﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Votta, Kaitlyn
   Metivier, Meghan
   Romo, Stephanie
   Garrigan, Hannah
   Drexler, Alana
   Nodoushani, Ariana
   Sheridan, Robert
TI Readability of Spanish language online information for the initial
   treatment of burns
SO BURNS
VL 44
IS 4
BP 956
EP 961
DI 10.1016/j.burns.2017.11.008
PD JUN 2018
PY 2018
AB Objective: This study's aim is to identify the most popular online
   resources for burn treatment information available in the Spanish
   language, and to evaluate the readability of this information.
   Methods: The phrase "tratamiento de quemaduras" (burn treatment) was
   entered into search engines Google and Bing on 9/15/2014 and 9/13/2017.
   The top 12 Spanish web results on each site were identified and analyzed
   using Readability Studio Professional Edition v2012.1. The software
   generated a "mean grade reading level" for each article, or the grade of
   students that could be expected to understand the article's language.
   Results: 21 distinct articles were identified at T1 and 17 at T2, with
   seven overlapping between T1 and T2. The average grade reading level of
   all the websites ranged from 7.8 to 13.8 at T1 (approximately 8th grade
   to sophomore year of college) and 7.8 to 12.2 at T2.
   Conclusions: No websites were within 1 standard deviation of the
   American Medical Association recommended 6th grade reading level. With
   readability showing little improvement during the past three years,
   providers should be aware of the complexity of online literature, and
   the potential complications this presents to patients. Additionally,
   burn centers should prioritize generating more accessible information
   for the Spanish speaking public. (C) 2017 Elsevier Ltd and ISBI. All
   rights reserved.
OI Garrigan, Hannah/0000-0001-9934-4628
ZR 0
ZA 0
TC 6
ZB 0
ZS 0
Z8 0
Z9 6
U1 4
U2 10
SN 0305-4179
EI 1879-1409
UT WOS:000432474300024
PM 29402576
ER

PT J
AU Tbalvandany, S. (Sadaf) Soloukey
   Maat, A. (Alexander) P. W. M.
   Cornelissen, R. (Robin)
   Nuyttens, J. (Joost) J. M. E.
   Takkenberg, J. (Johanna) J. M.
TI WWW mesothelioma information: Surfing on unreliable waters. A
   cross-sectional study into the content and quality of online
   informational resources for mesothelioma patients
SO PATIENT EDUCATION AND COUNSELING
VL 101
IS 6
BP 1088
EP 1094
DI 10.1016/j.pec.2018.01.009
PD JUN 2018
PY 2018
AB Objective: Malignant Mesothelioma (MM) is a rare asbestos related
   disease mostly diagnosed in low-skilled patients. The decision-making
   process for MM treatment is complicated, making an adequate provision of
   information necessary. The objective of this study is to assess the
   content and quality of online informational resources available for
   Dutch MM patients.
   Methods: The first 100 hits of a Google search were studied using the
   JAMA benchmarks, the Modified Information Score (MIS) and the
   International Patient Decision Aid Standard Scoring (IPDAS).
   Results: A total of 37 sources were included. Six of the 37 resources
   were published by hospitals. On average, the informational resources
   scored 37 points on the MIS (scale 0-100). The resources from a
   (bio)medical sources scored the best on this scale. However, on the
   domain of use of language, these resources scored the worst.
   Conclusions: The current level of medical content and quality of online
   informational resources for patient with MM is below average and cannot
   be used as decision-aids for patients.
   Practice implications: The criteria used in this article could be used
   for future improvements of online informational resources for patients,
   both online, offline and through health education in the care path. (C)
   2018 Elsevier B.V. All rights reserved.
RI Soloukey, Sadaf/AAS-8161-2021; Soloukey, Sadaf/; Cornelissen, Robin/
OI Soloukey, Sadaf/0000-0001-7711-3271; Cornelissen,
   Robin/0000-0002-4289-3092
ZR 0
ZA 0
ZS 0
Z8 0
TC 1
ZB 0
Z9 1
U1 0
U2 0
SN 0738-3991
UT WOS:000432345000012
PM 29395477
ER

PT J
AU Shields, Helen M.
   Pelletier, Stephen R.
   Roy, Christopher L.
   Honan, James P.
TI Asking a Variety of Questions on Walk Rounds: a Pilot Study
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 33
IS 6
BP 969
EP 974
DI 10.1007/s11606-018-4381-2
PD JUN 2018
PY 2018
AB Morning walk rounds have lost some of their engagement while remaining a
   useful and valued practice.
   We created a pilot study to evaluate the impact on rounds of learning to
   asking a variety of different questions.
   One-hour intervention sessions were voluntarily offered to members of
   the Department of Medicine and taught by an expert in the question,
   listen, and respond method.
   Participants included attendings and residents in Internal Medicine on
   medical teams.
   Questionnaires were collected on six pre-intervention and six
   post-intervention days. Nine months later, an anonymous online survey
   was sent to participants asking about their use of a wider variety of
   questions.
   Two hundred eight physicians (residents 175 (45.5%), attending
   physicians 25 (27.7%)) filled out pre-intervention surveys. One hundred
   eighty-one physicians (residents 155 (40.3%), attending physicians 18
   (20%)) filled out post-intervention surveys. When survey responses from
   the attendings and residents on the medical teams were combined,
   post-intervention rounds were perceived as more worthwhile (1.99
   pre-intervention and 1.55 post-intervention, [95% confidence interval
   1.831-2.143]) (p < 0.001) and more engaging (1.68 pre-intervention and
   1.30 post-intervention, [95% confidence interval 1.407-1.688]) (p <
   0.001).Non-medical teams' survey responses did not change. Patient
   census data indicated no significant difference in the hospital's census
   on the pre- and post-intervention dates. Spontaneous suggestions for
   improving rounds came largely from the residents and included teaching
   points, clinical pearls, patient focus, more interactive, increased
   dedicated time for teaching, inclusive/multidisciplinary, questions, and
   evidence-based teaching. Of the participants who answered the online
   survey 9 months later, 75% (6/8) reported that they "actually asked a
   wider variety of types of questions."
   This pilot study indicates that the 1-h intervention of learning to ask
   a variety of different questions is associated with rounds that are
   rated as more worthwhile and engaging by the medical teams.
ZR 0
ZB 0
TC 2
Z8 0
ZA 0
ZS 0
Z9 2
U1 0
U2 5
SN 0884-8734
EI 1525-1497
UT WOS:000433497500044
PM 29589174
ER

PT J
AU Fuchshuber, P.
   Schwaitzberg, S.
   Jones, D.
   Jones, S. B.
   Feldman, L.
   Munro, M.
   Robinson, T.
   Purcell-Jackson, G.
   Mikami, D.
   Madani, A.
   Brunt, M.
   Dunkin, B.
   Gugliemi, C.
   Groah, L.
   Lim, R.
   Mischna, J.
   Voyles, C. R.
TI The SAGES Fundamental Use of Surgical Energy program (FUSE): history,
   development, and purpose
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 32
IS 6
BP 2583
EP 2602
DI 10.1007/s00464-017-5933-y
PD JUN 2018
PY 2018
AB Adverse events due to energy device use in surgical operating rooms are
   a daily occurrence. These occur at a rate of approximately 1-2 per 1000
   operations. Hundreds of operating room fires occur each year in the
   United States, some causing severe injury and even mortality. The
   Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
   therefore created the first comprehensive educational curriculum on the
   safe use of surgical energy devices, called Fundamental Use of Surgical
   Energy (FUSE). This paper describes the history, development, and
   purpose of this important training program for all members of the
   operating room team.
   The databases of SAGES and the FUSE committee as well as personal
   photographs and documents of members of the FUSE task force were used to
   establish a brief history of the FUSE program from its inception to its
   current status.
   The authors were able to detail all aspects of the history, development,
   and national as well as global implementation of the third SAGES
   Fundamentals Program FUSE.
   The written documentation of the making of FUSE is an important
   contribution to the history and mission of SAGES and allows the reader
   to understand the idea, concept, realization, and implementation of the
   only free online educational tool for physicians on energy devices
   available today. FUSE is the culmination of the SAGES efforts to
   recognize gaps in patient safety and develop state-of-the-art
   educational programs to address those gaps. It is the goal of the FUSE
   task force to ensure that general FUSE implementation becomes
   multinational, involving as many countries as possible.
RI Jones, Stephanie/Q-8153-2019
ZA 0
ZS 0
ZR 0
Z8 0
TC 9
ZB 0
Z9 9
U1 0
U2 1
SN 0930-2794
EI 1432-2218
UT WOS:000432524400001
PM 29218661
ER

PT J
AU Jackson, Hope T.
   Young, Monica T.
   Rodriguez, H. Alejandro
   Wright, Andrew S.
TI SAGES Foregut Surgery Masters Program: a surgeon's social media resource
   for collaboration, education, and professional development
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 32
IS 6
BP 2800
EP 2807
DI 10.1007/s00464-017-5983-1
PD JUN 2018
PY 2018
AB Facebook is a popular online social networking platform increasingly
   used for professional collaboration. Literature regarding use of
   Facebook for surgeon professional development and education is limited.
   The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
   has established a Facebook group dedicated to discussion of surgery of
   the esophagus, stomach, and small intestine-the "SAGES Foregut Surgery
   Masters Program." The aim of this study is to examine how this forum is
   used for professional development, education, and quality improvement.
   Member and post statistics were obtained from https://grytics.com, a
   Facebook group analytics service. All posts added to the Foregut forum
   since its creation in April 2015 through December 2016 were reviewed and
   categorized for content and topic. Posts were reviewed for potential
   identifiable protected health information.
   As of December 2016, there were 649 total members in the group. There
   have been a total of 411 posts and 4116 comments with a median of 10.1
   comments/post (range 0-72). Posts were categorized as operative
   technique (64%), patient management (52%), continuing education (10%),
   networking (10%), or other (6%). Video and/or photos were included in
   53% of posts with 4% of posts depicting radiologic studies and 13% with
   intraoperative photos or videos. An additional 40 posts included links
   to other pages, such as YouTube, journal articles, or the SAGES website.
   One post (0.2%) contained identifiable protected health information and
   was deleted once recognized by the moderators of the group.
   Social media is a unique, real-time platform where surgeons can learn,
   discuss, and collaborate towards the goal of optimal treatment of
   surgical disease. Active online surgical communities such as the SAGES
   Foregut Surgery Masters Program have the potential to enhance
   communication between surgeons and are a potential innovative adjunct to
   traditional methods of continuing surgical education. Surgical societies
   should adopt and promote professional and responsible use of social
   media.
ZA 0
Z8 0
ZR 0
ZB 1
ZS 1
TC 13
Z9 14
U1 0
U2 4
SN 0930-2794
EI 1432-2218
UT WOS:000432524400025
PM 29497827
ER

PT J
AU Cadaret, Caitlin N.
   Yates, Dustin T.
TI Retrieval practice in the form of online homework improved information
   retention more when spaced 5 days rather than 1 day after class in two
   physiology courses
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 2
BP 305
EP 310
DI 10.1152/advan.00104.2017
PD JUN 2018
PY 2018
AB Studies have shown that practicing temporally spaced retrieval of
   previously learned information via formal assessments increases student
   retention of the information. Our objective was to determine the impact
   of online homework administered as a first retrieval practice 1 or 5
   days after introduction of physiology topics on long-term information
   retention. Students in two undergraduate courses, Anatomy and Physiology
   (ASCI 240) and Animal Physiological Systems (ASCI 340). were presented
   with information on a specific physiological system during each weekly
   laboratory and then completed an online homework assignment either 1 or
   5 days later. Information retention was assessed via an in-class quiz
   the following week and by a comprehensive final exam at semester's end
   (4-13 wk later). Performance on homework assignments was generally
   similar between groups for both courses. Information retention at 1 wk
   did not differ due to timing of homework in either course. In both
   courses, however, students who received homework 5 days after class
   performed better on final exam questions relevant to that week's topic
   compared with their day 1 counterparts. These findings indicate that the
   longer period between introducing physiology information in class and
   assigning the first retrieval practice was more beneficial to long-term
   information retention than the shorter period, despite seemingly
   equivalent benefits in the shorter term. Since information is typically
   forgotten over time. we speculate that the longer interval necessitates
   greater retrieval effort in much the same way as built-in desirable
   difficulties, thus allowing for stronger conceptual connections and
   deeper comprehension.
OI Cadaret, Caitlin/0000-0003-1615-9633; Yates, Dustin/0000-0001-9772-9110
ZS 0
ZB 1
ZA 0
TC 5
Z8 0
ZR 0
Z9 5
U1 5
U2 15
SN 1043-4046
EI 1522-1229
UT WOS:000432334800005
PM 29676611
ER

PT J
AU Langton, Philip D.
TI Sourcebook update: intestinal smooth muscle contractility and autonomic
   control
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 2
BP 311
EP 320
DI 10.1152/advan.00197.2017
PD JUN 2018
PY 2018
AB This laboratory practical requires first-year students to anticipate the
   effects of drugs active at cholinergic and adrenergic receptors on gut
   motility in order to design experiments during an authentic inquiry
   exercise. Rather than specifying a strict sequence of drug additions
   that aim to provide ideal demonstrations of pharmacological and
   physiological antagonism, I have instead designed switches into the
   drugs provided and set students, working in small teams, the task of
   identifying the switched drugs, an inquiry activity. To extend the
   teamwork aspect, laboratory reports were submitted by the student teams
   rather than individual students. Staff observed that discussions within
   the teams were stimulated by the inquiry-led nature of the practical.
   The quality of the laboratory reports submitted by teams were
   substantially improved over the individual reports submitted in previous
   years. (Students previously worked in teams, but simply followed a list
   of prescribed experiments and wrote individual reports.) Although, in
   conversation. teams of students had an improved understanding of the
   regulation of gut motility by the parasympathetic and sympathetic
   divisions of the autonomic nervous system and could readily distinguish
   between pharmacological and functional antagonism, no attempt was made
   to evaluate learning because the revision was triggered by the observed
   effect of a technical error and was not otherwise planned. It is likely
   that laboratory practicals, in general, would benefit from inclusion of
   inquiry.
ZS 0
ZR 0
ZA 0
TC 1
ZB 0
Z8 0
Z9 1
U1 0
U2 7
SN 1043-4046
EI 1522-1229
UT WOS:000432334800006
PM 29676614
ER

PT J
AU Heard, Jack
   Morris, Amanda
   Kirouac, Nicole
   Ducharme, Jennifer
   Trepel, Simon
   Wicklow, Brandy
TI Gender dysphoria assessment and action for youth: Review of health care
   services and experiences of trans youth in Manitoba
SO PAEDIATRICS & CHILD HEALTH
VL 23
IS 3
BP 179
EP 184
DI 10.1093/pch/pxx156
PD JUN 2018
PY 2018
AB Objectives: To describe the paediatric transgender population accessing
   health care through the Manitoba Gender Dysphoria Assessment and Action
   for Youth (GDAAY) program, and report youth's experiences accessing
   health care in Manitoba.
   Methods: Demographic, medical, surgical and mental health information
   was extracted from the medical records of youth referred to the GDAAY
   program (n = 174). A 77-item online survey was conducted with a subset
   of those youth (n = 25) to identify common health care experiences and
   perceptions of trans youth in Manitoba.
   Results: Chart review of 122 natal females and 52 natal males, ranging
   in age from 4.7 to 17.8 years (mean 13.9 years), found 66 patients
   (46.8%) with a pre-existing or current mental health diagnosis, of which
   anxiety and depression were the most common (n = 43, 30.5%). Qualitative
   self-reports revealed all patients had negative interactions with health
   care providers at some point, many having experienced lack of engagement
   with the medical system due to reported lack of knowledge by the
   provider on trans-related health services.
   Conclusion: Transgender youth in Manitoba seeking GDAAY services have
   high rates of anxiety and depression. These youth face adversity in
   health care settings and are distressed over long wait times for mental
   health services. Recommendations to improve care include increasing
   general health care providers' education on gender affirmative care,
   providing gender sensitivity training for health care providers,
   gathering preferred names and pronouns during triage, increasing
   visibility of support for LGBT+ persons in clinics, increasing resource
   allocation to this field and creating policies so all health care
   settings are safe places for trans youth.
TC 14
ZA 0
ZS 0
ZR 0
Z8 0
ZB 2
Z9 14
U1 1
U2 17
SN 1205-7088
EI 1918-1485
UT WOS:000432289600007
PM 29769803
ER

PT J
AU Yi, Paul H.
   Novin, Sherwin
   Plas, Taylor L. Vander
   Huh, Eric
   Magid, Donna
TI How Does the Current Generation of Medical Students View the Radiology
   Match?: An Analysis of the AuntMinnie and Student Doctor Network Online
   Forums
SO ACADEMIC RADIOLOGY
VL 25
IS 6
BP 699
EP 707
DI 10.1016/j.acra.2017.12.031
PD JUN 2018
PY 2018
AB Rationale and Objectives: The AuntMinnie (AM) and the Student Doctor
   Network (SDN) online forums are popular resources for medical students
   applying for residency. The purpose of this study was to describe
   medical student radiology-related posts on AM and SDN to better
   understand the medical student perspective on the application and Match
   process.
   Materials and Methods: We reviewed all posts made on the AM and SDN
   online forums over 5 consecutive academic years from July 2012 to July
   2017. Each thread was organized into one of six major categories. We
   quantified forum utilization over the past 5 years by the total number
   of and the most frequently posted and viewed thread topics.
   Results: We reviewed 2683 total threads with 5,723,909 views. Total
   number of threads posted and viewed fell by 46% and 63%, respectively,
   from 2013-2014 to 2014-2015, after which they returned near baseline by
   2016-2017, along with an increase in interventional radiology-related
   posts between 2012-2013 (13%) and 2016-2017 (32%) (P < .001). The most
   common application-related topics were preapplication and program
   ranking advice (20% of all threads and views). Many posts were related
   to postinterview communication with residency programs (2% of all
   threads and views).
   Conclusions: After a drop in 2013-2014, utilization of AM and SDN
   increased in 2016-2017, along with increased interest in interventional
   radiology. Addressing the student concerns identified in our study,
   especially in preparing residency applications, ranking programs, and
   navigating difficult situations, such as postinterview program
   communication, may improve the radiology application process for future
   medical students and their advisors.
Z8 0
ZR 0
ZA 0
TC 4
ZB 0
ZS 0
Z9 4
U1 0
U2 0
SN 1076-6332
EI 1878-4046
UT WOS:000432415600003
PM 29751856
ER

PT J
AU Chiswell, Megan
   Smissen, Annika
   Ugalde, Anna
   Lawson, Deborah
   Whiffen, Rachel
   Brockington, Sonia
   Boltong, Anna
TI Using Webinars for the Education of Health Professionals and People
   Affected by Cancer: Processes and Evaluation
SO JOURNAL OF CANCER EDUCATION
VL 33
IS 3
BP 583
EP 591
DI 10.1007/s13187-016-1138-7
PD JUN 2018
PY 2018
AB Technology provides an opportunity to engage with a variety of audiences
   to provide cancer education, information and support. Webinars are one
   such format that allow live presentations by experts that can be
   accessed online, from people's homes or other convenient locations. In
   2015, Cancer Council Victoria (CCV) undertook a program of work to
   design and evaluate the effectiveness of a suite of webinars: four
   designed for people affected by cancer and two for health professionals.
   Webinars included a series of expert presentations, a panel discussion
   and an interactive component where participants posed questions to the
   panel. Evaluation included analysis of online metrics and a post-event
   survey covering experience and satisfaction with the webinar,
   self-reported changes in knowledge of key webinar concepts and
   confidence to discuss concepts with health professionals or patients. A
   total of 438 people participated in the webinars (41.5% of 1056
   registrations), and 207 post-event surveys were completed by
   participants (47.3%). Overall, 90.1% indicated that webinar content was
   relevant to their interests and needs. Self-ratings of knowledge,
   awareness of resources and confidence to discuss webinar topics
   increased after the webinar. The majority (63.9%) had not participated
   in a webinar before, and 92.6% were interested in participating in
   future webinars. Over half of respondents (52.8%) had not accessed CCV
   resources before. This work provided a new opportunity to consolidate
   consistency of delivery and evaluation of webinars, demonstrating they
   are an effective, acceptable, accessible and sustainable vehicle for
   delivering information and support to health professionals and people
   affected by cancer.
RI Ugalde, Anna/AAY-2009-2020; Chiswell, Meg/; Ugalde, Anna/
OI Chiswell, Meg/0000-0003-2534-9543; Ugalde, Anna/0000-0002-2473-8435
ZA 0
ZB 1
ZR 0
ZS 1
TC 16
Z8 0
Z9 17
U1 1
U2 7
SN 0885-8195
EI 1543-0154
UT WOS:000432153400015
PM 27981435
ER

PT J
AU Ovadia, Steven A.
   Gishen, Kriya
   Desai, Urmen
   Garcia, Alejandro M.
   Thaller, Seth R.
TI Education on the Business of Plastic Surgery During Training: A Survey
   of Plastic Surgery Residents
SO AESTHETIC PLASTIC SURGERY
VL 42
IS 3
BP 886
EP 890
DI 10.1007/s00266-018-1096-z
PD JUN 2018
PY 2018
AB Background Entrepreneurial skills are important for physicians,
   especially plastic surgeons. Nevertheless, these skills are not
   typically emphasized during residency training.
   Objective Evaluate the extent of business training at plastic surgery
   residency programs as well as means of enhancing business training.
   Methods A 6-question online survey was sent to plastic surgery program
   directors for distribution to plastic surgery residents. Responses from
   residents at the PGY2 level and above were included for analysis. Tables
   were prepared to present survey results.
   Results Hundred and sixty-six residents including 147 PGY2 and above
   residents responded to our survey. Only 43.5% reported inclusion of
   business training in their plastic surgery residency. A majority of
   residents reported they do not expect on graduation to be prepared for
   the business aspects of plastic surgery. Additionally, a majority of
   residents feel establishment of a formal lecture series on the business
   of plastic surgery would be beneficial.
   Conclusions Results from our survey indicate limited training at plastic
   surgery programs in necessary business skills. Plastic surgery residency
   programs should consider incorporating or enhancing elements of business
   training in their curriculum.
RI Thaller, Seth/AAO-1801-2020
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
TC 16
Z9 16
U1 0
U2 2
SN 0364-216X
EI 1432-5241
UT WOS:000431871100030
PM 29445922
ER

PT J
AU Schofield, Ruth
   Chircop, Andrea
   Baker, Cynthia
   Leurer, Marie Dietrich
   Duncan, Susan
   Wotton, Donalda
TI Entry-to-practice public health nursing competencies: A Delphi method
   and knowledge translation strategy
SO NURSE EDUCATION TODAY
VL 65
BP 102
EP 107
DI 10.1016/j.nedt.2018.03.001
PD JUN 2018
PY 2018
AB Background: Sustaining and strengthening nurses 'contributions to public
   and population health in the 21st century depends in part on nursing
   education. Clearly articulated entry-to-practice competencies will
   contribute to the capacity of undergraduate nursing education programs
   to prepare graduates to promote local, national and global population
   health.
   Objectives: The Canadian Association of Schools of Nursing created the
   Public Health Task Force to develop consensus on core, national
   entry-to-practice competencies in public health nursing for
   undergraduate nursing students and to support these competencies with
   corresponding online teaching strategies.
   Design: Delphi approach.
   Participants: Nurses with public health experience in education and
   practice, and representatives from other public health professional
   organizations across Canada.
   Method: The three-phased competency development included: 1) an
   environmental scan; 2) an iterative process to draft competencies; and
   3) a modified Delphi process to confirm the final competency framework
   using face to face consultations and a survey. The knowledge translation
   strategy involved soliciting submissions of teaching strategies for
   peer-review and subsequent inclusion in an interactive online resource.
   Results: 242 public health educators and practitioners participated in
   the consensus consultation. The final document outlined five competency
   statements with 19 accompanying indicators. A total of 123 teaching
   strategies were submitted for the online resource, of which 50 were
   accepted as exemplary teaching strategies.
   Conclusion: This competency development process can provide guidance for
   the development of competencies in other countries, thus strengthening
   public health nursing education globally. The decision to intentionally
   level the competencies to entry-to-practice, as opposed to an advanced
   level, enhanced their application to undergraduate nursing education.
   The development of the additional inventory of teaching strategies
   created a sustainable innovative resource for public health nursing
   educators and practitioners world-wide to support the adoption of
   entry-to-practice public health nursing competencies.
OI Chircop, Andrea/0000-0003-2353-7604
ZS 0
TC 16
Z8 6
ZA 0
ZB 1
ZR 0
Z9 22
U1 0
U2 17
SN 0260-6917
EI 1532-2793
UT WOS:000431747100018
PM 29547810
ER

PT J
AU Willet, Miranda
   Dorstyn, Diana
   Due, Clemence
   Li, Wenjing
TI Applying Andersen's Model to Explain Service Use and Quality of Life
   Among Australian Caregivers of Children with Autism Spectrum Disorder
SO JOURNAL OF DEVELOPMENTAL AND PHYSICAL DISABILITIES
VL 30
IS 3
BP 339
EP 354
DI 10.1007/s10882-018-9589-x
PD JUN 2018
PY 2018
AB Access to necessary supports and services is extremely important for the
   wellbeing and, ultimately, quality of life (QOL) of family caregivers.
   By understanding patterns of health service utilization, we can better
   tailor current services to meet caregivers' needs. Framed by Andersen's
   Behavioral Model, predisposing, enabling and need factors associated
   with service utilization, and their relation to QOL, were examined in a
   cross-sectional sample of 156 Australian caregivers of children and
   adolescents with autism spectrum disorder (ASD). Participants completed
   an online survey to assess services accessed, QOL (Quality of Life in
   Autism - Part A), health beliefs (Health Opinions Questionnaire), ASD
   symptom severity (Quality of Life in Autism - Part B), and caregiver
   distress (Depression Anxiety Stress Scales - 21 item). Multivariate
   regression analyses confirmed the role of predisposing (i.e. higher
   education), and enabling (i.e. higher income) variables, although family
   structure (i.e. having more than one children with ASD; OR = 7.22, CI:
   1.77-29.54, p < .01) and caregiver distress (OR = 1.04, CI: 1.0-1.07, p
   < .05) were identified as the strongest predictors of service access.
   Both of these variables also helped to explain a sizeable portion of the
   variance in QOL scores (R-2 = .32, adj. R (2) = .24, p < .001). Personal
   barriers to health care utilization exist for parents of children with
   ASD which impact their decision to access help. There is, however, a
   need for further research to expand Andersen's model by examining
   subjective and objective QOL indicators applicable to the caregiver
   cohort.
RI Dorstyn, Diana/M-5707-2019; Due, Clemence/
OI Dorstyn, Diana/0000-0002-7799-8177; Due, Clemence/0000-0001-6485-6076
ZR 0
TC 4
Z8 0
ZS 0
ZA 0
ZB 1
Z9 4
U1 0
U2 15
SN 1056-263X
EI 1573-3580
UT WOS:000431878600004
ER

PT J
AU Riccio, Angela
   Schettini, Francesca
   Simione, Luca
   Pizzimenti, Alessia
   Inghilleri, Maurizio
   Olivetti-Belardinelli, Marta
   Mattia, Donatella
   Cincotti, Febo
TI On the Relationship Between Attention Processing and P300-Based Brain
   Computer Interface Control in Amyotrophic Lateral Sclerosis
SO FRONTIERS IN HUMAN NEUROSCIENCE
VL 12
AR 165
DI 10.3389/fnhum.2018.00165
PD MAY 28 2018
PY 2018
AB Our objective was to investigate the capacity to control a P3-based
   brain-computer interface (BCI) device for communication and its related
   (temporal) attention processing in a sample of amyotrophic lateral
   sclerosis (ALS) patients with respect to healthy subjects. The ultimate
   goal was to corroborate the role of cognitive mechanisms in
   event-related potential (ERP)-based BCI control in ALS patients.
   Furthermore, the possible differences in such attentional mechanisms
   between the two groups were investigated in order to unveil possible
   alterations associated with the ALS condition. Thirteen ALS patients and
   13 healthy volunteers matched for age and years of education underwent a
   P3-speller BCI task and a rapid serial visual presentation (RSVP) task.
   The RSVP task was performed by participants in order to screen their
   temporal pattern of attentional resource allocation, namely: (i) the
   temporal attentional filtering capacity (scored as T1%); and (ii) the
   capability to adequately update the attentive filter in the temporal
   dynamics of the attentional selection (scored as T2%). For the
   P3-speller BCI task, the online accuracy and information transfer rate
   (ITR) were obtained. Centroid Latency and Mean Amplitude of N200 and
   P300 were also obtained. No significant differences emerged between ALS
   patients and Controls with regards to online accuracy (p = 0.13).
   Differently, the performance in controlling the P3-speller expressed as
   ITR values (calculated offline) were compromised in ALS patients (p <
   0.05), with a delay in the latency of P3 when processing BCI stimuli as
   compared with Control group (p < 0.01). Furthermore, the temporal aspect
   of attentional filtering which was related to BCI control (r = 0.51; p <
   0.05) and to the P3 wave amplitude (r = 0.63; p < 0.05) was also altered
   in ALS patients (p = 0.01). These findings ground the knowledge required
   to develop sensible classes of BCI specifically designed by taking into
   account the influence of the cognitive characteristics of the possible
   candidates in need of a BCI system for communication.
RI Cincotti, Febo/C-3664-2008; Inghilleri, Maurizio/AAZ-6136-2020; Mattia, Donatella/D-7569-2012; Simione, Luca/AAL-9181-2020
OI Cincotti, Febo/0000-0003-1898-6480; Inghilleri,
   Maurizio/0000-0001-5365-3417; Mattia, Donatella/0000-0002-3092-2511;
   Simione, Luca/0000-0003-1938-8466
ZR 0
TC 14
ZS 0
ZA 0
Z8 0
ZB 5
Z9 14
U1 2
U2 16
SN 1662-5161
UT WOS:000433219700001
PM 29892218
ER

PT J
AU Hacisalihoglu, Gokhan
   Stephens, Desmond
   Johnson, Lewis
   Edington, Maurice
TI The use of an active learning approach in a SCALE-UP learning space
   improves academic performance in undergraduate General Biology
SO PLOS ONE
VL 13
IS 5
AR e0197916
DI 10.1371/journal.pone.0197916
PD MAY 24 2018
PY 2018
AB Active learning is a pedagogical approach that involves students
   engaging in collaborative learning, which enables them to take more
   responsibility for their learning and improve their critical thinking
   skills. While prior research examined student performance at majority
   universities, this study focuses on specifically Historically Black
   Colleges and Universities (HBCUs) for the first time. Here we present
   work that focuses on the impact of active learning interventions at
   Florida A&M University, where we measured the impact of active learning
   strategies coupled with a SCALE-UP (Student Centered Active Learning
   Environment with Upside-down Pedagogies) learning environment on student
   success in General Biology. In biology sections where active learning
   techniques were employed, students watched online videos and completed
   specific activities before class covering information previously
   presented in a traditional lecture format. In-class activities were then
   carefully planned to reinforce critical concepts and enhance critical
   thinking skills through active learning techniques such as the
   one-minute paper, think-pair-share, and the utilization of clickers.
   Students in the active learning and control groups covered the same
   topics, took the same summative examinations and completed identical
   homework sets. In addition, the same instructor taught all of the
   sections included in this study. Testing demonstrated that these
   interventions increased learning gains by as much as 16%, and students
   reported an increase in their positive perceptions of active learning
   and biology. Overall, our results suggest that active learning
   approaches coupled with the SCALE-UP environment may provide an added
   opportunity for student success when compared with the standard modes of
   instruction in General Biology.
ZS 0
TC 13
ZR 0
ZB 2
ZA 0
Z8 0
Z9 13
U1 3
U2 24
SN 1932-6203
UT WOS:000433084300095
PM 29795683
ER

PT J
AU Tsai, Meng-Che
   Strong, Carol
   Chen, Wan-Ting
   Lee, Chih-Ting
   Lin, Chung-Ying
TI Longitudinal impacts of pubertal timing and weight status on adolescent
   Internet use: Analysis from a cohort study of Taiwanese youths
SO PLOS ONE
VL 13
IS 5
AR e0197860
DI 10.1371/journal.pone.0197860
PD MAY 24 2018
PY 2018
AB Aim
   To investigate the longitudinal impacts of pubertal timing and weight
   status on Internet use in adolescents.
   Methods
   Three waves of data on a longitudinal cohort of 7th grade students (N =
   2430) were retrieved from the Taiwan Youth Project. Univariate and
   multivariate regression models were applied using crude and adjusted
   odds ratios (OR) with 95% confidence intervals (CI) to examine the
   concomitant impacts of pubertal timing and weight status on adolescent
   Internet use.
   Results
   The dataset identified 210 (8.7%) students using the Internet for more
   than 20 hours/week, and 81 (3.3%) were viewing pornographic material
   online. Early maturing and thin-weight adolescents were at 35% and 46%
   increased risks of spending long hours on Internet use, respectively.
   While early puberty was associated with online pornography viewing among
   males (adjusted OR 1.84, 95% CI 1.04-3.28), early puberty was contrarily
   a protective factor against online gaming in females (adjusted OR 0.59,
   95% CI 0.36-0.96).
   Conclusion
   Early puberty was found to be positively related to adolescent Internet
   use. Appropriate health education and guidance regarding Internet use
   should be provided to those with different developing needs.
RI chen, want/GRX-0662-2022; Tsai, Meng-Che/AAE-6715-2021; Strong, Carol/E-2127-2016; Strong, Carol/ABI-6992-2020; Lin, Chung-Ying/I-5434-2016
OI Tsai, Meng-Che/0000-0003-1057-3315; Strong, Carol/0000-0002-2934-5382;
   Strong, Carol/0000-0002-2934-5382; Lin, Chung-Ying/0000-0002-2129-4242
Z8 1
ZS 0
TC 16
ZR 0
ZA 0
ZB 3
Z9 17
U1 0
U2 7
SN 1932-6203
UT WOS:000433084300084
PM 29795649
ER

PT J
AU Bucher, Joshua
   Donovan, Colleen
   McCoy, Jonathan
TI EMS providers do not use FOAM for education
SO INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE
VL 11
AR 27
DI 10.1186/s12245-018-0189-4
PD MAY 24 2018
PY 2018
AB Background: Free open access to medical education (FOAM, #FOAM) is the
   free availability of educational materials on various medicine topics.
   We hope to evaluate the use of social media and FOAM by emergency
   medical services (EMS) providers.
   Methods: We designed an online survey distributed to EMS providers with
   questions about demographics and social media/FOAM use by providers. The
   survey was sent to the American College of Emergency Physicians (ACEP)
   EMS Listserv of medical directors and was asked to be distributed to
   their respective agencies. The survey was designed to inquire about the
   providers' knowledge of FOAM and social media and their use of the above
   for EMS education.
   Results: There were 169 respondents out of a total of 523 providers
   yielding a response rate of 32.3%. Fifty-three percent of respondents
   are paramedics, 37% are EMT-Basic trained, and the remainder (16%) were
   "other." The minority (20%) of respondents had heard of FOAM. However,
   54% of respondents had heard of "free medical education online"
   regarding pertinent topics. Of the total respondents who used social
   media for education, 31% used Facebook and 23% used blogs and podcasts
   as resources for online education. Only 4% of respondents stated they
   produced FOAM content. Seventy-six percent of respondents said they were
   "interested" or "very interested" in using FOAM for medical education.
   If FOAM provided continuing medical education (CME), 83% of respondents
   would be interested in using it.
   Conclusion: Social media is not used frequently by EMS providers for the
   purposes of FOAM. There is interest within EMS providers to use FOAM for
   education, even if CME was not provided. FOAM can provide a novel area
   of education for EMS.
OI Bucher, Joshua/0000-0003-2761-3387
TC 1
ZA 0
Z8 0
ZB 0
ZR 0
ZS 0
Z9 1
U1 0
U2 1
SN 1865-1372
EI 1865-1380
UT WOS:000433495100001
PM 29797111
ER

PT J
AU Esselmont, Elizabeth
   Moreau, Katherine
   Aglipay, Mary
   Pound, Catherine M.
TI Residents' breastfeeding knowledge, comfort, practices, and perceptions:
   results of the Breastfeeding Resident Education Study (BRESt)
SO BMC PEDIATRICS
VL 18
AR 170
DI 10.1186/s12887-018-1150-7
PD MAY 22 2018
PY 2018
AB Background: Physicians have a significant impact on new mothers'
   breastfeeding practices. However, physicians' breastfeeding knowledge is
   suboptimal. This knowledge deficit could be the result of limited
   breastfeeding education in residency. This study aimed to explore
   pediatric residents' breastfeeding knowledge, comfort level, clinical
   practices, and perceptions. It also investigated the level and type of
   education residents receive on breastfeeding and their preferences for
   improving it.
   Methods: Descriptive, cross-sectional, self-reported online
   questionnaires were sent to all residents enrolled in a Canadian general
   pediatric residency program, as well as to their program directors.
   Resident questionnaires explored breastfeeding knowledge, comfort level,
   clinical practices, perceptions, educational experiences and educational
   preferences. Program director questionnaires collected data on current
   breastfeeding education in Canadian centers. For the resident survey,
   breastfeeding knowledge was calculated as the percent of correct
   responses. Demographic factors independently associated with overall
   knowledge score were identified by multiple linear regression.
   Descriptive statistics were used for the program director survey.
   Results: Overall, 201 pediatric residents, and 14 program directors
   completed our surveys. Residents' mean overall breastfeeding knowledge
   score was 71% (95% CI: 69-79%). Only 4% (95% CI: 2-8%) of residents were
   very comfortable evaluating latch, teaching parents breastfeeding
   positioning, and addressing parents' questions regarding breastfeeding
   difficulties. Over a quarter had not observed a patient breastfeed.
   Nearly all agreed or strongly agreed that breastfeeding promotion is
   part of their role. Less than half reported receiving breastfeeding
   education during residency and almost all wanted more interactive
   breastfeeding education. According to pediatric program directors, most
   of the breastfeeding education residents receive is didactic. Less than
   a quarter of program directors felt that the amount of breastfeeding
   education provided was adequate.
   Conclusion: Pediatric residents in Canada recognize that they play an
   important role in supporting breastfeeding. Most residents lack the
   knowledge and training to manage breastfeeding difficulties but are
   motivated to learn more about breastfeeding. Pediatric program directors
   recognize the lack of breastfeeding education.
OI Pound, Catherine/0000-0003-2004-7749
ZA 0
TC 13
ZR 0
Z8 0
ZS 2
ZB 0
Z9 15
U1 2
U2 5
EI 1471-2431
UT WOS:000432946100002
PM 29788928
ER

PT J
AU Cao, Bolin
   Zhao, Peipei
   Bien, Cedric
   Pan, Stephen
   Tang, Weiming
   Watson, Julia
   Mi, Guodong
   Ding, Yi
   Luo, Zhenzhou
   Tucker, Joseph D.
TI Linking young men who have sex with men (YMSM) to STI physicians: a
   nationwide cross-sectional survey in China
SO BMC INFECTIOUS DISEASES
VL 18
AR 228
DI 10.1186/s12879-018-3145-2
PD MAY 18 2018
PY 2018
AB Background: Many young men who have sex with men (YMSM) are reluctant to
   seek health services and trust local physicians. Online information
   seeking may encourage YMSM to identify and see trustworthy physicians,
   obtain sexual health services, and obtain testing for sexually
   transmitted infections (STIs). This study examined online STI
   information seeking behaviors among Chinese YMSM and its association
   with offline physician visits.
   Methods: We conducted a nationwide online survey among YMSM through
   WeChat, the largest social media platform in China. We collected
   information on individual demographics, sexual behaviors, online STI
   information seeking, offline STI testing, and STI physician visits. We
   examined the most commonly used platforms (search engines, governmental
   websites, counseling websites, generic social media, gay mobile apps,
   and mobile medical apps) and their trustworthiness. We assessed interest
   and willingness to use an MSM-friendly physician finder function
   embedded within a gay mobile app. Logistic regression models were used
   to examine the correlation between online STI information searching and
   offline physician visits.
   Results: A total of 503 men completed the survey. Most men (425/503,
   84.5%) searched for STI information online. The most commonly used
   platform to obtain STI information were search engines (402/425, 94.5%),
   followed by gay mobile apps (201/425, 47.3%). Men reported high
   trustworthiness of information received from gay mobile apps. Men also
   reported high interest (465/503, 92.4%) and willingness (463/503, 92.0%)
   to use a MSM-friendly physician finder function within such apps. Both
   using general social media (aOR = 1.14, 95% CI: 1.04-1.26) and mobile
   medical apps (aOR = 1.16, 95% CI: 1.01-1.34) for online information
   seeking were associated with visiting a physician.
   Conclusion: Online STI information seeking is common and correlated with
   visiting a physician among YMSM. Cultivating partnerships with the
   emerging mobile medical apps may be useful for disseminating STI
   information and providing better physician services to YMSM.
OI Zhao, Peipei/0000-0002-5399-3443; Cao, Bolin/0000-0001-8743-1361
Z8 2
TC 6
ZS 0
ZB 3
ZA 0
ZR 0
Z9 8
U1 1
U2 8
EI 1471-2334
UT WOS:000433165200003
PM 29776395
ER

PT J
AU Velarde, Carla
   Moore, Amy
   Boakye, Eric Adjei
   Parkhurst, Todd
   Brewer, Daniel
TI Consumption and emotions among college students toward chocolate product
SO COGENT FOOD & AGRICULTURE
VL 4
IS 1
AR 1442645
DI 10.1080/23311932.2018.1442645
PD MAY 17 2018
PY 2018
AB This study examined college students' consumption frequency of different
   amounts of chocolate. It measured emotions related to consumption
   including guilt, craving, hunger, mindfulness and investigated how these
   are related to demographics including age, race, education, body mass
   index, and exercise frequency. A total of 89 college students complete a
   53-item questionnaire. The survey was administered online through
   Qualtrics Survey Software. Of the 89 participants, ages ranged from
   18-64, 72 participants (82%) were white. The mean (SD) mindfulness score
   was 36.3 (13.2), craving score was 25.0 (7.1), guilt score 28.4 (18.8)
   and hunger score 8.1 (2.4). There was a significant association between
   age and guilt (p = 0.012) and age (p = 0.002) and education (p = 0.006)
   and hunger. In conclusion, age was found to be the most significant
   factor related to chocolate consumption and the emotions associated
   including hunger and guilt.
RI Adjei Boakye, Eric/D-4448-2015
OI Adjei Boakye, Eric/0000-0001-9163-8103
ZA 0
ZS 0
ZR 0
Z8 0
TC 0
ZB 0
Z9 0
U1 0
U2 6
SN 2331-1932
UT WOS:000456462200001
ER

PT J
AU Liu, Chi-Hung
   Hsu, Li-Ling
   Hsiao, Cheng-Ting
   Hsieh, Suh-Ing
   Chang, Chun-Wei
   Huang, Elaine Shinwei
   Chang, Yeu-Jhy
TI Core neurological examination items for neurology clerks: A modified
   Delphi study with a grass-roots approach
SO PLOS ONE
VL 13
IS 5
AR e0197463
DI 10.1371/journal.pone.0197463
PD MAY 17 2018
PY 2018
AB Background
   With the evolution of treatments for neurological diseases, the contents
   of core neurological examinations (NEs) for medical students may need to
   be modified. We aimed to establish a consensus on the core NE items for
   neurology clerks and compare viewpoints between different groups of
   panelists.
   Methods
   First, a pilot group proposed the core contents of NEs for neurology
   clerks. The proposed core NE items were then subject to a modified
   web-based Delphi process using the online software "SurveyMonkey". A
   total of 30 panelists from different backgrounds (tutors or learners,
   neurologists or non-neurologists, community hospitals or medical
   centers, and different academic positions) participated in the modified
   Delphi process. Each panelist was asked to agree or disagree on the
   inclusion of each item using a 9-point Likert scale and was encouraged
   to provide feedback. We also compared viewpoints between different
   groups of panelists using the Mann-Whitney U test.
   Results
   Eighty-three items were used for the first round of the Delphi process.
   Of them, 18 without consensus of being a core NE item for the neurology
   clerks in the first round and another 14 items suggested by the
   panelists were further discussed in the second round. Finally, 75 items
   with different grades were included in the recommended NE items for
   neurology clerks.
   Conclusions
   Our findings provide a reference regarding the core NE items for
   milestone development for neurology clerkships. We hope that
   prioritizing the NE items in this order can help medical students to
   learn NE more efficiently.
ZB 2
TC 4
ZR 0
ZA 0
Z8 0
ZS 0
Z9 4
U1 0
U2 2
SN 1932-6203
UT WOS:000432348900063
PM 29771997
ER

PT J
AU Magana-Valladares, Laura
   Rosas-Magallanes, Cynthia
   Montoya-Rodriguez, Alejandra
   Calvillo-Jacobo, Guillermo
   Alpuche-Arande, Celia Mercedes
   Garcia-Saiso, Sebastian
TI A MOOC as an immediate strategy to train health personnel in the cholera
   outbreak in Mexico
SO BMC MEDICAL EDUCATION
VL 18
AR 111
DI 10.1186/s12909-018-1215-1
PD MAY 16 2018
PY 2018
AB Background: In September 2013, two cases of cholera were reported in
   Mexico; 1 week later, a new outbreak was reported in the Huasteca region
   of Hidalgo. Upon the determination that the diagnostic and therapeutic
   interventions implemented by health personnel overlooked predefined
   procedures, the National Institute of Public Health, in coordination
   with the Ministry of Health, immediately designed the massive open
   online course "Proper cholera containment and management measures" to
   strengthen and standardize basic prevention and control practices.
   Methods: During the first 5 months, 35,968 participants from across the
   country finished the course: medical and nursing personnel, health
   promoters, and hospital staff. To understand the magnitude of the data,
   an analysis was performed to calculate the MOOC coverage, and multiple
   linear regression models were generated to relate the score earned in
   the course to the characteristics of the participants. In addition, a
   qualitative analysis was performed to identify the dissemination of
   information, technological barriers, and feedback on course design. A
   total of 17% of participants were from the state where the outbreak
   originated, and 33.5% were from its neighboring states.
   Results: This study shows that the need for information is greater when
   an emergency occurs, and the involvement of the authorities increased
   the extent of the training response.
   Conclusion: A MOOC can be a useful training strategy to prepare
   personnel for emergency situations.
OI Magana, Laura/0000-0002-6767-4339; Garcia-Saiso,
   Sebastian/0000-0003-4455-3080
TC 9
ZB 1
Z8 1
ZA 0
ZS 1
ZR 0
Z9 10
U1 0
U2 10
SN 1472-6920
UT WOS:000432359700001
PM 29769059
ER

PT J
AU McRoy, Susan
   Rastegar-Mojarad, Majid
   Wang, Yanshan
   Ruddy, Kathryn J.
   Haddad, Tufia C.
   Liu, Hongfang
TI Assessing Unmet Information Needs of Breast Cancer Survivors:
   Exploratory Study of Online Health Forums Using Text Classification and
   Retrieval
SO JMIR CANCER
VL 4
IS 1
AR e10
DI 10.2196/cancer.9050
PD MAY 15 2018
PY 2018
AB Background: Patient education materials given to breast cancer survivors
   may not be a good fit for their information needs. Needs may change over
   time, be forgotten, or be misreported, for a variety of reasons. An
   automated content analysis of survivors' postings to online health
   forums can identify expressed information needs over a span of time and
   be repeated regularly at low cost. Identifying these unmet needs can
   guide improvements to existing education materials and the creation of
   new resources.
   Objective: The primary goals of this project are to assess the unmet
   information needs of breast cancer survivors from their own perspectives
   and to identify gaps between information needs and current education
   materials.
   Methods: This approach employs computational methods for content
   modeling and supervised text classification to data from online health
   forums to identify explicit and implicit requests for health-related
   information. Potential gaps between needs and education materials are
   identified using techniques from information retrieval.
   Results: We provide a new taxonomy for the classification of sentences
   in online health forum data. 260 postings from two online health forums
   were selected, yielding 4179 sentences for coding. After annotation of
   data and training alternative one-versus-others classifiers, a random
   forest-based approach achieved F1 scores from 66% (Other, dataset2) to
   90% (Medical, datasetl) on the primary information types. 136
   expressions of need were used to generate queries to indexed education
   materials. Upon examination of the best two pages retrieved for each
   query, 12% (17/136) of queries were found to have relevant content by
   all coders, and 33% (45/136) were judged to have relevant content by at
   least one.
   Conclusions: Text from online health forums can be analyzed effectively
   using automated methods. Our analysis confirms that breast cancer
   survivors have many information needs that are not covered by the
   written documents they typically receive, as our results suggest that at
   most a third of breast cancer survivors' questions would be addressed by
   the materials currently provided to them.
Z8 0
TC 8
ZB 1
ZS 0
ZR 0
ZA 0
Z9 8
U1 1
U2 6
SN 2369-1999
UT WOS:000453445600001
ER

PT J
AU Frosch, Zachary A. K.
   Cronin, Angel M.
   Gagne, Joshua J.
   Teschke, Maxwell P.
   Gray, Stacy W.
   Abel, Gregory A.
TI Cancer Drug Shortages: Awareness and Perspectives From a Representative
   Sample of the US Population
SO CANCER
VL 124
IS 10
BP 2205
EP 2211
DI 10.1002/cncr.31246
PD MAY 15 2018
PY 2018
AB BACKGROUND: Although cancer drug shortages are a persistent problem in
   oncology, little is known about the awareness and perspectives of the US
   population with respect to shortages. METHODS: In 2016, we administered
   a 13-item cross-sectional survey to 420 respondents who were randomly
   selected from an online, probability-based sample demographically
   representative of the adult US population with respect to sex, age,
   race/ethnicity, education, geography, and income. Analyses applied
   poststratification sampling weights to draw national inferences.
   RESULTS: Overall, 16% of respondents reported being aware of drug
   shortages. Those with a personal history of cancer were more likely to
   be aware (31% vs 14% [P = .03]). In the overall cohort, most reported
   wanting to be informed about a substitution due to shortage: 87% and 82%
   for major or minor differences in efficacy, and 87% and 83% for major or
   minor differences in side effects. Most also reported they would
   transfer care to avoid a substitution: 72% for major differences in
   efficacy, and 61% for major differences in side effects. Black
   respondents, the uninsured, the unemployed, those with lower income, and
   the less well-educated were all less likely to report that they would
   transfer care to avoid major differences in efficacy (all P < .05).
   CONCLUSION: These data suggest that the US population is largely unaware
   of cancer drug shortages. Moreover, if being treated for cancer, most
   people would want to know about drug substitutions, even if it were to
   result in only minor differences in efficacy or side effects. With more
   significant differences, many would transfer care. (C) 2018 American
   Cancer Society.
RI Gray, Stacy/AAJ-2956-2020; Gray, Stacy/GRF-6833-2022; Frosch, Zachary/AAZ-3374-2021
OI Gray, Stacy/0000-0001-6948-0143; 
ZS 0
TC 4
ZB 2
ZR 0
ZA 0
Z8 0
Z9 4
U1 0
U2 5
SN 0008-543X
EI 1097-0142
UT WOS:000431623300018
PM 29635808
ER

PT J
AU Chover-Sierra, Elena
   Martinez-Sabater, Antonio
TI Utility of social networks and online data collection in nursing
   research: Analysis of Spanish nurses' level of knowledge about
   palliative care
SO PLOS ONE
VL 13
IS 5
AR e0197377
DI 10.1371/journal.pone.0197377
PD MAY 14 2018
PY 2018
AB Introduction
   Internet-based social networks are used by nurses with different
   purposes, including the creation of working groups and to share and
   create knowledge.
   Purpose
   To evaluate the utility of social networks in the dissemination of an
   online questionnaire and to measure Spanish RNs' knowledge about
   palliative care.
   Methods
   A descriptive cross-sectional study was carried out. Using social
   networks we distributed an online questionnaire with the Spanish version
   of Palliative Care Quiz for Nurses (PCQN-SV) throughout August 2015.
   Results
   A direct relationship between the number of responses and the
   questionnaire's apparitions in each social network was found. Comparing
   the results obtained by the 446 RNs participating in this study with
   those obtained in the study to pilot the PCQN-SV we identify that
   differences found are related to the participants' features (years of
   experience and hours of training in palliative care) and not to the type
   of questionnaire they answered.
   Conclusions
   Social networks have shown to be a useful tool for nursing research by
   its ability, to recruit participants as well as to collect data, so
   their role as an instrument of research should be considered.
RI Chover-Sierra, Elena/GQH-1530-2022; Chover-Sierra, Elena/L-9665-2019; Martinez-Sabater, Antonio/
OI Chover-Sierra, Elena/0000-0002-4141-6956; Martinez-Sabater,
   Antonio/0000-0002-6440-1431
ZS 0
TC 5
ZR 0
ZA 0
Z8 0
ZB 1
Z9 5
U1 0
U2 9
SN 1932-6203
UT WOS:000432082900043
PM 29758066
ER

PT J
AU Liu, Xueqing
   Cheng, Jing
   Huang, Sufang
TI Mobile Phone Training Platform for the Nursing Staff in the Emergency
   Department
SO TELEMEDICINE AND E-HEALTH
VL 25
IS 1
BP 66
EP 70
DI 10.1089/tmj.2017.0317
EA MAY 2018
PD JAN 2019
PY 2019
AB Background:Continuous education is required for nursing staff, but
   continuous education can be complicated for nurses working shifts, such
   as those in the emergency department (ED).Introduction:To explore the
   effectiveness of the ED Training Platform of Tongji Hospital for
   conventional continuing education of emergency nurses. The training
   completion rate and training outcomes were validated.Materials and
   Methods:This was a retrospective study of all in-service emergency
   nurses working at the Tongji Medical College of Huazhong University of
   Science and Technology between August 2016 and August 2017. The training
   results of the previous year of the same group were used as controls.
   The platform used was an online system called JikeXuetang
   (www.jkxuetang.com/), using the WeChat application as a carrier. The
   training completion rate and pass rate were compared with the control
   data.Result:Among 124 nurses, the training completion rate increased
   from <60% to 100%, and the passing rate was 100%. Among 121 nurses,
   92.5% considered that the mobile phone platform was more convenient than
   conventional training course; 89.7% believed it as an effective tool of
   learning, and intended to join public courses after completion; and
   63.4% nurses expressed the wish to receive push services once or twice
   weekly for training course.Conclusion:The outcome of emergency nurse
   training was improved using the mobile training platform. This approach
   was more feasible and easier for training.
ZB 0
Z8 0
ZS 0
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 10
SN 1530-5627
EI 1556-3669
UT WOS:000432071500001
PM 29742034
ER

PT J
AU Lacasta Tintorer, David
   Manresa Dominguez, Josep Maria
   Pujol-Rivera, Enriqueta
   Flayeh Beneyto, Souhel
   Mundet Tuduri, Xavier
   Saigi-Rubio, Francesc
TI Keys to success of a community of clinical practice in primary care: a
   qualitative evaluation of the ECOPIH project
SO BMC FAMILY PRACTICE
VL 19
AR 56
DI 10.1186/s12875-018-0739-0
PD MAY 9 2018
PY 2018
AB Background: The current reality of primary care (PC) makes it essential
   to have telemedicine systems available to facilitate communication
   between care levels. Communities of practice have great potential in
   terms of care and education, and that is why the Online Communication
   Tool between Primary and Hospital Care was created. This tool enables PC
   and non-GP specialist care (SC) professionals to raise clinical cases
   for consultation and to share information. The objective of this article
   is to explore healthcare professionals' views on communities of clinical
   practice (CoCPs) and the changes that need to be made in an uncontrolled
   real-life setting after more than two years of use.
   Methods: A descriptive-interpretative qualitative study was conducted on
   a total of 29 healthcare professionals who were users and non-users of a
   CoCP using 2 focus groups, 3 triangular groups and 5 individual
   interviews. There were 18 women, 21 physicians and 8 nurses. Of the
   interviewees, 21 were PC professionals, 24 were users of a CoCP and 7
   held managerial positions.
   Results: For a system of communication between PC and SC to become a
   tool that is habitually used and very useful, the interviewees
   considered that it would have to be able to find quick, effective
   solutions to the queries raised, based on up-to-date information that is
   directly applicable to daily clinical practice. Contact should be
   virtual - and probably collaborative - via a platform integrated into
   their habitual workstations and led by PC professionals. Organisational
   changes should be implemented to enable users to have more time in their
   working day to spend on the tool, and professionals should have a
   proactive attitude in order to make the most if its potential. It is
   also important to make certain technological changes, basically aimed at
   improving the tool's accessibility, by integrating it into habitual
   clinical workstations.
   Conclusions: The collaborative tool that provides reliable, up-to-date
   information that is highly transferrable to clinical practice is valued
   for its effectiveness, efficiency and educational capacity. In order to
   make the most of its potential in terms of care and education,
   organisational changes and techniques are required to foster greater
   use.
RI Saigí-Rubió, Francesc/I-3927-2017; Lacasta Tintorer, David/; Manresa Dominguez, Josep Maria/J-2626-2015
OI Saigí-Rubió, Francesc/0000-0001-9616-1551; Lacasta Tintorer,
   David/0000-0002-3882-1870; Manresa Dominguez, Josep
   Maria/0000-0001-8306-5798
TC 11
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 11
U1 1
U2 5
EI 1471-2296
UT WOS:000432361800003
PM 29743030
ER

PT J
AU Yoshioka-Maeda, Kyoko
   Katayama, Takafumi
   Shiomi, Misa
   Hosoya, Noriko
TI Educational program for middle-leve public health nurses to develop new
   health services regarding community health needs: protocol for a
   randomized controlled trial
SO BMC NURSING
VL 17
AR 18
DI 10.1186/s12912-018-0287-x
PD MAY 8 2018
PY 2018
AB Background: Developing health services is a key strategy for improving
   the community health provided by public health nurses. However, an
   effective educational program for improving their skills in planning
   such services has not been developed. To describe our program and its
   evaluation protocol for the education of middle-level public health
   nurses to improve their skills in developing new health services to
   fulfil community health needs in Japan.
   Methods: In this randomized control trial, eligible participants in
   Japan will be randomly allocated to an intervention group and a control
   wait-list group. We will provide 8 modules of web-based learning for
   public health nurses from July to October 2018. To ensure fairness of
   educational opportunity, the wait-list group will participate in the
   same program as the intervention group after collection of follow-up
   data of the intervention group. The primary outcomes will be evaluated
   using the scale of competency measurement of creativity for public
   health nurses at baseline, immediately after the intervention. Secondary
   outcomes will be knowledge and performance regarding program development
   of public health nurses.
   Discussion: This study will enable the analysis of the effects of the
   educational program on public health nurses for improving their
   competency to develop new health services for fulfilling community
   health needs and enriching health care systems.
OI Yoshioka-Maeda, Kyoko/0000-0003-0344-0143
ZA 0
ZR 0
ZB 1
Z8 0
TC 3
ZS 0
Z9 3
U1 1
U2 4
SN 1472-6955
UT WOS:000432251000001
PM 29760581
ER

PT J
AU Hoysted, Claire
   Babl, Franz E.
   Kassam-Adams, Nancy
   Landolt, Markus A.
   Jobson, Laura
   Van Der Westhuizen, Claire
   Curtis, Sarah
   Kharbanda, Anupam B.
   Lyttle, Mark D.
   Parri, Niccolo
   Stanley, Rachel
   Alisic, Eva
TI Knowledge and training in paediatric medical traumatic stress and
   trauma-informed care among emergency medical professionals in low- and
   middle-income countries
SO EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY
VL 9
IS 1
AR 1468703
DI 10.1080/20008198.2018.1468703
PD MAY 8 2018
PY 2018
AB Background: Provision of psychosocial care, in particular
   trauma-informed care, in the immediate aftermath of paediatric injury is
   a recommended strategy to minimize the risk of paediatric medical
   traumatic stress.
   Objective: To examine the knowledge of paediatric medical traumatic
   stress and perspectives on providing trauma-informed care among
   emergency staff working in low-and middle-income countries (LMICs).
   Method: Training status, knowledge of paediatric medical traumatic
   stress, attitudes towards incorporating psychosocial care and barriers
   experienced were assessed using an online self-report questionnaire.
   Respondents included 320 emergency staff from 58 LMICs. Data analyses
   included descriptive statistics, t-tests and multiple regression.
   Results: Participating emergency staff working in LMICs had a low level
   of knowledge of paediatric medical traumatic stress. Ninety-one percent
   of respondents had not received any training or education in paediatric
   medical traumatic stress, or trauma-informed care for injured children,
   while 94% of respondents indicated they wanted training in this area.
   Conclusions: There appears to be a need for training and education of
   emergency staff in LMICs regarding paediatric medical traumatic stress
   and trauma-informed care, in particular among staff working in
   comparatively lower income countries.
RI van der Westhuizen, Claire/ABI-8363-2020; Landolt, Markus/; Parri, Niccolo/; Kassam-Adams, Nancy/; Hoysted, Claire/; Curtis, Sarah/; Kharbanda, Anupam/; Alisic, Eva/; Jobson, Laura/; Lyttle, Mark/
OI van der Westhuizen, Claire/0000-0002-2138-8978; Landolt,
   Markus/0000-0003-0760-5558; Parri, Niccolo/0000-0002-8098-2504;
   Kassam-Adams, Nancy/0000-0001-7412-1428; Hoysted,
   Claire/0000-0001-8458-0046; Curtis, Sarah/0000-0003-4996-7784;
   Kharbanda, Anupam/0000-0001-5231-9855; Alisic, Eva/0000-0002-7225-606X;
   Jobson, Laura/0000-0002-1534-897X; Lyttle, Mark/0000-0002-8634-7210
ZR 0
ZA 0
ZB 0
Z8 1
TC 6
ZS 0
Z9 6
U1 0
U2 10
SN 2000-8066
UT WOS:000431819400001
PM 29760867
ER

PT J
AU Puhan, Milo A.
   Nina, Steinemann
   Kamm, Christian P.
   Stefanie, Muller
   Jens, Kuhle
   Roland, Kurmann
   Pasquale, Calabrese
   Jurg, Kesselring
   Viktor, von Wyl
CA SMSR
TI A digitally facilitated citizen-science driven approach accelerates
   participant recruitment and increases study population diversity
SO SWISS MEDICAL WEEKLY
VL 148
AR w14623
DI 10.4414/smw.2018.14623
PD MAY 7 2018
PY 2018
AB QUESTION UNDER STUDY: Our aim was to assess whether a novel approach of
   digitally facilitated, citizen-science research, as followed by the
   Swiss Multiple Sclerosis Registry (Swiss MS Registry), leads to
   accelerated participant recruitment and more diverse study populations
   compared with traditional research studies where participants are mostly
   recruited in study centres without the use of digital technology.
   METHODS: The Swiss MS Registry is a prospective, longitudinal,
   observational study covering all Switzerland. Participants actively
   contribute to the Swiss MS Registry, from defining research questions to
   providing data (online or on a paper form) and co-authoring papers. We
   compared the recruitment dynamics over the first 18 months with the a
   priori defined recruitment goals and assessed whether a priori defined
   groups were enrolled who are likely to be missed by traditional research
   studies.
   RESULTS: The goal to recruit 400 participants in the first year was
   reached after only 20 days, and by the end of 18 months 1700
   participants had enrolled in the Swiss MS Registry, vastly exceeding
   expectations. Of the a priori defined groups with potential
   underrepresentation in other studies, 645 participants (46.5%) received
   care at a private neurology practice, 167 participants (12%) did not
   report any use of healthcare services in the past 12 months, 32 (2.3%)
   participants lived in rural mountainous areas, and 20 (2.0% of the 1041
   for whom this information was available) lived in a long-term care
   facility. Having both online and paper options increased diversity of
   the study population in terms of geographic origin and type and severity
   of disease, as well as use of health care services. In particular, paper
   enrolees tended to be older, more frequently affected by progressive MS
   types and more likely to have accessed healthcare services in the past
   12 months.
   CONCLUSION: Academic and industry-driven medical research faces
   substantial challenges in terms of patient involvement, recruitment,
   relevance and generalisability. Digital studies and stakeholder
   engagement may have enormous potential for medical research. But many
   digital studies are based on limited participant information and/or
   informed consent and unclear data ownership, and are subject to
   selection bias, confounding and information bias. The Swiss MS Registry
   serves as an example of a digitally enhanced, citizen-science study that
   leverages the advantages of both traditional medical research, with its
   established research methods, and novel societal and technological
   developments, while mitigating their ethical and legal disadvantages and
   risks.
RI Fazli, Ghazal/AAE-8320-2022; Puhan, Milo/ABE-6298-2020; von Wyl, Viktor/
OI Puhan, Milo/0000-0003-4721-1879; von Wyl, Viktor/0000-0002-8754-9797
Z8 0
ZR 0
TC 24
ZA 0
ZS 0
ZB 8
Z9 24
U1 1
U2 7
SN 1424-7860
EI 1424-3997
UT WOS:000440405500003
PM 29767828
ER

PT J
AU Mai, Zhi-Ming
   Lin, Jia-Huang
   Chiang, Shing-Chun
   Ngan, Roger Kai-Cheong
   Kwong, Dora Lai-Wan
   Ng, Wai-Tong
   Ng, Alice Wan-Ying
   Yuen, Kam-Tong
   Ip, Kai-Ming
   Chan, Yap-Hang
   Lee, Anne Wing-Mui
   Ho, Sai-Yin
   Lung, Maria Li
   Lam, Tai-Hing
TI Test-retest reliability of a computer-assisted self-administered
   questionnaire on early life exposure in a nasopharyngeal carcinoma
   case-control study
SO SCIENTIFIC REPORTS
VL 8
AR 7052
DI 10.1038/s41598-018-25046-y
PD MAY 4 2018
PY 2018
AB We evaluated the reliability of early life nasopharyngeal carcinoma
   (NPC) aetiology factors in the questionnaire of an NPC case-control
   study in Hong Kong during 2014-2017. 140 subjects aged 18+ completed the
   same computer-assisted questionnaire twice, separated by at least 2
   weeks. The questionnaire included most known NPC aetiology factors and
   the present analysis focused on early life exposure. Test-retest
   reliability of all the 285 questionnaire items was assessed in all
   subjects and in 5 subgroups defined by cases/controls, sex, time between
   1st and 2nd questionnaire (2-29/>= 30 weeks), education (secondary or
   less/postsecondary), and age (25-44/45-59/60+years) at the first
   questionnaire. The reliability of items on dietary habits, body figure,
   skin tone and sun exposure in early life periods (age 6-12 and 13-18)
   was moderate-to-almost perfect, and most other items had
   fair-to-substantial reliability in all life periods (age 6-12, 13-18 and
   19-30, and 10 years ago). Differences in reliability by strata of the 5
   subgroups were only observed in a few items. This study is the first to
   report the reliability of an NPC questionnaire, and make the
   questionnaire available online. Overall, our questionnaire had
   acceptable reliability, suggesting that previous NPC study results on
   the same risk factors would have similar reliability.
RI Ng, Wai Tong/H-9525-2019; Ho, Daniel Sai Yin/C-4307-2009; Lam, Tai Hing/C-4317-2009; Mai, Zhi-Ming/; Lung, Maria Li/C-4495-2009
OI Ng, Wai Tong/0000-0001-6696-3000; Ho, Daniel Sai
   Yin/0000-0001-9485-0273; Lam, Tai Hing/0000-0002-2033-9971; Mai,
   Zhi-Ming/0000-0001-9772-0669; Lung, Maria Li/0000-0003-2559-3626
ZR 0
ZB 1
Z8 0
ZS 0
TC 5
ZA 0
Z9 5
U1 1
U2 4
SN 2045-2322
UT WOS:000431400900032
PM 29728581
ER

PT J
AU Doherty, Diane O.
   Mc Keague, Helena
   Harney, Sarah
   Browne, Gerard
   McGrath, Deirdre
TI What can we learn from problem-based learning tutors at a graduate entry
   medical school? A mixed method approach
SO BMC MEDICAL EDUCATION
VL 18
AR 96
DI 10.1186/s12909-018-1214-2
PD MAY 4 2018
PY 2018
AB Methods: A mixed-methods approach was adopted, utilising two surveys and
   follow-up focus groups to fully understand the tutor experience.
   Thirty-three tutors took part in two online surveys with a response rate
   of 89%. Thirteen tutors participated in two focus groups. Descriptive
   analysis was completed on survey data and thematic analysis on focus
   group discussions which highlighted five main themes.
   Results: Tutors reported challenges with managing group dynamics,
   development of confidence in tutoring with experience and a willingness
   to learn from peers to improve practice. Findings are in keeping with
   previously published work. Results also identified several less commonly
   discussed issues impacting student engagement in PBL including the use
   of mobile device technology, unauthorised access to learning objectives
   and PBL cases, and the importance and need for professional development
   amongst tutors, including the impact of tutoring on clinical practice.
   This study revealed that experienced tutors spend considerable time
   preparing for PBL tutorials in the basic sciences and that this input is
   rewarded by the benefits it brings to their clinical practice.
   Conclusions: Understanding PBL from the tutor's perspective reveals
   valuable insights which can inform ongoing tutor development and
   support. Limited research exists in the area of PBL tutor's experiences
   which may be of interest to medical educators, clinicians and the wider
   medical community. Findings highlight the value of shared tutor
   experiences as a resource that can be capitalised on to benefit both
   novice and experienced tutors.
OI O Doherty, Diane/0000-0003-3955-2710
TC 10
ZS 0
ZA 0
ZR 0
Z8 0
ZB 1
Z9 10
U1 1
U2 17
SN 1472-6920
UT WOS:000431624900002
PM 29728090
ER

PT J
AU Kornides, Melanie L.
   Fontenot, Holly B.
   McRee, Annie-Laurie
   Panozzo, Catherine A.
   Gilkey, Melissa B.
TI Associations between parents' satisfaction with provider communication
   It and HPV vaccination behaviors
SO VACCINE
VL 36
IS 19
BP 2637
EP 2642
DI 10.1016/j.vaccine.2018.03.060
PD MAY 3 2018
PY 2018
AB Background: Despite increasing awareness of the importance of a provider
   recommendation for HPV vaccine, the U.S. has yet to achieve the Healthy
   people 2020 goal of 80% series completion among adolescents. This
   failure indicates a need for further examination of the modifiable
   influences on parents' decision-making. Healthcare providers can
   influence parents' HPV vaccination decision-making, but little is known
   about parents' perspectives on the counseling they receive. We sought to
   assess U.S. parents' satisfaction with provider communication about HPV
   vaccine and associations with vaccination behaviors.
   Methods: Parents of 11-to-17-year-old adolescents who discussed HPV
   vaccination with a healthcare provider at least once (n = 795) completed
   our online survey in Fall 2016. We assessed their satisfaction with the
   discussion using the HPV Vaccine Communication Satisfaction Scale (alpha
   = 0.94). We examined associations between satisfaction (categorized as
   low, moderate, or high), and three vaccination behaviors: refusal/delay,
   series initiation (>= 1 dose), and continuation (>= 2 doses among
   initiators) using multivariable logistic regression.
   Results: Most parents reported high (36%) or moderate (38%) satisfaction
   with provider communication about HPV vaccination; fewer reported low
   (26%) satisfaction. Moderately satisfied parents (vs. low) had lower
   odds of refusal delay (aOR = 0.59, 95% CI: 0.38-0.89), and higher odds
   of initiation (aOR = 1.71, 95% CI:1.15-2.55) and continuation (aOR =
   2.05, 95% CI: 1.24-3.40). The associations were stronger for highly
   satisfied parents (refusal/delay aOR = 0.45, 95% CI: 0.29-0.70,
   initiation aOR = 3.59, 95% CI: 2.23-5.78, and continuation aOR = 4.08,
   95% CI: 2.38-7.01).
   Conclusions: Our study suggests that parent satisfaction with provider
   communication may play an important role in HPV vaccination
   decision-making. Yet, communication satisfaction has been largely
   unexamined in the HPV-vaccine literature to date. We introduce a brief,
   7-item HPV Vaccine Communication Scale that can be used to assess
   parents' level of satisfaction with their provider's communication
   specific to HPV vaccine. We identify communication areas for providers
   to prioritize when discussing HPV vaccine with parents. (C) 2018
   Elsevier Ltd. All rights reserved.
OI McRee, Annie-Laurie/0000-0001-6588-5995; Fontenot,
   Holly/0000-0002-7864-9171
ZB 3
ZR 0
ZA 0
ZS 0
TC 8
Z8 0
Z9 8
U1 0
U2 10
SN 0264-410X
EI 1873-2518
UT WOS:000432770500018
PM 29627236
ER

PT J
AU Meischke, Hendrika
   Lilly, Michelle
   Beaton, Randal
   Calhoun, Rebecca
   Tu, Ann
   Stangenes, Scott
   Painter, Ian
   Revere, Debra
   Baseman, Janet
TI Protocol: a multi-level intervention program to reduce stress in 9-1-1
   telecommunicators
SO BMC PUBLIC HEALTH
VL 18
AR 570
DI 10.1186/s12889-018-5471-0
PD MAY 2 2018
PY 2018
AB Background: Nationwide, emergency response systems depend on 9-1-1
   telecommunicators to prioritize, triage, and dispatch assistance to
   those in distress. 9-1-1 call center telecommunicators (TCs) are
   challenged by acute and chronic workplace stressors: tense interactions
   with citizen callers in crisis; overtime; shift-work; ever-changing
   technologies; and negative work culture, including co-worker conflict.
   This workforce is also subject to routine exposures to secondary
   traumatization while handling calls involving emergency situations and
   while making time urgent, high stake decisions over the phone. Our study
   aims to test the effectiveness of a multi-part intervention to reduce
   stress in 9-1-1 TCs through an online mindfulness training and a toolkit
   containing workplace stressor reduction resources.
   Methods/design: The study employs a randomized controlled trial design
   with three data collection points. The multi-part intervention includes
   an individual-level online mindfulness training and a call center-level
   organizational stress reduction toolkit 160 TCs will be recruited from
   9-1-1 call centers, complete a baseline survey at enrollment, and are
   randomly assigned to an intervention or a control group. Intervention
   group participants will start a 7-week online mindfulness training
   developed in-house and tailored to 9-1-1 TCs and their call center
   environment; control participants will be "waitlisted" and start the
   training after the study period ends. Following the intervention group's
   completion of the mindfulness training, all participants complete a
   second survey. Next, the online toolkit with call-center wide stress
   reduction resources is made available to managers of all participating
   call centers. After 3 months, a third survey will be completed by all
   participants. The primary outcome is 9-1-1 TCs' self-reported symptoms
   of stress at three time points as measured by the C-SOSI (Calgary
   Symptoms of Stress Inventory). Secondary outcomes will include:
   perceptions of social work environment (measured by metrics of social
   support and network conflict); mindfulness; and perceptions of social
   work environment and mindfulness as mediators of stress reduction.
   Discussion: This study will evaluate the effectiveness of an online
   mindfulness training and call center-wide stress reduction toolkit in
   reducing self-reported stress in 9-1-1 TCs. The results of this study
   will add to the growing body of research on worksite stress reduction
   programs.
OI Revere, Debra/0000-0002-3863-7774
ZB 1
Z8 0
ZA 0
TC 6
ZR 0
ZS 0
Z9 6
U1 1
U2 13
SN 1471-2458
UT WOS:000431862600006
PM 29716576
ER

PT J
AU Shaath, M. Kareem
   Yeranosian, Michael G.
   Ippolito, Joseph A.
   Adams, Mark R.
   Sirkin, Michael S.
   Reilly, Mark C.
TI Evaluation of the Content and Accessibility of Web Sites for Accredited
   Orthopaedic Trauma Surgery Fellowships
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 100
IS 9
AR e60
DI 10.2106/JBJS.17.01112
PD MAY 2 2018
PY 2018
AB Background: Orthopaedic trauma fellowship applicants use online-based
   resources when researching information on potential U.S. fellowship
   programs. The 2 primary sources for identifying programs are the
   Orthopaedic Trauma Association (OTA) database and the San Francisco
   Match (SF Match) database. Previous studies in other orthopaedic
   subspecialty areas have demonstrated considerable discrepancies among
   fellowship programs. The purpose of this study was to analyze content
   and availability of information on orthopaedic trauma surgery fellowship
   web sites.
   Methods: The online databases of the OTA and SF Match were reviewed to
   determine the availability of embedded program links or external links
   for the included programs. Thereafter, a Google search was performed for
   each program individually by typing the program's name, followed by the
   term "orthopaedic trauma fellowship." All identified fellowship web
   sites were analyzed for accessibility and content. Web sites were
   evaluated for comprehensiveness in mentioning key components of the
   orthopaedic trauma surgery curriculum. By consensus, we refined the
   final list of variables utilizing the methodology of previous studies on
   the topic.
   Results: We identified 54 OTA-accredited fellowship programs, offering
   87 positions. The majority (94%) of programs had web sites accessible
   through a Google search. Of the 51 web sites found, all (100%) described
   their program. Most commonly, hospital affiliation (88%), operative
   experiences (76%), and rotation overview (65%) were listed, and, least
   commonly, interview dates (6%), selection criteria (16%), on-call
   requirements (20%), and fellow evaluation criteria (20%) were listed.
   Programs with fellows provided more information with regard to education
   content (p = 0.0001) and recruitment content (p = 0.013). Programs with
   Accreditation Council for Graduate Medical Education (ACGME)
   accreditation status also provided greater information with regard to
   education content (odds ratio, 4.0; p = 0.0001). Otherwise, no
   differences were seen by region, residency affiliation, medical school
   affiliation, or hospital affiliation.
   Conclusions: The SF Match and OTA databases provide few direct links to
   fellowship web sites. Individual program web sites do not effectively
   and completely convey information about the programs. The Internet is an
   underused resource for fellow recruitment. The lack of information on
   these sites allows for future opportunity to optimize this resource.
OI Adams, Mark/0000-0002-2165-9686
ZA 0
ZR 0
ZB 0
Z8 0
ZS 0
TC 14
Z9 14
U1 0
U2 2
SN 0021-9355
EI 1535-1386
UT WOS:000437292100004
PM 29715233
ER

PT J
AU Zelin, Nicole Sitkin
   Hastings, Charlotte
   Beaulieu-Jones, Brendin R.
   Scott, Caroline
   Rodriguez-Villa, Ana
   Duarte, Cassandra
   Calahan, Christopher
   Adami, Alexander J.
TI Sexual and gender minority health in medical curricula in new England: a
   pilot study of medical student comfort, competence and perception of
   curricula
SO MEDICAL EDUCATION ONLINE
VL 23
AR 1461513
DI 10.1080/10872981.2018.1461513
PD MAY 2 2018
PY 2018
AB Background: Sexual and gender minority (SGM) individuals experience high
   rates of harassment and discrimination when seeking healthcare, which
   contributes to substantial healthcare disparities. Improving physician
   training about gender identity, sexual orientation, and the healthcare
   needs of SGM patients has been identified as a critical strategy for
   mitigating these disparities. In 2014, the Association of American
   Medical Colleges (AAMC) published medical education competencies to
   guide undergraduate medical education on SGM topics.
   Objective: Conduct pilot study to investigate medical student comfort
   and competence about SGM health competencies outlined by the AAMC and
   evaluate curricular coverage of SGM topics.
   Design: Six-hundred and fifty-eight students at New England allopathic
   medical schools (response rate 21.2%) completed an anonymous, online
   survey evaluating self-reported comfort and competence regarding SGM
   health competencies, and coverage of SGM health in the medical
   curriculum.
   Results: 92.7% of students felt somewhat or very comfortable treating
   sexual minorities; 68.4% felt comfortable treating gender minorities.
   Most respondents felt not competent or somewhat not competent with
   medical treatment of gender minority patients (76.7%) and patients with
   a difference of sex development (81%). At seven schools, more than 50%
   of students indicated that the curriculum neither adequately covers
   SGM-specific topics nor adequately prepares students to serve SGM
   patients.
   Conclusions: The prevalence of self-reported comfort is greater than
   that of self-reported competence serving SGM patients in a convenience
   sample of New England allopathic medical students. The majority of
   participants reported insufficient curricular preparation to achieve the
   competencies necessary to care for SGM patients. This multi-institution
   pilot study provides preliminary evidence that further curriculum
   development may be needed to enable medical students to achieve core
   competencies in SGM health, as defined by AAMC. Further mixed methods
   research is necessary to substantiate and expand upon the findings of
   this pilot study. This pilot study also demonstrates the importance of
   creating specific evaluation tools to assess medical student achievement
   of competencies established by the AAMC.
OI Zelin, Nicole/0000-0002-8212-3981; Adami, Alexander/0000-0002-8233-9547;
   Calahan, Christopher/0000-0002-9631-8966; Hastings,
   Charlotte/0000-0002-9685-2798; Scott, Carter/0000-0003-3664-2067
ZB 6
ZS 1
Z8 0
ZR 0
ZA 0
TC 32
Z9 33
U1 1
U2 18
SN 1087-2981
UT WOS:000431743100001
PM 29717635
ER

PT J
AU Alosaimi, Fahad Dakheel
   Alawad, Hossam Saleh
   Alamri, Ayedh Khalaf
   Saeed, Abdullah Ibrahim
   Aljuaydi, Khalid Ayidh
   Alotaibi, Alwaleed Sami
   Alotaibi, Khalid Munawir
   Alfaris, Eiad Abdelmohsen
TI Stress and coping among consultant physicians working in Saudi Arabia
SO ANNALS OF SAUDI MEDICINE
VL 38
IS 3
BP 214
EP 224
DI 10.5144/0256-4947.2018.214
PD MAY-JUN 2018
PY 2018
AB BACKGROUND: Exposure to stressful working conditions without adequate
   stress-coping strategies may lead to stress and even psychiatric
   morbidity. There are a dearth of studies on stress-coping strategies
   among consultant physicians in the Arabian Gulf.
   OBJECTIVES: Determine stress-coping strategies among consultants in
   Saudi Arabia and the relationship of strategies to level of stress.
   DESIGN: Analytical cross-sectional study.
   SETTINGS: Conducted between November 2014 and March 2015 among physician
   consultants registered at the Saudi Commission for Health Specialties.
   SUBJECTS AND METHODS: Text messages were used to directly ask
   consultants to complete an online questionnaire.
   MAIN OUTCOME MEASURES: The 28-item Brief COPE inventory and the
   Perceived Stress Scale.
   SAMPLE SIZE: 582.
   RESULTS: The consultants were largely males (71%) and Saudi (56%), and
   their mean age was 46.9 (7.9) years. Adaptive stress-coping strategies
   were more frequently used than maladaptive stress-coping strategies (68%
   versus 49%). Stress levels were positively correlated with maladaptive
   stress-coping strategies (r=0.41, P<.001) and negatively correlated with
   adaptive stress-coping strategies (r=-0.09, P=.026). Religion was the
   most frequently reported stress-coping strategy (79.6%) while alcohol
   drinking or substance use was the least frequently reported
   stress-coping strategy (28.0%). Females used both adaptive and
   maladaptive stress-coping strategies more than males (P=.002 and P<.001,
   respectively). Stress management education/training was positively
   associated with frequent use of adaptive stress-coping strategies.
   CONCLUSIONS: Physician consultants generally cope well with work
   stressors. Nevertheless, there is still a critical need for stress
   management programs targeting consultants in order to further improve
   coping strategies.
   LIMITATIONS: The low response rate may negatively impact the validity
   and the generalizability of the current findings. The cross-sectional
   study design precluded the finding of any causal association.
OI Alawad, Hossam/0000-0002-7881-4456; Alosaimi, Fahad/0000-0003-1027-5836
ZR 0
Z8 0
ZS 0
TC 12
ZB 1
ZA 0
Z9 12
U1 1
U2 8
SN 0256-4947
EI 1319-9226
UT WOS:000433971700009
PM 29848940
ER

PT J
AU Pavey, L.
   Sparks, P.
   Churchill, S.
TI Proscriptive vs. Prescriptive Health Recommendations to Drink Alcohol
   Within Recommended Limits: Effects on Moral Norms, Reactance, Attitudes,
   Intentions and Behaviour Change
SO ALCOHOL AND ALCOHOLISM
VL 53
IS 3
BP 344
EP 349
DI 10.1093/alcalc/agx123
PD MAY 2018
PY 2018
AB Aims: Health advice can be framed in terms of prescriptive rules (what
   people should do, e.g. you should drink alcohol within recommended
   limits) or proscriptive rules (what people should not do, e.g. you
   should not drink alcohol above recommended limits). The current research
   examines the differing effect that these two types of injunction have on
   participants' moral norms, reactance, attitudes and intentions to
   consume alcohol within moderation, and their subsequent alcohol
   consumption.
   Methods: Participants (N = 529) completed an online questionnaire which
   asked them to report their previous 7 days' alcohol consumption. They
   then read either a proscriptive or a prescriptive health message and
   completed measures of moral norms, reactance, attitudes and intentions
   to drink alcohol only within recommended limits. Subsequent alcohol
   consumption was reported 7 days later.
   Results: The results showed that across all participants, the
   proscriptive message elicited stronger moral norms than did the
   prescriptive message, which in turn were associated with more positive
   attitudes and intentions to drink within recommended limits. For male
   participants who reported drinking more alcohol than recommended at
   baseline, the proscriptive message elicited more reported alcohol
   consumption over the subsequent 7 days.
   Conclusions: Proscriptive messages may be effective at eliciting
   stronger moral norms to drink within government recommended guidelines.
   However, reactance may occur for high relevance groups. Practical and
   theoretical implications are discussed.
RI Pavey, Louisa/AAM-4375-2021; Sparks, Paul/H-1394-2011; Pavey, Louisa/
OI Sparks, Paul/0000-0001-9541-3366; Pavey, Louisa/0000-0002-7646-099X
TC 7
ZS 0
ZA 0
ZB 1
Z8 0
ZR 0
Z9 7
U1 1
U2 12
SN 0735-0414
EI 1464-3502
UT WOS:000432049400021
PM 29329422
ER

PT J
AU Mendoza, Kelly S.
   McPherson, Mary Lynn
TI Knowledge, Skills, and Attitudes Regarding the Use of Medical Cannabis
   in the Hospice Population: An Educational Intervention
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 35
IS 5
BP 759
EP 766
DI 10.1177/1049909117738246
PD MAY 2018
PY 2018
AB Background: Currently, 28 states and the District of Columbia have
   legalized cannabis for medical use despite its remaining Schedule I
   federally. Benefits of medical cannabis (MC) have been demonstrated in
   nausea/vomiting associated with chemotherapy, cachexia associated with
   HIV/AIDS, and certain types of neuropathic pain. However, it is unclear
   how comfortable hospice providers are with the concept of MC.
   Objective: The aim of this study is to determine changes in knowledge,
   self-perceived skills, and attitudes (KSA) of hospice providers
   regarding MC after an online educational intervention.
   Methods: The educational intervention consisted of 3 learning modules
   covering information from 6 learning domains. Participants took a pre-
   and postcourse survey to assess changes in KSA. Participant demographics
   were analyzed using descriptive statistics. To detect any differences
   between pre- and postsurvey answers, a paired t test was used to reduce
   intersubject variability.
   Results: Attitudes about the importance of cannabis knowledge were
   overall positive and did not change significantly after the intervention
   (N = 94). Both self-perceived skills and knowledge increased
   significantly, with providers reporting more positive skills, and >75%
   of respondents answering questions correctly after the intervention.
   There was a significant difference in attitudes in all domains in the
   postsurvey between participants who have practiced in hospice <3 years
   or 4 years, but no difference in perceived skills or knowledge.
   Conclusion: Providers' attitudes regarding the importance of MC
   knowledge were strong and the same before and after. Both the
   self-perception of skills and direct knowledge were significantly
   increased after the educational intervention.
ZR 0
ZA 0
Z8 0
ZS 0
TC 6
ZB 0
Z9 6
U1 2
U2 12
SN 1049-9091
EI 1938-2715
UT WOS:000429751000003
PM 29121790
ER

PT J
AU Knollman-Porter, Kelly
   Brown, Jessica
   Flynn, Madelaine
TI A Preliminary Examination of Concussion Knowledge by Collegiate Athletes
   and Non-Athletes
SO AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY
VL 27
IS 2
BP 778
EP 795
DI 10.1044/2018_AJSLP-17-0108
PD MAY 2018
PY 2018
AB Purpose: Concussions affect various populations, including collegiate
   athletes and non-athletes. The purpose of this study was to compare
   collegiate varsity athletes, recreational athletes, and non-athletes'
   knowledge of concussion definition, symptoms, and support services
   available following injury. Preferred method of concussion education
   delivery was also examined.
   Method: We surveyed 306 current college students using an online survey
   system. The survey included free recall and forced-choice question
   formats. Quantitative analyses were used to analyze results and compare
   responses among groups.
   Results: Collegiate athletes and non-athletes demonstrate incomplete
   knowledge of concussion definition, related symptoms, and professionals
   involved in postinjury management. Varsity athletes rated self-knowledge
   of concussion parameters significantly higher than the other groups (p <
   .001), though few significant differences in actual knowledge levels
   were observed. Overall, respondents reported having the highest
   preference for concussion education delivered by medical professionals.
   Conclusion: Knowledge concerning concussion is incomplete in the
   collegiate population. Varsity athletes' exposure to formal education
   did not result in higher knowledge levels compared with other groups.
   Further examination of concussion educational delivery models' effect on
   change in concussion-related behavior in this population is warranted.
ZA 0
ZS 1
ZR 0
Z8 0
TC 14
ZB 2
Z9 14
U1 0
U2 5
SN 1058-0360
EI 1558-9110
UT WOS:000434155300019
PM 29625433
ER

PT J
AU Wilson, Adam B.
   Barger, J. Bradley
   Perez, Patricia
   Brooks, William S.
TI Is the Supply of Continuing Education in the Anatomical Sciences Keeping
   Up with the Demand? Results of a National Survey
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 3
BP 225
EP 235
DI 10.1002/ase.1726
PD MAY-JUN 2018
PY 2018
AB Continuing education (CE) is an essential element in the life-long
   learning of health care providers and educators. Despite the importance
   of the anatomical sciences in the training and practice of clinicians,
   no studies have examined the need/state of anatomy-related CE
   nationally. This study assessed the current landscape of CE in the
   anatomical sciences to contextualize preferences for CE, identify
   factors that influence the perceived need for CE, and examine the
   association between supply and demand. Surveys were distributed to
   educators in the anatomical sciences, practicing physical therapists
   (PTs), and anatomy training programs across the United States.
   Twenty-five percent (9 of 36) of training programs surveyed offered CE,
   certificates, or summer series programs related to anatomy. The majority
   of PTs (92%) and anatomy educators (81%) felt they had a potential or
   actual need for anatomy related CE with the most popular formats being
   online videos/learning modules and intensive, hands-on workshops. The
   most commonly perceived barriers to participating in CE for both groups
   were program location, cost, and duration, while educators also
   perceived time of year as a significant factor. Logistic regression
   analyses revealed that no investigated factor influenced the need or
   desire for PTs to engage in anatomy related CE (P <= 0.124), while
   teaching experience and the highest level of learner taught
   significantly influenced the perceived need among anatomy educators (P <
   0.001). Overall, quantitative and qualitative analyses revealed a robust
   need for CE that strategically integrates anatomy with areas of clinical
   practice and education. (C) 2017 American Association of Anatomists.
RI Wilson, Adam Benjamin/H-9918-2019
OI Wilson, Adam Benjamin/0000-0002-1221-5602
ZS 0
ZB 1
ZR 0
ZA 0
TC 7
Z8 0
Z9 7
U1 0
U2 11
SN 1935-9772
EI 1935-9780
UT WOS:000431968700002
PM 28906598
ER

PT J
AU Seehusen, Dean A.
   Mainous, Arch G., III
   Chessman, Alexander W.
TI Creating a Centralized Infrastructure o Facilitate Medical Education
   Research
SO ANNALS OF FAMILY MEDICINE
VL 16
IS 3
BP 257
EP 260
DI 10.1370/afm.2228
PD MAY-JUN 2018
PY 2018
AB PURPOSE Building research capacity and increasing scholarly productivity
   are identified needs of the specialty of family medicine. The
   Accreditation Council for Graduate Medical Education (ACGME) has
   increased the scholarly requirements for residency programs, placing
   even more pressure on faculty to be productive in the scholarly realm.
   The Council of Academic Family Medicine Educational Research Alliance
   (CERA) was created by volunteer members of the specialty with shared
   interests in overcoming barriers and increasing scholarly production.
   METHODS CERA has developed the infrastructure and expertise to regularly
   conduct omnibus surveys of key family medicine educational leaders.
   Proposals are centrally collected and competitively chosen. The omnibus
   survey process includes collaboration with experienced mentors,
   centralized institutional review board clearance, pilot testing, and
   centralized data collection. The survey results are disseminated back to
   research teams for presentation and publication of the findings.
   RESULTS To date, over 115 research teams have had their projects
   included in CERA omnibus surveys. Projects have been led by research
   teams from across the country and with a wide variety of research
   experience. This collaborative work has resulted in more than 75
   scientific presentations and over 55 peer-reviewed papers in the medical
   literature. The raw data are now available online and serve as a
   repository for future secondary analysis and as an educational resource.
   CONCLUSIONS The CERA infrastructure has allowed a large number of
   research teams to conduct meaningful scholarship at a fraction of the
   typical cost in terms of time and energy. CERA has expanded family
   medicine research by removing barriers for teams with limited experience
   or resources.
OI Seehusen, Dean/0000-0002-2139-6484
ZA 0
ZS 0
TC 31
ZB 0
ZR 0
Z8 0
Z9 31
U1 2
U2 15
SN 1544-1709
EI 1544-1717
UT WOS:000432475400015
PM 29760031
ER

PT J
AU Gignac, Monique A. M.
   Ibrahim, Selahadin
   Smith, Peter M.
   Kristman, Vicki
   Beaton, Dorcas E.
   Mustard, Cameron A.
TI The Role of Sex, Gender, Health Factors, and Job Context in Workplace
   Accommodation Use Among Men and Women with Arthritis
SO ANNALS OF WORK EXPOSURES AND HEALTH
VL 62
IS 4
SI SI
BP 490
EP 504
DI 10.1093/annweh/wxx115
PD MAY 2018
PY 2018
AB Background: With the aging of populations in many countries, workers are
   expected to remain employed longer but may struggle with the onset of
   common, chronic conditions like arthritis. To date, few studies have
   examined workplace policies and practices that could help accommodate
   individuals with arthritis, and fewer still have used a sex and
   gender-based approach to explore similarities and differences between
   women and men.
   Objectives: This study compared the health and work contexts of workers
   aged >= 50 years to better understand similarities and differences
   between women and men in accommodation availability, need, use, and
   unmet needs.
   Methods: A cross-sectional survey of men and women with osteoarthritis
   (OA), inflammatory arthritis (IA), or both OA and IA was administered
   online or by telephone and assessed demographics (e.g. age, education),
   health (e.g. pain, fatigue, workplace activity limitations), work
   context factors (e.g. job sector, full/part-time work, job control), and
   workplace accommodations (e.g. health benefits, flexible hours, special
   equipment/adaptations, modified duties). Sex and gender-based analyses
   examined similarities and differences between men and women and included
   descriptive statistics, multivariable multinomial analyses, and nested
   regression analyses.
   Results: There was a 58.9% response rate and final sample of 463
   participants (women, n = 266; men, n= 197; OA = 59.0%; IA/both IA and OA
   = 23.7%; unsure = 17.3%). Women and men were significantly different in
   a number of health (e.g. fatigue, health variability, workplace activity
   limitations) and work context factors (e.g. job sector, part-time work,
   job stress). However, in other respects, they were similar (e.g. pain,
   job involving physical demands, size of organization, shift work, union
   membership, job control). There were no differences between men and
   women in the availability or use of workplace accommodations. However,
   women reported significantly more accommodation needs and had greater
   unmet needs. Multivariable multinomial analyses found male/female as a
   binary variable did not explain differences in accommodation need, use,
   and unmet need. Nested analyses highlighted that differences in health
   variables explained male/female differences in accommodation need, while
   work context differences explained male/female differences in whether
   needs were met.
   Conclusions: The findings highlight that women and men draw on a range
   of existing accommodation policies and practices to help manage their
   arthritis and that most have their accommodation needs met. Decomposing
   the context within which men and women with arthritis work suggests that
   women may face health and work context challenges that differ from men
   and that are related to greater accommodation needs and unmet need. This
   highlights potential vulnerabilities in the work of women that need to
   be addressed.
RI Smith, Peter/AAE-4293-2021
OI Smith, Peter/0000-0001-8286-4563
ZA 0
TC 8
ZR 0
Z8 0
ZB 2
ZS 0
Z9 8
U1 0
U2 10
SN 2398-7308
EI 2398-7316
UT WOS:000449419200010
PM 29420700
ER

PT J
AU Dassen, Fania C. M.
   Houben, Katrijn
   Van Breukelen, Gerard J. P.
   Jansen, Anita
TI Gamified working memory training in overweight individuals reduces food
   intake but not body weight
SO APPETITE
VL 124
SI SI
BP 89
EP 98
DI 10.1016/j.appet.2017.05.009
PD MAY 1 2018
PY 2018
AB Working Memory (WM) plays a crucial role in successful self-regulation
   of behavior, including weight regulation. Improving WM might therefore
   be a promising strategy to support weight loss. In the present study,
   overweight individuals with a desire to lose weight (N = 91) received an
   online lifestyle intervention, in conjunction with either 25 sessions of
   gamified WM training (experimental condition) or a sham training
   (control). Primary outcomes were Body Mass Index (BMI) and food intake
   at posttest. Secondary outcomes were executive functioning,
   self-control, eating style, eating psychopathology and healthy eating.
   Data were analyzed with mixed regression analyses with condition as
   between-subjects factor (experimental versus control) and time as
   within-subjects factor (baseline, posttest, FU1 after one month and FU2
   after six months). Results revealed that the experimental condition
   increased their WM span more than control from pretest to posttest, and
   these gains were retained at FU1, though lost at FU2. No transfer
   effects of WM training to other executive functioning measures were
   found. During the bogus taste test at posttest, participants in the
   experimental condition consumed significantly less than participants in
   the control condition. However, both conditions showed a small reduction
   in BMI, improved eating style, reduced eating disorder pathology, and
   reported more self-control and a healthier eating pattern. In
   conclusion, the current results provide some evidence that WM training
   can improve eating behavior at the short term. However, the WM gains
   were short-lived, and the added value of WM training as an intervention
   to promote weight loss could not be established. Future studies should
   test the added value of WM training booster sessions to promote weight
   loss over a prolonged period of time. (C) 2017 Elsevier Ltd. All rights
   reserved.
RI van+Breukelen, Gerard/ACJ-5895-2022; Houben, Katrijn/; Jansen, Anita/; Dassen, Fania/
OI van+Breukelen, Gerard/0000-0003-0949-0272; Houben,
   Katrijn/0000-0003-0164-1865; Jansen, Anita/0000-0001-5101-8778; Dassen,
   Fania/0000-0002-9590-252X
ZB 9
TC 17
ZR 0
Z8 0
ZA 0
ZS 0
Z9 17
U1 1
U2 15
SN 0195-6663
EI 1095-8304
UT WOS:000428832400010
PM 28479405
ER

PT J
AU Jaspers, Nicole E. M.
   Visseren, Frank L. J.
   Numans, Mattijs E.
   Smulders, Yvo M.
   Martinet, Fere A. van Loenen
   van der Graaf, Yolanda
   Dorresteijn, Jannick A. N.
TI Variation in minimum desired cardiovascular disease-free longevity
   benefit from statin and antihypertensive medications: a cross-sectional
   study of patient and primary care physician perspectives
SO BMJ OPEN
VL 8
IS 5
AR e021309
DI 10.1136/bmjopen-2017-021309
PD MAY 2018
PY 2018
AB Objective Expressing therapy benefit from a lifetime perspective,
   instead of only a 10-year perspective, is both more intuitive and of
   growing importance in doctor- patient communication. In cardiovascular
   disease (CVD) prevention, lifetime estimates are increasingly accessible
   via online decision tools. However, it is unclear what gain in life
   expectancy is considered meaningful by those who would use the estimates
   in clinical practice. We therefore quantified lifetime and 10-year
   benefit thresholds at which physicians and patients perceive statin and
   antihypertensive therapy as meaningful, and compared the thresholds with
   clinically attainable benefit.
   Design Cross-sectional study.
   Settings (1) continuing medical education conference in December 2016
   for primary care physicians;(2) information session in April 2017 for
   patients.
   Participants 400 primary care physicians and 523 patients in the
   Netherlands.
   Outcome Months gain of CVD-free life expectancy at which lifelong statin
   therapy is perceived as meaningful, and months gain at which 10 years of
   statin and antihypertensive therapy is perceived as meaningful.
   Physicians were framed as users for lifelong and prescribers for 10-year
   therapy.
   Results Meaningful benefit was reported as median (10R). Meaningful
   lifetime statin benefit was 24 months (10R 2336) in physicians (as
   users) and 42 months (IQR 12-42) in patients willing to consider
   therapy. Meaningful 10-year statin benefit was 12 months (IQR 10-12) for
   prescribing (physicians) and 14 months (IQR 10-14) for using (patients).
   Meaningful 10-year antihypertensive benefit was 12 months (10R 8-12) for
   prescribing (physicians) and 14 months (IQR 10-14) for using (patients).
   Women desired greater benefit than men. Age, CVD status and comedication
   had minimal effects on outcomes.
   Conclusion Both physicians and patients report a large variation in
   meaningful longevity benefit. Desired benefit differs between physicians
   and patients and exceeds what is clinically attainable. Clinicians
   should recognise these discrepancies when prescribing therapy and
   implement individualised medicine and shared decision-making. Decision
   tools could provide information on realistic therapy benefit.
RI Smulders, YM/AAG-7506-2021; Visseren, Frank/
OI Visseren, Frank/0000-0003-3951-5223
Z8 0
ZA 0
TC 8
ZB 4
ZS 0
ZR 0
Z9 8
U1 0
U2 2
SN 2044-6055
UT WOS:000435567200160
PM 29804065
ER

PT J
AU Zhu, Lan
   Li, Lei
   Lang, Jinghe
TI The attitudes towards defensive medicine among physicians of obstetrics
   and gynaecology in China: a questionnaire survey in a national congress
SO BMJ OPEN
VL 8
IS 2
AR e019752
DI 10.1136/bmjopen-2017-019752
PD MAY 2018
PY 2018
AB Objective The study aimed to determine prevalence, patterns and risk
   factors of defensive medicine by obstetricians and gynaecologists across
   China.
   Design This is a questionnaire survey by written and online interview
   for participants.
   Participants Among 1804 registered physicians participating at the 2017
   Congress of Chinese Obstetricians and Gynecologists Association in
   Chengdu City, Sichuan Province, China, from 17 to 20 August 2017, 1486
   participants (82.4%) responded the survey.
   Main outcome measures Participants' strongly disagreed/disagreed and
   strongly agreed/agreed options were compared to determine specific
   factors contributing to their preferences towards defensive medicine.
   Results In the whole cohort of 1486 participants, 903/1486 (60.8%),
   283/1486 (19.0%) and 170/283 (60.1%) participants had experienced at
   least one medical dispute, lawsuit or loss of a lawsuit, respectively;
   and 1284 (86.4%) participants had witnessed their colleagues exposed to
   medical disputes, lawsuits or loss of a lawsuit. Generally, 62.9% of the
   participants strongly agreed or agreed with defensive medicine. Gender,
   administration duty, employment hospital, education status,
   subspecialty, exposure to any medical disputes, lawsuits or loss of a
   lawsuit, and colleagues' experiences were independent risk factors
   relevant to participants' preferences about defensive medicine in a
   multivariate model. Participants were more prone to accept or endorse
   defensive medicine if they were female physicians; without
   administrative duties; working in non-tertiary hospitals; with an
   undergraduate degree; with any exposure to medical disputes, lawsuits or
   loss of a lawsuit; or having witnessed colleagues' similar experiences.
   Conclusions About two-thirds of Chinese physicians practising obstetrics
   and gynaecology in our survey agreed with the practice of defensive
   medicine, but they had diverse preferences and understanding of specific
   practices, harms of defensive medicine and physician's roles.
OI Li, Lei/0000-0001-8723-3461
Z8 0
TC 16
ZB 1
ZS 0
ZR 0
ZA 0
Z9 16
U1 3
U2 14
SN 2044-6055
UT WOS:000433129800205
PM 29431139
ER

PT J
AU David Delgado-Lopez, Pedro
   Maria Corrales-Garcia, Eva
TI Influence of Internet and Social Media in the Promotion of Alternative
   Oncology, Cancer Quackery, and the Predatory Publishing Phenomenon
SO CUREUS
VL 10
IS 5
AR e2617
DI 10.7759/cureus.2617
PD MAY 2018
PY 2018
AB In the last decade, electronic media has irrupted physician's clinical
   practice. Patients increasingly use Internet and social media to obtain
   enormous amounts of unsupervised data about cancer. Blogs, social
   networking sites, online support groups and forums are useful channels
   for medical education and experience sharing but also perfect
   environments for misinformation, quackery, violation of privacy and lack
   of professionalism. The widespread availability of such electronic
   resources allows some followers of the alternative oncology to spread
   useless irrational and controversial remedies for cancer, like false
   medicaments, miraculous diets, electronic devices, and even psychic
   therapies, as did charlatans in the past, providing false expectations
   about cancer treatments. Moreover, so-called predatory journals have
   introduced confusion and malpractice within the academic biomedical
   publishing system. This is a rising editorial phenomenon affecting all
   fields of biomedicine, including oncology that jeopardizes the quality
   of scientific contribution and damages the image of open access
   publication.
RI Delgado-López, Pedro/AAE-7614-2020; Corrales-García, Eva María/ABF-2205-2021; Corrales-Garcia, Eva Maria/
OI Delgado-López, Pedro/0000-0002-9317-6958; Corrales-Garcia, Eva
   Maria/0000-0002-7129-3109
Z8 0
ZA 0
ZB 5
TC 15
ZS 0
ZR 0
Z9 15
U1 3
U2 10
EI 2168-8184
UT WOS:000450940700056
PM 30027009
ER

PT J
AU Ashcroft, Rachelle
   McMillan, Colleen
   Ambrose-Miller, Wayne
   Mckee, Ryan
   Brown, Judith Belle
TI The Emerging Role of Social Work in Primary Health Care: A Survey of
   Social Workers in Ontario Family Health Teams
SO HEALTH & SOCIAL WORK
VL 43
IS 2
BP 109
EP 117
DI 10.1093/hsw/hly003
PD MAY 2018
PY 2018
AB Primary health care systems are increasingly integrating
   interprofessional team-based approaches to care delivery. As members of
   these interprofessional primary health care teams, it is important for
   social workers to explore our experiences of integration into these
   newly emerging teams to help strengthen patient care. Despite the
   expansion of social work within primary health care settings, few
   studies have examined the integration of social work's role into this
   expanding area of the health care system. A survey was conducted with
   Canadian social work practitioners who were employed within Family
   Health Teams (FHTs), an interprofessional model of primary health care
   in Ontario emerging from a period of health care reform. One hundred and
   twenty-eight (N = 128) respondents completed the online survey. Key
   barriers to social work integration in FHTs included difficulties
   associated with a medical model environment, confusion about social work
   role, and organizational barriers. Facilitators for integration of
   social work in FHTs included adequate education and competencies,
   collaborative engagement, and organizational structures.
ZS 0
TC 33
ZR 0
ZA 0
ZB 1
Z8 0
Z9 33
U1 1
U2 27
SN 0360-7283
EI 1545-6854
UT WOS:000432284300006
PM 29490042
ER

PT J
AU Dekker, Anne R. J.
   Verheij, Theo J. M.
   Broekhuizen, Berna D. L.
   Butler, Christopher C.
   Cals, Jochen W. L.
   Francis, Nick A.
   Little, Paul
   Sanders, Elisabeth A. M.
   Yardley, Lucy
   Zuithoff, Nicolaas P. A.
   van der Velden, Alike W.
TI Effectiveness of general practitioner online training and an information
   booklet for parents on antibiotic prescribing for children with
   respiratory tract infection in primary care: a cluster randomized
   controlled trial
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 73
IS 5
BP 1416
EP 1422
DI 10.1093/jac/dkx542
PD MAY 2018
PY 2018
AB Objectives: Antibiotics are too often prescribed in childhood
   respiratory tract infection (RTI), despite limited effectiveness,
   potential side effects and bacterial resistance. We aimed to reduce
   antibiotic prescribing for children with RTI by online training for
   general practitioners (GPs) and information for parents.
   Methods: A pragmatic cluster randomized controlled trial in primary
   care. The intervention consisted of online training for GPs and an
   information booklet for parents. The primary outcome was the antibiotic
   prescription rate for children presenting with RTI symptoms, as
   registered by GPs. Secondary outcomes were number of reconsultations
   within the same disease episode, consultations for new episodes,
   hospital referrals and pharmacy-dispensed antibiotic courses for
   children. This trial was registered at the Dutch Trial Register (NTR),
   registration number:NTR4240.
   Results: After randomization, GPs from a total of 32 general practices
   registered 1009 consultations. An antibiotic was prescribed in 21% of
   consultations in the intervention group, compared with 33% in the usual
   care group, controlled for baseline prescribing (rate ratio 0.65, 95% CI
   0.46-0.91). The probability of reconsulting during the same RTI episode
   did not differ significantly between the intervention and control
   groups, and nor did the numbers of consultations for new episodes and
   hospital referrals. In the intervention group antibiotic dispensing was
   32 courses per 1000 children/year lower than the control group, adjusted
   for baseline prescribing (rate ratio 0.78, 95% CI 0.66-0.92). The
   numbers and proportion of second-choice antibiotics did not differ
   significantly.
   Conclusions: Concise, feasible, online GP training, with an information
   booklet for parents, showed a relevant reduction in antibiotic
   prescribing for children with RTI.
RI Francis, Nick/B-7413-2009; Butler, Christopher/; Yardley, Lucy/; Cals, Jochen/A-1262-2007
OI Francis, Nick/0000-0001-8939-7312; Butler,
   Christopher/0000-0002-0102-3453; Yardley, Lucy/0000-0002-3853-883X;
   Cals, Jochen/0000-0001-9550-5674
ZB 7
ZR 0
ZS 1
Z8 0
TC 15
ZA 0
Z9 16
U1 0
U2 8
SN 0305-7453
EI 1460-2091
UT WOS:000432274800041
PM 29438547
ER

PT J
AU Adams, Traci N.
   Bonsall, Joanna
   Hunt, Daniel
   Puig, Alberto
   Richards, Jeremy B.
   Yu, Liyang
   McSparron, Jakob I.
   Shah, Nainesh
   Weissler, Jonathan
   Miloslavsky, Eli M.
TI Hospitalist Perspective of Interactions with Medicine Subspecialty
   Consult Services
SO JOURNAL OF HOSPITAL MEDICINE
VL 13
IS 5
BP 318
EP 323
DI 10.12788/jhm.2882
PD MAY 2018
PY 2018
AB BACKGROUND: Medicine subspecialty consultation is becoming increasingly
   important in inpatient medicine.
   OBJECTIVE: We conducted a survey study in which we examined hospitalist
   practices and attitudes regarding medicine subspecialty consultation.
   DESIGN AND SETTING: The survey instrument was developed by the authors
   based on prior literature and administered online anonymously to
   hospitalists at 4 academic medical centers in the United States.
   MEASUREMENTS: The survey evaluated 4 domains: (1) current consultation
   practices, (2) preferences regarding consultation, (3) barriers to and
   facilitating factors of effective consultation, and (4) a comparison
   between hospitalist-fellow and hospitalist-subspecialty attending
   interactions.
   RESULTS: One hundred twenty-two of 261 hospitalists (46.7%) responded.
   The majority of hospitalists interacted with fellows during
   consultation. Of those, 90.9% reported half of consultations, and 64.4%
   perceived pushback at least "sometimes" in their consult interactions.
   Participants viewed consultation as an important learning experience,
   preferred direct communication with the consulting service, and were
   interested in more teaching during consultation. The survey identified a
   number of barriers to and facilitating factors of an effective
   hospitalist-consultant interaction, which impacted both hospitalist
   learning and patient care. Hospitalists reported more positive
   experiences when interacting with subspecialty attendings compared to
   fellows with regard to multiple aspects of the consultation.
   CONCLUSION: The hospitalist-consultant interaction is viewed as
   important for both hospitalist learning and patient care. Multiple
   barriers and facilitating factors impact the interaction, many of which
   are amenable to intervention. (C) 2018 Society of Hospital Medicine
RI Shah, Nainesh/GRY-5428-2022; Hunt, Dan/AAL-3807-2021; Richards, Jeremy B./J-4031-2019; Bonsall, Joanna/
OI Richards, Jeremy B./0000-0002-8922-1955; Bonsall,
   Joanna/0000-0003-4943-1197
ZR 0
TC 13
ZB 2
ZS 0
ZA 0
Z8 0
Z9 13
U1 0
U2 2
SN 1553-5592
EI 1553-5606
UT WOS:000433301500004
PM 29186212
ER

PT J
AU Wagner, Justin P.
   Cochran, Amalia L.
   Jones, Christian
   Gusani, Niraj J.
   Varghese, Thomas K., Jr.
   Attai, Deanna J.
TI Professional Use of Social Media Among Surgeons: Results of a
   MultiL-Institutional Study
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 3
BP 804
EP 810
DI 10.1016/j.jsurg.2017.09.008
PD MAY-JUN 2018
PY 2018
AB OBJECTIVE: Among surgeons, professional use of social media (SM) is
   varied, and attitudes are ambiguous. We sought to characterize surgeons'
   professional use and perceptions of SM.
   DESIGN: Surgical faculty and trainees received institutional review
   board-approved e-mail surveys assessing SM usage and attitudes.
   Regression analyses identified predictors of SM attitudes and preference
   for professional contact.
   SETTING: Surveys were administered to surgical faculty, fellows, and
   residents at 4 academic medical centers between January and April 2016.
   PARTICIPANTS: Of 1037 surgeons, clinical fellows, and residents
   e-mailed, 208 (20%) responded, including 132 faculty and 76 trainees.
   RESULTS: Among 208 respondents, 46 (22%) indicated they preferred some
   form of SM as their preferred networking and communication modality. A
   total of 145 (70%) indicated they believe SM benefits professional
   development. The position of clinical resident predicted preference to
   maintain professional contact via SM (p = 0.03). Age <55 predicted
   positive attitude (p = 0.02) and rank of associate professor predicted
   negative attitude toward SM (p = 0.03). Lack of time as well as personal
   and patient privacy concerns were cited most commonly as reasons for not
   using SM.
   CONCLUSIONS: Most of surgeons responding to our survey used some form of
   SM for professional purposes. Perceived barriers include lack of value,
   time constraints, and personal and patient privacy concerns.
   Generational differences in surgeon attitudes suggest usage of SM among
   surgeons will expand over time. (C) 2017 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
RI Wagner, Justin/ABC-2668-2021; Gusani, Niraj/C-8171-2013; Cochran, Amalia/
OI Gusani, Niraj/0000-0002-7695-5108; Cochran, Amalia/0000-0003-4285-8630
ZB 1
ZS 1
TC 29
ZR 0
Z8 0
ZA 0
Z9 30
U1 0
U2 5
SN 1931-7204
EI 1878-7452
UT WOS:000434907100035
PM 28964746
ER

PT J
AU Mota, Paulo
   Carvalho, Nuno
   Carvalho-Dias, Emanuel
   Costa, Manuel Joao
   Correia-Pinto, Jorge
   Lima, Estevao
TI Video-Based Surgical Learning: Improving Trainee Education and
   Preparation for Surgery
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 3
BP 828
EP 835
DI 10.1016/j.jsurg.2017.09.027
PD MAY-JUN 2018
PY 2018
AB BACKGROUND: Since the end of the XIX century, teaching of surgery has
   remained practically unaltered until now. With the dawn of
   video-assisted laparoscopy, surgery has faced new technical and learning
   challenges. Due to technological advances, from Internet access to
   portable electronic devices, the use of online resources is part of the
   educational armamentarium. In this respect, videos have already proven
   to be effective and useful, however the best way to benefit from these
   tools is still not clearly defined.
   AIMS: To assess the importance of video-based learning, using an
   electronic questionnaire applied to residents and specialists of
   different surgical fields.
   METHODS: Importance of video-based learning was assessed in a sample of
   141 subjects, using a questionnaire distributed by a GoogleDoc online
   form.
   RESULTS: We found that 98.6% of the respondents have already used videos
   to prepare for surgery. When comparing video sources by formation
   status, residents were found to use Youtube significantly more often
   than specialists (p < 0.001). Additionally, residents placed more value
   on didactic illustrations and procedure narration than specialists (p <
   0.001). On the other hand, specialists prized surgeon's technical skill
   and the presence of tips and tricks much more than residents (p <
   0.001).
   CONCLUSION: Video-based learning is currently a hallmark of surgical
   preparation among residents and specialists working in Portugal. Based
   on these findings we believe that the creation of quality and
   scientifically accurate videos, and subsequent compilation in available
   video-libraries appears to be the future landscape for video-based
   learning. ((C) 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
RI Costa, Manuel Joao/C-3900-2009; Mota, Paulo/AAK-9163-2021; Correia-Pinto, Jorge/B-3344-2012; Carvalho, Nuno/; Lima, Estevao/; Mota, Paulo/
OI Costa, Manuel Joao/0000-0001-5255-4257; Correia-Pinto,
   Jorge/0000-0002-9265-6896; Carvalho, Nuno/0000-0001-5161-8079; Lima,
   Estevao/0000-0002-1962-7968; Mota, Paulo/0000-0002-2316-373X
ZS 1
ZR 0
TC 64
ZA 0
ZB 6
Z8 0
Z9 64
U1 3
U2 12
SN 1931-7204
EI 1878-7452
UT WOS:000434907100038
PM 29031522
ER

PT J
AU Colbert, Gates B.
   Topf, Joel
   Jhaveri, Kenar D.
   Oates, Tom
   Rheault, Michelle N.
   Shah, Silvi
   Hiremath, Swapnil
   Sparks, Matthew A.
TI The Social Media Revolution in Nephrology Education
SO KIDNEY INTERNATIONAL REPORTS
VL 3
IS 3
BP 519
EP 529
DI 10.1016/j.ekir.2018.02.003
PD MAY 2018
PY 2018
AB The past decade has been marked by the increasing use of social media
   platforms, often on mobile devices. In the nephrology community, this
   has resulted in the organic and continued growth of individuals
   interested in using these platforms for education and professional
   development. Here, we review several social media educational resources
   used in nephrology education and tools including Twitter, videos, blogs,
   and visual abstracts. We will also review how these tools are used
   together in the form of games (NephMadness), online journal clubs
   (NephJC), interactive learning (GlomCon), and digital mentorship
   (Nephrology Social Media Collective [NSMC] Internship) to build unique
   educational experiences that are available globally 24 hours per day.
   Throughout this discussion, we focus on specific examples of free
   open-access medical education (FOAMed) tools that provide education and
   professional growth at minimal or no cost to the user. In addition, we
   discuss inclusion of FOAMed resource development in the promotion and
   tenure process, along with potential pitfalls and future directions.
RI Sparks, Matthew/H-8865-2019; Jhaveri, Kenar D./X-4851-2019; Hiremath, Swapnil/H-3492-2019; Topf, Joel/
OI Sparks, Matthew/0000-0003-2075-2691; Hiremath,
   Swapnil/0000-0003-0010-3416; Topf, Joel/0000-0002-4697-7787
TC 53
ZB 7
ZS 0
Z8 0
ZR 0
ZA 0
Z9 53
U1 0
U2 9
SN 2468-0249
UT WOS:000432471300005
PM 29854960
ER

PT J
AU Curran, Janet A.
   Murphy, Andrea
   Burns, Emma
   Plint, Amy
   Taljaard, Monica
   MacPhee, Shannon
   Fitzpatrick, Eleanor
   Bishop, Andrea
   Chorney, Jill
   Bourque, Megan
TI Essential Content for Discharge Instructions in Pediatric Emergency Care
   A Delphi Study
SO PEDIATRIC EMERGENCY CARE
VL 34
IS 5
BP 339
EP 343
DI 10.1097/PEC.0000000000000986
PD MAY 2018
PY 2018
AB Objective: The aim of this study was to identify the 5 most essential
   discharge instruction content elements that should be communicated to
   all caregivers of children who present to the emergency department (ED)
   with asthma, vomiting/diarrhea, abdominal pain, fever, minor head
   injury, or bronchiolitis.
   Methods: A discharge information content list was developed for each
   illness presentation following a review of the literature. Using a
   modified Delphi technique, 6 lists were distributed to a panel of
   experts from EDs across Canada using a secure online survey tool with
   the goal of achieving the 5 most essential discharge instruction
   elements.
   Results: A total of 37 emergency clinicians completed all 4 rounds of
   the Delphi. Consensus for the final 30 content items ranged from 51.4%
   to 100%. Items pertaining to diarrhea/vomiting, abdominal pain, fever,
   and bronchiolitis obtained relatively high levels of consensus for all
   top 5 items. The majority of items (n = 19 [63.3%]) that reached
   consensus across the illness presentations were associated with
   instructions intended to educate caregivers on instances when they
   should return to the ED department.
   Conclusions: Findings from this study provide a better understanding of
   what should be communicated to caregivers of children who present to the
   ED with a number of different illness presentations. Results from this
   study suggest that health care providers agree on the importance of
   providing information to caregivers regarding when to return to the ED
   with their child. Reaching consensus among all experts in this study
   provides insight into the difficulty of standardizing discharge
   communication in the absence of widely accepted guidelines.
RI Plint, Amy/AAE-2250-2020; Taljaard, Monica/; Curran, Janet/; Burns, Emma/; Murphy, Andrea/
OI Taljaard, Monica/0000-0002-3978-8961; Curran, Janet/0000-0001-9977-0467;
   Burns, Emma/0000-0001-8042-7124; Murphy, Andrea/0000-0001-5093-6681
ZS 0
ZA 0
ZR 0
Z8 0
TC 3
ZB 1
Z9 3
U1 0
U2 3
SN 0749-5161
EI 1535-1815
UT WOS:000432189400016
PM 27902672
ER

