﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Krishnan, Giri
   Mintz, Jack
   Foreman, Andrew
   Hodge, J. C.
   Krishnan, Suren
TI The acceptance and adoption of transoral robotic surgery in Australia
   and New Zealand
SO JOURNAL OF ROBOTIC SURGERY
VL 13
IS 2
BP 301
EP 307
DI 10.1007/s11701-018-0856-8
PD APR 2019
PY 2019
AB Transoral robotic surgery (TORS) provides improved access to head and
   neck subsites resulting in well-validated functional and oncological
   outcomes, but access to and cost of robotic platforms can limit their
   use. Evidence suggests TORS is increasingly being adopted globally, but
   there is a paucity of data on the adoption and diffusion of TORS in
   Australia and New Zealand. A cross-sectional analysis was performed. An
   online survey was distributed to otolaryngologists and head and neck
   surgeons through three different Australian and New Zealand specialty
   membership databases. A 5-point Likert scale based on a Unified Theory
   of Acceptance and Use of Technology (UTAUT) model was incorporated to
   assess barriers and facilitators to adoption. 77 respondents completed
   the survey. 43.6% of head and neck surgeons had performed TORS. The most
   common cases were lateral oropharyngectomy (35.9%), base of tongue
   resection (33.3%), tongue base mucosectomy (28.2%), supraglottic
   laryngectomy (15.4%) and TORS for obstructive sleep apnoea (12.8%).
   Perceived barriers to adoption were high costs, access to and
   availability of the robotic platform and limited training opportunities.
   This study provides evidence of adoption of TORS in Australia and New
   Zealand; however, there is a perception that significant barriers to
   adoption persist. Results from this study may help guide decisions on
   how we train and license surgeons in the era of this technology.
OI Krishnan, Giri/0000-0002-4196-9155
ZR 0
Z8 0
ZA 0
TC 6
ZS 0
ZB 2
Z9 6
U1 0
U2 2
SN 1863-2483
EI 1863-2491
UT WOS:000463111100016
PM 30128930
ER

PT J
AU Cavalera, Cesare
   Rovaris, Marco
   Mendozzi, Laura
   Pugnetti, Luigi
   Garegnani, Massimo
   Castelnuovo, Gianluca
   Molinari, Enrico
   Pagnini, Francesco
TI Online meditation training for people with multiple sclerosis: A
   randomized controlled trial
SO MULTIPLE SCLEROSIS JOURNAL
VL 25
IS 4
BP 610
EP 617
DI 10.1177/1352458518761187
PD APR 2019
PY 2019
AB Background: Multiple sclerosis (MS) has a relevant impact on quality of
   life (QOL) and is associated with increased risks of psychological
   morbidity. Mindfulness-based interventions (MBIs) are among the most
   studied interventions, although few well-conducted studies have tested
   them in this field. Furthermore, the participation in typical MBIs may
   be impaired by time and logistics. Objective: We aimed to test the
   efficacy of an online MBI to improve QOL, psychological well-being,
   sleep, and fatigue. Methods: We conducted a randomized controlled trial,
   in which 139 participants were randomly assigned to an MS-specific
   online mindfulness meditation intervention or to a psychoeducational
   (active control) group. Participants were assessed for QOL, depression,
   anxiety, sleep problems, and fatigue, at three different times: at
   recruitment, after 2 months, and after 6 months. Results: In comparison
   to the control group, the experimental subjects reported higher QOL and
   lower depression, anxiety, and sleep problems at the end of
   intervention. However, after 6 months these group differences were no
   longer significant. Conclusion: An online MBI could be an effective
   psychological treatment for the promotion of well-being in MS in
   short-term. However, the lack of lasting effects requires the
   development of new strategies to support long-term changes.
RI Rovaris, Marco/AAA-6040-2020; Pagnini, Francesco/G-3808-2011; Pugnetti, Luigi/AAA-6154-2020; Mendozzi, Laura/; Garegnani, Massimo Mario/; Cavalera, Cesare/
OI Rovaris, Marco/0000-0001-9691-1957; Pagnini,
   Francesco/0000-0003-1612-4211; Pugnetti, Luigi/0000-0002-9593-170X;
   Mendozzi, Laura/0000-0001-7394-4588; Garegnani, Massimo
   Mario/0000-0001-8233-6437; Cavalera, Cesare/0000-0001-9309-0874
Z8 0
ZA 0
ZS 0
TC 31
ZB 4
ZR 0
Z9 31
U1 1
U2 14
SN 1352-4585
EI 1477-0970
UT WOS:000461643500015
PM 29485319
ER

PT J
AU Levasseur, Mary A.
   Ferrari, Manuela
   McIlwaine, Sarah
   Iyer, Srividya N.
TI Peer-driven family support services in the context of first-episode
   psychosis: Participant perceptions from a Canadian early intervention
   programme
SO EARLY INTERVENTION IN PSYCHIATRY
VL 13
IS 2
BP 335
EP 341
DI 10.1111/eip.12771
PD APR 2019
PY 2019
AB Aim This paper aims to advance our understanding of the experience of
   participating in peer support groups for family members of persons with
   psychosis and to expand the scant body of literature on peer support in
   the context of early intervention services for psychosis. Such an
   examination is relevant because the implementation and uptake of
   family-focused interventions remain inconsistent in early intervention
   services, despite their proven benefits. Methods To enable family
   caregivers to support one another, a family peer support project was
   initiated at an early intervention service for psychosis in Montreal,
   Canada. A family peer support provider and researchers collaboratively
   designed and conducted this study to examine the experience of those who
   participated in family peer support groups. Forty-four family members
   completed an English or French online questionnaire. Thematic analysis
   was used to code responses to open-ended questions to unpack crucial
   elements of this peer support intervention. Results Three key themes
   were identified-the impact of psychosis on families; understanding and
   coping with psychosis through family peer support; and improving family
   peer support services. Mutual support through sharing experiences; gains
   in knowledge of the illness and its treatment; emotional support; and
   increased caregiving and self-care capacities and skills were identified
   as critical benefits of family peer support. Conclusion Family peer
   support can be an acceptable and cherished means of engaging and
   sustaining families and enhancing their caregiving skills. Its
   integration into early intervention services holds the promise of
   helping promote recovery and reducing caregiver burden.
RI Iyer, Srividya/AAU-2256-2021; Ferrari, Manuela/
OI Iyer, Srividya/0000-0001-5367-9086; Ferrari, Manuela/0000-0002-7530-6210
ZB 1
ZA 0
Z8 0
TC 4
ZR 0
ZS 0
Z9 4
U1 3
U2 10
SN 1751-7885
EI 1751-7893
UT WOS:000462574000023
PM 30548396
ER

PT J
AU Eglseer, Doris
   Visser, Marjolein
   Volkert, Dorothee
   Lohrmann, Christa
TI Nutrition education on malnutrition in older adults in European medical
   schools: need for improvement?
SO EUROPEAN GERIATRIC MEDICINE
VL 10
IS 2
BP 313
EP 318
DI 10.1007/s41999-018-0154-z
PD APR 2019
PY 2019
AB PurposeMalnutrition is a condition which is highly prevalent, especially
   in older persons. Physicians play an important role in multidisciplinary
   nutritional management, but often feel inadequately prepared to provide
   nutritional information/therapy to their patients. The aim of this study
   was to gather information on curricular content on malnutrition in older
   persons in basic study programs for medical doctors.MethodsWe selected a
   cross-sectional study design and used a Web-based online survey. We
   emailed the Web link to those persons responsible for curriculum
   development at 310 medical schools in 31 European countries.ResultsA
   total of 26 (8.4%) medical schools in 12 European countries completed
   the questionnaire. The topic of malnutrition in older adults was
   included as part of the medical students' curricula at 50.0% (13 out of
   26) of the participating institutions. Most commonly topics taught in
   the institutions were causes of malnutrition (13, 50%), assessment of
   malnutrition (13, 50%) and consequences of malnutrition (12, 46.2%). The
   topic of malnutrition screening was addressed in nine (35%) of the
   institutions.ConclusionsBased on our results, we strongly recommend
   including the topic of malnutrition in older adults in the undergraduate
   curricula of medical students in Europe. A special focus should be
   placed on multidisciplinary cooperation. Integrative teaching that
   targets all professional groups could be one option. Initiatives need to
   be carried out to create a higher level of awareness and promote
   improvements in nutrition education for medical doctors.
RI Lohrmann, Christa/AHA-0202-2022; Visser, Marjolein/AAP-3224-2020; Visser, Marjolein/; Eglseer, Doris/
OI Lohrmann, Christa/0000-0002-0778-5854; Visser,
   Marjolein/0000-0002-5136-298X; Eglseer, Doris/0000-0002-9739-7555
TC 6
ZS 0
ZB 1
Z8 0
ZR 0
ZA 0
Z9 6
U1 0
U2 6
SN 1878-7649
EI 1878-7657
UT WOS:000462314000018
PM 34652752
ER

PT J
AU Wagner, F.
   Knipfer, C.
   Holzinger, D.
   Ploder, O.
   Nkenke, E.
TI Webinars for continuing education in oral and maxillofacial surgery: The
   Austrian experience
SO JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
VL 47
IS 4
BP 537
EP 541
DI 10.1016/j.jcms.2019.01.009
PD APR 2019
PY 2019
AB The aim of the present study was to evaluate the acceptance of a webinar
   series for continuing medical education hosted by the Austrian Society
   for Oral and Maxillofacial Surgery (OGMKG).
   A series of twelve webinars was streamed via the Internet and the
   participants' satisfaction was evaluated by an online questionnaire.
   51 out of 140 participants (36.4%) completed the questionnaire
   completely and were included into the study for further analysis. The
   mean age of the participants was 37.9 +/- 8.9 and did not vary
   significantly between gender (p = 0.53). The results of the
   questionnaire revealed a positive attitude of the participants towards
   this kind of webinar. The participants found that the webinars allowed
   for an adequate transfer of knowledge.
   Continuing medical education by webinars in oral and maxillofacial
   surgery is well accepted by the participants. Although both male and
   female participants had a positive attitude towards the webinars,
   females gave even better ratings than their male counterparts did. (C)
   2019 European Association for Cranio-Maxillo-Facial Surgery. Published
   by Elsevier Ltd. All rights reserved.
RI Knipfer, Christian/AAM-1408-2020; Nkenke, Emeka/A-1064-2014; Holzinger, Daniel/; Ploder, Oliver/
OI Nkenke, Emeka/0000-0001-9591-9359; Holzinger,
   Daniel/0000-0002-2924-0193; Ploder, Oliver/0000-0003-4263-4776
ZA 0
ZR 0
TC 17
ZS 1
ZB 2
Z8 0
Z9 18
U1 0
U2 4
SN 1010-5182
EI 1878-4119
UT WOS:000462588900001
PM 30770257
ER

PT J
AU Back, David Alexander
   von Malotky, Jennifer
   Sostmann, Kai
   Peters, Harm
   Hube, Robert
   Hoff, Eike
TI Experiences with using e-learning tools in orthopedics in an
   uncontrolled field study application
SO ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
VL 105
IS 2
BP 389
EP 393
DI 10.1016/j.otsr.2019.01.002
PD APR 2019
PY 2019
AB Background: E-learning is widely used in undergraduate medical education
   and often in blended learning settings for students learning at home.
   This study should assess the educative value of e-learning tools in
   orthopedics and traumatology when used under "field" conditions, in
   comparison with a controlled laboratory-like setting.
   Materials and methods: Medical students were invited for their voluntary
   online participation in an uncontrolled study (UCS). They were randomly
   exposed to digital book chapters or podcasts on four different
   orthopedic diseases, and then filled in pre-/post-tests and evaluations.
   Test results indicating insufficient study participation were not
   included in the subsequent analysis. Results in a gain of knowledge and
   student's satisfaction were compared to existing data of a randomized
   controlled trial with the same tools in a laboratory environment (RCT).
   Results: Among 84 included UCS students and 130 RCT students, podcast
   learners showed a significantly higher gain of knowledge compared to
   text learners independent of the learning setting (UCS p < 0.011; RCTp <
   0.001). There were no significant differences in the gain of knowledge
   for the two different learning tools when comparing each the UCS and RCT
   settings. Evaluations showed positive ratings for both tools, while
   podcasts were on the average rated higher than texts were. Significantly
   more UCS participants (n= 46) compared to the RCT (n= 34) showed signs
   of disengagement with the study (p < 0.05).
   Discussion: The findings suggest that it is possible to achieve a
   similar gain of knowledge with e-learning tools in uncontrolled settings
   and in RCTs. The role of e-learning materials in voluntary and formative
   learning settings is of value and should be explored in future studies.
   (C) 2019 Elsevier Masson SAS. All rights reserved.
RI Peters, Harm/AAE-5643-2019
TC 8
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 8
U1 5
U2 11
SN 1877-0568
UT WOS:000462781500031
PM 30858039
ER

PT J
AU Russell, Vincent
   Clarke, Mary
   Loo, Ching Ee
   Bharathy, Arokiamary
   Vasudevan, Umadevi
   Byrne, Elaine
   Smith, Susan M.
TI Medical Student Perceptions of the Value of Learning Psychiatry in
   Primary Care Settings in Penang, Malaysia
SO ACADEMIC PSYCHIATRY
VL 43
IS 2
BP 157
EP 166
DI 10.1007/s40596-018-0960-0
PD APR 2019
PY 2019
AB ObjectiveThe study's objective was to determine the educational value of
   participation in a consultation/liaison psychiatry service to primary
   care clinics, from the perspective of Malaysian medical
   undergraduates.MethodsA mixed method design was used. Fourth-year
   medical students participated in a consultation/liaison psychiatry
   service to two government-operated primary care clinics. Each student
   attended two half-day consultations to the clinics during the psychiatry
   clinical clerkship. Students joined in discussions with primary care
   clinicians, performed supervised clinical assessments, and administered
   a depression screening instrument. The learning experience was evaluated
   through four focus groups, each with 9-10 participants, held throughout
   the academic year. An end-of-year, anonymous, online questionnaire
   survey was administered to the entire class. Thematic analysis of focus
   group transcripts was performed and quantitative statistics were
   calculated (Stata version 13).ResultsFocus group themes included the
   following: (a) active learning opportunities in primary care psychiatry
   consultation had perceived added educational value, (b) students
   benefited from contact with patients with previously undiagnosed common
   mental disorders, and (c) students' primary care experience raised their
   awareness of societal and professional responsibilities. Of the class of
   113 students, 93 (82%) responded to the questionnaire. The survey
   responses reflected the qualitative themes, with 79 respondents (85%)
   stating that the learning experience met or exceeded their
   expectations.ConclusionsAcademic psychiatry has been criticized for its
   overreliance on secondary care settings in undergraduate clinical
   teaching. Our findings suggest that supervised clinical placements in
   primary care are feasible and provide added educational value as a
   routine component of the undergraduate psychiatry clinical clerkship.
RI Russell, Vincent/Q-6668-2018; Byrne, Elaine/E-2458-2012; Smith, Susan/
OI Russell, Vincent/0000-0003-4664-7371; Byrne, Elaine/0000-0001-7322-277X;
   Smith, Susan/0000-0001-6027-2727
Z8 0
ZA 0
ZB 0
ZS 0
TC 4
ZR 0
Z9 4
U1 0
U2 2
SN 1042-9670
EI 1545-7230
UT WOS:000461873400003
PM 30069698
ER

PT J
AU Palmer, Brian A.
   Lee, James H.
   Somers, Kristin J.
   Swintak, Cosima C.
   Rullo, Jordan
   Bright, Robert P.
   Bostwick, J. Michael
   Frye, Mark A.
   Sperry, Jeannie A.
TI Effect of In-Class vs Online Education on Sexual Health Communication
   Skills in First-Year Medical Students: a Pilot Study
SO ACADEMIC PSYCHIATRY
VL 43
IS 2
BP 175
EP 179
DI 10.1007/s40596-018-0949-8
PD APR 2019
PY 2019
AB ObjectiveOnline education is effective for knowledge acquisition, but
   its effect on clinical skill development is not well characterized. We
   aimed to compare communication skills of 50 first-year medical students
   who learned to assess and treat patients through an online learning
   module vs an in-class lecture.MethodsTwenty-six students were randomized
   to learn about antidepressant-induced sexual dysfunction in class and 24
   learned the same content through an online module. Students were
   individually observed conducting an interview with a standardized
   patient with antidepressant-induced sexual dysfunction. Students were
   assessed by faculty raters blinded to the student's learning mode.
   Standardized patients were asked about their willingness to have the
   student as their physician.ResultsMore students who learned in class vs
   online demonstrated appropriate verbal empathy (18 [69%] vs 8 [33%];
   P=0.01), defined as completing each task in the verbal empathy
   assessment domain, as measured by a faculty rater. Other assessed
   variables were not significantly different. Standardized patients'
   willingness (vs unwillingness; P=0.01) to have the student as their
   physician was associated with the demonstration (by faculty appraisal)
   of a number of basic skills: using open-ended questions, asking one
   question at a time, using gender-neutral terminology when asking about
   the patient's relationship, and using appropriate sexual-health
   terminology.ConclusionsThis study, although limited by a single-site
   design and the small number of participants, offers preliminary evidence
   that, if confirmed, may suggest that in-class learning from a
   psychiatrist (vs from an online module) is associated with greater
   verbal empathy in the assessment of SSRI-related sexual dysfunction.
OI Lee, James/0000-0001-9084-6568
ZS 0
ZR 0
ZB 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 8
SN 1042-9670
EI 1545-7230
UT WOS:000461873400006
PM 29949052
ER

PT J
AU Jones-Bourne, Claudine
   Arbuckle, Melissa R.
TI Psychiatry Residents' Perspectives of Primary Care in the Psychiatric
   Setting
SO ACADEMIC PSYCHIATRY
VL 43
IS 2
BP 196
EP 199
DI 10.1007/s40596-018-1001-8
PD APR 2019
PY 2019
AB ObjectiveGiven the growing interest in integrated care, this study
   sought to investigate the perception of psychiatry residents towards
   managing general medical conditions in their psychiatric
   patients.MethodsBetween July-October 2017, all 46 residents at an adult
   psychiatry program were asked to complete an online
   survey.ResultsSixty-seven percent responded. Most residents (81%)
   indicated they were knowledgeable and/or comfortable in managing medical
   conditions with supervision/consultation from a primary care provider.
   Residents also indicated that they would like to (48%) and/or should be
   able to (71%) manage the general medical conditions of their patients in
   the future with supervision/consultation from a primary care provider.
   An additional 26% indicated that they would like to and/or should be
   able to independently manage both behavioral and general medical
   conditions for their patients. Nicotine dependence, hypertension,
   dyslipidemias, and non-insulin-dependent diabetes were among the top
   conditions residents felt they should be able to manage (74%). A lack of
   knowledge, experience, training, and supervision were the most frequent
   barriers residents listed in providing general medical care to patients
   (71%). Residents noted that supervision from a primary care physician
   (29%) and additional education (54%) would help increase their comfort
   in managing medical conditions.ConclusionsPsychiatry residents were
   generally interested in managing basic medical issues. Opportunities to
   expand residency training in integrated care should be considered. With
   new models of integrated care emerging, future studies should explore
   how resident attitudes might evolve over time, as well as the attitudes
   and opinions of practicing psychiatrists and supervisors on this topic.
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
TC 1
Z9 1
U1 0
U2 1
SN 1042-9670
EI 1545-7230
UT WOS:000461873400010
PM 30560349
ER

PT J
AU Baek, In Chan
   Choi, Su Youn
   Suh, Jiwoo
   Kim, Shin Hyung
TI The Influence of Local Anesthesia Depth on Procedural Pain During
   Fluoroscopically Guided Lumbar Transforaminal Epidural Injections A
   Randomized Clinical Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 4
BP 253
EP 257
DI 10.1097/PHM.0000000000001032
PD APR 2019
PY 2019
AB Supplemental digital content is available in the text.
OI Kim, Shin Hyung/0000-0003-4058-7697; Baek, In Chan/0000-0002-9497-3449;
   Suh, Jiwoo/0000-0002-6143-9805
TC 3
Z8 0
ZB 0
ZS 0
ZR 0
ZA 0
Z9 3
U1 0
U2 1
SN 0894-9115
EI 1537-7385
UT WOS:000461897800007
PM 30153126
ER

PT J
AU Tam, Wilson
   Lo, Kenneth
   Pacheco, Joao
TI Prevalence of depressive symptoms among medical students: overview of
   systematic reviews
SO MEDICAL EDUCATION
VL 53
IS 4
BP 345
EP 354
DI 10.1111/medu.13770
PD APR 2019
PY 2019
AB Context The prevalence of depressive symptoms among medical students has
   been found to be higher than among other students because of their
   longer studying time, higher workload and larger financial burden.
   Despite the availability of reviews examining this, some have focused
   solely on one country, whereas others used databases containing papers
   of solely one language; therefore, the results from reviews might not be
   comprehensive. Against this background, this overview aims to synthesise
   the results from all the published systematic reviews of depression
   among medical students, in order to provide a more accurate result.
   Methods A systematic search was conducted of online databases for
   published systematic reviews or meta-analyses examining the prevalence
   of depressive symptoms among medical students. The findings of
   individual studies included in these reviews were extracted and then
   combined with a random-effects model. Subgroup analysis was conducted by
   regions. Results A total of 10 studies were selected in this overview,
   involving 249 primary studies and 162 450 medical students. MEDLINE was
   the most popular database used in these studies. The overlapping of
   primary studies in these reviews was appreciably high, except for three
   studies that focused on specific countries. The overall pooled
   prevalence was 27.0% (95% CI, 24.7-29.5%). Significant subgroup
   differences were detected (p < 0.001). The pooled prevalence among
   studies in the Western Pacific Region was the lowest, 18.9% (95% CI,
   11.7-29.0%), whereas that in Africa (40.9%) was the highest (95% CI,
   28.8-54.4%). The top five significant factors associated with depressive
   symptoms were: (i) year of study; (ii) gender; (iii) personal issues;
   (iv) family relations or issues, and (v) health status. Conclusions
   Depression affected around a quarter of medical students in general and
   40.9% of students in Africa. It is suggested that medical schools and
   health authorities should introduce preventive measures to curb the high
   prevalence of depressive symptoms.
RI TAM, Wilson W.S./H-5890-2019; Lo, Kenneth/ABB-6248-2020; Tam, Wilson/K-1664-2019; Pacheco, João Pedro Gonçalves/Q-1368-2019
OI TAM, Wilson W.S./0000-0003-0641-3060; Lo, Kenneth/0000-0003-4624-2737;
   Tam, Wilson/0000-0003-0641-3060; Pacheco, João Pedro
   Gonçalves/0000-0002-2871-7420
ZR 0
ZB 7
TC 41
ZA 0
Z8 0
ZS 3
Z9 44
U1 0
U2 15
SN 0308-0110
EI 1365-2923
UT WOS:000461884000008
PM 30474128
ER

PT J
AU Stroumsa, Daphna
   Shires, Deirdre A.
   Richardson, Caroline R.
   Jaffee, Kim D.
   Woodford, Michael R.
TI Transphobia rather than education predicts provider knowledge of
   transgender health care
SO MEDICAL EDUCATION
VL 53
IS 4
BP 398
EP 407
DI 10.1111/medu.13796
PD APR 2019
PY 2019
AB Purpose Transgender and gender diverse (TGD) patients face significant
   hurdles in accessing affirming, knowledgeable care. Lack of provider
   knowledge presents a substantial barrier to both primary and
   transition-related care and may deter patients from seeking health care.
   Little is known about factors that affect provider knowledge or whether
   exposure to TGD health content during training is associated with
   improved knowledge among providers. Using the TGD Healthcare Knowledge
   Scale, this study aimed to determine whether prior education on TGD
   health predicts clinicians' current knowledge regarding health care for
   TGD patients. Methods An online survey examining exposure to TGD content
   and knowledge of TGD health care was distributed to all primary care
   providers in an integrated health care system in the Midwestern United
   States. Multivariable linear regression was used to predict provider
   knowledge, controlling for demographics, transphobia and other potential
   confounders. Results The response rate was 57.3% (n = 223). The mean
   knowledge score was 7.41 (SD = 1.31) on a 10-point scale. Almost half
   (48.4%, n = 108) had no formal education on TGD health care, yet half
   (49.7%, n = 111) of providers reported previously caring for at least
   one transgender patient. In regression analysis, provider knowledge of
   TGD health care was associated with transphobia (beta = -0.377, 95% CI =
   -0.559 to -0.194, p < 0.001), but not with hours of formal education
   (beta = -0.027, 95% CI = -0.077 to 0.023, p = 0.292) or informal
   education (beta = -0.012, 95% CI = -0.033 to 0.009, p = 0.259).
   Conclusions Increasing hours of education related to TGD health care may
   not be sufficient to improve providers' competence in care for TGD
   individuals. Transphobia may be a barrier to learning that needs to be
   addressed. Broader efforts to address transphobia in society in general,
   and in medical education in particular, may be required to improve the
   quality of medical care for TGD patients.
RI Shires, Deirdre/U-9724-2019; Stroumsa, Daphna/; Richardson, Caroline/
OI Stroumsa, Daphna/0000-0003-1205-3217; Richardson,
   Caroline/0000-0002-1945-6046
TC 61
ZB 5
Z8 0
ZR 0
ZA 0
ZS 1
Z9 62
U1 1
U2 12
SN 0308-0110
EI 1365-2923
UT WOS:000461884000013
PM 30666699
ER

PT J
AU Wang, Xiaohui
   Chen, Liang
   Shi, Jingyuan
   Peng, Tai-Quan
TI What makes cancer information viral on social media?
SO COMPUTERS IN HUMAN BEHAVIOR
VL 93
BP 149
EP 156
DI 10.1016/j.chb.2018.12.024
PD APR 2019
PY 2019
AB Although critical in practice, as well as prevalent, limited effort has
   gone into understanding the driving factors behind the diffusion of
   cancer information on social media. This study seeks to comprehensively
   examine both the content and sender factors that determine cancer
   information diffusion. Specifically, a multidimensional measure is
   proposed to capture diffusion characteristics of cancer information,
   including the scale of information diffusion, structural virality of
   information diffusion, and the engagement in cancer discussion. A
   conceptual framework consisting of content and sender factors is
   proposed based on the heuristic-systematic model to account for cancer
   information diffusion. Through analyzing information diffusion networks
   of cancer-related information on Weibo, the results revealed that sender
   factors played determining roles in affecting information diffusion. The
   content factors also significantly predicted information diffusion. The
   factors driving engagement are substantially different from those of
   scale and virality of information diffusion. Implications for both
   information diffusion theories and cancer education on social media are
   discussed.
RI Chen, Liang/AAW-8102-2021; Peng, Tai-Quan/B-3176-2011; Chen, Liang/; Shi, Jingyuan/; Wang, Xiaohui/
OI Peng, Tai-Quan/0000-0002-2588-7491; Chen, Liang/0000-0003-0968-2936;
   Shi, Jingyuan/0000-0001-5675-4512; Wang, Xiaohui/0000-0003-2126-1712
TC 42
ZA 0
Z8 3
ZR 0
ZS 1
ZB 4
Z9 45
U1 5
U2 54
SN 0747-5632
EI 1873-7692
UT WOS:000457666400017
ER

PT J
AU Ershad, M.
   Rege, R.
   Fey, Ann Majewicz
TI Automatic and near real-time stylistic behavior assessment in robotic
   surgery
SO INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
VL 14
IS 4
BP 635
EP 643
DI 10.1007/s11548-019-01920-6
PD APR 2019
PY 2019
AB PurposeAutomatic skill evaluation is of great importance in surgical
   robotic training. Extensive research has been done to evaluate surgical
   skill, and a variety of quantitative metrics have been proposed.
   However, these methods primarily use expert selected features which may
   not capture latent information in movement data. In addition, these
   features are calculated over the entire task time and are provided to
   the user after the completion of the task. Thus, these quantitative
   metrics do not provide users with information on how to modify their
   movements to improve performance in real time. This study focuses on
   automatic stylistic behavior recognition that has the potential to be
   implemented in near real time.MethodsWe propose a sparse coding
   framework for automatic stylistic behavior recognition in short time
   intervals using only position data from the hands, wrist, elbow, and
   shoulder. A codebook is built for each stylistic adjective using the
   positive and negative labels provided for each trial through crowd
   sourcing. Sparse code coefficients are obtained for short time intervals
   (0.25 s) in a trial using this codebook. A support vector machine
   classifier is trained and validated through tenfold cross-validation
   using the sparse codes from the training set.ResultsThe results indicate
   that the proposed dictionary learning method is able to assess stylistic
   behavior performance in near real time using user joint position data
   with improved accuracy compared to using PCA features or raw
   data.ConclusionThe possibility to automatically evaluate a trainee's
   style of movement in short time intervals could provide the user with
   online customized feedback and thus improve performance during surgical
   tasks.
OI Majewicz Fey, Ann/0000-0002-1802-6730; Rege, Robert/0000-0002-6864-713X
ZA 0
ZB 2
TC 18
ZS 0
Z8 0
ZR 0
Z9 18
U1 0
U2 8
SN 1861-6410
EI 1861-6429
UT WOS:000461349600007
PM 30779023
ER

PT J
AU Muriel-Fernandez, Jorge
   Patino Alonso, Carmen
   Lopez-Valverde, Nansi
   Manuel Lopez-Millan, Jose
   Juanes Mendez, Juan A.
   Jose Sanchez-Ledesma, Maria
TI Results of the Use of a Simulator for Training in Anesthesia and
   Regional Analgesia Guided by Ultrasound
SO JOURNAL OF MEDICAL SYSTEMS
VL 43
IS 4
AR 79
DI 10.1007/s10916-019-1196-6
PD APR 2019
PY 2019
AB Show the learning results obtained by a simulation tool used by students
   of an online course on anesthesia techniques and regional analgesia
   guided by ultrasound. A satisfaction survey generated with a form of
   Google Forms was carried out in September 2018 with 14 questions related
   to the quality, ease and capacity of the learning obtained after the use
   of the nerve blocks Simulator, which was firstly published on the first
   edition of the course for 34 students. An average of 7.3 attempts of
   resolution have been made per practice and per student in the simulator.
   The students are, in their immense majority, habitual users of the ICTs
   and 73% of them consider that their experience with the simulator has
   been satisfactory and that their learning has been favored by this fact.
   The authors have verified that the ultrasound simulator contributes to
   the learning of skills for the practice of nerve blocks and,
   furthermore, it helps to ensure that theoretical knowledge is carried
   out in a more productive and efficient way.
RI López-Millán, José M./L-9188-2017; Sanchez-Ledesma, Maria Jose/L-8668-2017; Lopez-Valverde Hernandez, Nansi/D-7316-2018; Juanes, Juan A/D-8675-2018; Muriel-Fernandez, Jorge/
OI López-Millán, José M./0000-0001-7999-2257; Sanchez-Ledesma, Maria
   Jose/0000-0001-9146-2726; Lopez-Valverde Hernandez,
   Nansi/0000-0002-4168-3085; Juanes, Juan A/0000-0003-2749-3426;
   Muriel-Fernandez, Jorge/0000-0003-1497-3316
TC 3
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 3
U1 1
U2 10
SN 0148-5598
EI 1573-689X
UT WOS:000458827000001
PM 30772920
ER

PT J
AU Ma, Jennie Z.
   Hart, Joy L.
   Walker, Kandi L.
   Giachello, Aida L.
   Groom, Allison
   Landry, Robyn L.
   Tompkins, Lindsay K.
   Vu, Thanh-Huyen T.
   Mattingly, Delvon T.
   Sears, Clara G.
   Kesh, Anshula
   Hall, Michael E.
   Robertson, Rose Marie
   Payne, Thomas J.
TI Perceived health risks of electronic nicotine delivery systems (ENDS)
   users: The role of cigarette smoking status
SO ADDICTIVE BEHAVIORS
VL 91
SI SI
BP 156
EP 163
DI 10.1016/j.addbeh.2018.10.044
PD APR 2019
PY 2019
AB Introduction: Use of electronic nicotine delivery systems (ENDS) has
   increased markedly. We examined how current ENDS users differ in
   perceptions of tobacco and ENDS-related health risks as a function of
   cigarette smoking status.
   Methods: We classified 1329 current ENDS users completing a national
   online survey based on cigarette smoking status, and employed linear and
   logistic regression to assess group differences in perceptions of
   tobacco-related health risks.
   Results: The sample consisted of 38% Current Cigarette Smokers, 40%
   Former Cigarette Smokers, and 22% Non Smokers. Our targeted recruitment
   strategy yielded a balance of key descriptive variables across
   participants. Significant differences were observed in race, employment
   and marital status across cigarette smoking status, but not in gender,
   education, income, or sexual orientation. Participants reported
   considerable perceived knowledge about health risks associated with
   tobacco use, but less regarding ENDS use. Current Smokers rated ENDS use
   as riskier than Non-Smokers, and considered cigarette use less risky for
   both users and bystanders. Current Smokers were more likely to perceive
   cardiovascular diseases, diabetes and cancer as the health risks
   associated with ENDS use. Former Smokers were more likely to perceive
   such risks with traditional tobacco use. Further, regardless of smoking
   status, perceived knowledge about the health risks of tobacco or ENDS
   use was positively associated with perceived likelihood of high risks of
   cardiovascular diseases and cancer.
   Conclusions: Among current ENDS users, there were significant
   differences in perceived health risks based on cigarette smoking
   history. Improved health messaging can be achieved when cigarette
   smoking status is taken into account.
RI Mattingly, Delvon/AAM-9233-2021; Payne, Thomas/R-4290-2019; Tompkins, Lindsay/; Vu, Thanh-Huyen/
OI Mattingly, Delvon/0000-0002-2039-7311; Payne,
   Thomas/0000-0002-9839-6255; Tompkins, Lindsay/0000-0001-9498-0588; Vu,
   Thanh-Huyen/0000-0002-5069-4886
ZB 2
ZR 0
Z8 0
ZA 0
ZS 0
TC 8
Z9 8
U1 0
U2 10
SN 0306-4603
EI 1873-6327
UT WOS:000458711400023
PM 30420103
ER

PT J
AU Hong, Hanna
   McConnell, Rob
   Liu, Fei
   Urman, Robert
   Barrington-Trimis, Jessica L.
TI The impact of local regulation on reasons for electronic cigarette use
   among Southern California young adults
SO ADDICTIVE BEHAVIORS
VL 91
SI SI
BP 253
EP 258
DI 10.1016/j.addbeh.2018.11.020
PD APR 2019
PY 2019
AB Objective: Tobacco control policies have decreased tobacco use among
   youth and young adults. We aimed to identify whether specific local
   tobacco retail licensing ordinances were associated with reasons for
   e-cigarette use, in order to examine whether strong local policies may
   reduce e-cigarette initiation rates by influencing the appeal of these
   products.
   Methods: Online questionnaires were completed by Southern California
   Children's Health Study participants in 2015-2016 (mean age = 18.9
   years). Those who had ever used an e-cigarette (N = 614) were asked
   about reasons for use; additional data were collected on local
   jurisdiction tobacco sales policy, friends' attitudes toward e-cigarette
   use, e-cigarette characteristics (level of nicotine, flavorings), and
   history of tobacco use. Multivariate logistic regression models
   evaluated associations of each factor with reasons for e-cigarette use,
   adjusting for gender, ethnicity, highest parental education, tobacco use
   history and with a random effect of jurisdiction.
   Results: The top reason for e-cigarette use was "They come in flavors I
   like" (56.6%). Using e-cigarettes to quit smoking was uncommon (12.8%).
   Participants in jurisdictions with weaker tobacco retail licensing
   ordinances were more likely to report use of e-cigarettes because they
   are less harmful than cigarettes (50.1% vs. 36.2%), more acceptable to
   non-tobacco users (38% vs. 25%), and because they can use e-cigarettes
   in places where smoking is prohibited (30.7% vs. 18.3%; all p < .05).
   Conclusion: Targeted policy to enforce a strong regulatory environment
   that denormalizes e-cigarette use, conveys the adverse impact of
   e-cigarettes, and restricts use in public places may reduce e-cigarette
   use among adolescents and young adults.
RI Barrington-Trimis, Jessica/ABE-7311-2020
ZB 2
ZR 0
ZS 0
ZA 0
TC 11
Z8 0
Z9 11
U1 0
U2 17
SN 0306-4603
EI 1873-6327
UT WOS:000458711400038
PM 30503511
ER

PT J
AU Sergesketter, Amanda R.
   Lubkin, David T.
   Shammas, Ronnie L.
   Krucoff, Kate B.
   Peskoe, Sarah B.
   Risoli, Thomas, Jr.
   Endres, Kyle
   Hollenbeck, Scott T.
TI The Impact of Ergonomics on Recruitment to Surgical Fields: A
   Multi-Institutional Survey Study
SO JOURNAL OF SURGICAL RESEARCH
VL 236
BP 238
EP 246
DI 10.1016/j.jss.2018.11.035
PD APR 2019
PY 2019
AB Background: Awareness of ergonomics in surgery is growing, but whether
   musculoskeletal (MSK) injuries in surgery influence trainee career
   choices remains unknown. This study aimed to characterize medical
   students' MSK pain during surgical rotations and determine whether
   ergonomics influence student interest in surgical fields.
   Methods: An online survey was administered to medical students in North
   Carolina. Students were asked about specialty interest, MSK pain on
   surgical rotations, and deterrents from surgical fields. Students were
   exposed to literature about ergonomics in surgery then queried again
   about relative specialty interest (medical versus surgical). Differences
   in specialty interest before and after the exposure were compared using
   a Wilcoxon signed-rank test.
   Results: Of 243 participants, 44.0% were interested in pursuing a
   surgical specialty. Overall, 75.3% reported MSK pain during their
   surgical rotation, with the average daily pain score highest during
   surgery rotations compared to all other clinical rotations. The worst
   pain was reported in the feet and low back while "standing in the
   operating room" (81.2%) or "retracting" (59.4%). Among students
   initially interested in surgery but whose interest changed to a medical
   specialty during medical school, "physical demands of the field" was a
   common deterrent (36.4%). After exposure to literature regarding the
   incidence of MSK injuries in surgery, student interest in surgical
   fields on a 10-point scale significantly decreased (average -0.5 points;
   P < 0.01).
   Conclusions: High incidence of MSK injury among surgeons may be one
   factor deterring medical students from surgical careers. Ergonomic
   interventions may be important both to improve surgeon longevity and
   maintain the surgical workforce. (C) 2018 Elsevier Inc. All rights
   reserved.
OI Hollenbeck, Scott/0000-0003-3065-4892
TC 11
ZR 0
ZS 0
ZB 1
Z8 0
ZA 1
Z9 12
U1 0
U2 14
SN 0022-4804
EI 1095-8673
UT WOS:000458498300032
PM 30694762
ER

PT J
AU Baadoudi, F.
   Duijster, D.
   Maskrey, N.
   Ali, F. M.
   Listl, S.
   Whelton, H.
   van der Heijden, G. J. M. G.
TI Improving oral healthcare using academic detailing - design of the
   ADVOCATE Field Studies
SO ACTA ODONTOLOGICA SCANDINAVICA
VL 77
IS 6
BP 426
EP 433
DI 10.1080/00016357.2019.1582797
EA MAR 2019
PD AUG 18 2019
PY 2019
AB Background: Academic detailing (AD) is a defined form of educational
   outreach that can be deployed to intrinsically motivate practitioners
   towards improving quality of care. This paper describes the design of
   the ADVOCATE Field Studies. This proof of concept study aims to evaluate
   the feasibility, acceptability and usefulness of AD, reinforced with
   feedback information to promote prevention-oriented, patient-centred and
   evidence-based oral healthcare delivery by general dental practitioners
   (GDPs). Methods: Six groups of GDPs will be recruited; two groups of six
   to eight GDPs in each of three countries - the Netherlands, Germany and
   Denmark. GDPs will meet for four Academic Detailing Group (ADG) meetings
   for open discussions using comparative feedback data to stimulate debate
   about their dental practice performance and care delivery. Group
   meetings will be moderated using the AD methodology. Qualitative data
   will be collected through focus group interviews, an online discussion
   forum, field notes and debriefs of ADG meetings and analysed by
   conventional content analysis using MaxQDA software. Discussion: The
   results of the study will provide novel information on the feasibility,
   perceived acceptability and usefulness of AD and feedback data for GDPs
   to improve oral healthcare delivery.
RI van der Heijden, Geert/M-3733-2013; Listl, Stefan/S-7600-2017
OI van der Heijden, Geert/0000-0003-4979-2099; Listl,
   Stefan/0000-0002-8176-3397
ZR 0
ZS 0
Z8 0
ZA 0
ZB 1
TC 5
Z9 5
U1 0
U2 0
SN 0001-6357
EI 1502-3850
UT WOS:000464636300001
PM 30896321
ER

PT J
AU Samari, Ellaisha
   Seow, Esmond
   Chua, Boon Yiang
   Ong, Hui Lin
   Lau, Ying Wen
   Mahendran, Rathi
   Verma, Swapna Kamal
   Xie, Huiting
   Wang, Jia
   Chong, Siow Ann
   Subramaniam, Mythily
TI Attitudes towards psychiatry amongst medical and nursing students in
   Singapore
SO BMC MEDICAL EDUCATION
VL 19
AR 91
DI 10.1186/s12909-019-1518-x
PD MAR 27 2019
PY 2019
AB BackgroundA shortage of specialists in psychiatry, both in terms of
   psychiatrists and psychiatric nurses is evident worldwide. While there
   are multiple factors leading to an individual's decision to specialize
   in psychiatry, the individual's perceptions and attitudes towards
   psychiatry tend to play an essential role. This study thus aimed to
   explore attitudes towards psychiatry amongst medical and nursing
   students in Singapore and examine factors associated with these
   attitudes.MethodsThe present cross-sectional study used an online web
   survey tool to assess attitudes towards psychiatry amongst 502 medical
   and 500 nursing students in Singapore using the Attitudes towards
   Psychiatry (ATP-18) scale. Descriptive statistics and multiple linear
   regressions were used to examine associated factors (sociodemographic
   and education).ResultsThe majority of students in this population
   endorsed favourable attitudes towards the following aspects of
   psychiatry: challenges within psychiatry, importance of psychiatry and
   psychiatric skills, treatment efficacy and view towards psychiatrists,
   but had generally unfavourable attitudes towards psychiatric patients.
   Male participants (compared to female; =-1.190, p<0.05), participants in
   the middle income group (compared to higher income group; =-0.945,
   p<0.05), participants who rated average for psychiatry lecture course
   and psychiatry clinical placement course (compared to above average;
   =-1.654, p<0.05; =-1.181, p<0.05) had a less favourable attitude to
   psychiatry. Not surprisingly, participants who were more likely to
   specialize in psychiatry (=2.053, p<0.001) had a more favourable
   attitude towards psychiatry compared to those who were less likely to
   specialize in psychiatry.ConclusionsThe majority of students in this
   study endorsed unfavourable attitudes towards patients in the
   psychiatric setting. The present psychiatry curriculum could be improved
   to nurture the development of empathetic attitudes towards people with
   mental illness. De-stigmatization strategies could also be integrated
   into other curricula besides psychiatry.
OI Lau, Ying Wen/0000-0001-5977-2038
ZR 0
TC 9
ZA 0
Z8 0
ZS 0
ZB 0
Z9 9
U1 1
U2 2
SN 1472-6920
UT WOS:000462877100004
PM 30917834
ER

PT J
AU Ameh, Pius O.
   Yakubu, Kenneth
   Miima, Miriam
   Popoola, Olugbemi
   Mohamoud, Gulnaz
   von Pressentin, Klaus B.
TI Lifestyle, cardiovascular risk knowledge and patient counselling among
   selected sub-Saharan African family physicians and trainees
SO AFRICAN JOURNAL OF PRIMARY HEALTH CARE & FAMILY MEDICINE
VL 11
IS 1
AR a1701
DI 10.4102/phcfm.v11i1.1701
PD MAR 26 2019
PY 2019
AB Background: Cardiovascular disease (CVD)-related deaths in sub-Saharan
   Africa (SSA) are on the rise, and primary care physicians could
   facilitate the reversal of this trend through treatment and prevention
   strategies.
   Aim: The aim of this study was to determine the relationship between
   physician lifestyle practices, CVD prevention knowledge and patient CVD
   counselling practices among family physicians (FPs) and family medicine
   (FM) trainees affiliated to FM colleges and organisations in SSA.
   Setting: FPs and FM trainees affiliated to FM colleges and organisations
   in Anglophone SSA.
   Methods: A web-based cross-sectional analytical study was conducted
   using validated, self-administered questionnaires. Following collation
   of responses, the relationship between the participants' CVD prevention
   knowledge, lifestyle practices and CVD counselling rates was assessed.
   Results: Of the 174 participants (53% response rate), 83% were married,
   51% were females and the mean age was 39.2 (standard deviation [SD] 7.6)
   years. Most of the participants responded accurately to the CVD
   prevention knowledge items, but few had accurate responses on
   prioritising care by 10-year risk. Most participants had less than
   optimal lifestyle practices except for smoking, vegetable or fruit
   ingestion and sleep habits. Most participants (65%) usually counselled
   patients on nutrition, but less frequently on weight management,
   exercise, smoking and alcohol. The region of practice and physicians
   with poor lifestyle were predictive of patient counselling rates.
   Conclusion: Training on patient counselling and self-awareness for CVD
   prevention may influence patient counselling practice. Promoting quality
   training on patient counselling among FPs as well as a healthy
   self-awareness for CVD prevention is thus needed. The complex
   relationship between physician lifestyle and patient counselling
   warrants further study.
RI von Pressentin, A/Prof Klaus/B-9644-2015; Yakubu, Kenneth/O-3293-2018; Mohamoud, Gulnaz/; Ameh, Pius/
OI von Pressentin, A/Prof Klaus/0000-0001-5965-9721; Yakubu,
   Kenneth/0000-0002-5385-0143; Mohamoud, Gulnaz/0000-0002-1795-1959; Ameh,
   Pius/0000-0003-2580-1739
TC 1
ZA 0
ZS 0
Z8 0
ZR 0
ZB 0
Z9 1
U1 0
U2 0
SN 2071-2928
EI 2071-2936
UT WOS:000466352400001
PM 31038332
ER

PT J
AU Othman, Nasih
   Ahmad, Farah
   El Morr, Christo
   Ritvo, Paul
TI Perceived impact of contextual determinants on depression, anxiety and
   stress: a survey with university students
SO INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
VL 13
AR 17
DI 10.1186/s13033-019-0275-x
PD MAR 26 2019
PY 2019
AB BackgroundYoung adults starting college or university education
   encounter multiple stressors related to transitional life-stage and
   novel environments. Current studies reveal high rates of symptoms
   related to common mental health problems like depression, anxiety and
   stress. However, limited knowledge exists on the determinants on these
   problems among Canadian students. The primary aim of the study was to
   investigate the impact of contextual determinants, as perceived by
   students, on self-reported mental health, and how these impacts varied
   by depression, anxiety and stress.MethodsA cross-sectional survey was
   conducted with students attending a large university in Toronto, Canada.
   Participants completed a self-administered online questionnaire as part
   of a larger project. The questions asked about contextual determinants
   related to personal, interpersonal, family, social, socio-economic and
   political factors along with levels of depression, anxiety and stress as
   measured by Patient Health Questionnaire-9, Beck Anxiety Inventory and
   Perceived Stress Scale.ResultsA total of 148 students completed the
   questionnaire (37 males and 111 females) with an age range of 19-54years
   (median 22, IQR 21-24.8). English was reported as first language by
   62.8% while 34.5% self-identified as white and 58.1% reported being born
   in Canada. Overall, 39.5% reported symptoms of moderate to severe
   depression, 23.8% reported moderate-severe anxiety and 80.3% reported
   moderate-severe levels of perceived stress, with no significant
   differences between males and females. In the final multivariate
   analysis, variables significantly associated with depression were
   grade-point-average (aOR 2.46, 95% CI 1.017-5.97), family factors (aOR
   3.46, 95% CI 1.50-7.94), social factors (aOR 3.24, 1.30-8.1), self-rated
   health (aOR 0.34, 95% CI 0.14-0.82) and political factors (aOR 0.40, 95%
   CI 0.16-0.97). Anxiety was significantly associated with family factors
   (aOR 2.79, 1.09-7.18), socioeconomic factors (aOR 2.59, 95% CI
   1.05-6.42) and age (aOR 0.33, 95% CI 0.11-0.98). The significant factors
   for stress were grade-point-average (aOR 2.41, 1.01-5.75) and social
   factors (aOR 3.87, 95% CI 1.59-9.43).ConclusionThe study found strong to
   moderate impact of several determinants on depression, anxiety and
   stress. The results suggest a need to address a variety of factors
   affecting students' mental health.Trial registration Parent trial:
   http://www.isrctn.com/ISRCTN92827275
RI Ahmad, Farah/B-4261-2008; Othman, Nasih/K-8081-2019; Morr, Christo El/F-7534-2014
OI Ahmad, Farah/0000-0001-9747-1148; Othman, Nasih/0000-0002-7701-4932;
   Morr, Christo El/0000-0001-6287-3438
Z8 0
ZA 0
ZR 0
ZB 3
ZS 2
TC 45
Z9 45
U1 1
U2 19
SN 1752-4458
UT WOS:000462613900001
PM 30962817
ER

PT J
AU Shochet, Robert
   Fleming, Amy
   Wagner, James
   Colbert-Getz, Jorie
   Bhutiani, Monica
   Moynahan, Kevin
   Keeley, Meg
TI Defining Learning Communities in Undergraduate Medical Education: A
   National Study
SO JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
VL 6
AR 2382120519827911
DI 10.1177/2382120519827911
PD MAR 24 2019
PY 2019
AB BACKGROUND: Learning communities (LCs) are intentionally designed groups
   that are actively engaged in learning with and from each other. While
   gaining prominence in US medical schools, LCs show significant
   variability in their characteristics across institutions, creating
   uncertainty about how best to measure their effects.
   OBJECTIVE: The aim of this study is to describe the characteristics of
   medical school LCs by primary purpose, structures, and processes and lay
   the groundwork for future outcome studies and benchmarking for best
   practices.
   METHODS: Medical school LC directors from programs affiliated with the
   Learning Communities Institute (LCI) were sent an online survey of
   program demographics and activities, and asked to upload a program
   description or summary of the LC's purpose, goals, and how it functions.
   Descriptive statistics were computed for survey responses and a
   qualitative content analysis was performed on program descriptions by 3
   authors to identify and categorize emergent themes.
   RESULTS: Of 28 medical school LCs surveyed, 96% (27) responded, and 25
   (89%) provided program descriptions for qualitative content analysis.
   All programs reported longitudinal relationships between students and
   faculty. Most frequently cited objectives were advising or mentoring
   (100%), professional development (96%), courses (96%), social activities
   (85%), and wellness (82%). Primary purpose themes were supporting
   students' professional development, fostering a sense of community, and
   creating a sense of wholeness. Structures included a community
   framework, subdivisions into smaller units, and governance by faculty
   and students. Process themes included longitudinal relationships,
   integrating faculty roles, and connecting students across class years.
   CONCLUSIONS: Medical school LCs represent a collection of high-impact
   educational practices characterized by community and small-group
   structures, relational continuity, and collaborative learning as a means
   to guide and holistically support students in their learning and
   development as physicians. In describing 27 medical school LCs, this
   study proposes a unifying framework to facilitate future educational
   outcomes studies across institutions.
OI Wagner, James/0000-0001-9903-6588
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
TC 7
Z9 7
U1 0
U2 8
SN 2382-1205
UT WOS:000462235200001
PM 30937385
ER

PT J
AU Zhang, Wei
   Li, Zheng-Rong
   Li, Zhi
TI WeChat as a Platform for Problem-Based Learning in a Dental Practical
   Clerkship: Feasibility Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 3
AR e12127
DI 10.2196/12127
PD MAR 19 2019
PY 2019
AB Background: Problem-Based-Learning (PBL) has been widely accepted in
   student-centered medical education. Since WeChat is the most popular
   communication app in China, we have chosen to use WeChat as new platform
   for online PBL in order to reduce the limitations of traditional PBL in
   dental practical clerkships.
   Objective: This study aims to demonstrate the feasibility and
   acceptability of online PBL using WeChat (WeChat-PBL) in a dental
   practical clerkship.
   Methods: A total of 72 students in a dental practical clerkship and 10
   tutors participated in this study from June to August 2017. We created
   10 WeChat groups to provide a communication platform for the PBL
   teaching, in which the students selected the PBL cases themselves from
   their practical clerkship. After each individual PBL case, group members
   were required to complete an evaluation on the PBL process itself. A
   final questionnaire survey was completed by the participants to
   summarize the long-term evaluation of the whole WeChat-PBL experience
   after the 3-month clerkship. Data from the PBL cases, WeChat messages,
   periodic evaluations, and long-term evaluations were collected for
   analysis.
   Results: There were 45 cases presented in the WeChat-PBL within the
   3-month clerkship. All students had positive reactions to the
   communication within the PBL groups. The results of the periodic
   evaluation showed that the students and tutors were quite satisfied with
   the process of WeChat-PBL and appreciated the group members'
   contributions and performance. The final questionnaire results indicated
   that the WeChat-PBL had achieved positive effects.
   Conclusions: The results of this study indicate the feasibility and
   acceptability of the app, WeChat, for problem-based learning in a dental
   practical clerkship.
RI Li, Zhi/Q-6036-2019; Zhang, Wei/
OI Li, Zhi/0000-0003-1927-9294; Zhang, Wei/0000-0001-9298-4497
Z8 1
ZR 0
ZS 0
TC 19
ZB 3
ZA 0
Z9 20
U1 6
U2 31
SN 1438-8871
UT WOS:000462275700001
PM 30888328
ER

PT J
AU Lannin, Daniel G.
   Tucker, Jeritt R.
   Streyffeler, Lisa
   Harder, Steven
   Ripley, Bret
   Vogel, David L.
TI How Medical Students' Compassionate Values Influence Help-Seeking
   Barriers
SO TEACHING AND LEARNING IN MEDICINE
VL 31
IS 2
BP 170
EP 177
DI 10.1080/10401334.2018.1522259
PD MAR 15 2019
PY 2019
AB Theory: Despite high rates of psychiatric illnesses, medical students
   and medical professionals often avoid psychological help. Stigma may
   prevent medical students from seeking psychological help when
   experiencing distress, which may hinder their job performance and mental
   health. Compassionate values-preferred principles that guide attitudes
   and behaviors to focus on the wellness of others-may be a relevant
   predictor of medical students' perceptions of psychological help. The
   present study examined the association between medical students'
   compassionate values, help-seeking stigma, and help-seeking attitudes in
   a convenience sample of medical students. Hypotheses: Rating
   compassionate values as more important than self-interested values will
   be associated with less stigma, which in turn will be associated with
   more positive help-seeking attitudes. Method: There were 220 medical
   students in their 2nd year of medical training who were recruited
   in-class and through e-mail between January and March of 2017 at Des
   Moines University. Students were provided an anonymous online link to a
   survey composed of validated measures assessing values, psychological
   distress, and stigma and attitudes related to psychological help.
   Results: The survey response rate was 41%, leaving a final sample of 91.
   For every 1 SD increase in the relative importance of compassionate
   values over self-interested values, help-seeking stigma decreased 0.40
   SDs, and help-seeking attitudes increased 0.23 SDs. Conclusions:
   Prioritizing compassionate values more strongly than self-interested
   values is associated with medical students' perceiving psychological
   help-seeking more positively.
OI Lannin, Daniel/0000-0001-8203-8253; Tucker, Jeritt/0000-0002-2857-8758
ZA 0
Z8 0
ZR 0
TC 6
ZB 0
ZS 0
Z9 6
U1 0
U2 8
SN 1040-1334
EI 1532-8015
UT WOS:000463778000005
PM 30614278
ER

PT J
AU Carolan, K.
   Verran, J.
   Amos, M.
   Crossley, M.
   Redfern, J.
   Whitton, N.
   Louttit, D.
TI SimFection: a digital resource for vaccination education
SO JOURNAL OF BIOLOGICAL EDUCATION
VL 53
IS 2
BP 225
EP 234
DI 10.1080/00219266.2018.1469534
PD MAR 15 2019
PY 2019
AB Vaccination coverage in the United Kingdom is below the level
   recommended by the World Health Organisation, and when vaccination
   coverage is not sufficient, outbreaks of infectious diseases can occur.
   In 2015, coverage of the first dose of the Measles-Mumps-Rubella vaccine
   declined in the United Kingdom for the first time since 2008, indicating
   a need to raise public awareness and understanding of the importance of
   vaccination to public health. Identifying 16 - 18-year olds as a target
   audience, being future parents who would make decisions regarding
   vaccination of their children, a digital educational resource
   ('SimFection') was developed to deliver key messages about the spread
   and control of vaccine-preventable infectious diseases (identified via
   school curricula). The process of development utilised an iterative
   approach, involving a cyclic process of prototyping, testing, analysis
   and refinement with a range of audiences including students,
   schoolchildren, and trainee teachers. The completed resource is now
   available online for free download.
RI Redfern, James/AGR-6857-2022; Redfern, James/K-4638-2019; Amos, Martyn/; Crossley, Matthew/; Whitton, Nicola/
OI Redfern, James/0000-0003-0958-683X; Redfern, James/0000-0003-0958-683X;
   Amos, Martyn/0000-0003-1680-5535; Crossley, Matthew/0000-0001-5965-8147;
   Whitton, Nicola/0000-0002-3085-5275
TC 2
ZA 0
ZB 1
ZS 0
Z8 0
ZR 0
Z9 2
U1 0
U2 27
SN 0021-9266
EI 2157-6009
UT WOS:000458328600010
ER

PT J
AU Sakeena, M. H. F.
   Bennett, Alexandra A.
   Carter, Stephen J.
   McLachlan, Andrew J.
TI A comparative study regarding antibiotic consumption and knowledge of
   antimicrobial resistance among pharmacy students in Australia and Sri
   Lanka
SO PLOS ONE
VL 14
IS 3
AR e0213520
DI 10.1371/journal.pone.0213520
PD MAR 13 2019
PY 2019
AB Introduction
   Antimicrobial resistance (AMR) is a major global health challenge.
   Pharmacists play a key role in the health care setting to support the
   quality use of medicines. The education and training of pharmacy
   students have the potential to impact on patterns of antibiotic use in
   community and hospital settings. The aim of this study was to
   investigate and compare antibiotic use and knowledge of antibiotics and
   AMR among undergraduate pharmacy students in Australian and Sri Lankan
   universities.
   Methods
   A cross-sectional survey was conducted in Australian and Sri Lankan
   universities that offer a pharmacy degree. A paper-based survey was
   utilised in Sri Lanka and an identical survey distributed online among
   pharmacy students in Australia. Descriptive and comparative data
   analyses were performed.
   Results
   476 pharmacy students from 14 universities in Australia and 466 students
   from 6 universities in SL completed the survey. Participants commonly
   reported previous antibiotic use [Australia (88%) and Sri Lanka (86%)].
   The majority of students [Australia (89%) and Sri Lanka (77%)] reported
   they obtained antibiotics with a prescription. Australian pharmacy
   students correctly reported regarding optimal antibiotic use for certain
   disease conditions when compared to Sri Lankan students (P<0.05). A
   greater antibiotic knowledge level regarding AMR was found among
   Australian students compared to Sri Lankan students (p<0.05).
   Conclusion
   This study provides an understanding about antibiotic consumption and
   knowledge on AMR among pharmacy students in a developed country,
   Australia and a developing country, Sri Lanka. These findings identify
   possible misconceptions about antibiotics and a lower level of knowledge
   of AMR amongst Sri Lankan undergraduate pharmacy students. Future
   research should focus on implementation of a strategic education plan
   for undergraduate pharmacy students in Sri Lankan universities. The
   curricula of pharmacy courses in Australian universities may inform such
   a plan.
RI Sakeena, MHF/N-2855-2018; Carter, Stephen R/AAD-1008-2020
OI Sakeena, MHF/0000-0001-9854-1451; Carter, Stephen R/0000-0002-4670-0884
TC 15
ZR 0
ZB 8
ZS 0
Z8 0
ZA 0
Z9 16
U1 0
U2 5
SN 1932-6203
UT WOS:000461048900070
PM 30865726
ER

PT J
AU Bajpai, Shweta
   Semwal, Monika
   Bajpai, Ram
   Car, Josip
   Ho, Andy Hau Yan
TI Health Professions' Digital Education: Review of Learning Theories in
   Randomized Controlled Trials by the Digital Health Education
   Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 3
AR e12912
DI 10.2196/12912
PD MAR 12 2019
PY 2019
AB Background: Learning theory is an essential component for designing an
   effective educational curriculum. Reviews of existing literature
   consistently lack sufficient evidence to support the effectiveness of
   digital interventions for health professions' education, which may
   reflect disconnections among learning theories, curriculum design, use
   of technology, and outcome evaluation.
   Objective: The aim of this review was to identify, map, and evaluate the
   use of learning theories in designing and implementing intervention
   trials of health professions' digital education, as well as highlight
   areas for future research on technology-enhanced education via the
   establishment of a development framework for practice and research.
   Methods: We performed a systematic search of Medical Literature Analysis
   and Retrieval System Online, Excerpta Medica database, Cochrane Central
   Register of Controlled Trials (Cochrane Library), PsycINFO, Cumulative
   Index to Nursing and Allied Health Literature, Education Resources
   Information Center, and Web of Science for randomized controlled trials
   (RCTs) published between 2007 and 2016.
   Results: A total of 874 RCTs on digital health education were identified
   and categorized into online-offline, mobile digital education, and
   simulation-based modalities for pre and postregistration health
   professions' education. Of these, 242 studies were randomly selected for
   methodological review and thematic analysis. Data were extracted by one
   author using a standardized form, with a (48/242, 20%) random sample
   extracted by a second author, in duplicate. One-third (81/242, 33.4%) of
   the studies reported single or multiple learning theories in design,
   assessment, conceptualization, or interpretation of outcomes of the
   digital education interventions. Commonly reported learning theories
   were problem-based learning (16/81, 20%), social learning theory (11/81,
   14%), and cognitive theory of multimedia learning (10/81, 12%). Most of
   these studies assessed knowledge (118/242, 48.8%), skills (62/242,
   25.6%), and performance (59/242, 24.3%) as primary outcomes with
   nonvalidated assessment tools (151/242, 62.4%). Studies with reported
   learning theories (chi(2)(1)=8.2; P=.002) and validated instruments
   (chi(2)(1)=12.6; P=.006) have shown effective acquisition of learning
   outcomes.
   Conclusions: We proposed a Theory-Technology Alignment Framework to
   safeguard the robustness and integrity of the design and implementation
   of future digital education programs for the training of health
   professionals.
RI Car, Josip/H-6755-2015; Bajpai, Ram/I-1038-2016; Ho, Andy Hau Yan/D-4965-2009
OI Car, Josip/0000-0001-8969-371X; Bajpai, Ram/0000-0002-1227-2703; Ho,
   Andy Hau Yan/0000-0003-0373-7043
ZS 0
ZB 1
TC 16
Z8 0
ZA 0
ZR 0
Z9 16
U1 4
U2 41
SN 1438-8871
UT WOS:000461283100001
PM 30860483
ER

PT J
AU Kabanda, Siti
   Rother, Hanna-Andrea
TI Evaluating a South African mobile application for healthcare
   professionals to improve diagnosis and notification of pesticide
   poisonings
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 19
AR 40
DI 10.1186/s12911-019-0791-2
PD MAR 11 2019
PY 2019
AB BackgroundMobile health is a fast-developing field. The use of mobile
   health applications by healthcare professionals (HCPs) globally has
   increased considerably. While several studies in high income countries
   have investigated the use of mobile applications by HCPs in clinical
   practice, few have been conducted in low- and middle-income countries.
   The University of Cape Town developed a pesticide notification guideline
   which has been adapted and embedded into a South African Essential
   Medical Guidance mobile application. This study evaluated the usefulness
   of the guideline within a mobile application for improving the ability
   of HCPs to diagnose and notify on acute pesticide poisonings
   (APPs).MethodsA descriptive online questionnaire, with 15 open- and 20
   closed-ended questions, was completed by 50 South African emergency
   medicine physicians and registrars (i.e. medical doctors training as
   specialists) between December 2015 to February 2016. Descriptive
   statistics were used to calculate response frequencies and percentages
   using SPSS version 23. Texts from the open-ended questions were
   thematically analysed. Fisher's exact test was applied to determine
   associations.ResultsA significant association was found between
   participants' knowledge that APP is a notifiable condition, and ever
   reporting the poisoning to the National Department of Health (p=0.005).
   Thirty four percent of the participants were aware of the guideline
   within the Essential Medical Guidance application despite only seven
   participants having used it. Those who used the guideline found it
   provided useful information for the identification of unlabelled
   pesticides products and promoted reporting these cases to the National
   Department of Health for surveillance purposes. In addition, it appeared
   to facilitate the prompt diagnosis and treatment of APP cases, and most
   intended to continue using it for training and educational
   purposes.ConclusionsMobile health applications appear to support
   overburdened medical education programmes and promote better patient
   care. However, since most participants were not aware of the existence
   of the pesticide guideline within the studied essential medicine
   application, there is potential for the use of healthcare applications
   to play a more central role in healthcare systems and medical training.
   Furthermore, the field of medical informatics could support HCPs through
   mobile applications in improving reporting of APP.
RI Rother, Hanna-Andrea/ABB-1037-2020
OI Rother, Hanna-Andrea/0000-0001-5292-8909
Z8 0
ZA 0
TC 7
ZS 0
ZB 0
ZR 0
Z9 7
U1 1
U2 7
EI 1472-6947
UT WOS:000460887300001
PM 30857525
ER

PT J
AU Abu-Heija, Ahmad A.
   Shatta, Maya
   Ajam, Mustafa
   Abu-Heija, Usama
   Imran, Nashat
   Levine, Diane
TI Quantitative Readability Assessment of the Internal Medicine Online
   Patient Information on Annals.org
SO CUREUS
VL 11
IS 3
AR e4184
DI 10.7759/cureus.4184
PD MAR 6 2019
PY 2019
AB Background
   Approximately 90% of Americans have access to the internet with the
   majority of people searching online for medical information pertaining
   to their health, or the health of loved ones. The public relies
   immensely on online health information to make decisions related to
   their healthcare. The American Medical Association (AMA) and the
   National Institute of Health (NIH) recommend that publicly available
   health-related information be written at the level of the sixth-seventh
   grade.
   Materials and methods
   Patient education materials available to the public on the Annals.org ,
   a website sponsored by the American College of Physicians, were
   collected. All 89 patient education articles were downloaded from the
   website and analyzed for their ease of readability. The articles were
   analyzed utilizing a readability software generating five quantitative
   readability scores: Flesch Reading Ease (FRE), Flesch-Kincaid Grade
   Level (FKGL), Gunning Fog Index (GFI), Coleman Liau Index (CLI), Simple
   Measure of Gobbledygook (SMOG). All scores, with the exception of FRE,
   generate a grade level that correlates with the required school-grade
   level to ensure adequate readability of the information.
   Results
   Eighty-nine articles were analyzed generating an average score as
   follows: FRE 62.8, FKGL 7.0, GFI 8.6, CLI 9.6 and SMOG 9.8. Overall,
   87.6% of the articles were written at a level higher than the 7th-grade
   level, which is recommended by the AMA and NIH.
   Conclusion
   In an era of increased reliance on the internet for medical information
   pertaining to patients' health, materials written at a higher grade than
   recommended has the potential to negatively impact patients' well-being,
   in addition to tremendous ramifications on the healthcare system.
   Potentially redrafting, these articles can prove beneficial to patients
   who rely on these resources for making healthcare-related decisions.
RI Abu-Heija, Ahmad/L-8444-2019
OI Abu-Heija, Ahmad/0000-0002-2437-4379
ZS 0
ZA 0
ZB 0
ZR 1
TC 7
Z8 0
Z9 8
U1 0
U2 0
EI 2168-8184
UT WOS:000462069700005
PM 31106084
ER

PT J
AU Mitzman, Jennifer
   Jones, Christian
   McNamara, Shannon
   Stobart-Gallagher, Megan
   King, Andrew
TI Curated Collection for Educators: Five Key Papers About Second Victim
   Syndrome
SO CUREUS
VL 11
IS 3
AR e4186
DI 10.7759/cureus.4186
PD MAR 6 2019
PY 2019
AB Second victim syndrome (SVS) is defined as the psychological or
   emotional suffering of healthcare workers as a result of a patient
   adverse, or near miss, event. Initially thought to be related to medical
   error, we now recognize that SVS can result from a much wider range of
   circumstances including adverse pediatric patient events, unanticipated
   deaths, or patients well known to the provider. Residents are
   particularly susceptible to SVS yet relatively little is written about
   this topic targeted at their educators. Since educators are positioned
   to help recognize and guide learners through the experience, this paper
   targets that reader audience. In this article, we identify and summarize
   five key papers relevant to educators interested in learning more about
   SVS as it relates to learners.
   We identified an extensive list of papers relevant to SVS via online
   discussions within the Academic Life in Emergency Medicine (ALiEM)
   Faculty Incubator. The Faculty Incubator is a digital community of
   practice providing professional development for educators. This list was
   augmented by an open call on Twitter seen by over 2000 people and
   yielding a list of 31 papers. We then conducted a three-round modified
   Delphi process within the authorship group, which included both junior
   and senior clinician educators, to identify the most impactful papers
   for educators interested in SVS.
   The three-round modified Delphi process ranked all papers submitted for
   review and used iterative rounds to select the five highest-rated papers
   for inclusion in this article. The group then summarized each of the
   five papers with specific consideration for junior faculty educators and
   faculty developers with an interest in SVS in learners.
   The five papers featured in this article serve as a key reading list for
   educators across specialties interested in SVS and our commentary
   provides context for medical educators using the articles.
TC 6
ZB 1
ZA 0
ZR 0
ZS 1
Z8 0
Z9 6
U1 3
U2 6
EI 2168-8184
UT WOS:000462069700007
PM 31106086
ER

PT J
AU Bigna, Jean Joel
   Kenne, Angeladine M.
   Hamroun, Aghiles
   Ndangang, Marie S.
   Foka, Audrey Joyce
   Tounouga, Dahlia Noelle
   Lenain, Remi
   Amougou, Marie A.
   Nansseu, Jobert Richie
TI Gender development and hepatitis B and C infections among pregnant women
   in Africa: a systematic review and meta-analysis
SO INFECTIOUS DISEASES OF POVERTY
VL 8
AR 16
DI 10.1186/s40249-019-0526-8
PD MAR 4 2019
PY 2019
AB BackgroundAlthough Africa is a region of hyper endemicity to viral
   hepatitis B (HBV) and C (HCV) infections, there is limited data on their
   related burden among pregnant women. The present systematic review and
   meta-analysis aimed to determine the magnitude of these infections among
   pregnant women living in Africa and investigate its association with
   gender-related human development indicators.Main textWe searched PubMed,
   Embase, Web of Science, Africa Journal Online, and Global Index Medicus,
   with no language restriction, to identify observational studies on HBV
   and HCV infections in pregnant women residing in Africa published from
   January 1, 2000 until December 31, 2017. Eligible studies reported the
   prevalence of HBV and/or HCV infection(s) (HBs antigen and HCV
   antibodies) and/or infectivity (HBe antigen or detectable HCV viral
   load). Each study was independently reviewed for methodological quality.
   We used a random-effects model meta-analysis to pool studies. In total,
   145 studies (258251 participants, 30 countries) were included, of which
   120 (82.8%) had a low, 24 (16.5%) a moderate, and one (0.7%) had a high
   risk of bias. The prevalence of HBV and HCV infections was 6.8% (95%
   confidence interval [CI]: 6.1-7.6, 113 studies) and 3.4% (95% CI:
   2.6-4.2, 58 studies), respectively. The prevalence of HBe antigen and
   HCV detectable viral load was 18.9% (95% CI: 14.4-23.9) and 62.3% (95%
   CI: 51.6-72.5) in HBV positive and HCV positive pregnant women,
   respectively. The multivariable meta-regression analysis showed that the
   prevalence of HBV infection increased with decreasing gender development
   index, males' level of education and females' expected years of
   schooling. Furthermore, this prevalence was higher in rural areas and in
   western and central Africa. The prevalence of HCV infection increased
   with decreasing proportion of seats held by women in
   parliament.ConclusionsTo address the burden of HBV and HCV infections,
   beyond well-known risk factors at the individual-level, macro-level
   factors including gender-related human development indicators and
   dwelling in rural areas should be considered. In Africa, HBV or HCV
   infected mothers seems to have high potential of transmission to their
   children.
RI Hamroun, Aghiles/; Bigna, Jean Joel/A-1781-2015
OI Hamroun, Aghiles/0000-0003-4988-206X; Bigna, Jean
   Joel/0000-0001-8018-6279
ZR 0
ZA 0
ZB 6
ZS 0
Z8 0
TC 12
Z9 12
U1 1
U2 2
SN 2095-5162
EI 2049-9957
UT WOS:000460241100002
PM 30827278
ER

PT J
AU Newland, X.
   Boller, M.
   Boller, E.
TI Considering the relationship between domestic violence and pet abuse and
   its significance in the veterinary clinical and educational contexts
SO NEW ZEALAND VETERINARY JOURNAL
VL 67
IS 2
BP 55
EP 65
DI 10.1080/00480169.2018.1559108
PD MAR 4 2019
PY 2019
AB This thematic review examines the literature regarding the relationship
   between domestic violence (DV) and pet abuse (PA) particularly in the
   veterinary clinical and educational contexts. It examines the
   significance of this relationship for the veterinary profession
   including the veterinarian's role and associated legal and ethical
   obligations, and relevant current veterinary education standards, to
   identify future clinical and educational directions. Articles were
   sourced from online databases by searching the keywords without date
   restrictions. Overall, 70 articles were retrieved and reviewed. Pet
   abuse has been identified as a potential risk factor for DV, and DV
   perpetrators may harm or kill a pet to exert physical, psychological or
   emotional control over an intimate partner. Given that victims of DV
   often seek veterinary aid for their pets, veterinarians may act as
   frontline professionals in the recognition of the link between PA and
   DV. Veterinarians must assess individual cases for diagnostic indicators
   of non-accidental injury and consider demographic factors to identify
   suspected PA and DV. Despite existing legal and ethical obligations of
   the veterinarian relating to suspected PA and victims of DV,
   veterinarians have uncertainty and unpreparedness in addressing PA and
   DV in a clinical context. Many factors may contribute to the lack of
   veterinary intervention in suspected cases of PA and DV including
   concern for animal welfare, confusion about the reporting process and
   uncertainty in differentiating accidental versus non-accidental injuries
   in pets. Specific published guidelines regarding the recognition and
   reporting of PA and DV in the veterinary clinical context are required.
   Limited published evidence exists examining the implementation and
   success of veterinary training regarding the relationship between DV and
   PA. Ultimately, veterinary student education is needed to prepare
   veterinarians for their response to PA and DV in practice. Further
   research is required to examine the effects of the delivery of content
   regarding the link between PA and DV in the veterinary curriculum on
   veterinary student knowledge and attitudes.
RI Boller, Manuel/H-7973-2019; Newland, Xenia/
OI Boller, Manuel/0000-0002-1879-4625; Newland, Xenia/0000-0002-7082-318X
ZS 0
TC 6
ZA 0
ZR 0
ZB 2
Z8 0
Z9 6
U1 1
U2 23
SN 0048-0169
EI 1176-0710
UT WOS:000457490800001
PM 30557525
ER

PT J
AU Niederkrotenthaler, Thomas
   Till, Benedikt
TI Effects of awareness material featuring individuals with experience of
   depression and suicidal thoughts on an audience with depressive
   symptoms: Randomized controlled trial
SO JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
VL 66
AR 101515
DI 10.1016/j.jbtep.2019.101515
PD MAR 2019
PY 2019
AB Background and objective: Suicide prevention plans support individuals
   with personal experience of mental disorders and suicidality to provide
   their narratives of coping in the media. The evidence how such
   portrayals impact on individuals with similar symptoms is limited and
   there are concerns about unwanted side effects.
   Methods: This was a double-blinded randomized controlled online trial
   conducted from August to November 2018. N = 158 young adults aged 18-24
   with current depressive symptoms and suicidal thoughts were randomized
   to watch a short film featuring a young individual with personal
   experience of depression and suicidality (n = 81), or a thematically
   unrelated control film (n = 77) with similar stylistic elements.
   Questionnaire data were collected before and immediately after exposure
   and analysed with ANOVA. The primary outcome was suicidal ideation;
   secondary outcomes were depressed mood and help-seeking intentions. We
   also tested the moderating effects of the degree of depressive symptoms
   on the effects.
   Results: Depressed mood was significantly lower, with small-to medium
   effect size, in the intervention group compared to the control group
   (F(1,111) = 4.13, P <.05,eta(2)(p) = .036). There was no effect on
   suicidal ideation or help-seeking intentions in the total sample.
   Participants screening positive for moderately severe depression or
   higher experienced an increase in suicidal ideation in the control
   group.
   Limitations: Self-reported variables in an online setting.
   Conclusions: Videos featuring personal experience of coping with
   depression appear safe for young individuals with similar or higher
   symptoms of depression and suicidal ideation on the short run, and might
   have some benefits.
OI Niederkrotenthaler, Thomas/0000-0001-9550-628X; Till,
   Benedikt/0000-0002-2099-5469
ZS 0
TC 5
Z8 0
ZR 0
ZA 0
ZB 1
Z9 5
U1 1
U2 23
SN 0005-7916
EI 1873-7943
UT WOS:000501395500006
PM 31610437
ER

PT J
AU Wang, S. W. S.
   Lan, H. Y. H.
   Man, A.
   Moody, A. R.
   Tyrrell, P. N.
TI Statistics and Research Methodology Training Needs in Medical Imaging
SO UNIVERSITY OF TORONTO JOURNAL OF UNDERGRADUATE LIFE SCIENCES
VL 13
IS 1
BP 27
EP 33
PD SPR 2019
PY 2019
AB Purpose:
   The purpose of this study is to recommend improvements for research
   methodology and statistics training resources specifically designed for
   medical imaging residents, fellows, and faculty.
   Methods:
   In 2017, survey and interview questions related to existing standards
   and ideal characteristics for a statistics and research methodology
   training program in medical imaging were created and administered to a
   large academic department prospectively. To explore common usages of
   statistics and research methodology skills in medical imaging, articles
   published in 2013 from all departmental faculty members were retrieved
   from Scopus and a review was conducted retrospectively. A mixed methods
   approach was used, including standard protocols for online surveys,
   phone interviews, and a cross-sectional review.
   Results:
   All interviewees stated that a statistics and research methodology
   training program would be beneficial to the department. 51% of survey
   respondents either only had informal or no training experiences in
   statistics and research methodology. 322 articles were published in 2013
   by 177 faculty members. The median journal impact factor was 2.7 (IQR =
   1.7 - 3.7) and median h-index of the corresponding authors was 10 (IQR =
   4 - 22). 65% of the articles considered in the review used statistical
   methods with 79% of these employing a "basic" level of complexity (basic
   I, basic II, intermediate, and advanced).
   Conclusion:
   Results from this study support the need to offer broad training in
   research methodology. A better emphasis on basic level statistics that
   enables a more efficient use of departmental resources may be connected
   to a more cost effective and enabling education program.
RI Tyrrell, Pascal/GWC-6317-2022
OI Tyrrell, Pascal/0000-0003-2277-3824
ZB 0
ZS 0
Z8 0
ZR 0
TC 0
ZA 0
Z9 0
U1 0
U2 0
SN 1911-8899
UT WOS:000497649000007
ER

PT J
AU Rusch, P.
   Ind, T.
   Kimmig, R.
   Maggioni, A.
   Ponce, J.
   Zanagnolo, V
   Coronado, P. J.
   Verguts, J.
   Lambaudie, E.
   Falconer, Ii
   Collins, J. W.
   Verheuen, R. H. M.
TI Recommendations for a standardised educational program in robot assisted
   gynaecological surgery: Consensus from the Society of European Robotic
   Gynaecological Surgery (SERGS)
SO FACTS VIEWS AND VISION IN OBGYN
VL 11
IS 1
BP 29
EP 41
PD MAR 2019
PY 2019
AB Background: The Society of European Robotic Gynaecological Surgery
   (SERGS) aims at developing a European consensus on core components of a
   curriculum for training and assessment in robot assisted gynaecological
   surgery.
   Methods: A Delphi process was initiated among a panel of 12 experts in
   robot assisted surgery invited through the SERGS. An online
   questionnaire survey was based on a literature search for standards in
   education in gynaecological robot assisted surgery. The survey was
   performed in three consecutive rounds to reach optimal consensus. The
   results of this survey were discussed by the panel and led to consensus
   recommendations on 39 issues, adhering to general principles of medical
   education.
   Results: On review there appeared to be no accredited training programs
   in Europe, and few in the USA. Recommendations for requirements of
   training centres, educational tools and assessment of proficiency varied
   widely. Stepwise and structured training together with validated
   assessment based on competencies rather than on volume emerged as
   prerequisites for adequate and safe learning. An appropriate educational
   environment and tools for training were defined. Although certification
   should be competence based, the panel recommended additional volume
   based criteria for both accreditation of training centres and
   certification of individual surgeons.
   Conclusions: Consensus was reached on minimum criteria for training in
   robot assisted gynaecological surgery. To transfer results into clinical
   practice, experts recommended a curriculum and guidelines that have now
   been endorsed by SERGS to be used to establish training programmes for
   robot assisted surgery.
RI zanagnolo, vanna/AAD-7267-2020
ZB 3
ZR 0
ZA 0
Z8 0
TC 11
ZS 0
Z9 11
U1 0
U2 1
SN 2032-0418
UT WOS:000489330800004
PM 31695855
ER

PT J
AU Waldon, Eric G.
   Isetti, Derek
TI Voice Disorders and Related Risk Factors among Music Therapists: Survey
   Findings and Strategies for Voice Care
SO MUSIC THERAPY PERSPECTIVES
VL 37
IS 1
BP 37
EP 44
DI 10.1093/mtp/miy010
PD SPR 2019
PY 2019
AB The purposes of this article are to: (a) describe the prevalence of
   voice disorders among professional and student members of the American
   Music Therapy Association (AMTA); (b) highlight the risk factors
   associated with voice disorders among music therapists; (c) report on
   the types of education received by music therapists regarding voice
   care; and (d) present practical strategies to music therapists for
   preserving vocal health. The authors distributed an online survey that
   was completed by 561 AMTA members. Results indicated that 43% of
   respondents reported having a voice disorder at some point in their
   lives while 7.8% reported having an existing voice disorder. Over 84% of
   respondents reported at least one vocal health risk factor, the most
   frequent of which included seasonal allergies (66.5%), acid reflux
   (29.1%), and missing at least one day of work because of a voice issue
   (29.1%). Additionally, using the Voice Handicap Index-10 as a screening
   tool, 15.8% of respondents met criteria for a referral to a medical
   voice specialist. Around 4% of respondents indicated that they had not
   received education regarding voice care, while the most common means of
   vocal health education involved the integration of voice care into
   pre-clinical training coursework or continuing education. Results
   suggest that not only are music therapists at an elevated risk compared
   to the general population for the development of voice disorders, but
   the availability and types of educational resources related to vocal
   health are quite variable. Thus, more education regarding the care and
   handling of the voice is needed.
OI Waldon, Eric/0000-0003-0496-8185
Z8 0
ZB 0
ZR 0
TC 3
ZS 0
ZA 0
Z9 3
U1 0
U2 1
SN 0734-6875
EI 2053-7387
UT WOS:000492893200004
ER

PT J
AU Kebede, Mihiretu M.
   Pischke, Claudia R.
TI Popular Diabetes Apps and the Impact of Diabetes App Use on Self-Care
   Behaviour: A Survey Among the Digital Community of Persons With Diabetes
   on Social Media
SO FRONTIERS IN ENDOCRINOLOGY
VL 10
AR 135
DI 10.3389/fendo.2019.00135
PD MAR 1 2019
PY 2019
AB Introduction: This study aimed to identify popular diabetes applications
   (apps) and to investigate the association of diabetes app use and other
   factors with cumulative self-care behaviour.
   Methods: From November 2017 to March 2018, we conducted a web-based
   survey with persons 18 years of age and above. We recruited respondents
   via diabetes Facebook groups, online patient-forums and targeted
   Facebook advertisements (ads). Data on participants' demographic,
   clinical, and self-management characteristics, as well as on self-care
   behaviour and characteristics of the diabetes apps use were collected.
   Self-care behaviour was measured using a licensed version of the Summary
   of Diabetes Self-care Activities (SDSCA) questionnaire. The cumulative
   self-care score was calculated by summing up scores for "general diet,"
   "specific diet," "exercise," "blood glucose testing," "foot care" and
   "smoking." To identify popular diabetes apps, users were requested to
   list all apps they use for diabetes self-management. Two sample t-test
   and multiple linear regression stratified by type of diabetes were
   performed to examine associations between app use and self-care
   behaviour, by controlling for key confounders.
   Results: One thousand fifty two respondents with type 1 and 630
   respondents with type 2 diabetes mellitus (DM) entered the survey. More
   than half, 549 (52.2%), and one third, 210 (33.3%), of respondents with
   type 1 and 2 DM, respectively, reported using diabetes apps for
   self-management. "mySugar" and continuous glucose monitoring apps, such
   as "Dexcom," "Freestyle Libre," and "Xdrip+" were some of the most
   popular diabetes apps. In both respondent groups, the cumulative
   self-care behaviour score was significantly higher among diabetes app
   users (compared to non-users) and scores for three individual self-care
   components, namely "blood glucose monitoring," "general diet," and
   "physical activity" were significantly higher among diabetes app users
   than among non-users. After adjusting for confounding factors, diabetes
   app use increased the cumulative self-care score by 1.08 (95%CI:
   0.46-1.7) units among persons with type 1 DM and by 1.18 (95%CI:
   0.26-2.09) units among persons with type 2 DM, respectively.
   Conclusion: For both, persons with type 1 and type 2 diabetes, using
   diabetes apps for self-management was positively associated with
   self-care behaviour. Our findings suggest that apps can support changes
   in lifestyle and glucose monitoring in these populations.
RI Kebede, Mihiretu/M-5800-2015
OI Kebede, Mihiretu/0000-0002-5599-2823
ZR 0
ZA 0
ZS 1
Z8 1
ZB 8
TC 32
Z9 33
U1 4
U2 22
SN 1664-2392
UT WOS:000459960000002
PM 30881349
ER

PT J
AU Judson, Timothy J.
   Press, Matthew J.
   Detsky, Allan S.
TI Saving without compromising: Teaching trainees to safely provide high
   value care
SO HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
VL 7
IS 1
BP 4
EP 6
DI 10.1016/j.hjdsi.2018.05.003
PD MAR 2019
PY 2019
AB Hospitals are increasingly shifting toward value-based reimbursement and
   focusing on cost consciousness and patient experience. These concepts
   are crucial to high-quality, affordable healthcare. However, physicians
   are not well-trained in factoring cost and patient experience into
   clinical decisions. The addition of these ideas may create the
   opportunity for patient harm by depriving patients of necessary care. We
   discuss ways for physicians to mitigate this risk by engaging in online
   high value care curricula, using a "5-Question High Value Care Time
   Out," getting mentorship from master clinicians and using clinical
   decision support tools.
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
TC 1
Z9 1
U1 0
U2 6
SN 2213-0764
EI 2213-0772
UT WOS:000461053700002
PM 29891443
ER

PT J
AU Wang-Schweig, Meme
   Miller, Brenda A.
   Buller, David B.
   Byrnes, Hilary F.
   Bourdeau, Beth
   Rogers, Veronica
TI Using Panel Vendors for Recruitment Into a Web-Based Family Prevention
   Program: Methodological Considerations
SO EVALUATION & THE HEALTH PROFESSIONS
VL 42
IS 1
BP 24
EP 40
DI 10.1177/0163278717742189
PD MAR 2019
PY 2019
AB Use of online panel vendors in research has grown over the past decade.
   Panel vendors are organizations that recruit participants into a panel
   to take part in web-based surveys and match panelists to a target
   audience for data collection. We used two panel vendors to recruit
   families (N = 411) with a 16- to 17-year-old teen to participate in a
   randomized control trial (RCT) of an online family-based program to
   prevent underage drinking and risky sexual behaviors. Our article
   addresses the following research questions: (1) How well do panel
   vendors provide a sample of families who meet our inclusion criteria to
   participate in a RCT? (2) How well do panel vendors provide a sample of
   families who reflect the characteristics of the general population? and
   (3) Does the choice of vendor influence the characteristics of families
   that we engage in research? Despite the screening techniques used by the
   panel vendors to identify families who met our inclusion criteria, 23.8%
   were found ineligible when research staff verified their eligibility by
   direct telephone contact. Compared to the general U.S. population, our
   sample had more Whites and more families with higher education levels.
   Finally, across the two panel vendors, there were no significant
   differences in the characteristics of families, except for mean age. The
   online environment provides opportunities for new methods to recruit
   participants in research studies. However, innovative recruitment
   methods need careful study to ensure the quality of their samples.
RI Bourdeau, Beth/AAF-7190-2020; Miller, Brenda A/
OI Bourdeau, Beth/0000-0001-7537-6350; Miller, Brenda A/0000-0002-6125-3824
ZR 0
ZB 0
TC 2
Z8 0
ZS 0
ZA 0
Z9 2
U1 0
U2 1
SN 0163-2787
EI 1552-3918
UT WOS:000458193400002
PM 29172702
ER

PT J
AU Lombardo, Nancy
   Kedar, Sachin
   Digre, Kathleen
TI Neuro-Ophthalmology Virtual Education Library (NOVEL) 2019 Update: North
   American Neuro-Ophthalmology Society's Neuro-Ophthalmology Examination
   Techniques (NExT) and Illustrated Curriculum are Online
SO JOURNAL OF NEURO-OPHTHALMOLOGY
VL 39
IS 1
BP E3
EP E5
DI 10.1097/WNO.0000000000000741
PD MAR 2019
PY 2019
OI Lombardo, Nancy/0000-0002-0886-4976
ZR 0
ZS 0
TC 1
Z8 0
ZB 0
ZA 0
Z9 1
U1 0
U2 0
SN 1070-8022
EI 1536-5166
UT WOS:000480771000002
PM 30688752
ER

PT J
AU Lineker, Sydney. C.
   Fleet, Lisa J.
   Bell, Mary J.
   Sweezie, Raquel
   Curran, Vernon
   Brock, Gordon
   Badley, Elizabeth M.
TI Getting a Grip on Arthritis Online: Responses of rural/remote primary
   care providers to a web-based continuing medical education programme
SO CANADIAN JOURNAL OF RURAL MEDICINE
VL 24
IS 2
BP 52
EP 60
DI 10.4103/CJRM.CJRM_10_18
PD SPR 2019
PY 2019
AB Introduction: Physicians are often challenged with accessing relevant
   up-to-date arthritis information to enable the delivery of optimal care.
   An online continuing medical education programme to disseminate
   arthritis clinical practice guidelines (CPGs) was developed to address
   this issue.
   Methods: Online learning modules were developed for osteoarthritis (OA)
   and rheumatoid arthritis (RA) using published CPGs adapted for primary
   care (best practices), input from subject matter experts and a needs
   assessment. The programme was piloted in two rural/remote areas of
   Canada. Knowledge of best practice guidelines was measured before,
   immediately after completion of the modules and at 3-month follow-up by
   assigning one point for each appropriate best practice applied to a
   hypothetical case scenario. Points were then summed into a total best
   practice score.
   Results: Participants represented various professions in primary care,
   including family physicians, physiotherapists, occupational therapists
   and nurses (n = 89) and demonstrated significant improvements in total
   best practice scores immediately following completion of the modules (OA
   pre = 2.8/10, post = 3.8/10, P < 0.01; RA pre = 3.9/12, post = 4.6/12, P
   < 0.01). The response rate at 3 months was too small for analysis.
   Conclusions: With knowledge gained from the online modules, participants
   were able to apply a greater number of best practices to OA and RA
   hypothetical case scenarios. The online programme has demonstrated that
   it can provide some of the information rural/remote primary care
   providers need to deliver optimal care; however, further research is
   needed to determine whether these results translate into changes in
   practice.
RI Curran, Vernon/AAX-3522-2020; Curran, Vernon/; Badley, Elizabeth/
OI Curran, Vernon/0000-0002-2432-6633; Badley,
   Elizabeth/0000-0002-6045-2549
ZS 0
Z8 0
ZR 0
ZA 0
TC 2
ZB 0
Z9 2
U1 0
U2 4
SN 1203-7796
EI 1488-237X
UT WOS:000464203500005
PM 30924461
ER

PT J
AU Dousay, Tonia A.
   Trujillo, Natasha P.
TI An examination of gender and situational interest in multimedia learning
   environments
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 50
IS 2
BP 876
EP 887
DI 10.1111/bjet.12610
PD MAR 2019
PY 2019
AB Existing research highlights conflicting results attempting to capture
   gender preferences with respect to unimodal versus multimodal designs in
   online learning. As online learning continues to expand, more research
   examining the role of gender in multimedia design holds considerable
   potential. However, the presence of multimedia in online learning
   contexts presents a more complex problem when taking into consideration
   the concept of learner interest. The current study sought to investigate
   gender differences in situational interest (SI) with respect to three
   different but related designs of an online, multimedia learning
   environment for continuing, professional education in emergency medical
   services. The content in these designs was identical, but applied
   different combinations of the redundancy and modality multimedia
   principles. A two-way analysis of variance was used to examine the types
   of SI by gender and type of multimedia design. While no significant
   difference or interaction effect was identified between gender and
   triggered SI, an interaction effect was observed for females and the
   different multimedia designs. Specifically, females reported a higher
   maintained SI when animation, narration and text were effectively
   combined. The findings of this study provide insight into best practices
   for instructional and media designers developing multimedia learning
   environments as well as future research implications.
RI ARSLAN, Okan/AAA-3232-2020; Dousay, Tonia A./D-1112-2018
OI Dousay, Tonia A./0000-0002-1695-0479
TC 10
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
Z9 10
U1 3
U2 25
SN 0007-1013
EI 1467-8535
UT WOS:000459744800027
ER

PT J
AU Riggare, Sara
   Hoglund, Par J.
   Forsberg, Helena Hvitfeldt
   Eftimovska, Elena
   Svenningsson, Per
   Hagglund, Maria
TI Patients are doing it for themselves: A survey on disease-specific
   knowledge acquisition among people with Parkinson's disease in Sweden
SO HEALTH INFORMATICS JOURNAL
VL 25
IS 1
BP 91
EP 105
DI 10.1177/1460458217704248
PD MAR 2019
PY 2019
AB Effective self-management is key to living well with Parkinson's disease
   and one important aspect is disease-specific knowledge. This article
   explores how people with Parkinson's disease in Sweden (1) acquire
   disease-specific knowledge and (2) use Parkinson's disease-related
   healthcare. Data were collected through an online survey, which had 346
   respondents (16-87 years old, median age: 68 years, 51% male; time since
   diagnosis: 0-31 years, median time: 7 years). Our results show that
   disease-specific knowledge is mainly found online, especially for women
   with Parkinson's disease and people with Parkinson's disease of working
   age, that most people with Parkinson's disease in Sweden see their
   neurologist for 1 h or less per year and only one in two people with
   Parkinson's disease has regular contact with other Parkinson's
   disease-related healthcare professionals. We also find that people with
   Parkinson's disease reporting higher levels of specific knowledge also
   are more likely to be satisfied with the amount of time they get with
   their neurologist, regardless of the amount of time.
RI Svenningsson, Per JL/K-5210-2014; Hägglund, Maria/K-2569-2012
OI Hägglund, Maria/0000-0002-6839-3651
Z8 0
ZS 0
TC 9
ZB 0
ZA 0
ZR 0
Z9 9
U1 1
U2 8
SN 1460-4582
EI 1741-2811
UT WOS:000458864000009
PM 28434277
ER

PT J
AU Cinquin, Pierre-Antoine
   Guitton, Pascal
   Sauzeon, Helene
TI Online e-learning and cognitive disabilities: A systematic review
SO COMPUTERS & EDUCATION
VL 130
BP 152
EP 167
DI 10.1016/j.compedu.2018.12.004
PD MAR 2019
PY 2019
AB For decades now, as the issue of social progress has come to the fore,
   the drive to improve access to education has been behind the growth in
   research into e-learning. The current systematic literature review
   raised the question of the existence of studies addressing the specific
   needs of persons with cognitive impairments. Indeed, e-learning is
   expected to be one of the critical tools for improving access to
   education and ultimately aiding social inclusion. The systematic
   literature review was performed through a four-step process including an
   exhaustive search of scientific literature databases, the selection of
   studies through exclusion and inclusion criteria, and literature
   analysis and synthesis. The main results are: 1) a lack of e-learning
   studies addressing the issue of accessibility for people with cognitive
   impairments (N = 29) with a purpose dominated by design guidelines
   rather than effectiveness assessment; 2) a weak inclusion of
   accessibility standards (N = 5) and 3) a weak inclusion of special
   education findings (N = 3), with a focus on specific neuropsychological
   disorders or syndromes (dyslexia, ADHD, etc.) rather than on impairments
   of cognitive function (attention, memory, etc.) as promoted by the
   International Classification of Functioning (World Health Organization,
   2001); 4) the identification of five families of accessibility function
   (adaptive systems, game elements, accessible content, virtual agents and
   accessible interfaces or environments) and their dependency with
   activity-domain of learning. Results are discussed in terms of both
   design and assessment recommendations, promoting a multi-disciplinary
   approach combining educational sciences, cognitive sciences and computer
   science to develop more accessible e-learning systems.
RI Sauzéon, Hélène/T-1178-2019
OI Sauzéon, Hélène/0000-0001-5781-9891
Z8 0
ZS 0
ZB 0
ZA 1
ZR 0
TC 33
Z9 34
U1 8
U2 94
SN 0360-1315
EI 1873-782X
UT WOS:000472587800011
ER

PT J
AU Haig-Ferguson, Andrew
   Loades, Maria
   Whittle, Charlotte
   Read, Rebecca
   Higson-Sweeney, Nina
   Beasant, Lucy
   Starbuck, Jennifer
   Crawley, Esther
TI "It's not one size fits all"; the use of videoconferencing for
   delivering therapy in a Specialist Paediatric Chronic Fatigue Service
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 15
BP 43
EP 51
DI 10.1016/j.invent.2018.12.003
PD MAR 2019
PY 2019
AB Background: There are few specialist paediatric Chronic Fatigue Syndrome
   (CFS/ME) services in the UK. Therefore, the distance some families have
   to travel to reach these services can be a barrier to accessing
   evidence-based treatment. Videoconferencing technology such as Skype
   provides a means of delivering sessions remotely. This study aimed to
   explore the views of children and young people, their parents, and
   healthcare professionals of treatment delivered by videoconferencing in
   a specialist paediatric CFS/ME team.
   Method: To explore the experiences of the participants, a qualitative
   design was selected. Twelve young people (age 9-18), and 6 parents were
   interviewed about their experience of treatment sessions delivered via
   videoconferencing within a specialist CFS/ME service. A focus group
   explored the views of healthcare professionals (N=9) from the service.
   Thematic analysis was used.
   Results: Three themes were identified from the data: "Challenges and
   concerns", "Benefits" and "Treatment provision". Challenges and concerns
   that participants identified were; difficulties experienced with
   technology; a sense of a part of communication being lost with virtual
   connections; privacy issues with communicating online and feeling
   anxious on a screen. Participants felt that benefits of
   videoconferencing were; improving access to the chronic fatigue service;
   convenience and flexibility of treatment provision; a sense of being
   more open online and being in the comfort of their own home. In terms of
   treatment provision participants talked about videoconferencing as a
   part of a hierarchy of communication; the function of videoconferencing
   within the context of the chronic fatigue service; additional
   preparation needed to utilise videoconferencing and an assumption that
   videoconferencing is "part of young people's lives".
   Conclusions: Although the experience of sessions provided by
   videoconferencing was different to sessions attended in person,
   participants tended to be positive about videoconferencing as an
   alternative means of accessing treatment, despite some barriers.
   Videoconferencing could be an additional option within an individualised
   care plan, but should not be an alternative to face to face support.
RI Loades, Maria/AAD-6446-2021; Higson-Sweeney, Nina/; Beasant, Lucy/; Crawley, Esther/
OI Loades, Maria/0000-0002-0839-3190; Higson-Sweeney,
   Nina/0000-0002-6926-0463; Beasant, Lucy/0000-0002-4279-5644; Crawley,
   Esther/0000-0002-2521-0747
ZB 0
Z8 0
ZA 0
TC 14
ZS 0
ZR 0
Z9 14
U1 1
U2 16
EI 2214-7829
UT WOS:000458336900006
PM 30619719
ER

PT J
AU Munyoro, Isaiah
TI Assessing Parliament of Zimbabwe's informatics database as a tool for
   providing evidence-based information for decision making
SO JOURNAL OF LIBRARIANSHIP AND INFORMATION SCIENCE
VL 51
IS 1
BP 218
EP 227
DI 10.1177/0961000617726122
PD MAR 2019
PY 2019
AB The application of information and communication technologies to
   parliamentary activities is growing. Informatics databases represent a
   growing trend used for gathering, collation, processing, storage and
   dissemination of parliamentary information to Members of Parliament,
   parliamentary staff and the general public. Many parliaments are moving
   forward, assisted by development partners to implement informatics
   projects from constituency level where the public can access information
   manually or electronically through parliament itself. The purpose of
   this article was to assess Parliament of Zimbabwe's informatics database
   in providing evidence-based information for decision making. This is
   achieved by sampling 25 Members of Parliament and 25 Office Assistants
   from constituencies, and Parliament staff as important respondents. The
   instruments of data collection were questionnaires, interview schedules
   and analysis of documents. Findings revealed that constituents were the
   largest beneficiaries, followed by the education sector, and Members of
   Parliament. Data also showed that Members of Parliament improved their
   knowledge and participation in parliamentary activities based on real
   facts from the informatics data base. The study identified challenges
   affecting the informatics database. Results recommend that resources be
   provided for information and communication technology equipment, staff
   should be trained and an online informatics database be implemented.
ZB 0
ZS 0
ZA 0
Z8 0
TC 0
ZR 0
Z9 0
U1 0
U2 2
SN 0961-0006
EI 1741-6477
UT WOS:000458875600017
ER

PT J
AU Reid, Emily Frances
   Krishna, Mamidipudi Thirumala
   Bethune, Claire
TI Allergy teaching is suboptimal and heterogeneous in the undergraduate
   medical curriculum in the UK
SO JOURNAL OF CLINICAL PATHOLOGY
VL 72
IS 3
BP 221
EP 224
DI 10.1136/jclinpath-2017-204885
PD MAR 2019
PY 2019
AB Aim To record the level of allergy teaching occurring in UK medical
   schools. The UK has experienced an 'allergy epidemic' during the last
   3-4 decades. Previous government reviews have emphasised the importance
   of allergy education and training, treating common allergies in primary
   care with referral pathways to a specialist and the creation of regional
   networks. It is acknowledged that the delivery of allergy teaching in UK
   medical schools is variable, despite the well-recognised need.
   Methods All consultant members of the British Society for Allergy and
   Clinical Immunology involved in teaching medical students were invited
   to partake in qualitative research, employing an online questionnaire
   for data collection. Participants were asked to comment on the format of
   the allergy teaching delivered, the student participation and the
   clinical opportunities provided. Students were recruited to complete a
   similar survey as supporting evidence.
   Results 44 responses were collected, representing 64.7% of medical
   schools in the UK. Clinical allergy placements were compulsory in 31.8%
   of medical schools that responded. In 36.4%, it was reported that less
   than 10% of students had an opportunity to take an independent history
   from a patient with allergic disease, or practise using an epinephrine
   autoinjector. 90.9% responded that an allergy rotation was not offered
   to final year students.
   Conclusions Allergy undergraduate teaching is suboptimal and
   heterogeneous in UK medical schools and there is a real need for
   standardisation as a means to enhance quality of care.
TC 7
ZA 0
ZR 0
ZB 2
Z8 0
ZS 0
Z9 7
U1 0
U2 0
SN 0021-9746
EI 1472-4146
UT WOS:000471093000006
PM 29305517
ER

PT J
AU Salway, Travis
   Thomson, Kimberly
   Taylor, Darlene
   Haag, Devon
   Elliot, Elizabeth
   Wong, Tom
   Fairley, Christopher K.
   Grennan, Troy
   Shoveller, Jean
   Ogilvie, Gina
   Gilbert, Mark
TI Post-test comparison of HIV test knowledge and changes in sexual risk
   behaviour between clients accessing HIV testing online versus in-clinic
SO SEXUALLY TRANSMITTED INFECTIONS
VL 95
IS 2
BP 102
EP 107
DI 10.1136/sextrans-2018-053652
PD MAR 2019
PY 2019
AB Objective I nternet-based HIV testing offers the potential to address
   privacy-related barriers to testing and increase frequency of testing
   but may result in missed opportunities related to sexual health
   education and prevention that typically occur in face-to-face
   encounters. In this study, we assessed the HIV test knowledge and sexual
   risk behaviour of clients testing for HIV through GetCheckedOnline, an
   internet-based sexually transmitted and bloodborne infection testing
   platform inclusive of HIV testing, in comparison to clients testing
   through a large sexual health clinic. Methods We concurrently recruited
   GetCheckedOnline clients and clinic clients from Vancouver, Canada, over
   the course of a 10-month period during 2015-2016. Participants completed
   baseline and 3-month questionnaires, anonymous and online. A six-item
   score was used to estimate knowledge of HIV test concepts typically
   conveyed during an HIV pretest encounter in a clinic. We used multiple
   regression to estimate associations between testing modality (online vs
   clinic based) and two outcomes-HIV test knowledge and change in condom
   use pre/post-test-with adjustment for relevant background factors.
   Results A mong 352 participants, online testers demonstrated higher HIV
   post-test knowledge than clinic-based testers (mean score 4.65/6 vs
   4.09/6; p<0.05); this difference was reduced in adjusted analysis (p>
   0.05). Men who have sex with men, clients with a university degree,
   those who have lived in Canada > 10 years and English speakers had
   higher HIV post-test knowledge (p<0.05). Eighteen per cent of online
   testers and 10% of clinic-based testers increased condom use during the
   3 months post-test (p> 0.05). Conclusions I n this comparative study
   between online and clinic-based testers, we found no evidence of
   decreased HIV test knowledge or decreased condom use following HIV
   testing through GetCheckedOnline. Our findings suggest that with careful
   design and attention to educational content, online testing services may
   not lead to missed opportunities for HIV education and counselling.
RI Grennan, Troy/AAH-5588-2020; Salway, Travis/
OI Salway, Travis/0000-0002-5699-5444
ZA 0
ZB 2
Z8 0
TC 4
ZS 0
ZR 0
Z9 4
U1 0
U2 0
SN 1368-4973
EI 1472-3263
UT WOS:000471868700008
PM 30636706
ER

PT J
AU Infeld, Margaret
   Bell, Alicia
   Marlin, Clare
   Waterhouse, Stephanie
   Uliassi, Nicole
   Fugh-Berman, Adriane
TI Continuing Medical Education and the Marketing of Fentanyl for
   Breakthrough Pain: Marketing Messages in an Industry-Funded CME Module
   on Breakthrough Pain
SO WORLD MEDICAL & HEALTH POLICY
VL 11
IS 1
BP 43
EP 58
DI 10.1002/wmh3.290
PD MAR 2019
PY 2019
AB In order to market transmucosal fentanyl products, industry-funded
   medical journal articles and continuing medical education (CME) were
   used to persuade physicians that breakthrough pain (BTP) was a separate
   entity, and that rapid onset opioids were an appropriate treatment. We
   performed a pilot study on industry-funded online CME modules on BTP
   that used perceptions of key points and text analysis to assess subtle
   bias. Thirty-eight participants were randomized to read a non-industry
   publication or an industry-funded publication on opioids for managing
   pain. Twenty-three participants were asked to assess key messages. A
   text analysis was also performed on key words and phrases. Those who
   read the non-industry-funded article noted that the effectiveness of
   opioids for chronic pain was unclear, whereas readers of the
   industry-funded article viewed opioids more positively. Eight of twelve
   readers of the non-industry-funded article, compared to three of twelve
   assigned to the industry-funded article, reported opioid abuse or
   addiction as a major theme. "Breakthrough pain" was mentioned 55 times
   in the industry-funded article and once in the non-industry-funded
   article. The non-industry-funded article mentioned "death" 26 times; the
   industry-funded article never mentioned "death." Our study provides a
   new method of identifying subtle bias that may be useful for evaluating
   CME modules.
OI Fugh-Berman, Adriane/0000-0002-1717-7617; Infeld,
   Margaret/0000-0002-1923-6166
ZR 0
ZB 0
TC 7
Z8 0
ZS 0
ZA 0
Z9 7
U1 0
U2 5
SN 1948-4682
UT WOS:000461825000004
ER

PT J
AU McCloud, Rachel Faulkenberry
   Bekalu, Mesfin Awoke
   Maddox, Nicole
   Minsky, Sara J.
   Viswanath, K.
TI Leveraging Breadth and Depth: Strategies to Characterize Population
   Diversity to Address Cancer Disparities in the DF/HCC Catchment Area
SO CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
VL 28
IS 3
BP 435
EP 441
DI 10.1158/1055-9965.EPI-18-0799
PD MAR 2019
PY 2019
AB Background: NCI-Designated Cancer Centers provide key cancer research,
   prevention, and treatment services to members of their catchment area.
   Characterization of these areas may be complex given the diverse needs
   of the populations within, particularly those from low socioeconomic
   position (SEP). The purpose of this paper is to describe the
   characterization of the Dana-Farber/Harvard Cancer Center (DF/HCC)
   catchment area through using a two-pronged approach.
   Methods: Participants (n = 1,511) were recruited through (i) an online,
   probability-based survey (n = 1,013) and (ii) a supplementary, in-person
   survey from priority groups (African Americans, Latinos, blue-collar
   workers, low SEP, homeless; n = 498) within Massachusetts. Study staff
   worked closely with community partners across the state to reach
   individuals who may not usually be included in online surveys.
   Results: There were several differences across samples, with the
   community-based sample having a higher percentage of low SEP, low
   education, African Americans, and Latinos compared with the online
   sample. Differences were also noted in the cancer-related behaviors of
   the samples, with the community-based sample having higher rates of
   smoking, particularly within those who were homeless or make less than
   $20,000 per year. Fewer community-based subgroups were current with
   cancer screenings, and more showed more indication of potential
   communication inequalities compared with statewide estimates.
   Conclusions: The sampling strategy used to characterization of the
   DF/HCC catchment area provided broad, statewide estimates and additional
   focus on vulnerable populations, highlighting several potential areas
   for intervention. Impact: This study provides data to highlight the
   value of using multiple sampling strategies when characterizing cancer
   center catchment areas.
RI Bekalu, Mesfin Awoke/AAQ-9176-2020; Bekalu, Mesfin Awoke/
OI Bekalu, Mesfin Awoke/0000-0003-1243-5813
TC 4
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
Z9 4
U1 1
U2 2
SN 1055-9965
EI 1538-7755
UT WOS:000465326400003
PM 30341096
ER

PT J
AU Kose, Tekin
   Oymak, Cansu
TI E-health in Turkey: an analysis of consumer activities
SO HEALTH AND TECHNOLOGY
VL 9
IS 2
BP 113
EP 121
DI 10.1007/s12553-018-0256-0
PD MAR 2019
PY 2019
AB This study investigates determinants of online health-related activities
   of Turkish individuals. By exploiting a data set from a household survey
   of Turkey, probit models are estimated for quantification of factors
   influencing participation of individuals in electronic health
   (e-health). Findings reveal that Turkish females are more likely to
   employ online tools for health-related purposes. Education level,
   household income and internet usage frequency have positive
   relationships with online information search and use of online
   scheduling for doctor appointments. Age has a non-linear relationship
   with e-health activities. While relatively younger and older individuals
   are less likely to engage in online health activities, middle-aged
   individuals are more likely to participate. While use of information
   technologies in health-related issues have potential to increase health
   literacy of the population; this study reveals that there are systematic
   differences in sub-samples in employment of e-health tools, which should
   be addressed by policy makers.
RI Kose, Tekin/G-5714-2018
OI Kose, Tekin/0000-0002-0476-8872
ZS 0
ZR 0
ZB 0
TC 2
Z8 0
ZA 0
Z9 2
U1 0
U2 3
SN 2190-7188
EI 2190-7196
UT WOS:000471592600001
ER

PT J
AU Dombrowski, Tobias
   Dazert, Stefan
   Volkenstein, Stefan
TI Strategies of Digitized Learning
SO LARYNGO-RHINO-OTOLOGIE
VL 98
BP S197
EP S208
DI 10.1055/a-0803-0218
SU 1
PD MAR 2019
PY 2019
AB The development of digital strategies in teaching is based on the
   technological progress of the last decades, but also on the strong
   motivation to focus a didactic concept on the learning individuals. The
   available data of German medical faculties indicate that digital
   teaching concepts currently play a subordinate role in medicine in
   general and specifically in otorhinolaryngology. By assessing data of
   our own institution, we could demonstrate that the majority of medical
   students refer mainly to material handed out by the lecturers as single
   source of information for learning Otorhinolaryngology. Therefore, the
   application of sound digital teaching strategies provides special
   chances, in particular in otorhinolaryngology to cope with the excessive
   amount of online information from partly unclear sources.
   Currently, the possible degree of digital teaching reaches from digital
   service supply via punctual provision of classic teaching concepts and
   blended learning up to completely digital curricula. The attractiveness
   of curricular integration of digital teaching strategies is less based
   on the utilization of merely technological progress, but rather on the
   variety of applying innovative curricula and new didactic concepts.
   Depending on the intended teaching purpose, the flipped classroom and
   the virtual reality seem to have a particularly high potential, while
   mobile learning is already established in individual practice. Testing
   and evaluating digital teaching innovations for concrete scenarios
   currently belongs to the most important scientific challenges of digital
   teaching concepts.
   Today, the nationwide implementation of digital teaching in Germany is
   less impeded by technical conditions, but by missing financing because
   sponsoring is currently mainly performed with reference to concrete
   projects; in the context of permanent implementation, however, regular
   costs arise. To support these promising teaching concepts, the
   sponsoring of institutions for digital teaching with provision of
   hard-and software solutions at universities could contribute
   significantly. Establishing cooperation to use such digital platforms
   might lead to a high efficiency regarding the distribution with
   simultaneously profiting of savings potential.
RI Volkenstein, Stefan/AAD-2719-2019; Volkenstein, Stefan/AAW-3829-2021
ZB 0
TC 5
ZA 0
ZR 0
Z8 0
ZS 0
Z9 5
U1 3
U2 19
SN 0935-8943
EI 1438-8685
UT WOS:000469498300008
PM 31096299
ER

PT J
AU Ihler, Friedrich
   Canis, Martin
TI The role of the internet for healthcare information on ENT specific
   issues
SO LARYNGO-RHINO-OTOLOGIE
VL 98
BP S290
EP S312
DI 10.1055/a-0801-2585
SU 1
PD MAR 2019
PY 2019
AB The wide distribution and availability of the internet during the last
   decades revolutionized the human information and communication behavior.
   Via internet, information can be easily retrieved and participative
   applications allow new types of interaction. The healthcare system is
   directly affected because information and communication represent a
   relevant part of it. The present contribution is intended to describe
   this development and its impact on otorhinolaryngology. The use of the
   internet for the research of health-related information is continuously
   increasing since several years and has meanwhile achieved significant
   importance. In the clinical context, other information sources still
   have a higher relevance. Laypeople mostly use the search engine of
   Google when performing health-related research. Even if the reliability
   of the presented information is difficult to assess, alternative offers
   that are specialized on valid healthcare information could not prevail.
   Anecdotic or incorrect information are regularly observed.
   Numerous trials investigated the quality of healthcare information on
   web pages. The methodical spectrum reaches from formula-depending
   readability testing via structured assessment tools up to certificates.
   The result shows that healthcare information on internet sites is often
   difficult to understand for the general population. Nearly all social
   media contain healthcare information and their relevance is increasing.
   Nonetheless, there is only few scientific knowledge on the
   characteristics and the effect of healthcare information in social
   -media.
   The availability of online healthcare information requires new
   understanding of health literacy. The concept of digital literacy
   (eHealth literacy) contains among others the readability, media
   competence, IT knowledge, and basic scientific knowledge. The
   implementation of those skills depends on individual and social factors
   such as education, socio-economic status, and age. Investigations
   revealed a low healthcare literacy in a high percentage of the patients.
   The distribution of the internet also modifies the relationship between
   physician and patient. Well-informed patients request being involved in
   medical decisions. Physicians have a particular responsibility regarding
   the consultation of medical laypeople by weighting and verifying
   information. By actively participating, physicians should contribute to
   digitization in medicine for the benefit of their patients. Medical
   associations are particularly invited to contribute to this process.
TC 6
ZB 1
Z8 0
ZS 1
ZR 0
ZA 0
Z9 7
U1 0
U2 12
SN 0935-8943
EI 1438-8685
UT WOS:000469498300007
PM 31096302
ER

PT J
AU Reyes, Emaline
   Rosenberg, Karen
TI Maternal motives behind elective cesarean sections
SO AMERICAN JOURNAL OF HUMAN BIOLOGY
VL 31
IS 2
SI SI
AR e23226
DI 10.1002/ajhb.23226
PD MAR-APR 2019
PY 2019
AB Objectives: The World Health Organization recommends a target cesarean
   section rate of 10-15%. In recent years, the US has had a nation-wide
   rate of 30.3% and some developed countries are even higher. Many factors
   account for this high rate, but our hypothesis is that women who elect
   cesarean section do so at least in part because of unallayed fear.
   Methods: Our sample was comprised of American women of childbearing age
   who have not given birth but may in the near future. We received 368
   online survey responses with a 92% completion rate. Responses were
   categorical and hypotheses tested with non-parametric statistics.
   Results: Those who reported a preference for cesarean section were
   significantly more likely to be extremely fearful of birth (43.9%) than
   those who reported a preference for vaginal delivery (20.6%). 73.2% of
   the cesarean section group state that fear is what influenced their
   birth preference, 9.8% said their fear had no influence, while in the
   vaginal birth group 18.9% said fear influenced their birth preference
   and 53.7% said it did not.
   Conclusions: In our sample, women likely to elect cesarean sections are
   motivated at least in part by fear. They report both more extreme levels
   of fear than the group anticipating non-surgical delivery and they more
   often say that this fear influences their birth decision. This study
   offers productive, non-interventional, and inexpensive ways to address
   women's fears in the hope of reducing unnecessary cesarean sections.
TC 4
ZR 0
ZB 0
ZS 0
ZA 0
Z8 0
Z9 4
U1 0
U2 17
SN 1042-0533
EI 1520-6300
UT WOS:000460654600003
PM 30791166
ER

PT J
AU Giuliani, Rosa
   Tabernero, Josep
   Cardoso, Fatima
   McGregor, Keith Hanson
   Vyas, Malvika
   de Vries, Elisabeth G. E.
TI Knowledge and use of biosimilars in oncology: a survey by the European
   Society for Medical Oncology
SO ESMO OPEN
VL 4
IS 2
AR UNSP e000460
DI 10.1136/esmoopen-2018-000460
PD MAR 2019
PY 2019
AB Background Biosimilars can potentially improve the sustainability of
   cancer care; however, uptake is sometimes limited by safety concerns and
   a lack of understanding of the concept of extrapolation. The European
   Society for Medical Oncology (ESMO) conducted a survey to assess the
   current level of knowledge, understanding and comfort of use of
   biosimilars among prescribers specialised in oncology.
   Methods A 19-question survey was developed using the SurveyMonkey online
   platform (https://www.surveymonkey.com/). Data collection occurred
   between September and October 2017 and included paper and online
   responses.
   Results Overall, 393 responses were received from prescribers. Overall,
   49.0% of prescribers use biosimilars in clinical practice and most
   (79.2%) rate their general knowledge of biosimilars as average to very
   high. Potential increased risk of immunogenicity remains a significant
   concern of switching. Gaps in knowledge identified by the survey include
   biosimilar development, clinical trial design and endpoint selection,
   and requirements for extrapolation, which should form the focus of
   future educational initiatives. A substantial demand remains for further
   educational activities with equal preference for online and face-to-face
   initiatives. A higher rate of biosimilar use (56.3% vs 46.5%), knowledge
   of biosimilar development and trial design, and comfort with
   extrapolation, but a lower knowledge of European Medicines Agency
   definitions, was found among prescribers from Asia-Pacific versus those
   from Europe.
   Conclusion Encouraging levels of prescriber use and general knowledge of
   biosimilars were found, but a substantial need for further education
   remains. Efforts should be made worldwide to align terms, definitions
   and guidelines for the development and approval of biosimilars.
RI Tabernero, Josep/AAG-5026-2019; de Vries, Elisabeth/
OI Tabernero, Josep/0000-0002-2495-8139; de Vries,
   Elisabeth/0000-0002-8949-7425
Z8 0
ZR 0
ZB 6
ZA 0
ZS 0
TC 31
Z9 31
U1 0
U2 1
EI 2059-7029
UT WOS:000468581300007
PM 30962961
ER

PT J
AU Grantcharov, Peter
   Ahmed, Shushmita
   Wac, Katarzyna
   Rivas, Homero
TI Reprocessing and reuse of single-use medical devices: perceptions and
   concerns of relevant stakeholders toward current practices
SO INTERNATIONAL JOURNAL OF EVIDENCE-BASED HEALTHCARE
VL 17
IS 1
BP 53
EP 57
DI 10.1097/XEB.0000000000000146
PD MAR 2019
PY 2019
AB Background: Research and history have largely shown the covert
   billion-dollar global market of single-use medical device (SUD)
   reprocessing and reuse to be a safe endeavor, but awareness and
   perceptions of the practice both within and outside of healthcare have
   received limited attention.
   Methods: Responses for patients, physicians, and medical practitioners
   were attained on both online and articlebased surveys, in which
   attitudes and perceptions of SUD reprocessing and reuse were expressed
   in an assortment of closed-ended questions and partially closed-ended
   questions.
   Results: Of the 214 participants, a collective 77% were unaware that the
   Food and Drug Administration allows SUD reprocessing and reuse. This
   included 65% of physicians and 84% of patients, which were significantly
   different proportions (P = 0.005). A significantly greater proportion of
   patients than physicians (92 vs. 68%) also felt that hospitals bear the
   responsibility of informing patients of the practice as part of their
   care (P< 0.001).
   Conclusion: There is a profound lack of awareness of SUD reprocessing
   and reuse among all relevant stakeholders. In addition, the overwhelming
   desire for transparency among patients further forces the debate of
   whether current, covert methods should be altered, in addition to the
   question of who bears this responsibility. Despite research and history
   having shown the practice to be safe, apprehension and misconceptions
   remain. Survey results suggest that education may be able to subdue such
   patient concerns.
RI Wac, Katarzyna/C-7856-2013
OI Wac, Katarzyna/0000-0002-8060-399X
ZS 1
ZB 1
Z8 0
ZR 0
ZA 0
TC 5
Z9 5
U1 0
U2 3
EI 1744-1609
UT WOS:000467778300007
PM 29847410
ER

PT J
AU Nelms, Christina L.
   Johnson, Elissaveta
   Peseski, Sarah
TI Determination of Renal Nutrition Training and Education Need for
   Pediatric-Focused and Adult-Focused Clinicians: The North American
   Pediatric Renal Nutrition Education Survey (NAPRNES)
SO JOURNAL OF RENAL NUTRITION
VL 29
IS 2
BP 91
EP 96
DI 10.1053/j.jrn.2018.05.009
PD MAR 2019
PY 2019
AB Objective: The purpose of the study was to ascertain pediatric-focused
   and adult-focused renal dietitians' perspectives on need for pediatric
   specific training and education materials.
   Design: This study has a descriptive, survey research design using a
   cross-sectional electronic survey. Subjects included North American
   dietitians of all ages and experience levels in either pediatric or
   adult-focused renal nutrition care per self-report. Inclusion criteria
   were access to renal listservs and/or membership within a Council on
   Renal Nutrition (CRN) group.
   Methods: Individuals were recruited to participate in the survey via
   email correspondence disseminated through the pediatric renal listserv
   hosted by the University of Alberta, Canada, and through the NKF online
   list of CRN contacts. Surveys were conducted between April 14 and May 2,
   2016, and between December 5, 2016 and January 9, 2017. A quantitative
   and qualitative survey/questionnaire was used to gather information. The
   main outcome measure of this study was to determine the need for
   pediatric specific renal nutrition training and education.
   Results: The majority of both pediatric-focused and adult-focused renal
   dietitians indicated that more pediatric renal nutrition training and
   education materials (100% and 87.8%, respectively) than what is
   currently available would be at least somewhat beneficial. In addition,
   the survey results showed that 22.1% of adult-focused practitioners work
   with pediatric individuals (<= 21 years) at least monthly. Those
   practitioners also indicated a need for pediatric training resources and
   education materials.
   Conclusion: More pediatric training and education resources need to be
   made available to meet the needs of both adult-focused and
   pediatric-focused dietitians to ensure optimal care of children with
   renal disease. (C) 2018 by the National Kidney Foundation, Inc. All
   rights reserved.
ZS 0
ZB 0
ZA 0
ZR 1
Z8 0
TC 1
Z9 2
U1 0
U2 1
SN 1051-2276
EI 1532-8503
UT WOS:000459138800003
PM 30143308
ER

PT J
AU Nigam, Aastha
   Johnson, Reid A.
   Wang, Dong
   Chawla, Nitesh V.
TI Characterizing online health and wellness information consumption: A
   study
SO INFORMATION FUSION
VL 46
BP 33
EP 43
DI 10.1016/j.inffus.2018.04.005
PD MAR 2019
PY 2019
AB To seek answers to health queries, we often find ourselves on a quest to
   assimilate information from varied online sources. This information
   search and fusion from different sources elicits user preferences, which
   can be driven by demographics, context, and socio-economic factors. To
   that end, we study these factors as part of health-information seeking
   behavior of users on a large health and wellness-based knowledge sharing
   online platform. We begin by identifying the topical interests of users
   from different content consumption sources. Using these topical
   preferences, we explore information consumption and health-seeking
   behavior across three contextual dimensions: user-based demographic
   attributes, time-related features, and community-based socioeconomic
   factors. We then study how these context signals can be used to explain
   specific user health topic preferences. Our findings suggest that
   linking demographic features to user profiles is more effective in
   explaining health preferences than other features. Our work demonstrates
   the value of using contextual factors to characterize and understand the
   content consumption of users seeking health and wellness information
   online.
RI Chawla, Nitesh/F-2690-2016
OI Chawla, Nitesh/0000-0003-3932-5956
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 2
Z9 2
U1 5
U2 124
SN 1566-2535
EI 1872-6305
UT WOS:000449448400004
ER

PT J
AU Walker, Cynthia A.
   Rahman, Alphonsa
   Gipson-Jones, Trina L.
   Harris, Che Matthew
TI Hospitalists' Needs Assessment and Perceived Barriers in Wound Care
   Management A Quality Improvement Project
SO JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING
VL 46
IS 2
BP 98
EP 105
DI 10.1097/WON.0000000000000512
PD MAR-APR 2019
PY 2019
AB The purpose of this quality improvement project was to determine
   hospitalists' knowledge, practices, and perspectives related to
   management of pressure injuries and neuropathic/diabetic foot
   complications (having a foot ulcer or subsequent development of a foot
   infection because of a foot ulcer). We also sought to identify resources
   for and knowledge-based barriers to management of these wounds. This
   quality improvement effort targeted an interdisciplinary group of 55
   hospitalists in internal medicine that consisted of 8 nurse
   practitioners, 10 physician assistants, and 38 physicians. The site of
   this initiative was the Johns Hopkins Bayview Medical Center, a 342-bed
   academic hospital located in the mid-Atlantic United States (Baltimore
   Maryland). The first phase of our quality improvement project comprised
   an online survey to identify hospitalists' knowledge, practices, and
   opinions on inpatient management of pressure injuries and diabetic foot
   complications. The second phase involved semistructured focus groups
   attended by hospitalists to identify resource gaps and barriers inferred
   by survey results. Twenty-nine of 55 (52%) hospitalists responded to the
   survey; 72% indicated no formal training in wound care. Over 90% had
   little to no confidence in management of pressure injuries and diabetic
   foot complications. In a separate ranking section of the survey,
   respondents selected lack of knowledge/confidence 12 of 29 (41.3%) and
   resources 9 of 29 (31.0%) as number 1 barriers to wound care. Managing
   patients with obesity was identified as a second major barrier from 10
   of 29 selected options (34.5%). Eighteen of 55 (33%) hospitalists
   attended focus group sessions acknowledging barriers to wound care that
   included provider education, information technology, system factors, and
   interprofessional engagement. Attendees welcomed additional educational
   and ancillary resource support.
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
TC 6
Z9 6
U1 1
U2 10
SN 1071-5754
EI 1528-3976
UT WOS:000465596600003
PM 30844867
ER

PT J
AU Rossiter, Chris
   Fowler, Cathrine
   Hesson, Amiee
   Kruske, Sue
   Homer, Caroline S. E.
   Schmied, Virginia
TI Australian parents' use of universal child and family health services: A
   consumer survey
SO HEALTH & SOCIAL CARE IN THE COMMUNITY
VL 27
IS 2
BP 472
EP 482
DI 10.1111/hsc.12667
PD MAR 2019
PY 2019
AB This study aimed to explore Australian parents' use of universally
   available well-child health services. It used an online survey of 719
   parents of children aged from birth to 5 years in all states and
   territories to examine patterns of service use and consumer preferences.
   In Australia, several health professional groups provide advice to
   pregnant women, infants, children, and parents, offering health
   promotion, developmental screening, parenting support, and referral to
   specialist health services if required. The survey examined parents' use
   of different child and family health providers, and their preferences
   for support with several common parenting issues. The study indicated
   that families with young children obtain primary healthcare from a range
   of service providers, often more than one, depending on children's ages
   and needs. Parents frequently visit general practitioners for
   immunisation and medical concerns. They attend dedicated child and
   family health nurses for parenting advice and well-child checks and
   prefer them as an information source for many health issues. However, a
   substantial proportion of parents (44.1%) do not currently visit a child
   and family health nurse, often because they not only do not perceive a
   need but also sometimes because these services are unknown,
   inaccessible, or considered unsuitable. They may seek advice from less
   qualified sources. There is potential for increased collaboration
   between child and family health providers to ensure effective resource
   use and consistency of parenting information and advice. Nursing
   services may need to address accessibility and appropriateness of care.
RI Schmied, Virginia/; Homer, Caroline/J-2101-2014; kruske, sue/
OI Schmied, Virginia/0000-0002-4066-1781; Homer,
   Caroline/0000-0002-7454-3011; kruske, sue/0000-0002-2317-3954
ZR 0
ZA 0
ZS 0
TC 8
Z8 0
ZB 1
Z9 8
U1 1
U2 6
SN 0966-0410
EI 1365-2524
UT WOS:000458580000020
PM 30368952
ER

PT J
AU Ohana, Shulamit
   Barnoy, Sivia
TI Israeli E-patients' Informational Needs
SO NURSING OUTLOOK
VL 67
IS 2
BP 190
EP 198
DI 10.1016/j.outlook.2018.11.003
PD MAR-APR 2019
PY 2019
AB Background: Online medical information has transformed the way patients
   obtain information.
   Purpose: The present study examined patients' informational needs and
   the patient- Healthcare Provider (HCP) relationship from the perceptions
   of both patients and HCP.
   Methods: The study was a cross-sectional study; data were collected in
   Israel from 100 HCPs (nurses and physicians) and 184 e-patients.
   Findings: E-patients were comfortable sharing e-information with their
   HCP and expected them to consider the e-information in treatment
   decision-making. Physicians thought they provided more information than
   the patients considered that they received from them, while both nurses
   and patients were in agreement about their interactions. Patients
   thought that there was a higher concordance between the e-information
   and the information they received from the physician/nurse as compared
   to what physicians and nurses reported.
   Discussion and Conclusions: E-health information does not disrupt the
   patient-nurse/physician relationship. To promote compliance to
   treatment, it is important that HCPs consider information presented by
   patients when preparing the treatment plan.
RI Barnoy, Sivia/AAT-7275-2021
OI Barnoy, Sivia/0000-0002-9358-3422
ZR 0
ZA 0
ZS 0
Z8 0
TC 3
ZB 0
Z9 3
U1 0
U2 2
SN 0029-6554
EI 1528-3968
UT WOS:000464769800010
PM 30558901
ER

PT J
AU Perreault, Leigh
   Boardman, Marilyn K.
   Pak, Jonathan
TI The Association Between Type 2 Diabetes and Cardiovascular Disease: The
   "For Your SweetHeart (TM)" Survey
SO ADVANCES IN THERAPY
VL 36
IS 3
BP 746
EP 755
DI 10.1007/s12325-019-0871-9
PD MAR 2019
PY 2019
AB Introduction: It is unclear whether patients and their loved ones
   appreciate that cardiovascular disease (CVD) is the major cause of
   morbidity and mortality in type 2 diabetes mellitus (T2DM). The purpose
   of this survey was to evaluate the degree of awareness regarding the
   link between T2DM and CVD.
   Methods: An online survey was conducted among US adults (general
   population) and adults with self-reported T2DM.
   Results: Of 13,027 participants recruited, 1505 completed the survey
   (12% response rate): 501 with T2DM and 1004 from the general population,
   of whom 364 knew someone with T2DM (e.g., partner, friend, relative,
   colleague: SweetHearts). Of those with T2DM, 52% were unaware that
   patients with T2DM are at increased risk of CVD and related
   macrovascular events. People with T2DM were more likely to be aware of
   the increased risk of microvascular disease (blindness [57%],
   nephropathy [57%], neuropathy [64%]) than macrovascular disease
   (myocardial infarction [41%], stroke [43%]). Despite CVD being the
   leading cause of death in T2DM, 67% of those with T2DM and 69% of
   SweetHearts were unaware of this, similar figures to those of the
   general population (74%). People with T2DM indicated they would take
   preventive measures if they were aware of their increased CVD risk: 88%
   would modify their diet and 81% would talk to their healthcare provider.
   Respondents with T2DM (73%) indicated that a desire to live longer/spend
   more time with family would motivate them to decrease their CVD risk.
   Conclusions: Findings indicate that education regarding the association
   between T2DM and CVD in patients and their loved ones is warranted.
   Plain Language Summary: Plain language summary available for this
   article. Please see Fig. 1 and the following link:
   10.6084/m9.figshare.7546817.
ZR 0
ZA 0
TC 5
ZS 0
ZB 3
Z8 0
Z9 5
U1 1
U2 3
SN 0741-238X
EI 1865-8652
UT WOS:000462129500018
PM 30758740
ER

