICUs); least common was verbal consent (8% neonatal ICUs and 6%
   PICUs). Fellows were reported as obtaining consent most often (91%),
   followed by mid-level practitioners (71%) and residents (66%). Residents
   were one-fifth as likely to obtain consent in the PICU as compared with
   the neonatal ICU. Sixty-three percent of fellowship directors rated
   their programs as "strong" or "very strong" in preparing trainees to
   obtain informed consent. Twenty-eight percent of fellowship directors
   reported no formal training on how to obtain informed consent.
   Conclusions: Most respondents' ICUs use separate procedurespecific
   written consents for common bedside procedures, although considerable
   variability exists. Trainees reportedly most often obtain informed
   consent for procedures. Although most fellowship directors report their
   program as strong in preparing trainees to obtain consent, this study
   reveals areas warranting improvement.
OI Arnolds, Marin/0000-0001-8055-1723
TC 2
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
Z9 2
U1 0
U2 1
SN 1529-7535
EI 1947-3893
UT WOS:000480711000002
PM 30985607
ER

PT J
AU Hilt, Nataliya
   Hulscher, Marlies E. J. L.
   Antonise-Kamp, Laura
   OldeLoohuis, Alfons
   Voss, Andreas
TI Current practice of infection control in Dutch primary care: Results of
   an online survey
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 47
IS 6
BP 643
EP 647
DI 10.1016/j.ajic.2018.11.010
PD JUN 2019
PY 2019
AB Background: Good infection prevention is an important aspect of quality
   of medical care. The aim was to evaluate infection prevention and
   control (IPC) performance among Dutch general practitioners (GPs).
   Methods: Based on the current national IPC guidelines for GPs, a
   self-administered anonymous online questionnaire was developed and sent
   to GPs in the Nijmegen region of the Netherlands. Thirty-two questions
   were constructed to survey characteristics of GPs' offices and assess
   current performance of IPC measures.
   Results: One hundred questionnaires were included in our analysis. The
   preferred method of hand hygiene was soap and water (56%) versus
   alcohol-based handrub (44%). The cleaning of nondisposable, noncritical,
   semicritical, and critical instruments was consistent with national
   guideline recommendations or superior to them in 100%, 49%, and 97% of
   cases, respectively. An average of 57% of GPs reported environmental
   cleaning frequencies that were compliant with the national guidelines or
   superior to them. Personal protective equipment was available in 62% of
   GPs' practices but used in only 25% of home visits to patients.
   Conclusions: Not all national IPC guidelines seem to be followed to the
   fullest extent. The current situation indicates there is room for
   potential improvement regarding implementation of IPC measures in GPs'
   offices. Area-specific guidelines and continuous medical education
   regarding IPC may help improve the situation. (C) 2018 Association for
   Professionals in Infection Control and Epidemiology, Inc. Published by
   Elsevier Inc. All rights reserved.
RI Hulscher, Marlies/B-1229-2014
OI Hulscher, Marlies/0000-0002-2160-4810
Z8 0
ZS 0
TC 4
ZR 0
ZA 0
ZB 1
Z9 4
U1 0
U2 2
SN 0196-6553
EI 1527-3296
UT WOS:000469016500009
PM 30616933
ER

PT J
AU Moskowitz, David A.
   Rahman, Musarrat
   Li, Dennis H.
TI Exploring anal self-examination as a screening tool for women at risk
   for anal cancer: awareness, interest, and barriers to behavioral uptake
SO CANCER CAUSES & CONTROL
VL 30
IS 6
BP 559
EP 568
DI 10.1007/s10552-019-01175-1
PD JUN 2019
PY 2019
AB PurposeAnal cancer is the second most common
   human-papillomavirus-related cancer in women, with women also at an
   elevated risk of incidence relative to men. Anal self-examination (ASE)
   is an efficient way for women to screen between provider visits for
   potential anal masses. While studied in male populations, no research
   has explored women's awareness of the self-test.MethodsIn response, 345
   women recruited from online advertisements and listservs were surveyed
   to assess their experiences using health care, history of Pap smears,
   knowledge of anal cancer, awareness and attitudes surrounding ASEs, and
   potential educational modalities to promote ASE enactment.ResultsResults
   indicated the sample failed two key anal cancer knowledge tests
   (receiving a 68%/100% for risk factors and 61%/100% for signs/symptoms),
   and only 2.3% of participants had ever heard of ASEs before the survey.
   Most thought ASEs would be somewhat helpful as a screening tool, but
   little interest was shown towards future performance. Analyses revealed
   this disinterest was due to lack of knowledge, perceived discomfort with
   performing ASEs, and perceived irrelevance of ASEs.ConclusionsFuture
   interventions should push for a stronger role of providers (e.g.,
   gynecologists) in anal health, education, and screening. Additionally,
   campaigns should be crafted to promote the ASE as an easy, at-home
   screening tool that could trigger an early warning for anal disease.
RI Li, Dennis H./ABG-7983-2020; Moskowitz, David/
OI Li, Dennis H./0000-0001-9709-7619; Moskowitz, David/0000-0002-3509-0865
ZB 0
ZA 0
Z8 0
ZS 0
TC 2
ZR 0
Z9 2
U1 0
U2 4
SN 0957-5243
EI 1573-7225
UT WOS:000467796500001
PM 31037559
ER

PT J
AU Steiner, Riley J.
   Pampati, Sanjana
   Rasberry, Catherine N.
   Liddon, Nicole
TI "Is It Really Confidential?" A Content Analysis of Online Information
   About Sexual and Reproductive Health Services for Adolescents
SO JOURNAL OF ADOLESCENT HEALTH
VL 64
IS 6
BP 725
EP 731
DI 10.1016/j.jadohealth.2018.11.022
PD JUN 2019
PY 2019
AB Purpose: Many young people are not aware of their rights to confidential
   sexual and reproductive health (SRH) care. Given that online health
   information seeking is common among adolescents, we examined how health
   education Web content about SRH for young people addresses
   confidentiality.
   Methods: In Spring 2017, we conducted Google keyword searches (e.g.,
   "teens" and "sex education") to identify health promotion Web sites
   operated by public health/medical organizations in the United States and
   providing original content about SRH for adolescents/young adults.
   Thirty-two Web sites met inclusion criteria. We uploaded Website PDFs to
   qualitative analysis software to identify confidentiality-related
   content and conduct thematic analysis of the 29 Web sites with
   confidentiality content.
   Results: Sexually transmitted infection testing and contraception were
   the SRH services most commonly described as confidential. Clear and
   comprehensive definitions of confidentiality were lacking; Web sites
   typically described confidentiality in relation to legal rights to
   receive care without parental consent or notification. Few mentioned the
   importance of time alone with a medical provider. Only half of the Web
   sites described potential inadvertent breaches of confidentiality
   associated with billing and even fewer described other restrictions to
   confidentiality practices (e.g., mandatory reporting laws). Although
   many Web sites recommended that adolescents verify confidentiality,
   guidance for doing so was not routinely provided. Information about
   confidentiality often encouraged adolescents to communicate with
   parents.
   Conclusions: There is a need to provide comprehensive information,
   assurances, and resources about confidentiality practices while also
   addressing limitations to confidentiality in away that does not create
   an undue burden on adolescents or reinforce and exacerbate
   confidentiality concerns. Published by Elsevier Inc. on behalf of
   Society for Adolescent Health and Medicine.
RI Pampati, Sanjana/AAR-6879-2021; Rasberry, Catherine/AAD-6881-2019; Rasberry, Catherine N/P-1984-2016
OI Pampati, Sanjana/0000-0003-2202-1884; Rasberry,
   Catherine/0000-0001-8256-6961; Rasberry, Catherine N/0000-0001-8256-6961
ZS 0
ZB 1
Z8 0
TC 5
ZA 0
ZR 0
Z9 5
U1 0
U2 6
SN 1054-139X
EI 1879-1972
UT WOS:000631927700013
PM 30850311
ER

PT J
AU Zhang, Zhuoshi
   Monro, John
   Venn, Bernard J.
TI Development and Evaluation of an Internet-Based Diabetes Nutrition
   Education Resource
SO NUTRIENTS
VL 11
IS 6
AR 1217
DI 10.3390/nu11061217
PD JUN 2019
PY 2019
AB Nutritional education for pre- and type 2 diabetes empowers individuals
   to make positive dietary and lifestyle choices. As the world migrates to
   digital devices, opportunities arise for education resources to reach a
   broad spectrum of society. This study aimed to develop and test the
   effectiveness of an electronic nutritional education resource for people
   with pre- and type 2 diabetes within the multi-ethnic New Zealand
   population. A needs assessment was conducted via ethnic-specific
   discussion groups (n = 29), followed by a population-based online survey
   (n = 448). An educational resource, including an educational video and
   pre- and post-questionnaires, was developed and tested online among 156
   participants (17 with pre- and type 2 diabetes, 118 interested lay
   public and 21 health professionals). There was a strong desire to learn
   nutrition through simple, visual, practical, and culturally appropriate
   online educational resources. After interacting with the educational
   resource, the accuracy of identifying foods that increase blood glucose
   concentration improved by 17.4% (p = 0.013) in people with pre- and type
   2 diabetes, 12.8% (p = 0.003) in health professionals, and 16.3% (p <
   0.001) in interested lay public. There was an improvement among ethnic
   minority participants of 14.1% (p = 0.003). Most participants expressed
   intentions to make positive dietary and lifestyle choices. The
   electronic nutrition education resource was found to be an effective
   means for delivering education. It has potential to bridge the gap
   between the limited supply of healthcare resources and the increasing
   demand for diabetes nutrition education.
RI Venn, Bernard/L-9379-2016; Venn, Bernard/; Monro, John/A-7736-2011
OI Venn, Bernard/0000-0001-8031-1906; Monro, John/0000-0001-6111-5571
TC 6
ZS 0
Z8 0
ZB 1
ZR 0
ZA 0
Z9 6
U1 1
U2 5
EI 2072-6643
UT WOS:000474936700023
PM 31142056
ER

PT J
AU Mahajan, Rajiv
   Gupta, Piyush
   Singh, Tejinder
TI Massive Open Online Courses: Concept and Implications
SO INDIAN PEDIATRICS
VL 56
IS 6
BP 489
EP 495
DI 10.1007/s13312-019-1575-6
PD JUN 2019
PY 2019
AB Massive open online courses (MOOCs) are currently the buzz word in the
   field of e-learning. By definition, MOOCs are massive courses
   considering the number of participants enrolled across the globe per
   course, are open accessed, and are available online. MOOCs have evolved
   along the trajectory of correspondence courses, radio- and
   television-broadcasts, and e-learning. Though various taxonomies to
   classify MOCCs exit, two types - Connectivist Massive Open Online Course
   (cMOOC) and Extended Massive Open Online Course (xMOOC) have distinctly
   emerged. cMOOC promotes creativity and interaction among participants,
   while xMOOC is used merely for knowledge dispersion. With increased and
   unrestricted use of internet, and with ease of developing new online
   platforms, MOOCs are proving to be an evolutionary phenomenon. Many
   universities and institutes of higher learning are using MOOCs for
   knowledge dispersion and skill development. Their role in faculty
   development, capacity and capability building in medical education arena
   is unequivocal. Potential of MOOCs can be well-tapped for conduct of
   continuing medical education programs, and programs for improving
   soft-skills and research skills in medical field for faculty
   development. This review details the concepts of MOOCs and their
   application in education field, particularly in medical education, and
   feasibility of developing MOOCs in India.
RI Singh, Tejinder/AAX-1694-2020; Gupta, Piyush/AAE-4530-2020
ZA 0
Z8 2
TC 13
ZB 0
ZS 0
ZR 0
Z9 15
U1 5
U2 24
SN 0019-6061
EI 0974-7559
UT WOS:000478065400011
PM 31278230
ER

PT J
AU Gray, Benjamin J.
   Jones, Adam T.
   Couzens, Zoe
   Sagar, Tracey
   Jones, Debbie
TI University students' behaviours towards accessing sexual health
   information and treatment
SO INTERNATIONAL JOURNAL OF STD & AIDS
VL 30
IS 7
BP 671
EP 679
DI 10.1177/0956462419828866
PD JUN 2019
PY 2019
AB Globally, it is widely recognised that young people (those under the age
   of 25 years) are at a higher risk of developing sexually transmitted
   infections (STIs). The majority of university students studying in the
   UK fall within this age bracket, and to help prevent such high incidence
   of STIs in this age group, it is essential that advice and treatment, if
   required, are obtained from reliable sources. This study sought to
   explore sources of sexual heath advice and treatment for students at
   Welsh universities (n=3007). The main sources of advice were identified
   as the internet (49.1%) and GP/family doctors (38.9%), whilst local
   sexual health clinics (24.9%) and GP/family doctor services (20.2%) were
   the main sources for treatment in students. Males were more likely than
   females to report never needing advice (AOR 2.74; CI=2.24-3.35) or
   requiring treatment (AOR 1.37; CI=1.17-1.60). The apparent lack of
   engagement with these services by male students is a cause for concern,
   although one possible solution could be to further develop online
   methods to increase uptake of testing. Furthermore, the popularity of
   the internet for advice provides a timely reminder that regulation of
   online sexual health information is critical.
RI Jones, Adam/AAG-4389-2019; Gray, Benjamin/
OI Jones, Adam/0000-0002-0681-8108; Gray, Benjamin/0000-0003-1548-707X
ZA 0
ZB 0
ZR 0
Z8 0
TC 3
ZS 0
Z9 3
U1 1
U2 7
SN 0956-4624
EI 1758-1052
UT WOS:000470924900006
PM 30961468
ER

PT J
AU Davies, Angela C.
   Harris, Diane
   Banks-Gatenby, Amanda
   Brass, Andy
TI Problem-based learning in clinical bioinformatics education: Does it
   help to create communities of practice?
SO PLOS COMPUTATIONAL BIOLOGY
VL 15
IS 6
AR e1006746
DI 10.1371/journal.pcbi.1006746
PD JUN 2019
PY 2019
AB We have now reached the genomics era within medicine; genomics is being
   used to personalise treatment, make diagnoses, prognoses, and predict
   adverse outcomes resulting from treatment with certain drugs. Genomic
   data is now abundant in healthcare, and the newly created profession of
   clinical bioinformaticians are responsible for its analysis. In the
   United Kingdom, clinical bioinformaticians are trained within a 3-year
   programme, integrating a work-based placement with a part-time Master's
   degree. As this profession is still developing, trainees can feel
   isolated from their peers whom are located in other hospitals and can
   find it difficult to gain the mentorship that they require to complete
   their training. Building strong networks or communities of practice
   (CoPs) and allowing sharing of knowledge and experiences is one solution
   to addressing this isolation. Within the Master's delivered at the
   University of Manchester, we have integrated group-centred problem-based
   learning (PBL) using real clinical case studies worked on during each
   course unit. This approach is combined with a flipped style of teaching
   providing access to online content in our Virtual Learning Environment
   before the course. The face-to-face teaching is used to focus on the
   application of the students' knowledge to clinical case studies. In this
   study, we conducted semistructured interviews with 8 students, spanning
   3 cohorts of students. We evaluated the effectiveness of this style of
   teaching and whether it had contributed to the formation of CoPs between
   our students. Our findings demonstrated that this style of teaching was
   preferred by our students to a more traditional lecture-based format and
   that the problem-based learning approach enabled the formation of CoPs
   within these cohorts. These CoPs are valuable in the development of this
   new profession and assist with the production of new guidelines and
   policies that are helping to professionalise this new group of
   healthcare scientists.
RI Davies, Angela/AAU-9716-2020; Banks Gatenby, Amanda/; Brass, Andrew/; Harris, Diane/
OI Davies, Angela/0000-0002-3365-7231; Banks Gatenby,
   Amanda/0000-0001-8747-0176; Brass, Andrew/0000-0002-0389-7058; Harris,
   Diane/0000-0003-3600-7645
ZA 0
TC 4
ZR 0
ZB 3
Z8 1
ZS 0
Z9 6
U1 0
U2 7
EI 1553-7358
UT WOS:000474703000003
PM 31246944
ER

PT J
AU Noormandi, Afsaneh
   Karimzadeh, Iman
   Mirjalili, Mahtabalsadat
   Khalili, Hossein
TI Clinical and economic impacts of clinical pharmacists' interventions in
   Iran: a systematic review
SO DARU-JOURNAL OF PHARMACEUTICAL SCIENCES
VL 27
IS 1
BP 361
EP 378
DI 10.1007/s40199-019-00245-8
PD JUN 2019
PY 2019
AB ObjectivesThere are many studies about Iranian clinical pharmacists'
   interventions and their impacts on medication safety and cost. The aim
   of this study is to collect data and critically evaluate the clinical
   and economic effects of Iranian clinical pharmacist interventions and
   activities. To our best of knowledge, this research is the first review
   of publications about Iranian clinical pharmacists' interventions and
   activities.Evidence acquisition.Six online databases, including PubMed,
   Scopus, Medline, Cochrane Central Register of Controlled Trials,
   Cochrane Database of Systemic Reviews, and Google Scholar were searched
   using the terms Iranian, clinical pharmacist, adverse drug reactions,
   medication errors, drug interaction, drug utilization evaluation, cost,
   and interventions for English studies conducted in Iran and described
   clinical pharmacist-initiated interventions, published before December
   2018. The search and extraction process followed PRISMA guidelines.
   Observational or retrospective studies, clinical trials, congress
   abstracts, and case reports or case series were excluded. The search
   strategy after full-text review identified 39 articles matching the
   eligibility criteria.ResultsThirty-nine articles were recruited. They
   included establishing pharmaceutical care in out-patient clinics and
   drug information centers (n=4); prevention, detection, and management of
   adverse drug reactions(n=4), designing protocols and improving drug
   utilization pattern(n=16), prevention, detection, and management of
   medication errors (n=11), and all clinical pharmacist services(n=4).
   Most clinical pharmacist interventions and activities were regarding
   designing protocols, improving drug utilization pattern, as well as
   detection, prevention, and management of medication errors. About
   three-fourth (74.35%) of included studies were from either ambulatory
   care or in-patient settings in Tehran. The median (interquartile range)
   duration of intervention as well as follow-up phases was 9 (5)
   months.ConclusionData of our review support the beneficial role of
   clinical pharmacists in the improvement of quality, safety, and
   efficiency of patients' pharmaceutical care in Iran.
RI Karimzadeh, Iman/M-3295-2016; Khalili, Hossein/AAC-9532-2020; Mirjalili, Mahtabalsadat/; Karimzadeh, Iman/
OI Khalili, Hossein/0000-0002-1590-6396; Mirjalili,
   Mahtabalsadat/0000-0002-0038-1494; Karimzadeh, Iman/0000-0002-8956-4528
ZR 0
ZB 2
TC 7
Z8 0
ZA 0
ZS 0
Z9 7
U1 2
U2 7
EI 2008-2231
UT WOS:000472907200032
PM 30674033
ER

PT J
AU Doyle-Cox, Carolyn
   Nicholson, Gail
   Stewart, Traci
   Gin-Sing, Wendy
TI Current organization of specialist pulmonary hypertension clinics:
   results of an international survey
SO PULMONARY CIRCULATION
VL 9
IS 2
AR 2045894019855611
DI 10.1177/2045894019855611
PD JUN 2019
PY 2019
AB Optimal pulmonary hypertension (PH) management relies on a timely,
   accurate diagnosis and follow-up in specialized clinics by
   multidisciplinary teams that have clearly defined responsibilities and
   protocols. Internationally agreed criteria for expert center staff are
   lacking, particularly with respect to nurses, who often act as a central
   component of the team. This survey aimed to evaluate the current
   organization of PH clinics and the role of nurses. The survey (35
   questions) was online February-December 2015 and was advertised at
   international PH nurse meetings and through international PH
   organizations to their corresponding clinics. In total, 126 healthcare
   professionals from 32 countries responded. According to respondents, 54%
   of clinics managed >200 patients, of whom 49% had a pulmonary arterial
   hypertension (PAH) diagnosis, on average. In terms of staff, 66% had a
   dedicated program administrator, 35% had one full-time nurse
   coordinator/practitioner/specialist, and 57% had a nurse attend
   outpatient clinic alongside a physician. Crucially, not all centers had
   a nurse in their team. The role of a nurse
   coordinator/practitioner/specialist varied with 51% taking patient
   histories/examinations and 66% managing outpatients. In 34% of clinics,
   nurses were involved in their own research. Protocols were available for
   PH therapies (81%), management of heart failure (37%) and pain (26%),
   and referring patients who did not have PAH/chronic thromboembolic PH
   back to their specialist (62%). Not all clinics are meeting all of the
   standards outlined in the latest guidelines with key areas of
   improvement being level of support from/for nurses, clear protocols, and
   referral pathways.
OI GIN-SING, WENDY/0000-0002-6993-0965
TC 2
ZA 0
ZS 0
ZR 0
Z8 0
ZB 1
Z9 2
U1 0
U2 4
SN 2045-8932
EI 2045-8940
UT WOS:000473481200001
PM 31106660
ER

PT J
AU Sward, Lindsey B.
   McKelvey, Samantha S.
   Pollack, Stacy L.
   Badger, Plummer D.
   Ounpraseuth, Songthip T.
   Cottler-Fox, Michele
TI A hands-on resident umbilical cord blood educational curriculum compared
   to online education of post-residency obstetricians: comparison of the
   volume of collected cord blood units
SO TRANSFUSION
VL 59
IS 6
BP 2150
EP 2154
DI 10.1111/trf.15238
PD JUN 2019
PY 2019
AB BACKGROUND Umbilical cord blood unit (CBU) volume is a predictor of its
   later clinical utility. Many studies suggest the need to increase the
   volume of CBU collected, but most obstetrical providers receive no
   formal collection training. STUDY DESIGN AND METHODS We designed and
   implemented an educational curriculum for obstetrics residents aimed at
   improving collection methods and increasing CBU volumes (CBUV).
   Residents were required to attend grand rounds and interactive didactic
   sessions on CBU collection followed by work with a simulated collection
   kit and then performed training collections under observation by a
   trained collector. Residents completed a self-assessment after each
   collection and received immediate personal feedback. Outside providers
   (non-UAMS physicians) received written instructional materials with the
   collection kits and had access to online training materials. They
   received feedback regarding their collection via standard mail. CBU
   donated to Cord Blood Bank of Arkansas for public use from 2014-2016
   were analyzed. CBUV from residents were compared to those from outside
   providers. RESULTS After adjusting for maternal age and race, infant
   gender, gestational age, and birth weight, the least-squared mean CBUV
   was 92.1 mL for UAMS collections and 65.5 mL for outside provider
   collections. The improved CBUV of UAMS providers is statistically
   significant (p < 0.0001). CONCLUSION Our educational intervention was
   successful, and we believe that it can be replicated in other
   obstetrical residency programs. Cord blood collection education
   involving hands-on training with a model and immediate feedback improves
   CBUV, decreases kit waste, increases likelihood of CBU storage, and,
   therefore, inventory for transplantation.
ZA 0
TC 1
Z8 0
ZB 0
ZR 0
ZS 0
Z9 1
U1 0
U2 0
SN 0041-1132
EI 1537-2995
UT WOS:000472975500033
PM 30848511
ER

PT J
AU Serenari, Matteo
   Cucchetti, Alessandro
   Russo, Paolo Maria
   Fallani, Guido
   Mattarozzi, Katia
   Pinna, Antonio Daniele
   Colonnello, Valentina
   Poggioli, Gilberto
   Cescon, Matteo
TI Burnout and psychological distress between surgical and non-surgical
   residents
SO UPDATES IN SURGERY
VL 71
IS 2
BP 323
EP 330
DI 10.1007/s13304-019-00653-0
PD JUN 2019
PY 2019
AB Surgical training is considered to be very stressful among residents and
   medical students choose less often surgery for their career. Our aim was
   to assess the prevalence of burnout and psychological distress in
   residents attending surgical specialties (SS) compared to non-surgical
   specialties (NSS). Residents from the University of Bologna were asked
   to participate in an anonymous online survey. The residents completed a
   set of questions regarding their training schedule and three
   standardized questionnaires: (1) the Maslach Burnout Inventory,
   assessing the three dimensions of burnout: emotional exhaustion (EE),
   depersonalization (DP), and personal accomplishment (PA); (2) the Zung
   Self-Rating Depression Scale; (3) the Psychosomatic Problems Scale.
   One-hundred and ninety residents completed the survey. Overall, the
   prevalence of burnout was 73% in the SS group and 56.3% in the NSS group
   (P=0.026). More specifically, SS reported higher levels of EE and DP
   compared to NSS. No significant differences between SS and NSS emerged
   for PA, depression, or somatic problems. The present findings indicate
   that burnout is more prevalent in surgical residents than in residents
   attending non-surgical specialties. ClinicalTrials.gov identifier:
   NCT03668080.
RI poggioli, gilberto/AAC-7599-2022; Russo, Paolo/AAO-5351-2021; Pinna, Antonio/AAC-6685-2019; Colonnello, Valentina/AAO-6702-2021; RUSSO, PAOLO MARIA/; Fallani, Guido/; serenari, matteo/; MATTAROZZI, KATIA/; Colonnello, Valentina/
OI RUSSO, PAOLO MARIA/0000-0002-0575-5360; Fallani,
   Guido/0000-0002-5774-7696; serenari, matteo/0000-0003-1471-8585;
   MATTAROZZI, KATIA/0000-0003-1784-750X; Colonnello,
   Valentina/0000-0002-4204-7312
ZR 0
ZS 3
Z8 0
ZA 0
ZB 3
TC 15
Z9 18
U1 0
U2 5
SN 2038-131X
EI 2038-3312
UT WOS:000475889900017
PM 30941702
ER

PT J
AU McArthur, Michelle L.
   Matthew, Susan M.
   Brand, Conor P. B.
   Andrews, Jena
   Fawcett, Anne
   Hazel, Susan
TI Cross-sectional analysis of veterinary student coping strategies and
   stigma in seeking psychological help
SO VETERINARY RECORD
VL 184
IS 23
DI 10.1136/vr.105042
PD JUN 2019
PY 2019
AB Veterinary education can result in high levels of academic stressors for
   students. Students are also susceptible to non-academic stressors,
   including relationship issues and financial concerns. These can all
   result in mental ill health, which may impair the student's ability to
   complete their studies and go on to a successful professional career.
   Finding and using strategies early on to help alleviate mental health
   problems is critical to successful management of these problems, but
   seeking help may be impeded by the stigma associated with mental health
   problems. Using a cross-sectional online survey of a sample of
   Australian veterinary students, the aim of the current study was to
   investigate the type and frequency of their coping strategies as well as
   to explore relationships between self-stigma and coping strategies.
   Female veterinary students reported more use of instrumental and
   emotional support as coping strategies, while male veterinary students
   demonstrated more use of humour. Self-stigma was related to less
   instrumental support, greater self-blame and gender, while males who
   employed more humour as a coping strategy reported more self-stigma.
   Improving the coping strategies of veterinary students and reducing the
   self-stigma surrounding mental ill health is important to improve the
   wellbeing and resilience of the veterinary profession.
RI Hazel, Susan J./D-3627-2014; Quain, Anne/
OI Hazel, Susan J./0000-0002-1804-690X; Quain, Anne/0000-0001-9159-4569
Z8 0
ZR 0
ZS 0
ZB 1
ZA 0
TC 5
Z9 5
U1 1
U2 16
SN 0042-4900
EI 2042-7670
UT WOS:000471149800003
PM 30878950
ER

PT J
AU Chen, Sharon F.
   Deitz, Jennifer
   Batten, Jason N.
   DeCoste-Lopez, Jennifer
   Adam, Maya
   Alspaugh, J. Andrew
   Amieva, Manuel R.
   Becker, Pauline
   Boslett, Bryn
   Carline, Jan
   Chin-Hong, Peter
   Engle, Deborah L.
   Hayward, Kristen N.
   Nevins, Andrew
   Porwal, Aarti
   Pottinger, Paul S.
   Schwartz, Brian S.
   Smith, Sherilyn
   Sow, Mohamed
   Teherani, Arianne
   Prober, Charles G.
TI A Multi-Institution Collaboration to Define Core Content and Design
   Flexible Curricular Components for a Foundational Medical School Course:
   Implications for National Curriculum Reform
SO ACADEMIC MEDICINE
VL 94
IS 6
BP 819
EP 825
DI 10.1097/ACM.0000000000002663
PD JUN 2019
PY 2019
AB Medical educators have not reached widespread agreement on core content
   for a U.S. medical school curriculum. As a first step toward addressing
   this, five U.S. medical schools formed the Robert Wood Johnson
   Foundation Reimagining Medical Education collaborative to define,
   create, implement, and freely share core content for a foundational
   medical school course on microbiology and immunology. This
   proof-of-concept project involved delivery of core content to
   preclinical medical students through online videos and classtime
   interactions between students and facilitators. A flexible, modular
   design allowed four of the medical schools to successfully implement the
   content modules in diverse curricular settings. Compared with the prior
   year, student satisfaction ratings after implementation were comparable
   or showed a statistically significant improvement. Students who took
   this course at a time point in their training similar to when the USMLE
   Step 1 reference group took Step 1 earned equivalent scores on National
   Board of Medical Examiners-Customized Assessment Services microbiology
   exam items. Exam scores for three schools ranged from 0.82 to 0.84,
   compared with 0.81 for the national reference group; exam scores were
   0.70 at the fourth school, where students took the exam in their first
   quarter, two years earlier than the reference group. This project
   demonstrates that core content for a foundational medical school course
   can be defined, created, and used by multiple medical schools without
   compromising student satisfaction or knowledge. This project offers one
   approach to collaboratively defining core content and designing
   curricular resources for preclinical medical school education that can
   be shared.
RI Alspaugh, Andrew/AAB-1664-2019; Adam, Maya/; Amieva, Manuel/U-2581-2017; Chen, Sharon/
OI Alspaugh, Andrew/0000-0003-3009-627X; Adam, Maya/0000-0001-5563-421X;
   Amieva, Manuel/0000-0002-5601-4490; Chen, Sharon/0000-0002-3705-258X
ZR 0
Z8 0
TC 10
ZA 0
ZS 0
ZB 0
Z9 10
U1 0
U2 4
SN 1040-2446
EI 1938-808X
UT WOS:000474067900026
PM 30801270
ER

PT J
AU Pereira-Lima, Karina
   Gupta, Rahael R.
   Guille, Constance
   Sen, Srijan
TI Residency Program Factors Associated With Depressive Symptoms in
   Internal Medicine Interns: A Prospective Cohort Study
SO ACADEMIC MEDICINE
VL 94
IS 6
BP 869
EP 875
DI 10.1097/ACM.0000000000002567
PD JUN 2019
PY 2019
AB Purpose
   To investigate the associations between program-level variables such as
   organizational structure, workload, and learning environment and
   residents' development of depressive symptoms during internship.
   Method
   Between 2012 and 2015, 1,276 internal medicine interns from 54 U.S.
   residency programs completed the Patient Health Questionnaire-9 (PHQ-9)
   before internship, and then quarterly throughout the internship. The
   training environment was assessed via a resident questionnaire and
   average weekly work hours. The authors gathered program structural
   variables from the American Medical Association Fellowship and Residency
   Electronic Interactive Database (FREIDA online) and program research
   rankings from Doximity. Associations between program-level variables and
   change in depressive symptoms were determined using stepwise linear
   regression modeling.
   Results
   Mean program PHQ-9 scores increased from 2.3 at baseline to 5.9 during
   internship (mean difference 3.6; SD 1.4; P<.001), with the mean increase
   ranging from -0.3 to 8.8 (interquartile range 1.1) among included
   programs. In multivariable models, faculty feedback (beta= -0.37; 95%
   CI: -0.62, -0.12; P=.005), learning experience in inpatient rotations
   (beta= -0.28; 95% CI: -0.54, -0.02; P=.030), work hours (beta= 0.34; 95%
   CI: 0.13, 0.56; P=.002), and research ranking position (beta= -0.25; 95%
   CI: -0.47, -0.03; P=.036) were associated with change in depressive
   symptoms.
   Conclusions Poor faculty feedback and inpatient learning experience,
   long work hours, and high institutional research rankings were
   associated with increased depressive symptoms among internal medicine
   interns. These factors may be potential targets for interventions to
   improve wellness and mental health among these professionals.
RI Pereira-Lima, Karina/J-1205-2016; Sen, Srijan/
OI Pereira-Lima, Karina/0000-0003-4313-743X; Sen,
   Srijan/0000-0003-4495-495X
Z8 0
ZB 4
ZA 0
ZR 0
ZS 1
TC 17
Z9 18
U1 1
U2 5
SN 1040-2446
EI 1938-808X
UT WOS:000474067900034
PM 30570500
ER

PT J
AU Kemper, Kathi J.
   McClafferty, Hilary
   Wilson, Paria M.
   Serwint, Janet R.
   Batra, Maneesh
   Mahan, John D.
   Schubert, Charles J.
   Staples, Betty B.
   Schwartz, Alan
CA Pediat Resident Burnout-Resilience
TI Do Mindfulness and Self-Compassion Predict Burnout in Pediatric
   Residents?
SO ACADEMIC MEDICINE
VL 94
IS 6
BP 876
EP 884
DI 10.1097/ACM.0000000000002546
PD JUN 2019
PY 2019
AB Purpose
   Burnout symptoms are common among health professionals. Gaps remain in
   understanding both the stability of burnout and compassion over time and
   relationships among burnout, self-compassion, stress, and mindfulness in
   pediatric residents.
   Method
   The authors conducted a prospective cohort study of residents at 31 U.S.
   residency programs affiliated with the Pediatric Resident
   Burnout-Resilience Study Consortium. Residents completed online
   cross-sectional surveys in spring 2016 and 2017. The authors assessed
   demographic characteristics and standardized measures of mindfulness,
   self-compassion, stress, burnout, and confidence in providing
   compassionate care.
   Results
   Of 1,108 eligible residents, 872 (79%) completed both surveys. Of these,
   72% were women. The prevalence of burnout was 58% and the level of
   mindfulness was 2.8 in both years; levels of stress (16.4 and 16.2) and
   self-compassion (37.2 and 37.6) were also nearly identical in both
   years. After controlling for baseline burnout levels in linear
   mixed-model regression analyses, mindfulness in 2016 was protective for
   levels of stress and confidence in providing compassionate care in 2017.
   Self-compassion in 2016 was protective for burnout, stress, and
   confidence in providing compassionate care in 2017; a
   one-standard-deviation increase in self-compassion score was associated
   with a decrease in the probability of burnout from 58% to 48%.
   Conclusions
   Burnout and stress were prevalent and stable over at least 12 months
   among pediatric residents. Mindfulness and self-compassion were
   longitudinally associated with lower stress and greater confidence in
   providing compassionate care. Future studies are needed to evaluate the
   effectiveness of training that promotes mindfulness and selfcompassion
   in pediatric residents.
OI Schwartz, Alan/0000-0003-3809-6637; Pitt, Michael/0000-0002-7123-2613
ZB 3
ZS 0
ZR 0
ZA 0
Z8 0
TC 24
Z9 24
U1 5
U2 28
SN 1040-2446
EI 1938-808X
UT WOS:000474067900035
PM 30520809
ER

PT J
AU Jarrett, Jennie B.
   Antoun, Jumana
   Hasnain, Memoona
TI Entrustable Professional Activity Utilization: A CERA Study of Family
   Medicine Residency Program Directors
SO FAMILY MEDICINE
VL 51
IS 6
BP 471
EP 476
DI 10.22454/FamMed.2019.876961
PD JUN 2019
PY 2019
AB BACKGROUND AND OBJECTIVES: Entrustable professional activities (EPAs) is
   a novel assessment framework in competency-based medical education.
   While there are published pilot reports about utilization and validation
   of EPAs within undergraduate medical education (UME), there is a paucity
   of research within graduate medical education (GME). This study aimed to
   explore the landscape of EPAs within family medicine GME, particularly
   related to the understanding of EPAs, extent of utilization, and
   benefits and challenges of EPAs implementation as an assessment
   framework within family medicine residency programs (FMRPs) in the
   United States.
   METHODS: A cross-sectional survey, as part of the 2017 Council of
   Academic Family Medicine (CAFM) Educational Research Alliance (CERA)
   Family Medicine Residency Program (FMRP) Director omnibus online survey
   was conducted in fall, 2017. ACGME-accredited FMRP directors were
   invited by email to participate.
   RESULTS: The survey response rate was 53.1% (267/503). Overall, 90.1%
   (237/263) of FMRP directors were aware of EPAs as an assessment
   framework and 82.8% (197/238) understood the principles of EPAs, but
   39.9% (95/238) were not confident in utilizing EPAs. Only 15.1% (36/238)
   of FMRP directors reported currently employing EPAs as an assessment
   tool. Identified benefits of EPAs use included increased transparency
   and congruence of expectations between learners and FRMP as well as
   facilitation for formative feedback. Identified barriers of EPA
   incorporation included difficulty integrating EPAs into the current
   assessment framework and faculty development.
   CONCLUSIONS: While EPAs are well recognized and understood by FMRP
   directors, there is significant lack of utilization of this assessment
   framework within FMRP in the United States.
RI Jarrett, Jennie/ABG-1897-2021; Antoun, Jumana/I-8579-2019
OI Antoun, Jumana/0000-0002-2159-427X
ZB 1
ZA 0
ZR 0
ZS 1
TC 3
Z8 0
Z9 4
U1 0
U2 10
SN 0742-3225
EI 1938-3800
UT WOS:000474356900003
PM 31013347
ER

PT J
AU Myerholtz, Linda
   Reid, Alfred
   Baker, Hannah M.
   Rollins, Lisa
   Page, Cristen P.
TI Residency Faculty Teaching Evaluation: What Do Faculty, Residents, and
   Program Directors Want?
SO FAMILY MEDICINE
VL 51
IS 6
BP 509
EP 515
DI 10.22454/FamMed.2019.168353
PD JUN 2019
PY 2019
AB BACKGROUND AND OBJECTIVES: The Accreditation Council for Graduate
   Medical Education Common Residency Program Requirements stipulate that
   each faculty member's performance be evaluated annually. Feedback is
   essential to this process, yet the culture of medicine poses challenges
   to developing effective feedback systems. The current study explores
   existing and ideal characteristics of faculty teaching evaluation
   systems from the perspectives of key stakeholders: faculty, residents,
   and residency program directors (PDs).
   METHODS: We utilized two qualitative approaches: (1) confidential
   semistructured telephone interviews with PDs from a convenience sample
   of eight family medicine residency programs, (2) qualitative responses
   from an anonymous online survey of faculty and residents in the same
   eight programs. We used inductive thematic analysis to analyze the
   interviews and survey responses. Data collection occurred in the fall of
   2017.
   RESULTS: All eight (100%) of the PDs completed interviews. Survey
   response rates for faculty and residents were 79% (99/126) and 70%
   (152/216), respectively. Both PD and faculty responses identified a
   desire for actionable, real-time, frequent feedback used to foster
   continued professional development. Themes unique to faculty included
   easy accessibility and feedback from peers. Residents expressed an
   interest in in-person feedback and a process minimizing potential
   retribution. Residents indicated that feedback should be based on shared
   understanding of what skill(s) the faculty member is trying to address.
   CONCLUSIONS: PDs, faculty, and residents share a desire to provide
   faculty with meaningful, specific, and real-time feedback. Programs
   should strive to provide a culture in which feedback is an integral part
   of the learning process for both residents and faculty.
OI Myerholtz, Linda/0000-0002-5574-2269
ZR 0
ZA 0
ZS 0
Z8 0
TC 13
ZB 2
Z9 13
U1 0
U2 3
SN 0742-3225
EI 1938-3800
UT WOS:000474356900009
PM 31184765
ER

PT J
AU Ismail, M. S.
   Johar, M. J.
   Siraj, H. H.
   Arif, K.
   Jalina, K.
   Iva, M. I.
   Saidah, M. H.
   Balakrishnian, M.
   Syahira, J.
   Phrampus, P. E.
TI Influence of Simulation in Malaysian Healthcare Education and Research
   (ISIM-HERE): A Two-Decade Experience
SO MEDICINE AND HEALTH-KUALA LUMPUR
VL 14
IS 1
BP 53
EP 67
DI 10.17576/MH.2019.1401.05
PD JUN 2019
PY 2019
AB The use of simulation as a teaching methodology in medical institutions
   has been in Malaysia for over two decades. This study aimed to evaluate
   the current scenarios of simulation impact and utilization in Malaysian
   academic healthcare institutions (AHIs). We conducted a population-based
   survey on all AHIs in Malaysia including public and private. We
   performed an online survey followed by a face-to-face interview
   evaluating the number of institutions that used simulation, duration of
   experience, purpose, funding, users' category and healthcare domain,
   research activities, dedicated-trained staff and the challenges faced.
   Out of 75 healthcare institutions approached, 38 agreed to participate
   in this study. Twenty-two (57.9%) were public hospitals while 16 (42.1%)
   were private institutions. Thirty-five (92.1%) out of 38 institutions
   used simulation as a teaching method. The majority (15, 42.9%) had less
   than five years' experience, and about a third (11, 31.4%) used
   simulation for teaching, training and performance assessment. Nurses
   (30, 26.1%) were the main users followed by physicians and paramedic
   (19, 16.5% each respectively). In-hospital and procedural group were the
   top two domains of utilizers. Almost three quarters (25, 71.4%) have
   dedicated support staff to manage the centre. Funding was mainly from
   internal institutional support mechanisms. Seven different categories of
   challenges were identified, the biggest being financial support. In
   summary, even though healthcare simulation has been in Malaysia for the
   past two decades but the most substantial impact happened over the last
   five years. Utilization was mainly for teaching, training, and
   performance assessment with minimal use in research.
RI Siraj, Harlina Halizah/AAP-8483-2020; Saiboon, Ismail Mohd/W-8428-2019
OI Saiboon, Ismail Mohd/0000-0003-3972-9803
ZR 0
TC 4
Z8 0
ZA 0
ZB 0
ZS 0
Z9 4
U1 0
U2 5
SN 1823-2140
EI 2289-5728
UT WOS:000473299200005
ER

PT J
AU McLeod, Jane D.
   Meanwell, Emily
   Hawbaker, Amelia
TI The Experiences of College Students on the Autism Spectrum: A Comparison
   to Their Neurotypical Peers
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 6
BP 2320
EP 2336
DI 10.1007/s10803-019-03910-8
PD JUN 2019
PY 2019
AB This study describes the academic, social, and health experiences of
   college students on the autism spectrum as they compare to students with
   other disabilities and their non-disabled, neurotypical peers. Data were
   from an online survey of college students at 14 public institutions
   (N=3073). There were few significant differences between students on the
   spectrum and students with other disabilities. Both groups of students
   reported significantly worse outcomes than neurotypical students on
   academic performance, social relationships and bullying, and physical
   and mental health. The findings suggest that some of the challenges
   students on the spectrum face in college result from the stigma and
   social rejection associated with disability rather than from the unique
   characteristics of autism.
OI Meanwell, Emily/0000-0002-1718-8279; McLeod, Jane/0000-0001-8129-073X
ZB 2
ZA 0
ZS 1
TC 33
Z8 0
ZR 0
Z9 34
U1 2
U2 21
SN 0162-3257
EI 1573-3432
UT WOS:000470156100010
PM 30734173
ER

PT J
AU Holmes, Laura Graham
   Strassberg, Donald S.
   Himle, Michael B.
TI Family Sexuality Communication for Adolescent Girls on the Autism
   Spectrum
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 6
BP 2403
EP 2416
DI 10.1007/s10803-019-03904-6
PD JUN 2019
PY 2019
AB Families are critical for supporting healthy sexuality and relationship
   development for youth with autism. The objective of this study was to
   describe family sexuality communication for adolescent girls with
   autism. Participants were 141 parents of autistic daughters who
   completed an online survey about sexuality development. Most parents
   relied on discussion alone rather than visual supports or skills-based
   teaching techniques. Intellectual functioning, child age,
   race/ethnicity, and whether youth expressed sexual interest in others
   affected family sexuality communication. We discuss how most parents
   covered important basics, but many did not cover more nuanced
   relationship or sexual health topics during family sexuality
   communication. Few used enhanced instructional techniques (e.g., visual
   supports, social stories), suggesting potential utilization barriers
   such as a lack of affordable and available resources. There is a need
   for research accounting for diverse racial/ethnic backgrounds, sexual
   orientations including asexuality/demisexuality, and for transgender and
   gender diverse youth.
OI Graham Holmes, Laura/0000-0001-9928-6798
ZS 0
ZB 3
TC 7
ZA 0
ZR 0
Z8 0
Z9 7
U1 2
U2 29
SN 0162-3257
EI 1573-3432
UT WOS:000470156100016
PM 30783898
ER

PT J
AU Martin, Alexandra
   Stewart, J. Ryan
   Gaskins, Jeremy
   Medlin, Erin
TI A Systematic Assessment of Google Search Queries and Readability of
   Online Gynecologic Oncology Patient Education Materials
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 3
BP 435
EP 440
DI 10.1007/s13187-017-1319-z
PD JUN 2019
PY 2019
AB The Internet is a major source of health information for gynecologic
   cancer patients. In this study, we systematically explore common Google
   search terms related to gynecologic cancer and calculate readability of
   top resulting websites. We used Google AdWords Keyword Planner to
   generate a list of commonly searched keywords related to gynecologic
   oncology, which were sorted into five groups (cervical cancer, ovarian
   cancer, uterine cancer, vulvar cancer, vaginal cancer) using five
   patient education websites from sgo.org. Each keyword was Google
   searched to create a list of top websites. The Python programming
   language (version 3.5.1) was used to describe frequencies of keywords,
   top-level domains (TLDs), domains, and readability of top websites using
   four validated formulae. Of the estimated 1,846,950 monthly searches
   resulting in 62,227 websites, the most common was cancer.org. The most
   common TLD was *.com. Most websites were above the eighth-grade reading
   level recommended by the American Medical Association (AMA) and the
   National Institute of Health (NIH). The SMOG Index was the most reliable
   formula. The mean grade level readability for all sites using SMOG was
   9.4 +/- 2.3, with 23.9% of sites falling at or below the eighth-grade
   reading level. The first ten results for each Google keyword were
   easiest to read with results beyond the first page of Google being
   consistently more difficult. Keywords related to gynecologic
   malignancies are Google-searched frequently. Most websites are difficult
   to read without a high school education. This knowledge may help
   gynecologic oncology providers adequately meet the needs of their
   patients.
OI Martin, Alexandra/0000-0003-1046-9809
ZR 0
ZB 2
TC 3
Z8 0
ZA 0
ZS 0
Z9 3
U1 1
U2 11
SN 0885-8195
EI 1543-0154
UT WOS:000472907100004
PM 29353371
ER

PT J
AU Rao, Amulya A. Nageswara
   Warad, Deepti M.
   Weaver, Amy L.
   Schleck, Cathy D.
   Rodriguez, Vilmarie
TI Cross-Cultural Medical Care Training and Education: a National Survey of
   Pediatric Hematology/Oncology Fellows-in-Training and Fellowship Program
   Directors
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 3
BP 478
EP 487
DI 10.1007/s13187-018-1326-8
PD JUN 2019
PY 2019
AB Pediatric hematologists/oncologists face complex situations such as
   breaking bad news, treatment/clinical trials discussions, and
   end-of-life/hospice care. With increasing diversity in patient and
   physician populations, cultural competency and sensitivity training
   covering different aspects of pediatric hematology/oncology (PDHO) care
   can help improve health care delivery and reduce disparities. Though it
   is considered a required component of fellowship training, there is no
   clearly defined curriculum meant specifically for PDHO
   fellows-in-training (PDHO-F). A national online survey of 356 PDHO-F and
   67 PDHO program directors (PDHO-PD) was conducted to assess the
   educational experience, perceptions about identifying barriers including
   one's own biases and trainee comfort in delivering culturally sensitive
   care in various PDHO relevant clinical situations. One hundred and
   eleven (31.2%) PDHO-F and 27 (40.3%) PDHO-PD responded. 30.6% of PDHO-F
   strongly agreed/agreed they received comprehensive cross-cultural
   communication (CCC) training. The top two teaching methods were faculty
   role modeling and informal teaching. Majority of CCC training is in
   medical school or residency and only 10.8% of PDHO-F reported that most
   of their CCC training was in fellowship. In most clinical situations,
   there was a modest direct correlation between the fellow's level of
   agreement that they received comprehensive CCC training and their
   comfort level. Comfort level with some clinical situations was also
   significantly different based on year of training. Fellowship training
   programs should have CCC curricula which use experiential learning
   models and lay the foundation for promoting cultural awareness,
   self-reflection, and better patient-physician partnerships which can
   eventually adapt to and surmount the challenges unique to the
   physician's chosen field of practice.
RI Warad, Deepti/AAC-4135-2020
OI Warad, Deepti/0000-0002-1899-5208
TC 5
Z8 0
ZR 0
ZS 0
ZA 0
ZB 2
Z9 5
U1 0
U2 0
SN 0885-8195
EI 1543-0154
UT WOS:000472907100010
PM 29380222
ER

PT J
AU Mosby, Terezie Tolar
TI The Impact of Fellowship in Dietetics on Clinical Practice
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 3
BP 498
EP 504
DI 10.1007/s13187-018-1330-z
PD JUN 2019
PY 2019
AB Medical nutrition therapy (MNT) in pediatric cancer treatment is
   essential. The Nutrition Department and the International Outreach
   Program at St. Jude Children's Research Hospital in Memphis, TN have
   worked together from 2005 to 2013 to develop and implement a training
   program for international dietitians working with pediatric oncology
   patients. During that time, St. Jude hosted 15 dietitians from various
   countries for this 3-week-long program. The curriculum provided
   experience in nutrition risk screening, nutrition care process,
   nutrition for cancer prevention, palliative care, and exposure to
   nutrition support. Monthly online meetings were established through the
   Cure4Kids website to continue collaboration and training. Learning
   outcomes were developed, and the impact of the program was evaluated
   based on changes made by former fellows in clinical practice, research,
   management, and food service upon return to their country. In addition,
   the program was evaluated based on recognition by the medical team,
   professional growth/networking, and personal growth. The survey return
   rate was 100%: responses revealed that 80% of participants continued
   working in pediatric oncology, 67% participated in monthly meetings, 47%
   collaborated on research, 100% advanced their competency in clinical
   practice, 93% broadened their competency in research, 67% became
   increasingly competent in management, 60% implemented changes in food
   service, 100% were recognized for participating in the program, and 100
   and 93% noted that participation in the fellowship program helped their
   professional and personal growth, respectively. The psychological impact
   of the training on healthcare providers was as important as the impact
   of the program on patient care.
OI Tolar-Peterson, Terezie/0000-0002-0830-7491
TC 1
ZB 1
ZS 0
ZA 0
Z8 0
ZR 0
Z9 1
U1 0
U2 3
SN 0885-8195
EI 1543-0154
UT WOS:000472907100012
PM 29417474
ER

PT J
AU Li, Mengjie
   Hu, Xiaoli
   Li, Xiaolan
   Lei, Shuxiang
   Cai, Ming
   Wei, Xi
   Deng, Dongmei
TI Dentist-related factors influencing the use of vital pulp therapy: a
   survey among dental practitioners in China
SO JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
VL 47
IS 6
BP 2381
EP 2393
DI 10.1177/0300060519843406
PD JUN 2019
PY 2019
AB Objective To evaluate dentist-related factors associated with the use of
   vital pulp therapy (VPT) for the treatment of pulp exposures in
   permanent teeth. Methods This survey-based study sent an online
   questionnaire to collect data on the demographics of the respondents,
   the use of VPT and the choice of materials for VPT, to all members of
   the Society of Endodontology of Guangdong, China. Results A total 183 of
   380 members responded (48.2%). The majority (89.6%; 164 of 183) had
   performed direct pulp capping (DPC) while 55.2% (101 of 183) had
   performed partial pulpotomy (PP) at least once. The most-cited reason
   for not performing VPT was unfamiliarity with the technique. Mineral
   trioxide aggregate was the most commonly used material for both DPC
   (67.1%; 110 of 164) and PP (73.3%; 74 of 101). Endodontists, compared
   with general practitioners, preferred to perform DPC and chose calcium
   silicate materials (CSMs) for VPT (odds ratios 5.81 and 8.07,
   respectively). DPC and CSMs for VPT were also favoured more by
   respondents who had practised for > 5 years. Senior respondents were
   more likely to use PP. Conclusions Speciality, years of practise and age
   of dentists influenced the decision making and the choice of materials
   for VPT. Continuing education is essential to promote the clinical use
   of VPT.
RI li, mengjie/GRS-3931-2022; Deng, Dongmei/V-9230-2017; Hu, Xiaoli/AAE-9057-2020; LI, XIAOLAN/
OI Hu, Xiaoli/0000-0002-0462-7500; LI, XIAOLAN/0000-0003-3055-8067
ZR 0
ZA 0
Z8 1
TC 3
ZS 0
ZB 0
Z9 4
U1 1
U2 4
SN 0300-0605
EI 1473-2300
UT WOS:000471695200007
PM 30991868
ER

PT J
AU Lowry, Becky
   Eck, Leigh M.
   Howe, Erica E.
   Peterson, JoHanna
   Gibson, Cheryl A.
TI Workplace Violence: Experiences of Internal Medicine Trainees at an
   Academic Medical Center
SO SOUTHERN MEDICAL JOURNAL
VL 112
IS 6
BP 310
EP 314
DI 10.14423/SMJ.0000000000000984
PD JUN 2019
PY 2019
AB Objectives: Healthcare professionals are at higher risk for workplace
   violence (WPV) than workers in other sectors. This elevated risk exists
   despite the vast underreporting of WPV in the medical setting. The
   challenge of responding to this risk is compounded by limited empirical
   research on medical training environments. Understanding trainees'
   experience and educating them on workplace safety, WPV reporting, and
   awareness of resources are shared goals of educational and institutional
   leadership. In our setting, clear understanding and education were
   urgent after the enactment of a statewide " constitutional carry" law
   affording individuals a right to carry concealed firearms in all
   state-owned universities and hospitals, beginning in July 2017. We
   sought to examine the incidence of WPVaffecting Internal Medicine
   trainees to understand the types of violence encountered, reporting
   rates, and the factors that influence reporting. Methods: We conducted a
   cross-sectional online survey of Internal Medicine residents and fellows
   in practice for the previous 12 months. Survey items included both
   forced choice and open-ended questions. Descriptive statistics were
   calculated and used to summarize the study variables..2 tests were
   performed to examine whether sex differences existed for each of the
   survey questions. Qualitative responseswere content analyzed and
   organized thematically. Results: Of 186 trainees, 88 completed the
   survey. Forty-seven percent of respondents experienced WPV, with > 90%
   of cases involving a patient, a patient's family member, or a patient's
   friend. Verbal assault was the most common type of incident encountered.
   Trainees formally reported fewer than half of the violent incidents
   disclosed in the survey. Major factors that influenced reporting
   included the severity of the incident, condition of the patient, and
   clarity of the reporting mechanism. Conclusions: Previous research
   indicates similar amounts and types of WPV. Likewise, a large percentage
   of the incidents are not reported. Addressing the key factors related
   towhy physicians underreport can inform institutions on how to make
   systematic changes to reduce WPV and its negative impact. Future
   research is needed to examine whether specific interventions can be
   implemented to improve reporting and reduce the incidence of WPV.
ZS 0
ZB 0
Z8 0
ZR 0
TC 0
ZA 0
Z9 0
U1 1
U2 11
SN 0038-4348
EI 1541-8243
UT WOS:000470783700003
PM 31158883
ER

PT J
AU Middleton, Sandy
   Dale, Simeon
   Cheung, N. Wah
   Cadilhac, Dominique A.
   Grimshaw, Jeremy M.
   Levi, Chris
   McInnes, Elizabeth
   Considine, Julie
   McElduff, Patrick
   Gerraty, Richard
   Craig, Louise Eisten
   Schadewaldt, Verena
   Fitzgerald, Mark
   Quinn, Clare
   Cadigan, Greg
   Denisenko, Sonia
   Longworth, Mark
   Ward, Jeanette
   D'Este, Catherine
   Allen, Todd
   Jammali-Blasi, Asmara
   Phillips, Rosemary
   Pitkin, Janne
   Salama, Enna
   Sheridan, Toni
   McElduff, Benjamin
CA T3 Trial Collaborators
TI Nurse-Initiated Acute Stroke Care in Emergency Departments: The Triage,
   Treatment, and Transfer Implementation Cluster Randomized Controlled
   Trial
SO STROKE
VL 50
IS 6
BP 1346
EP 1355
DI 10.1161/STROKEAHA.118.020701
PD JUN 2019
PY 2019
AB Background and Purpose We aimed to evaluate the effectiveness of an
   intervention to improve triage, treatment, and transfer for patients
   with acute stroke admitted to the emergency department (ED).
   Methods A pragmatic, blinded, multicenter, parallel group, cluster
   randomized controlled trial was conducted between July 2013 and
   September 2016 in 26 Australian EDs with stroke units and tPA
   (tissue-type plasminogen activator) protocols. Hospitals, stratified by
   state and tPA volume, were randomized 1:1 to intervention or usual care
   by an independent statistician. Eligible ED patients had acute stroke
   <48 hours from symptom onset and were admitted to the stroke unit via
   ED. Our nurse-initiated T-3 intervention targeted (1) Triage to
   Australasian Triage Scale category 1 or 2; (2) Treatment: tPA
   eligibility screening and appropriate administration; clinical protocols
   for managing fever, hyperglycemia, and swallowing; (3) prompt (<4 hours)
   stroke unit Transfer. It was implemented using (1) workshops to identify
   barriers and solutions; (2) face-to-face, online, and written education;
   (3) national and local clinical opinion leaders; and (4) email,
   telephone, and site visit follow-up. Outcomes were assessed at the
   patient level. Primary outcome: 90-day death or dependency (modified
   Rankin Scale score of 2); secondary outcomes: functional dependency
   (Barthel Index 95), health status (Short Form [36] Health Survey), and
   ED quality of care (Australasian Triage Scale; monitoring and management
   of tPA, fever, hyperglycemia, swallowing; prompt transfer).
   Intention-to-treat analysis adjusted for preintervention outcomes and ED
   clustering. Patients, outcome assessors, and statisticians were masked
   to group allocation.
   Results Twenty-six EDs (13 intervention and 13 control) recruited 2242
   patients (645 preintervention and 1597 postintervention). There were no
   statistically significant differences at follow-up for 90-day modified
   Rankin Scale (intervention: n=400 [53.5%]; control n=266 [48.7%];
   P=0.24) or secondary outcomes.
   Conclusions This evidence-based, theory-informed implementation trial,
   previously effective in stroke units, did not change patient outcomes or
   clinician behavior in the complex ED environment. Implementation trials
   are warranted to evaluate alternative approaches for improving ED stroke
   care.
   Clinical Trial Registration
RI Middleton, Sandy/J-5526-2015; Cadilhac, D A/I-1912-2014; McInnes, Liz/R-6374-2019; Stroil-Salama, Enna/; Craig, Louise/; Levi, Christopher/; Dale, Simeon/
OI Middleton, Sandy/0000-0002-7201-4394; Cadilhac, D A/0000-0001-8162-682X;
   McInnes, Liz/0000-0002-0567-9679; Stroil-Salama,
   Enna/0000-0003-0618-0746; Craig, Louise/0000-0003-0057-1949; Levi,
   Christopher/0000-0002-9474-796X; Dale, Simeon/0000-0003-3611-8740
ZS 0
ZA 0
TC 15
ZB 2
ZR 0
Z8 0
Z9 15
U1 0
U2 17
SN 0039-2499
EI 1524-4628
UT WOS:000470074200029
PM 31092163
ER

PT J
AU Necknig, U.
   Sterz, J.
   Leyh, H.
   Fischer, M. R.
TI Urology onLINE-webinar for assistants. Implementation and evaluation of
   a voluntary, web-based e-learning training series for urology assistants
   in continuing education (Urology onLINE)
SO UROLOGE
VL 58
IS 6
BP 658
EP 665
DI 10.1007/s00120-018-0845-6
PD JUN 2019
PY 2019
AB Background and objectivesThe rapid development of new knowledge
   resources is essential for continuous training and continuing education.
   Since the training period often coincides with the starting of a family,
   time resources are often scarce. For this reason, anew, voluntary,
   web-based e-learning training series was designed for urological
   assistants (urology onLINE). We investigated to what extent the offer of
   a web-based training series is used by urological training assistants
   and how it is evaluated by participants and speakers.
   Materials and methodsThe training series includes aone-month training on
   atopic from the urological continuing education, which is presented
   online and whose contents are checked by means of interspersed CME
   questions. During the investigation period November 2016 to October
   2017, participants in the Urology onLINE training series were evaluated.
   In addition, an evaluation of individual events and an evaluation of the
   work load of the speakers took place.
   ResultsOn average, 60participants participated in the individual events.
   These were rated very well with an average grade of 1.43 +/- 0.21. Two
   thirds of the participants experienced an active and inquisitive
   experience during the event. The workload for the speakers was less than
   that of acomparable classroom event.ConclusionsOverall, the new Urology
   onLINE training series aims to contribute to the increase in spatial and
   temporal flexibility, and complements existing training formats,
   especially in times of scarce time resources.
ZA 0
Z8 0
ZS 0
ZR 1
ZB 3
TC 5
Z9 6
U1 0
U2 7
SN 0340-2592
EI 1433-0563
UT WOS:000471917500007
PM 30623215
ER

PT J
AU Merseburger, Axel
   Falkenberg, Anne Bro
   Kornilova, Olga J.
TI New study suggests patients with advanced prostate cancer on androgen
   deprivation therapy need more dialogue with health care provider,
   especially around cardiovascular risk
SO WORLD JOURNAL OF UROLOGY
VL 37
IS 6
SI SI
BP 1085
EP 1093
DI 10.1007/s00345-018-2495-0
PD JUN 2019
PY 2019
AB PurposeTo study the current level of patients' awareness, and
   patient-health care provider (HCP) dialogue with respect to
   treatment-related risks, especially cardiovascular risk (CVR) associated
   with advanced prostate cancer (PCa) treatment.MethodsThis 10-min online
   survey summarised data by treatment, region, and CVR (high or
   low).ResultsOf the 411 patients, 83% were at high CVR while only 8%
   patients were aware of CVR associated with PCa treatment, majority of
   which (80%) were informed about this risk by HCPs. No significant
   difference in treatment approach was reported, regardless of patient's
   CVR status. Compared to other potential risks, patients were more likely
   to initiate discussion about heart problems with HCPs (38% patients).
   When prompted, 26% patients rated heart problems as the most concerning
   risk factor, and this concern was twice in patients with high CVR (28%)
   versus low CVR (14%). Lifestyle modifications were made by 64% patients,
   of which 45% patients reported an improvement in overall well-being.
   Improved diet was the most adopted lifestyle
   modification.ConclusionThere is a need to enhance a constant patient-HCP
   dialogue, and both groups need to make a conscious effort in that
   direction. This would help in increasing patients' awareness of risks,
   having better treatment choice and acceptance, and reducing
   side-effects.
ZR 0
TC 2
Z8 0
ZB 1
ZA 0
ZS 0
Z9 2
U1 0
U2 2
SN 0724-4983
EI 1433-8726
UT WOS:000468914100013
PM 30244335
ER

PT J
AU Schwinn, Traci Marie
   Schinke, Steven Paul
   Keller, Bryan
   Hopkins, Jessica
TI Two- and three-year follow-up from a gender-specific, web-based drug
   abuse prevention program for adolescent girls
SO ADDICTIVE BEHAVIORS
VL 93
BP 86
EP 92
DI 10.1016/j.addbeh.2019.01.010
PD JUN 2019
PY 2019
AB Introduction: Rates of drug use among early adolescent girls meet or
   exceed rates of their male counterparts. Girls are also vulnerable to
   differential risk factors for drug use. Yet, expressly designed
   prevention programs targeting this population are absent. The present
   study reports 2- and 3-year findings on a web-based drug abuse
   prevention program for adolescent girls.
   Methods: A sample of adolescent girls (N = 788) were recruited via
   Facebook. Online, all girls completed pretests; girls were randomly
   assigned to a 9-session intervention arm or to a measurement-only
   control arm and all girls completed posttests. All girls also completed
   1-, 2-, and 3-year follow-up measurements.
   Results: At 2-year follow-up and compared to girls in the control arm,
   intervention-arm girls reported less past month cigarette, marijuana,
   and "other" drug use (club drugs, cocaine, ecstasy, hallucinogens,
   heroin, inhalants, methamphetamines, steroids, prescription drugs),
   lower rates of peer drug use, and increased scores on drug refusal
   skills, coping skills, self-esteem, media literacy, and self-efficacy.
   At 3-year follow-up, and compared to girls in the control arm,
   intervention-arm girls reported less past-month cigarette and
   e-cigarette use, lower rates of peer drug use, lower reported anxiety
   and stress, and increased scores on drug refusal skills, self-esteem,
   media literacy, self-efficacy, and body image.
   Conclusions: Longitudinal outcome data lend support to the efficacy of a
   gender-specific, web-based drug abuse prevention program to reduce
   adolescent girls' drug use rates and associated risk factors.
ZA 0
ZR 0
ZS 0
ZB 3
TC 12
Z8 0
Z9 12
U1 3
U2 28
SN 0306-4603
EI 1873-6327
UT WOS:000469156600013
PM 30703667
ER

PT J
AU Bravo, Raquel Gomez
   Lygidakis, Charilaos
   Feder, Gene
   Reuter, Robert A. P.
   Vogele, Claus
TI Family Violence Curricula in Europe (FAVICUE): a cross-sectional
   descriptive study protocol
SO BMJ OPEN
VL 9
IS 2
AR e024519
DI 10.1136/bmjopen-2018-024519
PD JUN 2019
PY 2019
AB Introduction Family violence (FV) is a widespread public health problem
   of epidemic proportions and serious consequences. Doctors may be the
   first or only point of contact for victims who may be hesitant or unable
   to seek other sources of assistance, and they tend not to disclose abuse
   to doctors if not specifically asked. A comprehensive healthcare
   response is key to a coordinated community-wide approach to FV, but most
   of the practising physicians have received either no or insufficient
   education or training in any aspect of FV. Training of medical students
   concerning FV is often delivered in an inconsistent or ad hoc manner.
   The main aim of this project, Family Violence Curricula in Europe
   (FAVICUE), is to (1) describe current FV education delivery in European
   medical universities (undergraduate period) and during the specialist
   training in general practice (GP)/family medicine (FM) (postgraduate
   residency programme), and (2) compare it with WHO recommendations for FV
   curriculum.
   Methods and analysis This is the protocol of a cross-sectional
   descriptive study consisting of two self-report online surveys (for
   undergraduate and postgraduate training, respectively) with 40 questions
   each. For both surveys, general practitioners, residents, medical
   students and professionals involved in their education from countries of
   the European region will be identified through the European Regional
   Branch of the World Organization of National Colleges, Academies and
   Academic Associations of General Practitioners/Family Physicians (WONCA
   Europe) and will be invited to provide information regarding the
   training on FV. Descriptive tests will be carried out and a thematic
   analysis will be conducted on the open-ended questions.
   Ethics and dissemination Ethics approval has been obtained by the
   University of Luxembourg (ERP 17-015 FAVICUE). The results will provide
   important information concerning current curricula on FV, and can be
   used for mapping the educational needs and planning the implementation
   of future training interventions. They will be published and
   disseminated through WONCA Europe and its networks.
OI Vogele, Claus/0000-0001-8086-0788; Feder, Gene/0000-0002-7890-3926;
   Lygidakis, Charilaos/0000-0003-2571-6286
Z8 0
ZR 0
ZS 0
ZB 0
TC 3
ZA 0
Z9 3
U1 0
U2 2
SN 2044-6055
UT WOS:000471124600149
PM 30813116
ER

PT J
AU La Cerra, Carmen
   Dante, Angelo
   Caponnetto, Valeria
   Franconi, Ilaria
   Gaxhja, Elona
   Petrucci, Cristina
   Alfes, Celeste M.
   Lancia, Loreto
TI Effects of high-fidelity simulation based on life-threatening clinical
   condition scenarios on learning outcomes of undergraduate and
   postgraduate nursing students: a systematic review and meta-analysis
SO BMJ OPEN
VL 9
IS 2
AR e025306
DI 10.1136/bmjopen-2018-025306
PD JUN 2019
PY 2019
AB Objective The purpose was to analyse the effectiveness of high-fidelity
   patient simulation (HFPS) based on life-threatening clinical condition
   scenarios on undergraduate and postgraduate nursing students' learning
   outcomes.
   Design A systematic review and meta-analysis were conducted based on the
   Cochrane Handbook for Systematic Reviews of Interventions and its
   reporting was checked against the Preferred Reporting Items for
   Systematic Reviews and Meta-Analyses checklist.
   Data sources PubMed, Scopus, CINAHL with Full Text, Wiley Online Library
   and Web of Science were searched until July 2017. Author contact,
   reference and citation lists were checked to obtain additional
   references.
   Study selection To be included, available full-texts had to be published
   in English, French, Spanish or Italian and (a) involved undergraduate or
   postgraduate nursing students performing HFPS based on life-threatening
   clinical condition scenarios, (b) contained control groups not tested on
   the HFPS before the intervention, (c) contained data measuring learning
   outcomes such as performance, knowledge, self-confidence, self-efficacy
   or satisfaction measured just after the simulation session and (d)
   reported data for meta-analytic synthesis.
   Review method Three independent raters screened the retrieved studies
   using a coding protocol to extract data in accordance with inclusion
   criteria.
   Synthesis method For each study, outcome data were synthesised using
   meta-analytic procedures based on random-effect model and computing
   effect sizes by Cohen's d with a 95% CI.
   Results Thirty-three studies were included. HFPS sessions showed
   significantly larger effects sizes for knowledge (d=0.49, 95% CI [0.17
   to 0.81]) and performance (d=0.50, 95% CI [0.19 to 0.81]) when compared
   with any other teaching method. Significant heterogeneity among studies
   was detected.
   Conclusions Compared with other teaching methods, HFPS revealed higher
   effects sizes on nursing students' knowledge and performance. Further
   studies are required to explore its effectiveness in improving nursing
   students' competence and patient outcomes.
RI La Cerra, Carmen/ABI-1981-2020; Gaxhja, Elona/GSE-2987-2022; Caponnetto, Valeria/AAR-7905-2020; Caponnetto, Valeria/
OI La Cerra, Carmen/0000-0003-2301-1194; Gaxhja, Elona/0000-0002-0793-7424;
   Caponnetto, Valeria/0000-0003-4573-6110
ZR 0
TC 42
ZA 0
ZS 0
ZB 2
Z8 0
Z9 42
U1 1
U2 10
SN 2044-6055
UT WOS:000471124600204
PM 30798316
ER

PT J
AU Mangla, Mahima
   Bedair, Hany
   Chang, Yuchiao
   Daggett, Susannah
   Dwyer, Maureen K.
   Freiberg, Andrew A.
   Mwangi, Sheila
   Talmo, Carl
   Vo, Ha
   Sepucha, Karen
TI Protocol for a randomised trial evaluating the comparative effectiveness
   of strategies to promote shared decision making for hip and knee
   osteoarthritis (DECIDE-OA study)
SO BMJ OPEN
VL 9
IS 2
AR e024906
DI 10.1136/bmjopen-2018-024906
PD JUN 2019
PY 2019
AB Introduction There are several different interventions available to
   promote shared decision making (SDM); however, little is known about the
   comparative effectiveness of different approaches.
   Objective To examine the impact of patient-directed and
   physician-directed decision support strategies on the quality of
   treatment decisions for hip and knee osteoarthritis (OA).
   Trial design A 2x2 factorial randomised controlled trial. Setting One
   academic medical centre, one community hospital and one orthopaedic
   specialty hospital.
   Participants and interventions The enrolment targets were 8 surgeons and
   1120 patients diagnosed with hip or knee OA. Patients were randomly
   assigned to receive one of two different decision aids (DAs) stratified
   by site. The DAs varied in length, content and the level of detail
   regarding treatment options. Both DAs were available by paper or online.
   Surgeons were randomly assigned to receive a report detailing patients'
   goals and treatment preferences at the time of the visit or not.
   Eligible patients received their assigned DA before their visit and
   completed three surveys: before the visit (timepoint (T) 1), 1-week
   postvisit (T2) and 6 months from either the visit date or surgery date
   for patients who underwent surgery (T3). Study staff and participating
   surgeons were not blinded, but the statistician conducting the analyses
   was blinded to the arms.
   Main outcome measure and analysis The primary study outcome was decision
   quality, the percentage of patients who were well informed and received
   their preferred treatment. Secondary outcomes included involvement in
   decision making, surgical rates, health outcomes, decision regret and
   satisfaction. A logistic regression model with the generalised
   estimating equations approach was used to compare rates of decision
   quality between the groups and account for the clustering of patients
   within providers.
   Ethics and dissemination Ethics approval was obtained through the
   institutional review board at the main site. The findings will be
   published in peer-reviewed journals.
ZS 0
Z8 0
TC 6
ZR 0
ZA 0
ZB 1
Z9 6
U1 0
U2 2
SN 2044-6055
UT WOS:000471124600180
PM 30804032
ER