PT J
AU Grehan, J.
   Butler, M. -L.
   Last, J.
   Rainford, L.
TI The introduction of mandatory CPD for newly state registered diagnostic
   radiographers: An Irish perspective
SO RADIOGRAPHY
VL 24
IS 2
BP 115
EP 121
DI 10.1016/j.radi.2017.09.007
PD MAY 2018
PY 2018
AB Introduction: Irish diagnostic radiography has undergone significant
   change with the dual introduction of state registration and mandatory
   Continuing Professional Development (CPD) in October 2015. We aimed to
   investigate motivators and barriers around CPD participation, mechanisms
   of CPD delivery and confidence of radiographers in using e-learning.
   Methods: A questionnaire distributed nationally during this period
   captured Radiographer opinion through the use of closed and open
   questions. The questionnaire was distributed in hard copy and online
   formats depending on site preference.
   Results: 71% of centres participated, rendering 453 responses in total
   from a possible 1222 respondents employed in those sites at the time of
   the survey. A varied range of ages and post qualification experience
   were represented. Respondents indicated use of several CPD options with
   the majority considering CPD to be important, very important or
   critical. Social media as a mechanism of CPD delivery was considered
   acceptable by 48%, while online learning elicited responses ranging from
   not confident to absolutely confident. Top motivators for CPD activity
   included interest, developing new knowledge and competency. Principal
   barriers included funding, time allocation and location issues.
   Conclusion: This study identified Radiographer desire to undertake CPD
   and the need for developing online CPD offerings. An overall positive
   perception towards CPD was noted however barriers were identified which
   require specific redress strategies. (c) 2017 The College of
   Radiographers. Published by Elsevier Ltd. All rights reserved.
OI Rainford, Louise/0000-0001-8587-0782; Ryan,
   Marie-Louise/0000-0002-7424-0045
TC 5
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
Z9 5
U1 0
U2 2
SN 1078-8174
EI 1532-2831
UT WOS:000429487200011
PM 29605107
ER

PT J
AU Bulabula, Andre N. H.
   Jenkins, Abi
   Mehtar, Shaheen
   Nathwani, Dilip
TI Education and management of antimicrobials amongst nurses in Africa-a
   situation analysis: an Infection Control Africa Network (ICAN)/BSAC
   online survey
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 73
IS 5
BP 1408
EP 1415
DI 10.1093/jac/dky023
PD MAY 2018
PY 2018
AB Objectives: To assess the current involvement of nurses in the use and
   management of antimicrobials and their training in antimicrobial
   stewardship (AMS) across Africa.
   Methods: After a pilot study, an online questionnaire (SurveyMonkey) in
   both French and English was circulated via the Infection Control Africa
   Network (ICAN) mailing list to both members and non-members in Africa.
   The study was conducted from 26 May to 19 August 2016. Data were
   summarized in proportions and bar charts; proportions were compared
   using the x 2 test. A multivariate logistic regression model was built
   to identify independent factors associated with the practice of AMS.
   Results: While 96% of the 173 respondents were aware of the term 'AMS',
   88.5% (146/165) undertook AMS tasks as part of their job; 91.9%
   (158/172) wanted to be more involved in AMS but 44.9% (71/158) reported
   there were barriers in doing so. AMS training was delivered to 36.7%
   (62/169) and 53.6% (90/168), respectively, during their undergraduate
   and postgraduate education. AMS training for healthcare workers in their
   institutions was reported by 50.3% (86/171), including training aimed at
   doctors (56.9%), pharmacists (76.7%), microbiologists (31.4%) and nurses
   (95.3%). However, 95.4% (164/172) of respondents asked for further
   education on AMS and the majority preferred AMS training to be part of
   the infection prevention curriculum (IPC) education. Three-quarters of
   institutions had an AMS initiative, but only similar to 41% reported
   having seen a national AMS guideline.
   Conclusions: For Africa, we recommend AMS education at undergraduate
   level, AMS policies at institution and national levels and incorporating
   AMS training into the IPC for nurses.
RI Bulabula, ANH/AGZ-9693-2022
OI Bulabula, ANH/0000-0003-2912-4587
ZB 4
Z8 0
TC 5
ZS 0
ZR 0
ZA 0
Z9 5
U1 1
U2 4
SN 0305-7453
EI 1460-2091
UT WOS:000432274800040
PM 29462430
ER

PT J
AU Zhang, Xiao Chi
   Tran, Alexander
   Papanagnou, Dimitrios
TI A Curious Researcher's Guide on Successfully Publishing Scientific
   Manuscripts
SO CUREUS
VL 10
IS 5
AR e2683
DI 10.7759/cureus.2683
PD MAY 2018
PY 2018
AB Publishing a manuscript in an academic journal represents more than just
   'promotional currency.' It provides the opportunity to provoke debate,
   share your experiences, and challenge the status quo on provider
   practices. Writing a manuscript relies on collaboration and shared
   responsibility from a research team, which can often challenge mentors
   as they supervise and guide its development. While there are numerous
   online resources and peer-reviewed journal articles on 'How to write a
   scientific article,' we aim to tackle an even larger and overarching
   theme that transcends specific journal categories, writing styles, and
   citation formatting. In order to guide new researchers in navigating the
   expansive ocean of scientific publications, we collected, reviewed, and
   revised 11 tips based on multiple focus-group discussions with junior
   and senior researchers to determine common harriers for publishing
   manuscript. The goal is to help mentors and mentees navigate the
   research and publication processes. The tips include: 1) recognizing
   leadership styles; 2) initiating the groundwork; 3) establishing backup
   plans; 4) making a deadline; 5) courting the editor; 6) determining
   authorship; 7) finding personal incentives; 8) writing what you know; 9)
   sharing with caution; 10) following directions; and 11) Consider
   open-access journals.
OI Zhang, Xiao Chi/0000-0002-0103-9594; Papanagnou,
   Dimitrios/0000-0003-3682-8371
ZB 0
ZS 0
TC 1
Z8 0
ZA 0
ZR 0
Z9 1
U1 1
U2 3
EI 2168-8184
UT WOS:000450940700122
PM 30050738
ER

PT J
AU Batra, Priya
   Mangione, Carol M.
   Cheng, Eric
   Steers, W. Neil
   Nguyen, Tina A.
   Bell, Douglas
   Kuo, Alice A.
   Gregory, Kimberly D.
TI A Cluster Randomized Controlled Trial of the MyFamilyPlan Online
   Preconception Health Education Tool
SO AMERICAN JOURNAL OF HEALTH PROMOTION
VL 32
IS 4
BP 897
EP 905
DI 10.1177/0890117117700585
PD MAY 2018
PY 2018
AB Purpose: To evaluate whether exposure to MyFamilyPlan-a web-based
   preconception health education module-changes the proportion of women
   discussing reproductive health with providers at well-woman visits.
   Design: Cluster randomized controlled trial. One hundred thirty
   participants per arm distributed among 34 clusters (physicians) required
   to detect a 20% change in the primary outcome.
   Setting: Urban academic medical center (California).
   Participants: Eligible women were 18 to 45 years old, were English
   speaking, were nonpregnant, were able to access the Internet, and had an
   upcoming well-woman visit. E-mail and phone recruitment between
   September 2015 and May 2016; 292 enrollees randomized.
   Intervention: Intervention participants completed the MyFamilyPlan
   module online 7 to 10 days before a scheduled well-woman visit; control
   participants reviewed standard online preconception health education
   materials.
   Measures: The primary outcome was self-reported discussion of
   reproductive health with the physician at the well-woman visit.
   Self-reported secondary outcomes were folic acid use, contraceptive
   method initiation/change, and self-efficacy score.
   Analysis: Multilevel multivariate logistic regression.
   Results: After adjusting for covariates and cluster, exposure to
   MyFamilyPlan was the only variable significantly associated with an
   increase in the proportion of women discussing reproductive health with
   providers (odds ratio: 1.97, 95% confidence interval: 1.22-3.19).
   Prespecified secondary outcomes were unaffected.
   Conclusion: MyFamilyPlan exposure was associated with a significant
   increase in the proportion of women who reported discussing reproductive
   health with providers and may promote preconception health awareness;
   more work is needed to affect associated behaviors.
RI Bell, Douglas S/G-6702-2013
OI Bell, Douglas S/0000-0002-5063-8294
Z8 0
ZA 0
TC 3
ZB 0
ZR 0
ZS 0
Z9 3
U1 0
U2 2
SN 0890-1171
EI 2168-6602
UT WOS:000430477000007
PM 28391703
ER

PT J
AU Borgmann, Hendrik
   Arnold, Hannah K.
   Meyer, Christian P.
   Bruendl, Johannes
   Koenig, Justus
   Nestler, Tim
   Ruf, Christian
   Struck, Julian
   Salem, Johannes
TI Training, Research, and Working Conditions for Urology Residents in
   Germany: A Contemporary Survey
SO EUROPEAN UROLOGY FOCUS
VL 4
IS 3
SI SI
BP 455
EP 460
DI 10.1016/j.euf.2016.12.001
PD MAY 2018
PY 2018
AB Background: Excellent uniform training of urology residents is crucial
   to secure both high-quality patient care and the future of our
   specialty. Residency training has come under scrutiny following the
   demands of subspecialized care, economical aspects, and working hour
   regulations.
   Objective: To comprehensively assess the surgical training, research
   opportunities, and working conditions among urology residents in
   Germany.
   Design, setting, and participants: We sent a 29-item online survey via
   email to 721 members of the German Society of Residents in Urology.
   Outcome measurements and statistical analysis: Descriptive analyses were
   conducted to describe the surveys' four domains: (1) baseline
   characteristics, (2) surgical training (cumulative completed case volume
   for all minor-, medium-, and major-complexity surgeries), (3) research
   opportunities, and (4) working conditions.
   Results and limitations: Four hundred and seventy-two residents
   completed the online survey (response rate 65%). Surgical training: the
   median number of cumulative completed cases for postgraduate yr (PGY)-5
   residents was 113 (interquartile range: 76-178). Minor surgeries
   comprised 57% of all surgeries and were performed by residents in all
   PGYs. Medium-complexity surgeries comprised 39% of all surgeries and
   were mostly performed by residents in PGYs 2-5. Major surgeries
   comprised 4% of all surgeries and were occasionally performed by
   residents in PGYs 3-5. Research opportunities: some 44% have attained a
   medical thesis (Dr. med.), and 39% are currently pursuing research.
   Working conditions: psychosocial work-related stress was high and for
   82% of residents their effort exceeded their rewards. Some 44% were
   satisfied, 32% were undecided, and 24% were dissatisfied with their
   current working situation. Limitations include self-reported survey
   answers and a lack of validated assessment tools.
   Conclusions: Surgical exposure among German urology residents is low and
   comprises minor and medium-complex surgeries. Psychosocial work-related
   stress is high for the vast majority of residents indicating the need
   for structural improvements in German urology residency training.
   Patient summary: In this study, we evaluated the surgical training,
   research opportunities, and working conditions among urology residents
   in Germany. We found low surgical exposure and high rates for
   psychosocial work-related stress, indicating the need for structural
   improvements in German urology residency training. (C) 2016 European
   Association of Urology. Published by Elsevier B.V. All rights reserved.
RI Borgmann, Hendrik/F-4658-2015; Struck, Julian Peter/AAI-5872-2021
OI Borgmann, Hendrik/0000-0002-3955-564X; 
ZB 8
ZR 0
ZA 0
ZS 1
TC 18
Z8 0
Z9 18
U1 0
U2 1
EI 2405-4569
UT WOS:000486145700031
PM 28753833
ER

PT J
AU Tallman, Gregory B.
   Vilches-Tran, Rowena A.
   Elman, Miriam R.
   Bearden, David T.
   Taylor, Jerusha E.
   Gorman, Paul N.
   McGregor, Jessina C.
TI Empiric Antibiotic Prescribing Decisions Among Medical Residents: The
   Role of the Antibiogram
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 39
IS 5
BP 578
EP 583
DI 10.1017/ice.2018.28
PD MAY 2018
PY 2018
AB OBJECTIVE. To assess general medical residents' familiarity with
   antibiograms using a self-administered survey.
   DESIGN. Cross-sectional, single-center survey.
   PARTICIPANTS. Residents in internal medicine, family medicine, and
   pediatrics at an academic medical center.
   METHODS. Participants were administered an anonymous survey at our
   institution during regularly scheduled educational conferences between
   January and May 2012. Questions collected data regarding demographics,
   professional training; further open-ended questions assessed knowledge
   and use of antibiograms regarding possible pathogens, antibiotic
   regimens, and prescribing resources for 2 clinical vignettes; a series
   of directed, closed-ended questions followed. Bivariate analyses to
   compare responses between residency programs were performed.
   RESULTS. Of 122 surveys distributed, 106 residents (87%) responded;
   internal medicine residents accounted for 69% of responses. More than
   20% of residents could not accurately identify pathogens to target with
   empiric therapy or select therapy with an appropriate spectrum of
   activity in response to the clinical vignettes; correct identification
   of potential pathogens was not associated with selecting appropriate
   therapy. Only 12% of respondents identified antibiograms as a resource
   when prescribing empiric antibiotic therapy for scenarios in the
   vignettes, with most selecting the UpToDate online clinical decision
   support resource or The Sanford Guide. When directly questioned, 89%
   reported awareness of institutional antibiograms, but only 70% felt
   comfortable using them and only 44% knew how to access them.
   CONCLUSIONS. When selecting empiric antibiotics, many residents are not
   comfortable using antibiograms as part of treatment decisions. Efforts
   to improve antibiotic use may benefit from residents being given
   additional education on both infectious diseases pharmacotherapy and
   antibiogram utilization.
RI McGregor, Jessina C/A-7625-2008; Tallman, Gregory/I-7315-2017; Bearden, David/; McGregor, Jessina/; Elman, Miriam/
OI Tallman, Gregory/0000-0002-2965-1355; Bearden,
   David/0000-0001-7903-3697; McGregor, Jessina/0000-0002-6093-5444; Elman,
   Miriam/0000-0003-3162-6500
ZS 0
ZB 1
ZR 0
TC 7
Z8 0
ZA 0
Z9 7
U1 0
U2 5
SN 0899-823X
EI 1559-6834
UT WOS:000430311600010
PM 29493481
ER

PT J
AU McKinney, Amanda
TI Shifting the Paradigm
SO AMERICAN JOURNAL OF LIFESTYLE MEDICINE
VL 12
IS 3
BP 230
EP 232
DI 10.1177/1559827617735496
PD MAY-JUN 2018
PY 2018
AB Current medical education lacks significant training in the principles
   and practices of lifestyle medicine. In this column, I describe my
   journey to lifestyle medicine, lifestyle medicine education, and what it
   is going to take to shift the educational paradigm away from the current
   model to one that is focused on nutrition and lifestyle behaviors and
   that is both accessible and effective.
Z8 0
ZS 0
TC 1
ZA 0
ZB 0
ZR 0
Z9 1
U1 1
U2 2
SN 1559-8276
EI 1559-8284
UT WOS:000432525100008
PM 30283256
ER

PT J
AU Louw, Arauna
   Turner, Astrid
   Wolvaardt, Liz
TI A case study of the use of a special interest group to enhance interest
   in public health among undergraduate health science students
SO PUBLIC HEALTH REVIEWS
VL 39
AR 11
DI 10.1186/s40985-018-0089-4
PD MAY 1 2018
PY 2018
AB Background: Education and training of undergraduate health science
   students in public health are insufficient in many parts of the world.
   This lack is a risk as early interest in specialist training options is
   a predictor of future training choices. A special interest group (SIG)
   is one mechanism to engage students, increase awareness and generate
   interest in public health. The purpose of this case study was to create
   and study such a group at an African university.
   Case presentation: An action research study design was used to create
   and study the SIG. All interested students were invited to participate
   in the SIG and in the data collection procedures. Data were collected
   via paper-based and online questionnaires. Records of activities were
   documented, and a reflective diary was kept by the researcher. Seven SIG
   meetings were held which were less than planned-some sessions were
   cancelled due to general student unrest. The composition of the SIG
   fluctuated, but the core group of 16 students consisted of 12 females
   (75%) and 4 males (25%). Despite faculty-wide marketing, all the
   participants were medical students. The most successful marketing
   strategy was done by two lecturers. A total of 12 participants'
   motivation (75%) was to learn more about public health. Despite the
   range of participants being over 4-year groups with varying schedules
   and commitments, a convenient day and meeting time were identified. The
   social capital of lecturers was harnessed to invite external guest
   lecturers as planned field trips proved impractical. At the mid-year
   point, six students (38%) thought that they would consider public health
   as a career choice. A decision was made to recruit new members via a
   seminar, and 37 possible new members were identified in the process.
   Conclusions: A SIG appears to be an effective strategy to increase
   public health interest among students. This finding is key in settings
   with particular health workforce shortages and high burdens of disease.
   A foundation phase with high levels of academic support by those already
   qualified is needed to allow student leadership to emerge. Despite the
   modified and reduced number of sessions, the SIG was still successful in
   increasing awareness about public health and possible career choices:
   both positive consequences of engaging with students within a SIG.
OI Wolvaardt, Jacqueline/0000-0002-3157-8863
ZS 0
TC 4
ZB 0
ZR 0
Z8 0
ZA 0
Z9 4
U1 1
U2 3
EI 2107-6952
UT WOS:000431819700001
PM 29744237
ER

PT J
AU Strong, Carol
   Lee, Chih-Ting
   Chao, Lo-Hsin
   Lin, Chung-Ying
   Tsai, Meng-Che
TI Adolescent Internet Use, Social Integration, and Depressive Symptoms:
   Analysis from a Longitudinal Cohort Survey
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 39
IS 4
BP 318
EP 324
DI 10.1097/DBP.0000000000000553
PD MAY 2018
PY 2018
AB Objective: To examine the association between adolescent leisure-time
   Internet use and social integration in the school context and how this
   association affects later depressive symptoms among adolescents in
   Taiwan, using a large nationwide cohort study and the latent growth
   model (LGM) method. Methods: Data of 3795 students followed from the
   year 2001 to 2006 in the Taiwan Education Panel Survey were analyzed.
   Leisure-time Internet use was defined by the hours per week spent on (1)
   online chatting and (2) online games. School social integration and
   depressive symptoms were self-reported. We first used an unconditional
   LGM to estimate the baseline (intercept) and growth (slope) of Internet
   use. Next, another LGM conditioned with school social integration and
   depression was conducted. Results: Approximately 10% of the participants
   reported engaging in online chatting and/or gaming for more than 20
   hours per week. Internet use for online chatting showed an increase over
   time. School social integration was associated with the baseline amount
   (coefficient = -0.62, p < 0.001) but not the growth of leisure-time
   Internet use. The trend of Internet use was positively related to
   depressive symptoms (coefficient = 0.31, p < 0.05) at Wave 4.
   Conclusion: School social integration was initially associated with
   decreased leisure-time Internet use among adolescents. The growth of
   Internet use with time was not explainable by school social integration
   but had adverse impacts on depression. Reinforcing adolescents' bonding
   to school may prevent initial leisure-time Internet use. When advising
   on adolescent Internet use, health care providers should consider their
   patients' social networks and mental well-being.
RI Strong, Carol/E-2127-2016; Tsai, Meng-Che/AAE-6715-2021; Lin, Chung-Ying/I-5434-2016; Strong, Carol/ABI-6992-2020
OI Strong, Carol/0000-0002-2934-5382; Tsai, Meng-Che/0000-0003-1057-3315;
   Lin, Chung-Ying/0000-0002-2129-4242; Strong, Carol/0000-0002-2934-5382
ZR 0
TC 17
Z8 0
ZA 0
ZB 6
ZS 0
Z9 17
U1 2
U2 34
SN 0196-206X
EI 1536-7312
UT WOS:000441392100007
PM 29461298
ER

PT J
AU Hardefeldt, Laura Y.
   Gilkerson, J. R.
   Billman-Jacobe, H.
   Stevenson, M. A.
   Thursky, K.
   Bailey, K. E.
   Browning, G. F.
TI Barriers to and enablers of implementing antimicrobial stewardship
   programs in veterinary practices
SO JOURNAL OF VETERINARY INTERNAL MEDICINE
VL 32
IS 3
BP 1092
EP 1099
DI 10.1111/jvim.15083
PD MAY-JUN 2018
PY 2018
AB BackgroundAntimicrobial stewardship (AMS) programs are yet to be widely
   implemented in veterinary practice and medical programs are unlikely to
   be directly applicable to veterinary settings.
   ObjectiveTo gain an in-depth understanding of the factors that influence
   effective AMS in veterinary practices in Australia.
   MethodsA concurrent explanatory mixed methods design was used. The
   quantitative phase of the study consisted of an online questionnaire to
   assess veterinarians' attitudes to antimicrobial resistance (AMR) and
   antimicrobial use in animals, and the extent to which AMS currently is
   implemented (knowingly or unknowingly). The qualitative phase used
   semi-structured interviews to gain an understanding of the barriers to
   and enablers of AMS in veterinary practices. Data were collected and
   entered into NVivo v.11, openly coded and analyzed according to mixed
   methods data analysis principles.
   ResultsCompanion animal, equine, and bovine veterinarians participated
   in the study. Veterinary practices rarely had antimicrobial prescribing
   policies. The key barriers were a lack of AMS governance structures,
   client expectations and competition between practices, cost of
   microbiological testing, and lack of access to education, training and
   AMS resources. The enablers were concern for the role of veterinary
   antimicrobial use in development of AMR in humans, a sense of pride in
   the service provided, and preparedness to change prescribing practices.
   Conclusion and Clinical ImportanceOur study can guide development and
   establishment of AMS programs in veterinary practices by defining the
   major issues that influence the prescribing behavior of veterinarians.
RI Bailey, Kirsten Erin/AAC-7059-2022; thursky, karin/AAV-4524-2021; Browning, Glenn Francis/P-4459-2014; Hardefeldt, Laura/; thursky, karin/; Gilkerson, James/; Billman-Jacobe, Helen/
OI Bailey, Kirsten Erin/0000-0002-6444-5506; Browning, Glenn
   Francis/0000-0002-0903-2469; Hardefeldt, Laura/0000-0001-5780-7567;
   thursky, karin/0000-0002-7400-232X; Gilkerson,
   James/0000-0003-1801-4817; Billman-Jacobe, Helen/0000-0001-5713-4657
ZS 0
ZA 0
ZR 0
TC 49
Z8 0
ZB 32
Z9 49
U1 0
U2 21
SN 0891-6640
EI 1939-1676
UT WOS:000434145200025
PM 29573053
ER

PT J
AU Armstrong, Bonnie
   Spaniol, Julia
   Persaud, Nav
TI Does exposure to simulated patient cases improve accuracy of clinicians'
   predictive value estimates of diagnostic test results? A within-subjects
   experiment at St Michael's Hospital, Toronto, Canada
SO BMJ OPEN
VL 8
IS 2
AR e019241
DI 10.1136/bmjopen-2017-019241
PD MAY 2018
PY 2018
AB Objective Clinicians often overestimate the probability of a disease
   given a positive test result (positive predictive value; PPV) and the
   probability of no disease given a negative test result (negative
   predictive value; NPV). The purpose of this study was to investigate
   whether experiencing simulated patient cases (ie, an 'experience
   format') would promote more accurate PPV and NPV estimates compared with
   a numerical format.
   Design Participants were presented with information about three
   diagnostic tests for the same fictitious disease and were asked to
   estimate the PPV and NPV of each test. Tests varied with respect to
   sensitivity and specificity. Information about each test was presented
   once in the numerical format and once in the experience format. The
   study used a 2 (format: numerical vs experience) x 3 (diagnostic test:
   gold standard vs low sensitivity vs low specificity) within-subjects
   design.
   Setting The study was completed online, via Qualtrics (Provo, Utah,
   USA).
   Participants 50 physicians (12 clinicians and 38 residents) from the
   Department of Family and Community Medicine at St Michael's Hospital in
   Toronto, Canada, completed the study. All participants had completed at
   least 1 year of residency.
   Results Estimation accuracy was quantified by the mean absolute error
   (MAE; absolute difference between estimate and true predictive value).
   PPV estimation errors were larger in the numerical format (MAE=32.6%,
   95% CI 26.8% to 38.4%) compared with the experience format (MAE=15.9%,
   95% CI 11.8% to 20.0%, d=0.697, P<0.001). Likewise, NPV estimation
   errors were larger in the numerical format (MAE= 24.4%, 95% CI 14.5% to
   34.3%) than in the experience format (MAE= 11.0%, 95% CI 6.5% to 15.5%,
   d=0.303, P=0.015).
   Conclusions Exposure to simulated patient cases promotes accurate
   estimation of predictive values in clinicians. This finding carries
   implications for diagnostic training and practice.
OI Armstrong, Bonnie/0000-0002-0513-0424
Z8 0
ZB 3
ZA 0
TC 6
ZR 0
ZS 0
Z9 6
U1 0
U2 4
SN 2044-6055
UT WOS:000433129800131
PM 29440215
ER

PT J
AU Hoscheit, Larry P.
   Heng, Hock Gan
   Lim, Chee Kin
   Weng, Hsin-Yi
TI Survey of the prevalence and methodology of quality assurance for B-mode
   ultrasound image quality among veterinary sonographers
SO VETERINARY RADIOLOGY & ULTRASOUND
VL 59
IS 3
BP 326
EP 332
DI 10.1111/vru.12603
PD MAY-JUN 2018
PY 2018
AB Image quality in B-mode ultrasound is important as it reflects the
   diagnostic accuracy and diagnostic information provided during clinical
   scanning. Quality assurance programs for B-mode ultrasound
   systems/components are comprised of initial quality acceptance testing
   and subsequent regularly scheduled quality control testing. The
   importance of quality assurance programs for B-mode ultrasound image
   quality using ultrasound phantoms is well documented in the human
   medical and medical physics literature. The purpose of this prospective,
   cross-sectional, survey study was to determine the prevalence and
   methodology of quality acceptance testing and quality control testing of
   image quality for ultrasound system/components among veterinary
   sonographers. An online electronic survey was sent to 1497 members of
   veterinary imaging organizations: the American College of Veterinary
   Radiology, the Veterinary Ultrasound Society, and the European
   Association of Veterinary Diagnostic Imaging, and a total of 167
   responses were received. The results showed that the percentages of
   veterinary sonographers performing quality acceptance testing and
   quality control testing are 42% (64/151; 95% confidence interval 34-52%)
   and 26% (40/156: 95% confidence interval 19-33%) respectively. Of the
   respondents who claimed to have quality acceptance testing or quality
   control testing of image quality in place for their ultrasound
   system/components, 0% have performed quality acceptance testing or
   quality control testing correctly (quality acceptance testing 95%
   confidence interval: 0-6%, quality control testing 95% confidence
   interval: 0-11%). Further education and guidelines are recommended for
   veterinary sonographers in the area of quality acceptance testing and
   quality control testing for B-mode ultrasound equipment/components.
OI Heng, Hock Gan/0000-0001-5302-5402
Z8 0
ZA 0
ZR 0
TC 0
ZS 0
ZB 0
Z9 0
U1 2
U2 6
SN 1058-8183
EI 1740-8261
UT WOS:000431508300009
PM 29528172
ER

PT J
AU Siddique, Shazia Mehmood
   Ketwaroo, Gyanprakash
   Newberry, Carolyn
   Mathews, Simon
   Khungar, Vandana
   Mehta, Shivan J.
TI How to Incorporate Quality Improvement and Patient Safety Projects in
   Your Training
SO GASTROENTEROLOGY
VL 154
IS 6
BP 1564
EP 1568
DI 10.1053/j.gastro.2018.03.044
PD MAY 2018
PY 2018
RI Khungar, Vandana/AAJ-3416-2021; Mathews, Simon/AAU-9176-2020
ZA 0
Z8 0
ZB 1
ZR 0
TC 5
ZS 0
Z9 5
U1 0
U2 0
SN 0016-5085
EI 1528-0012
UT WOS:000432464700014
PM 29604243
ER

PT J
AU Warnke, Ingeborg
   Gamma, Alex
   Buadze, Anna
   Schleifer, Roman
   Canela, Carlos
   Ruesch, Nicolas
   Roessler, Wulf
   Strebel, Bernd
   Tenyi, Tamas
   Liebrenz, Michael
TI Status quo of German-speaking medical students' attitudes toward and
   knowledge about central aspects of forensic psychiatry across four
   European countries
SO INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY
VL 58
BP 9
EP 16
DI 10.1016/j.ijlp.2018.02.003
PD MAY-JUN 2018
PY 2018
AB While forensic psychiatry is of increasing importance in mental health
   care, limited available evidence shows that attitudes toward the
   discipline are contradictory and that knowledge about it seems to be
   limited in medical students. We aimed to shed light on this subject by
   analyzing medical students' central attitudes toward and their
   association with knowledge about forensic psychiatry as well as with
   socio-demographic and education specific predictor variables. We
   recruited N = 1345 medical students from 45 universities with a German
   language curriculum across four European countries (Germany,
   Switzerland, Austria and Hungary) by using an innovative approach,
   namely snowball sampling via Facebook. Students completed an online
   questionnaire, and data were analyzed descriptively and multivariably by
   linear mixed effects models and multinomial regression. The results
   showed overall neutral to positive attitudes toward forensic psychiatry,
   with indifferent attitudes toward the treatment of sex offenders, and
   forensic psychiatrists' expertise in the media. Whereas medical students
   knew about the term 'forensic psychiatry', they showed a lack of
   specific medico-legal knowledge. Multi variable models on predictor
   variables revealed statistically significant findings with, however,
   small estimates and variance explanation. Therefore, further research is
   required along with the development of a refined assessment instrument
   for medical students to explore both attitudes and knowledge in forensic
   psychiatry. (C) 2018 Elsevier Ltd. All rights reserved.
OI Buadze, Ana/0000-0002-8683-6807; Liebrenz, Michael/0000-0001-8040-2744;
   Rossler, Wulf/0000-0003-0049-4533
ZR 0
TC 1
ZA 0
Z8 0
ZB 1
ZS 0
Z9 1
U1 1
U2 6
SN 0160-2527
EI 1873-6386
UT WOS:000436649700002
PM 29853018
ER

PT J
AU Mangione, Salvatore
   Chakraborti, Chayan
   Staltari, Giuseppe
   Harrison, Rebecca
   Tunkel, Allan R.
   Liou, Kevin T.
   Cerceo, Elizabeth
   Voeller, Megan
   Bedwell, Wendy L.
   Fletcher, Keaton
   Kahn, Marc J.
TI Medical Students' Exposure to the Humanities Correlates with Positive
   Personal Qualities and Reduced Burnout: A Multi-Institutional US Survey
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 33
IS 5
BP 628
EP 634
DI 10.1007/s11606-017-4275-8
PD MAY 2018
PY 2018
AB Literature, music, theater, and visual arts play an uncertain and
   limited role in medical education. One of the arguments often advanced
   in favor of teaching the humanities refers to their capacity to foster
   traits that not only improve practice, but might also reduce physician
   burnout-an increasing scourge in today's medicine. Yet, research remains
   limited.
   To test the hypothesis that medical students with higher exposure to the
   humanities would report higher levels of positive physician qualities
   (e.g., wisdom, empathy, self-efficacy, emotional appraisal, spatial
   skills), while reporting lower levels of negative qualities that are
   detrimental to physician well-being (e.g., intolerance of ambiguity,
   physical fatigue, emotional exhaustion, and cognitive weariness).
   An online survey.
   All students enrolled at five U.S. medical schools during the 2014-2015
   academic year were invited by email to take part in our online survey.
   Students reported their exposure to the humanities (e.g., music,
   literature, theater, visual arts) and completed rating scales measuring
   selected personal qualities.
   In all, 739/3107 medical students completed the survey (23.8%).
   Regression analyses revealed that exposure to the humanities was
   significantly correlated with positive personal qualities, including
   empathy (p < 0.001), tolerance for ambiguity (p < 0.001), wisdom (p <
   0.001), emotional appraisal (p = 0.01), self-efficacy (p = 0.02), and
   spatial skills (p = 0.02), while it was significantly and inversely
   correlated with some components of burnout (p = 0.01). Thus, all
   hypotheses were statistically significant, with effect sizes ranging
   from 0.2 to 0.59.
   This study confirms the association between exposure to the humanities
   and both a higher level of students' positive qualities and a lower
   level of adverse traits. These findings may carry implications for
   medical school recruitment and curriculum design.
   "[Science and humanities are] twin berries on one stem, grievous damage
   has been done to both in regarding [them]... in any other light than
   complemental." (William Osler, Br Med J. 1919;2:1-7).
RI Kahn, Marc/AAF-7547-2021; Chakraborti, Chayan/FMZ-8150-2022; Voeller, Megan/; Fletcher, Keaton/
OI Voeller, Megan/0000-0002-1002-2786; Fletcher, Keaton/0000-0001-5916-0269
ZS 3
ZA 0
Z8 0
TC 68
ZB 2
ZR 1
Z9 72
U1 2
U2 22
SN 0884-8734
EI 1525-1497
UT WOS:000430554800018
PM 29380213
ER

PT J
AU Pahade, Jay K.
   Trout, Andrew T.
   Zhang, Bin
   Bhambhvani, Pradeep
   Muse, Victorine V.
   Delaney, Lisa R.
   Zucker, Evan J.
   Pandharipande, Part V.
   Brink, James A.
   Goske, Marilyn J.
TI What Patients Want to Know about Imaging Examinations: A
   Multiinstitutional US Survey in Adult and Pediatric Teaching Hospitals
   on Patient Preferences for Receiving Information before Radiologic
   Examinations
SO RADIOLOGY
VL 287
IS 2
BP 554
EP 562
DI 10.1148/radiol.2017170592
PD MAY 2018
PY 2018
AB Purpose: To identify what information patients and parents or caregivers
   found useful before an imaging examination, from whom they preferred to
   receive information, and how those preferences related to
   patient-specific variables including demographics and prior radiologic
   examinations.
   Materials and Methods: A 24-item survey was distributed at three
   pediatric and three adult hospitals between January and May 2015. The
   chi(2) or Fisher exact test (categorical variables) and one-way analysis
   of variance or two-sample t test (continuous variables) were used for
   comparisons. Multivariate logistic regression was used to determine
   associations between responses and demographics.
   Results: Of 1742 surveys, 1542 (89%) were returned (381 partial, 1161
   completed). Mean respondent age was 46.2 years +/- 16.8 (standard
   deviation), with respondents more frequently female (1025 of 1506, 68%)
   and Caucasian (1132 of 1504, 75%). Overall, 78% (1117 of 1438) reported
   receiving information about their examination most commonly from the
   ordering provider (824 of 1292, 64%), who was also the most preferred
   source (1005 of 1388, 72%). Scheduled magnetic resonance (MR) imaging or
   nuclear medicine examinations (P < .001 vs other examination types) and
   increasing education (P = .008) were associated with higher rates of
   receiving information. Half of respondents (757 of 1452, 52%) sought
   information themselves. The highest importance scores for
   pre-examination information (Likert scale >= 4) was most frequently
   assigned to information on examination preparation and least frequently
   assigned to whether an alternative radiation-free examination could be
   used (74% vs 54%; P < .001).
   Conclusion: Delivery of pre-examination information for radiologic
   examinations is suboptimal, with half of all patients and caregivers
   seeking information on their own. Ordering providers are the predominant
   and preferred source of examination-related information, with
   respondents placing highest importance on information related to
   examination preparation. (C) RSNA, 2018
ZS 0
ZB 1
TC 9
Z8 0
ZA 0
ZR 0
Z9 9
U1 0
U2 8
SN 0033-8419
UT WOS:000430638800022
PM 29436946
ER

PT J
AU Kim, Christopher
   Gupta, Raghav
   Shah, Aakash
   Madill, Evan
   Prabhu, Arpan V.
   Agarwal, Nitin
TI Digital Footprint of Neurological Surgeons
SO WORLD NEUROSURGERY
VL 113
BP E172
EP E178
DI 10.1016/j.wneu.2018.01.210
PD MAY 2018
PY 2018
AB BACKGROUND: Patients are increasingly turning to online resources to
   inquire about individual physicians and to gather health information.
   However, little research exists studying the online presence of
   neurosurgeons across the country. This study aimed to characterize these
   online profiles and assess the scope of neurosurgeons' digital
   identities.
   METHODS: Medicare-participating neurologic surgeons from the United
   States and Puerto Rico were identified using the Centers for Medicare
   and Medicaid Services (CMS) Physician Comparable Downloadable File. Each
   physician was characterized by his or her medical education, graduation
   year, city of practice, gender, and affiliation with an academic
   institution. Using a Google-based custom search tool, the top 10 search
   results for each physician were extracted and categorized as 1 of the
   following: 1) physician, hospital, or healthcare system controlled, 2)
   third-party or government controlled, 3) social media-based, 4) primary
   journal article, or 5) other.
   RESULTS: Among the physicians within the CMS database, 4751
   self-identified as being neurosurgeons, yielding a total of 45,875
   uniform resource locator search results pertinent to these physicians.
   Of the 4751 neurosurgeons, 2317 (48.8%) and 2434 (51.2%) were classified
   as academic and nonacademic neurosurgeons, respectively. At least 1
   search result was obtained for every physician. Hospital, healthcare
   system, or physician-controlled websites (18,206; 39.7%) and third-party
   websites (17,122; 37.3%) were the 2 most commonly observed domain types.
   Websites belonging to social media platforms accounted for 4843 (10.6%)
   search results, and websites belonging to peer-reviewed academic
   journals accounted for 1888 (4.1%) search results. The frequency with
   which a third-party domain appeared as the first search result was
   higher for nonacademic neurosurgeons than for academic neurosurgeons.
   CONCLUSIONS: In general, neurosurgeons lacked a controllable online
   presence within their first page of Google Search results. Third-party
   physician rating websites constituted about half of the search results,
   and a relative lack of social media websites was apparent. Still,
   numerous opportunities exist for neurosurgeons to address this
   disparity.
RI Kim, Christopher/; Prabhu, Arpan/M-4193-2014; Agarwal, Nitin/; , Aakash/
OI Kim, Christopher/0000-0002-0792-6338; Prabhu, Arpan/0000-0002-9928-2911;
   Agarwal, Nitin/0000-0003-0256-3897; , Aakash/0000-0002-6009-3646
ZR 0
TC 9
ZA 0
Z8 0
ZS 0
ZB 2
Z9 9
U1 0
U2 4
SN 1878-8750
EI 1878-8769
UT WOS:000432942700024
PM 29427816
ER

PT J
AU Rossi, Lsolina R.
   Wiegmann, Aaron L.
   Schou, Pat
   Borgstrom, David C.
   Rossi, Matthew B.
TI Reap What You Sow: Which Rural Surgery Training Programs Currently Exist
   and Do Medical Students Know of Their Existence?
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 3
BP 697
EP 701
DI 10.1016/j.jsurg.2017.09.029
PD MAY-JUN 2018
PY 2018
AB BACKGROUND: There exists an acute need to recruit and train general
   surgeons for rural communities. To assist medical students interested in
   rural surgery, the American College of Surgeons (ACS) website lists
   general surgery residencies, which are tailored to train the rural
   surgeon by providing exposure to endoscopy, gynecology, urology,
   orthopedics, and otolaryngology. Another available reference is the
   American Medical Association Fellowship and Residency Electronic
   Database (FREIDA). FREIDA allows programs to indicate availability of a
   rural training scheme. This is an effort to identify programs which
   demonstrate a commitment to training rural surgeons and evaluate
   accessibility of this information to medical students.
   METHODS: Each ACGME general surgery residency program in the United
   States and Canada received an electronic survey. They were queried on
   commitment to training rural surgeons and their ability to provide 3 to
   12 months of subspecialty training.
   RESULTS: Of the 261 programs surveyed, 52 (19.9%) responses were
   obtained; 11 had established rural tracks and 15 were willing to
   customize a program. We identified 14 additional rural training programs
   not identified by either the ACS website or FREIDA. In total, 44
   programs identified by ACS, FREIDA, and our survey indicate they can
   accommodate the rural surgical resident.
   CONCLUSIONS: For a medical student interested in rural surgery, several
   obstacles must be overcome to find the appropriate residency program. A
   complete and updated list of established tracks or customizable training
   schemes does not exist. Review of the ACS website and FREIDA online in
   addition to our survey has identified 44 of 261 (16.9%) ACGME accredited
   programs either with an existing rural surgical track or willing to
   customize their program accommodate a resident. To facilitate the
   recruitment of medical students into rural surgery, we support the
   maintenance of a complete and routinely updated list that identifies
   available training programs. (C) 2017 Association of Program Directors
   in Surgery. Published by Elsevier Inc. All rights reserved.
ZR 0
TC 6
ZS 0
Z8 0
ZB 0
ZA 0
Z9 6
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000434907100023
PM 29079108
ER

PT J
AU Fleiszer, David
   Hoover, Michael L.
   Posel, Nancy
   Razek, Tarek
   Bergman, Simon
TI Development and Validation of a Tool to Evaluate the Evolution of
   Clinical Reasoning in Trauma Using Virtual Patients
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 3
BP 779
EP 786
DI 10.1016/j.jsurg.2017.08.024
PD MAY-JUN 2018
PY 2018
AB CONTEXT: Undergraduate medical students at a large academic trauma
   center are required to manage a series of online virtual trauma patients
   as a mandatory exercise during their surgical rotation.
   PURPOSE: Clinical reasoning during undergraduate medical education can
   be difficult to assess. The purpose of the study was to determine
   whether we could use components of the students' virtual patient
   management to measure changes in their clinical reasoning over the
   course of the clerkship year. In order to accomplish this, we decided to
   determine if the use of scoring rubrics could change the traditional
   subjective assessment to a more objective evaluation.
   BASIC PROCEDURES: Two groups of students, one at the beginning of
   clerkship (Juniors) and one at the end of clerkship (Seniors), were
   chosen. Each group was given the same virtual patient case, a clinical
   scenario based on the Advanced Trauma Life Support (ATLS) Primary Trauma
   Survey, which had to be completed during their trauma rotation. The
   learner was required to make several key patient management choices
   based on their clinical reasoning, which would take them along different
   routes through the case. At the end of the case they had to create a
   summary report akin to sign-off. These summaries were graded
   independently by two domain "Experts" using a traditional subjective
   surgical approach to assessment and by two "Non-Experts" using two
   internally validated scoring rubrics. One rubric assessed procedural or
   domain knowledge (Procedural Rubric), while the other rubric highlighted
   semantic qualifiers (Semantic Rubric). Each of the rubrics was designed
   to reflect established components of clinical reasoning. Student's
   t-tests were used to compare the rubric scores for the two groups and
   Cohen's d was used to determine effect size. Kendall's was used to
   compare the difference between the two groups based on the "Expert's"
   subjective assessment. Inter-rater reliability (IRR) was determined
   using Cronbach's alpha.
   MAIN FINDINGS: The Seniors did better than the Juniors with respect to
   "Procedural" issues but not for "Semantic" issues using the rubrics as
   assessed by the "Non-Experts". The average Procedural rubric score for
   the Senior group was 59% 13% while for the junior group, it was 51% 12%
   ((t(80)) = 2.715; p = 0.008; Cohen's d = 1.53). The average Semantic
   rubric score for the Senior group was 31% +/- 15% while for the Junior
   group, it was 28% +/- 14% ((t(80)) = 1.010; p =.316, ns). There was no
   statistical difference in the marks given to the Senior versus Junior
   groups by the "Experts" (Kendall's = 0.182, p = 0.07).
   The IRR between the "Non-Experts" using the rubrics was higher than the
   IRR of the "Experts" using the traditional surgical approach to
   assessment. The Cronbach's alpha for the Procedural and Semantic rubrics
   was 0.94 and 0.97, respectively, indicating very high IRR. The
   correlation between the Procedural rubric scores and "Experts"
   assessment was approximately r = 0.78, and that between the Semantic
   rubric and the "Experts" assessment was roughly r = 0.66, indicating
   high concurrent validity for the Procedural rubric and moderately high
   validity for the Semantic rubric.
   PRINCIPLE CONCLUSION: Clinical reasoning, as measured by some of its
   "procedural" features, improves over the course of the clerkship year.
   Rubrics can be created to objectively assess the summary statement of an
   online interactive trauma VP for "procedural" issues but not for
   "semantic" issues. Using IRR as a measure, the quality of assessment is
   improved using the rubrics. The "Procedural" rubric appears to measure
   changes in clinical reasoning over the course of 3rd-year undergraduate
   clinical studies. (C) 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
ZS 0
ZA 0
TC 7
ZB 0
Z8 0
ZR 0
Z9 7
U1 1
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000434907100031
PM 28927667
ER

PT J
AU Veer, Vik
   Zhang, Henry
   Beyers, Jolien
   Vanderveken, Olivier
   Kotecha, Bhik
TI The use of drug-induced sleep endoscopy in England and Belgium
SO EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
VL 275
IS 5
BP 1335
EP 1342
DI 10.1007/s00405-018-4939-y
PD MAY 2018
PY 2018
AB The purpose of this international survey is to ascertain the current
   practice of drug-induced sleep endoscopy (DISE) for patients with
   sleep-disordered breathing (SDB) by Otolaryngologists in the United
   Kingdom and Belgium. We compare the results with recommendations from
   the European Position Paper on drug-induced sleep endoscopy.
   An online questionnaire was circulated to Consultant Otolaryngologists,
   independent practitioners, and trainees across the two countries. Eleven
   questions were used in total.
   181 responses from the UK and 117 responses from Belgium were received,
   mostly from consultants and independent practitioners. SDB was a common
   presentation to ENT practice, seen by over 90% of clinicians. The use of
   DISE varied greatly between the two countries (72.9% Belgium, 26.1% UK).
   54.1% of Belgian respondents use DISE on over 50% of their patients,
   compared to only 32.4% of British clinicians. Attitudes of surgeons
   towards the diagnostic value of DISE varied; in Belgium, the majority
   (54%) gave a rating of 3 or more (1 = useless to 5 = essential), with no
   respondents giving a score of 0 (useless). In the UK only 16% of
   respondents felt DISE had useful clinical value, with 25 respondents
   deeming it 'useless'. The majority opt for DISE when non-surgical
   therapies fail (51.4% UK, 61.3% Belgium). The majority of participants
   do not use objective measures for depth of sedation (75.7% UK, 66.7%
   Belgium), with a marked variation on anaesthetic methods. 62.2% of UK
   clinicians do not use a classification system, whereas in Belgium the
   majority of clinicians (60.8%) use the VOTE grading system.
   Clinicians in Belgium were more favourable to using DISE than in the UK.
   Differences in its clinical effectiveness were apparent between the two
   countries. A consensus on patient selection, method of sedation and an
   effective classification system seemed to be lacking from both
   countries. Further education is required to raise awareness for the use
   of DISE.
OI Zhang, Henry/0000-0003-3744-736X
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
TC 3
Z9 3
U1 0
U2 1
SN 0937-4477
EI 1434-4726
UT WOS:000429661300037
PM 29556753
ER

PT J
AU Gregorich, Scott L.
   Sutherland-Smith, James
   Sato, Amy F.
   May-Trifiletti, Jennifer A.
   Miller, Katia J.
TI Survey of veterinary specialists regarding their knowledge of radiation
   safety and the availability of radiation safety training
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 252
IS 9
BP 1133
EP 1140
DI 10.2460/javma.252.9.1133
PD MAY 1 2018
PY 2018
AB OBJECTIVE
   To evaluate the knowledge of various veterinary specialists regarding
   various radiation safety matters and determine the availability of
   radiation safety training.
   DESIGN
   Cross-sectional study.
   SAMPLE
   164 radiology, 81 internal medicine, and 108 emergency and critical care
   (ECC) specialists.
   PROCEDURES
   An online survey was developed regarding knowledge of and training in
   radiation safety, and invitations were sent via email through the email
   lists of the veterinary internal medicine, ECC, and radiology specialty
   colleges. Responses were summarized, and comparisons were made between
   radiologists and internal medicine and ECC clinicians.
   RESULTS
   65.5% (38/58) of respondents from academic institutions and 30.0%
   (33/110) of respondents from private practices indicated that radiation
   safety training was mandatory at their institution for personnel who
   work with ionizing radiation-emitting equipment, and 80.2% (85/106) and
   56.6% (77/136), respectively, had received some radiation safety
   training. Low proportions of radiologists and internal medicine and ECC
   clinicians correctly identified the effective dose of ionizing radiation
   associated with 3-phase esophagography and 3-phase abdominal CT. Many
   radiologists (92/153 [60.1%]) and nonradiologists (92/179 [51.4%])
   believed that the effective doses used in veterinary practice pose no
   increased risk of fatal cancer to their patients.
   CONCLUSIONS AND CLINICAL RELEVANCE
   Radiation safety training, although more common in academia, was not
   universally available and may not meet radiography equipment license
   requirements for some institutions. Most radiologists, internal medicine
   clinicians, and ECC clinicians had a poor understanding of the amount of
   ionizing radiation associated with medical imaging procedures and the
   potential hazards to their patients.
OI Sutherland-Smith, James/0000-0001-6329-7268; May-Trifiletti,
   Jennifer/0000-0001-8648-105X
ZA 0
TC 1
Z8 0
ZR 0
ZB 2
ZS 0
Z9 3
U1 0
U2 3
SN 0003-1488
EI 1943-569X
UT WOS:000429725700024
PM 29641330
ER

PT J
AU Danila, Maria I.
   Outman, Ryan C.
   Rahn, Elizabeth J.
   Mudano, Amy S.
   Redden, David T.
   Li, Peng
   Allison, Jeroan J.
   Anderson, Fred A.
   Wyman, Allison
   Greenspan, Susan L.
   LaCroix, Andrea Z.
   Nieves, Jeri W.
   Silverman, Stuart L.
   Siris, Ethel S.
   Watts, Nelson B.
   Miller, Michael J.
   Curtis, Jeffrey R.
   Warriner, Amy H.
   Wright, Nicole C.
   Saag, Kenneth G.
TI Evaluation of a Multimodal, Direct-to-Patient Educational Intervention
   Targeting Barriers to Osteoporosis Care: A Randomized Clinical Trial
SO JOURNAL OF BONE AND MINERAL RESEARCH
VL 33
IS 5
BP 763
EP 772
DI 10.1002/jbmr.3395
PD MAY 2018
PY 2018
AB Osteoporosis treatment rates are declining, even among those with past
   fractures. Novel, low-cost approaches are needed to improve osteoporosis
   care. We conducted a parallel group, controlled, randomized clinical
   trial evaluating a behavioral intervention for improving osteoporosis
   medication use. A total of 2684 women with self-reported fracture
   history after age 45 years not using osteoporosis therapy from US Global
   Longitudinal Study of Osteoporosis in Women (GLOW) sites were randomized
   1:1 to receive a multimodal, tailored, direct-to-patient, video
   intervention versus usual care. The primary study outcome was
   self-report of osteoporosis medication use at 6 months. Other outcomes
   included calcium and vitamin D supplementation, bone mineral density
   (BMD) testing, readiness for behavioral change, and barriers to
   treatment. In intent-to-treat analyses, there were no significant
   differences between groups (intervention versus control) in osteoporosis
   medication use (11.7% versus 11.4%, p=0.8), calcium supplementation
   (31.8% versus 32.6%, p=0.7), vitamin D intake (41.3% versus 41.9%,
   p=0.8), or BMD testing (61.8% versus 57.1%, p=0.2). In the intervention
   group, fewer women were in the precontemplative stage of behavior
   change, more women reported seeing their primary care provider, had
   concerns regarding osteonecrosis of the jaw, and difficulty in
   taking/remembering to take osteoporosis medications. We found
   differences in BMD testing among the subgroup of women with no prior
   osteoporosis treatment, those who provided contact information, and
   those with no past BMD testing. In per protocol analyses, women with
   appreciable exposure to the online intervention (n=257) were more likely
   to start nonbisphosphonates (odds ratio [OR]=2.70; 95% confidence
   interval [CI] 1.26-5.79) compared with the usual care group. Although
   our intervention did not increase the use of osteoporosis therapy at 6
   months, it increased nonbisphosphonate medication use and BMD testing in
   select subgroups, shifted participants' readiness for behavior change,
   and altered perceptions of barriers to osteoporosis treatment. Achieving
   changes in osteoporosis care using patient activation approaches alone
   is challenging. (C) 2018 American Society for Bone and Mineral Research.
RI Miller, Michael J./I-8150-2019; Miller, Michael J/K-6928-2017; Li, Peng/; Nieves, Jeri/
OI Miller, Michael J./0000-0002-6026-6279; Miller, Michael
   J/0000-0002-6026-6279; Li, Peng/0000-0002-9026-9999; Nieves,
   Jeri/0000-0001-8593-343X
ZS 0
ZA 0
Z8 1
ZR 0
ZB 7
TC 22
Z9 23
U1 1
U2 6
SN 0884-0431
EI 1523-4681
UT WOS:000432006800002
PM 29377378
ER

PT J
AU Singh, Vivekanand
   Eldin, Karen
   Timmons, Charles
   Bush, Jonathan
   Rabah, Raja
TI Pediatric Pathology Fellowship Recruitment-Report of a Survey Conducted
   by the Fellowship Committee of the Society for Pediatric Pathology
SO PEDIATRIC AND DEVELOPMENTAL PATHOLOGY
VL 21
IS 3
BP 279
EP 284
DI 10.1177/1093526617722905
PD MAY-JUN 2018
PY 2018
AB Pediatric pathology (PP) is a subspecialty of pathology encompassing
   disease states during human development from the fetus to the young
   adult. Despite the existence of ACGME-accredited fellowship programs and
   opportunity for pediatric pathology subspecialty board certification,
   many pediatric pathology fellowship positions remain unfilled in North
   America. We sought to understand the difficulties in recruitment to the
   PP training programs by conducting a survey. A 3-pronged survey
   targeting pathology residents (PR), PP fellows and recent fellowship
   graduates (F&G), and PP training programs was conducted. Three separate
   questionnaires were prepared, one for each group; and administered
   online via SurveyMonkey. There were 175 responses to PR survey, 29 to
   F&G and 19 to programs survey. The results of the PR and F&G survey
   revealed that trainees select a subspecialty early in their residency
   training, primarily based on their interest, followed by prospects of
   employment. Nearly half of resident respondents had discounted pediatric
   pathology subspecialty training without prior exposure to the specialty.
   Senior residents and faculty members were reported as the main source
   for fellowship information for residents choosing subspecialty training
   and the choice of the training program was mostly dictated by geographic
   location. Most fellow recruits are racially diverse, female, and
   American medical graduates. Pathology residents decide on subspecialty
   training based on their interest; however, many are not exposed to
   pediatric pathology early on in training. The survey results suggest
   that existing PP fellowship positions likely will continue to exceed
   demand for subspecialty training. The results of the study could aid in
   developing strategies to boost recruitment to PP.
RI Bush, Jonathan/AAD-7431-2019
OI Bush, Jonathan/0000-0001-9432-2390
ZA 0
Z8 0
ZS 0
ZR 0
TC 0
ZB 0
Z9 0
U1 0
U2 0
SN 1093-5266
EI 1615-5742
UT WOS:000434689100001
PM 28840791
ER

PT J
AU Jordan, Jaime
   Hwang, Michael
   Kaji, Amy H.
   Coates, Wendy C.
TI Scholarly Tracks in Emergency Medicine Residency Programs Are Associated
   with Increased Choice of Academic Career
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 3
BP 593
EP 599
DI 10.5811/westjem.2018.1.36753
PD MAY 2018
PY 2018
AB Introduction: Career preparation in residency training is not
   standardized. Scholarly tracks have emerged in emergency medicine (EM)
   residencies to allow specialized training in an area of focus. The
   characteristics of these tracks and their value and impact on resident
   career choice are unknown. We aim to describe the current state of
   scholarly tracks in residency training programs and their association
   with pursuit of an academic career.
   Methods: Program leaders at EM training programs completed an online
   survey consisting of multiplechoice items with free-text option.
   Additionally, participants completed a matrix of dropdown items
   identifying the immediately chosen post-residency position and
   applicable track of each member of their graduating class. Descriptive
   statistics were calculated and reported for multiple-choice items. We
   performed comparative statistics using chi-squared and Wilcoxon rank-sum
   tests. Free-text responses were analyzed using a thematic approach.
   Results: 113/157(72%) programs participated, 51 with and 62 without
   tracks. Tracks were more common in four-year programs (odds ratio
   [OR]=4.8;[2.0-11.9]) and larger programs (chi-sq, p=0.001). Perceived
   benefits of tracks from programs with them included advanced training
   (46/50; 92%), career guidance (44/50; 88%), mentorship (44/50; 88%), and
   preparation for an academic career (40/ 50; 80%). Residents often
   participated in a single track (37/50; 74%) usually during their later
   residency years. Programs with tracks were more likely to graduate
   residents to an academic career, OR 1.8;[1.3-2.4].
   Conclusion: This study describes the current characteristics and
   perceptions of scholarly tracks in EM residencies. Scholarly tracks are
   associated with an academic position immediately following residency.
   The results of this study may inform the development and use of
   scholarly tracks in residency training programs.
RI Coates, Wendy/M-1165-2019
OI Coates, Wendy/0000-0002-3305-8802
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
TC 8
Z9 8
U1 0
U2 0
SN 1936-900X
EI 1936-9018
UT WOS:000433251500025
PM 29760861
ER

PT J
AU Burkholder, Taylor W.
   Bellows, Jennifer W.
   King, Renee A.
TI Free Open Access Medical Education (FOAM) in Emergency Medicine: The
   Global Distribution of Users in 2016
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 3
BP 600
EP 605
DI 10.5811/westjem.2018.3.36825
PD MAY 2018
PY 2018
AB Introduction: Free open-access medical education (FOAM) is a collection
   of interactive online medical education resources-free and accessible to
   students, physicians and other learners. This novel approach to medical
   education has the potential to reach learners across the globe; however,
   the extent of its global uptake is unknown.
   Methods: This descriptive report evaluates the 2016 web analytics data
   from a convenience sample of FOAM blogs and websites with a focus on
   emergency medicine (EM) and critical care. The number of times a site
   was accessed, or "sessions", was categorized by country of access,
   cross-referenced with World Bank data for population and income level,
   and then analyzed using simple descriptive statistics and geographic
   mapping.
   Results: We analyzed 12 FOAM blogs published from six countries, with a
   total reported volume of approximately 18.7 million sessions worldwide
   in 2016. High-income countries accounted for 73.7% of
   population-weighted FOAM blog and website sessions in 2016, while
   upper-middle income countries, lower-middle income countries and
   low-income countries accounted for 17.5%, 8.5% and 0.3%, respectively.
   Conclusion: FOAM, while largely used in high-income countries, is used
   in low- and middle-income countries as well. The potential to provide
   free, online training resources for EM in places where formal training
   is limited is significant and thus is prime for further investigation.
ZA 0
ZR 0
TC 25
Z8 0
ZS 0
ZB 2
Z9 25
U1 1
U2 3
SN 1936-900X
EI 1936-9018
UT WOS:000433251500026
PM 29760862
ER

PT J
AU Jordan, Jaime
   Coates, Wendy C.
   Clarke, Samuel
   Runde, Daniel
   Fowlkes, Emilie
   Kurth, Jaqueline
   Yarris, Lalena
TI The Uphill Battle of Performing Education Scholarship: Barriers
   Educators and Education Researchers Face
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 3
BP 619
EP 629
DI 10.5811/westjem.2018.1.36752
PD MAY 2018
PY 2018
AB Introduction: Educators and education researchers report that their
   scholarship is limited by lack of time, funding, mentorship, expertise,
   and reward. This study aims to evaluate these groups' perceptions
   regarding barriers to scholarship and potential strategies for success.
   Methods: Core emergency medicine (EM) educators and education
   researchers completed an online survey consisting of multiple-choice,
   10-point Likert scale, and free-response items in 2015. Descriptive
   statistics were reported. We used qualitative analysis applying a
   thematic approach to free-response items.
   Results: A total of 204 educators and 42 education researchers
   participated. Education researchers were highly productive: 19/42
   reported more than 20 peer-reviewed education scholarship publications
   on their curricula vitae. In contrast, 68/197 educators reported no
   education publications within five years. Only a minority, 61/197 had
   formal research training compared to 25/42 education researchers.
   Barriers to performing research for both groups were lack of time,
   competing demands, lack of support, lack of funding, and challenges
   achieving scientifically rigorous methods and publication. The most
   common motivators identified were dissemination of knowledge, support of
   evidence-based practices, and promotion. Respondents advised those who
   seek greater education research involvement to pursue mentorship, formal
   research training, collaboration, and rigorous methodological standards.
   Conclusion: The most commonly cited barriers were lack of time and
   competing demands. Stakeholders were motivated by the desire to
   disseminate knowledge, support evidence-based practices, and achieve
   promotion. Suggested strategies for success included formal training,
   mentorship, and collaboration. This information may inform interventions
   to support educators in their scholarly pursuits and improve the overall
   quality of education research in EM.
RI Coates, Wendy/M-1165-2019; Runde, Daniel/
OI Coates, Wendy/0000-0002-3305-8802; Runde, Daniel/0000-0001-5052-4038
ZR 0
ZS 0
TC 9
Z8 0
ZA 0
ZB 0
Z9 9
U1 0
U2 0
SN 1936-900X
EI 1936-9018
UT WOS:000433251500029
PM 29760865
ER

PT J
AU Garcia, Michael
   Daugherty, Christopher
   Ben Khallouq, Bertha
   Maugans, Todd
TI Critical assessment of pediatric neurosurgery patient/ parent
   educational information obtained via the Internet
SO JOURNAL OF NEUROSURGERY-PEDIATRICS
VL 21
IS 5
BP 535
EP 541
DI 10.3171/2017.10.PEDS17177
PD MAY 2018
PY 2018
AB OBJECTIVE The Internet is used frequently by patients and family members
   to acquire information about pediatric neurosurgical conditions. The
   sources, nature, accuracy, and usefulness of this information have not
   been examined recently. The authors analyzed the results from searches
   of 10 common pediatric neurosurgical terms using a novel scoring test to
   assess the value of the educational information obtained.
   METHODS Google and Bing searches were performed for 10 common pediatric
   neurosurgical topics (concussion, craniosynostosis, hydrocephalus,
   pediatric brain tumor, pediatric Chiari malformation, pediatric epilepsy
   surgery, pediatric neurosurgery, plagiocephaly, spina bifida, and
   tethered spinal cord). The first 10 "hits" obtained with each search
   engine were analyzed using the Currency, Relevance, Authority, Accuracy,
   and Purpose (CRAAP) test, which assigns a numerical score in each of 5
   domains. Agreement between results was assessed for 1) concurrent
   searches with Google and Bing; 2) Google searches over time (6 months
   apart); 3) Google searches using mobile and PC platforms concurrently;
   and 4) searches using privacy settings Readability was assessed with an
   online analytical tool.
   RESULTS Google and Bing searches yielded information with similar CRAAP
   scores (mean 72% and 75%, respectively), but with frequently differing
   results (58% concordance/matching results). There was a high level of
   agreement (72% concordance) over time for Google searches and also
   between searches using general and privacy settings (92% concordance).
   Government sources scored the best in both CRAAP score and readability.
   Hospitals and universities were the most prevalent sources, but these
   sources had the lowest CRAAP scores, due in part to an abundance of
   self-marketing. The CRAAP scores for mobile and desktop platforms did
   not differ significantly (p = 0.49).
   CONCLUSIONS Google and Bing searches yielded useful educational
   information, using either mobile or PC platforms. Most information was
   relevant and accurate; however, the depth and breadth of information was
   variable. Search results over a 6-month period were moderately stable.
   Pediatric neurosurgery practices and neurosurgical professional
   organization websites were inferior (less current, less accurate, less
   authoritative, and less purposeful) to governmental and
   encyclopedia-type resources such as Wikipedia. This presents an
   opportunity for pediatric neurosurgeons to participate in the creation
   of better online patient/parent educational material.
Z8 0
ZA 0
TC 9
ZB 1
ZS 0
ZR 0
Z9 10
U1 0
U2 2
SN 1933-0707
EI 1933-0715
UT WOS:000433046900016
PM 29451451
ER

PT J
AU Garg, M.
   Collyer, J.
   Dhariwal, D.
TI "Run-through" training at specialist training year 1 and uncoupled core
   surgical training for oral and maxillofacial surgery in the United
   Kingdom: a snapshot survey
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 56
IS 4
BP 327
EP 331
DI 10.1016/j.bjoms.2018.03.008
PD MAY 2018
PY 2018
AB Training in oral and maxillofacial surgery (OMFS) in the UK has
   undergone considerable changes during the last 10 years, and "core"
   surgical training has replaced "basic" surgical training. In 2014 a
   pilot "run-through" training programme from specialist training year one
   (ST1)-ST7 was introduced to facilitate early entry into the speciality.
   Run-through training guarantees that a trainee, after a single
   competitive selection process and satisfactory progress, will be given
   training that covers the entire curriculum of the speciality, whereas
   uncoupled training requires a second stage of competitive recruitment
   after the first one (for OMFS only) or two years of "core" training to
   progress to higher specialty training.
   The first two years of run-through training (ST1-ST2) are the same as
   for core surgical training. Dual-qualified maxillofacial aspirants and
   those in their second degree course are curious to know whether they
   should go for the uncoupled core surgical training or the run-through
   programme in OMFS. The General Medical Council (GMC) has now agreed that
   run-through training can be rolled out nationally in OMFS. To assess the
   two pathways we used an online questionnaire to gain feedback about the
   experience from all OMFS ST3 and run-through trainees (ST3/ST4) in
   2016-2017. We identified and contacted 21 trainees, and 17 responded,
   including seven run-through trainees. Eleven, including five of the
   run-through trainees, recommended the run-through training programme in
   OMFS. Six of the seven run-through trainees had studied dentistry first.
   The overall mean quality of training was rated as 5.5 on a scale 0-10 by
   the 17 respondents. This survey gives valuable feedback from the current
   higher surgical trainees in OMFS, which will be useful to the GMC,
   Flealth Education England, OMFS Specialist Advisory Committee, and those
   seeking to enter higher surgical training in OMFS. (C) 2018 The British
   Association of Oral and Maxillofacial Surgeons. Published by Elsevier
   Ltd. All rights reserved.
ZB 0
ZS 0
TC 10
ZR 0
Z8 0
ZA 0
Z9 10
U1 0
U2 0
SN 0266-4356
EI 1532-1940
UT WOS:000432373800016
PM 29628171
ER

PT J
AU Praplan-Rudaz, Isabelle
   Pfeiffer, Yvonne
   Schwappach, David L. B.
TI Implementation status of morbidity and mortality conferences in Swiss
   hospitals: a national cross-sectional survey study
SO INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
VL 30
IS 4
BP 257
EP 264
DI 10.1093/intqhc/mzx204
PD MAY 2018
PY 2018
AB Objective: To determine the implementation status and current practice
   of morbidity and mortality conferences (M&MCs) in Switzerland.
   Design: A national cross-sectional online survey was conducted in spring
   2017. The questionnaire focused on overall goals, structure and
   procedures of hospital M&MCs. Further topics included satisfaction,
   perceived effectiveness and support requirements.
   Setting: A total of 913 chief physicians of surgery and internal
   medicine, and specialist fields of obstetrics and gynaecology,
   anaesthesiology and intensive care from Swiss acute care hospitals were
   invited to the survey. 321 completed the questionnaire, resulting in a
   35.2% response rate.
   Participants: Chief or senior physicians in charge of the M&MCs in their
   department.
   Intervention: No intervention
   Main Outcome Measures: Numbers and percentages of M&MCs within the
   surveyed disciplines fulfilling certain characteristics and procedural
   features.
   Results: Among 321 respondents, the majority are conducting M&MCs in
   their departments. Within and between the medical disciplines
   considerable heterogeneity was found in structural and procedural
   features of M&MCs. Only a small part of the reported M&MCs is following
   a systematic approach and meeting recommended procedural features.
   Although the respondents are satisfied and perceive the M&MCs as an
   efficient tool, they agree that there is a need for professionalization
   and standardization.
   Conclusion: M&MCs are widely used to promote medical education, patient
   safety and quality improvements. However, the term M&MC seems to cover
   different types of meetings. Although the overall goals are similar,
   various types of M&MCs are used in practice and different objectives are
   pursued. Tools such as checklists, guidelines and templates are
   considered helpful.
OI Schwappach, David/0000-0001-8668-3065
TC 3
ZR 0
Z8 0
ZB 1
ZA 0
ZS 0
Z9 3
U1 0
U2 2
SN 1353-4505
EI 1464-3677
UT WOS:000432295500004
PM 29346570
ER

PT J
AU Rodriguez, Elizabeth S.
TI USING PATIENT PORTALS TO INCREASE ENGAGEMENT IN PATIENTS WITH CANCER
SO SEMINARS IN ONCOLOGY NURSING
VL 34
IS 2
BP 177
EP 183
DI 10.1016/j.soncn.2018.03.009
PD MAY 2018
PY 2018
AB OBJECTIVES: To review patient portals which serve as a tool for patient
   engagement by increasing access to electronic health care information
   and expanding ways to communicate with health care providers.
   DATA SOURCES: Reviews of the literature and first-hand experience.
   CONCLUSION: Meaningful Use requirements propelled the design and
   development of patient portals in recent years. Patient engagement in
   oncology can improve quality of life and outcomes.
TC 7
ZB 1
ZA 0
ZS 0
Z8 0
ZR 0
Z9 7
U1 0
U2 7
SN 0749-2081
EI 1878-3449
UT WOS:000432470000009
PM 29625803
ER

PT J
AU Ryan, C.
   Ward, E.
   Jones, M.
TI Recruitment and retention of trainee physicians: a retrospective
   analysis of the motivations and influences on career choice of trainee
   physicians
SO QJM-AN INTERNATIONAL JOURNAL OF MEDICINE
VL 111
IS 5
BP 313
EP 318
DI 10.1093/qjmed/hcy032
PD MAY 2018
PY 2018
AB Background: Across the UK, there are vacant physician posts at every
   level. This increases workload and stress for those who remain, in turn
   making substantive jobs less attractive.
   Aim: To understand the influences on career choice and retention in
   training of current trainee physicians.
   Methods: An online survey, with a combination of closed and free text
   questions, was developed to assess factors that affected career choices.
   This was sent to all core and higher specialty trainees in Scotland and
   Associate or Collegiate members of the Royal College of Physicians
   Edinburgh not training in Scotland.
   Results: A total of 846 trainees responded, 231 of whom were trainee
   physicians; 161 (70%) of trainee physicians stated that experience prior
   to their current role had a very positive impact on career choice,
   particularly positive role modelling and informal career advice. Core
   trainees were less likely to report enjoying their job than higher
   specialty trainees with 31 (50%) found to enjoy their job 'always' or
   'most of the time' in comparison to 114 (79%). About 181 (78%) of
   trainees selected through national recruitment of which 77 (42%) were
   moderately satisfied and 32 (8%) completely satisfied with the process.
   Uncertainty of job location and inability to demonstrate professional
   ability were the main complaints.
   Conclusions: Career choices are influenced by role models and informal
   careers advice. Efforts must be made to improve the experience trainees,
   particularly those in core training. Current physicians, both trainees
   and consultants, have an important role in recruiting the next
   generation of trainee physicians-this must be supported.
ZS 0
ZA 0
ZR 0
TC 2
ZB 1
Z8 0
Z9 2
U1 0
U2 5
SN 1460-2725
EI 1460-2393
UT WOS:000432294000007
PM 29452409
ER

PT J
AU DeFroda, Steven F.
   Mehta, Nabil
   Owens, Brett D.
TI Physical Therapy Protocols for Arthroscopic Bankart Repair
SO SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH
VL 10
IS 3
BP 250
EP 258
DI 10.1177/1941738117750553
PD MAY-JUN 2018
PY 2018
AB Background: Outcomes after arthroscopic Bankart repair can be highly
   dependent on compliance and participation in physical therapy.
   Additionally, there are many variations in physician-recommended
   physical therapy protocols.
   Hypothesis: The rehabilitation protocols of academic orthopaedic surgery
   departments vary widely despite the presence of consensus protocols.
   Study Design: Descriptive epidemiology study.
   Level of Evidence: Level 3.
   Methods: Web-based arthroscopic Bankart rehabilitation protocols
   available online from Accreditation Council for Graduate Medical
   Education (ACGME)-accredited orthopaedic surgery programs were included
   for review. Individual protocols were reviewed to evaluate for the
   presence or absence of recommended therapies, goals for completion of
   ranges of motion, functional milestones, exercise start times, and
   recommended time to return to sport.
   Results: Thirty protocols from 27 (16.4%) total institutions were
   identified out of 164 eligible for review. Overall, 9 (30%) protocols
   recommended an initial period of strict immobilization. Variability
   existed between the recommended time periods for sling immobilization
   (mean, 4.8 1.8 weeks). The types of exercises and their start dates were
   also inconsistent. Goals to full passive range of motion (mean, 9.2 2.8
   weeks) and full active range of motion (mean, 12.2 +/- 2.8 weeks) were
   consistent with other published protocols; however, wide ranges existed
   within the reviewed protocols as a whole. Only 10 protocols (33.3%)
   included a timeline for return to sport, and only 3 (10%) gave an
   estimate for return to game competition. Variation also existed when
   compared with the American Society of Shoulder and Elbow Therapists'
   (ASSET) consensus protocol.
   Conclusion: Rehabilitation protocols after arthroscopic Bankart repair
   were found to be highly variable. They also varied with regard to
   published consensus protocols. This discrepancy may lead to confusion
   among therapists and patients.
   Clinical Relevance: This study highlights the importance of attending
   surgeons being very clear and specific with regard to their physical
   therapy instructions to patients and therapists.
ZB 3
ZR 0
ZA 0
ZS 0
TC 15
Z8 1
Z9 16
U1 3
U2 18
SN 1941-7381
EI 1941-0921
UT WOS:000432127700009
PM 29298132
ER

PT J
AU Escoffery, Cam
TI Gender Similarities and Differences for e-Health Behaviors Among US
   Adults
SO TELEMEDICINE AND E-HEALTH
VL 24
IS 5
BP 335
EP 343
DI 10.1089/tmj.2017.0136
PD MAY 2018
PY 2018
AB Background: Technology access and use are increasing worldwide. Adults
   can potentially use technology to assist with health promotion and
   medical care.
   Introduction: The purpose of this study was to compare the prevalence of
   participation in online health-related activities between different
   genders of U.S. adults aged 18-90 years.
   Methods: Primary data collected through a survey panel were used to
   examine associations between gender and technology ownership, Internet
   health-seeking behaviors and online behaviors related to health, having
   an app, and preferences for health information. Data were collected
   through an online survey panel of U.S. adults (n=400) in March 2017.
   Results and Materials: Almost 75% had ever looked for health information
   and 56.8% had searched for information in the past month. About
   one-third of both genders (34.1%) reported tracking any health indicator
   regularly, and 24% had a health app. Compared with males, females were
   more likely to have ever sought health information online and to have a
   mobile app for health. No significant differences were observed between
   gender and individual or total e-health literacy scores. The top three
   preferences for health sources were Web sites (81.3%), in person
   (72.0%), and then print materials (72.0%).
   Conclusions: This study illustrates that U.S. adults are using the
   Internet for health activities; however, females are more likely to
   engage in different e-health behaviors than males. Additional research
   could determine the causal factors behind these group differences in the
   use of online healthcare and health implications in public health
   practice for each group.
RI Escoffery, Cam/F-8030-2011; Escoffery, Cam/
OI Escoffery, Cam/0000-0003-4445-009X
ZA 0
ZB 7
Z8 0
ZS 0
TC 34
ZR 0
Z9 34
U1 3
U2 20
SN 1530-5627
EI 1556-3669
UT WOS:000432200400003
PM 28813630
ER

PT J
AU Williams, Bethany Jill
   Lee, Jessica
   Oien, Karin A.
   Treanor, Darren
TI Digital pathology access and usage in the UK: results from a national
   survey on behalf of the National Cancer Research Institute's CM-Path
   initiative
SO JOURNAL OF CLINICAL PATHOLOGY
VL 71
IS 5
BP 463
EP 466
DI 10.1136/jclinpath-2017-204808
PD MAY 2018
PY 2018
AB Aim To canvass the UK pathology community to ascertain current levels of
   digital pathology usage in clinical and academic histopathology
   departments, and prevalent attitudes to digital pathology.
   Methods A 15-item survey was circulated to National Health Service and
   academic pathology departments across the UK using the SurveyMonkey
   online survey tool. Responses were sought at a departmental or
   institutional level. Where possible, departmental heads were approached
   and asked to complete the survey, or forward it to the most relevant
   individual in their department. Data were collected over a 6-month
   period from February to July 2017.
   Results 41 institutes from across the UK responded to the survey. 60%
   (23/39) of institutions had access to a digital pathology scanner, and
   60% (24/40) had access to a digital pathology workstation. The most
   popular applications of digital pathology in current use were
   undergraduate and postgraduate teaching, research and quality assurance.
   Investigating the deployment of digital pathology in their department
   was identified as a high or highest priority by 58.5% of institutions,
   with improvements in efficiency, turnaround times, reporting times and
   collaboration in their institution anticipated by the respondents.
   Access to funding for initial hardware, software and staff outlay,
   pathologist training and guidance from the Royal College of Pathologists
   were identified as factors that could enable respondent institutions to
   increase their digital pathology usage.
   Conclusion Interest in digital pathology adoption in the UK is high,
   with usage likely to increase in the coming years. In light of this,
   pathologists are seeking more guidance on safe usage.
RI Oien, Karin/AAH-3849-2019; Lee, Jessica/
OI Lee, Jessica/0000-0003-1711-9481
ZB 16
ZR 0
Z8 1
ZA 0
TC 24
ZS 0
Z9 25
U1 1
U2 5
SN 0021-9746
EI 1472-4146
UT WOS:000430835100012
PM 29317516
ER

PT J
AU Hasselblatt, Friederike
   Messerer, David A. C.
   Keis, Oliver
   Boeckers, Tobias M.
   Boeckers, Anja
TI Anonymous Body or First Patient? A Status Report and Needs Assessment
   Regarding the Personalization of Donors in Dissection Courses in German,
   Austrian, and Swiss Medical Schools
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 3
BP 282
EP 293
DI 10.1002/ase.1744
PD MAY-JUN 2018
PY 2018
AB Many Anglo-American universities have undertaken a paradigm shift in how
   the dissection of human material is approached, such that students are
   encouraged to learn about the lives of body donors, and to respectfully
   "personalize" them as human beings, rather than treating the specimens
   as anonymous cadavers. For the purposes of this study, this provision of
   limited personal information regarding the life of a body donor will be
   referred to as "personalization" of body donors. At this time, it is
   unknown whether this paradigm shift in the personalization of body
   donors can be translated into the German-speaking world. A shift from
   donor anonymity to donor personalization could strengthen students'
   perception of the donor as a "first patient," and thereby reinforce
   their ability to empathize with their future patients. Therefore, this
   study aimed to collect data about the current status of donation
   practices at German-speaking anatomy departments (n = 44) and to
   describe the opinions of anatomy departments, students (n = 366), and
   donors (n = 227) about possible donor personalization in medical
   education. Anatomy departments in Germany, Austria, and Switzerland were
   invited to participate in an online questionnaire. One-tenth of
   registered donors at Ulm University were randomly selected and received
   a questionnaire (20 items, yes-no questions) by mail. Students at the
   University of Ulm were also surveyed at the end of the dissection course
   (31 items, six-point Likert-scale). The majority of students were
   interested in receiving additional information about their donors
   (78.1%). A majority of donors also supported the anonymous disclosure of
   information about their medical history (92.5%). However, this
   information is only available in about 28% of the departments surveyed
   and is communicated to the students only irregularly. Overall, 78% of
   anatomy departments were not in favor of undertaking donor
   personalization. The results appear to reflect traditional attitudes
   among anatomy departments. However, since students clearly preferred
   receiving additional donor information, and most donors expressed a
   willingness to provide this information, one could argue that a change
   in attitudes is necessary. To do so, official recommendations for a
   limited, anonymous personalization of donated cadaveric specimens might
   be necessary. (C) 2017 American Association of Anatomists.
RI Messerer, David Alexander Christian/AAJ-9965-2021
OI Messerer, David Alexander Christian/0000-0002-0834-038X
ZB 0
TC 16
ZA 0
ZS 0
ZR 0
Z8 0
Z9 16
U1 0
U2 5
SN 1935-9772
EI 1935-9780
UT WOS:000431968700008
PM 29742328
ER

PT J
AU Clunie, Lauren
   Morris, Neil P.
   Joynes, Viktoria C. T.
   Pickering, James D.
TI How Comprehensive Are Research Studies Investigating the Efficacy of
   Technology-Enhanced Learning Resources in Anatomy Education? A
   Systematic Review
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 3
BP 303
EP 319
DI 10.1002/ase.1762
PD MAY-JUN 2018
PY 2018
AB Anatomy education is at the forefront of integrating innovative
   technologies into its curricula. However, despite this rise in
   technology numerous authors have commented on the shortfall in efficacy
   studies to assess the impact such technology-enhanced learning (TEL)
   resources have on learning. To assess the range of evaluation approaches
   to TEL across anatomy education, a systematic review was conducted using
   MEDLINE, the Educational Resources Information Centre (ERIC), Scopus,
   and Google Scholar, with a total of 3,345 articles retrieved. Following
   the PRISMA method for reporting items, 153 articles were identified and
   reviewed against a published frameworkthe technology-enhanced learning
   evaluation model (TELEM). The model allowed published reports to be
   categorized according to evaluations at the level of (1) learner
   satisfaction, (2) learning gain, (3) learner impact, and (4)
   institutional impact. The results of this systematic review reveal that
   most evaluation studies into TEL within anatomy curricula were based on
   learner satisfaction, followed by module or course learning outcomes.
   Randomized controlled studies assessing learning gain with a specific
   TEL resource were in a minority, with no studies reporting a
   comprehensive assessment on the overall impact of introducing a specific
   TEL resource (e.g., return on investment). This systematic review has
   provided clear evidence that anatomy education is engaged in evaluating
   the impact of TEL resources on student education, although it remains at
   a level that fails to provide comprehensive causative evidence. (C) 2017
   American Association of Anatomists.
RI Clunie, Lauren/ABB-5341-2020; Goddard, Viktoria/; Morris, Neil/
OI Clunie, Lauren/0000-0002-9389-022X; Goddard,
   Viktoria/0000-0003-1967-6126; Morris, Neil/0000-0003-4448-9381
ZR 0
ZS 3
Z8 0
ZA 0
ZB 9
TC 52
Z9 52
U1 4
U2 70
SN 1935-9772
EI 1935-9780
UT WOS:000431968700010
PM 29236354
ER

PT J
AU Hamiel, Uri
   Hecht, Idan
   Nemet, Achia
   Pe'er, Liron
   Man, Vitaly
   Hilely, Assaf
   Achiron, Asaf
TI Frequency, comprehension and attitudes of physicians towards
   abbreviations in the medical record
SO POSTGRADUATE MEDICAL JOURNAL
VL 94
IS 1111
BP 254
EP 258
DI 10.1136/postgradmedj-2017-135515
PD MAY 2018
PY 2018
AB Aims Abbreviations are common in the medical record. Their inappropriate
   use may ultimately lead to patient harm, yet little is known regarding
   the extent of their use and their comprehension. Our aim was to assess
   the extent of their use, their comprehension and physicians' attitudes
   towards them, using ophthalmology consults in a tertiary hospital as a
   model.
   Methods We first mapped the frequency with which English abbreviations
   were used in the departments' computerised databases. We then used the
   most frequently used abbreviations as part of a cross-sectional survey
   designed to assess the attitudes of non-ophthalmologist physicians
   towards the abbreviations and their comprehension of them. Finally, we
   tested whether an online lecture would improve comprehension.
   Results 4375 records were screened, and 235 physicians responded to the
   survey. Only 42.5% knew at least 10% of the abbreviations, and no one
   knew them all. Ninety-two per cent of respondents admitted to searching
   online for the meanings of abbreviations, and 59.1% believe
   abbreviations should be prohibited in medical records. A short online
   lecture improved the number of respondents answering correctly at least
   50% of the time from 1.2% to 42% (P<0.001).
   Conclusions Abbreviations are common in medical records and are
   frequently misinterpreted. Online teaching is a valuable tool for
   physician education. The majority of respondents believed that
   misinterpreting abbreviations could negatively impact patient care, and
   that the use of abbreviations should be prohibited in medical records.
   Due to low rates of comprehension and negative attitudes towards
   abbreviations in medical communications, we believe their use should be
   discouraged.
RI hamiel, uri/ABD-3269-2020; Hecht, Idan/; Hamiel, Uri/; Man, Vitaly/F-7952-2017
OI Hecht, Idan/0000-0001-5634-0432; Hamiel, Uri/0000-0001-8983-464X; Man,
   Vitaly/0000-0003-1657-6920
ZR 0
Z8 0
ZA 0
ZB 2
ZS 0
TC 3
Z9 3
U1 0
U2 1
SN 0032-5473
EI 1469-0756
UT WOS:000431401300002
PM 29540451
ER

PT J
AU Brooks, Forrest A.
   Ughwanogho, Uvieoghene
   Henderson, Galen V.
   Black-Schaffer, Randie
   Sorond, Farzaneh A.
   Tan, Can Ozan
TI The Link Between Cerebrovascular Hemodynamics and Rehabilitation
   Outcomes After Aneurysmal Subarachnoid Hemorrhage
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 5
BP 309
EP 315
DI 10.1097/PHM.0000000000000886
PD MAY 2018
PY 2018
AB Objective: The aim of the study was to assess the relation between
   cerebrovascular function early after aneurysmal subarachnoid hemorrhage
   onset and functional and rehabilitation outcomes.
   Design: Observational cohort study of subarachnoid hemorrhage patients
   (n = 133) admitted to rehabilitation (n = 49), discharged home (n = 52),
   or died before discharge (n = 10). We obtained hemodynamic markers of
   cerebral autoregulatory function from blood flow velocities in the
   middle cerebral artery and arterial pressure waveforms, recorded daily
   on days 2-4 after symptom onset, and functional independence measure
   (FIM) scores and FIM efficiency for those admitted to acute
   rehabilitation.
   Results: Compared to those discharged home, the range of pressures
   within which autoregulation is effective was lower in patients admitted
   to rehabilitation (4.6 [0.2] vs. 3.9 [0.2] mm Hg) and those who died
   (2.7 [0.4], P = 0.04). For those admitted to rehabilitation,
   autoregulatory range and the ability of cerebrovasculature to increase
   flow were related to discharge FIM score (R-2 = 0.33 and 0.43, P < 0.01)
   and efficiency (R-2 = 0.33 and 0.47 P < 0.01). The latter marker, along
   with subarachnoid hemorrhage severity and admission FIM, explained 84%
   and 69% of the variability in discharge FIM score and efficiency,
   respectively, even after accounting for age.
   Conclusions: Early cerebrovascular function is a major contributor to
   functional outcomes after subarachnoid hemorrhage and may represent a
   modifiable target to develop therapeutic approaches.
RI Tan, Can Ozan/E-2598-2016; Black-Schaffer, Randie/AAY-4671-2021
OI Tan, Can Ozan/0000-0001-9673-9907; 
Z8 0
ZA 0
TC 5
ZS 0
ZB 2
ZR 0
Z9 5
U1 0
U2 1
SN 0894-9115
EI 1537-7385
UT WOS:000431175800008
PM 29309312
ER

PT J
AU Corredera, Erica
   Davis, Kara S.
   Simons, Jeffrey P.
   Jabbour, Noel
TI What parents are reading about laryngomalacia: Quality and readability
   of internet resources on laryngomalacia
SO INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
VL 108
BP 175
EP 179
DI 10.1016/j.ijporl.2018.02.036
PD MAY 2018
PY 2018
AB Objective: The goal of this study is to measure the quality and
   readability of websites related to laryngomalacia, and to compare the
   quality and readability scores for the sites accessed through the most
   popular search engines. Introduction: Laryngomalacia is a common
   diagnosis in children but is often difficult for parents to comprehend.
   As information available on the internet is unregulated, the quality and
   readability of this information may vary.
   Methods: An advanced search on Google, Yahoo, and Bing was conducted
   using the terms "laryngomalacia" OR "soft larynx" OR "floppy voice box."
   The first ten websites meeting inclusion and exclusion criteria were
   evaluated, for each search engine. Quality and readability were assessed
   using the DISCERN criteria and the Flesch reading ease scoring (FRES)
   and Flesch-Kincaid grade level (FKGL) tests, respectively.
   Results: The top 10 hits on each search engine yielded 15 unique web
   pages. The median DISCERN score (out of a possible high-score of 80) was
   48.5 (SD 12.6). The median USA grade-level estimated by the FKGL was
   11.3 (SD 1.4). Only one website (6.7%), had a readability score in the
   optimal range of 6th to 8th grade reading level. DISCERN scores did not
   correlate with FKGL scores (r = 0.10).
   Conclusion: Online information discussing laryngomalacia often varies in
   quality and may not be easily comprehensible to the public. It is
   important for healthcare professionals to understand the quality of
   health information accessible to patients as it may influence medical
   decision-making by patient families.
OI Meister, Kara/0000-0002-4983-3068
TC 3
ZA 0
ZS 0
Z8 0
ZR 0
ZB 0
Z9 3
U1 0
U2 6
SN 0165-5876
EI 1872-8464
UT WOS:000430903600032
PM 29605350
ER

PT J
AU Norman, Marie K.
   Mayowski, Colleen A.
   Rubio, Doris M.
TI Lowering the barriers to teaching online
SO MEDICAL EDUCATION
VL 52
IS 5
BP 569
EP 570
DI 10.1111/medu.13538
PD MAY 2018
PY 2018
TC 3
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
Z9 3
U1 0
U2 4
SN 0308-0110
EI 1365-2923
UT WOS:000430397300036
PM 29484699
ER

PT J
AU Collares, Felipe Birchal
   Sonde, Mehru
   Harper, Kenneth
   Armitage, Michael
   Neuhardt, Diana L.
   Fronek, Helane S.
TI Patient safety in phlebology: The ACP Phlebology Safety Checklist
SO PHLEBOLOGY
VL 33
IS 4
BP 273
EP 277
DI 10.1177/0268355517694725
PD MAY 2018
PY 2018
AB Objectives: To assess the current use of safety checklists among the
   American College of Phlebology (ACP) members and their interest in
   implementing a checklist supported by the ACP on their clinical
   practices; and to develop a phlebology safety checklist.
   Method: Online surveys were sent to ACP members, and a phlebology safety
   checklist was developed by a multispecialty team through the ACP
   Leadership Academy.
   Results: Forty-seven percent of respondents are using a safety checklist
   in their practices; 23% think that a phlebology safety checklist would
   interfere or disrupt workflow; 79% answered that a phlebology safety
   checklist could improve procedure outcomes or prevent complications; and
   85% would be interested in implementing a phlebology safety checklist
   approved by the ACP.
   Conclusion: A phlebology safety checklist was developed with the intent
   to increase awareness on patient safety and improve outcome in
   phlebology practice.
Z8 0
ZB 0
ZA 0
ZS 0
TC 0
ZR 0
Z9 0
U1 0
U2 1
SN 0268-3555
EI 1758-1125
UT WOS:000430336200007
PM 28954581
ER

PT J
AU Singh, Suman P.
   Dhir, Shashi K.
   Sharma, Monika
   Singh, Tejinder
TI Publication misconduct: Perceptions of participants of a faculty
   development programme
SO NATIONAL MEDICAL JOURNAL OF INDIA
VL 31
IS 3
BP 169
EP 171
DI 10.4103/0970-258X.255762
PD MAY-JUN 2018
PY 2018
AB Background. Publication misconduct is a commonly reported finding among
   researchers from various backgrounds including those from the medical
   sciences. The reasons for such events are diverse and people address
   them differently.
   Methods. The opinions and experiences of 72 medical educators enrolled
   in an online discussion forum for faculty development were analysed to
   ascertain possible reasons and ways to address publication misconduct.
   Results. Of the 50 educators who participated in the discussion, 46 had
   one or more experiences of publication misconduct to share. Twelve
   participants felt that almost all kinds of publication misconduct, i.e.
   fabrication and falsification of data, plagiarism and authorship issues
   were a universal phenomenon. In the experience of majority of the
   participants, publication misconduct was common and often no action was
   taken. Lack of knowledge and awareness among teachers and students,
   personal gains, pressure for professional advancement and lack of
   monitoring and control were identified as the reasons for such
   misconduct. Several solutions were offered by the participants to
   address the problem, the most common was to have a formal training
   programme along with stringent monitoring and control mechanisms at the
   institutional level.
   Conclusion. Publication misconduct occurs and people indulge in it for a
   variety of reasons. Institutional-level policies may be able to address
   some of these.
RI Singh, Tejinder/AAX-1694-2020
ZB 0
ZA 0
Z8 0
TC 1
ZR 0
ZS 0
Z9 1
U1 0
U2 2
SN 0970-258X
UT WOS:000469074400012
PM 31044767
ER

PT J
AU Roter, Debra L.
   Narayanan, Siva
   Smith, Katherine
   Bullman, Ray
   Rausch, Paula
   Wolff, Jennifer L.
   Alexander, G. Caleb
TI Family caregivers' facilitation of daily adult prescription medication
   use
SO PATIENT EDUCATION AND COUNSELING
VL 101
IS 5
BP 908
EP 916
DI 10.1016/j.pec.2017.12.018
PD MAY 2018
PY 2018
AB Objective: To describe ways family members assist adult patients with
   prescription medications at home, during medical visits and at the
   pharmacy.
   Methods: Online survey of 400 adults (caregivers) who help another adult
   (care recipient) with prescription medication use. Regression modeled
   the contribution of caregiver communication during recipients' medical
   visits, evaluation of physicians' medication communication and
   discussions with the dispensing pharmacist on caregivers' assistance
   with home medication management.
   Results: Female (68%) family members (94%) assisted care recipients with
   multimorbidity (mean 2.9 conditions) and polypharmacy (mean 3.2
   prescriptions). On average, caregivers performed 3 visit communication
   behaviors (e.g., notetaking) and implemented 2.6 home medication
   management strategies (e.g., filling/monitoring pill boxes).
   Communication-related variables explained 17% of home medication
   management assistance; including caregivers' visit communication (std.
   beta 0.31), physicians' medication communication (std. beta 0.15) and
   pharmacist discussions (std. beta 0.10). The final model included
   recipients' multimorbidity and caregiver education (std. betas 0.21 and
   0.13) explaining 22% of caregiver assistance with home medication
   management.
   Conclusion: Caregivers' assistance with safe and effective home
   medication use crosses care contexts and is facilitated by clinician and
   pharmacist communication. Practice implications: Support for caregiver
   engagement in healthcare conversations can contribute to patient
   adherence and family-centered, high quality care. (C) 2017 Published by
   Elsevier Ireland Ltd.
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
TC 5
Z9 5
U1 0
U2 9
SN 0738-3991
UT WOS:000430441800018
PM 29352620
ER

PT J
AU Gilson, K. -M.
   Davis, E.
   Johnson, S.
   Gains, J.
   Reddihough, D.
   Williams, K.
TI Mental health care needs and preferences for mothers of children with a
   disability
SO CHILD CARE HEALTH AND DEVELOPMENT
VL 44
IS 3
BP 384
EP 391
DI 10.1111/cch.12556
PD MAY 2018
PY 2018
AB BackgroundMothers of children with a disability are at increased risk of
   poor mental health compared with mothers of typically developing
   children. The aim of the study was to describe the mental health care
   needs and preferences for support of mothers of children and young
   people aged 0-25years with a disability.
   MethodsA cross-sectional study was used, using an online survey with 294
   mothers of children with a disability. Questions were asked about mental
   health, perceived need for support, barriers to accessing mental health
   care, and preferences for support. Descriptive and chi-squared analyses
   were performed.
   ResultsHigh rates of mental ill health were self-identified in the
   previous 12months, with reported clinically significant depression
   (44%), anxiety (42%), and suicidality (22%). Nearly half (48%) of the
   mothers reported high to very high psychological distress. Although 75%
   of mothers perceived a need for professional support, only 58% attempted
   to access this. Key barriers to accessing support were caregiving duties
   making it difficult to schedule appointments (45%) and not perceiving
   the mental health problem as serious enough to require help (36%).
   Individual counselling was the preferred type of support (66%) followed
   by professionally guided relaxation (49%) and education about mental
   health (47%). Support was considered most critical at the time of
   diagnosis and during medical intervention for their child.
   ConclusionsAlthough mental health problems were common and mothers
   perceived the need for professional help, several key barriers were
   preventing mothers from accessing help. Our study suggests that
   improving mothers' knowledge of when and where to seek help (mental
   health literacy) may encourage their access to support. There also needs
   to be more accessible treatment to mothers given the high care demands
   that are placed upon them.
RI Davis, Elise/; gilson, Kim/; Williams, Katrina/B-6828-2015
OI Davis, Elise/0000-0002-5076-2869; gilson, Kim/0000-0002-8531-2841;
   Williams, Katrina/0000-0002-1686-4458
ZR 0
ZB 4
ZS 0
TC 24
ZA 0
Z8 1
Z9 25
U1 0
U2 13
SN 0305-1862
EI 1365-2214
UT WOS:000429539100016
PM 29430692
ER

PT J
AU El Hajj, Maguy Saffouh
   Awaisu, Ahmed
   Saleh, Rana Ahmed
   Al Hamad, Noora Mohammed
   Kheir, Nadir
   Zeenny, Rony M.
   Fathelrahman, Ahmed Ibrahim
TI Tobacco-Related Education in Schools of Pharmacy in the Middle East: A
   Multinational Cross-Sectional Study
SO NICOTINE & TOBACCO RESEARCH
VL 20
IS 5
BP 561
EP 567
DI 10.1093/ntr/ntx031
PD MAY 2018
PY 2018
AB Lack of adequate tobacco-related content in pharmacy curricula can
   interfere with pharmacist's ability to provide tobacco cessation
   interventions. This study aims to determine the extent of
   tobacco-related content in pharmacy schools' curricula across the Middle
   East region, instructional methods used, perceived adequacy and
   importance of tobacco education, and barriers for inclusion of
   tobacco-related content in pharmacy curricula.
   A web-based survey was sent to 120 schools of pharmacy in 13 Middle
   Eastern countries. Key faculty members were identified and sent an
   e-mail with an online link to the survey. Data were descriptively
   analyzed using Statistical Package for Social Sciences version 22.
   Of the 120 pharmacy schools contacted, 59 schools completed the survey
   (49.2% response rate). Of this, 44 (74.6%) reported including
   tobacco-related content in their undergraduate curricula. Nicotine
   pharmacology and principles of addiction (64.4%), pharmacologic aids for
   tobacco cessation (61%), and health effects of tobacco (61%) were the
   most commonly reported topics. The topics that were least perceived to
   be adequately covered were monitoring outcomes of tobacco cessation
   interventions (5.9%) and epidemiology of tobacco use (15.4%). The top
   barriers to inclusion of tobacco-related topics in the curriculum were
   lack of time (75.9%), lack of experiential training sites focusing on
   tobacco cessation interventions (72.2%), lack of faculty expertize
   (66%), and perceived lack of priority of tobacco related content in
   pharmacy schools (66%).
   The current findings suggest that more efforts should be geared towards
   increasing content for tobacco education in schools of pharmacy across
   the Middle East and towards overcoming the identified barriers.
   This study is the first to assess the extent of tobacco-related content
   in pharmacy schools curricula across the Middle East countries. If
   pharmacy students are expected to deliver effective tobacco cessation
   services when they graduate as pharmacists, then schools of pharmacy in
   the Middle East should consider providing adequate tobacco-related
   content and training in undergraduate curricula. Pharmacy schools have
   to work on circumventing the identified barriers including lack of time,
   lack of experiential training sites offering tobacco cessation
   interventions, shortage of faculty with relevant expertize and placing
   low priority on tobacco education in pharmacy schools.
RI Zeenny, Rony M./H-6598-2019; Awaisu, Ahmed/AAU-3959-2020; Fathelrahman, Ahmed/C-9449-2012; Kheir, Nadir/
OI Zeenny, Rony M./0000-0002-5443-7780; Awaisu, Ahmed/0000-0002-9029-8925;
   Fathelrahman, Ahmed/0000-0002-5689-5769; Kheir,
   Nadir/0000-0002-0295-3505
ZA 0
Z8 0
ZR 0
ZS 0
TC 3
ZB 0
Z9 3
U1 0
U2 4
SN 1462-2203
EI 1469-994X
UT WOS:000429448500005
PM 28164230
ER

PT J
AU Hunter, David J.
   Hinman, Rana S.
   Bowden, Jocelyn L.
   Egerton, Thorlene
   Briggs, Andrew M.
   Bunker, Stephen J.
   Kasza, Jessica
   Forbes, Andrew B.
   French, Simon D.
   Pirotta, Marie
   Schofield, Deborah J.
   Zwar, Nicholas A.
   Bennell, Kim L.
CA PARTNER Study Team
TI Effectiveness of a new model of primary care management on knee pain and
   function in patients with knee osteoarthritis: Protocol for THE PARTNER
   STUDY
SO BMC MUSCULOSKELETAL DISORDERS
VL 19
AR 132
DI 10.1186/s12891-018-2048-0
PD APR 30 2018
PY 2018
AB Background: To increase the uptake of key clinical recommendations for
   non-surgical management of knee osteoarthritis (OA) and improve patient
   outcomes, we developed a new model of service delivery (PARTNER model)
   and an intervention to implement the model in the Australian primary
   care setting. We will evaluate the effectiveness and cost-effectiveness
   of this model compared to usual general practice care.
   Methods: We will conduct a mixed-methods study, including a two-arm,
   cluster randomised controlled trial, with quantitative, qualitative and
   economic evaluations. We will recruit 44 general practices and 572
   patients with knee OA in urban and regional practices in Victoria and
   New South Wales. The interventions will target both general
   practitioners (GPs) and their patients at the practice level. Practices
   will be randomised at a 1:1 ratio. Patients will be recruited if they
   are aged >= 45 years and have experienced knee pain >= 4/10 on a
   numerical rating scale for more than three months. Outcomes are
   self-reported, patient-level validated measures with the primary
   outcomes being change in pain and function at 12 months. Secondary
   outcomes will be assessed at 6 and 12 months. The implementation
   intervention will support and provide education to intervention group
   GPs to deliver effective management for patients with knee OA using
   tailored online training and electronic medical record support.
   Participants with knee OA will have an initial GP visit to confirm their
   diagnosis and receive management according to GP intervention or control
   group allocation. As part of the intervention group GP management,
   participants with knee OA will be referred to a centralised
   multidisciplinary service: the PARTNER Care Support Team (CST). The CST
   will be trained in behaviour change support and evidence-based knee OA
   management. They will work with patients to develop a collaborative
   action plan focussed on key self-management behaviours, and communicate
   with the patients' GPs. Patients receiving care by intervention group
   GPs will receive tailored OA educational materials, a leg muscle
   strengthening program, and access to a weight-loss program as
   appropriate and agreed. GPs in the control group will receive no
   additional training and their patients will receive usual care.
   Discussion: This project aims to address a major evidence-to-practice
   gap in primary care management of OA by evaluating a new service
   delivery model implemented with an intervention targeting GP practice
   behaviours to improve the health of people with knee OA.
RI Bowden, Jocelyn/E-3964-2015; /AAB-3060-2019; Egerton, Thorlene/AAN-5810-2020; Forbes, Andrew/; French, Simon/; Zwar, Nicholas/; Bunker, Stephen/
OI Bowden, Jocelyn/0000-0002-0340-0232; Egerton,
   Thorlene/0000-0003-4751-7624; Forbes, Andrew/0000-0003-4269-914X;
   French, Simon/0000-0002-7061-7706; Zwar, Nicholas/0000-0001-6462-9121;
   Bunker, Stephen/0000-0003-0780-4784
ZB 4
ZS 0
ZR 0
TC 15
ZA 0
Z8 0
Z9 15
U1 0
U2 11
SN 1471-2474
UT WOS:000431260400002
PM 29712564
ER

PT J
AU Foreback, Jami
   Kusz, Halina
   Lepisto, Brenda Lovegrove
   Pawlaczyk, Barbara
TI Empathy in Internal Medicine Residents at Community-based Hospitals: A
   Cross-sectional Study
SO JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
VL 5
AR 2382120518771352
DI 10.1177/2382120518771352
PD APR 30 2018
PY 2018
AB INTRODUCTION: Many research reports revealed declining empathy in
   medical schools that continues in postgraduate years of training.
   OBJECTIVE: The aim of this study is to examine the self-reported empathy
   levels of internal medicine (IM) residents in 3 community-based teaching
   hospitals.
   METHODS: The Jefferson Scale of Physician Empathy, Health Professionals
   version, is an online, self-administered, questionnaire that was offered
   to 129 current and incoming residents at 1 osteopathic and 2 allopathic,
   IM training programs in Flint, Michigan.
   RESULTS: Forty-five residents responded (35% response rate). Our
   residents' cumulative mean empathy score was 112.5 with a SD of 12.72,
   which is comparable with the cumulative empathy scores for IM residents
   at university hospitals. There was an increase in empathy score from the
   beginning level of training, postgraduate year 0 (PGY0), to the PGY1
   level, and a noticeable, although statistically non-significant,
   decrease in empathy score for both PGY2 and PGY3 residents. The
   graduating residents' scores were higher compared with incoming
   residents.
   CONCLUSIONS: The cumulative mean empathy score in community-based IM
   residents showed an increase in the beginning of residents' training and
   decrease in empathy score by the end of training. There were significant
   differences in empathy scores by level of training at individual
   hospitals. This might be related to different targeted curricula.
ZS 1
TC 5
ZR 0
ZA 0
ZB 0
Z8 0
Z9 5
U1 0
U2 5
SN 2382-1205
UT WOS:000434853400001
PM 29780888
ER

PT J
AU Sevilla-Berrios, Ronaldo
   O'Horo, John C.
   Schmickl, Christopher N.
   Erdogan, Aysen
   Chen, Xiaomei
   Arguello, Lisbeth Y. Garcia
   Dong, Yue
   Kilickaya, Oguz
   Pickering, Brain
   Kashyap, Rahul
   Gajic, Ognjen
TI Prompting with electronic checklist improves clinician performance in
   medical emergencies: a high-fidelity simulation study
SO INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE
VL 11
AR 26
DI 10.1186/s12245-018-0185-8
PD APR 27 2018
PY 2018
AB Background: Inefficient processes of care delivery during acute
   resuscitation can compromise the "Golden Hour," the time when quick
   interventions can rapidly determine the course of the patient's outcome.
   Checklists have been shown to be an effective tool for standardizing
   care models. We developed a novel electronic tool, the Checklist for
   Early Recognition and Treatment of Acute Illness (CERTAIN) to facilitate
   standardized evaluation and treatment approach for acutely
   decompensating patients. The checklist was enforced by the use of a "
   prompter," a team member separate from the leader who records and
   reviews pertinent CERTAIN algorithms and verbalizes these to the team.
   Our hypothesis was that the CERTAIN model, with the use of the tool and
   a prompter, can improve clinician performance and satisfaction in the
   evaluation of acute decompensating patients in a simulated environment.
   Methods: Volunteer clinicians with valid adult cardiac life support
   (ACLS) certification were invited to test the CERTAIN model in a
   high-fidelity simulation center. The first session was used to establish
   a baseline evaluation in a standard clinical resuscitation scenario.
   Each subject then underwent online training before returning to a
   simulation center for a live didactic lecture, software knowledge
   assessment, and practice scenarios. Each subject was then evaluated on a
   scenario with a similar content to the baseline. All subjects took a
   post-experience satisfaction survey. Video recordings of the pre- and
   post-test sessions were evaluated using a validated method by two
   blinded reviewers.
   Results: Eighteen clinicians completed baseline and post-education
   sessions. CERTAIN prompting was associated with reduced omissions of
   critical tasks (46 to 32%, p < 0.01) and 12 out of 14 general assessment
   tasks were completed in a more timely manner. The post-test survey
   indicated that 72% subjects felt better prepared during an emergency
   scenario using the CERTAIN model and 85% would want to be treated with
   the CERTAIN if they were critically ill.
   Conclusion: Prompting with electronic checklist improves clinicians'
   performance and satisfaction when dealing with medical emergencies in
   high-fidelity simulation environment.
RI Dong, Yue/B-7597-2008; O'Horo, John C/N-8681-2013; Kashyap, Rahul/; Schmickl, Christopher/
OI Dong, Yue/0000-0002-1737-6536; O'Horo, John C/0000-0002-0880-4498;
   Kashyap, Rahul/0000-0002-4383-3411; Schmickl,
   Christopher/0000-0001-5417-9980
ZR 0
ZB 2
Z8 0
TC 9
ZS 0
ZA 0
Z9 9
U1 0
U2 0
SN 1865-1372
EI 1865-1380
UT WOS:000431604600001
PM 29704128
ER

PT J
AU Skeith, Leslie
   Ridinger, Heather
   Srinivasan, Sushant
   Givi, Babak
   Youssef, Nazih
   Harris, Ilene
TI Exploring the thesis experience of Master of Health professions
   education graduates: a qualitative study
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 9
BP 113
EP 121
DI 10.5116/ijme.5abe.2209
PD APR 27 2018
PY 2018
AB Objectives: To explore the thesis experience of recent Master of Health
   Professions Education (MHPE) graduates in the University of Illinois at
   Chicago (UIC) program.
   Methods: This is a qualitative case study exploring the experience of
   MHPE graduates between 2014 and 2016 (n = 31). Using convenience
   sampling, all graduates with an email address (n = 30) were invited to
   participate in an online survey and semi-structured interviews.
   Interviews were completed in-person or via telephone or video
   conference; interviewers collected detailed notes and audio recordings.
   Two authors independently analyzed the data iteratively using thematic
   analysis and discrepancies were discussed and resolved.
   Results: Survey results (n = 20, 67%) revealed an average graduation of
   5.1 years; 10 graduates (33%) were interviewed. Three themes related to
   the thesis experience were identified: success factors, challenges, and
   outcomes. Success factors, when present, promoted completion of a
   thesis; these included: a supportive program environment, time
   management, available resources, MHPE foundational coursework, aligning
   theses with career goals, and identifying a project with limited scope.
   Challenges made thesis completion more difficult for graduates; these
   included: institutional factors, personal or professional
   responsibilities, burnout, externally-imposed deadlines, and barriers in
   the research process. Despite these challenges, completing the thesis
   resulted in many professional or personal benefits (outcomes).
   Conclusions: Multiple success factors and challenges were identified in
   the master's thesis process among MHPE graduates at UIC. These findings
   can help students conducting education-based scholarship through the
   master's thesis process. This study also informs program evaluation and
   improvements and outlines personal and professional outcomes of
   completing a master's thesis.
RI Skeith, Leslie/AAW-1740-2021; Youssef, Nazih/AAU-4857-2020; Givi, Babak/AAK-8836-2020
OI Youssef, Nazih/0000-0002-8665-1431; Givi, Babak/0000-0002-8221-5077
ZA 0
ZR 0
ZS 1
ZB 0
TC 2
Z8 0
Z9 3
U1 1
U2 2
SN 2042-6372
UT WOS:000431068500002
PM 29705774
ER

PT J
AU Park, Jamie S.
   Moore, Julia E.
   Sayal, Radha
   Holmes, Bev J.
   Scarrow, Gayle
   Graham, Ian D.
   Jeffs, Lianne
   Timmings, Caitlyn
   Rashid, Shusmita
   Johnson, Alekhya Mascarenhas
   Straus, Sharon E.
TI Evaluation of the "Foundations in Knowledge Translation" training
   initiative: preparing end users to practice KT
SO IMPLEMENTATION SCIENCE
VL 13
AR 63
DI 10.1186/s13012-018-0755-4
PD APR 25 2018
PY 2018
AB Background: Current knowledge translation (KT) training initiatives are
   primarily focused on preparing researchers to conduct KT research rather
   than on teaching KT practice to end users. Furthermore, training
   initiatives that focus on KT practice have not been rigorously evaluated
   and have focused on assessing short-term outcomes and participant
   satisfaction only. Thus, there is a need for longitudinal training
   evaluations that assess the sustainability of training outcomes and
   contextual factors that may influence outcomes.
   Methods: We evaluated the KT training initiative "Foundations in KT"
   using a mixed-methods longitudinal design. "Foundations in KT" provided
   training in KT practice and included three tailored in-person workshops,
   coaching, and an online platform for training materials and knowledge
   exchange. Two cohorts were included in the study (62 participants,
   including 46 "Foundations in KT" participants from 16 project teams and
   16 decision-maker partners). Participants completed self-report
   questionnaires, focus groups, and interviews at baseline and at 6, 12,
   18, and 24 months after the first workshop.
   Results: Participant-level outcomes include survey results which
   indicated that participants' self-efficacy in evidence-based practice
   (F(1,8.9) = 23.7, p = 0.001, n = 45), KT activities (F(1,23.9) = 43.2, p
   < 0.001, n = 45), and using evidence to inform practice increased over
   time (F(1,11.0) = 6.0, p = 0.03, n = 45). Interviews and focus groups
   illustrated that participants' understanding of and confidence in using
   KT increased from baseline to 24 months after the workshop. Interviews
   and focus groups suggested that the training initiative helped
   participants achieve their KT project objectives, plan their projects,
   and solve problems over time. Contextual factors include teams with high
   self-reported organizational capacity and commitment to implement at the
   start of their project had buy-in from upper management that resulted in
   secured funding and resources for their project. Training initiative
   outcomes include participants who applied the KT knowledge and skills
   they learned to other projects by sharing their knowledge informally
   with coworkers. Sustained spread of KT practice was observed with five
   teams at 24 months.
   Conclusions: We completed a longitudinal evaluation of a KT training
   initiative. Positive participant outcomes were sustained until 24 months
   after the initial workshop. Given the emphasis on implementing evidence
   and the need to train implementers, these findings are promising for
   future KT training.
RI Graham, Ian D./ABD-5259-2021; Jeffs, Lianne P/U-9147-2018; Sayal, Radha/
OI Graham, Ian D./0000-0002-3669-1216; Sayal, Radha/0000-0002-2475-8831
Z8 0
ZR 0
ZA 0
ZB 1
TC 15
ZS 1
Z9 16
U1 0
U2 3
SN 1748-5908
UT WOS:000431046700003
PM 29695267
ER

PT J
AU Schulze, Henrike
   Nacke, Marisa
   Gutenbrunner, Christoph
   Hadamitzky, Catarina
TI Worldwide assessment of healthcare personnel dealing with lymphoedema
SO HEALTH ECONOMICS REVIEW
VL 8
AR 10
DI 10.1186/s13561-018-0194-6
PD APR 16 2018
PY 2018
AB Background: Lymphoedema is a pandemic with about 250 million people
   suffering from this condition worldwide. Lymphatic diseases have
   considerable public health significance, but yet few professionals are
   specialised in their management causing a substantial burden on health
   resources.
   Aims and objectives: This study aims to give an overview of the
   approximate number of medical professionals, professional societies,
   institutions and companies dealing with lymphoedema in various
   countries. Concepts of improvement for current human resources are
   considered.
   Methods: An online database analysis (Google search engine and PubMed)
   was carried out for each country of the world. Additionally, relevant
   congress participant lists as well as member lists of significant
   medical societies and reports of the World Health Organisation were
   analysed.
   Results: Overall distribution of tertiary level professionals
   specialised in this field is heterogenous. A decrescent gradient of
   professionals can be seen between developed and developing countries and
   between urban and rural areas. Countries in general do not seem to have
   yet met the current demand for specialists at tertiary level in this
   field.
   Conclusions: This study intends to draw attention to the current medical
   coverage gaps due to a low number of lymphoedema specialists at tertiary
   level. It wishes to start a discussion about structured reimbursement
   and certification of knowledge and skills that are essential incentives
   for experts to act as multiplicators and change the lack of care in the
   mid-term. Current fail prescriptions and evitable disability and sick
   certificates represent a high financial burden that could be reinvested
   in a correct management. Policy makers must focus in the two above
   mentioned essential measures. Medical training and the consequent
   development of the industry will then naturally take place, as it was
   the case for other professional groups in the past.
ZS 1
Z8 0
ZR 0
ZA 0
TC 28
ZB 4
Z9 29
U1 0
U2 3
SN 2191-1991
UT WOS:000450953400001
PM 29663122
ER

PT J
AU Iung, Bernard
   Delgado, Victoria
   Lazure, Patrice
   Murray, Suzanne
   Sirnes, Per Anton
   Rosenhek, Raphael
   Price, Susanna
   Metra, Marco
   Carrera, Celine
   De Bonis, Michele
   Haude, Michael
   Hindricks, Gerhard
   Bax, Jeroen
   Vahanian, Alec
TI Educational needs and application of guidelines in the management of
   patients with mitral regurgitation. A European mixed-methods study
SO EUROPEAN HEART JOURNAL
VL 39
IS 15
BP 1295
EP 1303
DI 10.1093/eurheartj/ehx763
PD APR 14 2018
PY 2018
AB Aims To assess the knowledge and application of European Society of
   Cardiology (ESC) Guidelines in the management of mitral regurgitation
   (MR).
   Methods and results A mixed-methods educational needs assessment was
   performed. Following a qualitative phase (interviews), an online survey
   was undertaken using three case scenarios (asymptomatic severe primary
   MR, symptomatic severe primary MR in the elderly, and severe secondary
   MR) in 115 primary care physicians (PCPs), and 439 cardiologists or
   cardiac surgeons from seven European countries. Systematic cardiac
   auscultation was performed by only 54% of clinicians in asymptomatic
   patients. Cardiologists appropriately interpreted echocardiographic
   assessment of mechanism and quantification of primary MR (>= 75%), but
   only 44% recognized secondary MR as severe. In asymptomatic severe
   primary MR with an indication for surgery, 27% of PCPs did not refer the
   patient to a cardiologist and medical therapy was overused by 19% of
   cardiologists. In the elderly patient with severe symptomatic primary
   MR, 72% of cardiologists considered mitral intervention (transcatheter
   edge-to-edge valve repair in 72%). In severe symptomatic secondary MR,
   optimization of medical therapy was advised by only 51% of PCPs and 33%
   of cardiologists, and surgery considered in 30% of cases (transcatheter
   edge-to-edge repair in 64%).
   Conclusion Systematic auscultation is underused by PCPs for the early
   detection of MR. Medical therapy is overused in primary MR and underused
   in secondary MR. Indications for interventions are appropriate in most
   patients with primary MR, but are unexpectedly frequent for secondary
   MR. These gaps identify important targets for future educational
   programs.
RI Delgado, Victoria/AAL-4731-2021; Price, Susanna/AAH-7515-2021; Sirnes, Per Anton/AAS-2343-2020; Iung, Bernard/AAQ-9004-2020; Metra, marco/E-7101-2010; De Bonis, Michele/AAN-7826-2020; De Bonis, Michele/; Lazure, Patrice/
OI Delgado, Victoria/0000-0002-9841-2737; Iung,
   Bernard/0000-0002-9127-348X; De Bonis, Michele/0000-0001-9329-7437;
   Lazure, Patrice/0000-0002-9278-1718
ZR 0
ZB 7
Z8 1
ZA 0
TC 32
ZS 0
Z9 32
U1 0
U2 3
SN 0195-668X
EI 1522-9645
UT WOS:000430715700016
PM 29300869
ER

PT J
AU Bowsher, Gemma
   Parry-Billings, Laura
   Georgeson, Anna
   Baraitser, Paula
TI Ethical learning on international medical electives: a case-based
   analysis of medical student learning experiences
SO BMC MEDICAL EDUCATION
VL 18
AR 78
DI 10.1186/s12909-018-1181-7
PD APR 11 2018
PY 2018
AB Background: Students on international medical electives face complex
   ethical issues when undertaking clinical work. The variety of elective
   destinations and the culturally specific nature of clinical ethical
   issues suggest that pre-elective preparation could be supplemented by
   in-elective support.
   Methods: An online, asynchronous, case-based discussion was piloted to
   support ethical learning on medical student electives. We developed six
   scenarios from elective diaries to stimulate peer-facilitated
   discussions during electives. We evaluated the transcripts to assess
   whether transformative, experiential learning took place, assessing
   specifically for indications that 1) critical reflection, 2) reflective
   action and 3) reflective learning were taking place. We also completed a
   qualitative thematic content analysis of the discussions.
   Results: Of forty-one extended comments, nine responses showed evidence
   of transformative learning (Mezirow stage three). The thematic analysis
   identified five themes: adopting a position on ethical issues without
   overt analysis; presenting issues in terms of their effects on students'
   ability to complete tasks; describing local contexts and colleagues as
   "other"; difficulty navigating between individual and structural issues,
   and overestimation of the impact of individual action on structures and
   processes.
   Conclusion: Results suggest a need to: frame ethical learning on
   elective so that it builds on earlier ethical programmes in the
   curriculum, and encourages students to adopt structured approaches to
   complex ethical issues including cross-cultural negotiation and to
   enhance global health training within the curriculum.
ZS 0
ZR 0
TC 7
ZB 0
ZA 0
Z8 0
Z9 7
U1 1
U2 10
SN 1472-6920
UT WOS:000430242100001
PM 29642906
ER

PT J
AU Farkas, Amy H.
   Vanderberg, Rachel
   McNeil, Melissa
   Rothenberger, Scott
   Contratto, Erin
   Dolan, Brigid M.
   Tilstra, Sarah
TI The Impact of Women's Health Residency Tracks on Career Outcomes
SO JOURNAL OF WOMENS HEALTH
VL 27
IS 7
BP 927
EP 932
DI 10.1089/jwh.2017.6739
EA APR 2018
PD JUL 2018
PY 2018
AB Background: Women's health residency tracks within several internal
   medicine residencies provide gender-specific education to residents. The
   impact of these programs has not been evaluated. The objective of this
   study was to determine the impact that women's health residency tracks
   have on career outcomes. Materials and Methods: The participants in the
   study were women's health track (WHT) graduates from three different
   programs. To account for the impact of gender, we also surveyed female
   graduates who did not participate in WHT from the same programs, paired
   by year of graduation (non-WHT). Participants completed an online survey
   and provided a copy of their updated curriculum vitae (CV). Survey
   responses and CV data were analyzed separately. Results: Of the 218
   eligible graduates, 133 completed the survey and 86 provided a CV for a
   response rate of 63.8%. Regarding clinical care, 31.8% of WHT graduates
   focused on women's health in practice compared with only 16.1% of
   non-WHT graduates (Cohen's h 0.43). WHT graduates were more likely to
   have presented nationally on women's health topics (53.3% vs. 16.7%,
   p-value 0.030) and teach women's health topics (51.4% vs. 26.7%%,
   Cohen's h 0.51). WHT graduates were more likely to have assumed a
   women's health leadership role (34.5% vs. 0.0%, p-value 0.018).
   Conclusion: Graduates of women's health residency tracks remain involved
   in women's health in clinical practice, scholarship, teaching, and
   leadership. While all internal medicine residents should receive
   comprehensive women's health education, WHTs are an effective way of
   promoting women's healthcare and scholarship.
RI Tilstra, Sarah/AAF-5751-2020
ZB 0
ZS 0
ZR 0
TC 2
Z8 0
ZA 0
Z9 2
U1 0
U2 2
SN 1540-9996
EI 1931-843X
UT WOS:000429487900001
PM 29620953
ER