PT J
AU Klein, Jan Philipp
   Berger, Thomas
   Hautzinger, Martin
   Lutz, Wolfgang
   Rose, Matthias
   Spaeth, Christina
   Schroeder, Johanna
   Hohagen, Fritz
   Moritz, Steffen
TI Self-management interventions in the treatment of depressive disorders:
   ready for clinical practice?
SO FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE
VL 87
IS 3
BP 172
EP 180
DI 10.1055/a-0849-9838
PD MAR 2019
PY 2019
AB Only about half of those suffering from a depressive disorder seek
   treatment. Self-management interventions are one way to reduce this
   treatment gap. These interventions are mostly based on evidence-based
   techniques of cognitive behavioural therapy, which are taught by a
   computer program instead of a therapist. Numerous studies have shown the
   effectiveness of these interventions. However, these studies also raise
   a number of questions. These concern the efficacy both in the external
   rating and in the long-term course and the efficacy in severe depressive
   symptoms or in combination with antidepressant medication. Finally, the
   question arises as to the use of these interventions in patients in
   clinical practice and in people who are not particularly Internet-savvy.
   We addressed these questions in a large randomized study (EVIDENT
   study). This study investigated the efficacy of Intervention deprexis
   (R). The results of this study are summarised in this overview and
   placed in the context of other interventions available in Germany.
RI Klein, Jan Philipp/ABH-4625-2020; Berger, Thomas/I-7931-2012; Lutz, Wolfgang/Q-6125-2017
OI Klein, Jan Philipp/0000-0001-9882-2261; Berger,
   Thomas/0000-0002-2432-7791; Lutz, Wolfgang/0000-0002-5141-3847
ZR 0
TC 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 0
U1 0
U2 5
SN 0720-4299
EI 1439-3522
UT WOS:000462677100004
PM 30891718
ER

PT J
AU Naqvi, Atta Abbas
   Hassali, Mohamed Azmi
   Aftab, Mohammad Tariq
TI Epidemiology of rheumatoid arthritis, clinical aspects and
   socio-economic determinants in Pakistani patients: A systematic review
   and meta-analysis
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 69
IS 3
BP 389
EP 398
PD MAR 2019
PY 2019
AB Objectives: The study aimed to evaluate literature on rheumatoid
   arthritis disease in Pakistani patients, to have an understanding about
   its epidemiology, clinical aspects and socio-economic determinants.
   Methods: The review study was conducted from December 2017, to May 2018.
   An online search was conducted in international and local health
   databases using appropriate search keywords as well as scanning
   reference lists of related articles. Literature published after year
   2000 that reported epidemiological, demographic, clinical and
   socioeconomic data of Pakistani rheumatoid arthritis patients was
   included. Meta-analysis was performed where possible. This systematic
   review was registered on the international prospective register of
   systematic reviews PROSPERO (CRD42018090582).
   Results: Of the 334 research articles found, 29 (8.7%) were selected.
   Patients were mostly females, but no study explored impact of disease on
   household and family role functioning of rheumatoid arthritis-affected
   women in Pakistan. Most patients were uneducated (55%) and unemployed;
   had low disease knowledge (N = 149, 74.5%) and poor adherence to
   disease-modifying anti-rheumatic drugs (N = 23, 23%). Point prevalence
   of rheumatoid arthritis reported from Karachi was high at 26.9%.
   Moderate disease activity, i.e., 4.5 +/- 0.7 and mild functional
   disability (N = 66, 51.6%) were seen in RA patients. Almost half (N =
   799, 46.9%) had comorbidities. Almost a fifth proportion of RA patients
   had dyslipidaemia as a comorbidity (N = 134, 16.77%) and higher
   cardiovascular risk score as modifiable risk factor. Undiagnosed
   depression (N = 134, 58.3%) and low bone mineral density (N = 93, 40.6%)
   were reported in RA patients. Direct monthly treatment cost of disease
   was significantly high considering patients' socio-economic status,
   i.e., USD 16.47 - 100.68. Most commonly used drug was methotrexate.
   Conclusion: There is a paucity of data on Pakistani rheumatoid arthritis
   patients' demographic and socio-economic parameters, especially the
   gender element.
RI , A/Q-9659-2019
Z8 0
ZA 0
ZR 0
TC 16
ZB 6
ZS 0
Z9 16
U1 0
U2 5
SN 0030-9982
UT WOS:000462780600015
PM 30890833
ER

PT J
AU Alsuhaibani, Marya
   Alharbi, Amjad
   Inam, S. N. Bazmi
   Alamro, Ahmad
   Saqr, Mohammed
TI Research education in an undergraduate curriculum: Students perspective
SO INTERNATIONAL JOURNAL OF HEALTH SCIENCES-IJHS
VL 13
IS 2
BP 30
EP 34
PD MAR-APR 2019
PY 2019
AB Objective: This study aims to investigate the attitude and practice
   toward undergraduate research studies among medical students at Qassim
   University in Buraydah, Saudi Arabia.
   Methods: An online cross-sectional survey developed based on previous
   studies. It was announced to all registered medical students who have
   active college's email (n = 448) at Qassim University in Buraydah, Saudi
   Arabia during the academic year of 2016.
   Results: The response rate was 56.6% (n = 252). Less than half of the
   students have started their research projects (41.6%). Students
   complained about the lack of free time and the unavailability of a
   university hospital: 92.4% and 97.1%, respectively. One-third of
   students participated in extra-curriculum research, and female students
   were more involved. Only 15.2% have published their research and 26.7%
   have presented it in conferences. Male students have more journal
   publication in compared to their female collages while the females have
   presented their projects more often in conferences. To improve their
   curriculum vitae, 95.2% stated they are going to participate in
   extra-curriculum research in the future.
   Conclusions: Students believe in the importance of research for
   improving their future work life. The main reason for not participating
   in research. beyond deficiency of research activities, is lack of free
   time. Students are unsatisfied with research skills gained through
   academic life, although their interest toward research increases and
   they plan on participating in future research.
RI Saqr, Mohammed/AAH-2520-2020
OI Saqr, Mohammed/0000-0001-5881-3109
ZR 0
ZB 0
Z8 0
ZS 1
ZA 1
TC 1
Z9 3
U1 0
U2 0
SN 1658-3639
EI 1658-7774
UT WOS:000460150500006
PM 30983943
ER

PT J
AU Cronin, Ciara
   Lucas, Mairi
   McCarthy, Andrea
   Boland, Fiona
   Varadarajan, Raghu
   Premnath, N.
   Gillen, Peter
TI Are we reaping what we sow? Gender diversity in surgery: a survey of
   medical students
SO POSTGRADUATE MEDICAL JOURNAL
VL 95
IS 1121
BP 119
EP 124
DI 10.1136/postgradmedj-2018-136136
PD MAR 2019
PY 2019
AB Background A survey of medical students from the Royal College of
   Surgeons in Ireland (RCSI) at Dublin, Perdana and Penang in Malaysia was
   undertaken in an attempt to explore attitudes towards a career in
   surgery and document potential differences between male and female
   students' perceptions of a surgical career.
   Method A hyperlink to an online, anonymised questionnaire was
   distributed to medical students in 3rd, 4th and final year at three RCSI
   campuses. Basic descriptive statistics were used to describe the
   responses to individual questions and appropriate statistical tests used
   to compare male and female responses to questions.
   Results A total of 464 completed questionnaires were analysed. Almost
   40% (n=185) were male and 60% (n=279) were female. Males were
   significantly more influenced by remuneration than females (p<0.001)
   towards a choice of surgical career. Females were significantly more
   influenced in their choice of surgical career by part-time work
   (p<0.001), parental leave (p<0.001), working hours (p<0.001) and length
   of residency (p=0.003). During surgical attachments, females were
   significantly more likely to admit feeling intimidated than males
   (p=0.002) and males more likely to report feeling confident (p<0.001).
   Ninety-six per cent of students felt they would be more likely to pursue
   a career in which they had identified a positive role model, with female
   medical students three times more likely to have identified a female
   role model than males.
   Conclusion According to our study, preference for a career in surgery
   declines with advancing years in medical school for both males and
   females. Medical students report high levels of feeling intimidated or
   ignored during their surgical placements, and enthusiasm for surgery
   reduces during medical school with exposure to this. These findings,
   along with the importance of role modelling, add further urgency to the
   need to address factors which make surgery less appealing to female
   medical graduates.
OI Boland, Fiona/0000-0003-3228-0046
ZA 0
ZR 0
ZB 1
Z8 0
TC 10
ZS 0
Z9 10
U1 1
U2 6
SN 0032-5473
EI 1469-0756
UT WOS:000471895900001
PM 30975724
ER

PT J
AU Treadwell, I
   Ahlers, O.
   Botha, G. C.
TI Initiating curriculum mapping on the web-based, interactive learning
   opportunities, objectives and outcome platform (LOOOP)
SO AFRICAN JOURNAL OF HEALTH PROFESSIONS EDUCATION
VL 11
IS 1
BP 27
EP 31
DI 10.7196/AJHPE.2019.v11i1.1073
PD MAR 2019
PY 2019
AB Background. A web-based curriculum is made transparent by providing
   multidimensional overviews of content (learning objectives) aligned with
   learning outcomes and frameworks, opportunities and assessment formats.
   A South African university embarked on the mapping of its curricula on
   the web-based learning opportunities, objectives and outcome platform
   (LOOOP).
   Objectives. To reflect on the customisation of LOOOP and training of
   lecturers, and to determine lecturers perceptions of the usability and
   value of LOOOP.
   Methods. The project manager reflected on the initiating processes, and
   a survey determined the lecturers' perceptions of the usability and
   value of curriculum mapping, using a 4-point Likert scale questionnaire.
   The convenience sample comprised the first 30 lecturers who had uploaded
   their curriculum content and consented to partake in this
   ethics-approved study. Descriptive statistics portray the percentages of
   agreement on the positive statements of the questionnaire.
   Results. Challenges related to slow staff buy-in and development were
   experienced. Required modifications to LOOOP were promptly dealt with.
   The majority of participants agreed on the usability (>= 89%), as well
   as structure and transparency (>= 87%) of 1,000P. Mapping is expected to
   enhance curriculum revision (>= 95%) and communication (>= 96%), viewing
   the curriculum scope, complexity and cohesion (97%), as well as
   abstracting data for management analysis and reporting (100%).
   Conclusions. The lecturers agreed on the usability and values of
   curriculum mapping, which indicates that online mapping is sufficiently
   beneficial to justify the time and resources invested. Mapping should be
   a product of collaborative participation and planned as a long-term
   commitment, which can also be used to research the impact of mapping on
   student learning.
ZS 0
ZB 0
TC 1
ZR 0
Z8 0
ZA 0
Z9 1
U1 0
U2 2
SN 2078-5127
UT WOS:000463159000007
ER

PT J
AU Melo, Maria do Carmo B.
   Santos, Alaneir F.
   Alves, Humberto J.
   Queiroz, Thais C. N.
   Silva, Nara L. C.
TI Telemonitoring of Neonatal Intensive Care Units: Preliminary Experience
   in the State of Minas Gerais, Brazil
SO AMERICAN JOURNAL OF PERINATOLOGY
VL 36
IS 4
BP 393
EP 398
DI 10.1055/s-0038-1668558
PD MAR 2019
PY 2019
AB Objective This article describes the implementation and functioning of a
   telemonitoring center of neonatal intensive care units (NICUs) organized
   by the Telehealth Center of the Medical School of the Federal University
   of Minas Gerais who signed an agreement with the Minas Gerais State
   Department of Health (SES/MG, in Portuguese), Brazil.
   Study Design This is a descriptive retrospective study from December
   2012 to June 2014 of a NICU telemonitoring project.
   Results Twelve Web conferences have been performed. Six thousand, eight
   hundred and thirty nine (6,839) online teleconsultations of
   pediatricians and nurses with experience in neonatology and intensive
   care have been performed, of which 174 were with subspecialists, with an
   average response time of 6 hours.
   Discussion The project has demonstrated to be satisfactory, with fast
   response in relation to the demands of subspecialists, promoting care,
   and management support to the NICU. The qualification via Web
   conferences prevents the displacement of the professionals to big
   centers for continuous medical education.
   Conclusion The telemonitoring of NICU can contribute in the process of
   management, regulation of beds, reduction of displacements and
   transferences, adhesion to best practices, care support, and
   qualification of the involved professionals.
ZA 0
TC 2
ZR 0
ZB 1
ZS 0
Z8 0
Z9 2
U1 0
U2 1
SN 0735-1631
EI 1098-8785
UT WOS:000460752500009
PM 30130823
ER

PT J
AU Martinengo, Laura
   Yeo, Natalie Jia Ying
   Tang, Zheng Qiang
   Markandran, Kasturi D. O.
   Kyaw, Bhone Myint
   Car, Lorainne Tudor
TI Digital Education for the Management of Chronic Wounds in Health Care
   Professionals: Protocol for a Systematic Review by the Digital Health
   Education Collaboration
SO JMIR RESEARCH PROTOCOLS
VL 8
IS 3
AR e12488
DI 10.2196/12488
PD MAR 2019
PY 2019
AB Background: Digital education is "the act of teaching and learning by
   means of digital technologies." Digital education comprises a wide range
   of interventions that can be broadly divided into offline digital
   education, online digital education, digital game-based learning,
   massive open online courses (MOOCs), psychomotor skills trainers,
   virtual reality environments, virtual patient simulations, and
   m-learning. Chronic wounds pose an immense economic and psychosocial
   burden to patients and the health care system, as caring for them
   require highly specialized personnel. Current training strategies face
   significant barriers, such as lack of time due to work commitments,
   distance from provider centers, and costs. Therefore, there is an
   increased need to synthesize evidence on the effectiveness of digital
   education interventions on chronic wounds management in health care
   professionals.
   Objective: Our main objective is to assess the effectiveness of digital
   education as a stand-alone approach or as part of a blended-learning
   approach in improving pre- and postregistration health care
   professionals' knowledge, attitudes, practical skills, and behavior in
   the management of chronic wounds, as well as their satisfaction with the
   intervention. Secondary objectives are to evaluate patient-related
   outcomes, cost-effectiveness of the interventions, and any unfavorable
   or undesirable outcomes that may arise.
   Methods: This systematic review will follow the methodology as described
   in the Cochrane Handbook for Systematic Reviews of Interventions. As our
   systematic review is one of a series of reviews on digital education for
   health professionals' education, we will use a previously developed
   search strategy. This search includes the following databases: the
   Cochrane Central Register of Controlled Trials (CENTRAL) (Cochrane
   Library), MEDLINE (Ovid), Embase (Ovid), Web of Science, the Educational
   Resource Information Centre (ERIC) (Ovid), PsycINFO (Ovid), the
   Cumulative Index to Nursing and Allied Health Literature (CINAHL)
   (EBSCO), the ProQuest Dissertation and Theses database, and trial
   registries. Databases will be searched for studies published from
   January 1990 to August 2018. Two independent reviewers will screen the
   library for included studies. We will describe the screening process
   using a flowchart as per the Preferred Reporting Items for Systematic
   Reviews and Meta-Analyses (PRISMA) guidelines. We will extract the data
   using a previously developed, structured data extraction form. Included
   studies will be quality-assessed using the Risk of Bias tool from
   Cochrane. We will narratively summarize the data and, if possible, we
   will conduct a meta-analysis. We will use Cochrane's RevMan 5.3 software
   for data analysis.
   Results: We have completed the screening of titles and abstracts for
   this systematic review and are currently selecting papers against our
   inclusion and exclusion criteria through full-text revision. We are
   expecting to complete our review by the end of April 2019.
   Conclusions: This systematic review will provide an in-depth analysis of
   digital education strategies to train health care providers in the
   management of chronic wounds. We consider this topic particularly
   relevant given the current challenges facing health care systems
   worldwide, including shortages of skilled personnel and a steep increase
   in the population of older adults as a result of a prolonged life
   expectancy.
RI Martinengo, Laura/AAY-8201-2020; Car, Lorainne Tudor/E-1205-2017; Markandran, Kasturi/; Kyaw, Bhone Myint/; Yeo, Natalie/
OI Martinengo, Laura/0000-0003-3539-7207; Car, Lorainne
   Tudor/0000-0001-8414-7664; Markandran, Kasturi/0000-0002-4522-7407;
   Kyaw, Bhone Myint/0000-0002-1750-0330; Yeo, Natalie/0000-0002-1158-1432
ZR 0
ZB 0
ZA 0
TC 11
Z8 1
ZS 0
Z9 11
U1 6
U2 31
SN 1929-0748
UT WOS:000462890300019
PM 30907743
ER

PT J
AU First, Michael B.
   Erlich, Matthew D.
   Adler, David A.
   Leong, Shirley
   Dixon, Lisa B.
   Oslin, David W.
   Goldman, Beth
   Koh, Steve
   Levine, Bruce
   Berlant, Jeffrey L.
   Siris, Samuel G.
TI How the DSM Is Used in Clinical Practice
SO JOURNAL OF NERVOUS AND MENTAL DISEASE
VL 207
IS 3
BP 157
EP 161
DI 10.1097/NMD.0000000000000953
PD MAR 2019
PY 2019
AB Despite widespread use, how clinicians use the DSM in psychiatric
   practice is not well understood. Recognizing public and professional
   attitudes toward the DSM are integral to future DSM development, to
   assess a commonly held assumption such as that the DSM is used primarily
   for coding, and to assess its clinical utility. A convenience sample of
   Psychiatric Times readers was surveyed to assess the DSM's use in
   clinical practice. A total of 394 behavioral health care practitioners
   fully completed the online survey. Results suggest that the DSM, beyond
   administrative and billing use, is used for communication with health
   care providers, for teaching diagnoses to trainees, and, importantly, as
   an educational tool to inform patients and caregivers alike.
RI Adler, David/AAG-8934-2019
ZA 0
ZB 0
TC 4
ZS 0
ZR 0
Z8 0
Z9 4
U1 0
U2 6
SN 0022-3018
EI 1539-736X
UT WOS:000460664600006
PM 30768542
ER

PT J
AU Feng, Hao
   Belkin, Daniel A.
   Feng, Paula W.
   Geronemus, Roy G.
TI Micrographic Surgery and Dermatologic Oncology Fellowship Selection
   Criteria
SO DERMATOLOGIC SURGERY
VL 45
IS 3
BP 398
EP 403
DI 10.1097/DSS.0000000000001677
PD MAR 2019
PY 2019
AB BACKGROUND Obtaining a fellowship position for Micrographic Surgery and
   Dermatologic Oncology (MSDO) is becoming very competitive. Applicant
   qualities desired by MSDO fellowship directors have not been previously
   explored in a systematic way.
   OBJECTIVE To characterize the prevailing practices of selecting MSDO
   fellows.
   METHODS AND MATERIALS Cross-sectional study based on an anonymous online
   survey of MSDO fellowship directors.
   RESULTS There were 34 completed surveys. Selection criteria with the
   highest importance to fellowship directors were the ability to work well
   and get along with others, interview, work ethic, and letter of
   recommendation from the Mohs micrographic surgery director at the
   applicant's residency. The criteria with the lowest importance were
   advanced degrees, medical licensing examination scores, and membership
   in Alpha Omega Alpha. Specific applicant factors that were looked upon
   most positively by fellowship directors include applicant from own
   institution and applicant's personal reasons and circumstances, whereas
   factors that were most unfavorable include applicant's desire to
   practice in the same city/area as the fellowship location and graduate
   of foreign medical school.
   CONCLUSION Although variations existed, MSDO fellowship directors
   collectively placed greater importance on criteria that reflect
   interpersonal skills than on objective measures of academic performance,
   which highlights the importance of "fit."
ZA 0
ZS 0
Z8 0
ZR 0
TC 8
ZB 0
Z9 8
U1 1
U2 2
SN 1076-0512
EI 1524-4725
UT WOS:000462415600009
PM 30199433
ER

PT J
AU Khan, Mohammad Hassan
   Aslam, M. Z.
   McNeill, A.
   Tang, B.
   Nabi, G.
TI Transfer of Skills From Simulation Lab to Surgical Services: Impact of a
   Decade Long Laparoscopic Urology Surgical Course
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 2
BP 591
EP 599
DI 10.1016/j.jsurg.2018.08.026
PD MAR-APR 2019
PY 2019
AB OBJECTIVE: To investigate the impact of decade-long dedicated
   laparoscopic urology surgical skills course on the successful
   implementation of surgical services by the participants.
   METHODS: A prospective database was maintained for all the participants
   in urological laparoscopic courses run by a single dedicated unit
   between January 2016 and December 2016. Data on various variables were
   collected using a follow-up validated questionnaire exploring speciality
   of clinical practice, challenges and need for additional training to
   establish clinical services, improvement in quality and frequency of
   laparoscopic courses. A subset of participants reported data of their
   outcomes in a national database available publically.
   RESULTS: One hundred sixty one delegates were drawn from 18 countries
   attended laparoscopic skills courses during the study period of 10
   years. Data were available for 154 (95.65%) participants. There were
   only 20 (20/154; 12.9%) responses to online website questionnaires
   despite 3 reminders. Further, follow-up through websites/telephonic
   contact/organizational contacts improved the response rate to 93%
   (143/154). Of the participants, 95% (135/143) felt that these courses
   should be continued, and they agreed to recommend them to their trainees
   in the future. More than 50% (81/143; 56.6%) of the participants
   performed laparoscopic/robotic surgery at various centers. Sixty two
   (62/143; 43.3%) did not pursue laparoscopic surgery as a career choice.
   Fifty six (56/81; 69%) participants were established laparoscopic
   surgeons were from the UK, and of them, 30 (30/56; 53.57%: 30/81;
   37.04%) were established surgeons that contributed to publishing their
   results through professional organizations with the outcomes of all of
   these within normal ranges of their peers.
   CONCLUSIONS: A dedicated laparoscopic urological surgery course run over
   a decade had a significant impact on the skills of participants, and
   most participants were able to establish clinical practice catering to a
   large proportion of the UK population as well as a few centers
   internationally. (C) 2018 Published by Elsevier Inc. on behalf of
   Association of Program Directors in Surgery.
OI Nabi, Ghulam/0000-0002-4864-9445
ZB 0
ZS 0
ZA 0
TC 1
Z8 0
ZR 0
Z9 1
U1 0
U2 4
SN 1931-7204
EI 1878-7452
UT WOS:000462264800039
PM 30249515
ER

PT J
AU Loochtan, Aaron I.
   Spector, Andrew R.
   Sinha, Saurabh R.
   Lerner, David P.
TI Emergency Neurology Oral Cases for Trainee Assessment and Education
SO NEUROLOGIST
VL 24
IS 2
BP 53
EP 55
DI 10.1097/NRL.0000000000000217
PD MAR 2019
PY 2019
AB Objectives: Neurological emergencies comprise much of neurology
   residency, but there may be a lack of clinical experience. For our
   program, oral examinations have been used to assess resident readiness
   for additional clinical independence. In this study, we examined the
   perceptions of learners and examiners of oral case examinations.
   Methods: Six attending physicians administered case-based oral
   examinations to 8 trainees. Each case involved a chief complaint and
   progressed through a clinical encounter. Following the examination, each
   attending physician and trainee completed an online 5-point Likert scale
   survey of content and educational value. Statistical analysis of point
   assignment based on Likert scale responses was performed.
   Results: Six attendings (100% response) and 7 trainees (87.5% response)
   completed the assessment. The trainees assessed all 6 cases. Residents
   had negative responses for 3 cases with specific concern in "feedback"
   and "learning experience." Residents responded with less positive
   response than attendings for "The case is easy to understand and
   progressed in a logical fashion" (3.90 for residents vs. 4.83
   attendings; P=0.015) and "The case complexity is appropriate for level
   of training" (4.14 vs. 4.83; P=0.033). Attendings noted better
   understanding of trainees thought processes following oral examinations.
   Trainees noted feedback as the most useful component of case-based
   assessments.
   Conclusions: Case-based assessment in neurology training allows for
   rapid evaluation of trainees' abilities to critically think. There is
   general agreement from attendings and trainees that case-based
   assessment is a useful and positive learning tool. The responses from
   this survey are being used to modify the cases for future examinations.
Z8 0
ZS 0
ZB 0
ZR 0
TC 0
ZA 0
Z9 0
U1 0
U2 0
SN 1074-7931
UT WOS:000462176500003
PM 30817490
ER

PT J
AU Pafitanis, Georgios
   Hadjiandreou, Michalis
   Miller, Robert
   Mason, Katrina
   Theodorakopoulou, Evgenia
   Sadri, Amir
   Taylor, Kirsten
   Myers, Simon
TI The use of mobile computing devices in microsurgery
SO ARCHIVES OF PLASTIC SURGERY-APS
VL 46
IS 2
BP 102
EP 107
DI 10.5999/aps.2018.00150
PD MAR 2019
PY 2019
AB Mobile computing devices (MCDs), such as smartphones and tablets, are
   revolutionizing medical practice. These devices are almost universally
   available and offer a multitude of capabilities, including online
   features, streaming capabilities, high-quality cameras, and numerous
   applications. Within the surgical field, MCDs are increasingly being
   used for simulations. Microsurgery is an expanding field of surgery that
   presents unique challenges to both trainees and trainers.
   Simulation-based training and assessment in microsurgery currently play
   an integral role in the preparation of trainee surgeons in a safe and
   informative environment. MCDs address these challenges in a novel way by
   providing valuable adjuncts to microsurgical training, assessment, and
   clinical practice through low-cost, effective, and widely accessible
   solutions. Herein, we present a review of the capabilities,
   accessibility, and relevance of MCDs for technical skills acquisition,
   training, and clinical microsurgery practice, and consider the
   possibility of their wider use in the future of microsurgical training
   and education.
RI Pafitanis, Georgios/AAQ-2992-2020; Pafitanis, Georgios/; Mason, Katrina/; Theodorakopoulou, Evgenia/
OI Pafitanis, Georgios/0000-0003-4712-277X; Mason,
   Katrina/0000-0002-4515-1780; Theodorakopoulou,
   Evgenia/0000-0002-8283-0483
ZA 0
ZB 0
ZR 0
ZS 0
TC 9
Z8 0
Z9 9
U1 0
U2 0
SN 2234-6163
EI 2234-6171
UT WOS:000461750200002
PM 30934172
ER

PT J
AU Yi, Paul Hyunsoo
   Golden, Sean Kenney
   Harringa, John B.
   Kliewer, Mark A.
TI Readability of Lumbar Spine MRI Reports: Will Patients Understand?
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 212
IS 3
BP 602
EP 606
DI 10.2214/AJR.18.20197
PD MAR 2019
PY 2019
AB OBJECTIVE. Radiology reports have traditionally been written for
   referring clinical providers. However, as patients increasingly access
   their radiology reports through online medical records, concerns have
   been raised about their ability to comprehend these complex documents.
   The purpose of this study was to assess the readability of lumbar spine
   MRI reports.
   MATERIALS AND METHODS. We reviewed 110 lumbar spine MRI reports dictated
   by 11 fellowship-trained radiologists (eight musculoskeletal
   radiologists and three neuroradiologists) at a single academic medical
   center. We evaluated each article for readability using five
   quantitative readability tests: the Flesch-Kincaid Grade Level, Flesch
   Reading Ease, Gunning Fog Index, Coleman-Liau Index, and the Simple
   Measure of Gobbledygook. The number of reports with readability at or
   below eighth-grade level (average reading ability of U. S. adults) and
   at or below sixth-grade level (level recommended by the National
   Institutes of Health and the American Medical Association for patient
   education materials) were determined.
   RESULTS. The mean readability grade level of the lumbar spine MRI
   reports was greater than the 12th-grade reading level for all
   readability scales. Only one report was written at or below eighth-grade
   level; no reports were written at or below sixth-grade level.
   CONCLUSION. Lumbar spine MRI reports are written at a level too high for
   the average patient to comprehend. As patients increasingly read their
   radiology reports through online portals, consideration should be made
   of patients' ability to read and comprehend these complex medical
   documents.
ZA 0
ZB 0
Z8 0
ZS 0
TC 10
ZR 0
Z9 10
U1 0
U2 1
SN 0361-803X
EI 1546-3141
UT WOS:000461835300030
PM 30620671
ER

PT J
AU Avery, Emma
   MacDonald, Carling
   Ng, Marcus
   Serletis, Demitre
TI Survey of epilepsy and seizure awareness in Manitoba: An evaluation
SO EPILEPSY & BEHAVIOR
VL 92
BP 195
EP 199
DI 10.1016/j.yebeh.2018.12.023
PD MAR 2019
PY 2019
AB Background: Epilepsy and seizure awareness is gradually improving across
   Canada. With the strategic proposal for a Comprehensive Epilepsy Program
   in Manitoba (including formation of a new Pediatric Epilepsy Monitoring
   Unit (EMU)), a provincial strategy has been recommended outlining a path
   towards improved access to epilepsy care. We sought to qualify the
   current state of clinician knowledge and comfort towards diagnosis and
   management of this condition.
   Methods: A qualitative online survey (Survey of Epilepsy and Seizure
   Awareness in Manitoba: An Evaluation (SESAME)), comprised of 36
   short-answer questions, was delivered to primary care and specialist
   physicians in Manitoba.
   Results: One hundred and eight subjects responded across varying medical
   disciplines. One hundred and one (93.5%) had previously managed patients
   with epilepsy, and 87 (80.6%) had previously ordered an
   electroencephalogram (EEG). A total of 63 (59.4%) had referred to a
   neurologist, with a lower proportion (30, 28.3%) referring specifically
   to an epileptologist. Only 36 respondents (33.3%) had heard of the
   International League Against Epilepsy (ILAE) guidelines. A total of 61
   (56.5%) were unaware of invasive EEG techniques. Most (85, 78.7%)
   understood a role for surgery in treating epilepsy, with 12 (11.1%)
   unaware of surgical therapies beyond vagal nerve stimulation (VNS).
   Finally, less than half (44.2%) had heard about the Comprehensive
   Epilepsy Program in Manitoba, with nearly two thirds (62.8%) indicating
   that they would like to have more information on epilepsy management.
   Conclusions: The SESAME successfully identified strong awareness towards
   epilepsy, with identifiable lapses in knowledge that will benefit from a
   formal provincial-wide educational curriculum. (C) 2019 Elsevier Inc.
   All rights reserved.
RI Ng, Marcus/AAI-9842-2020; Serletis, Demitre/L-6560-2013; Avery, Emma/
OI Ng, Marcus/0000-0002-6258-5943; Serletis, Demitre/0000-0002-8037-9705;
   Avery, Emma/0000-0002-1737-8187
TC 6
ZB 3
ZA 0
Z8 0
ZR 0
ZS 0
Z9 6
U1 1
U2 2
SN 1525-5050
EI 1525-5069
UT WOS:000461905800030
PM 30682651
ER

PT J
AU Alsohibani, Abdullah
   Alkheder, Renad
   Alharbi, Marwa
   Alrasheedi, Malak
   Alsoghair, Mansour
   Alsuhaibani, Mohammed
TI Public awareness, knowledge, and attitudes regarding epilepsy in the
   Qassim region, Saudi Arabia
SO EPILEPSY & BEHAVIOR
VL 92
BP 260
EP 264
DI 10.1016/j.yebeh.2019.01.014
PD MAR 2019
PY 2019
AB Introduction: Epilepsy is a chronic condition and has significant
   negative consequences to quality of life. Misconceptions regarding
   epilepsy among communities with lower rates of education have led to
   false beliefs and ideas. This study aimed to evaluate the awareness,
   knowledge, and attitudes about epilepsy in Saudi population at Qassim
   region, Saudi Arabia.
   Methods: A cross-sectional study was conducted using a previously
   validated 14-item questionnaire. The data were collected online via
   WhatsApp application. The Saudi adult population (18 years and older)
   within Qassim region was sampled for the present study.
   Results: A total of 403 respondents completed the survey and the
   majority (68.8%) were less than 30 years old. Nearly all participants
   (97.0%) had heard of epilepsy or convulsive seizures; 43.5% knew a
   person with the disease: and 48.4% had seen a person having a seizure.
   Participants cited brain disorders (68.1%) as the most common cause of
   epilepsy, followed by mental disorders (61.9%) then hereditary diseases
   (48.8%). Only 5.6% would protest against their children associating with
   a person who occasionally experiences seizures, and a similarly small
   percentage (7.9%) would do so if their son or daughter decided to marry
   such a person.
   Conclusion: The public's general attitudes and awareness of epilepsy
   were quite good: however, knowledge regarding this medical condition is
   still inadequate. Thus, more campaigns are needed in order to increase
   societal awareness on epilepsy, obtaining help from governmental
   agencies, health institutions, mass media, and other health-related
   organizations. (C) 2019 Elsevier Inc. All rights reserved.
OI alsoghair, mansour/0000-0003-4606-3317; Alsuhaibani,
   Mohammed/0000-0003-3181-777X
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
TC 8
Z9 8
U1 0
U2 1
SN 1525-5050
EI 1525-5069
UT WOS:000461905800040
PM 30731290
ER

PT J
AU Doyen, Bart
   Vlerick, Peter
   Maertens, Heidi
   Vermassen, Frank
   Van Herzeele, Isabelle
TI Non-technical attributes and surgical experience: A cross-sectional
   study comparing communication styles and attitudes in surgical staff,
   trainees and applicants
SO INTERNATIONAL JOURNAL OF SURGERY
VL 63
BP 83
EP 89
DI 10.1016/j.ijsu.2019.02.002
PD MAR 2019
PY 2019
AB Background: This monocentric study aimed to explore whether key
   non-technical attributes can be reliably measured in a mixed population
   of candidates applying for surgical training, surgical trainees and
   staff and to identify any differences between these groups.
   Materials & methods: Candidates applying for surgical training, surgical
   trainees and staff from four surgical specialties (general surgery,
   orthopedics, plastic surgery or urology) at a tertiary academic teaching
   hospital were all sent an online self-report questionnaire. The
   Communication Styles Inventory (CSI, 96 items) was used to assess a
   six-dimensional behavioral model of participant communication styles
   (expressiveness, preciseness, verbal aggressiveness, questioningness,
   emotionality and impression manipulativeness). Attitudes toward
   uncertainty and risks were assessed with the Physicians' Reaction toward
   Uncertainty (PRU, 15 items) and Physician Risk Attitudes (PRA, 6 items)
   scales respectively. Data was encoded and analyzed using parametric
   testing.
   Results: The questionnaire was completed by 177 participants (110
   candidates; 42 trainees; 25 staff). All scales had very good internal
   consistency (Cronbach's alpha > 0.80). After controlling for
   gender-based differences, surgical candidates scored significantly
   higher on 'expressiveness' (P = 0.012) and were significantly less
   risk-averse (P = 0.006) than trainees and staff. Surgical trainees
   scored lowest on the CSI 'questioningness' subscale (P = 0.019) and had
   significantly more difficulties dealing with uncertainty, characterized
   by their highest scores on the 'concern about bad outcome' (P = 0.021)
   and reluctance to disclose uncertainty to patients' (P = 0.05)
   subscales.
   Multiple subscales revealed gender-based differences in candidate and
   trainee groups, which were not noted for surgical staff.
   Conclusions: Meaningful differences in non-technical attributes of
   surgical staff, trainees and candidates have been identified, which may
   be explained by differences in clinical experience and learning and may
   suggest that these develop over time. Further research on assessment of
   non-technical attributes during surgical selections and the role of both
   technical and non-technical attributes in surgery at large is needed.
RI Van Herzeele, Isabelle/AAE-5811-2022; Van Herzeele, Isabelle/ABF-1531-2021; Doyen, Bart/; Vlerick, Peter/
OI Van Herzeele, Isabelle/0000-0002-1754-7390; Doyen,
   Bart/0000-0002-9573-7632; Vlerick, Peter/0000-0001-9624-1025
ZA 0
TC 2
ZR 0
ZS 0
Z8 0
ZB 0
Z9 2
U1 0
U2 11
SN 1743-9191
EI 1743-9159
UT WOS:000461663800011
PM 30769216
ER

PT J
AU Pickering, James D.
   Swinnerton, Bronwen J.
TI Exploring the Dimensions of Medical Student Engagement with
   Technology-Enhanced Learning Resources and Assessing the Impact on
   Assessment Outcomes
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 2
BP 117
EP 128
DI 10.1002/ase.1810
PD MAR-APR 2019
PY 2019
AB Anatomy curricula are becoming increasingly populated with blended
   learning resources, which utilize the increasing availability of
   educational technology. The educational literature postulates that the
   use of technology can support students in achieving greater learning
   outcomes by increasing engagement. This study attempts to investigate
   the dimensions of student engagement with technology-enhanced learning
   (TEL) resources as part of a medical program's anatomy curriculum using
   exploratory factor analysis. A 25-item five-point Likert-based survey
   was administered to 192 first-year medical students, with three emergent
   factors discerned: satisfaction, goal setting and planning, and physical
   interaction. The three factors closely aligned with the existing
   literature and therefore additional nonparametric analysis was conducted
   that explored the levels of engagement across three custom-made anatomy
   TEL resources, including: (1) anatomy drawing screencasts; (2) an eBook;
   and (3) a massive open online course (MOOC). Usage data indicated that
   the most popular resource to be accessed across the cohort was the
   anatomy drawing screencasts via YouTube, with the MOOC being used least.
   Moreover, some evidence suggests that those students who utilized the
   MOOC were more engaged. Generally, however, no correlations were
   observed between the levels of engagement and TEL resource usage or
   assessment outcomes. The results from this study provide a clear insight
   into how students engage with TEL resources, but do not reveal any
   relationship between levels of engagement, usage, and assessment
   outcomes.
TC 34
Z8 0
ZA 0
ZR 0
ZS 1
ZB 5
Z9 34
U1 2
U2 49
SN 1935-9772
EI 1935-9780
UT WOS:000461555200001
PM 30168911
ER

PT J
AU King, Thomas S.
   Sharma, Ramaswamy
   Jackson, Jeff
   Fiebelkorn, Kristin R.
TI Clinical Case-Based Image Portfolios in Medical Histopathology
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 2
BP 200
EP 209
DI 10.1002/ase.1794
PD MAR-APR 2019
PY 2019
AB This descriptive article describes the use of clinical case-based
   portfolios in histopathology teaching laboratories in conjunction with
   virtual microscopy not only to integrate histology and pathology
   disciplines for first and second year medical students but also to
   stimulate student engagement, promote self-directed and group-based
   learning and enhance student-to-student interaction in a structured
   manner. Portfolios consisted of PowerPoint files encompassing four to
   five clinical case studies relevant to the topics covered that week.
   Portfolios integrated study materials provided in the module-specific
   lectures, clinical skill lectures, and online interactive content. Two
   sets of portfolios, Individual and Group, were used. Individual
   Portfolios were completed by each student and uploaded prior to the
   laboratory session. Group Portfolios were completed by students working
   together in small groups during the laboratory session with minimal
   faculty assistance. The functional utility and acceptance of Individual
   and Group Portfolios among first- and second-year medical students was
   evaluated using electronic surveys and examination performances. Both
   first- and second-year students agreed that the use of portfolios in
   conjunction with virtual microscopy promoted understanding and
   encouraged discussion of the topics covered during the week and that
   group members worked well together and contributed to the completion of
   the portfolios. Performances on the Histology and Cell Biology and
   Pathology sections on the United States Medical Licensing
   Examination((R)) (USMLE (R)) remained consistent and in line with
   national averages. Overall, use of portfolios promoted peer teaching and
   contributed towards successful transition to the new system-based
   integrated curriculum with continued strong performance on the USMLE.
Z8 0
ZB 2
ZR 0
ZS 0
TC 9
ZA 0
Z9 9
U1 0
U2 5
SN 1935-9772
EI 1935-9780
UT WOS:000461555200009
PM 30118571
ER

PT J
AU Fraenkel, Liana
   Nowell, W. Benjamin
   Stake, Christine E.
   Venkatachalam, Shilpa
   Eyler, Rachel
   Michel, George
   Peters, Ellen
TI Impact of Information Presentation Format on Preference for Total Knee
   Replacement Surgery
SO ARTHRITIS CARE & RESEARCH
VL 71
IS 3
BP 379
EP 384
DI 10.1002/acr.23605
PD MAR 2019
PY 2019
AB Objective Patients have a poor understanding of outcomes related to
   total knee replacement (TKR) surgery, with most patients underestimating
   the potential benefits and overestimating the risk of complications. In
   this study, we sought to compare the impacts of descriptive information
   alone or in combination with an icon array, experience condition
   (images), or spinner on participants' preference for TKR. Methods A
   total of 648 members of an online arthritis network were randomized to 1
   of 4 outcome presentation formats: numeric only, numeric with an icon
   array, numeric with a set of 50 images, or numeric with a functional
   spinner. Preferences for TKR were measured before and immediately after
   viewing the outcome information using an 11-point numeric rating scale.
   Knowledge was assessed by asking participants to report the frequency of
   each outcome. Results Participants randomized to the icon array, images,
   and spinner had stronger preferences for TKR (after controlling for
   baseline preferences) compared to those viewing the numeric only format
   (P < 0.05 for all mean differences). Knowledge scores were highest in
   participants randomized to the icon array; however, knowledge did not
   mediate the association between format and change in preference for TKR.
   Conclusion Decision support at the point-of-care is being increasingly
   recognized as a vital component of care. Our findings suggest that
   adding graphic information to descriptive statistics strengthens
   preferences for TKR. Although experience formats using images may be too
   complex to use in clinical practice, icon arrays and spinners may be a
   viable and easily adaptable decision aid to support communication of
   probabilistic information.
OI Nowell, William/0000-0002-4951-6476; Kabardiev,
   Sadrutdin/0000-0001-6129-8371; Abdulmagomedov,
   Suleiman/0000-0001-9162-5062
ZS 0
Z8 0
TC 2
ZA 0
ZB 0
ZR 0
Z9 2
U1 0
U2 3
SN 2151-464X
EI 2151-4658
UT WOS:000459919400008
PM 29799668
ER

PT J
AU Neumaier, Michael
TI Diagnostics 4.0: the medical laboratory in digital health
SO CLINICAL CHEMISTRY AND LABORATORY MEDICINE
VL 57
IS 3
SI SI
BP 343
EP 348
DI 10.1515/cclm-2018-1088
PD MAR 2019
PY 2019
AB During recent years, the digital revolution has changed the face of
   societies including industrial production, economies and peoples' social
   lives. From these changes we may extrapolate the developments that
   digitization of health care will bring to medicine in general and
   laboratory medicine in particular. Disruptive technologies will
   fundamentally change the way laboratory tests are going to be ordered,
   carried out and interpreted in the future, and test results from various
   sources need to be curated to be of added value for the patient's
   condition. Wearables and implantables will quantify the concentrations
   for an unknown number of laboratory parameters, and the data will be
   stored in cloud services at the fingertips of the patient as the
   sovereign of his/her health care data. A 24/7 online availability of
   health services will strengthen predictive medicine and may enable a
   vastly improved preventive health care that is supported by
   deep-learning algorithms for clinical decision-making not only on behalf
   of the physician, but also the empowered patient (e.g. health bots).
   This will likely shift the current role of Laboratory Medicine as a
   central provider of diagnostic information from a "hidden champion"
   towards a higher visibility redefining the patient-physician-laboratory
   relationship. For example, accessing digital health data will allow
   Laboratory Medicine to more efficiently contribute to the medical dialog
   than is often the case today. From this perspective, this will require
   major readjustments in the way we execute our profession, and it will
   also need new concepts of education and continuous professional
   development.
CT 2nd Strategic Conference of the
   European-Federation-for-Clinical-Chemistry-and-Laboratory-Medicine
   (EFLM)
CY JUN 18-19, 2018
CL Mannheim, GERMANY
SP European Federat Clin Chem & Lab Med
TC 7
ZR 1
ZA 0
ZB 1
Z8 0
ZS 0
Z9 8
U1 0
U2 8
SN 1434-6621
EI 1437-4331
UT WOS:000460119400007
PM 30530888
ER

PT J
AU Haemel, Anna
   Kahl, Leslie
   Callen, Jeffrey
   Werth, Victoria P.
   Fiorentino, David
   Fett, Nicole
TI Supplementing Dermatology Physician Resident Education in Vasculitis and
   Autoimmune Connective Tissue Disease: A Prospective Study of an Online
   Curriculum
SO JAMA DERMATOLOGY
VL 155
IS 3
BP 381
EP 383
DI 10.1001/jamadermatol.2018.4837
PD MAR 2019
PY 2019
ZA 0
ZS 0
ZR 0
ZB 1
TC 3
Z8 0
Z9 3
U1 0
U2 0
SN 2168-6068
EI 2168-6084
UT WOS:000461059000020
PM 30624565
ER

PT J
AU Reins, Jo Annika
   Boss, Leif
   Lehr, Dirk
   Berking, Matthias
   Ebert, David Daniel
TI The more I got, the less I need? Efficacy of Internet-based guided
   self-help compared to online psychoeducation for major depressive
   disorder
SO JOURNAL OF AFFECTIVE DISORDERS
VL 246
BP 695
EP 705
DI 10.1016/j.jad.2018.12.065
PD MAR 1 2019
PY 2019
AB Background: This study's aims were to compare the efficacy and negative
   effects of guided Internet-based cognitive behavior therapy (iCBT) and
   online psychoeducation (OPE) in people with major depression.
   Methods: A total of 131 individuals were randomized. Assessments took
   place at baseline (T1), six weeks (T2), and three months (T3). The
   primary endpoint was change in observer-based depression severity from
   T1 to T2. Potential negative effects were analyzed in terms of suicidal
   ideations, symptom deterioration, attitudes toward seeking further help,
   and other adverse events.
   Results: iCBT (n = 65) and OPE (n = 66) both reduced depressive symptoms
   from T1 to T2, with large changes observed for iCBT and medium for OPE
   (iCBT: Cohen's d = 1.09; OPE: d = 0.60). Differences between groups were
   significant at the primary endpoint (d = 0.36, p = 0.028). OPE continued
   to have a positive effect from post-treatment to follow-up, while the
   effect of iCBT remained stable, with differences between groups not
   being significant anymore at follow-up. Participants who had undergone
   prior psychotherapy benefited from both treatments; but for those
   without prior psychotherapy, iCBT was superior also at follow-up. In the
   iCBT group 26.2% of the participants reported at least one side-effect.
   Limitations: The history of psychotherapy was imbalanced between the
   groups. Some negative effects were assessed in the iCBT group only.
   Conclusions: Both iCBT and OPE were effective in reducing depressive
   symptoms, but with iCBT having a more rapid effect. iCBT was
   specifically superior in those with no prior history of psychotherapy.
   Negative effects occurred frequently and should be considered when
   implementing iCBT. Trial registration: German clinical trials register:
   DRKS00005025
RI Lehr, Dirk/AAN-2010-2020; Reins, Jo Annika/AAQ-5524-2021; Boss, Leif/; Ebert, David Daniel/
OI Lehr, Dirk/0000-0002-5560-3605; Boss, Leif/0000-0001-9012-0839; Ebert,
   David Daniel/0000-0001-6820-0146
ZB 2
TC 17
ZA 0
ZR 0
ZS 0
Z8 0
Z9 17
U1 3
U2 20
SN 0165-0327
EI 1573-2517
UT WOS:000457276200084
PM 30611913
ER

PT J
AU Adams, Dawn
   MacDonald, Libby
   Keen, Deb
TI Teacher responses to anxiety-related behaviours in students on the
   autism spectrum
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 86
BP 11
EP 19
DI 10.1016/j.ridd.2018.12.009
PD MAR 2019
PY 2019
AB Background: At least 50% of students on the autism spectrum experience
   clinical or subclinical levels of anxiety but there is scant research on
   how teachers respond to anxiety in children on the spectrum.
   Aims: To compare teacher responses to anxiety-related behaviour in
   students who do and do not have a diagnosis on the spectrum using the
   Teacher Responses to Anxiety in Children (TRAC).
   Methods and procedures: Teachers (N = 64), predominantly from mainstream
   primary schools, completed an online survey comprised of a demographic
   questionnaire and two versions of the TRAC, one for students without
   autism and one for students with autism.
   Outcomes and results: Teachers report differences in the way they would
   likely respond to anxiety-related behaviours observed in students with
   and without autism. Teachers reported being more likely to use
   anxiety-promoting responses for students with autism who are showing
   behaviours indicative of general and separation anxiety, but not when
   they are showing behaviours indicative of social anxiety. Whilst there
   was no significant difference in the overall likelihood of use of
   autonomy-promoting responses between groups, there were differences in
   the likelihood of using specific autonomy-promoting responses dependent
   upon diagnosis and type of anxiety.
   Conclusions and implications: Teachers report they are likely to respond
   differently to anxiety-related behaviours of students on the autism
   spectrum but the impact of this on the behaviour of these students is
   yet to be determined. Professional development is a priority to increase
   teacher knowledge about anxiety-related behaviours in students with
   autism and the ways in which teachers' responses may promote or reduce
   anxiety and autonomy.
OI Adams, Dawn/0000-0001-8001-0126
ZR 0
ZB 5
ZS 2
TC 17
Z8 0
ZA 0
Z9 19
U1 2
U2 24
SN 0891-4222
UT WOS:000458714200002
PM 30622014
ER

PT J
AU Lyles, Courtney R.
   Lina Tieu
   Sarkar, Urmimala
   Kiyoi, Stephen
   Sadasivaiah, Shobha
   Hoskote, Mekhala
   Ratanawongsa, Neda
   Schillinger, Dean
TI A Randomized Trial to Train Vulnerable Primary Care Patients to Use a
   Patient Portal
SO JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
VL 32
IS 2
BP 248
EP 258
DI 10.3122/jabfm.2019.02.180263
PD MAR-APR 2019
PY 2019
AB Background: Patient portals are becoming ubiquitous. Previous research
   has documented substantial barriers, especially among vulnerable patient
   subgroups such as those with lower socioeconomic status or limited
   health literacy (LHL). We tested the effectiveness of delivering online,
   video-based portal training to patients in a safety net setting.
   Methods: We created an online video curriculum about accessing the San
   Francisco Health Network portal, and then randomized 93 English-speaking
   patients with 1+ chronic diseases to receive 1) an in-person tutorial
   with a research assistant, or 2) a link to view the videos on their own.
   We also examined a third, nonrandomized usual care comparison group. The
   primary outcome was portal log-in (yes/no) 3 to 6 months post-training,
   assessed via the electronic health record. Secondary outcomes were
   self-reported attitudes and skills collected via baseline and follow-up
   surveys.
   Results: Mean age was 54 years, 51% had LHL, 60% were nonwhite, 52% were
   female, 45% reported fair/poor health, and 76% reported daily Internet
   use. At followup, 21% logged into the portal, with no differences by arm
   (P = .41), but this was higher than the overall clinic rate of 9% (P <
   .01) during the same time period. We found significant prepost
   improvements in self-rated portal skills (P = .03) and ellealth literacy
   (P < .01). Those with LHL were less likely to log in post-training (P <
   .01).
   Conclusions: Both modalities of online training were comparable, and
   neither mode enabled a majority of vulnerable patients to use portals,
   especially those with LHL. This suggests that portal training will need
   to be more intensive or portals need improved usability to meaningfully
   increase use among diverse patients.
OI Tieu, Lina/0000-0002-9980-0774
Z8 0
ZR 0
ZS 0
TC 20
ZB 1
ZA 0
Z9 20
U1 0
U2 7
SN 1557-2625
EI 1558-7118
UT WOS:000460666700015
PM 30850461
ER

PT J
AU Robin, Florian
   Ouattara, Alexandre
   Nouette-Gaulain, Karine
TI Anaesthesia and critical care training in 2018: A French national survey
SO ANESTHESIE & REANIMATION
VL 5
IS 2
BP 73
EP 82
DI 10.1016/j.anrea.2018.10.005
PD MAR 2019
PY 2019
AB Objectives > French anaesthesia and critical core (ACC) residency is a
   five-years educational program combining theoretical and practical
   training. A government report from 2014 has shown significant
   shortcomings during this lost degree cycle. We performed a single and
   recent overview of the French ACC theoretical and practical teaching
   practices.
   Methods > An anonymous, self-report and online questionnaire was sent
   from January to March 2017 to all French ACC residents. The
   questionnaire was hosted by sondageonline.com and was distributed by the
   regional coordinators. All the data was anonymised and analysed using
   Excel.
   Results > The survey was completed by 522 residents across 24/28
   subdivisions, which represents a response rote of 25%. Regional or
   notional courses ore offered to 92% of French ACC students and take the
   form of e-learning (19%) or lectures (93%). In this case, 45% of them
   have regular difficulties to get there. One-third of ACC residents
   undergo additional and fee-based qualification because 39% consider the
   educational program insufficient. Only 48% of ACC students attend a
   national or international conference during the academic year, mainly
   due to professional (58%) and/or budgetary (39%) constraints. Regarding
   the knowledge assessment, only 57% of ACC residents are orally or
   writing evaluated each year. Only 9% is never assessed before the last
   year of the postgraduate ACC studies.
   Conclusion > This French notional survey gave insights to French
   postgraduate medical teaching conditions and identified ways to improve
   the ACC education during residency.
Z8 0
ZB 0
ZA 0
ZR 0
TC 0
ZS 0
Z9 0
U1 0
U2 1
SN 2352-5800
EI 2352-5819
UT WOS:000460501000003
ER

PT J
AU Darbyshire, Daniel
   Baker, Paul
   Agius, Steven
   McAleer, Sean
TI Trainee and supervisor experience of the Academic Foundation Programme
SO JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH
VL 49
IS 1
BP 43
EP 51
DI 10.4997/JRCPE.2019.111
PD MAR 2019
PY 2019
AB Background The Academic Foundation Programme (AFP) is often the initial
   step along the Integrated Academic Training pathway in the UK. It is
   relatively new and research as to its effectiveness is limited. Our
   objective was to evaluate the AFP in terms of its impact on academic
   career aspirations and to explore trainees' expectations and experience
   of the programme and investigate the enablers and barriers to success.
   Method Seven supervisors of Academic Foundation trainees were
   interviewed over a 5-month period in 2014. AFP trainees' views were
   sought by way of an online questionnaire that covered six areas:
   demographics, expectations, academic time, experience, research and
   achievements.
   Results Thirty-four trainees completed online questionnaires. The
   majority of trainees (94%) did not proceed directly along the Integrated
   Academic Training pathway to complete Academic Clinical Fellowships, but
   those who applied to do so were often successful (nine applicants, six
   successful). Free-text comments revealed an expectation of a more
   course-like structure to the programme, this is In contrast to the
   authentic experience of clinical academia, along with its associated
   challenges, that some of the supervisors reported. The Importance of
   planning and preparation for success was a recurring theme from the
   supervisor interviews.
   Conclusions The programme is achieving some success in encouraging
   academic careers. There are several areas that can be improved.
   Improving the availability of information and guidance for supervisors
   and facilitating Academic Foundation Doctors to network are both
   feasible changes that could lead to improvement.
RI Darbyshire, Daniel/AAO-8681-2020
OI Darbyshire, Daniel/0000-0001-5619-0331
Z8 0
ZS 0
ZA 0
TC 2
ZR 0
ZB 0
Z9 2
U1 0
U2 1
SN 1478-2715
EI 2042-8189
UT WOS:000460456700012
PM 30838993
ER

PT J
AU Petre, Maria-Alexandra
   Bahrey, Lisa
   Levine, Mark
   van Rensburg, Adriaan
   Crawford, Mark
   Matava, Clyde
TI A national survey on attitudes and barriers on recycling and
   environmental sustainability efforts among Canadian anesthesiologists:
   an opportunity for knowledge translation
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 66
IS 3
BP 272
EP 286
DI 10.1007/s12630-018-01273-9
PD MAR 2019
PY 2019
AB Anesthesia-related activities produce 25% of all operating room (OR)
   waste and contribute to environmental pollution and climate change. The
   aim of this study was to document Canadian anesthesiologists' current
   practice, attitudes towards, and perceived barriers regarding recycling
   of OR waste and environmental sustainability efforts.
   With Research Ethics Board approval, members of the Canadian
   Anesthesiologists' Society (CAS) completed an online survey consisting
   of 25 questions assessing current environmentally sustainable practices
   in anesthesiology and gaps, barriers, and interest in gaining further
   knowledge on this topic.
   Four hundred and twenty-six of 2,695 (16%) CAS members responded to the
   questionnaire. Despite a willingness to recycle at work among most
   anesthesiologists (393/403, 97.5%), only 122/403 (30.2%) did so. Other
   sustainability efforts in Canadian ORs included donating unused medical
   equipment and supplies to medical missions (198/400, 49.5%) and evening
   shut-off of anesthesia machines and other OR equipment (185/400, 46.3%).
   Reported barriers to recycling in the OR included a lack of support from
   hospital/OR leadership (254/400, 63.5%) and inadequate
   information/education (251/400, 62.8%). Only 122/389 (31.4%) of
   respondents were aware of any efforts to expand sustainability programs
   at their institutions but 273/395 (69.1%) of respondents indicated an
   interest in obtaining further education on the topic.
   Canadian anesthesiologists appear ready to incorporate environmental
   sustainability in their practice but indicate that significant barriers
   exist. Our study highlights the need for further educational programs
   and implementation strategies.
RI Matava, Clyde/AAK-9531-2020
OI Matava, Clyde/0000-0002-9502-0981
Z8 0
ZB 4
ZR 0
TC 12
ZS 0
ZA 0
Z9 12
U1 4
U2 14
SN 0832-610X
EI 1496-8975
UT WOS:000459035100004
PM 30547422
ER

PT J
AU Marcrom, Samuel R.
   Kahn, Jenna M.
   Colbert, Lauren E.
   Freese, Christopher M.
   Doke, Kaleigh N.
   Yang, Joanna C.
   Yashar, Catheryn M.
   Luu, Michael
   Kamrava, Mitchell
TI Brachytherapy Training Survey of Radiation Oncology Residents
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 103
IS 3
BP 557
EP 560
DI 10.1016/j.ijrobp.2018.10.023
PD MAR 1 2019
PY 2019
AB Purpose: As brachytherapy utilization rates decline, we sought to
   evaluate the state of brachytherapy training during radiation oncology
   residency.
   Methods and Materials: US radiation oncology residents in the
   Association of Residents in Radiation Oncology database were sent an
   online questionnaire regarding brachytherapy training. Survey questions
   addressed a wide array of topics, and responses were often given on a 1
   to 5 Likert-type scale that reflected strength of opinion. Postgraduate
   year (PGY) 4/5 respondents' answers were analyzed. Descriptive
   statistics were generated, and rank correlation analyses (Kendall's s
   coefficient and Wilcoxon signed-rank test) were used for comparisons.
   Results: The survey was completed by 145 of 567 residents (62% being
   PGY4/5). Of PGY4/5 respondents, 96% (86 of 90) believed learning
   brachytherapy during residency was important, and 72% (65 of 90) felt
   their program valued brachytherapy training. Resident brachytherapy
   comfort varied by site, decreasing as follows: gynecologic, prostate,
   breast, skin. The current intracavitary 15-case minimum was believed
   adequate by most, but only a minority believed the 5-case interstitial
   minimum was adequate. Most respondents (59%) believed that caseload was
   the greatest barrier to achieving independence in brachytherapy.
   Significant support exists for American Brachytherapy Society training
   courses and on-the-job education to enhance training, but enthusiasm
   about pursuing brachytherapy fellowship training was low. Most
   respondents expressed confidence in developing a brachytherapy practice
   (54%); however, this was significantly lower than the rate of those
   confident in developing a stereotactic body radiation
   therapy/stereotactic radiosurgery program (97%) (P <.001). Furthermore,
   there was an association between aggregate number of brachytherapy cases
   performed and resident confidence in starting a brachytherapy practice
   (s Z 0.37; P <.001).
   Conclusions: Brachytherapy is an important component of residency
   training that is valued by residents and programs. Because caseload was
   the greatest perceived barrier in brachytherapy training, with
   confidence correlated with case volume, attempts should be made to
   expand opportunities for training experiences that are feasible to
   complete during residency. (C) 2018 Elsevier Inc. All rights reserved.
OI Colbert, Lauren/0000-0001-5806-4339
ZR 0
ZA 0
TC 49
ZS 0
ZB 6
Z8 1
Z9 50
U1 0
U2 2
SN 0360-3016
EI 1879-355X
UT WOS:000458558100009
PM 30612963
ER

PT J
AU Arman, Nilay
   Tarakci, Ela
   Tarakci, Devrim
   Kasapcopur, Ozgur
TI Effects of Video Games-Based Task-Oriented Activity Training (Xbox 360
   Kinect) on Activity Performance and Participation in Patients With
   Juvenile Idiopathic Arthritis A Randomized Clinical Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 3
BP 174
EP 181
DI 10.1097/PHM.0000000000001001
PD MAR 2019
PY 2019
AB Objective: The aim of the study was to compare the effects of two
   different task-oriented activity training programs on activity
   performance and participation in children/adolescents with juvenile
   idiopathic arthritis.
   Design: Sixty-two patients were randomized into group I and group II for
   task-oriented activity training. In group I, activities of daily living
   were practiced using real materials from daily life, and in group II,
   activities of daily living were practiced using video-based games (Xbox
   360 Kinect) for 3 d/wk for 8 wks. Pain by the Numeric Rating Scale,
   upper limb muscle, grip, and pinch strengths by a dynamometer, activity
   performance and participation by the Childhood Health Assessment
   Questionnaire, Canadian Occupational Performance Measure, and Duruoz
   Hand Index were evaluated.
   Results: After treatment in both groups, significant changes were found
   in the Numeric Rating Scale, muscle strength, grips strength, Childhood
   Health Assessment Questionnaire, Canadian Occupational Performance
   Measure, and Duruoz Hand Index (P < 0.05). Group II was statistically
   superior to group I in changes of almost all upper limb muscle
   strengths, palmar pinch strength, Canadian Occupational Performance
   Measure satisfaction, and Duruoz Hand Index scores (P < 0.05).
   Conclusion: Video games-based task-oriented activity training is an
   alternative and feasible treatment for children/adolescents with
   juvenile idiopathic arthritis. This new method may have widespread
   applicability in future research, given the rapidly growing interest in
   virtual reality-based therapy in rehabilitation.
RI Kasapcopur, Ozgur/A-8888-2018; Tarakci, Ela/D-5498-2019; , xxxxxxxxxxxxxxxxxxxx/AAH-5782-2019; Tarakci, Devrim/X-8190-2019; TARAKCI, ELA/AAI-1195-2019; Arman, Nilay/H-3376-2018
OI Kasapcopur, Ozgur/0000-0002-1125-7720; TARAKCI, ELA/0000-0003-1330-2051;
   Arman, Nilay/0000-0002-0830-6595
ZB 3
ZA 0
Z8 0
TC 22
ZS 0
ZR 0
Z9 22
U1 3
U2 31
SN 0894-9115
EI 1537-7385
UT WOS:000459458200005
PM 30020092
ER

PT J
AU Johnson, Anna Rose
   Doval, Andres F.
   Egeler, Sabine A.
   Lin, Samuel J.
   Lee, Bernard T.
   Singhal, Dhruv
TI A Multimetric Evaluation of Online Spanish Health Resources for
   Lymphedema
SO ANNALS OF PLASTIC SURGERY
VL 82
IS 3
BP 255
EP 261
DI 10.1097/SAP.0000000000001762
PD MAR 2019
PY 2019
AB Background Breast cancer is a leading cause of death in US Hispanic
   females. This demographic is more likely to present with later-stage
   disease and require more extensive surgical treatment, including
   axillary lymph node dissection, which increases risk of lymphedema. The
   Spanish-speaking Hispanic population has a lower health literacy level
   and requires materials contoured to their unique needs. The aim of this
   study was to evaluate online Spanish lymphedema resources. Methods A web
   search using the Spanish term "linfedema" was performed, and the top 10
   websites were identified. Each was analyzed using validated metrics to
   assess readability, understandability, actionability, and cultural
   sensitivity using the SOL (Simplified Measure of Gobbledygook, Spanish),
   Patient Education and Materials Assessment for Understandability and
   Actionability (Patient Education and Assessment Tool), and Cultural
   Sensitivity and Assessment Tool (CSAT), respectively. Online materials
   were assessed by 2 independent evaluators, and interrater reliability
   was determined. Results Online lymphedema material in Spanish had a mean
   reading grade level of 9.8 (SOL). Average understandability and
   actionability scores were low at 52% and 36%, respectively. The mean
   CSAT was 2.27, below the recommended value of 2.5. Cohen kappa for
   interrater reliability was greater than 0.81 for the Patient Education
   and Assessment Tool and CSAT, suggesting excellent agreement between
   raters. Conclusions Available online Spanish lymphedema resources are
   written at an elevated reading level and are inappropriate for a
   population with lower health literacy levels. As patients continue to
   use the internet as their primary source for health information, health
   care entities must improve the quality of provided Spanish resources in
   order to optimize patient comprehension.
RI Lin, Samuel/P-6158-2019; Lee, Bernard T./K-1106-2016; Johnson, Anna Rose/
OI Lee, Bernard T./0000-0002-5533-3166; Johnson, Anna
   Rose/0000-0003-0824-1709
ZA 0
TC 8
ZB 1
ZR 0
ZS 0
Z8 0
Z9 8
U1 0
U2 6
SN 0148-7043
EI 1536-3708
UT WOS:000458890600002
PM 30730864
ER

PT J
AU Chun, Holly C. P.
   Skinner, Siew-Mei
   Rosewall, Tara
TI The Educational Utility of Blogging for MRI Technologists
SO JOURNAL OF MEDICAL IMAGING AND RADIATION SCIENCES
VL 50
IS 1
BP 129
EP 135
DI 10.1016/j.jmir.2018.09.005
PD MAR 2019
PY 2019
AB Introduction: The value of a blog as an educational tool is thought to
   be underestimated by health care professionals. This research aimed to
   explore the MRI educational utility of blogs, and to determine who was
   participating in writing those blogs. It was hoped that this research
   would increase awareness of alternative education formats that would be
   useful for MRI technologists.
   Methods: Between March and April of 2017, an online blog search was
   performed using MRI-related keywords. Strict exclusion criteria were
   then applied. Two coders independently used lean coding to analyse
   selected blog posts and organized the codes into themes. Data were
   tested for intercoder reliability.
   Results: Researchers analysed 39 posts from 9 blogs and identified the
   following themes: focus on MRI techniques and technologies, knowledge
   dissemination, sharing of experience, collaborative learning,
   authorship, and informal writing. Bloggers, self-identified as
   practitioners or scholars, communicated about research projects and used
   an informal writing style. Evidence of intentional teaching of
   MRI-specific content and sharing of professional and personal
   experiences was found. Communication between authors and readers from
   most of the MRI professions was observed, with the exception of MRI
   technologists.
   Conclusions: This research found that MRI-related blogs provide a
   credible and accessible forum for the sharing and discussion of
   knowledge, experiences, and ideas. Although many MRI professionals
   author blogs, MRI technologists do not seem to participate in this form
   of communication. As social media gains in popularity within the medical
   radiation technologist profession, it is hoped that more MRI
   technologists will make use of blogging to facilitate learning,
   collaboration, and communication.
TC 2
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
Z9 2
U1 0
U2 1
SN 1939-8654
UT WOS:000458856100019
PM 30777234
ER

PT J
AU Rosenkrantz, Andrew B.
   Begovic, Jovan
   Pires, Antonio
   Won, Eugene
   Taneja, Samir S.
   Babb, James S.
TI Online Interactive Case-Based Instruction in Prostate Magnetic Resonance
   Imaging Interpretation Using Prostate Imaging and Reporting Data System
   Version 2: Effect for Novice Readers
SO CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
VL 48
IS 2
BP 132
EP 141
DI 10.1067/j.cpradiol.2018.01.003
PD MAR-APR 2019
PY 2019
AB Purpose: To assess the effect on reader performance of an interactive
   case-based online tutorial for prostate magnetic resonance imaging (MRI)
   interpretation using Prostate Imaging and Reporting Data System
   (PI-RADS).
   Methods: An educational website was developed incorporating scrollable
   multiparametric prostate MRI examinations with annotated solutions based
   on PI-RADS version 2. Three second-year radiology residents evaluated a
   separate set of 60 prostate MRI examinations both before and after
   review of the online case material, identifying and scoring dominant
   lesions. These 60 examinations included 30 benign cases and 30 cases
   with a dominant lesion demonstrating Gleason score >= 3 + 4 tumor on
   fusion-targeted biopsy. The readers' pooled performance was compared
   between the 2 sessions using logistic regression and Wilcoxon signed
   rank tests.
   Results: All readers completed the online material within four-hours.
   Review of the online material significantly improved sensitivity (from
   57.8%-73.3%, P = 0.003) and negative predictive value (from 69.2%-78.2%,
   P = 0.049), but not specificity (from 70.0%-67.8%, P = 0.692) or
   positive predictive value (from 59.6%-64.7%, P = 0.389). Reader
   confidence (1-10 scale; 10 = maximal confidence) also improved
   significantly (from 5.6 +/- 2.7 to 6.3 +/- 2.6, P = 0.026). However,
   accuracy of assigned PI-RADS scores did not improve significantly (from
   45.5%-53.3%, P = 0.149).
   Conclusion: An online interactive case-based website in prostate MRI
   interpretation improved novice readers' sensitivity and negative
   predictive value for tumor detection, as well as readers' confidence.
   This online material may serve as a resource complementing existing
   traditional methods of instruction by providing a more flexible
   educational experience among a larger volume of learners. However,
   further more targeted educational initiatives regarding the proper
   application of PI-RADS remain warranted. (C) 2018 Elsevier Inc. All
   rights reserved.
OI Rosenkrantz, Andrew/0000-0002-1558-5350; Babb,
   James/0000-0003-1798-1186; Taneja, Samir/0000-0003-0887-8259
ZS 0
TC 9
Z8 0
ZR 0
ZA 0
ZB 2
Z9 9
U1 0
U2 2
SN 0363-0188
UT WOS:000458660900010
PM 29428182
ER

PT J
AU Gershengoren, Liliya
TI Patient-targeted googling and psychiatric professionals
SO INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE
VL 54
IS 2
BP 133
EP 139
DI 10.1177/0091217418791459
PD MAR 2019
PY 2019
AB Objective This is a pilot study which assesses the beliefs of
   psychiatric professionals regarding obtaining patient information via
   the Internet as well as the frequency with which they do it in a variety
   of clinical settings. Methods Psychiatry faculty and residents were
   asked to participate in an anonymous online survey about their use of
   the search engine Google to find information about their patients. Data
   were analyzed with Microsoft Excel. Results The participants included 48
   faculty and 34 residents (118 faculty and 44 residents were surveyed)
   with response rates of 41% and 77%, respectively. Majority of attending
   physicians and residents reported engaging in patient-targeted googling
   with no significant difference between the groups. Residents were most
   likely to search for patient information online in the psychiatric
   emergency room (45%). Psychiatric emergency room (36.8%) and private
   practice (31.6%) were notable clinical settings for obtaining further
   patient information on the Internet for the faculty. When describing
   reasons for engaging in patient-targeted googling, "patient care" was
   cited about twice as often as "curiosity" in the psychiatric emergency
   room, whereas "curiosity" and "patient care" were reasons mentioned in
   other clinical settings. In general, neither faculty nor residents
   report informing their patients of their Internet searches either before
   or after engaging in patient-targeted googling. Conclusion This study
   raises important questions about education for trainees and faculty
   regarding patient-targeted googling.
ZR 0
TC 3
Z8 0
ZA 0
ZB 0
ZS 0
Z9 3
U1 0
U2 3
SN 0091-2174
EI 1541-3527
UT WOS:000458789800004
PM 30092677
ER

PT J
AU Barnes, Justin A.
   Ellis, Melissa L.
   Hwang, Sharon
   Emarine, Joan
   Merwin, Patti
   Salinas, Gregory D.
   Musher, Benjamin L.
TI Identification of Educational Gaps Among Oncologists Who Manage Patients
   with Pancreatic Cancer
SO JOURNAL OF GASTROINTESTINAL CANCER
VL 50
IS 1
BP 84
EP 90
DI 10.1007/s12029-017-0033-8
PD MAR 2019
PY 2019
AB IntroductionPancreatic ductal adenocarcinoma (PDA) is associated with
   poor outcomes and presents oncologists with a myriad of clinical
   challenges. This study was conducted to assess oncologists' practice
   patterns and to identify the greatest areas of need for future PDA
   continuing medical education (CME) programs.MethodsCase vignettes have
   been validated as an effective tool to assess how physicians approach
   and treat a wide array of diseases. In order to assess practice patterns
   for resectable, locally advanced unresectable, and metastatic PDA, an
   online case vignette survey was distributed to practicing medical
   oncologists.ResultsResponses from 150 US-practicing oncologists were
   analyzed, and several key opportunities for future CME programs were
   identified. For case 1 (patient with resectable PDA), 44% of oncologists
   did not select an evidence-based adjuvant chemotherapy regimen. For case
   2 (patient with locally advanced PDA who develops metastases and
   neuropathy after first-line nab-paclitaxel/gemcitabine followed by
   chemoradiation), 57% of oncologists did not select an evidence-based
   second-line chemotherapy regimen, and 35% selected a regimen containing
   oxaliplatin, a chemotherapeutic known to cause neuropathy. For case 3
   (patient with a pancreatic mass and liver metastases), only 34% of
   oncologists recommended a biopsy, chest imaging, and liver function
   tests which should be standard of care assessments with this
   presentation. For all three cases, clinical trial referral was selected
   by fewer than 5% of respondents.ConclusionsThis study identified
   appreciable discrepancies between oncologists' recommendations and
   standard evidence-based guidelines. Well-designed CME programs may help
   to bridge the educational gaps identified and improve adherence to
   practice guidelines.
ZA 0
ZB 0
Z8 0
ZR 0
TC 1
ZS 0
Z9 1
U1 0
U2 0
SN 1941-6628
EI 1941-6636
UT WOS:000458446000012
PM 29177608
ER

PT J
AU Gill, Manu
   Andersen, Elizabeth
   Hilsmann, Norma
TI Best practices for teaching pharmacology to undergraduate nursing
   students: A systematic review of the literature
SO NURSE EDUCATION TODAY
VL 74
BP 15
EP 24
DI 10.1016/j.nedt.2018.11.017
PD MAR 2019
PY 2019
AB Objective: In this systematic review we describe best practices for
   teaching pharmacology to undergraduate baccalaureate nursing students
   based on the available evidence. Numerous teaching strategies employed
   in undergraduate pharmacology courses for nursing students have been
   summarized and compared for their impact on pharmacology knowledge
   retention, application of pharmacology theory to practice, and student
   satisfaction. Future directions for research are discussed.
   Design: The review was performed using the Preferred Reporting Items for
   Systematic Reviews and Meta Analyses (PRISMA) guidelines for systematic
   reviews and meta-analyses.
   Data Sources: The Cumulative Index of Nursing and Allied Health
   Literature (CINAHL), Academic Search Complete, Education Resources
   Information Center (ERIC), and Education Source and Health Reference
   Centre Academic were searched using key search terms and phrases. Twenty
   studies, conducted between 2001 and 2017, met the inclusion criteria.
   Method: Quality assessment was made in accordance with two appraisal
   tools: Kirkpatrick's framework and the Medical Education Research
   Quality Instrument (MERSQI) for quantitative studies.
   Results: Online, simulation, and integrated methods of teaching
   pharmacology were most beneficial for pharmacology knowledge acquisition
   and student satisfaction. Traditional lecture, problem-based learning,
   and a flipped classroom were least effective strategies for teaching
   pharmacology to undergraduate students.
   Conclusions: This systematic review will contribute to the body of
   knowledge used by nurse educators who teach in undergraduate nursing
   programs, may be particularly useful for undergraduate nursing program
   directors/administrators who are considering undergoing curricular
   changes, and may be a conduit for future researchers who wish to design
   studies aimed at improving teaching and learning within undergraduate
   nursing education.
ZA 0
ZB 0
ZS 0
TC 20
Z8 1
ZR 0
Z9 21
U1 1
U2 35
SN 0260-6917
EI 1532-2793
UT WOS:000458590100003
PM 30554030
ER

PT J
AU Almont, Thierry
   Farsi, Fadila
   Krakowski, Ivan
   El Osta, Rabih
   Bondil, Pierre
   Huyghe, Eric
TI Sexual health in cancer: the results of a survey exploring practices,
   attitudes, knowledge, communication, and professional interactions in
   oncology healthcare providers
SO SUPPORTIVE CARE IN CANCER
VL 27
IS 3
BP 887
EP 894
DI 10.1007/s00520-018-4376-x
PD MAR 2019
PY 2019
AB PurposeTo assess, focusing on population of healthcare professionals
   providing oncosexology care to men with cancer, clinical practice,
   attitudes, knowledge, communication, and professional
   interaction.MethodsWe performed a descriptive cross-sectional study with
   an online self-administered e-questionnaire addressed to all medical,
   paramedical, or administrative professionals attending the 4th Cancer,
   Sexuality and Fertility Meeting in Toulouse, France. Their participation
   was voluntary and totally anonymous.ResultsThe 165 respondents comprised
   44% of physicians, 47% of paramedics, and 9% of other health
   professionals in oncology, from all French regions. Paramedics were
   significantly younger than physicians (p=.006). One third of respondents
   were degreed in sexology, but 75.8% were in demand of
   oncosexology-specific trainings, particularly paramedics (p=.029).
   Regarding the oncosexology network, respondents declared being linked to
   organ specialists (56.8%), psychologists (49.5%), oncologists (47.4%),
   nurses (31.5%), radiation therapists (27.4%), and general practitioners
   (25.3%). Compared to paramedics, physicians were more likely to be
   engaged in oncosexology care (p=.039) and couple counseling (p=.005),
   but the proportions of counseled patients or couple were identical
   (p=.430 and p=.252, respectively). Overall, 90% of respondents reported
   discussing sexuality issues with patients. Regarding the time for
   discussion, physicians reported communicating more at cancer
   announcement (p=.004) or after treatments (p=.015), while more
   paramedics reported discussing at another time (p=.005). Regarding the
   place for discussion, paramedics more frequently reported talking about
   sexuality in the hospital room (p=.001) or during a specific consult
   (p=.007).ConclusionsResults emphasize various levels for improving
   existing oncosexology care, such as developing oncosexology-specific
   educational and practical training programs, particularly for
   paramedics; consolidating information, counseling, and therapeutic
   education with formal procedures like implementing medical and
   paramedical oncosexology moments, or strengthening the
   community-hospital networks, from diagnosis to survivorship.
OI Huyghe, Eric/0000-0001-9445-4385; Almont, Thierry/0000-0002-2536-2636
ZB 0
TC 18
ZA 0
ZS 1
Z8 0
ZR 0
Z9 18
U1 1
U2 15
SN 0941-4355
EI 1433-7339
UT WOS:000457997100019
PM 30109489
ER

PT J
AU Barnes, Sean S.
   Kaul, Viren
   Kudchadkar, Sapna R.
TI Social Media Engagement and the Critical Care Medicine Community
SO JOURNAL OF INTENSIVE CARE MEDICINE
VL 34
IS 3
BP 175
EP 182
DI 10.1177/0885066618769599
PD MAR 2019
PY 2019
AB Over the last decade, social media has transformed how we communicate in
   the medical community. Microblogging through platforms such as Twitter
   has made social media a vehicle for succinct, targeted, and innovative
   dissemination of content in critical care medicine. Common uses of
   social media in medicine include dissemination of information, knowledge
   acquisition, professional networking, and patient advocacy. Social media
   engagement at conferences represents all of these categories and is
   often the first time health-care providers are introduced to Twitter.
   Most of the major critical care medicine conferences, journals, and
   societies leverage social media for education, research, and advocacy,
   and social media users can tailor the inflow of content based on their
   own interests. From these interactions, networks and communities are
   built within critical care medicine and beyond, overcoming the barriers
   of physical proximity. In this review, we summarize the history and
   current status of health-care social media as it relates to critical
   care medicine and provide a primer for those new to health-care social
   media with a focus on Twitter, one of the most popular microblogging
   platforms.
RI Kudchadkar, Sapna R./AAT-2855-2020; Kaul, Viren/S-1037-2019
OI Kudchadkar, Sapna R./0000-0003-3089-0318; Kaul,
   Viren/0000-0003-3047-4840
ZR 0
ZS 0
Z8 0
ZA 0
TC 13
ZB 2
Z9 13
U1 4
U2 21
SN 0885-0666
EI 1525-1489
UT WOS:000457721500001
PM 29699469
ER

PT J
AU Wernhart, Anna
   Gahbauer, Susanne
   Haluza, Daniela
TI eHealth and telemedicine: Practices and beliefs among healthcare
   professionals and medical students at a medical university
SO PLOS ONE
VL 14
IS 2
AR e0213067
DI 10.1371/journal.pone.0213067
PD FEB 28 2019
PY 2019
AB Digitalization affects almost every aspect of modern daily life
   including healthcare delivery. Successful adoption and sustainable
   integration of information technology-based eHealth and telemedicine
   concepts in clinical practice depend on constant evaluation of end user
   needs, proficiencies, and preferences. We therefore assessed how current
   and future healthcare professionals perceived health technology
   solutions and whether their perceptions differed. We conducted an online
   survey among a purposive sample of employees and students at the Medical
   University of Vienna, Austria. The structured questionnaire collected
   self-reported practices and beliefs in the context of eHealth and
   telemedicine among 905 participants (59.0% females), of which 48.4% were
   employees and 51.6% were students. Participants expressed moderate
   knowledge of eHealth and telemedicine concepts with higher levels among
   employees compared to students (both: p<0.05). Compared to employees,
   students were less convinced that online health information improves
   patient knowledge (p<0.001), but were more optimistic that telemedicine
   reduces healthcare costs (p<0.05). Participants doubted that
   telemedicine services would enhance the doctor-patient relationship and
   raised concerns regarding data security and privacy issues. Accordingly,
   quantitative context analysis of free text comments revealed that the
   four most frequently mentioned themes were related to issues concerning
   data privacy and security, questions of responsibility, doctor-patient
   interaction, and reliability of information. This study provides
   valuable insights into how current and future healthcare professionals
   differ in their perceptions regarding eHealth and telemedicine. These
   findings raise awareness of the need to bridge the gap between digital
   age groups and professional groups, especially in clinical healthcare
   delivery in a clocked-through, strenuous academic setting as found at a
   medical university.
RI Haluza, Daniela/H-7294-2019; Gahbauer, Susanne/
OI Haluza, Daniela/0000-0001-5619-2863; Gahbauer,
   Susanne/0000-0002-0621-5083
TC 37
ZA 0
ZS 1
Z8 0
ZB 3
ZR 0
Z9 38
U1 2
U2 20
SN 1932-6203
UT WOS:000460371500075
PM 30818348
ER

PT J
AU Car, Lorainne Tudor
   Kyaw, Bhone Myint
   Dunleavy, Gerard
   Smart, Neil A.
   Semwal, Monika
   Rotgans, Jerome I.
   Low-Beer, Naomi
   Campbell, James
TI Digital Problem-Based Learning in Health Professions: Systematic Review
   and Meta-Analysis by the Digital Health Education Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 2
AR e12945
DI 10.2196/12945
PD FEB 28 2019
PY 2019
AB Background: The use of digital education in problem-based learning, or
   digital problem-based learning (DPBL), is increasingly employed in
   health professions education. DPBL includes purely digitally delivered
   as well as blended problem-based learning, wherein digital and
   face-to-face learning are combined.
   Objective: The aim of this review is to evaluate the effectiveness of
   DPBL in improving health professionals' knowledge, skills, attitudes,
   and satisfaction.
   Methods: We used the gold-standard Cochrane methods to conduct a
   systematic review of randomized controlled trials (RCTs). We included
   studies that compared the effectiveness of DPBL with traditional
   learning methods or other forms of digital education in improving health
   professionals' knowledge, skills, attitudes, and satisfaction. Two
   authors independently screened studies, extracted data, and assessed the
   risk of bias. We contacted study authors for additional information, if
   necessary. We used the random-effects model in the meta-analyses.
   Results: Nine RCTs involving 890 preregistration health professionals
   were included. Digital technology was mostly employed for presentation
   of problems. In three studies, PBL was delivered fully online. Digital
   technology modalities spanned online learning, offline learning, virtual
   reality, and virtual patients. The control groups consisted of
   traditional PBL and traditional learning. The pooled analysis of seven
   studies comparing the effect of DPBL and traditional PBL reported little
   or no difference in postintervention knowledge outcomes (standardized
   mean difference [SMD] 0.19, 95% CI 0.00-0.38). The pooled analysis of
   three studies comparing the effect of DPBL to traditional learning on
   postintervention knowledge outcomes favored DPBL (SMD 0.67, 95% CI
   0.14-1.19). For skill development, the pooled analysis of two studies
   comparing DPBL to traditional PBL favored DPBL (SMD 0.30, 95% CI
   0.07-0.54). Findings on attitudes and satisfaction outcomes were mixed.
   The included studies mostly had an unclear risk of bias.
   Conclusions: Our findings suggest that DPBL is as effective as
   traditional PBL and more effective than traditional learning in
   improving knowledge. DPBL may be more effective than traditional
   learning or traditional PBL in improving skills. Further studies should
   evaluate the use of digital technology for the delivery of other PBL
   components as well as PBL overall.
RI Smart, Neil Andrew/E-6822-2011; Car, Lorainne Tudor/E-1205-2017; Dunleavy, Gerard/; Rotgans, Jerome/; Kyaw, Bhone Myint/
OI Smart, Neil Andrew/0000-0002-8290-6409; Car, Lorainne
   Tudor/0000-0001-8414-7664; Dunleavy, Gerard/0000-0002-8356-3444;
   Rotgans, Jerome/0000-0003-4043-8261; Kyaw, Bhone
   Myint/0000-0002-1750-0330
ZR 0
ZA 0
ZB 1
Z8 0
ZS 0
TC 39
Z9 39
U1 7
U2 31
SN 1438-8871
UT WOS:000460044500001
PM 30816846
ER

PT J
AU Tyler, Ingrid
   Pauly, Bernie
   Wang, Jenney
   Patterson, Tobie
   Bourgeault, Ivy
   Manson, Heather
TI Evidence use in equity focused health impact assessment: a realist
   evaluation
SO BMC PUBLIC HEALTH
VL 19
AR 230
DI 10.1186/s12889-019-6534-6
PD FEB 26 2019
PY 2019
AB BackgroundEquity-focused health impact assessment (EFHIA) can function
   as a framework and tool that supports users to collate data,
   information, and evidence related to health equity in order to identify
   and mitigate the impact of a current or proposed initiative on health
   inequities. Despite education efforts in both the clinical and public
   health settings, practitioners have found implementation and the use of
   evidence in completing equity focussed assessment tools to be
   challenging.MethodsWe conducted a realist evaluation of evidence use in
   EFHIA in three phases: 1) developing propositions informed by a
   literature scan, existing theoretical frameworks, and stakeholder
   engagement; 2) data collection at four case study sites using online
   surveys, semi-structured interviews, document analysis, and observation;
   and 3) a realist analysis and identification of
   context-mechanism-outcome patterns and demi-regularities.ResultsWe
   identified limited use of academic evidence in EFHIA with two
   explanatory demi-regularities: 1) participants were unable to identify
   with academic sources, acknowledging that evidence based practice and
   use of academic literature was valued in their organization, but seen as
   less likely to provide answers needed for practice and 2) use of
   academic evidence was not associated with a perceived positive return on
   investment of participant energy and time. However, we found that
   knowledge brokering at the local site can facilitate evidence
   familiarity and manageability, increase user confidence in using
   evidence, and increase the likelihood of evidence use in future
   work.ConclusionsThe findings of this study provide a realist perspective
   on evidence use in practice, specifically for EFHIA. These findings can
   inform ongoing development and refinement of various knowledge
   translation interventions, particularly for practitioners delivering
   front-line public health services.
OI Bourgeault, Ivy/0000-0002-5113-9243
Z8 0
TC 2
ZB 1
ZR 0
ZS 0
ZA 0
Z9 2
U1 0
U2 4
SN 1471-2458
UT WOS:000459873500001
PM 30808317
ER

PT J
AU Patrick, Michael D.
   Stukus, David R.
   Nuss, Kathryn E.
TI Using podcasts to deliver pediatric educational content: Development and
   reach of PediaCast CME
SO DIGITAL HEALTH
VL 5
AR 2055207619834842
DI 10.1177/2055207619834842
PD FEB 26 2019
PY 2019
AB Objective: Pediatricians have used podcasts to communicate with the
   public since 2006 and medical students since 2008. Previous work has
   established quality criteria for medical education podcasts and examined
   the benefit of offering continuing medical education (CME) credit for
   online activities. This is the first descriptive study to outline the
   development and reach of a pediatric podcast that targets post-graduate
   healthcare providers, enhances communication by incorporating quality
   criteria, and offers free accredited CME to listeners.
   Methods: We produced 26 podcast episodes from March 2015 to May 2017.
   Episodes incorporated quality criteria for medical education podcasts
   and offered free CME credit. They were published on a website, available
   for listening on multiple digital platforms and promoted through several
   social media channels. Data were analyzed for frequency of downloads and
   geographic location of listeners.
   Results: The cumulative total of episode downloads was 91,159 with
   listeners representing 50 U.S. states and 108 countries. Podcast
   listenership grew over time. Individual episodes had their largest
   number of downloads immediately following release, but continued
   recruiting new listeners longitudinally, suggesting use of the archive
   as an "on-demand" source of educational content.
   Conclusions: Pediatric podcasts that incorporate quality criteria and
   offer free CME credit can be used to deliver educational content to a
   large global audience of post-graduate healthcare providers. Since
   podcast communication is rapidly growing, future work should focus on
   identifying the professional roles of listeners; exploring listener
   perceptions of quality, value and satisfaction; and examining podcast
   impact on knowledge transfer, clinical practice, public policy and
   health outcomes.
OI Patrick, Michael/0000-0002-9874-4504
ZB 0
ZR 0
TC 10
Z8 0
ZA 0
ZS 0
Z9 10
U1 0
U2 5
SN 2055-2076
UT WOS:000459775300001
PM 30834137
ER

PT J
AU George, Pradeep Paul
   Zhabenko, Olena
   Kyaw, Bhone Myint
   Antoniou, Panagiotis
   Posadzki, Pawel
   Saxena, Nakul
   Semwal, Monika
   Car, Lorainne Tudor
   Zary, Nabil
   Lockwood, Craig
   Car, Josip
TI Online Digital Education for Postregistration Training of Medical
   Doctors: Systematic Review by the Digital Health Education Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 2
AR e13269
DI 10.2196/13269
PD FEB 25 2019
PY 2019
AB Background: Globally, online and local area network-based (LAN) digital
   education (ODE) has grown in popularity. Blended learning is used by ODE
   along with traditional learning. Studies have shown the increasing
   potential of these technologies in training medical doctors; however,
   the evidence for its effectiveness and cost-effectiveness is unclear.
   Objective: This systematic review evaluated the effectiveness of online
   and LAN-based ODE in improving practicing medical doctors' knowledge,
   skills, attitude, satisfaction (primary outcomes), practice or behavior
   change, patient outcomes, and cost-effectiveness (secondary outcomes).
   Methods: We searched seven electronic databased for randomized
   controlled trials, cluster-randomized trials, and quasi-randomized
   trials from January 1990 to March 2017. Two review authors independently
   extracted data and assessed the risk of bias. We have presented the
   findings narratively. We mainly compared ODE with
   self-directed/face-to-face learning and blended learning with
   self-directed/face-to-face learning.
   Results: A total of 93 studies (N=16,895) were included, of which 76
   compared ODE (including blended) and self-directed/face-to-face
   learning. Overall, the effect of ODE (including blended) on
   postintervention knowledge, skills, attitude, satisfaction, practice or
   behavior change, and patient outcomes was inconsistent and ranged mostly
   from no difference between the groups to higher postintervention score
   in the intervention group (small to large effect size, very low to low
   quality evidence). Twenty-one studies reported higher knowledge scores
   (small to large effect size and very low quality) for the intervention,
   while20 studies reported no difference in knowledge between the groups.
   Seven studies reported higher skill score in the intervention (large
   effect size and low quality), while 13 studies reported no difference in
   the skill scores between the groups. One study reported a higher
   attitude score for the intervention (very low quality), while four
   studies reported no difference in the attitude score between the groups.
   Four studies reported higher postintervention physician satisfaction
   with the intervention (large effect size and low quality), while six
   studies reported no difference in satisfaction between the groups. Eight
   studies reported higher postintervention practice or behavior change for
   the ODE group (small to moderate effect size and low quality), while
   five studies reported no difference in practice or behavior change
   between the groups. One study reported higher improvement in patient
   outcome, while three others reported no difference in patient outcome
   between the groups. None of the included studies reported any
   unintended/adverse effects or cost-effectiveness of the interventions.
   Conclusions: Empiric evidence showed that ODE and blended learning may
   be equivalent to self-directed/face-to-face learning for training
   practicing physicians. Few other studies demonstrated that ODE and
   blended learning may significantly improve learning outcomes compared to
   self-directed/face-to-face learning. The quality of the evidence in
   these studies was found to be very low for knowledge. Further
   high-quality randomized controlled trials are required to confirm these
   findings.
RI Car, Lorainne Tudor/E-1205-2017; Zary, Nabil/M-9432-2019; Car, Josip/H-6755-2015; Antoniou, Panagiotis/AAE-7895-2022; George, Pradeep Paul/ABE-9925-2020; Lockwood, Craig/; Kyaw, Bhone Myint/
OI Car, Lorainne Tudor/0000-0001-8414-7664; Zary,
   Nabil/0000-0001-8999-6999; Car, Josip/0000-0001-8969-371X; George,
   Pradeep Paul/0000-0003-4743-1425; Lockwood, Craig/0000-0003-3722-676X;
   Kyaw, Bhone Myint/0000-0002-1750-0330
ZB 1
ZR 0
Z8 0
ZA 0
TC 23
ZS 0
Z9 23
U1 6
U2 23
SN 1438-8871
UT WOS:000460042900001
PM 30801252
ER

PT J
AU Conner, Therese
   Cook, Francesca
   Fernandez, Vivian
   Rascati, Karen
   Rangel-Miller, Vanessa
TI An online survey on burden of illness among families with post-stem cell
   transplant mucopolysaccharidosis type I children in the United States
SO ORPHANET JOURNAL OF RARE DISEASES
VL 14
AR 48
DI 10.1186/s13023-019-1027-3
PD FEB 18 2019
PY 2019
AB Background: Severe mucopolysaccharidosis type I (also known as Hurler
   syndrome) is a rare devasting recessive genetic disease caused by the
   deficiency of an enzyme. Hematopoietic stem cell transplant is the
   standard of care in the United States, usually conducted before the
   child is 3 years of age, but little is known about the continued medical
   and educational needs of the child after transplant. A greater
   understanding of the burden of illness on the primary caregiver is also
   needed. Therefore, this online survey sought to gather information on
   the burden of severe MPS I in the United States at least 1 year after
   transplant.
   Results: Thirty-two respondents reported that children with severe MPS I
   have significant medical and educational needs after transplant.
   Healthcare resource use was frequent, especially in the outpatient
   setting specifically for bone, cardiac, and vision complications that
   were not relieved by HSCT. Twenty-five percent of the children had been
   hospitalized at least once in the last year and two had been
   hospitalized twice. The most common reasons for overnight
   hospitalizations included orthopedic surgeries and respiratory
   infections. Among children ages 5 and older, only 3 of 28 (11%) were
   able to attend school with no special support. While caregivers were
   generally satisfied with the healthcare services their child receives,
   69% of working caregivers reported negative impact on their ability to
   conduct work tasks, and 54% of caregivers did not work so that they
   could care for the child.
   Conclusions: Results suggest that severe MPS I children continue to
   require medical care and special support for education. Future research
   on the burden of illness on families affected by severe MPS I is needed
   to better understand total cost of care, and to identify therapies and
   interventions that reduce burden of illness. Future studies that compare
   cost of and access to health care in different countries may provide a
   more global view of the burden of MPS I.
ZR 1
TC 5
Z8 0
ZA 0
ZS 0
ZB 3
Z9 6
U1 0
U2 0
SN 1750-1172
UT WOS:000459220200002
PM 30777108
ER

PT J
AU Velan, Baruch
   Ziv, Arnona
   Kaplan, Giora
   Rubin, Carmit
   Connelly, Yaron
   Karni, Tami
   Tal, Orna
TI Truth-telling and doctor-assisted death as perceived by Israeli
   physicians
SO BMC MEDICAL ETHICS
VL 20
AR 13
DI 10.1186/s12910-019-0350-5
PD FEB 18 2019
PY 2019
AB BackgroundMedicine has undergone substantial changes in the way medical
   dilemmas are being dealt with. Here we explore the attitude of Israeli
   physicians to two debatable dilemmas: disclosing the full truth to
   patients about a poor medical prognosis, and assisting terminally ill
   patients in ending their lives.MethodsAttitudes towards medico-ethical
   dilemmas were examined through a nationwide online survey conducted
   among members of the Israeli Medical Association, yielding 2926
   responses.ResultsClose to 60% of the respondents supported
   doctor-assisted death, while one third rejected it. Half of the
   respondents opposed disclosure of the full truth about a poor medical
   prognosis, and the others supported it. Support for truth-telling was
   higher among younger physicians, and support for doctor-assisted death
   was higher among females and among physicians practicing in hospitals.
   One quarter of respondents supported both truth-telling and assisted
   death, thereby exhibiting respect for patients' autonomy. This approach
   characterizes younger doctors and is less frequent among general
   practitioners. Another quarter of the respondents rejected
   truth-telling, yet supported assisted death, thereby manifesting
   compassionate pragmatism. This was associated with medical education,
   being more frequent among doctors educated in Israel, than those
   educated abroad. All this suggests that both personal attributes and
   professional experience affect attitudes of physicians to ethical
   questions.ConclusionsExamination of attitudes to two debatable medical
   dilemmas allowed portrayal of the multi-faceted medico-ethical scene in
   Israel. Moreover, this study, demonstrates that one can probe the
   ethical atmosphere of a given medical community, at various time points
   by using a few carefully selected questions.
RI Tal, Orna/AAH-9725-2019
ZB 1
ZS 1
Z8 0
ZR 0
ZA 0
TC 6
Z9 6
U1 0
U2 5
SN 1472-6939
UT WOS:000459123600001
PM 30777058
ER

PT J
AU Chen, Runsen
   Zhu, Xuequan
   Wright, Lucy
   Drescher, Jack
   Gao, Yue
   Wu, Lijuan
   Ying, Xin
   Qi, Ji
   Chen, Chen
   Xi, Yingjun
   Ji, Lanxin
   Zhao, Huichun
   Ou, Jianjun
   Broome, Matthew R.
TI Suicidal ideation and attempted suicide amongst Chinese transgender
   persons: National population study
SO JOURNAL OF AFFECTIVE DISORDERS
VL 245
BP 1126
EP 1134
DI 10.1016/j.jad.2018.12.011
PD FEB 15 2019
PY 2019
AB Background: This study aims to understand suicidal ideation and suicide
   attempts among transgender individuals through an in-depth analysis of a
   nation-wide population general survey in China.
   Methods: Transgender Men (TM) and Women (TW) were investigated through a
   cross-sectional survey. A structured questionnaire was used to
   investigate participants' demographic information, perceived sexuality
   conflicts, childhood adversity and mental health conditions. Logistic
   regression models were utilized to investigate risk factors associated
   with suicidal ideation and suicide attempts in these groups. We also
   conducted a quasi-meta-analysis in order to compare the prevalence of
   suicidal ideation and attempted suicide between general and transgender
   populations in China.
   Results: A total of 1309 participants across 32 provinces and
   municipalities in China took part in this survey, out of 2060 valid
   questionnaires. In this transgender population, the lifetime prevalence
   of suicidal ideation and an attempt at suicide were 56.4% and 16.1%,
   respectively. This estimated prevalence rate is far greater than in
   Chinese community samples. For all transgender people, disliking
   birth-assigned sex, seeking sex reassignment surgery, having intense
   conflicts with parents, lifetime history of suffering from major
   depressive disorder, a recent episode of depression, self-harm, and
   seeking mental health services were significantly associated with
   increased risk of suicidal ideation. An education level of high school
   or equivalent, being married and/or separated/divorced, having intense
   conflicts with parents, or self-harm and seeking mental health services
   were all significantly associated with increased risk of suicide
   attempt. Although most risk factors for TM and TW were equivalent across
   groups, differences were observed in both suicidal ideation and suicide
   attempt models.
   Limitations: The cross-sectional study design and lack of follow-up data
   are limitations of this study.
   Conclusions: This is the first study to examine suicide within a Chinese
   transgender population. The clinical implications of these findings for
   Chinese mental health professionals are discussed. Also, the evidence
   from this study can be used to inform the practices of suicide
   prevention workers, and policy makers working with the transgender
   population.
RI Broome, Matthew Richard/AAA-2265-2020; Ji, Lanxin/; Chen, Runsen/; Drescher, Jack/
OI Broome, Matthew Richard/0000-0002-6963-8884; Ji,
   Lanxin/0000-0003-4509-0225; Chen, Runsen/0000-0002-2145-8630; Drescher,
   Jack/0000-0003-1788-3850
ZS 0
TC 37
ZR 1
Z8 0
ZB 6
ZA 0
Z9 38
U1 3
U2 43
SN 0165-0327
EI 1573-2517
UT WOS:000456697100138
PM 30699856
ER

PT J
AU Brander, Robert W.
   Warton, Nicola
   Franklin, Richard C.
   Shaw, Wendy S.
   Rijksen, Eveline J. T.
   Daw, Shane
TI Characteristics of aquatic rescues undertaken by bystanders in Australia
SO PLOS ONE
VL 14
IS 2
AR e0212349
DI 10.1371/journal.pone.0212349
PD FEB 14 2019
PY 2019
AB An issue of growing importance within the field of drowning prevention
   is the undertaking of aquatic rescues by bystanders, who sometimes drown
   in the process. The main objectives of this study were to describe
   characteristics of bystanders making rescues in different Australian
   aquatic environments, identify the role of prior water safety training
   in conducting bystander rescues and provide insights into future public
   education strategies relating to bystander rescue scenarios. An online
   survey was disseminated via various social media platforms in 2017 and
   gathered a total of 243 complete responses. The majority of bystander
   rescues described took place in coastal waterways (76.5%; n = 186),
   particularly beaches (n = 67), followed by pools (17.3%; n = 42) and
   inland waterways (6.2%; n = 15). The majority of respondents were males
   (64.2%; n = 156) who rescued on average approximately twice as many
   people in their lifetime (6.5) than female respondents (3.6). Most
   rescues occurred more than 1 km from lifeguard/lifesaver services (67%;
   n = 163), but in the presence of others (94.2%; n = 229). The majority
   of bystander rescuers had water safety training (65.8%; n = 160),
   self-rated as strong swimmers (68.3%; n = 166), conducted the rescue
   without help from others (60%; n = 146), did not use a flotation device
   to assist (63%; n = 153), but were confident in their ability to make
   the rescue (76.5%; n = 186). However, most considered the situation to
   be very serious (58%; n = 141) and felt they had saved a life (70.1%; n
   = 172). With the exception of pools, most bystanders rescued strangers
   (76.1%; n = 185). While Australia clearly benefits from having a strong
   water safety culture, there is no clear consensus on the most
   appropriate actions bystanders should take when confronted with a
   potential aquatic rescue scenario. In particular, more research is
   needed to gather information regarding bystander rescues undertaken by
   those without prior water safety training.
RI Franklin, Richard Charles/H-1731-2012; Daw, Shane/; Shaw, Wendy S./; Brander, Robert/
OI Franklin, Richard Charles/0000-0003-1864-4552; Daw,
   Shane/0000-0003-0904-3632; Shaw, Wendy S./0000-0003-1520-7250; Brander,
   Robert/0000-0002-7268-2587
ZS 0
ZR 0
ZA 0
ZB 1
TC 10
Z8 0
Z9 10
U1 1
U2 5
SN 1932-6203
UT WOS:000458763900073
PM 30763388
ER

PT J
AU Cross, Wendi F.
   West, Jennifer C.
   Pisani, Anthony R.
   Crean, Hugh F.
   Nielsen, Jessica L.
   Kay, Amanda H.
   Caine, Eric D.
TI A randomized controlled trial of suicide prevention training for primary
   care providers: a study protocol
SO BMC MEDICAL EDUCATION
VL 19
AR 58
DI 10.1186/s12909-019-1482-5
PD FEB 14 2019
PY 2019
AB Suicide is a national public health crisis and a critical patient safety
   issue. It is the 10th leading cause of death overall and the second
   leading cause of death among adolescents and young adults (15-34 years
   old). Research shows 80% of youth who died by suicide saw their primary
   care provider within the year of their death. It is imperative that
   primary care providers develop the knowledge and skills to talk with
   patients about distress and suicidal thoughts, and to assess and respond
   in the context of the ongoing patient - primary care provider
   relationship.
   This study examines the effectiveness of simulation on suicide
   prevention training for providers-in-training by comparing two
   conditions: 1) a control group that receives online teaching on suicide
   prevention in primary care via brief online videos and 2) an
   experimental group that includes the same online teaching videos plus
   two standardized patient (SP) interactions (face-to-face and telehealth,
   presentation randomized). All SP interactions are video-recorded. The
   primary analysis is a comparison of the two groups' suicide prevention
   skills using an SP "test case" at 6-month follow-up.
   The primary research question examines the impact of practice (through
   SP simulation) over and above online teaching alone on suicide
   prevention skills demonstrated at follow-up. We will assess moderators
   of outcomes, differences among SP simulations (i.e., face-to-face vs.
   telehealth modalities), and whether the experimental group's suicide
   prevention skills improve over the three SP experiences.
OI cross, wendi/0000-0001-5873-4937
ZB 1
ZS 0
TC 6
ZA 0
Z8 0
ZR 0
Z9 6
U1 3
U2 8
SN 1472-6920
UT WOS:000459061700002
PM 30764814
ER

PT J
AU Ifediora, Chris O.
TI Online Medical Education for Doctors: Identifying Potential Gaps to the
   Traditional, Face-to-Face Modality
SO JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
VL 6
AR 2382120519827912
DI 10.1177/2382120519827912
PD FEB 13 2019
PY 2019
AB BACKGROUND: Online education options increasingly complement traditional
   face-to-face (F2F) approaches. Few studies have compared both formats on
   doctors, and little evidence exists to prove that the online approach is
   universally effective. This gap needs to be addressed to ensure that the
   quality of education and health care delivery is not compromised.
   METHODS: A quantitative survey targeting 881 doctors that required
   online and F2F teaching sessions offers identical contents over a
   12-month period. The surveyed doctors work in the Australian after-hours
   house-call (AHHC) industry, and the teachings were parts of their
   continuing professional development activities.
   RESULTS: In all, 89 responses were received; 10 (11.2%) participated
   exclusively online, while 23 (25.8%) did so by F2F; 52 (58.4%) engaged
   through both modalities. No statistical differences existed based on
   sex, specialty, and post-graduate fellowship status, as well as on the
   perceptions with teaching structure, contents, and duration of the
   education programmes. However, F2F-only doctors were likely to be junior
   and younger than 40 years (odds ratio [OR]: 3.85; P = .01). They also
   admit easy access to effective teaching environment (OR: 4.07; P = .01)
   and receive better feedbacks (OR: 3.75; P = .01). Conversely,
   online-only participants were more likely to combine AHHC duties with
   regular-hours general practice (OR: 0.15; P = .02) and are generally
   more satisfied with the programme frequency (OR: 6.90; P = .01).
   CONCLUSIONS: On multiple areas, no differences exist in the medical
   education delivered by online and the F2F methods to doctors and both
   should be encouraged. However, younger and junior practitioners, who
   tend to need feedbacks on their jobs, should participate more in the F2F
   sessions.
RI Ifediora, Chris Onyebuchi/K-2121-2013
OI Ifediora, Chris Onyebuchi/0000-0002-9194-1740
ZB 1
ZS 0
TC 5
ZR 0
Z8 0
ZA 0
Z9 5
U1 0
U2 1
SN 2382-1205
UT WOS:000459629900001
PM 30801035
ER

PT J
AU Chan, Albert K. M.
   Botelho, Michael G.
   Lam, Otto L. T.
TI Use of Learning Analytics Data in Health Care-Related Educational
   Disciplines: Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 2
AR e11241
DI 10.2196/11241
PD FEB 13 2019
PY 2019
AB Background: While the application of learning analytics in tertiary
   education has received increasing attention in recent years, a much
   smaller number have explored its use in health care-related educational
   studies.
   Objective: This systematic review aims to examine the use of e-learning
   analytics data in health care studies with regards to how the analytics
   is reported and if there is a relationship between e-learning analytics
   and learning outcomes.
   Methods: We performed comprehensive searches of papers from 4 electronic
   databases (MEDLINE, EBSCOhost, Web of Science, and ERIC) to identify
   relevant papers. Qualitative studies were excluded from this review.
   Papers were screened by 2 independent reviewers. We selected qualified
   studies for further investigation.
   Results: A total of 537 papers were screened, and 19 papers were
   identified. With regards to analytics undertaken, 11 studies reported
   the number of connections and time spent on e-learning. Learning outcome
   measures were defined by summative final assessment marks or grades. In
   addition, significant statistical results of the relationships between
   e-learning usage and learning outcomes were reported in 12 of the
   identified papers. In general, students who engaged more in e-learning
   resources would get better academic attainments. However, 2 papers
   reported otherwise with better performing students consuming less
   e-learning videos. A total of 14 papers utilized satisfaction
   questionnaires for students, and all were positive in their attitude
   toward e-learning. Furthermore, 6 of 19 papers reported descriptive
   statistics only, with no statistical analysis.
   Conclusions: The nature of e-learning activities reported in this review
   was varied and not detailed well. In addition, there appeared to be
   inadequate reporting of learning analytics data observed in over half of
   the selected papers with regards to definitions and lack of detailed
   information of what the analytic was recording. Although learning
   analytics data capture is popular, a lack of detail is apparent with
   regards to the capturing of meaningful and comparable data. In
   particular, most analytics record access to a management system or
   particular e-learning materials, which may not necessarily detail
   meaningful learning time or interaction. Hence, learning analytics data
   should be designed to record the time spent on learning and focus on key
   learning activities. Finally, recommendations are made for future
   studies.
OI /0000-0003-4077-4716
ZB 0
ZR 0
ZA 0
Z8 0
TC 9
ZS 0
Z9 9
U1 2
U2 24
SN 1438-8871
UT WOS:000458873400001
PM 30758291
ER

PT J
AU Noiseux, Isabelle
   Veilleux, Sophie
   Bitton, Alain
   Kohen, Rita
   Vachon, Luc
   Guay, Brian White
   Rioux, John D.
TI Inflammatory bowel disease patient perceptions of diagnostic and
   monitoring tests and procedures
SO BMC GASTROENTEROLOGY
VL 19
AR 30
DI 10.1186/s12876-019-0946-8
PD FEB 13 2019
PY 2019
AB Background: Inflammatory Bowel Disease (IBD) with its high incidence and
   prevalence rates in Canada generates a heavy burden of tests and
   procedures. The purpose of this study is to gain a better understanding
   of the transfer of information from physician to patient, as well as the
   patient understanding and perceptions about the tests and procedures
   that are ordered to them in the context of IBD diagnosis and monitoring.
   Methods: An online questionnaire was completed by 210 IBD patients in
   Canada. Information on the five most-often used tests or procedures in
   IBD diagnosis/monitoring was collected. These include: general blood
   test, colonoscopy, colon biopsy, medical imaging and stool testing.
   Results: The general blood test is both the most ordered and most
   refused tool. It is also the one with which patients are the least
   comfortable, the one that generates the least concern and the one about
   which physicians provide the least information. The stool test is the
   test/procedure with which patients are the most comfortable. Procedures
   raise more concerns among patients and physicians provide more
   information about why they are needed, their impact and the risks they
   present. Very little information is provided to patients about the risks
   of having false positives or negative tests.
   Conclusions: This study provides an initial understanding of patient
   perceptions, the transfer of information from a physician to a patient
   and a patient's understanding of the tests and procedures that will be
   required to treat IBD throughout what is a lifelong disease. The present
   study takes a first step in better understanding the acceptance of the
   test or procedure by IBD patients, which is essential for them to adhere
   to the monitoring process.
RI Veilleux, Sophie/U-5289-2019; Rioux, John D/A-9599-2015
OI Veilleux, Sophie/0000-0001-6232-6776; Rioux, John D/0000-0001-7560-8326
ZR 0
TC 15
ZS 0
Z8 0
ZA 0
ZB 6
Z9 15
U1 0
U2 10
SN 1471-230X
UT WOS:000458613800001
PM 30760205
ER

PT J
AU Te, Maxine
   Blackstock, Felicity
   Fryer, Caroline
   Gardner, Peter
   Geary, Louise
   Kuys, Suzanne
   McPherson, Kerstin
   Nahon, Irmina
   Tang, Clarice
   Taylor, Lynne
   Van Kessel, Gisela
   van der Zwan, Kelly
   Chipchase, Lucy
TI Predictors of self-perceived cultural responsiveness in entry-level
   physiotherapy students in Australia and Aotearoa New Zealand
SO BMC MEDICAL EDUCATION
VL 19
AR 56
DI 10.1186/s12909-019-1487-0
PD FEB 13 2019
PY 2019
AB Background: Ensuring physiotherapy students are well prepared to work
   safely and effectively in culturally diverse societies upon graduation
   is vital. Therefore, determining whether physiotherapy programs are
   effectively developing the cultural responsiveness of students is
   essential. This study aimed to evaluate the level of self-perceived
   cultural responsiveness of entry level physiotherapy students during
   their training, and explore the factors that might be associated with
   these levels.
   Methods: A cross sectional study of physiotherapy students from nine
   universities across Australia and Aotearoa New Zealand was conducted
   using an online self-administered questionnaire containing three parts:
   The Cultural Competence Assessment tool, Altemeyer's Dogmatism scale,
   and the Marlowe-Crowne social desirability scale- short form.
   Demographic data relating to university, program, and level of study
   were also collected. Data was analysed using one-way ANOVA, t-tests and
   multiple regression analysis.
   Results: A total of 817 (19% response rate) students participated in
   this study. Overall, students had a moderate level of self-perceived
   cultural responsiveness (Mean (SD)=5.15 (0.67)). Fewer number of weeks
   of clinical placement attended, lower levels of dogmatism, and greater
   social desirability were related to greater self-perceived cultural
   responsiveness. Additionally, fourth year undergraduate students
   perceived themselves to be less culturally responsive than first and
   second year students (p<0.05).
   Conclusions: These results provide educators with knowledge about the
   level of self-perceived cultural responsiveness in physiotherapy
   students, and the factors that may need to be assessed and addressed to
   support the development of culturally responsive practice.
RI Tang, Clarice/AAJ-8919-2021; van Kessel, Gisela M/E-4765-2013; Fryer, Caroline/D-4592-2009; Taylor, Lynne/AFP-6851-2022; Kuys, Suzanne/S-8180-2019; Kuys, Suzanne S/J-5530-2017; Taylor, Lynne/; Chipchase, Lucy/; Mcpherson, Kerstin/; Te, Maxine/
OI Tang, Clarice/0000-0003-1427-1816; van Kessel, Gisela
   M/0000-0002-6955-0727; Fryer, Caroline/0000-0001-8281-2130; Kuys,
   Suzanne/0000-0002-6263-4223; Kuys, Suzanne S/0000-0002-6263-4223;
   Taylor, Lynne/0000-0002-5284-1501; Chipchase, Lucy/0000-0003-0228-3326;
   Mcpherson, Kerstin/0000-0002-4893-5732; Te, Maxine/0000-0001-9812-3663
Z8 0
ZA 0
ZR 0
ZB 1
TC 3
ZS 0
Z9 3
U1 1
U2 7
SN 1472-6920
UT WOS:000458617500001
PM 30760254
ER

PT J
AU Charani, E.
   Castro-Sanchez, Enrique
   Bradley, S.
   Nathwani, D.
   Holmes, Alison H.
   Davey, P.
TI Implementation of antibiotic stewardship in different settings - results
   of an international survey
SO ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
VL 8
AR 34
DI 10.1186/s13756-019-0493-7
PD FEB 12 2019
PY 2019
AB Background: Antibiotic stewardship interventions are being implemented
   across different healthcare settings. We report the findings of a global
   survey of healthcare professionals on the implementation of antibiotic
   stewardship programmes.
   Methods: Learners of a Massive Online Open Course (MOOC) on antibiotic
   stewardship were invited to complete an online survey on the core
   available organisational resources for stewardship. The categorical
   variables were analysed using chi-squared test, and Likert questions
   were analysed using an ordinal regression model. The p-values were
   considered as two-tailed. Significance was set at p-value of < 0.05.
   Results: The response rate was 55% (505/920), from 53 countries. The
   responders were 36% (182) doctors, 26% (130) pharmacists, 18% (89)
   nurses and 20% (104) other (researchers, students and members of the
   public). Post-graduate training in infection management and stewardship
   was reported by 56% of doctors compared with 43% (OR 0.59, 95%CI
   0.35-1.00) nurses and 35% (OR 0.39, 95%CI 0.24-0.62) of pharmacists.
   Hospitals were significantly (83% in teaching hospitals, 79% in regional
   hospitals, p = <0.01) more likely to have antibiotic policies, when
   compared to primary care. A surveillance mechanism for antibiotic
   consumption was reported in 58% (104/178) of teaching hospitals and 62%
   (98/159) of regional hospitals. Antimicrobial resistance, patient needs,
   policy, peer influence and specialty level culture and practices were
   deemed important determinants for decision-making.
   Conclusion: Postgraduate training and support in antibiotic prescribing
   remains low amongst nurses and pharmacists. Whilst antibiotic policies
   and committees are established in most institutions, surveillance of
   antibiotic use is not. The impact of specialty level culture, and peer
   influence appears to be important factors of antibiotic prescribing.
RI Castro-Sanchez, Enrique/H-7893-2019; Charani, Esmita/; Holmes, Alison/
OI Castro-Sanchez, Enrique/0000-0002-3351-9496; Charani,
   Esmita/0000-0002-5938-1202; Holmes, Alison/0000-0001-5554-5743
TC 21
ZA 0
ZB 13
ZS 0
ZR 0
Z8 2
Z9 23
U1 1
U2 9
SN 2047-2994
UT WOS:000458721000003
PM 30805181
ER

PT J
AU Yong, Celina M.
   Abnousi, Freddy
   Rzeszut, Anne K.
   Douglas, Pamela S.
   Harrington, Robert A.
   Mehran, Roxana
   Grines, Cindy
   Altin, S. Elissa
   Duvemoy, Claire S.
CA Amer Coll Cardiology Women
   Cardiovasc Angiography
TI Sex Differences in the Pursuit of Interventional Cardiology as a
   Subspecialty Among Cardiovascular Fellows-in-Training
SO JACC-CARDIOVASCULAR INTERVENTIONS
VL 12
IS 3
BP 219
EP 228
DI 10.1016/j.jcin.2018.09.036
PD FEB 11 2019
PY 2019
AB OBJECTIVES The authors sought to determine the factors that influence
   fellows-in-training (FITs) to pursue a career in interventional
   cardiology (IC) and how these differ by sex.
   BACKGROUND Despite increases in the proportion of women across numerous
   medical and surgical specialties over the last decade, IC still ranks at
   the bottom in terms of representation of women. It is unclear why this
   maldistribution persists.
   METHODS An online survey of cardiovascular FITs was conducted under the
   direction of the American College of Cardiology Women in Cardiology
   Leadership Council to assess FIT perspectives regarding subspecialty
   choices.
   RESULTS Of 574 respondents, 33% anticipated specializing in IC. Men were
   more likely to choose IC than women (39% men, 17% women, odds ratio:
   3.98 [95% confidence interval: 2.38 to 6.68]; p < 0.001). Men were more
   likely to be married (p = 0.005) and have children (p = 0.002). Among
   married FITs, male IC FITs were more likely to have spouses who do not
   work (p = 0.003). Although men were more likely to be influenced by
   positive attributes to pursue IC, women were significantly more likely
   to be influenced negatively against pursuing the field by attributes
   including greater interest in another field (p = 0.001), little job
   flexibility (p = 0.02), physically demanding nature of job (p = 0.004),
   radiation during childbearing (p < 0.001), "old boys' club" culture (p <
   0.001), lack of female role models (p < 0.001), and sex discrimination
   (p < 0.001).
   CONCLUSIONS Many factors uniquely dissuade women from pursuing IC
   compared with men, largely related to the culture of IC as a
   subspecialty. Targeted resolution of these specific factors may provide
   the most impact in reducing sex imbalances in the field. (c) 2019
   Published by Elsevier on behalf of the American College of Cardiology
   Foundation.
RI Mehran, Roxana/ABF-4160-2021; Yong, Celina/; Douglas, Pamela/
OI Yong, Celina/0000-0003-3054-6576; Douglas, Pamela/0000-0001-9876-4049
ZB 6
ZR 0
TC 29
Z8 0
ZS 0
ZA 0
Z9 29
U1 0
U2 4
SN 1936-8798
EI 1876-7605
UT WOS:000457565300004
PM 30660463
ER

PT J
AU Keel, Isabelle
   Schurch, Roger
   Weiss, Julius
   Zwahlen, Marcel
   Immer, Franz F.
   Bechir, Markus
   Delalay, Corinne
   Eckert, Philippe
   Eckhart, Friedemann
   Endermann, Susann
   Fassler, Edith
   Feiner, Adam-Scott
   Gasche, Yvan
   Ghanfili, Eva
   Lenherr, Renato
   Moretti, Diane
   Nebiker, Mathias
   Pfluger, Marc
   Pilon, Nathalie
   Re-Genscheit, Stefan
   Sauter, Thomas
   Sprachta, Jan
   Tisljar, Kai
CA Com Natl Don d'Organes CNDO
TI Is there an association between consent rates in Swiss hospitals and
   critical care staffs' attitudes towards organ donation, their knowledge
   and confidence in the donation process?
SO PLOS ONE
VL 14
IS 2
AR e0211614
DI 10.1371/journal.pone.0211614
PD FEB 8 2019
PY 2019
AB This study investigated the critical care staff's attitude, knowledge
   and involvement with donation, skills and confidence with
   donation-related tasks and their association with consent rates at the
   hospital level. In 2015, we conducted a cross-sectional survey among
   critical care staff of hospitals involved in organ donation using an
   anonymous online questionnaire with a response rate of 56.4% (n = 2799).
   The hospital level consent rate was obtained from the Swiss Monitoring
   of Potential Donors database (2013-2015). For each hospital, we
   calculated a mean score for each predictor of interest of the Hospital
   Attitude Survey and investigated the association with hospital consent
   rates with generalized linear mixed-effect models. In univariable
   analysis, one score point increase in doctors' confidence resulted in a
   66% (95% CI: 45%-80%) reduction in the odds to consent, and one score
   point increase in nurses' attitudes resulted in a 223% (95% CI:
   84%-472%) increase in the odds to consent. After simultaneously
   adjusting for all major predictors found in the crude models, only
   levels of education of medical and nursing staff remained as significant
   predictors for hospital consent rates. In Switzerland, efforts are
   needed to increase consent rates for organ donation and should
   concentrate on continuous support as well as specific training of the
   hospital staff involved in the donation process.
RI Zwahlen, Marcel/AFF-8559-2022
OI Zwahlen, Marcel/0000-0002-6772-6346
Z8 0
ZS 0
TC 4
ZR 0
ZA 0
ZB 1
Z9 4
U1 0
U2 5
SN 1932-6203
UT WOS:000458181200023
PM 30735508
ER

PT J
AU van Lankveld, Wim
   Maas, Marjo
   van Wijchen, Joost
   Visser, Volcmar
   Staal, J. Bart
TI Self-regulated learning in physical therapy education: a non-randomized
   experimental study comparing self-directed and instruction-based
   learning
SO BMC MEDICAL EDUCATION
VL 19
AR 50
DI 10.1186/s12909-019-1484-3
PD FEB 8 2019
PY 2019
AB BackgroundThere is a concern that traditional instruction based methods
   of learning do not adequately prepare students for the challenges of
   physical therapy practice. Self-directed learning is considered to be
   the most appropriate educational approach to enhance life-long learning
   as it enhances self-efficacy. This study compares outcomes in two
   educational approaches: self-directed learning (SDL), and traditional
   instruction based learning (IBL).MethodsIn this non-randomized
   experimental study two groups of second year physiotherapy students were
   compared using pre-post-test assessments. Study results (both knowledge
   and physiotherapy performance), and self-reported self-efficacy were
   used as outcome variables. Study results from the end of year 1 and the
   end of year two were retrieved form the student information system.
   Self-reported variables including general and physical therapy
   self-efficacy were assessed using an online questionnaire which was
   completed at the start and the end of year two. Changes in self-efficacy
   were analysed using a repeated measures multivariate ANOVA.ResultsA
   total of 174 students were enrolled in the second year, of which 108
   (62%) agreed to participate in the online questionnaire. The online
   questionnaire at baseline (September 2015) was completed by 27 students
   in the SDL condition compared to 81 students in the IBL condition. There
   were no statistical differences at baseline between both educational
   approaches on any of the variables in the study. At the end of year two,
   there was no difference between both conditions in indicators of study
   results: knowledge and performance. Perceived self-efficacy in
   functioning as a physical therapist increased between both assessments.
   However, this increase was observed in both condition, and the
   difference between both conditions was not statistically
   significant.ConclusionsSelf-directed learning and traditional
   instruction based learning result in equal study outcome and
   self-efficacy at the end of year two. More research is needed to
   determine the long term outcome that is most relevant for lifelong
   learning, and which students will benefit most from this approach.
   Nonetheless, self-directed learning might be an important alternative
   for instruction-based l education.
RI van Wijchen, Joost/GPC-5647-2022; Staal, Bart/ABA-4313-2020; Staal, J. Bart/A-9632-2014
OI van Wijchen, Joost/0000-0002-8857-2032; Staal, Bart/0000-0002-0083-6380;
   Staal, J. Bart/0000-0002-0083-6380
ZR 0
ZS 0
Z8 0
ZB 0
TC 3
ZA 0
Z9 3
U1 2
U2 11
SN 1472-6920
UT WOS:000458140200001
PM 30736785
ER

PT J
AU Wyles, Saranya P.
   Haydenz, Richard E.
   Meyer, Fredric B.
   Terzic, Andre
TI Regenerative medicine curriculum for next-generation physicians
SO NPJ REGENERATIVE MEDICINE
VL 4
AR 3
DI 10.1038/s41536-019-0065-8
PD FEB 7 2019
PY 2019
AB Regenerative sciences are poised to transform clinical practice. The
   quest for regenerative solutions has, however, exposed a major gap in
   current healthcare education. A call for evidence-based adoption has
   underscored the necessity to establish rigorous regenerative medicine
   educational programs early in training. Here, we present a
   patient-centric regenerative medicine curriculum embedded into medical
   school core teaming. Launched as a dedicated portal of new knowledge,
   learner proficiency was instilled by means of a
   discovery-translation-application blueprint. Using the "from the patient
   to the patient" paradigm, student experience recognized unmet patient
   needs, evolving regenerative technologies, and ensuing patient
   management solutions. Targeted on the deployment of a regenerative model
   of care, complementary subject matter included ethics, regulatory
   affairs, quality control, supply chain, and biobusiness. Completion of
   learning objectives was monitored by online tests, group teaching,
   simulated clinical examinations along with longitudinal continuity
   across medical school training and residency. Success was documented by
   increased awareness and proficiency in domain-relevant content, as well
   as specialty identification through practice exposure, research
   engagement, clinical acumen, and education-driven practice advancement.
   Early incorporation into mainstream medical education offers a tool to
   train next-generation healthcare providers equipped to adopt and deliver
   validated regenerative medicine solutions.
ZB 6
ZS 0
TC 15
Z8 0
ZA 0
ZR 0
Z9 15
U1 0
U2 2
EI 2057-3995
UT WOS:000467911800001
PM 30774984
ER

PT J
AU Willmott, Taylor Jade
   Pang, Bo
   Rundle-Thiele, Sharyn
   Badejo, Abi
TI Weight Management in Young Adults: Systematic Review of Electronic
   Health Intervention Components and Outcomes
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 2
AR e10265
DI 10.2196/10265
PD FEB 6 2019
PY 2019
AB Background: Young adulthood is a vulnerable period for unhealthy
   lifestyle adoption and excess weight gain. Scant attention has been
   focused on developing and evaluating effective weight gain prevention
   strategies for this age group. Electronic health (eHealth) offers
   potential as a cost-effective means of delivering convenient,
   individually-tailored, and contextually-meaningful interventions at
   scale.
   Objective: The primary aim of this systematic review was to locate and
   synthesize the evidence on eHealth weight management interventions
   targeting young adults, with a particular focus on (eHealth)
   intervention components and outcomes.
   Methods: A systematic review was conducted in accordance with the
   Preferred Reporting Items for Systematic Reviews and Meta-Analyses
   guidelines. The search strategy was executed across the following
   electronic databases: Cumulative Index to Nursing and Allied Health
   Literature, Cochrane Library, EBSCO, EMBASE, Emerald, Education
   Resources Information Center, Medical Literature Analysis and Retrieval
   System Online, Ovid, ProQuest, PsycINFO, PubMed, Science Direct, Scopus,
   and Web of Science. Furthermore, 2 reviewers independently assessed
   records for eligibility: peer-reviewed, published in English, and report
   evaluations of eHealth weight management interventions targeting healthy
   young adults (aged 18-35 years). Data were then extracted from studies
   that met the criteria for inclusion. The methodological quality of
   studies was independently assessed by 2 reviewers using the Effective
   Public Health Practice Project's (EPHPP) quality assessment tool. A
   comprehensive narrative evidence synthesis was then completed.
   Results: Out of the 1301 studies assessed for eligibility, 24 met the
   criteria for inclusion. According to the EPHPP quality assessment tool,
   overall, 19 studies were as rated weak, 5 as moderate, and none as
   strong. The narrative synthesis of intervention outcomes found 8 studies
   reported positive weight-related outcomes, 4 reported mixed outcomes,
   and 12 did not report any significant changes in weight-related
   outcomes. The narrative synthesis of (eHealth) intervention components
   led to 3 levels of classification. A total of 14 studies were classified
   as Web-based, 3 as mobile-based, and 7 as multicomponent interventions.
   Following the narrative synthesis, 5 key strategies were thematically
   identified: self-regulation (goal setting and self-monitoring), tailored
   or personalized feedback, contact with an interventionist, social
   support, and behavioral prompts (nudges and reminders) and booster
   messages.
   Conclusions: Findings highlight the limited evidence base for eHealth
   weight management interventions targeting young adults. The complex
   nature of weight management presents an ongoing challenge for
   interventionists to identify what works, for whom, how, and when. The
   quality of the evidence in this review was generally assessed as weak;
   however, assessment tools such as the EPHPP are principally concerned
   with what should be and this is seldom equivalent to what works. Thus,
   while sampling, study design and retention rates will remain key
   determining factors of reliability and validity, further research
   attention directed toward the development of guiding tools for community
   trials is warranted.
RI Rundle-Thiele, Sharyn/S-5951-2019; Willmott, Taylor Jade/R-4823-2017
OI Willmott, Taylor Jade/0000-0002-4649-6342
ZS 0
ZB 4
TC 28
ZR 0
Z8 0
ZA 0
Z9 28
U1 2
U2 32
SN 1438-8871
UT WOS:000457885400001
PM 30724736
ER

PT J
AU Boerner, Katy
   Bueckle, Andreas
   Ginda, Michael
TI Data visualization literacy: Definitions, conceptual frameworks,
   exercises, and assessments
SO PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF
   AMERICA
VL 116
IS 6
BP 1857
EP 1864
DI 10.1073/pnas.1807180116
PD FEB 5 2019
PY 2019
AB In the information age, the ability to read and construct data
   visualizations becomes as important as the ability to read and write
   text. However, while standard definitions and theoretical frameworks to
   teach and assess textual, mathematical, and visual literacy exist,
   current data visualization literacy (DVL) definitions and frameworks are
   not comprehensive enough to guide the design of DVL teaching and
   assessment. This paper introduces a data visualization literacy
   framework (DVL-FW) that was specifically developed to define, teach, and
   assess DVL. The holistic DVL-FW promotes both the reading and
   construction of data visualizations, a pairing analogous to that of both
   reading and writing in textual literacy and understanding and applying
   in mathematical literacy. Specifically, the DVL-FW defines a
   hierarchical typology of core concepts and details the process steps
   that are required to extract insights from data. Advancing the state of
   the art, the DVL-FW interlinks theoretical and procedural knowledge and
   showcases how both can be combined to design curricula and assessment
   measures for DVL. Earlier versions of the DVL-FW have been used to teach
   DVL to more than 8,500 residential and online students, and results from
   this effort have helped revise and validate the DVL-FW presented here.
RI Bueckle, Andreas/ABH-1374-2021; Borner, Katy/; Ginda, Michael/
OI Bueckle, Andreas/0000-0002-8977-498X; Borner, Katy/0000-0002-3321-6137;
   Ginda, Michael/0000-0002-7500-8096
Z8 0
ZB 4
TC 59
ZS 0
ZA 0
ZR 0
Z9 59
U1 12
U2 78
SN 0027-8424
EI 1091-6490
UT WOS:000457731900012
PM 30718386
ER

PT J
AU Glaser, Kelli
TI A Process for Assessment and Quality Improvement of the Clerkship
   Curriculum
SO JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
VL 6
AR 2382120519825873
DI 10.1177/2382120519825873
PD FEB 4 2019
PY 2019
AB Reliance on the apprenticeship model of education in the clerkship years
   of medical education persists despite concerns with variability in
   educational delivery and outcomes. Although many institutions are
   addressing this variability, there needs to be a clear and objective
   method to assess what is working. Evaluating these educational
   experiences is an essential component to ensure that students graduate
   prepared to enter residency. In 2014, A.T. Still University's School of
   Osteopathic Medicine in Arizona (ATSU-SOMA) introduced a curricular
   change to address clerkship variability by implementing an online
   curricular component for the core clerkship courses in the third and
   fourth years of medical student education. Subsequently, a new
   structured and objective process to evaluate these courses was designed
   to improve student learning outcomes in the clerkship years. A
   Curriculum Year Three and Four Work Group was created to develop the new
   process for curricular evaluation of the clerkship courses. In the pilot
   phase of its implementation, described herein, the process fostered
   stakeholder participation and buy-in, enhanced communication of
   expectations, increased accountability in clerkship course design, and
   effectively employed objective evaluation tools in determining what
   curricular changes were needed. The Curriculum Year Three and Four Work
   Group continues to revise the tools and methods to enhance the
   efficiency of the evaluation process and to analyze whether recommended
   course revisions have improved student outcomes.
OI Glaser, Kelli/0000-0003-3613-7140
ZA 0
ZR 0
Z8 0
TC 2
ZS 0
ZB 0
Z9 2
U1 0
U2 2
SN 2382-1205
UT WOS:000459629100001
PM 30775451
ER

PT J
AU Shah, Anoop Dinesh
   Quinn, Nicola J.
   Chaudhry, Afzal
   Sullivan, Ralph
   Costello, Julian
   O'Riordan, Dermot
   Hoogewerf, Jan
   Orton, Martin
   Foley, Lorraine
   Feger, Helene
   Williams, John G.
TI Recording problems and diagnoses in clinical care: developing guidance
   for healthcare professionals and system designers
SO BMJ HEALTH & CARE INFORMATICS
VL 26
IS 1
AR e100106
DI 10.1136/bmjhci-2019-100106
PD FEB 2019
PY 2019
AB BackgroundAccurate recording of problems and diagnoses in health records
   is key to safe and effective patient care, yet it is often done poorly.
   Electronic health record systems vary in their functionality and ease of
   use, and are not optimally designed for easy recording and sharing of
   clinical information. There is a lack of professional consensus and
   guidance on how problems and diagnoses should be recorded.MethodsThe
   Professional Record Standards Body commissioned work led by the Royal
   College of Physicians Health Informatics Unit to carry out a literature
   review, draft guidance, carry out an online consultation and round table
   discussion, and produce a report including recommendations for systems.
   A patient workshop was held to explore patient preferences for
   mechanisms for sharing diagnosis information between primary and
   secondary care.ResultsConsensus was reached among medical specialties on
   key elements of diagnosis recording, and draft guidance was produced
   ready for piloting in a variety of care settings. Patients were keen for
   better ways for diagnosis information to be shared.DiscussionImproving
   the recording of diagnoses and problems will require a major effort of
   which the new guidance is only a part. The guidance needs to be embedded
   in training, and clinical systems need to have improved, standardised
   functionality. Front-line clinicians, specialist societies, clinical
   informaticians and patients need to be engaged in developing information
   models for diagnoses to support care and research, accessible via
   user-friendly interfaces.
RI Shah, Anoop Dinesh/D-4396-2014
OI Shah, Anoop Dinesh/0000-0002-8907-5724
Z8 0
TC 4
ZA 0
ZS 0
ZB 1
ZR 0
Z9 4
U1 0
U2 2
EI 2632-1009
UT WOS:000617002500051
PM 31874855
ER