PT J
AU Janssens, Geert O.
   Timmermann, Beate
   Laprie, Anne
   Mandeville, Henry
   Padovani, Laetitia
   Chargari, Cyrus
   Journy, Neige
   Kameric, Lejla
   Kienesberger, Anita
   Brunhofer, Melanie
   Kozhaeva, Olga
   Gasparotto, Chiara
   Kearns, Pamela
   Boterberg, Tom
   Lievens, Yolande
   Vassal, Gilles
TI Recommendations for the organisation of care in paediatric radiation
   oncology across Europe: a SIOPE-ESTRO-PROS-CCI-Europe collaborative
   project in the framework of the JARC
SO EUROPEAN JOURNAL OF CANCER
VL 114
BP 47
EP 54
DI 10.1016/j.ejca.2019.03.003
PD JUN 2019
PY 2019
AB Disparities in survival and long-term side-effects from paediatric
   cancer are observed across European Society for Paediatric Oncology
   (SIOPE) eaffiliated countries. The Joint Action on Rare Cancers (JARC)
   is a project supported by the European Union and member states aiming to
   formulate recommendations on rare cancers, including paediatric
   malignancies, to reduce inequalities and to improve health outcomes.
   Most paediatric cancers are treated by a combination of systemic agents,
   surgery and/or radiotherapy. Radiotherapy for children is becoming
   increasingly complex because of the growing availability of new
   modalities and techniques and the evolution in molecular biology. These
   added challenges have the potential to enhance disparities in survival
   and side-effects between countries, but also among centres in the same
   country. To tackle radiotherapy-related inequalities, representatives of
   SIOPE, European SocieTy for Radiotherapy and Oncology, Paediatric
   Radiation Oncology Society and Childhood Cancer InternationaleEurope
   defined 'standard' and 'optional' levels to deliver Good Clinical
   Practiceecompliant treatment in paediatric radiation oncology with a
   focus on patient-related care, education and training. In addition, more
   than 250 paediatric radiotherapy centres across the SIOPE-affiliated
   countries have been mapped. For a better understanding of resources in
   paediatric radiotherapy, JARC representatives are working on an online
   survey for paediatric radiation oncologists of each centre in
   SIOPE-affiliated countries. The outcome of this survey will give an
   insight into the strengths and weaknesses of paediatric radiotherapy
   across SIOPE-affiliated countries and can be relevant for European
   Reference Networks in terms of collaboration pathways and referrals in
   paediatric radiotherapy. (C) 2019 The Authors. Published by Elsevier
   Ltd.
RI Journy, Neige/GLV-3733-2022; Kearns, Pamela/AAD-6011-2021; Chargari, Cyrus/AAM-6286-2020; Laprie, Anne/; Kearns, Pamela/; Mandeville, Henry/; Timmermann, Beate/
OI Laprie, Anne/0000-0002-0103-7935; Kearns, Pamela/0000-0003-2756-5813;
   Mandeville, Henry/0000-0001-6820-8578; Timmermann,
   Beate/0000-0003-2274-2008
TC 10
ZS 0
Z8 0
ZR 0
ZB 5
ZA 0
Z9 10
U1 0
U2 1
SN 0959-8049
EI 1879-0852
UT WOS:000469879000006
PM 31059973
ER

PT J
AU Auffenberg, Gregory B.
   Ghani, Khurshid R.
   Ramani, Shreyas
   Usoro, Etiowo
   Denton, Brian
   Rogers, Craig
   Stockton, Benjamin
   Miller, David C.
   Singh, Karandeep
CA Michigan Urological Surg Improveme
TI askMUSIC: Leveraging a Clinical Registry to Develop a New Machine
   Learning Model to Inform Patients of Prostate Cancer Treatments Chosen
   by Similar Men
SO EUROPEAN UROLOGY
VL 75
IS 6
BP 901
EP 907
DI 10.1016/j.eururo.2018.09.050
PD JUN 2019
PY 2019
AB Background: Clinical registries provide physicians with a means for
   making data-driven decisions but few opportunities exist for patients to
   interact with registry data to help make decisions.
   Objective: We sought to develop a web-based system that uses a prostate
   cancer (CaP) registry to provide newly diagnosed men with a platform to
   view predicted treatment decisions based on patients with similar
   characteristics.
   Design, setting, and participants: The Michigan Urological Surgery
   Improvement Collaborative (MUSIC) is a quality improvement consortium of
   urology practices that maintains a prospective registry of men with CaP.
   We used registry data from 45 MUSIC urology practices from 2015 to 2017
   to develop and validate a random forest machine learning model. After
   fitting the random forest model to a derivation cohort consisting of a
   random two-thirds sample of patients after stratifying by practice
   location, we evaluated the model performance in a validation cohort
   consisting of the remaining one-third of patients using a multiclass
   area under the curve (AUC) measure and calibration plots.
   Results and limitations: We identified 7543 men diagnosed with CaP, of
   whom 45% underwent radical prostatectomy, 30% surveillance, 17%
   radiation therapy, 5.6% androgen deprivation, and 1.8% watchful waiting.
   The personalized prediction for patients in the validation cohort was
   highly accurate (AUC 0.81).
   Conclusions: Using clinical registry data and machine learning methods,
   we created a web-based platform for patients that generates accurate
   predictions for most CaP treatments.
   Patient summary: We have developed and tested a tool to help men newly
   diagnosed with prostate cancer to view predicted treatment decisions
   based on similar patients from our registry. We have made this tool
   available online for patients to use. (C) 2018 European Association of
   Urology. Published by Elsevier B.V. All rights reserved.
ZA 0
ZR 0
ZS 0
Z8 1
TC 18
ZB 7
Z9 19
U1 0
U2 9
SN 0302-2838
EI 1873-7560
UT WOS:000467916500019
PM 30318331
ER

PT J
AU Dean, William H.
   Grant, Susannah
   McHugh, Jim
   Bowes, Oliver
   Spencer, Fiona
TI Ophthalmology specialist trainee survey in the United Kingdom
SO EYE
VL 33
IS 6
BP 917
EP 924
DI 10.1038/s41433-019-0344-z
PD JUN 2019
PY 2019
AB Background Currently there are a total of 780 post-graduate
   ophthalmology trainees in the United Kingdom (UK). Postgraduate
   ophthalmology training in the UK is 7 years in duration, and follows a
   comprehensive competency-based curriculum. Changes to training have been
   proposed as part of the government's Shape of Training paper.
   Methods UK ophthalmic trainees and trainers, in partnership with the
   Royal College of Ophthalmologists, designed a national questionnaire to
   explore the confidence of trainees in different clinical and
   non-clinical aspects of ophthalmology. The questions and possible
   responses underwent a process of refinement through the Royal College of
   Ophthalmologists Training Committee and Trainee Group. An online survey
   platform was used for the questionnaire, which was sent to all
   ophthalmology trainees within the UK. Reminders were sent via the Royal
   College of Ophthalmologists and Regional Training Programme Directors. A
   4-week period was allowed for responses. Quantitative data were
   analysed, and qualitative data analysis included collation and
   thematisation of free-text responses.
   Results A total of 188 trainees (24.1% response rate) replied.
   Ninety-four percent of trainees were in full-time training posts. The
   most popular career choice was oculoplastics (31.4%), followed by
   vitreo-retina (25.1%), glaucoma (24.6%) and cornea (24.0%). One-quarter
   had opted out of the European working time directive (EWTD), and 54.8%
   agreed that their work contract reflected the number of hours actually
   worked. In total, 34.4% of trainees thought that ophthalmic specialist
   training should be shortened from the current 7-year programme. Overall,
   79.9% of respondents felt confident in performing phacoemulsification
   cataract surgery independently. For more senior trainees in years 4-7,
   100% felt confident in phacoemulsification. However, overall, only 47.9%
   were confident in independently performing an anterior vitrectomy (91.1%
   of final-year trainees). Overall, 77.6% thought that all surgical
   ophthalmologists should be trained to perform cataract surgery. For
   non-clinical skills, trainees felt least confident in 'preparing a
   business case', with 64.5% disagreeing that they felt confident in this
   task. The most confidence was felt for communication with patients: 100%
   of trainees (all of whom have completed at least 2 years of medical work
   following qualification) reported feeling confident.
   Conclusions Most doctors in post-graduate specialist training in
   ophthalmology in the UK aim to specialise in surgical subspecialities.
   The subjective reports collected in this survey suggest targets for
   strengthening of the UK's highly rated training system. Further research
   is necessary to determine overall satisfaction with training, the effect
   of changing training within the recent Shape of Training review; and how
   recent newly imposed junior doctor contracts as well as Brexit affects
   training.
OI Bowes, Oliver/0000-0001-8919-5366
ZB 6
ZS 0
ZA 0
TC 15
ZR 0
Z8 0
Z9 15
U1 0
U2 0
SN 0950-222X
EI 1476-5454
UT WOS:000470242200012
PM 30710112
ER

PT J
AU Streed, Carl G., Jr.
   Hedian, Helene F.
   Bertram, Amanda
   Sisson, Stephen D.
TI Assessment of Internal Medicine Resident Preparedness to Care for
   Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Patients
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 6
BP 893
EP 898
DI 10.1007/s11606-019-04855-5
PD JUN 2019
PY 2019
AB BACKGROUND: Recognizing the unique health needs of sexual and gender
   minorities (i.e., lesbian, gay, bisexual, transgender, queer/questioning
   individuals) is critical to providing competent and comprehensive
   healthcare.
   OBJECTIVE: To assess resident knowledge of healthcare issues uniquely
   affecting sexual and gender minorities as well as the role of online
   case-based didactics to measure and improve knowledge in the diagnosis
   and treatment of these patients.
   DESIGN: A multicenter online education intervention from December 2016
   to April 2018.
   PARTICIPANTS: The study population consisted of 833 PGY1-3 residents at
   120 internal medicine residency programs in the USA who completed 1018
   tests.
   INTERVENTIONS: A 1-h online module addressing sexual and gender minority
   (SGM) health. The test evaluated each resident in four categories: (1)
   terminology relevant to SGM patients; (2) health disparities and
   preventive care issues affecting SGM patients; (3) substance use and
   mental health issues unique to SGM patients; and (4) common sexually
   transmitted illnesses affecting SGM populations.
   MAIN MEASURES: Participants completed a pre-test assessing SGM health
   knowledge. A didactic module reviewing diagnosis and management of these
   diseases was then completed, followed by a post-test.
   KEY RESULTS: Among 1018 resident respondents, there was no difference
   between post-graduate year pre-test performance (PGY-1 52%, PGY-2 50%,
   PGY-3 51%; p=0.532) or post-test performance (PGY-1 80%, PGY-2 82%,
   PGY-3 82%; p=0.285). Pre-test and post-test performance of an online
   didactic module was the same across test categories and patient
   populations for PGY-1 vs. PGY-2 vs. PGY-3. Residents demonstrated an
   improvement between pre- and post-test knowledge.
   CONCLUSIONS: Baseline knowledge of health issues of sexual and gender
   minorities, as assessed by pre-test performance, did not change during
   residency training. An online didactic module introduced trainees to
   critical issues regarding the care of these vulnerable populations until
   such curricula are required in training. Health disparities in LGBTQ
   communities may improve with improved physician training on clinical
   care of LGBTQ patients and families.
OI Streed Jr, Carl/0000-0003-3075-253X
ZS 0
ZR 0
ZA 0
Z8 0
ZB 5
TC 26
Z9 26
U1 0
U2 13
SN 0884-8734
EI 1525-1497
UT WOS:000469884700029
PM 30847829
ER

PT J
AU Shokoohi, Hamid
   Raymond, Aislynn
   Fleming, Katelyn
   Scott, James
   Kerry, Vanessa
   Haile-Mariam, Tenagne
   Sayeed, Sadath
   Boniface, Keith S.
TI ASSESSMENT OF POINT-OF-CARE ULTRASOUND TRAINING FOR CLINICAL EDUCATORS
   IN MALAWI, TANZANIA AND UGANDA
SO ULTRASOUND IN MEDICINE AND BIOLOGY
VL 45
IS 6
BP 1351
EP 1357
DI 10.1016/j.ultrasmedbio.2019.01.019
PD JUN 2019
PY 2019
AB Integrating point-of-care ultrasound (POCUS) to enhance diagnostic
   availability in resource-limited regions in Africa has become a main
   initiative for global health services in recent years. In this article,
   we present lessons learned from introducing POCUS as part of the Global
   Health Service Partnership (GHSP), a collaboration started in 2012
   between the U.S. President's Emergency Plan for AIDS Relief (PEPFAR),
   the Peace Corps and Seed Global Health to provide health care work force
   education and training in resource-limited countries. A cross-sectional
   survey of GHSP clinical educators trained to use POCUS and provided with
   hand-held ultrasound during their 1-y deployment during the period
   2013-2017. The survey consisted of 35 questions on the adequacy of the
   training program and how useful POCUS was to their overall clinical and
   educational mission. Clinical educators engaged in a series of
   ultrasound educational initiatives including pre-departure training,
   bedside training in the host institutions, online educational modules,
   educational feedback on transmitted images and training of local
   counterparts. In this study 63 GHSP clinical educators who participated
   in the POCUS trainings were identified, and 49 were included at the
   study (78% response rate). They were assigned to academic institutions
   in Tanzania (n = 24), Malawi (n = 21) and Uganda (n = 18). More than 75%
   reported use of POCUS in clinical diagnoses and 50% in determining
   treatment, and 18% reported procedural application of ultrasound in
   their practice. The top indications for POCUS were cardiac exams,
   second-and third-trimester obstetric exams, lung and pleura, liver and
   spleen and gynecology/first-trimester obstetrics. The largest perceived
   barriers were lack of ultrasound knowledge by the clinical educators,
   lack of time, equipment security, difficulty accessing the Internet and
   equipment problems. We concluded that our multiphase POCUS training
   program has increased the utility, acceptability and usage of POCUS in
   resource-limited settings. (E-mail: hshokoohi@mgh.harvard.edu) (C) 2019
   World Federation for Ultrasound in Medicine & Biology. All rights
   reserved.
RI Shokoohi, Hamid/L-3460-2019; Boniface, Keith/AAB-8037-2020
OI Shokoohi, Hamid/0000-0002-1280-3594; Boniface, Keith/0000-0002-1638-2539
TC 10
Z8 0
ZA 0
ZS 0
ZB 1
ZR 0
Z9 10
U1 0
U2 3
SN 0301-5629
EI 1879-291X
UT WOS:000465871600001
PM 30904246
ER

PT J
AU Molter, Brianna
   Wayne, Annie
   Mueller, Megan K.
   Gibeley, Megan
   Rosenbaum, Marieke H.
TI Current Policies and Support Services for Pregnant and Parenting
   Veterinary Medical Students and House Officers at United States
   Veterinary Medical Training Institutions
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 46
IS 2
BP 145
EP 152
DI 10.3138/jvme.0917-119r
PD SUM 2019
PY 2019
AB Wellness and work-life balance are prominent concerns in the veterinary
   profession and data suggest that personal relationship-building with
   peers and family assist veterinary trainees and veterinarians with
   wellness. The demographics of veterinary medical trainees (students,
   interns, and residents) have shifted to a female-dominated cohort and
   veterinary training overlaps with peak reproductive age for the majority
   of trainees. Despite a robust body of literature in the human medical
   profession surrounding pregnancy, parenting, and family planning (PPFP)
   among human medical students, interns, and residents, no comparable data
   exist within the United States veterinary medical community. This study
   reviewed policies and support services in place to support PPFP at
   accredited United States veterinary medical training institutions
   through the use of an online administrator survey and the review of
   handbooks and relevant written material. Results from this study
   highlight a lack of consistency across veterinary medical training
   institutions for policy and support services for PPFP for trainees,
   especially related to lactation support and parental leave. Our data can
   help facilitate the development of standards or best practices for
   policies and support services that support PPFP among veterinary medical
   trainees, and opens the dialogue to consider the unique needs of our
   shifted trainee demographics.
OI Mueller, Megan/0000-0001-9058-0894
ZR 0
ZS 0
TC 4
Z8 0
ZA 0
ZB 1
Z9 4
U1 1
U2 3
SN 0748-321X
EI 1943-7218
UT WOS:000471247300002
PM 30565979
ER

PT J
AU Oostendorp, Linda
   White, Nicola
   Harries, Priscilla
   Yardley, Sarah
   Tomlinson, Christopher
   Ricciardi, Federico
   Gokalp, Hulya
   Stone, Patrick
TI Protocol for the ORaClES study: an online randomised controlled trial to
   improve clinical estimates of survival using a training resource for
   medical students
SO BMJ OPEN
VL 9
IS 3
AR e025265
DI 10.1136/bmjopen-2018-025265
PD JUN 2019
PY 2019
AB Introduction Clinicians often struggle to recognise when palliative care
   patients are imminently dying (last 72 hours of life). A previous study
   identified the factors that expert palliative care doctors (with
   demonstrated prognostic skills) had used, to form a judgement about
   which patients were imminently dying. This protocol describes a study to
   evaluate whether an online training resource showing how experts
   weighted the importance of various symptoms and signs can teach medical
   students to formulate survival estimates for palliative care patients
   that are more similar to the experts' estimates.
   Methods and analysis This online double-blind randomised controlled
   trial will recruit at least 128 students in the penultimate or final
   year of medical school in the UK. Participants are asked to review three
   series of vignettes describing patients referred to palliative care and
   provide an estimate about the probability (0%-100%) that each patient
   will die within 72 hours. After the first series, students randomised to
   the intervention arm are given access to an online training resource.
   All participants are asked to complete a second series of vignettes.
   After 2 weeks, all participants are asked to complete a third series.
   The primary outcome will be the probability of death estimates (0%-100%)
   provided by students in the intervention and control arms for the second
   series of vignettes. Secondary outcomes include the maintenance effect
   at 2-week follow-up, weighting of individual symptoms and signs, and
   level of expertise (discrimination and consistency).
   Ethics and dissemination Approval has been obtained from the UCL
   Research Ethics Committee (8675/002) and local approvals will be
   obtained as appropriate. Results will be published in peer-reviewed
   journals using an open access format and presented at academic
   conferences. We will also publicise our findings on the Marie Curie
   website.
RI Gokalp, Hulya/AAZ-5486-2020; Harries, Priscilla/; White, Nicola/; Ricciardi, Federico/; Stone, Patrick/
OI Harries, Priscilla/0000-0003-3123-6799; White,
   Nicola/0000-0002-7438-0072; Ricciardi, Federico/0000-0002-4473-7691;
   Stone, Patrick/0000-0002-5765-9047
ZS 0
Z8 0
TC 1
ZB 0
ZR 0
ZA 0
Z9 1
U1 0
U2 3
SN 2044-6055
UT WOS:000471144900194
PM 30833321
ER

PT J
AU Rastgardani, Tara
   Armstrong, Melissa J.
   Marras, Connie
   Gagliardi, Anna R.
TI Improving patient-centred care for persons with Parkinson's: Qualitative
   interviews with care partners about their engagement in discussions of
   "off" periods
SO HEALTH EXPECTATIONS
VL 22
IS 3
BP 555
EP 564
DI 10.1111/hex.12884
PD JUN 2019
PY 2019
AB Objective This study explored how care partners (CPs) of persons with
   Parkinson's (PwP) are engaged in discussions of "off" symptoms. Methods
   During qualitative interviews, CPs of PwP sampled by convenience through
   the Michael J Fox Foundation online clinical trial matching service were
   asked to describe their familiarity with "off" symptoms, how "off"
   symptoms were discussed with clinicians, and the impact of "off"
   symptoms on them. Data were analysed using constant comparative
   technique by all members of the research team. Results A total of 20 CPs
   were interviewed. Compared with PwP, they were more likely to describe
   "off" symptoms to clinicians. CPs identified important aspects of
   patient-centred care for PD: establishing a therapeutic relationship,
   soliciting and actively listening to information about symptoms, and
   providing self-management support to both PwP and CPs. CPs said that
   clinicians did not always engage CPs, ask about "off" symptoms or
   provide self-management guidance, limiting their ability to function as
   caregivers. Conclusion By not engaging and educating CPs, "off" symptoms
   may not be identified or addressed, leading to suboptimal medical
   management and quality of life for PwP. These findings must be confirmed
   on a broader scale through ongoing research but suggest the potential
   need for interventions targeted at clinicians and at CPs to promote
   patient-centred care for PwP.
OI Armstrong, Melissa/0000-0002-2163-1907
ZS 0
ZR 0
Z8 0
TC 8
ZA 0
ZB 0
Z9 8
U1 0
U2 3
SN 1369-6513
EI 1369-7625
UT WOS:000470930200029
PM 30977262
ER

PT J
AU Royce, Trevor J.
   Doke, Kaleigh
   Wall, Terry J.
TI The Employment Experience of Recent Graduates From US Radiation Oncology
   Training Programs: The Practice Entry Survey Results From 2012 to 2017
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 16
IS 6
BP 878
EP 885
DI 10.1016/j.jacr.2018.11.021
PD JUN 2019
PY 2019
AB Purpose: The Practice Entry Survey presentation is a highly anticipated
   session for the radiation oncology (RO) resident at the American Society
   for Radiation Oncology annual meeting. Each year the senior author
   reports the employment outcomes and job market experiences for the most
   recently graduated RO residents.
   Methods: The Practice Entry Survey has been continuously administered
   annually to graduated RO residents since 1984 via the Association of
   Residents in Radiation Oncology directory. Six years of individual-level
   data, from 2012 to 2017, were readily available for analysis. The
   questionnaire queries the workforce placement experience and collects
   debt, salary, and benefits information. Respondents were subgrouped by
   practice type (academic vs private practice), and results were tested
   for trends over time.
   Results: Survey data were collected from 302 recently graduated
   residents. There were 7 in fellowship and 1 practicing internationally,
   leaving 294 eligible for analysis. They identified themselves as working
   in either an academic setting (n = 150 [51%]) or private practice (n =
   144 [49%]). First-year salaries for those in private practice were more
   than those in academics ($303,000; [interquartile range,
   $270,000-$375,000] versus $280,000 [interquartile range,
   $260,000-$325,000]; P < .01). With regard to the job search, 21.8% of
   respondents found their jobs through the online American Society for
   Radiation Oncology Career Center, while most respondents, 77.2%, found
   their jobs through other means. Respondents also ranked the items they
   found to be most helpful during the interview process.
   Conclusions: These data can help gauge the competitiveness of an offer
   as well as what to expect during the job hunt and interview process.
Z8 0
ZS 0
ZA 0
ZR 0
TC 12
ZB 2
Z9 12
U1 0
U2 2
SN 1546-1440
UT WOS:000470799800020
PM 30611681
ER

PT J
AU Bustraan, Jacqueline
   Dijkhuizen, Kirsten
   Velthuis, Sophie
   van der Post, Rachel
   Driessen, Erik
   van Lith, Jan M. M.
   de Beaufort, Arnout Jan
TI Why do trainees leave hospital based specialty training? A nationwide
   survey study investigating factors involved in attrition and subsequent
   career choices in the Netherlands
SO BMJ OPEN
VL 9
IS 6
AR e028631
DI 10.1136/bmjopen-2018-028631
PD JUN 2019
PY 2019
AB Objective To gain insight into factors involved in attrition) from)
   hospital-based medical specialty training and future career plans of
   trainees who prematurely left their specialty training programme.
   Design Nationwide online survey study.
   Setting Postgraduate education of all hospital-based specialties in the
   Netherlands.
   Participants 174 trainees who prematurely left hospital-based medical
   specialty training between January 2014 and September 2017.
   Main outcome measures Factors involved in trainees' decisions to leave
   specialty training and their subsequent career plans.
   Results The response rate was 38 /0. Of the responders, 25% left their
   programme in the first training year, 50% in year 2-3 and 25% in year
   4-6. The most frequently reported factors involved in attrition were:
   work-life balance, job content, workload and specialty culture. Of the
   leaving trainees, 66% switched to another specialty training programme,
   of whom two-thirds chose a non-hospital -based training programme.
   Twelve per cent continued their career in a non-clinical role and the
   remainder had no specific plans yet.
   Conclusions This study provides insight in factors involved in attrition
   and in future career paths. Based on our findings, possible
   interventions to reduce attrition are: (1) enable candidates to develop
   a realistic view on job characteristics and demands, prior to
   application; (2) provide individual guidance during specialty training,
   with emphasis on work-life balance and fit with specialty.
RI van der Post, Chella RS/I-2434-2016; de Beaufort, Arnout Jan/; Bustraan, Jacqueline/
OI de Beaufort, Arnout Jan/0000-0003-1990-2672; Bustraan,
   Jacqueline/0000-0003-4331-5312
TC 11
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 11
U1 0
U2 1
SN 2044-6055
UT WOS:000471197000094
PM 31175199
ER

PT J
AU Vo, Mai K.
   Sharp, Jonathan C.
TI Design, Development, and Content Creation for an Open Education Physics
   Website for MRT Education
SO JOURNAL OF MEDICAL IMAGING AND RADIATION SCIENCES
VL 50
IS 2
BP 212
EP 219
DI 10.1016/j.jmir.2019.03.180
PD JUN 2019
PY 2019
AB Background: As health care technologies continue to advance rapidly,
   resulting in improved standards of practice, it is essential for health
   care professionals to continually expand on their current skills and
   knowledge. We describe here an initiative to use open education
   resources to provide ongoing education in radiation medical sciences and
   imaging.
   Aims: The aim of this study to design an interactive, engaging,
   multilevel radiation medical physics resource, which is fully open to
   the public, and functional on all types of computing devices. Our
   primary target audiences are students and workers in medical radiation
   technology and other health care professionals as part of their
   continuing professional development.
   Design and Development: The three tasks of design, development, and
   content creation were most efficiently performed in parallel wherever
   possible. A modern responsive web design was adopted to target all
   desktop and mobile devices. Only open-source tools and libraries were
   used in developing the OpenPhys website.
   Overall Website Design and Navigation: The homepage is a modern
   tile-based design containing one coloured tile for each lesson. Clicking
   anywhere on a coloured lesson tile will open up a two-dimensional
   interactive concept map linking to content pages. Currently, 10 lessons
   are available online ranging from the electronic structure of the atom
   to MRI basics: "NMR'' and "Inside a Pixel''. Lesson pages include text,
   images, graphics, equations, quizzes, and interactive animations.
   User Feedback: An online questionnaire was emailed to current radiation
   therapy students at the University of Alberta and alumni regarding the
   functionality and navigation of the website.
   Discussion/Conclusion: To our knowledge, OpenPhys is the first open
   education resource specializing in radiation physics and medical
   imaging. We believe OpenPhys will fill existing gaps in the realm of
   physics education delivery and could be a component of a blended
   learning initiative. Future steps will include a formal evaluation of
   the website and content.
OI Sharp, Jonathan/0000-0002-9736-7487; Vo, Mai/0000-0003-3816-7124
ZA 0
ZR 0
ZB 0
Z8 0
TC 3
ZS 0
Z9 3
U1 1
U2 8
SN 1939-8654
UT WOS:000470127700006
PM 31176428
ER

PT J
AU van den Heuvel, Jennifer
   Punch, Amanda
   Aweidah, Layal
   Meertens, Robert
   Lewis, Sarah
TI Optimizing Projectional Radiographic Imaging of the Abdomen of Obese
   Patients: An e-Delphi Study
SO JOURNAL OF MEDICAL IMAGING AND RADIATION SCIENCES
VL 50
IS 2
BP 289
EP 296
DI 10.1016/j.jmir.2019.01.004
PD JUN 2019
PY 2019
AB Purpose: Obesity is increasing in prevalence globally, with increased
   demands placed on radiology departments to image obese patients to
   assist with diagnosis and management. The aim of this study was to
   determine perceived best practice techniques currently used in clinical
   practice for projectional radiography of the abdomen for obese patients
   with the aim to help elucidate areas for future research and education
   needs in this field.
   Experimental Design: A two round e-Delphi study was undertaken to
   establish a consensus within a reference group of expert Australian
   clinical educator diagnostic radiographers (CEDRs). Initially, a
   conceptual map of issues regarding imaging obese patients was undertaken
   by analysing interview transcripts of 12 CEDRs. This informed an online
   questionnaire design used in Delphi rounds 1 and 2. A consensus
   threshold was set < 75% "agreement/disagreement'', with 15 and 14 CEDRs
   participating in rounds 1 and 2, respectively.
   Results: Seven of the 11 statements reach consensus after round 2.
   Consensus on using a combination of higher peak kilovoltage (kVp) and
   milliampere-seconds (mAs) to increase radiation exposure increased
   source-to-image distance and tighter collimation was achieved. There was
   no consensus regarding patient positioning practices or patient
   communication strategies. The expert group reported the importance of
   personal confidence and treating patients as individuals when applying
   techniques.
   Conclusion: Diversity of experts' opinions and current practice may be
   due to the variations in obese patients' size and presentation.
   Therefore, there is a need for extensive empirical evidence to underpin
   practice and education resources for radiographers when imaging obese
   patients.
OI Meertens, Robert/0000-0002-2120-8877
Z8 0
ZA 0
TC 2
ZB 0
ZS 0
ZR 0
Z9 2
U1 0
U2 1
SN 1939-8654
UT WOS:000470127700015
PM 31176437
ER

PT J
AU McInerney, John
   Druva, Ruth
TI Clinical educators' attitudes towards the use of technology in the
   clinical teaching environment. A mixed methods study
SO JOURNAL OF MEDICAL RADIATION SCIENCES
VL 66
IS 2
BP 72
EP 80
DI 10.1002/jmrs.335
PD JUN 2019
PY 2019
AB Introduction In healthcare, there is ongoing flux in expectations for
   students and practitioners. Establishing integrated systems of
   monitoring and evidencing students' development is imperative. With
   current trends towards the use of technology in tertiary education,
   online learning environments (OLEs) could constitute more effective
   evidencing of student progress in the clinical environment. However,
   there is little research exploring clinical educators' experiences with
   implementing technology in clinical education. The research aimed to:
   Examine clinical educators' attitudes towards technology and its use in
   clinical education. Explore clinical educators' experiences of
   implementing technologies in a clinical environment. Methods A mixed
   methods approach was taken to explore the aims. A previously validated
   technology attitude survey (TAS) was used with slight modifications, as
   well as open-ended qualitative responses. These explored clinical
   educators' experiences of the implementation of one specific OLE
   (PebblePad (TM)) in their clinical environments. The survey was sent to
   clinical educators involved in the supervision of Medical Imaging
   students on clinical placement. Results Clinical educators play pivotal
   roles in students' professional development and, given current trends in
   tertiary education, are under increasing pressure to utilise OLEs. This
   poses particular challenges in clinical environments. Irrespective of
   the challenges, successful implementation of technology in any
   environment is dependent on the attitudes of the users. Conclusions
   Clinical environments have specific challenges when implementing
   technology such as access to computers and time constraints on
   practitioners. Even with positive attitudes towards technology, a change
   in pedagogical outlook when using technology in clinical teaching is
   necessary.
OI Mc Inerney, John/0000-0001-9668-108X
Z8 0
ZS 0
ZB 0
ZR 0
TC 2
ZA 0
Z9 2
U1 0
U2 3
SN 2051-3895
EI 2051-3909
UT WOS:000470016100001
PM 31006997
ER

PT J
AU Martin-Carreras, Teresa
   Kahn, Charles E., Jr.
TI Integrating Wikipedia Articles and Images into an Information Resource
   for Radiology Patients
SO JOURNAL OF DIGITAL IMAGING
VL 32
IS 3
BP 349
EP 353
DI 10.1007/s10278-018-0133-4
PD JUN 2019
PY 2019
AB Wikipediaan open-access online encyclopediacontains a large number of
   medically relevant articles and images that may help supplement
   glossaries of radiology terms. We sought to determine the extent to
   which concepts from a large online radiology glossary developed as part
   of the Patient-Oriented Radiology Reporter (PORTER) initiative could be
   mapped to relevant Wikipedia web pages and images using automated or
   semi-automated approaches. The glossary included 4090 concepts with
   their definitions; the concept's preferred name and lexical variants,
   such as plurals, adjectival forms, synonyms, and abbreviations, yielded
   a total of 13,030 terms. Of the 4090 concepts, 3063 (74.9%) had a
   corresponding English-language Wikipedia page identified by automated
   search with subsequent manual review. We applied the MediaWiki
   application programming interface (API) to generate web-service calls to
   identify the images from each concept's corresponding Wikipedia page;
   three reviewers selected relevant images to associate with the
   glossary's concepts. Licensing terms for the images were reviewed. For
   800 randomly sampled concepts that had associated Wikipedia pages, 362
   distinct images were identified from the MediaWiki library and matched
   to 404 concepts (51%). Three images (1%) had unspecified licensing
   terms; the rest were in the public domain or available via a Creative
   Commons license. Wikipedia and the MediaWiki library offer a large
   collection of medical articles and images that can be incorporated into
   an online lay-language glossary of radiology terms though a
   semi-automated approach.
RI Kahn, Charles/U-5055-2019; Martin-Carreras, Teresa/
OI Kahn, Charles/0000-0002-6654-7434; Martin-Carreras,
   Teresa/0000-0003-2676-8109
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
TC 2
Z9 2
U1 0
U2 5
SN 0897-1889
EI 1618-727X
UT WOS:000466896500001
PM 30402667
ER

PT J
AU Bonifacino, Eliana
   Follansbee, William P.
   Farkas, Amy H.
   Jeong, Kwonho
   McNeil, Melissa A.
   DiNardo, Deborah J.
TI Implementation of a clinical reasoning curriculum for clerkship-level
   medical students: a pseudo-randomized and controlled study
SO DIAGNOSIS
VL 6
IS 2
SI SI
BP 165
EP 172
DI 10.1515/dx-2018-0063
PD JUN 2019
PY 2019
AB Background: The National Academies of Sciences report Improving
   Diagnosis in Healthcare highlighted the need for better training in
   medical decision-making, but most medical schools lack formal education
   in clinical reasoning.
   Methods: We conducted a pseudo-randomized and controlled study to
   evaluate the impact of a clinical reasoning curriculum in an internal
   medicine clerkship. Students in the intervention group completed six
   interactive online modules focused on reasoning concepts and a
   skills-based workshop. We assessed the impact of the curriculum on
   clinical reasoning knowledge and skills and perception of education by
   evaluating: (1) performance on a clinical reasoning concept quiz, (2)
   demonstration of reasoning in hospital admission notes, and (3)
   awareness of attending physician utilization of clinical reasoning
   concepts.
   Results: Students in the intervention group demonstrated superior
   performance on the clinical reasoning knowledge quiz (67% vs. 54%, p <
   0.001). Students in the intervention group demonstrated superior written
   reasoning skills in the data synthesis (2.3 vs. 2.0, p = 0.02) and
   diagnostic reasoning (2.2 vs. 1.9, p = 0.02) portions of their admission
   notes, and reported more discussion of clinical reasoning by their
   attending physicians.
   Conclusions: Exposure to a clinical reasoning curriculum was associated
   with superior reasoning knowledge and superior written demonstration of
   clinical reasoning skills by third-year medical students on an internal
   medicine clerkship.
TC 7
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
Z9 7
U1 1
U2 1
SN 2194-8011
EI 2194-802X
UT WOS:000469389600012
PM 30920952
ER

PT J
AU Daboval, Thierry
   Ferretti, Emanuela
   Moussa, Ahmed
   van Manen, Michael
   Moore, Gregory P.
   Srinivasan, Ganesh
   Moldovan, Alexandru
   Agarwal, Amisha
   Albersheim, Susan
   Coughlin, Kevin
   Finan, Emer
   Nadeau, Sophie
   Simpson, David
   Williams, Connie
CA Canadian Neonatal Ethics Commun
TI Needs assessment of ethics and communication teaching for neonatal
   perinatal medicine programs in Canada
SO PAEDIATRICS & CHILD HEALTH
VL 24
IS 3
BP E116
EP E124
DI 10.1093/pch/pxy108
PD JUN 2019
PY 2019
AB Objective To explore ethics education needs in Canadian Neonatal
   Perinatal Medicine (NPM) training programs.
   Methods A retrospective review of NPM trainees' performance at the
   National NPM Objective Structured Clinical Examination (OSCE) was
   undertaken for 2012 to 2017 and two distinct cross-sectional online
   surveys were carried out. One survey targeted recently graduated
   neonatologists (RGNs) who completed 2 years' training in a Canadian NPM
   program between 2010 and 2015; the other survey was sent to Canadian NPM
   training program directors (PDs). The domains of interest were:
   perception of education, ethics and communication topics, educational
   strategies, assessment of trainees' competencies, and barriers to
   neonatal ethics education.
   Results NPM trainees generally performed less well in stations involving
   ethics and communication relative to other domains on the National OSCE.
   Forty-seven RGNs (44.3%) and 12 PDs (92.3%) completed the survey. Over
   90% of PDs and RGNs agreed on the importance of training in ethics and
   communication. Both groups highly valued training on topics related to
   communication. Preferred teaching strategies were experiential:
   observation and feedback. PDs mentioned the importance of using
   validated tools to regularly and formally assess trainees. They
   recognized challenges in regard to financial resources, physical space,
   and faculty training in patient-physician communication.
   Conclusions National OSCE results indicate the need to improve neonatal
   ethics and communication training in Canadian NPM programs. RGNs and PDs
   identified important topics, as well as teaching and evaluation
   strategies. These results can be used to develop a training program for
   ethics and communication in NPM.
RI Williams, Constance/AAV-9563-2021; Srinivasan, Ganesh/AAW-9676-2020; Nadeau, Sophie/
OI Nadeau, Sophie/0000-0002-3669-4951
ZA 0
ZR 0
TC 3
Z8 0
ZB 1
ZS 0
Z9 3
U1 2
U2 4
SN 1205-7088
EI 1918-1485
UT WOS:000469806700001
PM 31111831
ER

PT J
AU Dobscha, Steven K.
   Kenyon, Emily A.
   Pisciotta, Maura K.
   Niederhausen, Meike
   Woods, Susan
   Denneson, Lauren M.
TI Impacts of a Web-Based Course on Mental Health Clinicians' Attitudes and
   Communication Behaviors Related to Use of OpenNotes
SO PSYCHIATRIC SERVICES
VL 70
IS 6
BP 474
EP 479
DI 10.1176/appi.ps.201800416
PD JUN 2019
PY 2019
AB Objective: The OpenNotes initiative encourages health care systems to
   provide patients online access to clinical notes. Some individuals have
   expressed concerns about use of OpenNotes in mental health care. This
   study evaluated changes in mental health clinicians' attitudes and
   communications with patients after participation in a Web-based course
   designed to reduce potential for unintended consequences and enhance
   likelihood of positive outcomes of OpenNotes.
   Methods: All 251 mental health clinicians (physicians, nurse
   practitioners, psychologists, and social workers) of a large U.S.
   Department of Veterans Affairs facility were invited to participate.
   Clinicians completed surveys at baseline and 3 months after course
   participation. Ten items were examined that addressed clinicians'
   concerns and communication behaviors with patients. Mixed-effects models
   with repeated measures were used to compare pre-post data.
   Results: Of the 251 clinicians, 141 (56%) completed baseline surveys,
   and 113 (80%) completed baseline and postcourse surveys. Of the 141
   clinicians, 63% were female, 46% were social workers, 34% were
   psychologists, 16% were psychiatrists, and 4% were nurse practitioners.
   In final adjusted models, pre-post item scores indicated significant
   increases in clinicians' ability to communicate with and educate
   patients (p<.01) and in the frequency with which clinicians educated
   patients about OpenNotes access (p<.001), advised patients to access and
   read notes (p<.01), and asked patients about questions or concerns they
   have with notes (p=.04). There was also a significant reduction in
   clinicians' worry about negative consequences (p=.05).
   Conclusions: A Web-based course for mental health clinicians on use of
   OpenNotes resulted in self-reported improvements in some concerns and in
   aspects of patient-clinician communication.
OI Kenyon, Emily/0000-0002-7650-5537
ZR 0
ZS 0
ZA 0
TC 17
Z8 0
ZB 4
Z9 17
U1 0
U2 0
SN 1075-2730
EI 1557-9700
UT WOS:000469857500006
PM 30890047
ER

PT J
AU Hatfield, J.
   Boufous, S.
   Eveston, T.
TI An evaluation of the effects of an innovative school-based cycling
   education program on safety and participation
SO ACCIDENT ANALYSIS AND PREVENTION
VL 127
BP 52
EP 60
DI 10.1016/j.aap.2019.02.021
PD JUN 2019
PY 2019
AB Cycling education programs for children could play a role in promoting
   both cycling participation and cycling safety, and they exist in many
   countries often in school settings. Evaluations have generally shown
   improvements in skills and knowledge, but effects on less-researched
   outcomes such as safety-related behaviour, crashes or injuries, cycling
   participation, and cycling confidence, are unclear. The present research
   evaluated Safe Cycle, an innovative Australian school-based program that
   addresses hazard awareness and overconfidence in addition to more
   typical content (e.g. handling skills), in terms of a comprehensive
   range of outcomes. Students from Years 4 to 8 (n = 108) completed online
   surveys in class before, immediately after, and approximately 14 weeks
   after, the 8-week program was delivered. Significant increases in
   knowledge and confidence were observed, while results also suggested
   increases in cycling participation. The program appeared to address
   illusory invulnerability effectively, but there was no evidence that the
   program improved safety-relevant cycling behaviours or experience of
   crashes. The benefits of Safe Cycle might be enhanced by including
   elements to increase motivation to perform safety-relevant behaviours
   and durability of program effects.
OI Hatfield, Julie/0000-0002-1814-0357; Boufous,
   Soufiane/0000-0002-5686-1729
TC 4
ZR 0
ZB 0
ZA 0
ZS 0
Z8 0
Z9 4
U1 1
U2 12
SN 0001-4575
EI 1879-2057
UT WOS:000466830200007
PM 30831538
ER

PT J
AU Ketterl, Tyler G.
   Syrjala, Karen L.
   Casillas, Jacqueline
   Jacobs, Linda A.
   Palmer, Steven C.
   McCabe, Mary S.
   Ganz, Patricia A.
   Overholser, Linda
   Partridge, Ann
   Rajotte, Emily Jo
   Rosenberg, Abby R.
   Risendal, Betsy
   Rosenstein, Donald L.
   Baker, Kevin Scott
TI Lasting effects of cancer and its treatment on employment and finances
   in adolescent and young adult cancer survivors
SO CANCER
VL 125
IS 11
BP 1908
EP 1917
DI 10.1002/cncr.31985
PD JUN 1 2019
PY 2019
AB Background The impact of cancer and its treatment on employment and
   financial burden in adolescents/young adults (AYAs) is not fully known.
   Methods Eligibility for this cross-sectional study of AYA cancer
   survivors included the diagnosis of a malignancy between ages 18 and 39
   years and survey completion within 1 to 5 years from diagnosis and >= 1
   year after therapy completion. Participants were selected randomly from
   the tumor registries of 7 participating sites and completed an online
   patient-reported outcomes survey to assess employment and financial
   concerns. Treatment data were abstracted from medical records. Data were
   analyzed across diagnoses and by tumor site using logistic regression
   and Wald-based 95% confidence intervals adjusting for age (categorized),
   sex, insurance status, education (categorized), and treatment exposures.
   Results Participants included 872 survivors (breast cancer, n = 241;
   thyroid cancer, n = 126; leukemia/lymphoma, n = 163; other malignancies,
   n = 342). Exposure to chemotherapy in breast cancer survivors was
   associated with an increase in self-reported mental impairment in work
   tasks (odds ratio [OR], 2.66) and taking unpaid time off (OR, 2.62);
   survivors of "other" malignancies reported an increase in mental
   impairment of work tasks (OR, 3.67) and borrowing >$10,000 (OR, 3.43).
   Radiation exposure was associated with an increase of mental impairment
   in work tasks (OR, 2.05) in breast cancer survivors, taking extended
   paid time off work in thyroid cancer survivors (OR, 5.05), and physical
   impairment in work tasks in survivors of "other" malignancies (OR,
   3.11). Finally, in survivors of "other" malignancies, having undergone
   surgery was associated with an increase in physical (OR, 3.11) and
   mental impairment (OR, 2.31) of work tasks. Conclusions Cancer treatment
   has a significant impact on AYA survivors' physical and mental work
   capacity and time off from work.
RI Casillas, Jackie/AAY-6765-2020; Ketterl, Tyler/GLN-7144-2022; Ketterl, Tyler/; Ganz, Patricia/; Partridge, Ann/
OI Casillas, Jackie/0000-0002-5612-4542; Ketterl,
   Tyler/0000-0003-2359-473X; Ganz, Patricia/0000-0002-1841-4143;
   Partridge, Ann/0000-0002-4722-4824
ZB 3
ZS 0
ZR 0
ZA 0
TC 35
Z8 0
Z9 35
U1 0
U2 10
SN 0008-543X
EI 1097-0142
UT WOS:000467473000021
PM 30707763
ER

PT J
AU Mian, Nicholas D.
   Carpenter, Aubrey L.
   Pincus, Donna B.
   Bair-Merritt, Megan
   Perrin, Ellen C.
TI Training Residents in the Early Identification of Anxiety Disorders:
   Feasibility and Preliminary Efficacy of a Novel Training Program
SO CLINICAL PEDIATRICS
VL 58
IS 7
BP 761
EP 769
DI 10.1177/0009922819837356
PD JUN 2019
PY 2019
AB Pediatric anxiety disorders are highly prevalent, but tend to go
   undetected as pediatricians often lack relevant training. We developed a
   brief, video-based training program for pediatric residents aimed at
   improving early identification of child anxiety disorders. The novel
   training was completed in a group-based format or via an online,
   asynchronous training program. Pediatric residents from 2 residency
   programs (n = 63) participated and completed pre- and posttraining
   surveys evaluating attitudes about previous training, knowledge about
   child anxiety, perceived evaluation skills, and responses to clinical
   vignettes. Most residents (81%) reported they did not receive enough
   prior training in the presentation of anxiety disorders in young
   children. Residents' knowledge and perceived evaluation skills increased
   posttraining. On the vignette-based assessment, residents demonstrated
   increased sensitivity with regard to interference, diagnosis, and
   referral urgency. Despite some challenges with participation, results
   provide preliminary evidence that brief training programs could be an
   effective way to improve resident education.
RI Pincus, Donna/AAJ-8026-2020; Bair-Merritt, Megan/
OI Bair-Merritt, Megan/0000-0002-1876-9817
ZS 0
ZR 0
TC 0
Z8 0
ZB 0
ZA 0
Z9 0
U1 0
U2 2
SN 0009-9228
EI 1938-2707
UT WOS:000469004100006
PM 30913896
ER

PT J
AU Zhou, Linghong Linda
   Tait, Gordon
   Sandhu, Sharron
   Steiman, Amanda
   Lake, Shirley
TI Online virtual cases to teach resource stewardship
SO CLINICAL TEACHER
VL 16
IS 3
BP 220
EP 225
DI 10.1111/tct.12804
PD JUN 2019
PY 2019
AB Background As health care costs rise, medical education must focus on
   high-value clinical decision making. To teach and assess efficient
   resource use in rheumatology, online virtual interactive cases (VICs)
   were developed to simulate real patient encounters to increase price
   transparency and reinforce cost consciousness. To teach and assess
   efficient resource use in rheumatology, online virtual interactive cases
   (VICs) were developed Methods The VIC modules were distributed to a
   sample of medical students and internal medicine residents, who were
   required to assess patients, order appropriate investigations, develop
   differential diagnoses and formulate management plans. Each action was
   associated with a time and price, with the totals compared against
   ideals. Trainees were evaluated not only on their diagnosis and patient
   management, but also on the total time, cost and value of their selected
   workup. Trainee responses were tracked anonymously, with opportunity to
   provide feedback at the end of each case. Results Seventeen medical
   trainees completed a total of 48 VIC modules. On average, trainees spent
   CAN $227.52 and 68 virtual minutes on each case, which was lower than
   expected. This may have been the result of a low management score of
   52.4%, although on average 92.0% of participants in each case achieved
   the correct diagnosis. In addition, 85.7% felt more comfortable working
   up similar cases, and 57.1% believed that the modules increased their
   ability to appropriately order cost-conscious rheumatology
   investigations. Discussion Our initial assessment of the VIC
   rheumatology modules was positive, supporting their role as an effective
   tool in teaching an approach to rheumatology patients, with an emphasis
   on resource stewardship. Future directions include the expansion of
   cases, based on feedback, wider dissemination and an evaluation of
   learning retention.
ZA 0
TC 3
ZB 1
ZS 0
Z8 0
ZR 0
Z9 3
U1 0
U2 0
SN 1743-4971
EI 1743-498X
UT WOS:000468799500009
PM 29893013
ER

PT J
AU Farooq, Saeed
   Green, Debra J.
   Singh, Swaran P.
TI Sharing information about diagnosis and outcome of first-episode
   psychosis in patients presenting to early intervention services
SO EARLY INTERVENTION IN PSYCHIATRY
VL 13
IS 3
BP 657
EP 666
DI 10.1111/eip.12670
PD JUN 2019
PY 2019
AB Aim First-episode psychosis (FEP) can be a serious and debilitating
   disease, but there is limited literature on how to inform patients and
   carers about its diagnosis and outcome. We aimed to examine the
   attitudes, practices and views of clinicians working in Early
   Intervention Service about sharing information on diagnosis and outcome
   of FEP. Methods A 26-item questionnaire was sent electronically to
   clinical staff who have been involved in the discussion of FEP diagnosis
   in Early Intervention Services in the West Midlands, UK. Results A total
   of 51 clinicians completed the questionnaire. All respondents stated
   that patients or carers of those presenting with FEP wish to be informed
   of their diagnosis, and three-quarters (76%) felt there is a need to
   develop guidelines on how to inform about diagnosis; 57% stated that
   they usually use broad diagnostic groups such as psychosis when
   discussing diagnosis, and only 11% use the term schizophrenia. A total
   of 40% thought that the therapeutic relationship and treatment adherence
   (58%) would improve if patients know about their diagnosis; 42 (88%)
   respondents felt that the likely outcome of the illness should also be
   discussed with patients when the diagnosis is communicated. Conclusion
   The clinicians were aware that service users wished to be informed about
   the diagnosis and outcome of FEP but had no guidance on the subject.
   Despite the limitations of an online self-administered survey, the study
   highlights the need for guidance and improving clinical practice in
   discussing the diagnosis of FEP in a vulnerable population.
OI Farooq, Saeed/0000-0003-2088-6876
TC 2
Z8 0
ZA 0
ZR 0
ZS 0
ZB 1
Z9 2
U1 0
U2 1
SN 1751-7885
EI 1751-7893
UT WOS:000468803000039
PM 29726625
ER

PT J
AU Carroll, Thomas
   El-Sourady, Maie
   Karlekar, Mohana
   Richeson, Ashley
TI Primary Palliative Care Education Programs: Review and Characterization
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 36
IS 6
BP 546
EP 549
DI 10.1177/1049909118809947
PD JUN 2019
PY 2019
AB Background: Primary palliative care (PPC) education programs have arisen
   in response to the recognition that all clinicians need to have a basic
   set of knowledge and skills to provide excellent care to all patients.
   PPC education programs appear to vary widely, making it difficult for
   potential learners to find the right program to fit their needs. We have
   cataloged and categorized a snapshot of PPC education programs across
   the United States to serve as a resource for those seeking training, and
   for educators interested in starting or optimizing such programs.
   Methods: Medical and commercial search engines (MSEs and CSEs,
   respectively) were used to generate a list of PPC education programs in
   the United States. Programs were contacted to supplement information
   available online, and then categorized based on intended learner,
   certification/degree conferred upon completion, and other
   characteristics. Results: There was little overlap between the PPC
   education programs found through MSEs and CSEs. Programs found via CSEs
   varied with respect to intended learners, pedagogy, content, and cost.
   Among the minority of programs that confer a certification/degree upon
   completion, there is no consensus as to what these signify. Conclusions:
   The wide variety of PPC education programs is both a challenge to and
   strength of the field. We hope that this report will serve as a call to
   develop a standard PPC education taxonomy to help define essential
   components of all PPC programs, while also leaving sufficient room for
   programs to serve the unique needs of their local learners and patient
   populations.
ZS 2
ZA 0
Z8 0
ZB 1
ZR 0
TC 8
Z9 10
U1 0
U2 3
SN 1049-9091
EI 1938-2715
UT WOS:000468437700015
PM 30449125
ER

PT J
AU Wilkinson, Thomas J.
   Watson, Emma L.
   Xenophontos, Soteris
   Gould, Douglas W.
   Smith, Alice C.
TI The "Minimum Clinically Important Difference" in Frequently Reported
   Objective Physical Function Tests After a 12-Week Renal Rehabilitation
   Exercise Intervention in Nondialysis Chronic Kidney Disease
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 6
BP 431
EP 437
DI 10.1097/PHM.0000000000001080
PD JUN 2019
PY 2019
AB Objective Chronic kidney disease patients are characterized by impaired
   physical function. The goal of exercise-based interventions is an
   improvement in functional performance. However, improvements are often
   determined by "statistically significant" changes. We investigated the
   "minimum clinically important difference," "the smallest change that is
   important to the patient," for commonly reported physical function
   tests. Design Nondialysis chronic kidney disease patients completed
   12-wks of a combined aerobic (plus resistance training). The incremental
   shuttle walking test, sit-to-stand 5 and 60, estimated 1-repetition
   maximum for the knee extensors, and VO2peak were assessed. After the
   intervention, patients rated their perceived change in health. Both
   anchor- and distribution-based minimum clinically important difference
   approaches were calculated. Results The minimum clinically important
   difference was calculated as follows: incremental shuttle walking test,
   +45 m; sit-to-stand 5, -4.2 secs; VO2peak, +1.5 ml/kg per min. Because
   of comparable increases in "anchor" groups, no minimum clinically
   important difference was estimated for the sit-to-stand 60 or estimated
   1-repetition maximum. Conclusions We have established the minimum
   clinically important difference in chronic kidney disease for common
   tests of physical function. These values represent the minimum change
   required for patients to perceive noticeable and beneficial change to
   their health. These scores will help interpret changes after exercise
   interventions where these tests are used. These minimum clinically
   important differences can be used to power future studies to detect
   clinically important changes. To Claim CME Credits Complete the
   self-assessment activity and evaluation online at CME Objectives Upon
   completion of this article, the reader should be able to: (1) Define the
   "minimum clinically important difference"; (2) Distinguish between
   concepts of minimum clinically important difference, "minimal detectable
   change,", and "statistically significant change"; and (3) Interpret
   other study findings and their own results in the context of the minimum
   clinically important difference rather than statistically significant
   changes. Level Advanced Accreditation The Association of Academic
   Physiatrists is accredited by the Accreditation Council for Continuing
   Medical Education to provide continuing medical education for
   physicians. The Association of Academic Physiatrists designates this
   Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1
   Credit(s)(TM). Physicians should only claim credit commensurate with the
   extent of their participation in the activity.
TC 9
ZS 1
ZB 2
ZR 0
ZA 0
Z8 0
Z9 9
U1 0
U2 5
SN 0894-9115
EI 1537-7385
UT WOS:000468209900007
PM 30362979
ER

PT J
AU Lorenzo-Alvarez, Rocio
   Ruiz-Gomez, Miguel J.
   Sendra-Portero, Francisco
TI Medical Students' and Family Physicians' Attitudes and Perceptions
   Toward Radiology Learning in the Second Life Virtual World
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 212
IS 6
BP 1295
EP 1302
DI 10.2214/AJR.18.20381
PD JUN 2019
PY 2019
AB OBJECTIVE. The purpose of this study was to evaluate 3rd-year medical
   students' attitudes and perceptions toward a radiographic interpretation
   course inside the virtual world Second Life during their formal training
   in radiology and to compare their attitudes and perceptions with those
   of family physicians exposed to the same course.
   SUBJECTS AND METHODS. Forty-eight 3rd-year medical students voluntarily
   participated in a 3-week course held in Second Life during a 4-month
   course on general radiology. The course consisted of six 2-hour
   synchronous sessions and four asynchronous tasks. Fourteen family
   physicians voluntarily participated in a specific version of the same
   course. Participants completed an evaluation questionnaire about the
   project.
   RESULTS. All participants rated the experience positively and found the
   environment attractive and the initiative, the course, and the
   intervention of the professor interesting, adequate, and appropriate for
   their medical training (mean values >= 4.2/5). Participants reported
   little previous knowledge about Second Life but were willing to
   participate in future similar experiences. Family physicians self-rated
   their own participation as less active and rated lower interaction with
   their peers than did the medical students (p = 0.018 and p < 0.001).
   CONCLUSION. The combination of synchronous sessions and asynchronous
   tasks to learn radiographic interpretation in Second Life was well
   received by undergraduate and postgraduate attendees, who had positive
   opinions and attitudes; the virtual sessions and tasks minimized the
   costs of travel for learners and teachers, making their use financially
   effective. Participants perceived Second Life as an interesting and
   useful online tool for complementary undergraduate radiology learning
   and postgraduate continuing medical education.
RI Sendra-Portero, Francisco/AAM-3468-2021; Ruiz-Gómez, Miguel J./G-9980-2011
OI Sendra-Portero, Francisco/0000-0001-9535-9806; Ruiz-Gómez, Miguel
   J./0000-0003-4630-7588
ZB 1
TC 10
ZS 0
ZA 0
ZR 0
Z8 0
Z9 10
U1 1
U2 9
SN 0361-803X
EI 1546-3141
UT WOS:000468598300021
PM 30860900
ER

PT J
AU Lowe, Kimberly A.
   Sangare, Laura
   Bergstresser, Rachel
   McNamara, Michelle
   Kafatos, George
   Garawin, Tamer
TI A National Survey of Medical Oncologist's Opinions and Perceptions for
   Managing Rash Among mCRC Patients Treated with Panitumumab
SO DERMATOLOGY AND THERAPY
VL 9
IS 2
BP 337
EP 353
DI 10.1007/s13555-019-0296-z
PD JUN 2019
PY 2019
AB Introduction: This study aimed to describe medical oncologist's opinions
   and perceptions regarding the management of dermatologic toxicities
   among metastatic colorectal cancer (mCRC) patients who were treated with
   panitumumab in the USA and assess if there were differences across
   demographic and clinical characteristics.
   Methods: We developed a survey based on the current literature and
   expert opinions regarding the management of dermatologic toxicities. The
   survey was implemented online in September 2016. Eligible oncologists
   were board certified and had treated at least five new or continuing
   patients with mCRC in the last 3 months, among whom at least three
   patients had received or were currently receiving panitumumab.
   Results: A total of 250 oncologists completed the survey. The data
   suggest that approximately 82% of patients received recommendations for
   moisturizer, 88% for sunscreen and 67% for ultraviolet (UV)-protective
   garments prior to or at the time of initiation of panitumumab therapy.
   There were minor differences in how dermatologic toxicities were managed
   across specific demographic or clinical groups. The data also suggest
   that the management associated with panitumumab use among mCRC patients
   can be greatly improved.
   Conclusions: Our results highlight the urgent need for heightened
   education regarding dermatologic toxicity management among oncologists
   who treated mCRC patients with panitumumab. Easily implemented
   strategies, such as moisturizer, sunscreen, and UV-protective garments
   should be recommended to all patients.
OI Kafatos, George/0000-0001-7871-9216
ZR 0
ZS 0
TC 3
ZB 0
Z8 0
ZA 0
Z9 3
U1 0
U2 1
SN 2193-8210
EI 2190-9172
UT WOS:000468469700012
PM 31054146
ER

PT J
AU Krause, William
   Bird, Julio
TI Training robotic community surgeons: our experience implementing a
   robotics curriculum at a rural community general surgery training
   program
SO JOURNAL OF ROBOTIC SURGERY
VL 13
IS 3
BP 385
EP 389
DI 10.1007/s11701-018-0860-z
PD JUN 2019
PY 2019
AB Robotic-assisted surgical procedures are being increasingly used in
   general surgery, including in the rural and community setting. Although
   there is no requirement, general surgery residency programs have begun
   to incorporate curriculums to train residents in this discipline. As a
   small rural community program, we recently instituted a voluntary and
   structured curriculum, and our initial experience is shared here. Our
   curriculum was voluntary for all general surgical residents for the
   academic years 2016-2017. The curriculum consisted of online training,
   bedside training, console simulation, bedside assisting, and operating
   at the console. During the fiscal year of 2016, 193 robot-assisted
   surgeries performed within the General Surgery Department. Fourteen of
   fifteen residents participated in the curriculum, with the exception
   being a resident new to our program. A survey was sent to the residents
   to evaluate their opinions towards robotic surgery and the curriculum,
   with 12/15 residents responding. Overall, residents' impressions were
   very favorable, with all reporting being either very or mostly satisfied
   with the curriculum and most, 58.4%, reporting there participating level
   on the robot to be appropriate. Importantly most, 91.7% did not think
   that the curriculum put an undue stress on their time or that it was
   detrimental to other aspects of their training. This study shows that a
   community rural general surgery program can incorporate a voluntary
   robotic curriculum effectively with high resident participation and
   satisfaction.
RI Krause, Willian/CAJ-5784-2022
ZB 0
ZS 0
TC 6
ZA 0
ZR 0
Z8 0
Z9 6
U1 2
U2 3
SN 1863-2483
EI 1863-2491
UT WOS:000468354300005
PM 30088228
ER

PT J
AU Beulens, Alexander. J. W.
   Brinkman, Willem M.
   Porte, Petra J.
   Meijer, Richard P.
   van Merrienboer, Jeroen J. G.
   Van der Poel, Henk G.
   Wagner, Cordula
TI The value of a 1-day multidisciplinary robot surgery training for novice
   robot surgeons
SO JOURNAL OF ROBOTIC SURGERY
VL 13
IS 3
BP 435
EP 447
DI 10.1007/s11701-018-0894-2
PD JUN 2019
PY 2019
AB Introduction To fulfil the need for a basic level of competence in
   robotic surgery (Brinkman et al., Surg Endosc Other Interv Tech
   31(1):281-287, 2017; Dutch Health inspectorate (Inspectie voor de
   gezondheidszorg), Insufficient carefulness at the introduction of
   surgical robots (in Dutch: Onvoldoende zorgvuldigheid bij introductie
   van operatierobots), Igz, Utrecht, 2010), the NIVEL (Netherlands
   Institute for Healthcare Research) developed the 'Basic proficiency
   requirements for the safe use of robotic surgery' (BPR). Based on the
   BPR a 1-day robotic surgery training was organised to answer the
   following research questions: (1) Are novice robot surgeons able to
   accurately self-assess their knowledge and dexterity skills? (2) Is it
   possible to include the teaching of all BPRs in a 1-day training?
   Materials and methods Based on the BPR, a robot surgery course was
   developed for residents and specialists (surgery, gynaecology and
   urology). In preparation, the participants completed an online e-module.
   The 1-day training consisted of a practical part on robot set-up, a
   theoretical section, and hands-on exercises on virtual reality robot
   simulators. Multiple online questionnaire was filled out by the
   participants at the end of the training to evaluate the perceived
   educational value of the course and to self-assess the degree to which
   BPRs were reached.
   Results 20 participants completed the training during the conference of
   the Dutch Association for Endoscopic Surgery (NVEC) in 2017.
   Participants indicated nearly all competency requirements were mastered
   at the end of the training. The competency requirements not mastered
   were, however, critical requirements for the safe use of the surgical
   robot. Skill simulation results show a majority of participants are
   unable to reach a proficient simulation score in basic skill simulation
   exercises.
   Conclusion Results show novice robot surgeons are too positive in the
   self-assessment of their own dexterity skills after a 1-day training.
   Self-assessment revealed uncertainty of the obtained knowledge level on
   requirements for the safe use of the surgical robot. Basic courses on
   robotic training should inform trainees about their results to enhance
   learning and inform them of their competence levels.
RI Brinkman, Willem/AAP-2347-2021; Beulens, Alexander/
OI Beulens, Alexander/0000-0002-7105-1011
Z8 0
ZA 0
ZB 1
ZS 0
ZR 0
TC 3
Z9 3
U1 0
U2 9
SN 1863-2483
EI 1863-2491
UT WOS:000468354300013
PM 30467702
ER

PT J
AU Pearl, Rebecca L.
   Wan, Marilyn T.
   Takeshita, Junko
   Gelfand, Joel M.
TI Stigmatizing attitudes toward persons with psoriasis among laypersons
   and medical students
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 80
IS 6
BP 1556
EP 1563
DI 10.1016/j.jaad.2018.08.014
PD JUN 2019
PY 2019
AB Background: Perceived stigma among patients with psoriasis contributes
   to poor quality of life.
   Objective: To determine the prevalence and predictors of stigmatizing
   attitudes toward persons with psoriasis among laypersons and medical
   trainees.
   Methods: Laypersons were recruited from Amazon.com's Mechanical Turk
   (MTurk) (n = 198). Additionally, 187 medical students were recruited via
   e-mail. Participants completed an online survey in which they viewed
   images of persons with visible psoriasis. Participants reported their
   desire to socially avoid the persons in the images, their emotional
   responses to the persons in the images, and their endorsement of
   psoriasis-related stereotypes and myths.
   Results: MTurk participants endorsed social avoidance items such as not
   wanting to shake hands with (39.4%) or have the persons in the images in
   their home (32.3%). Participants stereotyped persons with psoriasis as
   contagious (27.3%) and endorsed the myth that psoriasis is not a serious
   disease (26.8%). Linear regression analyses showed that having heard of
   or knowing someone with psoriasis predicted fewer stigmatizing attitudes
   (P < .05). The medical students reported less stigmatizing attitudes
   than the MTurk participants (P < .01).
   Limitations: Self-report, single-institution study.
   Conclusion: Stigmatizing views of persons with psoriasis are prevalent
   among people in the United States. Educational campaigns for the public
   and medical trainees may reduce stigma toward persons with psoriasis.
RI Pearl, Rebecca/GRS-0019-2022; Gelfand, Joel/
OI Gelfand, Joel/0000-0003-3480-2661
ZA 0
Z8 1
ZS 0
TC 22
ZR 0
ZB 1
Z9 23
U1 0
U2 4
SN 0190-9622
EI 1097-6787
UT WOS:000468033500040
PM 30171876
ER

PT J
AU Reaume, Michael
   Siuba, Matthew
   Wagner, Michael
   Woodwyk, Alyssa
   Melgar, Thomas A.
TI Prevalence and Scope of Point-of-Care Ultrasound Education in Internal
   Medicine, Pediatric, and Medicine-Pediatric Residency Programs in the
   United States
SO JOURNAL OF ULTRASOUND IN MEDICINE
VL 38
IS 6
BP 1433
EP 1439
DI 10.1002/jum.14821
PD JUN 2019
PY 2019
AB Objectives The purpose of this study was to determine the prevalence and
   scope of point-of-care ultrasound (US) education in internal medicine,
   pediatric, and medicine-pediatric residency programs nationwide. Methods
   Program directors were surveyed between January and June 2016 with a
   15-item online questionnaire to assess the state of point-of-care US
   training in their programs. The survey aimed to identify whether
   programs had an established point-of-care US curriculum and, if not,
   what reasons may have existed for a lack of point-of-care US training in
   their programs. Results The survey was distributed to 685 program
   directors, and the response rate was 19.2%. Only 31.5% of respondents
   reported having a formal point-of-care US curriculum in their program,
   and in 12.4% of programs, there was no US training at all. The presence
   of point-of-care US training as reported by internal medicine (n = 64)
   and medicine-pediatric (n = 24) respondents showed formal point-of-care
   US curriculum rates of 37.5% and 43.5%, respectively. Pediatric programs
   (n = 24) reported limited point-of-care US training, with formal
   curriculum in only 12.4% of programs and 27.3% having no point-of-care
   US training at all. The most common reasons for lack of a point-of-care
   US curriculum among program directors were lack of trained
   faculty/instructors (70.4%), lack of guidelines/standards by governing
   societies (44.4%), and lack of the necessary technology (33.3%).
   Conclusions Less than half of residents with internal medicine training
   will have trained at a program with a point-of-care US curriculum, and
   point-of-care US training in pediatrics is even more limited. The major
   reason for the lack of point-of-care US education is a lack of trained
   faculty or instructors.
RI Siuba, Matthew/AAP-5130-2020; Melgar, Thomas/; Reaume, Michael/
OI Siuba, Matthew/0000-0002-4321-4944; Melgar, Thomas/0000-0001-5155-4060;
   Reaume, Michael/0000-0001-7161-6003
ZR 0
ZS 0
ZB 4
Z8 0
TC 16
ZA 0
Z9 16
U1 0
U2 4
SN 0278-4297
EI 1550-9613
UT WOS:000467955200005
PM 30255947
ER

PT J
AU Shay, Sophie G.
   Chrin, Jonathan D.
   Wang, Marilene B.
   Mendelsohn, Abie H.
TI Initial and Long-term Retention of Robotic Technical Skills in an
   Otolaryngology Residency Program
SO LARYNGOSCOPE
VL 129
IS 6
BP 1380
EP 1385
DI 10.1002/lary.27425
PD JUN 2019
PY 2019
AB Objectives/Hypothesis To objectively assess the initial and long-term
   retention of robotic surgical skills of otolaryngology residents. Study
   Design This study was performed in an academic otolaryngology residency
   training program. Between October 2015 and November 2016, residents were
   invited to complete a prospective, multiphase robotic surgical skills
   training course: 1) online da Vinci Surgical System Assessment and
   didactic, 2) faculty-supervised robotic simulator training, 3) robotic
   docking and draping training, 4) robotic dry-lab exercises. To optimize
   surgical skill retention, the training laboratory was repeated 2 weeks
   after the initial training session. Methods Twenty otolaryngology
   residents were included. Primary outcome was measured as robotic skill
   assessment scores on three tasks: camera targeting, peg board, and
   needle targeting. Skill assessments were completed prior to training,
   between the two training sessions, and at 1 month and 6 months after
   training. Residents were also asked to complete a self-assessment
   questionnaire. Results Camera targeting scores were improved at
   midtraining (P < .001) and 1-month posttraining (P = .010). Peg board
   scores were improved at 1 month training (P = .043). Needle targeting
   scores were improved at midtraining (P = .002), 1 month (P = .002), and
   6 months posttraining (P < .001). Resident self-assessment scores
   demonstrating comfort with using the robotic console (P < .01) and
   docking/draping (P < .01) improved significantly following the training.
   Conclusions Following a multiphase robotic training program,
   otolaryngology residents demonstrated significant, objective skill
   acquisition and retention at 1 month and 6 months follow-up. Although
   the proposed training strategy may be considered an important step in
   otolaryngology residency training, additional innovations are being
   designed toward a formal robotic training curriculum. Level of Evidence
   NA Laryngoscope, 129:1380-1385, 2019
CT 9th International Conference on Head and Neck Cancer of the
   American-Head-and-Neck-Society (AHNS)
CY JUL 16-20, 2016
CL Seattle, WA
SP Amer Head & Neck Soc
RI Mendelsohn, Abie/AAD-5966-2019; Shay, Sophie/
OI Mendelsohn, Abie/0000-0001-8895-0286; Shay, Sophie/0000-0001-6374-8903
ZS 0
ZA 0
TC 9
Z8 0
ZR 0
ZB 3
Z9 9
U1 0
U2 4
SN 0023-852X
EI 1531-4995
UT WOS:000468091400030
PM 30098045
ER