PT J
AU Fair, Frankie J.
   Watson, Helen
   Gardner, Rachel
   Soltani, Hora
TI Women's perspectives on antenatal breast expression: a cross-sectional
   survey
SO REPRODUCTIVE HEALTH
VL 15
AR 58
DI 10.1186/s12978-018-0497-4
PD APR 4 2018
PY 2018
AB Background: The practice of antenatal breast expression (ABE) has been
   proposed as a strategy to promote successful breastfeeding. Although
   there has been some focus on the evaluation of the effects of ABE in
   promotion of breastfeeding, little or no evidence exists on women's
   experiences of ABE or opinions on ABE, particularly amongst overweight
   or obese women.
   Methods: This study aimed to explore women's knowledge, practices and
   opinions of ABE, and any differences within the overweight and obese
   subgroups. A cross-sectional survey was undertaken using an online
   questionnaire distributed by a maternity user group representative via
   social media. Quantitative data were analysed using Chi-square and
   Fisher's exact tests in SPSS. Simple thematic analysis was used for the
   qualitative data.
   Results: A total of 688 responses were analysed; the sample represented
   a group of breastfeeding mothers, of whom 64.5% had heard of ABE, 8.2%
   had been advised to do ABE, and 14.2% had undertaken ABE. Of the women
   who had been advised to do ABE, 67.9% had complied. Most participants
   (58.6%) were unsure if ABE was a good idea; however 80.9% would consider
   doing ABE if it was found to be helpful to prepare for breastfeeding.
   Women in the overweight or obese subgroups were significantly more
   likely to have heard of ABE (p < 0.001), and positive opinion of ABE
   also increased with higher BMI groups. The qualitative data demonstrated
   participants felt ABE may be beneficial when mother or baby have medical
   problems, and in preparation for breastfeeding, but highlighted their
   concerns that it may interfere with nature and be harmful, and that they
   wanted more information and knowledge about ABE.
   Conclusions: Amongst women who have breastfed, many have heard of ABE,
   compliance with advice to undertake ABE is relatively high, and ABE is
   considered an acceptable practice. Further investigation into the
   benefits and safety of ABE is warranted, to address the needs of
   childbearing women for evidence-based information about this practice.
   If the evidence base is established, overweight and obese pregnant women
   could be an important target group for this intervention.
OI Watson, Helen/0000-0002-5479-8527
Z8 1
ZB 0
TC 6
ZS 0
ZA 0
ZR 0
Z9 7
U1 1
U2 12
EI 1742-4755
UT WOS:000429285600001
PM 29618359
ER

PT J
AU Tully, Vicki
   Murphy, Douglas
   Fioratou, Evridiki
   Chaudhuri, Arun
   Shaw, James
   Davey, Peter
TI Learning from errors: assessing final year medical students' reflection
   on safety improvement, five year cohort study
SO BMC MEDICAL EDUCATION
VL 18
AR 57
DI 10.1186/s12909-018-1173-7
PD APR 2 2018
PY 2018
AB Background: Investigation of real incidents has been consistently
   identified by expert reviews and student surveys as a potentially
   valuable teaching resource for medical students. The aim of this study
   was to adapt a published method to measure resident doctors' reflection
   on quality improvement and evaluate this as an assessment tool for
   medical students.
   Methods: The design is a cohort study. Medical students were prepared
   with a tutorial in team based learning format and an online Managing
   Incident Review course. The reliability of the modified Mayo Evaluation
   of Reflection on Improvement tool (mMERIT) was analysed with
   Generalizability G-theory. Long term sustainability of assessment of
   incident review with mMERIT was tested over five consecutive years.
   Results: A total of 824 students have completed an incident review using
   167 incidents from NHS Tayside's online reporting system. In order to
   address the academic practice gap students were supervised by Senior
   Charge Nurses or Consultants on the wards where the incidents had been
   reported. Inter-rater reliability was considered sufficiently high to
   have one assessor for each student report. There was no evidence of a
   gradient in student marks across the academic year. Marks were
   significantly higher for students who used Section Questions to
   structure their reports compared with those who did not. In Year 1 of
   the study 21 (14%) of 153 mMERIT reports were graded as concern. All 21
   of these students achieved the required standard on resubmission. Rates
   of resubmission were lower (3% to 7%) in subsequent years.
   Conclusions: We have shown that mMERIT has high reliability with one
   rater. mMERIT can be used by students as part of a suite of feedback to
   help supplement their self-assessment on their learning needs and
   develop insightful practice to drive their development of quality,
   safety and person centred professional practice. Incident review
   addresses the need for workplace based learning and use of real life
   examples of mistakes, which has been identified by previous studies of
   education about patient safety in medical schools.
OI Fioratou, Evridiki/0000-0001-6618-8227
Z8 0
ZA 0
ZS 0
ZB 2
ZR 0
TC 7
Z9 7
U1 1
U2 17
SN 1472-6920
UT WOS:000428942000001
PM 29606098
ER

PT J
AU Ho, Veronica W.
   Harris, Peter G.
   Kumar, Rakesh K.
   Velan, Gary M.
TI Knowledge maps: a tool for online assessment with automated feedback
SO MEDICAL EDUCATION ONLINE
VL 23
AR 1457394
DI 10.1080/10872981.2018.1457394
PD APR 2 2018
PY 2018
AB In higher education, most assessments or examinations comprise either
   multiple-choice items or open-ended questions such as modified essay
   questions (MEQs). Online concept and knowledge maps are potential tools
   for assessment, which might emphasize meaningful, integrated
   understanding of phenomena. We developed an online knowledge-mapping
   assessment tool, which provides automated feedback on student-submitted
   maps. We conducted a pilot study to investigate the potential utility of
   online knowledge mapping as a tool for automated assessment by comparing
   the scores generated by the software with manual grading of a MEQ on the
   same topic for a cohort of first-year medical students. In addition, an
   online questionnaire was used to gather students' perceptions of the
   tool. Map items were highly discriminating between students of differing
   knowledge of the topic overall. Regression analysis showed a significant
   correlation between map scores and MEQ scores, and responses to the
   questionnaire regarding use of knowledge maps for assessment were
   overwhelmingly positive. These results suggest that knowledge maps
   provide a similar indication of students' understanding of a topic as a
   MEQ, with the advantage of instant, consistent computer grading and time
   savings for educators. Online concept and knowledge maps could be a
   useful addition to the assessment repertoire in higher education.
RI Kumar, Rakesh K/J-6124-2012; Velan, Gary/; Ho, Veronica/
OI Kumar, Rakesh K/0000-0002-9531-8411; Velan, Gary/0000-0002-4535-6663;
   Ho, Veronica/0000-0001-8809-4010
ZR 0
ZS 1
ZB 1
ZA 0
Z8 0
TC 12
Z9 13
U1 3
U2 30
SN 1087-2981
UT WOS:000429036300001
PM 29608133
ER

PT J
AU Pezeshki, Zahra
   Ivari, Syed Ali Soleimani
TI Applications of BIM: A Brief Review and Future Outline
SO ARCHIVES OF COMPUTATIONAL METHODS IN ENGINEERING
VL 25
IS 2
BP 273
EP 312
DI 10.1007/s11831-016-9204-1
PD APR 2018
PY 2018
AB This paper surveys building information modeling (BIM) development using
   classification and literature review of articles for the last decade
   (2000-2016) to explore how various BIM methodologies have been developed
   during this period. Based on the selected journals of different BIM
   applications and different online database of BIM, this article surveys
   and classifies BIM applications into ten different categories such as
   education system, medical system, economic system, electrical and
   electronics system, traffic control, image processing and feature
   extraction, manufacturing and system modeling, forecasting and
   predictions, BIM enhancements and social sciences. For each of these
   categories, this paper mentions a brief future outline. This review
   study indicates mainly three types of future development directions for
   BIM methodologies, domains and article types: (1) BIM methodologies are
   tending to be developed toward expertise orientation. (2) It is
   suggested that different social science methodologies could be
   implemented using BIM as another kind of expert methodology. (3) The
   ability to continually change and learning capability is the driving
   power of BIM methodologies and will be the key for future intelligent
   applications.
RI Pezeshki, Zahra/E-1666-2017
OI Pezeshki, Zahra/0000-0003-3366-3647
ZS 0
TC 48
Z8 2
ZB 0
ZA 0
ZR 1
Z9 51
U1 13
U2 104
SN 1134-3060
EI 1886-1784
UT WOS:000427741200002
ER

PT J
AU Liossi, Christina
   Failo, Alessandro
   Schoth, Daniel E.
   Williams, Glyn
   Howard, Richard F.
TI The effectiveness of online pain resources for health professionals: a
   systematic review with subset meta-analysis of educational intervention
   studies
SO PAIN
VL 159
IS 4
BP 631
EP 643
DI 10.1097/j.pain.0000000000001146
PD APR 2018
PY 2018
AB Online educational interventions are increasingly developed for health
   professionals and students, although graduate and undergraduate medical
   curricula often contain limited information about how to assess and
   manage pain. This study reviews the literature on the effectiveness of
   pain-related online educational resources. Studies were identified
   through a search of Medline, PsychINFO, Web of Science, CINAHL, PubMed,
   Scopus, Cochrane Library, Google Scholar, and OpenGrey databases. Search
   terms included 3 concept blocks: (1) type of intervention-online
   education, computer-based, e-learning, web-based, and internet-based;
   (2) population-pediatrician, physician, nurse, psychologist, and
   medical; and (3) outcome-pain*. Thirty-two studies (13 randomised
   controlled trials, 5 nonrandomised controlled trials, and 14
   single-group pre-post studies) were included. Ten provided data for
   inclusion in a series of between-groups meta-analyses. After
   intervention, participants receiving online instruction had
   significantly greater knowledge compared with those receiving training
   as usual/alternative training (Hedges' g =0.80, 95% confidence interval
   [CI]: 0.121.49), and students had significantly greater skills compared
   with students receiving training as usual (g = 1.34, CI: 0.38-2.30). No
   significant differences were found for confidence/competence (g =0.02,
   CI: 20.79 to 0.84) or attitudes/beliefs (g = 0.16, CI: 20.48 to 0.79).
   Although online educational resources show promise in improving learner
   knowledge, considerable heterogeneity exists between studies in quality,
   design, educational content, and outcomes. Furthermore, methodologically
   robust RCTs are required to establish the effectiveness of online
   educational interventions and a greater understanding of the key
   features of successful online resources, including cognitive
   interactivity. Few studies assessed health outcomes for patients,
   remaining a major priority for future investigations.
RI Failo, Alessandro/AAA-5578-2021; Howard, Richard/
OI Failo, Alessandro/0000-0002-9316-0091; Howard,
   Richard/0000-0001-9271-0074
ZB 3
ZS 0
ZA 0
Z8 0
TC 15
ZR 0
Z9 15
U1 2
U2 19
SN 0304-3959
EI 1872-6623
UT WOS:000451219000004
PM 29319610
ER

PT J
AU Agarwal, Sanjeev
   Cicone, Caitlin
   Chang, Philip
TI Interventional Pain Procedures in Physical Medicine and Rehabilitation
   Residencies
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 4
BP 298
EP 303
DI 10.1097/PHM.0000000000000871
PD APR 2018
PY 2018
AB Exposure to interventional pain procedures is now a required component
   of training in physical medicine and rehabilitation residencies as
   mandated by the Accreditation Council for Graduate Medical Education.
   Data regarding resident exposure and competency in these procedures
   remain limited. Objectives were to determine the volume and type of
   exposure physical medicine and rehabilitation residents have to
   interventional pain procedures and to obtain faculty-perceived opinions
   regarding competency of incoming fellows as it pertains to
   interventional pain management. Online surveys were sent to program
   directors of physical medicine and rehabilitation residencies and
   fellowship directors of interventional spine, sports medicine, and pain
   medicine fellowships. Surveys inquired about educational methods, the
   volume of procedures in which residents actively participate, and
   faculty-perceived competency of trainees performing procedures.
   Thirty-nine residency programs and 27 fellowships responded to the
   surveys. Of the 39 residencies that responded, there was great variation
   in the exposure residents receive. Most programs reported that residents
   have moderate exposure to common procedures such as ultrasound-guided
   knee injections and lumbar epidural injections. In addition, while most
   residency program directors report graduates to be fairly prepared (33%)
   to well prepared (20.5%) with regard to spine procedures, most
   fellowship directors (63%) describe incoming fellows to be at the
   beginner level.
ZB 0
ZR 0
Z8 0
TC 4
ZS 0
ZA 0
Z9 4
U1 0
U2 2
SN 0894-9115
EI 1537-7385
UT WOS:000428080300017
PM 29189304
ER

PT J
AU Holley, Clare E.
   Farrow, Claire
   Haycraft, Emma
TI If at first you don't succeed: Assessing influences associated with
   mothers' reoffering of vegetables to preschool age children
SO APPETITE
VL 123
BP 249
EP 255
DI 10.1016/j.appet.2017.12.026
PD APR 1 2018
PY 2018
AB Repeatedly offering vegetables has been shown to be one of the most
   effective methods for increasing acceptance and subsequent intake in
   young children. In order to increase successful offerings of vegetables
   and resultant consumption amongst young children, it is necessary to
   consider the influences on maternal reoffering of vegetables. This study
   aimed to investigate the relationships between mothers' tendency to
   reoffer vegetables and a range of demographic factors and psychological
   variables. A cross-sectional design was used, where mothers completed
   questionnaires assessing how often they reoffer rejected vegetables,
   concerns for economic factors, and a range of possible child and
   maternal influences. Mothers of preschool children were recruited from
   toddler groups across Leicestershire, UK, as well as online. Spearman's
   correlations were run to look for associations between demographic and
   psychological factors with maternal reoffering of vegetables.
   Significantly associated factors were then entered into a stepwise
   regression to predict maternal reoffering of vegetables. Mothers were
   significantly less likely to reoffer rejected vegetables if they were
   concerned about time, money, and waste, were influenced by their child's
   mood, or were concerned about their child having tantrums. Moreover,
   mothers who consumed more vegetables themselves reoffered vegetables
   more frequently. Regression analyses revealed that mothers' concern
   about food waste and tantrums, as well as maternal vegetable
   consumption, all significantly predicted mothers' reoffering of
   vegetables. With these findings in mind, mothers should be educated and
   supported with how to tackle and minimise children's tantrums during
   feeding, as well as being made aware of effective methods for avoiding
   food waste. Moreover, given that mothers' own vegetable consumption is
   associated with lower reoffering of vegetables to their child,
   interventions which seek to increase familial vegetable consumption
   should be pursued. (C) 2018 Elsevier Ltd. All rights reserved.
OI Farrow, Claire/0000-0002-9822-957X; Haycraft, Emma/0000-0002-7359-1759;
   Farrow, Claire/0000-0003-3745-6610
TC 11
ZA 0
ZB 4
ZS 0
Z8 0
ZR 0
Z9 11
U1 0
U2 12
SN 0195-6663
EI 1095-8304
UT WOS:000427336500031
PM 29287634
ER

PT J
AU Leszczynski, Piotr
   Gotlib, Joanna
   Kopanski, Zbigniew
   Wejnarski, Arkadiusz
   Swiezewski, Stanislaw
   Galazkowski, Robert
TI Analysis of Web-based learning methods in emergency medicine: randomized
   controlled trial
SO ARCHIVES OF MEDICAL SCIENCE
VL 14
IS 3
BP 687
EP 694
DI 10.5114/aoms.2015.56422
PD APR 2018
PY 2018
AB Introduction: In medical education, Web-based learning is increasingly
   used as a complement to practical classes. The objective of the study
   was to perform a comparative analysis of three different forms of
   e-learning course on emergency medicine in terms of an indicator of
   knowledge growth and students' satisfaction.
   Material and methods: For the purpose of the study, we developed and
   implemented a tool in the form of an online course: A - non-animated
   presentation, B - video, C - interactive video. The participants were
   undergraduate students of emergency medicine and nursing (n = 106). A
   pre-test and a post-test were carried out, and the resulting data were
   analyzed using parametric tests (t-test, ANOVA, post-hoc). Final
   questionnaires assessing six parameters of satisfaction were also
   evaluated.
   Results: A significant increase in knowledge in the experimental group
   which used an interactive video was observed (p = 0.04). Moreover, the
   number of replays of learning material was the highest in group C (2.09
   +/- 2.48). The level of post-course satisfaction turned out to be
   comparable in all three groups (p = 0.62).
   Conclusions: The study allowed the interactive course to be identified
   as the most effective method of distance learning among selected ones.
   Due to the limitations of the study, we conclude that there is a need
   for further studies on the effectiveness of e-learning in emergency
   medicine.
RI Wejnarski, Arkadiusz/AAP-4049-2020; Leszczyński, Piotr/B-4017-2016; Swiezewski, Stanislaw SP/U-5745-2018; Galazkowski, Robert/X-2593-2018; Wejnarski, Arkadiusz AW/B-6355-2019; Gotlib, Joanna/
OI Wejnarski, Arkadiusz/0000-0003-1454-6664; Leszczyński,
   Piotr/0000-0002-3408-3591; Swiezewski, Stanislaw SP/0000-0001-9665-2182;
   Galazkowski, Robert/0000-0002-7205-2219; Wejnarski, Arkadiusz
   AW/0000-0003-1454-6664; Gotlib, Joanna/0000-0002-2717-7741
ZS 0
ZA 0
Z8 0
ZB 2
TC 14
ZR 0
Z9 14
U1 1
U2 8
SN 1734-1922
EI 1896-9151
UT WOS:000433030200028
PM 29765458
ER

PT J
AU Meineri, Massimiliano
   Bryson, Gregory L.
   Arellano, Ramiro
   Skubas, Nikolaos
TI Core point-of-care ultrasound curriculum: What does every
   anesthesiologist need to know?
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 65
IS 4
SI SI
BP 417
EP 426
DI 10.1007/s12630-018-1063-9
PD APR 2018
PY 2018
AB Point-of-care ultrasound (POCUS) is becoming an integral part of
   anesthesia practice throughout the world. Despite the growing interest
   in POCUS among trainees and faculty, POCUS training is variable among
   universities across Canada. This suggests a need for curriculum
   development and standardization. International guidelines for Emergency
   Medicine and Critical Care have common frameworks and may be used as a
   reference to model anesthesia-specific curricula. The Royal College of
   Anaesthetists of the United Kingdom currently offers the only nationally
   approved POCUS curriculum for anesthesia and critical care trainees.
   Most curricula have in common a stepwise approach that consists of
   foundation of knowledge and skills and competency building through
   practice. Nevertheless, a significant variety of didactic modalities
   have been described, and online learning and simulation offer clear
   advantages. What constitutes the minimum number of studies necessary to
   achieve competence is still debated as are the most appropriate tools
   for assessment of POCUS competency.
   Availability of trained staff anesthesiologists remains a major
   limitation to curricula implementation in most centres. A National
   Curriculum should be modeled on the Competency By Design Approach, in
   line with the CanMEDS 2015 roles, and start with a focus on basic POCUS
   modalities and applications. Guidance for the training and certification
   of POCUS among practicing anesthesiologists is lacking.
RI Bryson, Gregory Lyle/AAG-5108-2019
OI Bryson, Gregory Lyle/0000-0003-3583-9802
ZR 0
ZA 0
ZB 2
Z8 0
ZS 0
TC 13
Z9 13
U1 0
U2 4
SN 0832-610X
EI 1496-8975
UT WOS:000427429100008
PM 29340856
ER

PT J
AU Khalil, Mohammed K.
   Meguid, Eiman M. Abdel
   Elkhider, Ihsan A.
TI Teaching of anatomical sciences: A blended learning approach
SO CLINICAL ANATOMY
VL 31
IS 3
BP 323
EP 329
DI 10.1002/ca.23052
PD APR 2018
PY 2018
AB Blended learning is the integration of different learning approaches,
   new technologies, and activities that combine traditional face-to-face
   teaching methods with authentic online methodologies. Although advances
   in educational technology have helped to expand the selection of
   different pedagogies, the teaching of anatomical sciences has been
   challenged by implementation difficulties and other limitations. These
   challenges are reported to include lack of time, costs, and lack of
   qualified teachers. Easy access to online information and advances in
   technology make it possible to resolve these limitations by adopting
   blended learning approaches. Blended learning strategies have been shown
   to improve students' academic performance, motivation, attitude, and
   satisfaction, and to provide convenient and flexible learning.
   Implementation of blended learning strategies has also proved cost
   effective. This article provides a theoretical foundation for blended
   learning and proposes a validated framework for the design of blended
   learning activities in the teaching and learning of anatomical sciences.
   Clin. Anat. 31:323-329, 2018. (c) 2018 Wiley Periodicals, Inc.
RI Meguid, Eiman Abdel/E-8446-2017; Elkhider, Ihsan/AAL-7336-2021; Khalil, Mohammed K./AAE-3336-2020
OI Meguid, Eiman Abdel/0000-0003-3496-8047; Khalil, Mohammed
   K./0000-0001-6474-0460
ZS 1
ZA 0
TC 39
Z8 0
ZB 4
ZR 0
Z9 40
U1 10
U2 74
SN 0897-3806
EI 1098-2353
UT WOS:000427113800005
PM 29352730
ER

PT J
AU Hansberry, David R.
   D'Angelo, Michael
   White, Michael D.
   Prabhu, Arpan V.
   Cox, Mougnyan
   Agarwal, Nitin
   Deshmukh, Sandeep
TI Quantitative analysis of the level of readability of online emergency
   radiology-based patient education resources
SO EMERGENCY RADIOLOGY
VL 25
IS 2
BP 147
EP 152
DI 10.1007/s10140-017-1566-7
PD APR 2018
PY 2018
AB Purpose The vast amount of information found on the internet, combined
   with its accessibility, makes it a widely utilized resource for
   Americans to find information pertaining to medical information. The
   field of radiology is no exception. In this paper, we assess the
   readability level of websites pertaining specifically to emergency
   radiology.
   Methods Using Google, 23 terms were searched, and the top 10 results
   were recorded. Each link was evaluated for its readability level using a
   set of ten reputable readability scales. The search terms included the
   following: abdominal ultrasound, abdominal aortic aneurysm, aortic
   dissection, appendicitis, cord compression, CT abdomen, cholecystitis,
   CT chest, diverticulitis, ectopic pregnancy, epidural hematoma, dural
   venous thrombosis, head CT, MRI brain, MR angiography, MRI spine,
   ovarian torsion, pancreatitis, pelvic ultrasound, pneumoperitoneum,
   pulmonary embolism, subarachnoid hemorrhage, and subdural hematoma. Any
   content that was not written for patients was excluded.
   Results The 230 articles that were assessed were written, on average, at
   a 12.1 grade level. Only 2 of the 230 articles (1%) were written at the
   third to seventh grade recommended reading level set forth by the
   National Institutes of Health (NIH) and American Medical Association
   (AMA). Fifty-two percent of the 230 articles were written so as to
   require a minimum of a high school education (at least a 12th grade
   level). Additionally, 17 of the 230 articles (7.3%) were written at a
   level that exceeded an undergraduate education (at least a 16th grade
   level).
   Conclusions The majority of websites with emergency radiology-related
   patient education materials are not adhering to the NIH and AMA's
   recommended reading levels, and it is likely that the average reader is
   not benefiting fully from these information outlets. With the link
   between health literacy and poor health outcomes, it is important to
   address the online content in this area of radiology, allowing for
   patient to more fully benefit from their online searches.
RI Prabhu, Arpan/M-4193-2014; White, Michael/
OI Prabhu, Arpan/0000-0002-9928-2911; White, Michael/0000-0002-6291-3943
ZS 0
Z8 0
ZA 0
ZB 1
ZR 0
TC 2
Z9 2
U1 0
U2 4
SN 1070-3004
EI 1438-1435
UT WOS:000427478800005
PM 29143222
ER

PT J
AU Knowlden, Adam P.
   Conrad, Eric
TI Two-Year Outcomes of the Enabling Mothers to Prevent Pediatric Obesity
   Through Web-Based Education and Reciprocal Determinism (EMPOWER)
   Randomized Control Trial
SO HEALTH EDUCATION & BEHAVIOR
VL 45
IS 2
BP 262
EP 276
DI 10.1177/1090198117732604
PD APR 2018
PY 2018
AB Background. Childhood overweight and obesity is a public health epidemic
   with far-reaching medical, economic, and quality of life consequences.
   Brief, web-based interventions have received increased attention for
   their potential to combat childhood obesity. The purpose of our study
   was to evaluate a web-based, maternal-facilitated childhood obesity
   prevention intervention dubbed Enabling Mothers to Prevent Pediatric
   Obesity Through Web-Based Education and Reciprocal Determinism
   (EMPOWER), for its capacity to elicit sustained effects at the 2-year
   postintervention follow-up mark. Method. Two interventions were
   evaluated using a randomized controlled trial design. The experimental,
   EMPOWER arm received a social cognitive theory intervention (n = 29)
   designed to improve four maternal-facilitated behaviors in children
   (fruit and vegetable consumption, physical activity, sugar-free beverage
   intake, screen time). The active control arm received a knowledge-based
   intervention dubbed Healthy Lifestyles (n = 28), which also targeted the
   same four behaviors. Results. We identified a significant group-by-time
   interaction of small effect size for child fruit and vegetable
   consumption (p = .033; Cohen's f = 0.139) in the EMPOWER group. The
   construct of maternal-facilitated environment was positively associated
   to improvements in child fruit and vegetable behavior. We also found
   significant main effects for child physical activity (p = .024; Cohen's
   f = 0.124); sugar-free beverage intake (p < .001; Cohen's f = 0.321);
   and screen time (p < .001; Cohen's f = 0.303), suggesting both groups
   improved in these behaviors over time. Conclusions. The EMPOWER arm of
   the trial resulted in an overall increase of 1.680 daily cups of fruits
   and vegetables consumed by children, relative to the comparison group (p
   < .001, 95% confidence interval = [1.113, 2.248]). Web-based
   maternal-facilitated interventions can induce sustained effects on child
   behaviors.
TC 15
ZA 0
Z8 0
ZB 2
ZS 0
ZR 0
Z9 15
U1 2
U2 13
SN 1090-1981
EI 1552-6127
UT WOS:000429809500012
PM 28954544
ER

PT J
AU Fernandez, Nicolas
   Maizels, Max
   Farhat, Walid
   Smith, Edwin
   Liu, Dennis
   Chua, Michael
   Bhanji, Yasin
TI E-learning teaches attendings "how to" objectively assess pediatric
   urology trainees' surgery skills for orchiopexy
SO JOURNAL OF PEDIATRIC UROLOGY
VL 14
IS 2
AR e6
DI 10.1016/j.jpurol.2017.09.026
PD APR 2018
PY 2018
AB Introduction
   Established methods to train pediatric urology surgery by residency
   training programs require updating in response to administrative changes
   such as new, reduced trainee duty hours. Therefore, new objective
   methods must be developed to teach trainees. We approached this need by
   creating e-learning to teach attendings objective assessment of trainee
   skills using the Zwisch scale, an established assessment tool. The aim
   of this study was to identify whether or not e-learning is an
   appropriate platform for effective teaching of this assessment tool, by
   assessing inter-rater correlation of assessments made by the attendings
   after participation in the e-learning. Pediatric orchiopexy was used as
   the index case.
   Methods
   An e-learning tool was created to teach attending surgeons objective
   assessment of trainees' surgical skills. First, e-learning content was
   created which showed the assessment method videotape of resident surgery
   done in the operating room. Next, attendings were enrolled to e-learn
   this method. Finally, the ability of enrollees to assess resident
   surgery skill performance was tested. Namely, test video was made
   showing a trainee performing inguinal orchiopexy. All enrollees viewed
   the same online videos. Assessments of surgical skills (Zwisch scale)
   were entered into an online survey. Data were analyzed by
   intercorrelation coefficient kappa analysis (strong correlation was ICC
   >= 0.7).
   Results
   A total of 11 attendings were enrolled. All accessed the online learning
   and then made assessments of surgical skills trainees showed on
   videotapes. The e-learning comprised three modules: 1. "Core concepts,"
   in which users learned the assessment tool methods; 2. "Learn to
   assess," in which users learned how to assess by watching video clips,
   explaining the assessment method; and 3. "Test," in which users tested
   their skill at making assessments by watching video clips and then
   actively inputting their ratings of surgical and global skills as viewed
   in the video clips (Figure). A total of 89 surgical skill ratings were
   performed with 56 (65%) exact matches between raters and 89 (100%)
   matched within one rank. Interclass correlation coefficient (ANOVA)
   showed statistically significant correlation. (r = 0.725, 95% CI
   0.571-0.837, F = 3.976, p <= 0.00001). Kappa analysis of inter-rater
   reliability showed strong consensus between attendings for average
   measures with ICC = 0.71,95% CI 0.46-0.95 (p = 0.03).
   Conclusion
   We launched e-learning to teach pediatric urology attendings "how to"
   assess trainee surgical skills objectively (Zwisch scale). After
   e-learning, there was strong inter-rater correlation in assessments
   made. We plan to extend such e-learning to pediatric urology surgical
   training programs.
RI Farhat, Walid/AAM-4580-2021; Fernandez, Jose Nicolas/C-2188-2015
OI Fernandez, Jose Nicolas/0000-0002-9675-5963
ZB 0
ZS 0
ZA 0
ZR 0
Z8 0
TC 3
Z9 3
U1 0
U2 7
SN 1477-5131
EI 1873-4898
UT WOS:000433000600009
PM 29162327
ER

PT J
AU Freeman, Jaimie L.
   Caldwell, Patrina H. Y.
   Bennett, Patricia A.
   Scott, Karen M.
TI How Adolescents Search for and Appraise Online Health Information: A
   Systematic Review
SO JOURNAL OF PEDIATRICS
VL 195
BP 244
EP +
DI 10.1016/j.jpeds.2017.11.031
PD APR 2018
PY 2018
AB Objective To conduct a systematic review of the evidence concerning
   whether and how adolescents search for online health information and the
   extent to which they appraise the credibility of information they
   retrieve.
   Study design A systematic search of online databases (MEDLINE, EMBASE,
   PsycINFO, ERIC) was performed. Reference lists of included papers were
   searched manually for additional articles. Included were studies on
   whether and how adolescents searched for and appraised online health
   information, where adolescent participants were aged 13-18 years.
   Thematic analysis was used to synthesize the findings.
   Results Thirty-four studies met the inclusion criteria. In line with the
   research questions, 2 key concepts were identified within the papers:
   whether and how adolescents search for online health information, and
   the extent to which adolescents appraise online health information. Four
   themes were identified regarding whether and how adolescents search for
   online health information: use of search engines, difficulties in
   selecting appropriate search strings, barriers to searching, and absence
   of searching. Four themes emerged concerning the extent to which
   adolescents appraise the credibility of online health information:
   evaluation based on Web site name and reputation, evaluation based on
   first impression of Web site, evaluation of Web site content, and
   absence of a sophisticated appraisal strategy.
   Conclusions Adolescents are aware of the varying quality of online
   health information. Strategies used by individuals for searching and
   appraising online health information differ in their sophistication. It
   is important to develop resources to enhance search and appraisal skills
   and to collaborate with adolescents to ensure that such resources are
   appropriate for them.
RI Freeman, Jaimie Lee/AAZ-1179-2020; Caldwell, Patrina/C-4211-2013; Scott, Karen/N-7333-2017
OI Freeman, Jaimie Lee/0000-0002-2984-5774; Caldwell,
   Patrina/0000-0003-1124-6578; Scott, Karen/0000-0003-0721-6675
ZB 3
ZA 0
TC 42
ZS 1
Z8 0
ZR 0
Z9 42
U1 4
U2 43
SN 0022-3476
EI 1097-6833
UT WOS:000428232400041
PM 29398062
ER

PT J
AU Talim, Mariza Cristina
   Cendon, Beatriz Valadares
   Talim, Sergio Luiz
TI Impact evaluation of one training in bibliographic research for
   postgraduate students and residents in healthcare
SO PERSPECTIVAS EM CIENCIA DA INFORMACAO
VL 23
IS 2
BP 85
EP 103
DI 10.1590/1981-5344/2846
PD APR-JUN 2018
PY 2018
AB The objective of this study is to evaluate the impact of training in
   online searching in Medical Literature Analysis and Retrieval System
   Online (MedLine) and Biblioteca Virtual em Saude (BVS) Research Portal
   databases, on the information seeking behavior of graduate students and
   residents of the Health Science Campus of the Federal University of
   Minas Gerais. The research used the Kirkpatrick model for evaluating
   training specifically focusing on first and second levels of this model.
   The basic descriptive research used a quantitative approach. The
   research used a non-random sample consisting of the graduate students
   and residents who agreed to participate in the course. This training had
   a course load of 15 hours and was offered to postgraduate students of
   the Graduate Campus Health of the Federal University of Minas Gerais and
   residents of Obstetric Nursing Residency Program of the Federal
   University of Minas Gerais School of Nursing courses. Data collection
   was conducted using two questionnaires at the beginning and at the end
   of the training. We compared the answers given by the respondents in
   these questionnaires. The results showed that the training had a
   positive impact on the informational seeking behavior because students
   have acquired new knowledge and research skills.
ZR 0
ZA 0
ZS 0
TC 1
ZB 0
Z8 0
Z9 1
U1 0
U2 0
SN 1413-9936
EI 1981-5344
UT WOS:000437437300006
ER

PT J
AU Turner, Jasmin K.
   Hutchinson, Amanda
   Wilson, Carlene
TI Correlates of post-traumatic growth following childhood and adolescent
   cancer: A systematic review and meta-analysis
SO PSYCHO-ONCOLOGY
VL 27
IS 4
BP 1100
EP 1109
DI 10.1002/pon.4577
PD APR 2018
PY 2018
AB Objective: A growing number of children and adolescents are experiencing
   and surviving cancer. This review aims to identify the demographic,
   medical, and psychosocial correlates of perceived post-traumatic growth
   in individuals of any age who were affected by paediatric cancer.
   Findings will highlight protective factors that may facilitate
   post-traumatic growth, allowing for directed social support,
   intervention, and follow-up care.
   Methods: A systematic search based on the key concepts "post-traumatic
   growth" neoplasms," and "paediatric" retrieved 905 records from online
   databases: Embase, Ovid MEDLINE, PILOTS: Published International
   Literature on Traumatic Stress, PsycINFO, and Web of Science. Eligible
   studies were appraised as excellent quality with a high level of
   interrater reliability. The results of 18 studies were synthesised.
   Results: After the removal of outliers, post-traumatic growth shared
   small, negative associations with time since diagnosis (r = -0.14) and
   time since treatment completion (r = -0.19), and small, positive
   associations with age at diagnosis (r = 0.20), age at survey (r = 0.17),
   post-traumatic stress symptoms (r = 0.11), and social support (r =
   0.25). Post-traumatic growth was positively and moderately associated
   with optimism (r = 0.31).
   Conclusions: Several findings were consistent with a comparable
   meta-analysis in adult oncology populations. Targeted social support,
   clinical intervention, and education may facilitate post-traumatic
   growth. Longitudinal research in individuals affected by childhood and
   adolescent cancer would allow an examination of the effects of
   predictive variables on post-traumatic growth over time.
RI Hutchinson, Amanda D/B-3629-2013; Wilson, Carlene/C-6823-2011; Turner, Jasmin/
OI Hutchinson, Amanda D/0000-0003-3983-8321; Wilson,
   Carlene/0000-0002-1883-4690; Turner, Jasmin/0000-0003-0286-8949
ZS 0
Z8 2
TC 28
ZR 0
ZB 3
ZA 0
Z9 30
U1 3
U2 37
SN 1057-9249
EI 1099-1611
UT WOS:000430230400002
PM 29096418
ER

PT J
AU Herrmann, Anne
   Sanson-Fisher, Rob
   Hall, Alix
   Wall, Laura
   Zdenkowski, Nicholas
   Waller, Amy
TI A discrete choice experiment to assess cancer patients' preferences for
   when and how to make treatment decisions
SO SUPPORTIVE CARE IN CANCER
VL 26
IS 4
BP 1215
EP 1220
DI 10.1007/s00520-017-3944-9
PD APR 2018
PY 2018
AB Cancer patients can be overwhelmed when being confronted with their
   diagnosis and treatment options. Such information is often provided
   during one consultation between the patient and treating clinician. In
   order to achieve optimal cancer care, there may be justification for
   alternative consultation styles. We assessed, in a sample of adult
   medical oncology patients, their preferences for (i) attending one
   40-min consultation or two 20-min consultations and (ii) receiving
   written only or both written and online information, when making a
   cancer treatment decision.
   This was a cross-sectional survey using a discrete choice design of 159
   adult medical oncology patients presenting for their second or
   subsequent outpatient consultation. Participants were presented with a
   set of hypothetical scenarios and asked to indicate their most and least
   preferred scenario. The scenarios contained a caveat explaining that
   there would be no difference between the available treatment options in
   terms of when treatment would be initiated and the impact it would have
   on patients' life expectancy.
   One hundred forty-seven patients completed the DCE. Of these, 70% (n =
   103) preferred being provided with written and online information rather
   than just written information. This preference was statistically
   significant (p < 0.01). Fifty-nine percent (n = 86) of patients
   preferred two 20-min consultations over one 40-min consultation when
   making a treatment decision. Significantly, more patients preferred two
   shorter consultations rather than one longer consultation when this was
   combined with written and online information (p < 0.01).
   When making a cancer treatment decision, clinicians should consider
   offering patients written and online information, combined with two
   shorter consultations.
RI Waller, Amy/ABC-2837-2021; wall, laura/ABC-2122-2021; Zdenkowski, Nicholas/I-2159-2019; HALL, ALIX/AAX-8626-2021; Sanson-Fisher, Rob/
OI Waller, Amy/0000-0002-0987-9424; wall, laura/0000-0002-3070-387X;
   Zdenkowski, Nicholas/0000-0001-8738-8463; HALL,
   ALIX/0000-0002-1043-6110; Sanson-Fisher, Rob/0000-0001-6022-2949
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
TC 12
Z9 12
U1 2
U2 15
SN 0941-4355
EI 1433-7339
UT WOS:000425743100022
PM 29090384
ER

PT J
AU Sneddon, Jacqueline
   Barlow, Gavin
   Bradley, Sally
   Brink, Adrian
   Chandy, Sujith J.
   Nathwani, Dilip
TI Development and impact of a massive open online course (MOOC) for
   antimicrobial stewardship
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 73
IS 4
BP 1091
EP 1097
DI 10.1093/jac/dkx493
PD APR 2018
PY 2018
AB Background: The University of Dundee and the BSAC developed a massive
   open online course (MOOC) to address the global need for education to
   support antimicrobial stewardship in low- and middle-income countries.
   Methods: An interactive course, Antimicrobial Stewardship: Managing
   Antibiotic Resistance, was developed and delivered via the FutureLearn
   (c) platform. The course ran over four 6 week periods during 2015 and
   2016 supported by educators and was evaluated via data on uptake and
   feedback from learners on impact on clinical practice.
   Results: In total, 32944 people, 70% of them healthcare professionals,
   from 163 countries joined the course from Europe (49%), Asia (16%),
   Africa (13%), North America (9%), Australia (8%) and South America (5%).
   Between 33% and 37% of joiners in each run completed at least one step
   in any week of the course and 219 participants responded to a
   post-course survey. The course was rated good or excellent by 208 (95%)
   of the participants, and 83 (38%) intended to implement stewardship
   interventions in their own setting. A follow-up survey 6 months later
   suggested that 49% had implemented such interventions.
   Conclusions: The MOOC has addressed a global learning need by providing
   education free at the point of access, and learning from its development
   will help others embarking upon similar educational solutions. Initial
   quantitative and qualitative feedback suggests it has engaged
   participants and complements traditional educational methods. Measuring
   its real impact on clinical practice remains a challenge. The
   FutureLearn VC platform offers flexibility for MOOCs to be sustainable
   through modification to remove educator facilitation but maintain active
   participant discussion.
RI Sneddon, Jacqueline/AAE-8788-2021; SOUNDRARAJAN, JOYSON/I-1779-2019
OI Sneddon, Jacqueline/0000-0003-1926-9491; 
TC 37
ZA 0
Z8 0
ZB 11
ZS 0
ZR 0
Z9 37
U1 0
U2 16
SN 0305-7453
EI 1460-2091
UT WOS:000429019600035
PM 29340600
ER

PT J
AU O'Connell, Joan
   Maria Galvez-Gonzalez, Ana
   Scandlyn, Jean
   Rosa Sala-Adam, Maria
   Martin-Linares, Xiomara
TI A Collaboration to Teach US MPH Students about Cuba's Health Care System
SO MEDICC REVIEW
VL 20
IS 2
BP 49
EP 53
PD APR 2018
PY 2018
AB In 2011, the US Department of the Treasury changed its regulations to
   allow US students to participate in short-term education programs in
   Cuba. Beginning in 2012, and each year thereafter, Cuba's National
   School of Public Health and the Colorado School of Public Health have
   jointly taught a class on the Cuban public health system. The program
   goals are to provide US students with an opportunity to learn about the
   Cuban national health system's focus on 1) prevention and primary health
   care services; 2) financial and geographic access to services and health
   equity; 3) continuum of care across the home, family doctor-and-nurse
   offices, polyclinics and hospitals; 4) data collection at all levels to
   understand health risks, including outbreaks, and to guide resource
   allocation; 5) assessing patients' health and risks using a
   comprehensive definition of health; 6) multisectoral collaborations
   between the Ministry of Public Health and other Cuban agencies and
   organizations to address population health risks; 7) disaster
   preparedness, response and recovery; and 8) provision of international
   health assistance. The class incorporates information about health
   systems in Latin American and other Caribbean countries to provide
   context for understanding the Cuban health system.
   The course includes: 1) seminars, online readings and discussions before
   travel to Cuba; 2) seminars at Cuba's National School of Public Health,
   visits to Cuban national health institutions at all levels, from
   community-based family doctor-and-nurse offices and multispecialty
   clinics (polyclinics) to internationally recognized national health
   institutions, and guided visits and activities about Cuban culture and
   history during their 12 days in Cuba; and 3) followup course work upon
   return to the USA in which students integrate what they learned into
   their final class reports and presentations. During time spent planning,
   implementing and revising the program, both institutions have leamed
   from each other about global health teaching methodologies and have laid
   a foundation for future teaching and research collaborations. To date,
   49 individuals have participated in the program.
TC 0
Z8 0
ZB 0
ZA 0
ZR 0
ZS 0
Z9 0
U1 1
U2 7
SN 1555-7960
UT WOS:000434311900011
PM 29773778
ER

PT J
AU Mosalanejad, Leili
   Saeedabdollahifard
   Rezaie, Rita
TI Mobile e-portfolio as a Personal Digital Assistant in Nursing Education
SO PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES
VL 12
IS 2
BP 930
EP 934
PD APR-JUN 2018
PY 2018
AB Background: In view of the recent interest in the use of mobile
   technologies for assessing people's work and career, tools such as
   personal digital assistants (PDAs) and cell phones can not only make
   data collection possible at anytime and anywhere, but also improve this
   process by allowing for the collection of multimedia data. This study
   was conducted to design and develop a mobile portfolio and evaluate its
   efficacy in assessing the performance of nursing students in clinical
   wards.
   Methods: The graduate nursing students of Jahrom University of Medical
   Sciences were recommended to draft a clinical portfolio of their
   clinical experience in written, audio and video formats in various
   media. Mobile e-portfolios have been developed to synchronize wirelessly
   with the user's personal web page over Wi-Fi and cellular networks. Data
   on the students' duration and type of training, time, learning
   opportunities, work performance, resources and clinical experiences were
   recorded on the ward's website. The teachers were also able to access
   the students' portfolios for adding notes and comments. The teachers'
   assessments were both qualitative and quantitative.
   Results: Mobile e-portfolios are a user-friendly, accessible and
   attractive method for the objective assessment of students that enable
   the careful assessment of the students by encouraging their Improving
   information literacyand feedback. This tool satisfied 70% of the
   students.
   Conclusion: Smartphone-based e-portfolios can facilitate the continuity
   of work and create uniform frameworks for the students to display their
   performance and learning efficiency, invite others to interpret and
   evaluate their work and selectively publish online documents of their
   clinical achievements.
RI Mosalanejad, Leili -/AAA-8728-2022
ZA 0
ZB 0
Z8 0
ZS 0
ZR 0
TC 1
Z9 1
U1 0
U2 6
SN 1996-7195
UT WOS:000448773900098
ER

PT J
AU Barker, Megan
   Lecce, Julia
   Ivanova, Anna
   Zawertailo, Laurie
   Dragonetti, Rosa
   Selby, Peter
TI Interprofessional Communities of Practice in Continuing Medical
   Education for Promoting and Sustaining Practice Change: A Prospective
   Cohort Study
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 38
IS 2
BP 86
EP 93
DI 10.1097/CEH.0000000000000191
PD APR 2018
PY 2018
AB Introduction: Standard knowledge delivery formats for CME may have
   limited impact on long-term practice change. A community of practice
   (CoP) is one tool that may enhance competencies and support practice
   change. This study explores the utility of an interprofessional CoP as
   an adjunct to a CME program in tobacco addiction treatment (Training
   Enhancement in Applied Counselling and Health [TEACH] Project) to
   promote and sustain practice change.
   Methods: A prospective cohort design was utilized to examine the
   long-term impact of the TEACH CoP on practice change. An online survey
   was administered to TEACH-trained practitioners to assess perceived
   feasibility, importance, and confidence related to course competencies,
   involvement in TEACH CoP activities, engagement in knowledge transfer
   (KT), and implementation of new programming. Chi-square tests were used
   to detect differences in KT and program development associated with CoP
   participation. Course competency scores from immediate postcourse
   surveys and long-term follow-up surveys were compared.
   Results: No significant differences in participant characteristics were
   found between those who did (n = 300) and did not (n = 122) participate
   in the TEACH CoP. Mean self-perceived competency scores were greater
   immediately after course than at long-term follow-up; however,
   self-ratings of competency in pharmacological interventions and
   motivational interviewing were higher at follow-up. TEACH CoP
   participation was associated with significantly greater engagement in KT
   and implementation of new programming after training.
   Discussion: The findings from this evaluation suggest the value of
   interprofessional CoPs offered posttraining as a mechanism to enhance
   practice. CME providers should consider offering CoPs as a component of
   training programs to promote and sustain practice change.
RI Ivanova, Anna/AFQ-5405-2022; Zawertailo, Laurie/L-2809-2019; Barker, Megan/
OI Barker, Megan/0000-0003-2774-4395
ZR 0
ZA 0
TC 2
ZB 0
Z8 0
ZS 0
Z9 2
U1 0
U2 12
SN 0894-1912
EI 1554-558X
UT WOS:000447397000003
PM 29461308
ER

PT J
AU Kaki, Abdullah Mohammad
   Hazazi, Abdulaziz A.
TI Assessment of medical practitioners' knowledge of fibromyalgia in Saudi
   Arabia
SO SAUDI JOURNAL OF ANAESTHESIA
VL 12
IS 2
BP 178
EP 182
DI 10.4103/sja.SJA_458_17
PD APR-JUN 2018
PY 2018
AB Background: Fibromyalgia (FM), a relatively common disease, is difficult
   to diagnose owing to its subjective symptoms and poor knowledge among
   medical practitioners. The purpose of this study was to assess the
   knowledge regarding FM among medical practitioners in Saudi Arabia and
   the need for educational programs at the undergraduate level.
   Subjects and Methods: An online survey was administered to physicians,
   nurses, and technologist/technicians in different regions of the
   country. Responses were obtained from 104 medical practitioners.
   Knowledge regarding FM including clinical symptoms, diagnosis, and
   treatment was assessed.
   Results: Only 26% of the respondents reported that FM was part of their
   undergraduate curriculum, and only 8.7% attended educational programs
   about FM. (Approximately 50% of the medical practitioners either
   referred FM patients to unrelated specialty or did not know whom to
   refer these patients to). Only 33.7% of the respondents were familiar
   with the diagnostic criteria. Physiotherapy (69.4%) and pharmacological
   treatment (63.9%) were predominantly reported as the appropriate
   treatment.
   Conclusions: Knowledge regarding FM among medical practitioners in Saudi
   Arabia is poor. Further education at the undergraduate level is needed
   to improve knowledge and avoid delays in diagnosis and treatment.
ZA 0
ZB 0
ZR 0
ZS 1
Z8 0
TC 3
Z9 4
U1 0
U2 0
SN 1658-354X
EI 0975-3125
UT WOS:000446923200002
PM 29628824
ER

PT J
AU Daniel Rosenthal, Victor
   Desse, Javier
   Marcelo Maurizi, Diego
   Jorge Chaparro, Gustavo
   Wenceslao Orellano, Pablo
   Chediack, Viviana
   Cabrera, Rafael
   Golschmid, Daniel
   Graciela Silva, Cristina
   Cesar Vimercati, Julio
   Pablo Stagnaro, Juan
   Perez, Ivanna
   Laura Spadaro, Maria
   Miriam Montanini, Adriana
   Pedersen, Dina
   Laura Paniccia, Teresa
   Rios Aguilera, Ana Maria
   Cermesoni, Raul
   Ignacio Mele, Juan
   Alda, Ernesto
   Edith Paldoro, Analia
   Roman Ortta, Agustin
   Cooke, Bettina
   Cecilia Garcia, Maria
   Nair Obed, Mora
   Veronica Dominguez, Cecilia
   Alejandro Saul, Pablo
   Cecilia Rodriguez del Valle, Maria
   Claudio Bianchi, Alberto
   Alvarez, Gustavo
   Perez, Ricardo
   Oyola, Carolina
TI Impact of the International Nosocomial Infection Control Consortium
   (INICC)'s Multidimensional Approach on Rates of Central Line-Associated
   Bloodstream Infection in 14 Intensive Care Units in 11 Hospitals of 5
   Cities in Argentina
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 39
IS 4
BP 445
EP 451
DI 10.1017/ice.2017.298
PD APR 2018
PY 2018
AB OBJECTIVE To analyze the impact of the International Nosocomial
   Infection Control Consortium (INICC) Multidimensional Approach (IMA) and
   the INICC Surveillance Online System (ISOS) on central line-associated
   bloodstream infection (CLABSI) rates in 14 intensive care units (ICUs)
   in Argentina from January 2014 to April 2017.
   DESIGN This prospective, pre-post surveillance study of 3,940 ICU
   patients was conducted in 11 hospitals in 5 cities in Argentina. During
   our baseline evaluation, we performed outcome and process surveillance
   of CLABSI applying Centers for Disease Control and Prevention/National
   Health Safety Network (CDC/NHSN) definitions. During the intervention,
   we implemented the IMA through ISOS: (1) a bundle of infection
   prevention practice interventions, (2) education, (3) outcome
   surveillance, (4) process surveillance, (5) feedback on CLABSI rates and
   consequences, and (6) performance feedback of process surveillance.
   Bivariate and multivariate regression analyses were performed using a
   logistic regression model to estimate the effect of the intervention on
   the CLABSI rate.
   RESULTS During the baseline period, 5,118 CL days and 49 CLABSIs were
   recorded, for a rate of 9.6 CLABSIs per 1,000 central-line (CL) days.
   During the intervention, 15,659 CL days and 68 CLABSIs were recorded,
   for a rate of 4.1 CLABSIs per 1,000 CL days. The CLABSI rate was reduced
   by 57% (incidence density rate: 0.43; 95% confidence interval, 0.34-0.6;
   P<.001).
   CONCLUSIONS Implementing IMA through ISOS was associated with a
   significant reduction in the CLABSI rate in ICUs in Argentina. Infect
   Control Hosp Epidemiol 2018;39:445-451
OI ROSENTHAL, VICTOR DANIEL/0000-0001-9138-4801; Stagnaro, Juan
   Pablo/0000-0003-3836-9957
ZS 0
ZA 0
TC 8
ZR 0
ZB 5
Z8 1
Z9 9
U1 0
U2 9
SN 0899-823X
EI 1559-6834
UT WOS:000428538000010
PM 29427997
ER

PT J
AU Wilson, Michael L.
   Ayers, Stephanie
   Berney, Daniel
   Eslan, Alexia
   Guarner, Jeannette
   Lester, Susan
   Masia, Ricard
   Moloo, Zahir
   Mutuku, Angela
   Roberts, Drucilla
   Stall, Jennifer
   Sayed, Shahin
TI Improving Anatomic Pathology in Sub-Saharan Africa to Support Cancer
   Care
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 149
IS 4
BP 310
EP 315
DI 10.1093/AJCP/AQX158
PD APR 2018
PY 2018
AB Objectives: Cancer care requires both accurate pathologic diagnosis as
   well as pathologic cancer staging. We evaluated three approaches to
   training pathologists in sub-Saharan Africa to perform pathologic cancer
   staging of breast, cervix, prostate, and colorectal cancers.
   Methods: One of three training methods was used at each workshop:
   didactic, case-based testing (CBT), or a blended approach. The project
   involved 52 participants from 16 pathology departments in 11 countries
   in East, Central, and Southern Africa. Evaluation of each method
   included pre- and postworkshop knowledge assessments, online pre- and
   postworkshop surveys of practice changes at the individual and
   institutional levels, and selected site visits.
   Results: While CBT resulted in the highest overall average
   postassessment individual scores, both CBT and blended approaches
   resulted in 19% increases in average scores from pre- to postworkshop
   assessments. Institutions that participated in the blended workshop had
   increased changes in practice as indicated by the institutional survey.
   Conclusions: Both CBT and a blended approach are effective methods for
   training pathologists in pathologic cancer staging. Both are superior to
   traditional lectures alone.
RI Guarner, Jeannette/B-8273-2013; SAYED, SHAHIN/F-8641-2016; Roberts, Drucilla/AAB-6379-2022
OI Guarner, Jeannette/0000-0001-5610-3541; 
ZA 0
Z8 0
ZS 1
ZR 0
TC 4
ZB 2
Z9 4
U1 0
U2 0
SN 0002-9173
EI 1943-7722
UT WOS:000429453100004
PM 29471457
ER

PT J
AU Stulberg, Debra B.
   Monast, Kristie
   Dahlquist, Irma H.
   Palmer, Kate
TI Provision of abortion and other reproductive health services among
   former Midwest Access Project trainees
SO CONTRACEPTION
VL 97
IS 4
BP 341
EP 345
DI 10.1016/j.contraception.2018.01.002
PD APR 2018
PY 2018
AB Objective: The Midwest Access Project (MAP) offers opt-in training to
   students, residents and practicing clinicians in reproductive health
   care including abortion. We surveyed MAP alumni to identify current
   practice characteristics and assess predictors of reproductive health
   service provision.
   Study design: We sent an online survey to alumni of MAP's Individual
   Clinical Training program, 2007-2015 (n=127). The primary outcome was
   current provision of any abortion service. Secondary outcomes included
   providing specific abortion services and other reproductive services.
   Results: We received responses from 61% of eligible MAP alumni (n=77 out
   of 127). The majority reported a specialty of Family Medicine (68%) and
   current location in the Midwest (52%). Among current residents, fellows
   or clinicians practicing in a field whose scope includes abortion
   (n=56), 50% provide abortion. Most (84%) provide outpatient miscarriage
   management, and nearly all (>= 96%) provide pregnancy options counseling
   and full scope contraception. Respondents who received the most advanced
   training in medication abortion as part of their MAP training were more
   likely to report providing abortion in their current practice than those
   who did not (63% vs. 32%, p=.027), as were those who completed more than
   one MAP rotation compared to those who completed one rotation (100% vs.
   44%, p=.009).
   Conclusions: Half of MAP's alumni provide some abortion care. Nearly all
   provide comprehensive counseling and contraceptive services.
   Implications: Opt-in training is a promising strategy to develop
   providers of comprehensive reproductive health care. (C) 2018 Elsevier
   Inc. All rights reserved.
ZS 0
ZA 0
Z8 0
ZR 0
ZB 3
TC 6
Z9 6
U1 0
U2 6
SN 0010-7824
EI 1879-0518
UT WOS:000428969000012
PM 29337041
ER

PT J
AU Chien, Tzu-Yun
   Chien, Yi-Wen
   Chang, Jung-Su
   Chen, Yi Chun
TI Influence of Mothers' Nutrition Knowledge and Attitudes on Their
   Purchase Intention for Infant Cereal with No Added Sugar Claim
SO NUTRIENTS
VL 10
IS 4
AR 435
DI 10.3390/nu10040435
PD APR 2018
PY 2018
AB A higher sugar intake in infancy might result in a predisposition to a
   higher sugar intake in later childhood. In Taiwan, many commercial
   infant and toddler foods with nutrition claims have high sugar content.
   This study explored the influence of mothers' knowledge and attitudes on
   their purchase intention for infant food with nutrition claims. This
   study was a cross-sectional survey. An online survey was distributed to
   940 mothers who had a child aged between 4 months and 3 years; 40% of
   mothers tend to misunderstand that "no added sugar" (NAS) indicates no
   sugar or less sugar content and, thus, that NAS infant cereal is
   healthy. Approximately 50-70% of mothers believe that NAS infant cereal
   is more natural, healthier, and contains less sugar. Attitude toward the
   NAS claim was found to be a mediating variable between sugar-related
   knowledge and purchase intention. The lower the level of sugar-related
   knowledge was, the more positive the attitude toward NAS infant cereal
   and the higher the purchase intention for NAS infant cereal were. In the
   future, regulation of no added sugar is needed to avoid the misleading
   information and mothers' sugar-related knowledge need to be improved
   through nutrition education.
OI Chen, Yi Chun/0000-0002-6930-1712; Chien, Yi-wen/0000-0002-7293-5310
ZS 0
ZR 0
Z8 0
ZB 5
ZA 0
TC 11
Z9 11
U1 2
U2 11
EI 2072-6643
UT WOS:000435182900051
PM 29601544
ER

PT J
AU Schmidt, Richard
   Breyer, Marie
   Breyer-Kohansal, Robab
   Urban, Matthias
   Funk, Georg-Christian
TI Do doctors understand the test characteristics of lung cancer screening?
SO WIENER KLINISCHE WOCHENSCHRIFT
VL 130
IS 7-8
BP 238
EP 246
DI 10.1007/s00508-017-1305-9
PD APR 2018
PY 2018
AB Background Screening for lung cancer with a low-dose computed tomography
   (CT) scan is estimated to prevent 3 deaths per 1000 individuals at high
   risk; however, false positive results and radiation exposure are
   relevant harms and deserve careful consideration. Screening candidates
   can only make an autonomous decision if doctors correctly inform them of
   the pros and cons of the method; therefore, this study aimed to evaluate
   whether doctors understand the test characteristics of lung cancer
   screening.
   Methods In a randomized trial 556 doctors (members of the Austrian
   Respiratory Society) were invited to answer questions regarding lung
   cancer screening based on online case vignettes. Half of the
   participants were randomized to the group 'solutions provided' and
   received the correct solutions in advance. The group 'solutions
   withheld' had to rely on prior knowledge or estimates. The primary
   endpoint was the between-group difference in the estimated number of
   deaths preventable by screening. Secondary endpoints were the
   between-group differences in the prevalence of lung cancer, prevalence
   of a positive screening results, sensitivity, specificity, positive
   predictive value, and false negative rate. Estimations were also
   compared with current data from the literature.
   Results The response rate was 29% in both groups. The reduction in the
   number of deaths due to screening was overestimated six-fold (95%
   confidence interval CI: 4-8) compared with the actual data, and there
   was no effect of group allocation. Providing the correct solutions to
   doctors had no systematic effect on their answers.
   Conclusion Doctors poorly understand the test characteristics of lung
   cancer screening. Providing the correct solutions in advance did not
   improve the answers. Continuing education regarding lung cancer
   screening and the interpretation of test characteristics may be a simple
   remedy.
Z8 0
ZS 0
ZB 0
ZA 0
TC 2
ZR 0
Z9 2
U1 0
U2 1
SN 0043-5325
EI 1613-7671
UT WOS:000430988800003
PM 29372409
ER

PT J
AU Crifasi, Cassandra K.
   Doucette, Mitchell L.
   McGinty, Emma E.
   Webster, Daniel W.
   Barry, Colleen L.
TI Storage Practices of US Gun Owners in 2016
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 108
IS 4
BP 532
EP 537
DI 10.2105/AJPH.2017.304262
PD APR 2018
PY 2018
AB Objectives. To examine gun storage practices and factors influencing
   those practices among gun owners.
   Methods. We conducted a nationally representative online survey of US
   gun owners (n =1444) in 2016 to assess gun storage practices and
   attitudes, factors influencing storage practices, and groups that might
   effectively communicate regarding safe storage. We generated descriptive
   statistics by using cross-tabulations and used logistic regression to
   estimate characteristics that influenced safe storage practices.
   Results. Forty-six percent of gun owners reported safely storing all of
   their guns. Factors associated with higher odds of reporting safe
   storage were having a child in the home (adjusted odds ratio [AOR] =
   1.44; 95% confidence interval [CI] = 1.03, 2.03), only owning handguns
   (AOR = 1.84; 95% CI =1.24, 2.73), and reporting that storage decisions
   were influenced by a gun safety course (AOR = 2.05; 95% CI = 1.54, 2.74)
   or discussions with family members (AOR =1.39; 95% CI = 1.05, 1.86). Gun
   owners ranked law enforcement, hunting or outdoors groups, active-duty
   military, and the National Rifle Association as most effective in
   communicating safe storage practices.
   Conclusions. Public health campaigns to promote safe gun storage should
   consider partnering with groups that garner respect among gun owners for
   their experience with safe use of guns.
OI Doucette, Mitchell/0000-0002-5558-2218
ZR 0
ZA 0
Z8 1
ZS 0
ZB 19
TC 71
Z9 71
U1 1
U2 6
SN 0090-0036
EI 1541-0048
UT WOS:000440250600048
PM 29470124
ER

PT J
AU Prince, Latrina Y.
   Schmidtke, Carsten
   Beck, Jules K.
   Hadden, Kristie B.
TI An Assessment of Organizational Health Literacy Practices at an Academic
   Health Center
SO QUALITY MANAGEMENT IN HEALTH CARE
VL 27
IS 2
BP 93
EP 97
DI 10.1097/QMH.0000000000000162
PD APR-JUN 2018
PY 2018
AB Background: Organizational health literacy is the degree to which an
   organization considers and promotes the health literacy of patients.
   Addressing health literacy at an organizational level has the potential
   to have a greater impact on more health consumers in a health system
   than individual-level approaches. Objective: The purpose of this study
   was to assess health care practices at an academic health center using
   the 10 attributes of a health-literate health care organization.
   Methods: Using a survey research design, the Health Literate Healthcare
   Organization 10-Item Questionnaire was administered online using total
   population sampling. Employees (N = 10 300) rated the extent that their
   organization's health care practices consider and promote patients'
   health literacy. Differences in responses were assessed using factorial
   analysis of variance. Results: The mean response was 4.7 on a 7-point
   Likert scale. Employee training and communication about costs received
   the lowest ratings. Univariate analyses revealed that there were no
   statistically significant differences (P =.05) by employees' health
   profession, years of service, or level of patient contact. There were
   statistically significant differences by highest education obtained with
   lowest ratings from employees with college degrees. Conclusions: Survey
   responses indicate a need for improvements in health care practices to
   better assist patients with inadequate health literacy.
OI Prince, Latrina/0000-0002-2223-5068
TC 13
ZA 0
ZS 0
Z8 2
ZB 1
ZR 0
Z9 15
U1 2
U2 13
SN 1063-8628
EI 1550-5154
UT WOS:000439668000006
PM 29596270
ER

PT J
AU Signorelli, Christina
   Wakefield, Claire E.
   Johnston, Karen A.
   Fardell, Joanna E.
   Brierley, Mary-Ellen E.
   Thornton-Benko, Elysia
   Foreman, Tali
   Webber, Kate
   Wallace, W. Hamish
   Cohn, Richard J.
TI 'Re-engage' pilot study protocol: a nurse-led eHealth intervention to
   re-engage, educate and empower childhood cancer survivors
SO BMJ OPEN
VL 8
IS 4
AR e022269
DI 10.1136/bmjopen-2018-022269
PD APR 2018
PY 2018
AB Introduction Many childhood cancer survivors are disengaged from
   cancer-related follow-up care despite being at high risk of
   treatment-related late effects. Innovative models of long-term follow-up
   (LTFU) care to manage ongoing treatment-related complications are
   needed. 'Re-engage' is a nurse-led eHealth intervention designed to
   improve survivors' health-related self-efficacy, targeted at survivors
   disengaged from follow-up. Re-engage aims to overcome survivor-and
   parent-reported barriers to care and ensure survivors receive the care
   most appropriate to their risk level.
   Methods and analysis This study will recruit 30 Australian childhood
   cancer survivors who are not receiving any cancer-related care.
   Participation involves two online/telephone consultations with a
   survivorship nurse for medical assessment, a case review, risk
   stratification and creation of a care plan by a multidisciplinary team
   of specialists. We will assess the feasibility of implementing
   'Re-engage' and its acceptability to participants and health
   professionals involved. The primary outcome will be survivors'
   health-related self-efficacy, measured at baseline and 1 and 6 months
   postintervention. Secondary outcomes will include the effect of
   'Re-engage' on survivors' health behaviours and beliefs, engagement in
   healthcare, information needs and emotional well-being. We will also
   document the cost per patient to deliver 'Re-engage'. If Re-engage is
   acceptable, feasible and demonstrates early efficacy, it may have the
   potential to empower survivors in coordinating their complex care,
   improving survivors' long-term engagement and satisfaction with care.
   Ideally, it will be implemented into clinical practice to recall
   survivors lost to follow-up and reduce the ongoing burden of treatment
   for childhood cancer.
   Ethics and dissemination The study protocol has been approved by the
   South Eastern Sydney Local Health District Human Research Ethics
   Committee (reference number: 16/366). The results will be disseminated
   in peer-reviewed journals and at scientific conferences. A lay summary
   will be published on the Behavioural Sciences Unit website.
RI Webber, Kate/L-8659-2019; Signorelli, Christina/I-1983-2018; Cohn, Richard/; Fardell, Joanna/
OI Webber, Kate/0000-0003-4350-0884; Signorelli,
   Christina/0000-0002-7091-0347; Cohn, Richard/0000-0002-2400-1353;
   Fardell, Joanna/0000-0001-7334-3475
ZB 2
ZA 0
Z8 0
ZS 0
TC 9
ZR 0
Z9 9
U1 0
U2 4
SN 2044-6055
UT WOS:000435176700249
PM 29654052
ER

PT J
AU Finco, Mateus David
   Rocha, Richard Santin
   Fao, Rafael Wailla
   Santos, Fabiana
TI Let's Move! The Social and Health Contributions From Pokemon GO
SO INTERNATIONAL JOURNAL OF GAME-BASED LEARNING
VL 8
IS 2
BP 44
EP 54
DI 10.4018/IJGBL.2018040104
PD APR-JUN 2018
PY 2018
AB The aim of this article was to analyze how players of Pokemon GO could
   adopt a healthier and active lifestyle meanwhile or after using the
   game, observing how active they could become in their daily routines.
   The methodology involved a qualitative analysis involving a sample with
   players who were invited to complete an online questionnaire to answer
   specific questions about lifestyle and healthy choices. This study
   involved 125 players (84 males and 41 females) in the city of Pelotas
   (South of Brazil) that have played for at least six months the game. As
   results, it was possible to observe that users have changed many habits,
   specifically regarding physical activity gains, as going more often to
   practice different sports than only running, walking or cycling, and
   many of players were getting into an active living practicing exercises
   with friends and family, out of the game. Also, many players commented
   that meeting new users was a good way to socialize and making groups to
   walk or run together, getting an extra motivation for other activities
   out of the game. We conclude that Pokemon GO is one of the first
   mobile-based gameplays that can be used to promote a healthier lifestyle
   with a new way of interaction, changing sedentary lifestyles with a big
   potential to be used in Health Education.
Z8 0
ZA 0
ZB 1
TC 2
ZS 0
ZR 0
Z9 2
U1 2
U2 13
SN 2155-6849
EI 2155-6857
UT WOS:000431085500005
ER

PT J
AU Pathipati, Akhilesh S.
   Tsai, James C.
TI Leadership in Ophthalmology: The Role of Physician-MBAs
SO AMERICAN JOURNAL OF OPHTHALMOLOGY
VL 188
BP 70
EP 73
DI 10.1016/j.ajo.2018.01.023
PD APR 2018
PY 2018
AB PURPOSE: As American health care evolves, an increasing number of
   doctors are pursuing MBAs. However, relatively little is known about how
   business training translates into their future careers. This study
   characterizes ophthalmologists who have completed MBAs and identifies
   opportunities for physician leadership in the field.
   DESIGN: Cross-sectional study.
   METHODS: We identified 120 ophthalmologists who hold MBAs. We searched
   each individual's online profiles to collect information on
   demographics, training, and professional activities.
   RESULTS: Physician-MBAs in ophthalmology are 80% male; 80% are
   fellowship trained; and 28% are in primarily nonclinical roles and 55%
   participate in significant nonclinical activity. Hospital administration
   is most common (31%), followed by pharmaceutical administration (7%) and
   consulting (5%). Older ophthalmologist MBAs were more likely to work in
   nonclinical roles, with 79% of those who completed residency before 2000
   engaged in significant nonclinical activity compared to 30% of those who
   completed residency after 2000. The most common employers of
   physician-MBAs in ophthalmology are academic medical centers (43%),
   large group practices (30%), and private practices (13%).
   CONCLUSIONS: The majority of ophthalmologist MBAs work in primarily
   clinical roles, although a sizable proportion hold nonclinical
   positions. Moving forward, we anticipate an increased role for physician
   leaders in health care administration, policy, and entrepreneurship.
   While formal management training is not necessary for these roles, a
   growing number of physicians have sought out MBAs to support their
   nonclinical interests. (C) 2018 Elsevier Inc. All rights reserved.
ZS 0
Z8 0
ZB 0
TC 1
ZA 0
ZR 0
Z9 1
U1 0
U2 7
SN 0002-9394
EI 1879-1891
UT WOS:000429396200012
PM 29378177
ER

PT J
AU Nataraja, R. M.
   Webb, N.
   Lopez, P. J.
TI Simulation in paediatric urology and surgery, part 2: An overview of
   simulation modalities and their applications
SO JOURNAL OF PEDIATRIC UROLOGY
VL 14
IS 2
BP 125
EP 131
DI 10.1016/j.jpurol.2017.12.009
PD APR 2018
PY 2018
AB Surgical training has changed radically in the last few decades. The
   traditional Halstedian model of time-bound apprenticeship has been
   replaced with competency-based training. In our previous article, we
   presented an overview of learning theory relevant to clinical teaching;
   a summary for the busy paediatric surgeon and urologist. We introduced
   the concepts underpinning current changes in surgical education and
   training. In this next article, we give an overview of the various
   modalities of surgical simulation, the educational principles that
   underlie them, and potential applications in clinical practice. These
   modalities include; open surgical models and trainers, laparoscopic
   bench trainers, virtual reality trainers, simulated patients and
   role-play, hybrid simulation, scenario-based simulation, distributed
   simulation, virtual reality, and online simulation. Specific examples of
   technology that may be used for these modalities are included but this
   is not a comprehensive review of all available products.
RI Nataraja, Ram/AAI-2975-2020
OI Nataraja, Ram/0000-0003-4438-0263
ZS 0
TC 12
ZB 3
Z8 1
ZA 0
ZR 0
Z9 13
U1 1
U2 9
SN 1477-5131
EI 1873-4898
UT WOS:000433000600008
PM 29456118
ER

PT J
AU Brodie, Katie E.
   Saltzman, Amanda F.
   Cost, Nicholas G.
TI Adolescent testicular microlithiasis: A case-based, multinational survey
   of clinical management practices
SO JOURNAL OF PEDIATRIC UROLOGY
VL 14
IS 2
DI 10.1016/j.jpurol.2017.12.007
PD APR 2018
PY 2018
AB Introduction
   Testicular microlithiasis (TM) is a condition characterized by calcium
   deposits within the testis, usually detected incidentally during
   ultrasonography of the scrotum. TM has been associated with the presence
   of, and possibly the development of, testicular malignancy. Our aim was
   to document international clinical management practices for TM and to
   analyze what factors and perception of risk influence conservative
   versus active management and follow-up.
   Methods
   European Society for Paediatric Urology (ESPU) and Society for Pediatric
   Urology (SPU) members were invited to complete an online case-based
   survey of clinical management practices of TM. Eight cases had a single
   variable changed each time (classic versus limited TM, unilateral versus
   bilateral, prior cryptorchidism versus no cryptorchidism) to ascertain
   the provider's perception of risk. The respondents completed multiple
   choice questions on initial management, follow-up plan, length and
   interval of follow-up. Multivariate logistic regression was performed to
   determine factors associated with decisions on management and follow-up.
   Results
   There were 265 respondents to the survey from 35 countries (Table).
   Median time in practice was 13 years. Factors that were significantly
   associated with more aggressive initial management (more than counseling
   on self-examination) included: not yet in independent practice, low
   volume TM cases per year, those practicing pediatric and adult urology,
   classic appearance of TM and cryptorchidism. Factors that were
   significantly associated with urologist follow-up and active
   investigation included: European practitioners, low TM case volume per
   year, those practicing both pediatric urology and pediatric surgery,
   classic TM appearance and a case history of cryptorchidism. Interval and
   length of follow-up was wide-ranging, with most respondents favoring
   annual follow-up.
   Conclusion
   Management of TM varies and a mix of surgeon and case factors
   significantly influences management strategies. This baseline
   understanding of the lack of systematic management suggests the need for
   the development of consensus guidelines and prospective study.
TC 2
ZR 0
Z8 0
ZA 0
ZB 1
ZS 0
Z9 2
U1 0
U2 3
SN 1477-5131
EI 1873-4898
UT WOS:000433000600015
PM 29428360
ER

PT J
AU Greene, Jessica
   Farley, Diane
   Amy, Christine
   Hutcheson, Kathy
TI How Patient Partners Influence Quality Improvement Efforts
SO JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
VL 44
IS 4
BP 186
EP 195
DI 10.1016/j.jcjq.2017.09.006
PD APR 2018
PY 2018
AB Background: There is growing acknowledgement that patients are key
   stakeholders in improving quality of medical care, yet a key barrier to
   integrating patients into quality improvement teams (QITs) as patient
   partners is the lack of evidence of their impact. This mixed-method
   study was conducted to identify the ways patient partners influence QITs
   and to document the extent of patient partners' impact.
   Methods: Focus groups and in-depth interviews were conducted with 17
   patient partners and 11 staff at WellSpan Health and Aligning Forces for
   Quality-South Central Pennsylvania to identify the specific mechanisms
   through which patients influenced QIT efforts. Online surveys of 47
   patient partners and 56 QIT leaders were conducted in summer 2016 to
   test the ways in which patient partners affected quality improvement
   (QI) and gauge respondents' perceptions of the impact of patient
   partners' contributions.
   Results: Patient partners influenced QI through three key mechanisms:
   symbolism, providing feedback (on written material for patients and new
   policies), and making suggestions (on office communication, educational
   materials, physical space, and clinical care processes). Almost three
   quarters of the patient partners believed they had a moderate to very
   large impact on their QIT's QI efforts. Eight of the 10 QIT leaders
   reported that patient partners improved patient-centeredness of QI a
   "moderate amount" to a "great deal" through one of the three key
   mechanisms.
   Conclusion: Integrating patient partners into ambulatory care QITs was a
   largely positive experience for patient partners, QIT leaders, and
   administrators. The changes that patient partners prompted were
   meaningful and likely improved patients' experience with care.
TC 3
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
Z9 3
U1 1
U2 2
SN 1553-7250
EI 1938-131X
UT WOS:000432377800003
PM 29579443
ER

PT J
AU Zarotti, Nicolo
   Simpson, Jane
   Fletcher, Ian
   Squitieri, Ferdinando
   Migliore, Simone
TI Exploring emotion regulation and emotion recognition in people with
   presymptomatic Huntington's disease: The role of emotional awareness
SO NEUROPSYCHOLOGIA
VL 112
BP 1
EP 9
DI 10.1016/j.neuropsychologia.2018.02.030
PD APR 2018
PY 2018
AB Interest in the role of both emotion regulation and recognition in our
   understanding of mental health has been steadily increasing, especially
   in people with chronic illness who also have psychological difficulties.
   One illness which belongs to this category is Huntington's disease.
   Huntington's disease (HD) is a chronic neurodegenerative disorder that
   can cause a number of cognitive and psychological difficulties,
   including emotion recognition deficits, even before the onset of the
   symptoms required to make a formal diagnosis. Despite the lack of
   definite evidence, recent studies have suggested that deficits of
   emotion regulation and recognition may be expected to play a pivotal
   role in the early cognitive manifestations of HD.& para;& para;In this
   study, we hypothesised that the ability to regulate emotions can be
   impaired in people with presymptomatic HD, and that such impairment may
   be associated with a deficit of emotion recognition. To test this, an
   online survey was carried out with 117 English and Italian-speaking
   people with presymptomatic HD, compared to 217 controls matched for age
   and education.& para;& para;The results suggest that, in presymptomatic
   participants, emotion regulation and emotion recognition are generally
   not significantly impaired, and no significant relationships between
   performances on the two constructs were observed. However, a specific
   impairment in emotional awareness (a subscale on the Difficulties in
   Emotion Regulation Scale, DERS) was observed, which appears to be
   enhanced by the co-occurrence of depressive symptoms, even at a
   subclinical level. Consequently, it is suggested that difficulties in
   emotional awareness may represent a precursor of more general emotion
   recognition impairments, which only become apparent as the disease
   reaches a more symptomatic level. Clinical implications of the findings
   are discussed and directions for future research are proposed.
RI Migliore, Simone/AAC-3038-2019; Squitieri, Ferdinando/N-1852-2019; Fletcher, Ian/; Zarotti, Nicolo/; Simpson, Jane/
OI Migliore, Simone/0000-0002-2665-231X; Squitieri,
   Ferdinando/0000-0002-7397-1727; Fletcher, Ian/0000-0002-1000-9581;
   Zarotti, Nicolo/0000-0002-8129-6151; Simpson, Jane/0000-0001-5071-4077
TC 17
ZA 0
ZS 0
ZB 5
ZR 0
Z8 0
Z9 17
U1 0
U2 14
SN 0028-3932
EI 1873-3514
UT WOS:000430521500001
PM 29510181
ER

PT J
AU Dietzel, C. T.
   Jablonska, K.
   Niyazi, M.
   Gauer, T.
   Ebert, N.
   Ostheimer, C.
   Krug, D.
TI Quality of training in radiation oncology in Germany: where do we stand?
   Results from a 2016/2017 survey performed by the working group "young
   DEGRO" of the German society of radiation oncology (DEGRO)
SO STRAHLENTHERAPIE UND ONKOLOGIE
VL 194
IS 4
BP 293
EP 302
DI 10.1007/s00066-017-1250-6
PD APR 2018
PY 2018
AB To evaluate the current situation of young radiation oncologists in
   Germany with regard to the contents and quality of training and level of
   knowledge, as well as their working conditions and professional
   satisfaction.
   From June 2016 to February 2017, a survey was conducted by the young
   DEGRO (yDEGRO) using an online platform. The questionnaire consisted of
   28 items examining a broad range of aspects influencing residency. There
   were 96 completed questionnaires
   83% of participants stated to be very or mostly pleased with their
   residency training. Moderate working hours and a good colleagueship
   contribute to a comfortable working environment. Level of knowledge
   regarding the most common tumor sites (i.e. palliative indications,
   lung, head and neck, brain, breast, prostate) was pleasing.
   Radiochemotherapy embodies a cornerstone in training. Modern techniques
   such as intensity-modulated radiotherapy (IMRT) and stereotactic
   procedures are now in widespread use. Education for rare indications and
   center-based procedures offers room for improvement.
   Radiation oncology remains an attractive and versatile specialty with
   favorable working conditions. Continuing surveys in future years will be
   a valuable measuring tool to set further priorities in order to preserve
   and improve quality of training.
RI Krug, David/GQH-3302-2022
OI Krug, David/0000-0001-8811-5416
TC 16
ZR 0
Z8 0
ZS 0
ZB 3
ZA 0
Z9 16
U1 0
U2 2
SN 0179-7158
EI 1439-099X
UT WOS:000428422900003
PM 29349604
ER

PT J
AU Konia, Mojca Remskar
   Richtsfeld, Martina
   Johnson, Andrew D.
   Lougee, Michael
   Cohn, Claudia
   Morgan, Shanna
TI An Observational Study of 3 Different Transfusion Medicine Teaching
   Methods for Medical Students
SO TRANSFUSION MEDICINE REVIEWS
VL 32
IS 2
BP 117
EP 122
DI 10.1016/j.tmrv.2017.12.001
PD APR 2018
PY 2018
AB Knowledge deficits of transfusion medicine are prevalent among learners
   and practicing physicians. In the past, the transfusion medicine
   community has thoughtfully defined the content of transfusion medicine
   curriculums through Transfusion Medicine Academic Award Group and The
   Academy of Clinical Laboratory Physicians and Scientists. The manner in
   which the curriculum should be delivered has been less carefully
   examined and defined. We completed an observational study in which we
   analyzed 3 different teaching techniques: in-person faculty-led
   simulation curriculum consisting of didactic session and simulation
   ("Simulation group"); hybrid education with a combination of online
   materials and short in-person simulation ("Hybrid group"); and
   online-only education module, which delivered the whole curricular
   content through a variety of online materials and videos ("Online-only
   group"). Knowledge acquisition was assessed with a 10-question
   multiple-choice questionnaire, and satisfaction was assessed by a
   9-question online student satisfaction survey. A total of 276
   second-year medical students participated in the study. There was
   statistically significant difference between pre- and posttest results
   and in knowledge gain favoring the Simulation group as compared with the
   Online-only group (P = .03, P < .0001) and favoring the Simulation group
   as compared with the Hybrid group (P = .004, P < .0001). The Simulation
   group and Hybrid group medical students were also more satisfied with
   the education activity as compared with the Online-only group (P <
   .0001, P < .001). Our study demonstrated that a faculty-run transfusion
   medicine simulation curriculum consisting of an in-person didactic
   session and simulation session for the second-year medical students
   produced greater immediate knowledge acquisition compared with an online
   only or a hybrid curriculum. Furthermore, any curriculum that contained
   in-person teaching by faculty was preferred over the online only
   education. (C) 2018 Elsevier Inc. All rights reserved.
Z8 0
TC 8
ZS 1
ZB 4
ZR 0
ZA 0
Z9 8
U1 0
U2 0
SN 0887-7963
EI 1532-9496
UT WOS:000430647600006
PM 29395602
ER

PT J
AU Sherliker, L.
   Pendry, K.
   Hockley, B.
TI Patient blood management: how is implementation going?: A report
   comparing the 2015 survey with the 2013 survey of PBM in England
SO TRANSFUSION MEDICINE
VL 28
IS 2
BP 92
EP 97
DI 10.1111/tme.12527
PD APR 2018
PY 2018
AB Background: Patient blood management (PBM) is an evidence-based approach
   to optimising the care of patients who might need transfusion. In 2013,
   all NHS Trusts in England were surveyed about their readiness to
   implement PBM. National PBM recommendations were launched in 2014.
   Aims: The aim of this study was to determine progress of PBM
   initiatives.
   Methods/Materials: A survey was constructed by staff in hospitals and
   NHS Blood and Transplant (NHSBT). An online questionnaire was sent to
   all NHS Trusts in England (N = 149) in November 2015.
   Results:
   Improvements in 2015:
   Education/training in transfusion: 80-100% from 60-90% in 2013
   Provision of information relating to consent for transfusion: 98% from
   65% in 2013 (P =< 0 center dot 001)
   The management of anaemia: elective general surgery management, 66% from
   41% in 2013 (P =< 0 center dot 001)
   Transfusion alternatives: Tranexamic use in surgery, 92% from 71% in
   2013 (P =< 0 center dot 001)
   Laboratory staff empowered to challenge transfusion requests, 95% from
   65% in 2013 (P = 0 center dot 001)
   Further work required:
   Electronic systems to support requesting (e. g. mandatory recording of
   diagnosis: 47% from 48% in 2013 (P = 0 center dot 85), incorporation of
   standardised requesting codes: 27% from 33% in 2013 (P = 0 center dot
   24)
   Appropriate use of components: in 2015, only 42% had a lower red cell
   transfusion thresholds policy in non-bleeding patients
   Conclusions: The results provided information to support the development
   of local andnational workplans. It is hopedthat the collaborative work
   across NHS Blood and Transplant (NHSBT), the National Blood Transfusion
   Committee (NBTC) and NHS Trusts will continue to drive the PBM agenda to
   support best practice in this field.
ZR 0
ZB 1
ZS 0
TC 3
Z8 0
ZA 0
Z9 3
U1 0
U2 2
SN 0958-7578
EI 1365-3148
UT WOS:000432037200003
PM 29756664
ER

PT J
AU Crocker, Jordan
   Massie, F. Stanford, Jr.
   Estrada, Carlos A.
TI Engagement in an Online Cultural Competency Training
SO SOUTHERN MEDICAL JOURNAL
VL 111
IS 4
BP 199
EP 202
DI 10.14423/SMJ.0000000000000790
PD APR 2018
PY 2018
AB Objectives: Engagement with online cultural competency training has not
   been well studied. We examined knowledge, attitudes, and skills
   differences among medical students, physicians, and other professionals
   in an online cultural competency education program.
   Methods: A total of 1745 participants completed up to four online
   modules aimed at exploring stereotype, bias, diet, and religion among
   African American patients with hypertension. We examined knowledge,
   attitudes, and self-reported skills with 17 multiple-choice questions
   embedded in the 4 modules. Participants received comparative responses
   with their peers.
   Results: Between 75% and 84% of participants knew the definition of
   stereotype and <50% knew the definition of bias (47% students, 36%
   physicians, 33% others, P < 0.001). Most responded that minorities
   perceive bias (98%-100%) and believe that evidence exists showing that
   bias affects decision making (62%-69%). Although most perceive that
   religious and spiritual beliefs affect reaction to illness often (78%
   students, 68% physicians, 79% others, P < 0.001), few would ask about
   religious beliefs during a typical encounter (13% students, 16%
   physicians, 30% others, P < 0.001).
   Conclusions: All of the participants struggled to define bias; however,
   most agreed that minorities perceive bias in the care they receive. We
   examined usage and interaction with the online content as a dimension of
   engagement.
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 1
SN 0038-4348
EI 1541-8243
UT WOS:000431182000004
PM 29719029
ER

PT J
AU Mogul, Douglas B.
   Henderson, Macey L.
   Bridges, John F. P.
TI Expanding the Facebook Platform to Engage and Educate Online Communities
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 113
IS 4
BP 457
EP 458
DI 10.1038/ajg.2017.450
PD APR 2018
PY 2018
ZA 0
Z8 0
TC 10
ZB 1
ZR 0
ZS 0
Z9 10
U1 0
U2 2
SN 0002-9270
EI 1572-0241
UT WOS:000429090500003
PM 29206814
ER

PT J
AU Murgu, Septimiu
   Rabito, Robb
   Lasko, Greg
   Jackson, Chad
   Mino-Kenudson, Mari
   Ettinger, David S.
   Ramalingam, Suresh S.
   Edell, Eric S.
CA GAIN collaborators
TI Impact of a Non-small Cell Lung Cancer Educational Program for
   Interdisciplinary Teams
SO CHEST
VL 153
IS 4
BP 876
EP 887
DI 10.1016/j.chest.2017.11.032
PD APR 2018
PY 2018
AB BACKGROUND: Successful implementation of non-small cell lung cancer
   (NSCLC) evidence-based guideline recommendations requires effective
   educational programs that target all clinicians from interdisciplinary
   teams. This study describes and evaluates the Engaging an
   Interdisciplinary Team for NSCLC (GAIN 3.0) experiential learning-based
   educational curriculum.
   METHODS: GAIN 3.0 was designed to enhance interdisciplinary
   collaboration for effective NSCLC diagnosis, assessment, and treatment.
   The program used a flipped classroom model that included an e-learning
   component prior to a live 6-hour interactive program. The interactive
   program included hands-on simulations, small group workshops,
   gamification, and case discussions. Participants included academic and
   community members of multidisciplinary lung cancer teams. Assessments
   included an online baseline survey, a pretest and posttest, a program
   evaluation, a long-term survey (LTS), and on-site faculty evaluation of
   participants.
   RESULTS: Of 416 attendees to 13 live GAIN 3.0 programs (nine in the
   United States and four in Europe), 304 (73%) completed the pretest and
   187 (45%) completed the posttest. Out of a perfect score of 12 points,
   program participants had a mean test score of 6.3 +/- 2.1 on the pretest
   (52%) and 7.8 +/- 2.1 on the posttest (65%) (P = .03). There was an
   overall knowledge increase of 13% from pretest to posttest. Most LTS
   respondents (65%) rated the GAIN 3.0 live programs as "high impact." On
   the LTS, the areas with the greatest gains in participants who had very
   high confidence were communication across disciplines, use of a
   team-based approach, and personalized treatment.
   CONCLUSIONS: GAIN 3.0 was a highly successful interdisciplinary activity
   that improved participants' knowledge, competence, and likely the
   clinical care provided to patients with NSCLC.
RI Ramalingam, Suresh/AAV-7478-2020
ZB 0
TC 7
ZR 0
ZA 0
ZS 0
Z8 0
Z9 7
U1 2
U2 20
SN 0012-3692
UT WOS:000429188100026
PM 29246769
ER

PT J
AU Mahmud, A.
   Zalay, O.
   Springer, A.
   Arts, K.
   Eisenhauer, E.
TI Barriers to participation in clinical trials: a physician survey
SO CURRENT ONCOLOGY
VL 25
IS 2
BP 119
EP 125
DI 10.3747/co.25.3857
PD APR 2018
PY 2018
AB Background Clinical trials are vital for evidence-based cancer care.
   Oncologist engagement in clinical trials has an effect on patient
   recruitment, which in turn can affect trial success. Identifying
   barriers to clinical trial participation might enable interventions that
   could help to increase physician participation.
   Methods To assess factors affecting physician engagement in oncology
   trials, a national survey was conducted using the online SurveyMonkey
   tool (SurveyMonkey, San Mateo, CA, U.S.A.; http://www.surveymonkey.com).
   Physicians associated with the Canadian Cancer Clinical Trials Network
   and the Canadian Cancer Trials Group were asked about their specialty,
   years of experience, barriers to participation, and motivating
   interventions, which included an open-ended question inviting survey
   takers to suggest interventions.
   Results The survey collected 207 anonymous responses. Respondents were
   predominantly medical oncologists (46.4%), followed by radiation
   oncologists (24.6%). Almost 70% of the respondents had more than 10
   years of experience. Significant time constraints included extra
   paperwork (77%), patient education (54%), and extended follow-up or
   clinic visits (53%). Timing of events within trials was also a barrier
   to participation (55%). Most respondents favoured clinical work credits
   (72%), academic credits (67%), a clinical trial alert system (75%), a
   regular meeting to review trial protocols (65%), and a screening log to
   aid in patient accrual (67%) as motivational strategies. Suggested
   interventions included increased support staff, streamlined regulatory
   burden, and provision of greater funding for trials and easier access to
   ancillary services.
   Conclusions The present study confirms that Canadian oncologists are
   willing to participate in clinical research, but face multiple barriers
   to trial participation. Those barriers could be mitigated by the
   implementation of several interventions identified in the study.
ZB 6
ZS 0
ZR 1
Z8 0
TC 33
ZA 0
Z9 34
U1 0
U2 2
SN 1198-0052
UT WOS:000431183800012
PM 29719427
ER

PT J
AU Raspe, Matthias
   Vogelgesang, Anja
   Fendel, Johannes
   Weiss, Cornelius
   Schulte, Kevin
   Rolling, Thierry
TI Work and Training Conditions of Young German Physicians in Internal
   Medicine - Results of a Second Nationwide Survey by Young Internists
   from the German Society of Internal Medicine and the German Professional
   Association of Internists
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 143
IS 7
BP E42
EP E50
DI 10.1055/a-0543-4544
PD APR 2018
PY 2018
AB Background Medical specialty training is the basis for career
   development of young internists and it is vital for the delivery of
   high-quality medical care. In 2014 the young internists of two
   professional bodies in Germany conducted a survey among their young
   members and described major factors influencing training and working
   conditions. We present the results of a follow-up survey to describe
   changes of these factors over time. An additional focus is set on the
   difficulties of balancing medical career and family.
   Methods In the end of 2016 we conducted an online-based survey of all
   members in training of the German Society of Internal Medicine (DGIM)
   and the Professional Association of German Internists (BDI). The
   questionnaire used in the 2014 survey was modified and items
   investigating the balance between career and family were added.
   Results A total of 1587 questionnaires were returned and analysed. Mayor
   findings did not change over time. Psychosocial strain remains very high
   among medical trainees in internal medicine. A structured training
   curriculum and meaningful feedback are associated with lower
   psychosocial strain and higher work satisfaction. Internists - and here
   especially women - with children experience the daily balance of medical
   career and family as extremely challenging.
   Conclusion These results demonstrate that there is still a serious need
   for adjusting training and working conditions of young internists in
   Germany. Especially the role and increasing importance of female
   physicians has to be recognized by enabling a successful integration of
   medical career and family.
OI Rolling, Thierry/0000-0002-0277-5067
Z8 0
ZS 0
ZB 7
ZA 0
TC 18
ZR 0
Z9 18
U1 0
U2 2
SN 0012-0472
EI 1439-4413
UT WOS:000429039800001
PM 29614530
ER

PT J
AU Lindsey, Rebecca A.
   Barry, Tammy D.
TI Protective Factors Against Distress for Caregivers of a Child with
   Autism Spectrum Disorder
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 48
IS 4
SI SI
BP 1092
EP 1107
DI 10.1007/s10803-017-3372-1
PD APR 2018
PY 2018
AB Caregivers of a child with autism spectrum disorder (ASD) often
   experience elevated distress. The current study examined potential
   protective factors against caregiver distress when child externalizing
   and internalizing behaviors are present: family resources, perceived
   social support, parenting efficacy, knowledge of ASD, and the agreement
   between actual and perceived knowledge of ASD. Caregivers of a child
   with ASD completed an online questionnaire. Results demonstrated main
   effects for externalizing behavior, family resources, and perceived
   social support. Significant interactions were found among parenting
   efficacy and internalizing behavior, and the agreement between actual
   and perceived knowledge with both externalizing and internalizing
   behaviors. Results indicate important factors that should be emphasized
   when working with families of a child with ASD.
OI Barry, Tammy/0000-0003-4658-6644
ZS 0
ZB 6
ZR 0
ZA 0
TC 21
Z8 0
Z9 21
U1 1
U2 11
SN 0162-3257
EI 1573-3432
UT WOS:000427986300013
PM 29313179
ER

PT J
AU Freed, Gary L.
   Boyer, Debra M.
   Van, Kenton D.
   Macy, Michelle L.
   McCormick, Julie
   Leslie, Laurel K.
TI Variation in Part-Time Work among Pediatric Subspecialties
SO JOURNAL OF PEDIATRICS
VL 195
BP 263
EP 268
DI 10.1016/j.jpeds.2017.11.060
PD APR 2018
PY 2018
AB Objective To assess the part-time workforce and average hours worked per
   week among pediatric subspecialists in the 15 medical subspecialties
   certified by the American Board of Pediatrics.
   Study design We examined data from pediatric subspecialists who enrolled
   in Maintenance of Certification with the American Board of Pediatrics
   from 2009 to 2015. Data were collected via an online survey. Providers
   indicated whether they worked full time or part time and estimated the
   average number of hours worked per week in clinical, research,
   education, and administrative tasks, excluding time on call. We
   calculated and compared the range of hours worked by those in full-and
   part-time positions overall, by demographic characteristics, and by
   subspecialty.
   Results Overall, 9.6% of subspecialists worked part time. There was
   significant variation in part-time employment rates between
   subspecialties, ranging from 3.8% among critical care pediatricians to
   22.9% among developmental-behavioral pediatricians. Women, American
   medical graduates, and physicians older than 70 years of age reported
   higher rates of part-time employment than men, international medical
   graduates, and younger physicians. There was marked variation in the
   number of hours worked across subspecialties. Most, but not all,
   full-time subspecialists reported working at least 40 hours per week.
   More than one-half of physicians working part time in hematology and
   oncology, pulmonology, and transplant hepatology reported working at
   least 40 hours per week.
   Conclusions There are unique patterns of part-time employment and hours
   worked per week among pediatric medical subspecialists that make simple
   head counts inadequate to determine the effective workforce. Our
   findings are limited to the 15 American Board of Pediatrics-certified
   medical subspecialties.
RI Macy, Michelle/AAV-7528-2020
OI Macy, Michelle/0000-0003-4401-7384
ZS 0
Z8 0
ZA 0
TC 8
ZR 0
ZB 4
Z9 8
U1 0
U2 3
SN 0022-3476
EI 1097-6833
UT WOS:000428232400043
PM 29395185
ER

PT J
AU Widmer, R. Jay
   Maurer, Matthew J.
   Nayar, Veena R.
   Aase, Lee A.
   Wald, John T.
   Kotsenas, Amy L.
   Timimi, Farris K.
   Harper, Charles M.
   Pruthi, Sandhya
TI Online Physician Reviews Do Not Reflect Patient Satisfaction Survey
   Responses
SO MAYO CLINIC PROCEEDINGS
VL 93
IS 4
BP 453
EP 457
DI 10.1016/j.mayocp.2018.01.021
PD APR 2018
PY 2018
AB Online physician reviews have become increasingly prevalent and are a
   common means by which patients explore medical options online.
   Currently, there are no data comparing physicians with negative online
   reviews and those without negative reviews. We sought to compare
   industry-vetted patient satisfaction surveys (PSSs), such as Press Ganey
   (PG) PSSs, between those physicians with negative online reviews and
   those without negative reviews. Overall, there were 113 unique
   individuals with negative online reviews from September 1, 2014, to
   December 31, 2014, with 8 being nonphysicians. We matched 113 physicians
   in similar departments/divisions. We obtained PG PSS scores of both
   groups and compared the mean scores of the 2 groups. Press Ganey PSS
   scores were available for 98 physicians with negative online reviews
   compared with 82 matched physicians without negative online reviews. The
   mean raw PG PSS scores were not different between the 2 groups (4.05;
   95% CI, 3.99-4.11 vs 4.04; 95% CI, 3.97-4.11; P = .92). We also noted no
   difference in mean scores on questions related to physician-patient
   communication and interaction skills between those with poor online
   reviews and those without (4.38; 95% CI, 4.32-4.43 vs 4.41; 95% CI,
   4.35-4.47; P = .42). However, there was a significantly lower
   non-physician-specific mean in those with negative online reviews (3.91;
   95% CI, 3.84-3.97) vs those without negative online reviews (4.01; 95%
   CI, 3.95-4.09) (P = .02). Here, we provide data indicating that online
   physician reviews do not correlate to formal institutional PG PSS.
   Furthermore, physicians with negative online reviews have lower scores
   on non-physician-specific variables included in the PG PSSs, emphasizing
   that these discrepancies can negatively affect overall patient
   experience, online physician reviews, and physician reputation. It is
   prudent that an improved mechanism for online ratings be implemented to
   better inform patients about a physician's online reputation. (C) 2018
   Mayo Foundation for Medical Education and Research. Published by
   Elsevier Inc.
ZS 0
Z8 0
TC 21
ZB 6
ZR 0
ZA 0
Z9 21
U1 2
U2 12
SN 0025-6196
EI 1942-5546
UT WOS:000428982400011
PM 29622095
ER

PT J
AU de Mooij, Mamie J. Meylor
   Hodny, Rachael L.
   O'Neil, Daniel A.
   Gardner, Matthew R.
   Beaver, Mekayla
   Brown, Andrea T.
   Barry, Barbara A.
   Ross, Loma M.
   Jasik, Amy J.
   Nesbitt, Katharine M.
   Sobolewski, Susan M.
   Skinner, Susan M.
   Chaudhry, Rajeev
   Brost, Brian C.
   Gostout, Bobbie S.
   Harms, Roger W.
TI OB Nest: Reimagining Low-Risk Prenatal Care
SO MAYO CLINIC PROCEEDINGS
VL 93
IS 4
BP 458
EP 466
DI 10.1016/j.mayocp.2018.01.022
PD APR 2018
PY 2018
AB Using a human-centered design method, our team sought to envision a new
   model of care for women experiencing low-risk pregnancy. This model,
   called OB Nest, aimed to demedicalize the experience of pregnancy by
   providing a supportive and empowering experience that fits within
   patients' daily lives. To explore this topic, we invited women to use
   self-monitoring tools, a text-based smartphone application to
   communicate with their care team, and moderated online communities to
   connect with other pregnant women. Through observations of tool use and
   patient- and care team-provided feedback, we found that self-measurement
   and access to a fetal heart monitor provided women with confidence and
   joy in the progress of their pregnancies while shifting their position
   to being an active participant in their care. The smartphone application
   gave women direct access to their care team, provided continuity, and
   removed hurdles in establishing communication. The online community
   platform was a space where women in the same obstetric clinic could
   share nonmedical questions and advice with one another. This created a
   sense of community, leveraged the knowledge of women, and provided a
   venue beyond the clinic visit for information exchange. These findings
   were integrated into the design of the Mayo Clinic OB Nest model. This
   model redistributes care based on the individual needs of patients by
   providing self-measurement tools and continuous flexible access to their
   care team. By enabling women to meaningfully participate in their care,
   there is potential for cost savings and improved patient satisfaction.
   (C) 2017 Mayo Foundation for Medical Education and Research
TC 28
ZB 11
Z8 0
ZS 0
ZA 0
ZR 0
Z9 28
U1 1
U2 8
SN 0025-6196
EI 1942-5546
UT WOS:000428982400012
PM 29545005
ER

PT J
AU Horvath Tamas
   Matics Katalin
   Mesko Bertalan
TI An objective scoring system to evaluate the credibility of health
   related websites
SO ORVOSI HETILAP
VL 159
IS 13
BP 511
EP 519
DI 10.1556/650.2018.31000
PD APR 2018
PY 2018
AB Introduction and aim: The unreliable quality of online health contents
   poses a serious challenge to the medical profession. Evaluating websites
   on the basis of their credibility increases the chance for readers to
   access professional content of better quality. Hungary still lags behind
   in taking practical steps to improve the quality and reliability of
   online patient education.
   Method: EgeszsegKommando (HealthCommando) is a new Hungarian objective
   scoring system established to evaluate the credibility of health related
   websites. It uses four types of indicators: transparency, content,
   recommendations, references.
   Results: We evaluated 122 websites with EgeszsegKommando. Out of this,
   22.1% qualified as credible. The same assessment using JAMA benchmarks
   yielded only one credible website (0.8%). The most frequent deficiencies
   were the absence of reference to source, the omission of the quote that
   "the website information does not replace the doctor-patient
   discussion", and the identity of the author. In 45.9% of the cases,
   however, the content was written by medical professionals with contact
   information.
   Conclusion: By applying different types of credibility and quality
   indicators in a scoring system, EgeszsegKommando can efficiently assess
   the websites on health-awareness. In cases where the recognized
   indicators are absent multiple times from a website, it will not pass
   the credibility test. Thus, EgeszegKommando can act as a filter. At the
   same time, EgeszsegKommando is also capable of assessing webpages of
   different sorts systemically, and can recommend a proportionately large
   amount of reliable Hungarian medical web resources to those interested.
ZS 0
ZR 0
TC 4
Z8 0
ZA 0
ZB 2
Z9 4
U1 0
U2 8
SN 0030-6002
EI 1788-6120
UT WOS:000428473200003
PM 29577763
ER

PT J
AU Lawrence, Carlton
   Mhlaba, Tsholofelo
   Stewart, Kearsley A.
   Moletsane, Relebohile
   Gaede, Bernhard
   Moshabela, Mosa
TI The Hidden Curricula of Medical Education: A Scoping Review
SO ACADEMIC MEDICINE
VL 93
IS 4
BP 648
EP 656
DI 10.1097/ACM.0000000000002004
PD APR 2018
PY 2018
AB Purpose To analyze the plural definitions and applications of the term
   hidden curriculum within the medical education literature and to propose
   a conceptual framework for conducting future research on the topic.
   Method The authors conducted a literature search of nine online
   databases, seeking articles published on the hidden, informal, or
   implicit curriculum in medical education prior to March 2017. Two
   reviewers independently screened articles with set inclusion criteria
   and performed kappa coefficient tests to evaluate interreviewer
   reliability. They extracted, coded, and analyzed key data, using
   grounded theory methodology.
   Results The authors uncovered 3,747 articles relating to the hidden
   curriculum in medical education. Of these, they selected 197 articles
   for full review. Use of the term hidden curriculum has expanded
   substantially since 2012. U.S. and Canadian medical schools are the
   focus of two-thirds of the empirical hidden curriculum studies; data
   from African and South American schools are nearly absent. Few
   quantitative techniques to measure the hidden curriculum exist. The
   hidden curriculum is understood as a mostly negative concept. Its
   definition varies widely, but can be understood via four conceptual
   boundaries: (1) institutional-organizational, (2) interpersonal-social,
   (3) contextual-cultural, and/or (4) motivational-psychological.
   Conclusions Future medical education researchers should make clear the
   conceptual boundary or boundaries they are applying to the term hidden
   curriculum, move away from general musings on its effects, and focus on
   specific methods for improving the powerful hidden curriculum.
RI Moshabela, Mosa/AAK-4418-2021; Stewart, Kearsley/
OI Moshabela, Mosa/0000-0002-9438-7095; Stewart,
   Kearsley/0000-0002-9624-9956
ZR 0
ZS 5
Z8 0
ZA 0
ZB 6
TC 74
Z9 75
U1 5
U2 27
SN 1040-2446
EI 1938-808X
UT WOS:000428540700046
PM 29116981
ER

PT J
AU Alawi, Seyed Arash
   Busch, Lukas Fabian
   Limbourg, Anne
   Jokuszies, Andreas
   Ipaktchi, Ramin
   Vogt, Peter M.
TI The Humboldtian model in Plastic and Reconstructive Surgery - a student
   survey on teaching and venia legendi
SO HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
VL 50
IS 2
BP 134
EP 139
DI 10.1055/s-0043-120112
PD APR 2018
PY 2018
AB Background The workload of university hospitals and hospitals with
   university association includes clinical patient care as well as
   teaching and research in particular. The current development with focus
   on financial issues leads to a reduction of teaching and research
   capacities. Economic focus in university medicine changes priorities of
   academic surgery.
   Methods An online survey questioned medical students with regard to
   subjective assessment of quality of the academic body of university
   hospitals and current teaching quality. Students evaluated the current
   quality of teaching of postdoctoral lecturers in relation to their
   career stage and made suggestions for quality of teaching improvement.
   Results A total of 166 students participated in the survey. Of 123
   students, about 78 % stated that the reputation of postdoctoral
   lecturers increases with the habilitation but about 85 % stated that
   professional expectations also rise. About 43 % of the students aim to
   achieve a postdoctoral lecture qualification.
   Discussion Among students academic career is still attractive, but
   restructuring and modernization of established working models is an
   essential prerequisite.
RI Alawi, Seyed Arash/AAF-9527-2022; Alawi, Seyed Arash/AFK-2242-2022; Vogt, Peter M./AAL-1332-2020
OI Alawi, Seyed Arash/0000-0003-3809-7226; Alawi, Seyed
   Arash/0000-0003-3809-7226; 
TC 1
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
Z9 1
U1 0
U2 2
SN 0722-1819
EI 1439-3980
UT WOS:000430443000009
PM 29076122
ER

PT J
AU Heincelman, Marc
   Duckett, Ashley
   Keith, Brad
   Schreiner, Andrew
   Zhang, Jingwen
   Kilb, Edward
   Clyburn, Benjamin
TI The Structure of Medical Intensive Care Units at Training Institutions
SO AMERICAN JOURNAL OF THE MEDICAL SCIENCES
VL 355
IS 4
BP 396
EP 401
DI 10.1016/j.amjms.2017.08.020
PD APR 2018
PY 2018
AB Background: As a result of the 2011 Accreditation Council for Graduate
   Medical Education (ACGME) work hour guideline implementation, the
   structure of intensive care unit (ICU) teams at training institutions
   has been affected. The impact these changes have had on the current work
   environment has not been well described.
   Methods: The authors conducted an online survey of internal medicine
   program directors in 2016. The survey investigated how training
   institutions structure their intensive care units in reference to
   volume, resident housestaff and alternative coverage options, with a
   focus on changes made after the implementation of the 2011 ACGME duty
   hour restrictions.
   Resuls: Notable differences were found in program director responses to
   coverage of patients in the ICUs. A total of 62 of the 132 (48%)
   responding program directors describe coverage of all patients solely by
   resident housestaff. Since 2011, 54 (41%) programs have increased the
   number of resident physicians rotating in the ICU per month and
   initiated or increased the use of nonresident coverage of patients. Use
   of non-resident providers is not associated with a decrease in the
   number of total ICU months per resident or a decrease in educational
   value.
   Conclsions: Since the 2011 ACGME duty hour implementation, there is wide
   variability in the learning environment of medical intensive care units
   in training institutions.
ZB 0
ZR 0
TC 0
ZS 0
ZA 0
Z8 0
Z9 0
U1 0
U2 2
SN 0002-9629
EI 1538-2990
UT WOS:000430268400017
PM 29661355
ER

PT J
AU van Vendeloo, Stefan N.
   Prins, David J.
   Verheyen, Cees C. P. M.
   Prins, Jelle T.
   van den Heijkant, Fleur
   van der Heijden, Frank M. M.
   Brand, Paul L. P.
TI The learning environment and resident burnout: a national study
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 7
IS 2
BP 120
EP 125
DI 10.1007/s40037-018-0405-1
PD APR 2018
PY 2018
AB Introduction Concerns exist about the negative impact of burnout on the
   professional and personal lives of residents. It is suggested that the
   origins of burnout among residents are rooted in the learning
   environment. We aimed to evaluate the association between the learning
   environment and burnout in a national sample of Dutch residents.
   Methods We conducted a cross-sectional online survey among all Dutch
   residents in September 2015. We measured the learning environment using
   the three domain scores on content, organization, and atmosphere from
   the Scan of Postgraduate Educational Environment Domains (SPEED) and
   burnout using the Dutch version of the Maslach Burnout Inventory
   (UBOS-C).
   Results Of 1,231 responding residents (33 specialties), 185 (15.0%) met
   criteria for burnout. After adjusting for demographic (age, gender and
   marital status) and work-related factors (year of training, type of
   teaching hospital and type of specialty), we found a consistent inverse
   association between SPEED scores and the risk of burnout (aOR 0.54, 95%
   CI 0.46 to 0.62, p < 0.001).
   Discussion We found a strong and consistent inverse association between
   the perceived quality of the learning environment and burnout among
   residents. This suggests that the learning environment is of key
   importance in preventing resident burnout.
RI Brand, Paul/ABB-3693-2021
TC 25
ZB 6
ZS 2
Z8 0
ZA 0
ZR 0
Z9 27
U1 4
U2 11
SN 2212-2761
EI 2212-277X
UT WOS:000430285800009
PM 29476425
ER

PT J
AU Hansberry, David R.
   Bornstein, Jonathan
   Agarwal, Nitin
   McClure, Kristen E.
   Deshmukh, Sandeep P.
   Long, Suzanne
TI An Assessment of Radiology Residency Program Websites
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 15
IS 4
BP 663
EP 666
DI 10.1016/j.jacr.2017.11.010
PD APR 2018
PY 2018
AB Purpose: When prospective radiology residents decide where to apply to
   residency, many will use the Internet as a resource to garner
   information. Therefore, it is important for residency programs to
   produce and maintain an informative and comprehensive website. Here, we
   review 179 radiology residency program websites for 19 criteria
   including various aspects related to the residency application process,
   benefits, didactics, research, clinical training, and faculty
   leadership.
   Methods: We evaluated 179 radiology residency program websites for the
   inclusion of 19 different criteria. Criteria for information not
   available directly on the website and links with no information were
   considered not present.
   Results: Only 12 of the 179 (6.7%) program websites had at least 80% of
   the 19 criteria. In addition, 41 programs (23%) had less than 50% of the
   criteria listed on their websites. Websites ranged from having 16% of
   the criteria to as much as 95%.
   Conclusion: Although previous studies have shown that prospective
   radiology resident applicants are influenced by intangibles like current
   resident satisfaction and academic reputation, they have also shown that
   applicants are influenced by the educational curriculum, clinical
   training, program resources, research opportunities, and quality of
   faculty. Therefore, it is imperative to provide online resources for
   prospective candidates in an attempt for residency programs to remain
   competitive in recruiting high-quality US medical student graduates.
   These findings suggest there is room for improving the comprehensiveness
   of information provided on radiology residency program websites.
ZR 0
TC 37
ZS 0
Z8 0
ZA 0
ZB 4
Z9 37
U1 1
U2 2
SN 1546-1440
UT WOS:000430265600018
PM 29273474
ER

PT J
AU Akinleye, Sheriff D.
   Krochak, Ryan
   Richardson, Nicholas
   Garofolo, Garret
   Culbertson, Maya Deza
   Erez, Orry
TI Readability of the Most Commonly Accessed Arthroscopy-Related Online
   Patient Education Materials
SO ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
VL 34
IS 4
BP 1272
EP 1279
DI 10.1016/j.arthro.2017.09.043
PD APR 2018
PY 2018
AB Purpose: To assess the readability and comprehension of written text by
   the most commonly visited websites containing patient education
   materials on common conditions that can be treated arthroscopically.
   Methods: We examined 50 websites, assessed independently by 2
   orthopaedic surgery residents (S.A. and G.G.), with educational
   materials on 5 common conditions treated by arthroscopic surgeons:
   anterior cruciate ligament (ACL) tear, meniscus tear, hip labral tear,
   shoulder labral tear, and rotator cuff tear. Following a Google search
   for each condition, we analyzed the 10 most visited websites for each
   disorder using a widely used and validated tool for assessing the
   reading levels of written materials (Flesch-Kincaid formula). Results:
   The average grade reading level of the 50 websites studied was 9.90 with
   a reading ease of 52.14 ("fairly difficult, high school"). Only 26% of
   the websites were at or below the national average of an eighth-grade
   reading level. Of the 5 conditions treated by arthroscopic surgery, ACL
   tear had the highest average grade reading level at 10.73 +/- 1.54,
   whereas meniscus tear had the lowest at 9.31 +/- 1.81. Every condition
   in this study had an average readability at or above the ninth-grade
   reading level. Conclusions: The most frequently accessed materials for
   patients with injuries requiring arthroscopic surgery exceeds the
   readability recommendations of the American Medical Association and
   National Institutes of Health, as well as the average reading ability of
   US adults. Given the fact that these are the most commonly visited
   websites by the lay public, there needs to be a greater emphasis on
   tailoring written information to the literacy levels of the patient
   population.
ZA 0
ZR 0
TC 5
ZS 0
ZB 0
Z8 0
Z9 5
U1 0
U2 3
SN 0749-8063
EI 1526-3231
UT WOS:000430270900054
PM 29287948
ER

PT J
AU Krasniak, Anne
   Darko, William
   Miller, Christopher D.
   Seabury, Robert
   Probst, Luke A.
TI Changes in Pharmacy Residency Training Design Between 2012 and 2017: A
   Perspective of Academic Medical Centers
SO HOSPITAL PHARMACY
VL 53
IS 2
BP 113
EP 120
DI 10.1177/0018578717738509
PD APR 2018
PY 2018
AB Purpose:The role of health-system pharmacists continues to expand, and
   this area of pharmacy practice increasingly requires augmented baseline
   training. It is unclear how Post Graduate Year 1 (PGY-1) pharmacy
   residencies may be changing to meet these needs.The objectives of our
   survey were to describe PGY-1 pharmacy residency program design among
   academic medical centers, characterize program changes enacted over
   5-year period, and describe career paths among PGY-1 pharmacy residency
   graduates. Methods: A 32-item questionnaire was developed independently,
   which was reviewed and validated by 4 residency program directors. The
   survey was uploaded to an online survey tool and sent electronically to
   residency program directors of 109 Vizient academic medical centers with
   PGY-1 pharmacy residency programs. Residency program directors were
   identified from a list of Vizient-participating hospitals. The survey
   was re-sent at 2-week intervals on 4 occasions to improve response
   rates. SPSS version 23.0 was used to analyze the data. Results: Overall,
   49 (45%) of hospitals responded to the survey. Survey responses showed
   statistically significant increases over the 5-year survey period in the
   following areas: the number of PGY-1 resident positions offered (P =
   .001), percent of time spent on teaching experiences (P = .001), and
   percentage of PGY-1 residents pursuing PGY-2 or fellowship training (P =
   .026). Conclusion: We found that PGY-1 pharmacy residency programs at
   Vizient academic medical centers have undergone limited changes over the
   5-year survey period and substantial variation exists between program
   designs. The most common change to program design was an increase in the
   percentage of time residents spend on teaching experiences. There was an
   increase in residents pursuing PGY-2 or fellowship training, which may
   suggest a shift toward increased specialization in clinical pharmacy
   practice or may reflect changes in the availability of job
   opportunities.
ZR 0
Z8 0
ZB 0
ZS 0
TC 2
ZA 0
Z9 2
U1 0
U2 1
SN 0018-5787
EI 1945-1253
UT WOS:000429812300011
PM 29581606
ER

PT J
AU Hennemann, Severin
   Witthoeft, Michael
   Bethge, Matthias
   Spanier, Katja
   Beutel, Manfred E.
   Zwerenz, Ruediger
TI Acceptance and barriers to access of occupational e-mental health:
   cross-sectional findings from a health-risk population of employees
SO INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH
VL 91
IS 3
BP 305
EP 316
DI 10.1007/s00420-017-1280-5
PD APR 2018
PY 2018
AB Occupational e-mental-health (OEMH) may extend existing instruments for
   preservation or restoration of health and work ability. As a key
   precondition to efficient implementation, this study examined acceptance
   and person-centered barriers to potential uptake of OEMH for
   work-related distress in employees with an elevated risk of early
   retirement.
   Within the framework of the "Third German Sociomedical Panel of
   Employees", 1829 employees with prior sickness absence payments filled
   out a self-administered questionnaire. Participants had a mean age of
   49.93 years (SD = 4.06). 6.2% indicated prior use of eHealth
   interventions. Potential predictors of acceptance of OEMH were examined
   based on the "Unified Theory of Acceptance and Use of Technology"
   (UTAUT) extended by work ability, mental health, eHealth literacy and
   demographic characteristics.
   89.1% (n = 1579) showed low to moderate acceptance (M = 2.20, SD = 1.05,
   range 1-5). A path analysis revealed significant, positive direct
   effects of UTAUT predictors on acceptance (performance expectancy: 0.48,
   SE = 0.02, p < 0.001; effort expectancy: 0.20, SE = 0.02, p < 0.001;
   social influence: 0.28, SE = 0.02, p < 0.001).Online time and frequency
   of online health information search were further positive direct
   predictors of acceptance. Model fit was good [chi (2)(7) = 12.91, p =
   0.07, RMSEA = 0.02, CFI = 1.00, TLI = 0.99, SRMR = 0.01].
   Attitudes towards OEMH are rather disadvantageous in the studied risk
   group. Implementation of OEMH, therefore, requires a-priori education
   including promotion of awareness, favorable attitudes regarding efficacy
   and usability in a collaborative approach.
RI Bethge, Matthias/D-4313-2017; Beutel, Manfred E./; Spanier, Katja/; Zwerenz, Rudiger/
OI Bethge, Matthias/0000-0002-6417-7812; Beutel, Manfred
   E./0000-0003-1743-0042; Spanier, Katja/0000-0002-3184-4930; Zwerenz,
   Rudiger/0000-0003-1491-0905
TC 22
Z8 0
ZB 2
ZA 0
ZR 0
ZS 0
Z9 22
U1 1
U2 40
SN 0340-0131
EI 1432-1246
UT WOS:000427151700006
PM 29189895
ER

PT J
AU Bryant, Jessica
   Mohan, Rohith
   Koottappillil, Brian
   Wong, Kevin
   Yi, Paul H.
TI Minimally Invasive Spine Surgery Analyzing Internet-based Education
   Material
SO CLINICAL SPINE SURGERY
VL 31
IS 3
BP E166
EP E170
PD APR 2018
PY 2018
AB Study Design: This is a cross-sectional study.
   Objective: The purpose of this study is to evaluate the content of
   information available on the Internet regarding minimally invasive spine
   surgery (MISS).
   Summary of Background Data: Patients look to the Internet for quick and
   accessible information on orthopedic procedures to help guide their
   personal decision making process regarding the care they receive.
   However, the quality of internet-based orthopedic education material
   varies significantly with respect to accuracy and readability.
   Materials and Methods: The top 50 results were generated from each of 3
   search engines (Google, Yahoo!, and Bing) using the search term
   "minimally invasive spine surgery." Results were categorized by
   authorship type and evaluated for their description of key factors such
   as procedural benefits, risks, and techniques. Comparisons between
   search engines and between authorship types were done using the
   Freeman-Halton extension for the Fisher exact test. The content of
   websites certified by Health on the Net Foundation (HONcode) was
   compared with those not HONcode certified.
   Results: Of the 150 websites and videos, only 26% were authored by a
   hospital or university, whereas 50% were by a private physician or
   clinic. Most resources presented some benefits of MISS (84%, 126/150),
   but only 17% presented risks of the procedure (26/150). Almost half of
   all resources described the technique of MISS, but only 27% had thorough
   descriptions that included visual representations while 26% failed to
   describe the procedure. Only 12 results were HONcode certified, and 10
   (83%) of these were authored by a medical industry company.
   Conclusions: Internet-based resources on MISS provide inconsistent
   content and tend to emphasize benefits of MISS over risks.
ZS 0
ZA 0
Z8 0
ZR 2
ZB 0
TC 1
Z9 3
U1 1
U2 7
SN 2380-0186
UT WOS:000429200000002
PM 29315116
ER