PT J
AU Johnson, Jacqueline
   Gupta, Ruchi S.
   Bilaver, Lucy A.
   Hu, Jack W.
   Martin, Jennifer
   Jiang, Jialing
   Bozen, Alexandria
   Davis, Matthew M.
   Reese, Jamie
   Cooper, Susan
   Togias, Alkis
   Arbes, Samuel J., Jr.
TI Implementation of the 2017 Addendum Guidelines for Peanut Allergy
   Prevention Among AAAAI Allergists and Immunologists
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 143
IS 2
MA L1
BP AB421
EP AB421
DI 10.1016/j.jaci.2018.12.945
SU S
PD FEB 2019
PY 2019
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY FEB 22-25, 2019
CL San Francisco, CA
SP Amer Acad Allergy, Asthma & Immunol
ZR 0
ZB 1
ZS 0
ZA 0
Z8 0
TC 2
Z9 2
U1 0
U2 1
SN 0091-6749
EI 1097-6825
UT WOS:000457771200930
ER

PT J
AU Carrard, Justin
   Pandya, Tej
   Niederhauser, Laurene
   Infanger, Denis
   Schmidt-Trucksaess, Arno
   Kriemler, Susi
TI Should sports and exercise medicine be taught in the Swiss undergraduate
   medical curricula? A survey among 1764 Swiss medical students
SO BMJ OPEN SPORT & EXERCISE MEDICINE
VL 5
IS 1
AR e000575
DI 10.1136/bmjsem-2019-000575
PD FEB 2019
PY 2019
AB Objectives The global lack of sports and exercise medicine (SEM)
   teaching at medical schools contrasts with evidence that physical
   activity (PA) plays a major role in preventing and treating
   non-communicable diseases (NCDs). The aims of this study were to (a)
   examine whether Swiss medical students are expected to acquire
   SEM-related skills and knowledge, (b) systematically reviewed SEM
   teaching in the Swiss undergraduate medical curricula, (c) assess if
   Swiss medical students are aware of SEM and (d) whether they would like
   SEM to be included in their curricula.
   Methods Two authors independently screened the 'Principal Relevant
   Objectives and Framework for Integrative Learning and Education in
   Switzerland' (PROFILES) for SEM-related learning objectives and reviewed
   the curricula. 7708 Swiss medical students were invited to participate
   in an online survey.
   Results 32 SEM-related learning objectives were identified in PROFILES
   with 20 of them linked to PA. Four of eight Swiss medical schools
   display limited mandatory SEM teachings. 1764 students participated in
   the survey (482.0% of the necessary sample size, 22.9% of all Swiss
   medical students). One in two students knew that SEM includes preventing
   and treating NCDs. Almost 95% of the participants would like SEM to be
   included in the curricula.
   Conclusion Despite its inclusion in PROFILES and comprehensive evidence
   that SEM should be taught at medical schools, this is scarcely the case
   in Switzerland. Swiss medical students have limited understanding of
   SEM, but are keen to have it included in the curricula. This study
   highlights the need for more comprehensive SEM teaching at Swiss medical
   schools.
RI Carrard, med. Justin/O-8651-2019; Schmidt-Trucksäss, Arno/I-7673-2015; Infanger, Denis/; Kriemler, Susi/
OI Carrard, med. Justin/0000-0002-2380-105X; Schmidt-Trucksäss,
   Arno/0000-0002-4662-3911; Infanger, Denis/0000-0001-9028-7110; Kriemler,
   Susi/0000-0002-3384-7940
ZB 0
ZS 0
TC 2
ZR 0
ZA 0
Z8 0
Z9 2
U1 0
U2 1
SN 2398-9459
EI 2055-7647
UT WOS:000596810500084
PM 31548904
ER

PT J
AU Pandit, Tarsh
   Ray, Robin
   Sabesan, Sabe
TI Review article: Managing medical emergencies in rural Australia: A
   systematic review of the training needs
SO EMERGENCY MEDICINE AUSTRALASIA
VL 31
IS 1
BP 20
EP 28
DI 10.1111/1742-6723.12939
PD FEB 2019
PY 2019
AB The aim of the study was to determine the training needs of doctors
   managing emergencies in rural and remote Australia. A systematic review
   of Australian articles was performed using MEDLINE (OVID) and INFORMIT
   online databases from 1990 to 2016. The search terms included 'Rural
   Health', 'Emergency Medicine', 'Emergency Medical Services', 'Education,
   Medical, Continuing' and 'Family Practice'. Only peer-reviewed articles,
   available in full-text that focussed on the training needs of rural
   doctors were reviewed. Data was extracted using pre-defined fields such
   as date of data collection, number of participants, characteristics of
   participants, location and study findings. A total of eight studies
   published from 1998 to 2006 were found to be suitable for inclusion in
   the analysis. Six studies cited the results of self-reported
   questionnaires and surveys, one used a telephone questionnaire on a
   hypothetical patient and one utilised a theoretical examination. The
   studies found a significant proportion of participants wanted more
   emergency training. Junior rural doctors were found to have deficiencies
   in knowledge about stroke. Emergency skills doctors wanted more training
   including: emergency ultrasound, paediatric/neonatal procedures and
   cricothyroidotomy. However, many of the studies were performed by
   training providers that may benefit from deficient results. Given that
   the data was over 10 years old and that advances have been made in
   knowledge, training opportunities and technology, the implications for
   current training needs of rural doctors in Australia could not be
   accurately assessed. Thus there is a need for further research to
   identify current training needs.
TC 5
Z8 0
ZB 0
ZR 0
ZS 0
ZA 0
Z9 5
U1 0
U2 4
SN 1742-6731
EI 1742-6723
UT WOS:000459631200003
PM 29473300
ER

PT J
AU Ramroop, Visha
   Kowlessar, Annie
   Ramcharitar-Maharaj, Vidya
   Morris, Lerissa
   Naidu, Rahul
TI Knowledge, attitudes and behaviour towards preventive oral care in early
   childhood among paediatricians in Trinidad and Tobago: findings of a
   national survey
SO INTERNATIONAL DENTAL JOURNAL
VL 69
IS 1
BP 67
EP 76
DI 10.1111/idj.12408
PD FEB 2019
PY 2019
AB Objective To determine paediatrician's knowledge and attitudes about
   oral health in Trinidad and Tobago. Design and method A pre-tested
   questionnaire was sent out via survey monkey to 70 out of 75
   paediatricians registered with the Medical Board of Trinidad and for
   whom email addresses were available. Hard copies of the questionnaires
   were delivered to the paediatric departments of the Eric Williams
   Medical Sciences complex. Paediatricians that were unable to complete
   the questionnaire online were asked to complete hard copies. Results
   Forty-nine paediatricians responded, yielding a response rate of 70%.
   Most (95.9%) of the participants had positive views about routine dental
   visits, but yet only 28.6% advised a first dental visit between the ages
   6 months and 1 year. Although the majority (91.8%) had positive views on
   fluoride supplementation, knowledge of appropriate fluoride dosages was
   not in keeping with current guidelines. Mixed views on the role of
   breastfeeding as a risk factor for developing decay were seen among
   respondents; 63.3% of the paediatricians indicated that they did not
   receive any education on the oral health of young children during their
   specialty training, and most felt they required additional training in
   this area. Conclusions Paediatricians in Trinidad and Tobago
   demonstrated positive attitudes toward oral health. However, their
   knowledge with respect to oral disease prevention including the use of
   fluoride, and timing of the first dental visit appear to be lacking.
   Paediatricians may benefit from continuing education with regards to the
   oral health of children.
OI Naidu, Rahul/0000-0001-9901-6712
ZS 0
ZR 0
ZB 0
TC 5
ZA 0
Z8 1
Z9 6
U1 0
U2 3
SN 0020-6539
EI 1875-595X
UT WOS:000457493500017
PM 29893411
ER

PT J
AU Ghanouni, Parisa
   Jarus, Tal
   Zwicker, Jill G.
   Lucyshyn, Joseph
   Mow, Kristin
   Ledingham, Alyssa
TI Social Stories for Children with Autism Spectrum Disorder: Validating
   the Content of a Virtual Reality Program
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 2
BP 660
EP 668
DI 10.1007/s10803-018-3737-0
PD FEB 2019
PY 2019
AB Autism spectrum disorder (ASD) is a neurodevelopmental disorder that
   affects socio-emotional skills and perspective-taking abilities.
   Although social stories in a form of virtual reality program can help
   children with ASD, developing them and identifying appropriate responses
   might be subjective and thus challenging. Using Delphi method, and
   guided by general case training, we involved 63 parents and clinicians
   of individuals with ASD, in two rounds of online iteration to refine the
   stories. Scenarios that reached a 75% agreement level were accepted.
   This project is the first study to develop and validate a library of 75
   short socio-emotional stories that illustrate various types and
   intensities of emotion in three social contexts of home, school, and
   community as the content of a virtual reality program.
ZA 0
Z8 1
TC 13
ZS 0
ZB 3
ZR 0
Z9 14
U1 10
U2 52
SN 0162-3257
EI 1573-3432
UT WOS:000458251700017
PM 30203311
ER

PT J
AU Doshi, R. S.
   Gudzune, K. A.
   Dyrbye, L. N.
   Dovidio, J. F.
   Burke, S. E.
   White, R. O.
   Perry, S.
   Yeazel, M.
   van Ryn, M.
   Phelan, S. M.
TI Factors influencing medical student self-competence to provide weight
   management services
SO CLINICAL OBESITY
VL 9
IS 1
AR e12288
DI 10.1111/cob.12288
PD FEB 2019
PY 2019
AB This study aimed to identify factors associated with high obesity care
   self-competence among US medical students. The authors performed a
   cross-sectional analysis of 2014 survey data on fourth year medical
   students collected online as part of the Medical Student Cognitive
   Habits and Growth Evaluation Study (CHANGES). Independent variables
   included quality and quantity of interaction with patients and peers
   with obesity; hours of communication and partnership skills training;
   negative remarks against patients with obesity by supervising
   physicians, and witnessed discrimination against patients with obesity.
   The dependent variable was self-competence in providing obesity care. Of
   5823 students invited to participate, 3689 (63%) responded and were
   included in our analyses. Most students were white (65%), half were
   women and 42% had high self-competence in caring for patients with
   obesity. Factors associated with high self-competence included increased
   interaction with peers with obesity (39% vs. 49%, P < 0.001) and
   increased partnership skills training (32% vs. 61%, P < 0.001).
   Increased partnership skills training and quantity of interactions with
   peers with obesity were associated with high student self-competence in
   providing obesity-related care to patients. Medical schools might
   consider increasing partnership skills training to improve students'
   preparedness and skill in performing obesity-related care.
ZB 0
TC 3
ZS 0
ZR 0
ZA 0
Z8 0
Z9 3
U1 0
U2 4
SN 1758-8103
EI 1758-8111
UT WOS:000459629300004
PM 30358159
ER

PT J
AU Lang, Raynell
   Mintz, Marcy
   Krentz, Hartmut B.
   Gill, M. John
TI An approach to conference selection and evaluation: advice to avoid
   "predatory" conferences
SO SCIENTOMETRICS
VL 118
IS 2
BP 687
EP 698
DI 10.1007/s11192-018-2981-6
PD FEB 2019
PY 2019
AB With an ever increasing number of academic conferences being offered and
   a growing concern regarding the appearance of predatory conferencing,
   the optimal use of one's conference time has become complicated. It is
   particularly important for medical students and residents, due to both
   limited time and resources, to choose conferences to achieve the most
   benefit for their academic careers, however little information is
   available to provide guidance. We gathered current practices and
   perceptions from a wide number of faculty and residents to provide
   insights into their decision making process for conference evaluation
   and selection. We surveyed using an online program (SurveyMonkey (R))
   150 faculty members and medical residents at University of Calgary
   requesting them to rank factors, which may be useful in their conference
   selection. We also evaluated both faculty and resident's knowledge of
   and exposure to presumed predatory science. Responses were anonymized
   and collated. The most important factors in selecting a conference(s)
   for residents is being focused on their area of interest, having an
   opportunity to present work, having well known respected plenary
   speakers, networking potential and being recommended by colleagues.
   Residents placed more importance on cost, location and time of year of
   the conference than faculty. Faculty placed more emphasis on networking
   potential, sponsoring organization, obtaining continuing professional
   development credits and the likelihood that cutting edge research will
   be presented. Most faculty (71%) had received correspondence from
   presumed predatory publishers or conferences, however only 56% of
   residents had ever either heard of or had education about predatory
   science. Experienced faculty need to provide advice and mentorship to
   trainees on conference value. In the absence of any formal tool for
   assessing conference quality their proactive guidance remains critical
   for medical students and residents. There is a significant lack of
   awareness and education for both trainees and some faculty around
   predatory publications and conferencing making them particularly
   vulnerable to misusing time and resources. Improved knowledge, education
   and new metrics are required to safeguard the academic community in this
   new era of predatory academia.
TC 11
ZA 0
ZR 0
ZB 1
Z8 0
ZS 0
Z9 11
U1 4
U2 29
SN 0138-9130
EI 1588-2861
UT WOS:000458190700016
ER

PT J
AU Dyer, Karen E.
   Shires, Deirdre A.
   Flocke, Susan A.
   Hawley, Sarah T.
   Jones, Resa M.
   Resnicow, Ken
   Shin, Yongyun
   Lafata, Jennifer Elston
TI Patient-Reported Needs Following a Referral for Colorectal Cancer
   Screening
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 56
IS 2
BP 271
EP 280
DI 10.1016/j.amepre.2018.08.017
PD FEB 2019
PY 2019
AB Introduction: Patient-physician communication about colorectal cancer
   screening can affect screening use, but discussions often lack
   information that patients need for informed decision making and seldom
   address personal preferences or barriers. To address this gap, a series
   of patient focus groups was conducted to guide the development of an
   online, interactive decision support program. This article presents
   findings on patient information needs and barriers to colorectal cancer
   screening after receiving a screening recommendation from a physician,
   and their perspectives on using electronic patient portals as platforms
   for health-related decision support.
   Methods: Primary care patients with recent colonoscopy or stool testing
   orders were identified via the centralized data repository of a large
   Midwestern health system. Seven gender-stratified focus groups (N=45
   participants) were convened between April and July 2016. Sessions were
   audio recorded, transcribed, coded, and analyzed for commonly expressed
   themes beginning in August 2016.
   Results: Findings reveal a consistent need for simple and clear
   information on colorectal cancer screening. Participants desired
   step-by-step explanations of the colonoscopy procedure and information
   about bowel preparation options/alternatives. The desired level of
   additional information varied: some patients wanted to know about and
   act on test options, whereas others preferred following their
   physician-recommended testing path. Fears and concerns were prevalent,
   particularly about colonoscopy, and patients reported challenges getting
   these concerns and their informational needs addressed. Finally, they
   expressed consistent support for using the patient portal to gather
   additional information from their physician.
   Conclusions: Patient portals may offer an opportunity to build
   sustainable programs for decision support and assistance that are
   integrated with clinic workflows and processes. Published by Elsevier
   Inc. on behalf of American Journal of Preventive Medicine.
RI Shires, Deirdre/U-9724-2019; Dyer, Karen/; Flocke, Susan/
OI Dyer, Karen/0000-0002-9279-8675; Flocke, Susan/0000-0002-5155-7074
Z8 1
ZA 0
ZR 0
ZB 1
ZS 0
TC 8
Z9 9
U1 1
U2 5
SN 0749-3797
EI 1873-2607
UT WOS:000455927400014
PM 30554975
ER

PT J
AU Ganotice, Fraide A., Jr.
   Chan, Lap Ki
TI How can students succeed in computer-supported interprofessional
   team-based learning? Understanding the underlying psychological pathways
   using Biggs' 3P model
SO COMPUTERS IN HUMAN BEHAVIOR
VL 91
BP 211
EP 219
DI 10.1016/j.chb.2018.09.029
PD FEB 2019
PY 2019
AB Adopting Biggs' (2003) 3P (presage, process, product) model, this study
   examined the role of individual preparedness, member's contribution,
   motivation, enjoyment in students' learning, readiness for
   interprofessional learning, and attainment of desired outcomes in the
   context of computer-supported interprofessional team-based learning
   (CS-IPTBL). A sample of 531 health and social care students (Chinese
   medicine, medicine, nursing, pharmacy, occupational therapy, and social
   work) from two universities in Hong Kong participated in the study.
   Mediational analysis showed that task value (motivation and enjoyment)
   and utility (perceived usefulness) played a significant mediating role
   between perceived preparedness and perceived individual contribution and
   outcomes. The study enriched the extant research by showing possible
   pathways that determined students' achievement in CS-IPTBL. Findings
   suggest that students' achievement (product) in CS-IPTBL is influenced
   by their motivation, enjoyment, and perceived usefulness (process) which
   were derived from two sources: individual preparedness and members'
   valuable contribution (presage). Key findings and their implications for
   program enhancement and teaching are provided.
OI Ganotice, Fraide Jr/0000-0003-3139-9926
Z8 0
ZA 0
ZS 0
TC 4
ZB 0
ZR 0
Z9 4
U1 7
U2 87
SN 0747-5632
EI 1873-7692
UT WOS:000452939300022
ER

PT J
AU Kaufman-Shriqui, Vered
   Salem, Hagit
   Birk, Ruth
   Boaz, Mona
TI Nutrition Knowledge Translation Performance in Health Professionals:
   Findings from the 2017 Unified Forces Preventive Nutrition Conference
   (UFPN)
SO NUTRIENTS
VL 11
IS 2
AR 390
DI 10.3390/nu11020390
PD FEB 2019
PY 2019
AB Background: Dietitians and other health care professionals must be able
   to translate findings from clinical trials into best treatment
   practices, a skill termed knowledge translation. This skill requires
   knowledge of treatment guidelines as well as the science underpinning
   treatment recommendations. Unsatisfactory knowledge translation of
   medical nutrition therapy (MNT) has been documented. Methods:
   Individuals registered to attend a leading national nutrition conference
   were asked to participate in an online cross-sectional survey.
   Participants were asked to provide demographic and professional
   information, answer questions on nutrition knowledge and to choose a
   clinical action plan in response to dietitian-designed case vignettes
   describing research outcomes. Responses were compared by profession and
   participation in research activities. Results: Of 3000 registered
   conference attendees, 299 individuals replied: 79.0% dietitians, 93.3%
   female, with a mean household income matching the 5th decile of income,
   60.7% indicated a single employment setting, 20.7% reported
   participating in research. Almost 74% of respondents indicated that they
   would make clinical recommendations based on findings of an in vitro
   study. In one vignette, a patient with a disease previously not
   encountered by the respondent required a clinical treatment plan. Only
   53% of participants chose to seek formal nutrition guidelines. Fewer
   than 15% of participants could identify the pathway for fat during
   weight loss. Differences in knowledge translation skills by research
   participation were not detected. Conclusions: Our findings reveal a
   deficit in knowledge translation proficiency in a convenience sample of
   dietitians and other health professionals, highlighting the need to
   develop these skills.
RI Boaz, Mona/O-6940-2014; Shriqui, Vered Kaufman/R-8657-2019; birk, ruth/
OI Boaz, Mona/0000-0002-3920-7549; Shriqui, Vered
   Kaufman/0000-0003-3190-4187; birk, ruth/0000-0001-5770-4277
TC 1
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
Z9 1
U1 0
U2 1
SN 2072-6643
UT WOS:000460829700181
PM 30781851
ER

PT J
AU Tobey, Lauren N.
   Mouzong, Christine
   Angulo, Joyce Senior
   Bowman, Sally
   Manore, Melinda M.
TI How Low-Income Mothers Select and Adapt Recipes and Implications for
   Promoting Healthy Recipes Online
SO NUTRIENTS
VL 11
IS 2
AR 339
DI 10.3390/nu11020339
PD FEB 2019
PY 2019
AB We describe a 5-year (2011-2015) qualitative evaluation to refine the
   content/delivery of the Food Hero social marketing campaign recipes to
   low-income mothers. Objectives were to: (1) identify characteristics
   looked for in recipes; (2) determine recipe sources; (3) understand
   motivation for seeking new recipes and recipe adaptations; and (4)
   identify recipe website characteristics users valued. Nine focus groups
   (n = 55) were conducted in Portland, Oregon. Participants (35-52 years)
   were primary caregivers for one child, the primary household food
   shoppers/preparers, enrolled in the Supplemental Nutrition Assistance
   Program (SNAP) and able to speak/read English. Participants reported
   having go-to family recipes and regularly searching online for new
   recipes, especially those using ingredients available/preferred by
   family members. Recipe websites with highest appeal were polished and
   engaging to mothers/children, offered user-ratings/comments and were
   reachable from search engines. Results identified key recommendations:
   (1) understand the target audience; (2) aim to add healthy/customizable
   recipes to family go-to' recipe rotations and understand the impact of
   generational influences (e.g. how mothers/grandmothers cooked) on family
   meals; and (3) create websites that meet target audience criteria.
   Seeking the target audience's input about the content/delivery of
   recipes is an important formative step for obesity-prevention projects
   that include healthy recipes.
OI Mouzong, Christine/0000-0003-2113-393X; Tobey,
   Lauren/0000-0001-6718-448X
ZB 3
ZA 0
ZS 0
ZR 0
Z8 0
TC 9
Z9 9
U1 0
U2 2
EI 2072-6643
UT WOS:000460829700130
PM 30764537
ER

PT J
AU McLeod, Tamara C. Valovich
   Cardenas, Javier F.
TI Emergency Preparedness of Secondary School Athletic Programs in Arizona
SO JOURNAL OF ATHLETIC TRAINING
VL 54
IS 2
BP 133
EP 141
DI 10.4085/1062-6050-35-18
PD FEB 2019
PY 2019
AB Context: Schools that sponsor athletic programs have an obligation to
   provide a safe environment with appropriate policies for addressing
   emergencies.
   Objective: To describe the emergency preparedness of secondary schools
   in Arizona specific to emergency action plans (EAPs), cardiac arrest,
   concussion, and heat illness.
   Design: Cross-sectional study.
   Setting: Online survey.
   Patients or Other Participants: Athletic directors from 143 Arizona
   secondary schools (response rate = 54%).
   Intervention(s): A 6-section survey that included questions related to
   athletic trainer (AT) access, EAPs, automated external defibrillators
   (AEDs), concussion, heat illness, and other policies.
   Main Outcome Measure(s): Descriptive statistics were reported.
   Comparisons of responses between schools with and without AT access were
   conducted with Mann-Whitney U tests.
   Results: Most respondents (81%, n = 116) indicated their school had
   access to an AT, and 95% (n =125) of respondents reported their school
   had a written EAP. The AEDs were available at most (93%, n =121)
   schools. All respondents were familiar with the interscholastic
   concussion policy, and 98% (n = 123) indicated they had a
   school-specific policy. Almost all respondents (99%, n = 121) reported
   being familiar with the state heat-illness policy. Environmental
   measures were taken before practices at 48% (n = 60) of schools. Schools
   with access to an AT were more likely to have an EAP, venue-specific
   EAPs, physician approval of EAPs, AEDs, heat-illness policies, and
   cold-water immersion tubs and to take environmental measures.
   Conclusions: Whereas the majority of schools reported AT access, not all
   schools had adequate EAPs in place. Schools would benefit from
   educational opportunities regarding best practices and policy
   development to improve emergency preparedness.
RI Valovich McLeod, Tamara/AAU-9435-2020
OI Valovich McLeod, Tamara/0000-0001-9082-8722
TC 8
ZR 0
ZB 4
Z8 0
ZA 0
ZS 0
Z9 8
U1 0
U2 0
SN 1062-6050
EI 1938-162X
UT WOS:000463518100004
PM 30517023
ER

PT J
AU Kapitany-Foveny, Mate
   Ferenci, Tamas
   Sulyok, Zita
   Kegele, Josua
   Richter, Hardy
   Valyi-Nagy, Istvan
   Sulyok, Mihaly
TI Can Google Trends data improve forecasting of Lyme disease incidence?
SO ZOONOSES AND PUBLIC HEALTH
VL 66
IS 1
BP 101
EP 107
DI 10.1111/zph.12539
PD FEB 2019
PY 2019
AB BackgroundOnline activity-based epidemiological surveillance and
   forecasting is getting more and more attention. To date, Google search
   volumes have not been assessed for forecasting of tick-borne diseases.
   Thus, we performed an analysis of forecasting of the Lyme disease
   incidence based on the traditional data extended with Google Trends.
   MethodsData on the weekly incidence of Lyme disease in Germany from 16
   June 2013 to 27 May 2018 were obtained from the database of the Robert
   Koch Institute. Data of Internet searches were obtained from Google
   Trends searching Borreliose in Germany for the last 5years as a timespan
   category. Data were split into the training (from 16 June 2013 to 11
   June 2017) and validation (from 12 June 2017, to 27 May 2018) data sets.
   A seasonal autoregressive moving average model, SARIMA (0,1,1) (0,1,1)
   [52] model was selected to describe the time series of the weekly Lyme
   incidence. After this, we added the Google Trends data as an external
   regressor and identified the SARIMA (0,1,1) (0,1,1) [52] model as
   optimal. We made predictions for the validation interval using these two
   models and compared predictions with the values of the validation data
   set.
   ResultsForecasting for the validation timespan resulted in similar
   values for the models. Comparing the forecasted values with the reported
   ones resulted in an residual mean squared error (RMSE) of 0.3763; the
   mean absolute percentage error (MAPE) was 8.233 for the model without
   Google searches with an RMSE of 0.3732; and the MAPE was 8.17495 for the
   Google Trends values-expanded model. The difference between the
   predictive performances was insignificant (Diebold-Mariano Test,
   p-value=0.4152).
   ConclusionGoogle Trends data are a good correlate of the reported
   incidence of Lyme disease in Germany, but it failed to significantly
   improve the forecasting accuracy in models based on traditional data.
OI Sulyok, Mihaly/0000-0002-6960-5126; Kapitany-Foveny,
   Mate/0000-0002-0850-8699; Valyi-Nagy, Istvan/0000-0003-3581-113X
ZS 0
TC 17
ZR 0
ZB 7
Z8 0
ZA 0
Z9 17
U1 1
U2 20
SN 1863-1959
EI 1863-2378
UT WOS:000459582800010
PM 30447056
ER

PT J
AU Karateev, Dmitry
   Belokoneva, Natalia
TI Evaluation of Physicians' Knowledge and Attitudes Towards Biosimilars in
   Russia and Issues Associated with Their Prescribing
SO BIOMOLECULES
VL 9
IS 2
AR 57
DI 10.3390/biom9020057
PD FEB 2019
PY 2019
AB Physician awareness and perceptions towards biosimilars are important
   factors in their adoption to clinical practice. Our objectives were to
   assess levels of knowledge and attitudes towards biosimilars and key
   policies on their use among Russian physicians, define the level of
   interest in new information on biosimilars, and determine what evidence
   drives treatment decisions in Russia. Physicians with awareness of
   biologics across different specialties and regions of Russia completed
   an online survey. A Likert and other rating scales were used to collect
   opinions, which were summarized descriptively. Responses of subgroups of
   respondents were compared using t-tests. Among 206 respondents (n = 51
   rheumatologists; n = 53 gastroenterologists; n = 50 hematologists; n =
   52 oncologists), 66% had positive impressions regarding the introduction
   of biosimilars in Russia. Overall, 80% lacked understanding of the
   differences between biosimilars and generics. In all, 67% supported
   prescribing biologics by distinguishable names and were negative about
   tender policies limiting choice of therapies for patients. The majority
   believed in mandatory publication of clinical trial results on
   biosimilars (94%), agreed biosimilars should be subject to rigorous
   post-marketing surveillance (98%), and expressed willingness to learn
   more about biosimilars (94%). Biosimilar education among Russian
   physicians is required, which may help shape balanced and evidence-based
   policies for biosimilars in Russia.
RI Karateev, Dmitry E/U-7142-2017
OI Karateev, Dmitry E/0000-0002-2352-4080
ZA 0
TC 14
ZB 6
Z8 0
ZS 0
ZR 0
Z9 14
U1 0
U2 1
SN 2218-273X
UT WOS:000460699000021
PM 30754705
ER

PT J
AU Han, Jing
   Bouey, Jennifer Z. H.
   Wang, Liming
   Mi, Guodong
   Chen, Zihuang
   He, Ying
   Viviani, Tara
   Zhang, Fujie
TI PrEP uptake preferences among men who have sex with men in China:
   results from a National Internet Survey
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 22
IS 2
AR e25242
DI 10.1002/jia2.25242
PD FEB 2019
PY 2019
AB IntroductionHIV incidence among men who have sex with men (MSM) is high
   in China. Pre-exposure prophylaxis (PrEP) is a promising mean to prevent
   HIV transmission but it is not widely available in China. We conducted a
   large Internet-based online survey to assess the willingness of Chinese
   MSM to take PrEP and associated factors to their uptake preferences.
   MethodsBetween 19 January and 6 February, 2017, 4581 MSM aged over
   15years were recruited via a social networking app to take an online
   PrEP survey. HIV status at the time of the survey being conducted was
   not one of recruitment criteria. Participants were asked if they had
   heard of PrEP, if they had concerns about PrEP, and if they would be
   ready to uptake PrEP should it be provided. When asked if participants
   were willing to take PrEP, they were asked to select from the following
   responses: definitely not, probably not, not sure, probably yes, and
   definitely yes. In the final analysis, we grouped these five-level
   Likert scale responses into three-level responses as definitely yes,
   probably yes, and no (definitely not/probably not/not sure). Descriptive
   analysis and multinomial logistic regressions were conducted to assess
   the associations of PrEP adoption readiness and uptake concerns with HIV
   risk behaviours and demographic characteristics.
   ResultsMSM from 33 geographical regions of China participated in the
   survey. The majority were younger than 25 (65.2%) and had attended
   college (68.6%). HIV prevalence was high (6.8%) and 43.3% reported a
   history of unprotected anal sex. Only 22.4% of participants had heard of
   PrEP. When asked if they would uptake PrEP, 26.0% said definitely yes,
   49.6% were probably yes, and 24.4% said no. PrEP adoption readiness was
   associated with having previously heard of PrEP and expressing concerns
   about accessibility and cost. Worries about side effects, low perceived
   HIV risk, preference for condoms, and never having received HIV testing
   were negatively associated with PrEP uptake willingness.
   ConclusionYoung and well-educated Chinese MSM reported a low willingness
   to uptake PrEP despite being high-risk for HIV. Effective education,
   especially through online mediums, will be critical to optimize this
   group's PrEP uptake.
ZR 0
ZB 9
Z8 5
ZA 0
ZS 0
TC 28
Z9 33
U1 2
U2 5
EI 1758-2652
UT WOS:000460207100006
PM 30724470
ER

PT J
AU Stark, Shaylyn S.
   Natarajan, Loki
   Chingos, Diana
   Ehren, Jennifer
   Gorman, Jessica R.
   Krychman, Michael
   Kwan, Brian
   Mao, Jun J.
   Myers, Emily
   Walpole, Tom
   Pierce, John P.
   Su, H. Irene
TI Design of a randomized controlled trial on the efficacy of a
   reproductive health survivorship care plan in young breast cancer
   survivors
SO CONTEMPORARY CLINICAL TRIALS
VL 77
BP 27
EP 36
DI 10.1016/j.cct.2018.12.002
PD FEB 2019
PY 2019
AB Background: Young breast cancer survivors (YBCS) have unmet needs for
   managing hot flashes, fertility-related concerns, sexual health, and
   contraception.
   Purpose: Describe the design and participant characteristics of a
   randomized controlled trial testing the efficacy of the survivorship
   care plan on reproductive health (SCP-R) intervention on improving hot
   flashes, fertility-related concerns, sexual health, and contraception in
   YBCS.
   Methods: SCP-R is a web-based intervention with text message support
   encompassing evidence- based practices on four reproductive health
   issues. YBCS with >= 1 reproductive health issue are randomized to
   intervention (full SCP-R access) or attention control (access to list of
   online resources) arms with 24-week follow-up. The primary outcome will
   be improvement of at least one reproductive health issue measured by
   validated self-report instruments. Each YBCS nominated one healthcare
   provider (HCP), who can access the same materials as their patient. HCP
   outcomes are preparedness and confidence in discussing each issue.
   Results: Among 318 YBCS screened, 57.2% underwent randomization. Mean
   age was 40.0 (SD 5.9), and mean age at cancer diagnosis was 35.6 (SD
   5.4). Significant hot flashes, fertility-related concerns, vaginal
   symptoms, and inadequate contraception were reported by 50.5%, 50%,
   46.7%, 62.1% of YBCS, respectively; 70.9% had multiple issues. Among 165
   nominated HCPs, 32.7% enrolled. The majority of HCPs reported
   preparedness (68.5-90.7%) and confidence (50.0-74.1%) in discussing
   reproductive health issues with YBCS. HCPs were least likely to report
   preparedness or confidence in discussing fertility-related concerns.
   Conclusion: Conducting a trial for improving YBCS reproductive health
   online is feasible, providing a mechanism to disseminate evidence-based
   management.
OI Mao, Jun/0000-0001-9229-0380; Kwan, Brian/0000-0002-5180-9219; Pierce,
   John/0000-0002-0075-7471
ZB 1
Z8 1
TC 4
ZR 0
ZS 0
ZA 0
Z9 5
U1 0
U2 14
SN 1551-7144
EI 1559-2030
UT WOS:000459215800004
PM 30553078
ER

PT J
AU Lee-Barber, Jasmine
   Kulo, Violet
   Lehmann, Harold
   Hamosh, Ada
   Bodurtha, Joann
TI Bioinformatics for medical students: a 5-year experience using OMIM (R)
   in medical student education
SO GENETICS IN MEDICINE
VL 21
IS 2
BP 493
EP 497
DI 10.1038/s41436-018-0076-7
PD FEB 2019
PY 2019
AB Purpose: Given advances in genomic medicine, medical students need
   increased confidence in clinical genetics skills to address multiple
   genetic conditions. After success of first-year medical school
   instruction in the Online Mendelian Inheritance in Man (OMIM (R))
   database, we report the impact on gaining confidence in broad clinical
   genetics skills in 5 subsequent years.
   Methods: We collected 5 years of successive pre- and post-intervention
   survey based self-assessments on medical student use of genetic medicine
   information resources and confidence in genetic medicine skills. To
   assess retention of confidence in these skills, we administered a
   follow-up survey to students after 1-2 years of clinical rotations.
   Results: We found a consistent, statistically significant increase in
   students' confidence in clinical genetics skills after the first-year
   OMIM educational session, with confidence retention above baseline up to
   2 years after the educational exposure. Skills include ability to
   generate a differential diagnosis for genetic conditions, share
   information with patients and families, and find accurate information on
   genetic conditions. The majority agreed that increased use of OMIM will
   better prepare students to achieve these skills.
   Conclusion: Integration of the OMIM database in first-year education is
   an effective instructional tool that may provide a lasting increase in
   confidence in clinical genetics skills.
OI Knoll, Jasmine/0000-0003-4292-4423; , Violet/0000-0002-5386-9549
ZA 0
ZR 0
ZS 0
Z8 0
TC 6
ZB 2
Z9 6
U1 1
U2 2
SN 1098-3600
EI 1530-0366
UT WOS:000458017600031
PM 29930391
ER

PT J
AU Pocs David
   Kovacs Robert
   Ovari Timea
   Erdos Csaba
   Kelemen Oguz
TI Tobacco reduction on Facebook among 14-35-year-olds
SO ORVOSI HETILAP
VL 160
IS 6
BP 220
EP 227
DI 10.1556/650.2019.31314
PD FEB 2019
PY 2019
AB Introduction: The possibility of successful smoking cessation is
   increased by early initiation. Therefore, promoting smoking cessation at
   early age (especially among 14-35-year-olds) has a key role in reducing
   tobacco use prevalence. Facebook is one of the most popular websites
   among adolescents and young adults which can be used for age-specific
   smoking cessation support.
   Aim: Our research seeks to reveal the effects of a Facebook page on
   smoking habits, smoking cessation knowledge and attitudes among
   14-35-year-olds.
   Method: An online survey was conducted among the 3278 followers of the
   author's Facebook page. The questionnaire was completed by 332 people
   among 14-35-year-olds. We analysed demographic data, smoking habits, the
   usage frequency and duration of the Facebook page as well as changes in
   smoking habits, smoking cessation knowledge and attitudes.
   Results: The average age was 22.57 +/- 5.08 years. The examined
   population consisted of 65% currently smokers, 12% former smokers and
   23% non-smokers. Significantly more people reported a positive change in
   their smoking habits and smoking cessation attitudes among smokers who
   used the Facebook page more frequently and with longer duration
   (p<0.05). The habit and attitude changes were significantly higher among
   smokers who plan to quit smoking (p<0.01). Nevertheless, we also
   observed attitude changes between 12-25% among smokers who did not plan
   to quit. Among non-smokers, the positive attitude changes were
   significantly higher in the low-educated population who live in villages
   (p<0.01).
   Conclusion: This Facebook page had a positive effect on smoking habits,
   smoking cessation knowledge and attitudes among 14-35-year-olds. The
   contents of the Facebook page could be used to prevent smoking and
   support smoking cessation among 14-35-year-olds.
RI Pócs, Dávid/AAS-8731-2021
ZS 0
ZR 0
Z8 0
TC 4
ZB 1
ZA 0
Z9 4
U1 0
U2 4
SN 0030-6002
EI 1788-6120
UT WOS:000459540800003
PM 30730203
ER

PT J
AU Lang, Valerie J.
   Berman, Norman B.
   Bronander, Kirk
   Harrell, Heather
   Hingle, Susan
   Holthouser, Amy
   Leizman, Debra
   Packer, Clifford D.
   Park, Yoon Soo
   Vu, T. Robert
   Yudkowsky, Rachel
   Monteiro, Sandra
   Bordage, Georges
TI Validity Evidence for a Brief Online Key Features Examination in the
   Internal Medicine Clerkship
SO ACADEMIC MEDICINE
VL 94
IS 2
BP 259
EP 266
DI 10.1097/ACM.0000000000002506
PD FEB 2019
PY 2019
AB Purpose Medical educators use key features examinations (KFEs) to assess
   clinical decision making in many countries, but not in U.S. medical
   schools. The authors developed an online KFE to assess third-year
   medical students' decision-making abilities during internal medicine
   (IM) clerkships in the United States. They used Messick's unified
   validity framework to gather validity evidence regarding response
   process, internal structure, and relationship to other variables.
   Method From February 2012 through January 2013, 759 students (at eight
   U.S. medical schools) had 75 minutes to complete one of four KFE forms
   during their IM clerkship. They also completed a survey regarding their
   experiences. The authors performed item analyses and generalizability
   studies, comparing KFE scores with prior clinical experience and
   National Board of Medical Examiners Subject Examination (NBME-SE)
   scores.
   Results Five hundred fifteen (67.9%) students consented to participate.
   Across KFE forms, mean scores ranged from 54.6% to 60.3% (standard
   deviation 8.4-9.6%), and Phi-coefficients ranged from 0.36 to 0.52.
   Adding five cases to the most reliable form would increase the
   Phi-coefficient to 0.59. Removing the least discriminating case from the
   two most reliable forms would increase the alpha coefficient to,
   respectively, 0.58 and 0.57. The main source of variance came from the
   interaction of students (nested in schools) and cases. Correlation
   between KFE and NBME-SE scores ranged from 0.24 to 0.47 (P < .01).
   Conclusions These results provide strong evidence for response-process
   and relationship-to-other-variables validity and moderate internal
   structure validity for using a KFE to complement other assessments in
   U.S. IM clerkships.
RI Park, Yoon Soo/AAG-1098-2022; Lang, Valerie/AAZ-8057-2020; Park, Yoon Soo/AFK-2778-2022; Monteiro, S/AAN-6291-2020; Yudkowsky, Rachel/AAP-8240-2020
OI Park, Yoon Soo/0000-0001-8583-4335; Lang, Valerie/0000-0003-1119-5029;
   Park, Yoon Soo/0000-0001-8583-4335; Monteiro, S/0000-0001-8723-5942;
   Yudkowsky, Rachel/0000-0002-2145-7582
ZR 0
ZB 0
ZA 0
Z8 0
TC 0
ZS 0
Z9 0
U1 0
U2 3
SN 1040-2446
EI 1938-808X
UT WOS:000461038800029
PM 30379661
ER

PT J
AU Bihler, Julia
   Tunn, Ralf
   Reisenauer, Christl
   Kolenic, Giselle E.
   Pauluschke-Froehlich, Jan
   Wagner, Philipp
   Abele, Harald
   Rall, Katharina K.
   Naumann, Gert
   Wallwiener, Stephanie
   Wallwiener, Markus
   Sohn, Christof
   Brucker, Sara Y.
   Huebner, Markus
TI The preferred mode of delivery of medical professionals and non-medical
   professional mothers-to-be and the impact of additional information on
   their decision: an online questionnaire cohort study
SO ARCHIVES OF GYNECOLOGY AND OBSTETRICS
VL 299
IS 2
BP 371
EP 384
DI 10.1007/s00404-018-4970-7
PD FEB 2019
PY 2019
AB PurposeIt was the aim to evaluate the personal preference of mode of
   delivery and to analyze differences between medical professionals and
   non-medical professionals. Interest in participating in a risk
   stratification system was evaluated. We hypothesized that gaining
   information about risk stratification provided in the survey could
   potentially change participants' decision regarding the preferred mode
   of delivery; therefore, subjects were asked twice (before and after
   providing information).MethodsFive cohorts [four professionals (MP)
   including participants of the German Urogynecology Congress 2017,
   employees of two major university hospitals in Germany, and members of
   the German Society of Gynecology and Obstetrics, and one
   non-professional group (NP) including pregnant women] were invited
   online to participate in this survey.ResultsVaginal delivery was the
   preferred mode of delivery in both groups (MP 90.4% vs. NP 88.8%;
   p=0.429). MP are more likely to opt for CS due to concerns regarding
   pelvic floor disorders (MP 56.6% vs. NP 9.1%; p<0.001). Likewise, parity
   and prior experienced CS (pCS) had a significant impact on the decision
   towards vaginal delivery (parity MP OR 7.5 95% CI 4.6-12.3, NP OR 9.3
   95% CI 1.9-44.2; (pCS) MP OR 0.12 95% CI 0.07-0.19, NP OR 0.05 95% CI
   0.01-0.25). There is great interest in participating in risk
   stratification systems in the majority of participants
   (68.9%).ConclusionsMP and NP prefer vaginal birth for themselves or
   their partners. Within the group that opted for CS, MP were
   significantly more often concerned about pelvic floor disorders. Future
   prevention aspects might include education about pelvic floor disorders.
RI Wallwiener, Markus/AAH-9038-2021; Pauluschke-Fröhlich, Jan/AGA-8757-2022; Huebner, Markus/ABB-1247-2020; Pauluschke-Fröhlich, Jan/AAF-7092-2021; Wallwiener, Stephanie/; Wallwiener, Markus/
OI Pauluschke-Fröhlich, Jan/0000-0002-2953-3682; Huebner,
   Markus/0000-0003-4906-7751; Wallwiener, Stephanie/0000-0003-2045-650X;
   Wallwiener, Markus/0000-0002-4139-9340
Z8 0
TC 1
ZB 0
ZA 0
ZR 0
ZS 0
Z9 1
U1 0
U2 9
SN 0932-0067
EI 1432-0711
UT WOS:000459146500008
PM 30467635
ER

PT J
AU Avery, Jonathan
   Knoepflmacher, Daniel
   Mauer, Elizabeth
   Kast, Kristopher A.
   Greiner, Miranda
   Avery, Joseph
   Penzner, Julie B.
TI Improvement in Residents' Attitudes Toward Individuals with Substance
   Use Disorders Following an Online Training Module on Stigma
SO HSS JOURNAL
VL 15
IS 1
BP 31
EP 36
DI 10.1007/s11420-018-9643-3
PD FEB 2019
PY 2019
AB Background Resident physicians have been shown to possess negative
   attitudes toward individuals with substance use disorders (SUDs), even
   if the residents believe they have adequate knowledge and skills to care
   for these patients. Residents' negative attitudes may have an adverse
   impact on patient engagement, treatment, and outcomes.
   Questions/Purposes The goal of this study was to examine the impact of
   an online training module on residents' attitudes toward people with
   SUDs. We hypothesized that residents who received the educational
   intervention would show improved attitudes toward people with alcohol
   and opioid use disorders. Methods A web-based questionnaire, including
   demographic information and the Medical Condition Regard Scale (MCRS)
   about individuals with alcohol and opioid use disorders, was sent to
   internal medicine and psychiatry residents before and 6 months after
   they took an online training module on stigma toward individuals with
   SUDs. Results A total of 46 residents completed the initial
   questionnaire and 29 completed the follow-up questionnaire 6 months
   later. Attitudes toward individuals with SUDs, as reflected by an
   increase in MCRS scores, were improved 6 months after the online
   training module. Conclusion Residents' attitudes toward individuals with
   SUDs improved after taking an online training module. This is
   encouraging, as studies have shown that attitudes toward individuals
   with SUDs tend to decline during residency training and negatively
   affect patient care. Larger studies are needed to determine if such
   online modules can improve attitudes of other groups of clinicians,
   result in sustained change over time, and improve patient outcomes.
ZR 0
Z8 0
ZS 0
TC 15
ZB 4
ZA 0
Z9 15
U1 0
U2 0
SN 1556-3316
EI 1556-3324
UT WOS:000755977700009
PM 30863230
ER

PT J
AU Kitts, Robert Li
   Isberg, Roberta S.
   Lee, Paul C.
   Sharma, Neha
   Goldman, Victoria
   Hunt, Jeffrey
TI Child Psychotherapy Training in the United States: A National Survey of
   Child and Adolescent Psychiatry Fellowship Program Directors
SO ACADEMIC PSYCHIATRY
VL 43
IS 1
BP 23
EP 27
DI 10.1007/s40596-018-0998-z
PD FEB 2019
PY 2019
AB ObjectivesTraining in child and adolescent psychotherapy continues to be
   emphasized by accrediting organizations (ACGME and ABPN) but it is not
   known how these skills are taught and what types of therapy are
   highlighted in fellowships across the United States.MethodsA 16-question
   anonymous online survey was developed by the authors and covered six
   main areas: demographics, the priority of psychotherapy in training, the
   competency goals for different psychotherapy modalities, training
   strategies, types of supervision, and program directors' satisfaction of
   their training implementation and assessment of trainees. The survey was
   sent to every identified CAP program director during a three-month
   period in early 2017.ResultsData was gathered from 53 of the 131 program
   directors surveyed, giving a 40% response rate. Ninety percent of CAP
   program directors strongly agree or agree that it is important to
   preserve and promote training and practice of psychotherapy. Most (83%)
   program directors indicated competence or expertise as a training goal
   for CBT with more variability among programs for other psychotherapies.
   Seventy percent of program directors agree that their program provides
   adequate time for learning and practicing psychotherapy but the allotted
   time for psychotherapy is low across majority of programs over both
   years of training.ConclusionsThese results indicate that there is a gap
   between the goals of providing optimal training in psychotherapy with
   the low amount of protected time for the practice of psychotherapy.
   These results should provide a foundation for program directors to learn
   from each other about developing, improving, and implementing effective
   psychotherapy training.
OI Hunt, Jeffrey/0000-0003-1999-8096
ZS 0
ZB 1
Z8 0
ZA 0
TC 2
ZR 0
Z9 2
U1 1
U2 3
SN 1042-9670
EI 1545-7230
UT WOS:000459533100005
PM 30411233
ER

PT J
AU Lederman, Reeva
   Gleeson, John
   Wadley, Greg
   D'Alfonso, Simon
   Rice, Simon
   Santesteban-Echarri, Olga
   Alvarez-Jimenez, Mario
TI Support for Carers of Young People with Mental Illness: Design and Trial
   of a Technology-Mediated Therapy
SO ACM TRANSACTIONS ON COMPUTER-HUMAN INTERACTION
VL 26
IS 1
AR 4
DI 10.1145/3301421
PD FEB 2019
PY 2019
AB In this article, we show how a technology-mediated mental health therapy
   involving psycho-education, therapist moderators, and social networking
   can provide support for carers of young people with mental illness. This
   multi-faceted tool provides opportunities for users to adapt the system
   to their needs, leading us to refocus the goal of treatment adherence
   toward a relatively new phenomenon in HCl, concordance, which has not
   previously been examined in the HCl literature in relation to online
   mental-health tools. Concordance shares important links with the
   development of therapeutic alliance, which is centrally important to
   mental health therapy, and to Self-Determination Theory (SDT), which
   informed our approach to design.
   We present a three-month user study, which provides initial encouraging
   support for both the suitability of concordance as a lens for viewing
   user engagement and the idea that users can develop a therapeutic
   alliance with an online support system. This latter result is surprising
   as the phenomenon of therapeutic alliance generally describes a
   relationship between client and (human) clinician. Therapeutic alliance
   has previously been explored for face-to-face groups, and between
   individuals and online systems, but not for online groups. We show how
   even automated system behavior can encourage engagement from users and
   contribute to alliance formation, if the non-human parts of an online
   system are interactive. We argue that a design approach involving
   peer/moderator support as well as automated feedback, and which takes
   account of SDT, can provide support for therapeutic alliance.
RI Rice, Simon/J-5656-2014; Alvarez-Jimenez, Mario/G-4691-2013; Wadley, Greg/
OI Rice, Simon/0000-0003-4045-8553; Alvarez-Jimenez,
   Mario/0000-0002-3535-9086; Wadley, Greg/0000-0003-4230-3440
ZB 0
ZA 0
ZR 0
TC 17
Z8 0
ZS 0
Z9 17
U1 1
U2 12
SN 1073-0516
EI 1557-7325
UT WOS:000459789700004
ER

PT J
AU Jacobs, Nathan I.
   Montebello, Mark
   Monds, Lauren A.
   Lintzeris, Nicholas
TI Survey of Australian psychiatrists' and psychiatry trainees' knowledge
   about and attitudes towards medicinal cannabinoids
SO AUSTRALASIAN PSYCHIATRY
VL 27
IS 1
BP 80
EP 85
DI 10.1177/1039856218803675
PD FEB 2019
PY 2019
AB Objective: To assess Australian psychiatrists' and psychiatry trainees'
   knowledge about and attitudes towards medicinal cannabinoids, given the
   recent relaxation of cannabinoid-prescribing laws in Australia.
   Method: All Australian members of the Royal Australian and New Zealand
   College of Psychiatrists were invited to participate in an anonymous,
   64-item online questionnaire, through Royal Australian and New Zealand
   College of Psychiatrists' newsletters. The questionnaire ran for a
   10-week period from March to May 2017. Participants were asked about
   their knowledge of the evidence for and against prescribing
   pharmaceutical-grade cannabidiol and tetrahydrocannabinol, and their
   concerns about prescribing medicinal cannabinoids.
   Results: In total, 88 doctors responded to the survey, with 55
   completing all items (23 psychiatrists, 32 trainees). Overall, 54% of
   respondents would prescribe medicinal cannabinoids if it was legal to do
   so. Participants believed there was evidence for the use of cannabidiol
   and tetrahydrocannabinol in treating childhood epilepsy, chronic pain,
   and nausea and vomiting. They were most concerned about medicinal
   cannabinoids leading to psychotic symptoms, addiction and dependence,
   apathy and recreational use.
   Conclusions: Our sample of Australian psychiatrists and trainees were
   aware of the main clinical indications for medicinal cannabinoids, but
   were poor at differentiating between the indications for cannabidiol
   versus tetrahydrocannabinol. Further education about medicinal
   cannabinoids appears necessary.
OI Montebello, Mark/0000-0002-1776-3974
ZB 4
ZA 0
TC 14
ZR 0
ZS 0
Z8 0
Z9 14
U1 0
U2 7
SN 1039-8562
EI 1440-1665
UT WOS:000459483900020
PM 30298754
ER

PT J
AU Weston, Raquel
   Crandall, Marie
   Ferrada, Paula
TI Social Media and Free Open Access Medical (FOAM) Education
SO CURRENT SURGERY REPORTS
VL 7
IS 2
AR 4
DI 10.1007/s40137-019-0224-2
PD FEB 2019
PY 2019
AB Narrative review of free open access medical education (FOAM) and its
   effects on the medical community including, but not limited to, medical
   societies, residency curricula, patient care guidelines, and medical
   journals. This review will inform the reader of the positive effects and
   potential controversies of FOAM.
   Online medical education has revolutionized the way medical personnel
   access information through several platforms including blogs, podcasts,
   social networking, and media sharing sites. These have received mixed
   reviews in terms of efficiency, reliability, professionalism, ethics,
   and confidentiality.
   Since its creation, FOAM has had a dramatic impact on the medical
   community. Despite the current mixed reviews, its popularity continues
   to rise among medical professionals. This popularity will enrich future
   literature reviews and can help guide the medical community in
   understanding, modifying, and potentially developing policies that
   benefit clinicians and patients alike.
OI Crandall, Marie/0000-0002-6536-3123
ZR 0
Z8 0
ZA 0
ZB 0
ZS 0
TC 1
Z9 1
U1 0
U2 6
SN 2167-4817
UT WOS:000459552800002
ER

PT J
AU Strickland, Justin C.
   Stoops, William W.
TI The Use of Crowdsourcing in Addiction Science Research: Amazon
   Mechanical Turk
SO EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY
VL 27
IS 1
BP 1
EP 18
DI 10.1037/pha0000235
PD FEB 2019
PY 2019
AB Crowdsourcing, the use of the Internet to outsource work to a large
   number of people, has witnessed a dramatic growth over the past decade.
   One popular crowdsourcing option, Amazon Mechanical Turk (MTurk), is now
   commonly used to sample participants for psychological research.
   Addiction science is positioned to benefit greatly from crowdsourced
   sampling due to the ability to efficiently and effectively tap into
   populations with specific behavioral and health histories. The primary
   objective of this review is to describe the utility of crowdsourcing,
   broadly, and MTurk, specifically, for conducting research relevant to
   substance use and misuse. Studies in psychological and other health
   science have supported the reliability and validity of data gathered
   using crowdsourced samples. Promising research relevant to addiction
   science has also been conducted, including studies using cross-sectional
   designs and those for measure development purposes. Preliminary work
   using longitudinal methods and for interventions development has also
   revealed the potential of MTurk for studying alcohol and other drug use
   through these designs. Additional studies are needed to better
   understand the benefits, as well as the limits and constraints, of
   research conducted through crowdsourced online platforms. Crowdsourcing,
   such as on MTurk, can ultimately provide an important complement to
   existing methods used in human laboratory, clinical trial, community
   intervention, and epidemiological research. The combinations of these
   methodological approaches could help improve the rigor, reproducibility,
   and overall scope of research conducted in addiction science.
RI Stoops, William/AAX-9000-2020
OI Stoops, William/0000-0002-8502-0160
Z8 0
ZS 0
TC 131
ZR 0
ZB 38
ZA 0
Z9 131
U1 2
U2 41
SN 1064-1297
EI 1936-2293
UT WOS:000457255300001
PM 30489114
ER

PT J
AU Gurbuz, Emine
   Hanley, Mary
   Riby, Deborah M.
TI University Students with Autism: The Social and Academic Experiences of
   University in the UK
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 2
BP 617
EP 631
DI 10.1007/s10803-018-3741-4
PD FEB 2019
PY 2019
AB The number of university students with autism is increasing, and it is
   crucial that these students can access adequate support. An online
   questionnaire was completed by 26 autistic students and 158 non-autistic
   students enrolled at UK universities to investigate social and academic
   experiences. Autistic students self-reported significant challenges and
   more mental health difficulties than non-autistic students. Significant
   challenges focused on the social components of university life,
   including social skills, social support opportunities, and levels of ASD
   awareness from others. Many strengths were also reported regarding
   academic skills of autistic university students. Importantly, there were
   more thoughts of withdrawal by the students with autism highlighting the
   need for support. These data can inform university student support
   services.
RI Riby, Deborah M/G-8474-2013; Gurbuz, Emine/
OI Riby, Deborah M/0000-0001-5747-8441; Gurbuz, Emine/0000-0001-8125-5088
ZA 0
TC 49
ZB 6
ZR 0
ZS 0
Z8 0
Z9 49
U1 4
U2 47
SN 0162-3257
EI 1573-3432
UT WOS:000458251700014
PM 30173311
ER

PT J
AU Lamont, Scott
   Stewart, Cameron
   Chiarella, Mary
TI Capacity and consent: Knowledge and practice of legal and healthcare
   standards
SO NURSING ETHICS
VL 26
IS 1
BP 71
EP 83
DI 10.1177/0969733016687162
PD FEB 2019
PY 2019
AB Introduction: Healthcare practitioners have a legal, ethical and
   professional obligation to obtain patient consent for all healthcare
   treatments. There is increasing evidence which suggests dissonance and
   variation in practice in assessment of decision-making capacity and
   consent processes. Aims: This study explores healthcare practitioners'
   knowledge and practices of assessing decision-making capacity and
   obtaining patient consent to treatment in the acute generalist setting.
   Methods: An exploratory descriptive cross-sectional survey design, using
   an online questionnaire, method was employed with all professional
   groups invited via email to participate. Data were collected over 3
   months from July to September 2015. Survey content and format was
   reviewed by the liaison psychiatry team and subsequently contained five
   sections (demographics, general knowledge and practice, delirium
   context, legal aspects and education/training). Descriptive, univariate
   and bivariate analysis of quantitative data and qualitative content
   analysis of qualitative data were undertaken. Ethical considerations:
   The study was approved by the institutional Human Research and Ethics
   Committee and informed consent was taken to be provided by participants
   upon completion and submission of the de-identified survey. Results: In
   total, 86 participants engaged the survey with n = 24, exiting at the
   first consent question. Almost two-thirds of respondents indicated that
   all treatments required patient consent. Knowledge of consent and
   decision-making capacity as legal constructs was deficient.
   Decision-making capacity was primarily assessed using professional
   judgement and perceived predominantly as the responsibility of medical
   and psychology staff. A range of patient psychological and behavioural
   symptoms were identified as indicators requiring assessment of
   decision-making capacity. Despite this, many patients with delirium have
   their decision-making capacity assessed and documented only sometimes.
   Uncertain knowledge and inconsistent application of legislative
   frameworks are evident. Many participants were unsure of the legal
   mechanisms for obtaining substitute consent in patients with impaired
   decision-making capacity and refusing treatment. Conclusion: The legal
   context of decision-making capacity and consent to treatment appears
   complex for healthcare practitioners. Professional, ethical and legal
   standards of care in this context can benefit from structured education
   programmes and supportive governance processes. An understanding of why
   'duty of care' is being used as a framework within the context of
   impaired decision-making capacity is warranted, alongside a review of
   the context of Duty of Care within health policy, guidance and faculty
   teaching.
RI Stewart, Cameron/AAZ-4288-2020
OI Stewart, Cameron/0000-0003-3625-0899
ZS 1
ZB 2
TC 19
ZA 0
ZR 0
Z8 0
Z9 19
U1 1
U2 8
SN 0969-7330
EI 1477-0989
UT WOS:000458874900008
PM 28093938
ER

PT J
AU Sebesta, Elisabeth M.
   Cooper, Kimberly L.
   Badalato, Gina M.
TI Program Director Perceptions of Usefulness of the Accreditation Council
   for Graduate Medical Education Milestones System for Urology Resident
   Evaluation
SO UROLOGY
VL 124
BP 28
EP 32
DI 10.1016/j.urology.2018.10.042
PD FEB 2019
PY 2019
AB OBJECTIVE To assess the application and perceived usefulness of the
   Accreditation Council for Graduation Medical Education Milestones system
   for resident evaluation among urology program directors (PDs).
   MATERIALS AND METHODS We conducted an online survey of 133 urology PDs.
   The survey addressed several domains: (1) demographic information, (2)
   logistics and implementation of the faculty Clinical Competency
   Committee meetings, and (3) perceived overall effectiveness and
   usefulness of the Milestones assessments.
   RESULTS Eighty-eight responses were obtained (66% response rate). A
   total of 42/88 programs (48%) described the Milestones as very or
   somewhat unhelpful in resident evaluation, with a comparable proportion
   (44%) responding Milestones assessments never or almost never accurately
   distinguished between residents. Respondents felt higher scores on all
   domains of the Milestones were completely or somewhat uncorrelated to
   higher in-service examination scores (58%), with a smaller fraction
   (49%) deeming they were not predictive of board passage rates. Overall,
   30% of respondents answered neutrally as to whether they felt the
   Milestones format has led to better resident formative feedback, and 35%
   were neutral as to the implications of this system toward promoting
   professional development.
   CONCLUSION The Accreditation Council for Graduation Medical Education
   Milestones system for resident evaluation was initiated to create a
   uniform competency-based assessment system; however, a sizable
   proportion of urology PDs in our cohort did not find the Milestones
   system helpful or accurate in assessing residents or predicting future
   successes. Given the Milestones system is still in its infancy, the
   utility of this system within urology has yet to be fully assessed. (C)
   2018 Elsevier Inc.
OI Sebesta, Elisabeth/0000-0002-0563-7348
Z8 0
ZA 0
ZB 1
ZS 0
TC 8
ZR 0
Z9 8
U1 2
U2 5
SN 0090-4295
EI 1527-9995
UT WOS:000458784000009
PM 30414889
ER

PT J
AU Joyner, Byron D.
TI Program Director Perceptions of Usefulness of the Accreditation Council
   for Graduate Medical Education Milestones System for Urology Resident
   Evaluation EDITORIAL COMMENT
SO UROLOGY
VL 124
BP 32
EP 32
DI 10.1016/j.urology.2018.10.043
PD FEB 2019
PY 2019
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
TC 0
Z9 0
U1 0
U2 1
SN 0090-4295
EI 1527-9995
UT WOS:000458784000010
PM 30784720
ER

PT J
AU Morone, Peter J.
   Shah, Kushal J.
   Hendricks, Benjamin K.
   Cohen-Gadol, Aaron A.
TI Virtual, 3-Dimensional Temporal Bone Model and Its Educational Value for
   Neurosurgical Trainees
SO WORLD NEUROSURGERY
VL 122
BP E1412
EP E1415
DI 10.1016/j.wneu.2018.11.074
PD FEB 2019
PY 2019
AB OBJECTIVE: Learning complex neuroanatomy is an arduous yet important
   task for every neurosurgical trainee. As technology has advanced,
   various modalities have been created to aid our understanding of
   anatomy. This study sought to assess the educational value of a virtual,
   3-dimensional (3D) temporal bone model.
   METHODS: The 3D temporal bone model was created with assistance of
   computer graphic designers and published online. Its educational value
   as a teaching was tool was assessed by querying 73 neurosurgery
   residents at 4 institutions and was compared with that of a standard,
   2-dimensional (2D) temporal bone resource. Data were collected via a
   survey, and significance among responses was analyzed via a univariate
   chi-square test.
   RESULTS: The survey response rate was 37%. Greater than 90% of residents
   preferred to study with the 3D model compared with the 2D resource and
   felt that the 3D model allowed them understand the anatomy more
   realistically (P = 0.001). Moreover, >90% of residents believed that
   reviewing the 3D model before an actual surgery could lead to improved
   operative efficiency and safety (P = 0.001).
   CONCLUSIONS: This study demonstrates the utility of a novel, 3D temporal
   bone model as a teaching tool for neurosurgery residents. The model
   contains accurate anatomic structures and allows user interaction via a
   virtual, immersive environment.
RI Hendricks, Benjamin/AAI-6544-2020; Cohen-Gadol, Aaron/
OI Hendricks, Benjamin/0000-0002-7123-4387; Cohen-Gadol,
   Aaron/0000-0002-4946-1524
Z8 0
ZB 7
ZS 0
ZR 0
TC 19
ZA 0
Z9 19
U1 0
U2 2
SN 1878-8750
EI 1878-8769
UT WOS:000457328100173
PM 30471440
ER

PT J
AU Riley, Bernadette
TI Incorporating a Standardized Online Professionalism Curriculum in
   Osteopathic Medical School
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 119
IS 2
BP 112
EP 115
DI 10.7556/jaoa.2019.017
PD FEB 2019
PY 2019
AB Online social media platforms increase patients' access to physicians,
   thus potentially blurring the boundaries between physicians'
   professional and private lives. Although many medical organizations have
   established guidelines on how physicians should proceed on social media
   and social networking sites (SNSs), there has not been a mandated
   standardized curriculum on the use of social media, SNSs, and online
   professionalism for physicians or medical students. With the increase in
   physician involvement on social media and SNSs, professionalism issues
   can emerge. Online professionalism complaints have been increasing.
   Therefore, osteopathic medical students need to be taught the dangers
   and benefits of engaging with online media. This article seeks to
   address the need for mandating a standardized online professionalism
   curriculum for osteopathic medical students and show how a
   simulation-based medical education curriculum can help accomplish this
   goal.
TC 0
ZA 0
Z8 0
ZB 1
ZR 0
ZS 0
Z9 1
U1 0
U2 8
SN 0098-6151
EI 1945-1997
UT WOS:000458429400008
PM 30688348
ER

PT J
AU Hirota, Tomoya
   Guerrero, Anthony
   Sartorius, Norman
   Fung, Daniel
   Leventhal, Bennett
   Ong, Say H.
   Kaneko, Hitoshi
   Apinuntavech, Suporn
   Bennett, Abang
   Bhoomikumar, Jegannathan
   Cheon, Keun-Ah
   Davaasuren, Oyunsuren
   Gau, Susan
   Hall, Brian
   Koren, Evgeny
   Tuan Van Nguyen
   Oo, Tin
   Tan, Susan
   Tateno, Masaru
   Thikeo, Manivone
   Wiguna, Tjhin
   Wong, Mark
   Zheng, Yi
   Skokauskas, Norbert
TI Child and adolescent psychiatry in the Far East: A 5-year follow up on
   the Consortium on Academic Child and Adolescent Psychiatry in the Far
   East (CACAP-FE) study
SO PSYCHIATRY AND CLINICAL NEUROSCIENCES
VL 73
IS 2
BP 84
EP 89
DI 10.1111/pcn.12800
PD FEB 2019
PY 2019
AB Aim Data pertaining to child and adolescent psychiatry (CAP) training
   systems are limited as extant research has mostly been derived from
   one-time data collection. This 5-year follow-up survey collects updated
   information on CAP training systems in the Far East, allowing for the
   tracking of system changes over the past 5 years. Methods Data were
   obtained from 18 countries, or functionally self-governing areas, in the
   Far East, 17 of which were also included in the original study. An
   online questionnaire was completed by leading CAP professionals in each
   country. Questions were expanded in the present study to capture the
   contents of CAP training. Results When compared to data from the
   original study, there has been progress in CAP training systems in the
   last 5 years. Specifically, there has been an increase in the number of
   countries with CAP training programs and national guidelines for the
   training. In addition, the number of CAP departments/divisions
   affiliated with academic institutions/universities has increased.
   Findings from 12 of 18 countries in the present study provide data on
   clinical contents. All informants of the present study reported the need
   for more child and adolescent psychiatrists and allied professionals.
   Conclusion Despite progress in CAP training systems over the last 5
   years, the need for more professionals in child and adolescent mental
   health care in all the relevant areas in this region have yet to be
   adequately addressed. Continued national efforts and international
   collaborations are imperative to developing and sustaining new CAP
   training systems while facilitating improvements in existing programs.
RI Sheng, Daniel Fung Shuen/AAN-9385-2021; Kaneko, Hitoshi/AAO-6874-2020; Hall, Brian J./B-7694-2016; Kaneko, Hitoshi/AAO-6868-2020; Fung, Daniel/AAF-4775-2020; Fung, Daniel S S/W-6915-2019; Cheon, Keun-Ah/; OYUNSUREN, Davaasuren/; GAU, SUSAN SHUR-FEN/P-4726-2017; Wiguna, Tjhin/
OI Sheng, Daniel Fung Shuen/0000-0003-0718-9363; Hall, Brian
   J./0000-0001-9358-2377; Kaneko, Hitoshi/0000-0001-7881-6374; Cheon,
   Keun-Ah/0000-0001-7113-9286; OYUNSUREN, Davaasuren/0000-0002-6032-8863;
   GAU, SUSAN SHUR-FEN/0000-0002-2718-8221; Wiguna,
   Tjhin/0000-0002-7524-5868
TC 5
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
Z9 5
U1 0
U2 4
SN 1323-1316
EI 1440-1819
UT WOS:000458541200006
PM 30471156
ER

PT J
AU Veerman, M. M.
   van der Woude, L. A.
   Tellier, M. A.
   Legemaate, J.
   Scheltinga, M. R.
   Stassen, L. P. S.
   Leclercq, W. K. G.
TI A decade of litigation regarding surgical informed consent in the
   Netherlands
SO PATIENT EDUCATION AND COUNSELING
VL 102
IS 2
BP 340
EP 345
DI 10.1016/j.pec.2018.08.031
PD FEB 2019
PY 2019
AB Objective: An inadequate surgical informed consent process (SIC) may
   result in a medical malpractice claim or medical disciplinary board
   (MDB) complaint. Aim of this study was to analyse characteristics of a
   decade of malpractice claims and MDB decisions regarding SIC in the
   Netherlands.
   Methods: A retrospective analysis of malpractice claims and MDB
   decisions concerning SIC disputes in four major surgical specialties was
   conducted based on company data from the largest medical malpractice
   insurance company and two public available online MDB databases.
   Results: A total of 11376 malpractice claims and 661 MDB complaints were
   filed between 2004-2013 and 676(6%) of these claims and 69(10%) of these
   complaints involved an alleged deficient SIC process. A random sample of
   245(37%) claims and all MDB decisions were analysed. Reasons for filing
   a claim or complaint were insufficient counselling or recording of SIC
   elements. In 20% of lawsuits and 25% of claims the case resulted in
   favour of the complainant.
   Conclusion: A substantial portion of malpractice claims and MDB
   decisions is related to a deficient SIC process.
   Practice implications: Focusing on crucial SIC elements for patients may
   improve satisfaction and expectations and result in a lower risk for
   malpractice claims and MDB complaints. (C) 2018 Elsevier B.V. All rights
   reserved.
RI Leclercq, Wouter/AAI-3891-2020; Legemaate, Johan/
OI Leclercq, Wouter/0000-0003-1159-1857; Legemaate,
   Johan/0000-0002-7061-3991
ZR 0
Z8 1
ZS 0
ZB 1
ZA 0
TC 14
Z9 15
U1 2
U2 12
SN 0738-3991
UT WOS:000458372200018
PM 30173877
ER

PT J
AU Kirkpatrick, James N.
   Pearlman, Alan S.
TI Ethical Challenges in the Practice of Echocardiography: What Is Right
   and How Do We Do It?
SO JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
VL 32
IS 2
BP 233
EP 237
DI 10.1016/j.echo.2018.09.015
PD FEB 2019
PY 2019
AB At the 2018 Scientific Sessions, the American Society of
   Echocardiography inaugurated the Richard E. Kerber Ethics/Humanitarian
   Lecture, continuing its tradition of providing ethics education and
   exploring the use of echocardiography to improve cardiovascular care in
   medically underserved settings. Echocardiography is one of the most
   widely applicable, safe, and cost-effective diagnostic tools available
   in cardiovascular medicine. The American Society of Echocardiography
   Foundation is well known for harnessing the power of echocardiography in
   its many successful humanitarian outreaches all over the world. Some
   practitioners might conclude that because of its important advantages,
   echocardiography involves few ethical complexities; however, several
   historical and recent scandals involving conflicts of interest and
   lapses in quality suggest otherwise. Every day, sonographers and
   echocardiographers grapple with ethical issues: integrity, truth
   telling, doing good and avoiding harm, altruism, and humanism. In the
   near future, population aging and technological advances, among other
   issues, will ensure that a steady stream of ethical issues will confront
   the practitioners of echocardiography. Medical science and engineering
   have given us many things that can be done, but central to the art of
   medical practice and research are decisions about what should be done.
   In this article, based in part on the first Richard E. Kerber
   Ethics/Humanitarian Lecture, the authors discuss ethical challenges in
   the practice of echocardiography, illustrated by accompanying online
   videos, and offer a general principle for meeting these challenges.
ZA 0
TC 4
ZS 0
ZB 0
Z8 0
ZR 0
Z9 4
U1 1
U2 14
SN 0894-7317
UT WOS:000457632100005
PM 30459125
ER

PT J
AU Cook, Nigel S.
   Nagar, Sarthak H.
   Jain, Akanksha
   Balp, Maria-Magdalena
   Maylander, Miriam
   Weiss, Olivia
   Chatterjee, Satabdi
TI Understanding Patient Preferences and Unmet Needs in Non-alcoholic
   Steatohepatitis (NASH): Insights from a Qualitative Online Bulletin
   Board Study
SO ADVANCES IN THERAPY
VL 36
IS 2
BP 478
EP 491
DI 10.1007/s12325-018-0856-0
PD FEB 2019
PY 2019
AB IntroductionThe aim of this work was to understand how patients with
   non-alcoholic steatohepatitis (NASH) perceive their disease, unmet
   needs, and expectations regarding future treatment through online
   bulletin board (OBB) qualitative research.MethodsOBB is an asynchronous
   online qualitative market research tool that provides an open forum for
   interactive discussion among participants. Patients with NASH were
   recruited via physician referral and completed a screener questionnaire
   to ensure their eligibility and willingness to participate. A trained
   moderator managed the discussion that allowed open answers and responses
   to other participants' posts. Patient responses were analyzed using a
   combination of different qualitative analytical tools.ResultsThe OBB ran
   for 4days and included 16 patients (n=8, UK; n=8, US) with NASH
   (fibrosis stages F1-F3) and comorbidities including diabetes/prediabetes
   (n=9) and obesity (n=12). The key insights were (1) patients with NASH
   have a poor understanding of the disease, its progression, and
   managementthey feel a lack of adequate educational support from their
   physicians; (2) diagnosis of NASH is incidental in most cases, mainly
   because patients fail to spontaneously associate their signs or symptoms
   with their liver condition; (3) comorbidities (obesity and diabetes) are
   more concerning to patients than NASH; and (4) patients perceive that
   NASH impacts their social life and work performance in more advanced
   stages.ConclusionsThis OBB provided valuable patient insights into NASH
   disease perception and management and revealed unmet need areas. In
   light of no approved therapies, these patient insights can inform early
   drug development strategies and stakeholder discussions on
   NASH.FundingNovartis Pharma AG, Basel.
OI Cook, Nigel/0000-0001-8211-7613; Balp,
   Maria-Magdalena/0000-0002-8612-7680
ZS 0
TC 17
ZB 7
ZR 0
Z8 0
ZA 0
Z9 17
U1 0
U2 5
SN 0741-238X
EI 1865-8652
UT WOS:000456382100016
PM 30547371
ER

PT J
AU Meister, Kara D.
   Vila, Peter M.
   Bonilla-Velez, Juliana
   Sebelik, Merry
   Orloff, Lisa A.
TI Current Experience of Ultrasound Training in Otolaryngology Residency
   Programs
SO JOURNAL OF ULTRASOUND IN MEDICINE
VL 38
IS 2
BP 393
EP 397
DI 10.1002/jum.14700
PD FEB 2019
PY 2019
AB Objectives The applications of using ultrasound for the evaluation and
   management of otolaryngologic diagnoses are expanding. The purpose of
   this study was to evaluate the current experience of ultrasound training
   in otolaryngology residency programs. Methods All allopathic and
   osteopathic otolaryngology residency programs in the United States were
   surveyed online via an e-mailed survey link to the resident
   representatives of the Section for Residents and Fellows in Training of
   the American Academy of Otolaryngology-Head and Neck Surgery. We present
   a descriptive analysis of the survey results. Results A total of 110
   responses were obtained from resident representatives at MD and DO
   otolaryngology residency programs, representing a response rate of
   94.8%. Forty-four percent of residents reported that they would not feel
   comfortable with performing ultrasound-guided procedures after
   residency; 43% reported that they do not perform ultrasound procedures
   as a part of their residency training; and 60% of those trainees
   performing ultrasound procedures do not log the procedures. Twenty-three
   percent of residents did not have access to an ultrasound machine. Most
   respondents (71%) desired more exposure to diagnostic and/or
   interventional ultrasound training during residency. Conclusions
   Although current experience is variable, there is a strong interest in
   increasing resident skill acquisition in ultrasound training among
   otolaryngology residents. Some barriers to these goals may be a lack of
   trained faculty members using ultrasound and insufficient recording
   mechanisms for residents performing ultrasound procedures.
RI Vila, Peter/AAF-4272-2019; Bonilla-Velez, Juliana/; Orloff, Lisa/; Meister, Kara/
OI Vila, Peter/0000-0003-3639-2432; Bonilla-Velez,
   Juliana/0000-0002-7174-7609; Orloff, Lisa/0000-0002-2424-227X; Meister,
   Kara/0000-0002-4983-3068
ZR 0
ZA 0
Z8 0
ZB 1
TC 5
ZS 0
Z9 5
U1 0
U2 0
SN 0278-4297
EI 1550-9613
UT WOS:000456851600014
PM 30099758
ER

PT J
AU Hoysted, Claire
   Jobson, Laura
   Alisic, Eva
TI A Pilot Randomized Controlled Trial Evaluating a Web-Based Training
   Program on Pediatric Medical Traumatic Stress and Trauma-Informed Care
   for Emergency Department Staff
SO PSYCHOLOGICAL SERVICES
VL 16
IS 1
SI SI
BP 38
EP 47
DI 10.1037/ser0000247
PD FEB 2019
PY 2019
AB This pilot parallel group superiority randomized controlled trial
   investigated the efficacy and acceptability of a web-based training
   program on pediatric medical traumatic stress and trauma-informed care
   (Australian and New Zealand Clinical Trials Registry number:
   ACTRN12617001148369). Eligibility criteria for this study included being
   a nurse or physician working in an ED in Australia or New Zealand, being
   fluent in English and having Internet access. Emergency department (ED)
   staff (N = 71) were randomly assigned into the training (n = 32) or
   control group n = 39). We hypothesized that compared to the control
   group, ED staff in the training group would show a greater improvement
   in knowledge of pediatric medical traumatic stress 1-week post training
   and that improvement would be maintained at 1-month post training. At
   baseline participants completed a brief questionnaire assessing
   knowledge of pediatric medical traumatic stress. The training group then
   completed the 15-min online training program. The knowledge
   questionnaire was readministered to all participants' 1 week and 1 month
   posttraining, after which the control group gained access to the
   training. Acceptability was based on a program evaluation measure
   utilizing quantitative and qualitative items. The training group had
   significantly greater knowledge following training and at follow-up than
   the control group (p > .001, f = .42) and reported high rates of
   satisfaction. The results demonstrated an improvement in ED staff
   knowledge as a result of the training and provide preliminary support
   for the efficacy and acceptability of brief online training to improve
   the knowledge of ED staff interested in pediatric medical traumatic
   stress and trauma-informed care.
OI Alisic, Eva/0000-0002-7225-606X; Jobson, Laura/0000-0002-1534-897X;
   Hoysted, Claire/0000-0001-8458-0046
ZA 0
ZR 0
ZB 1
ZS 0
Z8 0
TC 10
Z9 10
U1 1
U2 11
SN 1541-1559
EI 1939-148X
UT WOS:000457476300005
PM 30475043
ER

PT J
AU Felippe, Lilian Assuncao
   Salgado, Pedro Rippel
   Silvestre, Diego de Souza
   Smaili, Suhaila Mahmoud
   Christofoletti, Gustavo
TI A Controlled Clinical Trial on the Effects of Exercise on Cognition and
   Mobility in Adults With Multiple Sclerosis
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 2
BP 97
EP 102
DI 10.1097/PHM.0000000000000987
PD FEB 2019
PY 2019
AB Objective: The aim of the study was to investigate the effects of a 6-mo
   exercise program on cognition and mobility in participants with multiple
   sclerosis.
   Design: This is a prospective, single-blind, controlled clinical trial.
   Setting: A community rehabilitation program within a large metropolitan
   health service.
   Participants: Twenty-eight patients with multiple sclerosis were
   referred for outpatient rehabilitation.
   Interventions: Participants were allocated to one of two groups and
   undertook a cognitive-motor exercise program or monitoring (control
   group).
   Main Outcome Measures: Cognition and mobility were the main outcome
   measures. Cognition was evaluated using the Mini-Mental State
   Examination and the Frontal Assessment Battery. Mobility was assessed
   with the Timed Get Up and Go test, applied with and without dual task
   distractors.
   Results: The findings showed benefits provided by exercise on cognition
   and mobility. Differently, participants of the control group did not
   have significant changes in cognition scores after 6 mos of follow-up
   and had a worse performance in mobility tests.
   Conclusion: Six months of exercise provided benefits to cognition and
   mobility in adults with multiple sclerosis. This trial was registered
   prospectively with the Brazilian Clinical Trials Register, ID:
   RBR-9gh4km (http://www.ensaiosclinicos.gov.br/rg/?q=RBR-9gh4km).
RI Christofoletti, Gustavo/G-4810-2013; Smaili, Suhaila Mahmoud/AAK-3049-2020
OI Christofoletti, Gustavo/0000-0002-7879-239X; Smaili, Suhaila
   Mahmoud/0000-0002-9048-9799
ZR 0
ZA 0
ZB 4
Z8 0
ZS 1
TC 11
Z9 12
U1 1
U2 23
SN 0894-9115
EI 1537-7385
UT WOS:000455990100008
PM 29927751
ER

PT J
AU Stormon, Nicole
   Ford, Pauline J.
   Eley, Diann S.
TI DREEM-ing of dentistry: Students' perception of the academic learning
   environment in Australia
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 23
IS 1
BP 35
EP 41
DI 10.1111/eje.12384
PD FEB 2019
PY 2019
AB Introduction: Continuous evaluation and improvement of the learning
   environment are required to respond to the changing nature of dental
   practice and dental education. This study aimed to describe a cohort of
   undergraduate dentistry students' perceptions of their learning
   environment.
   Methods: Students enrolled in years 1-4 of the Bachelor of Dental
   Science (Honours) programme at The University of Queensland were invited
   to complete an online survey which included demographics and the Dundee
   Ready Education Environment Measure (DREEM). This scale measures
   students' perception of the educational environment overall, and for
   five domains: Learning, Teaching, Academic self-perception, Atmosphere
   and Social self-perception. Data analysis was mostly descriptive, t
   tests and univariate statistics compared groups.
   Results: Participants (N = 192; females = 57%) were generally positive
   about their learning environment, with a total DREEM score of 127 of
   200. Overall, Academic and Social self-perception domain scores were
   ranked lower than others. Students in preclinical years of study and/or
   had dentistry as a first career preference were more positive across all
   domains, except Social self-perception.
   Conclusions: Differences between the preclinical and clinical phases of
   the curriculum point to the structure of teaching and learning in health
   professional degrees. Further research should investigate how each
   environmental domain more specifically correlates with other aspects of
   the curriculum and student progression, including well-being. This could
   include logistical factors such as timetabling and its effect on
   physical well-being, to less tangible factors that may impact on mental
   well-being.
RI Ford, Pauline/ABI-1007-2020; Ford, Pauline J/F-1232-2010; Eley, Diann S/C-3331-2008; Stormon, Nicole/C-1495-2016
OI Ford, Pauline/0000-0002-0901-2863; Ford, Pauline J/0000-0002-0901-2863;
   Eley, Diann S/0000-0001-7256-9325; Stormon, Nicole/0000-0003-0758-1605
ZA 0
ZS 0
ZR 0
ZB 2
TC 20
Z8 1
Z9 21
U1 2
U2 15
SN 1396-5883
EI 1600-0579
UT WOS:000455041100010
PM 30022585
ER

PT J
AU Gardner, Aimee K.
   Dunkin, Brian J.
TI Applicant perceptions of new selection systems are a function of their
   performance in the selection procedure
SO AMERICAN JOURNAL OF SURGERY
VL 217
IS 2
BP 272
EP 275
DI 10.1016/j.amjsurg.2018.09.030
PD FEB 2019
PY 2019
AB Introduction: Screening practices for selecting surgery trainees have
   been criticized for subjectivity, inefficiency, and inability to predict
   performance. This study explored applicant perceptions to an
   untraditional selection process.
   Methods: Fellowship applicants completed an online assessment containing
   26 situational judgment test (SJT) items and a 108-item personality
   profile. High-performing candidates participated in on-site structured
   interviews and skills testing. Upon completion of all interviews, but
   before match results were available, an anonymous, online survey was
   sent to all applicants. The survey asked about perceptions of the
   selection system along dimensions of procedural justice theory on a 1
   (strongly disagree) to 5 (strongly agree) scale.
   Results: Twenty-one of 51 applicants completed the survey. Those invited
   for an interview (N = 12) had more favorable perceptions about
   communication (3.50 +/- 1.38 versus 2.00 +/- 0.82, p < 0.05),
   opportunity to perform (3.33 +/- 1.56 versus 1.29 +/- 0.49, p < 0.01),
   fairness (4.50 +/- 0.80 versus 3.43 +/- 1.40, p < 0.05) and gaining more
   insight (4.25 +/- 1.22 versus 2.29 +/- 1.60, p < 0.01) compared to
   applicants not invited. Content (4.21 +/- 0.86) and consistency (4.79
   +/- 0.42) means were similar.
   Conclusions: These results suggest that applicant perceptions are
   directly related to how well they perform in the selection procedure.
   (C) 2018 Elsevier Inc. All rights reserved.
CT Annual Meeting of the Association-for-Surgical-Education (ASE)
CY MAY 01, 2018
CL Austin, TX
SP Assoc Surg Educ
ZB 1
ZS 0
ZR 0
Z8 0
ZA 0
TC 7
Z9 7
U1 1
U2 7
SN 0002-9610
EI 1879-1883
UT WOS:000454787500014
PM 30297126
ER

PT J
AU Hughes, Dorothy
   Cook, Mackenzie R.
   Deal, Shanley B.
   Hughes, Tyler G.
   Sarap, Michael
   Brasel, Karen
   Alseidi, Adnan
TI Rural surgeons' perspectives on necessity of post-residency training are
   stable across generations
SO AMERICAN JOURNAL OF SURGERY
VL 217
IS 2
BP 296
EP 300
DI 10.1016/j.amjsurg.2018.11.026
PD FEB 2019
PY 2019
AB Background: Training future rural surgeons is critical, but training
   needs are unclear. We hypothesize perspectives on necessity of
   subspecialty training differ among rural surgeons by generational
   cohort.
   Methods: An online survey was sent to ACS Rural Surgery Listserv
   subscribers. Closed-ended elements were analyzed using bivariate testing
   and logistic regression. Purposively-sampled respondents participated in
   qualitative interviews analyzed using principles of grounded theory.
   Results: Generation was irrelevant to respondents' hiring preferences,
   but older surgeons were more likely to state subspecialty training was
   ideal for any future rural surgeon. Controlling for practice context,
   younger rural surgeons were less likely to favor hiring a
   subspecialty-trained surgeon (p = 0.019). Themes emerged from
   qualitative analysis emphasizing broad training and the importance of
   practice context.
   Conclusion: Across generations, rural surgeons' perceptions about the
   training needed for rural surgery are largely stable. Considering
   practice context will allow educators to better prepare future rural
   surgeons for rural practices. (C) 2018 Elsevier Inc. All rights
   reserved.
RI Cook, Mackenzie/AAI-1867-2020; alseidi, adnan/; Hughes, Dorothy/
OI alseidi, adnan/0000-0002-0365-1955; Hughes, Dorothy/0000-0002-8952-450X
ZB 0
Z8 0
ZR 0
ZA 0
ZS 0
TC 7
Z9 7
U1 0
U2 0
SN 0002-9610
EI 1879-1883
UT WOS:000454787500018
PM 30528820
ER

PT J
AU Stain, Helen J.
   Mawn, Lauren
   Common, Stephanie
   Pilton, Marie
   Thompson, Andrew
TI Research and practice for ultra-high risk for psychosis: A national
   survey of early intervention in psychosis services in England
SO EARLY INTERVENTION IN PSYCHIATRY
VL 13
IS 1
BP 47
EP 52
DI 10.1111/eip.12443
PD FEB 2019
PY 2019
AB Background Evidence from meta-analyses of randomized clinical trials
   show interventions for young people at ultra-high risk (UHR) of
   developing psychosis are effective both clinically and economically.
   While research evidence has begun to be integrated into clinical
   guidelines, there is a lack of research on the implementation of these
   guidelines. This paper examines service provision for UHR individuals in
   accordance with current clinical guidelines within the National Health
   Service (NHS) in England. Method A self-report online survey was
   completed by clinical leaders of early intervention in psychosis (EIP)
   teams (N = 50) within the NHS across England. Results Of the 50 EIP
   teams responding (from 30 NHS trusts), 53% reported inclusion of the UHR
   group in their service mandate, with age range predominantly 14 to 35
   years (81%) and service provided for at least 12 months (53%). Provision
   of services according to NICE clinical guidelines showed 50% of services
   offered cognitive behavioural therapy (CBT) for psychosis, and 42%
   offered family intervention. Contrary to guidelines, 50% of services
   offered antipsychotic medication. Around half of services provided
   training in assessment by Comprehensive Assessment of At Risk Mental
   States, psycho-education, CBT for psychosis, family work and treatment
   for anxiety and depression. Conclusions Despite clear evidence for the
   benefit of early intervention in this population, current provision for
   UHR within EIP services in England does not match clinical guidelines.
   While some argue this is due to a lack of allocated funding, it is
   important to note the similar variable adherence to clinical guidelines
   in the treatment of people with established schizophrenia.
RI Thompson, Andrew/F-3153-2012; thompson, andrew/AAQ-8744-2020; Stain, Helen/
OI Thompson, Andrew/0000-0002-0567-6013; thompson,
   andrew/0000-0002-0567-6013; Stain, Helen/0000-0002-5810-4780
ZA 0
ZR 0
Z8 0
ZS 0
ZB 1
TC 9
Z9 9
U1 1
U2 15
SN 1751-7885
EI 1751-7893
UT WOS:000455043800006
PM 28612979
ER

PT J
AU Maiocco, Gina
   Stroupe, Lya M.
   Rhoades, Anthea
   Vance, Billie
TI Care of veterans in a non-veteran health administration hospital: What
   is the status of nursing practice after continuing education?
SO JOURNAL OF CLINICAL NURSING
VL 28
IS 3-4
BP 520
EP 527
DI 10.1111/jocn.14641
PD FEB 2019
PY 2019
AB Aims and objectives To identify how civilian nurses are caring for
   military veterans following mandatory continuing education on veterans'
   mental health needs and to describe challenges nurses are facing in
   provision of that care. Background Veterans and military personnel
   experience mental health conditions at a high rate and are increasingly
   receiving care in civilian healthcare facilities. Nonmilitary providers
   may not be prepared to address this population's challenging needs.
   Military culture may influence the presentation of mental health
   conditions; thus, critical assessment points by nonmilitary medical
   personnel may be missed. Education is touted internationally as a means
   to address deficits, but research is lacking to support that statement.
   Methods Adhering to research reporting guidelines, 115 of a proposed 322
   civilian nurses in a tertiary hospital volunteered to complete a
   one-time online survey that contained quantitative and demographic
   questions. Forty of 115 nurses went on to complete the qualitative
   query. Descriptive statistics summarised quantitative results, and
   constant comparative analysis was applied to qualitative responses for
   theme identification. Results The study was stopped early due to reports
   of violence from veterans upon nurses. Results showed continuing
   education did not change documentation of military status. Following
   mandatory continuing education, civilian nurses continued to describe
   uncertainty in how to adapt care, on how to interact with veterans and
   in how to deal with violence. Conclusion The status of care to veterans
   remains insufficient, but nurses are asking critical questions on how to
   update practice. Additional support and research in the clinical setting
   is needed to promote a safe caring environment. Relevance to clinical
   practice Continuing education alone may not advance care of the veteran.
   A multipronged approach to include mandatory documentation of military
   status and coaching of providers by those experienced with the military
   way of life may be used to augment staff preparedness.
TC 4
ZB 0
ZR 0
ZS 0
ZA 0
Z8 0
Z9 4
U1 1
U2 4
SN 0962-1067
EI 1365-2702
UT WOS:000455244400015
PM 30091214
ER

PT J
AU Burgess, Diana J.
   Hardeman, Rachel R.
   Burke, Sara E.
   Cunningham, Brooke A.
   Dovidio, John F.
   Nelson, David B.
   Perry, Sylvia P.
   Phelan, Sean M.
   Yeazel, Mark W.
   Herrin, Jeph
   van Ryn, Michelle
TI Incoming Medical Students' Political Orientation Affects Outcomes
   Related to Care of Marginalized Groups: Results from the Medical Student
   CHANGES Study
SO JOURNAL OF HEALTH POLITICS POLICY AND LAW
VL 44
IS 1
BP 113
EP 146
DI 10.1215/03616878-7206755
PD FEB 1 2019
PY 2019
AB This article characterizes the political ideology of first-year medical
   students and describes the extent to which their political ideology was
   associated with attitudes and beliefs related to the care of
   marginalized patients assessed during their fourth year. Analyses use
   data from online questionnaires administered to 3,756 medical students
   from a stratified random sample of forty-nine medical schools in their
   first and fourth years of study. The primary measure of political
   ideology was a five-point scale anchored by "very conservative" and
   "very liberal." Mixed-effects linear regression was used to test the
   predictive power of political ideology at year 1 on year 4 outcomes.
   Among incoming medical students, 47.7% identified as liberal, 33.3% as
   moderate, and 19.0% as conservative. More conservative ideology was
   associated at year 4 with greater implicit bias against black and gay
   individuals, more negative explicit attitudes toward stigmatized groups,
   lower internal motivation to control racial prejudice, lower levels of
   trait empathy and empathy toward patients, and lower levels of
   patient-centered attitudes. Future research is needed to inform and
   develop interventions to improve care of patients from marginalized
   groups that are effective for medical students and health care providers
   across the political spectrum.
RI Nelson, David/G-7142-2011
OI Nelson, David/0000-0003-1163-1222
ZS 0
ZR 0
TC 4
Z8 0
ZA 0
ZB 0
Z9 4
U1 0
U2 10
SN 0361-6878
UT WOS:000454718200006
ER

PT J
AU Canty, David
   Barth, Jennifer
   Yang, Yang
   Peters, Nathan
   Palmer, Andrew
   Royse, Alistair
   Royse, Colin
TI Comparison of learning outcomes for teaching focused cardiac ultrasound
   to physicians: A supervised human model course versus an eLearning
   guided self-directed simulator course
SO JOURNAL OF CRITICAL CARE
VL 49
BP 38
EP 44
DI 10.1016/j.jcrc.2018.10.006
PD FEB 2019
PY 2019
AB Purpose: Focused cardiac ultrasound (FCU) training in critical care is
   restricted by availability of instructors. Supervised training may be
   substituted by self-directed learning with an ultrasound simulator
   guided by automated electronic learning, enabling scalability.
   Materials and methods: We prospectively compared learning outcomes in
   novice critical care physicians after completion of a supervised
   one-and-a-half-day workshop model with a self-guided course utilizing a
   simulator over four weeks. Both groups had identical pre-workshop
   on-line learning (20h). Image quality scores were compared using FCU
   performed on humans without pathology. Interpretive knowledge was
   compared using 20MCQ tests.
   Results: Of 161 eligible, 145 partidpants consented. Total Image quality
   scores were higher in the Simulator group (952% vs. 66.0%, P < .001) and
   also higher for each view (all P < .001). Interpretive knowledge was not
   different before (78.6% vs. 79.0%) and after practical training (74.7%
   vs. 76.1%) and at 3 months (81.0% vs. 77.0%, all P > .1). Including
   purchase of the simulator and ultrasound equipment, the simulator course
   required lower direct costs (AUD$796 vs. $1724 per participant) and
   instructor time (0.5 vs. 1.5 days) but similar participant time (2.8 vs.
   3.0 days).
   Conclusions: Self-directed learning with ultrasound simulators may be a
   scalable alternative to conventional supervised teaching with human
   models. (C) 2018 Elsevier Inc. All rights reserved.
RI Royse, Alistair/A-6046-2008; Canty, David/GNH-2626-2022; Peters, Nathan/; Palmer, Andrew/J-7289-2014
OI Royse, Alistair/0000-0002-4449-663X; Peters, Nathan/0000-0003-3431-6815;
   Palmer, Andrew/0000-0002-9703-7891
ZA 0
TC 4
ZS 0
ZR 0
ZB 1
Z8 0
Z9 4
U1 3
U2 11
SN 0883-9441
EI 1557-8615
UT WOS:000451728600007
PM 30359924
ER

PT J
AU Pieters, Huibrie C.
   Green, Emily
   Khakshooy, Sally
   Sleven, Miriam
   Stanton, Annette L.
TI A qualitative comparison of how older breast cancer survivors process
   treatment information regarding endocrine therapy
SO PLOS ONE
VL 14
IS 1
AR e0210972
DI 10.1371/journal.pone.0210972
PD JAN 31 2019
PY 2019
AB Background
   It remains unclear how information about aromatase inhibitors (AI)
   impacts women's decision-making about persistence with endocrine
   therapy.
   Purpose
   To describe and compare how women treated for primary early stage breast
   cancer either persisting or not persisting with an AI received,
   interpreted, and acted upon AI-related information.
   Design
   Thematic analysis was used to sort and compare the data into the most
   salient themes.
   Participants
   Women (N = 54; 27 persisting, 27 not persisting with an AI) aged 65-93
   years took part in qualitative interviews.
   Results
   Women in both subgroups described information similarly in terms of its
   value, volume, type, and source. Aspects of AI-related information that
   either differed between the sub-groups or were misunderstood by one or
   both subgroups included: (1) knowledge of AI or tamoxifen prior to
   cancer diagnosis, (2) use of online resources, (3) misconceptions about
   estrogen, hormone replacement therapies and AI-related symptoms, and (4)
   risk perception and the meaning and use of recurrence statistics such as
   Oncotype DX.
   Conclusions
   Persisters and nonpersisters were similar in their desire for more
   information about potential side effects and symptom management at AI
   prescription and subsequent appointments. Differences included how
   information was obtained and interpreted. Interactive discussion
   questions are shared that can incorporate these findings into clinical
   settings.
ZS 0
ZR 0
ZB 1
Z8 0
TC 7
ZA 0
Z9 7
U1 0
U2 1
SN 1932-6203
UT WOS:000457301600027
PM 30703119
ER

PT J
AU Smith, Lynette M.
   Hein, Nicholas A.
   Bagenda, Danstan
TI Cash transfers and HIV/HSV-2 prevalence: A replication of a cluster
   randomized trial in Malawi
SO PLOS ONE
VL 14
IS 1
AR e0210405
DI 10.1371/journal.pone.0210405
PD JAN 31 2019
PY 2019
AB Introduction
   In this paper we perform a replication analysis of "Effect of a cash
   transfer programme for schooling on prevalence of HIV and herpes simplex
   type 2 in Malawi: a cluster randomised trial" by Sarah Baird and others
   published in "The Lancet" in 2012. The original study was a two-year
   cluster randomized intervention trial of never married girls aged 13-22
   in Malawi. Enumeration areas were randomized to either an intervention
   involving cash transfer (conditional or unconditional of school
   enrollment) or control. The study included 1708 Malawian girls, who were
   enrolled at baseline and had biological testing for HIV and herpes
   simplex virus type 2 (HSV-2) at 18 months. The original findings showed
   that in the cohort of girls enrolled in school at baseline, the
   intervention had an effect on school enrollment, sexual outcomes, and
   HIV and HSV-2 prevalence. However, in the baseline school dropout
   cohort, the original study showed no intervention effect on HIV and
   HSV-2 prevalence.
   Methods
   We performed a replication of the study to investigate the consistency
   and robustness of key results reported. A pre-specified replication plan
   was approved and published online. Cleaned data was obtained from the
   original authors. A pure replication was conducted by reading the
   methods section and reproducing the results and tables found in the
   original paper. Robustness of the results were examined with alternative
   analysis methods in a measurement and estimation analysis (MEA)
   approach. A theory of change analysis was performed testing a causal
   pathway, the effect of intervention on HIV awareness, and whether the
   intervention effect depended on the wealth of the individual.
   Results
   The pure replication found that other than a few minor discrepancies,
   the original study was well replicated. However, the randomization and
   sampling weights could not be verified due to the lack of access to raw
   data and a detailed sample selection plan. Therefore, we are unable to
   determine how sampling influenced the results, which could be highly
   dependent on the sample. In MEA it was found that the intervention
   effect on HIV prevalence in the baseline schoolgirls cohort was somewhat
   sensitive to model choice, with a non-significant intervention effect
   for HIV depending on the statistical model used. The intervention effect
   on HSV-2 prevalence was more robust in terms of statistical
   significance, however, the odds ratios and confidence intervals differed
   from the original result by more than 10%. A theory of change analysis
   showed no effect of intervention on HIV awareness. In a causal pathway
   analysis, several variables were partial mediators, or potential
   mediators, indicating that the intervention could be working through its
   effect on school enrollment or selected sexual behaviors.
   Conclusions
   The effect of intervention on HIV prevalence in the baseline schoolgirls
   was sensitive to the model choice; however, HSV-2 prevalence results
   were confirmed. We recommend that the results from the original
   published analysis indicating the impact of cash transfers on HIV
   prevalence be treated with caution.
OI Smith, Lynette/0000-0002-0836-9932
ZB 2
Z8 0
ZR 0
ZA 0
TC 6
ZS 0
Z9 6
U1 0
U2 1
SN 1932-6203
UT WOS:000457301600017
PM 30703126
ER

PT J
AU Singh, Sanjeev
   Charani, Esmita
   Wattal, Chand
   Arora, Anita
   Jenkins, Abi
   Nathwani, Dilip
TI A Qualitative and Quantitative Assessment
SO ANTIBIOTICS-BASEL
VL 8
IS 1
AR 11
DI 10.3390/antibiotics8010011
PD JAN 30 2019
PY 2019
AB Background: To understand the role of infrastructure, manpower, and
   education and training (E&T) in relation to Antimicrobial Stewardship
   (AMS) in Indian healthcare organizations. Methods: Mixed method approach
   using quantitative survey and qualitative interviews was applied.
   Through key informants, healthcare professionals from 69 hospitals
   (public & private) were invited to participate in online survey and
   follow up qualitative interviews. Thematic analysis was applied to
   identify the key emerging themes from the interviews. The survey data
   were analyzed using descriptive statistics. Results: 60 healthcare
   professionals from 51 hospitals responded to the survey. Eight doctors
   participated in semi-structured telephone interviews. 69% (27/39) of the
   respondents received E&T on AMS during undergraduate or postgraduate
   training. 88% (15/17) had not received any E&T at induction or during
   employment. In the qualitative interviews three key areas of concern
   were identified: (1) need for government level endorsement of AMS
   activities; (2) lack of AMS programs in hospitals; and, (3) lack of
   postgraduate E&T in AMS for staff. Conclusion: No structured provision
   of E&T for AMS currently exists in India. Stakeholder engagement is
   essential to the sustainable design and implementation of bespoke E&T
   for hospital AMS in India.
OI Charani, Esmita/0000-0002-5938-1202
ZR 0
ZB 4
Z8 0
ZA 0
TC 11
ZS 0
Z9 11
U1 0
U2 2
EI 2079-6382
UT WOS:000464152200003
PM 30704037
ER

PT J
AU O'Doherty, Diane
   Lougheed, Justan
   Hannigan, Ailish
   Last, Jason
   Dromey, Marie
   O'Tuathaigh, Colm
   McGrath, Deirdre
TI Internet skills of medical faculty and students: is there a difference?
SO BMC MEDICAL EDUCATION
VL 19
AR 39
DI 10.1186/s12909-019-1475-4
PD JAN 30 2019
PY 2019
AB BackgroundThe shift from a more didactic to student-centred pedagogical
   approach has led to the implementation of new information communication
   technology (ICT) innovations and curricula. Consequently, analysis of
   the digital competency of both faculty and students is of increasing
   importance. The aim of this research is to measure and compare the
   internet skills of medical school faculty and students and to
   investigate any potential skills gap between the two groups.MethodsA
   survey of medical school faculty and students across three universities
   in Ireland was carried out using a validated instrument (Internet Skills
   Scale) measuring five internet skills (Operational, Information
   Navigation, Social, Creative and Mobile). Three focus groups comprising
   a total of fifteen students and four semi-structured interviews with
   faculty across three institutions were carried out to explore further
   findings and perceptions towards digital literacy, give further insight
   and add context to the findings.ResultsSeventy-eight medical faculty
   (response rate 45%) and 401 students (response rate 15%) responded to
   the survey. Mean scores for each internet skill were high (above 4 out
   of 5) for all skills apart from Creative (mean of 3.08 for students and
   3.10 for faculty). There were no large differences between student and
   faculty scores across the five skills.Qualitative results supported
   survey findings with a deeper investigation into topics such as online
   professionalism, use of licencing and mobile application development.
   Needs based skills training and support were highlighted as areas for
   faculty development.ConclusionBoth medical educators and students tend
   to have similar competencies with respect to internet skills. When
   implementing online and distance learning methodologies however, medical
   schools need to ensure appropriate skills training and support for
   faculty as well as providing targeted training to improve the creative
   skills of both their educators and students.
OI O'Tuathaigh, Colm/0000-0003-1365-1606; O Doherty,
   Diane/0000-0003-3955-2710
ZB 0
Z8 0
TC 10
ZA 0
ZS 0
ZR 0
Z9 10
U1 1
U2 15
SN 1472-6920
UT WOS:000457260700001
PM 30700293
ER

PT J
AU Kost, Gerald J.
   Zadran, A.
   Zadran, L.
   Ventura, I.
TI Point-Of-Care Testing Curriculum and Accreditation for Public
   Health-Enabling Preparedness, Response, and Higher Standards of Care at
   Points of Need
SO FRONTIERS IN PUBLIC HEALTH
VL 6
AR 385
DI 10.3389/fpubh.2018.00385
PD JAN 29 2019
PY 2019
AB Objectives: To develop awareness of benefits of point-of-care testing
   (POCT) education in schools of public health, to identify learning
   objectives for teaching POCT, to enable public health professionals and
   emergency responders to perform evidence-based diagnosis and triage
   effectively and efficiently at points of need, and to better improve
   future standards of care for public health practice, including in
   limited-resource settings and crisis situations.
   Methods: We surveyed all U.S. schools of public health, colleges of
   public health, and public health schools accredited by the Council on
   Education in Public Health (CEPH). We included accredited public health
   programs, so that all states offering public health education were
   represented. We analyzed survey data, public health books, and board
   certification guidelines. We used PubMed to identify public health
   curriculum papers, and assessed 2019 CEPH accreditation requirements. We
   merged POCT knowledge bases to design a new curriculum for teaching
   public health students and practitioners the principles and practice of
   POCT.
   Results: Public health curricula, certification requirements, and
   textbooks generally do not include POCT instruction. Only one book,
   Global Point of Care: Strategies for Disasters, Emergencies, and Public
   Health Resilience, and one online course on public health preparedness
   address POCT and public health intervention issues. The topic, POC
   HIV/HCV ED testing, appeared in one course and POC diagnostics in local
   clinics, in another. Papers on public health curriculum have not
   incorporated POCT. No curriculum addresses POCT in isolation units
   during quarantine, despite evidence that recent Ebola virus disease
   cases in the U.S. and elsewhere proved unequivocally the need for POCT.
   The modular learning objectives identified in this paper were customized
   for public health students. Public health graduates can use boot camps,
   online credentialing, and self-study to acquire POCT skills.
   Conclusions: Enhancing accreditation requirements, academic training,
   board certification, and field experience will generate public health
   healthcare professionals who will rely upon evidence-based medical
   decision making at points of care, including during crises when time is
   of the essence. A POCT-enabled public health workforce can help prevent
   and stop outbreaks. Public health-based medical professionals urgently
   need the skills necessary to perform POCT and prepare America and other
   nations for threats portending significant adverse medical, economic,
   social, and cultural impact.
ZS 0
Z8 0
ZB 5
TC 10
ZR 0
ZA 0
Z9 10
U1 3
U2 15
SN 2296-2565
UT WOS:000457298200002
PM 30761282
ER

PT J
AU Misra, Asit
   Lawson, Charlotte
TI Use of Technology to Identify and Cover Underweighted Topics in Resident
   Conference Curriculum
SO CUREUS
VL 11
IS 1
AR e3967
DI 10.7759/cureus.3967
PD JAN 26 2019
PY 2019
AB Emergency medicine training programs face many challenges in creating
   and maintaining high quality didactic and asynchronous learning
   experiences. To address these challenges, our team created two tools.
   First, we designed the Emergency Medicine Curriculum Assessment Tool
   (EMCAT) to help program leaders compare their didactic program to the
   Model of Clinical Practice established by the American Board of
   Emergency Medicine (ABEM). Second, we created a catalog of free,
   open-access medical education (FOAMed) resources based on the ABEM Model
   subcategory. Residency leaders can use EMCAT to identify the
   underweighted topics in their conference program and then access the
   resource catalog to find educational content matched to their areas of
   increased need. To date, five programs have implemented EMCAT and users
   from over 72 countries have accessed nearly 1,000 resources. Both EMCAT
   and the resource catalog are available free online.
RI Misra, Asit/N-7927-2016
ZR 0
TC 1
ZB 0
Z8 0
ZS 0
ZA 0
Z9 1
U1 0
U2 0
EI 2168-8184
UT WOS:000461525700002
PM 30956919
ER

PT J
AU Cerritelli, Francesco
   van Dun, Patrick L. S.
   Esteves, Jorge E.
   Consorti, Giacomo
   Sciomachen, Paola
   Lacorte, Eleonora
   Vanacore, Nicola
   Marasco, Marcello Luca
   Maggiani, Alberto
   Cavallaro, Antonio
   Silvestri, Dario
   Zurlo, Joseph
   Petracca, Marco
   Fornari, Mauro
   Bersan, Veronica
   Lo Voi, Giacomo
   Papa, Liria
   Tamagnini, Sandro
   Filipazzi, Roberta
   Stirpe, Tatiana
   Colonna, Saverio
   Gavazzi, Alessandro
   Manzotti, Andrea
   Bergna, Andrea
   Marco, Sbarbaro
   Franscini, Federico
   Donnaquio, Guglielmo
   Parisi, Alessandro
   Valente, Massimo
   Botti, Emanuele
CA OPERA-IT Grp
TI The Italian Osteopathic Practitioners Estimates and RAtes (OPERA) study:
   A cross sectional survey
SO PLOS ONE
VL 14
IS 1
AR e0211353
DI 10.1371/journal.pone.0211353
PD JAN 25 2019
PY 2019
AB The prevalence of osteopathic practitioners, their professional profile
   and features of their clinical practice, particularly where statutory
   regulation does not yet exist, are still significantly underreported.
   The Osteopathic Practitioners Estimates and RAtes (OPERA) project was
   developed as an European-based census dedicated to profiling the
   osteopathic profession across Europe. The present study aimed to
   describe the osteopathic practitioners and the profession in Italy. A
   voluntary, online based, closed-ended survey was distributed across
   Italy in the period between February and June 2017. An e-based campaign
   was set up to reach the Italian osteopathic professionals. Participants
   were asked to complete the forms by filling in the information regarding
   the demographics, working status and professional activities, education,
   consultation fees, patient complaints, treatment and management. The
   survey was completed by 4816 individuals. 196 people started the survey
   but did not finish, which corresponds to a 4% attrition rate. The
   majority of respondents were males (66.7%). The modal age group was
   30-39 (40.0%). 73.8% of respondents had a previous academic degree,
   mainly in the fields of sports science (36.4%) and physiotherapy
   (25.3%). 25.6% declared not to have a previous academic degree. The
   majority of respondents declared to work alone (58.4%), while the
   remaining declared to work in association with other professionals. The
   osteopaths/citizens ratio was 8.0 osteopaths/100,000 citizens. The
   profile of osteopaths in Italy seems to be characterised by a
   self-employed young adult male working mostly as a sole practitioner,
   who has been trained as osteopath through a part-time curriculum and had
   a previous degree mostly in the fields of sports science or
   physiotherapy. These results provide important insights into the
   osteopathic profession in Italy. The varied professional educational
   backgrounds need to be considered with regard to the implementation of a
   professional licensing process and future pre-registration education in
   the country. The number of respondents is an estimate of the actual
   number of Italian osteopaths. Only the completion of the regulatory
   process and the creation of the mandatory official register will allow
   to know the number of Italy based osteopaths.
RI Cerritelli, Francesco/AAJ-5003-2020; Vanacore, Nicola/ABC-7196-2021; Cerritelli, Francesco/O-8416-2015; Lacorte, Eleonora/; Esteves, Jorge/; Consorti, Giacomo/
OI Cerritelli, Francesco/0000-0002-2963-9620; Lacorte,
   Eleonora/0000-0001-8530-9207; Esteves, Jorge/0000-0001-9637-678X;
   Consorti, Giacomo/0000-0003-3085-283X
TC 18
ZA 0
ZB 6
Z8 0
ZR 0
ZS 0
Z9 18
U1 0
U2 0
SN 1932-6203
UT WOS:000457037500154
PM 30682169
ER

PT J
AU Lado-Codesido, Maria
   Mendez Perez, Cristina
   Mateos, Raimundo
   Manuel Olivares, Jose
   Garcia Caballero, Alejandro
TI Improving emotion recognition in schizophrenia with "VOICES": An on-line
   prosodic self-training
SO PLOS ONE
VL 14
IS 1
AR e0210816
DI 10.1371/journal.pone.0210816
PD JAN 25 2019
PY 2019
AB Introduction
   Emotion recognition (ER) deficits have been extensively demonstrated in
   schizophrenia. These deficiencies are not only restricted to facial
   emotion recognition but also include emotional prosody (tone of the
   voice) recognition deficits. They have been significantly associated
   with symptom severity and poor social functioning. The aim of this study
   was to test the efficacy, in real clinical conditions, of an online
   self-training prosodic game included in the Social Cognition
   rehabilitation program e-Motional Training.
   Method
   A randomized, single-blind multicenter clinical trial was conducted with
   50 outpatients with schizophrenia or schizoaffective disorder. The
   control group was treated with Treatment-asusual (TAU), based on drug
   therapy, case management and individual and group psychotherapy (not
   focused on Social Cognition). The intervention group was treated with
   TAU plus the employment of Voices, an online self-training program
   devised for prosodic rehabilitation.
   Statistical analysis
   Linear regression was used to evaluate the effectiveness of the
   intervention in emotion recognition measured with the Reading the Mind
   in the Voice-Spanish Version (RMV-SV).
   Results
   There were statistically significant differences between the
   intervention and control group measured with RMV-SV (beta = 3,6[IC 95%],
   p<0.001), with a response variable in RMV post R-2 = 0,617.
   Discussion
   Voices, a prosodic rehabilitation game included in e-Motional Training,
   seems to be a promising tool for improving emotional voice recognition
   deficits in schizophrenia, filling the need for such interventions.
RI Mateos, Raimundo/AAV-6808-2020; CABALLERO, ALEJANDRO GARCIA-/ABF-5326-2020; Olivares, Jose M/; Lado Codesido, Maria/
OI Mateos, Raimundo/0000-0002-6327-7010; CABALLERO, ALEJANDRO
   GARCIA-/0000-0001-5714-8266; Olivares, Jose M/0000-0003-2480-4356; Lado
   Codesido, Maria/0000-0003-3799-7222
ZB 1
ZA 0
TC 13
ZR 0
Z8 1
ZS 0
Z9 14
U1 0
U2 21
SN 1932-6203
UT WOS:000457037500065
PM 30682067
ER

PT J
AU Wynter, Lucinda
   Burgess, Annette
   Kalman, Eszter
   Heron, Jack Edward
   Bleasel, Jane
TI Medical students: what educational resources are they using?
SO BMC MEDICAL EDUCATION
VL 19
AR 36
DI 10.1186/s12909-019-1462-9
PD JAN 25 2019
PY 2019
AB BackgroundThe number of resources available to medical students studying
   a degree in medicine is growing exponentially. In addition to
   traditional learning resources such as lectures and textbooks, students
   are increasingly using e-learning tools like commercially available
   question banks to supplement their learning. Student preference for
   learning resources has not been described in detail, and a better
   understanding of the tools perceived to be useful could provide
   essential information to medical educators when designing and
   implementing medical curricula.MethodsWe invited 1083 undergraduate and
   postgraduate medical students from two major Australian universities to
   complete an online survey. Questions asked students to indicate the
   frequency with which they use various types of resources when learning
   new material or when revising previous content.ResultsApproximately one
   third (32.3%, N=350) of invited participants completed the survey, and
   of those who responded, the gender distribution was even with a median
   age of 25years. Making written notes and reading textbooks were the most
   frequently utilized resources for learning new material. Online or
   downloaded question banks were the most frequently used resource for
   revision. In addition to the use of traditional learning tools, the
   majority of students report using a variety of e-learning tools
   including online teaching videos (92%, n=322) and question banks (90.6%,
   n=317).ConclusionDespite the trend towards e-learning, traditional
   resources like attendance at face-to-face lectures remain the most
   popular for learning new material. The increasing use of question banks
   raises potential issues of poor alignment to medical school curricula.
   With the advantages of exam technique practice, time efficiency and
   multiplatform availability, their popularity is likely to continue.
   Evaluation of existing question banks is required to facilitate
   appropriate integration into the curricula, with equitable access for
   all students.
ZA 1
ZB 10
ZR 0
TC 77
Z8 0
ZS 0
Z9 78
U1 5
U2 21
SN 1472-6920
UT WOS:000456703600002
PM 30683084
ER

PT J
AU Canesi, Marta
   Broggi, Chiara
   Fazil, Kizhan
   Jafr, Mardin
   Russo, Laura
   Panzetti, Valentina
   Ciabatti, Gloria
   De Riso, Giulia
   Mastria, Andrea
   Sidiq, Hiwa Sadiq
TI The first hematopoietic stem cell transplantation centre in Iraqi
   Kurdistan: nursing perspectives and education
SO ECANCERMEDICALSCIENCE
VL 13
AR 899
DI 10.3332/ecancer.2019.899
PD JAN 24 2019
PY 2019
AB Aim: To describe the nursing capacity-building process within the
   foundation of a hematopoietic stem cell transplantation (HSCT) centre at
   the Hiwa Cancer Hospital (HCH), Sulaymaniyah, Iraqi Kurdistan, referring
   to nursing education, empowerment and leadership.
   Methods: 1) Capacity building, the process by which individuals,
   organisations, institutions and societies develop abilities to perform
   functions, solve problems and set and achieve objectives, was
   implemented; 2) Nurse intervention was based exclusively on training and
   coaching on site, which is an innovative approach, since more often
   experts are brought to the centre to train people on site; 3) Nurses'
   personal skills, knowledge and training needs in the field at the HSCT
   centre were preliminarily explored through an online survey, and
   intervention was also addressed considering personal preferences and
   challenges; 4) Clinical documentation implementation and nursing
   professional organisation improvements were developed.
   Results/findings: 1) up to June 2018, 98 patients have been transplanted
   (69 autologous + 29 allogeneic graft). The centre at the HCH represents
   the first in Kurdistan and the only centre carrying out allogeneic
   transplants in the whole of Iraq; 2) twenty-two staff nurses; three
   nurses in charge and one head nurse are employed in the HSCT centre.
   Nurses currently have good capability to manage daily care for patients
   in the HSCT centre. There are still training needs to be addressed; 3)
   and 4) implementation of organigram, job description and nursing plans.
   The situation, background, assessment, recommendation method for nursing
   handover was introduced. Nursing shifts duration was changed.
   Conclusion/implications for nursing: Capacity building cooperation is a
   powerful means to successfully establish a high technology medical
   programme, and is a feasible method to enhance skills and expertise even
   in low resources contexts. The programme is still in progress and
   consolidating actions are still required. Nurses need to enforce
   professional leadership and work organisation. The HSCT centre local
   team needs to improve teamwork and shared decision making.
ZR 0
ZS 0
Z8 0
ZB 1
TC 1
ZA 0
Z9 1
U1 0
U2 1
SN 1754-6605
UT WOS:000458561500001
PM 30915157
ER

PT J
AU Johnson, Paul D.
   Sillau, Stefan
   Masdeu, Joseph C.
   Ney, Douglas E.
   Korb, Pearce J.
TI Education Research: Neuroradiology curriculum in neurology residency
   training programs How we teach neuroimaging
SO NEUROLOGY
VL 92
IS 4
BP 199
EP 203
DI 10.1212/WNL.0000000000006812
PD JAN 22 2019
PY 2019
AB Objective To better understand how the essential skill of interpreting
   various neuroimaging studies is taught to neurology residents in
   Accreditation Council for Graduate Medical Education (ACGME)-accredited
   training programs. Methods A 22-question survey was sent electronically
   to 150 ACGME adult neurology program directors. We collected data
   regarding the presence of a neuroimaging curriculum, frequency of review
   sessions and testing, resource availability, and program director
   confidence in neuroimaging skills of graduating residents. We collected
   average scores on the neuroimaging section of the Resident In-service
   Training Examination of graduating residents for the past 3 years, which
   we attempted to correlate with resource availability. Results One-third
   of neurology residency programs do not have a neuroimaging curriculum,
   and half of training programs do not require a neuroimaging rotation. On
   average, trainees spend 1 hour per week reviewing imaging with
   radiologists. Program directors believed trainees receive insufficient
   neuroimaging training, with a median satisfaction rating on a Likert
   scale (0-100) of 35 (interquartile range 27-47). Few programs take
   advantage of online training resources. Conclusion Opportunities exist
   to improve neuroimaging education in neurology resident education. This
   can be done by closer adherence to the American Academy of Neurology
   neuroimaging curriculum guidelines, especially by expanding access to
   online resources and additional emphasis on imaging review with
   neurology subspecialists.
RI Ney, Douglas/N-9738-2019
OI Ney, Douglas/0000-0001-7273-8141
TC 2
Z8 0
ZS 0
ZR 0
ZA 0
ZB 1
Z9 2
U1 1
U2 2
SN 0028-3878
EI 1526-632X
UT WOS:000462336000022
PM 30665912
ER

PT J
AU Kyaw, Bhone Myint
   Saxena, Nakul
   Posadzki, Pawel
   Vseteckova, Jitka
   Nikolaou, Charoula Konstantia
   George, Pradeep Paul
   Divakar, Ushashree
   Masiello, Italo
   Kononowicz, Andrzej A.
   Zary, Nabil
   Car, Lorainne Tudor
TI Virtual Reality for Health Professions Education: Systematic Review and
   Meta-Analysis by the Digital Health Education Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 1
AR e12959
DI 10.2196/12959
PD JAN 22 2019
PY 2019
AB Background: Virtual reality (VR) is a technology that allows the user to
   explore and manipulate computer-generated real or artificial
   three-dimensional multimedia sensory environments in real time to gain
   practical knowledge that can be used in clinical practice.
   Objective: The aim of this systematic review was to evaluate the
   effectiveness of VR for educating health professionals and improving
   their knowledge, cognitive skills, attitudes, and satisfaction.
   Methods: We performed a systematic review of the effectiveness of VR in
   pre- and postregistration health professions education following the
   gold standard Cochrane methodology. We searched 7 databases from the
   year 1990 to August 2017. 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, we compared the information in pairs. We contacted
   authors of the studies for additional information if necessary. All
   pooled analyses were based on random-effects models. We used the Grading
   of Recommendations, Assessment, Development and Evaluations (GRADE)
   approach to rate the quality of the body of evidence.
   Results: A total of 31 studies (2407 participants) were included.
   Meta-analysis of 8 studies found that VR slightly improves
   postintervention knowledge scores when compared with traditional
   learning (standardized mean difference [SMD]=0.44; 95% CI 0.18-0.69;
   I-2=49%; 603 participants; moderate certainty evidence) or other types
   of digital education such as online or offline digital education
   (SMD=0.43; 95% CI 0.07-0.79; I-2=78%; 608 participants [8 studies]; low
   certainty evidence). Another meta-analysis of 4 studies found that VR
   improves health professionals' cognitive skills when compared with
   traditional learning (SMD=1.12; 95% CI 0.81-1.43; I-2=0%; 235
   participants; large effect size; moderate certainty evidence). Two
   studies compared the effect of VR with other forms of digital education
   on skills, favoring the VR group (SMD=0.5; 95% CI 0.32-0.69; I-2=0%; 467
   participants; moderate effect size; low certainty evidence). The
   findings for attitudes and satisfaction were mixed and inconclusive.
   None of the studies reported any patient-related outcomes, behavior
   change, as well as unintended or adverse effects of VR. Overall, the
   certainty of evidence according to the GRADE criteria ranged from low to
   moderate. We downgraded our certainty of evidence primarily because of
   the risk of bias and/or inconsistency.
   Conclusions: We found evidence suggesting that VR improves
   postintervention knowledge and skills outcomes of health professionals
   when compared with traditional education or other types of digital
   education such as online or offline digital education. The findings on
   other outcomes are limited. Future research should evaluate the
   effectiveness of immersive and interactive forms of VR and evaluate
   other outcomes such as attitude, satisfaction, cost-effectiveness, and
   clinical practice or behavior change.
RI Car, Lorainne Tudor/E-1205-2017; George, Pradeep Paul/ABE-9925-2020; Kononowicz, Andrzej A/ABG-8696-2020; Zary, Nabil/M-9432-2019; Masiello, Italo/C-6114-2019; Vseteckova, JITKA/; Kyaw, Bhone Myint/
OI Car, Lorainne Tudor/0000-0001-8414-7664; George, Pradeep
   Paul/0000-0003-4743-1425; Kononowicz, Andrzej A/0000-0003-2956-2093;
   Zary, Nabil/0000-0001-8999-6999; Masiello, Italo/0000-0002-3738-7945;
   Vseteckova, JITKA/0000-0001-8802-9892; Kyaw, Bhone
   Myint/0000-0002-1750-0330
Z8 1
ZS 0
TC 133
ZB 8
ZR 0
ZA 0
Z9 134
U1 29
U2 155
SN 1438-8871
UT WOS:000456632100001
PM 30668519
ER

PT J
AU Phillips, Jane L.
   Heneka, Nicole
   Lovell, Melanie
   Lam, Lawrence
   Davidson, Patricia
   Boyle, Frances
   McCaffrey, Nikki
   Fielding, Sally
   Shaw, Tim
TI A phase III wait-listed randomised controlled trial of novel targeted
   inter-professional clinical education intervention to improve cancer
   patients' reported pain outcomes (The Cancer Pain Assessment (CPAS)
   Trial): study protocol
SO TRIALS
VL 20
AR 62
DI 10.1186/s13063-018-3152-z
PD JAN 18 2019
PY 2019
AB BackgroundVariations in care models contribute to cancer pain being
   under-recognised and under-treated in half of all patients with cancer.
   International and national cancer pain management guidelines are
   achievable with minimal investment but require practice changes. While
   much of the cancer pain research over the preceding decades has focused
   on management interventions, little attention has been given to
   achieving better adherence to recommended cancer pain guideline
   screening and assessment practices. This trial aims to reduce unrelieved
   cancer pain by improving cancer and palliative doctors' and nurses'
   (clinicians') pain assessment capabilities through a targeted
   inter-professional clinical education intervention delivered to
   participants' mobile devices (mHealth').MethodsA wait-listed, randomised
   control trial design. Cancer and/or palliative care physicians and
   nurses employed at one of the six participating sites across Australia
   will be eligible to participate in this trial and, on enrolment, will be
   allocated to the active or wait-listed arm. Participants allocated to
   the active arm will be invited to complete the mHealth cancer pain
   assessment intervention. In this trial, mHealth is defined as medical or
   public health practice supported by mobile devices (i.e. phones, patient
   monitoring devices, personal digital assistants and other wireless
   devices). This mHealth intervention integrates three evidence-based
   elements, namely: the COM-B theoretical framework; spaced learning
   pedagogy; and audit and feedback. This intervention will be delivered
   via the QStream online platform to participants' mobile devices over
   four weeks. The trial will determine if a tailored mHealth intervention,
   targeting clinicians' cancer pain assessment capabilities, is effective
   in reducing self-reported cancer pain scores, as measured by a Numerical
   Rating Scale (NRS).DiscussionIf this mHealth intervention is found to be
   effective, in addition to improving cancer pain assessment practices, it
   will provide a readily transferable evidence-based framework that could
   readily be applied to other evidence practice gaps and a scalable
   intervention that could be administered simultaneously to multiple
   clinicians across diverse geographical locations. Moreover, if found to
   be cost-effective, it will help transform clinical continuing
   professional development. In summary, this mHealth intervention will
   provide health services with an opportunity to offer an evidence-based,
   pedagogically robust, cost-effective, scalable training
   alternative.Trial registrationAustralian New Zealand Clinical Trials
   Registry (ANZCTR), ACTRN12618001103257. Registered on 3 July 2018.
RI Heneka, Nicole/AAP-1807-2021; McCaffrey, Nikki/AAX-1106-2020; Phillips, Jane/A-7780-2015; Lovell, Melanie Ruth/; Lam, Lawrence T./; Davidson, Patricia M./
OI Heneka, Nicole/0000-0001-8102-1871; McCaffrey,
   Nikki/0000-0003-3684-3723; Phillips, Jane/0000-0002-3691-8230; Lovell,
   Melanie Ruth/0000-0002-1407-2748; Lam, Lawrence T./0000-0001-6183-6854;
   Davidson, Patricia M./0000-0003-2050-1534
ZB 0
Z8 0
ZR 0
ZA 0
ZS 0
TC 4
Z9 4
U1 1
U2 7
SN 1745-6215
UT WOS:000456302600004
PM 30658657
ER

PT J
AU Ayre, Julie
   Bonner, Carissa
   Cvejic, Erin
   McCaffery, Kirsten
TI Randomized trial of planning tools to reduce unhealthy snacking:
   Implications for health literacy
SO PLOS ONE
VL 14
IS 1
AR e0209863
DI 10.1371/journal.pone.0209863
PD JAN 17 2019
PY 2019
AB Objective
   Guidance to address health literacy often focuses on health education
   rather than tools to facilitate action, despite action being important
   for self-management. This study evaluated an online intervention
   informed by health literate design principles and behavior change theory
   to reduce unhealthy snacking.
   Methods
   440 participants were recruited online and randomized to an
   intervention: 1) Health-literate action plan (guided implementation
   intention); 2) Standard action plan (self-guided implementation
   intention); 3) Education (healthy snacking fact-sheet). The primary
   outcome was self-reported unhealthy snacking. Follow-up was at 1 month.
   Results
   373 participants (84.8%) completed follow-up. Half the sample had
   adequate health literacy (52%), and the other half had low (24%) or
   possibly low (25%) health literacy, as measured by Newest Vital Sign
   (NVS). At follow-up, lower health literacy was associated with more
   unhealthy snacks and there was no overall difference between
   intervention groups. However, participants with lower health literacy
   who used the health-literate action plan reported less unhealthy
   snacking compared to the standard action plan; the reverse was true for
   those with higher health literacy scores (b = 1.7, p = 0.03). People
   scoring 2 points below the mean NVS (M = 3.4, SD = 2.0) using the
   health-literate action plan reported eating 8 fewer serves of unhealthy
   snacks, whereas people scoring 2 points above the mean NVS reported
   eating 6 more serves of unhealthy snacks using the same tool.
   Conclusions
   These findings suggest that the universal precautions approach currently
   recommended for health information may be less effective for
   facilitating action than tailoring to health literacy level.
RI McCaffery, Kirsten/K-7945-2019; Cvejic, Erin/P-2665-2016; Ayre, Julie/ABA-5914-2020
OI McCaffery, Kirsten/0000-0003-2696-5006; Cvejic,
   Erin/0000-0002-6043-6071; Ayre, Julie/0000-0002-5279-5189
ZA 0
TC 9
ZR 0
ZB 1
ZS 0
Z8 0
Z9 9
U1 2
U2 11
SN 1932-6203
UT WOS:000456015500015
PM 30653531
ER

PT J
AU Mills, Llewellyn
   Meiser, Bettina
   Ahmad, Raghib
   Schofield, Peter R.
   Peate, Michelle
   Levitan, Charlene
   Trevena, Lyndal
   Barlow-Stewart, Kristine
   Dobbins, Timothy
   Christensen, Helen
   Sherman, Kerry A.
   Dunlop, Kate
   Mitchell, Philip B.
TI A cluster randomized controlled trial of an online psychoeducational
   intervention for people with a family history of depression
SO BMC PSYCHIATRY
VL 19
AR 29
DI 10.1186/s12888-018-1994-2
PD JAN 17 2019
PY 2019
AB BackgroundPeople with a family history of major depressive disorder
   (MDD) or bipolar disorder (BD) report specific psychoeducational needs
   that are unmet by existing online interventions. This trial aimed to
   test whether an interactive website for people at familial risk for
   depression (intervention) would improve intention to adopt, or actual
   adoption of, depression prevention strategies (primary outcome) and a
   range of secondary outcome measures.MethodsIn this cluster randomised
   trial, primary care practises were randomised to either provide the link
   to the intervention or the control website. Primary health care
   attendees were invited by letter to opt into this study if they had at
   least one first-degree relative with MDD or BD and were asked to
   complete online questionnaires at baseline and 2-week
   follow-up.ResultsTwenty general practices were a randomized, and 202
   eligible patients completed both questionnaires. Thirty-nine (19.3%) of
   participants were male and 163 (80.7%) female. At follow-up, compared to
   controls, the intervention group: (i) were more likely to intend to
   undergo, or to have actually undergone, psychological therapies
   (OR=5.83, 95% CI: 1.58-21.47, p=.008); (ii) had better knowledge of
   depression risk factors and prevention strategies (mean difference=0.47,
   95% CI: 0.05-0.88, p=.029); and (iii) were more likely to accurately
   estimate their lifetime risk of developing BD (mean difference=11.2, 95%
   CI: -16.52- -5.73, p<.001). There were no statistically significant
   between-group differences in change from baseline to follow up for any
   of the remaining outcome measures (Patient Health Questionnaire,
   Perceived Devaluation-Discrimination Questionnaire and Perceived Risk of
   Developing MDD).ConclusionThe opt-in nature of the study may have led to
   participation bias, e.g. underrepresentation of males, and hence may
   limit generalisability to the broader population at familial risk for
   depression. This is the first website internationally focusing
   specifically on informational needs of those at familial risk of
   depression. Our interactive website can play an important role in
   improving the outcomes of individuals at familial risk for depression.
   Testing the intervention in other settings (e.g. psychology, psychiatry,
   genetic counselling) appears warranted.Trial registrationThe study was
   prospectively registered with the Australian and New Zealand Clinical
   Trials Group (Registration no: ACTRN12613000402741).
RI Christensen, Helen/F-5053-2012; Barlow-Stewart, Kristine/AAW-9178-2020; Dobbins, Timothy/AAS-1422-2020; Peate, Michelle/AAD-6245-2022; Meiser, Bettina/AAG-5480-2021; Mills, Llewellyn/AAH-3903-2020; Sherman, Kerry/; Peate, Michelle/; Meiser, Bettina/
OI Christensen, Helen/0000-0003-0435-2065; Dobbins,
   Timothy/0000-0003-1841-9056; Mills, Llewellyn/0000-0002-5320-087X;
   Sherman, Kerry/0000-0001-7780-6668; Peate, Michelle/0000-0003-2903-4688;
   Meiser, Bettina/0000-0002-5086-0784
ZB 1
TC 10
ZS 0
ZR 0
Z8 0
ZA 0
Z9 10
U1 1
U2 1
EI 1471-244X
UT WOS:000455994300001
PM 30654777
ER