PT J
AU Jonas, Christopher E.
   Durning, Steven J.
   Zebrowski, Catherine
   Cimino, Francesca
TI An Interdisciplinary, Multi-Institution Telehealth Course for Third-Year
   Medical Students
SO ACADEMIC MEDICINE
VL 94
IS 6
BP 833
EP 837
DI 10.1097/ACM.0000000000002701
PD JUN 2019
PY 2019
AB Purpose
   To investigate the impact of a unique curriculum combining learning of
   surface anatomy and massage therapy for medical and physician assistant
   students.
   Method
   The authors conducted a randomized controlled trial in 2014 at
   University of Iowa Carver College of Medicine with 20 first-year
   students who viewed 4 hours of educational videos and participated in 11
   hours of hands-on massage practice and 20 first-year students who only
   viewed the educational videos. Participants completed pre-and postcourse
   assessments of knowledge, attitudes, and personal wellness and completed
   a validated assessment of four dimensions of personal wellness.
   Results
   Hands-on group participants outscored the online-only group in
   postcourse knowledge assessments of surface anatomy and massage therapy
   principles (P<.05). Students in the hands-on group reported higher
   agreement with statements about perceived knowledge and beliefs about
   referrals and advising patients regarding massage therapy (P<.05).
   Students also frequently reported greater comfort administering physical
   examinations. Hands-on group participants had statistically significant
   improvements in psychological wellness during the study (P=.03), whereas
   online-only participants had a slight decrease (P=.09). Physical
   wellness was also slightly improved in the hands-on group (P=.06).
   Conclusions
   Findings show that integrating surface anatomy and massage therapy in an
   experiential course resulted in significant gains in knowledge of
   anatomy, understanding about interprofessional health care roles,
   increased confidence in clinical practice, and improved wellness.
   Accordingly, further development of learning experiences that
   incorporate basic science, interprofessional education, and techniques
   that promote student wellness should be encouraged.
ZA 0
ZS 0
Z8 0
TC 32
ZB 3
ZR 0
Z9 32
U1 0
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000474067900028
PM 30870152
ER

PT J
AU Rosenberg, Jake
   Loflin, Mallory J. E.
   Hurd, Yasmin L.
   Bonn-Miller, Marcel O.
TI Prescribing Health Care Providers' Attitudes, Experiences, and Practices
   Surrounding Cannabis Use in Patients with Anxiety Disorders and
   Post-Traumatic Stress Disorder
SO CANNABIS AND CANNABINOID RESEARCH
VL 4
IS 2
BP 124
EP 130
DI 10.1089/can.2018.0008
PD JUN 2019
PY 2019
AB Background: Preliminary evidence suggests that certain cannabinoids may
   be beneficial for the treatment of anxiety and post-traumatic stress
   disorder (PTSD). However, it is unclear whether prescribing health care
   professionals view medicinal cannabis as a safe and effective option for
   treatment of these disorders. Methods: Three hundred fifty-two
   prescribing health care professionals across the United States completed
   an online survey assessing attitudes, knowledge, and practices
   surrounding the recommendation and evaluation of cannabis use for their
   patients with anxiety and/or PTSD. Results: The majority of providers
   reported seeing at least some potential benefit in the therapeutic
   application of cannabinoids for PTSD (z=7.24, p<0.001) and anxiety
   symptoms (z=8.15, p<0.001), although they neither viewed it as safe for
   patients with PTSD (90%) or anxiety (92%), nor recommended it to their
   patients (98%). Meanwhile, nearly all providers (89%) in this survey
   reported being interested in receiving more formal training related to
   cannabis. Prescribing health care professionals were largely aware of
   the legislative status of medicinal cannabis within their state.
   Conclusions: While the majority of medical providers are generally aware
   of their state's cannabis laws and believe that cannabis might be at
   least somewhat helpful for PTSD or anxiety symptoms, most providers do
   not currently recommend medicinal cannabis for the treatment of PTSD or
   anxiety.
Z8 0
ZB 1
ZS 0
TC 1
ZA 0
ZR 0
Z9 1
U1 0
U2 2
SN 2578-5125
EI 2378-8763
UT WOS:000616143300007
ER

PT J
AU Davies, Kristen
TI Using online lectures as a medical student
SO CLINICAL TEACHER
VL 16
IS 3
BP 272
EP 273
DI 10.1111/tct.12920
PD JUN 2019
PY 2019
ZB 0
TC 0
ZS 0
ZA 0
ZR 0
Z8 0
Z9 0
U1 0
U2 1
SN 1743-4971
EI 1743-498X
UT WOS:000468799500019
PM 30125458
ER

PT J
AU Das, Manas
   Ettarh, Raj
   Lowrie, D. J.
   Rengasamy, Padmanabhan
   Lee, Lisa M. J.
   Williams, James M.
   Guttmann, Geoffrey D.
TI A Guide to Competencies, Educational Goals, and Learning Objectives for
   Teaching Medical Histology in an Undergraduate Medical Education Setting
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 2
BP 523
EP 534
DI 10.1007/s40670-018-00688-9
PD JUN 2019
PY 2019
AB Horizontal and vertical integration within medical school curricula,
   truncated contact hours available to teach basic biomedical sciences,
   and diverse assessment methods have left histology educators searching
   for an answer to a fundamental question-what ensures competency for
   medical students in histology upon completion of medical school? The
   Liaison Committee for Medical Education (LCME) and the Commission on
   Osteopathic College Accreditation (COCA) advocate faculty to provide
   medical students with a list of learning objectives prior to any
   educational activities, regardless of pedagogy. It is encouraged that
   the learning objectives are constructed using higher-order and
   measurable action verbs to ensure student-centered learning and
   assessment. A survey of the literature indicates that there is paucity
   of knowledge about competencies, goals, and learning objectives
   appropriate for histology education in preclinical years. To address
   this challenge, an interactive online taskforce, comprising faculty from
   across the United States, was assembled. The outcome of this project was
   a desired set of competencies for medical students in histology with
   educational goals and learning objectives to achieve them.
ZA 0
TC 3
ZB 0
ZS 0
Z8 0
ZR 0
Z9 3
U1 2
U2 2
EI 2156-8650
UT WOS:000624413300025
PM 34457510
ER

PT J
AU Nahardani, Seyedeh Zahra
   Ahmadi, Fazlollah
   Bigdeli, Shoaleh
   Arabshahi, Kamran Soltani
TI Spirituality in medical education: a concept analysis
SO MEDICINE HEALTH CARE AND PHILOSOPHY
VL 22
IS 2
BP 179
EP 189
DI 10.1007/s11019-018-9867-5
PD JUN 2019
PY 2019
AB Spirituality in medical education is an abstract multifaceted concept,
   related to the healthcare system. As a significant dimension of health,
   the importance and promotion of this concept has received considerable
   attention all over the world. However, it is still an abstract concept
   and its use in different contexts leads to different perceptions,
   thereby causing challenges. In this regard, the study aimed to clarify
   the existing ambiguities of the concept of spirituality in medical
   education. Walker and Avant (Strategies for theory construction in
   nursing, Prentice Hall, Boston, 2011) concept analysis eight-step
   approach was used. After an extensive review of online national and
   international databases from 2000 to 2015, 180 articles and 3 books in
   English and Persian were retrieved for the purposes of the study.
   Analysis revealed that the defining attributes of spirituality in
   medical education are: teaching with all heart and soul, Life inspiring,
   ontological multidimensional connectedness, religious-secular spectrum,
   and socio-cultural intricacies. Moreover, innate wisdom, skillful
   treatment, transcendent education, and environmental requirements were
   antecedents to this concept, with the health of body and soul,
   intrapersonal development and elevation, and responsive treatment and
   education being its consequences. The defining attributes provided in
   this study can assist physicians, instructors, and professors to develop
   and implement evidence-based, health based and comprehensive education
   plans according to the guidelines of professional ethics and
   qualification of using spirituality in practice. The clarification of
   the noted concept facilitates further development of medical knowledge,
   research, and research instruments.
RI Ahmadi, Fazlollah/AAD-3281-2019; Bigdeli, Shoaleh/AAE-3917-2020
OI Bigdeli, Shoaleh/0000-0001-9672-2726
Z8 0
ZB 0
ZA 0
TC 9
ZR 0
ZS 0
Z9 9
U1 0
U2 20
SN 1386-7423
EI 1572-8633
UT WOS:000466946200003
PM 30206758
ER

PT J
AU Singh, Maleeka
   Walia, Kavita
   Farber, Jeffrey M.
TI The household kitchen as the 'last line of defense' in the prevention of
   foodborne illness: A review and analysis of meat and seafood recipes in
   30 popular Canadian cookbooks
SO FOOD CONTROL
VL 100
BP 122
EP 129
DI 10.1016/j.foodcont.2018.12.030
PD JUN 2019
PY 2019
AB Foodborne pathogens account for about 4 million illnesses in Canada
   annually. Unsafe handling, chilling, cooking and cleaning/sanitation
   procedures in the household contribute to a significant proportion of
   these infections. As such, it is important to practice safe food
   behaviors to prevent incidence of illness and cross-contamination. One
   way to provide food safety education and guidance to the consumer is
   through media including magazines, cooking shows, online recipes and
   cookbooks. Therefore, this study reviewed and analyzed the food safety
   knowledge of Canadian cooks and chefs by reviewing meat and seafood
   recipes in Canadian cookbooks published from 2015 to 2017. Of the 30
   cookbooks examined, only 19 were included in the study as they focused
   on meat and seafood. Overall, this study found that cookbooks are not a
   good source of reliable food safety information or safe food handling
   practices, and they do not encourage the reader to practice safe food
   handling during preparation. Furthermore, thermometer use is not
   encouraged and the majority of recipes (approximately 96%) provided the
   incorrect temperature or was lacking a minimum internal temperature.
   Instead, subjective indicators such as a timefrarne, colour and/or
   texture were given to indicate the degree of doneness. In addition,
   cookbook recipes were deficient in relaying safe preparation, serving
   and storage instructions. Thus, Canadian cookbooks are not being used
   effectively for the purposes of informing consumers on safe food
   handling and preparation techniques, and cannot be relied upon as a
   reliable source of food safety information. Efforts should be made to
   educate Canadian chefs (authors of the recipes) on safe food handling
   practices so that they can promote positive behavior messages conducive
   to promoting food safety to consumers. As such, currently, cookbook
   recipes cannot be relied upon as a tool for food safety education. In
   fact, a number of the cookbooks either lack information on food safety,
   and/or provide misleading or inaccurate information to consumers.
ZB 1
ZR 0
ZS 0
ZA 0
TC 3
Z8 0
Z9 3
U1 2
U2 26
SN 0956-7135
EI 1873-7129
UT WOS:000461534700017
ER

PT J
AU Johnson, Anna Rose
   Doval, Andres F.
   Granoff, Melisa D.
   Egeler, Sabine A.
   Bravo, Miguel G.
   Dowlatshahi, A. Samandar
   Lin, Samuel J.
   Lee, Bernard T.
TI A Comparative Multimetric Assessment of English and Spanish Carpal
   Tunnel Syndrome Materials
SO JOURNAL OF SURGICAL RESEARCH
VL 238
BP 64
EP 71
DI 10.1016/j.jss.2019.01.032
PD JUN 2019
PY 2019
AB Background: Spanish-speaking Hispanics living in the United States
   utilize the internet as a primary means to obtain health information.
   Accurate, accessible information is important for English speakers;
   however, it could have even greater utility for Spanish speakers who
   have lower health literacy levels. The aim of this study was to evaluate
   and compare online English and Spanish carpal tunnel surgery materials
   provided by using a multimetric approach.
   Materials and methods: A web search using the English term "carpal
   tunnel surgery" was performed. The first 10 institutional/organizational
   websites that provided carpal tunnel surgery information in English and
   Spanish were included. All relevant online materials were evaluated
   using the Patient Education and Materials Assessment Tool (PEMAT),
   Cultural Sensitivity Assessment Tool (CSAT), and Simplified Measure of
   Gobbledygook, Spanish (SOL) to assess understandability and
   actionability, cultural sensitivity, and readability, respectively.
   Results: There were no statistically significant differences in
   understandability or actionability scores between Spanish and English
   materials. Average cultural sensitivity scores for Spanish materials
   were significantly lower than English materials (P = 0.015). The average
   reading grade level of online English materials was greater than that
   for Spanish materials (P = 0.011). Both mean values were above the
   recommended sixth-grade reading level.
   Conclusions: Online patient-directed information regarding carpal tunnel
   surgery exceeded the recommended reading grade level for both English
   and Spanish-speaking populations. Most Spanish materials were often
   direct translations and were not contoured to the elevated literacy
   needs of this demographic. Institutions must caution their authors to
   tailor their web material in a way that is sensitive to their target
   population to optimize understanding. (C) 2019 Elsevier Inc. All rights
   reserved.
CT 3rd Annual Conference of the Society-of-Asian-Academic-Surgeons
CY 2018
CL Milwaukee, MI
SP Soc Asian Acad Surg
RI Lee, Bernard T./K-1106-2016; Lin, Samuel/P-6158-2019; Johnson, Anna Rose/
OI Lee, Bernard T./0000-0002-5533-3166; Johnson, Anna
   Rose/0000-0003-0824-1709
ZA 0
ZB 1
TC 6
ZR 0
Z8 0
ZS 0
Z9 6
U1 0
U2 14
SN 0022-4804
EI 1095-8673
UT WOS:000463173600010
PM 30739070
ER

PT J
AU Kesten, Joanna M.
   Davies, Charlotte F.
   Gompels, Mark
   Crofts, Megan
   Billing, Annette
   May, Margaret T.
   Horwood, Jeremy
TI Qualitative evaluation of a pilot educational intervention to increase
   primary care HIV-testing
SO BMC FAMILY PRACTICE
VL 20
AR 74
DI 10.1186/s12875-019-0962-3
PD MAY 31 2019
PY 2019
AB Background: UK guidelines recommend a 'routine offer of HIV testing' in
   primary care where HIV diagnosed prevalence exceeds 2 in 1000. However,
   current primary care HIV testing rates are low. Efforts to increase
   primary care HIV testing are needed. To examine how an educational
   intervention to increase HIV testing in general practice was experienced
   by healthcare professionals (HCPs) and to understand the perceived
   impacts on HIV testing.
   Method: Qualitative interviews with general practitioners (GPs) and
   nurses 3-months after receiving an educational intervention developed
   from an adapted version of the Medical Foundation for HIV and Sexual
   Health (MEDFASH) HIV Testing In Practice (TIPs) online educational tool
   which included training on HIV associated clinical indicator conditions,
   why, who, and how to test. The intervention was delivered in 19 high-HIV
   prevalence general practices in Bristol. 27 semi-structured interviews
   were conducted across 13 practices with 16 GPs, 10 nurses and the sexual
   health clinician who delivered the intervention. Transcripts were
   analysed thematically informed by Normalisation Process Theory.
   Results: HCPs welcomed the opportunity to update their HIV knowledge
   through a tailored, interactive session. Post-training, HCPs reported
   increased awareness of HIV indicator conditions, confidence to offer HIV
   tests and consideration of HIV tests. Continued testing barriers include
   perceived lack of opportunity.
   Conclusions: This qualitative study found that HIV education is
   perceived as valuable in relation to perceived awareness, confidence,
   and consideration of HIV testing. However, repetition and support from
   other strategies are needed to encourage HCPs to offer HIV tests. Future
   interventions should consider using behaviour change theory to develop a
   complex intervention that addresses not only HCP capability to offer an
   HIV test, but also issues of opportunity and motivation.
RI Horwood, Jeremy/AAH-2941-2019
OI Horwood, Jeremy/0000-0001-7092-4960
ZR 0
ZS 0
ZA 0
TC 3
ZB 0
Z8 0
Z9 3
U1 0
U2 5
EI 1471-2296
UT WOS:000469856200001
PM 31151414
ER

PT J
AU Fankhauser, Katie
   Nagel, Corey L.
   Barstow, Christina K.
   Kirby, Miles
   Thomas, Evan A.
TI Geospatial-temporal, demographic, and programmatic adoption
   characteristics of a large-scale water filter and improved cookstove
   intervention in Western Province, Rwanda
SO COGENT ENVIRONMENTAL SCIENCE
VL 5
IS 1
AR 1625481
DI 10.1080/23311843.2019.1625481
PD MAY 30 2019
PY 2019
AB Lowering the global disease burden of preventable disease has been
   addressed in part by the distribution of health products and behavior
   change campaigns in low-income countries. Realizing a health impact
   requires adoption by participants, and the topic of program uptake and
   sustained adoption has been studied extensively, although an ecological
   context is largely missing from existing work. This study characterizes
   self-reported and observed adoption of improved cookstoves and
   point-of-use water filters among nearly 80,000 households in Rwanda
   using demographic and programmatic variables from implementer surveys
   and integration of geospatial and temporal data based on differentiated
   recipient location. The odds of stove or filter adoption were analyzed
   using Generalized Estimating Equation logistic regression modeling.
   Administrative district, rural residency, elevation, social networks,
   socioeconomic category, family composition, education delivery,
   technological factors, and use of the accompanying technology in the
   combined intervention were significantly associated with the odds of
   adoption of either the stove or filter. Population density,
   precipitation, anisotropic travel time to services, and timing of the
   health campaign largely showed no significant relationship with
   adoption. This research promotes the inclusion of geospatial and
   temporal data in designing and evaluating other public health
   interventions by successfully leveraging an ecological explanation of
   adoption decisions.
OI Fankhauser, Katie/0000-0003-2381-7796; Nagel, Corey/0000-0003-3725-500X;
   Kirby, Miles/0000-0003-3468-9793
ZA 0
Z8 0
ZB 0
TC 0
ZS 0
ZR 0
Z9 0
U1 0
U2 2
SN 2331-1843
UT WOS:000472499700001
ER

PT J
AU Chaou, Chung-Hsien
   Chang, Yu-Che
   Yu, Shiuan-Ruey
   Tseng, Hsu-Min
   Hsiao, Cheng-Ting
   Wu, Kuan-Han
   Monrouxe, Lynn Valerie
   Ling, Roy Ngerng Yi
TI Clinical learning in the context of uncertainty: a multi-center survey
   of emergency department residents' and attending physicians' perceptions
   of clinical feedback
SO BMC MEDICAL EDUCATION
VL 19
AR 174
DI 10.1186/s12909-019-1597-8
PD MAY 29 2019
PY 2019
AB BackgroundFeedback is an essential part of clinical teaching and
   learning, yet it is often perceived as unsatisfactory in busy clinical
   settings. Clinical teachers need to balance the competing demands of
   clinical duty and feedback provision. The influence of the clinical
   environment and the mutual relationship between feedback giving and
   seeking has been inadequately investigated. This study therefore aimed
   to quantify the adequacy, perceptions, and influential factors of
   feedback provision during resident training in emergency departments
   (EDs).MethodsA multicenter online questionnaire study was undertaken.
   The respondents comprised ED residents and clinical teachers from four
   teaching hospitals in Taiwan. The questionnaire was developed via an
   expert panel, and a pilot study ensured validity. Ninety clinical
   teachers and 54 residents participated.ResultsThe respondents reported
   that the majority of feedback, which usually lasted 1-5min, was
   initiated by the clinical teachers. Feedback satisfaction was
   significantly lower for the clinical teachers than for the residents
   (clinical teachers M=13.8, SD=1.83; residents M=15.3, SD=2.14;
   p<0.0001), and positive feedback was provided infrequently in clinical
   settings (31.1%). Both groups of participants admitted hesitating
   between providing/seeking feedback and completing clinical work. Being
   busy, the teachers' clinical abilities, the learners' attitudes, and the
   relationship between both parties were reported as the most influential
   factors in feedback provision.ConclusionED clinical feedback provision
   is often short, circumstantial, and initiated by clinical teachers.
   Providing or seeking feedback appears to be an important part of
   clinical learning in the context of uncertainty. The importance of the
   relationship between the feedback seeker and the provider highlights the
   interactive, reciprocal nature of clinical feedback provision.
RI Chang, Yu-Che/AAM-8995-2020; Chaou, Chung-Hsien/AAZ-7344-2020; Monrouxe, Lynn/AAG-9817-2019; Monrouxe, Lynn Valerie/H-6770-2012
OI Chang, Yu-Che/0000-0001-5735-8490; Chaou,
   Chung-Hsien/0000-0002-3702-7499; Monrouxe, Lynn
   Valerie/0000-0002-4895-1812
ZS 0
TC 4
ZB 0
Z8 0
ZA 0
ZR 0
Z9 4
U1 0
U2 4
SN 1472-6920
UT WOS:000469468900002
PM 31142306
ER

PT J
AU Wilson, Juliana
   Maloney, Kaylah
   Bookman, Kelly
   Stoneback, Jason W.
   Browne, Vaughn A.
   Ginde, Adit
   Wallace, Mary
   Jacknin, Gabrielle
   Cumbler, Ethan
   Lewiss, Resa E.
TI Training Emergency Physicians in Ultrasound-guided Fascia Iliaca
   Compartment Blocks: Lessons in Change Management
SO CUREUS
VL 11
IS 5
AR e4773
DI 10.7759/cureus.4773
PD MAY 28 2019
PY 2019
AB Study objectives
   Older adults who sustain hip fractures are susceptible to high rates of
   morbidity and mortality. The systemic administration of opioids is
   associated with side effects disproportionately affecting the elderly.
   The ultrasound-guided fascia iliaca compartment block procedure (FICB)
   is associated with a reduced patient need for oral and parenteral
   opioids and with improved functional outcomes. We designed a
   multi-disciplinary quality improvement initiative to train emergency
   physicians (EPs) to perform the ultrasound-guided FICB procedure for
   geriatric hip fracture patients. We examined the lessons derived from
   the EPs' resistance to implementing a practice-changing behavior.
   Methods
   This study was a prospective observational cohort study. We included all
   emergency department (ED) patients > 65 years with X-ray confirmation of
   isolated hip fractures. We also enrolled the treating EPs. Patients were
   enrolled from March 2016 to January 2017 in an urban, academic ED with
   100,000 annual visits. The ED ultrasound faculty trained ED faculty and
   residents in the FICB procedure. Seventeen of 50 attending EPs completed
   the training: classroom lecture and online narrated video instruction.
   The hands-on sessions consisted of three stations: scan a human model
   volunteer to review the sonoanatomy, practice the needle technique using
   a Blue Phantom (TM) Regional Anesthesia Ultrasound Training Block Model
   (Simulaids, Inc., NY, US), and practice the needle technique using a
   static simulator. We created a multi-disciplinary geriatric hip fracture
   order set for the electronic medical record. The attending EPs, caring
   for eligible patients, were asked to complete a Research Electronic Data
   Capture (REDCap) survey, and we analyzed the data using descriptive
   statistics.
   Results
   We enrolled 77 geriatric hip fracture patients. Two of the 77 patients
   received FICB. Thirty-two EPs participated as providers for these
   patients while 97% of these providers completed the post-intervention
   survey. Providers used the geriatric hip fracture order set in 10 of 77
   encounters. Most EPs did not perform the block because they were not
   trained or did not feel comfortable performing it.
   Conclusion
   Despite the efficacy supported by the literature and training sessions
   offered, the EPs in this study did not adopt the FICB procedure. Future
   efforts could include developing a FICB on-call team, increasing the
   proportion of trained EPs through initial supervised hands-on practice,
   and partnering financial or education incentives with getting trained.
ZA 0
TC 2
Z8 0
ZR 0
ZB 0
ZS 0
Z9 2
U1 1
U2 4
EI 2168-8184
UT WOS:000470771800012
PM 31363454
ER

PT J
AU Smirnov, Ivan
TI Schools are segregated by educational outcomes in the digital space
SO PLOS ONE
VL 14
IS 5
AR e0217142
DI 10.1371/journal.pone.0217142
PD MAY 28 2019
PY 2019
AB The Internet provides students with a unique opportunity to connect and
   maintain social ties with peers from other schools, irrespective of how
   far they are from each other. However, little is known about the real
   structure of such online relationships. In this paper, we investigate
   the structure of interschool friendship on a popular social networking
   site. We use data from 36, 951 students from 590 schools of a large
   European city. We find that the probability of a friendship tie between
   students from neighboring schools is high and that it decreases with the
   distance between schools following the power law. We also find that
   students are more likely to be connected if the educational outcomes of
   their schools are similar. We show that this fact is not a consequence
   of residential segregation. While high- and low-performing schools are
   evenly distributed across the city, this is not the case for the digital
   space, where schools turn out to be segregated by educational outcomes.
   There is no significant correlation between the educational outcomes of
   a school and its geographical neighbors; however, there is a strong
   correlation between the educational outcomes of a school and its digital
   neighbors. These results challenge the common assumption that the
   Internet is a borderless space, and may have important implications for
   the understanding of educational inequality in the digital age.
RI Smirnov, Ivan/K-5068-2015; Smirnov, Ivan/
OI Smirnov, Ivan/0000-0002-8347-6703
ZS 0
ZA 0
ZR 2
Z8 0
ZB 0
TC 0
Z9 2
U1 2
U2 4
SN 1932-6203
UT WOS:000469224300020
PM 31136591
ER

PT J
AU Cusimano, Maria C.
   Ting, Daniel K.
   Kwong, Jonathan L.
   Van Melle, Elaine
   MacDonald, Susan E.
   Cline, Cheryl
TI Medical Students Learn Professionalism in Near-Peer Led,
   Discussion-Based Small Groups
SO TEACHING AND LEARNING IN MEDICINE
VL 31
IS 3
BP 307
EP 318
DI 10.1080/10401334.2018.1516555
PD MAY 27 2019
PY 2019
AB Problem: Medical educators recognize that professionalism is difficult
   to teach to students in lecture-based or faculty-led settings. An
   underused but potentially valuable alternative is to enroll near-peers
   to teach professionalism. Intervention: We describe a novel near-peer
   curriculum on professionalism developed at Queen's University School of
   Medicine. Senior medical students considered role models by their
   classmates were nominated to facilitate small-group seminars with junior
   students on topics in professionalism. Each session was preceded by
   brief pre-readings or prompts and engaged students in semistructured,
   open-ended discussion. Three 2-hour sessions have occurred annually.
   Context: The near-peer sessions are a required component (6hours; 20%)
   of the 1st-year professionalism course at Queen's University (30hours),
   which otherwise includes faculty-led seminars, lectures, and online
   modules. Senior facilitators are selected through a peer nomination
   process during their 3rd year of medical school. This format was chosen
   to create a highly regarded position to which students could aspire by
   demonstrating positive professionalism. Outcome: We performed a
   qualitative descriptive evaluation of the near-peer curriculum.
   Fifty-six medical students participated in 11 focus group interviews,
   which were coded and analyzed for themes inductively and deductively.
   Quantitative reviews of student feedback forms and a third-party
   thematic analysis were performed to triangulate results. Medical
   students preferred the near-peer-led discussion-based curriculum to
   faculty-led seminars and didactic or online formats. Junior students
   could describe specific examples of how the curriculum had influenced
   their behavior in academic, clinical, and personal settings. They cited
   senior near-peer facilitators as the strongest aspect of the curriculum
   for their social and cognitive congruence. Senior students who had
   facilitated sessions regarded the peer teaching experience as formative
   to their own understanding of professionalism. Lessons Learned: Formal
   medical curricula on professionalism should emphasize near-peer-led
   small-group discussion as it fosters a nuanced understanding of
   professionalism for both early level students and senior students acting
   as teachers.
OI Ting, Daniel/0000-0002-1674-8326
ZS 0
Z8 0
ZR 0
TC 8
ZB 2
ZA 0
Z9 8
U1 0
U2 8
SN 1040-1334
EI 1532-8015
UT WOS:000471941300009
PM 30554529
ER

PT J
AU Alhuwail, Dari
   Abdulsalam, Yousef
TI Assessing Electronic Health Literacy in the State of Kuwait: Survey of
   Internet Users From an Arab State
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 5
AR e11174
DI 10.2196/11174
PD MAY 24 2019
PY 2019
AB Background: The internet and social media have become an important
   source for health information. In 2017, the State of Kuwait ranked first
   in mobile subscription penetration in the Arab world; nearly 90% of its
   population uses the internet. Electronic health (eHealth) literacy is
   important in populations that have easy and affordable access to
   internet resources to more effectively manage health conditions as well
   as improve general population health.
   Objective: The aim of this study was to assess eHealth literacy levels
   across internet users in Kuwait and identify demographic characteristics
   that influence eHealth literacy. Furthermore, the study aimed to
   identify the reasons and type of information that people seek online.
   Finally, this study examined the utilization of various social media
   channels for accessing online health information. The social media
   platforms considered were as follows: WhatsApp, Twitter, Instagram,
   YouTube, Facebook, and Snapchat.
   Methods: A cross-sectional anonymous Web-based survey was used to
   collect data about eHealth literacy and related information. The eHealth
   literacy scale (eHEALS), originally developed by Norman and Skinner, is
   measured using 8 Likert-type scales. A linear regression model estimates
   the effect of demographic variables such as age, gender, and education
   on eHealth literacy while controlling for participants' perceived
   usefulness and importance of the internet. Participants were also
   surveyed about their frequency in using social media platforms for
   seeking health information.
   Results: Kuwait's composite eHEALS, based on a sample of 386
   participants, was 28.63, which is very similar to eHEALS observed among
   adult populations in other developed countries. Females in Kuwait
   demonstrated a higher average eHEALS compared with males. Among the
   social media platforms, the survey results indicated that YouTube is the
   most frequently used to seek health information, with Facebook being the
   least frequently used.
   Conclusions: Internet users in Kuwait appear confident in their ability
   to search for health-related information online compared with other
   populations, as indicated by aggregate eHEALS scores. Considering this
   finding, government and health care organizations should shift more
   efforts from traditional media toward online health information,
   focusing on the social media outlets that people in Kuwait find more
   useful for seeking health information.
RI Alhuwail, Dari/AAT-2198-2020; Abdulsalam, Yousef/AFR-6344-2022; Abdulsalam, Yousef/
OI Alhuwail, Dari/0000-0001-5038-3044; Abdulsalam,
   Yousef/0000-0002-9549-719X
ZB 1
Z8 1
TC 18
ZA 0
ZR 0
ZS 0
Z9 19
U1 3
U2 12
SN 1438-8871
UT WOS:000469100500001
PM 31127723
ER

PT J
AU Eleftheriou, Anastasia
   Bullock, Seth
   Graham, Cynthia A.
   Skakoon-Sparling, Shayna
   Ingham, Roger
TI Does attractiveness influence condom use intentions in women who have
   sex with men?
SO PLOS ONE
VL 14
IS 5
AR e0217152
DI 10.1371/journal.pone.0217152
PD MAY 23 2019
PY 2019
AB Objectives
   Attractiveness judgements have been shown to affect interpersonal
   relationships. The present study explored the relationships between
   perceived attractiveness, perceived sexual health status, condom use
   intentions and condom use resistance in women.
   Setting
   The study data were collected using an online questionnaire.
   Participants
   480 English-speaking women who have sex with men, between 18-32 years
   old.
   Outcome measures
   Women were asked to rate the attractiveness of 20 men on the basis of
   facial photographs, to estimate the likelihood that each man had a
   sexually transmitted infection (STI), and to indicate their willingness
   to have sex with each man without a condom. Condom resistance tactics
   were also measured and their influence on condom use intentions was
   assessed.
   Results
   The more attractive a man was judged to be, the more likely it was that
   participants were willing to have sex with him (r (478) = 0.987, p <
   .001). Further, the more attractive a man was judged to be, the less
   likely women were to intend to use a condom during sex (r = -0.552, df =
   478, p = .007). The average perceived STI likelihood for a man had no
   significant association with his average perceived attractiveness or
   with participants' average willingness to have sex with him. The more
   attractive a participant judged herself to be, the more she believed
   that, overall, men are likely to have a STI (r = 0.103, df = 478, p <
   .05).
   Conclusions
   Women's perceptions of men's attractiveness influence their condom use
   intentions; such risk biases should be incorporated into sexual health
   education programmes and condom use interventions.
OI Eleftheriou, Anastasia/0000-0002-8120-339X
ZB 2
ZA 0
ZR 0
Z8 0
TC 4
ZS 0
Z9 4
U1 0
U2 0
SN 1932-6203
UT WOS:000468775700062
PM 31120922
ER

PT J
AU Wolfensberger, Aline
   Anagnostopoulos, Alexia
   Clack, Lauren
   Meier, Marie-Theres
   Kuster, Stefan P.
   Sax, Hugo
TI Effectiveness of an edutainment video teaching standard precautions - a
   randomized controlled evaluation study
SO ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
VL 8
AR 82
DI 10.1186/s13756-019-0531-5
PD MAY 22 2019
PY 2019
AB BackgroundStandard precautions are essential to prevent pathogen
   transmission and nosocomial infections. We assessed learning effect
   (primary outcome) and satisfaction (secondary outcome) of watching a
   5-min humorous edutainment (=education and entertainment) video on
   Standard Precautions compared to reading a written standard operating
   procedure (SOP) or receiving no intervention.MethodsThis randomized
   controlled trial was executed at the University Hospital Zurich,
   Switzerland, a tertiary care centre with a state-of-the-art infection
   prevention programme. Healthcare providers (HCPs) of different medical
   departments were 1:1:1 randomized to watching the edutainment video
   (video group), reading the SOP (SOP group), or no study-specific
   intervention (no-intervention group). Online questionnaires included a
   knowledge assessment about Standard Precautions at time point (TP) 1
   immediately after intervention, TP2 after 1month, and TP3 after 3months.
   Information about HCPs' satisfaction with the learning method was
   collected. Variables were assessed within and between groups using the
   appropriate non-parametric tests. Predictors for knowledge of Standard
   Precautions were assessed by uni- and multivariable linear
   regression.ResultsOverall, 363 predominantly female (78.2%) HCPs were
   included. At TP 1 and TP3, the video group scored better on the
   knowledge assessment against both the SOP and the no-intervention group
   (TP1 p<.001 and 0.001, TP3 p=0.036 and 0.048). In the multivariable
   analysis, being member of the video group was an independent predictor
   for better knowledge scores. The video was rated higher than the SOP
   regarding satisfaction with learning experience, and video group
   participants more frequently indicated they would recommend their
   learning method to colleagues.ConclusionsWatching an edutainment video
   proved to be more effective to improve knowledgeabout Standard
   Precautions compared to reading an SOP or no intervention. Satisfaction
   with the learning method was superior in the video group, suggesting
   higher potential for future uptake.
RI Kuster, Stefan/T-7388-2019; Clack, Lauren/L-3011-2018; Wolfensberger, Aline/T-1740-2017
OI Kuster, Stefan/0000-0002-0525-6529; Clack, Lauren/0000-0002-5162-5188;
   Wolfensberger, Aline/0000-0001-9028-0007
ZS 1
Z8 0
ZR 0
ZB 3
TC 6
ZA 0
Z9 7
U1 0
U2 9
SN 2047-2994
UT WOS:000468868000003
PM 31139365
ER

PT J
AU Fleuren, Lucas M.
   Roggeveen, Luca F.
   Guo, Tingjie
   Waldauf, Petr
   van der Voort, Peter H. J.
   Bosman, Rob J.
   Swart, Eleonora L.
   Girbes, Armand R. J.
   Elbers, Paul W. G.
TI Clinically relevant pharmacokinetic knowledge on antibiotic dosing among
   intensive care professionals is insufficient: a cross-sectional study
SO CRITICAL CARE
VL 23
AR 185
DI 10.1186/s13054-019-2438-1
PD MAY 22 2019
PY 2019
AB Background: Antibiotic exposure in intensive care patients with sepsis
   is frequently inadequate and is associated with poorer outcomes.
   Antibiotic dosing is challenging in the intensive care, as critically
   ill patients have altered and fluctuating antibiotic pharmacokinetics
   that make current one-size-fits-all regimens unsatisfactory. Real-time
   bedside dosing software is not available yet, and therapeutic drug
   monitoring is typically used for few antibiotic classes and only allows
   for delayed dosing adaptation. Thus, adequate and timely antibiotic
   dosing continues to rely largely on the level of pharmacokinetic
   expertise in the ICU. Therefore, we set out to assess the level of
   knowledge on antibiotic pharmacokinetics among these intensive care
   professionals.
   Methods: In May 2018, we carried out a cross-sectional study by sending
   out an online survey on antibiotic dosing to more than 20,000 intensive
   care professionals. Questions were designed to cover relevant topics in
   pharmacokinetics related to intensive care antibiotic dosing. The
   preliminary pass mark was set by members of the examination committee
   for the European Diploma of Intensive Care using a modified Angoff
   approach. The final pass mark was corrected for clinical relevance as
   assessed for each question by international experts on pharmacokinetics.
   Results: A total of 1448 respondents completed the survey. Most of the
   respondents were intensivists (927 respondents, 64%) from 97 countries.
   Nearly all questions were considered clinically relevant by
   pharmacokinetic experts. The pass mark corrected for clinical relevance
   was 52.8 out of 93.7 points. Pass rates were 42.5% for intensivists,
   36.1% for fellows, 24.8% for residents, and 5.8% for nurses. Scores
   without correction for clinical relevance were worse, indicating that
   respondents perform better on more relevant topics. Correct answers and
   concise clinical background are provided.
   Conclusions: Clinically relevant pharmacokinetic knowledge on antibiotic
   dosing among intensive care professionals is insufficient. This should
   be addressed given the importance of adequate antibiotic exposure in
   critically ill patients with sepsis. Solutions include improved
   education, intensified pharmacy support, therapeutic drug monitoring, or
   the use of real-time bedside dosing software. Questions may provide
   useful for teaching purposes.
RI Waldauf, Petr/K-6785-2017; Elbers, Paul/AHA-0344-2022; Swart, Eleonora/
OI Waldauf, Petr/0000-0003-4668-5837; Elbers, Paul/0000-0003-0447-6893;
   Swart, Eleonora/0000-0001-5138-7784
ZA 0
ZS 0
ZR 0
ZB 5
TC 13
Z8 2
Z9 14
U1 0
U2 3
SN 1466-609X
EI 1364-8535
UT WOS:000469247700002
PM 31118061
ER

PT J
AU Saqr, Mohammed
   Alamro, Ahmad
TI The role of social network analysis as a learning analytics tool in
   online problem based learning
SO BMC MEDICAL EDUCATION
VL 19
AR 160
DI 10.1186/s12909-019-1599-6
PD MAY 22 2019
PY 2019
AB Background: Social network analysis (SNA) might have an unexplored value
   in the study of interactions in technology-enhanced learning at large
   and in online (Problem Based Learning) PBL in particular. Using SNA to
   study students' positions in information exchange networks,
   communicational activities, and interactions, we can broaden our
   understanding of the process of PBL, evaluate the significance of each
   participant role and learn how interactions can affect academic
   performance. The aim of this study was to study how SNA visual and
   mathematical analysis can be sued to investigate online PBL,
   furthermore, to see if students' position and interaction parameters are
   associated with better performance.
   Methods: This study involved 135 students and 15 teachers in 15 PBL
   groups in the course of "growth and development" at Qassim University.
   The course uses blended PBL as the teaching method. All interaction data
   were extracted from the learning management system, analyzed with SNA
   visual and mathematical techniques on the individual student and group
   level, centrality measures were calculated, and participants' roles were
   mapped. Correlation among variables was performed using the
   non-parametric Spearman rank correlation test.
   Results: The course had 2620 online interactions, mostly from students
   to students (89%), students to teacher interactions were 4.9%, and
   teacher to student interactions were 6.15%. Results have shown that SNA
   visual analysis can precisely map each PBL group and the level of
   activity within the group as well as outline the interactions among
   group participants, identify the isolated and the active students
   (leaders and facilitators) and evaluate the role of the tutor.
   Statistical analysis has shown that students' level of activity
   (outdegree r(s)(133) = 0.27, p = 0.01), interaction with tutors (r(s)
   (133) = 0.22, p = 0.02) are positively correlated with academic
   performance.
   Conclusions: Social network analysis is a practical method that can
   reliably monitor the interactions in an online PBL environment. Using
   SNA could reveal important information about the course, the group, and
   individual students. The insights generated by SNA may be useful in the
   context of learning analytics to help monitor students' activity.
RI Saqr, Mohammed/AAH-2520-2020
OI Saqr, Mohammed/0000-0001-5881-3109
ZA 0
ZB 1
ZS 0
TC 25
Z8 0
ZR 0
Z9 25
U1 5
U2 27
SN 1472-6920
UT WOS:000468790900004
PM 31113441
ER

PT J
AU Sutherland, Ruth M.
   Reid, Katharine J.
   Chiavaroli, Neville G.
   Smallwood, David
   McColl, Geoffrey J.
TI Assessing Diagnostic Reasoning Using a Standardized Case-Based
   Discussion
SO JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
VL 6
AR 2382120519849411
DI 10.1177/2382120519849411
PD MAY 20 2019
PY 2019
AB BACKGROUND: Development of diagnostic reasoning (DR) is fundamental to
   medical students' training, but assessing DR is challenging. Several
   written assessments focus on DR but lack the ability to dynamically
   assess DR. Oral assessment formats have strengths but have largely lost
   favour due to concerns about low reliability and lack of
   standardization. Medical schools and specialist medical colleges value
   many forms of oral assessment (eg, long case, Objective Structured
   Clinical Examination [OSCE], viva voce) but are increasingly searching
   for ways in which to standardize these formats. We sought to develop and
   trial a Standardized Case-Based Discussion (SCBD), a highly standardized
   and interactive oral assessment of DR.
   METHODS: Two initial cohorts of medical students (n=319 and n.342)
   participated in the SCBD as part of their assessments. All students
   watch a video trigger (based on an authentic clinical case) and discuss
   their DR with an examiner for 15minutes. Examiners probe students' DR
   and assess how students respond to new standardized clinical
   information. An online examiner training module clearly articulates
   expected student performance standards. We used student achievement and
   student and examiner perceptions to gauge the performance of this new
   assessment form over 2 implementation years.
   RESULTS: The SCBD was feasible to implement for a large student cohort
   and was acceptable to students and examiners. Most students and all
   examiners agreed that the SCBD discussion provided useful information on
   students' DR. The assessment had acceptable internal consistency, and
   the associations with other assessment formats were small and positive.
   suggesting that the SCBD measures a related. yet novel construct.
   CONCLUSIONS: Rigorous. standardized oral assessments have a place in a
   programme of assessment in initial medical training because they provide
   opportunities to explore DR that are limited in other formats. We plan
   to incorporate an SCBD into our clinical assessments for the first year
   of clinical training, where teaching and assessing basic DR is
   emphasized. We will also explore further examiners understanding of and
   approach to assessing DR.
RI Reid, Kate/AGT-3435-2022; Chiavaroli, Neville/I-8171-2019; Reid, Katharine/
OI Chiavaroli, Neville/0000-0003-1488-9747; Reid,
   Katharine/0000-0002-4600-8847
ZA 0
ZS 0
TC 3
ZB 0
Z8 0
ZR 0
Z9 3
U1 0
U2 2
SN 2382-1205
UT WOS:000468552100001
PM 31206032
ER

PT J
AU Costantino, Ryan C.
   Felten, Natalee
   Todd, Marisa
   Maxwell, Terri
   McPherson, Mary Lynn
TI A Survey of Hospice Professionals Regarding Medical Cannabis Practices
SO JOURNAL OF PALLIATIVE MEDICINE
VL 22
IS 10
BP 1208
EP 1212
DI 10.1089/jpm.2018.0535
EA MAY 2019
PD OCT 1 2019
PY 2019
AB Introduction: With medical cannabis (MC) remaining illegal at the
   federal level, hospice programs are unsure how to handle requests for
   MC, particularly since hospice is largely funded with federal dollars.
   The purpose of this survey was to determine respondents' comfort level
   with MC use in hospice, what processes and logistics hospice programs
   are employing when dealing with MC, and to determine what, if any,
   education hospice programs are providing to their staff. Methods: An
   anonymous online survey assessed a variety of factors surrounding
   hospice staff practice, experience, and opinions regarding MC. The
   survey was disseminated to employees of clients of a large hospice
   benefit manager as well as through a national hospice and palliative
   medicine professional organization. Results: Three hundred ten hospice
   professionals responded to the survey. More than half of the respondents
   were nurses followed by administrators and physicians. Regardless of
   legal status, hospice staff members were overwhelmingly in agreement
   that MC is appropriate for hospice patients to have access to and use.
   Several barriers to use were identified including discordant legal
   status between state and federal governments, concerns about clinical
   efficacy and safety, and a myriad of other societal factors. Wide
   variations in MC documentation and education practices between hospices
   were noted. Discussion: The data suggest overwhelming support for MC use
   in the hospice setting. Our findings highlight important opportunities
   to support hospice providers and their patients through education and
   the development of policies around MC.
RI Costantino, Ryan/AAN-6394-2020
ZS 0
ZR 0
TC 14
Z8 0
ZA 0
ZB 5
Z9 14
U1 0
U2 1
SN 1096-6218
EI 1557-7740
UT WOS:000469295300001
PM 31094609
ER

PT J
AU Duclos, Philippe
   Martinez, Lindsay
   MacDonald, Noni
   Asturias, Edwin
   Nohynek, Hanna
   Lambert, Paul-Henri
   Afaayo, Rachel
   Andersson, Lizzelott
   Angele, Sandra
   Arora, Narendra
   Ashfield, Rebecca
   Asturias, Edwin
   Beal, Amanda Shortell
   Bose, Anuradha
   Comiadiere, Behazine
   Costa Clemens, Sue Ann
   Cutland, Clare
   Dochez, Carine
   Duclos, Philippe
   Finan, Amy
   Finn, Adam
   Gambillara Fonck, Veronica
   Kagina, Benjamin
   Kane, Ndeye Coumba Toure
   Koeck, Jean-Louis
   Kraehenbuhl, Jean-Pierre
   Lambert, Paul-Henri
   Lindstrand, Ann
   Lynch, Julia Anne
   Macdonald, Noni
   Malande, Oliver Ombeva
   Martinez, Lindsay
   Meric, Claude
   Mosina, Liudmila
   Muloiwa, Rudzani
   Nohynek, Hanna
   Pansier, Benedicte
   Pattyn, Jade
   Paul, Stephane
   Phalipon, Armelle
   Podda, Audino
   Rodewald, Lance
   Scott, Anthony
   Talbot, Keipp
   Tikoo, Suresh
   Tipping, Jane
   Van Damme, Pierre
   Wang, Likui
   Wouters, Ine
CA Global Vaccinology Training Works
TI Global vaccinology training: Report from an ADVAC workshop
SO VACCINE
VL 37
IS 22
BP 2871
EP 2881
DI 10.1016/j.vaccine.2019.02.062
PD MAY 16 2019
PY 2019
AB At a workshop on 7-8 November 2018 the leaders of 26 advanced
   vaccinology courses met to carry out an extensive review of the existing
   courses worldwide, in order to identify education gaps and future needs
   and discuss potential collaboration. The main conclusions of the
   workshop concerned: opportunities for strengthening and expanding the
   global coverage of vaccinology training; evaluation of vaccinology
   courses; updating knowledge after the course; how to facilitate
   post-course 'cascade' training; developing and sharing best practices;
   the application of online and innovative approaches in adult education;
   and how to reduce costs and facilitate wider access to vaccinology
   training. The importance of collaboration and information exchange
   through networks of alumni and between courses was stressed. A web
   platform to provide information about existing courses for potential
   applicants is needed. Lack of sustainable funding is a constraint for
   vaccinology training and needs to be addressed. (C) 2019 The Authors.
   Published by Elsevier Ltd.
RI Muloiwa, Rudzani/AAG-8139-2021; Muloiwa, Rudzani/AAY-7338-2020; van damme, pierre/; Asturias, Edwin/D-9842-2016; Malande, Ombeva/
OI Muloiwa, Rudzani/0000-0002-4527-0827; van damme,
   pierre/0000-0002-8642-1249; Asturias, Edwin/0000-0002-1275-0787;
   Malande, Ombeva/0000-0002-1840-7402
ZS 0
ZA 0
ZR 0
TC 3
ZB 2
Z8 1
Z9 4
U1 0
U2 5
SN 0264-410X
EI 1873-2518
UT WOS:000469151500001
PM 30898392
ER

PT J
AU Madsen, Kristoffer Panduro
   Cleal, Bryan
   Olesen, Kasper
   Hagelund, Lise
   Willaing, Ingrid
TI Willingness to pay for flexibility at the workplace for people with
   diabetes and chronic disease: a discrete choice experiment in a
   population of workers in Denmark
SO BMC PUBLIC HEALTH
VL 19
AR 584
DI 10.1186/s12889-019-6919-6
PD MAY 16 2019
PY 2019
AB BackgroundThe number of people of working age suffering from chronic
   disease is increasing. Chronic diseases such as diabetes can cause
   negative work-related consequences in the form of early retirement or
   absenteeism. Providing flexible workplace accommodations may enable the
   person with diabetes to retain their position in the labor market.
   However, the successfulness of such accommodations depends largely on
   the perceptions of those not suffering from diabetes. The purpose of
   this study was to examine preferences of a population of workers in
   Denmark for flexibility at the workplace, for people with diabetes and
   for people with chronic disease in general, measured as their
   willingness to pay (WTP).MethodsRespondents were drawn from online
   panels and randomized to answer an online survey regarding flexibility
   at the workplace for people with diabetes or chronic disease in general.
   One thousand one hundredand three respondents were included in the
   analysis. Based on discrete choice experiments included in the survey,
   we analyzed WTP for five flexibility attributes: part-time, customizing
   job description, additional break with pay and time off for medical
   visits with and without pay. We further examined perceptions of the
   employer's responsibility to ensure workplace flexibility for five
   different specific chronic diseases including diabetes. Finally, we
   analyzed differences in WTP for flexibility across
   subgroups.ResultsRespondents' WTP was significantly higher for chronic
   disease in general compared to diabetes for the possibility of part-time
   (81Euro/month vs. 47Euro/month, p<0.001) and customizing job description
   (58Euro/month vs. 41Euro/month, p=0.018) attributes, as well as for the
   overall average (49Euro/month vs. 36Euro/month, p=0.008). Ensuring
   workplace flexibility for patients with a specific chronic disease other
   than diabetes (cancer, heart disease, arthritis and COPD) was to a
   higher degree considered a responsibility of the employer. Average WTP
   for flexibility varied across subgroups, consistently yielding a larger
   amount for chronic disease in general.ConclusionsThe population examined
   in this study are willing to pay less for flexibility at the workplace
   for people with diabetes compared to people with chronic disease in
   general. This finding was evident in terms of specific flexibility
   attributes and on average across subgroups.
RI Madsen, Kristoffer Panduro/O-5306-2019; cleal, bryan/AAJ-5464-2021; Willaing, Ingrid/; Cleal, Bryan/
OI Madsen, Kristoffer Panduro/0000-0002-5029-7418; Willaing,
   Ingrid/0000-0002-3082-8816; Cleal, Bryan/0000-0003-3065-7364
ZS 0
ZR 0
ZB 1
TC 2
ZA 0
Z8 0
Z9 2
U1 0
U2 8
SN 1471-2458
UT WOS:000468435000004
PM 31096952
ER

PT J
AU Beeken, Rebecca J.
   Haviland, Joanne S.
   Taylor, Claire
   Campbell, Anna
   Fisher, Abigail
   Grimmett, Chloe
   Ozakinci, Gozde
   Slater, Sarah
   Wilson, Iseult
   Hubbard, Gill
TI Smoking, alcohol consumption, diet and physical activity following stoma
   formation surgery, stoma-related concerns, and desire for lifestyle
   advice: a United Kingdom survey
SO BMC PUBLIC HEALTH
VL 19
AR 574
DI 10.1186/s12889-019-6913-z
PD MAY 15 2019
PY 2019
AB BackgroundAdherence to smoking, alcohol consumption, diet and physical
   activity (PA) guidelines may improve outcomes for people with a stoma. A
   better understanding of these behaviours following stoma formation
   surgery and their experiences and attitudes towards receiving lifestyle
   advice, could help identify specific gaps and inform interventions going
   forward. The aim of this study was to describe changes in current
   lifestyle following stoma formation and to explore concerns, desire for
   lifestyle information, advice and support among people who have or have
   had a stoma.MethodsA sample of adults who currently had or in the past
   had a stoma for treatment for any medical condition was recruited online
   through relevant charities and companies, and invited to complete a
   cross-sectional, online survey. Consenting participants (n=425) provided
   demographic information and completed brief, validated questionnaires
   about their lifestyle, alongside questions around their concerns
   regarding permanent stoma and experiences of lifestyle information and
   advice. Responses were summarised using descriptive statistics, and
   associations between reported concerns about stoma and changes in health
   behaviours were explored.ResultsMost respondents (93%) still had a stoma
   at the time of completing the survey. The majority (80%) had not
   consumed at least 5 portions of fruit and vegetables on the previous day
   and 20% reported they had not participated in at least 30min of physical
   activity on any day in the previous week. Most respondents were
   non-smokers (84%) and did not exceed recommendations for alcohol intake
   (60%). Most (56%) felt their PA had decreased following stoma formation.
   Frequencies of concerns about a permanent stoma were high, and appeared
   to be associated with reported decreases in PA. Of those reporting
   nausea, 40% felt their diet had worsened since having their stoma. A
   large proportion of respondents had not received PA (42%) or dietary
   (30%) advice, and of these >90% would have liked guidance.ConclusionsFew
   respondents to this survey were eating the recommended amount of fruit
   and vegetables, and most reported a decrease in their PA following stoma
   surgery. Lifestyle advice would be welcomed by this population, which
   professionals should take into account when addressing stoma- related
   concerns.
RI Ozakinci, Gozde/B-7897-2012; Beeken, Rebecca/; Hubbard, Gill/; Wilson, Iseult M/
OI Ozakinci, Gozde/0000-0001-5869-3274; Beeken,
   Rebecca/0000-0001-8287-9351; Hubbard, Gill/0000-0003-2165-5770; Wilson,
   Iseult M/0000-0002-5107-2843
ZS 0
Z8 1
ZA 0
TC 9
ZR 0
ZB 0
Z9 10
U1 1
U2 8
SN 1471-2458
UT WOS:000468071100001
PM 31092219
ER

PT J
AU Shimizu, Ikuo
   Nakazawa, Hideyuki
   Sato, Yoshihiko
   Wolfhagen, Ineke H. A. P.
   Koenings, Karen D.
TI Does blended problem-based learning make Asian medical students active
   learners?: a prospective comparative study
SO BMC MEDICAL EDUCATION
VL 19
AR 147
DI 10.1186/s12909-019-1575-1
PD MAY 15 2019
PY 2019
AB BackgroundAsian educators have struggled to implement problem-based
   learning (PBL) because students rarely discuss their work actively and
   are not sufficiently engaged in self-directed learning. Supplementing
   PBL with additional e-learning, i.e. blended' PBL (bPBL), could
   stimulate students' learning process.MethodsWe investigated the effects
   of bPBL on tutorial group functioning (discussion, self-efficacy,
   self-directed learning, active participation, and tutor's perceived
   authority) and students' level of acceptance of the e-learning elements.
   We compared PBL and bPBL in a medical university in Japan. In the bPBL
   condition, the tutor's instructions were replaced with online materials
   and short quizzes. After the course, a 13-item questionnaire using a
   5-point Likert scale was distributed regarding the tutorial group
   functioning of the tutorial group (influence of discussion,
   self-efficacy, self-directed learning, active participation, and tutors'
   authority). The mean scores of subscales were compared with analysis of
   covariance. Knowledge levels were measured using a pre-test post-test
   design. A multiple regression analysis was performed to explore the
   association between e-learning acceptance and the subscales related to
   PBL.ResultsNinety-six students participated in the study (PBL: n=24,
   bPBL: n=72). Self-efficacy and motivation for learning triggered by
   group discussions was significantly higher for students in bPBL (p=0.032
   and 0.007, respectively). Knowledge gain in test scores was also
   significantly better in the bPBL condition (p=0.026), and self-directed
   learning related positively to the acceptance of blended learning
   (p=0.044).ConclusionsbPBL seemed more effective in promoting active
   learning and improving knowledge, without affecting tutors' authority.
   Implementing e-learning into PBL is suggested to be an effective
   strategy in the Asian context.
RI Könings, Karen/F-2972-2015; Nakazawa, Hideyuki/Z-1259-2019; Shimizu, Ikuo/
OI Könings, Karen/0000-0003-0063-8218; Shimizu, Ikuo/0000-0002-6731-7104
ZA 0
ZB 3
TC 17
Z8 0
ZS 2
ZR 0
Z9 19
U1 4
U2 31
EI 1472-6920
UT WOS:000468055400002
PM 31092243
ER

PT J
AU AlRuthia, Yazed
   Alhawas, Solaiman
   Alodaibi, Faris
   Almutairi, Lama
   Algasem, Reem
   Alrabiah, Haitham K.
   Sales, Ibrahim
   Alsobayel, Hana
   Ghawaa, Yazeed
TI The use of active learning strategies in healthcare colleges in the
   Middle East
SO BMC MEDICAL EDUCATION
VL 19
AR 143
DI 10.1186/s12909-019-1580-4
PD MAY 14 2019
PY 2019
AB BackgroundMultiple studies have explored the use of active learning
   strategies among faculty members in different healthcare colleges
   worldwide, however, very few have described the use of these strategies
   in the Middle East. The aim of this study was to evaluate the extent of
   the implementation of active learning and its various techniques across
   different fields of healthcare education in various countries in the
   Middle East.MethodsA Web-based questionnaire was developed to obtain
   information on the use of active learning methods. This survey was
   disseminated among faculty members in healthcare colleges in 17 Middle
   Eastern countries.ResultsOut of 22,734 online invitations that were sent
   to faculty members in different healthcare colleges, 2085 (9.17%)
   accepted the invitations, however, only 722 (34.63%) of those who agreed
   to participate filled out the questionnaire. Eighty-seven percent of the
   responders utilized at least one technique of active learning. Active
   learning was used more frequently by female responders. For example,
   54.30% of the female responders reported using learning by teaching as
   one of their teaching methods compared to 41.30% of their male
   counterparts (p=0.0005). The various forms of active learning were used
   at similar levels in both public and private healthcare colleges. Only
   minor differences were seen among different age groups or academic
   positions of the responders, but significant variabilities were noted
   among the several fields of healthcare education. For example, 61.54% of
   responders from the nursing faculty reported using reaction to videos as
   one of their teaching methods compared to 31.11% of their counterparts
   in the faculty of dentistry (p=0.0021). The most frequently reported
   obstacles interfering with the effectuation of active learning include
   the lack of technical support and time constraints.ConclusionsAlthough
   some barriers to the implementation of active learning exist, it is
   extensively used by faculty members in healthcare colleges in the Middle
   East.
RI Alodaibi, Faris/O-3314-2019; Sales, Ibrahim/ABD-1682-2020; AlRabiah, Haitham/S-6017-2018; Alsobayel, Hana/AGU-6834-2022; Alsobayel, Hana I./AAE-8926-2022; AlRuthia, Yazed/
OI Alodaibi, Faris/0000-0003-4471-768X; Sales, Ibrahim/0000-0002-8279-403X;
   Alsobayel, Hana I./0000-0002-8366-5555; AlRuthia,
   Yazed/0000-0002-0029-5924
ZA 0
ZS 1
ZR 0
TC 12
Z8 0
ZB 0
Z9 13
U1 0
U2 2
EI 1472-6920
UT WOS:000468054900001
PM 31088430
ER

PT J
AU Jalil, Rabiya
   Warren, Robert
   Ma, Irene W. Y.
TI Point of care ultrasound training needs for primary care physicians:
   Practice setting matters
SO COGENT EDUCATION
VL 6
IS 1
AR 1617826
DI 10.1080/2331186X.2019.1617826
PD MAY 13 2019
PY 2019
AB Background: Point of care ultrasound (POCUS) is increasingly used in
   primary care. This study seeks to determine the educational needs of
   primary care physicians. Methods: All primary care practitioners in
   Calgary, Alberta, on the electronic departmental newsletter distribution
   list were invited to participate in an online survey. Interests in
   learning 25 POCUS applications and 9 procedures were assessed using a
   5-point Likert scale. Results: Of the 1394 members on the distribution
   list, 96 responded. Of these, 88 completed the survey. The majority of
   the participants (n = 69, 78%) were office-based while 19 (21%) were
   hospital-based. The top applications for office-based participants
   included: (1) confirming fetal heart rate, (2) assessing fetal lie, and
   (3) confirming intrauterine pregnancy. For hospital-based participants,
   these were: (1) assessing soft tissue/superficial abscesses, (2) looking
   for ascites, and (3) confirming volume status of the patient. Of the 75
   participants who perform procedures, both office- and hospital-based
   participants were most interested in learning incision and drainage for
   superficial abscesses and joint aspirations/injections; other procedural
   interests significantly differed between the two groups. Conclusions:
   Interests of office-based primary care practitioners in learning POCUS
   differed significantly from hospital-based practitioners. We recommend
   that separate office vs. hospital practice streams be offered to address
   their educational needs.
OI Ma, Irene/0000-0002-7580-0171
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
TC 1
Z9 1
U1 0
U2 0
SN 2331-186X
UT WOS:000469222100001
ER

PT J
AU Lu, Xinyi
   Zhang, Runtong
TI Impact of Physician-Patient Communication in Online Health Communities
   on Patient Compliance: Cross-Sectional Questionnaire Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 5
AR e12891
DI 10.2196/12891
PD MAY 13 2019
PY 2019
AB Background: In China, the utilization of medical resources is tense, and
   most hospitals are highly congested because of the large population and
   uneven distribution of medical resources. Online health communities
   (OHCs) play an important role in alleviating hospital congestions,
   thereby improving the utilization of medical resources and relieving
   medical resource shortages. OHCs have positive effects on
   physician-patient relationships and health outcomes. Moreover, as one of
   the main ways for patients to seek health-related information in OHCs,
   physician-patient communication may affect patient compliance in various
   ways. In consideration of the inevitable development of OHCs, although
   they have several shortcomings, identifying how physician-patient
   communication can impact patient compliance is important to improve
   patients' health outcomes through OHCs.
   Objective: This study aimed to investigate the impact of
   physician-patient communication on patient compliance in OHCs through
   the mediation of the perceived quality of internet health information,
   decision-making preference, and physician-patient concordance, using an
   empirical study based on the self-determination theory.
   Methods: A research model was established, including 1 independent
   variable (physician-patient communication), 3 mediators (perceived
   quality of internet health information, decision-making preference, and
   physician-patient concordance), 1 dependent variable (patient
   compliance), and 4 control variables (age, gender, living area, and
   education level). Furthermore, a Web-based survey involving 423 valid
   responses was conducted in China to collect data, and structural
   equation modeling and partial least squares were adopted to analyze data
   and test the hypotheses.
   Results: The questionnaire response rate was 79.2% (487/615) and the
   validity rate was 86.9% (423/487); reliability and validity are
   acceptable. The communication between physicians and patients in OHCs
   positively affects patient compliance through the mediation of the
   perceived quality of internet health information, decision-making
   preference, and physician-patient concordance. Moreover,
   physician-patient communication exhibits similar impacts on the
   perceived quality of internet health information, decision-making
   preference, and physician-patient concordance. Patients' decision-making
   preference shows the weakest impact on patient compliance compared with
   the other 2 mediators. Ultimately, all 3 mediators play a partially
   mediating role between physician-patient communication and patient
   compliance.
   Conclusions: We conclude that physician-patient communication in OHCs
   exhibits a positive impact on patient compliance; thus, patient
   compliance can be improved by guiding physician-patient communication in
   OHCs. Furthermore, our findings suggest that physicians can share
   high-quality health information with patients, discuss benefits, risks,
   and costs of treatment options with patients, encourage patients to
   express their attitudes and participate in health-related decision
   making, and strengthen the emotional connection with patients in OHCs,
   thereby decreasing patients' misunderstanding of information and
   increasing concordance between physicians and patients. OHCs are
   required to not only strengthen the management of their published health
   information quality but also understand users' actual attitudes toward
   information quality and then try to reduce the gap between the perceived
   and actual quality of information.
OI Lu, Xinyi/0000-0001-9379-4935
ZS 0
ZB 0
ZR 0
TC 28
ZA 0
Z8 0
Z9 28
U1 14
U2 76
SN 1438-8871
UT WOS:000468100400001
PM 31094342
ER

PT J
AU Williams, Cylie M.
   Nester, Chris
   Morrison, Stewart C.
TI International approaches to paediatric podiatry curricula: It's the
   same, but different
SO JOURNAL OF FOOT AND ANKLE RESEARCH
VL 12
AR 28
DI 10.1186/s13047-019-0339-9
PD MAY 8 2019
PY 2019
AB IntroductionPre-registration / entry-level programmes of study provide
   the core knowledge, skills and abilities required for clinical practice.
   These programmes are where students are introduced to specialist domains
   of practice and begin to shape their professional interests. The aim of
   this research was to describe paediatric curricula within
   pre-registration and entry level podiatry programmes across comparable
   universities and offer a contemporary synthesis of international
   practices.MethodsAn exploratory, cross-sectional, online survey was
   undertaken across a three-month period. Representatives from podiatry
   programmes delivering pre-registration or entry level podiatry degrees
   in which graduates are eligible for Professional and Statutory Body
   registration within their country (deemed at a Bachelor degree or
   higher), were invited to participate. The survey was administered online
   using Online Surveys. Descriptive statistics were used to describe the
   data due to the exploratory nature of the research question and
   design.ResultsThere were responses from seven (54% of 13) universities
   in the United Kingdom (UK), nine (100% of nine) universities in
   Australia and four (50% of eight) of the invited universities external
   to the UK and Australia (New Zealand, Malta, Ireland, South Africa).
   There was some variation in curriculum content, but all universities
   reported to cover ontogeny and developmental milestones and general
   paediatric orthopaedic conditions. There was further discrepancy with
   the number of hours dedicated to paediatric podiatry within the
   curricula (ranging from <5h to >26h).ConclusionThe findings from this
   study highlight some disparity in the delivery of training for students
   relating to paediatrics. The data suggests that there is a need for
   international coordination in establishing priorities for the paediatric
   curricula. This will ensure consistency in baseline knowledge, modes of
   training, amount and nature of curriculum delivery during undergraduate
   or entry level podiatry training.
RI Williams, Cylie/AAB-4010-2019; Nester, christopher/; Morrison, Stewart/
OI Williams, Cylie/0000-0002-0223-9141; Nester,
   christopher/0000-0003-1688-320X; Morrison, Stewart/0000-0003-0989-0903
ZS 0
ZR 0
ZB 0
TC 3
ZA 0
Z8 0
Z9 3
U1 0
U2 0
SN 1757-1146
UT WOS:000467604600001
PM 31086569
ER

PT J
AU Subbarayalu, Arun Vijay
   Al Kuwaiti, Ahmed
TI Quality of work life (QoWL) of faculty members in Saudi higher education
   institutions A comparison between undergraduate medical and engineering
   program
SO INTERNATIONAL JOURNAL OF EDUCATIONAL MANAGEMENT
VL 33
IS 4
BP 768
EP 779
DI 10.1108/IJEM-11-2017-0311
PD MAY 7 2019
PY 2019
AB Purpose Higher education institutions understand the importance of the
   quality of work life (QoWL) since it directly impacts faculty members'
   involvement in providing high-quality teaching. The purpose of this
   paper is to compare the QoWL of faculty members in undergraduate medical
   and undergraduate engineering programs offered at Imam Abdulrahman Bin
   Faisal University, Saudi Arabia. Design/methodology/approach An
   exploratory study design was adopted and 100 faculty members from each
   program were selected. A pretested QoWL questionnaire was distributed
   among faculty members using the Questionpro online survey portal.
   Findings Results showed that there is no significant difference between
   the two programs with regard to the overall QoWL (p>0.05). However, a
   significant difference was observed with respect to dimensions such as
   "working condition/environment," "psychosocial factors at work place"
   and "job satisfaction and job security." Also, there is a positive
   relationship observed between all the dimensions of QoWL (p<0.05).
   Originality/value This study will help educational policy planners to
   understand the differences in QoWL of faculty members in different
   programs so as to develop appropriate strategies for its improvement.
RI Subbarayalu, Arun Vijay/H-9810-2012
OI Subbarayalu, Arun Vijay/0000-0002-5758-118X
ZA 0
ZS 0
ZB 0
Z8 0
TC 1
ZR 0
Z9 1
U1 1
U2 8
SN 0951-354X
EI 1758-6518
UT WOS:000465040900018
ER

PT J
AU Snyman, Stefanus
   Geldenhuys, Maryke
TI Exposing an interprofessional class of first years to an underserved
   community contributed to students' contextualisation of the determinants
   of health
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 33
IS 3
SI SI
BP 280
EP 290
DI 10.1080/13561820.2019.1566219
PD MAY 4 2019
PY 2019
AB Students often find the primarily theoretical, classroom-based teaching
   of Public Health early on in undergraduate health professions curricula
   boring, failing to see its relevance for their future careers. An
   innovative approach to this challenge, based on social constructivist
   theory, was introduced at a South African university. First-year
   students were divided into interprofessional groups to visit an
   underserved community. In preparation for this experience, groups
   gathered information on their community after attending
   lectures/workshops. The objective of this study was to determine how
   exposing an interprofessional class of first years to an underserved
   community, contributed to students' contextualisation of the
   determinants of health. A mixed method methodology was used. Data were
   generated by analysing 40 randomly selected reflective reports and an
   online questionnaire (completed by 85% of the class) following the
   community visit. Data showed that it is after this first-hand exposure
   that students had a deeper affective-cognitive realisation of health
   inequity and was able to better contextualise the impact of determinants
   of health on individuals and communities. This community visit gave
   students a better grasp of what is needed to collaborate
   interprofessionally in addressing health inequity and served as
   intrinsic motivation to develop as change agents.
OI Snyman, Stefanus/0000-0003-3372-3304; Geldenhuys,
   Maryke/0000-0003-0150-4713
ZA 0
ZS 1
Z8 0
ZR 0
ZB 0
TC 4
Z9 5
U1 0
U2 1
SN 1356-1820
EI 1469-9567
UT WOS:000469269900004
PM 30664385
ER

PT J
AU Vandeborne, Liese
   van Overbeeke, Eline
   Dooms, Marc
   De Beleyr, Birgit
   Huys, Isabelle
TI Information needs of physicians regarding the diagnosis of rare
   diseases: a questionnaire-based study in Belgium
SO ORPHANET JOURNAL OF RARE DISEASES
VL 14
AR 99
DI 10.1186/s13023-019-1075-8
PD MAY 4 2019
PY 2019
AB BackgroundLate and misdiagnoses of rare disease patients are common and
   often result in medical, physical and mental burden for the patient, and
   financial and emotional burden for the patient's family. Low rare
   disease awareness among physicians is believed to be one of the reasons
   for these late and misdiagnoses of rare disease patients. The aim of
   this study was to investigate how information and education could be
   tailored to the needs and preferences of physicians in Belgium to
   increase their rare disease awareness and support them in diagnosing
   patients with a rare disorder. Nine exploratory interviews with Belgian
   rare disease experts were performed in December 2016 to help the
   development of a questionnaire on information needs of physicians and
   their consulted information sources in rare disease awareness and
   diagnosis. This online questionnaire was then completed by Belgian
   physicians (n=295), including general practitioners (GPs), pediatricians
   and other specialists (i.e. neurologists, pediatric neurologists,
   endocrinologists and pediatric endocrinologists) during January and
   February 2017.ResultsRare disease knowledge and awareness were the
   lowest among GPs and the highest among specialists. Interviewed experts
   indicated that physicians' academic and continuous medical education
   should be focused more on red flags to increase rare disease
   attentiveness in daily clinical practice. GPs scored their academic
   education on rare diseases as insufficient but pediatricians and other
   specialists scored it significantly better (p<0.001). Even though GPs
   declared to only need information on rare diseases when having a rare
   disease patient in their practice, specialists indicated to need more
   rare disease information in general. Most physicians confirmed that they
   had specific information needs regarding rare diseases. Unlike
   specialists, the majority of GPs were unaware of information sources
   such as Orphanet.ConclusionIn order to effectively support physicians in
   Belgium to diagnose rare diseases early, the academic medical education
   on rare diseases should be revised. Teaching methods should be focused
   more on casuistry and red flags. An Orphanet-like digital platform about
   rare disease symptoms, diagnostic tests and reference centers might be
   ideal to support correct and timely diagnosis.
RI Huys, Isabelle/M-8673-2016; van Overbeeke, Eline/
OI van Overbeeke, Eline/0000-0003-0073-9350
TC 37
ZA 0
Z8 1
ZR 0
ZB 15
ZS 0
Z9 38
U1 1
U2 6
SN 1750-1172
UT WOS:000466908200001
PM 31054581
ER