PT J
AU van der Hoeven, Dharini
   van der Hoeven, Ransome
   Zhu, Liang
   Busaidy, Kamal
   Quock, Ryan L.
TI Integration of Basic and Clinical Sciences: Faculty Perspectives at a US
   Dental School
SO JOURNAL OF DENTAL EDUCATION
VL 82
IS 4
BP 349
EP 355
DI 10.21815/JDE.018.038
PD APR 2018
PY 2018
AB Although dental education has traditionally been organized into basic
   sciences education (first and second years) and clinical education
   (third and fourth years), there has been growing interest in ways to
   better integrate the two to more effectively educate students and
   prepare them for practice. Since 2012, The University of Texas School of
   Dentistry at Houston (UTSD) has made it a priority to improve
   integration of basic and clinical sciences, with a focus to this point
   on integrating the basic sciences. The aim of this study was to
   determine the perspectives of basic and clinical science faculty members
   regarding basic and clinical sciences integration and the degree of
   integration currently occurring. In October 2016, all 227 faculty
   members (15 basic scientists and 212 clinicians) were invited to
   participate in an online survey. Of the 212 clinicians, 84 completed the
   clinician educator survey (response rate 40%). All 15 basic scientists
   completed the basic science educator survey (response rate 100%). The
   majority of basic and clinical respondents affirmed the value of
   integration (93.3%, 97.6%, respectively) and reported regular
   integration in their teaching (80%, 86.9%). There were no significant
   differences between basic scientists and clinicians on perceived
   importance (p=0.457) and comfort with integration (p=0.240), but the
   basic scientists were more likely to integrate (p=0.039) and collaborate
   (p=0.021) than the clinicians. There were no significant differences
   between generalist and specialist clinicians on importance (p=0.474) and
   degree (p=0.972) of integration in teaching and intent to collaborate
   (p=0.864), but the specialists reported feeling more comfortable
   presenting basic science information (p=0.033). Protected faculty time
   for collaborative efforts and a repository of integrated basic science
   and clinical examples for use in teaching and faculty development were
   recommended to improve integration. Although questions might be raised
   about the respondents' definition of "integration," this study provides
   a baseline assessment of perceptions at a dental school that is placing
   a priority on integration.
OI van der Hoeven, Ransome/0000-0001-9686-832X
ZA 0
Z8 0
ZS 1
ZR 0
ZB 0
TC 5
Z9 6
U1 2
U2 8
SN 0022-0337
EI 1930-7837
UT WOS:000429185000003
PM 29606651
ER

PT J
AU Al Ghofaily, Lourdes
   Mitchell, John D.
   Woodworth, Glenn
TI Anesthesia Residency Training in Cardiac Anesthesia: Development of a
   Model Curricula and Educational Resources: The Anesthesia Toolbox
SO JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
VL 32
IS 2
BP 621
EP 630
DI 10.1053/j.jvca.2017.11.040
PD APR 2018
PY 2018
OI Mitchell, John/0000-0001-6087-5210
TC 8
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
Z9 8
U1 1
U2 5
SN 1053-0770
EI 1532-8422
UT WOS:000429083200002
PM 29306616
ER

PT J
AU Lambert, Trevor William
   Smith, Fay
   Goldacre, Michael J.
TI Career specialty choices of UK medical graduates of 2015 compared with
   earlier cohorts: questionnaire surveys
SO POSTGRADUATE MEDICAL JOURNAL
VL 94
IS 1110
BP 191
EP 197
DI 10.1136/postgradmedj-2017-135309
PD APR 2018
PY 2018
AB Objective To report the career specialty choices of UK medical graduates
   of 2015 one year after graduation and to compare these with the choices
   made at the same postgraduate stage by previous cohorts.
   Design National survey using online and postal questionnaires.
   Setting UK.
   Participants UK-trained medical graduates.
   Main outcome measures Grouped and individual specialty choices.
   Results The response rate was 41.3% (3040/7095). Among the graduates of
   2015, general practice (27.8% of first choices) and hospital medical
   specialties (26.5%) were the most frequent first choices of long-term
   career. First choices for general practice declined among women from
   36.1% for the 2005-2009 cohorts to 33.3% for the 2015 cohort, and among
   men from 22.4% for the 2005-2009 cohorts to 19.3% for the 2015 cohort.
   First choices for surgery declined among men (from 29.5% for the
   2005-2009 cohorts to 21.7% for the 2015 cohort), but not among women
   (12.3% for the 2005-2009 cohorts and 12.5% for the 2015 cohort). There
   was an increase in the percentage of first choices for anaesthesia,
   psychiatry, radiology and careers outside medicine. Anaesthesia,
   oncology, paediatrics and radiology increased in popularity over time
   among men, but not among women.
   Conclusions Career choices for general practice remain low. Other
   current shortage specialties, apart from radiology and psychiatry, are
   not showing an increase in the number of doctors who choose them. Large
   gender differences remain in the choices for some specialties. Further
   work is needed into the determinants of junior doctors' choices for
   shortage specialties and those with large gender imbalances.
RI Smith, Fay/G-3576-2011
OI Smith, Fay/0000-0001-6479-0150
ZB 2
ZS 0
TC 25
ZR 0
ZA 0
Z8 0
Z9 25
U1 0
U2 6
SN 0032-5473
EI 1469-0756
UT WOS:000428927500001
PM 29440478
ER

PT J
AU Roessger, Kevin M.
   Daley, Barbara J.
   Hafez, Duaa A.
TI Effects of teaching concept mapping using practice, feedback, and
   relational framing
SO LEARNING AND INSTRUCTION
VL 54
BP 11
EP 21
DI 10.1016/j.learninstruc.2018.01.011
PD APR 2018
PY 2018
AB Although concept mapping remains widely used in education, there is
   little research showing how best to teach it. We investigated if
   practice, feedback, and knowledge of relational framing help improve
   students' concept mapping skills over time. Four online graduate courses
   at two universities were randomly assigned to one of two teaching
   conditions: a traditional concept map teaching strategy or traditional
   plus relational framing teaching strategy. Students in each course
   created three concept maps over three weeks following repeated
   instruction and instructor feedback. Repeated practice and feedback
   improved the structural quality of students' concept maps, as well as
   the number of autobiographical elaborations within those maps. Teaching
   strategy moderated the effect of practice and feedback on the relational
   quality of students' maps. Relational scores in relational framing
   groups improved over time, whereas those in the traditional groups
   remained unchanged. Implications for teaching concept mapping are
   discussed.
ZR 0
Z8 0
ZA 0
TC 21
ZB 1
ZS 0
Z9 21
U1 5
U2 37
SN 0959-4752
UT WOS:000428496200002
ER

PT J
AU Bruetting, J.
   Bergmann, M.
   Weber, C.
   Berking, C.
   Tilgen, W.
   Schadendorf, D.
   Meier, F.
TI Information services for melanoma patients and awareness among those
   affected
SO HAUTARZT
VL 69
IS 4
BP 335
EP 339
DI 10.1007/s00105-018-4130-9
PD APR 2018
PY 2018
AB Background. Besides medical consultations, various sources of
   information and support are available for melanoma patients (MP) in
   Germany from commercial and non-commercial providers; however, little is
   known about how they are perceived and accepted by MPs.
   Material and methods. Between July and October 2016 a total of 529
   melanoma patients were surveyed at 27 accredited German skin cancer
   centers by means of a standardized questionnaire. Their awareness and
   satisfaction with 12 given sources of information and counseling
   services (print, online and by telephone) were surveyed. The sources
   were recommended by renowned providers from the field of
   (dermatological) oncology for use by MPs.
   Results. The MPs reported that the booklets called The blue advisor -
   skin cancer (Die Blauen Ratgeber - Hautkrebs, 43%) and Patient
   guidelinesmelanoma (Patientenleitlinie Melanom 24%) and the online
   domain www. hautkrebs-screening. de (23%) were the best known sources.
   These also met the information needs of the majority of users (65-80%).
   Booklets from commercial providers (between 8-16% known) were
   satisfactory for 42-56% of users. At 14% and 11%, respectively, the
   cancer counseling services (Krebsinformationsdienst) and INFONETZ Krebs
   as mainly telephone advisory offers were less well known. Few MPs were
   familiar with the skin cancer or melanoma booklets of the Austrian
   Cancer Aid and the Swiss Cancer League (2% each).
   Conclusion. The increased awareness and acceptance of booklets as well
   as information from principally non-commercial providers suggest that
   they are more often mediated to MPs and more frequently used and
   accepted by those affected.
RI Schadendorf, Dirk/AAE-8206-2019; Brütting, Julia/Q-9612-2019
OI Brütting, Julia/0000-0002-0463-8672
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
TC 1
Z9 1
U1 0
U2 2
SN 0017-8470
EI 1432-1173
UT WOS:000429202000015
PM 29396641
ER

PT J
AU Feetham, H. Jill
   Jeong, H. Sam
   McKesey, Jacqueline
   Wickless, Heather
   Jacobe, Heidi
TI Skin care and cosmeceuticals: Attitudes and trends among trainees and
   educators
SO JOURNAL OF COSMETIC DERMATOLOGY
VL 17
IS 2
BP 220
EP 226
DI 10.1111/jocd.12460
PD APR 2018
PY 2018
AB IntroductionPatients often seek skin care recommendations from their
   dermatologist. The objective of this study was to determine the degree
   of education dermatology residents receive on skin care and
   cosmeceutical products, the source of education, and the attitude of
   trainees and their educators toward skin care and cosmeceuticals.
   MethodsA cross-sectional survey of dermatology residents and faculty via
   an online survey administered June 2015 and August 2015, respectively.
   ResultsIn total, 104 dermatology residents and 50 dermatology faculty
   members completed the survey. Among the dermatology residents and
   faculty, equal distribution was represented across the country. The
   majority of residents and faculty (62% and 69%, respectively) report
   discussing skin care with up to 25% of their patients. Among resident
   participants, 76.5% agree or strongly agree that skin care and
   cosmeceutical education should be part of their education and the
   majority of residents (74.5%) report their education has been too little
   or nonexistent during residency. In contrast, the majority of the
   faculty (60%) reports their resident education is just the right amount
   or too much (P<.001).
   ConclusionsSkin care and cosmeceutical recommendations are often
   discussed in dermatology visits. Dermatology residents feel that
   education on these products should be a part of their residency
   training.
RI Jacobe, Heidi/AHE-8632-2022; Jeong, Haneol/
OI Jeong, Haneol/0000-0002-6013-4604
ZB 5
Z8 0
ZS 0
ZA 0
TC 10
ZR 0
Z9 10
U1 0
U2 6
SN 1473-2130
EI 1473-2165
UT WOS:000428427600016
PM 29152848
ER

PT J
AU McGough, Ellen L.
   Kelly, Valerie E.
   Weaver, Kurt E.
   Logsdon, Rebecca G.
   McCurry, Susan M.
   Pike, Kenneth C.
   Grabowski, Thomas J.
   Teri, Linda
TI Limbic and Basal Ganglia Neuroanatomical Correlates of Gait and
   Executive Function: Older Adults With Mild Cognitive Impairment and
   Intact Cognition
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 4
BP 229
EP 235
DI 10.1097/PHM.0000000000000881
PD APR 2018
PY 2018
AB Objective This study aimed to examine differences in spatiotemporal gait
   parameters between older adults with amnestic mild cognitive impairment
   and normal cognition and to examine limbic and basal ganglia neural
   correlates of gait and executive function in older adults without
   dementia.
   Design This was a cross-sectional study of 46 community-dwelling older
   adults, ages 70-95 yrs, with amnestic mild cognitive impairment (n = 23)
   and normal cognition (n = 23). Structural magnetic resonance imaging was
   used to attain volumetric measures of limbic and basal ganglia
   structures. Quantitative motion analysis was used to measure
   spatiotemporal parameters of gait. The Trail Making Test was used to
   assess executive function.
   Results During fast-paced walking, older adults with amnestic mild
   cognitive impairment demonstrated significantly slower gait speed and
   shorter stride length compared with older adults with normal cognition.
   Stride length was positively correlated with hippocampal, anterior
   cingulate, and nucleus accumbens volumes (P < 0.05). Executive function
   was positively correlated with hippocampal, anterior cingulate, and
   posterior cingulate volumes (P < 0.05).
   Conclusions Compared with older adults with normal cognition, those with
   amnestic mild cognitive impairment demonstrated slower gait speed and
   shorter stride length, during fast-paced walking, and lower executive
   function. Hippocampal and anterior cingulate volumes demonstrated
   moderate positive correlation with both gait and executive function,
   after adjusting for age.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) discuss gait performance and cognitive function in older
   adults with amnestic mild cognitive impairment versus normal cognition,
   (2) discuss neurocorrelates of gait and executive function in older
   adults without dementia, and (3) recognize the importance of assessing
   gait speed and cognitive function in the clinical management of older
   adults at risk for dementia.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   0.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI McCurry, Susan M/E-4731-2015; Kelly, Valerie E./
OI McCurry, Susan M/0000-0001-8624-3772; Kelly, Valerie
   E./0000-0002-0099-9219
ZR 0
TC 14
Z8 3
ZS 0
ZA 0
ZB 4
Z9 17
U1 1
U2 19
SN 0894-9115
EI 1537-7385
UT WOS:000428080300007
PM 29261535
ER

PT J
AU Rodriguez, H. Alejandro
   Young, Monica T.
   Jackson, Hope T.
   Oelschlager, Brant K.
   Wright, Andrew S.
TI Viewer discretion advised: is YouTube a friend or foe in surgical
   education?
SO SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
VL 32
IS 4
BP 1724
EP 1728
DI 10.1007/s00464-017-5853-x
PD APR 2018
PY 2018
AB In the current era, trainees frequently use unvetted online resources
   for their own education, including viewing surgical videos on YouTube.
   While operative videos are an important resource in surgical education,
   YouTube content is not selected or organized by quality but instead is
   ranked by popularity and other factors. This creates a potential for
   videos that feature poor technique or critical safety violations to
   become the most viewed for a given procedure.
   A YouTube search for "Laparoscopic cholecystectomy" was performed.
   Search results were screened to exclude animations and lectures; the top
   ten operative videos were evaluated. Three reviewers independently
   analyzed each of the 10 videos. Technical skill was rated using the
   GOALS score. Establishment of a critical view of safety (CVS) was scored
   according to CVS "doublet view" score, where a score of >5 points (out
   of 6) is considered satisfactory. Videos were also screened for safety
   concerns not listed by the previous tools.
   Median competence score was 8 (+/- 1.76) and difficulty was 2 (+/- 1.8).
   GOALS score median was 18 (+/- 3.4). Only one video achieved adequate
   critical view of safety; median CVS score was 2 (range 0-6). Five videos
   were noted to have other potentially dangerous safety violations,
   including placing hot ultrasonic shears on the duodenum, non-clipping of
   the cystic artery, blind dissection in the hepatocystic triangle, and
   damage to the liver capsule.
   Top ranked laparoscopic cholecystectomy videos on YouTube show
   suboptimal technique with half of videos demonstrating concerning
   maneuvers and only one in ten having an adequate critical view of
   safety. While observing operative videos can be an important learning
   tool, surgical educators should be aware of the low quality of popular
   videos on YouTube. Dissemination of high-quality content on video
   sharing platforms should be a priority for surgical societies.
CT Annual Meeting of the
   Society-of-American-Gastrointestinal-and-Endoscopic-Surgeons (SAGES)
CY MAR 22-25, 2017
CL Houston, TX
SP Soc Amer Gastrointestinal & Endoscop Surg
Z8 0
ZA 0
ZS 1
ZB 6
ZR 0
TC 52
Z9 53
U1 0
U2 6
SN 0930-2794
EI 1432-2218
UT WOS:000427159300012
PM 28916948
ER

PT J
AU Lee, Christine M.
   Cadigan, Jennifer M.
   Fairlie, Anne M.
   Lewis, Melissa A.
TI Transitions into young adulthood: Extent to which alcohol use, perceived
   drinking norms, and consequences vary by education and work statuses
   among 18-20 year olds
SO ADDICTIVE BEHAVIORS
VL 79
BP 107
EP 112
DI 10.1016/j.addbeh.2017.12.004
PD APR 2018
PY 2018
AB Introduction: With many young adults pursuing post-secondary education
   and many working, understanding the importance of education and work
   roles on alcohol use are of developmental and clinical importance.
   Utilizing a sample of 18-20 year-olds transitioning from adolescence to
   young adulthood, the current study examined how social role statuses in
   education (i.e., not in school, 2-year students, 4-year students) and
   work status (i.e., unemployed, employed part-time, employed full-time)
   were associated with alcohol use, alcohol-related consequences, and
   perceived drinking norms.
   Method: Participants were 18-20 year old young adults (54% female)
   participating in a one-time online survey about alcohol use and sexual
   behavior. Regression models were conducted to examine associations
   between school status and work status with alcohol related outcomes.
   Results: Individuals who were unemployed had a significantly lower
   likelihood of any heavy episodic drinking (HED) in the past month,
   consumed fewer drinks per week, and experienced fewer alcohol-related
   consequences compared to individuals who worked full-time. Individuals
   who worked part-time consumed fewer drinks per week and had lower
   perceived drinking norms compared to individuals who worked full-time.
   No significant associations were found for alcohol use and consequences
   by education status.
   Discussion: Working full-time is a risk factor for HED, greater weekly
   drinking and negative alcohol-related consequences when compared to
   young adults who are unemployed, and to a lesser extent with young
   adults working part-time. Workplace interventions may be one approach to
   reach heavy drinking young adults.
RI Lewis, Melissa/ABD-5278-2020; Fairlie, Anne/
OI Fairlie, Anne/0000-0002-6134-5753
ZR 0
Z8 0
ZB 4
ZS 1
ZA 0
TC 9
Z9 9
U1 1
U2 19
SN 0306-4603
EI 1873-6327
UT WOS:000425574000017
PM 29287186
ER

PT J
AU Smarr, Benjamin L.
   Schirmer, Aaron E.
TI 3.4 million real-world learning management system logins reveal the
   majority of students experience social jet lag correlated with decreased
   performance
SO SCIENTIFIC REPORTS
VL 8
AR 4793
DI 10.1038/s41598-018-23044-8
PD MAR 29 2018
PY 2018
AB Misalignments between endogenous circadian rhythms and the built
   environment (i.e., social jet lag, SJL) result in learning and attention
   deficits. Currently, there is no way to assess the impact of SJL on
   learning outcomes of large populations as a response to schedule
   choices, let alone to assess which individuals are most negatively
   impacted by these choices. We analyzed two years of learning management
   system login events for 14,894 Northeastern Illinois University (NEIU)
   students to investigate the capacity of such systems as tools for
   mapping the impact of SJL over large populations while maintaining the
   ability to generate insights about individuals. Personal daily activity
   profiles were validated against known biological timing effects, and
   revealed a majority of students experience more than 30 minutes of SJL
   on average, with greater amplitude correlating strongly with a
   significant decrease in academic performance, especially in people with
   later apparent chronotypes. Our findings demonstrate that online records
   can be used to map individual- and population-level SJL, allow deep
   mining for patterns across demographics, and could guide schedule
   choices in an effort to minimize SJL's negative impact on learning
   outcomes.
OI Schirmer, Aaron/0000-0001-7454-2345
ZS 0
Z8 0
TC 24
ZB 13
ZA 0
ZR 0
Z9 24
U1 0
U2 5
SN 2045-2322
UT WOS:000428617900001
PM 29599506
ER

PT J
AU van Vendeloo, Stefan N.
   Godderis, Lode
   Brand, Paul L. P.
   Verheyen, Kees C. P. M.
   Rowell, Suria A.
   Hoekstra, Harm
TI Resident burnout: evaluating the role of the learning environment
SO BMC MEDICAL EDUCATION
VL 18
AR 54
DI 10.1186/s12909-018-1166-6
PD MAR 27 2018
PY 2018
AB Background: Although burnout is viewed as a syndrome rooted in the
   working environment and organizational culture, the role of the learning
   environment in the development of resident burnout remains unclear. We
   aimed to evaluate the association between burnout and the learning
   environment in a cohort of Belgian residents.
   Methods: We conducted a cross-sectional online survey among residents in
   a large university hospital in Belgium. We used the Dutch version of the
   Maslach Burnout Inventory (UBOS-C) to assess burnout and the Dutch
   Residency Educational Climate Test (D-RECT) to assess the learning
   environment.
   Results: A total of 236 residents (29 specialties) completed the survey
   (response rate 34.6%), of which 98 (41.5%) met standard criteria for
   burnout. After multivariate regression analysis adjusting for hours
   worked per week, quality of life and satisfaction with work-life
   balance, we found an inverse association between D-RECT scores and the
   risk of burnout (adjusted odds ratio; 0.47 for each point increase in
   D-RECT score; 95% CI, 0.23 - 0.95; p = 0.01).
   Conclusions: Resident burnout is highly prevalent in our cohort of
   Belgian residents. Our results suggest that the learning environment
   plays an important role in reducing the risk of burnout among residents.
RI Brand, Paul/ABB-3693-2021; Godderis, Lode/AAE-5880-2019; Hoekstra, Harm/
OI Godderis, Lode/0000-0003-4764-8835; Hoekstra, Harm/0000-0001-8061-1060
ZB 3
Z8 0
ZS 1
ZR 0
TC 26
ZA 0
Z9 28
U1 1
U2 17
EI 1472-6920
UT WOS:000428666000009
PM 29587737
ER

PT J
AU Ong, Jason J.
   Wu, Dan
   Huang, Wenting
   Fu, Hongyun
   Desmond, Nicola
   Ma, Wei
   Kang, Dianmin
   Liao, Meizhen
   Marley, Gifty
   Wei, Chongyi
   Tang, Weiming
   Liu, Chuncheng
   Zhang, Ye
   Pan, Stephen W.
   Yang, Bin
   Yang, Ligang
   Huang, Shujie
   Tucker, Joseph D.
TI Pressured HIV testing "in the name of love": a mixed methods analysis of
   pressured HIV testing among men who have sex with men in China
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 21
IS 3
AR e25098
DI 10.1002/jia2.25098
PD MAR 25 2018
PY 2018
AB Introduction: HIV testing has rapidly expanded into diverse,
   decentralized settings. While increasing accessibility to HIV testing is
   beneficial, it may lead to unintended consequences such as being
   pressured to test. We examined the frequency, correlates and contexts of
   pressured HIV testing among Chinese men who have sex with men (MSM)
   using mixed methods.
   Methods: We conducted an online survey of MSM (N = 1044) in May 2017.
   Pressured HIV testing was defined as being forced to test for HIV. We
   conducted logistic regression analysis to determine the associations
   between pressured HIV testing and socio-demographic and sexual
   behavioural factors. Follow-up interviews (n = 17) were conducted with
   men who reported pressured testing and we analysed qualitative data
   using a thematic analysis approach.
   Results: Ninety-six men (9.2%) reported experiencing pressure to test
   for HIV. Regular male sex partners were the most common source of
   pressure (61%, 59/96), and the most common form of pressure was a threat
   to end a relationship with the one who was being pressured (39%, 37/96).
   We found a higher risk of pressured testing in men who had only used HIV
   self-testing compared to men who had never self-tested (AOR 2.39 (95%CI:
   1.38 to 4.14)). However, this relationship was only significant among
   men with low education (AOR 5.88 (95%CI: 1.92 to 17.99)) and not among
   men with high education (AOR 1.62 (95%CI: 0.85 to 3.10)). After
   pressured testing, about half of men subsequently tested for HIV (55%,
   53/96) without pressure -none reported being diagnosed with HIV.
   Consistent with this finding, qualitative data suggest that perceptions
   of pressure existed on a continuum and depended on the relationship
   status of the one who pressured them. Although being pressured to test
   was accompanied by negative feelings, men who were pressured into
   testing often changed their attitude towards HIV testing, testing
   behaviours, sexual behaviours and relationship with the one who
   pressured them to test.
   Conclusion: Pressured HIV testing was reported among Chinese MSM,
   especially from men with low education levels and men who received HIV
   self-testing. However, in some circumstances, pressure to test helped
   MSM in several ways, challenging our understanding of the role of agency
   in the setting of HIV testing.
RI Ma, Wei/C-4748-2019; Ma, Wei/L-2374-2019; Desmond, Nicola/ABA-6504-2020; Ong, Jason/AAB-3086-2019; Liu, Chuncheng/AAF-4013-2019; Marley, Gifty/; Wu, Dan/; Zhang, Ye/
OI Ma, Wei/0000-0002-8092-3280; Ma, Wei/0000-0002-8092-3280; Desmond,
   Nicola/0000-0002-2874-8569; Ong, Jason/0000-0001-5784-7403; Liu,
   Chuncheng/0000-0001-5842-7988; Marley, Gifty/0000-0002-0025-3062; Wu,
   Dan/0000-0003-0415-5467; Zhang, Ye/0000-0001-6159-7427
ZB 3
ZR 0
TC 11
ZS 0
ZA 0
Z8 2
Z9 13
U1 4
U2 8
EI 1758-2652
UT WOS:000428479000001
PM 29577598
ER

PT J
AU Ranapurwala, Shabbar I.
   Kucera, Kristen L.
   Denoble, Petar J.
TI The healthy diver: A cross-sectional survey to evaluate the health
   status of recreational scuba diver members of Divers Alert Network (DAN)
SO PLOS ONE
VL 13
IS 3
AR e0194380
DI 10.1371/journal.pone.0194380
PD MAR 22 2018
PY 2018
AB Background
   Scuba diver fitness is paramount to confront environmental stressors of
   diving. However, the diving population is aging and the increasing
   prevalence of diseases may be a concern for diver fitness.
   Purpose
   The purpose of this study is to assess the demographics, lifestyle
   factors, disease prevalence, and healthcare access and utilization of
   Divers Alert Network (DAN) members and compare them with those from the
   general population. Methods DAN membership health survey (DMHS) was
   administered online in 2011 to DAN members in the United States (US).
   Health status of DMHS respondents was compared with the general US
   population data from the Center for Disease Control and Prevention's
   Behavioral Risk Factor Surveillance System using two-sided student's
   t-tests and Mantel-Haenszel chisquare tests. Univariate and multivariate
   logistic regression analyses were conducted to identify factors
   associated with healthcare utilization among the DMHS participants.
   Results
   Compared to the general US population, the DMHS population had lower
   prevalence of asthma, heart attack, angina, stroke, diabetes,
   hypertension, hypercholesterolemia, and disabilities (p<0.01); more
   heavy alcohol drinkers, and fewer smokers (p<0.01); and greater access
   and utilization (routine checkup) of healthcare (p<0.01). Healthcare
   utilization in males was lower than among females. Increasing age and
   increase in the number of chronic illnesses were associated with
   increased healthcare utilization.
   Conclusions
   DAN members are healthier than the general US population. DAN members
   also have better access to healthcare and utilize healthcare for
   preventive purposes more often than the general population. DAN members
   appear to have a better fitness level than their non-diving peers.
RI Denoble, Petar/AAU-5109-2021
OI Denoble, Petar/0000-0002-6770-8674
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
TC 8
Z9 8
U1 0
U2 1
SN 1932-6203
UT WOS:000428093900060
PM 29566018
ER

PT J
AU Davies, E. Bethan
   Beever, Emmeline
   Glazebrook, Cris
TI A pilot randomised controlled study of the mental health first aid
   eLearning course with UK medical students
SO BMC MEDICAL EDUCATION
VL 18
AR 45
DI 10.1186/s12909-018-1154-x
PD MAR 21 2018
PY 2018
AB Background: Medical students face many barriers to seeking out
   professional help for their mental health, including stigma relating to
   mental illness, and often prefer to seek support and advice from fellow
   students. Improving medical students' mental health literacy and
   abilities to support someone experiencing a mental health problem could
   reduce barriers to help seeking and improve mental health in this
   population. Mental Health First Aid (MHFA) is an evidence-based
   intervention designed to improve mental health literacy and ability to
   respond to someone with a mental health problem. This pilot randomised
   controlled trial aims to evaluate the MHFA eLearning course in UK
   medical students.
   Methods: Fifty-five medical students were randomised to receive six
   weeks access to the MHFA eLearning course (n = 27) or to a no-access
   control group (n = 28). Both groups completed baseline
   (pre-randomisation) and follow-up (six weeks post-randomisation) online
   questionnaires measuring recognition of a mental health problem, mental
   health first aid intentions, confidence to help a friend experiencing a
   mental health problem, and stigmatising attitudes. Course feedback was
   gathered at follow-up.
   Results: More participants were lost follow-up in the MHFA group (51.9%)
   compared to control (21.4%). Both intention-to-treat (ITT) and non-ITT
   analyses showed that the MHFA intervention improved mental health first
   aid intentions (p = <.001) and decreased stigmatising attitudes towards
   people with mental health problems (p = .04). While ITT analysis found
   no significant Group x Time interaction for confidence to help a friend,
   the non-ITT analysis did show the intervention improved confidence to
   help a friend with mental health problems (p = <.001), and improved
   mental health knowledge (p = .003). Medical students in the intervention
   group reported a greater number of actual mental health first aid
   actions at follow-up (p = .006). Feedback about the MHFA course was
   generally positive, with participants stating it helped improve their
   knowledge and confidence to help someone.
   Conclusion: This pilot study demonstrated the potential for the MHFA
   eLearning course to improve UK medical students' mental health first aid
   skills, confidence to help a friend and stigmatising attitudes. It could
   be useful in supporting their own and others' mental health while
   studying and in their future healthcare careers.
OI Davies, E Bethan/0000-0003-3134-0879; Glazebrook,
   Cristine/0000-0002-7459-9445
ZR 0
ZA 0
TC 25
Z8 1
ZS 0
ZB 0
Z9 26
U1 3
U2 20
SN 1472-6920
UT WOS:000428017600001
PM 29562906
ER

PT J
AU Au, John
   Palmer, Edward
   Johnson, Ian
   Chehade, Mellick
TI Evaluation of the utility of teaching joint relocations using cadaveric
   specimens
SO BMC MEDICAL EDUCATION
VL 18
AR 41
DI 10.1186/s12909-018-1151-0
PD MAR 20 2018
PY 2018
AB Background: Like other procedural skills, the ability to relocate a
   joint is an important aspect of junior doctor education. Changes in the
   approach to teaching and learning from the traditional
   apprenticeship-style model have made the teaching of practical skills
   more difficult logistically. Workshops utilising cadaveric specimens
   offer a solution to this problem.
   Methods: One hundred forty-six fourth year medical students were
   randomly divided into 5 groups. Each group received a different teaching
   intervention based on ankle, patella and hip relocation. The
   interventions consisted of online learning modules, instructional cards
   and workshops using skeleton models and cadaveric dislocation models.
   Following the intervention students were given a test containing
   multiple choice and true/false style questions. A 13-item 5-point Likert
   scale questionnaire was also delivered before and after the
   intervention. The data was analysed using one-way analysis of variance
   (ANOVA) and the Bonferroni post-hoc test.
   Results: Compared to the instructional cards group, the other 4 groups
   showed a 10.8-19.2% improvement in total test score (p < 0.01) and an
   18.4-25.3% improvement in self-reported understanding and confidence in
   performing joint relocations (P < 0.01). There was no significant
   difference in total test scores between groups exposed to cadaveric
   instruction on the relocation of one-, two- or all three-joints, nor any
   significant difference between all the cadaveric dislocation groups and
   the group receiving instruction on the skeleton model.
   Conclusion: The results of the present study suggest that workshops
   utilising cadaveric dislocation models are effective in teaching joint
   relocation. In addition, the finding that lower fidelity models may be
   of equal utility may provide institutions with flexibility of delivery
   needed to meet financial and resource constraints.
RI Palmer, Edward/AAF-7339-2020; Palmer, Edward/; Chehade, Mellick/; Johnson, Ian/
OI Palmer, Edward/0000-0001-9654-5213; Chehade,
   Mellick/0000-0001-6931-2393; Johnson, Ian/0000-0001-5951-6990
ZS 0
Z8 0
TC 3
ZB 0
ZR 0
ZA 0
Z9 3
U1 0
U2 2
SN 1472-6920
UT WOS:000428017100002
PM 29554966
ER

PT J
AU Clausen, Peter-Henning
   Stelzer, Sandra
   Nijhof, Ard
   Kruecken, Juergen
   von Samson-Himmelstjerna, Georg
TI Established and novel approaches for teaching and learning of veterinary
   parasitology in Berlin
SO VETERINARY PARASITOLOGY
VL 252
BP 58
EP 61
DI 10.1016/j.vetpar.2018.01.028
PD MAR 15 2018
PY 2018
AB The teaching of veterinary parasitology to the large number of students
   at the Freie Universitat Berlin is mainly limited to conventional
   face-to-face lectures, supplemented by practical classes. Extensive
   parasite descriptions and diagnostic techniques are at the core of the
   practical classes, which are also intended to emphasise key biological
   and veterinary aspects covered in lectures. Further in-depth and
   specific learning is achieved within a detailed framework of elective
   courses, with defined learning outcomes for small groups of students,
   focusing on themes such as 'diagnosis and treatment of ectoparasites in
   companion animals' or 'zoonotic parasites'. Additionally, structured
   excursions are designed to offer experience through collaborative
   international investigations. Organ-based approaches are also an
   integral part of our veterinary parasitology teaching, done in
   collaboration with the clinical and para-clinical departments, either
   via face-to-face interactions or online. Wide-ranging themes, such as
   'causes of colic in horses' or 'atopic dermatitis in dogs' are covered.
   Recently, diverse blended learning elements were introduced into the
   curriculum (e.g., QuerVet), which makes teaching and learning more
   flexible, in terms of time and space, and fosters self-directed learning
   and participation among the students. A new platform to provide online
   lectures for students, termed VET Talks, was launched in 2015 by the
   International Veterinary Student's Association (IVSA), and is as a
   publicly available educational support system for students. Provided
   free to veterinary students throughout the world, this platform offers
   students the opportunity to access lectures on interesting topics by
   outstanding speakers who are nominated by their students. Finally,
   continuing education (CE) opportunities are provided through specific
   Masters courses (Master of Equine Medicine, Master of Small Animal
   Sciences), classical seminars and recent webinars.
RI Krücken, Jürgen/B-6794-2009; Krücken, Jürgen/AAE-3133-2021; Krücken, Jürgen/CAF-6903-2022; Nijhof, Ard/
OI Krücken, Jürgen/0000-0002-2842-8100; Krücken,
   Jürgen/0000-0002-2842-8100; Krücken, Jürgen/0000-0002-2842-8100; Nijhof,
   Ard/0000-0001-7373-2243
ZS 0
ZB 2
Z8 0
ZR 0
TC 2
ZA 0
Z9 2
U1 2
U2 9
SN 0304-4017
EI 1873-2550
UT WOS:000430775000009
PM 29559151
ER

PT J
AU Leu, Agnes
   Jung, Corinna
   Frech, Marianne
   Sempik, Joe
   Moser, Urs
   Verner, Martin
   Becker, Saul
TI Study protocol: young carers and young adult carers in Switzerland
SO BMC HEALTH SERVICES RESEARCH
VL 18
AR 183
DI 10.1186/s12913-018-2981-5
PD MAR 15 2018
PY 2018
AB Background: In Switzerland, the issue of young carers and young adult
   carers -young people under the age of 18 and 24 respectively, who take
   on significant or substantial caring tasks and levels of responsibility
   that would usually be associated with an adult -has not been researched
   before. The number of these younger carers is unknown, as is the extent
   and kind of their caring activities and the outcomes for their health,
   well-being, psycho-social development, education, transitions to
   adulthood, future employability and economic participation.
   Methods: The project is comprised of three stages:
   1. A national Swiss-wide online survey to examine awareness of the issue
   of younger carers amongst professional populations in the education,
   health and social services sectors;
   2. An online survey of 4800 Swiss pupils in schools using standardised
   instruments to identify the proportion and characteristics of pupils who
   are carers; and
   3. Semi-structured interviews with 20 families comprising family members
   with care needs and younger carers, to consolidate and validate the
   other stages of the study; and to hear directly from care-dependent
   family members and younger carers about their experiences of the issues
   identified in the surveys and in previous published research.
   Discussion: The needs of younger carers and their ill and disabled
   family members in Switzerland have not been systematically investigated.
   This will be the first study in the country to investigate these issues
   and to develop evidence-based recommendations for policy and practice,
   drawing also on international research. The present study therefore
   fills an important national and international research gap. It will
   collect important data on the awareness, extent, kind and impact of
   caring amongst children and young people in Switzerland, and cross-link
   these findings with robust evidence from other countries. The study will
   reveal (a) the extent of awareness of the issue of young carers amongst
   medical, social, health, educational, and other groups in Switzerland;
   (b) the proportion and number of young carers amongst a normative child
   population, and what these young carers 'do' in terms of their caring
   roles; and (c) direct accounts by families of their care-giving and
   receiving experiences.
ZA 0
TC 3
ZS 0
ZB 0
Z8 0
ZR 0
Z9 3
U1 3
U2 8
SN 1472-6963
UT WOS:000427651000004
PM 29544484
ER

PT J
AU Youm, Julie
   Wiechmann, Warren
TI Formative feedback from the first-person perspective using Google Glass
   in a family medicine objective structured clinical examination station
   in the United States
SO JOURNAL OF EDUCATIONAL EVALUATION FOR HEALTH PROFESSIONS
VL 15
AR 5
DI 10.3352/jeehp.2018.15.5
PD MAR 7 2018
PY 2018
AB Purpose: This case study explored the use of Google Glass in a clinical
   examination scenario to capture the first-person perspective of a
   standardized patient as a way to provide formative feedback on students'
   communication and empathy skills 'through the patient's eyes.' Methods:
   During a 3-year period between 2014 and 2017, third-year students
   enrolled in a family medicine clerkship participated in a Google Glass
   station during a summative clinical examination. At this station,
   standardized patients wore Google Glass to record an encounter focused
   on communication and empathy skills 'through the patient's eyes.'
   Students completed an online survey using a 4-point Likert scale about
   their perspectives on Google Glass as a feedback tool (N=255). Results:
   We found that the students' experiences with Google Glass 'through the
   patient's eyes' were largely positive and that students felt the
   feedback provided by the Google Glass recording to be helpful. Although
   a third of the students felt that Google Glass was a distraction, the
   majority believed that the first-person perspective recordings provided
   an opportunity for feedback that did not exist before. Conclusion:
   Continuing exploration of first-person perspective recordings using
   Google Glass to improve education on communication and empathy skills is
   warranted.
OI Wiechmann, Warren/0000-0002-3701-4356
ZA 0
ZR 0
ZS 0
TC 1
Z8 0
ZB 0
Z9 1
U1 0
U2 3
SN 1975-5937
UT WOS:000431553400001
PM 29510601
ER

PT J
AU Krauss, John C.
   Sahai, Vaibhav
   Kirch, Matthias
   Simeone, Diane M.
   An, Lawrence
TI Pilot Study of Personalized Video Visit Summaries for Patients With
   Cancer
SO JCO CLINICAL CANCER INFORMATICS
VL 2
DI 10.1200/CCI.17.00086
PD MAR 6 2018
PY 2018
AB Purpose The treatment of cancer is complex, which can overwhelm patients
   and lead to poor comprehension and recall of the specifics of the cancer
   stage, prognosis, and treatment plan. We hypothesized that an oncologist
   can feasibly record and deliver a custom video summary of the
   consultation that covers the diagnosis, recommended testing, treatment
   plan, and follow-up in < 5 minutes. The video summary allows the patient
   to review and share the most important part of a cancer consultation
   with family and caregivers.
   Methods At the conclusion of the office visit, oncologists recorded the
   most important points of the consultation, including the diagnosis and
   management plan as a short video summary. Patients were then e-mailed a
   link to a secure Website to view and share the video. Patients and
   invited guests were asked to respond to an optional survey of 15
   multiple-choice and four open-ended questions after viewing the video
   online.
   Results Three physicians recorded and sent 58 video visit summaries to
   patients seen in multidisciplinary GI cancer clinics. Forty-one patients
   logged into the secure site, and 38 viewed their video. Fourteen
   patients shared their video and invited a total of 46 visitors, of whom
   36 viewed the videos. Twenty-six patients completed the survey, with an
   average overall video satisfaction score of 9 on a scale of 1 to 10,
   with 10 being most positive.
   Conclusion Video visit summaries provide a personalized education tool
   that patients and caregivers find highly useful while navigating complex
   cancer care. We are exploring the incorporation of video visit summaries
   into the electronic medical record to enhance patient and caregiver
   understanding of their specific disease and treatment. (C) 2018 by
   American Society of Clinical Oncology
Z8 0
ZB 0
ZR 0
ZA 0
TC 0
ZS 0
Z9 0
U1 0
U2 0
SN 2473-4276
UT WOS:000461093300001
PM 30652554
ER

PT J
AU Hinderaker, Katie
   Power, David V.
   Allen, Sharon
   Parker, Ellen
   Okuyemi, Kolawole
TI What do medical students know about e-cigarettes? A cross-sectional
   survey from one US medical schoold
SO BMC MEDICAL EDUCATION
VL 18
AR 32
DI 10.1186/s12909-018-1134-1
PD MAR 2 2018
PY 2018
AB Background: Although electronic cigarette (e-cigarette) use has rapidly
   increased, there is little data about what United States medical
   students know or are taught about them. This study examined medical
   students' experiences, knowledge, and attitudes regarding e-cigarettes,
   as well as their evaluation of their education on e-cigarettes.
   Methods: A cross-sectional online survey of medical students currently
   enrolled at the University of Minnesota Medical School (n = 984) was
   conducted over a three-week period in August and September 2015. Primary
   outcomes included students' personal experiences with e-cigarettes,
   knowledge and attitudes about e-cigarettes, and students' assessment of
   their education on e-cigarettes. Results: 66.9% medical students
   completed the survey. 58% (n = 382) of participants identified as
   female. 35.8% (n = 235) were "not sure" whether e-cigarettes were
   approved by the FDA for smoking cessation, while 4.1% (n = 27) falsely
   believed they were. While 82.9% (n = 543) agreed or strongly agreed that
   they felt confident in their ability to discuss traditional cigarette
   use with patients, only 12.4% (n = 81) agreed or strongly agreed that
   they felt confident in their ability to discuss e-cigarettes with
   patients. 94.8% (n = 619) of participants believed that they had not
   received adequate education about e-cigarettes in medical school. A
   higher proportion of males reported ever using an e-cigarette.
   Conclusions: The gaps in medical student knowledge and wide variances in
   attitudes about e-cigarettes at one medical school together with their
   report of inadequate education in an environment of increasing use of
   e-cigarette use in the U.S. speaks to a need for the development of
   medical school curriculum on e-cigarettes.
OI Allen, Sharon/0000-0003-2797-8001
ZA 0
ZS 1
TC 19
ZB 3
ZR 0
Z8 0
Z9 19
U1 2
U2 5
SN 1472-6920
UT WOS:000426770300002
PM 29499682
ER

PT J
AU Esbenshade, Adam J.
   Pierson, Christopher R.
   Thompson, Amanda L.
   Reed, Damon
   Gupta, Abha
   Levy, Adam
   Kahalley, Lisa S.
   Harker-Murray, Paul
   Schore, Reuven
   Muscal, Jodi A.
   Embry, Leanne
   Maloney, Kelly
   Horton, Terzah
   Zweidler-Mckay, Patrick
   Dhall, Girish
TI Long-term evidence that a pediatric oncology mentorship program for
   young investigators is feasible and beneficial in the cooperative group
   setting: A report from the Children's Oncology Group
SO PEDIATRIC BLOOD & CANCER
VL 65
IS 3
AR e26878
DI 10.1002/pbc.26878
PD MAR 2018
PY 2018
AB BackgroundMentorship of junior faculty is an integral component of
   career development. The Children's Oncology Group (COG) Young
   Investigator (YI) Committee designed a mentorship program in 2004 whose
   purpose was to pair YIs (faculty 10 years of first academic appointment)
   with a senior mentor to assist with career development and involvement
   in COG research activities. This study reports on the committee's
   ability to achieve these goals.
   ProcedureAn online survey was sent to YIs who were registered with the
   program from 2004 to2015, assessing three major domains: (1) overall
   experience with the mentor pairing, (2) satisfaction with the program,
   and (3) academic accomplishments of the mentees.
   ResultsThe response rate was 64% (110/171). Overall, YIs rated the
   success of their mentorship pairing as 7.2 out of 10 (median) (25th,
   75th quartile 3.6, 9.6). The direct effects of the mentorship program
   included 70% YIs reporting a positive effect on their career, 40%
   reporting any grant or manuscript resulting from the pairing, 47%
   forming a new research collaboration, and 43% receiving appointment to a
   COG committee. Respondents reported success in COG with 38% authoring a
   manuscript on behalf of COG and 65% reporting a leadership position
   including seven current or past COG discipline chairs and 20 study
   chairs. Finally, 74% of respondents said they would consider serving as
   mentors in the program in the future.
   ConclusionThe COG YI mentorship program has been well received by the
   majority of the participants and has helped to identify and train many
   current leaders in COG.
RI Reed, Damon/R-8179-2019; Thompson, Amanda/; Reed, Damon/
OI Thompson, Amanda/0000-0002-9683-9809; Reed, Damon/0000-0002-8238-2465
ZA 0
ZR 0
ZS 0
Z8 0
ZB 2
TC 4
Z9 4
U1 0
U2 4
SN 1545-5009
EI 1545-5017
UT WOS:000419979000016
PM 29193588
ER

PT J
AU Jennings, Aisling A.
   Boyle, Siobhan
   Foley, Tony
TI The development and evaluation of an online dementia resource for
   primary care based health professionals
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 11
BP 47
EP 52
DI 10.1016/j.invent.2018.01.004
PD MAR 2018
PY 2018
AB Background: Primary care based health professionals struggle with many
   aspects of dementia care. General practitioners (GPs) find providing
   post-diagnosis information on services and supports particularly
   challenging. Likewise, people with dementia and their family caregivers
   feel they need more support from their GPs in this post-diagnosis
   period.
   Objective: This study aimed to develop and evaluate an online
   educational resource for primary care health professionals that included
   a dementia specific services and supports directory.
   Method: A previously conducted educational needs analysis informed the
   content of the resource. This content was further developed by a review
   of the literature and through consultation with an expert reference
   group and a stakeholder group. A mixed method approach was taken to the
   evaluation of the online resource which included analysis of the website
   traffic, qualitative feedback from stakeholders and evaluation by
   general practitioners.
   Results: The online resource www. dementiapathways. ie was developed.
   Initial qualitative feedback obtained from potential end-users was
   positive. Data analysis was performed on over 4000 people who accessed
   the site. Finally, the online resource was demonstrated to 190 general
   practitioners in 36 workshops. All of the general practitioners surveyed
   felt that dementipathways. ie would be a useful resource for them.
   Several potential barriers to the successful development and
   implementation of a services and supports directory were identified.
   Conclusion: This study provides a prototype for the development of an
   online dementia educational resource and demonstrates the value of a
   dementia-specific services and supports directory for primary care based
   health professionals.
RI Foley, Tony/AAH-1041-2021
OI Foley, Tony/0000-0003-3205-3871
TC 3
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
Z9 3
U1 1
U2 2
EI 2214-7829
UT WOS:000457134500006
PM 30135759
ER

PT J
AU LaDage, Lara D.
   Tornello, Samantha L.
   Vallejera, Jennilyn M.
   Baker, Emily E.
   Yan, Yue
   Chowdhury, Anik
TI Variation in behavioral engagement during an active learning activity
   leads to differential knowledge gains in college students
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 1
BP 99
EP 103
DI 10.1152/advan.00150.2017
PD MAR 2018
PY 2018
AB There are many pedagogical techniques used by educators in higher
   education; however, some techniques and activities have been shown to be
   more beneficial to student learning than others. Research has
   demonstrated that active learning and learning in which students
   cognitively engage with the material in a multitude of ways result in
   better understanding and retention. The aim of the present study was to
   determine which of three pedagogical techniques led to improvement in
   learning and retention in undergraduate college students. Subjects
   partook in one of three different types of pedagogical engagement:
   hands-on learning with a model, observing someone else manipulate the
   model, and traditional lecture-based presentation. Students were then
   asked to take an online quiz that tested their knowledge of the new
   material, both immediately after learning the material and 2 wk later.
   Students who engaged in direct manipulation of the model scored higher
   on the assessment immediately after learning the material compared with
   the other two groups. However, there were no differences among the three
   groups when assessed after a 2-wk retention interval. Thus active
   learning techniques that involve direct interaction with the material
   can lead to learning benefits; however, how these techniques benefit
   long-term retention of the information is equivocal.
OI Tornello, Samantha/0000-0002-1387-6314; Yan, Yue/0000-0003-0248-745X
ZB 1
ZA 0
ZR 0
TC 5
ZS 0
Z8 0
Z9 5
U1 0
U2 28
SN 1043-4046
EI 1522-1229
UT WOS:000423465600016
PM 29357267
ER

PT J
AU Hewitt-Smith, A.
   Bulamba, F.
   Ttendo, S.
   Pappenheim, K.
   Walker, I. A.
   Smith, A. F.
TI A mixed-methods evaluation of the Association of Anaesthetists of Great
   Britain and Ireland Uganda Fellowship Scheme
SO ANAESTHESIA
VL 73
IS 3
BP 284
EP 294
DI 10.1111/anae.14116
PD MAR 2018
PY 2018
AB The Association of Anaesthetists of Great Britain and Ireland and the
   then Uganda Society of Anaesthesia established the Uganda Fellowship
   Scheme in 2006, to provide scholarships to encourage doctors to train in
   anaesthesia in Uganda. We conducted an evaluation of this programme
   using online questionnaires and face-to-face semi-structured interviews
   with trainees who received scholarships, as well as with senior surgeons
   and anaesthetists. Focus group discussions were held to assess changes
   in attitudes towards anaesthesia over the last 10 years. Interviews were
   recorded, transcribed and analysed using the constant comparative
   method. A total of 54 Ugandan doctors have received anaesthesia
   scholarships since 2006 (median funding per trainee (IQR [range]) 5520
   pound (5520- pound 6750 pound [765- pound 9000]) pound. There has been a
   four-fold increase in the number of physician anaesthetists in Uganda
   during this time. All those who received funding remain in the region.
   The speciality of anaesthesia is undergoing a dramatic transformation
   led by this group of motivated young anaesthetists. There is increased
   access to intensive care, and this has allowed surgical specialities to
   develop. There is greater understanding and visibility of anaesthesia,
   and the quality of education in anaesthesia throughout the country has
   improved. The Uganda Fellowship Scheme provided a relatively small
   financial incentive to encourage doctors to train as anaesthetists.
   Evaluation of the project shows a wide-ranging impact that extends
   beyond the initial goal of simply improving human resource capacity.
   Financial incentives combined with strong 'north-south' links between
   professional organisations can play an important role in tackling the
   shortage of anaesthesia providers in a low-income country and in
   improving access to safe surgery and anaesthesia.
RI Smith, Adam Hewitt/AAR-1573-2020; Smith, Andrew F/C-5384-2012; Hewitt Smith, Adam/
OI Hewitt Smith, Adam/0000-0002-6019-2441
ZR 0
ZB 1
ZA 0
TC 8
ZS 0
Z8 0
Z9 8
U1 0
U2 1
SN 0003-2409
EI 1365-2044
UT WOS:000429176400004
PM 29417547
ER

PT J
AU Dyar, Oliver James
   Hills, Holly
   Seitz, Lara-Turiya
   Perry, Alex
   Ashiru-Oredope, Diane
TI Assessing the Knowledge, Attitudes and Behaviors of Human and Animal
   Health Students towards Antibiotic Use and Resistance: A Pilot
   Cross-Sectional Study in the UK
SO ANTIBIOTICS-BASEL
VL 7
IS 1
AR 10
DI 10.3390/antibiotics7010010
PD MAR 2018
PY 2018
AB The Global Action Plan on Antimicrobial Resistance highlights the
   importance of training all healthcare professionals. No study has
   assessed patterns of students' knowledge, attitudes and practices
   concerning antibiotic use simultaneously across different healthcare
   course types. We conducted a cross-sectional multi-center survey among
   UK students. The survey was advertised through local survey coordinators
   at 25 universities. The online survey was accessible from 10th October
   to 17th November 2016 (before European Antibiotic Awareness Day). A
   total of 255 students from 25 universities participated, including
   students on medicine, pharmacy, nursing, physician associate, dentistry
   and veterinary medicine courses. Antibiotic resistance was considered to
   be a more important global challenge than climate change, obesity or
   food security (p < 0.001). Most students (95%) believed that antibiotic
   resistance will be a problem for their future practice, but fewer (69%)
   thought that the antibiotics they will prescribe, administer or dispense
   will contribute to the problem. A fifth of students felt they had
   sufficient knowledge of antibiotic use for their future work. Our
   exploratory study suggests that UK human and animal healthcare students
   are aware of the importance of antibiotic resistance, but many still
   have certain misconceptions. Campaigns and improved educational efforts
   applying behavioral insights methodology could address these.
OI Ashiru-Oredope, Diane/0000-0001-9579-2028
Z8 0
ZS 0
TC 42
ZB 27
ZA 0
ZR 0
Z9 43
U1 0
U2 15
SN 2079-6382
UT WOS:000428547800010
PM 29385687
ER

PT J
AU Kiesewetter, Isabel
   Konings, Karen D.
   Kager, Moritz
   Kiesewetter, Jan
TI Undergraduate medical students' behavioural intentions towards medical
   errors and how to handle them: a qualitative vignette study
SO BMJ OPEN
VL 8
IS 3
AR e019500
DI 10.1136/bmjopen-2017-019500
PD MAR 2018
PY 2018
AB Objectives In undergraduate medical education, the topics of errors in
   medicine and patient safety are under-represented. The aim of this study
   was to explore undergraduate medical students' behavioural intentions
   when confronted with an error.
   Design A qualitative case vignette survey was conducted including one of
   six randomly distributed case scenarios in which a hypothetical but
   realistic medical error occurred. The six scenarios differed regarding
   (1) who caused the error, (2) the presence of witnesses and (3) the
   consequences of the error for the patient. Participants were asked:
   'What would you do?". Answers were collected as written free texts and
   analysed according to qualitative content analysis.
   Setting Students from German medical schools participated anonymously
   through an online questionnaire tool.
   Participants Altogether, n=159 students answered a case scenario.
   Participants were on average 24.6 years old (30=7.9) and 69% were
   female. They were undergraduate medical students in their first or
   second year (n=27), third, fourth or fifth year (n=107) or final year
   (n=21).
   Results During the inductive coding process, 19 categories emerged from
   the original data and were clustered into four themes: (1) considering
   communication; (2) considering reporting; (3) considering consequences;
   arid (4) emotional responsiveness. When the student hint/herself caused
   the error in the scenario, participants did mention communication with
   colleagues and taking preventive action less frequently than if someone
   else had caused the error. When a witness was present, participants more
   frequently mentioned disclosure of the error and taking actions than in
   the absence of a witness. When the outcome was significant to the
   patient, participants more often showed an emotional response than if
   there were no consequences.
   Conclusions The study highlights the importance of coping strategies for
   healthcare professionals to adequately deal with errors. Educators need
   to introduce knowledge arid skills on how to deal with errors arid
   emotional preparedness for errors into undergraduate medical education.
RI Kiesewetter, Jan/AFQ-5216-2022; Könings, Karen/F-2972-2015
OI Kiesewetter, Jan/0000-0001-8165-402X; Könings, Karen/0000-0003-0063-8218
Z8 0
ZS 0
ZB 0
ZR 0
ZA 0
TC 9
Z9 9
U1 1
U2 8
SN 2044-6055
UT WOS:000433881200130
PM 29540413
ER

PT J
AU Huang, Qinghua
   Huang, Xianhai
   Liu, Longzhong
   Lin, Yidi
   Long, Xingzhang
   Li, Xuelong
TI A case-oriented web-based training system for breast cancer diagnosis
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 156
BP 73
EP 83
DI 10.1016/j.cmpb.2017.12.028
PD MAR 2018
PY 2018
AB Background and Objective: Breast cancer is still considered as the most
   common form of cancer as well as the leading causes of cancer deaths
   among women all over the world. We aim to provide a web-based breast
   ultrasound database for online training inexperienced radiologists and
   giving computer-assisted diagnostic information for detection and
   classification of the breast tumor.& para;& para;Methods: We introduce a
   web database which stores breast ultrasound images from breast cancer
   patients as well as their diagnostic information. A web-based training
   system using a feature scoring scheme based on Breast Imaging Reporting
   and Data System (BI-RADS) US lexicon was designed. A computer-aided
   diagnosis (CAD) subsystem was developed to assist the radiologists to
   make scores on the BI-RADS features for an input case. The training
   system possesses 1669 scored cases, where 412 cases are benign and 1257
   cases are malignant. It was tested by 31 users including 12 interns, 11
   junior radiologists, and 8 experienced senior radiologists.& para;&
   para;Results: This online training system automatically creates
   case-based exercises to train and guide the newly employed or resident
   radiologists for the diagnosis of breast cancer using breast ultrasound
   images based on the BI-RADS. After the trainings, the interns and junior
   radiologists show significant improvement in the diagnosis of the breast
   tumor with ultrasound imaging (p-value < .05); meanwhile the senior
   radiologists show little improvement (p-value > .05).& para;&
   para;Conclusions: The online training system can improve the
   capabilities of early-career radiologists in distinguishing between the
   benign and malignant lesions and reduce the misdiagnosis of breast
   cancer in a quick, convenient and effective manner. (C) 2018 Elsevier
   B.V. All rights reserved.
RI Huang, Qinghua/L-8708-2019; li, xiang/GWM-6319-2022; Li, Xuelong/Z-3785-2019; Li, Xuelong/ABF-3381-2020; Liu, Longzhong/; Li, Xuelong/
OI Huang, Qinghua/0000-0003-1080-6940; Liu, Longzhong/0000-0003-4639-1767;
   Li, Xuelong/0000-0002-0019-4197
Z8 0
ZR 0
TC 14
ZA 0
ZB 2
ZS 0
Z9 14
U1 0
U2 21
SN 0169-2607
EI 1872-7565
UT WOS:000424764800008
PM 29428078
ER

PT J
AU Lawler, Mark
   Prue, Gillian
   Banks, Ian
   Law, Kate
   Selby, Peter
   Mcvie, Gordon
   Sullivan, Richard
TI Mapping the cancer patient information landscape: A comparative analysis
   of patient groups across Europe and North America
SO EUROPEAN JOURNAL OF CANCER
VL 92
BP 88
EP 95
DI 10.1016/j.ejca.2018.01.074
PD MAR 2018
PY 2018
AB Aim: Little is known about how patient groups provide information for
   patients. We invited 838 patient groups from Europe and North America to
   participate in an online survey.
   Methods: The survey covered: (i) availability, accessibility and quality
   of information provided; (ii) methods by which patient groups
   communicate; (iii) ways in which patient groups acquire information and
   confirm its veracity/accuracy; (iv) how people access information
   online.
   Results: European patient groups were significantly less effective in
   providing medical-related information than their North American
   counterparts in: clinical trials, potential causes of cancer, medical
   research, diagnosis/screening, symptoms, treatments (all p < 0.0001);
   Recommendations of best practice/care (p < 0.03), healthcare services(p
   = 0.029) and complimentary medicine (p = 0.01). Clinical trials (p =
   0.0006), medical research (p = 0.006) and diagnosis/screening (p =
   0.0024) were also areas where North American patients were more likely
   to require medical-related information.
   Similar patterns emerged for non-medical information with nutrition
   (<0.0001), watchful waiting (p = 0.0003), self-management of care (p =
   0.0003), prevention (p = 0.002) and emotional issues (p = 0.016) being
   less effectively communicated by European patient groups. Nutrition was
   also an area where North American patients were more likely to require
   nonemedical-related information.
   The main barriers in accessing online information which showed
   differences between European and North American patients were: perceived
   lack of need, mainly due to faith in their doctors (p = 0.0001); limited
   access to the internet (p = 0.0005), limited computer skills (p = 0.02);
   and lower income (p = 0.027).
   Conclusion: These results emphasise the more mature nature of cancer
   patient engagement/information provision in North America, providing
   valuable insights and guidance to inform development of more robust and
   effective cancer patient information communication platforms in Europe.
   (C) 2018 Elsevier Ltd. All rights reserved.
OI Sullivan, Richard/0000-0002-6435-1825; Prue, Gillian/0000-0003-2198-3731
ZS 0
TC 3
ZR 0
Z8 0
ZB 2
ZA 0
Z9 3
U1 1
U2 3
SN 0959-8049
EI 1879-0852
UT WOS:000425488400010
PM 29428868
ER

PT J
AU Healy, James M.
   Davis, Kimberly A.
   Pei, Kevin Y.
TI Comparison of Internal Medicine and General Surgery Residents'
   Assessments of Risk of Postsurgical Complications in Surgically Complex
   Patients
SO JAMA SURGERY
VL 153
IS 3
BP 203
EP 207
DI 10.1001/jamasurg.2017.3936
PD MAR 2018
PY 2018
AB IMPORTANCE Anticipating postsurgical complications is a vital physician
   skill, particularly when counseling surgically complex patients on their
   risks of intervention. Although internists and surgeons both counsel
   patients on surgical risks, it is uncertain who is better equipped to
   accurately anticipate surgical complications.
   OBJECTIVE To examine how internal medicine and general surgery trainees
   compare in their assessment of risk of surgically complex patients.
   DESIGN, SETTING, AND PARTICIPANTS General surgery and internal medicine
   residents (urban, tertiary, and academic medical center) answered an
   anonymous, online assessment of 7 real-life, complex clinical scenarios.
   Participants estimated the chance of any morbidity, mortality, surgical
   site infection, pneumonia, and cardiac complications. Scenarios
   represented a diverse general surgery practice, including colectomy,
   duodenal ulcer repair, inguinal hernia repair, perforated viscus
   exploration, small-bowel resection, cholecystectomy, and mastectomy in
   surgically complex patients likely to be comanaged by surgical and
   internal medicine services.
   MAIN OUTCOMES AND MEASURES Responses were compared with risk-adjusted
   outcomes reported by the American College of Surgeons' National Surgical
   Quality Improvement Project (NSQIP) online calculator.
   RESULTS A total of 76 general surgery residents (50 [65.8%] male and 26
   [34.2%] female) and 76 internal medicine residents (36 [47.4%] male and
   40 [52.6%] female) participated (64% overall response rate). General
   surgery residents were significantly more confident with their responses
   (general surgery residents' mean response, 3.6 [95% CI, 3.4-2.8];
   internal medicine residents' mean response, 2.8 [95% CI, 2.6-3.0];
   P<.001) and with not offering operations (general surgery residents'
   mean response, 4.3 [95% CI, 4.1-4.4]; internal medicine residents' mean
   response, 3.7 [95% CI, 3.4-3.9]; P=.006) but less likely to discuss code
   status (general surgery residents' mean response, 3.2 [95% CI, 2.9-3.4];
   internal medicine residents' mean response, 3.8 [95% CI, 3.5-4.1];
   P<.001) or consult risk-adjusted models, such as NSQIP (general surgery
   residents' mean response, 2.9 [95% CI, 2.7-3.1]; internal medicine
   residents' mean response, 3.7 [95% CI, 3.4-4.0]; P<.001). For 91% of
   clinical estimates, both groups similarly overestimated every type of
   risk; in 9% of estimates, internal medicine residents had higher
   overestimates. Estimates varied significantly, with wide 95% CIs;
   however, only 11% of the NSQIP estimates fell within the 95% CIs.
   Overall, the mean percentages of the estimates ranged from 26% to 33%
   over NSQIP estimates for all complications.
   CONCLUSIONS AND RELEVANCE General surgery and internal medicine
   residents demonstrated similar estimates of postoperative complications
   and death. Both groups overestimated risks in surgically complex patient
   scenarios compared with NSQIP risk calculator estimates. This
   near-universal overestimation of risk underscores the importance of
   developing risk-estimation resources for internists and surgeons.
CT Annual Meeting of the Association-of-VA-Surgeons
CY MAY 07-08, 2017
CL Houston, TX
SP Assoc VA Surg
RI Pei, Kevin/AAU-2584-2021
TC 14
ZR 0
ZB 2
ZA 0
ZS 0
Z8 0
Z9 14
U1 0
U2 5
SN 2168-6254
EI 2168-6262
UT WOS:000427993200005
PM 29049425
ER

PT J
AU Haruna, Hussein
   Hu, Xiao
TI International Trends in Designing Electronic Health Information Literacy
   for Health Sciences Students: A Systematic Review of the Literature
SO JOURNAL OF ACADEMIC LIBRARIANSHIP
VL 44
IS 2
BP 300
EP 312
DI 10.1016/j.acalib.2017.12.004
PD MAR 2018
PY 2018
AB The Internet has become a crucial source of health information for
   health sciences students. They increasingly rely on the Internet for
   health information to support their educational projects, academic
   activities, clinical practice and research. Surprisingly, it has been
   shown that students' health information skills for conducting research
   on the Internet are inadequate. Indeed, developing and improving the
   health information skill set of health sciences students is required in
   order for students to effectively locate, critically evaluate, and
   efficiently use online health information for the effective location,
   critical evaluation and efficient use of online health information. This
   paper undertakes a systematic review of the literature with a focus on
   electronic health information literacy skills with the aim of
   identifying the current trends, contributions to, and practices in
   health sciences students' education, and informing researchers in the
   field universally about the essential baseline for the design and
   development of effective course contents, pedagogy and assessment
   approaches. However, majority of students have limited skills for the
   location, evaluation and effective use of health information on the
   Internet. Other articles suggest that health sciences students need
   fully fledged health information skills programs that are integrated
   with their health sciences education curricula.
RI Hu, Xiao/A-7645-2013; Hussein, Haruna/K-2157-2015
OI Hussein, Haruna/0000-0001-9089-2847
ZR 0
ZA 0
Z8 0
ZB 0
TC 2
ZS 0
Z9 2
U1 2
U2 53
SN 0099-1333
EI 1879-1999
UT WOS:000429398600017
ER

PT J
AU Fail, Robin E.
   Meier, Diane E.
TI Improving Quality of Care for Seriously Ill Patients: Opportunities for
   Hospitalists
SO JOURNAL OF HOSPITAL MEDICINE
VL 13
IS 3
BP 194
EP 197
DI 10.12788/jhm.2896
PD MAR 2018
PY 2018
AB As the shift to value-based payment accelerates, hospitals are under
   increasing pressure to deliver high-quality, efficient services.
   Palliative care approaches improve quality of life and family
   well-being, and in doing so, reduce resource utilization and costs.
   Hospitalists frequently provide palliative care interventions to their
   patients, including pain and symptom management and engaging in
   conversations with patients and families about the realities of their
   illness and treatment plans that align with their priorities.
   Hospitalists are ideally positioned to identify patients who could most
   benefit from palliative care approaches and often refer the most complex
   cases to specialty palliative care teams. Though hospitalists are
   frequently called upon to provide palliative care, most lack formal
   training in these skills, which have not typically been included in
   medical education. Additional training in communication, safe and
   effective symptom management, and other palliative care knowledge and
   skills are available in both in-person and online formats. (C) 2018
   Society of Hospital Medicine
OI Fail, Robin/0000-0002-9790-4780
TC 9
Z8 0
ZR 0
ZB 2
ZS 0
ZA 0
Z9 9
U1 0
U2 3
SN 1553-5592
EI 1553-5606
UT WOS:000426374100010
PM 29261816
ER

PT J
AU Barnard, Marie
   West-Strum, Donna
   Holmes, Erin
   Yang, Yi
   Fisher, Amy
TI The Potential for Screening for Intimate Partner Violence in Community
   Pharmacies: An Exploratory Study of Female Consumers' Perspectives
SO JOURNAL OF INTERPERSONAL VIOLENCE
VL 33
IS 6
BP 960
EP 979
DI 10.1177/0886260515614272
PD MAR 2018
PY 2018
AB Intimate partner violence (IPV) is a substantial public health problem.
   The U.S. Preventive Services Task Force recently updated guidelines to
   recommend IPV screening for all women of childbearing age. Expansion of
   screening efforts to the community pharmacy setting could provide an
   opportunity to substantially impact the health of consumers. To date, no
   research has explored consumers' perspective on IPV screening in the
   community pharmacy environment. To address this gap, a descriptive
   survey research study was conducted to examine female consumers'
   attitudes and preferences for IPV screening in community pharmacies.
   Female pharmacy customers (N = 60) completed an online survey assessing
   knowledge of and attitudes about community pharmacies as sources of
   health care advice, beliefs about IPV and IPV screening, and
   perspectives on IPV screening in the community pharmacy environment.
   Consumers who utilized pharmacies with more patient care services were
   more likely to report interest in IPV screening in the pharmacy
   environment. The majority of respondents thought IPV screening is an
   important thing to do (85.0%), and 33.3% agreed that it should happen in
   a pharmacy. A statistically significant relationship between the belief
   that the pharmacy is a good place for health education and preference
   for IPV screening in the community pharmacy environment was found, r(58)
   = .43, p < .001. Concern regarding the time required to conduct
   screenings and about the availability of appropriate space were
   identified as potential barriers to screening in the pharmacy
   environment.
RI Barnard, Marie/I-3567-2019
OI Barnard, Marie/0000-0003-0781-7438
TC 4
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
Z9 4
U1 0
U2 4
SN 0886-2605
EI 1552-6518
UT WOS:000425059900006
PM 26545395
ER

PT J
AU Chan, Windy S. Y.
   Leung, Angela Y. M.
TI Use of Social Network Sites for Communication Among Health
   Professionals: Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 20
IS 3
AR e117
DI 10.2196/jmir.8382
PD MAR 2018
PY 2018
AB Background: Although much research has been done investigating the roles
   of social network sites (SNSs) in linking patients and health
   professionals, there is a lack of information about their uses,
   benefits, and limitations in connecting health professions only for
   professional communication. Objective: This review aimed to examine the
   utilization of SNSs for communication among health professionals in (1)
   frontline clinical practice, (2) professional networks, and (3)
   education and training to identify areas for future health communication
   research.
   Methods: This review followed the Preferred Reporting Items for
   Systematic Reviews and Meta-analyses guidelines. A systematic search of
   the literature published in the last 10 years (January 1, 2007, to March
   1, 2017) was performed in March 2017, using the following electronic
   databases: MEDLINE via OvidSP, EMBASE, CINAHL Complete, and
   InfoSci-Journals. The searches were conducted using the following
   defined search terms: "social media" OR "social network" OR "social
   network site" OR " Facebook" OR "Twitter" OR "Linkedin" OR "Instagram"
   OR "Weibo" OR "Whatsapp" OR "Telegram" OR "WeChat" AND " health" OR
   "health profession."
   Results: Of the 6977 papers retrieved, a total of 33 studies were
   included in this review. They were exploratory in nature, and the
   majority used surveys (n=25) and interviews (n=6). All retrieved studies
   stated that SNSs enhanced effective communication and information
   sharing. SNSs were used for supporting delivering of clinical services,
   making referrals, and sharing information. They were beneficial to
   network building and professional collaboration. SNSs were novel tools
   to enhance educational interactions among peers, students, instructors,
   and preceptors. The application of SNSs came with restraints in
   technical knowledge, concerns on data protection, privacy and liability,
   issues in professionalism, and data protection.
   Conclusions: SNSs provide platforms facilitating efficient
   communication, interactions, and connections among health professionals
   in frontline clinical practice, professional networks, education, and
   training with limitations identified as technical knowledge,
   professionalism, and risks of data protection. The evolving use of SNSs
   necessitates robust research to explore the full potential and the
   relative effectiveness of SNSs in professional communication.
RI Leung, Angela Yee Man/X-4415-2019; Chan, Windy SY/
OI Leung, Angela Yee Man/0000-0002-9836-1925; Chan, Windy
   SY/0000-0002-1180-638X
ZR 0
ZS 3
ZB 6
TC 77
Z8 0
ZA 0
Z9 78
U1 3
U2 41
SN 1438-8871
UT WOS:000428984900001
PM 29592845
ER

PT J
AU Boudville, Neil
   Cho, Yeoungjee
   Equinox, Keri-Lu
   Figueiredo, Ana Elizabeth
   Hawley, Carmel M.
   Howard, Kirsten
   Johnson, David W.
   Jose, Matthew
   Lee, Anna
   Maley, Moira Alison
   Moodie, Jo-Anne
   Pascoe, Elaine M.
   Steiner, Genevieve Z.
   Tomlins, Melinda
   Voss, David
   Chow, Josephine
TI Teaching peritoneal dialysis in Australia: An opportunity for
   improvement
SO NEPHROLOGY
VL 23
IS 3
BP 259
EP 263
DI 10.1111/nep.12992
PD MAR 2018
PY 2018
AB IntroductionUp to a 10-fold difference in clinical outcomes between
   Australian peritoneal dialysis (PD) units exists. There is an
   international focus on the harmonization of educational practices in PD
   to determine whether this may lead to improved patient outcomes.
   AimsThe aim of this paper is to evaluate the current teaching practices
   of nurses and patients in Australian PD units.
   MethodsAn online survey with questions on nurse and patient training was
   made available to PD units in Australia.
   ResultsThirty-eight (70%) of 54 PD units in Australia completed the
   survey. A written standardized curricula was utilized in 21 units (55%)
   for nursing staff and 30 units (79%) for patients, with 23% and 12%
   including an electronic delivery component for each group, respectively.
   Universal teaching of adult learning principles was not demonstrated.
   The hours spent on teaching nursing staff ranged from <15h in 24% to
   >100h in 21% of units. The average number of hours spent by nurses each
   day to train patients ranged from <2h in 14% to >6h in 11% of units,
   with the average total training days ranging from 2 to 3days in 14% to
   over 7days in 14% of units. Staff and patient competency assessments
   were performed routinely in 37% and 74% of units, respectively.
   ConclusionsConsiderable differences exist amongst Australian PD units in
   the education of staff and patients. There is a general lack of delivery
   and competency assessment to meet educational standards. It remains to
   be seen if harmonization of educational curricula can translate to
   improved clinical outcomes.
   Summary at a Glance This is a qualitative study on the training
   methodology of patients and medical staff on peritoneal dialysis in
   Australian PD units. This study demonstrates significant differences in
   training curricula of the various units.
RI Steiner-Lim, Genevieve Zara/AFG-5291-2022; Jose, Matthew/A-9565-2012; Figueiredo, Ana Elizabeth/C-2137-2013; Steiner-Lim, Genevieve Zara/AAF-1473-2022; Boudville, Neil/H-8864-2014; Hawley, Carmel Mary/C-4905-2011; Johnson, David/F-2897-2011; Cho, Yeoungjee/G-6176-2013; Boudville, Neil/; Howard, Kirsten/
OI Steiner-Lim, Genevieve Zara/0000-0002-8708-6104; Jose,
   Matthew/0000-0002-9589-0071; Figueiredo, Ana
   Elizabeth/0000-0002-8555-8649; Steiner-Lim, Genevieve
   Zara/0000-0002-8708-6104; Hawley, Carmel Mary/0000-0002-1392-5649;
   Johnson, David/0000-0001-5491-3460; Cho, Yeoungjee/0000-0002-3502-9837;
   Boudville, Neil/0000-0002-5884-640X; Howard, Kirsten/0000-0002-0918-7540
Z8 0
TC 9
ZB 2
ZA 0
ZS 0
ZR 0
Z9 9
U1 1
U2 7
SN 1320-5358
EI 1440-1797
UT WOS:000425594000009
PM 28042933
ER

PT J
AU Litchman, Michelle L.
   Rothwell, Erin
   Edelman, Linda S.
TI The diabetes online community: Older adults supporting self-care through
   peer health
SO PATIENT EDUCATION AND COUNSELING
VL 101
IS 3
BP 518
EP 523
DI 10.1016/j.pec.2017.08.023
PD MAR 2018
PY 2018
AB Objective: The use of the diabetes online community (DOC) is growing
   across all age groups. The aim of this exploratory study was to describe
   why older adults participated in the DOC, and how DOC users interacted
   with their healthcare providers.
   Methods: Telephone interviews (N = 20) were conducted with older adult
   DOC users (born between 1946 and 1964) living in the United States.
   Interviews were analyzed using qualitative content analysis adhering to
   rigor and reproducibility standards.
   Results: Themes that emerged from the data related to DOC participation
   included: information to improve self-care, emotional support, belonging
   to a community, validation of information, cause for concern and
   interaction with healthcare providers. Participants used the DOC for day
   to day diabetes management advice and healthcare providers for medical
   information and care.
   Conclusion: Participants highly valued the DOC and regarded their
   participation as a way to increase knowledge to improve self-care and
   reciprocate emotional support with others for diabetes management. The
   DOC filled gaps in knowledge and support participants were not able to
   get elsewhere. (c) 2017 Elsevier B.V. All rights reserved.
RI Edelman, Linda/AAD-9193-2022; Edelman, Linda/AAN-9926-2021; Litchman, Michelle/
OI Edelman, Linda/0000-0002-8903-0083; Litchman,
   Michelle/0000-0002-8928-5748
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
TC 41
Z9 39
U1 6
U2 33
SN 0738-3991
UT WOS:000427826300020
PM 28947360
ER

PT J
AU Kumar, Narendra
   Swift, Arthur
   Rahman, Eqram
TI Development of "Core Syllabus" for Facial Anatomy Teaching to Aesthetic
   Physicians: A Delphi Consensus
SO PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN
VL 6
IS 3
AR e1687
DI 10.1097/GOX.0000000000001687
PD MAR 2018
PY 2018
AB Background: A detailed understanding of facial anatomy, specifically the
   vascular framework, is crucial for delivering safe nonsurgical aesthetic
   procedures. To date, there is no core document based on consensus for
   the teaching of facial anatomy to aesthetic physicians exists. The aim
   of this study was to ascertain the most critical anatomical structures
   for avoiding disastrous complications during nonsurgical aesthetic
   procedures.
   Methods: After a detailed literature review, Delphi questionnaire was
   developed listing 154 anatomical structures of the face and neck for
   consensus review. Thirty-five international experts in surgical and
   nonsurgical facial aesthetics were invited to complete an online survey
   designed to rank the relevance of each anatomical element on a Likert
   scale from 1 (not at all important) to 4 (very important) or 5 (no
   opinion). Consensus for items included in the core syllabus was
   predefined as achieving a Cronbach's alpha >= 0.90 and an agreement
   score of >= 80%.
   Results: Thirty-four international experts (97.14%) completed the
   iterative online Delphi survey. The consensus among the specialists
   polled was achieved after 1 round of the survey (Cronbach's alpha =
   0.94). The expert panel reached an agreement score of >= 80% on 137 of
   the 154 anatomical structures listed.
   Conclusion: The outcome of this Delphi study represents an essential
   first step in systematizing an evidence-based facial anatomy "Core
   Syllabus" for the teaching of aesthetic physicians and practitioners.
   This "Core Syllabus" will act as a blueprint for the educators while
   crafting a program.
RI Kumar, Narendra/AAG-7214-2020
OI Kumar, Narendra/0000-0003-4911-9726
ZS 0
ZR 0
ZB 0
TC 17
ZA 0
Z8 0
Z9 17
U1 0
U2 2
SN 2169-7574
UT WOS:000435737900012
PM 29707450
ER

PT J
AU Puckett, Jae A.
   Cleary, Peter
   Rossman, Kinton
   Mustanski, Brian
   Newcomb, Michael E.
TI Barriers to Gender-Affirming Care for Transgender and Gender
   Nonconforming Individuals
SO SEXUALITY RESEARCH AND SOCIAL POLICY
VL 15
IS 1
BP 48
EP 59
DI 10.1007/s13178-017-0295-8
PD MAR 2018
PY 2018
AB Gender-affirming care, including hormone therapy, "top" (e.g., chest
   reconstruction surgery) and "bottom" (e.g., vaginoplasty, phalloplasty,
   metoidioplasty, etc.) surgeries, and puberty blockers, is an efficacious
   treatment of gender dysphoria for transgender and gender nonconforming
   (TGNC) individuals. However, many TGNC people encounter significant
   barriers in accessing gender-affirming care, which we detail via results
   from on online study. Participants included 256 TGNC individuals (78.9%
   White, ages 16-73, M (age) = 28.4). Among participants, 61.3% were
   receiving hormone therapy, 22.7% had undergone top surgery, and 5.5% had
   undergone bottom surgery. Open-ended responses (n = 201) were
   thematically analyzed and common barriers included finances and
   insurance issues, a lack of service availability, and fears or worries.
   Participants reported various systemic issues and incidents of bias
   within medical and mental health fields, as well as a lack of medical
   provider awareness and education. Other themes were interpersonal
   barriers (e.g., fears of rejection); age and need of parental consent
   for minors; other medical issues; and a lack of information about how to
   acquire care. These findings can be utilized to educate professionals in
   medical and mental health fields about barriers their TGNC patients may
   encounter in receiving affirming care and suggest a number of ways to
   improve access to these services.
OI Mustanski, Brian/0000-0001-9222-5116
ZS 1
Z8 0
ZB 20
ZR 0
ZA 0
TC 122
Z9 123
U1 5
U2 65
SN 1868-9884
EI 1553-6610
UT WOS:000419919600005
PM 29527241
ER

PT J
AU Sedlander, Erica
   Barboza, Katherine C.
   Jensen, Ashley
   Skursky, Nicole
   Bennett, Katelyn
   Sherman, Scott
   Schwartz, Mark
TI Veterans' Preferences for Remote Management of Chronic Conditions
SO TELEMEDICINE AND E-HEALTH
VL 24
IS 3
BP 229
EP 235
DI 10.1089/tmj.2017.0010
PD MAR 2018
PY 2018
AB Background:The Veterans Health Administration (VA) is investing
   considerable resources into providing remote management care to patients
   for disease prevention and management. Remote management includes online
   patient portals, e-mails between patients and providers, follow-up phone
   calls, and home health devices to monitor health status. However, little
   is known about patients' attitudes and preferences for this type of
   care. This qualitative study was conducted to better understand patient
   preferences for receiving remote care.Methods:Ten focus groups were held
   comprising 77 patients with hypertension or tobacco use history at two
   VA medical centers. Discussion questions focused on experience with
   current VA remote management efforts and preferences for receiving
   additional care between outpatient visits.Results:Most participants were
   receptive to remote management for referrals, appointment reminders,
   resource information, and motivational and emotional support between
   visits, but described challenges with some technological tools.
   Participants reported that remote management should be personalized and
   tailored to individual needs. They expressed preferences for frequency,
   scope, continuity of provider, and mode of communication between visits.
   Most participants were open to nonclinicians contacting them as long as
   they had direct connection to their medical team. Some participants
   expressed a preference for a licensed medical professional. All groups
   raised concerns around confidentiality and privacy of healthcare
   information. Female Veterans expressed a desire for gender-sensitive
   care and an interest in complementary and alternative
   medicine.Conclusions:The findings and specific recommendations from this
   study can improve existing remote management programs and inform the
   design of future efforts.
OI Sherman, Scott/0000-0003-1752-7303; Schwartz, Mark/0000-0002-7123-0060
TC 3
ZB 0
Z8 0
ZA 0
ZR 0
ZS 0
Z9 3
U1 0
U2 10
SN 1530-5627
EI 1556-3669
UT WOS:000428222400009
PM 28745941
ER

PT J
AU Pronk, Mathilde C.
   Slaats, Dorthe
   Zuidema, Willij C.
   Hilhorst, Medard T.
   Dor, Frank J. M. F.
   Betjes, Michiel
   Weimar, Willem
   van de Wetering, Jacqueline
   Massey, Emma K.
TI "What if this is my chance to save my life?" A semistructured interview
   study on the motives and experiences of end-stage renal disease patients
   who engaged in public solicitation of a living kidney donor
SO TRANSPLANT INTERNATIONAL
VL 31
IS 3
SI SI
BP 318
EP 331
DI 10.1111/tri.13095
PD MAR 2018
PY 2018
AB The increase in patients using public solicitation (PS) to find a living
   kidney donor has generated a debate about the ethical complexities of
   PS. To investigate why patients engaged in PS and what they experienced
   during PS, we conducted semistructured interviews with 20 Dutch patients
   with end-stage renal disease who had publicly solicited a living donor.
   Transcripts were thematically analyzed. We identified ten themes on
   patients' considerations preceding PS: cautiousness in discussing living
   donation within social network; reluctance to accept a kidney from loved
   ones; rejection/withdrawal of related donor candidates; moral objections
   to paid donation; the ease of social media; encouraged by others; ends
   justifying the means; despair and urge to take action; public disclosure
   of vulnerability; fear of being (perceived to be) selfish. We identified
   nine themes on patients' experiences: positive emotions and support
   generated by action; genuine and ulterior motives for donation; patients
   acting as educators and screeners; time- and energy-consuming process;
   emotionally taxing process; positive interactions with donor candidates;
   feeling of dependency and obligation; limited cooperation from health
   professionals; demands a proactive attitude and media strategy. These
   results can inform and complement (existing) policies on PS and provide
   content for education of patients who are considering PS.
OI Betjes, Michiel/0000-0001-9435-6208
ZS 0
ZR 0
ZA 0
Z8 0
TC 2
ZB 0
Z9 2
U1 0
U2 11
SN 0934-0874
EI 1432-2277
UT WOS:000426174700010
PM 29130538
ER

PT J
AU Gupta, Sujaya
   Shrestha, Barsha
   Gupta, Neha
   Tuladhar, Anik
   Sushil, K. C.
   Dhami, Bhageshwar
TI Periodontal Health Status and Pregnancy Outcomes: A Survey in Medical
   Doctors
SO JOURNAL OF NEPAL MEDICAL ASSOCIATION
VL 56
IS 210
BP 565
EP 571
PD MAR-APR 2018
PY 2018
AB Introduction: Periodontal disease and caries are the most common causes
   of tooth loss worldwide. Studies have demonstrated strong association
   between periodontitis and adverse pregnancy outcomes. Medical doctors,
   who are the primary healthcare providers, seldom advise women to seek
   dental care during pregnancy. This study was undertaken to explore the
   knowledge, attitudes and behaviours of medical doctors towards oral
   health and to identify the barriers of prenatal periodontal healthcare
   in their practices and its possible implications on pregnancy outcomes.
   Methods: Total 377 doctors filled the questionnaire. The data collected
   through personal contacts, social networking, emails, online forms and
   networking at conferences were analysed using Statistical Package for
   the Social Sciences 20 software program and presented in tables, charts
   and diagrams.
   Results: Out of 263 (69.8%) male and 114 (30.2%) female doctors enrolled
   in the study, only 52 (13.8%) had received education or training on oral
   care during pregnancy. Among them 299 (79.3%) agreed that there is
   possible link between health of teeth-gums and pregnancy. Approximately
   105 (27.9%) encountered patients with oral/periodontal problem every
   week but only 108 (28.6%) "always" advised their patient for regular
   dental check-ups. Similarly, 358 (95%) agreed that there is need for
   universal guidelines. However, 133 (35.3%) thought there was
   insufficient time to advise patients on oral health during check-ups.
   Conclusions: There is need for training on 'oral healthcare during
   pregnancy' for medical doctors. Developing universal guidelines for oral
   healthcare in pregnant women for all health professionals would be
   another important step. An adequate referral system to oral healthcare
   providers and biannual check-ups is recommended for both general patient
   as well as pregnant women for preventing adverse situations related to
   oral and specifically periodontal diseases.
RI Gupta, Sujaya/L-8697-2019
OI Gupta, Sujaya/0000-0002-6314-8091
TC 4
Z8 0
ZS 0
ZR 0
ZA 0
ZB 1
Z9 4
U1 2
U2 4
SN 0028-2715
EI 1815-672X
UT WOS:000434243600003
PM 30375998
ER

PT J
AU Bridge, Pete
   Carmichael, Mary-Ann
   Callender, Jennifer
   Al-Sammarie, Flora
   Manning-Stanley, Anthony
   Warren, Mark
   Gordon, Cath
   Drew, Angela
   Edgerley, Joanne
   Hammond, Michelle
   Hussain, Zainab
   Jager, Cathy
   Mineo, Renee
   Pickering, Vicki
   Williams, Catherine
TI Internationalising Research Methods Teaching of Undergraduate Health
   Professionals
SO JOURNAL OF MEDICAL IMAGING AND RADIATION SCIENCES
VL 49
IS 1
BP 97
EP 105
DI 10.1016/j.jmir.2017.11.003
PD MAR 2018
PY 2018
AB Objective: The project aims were: (1) identifying the pedagogical impact
   of collaborative student experience on student understanding of research
   methods and (2) evaluating the perceived value of providing students
   with an international perspective on their professional practice.
   Methods: Student cohorts from year 1 of the University of Liverpool
   (UoL) (n = 80) and year 2 of the Royal Melbourne Institute of Technology
   University (RMIT) (n = 128) undergraduate Medical Radiation Science
   degree programmes participated in the intervention as part of their
   teaching. Students were tasked with designing, deploying, and analysing
   data from survey-based research projects and invited to provide feedback
   via an anonymous and voluntary online survey (UoL students) or an
   equivalent paper-based survey (RMIT students), comprising both
   quantitative (Likert) and qualitative (open) questions.
   Results: Responses were received from 83% of RMIT and 31% of UoL
   students. Over 42% of respondents enjoyed the opportunity to interact
   with overseas peers, while 14.7% did not; 40% of respondents felt the
   intervention helped in their understanding of research methods, whilst
   28% indicated it had not. The main positive themes were learning the
   research process, team working skills, networking opportunities, and
   understanding cultural differences. Interpreting data were invaluable;
   only a minority valued the engagement with their overseas counterparts.
   There was poor engagement with social media.
   Conclusions: Students reported clear value of the innovation for
   learning research skills and process. The extent of research skills
   learning supports changes in research activity and culture in the past
   10 years. With internationalisation becoming increasingly important in
   today's health care economy, the degree to which the students identified
   this aspect of the research as a key learning point highlights the
   benefits of the active approach. The negative appraisal of the social
   media support was interpreted as a response to the platform (WhatsApp)
   and privacy issues with sharing phone numbers.
RI Carmichael, Mary-Ann/O-5075-2019; Bridge, Pete/; Warren, Mark/
OI Carmichael, Mary-Ann/0000-0002-7104-4428; Bridge,
   Pete/0000-0001-7704-9812; Warren, Mark/0000-0003-0378-929X
ZA 0
Z8 0
ZS 1
ZB 0
ZR 0
TC 6
Z9 6
U1 0
U2 13
SN 1939-8654
UT WOS:000429481400017
PM 30479296
ER

PT J
AU Heiniger, Louise E.
   Clark, Gavin I.
   Egan, Sarah J.
TI Perceptions of Socratic and non-Socratic presentation of information in
   cognitive behaviour therapy
SO JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
VL 58
BP 106
EP 113
DI 10.1016/j.jbtep.2017.09.004
PD MAR 2018
PY 2018
AB Socratic Method is a style of inquiry used in cognitive behavioural
   therapy (CBT) that encourages clients to reflect on their problems and
   draw conclusions from newly-gained insights. However, assumptions about
   the superior efficacy of Socratic Method over non-Socratic (didactic)
   approaches remain largely untested. The aim of this study was to compare
   the perceived helpfulness of therapists' questions, autonomy
   supportiveness, likelihood of engaging in therapeutic tasks and
   preference for Socratic Method versus a didactic approach using a video
   analogue and ratings of lay observers. The mediating effects of
   therapeutic alliance and empathy were also examined. Participants (N =
   144, mean age = 37, SD = 13) completed an online survey where they rated
   two videoed therapy analogues. Socratic Method had higher mean scores on
   perceived helpfulness of therapists' questions, autonomy supportiveness,
   and likelihood of engaging in therapeutic tasks and preference than
   didactic presentation. Perceived helpfulness and preference ratings were
   higher for Socratic Method after accounting for potential confounders.
   Perceived therapeutic alliance and empathy both mediated the effect of
   therapy condition on autonomy and engagement. The findings support the
   use of Socratic Method in CBT. (C) 2017 Elsevier Ltd. All rights
   reserved.
OI Egan, Sarah/0000-0002-3715-4009
Z8 0
ZS 0
ZR 0
ZB 3
TC 12
ZA 0
Z9 12
U1 3
U2 53
SN 0005-7916
EI 1873-7943
UT WOS:000416193900013
PM 29055854
ER

PT J
AU Schnall, Rebecca
   Liu, Jianfang
   Iribarren, Sarah
TI Information sources of self-care strategies for persons living with HIV
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 111
BP 1
EP 6
DI 10.1016/j.ijmedinf.2017.12.002
PD MAR 2018
PY 2018
AB Objectives: A number of studies have been conducted to identify the
   self-care strategies that are used by persons living with chronic
   illnesses to manage their symptoms, but little work has been done to
   identify the primary information source for these self-care strategies.
   Methods: We conducted an anonymous online survey with 1373 persons
   living with HIV to identify the self-care strategies they use to manage
   28 commonly experienced symptoms. Following their report of their
   symptoms and self-care strategies, we asked an open-ended question to
   identify where the participant obtained the information. We applied
   iterative content analysis of the narrative data and multi-nominal
   regression to identify which demographic factors were significantly
   related to each information source category.
   Results: Respondents reported a total of 8539 information sources for
   their self-care strategies categorized as follows: Common
   sense/Self-experience, Healthcare professional, Internet, Literature,
   Multiple Sources, Social Support, and TV ads.
   Conclusions: We found that respondents with no college education were
   significantly more likely to report the use of the Internet as the
   information source for their self-care strategies. On the other hand,
   males as compared to females were significantly less likely to use the
   Internet and significantly more likely to use TV ads.
OI Schnall, Rebecca/0000-0003-2184-4045
TC 3
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
Z9 3
U1 0
U2 11
SN 1386-5056
EI 1872-8243
UT WOS:000424320100001
PM 29425620
ER

PT J
AU Fraccaro, Paolo
   Vigo, Markel
   Balatsoukas, Panagiotis
   Buchan, Iain E.
   Peek, Niels
   van der Veer, Sabine N.
TI The influence of patient portals on users' decision making is
   insufficiently investigated: A systematic methodological review
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 111
BP 100
EP 111
DI 10.1016/j.ijmedinf.2017.12.028
PD MAR 2018
PY 2018
AB Background: Patient portals are considered valuable conduits for
   supporting patients' self-management. However, it is unknown why they
   often fail to impact on health care processes and outcomes. This may be
   due to a scarcity of robust studies focusing on the steps that are
   required to induce improvement: users need to effectively interact with
   the portal (step 1) in order to receive information (step 2), which
   might influence their decision-making (step 3). We aimed to explore this
   potential knowledge gap by investigating to what extent each step has
   been investigated for patient portals, and explore the methodological
   approaches used.
   Methods: We performed a systematic literature review using Coiera's
   information value chain as a guiding theoretical framework. We searched
   MEDLINE and Scopus by combining terms related to patient portals and
   evaluation methodologies. Two reviewers selected relevant papers through
   duplicate screening, and one extracted data from the included papers.
   Results: We included 115 articles. The large majority (n=104) evaluated
   aspects related to interaction with patient portals (step 1). Usage was
   most often assessed (n=61), mainly by analysing system interaction data
   (n=50), with most authors considering participants as active users if
   they logged in at least once. Overall usability (n=57) was commonly
   assessed through non-validated questionnaires (n=44). Step 2
   (information received) was investigated in 58 studies, primarily by
   analysing interaction data to evaluate usage of specific system
   functionalities (n=34). Eleven studies explicitly assessed the influence
   of patient portals on patients' and clinicians' decisions (step 3).
   Conclusions: Whereas interaction with patient portals has been
   extensively studied, their influence on users' decision-making remains
   under-investigated. Methodological approaches to evaluating usage and
   usability of portals showed room for improvement. To unlock the
   potential of patient portals, more (robust) research should focus on
   better understanding the complex process of how portals lead to improved
   health and care.
RI Peek, Niels/AAD-9334-2019; Vigo, Markel/; Buchan, Iain/H-5767-2013; van der Veer, Sabine/
OI Peek, Niels/0000-0002-6393-9969; Vigo, Markel/0000-0003-4768-7623;
   Buchan, Iain/0000-0003-3392-1650; van der Veer,
   Sabine/0000-0003-0929-436X
ZR 0
ZB 2
ZS 0
ZA 0
TC 12
Z8 0
Z9 12
U1 2
U2 24
SN 1386-5056
EI 1872-8243
UT WOS:000424320100013
PM 29425621
ER

PT J
AU Zucco, Rossella
   Lavano, Francesco
   Anfosso, Rosa
   Bianco, Aida
   Pileggi, Claudia
   Pavia, Maria
TI Internet and social media use for antibiotic-related information
   seeking: Findings from a survey among adult population in Italy
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 111
BP 131
EP 139
DI 10.1016/j.ijmedinf.2017.12.005
PD MAR 2018
PY 2018
AB Background: The Internet represents an increasingly common source of
   health-related information. Internet and Social Media can be used to
   promote a prudent use of antibiotics.
   Objective: To establish the extent of Internet and Social Media use to
   search for antibiotic related information and the potential implications
   in health care among adult population in Italy.
   Methods: This cross-sectional study was conducted from March to May
   2017, among a sample of parents of public school students. A 2-stage
   cluster sample design was planned. An informed consent form and a
   questionnaire were given to selected students to deliver to their
   parents. The questionnaire included questions on knowledge, attitudes,
   and behavior toward antibiotic use, and questions about Internet use to
   gather information about antibiotics.
   Results: A total of 913 parents completed the questionnaire, with a
   67.4% response rate; 22.1% did not know when it was appropriate to use
   antibiotics. 32.3% of parents reported self-medication with antibiotics.
   73.4% of respondents used the Internet to search for information about
   antibiotic use. Among social networks users, 46.5% reported the use of
   these media to get information about antibiotics and 45% of instant
   messaging app users share information about antibiotics. The results of
   the multiple logistic regression analysis showed that Internet use to
   search for antibiotic-related information was higher among females,
   younger subjects, with a higher level of education, in those who
   reported self-medication with antibiotics and in those who needed
   additional information on side effects of antibiotics from the GP
   compared with those who did not need any additional information.
   Internet use was significantly less likely in participants with
   cardiovascular diseases and cancer compared with those without chronic
   conditions, and in those who reported to strongly agree/agree, or were
   uncertain about antibiotic use without a GP prescription, compared with
   those who reported to be disagree/strongly disagree.
   Conclusions: Internet and social media are widely used for
   antibiotic-related information seeking in the Italian population. Health
   organizations must consider social media within their communication
   strategy to promote the appropriate Web use for antibiotic-related
   information seeking in the general population, although more evidence is
   needed regarding the optimal mix of communication interventions.
RI PILEGGI, Claudia/AGU-6397-2022; BIANCO, Aida/
OI PILEGGI, Claudia/0000-0002-6288-5540; BIANCO, Aida/0000-0003-4674-0306
ZA 0
ZS 1
TC 40
ZR 0
ZB 21
Z8 0
Z9 40
U1 0
U2 43
SN 1386-5056
EI 1872-8243
UT WOS:000424320100016
PM 29425624
ER

PT J
AU Wilksch, Simon M.
   O'Shea, Anne
   Wade, Tracey D.
TI Media Smart-Targeted: Diagnostic outcomes from a two-country pragmatic
   online eating disorder risk reduction trial for young adults
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 51
IS 3
BP 270
EP 274
DI 10.1002/eat.22825
PD MAR 2018
PY 2018
AB BackgroundDiagnostic outcomes in eating disorder (ED) risk reduction
   trials are important but rarely reported.
   MethodsAn online pragmatic randomized-controlled trial was conducted
   with young-adult women in Australia and New Zealand seeking to improve
   their body image. Media Smart-Targeted (MS-T) was a 9-module program
   released weekly while control participants received tips for positive
   body image. Eating Disorder Examination-Questionnaire (EDE-Q) scores
   from baseline and 12-month follow-up were used to investigate two
   outcomes: ED onset in those who were asymptomatic at baseline
   (prevention effects); and, ED remission in those who met diagnosis at
   baseline (treatment effects).
   ResultsMS-T participants were 66% less likely than controls to develop
   an ED by 12-month follow-up (nonsignificant). MS-T participants who met
   ED criteria at baseline were 75% less likely than controls to still meet
   diagnostic criteria at follow-up. This effect was significant and
   remained so for both those who did and who did not access external
   face-to-face ED treatment during the trial.
   ConclusionsWhile further investigations are necessary, MS-T has fully
   automated procedures, low implementation costs, the potential to be
   delivered at-scale to assist those assist those where face-to-face
   services are limited or not available (e.g., remote areas).
OI Wilksch, Simon/0000-0002-2041-7503; Wade, Tracey/0000-0003-4402-770X
ZR 0
ZS 0
TC 7
ZA 0
ZB 2
Z8 0
Z9 7
U1 0
U2 8
SN 0276-3478
EI 1098-108X
UT WOS:000426857600008
PM 29377203
ER

PT J
AU Elias, Rebecca
   White, Susan W.
TI Autism Goes to College: Understanding the Needs of a Student Population
   on the Rise
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 48
IS 3
SI SI
BP 732
EP 746
DI 10.1007/s10803-017-3075-7
PD MAR 2018
PY 2018
AB Understanding the needs of adolescents and emerging adults with Autism
   Spectrum Disorder (ASD) with respect to transition to postsecondary
   education is critical to development of user-informed transition
   programming. Parents of adolescents and emerging adults with ASD (n =
   52) and ADHD (n = 47) completed an online survey. Social interaction
   training and independent living training were services frequently
   requested by parents in the ASD group. Additionally, parents of
   postsecondary students with ASD endorsed distinct challenges with
   self-advocacy, managing emotions, and managing personal/adaptive skills
   relative to postsecondary students with ADHD. The profile of
   parent-reported difficulties and needed services compared to transition
   to postsecondary education for students with ASD is distinguishable from
   that for ADHD, suggesting individualized transition planning and
   in-college supports.
OI Elias, Rebecca/0000-0002-1360-3746; White, Susan/0000-0002-6274-3147
ZR 0
Z8 0
ZA 0
TC 55
ZB 18
ZS 0
Z9 55
U1 3
U2 33
SN 0162-3257
EI 1573-3432
UT WOS:000426066300009
PM 28255760
ER

PT J
AU Hassan, Zeinab M.
TI Improving knowledge and compliance with infection control Standard
   Precautions among undergraduate nursing students in Jordan
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 46
IS 3
BP 297
EP 302
DI 10.1016/j.ajic.2017.09.010
PD MAR 2018
PY 2018
AB Introduction: The recent emergence and reemergence of infectious
   diseases have made the knowledge and practice of standard infection
   control precautions in developing countries more important than ever.
   However, schools of nursing in Jordan do not have a prescribed
   curriculum in Standard Precautions.
   Purpose: To test the effectiveness of using of an online education
   module and a learning contract on knowledge and compliance with
   infection control Standard Precautions among undergraduate nursing
   students in Jordan.
   Methods: A sample of 256 undergraduate nursing students participated in
   an online education module in infection control Standard Precautions. A
   pretest-posttest design tested effectiveness using an online
   questionnaire (Questionnaires for Knowledge and Compliance with Standard
   Precautions) before and after the online instruction.
   Results: Initially, subjects reported low levels of knowledge and
   compliance with Standard Precaution practices and relatively few (15.2%)
   had high scores. Compliance with Standard Precautions was some-what
   better (27%). Significant differences in the mean scores of knowledge
   and compliance between pretest and posttest were found.
   Conclusion: Online instruction offers a consistent and effective method
   to include Standard Precautions into nursing education. Organizations
   that oversee nursing in Jordan have the option to strengthen all nursing
   curricula by mandating a standardized infection control curricula across
   all schools of nursing. (C) 2018 Association for Professionals in
   Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All
   rights reserved.
OI Hassan Al-Wahsh, Zeinab/0000-0003-4650-7176
ZR 0
Z8 0
ZB 4
ZA 0
TC 10
ZS 0
Z9 10
U1 0
U2 13
SN 0196-6553
EI 1527-3296
UT WOS:000426424900011
PM 29102051
ER

PT J
AU Salsgiver, Elizabeth
   Bernstein, Daniel
   Simon, Matthew S.
   Eiras, Daniel P.
   Greendyke, William
   Kubin, Christine J.
   Mehta, Monica
   Nelson, Brian
   Loo, Angela
   Ramos, Liz G.
   Jia, Haomiao
   Saiman, Lisa
   Saiman, Lisa
   Furuya, E. Yoko
   Calfee, David P.
TI Knowledge, Attitudes, and Practices Regarding Antimicrobial Use and
   Stewardship Among Prescribers at Acute-Care Hospitals
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 39
IS 3
BP 316
EP 322
DI 10.1017/ice.2017.317
PD MAR 2018
PY 2018
AB OBJECTIVE. To assess antimicrobial prescriber knowledge, attitudes, and
   practices (KAP) regarding antimicrobial stewardship (AS) and associated
   barriers to optimal prescribing.
   DESIGN. Cross-sectional survey.
   SETTING. Online survey.
   PARTICIPANTS. A convenience sample of 2,900 US antimicrobial prescribers
   at 5 acute-care hospitals within a hospital network.
   INTERVENTION. The following characteristics were assessed with an
   anonymous, online survey in February 2015: attitudes and practices
   related to antimicrobial resistance, AS programs, and institutional AS
   resources; antimicrobial prescribing and AS knowledge; and practices and
   confidence related to antimicrobial prescribing.
   RESULTS. In total, 402 respondents completed the survey. Knowledge gaps
   were identified through case-based questions. Some respondents sometimes
   selected overly broad therapy for the susceptibilities given (29%) and
   some "usually" or "always" preferred using the most broad-spectrum
   empiric antimicrobials possible (32%). Nearly all (99%) reported
   reviewing antimicrobial appropriateness at 48-72 hours, but only 55%
   reported "always" doing so. Furthermore, 45% of respondents felt that
   they had not received adequate training regarding antimicrobial
   prescribing. Some respondents lacked confidence selecting empiric
   therapy using antibiograms (30%), interpreting susceptibility results
   (24%), de-escalating therapy (18%), and determining duration of therapy
   (31%). Postprescription review and feedback (PPRF) was the most commonly
   cited AS intervention (79%) with potential to improve patient care.
   CONCLUSIONS. Barriers to appropriate antimicrobial selection and
   de-escalation of antimicrobial therapy were identified among front-line
   prescribers in acute-care hospitals. Prescribers desired more AS-related
   education and identified PPRF as the most helpful AS intervention to
   improve patient care. Educational interventions should be preceded by
   and tailored to local assessment of educational needs.
RI Jia, Haomiao/AAU-8276-2021
TC 30
ZS 0
ZA 0
Z8 0
ZB 21
ZR 0
Z9 30
U1 0
U2 4
SN 0899-823X
EI 1559-6834
UT WOS:000429219900010
PM 29402339
ER

PT J
AU Kreuzer, M.
   Auvinen, A.
   Cardis, E.
   Durante, M.
   Harms-Ringdahl, M.
   Jourdain, J. R.
   Madas, B. G.
   Ottolenghi, A.
   Pazzaglia, S.
   Prise, K. M.
   Quintens, R.
   Sabatier, L.
   Bouffler, S.
TI Multidisciplinary European Low Dose Initiative (MELODI): strategic
   research agenda for low dose radiation risk research
SO RADIATION AND ENVIRONMENTAL BIOPHYSICS
VL 57
IS 1
BP 5
EP 15
DI 10.1007/s00411-017-0726-1
PD MAR 2018
PY 2018
AB MELODI (Multidisciplinary European Low Dose Initiative) is a European
   radiation protection research platform with focus on research on health
   risks after exposure to low-dose ionising radiation. It was founded in
   2010 and currently includes 44 members from 18 countries. A major
   activity of MELODI is the continuous development of a long-term European
   Strategic Research Agenda (SRA) on low-dose risk for radiation
   protection. The SRA is intended to identify priorities for national and
   European radiation protection research programs as a basis for the
   preparation of competitive calls at the European level. Among those key
   priorities is the improvement of health risk estimates for exposures
   close to the dose limits for workers and to reference levels for the
   population in emergency situations. Another activity of MELODI is to
   ensure the availability of European key infrastructures for research
   activities, and the long-term maintenance of competences in radiation
   research via an integrated European approach for training and education.
   The MELODI SRA identifies three key research topics in low dose or low
   dose-rate radiation risk research: (1) dose and dose rate dependence of
   cancer risk, (2) radiation-induced non-cancer effects and (3) individual
   radiation sensitivity. The research required to improve the evidence
   base for each of the three key topics relates to three research lines:
   (1) research to improve understanding of the mechanisms contributing to
   radiogenic diseases, (2) epidemiological research to improve health risk
   evaluation of radiation exposure and (3) research to address the effects
   and risks associated with internal exposures, differing radiation
   qualities and inhomogeneous exposures. The full SRA and associated
   documents can be downloaded from the MELODI website
   (http://www.melodi-online.eu/sra.html).
RI Madas, Balázs/D-1244-2009; Prise, Kevin/N-7872-2015; Cardis, Elisabeth/C-3904-2017; Auvinen, Anssi/AAD-9311-2020; Quintens, Roel/G-5339-2017; Auvinen, Anssi/AAL-2111-2020; Sabatier, Laure/; Ottolenghi, Andrea/
OI Madas, Balázs/0000-0002-0698-4982; Prise, Kevin/0000-0001-6134-7946;
   Cardis, Elisabeth/0000-0003-0999-6839; Quintens,
   Roel/0000-0002-4359-3403; Auvinen, Anssi/0000-0003-1125-4818; Sabatier,
   Laure/0000-0003-0552-6549; Ottolenghi, Andrea/0000-0002-4923-257X
ZA 0
ZR 0
TC 28
ZS 0
ZB 9
Z8 0
Z9 28
U1 0
U2 9
SN 0301-634X
EI 1432-2099
UT WOS:000425287100002
PM 29247291
ER

PT J
AU Isfahani, Mehdi Nasr
   Moghadas, Iman
TI Face-to-Face Versus Online Training Method and their Impact on Practical
   Skills of Medical Students in ECG Interpretation
SO JOURNAL OF RESEARCH IN MEDICAL AND DENTAL SCIENCE
VL 6
IS 2
BP 396
EP 403
DI 10.5455/jrmds.20186261
PD MAR 2018
PY 2018
AB Present study aims to focus on the comparison of face to face and online
   training through Telegram application for emergency medicine residents
   in diagnosis and Echocardiography (ECG) interpretation. This
   quasi-experimental study was conducted by participation of 140 medical
   students studying emergency medicine in Isfahan University of Medical
   Sciences during 2016-2017. Individuals were divided into two groups of
   70 students trained for ECG interpretation by two methods including face
   to face and a mobile communication application (Telegram). To assess the
   ECG interpretational and diagnostic skills of participants before and
   after the training, we used the same test and recorded correct answers
   percentage and their scores. Data, were analyzed using SPSS Software. In
   face to face group, the mean score of students before and after training
   were 12.3 +/- 2.37 and 16.53 +/- 1.99 respectively, while in online
   class group, the mean score of students before and after training were
   12.12 +/- 2.06 and 16.56 +/- 2.11 respectively; a significant increase
   in level of knowledge and skills of ECG interpretation in both groups
   were noted, but the increase in the knowledge level and skills of ECG
   interpretation after training was not significantly different between
   groups. Due to commuting problems of students to medical training
   classes and difficulty attending classes in some cases in addition to
   convenience of instant messaging and social softwares and publicly
   availability and accessibility of information on mobile phone at any
   time, this approach can be used as a standard medical training classes
   in future.
RI Isfahani, Mehdi Nasr/J-8921-2016; Isfahani, Mehdi Nasr/M-5815-2016
OI Isfahani, Mehdi Nasr/0000-0002-0236-6546; 
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
TC 4
Z9 4
U1 2
U2 7
SN 2347-2545
EI 2347-2367
UT WOS:000437509500059
ER

PT J
AU Riconda, Daniel
   Grubs, Robin E.
   Campion, MaryAnn W.
   Cragun, Deborah
TI Genetic counselor training for the next generation: Where do we go from
   here?
SO AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS
VL 178
IS 1
SI SI
BP 38
EP 45
DI 10.1002/ajmg.c.31598
PD MAR 2018
PY 2018
OI Riconda, Daniel/0000-0003-4553-5722; Campion,
   MaryAnn/0000-0002-8627-7048
ZS 0
ZA 0
ZR 1
ZB 6
Z8 0
TC 16
Z9 17
U1 0
U2 1
SN 1552-4868
EI 1552-4876
UT WOS:000430460600005
PM 29512933
ER

PT J
AU Kameda-Smith, Michelle Masayo
   Iorio-Morin, Christian
   Winkler-Schwartz, Alexander
   Ahmed, Uzair S.
   Bergeron, David
   Bigder, Mark
   Dakson, Ayoub
   Elliott, Cameron A.
   Guha, Daipayan
   Lavergne, Pascal
   Makarenko, Serge
   Taccone, Michael S.
   Tso, Michael
   Wang, Bill
   Fortin, David
CA CNRC
TI Smartphone Usage Patterns by Canadian Neurosurgery Residents: A National
   Cross-Sectional Survey
SO WORLD NEUROSURGERY
VL 111
BP E465
EP E470
DI 10.1016/j.wneu.2017.12.089
PD MAR 2018
PY 2018
AB BACKGROUND: Smartphones and their apps are used ubiquitously in medical
   practice. However, in some cases their use can be at odds with current
   patient data safety regulations such as Canada's Personal Health
   Information Protection Act of 2004. To assess current practices and
   inform mobile application development, we sought to better understand
   mobile device usage patterns among Canadian neurosurgery residents.
   METHODS: Through the Canadian Neurosurgery Research Collaborative, an
   online survey characterizing smartphone ownership and usage patterns was
   developed and sent to all Canadian neurosurgery resident in April of
   2016. Questionnaires were collected and completed surveys analyzed.
   RESULTS: Of 146 eligible residents, 76 returned completed surveys (52%
   response rate). Of these 99% of respondents owned a smartphone, with 79%
   running on Apple's iOS. Four general mobile uses were identified: 1)
   communication between-members of the medical team, 2) decision support,
   3) medical reference, and 4) documentation through medical photography.
   Communication and photography were areas where the most obvious breaches
   in the Canadian Personal Health Information Protection Act were noted,
   with 89% of respondents taking pictures of patients' radiologic studies
   and 75% exchanging them with Short Message System. Hospital policies had
   no impact on user behaviors.
   CONCLUSIONS: Smartphones are used daily by most neurosurgery residents.
   Identified usage patterns are associated with perceived gains in
   efficacy and challenges in privacy and data reliability. We believe
   creating and improving workflows that address these usage patterns has a
   greater potential to improve privacy than changing policies and
   enforcing regulations.
RI Iorio-Morin, Christian/I-8696-2019; Guha, Daipayan/AAV-1008-2021; Lavergne, Pascal/AAV-8214-2020; Kameda-Smith, Michelle/AAK-5181-2020; Wang, Bill/AAQ-1829-2021
OI Iorio-Morin, Christian/0000-0003-2995-7255; Guha,
   Daipayan/0000-0002-2052-4819; Kameda-Smith,
   Michelle/0000-0003-0904-9946; Wang, Bill/0000-0003-2708-0955
ZB 1
TC 11
ZR 0
ZA 0
ZS 0
Z8 0
Z9 11
U1 0
U2 2
SN 1878-8750
EI 1878-8769
UT WOS:000432908700058
PM 29277596
ER

PT J
AU Fuse, Akiko
TI Needs of students seeking careers in communication sciences and
   disorders and barriers to their success
SO JOURNAL OF COMMUNICATION DISORDERS
VL 72
BP 40
EP 53
DI 10.1016/j.jcomdis.2018.02.003
PD MAR-APR 2018
PY 2018
AB Purpose: The purpose of this study was to identify the needs for and
   barriers to success of underrepresented students in the Communication
   Sciences and Disorders field and to determine factors linked to student
   persistence and academic achievement.
   Method: An online survey was completed by 126 undergraduates pursuing
   graduate studies in Communication Sciences and Disorders. Data were
   subjected to Mann-Whitney U and Kruskal-Wallis H tests.
   Results: Survey responses indicated that financial matters exerted the
   most influence on students' preparation for and number of choices for
   graduate-school applications. However, socioeconomic status was
   associated with needed financial support for paying tuition and
   completing the admission process. In addition, students at lower
   socioeconomic status reported spending fewer hours studying for tests
   and earned lower grade-point averages than peers who self-identified
   with a relatively high socioeconomic status. The findings also slim a
   relationship between students' grade-point averages and family members'
   levels of education. The majority reported that mothers had earned the
   highest degree in their household, followed by siblings, themselves, and
   fathers.
   Conclusions: The findings suggest that students of low socioeconomic
   status were less academically prepared than those self-reporting a
   higher status. Moreover, the presence of a role model, such as a
   college-educated family member, may affect academic performance.
   Therefore, interventions for students at risk of not gaining admissions
   to graduate school include financial assistance and mentoring and
   advising programs.
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 3
Z9 3
U1 0
U2 3
SN 0021-9924
EI 1873-7994
UT WOS:000429629100004
PM 29471177
ER

PT J
AU Naeem, Naghma
   Elzubeir, Margaret
   Al-Houqani, Mohammad
   Ahmed, Luai Awad
TI Exploring variability of teaching & supervision at clinical clerkship
   teaching sites
SO PAKISTAN JOURNAL OF MEDICAL SCIENCES
VL 34
IS 2
BP 368
EP 373
DI 10.12669/pjms.342.14656
PD MAR-APR 2018
PY 2018
AB Objective: To explore undergraduate medical students' perception of
   variation in teaching and supervision at different clinical teaching
   sites.
   Methods: This descriptive cross-sectional study was conducted at the
   College of Medicine & Health Sciences, United Arab Emirates University,
   UAE during 2017. Four clinical teaching sites affiliated with CMHS were
   evaluated namely Shaikh Khalifa Medical City (SKMC), Ambulatory Care
   Clinics (AC), Tawam Hospital (TH) and Al-Ain Hospital (AH). An online
   questionnaire was administered to year five and six students.
   Results: The response rate was 84.4%. Overall perception of the students
   about their clinical clerkship experience was positive. SKMC was rated
   as the best teaching site with mean rating of 3.79 +/- 0.97-4.79 +/-
   0.43. The highest rated item was clinical teacher's promotion of
   critical thinking in students while the lowest rated item was the
   opportunity to take responsibility for patient care. Ambulatory Care
   site had a mean rating of 2.33 +/- 1.23-4.13 +/- 1.19. The highest rated
   item at this site was the clinical teacher encouraging students to ask
   questions and participate actively. At Tawam Hospital, the mean ratings
   ranged between 2.65 +/- 1.64-4.31 +/- 0.86 with highest rated item being
   ability of the students to see cases with positive clinical findings. At
   the Al-Ain Hospital, the mean rating was in the range of 2.79 +/-
   1.45-3.81 +/- 1.11. The item rated highest here was the ability of
   students to see cases with positive clinical findings. The lowest rated
   item at all three sites was the availability of on-call rooms and
   lockers. Significant variability was seen across training sites in the
   clinical teacher's ability to act as professional role models, the
   opportunity for students to apply their previous knowledge to patient
   care and to independently assess patients before discussion with
   teachers.
   Conclusion: This study tool highlights variation in clinical teaching
   and supervision at four clinical teaching sites. It provides specific,
   actionable information which can be utilized to deliver equitable
   learning experiences across clinical clerkships and teaching sites. It
   places emphasis on the fact that lack of physical facilities hampers
   clinical teaching and supervision, hence, on call rooms, lockers and
   separate rooms for independent student interaction with patients should
   be provided at all clinical teaching sites.
RI Naeem, Naghma/R-3122-2019; Ahmed, Luai A./J-7225-2013
OI Ahmed, Luai A./0000-0001-5292-8212
ZA 0
ZR 0
Z8 0
TC 1
ZB 0
ZS 0
Z9 1
U1 0
U2 0
SN 1682-024X
UT WOS:000433113200025
PM 29805410
ER

PT J
AU Chung, Arlene S.
   Smart, Jon
   Zdradzinski, Michael
   Roth, Sarah
   Gende, Alecia
   Conroy, Kylie
   Battaglioli, Nicole
TI Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation,
   and Positive Psychology: The 2017 Resident Wellness Consensus Summit
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 2
BP 327
EP 331
DI 10.5811/cpcem.2017.11.36179
PD MAR 2018
PY 2018
AB Introduction: Burnout, depression, and suicidality among residents of
   all specialties have become a critical focus of attention for the
   medical education community.
   Methods: As part of the 2017 Resident Wellness Consensus Summit in Las
   Vegas, Nevada, resident participants from 31 programs collaborated in
   the Educator Toolkit workgroup. Over a seven-month period leading up to
   the summit, this workgroup convened virtually in the Wellness Think
   Tank, an online resident community, to perform a literature review and
   draft curricular plans on three core wellness topics. These topics were
   second victim syndrome, mindfulness and meditation, and positive
   psychology. At the live summit event, the workgroup expanded to include
   residents outside the Wellness Think Tank to obtain a broader consensus
   of the evidence-based toolkits for these three topics.
   Results: Three educator toolkits were developed. The second victim
   syndrome toolkit has four modules, each with a pre-reading material and
   a leader (educator) guide. In the mindfulness and meditation toolkit,
   there are three modules with a leader guide in addition to a
   longitudinal, guided meditation plan. The positive psychology toolkit
   has two modules, each with a leader guide and a PowerPoint slide set.
   These toolkits provide educators the necessary resources, reading
   materials, and lesson plans to implement didactic sessions in their
   residency curriculum.
   Conclusion: Residents from across the world collaborated and convened to
   reach a consensus on high-yield-and potentially high-impact-lesson plans
   that programs can use to promote and improve resident wellness. These
   lesson plans may stand alone or be incorporated into a larger wellness
   curriculum.
OI Battaglioli, Nicole/0000-0002-7911-3360; Chung,
   Arlene/0000-0002-2531-3869
TC 21
ZS 0
Z8 1
ZA 0
ZB 1
ZR 0
Z9 22
U1 1
U2 16
SN 1936-900X
EI 1936-9018
UT WOS:000433251200016
PM 29560061
ER