PT J
AU Austen, Thomas
   Otter, Simon
TI The podiatric surgery theatre environment in the UK; is it conducive to
   learning? A quantitative study using the surgical theatre educational
   environment measure (STEEM)
SO JOURNAL OF FOOT AND ANKLE RESEARCH
VL 12
AR 4
DI 10.1186/s13047-018-0312-z
PD JAN 15 2019
PY 2019
AB BackgroundIn 2015 the Health and Care Professions Council (HCPC)
   reported that annotation of the register for podiatric surgery would
   improve the way in which risks are currently managed. The academic
   institutions provide the teaching environment for the learnt' Diploma in
   principles of podiatric surgery however the podiatric surgery
   departments facilitate the production of the next generation of
   podiatric surgeons. This research aimed to identify the major elements
   that contribute to the educational environment, and find and utilise a
   valid assessment tool which could identify discrete areas to be targeted
   for improvement as well as being used for monitoring of the
   environment.MethodsA quantitative study using the Surgical Theatre
   Educational Environment Measure (STEEM) via an online tool was utilised
   for podiatrists working within podiatric surgery, podiatric surgical
   trainees and podiatric surgeons working towards the Certificate of
   Completion of Podiatric Surgery Training (CCPST) with a view to
   assessing the educational environment within the podiatric surgical
   theatre in the UK.Results16/33 responses with a response rate of 48.4%
   the overall STEEM mean score was 122/160. Four subscales included
   teaching and training, learning opportunities, atmosphere, and
   workload/supervision/support were measured. The overall mean score of
   76.73% suggests the learning environment may be considered satisfactory;
   however, areas for potential improvement are identifiable. Results
   reveal strengths such as a non-discriminatory surgical theatre
   atmosphere on racial grounds.ConclusionsPerception was of a very
   satisfactory Atmosphere' within the theatre environment and a very
   satisfactory opportunity to assist' within the podiatric surgery theatre
   environment. The STEEM has potential to be applied further as a quality
   assessment tool whose results could be used to demonstrate part of the
   HCPC standards.
OI Otter, Simon/0000-0002-3569-1118
ZR 0
ZA 0
TC 0
ZS 0
Z8 0
ZB 0
Z9 0
U1 0
U2 1
SN 1757-1146
UT WOS:000455829500001
PM 30675186
ER

PT J
AU Khanbhai, Mustafa
   Flott, Kelsey
   Darzi, Ara
   Mayer, Erik
TI Evaluating Digital Maturity and Patient Acceptability of Real-Time
   Patient Experience Feedback Systems: Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 1
AR e9076
DI 10.2196/jmir.9076
PD JAN 14 2019
PY 2019
AB Background: One of the essential elements of a strategic approach to
   improving patients' experience is to measure and report on patients'
   experiences in real time. Real-time feedback (RTF) is increasingly being
   collected using digital technology; however, there are several factors
   that may influence the success of the digital system.
   Objective: The aim of this review was to evaluate the digital maturity
   and patient acceptability of real-time patient experience feedback
   systems.
   Methods: We systematically searched the following databases to identify
   papers that used digital systems to collect RTF: The Cochrane Library,
   Global Health, Health Management Information Consortium, Medical
   Literature Analysis and Retrieval System Online, EMBASE, PsycINFO, Web
   of Science, and CINAHL. In addition, Google Scholar and gray literature
   were utilized. Studies were assessed on their digital maturity using a
   Digital Maturity Framework on the basis of the following 4 domains:
   capacity/resource, usage, interoperability, and impact. A total score of
   4 indicated the highest level of digital maturity.
   Results: RTF was collected primarily using touchscreens, tablets, and
   Web-based platforms. Implementation of digital systems showed acceptable
   response rates and generally positive views from patients and staff.
   Patient demographics according to RTF responses varied. An
   overrepresentation existed in females with a white predominance and in
   patients aged >= 65 years. Of 13 eligible studies, none had digital
   systems that were deemed to be of the highest level of maturity. Three
   studies received a score of 3, 2, and 1, respectively. Four studies
   scored 0 points. While 7 studies demonstrated capacity/resource, 8
   demonstrated impact. None of the studies demonstrated interoperability
   in their digital systems.
   Conclusions: Patients and staff alike are willing to engage in RTF
   delivered using digital technology, thereby disrupting previous
   paper-based feedback. However, a lack of emphasis on digital maturity
   may lead to ineffective RTF, thwarting improvement efforts. Therefore,
   given the potential benefits of RTF, health care services should ensure
   that their digital systems deliver across the digital maturity
   continuum.
RI Khanbhai, Mustafa/; Mayer, Erik/A-6207-2013; Flott, Kelsey/
OI Khanbhai, Mustafa/0000-0002-4434-1785; Mayer, Erik/0000-0002-5509-4580;
   Flott, Kelsey/0000-0002-7835-4322
ZR 0
TC 5
ZS 0
ZB 0
ZA 0
Z8 0
Z9 5
U1 6
U2 14
SN 1438-8871
UT WOS:000456630400001
PM 31344680
ER

PT J
AU Hirvonen, Noora
   Tirroniemi, Alisa
   Kortelainen, Terttu
TI The cognitive authority of user-generated health information in an
   online forum for girls and young women
SO JOURNAL OF DOCUMENTATION
VL 75
IS 1
BP 78
EP 98
DI 10.1108/JD-05-2018-0083
PD JAN 14 2019
PY 2019
AB Purpose The purpose of this paper is to examine the role of one
   particular online discussion forum as a potentially authoritative health
   information source for its users. The concept of cognitive authority is
   used as a starting point for understanding information evaluation in
   this context. The focus is placed on the types of information users seek
   for from this forum, the ways they assess the credibility of information
   obtained, and their views on the impact of this information.
   Design/methodology/approach The empirical data were collected with a
   questionnaire survey from the users of a Finnish online forum for girls
   and young women (n=290). The data were analyzed qualitatively with
   content analytic techniques and quantitatively by using descriptive
   analysis. Findings The forum was found to offer girls and young women
   the possibility to receive health information from peers. It was viewed
   as an appropriate source for experiential rather than factual health
   information and used to find information on sexuality, bodily functions
   and diets, for example. Author-related cues, argumentation and tone,
   veracity and verification were recognized as means to evaluate
   information credibility. Credibility evaluation was found to be linked
   with conceptions of the forum and the type of information sought. A
   share of the respondents recognized the information obtained to have
   influence on their thinking or behavior. Originality/value Based on the
   findings, it can be argued that the members of the online forum -
   individually or collectively - can act as cognitive authorities for
   other users. The findings cannot be generalized beyond this online
   forum, to Finnish girls or young women, or even the users of the online
   forum. However, they provide insights into the ways young people
   evaluate user-generated information in a particular online setting and
   domain of knowledge and as such contribute to research on cognitive
   authority, credibility evaluation and information literacy.
RI Hirvonen, Noora SH/E-8154-2017
OI Hirvonen, Noora SH/0000-0001-7577-3057
ZR 0
TC 11
ZS 0
Z8 0
ZB 0
ZA 0
Z9 11
U1 5
U2 58
SN 0022-0418
EI 1758-7379
UT WOS:000453074900005
ER

PT J
AU Buchanan, Steven
   Nicol, Emma
TI Developing health information literacy in disengaged at-risk populations
   Insights to inform interventions
SO JOURNAL OF DOCUMENTATION
VL 75
IS 1
BP 172
EP 189
DI 10.1108/JD-06-2018-0086
PD JAN 14 2019
PY 2019
AB Purpose The purpose of this paper is to advance our understanding of the
   challenges of health information literacy (IL) education in
   disadvantaged and disengaged at-risk populations; and from the
   perspective of professionals out with information professions occupying
   everyday support roles. Design/methodology/approach A qualitative
   in-depth case study. The participants were a team of UK Family Nurses
   providing outreach support to young expectant mothers from areas of
   multiple deprivations, and the mothers themselves. The data collection
   methods were observation, survey, interviews and focus groups. Findings
   Information needs of mothers are multiple, and not always recognised as
   information problems, or revealed. Several felt overwhelmed, and
   actively avoided health information. There is low awareness and/or use
   of state sources of online health information. Family nurses provide an
   important information intermediary role, but are unfamiliar with IL
   concepts and models; consequently, there is limited evidence of client
   transitions to independent information seeking, or underpinning
   pedagogical practices to achieve such goals. Research
   limitations/implications Further research is required into appropriate
   pedagogical approaches to IL education adaptable to semi-structured
   everyday situations. Recognition of information need requires particular
   attention, including methods of elicitation and specification in the
   problematic context. Practical implications In an era of digital
   transitions and public service reforms, the authors raise important
   questions regarding the true reach of public health policy.
   Originality/value The paper holistically examines nurse-client
   information behaviours, and extends the discussion of low IL in nurses
   beyond issues of evidence-based practice to issues of developing
   healthcare self-efficacy in at-risk clients.
RI Nicol, Emma/J-8412-2016; Buchanan, Steven/
OI Nicol, Emma/0000-0003-1729-1345; Buchanan, Steven/0000-0002-5944-3936
ZS 0
TC 2
ZR 0
Z8 0
ZB 0
ZA 0
Z9 2
U1 1
U2 56
SN 0022-0418
EI 1758-7379
UT WOS:000453074900010
ER

PT J
AU Dobson, E.
   Patel, P.
   Neville, P.
TI Perceptions of e-professionalism among dental students: a UK dental
   school study
SO BRITISH DENTAL JOURNAL
VL 226
IS 1
BP 73
EP 78
DI 10.1038/sj.bdj.2019.11
PD JAN 11 2019
PY 2019
AB Introduction The social media activity of some healthcare students has
   created doubt about their ability to uphold and defend the ethical
   principles of healthcare in their online behaviours. A lot of research
   has been conducted on the online behaviours of medical and allied health
   professional students, however, less has been undertaken on dental
   students. Aims The aim was to determine whether students were aware of
   the guidelines set by the General Dental Council (GDC) regarding social
   media and whether they believed they were being professional in their
   online activities. Methods and materials Eighty-eight dental students
   (46 from year 2; 42 from year 4) at one UK dental school completed a
   questionnaire study examining their attitude towards and perceptions of
   e-professionalism. Results The results show that most students were
   heavy users of social media with an awareness of social media guidelines
   set out by the GDC. However, student responses to various
   e-professionalism scenarios reveals disagreement on whether posts
   referring to alcohol and work colleagues were deemed unprofessional.
   Conclusion Student perceptions of and attitudes towards
   e-professionalism is complicated and contradictory. More research will
   need to be undertaken to explore how we can inculcate e-professional
   values and behaviours in dental professionalism teaching.
RI Neville, Patricia/AAX-9851-2021
OI Neville, Patricia/0000-0003-0260-4871
TC 18
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
Z9 18
U1 0
U2 9
SN 0007-0610
EI 1476-5373
UT WOS:000455485300025
PM 30631197
ER

PT J
AU Fraser, Sarah
   Wright, Alexander D.
   van Donkelaar, Paul
   Smirl, Jonathan D.
TI Cross-sectional comparison of spiral versus block integrated curriculums
   in preparing medical students to diagnose and manage concussions
SO BMC MEDICAL EDUCATION
VL 19
AR 17
DI 10.1186/s12909-018-1439-0
PD JAN 9 2019
PY 2019
AB BackgroundAn integrated curriculum is designed to be repetitive yet
   progressive and the concept has rapidly established itself within
   medical education. National organizations have recommended a shift to a
   spiral curriculum design, which uses both vertical and horizontal
   integration. This study examined differences between the recently
   implemented integrated spiral (class of 2019) and conventional block
   (classes of 2016-2018) MD curricula at the University of British
   Columbia (UBC) with respect to knowledge of
   concussion.MethodsCross-sectional online survey (FluidSurveys:
   Fluidware, Ottawa, ON), distributed via email to UBC medical students
   during the 2015-2016 academic year. Questions focused on demographic
   data, knowledge of concussion definition, and management considerations.
   Differences in responses across the two groups were assessed using
   chi-square tests. Ordinal Likert-scale data were analyzed using
   Mann-Whitney U-Tests. Statistical significance was determined a priori
   at p<0.05.ResultsOne hundred forty eight medical students (57% female)
   responded with 78 students in the spiral curriculum and 70 students the
   block curriculum. Important differences between responses from spiral
   versus block curricula students included: formal exposure to
   concussion-related educational material (10.8h spiral vs. 3.95h block),
   understanding concussions can occur without direct head impacts (90%
   spiral vs. 70% block, X-1,148(2)=9.41, p=0.002) and identifying
   long-term consequences (dementia: 90% spiral vs. 66% block,
   X-1,148(2)=12.57, p<0.0001; second impact syndrome: 80% spiral vs. 57%
   block, X-1,148(2)=8.60, p=0.003; Parkinsonism: 47% spiral vs. 17% block,
   X-1,148(2)=14.87, p<0.001). Block students identified the need for a
   full neurological exam (X-1,148(2)=17.63, p<0.001) and had greater
   clinical exposure to acute concussion (47% block vs. 14% spiral,
   X-1,148(2)=19.27, p<0.001) and post-concussion syndrome (37% block vs.
   19% spiral, X-1,148(2)=5.91, p=0.015).ConclusionsThe findings from this
   preliminary study suggest the spiral curriculum design, which emphasizes
   and revisits clinical competencies, promotes a strong understanding and
   retention of knowledge in highly prevalent clinical conditions such as
   concussion.
OI Smirl, Jonathan/0000-0003-1054-0038; Fraser, Sarah/0000-0002-2167-7665
ZR 0
ZA 0
ZB 0
Z8 0
ZS 0
TC 9
Z9 9
U1 2
U2 6
SN 1472-6920
UT WOS:000455349800003
PM 30626361
ER

PT J
AU O'Sullivan, Eoin D.
   Schofield, Susie J.
TI A cognitive forcing tool to mitigate cognitive bias - a randomised
   control trial
SO BMC MEDICAL EDUCATION
VL 19
AR 12
DI 10.1186/s12909-018-1444-3
PD JAN 8 2019
PY 2019
AB BackgroundCognitive bias is an important source of diagnostic error yet
   is a challenging area to understand and teach. Our aim was to determine
   whether a cognitive forcing tool can reduce the rates of error in
   clinical decision making. A secondary objective was to understand the
   process by which this effect might occur.MethodsWe hypothesised that
   using a cognitive forcing tool would reduce diagnostic error rates. To
   test this hypothesis, a novel online case-based approach was used to
   conduct a single blinded randomized clinical trial conducted from
   January 2017 to September 2018. In addition, a qualitative series of
   think aloud interviews were conducted with 20 doctors from a UK teaching
   hospital in 2018. The primary outcome was the diagnostic error rate when
   solving bias inducing clinical vignettes. A volunteer sample of medical
   professionals from across the UK, Republic of Ireland and North America.
   They ranged in seniority from medical student to Attending
   Physician.ResultsSeventy six participants were included in the study.
   The data showed doctors of all grades routinely made errors related to
   cognitive bias. There was no difference in error rates between groups
   (mean 2.8 cases correct in intervention vs 3.1 in control group, 95% CI
   -0.94 - 0.45 P=0.49). The qualitative protocol revealed that the
   cognitive forcing strategy was well received and a produced a
   subjectively positive impact on doctors' accuracy and thoughtfulness in
   clinical cases.ConclusionsThe quantitative data failed to show an
   improvement in accuracy despite a positive qualitative experience. There
   is insufficient evidence to recommend this tool in clinical practice,
   however the qualitative data suggests such an approach has some merit
   and face validity to users.
RI O'Sullivan, Eoin/AAL-2550-2020
OI O'Sullivan, Eoin/0000-0002-7709-6595
ZR 0
Z8 0
ZB 2
ZS 1
TC 19
ZA 0
Z9 19
U1 2
U2 14
SN 1472-6920
UT WOS:000455210600004
PM 30621679
ER

PT J
AU Browne, Cherylea J.
TI Assessing the engagement rates and satisfaction levels of various
   clinical health science student sub-groups using supplementary eLearning
   resources in an introductory anatomy and physiology unit
SO HEALTH EDUCATION
VL 119
IS 1
BP 2
EP 17
DI 10.1108/HE-04-2018-0020
PD JAN 7 2019
PY 2019
AB Purpose Introductory anatomy and physiology provide a core knowledge
   base to students within clinical health science courses. Increased
   student numbers, as well as reduced access to laboratory-based cadaveric
   resources, have created a need for enhanced learning approaches to
   support learning. The streamlining of courses has also resulted in the
   need to effectively engage course sub-groups within large units. The
   purpose of this paper is to utilize the eLearning activities to
   investigate engagement and satisfaction levels within students
   undertaking an anatomy and physiology unit. Design/methodology/approach
   A total of 19 formative quizzes were made available to students. Online
   practical anatomy laboratories covered anatomical content, and
   physiology quizzes covered physiological content. Student engagement was
   compared using frequency analysis across students studying varying
   courses. Satisfaction was determined by analyzing student's feedback
   using frequency analysis. Findings Students accessed the learning
   activities 29,898 times over semester, with the peak access (37 percent)
   prior to the closed book exams. The resources were utilized primarily as
   an exam preparation tool rather than consistently throughout semester.
   Out of the various courses, the Paramedicine, Physiotherapy and Podiatry
   students were the most engaged, with the highest percent of
   "engaged/highly engaged" students. Students from various courses shared
   very similar views of the perceived benefit of the eLearning activities.
ZA 0
Z8 0
TC 5
ZB 0
ZS 0
ZR 0
Z9 5
U1 0
U2 5
SN 0965-4283
EI 1758-714X
UT WOS:000456480700001
ER

PT J
AU Barroga, Edward
   Mitoma, Hiroshi
TI Improving Scientific Writing Skills and Publishing Capacity by
   Developing University-Based Editing System and Writing Programs
SO JOURNAL OF KOREAN MEDICAL SCIENCE
VL 34
IS 1
AR e9
DI 10.3346/jkms.2019.34.e9
PD JAN 7 2019
PY 2019
AB Scholarly article writing and publishing in international peer-reviewed
   journals can become an overwhelming task for many medical, nursing, and
   healthcare professionals in a university setting, especially in
   countries whose native language is not English. To help improve their
   scientific writing skills and publishing capacity, a university-based
   editing system and writing programs can be developed as educational
   platforms. These are delivered by a team of specialist editors composed
   of tenured faculty members who have a strong medical background and
   extensive experience in teaching courses on medical research, editing,
   writing, and publishing. For the editing system, the specialist editors
   provide comprehensive editing, personalized consultation, full editorial
   support after peer review, guidance with online
   submissions/resubmissions, and detailed editorial review at different
   stages of the manuscript writing. In addition, the specialist editors
   can develop writing programs such as medical writing and editing
   internships, academic courses in medical writing or research study
   designs and reporting standards, special interactive lectures and
   sessions on predatory publishing, seminars on updated editorial guidance
   of global editorial associations, academic visits on medical writing and
   editing, medical writing mentoring program, networking programs in
   scholarly communication, and publication resources in medical writing
   and scholarly publishing. These editing system and writing programs can
   serve as integrated platforms for improving scientific writing skills
   and publishing capacity by providing continuing education in medical
   writing, editing, publishing, and publication ethics.
RI Barroga, Edward/AAY-2902-2021
OI Barroga, Edward/0000-0002-8920-2607
TC 4
ZB 2
ZS 0
ZA 0
ZR 0
Z8 0
Z9 5
U1 2
U2 19
SN 1011-8934
EI 1598-6357
UT WOS:000455718400006
ER

PT J
AU Fatima, Syeda Sadia
   Ghias, Kulsoom
   Jabeen, Kayser
   Sabzwari, Saniya
TI Enhancing Cognitive Engagement of Preclinical Undergraduate Medical
   Students via Video Cases and Interactive Quizzes in Problem-based
   Learning
SO CUREUS
VL 11
IS 1
AR e3832
DI 10.7759/cureus.3832
PD JAN 6 2019
PY 2019
AB Background
   Problem-based learning (PBL) is one of the main pedagogical approaches
   utilized in the undergraduate medical education (UGME) program at a
   private medical college in Karachi, Pakistan. Video-enhanced cases and
   formative assessments were introduced at the end of PBL sessions to
   evaluate their effectiveness in enhancing student engagement.
   Methods
   A mixed methods study was conducted with Year 2 medical students (n=102;
   divided into 11 groups) and faculty (n=11) facilitating the PBL process.
   Of the 10 PBL cases, five were converted to video-enhanced cases and
   five were kept as paper-based, "traditional" cases. "Micro" videos were
   used to introduce clinical scenarios, augmented by a set of guided
   questions related to the scenario. In addition, a formative quiz was
   conducted to assess concepts at the end of video-enhanced PBL sessions.
   At the end of a module, students and facilitators completed an online
   survey regarding this modified learning experience, and this was
   followed by a focus group discussion with the PBL facilitators.
   Results
   More than two-thirds (71%) of the students and all facilitators
   preferred video-enhanced over paper-based cases. Seventy-nine percent of
   the students agreed that this method increased peer-peer and
   peer-facilitator engagement, while 66% (n=68) of the students and 81%
   (n=9) of the faculty agreed that the end of PBL formative assessment
   activity would support the "Universal Design for Learning" framework.
   Conclusion
   Video-enhanced PBL used during the introduction of the case and
   formative assessment activities at the end of the PBL sessions improved
   student engagement and contributed positively to the discussions and
   their understanding.
OI Jabeen, Kauser/0000-0003-2497-7847
ZB 0
TC 2
Z8 1
ZA 0
ZS 0
ZR 0
Z9 3
U1 1
U2 8
EI 2168-8184
UT WOS:000461352700002
PM 30891373
ER

PT J
AU Habineza, Hubert
   Nsanzabaganwa, Christian
   Nyirimanzi, Naphtal
   Umuhoza, Christian
   Cartledge, Katie
   Conard, Craig
   Cartledge, Peter
TI Perceived attitudes of the importance and barriers to research amongst
   Rwandan interns and pediatric residents - a cross-sectional study
SO BMC MEDICAL EDUCATION
VL 19
AR 4
DI 10.1186/s12909-018-1425-6
PD JAN 3 2019
PY 2019
AB BackgroundGlobally, interns and residents face significant challenges
   with respect to research activity. Despite this, they are motivated and
   have an interest in undertaking research. To date, there has been no
   research regarding the perceived attitudes towards research activities
   amongst Rwandan residents and interns.ObjectivesThe primary objective of
   this study was to describe the perceived attitudes regarding the
   educational benefits and barriers surrounding research activity amongst
   interns and residents, and to identify any differences between these
   groups. The secondary objective was to describe the research methods
   used by interns and residents in Rwanda.MethodsA cross-sectional
   descriptive study of interns and pediatric trainees at the University of
   Rwanda. An online questionnaire using Likert scale questions was sent
   electronically to eligible participants.ResultsA total of sixty
   participants (38 interns and 22 pediatric residents) responded to the
   survey. Both groups acknowledged the educational importance of
   undertaking research, with interns reporting this more than residents.
   Both groups identified the following as barriers to research: faculty
   lacking time to mentor, lack of funding, lack of statistical support,
   and lack of faculty experienced in conducting research. Interns (87%)
   were much more likely to have undertaken retrospective research than
   pediatric residents (14%). Few interns or residents submitted their
   research for publication (27%).ConclusionsBoth interns and residents
   understood the importance of research, but many barriers exist.
   Increasing the time available for experienced faculty members to
   supervise research is challenging due to low faculty numbers. Novel
   solutions will need to be found as well as expanding the time for
   trainees to perform research.
OI Habineza, Hubert/0000-0002-5419-0765; Umuhoza,
   Christian/0000-0003-0249-4721
ZA 0
ZR 0
ZB 1
ZS 0
Z8 0
TC 9
Z9 9
U1 0
U2 1
EI 1472-6920
UT WOS:000454904700001
PM 30606184
ER

PT J
AU Hjelmager, Ditte Meulengracht
   Vinther, Line Dausel
   Poulsen, Soren Herold
   Petersen, Lone Stub
   Jensen, Martin Bach
   Riis, Allan
TI Requirements for implementing online information material for patients
   with low back pain in general practice: an interview study
SO SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
VL 37
IS 1
BP 60
EP 68
DI 10.1080/02813432.2019.1569413
PD JAN 2 2019
PY 2019
AB Objective: To identify general practitioners' (GPs) barriers and
   facilitators regarding the use of health information technology (HIT) in
   the treatment of patients with low back pain (LBP). Design: A
   qualitative study employing a participatory design approach, with an
   inductive analytical thematic approach utilising semi-structured
   interviews. Empirical data was analysed using the qualitative data
   analysis software (QDAS) Nvivo. Setting: General practices in Denmark.
   Subjects: Eight interviews were conducted with an average duration of 60
   min. The interviewees were GPs from different geographical settings and
   different organisational structures, varying in age and professional
   interests. Main outcome measures: Barriers and facilitators for future
   use of the HIT application for patients with LBP. Results: Through the
   inclusion of healthcare professionals in the design process, this study
   found that in order for GPs to recommend a HIT application it is
   essential to target the application towards their patients. Furthermore,
   GPs required that the HIT application should support patient
   self-management. Additionally, the content of the HIT application should
   support the initiated treatment and it should be easy for GPs to
   recommend the HIT application. Finally, healthcare professionals need to
   be involved in the design process. Conclusion: When designing health IT
   applications for patients with LBP in general practice it is important
   to include both patients and GPs in the design process. GPs would be
   more willing to recommend a HIT application that: applies content in
   line with frequently used recommendations; targets patients; supports
   patients' self-management; and supports the patients' needs.
OI Riis, Allan/0000-0002-7009-3025; Jensen, Martin Bach/0000-0003-2162-7390
ZB 0
ZA 0
ZS 0
Z8 0
TC 7
ZR 0
Z9 7
U1 0
U2 1
SN 0281-3432
EI 1502-7724
UT WOS:000462849900008
PM 30700191
ER

PT J
AU Bir, Courtney
   Croney, Candace C.
   Widmar, Nicole J. Olynk
TI US Residents' Perceptions of Dog Welfare Needs and Canine Welfare
   Information Sources
SO JOURNAL OF APPLIED ANIMAL WELFARE SCIENCE
VL 22
IS 1
BP 42
EP 68
DI 10.1080/10888705.2018.1476862
PD JAN 2 2019
PY 2019
AB The extent to which welfare needs of breeding dogs are met in commercial
   dog-breeding kennels is a potential point of controversy. This analysis
   sought to understand US residents' perceptions and priorities related to
   dog welfare : by investigating (a) perceptions of breeding-dog welfare
   needs and (b) perceptions of various nonhuman animal welfare information
   sources. Using best/worst-choice experiments conducted in an online
   survey, respondents' choices for most and least important breeding-dog
   welfare needs (n = 508) and most/least trusted canine welfare
   information sources (n = 508) were analyzed. The survey sample was
   targeted to be representative of the US population in terms of gender,
   age, region of residence, income, and education. The largest preference
   shares (relatively most important) for breeding-dog welfare needs were
   for "availability of food and water" (39.2%) and health/veterinary care
   (18.1%). The largest preference shares (relatively most trusted sources)
   for welfare information were American Society for the Prevention of
   Cruelty to Animals, a veterinarian, and American Veterinary Medical
   Association, with 25.1%, 16.4%, and 14.1% shares, respectively.
OI Bir, Courtney/0000-0003-0862-8241
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 4
Z9 4
U1 2
U2 22
SN 1088-8705
EI 1532-7604
UT WOS:000450455000005
PM 29884079
ER

PT J
AU Playford, Denese
   Bailey, Susan
   Fisher, Colleen
   Stasinska, Ania
   Marshall, Lewis
   Gawlinski, Michele
   Young, Susan
TI Twelve tips for implementing effective service learning
SO MEDICAL TEACHER
VL 41
IS 1
BP 24
EP 27
DI 10.1080/0142159X.2017.1401217
PD JAN 2 2019
PY 2019
AB Service learning is an educational methodology that facilitates
   transformation of students' knowledge, attitudes and attitudes around
   holistic care through work with community organizations. To implement
   academically, defensible service learning requires faculty endorsement,
   consideration of course credit, an enthusiastic champion able to
   negotiate agreements with organizations, organizations' identification
   of their own projects so they are willing to both fund and supervise
   them, curricular underpinning that imparts the project skills necessary
   for success, embedding at a time when students' clinical identity is
   being formed, small packets of curriculum elements delivered "just in
   time" as students engage with their project, flexible online platform/s,
   assessment that is organically related to the project, providing cross
   cultural up-skilling, and focused on the students' responsibility for
   their own product. The result is a learning experience that is engaging
   for medical students, links the university to the community, and
   encourages altruism which is otherwise reported to decline through
   medical school.
RI Young, Susan/H-6145-2014; Fisher, Colleen/H-9188-2014; Playford, Denese/
OI Young, Susan/0000-0002-1547-6867; Fisher, Colleen/0000-0003-1636-8988;
   Playford, Denese/0000-0001-5254-4905
TC 11
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
Z9 11
U1 0
U2 11
SN 0142-159X
EI 1466-187X
UT WOS:000461501500003
PM 29171333
ER

PT J
AU Burgers, Jako S.
   Wittenberg, Jolanda
   Keuken, Debby G.
   Dekker, Frans
   Hohmann, Femke P.
   Leereveld, Dieuwke
   Ligthart, Suzanne A.
   Mulder, Jan-Willem A.
   Rutten, Guy
   van der Wouden, Johannes C.
   van Balen, Jacintha A. M.
   Knottnerus, J. Andre
TI Development of a research agenda for general practice based on knowledge
   gaps identified in Dutch guidelines and input from 48 stakeholders
SO EUROPEAN JOURNAL OF GENERAL PRACTICE
VL 25
IS 1
BP 19
EP 24
DI 10.1080/13814788.2018.1532993
PD JAN 2 2019
PY 2019
AB Background: Several funding organizations using different agendas
   support research in general practice. Topic selection and prioritization
   are often not coordinated, which may lead to duplication and research
   waste. Objectives: To develop systematically a national research agenda
   for general practice involving general practitioners, researchers,
   patients and other relevant stakeholders in healthcare. Methods: We
   reviewed knowledge gaps from 90 Dutch general practice guidelines and
   formulated research questions based on these gaps. In addition, we asked
   96 healthcare stakeholders to add research questions relevant for
   general practice. All research questions were prioritized by practising
   general practitioners in an online survey (n = 232) and by participants
   of an invitational conference including general practitioners (n = 48)
   and representatives of other stakeholders in healthcare (n = 16), e.g.
   patient organizations and medical specialists. Results: We identified
   787 research questions. These were categorized in two ways: according to
   the chapters of the International Classification for Primary Care (ICPC)
   and in 12 themes such as common conditions, person-centred care and
   patient education, collaboration and organization of care. The
   prioritizing procedure resulted in top 10 lists of research questions
   for each ICPC chapter and each theme. Conclusion: The process resulted
   in a widely supported National Research Agenda for General Practice. We
   encourage both researchers and funding organizations to use this agenda
   to focus their research on the most relevant issues in general practice
   and to generate new evidence for the next generation of guidelines and
   the future of general practice.
RI van der Wouden, Johannes C/O-5109-2019; Ligthart, Suzanne A/AAC-3954-2019; Knottnerus, Johannes A/A-3829-2009; Ligthart, Suzanne A./; Keuken, Debby/
OI van der Wouden, Johannes C/0000-0001-6639-6050; Ligthart, Suzanne
   A./0000-0003-3216-1928; Keuken, Debby/0000-0001-9040-7063
ZA 0
TC 10
Z8 0
ZR 0
ZS 1
ZB 0
Z9 11
U1 0
U2 1
SN 1381-4788
EI 1751-1402
UT WOS:000459464800004
PM 30474455
ER

PT J
AU Martins, Maria Joao
   Marques, Tiago Reis
   Lains, Ines
   Leal, Ines
   Pessanha, Ines
   Brochado, Bruno
   Santos, Manuel Oliveira
   Teixeira, Pedro Pinto
   Fernandes, Diogo Hipolito
   Silva, Joao Carlos
   Sampaio, Filipa Almeida
   Brandao, Mariana
   Morais, Ines
   Laranjinha, Ines
   Teixeira, Nelson
   Fernandes, Tiago
   Carneiro, Diogo
   Calvao, Joana
   Pratas, Miguel
   Palmela, Carolina
   Lima, Antonio
   Pires, Guilherme
   Reis, Joel
   Raimundo, Miguel
   Afonso, Raquel Rocha
   Costa e Silva, Miguel
   Quintas, Catarina
   Rodrigues, Tiago M.
   Coelho, Nuno Henriques
   Ramos, Sonia Afonso
   Policiano, Catarina
   Rato, Catarina
   Faria, Daniel Candeias
   Lopes, Alice
   Rodrigues, Joana Ramos
   Ferreira, Afonso Nunes
   Costeira, Filipa de Sousa
   Marques, Renata
   Cordeiro, Hugo
   Richardson, John T. E.
TI The National Student Survey: validation in Portuguese medical students
SO ASSESSMENT & EVALUATION IN HIGHER EDUCATION
VL 44
IS 1
BP 66
EP 79
DI 10.1080/02602938.2018.1475547
PD JAN 2 2019
PY 2019
AB The UK National Student Survey (NSS) is a sound and widely used
   instrument for assessing students' academic experiences. We aimed to
   translate the NSS for Portuguese students and to validate the instrument
   in a sample of medical undergraduates. The research team translated and
   adapted the NSS for Portuguese students (NSS-P). The survey was
   administered on an online platform to 1,256 final-year students at eight
   Portuguese medical schools. A total of 329 medical students (69.9%
   female) replied to the NSS-P, a response rate of 26.2%. Confirmatory
   factor analysis showed that the original six-factor structure had an
   adequate fit to the data. Adequate internal consistency was observed for
   all the subscales. Medium to large correlations were found among all the
   subscale scores and between the subscale scores and the students'
   overall satisfaction. Multiple regression showed that the scores on the
   Teaching, Organization and Management and Personal Development subscales
   significantly predicted the students' overall satisfaction.
   Approximately 64% of the students reported being satisfied with the
   quality of their courses. Significant differences among the medical
   schools in their NSS-P scores were found. The NSS-P is a valid and
   reliable measure for assessing medical students' perceptions of academic
   quality.
RI Leal, Inês/AAI-5507-2020; Reis, Joel/AAN-7625-2020; Marques, Tiago Reis/F-2489-2010; Carneiro, Diogo/; Oliveira-Santos, Manuel/; Richardson, John/; Brochado, Bruno/; Lima, Antonio Fontes/; Brandao, Mariana/; Rodrigues, Tiago M./; Martins, Maria Joao/; Morais, Ines/; Lopes, Alice/; Pratas, Miguel/
OI Leal, Inês/0000-0001-9622-8779; Reis, Joel/0000-0002-8007-2420; Marques,
   Tiago Reis/0000-0003-0602-7661; Carneiro, Diogo/0000-0001-8912-4736;
   Oliveira-Santos, Manuel/0000-0002-5980-6880; Richardson,
   John/0000-0002-6267-0603; Brochado, Bruno/0000-0003-0107-5023; Lima,
   Antonio Fontes/0000-0001-9888-9394; Brandao,
   Mariana/0000-0002-1653-3544; Rodrigues, Tiago M./0000-0002-0973-9763;
   Martins, Maria Joao/0000-0001-5339-1269; Morais,
   Ines/0000-0002-0267-7117; Lopes, Alice/0000-0002-1957-7614; Pratas,
   Miguel/0000-0003-0402-5646
ZS 0
TC 1
ZA 0
ZB 0
Z8 0
ZR 0
Z9 1
U1 2
U2 7
SN 0260-2938
EI 1469-297X
UT WOS:000452734400006
ER

PT J
AU El Sherif, Reem
   Pluye, Pierre
TI Is online consumer health information only beneficial for the wealthy
   and the educated? A commentary
SO EDUCATION FOR INFORMATION
VL 35
IS 1
BP 35
EP 39
DI 10.3233/EFI-180217
PD 2019
PY 2019
AB Online consumer health information (OCHI) is being used at an
   unprecedented rate, and this trend is expected to continue. Most people
   have used OCHI, and many may have seen the outcomes of this use (either
   positive or negative or both). Education and income, as indicators of
   socioeconomic status, are important contextual factors influencing OCHI
   outcomes. Much of the literature states that individuals with higher
   income and education are more likely to access OCHI and with this,
   experience better health outcomes. On the other hand, our research shows
   that when OCHI websites offer high-quality information that is
   accessible to those with low literacy levels, individuals with low
   socioeconomic status report as many benefits as those with higher income
   and education. In this commentary, we will describe the context of our
   research and present our findings. This work is relevant to information
   professionals (librarians) working with health professionals and the
   public, those teaching information literacy and health literacy, as well
   as researchers interested in information literacy and information use.
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
TC 0
Z9 0
U1 0
U2 8
SN 0167-8329
EI 1875-8649
UT WOS:000461768100005
ER

PT J
AU Naseri, Boshra
   Rajabion, Lila
   Zaravar, Foroozndeh
   Khordehbinan, Mohammad Worya
   Moradi, Fateme
TI A new model for evaluating the impact of ergonomic architectural design
   of gym, social network and digital knowledge on the desire of students
   for sport activities
SO HUMAN SYSTEMS MANAGEMENT
VL 38
IS 4
BP 347
EP 355
DI 10.3233/HSM-190486
PD 2019
PY 2019
AB The sustainability issues in higher educational institutions have
   attracted an increasing level of attention from policymakers during the
   last decades. This is arguably due to the increased level of
   consciousness in society on sustainability issues; and the significant
   impacts of campus activities on both environment and communities. Also,
   digital technologies such as websites, online discussion forums, social
   media, content-sharing platforms, mobile apps, and wearable devices are
   now accessible for young people to learn about and promote their
   physical fitness and health. Therefore, in this paper, the impact of the
   ergonomic architectural design of gym, and social network on the desire
   of students for sports activities is investigated. A cross-sectional
   study was conducted with 500 students (275 girls and 225 boys; age 12-18
   years), who responded to research questionnaires. The data were analyzed
   using PLS-SEM and Smart-PLS version 3.2. The obtained results showed the
   high strength of the proposed model. The outcomes also indicated that
   social network, digital knowledge and ergonomic architectural design of
   gym positively affect the desire of students for sports activities.
RI zaravar, foroozandeh/V-6005-2017; moradi, fateme/G-6468-2019; zaravar, foroozandeh/GLU-7268-2022
OI moradi, fateme/0000-0003-0600-4128; zaravar,
   foroozandeh/0000-0001-5068-6336
ZS 0
TC 6
ZB 0
Z8 0
ZR 0
ZA 0
Z9 6
U1 9
U2 25
SN 0167-2533
EI 1875-8703
UT WOS:000486681600003
ER

PT S
AU Das, Rhiju
   Keep, Benjamin
   Washington, Peter
   Riedel-Kruse, Ingmar H.
BE Altman, RB
   Levitt, M
TI Scientific Discovery Games for Biomedical Research
SO ANNUAL REVIEW OF BIOMEDICAL DATA SCIENCE, VOL 2, 2019
SE Annual Review of Biomedical Data Science
VL 2
BP 253
EP 279
DI 10.1146/annurev-biodatasci-072018-021139
PD 2019
PY 2019
AB Over the past decade, scientific discovery games (SDGs) have emerged as
   a viable approach for biomedical research, engaging hundreds of
   thousands of volunteer players and resulting in numerous scientific
   publications. After describing the origins of this novel research
   approach, we review the scientific output of SDGs across molecular
   modeling, sequence alignment, neuroscience, pathology, cellular biology,
   genomics, and human cognition. We find compelling results and technical
   innovations arising in problem-oriented games such as Foldit and Eterna
   and in data-oriented games such as EyeWire and Project Discovery. We
   discuss emergent properties of player communities shared across
   different projects, including the diversity of communities and the
   extraordinary contributions of some volunteers, such as paper writing.
   Finally, we highlight connections to artificial intelligence, biological
   cloud laboratories, new game genres, science education, and open science
   that may drive the next generation of SDGs.
OI washington, peter/0000-0003-3276-4411; Das, Rhiju/0000-0001-7497-0972
ZS 0
Z8 0
TC 5
ZA 0
ZB 2
ZR 0
Z9 5
U1 2
U2 15
SN 2574-3414
BN *****************
UT WOS:000484798500011
PM 34308269
ER

PT C
AU Jenkins, Melinda L.
   Davis, Avaretta
BE OhnoMachado, L
   Seroussi, B
TI Transforming Nursing Documentation
SO MEDINFO 2019: HEALTH AND WELLBEING E-NETWORKS FOR ALL
SE Studies in Health Technology and Informatics
VL 264
BP 625
EP 628
DI 10.3233/SHTI190298
PD 2019
PY 2019
AB Graduate nursing education is positioned to transform nursing
   documentation so that it more fully describes nursing assessments,
   diagnoses, interventions, and outcomes to measure improvements in care.
   Learning to document with structured nursing terminology is an integral
   part of "Information Technology for Evidence-Based Practice", a required
   online course taken by all students in the Rutgers Doctor of Nursing
   Practice program. Beginning with SOAP and terminology required for
   billing, students create a clinical note adding elements of the Nursing
   Minimum Data Set, using Clinical Care Classification terms. Next,
   students are asked to select a nursing-related clinical practice
   guideline, electronic clinical quality improvement measure, and a
   screening tool that applies to their encounter note. Then, they identify
   Patient Reported Outcome Measures as well as improvement activities in
   the CMS Quality Payment Program. The course is well-received; many
   graduate students now face changes in documentation and electronic tools
   and can predict future evolution.
CT 17th World Congress of Medical and Health Informatics (MEDINFO)
CY AUG 25-30, 2019
CL Int Med Informat Assoc, Lyon, FRANCE
HO Int Med Informat Assoc
SP French Assoc Med Informat
RI Jenkins, Melinda/AAQ-6164-2021
ZR 0
Z8 0
TC 1
ZA 0
ZS 0
ZB 0
Z9 1
U1 0
U2 3
SN 0926-9630
EI 1879-8365
BN 978-1-64368-003-3; 978-1-64368-002-6
UT WOS:000569653400125
PM 31437999
ER

PT C
AU Rocha Correia, Carlos Eduardo
   Godeiro Junior, Clecio de Oliveira, Jr.
BE OhnoMachado, L
   Seroussi, B
TI Development of a Digital Tool to Assist the Training of Health
   Professionals in the Determination of Brain Death
SO MEDINFO 2019: HEALTH AND WELLBEING E-NETWORKS FOR ALL
SE Studies in Health Technology and Informatics
VL 264
BP 1174
EP 1178
DI 10.3233/SHTI190411
PD 2019
PY 2019
AB Due to technological advancement of medicine, patients have been
   maintained through mechanical ventilation and vasoactive drugs despite
   complete and irreversible brain injuries. Accurate diagnosis of brain
   death (BD) reduces costs, shortens family's suffering, and increases
   availability of intensive care beds and organs for transplantation.
   Guidelines were created to standardize BD diagnostic parameters, but
   knowledge of medical students and medical professionals has been
   demonstrated to be insufficient. To assist health professionals' in BD
   determination, a digital training tool that contained images, videos and
   interactive content was developed for desktops and mobile devices.
   Software to create and animate 3D models (MakeHuman (TM) and Blender
   (TM) and a game development platform (Unity) were used. Versions for all
   the major operating systems (iOS(TM,) Android(TM,) macOS(TM) Windows(TM)
   and Linux(TM)) are being made available through online repositories and
   mobile application stores.
CT 17th World Congress of Medical and Health Informatics (MEDINFO)
CY AUG 25-30, 2019
CL Int Med Informat Assoc, Lyon, FRANCE
HO Int Med Informat Assoc
SP French Assoc Med Informat
TC 1
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
Z9 1
U1 0
U2 0
SN 0926-9630
EI 1879-8365
BN 978-1-64368-003-3; 978-1-64368-002-6
UT WOS:000569653400236
PM 31438110
ER

PT C
AU Fenton, Susan H.
   Ross, Angela
   Simmons, Debora
BE OhnoMachado, L
   Seroussi, B
TI Training Leaders in Health Informatics
SO MEDINFO 2019: HEALTH AND WELLBEING E-NETWORKS FOR ALL
SE Studies in Health Technology and Informatics
VL 264
BP 1184
EP 1188
DI 10.3233/SHTI190413
PD 2019
PY 2019
AB Despite the widespread adoption of electronic health records (EHRs) in
   the US. over the past decade, significant improvements, especially in
   patient safety, have yet to be realized. This finding, along with health
   informatics workforce data and an identified gap in the offerings of an
   educational program, led to a proposed professional doctorate in health
   informatics. Developed via stakeholder focus groups, the program was
   approved by the public university system, the state-level educational
   authority, and the regional accreditation body, with final approval in
   July 2018. Unique features of the program include a prolonged practice
   project demonstrating a return on investment, as well as online and
   face-to-face delivery components. This program aims to develop
   evidence-based professionals who improve the health of people and
   populations through the application of health informatics. Applications
   and interest in the first class are high.
CT 17th World Congress of Medical and Health Informatics (MEDINFO)
CY AUG 25-30, 2019
CL Int Med Informat Assoc, Lyon, FRANCE
HO Int Med Informat Assoc
SP French Assoc Med Informat
OI Fenton, Susan/0000-0003-2943-311X
ZR 0
ZB 0
TC 1
ZS 0
ZA 0
Z8 0
Z9 1
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-64368-003-3; 978-1-64368-002-6
UT WOS:000569653400238
PM 31438112
ER

PT C
AU Gordon, Jeffry S.
   McNew, Ryan E.
   Weiner, Elizabeth E.
   Trangenstein, Patricia
BE OhnoMachado, L
   Seroussi, B
TI Using Contemporary e-Learning Tools to Teach Staff How to Use New Online
   Documentation Systems
SO MEDINFO 2019: HEALTH AND WELLBEING E-NETWORKS FOR ALL
SE Studies in Health Technology and Informatics
VL 264
BP 1672
EP 1673
DI 10.3233/SHTI190590
PD 2019
PY 2019
AB Medical centers, hospitals, and health care practices are implementing
   electronic documentation systems and regularly adding new features to
   these systems. Training users to effectively use these systems in a
   scalable way has been a challenge. Learners learn at different rates and
   have different needs. While traditional face to face instruction has
   been the gold standard, eLearning technologies can provide acceptable
   alternatives. This poster will demonstrate three eLearning methodologies
   for training.
CT 17th World Congress of Medical and Health Informatics (MEDINFO)
CY AUG 25-30, 2019
CL Int Med Informat Assoc, Lyon, FRANCE
HO Int Med Informat Assoc
SP French Assoc Med Informat
Z8 0
ZA 0
ZS 0
ZB 0
ZR 0
TC 0
Z9 0
U1 1
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-64368-003-3; 978-1-64368-002-6
UT WOS:000569653400412
PM 31438286
ER

PT J
AU Dantas, Rafaela Ramos
   Pontes da Silva, Giselia Alves
TI The role of the obesogenic environment and parental lifestyles in infant
   feeding behavior
SO REVISTA PAULISTA DE PEDIATRIA
VL 37
IS 3
BP 363
EP 371
DI 10.1590/1984-0462/;2019;37;3;00005
PD 2019
PY 2019
AB Objective: To identify the role of the obesogenic environment and
   parental lifestyles in infant feeding behavior.
   Data sources: The searches were performed in PubMed, Medline, Cochrane,
   Lilacs and Scielo databases, in Portuguese, English and Spanish. The
   descriptors used were found in the Medical Subject Headings and in the
   Descriptors in Health Sciences being these: Comportamento
   alimentar/Feeding Behavior/ Conducta Alimentaria; Criancas/Child/Nino;
   Relacoes familiares/Family Relations/Relaciones Familiares; e
   Ecologia/Ecology/Ecologia. These were combined by the Boolean operator
   AND.
   Data synthesis: Researchers consider that parents (or primary
   caregivers) are responsible, in part, for the unhealthy eating behavior
   presented by children, and for them to change it is necessary to change
   the behavior of the family, ensuring the correct choice of food and the
   practice of physical activity. The family environment has a significant
   impact on the development of eating behavior, so adults should provide a
   good model of this behavior for children.
   Conclusions: It was verified through this review that, in order to
   maintain and develop a healthy eating behavior, it is necessary to reach
   different spheres of life of the individual - physical, social,
   psychological, family, cultural and mediatic environment.
RI Dantas, Rafaela/ABC-2760-2020
OI Dantas, Rafaela/0000-0003-4570-168X
ZR 0
ZA 0
ZS 4
Z8 0
TC 6
ZB 1
Z9 7
U1 1
U2 4
SN 0103-0582
EI 1984-0462
UT WOS:000571766600015
PM 31116240
ER

PT C
AU Firmansyah
   Tamtomo, D. G.
   Cilmiaty, R.
GP IOP
TI Nutritional booklet and social media: Their effects on adolescents'
   fattening-food knowledge and consumption
SO INTERNATIONAL CONFERENCE ON FOOD SCIENCE AND ENGINEERING
SE IOP Conference Series-Materials Science and Engineering
VL 633
AR 012057
DI 10.1088/1757-899X/633/1/012057
PD 2019
PY 2019
AB One cause of adolescents' fat-consumption imbalance is inadequate
   knowledge of nutrition and socialization about good eating habits.
   Adolescents like searching for food information through social media
   like Facebook and Instagram before consuming. This study was to analyse
   the effect of nutrition booklet and social media on the adolescents'
   fattening-food knowledge and consumptions. The sample of this
   quasi-experiment was 96 eleventh-grade Science students of SMAN 1, 3,
   and 5 Surakarta selected using probability proportional size sampling.
   This study was conducted in one month. Nutritional education
   intervention with social media and nutritional booklet was conducted six
   times in two weeks. The data were analysed using Wilcoxon, Kruskal
   Wallis, and Logistic Binary Regression with SPSS. Nutritional education
   with nutrition booklet influenced the fattening-food knowledge (p =
   0.000) and consumption (p < 0.05). Nutritional education with social
   media influenced the fattening-food knowledge (p = 0.001) and
   consumption ( p < 0.05). There were different scores of the
   fattening-food knowledge (p = 0.001) and consumption (p = 0.005) in the
   nutritional education group with nutritional booklet and social media.
   Nutritional booklet and social media influenced adolescents'
   fattening-food knowledge and consumption. There were different
   fattening-food knowledge and consumption in the adolescents using
   nutritional booklet and social media.
CT 2nd International Conference on Food Science and Engineering (ICFSE)
CY SEP 25-26, 2018
CL INDONESIA
SP Univ Sebelas Maret
Z8 0
ZR 0
TC 0
ZS 0
ZA 0
ZB 0
Z9 0
U1 2
U2 3
SN 1757-8981
BN *****************
UT WOS:000562392500057
ER

PT J
AU Blake, Lindsay
   Jaggers, Alice
TI Piloting a Course to Heighten Awareness of Consumer Health Resources to
   Nurses and Patient Educators
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 23
IS 2
BP 178
EP 186
DI 10.1080/15398285.2019.1614824
PD 2019
PY 2019
AB Through the library, patients and health professionals can interact with
   librarians to receive aid in searching and accessing consumer health
   literature on the internet. Patients are now seeking out consumer health
   resources and questioning health care providers. Academic health
   sciences librarians already play an important role in consumer health.
   They can also help health professionals with patient education by using
   a train the trainer model to teach nurses and patient educators about
   reliable and authoritative online resources. Two librarians at an
   academic health center created a course and online guide to walk
   participants through finding, navigating, and evaluating consumer health
   resources for their patients.
OI Blake, Lindsay/0000-0002-8234-8611
ZB 0
Z8 0
ZS 0
ZA 0
ZR 0
TC 1
Z9 1
U1 0
U2 3
SN 1539-8285
EI 1539-8293
UT WOS:000479312900008
PM 32952459
ER

PT J
AU Yang, Jing
   Zhao, Zhen
TI Development and Implementation of Computer Assisted Instruction System
   in Physical Education Based on ASP.NET Technology
SO INTERNATIONAL JOURNAL OF EMERGING TECHNOLOGIES IN LEARNING
VL 14
IS 13
BP 145
EP 156
DI 10.3991/ijet.v14i13.10712
PD 2019
PY 2019
AB Due to the practicalness of physical education (PE) teaching, the
   computer-assisted instruction CAI) in PE can deepen students'
   understanding through visual teaching methods. The purpose of this paper
   is to study the development and implementation of CAI system in PE. To
   this end, based on hardware such as campus network and internet, B/S/D
   three-layer system was adopted in this paper as the system architecture,
   and ASP. NET technology was used to realize system functions. The
   research results show that the system is divided into four parts: the
   teaching resource module, the online Q&A module, the coursework module
   and the exam module according to the system requirements analysis. Then,
   taking the system login, teacher module and system test module as
   examples, the system operation process was designed in detail to achieve
   its specific functions. This re-search enriches the theoretical and
   practical research results of CAI system in PE and promotes the reform
   of physical education teaching mode.
TC 7
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
Z9 7
U1 1
U2 7
SN 1863-0383
UT WOS:000475487300011
ER

PT C
AU Wang, Hong Ying
   Zhang, Feng Bo
   Dilidaer, Kudereti
   Chen, Feng
   Zhao, Yun Juan
   Ding, Jian Bing
BE Patnaik, S
TI Using a Variety of Modem Teaching Methods to Improve the Effect of
   Medical Microbiology Teaching
SO PROCEEDINGS OF THE 9TH INTERNATIONAL CONFERENCE OF INFORMATION AND
   COMMUNICATION TECHNOLOGY [ICICT-2019]
SE Procedia Computer Science
VL 154
BP 617
EP 621
DI 10.1016/j.procs.2019.06.097
PD 2019
PY 2019
AB Traditional board writing and other teaching methods make it difficult
   to present the microscopic world of microorganisms to students. We used
   many modern teaching methods of multimedia teaching, QQ, and WeChat, and
   MOOCs in teaching medical microbiology to allow students to clearly
   recognize the microcosmic world and ensure the quality of teaching. (C)
   2019 The Authors. Published by Elsevier Ltd.
CT 9th International Conference of Information and Communication Technology
   [ICICT]
CY JAN 11-13, 2019
CL Nanning, PEOPLES R CHINA
SP Hunan Univ Finance & Econ
ZA 0
ZS 0
Z8 1
ZB 0
TC 2
ZR 0
Z9 3
U1 0
U2 2
SN 1877-0509
BN *****************
UT WOS:000565207000090
ER

PT J
AU de Moura Sa, Guilherme Guarino
   Silva, Fernanda Lorrany
   Ribeiro dos Santos, Ana Maria
   Noleto, Julyanne dos Santos
   de Oliveira Gouveia, Marcia Teles
   Nogueira, Lidya Tolstenko
TI Technologies that promote health education for the community elderly:
   integrative review
SO REVISTA LATINO-AMERICANA DE ENFERMAGEM
VL 27
AR e3186
DI 10.1590/1518-8345.3171.3186
PD 2019
PY 2019
AB Objective: to identify in the scientific literature the technologies
   developed to promote health education for the community elderly. Method:
   integrative review that included original articles indexed by Latin
   American and Caribbean Literature in Health Sciences, Medical Literature
   Analysis and Retrieval System Online, Cumulative Index to Nursing and
   Allied Health Literature, Scopus, Web of Science, Science Direct, and
   Cochrane databases, without restriction of time and language. Results
   were analyzed descriptively, in five analytical categories. Results:
   Fifteen articles published on national and international journals were
   selected, with predominance of experimental studies that tested the
   effects of such technologies. The types of educational technology
   developed were printed materials, software and video, as well as mock-up
   and telephone support. Falls in the elderly were the most discussed
   theme. The studies have shown that the types of technology found are
   feasible to promote health education for the community elderly.
   Conclusion: The technologies developed to promote health education for
   the elderly were multiple and proved effective for use in community
   interventions.
RI de Moura Sá, Guilherme Guarino/AAP-3120-2020; Nogueira, Lidya Tolstenko LTN/F-2477-2018; dos Santos, Ana Maria Ribeiro/F-6477-2018; Gouveia, Márcia TO/D-2624-2013; SILVA, FERNANDA/
OI de Moura Sá, Guilherme Guarino/0000-0003-3283-2656; dos Santos, Ana
   Maria Ribeiro/0000-0002-5825-5335; Gouveia, Márcia
   TO/0000-0002-2401-4947; SILVA, FERNANDA/0000-0002-1148-9492
ZA 0
TC 9
Z8 0
ZR 0
ZS 12
ZB 0
Z9 15
U1 7
U2 29
SN 1518-8345
UT WOS:000490331300011
PM 31618386
ER

PT J
AU Al Madi, Naser
   Khan, Javed, I
TI Is a picture worth a thousand words? A computational investigation of
   the modality effect
SO INTERNATIONAL JOURNAL OF COMPUTATIONAL SCIENCE AND ENGINEERING
VL 19
IS 3
BP 440
EP 451
DI 10.1504/IJCSE.2019.10022733
PD 2019
PY 2019
AB The modality effect is a term that refers to differences in learning
   performance in relation to the mode of presentation. It is an
   interesting phenomenon that impacts education, online-learning, and
   marketing among many other areas of life. In this study, we use
   electroencephalography (EEG alpha, beta, and theta) and computational
   modelling of comprehension to study the modality effect in text and
   multimedia. First, we provide a framework for evaluating learning
   performance, working-memory, and emotions during learning. Second, we
   apply these tools to investigate the modality effect computationally
   focusing on text in contrast to multimedia. This study is based on a
   dataset that we have collected through a human experiment involving 16
   participants. Our results are important for future learning systems that
   incorporate learning performance, working-memory, and emotions in a
   continuous feedback system that measures and optimises learning during
   learning and not after.
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
TC 3
Z9 3
U1 0
U2 5
SN 1742-7185
EI 1742-7193
UT WOS:000478980900013
ER

PT C
AU Massa, Nicholas M.
   Donnelly, Judith F.
   Mullett, Gary J.
BE PoulinGirard, AS
   Shaw, JA
TI Problem-based learning in advanced photonics manufacturing: Bringing
   real-world applications into the classroom
SO FIFTEENTH CONFERENCE ON EDUCATION AND TRAINING IN OPTICS AND PHOTONICS
   (ETOP 2019)
SE Proceedings of SPIE
VL 11143
AR 111431J
DI 10.1117/12.2523803
PD 2019
PY 2019
AB As the applications of photonics technology continue to expand into an
   ever-growing number of advanced manufacturing applications including
   laser materials processing, additive manufacturing, 3D sensing, medical
   devices, photonic integrated circuits and consumer products, science,
   technology, engineering and math (STEM) programs often struggle to
   prepare graduates with the critical thinking and problem solving skills
   needed to keep pace with this rapidly changing technology. In this
   paper, we describe how Springfield Technical Community College (STCC),
   in partnership with the Massachusetts Institute of Technology (MIT) AIM
   Photonics Academy, the New England Board of Higher Education (NEBHE),
   and the National Science Foundation Advanced Technological Education
   (NSF-ATE) Regional Center for Next Generation Manufacturing (RCNGM) are
   addressing this struggle through a three-year NSF-ATE project entitled
   "Problem-based Learning in Advanced Photonics Manufacturing (APM-PBL)."
   In this project, we are creating eight multimedia problem-based learning
   (PBL) "Challenges" focused on authentic real-world problems in advanced
   photonics manufacturing in collaboration with photonics industry and
   research university partners. Training in the use of these Challenges
   and ongoing support will be provided for 24 high school and college STEM
   educators from throughout New England. These PBL Challenges will be made
   available online at no cost to high school and college STEM educators
   and will add to a growing online library of 20+ PBL Challenges created
   in three previous NSF-ATE grants awarded to NEBHE.
CT 15th Conference on Education and Training in Optics and Photonics (ETOP)
CY MAY 21-24, 2019
CL Quebec, CANADA
SP Int Commiss Opt; IEEE Photon Soc; Opt Soc; SPIE; Univ Laval; Ctr Optique
   Photonique Laser
TC 1
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
Z9 1
U1 0
U2 2
SN 0277-786X
EI 1996-756X
BN 978-1-5106-2980-6
UT WOS:000535250000038
ER

PT J
AU Freeman, Toby
   Fisher, Matthew
   Baum, Fran
   Friel, Sharon
TI Healthy infrastructure: Australian National Broadband Network policy
   implementation and its importance to health equity
SO INFORMATION COMMUNICATION & SOCIETY
VL 22
IS 10
BP 1414
EP 1431
DI 10.1080/1369118X.2018.1434555
PD 2019
PY 2019
AB Critical social and economic resources, such as employment, education,
   and health services, increasingly require online access, highlighting
   the growing need to address equity of access to high-speed broadband
   telecommunications. Ensuring access to broadband requires the necessary
   infrastructure which, in Australia, is the National Broadband Network
   (NBN). In this paper, we use policy implementation theory to examine the
   translation of the government's NBN policy into service delivery,
   specifically in relation to the choice of policy instruments to install
   the broadband infrastructure, the associated barriers and enablers to
   their implementation, and the equity considerations that are emerging as
   the policy is implemented. We conducted a rapid review of NBN policy
   documents and academic and grey literature to map the NBN policy
   instruments and to examine how key contextual, political, and technical
   aspects of NBN policy implementation are likely to affect equity. Our
   findings indicate a range of equity concerns in the implementation of
   NBN policy. The instrument choice of a public-private 'hybrid'
   organisation to implement NBN policy has created a fertile ground for
   competing political, social, and commercial priorities, thereby
   affecting how the policy is implemented and thus increasing the risks to
   equity as it competes with other priorities. As these mixed
   public-private instruments become more prevalent as policy tools to
   deliver major infrastructure, determining the best means to safeguard
   equity is a vital consideration to ensure the benefits are distributed
   fairly.
RI Baum, Fran/AAJ-1896-2021; Baum, Fran/AGN-4014-2022; Friel, Sharon/; Freeman, Toby/; Fisher, Matthew/
OI Baum, Fran/0000-0002-2294-1368; Friel, Sharon/0000-0002-8345-5435;
   Freeman, Toby/0000-0002-2787-8580; Fisher, Matthew/0000-0003-3756-1146
ZS 0
ZR 0
ZB 1
ZA 0
TC 10
Z8 0
Z9 10
U1 0
U2 16
SN 1369-118X
EI 1468-4462
UT WOS:000487244200004
ER

PT J
AU Cabrera, Laura Yenisa
   Courchesne, Caitlin
   Kiss, Zelma H. T.
   Illes, Judy
TI Clinical Perspectives on Psychiatric Neurosurgery
SO STEREOTACTIC AND FUNCTIONAL NEUROSURGERY
VL 97
IS 5-6
BP 391
EP 398
DI 10.1159/000505080
PD 2019
PY 2019
AB Introduction: Surgical interventions such as stereotactic radiosurgery
   and magnetic resonance-guided focused ultrasound, and neuromodulatory
   interventions such as deep brain stimulation (DBS) and vagal nerve
   stimulation, are under investigation to remediate psychiatric conditions
   resistant to conventional therapies involving drugs and psychological
   supports. Objective: Given the complicated history of psychiatric
   neurosurgery and its renaissance today, we sought to examine current
   perceptions and predictions about the field among practicing functional
   neurosurgeons. Methods: We designed a 51-question online survey
   comprising Likert-type, multiple-choice, and rank-order questions and
   distributed it to members of the American Society for Stereotactic and
   Functional Neurosurgery (ASSFN). Descriptive and inferential statistical
   analyses were performed on the data. Results: We received 38 completed
   surveys. Half (n = 19) of responders reported devoting at least a
   portion of their clinical practice to psychiatric neurosurgery,
   utilizing DBS and treating obsessive compulsive disorder (OCD) most
   frequently overall. Respondents indicated that psychiatric neurosurgery
   is more medically effective (OR 0, p = 0.03242, two-sided Fisher's exact
   test) and has clearer clinical indications for the treatment of OCD than
   for the treatment of depression (OR 0.09775, p = 0.005137, two-sided
   Fisher's exact test). Seventy-one percent of all respondents (n = 27)
   supported the clinical utility of ablative surgery in modern
   neuropsychiatric practice, 87% (n = 33) agreed that ablative procedures
   constitute a valid treatment alternative to DBS for some patients, and
   61% (n = 23) agreed that ablative surgery may be an acceptable treatment
   option for patients who are unlikely to comply with postoperative care.
   Conclusions: This up-to-date account of practices, perceptions, and
   predictions about psychiatric neurosurgery contributes to the knowledge
   about evolving attitudes over time and informs priorities for education
   and further surgical innovation on the psychiatric neurosurgery
   landscape.
OI Kiss, Zelma/0000-0002-8656-2690
ZB 2
ZA 0
Z8 0
ZS 0
TC 6
ZR 0
Z9 6
U1 0
U2 1
SN 1011-6125
EI 1423-0372
UT WOS:000516593300012
PM 31955163
ER

PT S
AU Bujnowska-Fedak, Maria M.
   Waligora, Joanna
   Mastalerz-Migas, Agnieszka
BE Pokorski, M
TI The Internet as a Source of Health Information and Services
SO ADVANCEMENTS AND INNOVATIONS IN HEALTH SCIENCES
SE Advances in Experimental Medicine and Biology
VL 1211
BP 1
EP 16
DI 10.1007/5584_2019_396
PD 2019
PY 2019
AB The Internet is increasingly used for health-related purposes and
   evolves with the ever-changing needs of patients. The aim of this study
   was to assess the level of reliance on the Internet as a health
   information source, to examine which online communication activities are
   the most common for health purposes, and to determine the attitudes and
   needs of patients in this area and the factors affecting its use. A
   total of 1000 adults were selected from the Polish population by random
   sampling. The survey was administered by the Computer-Assisted Telephone
   Interview (CATI). The study concluded that 76.9% of the participants
   used the Internet for health purposes, among whom 72.6% of active and
   27.4% of passive users were distinguished. The role of the Internet as a
   source of health information has increased, which corresponds to a
   growing interest in online health services. The majority of individuals
   searching for health information in the Internet lived in urban areas,
   had a high level of education, and was professionally active. We
   conclude that the increased interest in the use of the Internet related
   to health determines the direction in which e-health should be developed
   in the future.
RI Bujnowska-Fedak, Maria Magdalena/ABD-2237-2021; Mastalerz-Migas, Agnieszka/W-5453-2018
OI Bujnowska-Fedak, Maria Magdalena/0000-0002-4624-5025; Mastalerz-Migas,
   Agnieszka/0000-0001-6600-2760
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
TC 23
Z9 23
U1 0
U2 10
SN 0065-2598
EI 2214-8019
BN 978-3-030-32788-0; 978-3-030-32787-3
UT WOS:000516708900001
PM 31273574
D2 10.1007/978-3-030-32788-0
ER

PT S
AU Waligora, Joanna
   Bujnowska-Fedak, Maria Magdalena
BE Pokorski, M
TI Online Health Technologies and Mobile Devices: Attitudes, Needs, and
   Future
SO MEDICAL SCIENCE AND RESEARCH
SE Advances in Experimental Medicine and Biology
VL 1153
BP 19
EP 29
DI 10.1007/5584_2019_335
PD 2019
PY 2019
AB Advances in mobile technology constitute a promising and evolving trend
   that enables better access to health care especially for the elderly,
   disabled, and chronically ill. It overcomes geographical, temporal, and
   organizational barriers at low and affordable costs. The aim of the
   study was to evaluate the needs and expectations of Polish citizens and
   their attitudes toward mobile health (mHealth) services using mobile
   phones and communication devices in medical care and also to evaluate
   the sociodemographic factors affecting such behavioral processes. A
   total of 1000 adults were selected from the Polish population by random
   sampling. The assessment was made with the use of computer-assisted
   telephone interview (CATI). Approximately 78% of the study participants
   were proficient mobile phone users with a predominance of young people.
   Forty-seven percent of them expressed the desire to obtain information
   about their health via their mobile phone if they had the opportunity to
   do so. Important factors associated with the aforementioned statement
   included younger age, being still in education, or unemployed. Among the
   mHealth supporters, the vast majority of people (84%) would like to
   receive SMS (short message service) reminders for appointments and
   prescribed medicines. Other favorable mHealth activities were
   e-registration (77.9%), viewing test results online (80.6%), or
   receiving basic medical recommendations (75.7%). Only 30% of the
   respondents had a positive attitude toward teleconsultation, while 17.8%
   of them were willing to pay for this option. Further research on
   emerging new and beneficial mHealth solutions needs to be conducted.
RI Bujnowska-Fedak, Maria Magdalena/ABD-2237-2021
OI Bujnowska-Fedak, Maria Magdalena/0000-0002-4624-5025
TC 8
ZS 0
ZA 0
ZR 0
Z8 0
ZB 1
Z9 8
U1 0
U2 10
SN 0065-2598
EI 2214-8019
BN 978-3-030-19059-0; 978-3-030-19058-3
UT WOS:000517753500003
PM 30725364
D2 10.1007/978-3-030-19059-0
ER

PT S
AU Erolin, Caroline
BE Rea, PM
TI Interactive 3D Digital Models for Anatomy and Medical Education
SO BIOMEDICAL VISUALISATION, VOL 2
SE Advances in Experimental Medicine and Biology
VL 1138
BP 1
EP 16
DI 10.1007/978-3-030-14227-8_1
PD 2019
PY 2019
AB This chapter explores the creation and use of interactive,
   three-dimensional (3D), digital models for anatomy and medical
   education. Firstly, it looks back over the history and development of
   virtual 3D anatomy resources before outlining some of the current means
   of their creation; including photogrammetry, CT and surface scanning,
   and digital modelling, outlining advantages and disadvantages for each.
   Various means of distribution are explored, including; virtual learning
   environments, websites, interactive PDF's, virtual and augmented
   reality, bespoke applications, and 3D printing, with a particular focus
   on the level of interactivity each method offers. Finally, and perhaps
   most importantly, the use of such models for education is discussed.
   Questions addressed include; How can such models best be used to enhance
   student learning? How can they be used in the classroom? How can they be
   used for self-directed study? As well as exploring if they could one day
   replace human specimens, and how they complement the rise of online and
   e-learning.
OI Erolin, Caroline/0000-0003-2707-5582
ZB 5
TC 30
ZS 1
ZA 0
ZR 0
Z8 0
Z9 31
U1 5
U2 13
SN 0065-2598
EI 2214-8019
BN 978-3-030-14227-8; 978-3-030-14226-1
UT WOS:000514659900002
PM 31313254
D2 10.1007/978-3-030-14227-8
ER

PT S
AU Moro, Christian
   Gregory, Sue
BE Rea, PM
TI Utilising Anatomical and Physiological Visualisations to Enhance the
   Face-to-Face Student Learning Experience in Biomedical Sciences and
   Medicine
SO BIOMEDICAL VISUALISATION, VOL 3
SE Advances in Experimental Medicine and Biology
VL 1156
BP 41
EP 48
DI 10.1007/978-3-030-19385-0_3
PD 2019
PY 2019
AB The introduction of online learning and interactive technology into
   tertiary education has enabled biomedical science and medical faculties
   to provide students with quality resources for off-campus study. This
   encompasses online self-directed learning, interactive blogs, quizzes,
   recordings of lectures and other resources. In addition, textbooks are
   now supplemented with interactive online learning tools, meaning that
   the student now has more accessibility than ever to engage with content.
   However, in biomedical sciences and medicine, technology has also
   enhanced the in-classroom experience. Anatomical and physiological
   visualisations in virtual, augmented and mixed reality provide students
   with an unprecedented ability to explore virtual content in-class, while
   learning remains structured by the facilitator and teaching team. This
   chapter will provide insights into the past use of technology to enhance
   off-campus learning, and then focus on the range of visualisations
   utilised within the laboratory or classroom in order to facilitate
   learning in biomedical sciences and medicine, including: augmented
   reality, virtual reality; mixed reality and Holograms; 3D printing;
   simulated dissections and anatomy simulation tables; and "Smart" tablets
   and touchscreen devices.
RI Moro, Christian/G-7307-2012
OI Moro, Christian/0000-0003-2190-8301
ZA 0
TC 3
Z8 0
ZB 1
ZS 0
ZR 0
Z9 3
U1 4
U2 19
SN 0065-2598
EI 2214-8019
BN 978-3-030-19385-0; 978-3-030-19384-3
UT WOS:000514372000004
PM 31338776
D2 10.1007/978-3-030-19385-0
ER

PT S
AU Border, Scott
BE Rea, PM
TI Assessing the Role of Screencasting and Video Use in Anatomy Education
SO BIOMEDICAL VISUALISATION, VOL 4
SE Advances in Experimental Medicine and Biology
VL 1171
BP 1
EP 13
DI 10.1007/978-3-030-24281-7_1
PD 2019
PY 2019
AB The subject of anatomy, commonly taught with applied clinical focus on
   medical programmes, is frequently brought to life alongside art, imagery
   and visualization. Yet, despite being continually hailed as the
   cornerstone of medicine, the cyclic revalidation of its curricula has
   often found its educators in the unenviable position of maintaining
   knowledge standards in the face of reduced contact time. However, the
   gravity of such challenges has created an opportunity for creative and
   innovative solutions to these problems. The ease by which educational
   technology can now be used by non-experts is constantly increasing and
   the use of technology enhanced learning has now become universal within
   Higher Education. Many anatomical science educators have turned to
   building bespoke interactive and engaging online supplementary material
   which can be blended with face to face delivery as a way to circumvent
   the time pressure issues. Today's students appear to have a growing
   preference for visualising moving images and audio explanations as
   opposed to older traditional static resources, underpinned by vast pages
   of unattractive dense text and pictures. One such technique being used
   to provide flexible and student-centred learning is screencast videos.
   These digital recordings of screen captured drawings, with accompanying
   narration are overwhelmingly popular with students and on the
   ascendance. However, as new tools emerge, it becomes increasingly
   important to determine their impact on both the student experience and
   knowledge gain. It is also valuable for educators to share their
   classroom experiences or instructional techniques to optimise their use
   for learning. This chapter explores the rise of this application in
   anatomy education and discusses the evidence available investigating
   student engagement and learning outcomes in the context of
   well-established learning theories.
Z8 0
ZS 0
TC 10
ZA 0
ZR 0
ZB 4
Z9 10
U1 0
U2 4
SN 0065-2598
EI 2214-8019
BN 978-3-030-24281-7; 978-3-030-24280-0
UT WOS:000514370300002
PM 31823235
D2 10.1007/978-3-030-24281-7
ER

PT S
AU Quail, Nathaniel Patrick Andrew
   Boyle, James Graham
BE Rea, PM
TI Virtual Patients in Health Professions Education
SO BIOMEDICAL VISUALISATION, VOL 4
SE Advances in Experimental Medicine and Biology
VL 1171
BP 25
EP 35
DI 10.1007/978-3-030-24281-7_3
PD 2019
PY 2019
AB Health care professionals must not only have knowledge, but also be able
   to organise, synthesise and apply this knowledge in such a way that it
   promotes the development of clinical reasoning. Panels of Virtual
   patients (VPs) are widely being used in health professions education to
   facilitate the development of clinical reasoning. VPs can also be used
   to teach wider educational outcomes such as communication skills,
   resource utilisation and longitudinal patient care. This chapter will
   define virtual patients and examine the evidence behind their use in
   health professions learning and teaching. The chapter will discuss
   virtual patient design, such as gamification. Finally, the chapter will
   discuss where this pedagogical innovation is best integrated into
   assessment and potential barriers to implementation into existing
   curricula.
OI Quail, Nathaniel/0000-0002-4918-5179
TC 5
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
Z9 5
U1 4
U2 16
SN 0065-2598
EI 2214-8019
BN 978-3-030-24281-7; 978-3-030-24280-0
UT WOS:000514370300004
PM 31823237
D2 10.1007/978-3-030-24281-7
ER

PT S
AU Moro, Christian
   Smith, Jessica
   Stromberga, Zane
BE Rea, PM
TI Multimodal Learning in Health Sciences and Medicine: Merging
   Technologies to Enhance Student Learning and Communication
SO BIOMEDICAL VISUALISATION, VOL 5
SE Advances in Experimental Medicine and Biology
VL 1205
BP 71
EP 78
DI 10.1007/978-3-030-31904-5_5
PD 2019
PY 2019
AB Advances in consumer-level educational technologies show great promise
   for enhancing the learning experiences of students in health and
   medicine. There are particular benefits to using a combination of
   various devices and technologies when teaching challenging concepts.
   These include augmented reality-enabled devices enriched with
   accompanying 3D printed models, or virtual reality sessions coupled with
   online quizzes or revision activities. Tablet applications can also be
   integrated while students engage concurrently in desktop-based online
   learning. This mixing and merging of different technologies can allow
   educators to focus on the strengths of each device, while mitigating
   limitations arising from a single mode's stand-alone use. This chapter
   describes a series of options to integrate multiple digital modes when
   educating health science and medical students using technology. It also
   presents the opportunity for health professional program graduates to be
   trained in teaching using technology, as their future careers can be
   enhanced by an ability to educate effectively, or from the skills
   developed when incorporating innovations such as serious games into a
   health curriculum. With the dynamic and ever-changing nature of health
   and medical education, educators can find great benefits when
   introducing multimodal digital learning into their respective courses.
RI Moro, Christian/G-7307-2012; Stromberga, Zane/AAP-1232-2020; Stromberga, Zane/
OI Moro, Christian/0000-0003-2190-8301; Stromberga,
   Zane/0000-0003-1896-7300
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
TC 12
Z9 12
U1 1
U2 16
SN 0065-2598
EI 2214-8019
BN 978-3-030-31904-5; 978-3-030-31903-8
UT WOS:000514373100006
PM 31894570
D2 10.1007/978-3-030-31904-5
ER

PT J
AU Almutairi, Sarah
   Almutairi, Marwah
   Khalil, Tahani
TI Utilization of Social Media in Educating Family Medicine Residents in
   the Kingdom of Saudi Arabia: Frequency and Belief
SO INTERNATIONAL JOURNAL OF MEDICAL RESEARCH & HEALTH SCIENCES
VL 8
IS 12
BP 46
EP 59
PD 2019
PY 2019
AB Background: Social media may offer certain advantages over more
   traditional educational tools as they can be accessed geographically and
   temporally in asynchronous manners as well as the majority of young
   health professionals prefer online media as their primary source of
   information. Objectives: To explore the frequency of use and belief of
   family medicine residents all over the Kingdom regarding the utilization
   of social media in learning. Subjects and methods: Cross-sectional study
   was carried out January to October 2019 in all Regions of the Kingdom of
   Saudi Arabia (KSA) that hosts a postgraduate training program. A sample
   of family medicine residents enrolled in all family Medicine residency
   programs of the Saudi Commission of Health Specialists (R1-R4) was
   chosen. Data were collected using an online questionnaire consists of
   four main parts: personal characteristics of the residents, details of
   SM utilization in education belief concerning the impact of utilization
   of SM on learning and barriers and problems faced in using SM in
   education. Results: The study included three hundred family medicine
   residents. Females represent 56.7% of them. The majority of them (93%)
   reported using social media in education. Almost one-third of the
   participants (36.6%) reported daily use of social media in education.
   The commonest used social media in education was YouTube (73%), followed
   by Google+ (32.3%) and Twitter (14.3%). Overall, the percentage of the
   belief regarding the impact of SM on learning scores among family
   medicine residents ranged between 36.2% and 100% with a mean +/- SD of
   72.1 +/- 13 and median (IQR) of 74.5% 963.8-80.9%). More than half of
   the family medicine residents (51%) reported non-communication with
   their tutor via social network. Nearly one-third of the family medicine
   residents (36%) reported institutional non-usage of social media in
   education. Only 39.1% of family medicine residents were aware of the
   ethical guidance for using social media. Conclusion: The use of social
   media among family medicine residents in Saudi Arabia in medical
   education is very common, with no difference according to gender,
   residency level or place of the residency program. However, an apparent
   confusion was observed concerning the belief of family medicine
   residents towards the influence of utilizing social media in learning.
ZS 0
TC 0
ZR 0
Z8 0
ZB 0
ZA 0
Z9 0
U1 1
U2 3
SN 2319-5886
UT WOS:000514803300006
ER

PT C
AU Jiang, Minmin
   Li, Da-peng
   Mu, Fuqi
   Qiu, Xin
   Chai, Xurong
   Sun, Zhihao
BE Su, R
TI An offline fast model training method using CGAN for anti-jamming in
   true environment
SO 2019 INTERNATIONAL CONFERENCE ON IMAGE AND VIDEO PROCESSING, AND
   ARTIFICIAL INTELLIGENCE
SE Proceedings of SPIE
VL 11321
AR 1132106
DI 10.1117/12.2538420
PD 2019
PY 2019
AB Deep learning is applied in the Cognitive Radio field, such as
   anti-jamming communication based on spectrum waterfall image. However,
   the anti-jamming communication is a decision problem essentially, which
   interacts with the environment dynamically and is quite different from
   the problems of classification and detection. The training for decision
   problem often requires sampling a large number of labeled dataset from
   true environment, which undoubtedly suffers from the extremely high time
   consumption problem. In this paper, an offline fast model training
   method for anti-jamming communication is proposed. Specifically, a novel
   framework is developed to accelerate the training procedure. Like the
   Gym toolkit, a virtual environment generator for the production of the
   spectrum waterfall image is made by CGAN which is trained using the
   dataset sampled randomly by real transceiver. Due to the variety of the
   synthesized spectrum waterfall images outputted rapidly through the
   environment generator, the training efficiency is improved
   significantly. The experiments show, compared with the online training
   method, the time cost of the offline method is reduced over 50%.
CT 2nd International Conference on Image and Video Processing, and
   Artificial Intelligence (IPVAI)
CY AUG 23-25, 2019
CL Shanghai, PEOPLES R CHINA
SP Chinese Acad Sci, Shanghai Adv Res Inst
TC 0
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 0
U1 0
U2 2
SN 0277-786X
EI 1996-756X
BN 978-1-5106-3410-7
UT WOS:000511402300005
ER

PT J
AU Uchida, Toshiko
   Park, Yoon Soo
   Ovitsh, Robin K.
   Hojsak, Joanne
   Gowda, Deepthiman
   Farnan, Jeanne M.
   Boyle, Mary
   Blood, Angela D.
   Achike, Francis I.
   Silvestri, Ronald C.
TI Approaches to Teaching the Physical Exam to Preclerkship Medical
   Students: Results of a National Survey
SO ACADEMIC MEDICINE
VL 94
IS 1
BP 129
EP 134
DI 10.1097/ACM.0000000000002433
PD JAN 2019
PY 2019
AB Purpose
   To assess current approaches to teaching the physical exam to
   preclerkship students at U.S. medical schools.
   Method
   The Directors of Clinical Skills Courses developed a 49-question survey
   addressing the approach, pedagogical methods, and assessment methods of
   preclerkship physical exam curricula. The survey was administered to all
   141 Liaison Committee on Medical Education-accredited U.S. medical
   schools in October 2015. Results were aggregated across schools, and
   survey weights were used to adjust for response rate and school size.
   Results
   One hundred six medical schools (75%) responded. Seventy-nine percent of
   schools (84) began teaching the physical exam within the first two
   months of medical school. Fifty-six percent of schools (59) employed
   both a "head-to-toe" comprehensive approach and a clinical reasoning
   approach. Twenty-three percent (24) taught a portion of the physical
   exam interprofessionally. Videos, online modules, and simulators were
   used widely, and 39% of schools (41) used bedside ultrasonography.
   Schools reported a median of 4 formative assessments and 3 summative
   assessments, with 16% of schools (17) using criterion-based
   standard-setting methods for physical exam assessments. Results did not
   vary significantly by school size.
   Conclusions
   There was wide variation in how medical schools taught the physical exam
   to preclerkship students. Common pedagogical approaches included early
   initiation of physical exam instruction, use of technology, and methods
   that support clinical reasoning and competency-based medical education.
   Approaches used by a minority of schools included interprofessional
   education, ultrasound, and criterion-based standard-setting methods for
   assessments. Opportunities abound for research into the optimal methods
   for teaching the physical exam.
RI Achike, Francis/AAH-5695-2021; Park, Yoon Soo/AFK-2778-2022; Blood, Angela/AAD-5475-2019; Park, Yoon Soo/AAG-1098-2022
OI Park, Yoon Soo/0000-0001-8583-4335; Blood, Angela/0000-0003-2275-923X;
   Park, Yoon Soo/0000-0001-8583-4335
ZA 0
TC 14
ZB 1
ZR 0
ZS 1
Z8 0
Z9 15
U1 0
U2 3
SN 1040-2446
EI 1938-808X
UT WOS:000454199200027
PM 30157090
ER

PT J
AU Koehler, Realm
   Lambert, Christine
   Biesalski, Hans K.
TI Animal-based food taboos during pregnancy and the postpartum period of
   Southeast Asian women A review of literature
SO FOOD RESEARCH INTERNATIONAL
VL 115
BP 480
EP 486
DI 10.1016/j.foodres.2018.10.026
PD JAN 2019
PY 2019
AB This paper gives an overview of the various taboos on animal products
   and the reasons behind such practices among women in the member
   countries of the Association of Southeast Asian Nations (ASEAN), while
   they are pregnant, during their postpartum period, and while
   breastfeeding.
   Three data search engines, Googlee (R) Scholar, PubMed and Scopus, were
   used one after the other, to generate the papers for this review. The
   online searches using the term food taboo, its synonyms, and
   truncations, in combination with the terms pregnancy, postpartum, and
   breastfeeding, and with the country name, were conducted from January to
   February 2017. In total, 28 papers were pooled and included in this
   review. The taboos and the justification for avoidance were collated and
   grouped per their occurrence, and according to the country where they
   are practiced. Nine papers provided information on the food taboos
   during pregnancy, 16 on postpartum food taboos, and six on
   breastfeeding. The food taboos included various river or seafood, meat
   from terrestrial animals, and derived products like fish paste, blood
   and internal organs.
   Healthcare providers should be aware of the food taboos being adhered to
   in the region to provide the right information and guidance to the women
   practicing them. There is a need to educate the public in general, and
   women, in particular, about the risk of malnutrition when food taboos
   are followed, and to support their nutritional requirements during
   pregnancy and the postpartum period by promoting dietary
   diversification.
   More research could be conducted to fill in the gap in information with
   regards to the food taboos and their impact in some of the ASEAN
   members. Culture-sensitive health interventions based on timely research
   work can contribute to the attainment of the sustainable development
   goal of reducing the maternal and under-five mortality ratios in
   Southeast Asia.
RI Köhler, Realm/D-4215-2018
OI Köhler, Realm/0000-0002-1075-2172
ZR 0
ZA 0
ZS 0
Z8 0
TC 8
ZB 4
Z9 8
U1 1
U2 14
SN 0963-9969
EI 1873-7145
UT WOS:000456758800056
PM 30599968
ER

PT J
AU Paquin, Vincent
   Sandy, Glenda
   Perrault-Sullivan, Gentiane
   Fortin, Gabriel
   Cauchon, Michel
   Fletcher, Christopher
   Ouellet, Jean
   Lemire, Melanie
TI Twenty "must-read" research articles for primary care providers in
   Nunavik: scoping study and development of an information tool
SO INTERNATIONAL JOURNAL OF CIRCUMPOLAR HEALTH
VL 78
IS 1
DI 10.1080/22423982.2019.1578638
PD JAN 1 2019
PY 2019
AB While health needs in Nunavik are distinct, there is a scarcity of
   knowledge transfer intended for local primary care providers. We aimed
   to build an information tool in the form of a newsletter and a website
   to share with them a selection of relevant research articles. To
   identify such articles, a scoping study of Inuit health research
   published between 2012 and 2017 was conducted. Selection criteria were
   adapted from the framework of information mastery. After a database
   search yielding 2896 results, publications were screened for
   eligibility. Next, the 226 eligible articles were evaluated and scored
   for their relevance, their methods (including community participation),
   their local applicability and their clinical utility. The 20
   highest-scored articles were selected for dissemination in a newsletter.
   They were summarised and presented in 6 thematic emails: Child
   Development, Infectious Diseases, Traditional and Modern Medicine,
   Metabolism, Nutrition and Contaminants, and Inuit Perspectives. The
   newsletter was sent to over 190 health workers and regional stakeholders
   in Nunavik and was also published online. We hope that this project will
   foster knowledge sharing and inter-sectorial collaboration between
   research, public health and clinical care. Trends in Inuit health
   research are discussed.
RI Paquin, Vincent/AAJ-3617-2021; Lemire, Melanie/G-4186-2016
OI Paquin, Vincent/0000-0001-9589-039X; Lemire, Melanie/0000-0003-3334-1349
ZR 0
ZA 0
Z8 0
ZS 0
ZB 1
TC 5
Z9 5
U1 2
U2 17
SN 1239-9736
EI 2242-3982
UT WOS:000467813700001
PM 30831057
ER

PT J
AU Alzahrani, Abdullah A. H.
   Alhassan, Eltayeb M.
   Attia, Mahmoud A.
   Albanghali, Mohammad A.
TI Enhancing Dental Carving Skills of Preclinical Dental Hygiene Students
   Using Online Dental Anatomy Resources
SO OPEN DENTISTRY JOURNAL
VL 13
BP 499
EP 504
DI 10.2174/1874210601913010499
PD 2019
PY 2019
AB Background:
   A key role of dental carving is enhancing manual proficiency and
   dexterity of dental hygiene students. Yet, utilizing Supplementary
   Online Dental Anatomy Resources (SODAR) as a supportive teaching
   approach has demonstrated the ability to improve carving skills.
   Objective:
   This study aims to examine the effectiveness of SODAR training in
   improving the quality of dental carving skills and knowledge among
   preclinical Saudi male students in Saudi Arabia.
   Methods:
   A basic double-blinded randomized controlled trial of 30 preclinical
   Saudi dental male students was conducted between January and April 2019.
   Participants were classified into an experimental group that received
   SODAR training (n = 15) and a control group comprising students who did
   not receive SODAR training (n = 15). The t-test and Fisher's exact test
   were performed to assess differences in theoretical knowledge between
   the two groups. While Cohen's d test, t-test, and Pearson correlation
   were conducted to evaluate differences in students' dental carvings.
   Results:
   Students with SODAR training performed better on practical carving
   sessions than those without intervention (P-value < 0.001). However,
   SODAR intervention had no significant effect on the theoretical
   knowledge evaluations in both the groups.
   Conclusion:
   SODAR training demonstrated its ability to support students learning in
   practical carving sessions: however, no effect on theoretical knowledge
   was observed. Future research should focus on factors that impact
   carving teaching strategies, including the quality and depth of online
   learning content, students' perceptions of online learning, and
   experiences of teachers who run the online resources.
RI Albanghali, Mohammad/ABF-2641-2020
OI Albanghali, Mohammad/0000-0002-4753-5411
ZR 0
Z8 0
TC 4
ZS 0
ZA 0
ZB 0
Z9 4
U1 0
U2 0
SN 1874-2106
UT WOS:000508681300013
ER

PT J
AU Nijmeijer, Stephanie C. M.
   Conijn, Thirsa
   Lakeman, Phillis
   Henneman, Lidewij
   Wijburg, Frits A.
   Haverman, Lotte
TI Attitudes of the general population towards preconception expanded
   carrier screening for autosomal recessive disorders including inborn
   errors of metabolism
SO MOLECULAR GENETICS AND METABOLISM
VL 126
IS 1
BP 14
EP 22
DI 10.1016/j.ymgme.2018.12.004
PD JAN 2019
PY 2019
AB Background: A substantial number of severely debilitating and often
   ultimately fatal inborn errors of metabolism (IEMs) still lack an
   effective disease-modifying treatment. Informing couples before a
   pregnancy about an increased risk of having a child with an inherited
   disorder is now feasible by preconception expanded carrier screening
   (ECS). While knowledge about carrier status enhances reproductive
   autonomy, it may also result in ethical dilemmas. The purpose of this
   study was to assess the attitudes of the general Dutch population
   towards preconception ECS and to investigate which factors influence
   these attitudes.
   Methods: Data collection was carried out in collaboration with a market
   research agency. In total, 1188 Dutch individuals of reproductive age
   (18-45 years) were invited by email to complete an online ECS
   questionnaire in 2016. Prior to the start of the questionnaire, a
   written explanation of the concepts of autosomal recessive (AR)
   inheritance, carrier status and ECS was presented.
   Results: The questionnaire was completed by 781 individuals (65.7%), of
   whom 31% indicated they would take an ECS test themselves. In addition,
   55% agreed that ECS should be offered to all prospective parents. The
   most frequently selected argument in favor of ECS (47.2%) was that
   participants want to spare a child from a life with a severe hereditary
   disorder. The reason most often mentioned not to participate in ECS
   (48%) was that participants reported not having a hereditary disorder in
   the family. The majority preferred receiving individual test results
   above a couple-based disclosure method in which participants receive the
   carrier status results only when they are a carrier couple of the same
   disorder. Participants with religious beliefs were less likely to
   participate in ECS, whereas participants who were considering a (future)
   pregnancy were more likely to participate.
   Conclusion: Our study demonstrates an overall positive attitude among
   participants of reproductive age in the general Dutch population towards
   preconception ECS. A striking misconception is that many of the
   participants believe that ECS is of interest only for those with a
   positive family history of one of the hereditary disorders. This finding
   emphasizes the importance of providing understandable, balanced
   information and education to the general public regarding the concepts
   of inheritance when presenting the option of carrier screening. Our
   results provide valuable insights that can be used in the debate about
   the responsible implementation of preconception ECS for AR disorders,
   including IEMs.
OI Haverman, Lotte/0000-0001-7849-0562; Henneman,
   Lidewij/0000-0003-3531-0597; Wijburg, Frits/0000-0002-0950-1368
TC 22
ZS 0
Z8 0
ZB 11
ZR 1
ZA 0
Z9 23
U1 0
U2 6
SN 1096-7192
EI 1096-7206
UT WOS:000456356400003
PM 30563741
ER

PT S
AU Caputo, Federica
   Merlotti, Eleonora
   Andlauer, Olivier
   Galderisi, Silvana
BE Hermans, MHM
   ChayHoon, T
   Pi, E
TI Opportunities of e-Learning in Education in Psychiatry
SO EDUCATION ABOUT MENTAL HEALTH AND ILLNESS
SE Mental Health and Illness Worldwide
BP 373
EP 390
DI 10.1007/978-981-10-2350-7_22
PD 2019
PY 2019
AB e-Learning is an expanding field in which many psychiatrists play an
   active role by teaching, training, and pursuing their continuing
   professional development. In this chapter, we describe the use of
   e-learning systems and its outcomes in psychiatric education. Research
   studies were identified through a literature search using PubMed, with
   the following terms: "e-learning," "online," "psychiatry training," and
   "medical training" and examining e-learning related documents published
   by the European Psychiatry Association (EPA). Several studies have
   revealed that e-learning has similar, if not better, outcomes in
   comparison to traditional educational systems led onsite by teachers.
   Although e-learning has been considered cost-effective, the costs
   relative to the development of a system with high technical and
   educational quality standards need to be considered. While e-learning is
   spreading in other medical fields, its use has been limited in
   psychiatry due to some intrinsic limitations, such as the lack of live
   interaction with patients. Nevertheless, research studies prove that
   e-learning can be successfully applied in psychiatry, with better
   outcomes obtained when these systems are blended with the more
   traditional ones. While e-learning may attract students' interest,
   several critical factors, such as appropriate time management, efficient
   use of educational materials and techniques, and adequate on-line
   participation, need to be further considered. Expectations for the
   future are that e-learning will spread in the field of psychiatry,
   hopefully contributing to the harmonization of education across
   countries and to the exchange of opinions and experiences on emergent
   topics.
ZA 0
TC 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 0
U1 0
U2 4
SN 2511-8323
EI 2511-8315
BN 978-981-10-2350-7; 978-981-10-2349-1
UT WOS:000490286100020
D2 10.1007/2F978-981-10-2350-7
ER

PT J
AU Mody, Kush S.
   Acharya, Pankti P.
   Brougham, Kyle
   Parekh, Selene G.
TI Orthopedic Master's in Business Administration: A career path analysis
SO ORTHOPEDIC REVIEWS
VL 11
IS 4
BP 201
EP 205
AR 8360
DI 10.4081/or.2019.8360
PD 2019
PY 2019
AB In recent years, it has become increasingly important for physicians to
   understand the healthcare system holistically. Thus, some physicians
   have sought formal education in business through a Master's in Business
   Administration (MBA). En this study, we looked specifically at
   orthopedic MD-MBAs and their career trajectories. We conducted a
   cross-sectional study of 127 orthopedic surgeons who have both MD and
   MBA degrees. Through online searches and phone calls, we compiled
   information regarding years in practice, fellowship training, practice
   type, non-clinical roles, and business school education. Almost all
   (96.85%) orthopedic MD-MBAs identified are still practicing clinically.
   The most common nonclinical roles are administration (38.58%), industry
   consulting (20.47%), and entrepreneurship (11.02%). Most (65.35%)
   pursued MBAs after medical school, but dual-degree programs are
   increasing in popularity. Almost all (88.57%) graduates of such programs
   have been practicing for less than 15 years. Orthopedic surgeons
   participate in a variety of nonclinical roles including administration,
   consulting, and entrepreneurship. For those currently in training, it is
   important to recognize the many opportunities that exist and the
   potential paths to pursuing them.
OI Parekh, Selene/0000-0002-1308-9038
ZR 0
ZA 0
Z8 0
TC 2
ZB 0
ZS 0
Z9 2
U1 0
U2 1
SN 2035-8237
EI 2035-8164
UT WOS:000505234000008
PM 31897283
ER

PT J
AU Gokani, Shyam Ajay
   Sharma, Ekta
   Sharma, Tanisha
   Moudhgalya, Shyam Venkatesan
   Selvendran, Subothini Sara
   Aggarwal, Nikhil
TI Impact of a National Journal Club and Letter Writing Session on
   Improving Medical Students' Confidence with Critical Appraisal
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 1081
EP 1087
DI 10.2147/AMEP.S235260
PD 2019
PY 2019
AB Background: Critical appraisal is an important skill for clinicians of
   the future which medical students often have limited opportunities to
   develop. This study aimed to evaluate whether a national journal club
   session could improve medical students' confidence with critical
   appraisal.
   Methods: 98 medical students attended a critical appraisal lecture and
   supervised journal article discussions. Junior doctor mentors supported
   students to submit discussion points as a letter-tothe-editor. An online
   cross-sectional survey was administered before and after the conference.
   Results: 74 students responded, reporting increased confidence with
   critically appraising research articles (median score 2 vs 4, p<0.01)
   and increased understanding of why critical appraisal was important to
   their careers (median score 3 vs 5, p<0.01).
   Discussion: This is the first study to demonstrate that a single
   national journal club session can significantly improve UK medical
   students' confidence with the critical appraisal process. These
   opportunities are valued by medical students.
ZB 0
ZR 0
ZS 2
TC 3
Z8 0
ZA 0
Z9 5
U1 0
U2 0
SN 1179-7258
UT WOS:000503960100001
PM 31920419
ER

PT J
AU Tak, Casey
   Henchey, Craig
   Feehan, Michael
   Munger, Mark A.
TI Modeling Doctor of Pharmacy Students' Stress, Satisfaction, and
   Professionalism Over Time
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 83
IS 9
BP 2021
EP 2028
AR 7432
PD 2019
PY 2019
AB Objective. To gauge multiple dimensions of pharmacy students'
   professionalism, stress, and satisfaction with the Doctor of Pharmacy
   (PharmD) program.
   Methods. An online survey of first-through fourth-year pharmacy students
   was conducted from 2015-2018 to gauge the degree of students'
   professionalism (personal reflection, patient-centric care focus,
   cultural and interprofessional competencies), program stress (levels,
   sources, and burnout syndrome), and satisfaction. Multilevel structural
   equation modeling (SEM) determined the relationship between stress and
   satisfaction, and the degree to which these impacted levels of
   professionalism after adjusting for potential correlates (age, sex,
   financial stress, relationship status, race, and employment status).
   Results. Seven hundred sixty-four responses to the survey were received
   across the four calendar years. Of the students in the sample, 51% were
   female with a mean (SD) age of 26.6 (3.4) years. The overall response
   rate to the surveys was 86.2%. Professionalism was most strongly
   indicated by the measures of community-centeredness,
   patient-centeredness, and perceived benefits of being part of a
   team-based environment. The SEM model demonstrated an inverse
   relationship between the two composite latent constructs of stress and
   satisfaction. When modeled simultaneously, program satisfaction was
   found to be the more significant predictor of professionalism than
   stress after adjusting for associations with age, sex, and relationship
   status.
   Conclusion. Professionalism of pharmacy students is positively
   associated with students' satisfaction with the program, but
   professionalism is not independently significantly predicted by stress.
   Students who have positive responses to community- and
   patient-centeredness and who feel they benefit from engaging in a
   team-based environment are most likely to have greater professionalism.
RI Munger, Mark A./ABD-8929-2020
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
TC 6
Z9 6
U1 3
U2 6
SN 0002-9459
EI 1553-6467
UT WOS:000503037400023
PM 31871360
ER

PT J
AU Fernandez-Rodriguez, Maria
TI Report on the Use of Direct-to-Consumer Genetic Test
SO ARS PHARMACEUTICA
VL 60
BP 7
EP 14
DI 10.30827/ars.v60i0.9454
SU 1
PD 2019
PY 2019
AB The Direct-To-Consumer Genetic Tests (TGDC) provide access to genetic
   information without necessarily involving a physician or any other
   health personnel in the process.
   TGDC can promote public awareness of genetic origin about some diseases,
   as, by bringing this type of information to general population, and not
   only to a specific patient, society becomes more aware of them.
   Therefore, a healthier lifestyle, personalized medicine and promotion of
   self-care are also increased.
   Nevertheless, being the principle of autonomy the main argument alluded
   to in favor of the unlimited access to TGDC, it is not possible to
   affirm that the consumer acquiring them, is truly autonomous. The
   companies commercializing them do not currently have a quality track on
   the predictive value of their tests. Therefore, the precautionary
   principle should also operate, by preventing damage to whoever is
   exposed, without having the necessary information.
   The non-regulation of TGDC may pose a risk to the consumer for two
   reasons: firstly, the absence of pre and post test genetic counseling by
   qualified personnel in accredited centers - as established by the
   Biomedical Research Law 14 / 2007-, and secondly, the absence of a
   correct interpretation of the results by a professional can pose a
   medical and psychological risk to the user
   If a consumer decides to acquire one of these genetic tests online, the
   test is directly sent to home, and he/she will receive the results of
   the test and deciding what to do with them. These new possibilities for
   medical-health information are associated to these new ethical-legal
   approaches to which it is necessary paying attention in Spain.
   The community pharmacy, as a health center and organized structure, next
   to general population and involved in education, professional advice,
   and participation in health programs, become the perfect allies in
   matters of possible health regulation of the TGDC. The protocols and
   screening studies carried out in Spain make the current community
   pharmacy an advantageous option for the regulation of TGDC, integrating
   with the pharmacy as a private health facility of public interest,
   within the National Health System.
RI Fernandez, Maria/B-4499-2015
OI Fernandez, Maria/0000-0003-3286-9301
Z8 0
TC 0
ZR 0
ZB 0
ZA 0
ZS 0
Z9 0
U1 1
U2 3
SN 0004-2927
UT WOS:000472132000002
ER

PT J
AU Navabi, Nader
   Okhovati, Maryam
   Farrokhi, Sogand
   Hashemipour, Maryam Alsadat
TI Can Internet Anxiety Affect Electronic Journals Usage? A Cross-
   Sectional Study with Iranian Postgraduate Dental Students
SO PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLINICA INTEGRADA
VL 19
IS 1
AR e4559
DI 10.4034/PBOCI.2019.191.57
PD 2019
PY 2019
AB Objective: To investigate internet anxiety among the dentistry students
   at Kerman University of Medical Sciences and its relationship with
   electronic journals use. Material and Methods: In this cross-sectional
   study, all 72 postgraduate dental assistants at Dentistry School of
   Kerman University of Medical Sciences were considered. Internet anxiety
   questionnaire included demographic questions and questions measuring
   online journals use and the barriers of using. The data then analyzed
   using independent t-test and linear regression, with significance level
   set at 5%. Results: The use of printed books was reported by 78.2% of
   the sample while the use of electronic books was 45.8%. The use of atlas
   was 28.9%, while the use of indexes and abstracts was 57.2. The
   participants used online journals mostly for research (30.8%) and
   education (27.7%). The most important advantages of online journals were
   fast access (25.1%) and easy use (19.9%). To get informed about online
   journals contents, they mostly used search engines and online databases
   (79%). The most important criterion was indexing in Web of Science
   (20.8%). A significant relationship between Internet anxiety and
   academic year was detected (p<0.05) also increase in internet use
   significantly increased Internet anxiety (p=0.001). We suggested
   increasing the knowledge and skill of dental students with online
   resources toward decreasing the level of their Internet anxiety.
   Conclusion: A reverse relationship was observed between the academic
   year and internet anxiety, in other words, senior students were more
   anxious than the junior ones. This study did not ask about computer
   literacy, other studies have reported a negative relationship between
   computer literacy, Internet literacy and internet anxiety, so it is
   suggested to increase the knowledge and skill of students with computer,
   internet and online resources.
RI navabi, nader/AAF-7033-2019; navabi, nader/
OI navabi, nader/0000-0001-6321-0089
ZA 0
TC 0
ZS 0
Z8 0
ZB 0
ZR 0
Z9 0
U1 0
U2 0
SN 1519-0501
EI 1983-4632
UT WOS:000460477900001
ER

PT J
AU Benjet, Corina
   Gutierrez-Garcia, Raul A.
   Abrego-Ramirez, Adrian
   Borges, Guilherme
   Covarrubias-Diaz, Anabell
   del Socorro Duran, Ma
   Gonzalez-Gonzalez, Rogaciano
   Hermosillo-de la Torre, Alicia E.
   Martinez-Martinez, Kalina I.
   Elena Medina-Mora, Maria
   Mejia-Zarazua, Humberto
   Perez-Tarango, Gustavo
   Alicia Zavala-Berbena, Maria
   Mortier, Philippe
TI Psychopathology and self-harm among incoming first-year students in six
   Mexican universities
SO SALUD PUBLICA DE MEXICO
VL 61
IS 1
BP 16
EP 26
DI 10.21149/9158
PD JAN-FEB 2019
PY 2019
AB Objective. To estimate psychopathology and self-harm behavior of
   incoming first-year college students, socio-demographic correlates,
   service use and willingness to seek treatment. Materials and methods. 4
   189 male and female incoming first-year students of six universities in
   four different states of Mexico responded to an online survey with a
   79.3% response rate. Results. Almost one in three incoming students has
   experienced some type of psychopathology; however, only one in five has
   received treatment. Female, students who are older, whose parents are
   not married or deceased, and who have a non-heterosexual orientation, no
   religion or a non-Catholic./Christian religion have greater odds (1.18 -
   1.99), whereas those who attend a private university and have a parent
   with some college education have lower odds (0.68 - 0.75) of
   experiencing any probable disorder. Conclusions. Substantial unmet need
   for mental health services combined with reported willingness to use
   university services suggests an opportunity for the detection, referral,
   and treatment of incoming students to promote a successful transition.
RI Mortier, Philippe/E-3756-2018; Medina-Mora, María Elena I/T-5937-2018; ABREGO RAMIREZ, ADRIAN/; Gonzalez, Rogaciano/; Martinez Martinez, Kalina Isela/N-1487-2017; Gutierrez-Garcia, Raul A./; Borges, Guilherme/
OI Mortier, Philippe/0000-0003-2113-6241; Medina-Mora, María Elena
   I/0000-0001-9300-0752; ABREGO RAMIREZ, ADRIAN/0000-0002-4517-7518;
   Gonzalez, Rogaciano/0000-0002-7275-0332; Martinez Martinez, Kalina
   Isela/0000-0002-3250-1809; Gutierrez-Garcia, Raul
   A./0000-0003-1120-6699; Borges, Guilherme/0000-0002-3269-0507
ZR 0
ZA 0
TC 14
ZB 3
Z8 0
ZS 4
Z9 16
U1 1
U2 5
SN 0036-3634
EI 1606-7916
UT WOS:000472176700007
PM 30753769
ER

PT J
AU Mattukat, Kerstin
   Boehm, Peter
   Raberger, Katja
   Schaefer, Christoph
   Keyszer, Gernot
   Mau, Wilfried
TI How Much Information and Participation Do Patients with Inflammatory
   Rheumatic Diseases Prefer in Interaction with Physicians? Results of a
   Participatory Research Project
SO PATIENT PREFERENCE AND ADHERENCE
VL 13
BP 2145
EP 2158
DI 10.2147/PPA.S209346
PD 2019
PY 2019
AB Objective: Patient preferences for information and participation in
   medical decision-making are important prerequisites to realize a shared
   decision between patients and physicians. This paper aims at exploring
   these preferences in German patients with inflammatory rheumatic
   diseases and at identifying relevant determinants of these preferences.
   Methods: In a cross-sectional survey, adult patients with rheumatoid
   arthritis (RA), spon-dyloarthritis (SA) or different connective tissue
   diseases (CTS) filled out a questionnaire. Data were collected via a
   written questionnaire (1) sent to members of a regional self-help group
   or (2) handed out to patients at their rheumatologist's appointment, and
   (3) via an online questionnaire available nationwide. Measurements
   included information and participation preferences (Autonomy Preference
   Index; API: 0-100), as well as health-related and sociodemographic
   variables. Analyses included ANOVAs (group differences) and multiple
   regression analyses (determinants of preferences). To ensure the
   analysis was patient-centered we involved a trained representative of
   the German League Against Rheumatism as a research partner.
   Results: 1616 patients returned questionnaires [44% response, 79%
   female, mean age 54 years, diagnoses 63% RA, 28% SA, 19% CTS].
   Participants reported a concurring major preference for information but
   vastly different preferences for participation. A greater preference for
   participation was associated with female sex, younger age, higher
   household income, and self-help group membership. Conversely, a lower
   preference for participation was linked to blue-collar workers,
   retirement, higher confidence in the rheumatologist, and poorer health
   literacy.
   Conclusion: Whereas patients consistently welcome comprehensive
   information about their disease and its different treatment options, not
   all patients wish to be involved in therapeutic decisions. Especially
   older patients with lower education status and lower health literacy,
   but higher confidence in their rheumatologist tend to leave the
   decisions rather to the physician. Different preferences should be
   considered in the doctor-patient communication.
RI Mattukat, Kerstin/AAG-5688-2020; Mau, Wilfried/; Boehm, Peter/
OI Mattukat, Kerstin/0000-0002-1284-2876; Mau,
   Wilfried/0000-0001-9811-6383; Boehm, Peter/0000-0002-7186-1997
ZB 1
ZA 0
ZR 0
TC 5
ZS 0
Z8 0
Z9 5
U1 0
U2 3
SN 1177-889X
UT WOS:000504025600001
PM 31908422
ER

PT J
AU Muraru, Iulia-Diana
   Munteanu, Catalina
   Iorga, Magdalena
   Petrariu, F. D.
TI INVESTIGATING MEDICAL STUDENTS' HEALTH CONCERNS DURING THEIR ACADEMIC
   STUDIES
SO MEDICAL-SURGICAL JOURNAL-REVISTA MEDICO-CHIRURGICALA
VL 123
IS 4
BP 728
EP 734
PD 2019
PY 2019
AB The aim of the study is to identify medical students' opinion regarding
   their health and thoughts related to their physical health in relation
   to their clinical practice. Material and methods: medical students
   enrolled in all years of study (from 1 to 6) answered to an online
   questionnaire. Socio-demographic, family, academic and health-related
   data were gathered. A series of items focused on students' opinion about
   physical health in relationship with the completion of their practical
   stages in different clinics. Dietary habits and lifestyle data were also
   collected. Statistical data were analyzed using SPSS v.21. Results: 220
   students aged M = 21.92 +/- 1.96 (19 to 32 years old), 2/3 living in
   urban area. 9.5% of them had a chronic disease. In the case of 5% of
   students, both parents were working abroad. 5% of respondents declared
   that they consumed drugs or psychotropic substances. 1/5 are smokers and
   1/3 drink coffee daily. Students reported an average of 6.73 (+/- 1.09)
   hours of sleep per night. Almost half of them were tense during clinical
   hours (48.2%). 20% of the students strongly agreed with the fact that
   they were always preoccupied with their health. 53,2% used supplements
   seasonally to improve their health. More than half of the students were
   afraid of developing cancer (53.2%), followed by diabetes (6.8%) and
   58.6% claimed that they always have hand sanitizer on them. Conclusions:
   Medical education is a long and demanding academic training when
   different aspects influence students' psychological, physical and social
   health. The contact with patients, the knowledge about illness,
   suffering and dying, determines the individuals to deal with objective
   or imaginative fears and explaining this phenomenon has positive
   consequences for the personal and professional life of the future
   medical doctor.
RI Muraru, Iulia-Diana/H-1956-2017; PETRARIU, FLORIN DUMITRU/A-1375-2019; Iorga, Magda/AAS-6406-2021; IORGA, Magdalena/D-1125-2015
OI Muraru, Iulia-Diana/0000-0001-8177-4443; IORGA,
   Magdalena/0000-0002-7074-959X
TC 0
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
Z9 0
U1 0
U2 1
SN 0048-7848
EI 2286-2560
UT WOS:000504019200022
ER

PT J
AU Bachorik, Alexandra
   Nemer, Michelle K.
   Chen, Grace L.
   Alexander, Cristina Baseggio
   Pelletier, Stephen R.
   Pace, Lydia E.
   Shields, Helen M.
TI Case-Based Curriculum With Integrated Smartphone Applications Improves
   Internal Medicine Resident Knowledge Of Contraceptive Care
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 971
EP 977
DI 10.2147/AMER.S221256
PD 2019
PY 2019
AB Background: Contraception is an essential preventive service for all
   women. However, the literature suggests that internal medicine residents
   have low levels of confidence and knowledge of contraceptive care.
   Objective: We designed and implemented a novel contraception curriculum
   promoting active, collaborative learning. We sought to evaluate whether
   this curriculum improved internal medicine resident knowledge of and
   comfort with contraceptive care through the administration of
   pre-/post-surveys.
   Methods: Our curriculum was delivered in a two-hour session as part of
   the mandatory ambulatory curriculum for internal medicine interns at our
   institution in the academic year 2017-2018. Interns were provided with
   select online resources and two smartphone applications at the beginning
   of the session, which they then used in case-based small group work.
   Small group work was followed by a large group case review,
   co-facilitated by OB/GYN and internal medicine faculty.
   Results: Thirty-eight participants completed surveys assessing knowledge
   of and comfort with contraceptive care immediately before and after the
   curriculum; 20 participants completed surveys assessing the same domains
   4-6 months after the curriculum. Data from surveys administered
   immediately post-curriculum demonstrated significant improvements in
   knowledge about and comfort with counseling about, assessing medical
   eligibility for, and initiating multiple forms of contraception. Many of
   these improvements in knowledge and comfort were maintained on follow-up
   surveys 4-6 months following the curriculum.
   Conclusion: Our case-based curriculum with integrated smartphone
   applications resulted in significant improvements in internal medicine
   resident knowledge of and comfort with the key skills of contraceptive
   care. In contrast to active, collaborative learning methodologies such
   as the flipped classroom, our methodology supports active, collaborative
   learning without requiring advance learner preparation, and is thus well
   suited to the time constraints of the graduate medical education
   setting. Our methodology is readily translatable to other clinical
   topics and residency curricula.
Z8 0
ZS 0
TC 2
ZR 0
ZA 0
ZB 0
Z9 2
U1 0
U2 2
SN 1179-7258
UT WOS:000503492800001
PM 31819696
ER

PT J
AU Taverna, Mara
   Berberat, Pascal O.
   Sattel, Heribert
   Frick, Eckhard
TI A Survey on the Integration of Spiritual Care in Medical Schools from
   the German-Speaking Faculties
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 1009
EP 1019
DI 10.2147/AMEP.S224679
PD 2019
PY 2019
AB Objective: Teaching about spirituality and health is recommended by the
   American Association of Medical Colleges and partially implemented in
   some US medical schools as well as in some faculties of other countries.
   We systematically surveyed Medical School Associate Deans for Student
   Affairs (ADSAs) in three German-speaking countries, assessing both
   projects on and attitudes towards Spiritual Care (SC) and the extent to
   which it is addressed in undergraduate (UME), graduate (GME), and
   continuing (CME) medical education (in this article, UME is understood
   as the complete basic medical education equivalent to college and
   Medical School. GME refers to the time of residency).
   Methods: We executed a cross-sectional qualitative complete
   online-survey, addressing ADSAs of all accredited 46 medical schools in
   these countries. Anonymized responses could be analyzed from 25 (54.3%).
   Results: No faculty provides a mandatory course exclusively dedicated to
   SC. Fourteen medical schools have UME courses or contents on SC, and 9
   incorporate SC in mandatory classes addressing other topics. While most
   of the respondents indicate that spirituality is important for (a) the
   patients for coping and (b) for health care in general and thus, support
   the teaching of SC in UME, only half of them indicate a need for an SC
   curriculum in UME. Even if funding and training support were available,
   only a few of the respondents would agree to provide more of the sparse
   curricular time.
   Conclusion: A majority of the participating medical schools have
   curricular content on SC, predominantly in UME. However, most of the
   content is based on voluntary courses. Despite acknowledging its
   importance to patients, ADSAs and medical teachers are still reflecting
   on the divergences in patients' and doctors' spiritual orientations and
   its consequences for implementing spirituality into the medical
   education.
RI Frick, Eckhard/AGB-4634-2022
OI Frick, Eckhard/0000-0002-6753-1004
ZA 0
TC 10
ZB 1
ZS 0
ZR 0
Z8 0
Z9 10
U1 0
U2 3
SN 1179-7258
UT WOS:000503494200001
PM 31839718
ER

PT S
AU Zhou, Xiao-Nong
   Leonardo, Lydia
   Utzinger, Juerg
   Lv, Shan
   Xu, Jing
   Willingham, Arve Lee
   Lu, Yan
   McManus, Don
   Li, Shi-Zhu
   Venturina, Marilu
   Olveda, Remigio
   Bergquist, Robert
BE Zhou, XN
   Leonardo, L
   Bergquist, R
TI Needs and coordination mechanism for capacity building by the RNAS(+)
SO REGIONAL NETWORK FOR ASIAN SCHISTOSOMIASIS AND OTHER HELMINTHIC ZOONOSES
SE Advances in Parasitology
VL 105
BP 53
EP 68
DI 10.1016/bs.apar.2019.07.008
PD 2019
PY 2019
AB For the Regional Network on Asian Schistosomiasis and Other Helminth
   Zoonosis (RNAS(+)), capacity building with emphasis on modern technology
   with correspondence to traditional techniques was found to be a
   priority. This article summarized the actual needs of capacity building
   among RNAS(+) member countries and the working mechanism of capacity
   building during the last 20 years. The needs with respect to the RNAS(+)
   target diseases are highly correlated with the research priorities,
   since most problems with regard to the performance of the national
   disease control programme in the member countries are connected with
   inadequate capacity in relation to implementation of innovative
   research, epidemiological investigations, laboratory performance; and
   sociological investigations. The capacity building arranged through
   RNAS(+) platform includes short training courses, individual training in
   member institutions, e.g., supervision of Ph.D./Masters students;
   postdoctoral training; and internship training in institutions of
   southeast Asia as well as in famous institutions of Europe and the
   United States. In the future, capacity building will focus on
   platformdesign and technical standardization aiming at fostering
   research capacity in the future. Moreover, new training projects, such
   as massive online courses (MOOC) will be explored under RNAS(+)
   platform.
Z8 0
ZS 0
ZR 0
TC 1
ZB 0
ZA 0
Z9 1
U1 0
U2 0
SN 0065-308X
BN 978-0-12-817719-8; 978-0-12-817718-1
UT WOS:000501728100004
PM 31530395
ER

PT J
AU Engel, Bettina
   Esser, Miriam
   Bleckwenn, Markus
TI Piloting a blended-learning concept for integrating evidence-based
   medicine into the general practice clerkship
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 6
AR Doc71
DI 10.3205/zma001279
PD 2019
PY 2019
AB Objective: The present study investigates the feasibility of the
   application of evidence-based medicine (EBM) procedures by students as
   part of practical training in general medicine through a newly developed
   blended-learning teaching concept.
   Methodology: This study describes the development, piloting and
   evaluation of a blended-learning concept for implementing EBM education
   as part of general practice training. Our concept consists of an online
   tutorial introducing the theoretical background, two classroom seminars
   for consolidation and practical exercises based on case studies.
   Following this, students were to apply their knowledge to real-life
   cases during their training. To evaluate the learning outcome, we have
   developed an evaluation tool based on the Fresno Test (Bonn Test). At
   the end of the seminar, students were invited to evaluate the concept.
   Results: A total of 35 students took part in the feasibility study and
   27 Bonn tests were evaluated. All students achieved more than the pass
   mark required in the Bonn Test in the preparation of clinical case
   studies. Because of the differentiated assessment of learning outcomes
   in all categories of the 5A EBM process, difficulties in the translation
   process can be revealed by the Bonn test. As a result, the concept can
   be refined and improved continuously. In the evaluation, 74% of the
   students rated the teaching concept "good" or "very good".
   Conclusion: Overall, this study confirmed the feasibility of our EBM
   concept while demonstrating that students are able to apply the
   theoretical knowledge acquired to real-life settings. Further research
   with our concept is needed, especially at an earlier stage in the
   curriculum.
ZA 0
ZS 1
Z8 0
TC 7
ZB 0
ZR 0
Z9 8
U1 0
U2 4
SN 2366-5017
UT WOS:000497438300004
PM 31844643
ER

PT J
AU Frank, Luca
   Hueber, Susann
   van der Keylen, Piet
   Roos, Marco
TI How confident are medical students about making clinical decisions
   relying on the evidence? A cross-sectional questionnaire study
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 6
AR Doc84
DI 10.3205/zma001292
PD 2019
PY 2019
AB Objective: Giving information and providing advice on diagnostic tests
   is one of the tasks physicians must carry out personally. To do so, they
   must evaluate the evidence and integrate their findings into everyday
   practice. Clinical decisions should be based on evidence. How well
   current medical education prepares for such evidence-based clinical
   decision-making is largely unclear. Therefore, it was examined how
   confident medical students are in clinical decision-making based on
   evidence using epidemiological data. It was examined whether the
   decision-making confidence increases the higher the semester. Further
   questions were whether scientifically active medical students show
   higher decision-making confidence and whether the representation of
   figures as pictograms rather than tables positively influences the
   decision-making confidence.
   Methods: An online survey of the medical students of the
   Friedrich-Alexander-University Erlangen-Nurnberg was carried out.
   Respondents were presented with three clinical decision-making
   situations in random order for evaluation in the form of screening
   scenarios. In each case, the decision-making confidence also had to be
   specified. The scenarios contained only epidemiological data on existing
   screening tests. For each scenario, the numbers were presented as a
   table or a pictogram in a random fashion. In order to avoid false
   confidence resulting from preconceived opinions neither the illnesses
   nor the screening tests were mentioned by name.
   Results: Answers from 171 students were evaluated. Decision-making
   confidence in dealing with the numbers does not increase in higher
   semesters (r(Pearson)=0.018, p=0.41). Scientific work is not associated
   with a higher decision-making confidence (t(169)=-1.26, p=0.11,
   d=-0.19). Presentation as a pictogram leads to a higher decision-making
   confidence compared to tables (Pictogram: M=2.33, SD=1.07, Table with
   numbers: M=2.64, SD=1.11, t(511)=3.21, p<0.01, d=0.28).
   Conclusions: Medical students from higher semesters show no higher
   decision-making confidence compared to medical students from lower
   semesters. Curricular events and scientific work, such as a doctoral
   thesis, do not seem to strengthen the required skills sufficiently. If
   evidence is presented in the form of pictograms, this seems to improve
   student confidence in decision-making.
RI Roos, Marco/A-1856-2019; Hueber, Susann/U-9754-2018; van der Keylen, Piet/
OI Roos, Marco/0000-0003-1596-5908; Hueber, Susann/0000-0003-0844-0919; van
   der Keylen, Piet/0000-0003-4191-7192
Z8 0
ZA 0
ZR 0
TC 1
ZB 0
ZS 1
Z9 1
U1 0
U2 0
SN 2366-5017
UT WOS:000497438300018
PM 31844656
ER

PT J
AU Heide, Steffen
   Pante, Saskia V.
   Fleig, Andreas
   Leis, Stefan
   Fritz, Angelika Hiroko
   Juenger, Jana
   Fischer, Martin R.
TI Individual and institutional influencing factors on completion rates in
   a medical education master's program in Germany
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 6
AR Doc75
DI 10.3205/zma001283
PD 2019
PY 2019
AB Background: The increasing significance of didactic aspects in medical
   education has also led to the development of special postgraduate
   programs. Completion rates represent an important outcome criterion for
   these programs of study. Up to today, detailed studies on what factors
   influence these completion rates have been lacking.
   Methods: Within the framework of outcomes research, a semi-structured
   online survey of students was conducted in the Master of Medical
   Education Germany program. Of the 90 items, 21 referred to the master's
   thesis that is required for graduation.
   Results: 157 out of 246 (63.8%) of students from classes 1-10 of the
   program (study period 2004-2014) participated in the survey. 109
   participants had submitted a master's thesis, whereas 45 participants
   had not completed their studies by submitting a master's thesis.
   Influencing factors of successful completion were, among other things,
   little difficulty in choosing the topic, retention of the originally
   chosen topic, general support by the program administration in the
   modules and ensuring timely feedback from the advisor, and the provision
   of temporal, staff and financial resources by the home faculty. The
   failure to turn in the project report and a lengthy interruption of
   master thesi's work could be identified as critical parameters.
   Conclusion: Taking into account these results can contribute to
   increasing completion rates in medical education graduate programs.
   Systematic outcomes research leads, moreover, to quality assurance. Such
   studies should be conducted in a standardized manner in the future, in
   order to facilitate comparisons between medical education programs.
TC 2
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 2
U1 1
U2 5
SN 2366-5017
UT WOS:000497438300008
PM 31844647
ER

PT B
AU Hod, Yotam
   Aridor, Keren
   Ben-Zvi, Dani
   Pion, Carmit
   Weiss, Patrice L.
   Zuckerman, Oren
BE Kali, Y
   BaramTsabari, A
   Schejter, AM
TI Future Learning Spaces: Exploring Perspectives from LINKS Research
SO LEARNING IN A NETWORKED SOCIETY: SPONTANEOUS AND DESIGNED TECHNOLOGY
   ENHANCED LEARNING COMMUNITIES
SE Computer-Supported Collaborative Learning
BP 201
EP 220
DI 10.1007/978-3-030-14610-8_11
PD 2019
PY 2019
AB Future learning spaces (FLSs) have become a topic of immense interest as
   educational researchers and practitioners have reconceptualized learning
   in the networked society. This dual interest is vital as the scientific
   field has been fragmented across disciplines on this topic while in
   practice billions of dollars are being spent but often fail to achieve
   their desired goals. This chapter advances both theoretical and
   practical issues related to FLSs with a novel definition of the term, by
   explaining its relevance to LINKS, and through the examination of three
   different categories of FLSs. Specifically, the chapter takes a careful
   look at FLSs in classroom learning communities, in informal settings,
   and in professional settings as a basis to identify strengths,
   opportunities, limitations, and challenges of FLSs. We end with three
   specific recommendations to help bridge the research-practice gap and
   advance our understand of this vital facet of LINKS.
RI Ben-Zvi, Dani/ABF-7746-2020
OI Ben-Zvi, Dani/0000-0002-9946-3456
ZA 0
TC 7
ZS 0
ZB 0
Z8 0
ZR 0
Z9 7
U1 0
U2 0
BN 978-3-030-14610-8; 978-3-030-14609-2
UT WOS:000488030800012
D2 10.1007/978-3-030-14610-8
ER

PT J
AU Rheingans, Anke
   Soulos, Athanasios
   Mohr, Sonja
   Meyer, Jelka
   Guse, Andreas H.
TI The Hamburg integrated medical degree program iMED
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 5
SI SI
AR Doc52
DI 10.3205/zma001260
PD 2019
PY 2019
AB The integrated medical degree program (iMED) was established in winter
   semester 2012/2013 at the Faculty of Medicine of Universitat Hamburg
   with the aim of improving medical education. The main features of the
   iMED medical degree program include the close integration of theoretical
   knowledge and practical skills, scientific orientation and the teaching
   of psychosocial and communication skills. All these features are
   commonly found in the modular compulsory core curriculum and elective
   courses ("2nd Tracks"): The compulsory core curriculum comprises 19
   modules which are arranged thematically in seven module groups and cover
   three stages of a "learning spiral". By comprehensively coordinating the
   teaching content and the learning objectives of the participating
   theoretical and clinical subjects, theoretical content is taught on the
   basis of real patient's medical histories from the first stage of the
   learning spiral. The elective courses enable students to learn and apply
   scientific work in a structured curriculum according to their own
   interests. Relevant practical skills for students future professional
   routines are taught in the longitudinal training course "Clinical
   Examination Methods plus Communication" (KUMplusKOM), which runs through
   the entire curriculum up to the final practical year. Accompanying,
   extra-curricular projects such as crash courses in the natural sciences
   or using the iMED Textbook as an online learning platform increase the
   attractiveness of the iMED degree program. Results of the evaluation
   show that the introduction and the accompanying optimization of iMED
   were very successful.
ZA 0
ZR 0
ZB 2
Z8 0
TC 11
ZS 0
Z9 11
U1 1
U2 1
SN 2366-5017
UT WOS:000490417000006
PM 31815162
ER

PT J
AU Leif, Marilyn
   Semarad, Natali
   Ganesan, Vaishnavi
   Selting, Kevin
   Burr, Justin
   Svec, Austin
   Clements, Peggy
   Talmon, Geoffrey
TI The Quality Of Evidence In Preclinical Medical Education Literature: A
   Systematic Review
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 925
EP 933
DI 10.2147/AMEP.S212858
PD 2019
PY 2019
AB Introduction: To practice effective evidence-based teaching, the need
   for well-designed studies that describe outcomes related to educational
   interventions is critical. The quality of the literate in basic science
   disciplines is unknown. The study objective was to conduct a systematic
   review of the literature to assess study design in articles describing
   innovations in preclinical medical education.
   Method: The authors searched PubMed for all articles published in
   English between 2000 and 2017 describing interventions in preclinical
   medical education related to anatomy, physiology, and biochemistry.
   Articles were scored using a modification of the Medical Education
   Research Study Quality Instrument.
   Results: Of the 817 articles identified, 177 met final inclusion
   criteria (75 anatomy, 86 physiology, and 16 biochemistry). Laboratory,
   student-driven, and online activities were the most frequently reported.
   The average score for all papers was 15.7 (27 points possible). More
   than 80% reported experiences with one cohort of students and >97%
   involved only one institution. Only 25-49% of reports utilized a
   comparison (control) group. Proper statistical models for analysis of
   results were used in only 44-62% of papers.
   Conclusion: Manuscripts had a strong tendency toward single
   institutional studies that involved one cohort of students. The use of a
   control/comparison group when assessing effectiveness was seen in <50%
   and nearly all reported outcomes solely in the form of student
   satisfaction or factual recall/skill performance.
OI Burr, Justin/0000-0003-0673-0349
ZA 0
TC 1
Z8 0
ZS 0
ZB 0
ZR 0
Z9 1
U1 0
U2 2
SN 1179-7258
UT WOS:000494281500001
PM 31802966
ER

PT J
AU Soares, Deisi Cardoso
   Facchini, Luiz Augusto
   Casarin, Sidneia Tessmer
   Thume, Elaine
TI Newborn risk surveillance programs: Brazilian municipal experiences
SO CULTURA DE LOS CUIDADOS
VL 23
IS 53
BP 316
EP 329
DI 10.14198/cuid.2019.53.30
PD 2019
PY 2019
AB Objective: To identify newborns at risk surveillance programs for infant
   mortality within the Brazil, highlighting the operalisation strategies
   and inclusion criteria.
   Methods: A literature review in the database dados Medical Literature
   Analysis and Retrieval System Online, Latin American and Caribbean
   Literature in Health Sciences and the portal of electronic journals
   Scientific Electronic Library Online. The articles that were included
   addressed the description of the criteria for inclusion in programs for
   the surveillance of newborns at risk and their operationalization.
   Exclusion criteria were editorials or letters to the editor, opinion
   articles, summaries presented in annals, theses or dissertations.
   Results: Seventeen articles described the eight programs experience, in
   four brazilian states, in the Southeast and South. The identification of
   newborns at risk was done through interviews in hospitals or Live Birth
   Declaration. The criteria used included biological and social risks,
   especially prematurity, low birth weight, maternal age and education.
   Conclusion: Articles about the theme are scarce and among the risk
   factors identified, most are likely to change in actions related to
   prenatal care and health education.
RI Thumé, Elaine/A-8252-2011; Facchini, Luiz A/A-2268-2009
OI Facchini, Luiz A/0000-0002-5746-5170
ZS 0
Z8 0
TC 0
ZA 0
ZR 0
ZB 0
Z9 0
U1 0
U2 1
SN 1138-1728
EI 1699-6003
UT WOS:000498407500030
ER

PT J
AU O'Loan, Laura
TI Continuing Professional Development (CPD) for pharmacists: Implications
   for professional practice
SO PHARMACY EDUCATION
VL 19
IS 1
BP 26
EP 33
PD 2019
PY 2019
AB There is increasing pressure across the professions to ensure that the
   educational approaches used for Continuing Professional Development
   (CPD) will improve practice. Improved pharmacy practice in this study
   was taken to be increased engagement in proactive extended patient care
   activities. An online questionnaire was emailed to all registered
   pharmacists in Northern Ireland (N=2201). After two follow-ups there
   were 419 responses (19%). Data were analysed using SPSS version 21.
   Geometric coding (an algebraic method) was used to convert the multiple
   response data collected into categorical variables that were amenable to
   statistical analysis. An association was found between the CPD
   activities that pharmacists had undertaken and the professional
   activities they engaged in. Structured forms of CPD incorporating
   workplace learning activities improved professional practice, compared
   to the baseline (unstructured learning only). Pharmacists' attitudes
   towards CPD and pharmacy practice also had an impact on both the CPD
   activities and professional practices they engaged in.
TC 1
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
Z9 1
U1 0
U2 0
SN 1560-2214
EI 1477-2701
UT WOS:000496535600004
ER

PT J
AU Anderson, Karen E.
   Griffin, Jack
   Kinel, Al
   Shaikh, Abdul R.
   Olofintuyi, Temitope
   Ramirez, Stevan
   Steinman, Joni
   Yohrling, George J.
   Kinel, Shari
CA Huntington Study Grp
TI Quality of Care for Huntington's Disease in the United States: Findings
   from a National Survey of Patients and Caregivers
SO JOURNAL OF HUNTINGTONS DISEASE
VL 8
IS 4
BP 509
EP 519
DI 10.3233/JHD-190380
PD 2019
PY 2019
AB Background: Little is known about the quality of care for people living
   with Huntington's disease (HD) in the United States.
   Objective: To document the current HD care experience and identify gaps
   in care provision in the United States.
   Methods: Web-based surveys for persons self-identifying as being
   affected by HD (PAHD, which included individuals with, or at risk for
   HD) or as caregivers/family members, were developed and refined with
   targeted input from focus groups comprised of caregivers and family
   members. The surveys were disseminated via social media and patient
   advocacy partners from April-May 2017.
   Results: Total valid responses numbered 797, including 585
   caregiver/family respondents and 212 PAHD responses. Respondents
   reported care provision from HD specialty centers, primary care,
   movement disorder clinics, and other settings. One in five respondents
   reported that the person with HD was not currently receiving medical or
   community care. Respondents generally reported a good level of care,
   with HD specialists providing the highest rated healthcare experience.
   Caregiver/family respondents reported helping with a range of activities
   including budget/finances (60.5%), housekeeping (57.1%) and daily help
   (53.2%). Most respondents (97.9%) reported searching online, including
   general information about HD (86.4%), using HD social media channels
   (61.3%) and looking up clinical trials (59.8%). Respondents emphasized a
   need for support in financial planning and accessing care, and also for
   more HD education in the medical community.
   Conclusions: There is need for more support for HD patients and
   families. People desire more credible, accessible information. Improving
   resources available to patients and families should be a goal for HD
   organizations, along with measurement of patient outcomes.
RI Anderson, Karen E./AAR-1228-2020
ZR 0
ZB 1
Z8 0
ZA 0
TC 3
ZS 0
Z9 3
U1 0
U2 2
SN 1879-6397
EI 1879-6400
UT WOS:000492839900013
PM 31594241
ER