PT J
AU Toelle, Thomas R.
   Utpadel-Fischler, Daniel A.
   Haas, Katharina-Kristina
   Priebe, Janosch A.
TI App-based multidisciplinary back pain treatment versus combined
   physiotherapy plus online education: a randomized controlled trial
SO NPJ DIGITAL MEDICINE
VL 2
AR 34
DI 10.1038/s41746-019-0109-x
PD MAY 3 2019
PY 2019
AB Non-specific low back pain (LBP) is one of the leading causes of global
   disability. Multidisciplinary pain treatment (MPT) programs comprising
   educational, physical, and psychological interventions have shown
   positive treatment effects on LBP. Nonetheless, such programs are costly
   and treatment opportunities are often limited to specialized medical
   centers. mHealth and other digital interventions may be a promising
   method to successfully support patient self-management in LBP. To
   address these issues, we investigated the clinical effects of a
   multidisciplinary mHealth back pain App (Kaia App) in a randomized
   controlled trial (registered at German Clinical Trials Register under
   DRKS00016329). One-hundred one adult patients with non-specific LBP from
   6 weeks to 1 year were randomly assigned to an intervention group or a
   control group. In the intervention group, the Kaia App was provided for
   3 months. Control treatment consisted of six individual physiotherapy
   sessions over 6 weeks and high-quality online education. The primary
   outcome, pain intensity, was assessed at 12-week follow-up on an
   11-point numeric rating scale (NRS). Our per-protocol analysis showed no
   significant differences between the groups at baseline (Kaia App group:
   M = 5.10 (SD = 1.07) vs. control group: M = 5.41 (SD = 1.15). At 12-week
   follow-up the Kaia App group reported significantly lower pain intensity
   (M = 2.70 (SD = 1.51)) compared to the control group (M = 3.40 (SD =
   1.63)). Our results indicate that the Kaia App as a multidisciplinary
   back pain app is an effective treatment in LBP patients and is superior
   to physiotherapy in combination with online education.
ZS 0
TC 35
Z8 0
ZA 0
ZR 0
ZB 5
Z9 35
U1 0
U2 4
SN 2398-6352
UT WOS:000466790200002
PM 31304380
ER

PT J
AU Lunn, Mitchell R.
   Capriotti, Matthew R.
   Flentje, Annesa
   Bibbins-Domingo, Kirsten
   Pletcher, Mark J.
   Triano, Antony J.
   Sooksaman, Chollada
   Frazier, Jeffrey
   Obedin-Maliver, Juno
TI Using mobile technology to engage sexual and gender minorities in
   clinical research
SO PLOS ONE
VL 14
IS 5
AR e0216282
DI 10.1371/journal.pone.0216282
PD MAY 2 2019
PY 2019
AB Introduction
   Historical and current stigmatizing and discriminatory experiences drive
   sexual and gender minority (SGM) people away from health care and
   clinical research. Being medically underserved, they face numerous
   disparities that make them vulnerable to poor health outcomes. Effective
   methods to engage and recruit SGM people into clinical research studies
   are needed.
   Objectives
   To promote health equity and understand SGM health needs, we sought to
   design an online, national, longitudinal cohort study entitled The PRIDE
   (Population Research in Identity and Disparities for Equality) Study
   that enabled SGM people to safely participate, provide demographic and
   health data, and generate SGM health-related research ideas.
   Methods
   We developed an iPhone mobile application ("app") to engage and recruit
   SGM people to The PRIDE Study-Phase 1. Participants completed
   demographic and health surveys and joined in asynchronous discussions
   about SGM health-related topics important to them for future study.
   Results
   The PRIDE Study-Phase 1 consented 18,099 participants. Of them, 16,394
   provided data. More than 98% identified as a sexual minority, and more
   than 15% identified as a gender minority. The sample was diverse in
   terms of sexual orientation, gender identity, age, race, ethnicity,
   geographic location, education, and individual income. Participants
   completed 24,022 surveys, provided 3,544 health topics important to
   them, and cast 60,522 votes indicating their opinion of a particular
   health topic.
   Conclusions
   We developed an iPhone app that recruited SGM adults and collected
   demographic and health data for a new national online cohort study.
   Digital engagement features empowered participants to become committed
   stakeholders in the research development process. We believe this is the
   first time that a mobile app has been used to specifically engage and
   recruit large numbers of an underrepresented population for clinical
   research. Similar approaches may be successful, convenient, and
   cost-effective at engaging and recruiting other vulnerable populations
   into clinical research studies.
OI Lunn, Mitchell/0000-0002-0068-0814
TC 25
ZA 0
Z8 0
ZB 6
ZR 0
ZS 0
Z9 25
U1 1
U2 3
SN 1932-6203
UT WOS:000466511200067
PM 31048870
ER

PT J
AU Bevan, James
   Russell, Benjamin
   Marshall, Ben
TI A new approach to OSCE preparation - PrOSCEs
SO BMC MEDICAL EDUCATION
VL 19
AR 126
DI 10.1186/s12909-019-1571-5
PD MAY 2 2019
PY 2019
AB BackgroundObjectively structured clinical examinations (OSCEs) are a
   stressful experience for many health care students and professionals in
   training. Mock OSCEs have been shown to be beneficial for student OSCE
   preparation. However, due to their expense and administrative burden
   students may only get a few opportunities to partake in these. To
   address this gap in student preparation a series of regularly run
   totally peer led multi-role practice OSCEs (PrOSCEs) was
   developed.MethodsFifteen PrOSCEs were run over five-months. A total of
   32 second year medical students took part, all of whom were enrolled on
   the graduate-entry programme at the University of Southampton. In each
   PrOSCE, 18 participants rotated through the roles of student', examiner'
   and patient' in six simulated stations designed by their peers. Peer
   feedback was provided after each station. At the end of the series of
   PrOSCEs students were asked to fill in an anonymous online feedback
   survey to assess the usefulness of the PrOSCEs in exam
   preparation.ResultsTwenty-two students responded to the survey. 100% of
   respondents deemed routine participation either very useful' or useful'
   in preparing for their exam. PrOSCEs were found to improve confidence
   (mean=7.9/10, 95% CI 7.4-8.3), expected performance (mean=7.5/10, 95% CI
   6.8-8.2) and help guide revision (mean=8.3/10, 95% CI 7.6-9.0).
   Self-perceived teaching performance and confidence in providing feedback
   was also positively associated with participation. The most beneficial
   roles were student' and station creator'. Free-text feedback suggests
   that the informal setting and regular practice were particularly
   beneficial.ConclusionThe peer-led nature of the PrOSCEs allows for a low
   cost, low administrative burden and easy to replicate adjunct or
   alternative to large scale mock OSCEs. In addition the multi-role aspect
   of this approach could enhance exam preparation and may also improve
   aptitude as a clinical teacher. Further studies are required to
   understand if repeated practice has beneficial implications on OSCE
   performance.
OI MARSHALL, BEN/0000-0003-0946-0399; Bevan, James/0000-0002-7764-6972
ZS 1
ZB 0
ZA 0
Z8 0
TC 20
ZR 0
Z9 21
U1 3
U2 8
SN 1472-6920
UT WOS:000466931400009
PM 31046773
ER

PT J
AU McNab, Michelle
   Berry, Angela
   Skapetis, Tony
TI The potential of a lecture series in changing intent and experience
   among health professionals to conduct research in a large hospital: a
   retrospective pre-post design
SO BMC MEDICAL EDUCATION
VL 19
AR 124
DI 10.1186/s12909-019-1548-4
PD MAY 2 2019
PY 2019
AB BackgroundPromoting research capacity within public health can encourage
   and engage employees to undertake research, utilising their
   understanding of the complex needs that exist within the public health
   system to provide more relevant research outcomes. Despite this, there
   are a number of reasons cited by health care professionals as to why
   research is not undertaken, and a lack of support for research
   participation results in missed opportunities for experienced clinical
   and public health staff to gain research experience, expand the evidence
   base, and promote and support research. The aim of this study is to
   identify if education in research, delivered through a series of
   lectures at a large tertiary referral hospital, results in an increase
   in the experience and intent to conduct research.MethodsA series of six
   lectures to aid in the understanding and development of research were
   delivered to health employees, health care professionals, students and
   their associates within a large public Australian hospital. Following
   these lectures, a validated instrument was developed and asked
   respondents to assess their research activity, research training
   history, and experience in conducting research using a retrospective
   pre/post- test design.ResultsOver half (57.1%) of respondents (n=49)
   reported no previous researcher education training prior to the
   lectures. Following the lectures, reported researcher experience
   increased significantly in the areas of writing a research protocol,
   using qualitative research methods, publishing research, writing and
   presenting a research report, analysing and interpreting results, using
   quantitative research methods, generating research ideas, and applying
   for research funding. At 6months following the lecture series intent to
   be involved in further research was seen in the areas of submitting an
   ethics application, analysing qualitative and quantitative research
   data, and research funding applications.ConclusionsSix one hour face to
   face research lectures can improve self-reported levels of intention to
   become involved in research as well as research experience amongst
   hospital health care professionals at 6 months. This traditional
   modality of education should still be considered as relevant strategy in
   building research capacity as measured innovatively using a
   retrospective pre/post test methodology.
OI Skapetis, Tony/0000-0003-0401-9908; McNab, Michelle/0000-0002-8446-5846
Z8 0
ZR 0
ZA 0
ZS 0
TC 2
ZB 0
Z9 2
U1 0
U2 1
SN 1472-6920
UT WOS:000466931400003
PM 31046770
ER

PT J
AU Harkin, Nicole
   Johnston, Emily
   Mathews, Tony
   Guo, Yu
   Schwartzbard, Arthur
   Berger, Jeffrey
   Gianos, Eugenia
TI Physicians' Dietary Knowledge, Attitudes, and Counseling Practices: The
   Experience of a Single Health Care Center at Changing the Landscape for
   Dietary Education
SO AMERICAN JOURNAL OF LIFESTYLE MEDICINE
VL 13
IS 3
BP 292
EP 300
DI 10.1177/1559827618809934
PD MAY 2019
PY 2019
AB Morbidity and mortality associated with cardiovascular disease can be
   significantly modified through lifestyle interventions, yet there is
   little emphasis on nutrition and lifestyle in medical education.
   Improving nutrition education for future physicians would likely lead to
   improved preparedness to counsel patients on lifestyle interventions. An
   online anonymous survey of medical residents, cardiology fellows, and
   faculty in Internal Medicine and Cardiology was conducted at New York
   University Langone Health assessing basic nutritional knowledge,
   self-reported attitudes and practices. A total of 248 physicians
   responded (26.7% response rate). Nutrition knowledge was fair, but few
   (13.5%) felt adequately trained to discuss nutrition with patients. A
   majority (78.4%) agreed that additional training in nutrition would
   allow them to provide better clinical care. Based on survey responses, a
   dedicated continuing medical education (CME) conference was developed to
   improve knowledge and lifestyle counseling skills of healthcare
   providers. In postconference evaluations, attendees reported improved
   knowledge of evidence-based lifestyle interventions. Most noted that
   they would prescribe a Mediterranean or plant-based diet and would make
   changes to their practice based on the conference. An annual CME
   conference on diet and lifestyle can effectively help interested
   providers overcome barriers to lifestyle change in clinical practice
   through improved nutrition knowledge.
OI Gianos, Eugenia/0000-0001-7720-7470; Johnston,
   Emily/0000-0003-0389-6626; Berger, Jeffrey/0000-0001-8216-4647
ZB 2
TC 16
ZR 0
ZS 0
ZA 0
Z8 0
Z9 16
U1 1
U2 5
SN 1559-8276
EI 1559-8284
UT WOS:000468941400012
PM 31105493
ER

PT J
AU Sinclair, Julia
   Vaccari, Emma
   Tiwari, Abhinav
   Saville, Franklin
   Ainsworth, Ben
   Woods-Townsend, Kathryn
TI Impact of Personal Alcohol Consumption on Aspects of Medical Student
   Alcohol-Related Competencies
SO ALCOHOL AND ALCOHOLISM
VL 54
IS 3
BP 325
EP 330
DI 10.1093/alcalc/agz033
PD MAY 2019
PY 2019
AB Aim: As part of the prevention and management of alcohol-related harms,
   health professionals need to be competent to assess the level of alcohol
   use in patients. In this study, we explored how medical students' own
   alcohol consumption impacts on their familiarity with alcohol brands,
   strengths and alcohol-related harms.
   Methods: As part of a wider study investigating the concept of 'alcohol
   health literacy', this study combined an anonymous online survey, linked
   to an electronic alcohol 'brand' recognition game. Participants were
   medical students in their first clinical year. The survey recorded
   demographics, self-reported alcohol consumption (using the AUDIT-C), a
   visual test of relative alcohol concentrations of wine, beer and
   spirits, and a free-text response asking them to list alcohol-related
   harms. Participants then completed the brand recognition game recording
   accuracy and reaction time for identifying alcohol drink brands.
   Results: One hundred and fifty students participated. There was a
   significant effect of ethnicity on drinking status, with 48% of
   non-white participants scoring zero on the AUDIT-C. Students who
   reported any alcohol consumption were more likely to correctly assess
   relative alcohol concentrations and were faster and more accurate at
   recognizing alcohol brands, which was dose dependent. Overall, only 45%
   correctly recognized relative alcohol strengths of drinks presented.
   Conclusions: Among third-year medical students, ability to correctly
   identify relative strengths of alcoholic drinks is low. As might be
   expected, students who drink alcohol tend to identify brands and
   strengths more accurately. This has implications for how best to tailor
   the delivery of teaching and training about alcohol to ensure similar
   levels of clinical confidence in dealing with future patients regardless
   of personal experience.
RI Sinclair, Julia/AAD-8049-2019; Houston, Mary/; Godfrey, Keith/; Woods-Townsend, Kathryn/; Ainsworth, Ben/
OI Sinclair, Julia/0000-0002-1905-2025; Houston, Mary/0000-0002-8837-4503;
   Godfrey, Keith/0000-0002-4643-0618; Woods-Townsend,
   Kathryn/0000-0003-3376-6988; Ainsworth, Ben/0000-0002-5098-1092
ZS 0
TC 3
ZA 0
ZR 0
Z8 0
ZB 0
Z9 3
U1 2
U2 3
SN 0735-0414
EI 1464-3502
UT WOS:000490506300018
PM 31087086
ER

PT J
AU Dempsey, Amanda F.
   Wagner, Nicole
   Narwaney, Komal
   Pyrzanowski, Jennifer
   Kwan, Bethany M.
   Kraus, Courtney
   Gleason, Kathy
   Resnicow, Ken
   Sevick, Carter
   Cataldi, Jessica
   Brewer, Sarah E.
   Glanz, Jason M.
TI 'Reducing Delays In Vaccination' (REDIVAC) trial: a protocol for a
   randomised controlled trial of a web-based, individually tailored,
   educational intervention to improve timeliness of infant vaccination
SO BMJ OPEN
VL 9
IS 5
AR e027968
DI 10.1136/bmjopen-2018-027968
PD MAY 2019
PY 2019
AB Introduction Increasing numbers of children are failing to receive many
   recommended vaccines, which has led to significant outbreaks of
   vaccine-preventable diseases in the USA and worldwide. A major driver of
   undervaccination is parental vaccine hesitance. Prior research
   demonstrates that mothers are the primary decision maker for infant
   vaccination, and that their vaccination attitudes form primarily during
   pregnancy and early in their infant's life.
   Methods and analysis This manuscript describes the protocol for an
   ongoing three-armed randomised controlled trial done at Kaiser
   Permanente Colorado (KPCO). The trial aims to test the efficacy of
   provided tailored, individualised information via the Internet to
   pregnant and new mothers versus untailored information versus usual care
   on the timeliness of infant vaccination. The primary outcome to be
   assessed is vaccination status, which is a dichotomous outcome (up to
   date vs not) assessed at age 200 days, reflecting the time when infants
   should have completed the first set of vaccine provided (at age 2, 4 and
   6 months). Infants with one or more age-appropriate recommended vaccines
   at least 30 days delayed are categorised as not up to date whereas all
   other infants are considered up to date. Secondary outcomes include
   vaccination status at age 489 days, reflecting receipt of recommended
   vaccines at age 12-15 months, as well as vaccination attitudes,
   hesitancy and intention. Vaccination data will be derived from the
   electronic medical record and the state immunisation registry. Other
   secondary outcomes will be assessed by online surveys.
   Ethics and dissemination The study activities were approved by the
   Institutional Review Boards of the University of Colorado, KPCO and the
   University of Michigan. Results will be disseminated through
   peer-reviewed manuscripts and conference presentations.
RI Cataldi, Jessica/Y-6544-2019; Brewer, Sarah/AAG-7535-2019; Brewer, Sarah E./
OI Cataldi, Jessica/0000-0002-4480-0304; Brewer, Sarah
   E./0000-0003-0063-6626
ZR 0
Z8 0
TC 9
ZB 6
ZS 0
ZA 0
Z9 9
U1 2
U2 3
SN 2044-6055
UT WOS:000471192800317
PM 31122997
ER

PT J
AU Chan, Ana Yoe-Cheng Chang
   ten Cate, Olle
   Custers, Eugene J. F. M.
   van Leeuwen, Maarten S.
   Bleys, Ronald L. A. W.
TI Approaches of anatomy teaching for seriously resource-deprived
   countries: A literature review
SO EDUCATION FOR HEALTH
VL 32
IS 2
BP 62
EP 74
DI 10.4103/efh.EfH_272_17
PD MAY-AUG 2019
PY 2019
AB Background: Teaching anatomy is an important but expensive part of the
   medical curriculum, potentially more than many countries can afford. In
   the search for efficient methods, cost-effectiveness is of utmost
   importance for such countries. The aim of this contribution is to
   provide a review of the literature on anatomy teaching methods,
   evaluating these for feasibility in resource-deprived countries.
   Methods: A literature review was carried out to identify distinct
   approaches to anatomy teaching published in the period 2000-2014, using
   the databases of PubMed, Wiley Online Library, Elsevier, HINARI,
   Springer, and ERIC. The approaches found were compared against their
   conceptual, operational, technical, and economic feasibility and Mayer's
   principles of effective instruction. Results: Our search yielded 432
   papers that met the inclusion criteria. We identified 14 methods of
   teaching anatomy. Based on their conceptual feasibility, dissection and
   technology enhanced learning approaches appeared to have more benefits
   than others. Dissection has, besides benefits, many specific drawbacks.
   Lectures and peer teaching showed better technical and economic
   feasibility. Educational platforms, radiological imaging, and lectures
   showed the highest operational feasibility. Dissection and surgery were
   found to be less feasible with regard to operational, technical, and
   economic characteristics. Discussion: Based on our findings, the most
   important recommendations for anatomy teaching in seriously
   resource-deprived countries include a combination of complementary
   strategies in 3 different moments, lecturing at the beginning, using
   virtual learning environment (for self-study), and at the end, using
   demonstration through prosected specimens and radiological imaging. This
   provides reasonable insights in anatomy through both dead and living
   human bodies and their virtual representations.
ZS 4
Z8 0
ZA 0
TC 6
ZR 0
ZB 0
Z9 9
U1 0
U2 2
SN 1357-6283
EI 1469-5804
UT WOS:000505004100003
PM 31744998
ER

PT J
AU Solbach-Sabbach, Christina
   Adar, Tamar
   Alperin, Mordechai
   Karkabi, Khaled
   Levkovich, Inbar
TI Engaging family medicine residents in research training: An innovative
   research skills program in Israel
SO EDUCATION FOR HEALTH
VL 32
IS 2
BP 79
EP 83
DI 10.4103/efh.EfH_36_18
PD MAY-AUG 2019
PY 2019
AB Background: The importance of medical research in developing academic
   and clinical excellence is widely acknowledged. Obstacles hindering
   research in primary care include negative attitudes, lack of dedicated
   time, funding shortages, and a relative paucity of mentors. Residency is
   the appropriate stage for developing research skills and encouraging
   research performance. In this article, we describe an intensive research
   training program offered at the family medicine (FM) Department,
   Technion Faculty of Medicine in Haifa, Israel. The program aims to
   engage residents in FM in constructing a research protocol to provide
   them with a positive experience, help them to overcome barriers, and
   enhance their research performance. Methods: Learning is achieved
   through a course design that includes the following six components: (1)
   course website: a platform for online collaborative learning; (2)
   inverted classroom: theory is learned through website video lectures and
   presentations during resident's own time according to a guided schedule,
   while weekly classroom sessions are dedicated to step-by-step
   implementation of theory, group discussion, and individual mentoring;
   (3) Peer feedback; (4) personal mentoring; (5) presentation of the
   protocol to peers and senior department staff at the end of the course;
   and (6) evaluation of protocol presentation and engagement during the
   research course as well as possibilities for further development.
   Results: Five teams of residents went on to conduct full research
   projects. Their studies have been presented at seven national and three
   international conferences, and one has been published. The outcomes of
   these studies have been useful in FM practices and have inspired
   residents to continue scholarly work in our department. Discussion:
   Innovation in teaching methods enhances engagement in learning research
   skills among residents and may encourage them to conduct research in
   primary care.
ZS 0
Z8 0
ZB 1
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 1
SN 1357-6283
EI 1469-5804
UT WOS:000505004100005
PM 31745000
ER

PT J
AU Thai, Michael
   Barlow, Fiona Kate
TI Bareback Sexually Explicit Media Consumption and Men Who Have Sex with
   Men's Responses to Sexual Partners Who Prefer Anal Intercourse With or
   Without Condoms
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 48
IS 4
BP 1191
EP 1201
DI 10.1007/s10508-018-1182-y
PD MAY 2019
PY 2019
AB This study investigated whether "bareback" (i.e., condomless) sexually
   explicit media (SEM) consumption is differentially associated with men
   who have sex with men's (MSM) concerns about, and willingness to have,
   condomless anal intercourse (CAI) versus anal intercourse with condoms.
   Participants were 659 Australian MSM who all reported their bareback SEM
   consumption and read a vignette in which they were propositioned for sex
   by a hypothetical male target. Participants were randomly assigned to
   one of four vignettes, in which the target exclusively preferred either
   CAI or anal intercourse with condoms, and either did or did not disclose
   that they took pre-exposure prophylaxis (PrEP). Perceived partner
   attractiveness was also measured as a potential moderator. Greater
   bareback SEM consumption was associated with reduced concerns about, and
   intentions to have, sex with a target who exclusively preferred CAI.
   Bareback SEM consumption, however, was not related to concerns about, or
   intentions to have, sex with a target who exclusively preferred anal
   intercourse with condoms. PrEP disclosure was not causally related to
   either concern about having, or intentions to have, sex with the target,
   nor did it moderate the relationship between bareback SEM consumption
   and these outcomes. Perceived partner attractiveness moderated the
   effect of bareback SEM consumption on general sexual intentions, such
   that bareback SEM was only associated with greater intentions to have
   sex when the partner was perceived to be highly attractive.
OI , Michael/0000-0002-8000-9413; Barlow, Fiona Kate/0000-0001-9533-1256
ZS 2
TC 4
ZB 1
ZR 0
ZA 0
Z8 0
Z9 4
U1 1
U2 6
SN 0004-0002
EI 1573-2800
UT WOS:000464757400016
PM 29785496
ER

PT J
AU Young, Chelsie M.
   Neighbors, Clayton
TI Incorporating Writing into a Personalized Normative Feedback
   Intervention to Reduce Problem Drinking Among College Students
SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
VL 43
IS 5
BP 916
EP 926
DI 10.1111/acer.13995
PD MAY 2019
PY 2019
AB Background: Personalized normative feedback (PNF) interventions have
   repeatedly been found to reduce drinking among undergraduates. However,
   effects tend to be small, potentially due to inattention to and
   inadequate processing of the information. Adding a writing component to
   PNF interventions may allow for greater cognitive processing of the
   feedback, thereby boosting intervention efficacy. Additionally,
   expressive writing (EW) has been shown to reduce drinking intentions;
   however, studies have not examined whether it can reduce drinking
   behavior. The present experiment evaluated whether including a writing
   task would improve the efficacy of PNF and whether EW alone can be used
   to reduce drinking and alcohol-related problems.
   Methods: Heavy drinking undergraduates (N = 250) were randomized to
   receive either: (i) PNF about their alcohol use; (ii) EW about a
   negative, heavy drinking occasion; (iii) PNFplus writing about the norms
   feedback; or (iv) attention control feedback about their technology use
   in an online brief intervention. Participants (N = 169) then completed a
   1-month follow-up survey about their past month alcohol use and
   alcohol-related problems online.
   Results: PNFplus writing reduced alcohol-related problems compared to
   all other conditions. No significant reductions were found for EW. Both
   PNF and PNFplus writing reduced perceived norms and perceived norms
   mediated intervention effects for both feedback conditions.
   Conclusions: The current findings suggest that adding a writing
   component to traditional normsbased feedback approaches might be an
   efficacious strategy, particularly for reducing alcohol-related
   consequences.
OI Young, Chelsie/0000-0003-1717-2434
ZB 6
ZR 0
ZA 0
ZS 0
Z8 0
TC 14
Z9 14
U1 2
U2 3
SN 0145-6008
EI 1530-0277
UT WOS:000471280800001
PM 30817010
ER

PT J
AU Nixon, Heather C.
   Stariha, Jillian
   Farrer, Jason
   Wong, Cynthia A.
   Maisels, Max
   Toledo, Paloma
TI Resident Competency and Proficiency in Combined Spinal-Epidural Catheter
   Placement Is Improved Using a Computer-Enhanced Visual Learning Program:
   A Randomized Controlled Trial
SO ANESTHESIA AND ANALGESIA
VL 128
IS 5
BP 999
EP 1004
DI 10.1213/ANE.0000000000003816
PD MAY 2019
PY 2019
AB BACKGROUND: Physician educators must balance the need for resident
   procedural education with clinical time pressures as well as patient
   safety and comfort. Alternative educational strategies, including
   e-learning tools, may be beneficial to orient novice learners to new
   procedures and speed proficiency. We created an e-learning tool
   (computer-enhanced visual learning [CEVL] neuraxial) to enhance trainee
   proficiency in combined spinal-epidural catheter placement in obstetric
   patients and performed a randomized controlled 2-center trial to test
   the hypothesis that use of the tool improved the initial procedure
   performed by the anesthesiology residents.
   METHODS: Anesthesiology residents completing their first obstetric
   anesthesiology rotation were randomized to receive online access to the
   neuraxial module (CEVL group) or no access (control) 2 weeks before the
   rotation. On the first day of the rotation, residents completed a
   neuraxial procedure self-confidence scale and an open-ended medical
   knowledge test. Blinded raters observed residents performing combined
   spinal-epidural catheter techniques in laboring parturients using a
   procedural checklist (0-49 pts); the time required to perform the
   procedure was recorded. The primary outcome was the duration of the
   procedure.
   RESULTS: The CEVL group had significantly shorter mean (+/- standard
   deviation) procedure time compared to the control group 22.5 +/- 4.9 vs
   39.5 +/- 7.1 minutes (P < .001) and had higher scores on the overall
   performance checklist 36.4 +/- 6.6 vs 28.8 +/- 7.1 (P = .012). The
   intervention group also had higher scores on the open-ended medical
   knowledge test (27.83 +/- 3.07 vs 22.25 +/- 4.67; P = .002), but
   self-confidence scores were not different between groups (P = .64).
   CONCLUSIONS: CEVL neuraxial is a novel prerotation teaching tool that
   may enhance the traditional initial teaching of combined spinal-epidural
   procedures in obstetric anesthesiology. Future research should examine
   whether the use of web-based learning tools impacts long-term provider
   performance or patient outcomes.
OI Wong, Cynthia/0000-0002-7144-7008
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
TC 4
Z9 4
U1 0
U2 4
SN 0003-2999
UT WOS:000480723100030
PM 30286007
ER

PT J
AU Fahimuddin, Fatimah Z.
   Sidhu, Sanam
   Agrawal, Anubhav
TI Reading Level of Online Patient Education Materials From Major
   Obstetrics and Gynecology Societies
SO OBSTETRICS AND GYNECOLOGY
VL 133
IS 5
BP 987
EP 993
DI 10.1097/AOG.0000000000003214
PD MAY 2019
PY 2019
AB OBJECTIVE: To assess whether the readability of online patient education
   materials provided by eight nationally recognized obstetrics and
   gynecology societies is in accordance with the recommended 6th-grade
   reading level outlined by the American Medical Association, National
   Institute of Health, and United States Department of Health and Human
   Services.
   METHODS: An analysis of 410 online patient education materials from the
   American Association of Gynecologic Laparoscopists, the American College
   of Obstetricians and Gynecologists, the American Society for
   Reproductive Medicine, the American Urogynecologic Society, the
   Association of Reproductive Health Professionals, the Society of
   Gynecologic Oncology, the Society for Maternal-Fetal Medicine, and
   Voices for Pelvic Floor Disorders was completed, and the readability
   scores using the Flesch-Kincaid Grade Level, Flesch Reading Ease,
   Gunning Fog Scale, and Simple Measure of Gobbledygook readability scales
   were calculated. These scales are used to assess print and web-based
   written material across a wide range of medical specialties and are
   endorsed by the National Institutes of Health. All four scales are
   computer-based assessments of readability that consider word count,
   number of syllables, and length of sentences when calculating a score
   that corresponds to grade level.
   RESULTS: Majority of the patient education materials across all eight
   obstetrics and gynecology societies had readability scores above the
   recommended 6th-grade reading level. The average reading level for the
   69 obstetrics-related articles ranged from 9th to 12th grade. The mean
   grade level for the 341 gynecology articles had a similar range across
   the four readability scales.
   CONCLUSION: Online patient education materials provided by major
   obstetrics and gynecology societies do not currently adhere to
   recommended readability guidelines. Continued efforts to provide
   accessible and informative patient education materials is recommended to
   help improve health literacy for women.
ZS 0
TC 5
ZB 1
ZR 0
ZA 0
Z8 0
Z9 5
U1 1
U2 4
SN 0029-7844
UT WOS:000480714200022
PM 30969212
ER

PT J
AU Liu, Chunfeng
   Lim, Renee
   Taylor, Silas
   Calvo, Rafael A.
TI Students' behavioural engagement in reviewing their tele-consultation
   feedback within an online clinical communication skills platform
SO COMPUTERS IN HUMAN BEHAVIOR
VL 94
BP 35
EP 44
DI 10.1016/j.chb.2019.01.002
PD MAY 2019
PY 2019
AB The benefit of reviewing personal feedback to students' learning of
   clinical communication skills is well researched. Less is known about
   the factors that related to students' engagement in reviewing
   non-compulsory online feedback, and ways to motivate their behavioural
   engagement. In this paper, we reported two studies in which medical
   students completed assessed clinical video conferencing consultations
   with human simulated patients via an online training platform that also
   provided automated and human feedback for students. In Study 1, three
   days after the consultation, an email with different instructional
   styles (autonomy-supportive, controlling or control) was sent to
   different groups reminding students to review their feedback. In Study
   2, up to three repetitions of the same, either autonomy-supportive or
   controlling, emails were sent to students. Results of Study 1 revealed
   that students who reviewed feedback before receiving emails achieved
   higher assessment results and reported higher degree of autonomy to
   participate in the training program than the remaining students.
   However, the different instructional styles of the single email in this
   study did not significantly influence the students' engagement
   differently. Study 2 results revealed that students who received
   controlling emails displayed higher engagement than students who
   received autonomy-supportive emails. Findings suggested that multiple
   factors might influence students' engagement in reviewing their online
   feedback, and this study provided evidences of the effects of using
   emails to motivate students to review the feedback.
RI Calvo, Rafael A/B-2622-2008; Taylor, Silas/; Liu, Chunfeng/
OI Calvo, Rafael A/0000-0003-2238-0684; Taylor, Silas/0000-0003-1992-8485;
   Liu, Chunfeng/0000-0002-7274-6878
Z8 0
ZR 0
ZA 0
ZB 0
TC 3
ZS 0
Z9 3
U1 3
U2 30
SN 0747-5632
EI 1873-7692
UT WOS:000460073600005
ER

PT J
AU Hanson, Mark D.
   Eva, Kevin W.
TI A Reflection Upon the Impact of Early 21st-Century Technological
   Innovations on Medical School Admissions
SO ACADEMIC MEDICINE
VL 94
IS 5
BP 640
EP 644
DI 10.1097/ACM.0000000000002590
PD MAY 2019
PY 2019
AB The authors describe influences associated with the incorporation of
   modern technologies into medical school admissions processes. Their
   purpose is not to critique or support specific technologies but, rather,
   to prompt reflection on the evolution that is afoot. Technology is now
   integral to the administration of multiple admissions tools, including
   the Medical College Admission Test, situational judgment tests, and
   standardized video interviews. Consequently, today's admissions
   landscape is transforming into an online, globally interconnected
   marketplace for health professions admissions tools. Academic capitalism
   and distance-based technologies combine to enable global marketing and
   dissemination of admissions tests beyond the national jurisdictions in
   which they are designed. As predicted by disruptive business theory,
   they are becoming key drivers of transformative change. The seeds of
   technological disruption are present now rather than something to be
   wary of in the future. The authors reflect on this transformation and
   the need for tailoring test modifications to address issues of medical
   student diversity and social responsibility. They comment on the online
   assessment of applicants' personal competencies and the potential
   detriments if this method were to replace admissions methods involving
   human contact, thanks to the ease with which institutions can implement
   them without cost to themselves and without adequate consideration of
   measurement utility or contextual appropriateness. The authors advocate
   for socially responsible academic capitalism within this interconnected
   admissions marketplace: Attending to today's transformative challenges
   may inform how health professions education responds to tomorrow's
   admissions technologies and, in turn, how tomorrow's health
   professionals respond to their patients' needs.
TC 6
ZB 0
Z8 0
ZA 0
ZS 0
ZR 0
Z9 6
U1 0
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000480715200028
PM 30640267
ER

PT J
AU Chen, Belinda Y.
   Kern, David E.
   Kearns, Robert M.
   Thomas, Patricia A.
   Hughes, Mark T.
   Tackett, Sean
TI From Modules to MOOCs: Application of the Six-Step Approach to Online
   Curriculum Development for Medical Education
SO ACADEMIC MEDICINE
VL 94
IS 5
BP 678
EP 685
DI 10.1097/ACM.0000000000002580
PD MAY 2019
PY 2019
AB Online curricula can make high-quality health professions education
   accessible in virtually any setting. They can enhance teaching and
   learning by both standardizing curricular resources and individualizing
   curricular experiences. Despite growing demand for and institutional
   interest in online curricula for medical education, many medical
   educators lack a framework for online curriculum development. Without
   rigorous and thoughtful development, online curricula can waste
   opportunity and resources by leading to education that is inferior to
   traditional methods. In this article, the authors describe a systematic
   approach to online curriculum development based on the Six-Step Approach
   for Curriculum Development for Medical Education, a widely used method
   that has led to successful implementation of a variety of traditional
   and online curricula. In each step, special considerations for curricula
   with larger and more diverse learner audiences-characteristic of many
   online curricula-are highlighted. Four common online curricular formats
   are also discussed: blended curricula, instructor-led fully online
   curricula, self-paced modules, and massive open online courses (MOOCs).
   The authors emphasize factors that differentiate one online format from
   another, including the budgetary, technical, and human resource
   requirements for each. The article concludes by urging medical educators
   to pursue opportunities to study and disseminate online curricular work.
OI Tackett, Sean/0000-0001-5369-7225
Z8 0
ZR 0
TC 28
ZB 3
ZA 0
ZS 0
Z9 28
U1 1
U2 15
SN 1040-2446
EI 1938-808X
UT WOS:000480715200036
PM 30681454
ER

PT J
AU Garg, Kanwaijeet
   Deora, Harsh
   Mishra, Shashwat
   Tripathi, Manjul
   Sadashiva, Nishanth
   Chandra, P. Sarat
   Kale, Shashank S.
TI How is neurosurgical residency in India? Results of an anonymized
   national survey of residents
SO NEUROLOGY INDIA
VL 67
IS 3
BP 777
EP 782
DI 10.4103/0028-3886.263264
PD MAY-JUN 2019
PY 2019
AB Aim: To evaluate whether the residency training programs in India are
   meeting the expectations and aspirations of the present-day trainees.
   Introduction: Residents in training today are the neurosurgeons of
   tomorrow. Significant resources are dedicated to their training and
   education. Neurosurgical residency in India-when compared to the rest of
   the world-is relatively new. However, the structure of the Indian
   neurosurgical training programs has remained relatively unchanged since
   they were first introduced. In contrast, the treatment paradigms for
   neurosurgical conditions have changed rapidly in recent years, as new
   subspecialties have gained prominence.
   Methods: An online questionnaire based survey was prepared considering
   the common themes of neurosurgery residency. The links to the survey
   were mailed to residents in training all over the country. Results were
   evaluated after a minimum of 100 responses was collected. The responses
   were anonymized to ensure free and frank answers to the survey
   questions.
   Results: A total of 104 responses were received from all the major
   post-graduate training institutes of the country. The period of joining
   residency ranged from July 2010 to August 2018. Respondents generally
   agreed on the need for work hour regulations, the importance of history
   taking and clinical examination and the significance of imaging
   interpretation as major training goals. The residents were desirous of
   more hands-on opportunities during operative teaching. Deficiencies were
   recognized in the exposure to various upcoming subspecialties such as
   endovascular therapy, radiosurgery, epilepsy surgery, etc. The residents
   were generally satisfied with the pattern of examination system and
   showed a clear preference for electronic resources for reading and
   knowledge acquisition.
   Conclusion: The survey highlights the perception of the residents
   towards the training programs that they are enrolled into. Several
   lacunae and potential areas of improvement are brought to our attention,
   which have been necessitated by the recent advancements in technology
   affecting the neurosurgical treatment paradigms. The training programs
   need to keep pace with the aspirations and hopes of the residents so
   that the training experience is mutually fruitful for the trainees and
   educators. This is important to ensure that the present-day residents
   can step into their future roles with confidence and preparedness.
RI Garg, Kanwaljeet/AAS-7965-2021; MISHRA, SHASHWAT/AAR-1809-2020; Tripathi, Manjul/AAE-7128-2019; Tripathi, Manjul/AAN-8701-2021; Mishra, Shashwat/AAX-7152-2020; DEORA, HARSH/A-5817-2019; Garg, Kanwaljeet/
OI MISHRA, SHASHWAT/0000-0003-4227-0562; Tripathi,
   Manjul/0000-0002-5679-3439; DEORA, HARSH/0000-0003-3247-1117; Garg,
   Kanwaljeet/0000-0002-1195-3558
ZA 0
TC 12
ZB 1
ZR 0
Z8 0
ZS 0
Z9 12
U1 0
U2 0
SN 0028-3886
EI 1998-4022
UT WOS:000480323200037
PM 31347554
ER

PT J
AU Wolfman, Darcy J.
   Parikh, Jay R.
TI Resident bullying in diagnostic radiology
SO CLINICAL IMAGING
VL 55
BP 47
EP 52
DI 10.1016/j.clinimag.2019.01.024
PD MAY-JUN 2019
PY 2019
AB Purpose: Workplace bullying has been reported in multiple medical
   specialties outside of diagnostic radiology within the United States.
   The purpose of this study was to survey diagnostic radiology residents
   in the United States to determine if: (1) residents had experienced
   bullying, (2) residents had witnessed bullying of other residents, (3)
   residents were aware of zero-tolerance policy for workplace bullying at
   their institution, (4) residents were aware of no retaliation policies
   for reporting bullying at their institution.
   Materials and methods: In December 2017, a weekly E-mail for 4 weeks was
   sent to diagnostic radiology residents in the United States (residents)
   who had attended the July 2017, September 2017 and October 2017 4-week
   American Institute for Radiologic Pathology (AIRP) resident course to
   participate in an online, anonymous, voluntary survey.
   Results: 28% of radiology resident respondents reported workplace
   bullying during their residency. One third of radiology residents have
   witnessed workplace bullying of another radiology resident at their
   facility. Approximately one half (48%) of respondents did not know if
   their institution had a zero-tolerance policy for workplace bullying,
   and approximately one half (55%) of respondents did not know if their
   institution had a no retaliation policy for reporting workplace
   bullying.
   Conclusion: Our survey of diagnostic radiology residents across the
   United States confirms workplace bullying during residency, and the
   opportunity for implementation of zero-tolerance and zero retaliation
   policies for reporting workplace bullying in residency training
   institutions.
ZA 0
TC 2
ZR 0
ZS 0
ZB 0
Z8 0
Z9 2
U1 0
U2 0
SN 0899-7071
EI 1873-4499
UT WOS:000477692700010
PM 30739034
ER

PT J
AU Gollasch, Maik
   Kube, Peter
   Danz, Burkhard
   Arens, Stephan
   Maerdian, Sven
TI Project Report: Evaluation of the Practical Year (PY) at the Charite
   Medical School, University Medicine Berlin
SO ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN
VL 141
BP 53
EP 61
DI 10.1016/j.zefq.2019.03.008
PD MAY 2019
PY 2019
AB Background: In Germany, the final year of medical school consists of a
   series of clinical externships termed "Practical Year" (PY). Logbooks
   have been introduced to document the clinical experience and the value
   of the teaching program (First Ordinance amending the Licensing
   Regulations for Physicians, July 14, 2012). However, little is known
   about how PY education is experienced by students, what problems they
   face, what support they seek to manage their problems, and how the
   logbooks contribute to training.
   Objective: We assessed the PY education at the Charite Medical School
   (University Medicine Berlin) in terms of the requirement profile,
   quality of training, logbooks, satisfaction, and general conditions.
   Material and Methods: We developed a questionnaire to assess PY
   education by relying on medical students' experiences. This tool was
   developed in parallel with the introduction of the logbooks. We
   contacted 6,068 students between May 2014 to September 2017 via e-mail.
   The students were asked to participate in the evaluation on a voluntary
   basis and answer 39 questions. The questionnaire was completed using an
   anonymous online form, taking into account legal data protection
   regulations.
   Results: We evaluated 1,957 questionnaires (31.1 %). The students were
   mostly satisfied (67.6 %) with their supervision. Patient encounters
   were, for the most part (85.5 %), perceived as informative, and the
   quality of continuing education as high (91.3 %), and most students
   (76.1 %) were directly involved in patient care. The students (87.8 %)
   felt that they had made progress during the PY teaching period, although
   the logbooks were rarely (14 %) used and apparently not reviewed by the
   teaching staff. The students judged some rotations harshly when they
   were dissatisfied with both teaching and supervision.
   Conclusions: In general, the PY experience at the Charite was rated
   positively. Some rotations receiving poor evaluations desperately need
   to be reviewed. The role of the logbook seems to be imperfectly defined.
   The survey results suggest that further evaluation of our program is
   needed with ongoing participation of students and their representatives.
RI Mardian, Sven/F-3614-2014
OI Mardian, Sven/0000-0003-4220-2797
ZR 0
ZB 0
ZA 0
TC 0
ZS 0
Z8 0
Z9 0
U1 0
U2 0
SN 1865-9217
EI 2212-0289
UT WOS:000477878000007
PM 31072809
ER

PT J
AU Aksoy, Mehmet Emin
   Guven, Feray
   Sayali, Mehmet Erhan
   Kitapcioglu, Dilek
TI The effect of web-based learning in pediatric basic life support (P-BLS)
   training
SO COMPUTERS IN HUMAN BEHAVIOR
VL 94
BP 56
EP 61
DI 10.1016/j.chb.2018.12.032
PD MAY 2019
PY 2019
AB Introduction: The immense progress in science and technology has changed
   our daily lives. This change has also had its impact on our educational
   system. In this regard, numerous studies have been found in the
   literature investigating the integration of new technologies in the
   learning-teaching process, and as such these studies led to the use of
   web-based educational tools as an alternative or an adjunct to the
   traditional learning methods.
   Method: Our quasi-experimental study focused on two separate teaching
   methods, web-based and traditional. The effectiveness of web-based
   learning was investigated based on an objective structured clinical
   examination of 177 vocational health students enrolled to Acibadem
   Mehmet Ali Aydinlar University's 2017-spring term. The study compared
   the objective structured clinical examination grades of these two
   methods. Two groups had been formed, and the students were randomly
   allocated either into a study or a control group. The study group
   watched an online video clip, whereas the control group received a
   traditional lecture. Mann-Whitney U test was used to determine whether
   students' successful attempts statistically differ according to the
   educational methodology, also effective size and single factor variance
   analysis (ANOVA) was performed.
   Results: Based on the objective structured clinical examination, the
   study group performed better in pediatric basic life support as opposed
   to the control group.
   Conclusion: This study suggests that the use of web-based video clips
   enhances the learning process and in certain subjects yields better
   performance results when compared to the traditional learning method.
   Our findings are in-line with the reported studies in the literature and
   provide additional insight for developing countries, where simulation
   based education is limited.
RI Sayali, Mehmet E/X-1882-2018; Kitapcioglu, Dilek/W-9390-2018; Aksoy, Mehmet Emin/X-1875-2018
OI Sayali, Mehmet E/0000-0003-1582-6967; Kitapcioglu,
   Dilek/0000-0002-0537-0479; Aksoy, Mehmet Emin/0000-0003-3227-2660
ZB 0
ZA 0
TC 1
ZS 0
Z8 0
ZR 0
Z9 1
U1 0
U2 31
SN 0747-5632
EI 1873-7692
UT WOS:000460073600007
ER

PT J
AU Gelinne, Aaron
   Zuckerman, Scott
   Benzil, Deborah
   Grady, Sean
   Callas, Peter
   Durham, Susan
TI United States Medical Licensing Exam Step I Score as a Predictor of
   Neurosurgical Career Beyond Residency
SO NEUROSURGERY
VL 84
IS 5
BP 1028
EP 1034
DI 10.1093/neuros/nyy313
PD MAY 2019
PY 2019
AB BACKGROUND: United States Medical Licensing Exam (USMLE) Step I score is
   cited as one of the most important factors when for applying to
   neurosurgery residencies. No studies have documented a correlation
   between USMLE Step I score and metrics of neurosurgical career
   trajectory beyond residency.
   OBJECTIVE: To determine whether USMLE Step I exam scores are predictive
   of neurosurgical career beyond residency, as defined by American Board
   of Neurological Surgery (ABNS) certification status, practice type,
   academic rank, and research productivity.
   METHODS: A database of neurosurgery residency applicants who matched
   into neurosurgery from 1997 to 2007 was utilized that included USMLE
   Step I score. Online databases were used to determine h-index, National
   Institutes of Health (NIH) grant funding, academic rank, practice type,
   and ABNS certification status of each applicant. Linear regression and
   nonparametric testing determined associations between USMLE Step I
   scores and these variables.
   RESULTS: USMLE Step I scores were higher for neurosurgeons in academic
   positions (237) when compared to community practice (234) and
   non-neurosurgeons (233, P < . 01). USMLE Step I score was not different
   between neurosurgeons of different academic rank (P = .21) or ABNS
   certification status (P = .78). USMLE Step I score was not correlated
   with h-index for academic neurosurgeons (R-2 = 0.002, P = .36).
   CONCLUSION: USMLE Step I score has little utility in predicting the
   future careers of neurosurgery resident applicants. A career in academic
   neurosurgery is associated with a slightly higher USMLE Step I score.
   However, USMLE Step I score does not predict academic rank or
   productivity (h-index or NIH funding) nor does USMLE Step I score
   predict ABNS certification status.
CT Annual Scientific Meeting of the
   American-Association-of-Neurological-Surgeons (AANS)
CY APR 29-MAY 02, 2018
CL New Orleans, LA
SP Amer Assoc Neurol Surg
Z8 0
ZB 5
ZR 0
ZA 0
ZS 0
TC 14
Z9 14
U1 0
U2 0
SN 0148-396X
EI 1524-4040
UT WOS:000473751500031
PM 30010944
ER

PT J
AU Edeza, Alberto
   Galarraga, Omar
   Novak, David
   Mayer, Kenneth
   Rosenberger, Joshua
   Mimiaga, Matthew
   Biello, Katie
TI The role of sexual risk behaviors on PrEP awareness and interest among
   men who have sex with men in Latin America
SO INTERNATIONAL JOURNAL OF STD & AIDS
VL 30
IS 6
BP 542
EP 549
DI 10.1177/0956462419825944
PD MAY 2019
PY 2019
AB In Latin America, men who have sex with men (MSM) remain
   disproportionately impacted by HIV. Pre-exposure prophylaxis (PrEP) is
   an effective HIV prevention tool and has been FDA approved in the United
   States since 2012, but no Latin American state, with the recent
   exception of Brazil, has implemented PrEP guidelines. We carried out a
   multinational online survey of MSM in Latin America (n = 22698) in 2012
   to assess whether MSM at highest risk of HIV acquisition (i.e., those
   engaging in condomless anal sex [CAS; n = 2606] and transactional sex [n
   = 1488]) had higher levels of awareness of PrEP, PrEP use and interest
   in participating in a PrEP trial. After adjusting for demographic and
   psychosocial characteristics including depressive symptoms, hazardous
   alcohol use, childhood sexual abuse, and sexual compulsivity,
   transactional sex and CAS were associated with increased PrEP awareness
   (aOR = 1.29, 95% CI: 1.05-1.59, p < .001 and aOR = 1.22, 95% CI:
   1.11-1.34, p < .001, respectively) and PrEP trial interest (aOR = 1.45,
   95% CI: 1.25-1.71, p < .001 and aOR = 1.74, 95% CI: 1.57-1.95, p < .001,
   respectively). Findings demonstrate substantial awareness of and
   interest in PrEP among MSM with behavioral risk factors for HIV in Latin
   America, suggesting that this region is primed for PrEP implementation,
   which has been slow.
OI Galarraga, Omar/0000-0002-9985-9266
ZR 0
ZB 4
Z8 0
ZS 0
ZA 0
TC 7
Z9 7
U1 2
U2 7
SN 0956-4624
EI 1758-1052
UT WOS:000468983400003
PM 30722750
ER

PT J
AU Edelman, Emily A.
   Tanner, Paige C.
   Taber, Katherine A. J.
   McConnell, Sean C.
   Nicholson, LauraJ
   Ingram, Therese M.
   Steinmark, Linda
   Reed, Eleanor K.
TI Provider engagement in precision oncology education: an exploratory
   analysis of online continuing medical education data
SO PERSONALIZED MEDICINE
VL 16
IS 3
BP 199
EP 209
DI 10.2217/pme-2018-0150
PD MAY 2019
PY 2019
AB Given the rapid growth in genomic tests and targeted therapeutics,
   clinicians are likely to benefit from additional precision medicine
   education. Aim: This study evaluated the engagement and effectiveness of
   two interactive, case-based educational modules about somatic tumor
   testing, developed by the Jackson Laboratory, American Medical
   Association and Scripps Research Translational Institute, titled
   'Precision Medicine for Your Practice'. Results: 402 participants
   enrolled in one or both free online continuing education modules,
   including physicians, nurses, scientists and genetic counselors and 41%
   completed module evaluations. Over 90% of respondents reported alignment
   of program with practice needs and planned to change their practice,
   including patient communication, identifying candidates for testing
   and/or interpreting test results. Conclusion: These findings support
   Precision Medicine for Your Practice as an effective education offering
   for diverse clinical professionals.
OI Johansen Taber, Katherine/0000-0003-3051-2667
ZB 1
ZA 0
Z8 0
ZS 0
TC 6
ZR 0
Z9 6
U1 0
U2 2
SN 1741-0541
EI 1744-828X
UT WOS:000476570600004
PM 31109244
ER

PT J
AU Winoker, Jared S.
   Kent, Marissa A.
   Omidele, Olamide O.
   Grotas, Aaron B.
TI Transgender Patient Care in Urology: Evaluation of Attitudes, Knowledge
   and Practice Patterns among Urologists in the New York Metropolitan Area
SO UROLOGY PRACTICE
VL 6
IS 3
BP 174
EP 179
DI 10.1016/j.urpr.2018.08.002
PD MAY 2019
PY 2019
AB Introduction: Transgender individuals suffer from significant health
   disparities, due in part to deficiencies in physician knowledge or
   comfort with addressing transgender health care needs. In this study we
   assessed the attitudes and clinical knowledge in caring for transgender
   patients of a representative sample of urologists in the New York
   metropolitan area.
   Methods: An anonymous, online based questionnaire was sent to members of
   the New York Section of the American Urological Association. Statements
   evaluating knowledge and attitudes toward transgender care were scored
   on a 5-point Likert scale.
   Results: A total of 92 providers (83.7% male) participated in the study,
   of whom 78.3% (72) have been in practice for at least 15 years. With
   respect to physician attitudes, there was a trend toward greater comfort
   with discussion of gender identity and counseling on gender confirmation
   surgery based on total number of transgender patients cared for during
   the course of their career. Regarding knowledge scores there were no
   significant associations with physician age, gender or years of
   practice. Despite the relatively weak self-reported fund of knowledge
   (2.64) and overall clinical competence (2.09), there was no overwhelming
   support to incorporate transgender care into urology training curricula
   (3.11).
   Conclusions: Despite growing education and awareness of transgender
   specific medical issues, many urologists self-report deficiencies in
   requisite knowledge and comfort in providing adequate, culturally
   competent care for transgender patients. Further work is needed to
   increase our collective comfort level with this new and evolving aspect
   of our field.
Z8 0
ZA 0
TC 1
ZS 0
ZB 0
ZR 0
Z9 1
U1 0
U2 1
SN 2352-0779
EI 2352-0787
UT WOS:000475762900009
ER

PT J
AU Werler, Martha M.
   Stuver, Sherri O.
   Healey, Megan A.
   LaMorte, Wayne W.
TI The Future of Teaching Epidemiology
SO AMERICAN JOURNAL OF EPIDEMIOLOGY
VL 188
IS 5
BP 825
EP 829
DI 10.1093/aje/kwz039
PD MAY 2019
PY 2019
AB The rapid pace of technological advancements and the corresponding
   societal innovations and adaptations make it difficult to predict how
   teaching epidemiology will look in the coming decades. We discuss
   changes in the teaching of epidemiology that are currently unfolding.
   First, typical epidemiology curricula often lack formal instruction in
   important components of causal thinking, such as the formulation of
   well-defined research questions. We address gaps related to causal
   thinking, communication about our science, and interpretation of study
   results, and we make suggestions of specific content to close such gaps.
   Second, digital technology increasingly influences epidemiology
   instruction. We discuss classroom and online teaching modalities in
   terms of challenges and advantages.
ZS 0
ZB 1
Z8 0
ZA 0
ZR 0
TC 3
Z9 3
U1 1
U2 3
SN 0002-9262
EI 1476-6256
UT WOS:000492993400003
PM 30865216
ER

PT J
AU Khateeb, Karam
   Griggs, Devon J.
   Sabes, Philip N.
   Yezdan-Shahmorad, Azadeh
TI Convection Enhanced Delivery of Optogenetic Adeno-associated Viral
   Vector to the Cortex of Rhesus Macaque Under Guidance of Online MRI
   Images
SO JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
IS 147
AR e59232
DI 10.3791/59232
PD MAY 2019
PY 2019
AB In non-human primate (NHP) optogenetics, infecting large cortical areas
   with viral vectors is often a difficult and time-consuming task. Here,
   we demonstrate the use of magnetic resonance (MR)-guided convection
   enhanced delivery (CED) of optogenetic viral vectors into primary
   somatosensory (S1) and motor (M1) cortices of macaques to obtain
   efficient, widespread cortical expression of light-sensitive ion
   channels. Adeno-associated viral (AAV) vectors encoding the red-shifted
   opsin C1V1 fused to yellow fluorescent protein (EYFP) were injected into
   the cortex of rhesus macaques under MR-guided CED. Three months
   post-infusion, epifluorescent imaging confirmed large regions of
   optogenetic expression (>130 mm(2)) in M1 and S1 in two macaques.
   Furthermore, we were able to record reliable light-evoked
   electrophysiology responses from the expressing areas using
   micro-electrocorticographic arrays. Later histological analysis and
   immunostaining against the reporter revealed widespread and dense
   optogenetic expression in M1 and S1 corresponding to the distribution
   indicated by epifluorescent imaging. This technique enables us to obtain
   expression across large areas of the cortex within a shorter period of
   time with minimal damage compared to the traditional techniques and can
   be an optimal approach for optogenetic viral delivery in large animals
   such as NHPs. This approach demonstrates great potential for
   network-level manipulation of neural circuits with cell-type specificity
   in animal models evolutionarily close to humans.
OI Khateeb, Karam/0000-0003-3005-2197
ZS 0
Z8 0
ZA 0
ZR 0
TC 7
ZB 7
Z9 7
U1 0
U2 4
SN 1940-087X
UT WOS:000469977600039
PM 31180352
ER

PT J
AU Buzzetti, Roberto
   Galici, Valeria
   Cirilli, Natalia
   Majo, Fabio
   Graziano, Luigi
   Costa, Stefano
   Bonacina, Simona
   Carrubba, Manila
   Davi, Giuseppe
   Gagliano, Sabrina
   Cazzarolli, Clizia
   Ficili, Francesca
   Alghisi, Federico
   Samaja, Michele
   Magazzu, Giuseppe
CA CF Italian Patient Ctr Outcomes
TI Defining research priorities in cystic fibrosis. Can existing knowledge
   and training in biomedical research affect the choice?
SO JOURNAL OF CYSTIC FIBROSIS
VL 18
IS 3
BP 378
EP 381
DI 10.1016/j.jcf.2018.02.009
PD MAY 2019
PY 2019
AB The aim of this report is to assess whether the research issues
   priorities are perceived differently according to the Stakeholders
   (SH)'s individual knowledge of research topics and degree of training in
   biomedical research. Four groups of SH were enrolled in this study: 1.
   Skilled SH, specifically trained in biomedicine; 2. Unskilled untrained
   SH who responded to a written questionnaire in 2015; 3. SH who were
   trained for one year in a course delivered by professionals; 4.
   Untrained SH who responded to an online questionnaire in 2017. The large
   ranking order variability observed among groups addresses the question
   that the choices are markedly influenced by the SH's backgrounds. Such
   results emphasize the need to consider the education level and the
   delivery of ad hoc training activities by professionals to broaden the
   base of SH who may be considered qualified to transfer the Patient
   Centered Outcome Research principles into practice. (C) 2018 European
   Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
RI Majo, Fabio/AAX-4631-2021; Majo, Fabio/AAA-6269-2020; Samaja, Michele/N-3499-2013; Costa, Stefano/
OI Majo, Fabio/0000-0003-2548-8893; Samaja, Michele/0000-0002-0705-340X;
   Costa, Stefano/0000-0001-5640-1901
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 1
SN 1569-1993
EI 1873-5010
UT WOS:000472586900013
PM 29551462
ER

PT J
AU Heraganahally, Subash
   Mehra, Sumit
   Veitch, Daisy
   Sajkov, Dimitar
   Falhammar, Henrik
   Morton, Sharon
TI New cost-effective pleural procedure training: manikin-based model to
   increase the confidence and competency in trainee medical officers
SO POSTGRADUATE MEDICAL JOURNAL
VL 95
IS 1123
BP 245
EP 250
DI 10.1136/postgradmedj-2018-136380
PD MAY 2019
PY 2019
AB Purpose of the study Pleural diseases are common in clinical practice.
   Doctors in training often encounter these patients and are expected to
   perform diagnostic and therapeutic pleural procedures with confidence
   and safely. However, pleural procedures can be associated with
   significant complications, especially when performed by less
   experienced. Structured training such as use of training manikin and
   procedural skills workshop may help trainee doctors to achieve
   competence. However, high costs involved in acquiring simulation
   technology or attending a workshop may be a hurdle. We hereby describe a
   training model using a simple manikin developed in our institution and
   provide an effective way to document skill acquisition and assessment
   among trainee medical officers. Study design This was a prospective
   observational study. The need for training, competence and confidence of
   trainees in performing pleural procedures was assessed through an online
   survey. Trainees underwent structured simulation training through a
   simple manikin developed at our institute. Follow-up survey after the
   training was then performed to access confidence and competence in
   performing pleural procedures. Results Forty-seven trainees responded to
   an online survey and 91% of those expressed that they would like further
   training in pleural procedure skills. 81% and 85% of responders,
   respectively, indicated preferred method of training is either
   practising on manikin or performing the procedure under supervision.
   Follow-up survey showed improvement in the confidence and competence.
   Conclusion Our pleural procedure training manikin model is a reliable,
   novel and cost-effective method for acquiring competences in pleural
   procedures.
RI Falhammar, Henrik/AAD-4329-2019; Heraganahally, Subash/AAN-9538-2021; Sajkov, Dimitar/; mehra, sumit/I-2666-2013; Veitch, Daisy/
OI Falhammar, Henrik/0000-0002-5622-6987; Sajkov,
   Dimitar/0000-0001-8864-254X; mehra, sumit/0000-0002-8379-8745; Veitch,
   Daisy/0000-0002-6634-5154
TC 1
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
Z9 1
U1 0
U2 1
SN 0032-5473
EI 1469-0756
UT WOS:000471899000003
PM 30992415
ER

PT J
AU Noblet, Timothy David
   Marriott, John F.
   Jones, Taryn
   Dean, Catherine
   Rushton, Alison B.
TI Perceptions of Australian physiotherapy students about the potential
   implementation of physiotherapist prescribing in Australia: a national
   survey
SO BMJ OPEN
VL 9
IS 5
AR e026327
DI 10.1136/bmjopen-2018-026327
PD MAY 2019
PY 2019
AB Objectives To explore the perceptions of Australian physiotherapy
   students about (1) the potential implementation and use of non-medical
   prescribing by physiotherapists in Australia and (2) how physiotherapist
   prescribing might impact the care that the physiotherapy profession can
   provide in the future.
   Design A cross-sectional descriptive survey of physiotherapy students
   across Australia was completed using an online questionnaire developed
   by subject-experts and pretested (n=10) for internal consistency. A
   hyperlink to the questionnaire was emailed to all students enrolled in
   any accredited, entry-level Australian university physiotherapy
   programme. A reminder email was sent 4 weeks later.
   Setting Participants completed an online questionnaire.
   Participants 526 physiotherapy students from universities across all
   states with entry-level programmes.
   Outcome measures Quantitative data underwent primary descriptive
   analysis. Thematic analysis was used to synthesise qualitative data.
   Results 87% of participants supported the introduction of
   physiotherapist prescribing in Australia. 91% of participants stated
   that they would train to prescribe following introduction. Participants
   identified improvements in clinical and cost effectiveness, timely
   access to appropriate prescription medicines and optimisation of quality
   healthcare as key drivers for the introduction.
   Conclusions Student physiotherapists support the introduction of
   physiotherapist prescribing in Australia, reporting potential benefits
   for patients, health services and the physiotherapy profession.
   Stakeholders should use the results of this study in conjunction with
   supporting literature to inform future decisions regarding
   physiotherapist prescribing in Australia.
RI Rushton, Alison/V-1260-2017; Noblet, Tim/AAK-9611-2021; Dean, Catherine/
OI Rushton, Alison/0000-0001-8114-7669; Dean, Catherine/0000-0001-7502-1138
ZR 0
Z8 0
TC 1
ZB 0
ZA 0
ZS 0
Z9 1
U1 0
U2 2
SN 2044-6055
UT WOS:000471192800181
PM 31110095
ER

PT J
AU Noblet, Timothy David
   Marriott, John F.
   Jones, Taryn
   Dean, Catherine
   Rushton, Alison B.
TI Perceptions about the implementation of physiotherapist prescribing in
   Australia: a national survey of Australian physiotherapists
SO BMJ OPEN
VL 9
IS 5
AR e024991
DI 10.1136/bmjopen-2018-024991
PD MAY 2019
PY 2019
AB Objectives To explore: (1) the views of Australian physiotherapists
   regarding potential implementation of non-medical prescribing in
   Australia, (2) how the geographical location and health sector in which
   a clinician works may influence their perceptions and (3) the
   perceptions of Australian physiotherapists about how physiotherapist
   prescribing might impact the care that the profession can provide.
   Design A cross-sectional descriptive survey using open and closed
   questions.
   Setting Participants completed an online questionnaire.
   Participants 883 Australian Health Professionals Registration Authority
   (AHPRA)-registered physiotherapists, working across all states and
   territories.
   Outcome measures An online questionnaire was developed by a panel of
   subject experts and pretested (n= 10) for internal consistency. A
   hyperlink to the questionnaire was emailed to all members of the
   Australian Physiotherapy Association. A reminder email was sent 4 weeks
   later. Quantitative data were analysed descriptively, with use of
   absolute risk reductions (ARRs) and 95% CIs to determine the likelihood
   that health sector or geographical location were associated with
   specific views. Thematic analysis enabled synthesis of the qualitative
   data.
   Results 79.0% participants felt that physiotherapist prescribing should
   be introduced in Australia, with 71.2% wanting to train as prescribers.
   Clinical governance, risk management, regulation of clinicians and the
   development of an education framework were identified as priorities for
   implementation. Participants working in the private sector were
   significantly more likely to train as prescribers than those in the
   public sector (ARR 9.9%; 95% CI 3.5 to 16.4) or educational/research
   institutions (ARR 23.3%; 95% CI 12.8 to 33.8), with city dwellers
   significantly more likely to train compared with physiotherapists in
   remote regions (ARR 19.8%; 95% CI 0.8 to 39.2). Physiotherapist
   prescribing was predicted to improve efficiency of healthcare delivery,
   access to medicines and reductions in healthcare costs.
   Conclusions AHPRA-registered physiotherapists perceive that the
   introduction of autonomous physiotherapist prescribing would be
   beneficial for the Australian population and should be introduced.
   Decision makers should consider the results of this survey in
   conjunction with cost-benefit and risk analysis when planning the
   introduction of physiotherapist prescribing.
RI Rushton, Alison/V-1260-2017; Noblet, Tim/AAK-9611-2021; Dean, Catherine/
OI Rushton, Alison/0000-0001-8114-7669; Dean, Catherine/0000-0001-7502-1138
TC 4
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
Z9 4
U1 0
U2 1
SN 2044-6055
UT WOS:000471192800097
PM 31110086
ER

PT J
AU Hilmi, Marc
   Rousseau, Benoit
   Cohen, Romain
   Vienot, Angelique
   Vernerey, Dewi
   Bartholin, Laurent
   Blanc-Durand, Felix
   Louvet, Christophe
   Turpin, Anthony
   Neuzillet, Cindy
TI A GERCOR-AERIO national survey of oncology residents in France: Current
   setting and expectations regarding post-internship and research
SO BULLETIN DU CANCER
VL 106
IS 5
BP 407
EP 420
DI 10.1016/j.bulcan.2019.02.009
PD MAY 2019
PY 2019
AB Introduction > The demographics of oncology residents has changed since
   2010 with the increase in the size of promotions. The evolution of the
   residents' aspirations towards research and their future exercise in
   parallel with these demographic changes has not been assessed.
   Methods > A questionnaire was developed by a working group from GERCOR
   (cooperative group in oncology), involving clinicians, researchers,
   GERCOR members, and residents. It consisted of 62 questions divided into
   7 sections: demographics, medical thesis, post-residency, mobility,
   publication activity, basic research, and clinical/translational
   research. The national survey was published online by the Association
   d'enseignement et de recherche des internes en oncologie (AERIO).
   Results > In total, 143 residents participated, of which 116 (81.1%)
   completed the questionnaire entirely. The population was representative
   of the current demographics, with a majority of women (65.0%), a median
   age of 28 years, and 39.7% of residents from Paris region. The
   unsupervised analysis revealed four profiles of residents, including one
   group strongly committed to research (16.8%), one group with moderate
   involvement (41.3%) and one group that did not seem interested in
   research (14.7%). Uncertainty about future position and lack of time and
   interaction with researchers appeared to be the main barriers to
   involvement of residents in research.
   Discussion > This notional survey provided useful information about the
   residents' perspective to academic research. It may serve as a basis for
   proposing measures adapted to their expectations.
RI Rousseau, Benoit/K-5651-2017; Cohen, Romain/AAC-9089-2019; Turpin, Anthony/F-2481-2018; Blanc-Durand, Felix/; Bartholin, Laurent/Q-6655-2017; ROUSSEAU, BENOIT/
OI Rousseau, Benoit/0000-0002-1594-4827; Cohen, Romain/0000-0001-9602-5162;
   Turpin, Anthony/0000-0002-2282-0101; Blanc-Durand,
   Felix/0000-0002-5277-1515; Bartholin, Laurent/0000-0002-5637-3223;
   ROUSSEAU, BENOIT/0000-0003-3556-5178
ZR 0
TC 2
ZS 0
ZA 0
ZB 2
Z8 0
Z9 2
U1 0
U2 0
SN 0007-4551
EI 1769-6917
UT WOS:000468607900002
PM 30987751
ER

PT J
AU Larsen, Sadie E.
   Lotfi, Salahadin
   Bennett, Kenneth P.
   Larson, Christine L.
   Dean-Bernhoft, Caron
   Han-Joo, Lee
TI A pilot randomized trial of a dual n-back emotional working memory
   training program for veterans with elevated PTSD symptoms
SO PSYCHIATRY RESEARCH
VL 275
BP 261
EP 268
DI 10.1016/j.psychres.2019.02.015
PD MAY 2019
PY 2019
AB Anxiety is characterized by excessive attention to threatening
   information, leading to impaired working memory (WM) performance and
   elevated anxious thoughts. Preliminary research indicates that
   individuals with PTSD show particular difficulty with WM in emotional
   contexts (Schweizer et al., 2011). Although several studies show that
   computerized training can improve WM capacity for anxious individuals
   (Owens et al., 2013; Schweizer et al., 2011; 2013), there has been very
   little research on WM training for PTSD or with Veterans (Saunders et
   al., 2015). In a pilot randomized trial, we assigned Veterans with
   elevated PTSD symptoms to an online emotional WM training, either
   adaptive (n-back; n = 11) or a less potent training (1-back; n = 10).
   Overall, both groups showed significant decreases in PTSD symptoms. The
   n-back group showed a trend of outperforming the 1-back group in
   improving reexperiencing symptoms (which are likely to be associated
   with impaired WM functioning). This population anecdotally found the
   intervention quite challenging, which may be why even the less potent
   1-back was still helpful. These preliminary findings justify the effort
   for developing new WM-focused PTSD intervention for complex, vulnerable
   populations, particularly as online training can improve accessibility.
OI Larsen, Sadie/0000-0001-7365-6199
TC 10
ZB 6
Z8 0
ZR 0
ZS 0
ZA 0
Z9 10
U1 3
U2 14
SN 0165-1781
UT WOS:000469156400037
PM 30939398
ER

PT J
AU Bilal
   Guraya, Salman Y.
   Chen, Songsheng
TI The impact and effectiveness of faculty development program in fostering
   the faculty's knowledge, skills, and professional competence: A
   systematic review and meta-analysis
SO SAUDI JOURNAL OF BIOLOGICAL SCIENCES
VL 26
IS 4
BP 688
EP 697
DI 10.1016/j.sjbs.2017.10.024
PD MAY 2019
PY 2019
AB Background: Faculty vitality is the main ingredient to enhance
   professional education and competence. Enriching the faculty vitality in
   key domains of teaching, assessing, research, professionalism, and
   administration is perceived to improve educational environment
   significantly and enhances the academic performance of learners. Faculty
   development program (FDP) has been considered as a stand-alone
   educational pedagogy in fostering knowledge and professional skills of
   faculty. However, few studies have provided objective reports about the
   impact of such programs in a healthcare system.
   Methods: This research was conducted by selecting data sources of
   PubMed-Medline, Wiley online library, Cochrane library, Taylor & Francis
   Online, CINAHL, Springer link, Proquest, ISI Web of knowledge, Science
   Direct, EJS, EBSCO, Blackwell, Emerald and ABI Inform. This search
   followed a step-wise approach defined by the Preferred Reporting Items
   for Systematic Reviews and Meta-Analyses (PRISMA). A total of 37 studies
   that explored the impact of FDPs on medical and allied health faculty's
   professional development were selected.
   Results: This meta-analysis reported a mean effect size of 0.73 that
   reflects a significant and positive impact of FDPs in enhancing
   faculty's knowledge and professional competence (z-statistics of 4.46
   significant at p-value < 0.05) using the random effects model and forest
   plot.
   Conclusion: This article reiterates the incorporation of FDPs in all
   healthcare institutions for improving the academic performance of
   faculty with resultant enrichment of learners' knowledge and skills. (C)
   2017 The Authors. Production and hosting by Elsevier B.V. on behalf of
   King Saud University.
RI Bilal, ./ABC-5856-2020; Guraya, Salman/AEN-6633-2022; Guraya, Salman/ABC-9493-2021
OI Bilal, ./0000-0001-6599-6687; Guraya, Salman/0000-0001-5183-023X;
   Guraya, Salman/0000-0001-5183-023X
ZA 0
ZB 2
ZS 0
ZR 0
TC 35
Z8 0
Z9 36
U1 4
U2 16
SN 1319-562X
EI 2213-7106
UT WOS:000465980900008
PM 31048993
ER