PT J
AU Zaver, Fareen
   Battaglioli, Nicole
   Denq, William
   Messman, Anne
   Chung, Arlene
   Lin, Michelle
   Liu, Emberlynn L.
TI Identifying Gaps and Launching Resident Wellness Initiatives: The 2017
   Resident Wellness Consensus Summit
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 2
BP 342
EP 345
DI 10.5811/westjem.2017.11.36240
PD MAR 2018
PY 2018
AB Introduction: Burnout, depression, and suicidality among residents of
   all specialties have become a critical focus for the medical education
   community, especially among learners in graduate medical education. In
   2017 the Accreditation Council for Graduate Medical Education (ACGME)
   updated the Common Program Requirements to focus more on resident
   wellbeing. To address this issue, one working group from the 2017
   Resident Wellness Consensus Summit (RWCS) focused on wellness program
   innovations and initiatives in emergency medicine (EM) residency
   programs.
   Methods: Over a seven-month period leading up to the RWCS event, the
   Programmatic Initiatives workgroup convened virtually in the Wellness
   Think Tank, an online, resident community consisting of 142 residents
   from 100 EM residencies in North America. A 15-person subgroup (13
   residents, two faculty facilitators) met at the RWCS to develop a
   public, central repository of initiatives for programs, as well as tools
   to assist programs in identifying gaps in their overarching wellness
   programs.
   Results: An online submission form and central database of wellness
   initiatives were created and accessible to the public. Wellness Think
   Tank members collected an initial 36 submissions for the database by the
   time of the RWCS event. Based on general workplace, needs-assessment
   tools on employee wellbeing and Kern's model for curriculum development,
   a resident-based needs-assessment survey and an implementation worksheet
   were created to assist residency programs in wellness program
   development.
   Conclusion: The Programmatic Initiatives workgroup from the
   resident-driven RWCS event created tools to assist EM residency programs
   in identifying existing initiatives and gaps in their wellness programs
   to meet the ACGME's expanded focus on resident wellbeing.
OI Chung, Arlene/0000-0002-2531-3869; Battaglioli,
   Nicole/0000-0002-7911-3360; Liu, E. Liang/0000-0003-3273-9021
ZA 0
ZS 0
ZR 0
Z8 0
TC 15
ZB 2
Z9 15
U1 0
U2 5
SN 1936-900X
EI 1936-9018
UT WOS:000433251200019
PM 29560064
ER

PT J
AU Cavallario, Julie M.
   Van Lunen, Bonnie L.
   Hoch, Johanna M.
   Hoch, Matthew
   Manspeaker, Sarah A.
   Pribesh, Shana L.
TI Athletic Training Student Core Competency Implementation During Patient
   Encounters
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 3
BP 282
EP 291
DI 10.4085/1062-6050-314-16
PD MAR 2018
PY 2018
AB Context: Health care research evidence suggests that early patient
   encounters (PEs), as well as the purposeful implementation of
   professional core competencies (CCs), for athletic training students
   (ATSs) may be beneficial to their ability to provide care. However, no
   investigators have related facets of the clinical education experience
   with CC implementation as a form of summative assessment of the clinical
   experience.
   Objective: To determine the relationship between the frequency and
   length of PEs, as well as the student's role and clinical site during
   PEs, and the students' perceived CC implementation during these
   encounters.
   Design: Cross-sectional study.
   Setting: Professional athletic training program, National Collegiate
   Athletic Association Division I institution.
   Patients or Other Participants: We purposefully recruited 1 athletic
   training program that used E*Value software; 40 participants (31
   females, 9 males) enrolled in the professional phase (12 first year, 14
   second year, 14 third year) participated.
   Intervention(s): Participants viewed a 20-minute recorded CC educational
   module followed by educational handouts, which were also posted online
   for reference throughout the semester. The E*Value software was used to
   track PEs, including the type of encounter (ie, actual patient, practice
   encounter, didactic practice scenario), the type of site where the
   encounter occurred (university, high school), and the participant's role
   (observed, assisted, performed), as well as responses to an added block
   of questions indicating which, if any, of the CCs were implemented
   during the PE.
   Main Outcome Measure(s): Variables per patient were PE length (minutes),
   participant role, site at which the encounter occurred, and whether any
   of the 6 CCs were implemented (yes/no). Variables per participant were
   average encounter length (minutes), encounter frequency, modal role,
   clinical site assignment, and the number of times each CC was
   implemented. Separate 1-way analyses of variance were used to examine
   the relationships between role or clinical site and implementation of
   total number of CCs. Multiple linear regressions were used to determine
   how the average length and frequency of PEs were related to the average
   and total number of implemented CCs. Binary logistic regression models
   indicated how the length of each encounter, role of the participant, and
   type of clinical site related to the implementation of each CC.
   Results: The roles of participants during PEs were related to their
   ability to implement the total number of CCs (F = 103.48, P<.001). Those
   who observed were likely to implement fewer total CCs than those who
   assisted (M diff = -0.29, P<.001); those who assisted were likely to
   implement more total CCs than those who performed (M diff = 0.32,
   P<.001). Frequency of encounters was the only significant variable in
   the model examining all independent variables with CC implementation
   (b(4,32) = 3.34, t = 9.46, P<.001).
   Conclusions: The role of the student, namely assisting during PEs, and
   the volume of PEs should be considered priorities for students to
   promote greater CC implementation.
RI Pribesh, Shana/D-9792-2016; Hoch, Johanna/
OI Hoch, Johanna/0000-0003-2906-9354
ZS 0
ZA 0
TC 4
Z8 0
ZB 1
ZR 0
Z9 4
U1 0
U2 0
SN 1062-6050
EI 1938-162X
UT WOS:000429488600009
PM 29420058
ER

PT J
AU Thrasher, Ashley B.
   Walker, Stacy E.
TI Orientation Process for Newly Credentialed Athletic Trainers in the
   Transition to Practice
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 3
BP 292
EP 302
DI 10.4085/1062-6050-531-16
PD MAR 2018
PY 2018
AB Context: Orientation is an important part of socialization and
   transition to practice, yet the orientation process for newly
   credentialed athletic trainers (ATs) is unknown.
   Objective: To determine how newly credentialed ATs are oriented to their
   roles.
   Design: Cross-sectional study.
   Setting: Online survey.
   Patients or Other Participants: Three hundred thirty-two of 1835 newly
   credentialed ATs (18%) certified and employed between January and
   September of 2013 completed the survey (129 men, 203 women; age = 23.58
   +/- 2.54 years).
   Data Collection and Analysis: The survey consisted of demographic
   information (eg, employment setting, job title) and 2 sections: (1)
   orientation tactics and (2) usefulness of orientation tactics. For the
   first section, participants identified if various orientation tactics
   were included in their orientations (eg, policies and procedures
   review). For the second section, participants identified how useful each
   orientation tactic was on a Likert scale (1 = not useful, 4 = very
   useful). Descriptive statistics were calculated for each survey item.
   Mann-Whitney U and Kruskal-Wallis tests were used to determine
   differences between demographic characteristics and orientation tactics.
   A Bonferroni correction accounted for multiple comparisons. A panel of
   experts established the content validity of the survey. The Cronbach a
   was used to establish internal consistency (a = 0.802)
   Results: The most common orientation tactics were meeting with
   supervisors (n = 276, 82.9%) and staff members (eg, coaches; n = 266,
   79.9%) and learning responsibilities (n = 254, 76.2%). The least common
   orientation tactics were simulation of the emergency action plan (n =
   66, 19.8%) and preceptor development (n = 71, 21.3%); however, preceptor
   development was not applicable to many participants. The most useful
   orientation tactics were simulating the emergency action plan (3.45/
   4.0) and meeting with staff members (3.44/ 4.0). Participants who felt
   their orientation prepared them for their roles were exposed to more
   tactics during orientation (Mann-Whitney U = 17 212, P<.001).
   Conclusions: Many tactics were used to orient newly credentialed ATs to
   their roles, but orientations varied based on the practice setting.
RI Walker, Stacy/ABC-3789-2020; Thrasher, Ashley/L-8418-2019
ZS 0
ZA 0
Z8 0
ZB 4
ZR 0
TC 5
Z9 5
U1 1
U2 4
SN 1062-6050
EI 1938-162X
UT WOS:000429488600010
PM 29466070
ER

PT J
AU Jan, Saeedullah
   Hussain, Abid
   Ibrahim, Muhammad
   Saeed, Sarah
TI Use of internet by the teaching faculty of Peshawar Medical College,
   Peshawar, Khyber Pakhtunkhwa, Pakistan
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 68
IS 3
BP 459
EP 462
PD MAR 2018
PY 2018
AB This study was planned to examine the hard and soft form of learning
   resources available on the internet accessed by the teaching faculty.
   This study was conducted at the Peshawar Medical College, Peshawar,
   Pakistan from January 2to April 2017. As the target population was not
   too large, no sampling technique was employed and census-based approach
   was adopted. For data collection, the pre-tested questionnaire was
   distributed among 115 faculty members of both basic and clinical
   sciences groups with a response rate of 66(57.39%). Data was analysed
   using SPSS. Among the respondents, 38(57.6%) were males and 28(42.4%)
   were females. A majority 51 (77.27%) of the respondents used the
   internet for teaching and research. Library was the most frequently 22
   (33.33%) used place for the internet use. Low internet speed, virus on
   computers and a lack of modern trainings were the major barriers.
   E-journals, e-books, online databases and theses and dissertations were
   the major sources consulted by the participants.
RI Hussain, Abid/G-8730-2017
OI Hussain, Abid/0000-0003-3958-8414
ZR 0
ZB 0
TC 0
Z8 0
ZA 0
ZS 0
Z9 0
U1 0
U2 0
SN 0030-9982
UT WOS:000431128000022
PM 29540886
ER

PT J
AU Rockich-Winston, Nicole
   Train, Brian C.
   Rudolph, Michael J.
   Gillette, Chris
TI Faculty motivations to use active learning among pharmacy educators
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 10
IS 3
BP 277
EP 284
DI 10.1016/j.cptl.2017.11.015
PD MAR 2018
PY 2018
AB Introduction: Faculty motivations to use active learning have been
   limited to surveys evaluating faculty perceptions within active learning
   studies. Our objective in this study was to evaluate the relationship
   between faculty intrinsic motivation, extrinsic motivation, and
   demographic variables and the extent of active learning use in the
   classroom.
   Methods: An online survey was administered to individual faculty members
   at 137 colleges and schools of pharmacy across the United States. The
   survey assessed intrinsic and extrinsic motivations, active learning
   strategies, classroom time dedicated to active learning, and faculty
   development resources. Bivariate associations and multivariable stepwise
   linear regression were used to analyze the results.
   Results: In total, 979 faculty members completed the questionnaire
   (23.6% response rate). All motivation variables were significantly
   correlated with percent active learning use (p < 0.001). Intrinsic
   motivation demonstrated the highest correlation (r = 0.447) followed by
   current extrinsic motivations (r = 0.245) and ideal extrinsic
   motivations (r = 0.291). Variables associated with higher intrinsic
   motivation included the number of resources used (r = 0.233, p < 0.001)
   and the number of active learning methods used in the last year (r =
   0.259, p < 0.001). Years of teaching experience was negatively
   associated with intrinsic motivation (r = -0.177, p < 0.001). Regression
   analyses confirmed the importance of intrinsic and extrinsic motivations
   in predicting active learning use.
   Discussion and conclusions: Our results suggest that faculty members who
   are intrinsically motivated to use active learning are more likely to
   dedicate additional class time to active learning. Furthermore,
   intrinsic motivation may be positively associated with encouraging
   faculty members to attend active learning workshops and supporting
   faculty to use various active learning strategies in the classroom.
RI Winston, Nicole/T-6069-2019; Winston, Nicole/AAP-2644-2021
OI Winston, Nicole/0000-0002-2898-4393; 
TC 4
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 4
U1 2
U2 12
SN 1877-1297
EI 1877-1300
UT WOS:000432467100003
PM 29764630
ER

PT J
AU Laubert, Tilman
   Esnaashari, Hamed
   Auerswald, Paul
   Hoefer, Anna
   Thomaschewski, Michael
   Bruch, Hans-Peter
   Keck, Tobias
   Benecke, Claudia
TI Conception of the Lubeck Toolbox curriculum for basic minimally invasive
   surgery skills
SO LANGENBECKS ARCHIVES OF SURGERY
VL 403
IS 2
BP 271
EP 278
DI 10.1007/s00423-017-1642-1
PD MAR 2018
PY 2018
AB Purpose Difficulties at the beginning of the learning curve in minimally
   invasive surgery (MIS) can well be overcome by simulation outside the
   operating room. Despite a great number of available devices,
   standardized, structured, and validated training curricula for video
   simulators are scarce.
   Methods The Lubeck Toolbox (LTB) video trainer provides six training
   modules and online video tutorials. Proficiency levels for the tasks
   were defined by performance analysis of MIS experts (n = 15). Mean
   values of the best performed repetitions were set as benchmarks for a
   validation study with n = 30 MIS novices and the learning curves
   calculated. The novices performed a cholecystectomy on a pig organ model
   before and after the curriculum which were analyzed using the GOALS
   score.
   Results Benchmarks defined by expert performance for the task Nos. 1 to
   6 were 72 s (+/- 8) (Pack Your Luggage), 49 s (+/- 9) (Weaving), 66 s
   (+/- 10) (Chinese Jump Rope), 89 s (+/- 28) (Triangle Cut), 138 s (+/-
   44) (Hammer Cut), and 98 (+/- 22) (Suturing). The median numbers of
   required repetitions by the novices to reach the proficiency level were
   n = 42 (7-80), n = 26 (9-55), n = 32 (14-77), n = 44(15-59), n = 19
   (6-68), and n = 26 (15-60). These values were all located at the
   beginning of the plateau phase of the learning curves. GOALS score
   improved significantly after completion of the curriculum (18.0 (+/-
   2.6) vs. 10.9 (+/- 1.6), p < 0.0001).
   Conclusion The LTB curriculum constitutes a new highly standardized and
   proficiency level-based training program for basic skills in MIS.
   Transferability of the task content to a (sub)-realistic environment
   could be demonstrated. Still, future trials will have to further
   validate the effectiveness of the LTB curriculum.
ZR 0
TC 16
ZB 1
ZS 0
Z8 0
ZA 0
Z9 16
U1 0
U2 3
SN 1435-2443
EI 1435-2451
UT WOS:000429375900011
PM 29196840
ER

PT J
AU Mishra, Anuradha
   Browning, David
   Haviland, Miriam J.
   Jackson, Mary Lou
   Luff, Donna
   Meyer, Elaine C.
   Talcott, Katherine
   Kloek, Carolyn E.
TI Communication Skills Training in Ophthalmology: Results of a Needs
   Assessment and Pilot Training Program
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 2
BP 417
EP 426
DI 10.1016/j.jsurg.2017.08.011
PD MAR-APR 2018
PY 2018
AB OBJECTIVE: To conduct a needs assessment to identify gaps in
   communication skills training in ophthalmology residency programs and to
   use these results to pilot a communication workshop that prepares
   residents for difficult conversations.& para;& para;DESIGN: A
   mixed-methods design was used to perform the needs assessment. A pre-and
   post-survey was administered to workshop participants.& para;&
   para;SETTING: Mass Eye and Ear Infirmary, Harvard Medical School (HMS),
   Department of Ophthalmology.& para;& para;PARTICIPANTS: HMS
   ophthalmology residents from postgraduate years 2-4 participated in the
   needs assessment and the workshop. Ophthalmology residency program
   directors in the United States participated in national needs
   assessment.& para;& para;METHODS: Ophthalmology program directors across
   the United States were queried on their perception of resident
   communication skills training through an online survey. A targeted needs
   assessment in the form of a narrative exercise captured resident
   perspectives on communication in ophthalmology from HMS residents. A
   group of HMS residents participated in the pilot workshop and a pre- and
   post-survey was administered to participants to assess its
   effectiveness.& para;& para;RESULTS: The survey of program directors
   yielded a response rate of 40%. Ninety percent of respondents agreed
   that the communication skills training in their programs could be
   improved. Fifteen of 24 residents (62%) completed the needs assessment.
   Qualitative analysis of the narrative material revealed four themes; (1)
   differing expectations, (2) work role and environment, (3) challenges
   specific to ophthalmology, and (4) successful strategies adopted. Nine
   residents participated in the workshop. There was a significant
   improvement postworkshop in resident reported scores on their ability to
   manage their emotions during difficult conversations (p = 0.03).& para;&
   para;CONCLUSIONS: There is an opportunity to improve communication
   skills training in ophthalmology residency through formalized
   curriculum. (C) 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
OI Haviland, Miriam/0000-0003-3553-6561
ZA 0
ZS 0
Z8 0
ZR 0
ZB 3
TC 10
Z9 10
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000430136800024
PM 28870710
ER

PT J
AU Cecilio-Fernandes, Dario
   Cnossen, Fokie
   Jaarsma, Debbie A. D. C.
   Tio, Rene A.
TI Avoiding Surgical Skill Decay: A Systematic Review on the Spacing of
   Training Sessions
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 2
BP 471
EP 480
DI 10.1016/j.jsurg.2017.08.002
PD MAR-APR 2018
PY 2018
AB OBJECTIVE: Spreading training sessions over time instead of training in
   just 1 session leads to an improvement of long-term retention for
   factual knowledge. However, it is not clear whether this would also
   apply to surgical skills. Thus, we performed a systematic review to find
   out whether spacing training sessions would also improve long-term
   retention of surgical skills.
   DESIGN: We searched the Medline, PsycINFO, Embase, Eric, and Web of
   Science online databases. We only included articles that were randomized
   trials with a sample of medical trainees acquiring surgical motor skills
   in which the spacing effect was reported. The quality and bias of the
   articles were assessed using the Cochrane Collaboration's risk of bias
   assessment tool.
   RESULTS: With respect to the spacing effect, 1955 articles were
   retrieved. After removing duplicates and articles that did not meet the
   inclusion criteria, 11 articles remained. The overall quality of the
   experiments was "moderate." Trainees in the spaced condition scored
   higher in a retention test than students in the massed condition.
   CONCLUSIONS: Our systematic review showed evidence that spacing training
   sessions improves long-term surgical skills retention when compared to
   massed practice. However, the optimal gap between the re-study sessions
   is unclear. (C) 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
RI Cnossen, Fokie/H-3806-2012; Cecilio-Fernandes, Dario/D-2494-2013; Tio, Rene/ABG-2820-2020
OI Cecilio-Fernandes, Dario/0000-0002-8746-1680; 
ZA 0
TC 39
ZS 1
ZR 0
ZB 7
Z8 0
Z9 39
U1 3
U2 14
SN 1931-7204
EI 1878-7452
UT WOS:000430136800031
PM 28843958
ER

PT J
AU Thaung, C.
TI Blogging for medical education - a personal view
SO JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH
VL 48
IS 1
BP 48
EP 49
DI 10.4997/JRCPE.2018.112
PD MAR 2018
PY 2018
AB Medical education has evolved considerably from didactic and
   lecture-based to self-directed, especially with the rise of online
   platforms. While large organisations may commission or create entire
   customised courses for online learning, the individual teacher has a
   more modest and immediately accessible tool with which to disseminate
   information to students and other learners: blogging.
RI Thaung, Caroline/C-2180-2008
OI Thaung, Caroline/0000-0002-8318-046X
TC 1
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
Z9 1
U1 0
U2 1
SN 1478-2715
EI 2042-8189
UT WOS:000431374700013
PM 29741528
ER

PT J
AU Forrester, Jared A.
   Weiser, Thomas G.
   Forrester, Joseph D.
TI An Update on Fatalities Due to Venomous and Nonvenomous Animals in the
   United States (2008-2015)
SO WILDERNESS & ENVIRONMENTAL MEDICINE
VL 29
IS 1
BP 36
EP 44
DI 10.1016/j.wem.2017.10.004
PD MAR 2018
PY 2018
AB Introduction-To review recent (2008-2015) United States mortality data
   from deaths caused by nonvenomous and venomous animals and compare with
   historical data.
   Methods-The Centers for Disease Control and Prevention Wide-Ranging
   Online Data for Epidemiologic Research database was queried to return
   all animal-related fatalities between 2008 and 2015. Mortality
   frequencies for animal-related fatalities were calculated using the
   estimated 2011 United States population. Inclusion criteria included all
   mortalities that were a consequence of bite, contact, attack, or
   envenomation (International Classification of Diseases 10th revision
   codes W53-W59 and X20-X29).
   Results-There were 1610 animal-related fatalities, with the majority
   from nonvenomous animals (2.8 deaths per 10 million persons). The
   largest proportion of animal-related fatalities was due to "other
   mammals," largely composed of horses and cattle. Deaths attributable to
   Hymenoptera (hornets, wasps, and bees) account for 29.7% of the overall
   animal-related fatalities and have been steady over the last 20 years.
   Dog-related fatality frequencies are stable, although the fatality
   frequency of 4.6 deaths per 10 million persons among children 4 years of
   age or younger was nearly 4-fold greater than in the other age groups.
   Conclusions-Appropriate education and prevention measures aimed at
   decreasing injury from animals should be directed at the high-risk
   groups of agricultural workers and young children with dogs. Public
   policy and treatment pricing should align to ensure adequate available
   medication for those at risk of anaphylaxis from stings from
   Hymenoptera.
RI Weiser, Thomas G/AAC-4609-2022; Forrester, Joseph/; Forrester, Jared/
OI Weiser, Thomas G/0000-0002-3118-3888; Forrester,
   Joseph/0000-0002-8558-6180; Forrester, Jared/0000-0001-5897-1588
ZS 1
TC 22
ZR 0
ZA 0
Z8 0
ZB 11
Z9 23
U1 0
U2 5
SN 1080-6032
EI 1545-1534
UT WOS:000427807200006
PM 29373216
ER

PT J
AU Packer, Rowena M. A.
   McGreevy, Paul D.
   Pergande, Amy
   Volk, Holger A.
TI Negative effects of epilepsy and antiepileptic drugs on the trainability
   of dogs with naturally occurring idiopathic epilepsy
SO APPLIED ANIMAL BEHAVIOUR SCIENCE
VL 200
BP 106
EP 113
DI 10.1016/j.applanim.2017.11.008
PD MAR 2018
PY 2018
AB Epilepsy and anti-epileptic drug (AED) treatment have been found to
   induce or exacerbate underlying cognitive impairments in people,
   affecting learning ability, attention and memory. Idiopathic epilepsy
   (IE) is the most common chronic neurological condition in dogs. Whether
   IE impairs cognition, which may be reflected in affected dogs'
   trainability, has not been explored. The aim of this study was to
   investigate whether IE and/or AED treatment compromise the trainability
   of dogs with IE compared to controls. An online cross-sectional study
   was conducted, resulting in a sample of 4051 dogs, of which 286 had been
   diagnosed with IE. Owners reported their dog's trainability using a
   previously validated research questionnaire, along with their dogs'
   training history (type of activities and training methods used) and
   clinical history. Four factors were significantly associated with
   trainability in a generalised linear mixed model: (i) epilepsy
   diagnosis: dogs with IE had significantly lower trainability than
   controls; (ii) age: dogs aged > 12 years had significantly lower
   trainability than all other age groups; (iii) adult training history
   score: dogs with greater exposure to training activities were more
   trainable; and (iv) training method: dogs whose owners used a mix of
   both reward and punishment-based methods had lower trainability than
   those using solely reward-based methods. Within the sub-population of
   dogs with IE, those treated with (i) polytherapy (2-3 AEDs), (ii)
   zonisamide and/or (iii) potassium bromide exhibited lower trainability.
   This study provides initial evidence of cognitive impairment associated
   with IE and treatments for it, as measured by a metric of trainability.
   Further study is required to characterise these deficits. However, if
   these effects are confirmed, the merits of using the dog as a model of
   spontaneously occurring epilepsy will be strengthened, further
   consideration of the effects of AEDs will be required, and strategies to
   enhance cognition in affected dogs should be explored.
RI Volk, Holger Andreas/B-9965-2011; McGreevy, Paul/; Packer, Rowena/
OI Volk, Holger Andreas/0000-0002-7312-638X; McGreevy,
   Paul/0000-0001-7220-8378; Packer, Rowena/0000-0002-9988-9828
Z8 0
ZR 0
TC 16
ZS 0
ZA 0
ZB 6
Z9 16
U1 0
U2 15
SN 0168-1591
EI 1872-9045
UT WOS:000427216600014
ER

PT J
AU Mwacalimba, Kennedy
   Litster, Annette
TI Pilot study of the financial and practice protocol impacts of canine
   influenza virus (H3N2) outbreaks in example veterinary practices
SO PREVENTIVE VETERINARY MEDICINE
VL 151
BP 1
EP 4
DI 10.1016/j.prevetmed.2017.12.016
PD MAR 1 2018
PY 2018
AB Since March 2015, canine influenza virus (CIV) H3N2 has caused
   widespread outbreaks in dogs across the USA. The effects of local H3N2
   outbreaks on veterinary practices were investigated using an online
   interface and followed with phone calls to respondents when necessary.
   An outbreak was defined as confirmed diagnosis of H3N2 by either PCR or
   serology in at least four dogs. Of 30 practices invited to participate,
   five met the entry criteria: at least one documented H3N2 outbreak in
   the previous 12 months, a predominantly ( >= 70%) small animal caseload,
   and adequate financial records to complete the survey. Respondents
   reported 1-3 H3N2 outbreaks/practice over the last 12 months, with 4-8
   dogs diagnosed/outbreak. For each participating practice, self reported
   direct financial impact data was collected from the single H3N2 outbreak
   that involved the most dogs. The two most substantial categories of
   self-reported financial loss occurred due to boarding facility closure
   (estimated cost per practice: median $5000), and treatment costs borne
   by the practice (estimated cost per practice: median $2850). Median
   extra biosecurity costs were $300/practice. Median total direct costs of
   an H3N2 outbreak were $8945/practice. Lost foot traffic included
   cancelled appointments, appointments redirected to other veterinary
   hospitals for the duration of the outbreak, and loss of revenue from
   ancillary services provided during usual business (calculated cost per
   practice: median $450). Cost/practice normalized by the number of
   fulltime veterinarians in each practice was calculated and additional
   effects, such as interruptions to daily practice routine, reduced
   productivity, reputation loss and poor staff morale, were also reported.
   Vaccination against H3N2 was introduced as part of routine practice
   vaccination protocols or was made mandatory before boarding in three of
   five practices. In the remaining two practices, a focus on client
   education about canine infectious disease, especially H3N2, emerged in
   response to outbreaks. H3N2 outbreaks had substantial impacts on
   veterinary practice finances, daily routines and staff morale, and was
   associated with enhancements in vaccination, biosecurity and client
   education protocols.
OI Mwacalimba, Kennedy/0000-0001-6663-7838
ZS 0
ZB 0
TC 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 3
SN 0167-5877
EI 1873-1716
UT WOS:000428098300001
PM 29496100
ER

PT J
AU de Moraes, Daniela Macedo
   Braga, Vinicius Lopes
   Riechelmann, Guilherme Salemi
   Cavalheiro, Sergio
TI The Importance of Student Leagues on Medical Training in Neurosurgery
   and Residency Choice
SO BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA
VL 37
IS 1
BP 13
EP 18
DI 10.1055/s-0038-1641579
PD MAR 2018
PY 2018
AB Introduction Neurological and neurosurgical disorders are highly
   prevalent in Brazil. The initial management is performed by general
   practitioners, showing the importance of theoretical and practical
   studies of neurology and neurosurgery during undergraduate medical
   courses.
   Objective Describe the choices of medical specialty by members of a
   neurosurgery student league and investigate the existence and
   composition of neurology and/or neurosurgery courses and neuro-leagues
   in medical schools in Brazil.
   Methods We surveyed, in person or through social networks, all medical
   students who were members of the Neurosurgery Student League of Escola
   Paulista de Medicina (EPM) from 2007 to 2015 on the completion of their
   course and residency chosen. An online form was also submitted to all
   the medical schools registered with the Federal Council of Medicine
   (Conselho Federal de Medicina [CFM])
   Results and Discussion Fifty-seven medical graduates had participated in
   the Neurosurgery Student League of EPM. Out of these, 45 have completed
   their undergraduate courses; 6 have undergone neurosurgery and 5
   neurology. We obtained responses from 128 out of the 173 medical schools
   affiliated with the CFM. A total of 91% of the schools responded that
   they have a structured neurology course. These courses are divided as
   into: 32 exclusively theoretical, with 12 addressing neurosurgery and 84
   are theoretical-practical, with 51 addressing neurosurgery. Structured
   neurosurgery courses were only present in 19% of the faculties, half of
   which are theoretical only. Neurosciences leagues were present in 66% of
   the universities.
   Conclusions It was noted that neurology and neurosurgery student leagues
   in 66% of the medical schools in Brazil is, many times, used to
   supplement theoretical-practical content that should have been addressed
   at undergraduate level. Unfortunately, only 9.5% of the medical schools
   include a theoretical-practical neurosurgery course in their curriculum,
   a fact that is concerning due to the high prevalence of neurologic
   diseases in the Brazilian population.
   Resumo
   IntroducAo Disturbios neurologicos e neurocirurgicos sAo altamente
   prevalentes no Brasil. O atendimento inicial e realizado por medicos
   generalistas, o que demonstra a importancia dos estudos praticos e
   teoricos em neurologia e neurocirurgia nos cursos de graduacAo em
   medicina.
   Objetivos Descrever a escolha da especialidade medica dos formandos da
   Liga Academica de Neurocirurgia da Escola Paulista de Medicina (LNC-EPM)
   e mapear a composicAo dos cursos de neurologia e/ou neurocirurgia e a
   presenca de ligas academicas dessas disciplinas nas escolas medicas do
   Brasil.
   Metodos Levantamento pessoal ou por rede social com todos os membros da
   liga de neurocirurgia da EPM de 2007 a 2015 quanto a conclusAo do curso
   e a residencia escolhida. Envio de um formulario online para todas as
   escolas medicas cadastradas no Conselho Federal de Medicina (CFM).
   Resultados e DiscussAo Cinquenta e sete graduandos de medicina ja
   participaram da LNC-EPM, sendo que 45 ja concluiram a graduacAo, 6
   fizeram neurocirurgia e 5 neurologia. Conseguimos respostas de 128 das
   173 escolas medicas cadastradas no CFM. Um total de 91% das escolas
   respondeu que possuem curso de neurologia estruturado. Esses cursos
   dividem-se em: 32 exclusivamente teoricos, com 12 abordando a
   neurocirurgia; 84 teorico-praticos, com 51 abordando a neurocirurgia.
   Apenas 19% das faculdades apresentam curso proprio estruturado de
   neurocirurgia, sendo que metade destes e apenas teorico. Um total de 66%
   das universidades tem liga academica das disciplinas citadas.
   ConclusAo Nota-se que a presenca de ligas academicas de neurologia e
   neurocirurgia em 66% das escolas medicas brasileiras e, muitas vezes,
   usada para suprir conhecimento teorico-pratico que deveria ser abordado
   na graduacAo. Infelizmente, apenas 9,5% das escolas tem curso
   teorico-pratico proprio de neurocirurgia na grade curricular, um fato
   que e preocupante devido a alta prevalencia das doencas neurologicas na
   populacAo.
RI Braga, Vinícius Lopes/F-4678-2017; Braga, Vinícius Lopes/AAQ-6303-2021
OI Braga, Vinícius Lopes/0000-0001-6736-2928; 
ZS 0
TC 2
ZB 0
ZA 0
ZR 0
Z8 0
Z9 2
U1 0
U2 1
SN 0103-5355
EI 2359-5922
UT WOS:000430081900003
ER

PT J
AU Turjamaa, Riitta
   Hynynen, Marja-Anneli
   Mikkonen, Irma
   Ylinen, Eeva-Riitta
TI Dialogic oral exam in nursing education: A qualitative study of nursing
   students' perceptions
SO NURSE EDUCATION IN PRACTICE
VL 29
BP 53
EP 58
DI 10.1016/j.nepr.2017.11.008
PD MAR 2018
PY 2018
AB The purpose of this articl is to explore nursing students' experiences
   of dialogic group oral exams used in the assessment of a medical nursing
   course. We discuss a small-group, educator-facilitated exam (dialogue
   exam). The data were gathered in April 2015 via an online survey
   including open questions. The participants were nursing students (n =
   58) at a University of Applied Sciences. The data were subjected to
   inductive content analysis. The results suggest that students'
   experiences of the dialogue exam can be represented by four themes:
   context bound dynamics, new shared understanding, verified competences
   and holistic nursing care. The students liked the dialogue exam format,
   preferring it to the traditional individual written exam. The
   prerequisite for successful use of the dialogue exam format is that
   candidates perceived the exam situation as safe. Students need to be
   given information about the schedule and assessment criteria beforehand
   and should have some experience of the format.
ZR 0
ZB 0
ZA 0
TC 1
ZS 0
Z8 0
Z9 1
U1 0
U2 6
SN 1471-5953
UT WOS:000429755000009
PM 29172057
ER

PT J
AU Baten, A.
   Bleeker-Rovers, C. P.
   van den Heijkant, F.
   de Graaf, J.
   Fluit, C. R. M. G.
TI Residents' readiness for out-of-hours service: a Dutch national survey
SO NETHERLANDS JOURNAL OF MEDICINE
VL 76
IS 2
BP 78
EP 83
PD MAR 2018
PY 2018
AB Background: Residents play a crucial role in out-of-hours service. Their
   perceived readiness for out-of-hours service, however, remains
   underexposed. This national exploratory study assesses whether or not
   Dutch residents feel sufficiently prepared to provide out-of-hours
   service at the time of their first shift, and aims to identify factors
   influencing perceived readiness.
   Methods: An online questionnaire focussing on residents' working
   conditions was accessible from 21 September to 10 November 2015.
   Questions targeting perceived readiness for out-of-hours service were
   presented to all responding medical residents actively involved in
   out-of-hours service. Residents who felt sufficiently prepared were
   compared with residents who did not, exploring both individual
   characteristics and environmental factors.
   Results: A total of 960 residents (mean age 32.5 years +/- 3.5, 72.4%
   female) from over 30 different medical specialties were included.
   Thirty-six percent of responding residents felt insufficiently prepared
   to provide out-of-hours service at the time of their first shift.
   Current junior status (p = 0.020), prolonged clinical experience prior
   to the first shift (p < 0.001), targeted training (p < 0.001),
   assessment of relevant skills and competencies (p < 0.001), and formal
   consequences following negative assessment (p = 0.001) were positively
   associated with perceived readiness.
   Conclusion: One-third of responding residents felt insufficiently
   prepared for their first out-of-hours shift. Our results emphasise the
   need for sufficient time to gain clinical experience as a new graduate,
   and underline the positive contribution of targeted training and
   assessment of skills and competencies relevant to out-of-hours service.
RI Fluit, Cornelia/AAC-4924-2021; Fluit, Cornelia/AAF-6467-2019; Bleeker-Rovers, Chantal P/D-4833-2009
OI Fluit, Cornelia/0000-0002-8714-9339; Bleeker-Rovers, Chantal
   P/0000-0003-4900-6262
ZS 0
TC 2
ZR 0
ZB 0
Z8 0
ZA 0
Z9 2
U1 0
U2 0
SN 0300-2977
EI 1872-9061
UT WOS:000427553200006
PM 29515005
ER

PT J
AU Snyder, Matthew J.
   Nguyen, Dana R.
   Womack, Jasmyne J.
   Bunt, Christopher W.
   Westerfield, Katie L.
   Bell, Adriane E.
   Ledford, Christy J. W.
TI Testing Quick Response (QR) Codes as an Innovation to Improve Feedback
   Among Geographically-Separated Clerkship Sites
SO FAMILY MEDICINE
VL 50
IS 3
BP 188
EP 194
DI 10.22454/FamMed.2018.936023
PD MAR 2018
PY 2018
AB BACKGROUND AND OBJECTIVES: Collection of feedback regarding medical
   student clinical experiences for formative or summative purposes remains
   a challenge across clinical settings. The purpose of this study was to
   determine whether the use of a quick response (QR) code-linked online
   feedback form improves the frequency and efficiency of rater feedback.
   METHODS: In 2016, we compared paper-based feedback forms, an online
   feedback form, and a QR code-linked online feedback form at 15 family
   medicine clerkship sites across the United States. Outcome measures
   included usability, number of feedback submissions per student, number
   of unique raters providing feedback, and timeliness of feedback provided
   to the clerkship director.
   RESULTS: The feedback method was significantly associated with
   usability, with QR code scoring the highest, and paper second. Accessing
   feedback via QR code was associated with the shortest time to prepare
   feedback. Across four rotations, separate repeated measures analyses of
   variance showed no effect of feedback system on the number of
   submissions per student or the number of unique raters.
   CONCLUSIONS: The results of this study demonstrate that preceptors in
   the family medicine clerkship rate QR code-linked feedback as a high
   usability platform. Additionally, this platform resulted in faster form
   completion than paper or online forms. An overarching finding of this
   study is that feedback forms must be portable and easily accessible.
   Potential implementation barriers and the social norm for providing
   feedback in this manner need to be considered.
OI Bunt, Christopher/0000-0002-5130-6902
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
TC 8
Z9 8
U1 1
U2 2
SN 0742-3225
EI 1938-3800
UT WOS:000429064300004
PM 29537461
ER

PT J
AU Owoc, Maryanna S.
   Kozin, Elliott D.
   Remenschneider, Aaron
   Duarte, Maria J.
   Hight, Ariel Edward
   Clay, Marjorie
   Meyer, Susanna E.
   Lee, Daniel J.
   Briggs, Selena
TI Medical and bioethical considerations in elective cochlear implant array
   removal
SO JOURNAL OF MEDICAL ETHICS
VL 44
IS 3
BP 174
EP 179
DI 10.1136/medethics-2016-103655
PD MAR 2018
PY 2018
AB Objective Cochlear explantation for purely elective (e.g. psychological
   and emotional) reasons is not well studied. Herein, we aim to provide
   data and expert commentary about elective cochlear implant (CI) removal
   that may help to guide clinical decision-making and formulate guidelines
   related to CI explantation.
   Data sources We address these objectives via three approaches: case
   report of a patient who desired elective CI removal; review of
   literature and expert discussion by surgeon, audiologist, bioethicist,
   CI user and member of Deaf community.
   Review methods A systematic review using three scientific online
   databases was performed. Included articles addressed the benefits and/or
   complications of cochlear implantation in young children, CI
   explantation with or without revision surgery and the ethical debate
   between the medical and Deaf communities on cochlear implantation and
   explantation.
   Conclusions The medical and audiological perspectives identify a host of
   risks related to implant removal without reimplantation, including risk
   from surgery, general anaesthesia, cochlear ossification and poor
   audiometric outcomes. The member of the deaf community and bioethicist
   argue that physicians need to guide the principles of beneficence,
   non-maleficence and patient autonomy. Taken together, patient desires
   should be seen as paramount, if the patient is otherwise fit for surgery
   and well informed.
   Implications for practice Similar to the case of device implantation,
   device explantation should be a multidisciplinary and collaborative
   decision with the patient and the family's desires at the centre. While
   every case is different, we offer a CI explantation discussion to assist
   in clinical decision-making, patient counselling and education.
RI Lee, Daniel/N-5422-2019; Remenschneider, Aaron/; Duarte, Maria/; Hight, Ariel/
OI Remenschneider, Aaron/0000-0003-0989-6264; Duarte,
   Maria/0000-0001-5906-7507; Hight, Ariel/0000-0002-4021-7381
ZR 0
ZS 0
ZA 0
Z8 0
ZB 2
TC 4
Z9 4
U1 0
U2 5
SN 0306-6800
EI 1473-4257
UT WOS:000428917900008
PM 28947504
ER

PT J
AU Li, Linda C.
   Shaw, Chris D.
   Lacaille, Diane
   Yacyshyn, Elaine
   Jones, C. Allyson
   Koehn, Cheryl
   Hoens, Alison M.
   Geldman, Jasmina
   Sayre, Eric C.
   Macdonald, Graham G.
   Leese, Jenny
   Bansback, Nick
TI Effects of a Web-Based Patient Decision Aid on Biologic and
   Small-Molecule Agents for Rheumatoid Arthritis: Results From a
   Proof-of-Concept Study
SO ARTHRITIS CARE & RESEARCH
VL 70
IS 3
BP 343
EP 352
DI 10.1002/acr.23287
PD MAR 2018
PY 2018
AB ObjectiveTo assess the extent to which ANSWER-2, an interactive online
   patient decision aid, reduces patients' decisional conflict and improves
   their medication-related knowledge and self-management capacity.
   MethodsWe used a pre-post study design. Eligible participants had a
   diagnosis of rheumatoid arthritis (RA), had been recommended to start
   using a biologic agent or small-molecule agent or to switch to a new
   one, and had internet access. Access to ANSWER-2 was provided
   immediately after enrollment. Outcome measures included 1) the
   Decisional Conflict Scale (DCS), 2) the Medication Education Impact
   Questionnaire (MeiQ), and 3) the Partners in Health Scale (PIHS). A
   paired t-test was used to assess differences pre- and postintervention.
   ResultsThe majority of the 50 participants were women (n = 40), and the
   mean SD age of participants was 49.6 +/- 12.2 years. The median disease
   duration was 5 years (25th, 75th percentile: 2, 10 years). The mean +/-
   SD DCS score was 45.9 +/- 25.1 preintervention and 25.1 +/- 21.8
   postintervention (mean change of -21.2 of 100 [95% confidence interval
   (95% CI) -28.1, -14.4], P < 0.001). Before using ANSWER-2, 20% of
   participants had a DCS score of <25, compared to 52% of participants
   after the intervention. Similar results were observed in the PIHS (mean
   +/- SD 25.3 +/- 14.8 preintervention and 20.4 +/- 13.0 postintervention;
   mean change of -3.7 of 88 [95% CI -6.3, -1.0], P = 0.009). Findings from
   the MeiQ were mixed, with statistically significant differences found
   only in the self-management subscales.
   ConclusionPatients' decisional conflict decreased and perceived
   self-management capacity improved after using ANSWER-2. Future research
   comparing the effectiveness of ANSWER-2 with that of educational
   material on biologic agents will provide further insight into its value
   in RA management.
RI Hoens, Alison/AAS-6442-2021; Li, Linda C./P-8485-2015; Shaw, Christopher/
OI Hoens, Alison/0000-0002-9533-9079; Li, Linda C./0000-0001-6280-0511;
   Shaw, Christopher/0000-0002-6940-7971
TC 10
Z8 1
ZR 0
ZA 0
ZB 5
ZS 0
Z9 11
U1 0
U2 5
SN 2151-464X
EI 2151-4658
UT WOS:000426155400003
PM 28544648
ER

PT J
AU Long, William W.
   Modi, Krishna D.
   Haws, Brittany E.
   Khechen, Benjamin
   Massel, Dustin H.
   Mayo, Benjamin C.
   Singh, Kern
TI Assessing Online Patient Education Readability for Spine Surgery
   Procedures
SO CLINICAL SPINE SURGERY
VL 31
IS 2
BP E146
EP E151
DI 10.1097/BSD.0000000000000575
PD MAR 2018
PY 2018
AB Background Context: Increased patient reliance on Internet-based health
   information has amplified the need for comprehensible online patient
   education articles. As suggested by the American Medical Association and
   National Institute of Health, spine fusion articles should be written
   for a 4th-6th-grade reading level to increase patient comprehension,
   which may improve postoperative outcomes.
   Purpose: The purpose of this study is to determine the readability of
   online health care education information relating to anterior cervical
   discectomy and fusion (ACDF) and lumbar fusion procedures.
   Study Design: Online health-education resource qualitative analysis.
   Methods: Three search engines were utilized to access patient education
   articles for common cervical and lumbar spine procedures. Relevant
   articles were analyzed for readability using Readability Studio
   Professional Edition software (Oleander Software Ltd). Articles were
   stratified by organization type as follows: General Medical Websites
   (GMW), Healthcare Network/Academic Institutions (HNAI), and Private
   Practices (PP). Thirteen common readability tests were performed with
   the mean readability of each compared between subgroups using analysis
   of variance.
   Results: ACDF and lumbar fusion articles were determined to have a mean
   readability of 10.7 +/- 1.5 and 11.3 +/- 1.6, respectively. GMW, HNAI,
   and PP subgroups had a mean readability of 10.9 +/- 2.9, 10.7 +/- 2.8,
   and 10.7 +/- 2.5 for ACDF and 10.9 +/- 3.0, 10.8 +/- 2.9, and 11.6 +/-
   2.7 for lumbar fusion articles. Of 310 total articles, only 6 (3 ACDF
   and 3 lumbar fusion) were written for comprehension below a 7th-grade
   reading level.
   Conclusions: Current online literature from medical websites containing
   information regarding ACDF and lumbar fusion procedures are written at a
   grade level higher than the suggested guidelines. Therefore, current
   patient education articles should be revised to accommodate the average
   reading level in the United States and may result in improved patient
   comprehension and postoperative outcomes.
OI Haws, Brittany/0000-0001-8189-1922
TC 7
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
Z9 7
U1 0
U2 2
SN 2380-0186
UT WOS:000428709800009
PM 28857969
ER

PT J
AU Hilty, Donald M.
   Turvey, Carolyn
   Hwang, Tiffany
TI Lifelong Learning for Clinical Practice: How to Leverage Technology for
   Telebehavioral Health Care and Digital Continuing Medical Education
SO CURRENT PSYCHIATRY REPORTS
VL 20
IS 3
AR 15
DI 10.1007/s11920-018-0878-y
PD MAR 2018
PY 2018
AB Purpose of Review Psychiatric practice continues to evolve and play an
   important role in patients' lives, the field of medicine, and health
   care delivery. Clinicians must learn a variety of clinical care systems
   and lifelong learning (LLL) is crucial to apply knowledge, develop
   skills, and adjust attitudes. Technology is rapidly becoming a key
   player-in delivery, lifelong learning, and education/training.
   Recent Findings The evidence base for telepsychiatry/telemental health
   via videoconferencing has been growing for three decades, but a greater
   array of technologies have emerged in the last decade (e.g., social
   media/networking, text, apps). Clinicians are combining telepsychiatry
   and these technologies frequently and they need to reflect on, learn
   more about, and develop skills for these technologies. The digital age
   has solidified the role of technology in continuing medical education
   and day-to-day practice.
   Summary Other fields of medicine are also adapting to the digital age,
   as are graduate and undergraduate medical education and many allied
   mental health organizations. In the future, there will be more online
   training, simulation, and/or interactive electronic examinations,
   perhaps on a monthly cycle rather than a quasi-annual or 10-year cycle
   of recertification.
OI Turvey, Carolyn/0000-0002-8219-8676
ZA 0
ZS 0
TC 14
Z8 0
ZB 0
ZR 0
Z9 14
U1 1
U2 17
SN 1523-3812
EI 1535-1645
UT WOS:000428526100001
PM 29527637
ER

PT J
AU Anderson, Anastasia H.
   Carter, Mark
   Stephenson, Jennifer
TI Perspectives of University Students with Autism Spectrum Disorder
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 48
IS 3
SI SI
BP 651
EP 665
DI 10.1007/s10803-017-3257-3
PD MAR 2018
PY 2018
AB Students with autism spectrum disorder (ASD) are at heightened risk of
   post-secondary educational failure and account for approximately 1% of
   students in post-secondary education. Findings from an on-line survey of
   students with ASD attending university in Australian are reported in
   this study. Respondents indicated high rates of academic and
   non-academic difficulties but low usage of supports. Ratings for
   supports were idiosyncratic, and some students indicated discomfort from
   using supports or disclosing their disability. Those students who
   delayed their disclosure accessed fewer supports and reported a poorer
   overall university experience. Recommendations were made including the
   need for better transition support and alternative strengths based
   approaches that use more flexible and individualised curriculum designs.
RI Anderson, Anastasia/GLU-8434-2022; Anderson, Anastasia/AAA-6947-2021; Anderson, Anastasia/ABC-7197-2021; Stephenson, Jennifer/
OI Anderson, Anastasia/0000-0002-1123-0819; Stephenson,
   Jennifer/0000-0002-5934-0478
ZB 15
ZS 1
ZR 0
Z8 0
TC 57
ZA 0
Z9 58
U1 1
U2 25
SN 0162-3257
EI 1573-3432
UT WOS:000426066300003
PM 28756552
ER

PT J
AU Sarrett, Jennifer C.
TI Autism and Accommodations in Higher Education: Insights from the Autism
   Community
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 48
IS 3
SI SI
BP 679
EP 693
DI 10.1007/s10803-017-3353-4
PD MAR 2018
PY 2018
AB This article builds on the growing body of research on higher education
   for autistic students by soliciting input from autistic adults on their
   higher education experiences and suggestions on making these experiences
   more 'autism-friendly'. Sixty-six individuals participated in a national
   exploratory survey and thirty-one participated in follow-up, online
   focus groups. The article reviews the accommodations individuals
   received and the accommodations they would have liked to receive.
   Concrete strategies are provided for institutes of higher education to
   address the social and sensory needs of autistic students, areas many
   participants reported being neglected in their academic experience, such
   as mentors and a neurodiverse space. These suggestions are intended to
   complement traditional academic accommodations to improve the outcomes
   of autistic students.
RI Sarrett, Jennifer/AAP-2497-2021
OI Sarrett, Jennifer/0000-0001-7460-426X
ZS 0
ZB 6
Z8 0
ZA 0
TC 34
ZR 0
Z9 34
U1 9
U2 42
SN 0162-3257
EI 1573-3432
UT WOS:000426066300005
PM 29243099
ER

PT J
AU Mason, Paige
   Batt, Alan M.
TI #FOAMems: Engaging paramedics with free, online open-access education
SO JOURNAL OF EDUCATION AND HEALTH PROMOTION
VL 7
IS 1
DI 10.4103/jehp.jehp_84_17
PD MAR 2018
PY 2018
AB Background and Aim: Twitter (R) use among paramedics and other
   prehospital care clinicians is on the rise and is increasingly being
   used as a platform for continuing education and international
   collaboration. In 2014, the hashtag #FOAMems was registered. It is used
   for the sharing of emergency medical services, paramedicine, and
   prehospital care-related content. It is a component of the 'free
   open-access meducation' (FOAM) movement. The aim of this study was to
   characterize and evaluate the content of #FOAMems tweets since
   registration. Materials and Methods: An analytical report for #FOAMems
   was generated on symplur.com from February 4, 2014, to April 30, 2017. A
   transcript of all #FOAMems tweets for a randomly selected 1 month period
   (October 2015) was generated, and quantitative content analysis was
   performed by two reviewers. Tweets were categorized according to source
   (original tweet/retweet) and whether referenced. The top 92 tweeters
   were analyzed for professional identity. Results: During the study
   period, there were over 99,000 tweets containing #FOAMems, by over 9,200
   participants. These resulted in almost 144 million impressions. Of the
   top 92 tweeters, 50 were paramedics (54%). Tweets were mainly related to
   cardiac (23%), leadership (19%), and trauma (14%). The 1-month period
   resulted in 649 original tweets, with 2110 retweets; 1070 of these were
   referenced. Conclusion: Paramedics are engaging with both clinical and
   nonclinical content on Twitter (R) using #FOAMems. Social media
   resources are widely shared, which is in line with the FOAM movement's
   philosophy. However, opportunities exist for paramedics to share further
   diverse resources supported by referenced material.
RI Batt, Alan M./T-6664-2017
OI Batt, Alan M./0000-0001-6473-5397
ZB 0
ZS 0
Z8 0
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 0
SN 2277-9531
EI 2319-6440
UT WOS:000614844900001
PM 29619383
ER

PT J
AU Han, Benjamin H.
   Masukawa, Kristin
   Rosenbloom, David
   Kuerbis, Alexis
   Helmuth, Eric
   Liao, Diana H.
   Moore, Alison A.
TI Use of web-based screening and brief intervention for unhealthy alcohol
   use by older adults
SO JOURNAL OF SUBSTANCE ABUSE TREATMENT
VL 86
BP 70
EP 77
DI 10.1016/j.jsat.2018.01.002
PD MAR 2018
PY 2018
AB Background: While the number of older adults who engage in unhealthy
   drinking is increasing, few studies have examined the role of online
   alcohol screening and intervention tools for this population. The
   objective of this study was to describe characteristics of drinking
   behaviors among older adults who visited an alcohol screening and
   intervention website, and compare them to younger adults.
   Methods: We analyzed the responses of visitors to Alcoholscreening.org
   in 2013 (n = 94,221). The prevalence of unhealthy alcohol use,
   behavioral change characteristics, and barriers to changing drinking
   were reported by age group (ages 21-49, 50-65, 66-80). Logistic
   regression models were used to identify characteristics associated with
   receiving a plan to either help cut back or quit drinking.
   Results: Of the entire study sample, 83% of respondents reported
   unhealthy drinking (exceeding daily or weekly recommended limits) with
   84% among 21-49 year olds, 79% among 50-65 year olds, and 85% among
   adults over 65. Older adults reported fewer negative aspects of
   drinking, lower importance to change, highest confidence and fewer
   barriers to change, compared to younger adults. In the adjusted model,
   females (AOR = 1.45, p < 0.001) and older adults (AOR = 1.55, p < 0.002)
   were more likely to receive a plan to change drinking behaviors.
   Discussion: An online screening and intervention tool identified many
   older adults with unhealthy alcohol use behaviors and most were
   receptive to change. Web-based screening and interventions for alcohol
   use have the potential to be widely used among older adults. (C) 2018
   Elsevier Inc. All rights reserved.
RI Han, Benjamin/AAP-4895-2020; Moore, Alison A./ABG-7010-2020; Rosenbloom, David/; Han, Benjamin/; Helmuth, Eric/
OI Rosenbloom, David/0000-0001-5161-2638; Han,
   Benjamin/0000-0001-6882-0142; Helmuth, Eric/0000-0002-7960-4338
Z8 0
ZA 0
ZR 0
ZS 0
ZB 3
TC 7
Z9 7
U1 0
U2 4
SN 0740-5472
UT WOS:000426228600011
PM 29415854
ER

PT J
AU Prabhu, Arpan V.
   Donovan, Ashley L.
   Crihalmeanu, Tudor
   Hansberry, David R.
   Agarwal, Nitin
   Beriwal, Sushil
   Kale, Hrishikesh
   Heller, Matthew
TI Radiology Online Patient Education Materials Provided by Major
   University Hospitals: Do They Conform to NIH and AMA Guidelines?
SO CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
VL 47
IS 2
BP 75
EP 79
DI 10.1067/j.cpradiol.2017.05.007
PD MAR-APR 2018
PY 2018
AB AIMS: The internet creates opportunities for Americans to access medical
   information about imaging tests and modalities to guide them in their
   medical decision-making. Owing to health literacy variations in the
   general population, the American Medical Association and National
   Institutes of Health recommend patient education resources to be written
   between the third and seventh grade levels. Our purpose is to
   quantitatively assess the readability levels of online radiology
   educational materials, written for the public, in 20 major university
   hospitals.
   MATERIALS AND METHODS: In September and October 2016, we identified 20
   major university hospitals with radiology residency-affiliated hospital
   systems. On each hospitals website, we downloaded all radiology-related
   articles written for patient use. A total of 375 articles were analyzed
   for readability level using 9 quantitative readability scales that are
   well validated in the medical literature.
   RESULTS: The 375 articles from 20 hospital systems were collectively
   written at an 11.4 +/- 3.0 grade level (range: 8.4-17.1). Only 11 (2.9%)
   articles were written at the recommended third to seventh grade levels.
   Overall, 126 (33.6%) were written above a full high-school reading
   level. University of Washington Medical Center?s articles were the most
   readable with a reading level corresponding to 7.9 +/- 0.9.
   CONCLUSIONS: The vast majority of websites at major academic hospitals
   with radiology residencies designed to provide patients with information
   about imaging were written above the nationally recommended health
   literacy guidelines to meet the needs of the average American. This may
   limit the benefit that patients can derive from these educational
   materials.
   Copyright (C) 2018 Elsevier Inc. All rights reserved.
RI Prabhu, Arpan/M-4193-2014
OI Prabhu, Arpan/0000-0002-9928-2911
Z8 0
ZB 1
ZS 0
ZA 0
ZR 0
TC 8
Z9 8
U1 0
U2 3
SN 0363-0188
UT WOS:000427749800003
PM 28669431
ER

PT J
AU Chetta, Matthew D.
   Shakir, Afaaf
   Paek, Laurence S.
   Lee, Gordon K.
TI Evaluating Resident Perspectives on International Humanitarian Missions
SO JOURNAL OF CRANIOFACIAL SURGERY
VL 29
IS 2
BP 279
EP 285
DI 10.1097/SCS.0000000000004081
PD MAR 2018
PY 2018
AB Background:Opportunities for international missions are highly sought
   after by medical students, residents, and attending plastic surgeons.
   The educational benefits and ethical considerations of trainees
   participating in these ventures have been extensively debated. At the
   time of this writing, many surgical training programs lack the necessary
   infrastructure or funds to support missions of this sort. Despite the
   increasing interest, the perceived benefit of international work has not
   yet been well studied. The authors seek to evaluate residents'
   perspectives on the personal and educational benefits of international
   mission work.Methods:A 24-item online questionnaire was designed to
   measure residents' perspectives on humanitarian missions. Residents'
   perceptions on how participation in these missions may have influenced
   their career path were also evaluated. This questionnaire was
   disseminated to the plastic surgery residents in Accreditation Council
   for Graduate Medical Education (ACGME) accredited programs in the United
   States during the 2015 to 2016 academic year.Results:Of the 123
   responses collected, 49 (40%) indicated that they had participated in
   international mission work prior to beginning residency, while 74 (60%)
   had not. Fifty-seven percent (n=25) of those who had participated agreed
   that this experience impacted their choice to pursue plastic surgery as
   a specialty. Twenty-nine (24%) participated in 1 or more missions during
   residency. The most common type of mission work focused on cleft
   lip/palate repairs (n=24) followed by nonsurgical medical relief (n=18)
   and general plastics/combined (n=6). Most respondents reported trips
   lasting 6 to 8 days (n=29, 48%), though several reported trips lasting 9
   to 10 days (n=6, 10%) and 11 days or more (n=16, 27%). When asked about
   the volume of procedures performed, 32 (65%) reported participating in
   more than 15 procedures, with 15 (31%) residents reporting participation
   in 26 procedures or more. When asked to evaluate the educational
   benefits in light of the 6 core competencies from the ACGME, there was
   an overwhelmingly positive response.Conclusions:Residents perceive
   international mission experiences to be valuable for professional
   development as well as an effective tool for surgical education,
   particularly in the setting of competency-based education goals and
   these ventures should be supported by training programs. An
   appropriately planned mission experience can impact the professional and
   educational development of the trainee.
CT 62nd Annual Meeting of the Plastic-Surgery-Research-Council
CY MAY 04-07, 2017
CL Durham, NC
SP Plast Surg Res Council
OI Shakir, Afaaf/0000-0002-9445-9992
ZB 0
ZR 0
ZA 0
TC 6
ZS 0
Z8 0
Z9 6
U1 0
U2 3
SN 1049-2275
EI 1536-3732
UT WOS:000427989400044
PM 29283950
ER

PT J
AU Welshhans, Jamie L.
   Harmon, Jeffrey J.
   Papel, Ira
   Gentile, Richard
   Mangat, Devinder
   Byrne, Patrick
   Collar, Ryan M.
TI Association Between Patient Value Systems and Physician and Practice
   Attributes Available Online
SO JAMA FACIAL PLASTIC SURGERY
VL 20
IS 2
BP 116
EP 121
DI 10.1001/jamafacial.2017.1146
PD MAR-APR 2018
PY 2018
AB IMPORTANCE The relative value of facial plastic surgeon personal and
   practice attributes is relevant to the broader health care system
   because of increasing out-of-pocket expenses to patients.
   OBJECTIVE To determine the relative value of specific facial plastic
   surgeon personal and practice attributes available online from the
   perspective of patients.
   DESIGN, SETTING, AND PARTICIPANTS This study consisted of an electronic
   survey sent to patients by email using choice-based conjoint analysis;
   surveys were sent between December 2015 and March 2016. Participants had
   agreed to join email registries to be sent email surveys and promotions
   at 3 private facial plastic and reconstructive surgery practices. The
   following surgeon personal and practice attributes and levels were
   compared: (1) outcome transparency (above average, average, not
   available); (2) surgical training affiliations (US News and World
   Reports rankings); (3) online rating site scores (2 [poor], 3, or 4
   [excellent] stars); and (4) price ($1x, $2x, and $3x [x = $1500; average
   cost was set at $2x]).
   MAIN OUTCOMES AND MEASURES The relative importance of outcome
   transparency, surgical training affiliations, online rating scores, and
   price to prospective patients.
   RESULTS Overall, 291 patients participated for a completion rate of 68%.
   Outcome transparency was the most valued attribute (attribute utility
   range = 141; attribute importance = 35.2%). Price was the least valued
   attribute (attribute utility range = 58.59; attribute importance =
   15.1%). Assuming top-tier affiliations and 4-star ratings, share of
   market (SOM) was 75.5% for surgeons with above-average outcome
   transparency priced at $3x compared with those surgeons with no outcomes
   available priced at $1x. Holding price constant at $2x, surgeons with
   middle-tier affiliations and 2-star online ratings but above average
   outcomes achieved 48.4% SOM when compared with those surgeons with
   top-tier affiliations and 4-star online ratings without available
   outcomes.
   CONCLUSIONS AND RELEVANCE Facial plastic surgery patients most value
   surgeons who publish outcomes. Moreover, they are willing to discount
   poor rating scores and lower-ranked institutional affiliations when
   outcome transparency is high. This study demonstrates that outcome
   transparency is crucial in facial plastic surgery markets.
ZA 0
TC 1
Z8 0
ZR 0
ZB 0
ZS 0
Z9 1
U1 0
U2 2
SN 2168-6076
EI 2168-6092
UT WOS:000427514100005
PM 28859183
ER

PT J
AU Lozada, Kirkland N.
   Bernstein, Joseph M.
TI Current Status of Radiology Training in Otolaryngology Residency
   Programs
SO JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 144
IS 3
BP 218
EP 221
DI 10.1001/jamaoto.2017.2881
PD MAR 2018
PY 2018
AB IMPORTANCE: Otolaryngologists use head and neck imaging on a daily
   basis. However, little is known about the training residents receive on
   the subject. Understanding the current training environment is important
   to identify areas of improvement for resident education.
   OBJECTIVE: To assess the current state of radiology training in
   otolaryngology residency programs.
   DESIGN, SETTING, AND PARTICIPANTS: This was a cross-sectional survey of
   106 otolaryngology residency program directors involving multiple
   academic institutions.
   MAIN OUTCOMES AND MEASURES: The main outcome of this study is the number
   of US otolaryngology residency programs that have a radiology
   curriculum. Measured outcomes were obtained from an anonymous online
   survey and reported as a percent of total respondents.
   RESULTS: Program directors from 39 of 106 (37%) US otolaryngology
   residency training programs responded to the survey. Twenty-eight of 39
   (71%) have a focused radiology curriculum; 18 of 28 (64%) conduct
   sessions on a monthly basis, 8 of 28 (29%) on a quarterly basis, and 2
   of 28 (7%) on a weekly basis. The predominant format (20 of 27 programs
   [74%]) is a mix of case-based review of inpatient studies and standard
   lectures. The largest proportion of sessions were run by radiologists
   (13 of 28 [46%]), with a mix of radiology and otolaryngologists close
   behind (11 of 28 [39%]). Twenty-two of 39 residency programs (56%) have
   a dedicated radiology rotation within their educational curriculum, of
   which 17 of 22 (77%) occur in postgraduate year 1 (PGY-1) of training, 3
   of 22 (14%) in PGY-3, and 2 of 22 (9%) in PGY-4. Rotation lengths range
   from 1 week to 3 months, with most running 1 to 4 weeks. Thirty-two of
   38 of US program directors (84%) believe that a formal radiology
   curriculum would benefit their residents. Thirty-five of 39 believe that
   this should be a case-based review of images. Twenty-four of 38 believe
   this should be done on a monthly basis. Fifteen of 39 responding program
   directors (39%) believe the optimal time is during the PGY-3 of
   training, 36% (14 of 38) favor the PGY-2, and 23% (9 of 38) in PGY-1.
   CONCLUSIONS AND RELEVANCE: Despite no standardized requirements from the
   Accreditation Council for Graduate Medical Education (ACGME), 71% of US
   otolaryngology residency program directors who responded to our survey
   have a radiology curriculum. Most run didactics sessions at the desired
   frequency, setting, and format preferred by responding program
   directors. More than half of programs provide a dedicated radiology
   rotation, mostly during PGY-1, while identifying PGY-2 and PGY-3 as the
   optimal time for such an experience. These results highlight the need
   for a more thorough review of radiology education requirements from the
   ACGME to improve the training of otolaryngology residents across the
   country.
Z8 0
ZR 0
ZA 0
TC 2
ZB 1
ZS 0
Z9 2
U1 0
U2 0
SN 2168-6181
EI 2168-619X
UT WOS:000427593700007
PM 29346475
ER

PT J
AU Berman, Loren
   Rangel, Shawn
   Goldin, Adam
   Skarda, David
   Ottosen, Madelene
   Bliss, David
   Valusek, Patricia
   Fallat, Mary
   Tsao, KuoJen
CA APSA Quality Safety Comm
TI Safety culture among pediatric surgeons: A national survey of attitudes
   and perceptions of patient safety
SO JOURNAL OF PEDIATRIC SURGERY
VL 53
IS 3
BP 381
EP 395
DI 10.1016/j.jpedsurg.2017.09.011
PD MAR 2018
PY 2018
AB Purpose: Improving the culture of safety within health care is an
   essential component of preventing errors and improving overall health
   care quality. The purpose of this study was to characterize the
   attitudes and perceptions of patient safety among pediatric surgeons.
   Methods: We conducted a cross-sectional online survey of American
   Pediatric Surgery Association members. Survey items assessed surgeons'
   knowledge, attitudes, and perceptions of patient safety. We performed
   descriptive statistics and evaluated associations between respondent
   characteristics and survey responses.
   Results: Response rate was 38% (353/928). Surgeons in academic practice
   (96% vs 83% private, P = 0.01) and in leadership positions (98% vs 92%,
   P = 0.03) were more likely to feel actively engaged in patient safety
   initiatives. Surgeons in private practice were less likely to feel safe
   having their own children undergo surgery at their institution (80% vs
   96% academic, P < 0.005).
   Conclusion: Pediatric surgeons have disparate attitudes and perceptions
   of patient safety within their hospitals. Significant variation exists
   based on surgeon characteristics. These findings underscore the need to
   identify barriers to surgeon engagement and develop educational
   initiatives to empower surgeons as leaders in improving patient safety
   culture. (C) 2017 Elsevier Inc. All rights reserved.
OI Berman, Loren/0000-0001-5861-5129; Ottosen, Madelene/0000-0001-7301-820X
ZA 0
ZS 0
Z8 0
TC 8
ZR 0
ZB 1
Z9 8
U1 2
U2 5
SN 0022-3468
EI 1531-5037
UT WOS:000427580900002
PM 29111082
ER

PT J
AU Kaufman, David W.
   Kelly, Judith P.
   Battista, Deena R.
   Malone, Mary Kathryn
   Weinstein, Rachel B.
   Shiffman, Saul
TI Exceeding the daily dosing limit of nonsteroidal anti-inflammatory drugs
   among ibuprofen users
SO PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
VL 27
IS 3
BP 322
EP 331
DI 10.1002/pds.4391
PD MAR 2018
PY 2018
AB PurposeNonsteroidal anti-inflammatory drugs (NSAIDs) are effective and
   very commonly used, but also have side effects. We determined prevalence
   of NSAID dosing exceeding the daily limit (EDL) and identified related
   user characteristics and dosing patterns among current ibuprofen users.
   MethodsOnline 1-week diary study of 1326 ibuprofen users. NSAIDs were
   identified by list-based prompting; respondents were not required to
   know their medications were NSAIDs. Details of hourly use were recorded
   by respondents daily. Deviations from dosing directions were
   programmatically determined afterwards. An exit survey obtained
   information on demographics, medical history, physical and mental health
   status, attitudes regarding label reading and dosing behavior, and
   knowledge of product label instructions.
   ResultsMost diary users (90%) took over-the-counter ibuprofen during the
   week; 37% also took non-ibuprofen NSAIDs. Most did not recognize all
   products taken as NSAIDs. EDL occurred among 11% of users for ibuprofen,
   4% of users for other NSAIDs, and on 9.1% of NSAID usage days. EDL was
   associated with deviations from detailed dosing directions, particularly
   exceeding the 1-time dose, which occurred more often with medications
   with 1-pill doses. Personal characteristics associated with EDL included
   male sex, ongoing pain, poor physical function, daily smoking, having
   the attitudes of choosing my own dose and not starting with the lowest
   dose, and poor knowledge of the recommended 1-time and 24-hour doses.
   ConclusionsThe prevalence of EDL among NSAID users is nontrivial, and it
   is associated with potentially modifiable factors. Educating consumers
   about NSAIDs and their dosing directions could reduce excess dosing.
RI Shiffman, Saul/K-7337-2012; Shiffman, Saul/; Kaufman, David/
OI Shiffman, Saul/0000-0002-9639-490X; Kaufman, David/0000-0002-2150-5070
ZS 0
ZB 2
TC 18
Z8 0
ZR 0
ZA 0
Z9 18
U1 1
U2 10
SN 1053-8569
EI 1099-1557
UT WOS:000426745700010
PM 29372579
ER

PT J
AU Woods, Rashida H.
   Shah, Manish
   Doughty, Cara
   Gilchrest, Anthony
TI A Survey of Restraint Methods for the Safe Transport of Children in
   Ground Ambulances
SO PEDIATRIC EMERGENCY CARE
VL 34
IS 3
BP 149
EP 153
DI 10.1097/PEC.0000000000001280
PD MAR 2018
PY 2018
AB Objectives The National Highway Traffic Safety Administration (NHTSA)
   released draft recommendations in 2010 on the safe transport of children
   in ground ambulances. The purpose of this study was to assess awareness
   of these guidelines among emergency medical service (EMS) agencies and
   to identify implementation barriers.
   Methods We conducted a cross-sectional, anonymous online survey of
   911-responding, ground transport EMS agencies in Texas. Demographics,
   modes of transport based on case scenarios, and barriers to
   implementation were assessed.
   Results Of 62 eligible EMS agencies that took the survey, 35.7% were
   aware of the NHTSA guidelines, 62.5% agreed they would improve safety,
   and 41.1% planned to implement them. Seventy-five percent of EMS
   agencies used the ideal or acceptable alternative to transport children
   requiring continuous monitoring, and 69.5% chose ideal or acceptable
   alternatives for children requiring spinal immobilization. The ideal or
   acceptable alternative was not chosen for children who were not injured
   or ill (93.2%), ill or injured but not requiring continuous monitoring
   (53.3%), and situations when multiple patients required transport
   (57.6%). The main requirements for implementation were provider
   education, ambulance interior modifications, new guidelines in the EMS
   agency, and purchase of new equipment.
   Conclusions Few EMS agencies are aware of the NHTSA guidelines on safe
   transport of children in ground ambulances. Although most agencies
   appropriately transport children who require monitoring, interventions,
   or spinal immobilization, they use inappropriate means to transport
   children in situations with multiple patients, lack of injury or
   illness, or lack of need for monitoring.
TC 2
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
Z9 2
U1 0
U2 3
SN 0749-5161
EI 1535-1815
UT WOS:000427504400008
PM 29494459
ER

PT J
AU Mc Inerney, John
   Lees, Amanda
TI Values exchange: using online technology to raise awareness of values
   and ethics in radiography education
SO JOURNAL OF MEDICAL RADIATION SCIENCES
VL 65
IS 1
BP 13
EP 21
DI 10.1002/jmrs.258
PD MAR 2018
PY 2018
AB Introduction: Ethics and values are increasingly significant aspects of
   patient-centred healthcare. While it is widely agreed that ethics and
   values are essential for healthcare delivery, there is also an
   acknowledgement that these are areas that are challenging to teach. The
   purpose of this study is to report a small-scale evaluative research
   project of a web-based technology with the educational potential to
   facilitate learning in relation to ethics, values, self-reflection and
   peer-based learning. Methods: Five diagnostic radiography students took
   part in a semi-structured focus group with the aim of exploring their
   experiences of using Values Exchange, an online ethical decision-making
   framework, to examine practice-based ethical issues. Transcripts were
   interrogated for key themes. Results: From the thematic analysis three
   major themes emerged, understanding and appreciating others, addressing
   the theory-practice gap and delivering a safe and effective learning
   environment. Perceived limitations of the platform included students'
   fear of misinterpreted responses and possibility of poor group dynamics.
   Conclusions: There are varied approaches to how ethics and values are
   taught and assessed within health-related environments. Values Exchange
   is one such teaching tool and has been investigated and described
   positively by radiography students in this study. Online teaching tools
   can have a positive effect in helping students identify their own values
   but require skilled implementation to reap positive rewards.
OI Mc Inerney, John/0000-0001-9668-108X
ZS 1
ZR 0
ZA 0
ZB 0
TC 6
Z8 0
Z9 6
U1 0
U2 6
SN 2051-3895
EI 2051-3909
UT WOS:000427124900003
PM 29388380
ER

PT J
AU Antiperovitch, Pavel
   Zareba, Wojciech
   Steinberg, Jonathan S.
   Bacharova, Ljuba
   Tereshchenko, Larisa G.
   Farre, Jeronimo
   Nikus, Kjell
   Ikeda, Takanori
   Baranchuk, Adrian
CA Int Soc Electrocardiology
   Int Soc Holter & Noninvasive Elect
TI Proposed In-Training Electrocardiogram Interpretation Competencies for
   Undergraduate and Postgraduate Trainees
SO JOURNAL OF HOSPITAL MEDICINE
VL 13
IS 3
BP 185
EP 193
DI 10.12788/jhm.2876
PD MAR 2018
PY 2018
AB Despite its importance in everyday clinical practice, the ability of
   physicians to interpret electrocardiograms (ECGs) is highly variable.
   ECG patterns are often misdiagnosed, and electrocardiographic
   emergencies are frequently missed, leading to adverse patient outcomes.
   Currently, many medical education programs lack an organized curriculum
   and competency assessment to ensure trainees master this essential
   skill.
   ECG patterns that were previously mentioned in literature were organized
   into groups from A to D based on their clinical importance and
   distributed among levels of training. Incremental versions of this
   organization were circulated among members of the International Society
   of Electrocardiology and the International Society of Holter and
   Noninvasive Electrocardiology until complete consensus was reached.
   We present reasonably attainable ECG interpretation competencies for
   undergraduate and postgraduate trainees. Previous literature suggests
   that methods of teaching ECG interpretation are less important and can
   be selected based on the available resources of each education program
   and student preference. The evidence clearly favors summative trainee
   evaluation methods, which would facilitate learning and ensure that
   appropriate competencies are acquired. Resources should be allocated to
   ensure that every trainee reaches their training milestones and should
   ensure that no electrocardiographic emergency (class A condition) is
   ever missed.
   We hope that these guidelines will inform medical education programs and
   encourage them to allocate sufficient resources and develop organized
   curricula. Assessments must be in place to ensure trainees acquire the
   level-appropriate ECG interpretation skills that are required for safe
   clinical practice. (C) 2018 Society of Hospital Medicine
RI Tereshchenko, Larisa/X-4253-2019; Nikus, Kjell/K-7813-2019
OI Tereshchenko, Larisa/0000-0002-6976-1313; 
ZA 1
TC 18
ZR 0
ZB 3
Z8 0
ZS 1
Z9 20
U1 0
U2 1
SN 1553-5592
EI 1553-5606
UT WOS:000426374100009
PM 29154379
ER

PT J
AU Gurses, Ilke Ali
   Coskun, Osman
   Ozturk, Adnan
TI Current status of cadaver sources in Turkey and a wake-up call for
   Turkish anatomists
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 2
BP 155
EP 165
DI 10.1002/ase.1713
PD MAR-APR 2018
PY 2018
AB Persisting difficulties in body procurement in Turkey led to the
   acquisition of donated, unclaimed, autopsied, and imported bodies
   regulated under current legislature. Yet, no study had investigated the
   extent of the on-going cadaver problem. This study was aimed to outline
   cadaver sources in anatomy departments and their effectiveness by means
   of an online survey. Additionally, official websites of each department
   were investigated regarding any information on body donation. Unclaimed
   cadavers (84.8%) were the major source for anatomy departments, followed
   by donated (50%) and imported cadavers (39.1%). Foundation-based medical
   faculties were more likely to import cadavers (P=0.008). There was a
   moderate increase (r(s)=0.567; P=0.018) in donation registrations to our
   department after 2000. The departments in cities with significantly
   higher City-Based Gross Domestic Product measures (US$9,900 vs.
   US$16,772, P=0.041), frequencies for mid- or high-school graduates
   (30.4% vs. 31.3%, P=0.041), and frequencies for under- or post-graduates
   (13.1% vs. 15.8%, P=0.24) had managed to use donated cadavers. Anatomy
   departments' major reasons for using unclaimed cadavers were education
   (45.9%), unclaimed cadavers being the only source (24.3%), and receiving
   inadequate donations (21.6%). Nine out of seventy-four departments
   (12.2%) provided information regarding body donation on their websites.
   Body procurement remains as a serious problem in Turkey and it is
   apparent that current legislature does not provide a sufficient cadaver
   inflow. Similarly, anatomy departments' effectiveness in public
   awareness of body donation and support in the National Body Donation
   Campaign seems questionable. Anat Sci Educ 11: 155-165. (c) 2017
   American Association of Anatomists.
RI COSKUN, OSMAN/AAU-5466-2020; GÜRSES, İlke Ali/AAC-7948-2020; GURSES, ILKE ALI/GPS-8925-2022; Ozturk, Adnan/AAI-1356-2019; GÜRSES, İlke Ali/ABD-1048-2021
OI COSKUN, OSMAN/0000-0002-0337-4927; GURSES, ILKE ALI/0000-0001-9188-4662;
   GÜRSES, İlke Ali/0000-0001-9188-4662
ZA 0
ZB 4
TC 19
ZR 0
ZS 1
Z8 0
Z9 20
U1 1
U2 4
SN 1935-9772
EI 1935-9780
UT WOS:000426489900005
PM 28657659
ER

PT J
AU Lo, Andrea
   Shappell, Eric
   Rosenberg, Hans
   Thoma, Brent
   Ahn, James
   Trueger, N. Seth
   Chan, Teresa M.
TI Four strategies to find, evaluate, and engage with online resources in
   emergency medicine
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 20
IS 2
BP 293
EP 299
DI 10.1017/cem.2017.387
PD MAR 2018
PY 2018
AB Despite the rapid expansion of online educational resources for
   emergency medicine, barriers remain to their effective use by emergency
   physicians and trainees. This article expands on previous descriptions
   of techniques to aggregate online educational resources, outlining four
   strategies to help learners navigate, evaluate, and contribute online.
   These strategies include 1) cultivating digital mentors, 2) browsing the
   most popular free open access medical education (FOAM) websites, 3)
   using critical appraisal tools developed for FOAM, and 4) contributing
   new online content.
RI Chan, Teresa/T-6676-2017; Thoma, Brent/ABI-2642-2020; Trueger, N. Seth/; Shappell, Eric/
OI Chan, Teresa/0000-0001-6104-462X; Trueger, N. Seth/0000-0001-8797-2192;
   Shappell, Eric/0000-0003-0281-3219
ZR 0
ZB 0
ZS 0
ZA 0
TC 12
Z8 0
Z9 12
U1 0
U2 2
SN 1481-8035
EI 1481-8043
UT WOS:000427603300022
PM 28893344
ER

PT J
AU Knox, Aaron D. C.
   Shih, Jessica G.
   Warren, Richard J.
   Gilardino, Mirko S.
   Anastakis, Dimitri J.
TI Consensus of Leaders in Plastic Surgery: Identifying Procedural
   Competencies for Canadian Plastic Surgery Residency Training Using a
   Modified Delphi Technique
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 141
IS 3
BP 417E
EP 429E
DI 10.1097/PRS.0000000000004132
PD MAR 2018
PY 2018
AB Background: Transitioning to competency-based surgical training will
   require consensus regarding the scope of plastic surgery and
   expectations of operative ability for graduating residents. Identifying
   surgical procedures experts deemed most important in preparing graduates
   for independent practice (i.e., core procedures), and those that are
   less important or deemed more appropriate for fellowship training (i.e.,
   noncore procedures), will focus instructional and assessment efforts.
   Methods: Canadian plastic surgery program directors, the Canadian
   Society of Plastic Surgeons Executive Committee, and peer-nominated
   experts participated in an online, multiround, modified Delphi consensus
   exercise. Over three rounds, panelists were asked to sort 288 procedural
   competencies into five predetermined categories within core and noncore
   procedures, reflecting increasing expectations of ability. Eighty
   percent agreement was chosen to indicate consensus.
   Results: Two hundred eighty-eight procedures spanning 13 domains were
   identified. Invitations were sent to 49 experts; 37 responded (75.5
   percent), and 31 participated (83.8 percent of respondents). Procedures
   reaching 80 percent consensus increased from 101 (35 percent) during
   round 1, to 159 (55 percent) in round 2, and to 199 (69 percent) in
   round 3. The domain burns had the highest rate of agreement, whereas
   lower extremity had the lowest agreement. Final consensus categories
   included 154 core, essential; 23 core, nonessential; three noncore,
   experience; and 19 noncore, fellowship.
   Conclusions: This study provides clarity regarding which procedures
   plastic surgery experts deem most important for preparing graduates for
   independent practice. The list represents a snapshot of expert opinion
   regarding the current training environment. As our specialty grows and
   changes, this information will need to be periodically revisited.
CT 68th Annual Meeting of the Canadian-Society-of-Plastic-Surgeons
CY JUN 24-28, 2014
CL Montreal, CANADA
SP Canadian Soc Plast Surg
RI Anastakis, Dimitri/ABH-3466-2021; Anastakis, Dimitri/Z-2322-2019
OI Anastakis, Dimitri/0000-0002-8716-1338; 
ZR 0
ZA 0
ZS 0
ZB 1
Z8 0
TC 9
Z9 9
U1 0
U2 4
SN 0032-1052
EI 1529-4242
UT WOS:000426207900010
PM 29481415
ER

PT J
AU Plana, Natalie M.
   Massie, Jonathan P.
   Bekisz, Jonathan M.
   Fryml, Elise M.
   Spore, Stuart
   Diaz-Siso, J. Rodrigo
   Flores, Roberto L.
TI Inconsistency in Automated Reports of Scientific Productivity and Impact
   in Academic Plastic Surgery
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 141
IS 3
BP 432E
EP 438E
DI 10.1097/PRS.0000000000004134
PD MAR 2018
PY 2018
AB Background: Currently, no consensus metric for measuring academic
   productivity within plastic surgery exists. The h-index is widely used,
   as it captures both the quantity and quality of an individual's
   contribution. However, discrepancies in online reporting make accurate
   h-index calculation challenging. This study highlights inconsistencies
   within plastic surgery by assessing differences in reporting of the
   h-index and other measures of academic productivity across online
   scientific databases.
   Methods: Plastic surgery faculty at institutions with Accreditation
   Council for Graduate Medical Education-accredited residency programs
   were identified and searched across four databases: Web of Science,
   Scopus, Google Scholar, and the National Library of Medicine (PubMed).
   The total number of publications, citations, and h-index were recorded
   for each author and analyzed using a Mann-Whitney test.
   Results: Seven hundred twenty-two faculty members were included in this
   study. Reporting of publications was highest in Google Scholar and
   lowest in Web of Science. Because of incomplete information (PubMed) and
   underuse (Google Scholar), h-index could be assessed only between Web of
   Science and Scopus, where the average discrepancy in citations and
   h-index was 722 and 7.0 per author, respectively. Discrepancies were
   more significant among faculty members holding a Ph.D. degree, higher
   academic rank, or belonging to the male gender.
   Conclusions: Inconsistencies between online scientific databases
   profoundly affect plastic surgeons. Given the importance placed on
   metrics such as the h-index, it is imperative that the plastic surgery
   community push for solutions that ensure more reliable, transparent, and
   cohesive reporting of academic productivity.
RI Bekisz, Jonathan/GVS-3257-2022; Plana, Natalie/; Spore, Stuart/A-7188-2008
OI Plana, Natalie/0000-0002-5588-9279; Spore, Stuart/0000-0001-5390-4394
ZA 0
ZB 2
Z8 0
ZR 0
ZS 0
TC 7
Z9 7
U1 0
U2 2
SN 0032-1052
EI 1529-4242
UT WOS:000426207900012
PM 29485578
ER

PT J
AU Banos, James H.
   Pepin, Mark E.
   Van Wagoner, Nicholas
TI Class-Wide Access to a Commercial Step 1 Question Bank During
   Preclinical Organ-Based Modules: A Pilot Project
SO ACADEMIC MEDICINE
VL 93
IS 3
BP 486
EP 490
DI 10.1097/ACM.0000000000001861
PD MAR 2018
PY 2018
AB Purpose
   The authors examined the usefulness of a commercially available Step 1
   question bank as a formative academic support tool throughout
   organ-based modules in an integrated preclinical medical curriculum. The
   authors also determined the extent to which correlation between question
   bank utilization and academic metrics varied with Medical College
   Admission Test (MCAT) scores.
   Method
   In 2015, a cohort of 185 first-year medical students at University of
   Alabama School of Medicine were provided with 18-month full access to a
   commercially available Step 1 question bank of over 2,100 items
   throughout organ-based modules, although there were no requirements for
   use. Data on student use of the question bank were collected via an
   online administrative portal. Relationships between question bank
   utilization and academic outcomes including exams, module grades, and
   United States Medical Licensing Examination (USMLE) Step 1 were
   determined using multiple linear regression.
   Results
   MCAT scores and number of items attempted in the question bank
   significantly predicted all academic measures, with question bank
   utilization as the stronger predictor. The association between question
   bank utilization and academic outcome was stronger for individuals with
   lower MCAT scores.
   Conclusions
   The findings elucidate a novel academic support mechanism that, for some
   programs, may help bridge the gap between holistic and mission-based
   admissions practices and a residency match process that places a premium
   on USMLE exam scores. Distributed formative use of USMLE Step 1 practice
   questions may be of value as an academic support tool that benefits all
   students, but particularly those entering with lower MCAT scores.
RI Pepin, Mark/AAI-1950-2019
OI Pepin, Mark/0000-0003-0114-560X
TC 13
Z8 0
ZS 0
ZR 0
ZB 2
ZA 0
Z9 13
U1 0
U2 2
SN 1040-2446
EI 1938-808X
UT WOS:000426274700040
PM 28817433
ER

PT J
AU Hubble, Ryan P.
   Naughton, Geraldine
   Silburn, Peter A.
   Cole, Michael H.
TI Trunk Exercises Improve Gait Symmetry in Parkinson Disease: A Blind
   Phase II Randomized Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 3
BP 151
EP 159
DI 10.1097/PHM.0000000000000858
PD MAR 2018
PY 2018
AB Objective Deficits in step-to-step symmetry and trunk muscle activations
   have been linked to falls in Parkinson disease. Given such symptoms are
   poorly managed with anti-parkinsonian medications, alternate therapies
   are needed. This blind phase II randomized controlled trial sought to
   establish whether exercise can improve step-to-step symmetry in
   Parkinson disease.
   Design Twenty-four Parkinson disease patients with a falls history
   completed baseline assessments of symptom severity, balance confidence,
   mobility, and quality of life. Step-to-step symmetry was assessed by
   deriving harmonic ratios from three-dimensional accelerations collected
   for the head and trunk. Patients were randomly assigned to either 12 wks
   of exercise and falls prevention education or falls prevention education
   only. Both groups repeated the baseline tests 12 and 24 wks after the
   initial assessment. The Australian and New Zealand Clinical Trials
   Registry number is ACTRN12613001175763.
   Results At 12 wks, the exercise group had statistically significant and
   clinically relevant improvements in anterior-posterior step-to-step
   trunk symmetry. In contrast, the education group recorded statistically
   significant and clinically meaningful reductions in medial-lateral and
   vertical step-to-step trunk symmetry at 12 wks.
   Conclusions Given that step-to-step symmetry improved for the exercise
   group and declined for the education group after intervention, active
   interventions seem more suited to increasing independence and quality of
   life for people with Parkinson disease.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to do the following: (1) Describe the effect deficits in trunk
   muscle function have on gait in individuals with Parkinson disease; (2)
   Identify the benefits of targeted trunk exercises on step-to-step
   symmetry; and (3) Discuss the benefits of improving step-to-step
   symmetry in individuals with Parkinson disease.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   0.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Cole, Michael H/O-6816-2018; Naughton, Geraldine/M-4094-2017
OI Naughton, Geraldine/0000-0002-0534-1627
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
TC 10
Z9 10
U1 0
U2 11
SN 0894-9115
EI 1537-7385
UT WOS:000426085100005
PM 29095706
ER

PT J
AU Ncube, B. L.
   Perry, A.
   Weiss, J. A.
TI The quality of life of children with severe developmental disabilities
SO JOURNAL OF INTELLECTUAL DISABILITY RESEARCH
VL 62
IS 3
BP 237
EP 244
DI 10.1111/jir.12460
PD MAR 2018
PY 2018
AB Background Research examining the quality of life (QoL) of children with
   severe developmental disabilities (SDD) is limited. The present study
   examines parent perceptions of child QoL in children with SDD compared
   with typically developing (TD) children and then examines predictors of
   QoL for the SDD group.
   Method Parents of 246 children with SDD (aged 4 to 19 years) and 210 TD
   children (aged 4 to 18 years) responded to an online survey. QoL was
   measured using a composite variable composed of the child's happiness,
   achievement of potential and friendship quality.
   Results Children with DD had lower QoL ratings than TD children. In
   children with DD, higher QoL was related to younger age, higher adaptive
   skills, lower maladaptive behaviour, lower parent psychological distress
   and higher satisfaction with the child's education.
   Conclusions Interventions to promote positive outcomes for children with
   SDD should target both characteristics of the individual and the
   environment.
OI Weiss, Jonathan/0000-0002-5849-7334
ZA 1
TC 12
ZB 1
ZR 1
Z8 0
ZS 2
Z9 16
U1 0
U2 27
SN 0964-2633
EI 1365-2788
UT WOS:000424371600007
PM 29315939
ER

PT J
AU Murray, Suzanne
   Mohty, Mohamad
   Peloquin, Sophie
   Van De Donk, Niels W.
   Leitao, Sara
   Labbe, Sara
   West, Sharon
   Hofstadter-Thalmann, Eva
   Sonneveld, Pieter
TI Identifying Educational Needs and Practice Gaps of European
   Hematologists and Hematology Nurses in the Treatment and Management of
   Multiple Myeloma
SO HEMASPHERE
VL 2
IS 2
AR e33
DI 10.1097/HS9.0000000000000033
PD MAR-APR 2018
PY 2018
AB This needs-assessment aimed to identify clinical challenges faced by
   hematologists and hematology nurses in the diagnosis, treatment, and
   management of multiple myeloma, as well as contextual barriers hindering
   optimal care of patients with multiple myeloma. This manuscript focuses
   on key findings in relation to decision-making regarding new treatment
   options. A mixed methods study consisting of qualitative (from
   semistructured interviews) and quantitative data (from an online survey)
   was conducted in 8 European countries among hematologists and hematology
   nurses. The triangulated data led to the identification of 3 key
   findings related to decision-making: (1) Educational needs regarding
   mechanisms of action and side effect profiles of new therapies, (2)
   educational needs regarding the sequencing and combination of new agents
   with current therapies, and (3) contextual barriers to the integration
   of new agents. Specific knowledge and skill gaps were identified as
   causalities of the educational needs, providing information to guide
   future educational programs. Of note, 34% of hematologists and 69% of
   nurses reported suboptimal knowledge of the mechanisms of action of new
   agents and 30% of hematologists reported suboptimal skills integrating
   new agents in combination with current treatments. This needs-assessment
   highlighted the importance to address the educational needs and their
   underlying causes through medical education activities to ensure
   hematologists and hematology nurses are up-to-date with the latest
   treatments in the field as they become available. The contextual
   barriers identified should be considered when designing the educational
   programs to ensure content is applicable to the clinical reality of
   learners.
ZB 0
ZA 0
Z8 0
TC 2
ZS 0
ZR 0
Z9 2
U1 0
U2 0
EI 2572-9241
UT WOS:000672622500002
PM 31723761
ER

PT J
AU Pillay, Diantha
   Wassenaar, Douglas R.
TI Racial differences in willingness to participate in HIV prevention
   clinical trials among university students in KwaZulu-Natal, South Africa
SO SOUTH AFRICAN JOURNAL OF PSYCHOLOGY
VL 48
IS 1
BP 112
EP 128
DI 10.1177/0081246317708094
PD MAR 2018
PY 2018
AB Students, especially women, are in the highest HIV incidence group in
   Sub-Saharan Africa. Willingness to participate is a crucial element in
   recruitment of participants for clinical trials, including HIV
   prevention trials. There is increasing incidence of HIV among university
   students, highlighting the importance of evaluating their willingness to
   participate in prevention trials. Assessment of willingness to
   participate assists in determining community preparedness for trials.
   This cross-sectional study aimed to evaluate willingness to participate
   and explore racial differences and factors associated with willingness
   to participate in HIV prevention research. The Clinical Research
   Involvement Scale and demographic questionnaire were administered online
   to university students aged 18-45years at the University of
   KwaZulu-Natal in South Africa. The instruments evaluated associations
   between willingness to participate and age, gender, relationship status,
   parity, religion, education, student and employment status, and access
   to private health care. This study enrolled 636 participants, of which
   509 records were analysable. Most students were willing to participate
   in HIV prevention research irrespective of race. However, Black students
   expressed greater intention to participate compared to White and Indian
   students. Racial differences in factors that affect intentions to
   participate were differences in risk perception and seeking access to
   better quality health care. The Clinical Research Involvement Scale is a
   reliable instrument in this population. Validity improved with removal
   of factors, motivation to comply, and outcome evaluations. These
   findings may not be generalizable to other student populations in
   Southern Africa.
RI Wassenaar, Douglas/N-5301-2013
OI Wassenaar, Douglas/0000-0003-0839-9231
ZB 1
ZR 0
ZA 0
TC 1
ZS 0
Z8 0
Z9 2
U1 1
U2 8
SN 0081-2463
EI 2078-208X
UT WOS:000424284600010
ER

PT J
AU Starks, Helene
   Coats, Heather
   Paganelli, Tia
   Mauksch, Larry
   van Schaik, Eileen
   Lindhorst, Taryn
   Hurd, Caroline
   Doorenbos, Ardith
TI Pilot Study of an Interprofessional Palliative Care Curriculum: Course
   Content and Participant-Reported Learning Gains
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 35
IS 3
BP 390
EP 397
DI 10.1177/1049909117725042
PD MAR 2018
PY 2018
AB Context: The National Consensus Project for Quality Palliative Care
   Clinical Practice Guidelines recommend that palliative care clinicians
   work together as interprofessional teams. We created and piloted a
   9-month curriculum that focused on 3 related domains: (1)
   patient-centered, narrative communication skills; (2) interprofessional
   team practice; and (3) metrics and systems integration. The multifaceted
   curriculum was delivered through 16 webinars, 8 online modules, 4
   in-person workshops, reflective skill practice, written reflections, and
   small group online discussions.
   Objectives: Report evaluations of the course content and skill
   self-assessments from 24 interprofessional palliative care clinicians.
   Methods: Participants rated each learning activity and completed a
   retrospective pre-post test skill assessment. Learning gains were
   measured as the difference in the percentage of participants reporting
   strong or highly competent skill levels at baseline and the end of the
   course. Participants also provided examples of how they used the skills
   in practice.
   Results: Participants achieved an average learning gain of 50% across
   all domains, and in each domain communication (54%), interprofessional
   team practice (52%), and metrics and systems integration (34%). They
   also gave high ratings for the curriculum content (overall mean
   [standard deviation] rating of 5.5 (0.7) out of 6). Examples of practice
   impacts included improved skills in responding to emotions,
   understanding the equal importance of all professions on their team and
   incorporating different perspectives into their practice, and learning
   about outcome measurement in palliative care.
   Conclusion: This curriculum demonstrated success in increasing perceived
   skills for interprofessional palliative care clinicians in advanced
   communication, team practice, and metrics and system integration.
OI Starks, Helene/0000-0001-5229-8388; Paganelli,
   Christina/0000-0001-5453-1155
ZB 0
Z8 0
ZR 0
ZA 0
ZS 0
TC 7
Z9 7
U1 0
U2 9
SN 1049-9091
EI 1938-2715
UT WOS:000423752700003
PM 28795580
ER

PT J
AU Lee, Mi Kyung
   Amorin-Woods, Lyndon
   Cascioli, Vincenzo
   Adams, Jon
TI The use of nutritional guidance within chiropractic patient management:
   a survey of 333 chiropractors from the ACORN practice-based research
   network
SO CHIROPRACTIC & MANUAL THERAPIES
VL 26
AR 7
DI 10.1186/s12998-018-0175-1
PD FEB 20 2018
PY 2018
AB Background: Food consumption and nutritional status affect an
   individual's health throughout their life-course and an unhealthy diet
   is a major risk factor for the current global burden of chronic disease.
   The promotion of health and good nutrition through healthy eating
   requires the active involvement of all health professionals including
   chiropractors. This paper reports findings from the first nationally
   representative examination of the use of nutritional guidance within
   chiropractic patient management in Australia.
   Methods: A sample of 1000 practising chiropractors was randomly selected
   from the Australian Chiropractic Research Network (ACORN) practice-based
   research network database for a cross-sectional study and 33%
   participated in the online survey in November 2016. The questionnaire,
   based on previous designs used in similar surveys and nutrition
   resources developed by the National Health and Medical Research Council,
   was pretested prior to the survey. Pearson's Chi square and bivariate
   logistic regression were undertaken to explore relationships with
   variables of interest.
   Results: The demographic details of the respondents are similar to those
   of the chiropractic workforce registered in Australia. Most
   chiropractors provided nutritional advice as part of their patient care
   and around a quarter provided specific dietary advice to their patients,
   including the use of nutrition supplements. Nutrition-related conditions
   most commonly encountered by the chiropractors were musculoskeletal,
   usually inflammatory in origin. Common nutritional assessment methods
   used included questioning patients to assess their nutritional and
   health status and physical appearance. Most of the participants provided
   nutritional resources to their patients in their clinics. However, the
   Australian Dietary Guidelines and the accompanying Australian Guide to
   Healthy Eating were not well utilised by the respondents. Australian
   chiropractors often referred patients with nutrition issues to qualified
   dietitians and other health professionals when deemed necessary.
   Conclusions: Australian chiropractors regularly provide nutritional
   advice and appear to acknowledge the importance of nutrition in their
   clinical practice especially for patients presenting with chronic
   disease. If chiropractors are to fulfil their potential in providing
   such wider public health and preventative health advice to patients,
   further research examining the utilisation of evidence-based nutrition
   resources within chiropractic patient management is recommended.
RI Amorin-Woods, Lyndon G/J-7982-2012; Lee, Mi Kyung/; Adams, Jon/
OI Amorin-Woods, Lyndon G/0000-0002-4621-9812; Lee, Mi
   Kyung/0000-0002-4347-6186; Adams, Jon/0000-0002-9901-5717
ZB 0
TC 6
Z8 0
ZS 0
ZA 0
ZR 0
Z9 6
U1 0
U2 6
EI 2045-709X
UT WOS:000425526400001
PM 29468012
ER

PT J
AU Dodman, Nicholas H.
   Brown, Dorothy C.
   Serpell, James A.
TI Associations between owner personality and psychological status and the
   prevalence of canine behavior problems
SO PLOS ONE
VL 13
IS 2
AR e0192846
DI 10.1371/journal.pone.0192846
PD FEB 14 2018
PY 2018
AB Behavioral problems are a major source of poor welfare and premature
   mortality in companion dogs. Previous studies have demonstrated
   associations between owners' personality and psychological status and
   the prevalence and/or severity of their dogs' behavior problems.
   However, the mechanisms responsible for these associations are currently
   unknown. Other studies have detected links between the tendency of dogs
   to display behavior problems and their owners' use of aversive or
   confrontational training methods. This raises the possibility that the
   effects of owner personality and psychological status on dog behavior
   are mediated via their influence on the owner's choice of training
   methods. We investigated this hypothesis in a self-selected, convenience
   sample of 1564 current dog owners using an online battery of
   questionnaires designed to measure, respectively, owner personality,
   depression, emotion regulation, use of aversive/confrontational training
   methods, and owner-reported dog behavior. Multivariate linear and
   logistic regression analyses identified modest, positive associations
   between owners' use of aversive/confrontational training methods and the
   prevalence/severity of the following dog behavior problems:
   owner-directed aggression, stranger-directed aggression, separation
   problems, chasing, persistent barking, and house-soiling (urination and
   defecation when left alone). The regression models also detected modest
   associations between owners' low scores on four of the 'Big Five'
   personality dimensions (Agreeableness, Emotional Stability, Extraversion
   & Conscientiousness) and their dogs' tendency to display higher rates of
   owner-directed aggression, stranger-directed fear, and/or urination when
   left alone. The study found only weak evidence to support the hypothesis
   that these relationships between owner personality and dog behavior were
   mediated via the owners' use of punitive training methods, but it did
   detect a more than five-fold increase in the use of
   aversive/confrontational training techniques among men with moderate
   depression. Further research is needed to clarify the causal
   relationship between owner personality and psychological status and the
   behavioral problems of companion dogs.
OI Serpell, James/0000-0002-2826-1187
ZB 12
ZS 0
Z8 0
ZR 0
ZA 0
TC 37
Z9 37
U1 7
U2 74
SN 1932-6203
UT WOS:000425183500095
PM 29444154
ER

PT J
AU Bucher, Joshua T.
   Bryczkowski, Christopher
   Wei, Grant
   Riggs, Renee L.
   Kotwal, Anoop
   Sumner, Brian
   McCoy, Jonathan V.
TI Procedure rates performed by emergency medicine residents: a
   retrospective review
SO INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE
VL 11
AR 7
DI 10.1186/s12245-018-0167-x
PD FEB 14 2018
PY 2018
AB Background: The purpose of our study is to investigate rates of
   individual procedures performed by residents in our emergency medicine
   (EM) residency program. Different programs expose residents to different
   training environments. Our hypothesis is that ultrasound examinations
   are the most commonly performed procedure in our residency.
   Methods: The study took place in an academic level I trauma center with
   multiple residency and fellowship programs including surgery, surgical
   critical care, trauma, medicine, pulmonary/critical care, anesthesiology
   and others. Also, the hospital provides a large emergency medical
   services program providing basic and advanced life support and critical
   care transport, which is capable of performing rapid sequence
   intubation. Each EM residency class, except for the first 2 months of
   the inaugural class, used New Innovations to log procedures. New
   Innovations is an online database for tracking residency requirements,
   such as procedures and hours. For the first 3 months, procedures were
   logged by hand on a log sheet. In addition, our department has a
   wireless electronic system (Qpath) for recording and logging ultrasound
   images. These logs were reviewed retrospectively without any patient
   identifiers. Actual procedures and simulation procedures were combined
   for analysis as they were only logged separately halfway through the
   study period. Procedures were summed and the average procedure rate per
   resident per year was calculated.
   Results: In total, 66 full resident years were analyzed. Overall,
   ultrasound was the most commonly performed procedure, with each resident
   performing 125 ultrasounds per year. Removing "resuscitations," the
   second most common was endotracheal intubation, performed 28.91 times
   per year, and third most was laceration repair, which was performed
   17.39 times per year. Our lowest performed procedure was thoracentesis,
   which was performed on average 0.11 times per resident per year.
   Conclusions: Residents performed a variety of procedures each year.
   Ultrasound examinations were the most frequent procedure performed. The
   number of ultrasound procedures performed may reflect the changing
   training landscape and influence future Accreditation Council of
   Graduate Medical Education requirements.
OI Bucher, Joshua/0000-0003-2761-3387
ZR 0
ZB 3
ZS 0
ZA 0
TC 8
Z8 0
Z9 8
U1 1
U2 4
SN 1865-1372
EI 1865-1380
UT WOS:000425404000001
PM 29445882
ER

PT J
AU Packer, Rowena M. A.
   McGreevy, Paul D.
   Salvin, Hannah E.
   Valenzuela, Michael J.
   Chaplin, Chloe M.
   Volk, Holger A.
TI Cognitive dysfunction in naturally occurring canine idiopathic epilepsy
SO PLOS ONE
VL 13
IS 2
AR e0192182
DI 10.1371/journal.pone.0192182
PD FEB 8 2018
PY 2018
AB Globally, epilepsy is a common serious brain disorder. In addition to
   seizure activity, epilepsy is associated with cognitive impairments
   including static cognitive impairments present at onset, progressive
   seizure-induced impairments and co-morbid dementia. Epilepsy occurs
   naturally in domestic dogs but its impact on canine cognition has yet to
   be studied, despite canine cognitive dysfunction (CCD) recognised as a
   spontaneous model of dementia. Here we use data from a psychometrically
   validated tool, the canine cognitive dysfunction rating (CCDR) scale, to
   compare cognitive dysfunction in dogs diagnosed with idiopathic epilepsy
   (IE) with controls while accounting for age. An online cross-sectional
   study resulted in a sample of 4051 dogs, of which n = 286 had been
   diagnosed with IE. Four factors were significantly associated with a
   diagnosis of CCD (above the diagnostic cut-off of CCDR >= 50): (i)
   epilepsy diagnosis: dogs with epilepsy were at higher risk; (ii) age:
   older dogs were at higher risk; (iii) weight: lighter dogs (kg) were at
   higher risk; (iv) training history: dogs with more exposure to training
   activities were at lower risk. Impairments in memory were most common in
   dogs with IE, but progression of impairments was not observed compared
   to controls. A significant interaction between epilepsy and age was
   identified, with IE dogs exhibiting a higher risk of CCD at a young age,
   while control dogs followed the expected pattern of low-risk throughout
   middle age, with risk increasing exponentially in geriatric years.
   Within the IE sub-population, dogs with a history of cluster seizures
   and high seizure frequency had higher CCDR scores. The age of onset,
   nature and progression of cognitive impairment in the current IE dogs
   appear divergent from those classically seen in CCD. Longitudinal
   monitoring of cognitive function from seizure onset is required to
   further characterise these impairments.
RI Volk, Holger Andreas/B-9965-2011; McGreevy, Paul/; Packer, Rowena/
OI Volk, Holger Andreas/0000-0002-7312-638X; McGreevy,
   Paul/0000-0001-7220-8378; Packer, Rowena/0000-0002-9988-9828
ZS 1
Z8 0
ZB 18
TC 36
ZA 0
ZR 0
Z9 36
U1 1
U2 15
SN 1932-6203
UT WOS:000424517900048
PM 29420639
ER

PT J
AU Saqr, Mohammed
   Fors, Uno
   Tedre, Matti
TI How the study of online collaborative learning can guide teachers and
   predict students' performance in a medical course
SO BMC MEDICAL EDUCATION
VL 18
AR 24
DI 10.1186/s12909-018-1126-1
PD FEB 6 2018
PY 2018
AB Background: Collaborative learning facilitates reflection, diversifies
   understanding and stimulates skills of critical and higher-order
   thinking. Although the benefits of collaborative learning have long been
   recognized, it is still rarely studied by social network analysis (SNA)
   in medical education, and the relationship of parameters that can be
   obtained via SNA with students' performance remains largely unknown. The
   aim of this work was to assess the potential of SNA for studying online
   collaborative clinical case discussions in a medical course and to find
   out which activities correlate with better performance and help predict
   final grade or explain variance in performance.
   Methods: Interaction data were extracted from the learning management
   system (LMS) forum module of the Surgery course in Qassim University,
   College of Medicine. The data were analyzed using social network
   analysis. The analysis included visual as well as a statistical
   analysis. Correlation with students' performance was calculated, and
   automatic linear regression was used to predict students' performance.
   Results: By using social network analysis, we were able to analyze a
   large number of interactions in online collaborative discussions and
   gain an overall insight of the course social structure, track the
   knowledge flow and the interaction patterns, as well as identify the
   active participants and the prominent discussion moderators. When
   augmented with calculated network parameters, SNA offered an accurate
   view of the course network, each user's position, and level of
   connectedness. Results from correlation coefficients, linear regression,
   and logistic regression indicated that a student's position and role in
   information relay in online case discussions, combined with the strength
   of that student's network (social capital), can be used as predictors of
   performance in relevant settings.
   Conclusion: By using social network analysis, researchers can analyze
   the social structure of an online course and reveal important
   information about students' and teachers' interactions that can be
   valuable in guiding teachers, improve students' engagement, and
   contribute to learning analytics insights.
RI Saqr, Mohammed/AAH-2520-2020
OI Saqr, Mohammed/0000-0001-5881-3109
ZB 4
ZA 0
TC 42
Z8 0
ZR 0
ZS 0
Z9 42
U1 9
U2 53
SN 1472-6920
UT WOS:000424454500001
PM 29409481
ER

PT J
AU Van Katwyk, Susan Rogers
   Jones, Sara L.
   Hoffman, Steven J.
TI Mapping educational opportunities for healthcare workers on
   antimicrobial resistance and stewardship around the world
SO HUMAN RESOURCES FOR HEALTH
VL 16
AR 9
DI 10.1186/s12960-018-0270-3
PD FEB 5 2018
PY 2018
AB Background: Antimicrobial resistance is an important global issue facing
   society. Healthcare workers need to be engaged in solving this problem,
   as advocates for rational antimicrobial use, stewards of sustainable
   effectiveness, and educators of their patients. To fulfill this role,
   healthcare workers need access to training and educational resources on
   antimicrobial resistance. Methods: To better understand the resources
   available to healthcare workers, we undertook a global environmental
   scan of educational programs and resources targeting healthcare workers
   on the topic of antimicrobial resistance and antimicrobial stewardship.
   Programs were identified through contact with key experts, web
   searching, and academic literature searching. We summarized programs in
   tabular form, including participating organizations, region, and
   intended audience. We developed a coding system to classify programs by
   program type and participating organization type, assigning multiple
   codes as necessary and creating summary charts for program types,
   organization types, and intended audience to illustrate the breadth of
   available resources. Results: We identified 94 educational initiatives
   related to antimicrobial resistance and antimicrobial stewardship, which
   represent a diverse array of programs including courses, workshops,
   conferences, guidelines, public outreach materials, and online-resource
   websites. These resources were developed by a combination of government
   bodies, professional societies, universities, non-profit and community
   organizations, hospitals and healthcare centers, and insurance companies
   and industry. Most programs either targeted healthcare workers
   collectively or specifically targeted physicians. A smaller number of
   programs were aimed at other healthcare worker groups including
   pharmacists, nurses, midwives, and healthcare students. Conclusions: Our
   environmental scan shows that there are many organizations working to
   develop and share educational resources for healthcare workers on
   antimicrobial resistance and antimicrobial stewardship. Governments,
   hospitals, and professional societies appear to be driving action on
   this front, sometimes working with other types of organizations. A broad
   range of resources have been made freely available; however, we have
   noted several opportunities for action, including increased engagement
   with students, improvements to pre-service education, recognition of
   antimicrobial resistance courses as continuing medical education, and
   better platforms for resource-sharing online.
OI Hoffman, Steven/0000-0002-2064-3711; Rogers Van Katwyk,
   Susan/0000-0002-1758-8635
ZB 7
Z8 0
ZR 0
ZS 0
TC 24
ZA 0
Z9 25
U1 2
U2 15
SN 1478-4491
UT WOS:000424122700001
PM 29402327
ER

PT J
AU Sapp, S. G. H.
   Murray, B. A.
   Hoover, E. R.
   Green, G. T.
   Yabsley, M. J.
TI Raccoon roundworm (Baylisascaris procyonis) as an occupational hazard:
   1. Knowledge of B.procyonis and attitudes towards it and other zoonoses
   among wildlife rehabilitators
SO ZOONOSES AND PUBLIC HEALTH
VL 65
IS 1
BP E130
EP E142
DI 10.1111/zph.12421
PD FEB 2018
PY 2018
AB Wildlife rehabilitators are at risk of zoonotic diseases because they
   often have prolonged contact with many species of wildlife and their
   bodily fluids. Raccoon roundworm (Baylisascaris procyonis) is a common
   zoonotic parasite of raccoons that has the potential to cause severe or
   fatal neurologic disease in a broad variety of hosts if the eggs within
   raccoon faeces are ingested. We administered an online survey to
   wildlife rehabilitators to assess their knowledge regarding aspects of
   transmission, biology and disease caused by B.procyonis, and also to
   evaluate attitudes towards wildlife diseases and B.procyonis as an
   occupational hazard. Knowledge was assessed using multiple choice and
   true-false questions; attitudes were measured using Likert-type items. A
   total of 659 complete or near-complete responses (missing fewer than
   three knowledge or attitudes items and/or non-response to some
   demographic fields) were collected. The median knowledge score was 7/14
   questions correct (range: 0-14 correct). Generally, individuals with
   higher levels of education and rehabilitation experience, veterinary
   professionals and those who are members of professional wildlife
   rehabilitation groups scored above the median significantly more often
   (p<.01). Significantly more rehabilitators who were located in the
   south-east and those with part-time or infrequent commitments scored
   below the median overall knowledge score. There was general agreement
   that B.procyonis is a health risk of rehabilitators and that measures
   should be taken to control transmission to people and animals. Some
   factors explaining differences in attitudes include setting of
   rehabilitation (home versus animal care facility), veterinary
   profession, region, membership in a wildlife rehabilitation group and
   rehabilitation of raccoons. Findings emphasize the importance of
   awareness and mentorship to inform rehabilitators on the potential risks
   of B.procyonis and other potential zoonoses within captive wildlife
   settings, and the important role of professional wildlife rehabilitator
   groups in disseminating educational materials.
OI Yabsley, Michael/0000-0003-2452-5015; Sapp, Sarah/0000-0002-5839-6066;
   Murray, Breanne/0000-0002-9457-3568
ZR 0
ZS 0
ZA 0
Z8 0
ZB 2
TC 2
Z9 2
U1 1
U2 17
SN 1863-1959
EI 1863-2378
UT WOS:000419943900014
PM 29124901
ER

PT J
AU Pospos, Sarah
   Young, Ilanit Tal
   Downs, Nancy
   Iglewicz, Alana
   Depp, Colin
   Chen, James Y.
   Newton, Isabel
   Lee, Kelly
   Light, Gregory A.
   Zisook, Sidney
TI Web-Based Tools and Mobile Applications To Mitigate Burnout, Depression,
   and Suicidality Among Healthcare Students and Professionals: a
   Systematic Review
SO ACADEMIC PSYCHIATRY
VL 42
IS 1
BP 109
EP 120
DI 10.1007/s40596-017-0868-0
PD FEB 2018
PY 2018
AB Objective Being a healthcare professional can be a uniquely rewarding
   calling. However, the demands of training and practice can lead to
   chronic distress and serious psychological, interpersonal, and personal
   health burdens. Although higher burnout, depression, and suicide rates
   have been reported in healthcare professionals, only a minority receive
   treatment. Concerns regarding confidentiality, stigma, potential career
   implications, and cost and time constraints are cited as key barriers.
   Web-based and mobile applications have been shown to mitigate stress,
   burnout, depression, and suicidal ideation among several populations and
   may circumvent these barriers. Here, we reviewed published data on such
   resources and selected a small sample that readily can be used by
   healthcare providers.
   Methods We searched PubMed for articles evaluating stress, burnout,
   depression, and suicide prevention or intervention for healthcare
   students or providers and identified five categories of programs with
   significant effectiveness: Cognitive Behavioral Therapy (online),
   meditation, mindfulness, breathing, and relaxation techniques. Using
   these categories, we searched for Web-based (through Google and
   beacon.anu.edu.au-a wellness resource website) and mobile applications
   (Apple and mobile.va.gov/appstore) for stress, burnout, depression, and
   suicide prevention and identified 36 resources to further evaluate based
   on relevance, applicability to healthcare providers (confidentiality,
   convenience, and cost), and the strength of findings supporting their
   effectiveness.
   Results We selected seven resources under five general categories
   designed to foster wellness and reduce burnout, depression, and suicide
   risk among healthcare workers: breathing (Breath2Relax), meditation
   (Headspace, guided meditation audios), Web-based Cognitive Behavioral
   Therapy (MoodGYM, Stress Gym), and suicide prevention apps (Stay Alive,
   Virtual Hope Box).
   Conclusions This list serves as a starting point to enhance coping with
   stressors as a healthcare student or professional in order to help
   mitigate burnout, depression, and suicidality. The next steps include
   adapting digital health strategies to specifically fit the needs of
   healthcare providers, with the ultimate goal of facilitating in-person
   care when warranted.
RI Lee, Kelly/Q-9073-2018; depp, colin a/D-1264-2009; Light, Gregory/AAA-5696-2020; Light, Gregory/
OI Light, Gregory/0000-0003-4730-8646
TC 52
ZB 6
Z8 2
ZR 0
ZS 1
ZA 0
Z9 54
U1 8
U2 131
SN 1042-9670
EI 1545-7230
UT WOS:000424047400016
PM 29256033
ER

PT J
AU Green, Courtney A.
   Chern, Hueylan
   O'Sullivan, Patricia S.
TI Current robotic curricula for surgery residents: A need for additional
   cognitive and psychomotor focus
SO AMERICAN JOURNAL OF SURGERY
VL 215
IS 2
BP 277
EP 281
DI 10.1016/j.amjsurg.2017.09.040
PD FEB 2018
PY 2018
AB Background: Current robot surgery curricula developed by industry were
   designed for expert surgeons. We sought to identify the robotic
   curricula that currently exist in general surgery residencies and
   describe their components.
   Methods: We identified 12 residency programs with robotic curricula.
   Using a structured coding form to identify themes including sequence,
   duration, emphasis and assessment, we generated a descriptive summary.
   Results: Curricula followed a similar sequence: learners started with
   online modules and simulation exercises, followed by bedside experience
   during R2-R3 training years, and then operative opportunities on the
   console in the final years of training. Consistent portions of the
   curricula reflect a device-dependent training paradigm; they defined the
   sequence of instruction. Most curricula lacked specifics on duration and
   content of training activities. None clearly described cognitive or
   psychomotor skills needed by residents and none required a proficiency
   assessment before graduation.
   Conclusions: Resident-specific robotic curricula remain grounded in
   initial industrial efforts to train experienced surgeons, are
   non-specific regarding the type and nature of hands on experience, and
   do not include discussion of operative technique and surgical concepts.
   (c) 2017 Elsevier Inc. All rights reserved.
OI Green, Courtney/0000-0002-8106-7586
TC 15
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 15
U1 0
U2 6
SN 0002-9610
EI 1879-1883
UT WOS:000425193700014
PM 29137721
ER

PT J
AU Myers, Christopher G.
   Kudsi, Omar Yusef
   Ghaferi, Amir A.
TI Social Media as a Platform for Surgical Learning Use and Engagement
   Patterns Among Robotic Surgeons
SO ANNALS OF SURGERY
VL 267
IS 2
BP 233
EP 235
DI 10.1097/SLA.0000000000002479
PD FEB 2018
PY 2018
AB In response to technological advances and growing dispersion of surgical
   practice around the globe, social media platforms have emerged in recent
   years as channels for surgeons to share experiences, ask questions, and
   learn from one another. To better understand surgeons' engagement with
   these platforms, we analyzed data from a closed-membership Facebook
   group for robotic surgeons. Our analysis revealed that surgeons posted
   more frequently on midweek days, and further that text posts received
   significantly more comments, and significantly fewer likes, than posts
   containing links, photos, or videos. We discuss the implications of
   these use and engagement patterns for the viability of social media
   platforms as tools for surgeons to learn vicariously from their peers'
   experiences and expertise.
RI Myers, Christopher G./G-3241-2012; Kudsi, Omar Yusef/AAI-9367-2020
OI Myers, Christopher G./0000-0001-7788-8595; Kudsi, Omar
   Yusef/0000-0001-6723-0909
ZS 1
TC 16
ZA 0
ZR 0
ZB 0
Z8 0
Z9 17
U1 0
U2 9
SN 0003-4932
EI 1528-1140
UT WOS:000424031700034
PM 28857816
ER

PT J
AU de Ligt, K. M.
   Spronk, P. E. R.
   van Bommel, A. C. M.
   Peeters, M. T. F. D. Vrancken
   Siesling, S.
   Smorenburg, C. H.
CA Nabon Breast Cancer Audit Grp
TI Patients' experiences with decisions on timing of chemotherapy for
   breast cancer
SO BREAST
VL 37
BP 99
EP 106
DI 10.1016/j.breast.2017.10.016
PD FEB 2018
PY 2018
AB Introduction: Despite potential advantages, application of chemotherapy
   in the neo-adjuvant (NAC) instead of adjuvant (AC) setting for breast
   cancer (BC) patients varies among hospitals. The aim of this study was
   to gain insight in patients' experiences with decisions on the timing of
   chemotherapy for stage II and III BC.
   Materials and methods: A 35-item online questionnaire was distributed
   among female patients (age >18) treated with either NAC or AC for
   clinical stage II/III invasive BC in 2013-2014 in the Netherlands.
   Outcome measures were the experienced exchange of information on the
   possible choice between both options and patients' involvement in the
   final decision on chemotherapy timing. Chemotherapy treatment experience
   was measured with the Cancer Therapy Satisfaction Questionnaire (CTSQ).
   Results: Of 805 invited patients, 49% responded (179 NAC, 215 AC).
   NAC-treated patients were younger and more often treated in
   teaching/academic hospitals and high-volume hospitals. Information on
   the possibility of NAC was given to a minority of AC-treated patients
   (AC, stage II: 14%, stage III: 31%). Information on pros and cons of
   both NAC and AC was rated sufficient in about three fourth of
   respondents. Respondents not always felt having a choice in the timing
   of chemotherapy (stage II: 54% NAC vs 36% AC; stage III: 26% NAC, 54%
   AC).
   Conclusion: The need to make a treatment decision on NAC was found to be
   made explicit in only a small number of adjuvant treated patients, in
   particular in BC stage II. Less than half of the respondents felt they
   had a real choice. (c) 2017 Elsevier Ltd. All rights reserved.
RI peeters, marie jeanne vrancken/X-8866-2018
OI peeters, marie jeanne vrancken/0000-0003-4472-4257
ZR 0
ZA 0
ZS 0
TC 9
Z8 0
ZB 3
Z9 9
U1 0
U2 11
SN 0960-9776
EI 1532-3080
UT WOS:000418556700014
PM 29128583
ER