PT J
AU Cordos, Ariana-Anamaria
   Bolboaca, Sorana D.
   Prato, Rosa
   Fortunato, Francesca
TI iGeneration's social media usage in retrieving information related to
   healthcare education: a web-based survey among Italian and Romanian
   undergraduate medical students
SO ANNALI DELL ISTITUTO SUPERIORE DI SANITA
VL 55
IS 1
BP 34
EP 40
DI 10.4415/ANN_19_01_07
PD 2019
PY 2019
AB The aim of our study was to assess medical undergraduate student's
   preferences associated with the value of information/learning methods
   via social media. An electronic questionnaire was developed and applied
   to undergraduate medical students from two university centers: Foggia
   (Italy) and Cluj-Napoca (Romania). 1196 answers were collected, 326 from
   the Italian university, and 870 from the Romanian university. Students
   use smartphones to access Facebook, from home, in average 1-3 hours
   daily. Along with school bibliography and Internet, social media is an
   active part of the academic life of students. Social media is used to
   search for information about a specific medical topic or to manage daily
   student activities. Romanians frequently share information with other
   colleagues or search for topics related to courses taught at school. The
   medical students use social media for academic purposes similarly in
   Italy and Romania.
RI Bolboacă, Sorana D./E-4457-2010; Cordos, Ariana/M-9877-2015
OI Bolboacă, Sorana D./0000-0002-2342-4311; Cordos,
   Ariana/0000-0003-2853-4058
Z8 0
TC 0
ZR 0
ZB 0
ZS 0
ZA 0
Z9 0
U1 0
U2 2
SN 0021-2571
UT WOS:000466844000007
PM 30968834
ER

PT J
AU Scott, Alex J.
   Drevin, Gustaf
   Pavlovic, Lordan
   Nilsson, Magnus
   Krige, Jake E. J.
   Jonas, Eduard
TI Medical Student And Faculty Perceptions Of Undergraduate Surgical
   Training In The South African And Swedish Tertiary Institutions: A
   Cross-Sectional Survey
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 855
EP 866
DI 10.2147/AMEP.S216027
PD 2019
PY 2019
AB Purpose: To evaluate and compare medical student and faculty perceptions
   of undergraduate surgical training and compare results between South
   Africa and Sweden.
   Patients and methods: An electronic, online questionnaire was
   anonymously distributed to medical students and surgical faculty at the
   University of Cape Town (UCT), South Africa, and the Karolinska
   Institutet (KI), Sweden. The questionnaire explored the perceptions of
   medical students and surgical faculty regarding the current
   undergraduate surgical curriculum, as well as existing clinical and
   theoretical instructional methods.
   Results: A total of 120 students (response rate of 24.4%) and 41 faculty
   (response rate of 74.5%) responded. Students believed they ought to
   receive significantly more teaching when compared to surgical faculty
   (p=0.018). Students and faculty generally agreed that students should
   expect to study approximately six to 20 hrs per week outside of clinical
   duty. There was general agreement that "small-group tutorials" was the
   area students learn the most from, whereas students reported "lectures"
   least helpful. Registrars were reported as the first person students
   should consult regarding patient care. Fifty-one (42.5%) medical
   students believed that faculty viewed students as an inconvenience, and
   42 (35.0%) students believed that faculty would rather not have students
   on the clinical team. The majority of faculty (68.3%) reported
   significantly more negative views on the current undergraduate surgical
   curriculum when compared to students (p=0.002). UCT faculty reported
   giving significantly less feedback to students during their surgical
   rotation when compared to KI faculty (p=0.043).
   Conclusion: Significant differences exist between surgical faculty and
   medical student perceptions regarding undergraduate surgical training in
   developing and developed countries. In order to increase surgical
   interest among undergraduate medical students, it is imperative for
   surgical educators to be aware of these differences and find specific
   strategies to bridge this gap.
RI Krige, Jake E/G-3496-2015; Scott, Alex/; Drevin, Gustaf/
OI Krige, Jake E/0000-0002-7057-9156; Scott, Alex/0000-0003-0647-607X;
   Drevin, Gustaf/0000-0002-8472-9629
ZR 0
TC 3
ZA 0
ZB 0
Z8 0
ZS 0
Z9 3
U1 0
U2 0
SN 1179-7258
UT WOS:000490462100001
PM 31686944
ER

PT J
AU Zhang, Qian
   Shi, Yu
   Xin, Youqing
   Zhang, Shutian
   Zeng, Na
   Liu, Mo
   Wu, Shanshan
   Wei, Wei
   Li, Min
   You, Hong
   Jia, Jidong
   Kong, Yuanyuan
   Grambow, Steven
TI A multimodal international collaborative clinical research training
   program in China
SO MEDICAL EDUCATION ONLINE
VL 24
IS 1
AR 1679944
DI 10.1080/10872981.2019.1679944
PD JAN 1 2019
PY 2019
AB Background: There is a strong need to include training of research
   methods in training programs for physicians. International clinical
   research training programs (CRTP) that comprehensively introduce the
   methodology of clinical research and combined with practice should be a
   priority. However, few studies have reported a multimodal international
   CRTP that provides clinicians with an introduction to the quantitative
   and methodological principles of clinical research. Objective: This
   manuscript is intended to comprehensively describe the development
   process and the structure of this multimodal training program. Methods:
   The CRTP was comprised of three distinct, sequential learning
   components: part 1 ? a six-week online eLearning self-study; part 2 ? a
   series of three weekly interactive synchronous webinars conducted
   between Durham, North Carolina, USA and Beijing, China; and part 3 ? a
   five-day in-person workshop held at Beijing Friendship Hospital, Capital
   Medical University (BFH-CMU). Self-assessment quiz scores and
   participation rates were used to evaluate effectiveness of the training
   program. Participants? demographic characteristics, research experience,
   satisfaction and feedback on the program were collected using
   questionnaires. Results: A total of 50 participants joined the CRTP.
   Forty-four participants (88%) completed the program satisfaction
   questionnaires. The average quiz score of the six eLearning units varied
   from 31% to 73%. Among the three components of the program, the online
   eLearning self-study was felt to be the most challenging. Thirty-nine
   (89%) of the surveyed respondents were satisfied with all components of
   the training program. Among the respondents, 43 (98%) felt the training
   was helpful in preparing them for future clinical research projects and
   expressed willingness to recommend the program to other colleagues.
   Conclusions: We established a multimodal international collaborative
   training program. The program demonstrated acceptable participation
   rates and high satisfaction among Chinese clinicians. It provides a
   model that may be used by others developing similar international
   clinical research training programs for physicians.
RI ARSLAN, Okan/AAA-3232-2020; You, Hong/G-6686-2011; You, Hong/; Grambow, Steven/E-1422-2015; LIU, MO/
OI You, Hong/0000-0001-9409-1158; Grambow, Steven/0000-0001-6037-3253; LIU,
   MO/0000-0003-4880-9872
ZS 0
ZR 0
TC 0
ZA 0
Z8 0
ZB 0
Z9 0
U1 2
U2 9
SN 1087-2981
UT WOS:000491226700001
PM 31630670
ER

PT J
AU Halsall, Tanya
   Garinger, Christine
   Dixon, Kaylyn
   Forneris, Tanya
TI Evaluation of a Social Media Strategy to Promote Mental Health Literacy
   and Help-Seeking in Youth
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 23
IS 1
BP 13
EP 38
DI 10.1080/15398285.2019.1571301
PD 2019
PY 2019
AB In Canada, it is estimated that 15-21% of youth have at least one
   diagnosable mental illness and less than one third access the mental
   health services they need. Social media (SM) may present a unique
   opportunity to promote mental health for young people. mindyourmind, a
   web-facilitated program with a comprehensive SM presence, was designed
   to raise awareness of mental health issues and improve access to
   services for youth dealing with mental health concerns. This article
   presents an evaluation of their SM strategies with the intent to better
   understand their influence on youth mental health literacy (MHL) and
   help-seeking behavior.
OI Halsall, Tanya/0000-0001-5791-0986
Z8 0
TC 5
ZR 0
ZA 0
ZB 0
ZS 1
Z9 5
U1 10
U2 29
SN 1539-8285
EI 1539-8293
UT WOS:000469908800002
ER

PT J
AU Das, Ashish
   Tri Khai Lam
   Thomas, Susan
   Richardson, Joan
   Kam, Booi Hon
   Lau, Kwok Hung
   Nkhoma, Mathews Zanda
TI Flipped classroom pedagogy Using pre-class videos in an undergraduate
   business information systems management course
SO EDUCATION AND TRAINING
VL 61
IS 6
BP 756
EP 774
DI 10.1108/ET-06-2018-0133
PD 2019
PY 2019
AB Purpose - The purpose of this paper is to illustrate the implementation
   of the flipped classroom method in teaching the course and to
   investigate the student's perceived helpfulness, learning outcomes and
   satisfaction in respect of the pre-class learning videos.
   Design/methodology/approach - Pre-class learning videos were integrated
   into a course to encourage students to acquire knowledge before lectures
   and workshops. Having completed the flipped classroom, a delivery
   questionnaire containing all items was distributed to all of the
   participants. The data collected were analysed statistically, using a
   structured equation modelling technique.
   Findings - Findings indicate that the perceived quality of experience of
   using videos before lectures and workshops has a positive influence on
   the perceived helpfulness of the pre-class learning videos. Furthermore,
   the perceived helpfulness of the pre-class learning videos has a
   positive effect of the acquisition perceived learning outcomes. The
   perceived helpfulness of the pre-class learning videos also has a
   positive impact on the student satisfaction with the course. Finally,
   there is a positive and causal relationship between the perceived
   learning outcomes and student's satisfaction with the course.
   Originality/value - Analysis reveals that the learning process and
   student satisfaction are improved by using pre-class learning videos.
RI Lam, Tri/H-5460-2016; Kam, Booi H/I-6384-2016
OI Lam, Tri/0000-0002-6999-933X; 
TC 6
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 6
U1 3
U2 15
SN 0040-0912
EI 1758-6127
UT WOS:000489722900007
ER

PT J
AU Walsh, Kieran
TI Strengthening primary care: the role of e-learning
SO EDUCATION FOR PRIMARY CARE
VL 30
IS 5
BP 267
EP 269
DI 10.1080/14739879.2019.1641751
PD 2019
PY 2019
AB Health systems strengthening has been defined as 'any array of
   initiatives and strategies that improves one or more of the functions of
   the health system and leads to better health through improvements in
   access, coverage, quality, or efficiency'. Health systems strengthening
   depends on human resources. These can only be developed through the
   provision of healthcare professional education at undergraduate,
   postgraduate and continuing professional development levels. E-learning
   is being increasingly used in healthcare professional education. There
   is a growing evidence that e-learning produces broadly similar outcomes
   as face-to-face education. However, there is burgeoning interest in how
   healthcare professionals learn online and how they transfer their
   learning into clinical practice. This paper examines concepts that are
   important in the delivery of high-quality e-learning in the primary care
   environment. If we are to leverage e-learning to the maximum effect, it
   must enable transfer to clinical practice and be accessible and
   sustainable from a financial and environmental perspective. Ideally it
   should be adaptive and relevant to the core activities of primary care
   professionals.
OI Walsh, Kieran/0000-0003-1268-4676
ZB 0
ZR 0
ZS 0
ZA 0
TC 4
Z8 0
Z9 4
U1 2
U2 4
SN 1473-9879
EI 1475-990X
UT WOS:000489747800003
PM 31307273
ER

PT J
AU Alhussain, Zead Ibrahim A.
   Alghamdi, Mohammed Ali A.
   Ahmad, Rana Mohamed
   Cheick, Abdallah Mohamed
   Al Dhban, Abdullah Yahya
   Alghamdi, Abdulrahman Ali
   Alalyani, Naif Shalan J.
   Almazni, Abdulrahman Yahya Mohammed
   Asiri, Khalid Ayed
   Bahkali, Salha Mohammed
TI Awareness of Saudi Population about the Role of the Emergency Rooms
SO INTERNATIONAL JOURNAL OF MEDICAL RESEARCH & HEALTH SCIENCES
VL 8
IS 9
BP 89
EP +
PD 2019
PY 2019
AB Background: The hospital Emergency department (ED) is one of the most
   important components of the health delivery system. Objectives: To
   investigate the public awareness of the ERs in KSA, what the public
   knows about the provided services, and if they know the difference
   between the outpatient clinic and ERs. Methods: It is a cross-sectional
   descriptive community-based study carried out on 977 male and female,
   young and adult participants from all age groups, in different areas of
   the Kingdom of Saudi Arabia, during the period from 1st January to 31st
   July 2019. Data was collected through filling the pre-designed online
   questionnaire which guided us to the needed data. We utilized the SPSS
   program version 16. The X-2 test was used as a test of significance, and
   differences considered significant at p-value less than 0.05. Results:
   Most of the participants (87.5%) reported that they know the difference
   between the outpatient clinic and ER. The majority (68.1%) of subjects
   said that ERs is meaning rapid and unplanned medical care, 17.3% said
   any needed health care is available there, 12.2% said that it means
   insufficient medical care and only 2.5% said it means availability of
   physician at any time for any purpose. As regards evaluation to the
   provided services in ERs; 32.5% of cases said it was very good followed
   by 28.5% good, 19.8% excellent, 10.2% accepted and 10% reported it was
   bad services. There were significant relations between the awareness and
   age (p=0.03) and education level (p=0.003), but no relation was found
   with the gender of the participant (p>0.5). Conclusion: In our study,
   Most of the participants reported that they know the difference between
   the outpatient clinic and ERs. The majority of subjects said that ERs is
   meaning rapid and unplanned medical care and/or availability of
   physician at any time for any purpose. There were significant relations
   between the awareness and age and education level, but insignificant
   relation was found with the gender of the participant.
Z8 0
TC 1
ZB 0
ZR 0
ZA 0
ZS 0
Z9 1
U1 0
U2 0
SN 2319-5886
UT WOS:000489758900015
ER

PT J
AU Couri, Thomas
   Katz, Joshua
   Stoeckle, Kate
   Nugooru, Aishwarya
   Yeh, Heidi
   Chung, Raymond
   Paul, Sonali
TI Provider Attitudes toward the Use of Hepatitis C Virus-Positive Organs
   in Kidney Transplantation
SO AMERICAN JOURNAL OF NEPHROLOGY
VL 50
IS 3
BP 168
EP 176
DI 10.1159/000502049
PD 2019
PY 2019
AB Background: Direct-acting antivirals have changed the landscape of
   hepatitis C virus (HCV) care. While transplantation with HCV-positive
   donor organs is increasing, little is known about providers' attitudes
   toward this topic. The aim of this study is to determine providers'
   attitudes toward HCV-positive kidney transplantation. Methods: Willing
   transplant and nontransplant nephrologists, transplant surgeons, and
   mid-level providers completed an online survey from April through May
   2018. The survey asked about HCV knowledge and willingness to transplant
   HCV-positive antibody, nucleic acid testing-positive kidneys into
   HCV-negative recipients. Descriptive analyses including mean and median
   for continuous variables and frequencies for categorical variables were
   calculated. Results: Seven-hundred surveys were emailed and 99 providers
   (62 transplant nephrologists, 28 nontransplant nephrologists, 7
   transplant surgeons, and 2 advanced practice providers) completed the
   survey (participation rate 14.1%). All providers knew that HCV was
   curable, with 60% believing that it had no effect on transplant success
   and 32% thinking it reduced transplant success. Providers were
   significantly more likely to offer a HCV-positive organ to HCV-positive
   recipients compared to HCV-negative recipients in all queried
   circumstances (p < 0.005 in all cases), especially with increasing
   impact on patient's quality of life. While only 39% of providers would
   offer a HCV-positive organ for transplant to a patient without HCV if it
   reduced the waitlist time by 1 year, 92% would offer a HCV-positive
   organ if it reduced the waitlist time by 4 years. However, only 47%
   thought that the use of HCV-positive kidneys should be for routine care,
   while 38% believed it should be reserved for research purposes only.
   There were no significant differences between transplant and
   nontransplant nephrologists in attitudes toward HCV-positive kidney
   transplantation. Providers believed that donor organs from those who
   were obese, >50 years old, or had died from a cardiac arrest were
   significantly more likely to reduce the likelihood of a successful
   transplant 1-year posttransplant when compared with a HCV-positive organ
   (p < 0.005 in all cases). Eighty-six percent of providers had concerns
   about HCV curability posttransplant. Conclusion: Although 92% of
   providers were willing to offer a HCV-positive kidney for transplant as
   patient waitlist time increases, less than half supported offering
   HCV-positive transplantation for routine care rather than for research.
   The results underscore the need for further education and data about the
   efficacy and safety of HCV-positive kidney transplantation. (C) 2019 S.
   Karger AG, Basel
TC 6
ZS 0
ZA 0
ZR 0
ZB 2
Z8 0
Z9 6
U1 0
U2 0
SN 0250-8095
EI 1421-9670
UT WOS:000484670500002
PM 31390615
ER

PT J
AU Marcotte, Bastien Vallee
   Cormier, Hubert
   Garneau, Veronique
   Robitaille, Julie
   Desroches, Sophie
   Vohl, Marie-Claude
TI Nutrigenetic Testing for Personalized Nutrition: An Evaluation of Public
   Perceptions, Attitudes, and Concerns in a Population of French Canadians
SO LIFESTYLE GENOMICS
VL 11
IS 3-6
BP 155
EP 162
DI 10.1159/000499626
PD 2019
PY 2019
AB Background/Aims: This study aimed to evaluate attitudes, perceptions,
   and concerns about nutrigenetic testing for personalized nutrition in
   the general population of the province of Quebec in Canada. Methods: A
   total of 1,425 individuals from the province of Quebec completed a
   37-question online survey on nutrigenetics and were included in
   analyses. The chi(2) test was used to test for associations between
   categorical variables. Results: The majority of the participants (93.3%)
   considered dietitians the best professionals to give personalized
   dietary advice based on nutrigenetic testing. The main reported
   advantage for nutrigenetic testing was "health" (23.5%), followed by
   "disease prevention" (22.2%). Among the disadvantages, "no disadvantage"
   (24.4%), followed by "diet restriction" (12.9%) were mostly reported.
   The 2 major concerns raised were accessibility to genetic testing by
   telemarketing companies and spammers (51.8%), and solicitation by
   companies using personal genetic data to sell products (48.6%).
   Conclusions: French Canadians generally have a positive attitude towards
   nutrigenetics and consider its use to have many benefits. They expressed
   concern about possible confidentiality issues associated with the
   management or property of genetic test results. Education about such
   issues is needed. Overall, our findings suggest that the population is
   interested in more extensive use of nutrigenetics in health management.
   (C) 2019 S. Karger AG, Basel
RI Vohl, Marie-Claude/AAQ-1378-2021; Vohl, Marie-Claude/; Robitaille, Julie/O-4892-2016; Desroches, Sophie/
OI Vohl, Marie-Claude/0000-0002-7017-5848; Robitaille,
   Julie/0000-0001-7035-0477; Desroches, Sophie/0000-0003-0797-605X
ZA 0
ZR 0
TC 10
ZS 0
ZB 5
Z8 0
Z9 11
U1 0
U2 9
SN 2504-3161
EI 2504-3188
UT WOS:000480268500004
PM 31129669
ER

PT J
AU Gallo, Ciro
   Cavallo, Franco
   Bossi, Anna
TI Teaching medical statistics to undergraduate medical students: what is
   taught and what is really useful for a medical professional? A report of
   the Education Committee of the Italian Society of Medical Statistics and
   Clinical Epidemiology (SISMEC)
SO EPIDEMIOLOGY BIOSTATISTICS AND PUBLIC HEALTH
VL 16
IS 3
AR e13205
DI 10.2427/13205
PD 2019
PY 2019
AB Background: There is a large heterogeneity among the courses of medical
   statistics in Italian Medical Schools.
   Aims: (1) To describe issues that are dealt with in the statistics
   undergraduate medical courses in Italian medical Schools. (2) To
   investigate which methodological topics are deemed as more useful for
   the education of undergraduate medical students by clinical teachers.
   Methods: (1) An online questionnaire, covering the qualifying teaching
   issues of medical statistics, was sent to all academic biostatisticians,
   asking what they were teaching to undergraduate medical students. The
   reference year was 2015-2016. Undergraduate medical courses were the
   statistical units. (2) A second survey involved teachers of other
   medical disciplines with institutional roles, asking to score the
   usefulness for medical education of a number of topics concerning
   medical statistics, on a 5-point Likert scale. Only descriptive analyses
   were performed.
   Results: Fifty-two (96%) case report forms (CRF) were returned from
   teachers of medical statistics. Most statistical and epidemiological
   topics were taught except comparison of >2 groups, impact of biases and
   standardization of rates. Conversely, issues of clinical epidemiology
   were neglected in about half of degree courses. Thirty-three (31%) CRFs
   were returned from clinical teachers. The percentage of issues deemed
   very useful or essential ranged from 57% to 94%, with higher scores for
   those referring to critical assessment of the literature.
   Conclusions: More extensive coverage of clinical epidemiology issues is
   needed to meet the demand of physicians, as responsible consumers of
   quantitative research. As biostatisticians we should operate to increase
   the homogeneity of medical statistics teaching in medical
   undergraduates' education
RI Gallo, Ciro/AAA-9241-2019
OI Gallo, Ciro/0000-0002-7939-3104
Z8 0
ZB 0
ZA 0
TC 1
ZR 0
ZS 0
Z9 1
U1 0
U2 3
SN 2282-2305
EI 2282-0930
UT WOS:000487278800012
ER

PT J
AU Setia, Sajita
   Tay, Jam Chin
   Chia, Yook Chin
   Subramaniam, Kannan
TI Massive open online courses (MOOCs) for continuing medical education -
   why and how?
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 805
EP 812
DI 10.2147/AMEP.S219104
PD 2019
PY 2019
AB Continuing medical education (CME) is meant to not only improve
   clinicians' knowledge and skills but also lead to better patient care
   processes and outcomes. The delivery of CME should be able to encourage
   the health providers to accept new evidence-based practices, and discard
   or discontinue less effective care. However, continuing use of expensive
   yet least effective and inappropriate tools and techniques predominates
   for CME delivery. Hence, the evidence shows a disconnect between
   evidence-based recommendations and real-world practice - borne out by
   less than optimal patient outcomes or treatment targets not being met
   especially in low- to middle-income countries. There is an ethical and
   professional obligation on CME-providers and decision-makers to
   safeguard that CME interventions are appraised not only for their
   quality and effectiveness but also for cost-effectiveness. The process
   of learning needs to be engaging, convenient, user-friendly and of
   minimal cost, especially where it is most needed. Today's technology
   permits these characteristics to be integrated, along with further
   enhancement of the engagement process. We review the literature on the
   mechanics of CME learning that utilizes today's technology tools and
   propose a framework for more engaging, efficient and cost-effective
   approach that implements massive open online courses for CME, adapted
   for the twenty-first century.
RI Setia, Sajita/AAD-9859-2022; Subramaniam, Kannan/; Chia, Yook-Chin/B-8379-2010; Tay, Jam Chin/
OI Setia, Sajita/0000-0002-7423-3742; Subramaniam,
   Kannan/0000-0001-5551-4103; Chia, Yook-Chin/0000-0003-1995-0359; Tay,
   Jam Chin/0000-0001-7657-4383
Z8 0
ZS 0
TC 16
ZB 1
ZR 0
ZA 0
Z9 16
U1 0
U2 8
SN 1179-7258
UT WOS:000485884100001
PM 31572042
ER

PT J
AU Pan, Qiong
TI An Interactive Teaching Mode Based on Educational Games - Case Study of
   Acupuncture Course
SO INTERNATIONAL JOURNAL OF EMERGING TECHNOLOGIES IN LEARNING
VL 14
IS 17
BP 167
EP 181
DI 10.3991/ijet.v14i17.11205
PD 2019
PY 2019
AB As people pay more and more attention to the major of traditional
   Chinese medicine (TCM), social demand for TCM talents also becomes
   larger and larger. But, the content of TCM acupuncture major is
   abstract, with high practical operation. Traditional acupuncture course
   is taught with "cramming method" so that students cannot understand and
   grasp the concrete knowledge of this major. This may even have negative
   impacts on some students. The interactions between the teacher and
   students are few, and students passively absorb teaching content. The
   positive feedbacks of teaching cannot be gained, either, thus affecting
   the teaching effect to certain degree. On this basis, an interactive
   teaching mode based on educational games was proposed in this study, and
   such interactive teaching mode based on educational games was applied in
   the courses of acupuncture major. Firstly, the current situations and
   features of educational games and interactive education mode were
   analyzed. Besides, acupuncture major was taken for example to introduce
   a series of teaching module development processes of educational games
   for resource module collation, project courseware management, target
   test questions, task allocation, courseware making and one-key release
   of acupuncture courses. It is found through the survey that, students
   more accept such interactive teaching mode based on educational games,
   and their learning efficiency improves. Such teaching method is
   obviously superior to traditional teaching methods.
ZB 0
TC 1
ZR 0
ZS 0
ZA 0
Z8 0
Z9 1
U1 2
U2 8
SN 1863-0383
UT WOS:000486343100014
ER

PT J
AU Pei, Leisi
   Wu, Hongbin
TI Does online learning work better than offline learning in undergraduate
   medical education? A systematic review and meta-analysis
SO MEDICAL EDUCATION ONLINE
VL 24
IS 1
AR 1666538
DI 10.1080/10872981.2019.1666538
PD JAN 1 2019
PY 2019
AB With the increasing use of technology in education, online learning has
   become a common teaching method. How effective online learning is for
   undergraduate medical education remains unknown. This article's aim is
   to evaluate whether online learning when compared to offline learning
   can improve learning outcomes of undergraduate medical students. Five
   databases and four key journals of medical education were searched using
   10 terms and their Boolean combinations during 2000-2017. The extracted
   articles on undergraduates' knowledge and skill outcomes were
   synthesized using a random effects model for the meta-analysis.16 out of
   3,700 published articles were identified. The meta-analyses affirmed a
   statistically significant difference between online and offline learning
   for knowledge and skill outcomes based on post-test scores (SMD = 0.81;
   95% CI: 0.43, 1.20; p < 0.0001; n = 15). The only comparison result
   based on retention test scores was also statistically significant (SMD =
   4.64; 95% CI: 3.19, 6.09; p < 0.00001). The meta-analyses discovered no
   significant difference when using pre- and post-test score gains (SMD =
   3.03; 95% CI: -0.13, 4.13; p = 0.07; n = 3). There is no evidence that
   offline learning works better. And compared to offline learning, online
   learning has advantages to enhance undergraduates' knowledge and skills,
   therefore, can be considered as a potential method in undergraduate
   medical teaching.
OI Wu, Hongbin/0000-0002-4425-9845
TC 179
ZB 11
ZA 0
ZR 0
Z8 1
ZS 4
Z9 185
U1 61
U2 151
SN 1087-2981
UT WOS:000486714500001
PM 31526248
ER

PT S
AU Succar, Tony
   Grigg, John
BE Hoffman, J
   Blessinger, P
   Makhanya, M
TI THE ROLE OF EDUCATIONAL TECHNOLOGY IN PROMOTING THE INCLUSION OF RURAL
   CLINICAL SCHOOLS FOR OPHTHALMOLOGY TEACHING USING VIRTUAL PATIENTS
SO STRATEGIES FOR FOSTERING INCLUSIVE CLASSROOMS IN HIGHER EDUCATION:
   INTERNATIONAL PERSPECTIVES ON EQUITY AND INCLUSION
SE Innovations in Higher Education Teaching and Learning
VL 16
BP 167
EP 181
DI 10.1108/S2055-364120190000016014
PD 2019
PY 2019
AB A major challenge in teaching medicine in a rural setting is that long
   geographical distances separate students, instructors, and educational
   resources. Clinical schools within the University of Sydney Medical
   Program are geographically dispersed and face similar challenges. As a
   result, a virtual ophthalmology clinic (VOC) was developed (Succar et
   al., 2013) and it is being delivered online to enable equitable access
   and consistency in the foundations of ophthalmology education for
   rural-based students. The program allows students to sharpen their
   clinical reasoning skills by formulating a diagnosis and treatment plan
   on virtual patients with simulated conditions. To evaluate the
   educational effectiveness of VOC, a randomized controlled trial was
   conducted with the University of Sydney medical students (n = 188). The
   pre- and post-test and student satisfaction questionnaire were
   administered. Twelve months later, a follow-up test was conducted to
   determine the long-term retention rate of graduates. On the basis of a
   statistically significant improvement in academic performance and highly
   positive student feedback, it became clear that the online delivery of
   VOC can serve as a model for higher education institutions creating an
   all-inclusive learning environment experienced by rural students and
   staff regardless of location and distance, while making a positive
   impact on learning.
RI Succar, Tony/AAG-9777-2019
ZR 0
ZA 0
TC 2
ZS 0
ZB 1
Z8 0
Z9 2
U1 0
U2 0
SN 2055-3641
BN 978-1-78756-060-4; 978-1-78756-061-1
UT WOS:000482935200012
ER

PT J
AU Perez, Rey
   Aizenberg, David
   Davis, Trocon
   Ryskina, Kira L.
TI Seeking a Stable Foundation to Build on: 1st-Year Residents' Views of
   High-Value Care Teaching
SO EDUCATION FOR HEALTH
VL 32
IS 1
BP 11
EP 17
DI 10.4103/efh.EfH_189_17
PD JAN-APR 2019
PY 2019
AB Background: United States (US) residency programs have been recently
   mandated to teach the concept of high-value care (HVC) defined as care
   that balances the benefits of interventions with their harms and costs.
   We know that reflective practice is a key to successful learning of HVC;
   however, little is known about resident perceptions of HVC learning. To
   better inform HVC teaching in graduate medical education, we asked
   1st-year residents to reflect on their HVC learning. Methods: We
   conducted three focus groups (n = 36) and online forum discussion (n =
   13) of 1st-year internal medicine residents. A constructivist grounded
   theory approach was used to assess transcripts for recurrent themes to
   identify the perspectives of residents shared about HVC learning.
   Results: Residents perceived their learning of HVC as limited by
   cultural and systemic barriers that included limited time, fear of
   missing a diagnosis, perceived expectations of attending physicians, and
   poor cost transparency. While the residents reported considerable
   exposure to the construct of HVC, they desired a more consistent
   framework that could be applied in different situations. In particular,
   residents reported frustration with variable incentives, objectives, and
   definitions pertaining to HVC. Suggestions for improvement in HVC
   teaching outlined three main needs for: (1) a generalizable framework to
   systematically approach each case that could be later adapted to
   independent practice; (2) objective real-time data on costs, benefits,
   and harms of medical interventions; and (3) standardized approach to
   assess resident competency in HVC. Discussion: As frontline clinicians
   and the intended target audience for HVC education, 1st-year residents
   are in a unique position to provide feedback to improve HVC teaching in
   residency. Our findings highlight the learners' desire for a more
   systematic approach to HVC teaching that includes the development of a
   stable generalizable framework for decision-making, objective data, and
   standardized assessment. These findings contrast current educational
   interventions in HVC that aim at reducing the overuse of specific
   practices.
TC 0
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 0
U1 0
U2 0
SN 1357-6283
EI 1469-5804
UT WOS:000485717400003
PM 31512587
ER

PT J
AU Jawed, Saira
   Mahboob, Usman
   Yasmeen, Rahila
TI Digital Professional Identity: Dear Internet! Who am I?
SO EDUCATION FOR HEALTH
VL 32
IS 1
BP 33
EP 35
DI 10.4103/efh.EfH_232_17
PD JAN-APR 2019
PY 2019
AB Background: There is an emphasis on identity formation to complement the
   competency-based medical education in tomorrow's doctors, with a focus
   from "doing" to "being," to deeply learn the role as a health
   professional. Medical students spend a considerable time on
   internet-based online social networking platforms. These internet-based
   avenues can have certain implications in the formation of their
   identity. Methods: The aim of this article is to discuss a highly
   significant way to form the professional identity that is through online
   social networking, which can be labeled as digital professional identity
   (DPI). Results: DPI is defined as " professional identity that develops
   through internet-based social interactions by utilizing online platforms
   and communication tools." Medical students develop certain constituents
   of professionalism as part of their lifelong professional identity
   during the course of their graduation. They learn the professional ways
   and means to communicate on internet-based social media platforms, which
   affect their professional identities. Discussion: We suggest to provide
   institutional guidance for the medical students regarding the usage of
   social networking sites and forming their DPIs as a medical professional
   by explaining the related advantages and disadvantages. In addition,
   accreditation bodies need to incorporate the aspect of DPI in their
   competencies for professionalism.
RI Mahboob, Usman/GQP-4120-2022; Mahboob, Usman/O-4336-2019
OI Mahboob, Usman/0000-0002-4756-6787; 
Z8 0
ZS 0
ZR 0
ZA 0
TC 4
ZB 0
Z9 4
U1 3
U2 5
SN 1357-6283
EI 1469-5804
UT WOS:000485717400006
PM 31512590
ER

PT J
AU Sopena, N.
   Freixas, N.
   Bella, F.
   Perez, J.
   Hornero, A.
   Limon, E.
   Gudiol, F.
   Pujol, M.
   Salgado, Xavier
   Lora, Marta
   Martos, Purificacion
   Niubo, Jordi
   Fernandez, Gema
   Castella, Laia
   Valls, Silvia
   Santana, Gimena
   Lopez, Maria
   Calbo, Esther
   Falgueras, Lluis
   Piriz, Marta
   Pablo Horcajada, Juan
   Sorli, Lluisa
   Lopez-Contreras, Joaquin
   Angels Cotura, Maria
   Jover-Saenz, Alfredo
   Ramirez-Hidalgo, Maria
   Garcia, Graciano
   Pico, Ester
   Olga Perez, Mar
   France Domenech, Marie
   Mas, Dolors
   Perez, Rafel
   Coloma, Ana
   Grau, Laura
   Andres, Marta
   Vilamala, Anna
   Jesus Martinez, Maria
   Cuquet, Jordi
   Vasquez, Rosa
   Castro, Antoni
   Iftimie, Simona
   Sanchez, Irene
   Claros, Merce
   Vilaro, Ingrid
   Jofre, Marisa
   Garcia, Gloria
   Coll, Rosa
   Brugues, Montserrat
   Marron, Anna
   Sauca, Goretti
   Pilar Barrufet, Maria
   Marimon, Marilo
   Tortajada, Sonia
   Gallardo, Monica
   Vaque, Montserrat
   Meije, Yolanda
   Berbel, Cristina
   Garcia, Irene
   Serrat, Josefina
   Palau, Eva
   Garcia, Angels
   Galles, Carme
   Laborda, Rosa
   Martinez, Ana
   Carmen Burgas, Maria
   Girbal, Pilar
   Sala, Clara
   Jose Moreno, Maria
   Teresa Ros, Maria
   Angas, Joaquin
   Smithson, Alex
   Teresa Bastida, Maria
   Carlos de la Fuente, Jose
   Rovira, Montserrat
   Martin-Urda, Anabel
   Aliu, Teresa
   Diaz-Brito, Vicens
   Moreno, Encarna
   Agusti, Carme
   Pena, Inma
   Grau, Jordi
   Maria Benitez, Rosa
   Blancas, David
   Moreno, Esther
   Martinez, Sara
   Ferrer, Roser
   Capdevila, Elisenda
   Sanfeliu, Ester
   Montserrat Blasco, Maria
   Monzon, Helena
   Sancliment, Silvia
   Hernandez, Sebastian
   Castander, David
   Montardit, Irene
   Sanz, Marta
   Sabate, Susana
   Gese, Teresita
   Judit Hernandez, Paula
   Maria Tricas, Jose
   Redon, Eva
   Panisello, Manel
   Maria Ferre, Rosa
   Cusco, Maria
   Gabarro, Lourdes
   Farguell, Josep
   Calaf, Elisabet
   Carmen Fernandez, Maria
   Oviedo, Esther
   Gudiol, Carlota
   Albasanz-Puig, Adaia
   Jimenez, Montserrat
   Rodrigues, Goncalo
CA VINCat Clostridioides Difficile St
TI Impact of a training program on the surveillance of Clostridioiaes
   difficile infection
SO EPIDEMIOLOGY AND INFECTION
VL 147
AR e231
DI 10.1017/S0950268819001080
PD 2019
PY 2019
AB A high degree of vigilance and appropriate diagnostic methods are
   required to detect Clostridioides difficile infection (CDI). We studied
   the effectiveness of a multimodal training program for improving CDI
   surveillance and prevention. Between 2011 and 2016, this program was
   made available to healthcare staff of acute care hospitals in Catalonia.
   The program included an online course, two face-to-face workshops and
   dissemination of recommendations on prevention and diagnosis. Adherence
   to the recommendations was evaluated through surveys administered to the
   infection control teams at the 38 participating hospitals. The incidence
   of CDI increased from 2.20 cases/10 000 patient-days in 2011 to 3.41 in
   2016 (P < 0.001). The number of hospitals that applied an optimal
   diagnostic algorithm rose from 32.0% to 71.1% (P = 0.002). Hospitals
   that applied an optimal diagnostic algorithm reported a higher overall
   incidence of CDI (3.62 vs. 1.92, P < 0.001), and hospitals that were
   more active in searching for cases reported higher rates of
   hospital-acquired CDI (1.76 vs. 0.84, P < 0.001). The results suggest
   that the application of a multimodal training strategy was associated
   with a significant rise in the reporting of CDI, as well as with an
   increase in the application of the optimal diagnostic algorithm.
RI Iftimie, Simona/GLU-5446-2022; Limon, Enric/M-4022-2019; Rojo, Miquel Pujol/AAF-5681-2021; Horcajada, Juan P./AAU-7717-2021; Diaz-Brito, Vicens/; Bella, Feliu/
OI Iftimie, Simona/0000-0003-0714-8414; Limon, Enric/0000-0002-5396-1521;
   Rojo, Miquel Pujol/0000-0002-6475-6208; Horcajada, Juan
   P./0000-0001-9873-5459; Diaz-Brito, Vicens/0000-0002-9734-9334; Bella,
   Feliu/0000-0002-9752-4104
ZB 1
Z8 0
ZA 0
ZS 0
ZR 0
TC 5
Z9 5
U1 1
U2 9
SN 0950-2688
EI 1469-4409
UT WOS:000477760000001
PM 31364565
ER

PT J
AU Kunz, Kevin
   Burkert, Mirka
   Heindl, Felix
   Schuettpelz-Brauns, Katrin
   Giesler, Marianne
TI The frequency of using certain feedback methods in the teaching of
   medicine: a survey of teachers at the medica faculties in
   Baden-Wurttemberg
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 4
AR Doc45
DI 10.3205/zma001253
PD 2019
PY 2019
AB Objectives: Feedback is one of the most important methods for
   competency-based teaching. A survey was conducted to learn more about
   the use of feedback methods at five medical faculties.
   Methods: In the 2017 summer semester, teachers at Baden-Wurttemberg's
   medical schools in Freiburg, Heidelberg, Mannheim, Tuebingen and Ulm
   were invited to participate in the survey. The link to the questionnaire
   was sent to the teaching coordinators at the various departments at each
   of the five medical schools. The teaching coordinators were asked to
   forward the link to the questionnaire to all instructors in their
   department. At one location, all instructors were directly addressed.
   The data were collected online.
   Results: A total of 464 instructors participated in the survey. Most
   consider feedback in medical education as important (23%) or very
   important (72%). However, some feedback methods are hardly used. The
   reason for this is, in particular, that some of the feedback methods are
   unfamiliar, e.g. checklists (56%), or not considered necessary by the
   instructors, e.g. written feedback (31%). Fifty-five percent of the
   instructors would like to receive further education or information on
   feedback.
   Conclusion: The results show that the use of feedback methods in medical
   teaching is expandable and that teachers find feedback to be important.
   Accordingly, nothing should stand in the way of a greater use of
   feedback methods in teaching. However, in order for this to happen, it
   is important that instructors are made more familiar with feedback
   methods.
RI Schüttpelz-Brauns, Katrin/AGD-6779-2022
OI Schüttpelz-Brauns, Katrin/0000-0001-9004-0724
ZA 0
TC 2
Z8 0
ZB 0
ZS 0
ZR 0
Z9 2
U1 2
U2 4
SN 2366-5017
UT WOS:000481606700003
PM 31544145
ER

PT J
AU Mette, Mira
   Baur, Christina
   Hinrichs, Jutta
   Oestreicher-Krebs, Elke
   Narciss, Elisabeth
TI Implementing MIA - Mannheim's interprofessional training ward: first
   evaluation results
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 4
AR Doc35
DI 10.3205/zma001243
PD 2019
PY 2019
AB Project description: In Germany there is great interest in better
   preparing learners in the health care professions for interprofessional
   (IP) collaboration on IP training wards. On the MIA, Mannheim's
   interprofessional training ward, medical students, nursing apprentices
   and physiotherapy (PT) trainees learn and practise real patient care in
   a team under supervision. The concept of the MIA, its implementation and
   the first evaluation results are reported. During the 2017/18 academic
   year, 201 medical students, 72 nursing apprentices and 33 PT trainees
   completed their mandatory placements on the MIA, which they evaluated
   online at the end of the placement (questions on the organisation of the
   MIA placement, learning gains, supervision, participant satisfaction,
   personal insights). The data was analysed according to frequency for
   each health care profession separately using the Kruskal-Wallis test for
   comparing the evaluation data between the three participant groups.
   Results: The response rate was 45% (104 medical students, 16 nursing
   apprentices, 19 PT trainees). 64% of the medical students considered the
   placement too short. For 70% of the nursing apprentices, the number of
   patients to be treated was too high. The supervision by the facilitators
   was adequate. There were often IP contacts. Professional and IP learning
   gains were rated high. IP learning took place mainly in personal
   conversations and on IP ward rounds. IP communication/collaboration was
   mentioned most often as an important insight gained from the placement.
   Discussion: The implementation of the MIA concept is considered
   successful. The learning objectives were achieved. The structured daily
   routine on the ward with its IP elements promotes IP collaboration and
   helps to minimise difficulties in the clinical placement, which - often
   for the first time - demands that the participants manage patient care
   in an accountable manner.
   Conclusion: Placements on IP training wards in the education of health
   care professionals can be a good preparation for practising optimal
   patient care in the future.
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
TC 6
Z9 6
U1 0
U2 1
SN 2366-5017
UT WOS:000481606700013
PM 31544135
ER

PT J
AU Raski, Bianca
   Eissner, Alexander
   Gummersbach, Elisabeth
   Wilm, Stefan
   Hempel, Linn
   Dederichs, Melina
   Rotthoff, Thomas
TI Implementation of online peer feedback for student self-reflection -
   first steps on the development of a feedback culture at a medical
   faculty
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 4
AR Doc42
DI 10.3205/zma001250
PD 2019
PY 2019
AB Objective: Acquisition and application of professional and personal
   competences is accompanied by the formation and consolidation of
   attitudes and values and is influenced by the norms and moods (trust and
   feedback culture) experienced in the learning environment in question
   [1]. In particular, feedback and peer feedback can have a positive
   influence on the learning progress and personal development of students
   [2], [3], [4]. The promotion of a culture of teaching and ultimately of
   trust or feedback, plays a special role in this [5]. The aim was
   therefore to structurally integrate feedback into the curriculum of a
   model study course in order to develop a feedback culture in which
   students can develop personally and professionally with the help of
   regular and constructive feedback.
   Methodology: Following an initial pilot phase in 2009, (peer) feedback
   was gradually integrated into the curriculum at the medical faculty, in
   the first instance through checklists and subsequently through an online
   questionnaire and direct interviews. The activities were regularly
   analyzed on the basis of student evaluations using the EvaSys evaluation
   software and semi-standardized questionnaire-based interviews with six
   students in 2009 and 13 students each in 2012 and 2013.
   Results: Initially, students felt that the trust and feedback culture at
   their location as being in need of improvement. There were uncertainties
   regarding the use of constructive feedback and making criticism but also
   trust issues regarding the expression of personal perceptions to faculty
   members. It was possible to document the increase in the acceptance of
   the offers in the course of their establishment by an improvement in
   student evaluation and an increase in the number of participants in the
   voluntary offers amongst others. Qualitative data showed that students
   had a more positive perception or assessment of the location's feedback
   concept as well as indications of improvements in the culture of trust
   at the location. The proportion of constructive free-text comments
   increased significantly by 11% to 99.4% compared to the previous year
   (t(3)=-3.79, p=0.04). Thus, in terms of the objective, an increase in
   feedback activities and their quality at the faculty was achieved.
   Conclusion: Feedback, its acceptance as well as the quality, can be
   positively influenced at a faculty. Change measures should be tested
   repeatedly in discussion with users regarding practicability in order to
   directly pick up implementation issues and obstacles so they can be
   remedied in the interests of the users. This can influence the
   development of a culture of trust and feedback and should promote the
   personal and professional development of students in the long term.
Z8 0
ZR 0
ZA 0
TC 2
ZB 0
ZS 0
Z9 2
U1 0
U2 7
SN 2366-5017
UT WOS:000481606700006
PM 31544142
ER

PT J
AU Waechter, Jason
   Reading, David
   Lee, Chel Hee
   Walker, Mathieu
TI Quantifying the medical student learning curve for ECG rhythm strip
   interpretation using deliberate practice
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 4
AR Doc40
DI 10.3205/zma001248
PD 2019
PY 2019
AB Objectives: Obtaining competency in medical skills such as
   interpretation of electrocardiograms (ECGs) requires repeated practice
   and feedback. Structured repeated practice and feedback for ECGs is
   likely not provided to most medical students, so skill development is
   dependent on opportunistic training during clinical rotations. Our aim
   was to describe:
   1. the amount of deliberate practice completed for learning ECG rhythm
   strip diagnoses in first year medical students,
   2. the learning curve for rhythm strip diagnosis, and
   3. student experiences with deliberate practice.
   Methods: First year medical students from two medical schools were
   provided with online rhythm strip practice cases. Diagnostic accuracy
   was measured throughout practice, and students were provided feedback
   for every case they completed. Total cases practiced and time spent
   practicing were correlated with their performance during practice and on
   an exam.
   Results: 314 of 384 (82%) students consented. The mean number of ECGs
   each student practiced was 59 (range 0-280), representing 18,466 total
   instances of deliberate practice. We generated mathematical models that
   accurately correlated both the number of cases practiced and time spent
   practicing, with diagnostic accuracy on an exam (p<0.001). For example,
   students would need to spend on average of 112 minutes and complete 34
   practice cases to obtain 75% on an ECG rhythm strip exam. Student
   satisfaction was high using the online cases.
   Conclusions: We succeeded in delivering deliberate practice for ECG
   rhythm strip interpretation to a large cohort of students at 2 medical
   schools. We quantified a learning curve that estimates the number of
   cases and practice time required to achieve pre-determined levels of
   diagnostic accuracy. This data can help inform a competency-based
   approach to curriculum development.
ZR 0
ZS 0
TC 7
ZA 0
Z8 0
ZB 0
Z9 7
U1 0
U2 3
SN 2366-5017
UT WOS:000481606700008
PM 31544140
ER

PT J
AU Anasi, Stella Ngozi
   Lawal, Folasade Olufunke
   Paul-Ozieh, Abiola
TI Internet literacy skills of community pharmacists in Lagos State,
   Nigeria
SO INFORMATION AND LEARNING SCIENCES
VL 120
IS 3-4
BP 242
EP 252
DI 10.1108/ILS-08-2018-0082
PD 2019
PY 2019
AB Purpose - Community pharmacists need good retrieval skills and
   competencies for effective use of online information resources for
   professional practice. This study aims to ascertain the internet
   literacy skills of community pharmacists in Lagos State, Nigeria.
   Design/methodology/approach - A survey research design was adopted for
   the study. Convenience sampling technique was used in selecting
   community pharmacists. Questionnaire was the instrument used for data
   collection, whereas descriptive and inferential statistics were used for
   data analysis.
   Findings - The study revealed that community pharmacists possess
   requisite internet literacy skills for effective use of online health
   information resources. There is a positive relationship between
   informational and operational internet literacy skills [r = 0.820,
   p(0.000) < 0.05], informational and strategic internet literacy skills
   [r = 0.838, p(0.000) < 0.05] and operational and strategic internet
   literacy skills [r = 0.810, p(0.000) < 0.05]. There is a statistically
   significant gender difference in the level of skillfulness in internet
   use based on self-reported skills. There is a significant relative
   contribution of demographic variables (gender, age, educational
   qualification and number of years in professional practice) to the level
   of skillfulness in internet use among community pharmacists.
   Practical implications - To improve the use of online internet
   resources, the Association of Community Pharmacists of Nigeria, Lagos
   Chapter, should conduct training needs assessment regularly to offer the
   right levels of internet use skills. They must be proactive and
   incorporate training on computer and internet skills into their annual
   conferences and zonal meetings. They should also prepare and give
   internet use manuals to their members to read and understand how to use
   the internet more effectively. Community pharmacists, especially the
   female pharmacists, should also take advantage of free online training
   sessions called webinars to improve their internet literacy skills to
   cope with rapid changes in the e-environment, as well as to boost the
   quality of health-care services delivery. Pharmacists' Council of
   Nigeria, the agency responsible for regulating and controlling the
   education, training and practice of pharmacy, should include an internet
   literacy skills module in the Mandatory Professional Continuing
   Education Programme.
   Originality/value - The study investigated the internet literacy skills
   of community pharmacists in Lagos State and identified the gender gap in
   level of skillfulness. This study also explored the relationship between
   level of skillfulness and internet use, as well as the relationship
   between community pharmacists' informational, operational and strategic
   internet literacy skills.
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 6
SN 2398-5348
EI 1758-6909
UT WOS:000485200100006
ER

PT J
AU Vanoh, Divya
   Shahar, Suzana
   Razali, Rosdinom
   Ali, Nazlena Mohamad
   Manaf, Zahara Abdul
   Noah, Shahrul Azman Mohd
   Nur, Amrizal Muhammad
TI The Effectiveness of a Web-Based Health Education Tool, WESIHAT 2.0,
   among Older Adults: A Randomized Controlled Trial
SO JOURNAL OF ALZHEIMERS DISEASE
VL 70
BP S255
EP S270
DI 10.3233/JAD-180464
SU 1
PD 2019
PY 2019
AB Background: Intervention strategies, especially online based approaches,
   are considered to be beneficial in improving the health of the senior.
   The effectiveness of such approaches is yet to be determined.
   Objective: This study aims to determine the effectiveness of the
   web-based application, WESIHAT 2.0(C), for improving cognitive function,
   physical fitness, biochemical indices, and psychosocial variables among
   older adults in Klang Valley, Malaysia. The cost analysis of WESIHAT
   2.0(C)was also determined.
   Method: The study utilized a two-arm randomized controlled trial with 25
   subjects in each of the intervention and control groups. The
   participants chosen for the study included those who were 60 years and
   above with at least secondary education and had internet access using a
   computer at home. The intervention group was exposed to the website (30
   minutes per day, 4 days per week) for six months, while the control
   group was given health education pamphlets. Activity-Based Costing
   method was used to determine the cost saved using WESIHAT 2.0(C)as
   compared to using the pamphlet.
   Results: Significant intervention effects were observed for
   self-perception of disability and informational support scores. WESIHAT
   2.0(C)was able to save costs in improving the self-perception of
   disability score and the informational support score at MYR 6.92 and MYR
   13.52, respectively, compared to the conventional method.
   Conclusion: WESIHAT 2.0(C)was able to save costs in improving the
   self-perceived disability and informational support scores for the
   intervention group.
RI ALI, NAZLENA MOHAMAD/V-8532-2019; Vanoh, Divya/Z-1865-2018; Vanoh, Divya/GLV-2152-2022; Vanoh, Divya/GRY-2370-2022; Mohd Noah, Shahrul Azman/ABA-2084-2021; Abdul Manaf, Zahara/GLQ-5688-2022; MN, Amrizal/
OI ALI, NAZLENA MOHAMAD/0000-0002-2267-8328; Vanoh,
   Divya/0000-0003-0754-7933; Vanoh, Divya/0000-0003-0754-7933; Mohd Noah,
   Shahrul Azman/0000-0001-7683-4309; Abdul Manaf,
   Zahara/0000-0002-5657-8608; MN, Amrizal/0000-0001-7170-0918
ZB 3
Z8 0
ZA 0
ZR 0
ZS 0
TC 10
Z9 10
U1 2
U2 3
SN 1387-2877
EI 1875-8908
UT WOS:000481670800019
PM 31256116
ER

PT J
AU Duy, Phan Q.
   Negoita, Serban
   Mahajan, Uma V.
   Diab, Nicholas S.
   Agarwal, Ank
   Gupte, Trisha
   Paranjpe, Manish D.
   Anderson, William S.
TI DESCRIPTION AND ASSESSMENT OF A NEUROSURGERY SHADOWING AND RESEARCH
   PROGRAM: A PARADIGM FOR EARLY AND SUSTAINED EXPOSURE TO ACADEMIC
   NEUROSURGERY
SO TRANSLATIONAL NEUROSCIENCE
VL 10
IS 1
BP 195
EP 199
DI 10.1515/tnsci-2019-0034
PD JAN 2019
PY 2019
AB Objective: To describe and assess the educational value of a functional
   neurosurgery clinical shadowing and research tutorial for pre-medical
   trainees. Design: Program participants observed functional neurosurgery
   procedures and conducted basic science and clinical research in
   neurosurgery fields. Former participants completed a brief online survey
   to evaluate their perspectives and experiences throughout the tutorial.
   Setting: Department of Neurosurgery, Johns Hopkins University School of
   Medicine, Baltimore, MD, USA. Participants: 15 pre-medical and
   post-baccalaureate trainees participated in the tutorial. All former
   tutorial participants were emailed. Results: 11/15 former participants
   responded to the survey. Survey results suggest that the tutorial
   program increased participants' understanding of and interest in
   neurosurgery and related fields in neuroscience. Conclusions: The
   functional neurosurgery medical tutorial provides valuable clinical and
   research exposure in neurosurgery fields for pre-medical trainees. Our
   work is a preliminary step in addressing the crucial challenge of
   training the next generation of neurosurgeon-scientists by providing a
   pedagogical paradigm for development of formal experiences that
   integrate original scientific research with clinical neurosurgery
   exposure.
OI Anderson, William/0000-0003-0958-050X; Duy, Phan
   Quoc/0000-0002-4513-7348; Gupte, Trisha/0000-0003-4231-676X; Agarwal,
   Ank/0000-0002-8307-4931
ZS 0
ZB 0
ZR 0
ZA 0
Z8 0
TC 3
Z9 3
U1 0
U2 0
SN 2081-3856
EI 2081-6936
UT WOS:000482099700005
PM 31410303
ER

PT J
AU Schnee, David
   Ward, Tucker
   Philips, Eli
   Torkos, Stefanos
   Mullakary, Jenny
   Tataronis, Gary
   Felix-Getzik, Erika
TI Effect of Live Attendance and Video Capture Viewing on Student
   Examination Performance
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 83
IS 6
BP 1200
EP 1206
AR 6897
PD 2019
PY 2019
AB Objective. To compare pharmacy student's performance in a therapeutics
   course after attending live lectures and/or viewing video-recorded
   lectures.
   Methods. Attendance was taken during seven lectures spaced equally
   throughout the therapeutics course. Data on student's viewing of the
   video-recorded lectures was extracted. Students were grouped based on
   class attendance and video-viewing behavior; these data were correlated
   to student performance on examination lecture specific material. The
   data were also evaluated based on student's final course grade.
   Results. From each lecture for which data were collected, between 346
   and 349 students were included in the analysis, resulting in 2,430 data
   points. Students who were attended lecture and did not access the
   video-recorded lecture were associated with better performance on the
   respective examination than students who were absent and accessed the
   video-recorded lecture only once (grade= 71.0 vs 62.3). Students who
   attended lecture, regardless of whether they subsequently viewed the
   video online, were associated with better performance on the examination
   than students who were absent (70.4 vs 64.0). Among all students who
   attended lecture, those that also used the video-recorded lecture were
   associated with similar performance on the examination as those who did
   not access the video (grade= 69.1 vs 71.0).
   Conclusion. Results from this pilot study demonstrated that live class
   attendance was associated with higher examination performance than
   viewing recorded lectures for a therapeutics class. The results of this
   pilot study can be used to guide future research in understanding how
   teaching methods affect student performance.
RI Malone, Patrick/AAT-7940-2020
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
TC 7
Z9 7
U1 2
U2 7
SN 0002-9459
EI 1553-6467
UT WOS:000483921800004
PM 31507287
ER

PT J
AU Stajic, Janet
   Harfield, Stephen
   Brown, Alex
   Dawson, Anna
   Davy, Carol
   Aromataris, Edoardo
   Braunack-Mayer, Annette
TI Evaluating a research capacity strengthening program for Aboriginal
   community-controlled health organisations
SO AUSTRALIAN JOURNAL OF PRIMARY HEALTH
VL 25
IS 1
BP 72
EP 81
DI 10.1071/PY18058
PD 2019
PY 2019
AB A Masterclass Program was developed to strengthen the research capacity
   of staff within Aboriginal Community-Controlled Health Organisations
   (ACCHOs) and featured three Masterclasses delivered across Australia,
   including Understanding Research, Undertaking Research and Research
   Evaluation. A mixed-method process and impact evaluation of the
   Masterclass Program was undertaken. The process evaluation examined the
   reach of the Program and the impact evaluation comprised an online
   survey (n = 45) and semi-structured interviews (n = 21) with Masterclass
   participants. During 2014-17, 27 Masterclasses were delivered to 260
   people, including predominantly ACCHO personnel but also Indigenous
   doctors and research institute staff who work closely with the ACCHO
   sector. Most survey respondents felt the Masterclasses improved their
   understanding of research and their willingness to participate in and
   undertake research. The qualitative analysis confirmed this and
   suggested that Masterclasses were implemented in a supportive learning
   environment which led to increased research capacity (increased research
   awareness, changed perceptions, increased understanding, critical
   thinking and new confidence) and ultimately enhanced research engagement
   (willingness to participate, motivating others, empowered critique of
   research partners and proposals, interest in further research training).
   Barriers to research engagement and areas for improvement of the
   Masterclass Program before, during and after Masterclasses were also
   identified.
RI Aromataris, Edoardo C/G-2260-2012; Harfield, Stephen/ABF-9492-2020; Braunack-Mayer, Annette/AAE-7796-2019; Stajic, Janet/; Brown, Alex/
OI Aromataris, Edoardo C/0000-0001-7238-5833; Harfield,
   Stephen/0000-0002-6283-2350; Braunack-Mayer,
   Annette/0000-0003-4427-0224; Stajic, Janet/0000-0002-1216-7866; Brown,
   Alex/0000-0003-2112-3918
ZB 0
ZA 0
TC 4
Z8 0
ZS 0
ZR 0
Z9 4
U1 0
U2 0
SN 1448-7527
EI 1836-7399
UT WOS:000459015100010
PM 30630588
ER

PT C
AU Chittajallu, Deepak R.
   Basharat, Arslan
   Tunison, Paul
   Horvath, Samantha
   Wells, Katerina O.
   Leeds, Steven G.
   Fleshman, James W.
   Sankaranarayanan, Ganesh
   Enquobahrie, Andinet
BE Fei, B
   Linte, CA
TI Content Based Retrieval of Video Segments from Minimally Invasive
   Surgery Videos using Deep Convolutional Video Descriptors and Iterative
   Query Refinement
SO MEDICAL IMAGING 2019: IMAGE-GUIDED PROCEDURES, ROBOTIC INTERVENTIONS,
   AND MODELING
SE Proceedings of SPIE
VL 10951
AR 109512Q
PD 2019
PY 2019
AB Despite a strong evidence of the clinical and economic benefits of
   minimally invasive surgery (MIS) for many common surgical procedures,
   there is a gross underutilization of MIS in many US hospitals,
   potentially due to its steep learning curve. Intraoperative videos
   captured using a camera inserted into the body during MIS procedures are
   emerging as an invaluable resource for MIS education, skill assessment
   and quality assurance. However, these videos often have a duration of
   several hours and there is a pressing need for automated tools to help
   surgeons quickly find key semantic segments of interest within MIS
   videos. In this paper, we present a novel integrated approach for
   facilitating content-based retrieval of video segments that arc
   semantically similar to a query video within a large collection of MIS
   videos. We use state-of-the-art deep 3D convolutional neural network
   (CNN) models pre-trained on large public video classification datasets
   to extract spatiotemporal features from MIS video segments and employ an
   iterative query refinement (IQR) strategy where in a support vector
   machine (SVM) classifier trained online based on relevance feedback from
   the user is used to refine the search results iteratively. We show that
   our method outperforms the state-of-the-art on the SurgicalActions160
   dataset containing 160 video clips of typical surgical actions in
   gynecologic MIS procedures.
CT Conference on Medical Imaging - Image-Guided Procedures, Robotic
   Interventions, and Modeling
CY FEB 17-19, 2019
CL San Diego, CA
SP SPIE
ZS 0
ZB 0
ZA 0
ZR 0
TC 2
Z8 0
Z9 2
U1 1
U2 4
SN 0277-786X
EI 1996-756X
BN 978-1-5106-2550-1
UT WOS:000483683500091
ER

PT J
AU Haragan, Adriane F.
   Zuwiala, Carly A.
   Himes, Katherine P.
TI Online Information About Periviable Birth: Quality Assessment
SO JMIR PEDIATRICS AND PARENTING
VL 2
IS 1
AR e12524
DI 10.2196/12524
PD JAN-JUN 2019
PY 2019
AB Background: Over 20,000 parents in the United States face the challenge
   of participating in decisions about whether to use life support for
   their infants born on the cusp of viability every year. Clinicians must
   help families grasp complex medical information about their baby's
   immediate prognosis as well as the risk for significant long-term
   morbidity. Patients faced with this decision want supplemental
   information and frequently seek medical information on the Internet.
   Empirical evidence about the quality of websites is lacking.
   Objective: We sought to evaluate the quality of online information
   available about periviable birth and treatment options for infants born
   at the cusp of viability.
   Methods: We read a counseling script to 20 pregnant participants that
   included information typically provided by perinatal and neonatal
   providers when periviable birth is imminent The women were then asked to
   list terms they would use to search the Internet if they wanted
   additional information. Using these search terms, two reviewers
   evaluated the content of websites obtained via a Google search We used
   two metrics to assess the quality of websites. The first was the DISCERN
   instrument, a validated questionnaire designed to assess the quality of
   patient-targeted health information for treatment choices. The second
   metric was the Essential Content Tool (ECT), a tool designed to address
   key components of counseling around periviable birth as outlined by
   professional organizations. DISCERN scores were classified as low
   quality if scores were 2, fair quality if scores were 3, and high
   quality if scores were 4 or higher. Scores of 6 or higher on the ECT
   were considered high quality. Interreviewer agreement was assessed by
   calculated kappa statistic.
   Results: A total of 97 websites were reviewed. Over half (57/97, 59%)
   were for-profit sites, news stories, or personal blogs; 28% (27/97) were
   government or medical sites; and 13% (13/97) were nonprofit or advocacy
   sites. The majority of sites scored poorly in DISCERN questions designed
   to assess the reliability of information presented as well as data
   regarding treatment choices. Only 7% (7/97) of the websites were high
   quality as defined by the DISCERN tool. The majority of sites did not
   address the essential content defined by the ECT. Importantly, only 18%
   of websites (17/97) indicated that there are often a number of
   reasonable approaches to newborn care when faced with periviable birth
   Agreement was strong, with kappa ranging from .72 to .91.
   Conclusions: Most information about periviable birth found on the
   Internet using common search strategies is of low quality. News stories
   highlighting positive outcomes are disproportionately represented. Few
   websites discuss comfort care or how treatment decisions impact quality
   of life.
OI Haragan, Adriane/0000-0003-2088-2031; Himes,
   Katherine/0000-0002-4949-2929
ZR 0
ZA 0
TC 2
ZB 1
ZS 0
Z8 0
Z9 2
U1 0
U2 2
SN 2561-6722
UT WOS:000780471500014
PM 31518325
ER

PT J
AU AlZamil, Alanoud
   AlHoqail, Razan
   Alodhayani, Abdulaziz
TI Barriers and attitudes of family and internal medicine residents toward
   geriatric patients: a cross-sectional analytical study
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 585
EP 590
DI 10.2147/AMEP.S171376
PD 2019
PY 2019
AB Background: In the Kingdom of Saudi Arabia, the 2016 Census indicated
   that there were more than 1 million people aged 65 years and older,
   representing 3.3% of the population. Increased life expectancy will lead
   to a significant increase in the elderly population in the Kingdom of
   Saudi Arabia by 5-fold (18%) in 2050.
   Aim: This study aimed to measure internal medicine and family medicine
   residents' attitudes toward elderly patients and evaluate their interest
   in and barriers to geriatric medicine at King Saud University Medical
   City.
   Method: A cross-sectional observational analytical study using a
   convenient sampling method was performed in the internal medicine and
   family medicine departments at King Saud University Medical City,
   Riyadh, Kingdom of Saudi Arabia, from April 2017 to August 2017. The
   total sample size was 101 residents. Data were collected via an online
   survey using a predesigned validated questionnaire (University of
   California at Los Angeles Geriatrics Attitudes Scale).
   Results: The results showed a neutral attitude of both family and
   internal medicine residents with p=0.9 and p=0.6, respectively, without
   any significant association with their training levels. Moreover, this
   study showed that 87% of the residents were not willing to consider
   geriatric medicine as a subspecialty due to the unavailability of a
   local geriatric training program (59.5%), whereas the cognitive capacity
   of the patients was the least barrier chosen by the residents (4.8%).
   Conclusion: Based on the findings of this study, most of the
   participants did not receive training in geriatric medicine, which
   mandates the need for early exposure to geriatric training in medical
   schools and the need to integrate this type of training within the major
   postgraduate training programs of the Saudi Commission for Health
   Specialties.
ZA 0
ZR 0
TC 2
ZS 0
ZB 0
Z8 0
Z9 2
U1 0
U2 1
SN 1179-7258
UT WOS:000479295000001
PM 31496859
ER

PT J
AU Muljo, Hery H.
   Perbangsa, Anzaludin S.
   Pardamean, Bens
TI Assessment of Online Learning Application for Health Education
SO INTERNATIONAL JOURNAL OF ONLINE AND BIOMEDICAL ENGINEERING
VL 15
IS 12
BP 69
EP 80
DI 10.3991/ijoe.v15i12.11157
PD 2019
PY 2019
AB Online learning has become a model, learning strategies, and the
   preferred channel in education around the world because it is not
   restricted by time and place. The development of online learning in
   supporting the success of health education programs for early detection
   of cervical cancer is the right solution to improve health workers
   knowledge. To measure user acceptance of the online learning
   applications, the study used Technology Acceptance Model (TAM) approach.
   Data collected from questionnaires then analyzed by calculating the
   frequency (proportion) of the total value, the interpretation of a score
   by looking for index% and interval. The final result of the calculation
   shows that all respondents agreed and strongly agreed with all four
   factors measured. The conclusions are the users believe that the use of
   learning online applications can reduce the task effort, improve job
   performance, give positive idea to use the technology, and consciously
   and expressed desire to run the online learning process in the future.
RI Pardamean, Bens/GRJ-5921-2022; Perbangsa, Anzaludin Samsinga/
OI Pardamean, Bens/0000-0002-7404-9005; Perbangsa, Anzaludin
   Samsinga/0000-0002-0343-8951
ZB 0
TC 5
ZR 0
Z8 0
ZS 0
ZA 0
Z9 5
U1 1
U2 4
EI 2626-8493
UT WOS:000483333100006
ER

PT J
AU Dai, Jiamin
   Granikov, Vera
   El Sherif, Reem
   Grguric, Ekatarina
   Turcotte, Emmanuelle
   Pluye, Pierre
TI Patient Information Aid: An innovative educational program to improve
   outcomes of online consumer health information
SO EDUCATION FOR INFORMATION
VL 35
IS 1
BP 41
EP 49
DI 10.3233/EFI-180215
PD 2019
PY 2019
AB With an increasing volume of health information online, it becomes
   critical for consumers to improve their search and evaluation skills to
   retrieve reliable information. The Patient Information Aid (PIA) program
   is aimed to facilitate information seeking, potentially leading to
   positive outcomes of online consumer health information and the
   reduction of negative outcomes. This program consists of an educational
   website based on findings from a systematic literature review and a
   qualitative research. By teaching information evaluation skills
   at-the-point-of-search, the general objective of the PIA website is to
   improve users' e-health information literacy. Adopting user-centered
   design methods, we ran two focus groups with users having various
   literacy levels. We applied usability heuristics and information
   architecture strategies to design the PIA website, and developed
   personas and task scenarios to inform the wireframing. In this paper, we
   share our experience and insights on designing an educational
   information literacy program, which can be useful for information
   professionals working in all areas.
OI Dai, Jiamin/0000-0002-4934-2760
ZR 0
ZA 0
ZS 0
Z8 0
TC 3
ZB 1
Z9 3
U1 2
U2 8
SN 0167-8329
EI 1875-8649
UT WOS:000461768100006
ER

PT J
AU Prakash, Amit
   Saha, Sujan Kumar
TI A study on use of the web for automatic answering of remedy finding
   questions of common users
SO TECHNOLOGY AND HEALTH CARE
VL 27
IS 1
BP 23
EP 35
DI 10.3233/THC-181382
PD 2019
PY 2019
AB BACKGROUND: The World Wide Web has become a huge repository of knowledge
   in many domains, including health problems and remedy. An intelligent
   system, having the capability of mining the relevant information from
   the web, can provide instant guidance in our basic health problems.
   OBJECTIVE: The first objective is to convert the free-form long user
   query into a structured summary. The second objective is to provide an
   advice for a health query posed by a user. The suggestion can be in the
   form of names of medicines and related information or a warning to
   indicate that the situation is a medical emergency.
   METHODS: First, a set of template information is extracted from the user
   question. A search query is formed to retrieve relevant pages from a set
   of trusted websites. The retrieved pages are processed in various levels
   to extract the remedy and related information.
   RESULTS AND CONCLUSION: The system is tested using a set of real
   questions collected from various relevant websites. The system generated
   suggestions are evaluated by experts. Evaluation results show that the
   system provides relevant results in 92.92% cases.
RI Saha, S K/L-9587-2017
OI Saha, S K/0000-0002-7275-7980
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
TC 1
Z9 1
U1 0
U2 4
SN 0928-7329
EI 1878-7401
UT WOS:000479323100003
PM 30507596
ER

PT J
AU Fitzpatrick, Sally A.
   Haswell, Melissa R.
   Williams, Megan M.
   Nathan, Sally
   Meyers, Lois
   Ritchie, Jan E.
   Pulver, Lisa R. Jackson
TI Learning about Aboriginal health and wellbeing at the postgraduate
   level: novel application of the Growth and Empowerment Measure
SO RURAL AND REMOTE HEALTH
VL 19
IS 2
AR 4708
DI 10.22605/RRH4708
PD 2019
PY 2019
AB Introduction: Public health education strives to transform and em power
   students to engage in policy and practice improvement. However, little
   is known of the nature of such change among students, especially when
   studying Aboriginal health and wellbeing, which may involve disrupting
   long held assumptions and prejudices. This article reports findings
   regarding the feasibility, specificity and sensitivity of the Growth and
   Empowerment Measure (GEM) in the evaluation of two innovative Australian
   13-week postgraduate public health electives focused on Aboriginal
   health and wellbeing. The GEM's 14-item Emotional Empowerment Scale
   (EES14) and its subscales Inner Peace and Self-Capacity, and 12
   Scenarios (S12) and its subscales Healing and Growth and Connection and
   Purpose were used to examine transformative experiences. A new short
   form of the 512, the Core6, was also trialled as a briefer measure of
   functional empowerment.
   Methods: Pre-course GEM responses and demographic information were
   collected from consenting students during the mandatory, face-to-face
   workshops of the Aboriginal public health Perspectives course and the
   Aboriginal empowerment and wellbeing Lifespan course. The two-day
   Perspectives course workshop introduced a group scenario-building
   activity towards ending health inequality. Lifespan students experienced
   a 3-day immersion based on Stage 1 of the Aboriginal Family Well Being
   empowerment program. Insights from both workshops were further
   integrated through structured online discussions and written
   assessments. At the end of semester, a post-course GEM was mailed to
   students for completion and return. Students could also provide feedback
   through evaluation surveys and semi-structured focus groups. Effect
   sizes were assessed using paired t-tests, Wilcoxon signed-rank tests and
   multiple ANOVA. Cronbach's alpha confirmed internal consistency.
   Results: Baseline GEM data was provided for 147 out of a total of 194
   workshop experiences from participating students. Twenty students
   attended workshops for both Perspectives and Lifespan. Fifty-five
   matched pairs (representing 52 individual participants) were obtained
   from 170 students who completed one or both courses. Statistically
   significant positive change of small to medium effect size was detected
   in all GEM scales, subscales and some individual items. Lifespan yielded
   larger effects than Perspectives, most markedly on two subscales: Inner
   Peace, and Connection and Purpose. Participating students reported
   significant growth in the Scenario item 'knowing and being who I am'
   following Perspectives and Lifespan. Those completing Perspectives also
   reported a significant increase in 'gaining voice and being heard',
   consistent with its action-oriented scenario-building assessment. In
   contrast, the psychosocial development approach embedded in Lifespan
   stimulated strong development in spirituality, responding constructively
   to judgement, appreciating empowerment in their communities and skills
   to make changes in their lives. Feedback indicated that students valued
   these personal and professional growth experiences.
   Conclusion: The GEM was sensitive and specific in measuring components
   of empowering change among participants. Challenges included low
   post-course response rates that limited extrapolation to overall course
   impact, and attention needed to starting point when comparing the
   increment of change. The GEM is a promising tool for studying
   postgraduate courses designed to stimulate transformative learning,
   wellbeing and cultural competence through empowerment, and relevant in
   the education of health professionals in the fields of Aboriginal and
   rural health.
RI Haswell, Melissa R/AAA-5497-2022; Jackson Pulver, Lisa/; Meyer, Lois/; Williams, Megan/; Fitzpatrick, Sally/
OI Haswell, Melissa R/0000-0002-4067-7951; Jackson Pulver,
   Lisa/0000-0001-8809-511X; Meyer, Lois/0000-0001-7062-3631; Williams,
   Megan/0000-0002-0969-2619; Fitzpatrick, Sally/0000-0002-9122-9702
ZB 0
ZR 0
ZS 0
ZA 0
Z8 0
TC 10
Z9 10
U1 0
U2 6
SN 1445-6354
UT WOS:000470906400008
PM 30987426
ER

PT J
AU Youl, Philippa
   Morris, Bronwyn
   Anderson, Jenny
   Morstyn, Lisa
TI What factors influence the treatment decisions of women with breast
   cancer? Does residential location play a role?
SO RURAL AND REMOTE HEALTH
VL 19
IS 2
AR 4497
DI 10.22605/RRH4497
PD 2019
PY 2019
AB Introduction: Inequalities in cancer outcomes continue to exist
   throughout the world. In Australia, rural women diagnosed with breast
   cancer have significantly poorer 5-year survival, with variations in
   clinical management additionally observed. While factors impacting
   clinical management have been identified, there is little understanding
   about the factors that influence treatment decisions of women diagnosed
   with breast cancer.
   Methods: A mixed-methods study was conducted with women diagnosed with
   either pre-invasive or invasive breast cancer in Australia. The study
   included qualitative interviews and an online survey utilising Breast
   Cancer Network Australia's membership. Semi-structured interviews were
   conducted with rural women focusing on topics such as decision-making
   and factors influencing this. The online survey amongst metropolitan and
   rural (including regional, remote, very remote) women examined
   involvement in, and preference for, decision-making, and to what degree
   certain factors influenced treatment decisions. Sociodemographics
   included age, residential location, education and household income.
   Qualitative interviews were analysed using NVivo, and descriptive
   analyses were used to examine differences in frequency distributions
   across survey questions by residential location and age group for the
   online survey. Multivariable logistic regression analysis was conducted
   to examine factors associated with treatment decision-making.
   Results: Nine women participated in the qualitative interviews and 815
   (365 metropolitan and 450 rural) completed the online survey. Interviews
   found most women concurred with the recommendations of their doctor(s)
   and did not see this experience as 'making a decision'. In the online
   survey, 83.2% of women indicated at least some involvement in the
   decision-making with this being similar between rural and metropolitan
   women. Compared to women educated at an under- or postgraduate level,
   those educated at high school or less were about 50% less likely to be
   involved in treatment decision(s) (OR=0.51, 95% confidence
   interval=0.30-0.86). In both interviews and the online survey, factors
   having the strongest influence on treatment decisions centred around
   survival and reducing risk of progression or recurrence. Significantly
   more rural compared metropolitan women indicated their decision was
   strongly influenced by treatment service location (42.8% and 28.1%,
   respectively, p<0.001). Rural women more frequently cited financial
   costs of treatment influenced their decision compared to metropolitan
   women (30.4% and 21.3%, respectively, p=0.04). Significantly fewer
   rural, (162%) compared to metropolitan (23.6%) women, had breast
   reconstruction (p =0.009). The option of having reconstructive surgery
   was less frequently cited as influencing treatment decisions for rural
   compared to metropolitan women (27.7% v 44.1% respectively, p <0.001).
   Conclusions: The treatment decisions of the majority of women were
   strongly influenced by the need to do everything possible to get better,
   however, rural women additionally indicated their decisions were also
   influenced by factors such as access to treatment services and the
   financial costs of treatment. Addressing travel and costs issues for
   rural women with breast cancer should be prioritised. Additionally, the
   finding that women with lower levels of education were significantly
   less likely to be involved in the decision-making process highlights the
   need to develop new or tailor existing resources. Further work could
   also examine the reasons why rural women are less likely to consider
   breast reconstruction important in decision-making.
ZR 0
Z8 0
ZS 0
ZA 0
ZB 1
TC 3
Z9 3
U1 1
U2 5
SN 1445-6354
UT WOS:000470906400003
PM 31129973
ER

PT J
AU Trucchi, Cecilia
   Costantino, Claudio
   Restivo, Vincenzo
   Bertoncello, Chiara
   Fortunato, Francesca
   Tafuri, Silvio
   Amicizia, Daniela
   Martinelli, Domenico
   Paganino, Chiara
   Piazza, Maria Francesca
   Tassinari, Federico
   Tisa, Valentino
   Stefanizzi, Pasquale
   Baldo, Vincenzo
   Casuccio, Alessandra
   Prato, Rosa
   Ansaldi, Filippo
   Icardi, Giancarlo
TI Immunization Campaigns and Strategies against Human Papillomavirus in
   Italy: The Results of a Survey to Regional and Local Health Units
   Representatives
SO BIOMED RESEARCH INTERNATIONAL
VL 2019
AR 6764154
DI 10.1155/2019/6764154
PD 2019
PY 2019
AB Objective. The study aimed to assess the impact of HPV immunization
   campaigns organizational aspects, the characteristics of immunization
   program (vaccination targets and type of offer), and communicative
   strategies adopted by four Italian administrative regions on vaccination
   coverage observed. Methods. From November 2017 to March 2018, regional
   and Local Health Units (LHUs) representatives were invited to complete
   an online survey including 54 questions evaluating vaccination invite
   systems, access systems to vaccination centres, reminder and recall
   systems, and adverse events surveillance. An overall descriptive
   analysis was conducted. Since observed vaccine coverage (VC) obtained in
   females (2002-2004 birth cohorts) was lower than objectives fixed by the
   Italian Ministry of Health, variables were assessed using the national
   VC mean obtained in the 2003 girls birth cohort as outcome. Results.
   Twenty-six LHUs belonging to 4 Northern and Southern Italian regions
   participated in the study. Organizational aspects significantly related
   to VC lower than the national mean were access to vaccine centres
   without appointment and parents' reservation as appointment planning
   system. Recall systems for both the first and the second dose, including
   the appointment in the invitation letter, the availability of regional
   immunization registry, and education of healthcare workers on universal
   HPV immunization strategies, instead, were related to higher VC. As
   regards preadolescent immunization strategies, both VC obtained in girls
   and boys were far from the Ministerial goals. Only 20% of LHUs
   introduced multicohort female strategies while all LHUs adopted
   copayment targeting both men and women. Immunizations strategies
   targeting subjects at risk were implemented only in half of
   participating LHUs. Conclusions. VC observed in participating LHUs are
   largely lower than the national objectives in all anti-HPV vaccine
   targets. Both organizational and educational strategies have to be
   implemented to improve the VC goals.
RI Baldo, Vincenzo/V-4005-2019; Tafuri, Silvio/AAV-7421-2020; Costantino, Claudio/F-4742-2018; Vincenzo, Baldo/D-7822-2018; Piazza, Maria Francesca/ABG-4059-2021; Fortunato, Francesca/S-1322-2018; Martinelli, Domenico/; Tassinari, Federico/; Trucchi, Cecilia/; , PASQUALE STEFANIZZI/
OI Baldo, Vincenzo/0000-0001-6012-9453; Tafuri, Silvio/0000-0003-4194-0210;
   Costantino, Claudio/0000-0002-3397-7331; Vincenzo,
   Baldo/0000-0001-6012-9453; Piazza, Maria Francesca/0000-0002-2404-3609;
   Fortunato, Francesca/0000-0003-0665-5385; Martinelli,
   Domenico/0000-0001-8028-3167; Tassinari, Federico/0000-0003-3114-8043;
   Trucchi, Cecilia/0000-0003-4633-202X; , PASQUALE
   STEFANIZZI/0000-0002-3279-0196
Z8 0
TC 8
ZS 0
ZR 0
ZB 5
ZA 0
Z9 8
U1 1
U2 1
SN 2314-6133
EI 2314-6141
UT WOS:000475579700001
PM 31355274
ER

PT J
AU Guha, Daipayan
   Moghaddamjou, Ali
   Jiwani, Zaneen H.
   Alotaibi, Naif M.
   Fehlings, Michael G.
   Mainprize, Todd G.
   Yee, Albert
   Yang, Victor X. D.
TI Utilization of Spinal Intra-operative Three-dimensional Navigation by
   Canadian Surgeons and Trainees: A Population-based Time Trend Study
SO CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
VL 46
IS 1
BP 87
EP 95
DI 10.1017/cjn.2018.376
PD JAN 2019
PY 2019
AB Background Computer-assisted navigation (CAN) improves the accuracy of
   spinal instrumentation in vertebral fractures and degenerative spine
   disease; however, it is not widely adopted because of lack of training,
   high capital costs, workflow hindrances, and accuracy concerns. We
   characterize shifts in the use of spinal CAN over time and across
   disciplines in a single-payer health system, and assess the impact of
   intra-operative CAN on trainee proficiency across Canada. Methods A
   prospectively maintained Ontario database of patients undergoing spinal
   instrumentation from 2005 to 2014 was reviewed retrospectively. Data
   were collected on treated pathology, spine region, surgical approach,
   institution type, and surgeon specialty. Trainee proficiency with CAN
   was assessed using an electronic questionnaire distributed across 15
   Canadian orthopedic surgical and neurosurgical programs. Results In our
   provincial cohort, 16.8% of instrumented fusions were CAN-guided.
   Navigation was used more frequently in academic institutions (15.9% vs.
   12.3%, p<0.001) and by neurosurgeons than orthopedic surgeons (21.0% vs.
   12.4%, p<0.001). Of residents and fellows 34.1% were fully comfortable
   using spinal CAN, greater for neurosurgical than orthopedic surgical
   trainees (48.1% vs. 11.8%, p=0.008). The use of CAN increased
   self-reported proficiency in thoracic instrumentation for all trainees
   by 11.0% (p=0.036), and in atlantoaxial instrumentation for orthopedic
   trainees by 18.0% (p=0.014). Conclusions Spinal CAN is used most
   frequently by neurosurgeons and in academic centers. Most spine surgical
   trainees are not fully comfortable with the use of CAN, but report an
   increase in technical comfort with CAN guidance particularly for
   thoracic instrumentation. Increased education in spinal CAN for
   trainees, particularly at the fellowship stage and, specifically, for
   orthopedic surgery, may improve adoption.
RI Guha, Daipayan/AAV-1008-2021; Alotaibi, Naif/; Yang, Victor/
OI Guha, Daipayan/0000-0002-2052-4819; Alotaibi, Naif/0000-0002-8227-347X;
   Yang, Victor/0000-0002-1166-8271
Z8 0
TC 4
ZR 0
ZB 1
ZS 0
ZA 0
Z9 4
U1 1
U2 4
SN 0317-1671
EI 2057-0155
UT WOS:000458522000016
PM 30688207
ER

PT J
AU Bentley, Michael W.
   Kerr, Rohan
   Ginger, Margaret
   Karagoz, Jacob
TI Behavioural change in primary care professionals undertaking online
   education in dementia care in general practice
SO AUSTRALIAN JOURNAL OF PRIMARY HEALTH
VL 25
IS 3
BP 244
EP 249
DI 10.1071/PY18079
PD 2019
PY 2019
AB A challenge facing general practice is improving the diagnosis,
   management and care of people with dementia. Training and education for
   primary care professionals about knowledge and attitudes about dementia
   is needed. Online resources can provide educational opportunities for
   health professionals with limited access to dementia training. An online
   educational resource (four modules over 3 h) was designed to assist
   primary care practitioners to develop a systematic framework to
   identify, diagnose and manage patients with dementia within their
   practice. Interviews and questionnaires (knowledge, attitudes,
   confidence and behavioural intentions), with practice nurses and
   international medical graduates working in general practices, were used
   to evaluate the resource. Participants' knowledge, confidence and
   attitudes about dementia increased after completing the modules.
   Participants had strong intentions to apply a systematic framework to
   identify and manage dementia. In post-module interviews, participants
   reported increased awareness, knowledge and confidence in assessing and
   managing people with dementia, corroborating the questionnaire results.
   This project has demonstrated some early changes in clinical behaviour
   around dementia care in general practice. Promoting the value of
   applying a systematic framework with colleagues and co-workers could
   increase awareness of, and participation in, dementia assessment by
   other primary care professionals within general practices.
RI Bentley, Michael/J-2804-2013
OI Bentley, Michael/0000-0003-3016-6194
ZR 0
ZS 0
ZA 0
Z8 0
TC 7
ZB 0
Z9 7
U1 0
U2 7
SN 1448-7527
EI 1836-7399
UT WOS:000474928700096
PM 31138397
ER

PT S
AU Keenan, Iain D.
   ben Awadh, Abdullah
BE Rea, PM
TI Integrating 3D Visualisation Technologies in Undergraduate Anatomy
   Education
SO BIOMEDICAL VISUALISATION, VOL 1
SE Advances in Experimental Medicine and Biology
VL 1120
BP 39
EP 53
DI 10.1007/978-3-030-06070-1_4
PD 2019
PY 2019
AB Anatomy forms the basis of clinical examination, surgery and radiology
   and it is therefore essential that a fundamental understanding of the
   key concepts, structures and their relationships is gained by medical
   and healthcare students during their undergraduate training. Anatomy
   involves the study of three dimensional entities relating to the human
   body itself and its constituent structures. In our experience, the
   appreciation of 3D concepts is one of the most demanding areas for
   medical student learning of anatomy (ben Awadh et al. 2018, unpublished
   observations). The ability to interpret 3D anatomical features in 2D
   cross-sectional clinical images can be troublesome, while the dynamic
   nature of embryological development is a further challenge.
   The aim of introducing technology enhanced-learning (TEL) approaches
   into our practice is with a view to enhancing undergraduate medical
   student learning of clinically relevant anatomy. Here we will explore
   the importance of visualisation and visual learning in anatomy as a
   scholarly basis for the integration for TEL approaches. We will then
   describe examples of visualisation technologies that are currently being
   implemented within the School of Medical Education at Newcastle
   University based on a research informed understanding of how students
   learn anatomy. We will consider the available evidence that supports
   best practice, identify limitations where they arise, and discuss how
   these visual 3D learning technologies can be effectively utilised as
   adjuncts and self-directed resources to supplement more established
   approaches to undergraduate anatomy education.
RI Keenan, Iain/H-6731-2019
OI Keenan, Iain/0000-0002-5923-1853
ZB 3
ZS 1
ZA 0
Z8 0
TC 20
ZR 0
Z9 20
U1 0
U2 27
SN 0065-2598
EI 2214-8019
BN 978-3-030-06070-1; 978-3-030-06069-5
UT WOS:000471744100005
PM 30919293
D2 10.1007/978-3-030-06070-1
ER

PT J
AU Spierson, Hannah
   Kamupira, Susan
   Storey, Claire
   Heazell, Alexander E. P.
TI Professionals' Practices and Views regarding Neonatal Postmortem: Can We
   Improve Consent Rates by Improving Training?
SO NEONATOLOGY
VL 115
IS 4
BP 341
EP 345
DI 10.1159/000496704
PD 2019
PY 2019
AB Background: In the UK, rates of neonatal postmortem (PM) are low.
   Consent for PM is required, and all parents should have the opportunity
   to discuss whether to have a post-mortem examination of their baby.
   Objectives: We aimed to explore neonatal healthcare professionals'
   experiences, knowledge, and views regarding the consent process for
   postmortem examination after neonatal death. Method: An online survey of
   neonatal healthcare providers in the UK was conducted. Responses from
   103 healthcare professionals were analysed, 84 of whom were doctors. The
   response rate of the British Association of Perinatal Medicine (BAPM)
   members was 11.7%. Results: Perceived barriers to PM included cultural
   and religious practices of parents as well as a lack of rapport between
   parents and professionals. Of the respondents, 69.4% had observed a PM;
   these professionals had improved satisfaction with their training and
   confidence in counselling (p < 0.001 and p < 0.001) but not knowledge of
   the procedure (p = 0.77). Healthcare professionals reported conservative
   estimates of the likelihood that a PM would identify significant
   information regarding the cause of death. Conclusions: Confidence of
   neonatal staff in counselling could be improved by observing a PM.
   Training for staff in developing a rapport with parents and addressing
   emotional distress may also overcome significant barriers to consent for
   PM. (c) 2019 S. Karger AG, Basel
Z8 0
ZR 0
ZB 1
TC 4
ZS 0
ZA 0
Z9 4
U1 0
U2 1
SN 1661-7800
EI 1661-7819
UT WOS:000470859900008
PM 30879004
ER

PT J
AU Medina, Melissa S.
   Smith, W. Thomas
   Kolluru, Srikanth
   Sheaffer, Elizabeth A.
   DiVall, Margarita
TI A Review of Strategies for Designing, Administering, and Using Student
   Ratings of Instruction
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 83
IS 5
AR 7177
PD 2019
PY 2019
AB Objective. To review and recommend strategies for utilizing student
   ratings of instruction (course and instructor) including considerations
   regarding design, administration, and use and interpretation of results.
   Findings. Improving course delivery and pedagogy using student ratings
   of instruction requires programs to design evaluation instruments that
   are aligned with the following good, scholarly teaching criteria: offer
   10-20 rating scale questions and at least one written response question,
   ensure that students understand what the questions are asking, use a
   standardized form for evaluating all faculty members, allow for
   additional tailored questions to be added to the form, and employ a
   four- or five-point rating scale with a "not applicable" option. When
   administering evaluations, programs should limit the number of faculty
   members evaluated to those teaching greater than or equal to five clock
   hours of lecture or schedule evaluations based on academic rank; use an
   online course evaluation tool; randomly select students to participate;
   offer the evaluation at the end of the term (and/or midpoint for team
   taught classes); offer the evaluation during scheduled class time; and
   allow for voluntary, anonymous student participation. Finally, programs
   should create an assessment plan that outlines the results' release
   timeline, a list of who will receive result summaries, and how the
   results will be used. Programs should also encourage faculty reflection,
   offer mentoring in results interpretation, coach faculty members to
   summarize and quantify comments and longitudinally track results using
   tables, and create an accountability action plan to address
   deficiencies.
   Summary. In order to better ensure that student ratings of instruction
   are used to improve teaching, colleges and schools should adopt
   intentional design, structured administration processes, and transparent
   reporting of results.
OI Sheaffer, Elizabeth/0000-0002-7789-0414
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
TC 4
Z9 4
U1 2
U2 4
SN 0002-9459
EI 1553-6467
UT WOS:000474726400009
PM 31333266
ER

PT J
AU Mingoia, John
   Hutchinson, Amanda D.
   Gleaves, David H.
   Wilson, Carlene
TI The impact of a social media literacy intervention on positive attitudes
   to tanning: A pilot study
SO COMPUTERS IN HUMAN BEHAVIOR
VL 90
BP 188
EP 195
DI 10.1016/j.chb.2018.09.004
PD JAN 2019
PY 2019
AB Introduction: Skin cancer is a prominent public health concern in
   Australia. The desire to darken skin tone is derived, in part, from
   portrayals of people with tanned skin on social media.
   Methods: The current study pilot tested a social media literacy
   intervention that aimed to decrease positive attitudes to tanning and
   improve the capacity to be critical of social media and the messages
   promulgated. A total of 84 young women (aged 18-29; M = 22.30, SD =
   2.97) participated in the study, 28 in a Facebook group and 56 in a
   wait-list control group, with the latter receiving the intervention
   materials at the conclusion of the study.
   Results: The intervention resulted in significantly decreased positive
   tanning attitudes in the intervention group compared to the control
   group and improved media literacy skills in both groups. Intervention
   group participants reported significantly less internalization of a
   tanned ideal, appearance comparisons, and tanning intentions than
   control group participants.
   Conclusions: Media literacy education is a novel strategy to reduce the
   harmful effect of social media messages about tanning on skin cancer
   risk factors.
RI Hutchinson, Amanda D/B-3629-2013; Mingoia, John/AAM-3814-2021; Gleaves, David/E-9544-2013
OI Hutchinson, Amanda D/0000-0003-3983-8321; Mingoia,
   John/0000-0001-6222-7612; Gleaves, David/0000-0003-0954-5739
ZA 2
Z8 0
ZB 0
ZS 0
ZR 0
TC 13
Z9 15
U1 1
U2 37
SN 0747-5632
EI 1873-7692
UT WOS:000453338700019
ER

PT J
AU Niu, Lian
TI Using Facebook for Academic Purposes: Current Literature and Directions
   for Future Research
SO JOURNAL OF EDUCATIONAL COMPUTING RESEARCH
VL 56
IS 8
BP 1384
EP 1406
DI 10.1177/0735633117745161
PD JAN 2019
PY 2019
AB This study reviews the international literature on using Facebook for
   academic purposes to examine whether and how this popular social
   networking site contributes to teaching and learning in formal
   education. A review of 57 empirical studies on this topic suggest that
   (a) the majority of studies report positive effects or feedback of using
   Facebook for academic purposes, and recommend its integration into
   teaching and learning; (b) Facebook is shown to be effective as a
   platform for academic communication and effective in promoting
   student-centered learning; (c) the effects of Facebook used as Learning
   Management System are mixed and under-studied; (d) the quality of
   Facebook-related learning process and learning outcomes is
   under-studied; (e) Facebook may not be suitable for teaching in all
   disciplines; and (f) studies heavily rely on preexperimental design and
   self-reported data, which raises the issue of response bias. It is
   recommended that future research should (a) focus more on in-depth
   examination of the process and quality of learning using Facebook, (b)
   adopt quasi- or true experimental design to control for confounding
   factors, (c) properly address potential response bias by minimizing the
   relationship between researcher and students, and (d) more frequently
   adopt content analysis to reduce reliance on self-reported data.
RI Niu, Lian/V-1908-2019
ZS 0
TC 30
Z8 0
ZB 0
ZR 0
ZA 0
Z9 30
U1 0
U2 23
SN 0735-6331
EI 1541-4140
UT WOS:000454085100010
ER

PT C
AU Nogueira, Marcelo Saito
   Gunther, Jacqueline
   Komolibus, Katarzyna
   Andersson-Engels, Stefan
BE Beier, HT
   Ibey, BL
TI Teaching light-tissue interactions: using technology for education
SO OPTICAL INTERACTIONS WITH TISSUE AND CELLS XXX
SE Proceedings of SPIE
VL 10876
AR 108761H
DI 10.1117/12.2507960
PD 2019
PY 2019
AB Current methods of teaching tissue optics in biophotonics and biomedical
   optics courses include creating computer-based learning environments.
   However, this method assumes students are going to learn or have prior
   experience on computer programming, which may generate time-consuming
   activities of several days. Then, the same activities and material of
   the schools and courses cannot be used in workshops or outreach
   activities of several hours for generating students interest in
   biomedical optics. This is partially compensated by websites such as
   omlc.org , which provide online material about biophotonics fundamentals
   and time flexibility to access tissue optics tools. On the other hand,
   students are still required to spend more time to understand tissue
   optics concepts and those in their first contact with biophotonics may
   require additional user-friendly tools. With this in mind, user-friendly
   tools for quick comprehension of tissue optics concepts have potential
   to accommodate students with diverse backgrounds and improve biomedical
   optics education. In this study, we designed a tissue-optics computer
   app that requires no previous programming experience. The app was
   designed to cover tissue optics topics in short length activities and
   generate students interest in the biomedical optics field. This computer
   app was tested in a 1.5 hour session within a 7-hour biophotonics
   workshop. By the end of the workshop, we collected students feedback
   about the quality of subject matter and teaching in the computer lab.
   Our results suggested that our app is user-friendly and is suitable for
   short activities. We provide a link to access the current version of our
   app. In the future, the app can be used in outreach activities and
   workshops for improvement of teaching and learning in tissue optics.
CT Conference on Optical Interactions with Tissue and Cells XXX
CY FEB 02-03, 2019
CL San Francisco, CA
SP SPIE
RI Nogueira, Marcelo Saito/O-3164-2015; Gunther, Jacqueline/AAZ-5959-2021; Andersson-Engels, Stefan/M-8943-2017; Komolibus, Katarzyna/
OI Nogueira, Marcelo Saito/0000-0002-5611-9620; Andersson-Engels,
   Stefan/0000-0001-5640-3122; Komolibus, Katarzyna/0000-0003-4545-6100
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
TC 0
Z9 0
U1 0
U2 2
SN 0277-786X
EI 1996-756X
BN 978-1-5106-2395-8
UT WOS:000473405000023
ER

PT J
AU Lachowsky, Nathan J.
   Tattersall, Tessa Lawson
   Sereda, Paul
   Wang, Clara
   Edwards, Joshua
   Hull, Mark
TI Community awareness of, use of and attitudes towards HIV pre-exposure
   prophylaxis (PrEP) among men who have sex with men in Vancouver, Canada:
   preparing health promotion for a publicly funded PrEP program
SO SEXUAL HEALTH
VL 16
IS 2
BP 180
EP 186
DI 10.1071/SH18115
PD 2019
PY 2019
AB Background: HIV rates are persistently disproportionate among men who
   have sex with men (MSM). Pre-exposure prophylaxis (PrEP) is an effective
   HIV prevention method, now publicly funded in British Columbia. This
   study assessed PrEP-related attitudes, sexual behaviour and
   self-reported use before public funding. Methods: Adult MSM were
   recruited from January to June 2017 through a local community-based
   organisation's PrEP campaign website (www.getpreped.ca). Participants
   self-completed an anonymous online questionnaire, and were stratified
   into three groups: (i) HIV-positive participants; (ii) HIV-negative
   participants not using PrEP; and (iii) HIV-negative participants using
   PrEP. Descriptive, bivariate and univariate regression analyses were
   conducted. Results: Of 249 participants, 191 (77%) were HIV-negative not
   using PrEP, 41 (17%) were HIV-negative using PrEP and 17 (7%) were
   HIV-positive. Among PrEP users, 90% used PrEP daily and all reported
   having recommended medical follow-up care. Among HIV-negative,
   non-PrEP-users, 44% said they would reduce condom use if they used PrEP
   and 28% were uncomfortable asking their doctor for PrEP. Interest in
   PrEP among non-users was associated with higher objective risk scores
   (i.e. HIV Incidence Risk Index for MSM), higher self-perceived risk,
   greater perceived PrEP effectiveness, no prescription medications
   insurance, open or single relationship status (vs closed) and not always
   using condoms (vs always). Among HIV-positive participants, 53% agreed
   PrEP reduced stigma for people living with HIV. All study groups
   perceived a greater percentage of MSM on PrEP (10%, 15%, 18%) than in
   their own social networks (5%, 4%, 6%). Conclusions: PrEP health
   promotion must consider comprehensive PrEP education; accuracy of
   self-perceived HIV risk and PrEP social norms; and barriers to
   culturally safe primary care for MSM.
OI Sereda, Paul/0000-0002-6411-8089
TC 9
ZR 0
ZB 3
Z8 0
ZA 0
ZS 0
Z9 9
U1 0
U2 7
SN 1448-5028
EI 1449-8987
UT WOS:000464035100008
PM 31040001
ER

PT J
AU Alshahrani, Ibrahim
TI Orienting Faculty and Students with Online Teaching Webinar Experiences
   in Saudi Arabia
SO ANNALS OF MEDICAL AND HEALTH SCIENCES RESEARCH
VL 9
IS 1
BP 443
EP 447
PD JAN-FEB 2019
PY 2019
AB Objective: A series of webinar were conducted for faculty and students
   at King Khalid University College of Dentistry (KKUCOD) Abha, Saudi
   Arabia to report on our experiences and responses from the participants.
   Method: Two coordinators for Webinars were appointed: KKUCOD academic
   coordinator and KKU Deanship of E-Learning IT coordinator. A wide range
   of topics of interest for faculty and student alike, were selected by
   Department of Dental Education KKUCOD. Eminent educators from UNLV
   School of Dental Medicine USA and UMEA University Sweden were invited
   for presentations. The participants were informed about Zoom software
   and a link was sent to all the participants for free online
   webinar-registration, well in advance. Results: The total registrations
   received for all webinars were 1334; out of which 923 attended the
   webinar sessions. Out of the total who attended the webinars, 106
   subjects attended more than 10 webinars. Conclusion: Our experience of
   organizing the Webinars was smooth, flawless, encouraging and fairly
   attended by faculty members, though with significantly less response
   from students. Appreciable positive feedback was received from the
   audience.
RI AlShahrani, Ibrahim/AAX-2504-2020
OI AlShahrani, Ibrahim/0000-0001-8108-1866
ZA 0
ZS 0
TC 1
ZB 0
Z8 0
ZR 0
Z9 1
U1 0
U2 2
SN 2141-9248
EI 2277-9205
UT WOS:000472595000007
ER

PT J
AU Korshunov, I.
   Peshkova, V.
   Malkova, N.
TI Competitive Strategies of Vocational Schools and Universities in
   Implementing Continuing Education Programs
SO VOPROSY OBRAZOVANIYA-EDUCATIONAL STUDIES MOSCOW
IS 1
BP 162
EP 182
DI 10.17323/1814-9545-2019-1-187-214
PD 2019
PY 2019
AB Open statistics is analyzed to examine the successful strategies of
   implementing continuing education (CE) programs by vocational schools
   and universities. The study identifies the industries that benefit from
   those successful strategies the most. In vocational schools, such
   industries include medicine, oil and gas production and chemical
   processing, transport, mining and metallurgy, electrical engineering and
   telecommunications, pedagogy, tertiary sector, architecture and
   construction. As for higher education, CE programs are pursued most
   actively by medical, multi-disciplinary, pedagogical, law and economics,
   and polytechnic universities. A relationship has been established
   between CE enrollment and general student population.
   Implementation of CE programs contributes to financial sustainability of
   vocational institutions. Successful strategies may ensure from 25 to 40
   percent of the total budget in educational institutions that specialize
   in oil and gas production and chemical processing, medicine, electrical
   and power engineering, ICT, law and economics. Efficient strategies
   include narrow specialization and collaboration with strategic
   enterprises, while online marketing tools play a relatively small part.
   Continuing education was found to contribute little to financial
   sustainability of large national universities despite higher CE
   enrollments, barely accounting for five percent of their total budget.
   At the same time, a number of small institutions of higher education
   (regional branch campuses and private universities) can generate over
   half of their income from CE programs, university status playing a
   guiding role in student attraction. Analysis of university strategies
   shows that low interest in implementing CE programs for the good of
   regional industries is related to the absence of CE-based indicators in
   annual monitoring reports and the lack of established policies for
   integrating CE programs into higher education.
RI Peshkova, Vera/ABB-2638-2021
OI Peshkova, Vera/0000-0003-3530-922X
ZB 0
TC 2
ZA 0
ZS 0
Z8 0
ZR 1
Z9 3
U1 3
U2 13
SN 1814-9545
UT WOS:000472576900007
ER

PT C
AU Utama, C.
   Sajidan
   Nurkamto, J.
   Wiranto
BE Sumardi
TI Investigating Biology Pre-service Teacher Perception of General Biology
   and Digital Literacy
SO FIRST INTERNATIONAL CONFERENCE ON ENVIRONMENTAL GEOGRAPHY AND GEOGRAPHY
   EDUCATION (ICEGE)
SE IOP Conference Series-Earth and Environmental Science
VL 243
AR 012046
DI 10.1088/1755-1315/243/1/012046
PD 2019
PY 2019
AB Biology and technology are rapidly growing field of study in recent
   years. This condition poses challenges and opportunities for the
   pre-service biology teacher to integrate the development of biology with
   the technology. Several previous studies have focused only on the
   dimensions of learning outcomes. Therefore this article examines the
   perception of pre-service biology teacher in biology and learning using
   technology. The survey conducted by 195 biology pre-service teachers and
   interviews with four lecturers of biology. The results show that
   respondents feel essential and need to master the latest technology to
   be integrated into biology learning. 95% of respondents thought that
   biology learning with technology is more exciting and fun. This
   condition indicates that respondents are ready to be taught biology
   using the latest technology.
CT 1st International Conference on Environmental Geography and Geography
   Education (ICEGE)
CY NOV 17-18, 2018
CL Univ Jember, FKIP, Dept Social Sci Educ, INDONESIA
HO Univ Jember, FKIP, Dept Social Sci Educ
RI Utama, Candra/GLQ-6778-2022; , Wiranto/
OI Utama, Candra/0000-0002-9061-043X; , Wiranto/0000-0002-9292-3691
Z8 0
TC 0
ZA 0
ZS 0
ZB 0
ZR 0
Z9 0
U1 6
U2 17
SN 1755-1307
BN *****************
UT WOS:000471222900046
ER

PT C
AU Sekarwinahyu, M.
   Rustaman, N. Y.
   Widodo, A.
   Riandi, R.
BE Abdullah, AG
   Nandiyanto, ABD
   Permana, I
   Agustin, RR
   Sutarno
   Saprudin
TI Development of problem based learning for online tutorial program in
   plant development using Gibbs' reflective cycle and e-portfolio to
   enhance reflective thinking skills
SO INTERNATIONAL CONFERENCE ON MATHEMATICS AND SCIENCE EDUCATION (ICMSCE
   2018)
SE Journal of Physics Conference Series
VL 1157
AR 022099
DI 10.1088/1742-6596/1157/2/022099
PD 2019
PY 2019
AB Reflective thinking skill is needed by prospective and in-service
   teachers. A study about developing problem based learning for online
   tutorial program using Gibbs' reflective cycle and e-portfolio was
   conducted to enhance reflective thinking skills of biology education
   students who participated in Plant Development. Development research
   used in this study was conducted through preliminary study, program
   development, trial of the program, program revision, and program
   implementation. This paper will discuss about the results of the program
   development and the trial of the program that were conducted in 2017.
   The Program development is conducted through program design development,
   instrument development, validation of program design and instrument by
   experts, and program development based on the revised program design.
   The trial of the program is conducted three times with different
   strategies to see which strategy is the most effective to be
   implemented. Based on the results of expert's validation, research
   results show that the design of programs and instruments can be used as
   references in the development of the program with some improvements.
   Based on the trial of the program, the results obtained that the program
   needs to be improved in terms of setting access between sub-initiation
   and between initiations.
CT International Conference on Mathematics and Science Education (ICMScE)
CY MAY 05, 2018
CL Univ Pendidikan Indonesia, Sch Postgraduate Studies, Bandung, INDONESIA
HO Univ Pendidikan Indonesia, Sch Postgraduate Studies
RI Sekarwinahyu, Mestika/GOK-1983-2022; Rustaman, Nuryani/GQQ-8050-2022; Widodo, Ari/ADE-4624-2022; , Riandi/
OI Widodo, Ari/0000-0002-9482-6393; , Riandi/0000-0003-4187-7338
ZA 0
Z8 0
ZB 0
ZS 0
TC 0
ZR 0
Z9 0
U1 1
U2 10
SN 1742-6588
EI 1742-6596
BN *****************
UT WOS:000471820100099
ER

PT C
AU Sutia, C.
   Wulan, A. R.
   Solihat, R.
BE Abdullah, AG
   Nandiyanto, ABD
   Permana, I
   Agustin, RR
   Sutarno
   Saprudin
TI Students' response to project learning with online guidance through
   google classroom on biology projects
SO INTERNATIONAL CONFERENCE ON MATHEMATICS AND SCIENCE EDUCATION (ICMSCE
   2018)
SE Journal of Physics Conference Series
VL 1157
AR 022084
DI 10.1088/1742-6596/1157/2/022084
PD 2019
PY 2019
AB This study aims to describe students' response to project learning with
   online guidance through Google Classroom on biology projects. This is a
   descriptive study which involved 35 high school students in the West
   Bandung regency. The study was conducted from March to April 20018 for 7
   weeks. Data were collected using questionnaires and interviews to the
   students directly. The result of this research is Google Classroom can
   be used as a medium of online guidance on project learning. Students
   find it easy to upload their project progress reports and students feel
   that Google Classroom can be used in the future. Students also find it
   quite effective if Google Classroom is used to guide students' projects.
   However, students find it difficult to understand the feedback given by
   teachers through Google Classroom. The presence of teachers physically
   was still needed to guide students especially when discussing feedback.
CT International Conference on Mathematics and Science Education (ICMScE)
CY MAY 05, 2018
CL Univ Pendidikan Indonesia, Sch Postgraduate Studies, Bandung, INDONESIA
HO Univ Pendidikan Indonesia, Sch Postgraduate Studies
RI solihat, rini/GNP-1035-2022; Wulan, Ana Ratna/GOE-3783-2022; solihat, rini/
OI Wulan, Ana Ratna/0000-0002-7407-9079; solihat, rini/0000-0002-0303-3444
TC 0
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 0
U1 0
U2 2
SN 1742-6588
EI 1742-6596
BN *****************
UT WOS:000471820100084
ER

PT J
AU Sanchez-Fabra, David
   Dyar, Oliver J.
   Luis del Pozo, Jose
   Antonio Amiguet, Juan
   de Dios Colmenero, Juan
   del Carmen Farinas, Maria
   Lopez-Medrano, Francisco
   Portilla, Joaquin
   Praena, Julia
   Torre-Cisneros, Julian
   Rodriguez-Bano, Jesus
   Pulcini, Celine
   Ramon Pano-Pardo, Jose
CA Representacion ESGAP ESCMID St
TI Perspective of Spanish medical students regarding undergraduate
   education in infectious diseases, bacterial resistance and antibiotic
   use
SO ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA
VL 37
IS 1
BP 25
EP 30
DI 10.1016/j.eimc.2017.12.003
PD JAN 2019
PY 2019
AB Introduction: One of the main tools to optimize antibiotics use is
   education of prescribers. The aim of this article is to study
   undergraduate education in the field of infectious diseases,
   antimicrobial resistance and antibiotic stewardship from the perspective
   of Spanish medical students.
   Material and methods: An anonymous online questionnaire was distributed
   among sixth grade students using different channels in Europe, within
   the ESGAP Student-Prepare survey. The questionnaire included 45
   questions about knowledge, attitudes and perceptions about diagnosis,
   bacterial resistance, use of antibiotics and undergraduate training in
   infectious diseases. We present here the Spanish results.
   Results: A total of 441 surveys were received from 21 medical schools. A
   total of 374 responses (84.8%) were obtained from the 8 most represented
   faculties, with a response rate of 28.9%. Most students felt adequately
   prepared to identify clinical signs of infection (418; 94.8%) and to
   accurately interpret laboratory tests (382; 86.6%). A total of 178
   (40.4%) acknowledged being able to choose an antibiotic with confidence
   without consulting books or guidelines. Only 107 (24.3%) students
   considered that they had received sufficient training in judicious use
   of antibiotics. Regarding learning methods, the discussion of clinical
   cases, infectious diseases units rotatories and small group workshops
   were considered the most useful, being evaluated favorably in 76.9%, 76%
   and 68.8% of the cases.
   Conclusion: Medical students feel more confident in the diagnosis of
   infectious diseases than in antibiotic treatment. They also feel the
   need to receive more training in antibiotics and judicious antibiotic
   use. (C) 2018 Elsevier Espana, S.L.U. and Sociedad Espanola de
   Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved.
RI Del Pozo, Jose L/Q-4442-2016; Rodríguez-Baño, Jesús/F-2453-2011; Portilla, Joaquín/O-7609-2018; Sánchez Fabra, David/AGE-3661-2022; Praena, Julia/AAA-5451-2019; DE LA TORRE CISNEROS, JULIAN/AAL-5723-2021
OI Del Pozo, Jose L/0000-0002-5402-3334; Rodríguez-Baño,
   Jesús/0000-0001-6732-9001; Portilla, Joaquín/0000-0002-3676-9511;
   Praena, Julia/0000-0001-8138-0874; 
ZS 1
ZB 7
ZA 0
TC 11
Z8 0
ZR 0
Z9 12
U1 0
U2 11
SN 0213-005X
EI 1578-1852
UT WOS:000456489200005
PM 29429753
ER

PT J
AU Anderson, Seri
   Frerichs, Leah
   Kaysin, Alexander
   Wheeler, Stephanie B.
   Halpern, Carolyn Tucker
   Lich, Kristen Hassmiller
TI Effects of Two Educational Posters on Contraceptive Knowledge and
   Intentions A Randomized Controlled Trial
SO OBSTETRICS AND GYNECOLOGY
VL 133
IS 1
BP 53
EP 62
DI 10.1097/AOG.0000000000003012
PD JAN 2019
PY 2019
AB OBJECTIVE: To compare the Centers for Disease Control and Prevention's
   (CDC) contraceptive effectiveness poster with a more patient-centered
   poster on factors affecting the likelihood of using effective
   contraceptives. METHODS: The posters were tested in a randomized
   controlled trial. Women were eligible if they were aged 18-44 years,
   could speak and read English, were not pregnant or trying to conceive,
   and had engaged in vaginal intercourse in the past 3 months. An online
   survey administered through Amazon Mechanical Turk was used to collect
   baseline and immediate follow-up data on three primary outcomes:
   contraceptive knowledge (measured using the Contraceptive Knowledge
   Assessment), perceived pregnancy risk, and the effectiveness of the
   contraceptive the woman intended to use in the next year. Subgroup
   analyses were conducted in women with prior pregnancy scares, low
   numeracy, and no cur-rent contraceptive. Within-and between-group
   differences were compared for the two randomized groups. RESULTS: From
   January 26 to February 13, 2018, 2,930 people were screened and 990
   randomized. For the primary outcomes, the only significant result was
   that the patient-centered poster produced a greater improvement in
   contraceptive knowledge than the CDC poster (P,. 001). Relative to
   baseline, both posters significantly improved contraceptive knowledge
   (CDC + 3.6, patientcentered + 6.4 percentage points, P,. 001) and a
   constructed score measuring the effectiveness of the contraceptive that
   women intended to use in the next year (CDC and patient-centered + 3
   percentage points, P,. 01). This is equivalent to 1-17 of every 100
   women who viewed a poster changing their intentions in favor of a more
   effective contraceptive. CONCLUSION: This study suggests that both
   posters educate women about contraception and may reduce unplanned
   pregnancy risk by improving contraceptive intentions. Of the three
   primary outcomes, the patientcentered poster performs significantly
   better than the CDC poster at increasing contraceptive knowledge.
OI Anderson, Seri/0000-0001-7765-6399
TC 3
ZR 0
Z8 0
ZA 0
ZS 0
ZB 1
Z9 3
U1 1
U2 2
SN 0029-7844
UT WOS:000460486800012
PM 30531560
ER

PT J
AU Abdalla, Mohamed Elhassan
   Eladl, Mohamed Ahmed
TI Student perception of the effect of problem familiarity on group
   discussion quality in a problem-based learning environment
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 3
AR Doc29
DI 10.3205/zma001237
PD 2019
PY 2019
AB Introduction: Problem-based learning (PBL) is a student-centred approach
   to learning using health problem scenarios to trigger the learning
   process. Several factors contribute to the role of the problem scenarios
   in stimulating student learning. One of those factors is the student's
   familiarity and knowledge about the problem itself. This may affect the
   challenge and stimulate the student discussion in the tutorial group. No
   previous research studied the impact of reusing the case scenarios on
   the group discussion. This study explored the effect of student
   familiarity of the problems as a result of reusing the case scenarios on
   the discussion quality in the tutorial session.
   Methods: A qualitative study was used primarily to explore an
   understanding of the underlying opinions of the medical students of
   first and second academic year in the college of Medicine, University of
   Sharjah, UAE. Direct-discussion groups were arranged, and an open-ended
   online questionnaire was provided.
   Results: The results of the study showed that fore-knowledge about the
   case scenario had no significant adverse effect on the discussion.
   Students stated that the facilitators played a vital role in maintaining
   the excellent quality of the discussion.
   Discussion: Reuse of problem scenarios in PBL does not hurt the quality
   of the discussion, provided that the group dynamics are maintained.
RI Abdalla, Mohamed Elhassan/A-7902-2012; Eladl, Mohamed A/B-8219-2019
OI Abdalla, Mohamed Elhassan/0000-0002-9241-1370; Eladl, Mohamed
   A/0000-0002-5675-0842
ZR 0
TC 0
Z8 1
ZB 0
ZS 0
ZA 0
Z9 1
U1 0
U2 1
SN 2366-5017
UT WOS:000468141400004
PM 31211224
ER

PT J
AU Hahn, Karolin
   Steinhauser, Jost
TI Strategies for rural areas: The development of and initial experiences
   with a training course for physicians from third countries to prepare
   them for medical practice in Germany
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 3
AR Doc25
DI 10.3205/zma001233
PD 2019
PY 2019
AB Aim: In Germany there is an increasing shortage of physicians,
   especially in rural areas. Strategies that make use of medical doctors
   from non-EU member states could effectively counteract this problem more
   rapidly than other strategies, including those that focus on education.
   Physicians from third countries must first demonstrate evidence of their
   professional qualifications on an exam. The failure rate in
   Schleswig-Holstein is approximately 50%.
   The specific aim of the 80-hour training course is to prepare
   third-country physicians for the practice of medicine in Germany and to
   provide exposure to the rural setting, regardless of whether or not
   these physicians have already taken an exam to receive formal
   recognition of their professional qualifications.
   Method: The need for post-licensure training courses was discerned in
   interviews with third-country physicians and examiners. The course was
   also evaluated using different instruments and then revised accordingly.
   Results: The training program has been held four times with a total of
   52 third-country physicians; the program was given the very good rating
   of 1.4 on the traditional German academic grading scale. In addition to
   the 10-day training course, the participants had access to an online
   medical learning platform. Moreover, information on working in rural
   setting and a field trip to a variety of medical institutions in a rural
   region was integrated into the course. The majority of the participants
   used the course as additional preparation for the exam. Their
   willingness to later practice medicine in a rural setting was high with
   89% of participants.
   Conclusion: The evaluation results suggest that such an intensive
   training program is suitable to prepare third-country physicians for
   medical practice in Germany and in particular in rural regions.
ZS 0
ZA 0
Z8 0
ZR 0
TC 2
ZB 0
Z9 2
U1 2
U2 4
SN 2366-5017
UT WOS:000468141400008
PM 31211220
ER

PT J
AU Sommer, Michael
   Fritz, Angelika Hiroko
   Thrien, Christian
   Kursch, Angelika
   Peters, Tim
TI Simulated patients in medical education - a survey on the current status
   in Germany, Austria and Switzerland
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 3
AR Doc27
DI 10.3205/zma001235
PD 2019
PY 2019
AB Objective: In German-speaking countries (Germany, Austria, Switzerland),
   simulated patients (SPs) have been a fixture for years and are used in
   teaching and examinations. As part of ongoing methodological
   standardization efforts and to support current and future faculty and
   curriculum developments, this exploratory study systematically
   investigates how and under what framework and conditions SPs are
   currently used in German-speaking countries.
   Methodology: The online questionnaire developed in cooperation with the
   Committee for Simulated Patients of the Society for Medical Education
   comprises 58 questions covering the organization and administration,
   size and design of the SP pool, general conditions and minimum standards
   for the assignments of the SPs. All medical faculties from Germany,
   Austria and German-speaking Switzerland were invited to participate in
   the survey and a descriptive data analysis was performed.
   Results: 38 responses from 45 faculties were included in the evaluation
   of the survey (response rate: 84.4%). Most SP programs are affiliated
   with the Office of the Dean of Studies and skills labs or training
   centers and funded by faculty resources. Both the working hours in the
   SP programs and the qualifications of the employees vary extensively.
   The same applies to the number and average age of the employed SPs. On
   average each faculty uses 1,290 SP hours per year (min=45, max=6,500).
   The majority of SPs are used in a teaching environment, together with
   lecturers. At all sites, SPs provide feedback to students. This is
   always based on a uniform standard. All SPs receive training, which
   predominantly focuses on playing their role and giving feedback.
   Discussion: There are a variety of SP programs in German-speaking
   countries. While there are a few clear similarities (for example,
   feedback from SPs), many organizational and methodological aspects are
   handled differently. Although this allows innovation and flexibility, it
   also weakens the didactic SP method in its standardization and thus in
   the comparability of quality. A certain degree of standardization and
   high methodical quality is of great importance, especially in scientific
   and faculty internal discussions and with a view to the use of SPs in
   high-stakes examinations which must be improved in the future.
ZS 1
ZA 0
ZR 0
ZB 0
TC 9
Z8 0
Z9 9
U1 0
U2 1
SN 2366-5017
UT WOS:000468141400006
PM 31211222
ER

PT J
AU Curtis, Fiona
   Gillen, Julia
TI "I don't see myself as a 40-year-old on Facebook": medical students'
   dilemmas in developing professionalism with social media
SO JOURNAL OF FURTHER AND HIGHER EDUCATION
VL 43
IS 2
BP 251
EP 262
DI 10.1080/0309877X.2017.1359503
PD 2019
PY 2019
AB Students' development of professionalism is vital within medical
   education, while social media communications can blur professional and
   personal boundaries. In the UK advice for medical practitioners and
   students has been developed, advocating care in the projection of a
   professional identity online as offline. This study takes an academic
   literacies approach to a small-scale investigation of attitudes and
   practices of second-year medical students in a British university
   through a focus group and paired interview, recognising that issues of
   identity and power are multi-layered and complex. Use of social media
   focuses primarily on Facebook, where they had already begun to adapt
   their self-presentation. Depictions of alcohol use are a particular area
   of concern. The students' reflections demonstrate professionalism in
   respect of care for patient confidentiality and privacy. Yet they
   express an ambivalent sense of a future trajectory in which continuing
   social media use may appear simultaneously undesirable and yet vital. A
   finding of considerable concern is a reluctance to challenge
   inappropriate online behaviour despite policy guidelines. New
   generations growing up with social media raise challenges and
   opportunities for medical education that require greater attention and
   the development of participatory approaches to research, increasing
   understanding that in turn may be beneficial for policy-makers.
RI Gillen, Julia/AAD-5977-2022; Gillen, Julia/AFD-6187-2022
OI Gillen, Julia/0000-0003-2356-3423; Gillen, Julia/0000-0003-2356-3423
ZB 0
TC 2
ZA 0
Z8 0
ZR 0
ZS 0
Z9 2
U1 2
U2 11
SN 0309-877X
EI 1469-9486
UT WOS:000470285500007
ER

PT J
AU Thompson, Carol C.
   Patterson, Jill
TI Promoting Critical Thinking in an Online Certificate Program For Faculty
   in the Health Professions
SO AMERICAN JOURNAL OF DISTANCE EDUCATION
VL 33
IS 1
BP 71
EP 84
DI 10.1080/08923647.2019.1555304
PD 2019
PY 2019
AB Organizations governing education in the health professions have
   recently called for changes in teaching to promote students' use of
   critical thinking (CT). Expectations for CT in courses to train
   educators should be aligned with the expectations of student use of CT.
   A growing number of certificate and master's-level programs are being
   developed to address the needs of educators in the health professions
   who are unlikely to have experienced training in adult education,
   curriculum development, and assessment. This study explored the extent
   to which online course discussion forums in continuing profession
   education courses on teaching and curriculum design can play a role in
   the development of participants' CT skills. It investigated an online
   pilot program of courses that relied heavily on discussions, with
   prompts designed to elicit higher-level thinking. The 190 discussion
   posts made over the four program courses were analyzed for CT. Posts
   were cross-coded by both authors. Frequency of CT increased
   substantially over the program. Metacognition use in particular rose
   sharply and consistently. We found that carefully structured online
   courses can promote CT among educators in the health professions.
ZS 0
Z8 0
ZA 0
ZB 0
TC 1
ZR 0
Z9 1
U1 1
U2 7
SN 0892-3647
EI 1538-9286
UT WOS:000470248700007
ER

PT J
AU Rombola, T.
TI Australian doctors' perspectives on spiritual history-taking skills
SO FOCUS ON HEALTH PROFESSIONAL EDUCATION-A MULTIDISCIPLINARY JOURNAL
VL 20
IS 1
BP 69
EP 86
DI 10.11157/fohpe.v20i1.227
PD 2019
PY 2019
AB Introduction: This original research examined the experience of
   Australian doctors using spiritual history-taking skills in holistic
   medical consultations and evaluated the support of Australian doctors
   for education on spiritual history-taking skills.
   Methods: General practice registrars and post-registrar graduate
   doctors, sourced primarily from the Hawkesbury Nepean region within NSW,
   Australia, completed an online survey. Excel data analysis tools were
   applied to analyse the quantitative results obtained. Line-byline coding
   and manual analysis were applied to the free-text answers.
   Results: The survey was completed by 147 doctors practising medicine in
   Australia, a response rate of 24%. Registrars or residents-in-training
   accounted for 46%; 53% were post-registrar general practitioners. Most
   doctors (91%) recognised that spiritual care had some role in holistic
   medical care. Spirituality was included in medical consultations at
   least occasionally by 47% of doctors. However, only 21% felt confident
   with including spiritual history. Key barriers were insufficient time,
   lack of knowledge and lack of skills. Key facilitators included
   understanding other world views, knowledge of religions, awareness of
   own beliefs and basic communication skills. Spiritual historytaking
   skill education for all doctors was supported by 75%.
   Conclusions: The majority of Australian doctors who participated in this
   survey acknowledged the importance of spiritual history within holistic
   medical care, and many are incorporating this into their regular
   practice. Yet most doctors recognised a lack of knowledge and skills and
   desired further training, especially in spiritual history-taking skills.
   Inclusion of this in Australian medical education was strongly
   supported.
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
TC 3
Z9 3
U1 0
U2 1
SN 1442-1100
EI 2204-7662
UT WOS:000470235700007
ER

PT J
AU Dakin, Carly
   Coates, Elizabeth
TI Cross-sectional survey research investigating how medical students use
   clinical photographs to support their learning
SO JOURNAL OF VISUAL COMMUNICATION IN MEDICINE
VL 42
IS 1
BP 15
EP 25
DI 10.1080/17453054.2018.1548267
PD 2019
PY 2019
AB This study explored students' use of clinical photographs within seven
   medical schools in England. The design used was cross-sectional survey
   research. The data collection method was a self-completion online
   survey. A total of 283 students participated in the study. The
   proportion of students using clinical photographs was 87%, p=.217. The
   medical subject discipline in which clinical photographs were considered
   by students as most useful were dermatology (71%). The proportion for
   those 'Very' or Quite' likely to access an image library made available
   through their medical school was 92%. The main barrier to using existing
   photographic resources was awareness.
OI Dakin, Carly/0000-0002-7555-4169
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 1
SN 1745-3054
EI 1745-3062
UT WOS:000470292300003
PM 30947581
ER

PT J
AU Rangarajan, Karan
   Begg, Khalil
   Somani, Bhaskar
TI Online Digital Media: The Uptake of YouTube-based Digital Clinical
   Education (DCE)
SO AMERICAN JOURNAL OF DISTANCE EDUCATION
VL 33
IS 2
BP 142
EP 150
DI 10.1080/08923647.2019.1582308
PD 2019
PY 2019
AB There has been considerable growth in the uptake of digital clinical
   education (DCE) over the last few years. This growth has coincided with
   similar growth in social media platforms available to both educators and
   learners. In this article, we describe a novel, innovative video-based
   medical education project using YouTube for teaching, training, and
   learning. We created a series of short 'System based' clinical scenario
   videos and uploaded it to YouTube. Using the analytics function provided
   by Google and YouTube, end-user data including viewer engagement,
   uptake, and comments were then analyzed. To date, the channel has
   garnered more than 5.5 million views over five years between July
   2012-July 2017.
   With the increase in the use of video-based learning and the popularity
   of social media platforms, the uptake of DCE is set to increase. YouTube
   offers a novel approach to streaming medical education for training
   purposes. A quality assessed, structured and sustainable educational
   online platform is likely to meet the future requirements of a new
   generation of learners.
RI Somani, B. K./I-8429-2019
OI Somani, B. K./0000-0002-6248-6478
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
TC 6
Z9 6
U1 5
U2 9
SN 0892-3647
EI 1538-9286
UT WOS:000470008500006
ER

PT J
AU Cosby, Arthur G.
   McDoom-Echebiri, M. Maya
   James, Wesley
   Khandekar, Hasna
   Brown, Willie
   Hanna, Heather L.
TI Growth and Persistence of Place-Based Mortality in the United States:
   The Rural Mortality Penalty
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 109
IS 1
BP 155
EP 162
DI 10.2105/AJPH.2018.304787
PD JAN 2019
PY 2019
AB Objectives. To examine 47 years of US urban and rural mortality trends
   at the county level, controlling for effects of education, income,
   poverty, and race.
   Methods. We obtained (1) Centers for Disease Control and Prevention
   WONDER (Wide-ranging ONline Data for Epidemiologic Research) data
   (1970-2016) on 104 million deaths; (2) US Census data on education,
   poverty, and race; and (3) Bureau of Economic Analysis data on income.
   We calculated ordinary least square regression models, including
   interaction models, for each year. We graphed standardized parameter
   estimates for 47 years.
   Results. Rural-urban mortality disparities increased from the mid-1980s
   through 2016. We found education, race, and rurality to be strong
   predictors; we found strong interactions between percentage poverty and
   percentage rural, indicating that the largest penalty was in
   high-poverty, rural counties.
   Conclusions. The rural-urban mortality disparity was persistent,
   growing, and large when compared to other place-based disparities. The
   penalty had evolved into a high-poverty, rural penalty that rivaled the
   effects of education and exceeded the effects of race by 2016.
   Public Health Implications. Targeting public health programs that focus
   on high-poverty, rural locales is a promising strategy for addressing
   disparities in mortality.
Z8 0
ZA 0
ZS 0
TC 89
ZR 0
ZB 24
Z9 89
U1 2
U2 23
SN 0090-0036
EI 1541-0048
UT WOS:000453738000051
PM 30496008
ER

PT J
AU Wirpsa, M. Jeanne
   Johnson, Rebecca Emily
   Bieler, Joan
   Boyken, Lara
   Pugliese, Karen
   Rosencrans, Emily
   Murphy, Patricia
TI Interprofessional Models for Shared Decision Making: The Role of the
   Health Care Chaplain
SO JOURNAL OF HEALTH CARE CHAPLAINCY
VL 25
IS 1
BP 20
EP 44
DI 10.1080/08854726.2018.1501131
PD 2019
PY 2019
AB Shared decision making (SDM) is a central component of patient-centered
   care; however, a minimal amount is known about what health care
   chaplains contribute to this process. Data from 463 full-time chaplains
   practicing in the United States collected by an online survey was
   analyzed using SPSS 26 for bivariate and multivariate logistical
   regressions to identify variables impacting chaplain integration into
   SDM. Coding of free text responses yielded multiple domains for chaplain
   contributions and barriers. Thirty-eight percent of chaplains reported
   being often or frequently integrated into health care team discussions
   regarding medical decisions, with years of professional experience, time
   spent supporting the emotional processing of medical decisions, and
   being well-prepared as the strongest predictors for high integration.
   Qualitative analysis yielded a multifaceted picture that includes
   chaplain attention to the impact religion has on decision making, a
   focus on the patient story, and chaplains as mediators between patients,
   families, and the health care team. The full integration of chaplains
   into SDM will require education of the interdisciplinary team regarding
   the scope of chaplain knowledge and skills, as well as organizational
   level changes in chaplain to patient ratios and coverage models. In this
   era of increased fragmentation of health care provision and advancing
   complexity of medical decision making, models of Inteprofessional Shared
   Decision Making (IP-SDM) such as the one proposed here that appreciate
   the specialized knowledge and skills of each member of the health care
   team hold promise for enhancing patient-centered care.
ZR 0
Z8 0
ZS 0
ZA 0
TC 20
ZB 0
Z9 20
U1 0
U2 3
SN 0885-4726
EI 1528-6916
UT WOS:000469931100002
PM 30321119
ER

PT J
AU Throuvala, Melina A.
   Griffiths, Mark D.
   Rennoldson, Mike
   Kuss, Daria J.
TI School-based Prevention for Adolescent Internet Addiction: Prevention is
   the Key. A Systematic Literature Review
SO CURRENT NEUROPHARMACOLOGY
VL 17
IS 6
BP 507
EP 525
DI 10.2174/1570159X16666180813153806
PD 2019
PY 2019
AB Adolescents' media use represents a normative need for information,
   communication, recreation and functionality, yet problematic Internet
   use has increased. Given the arguably alarming prevalence rates
   worldwide and the increasingly problematic use of gaming and social
   media, the need for an integration of prevention efforts appears to be
   timely. The aim of this systematic literature review is (i) to identify
   school-based prevention programmes or protocols for Internet Addiction
   targeting adolescents within the school context and to examine the
   programmes' effectiveness, and (ii) to highlight strengths, limitations,
   and best practices to inform the design of new initiatives, by
   capitalizing on these studies' recommendations. The findings of the
   reviewed studies to date presented mixed outcomes and are in need of
   further empirical evidence. The current review identified the following
   needs to be addressed in future designs to: (i) define the clinical
   status of Internet Addiction (IA) more precisely, (ii) use more current
   psychometrically robust assessment tools for the measurement of
   effectiveness (based on the most recent empirical developments), (iii)
   reconsider the main outcome of Internet time reduction as it appears to
   be problematic, (iv) build methodologically sound evidence-based
   prevention programmes, (v) focus on skill enhancement and the use of
   protective and harm-reducing factors, and (vi) include IA as one of the
   risk behaviours in multi-risk behaviour interventions. These appear to
   be crucial factors in addressing future research designs and the
   formulation of new prevention initiatives. Validated findings could then
   inform promising strategies for IA and gaming prevention in public
   policy and education.
RI Griffiths, Mark D./AAY-3546-2021; Rennoldson, Mike/
OI Griffiths, Mark D./0000-0001-8880-6524; Rennoldson,
   Mike/0000-0002-7131-8740
Z8 1
ZA 0
ZB 3
ZR 1
ZS 2
TC 52
Z9 55
U1 8
U2 87
SN 1570-159X
EI 1875-6190
UT WOS:000467373300002
PM 30101714
ER