PT J
AU Oostema, J. Adam
   Chassee, Todd
   Baer, William
   Edberg, Allison
   Reeves, Mathew J.
TI Brief Educational Intervention Improves Emergency Medical Services
   Stroke Recognition
SO STROKE
VL 50
IS 5
BP 1193
EP 1200
DI 10.1161/STROKEAHA.118.023885
PD MAY 2019
PY 2019
AB Background and Purpose-Recognition of stroke symptoms and hospital
   prenotification by emergency medical services (EMS) facilitate rapid
   stroke treatment; however, one-third of patients with stroke are
   unrecognized by EMS. To promote stroke recognition and quality measure
   compliant prehospital stroke care, we deployed a 30-minute online EMS
   educational module coupled with a performance feedback system in a
   single Michigan county.
   Methods-During a 24-month study period, a registry of consecutive
   EMS-transported suspected or unrecognized stroke cases was utilized to
   perform an interrupted time series analysis of the impact of the EMS
   education and feedback intervention. For each agency, we compared EMS
   stroke recognition and quality measure compliance rates, as well as
   emergency department performance and hospital outcomes during 12
   preintervention months with performance in the remaining study months.
   Results-A total of 1805 EMS-transported cases met inclusion criteria;
   1235 (68.4%) of these had ischemic or hemorrhagic strokes or transient
   ischemic attacks. There were no trends toward improvement in any outcome
   before the intervention. After the intervention, the EMS stroke
   recognition rate increased from 63.8% to 69.5% (P=0.037).
   Prenotification increased from 60.9% to 77.3% (P<0.001). Among patients
   with ischemic stroke/transient ischemic attack, there was a trend toward
   higher rates of tPA (tissue-type plasminogen activator) delivery
   (13.9%-17.7%; P=0.096) and a significant increase in tPA delivery within
   45 minutes (5.7%-8.9%; P=0.042) after intervention. However,
   improvements in EMS recognition were limited to the first 3 months
   following intervention.
   Conclusions-A brief educational intervention was associated with
   improved EMS stroke recognition, hospital prenotification, and faster
   tPA delivery. Gains were primarily observed immediately following
   education and were not sustained through provision of performance
   feedback to paramedics.
TC 19
ZB 7
ZR 0
ZS 0
ZA 0
Z8 0
Z9 19
U1 1
U2 6
SN 0039-2499
EI 1524-4628
UT WOS:000469350000045
PM 30917754
ER

PT J
AU Kim, S.
   Li, B.
   Rosoklija, I
   Johnson, E. K.
   Yerkes, E.
   Chu, D., I
TI Federal research funding and academic productivity in pediatric urology:
   from early career to research independence
SO JOURNAL OF PEDIATRIC UROLOGY
VL 15
IS 3
BP 233
EP 239
DI 10.1016/j.jpurol.2019.02.018
PD MAY 2019
PY 2019
AB Introduction
   Federal grants from the National Institutes of Health (NIH) or Agency
   for Healthcare Research and Quality (AHRQ) are crucial for early career
   physician-scientists. Federal funding success has been explored in other
   surgical specialties, but has not been evaluated in pediatric urology.
   Objective
   To characterize factors associated with receipt of federal grants,
   hypothesizing that pediatric urologists who were have advanced research
   degree(s) were more likely to be federally funded.
   Study design
   All pediatric fellowship graduates from 1985-2016 listed on the
   Societies for Pediatric Urology and institutional websites were queried
   using the NIH Research Portfolio Online Reporting Tools. Primary
   outcomes were successful receipt of federal grants and transition from
   mentor-based to independent funding. The secondary outcome was
   publication rate on PubMed as of November 2017. Covariables included
   advanced degree(s) (eg, PhD, MPH, MSc, etc), sex, and year of fellowship
   graduation (1985-2006 versus 2007-2016).
   Results
   Of 445 pediatric urologists (73% male), 36 (8%) were federal grant
   recipients. Of 18 mentor-based awardees, 9 (50%) transitioned to
   independent awards. After adjusting for sex and year of fellowship
   graduation, having an advanced degree(s) was associated with funding
   success for mentor-based awards (hazard ratio [HR] 3.83 [95% confidence
   interval, 1.21-12.14], p = 0.02; Summary Table) and independent awards
   (HR 3.11 [1.21-8.02], p = 0.02), and with higher publication rates
   (incident rate ratio [IRR] 2.03 [1.43-2.87], p < 0.001). Recent training
   (2007-2016) was also associated with higher publication rates (IRR 2.70
   [2.16-3.37], p < 0.001).
   Discussion
   Among fellowship-trained pediatric urologists in North America between
   1985 and 2016, the prevalence of federal grant recipients was 8%.
   Pediatric urologists who had an advanced educational degree were more
   likely to be a federally funded grant recipient and have a higher
   publication rate.
   Conclusions
   Fellowship programs should consider adding opportunities for
   self-selected applicants to pursue additional research training and
   degrees.
   [GRAPHICS]
   .
OI Kim, Soojin/0000-0003-2684-0545; Johnson, Emilie/0000-0002-8500-9084
ZA 0
Z8 0
TC 6
ZS 0
ZB 2
ZR 0
Z9 6
U1 1
U2 6
SN 1477-5131
EI 1873-4898
UT WOS:000471774000015
PM 30928295
ER

PT J
AU Cristovao, Irina
   Reis-Pina, Paulo
TI Chronic Pain Education in Portugal: Perspectives fro Medical Students
   and Interns
SO ACTA MEDICA PORTUGUESA
VL 32
IS 5
BP 338
EP 347
DI 10.20344/amp.10773
PD MAY 2019
PY 2019
AB Introduction: The International Association for the Study of Pain
   advocates a mandatory curriculum on chronic pain in medical schools. The
   objective of this study was to assess the opinions of final year medical
   students and interns about chronic pain education in eight Portuguese
   medical schools.
   Material and Methods: Cross-sectional study. Online questionnaire (30
   questions voluntary and anonymous responses) available in the first
   quarter of 2016.
   Results: A total of 251 responses were received from 142 finalists and
   109 interns (women 72.9%; 25.3 +/- 1.6 years). Pain is a vital sign
   (92.4%), but 18.7% only assessed pain if the patient complained of it.
   Pain self-assessment scales were known (87.2%), but the
   hetero-evaluation was not (70.9%). Pain was not assessed regularly
   because patients may not express pain; lack of time; short duration of
   consultations. Education was insufficient on opioids (78.1%),
   pathophysiology and treatment of pain (66.1%) and interviewing patients
   with pain (67.7%); it lasted 1 to 10 hours (median). Respiratory
   depression was the most worrying effect of opioids (56.2%). The risks of
   opioids outweigh the clinical benefit (33.5%).
   Discussion: Education on chronic pain is scattered, unstructured and
   optional. More education is required in medical schools (98.4%). It
   should occur in year 5 and last more than 15 hours. Clinical stages are
   advised in chronic pain clinics.
   Conclusion: There is a need for improvement in the medical undergraduate
   curricula so that young doctors develop competencies to adequately
   control pain and fight the avoidable suffering of their patients.
RI Reis-Pina, Paulo/J-2898-2018; Cristovao, Irina/
OI Reis-Pina, Paulo/0000-0002-4665-585X; Cristovao,
   Irina/0000-0002-4545-0887
ZB 0
ZS 1
ZA 0
TC 5
Z8 0
ZR 0
Z9 6
U1 1
U2 1
SN 1646-0758
UT WOS:000469935100005
PM 31166894
ER

PT J
AU Tsermpini, Evangelia-Eirini
   Stamopoulou, Theano
   Kordou, Zoe
   Barba, Evaggelia
   Siamoglou, Stavroula
   Stathoulias, Andreas
   Patrinos, George P.
TI Continuous pharmacogenomics and genomic medicine education for
   healthcare professionals through electronic educational courses
SO PERSONALIZED MEDICINE
VL 16
IS 3
BP 189
EP 193
DI 10.2217/pme-2019-0014
PD MAY 2019
PY 2019
RI Eirini, Tsermpini Evangelia/AAV-3824-2020; Barba, Evaggelia/
OI Eirini, Tsermpini Evangelia/0000-0002-8592-7790; Barba,
   Evaggelia/0000-0002-8556-2496
ZA 0
TC 7
ZS 0
Z8 0
ZB 3
ZR 0
Z9 7
U1 0
U2 4
SN 1741-0541
EI 1744-828X
UT WOS:000476570600002
PM 31109241
ER

PT J
AU Mah, Dominic
TI University of Melbourne: combining practice with innovation in the
   latest completely online Masters of Sports Medicine (continuing
   professional development series)
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 53
IS 10
BP 607
EP 608
DI 10.1136/bjsports-2018-099965
PD MAY 2019
PY 2019
OI Dagaeva, Asa/0000-0002-4740-3654; Mah, Dominic/0000-0003-2988-4180
ZA 0
ZB 0
TC 1
Z8 0
ZS 0
ZR 0
Z9 1
U1 3
U2 8
SN 0306-3674
EI 1473-0480
UT WOS:000469499800010
PM 30352863
ER

PT J
AU Schwellnus, Martin
   Swaneyelder, Sonja
   Derman, Wayne
   Borjesson, Mats
   Schwabe, Karen
   Jordaan, Esme
TI Prerace medical screening and education reduce medical encounters in
   distance road races: SAFER VIII study in 153 208 race starters
SO BRITISH JOURNAL OF SPORTS MEDICINE
VL 53
IS 10
BP 634
EP +
DI 10.1136/bjsports-2018-099275
PD MAY 2019
PY 2019
AB Objectives To examine the efficacy and feasibility of an online prerace
   medical screening and educational intervention programme for reducing
   medical complications in long-distance races.
   Methods This was an 8-year observational study of medical encounter
   rates among 153 208 Two Oceans race starters (21.1 and 56 km) in South
   Africa. After the first 4-year control (CON) period, we introduced an
   online prerace medical screening (based on European pre-exercise
   screening guidelines) and an automated educational intervention
   programme. We compared the incidence of medical encounters (per 1000
   starters; all and serious life threatening) in the CON versus the 4-year
   intervention (INT) period.
   Results In comparison to the CON period (2008-2011: 65 865 starters),
   the INT period (2012-2015: 87 343 starters) had a significantly lower
   incidence (adjusted for age group, sex, race distance) of all medical
   encounters by 29% (CON=8.6 (7.9-9.4); INT=6.1 (5.6-6.7), p<0.0001), in
   the 21.1 km race by 19% (CON=5.1 (4.4-5.9); INT=4.1 (3.6-4.8), p=0.0356)
   and in the 56 km race by 39% (CON=14.6 (13.1-16.3); INT=9.0 (7.9-10.1),
   p<0.0001). Serious life-threatening encounters were significantly
   reduced by 64% (CON=0.6 (0.5-0.9); INT=0.2 (0.1-0.4); p=0.0003)
   (adjusted for age group and sex). Registration numbers increased in the
   INT period (CON=81 345; INT=106 743) and overall % race starters were
   similar in the CON versus INT period. Wet-bulb globe temperature was
   similar in the CON and INT periods.
   Conclusion All medical encounters and serious life-threatening
   encounters were significantly lower after the introduction of a
   prescreening and educational intervention programme, and the programme
   was feasible.
RI Derman, Wayne/ABD-6557-2020; Schwellnus, Martin/E-6042-2010
OI Schwellnus, Martin/0000-0003-3647-0429
ZS 0
Z8 1
ZB 2
TC 15
ZA 0
ZR 0
Z9 16
U1 0
U2 7
SN 0306-3674
EI 1473-0480
UT WOS:000469499800018
PM 30413425
ER

PT J
AU Grover, Sandeep
   Sahoo, Swapnajeet
   Srinivas, Balachander
   Tripathi, Adarsh
   Avasthi, Ajit
TI Young psychiatrists' opinion on the activities of Indian Psychiatric
   Society: A survey under the aegis of Research, Education, and Training
   Foundation of Indian Psychiatric Society
SO INDIAN JOURNAL OF PSYCHIATRY
VL 61
IS 3
BP 244
EP 252
DI 10.4103/psychiatry.IndianJPsychiatry_335_18
PD MAY-JUN 2019
PY 2019
AB Aim: The aim of the study is to assess the opinion of young
   psychiatrists (aged <= 45 years) about the various scientific activities
   of Indian Psychiatric Society (IPS).
   Materials and Methods: An online survey using SurveyMonkey electronic
   platform was conducted. Data of 350 participants were available for
   analysis.
   Results: The mean age of the participants (spread across 115
   institutes/medical colleges) was 33.61 (standard deviation [SD] - 5.32)
   years and their mean number of years of experience in psychiatry
   including the training period was 8.25 (SD - 5.5) years. About 70% of
   the participants (n = 243) rated the current format of the Annual
   National Conference of the IPS (ANCIPS) to be "good/very good," and more
   than half of the participants agreed that the conferences at the zonal
   and state level help in enhancing the academic knowledge of the
   participants as well as such activities help in enhancing the social
   interaction among fellow colleagues. Among the various scientific
   sessions of the ANCIPS, workshops and guest lectures were rated as very
   useful by three-fifth of the participants. Regarding opinion in terms of
   changes required in the current format of the ANCIPS and other
   conferences/continuing medical educations (CMEs) being conducted by IPS,
   more than half to about two-third of the participants reported that
   having more hands-on workshops, having sessions like meet the experts,
   having mentorship programs, and more expert speakers from India will
   "definitely" be useful. Majority of the participants expressed that
   reduction of concurrent sessions would be definitely be beneficial. In
   terms of modification of ongoing activities and introduction of new
   activities, about two-third of the participants expressed that having
   IPS supported travel fellowship programs within the country and abroad,
   having subject/topic-focused conferences, and starting online CMEs will
   be definitely be useful.
   Conclusions: The present survey reflects that there is a need to have
   more subject/topic-focused conferences/CMEs, need to introduce online
   CME activities, reduction of concurrent sessions during the conferences
   and strengthening the travel fellowship programs. All these can be
   considered as expectations of the young generation of psychiatrists from
   the organization like IPS, which should be duly considered while
   planning future conferences and CMEs.
RI Tripathi, Adarsh/AAP-9697-2020; SAHOO, SWAPNAJEET/AAZ-5445-2020; Grover, Sandeep/
OI Tripathi, Adarsh/0000-0002-3885-6475; SAHOO,
   SWAPNAJEET/0000-0003-0365-7086; Grover, Sandeep/0000-0002-2714-2055
ZA 0
ZB 0
TC 0
ZR 0
ZS 0
Z8 0
Z9 0
U1 0
U2 0
SN 0019-5545
EI 1998-3794
UT WOS:000468922200006
PM 31142901
ER

PT J
AU Ruddell, Jack H.
   Eltorai, Adam E. M.
   Bakhit, Mena
   Lateef, Arman M.
   Moss, Steven F.
TI Analysis of Accredited Gastroenterology Fellowship Internet-Available
   Content: Twenty-Nine Steps Toward a Better Program Website
SO DIGESTIVE DISEASES AND SCIENCES
VL 64
IS 5
BP 1074
EP 1078
DI 10.1007/s10620-019-05579-6
PD MAY 2019
PY 2019
AB GoalTo assess publicly available content derived from official websites
   of accredited gastroenterology fellowship programs, specifically
   evaluating data pertinent to prospective applicants.BackgroundThe
   Internet provides access to key information for applicants applying to
   gastroenterology fellowship, particularly as competition drives
   applicants to apply to a large number of programs. Thus, it is important
   for fellowship program websites to be up to date and contain accurate
   and pertinent information.MethodsTwenty-nine variables, determined as
   important website content on the basis of prior published website
   analyses and from surveys of preferences, were extracted from the
   relevant websites of all accredited gastroenterology fellowships in the
   USA. Results were binaryi.e., a website either contained or did not
   contain each item.ResultsA total of 178 websites were evaluated. The
   mean number of online content items was 14.1(3.2 SD) out of a possible
   29 (47.1%). Program coordinator contact information, application
   information, and the number of current fellows were accessible on>80% of
   websites. In contrast, the typical number and types of procedures
   performed by fellows and number of hospitals covered by fellows on call
   were found on<10% of websites. Analysis revealed that 23.2% of
   lifestyle, 48.3% of training, and 59.6% of program variables were
   met.Conclusions Gastroenterology fellowship websites lacked important
   content. Websites had a lower mean percentage of lifestyle content
   compared to training and program-related items. An organized website
   containing relevant information may not only attract qualified
   applicants but also avert unnecessary email inquiries and inappropriate
   applications. This study may provide guidance to gastroenterology
   fellowship programs seeking to improve their websites for applicants.
Z8 0
ZA 0
ZB 2
ZS 0
ZR 0
TC 6
Z9 6
U1 0
U2 1
SN 0163-2116
EI 1573-2568
UT WOS:000466886100007
PM 30863954
ER

PT J
AU Wallach, Paul M.
   Foster, Lauren M.
   Cuddy, Monica M.
   Hammoud, Maya M.
   Holtzman, Kathleen Z.
   Swanson, David B.
TI Electronic Health Record Use in Internal Medicine Clerkships and
   Sub-internships for Medical Students Graduating from 2012 to 2016
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 5
BP 705
EP 711
DI 10.1007/s11606-019-04902-1
PD MAY 2019
PY 2019
AB BackgroundAs electronic health records (EHRs) became broadly available
   in medical practice, effective use of EHRs by medical students emerged
   as an essential aspect of medical education. While new federal clinical
   documentation guidelines have the potential to encourage greater medical
   student EHR use and enhance student learning experiences with respect to
   EHRs, little is known nationally about how students have engaged with
   EHRs in the past.ObjectiveThis study examines medical student accounts
   of EHR use during their internal medicine (IM) clerkships and
   sub-internships during a 5-year time period prior to the new clinical
   documentation guidelines.DesignAn online survey about EHR use was
   administered to medical students immediately after they completed USMLE
   Step 2 CK.ParticipantsThe sample included 16,602 medical students
   planning to graduate from US medical schools from 2012 to 2016.Main
   MeasuresDescriptive statistics were computed to determine the average
   percentage of students engaged in various health record activities
   during their IM educational experiences by graduation year.Key
   ResultsThe vast majority (99%) of medical students used EHRs during IM
   clerkships or sub-internships. Most students reported that they entered
   information into EHRs during the inpatient component of the IM clerkship
   (84%), outpatient component of the IM clerkship (70%), and the IM
   sub-internship (92%). Yet, 43% of the students who graduated in 2016
   never entered admission orders and 35% of them never entered
   post-admission orders.ConclusionsMedical school graduates ought to be
   able to effectively document clinical encounters and enter orders into
   EHR systems. Although most students used and entered information into
   EHRs during their IM clinical training, many students appear to have
   received inadequate opportunities to enter notes or orders, in
   particular. Implications for graduate medical education preparedness are
   considered. Future research should address similar questions using
   comparable national data collected after the recent guideline changes.
TC 7
ZA 0
ZS 0
Z8 0
ZB 1
ZR 0
Z9 7
U1 0
U2 0
SN 0884-8734
EI 1525-1497
UT WOS:000467111200014
PM 30993624
ER

PT J
AU Post, Marcel W. M.
   Leenders, Jacqueline M. P.
   Tepper, Marga
   Snoek, Govert J.
   van der Woude, Luc H., V
   Adriaanse, Jacinthe J. E.
   de Groot, S.
   Janssen, T. W. J.
   Bussmann, H.
   Smit, C.
   Sloots, M.
   van Kuppevelt, D.
   Rijken, H.
   Faber, W.
   Valent, L.
   Snoek, G.
   Schuitemaker, M.
   Woldring, F.
   Bongers, H.
   Slangen, S.
   Wynants, M.
   Sluis, T.
   Broeksteeg, R.
   Dijkstra, C.
   Luthart, P.
CA ALLRISC
TI Computer and internet use among people with long-standing spinal cord
   injury: a cross-sectional survey in the Netherlands
SO SPINAL CORD
VL 57
IS 5
BP 396
EP 403
DI 10.1038/s41393-018-0237-1
PD MAY 2019
PY 2019
AB Study design: Cross-sectional survey
   Objectives: To describe computer and Internet use (other than for work
   or study) among people with long-standing spinal cord injury (SCI),
   examine associations between demographic and lesion characteristics and
   Internet use, and examine associations between Internet use and mental
   health, participation, and life satisfaction.
   Setting: Community, The Netherlands
   Methods: Participants were 265 individuals living with SCI for at least
   10 years, who were 18-35 at the onset of SCI, aged 28-65 at the time of
   the study and wheelchair-user. Scales for General and Health-related
   Internet use were developed.
   Results: Nearly all (97.7%) participants had Internet access and 98.4%
   of those used it daily or weekly. Of those with tetraplegia, 47.4% had
   assistive devices for computer use. General Internet use, such as
   following news and online banking, was very frequent. Websites with
   information on general health or accessibility were typically visited a
   few times a year. Three-quarters never visited websites of other
   individuals with SCI or foreign websites with information on SCI.
   General Internet use was associated with male gender, younger age, and
   higher education. Participants with tetraplegia scored higher on
   Health-related Internet use compared to participants with paraplegia.
   Health-related Internet use was associated with worse participation, but
   not with the other psychosocial variables.
   Conclusion: Internet has become part of daily life of people with SCI in
   the Netherlands. However, only one association between Internet use and
   indicators of psychosocial functioning was found. Possible underuse of
   adaptive devices and of SCI-specific websites warrant further
   investigation.
RI Post, Marcel/AAS-2502-2021; Janssen, Thomas/; Post, Marcel/; van der Woude, Lucas/E-7986-2018
OI Janssen, Thomas/0000-0001-6762-131X; Post, Marcel/0000-0002-2205-9404;
   van der Woude, Lucas/0000-0002-8472-334X
TC 4
ZS 0
ZA 0
ZR 0
ZB 1
Z8 0
Z9 4
U1 0
U2 3
SN 1362-4393
EI 1476-5624
UT WOS:000466845000008
PM 30692591
ER

PT J
AU Diamond, Ivan R.
   Probyn, Linda
   Colak, Errol
   Finlay, Karen
   Bartlett, Eric S.
TI Assessing Competence in Emergency Radiology Using an Online Simulator
SO ACADEMIC RADIOLOGY
VL 26
IS 5
BP 676
EP 685
DI 10.1016/j.acra.2018.07.007
PD MAY 2019
PY 2019
AB Rationale and Objectives: Traditional assessments in radiology residency
   focus on the Medical Expert CanMEDS role and typically rely upon a
   single or limited static images. We designed an Emergency Radiology
   Simulator that aimed to assess the breadth of competencies required
   across Medical and NonMedical Expert domains.
   Material and Methods: An online simulator with typical emergency cases
   was administered in October 2015 to Post Graduate Year (PGY) 2-5
   residents in Radiology. Residents provided preliminary reports, which
   were graded for style and content. The simulation also included
   prioritization, protocoling, counseling, and handover exercises geared
   to assess NonMedical Expert roles.
   Results: Fourty eight residents participated in the simulation. Level of
   resident was 11 PGY-2, 17 PGY-3, 13 PGY-4, and 7 PGY-5. There was a
   significant difference in resident performance between PGY-2 residents
   and those more senior in terms of the Medical Expert role (findings,
   diagnosis, recommendations, and clinical relevance of reports).
   Differences in performance between PGY levels were not seen in the
   NonMedical Expert roles (prioritization, protocoling, counseling, and
   handover).
   Conclusion: Simulation provides an opportunity to assess radiology
   resident performance across multiple domains. PGY-2 residents performed
   worse on the Medical Expert domains, although performance did not
   significantly vary between the other years. This may suggest that
   competence in Emergency Radiology is achieved early in residency,
   possibly related to the importance placed on developing skills related
   to on-call performance during the PGY-2 year. The simulator should be
   extended to other areas of Radiology, in order to assess the ability to
   discriminate performance in other subspecialties.
OI Colak, Errol/0000-0002-3771-7975
ZB 0
ZA 0
ZS 0
Z8 0
TC 3
ZR 0
Z9 3
U1 0
U2 1
SN 1076-6332
EI 1878-4046
UT WOS:000467890100014
PM 30100154
ER

PT J
AU Holland, Jane C.
   Pawlikowska, Teresa
TI Undergraduate Medical Students' Usage and Perceptions of Anatomical
   Case-Based Learning: Comparison of Facilitated Small Group Discussions
   and eLearning Resources
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 3
BP 245
EP 256
DI 10.1002/ase.1824
PD MAY 2019
PY 2019
AB While case-based discussions can empower students to apply knowledge to
   contextual clinical situations, scheduling these activities is a
   challenge in crowded curricula. Case-based eLearning activities, derived
   from existing cases discussed within anatomy small group tutorials, were
   created incorporating principles such as interactivity, reinforcement,
   and feedback. Over half of the students accessed one or more of these
   online cases, with 18% accessing all eight online cases provided. Access
   increased as the semester progressed, particularly just before summative
   examinations, implying students used these primarily as revision aides.
   Students rated both formats highly, but favored the online format with
   regard to enjoyment (P = 0.048), learning (P = 0.101), and feedback (P =
   0.086). However, more students discussed these cases in small group
   tutorials within the anatomy dissecting room than completed them online
   (122 vs. 67) and themes emerging from free text comments included a
   desire to have more time dedicated to these cases during small group
   tutorials, and an appreciation for the opportunity for discussion with
   staff and learning through doing. Additionally, native English speakers
   rated the anatomy room discussions significantly higher in all aspects
   than non-native English speakers, suggesting that non-native speakers
   may be hesitant or reluctant to fully participate in front of peers.
   While online case-based learning activities are a useful adjunct to
   anatomy teaching, particularly for revision, assumptions that digital
   natives have an innate preference for digital resources require critical
   evaluation, as students still place a high value on opportunities for
   discussion with staff during their studies.
RI Holland, Jane/C-8722-2012
OI Holland, Jane/0000-0002-8784-6169
ZB 0
ZR 0
TC 8
ZA 0
ZS 0
Z8 0
Z9 8
U1 1
U2 15
SN 1935-9772
EI 1935-9780
UT WOS:000468367900003
PM 30378294
ER

PT J
AU Krause, James S.
   Dismuke-Greer, Clara E.
   Jarnecke, Melinda
   Li, Chao
   Reed, Karla S.
   Rumrill, Phillip
TI Employment and Gainful Earnings Among Those With Multiple Sclerosis
SO ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
VL 100
IS 5
BP 931
EP 937
DI 10.1016/j.apmr.2018.11.005
PD MAY 2019
PY 2019
AB Objective: To identify demographic, educational, and disease-related
   characteristics associated with the odds of employment and earnings
   among participants with multiple sclerosis (MS).
   Design: Cross-sectional using self-report assessment obtained by mail or
   online.
   Setting: Medical university in the southeastern United States.
   Participants: Participants with MS (N = 1059) were enrolled from a
   specialty hospital in the southeastern United States. All were adults
   younger than 65 years at the time of assessment.
   Interventions: Not applicable.
   Main Outcome Measures: Current employment status and earnings.
   Results: MS factors were highly related to employment, yet not as
   strongly to conditional earnings. Those with no symptoms reported 6.25
   greater odds of employment than those with severe current symptoms.
   Compared with those with progressive MS, those with relapsing or
   remitting had greater odds of employment (odds ratio [OR] = 2.24).
   Participants with no perceived cognitive impairment had 1.83 greater
   odds of employment than those with moderate to severe perceived
   cognitive impairment. Those with <10 years since MS diagnosis had 2.74
   greater odds of employment compared with those with >20 years since
   diagnosis. An absence of problematic fatigue was highly related to the
   probability of employment (OR = 5.01) and higher conditional earnings
   ($14,454), whereas the remaining MS variables were unrelated to
   conditional earnings. For non-MS variables, education was highly related
   to employment status and conditional earnings, because those with a
   postgraduate degree had 2.87 greater odds of employment and $44,346
   greater conditional earnings than those with no more than a high school
   certificate. Non-Hispanic whites had 2.22 greater odds of employment and
   $16,118 greater conditional earnings than non-Hispanic blacks, and men
   reported $30,730 more in conditional earnings than women.
   Conclusions: MS indicators were significantly associated with employment
   status including time since diagnosis, fatigue, symptom severity, and
   presence of cognitive impairment. However, among those who were
   employed, conditional earnings were less highly related to these factors
   and more highly related to educational attainment. (C) 2018 by the
   American Congress of Rehabilitation Medicine
ZR 0
ZA 0
ZS 0
TC 7
ZB 0
Z8 0
Z9 7
U1 0
U2 0
SN 0003-9993
EI 1532-821X
UT WOS:000466619100017
PM 30529324
ER

PT J
AU Schoierer, Julia
   Mertes, Hanna
   Wershofen, Birgit
   Boese-O'Reilly, Stephan
TI Training modules on climate change, heat, and health for medical
   assistants and nurses in outpatient care
SO BUNDESGESUNDHEITSBLATT-GESUNDHEITSFORSCHUNG-GESUNDHEITSSCHUTZ
VL 62
IS 5
BP 620
EP 628
DI 10.1007/s00103-019-02942-w
PD MAY 2019
PY 2019
AB The number of heatwaves is going to increase due to climate change and
   will pose ahigh health risk especially for elderly people. Additional
   risk factors like immobility, the need for care, chronic and acute
   diseases (worsening of symptoms), and the intake of medications lead to
   an increased sensitivity to heat in this particular age group. Nursing
   staff and medical assistants working in general practices are two
   important professions to reach the risk group during heatwaves and
   provide preventive and curative care.The Klinikum der Universitat
   Munchen has developed an interprofessional blended-learning program to
   sensitize for this topic and to enable those two professional groups to
   react adequately to heat events. It combines independent learning with
   the help of online videos and presentations and aface-to-face component
   for the practical application of knowledge through examples. The
   concept, the results, as well as the conclusion of the project, which
   completed in October 2018, are presented in this article.Educational
   programs are part of the adaption strategies to heat events. The
   Recommendations for the creation of Heat Action Plans for the Protection
   of Human Health state that advanced trainings and education of
   healthcare and social workers help to communicate relevant content to
   adequately act during heat periods. The developed educational program
   fulfills this demand.To enable the widest possible use, the training
   materials are available free of charge and can be downloaded from
   www.klimawandelundbildung.de.
ZA 0
Z8 0
ZR 0
ZB 1
TC 2
ZS 0
Z9 2
U1 1
U2 10
SN 1436-9990
EI 1437-1588
UT WOS:000466298400012
PM 30997525
ER

PT J
AU Zhao, Yu
   Morris, Anne
   Marais, Ben J.
   Pardo, Abelardo
   Scott, Karen M.
TI Exploring how medical students learn during clinical rotations: a pilot
   study with a mobile application
SO HEALTH AND TECHNOLOGY
VL 9
IS 3
BP 257
EP 267
DI 10.1007/s12553-019-00305-8
PD MAY 2019
PY 2019
AB Student engagement is an indicator that correlates with the overall
   quality of learning. Strategies such as the flipped-classroom approach
   aim to increase student engagement, but new learning designs require
   careful consideration in terms of how they are experienced by students
   and whether they mediate an enhanced learning experience. The study
   aimed to explore how student learning behaviour and well-being changed
   with a transition in learning design from the traditional lecture-based
   approach to a flipped-classroom approach. Students were recruited during
   three eight-week Child and Adolescent Health blocks of a four-year
   graduate-entry medical program. Students were invited to use the
   myStudyMate app as a daily activity tracker for one week, completing
   daily reports on perceived learning quality and physical and emotional
   well-being. There were 38 student participations in the study. Results
   show that most students had a healthy balanced day. Students spent more
   time studying online than reading prescribed textbooks, which was most
   pronounced during the lecture week using the flipped classroom approach.
   With the flipped classroom approach, students spent more time examining
   patients (0.51 h in traditional versus 1.18 h in flipped classroom p =
   0.02) and taking patient histories (0.31 h in traditional versus 0.71 h
   in flipped classroom p = 0.03). Qualitative results emphasized the value
   of knowledgeable and enthusiastic educators who involved students in
   patient care and provided constructive feedback. In general, the study
   also demonstrated feasible use of a mobile application as a learning
   activity tracker to understand students' learning behaviour. Integration
   of the myStudyMate app with the existing learning management systems has
   been identified as one potential avenue for future research.
RI Marais, Ben/AAX-2626-2021; Pardo, Abelardo/C-3001-2011
OI Pardo, Abelardo/0000-0002-6857-0582
ZB 0
ZR 0
Z8 0
TC 0
ZA 0
ZS 0
Z9 0
U1 0
U2 15
SN 2190-7188
EI 2190-7196
UT WOS:000467647500007
ER

PT J
AU Bongar, Maria Victoria V.
   Pangan, Frederick C.
   Macindo, John Rey B.
TI Characteristics of a critical care clinical placement programme
   affecting critical care nursing competency of baccalaureate nursing
   students: A structural equation modelling
SO JOURNAL OF CLINICAL NURSING
VL 28
IS 9-10
BP 1760
EP 1770
DI 10.1111/jocn.14775
PD MAY 2019
PY 2019
AB Aim and objectivesTo evaluate and determine the characteristics of a
   critical care clinical placement programme affecting the critical care
   nursing competency of baccalaureate nursing students.
   BackgroundThe increase in global demand for competent critical care
   services and human resources translates to an educational focus in
   preparing students for their eventual role as critical care health
   professionals. Albeit clinical placement in critical care units can
   promote competency, evidence supporting such claim remains inadequate.
   DesignCross-sectional, descriptive correlational design.
   MethodEmploying structural equation modelling, 236 randomly selected
   baccalaureate nursing students from a clinically intensive university in
   the Philippines were recruited from January-March 2016. A three-part
   online survey, composed of the robotfoto, Critical Care Nursing Rotation
   Evaluation Questionnaire, and Intensive and Critical Care Nursing
   Competence Scale, was completed. The STROBE checklist was followed in
   reporting this study.
   ResultsFive characteristics of clinical placement were extracted as
   follows: sufficient clinical exposure, adequate area orientation,
   supportive clinical instructor, diversified medical cases and
   supplemental learning resources. Four characteristics affected critical
   care nursing competency and built a good model ((2)/df=1.52; comparative
   fit index=0.94; parsimonious normal fit index=0.77; root mean square
   error of approximation=0.047). Adequate area orientation had the most
   diverse influence on all competency domains, while supportive clinical
   instructor had the strongest positive influence on critical care nursing
   skill (=0.30, p=0.005).
   ConclusionThe model highlights the characteristics of a critical care
   clinical placement programme which influences critical care nursing
   competency among nursing students. It emphasised the importance of a
   supportive clinical instructor and adequate area orientation in
   promoting critical care nursing skills and values and attitude.
   Relevance to clinical practiceThe proposed model highlights the role of
   clinical instructors and appropriate orientation which provides impetus
   in improving the clinical placement design to maximise competency
   development.
RI Macindo, John Rey/AFN-7932-2022; Macindo, John Bejerano/J-2825-2019
OI Macindo, John Rey/0000-0001-8967-2054; Macindo, John
   Bejerano/0000-0001-8967-2054
ZA 0
ZS 0
TC 5
ZR 0
ZB 0
Z8 0
Z9 5
U1 0
U2 5
SN 0962-1067
EI 1365-2702
UT WOS:000468589500037
PM 30653758
ER

PT J
AU Kang, Rachel
   Lipner, Shari
TI Evaluation of Onychomycosis Information on the Internet
SO JOURNAL OF DRUGS IN DERMATOLOGY
VL 18
IS 5
BP 484
EP 487
PD MAY 2019
PY 2019
AB Onychomycosis is a common and significant nail condition causing both
   physical and social impairment. Since patients often search for health
   information online, the accuracy of this information has become
   important. In this study, we sought to assess the reliability and
   comprehensibility of accessible internet information for patients
   searching for onychomycosis. We identified the top search engine hits,
   evaluating websites on several categories: Accountability, Quality of
   Medical Information, Readability, Display, Support Features, and
   Transparency/Disclosures. Utilizing a pro forma based on established
   internet codes of conduct, website readability scores, and peer-reviewed
   papers, we objectively analyzed and scored the most commonly-listed
   websites on onychomycosis. Fifty-one total websites were reviewed with a
   maximum possible overall score of 43.The mean overall score for all
   websites was 20 and 1/43 (range, 4-35) with varied Accountability (mean,
   4.9/10; range, 0-10) and Quality (mean, 6.4/13; range,1-12/13).
   Readability was poor overall with only 1/3 of sites meeting the
   acceptable 7th grade reading level for patients. In addition, while
   sites such as the American Academy of Dermatology website were
   well-organized and highly readable (Readability score, 5/5), this may
   compromise the quality of medical information presented (Quality score,
   6/13). Because online education materials set the expectations and
   concerns of patients with onychomycosis, the variability in website
   reliability necessitates more efficient and regulated methods of
   presenting health information.
RI Lipner, Shari R./AAK-8943-2020
OI Lipner, Shari R./0000-0001-5913-9304
ZA 0
ZS 0
TC 3
Z8 0
ZB 0
ZR 0
Z9 3
U1 0
U2 0
SN 1545-9616
UT WOS:000467663200014
PM 31141860
ER

PT J
AU Behmen, Dalibora
   Marusic, Ana
   Puljak, Livia
TI Capacity building for knowledge translation: A survey about the
   characteristics and motivation of volunteer translators of Cochrane
   plain language summaries
SO JOURNAL OF EVIDENCE BASED MEDICINE
VL 12
IS 2
BP 147
EP 154
DI 10.1111/jebm.12345
PD MAY 2019
PY 2019
AB BackgroundCochrane systematic reviews have plain language summaries
   (PLSs) that are translated into multiple languages, mostly by
   volunteers. We aimed to survey volunteer translators to find out their
   characteristics, motivation, and suggestions to further improve this
   translation project.
   MethodsWe surveyed 176 registered volunteer translators from the
   Cochrane Croatia PLS translation project. A 28-item survey, created for
   the purpose of this study, was administered via SurveyMonkey in
   November-December 2017. Translators received an invitation to the survey
   and two follow-up reminders via e-mail. Primary and secondary outcomes
   were the characteristics and motivation of volunteers.
   ResultsWe received 106 responses (60% response rate) to the survey. The
   translators were on average (standard deviation) 32 10 years old, they
   were mostly women (74%), and most of them were medical doctors (29%) or
   pharmacists (13%). The majority found out about the translation project
   from acquaintances and colleagues. Most of them indicated that they have
   still had high motivation for the project, but for the majority, the
   number of translations decreased over time. When asked what could
   motivate them to translate more Cochrane PLSs, or to start translating
   if they did not translate anything yet, the most common answers were:
   feedback about translation quality, reminders, a workshop for
   translators and Facebook group for translators.
   ConclusionCochrane volunteer PLS translators are a motivated and highly
   educated group, but their translation output is decreasing with time.
   Reminders, feedback and education are interventions that should be
   tested to increase volunteer engagement in such initiatives.
RI Puljak, Livia/D-5080-2017
OI Puljak, Livia/0000-0002-8467-6061
ZB 0
Z8 0
ZS 0
TC 2
ZA 0
ZR 0
Z9 2
U1 1
U2 2
SN 1756-5383
EI 1756-5391
UT WOS:000678092300008
PM 31144468
ER

PT J
AU Ruddell, Jack H.
   Ahmed, Shaan A.
   Tang, Oliver Y.
   Schiffman, Fred J.
   Quesenberry, Matthew, I
   Eltorai, Adam E. M.
TI Critical Analysis of Hematology and Oncology Fellowship Web Sites in the
   united States
SO JOURNAL OF ONCOLOGY PRACTICE
VL 15
IS 5
BP E439
EP E446
DI 10.1200/JOP.18.00666
PD MAY 1 2019
PY 2019
AB PURPOSE Prospective hematology-oncology fellowship applicants use
   program Web sites as a critical source of information. The purpose of
   this study was to evaluate the current content and comprehensiveness of
   hematology-oncology fellowship Web sites and to identify specific areas
   for improvement.
   METHODS This study assessed the presence of 27 commonly evaluated
   program and application and curriculum and training informational items
   for Web sites of all accredited hematology-oncology fellowship programs
   in 2018. The comprehensiveness score was calculated as the number of
   items present on a fellowship Web site out of 27 and was compared by
   program region and size using analysis of variance and two-tailed t
   tests.
   RESULTS Of the 143 fellowship Web sites evaluated, the mean
   comprehensiveness score was 39.3% (10.6 +/- 3.8 out of 27). Programs
   contained a mean of 42.1% (5.9 +/- 2.3 out of 14) of program and
   application and 36.2% (4.7 +/- 2.1 out of 13) of curriculum and training
   items. The program and application items most common among Web sites
   were program coordinator contact and faculty listing (83.2% and 74.1% of
   Web sites, respectively), whereas social events and salary and benefits
   were less common (31.5% and 20.3% of Web sites, respectively). Prevalent
   curriculum and training items were research publications and activity
   and rotation scheduling (86.0% and 81.1% of Web sites, respectively),
   whereas board examination pass rates and fellow call duties were
   uncommon (4.2% and 15.4% of Web sites, respectively). Large programs
   were associated with greater overall Web site items compared with small
   programs (43.0% [11.6 +/- 4.1 out of 27] v35.9% [9.7 +/- 3.3 out of 27];
   P = .003).
   CONCLUSION Hematology-oncology fellowship Web sites vary considerably in
   the level and nature of content they contain. Because applicants rely on
   online information for decision making, more comprehensive online
   content may promote a better fit between program and applicant. There is
   room for improvement in hematology-oncology fellowship Web sites, and
   programs may consider directing resources toward enhancing these Web
   sites. (C) 2019 by American Society of Clinical Oncology
ZS 0
TC 2
ZB 0
ZR 0
Z8 0
ZA 0
Z9 2
U1 0
U2 1
SN 1554-7477
EI 1935-469X
UT WOS:000468461600023
PM 30964734
ER

PT J
AU Spooner, Michael T.
   Alex, John E.
   Greer, Joy A.
   Delorey, Donald R.
   Kiser, Rebecca A.
   Petersen, Carl
   Polk, Travis
   Gunzelman, Kim
TI Simulation Training for Operational Medicine Providers (STOMP): Impact
   of a Comprehensive Skills-Based Curriculum for Military General Medical
   Officers
SO MILITARY MEDICINE
VL 184
IS 5-6
BP E141
EP E146
DI 10.1093/milmed/usy346
PD MAY-JUN 2019
PY 2019
AB Introduction: A standardized training curriculum designed for general
   medical officers (GMO) titled Simulation Training for Operational
   Medicine Providers (STOMP) was recently developed to educate and improve
   GMOs' procedural skills through directed feedback prior to assuming
   duties in an operational environment. This study aimed to determine the
   impact this novel curriculum had on GMOs'confidence levels in 21 core
   privileges covering eight different subspecialties while stationed at
   Naval Medical Center Portsmouth (NMCP). Materials and Methods: A cohort
   study from 2015 to 2017 was designed to address our specific aim to
   examine if the implementation of the STOMP curriculum increased GMOs'
   confidence levels. Fifty-seven participants enrolled in the study. The
   GMO case group completed the STOMP curriculum (n = 22), while the
   control or GMO self-study group (n = 35) did not complete the
   curriculum. Six months after starting clinical practice at NMCP, both
   groups completed an online survey that assessed their confidence level
   in performing each core privilege using a 5-point Likert scale. Scores
   were analyzed using a Wilcoxon Mann-Whitney test. Research data were
   derived from an approved Naval Medical Center, Portsmouth, Virginia IRB,
   protocol number: NMCP. 2016.0010. Results: Participants demonstrated a
   statistically significant increase in self-rated confidence scores (p <
   0.05) in nine core privilege skills: punch biopsy, shave biopsy,
   excisional biopsy, removal of otic foreign body, removal of nasal
   foreign body, removal of ocular foreign body, tonometry, incision and
   drainage of a thrombosed hemorrhoid, and reduction of simple closed
   fractures and dislocations. Conclusions: These findings suggest that a
   novel and recently developed standardized simulation training curriculum
   entitled STOMP improves the confidence levels of early career
   physicians' in several primary care procedural skills and is an ideal
   adjunct to traditional lecture-based teaching prior to independent
   practice in a primary care environment.
RI Polk, Travis/I-1190-2017
OI Polk, Travis/0000-0001-5416-8536
ZB 0
Z8 1
ZS 0
ZA 0
ZR 0
TC 1
Z9 2
U1 0
U2 0
SN 0026-4075
EI 1930-613X
UT WOS:000468188900003
PM 30517692
ER

PT J
AU ReFaey, Karim
   Tripathi, Shashwat
   Bohnen, Angela M.
   Waddle, Mark R.
   Peterson, Jennifer
   Vazquez-Ramos, Carla
   Bondoc, Celine M.
   Quinones-Hinojosa, Alfredo
   Trifiletti, Daniel M.
TI The Reliability of YouTube Videos Describing Stereotactic Radiosurgery:
   A Call for Action
SO WORLD NEUROSURGERY
VL 125
BP E398
EP E402
DI 10.1016/j.wneu.2019.01.086
PD MAY 2019
PY 2019
AB BACKGROUND: Gamma Knife radiosurgery was introduced in the 1960s and is
   currently used worldwide. The internet has become a foremost source of
   information used by patients and their families. In this study, we aim
   to evaluate the accuracy and reliability of the Gamma Knife
   radiosurgeryerelated YouTube videos.
   METHODS: We searched YouTube and the first 3 pages sorted according to
   "Relevance-Based Ranking" were included for analysis. Four independent
   health care workers from different disciplines evaluated the videos
   using the validated DISCERN tool.
   RESULTS: Our search resulted in 65,774 videos, and 14 videos met
   inclusion criteria. Our study found that 50% (7 of 14) of the videos
   were uploaded by university-affiliated hospitals; 14% of videos scored
   3. The search term "Radiosurgery for intraaxial brain lesions" had the
   highest percentage of moderate videos (DISCERN = 3) (50%).
   CONCLUSIONS: Patients and caregivers turn to online sources to gather
   information about the disease. However, the available YouTube published
   videos are published without proper academic monitoring, as in such a
   free platform, published videos tend to catch a general audience for
   different purposes, which leads to diminishing quality control. Academic
   medical institutions should consider a proper monitoring process for
   videos to improve the accuracy of the published information for the
   patients.
RI Tripathi, Shashwat/AAR-8733-2020; ReFaey, Karim/ABI-4283-2020; ReFaey, Karim/; Tripathi, Shashwat/
OI ReFaey, Karim/0000-0001-7227-1529; Tripathi,
   Shashwat/0000-0001-8172-7532
ZS 0
Z8 0
ZB 0
ZR 0
ZA 0
TC 11
Z9 11
U1 1
U2 3
SN 1878-8750
EI 1878-8769
UT WOS:000466491700052
PM 30703604
ER

PT J
AU Blaiss, Michael S.
   Steven, Gary C.
   Bender, Bruce
   Bukstein, Don A.
   Meltzer, Eli O.
   Winders, Tonya
TI Shared decision making for the allergist
SO ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY
VL 122
IS 5
BP 463
EP 470
DI 10.1016/j.anai.2018.08.019
PD MAY 2019
PY 2019
AB Objective: Shared decision making (SDM) is becoming more commonly
   appreciated and used in medical practice as a way to empower patients
   who are facing treatment preference-sensitive conditions, such as
   allergic rhinitis, atopic dermatitis, food allergy, and persistent
   asthma. The purpose of this review is to educate the allergy health care
   provider about how SDM works and provide practical advice and
   allergist-specific SDM resources.
   Data Sources: PubMed and online patient decision aid resources.
   Study Selections: Studies and reviews relevant to SDM and patient
   decision aids relevant to the allergy health care provider were selected
   for discussion.
   Results: There are ethical, practical, economic, and psychological
   imperatives for the implementation of quality SDM, particularly for
   chronic diseases. Many benefits and barriers of SDM have been identified
   and models have been developed to encourage implementation of quality
   SDM. For the allergy health care provider, SDM for asthma has been shown
   to improve adherence, outcomes, and patient satisfaction with care.
   Patient decision aids are useful tools for SDM and have recently been
   developed for allergen immunotherapy, severe asthma, and atopic
   dermatitis.
   Conclusion: Effective SDM has been shown to improve adherence and lead
   to better outcomes. SDM should be universally implemented as a key
   component of patient-centered health care. Allergy health care providers
   should work with their patients to reach treatment decisions that align
   with their values and preferences. (C) 2018 American College of Allergy,
   Asthma & Immunology.
OI Winders, Tonya/0000-0001-7689-6438
Z8 0
ZR 0
ZS 0
ZA 0
TC 47
ZB 5
Z9 47
U1 0
U2 2
SN 1081-1206
EI 1534-4436
UT WOS:000466368000008
PM 30201469
ER

PT J
AU Gao, Furong
   Li, Jiao
   Xu, Jie
   Jia, Song
   Xu, Lei
   Li, Siguang
   Xu, Guo-Tong
   Lu, Lixia
TI Evaluating the appropriateness of AccessMedicine in integrated
   biochemistry learning for chinese medical students
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 47
IS 3
BP 272
EP 278
DI 10.1002/bmb.21223
PD MAY-JUN 2019
PY 2019
AB Recently, Chinese medical education has exhibited a shifting trend from
   teacher-centered instruction to student-centered learning, which usually
   includes a self-directed learning process. Providing students with
   high-quality and appropriate supplemental resources is necessary for
   their self-directed learning. This study aimed to investigate the
   appropriateness of AccessMedicine, an online medical resource, for
   first-year medical students at Tongji University in China. In the
   randomized controlled trial, 42 students were stratified by gender and
   grade point average (GPA) and randomly assigned to either the control
   group or AccessMedicine group. The students' learning outcomes were
   assessed with quizzes, including tests before and after learning and a
   final examination. Paired t-tests and two-way analysis of variance were
   performed for statistical analysis. We found that
   AccessMedicine-assisted learning improved student performance on tests
   and decreased the overall failure rate in the final examination. Further
   analysis showed that the final examination score of the subgroup with
   high GPAs in the AccessMedicine group significantly increased, but not
   that of the subgroup with low GPAs, indicating that
   AccessMedicine-assisted learning was more beneficial for good students
   than for poor students. A survey showed that professional vocabularies
   were the greatest obstacles to learning with AccessMedicine. Moreover,
   English language skills greatly affected the students' learning outcomes
   for the English resource but not those for the Chinese resource. Taken
   together, our results demonstrated that AccessMedicine was appropriate
   for Chinese medical education and improved the learning outcomes of
   students, especially students with high GPAs and a good command over the
   English language. (c) 2019 International Union of Biochemistry and
   Molecular Biology, 47(3):272-278, 2019.
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
TC 1
Z9 1
U1 1
U2 9
SN 1470-8175
EI 1539-3429
UT WOS:000467274300009
PM 30725505
ER

PT J
AU Ferhatoglu, Murat Ferhat
   Kartal, Abdulcabbar
   Ekici, Ugur
   Gurkan, Alp
TI Evaluation of the Reliability, Utility, and Quality of the Information
   in Sleeve Gastrectomy Videos Shared on Open Access Video Sharing
   Platform YouTube
SO OBESITY SURGERY
VL 29
IS 5
BP 1477
EP 1484
DI 10.1007/s11695-019-03738-2
PD MAY 2019
PY 2019
AB Background The internet is a widely used source for obtaining medical
   information both by patients and physicians. YouTube (R) is a valuable
   information resource which can improve the learning experience of both
   public and medical professionals if appropriately used. In this study,
   we want to evaluate quality and accuracy of videos about sleeve
   gastrectomy procedure.
   Methods We included the first 100 videos returned by YouTube (R) search
   engine in response to "sleeve gastrectomy" keyword query to the study.
   The popularity of the videos was evaluated with an index called the
   video power index (VPI). Educational quality of videos was measured
   using the DISCERN score (DISCERN), Journal of American Medical
   Association (JAMAS) benchmark criteria, and Global Quality Scores (GQS).
   The technical quality was measured by Sleeve Gastrectomy Scoring System
   (SGSS) which was utilized by three bariatric surgeons.
   Results The source in 31% of the videos was a patient. The content in
   53% of the videos was surgical technique. According to sources, videos
   uploaded by a university-affiliated physician had significantly higher
   DISCERN, JAMAS, GQS, and SGSS scores. Videos uploaded by a
   university-affiliated physician also had lower video power index than
   videos uploaded by patients. Surgical technique videos had significantly
   higher DISCERN, JAMAS, GQS, and SGSS scores. Patient experiences and
   advertisement videos had higher VPI scores. Also, negative correlations
   were found between video power index and JAMAS, GQS, and SGSS scores.
   Conclusions Online information on sleeve gastrectomy is of low quality,
   and its contents are of unknown source and accuracy. However,
   educational potential of YouTube (R) cannot be ignored.
RI ferhatoglu, m ferhat/AAB-3270-2019; Kartal, Abdulcabbar/Y-3416-2019
OI ferhatoglu, m ferhat/0000-0003-1520-7517; Kartal,
   Abdulcabbar/0000-0001-7536-3146
TC 63
ZS 0
ZA 0
ZR 0
Z8 0
ZB 5
Z9 63
U1 1
U2 11
SN 0960-8923
EI 1708-0428
UT WOS:000467499100005
PM 30706318
ER

PT J
AU Ruddell, Jack H.
   Eltorai, Adam E. M.
   Mark, Andrew S.
   Raman, Sasha
   Sams, Cassandra M.
TI What's missing? An analysis of pediatric radiology fellowship website
   utility and recruitment potential
SO PEDIATRIC RADIOLOGY
VL 49
IS 6
BP 723
EP 726
DI 10.1007/s00247-019-04381-w
PD MAY 2019
PY 2019
AB BackgroundPediatric radiology fellowship web pages convey practical
   information and provide an opportunity to impress upon visitors the
   mission and principles that are core to the program.ObjectiveThe goal of
   the study was to assess pediatric radiology fellowship program websites
   and identify potential areas for improvement because applications and
   enrollment have been steadily declining since 2013.Materials and
   methodsWe evaluated 41 websites of pediatric radiology fellowship
   programs for 17 criteria. We classified programs by region, size and
   separate web page status. We compared the met criteria using the
   Kruskal-Wallis and two-sided t-test, accounting for any unequal
   variances and distributions.ResultsOf the websites evaluated, the
   average content score was 42.3%, meeting only 7.22.9 of the 17 criteria.
   Programs in the Northeast were associated with higher online
   comprehensiveness (P=0.034), as were programs with a separate website
   for pediatric radiology (P<0.001). We also noted a higher number of
   positions offered per year than there were fellows enrolled (2.73 +/-
   2.3 versus 1.39 +/- 2.3; P<0.001).Conclusion p id=Par5 The future of
   diverse pediatric radiology fellowship training opportunities is
   increasingly influenced by the availability and transparency of
   fellowship program and training attributes online. With an average
   content score of 42.3% across the examined fellowship websites, it is
   evident that there is room for improvement in the information provided
   by the pediatric radiology fellowship programs, particularly with
   respect to providing alumni information and job dispositions, listing
   current fellows whom applicants may contact regarding the program, and
   including realistic call and other work expectations of fellows.
OI Sams, Cassandra/0000-0003-0075-1915
ZB 2
TC 13
ZA 0
Z8 0
ZR 0
ZS 0
Z9 13
U1 0
U2 2
SN 0301-0449
EI 1432-1998
UT WOS:000467501400005
PM 30911780
ER

PT J
AU Brook, Emily M.
   Tenforde, Adam S.
   Broad, Elizabeth M.
   Matzkin, Elizabeth G.
   Yang, Heidi Y.
   Collins, Jamie E.
   Blauwet, Cheri A.
TI Low energy availability, menstrual dysfunction, and impaired bone
   health: A survey of elite para athletes
SO SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
VL 29
IS 5
BP 678
EP 685
DI 10.1111/sms.13385
PD MAY 2019
PY 2019
AB Introduction The Female Athlete Triad (Triad) is a syndrome describing
   three interrelated conditions: low energy availability (LEA), menstrual
   dysfunction, and low bone mineral density (BMD). Relative Energy
   Deficiency in Sport (RED-S) expands the Triad to include multiple
   physiologic consequences of LEA in both sexes. The purpose of this study
   is to determine the prevalence of factors associated with the
   Triad/RED-S in an elite para athlete population. Methods Athletes were
   U.S. elite para athletes training to qualify for the 2016 or the 2018
   Paralympic Games. Participants completed an online questionnaire
   characterizing nutrition, menstrual status (in females), bone health,
   and awareness of the Triad/RED-S. Results The athletes were 260 elite
   para athletes (150 male, 110 female). While few reported prior eating
   disorder (3.1%), 32.4% had elevated Eating Disorder Examination
   Questionnaire (EDE-Q) pathologic behavior subscale scores. Most athletes
   (95 male, 65 female) were attempting to change their body composition or
   weight to improve performance. Forty-four percent of premenopausal
   females had oligomenorrhea/amenorrhea. Bone stress injury was reported
   in 9.2% of athletes; of these, 54.5% (n = 12) had low BMD. Less than 10%
   of athletes reported awareness of the Triad/RED-S. Conclusions Factors
   associated with the Triad/RED-S are present in an elite para athlete
   population, regardless of sex or sport type. Awareness of the
   Triad/RED-S in para athletes is low. The consequences of LEA in para
   athlete populations are poorly understood. However, the high prevalence
   of factors observed suggests value in advancing screening tools and
   education efforts to optimize health in this population.
ZR 0
ZA 0
TC 29
Z8 0
ZS 0
ZB 7
Z9 29
U1 3
U2 30
SN 0905-7188
EI 1600-0838
UT WOS:000466390700005
PM 30644600
ER

PT J
AU Goobie, Gillian C.
   Guler, Sabina A.
   Johannson, Kerri A.
   Fisher, Jolene H.
   Ryerson, Christopher J.
TI YouTube Videos as a Source of Misinformation on Idiopathic Pulmonary
   Fibrosis
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 16
IS 5
BP 572
EP 579
DI 10.1513/AnnalsATS.201809-644OC
PD MAY 2019
PY 2019
AB Rationale: Patients frequently use YouTube as a platform for
   dissemination and consumption of health information. Caregivers and
   patients affected by idiopathic pulmonary fibrosis (IPF) are likely
   consumers of this information.
   Objectives: We aimed to determine viewer engagement, quality, and
   content of YouTube videos on IPF and to compare the provided information
   with contemporaneous guidelines.
   Methods: We analyzed the first 200 YouTube videos resulting from the
   search term "idiopathic pulmonary fibrosis." Patient-directed videos
   containing any information on IPF were eligible. Each video was
   evaluated for content related to IPF features and treatments that are
   discussed in clinical practice guidelines, as well as nonrecommended
   treatments. Video quality was assessed using an adapted Health on the
   Net Foundation Code of Conduct (HONCode) scoring instrument and the
   validated DISCERN instrument (a questionnaire that evaluates the quality
   of consumer health information). Details of the video source and viewer
   engagement metrics were recorded for each video.
   Results: A total of 102 videos met eligibility criteria. No videos
   assessed all content topics, with videos addressing a median of 17% of
   all potential content items that were highlighted in clinical practice
   guidelines. Content scores were higher in videos produced by foundations
   and medical organizations, news/media organizations, and independent
   medical professionals compared with videos produced by industry,
   for-profit organizations, and independent nonmedical users.
   Nonrecommended and/or potentially harmful therapies were described as
   valid and potentially beneficial treatments for IPF in 17% of videos,
   with higher viewership and engagement metrics for these videos. HONCode
   and DISCERN scores that assessed for video reliability, credibility, and
   quality of information, were poor for all video source types but were
   lower in videos posted by industry/for profit organizations and
   independent nonmedical users.
   Conclusions: Patient-directed YouTube videos on IPF frequently provide
   incomplete and inaccurate information. Videos supporting the use of
   nonrecommended therapies have higher viewing numbers and user
   engagement, highlighting the potential risks of using YouTube as a
   resource for health information. Physicians, professional organizations,
   and patient support organizations should be aware that YouTube is
   frequently used by patients. Developing a tool similar to HONCode that
   applies to YouTube videos would improve the ability to critically and
   rapidly appraise the quality of online video-disseminated information on
   IPF.
RI Goobie, Gillian/AAT-5587-2021; Goobie, Gillian/
OI Goobie, Gillian/0000-0001-7982-5635
TC 31
ZR 0
ZS 0
ZA 0
Z8 0
ZB 1
Z9 32
U1 0
U2 12
SN 1546-3222
EI 2325-6621
UT WOS:000466717100012
PM 30608877
ER

PT J
AU Wittekind, Charlotte E.
   Luedecke, Daniel
   Cludius, Barbara
TI Web-based Approach Bias Modification in smokers: A randomized-controlled
   study
SO BEHAVIOUR RESEARCH AND THERAPY
VL 116
BP 52
EP 60
DI 10.1016/j.brat.2018.12.003
PD MAY 2019
PY 2019
AB Smoking is associated with automatic approach tendencies towards
   smoking-related stimuli. Therefore, it has been investigated whether
   training smoking individuals to consistently avoid smoking-related
   stimuli exerts positive effects on smoking behavior (Approach-Bias
   Modification [AppBM]). A web-based pilot study provided preliminary
   evidence for the effectiveness of AppBM in smokers; however,
   interpretability was constrained by several limitations. The aim of the
   present study was to replicate and extend previous findings. A web-based
   three group parallel (1:1:1) randomized-controlled study with adult
   smokers (N = 149) was conducted (DRKS00011901). Upon completion of a
   baseline assessment, participants were randomized to either six sessions
   of AppBM or Sham training or a waitlist control group. In both
   trainings, participants were presented smoking related and neutral
   pictures. While all smoking-related pictures were associated with
   pushing and all neutral pictures with pulling in AppBM training, the
   contingency was 50:50 in Sham training. Participants were reassessed
   directly and six months after training. Primary outcome was daily
   cigarette consumption at follow-up. At follow-up, no significant group
   differences emerged, although AppBM training significantly reduced daily
   cigarette consumption directly after training. No consistent change of
   bias through AppBM training emerged. This study does not provide support
   for the long-term effectiveness of AppBM training as a stand-alone
   training in smoking.
   Pre-registration: German Clinical Trials Register (DRKS00011901).
RI Cludius, Barbara/AAA-7180-2020; Ludecke, Daniel/
OI Ludecke, Daniel/0000-0002-8895-3206
Z8 0
ZB 1
TC 10
ZS 0
ZA 0
ZR 0
Z9 10
U1 2
U2 5
SN 0005-7967
EI 1873-622X
UT WOS:000464298000006
PM 30782522
ER

PT J
AU Coleman, Neil
   Barry, Tomas
   Tobin, Helen
   Conroy, Niall
   Bury, Gerard
TI Paediatric airway management and concerns: a survey of advanced
   paramedics in Ireland
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 188
IS 2
BP 683
EP 688
DI 10.1007/s11845-018-1887-x
PD MAY 2019
PY 2019
AB Background Paediatric airway management is of fundamental importance in
   the critically unwell child. Pre-hospital paediatric airway management
   especially endotracheal intubation is however controversial. Aim To
   explore Irish Advanced Paramedics (APs) training, experience and
   clinical practice in paediatric airway management as well as to examine
   clinician attitudes toward this topic.
   Methods An anonymous online survey of all graduates of the University
   College Dublin AP training program (N = 453).
   Results With duplicates and failed email deliveries excluded a valid
   sample of 382 individuals was obtained from whom a response rate of
   185/382 (48.4%) was achieved. Three quarters of responding APs worked in
   urban or mixed practice with the remaining minority operating primarily
   in rural areas. One quarter of responding APs reported formal training
   in paediatric intubation. Almost 70% of APs had encountered a child
   requiring significant airway management in the preceding year. However,
   this was a rare exposure in terms of overall workload. Basic airway
   adjuncts were used frequently in such circumstances, with endotracheal
   intubation having been attempted by only a small minority of APs. Lack
   of practice was identified by many responding APs as a key issue causing
   concern in terms of paediatric intubation.
   Conclusion Paediatric airway management has key relevance for
   pre-hospital care in Ireland. The overall frequency of exposure to
   children who may benefit from definitive airway management is however
   likely to represent a significant barrier to the acquisition and
   maintenance of competency. The ongoing practice of pre-hospital
   paediatric intubation by APs may not justify its risks.
RI Bury, Gerard/D-2985-2019; Bury, Gerard/J-8813-2019; Conroy, Niall/
OI Bury, Gerard/0000-0002-4441-6724; Bury, Gerard/0000-0002-4441-6724;
   Conroy, Niall/0000-0002-6467-0551
ZS 0
ZR 0
ZA 0
TC 0
Z8 0
ZB 0
Z9 0
U1 0
U2 1
SN 0021-1265
EI 1863-4362
UT WOS:000465599600042
PM 30112623
ER

PT J
AU Shofler, David
   He, Anne
   Lin, Tzu Lu
   Chuang, Cathy T.
TI An Evaluation of Off-Service Rotations in Podiatric Medicine and Surgery
   Residency Training
SO JOURNAL OF FOOT & ANKLE SURGERY
VL 58
IS 3
BP 480
EP 483
DI 10.1053/j.jfas.2018.09.026
PD MAY 2019
PY 2019
AB Residency training in podiatric medicine and surgery includes 3 years of
   comprehensive training. Complementing their podiatric medicine and
   surgery training, residents complete a series of required nonpodiatric,
   or off-service, rotations in a range of specialties. However, there has
   been a lack of formal investigation of these off-service rotation
   experiences. An online survey was developed and distributed to both
   program directors and residents nationwide. The survey instrument
   covered various aspects of off-service rotations, including rotation
   value, length, goals and objectives, activities, feedback, and resident
   satisfaction. In total, 122 of 222 directors responded and 151 of 243
   residents responded. Resident responses reflected the impact of
   podiatric responsibilities during off-service rotations and the
   importance of hands-on, interactive, and dedicated learning
   opportunities during these rotations. Both similarities and differences
   were appreciated with regard to perceived rotation value between
   resident and director perspectives. Perceived satisfaction of certain
   rotations was correlated with rotation length, feedback, specific
   rotation activities, and whether residents received goals and
   objectives. Though perhaps neglected, the off-service rotation
   experience is an important part of the podiatric medical and surgical
   residency experience. Considering the perspectives of both directors and
   residents can be helpful in directing these experiences and in
   considering future changes. (C) 2018 by the American College of Foot and
   Ankle Surgeons. All rights reserved.
TC 1
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
Z9 1
U1 0
U2 1
SN 1067-2516
EI 1542-2224
UT WOS:000466444500014
PM 30765252
ER

PT J
AU Chowdhury, Mashrin L.
   Husainat, Maha M.
   Suson, Kristina D.
TI Workplace Bullying of Urology Residents: Implications for the Patient
   and Provider
SO UROLOGY
VL 127
BP 30
EP 34
DI 10.1016/j.urology.2018.11.062
PD MAY 2019
PY 2019
AB OBJECTIVE To elucidate whether urology residents in the United States
   feel bullied by nurses, how respected they feel at work, and whether
   this impacts personal and patient care.
   METHODS We distributed an Institutional Review Board-approved online,
   validated, revised Negative Acts Questionnaire to US urology residents
   in their first year or above. We evaluated bullying through scoring work
   (total range 5-25), person (total range 9-45), and physical intimidation
   (total range 3-15) related bullying domains. We also solicited how
   respected residents feel by different staff on a Likert scale and the
   perceived personal and professional impact of bullying. Bullying domains
   were assessed with descriptive statistics and mean total bullying scores
   (MTBS) and demographics compared.
   RESULTS We received 102 responses (82% MD, 18% DO). One resident
   reported never experiencing bullying. Overall average MTBS was 28.9 +/-
   0.9 (17-68). 98.0%, 82.4%, and 77.5% of residents reported at least 1
   incident of work, person, and physical intimidation-related bullying,
   respectively. DO residents reported higher MTBS than MD residents (33.7
   +/- 2.2 vs 27.8 +/- 1.0, P = .015). Higher MTBS scores were seen in
   residents who feared retaliation and considered transferring programs,
   while lower scores were seen where the resident-nurse relationship was
   nurtured.
   CONCLUSION Ninety percent of residents perceived some degree of bullying
   and report a negative impact on personal performance and patient
   outcomes. (C) 2019 Elsevier Inc.
Z8 0
ZS 0
ZA 0
ZB 1
TC 6
ZR 0
Z9 6
U1 0
U2 4
SN 0090-4295
EI 1527-9995
UT WOS:000465038700011
PM 30742867
ER

PT J
AU Chen, Yu-Jen
   Wu, Yi-Cheng
   Tu, Yu-Kang
   Cheng, Ju-Wen
   Tsai, Wen-Chung
   Yu, Tung-Yang
TI Autologous Blood-Derived Products Compared With Corticosteroids for
   Treatment of Plantar Fasciopathy A Systematic Review and Meta-Analysis
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 5
BP 343
EP 352
DI 10.1097/PHM.0000000000001070
PD MAY 2019
PY 2019
AB Objective: This review article evaluated the efficacy of autologous
   blood-derived products, including whole blood and platelet-rich plasma,
   in reducing pain and improving function compared with corticosteroids
   for plantar fasciopathy patients.
   Design: Literature comparing autologous blood-derived product and
   corticosteroids for the treatment of plantar fasciopathy was
   systematically reviewed. Twelve randomized controlled trials and four
   quasi-experimental studies were included. The visual analog scale pain
   score and American Orthopedic Foot and Ankle Society hindfoot score were
   evaluated at 1.5, 3, and 6 mos' follow-up. Subgroup analyses were
   performed concerning platelet-rich plasma preparation techniques,
   injection regiments, and study designs.
   Results: Corticosteroids were found to reduce pain more effectively than
   whole blood at 1.5 and 3 mos, but the effect disappeared at 6 mos.
   Platelet-rich plasma reduced pain more effectively at 6 mos'
   postinjection than corticosteroids. However, there was no significant
   difference in the American Orthopedic Foot and Ankle Society score
   between platelet-rich plasma and corticosteroids injections at any time
   point. In the subgroup analyses, pain was significantly reduced at 6 mos
   by self-prepared platelet-rich plasma, one-step separation platelet-rich
   plasma, platelet-rich plasma of more than 3 ml, and platelet-rich plasma
   without local analgesics.
   Conclusions: The results of this meta-analysis suggest that
   platelet-rich plasma may provide a long-term effect in relieving pain in
   plantar fasciopathy patients.
OI Tu, Yu-Kang/0000-0002-2461-474X
ZR 0
ZA 0
ZS 0
Z8 0
TC 6
ZB 3
Z9 6
U1 1
U2 5
SN 0894-9115
EI 1537-7385
UT WOS:000465152900007
PM 30362977
ER