PT J
AU Kuhn, Sebastian
   Frankenhauser, Susanne
   Tolks, Daniel
TI Digital learning and teaching in medical education. Already there or
   still at the beginning?
SO BUNDESGESUNDHEITSBLATT-GESUNDHEITSFORSCHUNG-GESUNDHEITSSCHUTZ
VL 61
IS 2
BP 201
EP 209
DI 10.1007/s00103-017-2673-z
PD FEB 2018
PY 2018
AB The current choice of digital teaching and learning formats in medicine
   is very heterogeneous. In addition to the widely used classical static
   formats, social communication tools, audio/video-based media,
   interactive formats, and electronic testing systems enrich the learning
   environment.
   For medical students, the private use of digital media is not
   necessarily linked to their meaningful use in the study. Many gain their
   experience of digital learning in the sense of "assessment drives
   learning", especially by taking online exams in a passive, consuming
   role. About half of all medical students can be referred to as
   "e-examinees" whose handling of digital learning is primarily focused on
   online exam preparation. Essentially, they do not actively influence
   their digital environment. Only a quarter can be identified as a
   "digital all-rounder", who compiles their individual learning portfolio
   from the broad range of digital media.
   At present, the use of digital media is not yet an integral and
   comprehensive component of the teaching framework of medical studies in
   Germany, but is rather used in the sense of a punctual teaching
   enrichment. Current trends in digital teaching and learning offerings
   are mobile, interactive, and personalized platforms as well as
   increasing the relevance of learning platforms. Furthermore, didactical
   concepts targeting the changed learning habits of the students are more
   successful regarding the acceptance and learning outcomes. In addition,
   digitalization is currently gaining importance as a component in the
   medical school curricula.
RI Tolks, Daniel/ABA-6183-2021; Hidayat, Ima/ABF-6870-2021; Kuhn, Sebastian/; Barton, Katherine/
OI Tolks, Daniel/0000-0001-8597-5189; Kuhn, Sebastian/0000-0002-8031-2973;
   Barton, Katherine/0000-0002-0875-9471
ZA 0
TC 54
ZB 6
ZS 0
ZR 1
Z8 0
Z9 54
U1 2
U2 41
SN 1436-9990
EI 1437-1588
UT WOS:000423549600012
PM 29234823
ER

PT J
AU Samulski, T. Danielle
   Taylor, Laura A.
   La, Teresa
   Mehr, Chelsea R.
   McGrath, Cindy M.
   Wu, Roseann I.
TI The utility of adaptive eLearning in cervical cytopathology education
SO CANCER CYTOPATHOLOGY
VL 126
IS 2
BP 129
EP 135
DI 10.1002/cncy.21942
PD FEB 2018
PY 2018
AB BACKGROUNDAdaptive eLearning allows students to experience a self-paced,
   individualized curriculum based on prior knowledge and learning ability.
   METHODSThe authors investigated the effectiveness of adaptive online
   modules in teaching cervical cytopathology. eLearning modules were
   created that covered basic concepts in cervical cytopathology, including
   artifacts and infections, squamous lesions (SL), and glandular lesions
   (GL). The modules used student responses to individualize the
   educational curriculum and provide real-time feedback. Pathology
   trainees and faculty from the authors' institution were randomized into
   2 groups (SL or GL), and identical pre-tests and post-tests were used to
   compare the efficacy of eLearning modules versus traditional study
   methods (textbooks and slide sets). User experience was assessed with a
   Likert scale and free-text responses.
   RESULTSSixteen of 17 participants completed the SL module, and 19 of 19
   completed the GL module. Participants in both groups had improved
   post-test scores for content in the adaptive eLearning module. Users
   indicated that the module was effective in presenting content and
   concepts (Likert scale [from 1 to 5], 4.3 of 5.0), was an efficient and
   convenient way to review the material (Likert scale, 4.4 of 5.0), and
   was more engaging than lectures and texts (Likert scale, 4.6 of 5.0).
   Users favored the immediate feedback and interactivity of the module.
   Limitations included the inability to review prior content and slow
   upload time for images. Learners demonstrated improvement in their
   knowledge after the use of adaptive eLearning modules compared with
   traditional methods.
   CONCLUSIONSOverall, the modules were viewed positively by participants.
   Adaptive eLearning modules can provide an engaging and effective adjunct
   to traditional teaching methods in cervical cytopathology. Cancer
   Cytopathol 2018;126:129-35. (c) 2017 American Cancer Society.
   Participants who use adaptive eLearning modules for basic concepts in
   cervical cytopathology demonstrate improvement in assessments for
   content that was covered in these modules. Adaptive eLearning may be an
   effective adjunct to traditional teaching methods.
OI Wu, Roseann/0000-0001-8073-3965
Z8 0
ZB 1
TC 12
ZR 1
ZA 0
ZS 0
Z9 13
U1 1
U2 9
SN 1934-662X
EI 1934-6638
UT WOS:000425377200009
PM 29053223
ER

PT J
AU Scott, Karen
   Morris, Anne
   Marais, Ben
TI Medical student use of digital learning resources
SO CLINICAL TEACHER
VL 15
IS 1
BP 29
EP 33
DI 10.1111/tct.12630
PD FEB 2018
PY 2018
AB Background: University students expect to use technology as part of
   their studies, yet health professional teachers can struggle with the
   change in student learning habits fuelled by technology. Our research
   aimed to document the learning habits of contemporary medical students
   during a clinical rotation by exploring the use of locally and
   externally developed digital and print self-directed learning resources,
   and study groups.
   Methods: We investigated the learning habits of final-stage medical
   students during their clinical paediatric rotation using mixed methods,
   involving learning analytics and a student questionnaire. Learning
   analytics tracked aggregate student usage statistics of locally produced
   e-learning resources on two learning management systems and mobile
   learning resources. The questionnaire recorded student-reported use of
   digital and print learning resources and study groups.
   Results: The students made extensive use of digital self-directed
   learning resources, especially in the 2 weeks before the examination,
   which peaked the day before the written examination. All students used
   locally produced digital formative assessment, and most (74/98; 76%)
   also used digital resources developed by other institutions. Most
   reported finding locally produced e-learning resources beneficial for
   learning. In terms of traditional forms of self-directed learning,
   one-third (28/94; 30%) indicated that they never read the course
   textbook, and few students used face-to-face 39/98 (40%) or online 6/98
   (6%) study groups.
   Discussion: Learning analytics and student questionnaire data confirmed
   the extensive use of digital resources for self-directed learning.
   Through clarification of learning habits and experiences, we think
   teachers can help students to optimise effective learning strategies;
   however, the impact of contemporary learning habits on learning efficacy
   requires further evaluation.
RI Marais, Ben/AAX-2626-2021; Scott, Karen M./N-7333-2017
OI Scott, Karen M./0000-0003-0721-6675
ZA 0
TC 39
ZR 0
ZS 1
Z8 1
ZB 5
Z9 41
U1 3
U2 24
SN 1743-4971
EI 1743-498X
UT WOS:000419916900006
PM 28300343
ER

PT J
AU Magana-Valladares, Laura
   Cecilia Gonzalez-Robledo, Maria
   Rosas-Magallanes, Cynthia
   Angel Mejia-Arias, Miguel
   Arreola-Ornelas, Hector
   Knaul, Felicia M.
TI Training Primary Health Professionals in Breast Cancer Prevention:
   Evidence and Experience from Mexico
SO JOURNAL OF CANCER EDUCATION
VL 33
IS 1
BP 160
EP 166
DI 10.1007/s13187-016-1065-7
PD FEB 2018
PY 2018
AB To analyze the key successful factors of a national educational strategy
   for early breast cancer detection developed in Mexico for primary health
   care personnel from 2008 to 2014, an educational strategy to train
   physicians, nurses, health promoters, and medical students from local
   ministries of health with a competency-based approach was developed and
   implemented using diverse educational modalities, face-to-face, blended,
   and a massive open online course (MOOC). Formative and summative
   evaluations were used during the implementation of the course. A total
   of 19,563 health professionals were trained from 2008 to 2014. The
   graduation rate, an average of all educational modalities, was 91 %,
   much higher than those previously reported in the literature. The
   factors that might have influenced this success were (1) the training
   strategy, which was designed according to the characteristics and
   specific needs of the target groups; (2) the political will and
   commitment of the country's health authorities; (3) the technological
   and educational models used; and (4) the punctual follow-up of
   participants. This study shows that carefully designed educational
   interventions can improve service professionals' competencies and that
   regardless of the modality, face-to-face, blended learning, or MOOC,
   high graduation rates can be achieved. Further evaluation is required to
   demonstrate that the competencies remained in all target groups after 6
   months of the intervention and that the women served by the trained
   personnel were provided accurate information and timely diagnoses of
   breast cancer.
OI GONZALEZ-ROBLEDO, MARIA CECILIA/0000-0002-4987-3684; Arreola-Ornelas,
   Hector/0000-0002-7615-6218; Magana, Laura/0000-0002-6767-4339; Knaul,
   Felicia/0000-0002-0512-4788
TC 20
ZR 0
ZA 0
ZB 4
Z8 0
ZS 1
Z9 21
U1 0
U2 16
SN 0885-8195
EI 1543-0154
UT WOS:000419816900025
PM 27357140
ER

PT J
AU Wade, Shari L.
   Taylor, Hudson Gerry
   Yeates, Keith Owen
   Kirkwood, Michael
   Zang, Huaiyu
   McNally, Kelly
   Stacin, Terry
   Zhang, Nanhua
TI Online Problem Solving for Adolescent Brain Injury: A Randomized Trial
   of 2 Approaches
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 39
IS 2
BP 154
EP 162
DI 10.1097/DBP.0000000000000519
PD FEB-MAR 2018
PY 2018
AB Objective: Adolescent traumatic brain injury (TBI) contributes to
   deficits in executive functioning and behavior, but few evidence-based
   treatments exist. We conducted a randomized clinical trial comparing
   Teen Online Problem Solving with Family (TOPS-Family) with Teen Online
   Problem Solving with Teen Only (TOPS-TO) or the access to Internet
   Resources Comparison (IRC) group. Methods: Children, aged 11 to 18
   years, who sustained a complicated mild-to-severe TBI in the previous 18
   months were randomly assigned to the TOPS-Family (49), TOPS-TO (51), or
   IRC group (52). Parent and self-report measures of externalizing
   behaviors and executive functioning were completed before treatment and
   6 months later. Treatment effects were examined using linear regression
   models, adjusting for baseline symptom levels. Age, maternal education,
   and family stresses were examined as moderators. Results: The
   TOPS-Family group had lower levels of parent-reported executive
   dysfunction at follow-up than the TOPS-TO group, and differences between
   the TOPS-Family and IRC groups approached significance. Maternal
   education moderated improvements in parent-reported externalizing
   behaviors, with less educated parents in the TOPS-Family group reporting
   fewer symptoms. On the self-report Behavior Rating Inventory of
   Executive Functions, treatment efficacy varied with the level of
   parental stresses. The TOPS-Family group reported greater improvements
   at low stress levels, whereas the TOPS-TO group reported greater
   improvement at high-stress levels. The TOPS-TO group did not have
   significantly lower symptoms than the IRC group on any comparison.
   Conclusion: Findings support the efficacy of online family problem
   solving to address executive dysfunction and improve externalizing
   behaviors among youth with TBI from less advantaged households.
   Treatment with the teen alone may be indicated in high-stress families.
RI Zang, Huaiyu/AAY-6603-2021; Yeates, Keith/AAJ-4223-2020; McNally, Kelly/; Yeates, Keith Owen/; Zhang, Nanhua/
OI McNally, Kelly/0000-0001-9278-9413; Yeates, Keith
   Owen/0000-0001-7680-2892; Zhang, Nanhua/0000-0001-5796-3404
ZA 0
ZS 0
TC 15
ZR 0
Z8 1
ZB 3
Z9 16
U1 0
U2 6
SN 0196-206X
EI 1536-7312
UT WOS:000429375100082
PM 29076889
ER

PT J
AU Phillips, Cameron J.
   McKinnon, Ross A.
   Woodman, Richard J.
   Gordon, David L.
TI Sustained improvement in vancomycin dosing and monitoring
   post-implementation of guidelines: Results of a three-year follow-up
   after a multifaceted intervention in an Australian teaching hospital
SO JOURNAL OF INFECTION AND CHEMOTHERAPY
VL 24
IS 2
BP 103
EP 109
DI 10.1016/j.jiac.2017.09.010
PD FEB 2018
PY 2018
AB Introduction: Despite vancomycin being in use for over half-a-century,
   it is still not dosed or monitored appropriately in many centers around
   the world. The objective of this study was to determine the
   effectiveness of a multifaceted intervention to implement a vancomycin
   dosing and monitoring guideline across multiple medical and surgical
   units over time.
   Methods: This was an observational before-and-after interventional
   cohort study. The pre-intervention period was August to December
   2010-2011 and the post-intervention period was September to November
   2012-2014. The implementation strategy comprised: face-to-face
   education, online continuing medical education, dissemination of pocket
   guideline and email reminder. Outcome measures included: appropriate
   prescribing of loading and maintenance doses, therapeutic drug
   monitoring, time to attain target range and nephrotoxicity.
   Results: Post-implementation prescribing of loading doses increased
   (10.4%-43.6%, P = <0.001), guideline adherent first maintenance dose
   (44%-68.4% P = 0.04), correct dose adjustment from (53.1%-72.2%, P =
   0.009). Beneficial effects pre and post-implementation were observed for
   adherent timing of initial concentration (43.2%-51.9%, P = 0.01),
   concentrations in target range (32.6%-44.1%, P = 0.001), time to target
   range (median 6-4 days, P = < 0.001), potentially nephrotoxic
   concentrations (30.7%-20.9%, P = < 0.001) and nephrotoxicity
   (10.4%-6.8%, P = < 0.001).
   Conclusions: A multifaceted intervention to implement a vancomycin
   dosing and monitoring guideline significantly improved prescribing,
   monitoring, pharmacokinetic and safety outcomes for patients treated
   with vancomycin over an extended period. However, increased guideline
   adoption by clinicians is required to maximize and prolong the utility
   of this important agent. (c) 2017 Japanese Society of Chemotherapy and
   The Japanese Association for Infectious Diseases. Published by Elsevier
   Ltd. All rights reserved.
RI McKinnon, Ross/B-9340-2009; Phillips, Dr Cameron J./; Gordon, David/; Woodman, Richard/
OI McKinnon, Ross/0000-0002-3725-793X; Phillips, Dr Cameron
   J./0000-0003-0801-3802; Gordon, David/0000-0003-3276-9685; Woodman,
   Richard/0000-0002-4094-1222
TC 13
ZS 0
Z8 0
ZR 0
ZB 5
ZA 0
Z9 13
U1 0
U2 11
SN 1341-321X
EI 1437-7780
UT WOS:000419715200005
PM 29037461
ER

PT J
AU Krzyzaniak, Sara M.
   Cherney, Alan
   Messman, Anne
   Natesan, Sreeja
   Overbeck, Michael
   Schnapp, Benjamin
   Boysen-Osborn, Megan
TI Curated Collections for Educators: Five Key Papers about Residents as
   Teachers Curriculum Development
SO CUREUS JOURNAL OF MEDICAL SCIENCE
VL 10
IS 2
AR e2154
DI 10.7759/cureus.2154
PD FEB 2018
PY 2018
AB The Accreditation Council for Graduate Medical Education (ACGME)
   requires residency programs to prepare residents to teach and assess
   medical students and other learners. In order to achieve this, many
   programs develop formal residents as teachers (RAT) curricula. Medical
   educators may seek the guidance of previously published literature
   during the development of RAT programs at their institutions.
   The authors sought to identify key articles published on the subject of
   RAT programs over the last 10 years. The authors utilized a formal
   literature search with the help of a medical librarian and identified
   additional articles from virtual discussions among the author group and
   an open call for articles on Twitter using the hashtag #MedEd. Virtual
   discussions occurred within an online community of practice, the
   Academic Life in Emergency Medicine (ALiEM) Faculty Incubator. The lead
   author conducted a four-round modified Delphi process among the author
   group in order to narrow the broad article list to five key articles on
   RAT programs. The authors summarize each article and provide
   considerations for junior faculty as well as faculty developers.
   Curriculum development and program evaluation should utilize established
   frameworks and evidence-based approaches. The papers identified by this
   Delphi process will help faculty use best practices when creating or
   revising new RAT curriculum. In addition, faculty tasked with guiding
   junior faculty in this process or creating faculty development programs
   around curriculum development will find these articles to be a great
   resource for building content.
RI Schnapp, Benjamin H/B-7963-2017; Krzyzaniak, Sara/
OI Schnapp, Benjamin H/0000-0001-5031-8269; Krzyzaniak,
   Sara/0000-0002-8173-2750
TC 5
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
Z9 5
U1 1
U2 4
EI 2168-8184
UT WOS:000450936000021
PM 29637035
ER

PT J
AU Johnson, Brooke Ronald, Jr.
   Maksutova, Elmira
   Boobekova, Aigul
   Davletova, Ainura
   Kazakbaeva, Chinara
   Kondrateva, Yelena
   Landoulsi, Sihem
   Lazdane, Gunta
   Monolbaev, Kubanychbek
   Seuc Jo, Armando H.
TI Provision of medical abortion by midlevel healthcare providers in
   Kyrgyzstan: testing an intervention to expand safe abortion services to
   underserved rural and periurban areas
SO CONTRACEPTION
VL 97
IS 2
BP 160
EP 166
DI 10.1016/j.contraception.2017.11.002
PD FEB 2018
PY 2018
AB Objective: To demonstrate the feasibility and safety of training
   midlevel healthcare providers (midwives and family nurses) to provide
   medical abortion and postabortion contraception in underserved areas in
   Kyrgyzstan.
   Study design: This was an implementation study at four referral
   facilities and 28-Felsher Obstetric Points in two districts to train
   their midwives and family nurses to deliver safe and effective abortion
   care with co-packaged mifepristone misoprostol and provide
   contraceptives postabortion. The outcome of abortion complete abortion,
   incomplete abortion or o-going pregnancy was the primary end point
   measured. An international consultant trained 18 midwives and 14 family
   nurses (with midwifery diplomas) to provide medical abortion care.
   Supervising gynecologists based in the referral centers and study
   investigators based in Bishkek provided monthly monitoring of services
   and collection of patient management forms. A voluntary
   self-administered questionnaire at the follow-up visit documented
   women's acceptability of medical abortion services. All study data were
   cross-checked and entered into an online data management system for
   descriptive analysis.
   Results: Between August 2014 and September 2015, midwives provided
   medical abortion to 554 women with a complete abortion rate of 97.8%, of
   whom 62% chose to use misoprostol at home. No women were lost to
   follow-up. Nearly all women (99.5%) chose a contraceptive method
   postabortion; 61% of women receiving services completed the
   acceptability form, of whom more than 99% indicated a high level of
   satisfaction with the service and would recommend it to a friend.
   Conclusion: This study demonstrates that trained Kyrgyz midwives and
   nurses can provide medical abortion safely and effectively. This locally
   generated evidence can be used by the Kyrgyz Ministry of Health to
   reduce unintended pregnancy and expand safe abortion care to women in
   underserved periurban and rural settings. (C) 2017 Elsevier Inc.
RI Lazdane, Gunta/AAL-3524-2021
Z8 0
TC 8
ZB 2
ZA 0
ZS 0
ZR 0
Z9 8
U1 0
U2 8
SN 0010-7824
EI 1879-0518
UT WOS:000424735800013
PM 29133110
ER

PT J
AU Woolf, Steven H.
   Krist, Alex H.
   Lafata, Jennifer Elston
   Jones, Resa M.
   Lehman, Rebecca R.
   Hochheimer, Camille J.
   Sabo, Roy T.
   Frosch, Dominick L.
   Zikmund-Fisher, Brian J.
   Longo, Daniel R.
TI Engaging Patients in Decisions About Cancer Screening: Exploring the
   Decision Journey Through the Use of a Patient Portal
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 54
IS 2
BP 237
EP 247
DI 10.1016/j.amepre.2017.10.027
PD FEB 2018
PY 2018
AB Introduction: Engaging patients to make informed choices is paramount
   but difficult in busy practices. This study sought to engage patients
   outside the clinical setting to better understand how they approach
   cancer screening decisions, including their primary concerns and their
   preferences for finalizing their decision.
   Methods: Twelve primary care practices offering patients an online
   personal health record invited eligible patients to complete a 17-item
   online interactive module. Among 11,458 registered users, invitations to
   complete the module were sent to adults aged 50-74 years who were
   overdue for colorectal cancer screening and to women aged 40-49 years
   and men aged 55-69 who had not undergone a recent mammogram or
   prostate-specific antigen test, respectively.
   Results: The module was started by 2,355 patients and completed by 903
   patients. Most respondents (76.8%) knew they were eligible for
   screening. Preferred next steps were talking to the clinician (76.6%),
   reading/research (28.6%), and consulting trusted friends/family (16.4%).
   Priority topics included how much screening improves life expectancy,
   comparative test performance, and the prevalence/health risks of the
   cancer. Leading fears were getting cancer/delayed detection (79.2%),
   abnormal results (40.5%), and testing complications (39.1%), the last
   referring to false test results, medical complications, or unnecessary
   treatments. Men eligible for prostate-specific antigen screening were
   more likely than women eligible for mammography to express concerns
   about testing complications and to prioritize weighing pros and cons
   over gut feelings (po0.05).
   Conclusions: Although this sample was predisposed to screening, most
   patients wanted help in finalizing their decision. Many wanted to weigh
   the pros and cons and expressed fears of potential harms from screening.
   Understanding how patients approach decisions may help design more
   effective engagement strategies. (C) 2017 American Journal of Preventive
   Medicine. Published by Elsevier Inc. All rights reserved.
RI Zikmund-Fisher, Brian J./A-7677-2009; Zikmund-Fisher, Brian/
OI Zikmund-Fisher, Brian/0000-0002-1637-4176
ZS 0
ZR 0
Z8 0
TC 13
ZB 3
ZA 0
Z9 13
U1 0
U2 9
SN 0749-3797
EI 1873-2607
UT WOS:000423826100011
PM 29241715
ER

PT J
AU Sandvik, Pernilla
   Nydahl, Margaretha
   Kihlberg, Iwona
   Marklinder, Ingela
TI Consumers' health-related perceptions of bread Implications for labeling
   and health communication
SO APPETITE
VL 121
BP 285
EP 293
DI 10.1016/j.appet.2017.11.092
PD FEB 1 2018
PY 2018
AB There is a wide variety of commercial bread types and the present study
   identifies potential pitfalls in consumer evaluations of bread from a
   health perspective. The aim is to describe consumers' health related
   perceptions of bread by exploring which health-related quality
   attributes consumers associate with bread and whether there are
   differences with regard to age, gender and education level. A postal and
   web-based sequential mixed-mode survey (n = 1134, 62% responded online
   and 38% by paper) with open-ended questions and an elicitation task with
   pictures of commercial breads were used. Responses were content analyzed
   and inductively categorized. Three fourths (n = 844) knew of breads they
   considered healthy; these were most commonly described using terms such
   as "coarse," "whole grain," "fiber rich," "sourdough," "crisp," "less
   sugar," "dark," "rye," "seeds," "a commercial brand," "homemade" and
   "kernels." The breads were perceived as healthy mainly because they
   "contain fiber," are "good for the stomach," have good "satiation" and
   beneficial "glycemic properties." The frequency of several elicited
   attributes and health effects differed as a function of age group (18-44
   vs. 45-80 years), gender and education level group (up to secondary
   education vs. university). Difficulties identifying healthy bread were
   perceived as a barrier for consumption especially among consumers with a
   lower education level. Several of the health effects important to
   consumers cannot be communicated on food packages and consumers must
   therefore use their own cues to identify these properties. This may lead
   to consumers being misled especially if a bread is labeled e.g., as a
   sourdough bread or a rye bread, despite a low content. (C) 2017 Elsevier
   Ltd. All rights reserved.
RI Sandvik, Pernilla/AAO-7786-2021
OI Sandvik, Pernilla/0000-0002-3203-792X
TC 23
Z8 0
ZR 0
ZS 0
ZB 13
ZA 0
Z9 23
U1 0
U2 25
SN 0195-6663
EI 1095-8304
UT WOS:000424180700033
PM 29154885
ER

PT J
AU Luisa Gracia-Perez, Maria
   Gil-Lacruz, Marta
TI The impact of a continuing training program on the perceived improvement
   in quality of health care delivered by health care professionals
SO EVALUATION AND PROGRAM PLANNING
VL 66
BP 33
EP 38
DI 10.1016/j.evalprogplan.2017.09.009
PD FEB 2018
PY 2018
AB There is abundant scientific literature concerning factors that affect
   patients' perceptions of the quality of health care. However, there are
   few published works that consider the opinions of health care
   professionals. This article aims to conjointly analyse two
   organisational strategies that determine professional health care
   practice: continuous training and quality of care. The objective is to
   examine the opinions of physicians and nurses on the improvement of the
   quality of care after a 'learning by doing' program. An evaluation
   method was designed that integrates the main variables that intervene in
   quality of care. An online questionnaire was utilised for collecting
   opinions on the effects of the training program. A total of 184 nurses
   and 180 other medical professionals participated in the program and all
   of them were asked to complete the questionnaire. A descriptive, and
   inferential statistical analysis was undertaken and results showed that
   there is a direct relationship between perceptions about: satisfaction,
   professional competence, training modality, optimisation of health
   resources and quality of care.
RI Gil-Lacruz, Marta/M-6242-2019; Gil-Lacruz, Marta/H-5995-2015
OI Gil-Lacruz, Marta/0000-0001-8261-058X; Gil-Lacruz,
   Marta/0000-0001-8261-058X
ZA 0
Z8 0
ZS 1
TC 7
ZR 0
ZB 1
Z9 8
U1 0
U2 22
SN 0149-7189
EI 1873-7870
UT WOS:000418628600004
PM 28987860
ER

PT J
AU Monteith, Scott
   Glenn, Tasha
TI Searching online to buy commonly prescribed psychiatric drugs
SO PSYCHIATRY RESEARCH
VL 260
BP 248
EP 254
DI 10.1016/j.psychres.2017.11.037
PD FEB 2018
PY 2018
AB The use of online pharmacies to purchase prescription drugs is
   increasing. The patient experience when searching to buy commonly
   prescribed psychiatric drugs was investigated. Using the search term
   "buy [drug name] online" in Google, 38 frequently prescribed drugs,
   including 13 with a high potential for abuse, were searched by brand and
   generic names. The first page of results were analyzed, including with
   pharmacy certification checkers and ICANN WHOIS. Search results for all
   drugs yielded 167 pharmacies, of which 147 (88%) did not require a
   prescription. Considering all searches, the average number of pharmacies
   requiring a prescription was 2.7 for a brand name drug and 2.4 for a
   generic name. A phrase like "buy without a prescription" usually
   appeared on the search results page. All results for drugs with a high
   potential for abuse were for illegal pharmacies. Information from
   certification agencies was often conflicting. Most pharmacies were
   registered internationally. Patients searching online to purchase
   prescription psychiatric drugs are presented predominantly with illegal
   pharmacies, and find conflicting certification data. Patient education
   should address typical search results. Societal pressures may increase
   the use of online pharmacies including prescription drug costs, stigma,
   loss of trust in expert opinion, and the changing patient role.
TC 15
ZB 3
ZA 0
Z8 0
ZS 0
ZR 0
Z9 15
U1 0
U2 12
SN 0165-1781
UT WOS:000424855300038
PM 29220682
ER

PT J
AU Piumatti, Giovanni
TI Motivation, health-related lifestyles and depression among university
   students: A longitudinal analysis
SO PSYCHIATRY RESEARCH
VL 260
BP 412
EP 417
DI 10.1016/j.psychres.2017.12.009
PD FEB 2018
PY 2018
AB Positive motivational attitudes protect against depressive symptoms in
   young adults. This study examined the longitudinal relationship between
   motivation to achieve important life goals and depression in a sample of
   young adult university students, who are at higher risk of developing
   psychiatric disorders and adopting unhealthy behaviours than their age
   peers who are not attending university. The participants were 228
   Italian undergraduates who completed an online self-report questionnaire
   twice during a one-year period. Measures included positive motivational
   attitudes, depressive feelings, body mass index, smoking, alcohol
   consumption, cannabis use, subjective family income and satisfaction
   with academic choice. A cross-lagged longitudinal model demonstrated
   that higher motivation predicted lower depression after one year. No
   other covariate effects were observed. The results confirm that
   motivation protects against mental health problems during higher
   education and is a better predictor of mental health than health-related
   risk factors. Encouraging undergraduates to invest effort in achieving
   important goals may prevent the onset of depressive disorders.
RI Piumatti, Giovanni/AAE-3102-2019
OI Piumatti, Giovanni/0000-0003-4241-1812
Z8 0
ZS 0
TC 15
ZA 0
ZR 0
ZB 3
Z9 15
U1 2
U2 30
SN 0165-1781
UT WOS:000424855300063
PM 29253806
ER

PT J
AU Hsu, Elaine
   Soller, Lianne
   Mill, Christopher
   Abrams, Elissa Michele
   Chan, Edmond S.
TI Barriers preventing Canadian parents of children with food allergy from
   participating in Oral Food Challenges and possible solutions
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 141
IS 2
MA 825
BP AB261
EP AB261
DI 10.1016/j.jaci.2017.12.830
SU S
PD FEB 2018
PY 2018
CT American-Academy-of-Allergy-Asthma-and-Immunology /
   World-Allergy-Organization Joint Congress
CY MAR 02-08, 2018
CL Orlando, FL
SP Amer Acad Allergy Asthma & Immunol; World Allergy Org
RI Soller, Lianne/AGR-7219-2022
TC 0
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 0
U1 0
U2 0
SN 0091-6749
EI 1097-6825
UT WOS:000429306700822
ER

PT J
AU Stern, Heather H.
   Jhaveri, Pooja B. M.
TI An Assessment of School Nurses' Familiarity with Eosinophilic
   Esophagitis
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 141
IS 2
MA 447
BP AB141
EP AB141
DI 10.1016/j.jaci.2017.12.450
SU S
PD FEB 2018
PY 2018
CT American-Academy-of-Allergy-Asthma-and-Immunology /
   World-Allergy-Organization Joint Congress
CY MAR 02-08, 2018
CL Orlando, FL
SP Amer Acad Allergy Asthma & Immunol; World Allergy Org
ZR 0
ZS 0
Z8 0
ZA 0
TC 0
ZB 0
Z9 0
U1 1
U2 2
SN 0091-6749
EI 1097-6825
UT WOS:000429306700446
ER

PT J
AU Czaplik, Michael
   Voigt, Verena
   Kenngott, Hannes
   Clusmann, Hans
   Hoffmann, Ruediger
   Will, Armin
TI Why OR.NET? Requirements and perspectives from a medical user's,
   clinical operator's and device manufacturer's points of view
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 63
IS 1
SI SI
BP 5
EP 10
DI 10.1515/bmt-2017-0043
PD FEB 2018
PY 2018
AB In the past decades, modern medicine has been undergoing a change in the
   direction of digitalisation and automation. Not only the integration of
   new digital technologies, but also the interconnection of all components
   can simplify clinical processes and allow progress and development of
   new innovations. The integration and interconnection of medical devices
   with each other and with information technology (IT) systems was
   addressed within the framework of the Federal Ministry of Education and
   Research (BMBF)-funded lighthouse project OR.NET ("Secure dynamic
   networking in the operating room and clinic".)
   (OR.net-Forschungskonsortium (OR. net Research Syndicate.) OR.net -
   Sichere dynamische Vernetzung in Operationssaal und Klinik [Online].
   Available: www.ornet.org. [last accessed 22 March 2017]). In this
   project the-standards and concepts for interdisciplinary networking in
   the operating room (OR) were developed. In this paper, the diverse
   advantages of the OR. NET concept are presented and explained by the OR.
   NET "Medical Board". This board represents the forum of clinical users
   and includes clinicians and experts from various specialties.
   Furthermore, the opinion from the viewpoint of operators is presented.
   In a concluding comment of the "Operator Board", clinical user needs are
   aligned with technical requirements.
TC 5
ZS 0
ZA 0
Z8 0
ZR 0
ZB 1
Z9 5
U1 0
U2 5
SN 0013-5585
EI 1862-278X
UT WOS:000424521600002
PM 29286909
ER

PT J
AU Clancy, Aisling A.
   Hickling, Duane
   Didomizio, Laura
   Sanaee, May
   Shehata, Fady
   Zee, Rebekah
   Khalil, Hisham
TI Patient-targeted websites on overactive bladder: What are our patients
   reading?
SO NEUROUROLOGY AND URODYNAMICS
VL 37
IS 2
BP 832
EP 841
DI 10.1002/nau.23359
PD FEB 2018
PY 2018
AB AimsPatients often turn to the Internet for information on medical
   conditions. We sought to evaluate the quality and readability of highly
   visible websites on overactive bladder (OAB).
   MethodsA survey of 42 consecutive patients attending outpatient
   urogynecology clinics was performed to identify the most commonly used
   Internet search engines and search terms for information on OAB. The
   three most commonly used search engines (Google, Bing, and Yahoo!) were
   then queried using the three most commonly used search terms. The first
   20 relevant websites from each search were reviewed. After excluding
   duplicates, 35 websites were analyzed. Website quality of information on
   OAB was evaluated using the DISCERN score, JAMA benchmark criteria, and
   Health on the Net code (HONcode) accreditation status. Readability was
   assessed using the Simplified Measure of Gobbledygook (SMOG) and
   Dale-Chall indices.
   ResultsWebsites were classified as advertisement/commercial (31%),
   health portal (29%), professional (26%), patient group (6%), and other
   (9%). The overall mean DISCERN score was 4418 (maximum possible score of
   80). Three websites (9%) met all four JAMA benchmark criteria. Seventeen
   percent of websites provided adequate information on content authorship
   and contributions. Median SMOG and Dale-Chall indices were 9.9 (IQR
   9.3-11.2) and 9.0 (IQR 8.1-9.4), respectively. Nine websites (26%) were
   HONcode certified.
   ConclusionsPopular websites on OAB are of low quality, written for a
   high school to college-level readership, and often lack adequate
   information to assess the potential for commercial bias. Patients should
   be cautioned that incomplete and potentially biased information on OAB
   is prevalent online.
RI Clancy, Aisling A/A-2152-2013; Clancy, Aisling/
OI Clancy, Aisling/0000-0003-0892-004X
ZS 0
ZR 0
ZA 0
Z8 0
ZB 3
TC 11
Z9 11
U1 0
U2 1
SN 0733-2467
EI 1520-6777
UT WOS:000428455000036
PM 28762549
ER

PT J
AU Varner, LeAnne Honeycutt
   Radhakrishnan, Remya
   Rollins, Brent L.
TI Preceptor's grading scale preference for student pharmacy practice
   experience and assessment of the common grading scale among US schools
   of pharmacy
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 10
IS 2
BP 165
EP 169
DI 10.1016/j.cptl.2017.10.003
PD FEB 2018
PY 2018
AB Introduction: The objective of this study was to gain an understanding
   of preceptors' grading scale preferences for introductory and advanced
   pharmacy practice experiences (IPPE/APPE). Secondarily, assess if there
   is a common grading scale for IPPE/APPE rotations among US pharmacy
   programs.
   Methods: An online, 22-item survey questionnaire was sent to all
   preceptors at a fully accredited school of pharmacy. The survey
   instrument assessed preceptor attitudes toward the effectiveness of the
   primary grading scales, letter or pass/no pass. Demographic variables
   were also assessed, including gender, age, practice setting, years as a
   preceptor, and annual number of students precepted. In addition, a phone
   survey was conducted with all pharmacy programs in the United States at
   the time to assess grading scales used for introductory and advanced
   pharmacy practice experiences (IPPE/APPEs).
   Results: Three hundred sixty-five preceptors responded to the survey
   questionnaire. Overall, preceptors had more favorable attitudes toward
   the letter grade system as opposed to the pass/no pass system, and when
   asked specifically which they preferred, approximately 70% preferred the
   letter grading system. The phone survey of different pharmacy programs
   grading systems revealed most use the letter grading system. Fifty-six
   of 87 responding schools (64%) reported use of a letter grading system,
   compared to 26 of 87 (30%) using a pass/no pass system and five using
   'other variations' (6%).
   Conclusion: The majority of preceptors preferred the letter grading
   system over the pass/no pass system. Familiarity with this system was a
   contributing factor, as a significant number of preceptors preferred the
   grading scale they had as a pharmacy student - the letter grade system.
   This trend mimics current pharmacy school's grading system, as
   approximately 2/3 currently use a letter grading system to evaluate
   IPPE/APPEs.
ZR 0
ZA 0
ZS 0
TC 5
ZB 0
Z8 0
Z9 5
U1 0
U2 0
SN 1877-1297
EI 1877-1300
UT WOS:000431725400009
PM 29706271
ER

PT J
AU Adam, Patricia
   Murphy, Courtney F.
   Dierich, Mary
   Hager, Keri D.
TI Seven Years of Teaching Communication With the Patient-Centered
   Observation Form
SO FAMILY MEDICINE
VL 50
IS 2
BP 132
EP 137
DI 10.22454/FamMed.2018.516713
PD FEB 2018
PY 2018
AB BACKGROUND AND OBJECTIVES: For years, family medicine has taught
   patient-centered communication through observations and observation
   checklists. We explored the utility of one checklist, the
   Patient-Centered Observation Form (PCOF), to teach and evaluate
   patient-centered communication in our family medicine residencies.
   METHODS: We conducted a mixed-method study of five University of
   Minnesota Family Medicine Residencies' seven years of experience
   teaching and evaluating residents' patient-centered communication
   skills. All programs have a behavioral health (BH) faculty-led
   observation curriculum that uses the PCOF to assess resident skills and
   give feedback. We conducted a BH faculty focus group and interviews,
   generated themes from the BH responses, and then queried family medicine
   (FM) faculty regarding these themes through an online survey.
   RESULTS: Ten BH faculty participated in the focus group/interviews, and
   71% (25/35) of FM faculty completed the survey about themes derived from
   the BH interviews. The residencies complete between 1 to 11 observations
   per resident per year. Since implementation, four programs have
   continuously used the PCOF due to its versatility, design as a formative
   rather than summative feedback tool, and relative ease of use. BH
   faculty believe longitudinal observations with the PCOF resulted in
   improved resident patient-centered communication. Most importantly, all
   faculty described a shift in family medicine culture toward
   patient-centered communication. Time for observations and feedback is
   the primary curricular barrier.
   CONCLUSIONS: Our findings support the utility of the PCOF for teaching
   and evaluating patient-centered communication in family medicine
   training.
Z8 0
ZA 0
ZS 0
ZR 0
ZB 1
TC 3
Z9 3
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000429063000008
PM 29432629
ER

PT J
AU Callaghan, Daniel J., III
TI Use of Google Trends to Examine Interest in Mohs Micrographic Surgery:
   2004 to 2016
SO DERMATOLOGIC SURGERY
VL 44
IS 2
BP 186
EP 192
DI 10.1097/DSS.0000000000001270
PD FEB 2018
PY 2018
AB BACKGROUND Mohs micrographic surgery (MMS) is the gold standard for
   treatment of high-risk skin cancers. There has been an upward trend in
   the use of this procedure as demonstrated by data from Medicare and the
   National Ambulatory Medical Care Survey.
   OBJECTIVE To assess interest in MMS among members of the general public
   as measured by number of online searches, and how that interest has
   changed over time.
   MATERIALS AND METHODS Google Trends was used to plot interest in search
   terms including "Mohs surgery," "basal cell carcinoma," "squamous cell
   carcinoma," "melanoma," and "skin cancer" from January 1, 2004, to
   November 30, 2016.
   RESULTS Search interest for the term "Mohs surgery" has steadily
   increased since 2004 and correlates closely with increased interest for
   "basal cell carcinoma" (r = 0.82) and "squamous cell carcinoma" (r =
   0.85). Search interest in MMS did not correlate well with searches for
   melanoma (r = 20.15) or skin cancer (r = 20.29).
   CONCLUSION Public interest in MMS has continued to steadily increase in
   the United States, which may be a reflection of the increasing volume of
   MMS that is performed.
ZB 2
ZR 0
Z8 0
TC 11
ZA 0
ZS 0
Z9 11
U1 0
U2 1
SN 1076-0512
EI 1524-4725
UT WOS:000428739200006
PM 28930787
ER

PT J
AU McInnes, Colin W.
   Vorstenbosch, Joshua
   Chard, Ryan
   Logsetty, Sarvesh
   Buchel, Edward W.
   Islur, Avinash
TI Canadian Plastic Surgery Resident Work Hour Restrictions: Practices and
   Perceptions of Residents and Program Directors
SO PLASTIC SURGERY
VL 26
IS 1
BP 11
EP 17
DI 10.1177/2292550317749512
PD FEB 2018
PY 2018
AB Background: The impact of resident work hour restrictions on training
   and patient care remains a highly controversial topic, and to date,
   there lacks a formal assessment as it pertains to Canadian plastic
   surgery residents. Objective: To characterize the work hour profile of
   Canadian plastic surgery residents and assess the perspectives of
   residents and program directors regarding work hour restrictions related
   to surgical competency, resident wellness, and patient safety. Methods:
   An anonymous online survey developed by the authors was sent to all
   Canadian plastic surgery residents and program directors. Basic summary
   statistics were calculated. Results: Eighty (53%) residents and 10 (77%)
   program directors responded. Residents reported working an average of 73
   hours in hospital per week with 8 call shifts per month and sleep 4.7
   hours/night while on call. Most residents (88%) reported averaging 0
   post-call days off per month and 61% will work post-call without any
   sleep. The majority want the option of working post-call (63%) and
   oppose an 80-hour weekly maximum (77%). Surgical and medical errors
   attributed to post-call fatigue were self-reported by 26% and 49% of
   residents, respectively. Residents and program directors expressed
   concern about the ability to master surgical skills without working
   post-call. Conclusions: The majority of respondents oppose duty hour
   restrictions. The reason is likely multifactorial, including the desire
   of residents to meet perceived expectations and to master their surgical
   skills while supervised. If duty hour restrictions are aggressively
   implemented, many respondents feel that an increased duration of
   training may be necessary.
RI Vorstenbosch, Joshua/AAH-8339-2021
Z8 0
ZA 0
ZR 0
ZS 0
TC 2
ZB 0
Z9 2
U1 0
U2 2
SN 2292-5503
EI 2292-5511
UT WOS:000423606000002
PM 29619354
ER

PT J
AU Webb, Carmen
   Sharma, Vishal
   Temple-Oberle, Claire
TI Delivering Breast Reconstruction Information to Patients: Women Report
   on Preferred Information Delivery Styles and Options
SO PLASTIC SURGERY
VL 26
IS 1
BP 26
EP 32
DI 10.1177/2292550317750139
PD FEB 2018
PY 2018
AB Purpose: To discover missed opportunities for providing information to
   women undergoing breast reconstruction in an effort to decrease regret
   and improve patient education, teaching modalities, and satisfaction.
   Method: Thirty- to 45-minute semi-structured interviews were conducted
   exploring patient experiences with information provision on breast
   reconstruction. Purposeful sampling was used to include women with a
   variety of reconstruction types at different time points along their
   recovery. Using grounded theory methodology, 2 independent reviewers
   analyzed the transcripts and generated thematic codes based on patient
   responses. BREAST-Q scores were also collected to compare satisfaction
   scores with qualitative responses. Results: Patients were interested in
   a wide variety of topics related to breast reconstruction including the
   pros and cons of different options, nipple-sparing mastectomies,
   immediate breast reconstruction, oncological safety/monitoring and the
   impact of chemotherapy and radiotherapy, secondary procedures
   (balancing, nipple reconstruction), post-operative recovery, and
   long-term expectations. Patients valued accessing information from
   multiple sources, seeing numerous photographs, being guided to reliable
   information online, and having access to a frequently asked questions
   file or document. Information delivery via interaction with medical
   personnel and previously reconstructed patients was most appreciated.
   Compared with BREAST-Q scores for satisfaction with the plastic surgeon
   (mean: 95.7, range: 60-100), informational satisfaction scores were
   lower at 74.7 (50-100), confirming the informational gaps expressed by
   interviewees. Conclusions: Women having recently undergone breast
   reconstruction reported key deficiencies in information provided prior
   to surgery and identified preferred information delivery options.
   Addressing women's educational needs is important to achieve appropriate
   expectations and improve satisfaction.
ZS 1
ZA 0
ZB 1
ZR 0
TC 9
Z8 0
Z9 9
U1 0
U2 5
SN 2292-5503
EI 2292-5511
UT WOS:000423606000004
PM 29619356
ER

PT J
AU Skeith, Leslie
   Carrier, Marc
   Shivakumar, Sudeep
   Langlois, Nicole
   Le Gal, Gregoire
   Harris, Ilene
   Gonsalves, Carol
TI Guiding curriculum development of a national research training program
   in thrombosis medicine: A needs assessment involving faculty and
   trainees
SO THROMBOSIS RESEARCH
VL 162
BP 79
EP 86
DI 10.1016/j.thromres.2017.12.008
PD FEB 2018
PY 2018
AB Background: Several barriers exist for training and retention of
   clinician scientists, including difficulty in navigating
   research-related tasks in the workplace and insufficient mentorship.
   Objective: Our aim was to identify what core research knowledge and
   skills are important for the success of clinician scientists in
   thrombosis research, and trainees' perceived confidence in those skills,
   in order to develop a targeted educational intervention.
   Methods: A pre-tested online survey was administered to trainees and
   research faculty of the Canadian thrombosis research network, CanVECTOR,
   between September 2016 and June 2017. The importance (research faculty)
   and confidence (trainees) of 45 research knowledge/skills were measured
   using a 5-point Likert scale.
   Results: The survey response rate was 49% (28/57) for research faculty
   and 100% (10/10) for trainees. All research faculty rated developing a
   good research question, grant writing and writing strategies for
   successful publication as 'very' or 'extremely' important for trainees
   to learn to better transition in becoming independent researchers. Other
   important areas included practical aspects of research. A qualitative
   thematic analysis of open text responses identified 'time management'
   and 'leadership and teamwork' as additional important research skills.
   Confidence reported for each topic varied across trainees. There were
   three research knowledge and/or skills that >= 75% of research faculty
   deemed highly important and >= 50% of trainees reported lacking
   confidence in: grant writing, the peer-review grant process, and
   knowledge translation strategies.
   Conclusions: Developing a good research question, communicating research
   ideas and results and the practical aspects of research are important
   areas to focus future efforts in thrombosis research training.
RI Skeith, Leslie/AAW-1740-2021; Skeith, Leslie/; Langlois, Nicole/
OI Skeith, Leslie/0000-0002-5587-398X; Langlois, Nicole/0000-0002-4953-6549
ZR 0
TC 2
ZA 0
ZB 1
ZS 0
Z8 0
Z9 2
U1 0
U2 3
SN 0049-3848
UT WOS:000425999400013
PM 29310057
ER

PT J
AU Schaffert, R.
   Dahinden, U.
   Hess, T.
   Baenziger, A.
   Kuntschik, P.
   Odoni, F.
   Spoerri, P.
   Strebel, R. T.
   Kamradt, J.
   Tenti, G.
   Mattei, A.
   Muentener, M.
   Subotic, S.
   Schmid, H-P
   Rueesch, P.
TI Evaluation of a prostate cancer E-health tutorial. Development and
   testing of the website prostatainformation.ch
SO UROLOGE
VL 57
IS 2
BP 164
EP 171
DI 10.1007/s00120-017-0552-8
PD FEB 2018
PY 2018
AB Background. Due to the multitude of therapy options, the treatment
   decision after diagnosis of localized prostate cancer is challenging.
   Compared to printed booklets, web-based information technology offers
   more possibilities to tailor information to patients' individual needs.
   Objectives. To support the decision-making process as well as the
   communication with patients, we developed an online tutorial in a
   systematic process in the German-speaking part of Switzerland and then
   tested it in a pilot study. The study investigated users' satisfaction,
   the coverage of information needs, the preparation for decision making,
   and the subjective quality of the decision.
   Materials and methods. Based on already existing information material,
   the online tutorial was developed in an iterative process using focus
   groups with patients and urologists. For the following evaluation in
   eight clinics a total of 87 patients were invited to access the platform
   and participate in the study. Of these patients, 56 used the tutorial
   and 48 answered both surveys (the first one 4 weeks after the first
   login and the second one 3 months after treatment decision). The surveys
   used the Preparation for Decision Making Scale (PDMS), the Decisional
   Conflict Scale (DCS), and the Decisional Regret Scale (DRS).
   Results and conclusion. Satisfaction with the tutorial is very high
   among patients with newly diagnosed localized prostate cancer. Users
   find their information needs sufficiently covered. Three months after
   the decision they felt that they were well prepared for the decision
   making (mean PDMS 75, standard deviation [SD] 23), they had low
   decisional conflict (mean DCS 9.6, SD 11), and almost no decisional
   regret (mean DRS 6.4, SD 9.6). Based on these findings, further use of
   the tutorial can be recommended.
RI Odoni, Fabian E./D-3539-2015
OI Odoni, Fabian E./0000-0003-0829-5387
ZR 1
ZS 0
TC 6
ZB 4
Z8 0
ZA 0
Z9 7
U1 0
U2 2
SN 0340-2592
EI 1433-0563
UT WOS:000425288100005
PM 29209755
ER

PT J
AU LaVoie, Noelle
   Lee, Yi-Ching
   Allison, Anna
   Parker, James
TI A new approach for assessing and training drivers' speed management
SO ACCIDENT ANALYSIS AND PREVENTION
VL 111
BP 266
EP 270
DI 10.1016/j.aap.2017.12.002
PD FEB 2018
PY 2018
AB Motor vehicle crashes are the leading cause of death and injury for
   teens and speeding is a major contributor, particularly driving too fast
   for conditions (CDC, 2015, 2013; NHTSA, 2012; Lam, 2003; McKnight &
   McKnight, 2003). Speed management is a type of tacit knowledge learned
   through experience that combines speed perception with decisions about
   safety. Effective training and assessment of speed management requires a
   safe method for accumulating practice that includes realistic perceptual
   cues. This study investigated whether speed can be manipulated in an
   online environment using special effects technology without distorting
   speed perception. A forced-choice experiment revealed that drivers'
   perception of speed was not influenced by the special effects
   technology, indicating that critical perceptual information was not
   altered by the speed manipulation of the videos. The experiment also
   looked at the role of experience in detecting speed differences and
   found that experienced drivers were able to make judgments about speed
   more quickly than inexperienced drivers. Implications of these findings
   for training and assessment are discussed.
OI Lee, Yi-Ching/0000-0002-9383-4105
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
TC 1
Z9 1
U1 1
U2 7
SN 0001-4575
EI 1879-2057
UT WOS:000424179400028
PM 29248619
ER

PT J
AU Bonham, Jennifer
   Johnson, Marilyn
TI Cyclist-related content in novice driver education and training
SO ACCIDENT ANALYSIS AND PREVENTION
VL 111
BP 321
EP 327
DI 10.1016/j.aap.2017.12.008
PD FEB 2018
PY 2018
AB In Australia, the increasing public profile and policy interest in
   cycling contrasts with variable cycling participation rates across
   jurisdictions (Australian Bicycle Council, 2017) and lack of
   cyclist-specific infrastructure. Cyclists and drivers often share road
   space, usually without indication from the built environment about how
   to maximise each other's safety and utility. Yet despite this regular
   interaction, cyclists are largely absent from the driver licensing
   process in Australia. That is, novice drivers are not taught how to
   share the road with cyclists. This case study used a mixed methods
   approach to examine the cyclist-related content in the Graduated Driver
   Licensing System (GDLS) in the Australian Capital Territory (ACT). The
   case study was conducted in four stages: 1) content analysis of all
   documents used through the GDLS; 2) observations of the Road Ready
   course and learner driver lessons; 3) online survey; and, 4)
   semi-structured interviews. Cyclists are rarely mentioned in the GDLS in
   the ACT and references often constructed cyclists as problematic or were
   based in instructors' personal opinion (rather than scripted responses).
   Outcomes from this study have directly informed a new vulnerable road
   user driver licence competency in the ACT and findings include
   recommendations for greater inclusion of cyclists in the driver
   licensing system.
RI Haworth, Narelle/AAV-4845-2021
OI Haworth, Narelle/0000-0003-2514-787X
TC 12
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
Z9 12
U1 0
U2 6
SN 0001-4575
EI 1879-2057
UT WOS:000424179400033
PM 29272789
ER

PT J
AU Hatfield, Megan
   Falkmer, Marita
   Falkmer, Torbjorn
   Ciccarelli, Marina
TI Process Evaluation of the BOOST-A (TM) Transition Planning Program for
   Adolescents on the Autism Spectrum: A Strengths-Based Approach
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 48
IS 2
BP 377
EP 388
DI 10.1007/s10803-017-3317-8
PD FEB 2018
PY 2018
AB A process evaluation was conducted to determine the effectiveness,
   usability, and barriers and facilitators related to the Better OutcOmes
   & Successful Transitions for Autism (BOOST-A (TM)), an online transition
   planning program. Adolescents on the autism spectrum (n = 33) and their
   parents (n = 39) provided feedback via an online questionnaire. Of
   these, 13 participants were interviewed to gain in-depth information
   about their experiences. Data were analyzed using descriptive statistics
   and thematic analysis. Four themes were identified: (i) taking action to
   overcome inertia, (ii) new insights that led to clear plans for the
   future, (iii) adolescent empowerment through strengths focus, and (iv)
   having a champion to guide the way. The process evaluation revealed why
   BOOST-A (TM) was beneficial to some participants more than others.
   Trial registration #ACTRN12615000119594.
RI Hatfield, Megan/AAG-3472-2020
OI Hatfield, Megan/0000-0001-5684-135X
ZA 0
ZB 3
ZS 0
Z8 0
TC 9
ZR 0
Z9 9
U1 1
U2 27
SN 0162-3257
EI 1573-3432
UT WOS:000424669000005
PM 29019012
ER

PT J
AU Trobert Anett Maria
   Szeman Zsuzsanna
TI General practitioners and eldercare reflected in a survey by
   questionnaire
SO ORVOSI HETILAP
VL 159
IS 8
BP 312
EP 319
DI 10.1556/650.2018.30959
PD FEB 2018
PY 2018
AB According to statistical data, the number of healthy life years is not
   increasing in proportion with the longer average life expectancy. In the
   ageing societies, the long-term care systems are increasingly
   overburdened; cost-efficient operation and the related coordination of
   services is one of the key questions for their sustainability. The
   present separation of the health care and social care systems causes
   numerous difficulties. One aim of the online research by questionnaire
   was to survey the attitude of general practitioners - who play a very
   important part in care for the elderly - towards their elder patients,
   the patients' family members, and social workers providing eldercare.
   The other aim was to gather information on shortcomings experienced by
   doctors in the care system and on what possibilities general
   practitioners see for the improvement of eldercare. Semi-structured
   questionnaires were applied and analysed by descriptive and content
   methodology. The questionnaires were sent out to 5060 addresses around
   the country: a total of 145 were returned filled in. The respondents
   made many recommendations for the improvement of eldercare in the
   categories of development of social services, family support,
   development of health services, and societal cooperation. The areas in
   need of development named by the general practitioners are closely
   interrelated: the reform of social care would support the health care
   system and vice versa. More effective operation of the health and social
   care systems would ease the burdens of families, and at the same time
   encourage more active participation of families in the care process. And
   the systematic education of society and communities is a long-term
   investment that would strengthen a positive attitude towards old age and
   a value-oriented view of the ageing process that is one of the basic
   conditions for successful social integration of the elderly.
OI Szeman, Zsuzsa/0000-0001-8653-8618
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 0
Z9 0
U1 1
U2 4
SN 0030-6002
EI 1788-6120
UT WOS:000425111800004
PM 29429359
ER

PT J
AU Ludwig, Birgit
   Turk, Bela
   Seitz, Tamara
   Klaus, Isabella
   Loeffler-Stastka, Henriette
TI The search for attitude-a hidden curriculum assessment from a central
   European perspective
SO WIENER KLINISCHE WOCHENSCHRIFT
VL 130
IS 3-4
BP 134
EP 140
DI 10.1007/s00508-018-1312-5
PD FEB 2018
PY 2018
AB Little is known about the development of the hidden curriculum in the
   medical education system. It refers to a conglomeration of implicit
   beliefs, attitudes and forms of conduct that are unwittingly transmitted
   from one generation of teaching physicians to the next. How can we
   describe this process, what are the potential positive or negative
   impacts, and last but not least, how can we measure it?
   Students of the Medical University of Vienna complete their clinical
   rotations in Vienna and in other accredited, mostly central European
   hospitals. They were subsequently invited to evaluate their rotations in
   an online questionnaire regarding dimensions, such as professionalism,
   teaching, integration and appreciation.
   In total, 133 students participated in this pilot study and the average
   response rate was 10.1%, similar to evaluations conducted prior to that.
   Although the evaluation results on average were positive, several
   experiences of deprecation and less professional conduct were present in
   each evaluated rotation. Giving the students the opportunity to reflect
   upon their experiences could be seen as an intervention and
   investigation at the same time.
   This survey serves as a precursor to a qualitative interview-based
   study, accompanying the implementation of case-based learning designed
   by collaborating residents and medical students. The findings of this
   pilot-study support the necessity of fostering a reflective capacity in
   the education of medical students, enabling them to speak up and live up
   to the expected professionalism despite shortcomings within the hidden
   curriculum.
RI Ludwig, Birgit/B-2925-2018; Henriette, Löffler-Stastka/P-1229-2016
OI Ludwig, Birgit/0000-0002-5119-8665; Henriette,
   Löffler-Stastka/0000-0001-8785-0435
TC 6
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
Z9 6
U1 0
U2 7
SN 0043-5325
EI 1613-7671
UT WOS:000425288400007
PM 29356896
ER

PT J
AU Hunt, Tara
   Wilson, Coralie
   Caputi, Peter
   Wilson, Ian
   Woodward, Alan
TI Patterns of Signs That Telephone Crisis Support Workers Associate with
   Suicide Risk in Telephone Crisis Line Callers
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 15
IS 2
AR 235
DI 10.3390/ijerph15020235
PD FEB 2018
PY 2018
AB Signs of suicide are commonly used in suicide intervention training to
   assist the identification of those at imminent risk for suicide. Signs
   of suicide may be particularly important to telephone crisis-line
   workers (TCWs), who have little background information to identify the
   presence of suicidality if the caller is unable or unwilling to express
   suicidal intent. Although signs of suicide are argued to be only
   meaningful as a pattern, there is a paucity of research that has
   examined whether TCWs use patterns of signs to decide whether a caller
   might be suicidal, and whether these are influenced by caller
   characteristics such as gender. The current study explored both
   possibilities. Data were collected using an online self-report survey in
   a Australian sample of 137 TCWs. Exploratory factor analysis uncovered
   three patterns of suicide signs that TCWs may use to identify if a
   caller might be at risk for suicide (mood, hopelessness, and anger),
   which were qualitatively different for male and female callers. These
   findings suggest that TCWs may recognise specific patterns of signs to
   identify suicide risk, which appear to be influenced to some extent by
   the callers' inferred gender. Implications for the training of telephone
   crisis workers and others including mental-health and medical
   professionals, as well as and future research in suicide prevention are
   discussed.
OI Woodward, Alan/0000-0002-5379-337X; Wilson, Ian/0000-0003-2603-2660
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
TC 6
Z9 6
U1 0
U2 5
SN 1660-4601
UT WOS:000426721400060
PM 29385780
ER

PT J
AU Bergeron, David
   Champagne, Jean-Nicolas
   Qi, Wen
   Dion, Maxime
   Theriault, Julie
   Renaud, Jean-Sebastien
TI Impact of a Student-Driven, Virtual Patient Application on Objective
   Structured Clinical Examination Performance: Observational Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 20
IS 2
AR e60
DI 10.2196/jmir.7548
PD FEB 2018
PY 2018
AB Background: Peer-assisted learning (PAL) refers to a learning activity
   whereby students of similar academic level teach and learn from one
   another. Groupe de perfectionnement des habiletes cliniques (Clinical
   Skills Improvement Group), a student organization at Universite Laval,
   Canada, propelled PAL into the digital era by creating a collaborative
   virtual patient platform. Medical interviews can be completed in pairs
   (a student-patient and a student-doctor) through an interactive
   Web-based application, which generates a score (weighted for key
   questions) and automated feedback.
   Objectives: The aim of the study was to measure the pedagogical impact
   of the application on the score at medical interview stations at the
   summative preclerkship Objective Structured Clinical Examination (OSCE).
   Methods: We measured the use of the application (cases completed, mean
   score) in the 2 months preceding the OSCE. We also accessed the results
   of medical interview stations at the preclerkship summative OSCE. We
   analyzed whether using the application was associated with higher scores
   and/or better passing grades (>= 60%) at the OSCE. Finally, we produced
   an online form where students could comment on their appreciation of the
   application.
   Results: Of the 206 students completing the preclerkship summative OSCE,
   170 (82.5%) were registered users on the application, completing a total
   of 3133 cases (18 by active user in average, 7 minutes by case in
   average). The appreciation questionnaire was answered online by 45
   students who mentioned appreciating the intuitive, easy-to-use, and
   interactive design, the diversity of cases, and the automated feedback.
   Using the application was associated with reduced reported stress,
   improved scores (P=.04), and improved passing rates (P=.11) at the
   preclerkship summative OSCE.
   Conclusions: This study suggests that PAL can go far beyond small-group
   teaching, showing students' potential to create helpful pedagogical
   tools for their peers.
OI Dion, Maxime/0000-0003-3262-9842; Qi, Wen/0000-0002-0756-6010; Renaud,
   Jean-Sebastien/0000-0002-2816-0773; Champagne,
   Jean-Nicolas/0000-0001-6921-2018
ZR 0
ZB 0
Z8 0
ZA 0
TC 2
ZS 0
Z9 2
U1 2
U2 7
SN 1438-8871
UT WOS:000427444900001
PM 29472175
ER

PT J
AU Salsbury, Stacie A.
   Goertz, Christine M.
   Twist, Elissa J.
   Lisi, Anthony J.
TI Integration of Doctors of Chiropractic Into Private Sector Health Care
   Facilities in the United States: A Descriptive Survey
SO JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS
VL 41
IS 2
BP 149
EP 155
DI 10.1016/j.jmpt.2017.10.003
PD FEB 2018
PY 2018
AB Objective: The purpose of this study was to describe the demographic,
   facility, and practice characteristics of doctors of chiropractic (DCs)
   working in private sector health care settings in the United States.
   Methods: We conducted an online, cross-sectional survey using a
   purposive sample of DCs (n = 50) working in integrated health care
   facilities. The 36-item survey collected demographic, facility,
   chiropractic, and interdisciplinary practice characteristics, which were
   analyzed with descriptive statistics.
   Results: The response rate was 76% (n = 38). Most respondents were men
   and mid-career professionals with a mean 21 years of experience in
   chiropractic. Doctors of chiropractic reported working in hospitals
   (40%), multispecialty offices (21%), ambulatory clinics (16%), or other
   (21%) health care settings. Most (68%) were employees and received
   salary compensation (59%). The median number of DCs per setting was 2
   (range 1-8). Most DCs used the same health record as medical staff and
   worked in the same clinical setting. More than 60% reported
   co-management of patients with medical professionals. Integrated DCs
   most often received and made referrals to primary care, physical
   medicine, pain medicine, orthopedics, and physical or occupational
   therapy. Although in many facilities the DCs were exclusive providers of
   spinal manipulation (43%), in most, manipulative therapies also were
   delivered by physical therapists and osteopathic or medical physicians.
   Informal face-to-face consultations and shared health records were the
   most common communication methods.
   Conclusions: Doctors of chiropractic are working in diverse medical
   settings within the private sector, in close proximity and collaboration
   with many provider types, suggesting a diverse role for chiropractors
   within conventional health care facilities.
RI Salsbury, Stacie/K-6575-2019; Salsbury (Lyons), Stacie/
OI Salsbury (Lyons), Stacie/0000-0002-9668-2426
ZR 0
ZB 0
Z8 0
ZS 0
TC 10
ZA 0
Z9 10
U1 1
U2 4
SN 0161-4754
UT WOS:000426432300008
PM 29307457
ER

PT J
AU Turkmani, Sabera
   Homer, Caroline
   Varol, Nesrin
   Dawson, Angela
TI A survey of Australian midwives' knowledge, experience, and training
   needs in relation to female genital mutilation
SO WOMEN AND BIRTH
VL 31
IS 1
BP 25
EP 30
DI 10.1016/j.wombi.2017.06.009
PD FEB 2018
PY 2018
AB Background: Female genital mutilation (FGM) involves partial or total
   removal of the external female genitalia or any other injury for
   non-medical reasons. Due to international migration patterns, health
   professionals in high income countries are increasingly caring for women
   with FGM. Few studies explored the knowledge and skills of midwives in
   high income countries.
   Aim: To explore the knowledge, experience and needs of midwives in
   relation to the care of women with FGM.
   Methods: An online self-administered descriptive survey was designed and
   advertised through the Australian College of Midwives' website.
   Results: Of the 198 midwives (24%) did not know the correct
   classification of FGM. Almost half of the respondents (48%) reported
   they had not received FGM training during their midwifery education.
   Midwives (8%) had been asked, or knew of others who had been asked to
   perform FGM in Australia. Many midwives were not clear about the law or
   health data related to FGM and were not aware of referral paths for
   affected women.
   Conclusion: As frontline providers, midwives must have appropriate
   up-to-date clinical skills and knowledge to ensure they are able to
   provide women with FGM the care they need and deserve. Midwives have a
   critical role to play in the collection of FGM related data to assist
   with health service planning and to prevent FGM by working closely with
   women and communities they serve to educate and advocate for its
   abandonment. Therefore, addressing educational gaps and training needs
   are key strategies to deliver optimal quality of care. (c) 2017
   Australian College of Midwives. Published by Elsevier Ltd. All rights
   reserved.
RI Turkmani, Sabera/AAS-9438-2020; Varol, Nesrin/
OI Turkmani, Sabera/0000-0001-7819-5061; Varol, Nesrin/0000-0002-6103-2079
ZA 0
TC 9
Z8 0
ZB 1
ZR 0
ZS 0
Z9 9
U1 1
U2 11
SN 1871-5192
EI 1878-1799
UT WOS:000426154000013
PM 28687260
ER

PT J
AU Stamm-Balderjahn, Sabine
   Bartel, Susanne
   Wilke, Kristin
   Spyra, Karla
TI Development and Evaluation of herzwegweiser.de - An Informational
   Website designed for Post-Rehabilitation Support of Cardiac Patients and
   their Healthcare Professionals in Berlin-Brandenburg
SO REHABILITATION
VL 57
IS 1
BP 31
EP 37
DI 10.1055/s-0043-103503
PD FEB 2018
PY 2018
AB Objective The internet portal 'herzwegweiser. de' was developed to
   assist individuals with cardiovascular diseases in the phase III
   rehabilitation in the region of Berlin-Brandenburg. It provides
   information on this specific disease as well as on aftercare services,
   e. g. regional cardiac groups. For the medical and therapeutic
   colleagues specific information such as treatment guidelines and a
   cardiac group placement service for trainers and medical doctors were
   set up.
   Methods The study was based on a mixed-methods design. Initially,
   structured interviews were conducted to identify the expectations and
   needs of the internet portal. After implementation of the portal, a
   partially standardized written survey was used to evaluate its
   acceptance and usability. 105 former rehab patients and 42 medical
   colleagues participated. The evaluation of the questionnaires was
   carried out with frequency distributions, mean comparisons and
   Chi-square tests.
   Results The site was rated with an overall high approval rating. Over 90
   % of the former rehab patients rated content, structure, design, and the
   search function of the portal positive as did more than 85 % of the
   medical colleagues. 97 % of the former rehab patients and 95 %
   professionals would recommend 'herzwegweiser. de'.
   Conclusion This internet portal can serve as a model for other regions
   and possibly other diseases.
OI Spyra, Karla/0000-0002-9134-5834
ZS 0
ZR 0
ZB 0
TC 1
ZA 0
Z8 0
Z9 1
U1 0
U2 3
SN 0034-3536
EI 1439-1309
UT WOS:000425818100009
PM 28427091
ER

PT J
AU Sandercock, Peter
   Whiteley, William
TI How to do high-quality clinical research 1: First steps
SO INTERNATIONAL JOURNAL OF STROKE
VL 13
IS 2
BP 121
EP 128
DI 10.1177/1747493017750923
PD FEB 2018
PY 2018
AB This is the first paper in a series of five on how to do good quality
   clinical research. It sets the scene for the four papers that follow.
   The aims of the series are to: promote reliable clinical research to
   inform clinical practice; help people new to research to get started (at
   any stage of their career); create teaching resources for experienced
   researchers; and help clinicians working in resource-poor settings to
   conduct research. We set out in this paper the skills clinicians need to
   run research projects that are relevant to their clinical practice. We
   focus on how to get the right training in research methodology, choose
   and refine a good research question, and then how to ensure the methods
   and data analysis plan are correct for the question being asked.
OI Whiteley, William/0000-0002-4816-8991
ZB 1
ZS 0
Z8 0
TC 3
ZR 0
ZA 0
Z9 3
U1 0
U2 7
SN 1747-4930
EI 1747-4949
UT WOS:000426007700006
PM 29299959
ER

PT J
AU Berens, S.
   Stroe-Kunold, E.
   Kraus, F.
   Tesarz, J.
   Gauss, A.
   Niesler, B.
   Herzog, W.
   Schaefert, R.
TI Pilot-RCT of an integrative group therapy for patients with refractory
   irritable bowel syndrome (ISRCTN02977330)
SO JOURNAL OF PSYCHOSOMATIC RESEARCH
VL 105
BP 72
EP 79
DI 10.1016/j.jpsychores.2017.12.002
PD FEB 2018
PY 2018
AB Objective: Different forms of psychotherapeutic treatments have been
   proven effective in irritable bowel syndrome (IBS), but
   disorder-oriented and integrative concepts are still rare. Therefore, we
   implemented and evaluated an integrative group therapeutic concept
   within an interdisciplinary tertiary care clinic for functional
   gastrointestinal disorders (FGIDs). Aims: present our integrative group
   concept, assess feasibility issues, and evaluate efficacy.
   Methods: A pilot-RCT with a randomized controlled wait-listed group
   design was conducted. The treatment concept was a disorder-oriented
   multicomponent group therapy (12 90-min weekly sessions) integrating
   interactive psychoeducation, gut-directed hypnotherapy, and open group
   phases. All patients received enhanced medical care and completed a
   short online diary as an active wait-listed control condition. Inclusion
   criteria: refractory IBS diagnosed as somatoform autonomic dysfunction
   of the lower gastrointestinal tract (SAD). Primary outcome: IBS symptom
   severity (IBS-SSS).
   Results: Of 294 patients, 220 had IBS (ROME III), 144 were diagnosed as
   SAD (ICD-10), 51 were eligible regarding inclusion/exclusion criteria,
   and 30 consented to participate (group intervention: n = 16, wait-listed
   control condition: n = 14). Only 1 patient dropped out.
   Intention-to-treat-analysis with repeated-measures mixed ANOVA showed
   that the group intervention was not significantly superior to the
   wait-listed control condition. Nevertheless, the calculated effect size
   for the between-group difference in IBS-SSS at the end of treatment
   (post) was moderate (d = 0.539).
   Conclusion: Our disorder-oriented integrative group intervention for IBS
   proved to be acceptable and feasible in an interdisciplinary tertiary
   care setting. There is promise in this intervention, but a larger RCT
   may be needed to investigate efficacy.
OI Schaefert, Rainer/0000-0002-3077-7289; Engel,
   Felicitas/0000-0002-9300-5681; Herzog, Wolfgang/0000-0003-2778-4135
TC 14
Z8 0
ZA 0
ZR 0
ZB 4
ZS 0
Z9 14
U1 1
U2 10
SN 0022-3999
EI 1879-1360
UT WOS:000423256000010
PM 29332637
ER

PT J
AU Auerbach, Scott R.
   Everitt, Melanie D.
   Butts, Ryan J.
   Rosenthal, David N.
   Law, Yuk M.
TI The Pediatric Heart Failure Workforce: An International, Multicenter
   Survey
SO PEDIATRIC CARDIOLOGY
VL 39
IS 2
BP 307
EP 314
DI 10.1007/s00246-017-1756-9
PD FEB 2018
PY 2018
AB Our objective was to understand the scope of pediatric heart failure
   (HF) and the current staffing environment of HF programs. An online
   survey was distributed to members of the Pediatric Heart Transplant
   Study and the Pediatric Council of the International Society for Heart
   and Lung Transplantation. All participants received the primary
   23-question survey. Additionally, HF program directors received a
   32-question supplemental survey. Of 235 invitations sent, there were 69
   (29%) primary surveys and 34 program director surveys completed (24 U.S.
   programs, 9 outside non-U.S., and one non-specified location). A formal
   HF program was reported by 88% of directors. There were 150 [IQR 50-200]
   outpatients/institution and 40% [25-50] of patients had congenital heart
   disease. Inpatient HF census was 3 [2-4] patients. Most programs (70%)
   used a consulting service model to provide HF specialty care, while only
   10 (30%) utilized an inpatient HF service. Inpatient HF service programs
   had a higher daily inpatient census versus consult service model
   programs (4 [3-7] vs. 2 [1-4], respectively; p = 0.022) and had a higher
   number of full-time equivalents dedicated to HF (5.5 [2-7] vs. 2.5
   [1-4], respectively; p = 0.024). Only 47% of programs report a general
   fellowship rotation devoted to HF. Advanced practice providers (APP)
   were utilized in 15 programs, nurse coordinators in 2, and both in 3.
   Most HF programs are formalized, utilize APP, and have inadequate HF
   staffing to utilize a separate inpatient HF service. Exposure of general
   pediatric cardiology fellows to HF care is variable between
   institutions.
OI Rosenthal, David/0000-0002-6342-2759
TC 3
Z8 0
ZS 0
ZA 0
ZB 1
ZR 0
Z9 3
U1 0
U2 6
SN 0172-0643
EI 1432-1971
UT WOS:000424275400012
PM 29147800
ER

PT J
AU Gold, Rinat
   Gold, Azgad
TI Delivering Bad News: Attitudes, Feelings, and Practice Characteristics
   Among Speech-Language Pathologists
SO AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY
VL 27
IS 1
BP 108
EP 122
DI 10.1044/2017_AJSLP-17-0045
PD FEB 2018
PY 2018
AB Purpose: The purpose of this study was to examine the attitudes,
   feelings, and practice characteristics of speech-language pathologists
   (SLPs) in Israel regarding the subject of delivering bad news.
   Method: One hundred and seventy-three Israeli SLPs answered an online
   survey. Respondents represented SLPs in Israel in all stages of
   vocational experience, with varying academic degrees, from a variety of
   employment settings. The survey addressed emotions involved in the
   process of delivering bad news, training on this subject, and background
   information of the respondents.
   Frequency distributions of the responses of the participants were
   determined, and Pearson correlations were computed to determine the
   relation between years of occupational experience and the following
   variables: frequency of delivering bad news, opinions regarding
   training, and emotions experienced during the process of bad news
   delivery.
   Results: Our survey showed that bad news delivery is a task that most
   participants are confronted with from the very beginning of their
   careers. Participants regarded training in the subject of delivering bad
   news as important but, at the same time, reported receiving relatively
   little training on this subject. In addition, our survey showed that
   negative emotions are involved in the process of delivering bad news.
   Conclusions: Training SLPs on specific techniques is required for
   successfully delivering bad news. The emotional burden associated with
   breaking bad news in the field of speech-language pathology should be
   noticed and addressed.
TC 7
Z8 0
ZR 0
ZB 0
ZS 1
ZA 0
Z9 7
U1 0
U2 12
SN 1058-0360
EI 1558-9110
UT WOS:000425847000010
PM 29242920
ER

PT J
AU Wirth, Stefan
   William, York-Alexander
   Paolini, Marco
   Wirth, Kathrin
   Maxien, Daniel
   Reiser, Maximilian
   Fischer, Martin R.
TI Improvement of Radiological Teaching - Effects of Focusing of Learning
   Targets and Increased Consideration of Learning Theory Knowledge
SO ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER
   BILDGEBENDEN VERFAHREN
VL 190
IS 2
BP 161
EP 173
DI 10.1055/s-0043-119037
PD FEB 2018
PY 2018
AB Purpose Based on evaluation and examination results of students, a
   necessity for improvement of so far purely instructorbased radiological
   teaching at the local institution was determined. Aim of our study was
   to use one out of eight seminars to exemplify adaptation of the teaching
   concept according to learning theory knowledge, to determine the
   resulting effects and to interpret them.
   Materials and methods The institutional review board approved the
   prospective study of the seminar conversion, which was performed after
   the end of the winter semester 2015/2016. Didactically, this included a
   course split into online preparation, attendance phase and online
   follow-up with integration of interactive scaffolding, practice-oriented
   clinical teaching according to Stanford, Peyton skills transfer and
   extensive feedback into the attendance phase. At the beginning and at
   the end of each course, each student filled in identical, standardized
   questionnaires (n = 256 before and after conversion) using a 5-point
   Likert scale (1: very good; to 5: deficient) and additionally answered
   two randomly chosen written examination questions from a content-adapted
   questionnaire pool of the last five years. For statistical evaluation,
   the Mann-Whitney U-Test was used for evaluation data and Fisher's Exact
   test for exam questions.
   Results Before/after conversion, the subjective total evaluation score
   of students was 3.22 (mean value) +/- 1.51 (standard deviation) /1.66
   +/- 0.78 (p < 0.001) and the objective proportion of correctly answered
   examination questions in the respective cohort at the beginning of the
   seminar 37.7/ 53.9 % and at the end of the seminar 55.1/84.6 % (p <
   0.001).
   Conclusion The conversion of the test seminar resulted in both a better
   evaluation of the teaching unit by the students (evaluation) and a
   considerably higher rate of correctly answered examination questions
   from past state examinations (learning success). This supports
   transferring the concept to comparable teaching units.
ZR 0
ZS 0
ZA 0
ZB 1
TC 2
Z8 0
Z9 2
U1 0
U2 2
SN 1438-9029
EI 1438-9010
UT WOS:000425891300007
PM 28931174
ER

PT J
AU Wieringa, Sietse
   Engebretsen, Eivind
   Heggen, Kristin
   Greenhalgh, Trisha
TI How Knowledge Is Constructed and Exchanged in Virtual Communities of
   Physicians: Qualitative Study of Mindlines Online
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 20
IS 2
AR e34
DI 10.2196/jmir.8325
PD FEB 2018
PY 2018
AB Background: As a response to the criticisms evidence-based practice
   currently faces, groups of health care researchers and guideline makers
   have started to call for the appraisal and inclusion of different kinds
   of knowledge in guideline production (other than randomized controlled
   trials [RCTs]) to better link with the informal knowledge used in
   clinical practice. In an ethnographic study, Gabbay and Le May showed
   that clinicians in everyday practice situations do not explicitly or
   consciously use guidelines. Instead, they use mindlines: collectively
   shared, mostly tacit knowledge that is shaped by many sources, including
   accumulated personal experiences, education (formal and informal),
   guidance, and the narratives about patients that are shared among
   colleagues. In this study on informal knowledge, we consider virtual
   networks of clinicians as representative of the mindlines in the wider
   medical community, as holders of knowledge, as well as catalysts of
   knowing.
   Objective: The aim of this study was to explore how informal knowledge
   and its creation in communities of clinicians can be characterized as
   opposed to the more structured knowledge produced in guideline
   development.
   Methods: This study included a qualitative study of postings on three
   large virtual networks for physicians in the United Kingdom, the
   Netherlands, and Norway, taking the topic of statins as a case study and
   covering more than 1400 posts. Data were analyzed thematically with
   reference to theories of collaborative knowledge construction and
   communities of practice.
   Results: The dataset showed very few postings referring to, or seeking
   to adhere to, explicit guidance and recommendations. Participants
   presented many instances of individual case narratives that highlighted
   quantitative test results and clinical examination findings. There was
   an emphasis on outliers and the material, regulatory, and practical
   constraints on knowledge use by clinicians. Participants conveyed
   not-so-explicit knowledge as tacit and practical knowledge and used a
   prevailing style of pragmatic reasoning focusing on what was likely to
   work in a particular case. Throughout the discussions, a collective
   conceptualization of statins was generated and reinforced in many
   contexts through stories, jokes, and imagery.
   Conclusions: Informal knowledge and knowing in clinical communities
   entail an inherently collective dynamic practice that includes explicit
   and nonexplicit components. It can be characterized as
   knowledge-in-context in practice, with a strong focus on casuistry.
   Validity of knowledge appears not to be based on criteria of consensus,
   coherence, or correspondence but on a more polyphonic understanding of
   truth. We contend that our findings give enough ground for further
   research on how exploring mindlines of clinicians online could help
   improve guideline development processes.
RI Engebretsen, Eivind/E-6411-2018; Greenhalgh, Trisha/B-1825-2015; Wieringa, Sietse/; Heggen, Kristin/
OI Engebretsen, Eivind/0000-0001-9455-110X; Greenhalgh,
   Trisha/0000-0003-2369-8088; Wieringa, Sietse/0000-0002-7758-8493;
   Heggen, Kristin/0000-0002-4913-3897
ZB 0
ZS 0
Z8 0
ZA 0
TC 13
ZR 0
Z9 13
U1 2
U2 27
SN 1438-8871
UT WOS:000425673400001
PM 29396385
ER

PT J
AU Nickel, S.
   von dem Knesebeck, O.
   Kofahl, C.
TI Self-assessments and determinants of HRQoL in a German MS population
SO ACTA NEUROLOGICA SCANDINAVICA
VL 137
IS 2
BP 174
EP 180
DI 10.1111/ane.12854
PD FEB 2018
PY 2018
AB ObjectivesThe importance of health-related quality of life (HRQoL) in
   multiple sclerosis (MS) is widely acknowledged. In 2015, a multicenter
   study was launched to assess the HRQoL and coping styles of chronically
   ill persons in Germany. The aims of this paper were (i) to describe how
   persons affected by MS assess their HRQoL and (ii) find out
   sociodemographic and disease-specific determinants of HRQoL.
   Materials and methodsA quantitative survey (optionally per paper-pencil
   or online) was conducted between March and October 2015 in Germany.
   Recruitment ways were as follows: Associations of the German Multiple
   Sclerosis Society (DMSG), medical practices specialized in neurology/MS,
   hospitals, public events, social networks, and self-help clearinghouses.
   To measure HRQoL, the Multiple Sclerosis International Quality of Life
   (MusiQoL) questionnaire and the short form of the Fear of Progression
   Questionnaire (FoP-Q) were used.
   ResultsA total of 1220 individuals with MS participated in the study.
   Frequent problems reported were related to activities of daily living as
   well as sentimental and sexual life. Multiple regression analyses
   identified disease severity and comorbidityin different directions
   (positive and negative)as the strongest factors in predicting activities
   of daily living, symptoms, sentimental and sexual life, and reject. The
   demographic variables sex, age, education, and employment status also
   have different impact on the HRQoL.
   ConclusionsUsing HRQoL measures can be feasible outcomes in addition to
   clinical assessments of MS and other chronic diseases and can help
   better managing the care. Some challenges have to be taken into account
   involving patients and the limitations of our empirical study.
RI Kofahl, Christopher/AGZ-7071-2022; von dem Knesebeck, Olaf/; Nickel, Stefan/; Kofahl, Christopher/
OI von dem Knesebeck, Olaf/0000-0001-6310-5879; Nickel,
   Stefan/0000-0003-1742-7118; Kofahl, Christopher/0000-0002-0503-3077
Z8 0
ZA 0
ZB 0
ZR 1
ZS 0
TC 6
Z9 7
U1 0
U2 6
SN 0001-6314
EI 1600-0404
UT WOS:000419583500003
PM 28975610
ER

PT J
AU Merlin, Jessica S.
   Young, Sarah R.
   Starrels, Joanna L.
   Azari, Soraya
   Edelman, E. Jennifer
   Pomeranz, Jamie
   Roy, Payel
   Saini, Shalini
   Becker, William C.
   Liebschutz, Jane M.
TI Managing Concerning Behaviors in Patients Prescribed Opioids for Chronic
   Pain: A Delphi Study
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 33
IS 2
BP 166
EP 176
DI 10.1007/s11606-017-4211-y
PD FEB 2018
PY 2018
AB Current guideline-recommended monitoring of patients prescribed
   long-term opioid therapy (LTOT) for chronic pain will likely result in
   increased identification of behaviors of concern for misuse and
   addiction, but there is a dearth of empiric evidence about how these
   behaviors should be managed.
   To establish expert consensus about treatment approaches for common and
   challenging concerning behaviors that arise among patients on LTOT.
   We used a Delphi approach, which allows for generation of consensus.
   Participants were clinical experts in chronic pain and opioid
   prescribing recruited from professional societies and other expert
   groups.
   The Delphi process was conducted online, and consisted of an initial
   brainstorming round to identify common and challenging behaviors, a
   second round to identify management strategies for each behavior, and
   two rounds to establish consensus and explore disagreement/uncertainty.
   Forty-two participants completed round 1, 22 completed round 2, 30
   completed round 3, and 28 completed round 4. Half of round 1
   participants were female (52%), and the majority were white (83%). Most
   (71%) were physicians, and most participants practiced in academic
   primary (40%) or specialty care (19%).The most frequently cited common
   and challenging behaviors were missing appointments, taking opioids for
   symptoms other than pain, using more opioid medication than prescribed,
   asking for an increase in opioid dose, aggressive behavior, and alcohol
   and other substance use. Across behaviors, participants agreed that
   patient education and information gathering were important approaches.
   Participants also agreed that stopping opioids is not important
   initially, but if initial approaches do not work, tapering opioids and
   stopping opioids immediately may become important approaches.
   This study presents clinical expert consensus on how to manage
   concerning behaviors among patients on LTOT. Future research is needed
   to investigate how implementing these management strategies would impact
   patient outcomes, practice and policy.
OI Roy, Payel/0000-0002-8177-2058
Z8 0
ZR 0
ZA 0
ZS 0
TC 24
ZB 3
Z9 24
U1 0
U2 5
SN 0884-8734
EI 1525-1497
UT WOS:000423588900008
PM 29204977
ER

PT J
AU Vidmar, Alaina P.
   Weber, Jonathan F.
   Monzavi, Roshanak
   Koppin, Christina M.
   Kim, Mimi S.
TI Improved medical-alert ID ownership and utilization in youth with
   congenital adrenal hyperplasia following a parent educational
   intervention
SO JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM
VL 31
IS 2
BP 213
EP 219
DI 10.1515/jpem-2017-0435
PD FEB 2018
PY 2018
AB Background: Classical congenital adrenal hyperplasia (CAH) is a
   potentially life-threatening condition, and adrenal crisis is a major
   cause of morbidity and mortality in affected children. Medical-alert
   identification (ID) could prevent complications of adrenal crisis by
   identifying the need for time-sensitive, critical treatment. Our
   objectives were to evaluate usage of medical-alert IDs by CAH youth,
   ownership and awareness of IDs amongst their parents, and the effect of
   an in-clinic educational intervention on ID utilization.
   Methods: Fifty families of youth with classical CAH secondary to
   21-hydroxylase deficiency (11.2 +/- 5.0 years old, 58% female) were
   prospectively studied. An in-clinic needs assessment survey was
   administered at baseline to parents, paired with an educational
   intervention, and a follow-up needs assessment phone survey 1 month
   post-intervention. A quality improvement (QI) framework was utilized
   with plan-do-study-act (PDSA) process-improvement cycles.
   Results: At baseline, 20/50 (40%) CAH families owned a medical-alert ID,
   of which only 10/20 (50%) of ID owners reported usage > 3 days per week.
   Only 26/50 (52%) parents were aware of ID options. Post-intervention, ID
   ownership doubled to 39/50 (78%; p < 0.05), usage amongst ID owners
   reached 100% (39/39), and awareness increased to 42/50 (84%; p < 0.05).
   A surprising barrier reported by five Spanish-speaking families was the
   inability to order medical-alert IDs online.
   Conclusions: Only a small percentage of CAH youth frequently wear a
   medical-alert ID, but utilization can be effectively improved with an
   in-clinic educational intervention. Further study is merited to assess a
   potential reduction in morbidity and mortality of adrenal crisis with
   increased medical-alert ID utilization.
OI Kim, Mimi/0000-0002-6266-3569; Vidmar, Alaina/0000-0003-3790-6255
ZA 0
ZR 0
ZS 0
Z8 0
TC 12
ZB 6
Z9 12
U1 0
U2 1
SN 0334-018X
EI 2191-0251
UT WOS:000423677900014
PM 29315077
ER

PT J
AU Verrelst, R.
   Van Tiggelen, D.
   De Ridder, R.
   Witvrouw, E.
TI Kinematic chain-related risk factors in the development of lower
   extremity injuries in women: A prospective study
SO SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
VL 28
IS 2
BP 696
EP 703
DI 10.1111/sms.12944
PD FEB 2018
PY 2018
AB The link between dynamic range of motion (dROM) parameters within the
   kinematic chain and the development of lower extremity (LE) injury has
   gained attention; however, very few longitudinal studies have been
   conducted. Therefore, we wanted to prospectively determine dROM-related
   risk factors for the development of LE injury. Within this study, 90
   female physical education students aged 19.33 +/- 0.87years were tested.
   Full-body kinematic and vertical ground reaction force (VGRF) parameters
   were measured during a triple hop jump (THJ). Cox regression analysis
   was used to identify potential risk factors for the development of LE
   injury. The injury follow-up was assessed using a weekly online
   questionnaire and a tri-monthly retrospective control questionnaire.
   Lower extremity injury was diagnosed by an experienced medical doctor.
   During the follow-up, 39 percent of the participants were diagnosed with
   a LE injury. Decreased dROM of the pelvic segment (P=.043) and increased
   dROM of the knee and ankle joint (P=.041 and P=.028, respectively) in
   the sagittal plane during landing phase were identified as predictive
   parameters for the development of LE injury in women. No VGRF parameters
   were identified as predictive variables. It can be concluded that an
   altered dROM within the LE kinematic chain was observed within the group
   at risk for LE injury. More specifically, this group showed reduced
   proximal dROM that was coupled with increased dROM in the distal
   segments during a THJ. The THJ can be seen as a practical screening tool
   for LE injury.
RI De Ridder, Roel/AAC-1908-2021
ZB 0
TC 6
ZR 0
ZA 0
Z8 1
ZS 0
Z9 7
U1 0
U2 21
SN 0905-7188
EI 1600-0838
UT WOS:000423543600036
PM 28675771
ER

PT J
AU Gasiorek, Jessica
   van de Poel, Kris
TI Language-specific skills in intercultural healthcare communication:
   Comparing perceived preparedness and skills in nurses' first and second
   languages
SO NURSE EDUCATION TODAY
VL 61
BP 54
EP 59
DI 10.1016/j.nedt.2017.11.008
PD FEB 2018
PY 2018
AB Background: Interactions between people from different cultures are
   becoming increasingly commonplace in contemporary healthcare settings.
   To date, most research evaluating cross-cultural preparedness has
   assumed that medical professionals are speaking their first language
   (L1). However, as healthcare workers are increasingly mobile and patient
   populations are increasingly diverse, more and more interactions are
   likely to occur in a professional's non-native language (L2).
   Objectives: This study assessed and compared nurses' perceived
   cross-cultural preparedness and skillfulness in their interactions with
   patients from other cultures when speaking both their L1 and L2. The
   goal of this project was to inform the creation of a communication
   skills training program.
   Design: Nurses reported their perceived cross-cultural preparedness and
   skillfulness (scales adapted from Park et al., 2009) in their L1 and L2
   via an online questionnaire.
   Settings: This questionnaire was distributed among nurses working in
   Vienna, Austria, through the Vienna Hospital Association (VHA).
   Participants: Nurses and nurses-in-training working in VHA hospitals
   participated. Most participants who provided demographic information
   were currently nurses (n = 179) with an average of 16.88 years (SD =
   11.50) of professional experience (range: 0-40); n = 40 were
   nurses-in-training with an average of 2.13 years (SD = 0.88) of
   experience (range: 1-5).
   Methods: Descriptive statistics for each cross-cultural preparedness and
   skillfulness (in each language) are reported; comparisons between L1 and
   L2 responses were also conducted. Multiple regression analyses were used
   to identify predictors of preparedness and L1/L2 skillfulness.
   Results: Nurses reported feeling significantly less confident in their
   skills when working in an L2, across a range of culture-related issues.
   Having had previous communication skills training predicted (better)
   self-reported L2 skillfulness, although it did not predict L1
   skillfulness.
   Conclusions: These results indicate that there is a language-specific
   component to cross-cultural skillfulness. Thus, there is a need for
   language-specific skills training to address L2 skill deficits.
RI Van de Poel, Kris/D-3745-2015; Gasiorek, Jessica/AAB-3546-2022; Gasiorek, Jessica/
OI Van de Poel, Kris/0000-0003-0983-2180; Gasiorek,
   Jessica/0000-0002-8449-8867
Z8 0
ZS 1
ZB 1
ZA 0
TC 9
ZR 0
Z9 9
U1 1
U2 15
SN 0260-6917
EI 1532-2793
UT WOS:000425073000011
PM 29175688
ER

PT J
AU Holderried, Martin
   Schlipf, Madeleine
   Hoeper, Ansgar
   Meier, Reinhard
   Stoeckle, Ulrich
   Kraus, Tobias Maximilian
TI Chances and Risks of Telemedicine in Orthopaedics and Trauma Surgery
SO ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
VL 156
IS 1
BP 68
EP 77
DI 10.1055/s-0043-116941
PD FEB 2018
PY 2018
AB Background The use of information technology (IT) in health care has
   continuously increased. This includes software solutions for
   digitalisation, data storage and innovative approaches in diagnostics.
   The facilitation of the access to specific information, even by the
   patient, has changed daily clinical work. Patients inform themselves
   about symptoms, diagnostic methods and treatment options. This urge for
   information and the wish for the best treatment is summarised in the
   expression "patient empowerment". In some countries, the gap between
   do-it-yourself diagnosis and telemedicine via the telephone has already
   been closed. A sophisticated tele-medical hotline may help to improve
   consultation and treatment of patients living in remote regions or rural
   communities. Traumatology telemedicine may also be used in trauma
   environments, such as disasters or mass casualties. Therefore, the
   purpose of this study was to assess the demand for e-health solutions
   among patients seeking the help of the emergency department in a trauma
   hospital.
   Methods A total of 255 patients (age range 18-75 years) were included in
   the study and were surveyed with the use of a questionnaire. As regards
   personal data, the questionnaire asked the patient about their Internet
   habits and about interesting topics they had researched in the world
   wide web. However, the questionnaire was specifically designed to ask
   for potential benefits and the patient's expectations for e-health
   solutions. Expected weaknesses and procedures for telemedical services
   were also included in a subsection.
   Results 43.5% of the patient cohort were woman and 56.5% men. The
   average distance to the hospital was 39.86 km. 223 patients were insured
   by the governmental health service providers and 32 had private
   insurance coverage. Aside from online shopping and online banking, the
   search for health topics was most frequent. The greatest fear was the
   lack of personal contact to the doctor (71.2%). Patients were also
   concerned about the safety of individual health data in privately run
   databanks (54.3%). On the other hand, patients were neutral towards the
   web-based scheduling of medical appointments. Automatic reminders for
   such appointments were desired via e-mail (68.8%) or SMS (66.5%).
   Conclusion Patients are demanding mobile solutions for scheduling
   medical appointments, including reminders of these. Patients are keen to
   be involved in the communications and would like to receive overall
   information about their health status. Online chats or video calls with
   physicians are not their first choice but might be a possibility until
   personal presentation.
RI Holderried, Martin/AFW-2670-2022; Meier, Reinhard/B-2882-2014; stockle, ulrich/; Hoeper, Ansgar/
OI Meier, Reinhard/0000-0002-2169-4780; stockle,
   ulrich/0000-0002-6419-2203; Hoeper, Ansgar/0000-0002-9731-211X
ZB 0
ZS 0
ZR 0
ZA 0
TC 14
Z8 0
Z9 14
U1 0
U2 13
SN 1864-6697
EI 1864-6743
UT WOS:000460931200008
PM 28837980
ER

PT J
AU Chang, Todd P.
   Doughty, Cara B.
   Mitchell, Diana
   Rutledge, Chrystal
   Auerbach, Marc A.
   Frisell, Karin
   Jani, Priti
   Kessler, David O.
   Wolfe, Heather
   MacKinnon, Ralph J.
   Dewan, Maya
   Pirie, Jonathan
   Lemke, Daniel
   Khattab, Mona
   Tofil, Nancy
   Nagamuthu, Chenthila
   Walsh, Catharine M.
TI Leveraging Quick Response Code Technology to Facilitate Simulation-Based
   Leaderboard Competition
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 13
IS 1
BP 64
EP 71
DI 10.1097/SIH.0000000000000281
PD FEB 2018
PY 2018
AB Introduction Leaderboards provide feedback on relative performance and a
   competitive atmosphere for both self-guided improvement and social
   comparison. Because simulation can provide substantial quantitative
   participant feedback, leaderboards can be used, not only locally but
   also in a multidepartment, multicenter fashion. Quick Response (QR)
   codes can be integrated to allow participants to access and upload data.
   We present the development, implementation, and initial evaluation of an
   online leaderboard employing principles of gamification using points,
   badges, and leaderboards designed to enhance competition among
   healthcare providers.
   Method This article details the fundamentals behind the development and
   implementation of a user-friendly, online, multinational leaderboard
   that employs principles of gamification to enhance competition and
   integrates a QR code system to promote both self-reporting of
   performance data and data integrity. An open-ended survey was
   administered to capture perceptions of leaderboard implementation.
   Results Conceptual step-by-step instructions detailing how to apply the
   QR code system to any leaderboard using simulated or real performance
   metrics are outlined using an illustrative example of a leaderboard that
   employed simulated cardiopulmonary resuscitation performance scores to
   compare participants across 17 hospitals in 4 countries for 16 months.
   The following three major descriptive categories that captured
   perceptions of leaderboard implementation emerged from initial
   evaluation data from 10 sites: (1) competition, (2) longevity, and (3)
   perceived deficits.
   Conclusions A well-designed leaderboard should be user-friendly and
   encompass best practices in gamification principles while collecting and
   storing data for research analyses. Easy storage and export of data
   allow for longitudinal record keeping that can be leveraged both to
   track compliance and to enable social competition.
OI Chang, Todd/0000-0002-4508-2551; Walsh, Catharine/0000-0003-3928-703X
TC 6
Z8 0
ZB 1
ZR 0
ZA 0
ZS 0
Z9 6
U1 2
U2 25
SN 1559-2332
EI 1559-713X
UT WOS:000424955800011
PM 29373385
ER

PT J
AU Abulebda, Kamal
   Lutfi, Riad
   Whitfill, Travis
   Abu-Sultaneh, Samer
   Leeper, Kellie J.
   Weinstein, Elizabeth
   Auerbach, Marc A.
TI A Collaborative In Situ Simulation-based Pediatric Readiness Improvement
   Program for Community Emergency Departments
SO ACADEMIC EMERGENCY MEDICINE
VL 25
IS 2
SI SI
BP 177
EP 185
DI 10.1111/acem.13329
PD FEB 2018
PY 2018
AB Background: More than 30 million children are cared for across 5,000
   U.S. emergency departments (EDs) each year. Most of these EDs are not
   facilities designed and operated solely for children. A Web-based survey
   provided a national and state-by-state assessment of pediatric readiness
   and noted a national average score was 69 on a 100-point scale. This
   survey noted wide variations in ED readiness with scores ranging from 61
   in low-pediatric-volume EDs to 90 in the high-pediatric-volume EDs.
   Additionally, the mean score at the state level ranged from 57 (Wyoming)
   to 83 (Florida) and for individual EDs ranged from 22 to 100. The
   majority of prior efforts made to improve pediatric readiness have
   involved providing Web-based resources and online toolkits. This article
   reports on the first year of a program that aimed to improve pediatric
   readiness across community hospitals in our state through in situ
   simulation-based assessment facilitated by our academic medical center.
   The primary aim was to improve the pediatric readiness scores in the 10
   participating hospitals. The secondary aim was to explore the
   correlation of simulation-based performance of hospital teams with
   pediatric readiness scores.
   Methods: This interventional study measured the Pediatric Readiness
   Survey (PRS) prior to and after implementation of an improvement
   program. This program consisted of three components: 1) in situ
   simulations, 2) report-outs, and 3) access to online pediatric readiness
   resources and content experts. The simulations were conducted in situ
   (in the ED resuscitation bay) by multiprofessional teams of doctors,
   nurses, respiratory therapists, and technicians. Simulations and
   debriefings were facilitated by an expert team from a pediatric academic
   medical center. Three scenarios were conducted for all teams and
   include: a 6-month-old with respiratory failure, an 8-year-old with
   diabetic ketoacidosis (DKA), and a 6-month-old with supraventricular
   tachycardia (SVT). A performance score was calculated for each scenario.
   The improvement of PRS was compared before and after the simulation
   program. The correlation of the simulation performance of each hospital
   and the PRS was calculated.
   Results: Forty-one multiprofessional teams from 10 EDs in Indiana
   participated in the study, five were of medium pediatric volume and five
   were medium-to high-volume EDs. The PRS significantly improved from the
   first to the second on-site verification assessment (58.4 +/- 4.8 to
   74.7 +/- 2.9, p = 0.009). Total adherence scores to scenario guidelines
   were 54.7, 56.4, and 62.4% in the respiratory failure, DKA, and SVT
   scenarios, respectively. We found no correlation between simulation
   performance and PRS scores. Medium ED pediatric volume significantly
   predicted higher PRS scores compared to medium-high pediatric ED volume
   (beta = 8.7; confidence interval = 0.72-16.8, p = 0.034).
   Conclusions: Our collaborative improvement program that involved
   simulation was associated with improvement in pediatric readiness scores
   in 10 EDs participating statewide. Future work will focus on further
   expanding of the network and establishing a national model for pediatric
   readiness improvement.
CT Academic Emergency Medicine Consensus Conference on Catalyzing System
   Change Through Healthcare Simulation - Systems, Completency, and
   Outcomes
CY MAY 16, 2017
CL Orlando, FL
RI Abu-Sultaneh, Samer/AAZ-9177-2020; Abulebda, Kamal/R-7297-2019; Whitfill, Travis/
OI Abu-Sultaneh, Samer/0000-0002-2659-2070; Whitfill,
   Travis/0000-0002-3277-4380
ZS 0
ZA 0
ZB 7
Z8 0
TC 36
ZR 0
Z9 36
U1 0
U2 3
SN 1069-6563
EI 1553-2712
UT WOS:000424480800008
PM 28977717
ER

PT J
AU Davies, Hilary
   Marcu, Afrodita
   Vedsted, Peter
   Whitaker, Katriina L.
TI Is lower symptom recognition associated with socioeconomic inequalities
   in help-seeking for potential breast cancer symptoms?
SO PSYCHO-ONCOLOGY
VL 27
IS 2
BP 626
EP 632
DI 10.1002/pon.4557
PD FEB 2018
PY 2018
AB ObjectiveSocioeconomic inequalities in recognising signs and symptoms of
   cancer may result in inequalities in timely help-seeking and subsequent
   prognosis of breast cancer. We explored the mediating role of symptom
   attribution and concern on the relationship between level of education
   and help-seeking for potential breast cancer symptoms.
   MethodsWomen aged 47years (n=961) were purposively recruited (by
   education) to complete an online vignette-based survey that included
   nipple rash and axillary lump (in separate vignettes) as potential
   symptoms of breast cancer. Women completed questions relating to medical
   help-seeking (yes/no), cancer attribution, symptom concern, cancer
   avoidance, family history, and demographics.
   ResultsWomen with low education and mid education attributed nipple rash
   less often to cancer (26% and 27% mentioned cancer) than women with a
   degree or higher (40%). However, women with a degree or higher (63%) or
   mid education (64%) were less likely to anticipate seeking help for the
   nipple rash than women with no formal qualifications (73%). This
   association was statistically significant in the 60- to 69-year-old age
   group. There was no significant association between education and
   help-seeking for axillary lump. Mediation analysis adjusting for
   potential confounders confirmed that the association between education
   and help-seeking for nipple rash was fully mediated by symptom concern.
   ConclusionsSocioeconomic inequalities in stage at diagnosis and survival
   of breast cancer may not always be explained by lower likelihood of
   suspecting cancer and subsequent impact on help-seeking. Reducing
   inequalities in stage at diagnosis will involve understanding a broader
   range of bio-psycho-social factors (eg, comorbidities and healthcare
   system factors).
RI Vedsted, Peter/C-2583-2008; Whitaker, Katriina/AAA-6593-2020; Marcu, Afrodita/B-8498-2016
OI Vedsted, Peter/0000-0003-2113-5599; Whitaker,
   Katriina/0000-0002-0947-1840; Marcu, Afrodita/0000-0002-5918-3417
TC 8
Z8 0
ZR 0
ZA 0
ZB 2
ZS 1
Z9 9
U1 0
U2 10
SN 1057-9249
EI 1099-1611
UT WOS:000424846500034
PM 28940942
ER

PT J
AU Mikolasek, Michael
   Berg, Jonas
   Witt, Claudia M.
   Barth, Jurgen
TI Effectiveness of Mindfulness- and Relaxation-Based eHealth Interventions
   for Patients with Medical Conditions: a Systematic Review and Synthesis
SO INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
VL 25
IS 1
BP 1
EP 16
DI 10.1007/s12529-017-9679-7
PD FEB 2018
PY 2018
AB This systematic review aims to summarize eHealth studies with
   mindfulness- and relaxation-based interventions for medical conditions
   and to determine whether eHealth interventions have positive effects on
   health.
   A comprehensive search of five databases was conducted for all available
   studies from 1990 to 2015. Studies were included if the intervention was
   mainly technology delivered and included a mindfulness- or
   relaxation-based intervention strategy and if patients with a medical
   condition were treated. Treatment effects were summarized for different
   outcomes.
   A total of 2383 records were identified, of which 17 studies with 1855
   patients were included in this systematic review. These studies were
   conducted in patients with irritable bowel syndrome, chronic fatigue
   syndrome, cancer, chronic pain, surgery, and hypertension. All but one
   study were delivered online through a web-based platform; one study
   delivered the intervention with iPods. The studies indicate that
   mindfulness- and relaxation-based eHealth interventions can have
   positive effects on patients' general health and psychological
   well-being. No effects were found for stress or mindfulness. Only five
   studies reported economic analyses of eHealth interventions without any
   clear conclusion.
   There is some evidence that mindfulness- and relaxation-based eHealth
   interventions for medical conditions can have positive effects on health
   outcomes. Therefore, such interventions might be a useful addition to
   standard medical care. No app studies were retrieved, even though a vast
   number of smartphone apps exist which aim at increasing users' health.
   Therefore, more studies investigating those health apps are needed.
RI Barth, Jürgen/F-9987-2011; Witt, Claudia M./AAX-2370-2021; Mikolasek, Michael/
OI Barth, Jürgen/0000-0001-7096-7178; Witt, Claudia M./0000-0002-5440-7805;
   Mikolasek, Michael/0000-0002-3008-6007
Z8 0
ZR 0
ZS 1
ZA 0
TC 52
ZB 8
Z9 52
U1 3
U2 63
SN 1070-5503
EI 1532-7558
UT WOS:000424463200001
PM 28752414
ER

PT J
AU Rogowska, Patrycja
   Szczerkowska-Dobosz, Aneta
   Kaczorowska, Roza
   Slomka, Justyna
   Nowicki, Roman
TI Tattoos: Evaluation of knowledge about health complications and their
   prevention among students of Tricity universities
SO JOURNAL OF COSMETIC DERMATOLOGY
VL 17
IS 1
BP 27
EP 32
DI 10.1111/jocd.12479
PD FEB 2018
PY 2018
AB IntroductionTattooing is a very popular form of body modification among
   young people. However, this kind of procedure entails the risk of
   various health complications. The objective of the study was to evaluate
   the students' knowledge about contraindications, complications, and
   health risks that skin tattooing may cause. Additionally, the purpose of
   the study was to assess how the profile of education (medical vs
   nonmedical) impacts on the knowledge of the respondents.
   MethodsWe surveyed a group of 1199 people, of which 326 (27%) had
   tattoos. The base of the study is an anonymously filled, author's online
   survey consisting of 25 questions.
   ResultsEighty six percent of the students from the Medical University of
   Gdask indicated the risk of HCV virus infection during tattooing, while
   only 34% of students from other Tricity universities were aware of this
   danger. Sixty seven percent of people with tattoos felt that having them
   does not affect any diagnostic and therapeutic procedures. Most of
   respondents mentioned the tattoo artist (79%) and the Internet (73%) as
   a source of information before having a tattoo, while only 5% and 8%
   respondents asked a doctor or read medical literature about it. Fourty
   nine percent of respondents reported that before the procedure,
   tattooist failed to ask them about their health condition and
   medications.
   ConclusionsKnowledge of students about safety, contraindications, and
   complications associated with the performance of tattooing is
   insufficient. As a result, a need for a better education on the topic
   for both people who are getting tattoos and tattooists appears evident.
RI Szczerkowska-Dobosz, Aneta/AAA-1535-2020; Rogowska, Patrycja/AAQ-1218-2021; Nowicki, Roman J./U-3148-2018
OI Szczerkowska-Dobosz, Aneta/0000-0003-4040-0116; Rogowska,
   Patrycja/0000-0002-8701-299X; Nowicki, Roman J./0000-0003-4768-1387
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
TC 4
Z9 4
U1 0
U2 4
SN 1473-2130
EI 1473-2165
UT WOS:000424148000005
PM 29285860
ER

PT J
AU Fanshawe, Thomas R.
   Power, Michael
   Graziadio, Sara
   Ordonez-Mena, Jose M.
   Simpson, John
   Allen, Joy
TI Interactive visualisation for interpreting diagnostic test accuracy
   study results
SO BMJ EVIDENCE-BASED MEDICINE
VL 23
IS 1
BP 13
EP 16
DI 10.1136/ebmed-2017-110862
PD FEB 2018
PY 2018
AB Information about the performance of diagnostic tests is typically
   presented in the form of measures of test accuracy such as sensitivity
   and specificity. These measures may be difficult to translate directly
   into decisions about patient treatment, for which information presented
   in the form of probabilities of disease after a positive or a negative
   test result may be more useful. These probabilities depend on the
   prevalence of the disease, which is likely to vary between populations.
   This article aims to clarify the relationship between pretest
   (prevalence) and post-test probabilities of disease, and presents two
   free, online interactive tools to illustrate this relationship. These
   tools allow probabilities of disease to be compared with decision
   thresholds above and below which different treatment decisions may be
   indicated. They are intended to help those involved in communicating
   information about diagnostic test performance and are likely to be of
   benefit when teaching these concepts. A substantive example is presented
   using C reactive protein as a diagnostic marker for bacterial infection
   in the older adult population. The tools may also be useful for
   manufacturers of clinical tests in planning product development, for
   authors of test evaluation studies to improve reporting and for users of
   test evaluations to facilitate interpretation and application of the
   results.
RI Ordónez-Mena, José M./I-6787-2017; Allen, Joy/
OI Ordónez-Mena, José M./0000-0002-8965-104X; Allen,
   Joy/0000-0002-3222-0396
Z8 0
ZR 0
ZA 0
ZB 4
TC 12
ZS 0
Z9 12
U1 0
U2 0
SN 2515-446X
EI 2515-4478
UT WOS:000596879000005
PM 29367318
ER

PT J
AU Rossfeld, Zachary M.
   Tumin, Dmitry
   Humphrey, Lisa M.
TI Self-Assessment of Skills and Competencies among Residents Participating
   in a Pediatric Hospice and Palliative Medicine Elective Rotation
SO JOURNAL OF PALLIATIVE MEDICINE
VL 21
IS 2
BP 229
EP 235
DI 10.1089/jpm.2017.0201
PD FEB 2018
PY 2018
AB Objective: To describe our institutional experience with a four-week
   pediatric HPM elective rotation and its impact on residents' self-rated
   competencies.
   Background: In the spirit of bolstering primary hospice and palliative
   medicine (HPM) skills of all pediatricians, it is unclear how best to
   teach pediatric HPM. An elective rotation during residency may serve
   this need.
   Methods: An anonymous online survey was distributed to pediatric and
   internal medicine/pediatrics residents at a single, tertiary academic
   children's hospital. Respondents were asked to rate education,
   experience, and comfort with five aspects of communication with families
   of children with terminal illnesses and six domains of managing the
   symptoms of terminal illnesses. Self-ratings were recorded on a 1-5
   scale: none, minimal, moderate, good, or excellent. Demographic data,
   including details of training and prior HPM training, were collected.
   Respondents completed a set of six questions gauging their attitude
   toward palliative care in general and at the study institution
   specifically.
   Results: All respondents desire more HPM training. Those residents who
   self-selected to complete a pediatric HPM elective rotation had
   significantly higher self-ratings in 10 of 11 competency/skill domains.
   Free-text comments expressed concern about reliance on the specialty HPM
   team.
   Discussion: A pediatric HPM elective can significantly increase
   residents' self-rated competency. Such rotations are an under-realized
   opportunity in developing the primary HPM skills of pediatricians, but
   wider adoption is restricted by the limited availability of pediatric
   HPM rotations and limited elective time during training.
RI Tumin, Dmitry/AAG-6295-2021; Tumin, Dmitry/
OI Tumin, Dmitry/0000-0002-9180-7656
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
TC 3
Z9 3
U1 2
U2 8
SN 1096-6218
EI 1557-7740
UT WOS:000424027000022
PM 28850307
ER

PT J
AU Whitelaw, Claire
   Calvert, Katrina
   Epee, Mathias
TI Keeping in time: Issues affecting the sustainability of obstetric
   emergency simulation training in outer metropolitan, rural and remote
   centres in Western Australia
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 58
IS 1
BP 98
EP 101
DI 10.1111/ajo.12678
PD FEB 2018
PY 2018
AB BackgroundObstetric emergency simulation training is an evidence-based
   intervention for the reduction of perinatal and maternal morbidity. In
   Western Australia, obstetric emergency training has been run using the
   In Time course since 2006.
   AimsThe study aimed to determine if the provision of In Time train the
   trainer courses to outer metro, rural and remote units in Western
   Australia had led to sustained ongoing training in those units. Ten
   years following the introduction of the course, we performed a survey to
   examine which units are continuing to run In Time, what are the
   perceived benefits in units still utilising In Time, and what were the
   barriers to training in units that had discontinued.
   Materials and methodsA link to an online survey was sent to the units
   where In Time training had occurred. Telephone enquiries were
   additionally used to ensure a good response rate.
   ResultsThe survey response rate was 100%. Six of the 11 units where
   training had been provided continue to run In Time. Units where training
   had discontinued had done so in order to take up alternatives, or as a
   result of trainers leaving. Of the units who had discontinued training,
   one wished to recommence In Time.
   ConclusionsLocal in situ training in obstetric emergencies as
   exemplified by the In Time course remains a popular and valued training
   intervention across Western Australia. This training may be of
   particular benefit to small and remote units, but these are the areas in
   which training is hardest to sustain.
Z8 0
TC 2
ZB 0
ZS 0
ZA 0
ZR 0
Z9 2
U1 0
U2 2
SN 0004-8666
EI 1479-828X
UT WOS:000424156800014
PM 28804897
ER

PT J
AU Rahnama, Leila
   Peterson, Gunnel
   Kazemnejad, Anoshirvan
   Trygg, Johan
   Peolsson, Anneli
TI Alterations in the Mechanical Response of Deep Dorsal Neck Muscles in
   Individuals Experiencing Whiplash-Associated Disorders Compared to
   Healthy Controls: An Ultrasound Study
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 2
BP 75
EP 82
DI 10.1097/PHM.0000000000000845
PD FEB 2018
PY 2018
AB Objective The aim of this study was to investigate and compare the
   mechanical responses of dorsal neck muscles in individuals with
   whiplash-associated disorders (WAD) versus healthy individuals.
   Design This study included 36 individuals with WAD (26 women and 10 men)
   and 36 healthy controls (26 women and 10 men). Ultrasound imaging with
   speckle tracking was used to measure deformation and deformation rate in
   five dorsal neck muscles during a neck extension task.
   Results Compared with controls, individuals with WAD showed higher
   deformations of the semispinalis cervicis (P = 0.02) and multifidus (P =
   0.002) muscles and higher deformation rates (P = 0.03 and 0.0001,
   respectively). Among individuals with WAD, multifidus deformation and
   deformation rate were significantly associated with pain, disability,
   and fatigue (r = 0.31-0.46, P = 0.0001-0.01).
   Conclusions These findings indicate that the mechanical responses of the
   deep dorsal neck muscles differ between individuals with WAD and healthy
   controls, possibly reflecting that these muscles use altered strategies
   while performing a neck extension task. This finding provides new
   insight into neck muscles pathology in patients with chronic WAD and may
   help improve rehabilitation programs.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) Summarize the mechanical responses of dorsal neck muscles
   during loading of the neck muscles via an extension task in individuals
   with chronic whiplash associated disorders and healthy volunteers; (2)
   Differentiate mechanical responses between five dorsal neck muscles
   while loading the neck via an extension task; and (3) Describe the
   relationships between the mechanical responses of the dorsal neck
   muscles with the patients' perception of neck pain, disability, and
   fatigue.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   0.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
ZB 0
Z8 0
TC 2
ZR 0
ZS 0
ZA 0
Z9 2
U1 0
U2 6
SN 0894-9115
EI 1537-7385
UT WOS:000423729500004
PM 29016400
ER

PT J
AU Walsh, Jason L.
   Harris, Benjamin H. L.
   Denny, Paul
   Smith, Phil
TI Formative student-authored question bank: perceptions, question quality
   and association with summative performance
SO POSTGRADUATE MEDICAL JOURNAL
VL 94
IS 1108
BP 97
EP 103
DI 10.1136/postgradmedj-2017-135018
PD FEB 2018
PY 2018
AB Purpose of the study There are few studies on the value of authoring
   questions as a study method, the quality of the questions produced by
   students and student perceptions of student-authored question banks.
   Here we evaluate PeerWise, a widely used and free online resource that
   allows students to author, answer and discuss multiple-choice questions.
   Study design We introduced two undergraduate medical student cohorts to
   PeerWise (n=603). We looked at their patterns of PeerWise usage;
   identified associations between student engagement and summative exam
   performance; and used focus groups to assess student perceptions of the
   value of PeerWise for learning. We undertook item analysis to assess
   question difficulty and quality.
   Results Over two academic years, the two cohorts wrote 4671 questions,
   answered questions 606 658 times and posted 7735 comments. Question
   writing frequency correlated most strongly with summative performance
   (Spearman's rank: 0.24, p=<0.001). Student focus groups found that: (1)
   students valued curriculum specificity; and (2) students were concerned
   about student-authored question quality. Only two questions of the 300
   'most-answered' questions analysed had an unacceptable discriminatory
   value (point-biserial correlation <0.2).
   Conclusions Item analysis suggested acceptable question quality despite
   student concerns. Quantitative and qualitative methods indicated that
   PeerWise is a valuable study tool.
ZA 0
ZB 1
TC 18
ZS 0
Z8 0
ZR 0
Z9 18
U1 2
U2 12
SN 0032-5473
EI 1469-0756
UT WOS:000423470300007
PM 28866607
ER

PT J
AU Katz, Steven J.
TI Ask the rheumatologist online: a qualitative analysis of a web-based
   service
SO CLINICAL RHEUMATOLOGY
VL 37
IS 2
BP 539
EP 541
DI 10.1007/s10067-017-3924-y
PD FEB 2018
PY 2018
AB The objective of this study was to analyze the use of an
   Ask-the-Rheumatologist website service. All questions submitted were
   analyzed for gender, geographic location, topic area, disease,
   appropriateness, personal experience, and whether the answer is found
   elsewhere on the hosting website. The number of total visits and their
   geographic location was determined. The web service was visited 7985
   times. Two hundred twenty-seven questions were submitted, with a
   majority related to personal experience and inflammatory rheumatic
   disease. One hundred six questions did not have answers available
   elsewhere on the website. Seventy questions were deemed inappropriate.
   Ask-the-Rheumatologist was visited frequently, demonstrating an
   innovative method of knowledge-transfer between health professionals,
   patients, and the general public.
RI KATZ, STEVEN/ABH-8886-2020
TC 4
ZS 0
ZB 2
ZA 0
ZR 0
Z8 0
Z9 4
U1 0
U2 1
SN 0770-3198
EI 1434-9949
UT WOS:000423034600029
PM 29177983
ER