PT J
AU Friedman, Karen A.
   Herman, Saori W.
   Fornari, Alice
TI Medical education using minimal technology: achieving professional
   development
SO MEDICAL EDUCATION ONLINE
VL 24
IS 1
AR 1622365
DI 10.1080/10872981.2019.1622365
PD JAN 1 2019
PY 2019
AB Background: Traditional journal clubs have been limited by the geography
   of participants. Web based modalities and social media platforms are now
   being used to bridge this barrier. Medical education journal club, given
   the diversity of its community would lend well to these platforms. To
   date there is very little published regarding online medical education
   journal clubs. Objective: To bridge geographical barriers; enhance
   interdisciplinary and interprofessional discussion and collaboration;
   and to provide opportunities for continuing medical education and
   faculty development; a monthly synchronous medical education journal
   club was created for faculty. Design/Methods: From April 2015 to
   November 2016, 11 online journal clubs were held for the faculty at
   Northwell Health and the Barbara and Donald Zucker School of Medicine at
   Hofstra/Northwell (Zucker SOM). All articles picked were relevant to
   medical education and participants were from multiple disciplines.
   Results: 74% of respondent participants agreed that the content covered
   during the sessions would positively impact personal and/or professional
   life and 58% of respondents reported that their overall knowledge/skill
   level changed positively. Conclusions: On-line medical education journal
   club can provide a valuable opportunity for continuing education and
   faculty development for both the participant and the presenter.
ZB 0
ZA 0
ZR 0
ZS 0
TC 7
Z8 0
Z9 7
U1 0
U2 20
SN 1087-2981
UT WOS:000468969300001
PM 31122181
ER

PT C
AU Suwono, Hadi
   Dewi, Ety Kumala
BE Yuenyong, C
   Sangpradit, T
TI Problem-Based Learning Blended with Online Interaction to Improve
   Motivation, Scientific Communication and Higher Order Thinking Skills of
   High School Students
SO INTERNATIONAL CONFERENCE OF SCIENCE EDUCATORS AND TEACHERS (ISET) 2018:
   : PROCEEDINGS OF THE 6TH INTERNATIONAL CONFERENCE FOR SCIENCE EDUCATORS
   AND TEACHERS (ISET) 2018
SE AIP Conference Proceedings
VL 2081
AR 030003
DI 10.1063/1.5094001
PD 2019
PY 2019
AB The purpose of biology education in high school is to motivate students
   to explain the world of living things and prepare students to understand
   biology concepts through scientific process skills and scientific
   thinking. Problem-based instruction (PBI) blended with online
   interaction is designed to improve motivation, scientific communication
   and higher order thinking skills of senior high school students. This
   research was focused on the development of a PBI integrated
   instructional module that combined face to face and online interactions
   using the 4D model (Define, Design, Develop, and Disseminate). At the
   Define phase, we identified the problem situation and conducted need
   assessment. At the Design phase, we formulated an instructional web
   design and created instructional tools in order to obtain the initial
   draft of the instructional module. At the Develop stage, module
   development and writing, expert validation, and module testing and
   revision were conducted to generate the final product. The instructional
   module was then validated by science education experts, biology
   teachers, and online learning media experts. The dissemination of the
   valid instructional module was conducted at the fourth stage. A
   quasi-experimental method was applied at the next stage. A pretest and a
   posttest were administered to identify the improvement of students'
   motivation, scientific communication skill and higher order thinking
   skills. The results showed that the integration of PBI and online
   interaction could enhance students' motivation, scientific communication
   and higher order thinking skills. Findings also indicated that the
   implementation of PBI blended with online interaction was able to
   encourage students' motivation and help them to improve their
   achievement in biology and as a result be successful in attaining the
   goals of the 21st century learning.
CT 6th International Conference of Science Educators and Teachers (ISET)
CY MAY 07-09, 2018
CL Srinakharinwirot Univ, Bangkok, THAILAND
HO Srinakharinwirot Univ
SP Sci Educ Assoc Thailand; Khon Kaen Univ; Kasetsart Univ; Rajabhat
   Rajanagarindra Univ; Inst Promot Teaching Sci & Technol; Phuket Rajabhat
   Univ, Fac Educ; Khon Kaen Univ, Fac Educ; Kasetsart Univ, Fac Educ;
   Srinakharinwirot Univ, Sci & Educ Ctr; Kasetsart Univ, Fac Educ & Dev
   Sci
RI SUWONO, HADI/AAX-4977-2020
OI SUWONO, HADI/0000-0001-6134-821X
ZS 0
ZB 0
ZR 0
TC 1
ZA 0
Z8 0
Z9 1
U1 3
U2 13
SN 0094-243X
BN 978-0-7354-1811-0
UT WOS:000468346200006
ER

PT J
AU Sawarynski, Kara E.
   Baxa, Dwayne M.
TI Utilization of an online module bank for a research training curriculum:
   development, implementation, evolution, evaluation, and lessons learned
SO MEDICAL EDUCATION ONLINE
VL 24
IS 1
AR 1611297
DI 10.1080/10872981.2019.1611297
PD JAN 1 2019
PY 2019
AB Background: Students enter Oakland University William Beaumont School of
   Medicine's required research program, Embark, with variable levels of
   experience. Recognizing this, Embark allows for progression through the
   individual research project with flexibility. Since 2014, student
   self-directed curriculum personalization is promoted through a menu of
   online modules. Objective: This evaluation sought to understand student
   usage of the modules, identified strengths of the modules and preferred
   attributes of the modules. Gaining this evidence will provide
   information on how to best meet students' needs in a just-in-time
   format. Methods: A retrospective mixed methods analysis of the module
   library was conducted. The library was constructed using best practices
   as an educational tool. The retrospective evaluation included analysis
   of students' viewing patterns and answers to required course evaluations
   during the fall semesters of 2014 to 2017. Students' preference for
   modules was determined by viewing records and conjoint analysis.
   Results: Students' milestone preparation was not negatively impacted by
   relocation of curricular content from lecture to modules. Changes in
   module implementation within the course (2016) resulted in an increase
   of students viewing modules beyond only the minimum course requirements
   (71% (2016) from 10% (2014)). Data from both quantitative and
   qualitative evaluation questions show an increase in students'
   identifying the modules as a strength to individualize the course. The
   identified module strengths include content individualization,
   just-in-time access, while identified needs included a desire for
   additional modules. Students preferred modules that were animated,
   shorter in duration and curated from an external source. Conclusions:
   Online modules provide students with a rich set of resources allowing
   for individualized learning. Lessons learned in the implementation of
   the online modules may be transferable to many educational topics. When
   implementing similar technology projects, usage rates, learner feedback,
   and effect on appreciation of the content are important to frequently
   monitor.
RI Sawarynski, Kara/AAE-3069-2021
OI Sawarynski, Kara/0000-0003-3008-0884
ZR 0
Z8 0
ZS 0
ZB 1
ZA 0
TC 6
Z9 6
U1 0
U2 11
SN 1087-2981
UT WOS:000467723500001
PM 31072278
ER

PT J
AU Panczyk, Mariusz
   Cieslak, Ilona
   Zarzeka, Aleksander
   Jaworski, Mariusz
   Gotlib, Joanna
TI EFFECTIVE TRAINING OF PhD STUDENTS WITH EVIDENCE-BASED PHARMACY - THE
   USE OF ONLINE MULTI-MODULE COURSE
SO ACTA POLONIAE PHARMACEUTICA
VL 76
IS 1
BP 185
EP 194
DI 10.32383/appdr/97379
PD JAN-FEB 2019
PY 2019
AB Due to its advantages. e-learning appears to be an adequate method to
   form competencies of PhD students in Evidence-Based Pharmacy (EBP), such
   as the critical appraisal of scientific articles, solving problems, and
   decision making based on scientific evidence. The objective of the study
   was to assess the Evidence-Based Practice Profile of PhD students at the
   Faculty of Pharmacy at the Medical University of Warsaw. The efficiency
   of education of PhD students was assessed with to use of an online
   multi-module course devised for learning EBP skills. The study
   participants were 36 PhD students (72% women), including graduates with
   the title of Master of Sciences of Pharmacy (N = 30) or Medical
   Laboratory (N = 6). The data to determine the EBP profile of the PhD
   students from the Evidence-Based Practice Profile Questionnaire
   (EBP(2)Q) were collected using the CAPI method. Activity reports and the
   score for problems and analytical tasks obtained by students were
   generated from the Moodle (TM) e-learning platform. The evaluation
   concerned the relationship between specific domains comprising the EBP
   profile and the students' activity during the online course, as well as
   the results of the final tests (correlation coefficient (r(p))). The
   total result and the score from specific domains, as obtained from
   EBP(2)Q, were average with the domination of lower results. The average
   time spent on the online course was about 7h, while the most time was
   spent on studying "Secondary data analyses: meta-analysis and systematic
   review" by the PhD students (average 1.5 h). The most difficult tests
   were the meta-analysis interpretation tests and the tests for guidelines
   for clinical practice. A significant correlation was observed between
   the number of hits and the score for tasks (r(p) = 0.661, p < 0.001).
   Also, a strong positive correlation was observed between the EBP
   profiling result and the score of PhD students obtained from specific
   modules of the online course (the total score for the entire online
   course r(p) = 0.734, p <0.001). The insufficient level of knowledge,
   behaviors and attitudes in EBP reveals the need to introduce education
   in critical thinking and decision making based on the scientific
   evidence and the program of studies of III degree studies. As the
   expected educational results depended on the involvement of PhD students
   in the online course, activating educational forms should be introduced
   to the course. such as workshops or project tasks. It is necessary to
   continue the study to determine whether e-learning improved skills or
   professional practice and whether e-learning is effective at increasing
   knowledge in the long-term.
RI Panczyk, Mariusz/B-4412-2011; Jaworski, Mariusz/; Cieslak, Ilona/; Gotlib, Joanna/
OI Panczyk, Mariusz/0000-0003-1830-2114; Jaworski,
   Mariusz/0000-0002-5207-8323; Cieslak, Ilona/0000-0001-7752-6527; Gotlib,
   Joanna/0000-0002-2717-7741
ZR 0
ZS 0
ZB 0
Z8 0
TC 0
ZA 0
Z9 0
U1 1
U2 6
SN 0001-6837
EI 2353-5288
UT WOS:000467330400020
ER

PT J
AU Holloway, Ian W.
   Ochoa, Ayako Miyashita
   Wu, Elizabeth S. C.
   Himmelstein, Rebecca
   Wong, Jeffrey O.
   Wilson, Bianca D. M.
TI Perspectives on Academic Mentorship From Sexual and Gender Minority
   Students Pursuing Careers in the Health Sciences
SO AMERICAN JOURNAL OF ORTHOPSYCHIATRY
VL 89
IS 3
SI SI
BP 343
EP 353
DI 10.1037/ort0000410
PD 2019
PY 2019
AB High-quality academic mentorship is key to the success of students
   pursuing careers in the health sciences. Mentorship may take on
   additional importance for sexual and gender minority (SGM) students, who
   often face stressors related to stigmatized identities. We conducted an
   anonymous online survey to assess the mentorship experiences of SGM
   students pursuing careers in the health sciences and to elicit their
   perspectives on what makes an effective mentor. Students (N = 166) were
   pursuing a variety of health-related careers, including medicine
   (12.7%), nursing (7.8%), public health (21.1%), and social work (19.3%).
   Overall, students rated the quality of their mentorship experiences as
   (very) good: 83.8% among participants who reported having had an
   academic mentor that openly identified as SGM and 79.5% among
   participants who had a non-SGM identified mentor (ns). Participants
   recommended individual, dyadic and structural level activities that
   could be undertaken by academic mentors of SGM students to promote the
   students' academic success and positive career trajectories. Education
   on SGM issues, direct conversation about experiences of homophobia and
   transphobia in academic settings, and advocacy for including SGM content
   in coursework were among the suggestions provided by participants.
OI Holloway, Ian/0000-0001-7454-8632; Wong, Jeffrey/0000-0003-0986-6401
ZR 0
ZS 1
ZA 0
TC 7
Z8 0
ZB 2
Z9 8
U1 2
U2 10
SN 0002-9432
EI 1939-0025
UT WOS:000467403800006
PM 31070420
ER

PT J
AU Harvey, Michael
   McGladrey, Margaret
TI Explaining the origins and distribution of health and disease: an
   analysis of epidemiologic theory in core Master of Public Health
   coursework in the United States
SO CRITICAL PUBLIC HEALTH
VL 29
IS 1
BP 5
EP 17
DI 10.1080/09581596.2018.1535698
PD JAN 1 2019
PY 2019
AB This article examines the epidemiologic theories taught most frequently
   in core social and behavioral science coursework in Master of Public
   Health (MPH) programs in the United States, identifies lacunae,
   discusses their implications, and recommends specific pedagogical
   changes. Course syllabi were identified through online search and
   instructor outreach between June and December 2016. Content analysis was
   conducted to identify most commonly taught theories. Analysis continued
   until theoretical saturation. Behavioral health theories predominate
   within our sample of core social and behavioral science course syllabi.
   Behavioral health theory represents 93% of the most commonly taught
   epidemiologic theories within our sample. Individual health behavior
   theory was the most commonly encountered, the most prevalent of which
   were the health belief model and the theory of planned behavior, both
   appearing in 83% of syllabi (n = 25). Theories of interpersonal health
   behavior were the second-most commonly observed, including social
   cognitive theory (77%, n = 23) and social network theory (67%, n = 20).
   Behavioral-ecological theory was present in 87% (n = 26) of syllabi. The
   fundamental cause theory (23%, n = 7) was the only commonly taught
   non-behavioral epidemiologic theory. The social determinants of health
   were referenced in 60% of syllabi (n = 18). Based on this sample,
   behavioral health theories drawn from psychological, behavioral science,
   health education, and medical literatures predominate in US-based core
   MPH pedagogy concerned with explaining the etiology and distribution of
   health, morbidity, and mortality. We recommend the inclusion of
   non-behavioral epidemiologic theory from disciplines more engaged with
   structural aspects of health.
ZR 0
TC 5
ZA 0
ZB 0
Z8 1
ZS 0
Z9 6
U1 3
U2 6
SN 0958-1596
EI 1469-3682
UT WOS:000452796700002
ER

PT J
AU Calzo, Jerel P.
   Katz-Wise, Sabra L.
   Charlton, Brittany M.
   Gordon, Allegra R.
   Krieger, Nancy
TI Addressing the dearth of critical gender analysis in public health and
   medical pedagogy: an interdisciplinary seminar to generate
   student-created teaching examples
SO CRITICAL PUBLIC HEALTH
VL 29
IS 1
BP 18
EP 26
DI 10.1080/09581596.2017.1419166
PD JAN 1 2019
PY 2019
AB Gender-based analysis in public health is a systematic examination of
   how population health is shaped by systems of gender relations,
   involving policies and laws, programs and services, research priorities,
   social norms and practices, and public discourse. To address the paucity
   of critical gender-based analysis training in most public health,
   medical, and health policy courses, we designed the capstone course in
   the Women, Gender, and Health (WGH) Interdisciplinary Concentration at
   the Harvard T.H. Chan School of Public Health. This course enables
   students to develop brief teaching examples to expose students in
   non-WGH courses to gender-based analysis (e.g. challenging simplistic
   conflations of gender and sex). The assignment has yielded 26 teaching
   examples (several available online at no cost) and offers a model that
   can be used to address analogous curriculum gaps in relation to other
   social determinants of health, including racism, social class,
   sexuality, and immigration.
RI Charlton, Brittany/AAH-9334-2021; Katz-Wise, Sabra/AGY-0152-2022; Calzo, Jerel/
OI Katz-Wise, Sabra/0000-0003-4825-6673; Calzo, Jerel/0000-0002-4656-1052
Z8 0
ZS 1
ZA 0
TC 4
ZR 0
ZB 0
Z9 4
U1 0
U2 6
SN 0958-1596
EI 1469-3682
UT WOS:000452796700003
PM 30778277
ER

PT J
AU Pearson, C. R.
   Parker, M.
   Zhou, C.
   Donald, C.
   Fisher, C. B.
TI A culturally tailored research ethics training curriculum for American
   Indian and Alaska Native communities: a randomized comparison trial
SO CRITICAL PUBLIC HEALTH
VL 29
IS 1
BP 27
EP 39
DI 10.1080/09581596.2018.1434482
PD JAN 1 2019
PY 2019
AB The primary aim of this study was to develop an American Indian and
   Alaska Native (AIAN) tailored research with human subjects curriculum
   that would increase the participation of AIAN members in research
   affecting their communities. We used a community-engaged research
   approach to co-design and evaluate a culturally tailored online human
   subjects curriculum among a national sample of AIAN community members (n
   = 244) with a standard nationally used online curriculum (n = 246). We
   evaluated pre- and post-test measures to assess group differences in
   ethics knowledge, perceived self-efficacy to apply such knowledge to
   protocol review, and trust in research. Analysis of regional tribal
   differences assessed curriculum generalizability. Using an 80% correct
   item cut-off at first attempt as passing criterion, the tailored
   curriculum achieved a 59.3% passing rate versus 28.1% in the standard
   curriculum (p < .001). For both arms, participants reported a
   significant increase in trust in research and in research review
   efficacy. Participants took less time to complete the training and
   reported significantly higher acceptability, satisfaction, and
   understandability of the curriculum for the tailored curriculum. This
   culturally tailored research ethics curriculum has the potential to
   increase participation in AIAN communities in research affecting tribal
   members. The AIAN curriculum achieved significantly higher levels of
   participants' research ethics knowledge, self-efficacy in reviewing
   research protocols, trust in research, and completion of the training
   requirements. Culturally grounded training curricula may help remedy the
   impact of historical research ethics abuses involving AIAN communities
   that have contributed to mistrust of research and lack of community
   engagement in research.
RI Pearson, Cynthia/J-8192-2017; Zhou, Chuan/AAJ-1935-2020; Fisher, Celia/; Donald, Caitlin/
OI Pearson, Cynthia/0000-0003-4711-215X; Fisher, Celia/0000-0002-3849-7281;
   Donald, Caitlin/0000-0002-9637-4597
ZR 0
ZB 2
TC 10
ZS 0
ZA 0
Z8 0
Z9 10
U1 0
U2 4
SN 0958-1596
EI 1469-3682
UT WOS:000452796700004
PM 30613127
ER

PT J
AU Budhathoki, Shyam Sundar
   Pokharel, Paras K.
   Jha, Nilambar
   Moselen, Emma
   Dixon, Robyn
   Bhattachan, Meika
   Osborne, Richard H.
TI Health literacy of future healthcare professionals: a cross-sectional
   study among health sciences students in Nepal
SO INTERNATIONAL HEALTH
VL 11
IS 1
BP 15
EP 23
DI 10.1093/inthealth/ihy090
PD JAN 2019
PY 2019
AB Background: There is an assumption that health literacy is higher among
   health professionals, allowing them to improve the health literacy of
   their patients. This study explored health literacy profiles of health
   science students in Nepal, the future health professionals and educators
   of health literacy.
   Methods: The multidimensional Health Literacy Questionnaire and
   demographic questions were administered online to medical and other
   health science students at the B. P. Koirala Institute of Health
   Sciences, Dharan, Nepal.
   Results: More than half (55.8%) of the participants were male, 68.3%
   were <= 19 y of age, 62.2% had parents with a university degree, 73.5%
   were studying undergraduate courses and 61.6% were pursuing medicine.
   Students reported having moderate support and skills to manage their
   health. Health was regarded as important to them. They reported a
   moderate ability to engage with health professionals and the healthcare
   system. Medical students reported higher scores for all scales except
   social support for health, which was similar across the groups.
   Conclusions: Universities should target interventions to improve
   students' access to health information and to develop students' ability
   to engage actively with healthcare providers. This will likely produce
   health professionals with improved health literacy levels who are
   sensitive to the health literacy needs of their patients from different
   population groups.
RI Osborne, Richard H/A-9447-2010; Budhathoki, Shyam Sundar/X-5167-2018
OI Osborne, Richard H/0000-0002-9081-2699; Budhathoki, Shyam
   Sundar/0000-0002-8614-1087
ZA 0
ZB 1
ZR 0
Z8 0
ZS 1
TC 13
Z9 13
U1 2
U2 9
SN 1876-3413
EI 1876-3405
UT WOS:000461514900004
PM 30412262
ER

PT J
AU Lim, Yen Ying
   Yassi, Nawaf
   Bransby, Lisa
   Properzi, Michael
   Buckley, Rachel
TI The Healthy Brain Project: An Online Platform for the Recruitment,
   Assessment, and Monitoring of Middle-Aged Adults at Risk of Developing
   Alzheimer's Disease
SO JOURNAL OF ALZHEIMERS DISEASE
VL 68
IS 3
BP 1211
EP 1228
DI 10.3233/JAD-181139
PD 2019
PY 2019
AB Background: Characterizing the earliest demonstrable cognitive decline
   in middle-aged adults at risk of Alzheimer's disease (AD) will allow for
   the better understanding of the early disease trajectory, and the
   provision of therapies prior to clinical symptom onset. We developed an
   online platform-healthybrainproject.org.au (Healthy Brain Project;
   HBP)-to recruit, assess, and monitor at-risk middle-aged adults.
   Objective: Describe the HBP methodology and report baseline
   characteristics and adherence indices of participants.
   Methods: Between February 2017 and August 2018, 4,000 community-based
   middle-aged Australian adults with a first or second-degree family
   history of dementia enrolled at our website
   (healthybrainproject.org.au). Participants were directed to complete
   five modules: "Basics", "Health History", "How You Feel", "How You
   Live", and "How You Think". Of these, 1,816 participants have received a
   saliva sampling kit for genetic analysis.
   Results: Participants had a mean (SD) age of 55.5 (6.8) years, 11.8
   (3.4) years of education, and annual personal income of AUD$68,830
   ($35,044). Participants took 26.4 (49.7) days after enrolment to
   complete questionnaires and cognitive tests. Most participants were from
   Victoria (63%), followed by New SouthWales (14%). Most participants
   (74%) were female and 76% identified as Caucasian. Approximately 36% of
   participants completed all modules (n = 1,450), and 56% (n = 2,221)
   completed 4 out of 5 modules. Most saliva kits (89%) had been returned.
   Conclusion: The HBP joins a handful of online registries worldwide that
   assess and monitor a large cohort of individuals at risk of AD. Our
   study extends on these efforts by focusing on midlife, where the
   earliest signs of cognitive and pathological changes will manifest.
OI Lim, Yen Ying/0000-0002-0308-5156; Yassi, Nawaf/0000-0002-0685-0060
ZB 8
ZA 0
Z8 0
ZS 0
TC 15
ZR 0
Z9 16
U1 2
U2 9
SN 1387-2877
EI 1875-8908
UT WOS:000464031500027
PM 30909237
ER

PT J
AU Thirkettle, Martin
   Thyoka, Mandela
   Gopalan, Padmini
   Fernandes, Nadiah
   Stafford, Tom
   Offiah, Amaka C.
TI Internet-based measurement of visual assessment skill of trainee
   radiologists: developing a sensitive tool
SO BRITISH JOURNAL OF RADIOLOGY
VL 92
IS 1097
AR 20180958
DI 10.1259/bjr.20180958
PD 2019
PY 2019
AB Objective: Expert radiologists exhibit high levels of visual diagnostic
   accuracy from review of radiological images, doing so after accumulating
   years of training and experience. To train new radiologists, learning
   interventions must focus on the development of these skills. By
   developing a web-based measure of image assessment, a key part of visual
   diagnosis, we aimed to capture differences in the performance of expert,
   trainee and non-radiologists.
   Methods: 12 consultant paediatric radiologists, 12 radiology registrars,
   and 39 medical students were recruited to the study. All participants
   completed a two-part, online task requiring them to visually assess 30
   images (25 containing an abnormality) drawn from a library of 150
   paediatric skeletal radiographs assessed prior to the study.
   Participants first identified whether an image contained an abnormality,
   and then clicked within the image to mark its location. Performance
   measures of identification accuracy, localisation precision, and task
   time were collected.
   Results: Despite the difficulties of web-based testing, large
   differences in performance, both in terms of the accuracy of abnormality
   identification and in the precision of abnormality localisation were
   found between groups, with consultant radiologists the most accurate
   both at identifying images containing abnormalities (p < 0.001) and at
   localising abnormalities on the images (p < 0.001).
   Conclusions: Our data demonstrate that an online measurement of
   radiological skill is sufficiently sensitive to detect group level
   changes in performance consistent with the development of expertise.
   Advances in knowledge: The developed tool will allow future studies
   assessing the impact of different training strategies on cognitive
   performance and diagnostic accuracy.
RI Offiah, Amaka/G-2911-2010; Thirkettle, Martin/; Stafford, Tom/
OI Offiah, Amaka/0000-0001-8991-5036; Thirkettle,
   Martin/0000-0002-6200-3130; Stafford, Tom/0000-0002-8089-9479
ZA 0
TC 0
Z8 0
ZB 0
ZS 0
ZR 0
Z9 0
U1 0
U2 1
SN 0007-1285
EI 1748-880X
UT WOS:000465204300012
PM 30730757
ER

PT J
AU Chatterjee, Souvik
   Desai, Sanjay
   Manesh, Reza
   Sun, Junfeng
   Nundy, Shantanu
   Wright, Scott M.
TI Assessment of a Simulated Case-Based Measurement of Physician Diagnostic
   Performance
SO JAMA NETWORK OPEN
VL 2
IS 1
AR e187006
DI 10.1001/jamanetworkopen.2018.7006
PD JAN 2019
PY 2019
AB IMPORTANCE Diagnostic acumen is a fundamental skill in the practice of
   medicine. Scalable, practical, and objective tools to assess diagnostic
   performance are lacking.
   OBJECTIVE To validate a new method of assessing diagnostic performance
   that uses automated techniques to assess physicians' diagnostic
   performance on brief, open-ended case simulations.
   DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study of 11 023
   unique attempts to solve case simulations on an online software
   platform, The Human Diagnosis Project (Human Dx). A total of 1738
   practicing physicians, residents (internal medicine, family medicine,
   and emergency medicine), and medical students throughout the United
   States voluntarily used Human Dx software between January 21, 2016, and
   January 15, 2017.
   MAIN OUTCOMES AND MEASURES Internal structure validity was assessed by 3
   measures of diagnostic performance: accuracy, efficiency, and a combined
   score (Diagnostic Acumen Precision Performance [DAPP]). These were each
   analyzed by level of training. Association with other variables'
   validity evidence was evaluated by correlating diagnostic performance
   and affiliation with an institution ranked in the top 25 medical schools
   by US News and World Report.
   RESULTS Data were analyzed for 239 attending physicians, 926 resident
   physicians, 347 intern physicians, and 226 medical students. Attending
   physicians had higher mean accuracy scores than medical students
   (difference, 8.1; 95% CI, 4.2-12.0; P<.001), as did residents
   (difference, 8.0; 95% CI, 4.8-11.2; P<.001) and interns (difference,
   5.9; 95% CI, 2.3-9.6; P<.001). Attending physicians had higher mean
   efficiency compared with residents (difference, 4.8; 95% CI, 1.8-7.8;
   P<.001), interns (difference, 5.0; 95% CI, 1.5-8.4; P=.001), and medical
   students (difference, 5.4; 95% CI, 1.4-9.3; P=.003). Attending
   physicians also had significantly higher mean DAPP scores than residents
   (difference, 2.6; 95% CI, 0.0-5.2; P=.05), interns (difference, 3.6; 95%
   CI, 0.6-6.6; P=.01), and medical students (difference, 6.7; 95% CI,
   3.3-10.2; P<.001). Attending physicians affiliated with a US News
   andWorld Report-ranked institution had higher mean DAPP scores compared
   with nonaffiliated attending physicians (80 [95% CI, 77-83] vs 72 [95%
   CI, 70-74], respectively; P<.001). Resident physicians affiliated with
   an institution ranked in the top 25 medical schools by US News andWorld
   Report also had higher mean DAPP scores compared with nonaffiliated
   peers (75 [95% CI, 73-77] vs 71 [95% CI, 69-72], respectively; P<.001).
   CONCLUSIONS AND RELEVANCE The data suggest that diagnostic performance
   is higher in those with more training and that DAPP scores may be a
   valid measure to appraise diagnostic performance. This diagnostic
   assessment tool allows individuals to receive immediate feedback on
   performance through an openly accessible online platform.
ZA 0
TC 7
ZR 0
Z8 0
ZS 0
ZB 1
Z9 7
U1 0
U2 1
SN 2574-3805
UT WOS:000465422700011
PM 30646211
ER

PT J
AU Zou, Ping
TI Facilitators and Barriers to Healthy Eating in Aged Chinese Canadians
   with Hypertension: A Qualitative Exploration
SO NUTRIENTS
VL 11
IS 1
AR 111
DI 10.3390/nu11010111
PD JAN 2019
PY 2019
AB Objectives: To determine the facilitators and barriers influencing
   healthy eating behaviours among aged Chinese-Canadians with
   hypertension. Methods: After attending five weeks of dietary educational
   training (Dietary Approach to Stop Hypertension with Sodium (Na)
   Reduction for Chinese Canadians; DASHNa-CC), 30 aged Chinese-Canadian
   participants partook in a telephone interview. Participants were asked
   to name three facilitators and three barriers that influenced their
   ability to follow the DASHNa-CC intervention. Telephone transcripts were
   then analyzed and coded using computer software and categorized into
   personal, familial, community, and societal facilitators or barriers.
   Results: Personal factors included health problems, motivation, effects
   of healthy diet, health-related careers, and dietary habits. Family
   factors included family structure, support from family members, and
   critical health events involving family members or relatives. Community
   factors consisted of educational materials, friends, primary care
   physicians, and online social networks. Societal factors included
   accessibility to grocery stores and restaurants. Conclusions: Aged
   Chinese-Canadian immigrants experience unique facilitators of and
   barriers to healthy eating, which may warrant further attention from
   healthcare professionals when educating patients in a
   culturally-sensitive manner.
TC 15
ZA 0
ZS 0
Z8 0
ZR 0
ZB 4
Z9 15
U1 3
U2 9
EI 2072-6643
UT WOS:000457477800133
PM 30626018
ER

PT J
AU Zhou, Zhengqiu
   Mims, Theresa
   Dugan, Adam
   Trott, Terren
   Sanderson, William
   Bronner, Jonathan
TI Randomized Evaluation of Videoconference Meetings for Medical Students'
   Mid-clerkship Feedback Sessions
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 20
IS 1
BP 163
EP 169
DI 10.5811/westjem.2018.10.39641
PD JAN 2019
PY 2019
AB Introduction: Videoconferencing has been employed in numerous medical
   education settings ranging from remote supervision of medical trainees
   to conducting residency interviews. However, no studies have yet
   documented the utility of and student response to videoconference
   meetings for mid-clerkship feedback (MCF) sessions required by the
   Liaison Committee on Medical Education (LCME).
   Methods: From March 2017 to June 2018, third-year medical students
   rotating through the mandatory, four-week emergency medicine (EM)
   clerkship at a single medical school were randomly assigned either to a
   web-based videoconference meeting via Google Hangouts, or to a
   traditional in-person meeting for their MCF session. To compare
   students' MCF experiences we sent out an electronic survey afterward to
   assess the following using a 0-100 sliding scale: overall satisfaction
   with the meeting; the effectiveness of communication; the helpfulness of
   the meeting; their stress levels, and the convenience of their meeting
   location. The survey also collected data on these demographic variables:
   the name of the faculty member with whom the student met; student
   gender, age, and interest in EM; location prior to meeting;
   meeting-method preference; and number of EM shifts completed.
   Results: During the study period, 133 third-year medical students
   responded to the survey. When comparing survey responses between
   individuals who met online and in person, we did not detect a difference
   in demographics with the exception of preferred meeting method
   (p=0.0225). We found no significant differences in the overall
   experience, helpfulness of the meeting, or stress levels of the meeting
   between those who met via videoconference vs. in-person (p=0.9909;
   p=0.8420; p=0.2352, respectively). However, individuals who met
   in-person with a faculty member rated effectiveness of communication
   higher than those who met via videoconference (p=0.0002), while those
   who met online rated convenience higher than those who met in-person
   (p<0.0001). Both effects remained significant after controlling for
   preferred meeting method (p<0.0001 and p=0.0003, respectively) and among
   EM-bound students (p=.0423 and p<0.0110, respectively).
   Conclusion: Our results suggest that LCME-required MCF sessions can be
   successfully conducted via web-based programs such as Google Hangouts
   without jeopardizing overall meeting experience. While the convenience
   of the meetings was improved, it is also important for clerkship
   directors to note the perceived deficit in the effectiveness of
   communication with videoconferencing.
ZS 0
ZB 0
ZR 0
ZA 0
Z8 0
TC 5
Z9 5
U1 0
U2 3
SN 1936-900X
EI 1936-9018
UT WOS:000465023000029
PM 30643620
ER

PT J
AU Kravchenko, I. S.
   Aleksanyan, A. G.
TI FINANCIAL INSTRUMENTS OF EXPANSION OF HUMAN DEVELOPMENT OPPORTUNITIES IN
   INFORMATION ECONOMY
SO FINANCIAL AND CREDIT ACTIVITY-PROBLEMS OF THEORY AND PRACTICE
VL 1
IS 28
BP 506
EP 514
PD 2019
PY 2019
AB Possibilities of human development, processes of system transformation
   of the social and labor sphere, change of content of labour and forms of
   its organization in the conditions of the Fourth industrial revolution
   are investigated. The question of use of financial instruments for
   expansion of human development opportunities in the conditions of
   distribution of information and communication technologies in its main
   measurements is investigated. In education these opportunities are
   connected first of all with broader application of fundraising in
   activity of HEIs now, the gradual translation as it is possible bigger
   quantity of activities of HEIs in online environment, expansion of
   practice of joint financing of projects and practice of use of the
   international payment service providers, development of cooperation
   between business and the universities, the fastest integration of
   domestic higher education institutions into the world market of
   educational services. In health sector - first of all with further
   development of insurance medicine, introduction of the E-Health system,
   improvement of quality of the public and private medical services. In
   the conditions of system changes in the social and labor sphere,
   introduction of unconditional basic income is the important instrument
   of financing of processes of reproduction of the human capital, ensuring
   the balanced social development for many generations of citizens of the
   progressive countries of the world.
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
TC 0
Z9 0
U1 0
U2 3
SN 2306-4994
EI 2310-8770
UT WOS:000464712800053
ER

PT J
AU Fiedler, Silja
   Pfaff, Holger
   Petroewski, Katja
   Pfortner, Timo-Kolja
TI Effects of a Classroom Training Program for Promoting Health Literacy
   Among IT Managers in the Workplace A Randomized Controlled Trial
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 61
IS 1
BP 51
EP 60
DI 10.1097/JOM.0000000000001471
PD JAN 2019
PY 2019
AB Objective: IT managers have received limited attention in health
   literacy research, although they are subject to special professional
   demands. The aim of this study was to evaluate a training program
   designed to promote health literacy among managers. Methods: A
   randomized controlled trial with a sample of 171 industry managers from
   one IT company was conducted. Effects of classroom training on health
   literacy, psychological well-being, self-rated health, and cortisol
   awakening response were investigated using pre- (t0), post- (t1), and
   follow-up (t2) surveys. Results: The intervention effects (time and
   group) were not significant for the primary outcome of health literacy.
   At the second measuring point, psychological well-being and self-rated
   health significantly decreased, and cortisol awakening response
   significantly increased. Conclusion: Our study did not show beneficial
   intervention effects of a training program on promoting health literacy.
RI Pfaff, Holger/D-2630-2009; Pförtner, Timo-Kolja/AAE-1765-2021; Pfaff, Holger/AAT-6014-2020; Pfortner, Timo-Kolja/
OI Pfaff, Holger/0000-0001-9154-6575; Pfaff, Holger/0000-0001-9154-6575;
   Pfortner, Timo-Kolja/0000-0002-8188-894X
ZS 0
ZR 0
TC 3
Z8 0
ZA 0
ZB 0
Z9 3
U1 5
U2 13
SN 1076-2752
EI 1536-5948
UT WOS:000462336700013
PM 30335676
ER

PT J
AU El-Miedany, Yaseer
   El-Gaafary, Maha
   El-Aroussy, Nadia
   Youssef, Sally
TI Flipped Learning: Can Rheumatology Lead the Shift in Medical Education?
SO CURRENT RHEUMATOLOGY REVIEWS
VL 15
IS 1
BP 67
EP 73
DI 10.2174/1573397114666180416170156
PD 2019
PY 2019
AB Objective: To 1. implement flipped classroom rheumatology teaching for
   undergraduate education. 2. Evaluate outcomes of teaching using OSCE
   assessment and student perceived effectiveness and satisfaction survey.
   Methods: The flipped classroom education, 55-students, was conducted in
   3 phases. Phase 1: Carried out in the students' own time. Web links were
   emailed to assist exposure of the instructional part of the lesson
   online. Phase 2: Interactive in-class activity to share personal
   reflection and reinforce the key aspects. Phase 3: A simulated OSCE
   assessment. A cohort of 56-students, who were taught in the last
   educational year on the same topics according to standard teaching
   protocols, were included as control group. The clinical Outcomes were
   assessed using the scores of the OSCE examination model. Academic
   outcomes included the engagement measure as well as the students'
   answers to perceived effectiveness and satisfaction survey.
   Results: There was no significant difference regarding demographics
   between the 2 students' groups. There was a significant improvement
   (p<0.05) in the flipped learning, in contrast to the control group, in
   terms of clinical (OSCE score) as well as communication skills. Student
   perceived effectiveness and satisfaction was significantly higher among
   the flipped learning (p<0.05). Scores from the flipped learning cohort
   showed a state of engagement significantly higher than the control group
   (p<0.01).
   Conclusion: Flipped learning implementation musculoskeletal learning
   successfully demonstrated a promising platform for using technology to
   make better use of the students' time, and for increasing their
   satisfaction. Active learning increases student engagement and can lead
   to improved retention of knowledge.
RI Miedany, Yasser/GLR-7689-2022
ZA 0
ZB 1
Z8 0
ZS 0
TC 3
ZR 0
Z9 3
U1 0
U2 10
SN 1573-3971
EI 1875-6360
UT WOS:000463803700010
PM 29663891
ER

PT J
AU Baewert, Andjela
   Holzinger, Anita
TI Practice makes perfect! Patient safety starts in medical school: Do
   instructional videos improve clinical skills and hygiene procedures in
   undergraduate medical students?
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 36
IS 2
AR Doc16
DI 10.3205/zma001224
PD 2019
PY 2019
AB Introduction: In 2012 safety strategies were defined in five
   intervention areas to improve patient safety in Austria. Regarding
   policy development, patient safety should be mandatory part of education
   of all healthcare sectors, and measures to improve hygiene standards are
   to be included in organizational development. The aim of this project
   was to achieve sustained improvement in routine procedures and anchor
   patient safety in the undergraduate medical curriculum by making online
   instructional videos on clinical skills and hygiene procedures
   permanently available as preparation for the first clinical clerkship.
   Method: Short films explaining how to insert urinary catheters in women
   and men were produced and provided online. These videos were shown to
   medical students shortly before the practical Objective Structured
   Clinical Examination (OSCE). After viewing the videos, all of the
   students were surveyed using an online questionnaire with 15 questions
   regarding quality and acceptance. The effect of the videos on learning
   success was determined by the assessment outcome through red cards in
   the practical exam. A red card for behavior endangering the doctor or
   others meant zero points and discontinuation of the assessment at that
   particular OSCE station.
   Results: A total of 647 students viewed one of the two videos on urinary
   catheters, 623 responded to the online Moodle questionnaire completly.
   551 (85.2%) reported being better able to recall individual steps and
   procedures, 626 students (96.7%) positively rated the fact that
   instructional videos were available on the Medical University of
   Vienna's website. More than half of the respondents (56.6%) were better
   able to remember critical hygiene practices. The comparison of the
   assessment outcomes on the OSCE for 2016 and 2013, a year in which the
   instructional videos were not yet available, shows no significant
   (chi(2) = 3.79; p>0.05) but a trend towards improvement. The chance of
   getting a red card in 2013 was 3.36 times higher than in 2016.
   Conclusion: Even if our study was unable to show significant
   improvements in the OSCE as a result of viewing the videos, it appears
   that clearly imparting medical skills and hygiene standards-including in
   visual form-is still important prior to the first clerkship to ensure
   the highest level of patient safety possible. The combination of
   teaching and learning formats, such as videos on online platforms with
   textbooks or lecture notes, is well suited to increase effectiveness and
   efficiency in learning. There is a need for further studies to
   investigate and analyze the effects of instructional videos in more
   detail.
OI Holzinger, Anita/0000-0002-3109-3487
ZS 0
ZA 0
ZB 1
ZR 0
Z8 0
TC 6
Z9 6
U1 0
U2 1
SN 2366-5017
UT WOS:000461449000006
PM 30993174
ER

PT J
AU Seale, Deborah E.
   LeRouge, Cynthia M.
   Ohs, Jennifer E.
   Tao, Donghua
   Lach, Helen W.
   Jupka, Keri
   Wray, Ricardo
TI Exploring Early Adopter Baby Boomers' Approach to Managing Their Health
   and Healthcare
SO INTERNATIONAL JOURNAL OF E-HEALTH AND MEDICAL COMMUNICATIONS
VL 10
IS 1
AR 6
DI 10.4018/IJEHMC.2019010106
PD 2019
PY 2019
AB The Patient 3.0 Profile is used to explore to the patient engagement
   strategies of early adopter baby boomers' in three domains: 1) patient
   relationships, 2) health information use and 3) consumer health
   technology (CHT) use. Findings from six focus groups with early adopter
   boomers challenge prior notions about older adults' passive approach to
   patient engagement. Baby boomers want to make final healthcare decisions
   with input from providers. While adept at finding and critically
   assessing online health information for self-education and
   self-management, boomers want providers to curate relevant and
   trustworthy information. Boomers embrace CHTs offered through providers
   (i.e., patient portals, email and text messaging) and sponsored by
   wellness programs (i.e., diet and activity devices and apps). However,
   there is no indication they add information to their online medical
   records or use CHT for diagnosis, treatment or disease management.
   Additional resources are needed to encourage widespread adoption,
   support patient effectiveness, and confirm cost-benefit.
OI Lach, Helen/0000-0003-0597-5766; LeRouge, Cynthia/0000-0002-5523-9700
ZS 0
ZB 0
ZA 0
TC 1
Z8 0
ZR 0
Z9 1
U1 1
U2 6
SN 1947-315X
EI 1947-3168
UT WOS:000463704500006
ER

PT J
AU Kardes, Sinan
TI PUBLICATION RATE OF SPECIALIZATION IN MEDICINE THESES IN MEDICAL ECOLOGY
   AND HYDROCLIMATOLOGY IN TURKEY: A CROSS-SECTIONAL STUDY
SO JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI
VL 82
IS 1
BP 62
EP 68
DI 10.26650/IUITFD.0015
PD 2019
PY 2019
AB Objective: To determine the conversion rate of specialization in
   medicine theses into full-text journal articles in medical ecology and
   hydroclimatology.
   Material and Method: National Thesis Center was searched using "Medical
   Ecology and Climatology" as the subject and "Specialization in Medicine"
   as the thesis type. The Web of Science, TR Dizin, Dergi Park, Atif
   Dizini, Pubmed, Google Scholar and Google databases were searched to
   identify the publications produced from theses.
   Results: A total of 24 theses were identified. The years of the theses
   ranged from 1980 to 2017. The 3 theses (20.00%) among the 15 theses
   between 1980 and 2002, and 4 (44.44%) theses among the 9 theses between
   2009 and 2017 resulted in publication. Hence, overall, 7 (29.17%) out of
   24 theses resulted in publication as a full-text article in a
   peer-reviewed journal. In all publications, the thesis author was the
   first author. Six theses were published in the journals indexed in
   Science Citation Index-Expanded (SCI-E). In these articles, the mean
   time to online publication was 3.00 +/- 1.83 years.
   Conclusion: A quarter of the theses in medical ecology and
   hydroclimatology specialty were published in SCI-E journals; however,
   the rate has nearly reached to the half of the theses in the last
   decade.
RI Kardes, Sinan/L-6731-2015
OI Kardes, Sinan/0000-0002-6311-8634
ZR 0
TC 1
ZS 0
ZB 0
Z8 0
ZA 0
Z9 1
U1 0
U2 7
SN 1305-6433
EI 1305-6441
UT WOS:000463368800010
ER

PT J
AU Martin, Linda Gore
   Warholak, Terri L.
   Hincapie, Ana L.
   Gallo, Tyler
   Kjos, Andrea L.
CA AACP Joint Task Force Informatics
TI Health Informatics Competencies for Pharmacists in Training
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 83
IS 2
BP 180
EP 188
AR 6512
PD 2019
PY 2019
AB Objective. To gather feedback from focus groups regarding health
   informatics competencies that should be taught in a Doctor of Pharmacy
   (PharmD) curricula and to revise the competencies based on this
   feedback.
   Methods. The pharmacy informatics task force of the American Association
   of Colleges of Pharmacy (AACP) used 11 sources to create a list of
   pharmacy informatics competencies. Subsequently, faculty feedback about
   the competency list was obtained via two synchronous online focus groups
   in August 2015. The list was then revised based on the feedback.
   Results. Eight people (a department chair, six faculty members and a
   graduate student) participated in the focus groups (six were from
   private and two were from public institutions). Participants felt the
   list had too many competencies to be covered in a timely manner and some
   indicated that basic computer and Internet competencies should be
   considered pre-requisites. Participants also recommended that
   competencies be split by proposed curricular placement (eg,
   prerequisite, required, elective, didactic, experiential) for each
   objective. The competency list was revised in response to focus group
   feedback.
   Conclusion. The proposed curriculum aligns with the new Accreditation
   Council for Pharmacy Education (ACPE) standards requiring that
   professional pharmacy curricula cover multiple aspects of health
   informatics. The proposed competencies list can serve as a reference to
   assist in the development of the curriculum and ensure compliance with
   the new standards.
RI Hincapie, Ana/AAY-6350-2020; Martin, Linda Gore/AAB-6833-2021; Gallo, Tyler/; Sankaranarayanan, Jayashri/
OI Martin, Linda Gore/0000-0002-7008-3820; Gallo,
   Tyler/0000-0002-0378-3958; Sankaranarayanan,
   Jayashri/0000-0002-7045-5794
Z8 0
ZB 1
ZS 1
ZA 0
ZR 0
TC 5
Z9 5
U1 0
U2 5
SN 0002-9459
EI 1553-6467
UT WOS:000462762800009
PM 30962634
ER

PT J
AU Liu, Eugene W.
   Workowski, Kimberly A.
   Taouk, Laura H.
   Schulkin, Jay
   Secor, William E.
   Jones, Jeffrey L.
TI Survey of Obstetrician-gynecologists in the United States About
   Trichomoniasis, 2016
SO SEXUALLY TRANSMITTED DISEASES
VL 46
IS 1
BP 9
EP 17
DI 10.1097/OLQ.0000000000000893
PD JAN 2019
PY 2019
AB Purpose: Trichomoniasis is the most prevalent nonviral sexually
   transmitted infection (STI) in the United States. It can present with
   vaginitis in women and urethritis in men, but is most often asymptomatic
   or occurs with minimal symptoms. It is associated with other STIs,
   adverse pregnancy outcomes and pelvic inflammatory disease. For these
   reasons, health care provider awareness of trichomoniasis is of public
   health importance.
   Methods: To assess practitioner knowledge, attitudes, and practices
   concerning trichomoniasis management, the American College of
   Obstetricians and Gynecologists conducted an online survey in 2016 of
   its members, and we analyzed results from 230 respondents.
   Results: We note discrepancies between practice and recommendations
   among surveyed providers: a minority of respondents routinely screen
   human immunodeficiency virus (HIV)-positive patients for trichomoniasis
   (10.7%, "most of the time"; 95% confidence interval [CI], 6.7-15.8;
   33.0%, "always"; 95% CI, 26.5%-40.0%), treat trichomoniasis in
   HIV-positive patients with the recommended dose of metronidazole 500 mg
   twice a day for 7 days (25.8%; 95% CI, 20.0%-32.3%), or retest patients
   diagnosed with trichomoniasis 3months after treatment (9.6%; 95% CI,
   6.1%-14.3%). Only 29.0% (95% CI, 23.0%-35.5%) retreat with metronidazole
   500 mg twice a day for 7 days in patients who have failed prior
   treatment.
   Conclusions: Screening for and treatment of trichomoniasis in
   HIV-positive patients, and retesting and retreatment for trichomoniasis
   in the general population appear to be suboptimal. Continuing education
   for providers is needed for this common but "neglected" STI.
OI Liu, Eugene/0000-0003-0211-8275
ZA 0
ZB 5
Z8 0
TC 6
ZR 0
ZS 0
Z9 6
U1 0
U2 2
SN 0148-5717
EI 1537-4521
UT WOS:000453711500005
PM 29994936
ER

PT J
AU Watt-Watson, Judy
   McGillion, Michael
   Lax, Leila
   Oskarsson, Jon
   Hunter, Judith
   MacLennan, Cameron
   Knickle, Kerry
   Victor, J. Charles
TI Evaluating an Innovative eLearning Pain Education Interprofessional
   Resource: A PrePost Study
SO PAIN MEDICINE
VL 20
IS 1
BP 37
EP 49
DI 10.1093/pm/pny105
PD JAN 2019
PY 2019
AB Objective. The challenges of moving the pain education agenda forward
   are significant worldwide, and resources, including online, are needed
   to help educators in curriculum development. Online resources are
   available but with insufficient evaluation in the context of
   prelicensure pain education. Therefore, this prepost study examined the
   impact of an innovative eLearning model: the Pain Education
   Interprofessional Resource (PEIR) on usability, pain knowledge, beliefs,
   and understanding of pain assessment skills including empathy.
   Participants were students (N=96) recruited from seven prelicensure
   health sciences programs at the University of Toronto. They worked
   through three multifaceted modules, developed by an interprofessional
   team, that followed a patient with acute to persistent postsurgical pain
   up to one year. Module objectives, content, and assessment were based on
   International Association for the Study of Pain Pain Curricula domains
   and related pain core competencies. Multimedia interactive components
   focused on pain mechanisms and key pain care issues. Outcome measures
   included previously validated tools; data were analyzed in SPSS. Online
   exercises provided concurrent individual feedback throughout all
   modules.
   The completion rate for modules and online assessments was 100%. Overall
   usability scores (SD) were strong 4.27/5 (0.56). On average, pain
   knowledge scores increased 20% (P < 0.001). The Pain Assessment Skills
   Tool was sensitive to differences in student and expert pain assessment
   evaluation ratings and was useful as a tool to deliver formative
   feedback while engaged in interactive eLearning about pain assessment.
   PEIR is an effective eLearning program with high student ratings for
   educational design and usability that significantly improved pain
   knowledge and understanding of collaborative care.
OI Hunter, Judith/0000-0002-4821-429X
Z8 0
ZA 0
TC 6
ZS 0
ZR 0
ZB 0
Z9 6
U1 0
U2 9
SN 1526-2375
EI 1526-4637
UT WOS:000462173900007
PM 29931315
ER

PT J
AU Lin, Blossom Yen-Ju
   Liu, Pei-Chun
   Ku, Kuo-Tung
   Lee, Cheng-Chun
TI Adaptation of Medical Students During Clinical Training: Effects of
   Holistic Preclinical Education on Clerkship Performance
SO TEACHING AND LEARNING IN MEDICINE
VL 31
IS 1
BP 65
EP 75
DI 10.1080/10401334.2018.1489815
PD JAN 1 2019
PY 2019
AB Theory: Taiwan's medical undergraduate program at a university or
   medical center is a continuation of 12 years of compulsory citizenship
   education rooted in holistic philosophies. Students acquire both
   technical knowledge and nontechnical attributes, which are necessary for
   success in further work and life. The early clinical learning
   experiences of medical students are primarily acquired through
   clerkships. These clerkships require medical students to apply and
   extend what they learned during their preclinical education; however,
   previous studies have explored this issue through examining fragmentary
   factors such as preclinical course grades and traits but not undertaking
   comprehensive, whole-person investigations. Hypotheses: To account for
   the potential benefits of a holistic approach in medical students'
   learning, we propose three hypotheses: Medical students' preclinical
   performance on Taiwan's technical and nontechnical higher education
   assessments are positively associated with their clinical competence
   (Hypothesis 1) and psychological well-being (Hypothesis 2) during
   clerkships, and medical students' psychological well-being during
   clerkships is positively associated with their clinical competence
   (Hypothesis 3). Method: We studied a cohort of 65 medical students
   engaged in clerkships from September 2013 to April 2015. Their
   preclinical technical knowledge scores-formal curricular grades received
   from course instructors-were obtained from their medical school's
   archival dataset. Their nontechnical attributes-moral and social
   performance scores received from student mentors and physical
   performance scores received from course instructors-were also obtained
   from the school's archival data set. The medical students' competence in
   their 2-year clinical clerkships was measured using the objective
   structured clinical examination scores from the end of both clerkship
   years. The medical students' psychological well-being during their
   2-year clerkships was measured according to burnout level, which was
   determined using routine online surveys that employed validated,
   structured, and self-administered questionnaires at each specialty
   rotation. Multiple regressions and linear mixed-effects model were
   employed for statistical analysis. Results: Our study revealed that
   higher preclinical technical knowledge predicted superior clinical
   competence and a higher level of burnout during clerkships. By contrast,
   higher preclinical nontechnical attributes (i.e., higher preclinical
   moral, social, and physical performance) predicted lower level of
   burnout. However, no relationship was discovered between clerkship
   burnout and the clinical competence of the medical students.
   Conclusions: Our study verified the value of a holistic education that
   encompasses both technical knowledge and nontechnical attributes during
   the preclinical learning stage for medical students. Our findings can
   serve as a reference for medical educators designing preclinical
   educational programs for medical students.
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
TC 2
Z9 2
U1 1
U2 9
SN 1040-1334
EI 1532-8015
UT WOS:000461656900008
PM 30526084
ER

PT J
AU Hansoti, Bhakti
   Kalbarczyk, Anna
   Hosseinipour, Mina C.
   Prabhakaran, Dorairaj
   Tucker, Joseph D.
   Nachega, Jean
   Wallis, Lee
   Stiles, Jonathan K.
   Wynn, Adriane
   Morroni, Chelsea
TI Global Health Mentoring Toolkits: A Scoping Review Relevant for Low- and
   Middle-Income Country Institutions
SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
VL 100
BP 48
EP 53
DI 10.4269/ajtmh.18-0563
SU 1
PD 2019
PY 2019
AB Capacity building in low-and middle-income country (LMIC) institutions
   hinges on the delivery of effective mentorship. This study presents an
   overview of mentorship toolkits applicable to LMIC institutions
   identified through a scoping review. A scoping review approach was used
   to 1) map the extent, range, and nature of mentorship resources and
   tools available and 2) to identify knowledge gaps in the current
   literature. To identify toolkits, we collected and analyzed data
   provided online that met the following criteria: written in English and
   from organizations and individuals involved in global health mentoring.
   We searched electronic databases, including PubMed, Web of Science, and
   Google Scholar, and Google search engine. Once toolkits were identified,
   we extracted the available tools and mapped them to pre-identified
   global health competencies. Only three of the 18 identified toolkits
   were developed specifically for the LMIC context. Most toolkits focused
   on individual mentor-mentee relationships. Most focused on the domains
   of communication and professional development. Fewer toolkits focused on
   ethics, overcoming resource limitations, and fostering institutional
   change. No toolkits discussed strategies for group mentoring or how to
   adapt existing tools to a local context. There is a paucity of mentoring
   resources specifically designed for LMIC settings. We identified several
   toolkits that focus on aspects of individual mentor-mentee relationships
   that could be adapted to local contexts. Future work should focus on
   adaptation and the development of tools to support institutional change
   and capacity building for mentoring.
RI Prabhakaran, Dorairaj/B-4147-2011; Stiles, Jonathan K./AFM-1940-2022; Nachega, Jean/; Stiles, Jonathan Kwamina/; Wynn, Adriane/; Kalbarczyk, Anna/; Hansoti, Bhakti/
OI Prabhakaran, Dorairaj/0000-0002-3172-834X; Nachega,
   Jean/0000-0002-2862-4443; Stiles, Jonathan Kwamina/0000-0003-0829-1482;
   Wynn, Adriane/0000-0001-8067-3616; Kalbarczyk, Anna/0000-0002-6143-8634;
   Hansoti, Bhakti/0000-0003-0188-9764
ZR 0
ZA 0
TC 12
Z8 0
ZB 5
ZS 0
Z9 12
U1 1
U2 3
SN 0002-9637
EI 1476-1645
UT WOS:000457860000009
PM 30430981
ER

PT J
AU Cuschieri, Sarah
TI WASP (Write a Scientific Paper): A review on the online medical
   resources available for medical training
SO EARLY HUMAN DEVELOPMENT
VL 128
BP 107
EP 111
DI 10.1016/j.earlhumdev.2018.09.009
PD JAN 2019
PY 2019
AB The global contemporary shift from paper-based to digital online
   resources has led to a revolutionary change in medical training. A
   multitude of online resources have been developed over the years that
   complement the medical professional's education, with greater access to
   knowledge, while enabling continuous medical education and development.
   These sources also allow us to keep up-to-date with medical news. The
   development of medical mobile applications (apps) has also facilitated
   medical training by providing versatility, flexibility and portability
   of updated medical resources.
RI Cuschieri, Sarah/Y-2881-2019
OI Cuschieri, Sarah/0000-0003-2012-9234
ZB 1
TC 2
ZS 0
Z8 0
ZR 0
ZA 0
Z9 2
U1 1
U2 11
SN 0378-3782
EI 1872-6232
UT WOS:000458094300020
PM 30241899
ER

PT J
AU Denneson, Lauren M.
   Pisciotta, Maura
   Hooker, Elizabeth R.
   Trevino, Amira
   Dobscha, Steven K.
TI Impacts of a web-based educational program for veterans who read their
   mental health notes online
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 26
IS 1
BP 3
EP 8
DI 10.1093/jamia/ocy134
PD JAN 2019
PY 2019
AB Objective: This study evaluates whether a web-based educational program
   for patients who read their mental health notes online improves
   patient-clinician communication and increases patient activation.
   Methods: The web-based educational program, developed with end-user
   input, was designed to educate patients on the content of mental health
   notes, provide guidance on communicating with clinicians about notes,
   and facilitate patients' safe and purposeful use of their health
   information. Eligible patients were engaged in mental health treatment
   (>= 1 visit in the prior 6 months) and had logged into the Veterans
   Health Administration (VHA) patient portal at least twice. Participants
   completed measures of patient activation, perceived efficacy in
   healthcare interactions, patient trust in their clinicians, and patient
   assessment of the therapeutic relationship before and after
   participating in the program. A total of 247 participants had complete
   data and engaged with the program for 5 minutes or more, comprising the
   analytic sample. Multivariate analysis using mixed effects models were
   used to examine pre-post changes in outcomes.
   Results: In bivariate analyses, patient activation, perceived efficacy
   in healthcare interactions, and trust in clinicians increased
   significantly between pre- and post-training assessments. In fully
   adjusted models, changes in patient activation [b = 2.71 (1.41, 4.00), P
   < 0.01] and perceived efficacy in healthcare interactions [b = 1.27
   (0.54, 2.01), P < 0.01)] remained significant.
   Conclusions: Findings suggest that this educational program may help
   empower mental health patients who read their notes online to be active
   participants in their care, while also providing information and tools
   that may facilitate better relationships with their clinicians.
OI Trevino, Amira/0000-0003-4376-8434
Z8 0
ZS 0
ZB 2
ZR 0
TC 19
ZA 0
Z9 19
U1 0
U2 2
SN 1067-5027
EI 1527-974X
UT WOS:000461520100002
PM 30445648
ER

PT J
AU Aldayel, Abdulaziz Abdulrahman
   Alali, Abdulrahman Omar
   Altuwaim, Ahmed Abdullah
   Alhussain, Hamad Abdulaziz
   Aljasser, Khalid Ahmed
   Bin Abdulrahman, Khalid A.
   Alamri, Majed Obaid
   Almutairi, Talal Ayidh
TI Problem-based learning: medical students' perception toward their
   educational environment at Al-Imam Mohammad Ibn Saud Islamic University
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 10
BP 95
EP 104
DI 10.2147/AMEP.S189062
PD 2019
PY 2019
AB Background: Problem-based learning (PBL) is a student-centered
   innovating instructional approach in which students define their
   learning objectives by using triggers from the problem case or scenario.
   Objectives: To assess undergraduate medical students' perception toward
   PBL sessions and to compare their perceptions among different sex and
   grade point average (GPA) in the college of medicine, Al-Imam Mohammad
   Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
   Materials and methods: We conducted a cross-sectional study based on a
   self-administered anonymous online questionnaire during the first
   semester of the 2017-2018 academic year in IMSIU. The data were
   collected from male and female students of the second and third year, as
   well as male students of the fourth year.
   Results: Out of 259 students, 152 (58.7%) completed the questionnaire.
   The students' perception toward PBL was more positive than negative.
   Most of the students reported that PBL sessions increased their
   knowledge of basic sciences (P=0.03). Furthermore, most students agreed
   that PBL provided a better integration between basic and clinical
   sciences which differed significantly between the different GPA groups
   (P=0.02). Nevertheless, only 28.3% of the students agreed that the
   teaching staff is well prepared to run the sessions with significant
   statistical difference among different GPA groups (P=0.02). Moreover,
   only 26.3% of the students reported that there was proper student
   training before starting the PBL sessions with no significant
   difference. Additionally, only 34.2% and 28.9% of the students felt that
   they learn better and gain more knowledge thorough PBL than lectures
   respectively, with no significant difference.
   Conclusion: This study showed that tutors should be trained to guide the
   process of PBL effectively to achieve its goals. Moreover, students
   should be securely introduced to PBL and experience the development of
   their clinical reasoning through PBL. Further improvements are needed to
   provide students with an effective favorable learning environment and to
   take the students recommendations into consideration.
RI Abdulrahman, Prof Khalid A./GRT-0086-2022; Bin Abdulrahman, Prof Dr Khalid A/AAW-7051-2021; Almutairi, Talal Ayidh/; Aldayel, Abdulaziz/; Alali, Abdulrahman/
OI Abdulrahman, Prof Khalid A./0000-0003-4756-552X; Almutairi, Talal
   Ayidh/0000-0001-5298-4855; Aldayel, Abdulaziz/0000-0001-8980-7449;
   Alali, Abdulrahman/0000-0002-1997-3887
Z8 0
ZR 0
ZA 0
ZB 1
TC 9
ZS 0
Z9 9
U1 0
U2 2
SN 1179-7258
UT WOS:000460480700002
PM 30881170
ER

PT J
AU Gourion, David
TI Training in liberal psychiatry: A challenge
SO ANNALES MEDICO-PSYCHOLOGIQUES
VL 177
IS 1
BP 55
EP 57
DI 10.1016/j.amp.2018.11.003
PD JAN 2019
PY 2019
AB The issue of continuing medical education (CME) for psychiatrists
   working in private practice is complex. Indeed, how to conciliate on the
   one hand an extremely time-consuming clinical practice and its
   corollaries (administrative tasks, certificates, calls and increasing
   demands of patients, complex emergencies...) and on the other hand the
   need for a regular updating of knowledge in a constantly changing
   discipline (advances in neuroscience, complexity of
   psychopharmacological strategies, diversification of
   psychotherapies...). In addition to congresses and scientific journals,
   new digital tools (online training, TED...) are one of the possible
   solutions to these issues. Formal and informal relationships with
   colleagues and networking are also essential tools for the
   sustainability of one's own clinical skills. But ultimately, one of the
   best ways to continue to train is probably to spend time training
   colleagues, participate in experience transfer to the youngest
   (companionship), and contribute to clinical research. All this requires
   time and implies a potential loss of income related to the reduction of
   consultation time, but contributes to the maintenance of good practices
   over time. (C) 2018 Elsevier Masson SAS. All rights reserved.
ZS 0
TC 0
Z8 0
ZR 0
ZA 0
ZB 0
Z9 0
U1 0
U2 0
SN 0003-4487
EI 1769-6631
UT WOS:000460367100006
ER

PT J
AU Doss, Brian D.
   Roddy, McKenzie K.
   Nowlan, Kathryn M.
   Rothman, Karen
   Christensen, Andrew
TI Maintenance of Gains in Relationship and Individual Functioning
   Following the Online OurRelationship Program
SO BEHAVIOR THERAPY
VL 50
IS 1
BP 73
EP 86
DI 10.1016/j.beth.2018.03.011
PD JAN 2019
PY 2019
AB In the United States, more than 40% of marriages end in divorce and more
   than one third of intact marriages are distressed. Unfortunately, only a
   minority of couples seek couple therapy to improve their relationships.
   Online interventions, with their increased reach and reduced costs,
   offer the potential to improve relationships nationwide. The online
   OurRelationship program has been shown in previous nationwide studies to
   improve relationship and individual functioning. The present study
   examined whether initial gains in the OurRelationship program were
   maintained in the following year and whether the extent of maintenance
   varied across important demographic and individual factors. In this
   study, 151 distressed heterosexual couples (302 individuals) who were
   randomized to the OurRelationship program were assessed 3 and 12 months
   following the intervention. Initial gains in relationship satisfaction,
   relationship confidence, and negative relationship quality were
   maintained through 12 months; positive relationship quality
   significantly improved over follow-up. Furthermore, couples maintained
   their initial gains in depressive symptoms, perceived health, work
   functioning, and quality of life; anxious symptoms continued to
   significantly decrease over follow-up. Finally, there was no evidence
   that historically underserved groups racial/ethnic minorities, lower
   income couples, or rural couples experienced greater deterioration. In
   fact, Hispanic couples reported continued improvement in relationship
   confidence and negative relationship quality in the 12 months following
   the program. The ability of the OurRelationship program an 8-hour,
   primarily self-help program to create long-lasting improvements in
   distressed relationships indicates it may have the potential to improve
   the lives of distressed couples on a broad scale.
RI Doss, Brian/X-8336-2019; Doss, Brian/; Christensen, Andrew/; Roddy, McKenzie/
OI Doss, Brian/0000-0002-8039-848X; Christensen,
   Andrew/0000-0002-1694-7050; Roddy, McKenzie/0000-0002-4248-3560
ZB 1
Z8 0
TC 37
ZS 0
ZA 0
ZR 0
Z9 37
U1 2
U2 6
SN 0005-7894
EI 1878-1888
UT WOS:000458095300007
PM 30661568
ER

PT J
AU Gil, Manuel
   El Sherif, Reem
   Pluye, Manon
   Fung, Benjamin C. M.
   Grad, Roland
   Pluye, Pierre
TI Towards a Knowledge-Based Recommender System for Linking Electronic
   Patient Records With Continuing Medical Education Information at the
   Point of Care
SO IEEE ACCESS
VL 7
BP 15955
EP 15966
DI 10.1109/ACCESS.2019.2894421
PD 2019
PY 2019
AB Given the limits of human memory, clinicians have trouble recalling
   therapeutic recommendations, even when the clinician previously judged
   that the information relevant for the care of a specific patient. To
   tackle this problem, we present a knowledge-based recommender system
   prototype that links the electronic patient records to clinical
   information, previously delivered to the target physician and judged to
   be potentially beneficial. We developed this prototype within the
   context of RxTx, a Canadian continuing medical education program. We
   apply a constraint-based recommendation strategy as follows: (1)
   clinical experts (taggers) map a set of therapeutic recommendations
   (called Highlights) to a requirement statement built from the standard
   clinical codes and supplementary demographic information, when
   applicable; (2) a matching system identifies patient-Highlights
   recommendation pairs through requirement satisfaction; and (3) given a
   patient record being examined, the recommended Highlights can be
   retrieved online at the point of care. We tested this prototype using
   electronic medical records from the Canadian Primary Care Sentinel
   Surveillance Network and 87 therapeutic Highlights from the RxTx
   collection, evaluating the system's performance against a gold standard
   consisting of a two-expert consolidated patient-Highlight matching set
   for 150 patient records. The requirements-based recommendation system
   exhibits very high precision (mode: 1.0, 89% of the time; average
   precision: 0.95) and moderate recall (mode 1.0, 48.7% of the time;
   average recall: 0.61). The near-perfect precision minimizes the
   possibility of generating alert fatigue in physicians using the system.
   We note that more than half of the false negative results from the
   information being available in the text of the electronic medical
   records, but unavailable as a clinical code. The near-perfect precision
   over the tested patient set suggests that the system has the potential
   to deliver high-quality recommendations of clinical information at the
   point of care while being easily integrated within a continuing medical
   education program and the clinician's workflow.
OI Fung, Benjamin C. M./0000-0001-8423-2906
Z8 0
ZA 0
ZR 0
ZS 0
TC 7
ZB 0
Z9 7
U1 0
U2 7
SN 2169-3536
UT WOS:000459115300001
ER

PT J
AU Hong, Yeong Joo
   Kim, Jeongeun
TI Analysis of Interactive E-Health Tools on United Arab Emirates Patient
   Visited Hospita Websites
SO HEALTHCARE INFORMATICS RESEARCH
VL 25
IS 1
BP 33
EP 40
DI 10.4258/hir.2019.25.1.33
PD JAN 2019
PY 2019
AB Objectives: This study is to scrutinize the website of Seoul National
   University Hospital in Korea, Clinique Valmont in Switzerland, Medical
   Center of the University of Munich in Germany, Cleveland Clinic Abu
   Dhabi in the United Arab Emirates (UAE) to suggest successful
   communication factors to the medical service providers who deal with
   Middle Eastern patients. Methods: Using content analysis and in-depth
   interviews, this research examines four hospitals commonly visited by
   Middle East patients. The four hospitals approaches to implementing
   interactive e-health tools on their web sites are reviewed. Four
   hospitals selection criterion was process by focus group interview of
   government officials in UAE health sectors. Results: The way of
   providing medical information differed by hospitals that used e-health
   tools. The analysis of each website shows a different way providing
   medical information, services and education. There are important
   differences among hospitals. These include decision-making, planning
   processes and outcomes of implementing e-health tools online, as well as
   potential obstacles to such implementation. Thus, hospitals can learn
   and design effective interactive tools by applying e-health tools on
   their websites. Conclusions: Each website showed different interactive
   tools such as traditional functional tools, core e-business tools,
   patient support tools, visitor related tools, emerging functional tools.
   By applying the interactive e-health tools sets an objective view for
   e-health strategy and vision for the hospitals conveying information
   through the website. According to the type of hospitals and its location
   different methods of strategy should be applied. Targeting not only the
   patients but also the general website users will eventually improve
   health information accessibility.
OI Kim, Jeongeun/0000-0002-1249-9908
Z8 0
TC 2
ZS 0
ZB 0
ZA 0
ZR 0
Z9 2
U1 1
U2 2
SN 2093-3681
EI 2093-369X
UT WOS:000458541400005
PM 30788179
ER

PT J
AU Barry, Colleen L.
   Sherman, Susan G.
   Stone, Elizabeth
   Kennedy-Hendricks, Alene
   Niederdeppe, Jeff
   Linden, Sarah
   McGinty, Emma E.
TI Arguments supporting and opposing legalization of safe consumption sites
   in the US
SO INTERNATIONAL JOURNAL OF DRUG POLICY
VL 63
BP 18
EP 22
DI 10.1016/j.drugpo.2018.10.008
PD JAN 2019
PY 2019
AB Background: Safe consumption sites are spaces where people can legally
   use pre-obtained drugs under medical supervision and are currently in
   operation in Canada, Australia and Western Europe. These sites are
   effective in reducing opioid overdose mortality and other harms
   associated with opioid use, such as HIV infection, and increasing drug
   treatment entry. Various U.S. communities are considering establishing
   safe consumption sites, however, only 29% of U.S. adults support their
   legalization. This purpose of this study is to assess what types of
   arguments resonate with the public in support of and opposition to
   legalizing safe consumption sites to combat the opioid epidemic.
   Methods: A public opinion survey of U.S. adults in July-August 2017 (N =
   1004) used a probability-based sample of respondents from a large,
   nationally representative online panel. The survey examined the public's
   perception of the strength of common arguments offered in support of and
   opposition to legalizing safe consumption sites. Arguments were
   identified through a detailed scan of news media coverage, public
   reports, and advocacy materials.
   Results: The national sample of U.S. adults rated all arguments opposing
   legalization of safe consumption sites as stronger than any of the
   arguments supporting legalization. The most highly rated opposing
   arguments were that public funds were better spent on addiction
   treatment, and that sites were allowing illegal activity and encouraging
   people to use drugs. The highest rated arguments supporting legalization
   were that safe consumption sites were a better alternative than
   arresting people for using drugs, they would reduce HIV and hepatitis C
   by encouraging safe injection practices, and that they would lower
   emergency department admission and hospitalization costs.
   Conclusion: Legalization of this evidence-based harm reduction approach
   in U.S. communities will be difficult to advance without public
   education to confront persistent myths that safe consumption sites
   encourage drug use and do not facilitate treatment access.
ZS 0
TC 18
ZA 0
ZR 0
ZB 1
Z8 0
Z9 18
U1 5
U2 21
SN 0955-3959
EI 1873-4758
UT WOS:000458590000003
PM 30468971
ER

PT J
AU Potgieter, Luke J.
   Gaertner, Mirijam
   O'Farrell, Patrick J.
   Richardson, David M.
TI Perceptions of impact: Invasive alien plants in the urban environment
SO JOURNAL OF ENVIRONMENTAL MANAGEMENT
VL 229
BP 76
EP 87
DI 10.1016/j.jenvman.2018.05.080
PD JAN 1 2019
PY 2019
AB Many alien plant species are introduced to urban areas to create,
   augment or restore ecosystem services (ES). However, many of these
   species spread beyond original plantings, sometimes causing negative
   effects on existing ES or creating novel ecosystem disservices (EDS). An
   understanding of the perceptions of urban residents regarding invasive
   alien plants (IAPs) and the ES and EDS they provide is needed for the
   effective prioritisation of IAP management efforts in cities. Using the
   city of Cape Town, South Africa as a case study, we conducted
   questionnaire-based surveys (online and face-to-face) to determine the
   perceptions of urban residents regarding IAPs and their capacity to
   provide ES and EDS.
   Most urban residents perceive IAPs negatively (Le. agreeing that they
   create EDS), but many recognise their importance in providing ES.
   Although most residents are not opposed to the management of IAPs, such
   actions are not perceived as a high priority relative to other
   environmental problems. Socio-demographic variables such as age,
   education, environmental awareness, and ethnicity shape urban residents'
   perceptions of IAPs. Older, more educated respondents were more likely
   to perceive IAPs negatively, while respondents with greater
   environmental awareness were aware of the benefits provided by IAPs.
   This study highlights the need to integrate public perceptions into the
   planning and management of IAPs and emphasises the importance of
   including ES assessments into the decision-making process, particularly
   in urban areas.
RI O'Farrell, Patrick/AAQ-7728-2021; Potgieter, Luke/H-4236-2019; Richardson, David M/A-1495-2008
OI O'Farrell, Patrick/0000-0002-9538-8831; Potgieter,
   Luke/0000-0001-7790-2721; Richardson, David M/0000-0001-9574-8297
Z8 2
ZB 46
ZA 0
TC 57
ZS 0
ZR 0
Z9 59
U1 7
U2 137
SN 0301-4797
EI 1095-8630
UT WOS:000451935800008
PM 29891198
ER

PT J
AU Castillo, Jordi
   Gomar, Carmen
   Rodriguez, Encarnacion
   Trapero, Marta
   Gallart, Alberto
TI Cost minimization analysis for basic life support
SO RESUSCITATION
VL 134
BP 127
EP 132
DI 10.1016/j.resuscitation.2018.11.008
PD JAN 2019
PY 2019
AB Background: The use of online teaching methodology for basic life
   support (BLS) courses is progressively increasing.
   Objective: The objective of this study was to verify whether the
   blended-learning methodology (virtual course with a short face-to-face
   complement) was more efficient than a course that followed the classical
   or face-to-face methodology in our university.
   Materials and methods: A cost minimization analysis was performed for
   two BLS and automatic external defibrillation (AED) courses, one of
   which was conducted face-to-face (Control Group) and the second of which
   was conducted via blended-learning (Experimental Group). The courses had
   the same duration and content according to the European Resuscitation
   Council (ERC) recommendations. In the face-to-face course, direct costs
   were considered those generated by the faculty and derived from the
   academic activity. Other costs were those generated by the use of
   classrooms and the amortization of manikins and AED training. The
   perspective of the analysis was that of the provider, the academic, and
   a time horizon of six months. The costs are expressed in (sic) 2017.
   Results: The savings of a course in BLS-AED based on the
   blended-learning methodology calculated for a total of 160 university
   nursing and medical students were (sic) 2328.8 for the first year of its
   implementation and (sic) 9048.8 for its second edition compared with the
   same course using a face-to-face methodology.
   Conclusions: The blended-learning methodology supposes a cost savings
   for BLS-AED courses, mainly due to the reduction of expenses of the
   teaching staff. The blended-learning methodology seems to be more
   efficient than the face-to-face methodology.
RI Trapero-Bertran, Marta/AAA-9442-2021; Gallart, Alberto/
OI Trapero-Bertran, Marta/0000-0002-9233-1776; Gallart,
   Alberto/0000-0002-9633-2151
ZS 0
Z8 0
ZB 1
TC 12
ZR 0
ZA 0
Z9 12
U1 1
U2 2
SN 0300-9572
UT WOS:000458498200018
PM 30428308
ER

PT J
AU Espie, Colin A.
   Emsley, Richard
   Kyle, Simon D.
   Gordon, Christopher
   Drake, Christopher L.
   Siriwardena, Niroshan
   Cape, John
   Ong, Jason C.
   Sheaves, Bryony
   Foster, Russell
   Freeman, Daniel
   Costa-Font, Joan
   Marsden, Antonia
   Luik, Annemarie I.
TI Effect of Digital Cognitive Behavioral Therapy for Insomnia on Health,
   Psychological Well-being, and Sleep-Related Quality of Life: A
   Randomized Clinical Trial
SO JAMA PSYCHIATRY
VL 76
IS 1
BP 21
EP 30
DI 10.1001/jamapsychiatry.2018.2745
PD JAN 2019
PY 2019
AB IMPORTANCE Digital cognitive behavioral therapy (dCBT) is a scalable and
   effective intervention for treating insomnia. Most people with insomnia,
   however, seek help because of the daytime consequences of poor sleep,
   which adversely affects quality of life.
   OBJECTIVES To investigate the effect of dCBT for insomnia on functional
   health, psychological well-being, and sleep-related quality of life and
   to determine whether a reduction in insomnia symptoms was a mediating
   factor.
   DESIGN, SETTING, AND PARTICIPANTS This online, 2-arm, parallel-group
   randomized trial comparing dCBT for insomnia with sleep hygiene
   education (SHE) evaluated 1711 participants with self-reported symptoms
   of insomnia. Participants were recruited between December 1, 2015, and
   December 1, 2016, and dCBT was delivered using web and/or mobile
   channels plus treatment as usual; SHE comprised a website and a
   downloadable booklet plus treatment as usual. Online assessments took
   place at 0 (baseline), 4 (midtreatment), 8 (posttreatment), and 24
   (follow-up) weeks. Programs were completed within 12 weeks after
   inclusion.
   MAIN OUTCOMES AND MEASURES Primary outcomes were scores on self-reported
   measures of functional health (Patient-Reported Outcomes Measurement
   Information System: Global Health Scale; range, 10-50; higher scores
   indicate better health); psychological well-being (Warwick-Edinburgh
   Mental Well-being Scale; range, 14-70; higher scores indicate greater
   well-being); and sleep-related quality of life (Glasgow Sleep Impact
   Index; range, 1-100; higher scores indicate greater impairment).
   Secondary outcomes comprised mood, fatigue, sleepiness, cognitive
   failures, work productivity, and relationship satisfaction. Insomnia was
   assessed with the Sleep Condition Indicator (range: 0-32; higher scores
   indicate better sleep).
   RESULTS Of the 1711 participants included in the intention-to-treat
   analysis, 1329 (77.7%) were female, mean (SD) age was 48.0 (13.8) years,
   and 1558 (91.1%) were white. Use of dCBT was associated with a small
   improvement in functional health compared with SHE (adjusted difference
   [95% CI] at week 4, 0.90 [0.40-1.40]; week 8, 1.76 [1.24-2.28]; week 24,
   1.76 [1.22-2.30]) and psychological well-being (adjusted difference [95%
   CI] at week 4, 1.04 [0.28-1.80]; week 8, 2.68 [1.89-3.47]; week 24, 2.95
   [2.13-3.76]), and with a large improvement in sleep-related quality of
   life (at week 4, -8.76 [-11.83 to -5.69]; week 8, -17.60 [-20.81 to
   -14.39]; week 24, -18.72 [-22.04 to -15.41]) (all P < .01). A large
   improvement in insomnia mediated these outcomes (range mediated,
   45.5%-84.0%).
   CONCLUSIONS AND RELEVANCE Use of dCBT is effective in improving
   functional health, psychological well-being, and sleep-related quality
   of life in people reporting insomnia symptoms. A reduction in insomnia
   symptoms mediates these improvements. These results confirm that dCBT
   improves both daytime and nighttime aspects of insomnia, strengthening
   existing recommendations of CBT as the treatment of choice for insomnia.
CT 24th Congress of the European-Sleep-Research-Society (ESRS)
CY SEP 25-28, 2018
CL Basel, SWITZERLAND
SP European Sleep Res Soc
RI Drake, Christopher/L-6274-2017; Freeman, Daniel/C-6851-2009; John, Cape/B-9039-2009; Emsley, Richard/N-1342-2016; FOSTER, RUSSELL/; Kyle, Simon/; Sheaves, Bryony/; Luik, Annemarie I/E-1292-2015; Ong, Jason/; Marsden, Antonia/; Espie, Colin/; Costa-i-Font, Joan/C-9609-2013
OI Drake, Christopher/0000-0002-5486-3587; Freeman,
   Daniel/0000-0002-2541-2197; John, Cape/0000-0003-3108-7228; Emsley,
   Richard/0000-0002-1218-675X; FOSTER, RUSSELL/0000-0001-6055-2067; Kyle,
   Simon/0000-0002-9581-5311; Sheaves, Bryony/0000-0002-2995-193X; Luik,
   Annemarie I/0000-0001-7517-197X; Ong, Jason/0000-0002-7571-6738;
   Marsden, Antonia/0000-0003-3955-2649; Espie, Colin/0000-0002-1294-8734;
   Costa-i-Font, Joan/0000-0001-7174-7919
ZA 0
ZR 1
ZB 43
ZS 0
TC 149
Z8 2
Z9 151
U1 13
U2 80
SN 2168-622X
EI 2168-6238
UT WOS:000454840200007
PM 30264137
ER

PT J
AU Salmasi, Shahrzad
   Kwan, Leanne
   MacGillivray, Jenny
   Bansback, Nick
   De Vera, Mary A.
   Barry, Arden R.
   Harrison, Mark J.
   Andrade, Jason
   Lynd, Larry D.
   Loewen, Peter
TI Assessment of atrial fibrillation patients' education needs from patient
   and clinician perspectives: A qualitative descriptive study
SO THROMBOSIS RESEARCH
VL 173
BP 109
EP 116
DI 10.1016/j.thromres.2018.11.015
PD JAN 2019
PY 2019
AB Introduction: Patients' lack of knowledge is a key barrier to therapy
   adherence. We aimed to gather insights into atrial fibrillation (AF)
   patients' education needs from patient and clinician viewpoints.
   Methods: We conducted a qualitative descriptive study using purposive
   sampling and semi-structured interviews with AF patients and clinicians
   recruited from AF clinics. Data from patients and clinicians were
   analyzed independently and iteratively through inductive qualitative
   thematic analysis.
   Results: Eleven clinicians and 10 patients were interviewed. Three
   themes emerged from analysis of clinician data: (1) patients' knowledge
   gaps and misconceptions, (2) clinicians' experiences teaching AF
   patients, and (3) clinicians' suggestions for AF education programs.
   Four themes emerged from the patient data: (1) emotional appraisal of
   the disease, (2) information seeking behavior, (3) knowledge gaps, and
   (4) education preferences. A key finding was identification of the need
   for education that addresses patients' unjustified anxieties by
   emphasizing that AF is not fatal, and that many patients with AF live a
   normal life. Risk communication was identified as the most challenging
   aspect of AF education. In synthesizing our findings, we developed
   evidence-based recommendations for educational strategies for AF.
   Conclusion: We found that AF patients have many knowledge gaps and
   misconceptions, significant emotional education needs, and a positive
   attitude towards online and classroom education. In synthesizing our
   findings, we developed evidence-based recommendations which can inform
   the design of AF patient education programs and initiatives.
RI Barry, Arden/AAE-9682-2019; Andrade, Jason/AAK-5889-2020; Salmasi, Shahrzad/; Harrison, Mark/; Loewen, Peter/B-4612-2018; Lynd, Larry/; De Vera, Mary/
OI Barry, Arden/0000-0002-0287-898X; Andrade, Jason/0000-0002-8493-5123;
   Salmasi, Shahrzad/0000-0003-1330-3388; Harrison,
   Mark/0000-0002-2115-2447; Loewen, Peter/0000-0001-7160-6438; Lynd,
   Larry/0000-0002-7622-3919; De Vera, Mary/0000-0002-2205-2683
ZS 0
ZA 0
TC 16
ZR 0
ZB 3
Z8 0
Z9 16
U1 0
U2 3
SN 0049-3848
UT WOS:000454370700018
PM 30502679
ER

PT J
AU Frohlich, Dennis Owen
TI Inflammatory Bowel Disease Patient Leaders' Responsibility for
   Disseminating Health Information Online
SO GASTROENTEROLOGY NURSING
VL 42
IS 1
BP 29
EP 40
DI 10.1097/SGA.0000000000000361
PD JAN-FEB 2019
PY 2019
AB Medical professionals have long been concerned about the lack of
   accurate information in some online spaces. People with inflammatory
   bowel disease (IBD) have a great need for health information, and with
   the rise of social media platforms, patients are going online to share
   and receive health information from other patients. This study aimed to
   uncover how patient leaders of online IBD communities share health
   information, and how they conceive their responsibility to provide
   accurate information. To answer these questions, a digital ethnography
   of 14 online IBD communities was conducted. Analysis showed that online
   community leaders take their responsibility for providing accurate
   health information seriously and often supplement the information they
   provide with caveats, disclaimers, and appeals to their audience to
   consult with their doctors. Audience members appreciate this information
   and often consider patient communities to be credible sources of
   information. Community leaders expressed that they desired not to usurp
   medical professionals' authority but rather to supplement the health
   information professionals provide with patient stories. These findings
   may help bridge the gulf that often exists between patients and medical
   professionals regarding who has authority over health information in
   online environments.
ZS 0
ZR 0
Z8 0
ZA 0
TC 2
ZB 0
Z9 2
U1 0
U2 6
SN 1042-895X
EI 1538-9766
UT WOS:000457609600004
PM 30688705
ER

PT J
AU Samal, Nauhria
   Prakash, Ramdass V. A. K.
TI Randomized cross-over study and a qualitative analysis comparing virtual
   microscopy and light microscopy for learning undergraduate
   histopathology
SO INDIAN JOURNAL OF PATHOLOGY AND MICROBIOLOGY
VL 62
IS 1
BP 84
EP 90
DI 10.4103/IJPM.IJPM_241_18
PD JAN-MAR 2019
PY 2019
AB Background: Virtual microscopy (VM) use in teaching and learning is
   increasing worldwide. However, there is a paucity of information
   comparing it to light microscopy (LM) in learning undergraduate
   histopathology. We investigated whether VM or LM had a higher impact on
   student learning and performance in histopathology. In addition, we
   investigated whether students preferred VM over LM, and whether VM use
   provided a platform to fulfill the Accreditation Council for Graduate
   Medical Education core competencies. Materials and Methods: We used a
   sequential exploratory mixed method study design. A qualitative phase
   inquiring about student preference for VM or LM was followed by a
   randomized cross-over study. Student preference was measured by an
   online survey based on a Likert scale. In the cross-over study, students
   were randomized to either the VM or the LM arm, and their mean scores in
   standardized exams were compared after using VM and LM. Results: A total
   of 152 students completed the qualitative study and a total of 64
   students participated in the cross-over study. Eighty-three percent
   (83%) of the students preferred to use VM over LM. Students who used VM
   scored significantly (P < 0.001) higher [(87.1% vs. 72.4%) and (85.3%
   vs. 76.1%)], respectively, in both phases of the cross-over study
   compared to those who used LM. Conclusions: Using VM to learn
   histopathology has significantly increased student learning and
   performance compared to using LM.
RI nauhria, samal/AAD-8284-2019
OI nauhria, samal/0000-0001-7373-2606
TC 6
ZA 0
ZS 0
Z8 0
ZR 0
ZB 3
Z9 6
U1 1
U2 8
SN 0377-4929
EI 0974-5130
UT WOS:000457714000016
PM 30706865
ER

PT J
AU Truong, Ha T. T.
   Chan, Jason J. I.
   Leong, Wan Ling
   Sultana, Rehena
   Koh, Darren L. K.
   Sng, Ban Leong
TI Interest and experience of anaesthesiology residents in doing research
   during residency training
SO INDIAN JOURNAL OF ANAESTHESIA
VL 63
IS 1
BP 42
EP 48
DI 10.4103/ija.IJA_543_18
PD JAN 2019
PY 2019
AB Background and Aims: The SingHealth Anaesthesiology Residency Program is
   a 5-year postgraduate training programme whose curriculum covers
   clinical and academic training, through research and educational
   activities. This study aimed to describe the needs of the residents in
   promoting research participation during residency. Methods: After
   obtaining ethics committee approval, we conducted an online anonymous
   survey among all residents in the Residency Program. The questionnaire
   comprised questions of demographic data, levels of research interest,
   areas of interest, the obstacles to research and the potential areas
   where help can be improved. SAS (version 9.4, 2017; SAS Institute Inc.)
   was used for descriptive analysis and logistic regression. Results:
   Sixty-seven of the 79 residents (84.8%) in the Program responded with 58
   (73.4%) completing the survey. Fifty-six of the 62 (90%) expressed some
   level of interest in research. The top two areas of research interest
   were clinical research and medical education research. The top obstacles
   to research were lack of time (due to competing clinical time and
   work-life balance) and lack of mentorship. The top three areas of
   research support needed by residents were supervised research protected
   time, departmental research manpower support and mentorship with topic
   expertise. Senior Residents were more likely to have higher research
   interest, self-initiated research participation and consideration for
   research as part of career progression, compared with junior residents.
   Conclusion: Residents faced many obstacles in doing research during
   residency training. Our findings also highlighted some of the needs for
   research support reported by the residents during their specialty
   training.
ZA 0
TC 5
ZB 0
ZR 0
Z8 1
ZS 0
Z9 6
U1 0
U2 1
SN 0019-5049
EI 0976-2817
UT WOS:000455911300009
PM 30745612
ER

PT J
AU Allahiany, Abdullah Abdulatif
   Alsaywid, Basim Saleh
   Ahmed, Meshari
   Khan, Muhammad Anwar
TI PERCEPTION, ATTITUDE, AND KNOWLEDGE OF UNDERGRADUATE STUDENTS ON UROLOGY
   CURRICULUM DELIVERED BY MEDICAL SCHOOLS IN SAUDI ARABIA
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 6
IS 1
BP 2065
EP 2071
DI 10.5281/zenodo.2549912
PD JAN 2019
PY 2019
AB Background: Urology is a branch of medicine that deals with different
   diseases of the urinary tract or the reproductive organs in both men and
   women. There is anecdotal evidence that medical students are not
   well-known with Urology specialty comparing with other specialties like
   general surgery, internal medicine, etc. Based on several factors
   including student's awareness, overcrowded curriculum, traditional
   medical education system, and busy hospital rotations in clinical years
   and internship are associated with a poor level of knowledge in Urology
   specialty field. The purpose of this survey is to evaluate the effect of
   including urology curriculum on the knowledge, perception, and attitude
   of our medical students in Saudi Arabia. Moreover, to assess the
   inhibiting factors affecting their selection in enrollment in a
   postgraduate training program in urology.
   Methods: An online questionnaire was sent to all medical students
   through official E-mail addresses. The responses were collected and
   tabulated. Frequencies and percentages were calculated using SPSS 21
   software.
   Results: The response was 116 participants from all over Saudi Arabia
   regions, 62 (53.4 %) were males and 53 (46.6%) were females. Respondents
   included 29 (25 %) 6th-year medical students and 28 (24.1%) medical
   interns. 59 (50.9 %) respondents had urology rotation. Only 13 (11.2 %)
   of the respondents were thinking of pursuing a career in urology, all of
   them were males. 93 (80.2 %), 69 (59.5 %), 83 (71.6%) and 65 (56%), had
   adequate knowledge in subjects as urolithiasis, urine incontinence,
   urinary tract infection and uro-oncology respectively.
   Conclusion: Only small percentage of medical students Consider Pursuing
   a Career in urology. Unattractive lifestyle, social issues, the
   specialty is limited to the scope of the field are the reasons behind
   medical student avoid a Career in urology. In many urology topics,
   medical student's knowledge was sufficient. Current medical school's
   curricula provide students with adequate knowledge and skills.
RI Alsaywid, Basim/AAX-9089-2020; King Saud Bin Abdulaziz University for Health Sciences, Jeddah, College of Medicine,/
OI King Saud Bin Abdulaziz University for Health Sciences, Jeddah, College
   of Medicine,/0000-0001-9073-534X
ZB 0
ZA 0
ZR 0
TC 0
ZS 0
Z8 0
Z9 0
U1 0
U2 2
SN 2349-7750
UT WOS:000457554400029
ER

PT J
AU Bhatt, Aditi
   Mehta, Sanket S.
   Zaveri, Shabber
   Rajan, Firoz
   Ray, Mukurdipi
   Sethna, Kayomarz
   Katdare, Ninad
   Patel, Mahesh D.
   Kammar, Praveen
   Prabhu, Robin
   Sinukumar, Snita
   Mishra, Suniti
   Rangarajan, Bharath
   Rangole, Ashvin
   Damodaran, Dileep
   Penumadu, Prasanth
   Ganesh, Mandakulutur
   Peedicayil, Abraham
   Raj, Hemant
   Seshadri, Ramakrishnan
TI Treading the beaten path with old and new obstacles: a report from the
   Indian HIPEC registry
SO INTERNATIONAL JOURNAL OF HYPERTHERMIA
VL 35
IS 1
BP 361
EP 369
DI 10.1080/02656736.2018.1503345
PD JAN 1 2019
PY 2019
AB Background: The Indian HIPEC registry is a self-funded registry
   instituted by a group of Indian surgeons for patients with peritoneal
   metastases (PM) undergoing surgical treatment. This work was performed
   to center dot Evaluate outcomes of cytoreductive surgery +/- HIPEC in
   patients enrolled in the registry. center dot Identify operational
   problems. Methods: A retrospective analysis of patients enrolled in the
   registry from March 2016 to September 2017 was performed. An online
   survey was performed to study the surgeons' attitudes and existing
   practices pertaining to the registry and identify operational problems.
   Results: During the study period, 332 patients were enrolled in 8
   participating centres. The common indication was ovarian cancer for
   three centres and pseudomyxoma peritonei for three others. The median
   PCI ranged from 3 to 23. A CC-0/1 resection was obtained in 94.7%. There
   was no significant difference in the morbidity (p = .25) and mortality
   (p = .19) rates between different centres. There was a high rate of
   failure-to-rescue (19.3%) patients with complications and the survival
   in patients with colorectal PM was inferior. A lack of dedicated
   personnel for data collection and entry was the main reason for only
   10/43 surgeons contributing data. The other problem was the lack of
   complete electronic medical record systems at all centres. Conclusions:
   These results validate existing practices and identify country-specific
   problems that need to be addressed. Despite operational problems, the
   registry is an invaluable tool for audit and research. It shows the
   feasibility of fruitful collaboration between surgeons in the absence of
   any regulatory body or funding for the project.
RI Bhatt, Aditi/AAN-5137-2020; Penumadu, Prasanth/ABG-5086-2020; Seshadri, Ramakrishnan Ayloor/AAE-3919-2022; Peedicayil, Abraham/; Ray, M D/
OI Bhatt, Aditi/0000-0002-9808-6898; Penumadu,
   Prasanth/0000-0002-2189-5056; Seshadri, Ramakrishnan
   Ayloor/0000-0003-2471-0237; Peedicayil, Abraham/0000-0002-9318-566X;
   Ray, M D/0000-0002-7059-5383
ZA 0
ZR 0
Z8 0
ZB 0
TC 4
ZS 0
Z9 4
U1 0
U2 1
SN 0265-6736
EI 1464-5157
UT WOS:000456375800001
PM 30300029
ER

PT J
AU Wong, Jonathan
   Manhas, Deepak
   Campbell, Douglas M.
   Moussa, Ahmed
   Sawyer, Taylor L.
TI Procedural Experience of Canadian Neonatal-Perinatal Medicine Fellows
SO JOURNAL OF CLINICAL NEONATOLOGY
VL 8
IS 1
BP 47
EP 53
DI 10.4103/jcn.JCN_110_18
PD JAN-MAR 2019
PY 2019
AB Context: Neonatal-Perinatal Medicine (NPM) is a high-acuity specialty
   where trainees need to be proficient in complex procedural skills. The
   ability to perform these skills independently is an important milestone
   toward becoming a competent neonatologist. Aims: The aim of the study
   was to characterize the current procedural experience of Canadian NPM
   trainees, the methods for recording their experience, and how competency
   in procedural skills is being assessed by training programs. Subjects
   and Methods: A 60-item online survey was sent to all NPM trainees
   enrolled in an accredited training program across Canada. Statistical
   Analysis Used: Descriptive statistics (means, medians, standard
   deviations, range, and interquartile ranges) and the Mann-Whitney U-test
   were used. Results: Twenty fellows (27%), including ten 1st-year and ten
   2nd-year fellows responded. Procedural experience increased with length
   of training. Most fellows are required to maintain a procedure log and
   track specific procedures. About 50% of fellows reported that logs are
   not required to be signed off and there is often no standardized process
   to determine when a fellow can independently perform a procedure. About
   55% of fellows felt that they had sufficient experience to be competent
   upon graduation. Respondents indicated that both fellows and programs
   are actively working to improve the procedural experience for trainees.
   Conclusions: This study provides normative data regarding the procedural
   experience of Canadian NPM trainees. Experience increases with years of
   training, but there is a need to more clearly define what procedures are
   most critical to attain competency. Currently, procedural experience
   tracking is highly variable between programs.
RI Wong, Jonathan/R-2649-2019
OI Wong, Jonathan/0000-0001-6489-358X
Z8 0
ZB 0
TC 0
ZS 0
ZA 0
ZR 0
Z9 0
U1 0
U2 1
SN 2249-4847
EI 1658-6093
UT WOS:000457181900010
ER

PT J
AU Al-Gelban, Lamyaa Omar
TI DEVELOPING ASSESSMENT TOOLS FOR PLASTIC SURGERY IN SAUDI ARABIA
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 6
IS 1
BP 393
EP 397
DI 10.5281/zenodo.2530886
PD JAN 2019
PY 2019
AB Background: Currently, in Saudi Arabia, plastic surgery-based education
   relies heavily on traditional, time-based training models. The objective
   of this study is to develop a methodology to determine the basic
   procedural steps for plastic surgery procedures to assist the training
   and evaluation of evaluators as well.
   Aim: The aim of this study was to develop a methodology to determine the
   basic procedural steps for plastic surgery procedures to assist the
   training and evaluation of evaluators as well.
   Methods: This study is a cross-sectional study. The data was collected
   using an online questionnaire answered by heads of plastic surgery
   departments. The sample size in this analysis was 120 individuals. The
   data was collected and analyzed using SPSS version 22.
   Results: Around 31% of the sample think that there is an increasing need
   to address this deficit in order to meet today's training standards,
   while 34% think the opposite. Only 27.5% confirmed that there is no
   formal or objective assessment of technical skills among trainees in
   plastic surgery, while 35.8% confirmed there is an objective assessment.
   Around 27% of the sample agree that procedural skills can be assessed
   during actual care delivery, while 36% have the opposite opinion.
   Conclusion: The best curriculum should provide exposure to core
   principles of plastic surgery while demonstrating competence through
   performance of index procedures. Accordingly, it is recommended that
   exploring the role and potential benefits of competency-based medical
   education in plastic surgery residency training is timely.
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
TC 0
Z9 0
U1 0
U2 0
SN 2349-7750
UT WOS:000456382000071
ER

PT J
AU Alzahrani, Fahad Mohammed Saad
   Alzahrani, Ahmad Abdulqader Ahmad
   Alsuqati, Faisal Adel
   Althobaiti, Omar Mohammed A.
   Althomali, Ibrahim Hassan Mohammed
   Alzahrani, Adnan Ahmed
   Alharthi, Fahad Rajallah
TI KNOWLEDGE TOWARDS LAPAROSCOPIC SURGERY FOR COLORECTAL CANCER AMONG
   MEDICAL STUDENTS AND INTERNS IN KINGDOM OF SAUDI ARABIA
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 6
IS 1
BP 872
EP 879
DI 10.5281/zenodo.2537633
PD JAN 2019
PY 2019
AB Background: According to the World Health Organization (WHO), colorectal
   cancer (CRC) is the third most common cancer diagnosed among men, and
   the second most common in women. Yet more awareness is still required
   about this illness. Colorectal cancer treatment depends on the stage of
   the disease including radiation, ablation, chemotherapy or endoscopic
   treatment.
   Objective: The aim of this study is to investigate the level of
   knowledge towards laparoscopic surgery for colorectal cancer among
   medical students and interns in Kingdom of Saudi Arabia.
   Methods: This is a multicenter, cross-sectional observational study.
   Data was collected using an online designed questionnaire distributed,
   via a link to Google forms, to medical students and interns in Kingdom
   of Saudi Arabia. The questionnaire included some questions about; age,
   sex, level of education and the name of university in addition to
   assessment questions about laparoscopic surgery medical knowledge. Data
   were analyzed using Statistical Package for Social Sciences version
   (SPSS).
   Results: Number of participants was 106 (50% of each gender) with a mean
   +/- SD age of 24.5 +/- 1.7 years. Around 63.2% of the participants were
   interns and 36.8% were students from different universities in Kingdom
   of Saudi Arabia. The largest proportion of the participants (38.7%) was
   from Taif University. Upon analysis of the questionnaire answers, the
   data revealed a median (IRQ) total score of 6(2) points out of 10
   points.
   Conclusion: Although the participants tended to answer questions
   correctly more often, the level of knowledge about laparoscopic
   colorectal cancer surgery among students and interns in Saudi Arabia is
   considered to me moderate. There is a need to improve the level of
   knowledge about this management technique which will eventually ensure a
   better quality of care for the patients.
RI Alzahrani, Ahmad/ABF-1485-2020
OI Alzahrani, Ahmad/0000-0001-8209-5362
ZS 0
ZA 0
TC 0
Z8 0
ZB 0
ZR 0
Z9 0
U1 0
U2 1
SN 2349-7750
UT WOS:000456382000142
ER

PT J
AU Al-Anazi, Reem Mudhhi Essa
   Aljaber, Hadil Anwar
   Alenezi, Sara Ghazi
TI PREVALENCE AND RISK FACTORS OF PRE-ECLAMPSIA AND ECLAMPSIA AMONG
   PREGNANT WOMEN IN ARAR CITY, KSA
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 6
IS 1
BP 1750
EP 1759
DI 10.5281/zenodo.2547742
PD JAN 2019
PY 2019
AB Background: Pre-eclampsia is the most common medical problem in
   pregnancy as it's specific syndrome that affects many organ systems and
   is recognized by new onset of hypertension and proteinuria that occur
   after 20 weeks' gestation.
   Objective: to determine the prevalence of pre-eclampsia and to
   determinant the main risk factors affecting the incidence rate of the
   cases among pregnant mothers in Arar city, KSA.
   Methods: A cross sectional, community-based study conducted in Arar
   city, KSA, during the period from 1st September to 30 November, 2018, on
   299 pregnant women with age group from 18 to 55 years. Data was
   collected through a pre-designed, online questionnaire. We utilized the
   SPSS program (Version 22) to analyze the study data. The X2 test was
   used as a test of significance, and differences were considered
   significant at P value less than 0.05. Results: Pre-eclampsia was found
   in 20.7% of the total number of participants. Although the prevalence of
   pre-eclampsia in mothers aged between 25 and 35 years is 56.5%, we found
   no significant correlation between maternal age and pre-eclampsia. More
   than half (58.1%) of the positive cases to pre-eclampsia had family
   history of pre-eclampsia, and we found a highly significant association
   between the two variables (P<0.01) while we found insignificant
   correlation between pre-eclampsia and hypertension or diabetes mellitus
   as pre-eclampsia complicated 3.2% of the pregnancies with chronic
   hypertension and 1.7 of the pregnancies without chronic hypertension
   (P>0.05) also pre-eclampsia complicated 8.1% of the pregnancies with DM
   and 5.5% of the pregnancies without DM (P>0.05). that, 8.1% of mothers
   of twins pregnancy and 9.7% of the mothers of single fetus get
   pre-eclampsia, but the association between type of pregnancy and
   incidence of pre-eclampsia wasn't significant (P>0.05). In addition, a
   significant correlation was found between the parity of the mothers and
   incidence of pre-eclampsia. Regarding the clinical presentation, we
   found foot and hand edema in 65% of the preeclampsia cases but As
   regards the pre-eclampsia complications among the studied cases,
   premature labor was found in 50% of the cases, placental abruption in
   35.5%, intrauterine growth retardation in 16.1%.
   Conclusion: in Arar, KSA, Pre-eclampsia was found in 20.7% of the total
   number of participants which considered a relatively high prevalence.
   So, we recommend more detailed future studies to be undertaken in more
   detailed ways and over larger sample. Also health education about
   pre-eclampsia and eclampsia and their complications should be provided
   to the pregnant mothers.
Z8 0
ZB 0
ZS 0
TC 0
ZR 0
ZA 0
Z9 0
U1 0
U2 5
SN 2349-7750
UT WOS:000456382000268
ER

PT J
AU Kwan, Ann H.
   Mobli, Mehdi
   Schirra, Horst J.
   Wilson, Jennifer C.
   Jones, Oliver A. H.
TI Video with Impact: Access to the World's Magnetic-Resonance Experts for
   the Scientific-Education Community
SO JOURNAL OF CHEMICAL EDUCATION
VL 96
IS 1
BP 159
EP 164
DI 10.1021/acs.jchemed.8b00523
PD JAN 2019
PY 2019
AB Magnetic resonance is a powerful technology that has had a major impact
   across the physical, life, and medical sciences, from chemistry to
   medical imaging, with ever-expanding applications in new areas as
   diverse as mining and food science. It is, however, also a difficult
   subject to teach, as the theory is complex and requires some familiarity
   with advanced mathematical concepts to fully comprehend. The first
   encounters of many students with magnetic resonance are often obscured
   by explanations that make the subject difficult to understand, lack
   sufficient detail on the underlying principles, and/or are devoid of
   real-world examples. This initial, frustrating exposure to the subject
   can result in disengagement and hinder future attempts to grasp key
   subject matter. Skilled educators with subject expertise are able to
   present complex material in an engaging and relevant way, but such
   people are not present in every institution. A solution to this problem
   is to use online recordings of globally recognized, engaging lecturers.
   Here, we report a new resource in the form of four high-quality, online
   lecture series produced by the Australian and New Zealand Society for
   Magnetic Resonance (ANZMAG), which are presented by some of the world's
   best teachers and practitioners of magnetic resonance. The target
   audience includes postgraduates, final-year undergraduates, university
   teachers, and researchers. The videos are free to access and are
   designed to teach and reinforce important concepts in magnetic
   resonance. To date, the four series, each covering a major topic in
   magnetic resonance and together totaling over 30 h of lectures, have
   been viewed over 200,000 times in 168 countries.
RI Schirra, Horst Joachim/B-4210-2009; Kwan, Ann/; Mobli, Mehdi/O-7244-2014; Jones, Oliver/B-9778-2008
OI Schirra, Horst Joachim/0000-0002-7541-246X; Kwan,
   Ann/0000-0002-1506-2226; Mobli, Mehdi/0000-0003-2420-4262; Jones,
   Oliver/0000-0002-4541-662X
ZR 0
ZA 0
TC 4
ZB 0
ZS 0
Z8 0
Z9 4
U1 0
U2 11
SN 0021-9584
EI 1938-1328
UT WOS:000456489500024
ER

PT J
AU Bittner, James G.
   Logghe, Heather J.
   Kane, Erica D.
   Goldberg, Ross F.
   Alseidi, Adnan
   Aggarwal, Rajesh
   Jacob, Brian P.
TI A Society of Gastrointestinal and Endoscopic Surgeons (SAGES)statement
   on closed social media (Facebook (R)) groups for clinical education and
   consultation: issues of informed consent, patient privacy, and surgeon
   protection
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 33
IS 1
BP 1
EP 7
DI 10.1007/s00464-018-6569-2
PD JAN 2019
PY 2019
AB IntroductionClosed social media groups (CSMG), including closed Facebook
   (R) groups, are online communities providing physicians with platforms
   to collaborate privately via text, images, videos, and live streaming in
   real time and optimize patient care. CSMG platforms represent a novel
   paradigm in online learning and education, so it is imperative to ensure
   that thepublic and patients trust the physiciansusing these platforms.
   Informed consent is an essential aspect of establishing this trust. With
   the launch of several of its own CSMG, Society of Gastrointestinal and
   Endoscopic Surgeons (SAGES) sought to define its position on CSMG
   platforms and provide an informed consent template for educating and
   protecting patients, surgeons, and institutions.MethodsA review of the
   literature (2012-2018) discussing the informed consent process for
   posting clinical scenarios, photography, and/or videography on social
   media was performed. Pertinent articles and exemplary legal
   counsel-approved CSMG policies and informed consent forms were reviewed
   by members of the SAGES Facebook (R) Task Force.ResultsEleven articles
   and two institutional CSMG policies discussing key components of the
   informed consent process, including patient transparency and
   confidentiality, provider-patient partnerships, ethics, and education
   were included. Using this information and expert opinion, a
   SAGES-approved statement and informed consent template were
   formulated.ConclusionsSAGES endorses the professional use of medical and
   surgical CSMG platforms for education, patient care optimization, and
   dissemination of clinical information. Despite the growing use of social
   media as an integral tool for surgical practice and education, issues of
   informed consent still exist and remain the responsibility of the
   physician contributor. Responsible, ethical, and compliant use of CSMG
   platforms is essential. Surgeons and patients embracing CSMG for quality
   improvement and optimized outcomes should be legally protected. SAGES
   foresees the use of this type of platform continuing to grow.
RI Goldberg, Ross/AAD-6718-2020
ZA 0
ZR 0
ZB 4
TC 18
ZS 1
Z8 0
Z9 19
U1 0
U2 10
SN 0930-2794
EI 1432-2218
UT WOS:000456089200001
PM 30421077
ER

PT J
AU Ting, Daniel K.
   Thoma, Brent
   Luckett-Gatopoulos, S.
   Thomas, Adam
   Syed, Shahbaz
   Bravo, Michael
   Zaver, Fareen
   Purdy, Eve
   Kwok, Edmund S. H.
   Chan, Teresa M.
TI CanadiEM: Accessing a Virtual Community of Practice to Create a Canadian
   National Medical Education Institution
SO AEM EDUCATION AND TRAINING
VL 3
IS 1
BP 86
EP 91
DI 10.1002/aet2.10199
PD JAN 2019
PY 2019
AB Background: The rise of free open-access medical education (FOAM) has
   led to a wide range of online resources in emergency medicine. Canadian
   physicians have been active contributors to FOAM.
   Objectives: We aimed to create a virtual community of practice that
   would serve as a national platform for collaboration, learning, and
   knowledge dissemination.
   Methods: CanadiEM was formed in 2016 from the merger of two Canadian
   websites and a podcast. Using a community-of-practice model, we
   introduced two training programs to support junior community members in
   becoming core editorial team members and employed asynchronous Web
   technologies to facilitate collaboration. We also introduced a coached
   peer review process and formed strategic alliances that aim to ensure a
   high quality of publication.
   Results: CanadiEM has become a portal for readers to access a broad
   range of FOAM content. The website has published 782 articles. Of these,
   71 have undergone a coached peer review process. The website has
   received over 2.5 million page views from 217 countries, and the
   associated CRACKCast podcast has been downloaded over 750,000 times.
   Conclusions: CanadiEM has succeeded in building a national
   multi-interface dissemination network that fosters collaboration and
   knowledge sharing in emergency medicine while fostering junior digital
   scholars. The construction of a community of practice has been
   facilitated by quality assurance, training programs, and the use of
   asynchronous Web technologies. Ongoing challenges in sustainability
   include a volunteer workforce with high turnover.
RI Chan, Teresa/T-6676-2017; Ting, Daniel/; Purdy, Eve/
OI Chan, Teresa/0000-0001-6104-462X; Ting, Daniel/0000-0002-1674-8326;
   Purdy, Eve/0000-0002-8098-5377
ZB 0
ZA 0
TC 19
Z8 0
ZR 0
ZS 0
Z9 19
U1 2
U2 5
EI 2472-5390
UT WOS:000769871800011
PM 30680352
ER

PT J
AU Staats, Katherine
   Mercer, Mary P.
   Bosson, Nichole
   Donofrio, J. Joelle
   Schlesinger, Shira
   Sanko, Stephen
   Kazan, Clayton
   Brown, John
   Loza-Gomez, Angelica
   Eckstein, Marc
   Gausche-Hill, Marianne
TI The Digital EMS California Academy of Learning: One State's Innovative
   Approach to EMS Fellow Education
SO AEM EDUCATION AND TRAINING
VL 3
IS 1
BP 96
EP 99
DI 10.1002/aet2.10208
PD JAN 2019
PY 2019
AB Introduction: Emergency medical services (EMS) fellowships are growing
   in significance within the United States prehospital health care system.
   While fellowships represent a cornerstone of EMS subspecialty education,
   an individual learner's experiences are limited by local resources and
   practices. California EMS fellowships have developed an innovative
   method for expanding fellows' educational experiences outside their
   immediate programs.
   The Innovative Education Method: Each month, fellows, fellowship
   directors, and local EMS medical directors from throughout the state
   participate in a video conference. This meeting is divided into four
   distinct components: book chapter presentation, board-style question
   review, call review, and an EMS literature review.
   Chapter Review: The two-volume text Emergency Medical Services: Clinical
   Practice and Systems Oversight has been categorized into 12 modules, one
   for each month of the fellowship. Every meeting, one fellow prepares a
   didactic presentation summarizing the highlights from that month's
   chapters.
   Question Review: Fellows each create five multiple-choice questions and
   answers, based on the section reading. Questions are assessed by the
   group, both for informational content and for appropriate formatting.
   After completion, these questions are submitted for future review for
   the EMS fellowship in-service examination.
   Call Review: Based on that month's module topics, a call is chosen and
   reviewed. Regional protocol and practice differences from different
   systems are discussed. The online medical oversight provided and the
   prehospital provider performance are evaluated by the group.
   Literature Review: Fellows not assigned to present a call or didactic
   segment each choose one paper focusing on a subject relevant to the
   module or call. Strengths of the study design, analysis, outcomes, and
   relevance to EMS practice are discussed.
   Outcomes: Fellows and experienced EMS attendings are exposed to
   different protocol and system approaches in an interactive and
   accessible format. This partnership expands educational opportunities
   for fellows and promotes collaboration across EMS systems.
TC 1
ZR 0
ZS 0
ZB 0
Z8 0
ZA 0
Z9 1
U1 0
U2 0
EI 2472-5390
UT WOS:000769871800013
PM 30680354
ER

PT J
AU White, Lloyd J.
   McGowan, Heath W.
   McDonald, Aaron C.
TI The Effect of Content Delivery Style on Student Performance in Anatomy
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 1
BP 43
EP 51
DI 10.1002/ase.1787
PD JAN-FEB 2019
PY 2019
AB The development of new technologies and ensuing pedagogical research has
   led many tertiary institutions to integrate and adopt online learning
   strategies. The authors of this study have incorporated online learning
   strategies into existing educational practices of a second year anatomy
   course, resulting in half of the course content delivered via
   face-to-face lectures, and half delivered online via tailored video
   vignettes, with accompanying worksheets and activities. The effect of
   the content delivery mode on student learning was analyzed by tailoring
   questions to content presented either face-to-face or online. Four
   practical tests were conducted across the semester with each consisting
   of four questions. Within each test, two questions were based on content
   delivered face-to-face, and two questions were based on content
   delivered online. Examination multiple choice questions were similarly
   divided and assessed. Findings indicate that student learning is
   consistent regardless of the mode of content delivery. However, student
   viewing habits had a significant impact on learning, with students who
   viewed videos multiple times achieving higher marks than those less
   engaged with the online content. Student comments also indicated that
   content delivery mode was not an influence on learning. Therefore
   student engagement, rather than the mode of content delivery, is a
   determinant of student learning and performance in human anatomy. Anat
   Sci Educ. (c) 2018 American Association of Anatomists.
RI White, Lloyd J/L-7163-2013
OI White, Lloyd J/0000-0003-0775-4975
TC 5
Z8 0
ZR 0
ZB 0
ZS 0
ZA 0
Z9 5
U1 1
U2 5
SN 1935-9772
EI 1935-9780
UT WOS:000455544300005
PM 29648679
ER

PT J
AU Wolbrink, Traci A.
   Rubin, Lucy
   Burns, Jeffrey P.
   Markovitz, Barry
TI The Top Ten Websites in Critical Care Medicine Education Today
SO JOURNAL OF INTENSIVE CARE MEDICINE
VL 34
IS 1
BP 3
EP 16
DI 10.1177/0885066618759287
PD JAN 2019
PY 2019
AB Introduction: The number of websites for the critical care provider is
   rapidly growing, including websites that are part of the Free Open
   Access Med(ical ed)ucation (FOAM) movement. With this rapidly expanding
   number of websites, critical appraisal is needed to identify quality
   websites. The last major review of critical care websites was published
   in 2011, and thus a new review of the websites relevant to the critical
   care clinician is necessary. Methods: A new assessment tool for
   evaluating critical care medicine education websites, the Critical Care
   Medical Education Website Quality Evaluation Tool (CCMEWQET), was
   modified from existing tools. A PubMed and Startpage search from 2007 to
   2017 was conducted to identify websites relevant to critical care
   medicine education. These websites were scored based on the CCMEWQET.
   Results: Ninety-seven websites relevant for critical care medicine
   education were identified and scored, and the top ten websites were
   described in detail. Common types of resources available on these
   websites included blog posts, podcasts, videos, online journal clubs,
   and interactive components such as quizzes. Almost one quarter of
   websites (n = 22) classified themselves as FOAM websites. The top ten
   websites most often included an editorial process, high-quality and
   appropriately attributed graphics and multimedia, scored much higher for
   comprehensiveness and ease of access, and included opportunities for
   interactive learning. Conclusion: Many excellent online resources for
   critical care medicine education currently exist, and the number is
   likely to continue to increase. Opportunities for improvement in many
   websites include more active engagement of learners, upgrading
   navigation abilities, incorporating an editorial process, and providing
   appropriate attribution for graphics and media.
RI Wolbrink, Traci/T-7211-2019; Burns, Jeffrey P/AAW-8474-2021
ZS 0
ZB 0
ZA 0
ZR 0
TC 4
Z8 0
Z9 4
U1 1
U2 4
SN 0885-0666
EI 1525-1489
UT WOS:000455595500001
PM 29519206
ER

PT J
AU Faccenda, Elena
   Maxwell, Simon
   Szarek, John L.
TI The IUPHAR Pharmacology Education Project
SO CLINICAL PHARMACOLOGY & THERAPEUTICS
VL 105
IS 1
BP 45
EP 48
DI 10.1002/cpt.1278
PD JAN 2019
PY 2019
AB Online learning, an essential component of most traditional
   contact-based educational programs, must be of high quality to
   contribute effectively to learning. The availability of first-class
   web-based materials is particularly valued by both learners and
   educators in resource-poor nations. In this Practice article, we
   introduce the International Union of Basic and Clinical Pharmacology
   (IUPHAR) Pharmacology Education Project (PEP)
   (https://www.pharmacologyeducation.org/), a freely accessible online
   learning resource intended to support education and training in
   pharmacological sciences worldwide.
OI Faccenda, Elena/0000-0001-9855-7103
ZR 0
Z8 0
ZS 0
ZA 0
TC 3
ZB 3
Z9 3
U1 0
U2 1
SN 0009-9236
EI 1532-6535
UT WOS:000454618200011
PM 30588614
ER

PT J
AU Robb, James
   Mackay, Alex
   Rondeau, Nancy
   Palomino, Javier
   Mulla, Zuber D.
   Montoya, T. Ignacio
   Mallett, Veronica T.
TI Spanish Language Pelvic Floor Disorders Patient Information Handouts:
   How Readable Are They?
SO FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
VL 25
IS 1
BP 72
EP 75
DI 10.1097/SPV.0000000000000510
PD JAN-FEB 2019
PY 2019
AB Objective: This study aimed to determine the readability of commonly
   available patient information materials for pelvic floor disorders
   written in Spanish and compare their readability based on type of
   content and source.
   Methods: Spanish patient information handouts, including pamphlets from
   the National Institutes of Health, International Urogynecology
   Association, American Congress of Obstetricians and Gynecologists,
   online printable handouts, and industry-sponsored brochures were
   assessed for readability. Online materials for patients were obtained
   from Google searches using key words (pelvic floor disorders,
   urogynecology, patient information handouts, Spanish). Reading
   difficulty was assessed using INFLESZ v1.0, (Barrio-Cantalejo IM, Spain)
   a free software developed to calculate the readability of Spanish
   written texts. Three index scales were used: Flesch-Szigriszt Index,
   Word correlation Index, and the Fernandez-Huerta Index.
   Results: Forty patient information handouts were analyzed. All pamphlets
   analyzed had readability scores within the " average" to " very
   difficult" reading difficulty levels as per the index scales used. None
   of the analyzed pamphlets met the sixth grade reading level criteria
   suggested by the National Institutes of Health and
   AmericanMedicalAssociation, including government-developed materials.
   There were no differences in readability scores between type of leaflet
   content or source.
   Conclusions: Current available free, industry-, organization-, and
   government-provided reading materials in Spanish do not serve the
   Spanish-speaking only or low English-speaking literacy population.
   Future work should aim to simplify the language in such documents to the
   suggested sixth grade reading level.
Z8 0
ZB 0
ZR 0
TC 2
ZA 0
ZS 0
Z9 2
U1 1
U2 4
SN 2151-8378
EI 2154-4212
UT WOS:000454933900015
PM 29095247
ER

PT J
AU Arain, Mubashir Aslam
   Tarraf, Rima
   Ahmad, Armghan
TI Assessing staff awareness and effectiveness of educational training on
   IT security and privacy in a large healthcare organization
SO JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
VL 12
BP 73
EP 81
DI 10.2147/JMDH.S183275
PD 2019
PY 2019
AB Background: The increased use of health information systems and
   information technology (IT) in healthcare heightens the risk of security
   and privacy breaches. Necessary measures such as effective IT training
   and education are required to meet the challenges of protecting patient
   information.
   Purpose: The objective of the study was to determine the effectiveness
   of existing educational and awareness modules in delivering the key
   messages around IT security and privacy.
   Methods: The study was conducted in a large healthcare organization in
   Western Canada from September 2016 to March 2017. Using proportionate
   stratified random sampling, an online survey was distributed to all
   professional groups including clinical and non-clinical staff. In total,
   586 participants responded to questions pertaining to whether or not
   they were aware of the IT education material, common potential breaches,
   and knowledge in preventing IT security and privacy breaches. Data were
   analyzed in SPSS version 19.
   Results: The study found that most of the participants (80.9%) completed
   the online IT training. Staff perceived the online training as effective
   (57.5%). There was a significant positive correlation between staff
   perception about the effectiveness of IT security educational material
   and satisfaction with IT security in the organization (r=0.34, P<0.01).
   Those who completed the training were 4.2-times (CI=2.0-8.8) more likely
   to correctly report the action upon receiving spam emails than those who
   had not completed the training. The most common type of breach stated
   was not knowing how to encrypt emails when sending emails outside the
   organization. Only a small proportion of clinical (25.5%) and
   non-clinical staff (30.4%) reported knowing how to encrypt emails. Also,
   participants identified various strategies for improving the module
   content and compliance.
   Conclusion: Online training provides a basic understanding of IT
   security and privacy concepts to prevent potential breaches. The
   training should be an integral part of healthcare staff continuing
   education to protect patient information.
OI Ahmad, Armghan/0000-0003-2431-615X
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
TC 3
Z9 3
U1 1
U2 3
SN 1178-2390
UT WOS:000455190100001
PM 30666123
ER

PT J
AU Marrie, Ruth Ann
   Leung, Stella
   Tyry, Tuula
   Cutter, Gary R.
   Fox, Robert
   Salter, Amber
TI Use of eHealth and mHealth technology by persons with multiple sclerosis
SO MULTIPLE SCLEROSIS AND RELATED DISORDERS
VL 27
BP 13
EP 19
DI 10.1016/j.msard.2018.09.036
PD JAN 2019
PY 2019
AB Background: Health communication has evolved substantially over the last
   few years as the field of electronic health (eHealth) technologies has
   emerged. It is unknown what demographic and clinical characteristics are
   associated with use of eHealth technologies in MS. As these technologies
   are more widely adopted in health settings, it is important that health
   care providers understand who is using them, and to recognize potential
   disparities if they exist.
   Objective: We aimed to examine the use of eHealth technologies among
   persons with multiple sclerosis (MS), including the adoption of mobile
   Health (mHealth) applications (apps) and telehealth, perceived benefits
   of using mHealth apps, and sociodemographic and clinical characteristics
   associated with use of these technologies.
   Methods: In the spring 2017, we surveyed participants in the North
   American Research Committee on Multiple Sclerosis (NARCOMS) Registry
   about their use of eHealth technologies using questions adapted from the
   Health Information National Trends (HINTS) 4 Cycle 4 survey.
   Participants reported their internet use, electronic devices used, use
   of health related software apps and perceived benefits from using those
   apps, and their interest in exchanging medical information with a health
   care professional electronically. We used descriptive statistics to
   report use of eHealth technologies and multivariable logistic regression
   to evaluate factors associated with use of electronic devices, use of
   mHealth apps, telehealth use, and perceived benefits of using mHealth
   apps.
   Results: Of 6423 participants included in the analysis most participants
   were female, and white, with a mean (SD) age of 59.7 (10.1) years.
   Overall, 5408 (84.2%) had exchanged medical information with a health
   professional most often using a secure online portal (1839, 28.6%),
   followed by email (1327, 20.7%). of the 5529 smartphone and tablet
   users, 2556 (46.2%) used a mHealth app. Factors associated with a higher
   likelihood of reporting use of smartphones or tablets, mHealth apps and
   with perceived benefits of using these apps included online survey
   response, younger age, having comorbidities, and higher income and
   education levels.
   Conclusion: Use of eHealth technologies is common in the MS population
   and facilitates the exchange of health care information with providers.
   Use of mHealth apps is perceived to have health benefits. However, use
   of eHealth and mHealth technologies varies substantially with
   sociodemographic factors, and health care providers need to be aware of
   these disparities as these technologies are increasingly leveraged in
   health care settings.
RI Cutter, Gary/AAY-5392-2021; Marrie, Ruth Ann/
OI Cutter, Gary/0000-0002-8455-980X; Marrie, Ruth Ann/0000-0002-1855-5595
ZB 2
ZA 0
Z8 0
ZS 0
ZR 0
TC 26
Z9 26
U1 0
U2 19
SN 2211-0348
EI 2211-0356
UT WOS:000455500500005
PM 30296732
ER

PT J
AU Johannsen, Wencke
   Frings, Bernhard
   Herzig, Stefan
   Matthes, Jan
TI Development of perceived pharmacological deficits of medical students
   and alumni supports claim for continuous and more application-oriented
   education
SO NAUNYN-SCHMIEDEBERGS ARCHIVES OF PHARMACOLOGY
VL 392
IS 1
BP 29
EP 36
DI 10.1007/s00210-018-1563-8
PD JAN 2019
PY 2019
AB Medical students' prescribing competencies are insufficient. So far,
   surveys focused on final-year students. Knowledge and confidence seem
   important, but their development during medical studies are unclear.
   This study investigated whether students perceived deficits in
   pharmacological knowledge change during medical studies. Alumni were
   included to look for changes occurring after graduation. Medical
   students at different stages of their studies were invited to fill in
   paper-and-pencil (6th-, 8th-, 9th- and 10th-term students) or online
   questionnaires (final-year students and alumni) regarding their
   self-assessed deficits in pharmacology. Questionnaires have been
   developed based on previous interviews with 10th-term students. We
   differentiated between declarative and application-oriented knowledge.
   In total, data from 816 participants could be analysed. Self-assessment
   regarding declarative knowledge changed during medical studies, being
   more sceptical in terms without pharmacology courses. Of note,
   self-assessment of application-oriented knowledge remained constantly
   low throughout, although our pharmacology courses use problem-based
   learning. Tenth-term students were most sceptical, perhaps influenced by
   an obligatory, formative, simulation-based, 1-week course, preparing
   students for their final practical year. Compared to students, alumni
   were significantly less sceptical regarding application-oriented
   knowledge. Students' self-assessment of deficits in pharmacological
   knowledge changes throughout their studies, presumably in association
   with pharmacology courses. Overall, students are rather sceptical,
   especially with regard to application-oriented knowledge. Our data
   further substantiate the European Association for Clinical Pharmacology
   and Therapeutics (EACPT) recommendations to improve pharmacology
   education throughout the entire medical curriculum, e.g. by providing
   more training in simulated and clinical environments.
RI Matthes, Jan/AAF-1229-2020; Herzig, Stefan/
OI Matthes, Jan/0000-0003-2754-1555; Herzig, Stefan/0000-0001-8107-5204
Z8 0
TC 2
ZR 0
ZS 0
ZA 0
ZB 1
Z9 2
U1 0
U2 4
SN 0028-1298
EI 1432-1912
UT WOS:000454550400003
PM 30194456
ER

PT J
AU Benedetto, Anthony V.
TI Travel as a teaching and learning tool
SO CLINICS IN DERMATOLOGY
VL 37
IS 1
BP 29
EP 37
DI 10.1016/j.clindermatol.2018.09.007
PD JAN-FEB 2019
PY 2019
AB Throughout history, physicians have traveled extensively to acquire new
   knowledge or to learn the latest therapeutic techniques from colleagues
   and academicians. This "wanderlust" persists in many who want to
   understand the world around them and learn from others, physicians or
   nonphysicians. Before the era of instantaneous online telecommunication,
   dermatologists would enhance their education by traveling abroad to
   learn from world-renowned experts in Europe and elsewhere and return
   with a treasure trove of knowledge and new skills. With the Internet,
   webinars, and teledermatology, the attraction for travel has diminished,
   mainly due to our ever-increasing demanding world of obligations;
   however, face-to-face interaction with colleagues of a different culture
   and educational background still has an inexorable educational value. To
   facilitate such endeavors, many insightful educators have taken the
   opportunity to establish several international societies and academies,
   where on-site educational activities can take place. Currently, a few of
   the more active and popular dermatologic organizations that are
   conducting meetings around the world are the International League of
   Dermatologic Societies; International Society of Dermatology; North
   American Clinical Dermatologic Society; International Society of
   Dermatologic Surgery; International Academy of Cosmetic Dermatology; and
   European Society of Cosmetic and Aesthetic Dermatology, all of which
   exemplify "travel as a teaching tool." (C) 2018 Elsevier Inc. All rights
   reserved.
ZR 0
ZS 0
ZB 0
ZA 0
Z8 0
TC 5
Z9 5
U1 1
U2 5
SN 0738-081X
EI 1879-1131
UT WOS:000454850700006
PM 30554619
ER

PT J
AU Macklin, Sarah K.
   Jackson, Jessica L.
   Atwal, Paldeep S.
   Hines, Stephanie L.
TI Physician interpretation of variants of uncertain significance
SO FAMILIAL CANCER
VL 18
IS 1
BP 121
EP 126
DI 10.1007/s10689-018-0086-2
PD JAN 2019
PY 2019
AB A growing number of physicians will interact with genetic test results
   as testing becomes more commonplace. While variants of uncertain
   significance can complicate results, it is equally important that
   physicians understand how to incorporate these results into clinical
   care. An online survey was created to assess physician self-reported
   comfort level with genetics and variants of uncertain significance.
   Physicians were asked to respond to three case examples involving
   genetic test results. The survey was sent to 488 physicians at Mayo
   Clinic FL on 8/16/2017. Physicians from all specialties were invited to
   participate. A total of 92 physicians responded to the survey. Only
   13/84 (14.6%) responded to all three case examples with the answer
   deemed most correct by review of literature. Physicians that specialized
   in cancer were more likely to answer questions appropriately (P=.02).
   Around half (39/84) of the physicians incorrectly defined a variant of
   uncertain significance (VUS). Over 75% made a recommendation for genetic
   testing that was not warranted. Many physicians have never received
   formal genetics training; however, they will be expected to provide an
   accurate explanation of the genetic test results and subsequent
   evidence-based medical management recommendations. These results
   demonstrate that a substantial proportion of physicians lack a true
   understanding of the implications a VUS. Utilization of supplemental
   genetics training programs coupled with increase awareness of genetic
   services may help to improve patient care.
RI Atwal, Paldeep/H-7472-2019
OI Atwal, Paldeep/0000-0002-8515-744X
TC 30
ZB 14
ZR 0
ZA 0
Z8 0
ZS 0
Z9 30
U1 0
U2 5
SN 1389-9600
EI 1573-7292
UT WOS:000455137200018
PM 29721668
ER