PT J
AU Al Abbas, Amr, I
   Jung, Jae P.
   Rice, MaryJoe K.
   Zureikat, Amer H.
   Zeh, Herbert J., III
   Hogg, Melissa E.
TI Methodology for Developing an Educational and Research Video Library in
   Minimally Invasive Surgery
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 3
BP 745
EP 755
DI 10.1016/j.jsurg.2018.10.011
PD MAY-JUN 2019
PY 2019
AB OBJECTIVE: Explore the methods used and costs necessary for the creation
   and maintenance of a surgical video library with an emphasis on its
   applications in surgical education and scholarship.
   DESIGN: A methodology paper highlighting how to develop and utilize a
   surgical video library for trainee operative preparation, development of
   research projects, and surgeon credentialing.
   SETTING: The study was conducted at the University of Pittsburgh Medical
   Center, a tertiary care medical center.
   PARTICIPANTS: Not applicable.
   RESULTS: The video library includes all recorded robotic operations
   performed by the Division of Surgical Oncology at the University of
   Pittsburgh from 2010 to 2018. It includes 929 videos of which 110
   selected videos are uploaded for trainee review online to prepare for
   upcoming operations. These procedures are broken into steps to create
   intraoperative time metrics for trainee integration. Fellows operated
   from console in 85% of robotic cases and all 30 fellows could obtain
   robotic privileges based on case logs. To date 102 short scholarly
   videos have been created: 7 for manuscripts, 13 as video submissions, 27
   in book chapters, and 55 for presentations. Three papers have been
   published using video review to determine clinical outcomes with four
   more under evaluation. The cost of the program is < $10,000 annually.
   CONCLUSIONS: Video libraries can be efficiently created utilizing
   intraoperative recorders for minimally invasive surgery. Breaking
   surgeries into distinct steps can aid in deliberate integration and
   answer clinical questions. Overall video libraries are cost effective
   tools for trainee education, research, and ultimately surgeon
   credentialing. (C) 2018 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
OI Al Abbas, Amr/0000-0001-5629-1060; Zureikat, Amer/0000-0002-7800-5464
ZB 1
TC 17
ZR 0
ZS 0
ZA 0
Z8 0
Z9 17
U1 3
U2 12
SN 1931-7204
EI 1878-7452
UT WOS:000464889800018
PM 30792160
ER

PT J
AU Hui, Dawn S.
   Lee, Richard
   Moon, Marc R.
   Edwards, Melanie A.
   Boutrous, Mina L.
   Luc, Jessica G. Y.
   Prager, Richard L.
   Naunheim, Keith S.
TI Disparity between recent graduates' and experienced surgeons' assessment
   of time to operative independence
SO JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
VL 157
IS 5
BP 1925
EP 1932
DI 10.1016/j.jtcvs.2018.08.124
PD MAY 2019
PY 2019
AB Background: In cardiothoracic surgery, little data exist on the
   transition to operative independence. We aimed to compare current
   perceptions of operative autonomy of junior cardiothoracic surgeons and
   senior colleagues who oversee transitional years.
   Methods: An anonymous online survey was sent to currently practicing
   North American board-certified/eligible cardiothoracic surgeons to
   assess reported time to operative independence and comfort with
   cardiothoracic operations. The chi 2 test, Fisher exact test, and
   Mann-Whitney U test were used to compare junior surgeons' self-reported
   experience to the junior experience as reported by the midcareer and
   senior surgeons with whom they practiced. Logistic regression was
   performed to assess factors associated with operative independence.
   Results: Responses from 436 completed surveys were analyzed (82 juniors
   and 354 midcareer/seniors). Two hundred fifty-four midcareer/senior
   surgeons reported on the experience of 531 junior partners. Juniors
   reported high immediate posttraining comfort with basic cardiac cases
   and moderate comfort with all other categories. Time to operative
   independence was significantly different between juniors' self-report
   and midcareer/senior reports of junior partners except for complex
   thoracic cases. In multivariable logistic regression analysis, senior,
   and not midcareer, surgeon status was independently associated with
   junior operative independence status for cardiac cases and for basic
   thoracic cases.
   Conclusions: Most junior surgeons perceived operative independence with
   basic thoracic, basic cardiac, and complex cardiac operations earlier in
   their surgical career than that reported by senior colleagues. Objective
   measures of operative independence may clarify this discrepancy. This
   study establishes a baseline by which to compare the effects of
   integrated 6-year programs on operative independence. The discrepant
   perceptions may have implications for how training programs prepare
   graduates for the transition to independent practice.
CT 98th Annual Meeting of the American-Association-for-Thoracic-Surgery
CY APR 28-MAY 01, 2018
CL San Diego, CA
SP Amer Assoc Thorac Surg
RI Luc, Jessica G.Y./S-7037-2016
OI Luc, Jessica G.Y./0000-0002-3567-3796
ZS 0
TC 4
Z8 0
ZR 0
ZA 0
ZB 0
Z9 4
U1 0
U2 2
SN 0022-5223
EI 1097-685X
UT WOS:000464437100082
PM 30553594
ER

PT J
AU Matalon, Shanna A.
   Chikarmane, Sona A.
   Yeh, Eren D.
   Smith, Stacy E.
   Mayo-Smith, William W.
   Giess, Catherine S.
TI Variability in the Use of Simulation for Procedural Training in
   Radiology Residency: Opportunities for Improvement
SO CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
VL 48
IS 3
BP 241
EP 246
DI 10.1067/j.cpradiol.2018.02.008
PD MAY-JUN 2019
PY 2019
AB Objective: Increased attention to quality and safety has led to a
   re-evaluation of the classic apprenticeship model for procedural
   training. Many have proposed simulation as a supplementary teaching
   tool. The purpose of this study was to assess radiology resident
   exposure to procedural training and procedural simulation.
   Materials and Methods: An IRB-exempt online survey was distributed to
   current radiology residents in the United States by e-mail. Survey
   results were summarized using frequency and percentages. Chi-square
   tests were used for statistical analysis where appropriate.
   Results: A total of 353 current residents completed the survey. 37% (n =
   129/353) of respondents had never used procedure simulation. Of the
   residents who had used simulation, most did not do so until after having
   already performed procedures on patients (59%, n = 132/223). The
   presence of a dedicated simulation center was reported by over half of
   residents (56%, n = 196/353) and was associated with prior simulation
   experience (P = 0.007). Residents who had not had procedural simulation
   were somewhat likely or highly likely (3 and 4 on a 4-point
   Likert-scale) to participate if it were available (81%, n = 104/129).
   Simulation training was associated with higher comfort levels in
   performing procedures (P < 0.001).
   Conclusions: Although procedural simulation training is associated with
   higher comfort levels when performing procedures, there is variable use
   in radiology resident training and its use is not currently optimized.
   Given the increased emphasis on patient safety, these results suggest
   the need to increase procedural simulation use during residency,
   including an earlier introduction to simulation before patient exposure.
   2019 Elsevier Inc. All rights reserved.
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
TC 1
Z9 1
U1 0
U2 1
SN 0363-0188
UT WOS:000464242800011
PM 29656883
ER

PT J
AU Kaur, Rajneesh
   Meiser, Bettina
   Zilliacus, Elvira
   Wong, W. K. Tim
   Woodland, Lisa
   Watts, Kaaren
   Tomkins, Sarah
   Kissane, David
   Girgis, Afaf
   Butow, Phyllis
   Hale, Sandra
   Perry, Astrid
   Aranda, Sanchia K.
   Shaw, Tim
   Tebble, Helen
   Norris, Christie
   Goldstein, David
TI Evaluation of an online communication skills training programme for
   oncology nurses working with patients from minority backgrounds
SO SUPPORTIVE CARE IN CANCER
VL 27
IS 5
BP 1951
EP 1960
DI 10.1007/s00520-018-4507-4
PD MAY 2019
PY 2019
AB ObjectiveThis study aimed to develop and assess the feasibility of an
   online communication skills training intervention to increase cultural
   competence amongst oncology nurses working with individuals from
   minority backgrounds.MethodsThe intervention provided examples of
   communication strategies using vignette-based, professionally produced
   videos, developed through an iterative process with input from a large
   multidisciplinary team. Fifty-three oncology nurses completed all three
   questionnaires at baseline, within 2weeks and then 3months after
   accessing the programme.ResultsThe online intervention was well received
   by the majority of participants, and was endorsed as clearly presented,
   informative, relevant and useful by more than 90% of participants.
   Eighty-seven percent of participants reported increased confidence in
   communicating with patients via an interpreter, and 93% agreed that
   skills they gained would be useful in providing better patient care.
   Participants reported significant improvements in practice while
   interacting with people with limited English proficiency 2weeks and
   3months after accessing the website (X-2=13.66, P<0.001).ConclusionThis
   online communication training programme can now be tested for its
   utility in improving patient care for oncology nurses working with
   patients from minority backgrounds.
RI Meiser, Bettina/AAG-5480-2021; goldstein, david/J-6711-2012; Hale, Sandra B/J-6535-2012; Aranda, Sanchia/ABC-3840-2021; Kaur, Rajneesh/
OI Hale, Sandra B/0000-0003-4291-4022; Kaur, Rajneesh/0000-0002-4406-4327
Z8 0
ZR 0
ZS 0
TC 10
ZA 0
ZB 1
Z9 10
U1 1
U2 16
SN 0941-4355
EI 1433-7339
UT WOS:000463654800043
PM 30327877
ER

PT J
AU Molan, Nikki
   Emmanuel, Sam
   Langley, Tamra
   Holloway, Cameron J.
TI Evaluating the Effectiveness of an Online Cardiac Rehabilitation
   Resource (www.svhhearthealth.com.au) in Improving Knowledge and
   Confidence for Patients With Newly Diagnosed Cardiac Conditions: A
   Pre-Experimental Pilot Study
SO HEART LUNG AND CIRCULATION
VL 28
IS 5
BP 761
EP 770
DI 10.1016/j.hlc.2018.03.013
PD MAY 2019
PY 2019
AB Background Cardiac rehabilitation (CR) is an important tool for the
   secondary prevention of cardiac disease. Despite its proven
   effectiveness, CR remains vastly under-utilised especially amongst the
   most disadvantaged patients. As an adjunct to CR, the St Vincent's Heart
   Health website (SVHHH) was created by the St Vincent's Hospital CR team
   to provide information via simplified medical text, videos and
   animations. We evaluated the effectiveness of the website in educating
   patients about their heart condition.
   Methods Patients with a newly diagnosed cardiac condition were recruited
   from St Vincent's Hospital inpatient wards and outpatient clinics (n =
   67, age 63+/-11) and given 30 minutes to interact with our online
   resource. Using a pre-test post-test design we evaluated the success of
   the website in improving patients' knowledge of their condition using a
   modified Brief Illness Perception Questionnaire and Patient Activation
   Questionnaire.
   Results After interacting with the website, participants rated a 50%
   improvement in the control they felt over their heart condition (p <
   0.01). Understanding of investigations, medications and management
   improved by 38%, 31% and 38%, respectively (all p < 0.01). Subjects'
   understanding of their heart condition improved by 34% and confidence
   improved by more than 18% (p < 0.01). These improvements were seen
   irrespective of age and primary place of residence. While older subjects
   had the lowest confidence using the internet, they demonstrated the
   greatest self-reported improvement in knowledge. There was no
   improvement in patients' perceived concern about their illness.
   Conclusions The St Vincent's Heart Health website shows real promise as
   an educational tool for patients, as an adjunct to standard CR and for
   patients in remote settings. Online health resources will likely become
   an important adjunct to traditional teaching methods across all medical
   specialties to improve patient outcomes.
OI Emmanuel, Sam/0000-0003-1022-1539
TC 2
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
Z9 2
U1 0
U2 8
SN 1443-9506
EI 1444-2892
UT WOS:000462780100017
PM 29691158
ER

PT J
AU Nedjat-Haiem, Frances R.
   Cadet, Tamara J.
   Amatya, Anup
   Mishra, Shiraz I.
TI Healthcare Providers' Attitudes, Knowledge, and Practice Behaviors for
   Educating Patients About Advance Directives: A National Survey
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 36
IS 5
BP 387
EP 395
DI 10.1177/1049909118813720
PD MAY 2019
PY 2019
AB Background: Advance care planning for end-of-life care emerged in the
   mid-1970's to address the need for tools, such as the advance directive
   (AD) legal document, to guide medical decision-making among seriously
   ill patients, their families, and healthcare providers. Objective: Study
   aims examine providers' perspectives on AD education that involve
   examining (1) a range of attitudes about educating patients, (2) whether
   prior knowledge was associated with practice behaviors in educating
   patients, and (3) specific factors among healthcare providers such as
   characteristics of work setting, knowledge, attitudes, and behaviors
   that may influence AD education and documentation. Design: To examine
   providers' views, we conducted a cross-sectional, online survey
   questionnaire of healthcare providers using social media outreach
   methods for recruitment. Methods: This study used a cross-sectional
   survey design to examine the proposed aims. Healthcare providers,
   recruited through a broad approach using snowball methods, were invited
   to participate in an online survey. Logistic regression analyses were
   used to examine providers' views toward AD education. Results: Of 520
   participants, findings indicate that most healthcare providers said that
   they were knowledgeable about AD education. They also viewed providing
   education as beneficial to their practice. These findings suggest that
   having a positive attitude toward AD education and experiencing less
   organizational barriers indicate a higher likelihood that providers will
   educate patients regarding ADs. Conclusion: Various disciplines are
   represented in this study, which indicates that attitudes and knowledge
   influence AD discussions. The importance of AD discussions initiated by
   healthcare providers is critical to providing optimal patient-centered
   care.
OI Nedjat-Haiem, Frances/0000-0001-5501-3157
ZR 0
ZS 0
TC 9
ZA 0
ZB 1
Z8 0
Z9 9
U1 0
U2 14
SN 1049-9091
EI 1938-2715
UT WOS:000462757100005
PM 30486655
ER

PT J
AU Wang, Duojin
   Wu, Jing
TI Reprocessing and reuse of single-use medical devices in China: a pilot
   survey
SO BMC PUBLIC HEALTH
VL 19
AR 461
DI 10.1186/s12889-019-6835-9
PD APR 30 2019
PY 2019
AB BackgroundIn China, reprocessing and reuse of single-use medical devices
   (SUDs) are banned. However, the actual situation has not been reported
   so far. The study aims to clarify the perceptions and concerns of
   various sectors of the community on the reuse of SUDs, and whether such
   practice exists. In addition, we are also wondering how acceptable the
   respondents are on this matter.MethodsA cross-sectional study based on a
   national survey which was conducted on the professional online
   questionnaire survey platform (www.wjx.cn) from July 26 to August 4,
   2015. We analyzed the data according to the work fields, sex, age,
   education level, professional background and participants' answers to 49
   other questions.ResultsFive hundred forty-four nationwide respondents
   belong to nine different work fields. In general, participants had
   positive attitudes towards the reprocessing and reuse of SUDs. However,
   many respondents doubted the hygienic and functional safety of the
   reprocessed SUDs. They also tended to think that the reuse of SUDs
   should have lower prices and more technical training as well as patient
   advocacy. Further analysis demonstrated the work fields, education level
   and professional background of respondents were statistically associated
   with their responses to certain questions.ConclusionsThe research
   indicated that although the reuse of SUDs is prohibited legally in
   China, there were extensive reprocessing and reuse in hospitals. Most
   responses tended to accept reprocessed SUDs if safety and low prices
   were guaranteed. These existing contradictions and the lack of relevant
   research led to policy makers in China will confront numerous challenges
   in building and improving this use system of medical devices to meet
   escalating demands of social sectors.
ZR 0
ZB 1
Z8 0
ZS 0
ZA 0
TC 8
Z9 8
U1 1
U2 8
SN 1471-2458
UT WOS:000467018500003
PM 31039773
ER

PT J
AU Shirota, Camila
   Balasubramanian, Sivakumar
   Melendez-Calderon, Alejandro
TI Technology-aided assessments of sensorimotor function: current use,
   barriers and future directions in the view of different stakeholders
SO JOURNAL OF NEUROENGINEERING AND REHABILITATION
VL 16
AR 53
DI 10.1186/s12984-019-0519-7
PD APR 29 2019
PY 2019
AB BackgroundThere is growing interest in the use of technology in
   neurorehabilitation, from robotic to sensor-based devices. These
   technologies are believed to be excellent tools for quantitative
   assessment of sensorimotor ability, addressing theshortcomings of
   traditional clinical assessments. However, clinical adoption of
   technology-based assessments is very limited. To understand this
   apparent contradiction, we sought to gather the points-of-view of
   different stakeholders in the development and use of technology-aided
   sensorimotor assessments.MethodsA questionnaire regarding motivators,
   barriers, and the future of technology-aided assessments was prepared
   and disseminated online. To promote discussion, we present an initial
   analysis of the dataset; raw responses are provided to the community as
   Supplementary Material. Average responses within stakeholder groups were
   compared across groups. Additional questions about respondent's
   demographics and professional practice were used to obtain a view of the
   current landscape of sensorimotor assessments and interactions between
   different stakeholders.ResultsOne hundred forty respondents from 23
   countries completed the survey. Respondents were a mix of Clinicians
   (27%), Research Engineers (34%), Basic Scientists (15%), Medical
   Industry professionals (16%), Patients (2%) and Others (6%). Most
   respondents were experienced in rehabilitation within their professions
   (67% with >5years of experience), and had exposure to technology-aided
   assessments (97% of respondents). In general, stakeholders agreed on
   reasons for performing assessments, level of details required, current
   bottlenecks, and future directions. However, there were disagreements
   between and within stakeholders in aspects such as frequency of
   assessments, and important factors hindering adoption of
   technology-aided assessments, e.g., Clinicians' top factor was cost,
   while Research Engineers indicated device-dependent factors and lack of
   standardization. Overall, lack of time, cost, lack of standardization
   and poor understanding/lack of interpretability were the major factors
   hindering the adoption of technology-aided assessments in clinical
   practice. Reimbursement and standardization of technology-aided
   assessments were rated as the top two activities to pursue in the coming
   years to promote the field of technology-aided sensorimotor
   assessments.ConclusionsThere is an urgent need for standardization in
   technology-aided assessments. These efforts should be accompanied by
   quality cross-disciplinary activities, education and alignment of
   scientific language, to more effectively promote the clinical use of
   assessment technologies.
OI Shirota, Camila/0000-0002-1502-1459; Melendez-Calderon,
   Alejandro/0000-0002-7922-1345; Balasubramanian,
   Sivakumar/0000-0001-5915-1346
ZS 0
ZA 0
ZB 3
ZR 0
Z8 0
TC 11
Z9 11
U1 0
U2 5
SN 1743-0003
UT WOS:000466365600001
PM 31036003
ER

PT J
AU Austriaco, Kristine
   Aban, Inmaculada
   Willig, James
   Kong, Michele
TI Contemporary Trainee Knowledge of Autism: How Prepared Are Our Future
   Providers?
SO FRONTIERS IN PEDIATRICS
VL 7
AR 165
DI 10.3389/fped.2019.00165
PD APR 26 2019
PY 2019
AB Background: Over the last several decades, the prevalence of Autism
   Spectrum Disorder (ASD) has continued to increase, creating a unique
   challenge for general physicians who are likely to encounter these
   patients in their practice. The primary aim of this cross-sectional
   study design was to identify potential knowledge gaps that were present
   among medical students and pediatric trainees (interns, residents, and
   fellows) particularly during the management of a sick child with ASD.
   Methods: A 23-question online survey was developed and distributed to
   medical students and pediatric trainees at a tertiary children's
   hospital affiliated with a medical school.
   Results: Medical students and pediatric trainees reported a low general
   knowledge of ASD and were unfamiliar with sensory issues that are often
   present in these children. Increased discomfort and insufficient
   didactic and clinical training for providing care to children with ASD
   during an acute illness were also identified. Both medical students and
   trainees reported the need for increased education and training,
   preferentially via patient interaction and small group-based learning.
   We found that as education/training levels increased, participants
   perceived increased comfort, and knowledge in managing an ill child with
   ASD.
   Conclusions: A perceived knowledge gap and discomfort is present amongst
   medical students and pediatric trainees on the management of children
   with ASD. Across all education levels, awareness for sensory
   dysregulation in ASD children is low. Education programs using direct
   patient interaction and small group learning were the preferred training
   modalities to learn how to provide optimal care for children with ASD.
Z8 0
ZB 2
ZA 0
ZR 0
TC 15
ZS 0
Z9 15
U1 0
U2 7
SN 2296-2360
UT WOS:000466188900001
PM 31106185
ER

PT J
AU Loubet, Paul
   Nguyen, Catherine
   Burnet, Esperie
   Launay, Odile
TI Influenza vaccination of pregnant women in Paris, France: Knowledge,
   attitudes and practices among midwives
SO PLOS ONE
VL 14
IS 4
AR e0215251
DI 10.1371/journal.pone.0215251
PD APR 25 2019
PY 2019
AB Introduction
   In France, midwives have been authorized to prescribe vaccines since
   2016. Yet vaccination coverage among pregnant women remains low.
   Understanding the knowledge, attitudes and practices of midwives
   regarding influenza vaccination could help improve coverage.
   Methods
   A cross-sectional survey was conducted in 2017 among midwives practicing
   in the public and private sectors in Paris using an online
   questionnaire. Multivariate logistic regression analysis of the data was
   conducted.
   Results
   The response rate was 31% (n = 208/669). Overall, knowledge of influenza
   vaccine recommendations and of vaccine safety and effectiveness was high
   except regarding new-born immunity and influenza vaccine
   characteristics. Only 10% of midwives systematically prescribed the
   vaccine. Reported influenza vaccine uptake among midwives was 39%.
   Conclusion
   Efforts to improve the knowledge of midwives regarding the safety and
   effectiveness of vaccinating pregnant women in order to prevent
   influenza infection in newborns are necessary. Increasing vaccine uptake
   in both midwives and pregnant women will require adjusting education
   strategies.
RI Loubet, Paul/AAE-1988-2019; Loubet, Paul/; Burnet, Esperie/
OI Loubet, Paul/0000-0002-1218-9432; Burnet, Esperie/0000-0002-5341-8027
TC 5
ZR 0
ZA 0
ZB 3
Z8 0
ZS 0
Z9 5
U1 0
U2 0
SN 1932-6203
UT WOS:000465519100018
PM 31022211
ER

PT J
AU Luyten, Jeroen
   Bruyneel, Luk
   van Hoek, Albert Jan
TI Assessing vaccine hesitancy in the UK population using a generalized
   vaccine hesitancy survey instrument
SO VACCINE
VL 37
IS 18
BP 2494
EP 2501
DI 10.1016/j.vaccine.2019.03.041
PD APR 24 2019
PY 2019
AB Background: In many regions of the world, vaccine hesitancy has become
   an important concern to public health. A key part of any effective
   solution to it is to gain an in-depth understanding of the problem: its
   scope, who holds hesitant views and for which reasons.
   Methods: We adapt the original 10-item Vaccine Hesitancy Scale (VHS),
   which targets parental attitudes, to a more generic version that
   captures general attitudes to vaccination. We use this adapted VHS in a
   sample of 1402 British citizens, selected from a large online panel (N >
   1,000,000) based on quota for age, gender, educational attainment and
   region (response rate 43%). The existence of VHS subscales is evaluated
   via exploratory and confirmatory factor analysis. We describe the extent
   of vaccine hesitancy in the sample, and use simple and multiple
   regression analysis to examine associations between respondent
   characteristics and vaccine hesitancy.
   Results: Despite ambiguities in defining hesitancy, we found that a
   substantial part of our sample held hesitant views about vaccination,
   particularly for those items reflecting aversion to risks of side
   effects. Four percent responded in a hesitant way to all ten items and
   ninety to at least one of the ten items. In line with recent studies in
   other populations, we identified two subscales within the VHS: lack of
   confidence in the need for vaccines and aversion to the risk of side
   effects. We found significant associations between hesitancy and various
   respondent characteristics but the predictive power of these
   associations remained limited.
   Conclusion: Our study suggests that whereas a substantial percentage of
   the British population is vaccine hesitant, these views are not
   clustered in typical demographic features. The small but important
   adaptation of the VHS to target general attitudes seems to result in
   highly similar psychometric characteristics as the original scale that
   exclusively targets parents. We provide suggestions for further
   validation of the VHS. (C) 2019 Elsevier Ltd. All rights reserved.
RI Bruyneel, Luk/V-6022-2019; Luyten, Jeroen/V-1124-2019; Luyten, Jeroen/
OI Bruyneel, Luk/0000-0003-1209-692X; Luyten, Jeroen/0000-0003-1770-6352;
   Luyten, Jeroen/0000-0001-6398-4025
ZR 1
ZA 0
Z8 1
TC 65
ZB 32
ZS 2
Z9 69
U1 4
U2 35
SN 0264-410X
EI 1873-2518
UT WOS:000466622500010
PM 30940484
ER

PT J
AU Zhu, Xiu
   Wang, Yan
   Zhou, Hong
   Qiu, Liqian
   Pang, Ruyan
TI Adaptation of the Childbirth Experience Questionnaire (CEQ) in China: A
   multisite cross-sectional study
SO PLOS ONE
VL 14
IS 4
AR e0215373
DI 10.1371/journal.pone.0215373
PD APR 24 2019
PY 2019
AB Background
   The childbirth experience of women represents a significant aspect of
   quality care. Due to the lack of a reliable Chinese language tool for
   assessing childbirth experiences, examples must be adapted from other
   countries. The aim of this study was to translate an English version of
   the Childbirth Experience Questionnaire (CEQ) into Chinese and adapt
   this tool to the Chinese context.
   Methods
   A questionnaire validation study was conducted. A forward-backward
   translation procedure involving the developer of the CEQ was conducted.
   The data were collected in postnatal wards at 50 birth facilities in 4
   regions of Zhejiang Province, China. Women who gave birth vaginally at
   the investigated facilities during the study period completed an online
   questionnaire that included the Chinese version of the CEQ (CEQ-C),
   demographic information and clinical information. Psychometric analyses
   were performed to assess the internal and content consistency. After
   subdividing the sample into subsamples, an exploratory factor analysis
   (EFA) and confirmatory factor analysis (CFA) were applied to examine the
   structural validity. Known-group comparisons were performed to assess
   the discriminant validity.
   Results
   Overall, 1747 women participated in this study. The content validity
   index (CVI) of the CEQ was 0.92. Based on the comments of the experts
   combined with the statistical results, we removed 3 items related to
   pain, sense of control and sense of security and changed 3 items to
   different dimensions. The CFA supported the four dimensions of the CEQ-C
   (standard root mean square residual (SRMR) = 0.037, root mean square
   error of approximation (RMSEA) = 0.036, comparative fit index (CFI) =
   0.966, and Tucker-Lewis index (TLI) = 0.959). Cronbach's alpha of the
   CEQ-C was 0.88, and McDonald's omega value was 0.91. The duration of
   labor, delivery mode, parity, oxytocin augmentation, pain management,
   companionship, prenatal education and pain experienced exerted
   significant effects on the women's childbirth experiences.
   Conclusions
   Although some items performed differently in our analysis comparing the
   English and Chinese versions of the CEQ, the CEQ-C is reliable and
   valid. Additionally, the CEQ-C is an easy-to-use and promising tool for
   measuring childbirth experiences among Chinese women in facility
   settings that can be used to improve the quality of intrapartum care.
   Efforts are needed to provide women with respectful, evidence-based
   intrapartum care to facilitate positive childbirth experiences.
OI Zhou, Hong/0000-0002-3271-6770; zhu, xiu/0000-0002-5312-7262
ZA 0
Z8 2
ZR 0
ZS 1
ZB 1
TC 13
Z9 16
U1 4
U2 15
SN 1932-6203
UT WOS:000465375400044
PM 31017927
ER

PT J
AU Rosen, Brittany L.
   Bishop, James M.
   Anderson, Ryan
   Rea, Francis J.
   Klei, Melissa D.
   Kreps, Gary L.
TI A content analysis of HPV vaccine online continuing medical education
   purpose statements and learning objectives
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 15
IS 7-8
SI SI
BP 1508
EP 1518
DI 10.1080/21645515.2019.1587273
EA APR 2019
PD AUG 3 2019
PY 2019
AB Numerous online HPV vaccine education interventions for clinicians have
   been created to improve HPV vaccinations rates. The aims for this study
   were to (1) assess the content of the purpose statements and learning
   objectives of online HPV vaccine continuing medical education (CME)
   activities developed for clinicians and (2) identify themes and gaps in
   the purpose statements and learning objectives. A content analysis was
   conducted of the purpose statements and learning objectives for each HPV
   vaccine online CME activity. Open coding identified the following
   purpose statements topics: 1) delivering recommendations, 2) HPV
   epidemiology, 3) HPV vaccine, 4) guidelines, and 5) medical news. The
   following topics for learning objectives were identified: 1) delivering
   recommendations, 2) strategies, 3) HPV epidemiology, 4) HPV vaccine, 5)
   guidelines, 6) prevention services, 7) HPV vaccination advocacy, and 8)
   disparities. Phrases about guidelines for vaccine administration and
   vaccine recommendation guidelines were the most common for purpose
   statements and learning objectives, respectively. One learning objective
   focused on behavior/skill change, which is concerning considering
   clinicians do not feel well prepared to provide strong vaccine
   recommendations. Clear and intentional purpose statements and learning
   objectives must be used to guide the development of effective CME
   activities.
RI Rosen, Brittany/; Kreps, Gary/F-7903-2013
OI Rosen, Brittany/0000-0002-3151-9927; Kreps, Gary/0000-0001-5980-129X
ZS 0
ZA 0
ZR 0
TC 4
Z8 0
ZB 1
Z9 4
U1 1
U2 1
SN 2164-5515
EI 2164-554X
UT WOS:000469725100001
PM 30932718
ER

PT J
AU Rodriguez, Melanie M. Domenech
   Phelps, Paula B.
   Tarp, H. Cathleen
TI Baseline cultural competence in physician assistant students
SO PLOS ONE
VL 14
IS 4
AR e0215910
DI 10.1371/journal.pone.0215910
PD APR 23 2019
PY 2019
AB Purpose
   Cultural competence is a critical component in health care services. The
   relationship between health disparities and prejudice and discrimination
   is well documented. Prejudicial attitudes and discriminatory behavior
   are modifiable through training yet few programs have evidence-based
   training. No published data has reported on baseline levels of cultural
   competencies in medical trainees which is necessary for tailoring
   programs appropriate to the audience. This manuscript fills that gap by
   reporting on data from three cohorts of first-year Physician Assistant
   (PA) students (N = 216). We examined students' baseline levels with
   special attention to differences in cultural competence constructs
   across age, gender, and ethnicity.
   Methods
   Students completed self-report measures for ethnic identity,
   ethno-cultural empathy, multicultural orientation, attitudes about
   diversity, health beliefs attitudes, colorblind racial attitudes, and
   burnout at the beginning of their first year. They completed the
   measures online (Qualtrics) during class time, prior to a lecture on
   cultural competence.
   Results
   Data indicate a correlation between cultural competence constructs
   supporting the validity of the battery of tests as a cohesive unit to
   measure cultural competence. There were statistically significant
   differences between age, gender identity, and ethnic groups across
   cultural competence variables.
   Conclusions
   Data provide baseline data that may be used to tailor educational
   programs. Findings suggest that our measures show promise for future
   educational research measuring effectiveness of cultural competence
   training.
RI Domenech-Rodriguez, Melanie M./B-1575-2010
OI Domenech-Rodriguez, Melanie M./0000-0002-6610-6890
Z8 0
ZR 0
ZA 0
TC 6
ZS 0
ZB 0
Z9 6
U1 0
U2 6
SN 1932-6203
UT WOS:000465223900055
PM 31013325
ER

PT J
AU Carnahan, Ryan M.
   Daly, Jeanette M.
   Minion, Sarah
   Gryzlak, Brian
   Weckmann, Michelle T.
   Levy, Barcey T.
   Bay, Camden P.
TI A Needs Assessment of Family Physicians to Inform Development of
   Educational Resources on Antipsychotic Use in Dementia
SO JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
VL 10
AR 2150132719840113
DI 10.1177/2150132719840113
PD APR 22 2019
PY 2019
AB Objectives: Objectives of this study were to (1) assess the needs and
   preferred resources of Iowa physicians to inform the development of
   educational resources for best practice dementia care and (2) compare
   the responses of nursing home medical directors with nonmedical
   directors. Methods: Of 498 physicians, 101 (20%) completed and returned
   the survey. Family physicians were obtained from a list of family
   physicians from the Iowa Board of Medical Examiners. Respondent answers
   were summarized and presented as total numbers and percentages in
   tables. Significant differences between medical directors and nonmedical
   directors were evaluated using chi-square tests, Fisher exact tests, and
   Wilcoxon rank-sum tests. Results: Medical directors and nonmedical
   directors had similar preferences for resources used and information
   needs. Online resources, pocket guides, a handbook, consulting
   pharmacists, and facility in-services were the most commonly preferred
   sources of new information. Medical directors were significantly more
   aware of the Food and Drug Administration warning on antipsychotic use
   in dementia and treated more nursing home patients. No differences were
   observed between groups related to confidence in and use of nondrug
   strategies instead of antipsychotics to manage behavioral symptoms of
   dementia. Conclusion: The results of this survey illustrate physician
   preferences for information and resources on the management of
   behavioral and psychological symptoms in dementia. Information was used
   to inform the development of resources to aid physicians and other
   health care providers in making decisions about managing these symptoms.
RI Carnahan, Ryan/AAM-3431-2021; Weckmann, Michelle/; Daly, Jeanette/; Levy, Barcey/
OI Carnahan, Ryan/0000-0002-7478-4739; Weckmann,
   Michelle/0000-0002-3172-3733; Daly, Jeanette/0000-0001-7130-4552; Levy,
   Barcey/0000-0002-3315-4116
ZS 0
Z8 0
ZB 0
ZA 0
ZR 0
TC 1
Z9 1
U1 0
U2 5
SN 2150-1319
EI 2150-1327
UT WOS:000465230200001
PM 31006318
ER

PT J
AU Weijs, Cynthia
   Coe, Jason
   Desmarais, Serge
   Majowicz, Shannon
   Jones-Bitton, Andria
TI Effects of Mock Facebook Workday Comments on Public Perception of
   Professional Credibility: A Field Study in Canada
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 4
AR e12024
DI 10.2196/12024
PD APR 18 2019
PY 2019
AB Background: There is considerable discussion of risks to health
   professionals' reputations and employment from personal social media
   use, though its impacts on professional credibility and the health
   professional-client relationship are unknown.
   Objective: The aim of this study was to test the extent to which workday
   comments posted to health professionals' personal Facebook profiles
   influence their credibility and affect the professional-client
   relationship.
   Methods: In a controlled field study, participants reviewed randomly
   assigned mock Facebook profiles. The 2x2x2 factorial design of mock
   profiles included gender (female/male), health profession
   (physician/veterinarian), and workday comment type (evident
   frustration/ambiguous). Participants then rated the profile owner's
   credibility on a visual analog scale. An analysis of variance test
   compared ratings. Mediation analyses tested the importance of
   credibility ratings on participants' willingness to become a client of
   the mock health professional.
   Results: Participants (N=357) rated health professionals whose personal
   Facebook profile showed a comment with evident frustration rather than
   an ambiguous workday comment as less credible (P<.001; mean difference
   11.18 [SE 1.28]; 95% CI 8.66 to 13.70). Furthermore, participants
   indicated they were less likely to become clients of the former when
   they considered credibility (standardized beta=.69; P<.001). Credibility
   explained 86% of the variation in the relationship between the type of
   workday comment and the participant's willingness to become a client of
   the health professional.
   Conclusions: This study provides the first evidence of the impact of
   health professionals' personal online disclosures on credibility and the
   health relationship. Public perceptions about professionalism and
   credibility are integral to developing the evidence base for
   e-professionalism guidelines and encouraging best practices in social
   media use.
OI Jones-Bitton, Andria/0000-0002-4933-3688; Majowicz,
   Shannon/0000-0002-0006-8369; Weijs, Cynthia/0000-0003-1247-2155
ZR 0
TC 6
ZA 0
ZS 0
ZB 0
Z8 0
Z9 6
U1 1
U2 6
SN 1438-8871
UT WOS:000465553800001
PM 30998223
ER

PT J
AU Gonzalez, Mariaelena
   Sanders-Jackson, Ashley
   Wright, Tashelle
TI Web-Based Health Information Technology: Access Among Latinos Varies by
   Subgroup Affiliation
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 4
AR e10389
DI 10.2196/10389
PD APR 16 2019
PY 2019
AB Background: There are significant health technology gaps between Latinos
   and non-Hispanic whites and between first-and second-generation Latinos.
   Objective: This study aimed to examine disparities in Web-based health
   information-seeking behavior (HISB) and patient portal use among
   Latinos, taking into account nativity and subethnic affiliation.
   Methods: We analyzed US-born, non-Hispanic whites and Latinos adults
   (N=49,259) and adult internet users (N=36,214) in the 2015 to 2016
   National Health Interview Survey using a binary logistic regression
   controlling for individual difference level variables. Outcomes were
   internet use, HISB (health information-seeking online and using a chat
   group for health information), and patient portal use (using a computer
   to schedule an appointment, filling a prescription, and communicating
   with a provider).
   Results: We found that US-born Mexicans (odds ratio [OR] 0.81, 95% CI
   0.66-0.99), foreign-born Mexicans (OR 0.35, 95% CI 0.29-0.42),
   foreign-born Puerto Ricans (OR 0.62, 95% CI 0.44-0.87), foreign-born
   Central and South Americans (OR 0.42, 95% CI 0.33-0.53), and
   foreign-born other Latinos (OR 0.34, 95% CI 0.24-0.49) had lower odds of
   using the internet than US-born non-Hispanic whites. The relationship
   between subgroup affiliation and Web-based HISB varied by type of
   technology. US-born Mexicans (OR 0.77, 95% CI 0.66-0.9), foreign-born
   Mexicans (OR 0.51, 95% CI 0.43-0.61), foreign-born Central and South
   Americans (OR 0.53, 95% CI 0.43-0.64), and foreign-born other Latinos
   (OR 0.56, 95% CI 0.4-0.79) had lower odds of looking up health
   information online than US-born non-Hispanic whites. Controlling for
   age, sex, education, income to federal poverty level, and region,
   foreign-born Central and South Americans (OR 0.61, 95% CI 0.41-0.92) and
   foreign-born other Latinos (OR 0.26, 95% CI 0.1-0.68) had lower odds of
   filling a prescription using a computer than US-born non-Hispanic
   whites. Foreign-born Mexicans (OR 0.51, 95% CI 0.36-0.72) and
   foreign-born Central and South Americans (OR 0.7, 95% CI 0.5-0.99) have
   lower odds of emailing a health care provider than US-born non-Hispanic
   whites. Posthoc analyses were conducted among Mexican-Americans to see
   if age was significant in predicting Web-based HISB or other patient
   portal use. We found individuals aged 18 to 30 years had higher odds of
   using the internet (OR 3.46, 95% CI 2.61-4.59) and lower odds of looking
   up health information online (OR 0.75, 95% CI 0.58-0.96). A posthoc
   analysis was conducted among Mexican-Americans to see if nativity
   predicted Web-based HISB and patient portal use. We found that US-born
   individuals had higher odds (OR 52.9, 95% CI 1.2-1.93) of looking up
   health information online compared with foreign-born individuals.
   Conclusions: We found Latino subgroups do not use health information
   channels equally, and attempts to target Latinos should take ethnicity
   and nativity into account.
TC 14
ZB 1
ZS 0
ZR 0
Z8 0
ZA 0
Z9 14
U1 0
U2 3
SN 1438-8871
UT WOS:000465549600001
PM 30990462
ER

PT J
AU Mistry, Karen
   Yonezawa, Emi
   Milne, Nikki
TI Paediatric Physiotherapy curriculum: an audit and survey of Australian
   entry-level Physiotherapy programs
SO BMC MEDICAL EDUCATION
VL 19
AR 109
DI 10.1186/s12909-019-1540-z
PD APR 16 2019
PY 2019
AB Background: No documented standard or core competencies exist for
   paediatric curriculum in entry-level physiotherapy programs in
   Australia. Consequently, extensive variability is thought to exist
   amongst Australian entry-level physiotherapy programs for preparing
   physiotherapists to work safely and effectively with children. The
   purpose of this study was to explore the landscape of paediatric
   curriculum in Australian entry-level physiotherapy programs and identify
   the paediatric content being covered, its perceived importance according
   to university academics who teach paediatrics, the mode of delivery and
   assessment, and the strengths, weaknesses, barriers and facilitators to
   implementing paediatric curriculum.
   Methods: A web-based desktop audit and an online cross-sectional survey
   using closed and open-ended questions was administered to all Australian
   universities offering entry-level physiotherapy programs in November
   2017. Content coverage and perceived level of importance for paediatric
   content areas were determined using Likert scale responses. Open-ended
   responses were thematically analysed to identify key themes for
   strengths, weaknesses and facilitators to implementation of paediatric
   curriculum.
   Results: All (n = 20, 100%) entry-level programs used the terms
   lifespan, child and/or paediatrics somewhere in at least one subject
   descriptor. Forty-five percent (n = 9) of universities did not use the
   terms lifespan, child or paediatric in their published learning
   objectives. Eight (40%) universities offered a paediatric stand-alone
   course. Sixty-five (13/20) percent of universities invited, responded to
   the survey. For paediatric conditions the perceived level of importance
   was predominately higher than its course content coverage for 19 of the
   31 conditions surveyed. Key barriers to implementating paediatric
   curriculum were: crowded curriculum, limited financial resources
   resulting in a lack of qualified staff, lack of prioritisation of
   paediatric curriculum and inadequate paediatric placement availability.
   Facilitators for effective implementation of paediatric content were
   stand-alone paediatric subjects, demonstrated dedication to paediatric
   curriculum and having suitably qualified faculty members.
   Conclusion: The results of this survey provide the physiotherapy
   community with the views of paediatric physiotherapy academic educators
   regarding the content, perceived need to expand content delivery in
   identified clinical areas, and the barriers and facilitators to
   implementing paediatric content in Australian entry-level physiotherapy
   programs. Further research exploring similar questions with paediatric
   physiotherapy clinicians would complement the findings of this study.
OI Mistry, Karen/0000-0002-8112-1757
Z8 0
ZS 0
ZB 2
TC 9
ZR 0
ZA 0
Z9 9
U1 1
U2 4
SN 1472-6920
UT WOS:000464874600001
PM 30992074
ER

PT J
AU Zhang, Yi
   Manjunath, Mohith
   Kim, Yeonsung
   Heintz, Joerg
   Song, Jun S.
TI SequencEnG: an interactive knowledge base of sequencing techniques
SO BIOINFORMATICS
VL 35
IS 8
BP 1438
EP 1440
DI 10.1093/bioinformatics/bty794
PD APR 15 2019
PY 2019
AB Next-generation sequencing (NGS) techniques are revolutionizing
   biomedical research by providing powerful methods for generating genomic
   and epigenomic profiles. The rapid progress is posing an acute challenge
   to students and researchers to stay acquainted with the numerous
   available methods. We have developed an interactive online educational
   resource called Sequencing Techniques Engine for Genomics (SequencEnG)
   to provide a tree-structured knowledge base of 66 different sequencing
   techniques and step-by-step NGS data analysis pipelines comparing
   popular tools. SequencEnG is designed to facilitate barrier-free
   learning of current NGS techniques and provides a user-friendly
   interface for searching through experimental and analysis methods.
   Availability and implementation: SequencEnG is part of the project
   Knowledge Engine for Genomics (KnowEnG) and is freely available at
   http://education.knoweng.org/sequenceng/.
RI Song, Jun S/E-2526-2016; Manjunath, Mohith/AAC-8313-2019; Zhang, Yi/
OI Song, Jun S/0000-0002-0422-2175; Zhang, Yi/0000-0002-7453-6188
ZA 0
ZR 0
ZB 2
TC 2
Z8 0
ZS 0
Z9 2
U1 0
U2 3
SN 1367-4803
EI 1460-2059
UT WOS:000473691900029
PM 30202870
ER

PT J
AU Jovanovic, Nikolina
   Beezhold, Julian
   Tateno, Masaru
   Barrett, Elizabeth
   Vlachos, Ilias
   Fiorillo, Andrea
   Hanon, Cecile
   Kazakova, Olga
   Nawka, Alexander
   Wuyts, Philippe
   Wong, Vanessa
   Papp, Szilvia
   Rujevic, Jasna
   Racetovic, Goran
   Mihai, Adriana
   Marques, Joao Gama
   Malik, Amit
   Weiss, Ulrike
   Rolko, Teelia
   Rusaka, Marija
   Clausen, Nanna Platz
   Shmunk, Elena
   Podlesek, Anja
TI Depression and suicidality among psychiatric residents - results from a
   multi-country study
SO JOURNAL OF AFFECTIVE DISORDERS
VL 249
BP 192
EP 198
DI 10.1016/j.jad.2019.02.023
PD APR 15 2019
PY 2019
AB Background: Previous studies have highlighted risks for depression and
   suicide in medical cohorts, but evidence regarding psychiatric residents
   is missing. This study aimed to determine rates of depression, suicide
   ideation and suicide attempt among psychiatric residents and to identify
   associated individual, educational and work-related risk factors.
   Methods: A total of 1980 residents from 22 countries completed the
   online survey which collected data on depression (PHQ-9), suicidality
   (SIBQ), socio-demographic profiles, training, and education. Generalized
   linear modeling and logistic regression analysis were used to predict
   depression and suicide ideation, respectively.
   Results: The vast majority of residents did not report depression,
   suicide ideation or attempting suicide during psychiatric training.
   Approximately 15% (n = 280) of residents met criteria for depression,
   12.3% (n = 225) reported active suicide ideation, and 0.7% (n = 12)
   attempted suicide during the training. Long working hours and no
   clinical supervision were associated with depression, while more
   completed years of training and lack of other postgraduate education
   (e.g. PhD or psychotherapy training) were associated with increased risk
   for suicide ideation during psychiatric training. Being single and
   female was associated with worse mental health during training.
   Limitations: Due to the cross-sectional nature of the study, results
   should be confirmed by longitudinal studies. Response rate was variable
   but the outcome variables did not statistically significantly differ
   between countries with response rates of more or less than 50%.
   Conclusion: Depression rates among psychiatric residents in this study
   were lower than previously reported data, while suicide ideation rates
   were similar to previous reports. Poor working and training conditions
   were associated with worse outcomes. Training programmes should include
   effective help for residents experiencing mental health problems so that
   they could progress through their career to the benefit of their
   patients and wider society.
RI Gama Marques, João/Q-9004-2017; Mihai, Adriana/C-3299-2011; Vlachos, Ilias/AGA-3783-2022; Fiorillo, Andrea/AHH-4551-2022; Vlachos, Ilias/AAH-9827-2021; Barrett, Elizabeth/N-5429-2019; Papp, Szilvia/G-2325-2019; Podlesek, Anja/; Kazakova, Olga/; Jovanovic, Nikolina/
OI Gama Marques, João/0000-0003-0662-5178; Mihai,
   Adriana/0000-0003-1474-0133; Fiorillo, Andrea/0000-0002-6926-0762;
   Vlachos, Ilias/0000-0001-9044-7081; Barrett,
   Elizabeth/0000-0001-9793-478X; Papp, Szilvia/0000-0002-6270-6952;
   Podlesek, Anja/0000-0003-2987-8338; Kazakova, Olga/0000-0003-3261-3429;
   Jovanovic, Nikolina/0000-0002-7554-9837
ZR 0
ZB 3
Z8 1
ZA 0
TC 11
ZS 0
Z9 12
U1 3
U2 26
SN 0165-0327
EI 1573-2517
UT WOS:000461024900025
PM 30772747
ER

PT J
AU Hendriks, Renee A.
   de Jong, Peter G. M.
   Admiraal, Wilfried F.
   Reinders, Marlies E. J.
TI Teaching modes and social-epistemological dimensions in medical Massive
   Open Online Courses: Lessons for integration in campus education
SO MEDICAL TEACHER
VL 41
IS 8
BP 917
EP 926
DI 10.1080/0142159X.2019.1592140
EA APR 2019
PD AUG 3 2019
PY 2019
AB Purpose: Medical Massive Open Online Courses (MOOCs) have been
   integrated into formal campus teaching by several universities. However,
   teaching attributes of medical MOOCs have not been systematically
   investigated. Additionally, guidelines are needed to inform integration
   practices. This study systematically investigated the available teaching
   modes and social-epistemological dimensions of medical MOOCs. Methods:
   An overview of MOOCs on a medical topic was compiled and inclusion
   criteria were developed. A data collection tool was composed and
   calibrated. For data collection, out of 410 MOOCs 33 were selected based
   on these criteria. Investigators enrolled in selected MOOCs and analyzed
   teaching modes after examination of all course pages. Teaching modes
   were categorized in social-epistemological dimensions according to the
   Teaching Approach Framework. Results: Twenty-nine different teaching
   modes were found, showing wide distributions. Analysis of
   social-epistemological dimensions showed medical MOOCs focus on
   constructivist and individual teaching modes as opposed to objectivist
   and group modes. Conclusions: Medical MOOCs do not have a universal
   teaching mode profile. They contain a rich variety of teaching modes for
   integration in campus education of which videos, discussion boards, and
   multiple choice questions are used regularly. Constructivist teaching
   modes are readily available in medical MOOCs and can support educational
   innovation of formal campus teaching when integrated.
RI Reinders, Marlies/AAF-2710-2019; Admiraal, Wilfried/F-4741-2014; Reinders, Marlies/; Hendriks, Renee/; de Jong, Peter GM/
OI Admiraal, Wilfried/0000-0002-1627-3420; Reinders,
   Marlies/0000-0001-9543-567X; Hendriks, Renee/0000-0002-1932-6428; de
   Jong, Peter GM/0000-0001-9038-3137
ZB 1
ZA 0
ZS 0
Z8 0
TC 15
ZR 0
Z9 15
U1 3
U2 4
SN 0142-159X
EI 1466-187X
UT WOS:000470462700001
PM 31008667
ER

PT J
AU Ortiz, Rebecca R.
   Smith, Andrea
   Coyne-Beasley, Tamera
TI A systematic literature review to examine the potential for social media
   to impact HPV vaccine uptake and awareness, knowledge, and attitudes
   about HPV and HPV vaccination
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 15
IS 7-8
SI SI
BP 1465
EP 1475
DI 10.1080/21645515.2019.1581543
EA APR 2019
PD AUG 3 2019
PY 2019
AB This article summarizes the findings from a systematic literature review
   to examine how social media may impact HPV vaccine uptake and HPV and
   HPV vaccine related awareness, knowledge, and attitudes. Study inclusion
   criteria was original data collection of at least one data point about
   social media and HPV and/or HPV vaccination, such that the study
   provided insight into how social media content may influence HPV and HPV
   vaccine related knowledge, attitudes, and/or behaviors. A total of 44
   relevant articles were identified using the following databases: PubMed,
   PsycINFO, Communication Source, Sociological Abstracts, Business Source
   Elite, and the Educational Resources Information Center (ERIC). Most
   studies analyzed the valence, type, and frequency of social media
   content about HPV vaccination, and some found associations between
   potential exposure to negative, anti-vacc`11qine content and lower
   vaccination rates. Some studies that included primary human subject data
   collection found that engagement with HPV related social media content
   was associated with improved awareness and knowledge but not with
   increased vaccine uptake. The literature overall is lacking in
   systematic and rigorous research examining the effects of social media
   on HPV related knowledge, attitudes, and behaviors and needs further
   examination as social media increasingly becomes a source of health
   information.
OI Smith, Andrea/0000-0002-6691-3991; Ortiz, Rebecca/0000-0003-1586-8630
ZB 26
ZR 0
ZS 0
TC 66
ZA 0
Z8 2
Z9 68
U1 13
U2 42
SN 2164-5515
EI 2164-554X
UT WOS:000466237500001
PM 30779682
ER

PT J
AU Javaeed, Arslaan
TI General Needs Assessment of the Undergraduate Medical Students to
   Integrate Courses on Medical Ethics, Time Management and Communication
   Skills into the Bachelor of Medicine, Bachelor of Surgery Curriculum of
   Pakistani Medical Colleges
SO CUREUS
VL 11
IS 4
AR e4433
DI 10.7759/cureus.4433
PD APR 11 2019
PY 2019
AB In Pakistan, medical ethics, time management, and communication skills
   are not taught to medical students and are not a part of the curriculum
   of Bachelor of Medicine, Bachelor of Surgery (MBBS) developed jointly by
   Higher Education Commission and the Pakistan Medical & Dental Council.
   The objective of this general needs assessment was to assess the
   significance of these courses for undergraduate medical students. The
   literature review of the two online databases (PubMed and ERIC
   (Education Resources Information Centre)) was conducted in January 2018.
   The current literature emphasizes the significance of these
   undergraduate medical courses for medical students in Pakistan.
ZA 0
ZR 0
ZS 0
TC 3
ZB 0
Z8 0
Z9 3
U1 0
U2 1
EI 2168-8184
UT WOS:000467225600003
PM 31245220
ER

PT J
AU Moseley, R. L.
   Gregory, N. J.
   Smith, P.
   Allison, C.
   Baron-Cohen, S.
TI A 'choice', an 'addiction', a way 'out of the lost': exploring
   self-injury in autistic people without intellectual disability
SO MOLECULAR AUTISM
VL 10
AR 18
DI 10.1186/s13229-019-0267-3
PD APR 11 2019
PY 2019
AB Background: Non-suicidal self-injury (NSSI) describes a phenomenon where
   individuals inflict deliberate pain and tissue damage to their bodies.
   Self-injurious behaviour is especially prevalent across the autism
   spectrum, but little is understood about the features and functions of
   self-injury for autistic individuals without intellectual disability, or
   about the risk factors that might be valuable for clinical usage in this
   group.
   Methods: One hundred and three autistic adults who responded to an
   online advertisement were classified as current, historic or
   non-self-harmers in accordance with responses to the Non-Suicidal
   Self-Injury Assessment Tool (NSSI-AT). Multinomial regression aimed to
   predict categorisation of participants in accordance with scores on
   tests of autistic traits, alexithymia, depression, anxiety, mentalising
   and sensory sensitivity. Linear regression examined relationships
   between these predictors and the range, frequency, lifetime occurrence
   and functional purposes of NSSI. Qualitative analysis explored the
   therapeutic interventions that participants had found helpful, and what
   they wished people understood about self-injury.
   Results: Current, historic and non-self-harming participants did not
   differ in age, age at diagnosis, male-to-female ratio, level of
   employment or education (the majority qualified to at least degree
   level). The most common function of NSSI was the regulation of
   low-energy affective states (depression, dissociation), followed by the
   regulation of high-energy states such as anger and anxiety. Alexithymia
   significantly predicted the categorisation of participants as current,
   historic or non-self-harmers, and predicted use of NSSI for regulating
   high-energy states and communicating distress to others. Depression,
   anxiety and sensory-sensitivity also differentiated participant groups,
   and sensory differences also predicted the range of bodily areas
   targeted, lifetime incidence and frequency of NSSI. Sensory differences,
   difficulty expressing and identifying emotions also emerged as
   problematic in the qualitative analysis, where participants expressed
   the need for compassion, patience, non-judgement and the need to
   recognise diversity between self-harmers, with some participants
   perceiving NSSI as a practical, non-problematic coping strategy.
   Conclusions: Alexithymia, depression, anxiety and sensory differences
   may place some autistic individuals at especial risk of self-injury.
   Investigating the involvement of these variables and their utility for
   identification and treatment is of high importance, and the voices of
   participants offer guidance to practitioners confronted with NSSI in
   their autistic clients.
OI Baron-Cohen, Simon/0000-0001-9217-2544
ZR 0
ZA 0
TC 27
Z8 0
ZS 0
ZB 9
Z9 27
U1 2
U2 36
SN 2040-2392
UT WOS:000464851300001
PM 31007885
ER

PT J
AU Pinto, Luciano
   Falsaperla, Raffaele
   Villani, Alberto
   Corsello, Giovanni
   Del Gado, Roberto
   Mazzeo, Adolfo
   Lubrano, Riccardo
TI Influenza vaccination: opinions of health care professionals working in
   pediatric emergency departments
SO ITALIAN JOURNAL OF PEDIATRICS
VL 45
AR 47
DI 10.1186/s13052-019-0638-6
PD APR 11 2019
PY 2019
AB Background: Vaccine coverage of health care professionals against
   influenza is still low in Italy, as well as in other European countries.
   Methods: Between March and May 2018, this study was performed to collect
   the opinions of Pediatric health care professionals, working in
   emergency departments, regarding the efficacy and safety of the
   influenza vaccine. An anonymous online survey was employed to evaluate
   socio-demographic and professional characteristics, knowledges, beliefs
   and attitudes.
   Results: Five hundred four health care professionals completed the
   survey: 331 physicians, 140 nurses and 33 other health are
   professionals. During the 2017-18 season, 55.8% of physicians, 19.3% of
   nurses and 12.1% of other health care professionals had vaccinated
   against the influenza virus. Not vaccinated physicians and nurses with
   less than 40years of age were fewer than not vaccinated physicians and
   nurses with more than 40years of age. Nurses and other health care
   professionals were less trustworthy of the influenza vaccination, less
   aware of the possibility of contracting and transmitting influenza and
   other vaccine-preventable diseases.
   Conclusions: Insufficient adherence to the influenza vaccination in
   physicians, nurses and other health care professionals is a concern for
   those assisting high-risk patients, especially in emergency departments.
   Therefore, it is vital to promote education of health care professionals
   and students regarding vaccinations. High vaccine coverage should be
   embedded in the safe hospital paradigm and should become a goal for the
   hospital's directors.
OI Mazzeo, Adolfo/0000-0002-7014-6617; Falsaperla,
   Raffaele/0000-0002-4482-3506; Pinto, Luciano/0000-0003-4100-2152;
   CORSELLO, Giovanni/0000-0002-0218-8110
TC 4
ZA 0
ZB 3
ZS 0
Z8 0
ZR 0
Z9 4
U1 0
U2 1
SN 1720-8424
EI 1824-7288
UT WOS:000464872500004
PM 30975224
ER

PT J
AU Apollonio, Done E.
   Spetz, Joanne
   Schmidt, Laura
   Jacobs, Laurie
   Kaur, Manpreet
   Ramo, Danielle
TI Prevalence and Correlates of Simultaneous and Separate 30-Day Use of
   Tobacco and Cannabis: Results from the California Adult Tobacco Survey
SO SUBSTANCE USE & MISUSE
VL 54
IS 10
BP 1627
EP 1632
DI 10.1080/10826084.2019.1597888
EA APR 2019
PD AUG 24 2019
PY 2019
AB Background: There is limited information on separate use and
   simultaneous use of tobacco and cannabis products, particularly for new
   electronic nicotine delivery systems (ENDS). This study presents
   detailed information about the prevalence and correlates of individual
   use, separate use, and simultaneous use of tobacco and cannabis in
   California, the first state to allow medical marijuana in the US. It
   specifically distinguishes between simultaneous use (both substances
   used in the same occasion) and separate use (both products used, but not
   simultaneously). Objectives: Participants in the 2016 California Adult
   Tobacco Survey (N = 3,058; age range 18-64 years) completed online
   surveys between February and March 2016 that assessed tobacco and
   cannabis use in the past 30 days. Results: Participants' use of tobacco
   (15% cigarettes) was higher than use of ENDS (6%) or cannabis (10%); the
   overall rate of separate use was 6% and the overall rate of simultaneous
   use was 3%. Correlates of tobacco use included lower levels of education
   and income. Correlates of simultaneous tobacco and cannabis use included
   being unemployed or having a disability. Conclusions/Importance: This
   survey of California residents suggests how use patterns change in
   states that legalize medical marijuana prior to recreational cannabis,
   although it may underestimate prevalence due to reliance on
   self-reported use. Persons who were unemployed and persons with
   disabilities were at higher risk for simultaneous use of tobacco and
   cannabis. These findings suggest that prevention and cessation
   interventions intended to target simultaneous use should address these
   populations, as well as adolescents and young adults.
OI Spetz, Joanne/0000-0003-3112-5511
TC 7
ZS 0
ZR 0
Z8 0
ZB 4
ZA 0
Z9 7
U1 1
U2 1
SN 1082-6084
EI 1532-2491
UT WOS:000466631900001
PM 30973038
ER

PT J
AU Javor, Andrija
   Ferrari, Julia
   Posekany, Alexandra
   Asenbaum-Nan, Susanne
TI Stroke risk factors and treatment variables in rural and urban Austria:
   An analysis of the Austrian Stroke Unit Registry
SO PLOS ONE
VL 14
IS 4
AR e0214980
DI 10.1371/journal.pone.0214980
PD APR 10 2019
PY 2019
AB Background and objectives
   Differences in stroke risk factors and treatment variables between rural
   and urban regions in Austria were analyzed retrospectively as European
   data on this topic are scarce.
   Research design and methods
   We performed statistical analysis using group comparisons and time
   series analysis of data of the Austrian Stroke Unit Registry between
   2005 and 2016. 87411 patients were divided into three groups (rural,
   intermediate, urban) according to the degree of urbanisation
   classification of the European Commission/Eurostat.
   Results
   Patients in the rural group were significantly younger, more often
   female, had a lower pre-stroke disability, and were more frequently
   transported by an emergency physician. Vascular risk factors were
   significantly higher in urban patients, leading to a higher rate of
   microangiopathic etiology. Onset-to-door (ODT) and Onset-to-treatment
   times were significantly higher in the rural group, but ODTs decreased
   over time. Door-to-needle times and time to first vascular imaging were
   significantly lower in the rural group. Intravenous thrombolysis and
   rehabilitation rates were lower in urban patients.
   Discussion and implications
   Contrary to previous literature predominantly from outside of Europe,
   vascular risk factors were higher in Austrian urban patients. Further,
   rural patients had higher intravenous thrombolysis and rehabilitation
   rates maybe because of lower pre-stroke disability. ODTs in rural
   patients were generally higher, but they decreased over time, which
   might be a consequence of better education of the public in noticing
   early stroke signs, better transportation and education of emergency
   medical personnel, better advance notification to the receiving hospital
   and implementation of Stroke Units in rural areas.
Z8 0
TC 3
ZB 1
ZA 0
ZR 0
ZS 0
Z9 3
U1 0
U2 3
SN 1932-6203
UT WOS:000463992600045
PM 30970026
ER

PT J
AU Clavier, Thomas
   Ramen, Julie
   Dureuil, Bertrand
   Veber, Benoit
   Hanouz, Jean-Luc
   Dupont, Herve
   Lebuffe, Gilles
   Besnier, Emmanuel
   Compere, Vincent
TI Use of the Smartphone App WhatsApp as an E-Learning Method for Medical
   Residents: Multicenter Controlled Randomized Trial
SO JMIR MHEALTH AND UHEALTH
VL 7
IS 4
AR e12825
DI 10.2196/12825
PD APR 9 2019
PY 2019
AB Background: The WhatsApp smartphone app is the most widely used instant
   messaging app in the world. Recent studies reported the use of WhatsApp
   for educational purposes, but there is no prospective study comparing
   WhatsApp's pedagogical effectiveness to that of any other teaching
   modality.
   Objective: The main objective of this study was to measure the impact of
   a learning program via WhatsApp on clinical reasoning in medical
   residents.
   Methods: This prospective, randomized, multicenter study was conducted
   among first- and second-year anesthesiology residents (offline
   recruitment) from four university hospitals in France. Residents were
   randomized in two groups of online teaching (WhatsApp and control). The
   WhatsApp group benefited from daily delivery of teaching documents on
   the WhatsApp app and a weekly clinical case supervised by a senior
   physician. In the control group, residents had access to the same
   documents via a traditional computer electronic learning (e-learning)
   platform. Medical reasoning was self-assessed online by a script
   concordance test (SCT; primary parameter), and medical knowledge was
   assessed using multiple-choice questions (MCQs). The residents also
   completed an online satisfaction questionnaire.
   Results: In this study, 62 residents were randomized (32 to the WhatsApp
   group and 30 to the control group) and 22 residents in each group
   answered the online final evaluation. We found a difference between the
   WhatsApp and control groups for SCTs (60% [SD 9%] vs 68% [SD 11%];
   P=.006) but no difference for MCQs (18/30 [SD 4] vs 16/30 [SD 4];
   P=.22). Concerning satisfaction, there was a better global satisfaction
   rate in the WhatsApp group than in the control group (8/10
   [interquartile range 8-9] vs 8/10 [interquartile range 8-8]; P=.049).
   Conclusions: Compared to traditional e-learning, the use of WhatsApp for
   teaching residents was associated with worse clinical reasoning despite
   better global appreciation. The use of WhatsApp probably contributes to
   the dispersion of attention linked to the use of the smartphone. The
   impact of smartphones on clinical reasoning should be studied further.
RI Clavier, Thomas/AAJ-8222-2021; Dupont, Herve/D-1259-2010; VEBER, Benoit/; hanouz, jean-luc/; compere, vincent/; besnier, emmanuel/; Dupont, Herve/
OI Clavier, Thomas/0000-0001-8630-7537; VEBER, Benoit/0000-0002-5938-7284;
   hanouz, jean-luc/0000-0003-1845-8610; compere,
   vincent/0000-0001-5977-7090; besnier, emmanuel/0000-0002-0267-0986;
   Dupont, Herve/0000-0002-5644-3412
ZB 2
ZR 0
Z8 0
TC 19
ZS 2
ZA 0
Z9 20
U1 1
U2 10
SN 2291-5222
UT WOS:000465340400001
PM 30964435
ER

PT J
AU Thoma, Brent
   Turnquist, Alison
   Zaver, Fareen
   Hall, Andrew K.
   Chan, Teresa M.
TI Communication, learning and assessment: Exploring the dimensions of the
   digital learning environment
SO MEDICAL TEACHER
VL 41
IS 4
SI SI
BP 385
EP 390
DI 10.1080/0142159X.2019.1567911
EA APR 2019
PD APR 3 2019
PY 2019
AB Advances in technology make it possible to supplement in-person teaching
   activities with digital learning, use electronic records in patient
   care, and communicate through social media. This relatively new "digital
   learning environment" has changed how medical trainees learn,
   participate in patient care, are assessed, and provide feedback.
   Communication has changed with the use of digital health records, the
   evolution of interdisciplinary and interprofessional communication, and
   the emergence of social media. Learning has evolved with the
   proliferation of online tools such as apps, blogs, podcasts, and wikis,
   and the formation of virtual communities. Assessment of learners has
   progressed due to the increasing amounts of data being collected and
   analyzed. Digital technologies have also enhanced learning in
   resource-poor environments by making resources and expertise more
   accessible. While digital technology offers benefits to learners, the
   teachers, and health care systems, there are concerns regarding the
   ownership, privacy, safety, and management of patient and learner data.
   We highlight selected themes in the domains of digital communication,
   digital learning resources, and digital assessment and close by
   providing practical recommendations for the integration of digital
   technology into education, with the aim of maximizing its benefits while
   reducing risks.
RI Chan, Teresa/T-6676-2017; Thoma, Brent/ABI-2642-2020; Thoma, Brent/AAS-8775-2020; Hall, Andrew Koch/
OI Chan, Teresa/0000-0001-6104-462X; Thoma, Brent/0000-0003-1124-5786;
   Hall, Andrew Koch/0000-0003-1227-5397
TC 10
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
Z9 10
U1 0
U2 26
SN 0142-159X
EI 1466-187X
UT WOS:000466240500001
PM 30973801
ER

PT J
AU Ragusa, Angela T.
   Crampton, Andrea
TI Doctor Google, Health Literacy, and Individual Behavior: A Study of
   University Employees' Knowledge of Health Guidelines and Normative
   Practices
SO AMERICAN JOURNAL OF HEALTH EDUCATION
VL 50
IS 3
BP 176
EP 189
DI 10.1080/19325037.2019.1590259
EA APR 2019
PD MAY 4 2019
PY 2019
AB Background: The success of public health campaigns to engender healthy
   behavior depends on effective communication of desired messages that
   inspire action utilizing health information that must be successfully
   understood. Research, however, illustrates that health guidelines are
   differentially interpreted, with health literacy and proclivities
   varying. Purpose: This article presents findings from a study examining
   major Australian health guidelines and behaviors regarding sun exposure,
   alcohol consumption, physical activity, and smoking. Methods: An online
   survey of rural and regional Australian university employees was
   designed and utilized to gather data about respondent health literacy
   relative to national guidelines. Results: Findings reveal disparate
   health literacy and behaviors among the 60 university employees
   surveyed, with antismoking being the most effectively communicated
   health message known and adopted. Discussion: Given that "Dr. Google"
   was respondents' preferred source for health and health risk
   information, surpassing medical professionals, friends/family, and other
   media sources, the study raises concerns about the quality,
   availability, and suitability of Internet-based health information.
   Translation to Health Education Practice: Reconceptualizing health
   messages beyond "lose/gain" frameworks is suggested as a way to improve
   health knowledge to better assist individuals with negotiating
   conflicting content/quality of information available, differing health
   literacy, and differing sociocultural environments.
RI Crampton, Andrea/AAB-7056-2020; Crampton, Andrea L/A-7018-2008; Ragusa, Angela T./
OI Crampton, Andrea/0000-0001-9656-3059; Crampton, Andrea
   L/0000-0001-9656-3059; Ragusa, Angela T./0000-0002-1172-4667
ZB 0
ZA 0
Z8 0
TC 3
ZR 0
ZS 0
Z9 3
U1 0
U2 7
SN 1932-5037
EI 2168-3751
UT WOS:000465793600001
ER

PT J
AU Schnapp, Benjamin H.
   Caretta-Weyer, Holly A.
   Cortez, Eric
   Heinrich, Scott A.
   Kraut, Aaron S.
   Lloyd, Christopher M.
   Silvester, Carly
   Sorge, Randy M.
   Wain, Amy
   Gottlieb, Michael
TI Curated Collections for Clinician Educators: Five Key Papers on
   Graduated Responsibility in Residency Education
SO CUREUS
VL 11
IS 4
AR e4383
DI 10.7759/cureus.4383
PD APR 4 2019
PY 2019
AB Introduction
   The Accreditation Council for Graduate Medical Education calls graduated
   responsibility "one of the core tenets of American graduate medical
   education." However, there is no clear set of resources for programs to
   implement a system of progressively increasing responsibilities for
   trainees. This project aimed to identify a set of high-yield papers on
   graduated responsibility for junior faculty members.
   Methods
   A study group of Academic Life in Emergency Medicine Faculty Incubator
   participants identified relevant literature on graduated responsibility
   via a comprehensive literature search and a call to the online medical
   education community; 59 total papers were identified. The most relevant
   and applicable were selected by the study group via a three-round
   modified Delphi process.
   Results
   Five key articles for junior faculty interested in implementing more
   robust graduated responsibility at their residency training program were
   selected and described here. Summaries of key points, along with
   considerations for faculty developers and relevance to junior faculty,
   are presented for each article.
   Conclusions
   The articles presented here provide a solid theoretical and practical
   basis for junior faculty to explore graduated responsibility. The five
   articles presented here provide the junior faculty with a toolkit to
   examine and improve their systems for assigning responsibilities in a
   graded fashion at their own institutions.
RI Schnapp, Benjamin H/B-7963-2017; Caretta-Weyer, Holly/
OI Schnapp, Benjamin H/0000-0001-5031-8269; Caretta-Weyer,
   Holly/0000-0002-9783-5797
TC 5
ZA 0
ZR 0
ZB 2
Z8 0
ZS 0
Z9 5
U1 0
U2 1
EI 2168-8184
UT WOS:000463376000002
PM 31218147
ER

PT J
AU Iribarren, Sarah
   Stonbraker, Samantha
   Suero-Tejeda, Niurka
   Granja, Maribel
   Luchsinger, Jose A.
   Mittelman, Mary
   Bakken, Suzanne
   Lucero, Robert
TI Information, communication, and online tool needs of Hispanic family
   caregivers of individuals with Alzheimer's disease and related dementias
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 44
IS 2
BP 115
EP 134
DI 10.1080/17538157.2018.1433674
PD APR 3 2019
PY 2019
AB Purpose: To identify the information and communication needs of Hispanic
   family caregivers for individuals with Alzheimer's Disease and Related
   Dementias (ADRD) and the manner in which online tools may meet those
   needs. Methods: We conducted 11 participatory design sessions with 10
   English- and 14 Spanish-speaking urban-dwelling Hispanic family
   caregivers and gathered data using a survey, collage assemblage, and
   audio and video recordings. Four investigators analyzed transcripts of
   audio recordings with a coding framework informed by several conceptual
   models. Results: Participants had an average age of 59.7 years, were
   mostly female (79.2%), and had cared for a family member with ADRD for
   an average of 6.5 years. All participants accessed the Internet at least
   once a week with 75% >= daily. Most used the Internet to look up health
   information. All participants reported caregiver attributes including
   awareness of the disease symptoms or behaviors. The majority reported
   information needs/tasks (91.7%), communication needs/tasks (87.5%), and
   need for online tools (79.2%). Conclusion: Hispanic caregivers of
   individuals with ADRD reported key information and communication
   needs/tasks. Only Spanish-speaking participants reported Internet and
   technology use deficits suggesting the requirement for further
   technology support. Data show a need for online tools to meet the needs
   of caregivers.
OI Mittelman, Mary/0000-0002-4074-8537
TC 14
ZS 0
ZB 0
ZR 0
ZA 0
Z8 1
Z9 15
U1 1
U2 17
SN 1753-8157
EI 1753-8165
UT WOS:000465107100001
PM 29504837
ER