PT J
AU Gore, Jennifer
   Patfield, Sally
   Holmes, Kathryn
   Smith, Maxwell
TI Widening participation in medicine? New insights from school students'
   aspirations
SO MEDICAL EDUCATION
VL 52
IS 2
BP 227
EP 238
DI 10.1111/medu.13480
PD FEB 2018
PY 2018
AB ObjectivesStudents from lower socio-economic status backgrounds continue
   to be under-represented in medical education. Although various
   initiatives have been implemented by universities to widen
   participation, their effectiveness and their timing remain contentious.
   Prior studies have primarily focused on students already on a medical
   pathway, with little analytical attention given to the aspirations of
   primary and secondary school-aged students. The aim of this study was to
   identify the characteristics of students who express early interest in
   medicine and ascertain the degree to which diversification of the future
   medical student cohort is indicated.
   MethodsAs part of a longitudinal study of educational and occupational
   aspirations (2012-2015), students in Years 3-12 (n=6492) from government
   schools in New South Wales, Australia, completed an annual online
   survey. Their individual responses were linked with prior academic
   achievement and demographic data. Logistic regression models were used
   to examine the significance of student- and school-related variables as
   predictors of interest in medicine.
   ResultsSignificant predictors were: being in the early years of
   secondary school, possessing high cultural capital, coming from a
   language background other than English, being female, and perceiving
   oneself as well above average' relative to peers. Socio-economic status
   was a significant predictor when examined independently, but not when
   all variables were considered in the full regression model.
   ConclusionsFor medical schools seeking to widen participation, this
   study underscores the importance of recognising the intersection of
   other factors with socio-economic status and how they contribute to
   students' aspirational biographies. If medical schools are to select
   from a more diverse range of applicants, recruitment strategies must
   take into account the discursive positioning of the discipline.
   Sustained outreach into primary and secondary schools may be critical to
   interrupting the current social reproduction of medical schooling.
RI GORE, JENNIFER MARY/G-7131-2013; Holmes, Kathryn/Y-9362-2019; Holmes, Kathryn/
OI GORE, JENNIFER MARY/0000-0002-7309-5405; Holmes,
   Kathryn/0000-0002-5576-9656
ZA 0
TC 12
Z8 0
ZB 0
ZS 0
ZR 0
Z9 12
U1 0
U2 11
SN 0308-0110
EI 1365-2923
UT WOS:000423040200013
PM 29119591
ER

PT J
AU Arif, Nadia
   Ghezzi, Pietro
TI Quality of online information on breast cancer treatment options
SO BREAST
VL 37
BP 6
EP 12
DI 10.1016/j.breast.2017.10.004
PD FEB 2018
PY 2018
AB Offering breast cancer patients treatment choice has become a priority
   as the involvement of patients in the decision-making process is
   associated with improved physical and psychological outcomes. As the
   Internet is increasingly being used by patients as a source of medical
   information, it is important to evaluate the quality of information
   relating to breast cancer on the Internet. We analysed 200 websites
   returned by google.co.uk searching "breast cancer treatment options" in
   terms of their typology and treatment options described. These were
   related to standard measures of health information quality such as the
   JAMA score and the presence of quality certifications, as well as
   readability. We found that health portals were of higher quality whilst
   commercial and professional websites were of poorer quality in terms of
   JAMA criteria. Overall, readability was higher than previously reported
   for other conditions, and Google ranked websites with better readability
   higher. Most websites discussed surgical and medical treatments. Few
   websites, with a large proportion being of commercial typology,
   discussed complementary and alternative medicine. Google ranked
   professional websites low whilst websites from non-profit organizations
   were promoted in the ranking. (c) 2017 Elsevier Ltd. All rights
   reserved.
OI Ghezzi, Pietro/0000-0003-0911-8358
ZR 0
ZS 1
Z8 0
TC 28
ZB 3
ZA 0
Z9 28
U1 1
U2 28
SN 0960-9776
EI 1532-3080
UT WOS:000418556700002
PM 29040893
ER

PT J
AU Madani, Amin
   Gornitsky, Jordan
   Watanabe, Yusuke
   Benay, Cassandre
   Altieri, Maria S.
   Pucher, Philip H.
   Tabah, Roger
   Mitmaker, Elliot J.
TI Measuring Decision-Making During Thyroidectomy: Validity Evidence for a
   Web-Based Assessment Tool
SO WORLD JOURNAL OF SURGERY
VL 42
IS 2
BP 376
EP 383
DI 10.1007/s00268-017-4322-y
PD FEB 2018
PY 2018
AB Background Errors in judgment during thyroidectomy can lead to recurrent
   laryngeal nerve injury and other complications. Despite the strong link
   between patient outcomes and intraoperative decision-making, methods to
   evaluate these complex skills are lacking. The purpose of this study was
   to develop objective metrics to evaluate advanced cognitive skills
   during thyroidectomy and to obtain validity evidence for them.
   Methods An interactive online learning platform was developed
   (www.thinklikeasurgeon.com). Trainees and surgeons from four
   institutions completed a 33-item assessment, developed based on a
   cognitive task analysis and expert Delphi consensus. Sixteen items
   required subjects to make annotations on still frames of thyroidectomy
   videos, and accuracy scores were calculated based on an algorithm
   derived from experts' responses ("visual concordance test," VCT). Seven
   items were short answer (SA), requiring users to type their answers, and
   scores were automatically calculated based on their similarity to a
   pre-populated repertoire of correct responses. Test-retest reliability,
   internal consistency, and correlation of scores with self-reported
   experience and training level (novice, intermediate, expert) were
   calculated.
   Results Twenty-eight subjects (10 endocrine surgeons and
   otolaryngologists, 18 trainees) participated. There was high test-retest
   reliability (intraclass correlation coefficient = 0.96; n = 10) and
   internal consistency (Cronbach's alpha = 0.93). The assessment
   demonstrated significant differences between novices, intermediates, and
   experts in total score (p < 0.01), VCT score (p < 0.01) and SA score (p
   < 0.01). There was high correlation between total case number and total
   score (rho = 0.95, p < 0.01), between total case number and VCT score
   (rho = 0.93, p < 0.01), and between total case number and SA score (rho
   = 0.83, p < 0.01).
   Conclusion This study describes the development of novel metrics and
   provides validity evidence for an interactive Web-based platform to
   objectively assess decision-making during thyroidectomy.
ZR 0
Z8 0
ZS 0
ZA 0
TC 6
ZB 0
Z9 6
U1 0
U2 2
SN 0364-2313
EI 1432-2323
UT WOS:000419886700010
PM 29110159
ER

PT J
AU Sturman, Nancy
   Mitchell, Benjamin
   Mitchell, Amy
TI Nice to watch? Students evaluate online lectures
SO CLINICAL TEACHER
VL 15
IS 1
BP 19
EP 23
DI 10.1111/tct.12629
PD FEB 2018
PY 2018
AB Background: Many clinical teachers who previously gave face-to-face
   lectures now record presentations for students to view asynchronously
   online. These teachers need to understand student expectations of online
   lectures (OLLs), and their place in the overall ecology' of student
   learning resources, in order to ensure that students watch, and learn
   from, their lectures.
   Methods: We conducted focus groups with a convenience sample of medical
   students undertaking their general practice placements, exploring
   student uses, evaluations and expectations of OLLs. Focus group
   discussions were recorded and transcribed verbatim. The transcripts were
   initially reviewed independently after each focus group by two of the
   authors, and then discussed. Descriptive categories and emergent themes
   were arrived at by an iterative consensus, and subjected to member
   checking.
   Results: Five focus groups were conducted with 36 students in total, and
   no new themes emerged after the third group. Students seem to attach
   importance to a number of factors within the categories of: (1) content,
   (2) organisation and structure, and (3) design and format.
   Discussion/conclusion: The OLLs delivered by clinical teachers seem to
   be valued by students, and to have a distinctive role within their
   overall learning resources. We suggest that the latter be curated
   coherently by faculty members, and that OLLs meet student expectations
   of relevance, brevity, focus, alignment with assessment, logical and
   transparent structure, sparing use of interactivity and distractions,
   and tight alignment of their content. Our findings may not be intuitive
   to clinical teachers more accustomed to face-to-face lectures, and may
   assist them to evaluate their OLLs.
RI Sturman, Nancy/F-6613-2010; Mitchell, Amy/D-2478-2015; Mitchell, Amy/AAP-9110-2020; Mitchell, Ben/
OI Sturman, Nancy/0000-0002-7124-5553; Mitchell, Amy/0000-0003-3352-3046;
   Mitchell, Amy/0000-0003-3352-3046; Mitchell, Ben/0000-0003-0035-4119
ZA 0
ZS 0
Z8 0
ZR 0
TC 6
ZB 0
Z9 6
U1 0
U2 9
SN 1743-4971
EI 1743-498X
UT WOS:000419916900004
PM 28296165
ER

PT J
AU Saunders, Catherine H.
   Elwyn, Glyn
   Kirkland, Kathryn
   Durand, Marie-Anne
TI Serious Choices: A Protocol for an Environmental Scan of Patient
   Decision Aids for Seriously Ill People at Risk of Death Facing Choices
   about Life-Sustaining Treatments
SO PATIENT-PATIENT CENTERED OUTCOMES RESEARCH
VL 11
IS 1
BP 97
EP 106
DI 10.1007/s40271-017-0268-2
PD FEB 2018
PY 2018
AB Seriously ill people at high risk of death face difficult decisions,
   especially concerning the extent of medical intervention. Given the
   inherent difficulty and complexity of these decisions, the care they
   receive often does not align with their preferences. Patient decision
   aids that educate individuals about options and help them construct
   preferences about life-sustaining care may reduce the mismatch between
   the care people say they want and the care they receive. The quantity
   and quality of patient decision aids for those at high risk of death,
   however, are unknown.
   This protocol describes an approach for conducting an environmental scan
   of life-sustaining treatment patient decision aids for seriously ill
   patients, identified online and through informant analysis. We intend
   for the outcome to be an inventory of all life-sustaining treatment
   patient decision aids for seriously ill patients currently available
   (either publicly or proprietarily) along with information about their
   content, quality, and known use.
   We will identify patient decision aids in a three-step approach (1)
   mining previously published systematic reviews; (2) systematically
   searching online and in two popular app stores; and (3) undertaking a
   key informant survey. We will screen and assess the quality of each
   patient decision aid identified using the latest published draft of the
   U.S. National Quality Forum National Standards for the Certification of
   Patient Decision Aids. Additionally, we will evaluate readability via
   readable.io and content via inductive content analysis. We will also use
   natural language processing to assess the content of the decision aids.
   Researchers increasingly recognize the environmental scan as an optimal
   method for studying real-world interventions, such as patient decision
   aids. This study will advance our understanding of the availability,
   quality, and use of decision aids for life-sustaining interventions
   targeted at seriously ill patients. We also aim to provide patients,
   their families, and friends, along with their clinicians, a broad set of
   resources for making life-sustaining treatment decisions. Although we
   intend to capture all patient decision aids for the seriously ill in our
   review, we anticipate the possibility that we may miss some decision
   aids. In addition to publishing our findings in an academic journal, we
   plan to post our inventory online in an easy-to-read format for public
   and clinical consumption.
RI Elwyn, Glyn/B-4798-2009; Durand, Marie-Anne/Z-1747-2018; Durand, Marie-Anne/
OI Elwyn, Glyn/0000-0002-0917-6286; Durand, Marie-Anne/0000-0002-1127-9348
ZR 0
TC 8
ZA 0
ZS 0
ZB 2
Z8 0
Z9 8
U1 1
U2 13
SN 1178-1653
EI 1178-1661
UT WOS:000422626600009
PM 28825182
ER

PT J
AU Dabbouseh, Noura M.
   Kaushal, Shivtej
   Peltier, Wendy
   Johnston, Fabian M.
TI Palliative Care Training in Cardiology Fellowship: A National Survey of
   the Fellows
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 35
IS 2
BP 284
EP 292
DI 10.1177/1049909117703728
PD FEB 2018
PY 2018
AB Objectives: To address perspectives of cardiology fellows on the current
   state of palliative education and palliative and hospice resource
   utilization within their fellowship experiences.
   Methods: We conducted an online national survey of cardiology fellows
   during the 2015 to 2016 academic year. Survey questions aimed to assess
   perceived importance of palliative care education, level of palliative
   care education during fellowship, and the structure of palliative care
   support at respondent institutions. Responses were collected
   anonymously. A total of 519 programs, including subspecialty programs,
   were contacted.
   Results: We received 365 responses, a number that represents roughly 14%
   of all cardiology fellows nationwide during the 2015 to 2016 academic
   year. Fellows reported discordance in the quality of education between
   general cardiology and palliative care principles as it relates to care
   of the patient approaching the end of life. Fellows infrequently
   received explicit training nor were observed or mentored in delivering
   end-of-life discussions. Respondents reported an underutilization of
   palliative care and hospice resources during fellowship training and
   also a perception that attending faculty were not routinely addressing
   goals of care.
   Conclusions: Our survey results highlight a need for enhanced palliative
   care and end-of-life training experiences for cardiology fellows and
   also suggest underutilization of hospice and palliative care resources
   for patients with advanced cardiac diseases. These findings create a
   platform for future work that might: (1) confirm this training deficit,
   (2) lead to exploration of educational models that could reconcile this
   deficit, and (3) potentially help improve palliative care support for
   patients and families facing advanced heart disease.
OI Johnston, Fabian/0000-0002-2794-7179
ZA 0
TC 4
Z8 0
ZS 0
ZR 0
ZB 0
Z9 4
U1 1
U2 5
SN 1049-9091
EI 1938-2715
UT WOS:000419777900013
PM 28395519
ER

PT J
AU King, Jessica L.
   Reboussin, Beth A.
   Spangler, John
   Ross, Jennifer Cornacchione
   Sutfin, Erin L.
TI Tobacco product use and mental health status among young adults
SO ADDICTIVE BEHAVIORS
VL 77
BP 67
EP 72
DI 10.1016/j.addbeh.2017.09.012
PD FEB 2018
PY 2018
AB Background: Individuals with mental health conditions represent a
   priority population for tobacco control. This population smokes
   cigarettes at disproportionately higher rates than the general
   population, but less is known about the relationship between
   non-cigarette tobacco use and mental health status.
   Method: In 2013, 2370 young adults recruited from 11 colleges in North
   Carolina and Virginia completed an online survey on tobacco use. We
   compared past 6-month self-reported mental health diagnosis, past 30-day
   depression score, and past 7-day stress score to past 30-day cigarette,
   e-cigarette, waterpipe, cigar, and smokeless tobacco use. Models
   adjusted for age, gender, race, ethnicity, and mother's education.
   Non-cigarette products were also adjusted for past 30-day cigarette use.
   Results: Among participants, 249 (10.5%) reported a mental health
   diagnosis, most commonly depression (5.5%), ADHD/ADD (4.5%), and anxiety
   (0.8%). Those who reported a mental health diagnosis had greater odds of
   using cigarettes (AOR = 1.55; CI = 1.01, 2.27). Mean stress score was
   16.0 (SD = 6.9) of possible 40. Higher stress scale score was associated
   with increased odds of e-cigarette (AOR = 1.03; CI = 1.01, 1.05),
   waterpipe (AOR = 1.04; CI = 1.01, 1.06), and cigarette (AOR = 1.02; CI =
   1.00, 1.04) use. Mean depression score was 7.2 (SD = 5.6) of possible
   33. Higher depression scale score was associated with increased odds for
   e-cigarette (AOR = 1.04; CI = 1.01, 1.08) and cigarette (AOR = 1.03; CI
   = 1.01, 1.06) use.
   Conclusion: Findings in this study provide further evidence of a
   potential relationship between non-cigarette tobacco products and mental
   health status. Tobacco control efforts aimed at reducing tobacco use
   disparities among mental health populations should focus on
   non-cigarette tobacco products in addition to cigarettes.
RI Reboussin, Beth/AAY-9778-2020; King Jensen, Jessica L/; Reboussin, Beth/; Sutfin, Erin/
OI King Jensen, Jessica L/0000-0002-6048-8277; Reboussin,
   Beth/0000-0002-7318-9081; Sutfin, Erin/0000-0003-2660-8383
ZR 0
Z8 0
ZS 1
TC 47
ZA 0
ZB 14
Z9 48
U1 2
U2 34
SN 0306-4603
EI 1873-6327
UT WOS:000417661000012
PM 28965069
ER

PT J
AU Bolderston, A.
   Watson, J.
   Woznitza, N.
   Westerink, A.
   Di Prospero, L.
   Currie, G.
   Beardmore, C.
   Hewis, J.
TI Twitter journal clubs and continuing professional development: An
   analysis of a #MedRadJClub tweet chat
SO RADIOGRAPHY
VL 24
IS 1
BP 3
EP 8
DI 10.1016/j.radi.2017.09.005
PD FEB 2018
PY 2018
AB Introduction: Online Twitter journal clubs are a recent and popular
   innovation with the potential to increase research awareness and inform
   practice. The medical radiation sciences' MedRadJournalClub (MJRC) is a
   Twitter-based event that attracts a global group of participants at the
   monthly chats. An analysis of a recent MedRadJournalClub discussion
   evaluated the perceived benefits and limitations of medical radiation
   practitioners participating in an online journal club.
   Methods: The February 2017 chat used for analysis was based on the
   Journal of Medical Imaging and Radiation Sciences article by Currie et
   al. "Twitter Journal Club in Medical Radiation Science" that examines
   the educational theory behind learning and evidencing professional
   development through MRJC and social media. The data consisted of chat
   tweets which were collated using the Twitter advanced search function
   using the #medradjclub. An initial reviewed was performed to exclude
   irrelevant content. A second review was then undertaken to categorize
   the main theme of the tweet. The data were then subjected to thematic
   analysis which yielded seven different categories.
   Results: The main benefits included global access due to the online
   nature of MRJC that has facilitated networking and collaboration. Open
   access to recently published research was another key benefit. The
   character limitation of a tweet was the most common constraint, and the
   dynamic nature of the twitter conversation requires multi-tasking that
   may be difficult.
   Conclusion: Our analysis indicated that participants use
   MedRadJournalClub as a source of continuing professional development
   with some evidence that this is directly informing clinical and
   educational practice. (C) 2017 The College of Radiographers. Published
   by Elsevier Ltd. All rights reserved.
RI Hewis, Johnathan/X-2382-2019; Currie, Geoff/; Bolderston, Amanda/; Woznitza, Nick/; Hewis, Johnathan/
OI Currie, Geoff/0000-0002-6180-8586; Bolderston,
   Amanda/0000-0003-4628-7900; Woznitza, Nick/0000-0001-9598-189X; Hewis,
   Johnathan/0000-0002-7810-5641
ZR 0
TC 32
Z8 0
ZA 0
ZS 1
ZB 1
Z9 33
U1 0
U2 14
SN 1078-8174
EI 1532-2831
UT WOS:000419239200005
PM 29306372
ER

PT J
AU Landhuis, Esther
TI Cancer researcher looks to artists for inspiration
SO PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF
   AMERICA
VL 115
IS 5
BP 826
EP 827
DI 10.1073/pnas.1722030115
PD JAN 30 2018
PY 2018
RI Shvarzblat, Chayim/C-8233-2019
OI Shvarzblat, Chayim/0000-0003-0968-1167
TC 1
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
Z9 1
U1 0
U2 6
SN 0027-8424
UT WOS:000423728800026
PM 29382789
ER

PT J
AU Lazalde, Gabriela E.
   Gilkey, Melissa B.
   Kornides, Melanie L.
   McRee, Annie-Laurie
TI Parent perceptions of dentists' role in HPV vaccination
SO VACCINE
VL 36
IS 4
BP 461
EP 466
DI 10.1016/j.vaccine.2017.12.020
PD JAN 25 2018
PY 2018
AB Introduction: Offering HPV vaccine in settings beyond the traditional
   medical home holds promise for increasing the currently low levels of
   coverage. As adolescents frequently visit dentists, dental practices may
   be one such alternative vaccination setting. This study assessed parent
   attitudes about the roles dental providers could play in HPV prevention,
   including vaccine provision.
   Methods: In September 2016, we conducted an online survey using a
   national sample (n = 1209) of U.S. parents of adolescent children aged
   11-17. Adolescents' mean age was 14; 53% were male and 62% were
   non-Hispanic white. We identified correlates of parents' comfort with
   dentists as HPV vaccinators using multivariable logistic regression.
   Results: Overall, 23% of parents reported that they would feel
   comfortable with their child receiving HPV vaccine from a dentist. In
   multivariable analyses, parents had greater odds of being comfortable if
   they had higher trust in their child's primary care provider (OR = 1.27,
   95% Cl: 0.96-1.68) and lower odds if their child was female (OR = 0.65,
   95% CI: 0.50-0.86). Convenience (20%) and oral health expertise (20%)
   were the most commonly cited benefits of dentists administering the
   vaccine. Wanting their child's regular provider to administer and track
   vaccinations (61% and 58%, respectively), and lack of insurance coverage
   (30%) were the most commonly cited concerns. Parents expressed somewhat
   greater comfort with roles dentists might play in promoting HPV
   vaccination other than vaccine delivery, such as providing education.
   Conclusions: Parents in this sample had low comfort with dentists as HPV
   vaccinators. Findings from this study highlight potential concerns to be
   addressed before dental practices consider offering HPV vaccination in
   the future. Further research should assess dentists' perspectives and
   explore alternative roles for dental providers in HPV prevention
   efforts. (C) 2017 Elsevier Ltd. All rights reserved.
OI Lazalde, Gabriela/0000-0003-1749-0803; McRee,
   Annie-Laurie/0000-0001-6588-5995
TC 16
ZR 0
ZB 6
ZS 0
ZA 0
Z8 0
Z9 16
U1 0
U2 2
SN 0264-410X
EI 1873-2518
UT WOS:000424185100005
PM 29279282
ER

PT J
AU Barais, Marie
   Laporte, Catherine
   Schuers, Matthieu
   Saint-Lary, Olivier
   Frappe, Paul
   Dibao-Dina, Clarisse
   Darmon, David
   Bouchez, Tiphanie
   Gelly, Julien
TI Cross-sectional multicentre study on the cohort of all the French junior
   lecturers in general practice
SO EUROPEAN JOURNAL OF GENERAL PRACTICE
VL 24
IS 1
BP 99
EP 105
DI 10.1080/13814788.2017.1422176
PD JAN 24 2018
PY 2018
AB Background: General practice became an academic discipline quite
   recently in many western countries. In France, junior lecturer work is
   specified in a three-part mandate: medical work in general practice,
   teaching in the university, and research. Since 2007, 130 junior
   lecturers have been appointed in general practice. The aim of the
   creation of junior lecturer status was to align general practice with
   other specialties and to develop research and education in primary care.
   Objectives: To describe the healthcare, teaching and research undertaken
   by junior lecturers in general practice, practising in October 2014.
   Methods: A cross-sectional multicentre study using an online
   self-administered questionnaire on the cohort composed of all the junior
   lecturers in general practice with open questions and the qualitative
   analysis of written verbatim accounts.
   Results: Of the 95 junior lecturers practising at the date of the study,
   75 (79%) responded; average age 32 years; gender ratio (F/M) 2.4:1. They
   spent five, two and three half-days per week respectively in healthcare,
   teaching and research. The healthcare activity was predominantly carried
   out in the community (73%). Thirty-nine per cent worked as part of a
   multi-professional team taking on 50 consultations per week. Most of the
   educational work involved lecturing and mentoring students specializing
   in general practice (median 86 hours per year). Research output
   increased during the fellowship. Research topics were varied and
   relevant to the disciplinary field.
   Conclusion: During the fellowship, the balancing, and even the
   reinforcement, of healthcare and research contributions were accompanied
   by a significant investment in educational provision.
RI LAPORTE, CATHERINE/AAC-8082-2019; barais, marie/H-2888-2018; Bouchez, Tiphanie/; Saint-Lary, Olivier/; dibao-dina, clarisse/
OI Bouchez, Tiphanie/0000-0002-2203-9745; Saint-Lary,
   Olivier/0000-0003-3731-3476; dibao-dina, clarisse/0000-0002-1750-2846
ZA 0
Z8 0
TC 6
ZB 0
ZS 0
ZR 0
Z9 6
U1 0
U2 6
SN 1381-4788
EI 1751-1402
UT WOS:000425955200001
PM 29364002
ER

PT J
AU Harris, Ricci
   Cormack, Donna
   Stanley, James
   Curtis, Elana
   Jones, Rhys
   Lacey, Cameron
TI Ethnic bias and clinical decision-making among New Zealand medical
   students: an observational study
SO BMC MEDICAL EDUCATION
VL 18
AR 18
DI 10.1186/s12909-018-1120-7
PD JAN 23 2018
PY 2018
AB Background: Health professional racial/ethnic bias may impact on
   clinical decision-making and contribute to subsequent ethnic health
   inequities. However, limited research has been undertaken among medical
   students. This paper presents findings from the Bias and Decision-Making
   in Medicine (BDMM) study, which sought to examine ethnic bias (Maori
   (indigenous peoples) compared with New Zealand European) among medical
   students and associations with clinical decision-making.
   Methods: All final year New Zealand (NZ) medical students in 2014 and
   2015 (n = 888) were invited to participate in a cross-sectional online
   study. Key components included: two chronic disease vignettes
   (cardiovascular disease (CVD) and depression) with randomized patient
   ethnicity (Maori or NZ European) and questions on patient management;
   implicit bias measures (an ethnicity preference Implicit Association
   Test (IAT) and an ethnicity and compliant patient IAT); and, explicit
   ethnic bias questions. Associations between ethnic bias and clinical
   decision-making responses to vignettes were tested using linear
   regression.
   Results: Three hundred and two students participated (34% response
   rate). Implicit and explicit ethnic bias favoring NZ Europeans was
   apparent among medical students. In the CVD vignette, no significant
   differences in clinical decisionmaking by patient ethnicity were
   observed. There were also no differential associations by patient
   ethnicity between any measures of ethnic bias (implicit or explicit) and
   patient management responses in the CVD vignette. In the depression
   vignette, some differences in the ranking of recommended treatment
   options were observed by patient ethnicity and explicit preference for
   NZ Europeans was associated with increased reporting that NZ European
   patients would benefit from treatment but not Maori (slope difference
   0.34, 95% CI 0.08, 0.60; p = 0. 011), although this was the only
   significant finding in these analyses.
   Conclusions: NZ medical students demonstrated ethnic bias, although
   overall this was not associated with clinical decision-making. This
   study both adds to the small body of literature internationally on
   racial/ethnic bias among medical students and provides relevant and
   important information for medical education on indigenous health and
   ethnic health inequities in New Zealand.
RI Lacey, Cameron/AAF-9180-2020
OI Lacey, Cameron/0000-0001-9898-6784
ZA 0
Z8 0
TC 12
ZR 0
ZS 0
ZB 0
Z9 12
U1 0
U2 10
SN 1472-6920
UT WOS:000423126700001
PM 29361958
ER

PT J
AU Sirico, Felice
   Miressi, Salvatore
   Castaldo, Clotilde
   Spera, Rocco
   Montagnani, Stefania
   Di Meglio, Franca
   Nurzynska, Daria
TI Habits and beliefs related to food supplements: Results of a survey
   among Italian students of different education fields and levels
SO PLOS ONE
VL 13
IS 1
AR e0191424
DI 10.1371/journal.pone.0191424
PD JAN 19 2018
PY 2018
AB The increasing availability of food supplements, aggressive media
   advertising, and common beliefs that these substances have only positive
   effects on health and sport performance indicate a need for continuous
   monitoring of this phenomenon. The aim of this study was to investigate
   the habits and beliefs related to diet supplementation among medical,
   health professional, and other university/high school students by means
   of a cross-sectional anonymous survey online. Among the respondents
   aware of supplements, 37.4% were taking or had taken them in the past.
   Food supplement use was more common among university students (in
   particular, those in health professional graduate courses) than high
   school students. Individual sport practice, rather than team sport, was
   associated with higher likelihood of food supplement use. Multivitamins
   were most commonly used, while weight-loss formulations were the least
   popular. Strikingly, filling nutrient gaps was statistically not
   considered the main reason for taking food supplements. Instead, they
   were used to enhance mental performance or enhance well-being. There was
   statistical evidence that students not enrolled in health or medical
   professional studies strongly agreed more often than medical students
   that taking food supplements prevents illness. These results indicate a
   striking difference between the evidence-based and personal reasons for
   food supplement use. Arguably, it calls for an improvement in education
   about diet supplementation and a change in attitude of health care
   providers to its implementation.
RI Sirico, Felice/O-9705-2019; Nurzynska, Daria/A-2161-2010; saez, lourdes basurto/AAO-6641-2020; Castaldo, Clotilde/
OI Sirico, Felice/0000-0001-6801-3308; Nurzynska,
   Daria/0000-0003-1092-6168; Castaldo, Clotilde/0000-0003-1475-5036
TC 46
ZS 0
ZA 0
Z8 0
ZR 0
ZB 10
Z9 46
U1 0
U2 14
SN 1932-6203
UT WOS:000422911300088
PM 29351568
ER

PT J
AU Kho, Madeleine Huei Tze
   Chew, Keng Sheng
   Azhar, Muhaimin Noor
   Hamzah, Mohd Lotfi
   Chuah, Kee Man
   Bustam, Aida
   Chan, Hiang Chuan
TI Implementing blended learning in emergency airway management training: a
   randomized controlled trial
SO BMC EMERGENCY MEDICINE
VL 18
AR 1
DI 10.1186/s12873-018-0152-y
PD JAN 15 2018
PY 2018
AB Background: While emergency airway management training is conventionally
   conducted via face-to-face learning (F2FL) workshops, there are inherent
   cost, time, place and manpower limitations in running such workshops.
   Blended learning (BL) refers to the systematic integration of online and
   face-to-face learning aimed to facilitate complex thinking skills and
   flexible participation at a reduced financial, time and manpower cost.
   This study was conducted to evaluate its effectiveness in emergency
   airway management training.
   Methods: A single-center prospective randomised controlled trial
   involving 30 doctors from Sarawak General Hospital, Malaysia was
   conducted from September 2016 to February 2017 to compare the
   effectiveness of BL versus F2FL for emergency airway management
   training. Participants in the BL arm were given a period of 12 days to
   go through the online materials in a learning management system while
   those in the F2FL arm attended a-day of face-to-face lectures (8 h).
   Participants from both arms then attended a day of hands-on session
   consisting of simulation skills training with airway manikins. Pre-and
   post-tests in knowledge and practical skills were administered.
   E-learning experience and the perception towards BL among participants
   in the BL arm were also assessed.
   Results: Significant improvements in post-test scores as compared to
   pre-test scores were noted for participants in both BL and F2FL arms for
   knowledge, practical, and total scores. The degree of increment between
   the BL group and the F2FL arms for all categories were not significantly
   different (total scores: 35 marks, inter-quartile range (IQR) 15.0 -
   41.0 vs. 31 marks, IQR 24.0 - 41.0, p = 0.690; theory scores: 18 marks,
   IQR 9 - 24 vs. 19 marks, IQR 15 - 20, p = 0.992; practical scores: 11
   marks, IQR 5 - 18 vs. 10 marks, IQR 9 - 20, p = 0.461 respectively). The
   overall perception towards BL was positive.
   Conclusions: Blended learning is as effective as face-to-face learning
   for emergency airway management training of junior doctors, suggesting
   that blended learning may be a feasible alternative to face-to-face
   learning for such skill training in emergency departments.
RI Azhar, Abdul Muhaimin Noor/ABF-7423-2020; Bustam, Aida/B-5897-2013; Chuah, Kee-Man/F-5242-2010; Chew, Keng Sheng/N-1531-2019; Bustam, Aida/K-1994-2019; Chew, Keng Sheng/E-4904-2012
OI Azhar, Abdul Muhaimin Noor/0000-0002-1085-0725; Bustam,
   Aida/0000-0001-9403-0734; Chuah, Kee-Man/0000-0001-7499-5889; Chew, Keng
   Sheng/0000-0002-6326-8210
ZR 0
TC 11
ZS 0
ZB 4
ZA 0
Z8 0
Z9 11
U1 0
U2 7
SN 1471-227X
UT WOS:000422889900001
PM 29334925
ER

PT J
AU Block, Lauren
   Flynn, Sarah J.
   Cooper, Lisa A.
   Lentz, Caroline
   Hull, Tammie
   Dietz, Katherine B.
   Boonyasai, Romsai T.
TI Promoting sustainability in quality improvement: an evaluation of a
   web-based continuing education program in blood pressure measurement
SO BMC FAMILY PRACTICE
VL 19
AR 13
DI 10.1186/s12875-017-0682-5
PD JAN 10 2018
PY 2018
AB Background: The accuracy of blood pressure measurement is variable in
   office-based settings. Even when staff training programs are effective,
   knowledge and skills decay over time, supporting the need for ongoing
   staff training. We evaluated whether a web-based continuing education
   program in blood pressure measurement reinforced knowledge and skills
   among clinical staff and promoted sustainability of an existing quality
   improvement program.
   Methods: Medical assistants and nurses at six primary care clinics
   within a health system enrolled in a 30-min online educational program
   designed to refresh their knowledge of blood pressure measurement. A
   20-question pre- and post-intervention survey addressed learners'
   knowledge and attitudes. Direct observation of blood pressure
   measurement technique before and after the intervention was performed.
   Differences in responses to pre- and post-module knowledge and attitudes
   questions and in observation data were analyzed using chi-square tests
   and simple logistic regression.
   Results: All 88 clinical staff members participated in the program and
   completed the evaluation survey. Participants answered 80.6% of
   questions correctly before the module and 93.4% afterwards (p < 0.01).
   Scores improved significantly among staff from all job types. Licensed
   practical nurses and staff who had been in their current job at least a
   year were more likely to answer questions correctly than registered
   nurses and those in their current job less than a year. Attitudes toward
   correct blood pressure measurement were high at baseline and did not
   improve significantly. Prior to the intervention, staff adhered to 9 of
   18 elements of the recommended technique during at least 90% of
   observations. Following the program, staff was more likely to explain
   the protocol, provide a rest period, measure an average blood pressure,
   and record the average blood pressure, but less likely to measure blood
   pressure with the arm at heart level and use the right arm.
   Conclusions: We designed, implemented, and evaluated a web-based
   educational program to improve knowledge, skills, and attitudes in blood
   pressure measurement and use of an automated device among nurses and
   medical assistants in ambulatory care. The program reinforced knowledge
   related to recommended blood pressure measurement technique.
ZB 3
Z8 0
TC 11
ZS 1
ZR 0
ZA 0
Z9 12
U1 0
U2 8
EI 1471-2296
UT WOS:000419881500001
PM 29320994
ER

PT J
AU Hyde, Sarah
   Hannigan, Ailish
   Dornan, Tim
   McGrath, Deirdre
TI Medical school clinical placements - the optimal method for assessing
   the clinical educational environment from a graduate entry perspective
SO BMC MEDICAL EDUCATION
VL 18
AR 7
DI 10.1186/s12909-017-1113-y
PD JAN 5 2018
PY 2018
AB Background: Educational environment is a strong determinant of student
   satisfaction and achievement. The learning environments of medical
   students on clinical placements are busy workplaces, composed of many
   variables. There is no universally accepted method of evaluating the
   clinical learning environment, nor is there consensus on what concepts
   or aspects should be measured. The aims of this study were to compare
   the Dundee ready educational environment measure (DREEM - the current de
   facto standard) and the more recently developed Manchester clinical
   placement index (MCPI) for the assessment of the clinical learning
   environment in a graduate entry medical student cohort by correlating
   the scores of each and analysing free text comments. This study also
   explored student perception of how the clinical educational environment
   is assessed.
   Methods: An online, anonymous survey comprising of both the DREEM and
   MCPI instruments was delivered to students on clinical placement in a
   graduate entry medical school. Additional questions explored students'
   perceptions of instruments for giving feedback. Numeric variables (DREEM
   score, MCPI score, ratings) were tested for normality and summarised.
   Pearson's correlation coefficient was used to measure the strength of
   the association between total DREEM score and total MCPI scores.
   Thematic analysis was used to analyse the free text comments.
   Results: The overall response rate to the questionnaire was 67% (n =
   180), with a completed response rate for the MCPI of 60% (n = 161) and
   for the DREEM of 58% (n = 154). There was a strong, positive correlation
   between total DREEM and MCPI scores (r = 0.71, p < 0.001). On a scale of
   0 to 7, the mean rating for how worthwhile students found completing the
   DREEM was 3.27 (SD 1.41) and for the MCPI was 3.49 (SD 1.57). 'Finding
   balance' and 'learning at work' were among the themes to emerge from
   analysis of free text comments.
   Conclusions: The present study confirms that DREEM and MCPI total scores
   are strongly correlated. Graduate entry students tended to favour this
   method of evaluation over the DREEM with the MCPI prompting rich
   description of the clinical learning environment. Further study is
   warranted to determine if this finding is transferable to all clinical
   medical student cohorts.
ZB 0
Z8 0
ZR 0
ZA 0
TC 2
ZS 1
Z9 3
U1 0
U2 7
SN 1472-6920
UT WOS:000419882600002
PM 29304791
ER

PT J
AU Studerus, Lara
   Ahrens, Regina
   Hauptle, Christian
   Goeldlin, Adrian
   Streit, Sven
TI Optional part-time and longer GP training modules in GP practices
   associated with more trainees becoming GPs - a cohort study in
   Switzerland
SO BMC FAMILY PRACTICE
VL 19
AR 5
DI 10.1186/s12875-017-0706-1
PD JAN 5 2018
PY 2018
AB Background: Switzerland, like many other countries, has a shortage of
   General Practitioners (GPs). Optional GP training modules in GP
   practices were offered during the at least 5-year GP training program to
   increase student and trainee interest in becoming a GP. The training
   modules had not yet been evaluated. We determined how many Swiss GP
   trainees became practicing GPs after they completed optional training
   modules, and if longer modules were associated with higher rates of GP
   specialization.
   Methods: In this population-based cohort study, we included GP trainees
   who chose an optional GP training module in GP practice, provided by the
   Foundation to Promote Training in General Practice (WHM) between 2006
   and 2015. GP trainees were invited to complete an online survey to
   assess the primary outcome (becoming a practicing GP by 2016). Data on
   non-responders was collected via an internet search. We calculated
   univariate time-to-event curves to become a practicing GP, stratified by
   trainee's gender, length, part-time training, and number of years after
   graduation until training modules were completed. We used a multivariate
   model to adjust for characteristics of participants, training, and
   satisfaction with training modules.
   Results: We assessed primary outcome for 351 (92.1%) of 381 former GP
   trainees who participated in a WHM program between 2006 and 2015. Of
   these 218 (57%) were practicing GPs by 2016. When focusing on the
   trainees who had completed training between 2006 and 2010, the rate of
   practicing GPs was even 73%. Longer (p = 0.018) and part-time training
   modules (p = 0.003) were associated with higher rates of being a
   practicing GP. Most (81%) practicing GPs thought their optional GP
   training module was (very) important in their choice of specialty.
   Conclusion: GP trainees who spent more time training in a GP practice,
   or who trained part-time were more likely to become practicing GPs. Most
   (80%) rated their training module as (very) important in their choice of
   career, highlighting that these modules effectively encourage the
   interests of those already inclined towards the GP specialty. Longer GP
   training modules and more opportunities for part-time training may
   attract and retain more interested trainees, and possibly increase the
   number of practicing GPs.
RI Streit, Sven/I-3788-2019
OI Streit, Sven/0000-0002-3813-4616
TC 3
Z8 0
ZS 0
ZA 0
ZB 1
ZR 2
Z9 5
U1 0
U2 0
SN 1471-2296
UT WOS:000419880900003
PM 29304729
ER

PT J
AU Chen, Xuewei
   Hay, Jennifer L.
   Waters, Erika A.
   Kiviniemi, Marc T.
   Biddle, Caitlin
   Schofield, Elizabeth
   Li, Yuelin
   Kaphingst, Kimberly
   Orom, Heather
TI Health Literacy and Use and Trust in Health Information
SO JOURNAL OF HEALTH COMMUNICATION
VL 23
IS 8
BP 724
EP 734
DI 10.1080/10810730.2018.1511658
PD 2018
PY 2018
AB There is a need to investigate which health information sources are used
   and trusted by people with limited health literacy to help identify
   strategies for addressing knowledge gaps that can contribute to
   preventable illness. We examined whether health literacy was associated
   with people's use of and trust in a range of potential health
   information sources. Six hundred participants from a GfK Internet survey
   panel completed an online survey. We assessed health literacy using the
   Newest Vital Sign, the sources participants used to get health
   information, and the extent to which participants trusted health
   information from these sources. We performed multivariable regressions,
   controlling for demographic characteristics. Lower health literacy was
   associated with lower odds of using medical websites for health
   information and with higher odds of using television, social media, and
   blogs or celebrity webpages. People with lower health literacy were less
   likely to trust health information from specialist doctors and dentists,
   but more likely to trust television, social media, blogs/celebrity
   webpages, friends, and pharmaceutical companies. People with limited
   health literacy had higher rates of using and trusting sources such as
   social media and blogs, which might contain lower quality health
   information compared to information from healthcare professionals. Thus,
   it might be necessary to enhance the public's ability to evaluate the
   quality of health information sources. The results of this study could
   be used to improve the reach of high-quality health information among
   people with limited health literacy and thereby increase the
   effectiveness of health communication programs and campaigns.
RI Chen, Xuewei/ABC-4400-2020; schofield, elizabeth/; Kaphingst, Kimberly/; Li, Yuelin/; Orom, Heather/; Hay, Jennifer L./
OI Chen, Xuewei/0000-0001-6391-1459; schofield,
   elizabeth/0000-0002-4745-3707; Kaphingst, Kimberly/0000-0003-2668-9080;
   Li, Yuelin/0000-0001-6571-3587; Orom, Heather/0000-0002-0147-8378; Hay,
   Jennifer L./0000-0002-3492-9331
ZS 4
ZA 1
ZR 0
TC 93
ZB 7
Z8 0
Z9 98
U1 10
U2 58
SN 1081-0730
EI 1087-0415
UT WOS:000449524000004
PM 30160641
ER

PT J
AU Widman, Laura
   Golin, Carol E.
   Kamke, Kristyn
   Burnette, Jeni L.
   Prinstein, Mitchell J.
TI Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent
   Girls: Randomized Controlled Trial of an Online Program
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 108
IS 1
BP 96
EP 102
DI 10.2105/AJPH.2017.304106
PD JAN 2018
PY 2018
AB Objectives. To evaluate the efficacy of an interactive, Web-based sexual
   health program (Health Education and Relationship Training [HEART]) for
   developing sexual assertiveness skills and enhancing sexual
   decision-making in adolescent girls.
   Methods. Participants were 222 tenth-grade girls (mean age = 15.2; 38%
   White, 29% Hispanic, 25% Black) in the Southeastern United States who
   were randomized in fall 2015 to the HEART intervention or an
   attention-matched control. We assessed participants at pretest,
   immediate posttest, and 4-month follow-up.
   Results. Both groups had similar demographic and sexual behavior
   characteristics at pretest. At immediate posttest, girls who completed
   the HEART program demonstrated better sexual assertiveness skills
   measured with a behavioral task, higher self-reported assertiveness,
   intentions to communicate about sexual health, knowledge regarding HIV
   and other sexually transmitted diseases (STDs), safer sex norms and
   attitudes, and condom self-efficacy compared with the control condition.
   At 4-month follow-up, group differences remained in knowledge regarding
   HIV and other STDs, condom attitudes, and condom self-efficacy.
   Conclusions. This brief online sexual health program can improve
   short-term outcomes among adolescent girls and offers an exciting new
   option in the growing array of digital health interventions available to
   youths.
RI Prinstein, Mitchell J/F-7955-2013; Core, CHAI/AAD-5240-2022; Kamke, Kristyn/T-7767-2018; Burnette, Jeni/
OI Prinstein, Mitchell J/0000-0002-7587-8665; Kamke,
   Kristyn/0000-0002-3075-6381; Burnette, Jeni/0000-0001-7548-8782
ZA 0
ZB 2
Z8 0
ZR 0
ZS 0
TC 30
Z9 30
U1 0
U2 16
SN 0090-0036
EI 1541-0048
UT WOS:000439713500040
PM 29161072
ER

PT J
AU Guraya, Salman Yousuf
   Khoshhal, Khalid Ibrahim
   Yusoff, Muhamad Saiful Bahri
   Khan, Maroof Aziz
TI Why research productivity of medical faculty declines after attaining
   professor rank? A multi-center study from Saudi Arabia, Malaysia and
   Pakistan
SO MEDICAL TEACHER
VL 40
BP S83
EP S89
DI 10.1080/0142159X.2018.1465532
SU 1
PD 2018
PY 2018
AB Objectives: Research has shown a fall of research productivity of
   faculty after their promotion to professor rank. This study explores the
   factors that lead to this decline in research productivity of professors
   in medical discipline.Methods: A 20-item questionnaire was distributed
   online to medical professors of a Saudi, Malaysian and a Pakistani
   medical school. The participants were instructed to select their
   responses on a 5-point Likert's scale and the collected data was
   analyzed for quantitative and qualitative results.Results: Of 161, 110
   responded; response rate of 68.3%. About 35% professors spent 1-4hours
   and 2% spent 19-25hours per week for research. As many as 7% did not
   publish a single article and 29% had published 10 or more articles after
   attaining professor rank. During the last two years, 44% professors had
   published 5 or more research articles. Majority pointed out a lack of
   research support and funds, administrative burden and difficulty in data
   collection as the main obstacles to their research.Conclusions: This
   research has identified time constraints and insufficient support for
   research as key barriers to medical professors' research productivity.
   Financial and technical support and lesser administrative work load are
   some suggested remedies to foster the professors' research output.
RI Guraya, Salman/AEN-6633-2022; Yusoff, Muhamad Saiful Bahri/H-3863-2011; Guraya, Salman/ABC-9493-2021
OI Guraya, Salman/0000-0001-5183-023X; Yusoff, Muhamad Saiful
   Bahri/0000-0002-4969-9217; Guraya, Salman/0000-0001-5183-023X
ZS 0
ZB 1
ZR 0
TC 3
ZA 0
Z8 0
Z9 3
U1 1
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000451736700012
PM 29730951
ER

PT J
AU Carroll, Julie-Anne
   Sankupellay, Mangalam
   Newcomb, Michelle
   Rodgers, Jess
   Cook, Roger
TI GoSoapBox in public health tertiary education: A student response system
   for improving learning experiences and outcomes
SO AUSTRALASIAN JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 34
IS 5
BP 58
EP 71
DI 10.14742/ajet.3743
PD 2018
PY 2018
AB Most pedagogical literature has generated "how to" approaches regarding
   the use of student response systems (SRS). There are currently no
   systematic reviews on the effectiveness of SRS, for its capacity to
   enhance critical thinking, and achieve sustained learning outcomes. This
   paper addresses this current gap in knowledge. Our teaching team
   introduced GoSoapBox (an interactive online SRS) in an undergraduate
   sociology and public health subject, as a mechanism for discussing
   controversial topics, such as sexuality, gender, economics, religion,
   and politics, to allow students to interact with each other and to
   generate discussions and debates during lectures. Bandura's Social
   Learning Theory (SLT) was applied to investigate the effectiveness of
   GoSoapBox for improving learning experiences. We produced a theoretical
   model via an iterative analytical process between SLT and our data. This
   model has implications for all academics considering the use of SRS to
   improve the learning experiences of their students.
OI Cook, Roger/0000-0002-1145-9330; Newcomb, Michelle/0000-0001-9899-5576;
   Carroll, Julie-Anne/0000-0003-0770-6527; Rodgers,
   Jess/0000-0002-7825-8621
ZS 0
TC 2
ZB 0
Z8 0
ZA 0
ZR 0
Z9 2
U1 1
U2 7
SN 1449-5554
UT WOS:000450991200006
ER

PT J
AU Sheppard-Law, Suzanne
   Zablotska-Manos, Iryna
   Kermeen, Melissa
   Holdaway, Susan
   Lee, Alice
   George, Jacob
   Zekry, Amany
   Maher, Lisa
TI Factors associated with non-adherence to HBV antiviral therapy
SO ANTIVIRAL THERAPY
VL 23
IS 5
BP 425
EP 433
DI 10.3851/IMP3219
PD 2018
PY 2018
AB Background: HBV antiviral therapy has the potential to reduce the burden
   of HBV-related liver disease by suppressing HBV DNA replication to
   undetectable levels, reducing the progression of liver fibrosis and
   reducing the risk of hepatocellular carcinoma (HCC) development.
   Treatment outcomes and long-term benefits require adherence to
   medication regimens. This study aimed to identify the prevalence and
   factors associated with non-adherence to antiviral therapy.
   Methods: A cross-sectional survey of patients receiving HBV antiviral
   therapies was conducted in three Sydney hospitals. Participants were
   asked to complete an online questionnaire. Logistic regression was used
   to assess the associations between non-adherence (defined as missing
   more than 1 day of medication in the last 30 days) and demographic,
   socio-economic, disease, treatment, health-care system and
   individual-related factors.
   Results: Of the 277 participants, 66 (23.8%) were non-adherent, missing
   a mean 1.7 days of medication (SD 4.8) in the last 30 days. In
   multivariate analysis, non-adherent behaviour declined with age (odds
   ratio [OR] 0.9, 95% CI 0.97,0.99; P<0.013). Participants who reported
   having no established routine to take their medication (OR 5.0, 95% CI
   1.4, 17.4; P<0.012) and having inadequate health literacy (OR 2.7, 95%
   CI 1.3, 5.5; P<0.007) were more likely to be non-adherent.
   Conclusions: Almost a quarter of participants in the current study were
   non-adherent. Adherence is potentially modifiable through person-centred
   education, collaborative models of patient care and interventions
   designed to improve health literacy and establish medication routines.
   Findings have the potential to improve health service delivery to
   patients at risk of non -adherence to HBV antiviral therapy.
RI zekry, amany/ABC-9995-2020; Blondeel, Sofie/AAE-5307-2022; Maher, Lisa/; ZEKRY, AMANY/
OI Maher, Lisa/0000-0001-6020-6519; ZEKRY, AMANY/0000-0002-5675-1810
ZB 0
ZS 1
ZA 0
TC 7
Z8 0
ZR 1
Z9 8
U1 3
U2 3
SN 1359-6535
UT WOS:000454891000005
PM 29355830
ER

PT J
AU Salmon, Marcia K.
TI Cerebral Palsy: A Webliography
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 22
IS 3
BP 244
EP 252
DI 10.1080/15398285.2018.1513763
PD 2018
PY 2018
AB Cerebral Palsy, also known as CP, is a group of non-progressive
   neurological disorders that impair motor function. It is usually caused
   by abnormal brain development or brain damage that is sustained during
   infancy or early childhood. This webliography is a guide to online
   resources such as associations, consumer health, government, and
   hospital websites that provide information on advocacy, clinical
   research, patient education, and support resources.
OI Salmon, Marcia/0000-0003-2780-6154
ZR 0
ZS 0
TC 1
ZB 0
ZA 0
Z8 0
Z9 1
U1 0
U2 11
SN 1539-8285
EI 1539-8293
UT WOS:000456116700006
ER

PT J
AU Rosby, Lucy Victoria
   Rotgans, Jerome I.
   Tan, Gerald
   Low-Beer, Naomi
   Mamede, Silvia
   Zwaan, Laura
   Schmidt, Henk
TI Inducing System-1-type diagnostic reasoning in second-year medical
   students within 15minutes
SO MEDICAL TEACHER
VL 40
IS 10
BP 1030
EP 1035
DI 10.1080/0142159X.2017.1418502
PD 2018
PY 2018
AB Purpose: Diagnostic reasoning literature debates the significance of
   dual-process theory and the importance of its constituent types of
   thinking: System-1and System-2. This experimental study aimed to
   determine whether novice medical students could be trained to utilize
   System-1 thinking when making diagnoses based on chest X-rays.Method:
   Second-year medical students were recruited and presented with a series
   of eight online chest X-rays cases. Participants were shown half of the
   cases repeatedly during a training phase and the other half only twice.
   During the final test phase, they were shown all eight cases, providing
   a diagnosis as a free text answer. Dependent variables were diagnostic
   accuracy and response time.Results: Thirty-two students participated.
   During the test phase, students responses were significantly more
   accurate and faster for cases which had been seen repeatedly during the
   training phase (mean score=3.56/4, mean time=2.34s) compared with cases
   which had been seen only twice (mean score=1.59/4, mean
   time=7.50s).Conclusion: This study demonstrates that it is possible to
   induce in novice students the speed-to-diagnosis and diagnostic accuracy
   typical of System-1-type reasoning. The full experimental design and the
   chest X-rays used may provide new opportunities to explore some of the
   issues surrounding dual-process theory.
RI Schmidt, Henk G/A-3410-2012; Zwaan, Laura/I-6473-2015; Mamede, Silvia/T-4053-2019; Tan, Gerald/AAE-3538-2019; Zwaan, Laura/; Rosby, Lucy Victoria/; Rotgans, Jerome/
OI Tan, Gerald/0000-0002-3093-8724; Zwaan, Laura/0000-0003-3940-1699;
   Rosby, Lucy Victoria/0000-0002-9642-7521; Rotgans,
   Jerome/0000-0003-4043-8261
Z8 0
ZA 0
TC 4
ZB 0
ZS 0
ZR 0
Z9 4
U1 0
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000451774100010
PM 29421975
ER

PT J
AU Teras, Hanna
   Kartoglu, Umit
TI Authentic learning with technology for professional development in
   vaccine management
SO AUSTRALASIAN JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 34
IS 3
BP 15
EP 29
DI 10.14742/ajet.2815
PD 2018
PY 2018
AB Online professional development (OPD) is gaining increasing popularity.
   However, online learning environments are not always considered
   effective venues for supporting authentic learning experiences, and the
   suitability of OPD for practical learning has not been widely explored.
   This case study paper presents findings of a pilot implementation of an
   OPD program in vaccine management designed according to the pedagogical
   principles of authentic learning, using a range of educational
   technologies as cognitive tools. The study examines how the authentic
   learning design and the technologies used affect the participants'
   learning experience, experience of authenticity and the perceived impact
   of the course on professional learning. Data was collected through
   observations, an online post-course survey and interviews with the
   participants. A thematic content analysis was conducted. The findings
   suggest the pedagogical framework of authentic e-learning provides
   useful guidelines for the design of fully online, yet active and
   practice-driven, professional development that is also perceived as
   authentic by the participants. Using online education technologies as
   cognitive tools can support the creation of an authentic learning
   environment where practical, transferable professional skills can be
   acquired. Achieving this requires careful consideration of accessibility
   and usability issues and ensuring that the technologies used serve an
   authentic purpose.
Z8 0
TC 5
ZS 0
ZA 0
ZB 0
ZR 0
Z9 5
U1 1
U2 9
SN 1449-5554
UT WOS:000439416100003
ER

PT J
AU Wagner, Teresa
   Blevins, Denise
   Lopez, Jennifer
   Li, Jialing
TI Health Literacy for an Aging Population: Evaluating Online Tools for the
   Homebound over Age 65
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 22
IS 4
BP 371
EP 381
DI 10.1080/15398285.2018.1544819
PD 2018
PY 2018
AB The number of seniors over age 65 aging at home is increasing. They
   require usable health information to make informed decisions to maintain
   health and independence. This study partnered with Meals On Wheels,
   Inc., of Tarrant County, Texas, to assess the homebound over age 65
   population's ability to use of National Network of Libraries of Medicine
   online health information. Only 1% of participants utilized online
   resources and only 8% of available resources met their needs.
   Recommendations included using community outreach to extend online
   formatting, applying AHRQ's "Health Literacy Universal Precautions," to
   online information, or improving seniors' eHealth skills and access.
RI Lopez, Jennifer/GSD-1452-2022; Liu, Jialiang/GRS-5847-2022
Z8 0
ZR 0
TC 0
ZA 0
ZB 0
ZS 0
Z9 0
U1 1
U2 5
SN 1539-8285
EI 1539-8293
UT WOS:000469908700007
PM 35382512
ER

PT J
AU Chen, Jason, I
   Smolenski, Derek J.
   Dobscha, Steven K.
   Bush, Nigel E.
   Denneson, Lauren M.
TI Correlates of Mental Health Smartphone Application Use among Patients
   with Suicidal Ideation
SO JOURNAL OF TECHNOLOGY IN HUMAN SERVICES
VL 36
IS 4
BP 191
EP 207
DI 10.1080/15228835.2018.1502119
PD 2018
PY 2018
AB Mental health applications (apps) can improve access to evidence-based,
   mental health strategies. This study evaluated predictors of use for the
   Virtual Hope Box (VHB), a smartphone app designed to enhance coping
   among high-risk mental health populations. We also explored the impact
   of usage on health outcomes. We analyzed data drawn from the treatment
   arm of a randomized clinical trial of the VHB (n = 58). Veterans at high
   risk of suicide used the app over 12 weeks and completed psychosocial
   assessments throughout the study. We received usage data from each
   participant's smartphone. We then used negative binomial regression to
   evaluate demographic and clinical predictors of usage and generalized
   estimating equations to explore the longitudinal association between
   usage and psychosocial outcomes. The most commonly used subcomponents
   were designed to provide distractions and reminders of sources of
   meaning.
   Lower levels of usage were associated with younger and having a 2-year
   college degree or higher. Exploratory findings suggested a possible
   relationship between usage and protective factors. Certain subgroups had
   lower VHB usage. The findings suggest usage may be associated with
   changes in health outcomes. Future studies should recruit larger, more
   diverse samples to further explore relationships between usage and
   demographic predictors.
OI Smolenski, Derek/0000-0003-4767-075X; Bush, Nigel/0000-0002-8137-7998
ZB 0
TC 3
ZS 0
Z8 0
ZR 0
ZA 0
Z9 3
U1 0
U2 2
SN 1522-8835
EI 1522-8991
UT WOS:000469955100003
ER

PT J
AU Sandu, A.
   Damian, S.
TI PERCEIVED QUALITY OF LIFE AND RES PONSIBILITY FOR OWN HEALTH CONDITION.
   MICRO-RESEARCH
SO ARCHIV EUROMEDICA
VL 8
IS 2
BP 18
EP 23
PD 2018
PY 2018
AB Managing the patient's self-care can be a framework in which he or she
   expresses responsibility for their own health condition. The present
   research starts from the hypothesis that there is a tendency in the
   Romanian population, it also manifests to young people with an average
   level of education and easy access to information for self-care, but
   this is done by avoiding the specialized medical consultation, the
   information being often obtained online or from members of the younger
   entourage. a therapeutic adherence. As regards mistrust in allopathic
   medicine, this, although it exists, does little to the extent of
   therapeutic adherence. Objective factors such as the relative lack of
   specialist medical services or difficult access, in other words of
   resource allocation in general as part of the social responsibility of
   the state (Frunza, 2011), are not a major impediment to targeting young
   people and family members to appropriate specialist medical services.
   The neglect of one's own health condition, when it is conscious, is due
   to laziness and lack of care (responsibility). Optimism (perhaps
   exaggerated) about current health care and its possible evolution is one
   of the most important factors in the decision to postpone medical
   examinations and therapeutic non-adherence in the case of mild symptoms.
RI Damian, Simona Irina/E-4572-2011
ZR 0
ZA 0
TC 4
ZB 0
Z8 0
ZS 0
Z9 4
U1 0
U2 0
SN 2193-3863
EI 2199-885X
UT WOS:000467899700007
ER

PT J
AU Zugravu, Corina
   Nanu, Michaela Iuliana
   Moldovanu, Florentina
   Arghir, Oana Cristina
   Mihai, Cristina Maria
   Otelea, Marina Ruxandra
   Cambrea, Simona Claudia
TI The Influence of Perinatal Education on Breastfeeding Decision and
   Duration
SO INTERNATIONAL JOURNAL OF CHILD HEALTH AND NUTRITION
VL 7
IS 2
BP 74
EP 81
DI 10.6000/1929-4247.2018.07.02.4
PD 2018
PY 2018
AB Objectives: to evaluate factors influencing breastfeeding duration in an
   integrative model, considering both the organization of medical care and
   the perinatal education.
   Methods: We conducted a cross sectional study with data collected in a
   face to face interview of 1,008 mothers with children aged between 9 and
   14 months The questionnaire focused on the main characteristics of a
   Mother-Baby Friendly Hospital initiative and the type of perinatal
   education received by pregnant women. Correlation and partial
   correlation tests, non-parametric tests and classification tests were
   applied. Data were processed in SPSS 12.0 software.
   Results: The positive effects of Mother Baby Friendly Hospitals
   Organization initiative organization were confirmed. However, the main
   differentiator for breastfeeding duration was the level of formal
   education of pregnant mothers and the active seeking of perinatal
   education (r = 0.22, p < 0.001). The perinatal counseling was correlated
   with breastfeeding duration only for the subgroup participating to
   structured, dedicated time slot apart from the regular medical
   consultation (r = 0.079; p = 0.014), independently of mother's age,
   education, residence, time to first breastfeeding contact, type of birth
   delivery and rooming in. Our results support a broader approach to
   perinatal education than medical counseling during pregnancy to increase
   the voluntary participation of future mothers to the perinatal
   educational programs.
   Conclusion: As mothers' motivation to maintain the optimum duration of
   breastfeeding is a determinant factor, an earlier and sustained
   educational process, before pregnancy and after birth delivery, is
   necessary in order to create a general favorability for exclusive
   breastfeeding.
RI Corina-Aurelia, Zugravu/AAX-3256-2020; Mihai, Cristina Maria/AAF-2026-2020; Otelea, Marina/N-4200-2016; Otelea, Marina/AAR-6489-2021
OI Corina-Aurelia, Zugravu/0000-0002-3563-6987; 
ZA 0
ZR 0
ZB 0
TC 1
ZS 0
Z8 0
Z9 1
U1 0
U2 5
SN 1929-4247
UT WOS:000467900800004
ER

PT C
AU Lunde, Lene
   Moen, Anne
   Rosvold, Elin O.
BE Rotegard, AK
   Skiba, DJ
   Barbosa, S
   Alcazar, AGD
TI Learning Clinical Assessment and Interdisciplinary Team Collaboration in
   Primary Care. MOOC for Healthcare Practitioners and Students
SO NURSING INFORMATICS 2018: ICT TO IMPROVE QUALITY AND SAFETY AT THE POINT
   OF CARE
SE Studies in Health Technology and Informatics
VL 250
BP 68
EP 68
DI 10.3233/978-1-61499-872-3-68
PD 2018
PY 2018
AB Novel ways to build sufficient capacity to meet the need for competent
   healthcare providers in primary care are in strong demand. We developed
   a massive, open, online course (MOOC) to introduce and promote clinical
   skills development for healthcare workers (physicians, nurse
   practitioners, nurses, and nurse aids) and students in healthcare
   education (medical students and master and bachelor students in nursing)
   focusing on systematic health assessment and strengthening clinical
   decision making in primary care. Results from the pilot supports that
   the MOOC was relevant and highly useful for the participants, and has
   potential to contribute to interdisciplinary collaboration and
   discussions.
CT 14th International Congress on Nursing and Allied Health Informatics
   (NI)
CY JUN, 2018
CL Mexican Med Informat Assoc NI, Guadalajara, MEXICO
HO Mexican Med Informat Assoc NI
SP Int Med Informat Assoc Nursing Informat Special Interest Grp; Mexican
   Minist Hth; Federat Med Informat Latin Amer & Caribbean
RI Rosvold, Elin Olaug/ABE-4929-2020; Moen, Anne/
OI Moen, Anne/0000-0002-3825-9355
ZR 0
ZS 0
ZB 0
ZA 0
TC 5
Z8 0
Z9 5
U1 0
U2 7
SN 0926-9630
EI 1879-8365
BN 978-1-61499-872-3; 978-1-61499-871-6
UT WOS:000468219900023
PM 29857376
ER

PT J
AU Casella, Jessie
TI Readability of Veterans' Health Resources
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 22
IS 3
BP 276
EP 285
DI 10.1080/15398285.2018.1513761
PD 2018
PY 2018
AB There are many veterans' health resources. These resources provide much
   needed information to veterans, their loved ones, and caregivers. Online
   materials are available from a wide range of organizations including the
   Department of Veterans Affairs (VA). Oftentimes, veterans' health
   information is written at an advanced reading level using complicated
   terminology and not the recommended fifth to eighth grade reading
   levels. This article will provide a list of these resources and a
   discussion of their readability in comparison to MedlinePlus.
Z8 0
ZB 0
ZR 0
TC 0
ZA 0
ZS 0
Z9 0
U1 0
U2 3
SN 1539-8285
EI 1539-8293
UT WOS:000456116700009
ER

PT J
AU Bora, Kaustubh
   Das, Dulmoni
   Barman, Bhupen
   Borah, Probodh
TI Are Internet videos useful sources of information during global public
   health emergencies ? A case study of YouTube videos during the 2015-16
   Zika virus pandemic
SO PATHOGENS AND GLOBAL HEALTH
VL 112
IS 6
BP 320
EP 328
DI 10.1080/20477724.2018.1507784
PD 2018
PY 2018
AB Background: Internet-videos, though popular sources of public health
   information, are often unverified and anecdotal. We critically evaluated
   YouTube videos about Zika virus available during the recent Zika
   pandemic.
   Methods: Hundred-and-one videos were retrieved from YouTube (search
   term: zika virus). Based upon content, they were classified as:
   informative, misleading or personal experience videos. Quality and
   reliability of these videos were evaluated using standardized tools. The
   viewer interaction metrics (e.g. no. of views, shares, etc.), video
   characteristics (video length, etc.) and the sources of upload were also
   assessed; and their relationship with the type, quality and reliability
   of the videos analyzed.
   Results: Overall, 70.3% videos were informative, while 23.8% and 5.9%
   videos were misleading and related to personal experiences,
   respectively. Although with shorter lengths (P < 0.01) and superior
   quality (P < 0.01), yet informative videos were viewed (P = 0.054),
   liked (P < 0.01) and shared (P < 0.05) less often than their misleading
   counterparts. Videos from independent users were more likely to be
   misleading (adjusted OR = 6.48, 95% CI: 1.69 - 24.83), of poorer (P <
   0.05) quality and reliability than government/news agency videos.
   Conclusion: A considerable chunk of the videos were misleading. They
   were more popular (than informative videos) and could potentially spread
   misinformation. Videos from trust-worthy sources like university/health
   organizations were scarce. Curation/authentication of health information
   in online video platforms (like YouTube) is necessary. We discuss means
   to harness them as useful source of information and highlight measures
   to curb dissemination of misinformation during public health
   emergencies.
RI Barman, Bhupen/AAO-2088-2021; Bora, Kaustubh/AAW-4984-2021; Das, Dulmoni/; Borah, Probodh/; Bora, Kaustubh/
OI Barman, Bhupen/0000-0002-5433-1310; Das, Dulmoni/0000-0001-6103-996X;
   Borah, Probodh/0000-0001-7391-598X; Bora, Kaustubh/0000-0001-8426-8693
ZA 0
ZB 8
ZR 0
ZS 4
TC 72
Z8 0
Z9 74
U1 7
U2 65
SN 2047-7724
EI 2047-7732
UT WOS:000450448500004
PM 30156974
ER

PT J
AU Cardwell, Francesca S.
   Elliott, Susan J.
TI Investigating Youth Sport Coach Perspectives of an Asthma Education
   Module
SO JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH
VL 2018
AR 2512010
DI 10.1155/2018/2512010
PD 2018
PY 2018
AB Physical activity can reduce symptoms and improve wellbeing in people
   who have asthma, and organized sport is one way for children and youth
   with asthma to engage in exercise. While asthmatic youth may experience
   a number of barriers to sport participation, healthy physical and social
   sport environments supported by coaches can help asthmatic youth
   athletes maintain long-term engagement in activity. This paper reports
   results of an assessment of an online coach education tool related to
   air quality, physical activity, and allergic disease (e.g., asthma).
   Focus groups with youth team sport coaches in southern Ontario (n = 12
   participants) were conducted to explore how users experience the module
   and short-and medium-term outcomes of implementation. Although coaches
   perceive the module as relevant, it is considered less valuable in
   certain contexts (e.g., indoor environments) or when compared with other
   coach education (e.g., tactical). Although broad asthma management
   behaviours (e.g., athlete medical forms) were recognized, specific
   module-identified prevention and management techniques (e.g., the Air
   Quality Health Index) were less frequently described. Ensuring
   environment and health coach education emphasizes athlete performance
   while reducing risk is critical to promoting module application and
   providing safe and enjoyable youth team sport spaces.
Z8 0
TC 3
ZR 0
ZA 0
ZS 0
ZB 0
Z9 3
U1 3
U2 5
SN 1687-9805
EI 1687-9813
UT WOS:000435796600001
PM 29971114
ER

PT J
AU Hanley, Kathleen
   Bereket, Sewit
   Tuchman, Ellen
   More, Frederick G.
   Naegle, Madeline A.
   Kalet, Adina
   Goldfeld, Keith
   Gourevitch, Marc N.
TI Evaluation of the Substance Abuse Research and Education Training
   (SARET) program: Stimulating health professional students to pursue
   careers in substance use research
SO SUBSTANCE ABUSE
VL 39
IS 4
BP 476
EP 483
DI 10.1080/08897077.2018.1449167
PD 2018
PY 2018
AB Background: We developed and implemented the Substance Abuse Research
   Education and Training (SARET) program for medical, dental, nursing, and
   social work students to address the dearth of health professionals
   pursuing research and careers in substance use disorders (SUD). SARET
   has 2 main components: (1) a novel online curriculum addressing core SUD
   research topics, to reach a large number of students; (2) a mentored
   summer research experience for in-depth exposure. Methods: Modules were
   integrated into the curricula of the lead institution, and of 5 external
   schools. We assessed the number of Web modules completed and their
   effect on students' interest in SUD research. We also assessed the
   impact of the mentorship experience on participants' attitudes and early
   career trajectories, including current involvement in SUD research.
   Results: Since 2008, over 24,000 modules have been completed by
   approximately 9700 individuals. In addition to integration of the
   modules into curricula at the lead institution, all 5
   health-professional partner schools integrated at least 1 module and
   approximately 5500 modules were completed by individuals outside the
   lead institution. We found an increase in interest in SUD research after
   completion of the modules for students in all 4 disciplines. From 2008
   to 2015, 76 students completed summer mentorships; 8 students completed
   year-long mentorships; 13 published in SUD-related journals, 18
   presented at national conferences, and 3 are actively engaged in
   SUD-related research. Mentorship participants reported a positive
   influence on their attitudes towards SUD-related clinical care,
   research, and interprofessional collaboration, leading in some cases to
   changes in career plans. Conclusions: A modular curriculum that
   stimulates clinical and research interest in SUD can be successfully
   integrated into medical, dental, nursing, and social work curricula. The
   SARET program of mentored research participation fostered early research
   successes and influenced career choice of some participants. Longer-term
   follow-up will enable us to assess more distal careers of the program.
RI Kalet, Adina/AAA-3440-2021; Gourevitch, Marc/; Bereket, Sewit/
OI Kalet, Adina/0000-0003-4855-0223; Gourevitch, Marc/0000-0001-6865-2126;
   Bereket, Sewit/0000-0003-0336-4355
TC 4
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
Z9 4
U1 0
U2 6
SN 0889-7077
EI 1547-0164
UT WOS:000462222100012
PM 29565782
ER

PT J
AU Lee, Jongmin
   Ban, Woo Ho
   Park, Hyun Kyung
   Na, Eunbyeol
   Kim, Sug Kyung
   Kang, Hyeon Hui
   Lee, Sang Haak
TI Accuracy and Reliability of Internet Resources Providing Information on
   Obstructive Sleep Apnea
SO JOURNAL OF CLINICAL SLEEP MEDICINE
VL 14
IS 10
BP 1717
EP 1723
DI 10.5664/jcsm.7380
PD 2018
PY 2018
AB Study Objectives: To evaluate the readability, content, and quality of
   internet information about obstructive sleep apnea (OSA).
   Methods: Three major search engines (Google, Yahoo, and Bing) were used
   to retrieve the first 200 hits for the term "sleep apnea." The website
   contents were assessed using established guidelines, while the website
   quality was evaluated using the validated DISCERN instrument and Journal
   of the American Medical Association benchmarks.
   Results: In total, 243 websites met the inclusion criteria for this
   study. The websites were divided into five categories: scientific
   resource, foundation, news/media report, commercial website, and
   personal commentary. The mean Flesch-Kincaid grade level, which
   indicated the readability of the websites, was 7.5. The quality of most
   websites was poor, with news/media reports and commercial websites
   exhibiting poorer quality than the others. The Health On the Net (HON)
   code, which certifies the reliability and credibility of online content
   regarding human health, was applied only to 14.3% websites; the
   reliability of all these websites was poor. The content score for the
   diagnosis and management of OSA was lower for news/media reports and
   commercial websites than for scientific resources. News/media reports
   exhibited the worst content scores.
   Conclusions: Our findings suggest that most online health resources
   regarding OSA are not reliable and are inaccurate. Health care providers
   should be aware of the high variability in online information concerning
   OSA.
ZR 0
ZB 2
ZA 0
TC 6
Z8 0
ZS 1
Z9 7
U1 0
U2 0
SN 1550-9389
EI 1550-9397
UT WOS:000461414500011
PM 30353804
ER

PT J
AU Walsh, S.
   de Villiers, M. R.
   Golakai, V. K.
TI Introducing an E-learning Solution for Medical Education in Liberia
SO ANNALS OF GLOBAL HEALTH
VL 84
IS 1
BP 190
EP 197
DI 10.29024/aogh.21
PD 2018
PY 2018
AB Background: The Ebola virus epidemic and civil war in Liberia left the
   country in need of strengthening the health workforce. E-learning in
   medical education provides relevant learning opportunities for students,
   develops faculty competencies, and assists with the retention of
   healthcare workers. The Stellenbosch University Rural Medical Education
   Partnership Initiative (SURMEPI), the College of Health and Life
   Sciences (COHLS) at the University of Liberia (UL), and the Health
   Resources and Services Administration (HRSA) formed a partnership to
   create an e-learning solution for the COHLS.
   Objective: This article outlines the implementation of an e-learning
   solution for the COHLS in Monrovia, and describes the challenges met,
   the key successes achieved, and the lessons learnt.
   Methods: An initial scoping visit to Liberia was followed by three
   further on-site visits. Problems identified were: very limited or no
   network and computer resources, no internet connection, intermittent
   power, and lack of IT skills. We followed an evolutionary approach to
   infrastructure implementation by trying various solutions before
   settling on an offsite-hosted solution using Software as a Service
   (SaaS). Local staff were upskilied to administer this while remote
   support from Stellenbosch IT was provided. A stable internet connection
   was established. Staff and students can access the Learning Management
   System (LMS) 24/7 using mobile devices and laptops. Workshops were held
   where staff were taught how to produce online teaching material. Each
   class has at least one teaching assistant to assist lecturers with
   uploading and indexing material on the LMS.
   A benchmarking visit by COHLS faculty to Stellenbosch University took
   place, during which an e-learning strategic plan was drawn up. Further
   online workshops were conducted, and teaching materials were placed on
   the new LMS.
   Outcomes: The intranet that was established consisted of internet
   connection and software as a service in the form of Office 365,
   providing access to several products and services. The e-learning model
   attended to technology and human resources simultaneously. The
   e-learning strategy aimed to improve teaching and learning at the COHLS,
   boost the number of qualified doctors, reduce the workload on lecturers,
   and be scalable in the future.
   Conclusion: It is challenging to implement e-learning in medical
   education. Inadequate infrastructure, limited bandwidth, lack of skilled
   IT staff, unreliable power supply, time commitment, and ongoing
   maintenance all need to be overcome. The creation of an e-learning
   solution for the COHLS over a period of 15 months was enabled by the
   common vision and close collaboration of the three partners. This model
   can potentially be replicated across other faculties in the University
   of Liberia and other educational institutions in Liberia.
Z8 0
ZS 0
ZB 3
ZR 0
ZA 0
TC 12
Z9 12
U1 0
U2 11
SN 2214-9996
UT WOS:000441346800023
PM 30873817
ER

PT J
AU Christian, M. S.
   Day, R. E.
   Sahota, P.
TI Parents understanding of vitamin D requirements, and the use of
   fortified foods
SO PROCEEDINGS OF THE NUTRITION SOCIETY
VL 77
IS OCE4
BP E179
EP E179
DI 10.1017/S0029665118001854
PD 2018
PY 2018
OI Christian, Meaghan/0000-0002-0689-0097
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
TC 0
Z9 0
U1 0
U2 2
SN 0029-6651
EI 1475-2719
UT WOS:000459352900065
ER

PT J
AU Corfe, B. M.
   Murphy, J. L.
   Davey, F. P.
   Miller, L. J.
   Lloyd, M. A.
   Burden, S.
   Munir, F.
   Wiseman, T.
   Barrett, M.
   Wootton, S. A.
TI Nutritional screening, assessment and provision of advice for people
   living with and beyond cancer - a UK survey of clinicians
SO PROCEEDINGS OF THE NUTRITION SOCIETY
VL 77
IS OCE1
BP E25
EP E25
DI 10.1017/S002966511700444X
PD 2018
PY 2018
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
TC 0
Z9 0
U1 1
U2 1
SN 0029-6651
EI 1475-2719
UT WOS:000459351400026
ER

PT J
AU Hornsby, B.
   Ensaff, H.
TI Public perceptions of fruit and vegetable consumption: qualitative
   analysis of online comments
SO PROCEEDINGS OF THE NUTRITION SOCIETY
VL 77
IS OCE4
BP E144
EP E144
DI 10.1017/S0029665118001507
PD 2018
PY 2018
RI Ensaff, H./AAK-8621-2021; Ensaff, H/
OI Ensaff, H/0000-0003-4582-5244
ZS 0
Z8 0
ZA 0
ZR 0
TC 0
ZB 0
Z9 0
U1 0
U2 1
SN 0029-6651
EI 1475-2719
UT WOS:000459352900030
ER

PT J
AU Matsell, S. L.
   Garcia, M. A. Sanchez
   Williams, E. A.
   Corfe, B. M.
TI Diet advice in colorectal cancer survivors - are we doing enough?
SO PROCEEDINGS OF THE NUTRITION SOCIETY
VL 77
IS OCE1
BP E2
EP E2
DI 10.1017/S0029665117004219
PD 2018
PY 2018
RI Williams, Elizabeth/AAB-9844-2019
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
TC 0
Z9 0
U1 0
U2 0
SN 0029-6651
EI 1475-2719
UT WOS:000459351400003
ER

PT J
AU Khalil, Aya
   Shaltout, Mahmoud
   Costa, Sergio A.
TI Identifying Opportunity for Online Education to Address HIV/HCV
   Knowledge Gaps in Health Professionals and Students in Egypt
SO ANNALS OF GLOBAL HEALTH
VL 84
IS 4
BP 580
EP 583
DI 10.29024/aogh.2388
PD 2018
PY 2018
AB HCV prevalence rates in Egypt are high. While low, HIV prevalence rates
   may be underreported. Adequate solutions to address these public health
   challenges are lacking. Stigma, misperceptions, and lack of specialized
   skills to deal with infection are persistent impediments. To address
   these challenges, we propose a plan that incorporates the use of online
   education and hybrid formats to meet the needs in the field. Online
   education has been used with success elsewhere in the Mediterranean and
   Middle East. Given the difficult economic conditions in Egypt and
   physical challenges of traditional formats of education, we propose a
   plan, curricular elements, and education tracking process as a strategy
   to improve the knowledge capacity of health professionals and students.
RI Khalil, Aya/ADJ-0303-2022; Khalil, Aya/; Costa, Sergio/
OI Khalil, Aya/0000-0002-6665-8855; Costa, Sergio/0000-0002-2795-7705
ZS 0
ZA 0
Z8 0
TC 0
ZR 0
ZB 0
Z9 0
U1 2
U2 2
SN 2214-9996
UT WOS:000458312400004
PM 30779503
ER

PT J
AU Moyer, Cheryl A.
   Abedini, Nauzley C.
   Youngblood, Jessica
   Talib, Zohray
   Jayaraman, Tanvi
   Manzoor, Mehr
   Larson, Heidi J.
   Garcia, Patricia J.
   Binagwaho, Agnes
   Burke, Katherine S.
   Barry, Michele
TI Advancing Women Leaders in Global Health: Getting to Solutions
SO ANNALS OF GLOBAL HEALTH
VL 84
IS 4
BP 743
EP 752
DI 10.29024/aogh.2384
PD 2018
PY 2018
AB Background: Women comprise 75% of the health workforce in many countries
   and the majority of students in academic global health tracks but are
   underrepresented in global health leadership. This study aimed to
   elucidate prevailing attitudes, perceptions, and beliefs of women and
   men regarding opportunities and barriers for women's career advancement,
   as well as what can be done to address barriers going forward.
   Methods: This was a convergent mixed-methods, cross-sectional,
   anonymous, online study of participants, applicants, and those who
   expressed an interest in the Women Leaders in Global Health Conference
   at Stanford University October 11-12, 2017. Respondents completed a
   26-question survey regarding beliefs about barriers and solutions to
   addressing advancement for women in global health.
   Findings: 405 participants responded: 96.7% were female, 61.6% were aged
   40 or under, 64.0% were originally from high-income countries.
   Regardless of age or country of origin, leading barriers were: lack of
   mentorship, challenges of balancing work and home, gender bias, and lack
   of assertiveness/confidence. Proposed solutions were categorized as
   individual or meta-level solutions and included senior women seeking
   junior women for mentorship and sponsorship, junior women pro-actively
   making their desire for leadership known, and institutions incentivizing
   mentorship and implementing targeted recruitment to improve diversity of
   leadership.
   Interpretation: This study is the first of its kind to attempt to
   quantify both the barriers to advancement for women leaders in global
   health as well as the potential solutions. While there is no shortage of
   barriers, we believe there is room for optimism. A new leadership
   paradigm that values diversity of thought and diversity of experience
   will benefit not only the marginalized groups that need to gain
   representation at the table, but ultimately the broader population who
   may benefit from new ways of approaching long-standing, intractable
   problems.
RI Manzoor, Mehr/AAI-1794-2021; Larson, Heidi J./N-1018-2017
OI Larson, Heidi J./0000-0002-8477-7583
ZS 0
ZA 0
ZR 0
TC 9
Z8 0
ZB 0
Z9 9
U1 1
U2 3
SN 2214-9996
UT WOS:000458312400026
PM 30779525
ER

PT J
AU Allen, Shannon
   Goddard, Ellen
   Farmer, Anna
TI How knowledge, attitudes, and beliefs impact dairy anti-consumption
SO BRITISH FOOD JOURNAL
VL 120
IS 10
BP 2304
EP 2316
DI 10.1108/BFJ-12-2017-0733
PD 2018
PY 2018
AB Purpose The purpose of this paper is to examine how individual's health
   beliefs, nutrition knowledge (NK) and attitudes towards food
   technologies play a role in the anti-consumption of dairy products or
   the consumption of dairy alternatives.
   Design/methodology/approach Self-reported data concerning the
   consumption of milk, yogurt and dairy products in general were collected
   online among 1,705 adults in Canada. Also included in the survey
   instrument were measures of NK and health beliefs as well as questions
   from the food technology neophobia scale. Anti-consumption of milk,
   yogurt and dairy as well as alternative dairy consumption as a function
   of these characteristics, in addition to demographic characteristics, is
   analysed using probit models.
   Findings Individuals who demonstrate resistance to innovations in food
   technology, those with lower levels of dairy-specific NK, and people who
   have less belief that dairy avoidance will have negative impacts on
   their health are more likely to be anti-consumers of milk and/or yogurt.
   The same is true for dairy products in general with the exception that
   people with higher levels of dairy-specific NK are more likely to be
   anti-consumers of dairy products in general.
   Originality/value Inadequate intake of calcium and vitamin D has
   negative consequences for long-term health. Given that dairy products
   are the primary source of these nutrients in the Canadian diet, it is
   important to understand the reasons behind dairy anti-consumption so
   that appropriate policy measures can be taken to address potential
   public health issues.
OI Goddard, Ellen/0000-0002-5638-0562
ZB 1
ZA 0
ZR 0
ZS 0
TC 13
Z8 0
Z9 13
U1 5
U2 22
SN 0007-070X
EI 1758-4108
UT WOS:000445061300008
ER

PT J
AU Preoteasa, Cristina Teodora
   Donescu, Stefan-Calin
   Preoteasa, Elena
TI INTERNET USE FOR SEARCHING MEDICAL INFORMATION BY LAYPERSONS
SO INTERNATIONAL JOURNAL OF MEDICAL DENTISTRY
VL 22
IS 4
BP 331
EP 334
PD 2018
PY 2018
AB The aim of this study was to observe laypersons' perception and use of
   Internet for medical information. A cross-sectional study was conducted
   on a convenience sample of laypersons. Most of them declared that they
   had previously used the Internet for searching medical information,
   their motivation being mainly related to know more about diseases and
   their treatment, and to look for or know more about a certain physician.
   The most trusted sources were considered to be online encyclopedias and
   physicians' interviews. Most of the participants only searched
   information in mother tongue, i.e. Romanian, considering that the layout
   most easily to understand was text combined with images. Considering the
   high potential of Internet resources to be used for medical mass
   education of laypersons, adequate sources with validity and an
   appropriate format for their users should be more largely used.
RI Preoteasa, Elena/G-4319-2016; Preoteasa, Cristina Teodora/F-8203-2011
OI Preoteasa, Elena/0000-0002-2764-4135; Preoteasa, Cristina
   Teodora/0000-0003-4732-6721
TC 0
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 0
U1 0
U2 2
SN 2066-6063
UT WOS:000457329500001
ER

PT S
AU Kuchar, Ernest
   Ludwikowska, Kamila
   Szenborn, Leszek
   Antczak, Adam
   Mastalerz-Migas, Agnieszka
   Nitsch-Osuch, Aneta
BE Pokorski, M
TI Knowledge Regarding Influenza and Influenza Vaccination in General
   Population: Results of a National Survey in Poland
SO CURRENT TRENDS IN IMMUNITY AND RESPIRATORY INFECTIONS
SE Advances in Experimental Medicine and Biology
VL 1108
BP 55
EP 61
DI 10.1007/5584_2018_233
PD 2018
PY 2018
AB For the past 10 years, influenza vaccination coverage rate in Poland
   remains at a low 3% threshold. This low rate may be related to the
   unsatisfactory knowledge of vaccination, influenza, and misperception of
   health risks in the general population. To examine these issues, we used
   an online questionnaire consisting of 12 closed questions. The basic
   knowledge on influenza and vaccination was examined. The questionnaire
   was completed by 1669 persons, mostly young women. Generally, 73% of
   respondents passed the threshold of 70% correct answers, but important
   gaps in their knowledge were identified concerning the persons at risk
   of developing the infection (7.9% of correct answers) and the timing of
   vaccination (8.4% of correct answers). Although most respondents did
   identify the etiologic agent correctly (91.1% knew influenza is caused
   by a virus), only 12.3% knew that the vaccines registered in Poland
   contain fragments of viruses or its antigens, while 63.1% thought the
   vaccines contain live bacteria. In conclusion, the knowledge on
   influenza vaccination is deficient in the general population. Education
   on immunization should be prioritized to increase vaccination coverage
   rate in Poland.
RI Mastalerz-Migas, Agnieszka/W-5453-2018; Kuchar, Ernest/D-6761-2015; Ludwikowska, Kamila Maria/ABC-1754-2021; NITSCH-OSUCH, ANETA/; Szenborn, Leszek/; Antczak, Adam/
OI Mastalerz-Migas, Agnieszka/0000-0001-6600-2760; Kuchar,
   Ernest/0000-0002-7883-2427; Ludwikowska, Kamila
   Maria/0000-0002-4128-3401; NITSCH-OSUCH, ANETA/0000-0002-2622-7348;
   Szenborn, Leszek/0000-0001-6574-8229; Antczak, Adam/0000-0003-3430-3088
TC 6
ZS 0
ZB 2
ZA 0
ZR 0
Z8 0
Z9 6
U1 0
U2 4
SN 0065-2598
EI 2214-8019
BN 978-3-030-01635-7; 978-3-030-01634-0
UT WOS:000456452400006
PM 29995213
D2 10.1007/978-3-030-01635-7
ER

PT J
AU Nicol, John W.
   Gordon, Lisi J.
TI Preparing for leadership in General Practice: a qualitative exploration
   of how GP trainees learn about leadership
SO EDUCATION FOR PRIMARY CARE
VL 29
IS 6
BP 327
EP 335
DI 10.1080/14739879.2018.1528896
PD 2018
PY 2018
AB The recent rise to prominence of healthcare leadership worldwide has
   prompted those involved in medical education to consider how to
   facilitate learning to lead effectively. Research has focused on formal
   curriculum activities. Curricular theory suggests that trainee doctors
   may also learn through the informal curriculum but there is a lack of
   medical education literature on this. We aimed to explore how GP
   trainees learn about leadership in their GP training practices.
   Epistemologically grounded in social constructionism, this research
   involved 15 semi-structured interviews with GP trainees about to
   complete their training. Interviews were conducted using an online video
   conferencing method, audio-taped, transcribed and analysed using
   thematic framework analysis. We identified three learning processes
   contributing to leadership development; evaluating leadership,
   formulating views on leadership and constructing a personal leadership
   identity. Other factors operating within the informal curriculum
   included leadership terminology, and the quality of relationships and
   networks. Paradoxically, a role model's fallibility could positively
   influence leadership learning. Based on our findings, we present a model
   for the informal leadership learning process. This may enhance the
   facilitation of leadership learning by trainers and the wider clinical
   team, and positively influence the delivery and content of formal
   leadership courses.
RI Gordon, Lisi/Z-3127-2019; Gordon, Lisi/
OI Gordon, Lisi/0000-0002-4986-1501
ZA 0
Z8 0
ZS 0
ZR 0
TC 1
ZB 0
Z9 1
U1 0
U2 6
SN 1473-9879
EI 1475-990X
UT WOS:000457015400003
PM 30346250
ER

PT J
AU Paulson, Elan N.
   Campbell, Nicole
TI Collective Approaches to ePortfolio Adoption: Barriers and Opportunities
   in a Large Canadian University
SO CANADIAN JOURNAL FOR THE SCHOLARSHIP OF TEACHING AND LEARNING
VL 9
IS 3
AR 4
DI 10.5206/cjsotl-rcacea.2018.3.4
PD 2018
PY 2018
AB University programs that prepare graduates for professional fields are
   adopting ePortfolios to achieve program learning goals and promote
   lifelong learning. However, various structural and cultural barriers
   exist to implementing ePortfolios, particularly in large universities.
   Members of a community of practice (CoP) that participate in
   collaborative inquiry into the adoption of ePortfolios, using and
   producing Scholarship of Teaching and Learning (SoTL) in their
   "collective working," create shared knowledge and pooled resources for
   assessing adoption challenges and developing strategies to overcome
   them.
   In this reflective practice inquiry, two academics who provide
   leadership and instruction in education and medical science programs in
   a large Canadian university consider the learning and administrative
   value of using ePortfolios in blended undergraduate and online graduate
   programs, as well as the challenges that face their implementation. The
   inquiry provides a literature review, force field analysis, and
   reflective dialogue to identify key barriers and opportunities to
   adopting ePortfolios in programs that provide job-ready and job-embedded
   learners. Inquiry findings propose that CoPs and SoTL are mutually
   beneficial for how they foster opportunities for program leaders to
   build experience and evidence-based cases for the institutional and
   program-based support ePortfolio implementation and assessment.
ZS 0
ZB 1
ZR 0
ZA 0
Z8 0
TC 2
Z9 2
U1 0
U2 4
SN 1918-2902
UT WOS:000456293500003
ER

PT J
AU Hibbert, M.
   Crenna-Jennings, W.
   Kirwan, P.
   Benton, L.
   Lut, I.
   Okala, S.
   Asboe, D.
   Jeffries, J.
   Kunda, C.
   Mbewe, R.
   Morris, S.
   Morton, J.
   Nelson, M.
   Thorley, L.
   Paterson, H.
   Ross, M.
   Reeves, I.
   Sharp, L.
   Sseruma, W.
   Valiotis, G.
   Wolton, A.
   Jamal, Z.
   Hudson, A.
   Delpech, V.
TI The people living with HIV stigma survey UK 2015: HIV-related sexual
   rejection and other experiences of stigma and discrimination among gay
   and heterosexual men
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 30
IS 9
BP 1189
EP 1196
DI 10.1080/09540121.2018.1479027
PD 2018
PY 2018
AB We aim to understand the difference in stigma and discrimination, in
   particular sexual rejection, experienced between gay and heterosexual
   men living with HIV in the UK. The People Living with HIV StigmaSurvey
   UK 2015 recruited a convenience sample of persons with HIV through over
   120 cross sector community organisations and 46 HIV clinics to complete
   an online survey. 1162 men completed the survey, 969 (83%) gay men and
   193 (17%) heterosexual men, 92% were on antiretroviral therapy. Compared
   to heterosexual men, gay men were significantly more likely to report
   worrying about workplace treatment in relation to their HIV (21% vs.
   11%), worrying about HIV-related sexual rejection (42% vs 21%), avoiding
   sex because of their HIV status (37% vs. 23%), and experiencing
   HIV-related sexual rejection (27% vs. 9%) in the past 12 months. In a
   multivariate logistic regression controlling for other sociodemographic
   factors, being gay was a predictor of reporting HIV-related sexual
   rejection in the past 12 months (aOR 2.17, CI 1.16, 4.02). Both gay and
   heterosexual men living with HIV experienced stigma and discrimination
   in the past 12 months, and this was higher for gay men in terms of
   HIV-related sexual rejection. Due to the high proportion of men
   reporting sexual rejection, greater awareness and education of the low
   risk of transmission of HIV among people on effective treatment is
   needed to reduce stigma and sexual prejudice towards people living with
   HIV.
OI Kirwan, Peter/0000-0001-6904-0500; Paterson, Helena/0000-0001-7715-5973;
   Jamal, Zahra/0000-0002-3817-6795; Sharp, Laura/0000-0003-4496-6141;
   delpech, valerie/0000-0002-9952-8109; Hibbert,
   Matthew/0000-0002-1759-455X
Z8 0
TC 9
ZA 0
ZR 0
ZS 0
ZB 0
Z9 9
U1 2
U2 10
SN 0954-0121
EI 1360-0451
UT WOS:000438096400017
PM 29806466
ER

PT J
AU Schulze, Henrike
   Zhang, Danmei
   Anderson, Ricardo Patricio Perez
   Alhalabi, Obada
   Huhn, Daniel
   Astfalk, Timo
TI Symposium "International Medical Students - Support Programs in
   Practical Application": Networking, best-practice examples and local
   representation
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 5
AR Doc53
DI 10.3205/zma001199
PD 2018
PY 2018
AB The new project "International Medical Students" within the German
   Medical Students' Association (bvmd) aims at connecting local support
   programs for international medical students as well as the
   representation of their interests within the bvmd. Within the frame of
   this project, the first symposium "International Medical Students -
   Support Programs in Practical Application" took place from the 12th to
   the 14th of May 2017 at the Hannover Medical School (MHH). Through
   partaking in different workshops, 31 participants discussed the
   framework conditions of local work (i.e. curricula, tutorials, social
   offers, cooperation between faculty members and student body, legal
   aspects), common problems (i.e. addressing the target group, funding of
   support programs) and possible solutions (i.e. targeted advertisement,
   application for public funds). This report constitutes a summary of the
   results of these discussions. The feedback from the participants on the
   need for such a regular exchange and the format of the symposium was
   positive. However, there were requests for further thematic
   specification. Based on this feedback the next symposium is planned for
   2018.
OI Zhang, Danmei/0000-0001-6048-4711
ZS 0
TC 3
ZA 0
ZR 0
Z8 0
ZB 1
Z9 3
U1 0
U2 0
SN 2366-5017
UT WOS:000451888200001
PM 30637317
ER

PT J
AU Umek, Nejc
   Sostaric, Maja
TI Medical emergencies in dental offices in Slovenia and readiness of
   dentists to handle them
SO SIGNA VITAE
VL 14
IS 1
BP 43
EP 48
DI 10.22514/SV141.032018.7
PD 2018
PY 2018
AB Introduction. Dentists, and all other dental healthcare workers, can
   expect to face a medical emergency directly or indirectly related to
   dental treatment. This study evaluates the incidence of medical
   emergencies in dental offices in Slovenia, the readiness of dentists and
   possession of specific medical equipment.
   Methods. An anonymous online based questionnaire was sent through the
   Medical Chamber of Slovenia via email to all 1503 active dentists in
   Slovenia. The questionnaire was pilot-tested on 25 dentists and improved
   accordingly. Thirty closed-ended questions were answered by 289 (19.2 %)
   dentists.
   Results. 93.4 % (n= 267) of dentists reported a medical emergency in
   their dental office. The most prevalent diagnosis was syncope
   (1.88-2.44/dentist/year) followed by hypoglycaemia
   (0.20-0.25/dentist/year), hypertensive crisis (0.4/dentists/year) and
   anaphylaxis (0.3/dentists/year). There were no cardiac arrests reported
   in the dentists' entire careers. 85.1 % (n= 239) of dentists underwent
   postgraduate BLS training, 87.4 % (n= 209) of them in the last 5 years.
   Responding dentists estimated that they are most capable of dealing with
   syncope and least proficient in dealing with stroke, cardiac arrest and
   a hypertensive crisis. They felt generally more prepared to manage than
   diagnose a medical emergency. Only 58.1 % (n= 161) of dentists have
   access to a self-inflating bag with a reservoir, and 54.9 % (n= 152) to
   an oxygen mask. Only 4.0 % (n= 11) of them have a full set of equipment
   recommended by Medical Chamber of Slovenia.
   Conclusions. Results support modification of the undergraduate and
   postgraduate curriculum for dental students to address specific medical
   emergencies and the usage of limited equipment. They support more
   rigorous regulations concerning postgraduate education and specific
   equipment for dealing with medical emergencies in dental offices in
   Slovenia.
RI Umek, Nejc/AAX-8299-2020
OI Umek, Nejc/0000-0001-5831-2216
ZB 2
Z8 0
ZA 0
ZS 0
TC 5
ZR 0
Z9 5
U1 0
U2 2
SN 1334-5605
UT WOS:000433093700007
ER

PT J
AU Graziano, Scott C.
   McKenzie, Margaret L.
   Abbott, Jodi F.
   Buery-Joyner, Samantha D.
   Craig, LaTasha B.
   Dalrymple, John L.
   Forstein, David A.
   Hampton, Brittany S.
   Page-Ramsey, Sarah M.
   Pradhan, Archana
   Wolf, Abigail
   Hopkins, Laura
TI Barriers and Strategies to Engaging Our Community-Based Preceptors
SO TEACHING AND LEARNING IN MEDICINE
VL 30
IS 4
BP 444
EP 450
DI 10.1080/10401334.2018.1444994
PD 2018
PY 2018
AB Issue: This article, from the To the Point series that is prepared by
   the Association of Professors of Gynecology and Obstetrics Undergraduate
   Medical Education Committee, is a review of commonly cited barriers to
   recruiting and retaining community-based preceptors in undergraduate
   medical education and potential strategies to overcome them. Evidence:
   Community-based preceptors have traditionally served as volunteer,
   nonsalaried faculty, with academic institutions relying on intrinsic
   teaching rewards to sustain this model. However, increasing numbers of
   learners, the burdens of incorporating the electronic medical record in
   practice, and increasing demands for clinical productivity are making
   recruitment and retention of community-based preceptors more
   challenging. Implications: General challenges to engaging preceptors, as
   well as those unique to women's health, are discussed. Potential
   solutions are reviewed, including alternative recruitment strategies,
   faculty development to emphasize efficient teaching practices in the
   ambulatory setting, offers of online educational resources, and
   opportunities to incorporate students in value-added roles. Through
   examples cited in this review, clerkship directors and medical school
   administrators should have a solid foundation to actively engage their
   community-based preceptors.
RI Graziano, Scott/J-1115-2019; Forstein, David/AAB-3712-2022; Forstein, David/AFP-8395-2022; Dalrymple, John/; Craig, LaTasha B./; /
OI Graziano, Scott/0000-0002-7577-4006; Forstein,
   David/0000-0003-4280-2928; Forstein, David/0000-0003-4280-2928;
   Dalrymple, John/0000-0001-5183-1937; Craig, LaTasha
   B./0000-0002-7311-8603; /0000-0001-5101-3299
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
TC 4
Z9 4
U1 0
U2 2
SN 1040-1334
EI 1532-8015
UT WOS:000454585400010
PM 29578818
ER

PT J
AU Young, Sean D.
   Koussa, Maryann
   Lee, Sung-Jae
   Perez, Hendry
   Gill, Navkiran
   Gelberg, Lillian
   Heinzerling, Keith
TI Feasibility of a social media/online community support group
   intervention among chronic pain patients on opioid therapy
SO JOURNAL OF ADDICTIVE DISEASES
VL 37
IS 1-2
BP 96
EP 101
DI 10.1080/10550887.2018.1557992
PD 2018
PY 2018
AB Aims: Assess whether the Harnessing Online Peer Education (HOPE) social
   media-based support group can engage patients on opioids at risk for
   misuse/overdose to discuss risk reduction strategies.
   Methods: Fifty-one patients on chronic opioid therapy and risk factors
   for aberrant medication-taking behaviors were randomized to a HOPE
   intervention or control (Facebook) group.
   Results: Compared to control group participants, intervention
   participants had almost 10 times higher posting engagement (n = 411
   posts versus 45; 73% versus 52% of participants). Participants discussed
   coping, pain, medication and non-medication treatments, and other opioid
   and addiction-related topics.
   Discussion: Results suggest that a HOPE online community might serve as
   an effective behavioral intervention tool among chronic pain patients on
   opioid therapy.
OI Young, Sean D./0000-0001-6052-4875
ZA 0
ZR 0
ZB 4
TC 19
Z8 0
ZS 0
Z9 19
U1 0
U2 8
SN 1055-0887
EI 1545-0848
UT WOS:000505622000011
PM 30614403
ER

PT J
AU Anasi, Stella Ngozi
   Lawal, Folasade Olufunke
   Paul-Ozieh, Abiola
TI Use of internet as health information resource by community pharmacists
   in Nigeria
SO INFORMATION AND LEARNING SCIENCE
VL 119
IS 9-10
BP 545
EP 554
DI 10.1108/ILS-07-2018-0065
PD 2018
PY 2018
AB Purpose - The internet has become one of the most commonly used sources
   for medical and health information. Research that explored the extent to
   which Nigerian community pharmacists use internet resources for patient
   care is limited. This study aims to examine the extent to which
   community pharmacists use the internet for professional practice.
   Design/methodology/approach - Data were collected using a questionnaire
   which was completed by 115 community pharmacists using convenience
   sampling technique Descriptive and inferential statistics were used for
   data analysis.
   Findings - The results revealed that community pharmacists use a variety
   of online resources, although only about 25 per cent or less use each of
   the online resources. The critical challenges that hinder their use of
   the internet were inadequate power supply, lack of funds to procure
   personal internet facilities, among others. There is significant
   relative contribution of demographic variables (gender, age, educational
   qualification and number of years in professional practice) on frequency
   of internet use among community pharmacists.
   Practical implications - The Association of Community Pharmacists of
   Nigeria (ACPN), Lagos Chapter, should organize continuing professional
   education for their members to expose them to online resources and
   emerging trends in professional practice. The community pharmacist
   should also address the problem of inadequate communication with
   patients by stepping up communication with the patients about their drug
   therapy not only through the conventional media but also through
   internet facilities such as email, WhatsApp and so on.
   Originality/value - This study examined the extent to which community
   pharmacists use the internet for professional activities. This study
   also empirically investigated the significant relative contribution of
   demographic variables (gender, age, educational qualification and number
   of years in professional practice) on the frequency of internet use
   among community pharmacists.
TC 6
ZB 0
ZA 0
ZR 0
ZS 0
Z8 0
Z9 6
U1 0
U2 0
SN 2398-5348
UT WOS:000450076000004
ER

PT J
AU Lee, Chooi Yeng
   White, Paul J.
   Malone, Daniel T.
TI Online educational games improve the learning of cardiac pharmacology in
   undergraduate pharmacy teaching
SO PHARMACY EDUCATION
VL 18
IS 1
BP 298
EP 302
PD 2018
PY 2018
AB Background: Educational games have been shown to be an effective
   learning tool in medical and nursing education.
   Aims: To evaluate the effectiveness of online cardiac pharmacology games
   in engaging and motivating pharmacy students in learning pharmacology
   and the application of knowledge.
   Method: Quiz questions derived from lecture notes were presented in
   three separate games, according to the sequence of lectures delivered in
   class. Each game was released to students at a specific time to
   complement classroom teaching. A survey was conducted to collect student
   feedback of the games.
   Results: Thirty students (19.7% response rate) completed the surveys.
   The majority of students found the games fun, interesting, engaging, and
   indicated that the games had improved their understanding of concepts
   and principles related to the topic. More than 90% of students agreed
   that the game was an innovative way to understand teaching materials.
   Conclusion: Appropriately designed online educational games engaged and
   motivated students.
RI Lee, Chooi Yeng/AAF-7379-2020; Malone, Daniel/AAG-9752-2021; White, Paul J/A-7038-2011
ZR 0
TC 7
Z8 0
ZB 0
ZA 0
ZS 0
Z9 7
U1 2
U2 7
SN 1560-2214
EI 1477-2701
UT WOS:000454047900005
ER

PT J
AU Collins, Shane D.
   Leech, Michelle M.
TI A review of plan library approaches in adaptive radiotherapy of bladder
   cancer
SO ACTA ONCOLOGICA
VL 57
IS 5
BP 566
EP 573
DI 10.1080/0284186X.2017.1420908
PD 2018
PY 2018
AB Background: Large variations in the shape and size of the bladder volume
   are commonly observed in bladder cancer radiotherapy (RT). The clinical
   target volume (CTV) is therefore frequently inadequately treated and
   large isotropic margins are inappropriate in terms of dose to organs at
   risk (OAR); thereby making adaptive radiotherapy (ART) attractive for
   this tumour site. There are various methods of ART delivery, however,
   for bladder cancer, plan libraries are frequently used.Material and
   methods: A review of published studies on plan libraries for bladder
   cancer using four databases (Pubmed, Science Direct, Embase and Cochrane
   Library) was conducted. The endpoints selected were accuracy and
   feasibility of initiation of a plan library strategy into a RT
   department.Results: Twenty-four articles were included in this review.
   The majority of studies reported improvement in accuracy with 10 studies
   showing an improvement in planning target volume (PTV) and CTV coverage
   with plan libraries, some by up to 24%. Seventeen studies showed a dose
   reduction to OARs, particularly the small bowel V45Gy, V40Gy, V30Gy and
   V10Gy, and the rectal V30Gy. However, the occurrence of no suitable plan
   was reported in six studies, with three studies showing no significant
   difference between adaptive and non-adaptive strategies in terms of
   target coverage. In addition, inter-observer variability in plan
   selection appears to remain problematic. The additional resources,
   education and technology required for the initiation of plan library
   selection for bladder cancer may hinder its routine clinical
   implementation, with eight studies illustrating increased treatment time
   required.Conclusions: While there is a growing body of evidence in
   support of plan libraries for bladder RT, many studies differed in their
   delivery approach. The advent of the clinical use of the MRI-linear
   accelerator will provide RT departments with the opportunity to consider
   daily online adaption for bladder cancer as an alternate to plan library
   approaches.
OI Collins, Shane/0000-0002-0950-741X
ZR 0
ZS 0
ZA 0
Z8 0
TC 20
ZB 4
Z9 20
U1 0
U2 4
SN 0284-186X
EI 1651-226X
UT WOS:000430114000001
PM 29299945
ER

PT J
AU Podder, Vivek
   Price, Amy
   Sivapuram, Madhava Sai
   Ronghe, Ashwini
   Katta, Srija
   Gupta, Avinash Kumar
   Biswas, Rakesh
TI Collective Conversational Peer Review of Journal Submission: A Tool to
   Integrate Medical Education and Practice
SO ANNALS OF NEUROSCIENCES
VL 25
IS 2
BP 112
EP 119
DI 10.1159/000488135
PD 2018
PY 2018
AB Background: In this study, we demonstrate a collective collaborative,
   conversational, pre-publication peer review of a randomized controlled
   trial. Methods: Using Critical Appraisal Skills Programme checklist, a
   group of research-oriented undergraduate medical and pharmacy students
   and their teacher collectively on an online forum, discuss and review a
   randomized controlled trial submitted to the Annals of Neurosciences and
   the explanatory commentary from each reviewer makes a basic scaffold for
   critical appraisal of the manuscript. Results: This method provided the
   opportunity for students to engage in online interactive training and
   allowed them to understand tools used for critical appraisal of a study.
   Students were incentivized by the potential publication credit and they
   look forward to continuing this work and perhaps providing one small
   step to making medical education more interactive. Conclusion: Open peer
   review involving a group of reviewers at a time produces
   multidirectional reviewing concepts, thus helps to improve the quality
   of paper and also may reduce the time between review and publication.
   (C) 2018 S. Karger AG, Basel
RI Podder, Vivek/H-2310-2018; Sai, Sivapuram Madhava/I-3624-2019; Gupta, Avinash Kumar/I-3466-2019; Sivapuram, Madhava Sai/; Price, Amy/
OI Podder, Vivek/0000-0003-3103-3043; Gupta, Avinash
   Kumar/0000-0002-7260-2372; Sivapuram, Madhava Sai/0000-0003-2022-9630;
   Price, Amy/0000-0002-5200-7322
TC 1
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
Z9 1
U1 0
U2 9
SN 0972-7531
EI 0976-3260
UT WOS:000438556600001
PM 30140123
ER

PT J
AU Houston, Lauren
   Probst, Yasmine
   Yu, Ping
   Martin, Allison
TI Exploring Data Quality Management within Clinical Trials
SO APPLIED CLINICAL INFORMATICS
VL 9
IS 1
BP 72
EP 81
DI 10.1055/s-0037-1621702
PD JAN 2018
PY 2018
AB Background Clinical trials are an important research method for
   improving medical knowledge and patient care. Multiple international and
   national guidelines stipulate the need for data quality and assurance.
   Many strategies and interventions are developed to reduce error in
   trials, including standard operating procedures, personnel training,
   data monitoring, and design of case report forms. However, guidelines
   are nonspecific in the nature and extent of necessary methods.
   Objective This article gathers information about current data quality
   tools and procedures used within Australian clinical trial sites, with
   the aim to develop standard data quality monitoring procedures to ensure
   data integrity.
   Methods Relevant information about data quality management methods and
   procedures, error levels, data monitoring, staff training, and
   development were collected. Staff members from 142 clinical trials
   listed on the National Health and Medical Research Council (NHMRC)
   clinical trials Web site were invited to complete a short self-reported
   semiquantitative anonymous online survey. Results Twenty (14%) clinical
   trials completed the survey.
   Results from the survey indicate that procedures to ensure data quality
   varies among clinical trial sites. Centralized monitoring (65%) was the
   most common procedure to ensure high-quality data. Ten (50%) trials
   reported having a data management plan in place and two sites utilized
   an error acceptance level to minimize discrepancy, set at < 5% and 5 to
   10%, respectively. The quantity of data variables checked (10-100%), the
   frequency of visits (once-a-month to annually), and types of variables
   (100%, critical data or critical and noncritical data audits) for data
   monitoring varied among respondents. The average time spent on staff
   training per person was 11.58 hours over a 12-month period and the type
   of training was diverse.
   Conclusion Clinical trial sites are implementing ad hoc methods
   pragmatically to ensure data quality. Findings highlight the necessity
   for further research into "standard practice" focusing on developing and
   implementing publicly available data quality monitoring procedures.
RI Houston, Lauren/J-9728-2016; Probst, Yasmine/A-1342-2008; Yu, Ping/B-1205-2008; Martin, Allison/
OI Houston, Lauren/0000-0003-0825-0373; Probst,
   Yasmine/0000-0002-1971-173X; Yu, Ping/0000-0002-7910-9396; Martin,
   Allison/0000-0001-6065-1188
TC 16
ZB 5
ZR 0
ZA 0
ZS 0
Z8 2
Z9 18
U1 2
U2 12
SN 1869-0327
UT WOS:000428689500001
PM 29388180
ER

PT J
AU Day, Indira N. Z.
   van Blankenstein, Floris M.
   Westenberg, Michiel
   Admiraal, Wilfried
TI A review of the characteristics of intermediate assessment and their
   relationship with student grades
SO ASSESSMENT & EVALUATION IN HIGHER EDUCATION
VL 43
IS 6
BP 908
EP 929
DI 10.1080/02602938.2017.1417974
PD 2018
PY 2018
AB In-course assessment, such as midterms, quizzes or presentations, is
   often an integral part of higher education courses. These so-called
   intermediate assessments influence students' final grades. The current
   review investigates which characteristics of intermediate assessment
   relate to these grades. In total, 88 articles were reviewed that
   examined the relationship between intermediate assessment and student
   grades. Four main characteristics were identified: the use of feedback,
   whether the assessment is mandatory, who is the assessor, and the reward
   students get for participating. Results indicate that corrective
   feedback leads to the most positive results, but elaborate feedback may
   benefit lower achieving groups. No difference in results was found for
   mandatory versus voluntary intermediate assessments. Peer assessment
   seemed to be beneficial, and rewarding students with course credit
   improves grades more than other rewards. Three scenarios are presented
   on how teachers can combine the different characteristics to optimise
   their intermediate assessment.
RI Admiraal, Wilfried/F-4741-2014; van Blankenstein, Floris/; Day, Indira/
OI Admiraal, Wilfried/0000-0002-1627-3420; van Blankenstein,
   Floris/0000-0003-0518-4403; Day, Indira/0000-0002-5511-1061
ZB 0
ZR 1
ZA 0
TC 7
Z8 0
ZS 0
Z9 8
U1 2
U2 18
SN 0260-2938
EI 1469-297X
UT WOS:000438099100005
ER

PT J
AU Dearman, Samuel P.
   Joiner, Adam B.
   Gordon, Morris
   Vince, Gill
TI Experiences of Patients with Mental Illness' Interactions with Medical
   Students: A Systematic Review
SO CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
VL 63
IS 1
BP 4
EP 11
DI 10.1177/0706743717730824
PD JAN 2018
PY 2018
AB Objectives: Mental health is a key area for learning within
   undergraduate medical education. Given the nature of mental illness,
   interactions may have the potential to uniquely affect patients. This
   study set out to systematically review studies reporting experiences and
   perceptions of patients with mental illness' clinical interactions with
   medical students. This includes which factors encourage patients to
   interact with medical students and if patients perceive negative and
   positive effects from these interactions.
   Method: Studies reporting patient experiences of involvement in
   undergraduate medicine were included. A standardised search of online
   databases was carried out independently by 2 authors and consensus
   reached on the inclusion of studies. Data extraction and quality
   assessment were also completed independently, after which a content
   analysis of interventions was conducted and key themes extracted.
   Studies were included from peer-reviewed journals, in any language.
   Results: Eight studies from 5 countries were included, totaling 1088
   patients. Most patients regarded interacting with medical students as a
   positive experience. Patients described feeling comfortable with medical
   students, and the majority believed it is important for students to see
   real patients'. Patients described benefits to them as enjoyment, being
   involved in student education, and developing an illness narrative.
   Conclusions: Results suggest that most patients with mental illness want
   to interact with medical students, and this should be encouraged during
   student placements. Further research, however, is required to understand
   in more depth what else can be done to improve the comfort and
   willingness for patients to interact with students, including barriers
   to this.
OI Joiner, Adam/0000-0003-2293-1730; Gordon, Morris/0000-0002-1216-5158
TC 3
ZA 0
ZB 0
Z8 0
ZR 0
ZS 1
Z9 3
U1 3
U2 7
SN 0706-7437
EI 1497-0015
UT WOS:000423316200001
PM 29202663
ER

PT J
AU Park, Albert
   Conway, Mike
   Chen, Annie T.
TI Examining thematic similarity, difference, and membership in three
   online mental health communities from reddit: A text mining and
   visualization approach
SO COMPUTERS IN HUMAN BEHAVIOR
VL 78
BP 98
EP 112
DI 10.1016/j.chb.2017.09.001
PD JAN 2018
PY 2018
AB Objectives: Social media, including online health communities, have
   become popular platforms for individuals to discuss health challenges
   and exchange social support with others. These platforms can provide
   support for individuals who are concerned about social stigma and
   discrimination associated with their illness. Although mental health
   conditions can share similar symptoms and even co-occur, the extent to
   which discussion topics in online mental health communities are similar,
   different, or overlapping is unknown. Discovering the topical
   similarities and differences could potentially inform the design of
   related mental health communities and patient education programs. This
   study employs text mining, qualitative analysis, and visualization
   techniques to compare discussion topics in publicly accessible online
   mental health communities for three conditions: Anxiety, Depression and
   Post Traumatic Stress Disorder.
   Methods: First, online discussion content for the three conditions was
   collected from three Reddit communities (r/Anxiety, r/Depression, and
   r/PTSD). Second, content was pre-processed, and then clustered using the
   k-means algorithm to identify themes that were commonly discussed by
   members. Third, we qualitatively examined the common themes to better
   understand them as well as their similarities and differences. Fourth,
   we employed multiple visualization techniques to form a deeper
   understanding of the relationships among the identified themes for the
   three mental health conditions.
   Results: The three mental health communities shared four themes: sharing
   of positive emotion, gratitude for receiving emotional support, and
   sleep- and work-related issues. Depression clusters tended to focus on
   self-expressed contextual aspects of depression, whereas the Anxiety
   Disorders and Post-Traumatic Stress Disorder clusters addressed more
   treatment- and medication-related issues. Visualizations showed that
   discussion topics from the Anxiety Disorders and Post-Traumatic Stress
   Disorder subreddits shared more similarities to one another than to the
   depression subreddit.
   Conclusions: We observed that the members of the three communities
   shared several overlapping concerns (i.e., sleep- and work-related
   problems) and discussion patterns (i.e., sharing of positive emotion and
   showing gratitude for receiving emotional support). We also highlighted
   that the discussions from the r/Anxiety and r/PTSD communities were more
   similar to one another than to discussions from the r/Depression
   community. The r/Anxiety and r/PTSD subreddit members are more likely to
   be individuals whose experiences with a condition are long-term, and who
   are interested in treatments and medications. The r/Depression subreddit
   members may be a comparatively diffuse group, many of whom are dealing
   with transient issues that cause depressed mood. The findings from this
   study could be used to inform the design of online mental health
   communities and patient education programs for these conditions.
   Moreover, we suggest that researchers employ multiple methods to fully
   understand the subtle differences when comparing similar discussions
   from online health communities. (C) 2017 Elsevier Ltd. All rights
   reserved.
OI Park, Albert/0000-0002-2419-0131
TC 71
ZB 3
ZR 0
ZA 0
Z8 3
ZS 0
Z9 74
U1 15
U2 142
SN 0747-5632
EI 1873-7692
UT WOS:000417656700010
PM 29456286
ER

PT J
AU Neal, Ashley E.
   Lehto, Elizabeth
   Miller, Karen Hughes
   Ziegler, Craig
   Davis, Erin
TI Using a statewide survey methodology to prioritize pediatric cardiology
   core content
SO CONGENITAL HEART DISEASE
VL 13
IS 1
BP 147
EP 153
DI 10.1111/chd.12559
PD JAN-FEB 2018
PY 2018
AB ObjectiveAlthough pediatrician-reported relevance of Canadian
   cardiology-specific objectives has been studied, similar data are not
   available for the 2016 American Board of Pediatrics (ABP)
   cardiology-specific objectives. This study asked Kentucky trainees,
   pediatricians, and pediatric cardiologists to identify most important
   content within these objectives.
   Design, Methods, Outcome MeasuresThis cross-sectional study used an
   original, online survey instrument based on the 2016 ABP
   cardiology-specific objectives. We collected quantitative data
   (numerical indications of importance) and qualitative data (open-ended
   replies regarding missing content and difficulty in teaching and
   learning). Respondents indicated the top two choices of most important
   items within eight content areas. Descriptive statistics (frequencies
   and percentages) and chi-square analysis were calculated. Content within
   categories was organized using naturally occurring clusters and gaps in
   scores. Common themes among open-ended qualitative responses were
   identified using Pandit's version of Glaser and Strauss Grounded theory
   (constant comparison).
   ResultsOf the 136 respondents, 23 (17%) were residents, 15 (11%)
   fellows, 85 (62%) pediatricians, and 13 (10%) pediatric cardiologists.
   Of attendings, 80% reported faculty/gratis faculty status. Naturally
   occurring clusters in respondent-designated importance resulted in 3
   most selected objectives per content area. Objectives in most selected
   content pertained to initial diagnosis (recognition of
   abnormality/disease) (n=16), possible emergent/urgent intervention
   required (n=14), building a differential (n=8), and planning a workup
   (n=4). Conversely, themes for least selected content included
   comanagement with subspecialist (n=15), knowledge useful in
   patient-family communication (n=9), knowledge that can be referenced (as
   needed) (n=7), and longitudinal/follow-up concerns (n=5).
   ConclusionsThis study demonstrated the utility of an online survey
   methodology to identify pediatric cardiology content perceived most
   important. Learners and faculty generally provided concordant responses
   regarding most important content within the cardiology-specific ABP
   objectives. Medical educators could apply this methodology to inform
   curriculum revision.
RI Neal, Ashley/GRX-9804-2022; Neal, Ashley/
OI Neal, Ashley/0000-0002-6922-5414
ZA 0
Z8 0
TC 1
ZB 0
ZR 0
ZS 0
Z9 1
U1 0
U2 2
SN 1747-079X
EI 1747-0803
UT WOS:000424113300021
PM 29181874
ER

PT J
AU Raieli, Vincenzo
   Correnti, Edvige
   Sandullo, Antonino
   Romano, Marcello
   Marchese, Francesca
   Loiacono, Carmela
   Brighina, Filippo
TI Effectiveness of a digital platform for sharing knowledge on headache
   management: a two-year experience
SO FUNCTIONAL NEUROLOGY
VL 33
IS 1
BP 51
EP 55
DI 10.11138/FNeur/2018.33.1.051
PD JAN-MAR 2018
PY 2018
AB It is crucial that all headache specialists receive adequate training.
   Considering the unsatisfactory results obtained with standard updating
   courses and the growing need for continuing professional education, a
   digital platform was developed as a training tool. The platform has been
   active since 1 October 2014. It is readily accessible to doctors by free
   registration. Users have access to all the material available on the
   platform, which includes scientific articles, e-books, presentations and
   images. Users can share their own material and clinical cases directly.
   At the time of this study, the platform had 37 users. In the second year
   following its launch 316 files were downloaded and five discussions were
   started. These saw 22 contributions. Fifteen of the 37 members did not
   perform any action on the platform. In total, 74 files were uploaded in
   the second year of activity, but 90% of the contributions came from a
   very small group of users. There were no significant differences in use
   of the platform between members of the Italian Society for the Study of
   Headache and other specialists. Even though the platform appears to be
   an easily accessible, interactive and inexpensive instrument, the higher
   number of downloads than uploads suggests that it is used passively.
RI raieli, vincenzo/H-4955-2019; Brighina, Filippo/K-9864-2016
OI raieli, vincenzo/0000-0001-6149-0881; Brighina,
   Filippo/0000-0001-5875-3126
ZA 0
ZR 0
ZS 0
TC 3
ZB 0
Z8 0
Z9 3
U1 0
U2 0
SN 0393-5264
EI 1971-3274
UT WOS:000428684700007
PM 29633697
ER