PT J
AU Eraydin, Irem Ece
   Mueller, Christoph
   Corbett, Anne
   Ballard, Clive
   Brooker, Helen
   Wesnes, Keith
   Aarsland, Dag
   Huntley, Jonathan
TI Investigating the relationship between age of onset of depressive
   disorder and cognitive function
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 34
IS 1
BP 38
EP 46
DI 10.1002/gps.4979
PD JAN 2019
PY 2019
AB Objectives Depressive disorder is commonly associated with impaired
   cognitive function; however, it is unclear whether the age of onset of
   the first episode of depression, current depression severity, or
   historical severity of depressive episodes are associated with cognitive
   performance. Methods This study examined baseline cross-sectional data
   from the ongoing online PROTECT study. A total of 7344 participants, 50
   years or older, with a history of depression and no diagnosis of
   dementia were divided into three groups according to age of onset of
   their first depressive episode: early-onset, midlife-onset, and
   late-onset. Performance on measures of visuospatial episodic memory,
   executive function, verbal working, and visual working memory were
   evaluated. Demographic and clinical characteristics such as age,
   education, and severity of symptoms during their worst previous
   depressive episode and current depression severity were included in
   multivariate regression models. Results The late-onset depression group
   scored significantly lower on the verbal reasoning task than the
   early-onset group while there were no significant differences found on
   the other tasks. Midlife-onset depression participants performed better
   in the visual episodic memory task, but worse on the verbal reasoning
   task, than early-onset depression participants. Current depression
   severity was negatively correlated with all four cognitive domains,
   while historical severity score was found to be significantly associated
   with cognitive performance on the verbal reasoning and spatial working
   memory tasks. Conclusions The most important indicator of cognitive
   performance in depression appears to be current, rather than historic
   depression severity; however, late-onset depression may be associated
   with more executive impairment than an early-onset depression.
RI Corbett, Anne/B-3223-2014; Mueller, Christoph/Y-5660-2019; ERAYDIN, IREM ECE/; Ballard, Clive/; Aarsland, Dag/; Wesnes, Keith/; Huntley, Jonathan/
OI Corbett, Anne/0000-0003-2015-0316; Mueller,
   Christoph/0000-0001-9816-1686; ERAYDIN, IREM ECE/0000-0002-3468-1719;
   Ballard, Clive/0000-0003-0022-5632; Aarsland, Dag/0000-0001-6314-216X;
   Wesnes, Keith/0000-0002-4498-8511; Huntley, Jonathan/0000-0001-6304-6231
ZS 0
Z8 1
ZB 7
ZA 0
ZR 0
TC 17
Z9 18
U1 0
U2 9
SN 0885-6230
EI 1099-1166
UT WOS:000453797600005
PM 30259558
ER

PT J
AU Marshall, Jennifer
   Ramakrishnan, Rema
   Slotnick, Adam L.
   Tanner, Jean Paul
   Salemi, Jason L.
   Kirby, Russell S.
TI Family-Centered Perinatal Services for Children With Down Syndrome and
   Their Families in Florida
SO JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING
VL 48
IS 1
BP 78
EP 89
DI 10.1016/j.jogn.2018.10.006
PD JAN 2019
PY 2019
AB Objective: To examine the experiences of parents or caregivers of
   children with Down syndrome related to prenatal care, the birth setting,
   primary and specialty care, and care coordination.
   Design: Cross-sectional, mixed-methods study.
   Setting: Florida.
   Participants: English- or Spanish-speaking parents/primary caregivers (N
   = 101) of children who were 0 to 18 years old, had a diagnosis of Down
   syndrome, and were born in Florida.
   Methods: Participants were identified through snowball sampling and
   completed an online version of the Family Experiences Survey. Analyses
   included descriptive statistics, Fisher exact tests, and content
   analysis of the openended questions.
   Results: Fewer than half of the 101 respondents reported receipt of
   adequate information after diagnosis of Down syndrome during the
   prenatal period (n = 18, 19.3%) or in the birth setting (n = 35, 41.2%).
   Most participants (52.9%-95.4%) reported that they received adequate
   time and specific information needed and that providers were sensitive
   to their feelings, values, and family customs during the prenatal
   period, in the birth setting, and during primary and specialty care.
   However, fewer than 60% of participants (19.3%-59.1%) recalled that they
   received information about Down syndrome or helpful programs such as
   Children's Medical Services, Early Steps, or Healthy Start either from
   prenatal care providers or in the birth settings.
   Conclusion: Our findings highlight the critical role that perinatal care
   providers play in the establishment of access to and use of specialty
   care services for neonates with Down syndrome and emphasize the need for
   family-centered care in prenatal and birth settings.
RI Ramakrishnan, Rema/AAE-1742-2022; Ramakrishnan, Rema/AAM-7811-2020; Marshall, Jennifer/; Salemi, Jason/N-9492-2013
OI Ramakrishnan, Rema/0000-0002-6784-8319; Marshall,
   Jennifer/0000-0003-3907-7729; Salemi, Jason/0000-0002-0077-6023
ZB 0
ZS 0
Z8 0
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 2
SN 0884-2175
EI 1552-6909
UT WOS:000454807800009
PM 30529051
ER

PT J
AU Donahue, Steven
   Schwien, Michael
   LaVallee, Danielle
TI EDUCATING EMERGENCY DEPARTMENT STAFF ON THE IDENTIFICATION AND TREATMENT
   OF HUMAN TRAFFICKING VICTIMS
SO JOURNAL OF EMERGENCY NURSING
VL 45
IS 1
BP 16
EP 23
DI 10.1016/j.jen.2018.03.021
PD JAN 2019
PY 2019
AB Introduction: Hospitalization is one of the few circumstances in which
   the lives of trafficking victims intersect with the general population.
   Based on survivor testimonies, the majority of human trafficking victims
   may receive medical treatment in a hospital's emergency department while
   in captivity. With evidenced-based training, ED personnel have a better
   opportunity to screen persons who are being trafficked and intervene on
   their behalf.
   Methods: This project examined the efficacy of an innovative,
   evidence-based online training module (HTEmergency.com) created by the
   project team. Participants completed a pre-survey to determine learning
   needs and a post-survey to determine the effectiveness of the online
   education. The learning module contained a PowerPoint presentation,
   identification and treatment guidelines, and 2 realistic case studies.
   Results: Data were collected among ED personnel in 2 suburban hospitals
   located near a northeast metropolitan city. Seventy-five employees
   participated in the survey and education. Staff completing the education
   included nurses, physicians, nurse practitioners/physician assistants,
   registration, and ED technicians. Results indicated that 89% of
   participants had not received previous human trafficking training. Less
   than half of the participants stated that they had a comprehensive
   understanding of human trafficking before the intervention, with an
   increase to 93% after education. The training module significantly
   increased confidence in identification (from an average confidence level
   of 4/10 to 7/10) and treatment (from an average confidence level of 4/10
   to 8/10) of human trafficking victims within the emergency department;
   96% found the educational module to be useful in their work setting.
   Discussion: Participants reported that they are more confident in
   identifying a possible trafficking victim and are more likely to screen
   patients for human trafficking after participation in the online
   training module. The proposed general guideline for care provided ED
   personnel with a useful tool in perpetuity. The results of this project,
   coupled with the growth of worldwide human trafficking, highlights the
   need for focused human trafficking education within the hospital
   setting.
Z8 0
ZA 0
ZR 0
TC 27
ZB 1
ZS 0
Z9 26
U1 1
U2 16
SN 0099-1767
EI 1527-2966
UT WOS:000454923300010
PM 29779623
ER

PT J
AU Friedman, Susan M.
   Mulhausen, Paul
   Cleveland, Maryjo L.
   Coll, Patrick P.
   Daniel, Kathryn M.
   Hayward, Arthur D.
   Shah, Krupa
   Skudlarska, Beata
   White, Heidi K.
TI Healthy Aging: American Geriatrics Society White Paper Executive Summary
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 67
IS 1
BP 17
EP 20
DI 10.1111/jgs.15644
PD JAN 2019
PY 2019
AB In July 2015, the Journal of the American Geriatrics Society published a
   manuscript titled, "Failing to Focus on Healthy Aging: A Frailty of Our
   Discipline?" In response, the American Geriatrics Society (AGS) Clinical
   Practice and Models of Care Committee and Public Education Committee
   developed a white paper calling on the AGS and its members to play a
   more active role in promoting healthy aging. The executive summary
   presented here summarizes the recommendations from that white paper. The
   full version is published online at . Life expectancy has increased
   dramatically over the last century. Longer life provides opportunity for
   personal fulfillment and contributions to community but is often
   associated with illness, discomfort, disability, and dependency at the
   end of life. Geriatrics has focused on optimizing function and quality
   of life as we age and reducing morbidity and frailty, but there is
   evidence of earlier onset of chronic disease that is likely to affect
   the health of future generations of older adults. The AGS is committed
   to promoting the health, independence, and engagement of all older
   adults as they age. Geriatrics as an interprofessional specialty is well
   positioned to promote healthy aging. We draw from decades of accumulated
   knowledge, skills, and experience in areas that are central to geriatric
   medicine, including expertise in complexity and the biopsychosocial
   model; attention to function and quality of life; the ability to provide
   culturally competent, person-centered care; the ability to assess
   people's preferences and values; and understanding the importance of
   systems in optimizing outcomes. J Am Geriatr Soc 67:17-20, 2019.
OI Friedman, Susan/0000-0003-0876-9888
TC 32
Z8 0
ZA 0
ZR 0
ZB 5
ZS 0
Z9 32
U1 5
U2 24
SN 0002-8614
EI 1532-5415
UT WOS:000455035800004
PM 30382585
ER

PT J
AU Armstrong, Melissa J.
   Alliance, Slande
   Corsentino, Pamela
   DeKosky, Steven T.
   Taylor, Angela
TI Cause of Death and End-of-Life Experiences in Individuals with Dementia
   with Lewy Bodies
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 67
IS 1
BP 67
EP 73
DI 10.1111/jgs.15608
PD JAN 2019
PY 2019
AB Objectives To investigate the natural history, cause of death, and
   end-of-life experiences of individuals diagnosed with dementia with Lewy
   bodies (DLB). Design Twenty-question online survey administered through
   the Lewy Body Dementia Association. Setting United States. Participants
   Caregivers, family, and friends of individuals who died in the past 5
   years with a diagnosis of DLB (survey respondents: n = 658, 89% female,
   median age 50-69). Measurements The survey included 3 questions about
   the respondent's background and 17 about the end-of-life experiences of
   the person with DLB. Topics included time from symptom onset and
   diagnosis to death, cause of death, advance directive completion,
   end-of-life education, hospice use, and location of death. Results were
   analyzed descriptively. Results Most individuals with DLB died within 5
   years of diagnosis (median 3-4 years). Respondents indicated that
   physicians rarely discussed what to expect at the end of life (40%
   total, but only 22% to a helpful degree) and that the caregiver usually
   initiated such conversations. Death was usually expected, but fewer than
   half of respondents felt prepared for what to expect. Seventy-eight
   percent used hospice, usually at home or in skilled care, with wide
   variations in duration. Failure to thrive was the most common cause of
   death (65%), followed by pneumonia and swallowing difficulties (23%),
   other medical conditions (19%), and complications from falling (10%)
   (multiple causes allowed). Conclusion Study results highlight a critical
   need for better prognostic counseling and education for persons and
   families living with DLB. The results of the current study can inform
   such counseling, but additional studies are needed to further explore
   expected prognosis of individuals diagnosed clinically with DLB and
   optimal use of palliative care services. J Am Geriatr Soc 67:67-73,
   2019.
OI DeKosky, Steven/0000-0003-3743-2758; Alliance,
   Slande/0000-0003-1290-8422; Armstrong, Melissa/0000-0002-2163-1907
Z8 0
ZS 0
ZR 0
ZB 5
TC 20
ZA 0
Z9 20
U1 2
U2 10
SN 0002-8614
EI 1532-5415
UT WOS:000455035800011
PM 30291740
ER

PT J
AU Hudder, Alice
   Tackett, Sean
   Moscatello, Kim
TI First-Year Experience Implementing an Adaptive Learning Platform for
   First- and Second-Year Medical Students at the Lake Erie College of
   Osteopathic Medicine
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 119
IS 1
BP 51
EP 58
DI 10.7556/jaoa.2019.008
PD JAN 2019
PY 2019
AB Context: The Lake Erie College of Osteopathic Medicine (LECOM) is a
   large, diverse medical school spread across 3 campuses, which makes it
   challenging to deliver comparable learning experiences to all students.
   Osmosis is a Web and mobile application that can integrate with a
   variety of existing curricula and, through its content creation and
   sharing features, can foster student cohesion in an online environment.
   Objective: To analyze the first year of use for the Osmosis platform
   among LECOM students at each campus and to identify barriers to this
   use.
   Methods: Medical education at LECOM is delivered across 3 campus
   locations using 3 main pathways: the lecture-discussion, problem-based
   learning, and directed-study pathways. Beginning in the 2016-2017
   academic year, all LECOM first-year medical students could use the
   Osmosis platform free of charge; second-year students were informed
   about the platform but were required to pay for a subscription. For all
   students, engagement metrics were tracked within the platform, and
   periodic student surveys and informal student feedback supplemented
   these metrics.
   Results: Of 1135 LECOM students, 567 (50%) signed up for an account,
   including 416 (73%) of 573 first-year and 151 (27%) of 562 second-year
   students. In aggregate, students created 17,901 items and answered
   123,050 practice questions and flashcards. Student use of the platform
   varied considerably, with the highest use at the Erie campus, where the
   platform was championed by faculty, and among a portion of second-year
   students preparing for board examinations. Some students were
   "superusers"; 2 students completed more than 20,000 items, and 5 created
   more than 1000 items each. The greatest barriers to use of the platform
   were preferences for previous study methods and lack of time to learn
   new study habits.
   Conclusion: Although the use of the platform across LECOM campuses was
   uneven, it was greatest when there was overt support by faculty and when
   students were already motivated to use the platform. The lessons learned
   during the first year of the program will be used to improve use of the
   platform. The authors offer their insights into this new technology.
RI Hudder, Alice/H-5732-2019; Tackett, Sean/
OI Hudder, Alice/0000-0003-0630-2459; Tackett, Sean/0000-0001-5369-7225
Z8 0
ZA 0
ZS 0
ZB 1
ZR 0
TC 7
Z9 7
U1 1
U2 11
SN 0098-6151
EI 1945-1997
UT WOS:000455088100007
PM 30615042
ER

PT J
AU Plana, Natalie M.
   Rifkin, William J.
   Kantar, Rami S.
   David, Joshua A.
   Maliha, Samantha G.
   Farber, Scott J.
   Staffenberg, David A.
   Grayson, Barry H.
   Diaz-Siso, J. Rodrigo
   Flores, Roberto L.
TI A Prospective, Randomized, Blinded Trial Comparing Digital Simulation to
   Textbook for Cleft Surgery Education
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 143
IS 1
BP 202
EP 209
DI 10.1097/PRS.0000000000005093
PD JAN 2019
PY 2019
AB Background: Simulation is progressively being integrated into surgical
   training; however, its utility in plastic surgery has not been well
   described. The authors present a prospective, randomized, blinded trial
   comparing digital simulation to a surgical textbook for
   conceptualization of cleft lip repair.
   Methods: Thirty-five medical students were randomized to learning cleft
   repair using a simulator or a textbook. Participants outlined markings
   for a standard cleft lip repair before (preintervention) and after
   (postintervention) 20 minutes of studying their respective resource. Two
   expert reviewers blindly graded markings according to a 10-point scale,
   on two separate occasions. Intrarater and interrater reliability were
   calculated using intraclass correlation coefficients. Paired and
   independent t tests were performed to compare scoring between study
   groups. A validated student satisfaction survey was administered to
   assess the two resources separately.
   Results: Intrarater grading reliability was excellent for both raters
   for preintervention and postintervention grading (rater 1, intraclass
   correlation coefficient = 0.94 and 0.95, respectively; rater 2,
   intraclass correlation coefficient = 0.60 and 0.92, respectively; p <
   0.001). Mean preintervention performances for both groups were
   comparable (0.82 +/- 1.17 versus 0.64 +/- 0.95; p = 0.31). Significant
   improvement from preintervention to postintervention performance was
   observed in the textbook (0.82 +/- 1.17 versus 3.50 +/- 1.62; p < 0.001)
   and simulator (0.64 +/- 0.95 versus 6.44 +/- 2.03; p < 0.001) groups.
   However, the simulator group demonstrated a significantly greater
   improvement (5.81 +/- 2.01 versus 2.68 +/- 1.49; p < 0.001).
   Participants reported the simulator to be more effective (p < 0.001) and
   a clearer tool (p < 0.001), that allowed better learning (p < 0.001)
   than textbooks. All participants would recommend the simulator to
   others.
   Conclusion: The authors present evidence from a prospective, randomized,
   blinded trial supporting online digital simulation as a superior
   educational resource for novice learners, compared with traditional
   textbooks.
RI Rifkin, William/AAG-1533-2020; Kantar, Rami/J-7366-2019; Rifkin, William/
OI Kantar, Rami/0000-0002-2245-2054; Rifkin, William/0000-0002-2314-4125
ZS 0
ZA 0
ZB 0
ZR 0
TC 17
Z8 1
Z9 18
U1 1
U2 3
SN 0032-1052
EI 1529-4242
UT WOS:000455067400071
PM 30325894
ER

PT J
AU Kwon, Soo-Ha
   Goh, Raymond
   Wang, Zeng-Tao
   Tang, Evelyn Ting-Hsuan
   Chu, Cheng-Feng
   Chen, Yen-Chou
   Lu, Johnny Chuieng-Yi
   Wei, Ching-Yueh
   Hsu, Angela Ting-Wei
   Chang, Tommy Nai-Jen
TI Tips for Making a Successful Online Microsurgery Educational Platform:
   The Experience of International Microsurgery Club
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 143
IS 1
BP 221E
EP 233E
DI 10.1097/PRS.0000000000005109
PD JAN 2019
PY 2019
AB The presence of online learning resources has grown tremendously in
   recent years. They provide powerful and yet easily accessible means of
   learning and sharing knowledge. Online learning resources now encompass
   all aspects of medicine, and microsurgery is no exception. International
   Microsurgery Club is a closed, invitation-only group based on the
   Facebook social media platform. It was initiated on May 6, 2016, with
   the primary objectives of providing a convenient forum for discussing
   challenging cases, sharing valuable resources, and providing
   opportunities for research collaboration. The membership of
   International Microsurgery Club has grown to over 8700 at 2 years'
   existence, and continues to expand. International Microsurgery Club has
   become one of the largest online platforms for global microsurgeons.
   Here, the authors share their experience on how to establish a
   successful online platform for medical education.
CT 9th Congress of the World-Society-for-Reconstructive-Microsurgery (WSRM)
CY JUN 14-17, 2017
CL Seoul, SOUTH KOREA
SP World Soc Reconstruct Microsurgery
ZR 0
TC 17
ZB 0
Z8 0
ZS 0
ZA 1
Z9 18
U1 0
U2 10
SN 0032-1052
EI 1529-4242
UT WOS:000455067400021
PM 30286043
ER

PT J
AU Dahn, Hannah
   McGibbon, Angela
   Bowes, David
TI Burnout and Resiliency in Canadian Oncology Residents: A Nationwide
   Resident and Program Director Survey
SO PRACTICAL RADIATION ONCOLOGY
VL 9
IS 1
BP E118
EP E125
DI 10.1016/j.prro.2018.08.001
PD JAN-FEB 2019
PY 2019
AB Purpose: This study aimed to measure the burnout rates and resiliency
   scores of Canadian oncology residents and advance the knowledge on
   resiliency and wellness training in Canadian oncology residency
   programs.
   Methods and materials: Online surveys were circulated to all Canadian
   radiation oncology, medical oncology, and hematology residents and
   program directors. Oncology resident burnout rates and resiliency scores
   were measured using the abbreviated Maslach Burnout Inventory and
   Connor-Davidson Resiliency Scale. Information with regard to
   pre-existing resiliency and wellness training programs as well as
   interest in and suggestions for potential resiliency and wellness
   activities was collected.
   Results: The resident survey had a response rate of 30% (57 of 187
   surveys sent). The average resiliency score on the Connor-Davidson
   Resiliency Scale was 65.4 (95% confidence interval, 62.2-68.6). A total
   of 24 responding residents (42.1%) met the defined burnout criteria. Low
   resiliency was significantly associated with a higher rate of burnout (P
   = .01). No specific demographics predicted low resiliency or high
   burnout. A total of 33 residents (58%) felt that they had not received
   adequate resiliency and wellness training. The program director survey
   had a response rate of 48% (20 of 42 surveys sent). Of the responding
   program directors, 50% indicated they had received no formal resiliency
   and wellness training.
   Conclusions: Canadian oncology residents demonstrate high rates of
   burnout and low resiliency compared with the general population, and
   similar burnout rates compared with U.S. radiation oncology residents
   and other resident groups. This is the first study to comprehensively
   report on the rates of burnout and resiliency in oncology residents and
   establishes a baseline to study resiliency and burnout in this
   population. The development of resiliency and wellness curricula,
   including mindfulness training and individualized activities, is
   warranted in this population, should be offered to all residents, and
   will be a mandatory component of the accreditation standards for
   Canadian residency programs as of 2018. (C) 2018 American Society for
   Radiation Oncology. Published by Elsevier Inc. All rights reserved.
OI Dahn, Hannah/0000-0001-7543-6210; Bowes, David/0000-0002-9932-7067
ZA 0
ZR 0
ZB 0
Z8 0
TC 15
ZS 0
Z9 15
U1 0
U2 15
SN 1879-8500
UT WOS:000454850100016
PM 30172869
ER

PT J
AU Ziechmann, Robert
   Hoffman, Haydn
   Chin, Lawrence S.
TI Academic Genealogy of Neurosurgery via Department Chair
SO WORLD NEUROSURGERY
VL 121
BP E105
EP E110
DI 10.1016/j.wneu.2018.09.023
PD JAN 2019
PY 2019
AB BACKGROUND: An academic genealogy describes mentoring relationships in
   an academic discipline. In this study, we outline an academic genealogy
   of neurosurgery department chairs in the United States beginning with
   the founding members of the field.
   METHODS: The biographic information provided by the Society for
   Neurological Surgery provided the basis for our genealogy. We also
   performed a literature review with PubMed using the term neurosurgery
   department history. Our data was manually uploaded to an online database
   called Academic Tree. Within this platform, mentor and trainee
   relationships were indicated to produce an academic genealogy.
   RESULTS: Our search yielded a total of 377 chairs and 368 mentoring
   relationships across 98 neurosurgery departments. The largest family
   tree in our academic genealogy was that of Harvey Cushing, with 177
   department chairs. Harvey Cushing was also the individual who trained
   the most number of department chairs (22). The institution that trained
   the most department chairs was Brigham and Women's Hospital (26). Only
   23.6% of department chairs completed residency training at the same
   institution where they became chair.
   CONCLUSIONS: The academic genealogy in this study allows for any
   neurosurgeon trained in the United States to put his or her training
   into historical context. It also provides a reference for bibliographic
   research to quantitatively describe the influence of individuals and
   institutions on the field.
OI Hoffman, Haydn/0000-0002-2967-6528
ZA 0
TC 1
ZB 0
ZR 0
ZS 0
Z8 0
Z9 1
U1 1
U2 12
SN 1878-8750
EI 1878-8769
UT WOS:000452897000015
PM 30218804
ER

PT J
AU Mishra, Vimal K.
   Hoyt, Robert E.
   Wolver, Susan E.
   Yoshihashi, Ann
   Banas, Colin
TI Qualitative and Quantitative Analysis of Patient's Perceptions of the
   Patient Portal Experience with OpenNotes
SO APPLIED CLINICAL INFORMATICS
VL 10
IS 1
BP 10
EP 18
DI 10.1055/s-0038-1676588
PD JAN 2019
PY 2019
AB Background Access to medical encounter notes (OpenNotes) is believed to
   empower patients and improve the quality and safety of care. The impact
   of such access is not well understood beyond select health care systems
   and notes from primary care providers.
   Objectives This article analyzes patients' perceptions about the patient
   portal experience with access to primary care and specialist's notes and
   evaluates free-text comments as an improvement opportunity.
   Materials and Methods Patients at an academic health care system who
   accessed the patient portal from February 2016 to May 2016 were provided
   a link to complete a 15-item online survey. Those who had viewed at
   least one note were asked about patient characteristics, frequency of
   note access, note usefulness, note understanding, and if any action was
   taken after accessing the note. Free-text comments were associated with
   nine questions which were analyzed using qualitative methods.
   Results A total of 23% (1,487/6,439) of patients who viewed the survey
   in the portal, participated. Seventy-six percent (1,126/1,487) knew that
   the notes were available on the portal, and of those, 957 had viewed at
   least one note to continue the survey. Ninety percent of those were
   older than 30 years of age, and 90% had some college education. The
   majority (83%) thought OpenNotes helped them take better care of
   themselves, without increasing worry (94%) or contacting the physician
   after reading the note (91%). The qualitative analysis of free-text
   responses demonstrated multiple positive and negative themes, and they
   were analyzed for potential improvement opportunities.
   Conclusion Our survey confirms that patients who choose to access their
   primary care and specialists' online medical records perceive benefits
   of OpenNotes. Additionally, the qualitative analysis of comments
   revealed positive benefits and several potential patient portal
   improvement opportunities which could inform implementation of OpenNotes
   at other health systems.
ZB 5
ZS 0
Z8 0
TC 30
ZR 0
ZA 0
Z9 30
U1 1
U2 4
SN 1869-0327
UT WOS:000454698900002
PM 30602196
ER

PT J
AU Dexter, Nadine
   Muellenbach, Joanne M.
   Lorbeer, Elizabeth R.
   Rand, Debra
   Wilcox, Matthew E.
   Long, Bradley A.
TI Building new twenty-first century medical school libraries from the
   ground up: challenges, experiences, and lessons learned
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 1
BP 6
EP 15
DI 10.5195/jmla.2019.493
PD JAN 2019
PY 2019
AB The twenty-first century library at a newly opened medical school often
   differs from those at traditional medical schools. One obvious
   difference is that the new medical school library tends to be a
   born-digital library, meaning that the library collection is almost
   exclusively digital. However, the unique issues related to building a
   library at a new medical school are not limited to online collections. A
   unique start-up culture is prevalent, of which newly appointed directors
   and other library and medical school leaders need to be aware. This
   special paper provides an overview of best practices experienced in
   building new medical school libraries from the ground up. The focus is
   on the key areas faced in a start-up environment, such as budgeting for
   online collections, space planning, staffing, medical informatics
   instruction, and library-specific accreditation issues for both
   allopathic and osteopathic institutions.
RI Rand, Debra/AAV-4822-2021; Long, Bradley/K-3434-2012; Lorbeer, Elizabeth R./L-9525-2019; Muellenbach, Joanne/; Rand, Debra/
OI Long, Bradley/0000-0002-5363-2891; Lorbeer, Elizabeth
   R./0000-0003-1410-1286; Muellenbach, Joanne/0000-0002-9970-6729; Rand,
   Debra/0000-0002-8428-5052
ZR 0
Z8 0
ZA 0
TC 5
ZS 0
ZB 2
Z9 7
U1 1
U2 12
SN 1536-5050
UT WOS:000454603900002
PM 30598644
ER

PT J
AU Jain, N.
   Abboudi, H.
   Kalic, A.
   Gill, F.
   Al-Hasani, H.
TI YouTube as a source of patient information for transrectal
   ultrasound-guided biopsy of the prostate
SO CLINICAL RADIOLOGY
VL 74
IS 1
SI SI
DI 10.1016/j.crad.2018.09.004
PD JAN 2019
PY 2019
AB AIM: To assess the quality of YouTube videos explaining transrectal
   ultrasound (TRUS)-guided biopsies of the prostate.
   MATERIALS AND METHODS: A search of YouTube was made for the terms
   "TRUS", "TRUS biopsy", "transrectal ultrasound", and "prostate biopsy".
   Videos were selected from the first 10 pages of results and reviewed by
   three authors against criteria based on written information from the
   British Association of Urological Surgeons. They were given a
   qualitative rating based on how well they provided information on
   factors such as preparation for the procedure, mechanism of the
   procedure and possible side effects. Data were also collected on view
   count, country of origin, likes, and dislikes.
   RESULTS: A total of 41 videos were reviewed, with no videos achieving an
   "excellent" rating, 32 being rated as "very poor", and only one rated as
   "good". Despite the poor-quality information, 39 of the videos were from
   healthcare organisations or individual surgeons. Videos often lacked
   specific information, or were targeted at healthcare professionals
   instead of patients.
   CONCLUSION: The information about TRUS-guided prostate biopsies on
   YouTube was not of a sufficiently high standard to allow patients to
   make informed decisions. Healthcare professionals hence have a duty to
   point patients towards adequate sources of reputable information online.
   Furthermore, there remains an opportunity to produce high-quality,
   informative, patient-focussed medical YouTube videos. (C) 2018 The Royal
   College of Radiologists. Published by Elsevier Ltd. All rights reserved.
ZS 0
ZB 3
ZA 0
TC 16
ZR 0
Z8 0
Z9 16
U1 0
U2 1
SN 0009-9260
EI 1365-229X
UT WOS:000454334300014
PM 30322707
ER

PT J
AU Lee, Kevin C.
   Berg, Elizabeth T.
   Jazayeri, Hossein E.
   Chuang, Sung-Kiang
   Eisig, Sidney B.
TI Online Patient Education Materials for Orthognathic Surgery Fail to Meet
   Readability and Quality Standards
SO JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
VL 77
IS 1
AR 180.e1
DI 10.1016/j.joms.2018.08.033
PD JAN 2019
PY 2019
AB Purpose: The purpose of this study was to evaluate the readability and
   quality of online patient educational materials (PEMs) for orthognathic
   surgery.
   Materials and Methods: Two internet searches were performed using the
   search terms orthognathic surgery and jaw surgery. The presence of
   content related to the risks, benefits, procedure, and postoperative
   care was recorded. Readability was measured using 4 validated scales:
   Flesch-Kincaid grade level, Gunning Fog index, Coleman-Liau index, and
   Simple Measure of Gobbledygook index. Materials were readable if they
   were written at or below an eighth-grade reading level as recommended by
   the American Medical Association (AMA) and the National Institutes of
   Health (NIH). Quality was assessed using 2 metrics: the DISCERN
   instrument and the Journal of the American Medical Association benchmark
   criteria. A DISCERN score of 50 was set as the lower limit of acceptable
   quality Mann-Whitney U and Fisher exact tests were used to compare the
   readability, quality, and presence of content between private practice
   and non-private practice PEMs.
   Results: Fifty websites were included in the study after removing
   duplicates and applying exclusion criteria. On average, PEMs were
   written at a 13.4-grade level (range, 7.8 to 17.3). Nearly every website
   (n = 49; 98%) mentioned the benefits of surgery; however, very few
   websites discussed the surgical procedure (n = 12; 24%), postoperative
   care (n = 10; 20%), and risks or complications (n = 6; 12%). The mean
   DISCERN score was 25.5 of 80 (range, 18 to 63), and only 2 websites
   achieved DISCERN scores of acceptable quality. Private practice websites
   reported less content related to the surgical procedure (P = .03) and
   had lower DISCERN scores (P = .02).
   Conclusions: As a whole, online PEMs for orthognathic surgery failed to
   meet AMA and NIH readability recommendations and yielded poor quality
   scores. Increasing the presence of content related to treatment risks
   and postoperative care will help improve the quality of PEMs. (C) 2018
   American Association of Oral and Maxillofacial Surgeons
OI Lee, Kevin/0000-0002-3079-1419; Jazayeri, Hossein/0000-0002-5138-0061
ZA 0
ZR 0
Z8 0
ZB 2
TC 11
ZS 0
Z9 11
U1 0
U2 3
SN 0278-2391
EI 1531-5053
UT WOS:000454535400031
PM 30296407
ER

PT J
AU Lum, Hillary D.
   Brungardt, Adreanne
   Jordan, Sarah R.
   Phimphasone-Brady, Phoutdavone
   Schilling, Lisa M.
   Lin, Chen-Tan
   Kutner, Jean S.
TI Design and Implementation of Patient Portal-Based Advance Care Planning
   Tools
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 57
IS 1
BP 112
EP +
DI 10.1016/j.jpainsymman.2018.10.500
PD JAN 2019
PY 2019
AB Background. Electronic health record-based portal tools may help
   patients engage in advance care planning (ACP). We designed and
   implemented portal-based ACP tools to enable patients to create a
   medical durable power of attorney (MDPOA).
   Measures. MDPOA documentation and System Usability Scale were assessed.
   Intervention. Stakeholder-informed portal-based ACP tools include an
   electronic MDPOA form, patient educational webpage, online messaging,
   and patient access to completed advance directives.
   Outcomes. A total of 2814 patients used the tools over 15 months.
   Patients had a mean age 45 years (17-98 years) and 69% were women.
   Eighty-nine percent completed an MDPOA form, 2% called or sent online
   messages, and 8% viewed the MDPOA form but did not complete it. The
   tools were rated highly usable.
   Conclusions/Lessons Learned. Patients demonstrated willingness to use
   the portal to complete an MDPOA and rated the new ACP tools as highly
   usable. Future work will optimize population-based outreach strategies
   to engage patients in ACP through the portal. Published by Elsevier Inc.
   on behalf of American Academy of Hospice and Palliative Medicine.
RI Lin, Chen-Tan/AAA-6856-2021; Jordan, Sarah/
OI Jordan, Sarah/0000-0001-7715-8007
TC 14
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 14
U1 1
U2 8
SN 0885-3924
EI 1873-6513
UT WOS:000454242100025
PM 30595147
ER

PT J
AU Harmsen, Wouter J.
   Ribbers, Gerard M.
   Heijenbrok-Kal, Majanka H.
   Khajeh, Ladbon
   Sneekes, Emiel M.
   van Kooten, Fop
   Neggers, Sebastian J. C. M. M.
   van den Berg-Emons, Rita J.
TI Fatigue After Aneurysmal Subarachnoid Hemorrhage Is Highly Prevalent in
   the First-Year Postonset and Related to Low Physical Fitness A
   Longitudinal Study
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 1
BP 7
EP 13
DI 10.1097/PHM.0000000000000976
PD JAN 2019
PY 2019
AB Objective: The aim of the study was to investigate whether low physical
   fitness and inactive and sedentary lifestyles play a role in the
   severity of fatigue in patients with aneurysmal subarachnoid hemorrhage
   (a-SAH).
   Design: This is a prospective 1-yr follow-up study, including a total of
   52 patients with a-SAH. Outcome measures included the Fatigue Severity
   Scale score, peak oxygen uptake (VO2peak), isokinetic knee muscle
   strength (peak torque), physical activity (% 24-hr period), and
   sedentary behavior (% waking hours) and were evaluated at 6 and 12 mos
   after onset.
   Results: Fatiguewas highly prevalent in the first year and reported by
   48% of the patients at 6 mos and by 52% at 12mos after a-SAH. Fatiguewas
   associated with the knee extension (P < 0.001) and flexion strength (P <
   0.001). A nonsignificant trend for a relationship was found between
   fatigue and the aerobic capacity (P = 0.079). No relationships were
   found between fatigue and physical activity or sedentary behavior.
   Fatigue could not be predicted by disease-related characteristics.
   Conclusions: Half of the patients were fatigued in the first year after
   a-SAH. Interventions are necessary to reduce fatigue and should consider
   exercise training as a potential contributor to a multimodal treatment,
   preventing debilitating conditions after a-SAH.
RI Ribbers, Gerard M/C-1454-2014; Heijenbrok-Kal, Majanka H./
OI Ribbers, Gerard M/0000-0002-6114-349X; Heijenbrok-Kal, Majanka
   H./0000-0002-2982-4404
ZR 0
ZB 1
ZS 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 2
SN 0894-9115
EI 1537-7385
UT WOS:000453783200005
PM 29863585
ER

PT J
AU LaManna, Jacqueline B.
   Guido-Sanz, Frank
   Anderson, Mindi
   Chase, Susan K.
   Weiss, Josie A.
   Blackwell, Christopher W.
TI Teaching Diagnostic Reasoning to Advanced Practice Nurses: Positives and
   Negatives
SO CLINICAL SIMULATION IN NURSING
VL 26
SI SI
BP 24
EP 31
DI 10.1016/j.ecns.2018.10.006
PD JAN 2019
PY 2019
AB Many nurses transitioning to advanced practice roles struggle in gaining
   competence in diagnostic reasoning, a core skill requiring integration
   and application of complex patient data. Diagnostic error, a common
   cause of medical error, is often a result of faulty interpretation,
   synthesis, or judgment of available information. Nurse educators,
   confronted with decreased clinical site availability, shifts to online
   education, and emerging learning pedagogies are increasingly challenged
   in facilitating student acquisition of diagnostic reasoning skills. This
   article presents an overview of strategies and lessons learned by
   primary and acute care nurse practitioner faculty in attempts to improve
   student competence in diagnostic reasoning.
RI Anderson, Mindi/AAE-3912-2019; LaManna, Jacqueline/
OI Anderson, Mindi/0000-0002-9385-8502; LaManna,
   Jacqueline/0000-0003-0171-5000
ZS 0
ZR 0
Z8 0
ZA 0
ZB 0
TC 9
Z9 9
U1 2
U2 14
SN 1876-1399
EI 1876-1402
UT WOS:000454020400005
ER

PT J
AU Husmann, Polly R.
   O'Loughlin, Valerie Dean
TI Another Nail in the Coffin for Learning Styles? Disparities among
   Undergraduate Anatomy Students' Study Strategies, Class Performance, and
   Reported VARK Learning Styles
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 1
BP 6
EP 19
DI 10.1002/ase.1777
PD JAN-FEB 2019
PY 2019
AB The concept and existence of learning styles has been fraught with
   controversy, and recent studies have thrown their existence into doubt.
   Yet, many students still hold to the conventional wisdom that learning
   styles are legitimate, and may adapt their outside of class study
   strategies to match these learning styles. Thus, this study aims to
   assess if undergraduate anatomy students are more likely to utilize
   study strategies that align with their hypothetical learning styles
   (using the VARK analysis from Fleming and Mills, , Improve Acad.
   11:137-155) and, if so, does this alignment correlate with their outcome
   in an anatomy course. Relatedly, this study examines whether students'
   VARK learning styles are correlated with course outcomes regardless of
   the students' study strategies, and whether any study strategies are
   correlated with course outcomes, regardless of student-specific VARK
   results. A total of 426 anatomy students from the 2015 and 2016 Fall
   semesters completed a study strategies survey and an online VARK
   questionnaire. Results demonstrated that most students did not report
   study strategies that correlated with their VARK assessment, and that
   student performance in anatomy was not correlated with their score in
   any VARK categories. Rather, some specific study strategies
   (irrespective of VARK results), such as use of the virtual microscope,
   were found to be positively correlated with final class grade. However,
   the alignment of these study strategies with VARK results had no
   correlation with anatomy course outcomes. Thus, this research provides
   further evidence that the conventional wisdom about learning styles
   should be rejected by educators and students alike. Anat Sci Educ. (c)
   2018 American Association of Anatomists.
RI SOUZA, CRISOMAR Lobo de/Q-2347-2019; Husmann, Polly/AAC-6368-2020; O'Loughlin, Valerie Dean/AAF-2993-2021; l, y/AAN-7397-2020
OI Husmann, Polly/0000-0001-5935-9956; O'Loughlin, Valerie
   Dean/0000-0002-8329-2074; 
TC 50
ZR 0
ZS 0
ZA 0
Z8 0
ZB 3
Z9 51
U1 2
U2 36
SN 1935-9772
EI 1935-9780
UT WOS:000455544300002
PM 29533532
ER

PT J
AU MacAulay, Margaret
TI Antiviral Marketing: The Informationalization of HIV Prevention
SO CANADIAN JOURNAL OF COMMUNICATION
VL 44
IS 2
BP 239
EP 261
DI 10.22230/cjc.2019v44n2a3331
PD 2019
PY 2019
AB Background Leveraging the affordances of technology to enhance human
   immunodeficiency virus (HIV) prevention efforts has become an increasing
   public health priority. Grounded in a case study examining the role of
   networked information technologies in reshaping the HIV prevention
   landscape for gay men in San Francisco and Vancouver, this article
   proposes that HIV prevention has become informationalized.
   Analysis The infortnationalization of HIV prevention is a convergent and
   participatory process where networked information technologies not only
   mediate but also produce HIV risk subjectivities, discourses, and
   practices in ambivalent ways.
   Conclusion and implications This article argues that although
   informationalization creates many important opportunities to revitalize
   HIV prevention, the binary logic of data and code can unwittingly
   reproduce hierarchies of guilt/innocence and perpetrator/victim that
   pose challenges for community-based HIV advocacy efforts.
TC 0
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 0
U1 0
U2 0
SN 0705-3657
EI 1499-6642
UT WOS:000473144200023
ER

PT J
AU Castaneda, Peris
   Sales, Anne
   Osborne, Nicholas H.
   Corriere, Matthew A.
TI Scope, Themes, and Medical Accuracy of eHealth Peripheral Artery Disease
   Community Forums
SO ANNALS OF VASCULAR SURGERY
VL 54
BP 92
EP 102
DI 10.1016/j.avsg.2018.09.004
PD JAN 2019
PY 2019
AB Background: The availability of electronic health (eHealth) information
   and disease-related community forums has grown over the last decade.
   Although patients and families frequently use these resources, their
   content has not been characterized in terms users, content, or
   reliability of information. eHealth communities therefore represent a
   potentially valuable but uncharted source of information about key
   patient issues, communication terminology, and unmet needs. We
   hypothesized that eHealth forums would contain terminology, themes, and
   advice inconsistent with resources from medical providers and
   references. To test this hypothesis, we performed a qualitative analysis
   of posts and responses from an open-access peripheral artery disease
   (PAD) eHealth community forum to characterize the discussion,
   participants, and the information being exchanged.
   Methods: Posts were collected from an online PAD Medical Support
   Community forum (MedHelp), which is open access, does not require
   participants to identify themselves, and is based in the United States.
   Posts were selected from threads in which the main topic was PAD,
   including diagnosis, symptoms, and treatment. Original posts and related
   responses were analyzed for thematic content, common vernacular, and
   self-reported characteristics of the participants using a qualitative
   analysis software program. Disease-specific comments and advice were
   evaluated for congruence with contemporary PAD treatment guidelines.
   Results: A total of 103 posts were collected and analyzed, including 40
   original posts and 63 responses. Forty-five percent of the original
   posts and 19% of the responses were authored by participants who
   self-identified as patients with PAD. The remaining posts were authored
   by people with undeclared relationships to patients with PAD, followed
   by children, spouses, and other relatives. The most common themes among
   original posts included PAD diagnosis (and differential) (25%),
   treatment (23%), epidemiology and pathophysiology (21%), disease
   symptoms and impacts on activities of daily living (15%), and
   health-care provider recommendations (13%). Themes of responses included
   medical advice (40.5%), personal experiences with PAD (32.8%), and
   social support (12.6%). Negative attitudes were identified in 10 of 18
   (55.6%) posts related to experiences with health-care providers. Of all
   medical advice, 15.1% was inconsistent with clinical treatment
   guidelines.
   Conclusion: eHealth communities are a rich source of information related
   to the experiences of patients with PAD, their treatment preferences,
   questions they consider important, and terminology that they use. This
   information can be used to understand unmet patient needs, develop
   educational resources, and improve communication.
CT 42nd Annual Winter Meeting of the
   Vascular-and-Endovascular-Surgical-Society (VESS)
CY JAN 31-FEB 04, 2018
CL Vail, CO
SP Vasc & Endovascular Surg Soc
RI Sales, Anne E/D-9678-2012; Castaneda, Peris/; Corriere, Matthew/
OI Sales, Anne E/0000-0001-9360-3334; Castaneda, Peris/0000-0003-1736-0574;
   Corriere, Matthew/0000-0002-7415-0322
ZR 0
ZB 0
TC 5
ZA 0
Z8 0
ZS 1
Z9 6
U1 0
U2 11
SN 0890-5096
EI 1615-5947
UT WOS:000452541600013
PM 30267913
ER

PT J
AU Hastings, Tessa J.
   Kavookjian, Jan
   Ekong, Gladys
TI Associations among student conflict management style and attitudes
   toward empathy
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 11
IS 1
BP 25
EP 32
DI 10.1016/j.cptl.2018.09.019
PD JAN 2019
PY 2019
AB Introduction: Pharmacy education standards include a focus on
   interprofessional education and communication skills, specifically
   naming conflict management and patient-centered communication as key
   areas. This study aimed to explore the association between conflict
   management style and attitudes toward empathy among first year pharmacy
   students (P1s) in professional encounters.
   Methods: A cross-sectional design was implemented among two cohorts of
   P1s who completed an online survey including the Thomas-Kilmann Conflict
   Mode Instrument professional version (TKCI-P) and the Kiersma-Chen
   Empathy Scale (KCES).
   Results: Those scoring higher on the competing mode reported
   significantly lower attitudes toward empathy (p < 0.05). Those scoring
   higher on the accommodating mode reported significantly higher attitudes
   toward empathy (p < 0.05). Some student characteristics, including
   gender and race, were significantly associated with KCES score and/or
   TKCI-P mode.
   Conclusions: These results suggest that awareness and training in
   empathy and conflict management should be incorporated in curricular
   content to support the likelihood of future pharmacists to be effective
   in their future patient and interprofessional interactions.
RI Hastings, Tessa/AAN-9929-2021; Hastings, Tessa/
OI Hastings, Tessa/0000-0002-4705-0449
ZR 0
Z8 0
ZS 0
ZB 0
TC 6
ZA 1
Z9 7
U1 0
U2 10
SN 1877-1297
EI 1877-1300
UT WOS:000452332300004
PM 30527873
ER

PT J
AU Ruble, Kathy
   Pare-Blagoev, Juliana
   Cooper, Stacy
   Martin, Allison
   Jacobson, Lisa A.
TI Parent perspectives on oncology team communication regarding
   neurocognitive impacts of cancer therapy and school reentry
SO PEDIATRIC BLOOD & CANCER
VL 66
IS 1
AR e27427
DI 10.1002/pbc.27427
PD JAN 2019
PY 2019
AB Background Neurocognitive deficits are common after childhood cancer and
   impact academic performance. Parents need to be knowledgeable of
   long-term complications impacting school and the resources necessary to
   support educational achievement. The oncology team plays an important
   role in preparing parents for the challenges of returning to school
   after treatment. Methods Results An online survey developed by parents
   and stakeholders was used to assess parent experiences and preferences
   associated with oncology team support around neurocognitive deficits and
   school transition. Recruitment included social media sites, foundation
   contacts, and clinic/event flyers. Topics included information content,
   timing, and frequency of information; and utility or perceived value of
   information. Inclusion criteria included respondent identifying as a
   parent (caregiver) of child treated for cancer who has returned to
   school. Surveys from 203 parents were completed representing diverse
   geographic locations. Nearly half (48%) did not recall receiving
   information about neurocognitive deficits. The most frequently reported
   time to receive this information was at diagnosis, but parents reported
   a need for conversations throughout the cancer trajectory, especially at
   transition to survivorship and school reentry. In addition, half of the
   parents (51%) felt inadequately prepared for the return to school.
   Information about neuropsychological testing, resources for learning
   difficulties, educational terms, and legal rights related to school
   services were the topics most inadequately provided. Conclusions Parents
   feel inadequately prepared by their oncology team for their child's
   return to school. Research is needed to identify effective oncology team
   approaches to fill the gaps in knowledge around school reentry after
   cancer treatment.
RI Martin, Allison/GPX-3158-2022; Ruble, Kathy/; Jacobson, Lisa/
OI Martin, Allison/0000-0002-5984-4684; Ruble, Kathy/0000-0001-7408-6773;
   Jacobson, Lisa/0000-0002-6992-029X
ZS 0
Z8 0
ZB 2
ZA 0
TC 16
ZR 0
Z9 16
U1 0
U2 14
SN 1545-5009
EI 1545-5017
UT WOS:000450821000008
PM 30160071
ER

PT J
AU Rozenberg, Aleksandr
   Kenneally, Barry E.
   Abraham, John A.
   Strogus, Kristin
   Roedl, Johannes B.
   Morrison, William B.
   Zoga, Adam C.
TI Second opinions in orthopedic oncology imaging: can fellowship training
   reduce clinically significant discrepancies?
SO SKELETAL RADIOLOGY
VL 48
IS 1
BP 143
EP 147
DI 10.1007/s00256-018-3024-3
PD JAN 2019
PY 2019
AB ObjectiveTo determine factors that lead to significant discrepancies in
   second-opinion consultation of orthopedic oncology patients, and
   particularly if musculoskeletal fellowship training can decrease
   clinically significant discrepancies.MethodsA PACS database was queried
   for secondary reads on outside cross-sectional imaging studies, as
   requested by orthopedic oncology from 2014 to 2017. Comparison of
   original and secondary reports was performed using a published
   seven-point scale that defines clinically significant discrepancies. An
   online search was performed for each original radiologist to record if a
   fellowship in musculoskeletal imaging was completed. Additionally, years
   of post-residency experience, number of Medicare part B patients billed
   per year (marker of practice volume), and average hierarchical condition
   category for each radiologist (marker of practice complexity) was
   recorded.ResultsA total of 571 patients met the inclusion criteria, with
   184 cases initially interpreted by an outside fellowship trained
   musculoskeletal (MSK) radiologist and 387 cases initially interpreted by
   a non-MSK trained radiologist. The rate of clinically significant
   discrepancy was 9.2% when initially interpreted by MSK radiologists
   compared with 27.9% when initially performed by non-MSK radiologists
   (p<0.05). After adjustment by both patient characteristics and
   radiologist characteristics, the likelihood of clinically significant
   discrepancies was greater for initial interpretations by non-MSK
   radiologists compared with MSK radiologists (OR=1.36; 95%
   CI=1.23-2.49).ConclusionIn orthopedic oncology patients, the rate of
   clinically significant discrepancies was significantly higher when
   initially interpreted by non-MSK radiologists compared with MSK
   radiologists. The lower rate of clinically significant discrepancies
   demonstrates that subspecialty training may direct more appropriate
   diagnosis and treatment.
ZS 0
ZA 0
TC 7
ZR 0
ZB 0
Z8 0
Z9 7
U1 0
U2 1
SN 0364-2348
EI 1432-2161
UT WOS:000452667500015
PM 30003278
ER

PT J
AU Burns, Ethel
   Hunter, Louise
   Rodd, Zoe
   MacLeod, Megan
   Smith, Lesley
TI Developing and evaluating an online learning tool to improve midwives'
   accuracy of visual estimation of blood loss during waterbirth: An
   experimental study
SO MIDWIFERY
VL 68
BP 65
EP 73
DI 10.1016/j.midw.2018.10.004
PD JAN 2019
PY 2019
AB Objective: The principal objective was to test the effectiveness of an
   online learning tool to improve midwives' accuracy of blood loss
   estimations in a birthing pool environment. The secondary objective was
   to assess the acceptability of the online learning tool to the midwives
   using it.
   Design: A one group pre-test, post-test experiment with immediate and
   six weeks follow-up to test ability together with an online
   questionnaire to assess perceived usefulness of an online learning tool.
   Setting: A large NHS maternity hospital comprising an acute care
   obstetric unit, a small district unit labour ward, one alongside
   midwifery-led unit and three freestanding midwifery-led units.
   Participants: Volunteer NHS employed midwives who had experience in
   caring for women labouring and giving birth in water (n = 24).
   Intervention: An online learning tool comprising six randomly ordered
   short video simulations of blood loss in a birthing pool in real time,
   and a tutorial giving verbal and pictorial guidance on making accurate
   blood loss estimations in water was developed then piloted. Midwives'
   accuracy scores for estimating blood loss in each of the videos were
   calculated at three timepoints; pre and immediately post the learning
   component, and six weeks later. The estimated blood loss volume was
   subtracted from the actual blood loss volume, to give the difference
   between estimated and real blood loss in millilitres (ml) which was then
   converted to percentage difference to standardise comparison across the
   six volumes. The differences between pre-and post-learning for each of
   the six blood volumes was analysed using a repeated measures ANOVA.
   Statistical significance was set at p < 0.05. An online questionnaire
   incorporated questions using Likert scales to gauge confidence and
   competence and free text. Free text responses were analysed using a
   modified form of inductive content analysis.
   Findings: Twenty-two midwives completed the online learning and
   immediate post-test, 14 completed a post-test after six weeks, and 15
   responded to the online questionnaire. Pre-test results showed
   underestimation of all blood loss volumes and particularly for the two
   largest volumes (1000 and 1100 ml). Across all volumes, accuracy of
   estimation was significantly improved at post-test 1. Accuracy
   diminished slightly, but overall improvement remained, at post-test 2.
   Participants rated the online tool positively and made suggestions for
   refining it.
   Key conclusions and implications for practice: This is the first study
   measuring the accuracy of midwives' blood loss estimations in a birthing
   pool using real-time simulations and testing the effectiveness of an
   online learning tool to improve this important skill. Our findings
   indicate a need to develop interventions to improve midwives' accuracy
   at visually estimating blood loss in water, and the potential of an
   online approach. Most women who labour and/or give birth in water do so
   in midwifery-led settings without immediate access to medical support.
   Accuracy in blood loss estimations is an essential core skill (C) 2018
   Elsevier Ltd. All rights reserved.
OI Burns, Ethel/0000-0002-7505-7621
Z8 1
TC 4
ZB 0
ZA 0
ZS 0
ZR 0
Z9 5
U1 6
U2 17
SN 0266-6138
EI 1532-3099
UT WOS:000450307700009
PM 30368119
ER

PT J
AU Hollingsworth, Thaddeus D.
   Duszak, Richard, Jr.
   Vijayasarathi, Arvind
   Gelbard, Rondi B.
   Mullins, Mark E.
TI Trainee Knowledge of Imaging Appropriateness and Safety: Results of a
   Series of Surveys From a Large Academic Medical Center
SO CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
VL 48
IS 1
BP 17
EP 21
DI 10.1067/j.cpradiol.2017.10.007
PD JAN 2019
PY 2019
AB Objective: In order to provide high quality care to their patients and
   utilize imaging most judiciously, physician trainees should possess a
   working knowledge of appropriate use, radiation dose, and safety. Prior
   work has suggested knowledge gaps in similar areas. We aimed to evaluate
   the knowledge of imaging appropriateness, radiation dose, and MRI and
   contrast safety of physician trainees across a variety of specialties.
   Methods: Between May 2016 and January 2017, three online surveys were
   distributed to all interns, residents, and fellows in ACGME accredited
   training programs at a large academic institution over two academic
   years.
   Results: Response rates to three surveys ranged from 17.2% (218 of 1266)
   for MRI and contrast material safety, 19.1% (242 of 1266) for imaging
   appropriateness, to 19.9% (246 of 1238) for radiation dose. Overall 72%
   (509 of 706) of survey respondents reported regularly ordering
   diagnostic imaging examinations, but fewer than half (47.8%; 470 of 984)
   could correctly estimate radiation dose across four commonly performed
   imaging studies. Only one third (34%; 167 of 488) of trainees chose
   appropriate imaging in scenarios involving pregnant patients. Trainee
   post-graduate year was not significantly correlated with overall
   radiation safety scores, and no significant difference was found between
   radiation safety or appropriate imaging scores of those who participated
   in a medical school radiology elective vs. those who did not. A total of
   84% (57 of 68) of radiology trainees and 43% (269 of 630) of
   non-radiology trainees considered their knowledge adequate but that
   correlated only weakly correlated to actual knowledge scores (p<0.001).
   Most trainees (73%, 518 of 706) agreed that more training in these areas
   would have beneficial effects on patient care.
   Conclusions: Knowledge gaps pertaining to appropriateness and imaging
   safety exist among many trainees. In order to enhance the value of
   imaging at the population level, further work is needed to assess the
   most appropriate method and stage of training to address these knowledge
   gaps. (C) 2017 Elsevier Inc. All rights reserved.
RI Mullins, Mark/; Duszak, Richard/L-1811-2016
OI Mullins, Mark/0000-0001-6446-9332; Duszak, Richard/0000-0003-0425-3008
ZA 0
ZB 1
Z8 0
TC 6
ZR 0
ZS 0
Z9 6
U1 0
U2 4
SN 0363-0188
UT WOS:000449230000004
PM 29191365
ER

PT J
AU Zhu, Xi
   Qiu, Xiangmiao
   Wu, Dingwang
   Chen, Shidong
   Xiong, Jiwen
   Du, Hongxuan
   Dai, Zihao
   Hoang, Jamy
   Peng, Anjiao
   He, Shixu
   Duan, Jianan
   Chen, Lei
TI Reliability of information about the use of antiepileptic drugs during
   pregnancy from three major web search engines in China
SO PLOS ONE
VL 13
IS 12
AR e0208783
DI 10.1371/journal.pone.0208783
PD DEC 26 2018
PY 2018
AB Objectives
   The objective of this study was to assess the reliability of online
   information, as provided by three major search engines in China, about
   the usage of antiepileptic drugs (AEDs) during pregnancy.
   Method
   Over eight weeks, six physicians conducted a literature search on six
   computers and six smartphones at a frequency of once per week. During
   each web search on each computer and smartphone, three major search
   engines in China were used, namely, Baidu, Sogou and 360. The search
   terms used were a combination of words, including one AED name
   (valproate/oxcarbazepine/levetiracetam/lamotrigine) and one Chinese word
   ("huaiyun" or "renshen", which means pregnancy in Chinese). The top ten
   websites retrieved from each search were recorded. After the content of
   each website was evaluated, the sites were categorized into 9 types.
   Meanwhile, commercial advertisements on each web page were also
   registered.
   Results
   A total of 16,411 search results were assessed. After excluding the
   redundant web pages, 4840 search results were included in the data
   analysis. Only 12.05% of the search results were reliable, 47.75% were
   partly reliable, and 40.21% were unreliable. A total of 4139 (85.52%)
   webpages contained commercial advertisements. The results from a
   multivariate analysis suggested that websites with no advertisements and
   professional websites have an independent positive impact on
   reliability.
   Conclusion
   Overall, little information on AED usage during pregnancy provided by
   major search engines in China was reliable.
Z8 0
ZR 0
ZA 0
TC 2
ZB 0
ZS 0
Z9 2
U1 1
U2 5
SN 1932-6203
UT WOS:000454416400034
PM 30586373
ER

PT J
AU Badandah, Al-Mamoon
   Alfelali, Mohammad
   Alqahtani, Amani S.
   Alsharif, Saeed
   Barasheed, Osamah
   Rashid, Harunor
CA Hajj Res Team
TI Mandatory meningococcal vaccine, and other recommended immunisations:
   Uptake, barriers, and facilitators among health care workers and
   trainees at Hajj
SO WORLD JOURNAL OF CLINICAL CASES
VL 6
IS 16
BP 1128
EP 1135
DI 10.12998/wjcc.v6.i16.1128
PD DEC 26 2018
PY 2018
AB AIM
   To evaluate the uptake of a mandatory meningococcal, a highly
   recommended influenza, and an optional pneumococcal vaccine, and to
   explore the key factors affecting vaccination rate among health care
   workers (HCWs) during the Hajj.
   METHODS
   An anonymous cross-sectional online survey was distributed among HCWs
   and trainees who worked or volunteered at the Hajj 2015-2017 through
   their line managers, or by visiting their hospitals and healthcare
   centres in Makkah and Mina. Overseas HCWs who accompanied the pilgrims
   or those who work in foreign Hajj medical missions were excluded.
   Pearson's chi(2) test was used to compare categorical variables and odds
   ratio (OR) was calculated by "risk estimate" statistics along with 95%
   confidence interval (95%CI).
   RESULTS
   A total of 138 respondents aged 20 to 59 (median 25.6) years with a male
   to female ratio of 2.5:1 participated in the survey. Only 11.6% (16/138)
   participants reported receiving all three vaccines, 15.2% (21/138) did
   not receive any vaccine, 76.1% (105/138) received meningococcal, 68.1%
   (94/138) influenza and 13.8% (19/138) pneumococcal vaccine. Females were
   more likely to receive a vaccine than males (OR 3.6, 95%CI: 1.0-12.7, P
   < 0.05). Willingness to follow health authority's recommendation was the
   main reason for receipt of vaccine (78.8%) while believing that they
   were up-to-date with vaccination (39.8%) was the prime reason for
   non-receipt.
   CONCLUSION
   Some HCWs at Hajj miss out the compulsory and highly recommended
   vaccines; lack of awareness is a key barrier and authority's advice is
   an important motivator. Health education followed by stringent measures
   may be required to improve their vaccination rate.
RI Badahdah, Al-Mamoon/AAY-3139-2020; Barasheed, Osamah/O-3996-2015; S Alqahtani, Amani/
OI Barasheed, Osamah/0000-0002-9335-6019; S Alqahtani,
   Amani/0000-0002-6320-118X
ZR 0
ZS 0
ZB 5
ZA 0
TC 11
Z8 0
Z9 11
U1 0
U2 5
SN 2307-8960
UT WOS:000454223300007
PM 30613671
ER

PT J
AU Salmon, Gill
   Tombs, Michal
TI Teaching undergraduate medical students Child and Adolescent Psychiatry
   (CAP): a Delphi study on curriculum content
SO BMC MEDICAL EDUCATION
VL 18
AR 315
DI 10.1186/s12909-018-1427-4
PD DEC 20 2018
PY 2018
AB BackgroundThe prevalence of psychiatric disorders in children and young
   people is high but despite this, many doctors have difficulty
   identifying and managing psychiatric disorders presenting in this age
   group. The purpose of this study was to determine appropriate curriculum
   content in Child and Adolescent Psychiatry (CAP) for a Graduate Entry
   Medicine (GEM) course. Doctors with a background in primary care who
   were also involved in undergraduate teaching rated how necessary they
   considered a number of knowledge, skills and attitudes items were for
   inclusion in the CAP curriculum.MethodsAn online questionnaire study was
   carried out using modified Delphi methodology in two rounds. The
   questionnaire was derived from a list of CAP learning objectives and/or
   curricular content obtained from a thorough review of the literature. 23
   of the 24 doctors who had agreed to participate went on to complete the
   round one questionnaire (95.8% response rate) with 19 also completing
   round 2 (82.6%). Where there was high agreement (70% or more) amongst
   participants, items were considered as having sufficient consensus to
   either accept or reject them. Mean scores were then used as a way to
   prioritise items.ResultsAt the end of round two, there was consensus to
   consider including 26 of the 34 knowledge items, 16 of the 20 skills
   items and three of the four attitudes items in the CAP curriculum. The
   most highly rated knowledge, skills and attitudes items were depression/
   suicide; communicating with children, young people and families; and
   rapport building. The majority (83.3%) of round two responders,
   considered that the current amount of CAP teaching time was too
   little.ConclusionsDelphi methodology proved useful for determining
   consensus and the priority rankings of the CAP knowledge, skills and
   attitudes items can now be used to help educators determine which topics
   to focus upon. The study findings support the need for additional CAP
   teaching time in the GEM curriculum and will help to shape new CAP
   content. Additional formal CAP teaching time has already been
   incorporated into the psychiatry speciality attachment, a new clinical
   skills session has been developed and CAP topics have been introduced
   into written and clinical examinations.
ZS 0
ZR 0
Z8 1
TC 5
ZB 0
ZA 0
Z9 6
U1 1
U2 5
SN 1472-6920
UT WOS:000454091700003
PM 30572900
ER

PT J
AU Mo, Jian
   Huang, Kangmao
   Wang, Xumeng
   Sheng, Xinyu
   Wang, Qiang
   Fang, Xiangqian
   Fan, Shunwu
TI The Sensitivity of Orthopaedic Surgeons to the Secondary Prevention of
   Fragility Fractures
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 100
IS 24
AR e153
DI 10.2106/JBJS.17.01297
PD DEC 19 2018
PY 2018
AB Background: Orthopaedic surgeons must play an important role in the
   secondary prevention of fragility fractures; however, some surgeons are
   more aware than others of their responsibility regarding fracture
   prevention. The purpose of the present study was to identify which
   factors can lead to a higher sensitivity for fracture prevention.
   Methods: A cross-sectional survey was distributed to orthopaedic
   surgeons via online invitation or at academic conferences in China from
   July through October 2015. A total of 452 surgeons responded. As the
   primary outcome measure, we created a sensitivity scoring system for
   fracture prevention based on the respondents' answers to 5 questions
   regarding behavior in the following areas: risk-factor evaluation,
   pharmacologic therapy, nonpharmacologic therapy, patient education, and
   follow-up. Multivariable linear regression and multivariable logistic
   regression analyses were used to identify factors related to surgeon
   sensitivity to fracture prevention.
   Results: Very few surgeons reported having received adequate training
   regarding fracture prevention or reading guidelines or other fracture
   prevention literature (22% and 30%, respectively). Most respondents
   initiated pharmacologic or nonpharmacologic therapy (82% and 75%,
   respectively) for the treatment of confirmed osteoporosis among patients
   with fragility fractures, but only half performed a risk-factor
   evaluation, patient education, or timely patient follow-up (51%, 52%,
   and 48%, respectively). In the multivariable linear regression model,
   the orthopaedic surgeon's age (beta = 0.09, p = 0.003), self-rated
   knowledge level regarding osteoporosis or related issues (beta = 0.16, p
   < 0.001), self-perceived effectiveness in using preventive measures for
   patients with a fragility fracture (beta = 0.62, p < 0.001), and use of
   clinical pathways for fragility fractures in his or her workplace (beta
   = 1.24, p < 0.001) were independently associated with sensitivity scores
   for fracture prevention. Similar results were obtained from a
   multivariable logistic regression model.
   Conclusions: In China, the sensitivity of orthopaedic surgeons to the
   secondary prevention of fragility fractures is relatively low.
   Implementation of a comprehensive prevention approach and targeted
   continuing medical education are required to encourage surgeons to take
   greater responsibility for screening, treating, educating, and following
   their patients with fragility fractures.
ZB 1
ZS 0
Z8 2
TC 2
ZR 0
ZA 0
Z9 4
U1 0
U2 7
SN 0021-9355
EI 1535-1386
UT WOS:000453780000002
PM 30562300
ER

PT J
AU Chen, Jun
   Ren, Chang-Ju
   Wu, Lan
   Xia, Ling-Yun
   Shao, Jun
   Leng, Wei-Dong
   Zeng, Xian-Tao
TI Tooth Loss Is Associated With Increased Risk of Dementia and With a
   Dose-Response Relationship
SO FRONTIERS IN AGING NEUROSCIENCE
VL 10
AR 415
DI 10.3389/fnagi.2018.00415
PD DEC 18 2018
PY 2018
AB Objective: Both tooth loss and dementia are age-related and
   frequently-occurring diseases. Increasing attention has been given to
   explore the pathogenesis related to oral-brain function disorders. The
   present study was performed to evaluate the association between tooth
   loss and dementia through a dose-response meta-analysis.
   Methods: Relevant cohort studies were searched from online databases up
   until June 20, 2018, which examined the association between tooth loss
   and the risk of dementia. Literature selection according to inclusion
   and exclusion criteria, as well as data extraction from included studies
   were completed independently by two reviewers. Data syntheses in this
   meta-analysis were performed using Stata 12.0 software.
   Results: A total of 8 cohort studies were included, containing a total
   of 14,362 samples and 2,072 dementia patients. The result of the
   meta-analysis indicated that patients with tooth loss faced a 1.34 times
   greater risk of developing dementia (RR = 1.34,95% CI = 1.19-1.51). The
   result from this dose-response meta-analysis in a linear model,
   suggested that every missed tooth might increase the risk of dementia by
   1.01 times (RR = 1.01, 95% CI = 1.00-1.02). Further subgroup analyses
   pointed out that tooth loss patients without dentures may have a higher
   risk of dementia than those with dentures (with denture: RR = 0.98, 95%
   CI = 0.87-1.10; without denture: RR = 1.53, 95% CI = 1.19-1.97); at the
   same time, the study design, study area and education level of the study
   participants, might also have some effect on the results.
   Conclusions: Tooth loss may be a risk factor for the development of
   dementia. In addition, there is a dose-response relationship with the
   increase of missing teeth.
TC 23
ZR 0
Z8 0
ZA 0
ZB 8
ZS 0
Z9 23
U1 1
U2 8
SN 1663-4365
UT WOS:000453666000001
PM 30618721
ER

PT J
AU McCann, Terence, V
   Savic, Michael
   Ferguson, Nyssa
   Bosley, Emma
   Smith, Karen
   Roberts, Louise
   Emond, Kate
   Lubman, Dan, I
TI Paramedics' perceptions of their scope of practice in caring for
   patients with non-medical emergency-related mental health and/or alcohol
   and other drug problems: A qualitative study
SO PLOS ONE
VL 13
IS 12
AR e0208391
DI 10.1371/journal.pone.0208391
PD DEC 13 2018
PY 2018
AB Background
   Paramedics are called on frequently to provide care to patients with
   mental health and/or and alcohol and other drug (AOD) problems, but may
   have mixed views about how this fits within their role.
   Aims
   To explore paramedics' experience of caring for patients with
   non-medical emergency-related mental health and/or AOD problems,
   understand their perceptions of their scope of practice in caring for
   these patients, and ascertain if their practice should be extended to
   incorporate education with these patients.
   Method
   A convenience sample of 73 paramedics from most Australian states and
   territories-recruited through an online survey-participated in
   individual audio-recorded, qualitative interviews, conducted by
   telephone. The interviews were part of a mixed method study comprising
   qualitative interviews and online survey. A Framework Method of analysis
   to analyse the qualitative data.
   Results
   Three themes and sub-themes were abstracted from the data about
   participants' experiences and, at times, opposing viewpoints about
   caring for patients with non-medical emergency-related mental health
   and/or AOD problems: caring for these patients is a routine part of
   paramedics' work, contrasting perspectives about scope of practice in
   caring for this group of patients, competing perspectives about
   extending scope of practice to incorporate education with this cohort of
   patients.
   Conclusions
   Paramedics need more undergraduate and in-service education about the
   care of patients with mental health and/or AOD problems, and to address
   concerns about extending their scope of practice to include education
   with these patients. Thought should be given to introducing alternative
   models of paramedic practice, such as community paramedicine, with a
   focus on supporting people in the community with mental health and/or
   AOD problems. There is a need for a change in workplace and
   organisational culture about scope of practice in caring for patients
   with these problems. Extending paramedics' role could, potentially,
   benefit people with these problems by improving the quality of care,
   reducing the need for transportation to emergency departments, and
   decreasing clinicians' workloads in these departments.
RI Bosley, Emma/V-8159-2019; Emond, Kate/S-9990-2019; Lubman, Dan/; Smith, Karen/; Mccann, Terence/; Emond, Kate/
OI Bosley, Emma/0000-0002-4645-613X; Lubman, Dan/0000-0002-6747-1937;
   Smith, Karen/0000-0002-9057-0685; Mccann, Terence/0000-0003-1109-0438;
   Emond, Kate/0000-0002-4968-4007
ZA 0
Z8 0
ZR 0
ZS 1
TC 14
ZB 1
Z9 14
U1 1
U2 5
SN 1932-6203
UT WOS:000453247500020
PM 30543663
ER

PT J
AU Adu, Mary D.
   Malabu, Usman H.
   Malau-Aduli, Aduli E. O.
   Malau-Aduli, Bunmi S.
TI Users' preferences and design recommendations to promote engagements
   with mobile apps for diabetes self-management: Multi-national
   perspectives
SO PLOS ONE
VL 13
IS 12
AR e0208942
DI 10.1371/journal.pone.0208942
PD DEC 10 2018
PY 2018
AB Background
   Mobile phone applications (apps) offer motivation and support for
   self-management of diabetes mellitus (DM), but their use is limited by
   high attrition due to insufficient consideration of end-users
   perspectives and usability requirements. This study aimed to examine app
   usage and feature preferences among people with DM, and explore their
   recommendations for future inclusions to foster engagement with diabetes
   apps.
   Methods
   The study was conducted internationally on adults with type 1 or type 2
   DM using online questionnaire (quantitative) to investigate usage and
   preferences for app features that support diabetes self-management and
   semi structured telephone interview (qualitative) to explore suggestions
   on fostering engagement and specific educational information for
   inclusion into diabetes apps. Survey and interview data were analysed
   using descriptive/inferential statistics and inductive thematic analysis
   respectively.
   Results
   A total of 217 respondents with type 1 DM (38.25%) or type 2 DM (61.8%),
   from 4 continents (Australia, Europe, Asia and America) participated in
   the survey. About half of the respondents (48%) use apps, mainly with
   features for tracking blood glucose (56.6%), blood pressure (51.9%) and
   food calories (48.1%). Preferred features in future apps include
   nutrient values of foods (56.7%), blood glucose (54.8%), physical
   exercise tracker (47%), health data analytics (42.9%) and education on
   diabetes self-management (40.6%). Irrespective of the type of DM,
   participants proposed future apps that are user friendly, support
   healthy eating, provide actionable reminders and consolidate data across
   peripheral health devices. Participants with type 1 DM recommended
   customised features with news update on developments in the field of
   diabetes. Nominated specific educational topics included tips on problem
   solving, use of insulin pump therapy, signs of diabetes complication and
   transitioning from paediatric into adult care.
   Conclusions
   The study has highlighted patients' perspectives on essential components
   for inclusion in diabetes apps to promote engagement and foster better
   health outcomes.
RI Malau-Aduli, Aduli Enoch Othniel/C-2419-2014; Adu, Damilola Mary/; Malau-Aduli, Bunmi/J-9388-2014
OI Malau-Aduli, Aduli Enoch Othniel/0000-0002-3660-7862; Adu, Damilola
   Mary/0000-0003-0046-9215; Malau-Aduli, Bunmi/0000-0001-6054-8498
ZR 0
ZS 0
ZA 0
TC 24
Z8 0
ZB 5
Z9 24
U1 1
U2 16
SN 1932-6203
UT WOS:000452644700058
PM 30532235
ER

PT J
AU Hou, Li
   Kang, Hongyu
   Liu, Yan
   Li, Luqi
   Li, Jiao
TI Mining and standardizing chinese consumer health terms
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 18
AR 120
DI 10.1186/s12911-018-0695-6
SU 5
PD DEC 7 2018
PY 2018
AB BackgroundHealth professionals and consumers use different terms to
   express medical events or concerns, which makes the communication
   barriers between the professionals and consumers. This may lead to bias
   in the diagnosis or treatment due to the misunderstanding or incomplete
   understanding. To solve the issue, a consumer health vocabulary was
   developed to map the consumer-used health terms to professional-used
   medical terms.MethodsIn this study, we extracted Chinese consumer health
   terms from both online health forum and patient education monographs,
   and manually mapped them to medical terms used by professionals (terms
   in medical thesauri or in medical books). To ensure the above annotation
   quality, we developed annotation guidelines.ResultsWe applied our method
   to extract consumer-used disease terms in endocrinology, cardiology,
   gastroenterology and dermatology. In this study, we identified 1349
   medical mentions from 8436 questions posted in an online health forum
   and 1428 articles for patient education monographs. After manual
   annotation and review, we released 1036 Chinese consumer health terms
   with mapping to 480 medical terms. Four annotators worked on the manual
   annotation work following the Chinese consumer health term annotation
   guidelines. Their average inter-annotator agreement (IAA) score was
   93.91% ensuring high consistency of the released terms.ConclusionsWe
   extracted Chinese consumer health terms from online forum and patient
   education monographs, and mapped them to medical terms used by
   professionals. Manual annotation efforts have been made for term
   annotating and mapping. Our study may contribute to the Chinese consumer
   health vocabulary construction. In addition, our annotated corpus, both
   the contexts of consumer health terms and consumer-professional term
   mapping, would be a useful resource for automatic methodology
   development. The dataset of the Chinese consumer health terms (CHT) is
   publicly available at http://www.phoc.org.cn/cht/.
CT Sino-US Conference on Health Informatics
CY JUN 28-JUL 01, 2018
CL Guangzhou, PEOPLES R CHINA
OI Li, Jiao/0000-0001-6391-8343
ZA 0
TC 2
Z8 0
ZR 0
ZS 0
ZB 1
Z9 2
U1 0
U2 13
EI 1472-6947
UT WOS:000452740300011
PM 30526591
ER

PT J
AU Haas, Kevin
   Brillante, Christie
   Sharp, Lisa
   Elzokaky, Ahmed K.
   Pasquinelli, Mary
   Feldman, Lawrence
   Kovitz, Kevin L.
   Joo, Min
TI Lung cancer screening: assessment of health literacy and readability of
   online educational resources
SO BMC PUBLIC HEALTH
VL 18
AR 1356
DI 10.1186/s12889-018-6278-8
PD DEC 7 2018
PY 2018
AB BackgroundLung cancer screening can reduce mortality but can be a
   complex, multi-step process. Poor health literacy is associated with
   unfavorable outcomes and decreased use of preventative services, so it
   is important to address barriers to care through efficient and practical
   education. The readability of lung cancer screening materials for
   patients is unknown and may not be at the recommended 6th grade reading
   level set by the American Medical Association. Our goals were to: (1)
   measure the health literacy of a lung cancer screening population from
   an urban academic medical center, and (2) examine the readability of
   online educational materials for lung cancer screening.MethodsWe
   performed a retrospective cross sectional study at a single urban
   academic center. Health literacy was assessed using three validated
   screening questions. To assess the readability of educational materials,
   we performed a Google search using the phrase, What is lung cancer
   screening? and the Flesch-Kincaid Grade Level (FKGL) formula was used to
   estimate the grade level required to understand the text.ResultsThere
   were 404 patients who underwent lung cancer screening during the study
   period. The prevalence of inadequate/marginal health literacy was
   26.7-38.0%. Fifty websites were reviewed and four were excluded from
   analysis because they were intended for medical providers. The mean FKGL
   for the 46 websites combined was 10.62.2.Conclusions Low health literacy
   was common and is likely a barrier to appropriate education for lung
   cancer screening. The current online educational materials regarding
   lung cancer screening are written above the recommended reading level
   set by the American Medical Association.
OI Pasquinelli, Mary/0000-0002-1015-1908
ZA 0
ZR 0
ZB 5
TC 18
ZS 0
Z8 1
Z9 19
U1 1
U2 11
EI 1471-2458
UT WOS:000452752900004
PM 30526544
ER

PT J
AU Diederichs, Claudia
   Jordan, Susanne
   Domanska, Olga
   Neuhauser, Hannelore
TI Health literacy in men and women with cardiovascular diseases and its
   association with the use of health care services-Results from the
   population-based GEDA2014/2015-EHIS survey in Germany
SO PLOS ONE
VL 13
IS 12
AR e0208303
DI 10.1371/journal.pone.0208303
PD DEC 6 2018
PY 2018
AB Background
   Health literacy (HL), defined as the ability to access, understand,
   appraise and apply health information, offers a promising approach to
   reduce the development of cardiovascular diseases (CVD) and to improve
   the management of CVD in populations.
   Design
   We used data from nationwide cross-sectional German Health Update
   (GEDA2014/2015-EHIS) survey. 13,577 adults >= 40 years completed a
   comprehensive standardized paper or online questionnaire including the
   short form of the European Health Literacy Survey Questionnaire
   (HLS-EU-Q16).
   Methods
   We compared participants with and without CVD with regard to their HL.
   We also analyzed the association between HL level and health care
   outcomes among individuals with CVD, i.e. frequency of general
   practitioner or specialist consultations, hospitalization and treatment
   delay.
   Results
   The percentage of "problematic" or "inadequate" HL, defined as "not
   sufficient" HL, was significantly higher in individuals with CVD
   compared to without CVD (men 41.8% vs. 33.6%, women 46.7% vs. 33.4%).
   Having CVD was independently associated with "not sufficient" HL after
   adjusting for age, education, income, health consciousness and social
   support (adjusted OR: men 1.36, women 1.64). Among participants with
   CVD, individuals with "inadequate" HL were more likely to have more than
   6 general practitioner consultations (49.3% vs. 28.7%), hospitalization
   (46.6% vs. 36.0%) in the last 12 months and to experience delay in
   getting health care because of long waiting lists for an appointment
   (30.7% vs. 18.5%) compared to participants with "sufficient" HL.
   Conclusion
   "Problematic" or "inadequate" HL is independently associated with CVD
   and health care use. This is a challenge and an opportunity for both CVD
   prevention and treatment.
OI Neuhauser, Hannelore K./0000-0002-6605-6221; Jordan,
   Susanne/0000-0003-0721-1604
Z8 0
ZA 0
ZB 2
ZR 0
ZS 0
TC 12
Z9 12
U1 0
U2 7
SN 1932-6203
UT WOS:000452307600044
PM 30521588
ER

PT J
AU Anderson, Belinda J.
   Jurawanichkul, Sai
   Kligler, Benjamin E.
   Marantz, Paul R.
   Evans, Roni
TI Interdisciplinary Relationship Models for Complementary and Integrative
   Health: Perspectives of Chinese Medicine Practitioners in the United
   States
SO JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE
VL 25
IS 3
BP 288
EP 295
DI 10.1089/acm.2018.0268
EA DEC 2018
PD MAR 2019
PY 2019
AB Objectives: The combination of biomedicine and traditional and
   complementary medicine (T&CM) is often referred to as integrative
   medicine. However, the degree to which the medical disciplines are
   integrated varies between medical settings, and it is believed by some
   to be impossible due to epistemological and paradigmatic differences.
   Clinicians' perspectives are important determinants of how different
   medical disciplines are used together. This study explores the
   perspectives of experienced Chinese medicine practitioners when asked
   about the most ethical model (opposition, integration, or pluralism) for
   the relationship between biomedicine and T&CM. Design: Thirty-one
   Chinese medicine practitioners, undertaking a doctoral upgrade program
   at the Pacific College of Oriental Medicine, participated in this study.
   Participants were asked to read a publication discussing three models
   (opposition, integration, and pluralism) for the relationship between
   biomedicine and T&CM and then discuss, via an online forum within Moodle
   learning management system, the most ethical model. An inductive content
   analysis of the forum posts was undertaken to identify common themes,
   followed by member checking. Results: The data were found to contain six
   major and six minor themes. There was a clear preference for pluralism.
   The Chinese medicine practitioners expressed reservations about the
   integrative model, and, above all, cared about the quality of patient
   care. Much dialogue occurred around issues related to a power imbalance
   within health care, and possible cooptation issues. Paradigmatic
   differences and a lack of compatibility between biomedical research
   models and the practice of Chinese medicine were seen as problematic to
   the validity of research findings. Interprofessional education was
   viewed as critical for the development of respect, shared patient care,
   and referrals between clinicians from different disciplines.
   Conclusions: This study provides insight into the issues associated with
   combining biomedicine and T&CM that are perceived by Chinese medicine
   practitioners. Such insights are important for the development and
   management of clinical settings that provide complementary and
   integrative health care, especially as the provision of insurance
   coverage for T&CM increases.
OI Anderson, Belinda/0000-0002-9978-9034
ZS 0
Z8 0
ZA 0
ZB 1
ZR 0
TC 8
Z9 8
U1 2
U2 16
SN 1075-5535
EI 1557-7708
UT WOS:000452572800001
PM 30523704
ER

PT J
AU Busch, Robyn M.
   Hogue, Olivia
   Kattan, Michael W.
   Hamberger, Marla
   Drane, Daniel L.
   Hermann, Bruce
   Kim, Michelle
   Ferguson, Lisa
   Bingaman, William
   Bingaman, William
   Gonzalez-Martinez, Jorge
   Najm, Imad M.
   Jehi, Lara
TI Nomograms to predict naming decline after temporal lobe surgery in
   adults with epilepsy
SO NEUROLOGY
VL 91
IS 23
BP E2144
EP E2152
DI 10.1212/WNL.0000000000006629
PD DEC 4 2018
PY 2018
AB Objective
   To develop and externally validate models to predict the probability of
   postoperative naming decline in adults following temporal lobe epilepsy
   surgery using easily accessible preoperative clinical predictors.
   Methods
   In this retrospective, prediction model development study, multivariable
   models were developed in a cohort of 719 patients who underwent temporal
   lobe epilepsy surgery at Cleveland Clinic and externally validated in a
   cohort of 138 patients who underwent temporal lobe surgery at one of 3
   epilepsy surgery centers in the United States (Columbia University
   Medical Center, Emory University School of Medicine, University of
   Washington School of Medicine).
   Results
   The development cohort was 54% female with an average age at surgery of
   36 years (SD 12). Twenty-six percent of this cohort experienced
   clinically relevant postoperative naming decline. The model included 5
   variables: side of surgery, age at epilepsy onset, age at surgery, sex,
   and education. When applied to the external validation cohort, the model
   performed very well, with excellent calibration and a c statistic
   (reflecting discriminatory ability) of 0.81. A second model predicting
   moderate to severe postoperative naming decline included 3 variables:
   side of surgery, age at epilepsy onset, and preoperative naming score.
   This model generated a c statistic of 0.84 in the external validation
   cohort and showed good calibration.
   Conclusion
   Externally validated nomograms are provided in 2 easy-to-use formats
   (paper version and online calculator) clinicians can use to estimate the
   probability of naming decline in patients considering epilepsy surgery
   for treatment of pharmacoresistant temporal lobe epilepsy.
RI Najm, Imad/R-2143-2019; Hermann, Bruce/ACM-4355-2022; Kattan, Michael/AAF-9735-2021; Kim, Michelle/
OI Kattan, Michael/0000-0002-3840-4161; Kim, Michelle/0000-0003-2008-4603
ZB 13
TC 33
Z8 1
ZR 0
ZA 0
ZS 0
Z9 34
U1 0
U2 3
SN 0028-3878
EI 1526-632X
UT WOS:000457854000004
PM 30404781
ER

PT J
AU Dombrowski, Tobias
   Wrobel, Christian
   Dazert, Stefan
   Volkenstein, Stefan
TI Flipped classroom frameworks improve efficacy in undergraduate practical
   courses - a quasi-randomized pilot study in otorhinolaryngology
SO BMC MEDICAL EDUCATION
VL 18
AR 294
DI 10.1186/s12909-018-1398-5
PD DEC 4 2018
PY 2018
AB Background: Curriculum design and specific topic selection for on-site
   practical courses in clinical disciplines with limited teaching time is
   challenging. An electronic learning supported curriculum based on the
   flipped classroom principle has a high potential to effectively gain
   knowledge and education along with improving practical experience. Here,
   we demonstrate the introduction of a flipped classroom curriculum for
   practical courses in Otorhinolaryngology (ORL) in real world practice to
   improve the on-site time management and students' experience.
   Methods: Educational aims of our practical curriculum were analysed and
   rearranged into a flipped classroom (FC) framework. Core knowledge was
   taught preliminary based on a moodle platform in predominantly
   interactive formats. Two quasi-randomized groups were formed with 212
   participants either receiving or not receiving access to the e-learning
   program to reduce a potential allocation bias to the e-learning group.
   All students completed a questionnaire with learning related items.
   Focusing the study on the intervention group, we investigated if
   students using the flipped classroom more often felt better prepared for
   the practical course.
   Results: The online learning platform was highly accepted and frequently
   used by 66% of participating students in the e-learning group. Students
   with frequent use of our e-learning platform significantly felt better
   prepared for the practical course (p = 0.001). The far majority of all
   students supports the idea of further development of e-learning. More
   than 70% were generally interested in ORL. Handouts were the overall
   most important learning resource and more than 50% relied solely on
   them.
   Conclusions: Flipped classroom curricula can save time and help
   improving the on-site experience in practical courses especially in
   smaller surgical disciplines. The acceptance of digital learning is
   high, and most students rely on handouts for learning ORL, emphasizing
   the need for guidance by the teacher e.g. through electronic learning.
   Our results underline the high potential of FC to address teaching
   challenges for smaller medical disciplines with limited teaching time
   like ORL.
RI Volkenstein, Stefan/AAW-3829-2021; Volkenstein, Stefan/AAD-2719-2019; Dombrowski, Tobias/; Wrobel, Christian/
OI Dombrowski, Tobias/0000-0003-2522-0088; Wrobel,
   Christian/0000-0003-2800-6116
Z8 0
TC 12
ZR 0
ZB 1
ZS 1
ZA 0
Z9 13
U1 0
U2 15
SN 1472-6920
UT WOS:000452276300003
PM 30514278
ER

PT J
AU Wallihan, Rebecca
   Smith, Keely G.
   Hormann, Mark D.
   Donthi, Rajesh R.
   Boland, Kimberly
   Mahan, John D.
TI Utility of intermittent online quizzes as an early warning for residents
   at risk of failing the pediatric board certification examination
SO BMC MEDICAL EDUCATION
VL 18
AR 287
DI 10.1186/s12909-018-1366-0
PD DEC 4 2018
PY 2018
AB Background: Traditionally, quizzes have been applied as a tool for
   summative assessment, though literature suggests their use as a
   formative assessment can improve motivation and content retention. With
   this premise, we implemented a series of intermittent, online quizzes
   known as the Board Examination Simulation Exercise (BESE). We sought to
   demonstrate an association between BESE participation and scores and
   performance on the American Board of Pediatrics (ABP) Certifying
   Examination (CE).
   Methods: Residents were assigned online quizzes on a single topic at 2
   week intervals that consisted of 20 multiple choice questions written by
   the study authors. This analysis includes graduates of 3 Pediatric and
   Internal Medicine-Pediatrics residency programs.
   Results: Data were available for 329 residents. The overall BESE score
   weakly correlated with ABP CE score (n = 287; r = 0.39, p < 0.0001). ABP
   CE pass rates increased from 2009 to 2016 at all programs combined (p =
   0.0001). A composite BESE score <= 11 had sensitivity of 54% and
   specificity of 80% for predicting ABP CE failure on the first attempt.
   There was no difference in ABP CE failure rates or scores by number of
   completed quizzes.
   Conclusion: Intermittent online quizzes implemented at three pediatric
   residency programs were associated with overall increasing ABP CE pass
   rates. BESE increased program emphasis on board preparation. Residents
   with lower BESE scores more often failed ABP CE. Though additional data
   are needed, BESE is a promising tool for pediatric resident learning and
   board preparation. It may also aid in earlier identification of
   residents at higher risk of failing the ABP CE and facilitate targeted
   interventions.
RI Zixuan, Huang/ABI-3557-2020
ZB 0
ZR 0
TC 8
Z8 0
ZS 0
ZA 0
Z9 8
U1 0
U2 5
SN 1472-6920
UT WOS:000452276300008
PM 30514279
ER

PT J
AU Miki, Janet
   Rampatige, Rasika
   Richards, Nicola
   Adair, Tim
   Cortez-Escalante, Juan
   Vargas-Herrera, Javier
TI Saving lives through certifying deaths: assessing the impact of two
   interventions to improve cause of death data in Peru
SO BMC PUBLIC HEALTH
VL 18
AR 1329
DI 10.1186/s12889-018-6264-1
PD DEC 3 2018
PY 2018
AB BackgroundMortality statistics derived from cause of death data are an
   important source of information for population health monitoring,
   priority setting and planning. In Peru, almost all death certificates
   are issued by doctors because it is a legal requirement. However, the
   quality of cause of death data is poor. In August 2016, the Ministry of
   Health of Peru decided to make two specific interventions to improve
   cause of death data: to introduce an online death certification system
   and to train doctors in standard death certification
   practices.MethodsThe study comprised a random sample of 300
   pre-intervention death certificates, 900 death certificates that were
   part of the online intervention, and 900 death certificates that were
   part of both the online and training interventions. All the deaths had
   occurred between January and September 2017. We used the Assessing the
   quality of death certification tool from the University of Melbourne for
   the assessment. We examined the frequency of common errors in death
   certificates, the frequency of any error and the average error score for
   each category of: age group, sex, doctor's seniority, doctor's
   speciality, level of health facility and broad cause of death.ResultsThe
   average error score declined by 38% due to the online intervention and
   by a further 26% due to the training intervention. Improved
   certification practices remained after controlling for potentially
   confounding factors. Main improvements were reductions in the absence of
   a time interval (66% of certificates), incorrect sequence of causes
   (22%), and ill-defined conditions (13%).ConclusionsThis study
   demonstrates how the two interventions introduced by the Ministry of
   Health in Peru improved the correctness of death certificates. The study
   also provides evidence on necessary changes to the training program to
   address the poor certification practices that have remained after
   implementation of the online system.
RI Adair, Tim/O-3494-2019; Miki, Janet/AAW-3949-2020; Richards, Nicola/; Vargas Herrera, Javier/
OI Adair, Tim/0000-0002-1562-4452; Miki, Janet/0000-0002-6894-8346;
   Richards, Nicola/0000-0003-4507-5498; Vargas Herrera,
   Javier/0000-0002-1910-602X
ZS 3
ZR 0
ZA 0
Z8 0
TC 19
ZB 6
Z9 20
U1 0
U2 0
SN 1471-2458
UT WOS:000451995600003
PM 30509233
ER

PT J
AU Smith, Sandra N.
   Broomhead, Emily
   Greenwell, Kate
   Watts, Emily
   Stockdale, David
   Hoare, Derek J.
TI Promotion and views on tinnitus self-help within United Kingdom national
   health service audiology departments
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 57
IS 12
BP 900
EP 907
DI 10.1080/14992027.2018.1512013
PD DEC 2 2018
PY 2018
AB Self-help has the potential to provide low-cost and effective ways of
   improving access to psychological support for people with tinnitus. When
   developing and evaluating resources it is important to consider issues
   that may influence successful implementation. This Survey explored
   clinicians' use and views on self-help, and barriers to implementation.
   An online survey was distributed to 220 UK audiology departments.
   One-hundred and twenty-four clinicians responded to the survey (91
   audiologists, 32 hearing therapists, 1 clinical psychologist), each
   representing a different tinnitus department. Two-thirds of respondents
   reported providing or recommending self-help resources. Potential
   benefits were patient empowerment and providing a means of engaging
   patients in their care. Almost half of respondents felt that there is
   insufficient training or guidance for clinicians on using or promoting
   self-help. Clinicians felt that for patients with low-level tinnitus
   severity, self-help may reduce the number of audiology appointments
   required. For patients with more complex needs self-help may be useful
   to engage with between clinical appointments. Further research is needed
   to determine effectiveness, who benefits, and by what mechanism, before
   clinicians can confidently recommend or implement self-help. Clinicians
   will benefit from formal guidance on promoting and supporting use of
   self-help for tinnitus.
RI Greenwell, Kate/AAC-1024-2019; Hoare, Derek/; smith, sandra/
OI Greenwell, Kate/0000-0002-3662-1488; Hoare, Derek/0000-0002-8768-1392;
   smith, sandra/0000-0001-5710-1062
ZB 0
ZS 0
ZA 0
TC 6
ZR 0
Z8 1
Z9 6
U1 3
U2 10
SN 1499-2027
EI 1708-8186
UT WOS:000451230300004
PM 30261766
ER

PT J
AU Chiba, Tsuyoshi
TI Information System on the Safety and Effectiveness of Health Foods and
   Recent Topics
SO YAKUGAKU ZASSHI-JOURNAL OF THE PHARMACEUTICAL SOCIETY OF JAPAN
VL 138
IS 12
BP 1517
EP 1521
DI 10.1248/yakushi.18-00155-2
PD DEC 2018
PY 2018
AB Along with an increase in self-care and self-medication practices, the
   use of health foods as primary and secondary methods of disease
   prevention has increased. Consumers are aware only of the health
   benefits of dietary ingredients, although the potential risks associated
   with most ingredients are unknown. Adverse events associated with the
   use of health foods have been reported, and in some cases they were due
   to inappropriate use such as the concomitant use of several health foods
   or health foods and drugs. It is important that healthcare
   professionals, especially pharmacists, provide reliable, evidence-based
   information to ensure the safe and appropriate use of dietary
   supplements by their patients. Thus, we constructed an online database,
   the "Health Foods Network (HFNet)" that compiles reports on the safety
   and effectiveness of health foods and their ingredients. It serves to
   disseminate information based on scientific research not only in Japan
   but also worldwide. This article provides an overview of the HFNet.
   Additionally, findings from our recent survey and educational
   interventions among college students are discussed. We hope that this
   article will be helpful for pharmacists and other healthcare
   professionals who provide consultations on the use of health foods.
ZA 0
ZR 0
Z8 0
ZB 1
ZS 0
TC 1
Z9 1
U1 1
U2 8
SN 0031-6903
UT WOS:000452247400012
PM 30504667
ER

PT J
AU Hidalgo-Mazzei, Diego
   Reinares, Maria
   Mateu, Ainoa
   Nikolova, Viktoriya L.
   del Mar Bonnin, Caterina
   Samalin, Ludovic
   Garcia-Estela, Aitana
   Perez-Sola, Victor
   Young, Allan H.
   Strejilevich, Sergio
   Vieta, Eduard
   Colom, Francesc
TI OpenSIMPLe: A real-world implementation feasibility study of a
   smartphone-based psychoeducation programme for bipolar disorder
SO JOURNAL OF AFFECTIVE DISORDERS
VL 241
BP 436
EP 445
DI 10.1016/j.jad.2018.08.048
PD DEC 1 2018
PY 2018
AB Background: Few evidence-based mental health apps are widely available
   to patients and, conversely, many of the available apps have not been
   appropriately evaluated. Given that the ultimate goal is to scale-up and
   open internet-based platforms (IBP), it is crucial to appropriately
   evaluate their real-world feasibility beforehand. We aimed to evaluate
   the implementation feasibility of a smartphone-based psychoeducational
   programme for bipolar disorder, exploring its long-term retention,
   usability, perceived helpfulness and satisfaction, alongside its impact
   on secondary health outcomes.
   Methods: Participants were recruited via the project website after
   completing an online screening questionnaire. They were requested to
   complete web-based questionnaires before using the app and after 6
   months of use which included sociodemographic, illness and treatment
   variables, the world health organisation-five well-being index (WHO-5)
   and the short form health survey (SF-36). The follow-up questionnaires
   also contained satisfaction and usefulness questions.
   Results: 201 participants took part in the study. According to their
   retention, 66.2% of the participants were classified as non-completers
   and 33.8% as completers. The only predictor significantly associated
   with higher odds of retention was older age (OR = 1.021, p < 0.001). 62%
   of the users reported they were satisfied with the programme with a
   higher percentage among completers. Who-5 baseline and follow-up scores
   showed a significant improvement as well as 6 out of 8 domains of the
   SF-36.
   Limitations: Screening and outcome measures were administered using
   exclusively self-reported online methods.
   Conclusion: The 6-month attrition rate of the programme was high.
   Positive outcomes regarding satisfaction were found predominantly among
   completers. The optimal dosage and retention of IBP mental health
   programmes remain challenging issues that need further research.
RI Vieta, Eduard/Y-2919-2019; Samalin, Ludovic/AAP-6362-2020; Perez, Victor/; Bonnin, Caterina del Mar/; Nikolova, Viktoriya Lyudmilova/; Hidalgo-Mazzei, Diego/; Garcia-Estela, Aitana/; Young, Allan/
OI Vieta, Eduard/0000-0002-0548-0053; Perez, Victor/0000-0002-5825-2337;
   Bonnin, Caterina del Mar/0000-0002-1197-1596; Nikolova, Viktoriya
   Lyudmilova/0000-0003-0158-336X; Hidalgo-Mazzei,
   Diego/0000-0002-2693-6849; Garcia-Estela, Aitana/0000-0001-8529-544X;
   Young, Allan/0000-0003-2291-6952
TC 36
ZR 0
ZB 4
ZS 0
Z8 0
ZA 0
Z9 36
U1 0
U2 39
SN 0165-0327
EI 1573-2517
UT WOS:000443816800058
PM 30145515
ER

PT J
AU Barzman, Drew
   Ni, Yizhao
   Griffey, Marcus
   Bachtel, Alycia
   Lin, Kenneth
   Jackson, Hannah
   Sorter, Michael
   DelBello, Melissa
TI Automated Risk Assessment for School Violence: a Pilot Study
SO PSYCHIATRIC QUARTERLY
VL 89
IS 4
BP 817
EP 828
DI 10.1007/s11126-018-9581-8
PD DEC 2018
PY 2018
AB School violence has increased over the past ten years. This study
   evaluated students using a more standard and sensitive method to help
   identify students who are at high risk for school violence. 103
   participants were recruited through Cincinnati Children's Hospital
   Medical Center (CCHMC) from psychiatry outpatient clinics, the inpatient
   units, and the emergency department. Participants (ages 12-18) were
   active students in 74 traditional schools (i.e. non-online education).
   Collateral information was gathered from guardians before participants
   were evaluated. School risk evaluations were performed with each
   participant, and audio recordings from the evaluations were later
   transcribed and manually annotated. The BRACHA (School Version) and the
   School Safety Scale (SSS), both 14-item scales, were used. A template of
   open-ended questions was also used. This analysis included 103
   participants who were recruited from 74 different schools. Of the 103
   students evaluated, 55 were found to be moderate to high risk and 48
   were found to be low risk based on the paper risk assessments including
   the BRACHA and SSS. Both the BRACHA and the SSS were highly correlated
   with risk of violence to others (Pearson correlations>0.82). There were
   significant differences in BRACHA and SSS total scores between low risk
   and high risk to others groups (p-values <0.001 under unpaired t-test).
   In particular, there were significant differences in individual SSS
   items between the two groups (p-value <0.001). Of these items, Previous
   Violent Behavior (Pearson Correlation=0.80), Impulsivity (0.69), School
   Problems (0.64), and Negative Attitudes (0.61) were positively
   correlated with risk to others. The novel machine learning algorithm
   achieved an AUC of 91.02% when using the interview content to predict
   risk of school violence, and the AUC increased to 91.45% when
   demographic and socioeconomic data were added. Our study indicates that
   the BRACHA and SSS are clinically useful for assessing risk for school
   violence. The machine learning algorithm was highly accurate in
   assessing school violence risk.
OI Ni, Yizhao/0000-0001-8599-454X
ZR 0
Z8 0
TC 3
ZA 0
ZB 1
ZS 0
Z9 3
U1 1
U2 16
SN 0033-2720
EI 1573-6709
UT WOS:000448077000006
PM 29713946
ER

PT J
AU Uhlig, Johannes
   Kokabi, Nima
   Xing, Minzhi
   Kim, Hyun S.
TI Ablation versus Resection for Stage 1A Renal Cell Carcinoma: National
   Variation in Clinical Management and Selected Outcomes
SO RADIOLOGY
VL 288
IS 3
BP 889
EP 897
DI 10.1148/radiol.2018172960
PD SEP 2018
PY 2018
AB Purpose: To compare patients in a national U.S. database who underwent
   thermal ablation or nephrectomy for renal cell carcinoma (RCC) in terms
   of demographic differences, perioperative outcomes, and survival.
   Materials and Methods: This National Cancer Database study included
   patients who underwent thermal ablation or nephrectomy for biopsy-proven
   T1aN0M0 RCC between 2004 and 2013. Demographic factors were analyzed as
   treatment predictors. Unplanned hospital readmission, mean hospital
   stay, 30- and 90-day postoperative mortality, and survival were analyzed
   in a propensity score-matched cohort by using chi(2) tests, Cox
   proportional hazards models, and Renyi family tests.
   Results: Included were 4817 of 56 065 patients (8.6%) who underwent
   thermal ablation and 51 248 of 56 065 patients (91.4%) who underwent
   nephrectomy. Patients who underwent thermal ablation skewed older (mean,
   52 years vs 44 years, respectively) with more comorbidities (9% vs 7.6%
   Charlson Comorbidity Index score of >2, respectively). Male sex, white
   race, nonprivate insurance, therapy at academic centers, and south
   Atlantic state urban residence with lower income and education were
   associated with higher thermal ablation treatment likelihood (P<.001).
   After matching, perioperative outcomes were superior for thermal
   ablation: unplanned hospital readmission, mean hospital stay, and 30-and
   90-day postoperative mortality were lower for thermal ablation (2% vs
   3.3%, 1.3 days vs 4.3 days, 0% vs 0.9%, and 0% vs 1.4%, respectively;
   each P<.001). Survival was comparable for thermal ablation and
   nephrectomy in patients older than 65 years, and during the 1st
   postoperative year for all patients.
   Conclusion: Thermal ablation for RCC varied by national region and with
   multiple clinical and nonclinical demographic factors. Thermal ablation
   demonstrates superior perioperative outcomes with short mean hospital
   stay, low unplanned hospital readmission, and 30- and 90-day mortality.
   In selected patients, thermal ablation survival may be comparable to
   nephrectomy. (c) RSNA, 2018
OI Kim, Hyun/0000-0002-3077-9989; Kokabi, Nima/0000-0002-4569-2720
TC 62
ZS 0
ZR 0
Z8 8
ZB 9
ZA 0
Z9 70
U1 0
U2 0
SN 0033-8419
UT WOS:000442165000038
PM 29969077
ER

PT J
AU Biesalski, A. -S.
   Franke, C.
   Sturm, D.
   Behncke, J.
   Schreckenbach, T.
   Knauss, S.
   Eisenberg, H.
   Hillienhof, A.
   Sand, F.
   Zupanic, M.
TI Nationwide survey of postgraduate medical training in clinical neurology
SO NERVENARZT
VL 89
IS 12
BP 1378
EP 1387
DI 10.1007/s00115-018-0547-8
PD DEC 2018
PY 2018
AB Background. Currently, no data are available, which reflect the
   situation of medical doctors specializing in neurology in German
   hospitals. In order to secure the high standard of neurological patient
   care it is essential to evaluate the working conditions and the
   specialty training in neurology.
   Objective. This nationwide survey was conducted throughout Germany with
   the aim to address problems and to give suggestions for improvements in
   neurological training curricula.
   Material and methods. The survey was online from February to May 2017
   and 953 neurologists undergoing further training participated.
   Results. More than half of the young neurologists were satisfied with
   their medical training. One of the main problems that complicates
   clinical training is the workload. In addition, organizational obstacles
   within the clinic, such as poor structure of education or a lack of
   mentors, lead to dissatisfaction among participants. The size or type of
   the department, as well as the prevailing service system, exert only a
   minor influence on the quality of specialist training, although there
   were differences especially in the self-assessment of the participants
   in connection with the type of department (university hospital versus
   public or private hospital).
   Conclusion. Specialist training in neurology can be improved by simple
   arrangements, e.g., the introduction of a binding rotation scheme,
   internal mentoring and structured feedback. In addition, it will be
   necessary to relieve medical staff of administrative duties in order to
   create time for training and the learning of competencies.
OI Franke, Christiana/0000-0002-5609-2472
ZS 0
ZR 0
ZA 0
TC 2
ZB 1
Z8 0
Z9 2
U1 0
U2 2
SN 0028-2804
EI 1433-0407
UT WOS:000451586500009
PM 29872878
ER

PT J
AU Wang, Ziheng
   Fey, Ann Majewicz
TI Deep learning with convolutional neural network for objective skill
   evaluation in robot-assisted surgery
SO INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
VL 13
IS 12
BP 1959
EP 1970
DI 10.1007/s11548-018-1860-1
PD DEC 2018
PY 2018
AB PurposeWith the advent of robot-assisted surgery, the role of
   data-driven approaches to integrate statistics and machine learning is
   growing rapidly with prominent interests in objective surgical skill
   assessment. However, most existing work requires translating robot
   motion kinematics into intermediate features or gesture segments that
   are expensive to extract, lack efficiency, and require significant
   domain-specific knowledge.MethodsWe propose an analytical deep learning
   framework for skill assessment in surgical training. A deep
   convolutional neural network is implemented to map multivariate time
   series data of the motion kinematics to individual skill
   levels.ResultsWe perform experiments on the public minimally invasive
   surgical robotic dataset, JHU-ISI Gesture and Skill Assessment Working
   Set (JIGSAWS). Our proposed learning model achieved competitive
   accuracies of 92.5%, 95.4%, and 91.3%, in the standard training tasks:
   Suturing, Needle-passing, and Knot-tying, respectively. Without the need
   of engineered features or carefully tuned gesture segmentation, our
   model can successfully decode skill information from raw motion profiles
   via end-to-end learning. Meanwhile, the proposed model is able to
   reliably interpret skills within a 1-3 second window, without needing an
   observation of entire training trial.ConclusionThis study highlights the
   potential of deep architectures for efficient online skill assessment in
   modern surgical training.
OI Majewicz Fey, Ann/0000-0002-1802-6730
ZS 0
ZR 0
TC 86
Z8 1
ZA 0
ZB 12
Z9 87
U1 4
U2 61
SN 1861-6410
EI 1861-6429
UT WOS:000449775700009
PM 30255463
ER

PT J
AU Zhang, Ling
   Hall, Magie
   Bastola, Dhundy
TI Utilizing Twitter data for analysis of chemotherapy
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 120
BP 92
EP 100
DI 10.1016/j.ijmedinf.2018.10.002
PD DEC 2018
PY 2018
AB Objective: Twitter has become one of the most popular social media
   platforms that offers real-world insights to healthy behaviors. The
   purpose of this study was to assess and compare perceptions about
   chemotherapy of patients and health-care providers through analysis of
   chemo-related tweets.
   Materials and methods: Cancer-related Twitter accounts and their tweets
   were obtained through using Tweepy (Python library). Multiple text
   classification algorithms were tested to identify the models with best
   performance in classifying the accounts into individual and
   organization. Chemotherapy-specific tweets were extracted from
   historical tweetset, and the content of these tweets was analyzed using
   topic model, sentiment analysis and word co-occurrence network.
   Results: Using the description in Twitter users' profiles, the accounts
   related with cancer were collected and coded as individual or
   organization. We employed Long Short Term Memory (LSTM) network with
   GloVe word embeddings to identify the user into individuals and
   organizations with accuracy of 85.2%. 13, 273 and 14,051 publicly
   available chemotherapy-related tweets were retrieved from individuals
   and organizations, respectively. The content of the chemo-related tweets
   was analyzed by text mining approaches. The tweets from individual
   accounts pertained to personal chemotherapy experience and emotions. In
   contrast with the personal users, professional accounts had a higher
   proportion of neutral tweets about side effects. The information about
   the assessment of response to chemotherapy was deficient from
   organizations on Twitter.
   Discussion: Examining chemotherapy discussions on Twitter provide new
   lens into content and behavioral patterns associated with treatments for
   cancer patients. The methodology described herein allowed us to collect
   relatively large number of health-related tweets over a greater time
   period and exploit the potential power of social media, which provide
   comprehensive view on patients' perceptions of chemotherapy.
   Conclusion: This study sheds light on using Twitter data as a valuable
   healthcare data source for helping oncologists (organizations) in
   understanding patients' experiences while undergoing chemotherapy, in
   developing personalize therapy plans, and a supplement to the clinical
   electronic medical records (EMRs).
RI Hall, Margeret/AAI-4181-2020
OI Hall, Margeret/0000-0003-1049-3040
TC 29
ZA 0
ZB 4
ZR 0
ZS 0
Z8 0
Z9 29
U1 5
U2 51
SN 1386-5056
EI 1872-8243
UT WOS:000449266500010
PM 30409350
ER

PT J
AU Clarke, Cameron
   Smith, Eric
   Khan, Mahmood
   Al-Mohtaseb, Zaina
TI Social Media and Ophthalmology: Perspectives of Patients and
   Ophthalmologists
SO JOURNAL OF MEDICAL SYSTEMS
VL 42
IS 12
AR 258
DI 10.1007/s10916-018-1079-2
PD DEC 2018
PY 2018
AB Recent research has analyzed how patients use social media, but little
   information exists evaluating how patients utilize social media in the
   perioperative period or how ophthalmologists and eye institutions
   integrate social media into their practices. This observational study
   aimed to examine (1) how patients interact on social media when
   undergoing LASIK and (2) how ophthalmologists and (3) eye institutions
   utilize social media accounts. We analyzed 2592 Instagram posts between
   August 2016 and April 2017 on a related hashtag (#lasiksurgery). Content
   was coded based on time frame of the post in relation to the procedure,
   references to return to work/activity, post-surgical photographs,
   mention of the surgical institution, tone, and complaints regarding the
   procedure. Twitter and Instagram accounts for 30 ophthalmologists and
   eye institutes were also located. The 20 most recent posts were
   categorized by message type and topic (physicians, patients, education,
   conference, etc.). Patients using the hashtag posted photographs (92%),
   had a positive tone (88%), referenced the clinic where they were treated
   (62%), and posted during the day of the procedure (44%).
   Ophthalmologists' personal tweets focused on research conferences (35%),
   personal topics (25%), and the accomplishments of other physicians
   (21%). Eye institutions generally posted content relating to
   institutional promotion (22%), physician accomplishments (20%), and
   research publications (19%). Similar to other medical specialties,
   ophthalmology has a meaningful presence on both Twitter and Instagram.
   While LASIK patients tend to comment on their renewed vision and return
   to activity, ophthalmologists post to promote their research and
   accomplishments.
ZB 0
ZR 0
ZS 0
TC 12
Z8 0
ZA 0
Z9 12
U1 1
U2 8
SN 0148-5598
EI 1573-689X
UT WOS:000450016300001
PM 30421010
ER

PT J
AU Anthony, Denise L.
   Campos-Castillo, Celeste
   Lim, Paulina S.
TI Who Isn't Using Patient Portals And Why? Evidence And Implications From
   A National Sample Of US Adults
SO HEALTH AFFAIRS
VL 37
IS 12
BP 1948
EP 1954
DI 10.1377/hlthaff.2018.05117
PD DEC 2018
PY 2018
AB Patient portals that provide secure online access to medical record
   information and provider communication can improve health care. Yet new
   technologies can exacerbate existing disparities. We analyzed
   information about 2,325 insured respondents to the nationally
   representative 2017 Health Information National Trends Survey to examine
   characteristics of portal nonusers and reasons for nonuse. Sixty-three
   percent reported not using a portal during the prior year. In
   multivariable analysis, we found that nonusers were more likely to be
   male, be on Medicaid, lack a regular provider, and have less than a
   college education, compared to users. Similar disparities existed in who
   reported being offered access to a portal, with nonwhites also less
   likely to report being offered access. Reasons for nonuse included the
   desire to speak directly to providers and privacy concerns, both of
   which require recognition of the important role of provider
   communication and patient-provider relationships.
OI Anthony, Denise/0000-0001-5815-9055
TC 107
ZA 0
ZS 0
Z8 1
ZB 14
ZR 0
Z9 108
U1 2
U2 16
SN 0278-2715
UT WOS:000463969300007
PM 30633673
ER

PT J
AU Cassar-Uhl, Diana
   Liberatos, Penny
TI Use of shared milk among breastfeeding mothers with lactation
   insufficiency
SO MATERNAL AND CHILD NUTRITION
VL 14
SI SI
AR e12594
DI 10.1111/mcn.12594
SU 6
PD DEC 2018
PY 2018
AB Social media platforms have facilitated the use of shared breast milk
   for infant feeding since 2010. This study aims to assess the prevalence
   of shared milk use among breastfeeding mothers with insufficient milk
   supply; and compare shared milk users with non-users. Data were
   collected from breastfeeding mothers with low milk supply through an
   anonymous Internet-based survey in 2013. Shared milk users were those
   who used shared milk for at least 10% of their infant's needs; the rest
   were considered non-users. Chi-square comparisons between these groups
   assessed reasons and information sources for supplementation options;
   breastfeeding and supplement choice satisfaction; and breastfeeding
   duration. One hundred thirty-eight (29.1%) of 475 participants reported
   shared milk use. Healthfulness and reduced risk were most important to
   users (p < .001), whereas non-users cited convenience and lack of
   knowledge about other options (p < .001). Users reported receiving
   information from medical/breastfeeding professionals and online
   discussion forums, whereas non-users were more likely to not seek
   information about supplementation options. Users of shared milk were
   significantly more likely to provide breast milk at 6 months (59.3% vs.
   39.6%, p = .001) and be satisfied with their supplementation choice (p <
   .001) compared with non-users. For women with self-reported lactation
   insufficiency, this study found that shared milk users were more likely
   to breastfeed longer, seek resources, identify healthful options, and
   report greater satisfaction with their supplementation choice than
   non-users. Importantly, shared milk may play a role in achieving U.S.
   Healthy People 2020 targets for breastfeeding duration.
RI Cassar-Uhl, Diana/AAF-7335-2020
ZR 0
TC 8
ZA 0
ZS 0
ZB 0
Z8 0
Z9 8
U1 1
U2 3
SN 1740-8695
EI 1740-8709
UT WOS:000454515700004
PM 30592167
ER

PT J
AU Chau, Michelle M.
   Burgermaster, Marissa
   Mamykina, Lena
TI The use of social media in nutrition interventions for adolescents and
   young adults-A systematic review
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 120
BP 77
EP 91
DI 10.1016/j.ijmedinf.2018.10.001
PD DEC 2018
PY 2018
AB Objective: Social media is a potentially engaging way to support
   adolescents and young adults in maintaining healthy diets and learning
   about nutrition. This review identifies interventions that use social
   media to promote nutrition, examines their content and features, and
   evaluates the evidence for the use of such platforms among these groups.
   Material and methods: We conducted a systematic search of 5 databases
   (PubMed, CINAHL, EMBASE, PsycINFO, and ACM Digital Library) for studies
   that included: 1) adolescents and/or young adults (ages 10-19; ages
   18-25); 2) a nutrition education or behavior change intervention
   component, or outcomes related to nutrition knowledge or dietary
   changes; and 3) a social media component that allowed users to
   communicate or share information with peers.
   Results: 16 articles were identified that included a social media
   component in a nutrition-related intervention for adolescents or young
   adults. Interventions included features in 7 categories: social media;
   communication; tracking health; education; tailoring; social support;
   and gamification. 11 out of the 16 studies had at least one significant
   nutrition-related clinical or behavioral outcome.
   Conclusion: Social media is a promising feature for nutrition
   interventions for adolescents and young adults. A limited number of
   studies were identified that included social media. A majority of the
   identified studies had positive outcomes. We found that most studies
   utilized only basic social media features, did not evaluate the efficacy
   of social media components, and did not differentiate between the
   efficacy of social media compared to other delivery mechanisms.
OI Burgermaster, Marissa/0000-0002-4891-3314; Mamykina,
   Lena/0000-0001-5203-274X
ZB 9
Z8 1
ZA 0
TC 60
ZS 1
ZR 0
Z9 62
U1 11
U2 103
SN 1386-5056
EI 1872-8243
UT WOS:000449266500009
PM 30409348
ER

PT J
AU Jensen, Jamie L.
   Holt, Emily A.
   Sowards, Jacob B.
   Ogden, T. Heath
   West, Richard E.
TI Investigating Strategies for Pre-Class Content Learning in a Flipped
   Classroom
SO JOURNAL OF SCIENCE EDUCATION AND TECHNOLOGY
VL 27
IS 6
BP 523
EP 535
DI 10.1007/s10956-018-9740-6
PD DEC 2018
PY 2018
AB In a flipped classroom model, learning of basic content is shifted
   before class while in-class time is used for concept application.
   Empirical and controlled research studies are lacking on the best
   strategies to provide the necessary pre-class content instruction. In
   this study, we tested three methods of pre-class content
   learninginteractive online tutorials, video lectures, and textbook-style
   readingswhile holding the content and the in-class application
   activities constant. Identical introductory, non-majors biology classes
   were manipulated at both a public, open-enrollment institution and a
   private, highly selective institution. We found that video lectures
   offer a small advantage to overall student learning over interactive
   tutorials or textbook-style readings. Although our two populations
   differed in their ability to effectively learn from pre-class
   activities, through a student-centered flipped classroom approach,
   students at both institutions demonstrated equal learning gains by the
   final assessment. Potential reasons for some observed differences are
   suggested.
OI West, Richard/0000-0002-1417-0823
ZR 0
ZB 0
ZS 2
ZA 1
Z8 0
TC 53
Z9 55
U1 6
U2 66
SN 1059-0145
EI 1573-1839
UT WOS:000449120600004
ER

PT J
AU Schmitz, Susan
   Radcliff, Tiffany A.
   Chu, Karen
   Smith, Robert E.
   Dobalian, Aram
TI Veterans Health Administration's Disaster Emergency Medical Personnel
   System (DEMPS) Training Evaluation: Potential Implications for Disaster
   Health Care Volunteers
SO DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
VL 12
IS 6
BP 744
EP 751
DI 10.1017/dmp.2018.6
PD DEC 2018
PY 2018
AB Objective: The US Veterans Health Administration's Disaster Emergency
   Medical Personnel System (DEMPS) is a team of employee disaster response
   volunteers who provide clinical and non-clinica staffing assistance when
   local systems are overwhelmed. This study evaluated attitudes and
   recommendations of the DEMPS program to understand the impact of
   multi-modal training on volunteer perceptions.
   Methods: DEMPS volunteers completed an electronic survey in 2012 (n=
   2120). Three training modes were evaluated: online, field exercise, and
   face-to-face. Measures included: "Training Satisfaction," "Attitudes
   about Training," "Continued Engagement in DEMPS." Data were analyzed
   using chi(2) and logistic regression. Open-ended questions were
   evaluated in a manner consistent with grounded theory methodology.
   Results: Most respondents participated in DEMPS training (80%).
   Volunteers with mufti-modal training who completed all 3 modes (14%)
   were significantly more likely to have positive attitudes about
   training, plan to continue as volunteers, and would recommend DEMPS to
   others (P-value <0.001). Some respondents requested additional
   interactive activities and suggested increased availability o training
   may improve volunteer engagement.
   Conclusions: A blended learning environment using multi-modal training
   methods, could enhance satisfaction and attitudes and possibly encourage
   continued engagement in DEMPS or similar programs. DEMPS training
   program modifications in 2015 expanded this blended learning approach
   through new interactive online learning opportunities.
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
TC 2
Z9 2
U1 1
U2 11
SN 1935-7893
EI 1938-744X
UT WOS:000455577000015
PM 29458449
ER

PT J
AU Strekalova, Yulia A.
TI When Trust Is Not Enough: A Serial Mediation Model Explaining the Effect
   of Race Identity, eHealth Information Efficacy, and Information Behavior
   on Intention to Participate in Clinical Research
SO HEALTH EDUCATION & BEHAVIOR
VL 45
IS 6
BP 1036
EP 1042
DI 10.1177/1090198118757822
PD DEC 2018
PY 2018
AB Black participants remain significantly underrepresented in clinical
   research. Mistrust in medical researchers has been named a key barrier
   to the successful enrollment of minority study participants. However,
   trust is a social-interactional construct, and its effects on behavior
   are complex. This study hypothesized that intention to participate in
   clinical research is mediated by trust in medical researchers, eHealth
   literacy, and information seeking behavior. The data were collected
   through an online survey (N = 340) and analyzed to identify serial
   mediation. The model showed insignificant direct effect of race identity
   on behavioral intention, c ' = -0.19, t(335) = -1.22, p = .22, but a
   significant total effect, c = -0.44, t(335) = -2.59, p < .01. The
   indirect effect of race identity on behavioral intention was also
   significant. The positive effect of trust in medical researchers on
   decisions to participate in clinical research can be amplified by
   stronger eHealth literacy and active information seeking, which can be
   supported through focused strategic health education and communication
   interventions. A focus on the development of information literacy that
   could provide prospective minority research volunteers with skills for
   informed decision making should be explored as an option for increasing
   mindful, informed participation in clinical research among currently
   underrepresented racial and ethnic groups.
OI Levites Strekalova, Yulia A./0000-0002-6060-1233
Z8 0
ZS 0
ZR 0
TC 7
ZB 1
ZA 0
Z9 7
U1 2
U2 34
SN 1090-1981
EI 1552-6127
UT WOS:000452478900020
PM 29478354
ER

PT J
AU Wheeler, Amanda J.
   Mey, Amary
   Fowler, Jane L.
   Mihala, Gabor
   Kelly, Fiona
TI A web-based mental health promotion intervention for pharmacy staff to
   reduce stigmatising and discriminating attitudes
SO HEALTH PROMOTION JOURNAL OF AUSTRALIA
VL 29
IS 3
BP 328
EP 336
DI 10.1002/hpja.33
PD DEC 2018
PY 2018
AB Issue addressed: Stigma and discrimination can have a significant impact
   on successful mental health recovery. This research evaluated the
   effectiveness of a web-based mental health promotion intervention on
   stigma and discrimination in community pharmacies via assessment of
   staff attitudes, confidence and skills.
   Methods: Guided by the intervention mapping framework, we used
   experiential learning techniques, including pre-recorded consumer/carer
   narratives, role-plays and panel discussions accessed by participants in
   an innovative, flexible, web-based, program of modules. A
   quasi-experimental pre-post design was used to evaluate the intervention
   effectiveness. Participants completed pre- (T1) and post-intervention
   (T2) questionnaires that contained both validated measures and questions
   developed or adapted specifically for this evaluation.
   Results: 566 pharmacy staff (357 pharmacists, 209 support staff)
   completed the intervention between September 2012 and May 2013;
   pharmacists completed eight online modules (4-hours total), support
   staff completed four (2-hours total). After participating, staff
   attitudes about mental health had changed in a positive direction; their
   confidence and skills when working with consumers and their carers had
   increased overall, although support staff remained less confident than
   pharmacists.
   Conclusion: These results suggest that the involvement of consumers and
   carers in the intervention development and delivery was integral to
   reducing pharmacy staff stigma and enhancing confidence and
   communication skills.
RI Wheeler, Amanda/F-1854-2011; Mihala, Gabor/; Kelly, Fiona/; Fowler, Jane/
OI Wheeler, Amanda/0000-0001-9755-674X; Mihala, Gabor/0000-0001-6654-405X;
   Kelly, Fiona/0000-0001-7360-4655; Fowler, Jane/0000-0001-5984-0838
ZA 0
TC 5
ZB 1
Z8 0
ZS 0
ZR 0
Z9 5
U1 0
U2 11
SN 1036-1073
EI 2201-1617
UT WOS:000453514900015
PM 30511487
ER

PT J
AU Nofal, Mafia R.
   Halim, Nafisa
   Le, Bao Ngoc
   Sabin, Lora L.
   Williams, Anna Larson
   Bonawitz, Rachael
   Nguyen, Ha Viet
   Tam Thi Thanh Nguyen
   Gill, Christopher J.
TI Unpacking the "Black Box": How an SMS-Based Continuing Medical Education
   Intervention Improved Medical Knowledge Among HIV Clinicians in Vietnam
SO GLOBAL HEALTH-SCIENCE AND PRACTICE
VL 6
IS 4
BP 668
EP 679
DI 10.9745/GHSP-D-18-00298
PD DEC 2018
PY 2018
AB Background: A mobile-based continuing medical education (mCME)
   intervention implemented over 6 months between 2016 and 2017, consisting
   of daily SMS multiple choice quizzes and access to online daily readings
   and CME courses, was shown to be effective in increasing medical
   knowledge among HIV providers in Vietnam. We hypothesized this
   improvement was a result of "lateral learning," a process in which the
   daily SMS quizzes acted as a stimulus for interacting with other study
   materials.
   Methods: We explored how study materials directly provided by the
   intervention - the daily readings and the online CME courses - and
   independent study behaviors, such as using medical textbooks and
   reviewing national guidelines, contributed to medical knowledge as
   measured by baseline and endline exams. At baseline, there were 53
   participants each in the intervention and control groups (N=106). Using
   linear regression models, we estimated the association between
   intervention-prompted and independent study behaviors and endline test
   scores. We also conducted a series of interaction analyses to test the
   extent to which the effect of daily quiz performance on endline test
   scores depended on use of the intervention-prompted or independent study
   materials. Finally, we estimated the proportion of variance in endline
   test scores explained by each of the intervention-prompted behaviors.
   Results: The average medical knowledge test score among all participants
   was 46% at baseline and 54% at endline. Among the intervention group,
   82% of the daily quizzes were answered, although only about half were
   answered correctly. Responding to the daily quizzes (beta=0.24; P=.05),
   quiz performance (beta=0.42; P<.001), and accessing daily readings
   (beta=0.22; P=.06) were statistically significantly associated with
   higher endline test scores. While accessing the online CME courses and
   some of the independent study behaviors, such as use of medical
   textbooks, had positive associations with endline test scores, none
   reached statistical significance. Quiz performance explained 51% of the
   variation in endline test scores. Interaction analysis found that quiz
   performance had a stronger, but not statistically significant,
   association with endline test scores when both daily readings
   (beta=0.87; P=.08) and online CME courses (beta=0.25; P=.09) were
   accessed more frequently.
   Conclusion: In mCME interventions, daily SMS quizzes can effectively act
   as a stimulus for uptake of study behaviors when paired with access to
   relevant readings and online courses. While further investigation is
   needed to more fully understand the role of outside study materials, we
   believe this model has the potential for further use in Vietnam and
   other low-resource settings.
OI gill, christopher/0000-0003-3353-0617
ZA 0
TC 3
ZB 1
Z8 0
ZS 0
ZR 0
Z9 4
U1 0
U2 1
SN 2169-575X
UT WOS:000454547100008
PM 30591575
ER

PT J
AU Bilevicius, Elena
   Single, Alanna
   Rapinda, Karli K.
   Bristow, Lindsay A.
   Keough, Matthew T.
TI Frequent solitary drinking mediates the associations between negative
   affect and harmful drinking in emerging adults
SO ADDICTIVE BEHAVIORS
VL 87
BP 115
EP 121
DI 10.1016/j.addbeh.2018.06.026
PD DEC 2018
PY 2018
AB Introduction: Depression and anxiety are highly comorbid conditions that
   are associated with harmful drinking. Social learning theory proposes
   that depressed or anxious individuals learn that drinking can reduce
   negative affect, which makes them susceptible to harmful drinking.
   Consistent with theory, evidence suggests that negative affect increases
   risk for harmful drinking. But, less is known about mediators of
   negative affect-pathways to harmful drinking. Research has demonstrated
   that solitary drinking is an underlying mechanism of harmful drinking
   among emerging adults with high levels of negative affect. However, much
   of this work is cross-sectional. We conducted a longitudinal study to
   examine solitary drinking as a key explanatory variable in the
   negative-affect pathway to harmful drinking.
   Methods: Emerging adults (N = 308) completed online self-reports of
   depression and anxiety at Time 1 (the beginning of their first semester
   in university), and drinking context and harmful drinking at Time 2 (the
   end of their first semester of university).
   Results: Structural equation modeling supported indirect effects from
   negative affect to harmful drinking via solitary drinking. Specifically,
   emerging adults with high levels of negative affect at the beginning of
   their first semester engaged in frequent solitary drinking over the rest
   of the semester, and subsequently experienced increased harmful drinking
   (controlling for Time 1 solitary/social drinking and harmful use).
   Social drinking was not a mediator of this effect.
   Conclusions: The findings reveal that solitary drinking uniquely
   mediated the relation between negative affect and harmful drinking.
   Reducing solitary drinking might mitigate negative affect-related risk
   for harmful drinking in emerging adults.
RI Keough, Matthew/L-1252-2019; Bristow, Lindsay/; Keough, Matthew/
OI Bristow, Lindsay/0000-0003-2293-4325; Keough,
   Matthew/0000-0001-8567-2874
ZS 0
ZB 8
TC 20
ZR 0
ZA 0
Z8 0
Z9 20
U1 0
U2 12
SN 0306-4603
EI 1873-6327
UT WOS:000445719100018
PM 30005333
ER

PT J
AU Bleakley, Amy
   Lazovich, DeAnn
   Jordan, Amy B.
   Glanz, Karen
TI Compensation Behaviors and Skin Cancer Prevention
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 55
IS 6
BP 848
EP 855
DI 10.1016/j.amepre.2018.06.019
PD DEC 2018
PY 2018
AB Introduction: Skin cancer prevention guidelines recommend practicing
   multiple behaviors to protect against harmful ultraviolet rays, yet few
   adults report practicing more than one recommended behavior. This study
   examines the extent to which skin cancer prevention behaviors are
   combined and may follow a pattern of compensation in which an
   individual's performance of one behavior (e.g., wearing sunscreen)
   precludes performing other protective behaviors (e.g., wearing a hat).
   Methods: Data from qualitative semi-structured interviews (n=80) in 2015
   and a quantitative online national survey (n=940) in 2016 with
   non-Hispanic white adults aged 18-49 years from the U.S. were used to
   examine combinations of skin cancer prevention behaviors. Data were
   analyzed in 2017.
   Results: Protective behaviors like wearing sunglasses and sunscreen were
   a common approach to prevention, but protective, avoidant (i.e., seeking
   shade, avoiding outdoor tanning), and covering-up (i.e., wearing a hat,
   shirt) strategies were rarely used in combination. Regression analyses
   to determine correlates of protection, avoidance, and covering-up showed
   that age was positively associated with practicing each strategy;
   positive attitudes about tanning were negatively associated with
   avoidance and covering-up; and positive body image was positively
   associated with protection and negatively associated with avoidance.
   Demographics such as education, employment, and gender, but not skin
   cancer risk, were also related to the various strategies.
   Conclusions: Although a full evaluation of compensation theory and skin
   cancer prevention was limited by the available data, the results suggest
   that application of the theory may yield clues for how to improve sun
   protection behaviors. (C) 2018 American Journal of Preventive Medicine.
   Published by Elsevier Inc. All rights reserved.
OI Lazovich, DeAnn/0000-0001-7130-9732; Bleakley, Amy/0000-0002-4539-4424
ZS 0
ZR 0
TC 4
Z8 0
ZA 0
ZB 0
Z9 4
U1 2
U2 6
SN 0749-3797
EI 1873-2607
UT WOS:000452781800012
PM 30344038
ER

PT J
AU Halle, Marie-Christine
   Mylopoulos, Maria
   Rochette, Annie
   Vachon, Brigitte
   Menon, Anita
   McCluskey, Annie
   Amari, Fatima
   Thomas, Aliki
TI Attributes of evidence-based occupational therapists in stroke
   rehabilitation
SO CANADIAN JOURNAL OF OCCUPATIONAL THERAPY-REVUE CANADIENNE D ERGOTHERAPIE
VL 85
IS 5
BP 351
EP 364
DI 10.1177/0008417418802600
PD DEC 2018
PY 2018
AB Background. A better understanding of the features characterizing expert
   evidence-based occupational therapists in stroke rehabilitation is
   needed to inform the design of educational and knowledge translation
   interventions aimed at addressing research-practice gaps. Purpose. The
   study aimed to identify the attributes of evidence-based occupational
   therapy stroke rehabilitation experts from the perspective of their
   peers. Method. Forty-six occupational therapy clinicians and managers
   completed an online questionnaire asking them to nominate "outstanding"
   and "expert evidence-based" occupational therapists in stroke
   rehabilitation and to explain their choices. A thematic analysis of
   respondents' statements was conducted. Findings. Both outstanding and
   expert evidence-based occupational therapists were perceived to be
   motivated self-learners; to have extensive knowledge, skills, and
   experience; to act as scholarly practitioners; to achieve superior
   client outcomes; and to work in specialized setting
OI Mylopoulos, Maria/0000-0003-0012-5375
ZA 0
ZB 0
TC 5
Z8 0
ZS 0
ZR 0
Z9 5
U1 1
U2 3
SN 0008-4174
EI 1911-9828
UT WOS:000461387400002
PM 30453765
ER

PT J
AU Min, Alice A.
   Jordan, Jaime
   Swaminathan, Anand
   Hennings, Jacob
   Grock, Andrew
TI Academic Life in Emergency Medicine (ALiEM) Blog and Podcast Watch:
   Renal and Genitourinary Emergencies
SO CUREUS
VL 10
IS 12
AR e3756
DI 10.7759/cureus.3756
PD DEC 2018
PY 2018
AB The Academic Life in Emergency Medicine (ALiEM) Approved Instructional
   Resources (AIR) series and Approved Instruction Resources Professional
   (AIR-Pro) series were created in 2014 and 2015, respectively, to address
   the need for the curation of online educational content as well as a
   nationally available curriculum that meets individualized interactive
   instruction criteria. These two programs identify high-quality
   educational blog and podcast content using an expert-based approach.
   The AIR series is a continuously building curriculum originally based on
   the Council of Emergency Medicine Directors (CORD) testing schedule.
   Using the ALiEM AIR scoring instrument, 49 blog posts and podcasts
   relevant to renal and genitourinary emergencies published within the
   previous 12 months were evaluated by eight attending physicians.
   We summarize the 13 posts that met our a priori determined quality
   criteria per evaluation by the reviewers.
   The ALiEM Blog and Podcast Watch series identifies high-quality
   educational blogs and podcasts for emergency medicine clinicians through
   its expert panel, using a validated scoring instrument. While this
   article focuses on renal and genitourinary emergencies, additional AIR
   modules address other topics in emergency medicine. The AIR and AIR-Pro
   series provide post-publication accreditation and curation of recent
   online content to identify and recommend high-quality educational social
   media content for the EM clinician.
ZA 0
ZS 0
Z8 0
TC 3
ZR 0
ZB 0
Z9 3
U1 0
U2 1
EI 2168-8184
UT WOS:000461069500055
PM 30820376
ER