PT J
AU Gorfinkel, Lauren
   Klimas, Jan
   Reel, Breanne
   Dong, Huiru
   Ahamad, Keith
   Fairgrieve, Christopher
   McLean, Mark
   Mead, Annabel
   Nolan, Seonaid
   Small, Will
   Cullen, Walter
   Wood, Evan
   Fairbairn, Nadia
TI In-hospital training in addiction medicine: A mixed-methods study of
   health care provider benefits and differences
SO SUBSTANCE ABUSE
VL 40
IS 2
BP 207
EP 213
DI 10.1080/08897077.2018.1561596
PD APR 3 2019
PY 2019
AB Background: Hospital-based clinical addiction medicine training can
   improve knowledge of clinical care for substance-using populations.
   However, application of structured, self-assessment tools to evaluate
   differences in knowledge gained by learners who participate in such
   training has not yet been addressed. Methods: Participants (n?=?142) of
   an elective with the hospital-based Addiction Medicine Consult Team
   (AMCT) in Vancouver, Canada, responded to an online self-evaluation
   survey before and immediately after the structured elective. Areas
   covered included substance use screening, history taking, signs and
   symptoms examination, withdrawal treatment, relapse prevention, nicotine
   use disorders, opioid use disorders, safe prescribing, and the biology
   of substance use disorders. A purposefully selected sample of 18
   trainees were invited to participate in qualitative interviews that
   elicited feedback on the rotation. Results: Of 168 invited trainees, 142
   (84.5%) completed both pre- and post-rotation self-assessments between
   May 2015 and May 2017. Follow-up participants included medical students,
   residents, addiction medicine fellows, and family physicians in
   practice. Self-assessed knowledge of addiction medicine increased
   significantly post-rotation (mean difference in scores?=?11.87 out of
   the maximum possible 63 points, standard deviation?=?17.00; P?< .0001).
   Medical students were found to have the most significant improvement in
   addiction knowledge (estimated mean difference?=?4.43, 95% confidence
   interval?=?0.76, 8.09; P?=?.018). Illustrative quotes describe the
   dynamics involved in the learning process among trainees. Conclusions:
   Completion of a hospital-based clinical elective was associated with
   improved knowledge of addiction medicine. Medical students appear to
   benefit more from the addiction elective with a hospital-based AMCT than
   other types of learners.
RI Klimas, Jan/E-7191-2010; Klimas, Jan/ABG-2669-2020; Cullen, Walter/AAD-4327-2019; Cullen, Walter/
OI Klimas, Jan/0000-0002-5179-0052; Klimas, Jan/0000-0002-5179-0052;
   Cullen, Walter/0000-0003-1838-5052
Z8 0
TC 5
ZR 0
ZS 0
ZA 0
ZB 1
Z9 5
U1 0
U2 0
SN 0889-7077
EI 1547-0164
UT WOS:000490401900014
PM 30689528
ER

PT J
AU Berland, Noah
   Lugassy, Daniel
   Fox, Aaron
   Goldfeld, Keith
   Oh, So-Young
   Tofighi, Babak
   Hanley, Kathleen
TI Use of online opioid overdose prevention training for first-year medical
   students: A comparative analysis of online versus in-person training
SO SUBSTANCE ABUSE
VL 40
IS 2
BP 240
EP 246
DI 10.1080/08897077.2019.1572048
PD APR 3 2019
PY 2019
AB Purpose: In response to the opioid epidemic and efforts to expand
   substance use education in medical school, the authors introduced opioid
   overdose prevention training (OOPT) with naloxone for all first-year
   medical students (MS1s) as an adjunct to required basic life support
   training (BLST). The authors previously demonstrated improved knowledge
   and preparedness following in-person OOPT with BLST; however, it remains
   unclear whether online-administered OOPT would produce comparable
   results. In this study, the authors perform a retrospective comparison
   of online-administered OOPT with in-person-administered OOPT.
   Objectives: To compare the educational outcomes: knowledge,
   preparedness, and attitudes, for online versus in-person OOPT. Methods:
   In-person OOPT was administered in 2014 and 2015 during BLST, whereas
   online OOPT was administered in 2016 during BLST pre-work. MS1s
   completed pre- and post-training tests covering 3 measures: knowledge
   (11-point scale), attitudes (66-point scale), and preparedness (60-point
   scale) to respond to an opioid overdose. Online scores from 2016 and
   in-person scores from 2015 were compared across all 3 measures using
   analysis of covariance (ANCOVA) methods. Results: After controlling for
   pre-test scores, there were statistical, but no meaningful, differences
   across all measures for in-person- and online-administered training. The
   estimated differences were knowledge: ?0.05 (0.5%) points (95%
   confidence interval [CI]: ?0.47, 0.36); attitudes: 0.65 (1.0%) points
   (95% CI: ?0.22, 1.51); and preparedness: 2.16 (3.6%) points (95% CI:
   1.04, 3.28). Conclusions: The educational outcomes of
   online-administered OOPT compared with in-person-administered OOPT were
   not meaningfully different. These results support the use of
   online-administered OOPT. As our study was retrospective, based on data
   collected over multiple years, further investigation is needed in a
   randomized controlled setting, to better understand the educational
   differences of in-person and online training. Further expanding OOPT to
   populations beyond medical students would further improve
   generalizability.
OI Goldfeld, Keith/0000-0002-0292-8780; Tofighi, Babak/0000-0001-7393-7564
ZS 0
ZB 1
Z8 0
ZA 0
TC 12
ZR 0
Z9 12
U1 0
U2 5
SN 0889-7077
EI 1547-0164
UT WOS:000490401900018
PM 30767715
ER

PT J
AU Broukhim, Michael
   Yuen, Francis
   McDermott, Haley
   Miller, Keri
   Merrill, Leslie
   Kennedy, Robin
   Wilkes, Michael
TI Interprofessional conflict and conflict management in an educational
   setting
SO MEDICAL TEACHER
VL 41
IS 4
SI SI
BP 408
EP 416
DI 10.1080/0142159X.2018.1480753
PD APR 3 2019
PY 2019
AB Background: Whenever health professionals work together as a team,
   conflict is inevitable - some would argue even necessary. However,
   conflict can have negative effects on patient care, job satisfaction,
   personal wellness, and professional productivity. Purpose: This study
   aims to describe interprofessional conflicts in a hospital setting from
   the perspective of three groups of health science students. Methods: An
   online questionnaire survey collected data from 225 health science
   students (medicine, nursing, and social work) in Northern California
   (USA). Quantitative and qualitative analyses were conducted resulting in
   seven central themes of conflict. Results: There are differences among
   health professional students in terms of how conflict is experienced and
   managed. Nursing students and medical students were more likely to take
   on the "victim" role when explaining their conflict, and their conflicts
   were more likely to be intra-professional. The most common cause of
   conflicts was related to hierarchy and power issues. The majority were
   dissatisfied with the way the conflict was resolved. Conclusions:
   Findings from this study can be used to design interprofessional
   curriculum to improve outcomes from conflicts and improve wellbeing, job
   satisfaction, and reduce patient turnover.
ZR 0
ZB 0
ZA 0
Z8 0
ZS 0
TC 9
Z9 9
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000470852700008
PM 30309278
ER

PT J
AU Pyorala, Eeva
   Maenpaa, Saana
   Heinonen, Leo
   Folger, Daniel
   Masalin, Teemu
   Hervonen, Heikki
TI The art of note taking with mobile devices in medical education
SO BMC MEDICAL EDUCATION
VL 19
AR 96
DI 10.1186/s12909-019-1529-7
PD APR 2 2019
PY 2019
AB BackgroundStudents use mobile devices extensively in their everyday
   life, and the new technology is adopted in study usage. Since 2013, the
   University of Helsinki has given new medical and dental students iPads
   for study use. Simultaneously, an action research project on mobile
   learning started focusing on these students' mobile device usage
   throughout their study years. Note taking is crucial in academic
   studies, but the research evidence in this area is scarce. The aims of
   this study were to explore medical and dental students' self-reported
   study uses of mobile devices and their best practices of mobile note
   taking.MethodAn action research project began in 2013 and followed the
   first student cohort (124 medical and 52 dental students) with iPads
   from the first until the fifth study year. We explored students'
   descriptions of their most important study uses of mobile devices and
   their perceptions of note taking with iPads. The longitudinal data were
   collected with online questionnaires over the years. The answers to
   open-ended questions were examined using qualitative content analysis.
   The findings were triangulated with another question on note taking and
   focus-group interviews.ResultsThe response rates varied between 73 and
   95%. Note taking was the most frequently and consistently reported study
   use of iPads during the study years. While taking notes, students
   processed the new information in an accomplished way and personalised
   the digital learning materials by making comments, underlining, marking
   images and drawing. The visual nature of their learning materials
   stimulated learning. Students organised the notes for retention in their
   personalised digital library. In the clinical studies, medical students
   faced the teachers' resistance and ambivalence to mobile device usage.
   This hindered the full-scale benefit of the novel technology in the
   clinical context.ConclusionsEfficient digital note taking practices were
   pivotal to students in becoming mobile learners. Having all their notes
   and learning materials organised in their personal digital libraries
   enabled the students to retrieve them anywhere, anytime, both when
   studying for examinations and treating patients in the clinical
   practice. The challenges the medical students met using mobile devices
   in the clinical setting require further studies.
RI Pyörälä, Eeva/GOH-3276-2022; Folger, Daniel/
OI Pyörälä, Eeva/0000-0002-2474-2434; Folger, Daniel/0000-0001-6114-7960
ZS 0
Z8 0
TC 7
ZB 0
ZA 0
ZR 0
Z9 7
U1 2
U2 14
SN 1472-6920
UT WOS:000463672200002
PM 30940152
ER

PT J
AU Falconer, James
   Couture, Felix
   Demir, Koray K.
   Lang, Michael
   Shefman, Zachary
   Woo, Mark
TI Perceptions and intentions toward medical assistance in dying among
   Canadian medical students
SO BMC MEDICAL ETHICS
VL 20
AR 22
DI 10.1186/s12910-019-0356-z
PD APR 2 2019
PY 2019
AB BackgroundMedical assistance in dying (MAID) was legalized in Canada in
   2016. As of July 2017, approximately 2149 patients have accessed MAID.
   There remains no national-level data on the perspectives of future
   physicians about MAID or its changing legal status. We provide evidence
   from a national survey of Canadian medical students about their
   opinions, intentions, and concerns about MAID.MethodsFrom October 2016
   to July 2017, we distributed an anonymous online survey to all students
   at 15 of Canada's 17 medical schools. The survey collected data on
   respondent socio-demographic characteristics, features of their medical
   education, intentions for medical practice, and perspectives on MAID. We
   analyzed responses using univariate descriptive and stepwise
   multivariate logistic regression.ResultsIn 1210 completed surveys, 71%
   of respondents reported being willing to provide MAID under a legal
   framework that permits it. Non-religious respondents reported greater
   willingness to participate in MAID than respondents of any religious
   affiliation (p<0.001). Frequency of religious attendance was inversely
   associated with willingness to provide MAID (p<0.001). Medical students
   born in Quebec were more willing to provide MAID than respondents from
   other provinces (OR 2.21; p<0.001). Age, sex, socioeconomic status, year
   of medical study, previous academic major, and rural/urban city of birth
   were not associated with willingness to provide MAID.ConclusionAs the
   current class of medical students becomes the first cohort of new
   physicians to enter Canada's changing medical and legal landscape around
   MAID, our findings inform the public debate by examining attributes
   associated with support or opposition to the practice.
OI Falconer, James/0000-0002-6012-5126
ZA 0
ZR 0
ZB 0
ZS 0
TC 14
Z8 0
Z9 14
U1 0
U2 6
SN 1472-6939
UT WOS:000463673600001
PM 30940195
ER

PT J
AU Hawkes, Claire A.
   Brown, Terry P.
   Booth, Scott
   Fothergill, Rachael T.
   Siriwardena, Niroshan
   Zakaria, Sana
   Askew, Sara
   Williams, Julia
   Rees, Nigel
   Ji, Chen
   Perkins, Gavin D.
TI Attitudes to Cardiopulmonary Resuscitation and Defibrillator Use: A
   Survey of UK Adults in 2017
SO JOURNAL OF THE AMERICAN HEART ASSOCIATION
VL 8
IS 7
AR e008267
DI 10.1161/JAHA.117.008267
PD APR 2 2019
PY 2019
AB Background-Bystander cardiopulmonary resuscitation (CPR) and public
   access defibrillator (PAD) use can save the lives of people who
   experience out-of-hospital cardiac arrest. Little is known about the
   proportions of UK adults trained, their characteristics and willingness
   to act if witnessing an out-of-hospital cardiac arrest, or the public's
   knowledge regarding where the nearest PAD is located.
   Methods and Results-An online survey was administered by YouGov to a
   nonprobabilistic purposive sample of UK adults, achieving 2084
   participants, from a panel that was matched to be representative of the
   population. We used descriptive statistics and multivariate logistic
   regression modeling for analysis. Almost 52% were women, 61% were aged
   <55 years, and 19% had witnessed an out-of-hospital cardiac arrest.
   Proportions ever trained were 57% in chest-compression-only CPR, 59% in
   CPR, and 19.4% in PAD use. Most with training in any resuscitation
   technique had trained at work (54.7%). Compared with people not trained,
   those trained in PAD use said they were more likely to use one (odds
   ratio: 2.61), and those trained in CPR or chest-compression-only CPR
   were more likely to perform it (odds ratio: 5.39). Characteristics
   associated with being trained in any resuscitation technique included
   youth, female sex, higher social grade, and full-time employment.
   Conclusions-In the United Kingdom, training makes a difference in
   people's willingness to act in the event of a cardiac arrest. Although
   there is considerable opportunity to increase the proportion of the
   general population trained in CPR, consideration should be also given to
   encouraging training in PAD use and targeting training for those who are
   older or from lower social grades.
RI Williams, Julia/AAQ-8655-2021; Hawkes, Claire/AAF-5929-2021; Perkins, Gavin/E-7613-2010; Fothergill, Rachael/; Zakaria, Sana/; Ji, Chen/; Perkins, Gavin/
OI Williams, Julia/0000-0003-0796-5465; Hawkes, Claire/0000-0001-8236-3558;
   Fothergill, Rachael/0000-0003-1341-6200; Zakaria,
   Sana/0000-0002-2834-8530; Ji, Chen/0000-0003-4919-3299; Perkins,
   Gavin/0000-0003-3027-7548
ZA 0
Z8 0
ZS 0
TC 22
ZB 3
ZR 0
Z9 22
U1 1
U2 5
EI 2047-9980
UT WOS:000484574300001
PM 30917733
ER

PT J
AU Bearman, Margaret
   Greenhill, Jennene
   Nestel, Debra
TI The power of simulation: a large-scale narrative analysis of learners'
   experiences
SO MEDICAL EDUCATION
VL 53
IS 4
BP 369
EP 379
DI 10.1111/medu.13747
PD APR 2019
PY 2019
AB Context Simulation-based education (SBE) includes a broad spectrum of
   simulation activities, which are individually well researched. An
   extensive literature reports on SBE methods, topics and modalities, but
   there are limited studies investigating how simulation as a holistic
   phenomenon promotes learning. This study seeks to identify the ways in
   which health professionals narrate powerful SBE experiences and through
   this to understand in what ways SBE may influence learning. Methods
   Three hundred and twenty-seven narratives about powerful learning
   through SBE were gathered from participants' online reflections from a
   national faculty development programme in SBE. Narrative and thematic
   analyses were conducted on included texts, using 'transformative
   learning theory' as a sensitising notion. Results Narratives were
   categorised into the following categories: progress (267/327 = 81%);
   transformation (25/327 = 8%); practice (27/328 = 8%); and humiliation
   (8/327 = 2%). Recurrent features across narrative categories were as
   follows: early experiences in training; dramatic scenarios; developing
   appreciation of SBE; highly emotional experiences; things that 'went
   wrong'; and ongoing reflection. Themes regarding mechanisms that
   supported learning were as follows: verisimilitude; feedback, debriefing
   and facilitation; observation of self and others; repetition of
   activities; and role-playing the patient. Conclusions The results
   generally support the notion that SBE is experienced as a holistic
   phenomenon, rather than separate modalities. The narrative categories,
   recurrent features and learning themes tended to work across all
   simulation modalities, with the exception of 'being in the patient's
   shoes' being supported by role-play in particular. Although powerful
   experiences were not necessarily transformative ones, they often
   occurred at formative stages of training. There was a strong sense that
   things going wrong in simulation scenarios (and the associated emotions
   and reflection) were a key part of learning. This underlines SBE's
   potential role in helping learners see fallibility as part of
   professional practice.
RI Bearman, Margaret/R-1191-2019; Bearman, Margaret/; Nestel, Debra/; greenhill, jennene/
OI Bearman, Margaret/0000-0002-6862-9871; Nestel,
   Debra/0000-0003-2941-2298; greenhill, jennene/0000-0001-8325-2139
ZS 0
Z8 0
ZA 0
ZR 0
TC 26
ZB 1
Z9 26
U1 1
U2 8
SN 0308-0110
EI 1365-2923
UT WOS:000461884000010
PM 30334299
ER

PT J
AU Punja, Rohini
   Sumalatha, Suhani
   Hosapatna, Mamatha
TI Perspective of the 1st year undergraduate medical students in learning
   anatomy
SO JOURNAL OF THE ANATOMICAL SOCIETY OF INDIA
VL 68
IS 2
BP 129
EP 132
DI 10.4103/JASI.JASI_59_19
PD APR-JUN 2019
PY 2019
AB Introduction: Anatomy, one of the basic sciences' subject of the 1st
   year medical education curriculum, is recognized as an essential
   foundation for clinical sciences. However, there is a continuing debate
   on the best method of learning anatomy. In this study, we infer the
   perception of the 1st year medical students on the best method of
   learning anatomy. Material and Methods: The present study was conducted
   on 246 1st year undergraduate medical students, of the academic year
   2015-2016. An online platform - Survey Monkey - was utilized to conduct
   the survey where multiple-answer multiple-choice questions were sent to
   the students, and the results were tabulated on a graph. Results: The
   optimal way of learning anatomy according to 80% of students was through
   small-group teaching in comparison to didactic lectures according to
   12%. Integrated teaching introduced as talks by physicians (31%) and
   problem-based learning (28%) was not well appreciated. However, they
   felt an exposure to the clinical side where small groups are taken to
   the hospital to demonstrate relevant case/procedure/examination would
   have a more significant impact (78%). There was a favorable opinion
   (74%) on the formation of an Anatomy mentor cell where the students who
   had performed poorly during the first sessional test were under the
   guidance of anatomy staff, and regular assignments were given.
   Discussion and Conclusion: Anatomy exposes the student to an ocean of
   knowledge; it also inculcates a particular attitude and communication
   toward another human being. The students' perspective in learning
   Anatomy plays a crucial role in the changing times and demand reforms
   which would best aid the student-centric learning.
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 1
Z9 1
U1 0
U2 0
SN 0003-2778
EI 2352-3050
UT WOS:000510764100007
ER

PT J
AU Latiff, Atikah Abdul
   Kamarzaman, Saheera
   Manan, Norhafizah Ab
   Rampal, Krishna Gopal
   Muniandy, Bala Krishnian
TI Students' perception on anatomy education in Cyberjaya University
   College of Medical Sciences, Malaysia
SO JOURNAL OF THE ANATOMICAL SOCIETY OF INDIA
VL 68
IS 2
BP 163
EP 173
DI 10.4103/JASI.JASI_46_19
PD APR-JUN 2019
PY 2019
AB Introduction: Anatomy education faces continuous debate about the best
   teaching methods to maximize learning as sufficient knowledge of anatomy
   is crucial for safe and efficient clinical practice. This study was
   conducted to explore students' perceptions about learning anatomy by
   focusing around six major topics: (i) the importance of anatomy in
   medical school, (ii) factors influencing students' performance in
   anatomy, (iii) anatomy teaching methods, (iv) continuous assessment in
   anatomy, (v) the clarity of learning outcomes, and (vi) students'
   suggestions to improve anatomy learning. Material and Methods: A total
   183 medical students from year 1 to year 5 currently studying in
   Cyberjaya University College of Medical Sciences participated in the
   survey. This study involved collecting data through the Anatomy
   Education Questionnaire via online survey link. Results: There is a
   general awareness among all students regarding the importance and
   relevance of anatomy, i.e., to be a safe and competent doctor (80.7%)
   and to be able to perform invasive procedures and surgeries on patients
   (79.1%). Majority of students feel that inadequate assessments (59%),
   integrated curriculum (53%), and inappropriate teaching methods (31%)
   are the major factors that influence students' performance in anatomy.
   Teaching anatomy via cadaveric dissection (72.2%) is the most preferred
   study tool whereas traditional lectures (29.9%) are the least preferred
   methods among the students. Majority of students (97.3%) agree that
   having more continuous assessments helps them identify their weaknesses
   in anatomy. Discussion and Conclusions: This study suggests the
   necessity for some educational refinements to improve anatomy learning
   by fostering deeper approaches via clinical integration of the subject
   and utilization of anatomy videos.
ZS 0
ZR 0
TC 3
ZA 0
Z8 0
ZB 1
Z9 3
U1 0
U2 2
SN 0003-2778
EI 2352-3050
UT WOS:000510764100014
ER

PT J
AU van Zuilen, Maria Hendrika
   Kamath, Preetha
   Palacios, Juan Carlos
   Soares, Marcio Rotta
TI Implementation of a Competency-based Pressure Ulcer Curriculum for
   Medical Students: Outcomes from an Educational Intervention Study
SO WOUND MANAGEMENT & PREVENTION
VL 65
IS 4
BP 42
EP 47
DI 10.25270/wmp.2019.4.4247
PD APR 2019
PY 2019
AB A paucity of research exists on medical student pressure ulcer
   education. PURPOSE: This study examines medical student competency
   outcomes following implementation of a competency-based curriculum that
   included a pressure ulcer component in its educational intervention.
   METHODS: Over a 5-year period, 645 medical students completed the
   curriculum, which included a preceptor-led didactic session, online
   study resources, clinical experiences, and a brief online competency
   assessment. The assessment involved knowledge of risk factors, wound
   staging/classification, and prevention and management strategies and
   included short answer and extended matching questions. A performance
   standard was set; students not achieving this standard underwent
   remediation and reassessment. The curriculum was implemented in 3 phases
   with quality improvement (QI) between each phase. The average competency
   assessment score and passing rates were determined for each phase. Mean
   scores for each phase were compared using an analysis of variance test.
   RESULTS: Mean competency assessment scores increased significantly after
   each QI from 17.5 (range 11-23) to 18.3 (range 12-24) to 19.8 (range
   12-25) in phases 1, 2 and 3, respectively [F(2,642) = 59.502, P <.001];
   the performance standard was raised after both QI points. Overall, 8.7%
   of students underwent remediation and reassessment, but all achieved the
   performance standard on their second attempt.
   CONCLUSION: Through a thoughtful QI process that involved carefully
   aligning all curricular elements (the instructional activities and the
   assessment), a focused and accountable curriculum was developed that
   ensured all medical students in the program would achieve a basic level
   of competency. Increasingly, accreditation agencies are asking medical
   schools to move toward competency-based curricula. This curriculum
   represents an important step in this direction.
ZR 0
TC 0
ZB 0
ZS 0
ZA 0
Z8 0
Z9 0
U1 0
U2 3
SN 2640-5237
EI 2640-5245
UT WOS:000499396500003
PM 30994474
ER

PT J
AU Elbarbary, Nancy
   Deeb, Asma
   Habeb, Abdelhadi
   Beshyah, Salem A.
TI Management of diabetes during Ramadan fasting in children and
   adolescents: A survey of physicians' perceptions and practices in the
   Arab Society for Paediatric Endocrinology and Diabetes (ASPED) countries
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 150
BP 274
EP 281
DI 10.1016/j.diabres.2018.12.014
PD APR 2019
PY 2019
AB Aim: To ascertain the pattern of diabetes management during Ramadan
   fasting in childhood and adolescence among physicians in Arab countries.
   Methods: An online electronic survey questionnaire was distributed to
   physicians registered in the Arab society for Paediatric Endocrinology
   and Diabetes (ASPED).
   Results: Of the 167 responders, 114 (86.0%) were paediatricians and the
   remaining 14.4% were adult physicians. 117 (79.6%) would allow patients
   to fast and 60.7% of them emphasized providing education before fasting.
   69.1% of physicians thought that their patients complete > 50% of
   fasting days. 46.9% recognized those with hypoglycemia unawareness among
   the very high-risk group for fasting. 62% reported that fasting should
   be broken if symptomatic hypoglycemia regardless of glucose level and
   48.2% indicated that blood glucose above 300 mg/dl is another
   indication. 63.4% of respondents would decrease basal insulin by 25%,
   and 52.8% reported that using insulin pump during fasting reduced the
   frequency of hypoglycemia. 81.1% recommend several dietary adjustments
   and 56.4% used rapid-acting insulin analog according to carbohydrate
   counting.
   Conclusions: There is a wide variation in the management of children and
   adolescents with diabetes during Ramadan in ASPED countries. A targeted
   educational program for physicians and establishing a guideline for this
   challenging area is needed. (C) 2019 Elsevier B.V. All rights reserved.
ZA 0
ZR 0
TC 5
ZB 2
Z8 0
ZS 0
Z9 5
U1 0
U2 1
SN 0168-8227
EI 1872-8227
UT WOS:000467689500032
PM 30629966
ER

PT J
AU Sun, Christina J.
   Anderson, Kirsten M.
   Bangsberg, David
   Toevs, Kim
   Morrison, Dayna
   Wells, Caitlin
   Clark, Pete
   Nicolaidis, Christina
TI Access to HIV Pre-exposure Prophylaxis in Practice Settings: a
   Qualitative Study of Sexual and Gender Minority Adults' Perspectives
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 4
BP 535
EP 543
DI 10.1007/s11606-019-04850-w
PD APR 2019
PY 2019
AB BackgroundSexual and gender minority (SGM) populations remain at
   disproportionate risk of HIV infection. Despite the effectiveness of
   pre-exposure prophylaxis (PrEP) in preventing HIV, PrEP uptake has been
   slow.ObjectiveTo identify barriers and facilitators of PrEP access by
   examining SGM patients' experiences with accessing health care systems
   and engaging with providers about PrEP in a variety of practice
   settings.DesignSemi-structured, individual, qualitative
   interviews.ParticipantsTwenty-seven sexual and gender minority adults
   residing in Oregon.ApproachInterviews were audio-recorded, transcribed,
   and analyzed using thematic analysis.Key ResultsWe identified three main
   themes. Participants described the centrality of patient-provider
   relationships to positive experiences around PrEP, the necessity of
   personally advocating to access PrEP, and the experience of system-level
   barriers to PrEP access. Participants also made several suggestions to
   improve PrEP access including improving provider engagement with SGM
   patients, encouraging providers to initiate conversations about PrEP,
   and increasing awareness of medication financial support.ConclusionsIn
   order to reduce HIV disparities, improving PrEP access will require
   additional efforts by providers and resources across health care
   settings to reduce barriers. Interventions to improve provider education
   about PrEP and provider communication skills for discussing sexual
   health are needed. Additionally, there should be system-level
   improvements to increase coordination between patients, providers,
   pharmacies, and payers to facilitate PrEP access and uptake.
RI Nicolaidis, Christina/X-6468-2019; Nicolaidis, Christina/CAC-0028-2022
OI Nicolaidis, Christina/0000-0002-9394-5956; Nicolaidis,
   Christina/0000-0002-9394-5956
ZB 5
Z8 0
TC 12
ZS 0
ZR 0
ZA 0
Z9 12
U1 0
U2 6
SN 0884-8734
EI 1525-1497
UT WOS:000463219100021
PM 30719647
ER

PT J
AU Giglia, Roslyn Carmel
   Symons, Martyn
   Shaw, Therese
TI The provision of alcohol and breastfeeding information by maternal
   health practitioners in the Australian setting
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 59
IS 2
BP 258
EP 264
DI 10.1111/ajo.12837
PD APR 2019
PY 2019
AB BackgroundIn the 2009 National Health and Medical Research Council
   (NHMRC) Australian Guidelines to Reduce Health Risks from Drinking, a
   guideline specific to lactating women was included. For the first time
   the effect of alcohol at this important developmental stage was
   nationally and internationally acknowledged.
   AimsTo determine the degree to which maternal health practitioners
   adopted an Australian national policy guideline (Guideline 4B) on
   alcohol and breastfeeding into their everyday health practice and the
   factors associated with adoption.
   Materials and MethodsA convenience sample of participants completed an
   online survey based on the Nursing Practice Questionnaire (NPQ) to
   elicit measures of knowledge, awareness and practice implementation.
   ResultsIn total, 240 maternal health practitioners completed the online
   survey. All statistical analyses clearly indicated a higher adoption of
   Guideline 4B by the child health nurses, midwives and general
   practitioners (GPs) than was the case for paediatricians and
   obstetricians. A mean adoption score (range 0-4) indicative of some'
   practice implementation of 3.13, 3.04 and 2.73 was obtained by child
   health nurses, midwives and GPs, respectively. Obstetricians and
   paediatricians scored a mean of 2.0, indicating they remain to be
   persuaded about the practice' of incorporating discussions around
   alcohol and breastfeeding into their practice.
   ConclusionDespite the existence of a national alcohol guideline for
   breastfeeding women, maternal health practitioners are not incorporating
   this advice into their everyday practice with lactating women.
   Opportunities exist for all maternal practitioners along the
   reproductive continuum to protect long-term breastfeeding duration using
   an evidence-based harm minimisation approach to alcohol consumption.
OI Symons, Martyn/0000-0003-1875-0427; Giglia, Roslyn/0000-0001-9016-1251
ZS 0
ZA 0
ZB 0
TC 1
ZR 0
Z8 0
Z9 1
U1 0
U2 2
SN 0004-8666
EI 1479-828X
UT WOS:000467967300017
PM 29926916
ER

PT J
AU Bell, Megan Jones
   Zeiler, Michael
   Herrero, Rocio
   Kuso, Stefanie
   Nitsch, Martina
   Etchemendy, Ernestina
   Fonseca-Baeza, Sara
   Oliver, Elia
   Adamcik, Tanja
   Karwautz, Andreas
   Wagner, Gudrun
   Banos, Rosa
   Botella, Cristina
   Goerlich, Dennis
   Jacobi, Corinna
   Waldherr, Karin
TI Healthy Teens @ School: Evaluating and disseminating transdiagnostic
   preventive interventions for eating disorders and obesity for
   adolescents in school settings
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 16
SI SI
BP 65
EP 75
DI 10.1016/j.invent.2018.02.007
PD APR 2019
PY 2019
AB Background: The worldwide prevalence of overweight and obesity is at
   alarming levels. Nearly one in three children in Europe is overweight or
   obese. Disordered eating and body image concerns are equally widespread
   and increase risk for more chronic and severe weight-related problems.
   Research has shown that online interventions that address both healthy
   weight regulation and body image can reduce risk for eating disorders
   and obesity simultaneously and are feasible to implement in school
   settings. To date, evaluation and dissemination of such programs in
   Europe is scant.
   Methods: The Healthy Teens @ School study is a multi-country
   cluster-randomized controlled trial (RCT) comparing the effectiveness of
   an unguided, online, multi-level intervention for promoting a healthy
   lifestyle and reducing problematic eating behavior, eating disorder and
   obesity risk among students aged 14 to 19 years with control condition.
   As part of the Horizon 2020 funded project ICare (GA No. 634757) the
   trial is conducted in Austria and Spain. Cluster randomization by school
   is used. The intervention is an adapted version of an evidence-based
   program developed in the USA (StayingFit). Participants of the
   intervention group are assigned to one of two possible program tracks
   based on the results of the initial online-assessment: Overweight
   adolescents are assigned to the "Weight Management" track emphasizing
   balanced eating and exercise for weight maintenance, and all other
   individuals are assigned to the "Healthy Habits" track which aims at
   promoting healthy habits related to e.g., nutrition, physical activity,
   sleep. The participants of both tracks work on ten modules (one 20-30
   min module per week) during school hours and/or at home. Assessments are
   conducted at pre- and post-intervention, and at 6- and 12-months after
   baseline assessment. The primary outcome is intuitive eating, secondary
   outcomes are eating disorder symptomatology, body image concerns, body
   mass index, food intake, physical activity, self-esteem, stress coping,
   depression, and anxiety. Following the initial assessment, individuals
   in the control group do not have access to the prevention program but
   continue as normal and are only prompted to the assessments at all time
   points. At the end of the 12-month study they will get access to the
   program.
   Discussion: The results from this study will add to the understanding of
   how to address eating and weight related problems in adolescents and
   will shed light on the feasibility of implementing online prevention
   programs in school routine in Austria and Spain. As part of the larger
   ICare project this RCT will determine how an adapted version of
   StayingFit is disseminated within Europe.
RI BAÑOS, ROSA MARIA/C-6077-2011; Botella, Cristina/F-9230-2010; Herrero, Rocío/M-2363-2014; Nitsch, Martina/Q-7199-2019; Görlich, Dennis/C-8950-2012; Jacobi, Corinna/AAT-1172-2021; Fonseca-Baeza, Sara/; Zeiler, Michael/; Wagner, Gudrun/; Waldherr, Karin/; karwautz, andreas/
OI BAÑOS, ROSA MARIA/0000-0003-0626-7665; Botella,
   Cristina/0000-0001-8783-6959; Herrero, Rocío/0000-0001-6987-6607;
   Görlich, Dennis/0000-0002-2574-9419; Fonseca-Baeza,
   Sara/0000-0001-5801-8172; Zeiler, Michael/0000-0002-7087-6134; Wagner,
   Gudrun/0000-0002-4845-9684; Waldherr, Karin/0000-0002-5852-2237;
   karwautz, andreas/0000-0001-9053-998X
ZA 0
TC 15
ZR 0
ZS 1
Z8 0
ZB 2
Z9 16
U1 3
U2 64
EI 2214-7829
UT WOS:000460083800009
PM 30775266
ER

PT J
AU Wilson, Dawn K.
   Sweeney, Allison M.
   Law, Lauren H.
   Kitzman-Ulrich, Heather
   Resnicow, Ken
TI Web-Based Program Exposure and Retention in the Families Improving
   Together for Weight Loss Trial
SO ANNALS OF BEHAVIORAL MEDICINE
VL 53
IS 4
BP 399
EP 404
DI 10.1093/abm/kay047
PD APR 2019
PY 2019
AB Background Interventions that incorporate behavioral skills training and
   parental involvement have been effective for promoting weight loss among
   middle and upper class youth; however, few studies have produced similar
   weight loss effects in underserved ethnic minority youth.
   Purpose This study examined whether online program exposure (in both an
   online tailored intervention and an online health education comparison
   program) predicted greater retention among African American youth and
   their parents in the Families Improving Together (FIT) for Weight Loss
   trial.
   Methods Parent-adolescent dyads (N = 125) were randomized to either an
   online tailored intervention program (n = 63) or an online health
   education comparison program (n = 62). Paradata including login data
   were used to determine the number of sessions viewed (0-8) and the
   number of minutes spent online per session. Study retention, defined as
   collection of adolescent anthropometric measures at 6 months
   postintervention, was the outcome.
   Results Logistic regression analyses showed a significant effect for
   login rate on retention (OR = 1.21, 95% CI [1.04, 1.39]). Total number
   of sessions viewed, child age, child sex, parent age, and parent sex
   accounted for 11% of the variance in retention at 6 months post-
   intervention. Participants who were retained spent a significantly
   greater number of minutes during each session (M = 12.99, SD = 11.63)
   than participants who were not retained (M = 7.77, SD = 11.19), t(123) =
   2.24, p = .027, d = 0.45.
   Conclusions The use of paradata from online interventions is a novel and
   feasible approach for examining exposure in web-based interventions and
   program retention in underserved ethnic minority families.
   Trial registration ClinicalTrials.gov NCT01796067. Registered January
   23, 2013.
   Log-in rates and duration of online sessions in a weight-loss program
   predict greater retention at 6-month follow-up for overweight African
   American adolescents and their parents.
OI Resnicow, Ken/0000-0003-1416-9627
ZR 0
TC 6
ZS 0
ZB 1
Z8 0
ZA 0
Z9 6
U1 0
U2 9
SN 0883-6612
EI 1532-4796
UT WOS:000480802100009
PM 30892641
ER

PT J
AU Chu, Kathryn M.
   Karjiker, Parveen
   Naidu, Priyanka
   Kruger, Deirdre
   Taylor, Allan
   Trelles, Miguel
   Dominguez, Lynette
   Rayne, Sarah
TI South African General Surgeon Preparedness for Humanitarian Disasters
SO WORLD JOURNAL OF SURGERY
VL 43
IS 4
BP 973
EP 977
DI 10.1007/s00268-018-04881-0
PD APR 2019
PY 2019
AB BackgroundHumanitarian medical organizations provide surgical care for a
   broad range of conditions including general surgical (GS), obstetric and
   gynecologic (OBGYN), orthopedic (ORTHO), and urologic (URO) conditions
   in unstable contexts. The most common humanitarian operation is cesarean
   section. The objective of this study was to identify the proportion of
   South African general surgeons who had operative experience and current
   competency in GS, OBGYN, ORTHO, and URO humanitarian operations in order
   to evaluate their potential for working in humanitarian
   disasters.MethodsThis was a cross-sectional online survey of South
   African general surgeons administered from November 2017-July 2018.
   Rotations in OBGYN, ORTHO, and URO were quantified. Experience and
   competency in eighteen humanitarian operations were queried.ResultsThere
   were 154 SA general surgeon participants. Prior to starting general
   surgery (GS) residency, 129 (83%) had OBGYN, 125 (81%) ORTHO, and 84
   (54%) URO experience. Experience and competency in humanitarian
   procedures by specialty included: 96% experience and 95% competency for
   GS, 71% experience and 51% competency for OBGYN, 77% experience and 66%
   competency for ORTHO, and 86% experience and 81% competency for URO. 82%
   reported training, and 51% competency in cesarean section.ConclusionsSA
   general surgeons are potentially well suited for humanitarian surgery.
   This study has shown that most SA general surgeons received training in
   OBGYN, ORTHO, and URO prior to residency and many maintain competence in
   the corresponding humanitarian operations. Other low- to middle-income
   countries may also have broad-based surgery training, and the potential
   for their surgeons to offer humanitarian assistance should be further
   investigated.
RI Kruger, Deirdre/AAF-1445-2020
OI Kruger, Deirdre/0000-0002-3604-7682
ZS 0
TC 2
ZR 0
Z8 0
ZA 0
ZB 0
Z9 2
U1 0
U2 5
SN 0364-2313
EI 1432-2323
UT WOS:000460597400002
PM 30523394
ER

PT J
AU de Vries, Maria Lisa
   Dorn, Tina
   Eppink, Marijke
   Reijnders, Udo Johannes Leonardus
TI Forensic Nursing Education and Practice in the Netherlands: Where Are We
   at?
SO JOURNAL OF FORENSIC NURSING
VL 15
IS 2
BP 78
EP 83
DI 10.1097/JFN.0000000000000235
PD APR-JUN 2019
PY 2019
AB Background: Forensic nursing is a new discipline to the Netherlands.
   Since 2013, a program has been in place to train experienced nurses in
   several aspects of forensic nursing, including injury assessment and
   wound documentation, sexual assault examination, assessment of child
   abuse, death investigation, and primary care for detainees of the
   police.
   Objective: The purpose of the study was to provide information on the
   working environment, self-rated competencies, and practice experiences
   of forensic nurses after having completed the program.
   Methods: In 2017, an online questionnaire was developed by the
   researchers and distributed among the 114 Dutch forensic nurses who had
   completed the program.
   Results: Eighty-three nurses responded to the questionnaire, resulting
   in a 73% response rate. Nurses who practiced in the emergency and
   ambulance sector or as pediatric nurses continued to work in these roles
   after having finished the program. Upon completion of the program, more
   nurses were employed at sexual assault centers. Overall, respondents
   indicated that they felt competent with performing forensic nursing
   tasks. Respondents had a positive outlook of their work as forensic
   nurses, with a large majority seeing possibilities for further expansion
   of their roles (87%). Forty-eight percent reported that, at times, they
   experienced resistance to their involvement with forensic matters from
   other professionals in their work environments.
   Discussion: Forensic nursing in the Netherlands is an emerging
   profession. Although its foundation has been established, further
   developments will only be achieved through collaboration with the wider
   medical field.
ZR 0
Z8 0
ZB 0
TC 1
ZS 0
ZA 0
Z9 1
U1 0
U2 9
SN 1556-3693
EI 1939-3938
UT WOS:000480698600003
PM 30893244
ER

PT J
AU Guraya, Salman Y.
   van Mook, Walther N. K. A.
   Khoshhal, Khalid, I
TI Failure of faculty to fail failing medical students: Fiction or an
   actual erosion of professional standards?
SO JOURNAL OF TAIBAH UNIVERSITY MEDICAL SCIENCES
VL 14
IS 2
BP 103
EP 109
DI 10.1016/j.jtumed.2019.01.001
PD APR 2019
PY 2019
AB Objectives: Literature has shown that some assessors assign passing
   grades to medical students who, in fact, should not have passed. This
   inability of the faculty to fail underperforming students can jeopardise
   the reputation of professional programs, be it in the medical field or
   beyond. Simultaneously, weak students become incompetent physicians and,
   thus, endanger the community they serve. The impetus for conducting this
   systematic review was to identify barriers to faculty in failing
   struggling medical students.
   Methods: The databases of MEDLINE, Scopus, Wiley online library,
   Cochrane library, OVID, Taylor and Francis, CINAHL, Springer link,
   ProQuest, and ISI Web of knowledge were searched using Medical Subject
   Headings (MeSH) terms 'Faculty failure' AND 'Failing students' AND
   'Failure to fail' OR 'Assessment'. The data were synthesised, and the
   results were analysed.
   Results: This search showed a wealth of barriers to faculty contributing
   to a 'failure to fail' such as their concerns about legal action and an
   appeals process; the stress of failing students; a lack of knowledge
   about proper documentation; unavailability of support, resources, and
   offices for faculty; absence of administrative guidelines; and complex
   dismissal procedures discouraging the faculty from failing students.
   Conclusion: Institutional faculty development programs and training
   workshops should facilitate the education of supervisors and assessors
   for timely evaluation and regular documentation of trainee assessment.
   The provision of legal advice in cases of appeal and professional
   support by the resource and support office is emphasised.
RI Guraya, Salman/ABC-9493-2021; Guraya, Salman/AEN-6633-2022
OI Guraya, Salman/0000-0001-5183-023X; Guraya, Salman/0000-0001-5183-023X
ZS 0
ZB 1
ZR 0
TC 2
Z8 0
ZA 0
Z9 2
U1 0
U2 3
SN 1658-3612
UT WOS:000465350400002
PM 31435399
ER

PT J
AU Roberts, Bradley S.
   Roberts, Eugenia P.
   Reynolds, Steven
   Stein, Amy F.
TI Dental Students' Use of Student-Managed Google Docs and Other
   Technologies in Collaborative Learning
SO JOURNAL OF DENTAL EDUCATION
VL 83
IS 4
BP 437
EP 444
DI 10.21815/JDE.019.053
PD APR 2019
PY 2019
AB Textbooks, once the standard of education, now have competition when
   students prefer the Internet and digital technology. The aim of this
   research study was to survey dental students at one dental school about
   their use of student-managed Google Does and other online technologies
   in collaborative e-learning. All dental students in all four classes at
   Midwestern University College of Dental Medicine-Arizona were invited to
   participate in online surveys in 2015 and 2017. The average class size
   was 140 (n=560 for all four years) for each survey. The 2015 survey
   focused on the emerging use of Google Docs in collaborative learning.
   The 2017 study asked not only about Google Docs but how students were
   using other e-learning technologies and textbooks. In 2015, 282 students
   responded, for a 50.4% response rate; in 2017, 129 students responded,
   for a 23% response rate. The 2017 survey showed a 36% increase
   (p<0.0001) in the use of Google Docs in all dental classes over use in
   2015, and a 67% increase (p<0.0001) in respondents' reporting they had
   used Google Docs during their undergraduate education. Google Does,
   Blackboard, and collaboration with peers were the most popular study
   choices in 2017. The results showed a decline in respondents' reported
   use of hard copy textbooks from 24.5% in 2015 to 14.8% in 2017
   (p=0.0405). Future studies are needed to increase dental educators'
   understanding of the ways their students are using collaborative
   technologies in learning and to define ways to overcome challenges posed
   by these technologies identified in our study.
RI Roberts, Eugenia/AAT-4190-2021
ZS 0
ZA 0
TC 6
ZR 0
ZB 0
Z8 0
Z9 6
U1 1
U2 4
SN 0022-0337
EI 1930-7837
UT WOS:000475547500008
PM 30745349
ER

PT J
AU Ribeiro, Lorena Araujo
   Scatena, Joao Henrique
TI The evaluation of primary health care in Brazil: an analysis of the
   scientific production between 2007 and 2017
SO SAUDE E SOCIEDADE
VL 28
IS 2
BP 95
EP 110
DI 10.1590/S0104-12902019180884
PD APR-JUN 2019
PY 2019
AB This bibliographic study aims to analyze evaluation studies of primary
   health care (PHC) in Brazil, focusing on the methodological design
   adopted and some key evaluation features. We searched the Scientific
   Electronic Library Online, the Scientific Journals Portal of the
   Coordination for the Improvement of Higher Education Personnel (CAPES),
   the Latin American and Caribbean Center on Health Sciences Information
   (LILACS) database and the Medical Literature Analysis and Retrieval
   System Online (MEDLINE), using a structured vocabulary search and
   selecting articles published between 2007 and 2017 that addressed the
   evaluation of Brazilian PHC services. Forty-one articles were selected
   by analyzing the following characteristics, among others: year of
   publication, article modality, PHC service investigated, methodological
   design, evaluation characteristics and evaluation outcome and potential.
   Of these 41 studies, the majority (86.8%) originated in field research
   conducted exclusively in Family Health Units (48.9%). Methodologically,
   most studies were quantitative; and the Primary Care Assessment Tool was
   the most used instrument. We also found that Brazilian studies on PHC
   evaluation reflected the national historical-political structuring of
   PHC, and for the most part, they reported quality evaluation research.
   Our review presents the national panorama on PHC evaluation,
   highlighting the field's conceptual and practical pluralism, but also
   its limitations and challenges.
OI Araujo Ribeiro, Lorena/0000-0003-0525-4758; Scatena,
   Joao/0000-0002-7660-3479
ZS 5
TC 4
ZA 0
Z8 0
ZB 0
ZR 0
Z9 7
U1 0
U2 2
SN 0104-1290
UT WOS:000473332400008
ER

PT J
AU Dekker, Anne R. J.
   van der Velden, Alike W.
   Luijken, Janneke
   Verheij, Theo J. M.
   van Giessen, Anoukh
TI Cost-effectiveness analysis of a GP- and parent-directed intervention to
   reduce antibiotic prescribing for children with respiratory tract
   infections in primary care
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 74
IS 4
BP 1137
EP 1142
DI 10.1093/jac/dky552
PD APR 2019
PY 2019
AB Objectives We evaluated costs and effects of the RAAK (RAtional
   Antibiotic use Kids) intervention (GP online training and information
   booklets for parents), aiming to reduce antibiotic prescribing for
   children with respiratory tract infection (RTI).
   Methods We conducted a trial-based cost-effectiveness analysis from a
   societal perspective. We included children consulting the GP with RTI
   for whom parents kept a 2week (cost) diary. The antibiotic prescribing
   rate was the percentage of children receiving an antibiotic prescription
   at the index consultation and during the 2weeks of follow-up. The cost
   difference between the intervention and usual care groups per percentage
   decrease in antibiotic prescribing was calculated. Bootstrapping was
   used to assess uncertainty surrounding the outcomes.
   Results Costs and effects of 153 children in the intervention group and
   107 children in the usual care group were available for analysis.
   Antibiotic prescribing was 12% lower in the intervention group and costs
   were Euro10.27 higher in the intervention group compared with the usual
   care group. This resulted in an incremental cost-effectiveness ratio of
   Euro0.85 per percentage decrease in antibiotic prescribing. The
   probability that the intervention was more effective, but more
   expensive, was 53%, whereas the probability that the intervention was
   more effective and less expensive compared with usual care was 41%.
   Conclusions The online training for GPs and the information booklet for
   parents resulted in a decrease in antibiotic prescribing in children
   with RTI, at very low cost, and should therefore be considered for
   implementation in primary care.
ZB 1
TC 2
Z8 0
ZR 0
ZA 0
ZS 0
Z9 2
U1 0
U2 5
SN 0305-7453
EI 1460-2091
UT WOS:000463812100039
PM 30608531
ER

PT J
AU Scobie, Antonia
   Budd, Emma L.
   Harris, Ross J.
   Hopkins, Susan
   Shetty, Nandini
TI Antimicrobial stewardship: an evaluation of structure and process and
   their association with antimicrobial prescribing in NHS hospitals in
   England
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 74
IS 4
BP 1143
EP 1152
DI 10.1093/jac/dky538
PD APR 2019
PY 2019
AB Background Rigorous antimicrobial stewardship programmes (ASPs) are an
   essential strategy against antimicrobial resistance.
   Objectives To evaluate and score ASPs in acute English NHS hospitals and
   determine association of ASP scores with antimicrobial prescribing.
   Methods ASP structure and process were evaluated through an online
   survey in 148/152 acute hospitals in 2017. Scores were assigned to
   quality indicators based on resource- and labour-intensiveness, and
   their association with total and modified WHO-categorized Access',
   Watch' and Reserve' (AwaRe) prescribing was analysed.
   Results The survey response rate was 97% with 78% of trusts submitting
   antimicrobial prescribing data. Over 80% of ASPs contained stewardship
   teams, policies and access to outpatient parenteral antimicrobial
   therapy, whilst less than 50% scored well for leadership or funding.
   High process performance was observed for antimicrobial
   pre-authorization, prescribing review and feedback, restricted
   susceptibility reporting, antimicrobial consumption monitoring,
   adherence to guidelines and junior doctor training. Low process
   attainment included education of senior prescribers and lack of
   resistance surveillance data distribution. Between 2016 and 2017, there
   was no difference in total trust prescribing (P=0.117) although
   carbapenem prescribing fell (incidence rate ratio=0.93, 95% CI
   0.88-0.98) in non-teaching hospitals; Watch' prescribing also increased
   for specialist hospitals (OR=1.10, 95% CI 1.01-1.20), as did Reserve'
   category prescribing in teaching (OR=1.58, 95% CI 1.23-3.02) and
   specialist hospitals (OR=3.09, 95% CI 2.02-4.74). A high process score
   was associated with lower Reserve' prescribing (OR=0.82, 95% CI
   0.67-1.01).
   Conclusions All responding trusts had established ASPs. The association
   of a scoring system with total and AWaRe' prescribing to assess
   effectiveness of ASPs merits further study.
OI Hopkins, Susan/0000-0001-5179-5702; Budd, Emma/0000-0002-9695-8445
ZB 6
ZR 0
ZA 0
ZS 0
TC 6
Z8 0
Z9 6
U1 0
U2 6
SN 0305-7453
EI 1460-2091
UT WOS:000463812100040
PM 30649321
ER

PT J
AU Mortimer, Joshua
   Verma, Ankur
   Reimann, Carolyn
   Brown, Ashley
   Woolley, Torres
TI Are all rural placements created equal? A national study of placement
   experiences among multidisciplinary health students
SO AUSTRALIAN JOURNAL OF RURAL HEALTH
VL 27
IS 2
BP 118
EP 124
DI 10.1111/ajr.12487
PD APR 2019
PY 2019
AB Objective Members of the National Rural Health Student Network have
   expressed concerns that the quality and accessibility of rural
   placements might vary between health degrees. This study compared a
   range of placement factors between health student disciplines. Design
   Cross-sectional survey. Setting An online survey tool was distributed in
   2016 by the National Rural Health Student Network and its Rural Health
   Clubs to the National Rural Health Student Network's 10 218 members in
   all Australian states and territories. Participants Responses were
   received from 897 health students (9% response rate). Participants were
   from the disciplines of medicine, dentistry, nursing, midwifery or an
   allied health degree. Main outcome measures Bivariate analysis between
   medical and non-medical students relating to the support received for
   rural placements: support provided to help students coordinate their
   placement; assistance with financial costs; mental health support;
   social support; and student orientation regarding both the placement's
   health service and community. Result Compared with medical students,
   non-medical students were more likely to have coordinated the majority
   of their placement themselves, but were less likely to have had control
   over their placement location or to have received financial support,
   mental health support, social support, a health service orientation or a
   community orientation. Conclusion Among National Rural Health Student
   Network members, those studying health degrees other than medicine had
   significantly less rural placement support in all examined domains when
   compared with medical students.
OI Woolley, Torres/0000-0002-8892-1941
Z8 0
ZS 0
TC 4
ZA 0
ZR 0
ZB 0
Z9 4
U1 0
U2 3
SN 1038-5282
EI 1440-1584
UT WOS:000467397800002
PM 30945776
ER

PT J
AU O'Sullivan, Therese A.
   Cooke, Joy
   McCafferty, Chris
   Giglia, Roslyn
TI Online Video Instruction on Hand Expression of Colostrum in Pregnancy is
   an Effective Educational Tool
SO NUTRIENTS
VL 11
IS 4
AR 883
DI 10.3390/nu11040883
PD APR 2019
PY 2019
AB The use of antenatal colostrum expression in the weeks prior to birth
   may help improve long-term breastfeeding, but few large-scale studies
   exist. Typically, antenatal colostrum expression instruction relies on
   face-to-face education, making large interventions costly. We aimed to
   determine whether an expert online instructional video can improve
   knowledge and confidence around antenatal colostrum expressing. Pregnant
   women were asked to complete a questionnaire pre- and post-watching the
   instructional video online. Ninety five pregnant women completed both
   pre- and post-questionnaires. Total antenatal colostrum expression
   knowledge scores improved after watching the video, from a mean of 3.05
   +/- 1.70 correct out of a maximum of 7, to 6.32 +/- 0.76 (p < 0.001).
   Self-reported confidence around hand expressing in pregnancy also
   improved from an average ranking of not confident (2.56 +/- 1.17, out of
   a possible 5) to confident (4.32 +/- 0.80, p < 0.001). Almost all women
   (98%) reported that they would recommend the video to a friend or family
   member if antenatal colostrum expression was suggested by their
   healthcare provider. Findings suggest that the use of an online expert
   video is an acceptable and effective way to educate pregnant women in
   antenatal colostrum expression.
RI O'Sullivan, Therese/D-1723-2016; Giglia, Roslyn/
OI O'Sullivan, Therese/0000-0003-1003-854X; Giglia,
   Roslyn/0000-0001-9016-1251
ZA 0
TC 10
Z8 1
ZS 1
ZB 2
ZR 0
Z9 11
U1 1
U2 6
SN 2072-6643
UT WOS:000467749800176
PM 31010174
ER

PT J
AU McGrail, Matthew Richard
   O'Sullivan, Belinda G.
   Bendotti, Hollie R.
   Kondalsamy-Chennakesavan, Srinivas
TI Importance of publishing research varies by doctors' career stage,
   specialty and location of work
SO POSTGRADUATE MEDICAL JOURNAL
VL 95
IS 1122
BP 198
EP 204
DI 10.1136/postgradmedj-2019-136473
PD APR 2019
PY 2019
AB Purpose To investigate whether publishing research is an important
   aspect of medical careers, and how it varies by specialty and rural or
   metropolitan location. Methods Annual national panel survey (postal or
   online) of Australian doctors between 2008 and 2016, with aggregated
   participants including 11 263 junior doctors not enrolled in a specialty
   (' pre-registrars'), 9745 junior doctors enrolled as specialist
   trainees, non-general practitioner (GP) (' registrars') and 35 983
   qualified as specialist consultants, non-GP (' consultants'). Main
   outcome was in agreement that ' research publications are important to
   progress my training' (junior doctors) or ' research publications are
   important to my career' (consultants). Results Overall, the highest
   proportion agreeing were registrars (65%) and pre-registrars (60%),
   compared with consultants (36%). After accounting for key covariates,
   rural location was significantly associated with lower importance of
   publishing research for pre-registrars (OR 0.69, 95% CI 0.61 to 0.78)
   and consultants (OR 0.69, 95% CI 0.63 to 0.76), but not for registrars.
   Compared with anaesthetics, research importance was significantly higher
   for pre-registrars pursuing surgery (OR 4.46, 95% CI 3.57 to 5.57) and
   obstetrics/gynaecology careers, for registrars enrolled in surgery (OR
   2.97, 95% CI 2.34 to 3.75) and internal medicine training, and
   consultants of internal medicine (OR 1.84, 95% CI 1.63 to 2.08),
   pathology, radiology and paediatrics. Conclusions This study provides
   new quantitative evidence showing that the importance of publishing
   research is related to medical career stages, and is most important to
   junior doctors seeking and undertaking different specialty training
   options. Embedding research requirements more evenly into specialty
   college selection criteria may stimulate uptake of research. Expansion
   of rural training pathways should consider capacity building to support
   increased access to research opportunities in these locations.
RI Bendotti, Hollie/AAL-5308-2021; Kondalsamy-Chennakesavan, Srinivas/F-4845-2010; O'Sullivan, Belinda G./N-4528-2019; McGrail, Matthew/I-1738-2013
OI Bendotti, Hollie/0000-0001-5078-4809; Kondalsamy-Chennakesavan,
   Srinivas/0000-0002-1333-374X; O'Sullivan, Belinda
   G./0000-0003-4068-3240; McGrail, Matthew/0000-0002-6901-8845
Z8 0
ZR 0
TC 6
ZB 2
ZA 0
ZS 0
Z9 7
U1 0
U2 1
SN 0032-5473
EI 1469-0756
UT WOS:000471897700004
PM 30926718
ER

PT J
AU Petit, Nicholas P.
   Stopyra, Jason P.
   Padilla, Ricardo A.
   Bozeman, William P.
TI Resident Involvement in Tactical Medicine: 12 Years Later
SO PREHOSPITAL AND DISASTER MEDICINE
VL 34
IS 2
BP 217
EP 219
DI 10.1017/S1049023X19000013
PD APR 2019
PY 2019
AB Introduction: Interest in tactical medicine, the provision of medical
   support to law enforcement and military special operations teams,
   continues to grow. The majority of tactical physicians are emergency
   physicians with additional training and experience in tactical
   operations. A 2005 survey found that 18% of responding Emergency
   Medicine (EM) residencies offered their resident physicians structured
   exposure to tactical medicine at that time.
   Methods: This study sought to assess interval changes in tactical
   medicine exposure during EM residency and Emergency Medical Services
   (EMS) fellowship training. A secure online survey was distributed
   electronically to all 212 EM residency programs and 44 EMS fellowship
   programs in the United States.
   Results: Responses were received from 99 (46%) EM residency and 40 (91%)
   EMS fellowship programs. Results showed that 52 (53%) of the responding
   residencies offered physician trainees formal exposure to tactical
   medicine as part of their training (P < .0001 compared to 18% in 2005).
   In addition, 32 (72%) of the 40 responding EMS fellowships (newly
   established since the initial survey) offered this opportunity.
   Experiences ranged from observation to active participation during
   tactical training and call-outs. The EM residents and EMS fellows
   provide support to local, state, and federal law enforcement agencies. A
   small number of programs (six residencies and four fellowships) allowed
   a subset of qualified trainees to be armed during tactical operations.
   Conclusion: Overall, training opportunities in tactical medicine have
   grown significantly over the last decade from 18% to 53% of responding
   EM residencies. In addition, 72% of responding EMS fellowships
   incorporate tactical medicine in their training program.
Z8 0
ZR 0
ZS 0
TC 0
ZA 0
ZB 0
Z9 0
U1 0
U2 1
SN 1049-023X
EI 1945-1938
UT WOS:000471811200016
PM 30924437
ER

PT J
AU Mereish, Ethan H.
   Peters, Jessica R.
   Yen, Shirley
TI Minority Stress and Relational Mechanisms of Suicide among Sexual
   Minorities: Subgroup Differences in the Associations Between
   Heterosexist Victimization, Shame, Rejection Sensitivity, and Suicide
   Risk
SO SUICIDE AND LIFE-THREATENING BEHAVIOR
VL 49
IS 2
BP 547
EP 560
DI 10.1111/sltb.12458
PD APR 2019
PY 2019
AB Despite sexual orientation disparities in suicide, there is limited
   research examining factors associated with suicide risk among sexual
   minorities while considering subgroup differences within this group.
   This study identified differences between sexual minorities at risk for
   suicide and those not at risk. The study also examined heterosexist
   victimization, as one form of minority stress, and two relational
   mechanisms (i.e., shame and rejection sensitivity) as risk factors for
   suicidality. We examined a moderated-mediation model, in which we tested
   gender and sexual orientation differences in the mediating effects of
   the relational mechanisms on the association between heterosexist
   victimization and suicide risk. Participants were recruited online and
   completed an online survey. The sample included 719 sexual minority
   adults. Of the sample, 27.7% were at risk for suicide. Suicide risk
   varied by age, gender, sexual orientation, income, education, and
   relationship status. Heterosexist victimization, shame, and rejection
   sensitivity were significant risk factors for suicide. Shame and
   rejection sensitivity were mediators of the association between
   heterosexist victimization and suicide risk for subgroups of sexual
   minorities, mostly lesbian and gay individuals and to some extent
   bisexual individuals. The findings underscore minority stress, shame,
   and rejection sensitivity as key intervention points.
RI Peters, Jessica/AAC-5238-2020
OI Peters, Jessica/0000-0003-3150-3973
ZR 0
ZS 1
ZA 0
Z8 1
ZB 2
TC 19
Z9 21
U1 2
U2 21
SN 0363-0234
EI 1943-278X
UT WOS:000468121100019
PM 29604113
ER

PT J
AU Rao, Darcy White
   Carr, Jason
   Naismith, Kelly
   Hood, Julia E.
   Hughes, James P.
   Morris, Martina
   Goodreau, Steven M.
   Rosenberg, Eli S.
   Golden, Matthew R.
TI Monitoring HIV Preexposure Prophylaxis Use Among Men Who Have Sex With
   Men in Washington State: Findings From an Internet-Based Survey
SO SEXUALLY TRANSMITTED DISEASES
VL 46
IS 4
BP 221
EP 228
DI 10.1097/OLQ.0000000000000965
PD APR 2019
PY 2019
AB Background: Many state and local health departments now promote and
   support the use of HIV preexposure prophylaxis (PrEP), yet monitoring
   use of the intervention at the population level remains challenging.
   Methods: We report the results of an online survey designed to measure
   PrEP use among men who have sex with men (MSM) in Washington State. Data
   on the proportion of men with indications for PrEP based on state
   guidelines and levels of awareness, interest, and use of PrEP are
   presented for 1080 cisgender male respondents who completed the survey
   between January 1 and February 28, 2017. We conducted bivariate and
   multivariable logistic regression to identify factors associated with
   current PrEP use. To examine patterns of discontinuation, we conducted
   Cox proportional hazards regression and fit a Kaplan-Meier curve to
   reported data on time on PrEP.
   Results: Eighty percent of respondents had heard of PrEP, 19% reported
   current use, and 36% of men who had never used PrEP wanted to start
   taking it. Among MSM for whom state guidelines recommend PrEP, 31% were
   taking it. In multivariable analysis, current PrEP use was associated
   with older age, higher education, and meeting indications for PrEP use.
   Our data suggest that 20% of PrEP users discontinue within 12 months,
   and men with lower educational attainment were more likely to
   discontinue.
   Conclusions: Despite high levels of use, there is significant unmet need
   for PrEP in Washington. Our experience indicates that Internet surveys
   are feasible and informative for monitoring PrEP use in MSM.
RI Golden, Matthew/AAE-4314-2020; Rao, Darcy/
OI Rao, Darcy/0000-0003-0058-8513
ZB 3
Z8 1
ZR 0
TC 12
ZA 0
ZS 0
Z9 13
U1 1
U2 10
SN 0148-5717
EI 1537-4521
UT WOS:000461815500006
PM 30870322
ER

PT J
AU Lam, Kenneth C.
   Harrington, Katie M.
   Cameron, Kenneth L.
   Valier, Alison R. Snyder
TI Use of Patient-Reported Outcome Measures in Athletic Training: Common
   Measures, Selection Considerations, and Practical Barriers
SO JOURNAL OF ATHLETIC TRAINING
VL 54
IS 4
BP 449
EP 458
DI 10.4085/1062-6050-108-17
PD APR 2019
PY 2019
AB Context: Current evidence suggests that a low percentage of athletic
   trainers (ATs) routinely use patient-reported outcome measures (PROMs).
   An understanding of the perceptions of ATs who use (AT-USE) and who do
   not use (AT-NON) PROMs as well as any differences due to demographic
   characteristics (eg, use for patient care or research, job setting,
   highest education level) may help facilitate the use of PROMs in
   athletic training.
   Objective: To describe commonly used PROMs by AT-USE, the criteria by
   which AT-USE select PROMs, and reasons for non-use by AT-NON.
   Design: Cross-sectional study.
   Setting: Online survey.
   Patients or Other Participants: A convenience sample of 1784 ATs
   (response rate = 10.7% [1784/17972]; completion rate = 92.2%
   [1784/1935]) who worked in a variety of settings.
   Main Outcome Measure(s): Participants completed an anonymous electronic
   online survey. Descriptive statistics were used to describe commonly
   used PROMs, PROM selection criteria, and reasons for PROM non-use.
   Results: Participants were classified as AT-USE (n = 370, 20.7%) or
   AT-NON (n = 1414, 79.3%). For the AT-USE group, the most common type of
   PROMs used were specific (eg, region, joint; n = 328, 88.6%), followed
   by single-item (n = 258, 69.7%) and generic (n =232, 62.7%). Overall,
   the PROMs most frequently endorsed by the AT-USE group were the Numeric
   Pain Rating Scale (n = 128, 34.6%); Lower Extremity Functional Scale (n
   = 108, 29.2%); Disability of the Arm, Shoulder and Hand (n = 96, 25.9%);
   Owestry Disability Index (n = 80, 21.6%); and Foot and Ankle Ability
   Measure (n = 78, 21.1%). The most important criteria reported by AT-USE
   for selecting PROMs were that the measure was valid and reliable, easy
   for patients to understand, and easy for clinicians to understand and
   interpret. Common reasons for non-use were that PROMs were too time
   consuming for the clinician, too time consuming for the patient, and
   more effort than they were worth.
   Conclusions: The Numeric Pain Rating Scale; Lower Extremity Functional
   Scale; Disability of the Arm, Shoulder and Hand; Owestry Disability
   Index; and Foot and Ankle Ability Measure were the PROMs most commonly
   endorsed by AT-USE and should be considered for athletic training use.
   To further facilitate the use of PROMs in athletic training, future
   authors should identify strategies to address organizational and
   time-constraint obstacles. Interpretation of our study findings may
   require caution due to a relatively low response rate and because
   "routine use" was not operationalized.
RI Lam, Kenny/ABB-9733-2020; Cameron, Kenneth/
OI Cameron, Kenneth/0000-0002-6276-4482
ZB 4
TC 12
Z8 0
ZS 0
ZA 0
ZR 0
Z9 12
U1 0
U2 2
SN 1062-6050
EI 1938-162X
UT WOS:000467804100012
PM 30933607
ER

PT J
AU Lu, Dan
   Yiu, Edwin M. -L.
   Pu, Dai
   Yang, Hui
   Ma, Estella P. -M.
TI Parental knowledge, attitudes, and practices about vocal hygiene for
   their children in Chengdu, a city from China
SO MEDICINE
VL 98
IS 16
AR e15252
DI 10.1097/MD.0000000000015252
PD APR 2019
PY 2019
AB This study aimed to investigate the knowledge, attitudes, and practices
   of parents towards vocal hygiene for their children and explore the
   barriers against implementation of vocal hygiene in Chengdu, a city from
   mainland China.
   An online questionnaire on knowledge, attitudes, and practice was
   available for parents to complete between March 1 and March 31, 2017.
   The questionnaire included 5 sections, general demographics; knowledge;
   attitudes; practices and barriers; and expectation. Scores were
   calculated for each category of knowledge, attitudes, and practices; and
   were compared using nonparametric Mann-Whitney U tests between the
   parents with and without a history of voice disorders. The internal
   consistency was assessed by Cronbach alpha coefficient. The correlations
   between vocal hygiene knowledge, attitude, and practice were analyzed
   using Spearman correlation test.
   The questionnaire was completed by 1075 parents. There were certain
   misconceptions in vocal hygiene knowledge among parents, and the parents
   had higher level knowledge of positive factors than negative factors
   about vocal hygiene. Attitudes towards vocal hygiene were positive.
   Practices of vocal hygiene were poor. The most common barriers to
   implementation of vocal hygiene practices were related to lack of
   awareness and knowledge for this topic.
   The level of parental vocal hygiene knowledge, practice, and barriers
   suggest that carry out vocal hygiene programs extremely urgent for
   school-aged children and their parents.
RI Pu, Debbie/W-5064-2019
OI Pu, Debbie/0000-0002-6268-4378
ZS 0
ZB 0
Z8 0
ZR 0
ZA 0
TC 0
Z9 0
U1 1
U2 2
SN 0025-7974
EI 1536-5964
UT WOS:000467333400042
PM 31008962
ER

PT J
AU Squires, Erika S.
   Pakulski, Lori A.
   Glassman, Jennifer
   Diehm, Emily
TI Knowledge of Hearing Loss among University Students Pursuing Careers in
   Health Care
SO JOURNAL OF THE AMERICAN ACADEMY OF AUDIOLOGY
VL 30
IS 4
BP 273
EP 281
DI 10.3766/jaaa.17071
PD APR 2019
PY 2019
AB Background: Albeit limited, research suggests that students pursuing
   careers in health care receive limited training on the provision of
   services for people with hearing loss. As the incidence of hearing loss
   continues to increase among Americans, it is critical that medical
   professionals understand how hearing loss among patients may affect the
   manner in which they can provide services most effectively.
   Purpose: The aim of this project is to assess the amount of experience
   and confidence that preprofessional health-care students at one
   university obtain during the course of their training and whether these
   students would be interested in additional information related to
   hearing health.
   Research Design: Preprofessional health-care students in terminal degree
   programs at one university completed a survey regarding the provision of
   services for individuals with hearing loss. Students were asked to
   quantify their prior training on topics related to hearing loss, report
   their perceptions of the benefits and barriers to screening hearing, and
   report their self-efficacy in providing services for individuals with
   hearing loss. Additional survey items investigated students' interest in
   receiving further training on these topics.
   Study Sample: Participants (n = 95; 16.2% response rate) were students
   at a mid-sized, Midwestern university who were pursuing the following
   terminal degrees: medicine, physician assistant, nursing, pharmacy,
   physical therapy, occupational therapy, speech-language pathology, and
   respiratory therapy (bachelor's degree in respiratory care).
   Participants were selected based on membership in an interdisciplinary
   education training program. All students in this program received an
   invitation to participate in the study. Of the participants, 68 (71.6%)
   were Caucasian and 86 (90.5%) were female.
   Data Collection and Analysis: A 28-item online survey on various topics
   related to hearing loss was used to document student responses. All
   students enrolled in a university's interdisciplinary professional
   education course (n = 586) received an online link to the survey via an
   initial email, which contained a brief introduction to the study, the
   assurance of response anonymity, and a statement regarding implied
   consent. A second email was sent to students, which reminded
   participants of the request to complete the survey.
   Results: Overall, 60% of participants reported an interest in receiving
   additional information on hearing health and 66.3% of respondents
   indicated that they wished to receive training via an in-service or
   internet workshop facilitated by their university program. Most of the
   participants reported that they had not received training and did not
   feel confident identifying the signs and symptoms of hearing loss and
   making an appropriate referral, which led to the request for additional
   information.
   Conclusions: The results of this study suggest that preprofessional
   health-care students have an interest in receiving additional education
   on various topics related to hearing loss including a better
   understanding of how hearing loss impacts the quality of life in
   affected individuals. These findings provide an incentive to provide
   additional training related to hearing loss identification and
   management for preprofessional health-care students to foster increased
   competency and improved patient care.
Z8 0
ZR 0
TC 1
ZA 0
ZS 0
ZB 0
Z9 1
U1 0
U2 9
SN 1050-0545
EI 2157-3107
UT WOS:000467876300004
PM 30461410
ER