PT J
AU Wei, Chongyi
   Yan, Li
   Lippman, Sheri A.
   Su, Xiaoyou
   Li, Jianjun
   Chen, Liping
   Raymond, H. Fisher
   Yan, Hongjing
TI Prevalence and Correlates of Point-of-sex Human Immunodeficiency Virus
   Self-testing Among Human Immunodeficiency Virus-negative Men Who Have
   Sex With Men in China
SO SEXUALLY TRANSMITTED DISEASES
VL 45
IS 12
BP 818
EP 822
DI 10.1097/OLQ.0000000000000885
PD DEC 2018
PY 2018
AB Background Human immunodeficiency virus (HIV) self-testing (HIVST)
   provides a promising tool to screen sex partners for men who have sex
   with men (MSM) who engage in condomless sex and want to avoid HIV
   infection. Although previous studies have demonstrated HIVST
   acceptability and increased testing uptake, limited data exist on its
   use between sex partners for point-of-sex HIV testing. This study
   examined prevalence and correlates of point-of-sex HIVST among Chinese
   MSM.
   Methods A cross-sectional survey was conducted among 400 HIV-negative
   Chinese MSM in 2017. Participants were recruited through a multifaceted
   sampling approach and self-administered an electronic questionnaire.
   Point-of-sex HIVST was measured by asking participants if they had ever
   conducted HIVST with a sex partner before sex to ensure that they both
   knew their HIV statuses. Multivariable logistic regression was used to
   identify correlates of point-of-sex HIVST after controlling for age,
   education and sexual orientation.
   Results Overall, 19.2% (77/400) men reported point-of-sex HIVST (51.3%
   among self-testers). Participants who had four or more HIV self-tests
   before had 7.57-fold greater odds (95% confidence interval, 3.75, 15.28)
   of reporting point-of-sex HIVST compared to those who had fewer HIVST
   experiences. Point-of-sex HIVST was otherwise not associated with most
   other socio-demographic or behavioral practices, suggesting that it may
   be broadly acceptable.
   Conclusions A substantial proportion of Chinese MSM had utilized HIVST
   with their partners before sex, especially among those who were more
   experienced with HIVST. Scale up and routine implementation of HIVST
   programs are further warranted to facilitate point-of-sex HIV testing.
OI Lippman, Sheri/0000-0003-3152-9372
Z8 0
ZB 2
ZA 0
ZS 0
TC 4
ZR 0
Z9 4
U1 1
U2 11
SN 0148-5717
EI 1537-4521
UT WOS:000450657000013
PM 29944646
ER

PT J
AU Kong, Kai Ling
   Epstein, Leonard H.
   Phillips, Julie K.
   Carr, Katelyn A.
   Paluch, Rocco A.
   Gerard, Katherine S.
TI Food and non-food reinforcement among pregnant women
SO APPETITE
VL 131
BP 155
EP 159
DI 10.1016/j.appet.2018.09.009
PD DEC 1 2018
PY 2018
AB Excessive gestational weight gain (GWG) in pregnancy may be driven in
   part by greater motivation to eat, and studying the relative reinforcing
   value of food versus non-food commodities may provide insight into
   factors important for excessive GWG. This study was a cross-sectional
   examination of the relationship between women meeting the Institute of
   Medicine (IOM) guidelines for GWG and the relative reinforcing value of
   food vs. non-food commodities during pregnancy. Two-hundred and
   thirty-three pregnant women (1st trimester, n = 44; 2nd trimester, n =
   105; 3rd trimester, n = 84), aged 18-40, were recruited via a
   crowdsourcing platform and completed an online survey. Relative food
   reinforcement (RRVfood), relative non-food activity reinforcement
   (RRVactive) and relative non-food cognitively enriching activity
   reinforcement (RRVcognitive) were measured by a questionnaire at the
   point of contact. Self-reports of gestational age and weight gain during
   pregnancy were collected. The relationship between food and non-food
   reinforcement was assessed based on IOM classifications for weight gain
   during pregnancy. After adjustment for women's education level and
   parity, higher RRVfood (p = 0.036) and lower RRVcognitive (p = 0.040)
   responses were associated with greater GWG. Food reinforcing ratio (FRR)
   analysis was then conducted to systematically examine the effect of
   non-food behaviors on GWG when food reinforcement was accounted for.
   Women who gained below the IOM weight gain guidelines had significantly
   higher FRRcognitive than those gaining above (p = 0.013), indicating
   cognitively enriching activities may better compete with food among
   pregnant women. Interventions that help to increase the reinforcing
   value of cognitively enriching activities may be a new avenue to
   regulate eating to minimize GWG.
RI Carr, Katelyn/AAB-8285-2020; Epstein, Leonard/AAE-5619-2021
OI Carr, Katelyn/0000-0003-2315-4929; 
TC 1
ZB 1
ZS 0
ZR 0
Z8 0
ZA 0
Z9 1
U1 0
U2 7
SN 0195-6663
EI 1095-8304
UT WOS:000449445300019
PM 30217581
ER

PT J
AU Stiles, Lauren E.
   Cinnamon, Jaclyn
   Balan, Irina
TI The patient perspective: What postural orthostatic tachycardia syndrome
   patients want physicians to know
SO AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL
VL 215
SI SI
BP 121
EP 125
DI 10.1016/j.autneu.2018.06.002
PD DEC 2018
PY 2018
AB Diagnosing and treating postural orthostatic tachycardia syndrome (POTS)
   can be a frustrating experience for patients and physicians alike.
   Experienced patient leaders solicited input from the large online POTS
   community to identify patient suggestions and concerns, with the goal of
   improving the patient-physician relationship and outcomes in POTS. This
   review article offers practical tips to improve POTS patient care and
   links to credible resources for your patients. The authors emphasize the
   urgent need for improved physician education, a tailored treatment
   approach, and expanded research efforts.
ZB 4
Z8 0
ZA 0
TC 15
ZS 0
ZR 0
Z9 15
U1 0
U2 1
SN 1566-0702
EI 1872-7484
UT WOS:000455067500018
PM 29903594
ER

PT J
AU Riding, Nathan R.
   Drezner, Jonathan A.
TI Performance of the BMJ learning training modules for ECG interpretation
   in athletes
SO HEART
VL 104
IS 24
BP 2051
EP 2057
DI 10.1136/heartjnl-2018-313066
PD DEC 2018
PY 2018
AB To assess the accuracy of interpreting the athlete's ECG both pre and
   post a series of online training modules among a range of healthcare
   professionals. 10 512 healthcare professionals from 138 different
   nations commenced the online course. These were primarily doctors (43%),
   nurses (18.4%) and other healthcare professionals (3.9%). The users came
   from 102 different specialities, with General Practice/Family Medicine
   (24.5%), Cardiology (10.6%), Emergency Medicine (8.7%) and Sports
   Medicine (6.6%) predominating. Among the 2023 users who completed both
   the pre-course and post-course test, there was an overall improvement of
   15.3% (95% CI 13.9% to 16.6%; p<0.001). 930 completed all four other
   modules, and these users fared significantly better (18.7% increase; 95%
   CI 17.3 to 20.0) than those completing no additional modules (11.7%
   increase; 95% CI 3.3 to 17.7, p=0.036). Demographic analysis showed that
   while the starting pre-test scores varied significantly between
   profession/specialty groups (57.8%-82.6%), post-test scores were largely
   consistent (80.8%-84.6%). Although users showed the most improvement
   when interpreting primary electrical diseases (12.4% increase), it was
   also an area of notable weakness compared with the modules of normal
   training-related findings and cardiomyopathies. With the evolving
   criteria for ECG interpretation eliciting ever improving levels of
   specificity and sensitivity in the detection of conditions associated
   with sudden cardiac death among athletes, training is required to ensure
   the infrastructure and personnel is in place to uphold these standards.
   The BMJ Learning course presented is a valuable first step and
   demonstrates that such an online tool can be effective in aiding ECG
   interpretation among healthcare professionals globally.
ZB 1
ZA 0
ZR 0
ZS 0
Z8 0
TC 6
Z9 6
U1 2
U2 5
SN 1355-6037
EI 1468-201X
UT WOS:000452800000013
PM 29973340
ER

PT J
AU Kapoor, Sargam
   Little, Jane A.
   Pecker, Lydia H.
TI Advances in the Treatment of Sickle Cell Disease
SO MAYO CLINIC PROCEEDINGS
VL 93
IS 12
BP 1810
EP 1824
DI 10.1016/j.mayocp.2018.08.001
PD DEC 2018
PY 2018
AB Sickle cell disease (SCD) is a monogenic disorder that afflicts
   approximately 100,000 Americans and millions of people worldwide. It is
   characterized by hemolytic anemia, vaso-occlusive crises, relentless
   end-organ injury, and premature death. Currently, red blood cell
   transfusion and hydroxyurea are the major disease-modifying therapies
   available for SCD. Hematopoetic stem cell transplant is curative, but
   barriers to treatment are substantial and include a lack of suitable
   donors, immunologic transplant rejection, long-term adverse effects,
   prognostic uncertainty, and poor end-organ function, which is especially
   problematic for older patients. Gene therapy to correct the beta(s)
   point mutation is under investigation as another curative modality.
   Deeper insights into the pathophysiology of SCD have led to the
   development of novel agents that target cellular adhesion, inflammation,
   oxidant injury, platelets and/or coagulation, vascular tone, and
   hemoglobin polymerization. These agents are in preclinical and clinical
   trials. One such agent, L-glutamine, decreases red blood cell oxidant
   injury and is recently US Food and Drug Administration approved to
   prevent acute pain episodes of SCD in patients 5 years of age or older.
   The purpose of this review is to describe the currently established
   therapies, barriers to curative therapies, and novel therapeutic agents
   that can target sickle cell hemoglobin polymerization and/or its
   downstream sequelae. A PubMed search was conducted for articles
   published up to May 15, 2018, using the search terms sickle cell
   disease, novel treatments, hematopoietic stem cell transplantation, and
   gene therapy. Studies cited include case series, retrospective studies,
   prospective clinical trials, meta-analyses, online abstracts, and
   original reviews. (C) 2018 Mayo Foundation for Medical Education and
   Research
RI Pecker, Lydia/O-4972-2019
ZR 0
TC 38
ZS 2
ZA 0
ZB 18
Z8 1
Z9 39
U1 0
U2 12
SN 0025-6196
EI 1942-5546
UT WOS:000452006300017
PM 30414734
ER

PT J
AU Bouchara, Jean-Philippe
   Chaturvedi, Vishnu
TI The Curious Case of "Case Report" of Infections Caused by Human and
   Animal Fungal Pathogens: An Educational Tool, an Online Archive, or a
   Format in Need of Retooling
SO MYCOPATHOLOGIA
VL 183
IS 6
BP 879
EP 891
DI 10.1007/s11046-018-0314-1
PD DEC 2018
PY 2018
AB Case reports describe the unusual occurrence and complications of
   diseases, diagnostic challenges, and notable therapeutic successes. Some
   journals have discontinued the case reports, while new case report
   journals have appeared in recent years. During the eightieth anniversary
   of Mycopathologia, it is fitting to examine the relevance of the case
   report since the journal continues to traverse the boundaries of basic
   and clinical sciences. A random sample of recent case reports and other
   articles were selected from Mycopathologia. Springer Nature individual
   article download statistics, and Google Scholar and Scopus citations
   numbers were compared to assess the reader access and bibliometric
   impact of case reports. Our analysis indicated that the case report
   format continues to be a vital element of publication in a
   cross-disciplinary journal such as Mycopathologia. Medical and
   veterinary case reports covering fungal pathogens are widely read as
   evident from their download numbers. The download numbers have a
   positive correlation with the completeness of the report, the topics and
   geographic origin of reports have a neutral influence, and the recency
   leads to lower downloads. There is no discernible trend between the
   download numbers and the citations of case reports as measured by Google
   Scholar and Scopus. A specially designed checklist for Mycopathologia
   case reports and new format MycopathologiaIMAGES are being introduced to
   improve the quality and relevance of case reports further.
OI Chaturvedi, Vishnu/0000-0002-3922-9676
TC 21
ZA 0
ZS 0
Z8 0
ZR 0
ZB 21
Z9 21
U1 1
U2 3
SN 0301-486X
EI 1573-0832
UT WOS:000454303700002
PM 30570717
ER

PT J
AU Toquet, Claire
   Normand, Adeline
   Guihard, Gilles
TI Learning pathologic anatomy during medical formation: Understanding the
   contribution of the motivation
SO ANNALES DE PATHOLOGIE
VL 38
IS 6
BP 370
EP 380
DI 10.1016/j.annpat.2018.02.004
PD DEC 2018
PY 2018
AB Introduction. - The motivations of medical students for Pathologic
   Anatomy are little known although they can strongly influence their
   academic performance. Our work focused on the analysis of the
   relationship between performance and motivation for Pathologic Anatomy.
   Materials and methods. - Second-year students (n=268) from the
   University of Nantes were contacted to complete a motivation
   questionnaire and to provide indicators of performance and attendance.
   The responses were analyzed in order to establish the psychometric
   reliability and the factorial structure of the questionnaire. The
   relationship between motivation and performance was explored by
   correlation and by linear regression studies. A cluster analysis was
   performed to specify the distribution of the two variables in our
   sample.
   Results. - The sample corresponded to 168 respondents with a F/M ratio
   similar to that of our population. Our data demonstrated the reliability
   of the questionnaire and a structure described by 5 motivation factors
   (self-determination, self-efficacy, career, grade and intrinsic
   motivation). The academic performance was not significantly correlated
   with the overall motivation or with student attendance. However, it was
   predicted by self-determination and self-efficacy. Our work revealed
   gender differences as well as the existence of two distinct clusters
   defined by the motivation and performance of the students.
   Discussion/Conclusion. - This work constitutes the first study of the
   motivations of French medical students for cyto-pathology. It validates
   a quantitative assessment tool for motivation. Finally, it explores the
   heterogeneity of the distribution of motivation and academic performance
   within a population of learners. (C) 2018 Elsevier Masson SAS. All
   rights reserved.
Z8 0
ZR 0
ZS 0
ZB 0
TC 0
ZA 0
Z9 0
U1 0
U2 7
SN 0242-6498
UT WOS:000457515700005
PM 29843971
ER

PT J
AU Zhang, Helen H.
   Hepschke, Jenny L.
   Shulruf, Boaz
   Francis, Ian C.
   Spencer, Sascha K. R.
   Coroneo, Minas
   Agar, Ashish
TI Sharpening the focus on ophthalmology teaching: perceptions of medical
   students and junior medical officers
SO CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
VL 46
IS 9
BP 984
EP 993
DI 10.1111/ceo.13342
PD DEC 2018
PY 2018
AB Importance: Worldwide, ophthalmology teaching is being reduced or
   eliminated from medical school curricula. The current state of
   ophthalmic teaching in Australia is unknown.
   Background: To evaluate the perceptions of junior medical officers
   (JMOs) and medical students on ophthalmology teaching in Australian
   medical schools.
   Design: Survey-based cross-sectional study.
   Participants: A total of 838 JMOs and medical students from across
   Australia.
   Methods: Fifty-six hospitals and 20 medical schools across Australia
   were contacted. Hardcopy and online surveys were distributed to
   participants at consenting institutions, evaluating the characteristics
   of ophthalmology teaching received during medical school and participant
   confidence in basic ophthalmological clinical skills and knowledge.
   Factor analysis was performed on confidence scores.
   Main outcome measures: Likert scale confidence ratings, teaching methods
   encountered versus preferred.
   Results: Four hundred and thirty-two (51.6%) surveys were received from
   JMOs and 406 (48.4%) from medical students. The most common form of
   teaching received were lectures (71.3% JMOs, 65.5% medical students),
   while the most preferred type were hospital tutorials (37.7% JMOs, 61.6%
   medical students). Mean confidence in ophthalmology-specific skills and
   knowledge topics were not high for medical students (skills: 2.66/5, 95%
   confidence interval [CI] = 2.55-2.76; knowledge: 2.88/5, 95% CI =
   2.80-2.96) and JMOs (skills: 2.52/5, 95% CI = 2.43-2.60; knowledge:
   2.84/5, 95% CI = 2.77-2.91). Many participants voiced the need for more
   ophthalmology teaching, particularly clinically oriented opportunities.
   Conclusions and relevance: JMOs and medical students do not show high
   levels of confidence in basic ophthalmological clinical skills and
   knowledge, and report inadequate emphasis on ophthalmology during
   medical school.
RI Coroneo, Minas/AAJ-4600-2020; Hepschke, Jenny/
OI Hepschke, Jenny/0000-0001-8106-5217
ZB 4
ZA 0
ZS 0
ZR 0
Z8 0
TC 13
Z9 13
U1 1
U2 8
SN 1442-6404
EI 1442-9071
UT WOS:000457598200001
PM 29927020
ER

PT J
AU Masani, Navroz
TI The Echocardiography Quality Framework: a comprehensive,
   patient-centered approach to quality assurance and continuous service
   improvement
SO ECHO RESEARCH AND PRACTICE
VL 5
IS 4
BP G35
EP G41
DI 10.1530/ERP-18-0052
PD DEC 2018
PY 2018
AB The Echocardiography Quality Framework (EQF) is a unique, comprehensive,
   holistic approach to improving all aspects of an echocardiography
   service. The EQF is a patient-centered program, combining Quality
   Assurance and Continuous Service Improvement. The framework encompasses
   measures of (i) the quality of echocardiography, (ii) reproducibility
   and consistency, (iii) education and training, and (iv) customer
   feedback. The EQF is scalable and adaptable to benefit any
   echocardiography service. A catalogue or library of supporting documents
   is being developed by the British Society of Echocardiography (BSE), to
   be made available to any participating department. A mechanism and
   online infrastructure for (optional) national registration or assessment
   is being developed, to be used as a standalone adjunct or linked to BSE
   Departmental Accreditation. The principles that underpin the EQF may be
   applied to other imaging disciplines and, ultimately, other medical or
   surgical specialties.
ZR 0
ZS 0
Z8 0
TC 5
ZA 0
ZB 0
Z9 5
U1 0
U2 1
SN 2055-0464
UT WOS:000456838900003
PM 30400065
ER

PT J
AU Cheng, Helen
   Dove, Nicholas C.
   Mena, Jessica M.
   Perez, Tomas
   Ul-Hasan, Sabah
TI The Biota Project: A Case Study of a Multimedia, Grassroots Approach to
   Scientific Communication for Engaging Diverse Audiences
SO INTEGRATIVE AND COMPARATIVE BIOLOGY
VL 58
IS 6
BP 1294
EP 1303
DI 10.1093/icb/icy091
PD DEC 2018
PY 2018
AB The Biota Project communicates science to populations historically
   ignored by the scientific community. The Biota Project is comprised of a
   team of young professionals from a myriad of backgrounds and locations
   with interests in promoting science accessibility and equity. We do this
   by highlighting research conducted by scientists from underrepresented
   groups in relatable yet underrated locations with the intention of
   increasing the participation of underrepresented populations in science.
   The Biota Project centers on the scientific definition of symbiosis as a
   tool for both educating and learning from its followers. We deliver
   stories on the environments of our own backyards by merging art and
   science and distributing these publicly available stories widely online
   through short films, media clips, drawings, paintings, blogs, and
   e-newsletters. This project demonstrates a fresh, transferable
   perspective on strengthening science communication in a way that
   conjoins scientific discovery with social justice through the promotion
   of critical thinking by its target audience. Likewise, contributors
   learn how to better support local communities with each new story and
   environment. The Biota Project thus sets a symbiotic tone for
   re-calibrating the balance between academics, researchers, and local
   communities. When science is made relevant through understanding, its
   quality and significance are enhanced, and public recognition of its
   value is increased.
OI Monterrosa, Jessica/0000-0002-3315-4431
ZS 0
TC 2
ZA 0
ZB 1
Z8 0
ZR 0
Z9 2
U1 1
U2 10
SN 1540-7063
EI 1557-7023
UT WOS:000456584300026
PM 29992244
ER

PT J
AU Desteghe, Lien
   Germeys, Jana
   Vijgen, Johan
   Koopman, Pieter
   Dilling-Boer, Dagmara
   Schurmans, Joris
   Delesie, Michiel
   Dendale, Paul
   Heidbuchel, Hein
TI Effectiveness and usability of an online tailored education platform for
   atrial fibrillation patients undergoing a direct current cardioversion
   or pulmonary vein isolation
SO INTERNATIONAL JOURNAL OF CARDIOLOGY
VL 272
BP 123
EP 129
DI 10.1016/j.ijcard.2018.07.065
PD DEC 1 2018
PY 2018
AB Background: Atrial fibrillation (AF) care should strive for more
   informed, involved and empowered patients. However, few effective
   educational programs are available. The aim of this study was to
   evaluate the effectiveness of an online tailored education platform to
   inform AF patients undergoing a direct current cardioversion (DCC) or a
   pulmonary vein isolation (PVI).
   Methods: 120 AF patients requiring DCC or PVI were allocated Loan online
   education group (n = 35), a standard care group despite having online
   access (n = 36; randomized with group 1), and a group without a
   computer/ tablet/smartphone receiving standard care (n = 49). The Jessa
   Atrial fibrillation Knowledge Questionnaire (JAKQ), supplemented with
   procedure-specific questions, had to be completed 1-3 weeks before
   hospitalization, at hospitalization, and 6 and/or 12 weeks
   post-procedurally.
   Result: Major AF-related and procedure-related knowledge gaps were
   shown. The online tailored education group scored significantly better
   at hospitalization compared to baseline (P = 0.001). This knowledge
   increase was retained after 6 (P = 0.010) and 12 (P < 0.001) weeks. In
   the online standard care group there was no change in knowledge from
   planning till hospitalization (P = 1.000), although knowledge was
   improved 6 weeks post-procedurally (P = 0.010). Knowledge did not
   improve in the group without computer/tablet/smartphone at any time (P =
   0.248). Most patients indicated that the platform was easy to use
   (87.9%), understandable (97.0%), and 72.7% indicated that an online
   platform was their preferred way to receive future AF-related
   information.
   Conclusions: Tailored online education is an effective strategy to
   improve AF- and procedure-related knowledge with lasting effects up to
   12 weeks post-procedurally. The platform was positively evaluated by
   patients. (C) 2018 Elsevier B.V. All rights reserved.
RI Heidbuchel, Hein/C-2331-2019; VIJGEN, Johan M/AFQ-1297-2022; Heidbuchel, Hein/AAU-2711-2021; Koopman, Pieter/
OI Heidbuchel, Hein/0000-0001-9301-8127; Heidbuchel,
   Hein/0000-0001-9301-8127; Koopman, Pieter/0000-0002-6373-180X
ZS 0
TC 20
ZR 1
ZA 0
Z8 0
ZB 2
Z9 20
U1 0
U2 7
SN 0167-5273
EI 1874-1754
UT WOS:000446025200026
PM 30049498
ER

PT J
AU Scholz, Christine
TI Results of the survey on the state of medical training in human genetics
   in Germany
SO MEDIZINISCHE GENETIK
VL 30
IS 4
BP 523
EP 529
DI 10.1007/s11825-018-0222-2
PD DEC 2018
PY 2018
AB Objective. Until now, only assumptions have been made about how many
   medical assistants are currently in medical training to become a
   specialist in human genetics. The German Society of Human Genetics has
   therefore carried out a survey on this among specialists who offer
   medical training in the fields of human genetics. It was also asked how
   medical education in human genetics institutions is organised and
   financed, how the specialists in human genetics assess the current
   situation, and what possibilities they see for substantially increasing
   the number of doctors undergoing professional medical training.
   Methods. To understand the state of medical education in human genetics
   in Germany, an online questionnaire was developed with a total of 15
   questions on the following areas: candidates for advanced training,
   facilities, eligibility, and the significance of medical training in
   human genetics.
   Results. The survey yielded important information about the number of
   medical assistants, the organisation and financing of medical training,
   and the assessment of the specialists who offer those training
   opportunities. A total of 90 current medical assistants were identifed.
   The participants of the survey welcomed the initiative of the German
   Society for Human Genetics and showed great willingness to improve the
   situation and express constructive criticism.
ZR 0
ZA 0
ZB 0
TC 5
Z8 0
ZS 0
Z9 5
U1 0
U2 1
SN 1863-5490
UT WOS:000456668500011
ER

PT J
AU Formea, Christine M.
   Nicholson, Wayne T.
   Rohrer, Carolyn
   Wix, Kelly K.
   McCullough, Kristen B.
   Cunningham, Julie L.
   Zeuli, John D.
   Matey, Eric T.
   Merten, Julianna A.
   Richardson, Darcy M.
   Billings, Andrea L.
   Schramm, Garrett E.
TI Implementation of a pharmacogenomics education program for pharmacists
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 75
IS 23
BP 1939
EP 1946
DI 10.2146/ajhp170771
PD DEC 1 2018
PY 2018
AB Purpose. The development, implementation, and evaluation of a
   pharmacogenomics education program for pharmacists in a large,
   integrated multicampus health system are described.
   Summary. Pharmacogenomics has been described as tailoring medications to
   each patient's unique genetic sequence with the goals of minimizing
   harmful effects and optimizing therapeutic effects. Pharmacists are
   uniquely trained to lead the implementation of pharmacogenomics in
   clinical care. After assessment of pharmacists' comfort with
   pharmacogenomics, different approaches were explored to develop, pilot
   test, and disseminate pharmacogenomics education across a multicampus
   academic medical center. Limited success with large-audience,
   single-lecture didactic education led to development and delivery of
   targeted, competencybased online modules using the institution's
   academic virtual learning environment and course management system.
   Implementation steps included (1) collaboration with the Mayo Clinic
   Center for Individualized Medicine to create an interprofessional
   development team and project charter, (2) galvanizing pharmacy
   leadership support across multiple campuses, (3) development of
   competency-based interactive modules, and (4) assessment of the quality
   of and learner satisfaction with the modules. Significant improvements
   in competency scores were observed with each module and across the
   multiple campuses. Satisfaction with the education program was assessed
   at the end of a 4-module series.
   Conclusion. A pharmacogenomics educational program targeting pharmacists
   was developed through interprofessional collaboration and provided a
   novel opportunity to construct an educational infrastructure to support
   enterprise health-system campuses with limited educational resources.
OI McCullough, Kristen/0000-0003-4252-2619
ZR 0
Z8 0
TC 11
ZA 0
ZB 7
ZS 1
Z9 11
U1 0
U2 5
SN 1079-2082
EI 1535-2900
UT WOS:000456291700020
PM 30301720
ER

PT J
AU Miller, David Gibbes
   Kim, Scott Y. H.
   Li, Xiaobai
   Dickert, Neal W.
   Flory, James
   Runge, Carlisle P.
   Relton, Clare
TI Ethical Acceptability of Postrandomization Consent in Pragmatic Clinical
   Trials
SO JAMA NETWORK OPEN
VL 1
IS 8
AR e186149
DI 10.1001/jamanetworkopen.2018.6149
PD DEC 2018
PY 2018
AB IMPORTANCE Pragmatic clinical trials that seek informed consent after
   randomization (ie, postrandomization consent) are increasingly used, but
   debate on ethics persists because control arm patients are not
   specifically informed about the trials and randomization occurs before
   consent for the trials. The public's attitude toward postrandomization
   consent trials is unknown, but the way the trials are described could
   bias people's views.
   OBJECTIVES To assess the attitudes of the US general public toward
   postrandomization informed consent for pragmatic trials and to measure
   potential framing and other factors associated with those attitudes.
   DESIGN, SETTING, AND PARTICIPANTS An online, 2 x 2 experimental survey
   (fielded between February 23 and April 3, 2018) portraying 4 scenarios
   of postrandomization informed consent (with prior broad consent for
   medical record use) was conducted. These scenarios included traditional
   randomized clinical trial language framing vs alternative framing in a
   high-stakes trial (ie, survival in leukemia) or low-stakes trial (ie,
   blood glucose level in diabetes). A total of 3793 individuals invited to
   participate were part of an existing panel representative of the US
   general public (GfK KnowledgePanel).
   MAIN OUTCOMES AND MEASURES The proportion of participants who would
   recommend that an ethics review board approve a postrandomization
   consent pragmatic trial. RESULTS A total of 2042 of 3739 invitees
   (54.6%) responded; after exclusion of 38 incomplete surveys, 2004
   participants were included in the analysis. Of these, 997 (49.8%) were
   women, 1440 (71.9%) were white non-Hispanic, 199 (9.9%) were black
   non-Hispanic, and 233 (11.6%) were Hispanic. Mean (SD) age was 47.5
   (17.4) years. Across scenarios, weighted data showed that 75.4% of the
   participants would recommend approval of the postrandomization consent
   pragmatic trial, 20.4% would probably not recommend approval, and 4.2%
   would definitely not recommend approval. Approval was not sensitive to
   framing language (traditional vs new framing in high-stakes scenario,
   74.3% vs 76.8%, P =.40; in low-stakes scenario, 77.7% vs 72.9%, P =.10)
   or to the stakes (low vs high stakes in traditional framing, 77.7% vs
   74.3%, P =.25; in new framing, 72.9% vs 76.8%, P =.18). Better
   understanding of the postrandomization consent design was associated
   with higher rate of approval (78.1% vs 65.0%, P =.002 for high-stakes
   scenario; 77.2% vs 64.9%, P =.004 for low-stakes scenario), especially
   among those with less education. However, opinions about personal
   involvement in the control arm were more cautious (range depending on
   scenario, 45.6%-59.7%) and sensitive to stakes but not to framing.
   CONCLUSIONS AND RELEVANCE The public's generally high rate of approval
   of the ethics of postrandomization informed consent for pragmatic trial
   designs does not appear to be affected by whether postrandomization
   consent design is framed using traditional randomized clinical trial
   terminology, regardless of the stakes of the trial. Promoting better
   understanding of the design may increase its acceptance by the public.
OI Miller, David Gibbes/0000-0002-2785-6998
ZS 0
ZA 0
ZB 0
ZR 0
TC 3
Z8 0
Z9 3
U1 0
U2 1
SN 2574-3805
UT WOS:000456295400043
PM 30646316
ER

PT J
AU Maske, Shital Sopanrao
   Kamble, Prathamesh Haridas
   Kataria, Sushma Kushal
   Raichandani, Leena
   Dhankar, Ruchika
TI Feasibility, effectiveness, and students' attitude toward using WhatsApp
   in histology teaching and learning
SO JOURNAL OF EDUCATION AND HEALTH PROMOTION
VL 7
IS 1
DI 10.4103/jehp.jehp_30_18
PD DEC 2018
PY 2018
AB OBJECTIVE: The present study assessed the feasibility, effectiveness,
   and students' attitude toward histology teaching using WhatsApp.
   MATERIALS AND METHODS: We conducted 6 months of histology teaching
   session on a "Histology learning WhatsApp group" consisting of 250
   1st-year medical graduate students at Dr. S.N. Medical College, Jodhpur.
   A teacher posted a digital image of histology slides created using a
   mobile camera; a slide diagram sketched using hematoxylin and eosin
   pencil, identification points, and detail description of slide followed
   by discussion of queries. The feasibility was measured by adequate
   enrollment of students in the WhatsApp group, drop-out rate during the
   teaching period, acceptability of the by students based on their
   feedback, and perception of the teacher. To study the effectiveness, we
   conducted an online test pre- and posttests after every 2 months. The
   Student's attitude WhatsApp learning was assessed using the prevalidated
   feedback questionnaire. RESULTS: All the 1st-year medical graduate
   students admitted in the year 2016 enrolled and most of them were
   actively participated in the discussion conducted on WhatsApp group with
   zero dropout rate. Students' feedback indicated that students enjoyed
   learning using WhatsApp with better participation than traditional
   teaching method. Students liked anytime, anywhere learning using
   WhatsApp and it helped them to clear doubts. The statistical difference
   between average pre- and posttest scores (6.54 +/- 2.33 and 16.37 +/-
   3.32, respectively) were statistically significant. CONCLUSIONS: We
   conclude that histology teaching using WhatsApp learning group is
   feasible, effective, and student-friendly method. It should be used more
   frequently to complement traditional teaching.
OI KAMBLE, PRATHAMESH/0000-0001-7125-724X
ZB 3
ZR 0
TC 15
ZS 0
ZA 0
Z8 0
Z9 15
U1 0
U2 1
SN 2277-9531
EI 2319-6440
UT WOS:000614863000007
PM 30693295
ER

PT J
AU Ferrara, Pietro
   Stromillo, Lucia
   Albano, Luciana
TI Awareness, Attitudes, and Practices Toward Meningococcal B Vaccine among
   Pediatricians in Italy
SO MEDICINA-LITHUANIA
VL 54
IS 6
AR 100
DI 10.3390/medicina54060100
PD DEC 2018
PY 2018
AB Background and objectives: Vaccination against bacterial pathogens is
   decisive for preventing invasive meningococcal disease and pediatricians
   play a pivotal role in vaccination compliance and coverage. The aim of
   this study was to investigate awareness, attitude, and practices toward
   the vaccine against Meningococcal B serogroup (4CMenB) among a sample of
   Italian pediatricians. Materials and Methods: A cross-sectional study
   was carried out using an online questionnaire from March to May 2015.
   Three multivariate logistic regression models were built to identify
   factors associated with the outcomes of interest. Results: The data
   showed that 95.5% of the interviewees correctly responded about the
   availability of 4CMenB vaccine in Italy, while only 28.0% knew the
   vaccination schedule for children aged two years or under. This
   knowledge was significantly higher in younger pediatricians and in those
   who worked a higher number of hours per week. Pediatricians
   self-reported a positive attitude toward the utility and safety of
   4CMenB vaccine. Those pediatricians with a strong positive attitude
   toward the utility of the vaccine, who knew the vaccination schedules
   for children of two years or under, and who declared a satisfactory or
   good knowledge about the vaccine were more likely to inform parents
   about its availability in Italy, recommend the vaccination, and verify
   patients' vaccination status, in their daily practice. Conclusions: The
   study highlights factors that currently influence pediatricians'
   practices regarding the 4CMenB vaccine. The results showed the possible
   actions recommended to improve physicians' awareness and behaviors in
   order to improve the vaccination compliance and invasive meningococcal
   diseases prevention.
RI Ferrara, Pietro/AAF-4113-2019
OI Ferrara, Pietro/0000-0002-0349-3221
ZS 0
ZR 0
TC 4
Z8 0
ZA 0
ZB 2
Z9 4
U1 0
U2 1
SN 1010-660X
EI 1648-9144
UT WOS:000455621300009
PM 30513993
ER

PT J
AU Hasler, Margaret E.
   Leggit, Jeffrey C.
TI Complementary and Integrative Health Education in the Medical School
   Curriculum: An Interest Survey
SO MEDICAL ACUPUNCTURE
VL 30
IS 6
BP 298
EP 307
DI 10.1089/acu.2018.1311
PD DEC 1 2018
PY 2018
AB Objective: The use of complementary and integrative health (CIH)
   modalities continues to increase; yet, there is limited instruction in
   these methods in undergraduate medical-school curricula. The objective
   of this research was to evaluate interest in developing a CIH curriculum
   at the Uniformed Services University of the Health Sciences (USUHS), in
   Bethesda, MD.
   Materials and Methods: Students and faculty of the USUHS were emailed a
   10-question online survey and responded via a Likert scale and
   open-ended questions.
   Results: There was interest in learning more about CIH; 65% of student
   survey respondents and 61% of faculty survey respondents indicated that
   they "probably" or "definitely" believe that a curriculum in CIH should
   be instituted at the USUHS.
   Conclusions: The addition of a curriculum in CIH would be beneficial to
   future patients who will benefit from the students' additional knowledge
   and experiences. This curriculum would also benefit the students who
   would be able to use their knowledge of CIH practices to relieve stress
   and mitigate burnout.
ZB 0
ZS 0
ZA 0
ZR 0
TC 1
Z8 0
Z9 1
U1 0
U2 1
SN 1933-6586
EI 1933-6594
UT WOS:000453860100004
PM 30671149
ER

PT J
AU Haris, A.
   Polner, K.
TI Care for chronic renal patients - Role of multidisciplinary education
SO PHYSIOLOGY INTERNATIONAL
VL 105
IS 4
BP 347
EP 357
DI 10.1556/2060.105.2018.4.26
PD DEC 2018
PY 2018
AB The aim of this study is to summarize the beneficial effects of the
   holistic approach to patients living with chronic renal failure,
   including multidisciplinary education and psychosocial care. By
   education, we enable our patients to reach self-management, appropriate
   compliance, and coping, which may decrease progression of renal failure,
   avoid urgent need for starting dialysis and may facilitate better
   modality selection, access planning, renal transplantation activity, and
   rehabilitation. Psychosocial care reduces anxiety and fear, modifies
   perception of illness' burden, and increases quality of life. Yet, both
   patients and nephrologists feel that transmission of information is
   often insufficient. Different methods can effectively be utilized as
   educational interventions, meetings with staff, and also with expert
   patients, group education sessions, written or online materials, or
   multimedia presentations. Patient care of such a high complexity can be
   provided only by multidisciplinary teams. A special Hungarian example of
   holistic care is presented, and the favorable results of the education
   and lifestyle camps for patients accompanied by their relatives are
   discussed. Accordingly, complex care of patients living with chronic
   renal failure on the long run is cost saving.
RI Haris, Ágnes/U-3452-2019
OI Haris, Ágnes/0000-0001-8562-7977
ZR 0
TC 5
ZB 1
ZS 0
ZA 0
Z8 0
Z9 5
U1 1
U2 14
SN 2498-602X
UT WOS:000454451500006
PM 30582338
ER

PT J
AU Froehlich, Susanne
   Goebel, Florian
   Meder, Adrian
   Wirkner, Janine
   Obertacke, Udo
   Kasch, Richard
TI Quality and Satisfaction with the Surgical Medical Clerkship from a
   Student Perspective
SO ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
VL 156
IS 6
BP 639
EP 645
DI 10.1055/a-0609-6781
PD DEC 2018
PY 2018
AB Preface The surgical medical clerkship is of special importance, as the
   student is given the opportunity to get in touch with medical colleagues
   and patients for the first time, and the interest in a certain field of
   specialisation can be consolidated. The present study will clarify how
   students perceived their medical clerkship in the field of surgery.
   Methods A nationwide online survey carried out in 2012 was able to
   recruit 9079 participants, and contained questions about the completed
   curricular internships. The present evaluation contains the data of
   those respondents who had completed at least four weeks of internship in
   surgery. The following main groups were of particular interest: overall
   assessment, satisfaction, structure and quality of teaching, of the
   teachers, and the acquisition of practical skills, which were divided
   into 35 items. Statistical evaluation was carried out using SPSS 22.0
   (IBM Corp., Armonk, USA). In addition to the descriptive statistics, the
   Chi(2) test was performed for frequencies, and univariate ANOVAs with
   the sub-subject factor group (satisfied, neutral, dissatisfied) were
   performed for the individual items.
   Results Overall, the data of 526 participants could be analysed. The
   female proportion of students was 56.7%; the average age at the time of
   the survey was 25 years. In all evaluated items, there were significant
   differences between the groups satisfied and dissatisfied. The
   participants of the survey who were satisfied with the overall
   qualification (p = 0.000), reported that they benefited with regard to
   the technical and didactic quality of teaching (p = 0.000), the
   acquisition of practical competences (p = 0.000), as well as the
   didactic and professional quality of teaching (p = 0.000).
   Discussion Little is published about the internships for students,
   including the medical clerkship "Famulatur". However, this information
   seems to be important, as the students can freely choose the subject in
   which the Famulatur can be completed. Thus, in this early phase of
   training, it is possible to recruit young academics for the department
   by optimising existing structures and improving the range of courses.
ZS 0
ZR 0
ZB 1
Z8 0
ZA 0
TC 3
Z9 3
U1 0
U2 5
SN 1864-6697
EI 1864-6743
UT WOS:000455324800010
PM 29925097
ER

PT J
AU McCann, Terence V.
   Savic, Michael
   Ferguson, Nyssa
   Cheetham, Alison
   Witt, Katrina
   Emond, Kate
   Bosley, Emma
   Smith, Karen
   Roberts, Louise
   Lubman, Dan I.
TI Recognition of, and attitudes towards, people with depression and
   psychosis with/without alcohol and other drug problems: results from a
   national survey of Australian paramedics
SO BMJ OPEN
VL 8
IS 12
AR e023860
DI 10.1136/bmjopen-2018-023860
PD DEC 2018
PY 2018
AB Objective Continuing stigma towards mental health problems means that
   many individuals-especially men-will first present in crisis, with
   emergency services often the first point of call. Given this situation,
   the aims of this paper were to assess paramedics' ability to recognise,
   and their attitudes towards, males with clinically defined depression
   and psychosis with and without comorbid alcohol and other drug (AOD)
   problems.
   Methods A cross-sectional national online survey of 1230 paramedics
   throughout Australia. The survey was based on four vignettes: depression
   with suicidal thoughts, depression with suicidal thoughts and comorbid
   alcohol problems, and psychosis with and without comorbid AOD problems.
   Results Just under half of respondents recognised depression, but this
   decreased markedly to one-fifth when comorbid AOD problems were added to
   the vignette. In contrast, almost 90% recognised psychosis, but this
   decreased to just under 60% when comorbid AOD problems were added.
   Respondents were more likely to hold stigmatising attitudes towards
   people in the vignettes with depression and psychosis when comorbid AOD
   problems were present. Respondents endorsed questionnaire items
   assessing perceived social stigma more strongly than personal stigma.
   Desire for social distance was greater in vignettes focusing on
   psychosis with and without comorbid AOD problems than depression with
   and without comorbid AOD problems.
   Conclusions Paramedics need a well-crafted multicomponent response which
   involves cultural change within their organisations and more education
   to improve their recognition of, and attitudes towards, clients with
   mental health and AOD problems. Education should focus on the
   recognition and care of people with specific mental disorders rather
   than on mental disorders in general. It is essential that education also
   focuses on understanding and caring for people with AOD problems.
   Educational interventions should focus on aligning beliefs about public
   perceptions with personal beliefs about people with mental disorders and
   AOD problems.
RI Bosley, Emma/V-8159-2019; Witt, Katrina/AAN-4554-2020; Emond, Kate/S-9990-2019; Lubman, Dan/; Emond, Kate/; Mccann, Terence/; Smith, Karen/; Cheetham, Ali/
OI Bosley, Emma/0000-0002-4645-613X; Witt, Katrina/0000-0002-1489-4573;
   Lubman, Dan/0000-0002-6747-1937; Emond, Kate/0000-0002-4968-4007;
   Mccann, Terence/0000-0003-1109-0438; Smith, Karen/0000-0002-9057-0685;
   Cheetham, Ali/0000-0002-6549-6778
TC 12
ZA 0
ZR 0
ZS 0
ZB 1
Z8 0
Z9 12
U1 1
U2 5
SN 2044-6055
UT WOS:000455309300116
PM 30514822
ER

PT J
AU Davidge-Pitts, Caroline J.
   Nippoldt, Todd B.
   Natt, Neena
TI ENDOCRINOLOGY FELLOWS' PERCEPTION OF THEIR CONFIDENCE AND SKILL LEVEL IN
   PROVIDING TRANSGENDER HEALTHCARE
SO ENDOCRINE PRACTICE
VL 24
IS 12
BP 1038
EP 1042
DI 10.4158/EP-2018-0307
PD DEC 2018
PY 2018
AB Objective: Both educational content and hours devoted to transgender
   health training of endocrinology fellows arc suboptimal. The objective
   of this study was to assess the perspectives of endocrinology fellows on
   their training in transgender health.
   Methods: We evaluated the state of comfort and knowledge of transgender
   healthcare among endocrinology fellows attending Endocrine University.
   Surveys were administered to fellows before and after their
   participation in a case-based session on transgender health.
   Results: The majority of fellows felt that training in transgender
   health is important (95.9%, 189/197); however, only 58.9% reported
   inclusion of dedicated transgender content in their training programs.
   Fellows who had received transgender healthcare education, and those who
   had seen more transgender patients in their training, were more likely
   to be confident in treating patients with hormone therapy (P<.001 and
   P<.0001, respectively). Following the case-based session, 62.4 % of
   fellows reported that they would change their practice, 72.8% felt that
   their comfort level with transgender care had improved, and 91% felt
   that transgender content such as that provided in the educational
   session should be mandatory in endocrinology training programs. Methods
   most desired by fellows to improve their education included lectures
   from visiting professors (703%), participation in elective rotations
   (62.1%), online training modules (57.9%), and attendance at meetings
   with transgender topics (57.4%).
   Conclusion: Transgender health education of U.S. endocrinology fellows
   is suboptimal. Participation in a case-based session significantly
   increased the comfort level of endocrinology fellows in key areas of
   transgender health.
TC 8
ZR 0
ZB 1
Z8 0
ZA 0
ZS 0
Z9 8
U1 0
U2 1
SN 1530-891X
EI 1934-2403
UT WOS:000455045800003
PM 30289295
ER

PT J
AU Bibault, J. -E.
   Denis, F.
   Roue, A.
   Gibon, D.
   Fumagalli, I.
   Hennequin, C.
   Barillot, I.
   Quero, L.
   Paumier, A.
   Mahe, M. -A.
   Vernat, S. Servagi
   Crehange, G.
   Lapeyre, M.
   Blanchard, P.
   Pointreau, Y.
   Lafond, C.
   Huguet, F.
   Mornex, F.
   Latorzeff, I.
   de Crevoisier, R.
   Martin, V.
   Kreps, S.
   Durdux, C.
   Antoni, D.
   Noel, G.
   Giraud, P.
TI Siriade 2.0: An e-learning platform for radiation oncology contouring
SO CANCER RADIOTHERAPIE
VL 22
IS 8
BP 773
EP 777
DI 10.1016/j.canrad.2018.02.003
PD DEC 2018
PY 2018
AB Purpose. - In 2008, the French national society of radiation oncology
   (SFRO) and the association for radiation oncology continued education
   (AFCOR) created Siriade, an e-learning website dedicated to contouring.
   Material and methods. - Between 2015 and 2017, this platform was updated
   using the latest digital online tools available. Two main sections were
   needed: a theoretical part and another section of online workshops.
   Results. - Teaching courses are available as online commented videos,
   available on demand. The practical section of the website is an online
   contouring workshop that automatically generates a report quantifying
   the quality of the user's delineation compared with the experts'.
   Conclusion. - Siriade 2.0 is an innovating digital tool for radiation
   oncology initial and continuous education. (C) 2018 Societe francaise de
   radiotherapie oncologique (SFRO). Published by Elsevier Masson SAS. All
   rights reserved.
RI de Crevoisier, Renaud/ABD-7321-2020; Quero, Laurent/AAB-7430-2022; Blanchard, Pierre/AAC-8695-2019; Denis, Fabrice/T-7965-2019; Bibault, Jean-Emmanuel/; NOEL, Georges/
OI Blanchard, Pierre/0000-0003-4785-3409; Bibault,
   Jean-Emmanuel/0000-0002-1728-6776; NOEL, Georges/0000-0003-4952-5572
ZS 0
Z8 0
ZB 0
ZR 0
TC 1
ZA 0
Z9 1
U1 0
U2 5
SN 1278-3218
EI 1769-6658
UT WOS:000454752600005
PM 30360973
ER

PT J
AU Alamri, Abdullah A.
   Almutairi, Turki N.
   Lamfon, Mohammed Z.
   Fadel, Ali A.
   Qashqari, Moayad S.
   Bogari, Hussain O.
   Flimban, Marwan N.
   Bishara, Ahmed E.
   Barnawi, Mohammed M.
   Safdar, Osama
TI FOLIC ACID AWARENESS AMONG HEALTHCARE PROFESSIONALS AND MEDICAL STUDENTS
   IN JEDDAH, SAUDI ARABIA: CROSS-SECTIONAL STUDY
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 5
IS 12
BP 15935
EP 15947
DI 10.5281/zenodo.2205237
PD DEC 2018
PY 2018
AB Objectives: Folic acid, a water-soluble vitamin, is used in the
   formation of red blood cells, amino acid metabolism, and DNA/RNA
   synthesis. Moreover, folic acid is used during cellular division. The
   current study aims to assess the awareness and knowledge among health
   care providers about folic acid consumption during preconception at the
   King Abdul-Aziz University Hospital (KAU-H), Jeddah, in 2017.
   Methods: In this cross-sectional study, we randomly selected
   participants, with a total number of 305 health care providers including
   medical students, nurses, and doctors working at KAU-H in 2017. The data
   were collected using a validated online self-administered questionnaire.
   Results: Out of 305 participants, 203 (66.6%) were medical students at
   multiple colleges; two-thirds of the students were in the sixth year of
   medical college at KAU (66, 21.6%). With respect to the comparison of
   level of knowledge regarding work and academic year, the results
   revealed significant differences in knowledge level, with doctors and
   fifth-year medical students obtaining higher scores than others (p=0.04,
   p=0.001, respectively).
   Conclusion: The level of knowledge and work, and academic year were
   significantly related. Continuous medical education programs and
   campaigns are needed to increase the awareness level. Future studies
   (cohort, intervention and qualitative studies) with larger sample sizes,
   from several institutions across the country should be conducted to
   determine the level of awareness, the main reasons for this inadequate
   level and how to bridge the knowledge gaps.
RI Safdar, Osama/ABH-5270-2022
TC 0
ZA 0
ZS 0
ZB 0
ZR 0
Z8 0
Z9 0
U1 0
U2 2
SN 2349-7750
UT WOS:000454558500235
ER

PT J
AU Chan, Chloe Xiaoyun
   Foo, Gen Lin
   Kwek, Ernest Beng Kee
TI Knowledge of orthopaedic implant costs and healthcare schemes among
   orthopaedic residents
SO SINGAPORE MEDICAL JOURNAL
VL 59
IS 12
BP 616
EP 618
DI 10.11622/smedj.2018143
PD DEC 2018
PY 2018
AB There is a paucity of available research on knowledge of orthopaedic
   implant costs and healthcare schemes among orthopaedic residents. With
   the rising healthcare costs in Singapore, it is imperative for
   residents, who are the future surgeons, to understand these issues in
   order to provide proper counselling and cost-effective management. This
   study aimed to quantify how accurately they understood these issues and
   determine if senior residents had better knowledge given their increased
   experience. An online survey was administered to all orthopaedic
   residents within a residency programme. There was poor knowledge of
   implant costs and healthcare schemes among residents. Junior residents
   fared better at healthcare schemes, while senior residents fared better
   at estimation of implant costs. Education on these issues should be
   incorporated into the residency programme to bring about more holistic
   and cost-conscious clinicians.
OI Kwek, Ernest Beng Kee/0000-0002-9474-3221
ZR 0
ZB 0
ZA 0
TC 1
Z8 0
ZS 0
Z9 1
U1 1
U2 1
SN 0037-5675
UT WOS:000453931300002
PM 30631883
ER

PT J
AU Peters, A.
   Tartari, E.
   Lotfinejad, N.
   Parneix, P.
   Pittet, D.
TI Fighting the good fight: the fallout of fake news in infection
   prevention and why context matters
SO JOURNAL OF HOSPITAL INFECTION
VL 100
IS 4
BP 365
EP 370
DI 10.1016/j.jhin.2018.08.001
PD DEC 2018
PY 2018
AB Although misinformation has always existed, the scope and speed at which
   fake news can reach even the most remote corners of the globe is a
   modern phenomenon. In the field of infection prevention and control
   (IPC), we like to believe that our dedication to the field and the
   process of conducting science protects us from the ravages of 'bad buzz'
   and fake news. This misconception leads medical professionals to
   underestimate the negative effects of misinformation on public health.
   This paper focuses on the nexus of what is happening between the field
   of IPC and the public. Its aim is to examine how information gets
   distorted and amplified between the medical community and the public,
   and outline some of the issues that deserve further attention. It looks
   at a number of case studies which show that even one badly conducted
   study can have a severe negative impact on public health, and that a
   well-conducted study can be distorted to make people believe something
   fallacious. In the current system of publishing and the proliferation of
   online journals that publish without peer review, 'bad buzz' and fake
   news can quickly do a good deal of damage. (C) 2018 Published by
   Elsevier Ltd on behalf of The Healthcare Infection Society.
RI Tartari, Ermira/AAC-6804-2021; Pittet, Didier/
OI Pittet, Didier/0000-0002-3667-7131
ZA 0
ZS 1
ZR 0
TC 16
ZB 4
Z8 0
Z9 16
U1 0
U2 33
SN 0195-6701
EI 1532-2939
UT WOS:000450096100012
PM 30092290
ER

PT J
AU Gillan, C.
   Papadakos, J.
   Brual, J.
   Harnett, N.
   Hogan, A.
   Milne, E.
   Giuliani, M. E.
TI Impact of high-fidelity e-learning on knowledge acquisition and
   satisfaction in radiation oncology trainees
SO CURRENT ONCOLOGY
VL 25
IS 6
BP E533
EP E538
DI 10.3747/co.25.4090
PD DEC 2018
PY 2018
AB Background e-Learning is an underutilized tool in education for the
   health professions, and radiation medicine, given its reliance on
   technology for clinical practice, is well-suited to training simulation
   in online environments. The purpose of the present study was to evaluate
   the knowledge impact and user interface satisfaction of high- (HF)
   compared with low-fidelity (LF) e-learning modules (e-modules) in
   radiation oncology training.
   Methods Two versions of an e-module on lung radiotherapy (LF and HF)
   were developed. Radiation oncology residents and fellows were invited to
   be randomized to complete either the LF or the EH module through
   individual online accounts over a2-week period. A25-item multiple-choice
   knowledge assessment was administered before and after module
   completion, and user interface satisfaction was measured using the
   Questionnaire for User Interaction Satisfaction (QUIS) tool.
   Results Of 18 trainees, 8 were randomized to the LF module, and 10, to
   the HE module. Overall, knowledge assessment performance increased (11%,
   p < 0.05), with HF-group participants reporting a 13% improvement (p
   =0.02), and senior participants reporting an almost 15% improvement (p <
   0.01). Scores on the QUIS indicated that participants were satisfied
   with various aspects of the user interface.
   Conclusions The HF e-module had a greater impact on knowledge
   acquisition, and users expressed satisfaction with the interface in both
   the HF and LF situations. The use of e-learning in a competency-based
   curriculum could have educational advantages; participants expressed
   benefits and drawbacks. Preferences for e-learning integration in
   education for the health professions should be explored further.
TC 5
ZS 0
ZR 0
ZA 0
Z8 0
ZB 0
Z9 5
U1 2
U2 4
SN 1198-0052
UT WOS:000454014900005
PM 30607120
ER

PT J
AU Zhao, Fei
   Fu, You
   Zhang, Qi-Jie
   Zhou, Yue
   Ge, Peng-Fei
   Huang, Hua-Xing
   He, Yuan
TI The comparison of teaching efficiency between massive open online
   courses and traditional courses in medicine education: a systematic
   review and meta-analysis
SO ANNALS OF TRANSLATIONAL MEDICINE
VL 6
IS 23
AR 458
DI 10.21037/atm.2018.11.32
PD DEC 2018
PY 2018
AB Background: This systematic review and meta-analysis aimed to
   investigate and compare the passing rates of Massive Open Online Courses
   (MOOCs) with Traditional Courses to indicate how to improve the teaching
   efficiency in Medicine Education.
   Methods: A systematic search of relevant published literature was
   conducted to collect relevant retrospective cohort studies that compared
   the teaching efficiency of MOOCs and Traditional Courses.
   Results: There are three retrospective cohort studies included in the
   final meta-analysis. There were no significant differences in the
   passing rates of MOOCs and Traditional Courses.
   Conclusions: it is necessary for universities to invest in online
   education to promote the development of MOOCs, which will probably have
   an advantage over Traditional Courses for postgraduate medical education
   in the near future.
ZA 0
TC 14
ZR 1
Z8 0
ZS 0
ZB 2
Z9 15
U1 1
U2 45
SN 2305-5839
EI 2305-5847
UT WOS:000452511400013
PM 30603646
ER

PT J
AU Robinson, Elizabeth S.
   Murphy, Emily C.
   Friedman, Adam J.
TI Knowledge, Attitudes, and Perceptions of Cannabinoids in the Dermatology
   Community
SO JOURNAL OF DRUGS IN DERMATOLOGY
VL 17
IS 12
BP 1273
EP 1278
PD DEC 2018
PY 2018
AB Background: Recent research has identified potential uses of
   cannabinoids in dermatology, including psoriasis, atopic dermatitis, and
   wound healing.
   Objective: The extent of dermatologists' familiarity with and interest
   in cannabinoids as therapeutics is unknown.
   Methods: This study examined dermatology providers' knowledge,
   attitudes, and perceptions on therapeutic cannabinoids using a
   20-question online survey.
   Results: The response rate was 21 % (n=531). Most responders thought
   cannabinoids should be legal for medical treatment (86%). Nearly all
   (94%) believed it is worthwhile to research dermatologic uses of
   cannabinoids. 55% reported at least one patient-initiated discussion
   about cannabinoids in the last year. Yet, 48% were concerned about a
   negative stigma when proposing cannabinoid therapies to patients. While
   most responders (86%) were willing to prescribe an FDA-approved
   cannabinoid as a topical treatment, fewer (71 %) were willing to
   prescribe an oral form. 64% of respondents did not know that cannabidiol
   is not psychoactive and 29% did not know that tetrahydrocannabinol is
   psychoactive.
   Limitations: Limited survey population.
   Conclusions: Dermatology providers are interested in prescribing
   cannabinoids and patients are speaking about cannabinoids with their
   dermatologists. However, providers' fund of knowledge on this subject is
   lacking. These results highlight the need for further education and
   research to detangle the dermatologic benefits and risks of
   cannabinoids.
ZA 0
ZS 0
ZB 2
TC 16
Z8 1
ZR 0
Z9 17
U1 1
U2 13
SN 1545-9616
UT WOS:000453941400002
PM 30586258
ER

PT J
AU Graff, Stephanie L.
   Close, Julia
   Cole, Suzanne
   Matt-Amaral, Laurie
   Beg, Rasha
   Markham, Merry-Jennifer
TI Impact of Closed Facebook Group Participation on Female
   Hematology/Oncology Physicians
SO JOURNAL OF ONCOLOGY PRACTICE
VL 14
IS 12
BP 746
EP +
DI 10.1200/JOP.18.00448
PD DEC 1 2018
PY 2018
AB Purpose
   Meaningful connections are an important aspect of career satisfaction.
   The Hematology Oncology Women Physician Group (HOWPG) is a private
   Facebook (FB) group of 936 women who practice within the
   hematology/oncology (H/O) field. We hypothesized that HOWPG adds value
   to education, emotional wellness, and practice of oncology for its
   membership. A survey was conducted within HOWPG to define group impact
   on members.
   Materials and Methods
   A voluntary, anonymous 12-question online survey was distributed to
   members of HOWPG by sharing the survey link within the FB group.
   Participants were surveyed regarding demographics, general FB versus
   exclusive HOWPG use, and opinions regarding HOWPG value and impact.
   Results
   A total of 169 members completed the survey; 9% were fellows, 65% had
   been in practice less than 10 years, and 26% had been in practice 10
   years or more; 97% were age younger than 50 years; 85% practiced adult
   H/O, and the remainder divided their practice among pediatric H/O,
   radiation oncology, surgical specialty, and palliative care; 90% used FB
   at least daily, with 82% accessing HOWPG at least daily. The most common
   uses for the site included education (65% to 89%), advice on complex
   cases (65%), emotional support (65%), and networking (55%). On a scale
   of 1 to 10, learning from clinical cases (9.0) and emotional support
   (8.4) were rated the most beneficial aspects. Respondents felt HOWPG,
   when compared with FB in general, was more likely to improve career
   satisfaction and reduce professional burnout.
   Conclusion
   HOWPG provides an opportunity for education and clinical and emotional
   support. Social media can be an effective venue to educate physicians,
   augment patient care via advice, foster networking, reduce burnout, and
   improve career satisfaction among female physicians in the field of H/O.
RI Markham, Merry Jennifer/T-9446-2018; Cole, Suzanne/V-5077-2019
OI Markham, Merry Jennifer/0000-0003-3567-3494; Cole,
   Suzanne/0000-0001-8390-6315
TC 10
ZR 0
ZS 0
Z8 0
ZA 0
ZB 0
Z9 10
U1 0
U2 3
SN 1554-7477
EI 1935-469X
UT WOS:000453466500013
PM 30537459
ER

PT J
AU Luckie, Kate
   Saini, Bandana
   Galstaun, Vilma
   Kritikos, Vicky
   Collins, Jack C.
   Moles, Rebekah J.
TI The effectiveness of an online training programme to prepare teachers to
   provide asthma first aid
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 54
IS 12
BP 1348
EP 1352
DI 10.1111/jpc.14080
PD DEC 2018
PY 2018
AB Aim: Asthma is prevalent in our primary (elementary) school population.
   Training in asthma management for school staff should be relevant and
   focused on the recognition and management of an acute severe
   exacerbation of asthma. Evidence suggests that online training can be as
   effective as face-to-face training for medical education; however, there
   is little information regarding the effectiveness of online asthma
   education.
   Methods: University students in the final year of their primary
   education degree completed the asthma first aid (AFA) knowledge
   questionnaire before undertaking a 1-h online training course in asthma
   management. After 3 weeks, participants underwent a second AFA knowledge
   questionnaire followed by an AFA scenario-based skills assessment. This
   skills assessment required the student to describe and demonstrate how
   they would manage a child having a severe exacerbation of asthma using
   the AFA equipment provided. Skills scores were further analysed to
   establish AFA competency.
   Results: AFA knowledge scores improved significantly after the asthma
   online training (64-79%), z = -6.11 (P < 0.001). The mean AFA skills
   score after the training was 20.5 (79%); however, the proportion of
   students who achieved a level of competency sufficient to save the life
   of a child having a severe exacerbation of asthma was only 29%.
   Conclusion: This research has revealed that online asthma management
   training was effective in increasing the knowledge needed for AFA. This
   knowledge did not translate into effective AFA skills, with only 29% of
   participants deemed competent to save the life of a child in an asthma
   emergency.
RI Collins, Jack Charles/O-4019-2017; Moles, Rebekah/
OI Collins, Jack Charles/0000-0002-0266-5394; Moles,
   Rebekah/0000-0002-4043-6728
ZS 0
ZR 0
ZA 0
Z8 0
TC 5
ZB 0
Z9 5
U1 3
U2 8
SN 1034-4810
EI 1440-1754
UT WOS:000453386100011
PM 29883010
ER

PT J
AU Funk, Eric
   Riddell, Jeff
   Ankel, Felix
   Cabrera, Daniel
TI Blockchain Technology: A Data Framework to Improve Validity, Trust, and
   Accountability of Information Exchange in Health Professions Education
SO ACADEMIC MEDICINE
VL 93
IS 12
BP 1791
EP 1794
DI 10.1097/ACM.0000000000002326
PD DEC 2018
PY 2018
AB Health professions educators face multiple challenges, among them the
   need to adapt educational methods to new technologies. In the last
   decades, multiple new digital platforms have appeared in the learning
   arena, including massive open online courses and social-media-based
   education. The major critique of these novel methods is the lack of the
   ability to ascertain the origin, validity, and accountability of the
   knowledge that is created, shared, and acquired. Recently, a novel
   technology based on secured data storage and transmission, called
   blockchain, has emerged as a way to generate networks where validity,
   trust, and accountability can be created. Conceptually, blockchain is an
   open, public, distributed, and secure digital registry where information
   transactions are secured and have a clear origin, explicit pathways, and
   concrete value. Health professions education based on blockchain will
   potentially allow improved tracking of content and the individuals who
   create it, quantify educational impact on multiple generations of
   learners, and build a relative value of educational interventions.
   Furthermore, institutions adopting blockchain technology would be able
   to provide certification and credentialing of health care professionals
   with no intermediaries. There is potential for blockchain to
   significantly change the future of health professions education and
   radically transform how patients, professionals, educators, and learners
   interact around safe, valid, and accountable information.
OI Ankel, Felix/0000-0002-7329-5095; Cabrera, Daniel/0000-0002-5891-0459
ZS 0
Z8 1
TC 43
ZR 0
ZA 0
ZB 2
Z9 44
U1 6
U2 143
SN 1040-2446
EI 1938-808X
UT WOS:000451298700020
PM 29901658
ER

PT J
AU Zalpuri, Isheeta
   Liu, Howard Y.
   Stubbe, Dorothy
   Wrzosek, Marika
   Sadhu, Julie
   Hilty, Donald
TI Social Media and Networking Competencies for Psychiatric Education:
   Skills, Teaching Methods, and Implications
SO ACADEMIC PSYCHIATRY
VL 42
IS 6
BP 808
EP 817
DI 10.1007/s40596-018-0983-6
PD DEC 2018
PY 2018
RI Liu, Howard Yee/AAF-5794-2020; Zalpuri, Isheeta/AAF-5852-2020; Stubbe, Dorothy/; Liu, Howard/
OI Stubbe, Dorothy/0000-0003-3826-045X; Liu, Howard/0000-0002-1172-5176
ZA 0
ZS 0
ZR 0
ZB 2
Z8 0
TC 19
Z9 19
U1 0
U2 9
SN 1042-9670
EI 1545-7230
UT WOS:000451388500010
PM 30284148
ER

PT J
AU Shang, Feifei
   Liu, Chuan-Yong
TI Blended learning in medical physiology improves nursing students' study
   efficiency
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 4
BP 711
EP 717
DI 10.1152/advan.00021.2018
PD DEC 2018
PY 2018
AB The rapid development of mobile phones and communication networks is
   profoundly changing the lives of people in China. With the gradual
   growth of Wi-Fi on college and university campuses, Chinese schools are
   setting off a wave of teaching reform combining online material with
   traditional classroom instruction. We adapted a Chinese University
   massive open online course physiology course into a private university
   online course, specifically designed for second-semester bachelor's
   level nursing students at Taishan Medical University. This online course
   blended with classroom teaching was offered to 108 freshmen from two
   parallel reform classes. A third class of 55 students was offered the
   traditional classroom lecture-based course as a control. Impressive
   teaching effects were achieved in reform classes, as indicated by
   significant improvement in student performance on the final examination
   and positive student feedback. The student surveys showed that 68% of
   students preferred the blended course over traditional classroom
   courses. The most highly rated advantages of the blended course were
   flexible learning time (84%) and improvement of independent study skills
   (75%). As higher education enters the internet era, exploiting the
   high-quality cyber resources may be the fastest and most economical way
   to improve teaching efficiency and enhance students' study experience.
RI shang, feifei/AAH-8592-2019
Z8 4
ZR 0
TC 19
ZS 0
ZA 0
ZB 0
Z9 23
U1 6
U2 55
SN 1043-4046
EI 1522-1229
UT WOS:000451241500026
PM 30431319
ER

PT J
AU Thoma, Brent
   Chan, Teresa M.
   Kapur, Puneet
   Sifford, Derek
   Siemens, Marshall
   Paddock, Michael
   Ankel, Felix
   Grock, Andy
   Lin, Michelle
CA METRIQ Study Collaborators
TI The Social Media Index as an Indicator of Quality for Emergency Medicine
   Blogs: A METRIQ Study
SO ANNALS OF EMERGENCY MEDICINE
VL 72
IS 6
BP 696
EP 702
DI 10.1016/j.annemergmed.2018.05.003
PD DEC 2018
PY 2018
AB Study objective: Online educational resources such as blogs are
   increasingly used for education by emergency medicine clinicians. The
   Social Media Index was developed to quantify their relative impact. The
   Medical Education Translational Resources: Indicators of Quality
   (METRIQ) study was conducted in part to determine the association
   between the Social Media Index score and quality as measured by gestalt
   and previously derived quality instruments.
   Methods: Ten blogs were randomly selected from a list of emergency
   medicine and critical care Web sites. The 2 most recent clinically
   oriented blog posts published on these blogs were evaluated with
   gestalt, the Academic Life in Emergency Medicine Approved Instructional
   Resources (ALiEM AIR) score, and the METRIQ-8 score. Volunteer raters
   (including medical students, emergency medicine residents, and emergency
   medicine attending physicians) were identified with a multimodal
   recruitment methodology. The Social Media Index was calculated in
   February 2016, November 2016, April 2017, and December 2017. Pearson's
   correlations were calculated between the Social Media Index and the
   average rater gestalt, ALiEM AIR score, and METRIQ-8 score.
   Results: A total of 309 of 330 raters completed all ratings (93.6%). The
   Social Media Index correlated moderately to strongly with the mean rater
   gestalt ratings (range 0.69 to 0.76) and moderately with the mean rater
   ALiEM AIR score (range 0.55 to 0.61) and METRIQ-8 score (range 0.53 to
   0.57) during the month of the blog post's selection and for 2 years
   after.
   Conclusion: The Social Media Index's correlation with multiple quality
   evaluation instruments over time supports the hypothesis that it is
   associated with overall Web site quality. It can play a role in guiding
   individuals to high-quality resources that can be reviewed with critical
   appraisal techniques.
RI Luc, Jessica G.Y./S-7037-2016; Thoma, Brent/AAS-8775-2020; Thoma, Brent/ABI-2642-2020; Inboriboon, Pholaphat Charles/ABD-4832-2020; Chan, Teresa/T-6676-2017; Ridderikhof, Milan/; Challen, Kirsty/; Ehrman, Robert/; Wagner, Matthew/B-9693-2016; Aryal, Diptesh/; Wan, Miranda/; Ankel, Felix/; Zozula, Alexander/; Brumfield, Emily/; Gawlik, Viktor/; Sternard, Britni/; Hall, Andrew Koch/; Ho, Amy/
OI Luc, Jessica G.Y./0000-0002-3567-3796; Thoma, Brent/0000-0003-1124-5786;
   Inboriboon, Pholaphat Charles/0000-0001-7098-5237; Chan,
   Teresa/0000-0001-6104-462X; Ridderikhof, Milan/0000-0002-1561-7252;
   Challen, Kirsty/0000-0003-4032-5531; Ehrman, Robert/0000-0001-9730-8471;
   Wagner, Matthew/0000-0002-9683-6544; Aryal, Diptesh/0000-0002-1431-8293;
   Wan, Miranda/0000-0001-6121-3497; Ankel, Felix/0000-0002-7329-5095;
   Zozula, Alexander/0000-0001-7121-4194; Brumfield,
   Emily/0000-0003-1433-9139; Gawlik, Viktor/0000-0002-6338-0966; Sternard,
   Britni/0000-0001-5510-7778; Hall, Andrew Koch/0000-0003-1227-5397; Ho,
   Amy/0000-0001-5100-4288
ZA 0
ZS 0
Z8 0
ZR 0
ZB 0
TC 31
Z9 31
U1 0
U2 4
SN 0196-0644
EI 1097-6760
UT WOS:000450286400018
PM 29980461
ER

PT J
AU Ahmady, S.
   Kohan, N.
   Bagherzadeh, R.
   Rakshhani, T.
   Shahabi, M.
TI Validity testing of classroom community scale in virtual environment
   learning: A cross sectional study
SO ANNALS OF MEDICINE AND SURGERY
VL 36
BP 256
EP 260
DI 10.1016/j.amsu.2018.08.021
PD DEC 2018
PY 2018
AB Background: Fostering a Sense of Classroom Community is considered to be
   associated with the reduction of students dropout rate in an online
   environment. Many scales have been developed to measure sense of
   community in online and traditional learning, and Rovai's Classroom
   Community Scale has been widely used. This study was designed to examine
   the psychometric properties and the theoretical structure of the
   Classroom Community Scale.
   Materials and methods: A total of 215 postgraduate virtual students
   responded to the Classroom Community Scale. A measurement model was
   evaluated using confirmatory factor analysis to determine the adequacy
   of goodness-of-fit to sample data.
   Results: The confirmatory factor analysis provided valid data that the
   Classroom Community Scale with a two-factor structure is a valid scale
   with adequate model fit. Connectedness and learning subscales were also
   valid and reliable. Overall, the results supported the high reliability,
   face and content validity of all items of the scale.
   Conclusions: The 20 item Classroom Community Scale provides a valid and
   reliable scale to measure sense of community among postgraduate medical
   education students.
RI Ahmady, Soleiman/ABE-2299-2020; Ahmady, Soleiman/ABG-7343-2020; rakhshani, tayebeh/T-2401-2017
OI rakhshani, tayebeh/0000-0003-3693-8802
TC 3
ZR 0
ZB 0
Z8 0
ZS 0
ZA 0
Z9 3
U1 2
U2 6
SN 2049-0801
UT WOS:000452557100048
PM 30568793
ER

PT J
AU Ovenden, Christopher Dillon
   Brooks, Francis Michael
TI Anterior Cervical Discectomy and Fusion YouTube Videos as a Source of
   Patient Education
SO ASIAN SPINE JOURNAL
VL 12
IS 6
BP 987
EP 991
DI 10.31616/asj.2018.12.6.987
PD DEC 2018
PY 2018
AB Study Design: Cross sectional study.
   Purpose: To assess the quality of anterior cervical discectomy and
   fusion (ACDF) videos available on YouTube and identify factors
   associated with video quality.
   Overview of Literature: Patients commonly use the internet as a source
   of information regarding their surgeries. However, there is currently
   limited information regarding the quality of online videos about ACDE
   Methods: A search was performed on YouTube using the phrase 'anterior
   cervical discectomy and fusion.' The Journal of the American Medical
   Association (JAMA), DISCERN, and Health on the Net (HON) systems were
   used to rate the first 50 videos obtained. Information about each video
   was collected, including number of views, duration since the video was
   posted, percentage positivity (defined as number of likes the video
   received, divided by the total number of likes or dislikes of that
   video), number of comments, and the author of the video. Relationships
   between video quality and these factors were investigated.
   Results: The average number of views for each video was 96,239. The most
   common videos were those published by surgeons and those containing
   patient testimonies. Overall, the video quality was poor, with mean
   scores of 1.78/5 using the DISCERN criteria, 1.63/4 using the JAMA
   criteria, and 1.96/8 using the HON criteria. Surgeon authors' videos
   scored higher than patient testimony videos when reviewed using the HON
   or JAMA systems. However, no other factors were found to be associated
   with video quality.
   Conclusions: The quality of ACDF videos on YouTube is low, with the
   majority of videos produced by unreliable sources. Therefore, these
   YouTube videos should not be recommended as patient education tools for
   ACDF.
Z8 0
TC 28
ZS 0
ZR 0
ZA 0
ZB 4
Z9 28
U1 0
U2 3
SN 1976-1902
EI 1976-7846
UT WOS:000452214500004
PM 30322259
ER

PT J
AU Zammouri, Amin
   Moussa, Abdelaziz Ait
   Mebrouk, Yassine
TI Brain-computer interface for workload estimation: Assessment of mental
   efforts in learning processes
SO EXPERT SYSTEMS WITH APPLICATIONS
VL 112
BP 138
EP 147
DI 10.1016/j.eswa.2018.06.027
PD DEC 1 2018
PY 2018
AB To assess the current mental state of an individual, several monitoring
   systems have been developed. In this paper, we explore the possibility
   to exploit information recorded noninvasively from the human cortex to
   develop a brain-computer interface (BCI) able to estimate brain workload
   and the mental efforts during a cognitive task. The EEG-based workload
   classifier presented in this paper combines a power spectral density
   (PSD) analysis and a statistical criterion. The proposed classifier is
   applied in the context of distance education and online course platform
   through two experimental protocols. The first one proposes solving a set
   of matrices products using pen and paper, while the second one proposes
   answering problems of logic mathematics on a computer-based learning
   environment. Experimental results show that the averaged accuracy of
   distinguishing changes in the theta [4-7Hz] (theta) band is 79%. For the
   alpha band [8-11 Hz] (alpha) the averaged accuracy reached 78%. Based on
   this classifier, we demonstrate that and theta powers in central, and
   posterior sites decrease with the increase in difficulty level of the
   cognitive task. The accuracy of correct decisions obtained from our
   results are significantly enhanced while comparing our investigation to
   some similar works from literature. In the realm of intelligent expert
   systems, our work results represent a first step to an implementation of
   an intelligent system for the evaluation of reeducative therapies to be
   used in physiotherapy centers for children with cognitive disorders as
   it is the case for Cerebral Palsy. (C) 2018 Elsevier Ltd. All rights
   reserved.
OI AIT MOUSSA, Abdelaziz/0000-0003-3813-0719; Zammouri,
   Amin/0000-0002-6052-9868
ZS 0
ZA 0
TC 14
ZR 0
Z8 1
ZB 2
Z9 15
U1 4
U2 748
SN 0957-4174
EI 1873-6793
UT WOS:000442708600011
ER

PT J
AU Huebner, J.
   Muehling, B.
   Gerhardt-Szep, S.
   Schoen, M.
   Boeckers, T.
   Boeckers, A.
TI Surgeons as role models in anatomy teaching. Effects on perception of
   the discipline and career preferences
SO GEFASSCHIRURGIE
VL 23
IS 8
BP 600
EP 607
DI 10.1007/s00772-018-0408-6
PD DEC 2018
PY 2018
AB Background: Surgical disciplines face continuous loss of students'
   interest due to multiple reasons. Only sparse data are available about
   the possible impact of positive or negative role modelling on students'
   future choice for specialization.
   Objective: The aim of this study was to evaluate the impact of surgeons
   as role models during surgical demonstrations parallel to the
   macroscopic anatomy course on the students' future interest in surgery.
   Material and methods: Professors of various surgical departments
   demonstrated surgical interventions, such as pneumectomy, colectomy,
   trepanation and total hip replacement using specifically fixed body
   donors. Participating students (study group, n=25) were surveyed before,
   during and after the semester and data were compared with
   non-participating students visiting the anatomy course only (control
   group, n = 50). Moreover, an online questionnaire was administered to
   all previous participants (n = 70) to retrospectively analyze the
   students' further study choices and career preferences.
   ResultsProfessors in surgery were more frequently perceived as positive
   role models than professors in anatomy (p=0.039). Participants evaluated
   role modelling more frequently as arelevant teaching method (p=0.003)
   and 93% felt an increased appeal to surgical specialties. Retrospective
   data from the online questionnaire showed a sustainable high interest in
   surgery and ahigh proportion of surgical internships and doctoral theses
   (24.5%).
   Conclusion: Surgical demonstrations integrated into anatomy teaching
   could foster the perception of surgeons as positive role models. This
   could be achance to sustainably increase students' interest in surgery
   early in medical education and to identify and recruit suitable
   trainees.
ZS 0
ZA 0
ZB 0
TC 0
ZR 0
Z8 0
Z9 0
U1 0
U2 1
SN 0948-7034
EI 1434-3932
UT WOS:000452319000008
ER

PT J
AU Klein, Christian
   Henke, Thomas
   Luig, Patrick
   Platen, Petra
TI Leaving injury prevention theoretical? Ask the coach!Asurvey of
   1012football coaches in Germany
SO GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH
VL 48
IS 4
BP 489
EP 497
DI 10.1007/s12662-018-0545-9
PD DEC 2018
PY 2018
AB High injury rates in football (soccer) suggest an urgent need for
   preventive approaches. Theoretical models illustrating systematic sports
   injury prevention procedures typically consider descriptions of injury
   epidemiology and etiology, but do not regard the knowledge and specific
   needs of important stakeholders within sport practice. This might be one
   reason why there is still aresearch-to-practice gap-reducing
   effectiveness of preventive approaches under real life conditions. Thus,
   the present study asks football coaches, as the most important
   decision-makers among coaching and medical staff, for their opinions
   about injuries and prevention. Arandom sample of 2000German football
   coaches was drawn from the database of the German Football Federation
   (DFB) and invited to participate in an online survey; of these, 1012
   (50.6%) were included for analysis. Participants were subdivided by age
   categories, coaching licenses, and performance levels of the teams they
   coached. Overall, lack of fitness/athletics was rated as the most
   important risk factor for injuries, followed by previous injuries and
   lack of regeneration. Coordination and core stabilization training as
   well as regeneration were stated as the most beneficial preventive
   areas. The results suggest that in general, periodization, load
   monitoring and reintegration of injured players must be given greater
   priority in future preventive approaches. Education curricula for
   lower-level coaching licenses should focus on basic physiology,
   fundamental medical and physiotherapeutic support, and on low-threshold
   possibilities of testing and training. To gain amore professional
   oriented license, coaches should qualify as decision-makers within ateam
   of experts and be taught leadership competence and communication skills.
OI Platen, Petra/0000-0002-3440-8245; Klein, Christian/0000-0002-8438-5467
ZR 0
ZS 0
TC 1
ZA 0
Z8 0
ZB 0
Z9 1
U1 0
U2 13
SN 2509-3142
EI 2509-3150
UT WOS:000450626700003
ER

PT J
AU Ballard, Sarah L.
   Dymond, Stacy K.
TI Inclusive Education for Secondary Age Students With Severe Disabilities
   and Complex Health Care Needs
SO INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
VL 56
IS 6
BP 427
EP 441
DI 10.1352/1934-9556-56.6.427
PD DEC 2018
PY 2018
AB This qualitative study examined the beliefs and experiences of special
   education teachers about inclusive education for secondary age students
   with severe disabilities and co-existing complex health care needs.
   Participants were 11 middle and high school special education teachers
   who collectively case managed 18 students. Data were collected via
   demographic questionnaires and online interviews, and analyzed using an
   inductive coding approach. Findings portray the roles of personnel who
   provide student supports, the types of supports personnel and students
   require to be successful, benefits experienced by students, and barriers
   to including students.
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
TC 2
Z9 2
U1 1
U2 10
SN 1934-9491
EI 1934-9556
UT WOS:000452491000004
ER

PT J
AU Lynn, Brenna
   Hatry, Alexandra
   Burnett, Chloe
   Kan, Lisa
   Olatunbosun, Tunde
   Bluman, Bob
TI Identifying Primary Care Physicians Continuing Education Needs by
   Examining Clinical Practices, Attitudes, and Barriers to Screening
   Across Multiple Cancers
SO JOURNAL OF CANCER EDUCATION
VL 33
IS 6
BP 1255
EP 1262
DI 10.1007/s13187-017-1240-5
PD DEC 2018
PY 2018
AB Population-based cancer screening for cervical, breast, and colorectal
   cancers improves patient outcomes, yet screening rates remain low for
   some cancers. Despite studies investigating physician perceptions and
   practices for screening, many have focused on individual cancers and
   lack primary care physicians' (PCPs) realities around screening for
   multiple cancers. We surveyed 887 PCPs in British Columbia (BC) to
   examine practices, beliefs, barriers, and learning needs towards cancer
   screening across breast, cervical, colorectal, prostate, as well as
   hereditary predisposition to cancer. Survey results identified
   differences in PCPs belief in the benefit of screening for recommended
   and non-recommended routine cancer screening, PCPs adherence to
   screening guidelines for some cancers and physician comfort and patient
   testing requests related to physician gender for gender sensitive tests.
   Further, across cancers, screening barriers included patients with
   multiple health concerns (41%), limited time to discuss screening (36%),
   and lack of physician financial compensation to discuss screening (23%).
   The study highlighted the need for more physician education on screening
   programs, referral criteria, follow-up processes, and screening
   guidelines. Conferences (73%), self-directed (46%), small group
   workshops (42%), hospital rounds (41%), and online CME/CPD (39%) were
   highly preferred (4+5) for learning about cancer screening. The results
   suggest a need to improve awareness and adherence to screening
   guidelines and recommended practices, as well as to provide educational
   opportunities which address knowledge and practice gaps for physicians.
ZS 1
TC 7
Z8 0
ZA 0
ZB 2
ZR 0
Z9 8
U1 0
U2 5
SN 0885-8195
EI 1543-0154
UT WOS:000451860900014
PM 28643286
ER

PT J
AU Andoni, Laila
   Hobson, Wendy L.
   Carey, John C.
   Dent, Karin M.
TI Training Methods for Delivering Difficult News in Genetic Counseling and
   Genetics Residency Training Programs
SO JOURNAL OF GENETIC COUNSELING
VL 27
IS 6
BP 1497
EP 1505
DI 10.1007/s10897-018-0271-3
PD DEC 2018
PY 2018
AB Genetic counselors and clinical geneticists are often in the position of
   delivering difficult news (DDN) to patients and families. Many studies
   show that healthcare providers require major improvement in the skills
   needed in DDN in a manner that is satisfactory to their patients. The
   purpose of this study was to assess the amount and methodology of DDN
   training received by genetic counselors and medical genetics residents
   in their training programs, such as observations of DDN or attending
   didactic lectures. To our knowledge, there is no previous assessment or
   study of DDN training in genetic counselor and medical genetics
   residency programs; therefore, we aim to both assess and compare the
   training in DDN received by genetic counselors and by genetics residents
   and determine whether there is a desire for recommendations on DDN
   training. We invited genetic counseling (GC) and genetics residency
   program directors to participate in an online survey designed to assess
   coursework, clinical experiences, and directors' attitudes toward
   teaching DDN. Response rate was 85% (28/33) for GC program directors and
   26% (14/53) for genetics residency program directors. One hundred
   percent of GC and genetics residency directors who responded to the
   survey agreed that it is important for genetic counselors and medical
   geneticists to be able to deliver difficult news effectively and that
   training programs should formally teach students how to deliver
   difficult news. Six of the eight common teaching methods are used by at
   least 75% of GC programs while two of eight are used by at least 75% of
   genetics residency programs. Seventy-nine percent of GC and 93% of
   genetics residency program directors agree that there should be
   recommendations on how to teach students to deliver this news. Our
   results show that techniques for DDN are integrated more fully into GC
   program curricula than genetics residency curricula. Directors of both
   types of programs desire recommendations and more standardized education
   for training students to deliver difficult news.
OI Andoni, Laila/0000-0002-6232-2545; Hobson, Wendy/0000-0002-1918-1417
ZB 0
ZS 0
ZA 0
TC 2
ZR 0
Z8 0
Z9 2
U1 2
U2 10
SN 1059-7700
EI 1573-3599
UT WOS:000450787400019
PM 29951717
ER

PT J
AU Turner, Sandra
   Janssen, Anna
   Chan, Ming-Ka
   Morris, Lucinda
   Martin, Rowena
   Mackenzie, Penelope
   Shaw, Tim
TI Can radiation oncologists learn to be better leaders? Outcomes of a
   pilot Foundations of Leadership in Radiation Oncology program for
   trainees delivered via personal electronic devices
SO JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
VL 62
IS 6
BP 847
EP 853
DI 10.1111/1754-9485.12793
PD DEC 2018
PY 2018
AB Introduction There has been no systematic attempt to enhance leadership
   capacity within radiation oncology as an integrated component of
   training. This pilot study examines an intervention to introduce basics
   of leadership learning to radiation oncology trainees. Methods A
   case-based learning tool was designed for delivery via trainees'
   personal electronic devices. Eight typical workplace case scenarios
   representing leadership challenges were followed by multiple choice
   questions, key learning points and hyperlinks to relevant resources.
   Cases were automatically sent every few days over 4 weeks and
   participants' responses anonymously collated by the delivery platform
   (QStream). In addition, an online survey was sent at completion of the
   program to capture trainees' perspectives on the utility of this tool.
   Results Thirty-seven of 45 (82%) trainees participated: 21 females and
   16 males. Twenty-six of 37 (70%) starting the program completed it.
   Sixteen (62% of 'completers') responded to the post-program survey.
   Fourteen of 16 (87.5%) agreed to the program and helped them identify
   ways they were already exhibiting leadership. Eleven of 16 (68.8%)
   agreed they had acquired knowledge that could assist them in being
   better leaders. Fifteen of 16 said the program made them consider future
   leadership possibilities in radiation oncology. Fourteen of 15 enjoyed
   the digital format. Most suggestions for improvement linked to a desire
   for more interactivity in learning these skills. Conclusion Piloting an
   online tool designed to introduce foundation leadership concepts to
   radiation oncology trainees has provided useful feedback to guide
   further development in this area. Although this method had high
   feasibility, it revealed the need for additional interactive methods for
   leadership learning.
RI Janssen, Anna/AAE-6751-2019; Chan, Ming-Ka/; Turner, Sandra/
OI Janssen, Anna/0000-0001-6611-9651; Chan, Ming-Ka/0000-0003-2989-7766;
   Turner, Sandra/0000-0002-7669-8316
TC 4
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
Z9 4
U1 0
U2 1
SN 1754-9477
EI 1754-9485
UT WOS:000452243300021
PM 30183132
ER

PT J
AU Sheehan, Dale
   de Bueger, Tracy M.
   Thorogood, Joanna
   Sitters, Sharon
   Deo, Arun
TI Beyond competencies - describing work ready plus graduates for the New
   Zealand medical imaging workforce
SO JOURNAL OF MEDICAL RADIATION SCIENCES
VL 65
IS 4
BP 275
EP 281
DI 10.1002/jmrs.290
PD DEC 2018
PY 2018
AB Introduction Medical imaging is a profession where technology and
   practice is moving forward at a fast pace, while also being situated
   within rapidly evolving models of healthcare delivery. This requires
   capabilities in our graduates beyond the competencies to undertake the
   role. This study used an existing Professional Capability Framework as
   the foundation for the development of a survey tool to identify those
   capabilities most valued by the health services that provide placement
   opportunities for students. Methods Results A prospective survey,
   conducted online, was used to gather the data from senior medical
   imaging staff who work regularly with students and new graduates. The
   results identified the top capabilities within each of three domains of
   personal, interpersonal, and cognitive capabilities. The results from
   the personal domain show that remaining calm under pressure or when
   things take an unexpected turn; understanding personal strengths and
   limitations; being willing to face and learn from errors; wanting to do
   as good a job as possible and having energy, passion and enthusiasm for
   the profession and role are most valued by the profession. We have
   identified links between the most desired interpersonal capabilities and
   attributes of well-functioning interprofessional teams and the cognitive
   capabilities align to those required for critical thinking and clinical
   reasoning. Conclusions These results have allowed the curriculum
   development team to review the graduate profile of medical imaging
   technology graduates. The curriculum development team has begun a
   process to incorporate learning strategies that will encourage the
   development of these capabilities in our graduates.
OI Sheehan, Dale/0000-0002-9118-919X; Sitters, Sharon/0000-0002-5095-9004
TC 2
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
Z9 2
U1 0
U2 1
SN 2051-3909
UT WOS:000451884600006
PM 29962009
ER

PT J
AU Al Atassi, Hamza
   Shapiro, Michael C.
   Rao, Sowmya R.
   Dean, Jason
   Salama, Andrew
TI Oral and Maxillofacial Surgery Resident Perception of Personal
   Achievement and Anxiety: A Cross-Sectional Analysis
SO JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
VL 76
IS 12
BP 2532
EP 2539
DI 10.1016/j.joms.2018.06.018
PD DEC 2018
PY 2018
AB Purpose: Anxiety is prevalent among medical residents and is associated
   with fatigue, psychological dysfunction, and burnout. A low personal
   achievement level is a characteristic of burnout, which-if
   unaddressed-may lead to medical error and decrease the quality of
   patient care. This study aimed to assess both personal achievement
   levels and anxiety levels in current oral and maxillofacial surgery
   (OMS) residents and to discern a relationship between anxiety severity
   and perceived personal achievement level among residents.
   Materials and Methods: An anonymous 20-question cross-sectional online
   survey was developed using the anxiety component of the Hospital Anxiety
   and Depression Scale and the personal Maslach Burnout Inventory. The
   survey was sent to all the OMS residents enrolled in programs affiliated
   with the American Association of Oral and Maxillofacial Surgeons in
   2017. Univariate and bivariate analyses were conducted to obtain summary
   measures of the predictor (anxiety) and the outcome (personal
   achievement) stratified by age, gender, marital status, program type (4-
   or 6-year program), and year of residency. Multinomial logistic
   regression models were obtained to evaluate the association between
   anxiety and personal achievement. A 2-sided P < .05 was considered
   statistically significant.
   Results: We received 238 responses (20% response rate); 58% of
   respondents had moderate or severe levels of anxiety, and nearly half of
   respondents reported moderate or low levels of personal achievement.
   Women were more likely to have severe anxiety than men (60% vs 37%, P <
   .01). Residents with severe anxiety were 91% more likely to report low
   levels of personal achievement than residents with low anxiety (odds
   ratio, 0.09; 95% confidence interval, 0.03 to 0.22; P < .0001). The
   results suggest the presence of an inverse relationship between personal
   achievement level and anxiety.
   Conclusions: More than half of OMS residents in the United States report
   moderate to severe anxiety. Higher levels of anxiety are associated with
   lower personal achievement levels. It is important to under- stand the
   negative impact anxiety has on trainees, including the unintended
   consequences. (C) 2018 American Association of Oral and Maxillofacial
   Surgeons
ZB 3
ZR 0
TC 21
Z8 0
ZA 0
ZS 0
Z9 21
U1 1
U2 3
SN 0278-2391
EI 1531-5053
UT WOS:000451614200009
PM 30009785
ER

PT J
AU Maizels, M.
   Liu, D.
   Yerkes, E.
   Meade, P.
   Biondi, M.
   Sutherland, R.
TI Improving surgical training by identifying the most common feedback
   trainees receive for index cases
SO JOURNAL OF PEDIATRIC UROLOGY
VL 14
IS 6
BP 577
EP 583
DI 10.1016/j.jpurol.2018.07.026
PD DEC 2018
PY 2018
AB Background
   To make surgical training more effective, a proven method is needed to
   provide feedback to residents on their surgeries. Residency programs may
   make up for limited training time in the operating room by improving
   feedback that trainees receive about cases.
   Objective
   The goals of this study were (1) to determine if an online tool to
   communicate feedback for attendings and trainees shows face validity and
   (2) to use an online tool to identify the most common feedback trainees
   receive after performing orchiopexy and hypospadias repair by survey.
   Methods
   In 2016, determining whether an online tool to provide pediatric urology
   trainees feedback after surgery shows face validity begun. The tool was
   launched at the authors' institutions. Then, attendings, fellows, and
   postgraduate year 4-5 trainees of 65 resident training programs were
   surveyed for their observations on preparing for and performing
   orchiopexy and hypospadias repair using the study tool to identify
   common feedback.
   Results
   The results of using the tool to provide feedback shows face validity
   are as follows: feedback was exchanged between attendings and trainees
   on orchiopexy (n = 28) and hypospadias (n = 22). Anecdotally, the tool
   was easy to use. The results of using the tool to identify the most
   common feedback trainees receive by survey are as follows: from a pool
   of 65 institutions, 37 attendings and 28 trainees were enrolled who made
   219 observations. Most trainees prepare using undocumented online
   resources (17/28, 67%) instead of speaking with their attendings or
   cotrainees (11/28, 33%). For orchiopexy, most respondents reported that
   trainees need to improve skills for hernia ligation (observations:
   attending = 28/45, 62%; and trainee = 17/26, 65%) and strategies for
   hernia exposure (observations: attending = 17/27, 62%; and trainee =
   7/12, 58%). For hypospadias, most respondents reported that trainees
   need to improve skills for neourethroplasty (observations: attending =
   31/53, 58%; and trainee = 10/16, 62%) and strategies for repair choice
   (observations: attending = 15/22, 68%; and trainee = 12/18, 67%)
   (chi-squared, all P = NS).
   Discussion
   It was shown that both trainees and attendings agree on the areas of
   surgical strategy and execution which require improvement. With this
   study, it is also shown that the online feedback tool developed shows
   face validity in allowing attendings and trainees to communicate before
   and after surgery.
   Conclusions
   The most common feedback pediatric urology trainees receive for routine
   pediatric urology surgery is identified. Online tools that emphasize
   remediations to address a trainee's specific feedback needs are to be
   built, so that they will be able to improve their skills at their next
   case.
Z8 0
ZS 0
ZB 0
ZR 0
ZA 0
TC 0
Z9 0
U1 0
U2 1
SN 1477-5131
EI 1873-4898
UT WOS:000452811500044
PM 30270102
ER

PT J
AU Fastenberg, Judd H.
   Gibber, Marc J.
   Smith, Richard V.
TI Introductory TORS training in an otolaryngology residency program
SO JOURNAL OF ROBOTIC SURGERY
VL 12
IS 4
BP 617
EP 623
DI 10.1007/s11701-018-0784-7
PD DEC 2018
PY 2018
AB Transoral robotic surgery (TORS) is becoming an integral part of the
   otolaryngology resident experience. While there is widespread agreement
   that a formal, validated curriculum for TORS training is needed for
   residents, none presently exists. The primary objective of this study is
   to evaluate an introductory resident curriculum for TORS training that
   could be easily adopted at other institutions. This is a prospective
   study of otolaryngology residents (PGY1-5) in an academic medical center
   from 2015 to 2016. Trainees completed an introductory TORS training
   program consisting of online modules, logistic training, and hands-on
   training consisting of 12 tasks on the da Vinci Skills Simulator (dVSS).
   The primary outcomes were completion of training and time to completion.
   The secondary outcomes included resident attitudes regarding TORS as
   reflected on post-training survey. A total of 20 resident trainees
   participated in the study. 85% of trainees completed the hands-on
   robotic training in the allotted 3-h time limit. The average time to
   completion for those who finished was 91.53min (SD 33.59min). There was
   no statistically significant correlation between time to completion and
   PGY, number of robotic first assists, or total number of robotic cases.
   An introductory, resident-directed TORS training curriculum using the
   dVSS on an active surgical console is feasible in an academic medical
   center and may contribute to basic robotic competency among residents.
   Institutions with a dVSS may replicate this training in a
   resource-efficient manner prior to implementation of more comprehensive
   training. Robotic skills are likely trainable and independent from
   surgical skills learned during residency.
RI fastenberg, judd/AAQ-5874-2020
OI fastenberg, judd/0000-0002-4162-0500
ZB 2
TC 5
Z8 0
ZR 0
ZS 0
ZA 0
Z9 5
U1 0
U2 0
SN 1863-2483
EI 1863-2491
UT WOS:000449888100004
PM 29417393
ER

PT J
AU Mehta, Pooja K.
   Easter, Sarah Rae
   Potter, Jennifer
   Castleberry, Neko
   Schulkin, Jay
   Robinson, Julian N.
TI Lesbian, Gay, Bisexual, and Transgender Health:
   Obstetrician-Gynecologists' Training, Attitudes, Knowledge, and Practice
SO JOURNAL OF WOMENS HEALTH
VL 27
IS 12
BP 1459
EP 1465
DI 10.1089/jwh.2017.6912
PD DEC 1 2018
PY 2018
AB Background: Deficits in provider training may contribute to disparities
   impacting lesbian, gay, bisexual, transgender, and gender nonconforming
   (LGB-TGNC) individuals. Methods: We sent an anonymous online survey to
   randomly selected members of the American Congress of Obstetricians and
   Gynecologists and stratified responses by the history of training. We
   used logistic regression to predict impact of previous training on
   provider comfort with LGB-TGNC patients, and secondary outcomes,
   including provider practices, knowledge, and attitudes. Results: Two
   hundred twenty-eight of 428 (53.3%) surveys were completed. Of the 169
   providers currently practicing gynecology, 72 respondents (42.6%)
   reported previous training in LGB-TGNC health. Those who self-identified
   or had a close contact identifying as LGB-TGNC were more likely to
   report previous training (68.1% vs. 49.5%, p = 0.02). When adjusting for
   demographic differences, providers reporting previous training were not
   more likely to be comfortable taking care of
   transgender/gender-nonconforming patients (aOR 1.8, 95% CI 0.95-3.40).
   They were more likely to report practice changes such as eliciting
   sexual orientation (aOR 2.15, 95% CI 1.08-4.28) and gender identity (aOR
   3.02, 95% CI 1.07-8.52). Training was not independently associated with
   differences in provider knowledge (aOR 1.33, 95% CI 0.68-2.58) or
   likelihood of providing independent medical or surgical care for gender
   affirmation (aOR 1.64, 95% CI 0.78-3.45). Conclusions: Less than half of
   board-certified obstetrician-gynecologists reported training in LGB-TGNC
   health, with evidence of a familiarity effect in who seeks training and
   provides care that accounts for differences in attitudes, knowledge, and
   practices. Training efforts to advance LGB-TGNC health must address bias
   and comfort in addition to clinical competencies.
OI Mehta, Pooja/0000-0002-9281-3599
Z8 0
ZR 0
ZS 0
ZA 0
ZB 3
TC 11
Z9 11
U1 0
U2 6
SN 1540-9996
EI 1931-843X
UT WOS:000452985800005
PM 30067148
ER

PT J
AU Roberts, Heather J.
   Zhang, Dafang
   Earp, Brandon E.
   Blazar, Philip
   Dyer, George S. M.
TI Patient self-reported utility of hand surgery online patient education
   materials
SO MUSCULOSKELETAL CARE
VL 16
IS 4
BP 458
EP 462
DI 10.1002/msc.1360
PD DEC 2018
PY 2018
AB Objective: Online patient education materials in orthopaedic surgery are
   consistently written above the recommended grade level. However, no
   algorithmic measure of readability has been validated in a medical
   context. The primary objective of the present study was to determine
   whether Flesch-Kincaid readability scores correlate with patient
   self-reported utility of online education materials from the American
   Society for Surgery of the Hand (ASSH). Methods: This was a prospective
   survey study of 35 patients with one of five common upper extremity
   diagnoses. Study outcomes included self-reported utility,
   understandability, clarity, novelty and scope of the information of the
   ASSH online patient education material. Flesch-Kincaid Grade Level and
   Flesch Reading Ease were calculated for each article and correlated with
   self-reported utility. Results: The majority of patients found the
   articles useful, understandable and clear. Self-reported utility was not
   correlated with Flesch-Kincaid Grade Level (rho = 0.017) or Flesch
   Reading Ease (rho = -0.020). Patients with high school education or
   below found the articles less useful and more difficult to understand
   than those with post-secondary education. Conclusions: Flesch-Kincaid
   readability scores do not correlate with self-reported utility of ASSH
   online patient education materials. In the evaluation of these
   materials, metrics other than algorithmic readability scores should be
   considered.
RI Earp, Brandon/AAF-6760-2019; Blazar, Phil/AAH-6665-2020; Zhang, Dafang/
OI Earp, Brandon/0000-0002-7983-3325; Blazar, Phil/0000-0002-2156-0053;
   Zhang, Dafang/0000-0003-0155-8244
ZS 0
ZR 0
ZB 0
TC 9
Z8 0
ZA 0
Z9 9
U1 0
U2 0
SN 1478-2189
EI 1557-0681
UT WOS:000452610400006
PM 30160821
ER

PT J
AU Leslie, Laurel K.
   Olmsted, Murrey G.
   Turner, Adam
   Carraccio, Carol
   Dwyer, Andrew
   Althouse, Linda
TI MOCA-Peds: Development of a New Assessment of Medical Knowledge for
   Continuing Certification
SO PEDIATRICS
VL 142
IS 6
AR e20181428
DI 10.1542/peds.2018-1428
PD DEC 2018
PY 2018
AB The American Board of Pediatrics (ABP) certifies that general and
   subspecialty pediatricians meet standards of excellence established by
   their peers. Certification helps demonstrate that a general pediatrician
   or pediatric subspecialist has successfully completed accredited
   training and fulfills continuous certification requirements (Maintenance
   of Certification [MOC]). One current component of the MOC program is a
   closed-book examination administered at a secure testing center (ie, the
   MOC Part 3 examination). In this article, we describe the development of
   an alternative to this examination termed the "Maintenance of
   Certification Assessment for Pediatrics" (MOCA-Peds) during 2015-2016.
   MOCA-Peds was conceptualized as an online, summative (ie, pass/fail),
   continuous assessment of a pediatrician's knowledge that would also
   promote learning. The system would consist of a set number of
   multiple-choice questions delivered each quarter, with immediate
   feedback on questions, rationales clarifying correct and incorrect
   answers, references for further learning, and peer benchmarking.
   Questions would be delivered quarterly and taken at any time within the
   quarter in a setting with Internet connectivity and on any device. As
   part of the development process in 2015-2016, the ABP actively recruited
   pediatricians to serve as members of a yearlong user panel or
   single-session focus groups. Refinements to MOCA-Peds were made on the
   basis of their feedback. MOCA-Peds is being actively piloted with
   pediatricians in 2017-2018. The ABP anticipates an expected launch in
   January 2019 of MOCA-Peds for General Pediatrics, Pediatric
   Gastroenterology, Child Abuse, and Pediatric Infectious Diseases with
   launch dates for the remaining pediatric subspecialties between 2020 and
   2022.
OI Olmsted, Murrey/0000-0002-6610-0050
ZR 0
ZS 0
Z8 0
ZB 2
TC 10
ZA 0
Z9 10
U1 1
U2 2
SN 0031-4005
EI 1098-4275
UT WOS:000451372200021
PM 30510031
ER

PT J
AU Byszewski, Anna
   Fraser, Amy
   Lochnan, Heather
TI East meets West: Shadow coaching to support online reflective practice
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 7
IS 6
BP 412
EP 416
DI 10.1007/s40037-018-0476-z
PD DEC 2018
PY 2018
AB ObjectivesAstructured, reflection-based electronic portfolio program
   (ePortfolio), with novel faculty development initiative, involving
   shadow coaches', was shared with the newly formed Ottawa-Shanghai Joint
   School of Medicine (OSJSM). OSJSM is apartnership between Shanghai Jiao
   Tong University and the University of Ottawa. As the world's first
   Sino-Canadian Joint Medical School, OSJSM introduced North American
   undergraduate medical curriculum to China. Shadow coaching' involved
   trans-Pacific pairing of coaches, supplemented by local faculty
   development.Framework(a)Pre-implementation: The well-established online
   ePortfolio platform at the University of Ottawa was mirrored at OSJSM.
   University of Ottawa ePortfolio coaches were recruited to serve as
   shadow coaches to their OSJSM counterparts. Shadow coaches provided
   mentoring and resources while maintaining awareness of cross-cultural
   issues. Faculty development consisted of face-to-face faculty
   development in Shanghai, several online synchronous sessions, and
   familiarization of University of Ottawa coaches with the Chinese medical
   education system. (b)Description/Components: This intervention,
   introduced in 2016-2017, involved five University of Ottawa shadow
   coaches paired with five OSJSM ePortfolio coaches. Student reflection
   encourages open frank discussion which is anew paradigm for Chinese
   students and faculty. Shadow coaches were encouraged to challenge new
   OSJSM coaches to widely explore physician roles and
   competencies.ResultsInitial results indicate that the experience served
   to effectively develop OSJSM coaches' skills as evidenced by shadow
   coaches' review of anonymized OSJSM student reflective
   writing.ConclusionsOur project describes anovel tool using shadow
   coaching for faculty development for across-cultural partnership.
   Similar approaches can be utilized for culturally-sensitive
   long-distance faculty development.
OI Lochnan, Heather/0000-0002-3820-7897
ZA 0
ZB 0
TC 2
ZR 0
Z8 0
ZS 0
Z9 2
U1 0
U2 10
SN 2212-2761
EI 2212-277X
UT WOS:000452738600012
PM 30361984
ER

PT J
AU Kazak, Anne E.
   Scialla, Michele A.
   Patenaude, Andrea F.
   Canter, Kimberly
   Muriel, Anna C.
   Kupst, Mary Jo
   Chen, Fang Fang
   Wiener, Lori
TI The multidisciplinary pediatric psycho-oncology workforce: A national
   report on supervision for staff and training opportunities
SO PSYCHO-ONCOLOGY
VL 27
IS 12
BP 2802
EP 2808
DI 10.1002/pon.4892
PD DEC 2018
PY 2018
AB Objective: This paper presents data on licensure/certification status,
   supervision of multidisciplinary pediatric psychosocial staff, and
   training opportunities in pediatric cancer programs in the United
   States, data that are critical to provide care aligned with the
   Standards of Psychosocial Care in Pediatric Cancer (Psychosocial
   Standards).
   Methods: An online survey of psychosocial care consistent with the
   Psychosocial Standards was completed from a national sample of pediatric
   cancer programs (144/200). Licensure/certification status, availability
   and format of supervision for multidisciplinary staff (social workers,
   psychologists, psychiatrists, child life specialists/recreational
   therapists), and types and number of psychosocial trainees were
   reported.
   Results: Nearly all pediatric psychosocial providers were
   licensed/certified. Peer consultation was the most frequently endorsed
   form of staff supervision although a sizeable group of centers reported
   no systematic ongoing supervision. Trainees in social work and child
   life were most common although the size of trainee cohorts is generally
   small. Psychosocial trainees are more prevalent in sites with pediatric
   hematology/oncology medical fellowship programs and in larger programs.
   Conclusions: A properly trained and supported psychosocial workforce is
   essential to providing evidence-based care consistent with the
   Psychosocial Standards. Psychosocial providers are appropriately
   licensed. However, supervision opportunities are variable and may be
   inadequate for the intensity of the work. It is important to address the
   limited opportunities for trainees in pediatric cancer programs, which
   may influence the pipeline for ongoing and future work in this area.
RI Wiener, Lori/Q-8448-2016; Kazak, Anne/; Scialla, Michele/
OI Wiener, Lori/0000-0002-9573-8870; Kazak, Anne/0000-0003-0553-0855;
   Scialla, Michele/0000-0001-7933-0675
ZB 1
ZS 0
TC 1
Z8 0
ZR 0
ZA 0
Z9 1
U1 0
U2 11
SN 1057-9249
EI 1099-1611
UT WOS:000452440800017
PM 30242934
ER

PT J
AU Bowman, Marjorie A.
   Steffensmeier, Kaitlyn
   Smith, Marisa
   Stolfi, Adrienne
TI Physician Advance Care Planning Experiences and Beliefs by General
   Specialty Status and Sex
SO SOUTHERN MEDICAL JOURNAL
VL 111
IS 12
BP 721
EP 726
DI 10.14423/SMJ.0000000000000903
PD DEC 2018
PY 2018
AB Objectives: Advance care planning (ACP) involvement could be
   substantially different by physician specialty or sex group, with
   implications for training and methods to increase ACP activities. The
   objective of this article is to compare primary care physicians (PCPs)
   and other specialty physicians and female compared with male physicians'
   views and interactions surrounding ACP.
   Methods: This was a secondary analysis of an online anonymous survey
   distributed through a survey link to healthcare providers in hospital,
   ambulatory, and hospice settings in the greater Dayton, Ohio area in
   preparation for a community-wide advance care planning multitiered
   intervention. The measures included demographic data and questions
   regarding personal ACP decisions/experiences, opinions surrounding ACP
   in healthcare settings, and willingness to facilitate ACP with patients.
   Results: There were 129 physician respondents, of which 39 (30.2%) were
   PCPs, and 33 (25.6%) were women. Most expressed interest in ACP,
   responding positively to a desire for more training, and approximately
   25% were willing to be trained to teach others. The respondents by
   specialty group were similar in age and race, the presence or absence of
   religious affiliation, and stated frequency of ACP conversations. More
   than half (52.5%) reported having ACP conversations at least twice per
   month. The female physicians were younger and more likely to be in
   primary care. Female physicians also were more likely to discuss ACP
   with patients (P = 0.017), report formal training for ACP (P = 0.025),
   and be more willing to permit other healthcare provider types to be
   involved with ACP. PCPs reported time as a barrier more frequently than
   specialty physicians (P = 0.012). Other barriers to ACP were reported,
   including space, personal discomfort, and concerns about patient or
   family distress or disagreement.
   Conclusions: Many physicians, regardless of specialty type or sex, are
   interested in undertaking more ACP conversations and being trained to do
   so. Overall, more female physicians than male physicians were involved
   and interested in various aspects of ACP, and they were more accepting
   of the involvement of nonphysician healthcare professionals in ACP.
   Multiple barriers for clinicians, patients, and families were identified
   that will need to be addressed by work settings or through education to
   increase ACP.
ZR 0
ZA 0
TC 2
ZS 0
Z8 0
ZB 0
Z9 2
U1 0
U2 1
SN 0038-4348
EI 1541-8243
UT WOS:000451826700004
PM 30512123
ER

PT J
AU Haussmann, Alexander
   Ungar, Nadine
   Gabrian, Martina
   Tsiouris, Angeliki
   Sieverding, Monika
   Wiskemann, Joachim
   Steindorf, Karen
TI Are healthcare professionals being left in the lurch? The role of
   structural barriers and information resources to promote physical
   activity to cancer patients
SO SUPPORTIVE CARE IN CANCER
VL 26
IS 12
BP 4087
EP 4096
DI 10.1007/s00520-018-4279-x
PD DEC 2018
PY 2018
AB Purpose Although many cancer patients benefit from physical activity
   (PA), healthcare professionals (HCP) still do not promote it routinely.
   Including different groups of HCP, this study aimed to examine how
   structural barriers are perceived as impeding by HCP for promoting PA to
   cancer patients, how the perceptions of structural barriers are
   associated with promoting PA, and how HCP react to information
   resources.
   Methods A total of 287 physicians in outpatient care, 242 physicians in
   inpatient care, and 388 oncology nurses completed our questionnaire
   (paper-pencil or online). Participants assessed nine different
   structural barriers (on a 4-point Likert Scale) and reported their PA
   promotion frequency. Further, they could request three different kinds
   of information resources about PA in oncological settings.
   Results Across professional groups, more than 70% of HCP indicated that
   they promoted PA to their cancer patients often or routinely. Oncology
   nurses indicated that they were more impeded in promoting PA by six
   structural barriers than physicians (all p < .01). "Not enough time per
   patient" and "lack of an expert contact person were associated with a
   reduced PA promotion in two professional groups (all p < .05).
   Information resources were requested by 69.5% of the participants:
   mostly physicians working in outpatient care and especially by those
   perceiving structural barriers.
   Conclusions Although a big proportion of HCP reported that they
   frequently promoted PA, our findings suggest that HCP still perceive
   structural barriers. The perception and influence of structural barriers
   differed between professional groups, pointing to the importance of
   profession specific guidance.
RI Wiskemann, Joachim/AAF-6862-2020
ZR 0
ZB 2
ZS 0
Z8 0
TC 22
ZA 0
Z9 22
U1 0
U2 3
SN 0941-4355
EI 1433-7339
UT WOS:000452291600013
PM 29934683
ER

PT J
AU Ottenhausen, Malte
   Anetsberger, Stephanie
   Kleffmann, Jens
   Schuss, Patrick
   Konczalla, Juergen
   Krawagna, Maximilian
   Burkhardt, Jan-Karl
   Reitz, Matthias
   Xu, Ran
   Albers, Lucia
   Ntoulias, Georgios
   Meyer, Bernhard
   Joedicke, Andreas
   Krieg, Sandro M.
TI Risk Factors for Dropping Out of Neurosurgical Residency Programs - A
   Survey Study
SO WORLD NEUROSURGERY
VL 120
BP E100
EP E106
DI 10.1016/j.wneu.2018.07.195
PD DEC 2018
PY 2018
AB BACKGROUND: Resident education has to adapt to a changing health care
   environment. Although aspects such as working hours and attrition rates
   have been studied in detail, data about the residents' perspective,
   especially in European countries, are underrepresented in the scientific
   literature. The aim of this study was to assess and report aspects of
   neurosurgical education in German-speaking countries and to identify
   risk factors for quitting or changing the neurosurgical residency
   program.
   METHODS: We conducted a nonanonymous online survey among neurosurgical
   residents in Germany, Austria, and Switzerland. Log-binomial regression
   models were calculated to further assess risk factors.
   RESULTS: Of 201 residents who responded to the survey, 37.3% (n = 75)
   dropped out of neurosurgical training programs, including 20 residents
   (10%) who ultimately quit neurosurgery and changed to another specialty.
   Only female gender (relative risk, 2.97; 95% confidence interval,
   1.3-6.78) and starting residency in a city one studied or grew up in
   (2.38; 1.01-5.62) were significant risk factors. Residents who had close
   supervision at work (0.39; 0.17-0.89), who observed the residency
   program for >3 days before applying (0.54; 0.31-0.95), who had
   well-defined guidelines within the program (0.57; 0.35-0.92), and who
   were working in a university hospital (0.41; 0.26-0.64) were
   significantly less likely to quit or change their program.
   CONCLUSIONS: The high attrition rate, especially among female residents,
   in Germany, Austria, and Switzerland should encourage program directors
   to specifically address the issues reported by this survey during
   interviews and to further improve their residency program accordingly.
RI Konczalla, Juergen/AAJ-8528-2021; Meyer, Bernhard/AAH-3329-2019; Schuss, Patrick/ABC-6469-2020; Krieg, Sandro M./L-8902-2016; Ottenhausen, Malte/Z-4121-2019; Jodicke, Andreas/; Konczalla, Juergen/; Xu, Ran/
OI Meyer, Bernhard/0000-0001-6486-7955; Schuss,
   Patrick/0000-0002-5806-2576; Krieg, Sandro M./0000-0003-4050-1531;
   Ottenhausen, Malte/0000-0003-0797-1101; Jodicke,
   Andreas/0000-0003-4584-4875; Konczalla, Juergen/0000-0001-9771-7806; Xu,
   Ran/0000-0003-1906-8489
ZB 0
ZS 0
TC 8
ZR 0
Z8 0
ZA 0
Z9 8
U1 1
U2 1
SN 1878-8750
EI 1878-8769
UT WOS:000450668300015
PM 30077746
ER

PT J
AU Udey, Mark C.
   Cornelius, Lynn A.
TI Collections-A New Feature of the JID Connector
SO JOURNAL OF INVESTIGATIVE DERMATOLOGY
VL 138
IS 12
BP 2497
EP 2497
DI 10.1016/j.jid.2018.10.007
PD DEC 2018
PY 2018
OI Cornelius, Lynn A/0000-0002-6329-2819
ZR 0
ZB 0
Z8 0
TC 0
ZA 0
ZS 0
Z9 0
U1 0
U2 0
SN 0022-202X
EI 1523-1747
UT WOS:000450431000004
PM 30466535
ER

PT J
AU Baker, Charlotte
   Powell, Jill
   Le, Dominic
   Creary, Melissa S.
   Daley, Lori-Ann
   McDonald, Mary Anne
   Royal, Charmaine D. M.
TI Implementation of the NCAA Sickle Cell Trait Screening Policy: A Survey
   of Athletic Staff and Student-athletes
SO JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
VL 110
IS 6
BP 564
EP 573
DI 10.1016/j.jnma.2018.03.004
PD DEC 2018
PY 2018
AB Objective: To describe the perspectives and experiences of athletic
   trainers, coaches, and student-athletes approximately three years
   post-imptementation of the NCAA sickle cell trait (SCT) screening
   policy.
   Participants: Two-hundred and eight student-athletes, 32 athletic
   trainers, and 43 coaches from 10 NCAA Division I (DI) institutions in
   North Carolina from January to June 2014.
   Methods: Two online surveys were used to assess knowledge, perspectives,
   and experiences.
   Results: Athletic staff were more supportive than student-athletes of
   the need for the policy. Noted challenges included variation in
   implementation and follow-up for SCT-positive athletes, financial costs
   to institutions and athletes, and timing of the screening.
   Conclusions: More education about SCT is needed for student-athletes and
   athletic staff in order to help make the implementation more successful.
   All parties need to be in agreement regarding the importance of knowing
   which student-athletes have SCT and how that information wilt be
   utilized.
OI Royal, Charmaine/0000-0003-3593-851X; Baker,
   Charlotte/0000-0002-2009-8688; McDonald, Mary Anne/0000-0003-0239-3760
TC 0
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
Z9 0
U1 0
U2 0
SN 0027-9684
EI 1943-4693
UT WOS:000450091500010
PM 30129496
ER

PT J
AU Smeds, Matthew R.
   Thrush, Carol
   Kimbrough, Mary K.
   Moursi, Mohammed M.
TI Use of Mock Oral Examinations in Vascular Surgery Training Programs: A
   Nationwide Survey
SO JOURNAL OF SURGICAL RESEARCH
VL 232
BP 94
EP 98
DI 10.1016/j.jss.2018.06.030
PD DEC 2018
PY 2018
AB Background: Mock oral examinations (MOEs) are valuable tools for
   knowledge assessment and preparation for the surgical certifying
   examinations. Use of MOE is not standardized. We sought to determine the
   current use in vascular residencies/fellowships.
   Methods: Program directors (PD) of all U.S. vascular training programs
   were sent anonymous online surveys in July of 2015 evaluating importance
   of MOEs, current use, barriers to implementation, and preparedness of
   trainees to sit for the certifying board examination (CE). Comparisons
   were performed between programs that use MOEs and those that do not.
   Results: Fifty-four percent (59/108) of program directors completed the
   survey. The majority believed MOEs are important for vascular residents
   and fellows (86% versus 81%); however, only 51% (30/59) use them. The
   most common reason for using MOE was to provide feedback about readiness
   for the CE (90%). Of programs not giving MOE, 69% expected their
   trainees to get oral examinations at national conferences. The most
   common barriers to implementation/continuation of MOEs were availability
   of faculty (48%) or time (31%). Irrespective of whether they used MOE or
   not, 29% believed vascular fellows were better prepared for the CE than
   vascular residents.
   Conclusions: MOEs are regarded as a valuable tool to prepare trainees
   for the CE. However, it is not a commonly adopted practice, due to
   variables such as institutional/faculty availability. A third of program
   directors believed that vascular fellows were more prepared to pass the
   CE than vascular residents which may warrant further investigation into
   how programs can more rigorously prepare vascular residents for the
   vascular CEs. (C) 2018 Elsevier Inc. All rights reserved.
CT Annual Spring Meeting of the
   Association-for-Program-Directors-in-Vascular-Surgery
CY APR 01, 2016
CL Chicago, IL
SP Assoc Program Directors Vasc Surg
OI Kimbrough, Mary/0000-0002-3855-2156
ZB 0
ZR 0
TC 1
ZA 0
ZS 0
Z8 0
Z9 1
U1 0
U2 0
SN 0022-4804
EI 1095-8673
UT WOS:000448333700014
PM 30463791
ER

PT J
AU Zhao, Jane Y.
   Kessler, Evan G.
   Yu, Jihnhee
   Jalal, Kabir
   Cooper, Clairice A.
   Brewer, Jeffrey J.
   Schwaitzberg, Steven D.
   Guo, Weidun Alan
TI Impact of Trauma Hospital Ransomware Attack on Surgical Residency
   Training
SO JOURNAL OF SURGICAL RESEARCH
VL 232
BP 389
EP 397
DI 10.1016/j.jss.2018.06.072
PD DEC 2018
PY 2018
AB Background: A recent ransomware attack led to the shutdown of the
   electronic health information system (HIS) at our trauma center for 2
   mo. We investigated its impact on residency training during the
   downtime.
   Material and methods: General and orthopedic surgical residents who
   rotated at the hospital were invited to participate in a survey
   regarding their patient care and residency training experiences during
   the downtime. Attending surgeons from both the specialties were invited
   to participate in a semistructured interview regarding their attitude
   toward residency training during the downtime.
   Results: Twenty-nine residents responded to the survey with a response
   rate of 78.4%. Residents acknowledged significant increases in
   face-to-face communication and decreases in use of online educational
   resources during the downtime (P < 0.01). Residents were significantly
   stressed by the dearth of online resources (P < 0.0001) and by
   paper-based orders and outpatient clinic (P < 0.05). A multivariate
   analysis demonstrated an inverse relationship between postgraduate year
   and stress from paper orders (P = 0.003). Attending surgeon's interviews
   revealed that they recognized residents' unpreparedness and strove
   harder to teach more effectively.
   Conclusions: Our study demonstrated that an unexpected shutdown of the
   hospital HIS imposed significant stress upon surgical residents
   providing trauma patient care and made attending surgeons take greater
   efforts to be more effective teachers. Residents who are digital natives
   lack adaptability to handle a paper-based workflow. With cyber security
   threats increasing in health care, preparedness should be included in
   the graduate medical education curriculum. (C) 2018 Elsevier Inc. All
   rights reserved.
CT 13th Annual Meeting of the
   Academic-Surgical-Congress/Society-of-University-Surgeons/Association-fo
   r-Academic-Surgery
CY JAN 30-FEB 01, 2018
CL Jacksonville, FL
SP Acad Surg Congress; Soc Univ Surg; Assoc Acad Surg
TC 9
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
Z9 9
U1 1
U2 11
SN 0022-4804
EI 1095-8673
UT WOS:000448333700054
PM 30463746
ER

PT J
AU Esce, Antoinette
   Rodeberg, David A.
   Rothstein, David H.
   Browne, Marybeth
   Wakeman, Derek
CA Amer Acad Pediat
TI Prevalence and Perceptions of Team Training Programs for Pediatric
   Surgeons and Anesthesiologists
SO JOURNAL OF SURGICAL RESEARCH
VL 232
BP 559
EP 563
DI 10.1016/j.jss.2018.07.025
PD DEC 2018
PY 2018
AB Background: Team training programs adapt crew resource management
   principles from aviation to foster communication and prevent medical
   errors. Although multiple studies have demonstrated that team training
   programs such as TeamSTEPPS improve patient outcomes and safety across
   medical disciplines, limited data exist about their application to
   pediatric surgical teams. The purpose of this study was to investigate
   usage and perceptions of team training programs by pediatric surgeons
   and anesthesiologists. We hypothesized that team training programs are
   not widely available to pediatric surgical teams.
   Materials and methods: We performed an online survey of Pediatric
   Surgery (General, Plastic, Urologic, Orthopedic, Otolaryngologic, and
   Ophthalmologic) and Anesthesiology members of the American Academy of
   Pediatrics. The survey inquired about completion and perceptions
   regarding efficacy of team training programs. Simple descriptive
   statistics and a Student t-test were used to evaluate the data.
   Results: One hundred fifty-two pediatric surgeons and 12
   anesthesiologists completed the survey with a 10% response rate. Over
   half of the respondents were general pediatric surgeons. Home
   institutions offered TeamSTEPPS or another crew resource management
   style team training program for 39% of respondents. Of those with a
   program, 77% of respondents had completed training. Although most (76%)
   who participated in team training programs did so by requirement, 90%
   found it helpful. Of the 61% of surgeons who said their institution did
   not offer team training programs, 60% said they would participate if one
   were offered and an additional 32% said they might participate. The
   biggest barriers to participation were not enough free time or that the
   team training program was not offered to their department.
   Conclusions: Team training programs are considered beneficial among
   pediatric surgeons and anesthesiologists who have completed them.
   Unfortunately, despite substantial evidence showing training for team
   work improves team functioning and patient outcomes, many pediatric
   surgical teams do not have team training programs at their institutions.
   Further expansion of team training programs may be valuable to improving
   a culture of safety in children's hospitals. (C) 2018 Elsevier Inc. All
   rights reserved.
TC 2
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
Z9 2
U1 0
U2 3
SN 0022-4804
EI 1095-8673
UT WOS:000448333700078
PM 30463773
ER

PT J
AU Kauffman, Christine A.
   Derazin, Megan
   Asmar, Abdo
   Kibble, Jonathan D.
TI Relationship between classroom attendance and examination performance in
   a second-year medical pathophysiology class
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 4
BP 593
EP 598
DI 10.1152/advan.00123.2018
PD DEC 2018
PY 2018
AB Studies completed with undergraduate populations have shown that
   attendance positively correlates with academic performance. A marked
   decline in classroom attendance within medical school has recently been
   noticed with the availability of video capture of lectures and other
   online material. This study compares these in the era of online
   material. It took place during the second-year Gastrointestinal and
   Renal Systems module. Attendance was mandatory at team-based learning
   and case-based learning sessions on new material and voluntary at
   lectures (29 sessions) and case-based learning on material previously
   covered (9 sessions). Attendance was recorded prospectively. All
   lectures were recorded. and all related files were available to students
   online. Performance was based on a 118 multiple-choice question final
   examination. Students voluntarily completed the Motivated Strategies for
   Learning Questionnaire (MSLQ). The study group consisted of 78 students
   (68% of 114 total) of whom 48 completed the MSLQ. Mean attendance was
   24%, with 33% of students attending none of the nonmandatory sessions.
   The median score on the final exam for participants was 86.0 (range:
   28.8). High levels of self-efficacy and the ability to self-regulate
   effort were predictive of low attendance. Attendance was positively
   predicted by an orientation toward peer learning and help seeking. There
   was no correlation between the percentage of classes attended and
   performance on the final exam. We conclude that different facets of
   self-regulated learning predict attendance, with highly confident
   students being the least likely to attend, and that attendance at
   in-class sessions is no longer a good marker for performance.
OI Kibble, Jonathan/0000-0001-7634-8044; Kauffman,
   Christine/0000-0002-2496-1987
ZR 0
ZS 1
TC 33
ZA 0
Z8 0
ZB 0
Z9 34
U1 3
U2 17
SN 1043-4046
EI 1522-1229
UT WOS:000451241500008
PM 30251893
ER

PT J
AU Spencer, Sara
   Ewing, Sarah
   Calcagno, Kathryn
   O'Neill, Suzanne
TI Adopted Individuals' Views on the Utility and Value of Expanded Carrier
   Screening
SO JOURNAL OF GENETIC COUNSELING
VL 27
IS 6
BP 1341
EP 1348
DI 10.1007/s10897-018-0256-2
PD DEC 2018
PY 2018
AB Adoptees may not have family medical history and ethnicity information.
   Carrier screening assesses reproductive risk. Expanded carrier screening
   (ECS) screens for many genetic conditions regardless of a patient's
   knowledge of family history and ethnicity. This study aimed to better
   understand the opinions and attitudes of adopted individuals on the use
   of ECS in determining a patient's reproductive genetic risks.
   Specifically, the study assessed how adopted individuals feel that
   results of ECS may be useful to them and whether adoptees feel that
   meeting with a genetics professional in the process of undergoing ECS
   would be useful. Adult adoptees (N=124) were recruited online. Their
   opinions on ECS were explored. The majority reported they had never been
   offered carrier screening (92%). The majority of adoptees wanted ECS
   (76%). Neither the amount of contact with biological relatives nor
   having medical knowledge about biological relatives was significantly
   associated with adoptees' desire to pursue ECS. There was a significant
   positive correlation between adoptees of higher education levels and the
   amount they would pay for ECS (p=0.004). The majority of participants
   (95%) indicated a genetics professional would be helpful when undergoing
   ECS. The findings suggest this population may want ECS and support from
   genetics healthcare professionals. Advocacy for genetic counseling and
   testing for adoptees appears justifiable.
RI Spencer, Sara/AAB-2586-2021; Spencer, Sara/
OI Spencer, Sara/0000-0001-8385-288X
TC 7
ZA 0
Z8 0
ZS 0
ZB 4
ZR 0
Z9 7
U1 0
U2 1
SN 1059-7700
EI 1573-3599
UT WOS:000450787400004
PM 29603037
ER

PT J
AU Turner, Megan C.
   O'Brien, Julia D.
   Kahn, Rachel M.
   Mantyh, Christopher R.
   Migaly, John
   Ariely, Dan
TI Impact of Disgust on Intentions to Undergo Colorectal Surgery
SO DISEASES OF THE COLON & RECTUM
VL 61
IS 12
BP 1386
EP 1392
DI 10.1097/DCR.0000000000001254
PD DEC 2018
PY 2018
AB BACKGROUND: Surgeons present patients with complex information at the
   perioperative appointment. Emotions likely play a role in surgical
   decision-making, and disgust is an emotion of revulsion at a stimulus
   that can lead to avoidance.
   OBJECTIVE: The purpose of this study was to determine the impact of
   disgust on intention to undergo surgical resection for colorectal cancer
   and recall of perioperative instructions.
   DESIGN: This was a cross-sectional observational study conducted online
   using hypothetical scenarios with nonpatient subjects.
   SETTINGS: The study was conducted using Amazon's Mechanical Turk.
   PATIENTS: Survey respondents were living in the United States.
   MAIN OUTCOME MEASURES: Surgery intention and recall of perioperative
   instructions were measured.
   RESULTS: A total of 319 participants met the inclusion criteria.
   Participants in the experimental condition, who were provided with
   detailed information and pictures about stoma care, had significantly
   lower surgery intentions (mean SD, 4.601.15) compared with the control
   condition with no stoma prompt (mean +/- SD, 5.14 +/- 0.91; p = 0.05)
   and significantly lower recall for preoperative instructions (mean +/-
   SD, 13.75 +/- 2.38) compared with the control condition (mean +/- SD,
   14.36 +/- 2.19; p = 0.03). Those within the experimental conditions also
   reported significantly higher state levels of disgust (mean +/- SD, 4.08
   +/- 1.74) compared with a control condition (mean +/- SD, 2.35 +/- 1.38;
   p < 0.001). State-level disgust was found to fully mediate the
   relationship between condition and recall (b = -0.31) and to partially
   mediate the effect of condition on surgery intentions (b = 0.17).
   LIMITATIONS: It is unknown whether these results will replicate with
   patients and the impact of competing emotions in clinical settings.
   CONCLUSIONS: Intentions to undergo colorectal surgery and recall of
   preoperative instructions are diminished in patients who experience
   disgust when presented with stoma information. Surgeons and care teams
   must account for this as they perform perioperative counseling to
   minimize interference with recall of important perioperative
   information. See Video Abstract at http://links.lww.com/DCR/A776.
RI mantyh, christopher/AAJ-9140-2021
TC 5
Z8 0
ZB 1
ZA 0
ZR 0
ZS 0
Z9 5
U1 0
U2 8
SN 0012-3706
EI 1530-0358
UT WOS:000450432100012
PM 30312221
ER

PT J
AU Martin, Shannon K.
   Carter, Keme
   Hellermann, Noah
   Glick, Laura R.
   Ngooi, Samantha
   Kachman, Marika
   Farnan, Jeanne M.
   Arora, Vineet M.
TI The Consultation Observed Simulated Clinical Experience: Training,
   Assessment, and Feedback for Incoming Interns on Requesting
   Consultations
SO ACADEMIC MEDICINE
VL 93
IS 12
BP 1814
EP 1820
DI 10.1097/ACM.0000000000002337
PD DEC 2018
PY 2018
AB Problem
   Formal education in requesting consultations is inconsistent in medical
   education. To address this gap, the authors developed the Consultation
   Observed Simulated Clinical Experience (COSCE), a simulation-based
   curriculum for interns using Kessler and colleagues' 5Cs of Consultation
   model to teach and assess consultation communication skills.
   Approach
   In June 2016, 127 interns entering 12 University of Chicago Medicine
   residency programs participated in the COSCE pilot. The COSCE featured
   an online training module on the 5Cs and an in-person simulated
   consultation. Using specialty-specific patient cases, interns requested
   telephone consultations from faculty, who evaluated their performance
   using validated checklists. Interns were surveyed on their preparedness
   to request consultations before and after the module and after the
   simulation. Subspecialty fellows serving as consultants were surveyed
   regarding consultation quality before and after the COSCE.
   Outcomes
   After completing the online module, 84% of interns (103/122) were
   prepared to request consultations compared with 52% (63/122) at baseline
   (P < .01). After the COSCE, 96% (122/127) were prepared to request
   consultations (P < .01). Neither preparedness nor simulation performance
   differed by prior experience or training. Over 90% (115/127) indicated
   they would recommend the COSCE for future interns. More consultants
   described residents as prepared to request consultations after the COSCE
   (54%; 21/39) than before (27%; 11/41, P = .01).
   Next Steps
   The COSCE was well received and effective for preparing entering interns
   with varying experience and training to request consultations. Future
   work will emphasize consultation communication specific to training
   environments and evaluate skills via direct observation of clinical
   performance.
OI Hellermann, Noah/0000-0001-9928-0740
ZR 0
TC 6
ZA 0
ZB 1
ZS 1
Z8 0
Z9 7
U1 0
U2 2
SN 1040-2446
EI 1938-808X
UT WOS:000451298700025
PM 29923893
ER

PT J
AU de Vasconcelos Vaena, Marcella Martins
   Alves, Luiz Anastacio
TI Formative online quiz on hemotherapy from blood physiology to
   transfusion medicine: a pilot study conducted with Brazilian medical
   students
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 4
BP 644
EP 647
DI 10.1152/advan.00079.2018
PD DEC 2018
PY 2018
OI Alves, Luiz/0000-0002-0785-7272
ZB 0
TC 2
Z8 0
ZS 0
ZR 0
ZA 0
Z9 2
U1 0
U2 2
SN 1043-4046
EI 1522-1229
UT WOS:000451241500016
PM 30303413
ER

EF