PT J
AU Barrow, Jennifer M.
TI Impostorism: An evolutionary concept analysis
SO NURSING FORUM
VL 54
IS 2
BP 127
EP 136
DI 10.1111/nuf.12305
PD APR-JUN 2019
PY 2019
AB AimThe aim of this study was to explore the concept of impostorism as
   applied to nursing and other disciplines.
   BackgroundImpostorism has not been well defined or studied in nursing.
   Researchers have not studied connections between role transition stress
   of new graduates and impostorism, despite evidence that nursing students
   experience impostorism during undergraduate studies.
   DesignRodgers' evolutionary concept analysis was the method used in this
   study.
   Data SourcesThe databases used were Academic Search Complete, Cumulative
   Index to Nursing and Allied Health Literature, Health and Psychosocial
   Instruments, Health Source: Nursing/Academic Edition, Medical Literature
   Analysis and Retrieval System Online, PsycARTICLES, Psychology and
   Behavioral Sciences Collection, PsycINFO, SocINDEX, and Dissertations
   and Theses databases.
   Review MethodsAll nursing-specific citations were included in the
   literature sample. Of the remaining non-nursing citations, stratified
   random sampling provided 28 non-nursing citations. An additional
   purposive sampling of seminal impostorism publications resulted in 46
   resources for analysis.
   ResultsConcept analysis revealed that key attributes of impostorism
   include fear of failure and difficulty accepting praise. Impostorism
   antecedents relate to personality, attribution, family, workplace, and
   sociodemographic variables. According to concept analysis, a conceptual
   definition emerges of impostorism as a subjective, inaccurate
   self-assessment involving feelings of intellectual and professional
   incompetence and fraudulence despite external evidence of success.
   ConclusionImpostorism has undergone evolutionary changes in various
   disciplines. However, the nursing discipline needs more research related
   to nurses' experiences with impostorism in the workplace.
RI Barrow, Jennifer/AAF-9286-2019
OI Barrow, Jennifer/0000-0002-3261-3691
ZA 0
Z8 0
TC 7
ZR 0
ZB 0
ZS 0
Z9 7
U1 2
U2 12
SN 0029-6473
EI 1744-6198
UT WOS:000468025500001
PM 30380137
ER

PT J
AU Bertheau, Philippe
   Denize, Thomas
   Calvani, Julien
   Gardair, Charlotte
   Jacquier, Anthony
   Razafimahefa, Joelle
   Eymerit-Morin, Caroline
   Perron, Emilie
   Tremblay-Le May, Rosemarie
   Borduas, Martin
   Pote, Nicolas
   Battistella, Maxime
   Badoual, Cecile
   Flejou, Jean-Francois
   Leteurtre, Emmanuelle
   Uro-Coste, Emmanuelle
   Buob, David
   Valmary-Degano, Severine
TI Large scale teaching in pathology
SO ANNALES DE PATHOLOGIE
VL 39
IS 2
BP 144
EP 150
DI 10.1016/j.annpat.2018.12.009
PD APR 2019
PY 2019
AB Medical education is currently facing great changes that affect all
   medical specialties, including anatomical pathology. Due to rapidly
   increasing medical knowledge and diagnostic complexity, we are living an
   era of teaching resources mutualization. We present different toots that
   allow large numbers of students to access courses, self-evaluations, and
   competencies assessments. MOOC platforms and e-learning platforms are
   central to these new online tools, which include the French National
   Platform of Medical Specialties, dedicated to the teaching of 50,000
   medical residents in France. We also discuss "serious games" and the use
   of images and virtual slides in anatomical pathology teaching. These new
   modalities can deliver essential knowledge to large student populations,
   but they must be used in conjunction with adapted teacher-led courses
   focusing on competencies and professional skills in order to be fully
   effective. (C) 2018 Published by Elsevier Masson SAS.
RI Battistella, Maxime/K-2949-2012; calvani, julien/; denize, thomas/
OI Battistella, Maxime/0000-0002-7053-7431; calvani,
   julien/0000-0002-0829-837X; denize, thomas/0000-0002-8618-7691
ZS 0
TC 1
ZB 0
ZR 0
ZA 0
Z8 0
Z9 1
U1 1
U2 9
SN 0242-6498
UT WOS:000467002900013
PM 30711337
ER

PT J
AU Riordan, David O.
   Hurley, Eimir
   Sinnott, Carol
   Galvin, Rose
   Dalton, Kieran
   Kearney, Patricia M.
   Halpin, James D.
   Byrne, Stephen
TI Pharmacist-led academic detailing intervention in primary care: a mixed
   methods feasibility study
SO INTERNATIONAL JOURNAL OF CLINICAL PHARMACY
VL 41
IS 2
BP 574
EP 582
DI 10.1007/s11096-019-00787-6
PD APR 2019
PY 2019
AB Background Academic detailing is a form of continuing medical education
   in which a trained health professional such as a physician or pharmacist
   visits prescribers in their practice to provide evidence-based
   information. While academic detailing has been adopted in other
   countries, this strategy is not routinely used in Ireland. Objective The
   aim of this study was to assess the feasibility and acceptability to
   General Practitioners (GPs) of a pharmacist-led academic detailing
   intervention in Ireland. Setting General Practice in County Cork,
   Ireland. Method A mixed methods feasibility study comprising a
   pharmacist-led academic detailing intervention on urinary incontinence
   in older people, quantitative data from patient medical records, and
   qualitative data from focus groups with GPs. The medical records for all
   patients aged65years who were attending a participating GP with a
   diagnosis of urinary incontinence were analysed using a before-after
   approach. The measures of prescribing assessed before and after the
   intervention were: LUTS-FORTA criteria, Drug Burden Index, and the
   Anticholinergic Cognitive Burden scale. Focus groups were carried out
   with GPs who participated in the academic detailing intervention. Main
   outcome measure The quantitative prescribing patterns of the GPs and
   their qualitative responses from the focus groups. Results Twenty-three
   GPs participated in the academic detailing intervention from a selection
   of different types of general practice. The medical records of 154
   patients were analysed. There was minimal or no change in any of the
   prescribing measures used. Fourteen GPs attended focus groups. GPs
   considered the topic of urinary incontinence as relevant to general
   practice. Participants appreciated the succinct nature of the
   information in the educational materials but expressed a preference for
   a more easily retrievable format, such as an online version rather than
   paper-based. Conclusion This study demonstrated that a pharmacist-led
   academic detailing intervention was acceptable to GPs in Ireland.
   Further research is needed in a larger population evaluating the impact
   and cost effectiveness of academic detailing to optimise patient care.
RI Kearney, Patricia M/AAE-8501-2020; Galvin, Rose/AAL-6072-2020; Sinnott, Carol/; Kearney, Patricia/; O Riordan, David/; Dalton, Kieran/
OI Sinnott, Carol/0000-0002-8620-7461; Kearney,
   Patricia/0000-0001-9599-3540; O Riordan, David/0000-0002-6367-8383;
   Dalton, Kieran/0000-0003-1209-8079
Z8 0
ZB 0
ZS 0
TC 2
ZR 0
ZA 0
Z9 2
U1 1
U2 3
SN 2210-7703
EI 2210-7711
UT WOS:000467578900023
PM 30666611
ER

PT J
AU Miles, Randy C.
   Baird, Grayson L.
   Choi, Paul
   Falomo, Eniola
   Dibble, Elizabeth H.
   Garg, Megha
TI Readability of Online Patient Educational Materials Related to Breast
   Lesions Requiring Surgery
SO RADIOLOGY
VL 291
IS 1
BP 111
EP 117
DI 10.1148/radiol.2019182082
PD APR 2019
PY 2019
AB Purpose: To evaluate readability of websites that are commonly accessed
   for information on breast lesions requiring surgery.
   Materials and Methods: An internet search using three malignant and
   eight nonmalignant breast lesions that traditionally require lumpectomy
   or excisional biopsy as search terms was conducted to identify websites
   commonly accessed for patient information on breast lesions requiring
   surgery. Nine websites with information on breast diagnoses were
   identified based on search engine results for each breast lesion
   queried. Available patient-directed information was downloaded for each
   lesion from each website on May 15, 2018. Grade-level readability of
   downloaded content for each lesion was then determined by using
   generalized estimating equations, with observations nested within
   readability metrics from each website. Readability of associated terms
   breast biopsy, breast cancer, and breast surgery was also evaluated with
   the same method. Results were compared with American Medical Association
   (AMA) recommended readability parameters (sixth-grade reading level).
   All interval estimates were calculated for 95% confidence.
   Results: Average grade level readability score of health information on
   breast lesions requiring surgery was 11.7, which exceeded the AMA
   parameters. Information on Wikipedia was written at the highest reading
   level (grade level readability score, 14.2), while information on the
   National Institutes of Health website (http://cancer.gov) was written at
   the lowest reading level (grade level readability score, 9.7).
   Educational materials on malignant breast lesions (grade level
   readability score, 12.3) were written at a higher reading level than
   were those on nonmalignant breast lesions (grade level readability
   score, 11.4). Information on the terms breast biopsy (grade level
   readability score, 10.9), breast cancer (grade level readability score,
   10.6), and breast surgery (grade level readability score, 11.1) were all
   written above a sixth-grade reading level.
   Conclusion: Readability of current online resources on breast biopsy
   lesions traditionally requiring surgery may be too complex for the
   general public to comprehend, leading to misinformation and confusion.
   (c) RSNA, 2019
OI Choi, Paul/0000-0003-1444-8546
Z8 0
ZR 0
TC 18
ZA 0
ZS 0
ZB 0
Z9 18
U1 0
U2 3
SN 0033-8419
UT WOS:000465222600024
PM 30694156
ER

PT J
AU Schmidt, Stefanie
   Mau, Wilfried
TI Development of a Rehab-Wiki for rehabilitation-Related Educational
   Materials Assigned to Competence-Based Learning Objectives
SO REHABILITATION
VL 58
IS 2
BP 128
EP 135
DI 10.1055/a-0847-7344
PD APR 2019
PY 2019
AB Purpose For adequate rehabilitative care, it is indispensable to impart
   appropriate competences in medical education based on learning
   objectives. In addition to the "National Competence-Based Learning
   Objectives Catalogue for Medicine (NKLM)", a competence-based learning
   objectives catalogue for the field of rehabilitation in the
   interdisciplinary subject "Rehabilitation, Physical Medicine,
   Naturopathy" (RPMN) was recently presented. These learning objectives
   were to be assigned to a wide variety of teaching materials of different
   media types and made easily accessible to university lecturers in a free
   online database. The database should also contain flexible teaching and
   learning modules as well as information on didactic methods.
   Methods Teaching materials from six university locations were assigned
   to the rehabilitation-related learning objective sections of the
   competence-based learning objective catalogue for RPMN and the NKLM.
   Presentation slides and text-based material were integrated in
   PDF-format. Educational films were embedded in a non-public channel on
   the video platform "YouTube". As a result, they could be referenced in
   the online database designed as a MediaWiki.
   Results The contents of this "rehab-wiki" (www.rehawiki.unihalle.de)
   were structured using four thematic portals: The "Teaching and Learning
   Objectives Portal" contains the competence-based learning objectives and
   keywords for the content to be taught along with links to suitable
   didactic methods and available teaching materials. The " Teaching and
   Learning Methods Portal" contains didactic methods with detailed
   instructions. In the " Teaching Materials Portal" the teaching materials
   are grouped according to media type and the "Glossary" portal contains
   definitions and links to important rehabilitation medicine terms based
   on the "Social Medicine Glossary" published by the Federal German
   Pension Insurance. Just 6 months after implementation and presentation
   of the platform at a congress, 53 interdisciplinary users with teaching
   positions at German universities have registered.
   Conclusions The "rehab-wiki" provides an intuitive online database. It
   contains teaching materials of various media types, which are assigned
   to competence-based learning objective sections, and suitable didactic
   methods. Teachers are supported in designing learning goal-oriented,
   didactically advanced and appealing rehabilitation courses. The Media
   Wiki-system enables constant further development by the teaching
   community requiring low long-term supervision effort. The "rehabwiki"
   also offers a starting-point for continuing education and advanced
   training as well as for other occupational groups involved in
   rehabilitation.
TC 0
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 0
U1 1
U2 3
SN 0034-3536
EI 1439-1309
UT WOS:000466598900011
PM 30795025
ER

PT J
AU Jennings, John D.
   Quinn, Courtney
   Ly, Justin A.
   Rehman, Saqib
TI Orthopaedic Surgery Resident Financial Literacy: An Assessment of
   Knowledge in Debt, Investment, and Retirement Savings
SO AMERICAN SURGEON
VL 85
IS 4
BP 353
EP 358
PD APR 2019
PY 2019
AB Most orthopedic residents carry significant debt and may enter their
   practice with little knowledge of business management, minimal
   retirement savings, and overall poor financial literacy. This study
   aimed to gauge financial literacy, debt, and retirement planning in
   United States orthopedic surgery residents. Willingness to participate
   in formalized financial education was also assessed. Eighty-five
   allopathic orthopedic surgery residents in the United States completed a
   14-question anonymous online survey in 2016. The survey assessed
   demographic data, self-assessed financial knowledge, amount of credit
   card debt and loans, preparation for retirement, and willingness to
   participate in formal didactic education on these topics. Most
   respondents derive their financial knowledge from personal research
   (51%), whereas only 4 per cent have a formal curriculum. Despite most
   respondents reporting more than $200,000 in outstanding loans, only 31
   per cent create and stick to a budget. Few programs offer retirement
   advice, and 48 per cent of respondents save $0 toward retirement.
   Eighty-five per cent of residents expressed interest in learning about
   personal investment, savings, and retirement planning. Orthopedic
   surgery residents carry significant debt and do not achieve their
   high-income potential until disproportionately later in life. Only 4 per
   cent of residents have formal training in investing, personal finance,
   or retirement despite a majority who desire such a curriculum. In fact,
   almost 75 per cent of those surveyed felt less prepared for retirement
   than their peers outside of medical training. This study suggests a role
   for formal financial education in the orthopedic curriculum to prepare
   residents for retirement, improve financial literacy, and enhance debt
   management.
CT Meeting of the American-Orthopaedic-Association
CY JUN 20-24, 2017
CL Charlotte, NC
SP Amer Orthopaed Assoc
ZR 0
ZS 0
ZB 0
ZA 0
TC 11
Z8 0
Z9 11
U1 0
U2 6
SN 0003-1348
EI 1555-9823
UT WOS:000466611500024
PM 31043194
ER

PT J
AU Gedzyk-Nieman, Stephanie A.
   Svoboda, Gwen
TI Exploring attitudes of acceptance of males in nursing among registered
   nurses
SO JOURNAL OF NURSING MANAGEMENT
VL 27
IS 3
BP 647
EP 654
DI 10.1111/jonm.12723
PD APR 2019
PY 2019
AB Aims To explore attitudes of acceptance of male nurses and examine
   correlations between female nurses' levels of acceptance and certain
   demographic variables. Background Collaboration and teamwork are
   essential skills for the nursing profession and for successful health
   care environments. Attitudes of acceptance between male and female
   nurses can impact the ability to sustain these skills and influence
   nursing satisfaction. Methods Female (n = 251) and male (n = 60) nurses
   from three medical centres in or near a large, Midwestern city
   participated. Data were collected via an anonymous online survey using
   the Sexist Attitude Inventory. Results Male nurses' attitudes of
   acceptance of male nurses were greater than female nurses' attitudes of
   acceptance. A small, positive correlation was found between the female
   nurse's level of education and her acceptance of male nurses. Male and
   female nurses' responses were also significantly different on 35% of the
   inventory items-providing areas of focus for relationship improvement.
   Conclusions and implications for nursing management The significant
   difference between male and female nurses' acceptance of male nurses
   necessitates further investigation. Addressing male/female perspective
   differences on professional work issues may improve both groups' work
   experience, job satisfaction, and acceptance of all nursing colleagues,
   regardless of gender.
RI Gedzyk-Nieman, Stephanie/AAK-3843-2020
OI Gedzyk-Nieman, Stephanie/0000-0001-6669-4429
TC 7
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
Z9 7
U1 3
U2 13
SN 0966-0429
EI 1365-2834
UT WOS:000467082400022
PM 30318647
ER

PT J
AU Halcomb, Elizabeth J.
   Peters, Kath
   Smyth, Elizabeth
TI Health screening for women with physical disability in Australian
   general practice: A survey
SO COLLEGIAN
VL 26
IS 2
BP 250
EP 255
DI 10.1016/j.colegn.2018.07.008
PD APR 2019
PY 2019
AB Background: Early detection of gynaecological issues improves health
   outcomes and reduces mortality. Such early detection is best achieved
   via regular, proactive health screening. Like other disadvantaged
   groups, women with physical disability have much lower gynaecological
   screening rates than the general population.
   Aim: The aim of this paper is to explore the current role of general
   practice nurses in women's health screening for individuals with
   physical disability.
   Methods: A national online survey of Australian general practice nurses
   was conducted.
   Findings: One hundred and seventy-eight general practice nurses
   completed the survey. Sixty-one percent reported having experience in
   working with people with a physical disability. Around one third of
   participants reported having completed specific education about physical
   disability. Most general practices implemented strategies to facilitate
   physical access for those with disability. However, few general
   practices had a medical records system that enabled identification of
   physical disability. Thirty-seven participants reported providing
   women's health screening for 89 women with a physical disability in the
   4 weeks prior to the survey. A range of strategies were used to support
   women during these screening procedures. These could be broadly
   classified into; a) providing practical assistance to facilitate
   screening, and b) modifying technique and positioning for comfort.
   Conclusions: The limited experience with disability amongst an
   experienced nursing cohort, and the difficulty inherent in identifying
   those with a disability within recall and reminder systems, adds
   complexity to the provision of screening for women with a disability.
   Whilst participants articulated some innovative and creative strategies
   to assist women with a disability during health screening, enhanced
   awareness amongst nurses and proactive strategies would likely enhance
   service accessibility in this vulnerable group. (C) 2018 Australian
   College of Nursing Ltd. Published by Elsevier Ltd.
RI Halcomb, Elizabeth/B-6526-2011; Peters, Kath/ABF-9495-2020; Peters, Kath/
OI Halcomb, Elizabeth/0000-0001-8099-986X; Peters, Kath/0000-0001-5299-2863
TC 1
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
Z9 1
U1 1
U2 2
SN 1322-7696
EI 1876-7575
UT WOS:000466868200004
ER

PT J
AU Sabatello, Maya
   Chen, Ying
   Sanderson, Saskia C.
   Chung, Wendy K.
   Appelbaum, Paul S.
TI Increasing genomic literacy among adolescents
SO GENETICS IN MEDICINE
VL 21
IS 4
BP 994
EP 1000
DI 10.1038/s41436-018-0275-2
PD APR 2019
PY 2019
AB Purpose: Adolescents increasingly need to be "genomics literate," and
   may engage more with video educational formats than traditional written
   formats. We conducted a pilot study to assess and compare the impact of
   two modes of education about genome sequencing (GS) on adolescents'
   genomic knowledge and genomic-related decisions.
   Methods: Using an online survey, 43 adolescents ages 14-17 years were
   randomly assigned to watch a video or read a pamphlet about GS. Measures
   included pre- and postintervention assessment of genomic knowledge,
   perceived utility of these materials for decisions about participating
   in genetic research, interest in receiving GS results, and overall
   satisfaction with these materials. Analyses described results for all
   participants and compared results between intervention groups.
   Results: Self-reported genomic knowledge increased overall (p < 0.001).
   Postintervention knowledge about GS limitations was higher among video
   group than pamphlet group participants (p = 0.038). More video group
   than pamphlet group participants expressed satisfaction with the
   material's understandability (45% vs. 29%) and suitability (91% vs.
   76%). Interest in receiving personal GS results was significantly
   associated with being female (p = 0.01) and younger (14-15 years vs.
   16-17 years) (p = 0.002).
   Conclusion: A video format may be preferable for increasing genomic
   literacy among adolescents. Further research with adolescents is needed
   to better understand how gender and age may impact genomic decisions and
   preferences.
RI Appelbaum, Paul/AFU-3908-2022; Sanderson, Saskia/
OI Appelbaum, Paul/0000-0002-1940-0042; Sanderson,
   Saskia/0000-0001-8427-724X
TC 9
Z8 0
ZA 0
ZS 0
ZB 5
ZR 0
Z9 9
U1 0
U2 0
SN 1098-3600
EI 1530-0366
UT WOS:000463167300028
PM 30214064
ER

PT J
AU Roberts, Cristine A.
   Smith, Kevin C.
   Sherman, Ashley K.
TI Comparison of Online and Face-to-Face Parent Education for Children with
   Autism and Sleep Problems
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 4
BP 1410
EP 1422
DI 10.1007/s10803-018-3832-2
PD APR 2019
PY 2019
AB Many children with autism spectrum disorder (ASD) have sleep disorders.
   Face-to-face (F2F) sessions have empowered parents to help their child
   sleep. Our goal was whether online technologies could provide similar
   improvements in children's sleep while also improving parents' quality
   of life. Identical programs were taught in two sessions to F2F and
   online parents. Measurements were compared from baseline to 4 and 8
   weeks post teaching sessions. Twenty-three participants completed the
   program. Parent quality of life improved for both groups. Parent fatigue
   scores were improved and sustained for the online group. The total sleep
   score improved for both groups, while the online group had sustained
   decreases in night wakings. Online methods can conveniently help improve
   sleep for children with ASD.
TC 14
ZR 0
ZA 0
Z8 0
ZS 0
ZB 1
Z9 14
U1 0
U2 16
SN 0162-3257
EI 1573-3432
UT WOS:000463707600009
PM 30506358
ER

PT J
AU Campbell, Karen
   Taylor, Vanessa
   Douglas, Sheila
TI Effectiveness of Online Cancer Education for Nurses and Allied Health
   Professionals; a Systematic Review Using Kirkpatrick Evaluation
   Framework
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 2
BP 339
EP 356
DI 10.1007/s13187-017-1308-2
PD APR 2019
PY 2019
AB Embedding online learning within higher education can provide engaging,
   cost-effective, interactive and flexible education. By evaluating the
   impact, outcomes and pedagogical influence of online cancer and
   education, future curricula can be shaped and delivered by higher
   education providers to better meet learner, health care provider and
   educational commissioners' requirements for enhanced patient care and
   service delivery needs. Using the Kirkpatrick's four-level model of
   educational evaluation, a systematic review of the effectiveness of
   online cancer education for nurses and allied health professionals was
   conducted. From 101 articles, 30 papers were included in the review.
   Educational theory is not always employed. There is an absence of
   longitudinal studies to examine impact; an absence of reliability and/or
   validity testing of measures, limited experimental designs taking
   account of power and few attempts to mitigate bias. There is, however,
   an emerging innovative use of mobile/spaced learning techniques.
   Evidence for clinical and educational effectiveness is weak offering
   insights into experiences and participant perceptions rather than
   concrete quantitative data and patient-reported outcomes. More
   pedagogical research is merited to inform effective evaluation of online
   cancer education, which incorporates and demonstrates a longer-term
   impact.
RI campbell, karen/ABC-8720-2021; campbell, Karen/
OI campbell, Karen/0000-0002-6104-9698
ZB 1
ZA 0
Z8 0
TC 13
ZR 0
ZS 1
Z9 13
U1 1
U2 26
SN 0885-8195
EI 1543-0154
UT WOS:000466345600021
PM 29230687
ER

PT J
AU Sehgal, Mandi
   Syed, Quratulain
   Callahan, Kathryn E.
   Powers, Becky B.
   Eleazer, G. Paul
   Gleason, Lauren L.
   Ramaswamy, Ravishankar
   Sauvigne, Karen
   Leipzig, Rosanne M.
   Shah, Amit
TI Introducing Aquifer Geriatrics, the American Geriatrics Society National
   Online Curriculum
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 67
IS 4
BP 811
EP 817
DI 10.1111/jgs.15813
PD APR 2019
PY 2019
AB Aquifer Geriatrics, formerly web-based Geriatrics Education Modules, was
   initially developed through Donald W. Reynolds Foundation funding, and
   is now the national curriculum of the American Geriatrics Society and
   the Association of Directors of Geriatric Academic Programs. Aquifer
   Geriatrics consists of 26 evidence-based, peer-reviewed, online
   case-based modules based on the Association of American Medical
   Colleges/John A. Hartford Foundation Minimum Geriatrics Competencies for
   Medical Students and is available by subscription at . This curriculum
   aims to help address the national shortage of geriatrics educators,
   complement current teaching, bridge content gaps in geriatrics
   education, and standardize geriatrics-focused educational content. This
   report will describe the development of Aquifer Geriatrics, highlight
   best practices to incorporate cases in a variety of teaching settings,
   describe teaching methods that utilize the curriculum to create a robust
   experience for learners, and address the cost of obtaining the
   curriculum. J Am Geriatr Soc 67:811-817, 2019.
OI Powers, Becky/0000-0003-1573-8481; Shah, Amit/0000-0001-9312-5424;
   Ramaswamy, Ravishankar/0000-0001-5253-9508
ZS 0
ZB 3
TC 12
ZR 0
Z8 0
ZA 0
Z9 12
U1 0
U2 2
SN 0002-8614
EI 1532-5415
UT WOS:000464350900026
PM 30950511
ER

PT J
AU Kahlor, Lee Ann
   Li, Xiaoshan
   Jones, Jacy
TI Development and Pilot Testing of an Evidence-Based Training Module for
   Integrating Social and Ethical Implications into the Lab
SO NANOETHICS
VL 13
IS 1
BP 37
EP 52
DI 10.1007/s11569-019-00336-5
PD APR 2019
PY 2019
AB In this project, we (1) explore perceptions of the social andethical
   implications (SEI) of nanotechnology among US scientists who work at the
   nanoscale, and (2) develop and pilot test an online training module to
   foster consideration of social and ethical implications in the lab. To
   meet our first goal, we drew qualitative insights from open-ended survey
   data collected from scientists affiliated with the National
   Nanotechnology Infrastructure Network. Our data suggest that while the
   survey participants responded positively to the idea that consideration
   of SEI should be a part of the work they do, there was confusion about
   whether SEI refers to lab safety, research integrity, or something more.
   This is something we sought to address in the online training module
   that we developed based on that qualitative data and on feedback
   collected from experts in nanoethics and lab management. We then pilot
   tested the module with undergraduate students studying nanotechnology in
   the National Science Foundation's Research Experiences for
   Undergraduates (REU) program and with scientists registered to use a
   National Nanotechnology Coordinated Infrastructure-funded
   microelectronics research lab. The undergraduate data suggested that
   students appreciated the SEI training but wished professors and
   scientists would begin integrating the ideas therein into coursework and
   mentoring. The scientist data suggested that the module increased
   understanding of social and ethical implications, increased the
   perceived need to implement SEI into workplace routines, and,
   interestingly, heightened perceptions of risk associated with the
   scientists' own work. The practical and theoretical implications of this
   work are discussed.
TC 2
Z8 0
ZR 0
ZA 0
ZB 1
ZS 0
Z9 2
U1 1
U2 4
SN 1871-4757
EI 1871-4765
UT WOS:000466165500004
ER

PT J
AU Seidler, Zac E.
   Rice, Simon M.
   Dhillon, Haryana M.
   Herrman, Helen
TI Why it's time to focus on masculinity in mental health training and
   clinical practice
SO AUSTRALASIAN PSYCHIATRY
VL 27
IS 2
BP 157
EP 159
DI 10.1177/1039856218804340
PD APR 2019
PY 2019
AB Objective: Men present with complex, diverse and often contradictory
   expressions of masculinity that are relevant to their health status.
   This article argues for the inclusion of masculinity into mental health
   curricula in Australia. Masculinity mediates health outcomes by
   influencing help seeking and engagement with treatment. Conclusion: An
   online curricula audit of publicly available information from Australian
   medical programs and their professional bodies reveals increasing
   awareness of the needs, but limited practical inclusion of masculinity
   models in training and practice. Described are the elements essential to
   training and subsequent clinical practice to curb the poor mental health
   outcomes of Australian men.
RI Rice, Simon/J-5656-2014; Herrman, Helen/AAS-6059-2021; Seidler, Zac/
OI Rice, Simon/0000-0003-4045-8553; Seidler, Zac/0000-0002-6854-1554
ZB 0
TC 9
ZS 1
Z8 0
ZR 0
ZA 0
Z9 9
U1 1
U2 11
SN 1039-8562
EI 1440-1665
UT WOS:000465339200011
PM 30293459
ER

PT J
AU Callister, Marcus N.
   Robbins, Matthew S.
   Callister, Natalie R.
   Vargas, Bert B.
TI Tweeting the Headache Meetings: Cross-Sectional Analysis of Twitter
   Activity Surrounding American Headache Society Conferences
SO HEADACHE
VL 59
IS 4
BP 518
EP 531
DI 10.1111/head.13500
PD APR 2019
PY 2019
AB Objectives To describe and analyze Twitter activity associated with
   American Headache Society (AHS) conferences and evaluate the potential
   for Twitter to promote education and public outreach. Background Many
   medical and scientific conferences have adopted Twitter as a method of
   promoting discussion among attendees as well as increasing visibility.
   Relatively little is known, however, about the composition of conference
   Twitter activity, the participants, and the impact on broader Twitter
   discussions. Methods We analyzed Twitter data from 5 AHS conferences
   held from 2014 to 2016 using their respective hashtags. Using the
   Symplur Healthcare Hashtags open social media search platform, we
   gathered data on numbers of tweets, impressions, participants, and
   mentions during a 10-day period surrounding each conference, as well as
   samples of Twitter accounts participating. Prominent accounts were
   categorized as individual medical professionals, other individuals, host
   organizations, health-related organizations, medical centers, and
   industry by cross-checking their Twitter profiles and conference
   registration lists. Larger samples of accounts participating in the 2016
   conferences were also obtained and categorized similarly, with
   individual person accounts classified by conference registration status.
   A related prominent hashtag (#migraine) was also identified and Twitter
   usage before, during, and after each conference was analyzed to evaluate
   the impact of conference activity on broader Twitter conversations.
   Results Nineteen thousand nine hundred thirty-six tweets were generated
   across the 5 conferences, with 11,531 (58%) created by the Top 10
   participating accounts in each conference, which were primarily
   individual medical professionals and host organizations. Thirty-two
   million six hundred eighty-three thousand impressions were generated
   across the 5 conferences, with 24,656,000 (75%) coming from the Top 10
   participants in each, particularly host organizations and other
   individuals. An average of 331 accounts participated in each conference.
   The Top 10 mentioned accounts in each conference (consisting of 21
   unique accounts with 14 accounts in the Top 10 across multiple
   conferences, primarily individual medical professionals) received a
   total of 15,093 mentions. Among 135 unique accounts participating
   actively in the two 2016 conferences, 39% were individual medical
   professionals, 38% other individuals, 16% health-related organizations
   (including the 2 host organizations), 4% medical centers, and 2%
   industry. From these samples, 34 of 70 (49%) and 43 of 66 (65%)
   individual person accounts participating in the Twitter discussion at
   each conference were not registered conference attendees, indicating
   substantial outside participation via Twitter. #migraine usage during
   conferences showed a significant increase from baseline in number of
   tweets (6080 in a 10-day period vs 3721, P < .0001) and participants
   (2332 vs 1830, P < .0001) but the increase was not significant for
   impressions (30,155 vs 25,361, P = .240). Conclusions Consistent with
   the dynamics of Twitter conversations on other topics, AHS conference
   discussions featured a small group of accounts creating the bulk of
   content, with individual medical professionals and host organizations
   generating the largest shares of tweets and mentions while host
   organizations and other individuals produced the most impressions.
   Participating accounts were mainly individuals and health-related
   organizations, with more non-attendee participants than expected.
   Conference Twitter activity correlated with a significant increase in
   #migraine usage, suggesting a perceptible influence on the discussion of
   health-related topics beyond the conference itself.
OI Robbins, Matthew/0000-0002-5426-5333
ZA 0
ZS 0
TC 5
Z8 0
ZB 3
ZR 0
Z9 6
U1 0
U2 6
SN 0017-8748
EI 1526-4610
UT WOS:000465079700005
PM 30891749
ER

PT J
AU Kindratt, Tiffany
   Bernard, Brittany
   Webb, Jade
   Pagels, Patti
TI Parent-provider paediatric literacy communication: A curriculum for
   future primary care providers
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 8
IS 2
BP 110
EP 117
DI 10.1007/s40037-019-0503-8
PD APR 2019
PY 2019
AB Background Reach Out and Read promotes early literacy and school
   readiness by incorporating book delivery and anticipatory guidance into
   well-child visits. There is a need to train future healthcare providers
   in the knowledge and skills to communicate with parents/caregivers about
   early childhood literacy. We developed and evaluated a curriculum to
   improve learners' knowledge, attitudes, and skills towards the
   incorporation of parent-provider literacy communication into well-child
   visits.
   Methods Family medicine residents (n = 30), physician assistant students
   (n = 36), and medical students (n = 28) participated in a curriculum
   consisting of service learning, online didactic training, objective
   structured clinical exams (OSCEs) and a debriefing session. Standardized
   patients (SPs; 6 months to 5 years) and standardized patient caregivers
   were recruited and trained. Learners were evaluated on their abilities
   to offer books to patients, provide anticipatory guidance, and
   demonstrate parent-provider communication skills. Knowledge, attitudes,
   and satisfaction were collected pre- and post-curriculum.
   Results Significant increases in total knowledge were observed after
   completing curriculum activities (p < 0.001). All attitudes improved
   after training (p < 0.05). All learners (100%) recommended that
   caregivers talk back and forth with their 6- to 12-month-old babies and
   make eye contact. Few (18.2%) learners recommended playing games like
   'peek-a-boo' while reading. When caregivers evaluated learners' basic
   parent-provider communication skills, all reported that the learners
   treated them with respect and used plain language.
   Discussion Our curriculum extends beyond previous studies by measuring
   recommended books, anticipatory guidance, and communication skills using
   paediatric SPs and standardized patient caregivers. Curriculum
   activities can be tailored to best promote parent-provider literacy
   communication training in other programs.
RI Kindratt, Tiffany/GQZ-3218-2022
TC 1
Z8 0
ZB 0
ZS 0
ZR 0
ZA 0
Z9 1
U1 1
U2 7
SN 2212-2761
EI 2212-277X
UT WOS:000465089400009
PM 30912005
ER

PT J
AU Riley, Richard H.
   Kjaer, Cai
   Cheney, A. Carol
   Naumovski, Svetlana
   Straw, Brodene L.
TI Social Network Analysis of a Simulation Community
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 14
IS 2
BP 71
EP 76
DI 10.1097/SIH.0000000000000344
PD APR 2019
PY 2019
AB Introduction Graphical analysis of networking maps can be used to
   measure the health, connectivity, and vulnerabilities of a professional
   community. We aimed to capture and map the connections and relationships
   between individuals and organizations in the healthcare simulation
   community of the state of Western Australia. It was also intended that
   this analysis would encourage new opportunities for collaboration to
   advance simulation-based education. Methods In association with a
   baseline list of established simulation practitioners, an online survey
   instrument and propriety mapping software were used to establish links
   and interactions between individuals, colleagues, their own, and
   external organizations. Results There were 79 respondents to the survey,
   with 500 pairs of relationships generated for 203 nominated personnel.
   Two thirds of respondents were from medical, nursing, and allied health
   fields. The average number of collaborators for each respondent was 6.6.
   Collaborative patterns were presented in matrices and social network
   maps. These data identified leaders, important networks, and weaknesses
   in this community of practice. Conclusions The study confirmed that
   there were a handful of simulation educators with many linkages both
   within and external to their own organizations. In addition, isolated
   groups with poor cross-organizational associations were identified. This
   information can be used by healthcare and educational organizations, and
   funding agencies, to better understand associations and collaborations
   across the wider simulation community and to consider appropriate
   improvements to strengthen the simulation network.
RI Riley, Richard Haydn/H-4981-2014
OI Riley, Richard Haydn/0000-0001-5091-3295
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 0
Z9 0
U1 0
U2 14
SN 1559-2332
EI 1559-713X
UT WOS:000465003900001
PM 30407956
ER

PT J
AU Ruddell, Jack H.
   Hartley-Blossom, Zachary J.
   Bajaj, Ankush I.
   Grand, David
   Eltorai, Adam E. M.
TI Analysis of Abdominal Radiology fellowship website content and
   comprehensiveness
SO ABDOMINAL RADIOLOGY
VL 44
IS 4
BP 1601
EP 1605
DI 10.1007/s00261-018-1861-0
PD APR 2019
PY 2019
AB PurposeFellowship programs' online content plays a key role in
   prospective Abdominal Radiology applicants' evaluation of programs. The
   purpose of this study is to examine the online accessibility of
   Abdominal Radiology fellowships, the comprehensiveness of the program
   websites' content, and evaluate whether specific program characteristics
   are associated with differentiated website comprehensiveness.MethodsA
   list of 67 Abdominal Radiology fellowship programs was obtained from the
   Society of Abdominal Radiology (SAR) website. Each of the 65
   publicly-available fellowship websites was scored for the presence of 19
   binary variables related to the program's attributes and curriculum to
   assess informational comprehensiveness. Comprehensiveness scores were
   compared by program characteristics (accreditation status, region, and
   size) using Kruskal-Wallis and two-tailed t tests.ResultsMean
   comprehensiveness score of Abdominal Radiology fellowship websites as
   measured by online criteria met was 52.6% (10.03.0/19). Application
   requirements and information, rotation scheduling, and program director
   contact were found on more than 87.5% of the 65 websites, whereas salary
   and benefits, social information, and alumni were listed on fewer than
   33.8% (22/65) of websites. Program accreditation status, region, and
   size were not associated with difference in mean comprehensiveness
   scores.Conclusionsp id=ParThere is a discrepancy between information
   commonly sought by prospective Abdominal Radiology fellowship applicants
   and what is available on fellowship program websites. Programs and
   applicants alike may benefit from programs strengthening their online
   material.
ZB 2
Z8 0
ZS 0
TC 14
ZA 0
ZR 0
Z9 14
U1 0
U2 1
SN 2366-004X
EI 2366-0058
UT WOS:000462749100038
PM 30539248
ER

PT J
AU Haspel, Richard L.
   Ali, Asma M.
   Huang, Grace C.
   Smith, Matt H.
   Atkinson, James B.
   Chabot-Richards, Devon S.
   Elliott, Robin M.
   Kaul, Karen L.
   Powell, Suzanne Z.
   Rao, Arundhati
   Rinder, Henry M.
   Vanderbilt, Chad M.
   Wilcox, Rebecca
TI Teaching Genomic Pathology Translating Team-Based Learning to a Virtual
   Environment Using Computer-Based Simulation
SO ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE
VL 143
IS 4
BP 513
EP 517
DI 10.5858/arpa.2018-0153-OA
PD APR 2019
PY 2019
AB Context.-Developing skills related to use of computer-based tools is
   critical for practicing genomic pathology. However, given the relative
   novelty of genomics education, residency programs may lack faculty
   members with adequate expertise and/or time to implement training. A
   virtual team-based learning (TBL) environment would make genomic
   pathology education available to more trainees.
   Objective.-To translate an extensively implemented in-person TBL genomic
   pathology workshop into a virtual environment and to evaluate both
   knowledge and skill acquisition.
   Design.-Using a novel interactive simulation approach, online modules
   were developed translating aspects of the TBL experience into the
   virtual environment with a goal of acquisition of necessary
   computer-related skills. The modules were evaluated at 10 postgraduate
   pathology training programs using a pre-post test design with
   participants deidentified. A postmodule anonymous survey obtained
   participant feedback on module quality and efficacy.
   Results.-There were 147 trainees who received an email request to
   voluntarily participate in the study. Of these, 43 trainees completed
   the pretest and 15 (35%) subsequently completed the posttest. Mean
   overall scores were 45% on the pretest compared with 70% on the posttest
   (P < .001; effect size = 1.4). Posttest improvement of results was
   similar for questions testing acquisition of knowledge versus skills.
   Regarding the 19 participants who took the survey, 18 (95%) would
   recommend the modules to others and believed they met the stated
   objectives.
   Conclusions.-A simulation-based approach allows motivated pathology
   trainees to acquire computer-related skills for practicing genomic
   pathology. Future work can explore efficacy in a nonvoluntary setting
   and adaptation to different specialties, learners, and computer tools.
RI Huang, Grace/ABD-6878-2021
ZR 0
ZB 3
ZA 0
Z8 0
ZS 0
TC 5
Z9 5
U1 0
U2 8
SN 0003-9985
EI 1543-2165
UT WOS:000462602800020
PM 30500295
ER

PT J
AU Glozier, Nick
   Christensen, Helen
   Griffiths, Kathleen M.
   Hickie, Ian B.
   Naismith, Sharon L.
   Biddle, Daniel
   Overland, Simon
   Thorndike, Frances
   Ritterband, Lee
TI Adjunctive Internet-delivered cognitive behavioural therapy for insomnia
   in men with depression: A randomised controlled trial
SO AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
VL 53
IS 4
BP 350
EP 360
DI 10.1177/0004867418797432
PD APR 2019
PY 2019
AB Objective: Internet-delivered cognitive behavioural therapy for insomnia
   is efficacious for insomnia, and post hoc analyses suggest mood
   improvements. We undertook the first clinical trial evaluating the
   efficacy of Internet-delivered cognitive behavioural therapy for
   insomnia on depressive symptoms as an adjunct to guideline-based
   treatment of depressive disorders. Methods: Older men undergoing
   psychiatrist-coordinated treatment for major depressive disorder or
   dysthymia and who had significant insomnia symptoms were randomised to
   either adjunctive Internet-delivered cognitive behavioural therapy for
   insomnia (Sleep Healthy Using The Internet) or online sleep
   psychoeducation. The primary outcome was change in depressive symptoms
   (Centre for Epidemiological Studies Depression scale) from baseline to
   week 12 (post intervention). Secondary outcomes were insomnia and
   anxiety symptoms. Results: In all, 87 men were randomised
   (Internet-delivered cognitive behavioural therapy for insomnia = 45;
   psychoeducation = 42). The mean observed Centre for Epidemiological
   Studies Depression scale changes by week 12 were 8.2 (standard deviation
   = 11.5) and 3.9 (standard deviation = 12.8) for Internet-delivered
   cognitive behavioural therapy for insomnia and psychoeducation,
   respectively. The adjunctive effect size of 0.35 in favour of Sleep
   Healthy Using The Internet programme was not statistically significant
   (group x time difference in the Mixed effect Model Repeat Measurement
   analysis difference 4.3; 95% confidence interval = [-1.2, 9.8]; p =
   0.15). There was a statistically significant effect on insomnia symptoms
   (group x time p = 0.02, difference 2.7; 95% confidence interval = [0.2,
   5.3]; effect size = 0.62). There were no differences in insomnia or
   depression at 6 months or differential effects on anxiety at any time
   point. There were no reported adverse trial-related events in the
   intervention arm. Conclusion: Adjunctive Internet-delivered cognitive
   behavioural therapy for insomnia for older men being treated for
   depression can improve insomnia in the short term, without apparent
   harm. The short-term depressive symptom effect size in this pilot trial
   was comparable to other adjunctive interventions and may warrant a
   larger, definitive trial.
RI Øverland, Simon/ABF-1289-2020; Hickie, Ian B/K-8975-2015; Christensen, Helen/F-5053-2012; Glozier, Nick/; Naismith, Sharon/; Ritterband, Lee/G-7810-2011
OI Øverland, Simon/0000-0001-6967-9355; Hickie, Ian B/0000-0001-8832-9895;
   Christensen, Helen/0000-0003-0435-2065; Glozier,
   Nick/0000-0002-0476-9146; Naismith, Sharon/0000-0001-9076-2778;
   Ritterband, Lee/0000-0001-7624-5213
TC 14
ZR 0
ZA 0
ZS 0
ZB 1
Z8 0
Z9 14
U1 2
U2 14
SN 0004-8674
EI 1440-1614
UT WOS:000462091900011
PM 30191722
ER

PT J
AU Stagg, Helen R.
   Surey, Julian
   Francis, Marie
   MacLellan, Jennifer
   Foster, Graham R.
   Charlett, Andre
   Abubakar, Ibrahim
TI Improving engagement with healthcare in hepatitis C: a randomised
   controlled trial of a peer support intervention
SO BMC MEDICINE
VL 17
AR 71
DI 10.1186/s12916-019-1300-2
PD APR 1 2019
PY 2019
AB BackgroundPeer support can enable patient engagement with healthcare
   services, particularly for marginalised populations. In this randomised
   controlled trial, the efficacy of a peer support intervention at
   promoting successful engagement with clinical services for chronic
   hepatitis C was assessed.MethodsIn London, UK, potential participants
   were approached through outreach services for problematic drug use and
   homelessness. Individuals positive for hepatitis C virus (HCV) after
   confirmatory testing were randomised using an online service to the
   intervention (peer support) or standard of care. The primary outcome of
   interest was successful engagement with clinical hepatitis services. The
   study was non-blinded. Absolute differences were calculated using a
   generalised linear model and the results compared to logistic
   regression.ResultsThree hundred sixty-four individuals consented to
   participate. One hundred one had chronic hepatitis C and were
   randomised, 63 to receive the intervention (peer support). A successful
   outcome was achieved by 23 individuals in this arm (36.5%) and seven
   (18.4%) receiving the standard of care, giving an absolute increase of
   18.1% (95% confidence interval 1.0-35.2%, p value=0.04). This was
   mirrored in the logistic regression (odds ratio 2.55 (0.97-6.70),
   p=0.06). No serious adverse events were reported.ConclusionsPeer support
   can improve the engagement of patients with chronic HCV with healthcare
   services.Trial registrationISRCTN24707359. Registered 19th October 2012.
OI surey, julian/0000-0003-2411-0477; MacLellan,
   Jennifer/0000-0002-6872-5011; Stagg, Helen/0000-0003-4022-3447; Foster,
   Graham/0000-0002-3704-386X; Abubakar, Ibrahim/0000-0002-0370-1430
ZS 0
Z8 0
ZR 0
ZA 0
TC 30
ZB 13
Z9 30
U1 2
U2 5
SN 1741-7015
UT WOS:000462882800001
PM 30929642
ER

PT J
AU Abley, Clare
   Dickinson, Claire
   Andrews, Zoe
   Prato, Laura
   Lindley, Lyndsay
   Robinson, Louise
TI Training interventions to improve general hospital care for older people
   with cognitive impairment: systematic review
SO BRITISH JOURNAL OF PSYCHIATRY
VL 214
IS 4
BP 201
EP 212
AR e1000097
DI 10.1192/bjp.2019.29
PD APR 2019
PY 2019
AB Background In response to increasing numbers of older people in general
   hospitals who have cognitive impairment such as dementia and delirium,
   many hospitals have developed education and training programmes to
   prepare staff for this area of clinical practice. Aims To review the
   evidence on educational interventions on hospital care for older people
   with cognitive impairment. Method A mixed methods systematic review and
   narrative synthesis was undertaken. The following electronic databases
   were searched: Medline, Embase, CINAHL, PsycINFO, EBM Reviews, ASSIA and
   Scopus, as well as Health Management Information Consortium (HMIC),
   ProQuest, PubMed and SCIE: Social Care Online. Initial searches were run
   in August 2014 (update search September 2016). Titles and abstracts of
   studies retrieved were screened independently. The full text of eligible
   studies were then independently assessed by two review team members. All
   included studies were assessed using a standard quality appraisal tool.
   Results Eight studies relating to delirium, six on dementia and two on
   delirium and dementia were included, each testing the use of a different
   educational intervention. Overall, the quality of the studies was low.
   In relation to delirium, all studies reported a significant increase in
   participants' knowledge immediately post-intervention. Two of the
   dementia studies reported an increase in dementia knowledge and dementia
   confidence immediately post-intervention. Conclusions The variety of
   outcomes measured makes it difficult to summarise the findings. Although
   studies found increases in staff knowledge, there is insufficient
   evidence to conclude that educational interventions for staff lead to
   improved patient outcomes.
RI Abley, Clare/V-3888-2019
OI Abley, Clare/0000-0002-8391-5657
ZR 0
ZA 0
ZB 2
Z8 1
ZS 0
TC 8
Z9 8
U1 2
U2 4
SN 0007-1250
EI 1472-1465
UT WOS:000462762600004
PM 30784394
ER

PT J
AU Francis, Sara M. S.
   Tone, Erin B.
   Caporino, Nicole E.
   Tully, Erin C.
   Cohen, Lindsey L.
TI Cognitive Predictors of Parental Rescue Behavior and Malleability of
   Behavior Using a Brief Psychoeducation Intervention
SO CHILD PSYCHIATRY & HUMAN DEVELOPMENT
VL 50
IS 2
BP 321
EP 331
DI 10.1007/s10578-018-0843-3
PD APR 2019
PY 2019
AB Cognitive factors, such as beliefs that anxiety is harmful, may lead
   parents to engage excessively in over-controlling parenting practices,
   such as rescuing children from distress. The present study examined
   whether parental rescue behavior, or the speed at which parents
   intervened to rescue an increasingly distressed child during an audio
   paradigm, was associated with beliefs about child anxiety. We also
   evaluated the impact of psychoeducation on rescue behavior during the
   audio paradigm. A nonclinical sample of 310 parents was recruited from
   an online crowdsourcing platform. Findings support the hypothesis that
   parents' stronger beliefs that anxiety is harmful relate to parents'
   faster speed of rescue. Additionally, participants who received
   psychoeducation delayed their rescue responses more than did
   participants who received benign information. Findings add to the
   growing body of evidence that cognitive factors contribute to
   countertherapeutic parent behavior and indicate that psychoeducation can
   be an important component of family-based child anxiety treatment.
OI Tone, Erin/0000-0003-4021-1673
ZB 0
ZS 0
Z8 0
ZR 0
TC 1
ZA 0
Z9 1
U1 2
U2 3
SN 0009-398X
EI 1573-3327
UT WOS:000462450900014
PM 30206747
ER

PT J
AU Polonsky, William H.
   Fisher, Lawrence
   Hessler, Danielle
   Stuckey, Heather
   Snoek, Frank J.
   Tang, Tricia
   Hermanns, Norbert
   Mundet, Xavier
   Silva, Maria
   Sturt, Jackie
   Okazaki, Kentaro
   Hadjiyianni, Irene
   Cao, Dachuang
   Ivanova, Jasmina
   Desai, Urvi
   Perez-Nieves, Magaly
TI Identifying solutions to psychological insulin resistance: An
   international study
SO JOURNAL OF DIABETES AND ITS COMPLICATIONS
VL 33
IS 4
BP 307
EP 314
DI 10.1016/j.jdiacomp.2019.01.001
PD APR 2019
PY 2019
AB Aims: To identify actions of healthcare professionals (HCPs) that
   facilitate the transition to insulin therapy (IT) in type 2 diabetes
   (12D) adults.
   Methods: Included were T2Ds in seven countries (n = 594) who reported
   initial IT reluctance but eventually began IT. An online survey included
   38 possible HCP actions: T2Ds indicated which may have occurred and
   their helpfulness. Also reported were delays in IT start after initial
   recommendation and any period of IT discontinuation.
   Results: Exploratory factor analysis of HCP actions yielded five
   factors: "Explained Insulin Benefits" (EIB), "Dispelled Insulin Myths"
   (DIM), "Demonstrated the Injection Process" (DIP), "Collaborative Style"
   (CS) and "Authoritarian Style" (AS). Highest levels of helpfulness
   occurred for DIP, EIB and CS; lowest for AS. Participants who rated DIP
   as helpful were less likely to delay IT than those who rated DIP as less
   helpful (OR = 0.75, p = 0.01); participants who rated CS and EIB as
   helpful were less likely to interrupt IT than those who rated these as
   less helpful (OR = 0.55, p < 0.01; OR = 0.51, p = 0.01, respectively).
   Conclusions: Three key HCP actions to facilitate IT initiation were
   identified as helpful and were associated with more successful
   initiation and persistence. These findings may aid the development of
   interventions to address reluctance to initiating IT. (C) 2019 The
   Authors.
RI Hermanns, Norbert/AAG-7060-2020; Snoek, Frank/; Sturt, Jackie/; Okazaki, Kentaro/
OI Hermanns, Norbert/0000-0002-2903-2677; Snoek, Frank/0000-0001-9563-6762;
   Sturt, Jackie/0000-0003-1281-1401; Okazaki, Kentaro/0000-0002-8449-804X
TC 17
ZA 0
ZR 0
ZS 0
Z8 1
ZB 2
Z9 18
U1 0
U2 3
SN 1056-8727
EI 1873-460X
UT WOS:000462416700006
PM 30709604
ER

PT J
AU Hardy, Andrew
   Fuller, David G.
   Forrester, Mike
   Anderson, Kym P.
   Cooper, Chris
   Jenner, Bernard
   Marshall, Isaac
   Sanderson, Christine
   Standish, Jane
   Worth, Janie
   Vuillermin, Peter
   McCloskey, Kathleen
TI Survey of procedural and resuscitation requirements for paediatricians
   working in a non-tertiary centre: Implications for training
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 55
IS 4
BP 441
EP 445
DI 10.1111/jpc.14224
PD APR 2019
PY 2019
AB Aim There are minimal data to guide the continuing medical education
   (CME) of general paediatricians working in non-tertiary hospitals. The
   aim of this study was to determine the procedural and resuscitation
   skills required by non-tertiary paediatricians and the frequency with
   which these skills are utilised. Methods Over a 12-month period
   (December 2012 to December 2013), each of the 11 paediatricians involved
   in acute inpatient care at University Hospital Geelong (UHG) completed a
   weekly online survey regarding their inpatient clinical experience. This
   included procedures performed or directly supervised as well as their
   resuscitation involvement. Results Each of the 11 paediatricians who
   managed inpatients on a regular or semi-regular basis during the study
   period agreed to participate, and each completed all of the weekly
   surveys. There were seven UHG paediatricians with an inpatient
   appointment (each with a 0.27 full-time equivalent (FTE) paediatrician
   workload) and four paediatricians providing inpatient cover on a locum
   basis. Over the course of 12 months, each 0.27 FTE paediatrician was, on
   average, involved in 11.3 neonatal, 1.7 infant and 2.4 child
   resuscitations and performed 0.9 intubations. Conclusions Paediatricians
   working at non-tertiary hospitals are required to perform and supervise
   critical procedural and resuscitation skills but have limited
   opportunities to maintain proficiency in such skills. General paediatric
   training and consultant paediatrician CME programmes should ensure the
   acquisition and maintenance of the procedural and resuscitation skills
   required for the management of seriously ill children in non-tertiary
   acute care settings.
Z8 0
TC 4
ZS 0
ZR 0
ZB 0
ZA 0
Z9 4
U1 0
U2 0
SN 1034-4810
EI 1440-1754
UT WOS:000464381700011
PM 30298956
ER

PT J
AU El-Ali, Alexander
   Kamal, Fariha
   Cabral, C. Lynn
   Squires, Judy H.
TI Comparison of Traditional and Web-Based Medical Student Teaching by
   Radiology Residents
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 16
IS 4
BP 492
EP 495
DI 10.1016/j.jacr.2018.09.048
PN A
PD APR 2019
PY 2019
AB Purpose: Web-based learning tools are increasingly available for use and
   have been described in the pedagogical literature. However, rigorous
   comparisons between traditional learning methods and newer collaborative
   online tools have not been performed. Herein, we describe a web-based
   curriculum hosted on the collaborative Radiopaedia.org website. This
   curriculum was compared with traditional learning tools in a randomized,
   controlled fashion.
   Materials and Methods: Medical students rotating through inpatient
   pediatrics were offered a 1-hour case-based learning session led by
   radiology residents. Students were randomized to receive online
   (Radiopaedia.org ) versus traditional supplemental educational materials
   (reading material covering the same content) for review before the
   in-class session. A 15-point questionnaire was administered at two
   different points during the rotation: at the beginning of the clinical
   rotation and at the end of the classroom session.
   Results: Fifty-eight students were approached for enrollment and a total
   of 47 (81%) consented to participation and completed the study
   requirements. Students who completed the web-based module had higher
   mean knowledge scores (74%) compared with those who were provided the
   traditional learning material (68%) (P = .06). Specifically, they
   demonstrated increased knowledge of the ACR Appropriateness Criteria and
   the "silhouette sign."
   Conclusions: A randomized, controlled, nonblinded evaluation of a novel
   radiology curriculum intervention hosted on Radiopaedia.org demonstrates
   improved test scores compared with traditional teaching methods.
ZB 1
TC 19
ZR 0
ZA 0
ZS 1
Z8 0
Z9 20
U1 0
U2 6
SN 1546-1440
UT WOS:000464627700016
PM 30449521
ER

PT J
AU O'Hanlon, Robin
   Laynor, Gregory
TI Responding to a new generation of proprietary study resources in medical
   education
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 2
BP 251
EP 257
DI 10.5195/jmla.2019.619
PD APR 2019
PY 2019
AB Traditionally, health sciences libraries have supported patrons who are
   preparing for medical licensure examinations by collecting and making
   accessible board exam preparation resources, such as question banks and
   study guides. However, when online board exam preparation resources are
   not available for licensing, providing equitable access to all library
   users can be a challenge. In recent years, a new generation of online
   study resources has emerged. Sites such as SketchyMedical and Picmonic
   use visual learning mnemonics, while resources such as Quizlet leverage
   crowd-sourcing to generate study content. While some of the content from
   these resources is made freely available, these resources are often
   limited to paid individual subscribers. This new generation of study
   resources, thus, presents a conundrum for health sciences librarians. On
   the one hand, these innovative resources offer new insights into how
   students learn and study, reflecting pedagogical trends in self-directed
   learning. On the other hand, the proprietary individual
   subscription-based model of these resources can widen the achievement
   gap between students who can afford to pay subscription costs and those
   who cannot. This commentary provides an overview of some of the most
   popular medical board examination preparation resources that have
   emerged in recent years. The authors suggest that health sciences
   librarians collaborate with medical students and educators to better
   understand and evaluate these resources.
RI O'Hanlon, Robin/V-9836-2019; Laynor, Gregory/GRN-8393-2022; Laynor, Gregory/GLU-4715-2022; O'Hanlon, Robin/
OI Laynor, Gregory/0000-0002-4578-4051; O'Hanlon, Robin/0000-0003-0869-4118
ZB 1
ZA 0
Z8 0
ZR 0
TC 7
ZS 0
Z9 7
U1 2
U2 4
SN 1536-5050
UT WOS:000465501100016
PM 31019395
ER

PT J
AU Guerra, J.
   Dugue, F.
TI The career of medical public health specialists graduated from the
   French public health medical residency
SO REVUE D EPIDEMIOLOGIE ET DE SANTE PUBLIQUE
VL 67
IS 2
BP 106
EP 113
DI 10.1016/j.respe.2018.12.064
PD APR 2019
PY 2019
AB Background. - The French public health medical residency was created in
   1984 to train medical public health specialists. Knowledge was lacking
   on the career of the trained practitioners, with the sole study dating
   from 1995. In this study, the French national association of medical
   public health residents aimed to describe the training and career of all
   medical public health specialists since the inception of the residency.
   Methods. - An online survey took place during the first semester of 2012
   to collect information on all medical public health specialists
   graduated from the French public health medical residency. Descriptive
   analysis of the collected information was performed.
   Results. - Replies from 563 graduated medical public health residents
   were collected from all over the country and years since the inception
   of the training. Ninety-eight percent of the informants were in
   activity. They mostly worked in public healthcare facilities (56%) and
   public administration (16%). Their main areas of practice were:
   epidemiology, clinical research, biostatistics (37%); health management
   information system (19%); health policy (14%). Eighty-eight percent of
   the respondents held a master degree, 29% a PhD. Practical training
   during the medical residency was deemed as very useful or needed by 73%
   of the informants, theoretical training by 43%. Sixty-eight percent of
   informants were very or fully satisfied by their carrier, 29% rather
   satisfied.
   Conclusion. - This is the first study to achieve coverage of more than
   45% of all medical public health specialists graduated since the
   inception of the public health medical residency. Full employment,
   widerange activities, evolving carriers can explain the high
   satisfaction rates. The public health medical residency being the main
   access point to the public health medical specialty, the impact of the
   initial training on the career should lead to rethink the design of the
   public health medical residency to fulfil the needs in the public health
   sector. (C) 2019 Elsevier Masson SAS. All rights reserved.
OI Guerra, Jose/0000-0002-4943-2723
ZS 0
Z8 0
TC 1
ZA 0
ZR 0
ZB 0
Z9 1
U1 1
U2 2
SN 0398-7620
EI 1773-0627
UT WOS:000462038500004
PM 30733052
ER

PT J
AU Gong, Bo
   Nugent, James P.
   Guest, William
   Parker, William
   Chang, Paul J.
   Khosa, Faisal
   Nicolaou, Savvas
TI Influence of Artificial Intelligence on Canadian Medical Students'
   Preference for Radiology Specialty: A National Survey Study
SO ACADEMIC RADIOLOGY
VL 26
IS 4
BP 566
EP 577
DI 10.1016/j.acra.2018.10.007
PD APR 2019
PY 2019
AB Rationale and Objectives: Artificial intelligence (AI) has the potential
   to transform the clinical practice of radiology. This study investigated
   Canadian medical students' perceptions of the impact of AI on radiology,
   and their influence on the students' preference for radiology specialty.
   Materials and Methods: In March 2018, an anonymous online survey was
   distributed to students at all 17 Canadian medical schools.
   Results: Among 322 respondents, 70 students considered radiology as the
   top specialty choice, and 133 as among the top three choices. Only a
   minority (29.3%) of respondents agreed AI would replace radiologists in
   foreseeable future, but a majority (67.7%) agreed AI would reduce the
   demand for radiologists. Even among first-choice respondents, 48.6%
   agreed AI caused anxiety when considering the radiology specialty.
   Furthermore, one-sixth of respondents who would otherwise rank radiology
   as the first choice would not consider radiology because of the anxiety
   about AI. Prior significant exposure to radiology and high confidence in
   understanding of AI were shown to decrease the anxiety level. Interested
   students valued the opinions of local radiologists, radiology
   conferences, and journals. Students were most interested in "expert
   opinions on AI" and "discussing AI in preclinical radiology lectures" to
   understand the impact of AI.
   Conclusion: Anxiety related to "displacement" (not "replacement") of
   radiologists by AI discouraged many medical students from considering
   the radiology specialty. The radiology community should educate medical
   students about the potential impact of AI, to ensure radiology is
   perceived as a viable long-term career choice.
RI Gong, Bo/E-6820-2011; Khosa, Faisal/
OI Gong, Bo/0000-0001-6028-1818; Khosa, Faisal/0000-0001-5681-7683
ZR 0
Z8 0
ZB 4
TC 72
ZS 2
ZA 0
Z9 74
U1 5
U2 29
SN 1076-6332
EI 1878-4046
UT WOS:000464628900018
PM 30424998
ER

PT J
AU Pfeiffer, Caitlin N.
   Jabbar, Abdul
TI Adaptive e-Learning: Emerging Digital Tools for Teaching Parasitology
SO TRENDS IN PARASITOLOGY
VL 35
IS 4
BP 270
EP 274
DI 10.1016/j.pt.2019.01.008
PD APR 2019
PY 2019
AB Adaptive learning activities can respond to a learner's needs in real
   time, facilitating the development of higher-level skills including
   bringing together knowledge from different disciplines to solve
   real-world problems. Here we discuss the use of online adaptive learning
   activities designed to help veterinary students apply their knowledge to
   work through parasite case studies.
RI Jabbar, Abdul/F-8584-2013
OI Jabbar, Abdul/0000-0001-8888-0046
TC 8
ZB 1
ZS 0
ZA 0
ZR 0
Z8 0
Z9 8
U1 0
U2 16
SN 1471-4922
EI 1471-5007
UT WOS:000461828500002
PM 30738631
ER

PT J
AU Martens, R.
   Nathoo, N.
   Sidhu, R.
   Gingerich, A.
TI Mapping the landscape of cataract surgery teaching assessment in
   Canadian residency programs
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 54
IS 2
BP 155
EP 158
DI 10.1016/j.jcjo.2018.04.023
PD APR 2019
PY 2019
AB Objective: The Royal College of Physicians and Surgeons of Canada has
   mandated a shift in post-graduate residency education in Canada towards
   a competency-based model. Within this context, it is unclear how
   residents competence in cataract surgery is currently being assessed for
   both formative and summative purposes. Therefore, we conducted a
   national survey to evaluate the current landscape of cataract surgery
   teaching in Canadian Ophthalmology programs.
   Methods: The opportunity to participate in an online survey was extended
   to all Canadian ophthalmology program directors and residents. Between
   July and September 2017, data was collected on demographics (name of
   program, levels of training), current framework of assessment, and any
   other contexts for cataract surgery assessments being used (e.g.,
   wetlabs or surgical simulators).
   Results: We had a total of 32 responses including 7 program directors
   (22%), 14 senior residents (44%), and 10 junior residents (34%). The
   assessments used varied greatly; none of the residency programs used a
   published assessment tool for assessing skill in cataract surgery. The
   majority of programs (9 of 11; 82%) used locally-designed assessments
   and two programs (18%) did not use any standardized forms or tools. All
   schools were using a wet lab to augment surgical teaching and simulators
   were being used by 5 of 11 programs (45%).
   Conclusion: There are a variety of approaches being used to assess
   competence in cataract surgery. Many programs share some similarities,
   and a framework for designing assessment is suggested to guide future
   efforts at competency-based training and assessment.
RI Gingerich, Andrea/AAH-2491-2022; Gingerich, Andrea/AFM-0154-2022; Nathoo, Nawaaz/
OI Gingerich, Andrea/0000-0001-5765-3975; Gingerich,
   Andrea/0000-0001-5765-3975; Nathoo, Nawaaz/0000-0002-1566-290X
Z8 0
ZR 0
ZB 0
TC 2
ZS 0
ZA 0
Z9 2
U1 0
U2 0
SN 0008-4182
EI 1715-3360
UT WOS:000463878500019
PM 30975336
ER

PT J
AU Russell, Nancy
   Jennings, Susan
   Jennings, Blair
   Slee, Valerie
   Sterling, Lisa
   Castells, Mariana
   Valent, Peter
   Akin, Cem
TI The Mastocytosis Society Survey on Mast Cell Disorders: Part 2-Patient
   Clinical Experiences and Beyond
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
VL 7
IS 4
BP 1157
EP +
DI 10.1016/j.jaip.2018.07.032
PD APR 2019
PY 2019
AB BACKGROUND: Mast cell diseases such as mastocytosis and mast cell
   activation syndrome involve abnormal proliferation and/or activation of
   these cells, leading to many clinically relevant symptoms.
   OBJECTIVE: To determine the characteristics and experiences of people
   known or suspected to have a mast cell disorder, The Mastocytosis
   Society, a US-based patient advocacy, research, and education
   organization, conducted a survey of patients.
   METHODS: This Web-based survey was publicized through specialty clinics
   and the society's newsletter, Web site, and online blogs. Both online
   and paper copies of the questionnaire were provided together with
   required statements of consent.
   RESULTS: The first set of results from this survey of 420 respondents
   has been previously published; the second set is presented in this
   article. These results include source(s) of diagnosis, clinical and
   laboratory tests reported, comorbidities, dietary practices, possible
   familial occurrence of mast cell disorders, and perceptions concerning
   mast cell disorder-related medical care needs in the United States.
   CONCLUSIONS: These patient survey results are provided to assist medical
   professionals in learning patients' perceptions of their experiences and
   to give patients with mast cell disorders and caregivers the opportunity
   to compare experiences with those of other affected individuals. (C)
   2018 The Authors. Published by Elsevier Inc. on behalf of the American
   Academy of Allergy, Asthma & Immunology.
RI Gamperl, Susi/V-2715-2019; Valent, Peter/B-8533-2016; Test, Test/Y-7921-2019; Test, PV/U-9451-2019
OI Gamperl, Susi/0000-0003-0456-5095; Valent, Peter/0000-0003-0456-5095; 
ZB 0
TC 9
ZR 0
ZS 0
Z8 0
ZA 0
Z9 9
U1 0
U2 2
SN 2213-2198
EI 2213-2201
UT WOS:000463732500009
PM 30098409
ER

PT J
AU Alencar, Michelle K.
   Johnson, Kelly
   Mullur, Rashmi
   Gray, Virginia
   Gutierrez, Elizabeth
   Korosteleva, Olga
TI The efficacy of a telemedicine-based weight loss program with video
   conference health coaching support
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 25
IS 3
BP 151
EP 157
DI 10.1177/1357633X17745471
PD APR 2019
PY 2019
AB Introduction Clinically significant weight loss is defined as a >= 5% of
   initial body weight loss within a 6-month period. The purpose of this
   study was to assess body weight change from a 12-week telehealth-based
   weight loss program that integrated health coaching via video
   conferencing. Methods A total of 25 obese participants (12 males, 13
   females) were recruited for this fully online 12-week weight loss
   program. Participants were randomly assigned to either an intervention
   group or control group (n = 13 intervention, body mass index (BMI) =
   34.7 +/- 4.5 kg/m(2); n = 12 control, BMI = 34.4 +/- 4.43 kg/m(2)). All
   participants were given access to a secure platform for data tracking
   and video conferencing with the research team. The intervention group
   met with the medical doctor once per month and with a registered
   dietitian, weekly. Control participants met with the research team at
   baseline and at 12 weeks. Independent samples t-tests and Chi-square
   tests were used via SPSS version 24 with significance set to p < 0.05.
   Results There was a significant difference between the intervention and
   control groups for body weight loss (7.3 +/- 5.2 versus 1.2 +/- 3.9 kg,
   respectively, p < 0.05) as well as for percent body weight loss (7.16
   +/- 4.4 versus 1.5 +/- 4.1%, respectively, p < 0.05). Clinically
   significant weight loss was achieved in 9 out of 13 (69.2%) in the
   intervention group versus 1 out of 12 (8%) in the control group.
   Discussion Mobile phone-based health coaching may promote weight loss.
   Weekly video conferencing with education may be an applicable tool for
   inducing significant body weight loss in obese individuals.
OI Gray, Virginia/0000-0002-3914-0145; Alencar,
   Michelle/0000-0002-9879-9660
ZR 0
Z8 0
ZA 0
ZB 7
TC 29
ZS 0
Z9 29
U1 0
U2 22
SN 1357-633X
EI 1758-1109
UT WOS:000463617500003
PM 29199544
ER

PT J
AU Sharma, Priya
   Land, Susan
TI Patterns of knowledge sharing in an online affinity space for diabetes
SO ETR&D-EDUCATIONAL TECHNOLOGY RESEARCH AND DEVELOPMENT
VL 67
IS 2
BP 247
EP 275
DI 10.1007/s11423-018-9609-7
PD APR 2019
PY 2019
AB Our research explores how people learn as part of everyday contexts and
   settings and specifically, we explore the discourse of an online
   affinity space for diabetics, where participants engage in knowledge
   sharing and storytelling around disease management. We frame the
   analyses by examining participants' meaning making discourse for
   advancing knowledge and practices situated in everyday, practical
   activity. Social network analyses were conducted to visualize the
   structure of the community. Analyses of discourse in the affinity space
   revealed three primary patterns of knowledge sharing: (a) sharing
   information; (b) extending perspectives; and (c) communicating
   repertoires of practice. Our analyses describe recurring narratives,
   discourse patterns, and constructions, which can be seen as part of the
   cultural model that defines the diabetes affinity space. We found that
   personalized storytelling, which included sharing of personal
   experiences and data such as blood glucose levels, acted as a primary
   pattern of language use. Our results contribute to an understanding of
   the role of discourse in supporting personal and community practices and
   learning in online affinity spaces, as well as implications for the
   design of technology in supporting knowledge sharing in such spaces.
OI Sharma, Priya/0000-0002-9743-7510
ZR 0
TC 7
ZS 0
ZA 0
ZB 0
Z8 0
Z9 7
U1 0
U2 20
SN 1042-1629
EI 1556-6501
UT WOS:000460624800001
ER

EF