PT J
AU Garside, Mark J.
   Fisher, James M.
   Blundell, Adrian G.
   Gordon, Adam L.
TI The development and evaluation of mini-GEMs - short, focused, online
   e-learning videos in geriatric medicine
SO GERONTOLOGY & GERIATRICS EDUCATION
VL 39
IS 2
BP 132
EP 143
DI 10.1080/02701960.2016.1165217
PD 2018
PY 2018
AB Mini Geriatric E-Learning Modules (Mini-GEMs) are short, focused,
   e-learning videos on geriatric medicine topics, hosted on YouTube, which
   are targeted at junior doctors working with older people. This study
   aimed to explore how these resources are accessed and used. The authors
   analyzed the viewing data from 22 videos published over the first 18
   months of the Mini-GEM project. We conducted a focus group of U.K.
   junior doctors considering their experiences with Mini-GEMS. The
   Mini-GEMs were viewed 10,291 times over 18 months, equating to 38,435
   minutes of total viewing time. The average viewing time for each video
   was 3.85 minutes. Learners valued the brevity and focused nature of the
   Mini-GEMs and reported that they watched them in a variety of settings
   to supplement clinical experiences and consolidate learning. Watching
   the videos led to an increase in self-reported confidence in managing
   older patients. Mini-GEMs can effectively disseminate clinical teaching
   material to a wide audience. The videos are valued by junior doctors due
   to their accessibility and ease of use.
RI Fisher, James/AAX-1550-2021; Gordon, Adam/C-3934-2018
OI Fisher, James/0000-0002-4886-6060; Gordon, Adam/0000-0003-1676-9853
ZA 0
ZB 0
ZS 0
Z8 0
TC 5
ZR 0
Z9 5
U1 0
U2 5
SN 0270-1960
EI 1545-3847
UT WOS:000437525700004
PM 27050439
ER

PT J
AU Sauter, Thomas C.
   Exadaktylos, Aristomenis
   Krummrey, Gert
   Lehmann, Beat
   Brodmann-Maeder, Monika
   Hautz, Wolf E.
TI Development, implementation and first insights of a time and
   location-independent longitudinal postgraduate curriculum in emergency
   medicine
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 4
AR Doc44
DI 10.3205/zma001190
PD 2018
PY 2018
AB Introduction, background and context: There have been few reports on the
   implementation of a structured curriculum for emergency medicine, as
   emergency medicine is not yet an established medical specialty for
   training in many European countries, including Switzerland and Germany.
   Because of the non-plannable workload in the emergency setting, common
   training approaches are often difficult to implement. Need-assessments
   of emergency medicine trainees commonly identify a need for interactive,
   time-independent ways of learning that integrate modern forms of
   knowledge transfer.
   Methods: In the present study, we assess the local needs of emergency
   medicine specialists and trainees for a curriculum in emergency medicine
   and elaborate possible solutions for the implementation of this
   curriculum, taking into account the special needs in a highly dynamic,
   unplannable environment, such as an interdisciplinary emergency
   department.
   Results: We describe the development of the emergency medicine
   curriculum on the basis of the six steps proposed by Kern for curriculum
   development in medical education, as well as the implementation, lessons
   learned and interval evaluation.
   Conclusions: The combination of multiple teaching formats, ranging from
   time- and location-independent solutions such as podcasted lectures to
   simulation-based training sessions, as well as small-group workshops and
   skill training sessions, might be a valuable approach to implementing a
   state-of-the-art curriculum in a busy emergency department.
OI Brodmann Maeder, Monika Maria/0000-0001-5608-7887; Hautz,
   Wolf/0000-0002-2445-984X; Sauter, Thomas C/0000-0002-6646-5789
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
TC 1
Z9 1
U1 0
U2 1
SN 2366-5017
UT WOS:000451887100001
PM 30539070
ER

PT J
AU Ahn, Sohyun
   Shin, Dong Oh
   Choi, Sang Hyoun
   Koo, Jihye
   Lee, Soon Sung
   Park, Dong-wook
   Oh, Yoon-Jin
   Park, Sohyun
   Kim, Dong Wook
TI Status and Perception of Risk Management in Radiation Therapy: Survey
   Among Korean Medical Physicists
SO HEALTH PHYSICS
VL 114
IS 1
BP 77
EP 83
DI 10.1097/HP.0000000000000739
PD JAN 2018
PY 2018
AB This study was conducted as part of an endeavor to improve the risk
   management system of radiation therapy departments in the Republic of
   Korea. An online survey on the status and perception of Korea's medical
   physicists on risk management in radiation therapy was carried out. A
   total of 40 domestic radiation oncology departments participated. This
   survey is divided into three categories: (1) work environment; (2) risk
   management status; and (3) opinions on how to improve risk management.
   Based on the results of the survey, the conclusions that can be derived
   are (1) the majority of respondents have a high interest in the risk
   management of radiation therapy; (2) the lack of staffing is one cause
   of risk management difficulties; (3) a risk-related terminology and
   classification system at the national or professional association level
   are required; (4) each hospital should create a voluntary reporting
   system for the handling of incidents; (5) medical physicists should
   establish incident reporting, analysis and countermeasures; and (6)
   government should develop education and training programs. It was
   confirmed that the current risk management system should be changed by
   education in the hospital and at the national level in order to improve
   risk management related to radiation therapy. In addition, it was
   recognized that a dedicated staff and a risk management certification
   system and organization for patient safety in radiotherapy are needed.
OI Park, Dong-wook/0000-0002-0359-0769
TC 0
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
Z9 0
U1 0
U2 4
SN 0017-9078
EI 1538-5159
UT WOS:000422942800011
PM 29135537
ER

PT J
AU Azer, Samy A.
   Bokhari, Raghad A.
   AlSaleh, Ghadah S.
   Alabdulaaly, May M.
   Ateeq, Khawlah I.
   Guerrero, Anthony P. S.
   Azer, Sarah
TI Experience of parents of children with autism on YouTube: are there
   educationally useful videos?
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 43
IS 3
BP 219
EP 233
DI 10.1080/17538157.2018.1431238
PD 2018
PY 2018
AB The aims of this study were to determine the following: first, are there
   educationally useful videos of parents of children with autism sharing
   their experiences? Second, do any of the data related to videos help in
   identifying useful videos? And third, what do posted comments tell us?
   YouTube was searched for videos of parents sharing their experiences.
   The following parameters were collected: title, creator, URL, duration,
   number of viewers, likes, dislikes, comments, days on YouTube, and
   country. Based on agreed-upon criteria, videos were divided
   independently into educationally useful and non-useful categories. A
   critical thematic analysis of comments was conducted. A total of 180
   videos were finally identified, of which 106 (59%) provided useful
   information, scoring 15.3 +/- 0.7 (mean +/- SD); 74 (41%) were
   determined to be not educationally useful, scoring 8.6 +/- 2.1. The
   differences in scores were significant (p < 0.001), but there were no
   significant differences between the useful and non-useful groups in
   terms of video parameters. No correlation was found between scores and
   any of the videos' parameters. In conclusion, there are videos that can
   be used as educational resources. The videos' parameters did not
   differentiate between useful and non useful. Useful videos were mostly
   created by professional societies and by parents. The study reflects the
   emerging role of YouTube in sharing experiences.
RI Azer, Samy A./C-8485-2009; Ateeq, Khawlah/
OI Azer, Samy A./0000-0001-5638-3256; Ateeq, Khawlah/0000-0001-5808-5455
ZB 1
ZR 0
ZA 0
TC 8
Z8 0
ZS 0
Z9 8
U1 2
U2 14
SN 1753-8157
EI 1753-8165
UT WOS:000431555200001
PM 29461878
ER

PT J
AU Leszczynski, Piotr
   Charuta, Anna
   Laziuk, Beata
   Galazkowski, Robert
   Wejnarski, Arkadiusz
   Roszak, Magdalena
   Kolodziejczak, Barbara
TI Multimedia and interactivity in distance learning of resuscitation
   guidelines: a randomised controlled trial
SO INTERACTIVE LEARNING ENVIRONMENTS
VL 26
IS 2
BP 151
EP 162
DI 10.1080/10494820.2017.1337035
PD 2018
PY 2018
AB The aim of the study was to conduct a comparative analysis of three
   forms of knowledge transfer online, taking into account the long-term
   knowledge growth rate and the satisfaction of students surveyed in
   respect to distance learning. The cohort of participants for this survey
   were students of the first degree, studying in the Emergency Medical
   Services. The authors created three e-learning courses in basic and
   advanced resuscitation procedures. The level of course participants'
   satisfaction was analysed, as well as the knowledge growth rate measured
   three times: 7, 30 and 90 days, respectively, after finishing the
   course. The level of satisfaction in all the groups surveyed was
   comparable. The growth rate for knowledge was the highest in group C in
   the second and third survey, respectively (30 and 90 days after the end
   of the course), and a significant difference in favour of course C was
   demonstrated one month after finishing classes.
RI Galazkowski, Robert/X-2593-2018; Leszczyński, Piotr/B-4017-2016; Wejnarski, Arkadiusz AW/B-6355-2019; Kołodziejczak, Barbara/L-6136-2018; Wejnarski, Arkadiusz/AAP-4049-2020; , Beata/; CHARUTA, ANNA/
OI Galazkowski, Robert/0000-0002-7205-2219; Leszczyński,
   Piotr/0000-0002-3408-3591; Wejnarski, Arkadiusz AW/0000-0003-1454-6664;
   Kołodziejczak, Barbara/0000-0002-4182-4386; Wejnarski,
   Arkadiusz/0000-0003-1454-6664; , Beata/0000-0002-7624-4162; CHARUTA,
   ANNA/0000-0001-9778-9391
ZR 0
Z8 0
ZA 0
TC 33
ZB 1
ZS 1
Z9 34
U1 3
U2 31
SN 1049-4820
EI 1744-5191
UT WOS:000425698900002
ER

PT J
AU Ali, Maqbool
   Han, Soyeon Caren
   Bilal, Hafiz Syed Muhammad
   Lee, Sungyoung
   Kang, Matthew Jee Yun
   Kang, Byeong Ho
   Razzaq, Muhammad Asif
   Amin, Muhammad Bilal
TI iCBLS: An interactive case-based learning system for medical education
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 109
BP 55
EP 69
DI 10.1016/j.ijmedinf.2017.11.004
PD JAN 2018
PY 2018
AB Medical students should be able to actively apply clinical reasoning
   skills to further their interpretative, diagnostic, and treatment skills
   in a non-obtrusive and scalable way. Case-Based Learning (CBL) approach
   has been receiving attention in medical education as it is a
   student-centered teaching methodology that exposes students to
   real-world scenarios that need to be solved using their reasoning skills
   and existing theoretical knowledge. In this paper, we propose an
   interactive CBL System, called iCBLS, which supports the development of
   collaborative clinical reasoning skills for medical students in an
   online environment. The iCBLS consists of three modules: (i) system
   administration (SA), (ii) clinical case creation (CCC) with an
   innovative semi-automatic approach, and (iii) case formulation (CF)
   through intervention of medical students' and teachers' knowledge. Two
   evaluations under the umbrella of the context/input/process/product
   (CIPP) model have been performed with a Glycemia study. The first
   focused on the system satisfaction, evaluated by 54 students. The latter
   aimed to evaluate the system effectiveness, simulated by 155 students.
   The results show a high success rate of 70% for students' interaction,
   76.4% for group learning, 72.8% for solo learning, and 74.6% for
   improved clinical skills.
RI Kang, Byeong Ho/J-7907-2014; Razzaq, Muhammad Asif/AAB-6659-2019; Lee, Sungyoung/AAK-7257-2020; Amin, Muhammad/; Amin, Muhammad Bilal/
OI Kang, Byeong Ho/0000-0003-3476-8838; Razzaq, Muhammad
   Asif/0000-0002-0061-8834; Amin, Muhammad/0000-0001-7953-3958; Amin,
   Muhammad Bilal/0000-0003-2431-5771
ZR 0
ZA 0
ZS 0
ZB 1
Z8 1
TC 31
Z9 32
U1 1
U2 29
SN 1386-5056
EI 1872-8243
UT WOS:000416954800008
PM 29195707
ER

PT J
AU Thiels, Cornelius A.
   Choudhry, Asad J.
   Ray-Zack, Mohamed D.
   Lindor, Rachel A.
   Bergquist, John R.
   Habermann, Elizabeth B.
   Zielinski, Martin D.
TI Medical Malpractice Lawsuits Involving Surgical Residents
SO JAMA SURGERY
VL 153
IS 1
BP 8
EP 13
DI 10.1001/jamasurg.2017.2979
PD JAN 2018
PY 2018
AB IMPORTANCE Medical malpractice litigation against surgical residents is
   rarely discussed owing to assumed legal doctrine of respondeat superior,
   or "let the master answer."
   OBJECTIVE To better understand lawsuits targeting surgical trainees to
   prevent future litigation.
   DESIGN, SETTING, AND PARTICIPANTS Westlaw, an online legal research
   database containing legal records from across the United States, was
   retrospectively reviewed for malpractice cases involving surgical
   interns, residents, or fellows from January 1, 2005, to January 1, 2015.
   Infant-related obstetric and ophthalmologic procedures were excluded.
   EXPOSURES Involvement in a medical malpractice case.
   MAIN OUTCOMES AND MEASURES Data were collected on patient demographics,
   case characteristics, and outcomes and were analyzed using descriptive
   statistics.
   RESULTS During a 10-year period, 87 malpractice cases involving surgical
   trainees were identified. A total of 50 patients were female (57%), and
   79 were 18 years of age or older (91%), with a median patient age of
   44.5 years (interquartile range, 45-56 years). A total of 67 cases (77%)
   resulted in death or permanent disability. Most cases involved elective
   surgery (61 [70%]) and named a junior resident as a defendant (24 of 35
   [69%]). Cases more often questioned the perioperative medical knowledge,
   decision making errors, and injuries (53 [61%]: preoperative, 19 of 53
   [36%]) and postoperative, 34 of 53 [64%]) than intraoperative errors and
   injuries (43 [49%]). Junior residents were involved primarily with
   lawsuits related to medical decision making (21 of 24 [87%]). Residents'
   failure to evaluate the patient was cited in 10 cases (12%) and lack of
   direct supervision by attending physicians was cited in 48 cases (55%).
   A total of 42 cases (48%) resulted in a jury verdict or settlement in
   favor of the plaintiff, with a median payout of $900 000 (range, $1852
   to $32 million).
   CONCLUSIONS AND RELEVANCE This review of malpractice cases involving
   surgical residents highlights the importance of perioperative
   management, particularly among junior residents, and the importance of
   appropriate supervision by attending physicians as targets for education
   on litigation prevention.
RI Bergquist, John/H-6657-2019; Ray-Zack, Mohamed/B-3909-2018; Habermann, Elizabeth/; Lindor, Rachel/
OI Bergquist, John/0000-0002-4142-4905; Ray-Zack,
   Mohamed/0000-0002-8087-3797; Habermann, Elizabeth/0000-0002-1140-003X;
   Lindor, Rachel/0000-0003-3099-8388
ZS 0
TC 24
ZR 0
ZA 0
ZB 1
Z8 0
Z9 24
U1 0
U2 8
SN 2168-6254
EI 2168-6262
UT WOS:000423029900007
PM 28854303
ER

PT J
AU Shabi, Iwok N.
   Oyewusi, Fadekemi O.
TI Health Literacy and Internet Health Information Use among In-school
   Adolescents in Osun State, South-West, Nigeria
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 22
IS 1
BP 25
EP 41
DI 10.1080/15398285.2017.1402636
PD 2018
PY 2018
AB There has been concern about adolescent online experience being hampered
   by their level of health literacy skills. This study was conducted to
   determine the health literacy experience of in-school adolescents in
   Osun State, Nigeria. A descriptive cross-sectional survey of 1,200
   in-school adolescents in senior secondary school was undertaken. Out of
   the 1,186 analyzable questionnaires, only 447 (37.7%) students possessed
   adequate health literacy skills. The majority (747, 63.0%) used Internet
   health information weekly. The health issues on nutrition, body size,
   and sexuality were the most sought out information on the Internet.
   There is a statistically significant relationship between health
   literacy skill level and Internet health information use.
Z8 0
TC 2
ZR 0
ZA 0
ZS 0
ZB 1
Z9 2
U1 3
U2 8
SN 1539-8285
EI 1539-8293
UT WOS:000432808500003
ER

PT J
AU Banerjee, Smita C.
   Walters, Chasity B.
   Staley, Jessica M.
   Alexander, Koshy
   Parker, Patricia A.
TI Knowledge, Beliefs, and Communication Behavior of Oncology Health-care
   Providers (HCPs) regarding Lesbian, Gay, Bisexual, and Transgender
   (LGBT) Patient Health care
SO JOURNAL OF HEALTH COMMUNICATION
VL 23
IS 4
BP 329
EP 339
DI 10.1080/10810730.2018.1443527
PD 2018
PY 2018
AB Delivery of culturally competent care toward lesbian, gay, bisexual, and
   transgender (LGBT) patients depends on how health-care providers (HCPs)
   communicate with them; however, research about knowledge, attitude, and
   behavior of HCPs toward LGBT patients is scant. The objectives of our
   study were to describe oncology HCPs' knowledge and examine if beliefs
   about LGB and transgender patients mediate the effects of LGBT
   health-care knowledge on open communication behaviors with LGB and
   transgender patients, respectively. A total of 1253 HCPs (187
   physicians, 153 advance practice professionals (APPs), 828 nurses, and
   41 others) at a Comprehensive Cancer Center completed an online survey
   that included the following measures: LGBT health-care knowledge,
   beliefs, communication behaviors, willingness to treat LGBT patients,
   encouraging LGBT disclosure, and perceived importance of LGBT
   sensitivity training. Only 50 participants (5%) correctly answered all 7
   knowledge items, and about half the respondents answered 3 (out of 7)
   items correctly. Favorable beliefs about LGBT health care mediated the
   effect of higher LGBT health-care knowledge on open communication
   behaviors with transgender patients, controlling for effects of type of
   profession, religious orientation, gender identity, sexual orientation,
   and having LGBT friends/family. The results of this study demonstrated
   an overall lack of medical knowledge and the need for more education
   about LGBT health care among oncology HCPs.
OI Staley, Jessica/0000-0002-7615-3148
Z8 0
TC 32
ZR 0
ZA 0
ZS 0
ZB 1
Z9 32
U1 1
U2 15
SN 1081-0730
EI 1087-0415
UT WOS:000430096200003
PM 29521575
ER

PT J
AU Tran, Uyen Evelyn
   Kircher, Janeva
   Jaggi, Priya
   Lai, Hollis
   Hillier, Tracey
   Ali, Samina
TI Medical students' perspectives of their clinical comfort and curriculum
   for acute pain management
SO JOURNAL OF PAIN RESEARCH
VL 11
BP 1479
EP 1488
DI 10.2147/JPR.S159422
PD 2018
PY 2018
AB Objectives: Acute pain is a common presenting complaint in health care.
   Yet, undertreatment of pain remains a prevailing issue that often
   results in poor short-and long-term patient outcomes. To address this
   problem, initiatives to improve teaching on pain management need to
   begin in medical school. In this study, we aimed to describe medical
   students' perspectives of their curriculum, comfort levels, and most
   effective pain teaching modalities.
   Materials and methods: A cross-sectional, online survey was distributed
   to medical students at the University of Alberta (Edmonton, Canada) from
   late May to early July 2015. Data were collected from pre-clerkship
   (year 1 and 2) and clerkship (year 3 and 4) medical students for
   demographic characteristics, knowledge, comfort, and attitudes regarding
   acute pain management.
   Results: A total of 124/670 (19.6%) surveys were returned. Students
   recalled a median of 2 (interquartile range [IQR]= 4), 5 (IQR= 3.75), 4
   (IQR= 8), and 3 (IQR= 3.75) hours of formal pain education from first to
   forth year, respectively. Clerkship students were more comfortable than
   pre-clerks with treating adult pain (52.1% of pre-clerks "uncomfortable"
   versus 22.9% of clerks, p< 0.001), and overall, the majority of students
   were uncomfortable with managing pediatric pain (87.6% [64/73]
   pre-clerks and 75.0% [36/48] clerks were "uncomfortable"). For delivery
   of pain-related education, the majority of pre-clerks reported lectures
   as most effective (51.7%), whereas clerks chose bedside instruction
   (43.7%) and small group sessions (23.9%). Notably, 54.2%, 39.6%, and
   56.2% of clerks reported incorrect doses of acetaminophen, ibuprofen,
   and morphine, respectively, for adults. For children, 54.2%, 54.2%, and
   78.7% of clerks reported incorrect doses for these same medications.
   Conclusion: Medical students recall few hours of training in pain
   management and report discomfort in treating and assessing both adult
   and (more so) pediatric pain. Strategies are needed to improve education
   for future physicians regarding pain management.
RI Lai, Hollis/AAE-3663-2022; Hillier, Tracey/; Ali, Samina/
OI Hillier, Tracey/0000-0002-4545-7720; Ali, Samina/0000-0002-0595-364X
ZB 0
Z8 0
ZS 1
TC 2
ZA 0
ZR 0
Z9 3
U1 1
U2 3
SN 1178-7090
UT WOS:000440698300002
PM 30122978
ER

PT J
AU Ho, Alphina
   Pennell-Huth, Paula
   Newman, Alexandra
   Zansky, Shelley
   Wiedmann, Martin
TI Foodborne Illness Outbreak Investigation Training Needs: A Survey Among
   State Public Health Staff in the Northeast and Mid-Atlantic United
   States
SO JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
VL 24
IS 1
BP 34
EP 40
DI 10.1097/PHH.0000000000000539
PD JAN-FEB 2018
PY 2018
AB Context: In 2011, the Food Safety and Modernization Act established
   Integrated Food Safety Centers of Excellence across the United States to
   train, educate, and enhance the skill of foodborne illness outbreak
   investigation teams. To target regional training efforts, the New York
   Integrated Food Safety Center of Excellence (NYCoE) identified training
   needs in food safety and foodborne illness investigations among public
   heath staff in 11 states and 1 large metropolitan area in the Northeast.
   Objective: To identify topics so as to develop training materials
   relevant to food safety and foodborne disease outbreaks in order to
   improve and impact foodborne outbreak investigations regionally and
   nationally.
   Design: Cross-sectional, paper-based survey conducted in
   January-February 2016.
   Setting: Eleven Northeast and Mid-Atlantic states, and 1 large
   metropolitan area.
   Participants: Foodborne illness outbreak investigators in the NYCoE
   region.
   Main Outcome Measures: Identification of training needs, as
   self-reported by participants, regarding general foodborne outbreak
   investigation needs and those specific to epidemiologists, environmental
   health specialists, and laboratorians. Topics included basic food
   safety/processing knowledge, communication and metrics, and training
   formats. Information regarding demographics, utility of the NYCoE, and
   certificate programs was also collected.
   Results: Surveys returned from 33 respondents (from 10 states and 1
   metropolitan area) identified metrics (100%), increasing use of
   culture-independent diagnostic tests (85%), and guidance on
   implementation of the Council to Improve Foodborne Outbreak Response
   (guidelines (89%) as the top training needs. By field, epidemiologists
   cited training in applying whole genome sequencing (100%), environmental
   health specialists cited training on the National Outbreak Reporting
   System (67%), and laboratorians cited training on whole genome
   sequencing (91%) as important. Short, online, or in-person, 1- to 2-day
   trainings were the preferred training formats (91%). Respondents wanted
   certificate programs in food safety (73%).
   Conclusion: New diagnostic and molecular techniques are highly desirable
   topics for trainings, as is understanding national guidelines and
   outcome measures. Shorter and hands-on training formats, as well as
   certificate programs, are desirable. The NYCoE used the results of this
   survey to (i) select training topics for a Food Safety symposium
   conducted in July 2016 and to (ii) drive other activities.
RI Wiedmann, Martin/A-9683-2008
OI Wiedmann, Martin/0000-0002-4168-5662
ZR 0
ZB 0
ZS 0
ZA 0
TC 2
Z8 0
Z9 2
U1 0
U2 4
SN 1078-4659
EI 1550-5022
UT WOS:000417925100010
PM 28257403
ER

PT J
AU Conforti, Lisa N.
   Yaghmour, Nicholas A.
   Hamstra, Stanley J.
   Holmboe, Eric S.
   Kennedy, Benjamin
   Liu, Jesse J.
   Waldo, Heidi
   Selden, Nathan R.
TI The Effect and Use of Milestones in the Assessment of Neurological
   Surgery Residents and Residency Programs
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 1
BP 147
EP 155
DI 10.1016/j.jsurg.2017.06.001
PD JAN-FEB 2018
PY 2018
AB OBJECTIVES: The purpose of this study was to determine the effect of the
   Accreditation Council for Graduate Medical Education Milestones on the
   assessment of neurological surgery residents. The authors sought to
   determine the feasibility, acceptability, and utility of this new
   framework in making judgments of progressive competence, its
   implementation within programs, and the influence on curricula.
   Residents were also surveyed to elicit the effect of Milestones on their
   educational experience and professional development.
   DESIGN, SETTING, AND PARTICIPANTS: In 2015, program leadership and
   residents from 21 neurological surgery residency programs participated
   in an online survey and telephone interview in which they reflected on
   their experiences with the Milestones. Survey data were analyzed using
   descriptive statistics. Interview transcripts were analyzed using
   grounded theory.
   RESULTS: Response themes were categorized into 2 groups: outcomes of the
   Milestones implementation process, and facilitators and barriers.
   Because of Milestones implementation, participants reported changes to
   the quality of the assessment process, including the ability to identify
   struggling residents earlier and design individualized improvement
   plans. Some programs revised their curricula based on training gaps
   identified using the Milestones. Barriers to implementation included
   limitations to the adoption of a developmental progression model in the
   context of rotation block schedules and misalignment between progression
   targets and clinical experience. The shift from time-based to
   competency-based evaluation presented an ongoing adjustment for many
   programs. Organized preparation before clinical competency committee
   meetings and diverse clinical competency committee composition led to
   more productive meetings and perceived improvement in promotion
   decisions.
   CONCLUSIONS: The results of this study can be used by program leadership
   to help guide further implementation of the Milestones and program
   improvement. These results also help to guide the evolution of
   Milestones language and their implementation across specialties. (C)
   2018 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.
RI Hamstra, Stanley/N-1310-2019; Hamstra, Stanley/A-3808-2016
OI Hamstra, Stanley/0000-0002-0680-366X; Hamstra,
   Stanley/0000-0002-0680-366X
Z8 0
ZB 5
ZA 0
ZS 0
TC 34
ZR 0
Z9 34
U1 1
U2 6
SN 1931-7204
EI 1878-7452
UT WOS:000424535400019
PM 28647393
ER

PT J
AU Walldorf, Jens
   Fischer, Martin R.
TI Risk factors for a delay in medical education: Results of an online
   survey among four German medical schools
SO MEDICAL TEACHER
VL 40
IS 1
BP 86
EP 90
DI 10.1080/0142159X.2017.1395000
PD 2018
PY 2018
AB Background: Delayed study progress in medical school is a challenging
   issue for the tax paying community, the faculty and the medical students
   themselves. Reasons for a delay might be different from known risk
   factors for academic difficulties.Methods: An online survey regarding
   delays in the study progress and including a personality test (BFI-10)
   was presented to medical students from four German medical schools after
   completion of their 3rd year of study.Results: Of 617 students, 51.2%
   reported a mean delay of 2.11.5 semesters. Frequent risk factors were
   secondary employment (69.5%, odds ratio (OR) 1.7, p=0.004), female
   gender (69.8%, OR 1.6, p=0.007), work or study abroad (35.9%, OR 1.5,
   p=0.02), a late graduation (5.9%, OR 2.4, p=0.02), as well as support
   through scholarship or mentoring (19.9%, OR 1.8, p=0.004). Working on
   doctoral thesis (11.3%, OR 1.9, p=0.03) and structural curricular issues
   (36.6%, OR 0.9, p=0.7) were frequently identified as obstacles. Support
   by friends/family was considered helpful by 24.1% (OR 1.4, p=0.09), as
   well as a high intrinsic motivation (19.1%, OR 0.5, p=0.01). In the
   BFI-10, students with study delay were more prone to openness and
   agreeableness.Conclusions: Risk factors for delay are not identical to
   those for academic difficulties. To decrease the risk for delays, firm
   curricular structures should be identified and alleviated. Intrinsic
   motivation is a strong impetus of study progress and additionally might
   be strengthened by curricular changes.
OI Walldorf, Jens/0000-0003-1509-4137
ZS 0
ZB 0
ZA 0
Z8 0
TC 3
ZR 0
Z9 3
U1 1
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000423553400011
PM 29117734
ER

PT J
AU Daya, Zahra
   Hearn, Jasmine Heath
TI Mindfulness interventions in medical education: A systematic review of
   their impact on medical student stress, depression, fatigue and burnout
SO MEDICAL TEACHER
VL 40
IS 2
BP 146
EP 153
DI 10.1080/0142159X.2017.1394999
PD 2018
PY 2018
AB Introduction: Mindfulness-based interventions (MBIs) have gained
   popularity in medical education. A systematic review was conducted to
   determine the effectiveness of MBIs for reducing psychological distress
   in undergraduate medical students.Methods: A search protocol was
   conducted using online databases Embase, PubMed, PsycINFO, and MEDLINE.
   Articles were required to meet the following criteria to be included:
   (1) describe a MBI or use of mindfulness exercises as part of an
   intervention, (2) include at least one of: stress, burnout, fatigue, or
   depression, as an outcome, (3) include quantitative outcomes, and (4)
   published in English in a peer-reviewed journal.Results: Twelve articles
   were reviewed. Seven studies reported improvements in at least one
   targeted outcome. Four of seven studies exploring the impact on stress
   reported improvements. Five articles studying depression reported
   reductions. One study exploring burnout reported a decrease on a single
   subscale. Only one study measured the impact on fatigue (no change
   reported). Half of studies reviewed included predominantly female
   samples.Conclusions: Mixed evidence was found for the use of MBIs for
   reducing psychological distress in undergraduate medical students.
   Future work should aim to clarify the impact of mindfulness on burnout
   and fatigue, and explore the replicability of improvements in male
   medical students alone.
RI Hearn, Jasmine/J-5754-2019
OI Hearn, Jasmine/0000-0001-5988-5278
ZA 0
ZS 4
Z8 0
TC 69
ZR 0
ZB 8
Z9 70
U1 2
U2 54
SN 0142-159X
EI 1466-187X
UT WOS:000426935000005
PM 29113526
ER

PT J
AU Van Hoof, Thomas J.
   Doyle, Terrence J.
TI Learning science as a potential new source of understanding and
   improvement for continuing education and continuing professional
   development
SO MEDICAL TEACHER
VL 40
IS 9
SI SI
BP 880
EP 885
DI 10.1080/0142159X.2018.1425546
PD 2018
PY 2018
AB Learning science is an emerging interdisciplinary field that offers
   educators key insights about what happens in the brain when learning
   occurs. In addition to explanations about the learning process, which
   includes memory and involves different parts of the brain, learning
   science offers effective strategies to inform the planning and
   implementation of activities and programs in continuing education and
   continuing professional development. This article provides a brief
   description of learning, including the three key steps of encoding,
   consolidation and retrieval. The article also introduces four major
   learning-science strategies, known as distributed learning, retrieval
   practice, interleaving, and elaboration, which share the importance of
   considerable practice. Finally, the article describes how learning
   science aligns with the general findings from the most recent synthesis
   of systematic reviews about the effectiveness of continuing medical
   education.
ZB 1
Z8 0
ZS 0
ZA 0
TC 16
ZR 0
Z9 16
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000451827900003
PM 29334306
ER

PT J
AU Jones-Bonofiglio, Kristen Dawn
   Willett, Timothy
   Ng, Stella
TI An evaluation of flipped e-learning experiences
SO MEDICAL TEACHER
VL 40
IS 9
SI SI
BP 953
EP 961
DI 10.1080/0142159X.2017.1417577
PD 2018
PY 2018
AB Aim: The flipped classroom is an educational strategy gaining popularity
   for its growing evidence base that suggests it may successfully improve
   learning outcomes. Also known as reverse instruction, this approach has
   been typically implemented and studied in in-person post-secondary
   settings. The utilization of a flipped approach in the healthcare
   education literature has been examined in a wide range of contexts, but
   little has been written regarding continuing professional development
   (CPD). Therefore, with success in other contexts there is potential for
   the flipped classroom approach to enhance student satisfaction, learner
   engagement, and learning outcomes in the context of online education for
   CPD. Methods: In this paper, we describe the structure and format of
   such a course using a qualitative case study framework.Results: This
   study contributes to a more comprehensive understanding of effective
   ways of overcoming distributed learning challenges in online CPD using a
   flipped approach.
OI Ng, Stella/0000-0003-1433-6851
ZR 0
ZS 1
ZB 0
Z8 0
ZA 0
TC 5
Z9 6
U1 1
U2 13
SN 0142-159X
EI 1466-187X
UT WOS:000451827900014
PM 29271281
ER

PT J
AU Awan, Almuatazbellah A.
   Awan, Zuhier A.
   Alshawwa, Lana
   Tekian, Ara
   Park, Yoon Soo
   Altyar, Ahmed
TI Integrating an interprofessional education initiative: Evidence from
   King Abdulaziz University
SO MEDICAL TEACHER
VL 40
BP S15
EP S21
DI 10.1080/0142159X.2018.1464651
SU 1
PD 2018
PY 2018
AB Purpose: This paper examines current issues with interprofessional
   education (IPE) at King Abdulaziz University (KAU) and discusses
   initiatives for integrating IPE into the medical curricula at
   KAU.Methods: We reviewed the current body of literature, studied reports
   from IPE conferences and workshops organized at KAU, and synthesized
   participants' feedback from the IPE programs, including an online
   survey.Results: A total of 506 participants responded to the online
   survey. Respondents rated Interprofessional Collaborative Learning as
   the highest category of IPE, followed by Interprofessional
   Self-Improvement and Interprofessional Relationship. A hybrid conceptual
   framework is proposed, to tackle the issue of role clarification across
   all healthcare colleges at KAU. This proposition was found to be
   necessary due to the current state of the undergraduate curriculum which
   does not prepare students properly for professional
   collaboration.Conclusions: The hybrid model may narrow the gap in IPE by
   emphasizing professional identity while reducing autonomy.
   Recommendations toward IPE are presented. Challenges toward IPE reform
   are discussed in the context of implementation at KAU and at other
   medical schools in the region.
RI Park, Yoon Soo/AAG-1098-2022; Altyar, Ahmed/O-9990-2014; Park, Yoon Soo/AFK-2778-2022; Awan, Zuhier/; Tekian, Ara/A-2572-2017
OI Park, Yoon Soo/0000-0001-8583-4335; Altyar, Ahmed/0000-0001-6210-3628;
   Park, Yoon Soo/0000-0001-8583-4335; Awan, Zuhier/0000-0002-4176-335X;
   Tekian, Ara/0000-0002-9252-1588
ZR 0
ZA 0
ZS 0
TC 2
Z8 0
ZB 0
Z9 2
U1 0
U2 4
SN 0142-159X
EI 1466-187X
UT WOS:000451736700003
PM 29720003
ER

PT J
AU Awan, Zuhier A.
   Awan, Almuatazbellah A.
   Alshawwa, Lana
   Tekian, Ara
   Park, Yoon Soo
TI Assisting the integration of social media in problem-based learning
   sessions in the Faculty of Medicine at King Abdulaziz University
SO MEDICAL TEACHER
VL 40
BP S37
EP S42
DI 10.1080/0142159X.2018.1465179
SU 1
PD 2018
PY 2018
AB Purpose: Issues related to traditional Problem-Based Learning (PBL) at
   King Abdulaziz University Faculty of Medicine (KAU-FOM), including lack
   of student interaction between sessions and outdated instructional
   materials have led to the examining the use of social media. This study
   examines factors affecting the implementation of social media into PBL
   sessionsMethods: Mentored social media activities were incorporated
   between PBL sessions to third year medical students. Ground rules were
   set, and students were kept on track with learning objectives and
   authentic references. An online survey consisting of 18 questions were
   administered to measure the impact of the social media model embedded
   between PBL sessions.Results: Feedback showed major improvements in
   students' learning process as well as identifying areas for improvement.
   The highest ratings were in participation and communication, knowledge
   and information gathering, and cooperation and
   team-building.Conclusions: This paper indicates that incorporating
   social media could facilitate learning between PBL sessions.
   Furthermore, guidelines are proposed to help educators implement a
   social media model into their PBL sessions.
RI Park, Yoon Soo/AAG-1098-2022; Park, Yoon Soo/AFK-2778-2022; Tekian, Ara/A-2572-2017; Awan, Zuhier/
OI Park, Yoon Soo/0000-0001-8583-4335; Park, Yoon Soo/0000-0001-8583-4335;
   Tekian, Ara/0000-0002-9252-1588; Awan, Zuhier/0000-0002-4176-335X
ZS 0
ZA 0
TC 6
ZB 0
Z8 0
ZR 0
Z9 6
U1 0
U2 5
SN 0142-159X
EI 1466-187X
UT WOS:000451736700006
PM 29730961
ER

PT J
AU Khamis, Nehal
   Aljumaiah, Rawabi
   Alhumaid, Alla
   Alraheem, Hiba
   Alkadi, Dalal
   Koppel, Cristina
   Abdulghani, Hamza Mohammad
TI Undergraduate medical students' perspectives of skills, uses and
   preferences of information technology in medical education: A
   cross-sectional study in a Saudi Medical College
SO MEDICAL TEACHER
VL 40
BP S68
EP S76
DI 10.1080/0142159X.2018.1465537
SU 1
PD 2018
PY 2018
AB Background: Information technology (IT) is widely used in medical
   education. However, there are not enough studies about IT uses and
   preferences among traditional and problem-based learning (PBL) medical
   students.Aim: To compare IT skills, uses and preferences for education
   between traditional and PBL medical students'.Method: A cross-sectional
   study; a modified Educause Center for Analysis and Research online
   survey was sent to traditional curriculum 5th and PBL 4th year medical
   students of King Saud University.Results: Most of the responding 176
   students prefer mobile devices and moderate amount of IT in education.
   Fourth and fifth year students perceived high academic value of Google
   (94.2 vs. 86.7%, p=0.34), YouTube (90.7 vs. 92.2%, p=0.83) and PubMed
   (83.7 vs. 86.7%, p=0.06). More 4th year than 5th year students rated
   themselves as skilled in learning management system (54.7 vs. 21.1%,
   p=0.0001) and Smartboard use (40.7 vs. 23.3%, p=0.04). Most students
   rated faculty IT skills as effective. Students agreed that technology
   helps working faster (95.5%) and make learning creative
   (85.9%).Conclusions: More integration of information literacy and IT
   training in medical curricula is needed to enhance better utilization of
   full features of IT resources available for learning and problem
   solving. National multi-institutional studies are recommended.
OI ABDULGHANI, HAMZA/0000-0002-9826-5781
ZR 0
ZA 0
ZB 1
TC 12
Z8 0
ZS 1
Z9 12
U1 2
U2 11
SN 0142-159X
EI 1466-187X
UT WOS:000451736700010
PM 29730958
ER

PT J
AU Unterhofer, Claudia
   Hartmann, Sebastian
   Freyschlag, Christian F.
   Thome, Claudius
   Ortler, Martin
TI Severe head injury in very old patients: to treat or not to treat?
   Results of an online questionnaire for neurosurgeons
SO NEUROSURGICAL REVIEW
VL 41
IS 1
BP 183
EP 187
DI 10.1007/s10143-017-0833-0
PD JAN 2018
PY 2018
AB Due to the aging population, neurosurgeons are confronted with an
   increasing number of very old patients suffering from traumatic brain
   injury. Many of these patients present with an acute subdural hematoma.
   There is a lack of data on neurosurgical decision-making in elderly
   people. We investigated the importance of imaging criteria, patients'
   wishes, their surrogates' wishes, and patient demographics on treatment
   decisions chosen by neurosurgeons. An online questionnaire was sent to
   all German neurosurgical units via the German Society of Neurosurgery
   (DGNC). The survey was based on the reported case of an unconscious
   81-year-old patient with an acute subdural hematoma and consisted of 13
   questions. Of these questions, nine addressed indication and treatment
   plan and four evaluated the neurosurgeon's interest in gathering
   additional information on the patient's social environment and supposed
   patient's wishes or advance directive. Eighty-five percent of the
   interviewed neurosurgeons would perform an emergency operation in the
   presented case. Midline shift (84%), hematoma thickness (81%), and time
   between traumatic injury and treatment (81%) were considered to be the
   most important factors for surgical treatment. Gathering information on
   the social environment of the patient (66%) and discussion with family
   members (57%) were felt to be either unimportant. Neurosurgeons in
   Central Europe tend to treat acute subdural hematoma in very old
   patients based on imaging findings and according to mechanistic views.
   Social circumstances and patient wishes are considered to be less
   important. Education of the medical profession and the general public
   should aim to bring these factors into focus in the decision-making
   process.
RI Freyschlag, Christian/K-5913-2019
OI Freyschlag, Christian/0000-0002-8228-8217
ZS 0
TC 9
ZR 0
ZA 0
ZB 2
Z8 0
Z9 9
U1 0
U2 2
SN 0344-5607
EI 1437-2320
UT WOS:000419166400019
PM 28220369
ER

PT J
AU Shu, Ni
   Wang, Xiaoni
   Bi, Qiuhui
   Zhao, Tengda
   Han, Ying
TI Disrupted Topologic Efficiency of White Matter Structural Connectome in
   Individuals with Subjective Cognitive Decline
SO RADIOLOGY
VL 286
IS 1
BP 229
EP 238
DI 10.1148/radiol.2017162696
PD JAN 2018
PY 2018
AB Purpose: To determine whether individuals with subjective cognitive
   decline (SCD), which is defined by memory complaints with normal
   performance at objective neuropsychologic examinations, exhibit
   disruptions of white matter (WM) connectivity and topologic alterations
   of the brain structural connectome.
   Materials and Methods: Diffusion-tensor magnetic resonance imaging and
   graph theory approaches were used to investigate the topologic
   organization of the brain structural connectome in 36 participants with
   SCD (21 women: mean age, 62.0 years +/- 8.6 [standard deviation]; age
   range, 42-76 years; 15 men: mean age, 65.5 years +/- 8.9; age range,
   51-80 years) and 51 age-, sex-, and years of education-matched healthy
   control participants (33 women: mean age, 63.7 years +/- 8.8; age range,
   46-83 years; 18 men: mean age, 59.4 years +/- 9.3; age range, 43-75
   years). Individual WM networks were constructed for each participant,
   and the network properties between two groups were compared with a
   linear regression model.
   Results: Graph theory analyses revealed that the participants with SCD
   had less global efficiency (P = .001) and local efficiency (P = .008)
   compared with the healthy control participants. Lower regional
   efficiency was mainly distributed in the bilateral prefrontal regions
   and left thalamus (P < .05, corrected). Furthermore, a disrupted
   subnetwork was observed that consisted of widespread anatomic
   connections (P < .05, corrected), which has the potential to
   discriminate individuals with SCD from control participants. Moreover,
   similar hub distributions and less connection strength between the hub
   regions (P = .023) were found in SCD. Importantly, diminished strength
   of the rich-club and local connections was correlated with the impaired
   memory performance in patients with SCD (rich-club connection: r = 0.43,
   P = .011; local connection: r = 0.36, P = .037).
   Conclusion: This study demonstrated disrupted topologic efficiency of
   the brain's structural connectome in participants with SCD and provided
   potential connectome-based biomarkers for the early detection of
   cognitive impairment in elderly individuals. (C) RSNA, 2017
ZB 46
Z8 6
ZS 0
ZR 0
TC 71
ZA 0
Z9 77
U1 0
U2 26
SN 0033-8419
UT WOS:000422905200030
PM 28799862
ER

PT J
AU Flores-Flores, Oscar
   Lajo-Aurazo, Yasmin
   Zevallos-Morales, Alejandro
   Rondan, Paola L.
   Lizaraso-Soto, Frank
   Jorquiera, Tamara
TI Educational environment in a Peruvian medical school. A negative trend
   over the academic years
SO REVISTA MEDICA DE CHILE
VL 146
IS 1
BP 53
EP 63
DI 10.4067/s0034-98872018000100053
PD JAN 2018
PY 2018
AB Background: Educational environment refers to the material resources and
   interpersonal relationships of an educational institution. Aim: To
   describe the educational environment of a Peruvian medical school and to
   explore a possible association between curricular years and the
   educational environment. Material and Methods: A cross-sectional study
   was conducted using the Dundee Ready Education Environment Measure
   (DREEM) to evaluate the educational environment of a Peruvian medical
   school. Data collection consisted in online surveys completed
   voluntarily by 1st through 6th year medical students between April and
   October 2015. Results: The questionnaire was completed by 828 of 2,421
   (34.2%) students. The mean DREEM score was 117 +/- 25.6 of a maximum of
   200. A poorer perception of the educational environment was associated
   with later years in the curriculum, when analysis was adjusted for
   gender, age and academic status (p < 0.001). Conclusions: The
   educational environment of this medical school scored positively (> 100
   points). However, it was evident that medical students in later
   curricular years had a more negative perception of the educational
   environment compared to those in earlier academic years.
RI Flores-Flores, Oscar/AAY-8951-2020; Zevallos-Morales, Alejandro/AAR-3045-2020; Flores-Flores, Oscar Guillermo/ABC-7220-2020; Lizaraso-Soto, Frank/; Rondan, Paola/; Flores-Flores, Oscar/
OI Zevallos-Morales, Alejandro/0000-0002-5314-8469; Lizaraso-Soto,
   Frank/0000-0001-9993-9998; Rondan, Paola/0000-0002-1463-2717;
   Flores-Flores, Oscar/0000-0002-9780-937X
ZA 0
TC 0
ZR 0
ZB 0
Z8 0
ZS 2
Z9 2
U1 1
U2 2
SN 0034-9887
EI 0717-6163
UT WOS:000432436700007
PM 29806678
ER

PT J
AU Mlambo, Motlatso
   Dreyer, Abigail
   Dube, Rainy
   Mapukata, Nontsikelelo
   Couper, Ian
   Cooke, Richard
TI Transformation of medical education through Decentralised Training
   Platforms a scoping review
SO RURAL AND REMOTE HEALTH
VL 18
IS 1
AR 4337
DI 10.22605/RRH4337
PD 2018
PY 2018
AB Introduction: Medical education in South Africa is facing a major
   paradigm shift. The urgency to increase the number of suitable,
   qualified and socially accountable health sciences graduates has brought
   to the fore the need to identify alternative training platforms and
   learning environments, often in rural areas. Subsequently, the focus has
   now shifted towards strengthening primary health care and community
   based health services. This scoping review presents a synopsis of the
   existing literature on decentralized training platform (DTP) strategies
   for medical education internationally, outlining existing models within
   it and its impact.
   Methods: This scoping review followed Arksey and O'Malley's framework
   outlining five stages: (i) identification of a research question, (ii)
   identification of relevant studies, (iii) study selection criteria, (iv)
   data charting, and (v) collating, summarizing and reporting results. The
   literature for the scoping review was found using online databases,
   reference lists and hand searched journals. Data were charted and sorted
   inductively according to key themes.
   Results: A final review included 59 articles ranging over the years
   1987-2015 with the largest group of studies falling in the period
   2011-2015 (47.5%). Studies mostly employed quantitative (32.2%),
   qualitative (20.3%), systematic/literature review (18.6%) and mixed
   methods research approaches (11.9%). The scoping review highlighted a
   range of DTP strategies for transforming medical education. These
   include training for rural workforce, addressing context specific
   competencies to promote social accountability, promoting community
   engagement, and medical education partnerships. Viable models of DTP
   include community based education, distributed community engaged
   learning, discipline based clinical rotations, longitudinal clerkships
   and dedicated tracks focusing on rural issues. Shorter rural placements
   and supplemental rural tracks are also described.
   Conclusions: This scoping review showed a considerable amount of
   literature on decentralized training platforms that highlight the
   necessary adaptations needed for transforming medical education. The
   rural context is critical for many of these. Further studies are
   required to address the impact of DTPs on health service outcomes and
   human resource outcomes.
RI Couper, Ian D/AAC-7554-2020; Mlambo, Motlatso/; Dreyer, Abigail Ruth/
OI Couper, Ian D/0000-0003-1587-6075; Mlambo, Motlatso/0000-0002-3061-4770;
   Dreyer, Abigail Ruth/0000-0002-0499-0094
ZA 0
ZS 2
Z8 0
ZB 1
TC 17
ZR 0
Z9 17
U1 0
U2 8
SN 1445-6354
UT WOS:000427257100011
PM 29522688
ER

PT J
AU Gibson-Helm, Melanie
   Dokras, Anuja
   Karro, Helle
   Piltonen, Terhi
   Teede, Helena J.
TI Knowledge and Practices Regarding Polycystic Ovary Syndrome among
   Physicians in Europe, North America, and Internationally: An Online
   Questionnaire-Based Study
SO SEMINARS IN REPRODUCTIVE MEDICINE
VL 36
IS 1
BP 19
EP 27
DI 10.1055/s-0038-1667155
PD JAN 2018
PY 2018
AB Background To inform knowledge translation by identifying
   evidence-practice gaps in polycystic ovary syndrome (PCOS) care and
   variations between disciplines and across world regions via an online,
   anonymous, devised questionnaire distributed via professional societies
   and completed by 1,495 physicians (2015-2016).
   Methods Multivariable logistic regression analyses generated adjusted
   odds ratios (OR) and 95% confidence intervals (CI) for associations
   between outcome measures and world region, specialty, annual patients
   with PCOS, age, and sex.
   Results Features corresponding to Rotterdam diagnostic criteria were
   well recognized (e.g., irregular menstrual cycles by 99% of physicians),
   but psychological implications were recognized only by 29 to 64%.
   Reproductive endocrinologists were more likely to use Rotterdam
   diagnostic criteria (OR: 3.1; 95% CI: 2.3-4.3; p < 0.007) than
   obstetrician-gynecologists. Reproductive (OR: 2.0; 95% CI: 1.5-2.8; p <
   0.007) and medical endocrinologists (OR: 3.1; 95% CI: 1.7-5.7; p <
   0.007) were more likely to recommend lifestyle management than
   obstetrician-gynecologists. Physicians in Europe (OR: 4.7; 95% CI:
   3.5-6.1; p < 0.007) and other regions (OR: 4.0; 95% CI: 2.8-5.9; p <
   0.007) were more likely to use Rotterdam diagnostic criteria than
   physicians in North America.
   Conclusion Knowledge gaps in PCOS care to be addressed internationally
   include physician awareness of the breadth of PCOS features, application
   of diagnostic criteria, and recommending lifestyle management
   effectively.
RI Karro, Helle/AAL-2191-2020; Piltonen, Terhi/
OI Piltonen, Terhi/0000-0002-9921-7300
ZS 0
ZB 8
Z8 0
ZR 0
TC 19
ZA 0
Z9 19
U1 0
U2 1
SN 1526-8004
EI 1526-4564
UT WOS:000444456600005
PM 30189447
ER

PT J
AU Thoma, Brent
   Sebok-Syer, Stefanie S.
   Colmers-Gray, Isabelle
   Sherbino, Jonathan
   Ankel, Felix
   Trueger, N. Seth
   Grock, Andrew
   Siemens, Marshall
   Paddock, Michael
   Purdy, Eve
   Milne, William Kenneth
   Chan, Teresa M.
CA METRIQ Study Collaborators
TI Quality Evaluation Scores are no more Reliable than Gestalt in
   Evaluating the Quality of Emergency Medicine Blogs: A METRIQ Study
SO TEACHING AND LEARNING IN MEDICINE
VL 30
IS 3
BP 294
EP 302
DI 10.1080/10401334.2017.1414609
PD 2018
PY 2018
AB Construct: We investigated the quality of emergency medicine (EM) blogs
   as educational resources. Purpose: Online medical education resources
   such as blogs are increasingly used by EM trainees and clinicians.
   However, quality evaluations of these resources using gestalt are
   unreliable. We investigated the reliability of two previously derived
   quality evaluation instruments for blogs. Approach: Sixty
   English-language EM websites that published clinically oriented blog
   posts between January 1 and February 24, 2016, were identified. A random
   number generator selected 10 websites, and the 2 most recent clinically
   oriented blog posts from each site were evaluated using gestalt, the
   Academic Life in Emergency Medicine (ALiEM) Approved Instructional
   Resources (AIR) score, and the Medical Education Translational
   Resources: Impact and Quality (METRIQ-8) score, by a sample of medical
   students, EM residents, and EM attendings. Each rater evaluated all 20
   blog posts with gestalt and 15 of the 20 blog posts with the ALiEM AIR
   and METRIQ-8 scores. Pearson's correlations were calculated between the
   average scores for each metric. Single-measure intraclass correlation
   coefficients (ICCs) evaluated the reliability of each instrument.
   Results: Our study included 121 medical students, 88 EM residents, and
   100 EM attendings who completed ratings. The average gestalt rating of
   each blog post correlated strongly with the average scores for ALiEM AIR
   (r = .94) and METRIQ-8 (r = .91). Single-measure ICCs were fair for
   gestalt (0.37, IQR 0.25-0.56), ALiEM AIR (0.41, IQR 0.29-0.60) and
   METRIQ-8 (0.40, IQR 0.28-0.59). Conclusion: The average scores of each
   blog post correlated strongly with gestalt ratings. However, neither
   ALiEM AIR nor METRIQ-8 showed higher reliability than gestalt. Improved
   reliability may be possible through rater training and instrument
   refinement.
RI Chan, Teresa/T-6676-2017; Thoma, Brent/AAS-8775-2020; Purdy, Eve/K-4103-2019; Thoma, Brent/ABI-2642-2020; Ankel, Felix/; Purdy, Eve/; Sebok-Syer, Stefanie S./; Wagner, Matthew/B-9693-2016
OI Chan, Teresa/0000-0001-6104-462X; Thoma, Brent/0000-0003-1124-5786;
   Ankel, Felix/0000-0002-7329-5095; Purdy, Eve/0000-0002-8098-5377;
   Sebok-Syer, Stefanie S./0000-0002-3572-5971; Wagner,
   Matthew/0000-0002-9683-6544
ZS 0
ZA 0
ZB 0
ZR 0
TC 11
Z8 0
Z9 11
U1 0
U2 4
SN 1040-1334
EI 1532-8015
UT WOS:000435016500007
PM 29381099
ER

PT J
AU Bruendl, Johannes
   Rothbauer, Clemens
   Ludwig, Bernd
   Dotzler, Bernhard
   Wolff, Christian
   Reimann, Sandra
   Borgmann, Hendrik
   Burger, Maximilian
   Breyer, Johannes
TI Accordance of Online Health Information on Prostate Cancer with the
   European Association of Urology Guidelines
SO UROLOGIA INTERNATIONALIS
VL 100
IS 3
BP 288
EP 293
DI 10.1159/000487146
PD 2018
PY 2018
AB Background: The internet is an emerging source of information for
   prostate cancer (PCa) patients. Since little is known about the quality
   of information on PCa provided online, we investigated its accordance to
   the latest European Association of Urology (EAU) guidelines. Methods: A
   total of 89 German web pages were included for analysis. A quality model
   classifying the provider of information and its expertise was
   introduced. Correctness of provided information was systematically
   compared to the EAU guidelines. Results: Information was provided by
   medical experts (41%), media (11%), and pharmaceutical companies (6%).
   Certificates were found in 23% with a significantly higher rate if
   provided by medical experts (p = 0.003). The minority of web pages
   showed information in accordance with the EAU guidelines regarding
   screening (63%), diagnosis (32%), classification (39%), therapy (36%),
   complications (8%), and follow-up (27%). Web pages by medical experts as
   well as websites with any kind of certification showed a significantly
   higher guideline conformity regarding diagnosis (p = 0.027, p = 0.002),
   therapy (p = 0.010, p = 0.011), follow-up (p = 0.005, p < 0.001), and
   availability of references (p = 0.017, p = 0.003). Conclusions: The
   present study reveals that online health information on PCa lacks
   concordance to current guidelines. Certified websites or websites
   provided by medical experts showed a significantly higher quality and
   accordance with guidelines. (c) 2018 S. Karger AG, Basel
RI Borgmann, Hendrik/F-4658-2015; Reimann, Sandra/
OI Borgmann, Hendrik/0000-0002-3955-564X; Reimann,
   Sandra/0000-0001-5355-3053
ZR 0
ZS 0
ZB 2
ZA 0
Z8 0
TC 2
Z9 2
U1 0
U2 5
SN 0042-1138
EI 1423-0399
UT WOS:000430561700005
PM 29514140
ER

PT J
AU Gupta, Raghav
   Moore, Justin M.
   Adeeb, Nimer
   Griessenauer, Christoph J.
   Schneider, Anna M.
   Gandhi, Chirag D.
   Harsh, Griffith R.
   Thomas, Ajith J.
   Ogilvy, Christopher S.
TI Neurosurgical Resident Error: A Survey of US Neurosurgery Residency
   Training Program Directors' Perceptions
SO WORLD NEUROSURGERY
VL 109
BP E563
EP E570
DI 10.1016/j.wneu.2017.10.022
PD JAN 2018
PY 2018
AB BACKGROUND: Efforts to address resident errors and to enhance patient
   safety have included systemic reforms, such as the Accreditation Council
   for Graduate Medical Education's (ACGME's) mandated duty-hour
   restrictions, and specialty-specific initiatives such as the
   neurosurgery Milestone Project. However, there is currently little data
   describing the basis for these errors or outlining trends in
   neurosurgical resident error.
   METHODS: An online questionnaire was distributed to program directors of
   108 U.S. neurosurgery residency training programs to assess the
   frequency, most common forms and causes of resident error, the resulting
   patient outcomes, and the steps taken by residency programs to address
   these errors.
   RESULTS: Thirty-one (28.7%) responses were received. Procedural/surgical
   error was the most commonly observed type of error. Transient injury and
   no injury to the patient were perceived to be the 2 most frequent
   outcomes. Inexperience or resident mistake despite adequate training
   were cited as the most common causes of error. Twenty-three (74.2%)
   respondents stated that a lower post graduate year level correlated with
   an increased incidence of errors. There was a trend toward an
   association between an increased number of residents within a program
   and the number of errors attributable to a lack of supervision (r =
   0.36; P = 0.06). Most (93.5%) program directors do not believe that
   mandated duty-hour restrictions reduce error frequency.
   CONCLUSIONS: Program directors believe that procedural error is the most
   commonly observed form of error, with post graduate year level believed
   to be an important predictor of error frequency. The perceived utility
   of systemic reforms that aim to reduce the incidence of resident error
   remains unclear.
RI Thomas, Ajith/AAX-9054-2020; Thomas, Ajith/; Schneider, Anna M/
OI Thomas, Ajith/0000-0003-4412-3152; Schneider, Anna M/0000-0001-6067-9658
TC 6
ZA 0
ZR 0
ZB 3
Z8 0
ZS 0
Z9 6
U1 0
U2 1
SN 1878-8750
EI 1878-8769
UT WOS:000419015000069
PM 29042335
ER

PT J
AU Phanguphangu, Mukovhe
TI Practice patterns of South African audiologists in cerumen management: a
   pilot study
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 57
IS 9
BP 703
EP 706
DI 10.1080/14992027.2018.1476780
PD 2018
PY 2018
AB Objective: To determine the training, self-reported competence and
   practice patterns of South African audiologists (SAAs) regarding cerumen
   management (CM).Design: Prospective cross-sectional survey. An online
   questionnaire was completed by SAA between July and September 2016. The
   questionnaire addressed sections on educational training, experience and
   practice patterns of SAAs regarding CM.Study sample: Three hundred and
   fifty-six SAAs responded to an email invitation sent to 382
   actively-practicing audiologists.Results: Majority of the participants
   (85%) were employed for less than 10 years. Forty-nine percent received
   less than 10hours of theoretical training while 57% received less than
   10hours of clinical education. A total of 96% of the participants
   indicated they felt competent to perform CM, with 96% preferring manual,
   ear syringing, or a combination of the two. Handwashing pre- and
   post-procedure was the preferred method of infection prevention and
   control by 87% of the participants with 66% of these indicating they
   only wore gloves. Majority (85%) of the participants indicated that they
   always explained the possible complications of CM to their
   patients.Conclusion: Findings from this study indicate that South
   African audiologists feel that they are adequately trained and competent
   to perform CM.
RI Phanguphangu, Mukovhe/AAD-8255-2019; Phanguphangu, Mukovhe/
OI Phanguphangu, Mukovhe/0000-0003-2535-9856
ZB 0
Z8 0
ZR 0
TC 2
ZA 0
ZS 0
Z9 2
U1 0
U2 1
SN 1499-2027
EI 1708-8186
UT WOS:000450164200009
PM 29869562
ER

PT J
AU Neel, Abdullah Fouda
   Alahmari, Leena Saad
   Alanazi, Reema Ayed
   Sattar, Kamran
   Ahmad, Tauseef
   Feeley, Elizabeth
   Khalil, Mahmoud Salah
   Soliman, Mona
TI Medical students' perception of international health electives in the
   undergraduate medical curriculum at the College of Medicine, King Saud
   University
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 811
EP 817
DI 10.2147/AMEP.S173023
PD 2018
PY 2018
AB Background: International health electives prepare medical students
   during their student years of medical education in choosing, matching,
   and succeeding in the residency of their choice. They serve as a unique
   educational experience prior to residency training.
   Objective: This study was conducted to explore 4th-and 5th-year medical
   students' perspective about international health electives and to
   evaluate their educational effects.
   Methods: An anonymous online survey with 22 items concerning perceptions
   about the electives with a 5-point Likert scale was administered to
   medical students at the College of Medicine, King Saud University.
   Results: For the majority of the students (81.6%) the elective course
   was arranged by the university and only 18.4% of students individually
   arranged their own. Most of the students (65.7%) agreed that the
   objective of the elective course was clear to them in advance. A total
   of 71.1% of students agreed that the program (elective) was responsive
   to their needs (both academically and socially).
   Conclusion: This is the first study looking at international electives
   in the context of the under-graduate medical curriculum in Saudi Arabia.
   The study showed that the international electives are a useful and
   unique experience for medical students (both academically and socially).
RI , KAMRAN/R-1298-2017; Ahmad, Dr Tauseef/AAF-9641-2019
OI , KAMRAN/0000-0003-4820-3483; Ahmad, Dr Tauseef/0000-0001-6769-1617
ZA 0
ZB 1
ZR 0
ZS 0
TC 3
Z8 0
Z9 3
U1 0
U2 1
SN 1179-7258
UT WOS:000450341300003
PM 30519137
ER

PT J
AU Singal, M.
   Zafar, A.
   Tbakhi, B.
   Jadhav, N.
   Alweis, R.
   Bhavsar, H.
TI Assessment of knowledge and attitudes towards safety events reporting
   among residents in a community health system
SO JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES
VL 8
IS 5
BP 253
EP 259
DI 10.1080/20009666.2018.1527670
PD 2018
PY 2018
AB Background: Resident physicians are known to be infrequent reporters of
   patient safety events (PSE). Previous studies assessing barriers to
   resident PSE reporting have not considered possible cultural barriers
   faced by international medical graduates (IMG). This study aimed to
   assess the knowledge and attitudes of residents regarding PSE and
   possible barriers contributing to poor resident reporting.
   Methods: A cross sectional survey of all house staff undergoing
   post-graduate residency training at two independent community hospital
   based academic medical centers was conducted through an online
   questionnaire. Sample case vignettes were created to assess the
   residents' ability to identify safety events and classify them as near
   miss, adverse events or sentinel events and decide whether they were
   reportable.
   Results: The Reporting of PSE increased significantly by year of
   residency training (p < 0.005), with time taken to file a PSE being the
   strongest perceived barrier. There was no difference in PSE reporting
   between IMG's and non-IMG's. We identified major knowledge gaps with
   only 73.9%, 79.6% and 94.3% of respondents correctly identifying
   sentinel events, adverse events, and near misses, respectively. 58.1% of
   respondents did not think near misses were reportable.
   Conclusions: A lack of knowledge is the most important barrier towards
   PSE reporting. A different cultural background and lack of previous
   exposure to patient safety report by IMGs is not a significant barrier
   towards safety event reporting. In the short-term, it appears that
   focusing limited institutional resources on education rather than
   acculturation issues would have the greatest benefit.
OI SINGAL, MUKUL/0000-0002-6878-7140; Alweis, Richard/0000-0002-4747-8066;
   Tbakhi, Bushra/0000-0003-1717-9396; JADHAV, NAGESH/0000-0001-8993-3947
Z8 0
ZB 0
ZS 0
ZR 0
TC 5
ZA 0
Z9 5
U1 1
U2 2
SN 2000-9666
UT WOS:000451453600001
PM 30357000
ER

PT J
AU Lien, Kelly
   Chin, Alvin
   Helman, Anton
   Chan, Teresa M.
TI A Randomized Comparative Trial of the Knowledge Retention and Usage
   Conditions in Undergraduate Medical Students Using Podcasts and Blog
   Posts
SO CUREUS
VL 10
IS 1
AR e2065
DI 10.7759/cureus.2065
PD JAN 2018
PY 2018
AB Introduction
   Podcasts and blog posts have gained popularity in Free Open Access
   Medical education (FOAM). Previous work suggests that podcasts may be
   useful for knowledge acquisition in undergraduate medical education.
   However, there remains a paucity of research comparing the two mediums.
   This study aims to investigate if there are differences in knowledge
   acquisition and usage conditions by medical students using podcasts and
   blog posts.
   Methods
   Medical students were randomized to either the podcast or blog post
   group. They completed an initial online assessment of their baseline
   knowledge on the subject matter. Participants then received access to
   learning materials and were given four weeks to complete the follow-up
   assessment on their own time. Independent t-test, paired samples t-test,
   and a mixed ANOVA (analysis of variance) were conducted to assess
   knowledge acquisition. An intentionto-teach analysis was used to impute
   missing data from students lost to follow-up. Simple descriptive
   statistical data was used to describe media usage conditions.
   Results
   Completion of at least one follow-up assessment was comparable (68%
   podcasts (n = 21/31), 73% blog posts (n = 22/30)). Both groups showed
   significant improvements in their test scores, with an average 22%
   improvement for the podcast group and 29% for the blog post group. There
   was no significant statistical difference in knowledge acquisition
   between educational modalities overall. Students in the blog post group
   that completed both post-intervention quizzes showed a larger
   improvement than the podcast group in the toxicology topic, with similar
   improvements in the asthma topic. The podcast group tended to engage in
   multiple activities while using the learning materials (e.g. at least
   two to three of the following: driving, eating, chores, taking notes,
   exercising/walking), while the blog readers tended to do fewer
   activities (e.g. only one of the following: note taking, eating).
   Conclusion
   This study suggests that podcasts and blog posts are useful for
   extracurricular knowledge acquisition by undergraduate medical students
   with no significant difference between the two modalities. The usage
   conditions for each type of media differ.
RI Chan, Teresa/T-6676-2017; Lien, Kelly/
OI Chan, Teresa/0000-0001-6104-462X; Lien, Kelly/0000-0002-9494-3776
ZA 0
ZR 0
TC 13
ZS 0
ZB 0
Z8 0
Z9 13
U1 0
U2 2
EI 2168-8184
UT WOS:000450933700055
PM 29552428
ER

PT J
AU Quinn, Antonia
   Chan, Teresa
   Sampson, Christopher
   Grossman, Catherine
   Butts, Christine
   Casey, John
   Caretta-Weyer, Holly
   Gottlieb, Michael
TI Curated Collections for Educators: Five Key Papers on Evaluating Digital
   Scholarship
SO CUREUS
VL 10
IS 1
AR e2021
DI 10.7759/cureus.2021
PD JAN 2018
PY 2018
AB Traditionally, scholarship that was recognized for promotion and tenure
   consisted of clinical research, bench research, and grant funding.
   Recent trends have allowed for differing approaches to scholarship,
   including digital publication. As increasing numbers of trainees and
   faculty turn to online educational resources, it is imperative to
   critically evaluate these resources. This article summarizes five key
   papers that address the appraisal of digital scholarship and describes
   their relevance to junior clinician educators and faculty developers.
   In May 2017, the Academic Life in Emergency Medicine Faculty Incubator
   program focused on the topic of digital scholarship, providing and
   discussing papers relevant to the topic. We augmented this list of
   papers with further suggestions by guest experts and by an open call via
   Twitter for other important papers. Through this process, we created a
   list of 38 papers in total on the topic of evaluating digital
   scholarship. In order to determine which of these papers best describe
   how to evaluate digital scholarship, the authorship group assessed the
   papers using a modified Delphi approach to build consensus.
   In this paper we present the five most highly rated papers from our
   process about evaluating digital scholarship. We summarize each paper
   and discuss its specific relevance to junior faculty members and to
   faculty developers. These papers provide a framework for assessing the
   quality of digital scholarship, so that junior faculty can recommend
   high-quality educational resources to their trainees. These papers help
   guide educators on how to produce high quality digital scholarship and
   maximize recognition and credit in respect to receiving promotion and
   tenure.
RI Quinn, Antonia/AAA-8055-2019; Chan, Teresa/T-6676-2017; Quinn, Antonia/; Caretta-Weyer, Holly/
OI Chan, Teresa/0000-0001-6104-462X; Quinn, Antonia/0000-0001-8155-5814;
   Caretta-Weyer, Holly/0000-0002-9783-5797
ZR 0
ZA 0
ZS 0
Z8 0
TC 9
ZB 0
Z9 9
U1 1
U2 11
EI 2168-8184
UT WOS:000450933700013
PM 29531874
ER

PT C
AU Booth, Brandon M.
   Seamans, Taylor J.
   Narayanan, Shrikanth S.
GP IEEE
TI An Evaluation of EEG-based Metrics for Engagement Assessment of Distance
   Learners
SO 2018 40TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 307
EP 310
PD 2018
PY 2018
AB Maintaining students' cognitive engagement in educational settings is
   crucial to their performance, though quantifying this mental state in
   real-time for distance learners has not been studied extensively in
   natural distance learning environments. We record
   electroencephalographic (EEG) data of students watching online lecture
   videos and use it to predict engagement rated by human annotators. An
   evaluation of prior EEG-based engagement metrics that utilize power
   spectral density (PSD) features is presented. We examine the predictive
   power of various supervised machine learning approaches with both
   subject-independent and individualized models when using simple PSD
   feature functions. Our results show that engagement metrics with few
   power band variables, including those proposed in prior research, do not
   produce predictions consistent with human observations. We quantify the
   performance disparity between cross-subject and per-subject models and
   demonstrate that individual differences in EEG patterns necessitate a
   more complex metric for educational engagement assessment in natural
   distance learning environments.
CT 40th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY JUL 18-21, 2018
CL Honolulu, HI
SP IEEE Engn Med & Biol
ZA 0
ZB 0
TC 3
ZR 0
ZS 0
Z8 0
Z9 3
U1 0
U2 5
SN 1557-170X
EI 1558-4615
BN 978-1-5386-3646-6
UT WOS:000596231900071
PM 30440399
ER

PT J
AU Galeshi, Roofia
   Sharman, Jyotsna
   Cai, Jinghong
TI Influence of ethnicity, gender, and immigration status on millennials'
   behavior related to seeking health information: Results from a national
   survey
SO EQUALITY DIVERSITY AND INCLUSION
VL 37
IS 6
BP 621
EP 631
DI 10.1108/EDI-05-2017-0102
PD 2018
PY 2018
AB Purpose The purpose of this paper is to understand the behavior
   diversities that exist among young millennials' subgroups in ways they
   seek health-related information.
   Design/methodology/approach The authors ran several sets of analyses on
   the 2012-2014 US Program for the International Assessment of Adult
   Competencies (PIAAC) Data using Stata. The population was stratified
   into four specific subgroups based on their gender, ethnicityblacks,
   Hispanics and whitesimmigration status, college statuswhether they were
   enrolled in a program of study at the time of the survey. The outcome
   variables were sources of health information including print
   (books/magazines/brochures), traditional media (Radio/TV), internet,
   family/friends/co-workers and health professionals. The independent
   variables were gender, ethnicity, educational status and immigration
   status. The authors utilized the appropriate sample weight derived by
   Organization for Economic Cooperation and Development so the findings
   can be generalized to the populations. The analysis included several
   descriptive statistics and (2) test of independence.
   Findings Despite similarities, young adults' health seeking behavior is
   complex influenced by gender, ethnicity, immigration status and
   education. The results indicated that while the internet is the primary
   source of health-related information for all young adults, there are
   subtle differences in utilizing other available resources. For example
   while more educated young adults seek help from their family members,
   the less educated peers use the media to obtain health-related
   information. Ethnicity has also an effect on young adults' information
   seeking behavior. The number of Hispanics and blacks that obtain their
   information from traditional media is significantly higher than their
   white counterparts.
   Research limitations/implications This study has several limitations.
   First, the authors did not consider the effect of young adults' digital
   literacy skills, problem solving skills and numeracy skills on their
   health seeking approach. Including these cognitive skills could reveal
   key information about young adults approach to information seeking that
   is not apparent by race, ethnicity and gender only. Another limitation
   of this study is the lack of the ability to claim causation, PIAAC data
   are designed strictly for cross-sectional analysis.
   Practical implications Although, behaviors often do not change simply by
   presenting information, trying to change behavior without improving
   individuals' understanding of the issue by providing accurate
   information is likely to fail. Providing standardized health-related
   information sources that are accessible to all is vitally important. The
   results indicate that while the majority of young adults use the
   internet as their primary source of information only a few percentage of
   young adults seek information from health professional. Consequently,
   there is a need for an easily accessible and standardized online
   health-related source of information.
   Social implications Healthcare facilities and health related industries
   have the resources and the ability to develop a reliable infrastructure
   that could potentially provide reliable information that is easy to
   understand and navigate for adults with a variety of literacy and skills
   to use. Perhaps adopting the Universal Design for Learning approach and
   providing information that is accessible to a variety of individuals
   regardless of their education, learning skills and language skills.
   Flexible learning resources provided within a standard infrastructure
   accessible to all can help individuals find trustworthy and consistent
   information that they can trust.
   Originality/value Despite the unique characteristics of the millennials
   and the profound change in the way young adults seek information, there
   is a paucity of research on the ways young adults seek health-related
   information. Most existing literature is based on locally developed
   surveys and convenient sampling with limited reliability and validity
   information. Consequently making a sweeping statement based on their
   findings is considered as hasty generalization. The PIAAC, on the other
   hand, is a nationally representative data, extensively examined for its
   validity and reliability.
ZR 0
ZB 0
TC 6
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ZA 0
ZS 0
Z9 6
U1 2
U2 40
SN 2040-7149
EI 2040-7157
UT WOS:000439095300006
ER

PT J
AU Maru, Devina
   Ghada-Al Malky
TI Current practice of ototoxicity management across the United Kingdom
   (UK)
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 57
BP S76
EP S88
DI 10.1080/14992027.2018.1460495
SU 4
PD 2018
PY 2018
AB Objective: Effective management of patients diagnosed with ototoxicity
   is needed to reduce hearing and balance damage which affects
   communication and life quality. Despite widespread recommendations to
   monitor and manage ototoxicity in an early and effective manner, there
   is limited evidence to support the actual implementation of these
   recommendations for affected patient groups in healthcare services
   across the UK with limited publications available. In this study, an
   online questionnaire analysed the current practice of ototoxicity
   management and patient pathways across the UK once the diagnosis of
   ototoxicity was confirmed, targeting Audiologists, ENTs/AVPs and GPs.
   Design: Qualitative Survey Study. Study sample: A randomised sample of
   hearing services in the UK, including audiology departments; GP
   practices and local health settings were targeted with a total of 134
   completed surveys. Results: About 72% reported the absence of
   ototoxicity management protocols within their centre. Results depicted
   great inconsistency and variation across the UK in ototoxicity
   management services provided, treatment modification, monitoring and
   referral pathways. Conclusion: Developing and advocating national
   guidelines are intended not only to inform clinical decision making but
   to provide minimum standards of care in ototoxicity management and offer
   greater awareness and education to improve patients' quality of life.
OI MARU, DR DEVINA/0000-0003-4344-4069
Z8 0
ZR 0
ZB 4
ZS 1
TC 16
ZA 0
Z9 16
U1 1
U2 1
SN 1499-2027
EI 1708-8186
UT WOS:000445789600010
PM 29676584
ER

PT J
AU Alhaddad, Mahmoud S.
TI Patients Understanding and Interpretations of the Instructions given by
   Pharmacists on the Dispensed Medications in Saudi Arabia
SO LATIN AMERICAN JOURNAL OF PHARMACY
VL 37
IS 8
BP 1632
EP 1637
PD 2018
PY 2018
AB This study aimed to evaluate patients understanding of the instructions
   given by pharmacists on the dispensed medications in Saudi Arabia. A
   cross sectional research design using a pre-validated questionnaire was
   used in this study. Face to face interviews in public areas and online
   survey were the main data collection techniques. A total of 828
   responses were obtained. Only 33% of respondents mentioned that
   pharmacists always explain to them how to use the dispensed medications.
   In addition, a total of 77.3% of respondents were satisfied from the
   information given to them by pharmacists on how to use the dispensed
   medications. Whereas, only 80.8% and 70.4% of respondents managed to
   correctly understand the illustrations used by pharmacists to indicate
   that the medication is to be used once and twice daily, respectively. An
   important fraction of respondents not satisfied or wrongly understand
   the instructions given by pharmacists on the dispensed medications.
ZR 0
ZS 0
ZA 0
ZB 1
Z8 0
TC 1
Z9 1
U1 0
U2 1
SN 0326-2383
UT WOS:000444257100023
ER

PT J
AU Zhou, Wen
   Jia, Jinyuan
   Su, Xin
TI A Novel Compression-Driven Lightweight Framework for Medical Skeleton
   Model Visualization
SO IEEE ACCESS
VL 6
BP 47627
EP 47635
DI 10.1109/ACCESS.2018.2866508
PD 2018
PY 2018
AB In the field of medical imaging, many medical image data can be rebuilt
   into 3-D medical models for use in medical education and analysis. In
   fact, the 3-D medical models help ordinary people (including patients
   and students) to more easily understand and learn medical knowledge. In
   addition, with the rapid development of Web3D technology, the demand for
   3-D visualization technology based on the web browser increases.
   However, the limited bandwidth and low load capacity of the browser have
   seriously restricted the development of technology. Therefore, this
   paper proposes a framework to better show 3-D skeleton shapes. In
   particular, mesh compression is one of the most effective methods to
   achieve a fast transmission data process. In addition, because of the
   poor rendering capabilities of the browsers, it is notably difficult to
   render the entire model at once. Moreover, it often makes the browser
   crash; thus, the transmitted model data are only rendered once. In
   addition, a mesh segmentation algorithm is proposed to realize
   component-wise rendering and lightweight for shape. A voxel-based
   component repetition method is used to detect the repetitive components;
   thus, we can perform matrix transformation to finish the
   repetitive-component Web3D visualization, i.e., lightweight for shape.
   Finally, the related experiments are performed to validate our proposed
   framework. The results show that the proposed framework is feasible and
   superior.
OI ZHOU, WEN/0000-0002-1266-1864
TC 3
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 3
U1 2
U2 11
SN 2169-3536
UT WOS:000445427300001
ER

PT J
AU Sando, Karen R.
   Feng, Xiaoying
TI Use of an Online Spaced-Education Game to Study Top 200 Drugs in a
   Skills Laboratory Course
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 82
IS 7
BP 808
EP 817
PD 2018
PY 2018
AB Objective. To describe the use of an online spaced-education (SE) game
   to study top 200 drug information in a first-year skills laboratory
   course.
   Methods. There were 236 students enrolled in a voluntary online SE game
   across two semesters. Fifteen multiple-choice questions (MCQs) were sent
   via email in the fall and spring semesters focusing on cardiovascular
   and neurological agents, respectively. The online SE game delivered two
   questions every 2 days and re-sent questions answered incorrectly after
   7 days. Two correct answers were required to retire a question. Top 200
   drug knowledge was evaluated with an examination at the conclusion of
   each semester. Levels of engagement with the game, differences in
   performance on game MCQs, impact on top 200 drug examination
   performance, and student perceptions were evaluated.
   Results. There was a high level of engagement in the online SE game in
   both the fall (83% participation) and spring (73% participation)
   semesters. Participants improved the percentage of MCQs answered
   correctly by an average of 12% in the fall and 5% in the spring. Use of
   the online SE game did not significantly affect top 200 drug examination
   performance or retention of top 200 drug information. Students'
   self-efficacy to recognize brand/generic names and common indications
   significantly improved after use of the online SE game. Student
   perceptions of the game were positive.
   Conclusions. Use of an online SE game did not significantly affect top
   200 drug examination scores despite high levels of student engagement
   and positive student perceptions.
OI Sando, Karen/0000-0002-3048-5737
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
TC 0
Z9 0
U1 0
U2 2
SN 0002-9459
EI 1553-6467
UT WOS:000445893200014
ER

PT J
AU Curtis, Pamela
   Taylor, Gordon
   Harris, Michael
TI How preferred learning approaches change with time: a survey of GPs and
   GP Specialist Trainees
SO EDUCATION FOR PRIMARY CARE
VL 29
IS 4
BP 222
EP 227
DI 10.1080/14739879.2018.1461027
PD 2018
PY 2018
AB Background: The Approaches and Study Skills Inventory for Students
   (ASSIST) questionnaire assesses whether learners prefer a deep,
   strategic or surface approach to learning. This study aimed to establish
   the effect of time since qualification, gender and work role on ASSIST
   scores of General Practitioners (GPs) and GP Specialist Trainees
   (GPSTs).
   Methods: An anonymous online questionnaire with demographic questions
   and the ASSIST survey was completed by 1005 GPs and GPSTs from across
   the United Kingdom.
   Results: Of the 544 GPs and 461 GPSTs completing the survey, 96.5%
   preferred a deep and/or strategic approach to learning. There was a
   significant increase in the preference for a deep approach with time
   from graduation and significantly less preference for a surface
   approach. There was no significant change in any of the scores over the
   GPST years. Men had significantly higher scores for a deep approach than
   women.
   Conclusions: GPs and GPSTs prefer deep and strategic approaches to a
   surface approach. While higher levels of GP experience are associated
   with a higher deep approach score and a lower surface approach score,
   this change is not seen during progression through GP training. Men have
   higher scores for a deep approach than women.
TC 0
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
Z9 0
U1 0
U2 6
SN 1473-9879
EI 1475-990X
UT WOS:000445041200009
PM 29683050
ER

PT J
AU Willis, Christine A.
   Douglas-Williams, Tara
   Glover, Shannon
TI Search Smart for Your Health - A Statewide Health Literacy Campaign
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 22
IS 1
BP 1
EP 7
DI 10.1080/15398285.2017.1408374
PD 2018
PY 2018
AB The Georgia Health Sciences Library Association (GHSLA) and the Georgia
   Alliance for Health Literacy (GAHL) partnered to educate residents about
   reliable health information online to raise health literacy awareness
   across the state of Georgia. The two groups received a gubernatorial
   declaration designating October as Health Literacy Month in Georgia.
   Information was posted online and demonstration workshops were held. The
   networking opportunities that resulted have allowed for additional
   partnerships and grant support to address the vital health literacy
   information needs of those with health disparities through clinician
   training and additional workshops.
Z8 0
TC 2
ZA 0
ZS 0
ZR 0
ZB 0
Z9 2
U1 2
U2 12
SN 1539-8285
EI 1539-8293
UT WOS:000432808500001
PM 30297979
ER

PT J
AU Chiu, Wei-Ling
   Kuczynska-Burggraf, Millicent
   Gibson-Helm, Melanie
   Teede, Helena J.
   Vincent, Amanda
   Boyle, Jacqueline A.
TI What Can You Find about Polycystic Ovary Syndrome (PCOS) Online?
   Assessing Online Information on PCOS: Quality, Content, and
   User-Friendliness
SO SEMINARS IN REPRODUCTIVE MEDICINE
VL 36
IS 1
BP 50
EP 58
DI 10.1055/s-0038-1667186
PD JAN 2018
PY 2018
AB Background Polycystic ovary syndrome (PCOS) is a common yet complex
   condition, where education is vital. It predominantly affects
   reproductive-aged women, the age group with peak use of the Internet,
   now a major source of health information. Women with PCOS are
   dissatisfied with care, and the lack of useful online information is a
   key concern. Methods Using a rigorous and systematic methodology, we
   examined the quality, information content, and user-friendliness of
   online information about PCOS. Internet searches were conducted in
   Australia and the United Kingdom in December 2015 using Google, Bing,
   and Yahoo with different browsers, operating systems, and domain names.
   A total of 75 Web sites were evaluated and categorized. Results The
   majority of Web sites were commercial (41%) and not-for-profit (76%) and
   were aimed at women only. Less than a third of the Web sites were
   externally accredited. Commercial Web sites and Web sites targeting only
   women had the lowest quality scores, while professional-society Web
   sites and Web sites targeting only HPs scored the highest in quality.
   Accredited Web sites had higher quality and user-friendliness scores
   than nonaccredited Web sites. Conclusion The majority of PCOS Web sites
   were commercially derived, targeted women, and were not accredited.
   There is a significant lack of quality, easy-to-read, evidence-based
   information online for women with PCOS.
RI Chiu, Wei-Ling/O-4507-2019; Chiu, Lyn (Wei Ling)/AAC-9933-2021; Boyle, Jacqueline/AAD-3246-2019; Boyle, Jacqueline/; Vincent, Amanda/; Teede, Helena/
OI Chiu, Wei-Ling/0000-0002-9680-6724; Boyle,
   Jacqueline/0000-0002-3616-1637; Vincent, Amanda/0000-0002-3760-7266;
   Teede, Helena/0000-0001-7609-577X
ZA 0
ZB 1
TC 7
ZR 0
Z8 0
ZS 0
Z9 7
U1 0
U2 7
SN 1526-8004
EI 1526-4564
UT WOS:000444456600009
PM 30189451
ER

PT J
AU Htet, Thaw
   Cassar, S.
   Boyle, Jacqueline A.
   Kuczynska-Burggraf, Millicent
   Gibson-Helm, Melanie
   Chiu, Wei-Ling
   Stepto, N. K.
   Moran, Lisa J.
TI Informing Translation: The Accuracy of Information on Websites for
   Lifestyle Management of Polycystic Ovary Syndrome
SO SEMINARS IN REPRODUCTIVE MEDICINE
VL 36
IS 1
BP 80
EP 85
DI 10.1055/s-0038-1667309
PD JAN 2018
PY 2018
AB Lifestyle (diet, physical activity [PA], and/or behavioral)
   interventions are recommended for all women with polycystic ovary
   syndrome (PCOS) in international guidelines. The internet is a widely
   used health information resource. However, the accuracy of lifestyle
   information on PCOS websites is unknown and is reviewed here to inform
   translation of the international guideline on PCOS. An internet search
   was conducted with three search engines across different web browsers
   and countries. Accuracy was assessed through a checklist of 29 questions
   based on international guidelines for diet, PA, or weight management for
   the general population and for PCOS with higher scores indicating
   greater accuracy. Fifteen websites were eligible out of 72 (20%). The
   total accuracy score was 56 +/- 13 (mean +/- standard deviation;
   potential range: -29 to 87) comprising 23 +/- 6 for diet (-11 to 33), 15
   +/- 5 for PA (-9 to 27), and 14 +/- 3 for weight management (-8 to 24).
   A moderate proportion of websites provided general information on
   appropriate diet (40-80%) or weight management strategies (47-60%), but
   only 10 to 40% of websites provided information on core foods,
   discretionary foods, exercise quantity/intensity, energy deficits, or
   behavioral strategies. Limited websites on PCOS contain information on
   lifestyle management. The majority provided information on general diet,
   PA, and weight recommendations but less information on practical
   implementation of lifestyle change as an identified translation gap for
   the international guideline on PCOS.
RI Chiu, Wei-Ling/O-4507-2019; Boyle, Jacqueline/AAD-3246-2019; Chiu, Lyn (Wei Ling)/AAC-9933-2021; Boyle, Jacqueline/
OI Chiu, Wei-Ling/0000-0002-9680-6724; Boyle,
   Jacqueline/0000-0002-3616-1637
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 2
SN 1526-8004
EI 1526-4564
UT WOS:000444456600013
PM 30189455
ER

PT J
AU Coskun, Ozlem
   Ozeke, Vildan
   Budakoglu, Irem
   Kula, Serdar
TI E-Learning Readiness of Turkish Medical Students: A Sample from Gazi
   University
SO GAZI MEDICAL JOURNAL
VL 29
IS 4
BP 340
EP 345
DI 10.12996/gmj.2018.91
PD 2018
PY 2018
AB Objective: We are currently training a generation of students who cannot
   remember the days before Internet, are learning in digital environment,
   will practice in a predominantly e-health world. We think they are ready
   to learn online, but are they? The aim of this study was to determine
   the students' readiness for e-learning in terms of the technologies they
   have with the skills for online learning.
   Methods: This is a descriptive study with survey method by using a scale
   of university students' readiness for e-learning. The research was done
   with volunteer 4"-year medical students.
   Results: The results show that e-learning readiness for medical students
   is enough for five sub-scales, and almost enough for one sub-scale. The
   medical undergraduates have smartphones(92.3%), laptops(81.6%) and
   tablets(26.7%) only 0.9% of the undergraduates have no hardware. The
   participants have regular internet connection(92.1%) and mobile internet
   connection(80.89%). Male undergraduates' readiness is significantly
   higher than females. The undergraduates who use internet for studying
   and learning during the day or several times in a day have statistically
   higher readiness levels than others.
   Conclusion: Medical students' e-learning readiness level is moderately
   high. They use Internet daily with own hardware. The organizational
   readiness is well in terms of resources, learning management systems.
RI KULA, Serdar/AHE-1100-2022; Özeke, Vildan/M-5918-2017; BUDAKOGLU, ISIL IREM/D-2424-2013
OI Özeke, Vildan/0000-0003-1827-1258; 
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 3
Z9 3
U1 1
U2 3
SN 2147-2092
UT WOS:000445290000016
ER

PT J
AU White, Joseph
   Sharma, Arun
TI Development and Assessment of a Transoral Robotic Surgery Curriculum to
   Train Otolaryngology Residents
SO ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY
VL 80
IS 2
BP 69
EP 76
DI 10.1159/000479744
PD 2018
PY 2018
AB Purpose of the Study: (1) To develop a multifaceted didactic and
   hands-on curriculum to prepare otolaryngology residents to perform
   transoral robotic surgery (TORS) and safely transition to the operating
   room. (2) To assess the effectiveness of the TORS curriculum.
   Procedures: Learning objectives were developed and a curriculum was
   formulated utilizing five unique modalities: focused didactic reading,
   online training modules, backpack console simulations, videos of TORS
   cases, and hands-on cadaveric dissections with the robotic surgical
   system in a simulated operating room. The trainees completed a nine-item
   self-assessment of their skill level using a Likert scale. Results: Five
   senior otolaryngology residents completed the TORS curriculum. Before
   and after the cadaveric dissections, there was improvement in each of
   the nine items assessed. Composite scores were calculated and there was
   significant improvement from predissection (15.2 +/- 2.2) to
   postdissection (31.4 +/- 1.9) (p = 0.002). Conclusions: The current
   study demonstrates the feasibility of implementing a multifaceted TORS
   curriculum which incorporates robotic cadaveric dissection for
   otolaryngology residents. Residents demonstrate marked improvement in
   skills with the TORS curriculum. A TORS curriculum which includes
   robotic cadaveric dissection can improve surgical skills and serve as a
   key component of residency TORS education. (C) 2018 S. Karger AG, Basel
RI Sharma, Arun/AAF-9343-2020
ZA 0
ZR 0
Z8 0
TC 5
ZS 0
ZB 0
Z9 5
U1 0
U2 1
SN 0301-1569
EI 1423-0275
UT WOS:000442611600003
PM 29847824
ER

PT J
AU Beukes, Bernice
   Kirstein, Marina
   Kunz, Rolien
   Nagel, Lynette
TI Innovators to laggards - how South African students adopted and
   perceived technologically enhanced learning
SO ACCOUNTING EDUCATION
VL 27
IS 5
SI SI
BP 513
EP 530
DI 10.1080/09639284.2017.1417875
PD 2018
PY 2018
AB The purpose of this study is to determine whether the information and
   communication technology (ICT) adoption profiles of accounting students
   at a South African university influenced their perceptions of the
   usefulness of a technologically enhanced learning (TEL) opportunity. The
   findings suggest that the South African accounting students' ICT
   adoption profiles differ from global profiles as their distribution
   curve is skewed to the left favouring ICT adoption. Statistically
   significant differences were noted between gender groups, but no
   culturally based digital divide emerged. Despite the differences noted,
   the majority of students, irrespective of ICT adoption profiles, their
   gender or population groups agreed that the learning value of an online
   simulation was more beneficial than traditional teaching methods. It can
   therefore be concluded that TEL opportunities, which add value to
   students' learning experience, will be well received by students
   irrespective of their ICT adoption profiles.
OI Kunz, Rolien/0000-0002-4106-7899; Beukes, Bernice/0000-0001-7503-1563
ZA 0
TC 5
Z8 0
ZB 0
ZR 0
ZS 0
Z9 5
U1 0
U2 3
SN 0963-9284
EI 1468-4489
UT WOS:000445165900005
ER

PT J
AU Valentini, Jan
   Flum, Elisabeth
   Schwill, Simon
   Krug, Katja
   Szecsenyi, Joachim
   Joos, Stefanie
TI Complementary and Integrative Medicine in Postgraduate Training Programs
   in Germany: An Assessment among Family Medicine Trainees
SO COMPLEMENTARY MEDICINE RESEARCH
VL 25
IS 4
BP 233
EP 239
DI 10.1159/000485319
PD 2018
PY 2018
AB Background: In undergraduate medical education, classical naturopathy
   and complementary medicine are included in the German Medical Licensure
   Act. However, they are not implemented in postgraduate family medicine
   training programs so far. It is uncertain if and to what extent
   vocational trainees are exposed to complementary and integrative
   medicine during postgraduate education. The aim of the present study was
   to assess attitudes towards the field of complementary medicine and to
   identify needs among postgraduate trainees relating to family medicine
   training. Methods: We conducted a mixed online- and paper-based survey
   in trainees participating in the vocational family medicine training
   program 'Verbundweiterbildung(plus) Baden-Wurttemberg' in the federal
   State of Baden-Wurttemberg, Germany. Results: In total, 138 vocational
   trainees participated in the survey. The results showed that
   postgraduate family medicine trainees were highly interested in
   complementary medicine. However, they felt uncertain with regard to
   practical topics (e.g., regulation and evidence). The vast majority of
   the trainees would support the implementation of complementary-medicine
   training in the postgraduate family medicine program. Conclusions: It
   needs to be discussed whether basic competences in the field of
   complementary and integrative medicine should be integrated into
   postgraduate training in family medicine. In Germany, basic competences
   could be incorporated in the competence-based curriculum for family
   medicine training of the German College of General Practitioners and
   Family Physicians (Deutsche Gesellschaft fur Allgemeinmedizin und
   Familienmedizin). (C) 2018 S. Karger GmbH, Freiburg.
RI Krug, Katja/AAV-5840-2020; Valentini, Jan/
OI Krug, Katja/0000-0002-9795-7954; Valentini, Jan/0000-0003-4870-1853
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
TC 2
Z9 2
U1 0
U2 3
SN 2504-2092
EI 2504-2106
UT WOS:000444120800006
PM 30056453
ER

PT J
AU Mills, Rachel
   Haga, Susanne B.
TI Qualitative user evaluation of a revised pharmacogenetic educational
   toolkit
SO PHARMACOGENOMICS & PERSONALIZED MEDICINE
VL 11
BP 139
EP 146
DI 10.2147/PGPM.S169648
PD 2018
PY 2018
AB Introduction: Pharmacogenetic (PGx) testing is a leading application for
   personalized and precision medicine; however, there are barriers,
   including limited provider and patient understanding, which affect its
   uptake. There is a need for tools that can enhance the patient and
   provider experience with testing and promoting the shared and informed
   decision-making.
   Materials and methods: In this study, we sought to gather additional
   feedback on a PGx toolkit comprised of four educational tools that had
   been previously evaluated through an online survey by pharmacists.
   Specifically, we conducted semi-structured interviews with pharmacists
   and members of the public regarding their understanding and utility of
   the toolkit and its individual components.
   Results: Participants found three of the four toolkit components, a test
   information sheet, flipbook, and results sheet, to be useful and
   important. The fourth component, results card, was viewed less
   favorably. Participants differed in their preference for medical jargon
   and detailed results nomenclature (namely star * alleles).
   Conclusion: User input during the development of educational materials
   is essential for optimizing utilization, effectiveness, and
   comprehension.
OI Mills, Rachel/0000-0003-4420-9503
Z8 0
ZB 4
ZS 0
ZA 0
ZR 0
TC 7
Z9 7
U1 2
U2 4
SN 1178-7066
UT WOS:000444394100001
PM 30214267
ER

PT J
AU DeFroda, Steven F.
   Bokshan, Steven L.
   Boulos, Alex
   Owens, Brett D.
TI Variability of online available physical therapy protocols from academic
   orthopedic surgery programs for arthroscopic meniscus repair
SO PHYSICIAN AND SPORTSMEDICINE
VL 46
IS 3
BP 355
EP 360
DI 10.1080/00913847.2018.1457933
PD 2018
PY 2018
AB Objectives: To evaluate the variability of arthroscopic meniscus repair
   rehabilitation protocols.
   Methods: Arthroscopic meniscus repair rehabilitation protocols from
   Accreditation Council for Graduate Medical Education (ACGME) accredited
   orthopedic surgery programs available online were included for review.
   Data collection was performed to evaluate recommended weight bearing
   status and immobilization as well as the presence or absence of
   recommended therapies, goals for progression of range of motion,
   functional milestones, and activity initiation time points within each
   protocol.
   Results: Out of 162 institutions available for review, 24 (14.8%)
   institutions made their protocol available on their website, with 28
   total protocols available. Initially following repair, 14 (50%) of the
   protocols allow for weight bearing as tolerated (WBAT). Of the 14
   protocols, which do not allow immediate weightbearing, average time to
   WBAT was 4.7 +/- 1.8 weeks. On average, immobilization was recommended
   for 6.5 +/- 2.1 weeks (range 4-12 weeks). A large majority of protocols
   gave recommendations for flexion to 90 degrees (24 protocols, range 1-8
   weeks), as well as full range of motion (22 protocols, range 6-16
   weeks). Active range of motion was recommended to begin at 0-6 weeks
   (average 3.8 +/- 1.9 weeks). Lastly, only 14 protocols (50%) gave an
   actual return to sport, with an average return recommended at 21.9 +/-
   3.4 weeks (range 12-24).
   Conclusion: A minority of ACGME-accredited orthopedic surgery programs
   make their meniscus repair rehabilitation protocols available online.
   Furthermore, protocols were found to be highly variable. This
   discrepancy may lead to confusion among therapists and patients.
ZB 0
TC 3
Z8 0
ZS 0
ZR 0
ZA 0
Z9 3
U1 0
U2 5
SN 0091-3847
EI 2326-3660
UT WOS:000443915700015
PM 29571265
ER

PT J
AU Cho, Edward Eun
   Bevilacqua, Elizabeth
   Brewer, Jeffrey
   Hassett, James
   Guo, Weidun Alan
TI Variation in the Practice of Central Venous Catheter and Chest Tube
   Insertions among Surgery Residents
SO JOURNAL OF EMERGENCIES TRAUMA AND SHOCK
VL 11
IS 1
BP 47
EP 52
DI 10.4103/JETS.JETS_124_15
PD JAN-MAR 2018
PY 2018
AB Objectives: Central venous catheter (CVC) and chest tube (CT) insertions
   are common bedside procedures frequently performed by surgery residents.
   Despite published guidelines, variability in the practice exists. We
   sought to characterize the surgery residents' practice patterns
   surrounding these two bedside procedures. Materials and Methods: Over
   the last 1 1/2 months of the academic year in 2012 and 2013, surgery
   residents across the US were surveyed online. Participants reported
   levels of agreement for 15 questions in a 5-point Likert scale format.
   Results: A total of 219 residents completed the survey. Majority of
   residents agreed that they received appropriate education and training.
   Over half of the respondents reported that they did not have attending
   staff physician's supervision during the procedures. Junior residents
   felt less confident in performing CVC or CT insertions. Those younger
   than 29 years old and of female sex were also less confident in
   performing CT insertion. Although almost all residents reported using
   maximal sterile barrier precautions, 7% reported not securing their
   gowns and another 7% reported inadequate draping of patients. About.
   reported no hand cleansing before the procedures. Those from community
   programs compared to university programs less frequently used
   antibiotics. Sixty-five percent of residents reported routine use of
   ultrasound for CVC insertion. Conclusion: Surgery residents do not
   strictly adhere to the guidelines for CVC and CT insertions, and there
   is substantial variation in the practice of the procedures, which may
   contribute to complications associated with these procedures. This
   survey opens new areas for in-service education, feedback, and practices
   for these procedures to reduce the risk of complications, especially the
   infectious one.
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
TC 3
Z9 3
U1 0
U2 0
SN 0974-2700
EI 0974-519X
UT WOS:000443842000010
PM 29628669
ER

PT J
AU Al-Hatem, Ahmed Isam
   Masood, Mona
   Al-Samarraie, Hosam
TI FOSTERING STUDENT NURSES' SELF-REGULATED LEARNING WITH THE SECOND LIFE
   ENVIRONMENT: AN EMPIRICAL STUDY
SO JOURNAL OF INFORMATION TECHNOLOGY EDUCATION-RESEARCH
VL 17
BP 285
EP 307
DI 10.28945/4110
PD 2018
PY 2018
AB Aim/Purpose This study investigated the potential use of Second Life
   (SL) to facilitate nursing students' confidence and motivation, as well
   as its impact on their self-regulated learning development.
   Background The current emphasis on nursing education in general has
   resulted in more consideration of different virtual learning
   environments as a means for assessing individuals' learning in a
   healthcare context.
   Methodology A quantitative research approach employing the survey method
   was used in this study. A model fit for Partial Least Squares (PLS)
   technique on 218 participants was produced to estimate the direct effect
   of environmental elements in terms of environment content design,
   environment interactivity, and environment functionality on student
   nurses' behaviour in terms of motivation and confidence. In addition,
   the direct effect of student nurses' behaviour on the development of
   their self-regulated learning was also examined and discussed. Two SL
   medical scenarios were designed to facilitate nurse students' mastery of
   the learning task.
   Contribution This study shows the potential of using SL for empowering
   nurses' self-regulated learning and collaborative learning. It extends
   the current understanding on how SL can assess nurses to learn about
   clinical related matters through the control of teleported characters
   (avatars), thus enhancing self-regulation.
   Findings This study found that SL content design, functionality, and
   interactivity can positively affect nursing students' learning by
   providing them with the necessary elements to stimulate their confidence
   and motivation. We also found that nursing students' confidence and
   motivation when using SL have significantly contributed to their
   self-regulated learning.
   Recommendations for Practitioners Findings from this study can help
   educational decision makers to consider the use of seamless learning
   environments, like the SL, to help students solve problems and generate
   alternative responses to their issues.
RI Masood, Mona/E-1292-2012; AL-SAMARRAIE, HOSAM/AAG-8941-2019
OI Masood, Mona/0000-0002-3200-8918; AL-SAMARRAIE,
   HOSAM/0000-0002-9861-8989
ZA 0
ZR 0
TC 6
ZS 1
ZB 0
Z8 0
Z9 7
U1 4
U2 24
SN 1547-9714
EI 1539-3585
UT WOS:000443556800003
ER

PT J
AU Gill, Christopher J.
   Ngoc Bao Le
   Halim, Nafisa
   Cao Thi Hue Chi
   Viet Ha Nguyen
   Bonawitz, Rachael
   Pham Vu Hoang
   Hoang Long Nguyen
   Phan Thi Thu Huong
   Williams, Anna Larson
   Ngoc Anh Le
   Sabin, Lora
TI mCME project V.2.0: randomised controlled trial of a revised SMS-based
   continuing medical education intervention among HIV clinicians in
   Vietnam
SO BMJ GLOBAL HEALTH
VL 3
IS 1
AR e000632
DI 10.1136/bmjgh-2017-000632
PD JAN 2018
PY 2018
AB Background Continuing medical education (CME) is indispensable, but
   costs are a barrier. We tested the effectiveness of a novel mHealth
   intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.
   Methods We enrolled HIV clinicians from three provinces near Hanoi. The
   6-month intervention consisted of (1) daily short message service
   multiple-choice quiz questions, (2) daily linked readings, (3) links to
   online CME courses and (4) feedback messages describing the performance
   of the participant relative to the group. Control participants had equal
   access to the online CME courses. Our primary endpoint was utilisation
   of the online CME courses; secondary endpoints were self-study
   behaviour, performance on a standardised medical exam and job
   satisfaction.
   Results From 121 total HIV clinicians in the three provinces, 106
   (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%)
   participants completed the endline evaluations. Compared with controls,
   intervention participants were more likely to use the CME courses (risk
   ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use
   (P<0.001)). Intervention participants increased self-study behaviours
   over controls in terms of use of medical textbooks (P<0.01), consulting
   with colleagues (P<0.01), searching on the internet (P<0.001), using
   specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment
   guidelines (P=0.02) and searching the scientific literature (P=0.09).
   Intervention participants outperformed controls on the exam (+23% vs
   +12% score gains, P=0.05) and had higher job satisfaction.
   Conclusion The mCME V.2.0 intervention improved self-study behaviour,
   medical knowledge and job satisfaction. This approach has potential for
   expansion in Vietnam and similar settings.
OI gill, christopher/0000-0003-3353-0617; Halim, Nafisa/0000-0002-6529-4455
Z8 0
ZS 0
ZB 0
ZA 0
TC 5
ZR 0
Z9 5
U1 2
U2 4
SN 2059-7908
UT WOS:000429769800036
PM 29527350
ER

PT J
AU Barthen, Linda
   Ravens-Taeuber, Gisela
   Paulitsch, Michael A.
   Gerlach, Ferdinand M.
   Sennekamp, Monika
TI How can General Practice be incorporated longitudinally in medical
   studies? Students' views on the development of a new rural health
   program
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 3
AR Doc42
DI 10.3205/zma001188
PD 2018
PY 2018
AB Aim: Participation of medical students in the conceptual development of
   targeted and attractive teaching content for rural areas.
   Method: A questionnaire was developed to gather information on students'
   views of their current medical studies, career interests, and what
   requirements should be met by an optional rural health program in
   general practice. By means of an online survey in summer 2015, all
   medical students from the fourth preclinical semester onwards (n=2,150)
   at Goethe University Frankfurt were surveyed on one occasion.
   Statistical analysis was mainly descriptive. Personal attitudes towards
   a career as a family practitioner were examined for statistical
   significance. Further information was gathered on whether a measurable
   correlation exists between personal background and desired work
   location.
   Results: Of the 2,150 students that were contacted, 617 participated in
   the survey (response rate=28.7%). The results covered a wide range of
   ideas and recommendations and were representative both of medical
   students with a positive attitude toward general practice, as well as
   those that were rather critical of teaching in general practice. The
   students expected the planned health program to be of strong practical
   relevance and to acquaint them with the administrative and economic
   aspects of running a practice.
   Conclusions: By including the target group in the development process,
   it was possible to tailor the health program to meet the needs of future
   participants more precisely. Student participation can also be expected
   to result in greater acceptance of the program. The results on teaching
   content may also provide other medical faculties with orientation when
   developing comparable programs.
TC 2
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
Z9 2
U1 0
U2 0
SN 2366-5017
UT WOS:000441607500015
PM 30186952
ER

PT J
AU Mews, Claudia
   Schuster, Sylvie
   Heide, Christian Vajda
   Lindtner-Rudolph
   Schmidt, Luise E.
   Boesner, Stefan
   Guezelsoy, Leyla
   Kressing, Frank
   Hallal, Houda
   Peters, Tim
   Gestmann, Margarita
   Hempel, Linn
   Gruetzmann, Tatjana
   Sievers, Erika
   Knipper, Michael
TI Cultural Competence and Global Health: Perspectives for Medical
   Education - Position paper of the GMA Committee on Cultural Competence
   and Global Health
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 3
AR Doc28
DI 10.3205/zma001174
PD 2018
PY 2018
AB Introduction: Routine medical care in Germany, Austria and Switzerland
   is being increasingly impacted by the cultural and linguistic diversity
   of an ever more complex world. Both at home and as part of international
   student exchanges, medical students are confronted with different ways
   of thinking and acting in relation to health and disease. Despite an
   increasing number of courses on cultural competence and global health at
   German-speaking medical schools, systematic approaches are lacking on
   how to integrate this topic into medical curricula.
   Methodological approach: This paper is based on a structured
   consensus-building process by a multidisciplinary committee composed of
   faculty and students. In a first step, a qualitative online survey was
   carried out in order to establish an inventory of definitions and
   concepts. After the second step, in which a literature search was
   conducted and definitions of global health and transcultural and
   intercultural competence were clarified, recommendations were formulated
   regarding content, teaching and institutional infrastructure. Based on
   small-group work and large-group discussions, different perspectives and
   critical issues were compiled using multiple feedback loops that served
   to ensure quality.
   Results: An inventory on the national and international level showed
   that great heterogeneity exists in regard to definitions, teaching
   strategies, teaching formats and faculty qualification. Definitions and
   central aspects considered essential to medical education were thus
   established for the use of the terms cultural competence and global
   health. Recommendations are given for implementation, ranging from
   practical realization to qualification of teaching staff and education
   research.
   Outlook: High-quality healthcare as a goal calls for the systematic
   internationalization of undergraduate medical education. In addition to
   offering specific courses on cultural competence and global health,
   synergies would be created through the integration of cultural
   competence and global health content into the curricula of already
   existing subject areas. The NKLM (the national competence-based
   catalogue of learning objectives for undergraduate medical education)
   would serve as a basis for this.
OI Knipper, Michael/0000-0002-8469-7575
ZA 0
ZR 0
Z8 0
ZB 2
TC 25
ZS 0
Z9 25
U1 2
U2 7
SN 2366-5017
UT WOS:000441607500001
PM 30186938
ER

PT J
AU Schreitmueller, Julia
   Becker, Jan C.
   Zsebedits, Daniel
   Mahboobeh, Marvin Weskott
   Dehghan-Nayyeri
   Fegeler, Christian
   Heue, Matthias
   Hochleitner, Margarethe
   Kindler-Roehrborn, Andrea
   Pfleiderer, Bettina
TI Development and initial Experience of an online Exchange Platform on Sex
   and Gender Aspects in Medicine: "GenderMed-Wiki"
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 3
AR Doc32
DI 10.3205/zma001178
PD 2018
PY 2018
AB Goal: Knowledge about sex/gender aspects in medicine is often lacking,
   even though this serves as base for individualized patient-centered
   care. Thus we developed an online exchange platform on sex and gender
   aspects in medicine: GenderMed-Wiki [www.gendermed-wiki.de]. This was
   funded by the German Federal Ministry of Education and Research (BMBF;
   FKZ: 01FP1506). Our goal is to facilitate the integration of sex and
   gender in all areas of medicine. Therefore we evaluated if
   "GenderMed-Wiki" is suitable to provide knowledge on sex and gender
   aspects in medicine adequately.
   Methods: Qualitative evaluation of GenderMed-Wiki was done 6 months
   after project start by 4 focus groups with a total of 30 participants
   (students, lecturers, physicians, and the public). The discussions in
   each focus group were minuted, requirements pooled and new categories
   derived inductively. After further optimization of the platform a
   quantitative survey was done by an online questionnaire (SoSci Survey).
   149 students of the medical faculties of Muenster and Duisburg-Essen (as
   well as students of dentistry from the medical faculty of Muenster)
   participated (return rate of 3.3%). Evaluation of the content of the
   articles was done by assessing three professional articles: Sex/gender
   and medicine (both study courses medicine and dentistry), depression
   (medicine only) and periodontitis (dentistry only). The results were
   reported in relative and absolute frequencies and associations were
   assessed by Chi-Quadrat-tests.
   Results: Four categories which needed further optimization were deducted
   from the responses given by our focus groups prior to evaluation:
   aspects related to content, technical requirements, usability of the
   platform and legal challenges. Most of the students found GenderMed-Wiki
   to be informative, however they didn't think it to be relevant for their
   current studies. In contrast, many thought that the platform may be
   useful when working as physicians. Students who reported that topics
   related to sex and gender were not of importance to them, evaluated the
   platform more neutrally and answered questions related to sex/gender in
   depression more often incorrectly.
   Conclusions: Focus groups are a useful approach to identify necessary
   changes in projects in a systematic way. After further optimizations,
   GenderMed-Wiki seems to be suitable to facilitate the integration of
   sex/gender into medical teachings. It is of importance, however, to
   change the attitude of students towards sex/gender sensitive medicine
   (e.g. by integration into the medical curriculum), since this influences
   strongly how this platform is perceived and how someone deals with its
   contents.
ZB 0
Z8 0
ZS 0
ZA 0
TC 5
ZR 0
Z9 5
U1 1
U2 7
SN 2366-5017
UT WOS:000441607500005
PM 30186942
ER

PT J
AU Westermann, Leonard
   Zisimidou, Barbara
   Simons, Marvin
   Zellweger, Rene
   Baschera, Dominik
TI Self-evaluation of present clinical skills by medical students in the
   years 3 to 6 - a pilot study in four European countries
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 3
AR Doc36
DI 10.3205/zma001182
PD 2018
PY 2018
AB Background: Clinical training concepts of medical students differ in the
   various European countries. The goal of this paper is to study the
   differences at the beginning of medical practice in specific clinical
   skills on an international level.
   Methods: The data were collected by a publically accessible online
   questionnaire online from February to June 2010. The participants in the
   study were recruited through the official letter sent by deaneries and
   student organisations. Two thousand nine hundred and seven medical
   students participated in the online survey. From study years 1 to 6,
   2406 valid data records (67.3 percent female; 32.7 percent male) from
   four different European countries were sent. The skills in the
   questionnaire included patient consultation and anamnesis, physical
   examination, auscultation, gypsum and bandage dressing, suture
   techniques, venepuncture, and laying of indwelling catheters.
   Results: One thousand six hundred and twenty-nine data records of
   medical students in their training years 3 to 6 were assessed. The
   average age of the students was 24.7 years. On a scale from 1 to 10, the
   average satisfaction of the students with theirmedical faculty was 6.47
   (+/- 2.07); the assessment of the preparation for the clinical
   activities was 4.72 (+/- 2.13). By comparison, British students
   indicated most satisfaction with their training (6.70 +/- 1.85). With
   respect to the clinical skills, the students interviewed felt safest in
   patient consultation and anamnesis (7.63 +/- 2.13) followed by blood
   sampling (7.46 +/- 2.29). The topics of surgical suturing techniques
   (4.40 +/- 2.81) and the gypsum and bandaging techniques (2.63 +/- 2.23)
   were taught worst subjectively.
   Discussion: The training of medical students in basic clinical skills is
   an essential part of the studies. This study was able to demonstrate
   that the subjective trust of medical students in their personal skills
   positively correlated with the satisfaction with their own university.
   The results pointed out that future curricula of universities could
   profit from an increased focus on clinical skills.
RI Dominik, Baschera/AAI-1953-2021
OI Dominik, Baschera/0000-0002-9634-9922
ZB 0
TC 0
ZS 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 0
SN 2366-5017
UT WOS:000441607500009
PM 30186946
ER

PT J
AU Franks, Amy M.
TI Design and Evaluation of a Longitudinal Faculty Development Program to
   Advance Scholarly Writing Among Pharmacy Practice Faculty
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 82
IS 6
BP 654
EP 659
AR 6556
PD 2018
PY 2018
AB Objective. To describe the design and evaluation of a six-month
   longitudinal faculty development program designed to promote experience
   and skills in scholarly writing among pharmacy practice faculty.
   Methods. Writer's Block uses a scheduled weekly writing time, peer
   support, and multiple accountability measures to promote progress in
   manuscript writing. Faculty participation, satisfaction, and manuscript
   writing progress were used to evaluate the program's success.
   Demographic data describing faculty participation in at least one of
   three cohorts of Writer's Block were collected. Satisfaction was
   determined using an anonymous online survey. Writing progress was
   determined through reporting of weekly manuscript word counts and
   submission to a peer-reviewed journal.
   Results. Twelve assistant professors participated in one or more program
   cohorts to develop 20 manuscripts. Twelve (60%) manuscripts were
   submitted to a peer-reviewed journal. Of these, 10 (83%) have been
   published or accepted for publication, and one (8%) is undergoing peer
   review. The majority of participants agreed or strongly agreed that the
   program was helpful in starting and advancing manuscript writing.
   Specific program components meant to encourage writing accountability,
   such as monthly meetings, reporting word counts, and setting a weekly
   writing schedule, were highly valued.
   Conclusion. This program is the first described writing-focused faculty
   development program among pharmacy practice faculty. It successfully
   engaged pharmacy practice faculty members in the scholarly writing
   process, evidenced by participation in the program, participant
   satisfaction, and documented progress in manuscript development.
RI Franks, Amy M./AAD-7429-2019
OI Franks, Amy M./0000-0002-7744-5337
TC 12
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
Z9 12
U1 0
U2 1
SN 0002-9459
EI 1553-6467
UT WOS:000442760100008
PM 30181674
ER

PT J
AU Hoffmann-Longtin, Krista
   Organ, Jason M.
   Helphinstine, Jill V.
   Reinoso, Deanna R.
   Morgan, Zachary S.
   Weinstein, Elizabeth
TI Teaching advocacy communication to pediatric residents: the efficacy of
   applied improvisational theater (AIT) as an instructional tool
SO COMMUNICATION EDUCATION
VL 67
IS 4
SI SI
BP 438
EP 459
DI 10.1080/03634523.2018.1503314
PD 2018
PY 2018
AB In today's communication landscape, the public often turn to the
   Internet and social media instead of their physician for health
   information. To remain relevant and respected amidst the wealth of
   health information available online, physicians need to offer something
   the Internet cannot fully emulate: empathetic imagination and an ability
   to instantaneously tailor messages to reach and teach worried and often
   confused audiences effectively. We developed an instructional
   communication module for pediatric residents that used applied
   improvisational theater to help residents develop complex and dynamic
   communication skills. The module included opportunities to develop
   empathy, practice audience analysis, distill messages to key points, and
   apply these skills in media and community contexts. Attendees completed
   surveys regarding their perceptions of curricular structure, efficacy,
   and utility. Preliminary results indicate gains in communication
   confidence and skills. This type of instructional communication and
   training module encourages healthcare practitioners to position
   themselves as trusted experts and partners in helping clients make
   meaning of health information, thus empowering a new generation of
   pediatricians to bridge communication gaps created by new technologies
   and increased access to multiple information sources.
RI Hoffmann-Longtin, Krista/AAT-8908-2020; Reinoso, Deanna/; Organ, Jason/; Weinstein, Elizabeth/
OI Hoffmann-Longtin, Krista/0000-0002-5625-3977; Reinoso,
   Deanna/0000-0002-6598-8908; Organ, Jason/0000-0001-8462-0271; Weinstein,
   Elizabeth/0000-0002-6074-0604
Z8 0
TC 9
ZR 0
ZA 0
ZB 3
ZS 0
Z9 9
U1 1
U2 3
SN 0363-4523
EI 1479-5795
UT WOS:000442903600003
ER

PT J
AU De la Garza, Maria Mendoza
   Tieu, Christina
   Schroeder, Darrell
   Lowe, Kathleen
   Tung, Ericka
TI Evaluation of the Impact of a senior mentor program on medical students'
   geriatric knowledge and attitudes toward older adults
SO GERONTOLOGY & GERIATRICS EDUCATION
VL 39
IS 3
BP 316
EP 325
DI 10.1080/02701960.2018.1484736
PD 2018
PY 2018
AB Medical schools throughout the country struggle with how best to train
   students to provide quality, patient-centered care to the burgeoning
   population of older adults. The Senior Sages Program (SSP) is a
   longitudinal Senior Mentor Program (SMP) that offers students the
   opportunity to learn about the aging process and core geriatric medicine
   concepts through the eyes of an aging expert: their Senior Sage. The SSP
   marries a robust electronic curriculum with an SMP and online discussion
   board. The aim of this program evaluation was to measure the impact on
   students' geriatric knowledge and attitudes toward older adults. This
   asynchronously facilitated course improved students' geriatric knowledge
   and facilitated stability of positive attitudes toward older adults. The
   majority of students felt that their SSP interactions were meaningful
   and valuable to their clinical development. The combination of SMP and
   electronic curricula offer a feasible, practical way to bridge the
   geriatric training chasm.
Z8 0
ZA 0
ZB 1
ZS 1
TC 6
ZR 0
Z9 6
U1 1
U2 8
SN 0270-1960
EI 1545-3847
UT WOS:000442297200005
PM 29912653
ER

PT J
AU Gregory, K. P.
   Matthew, S. M.
   Baguley, J. A.
TI Analysis of the costs of veterinary education and factors associated
   with financial stress among veterinary students in Australia
SO AUSTRALIAN VETERINARY JOURNAL
VL 96
IS 1-2
BP 11
EP 16
DI 10.1111/avj.12655
PD JAN-FEB 2018
PY 2018
AB Objective To investigate the course-related and other costs involved in
   obtaining a veterinary education in Australia and how these costs are
   met. The study also aimed to identify sociodemographic and
   course-related factors associated with increased financial stress.
   Methods Students from seven Australian veterinary schools were surveyed
   using an online questionnaire. A total of 443 students participated
   (response rate 17%). Responses to survey items relating to finances,
   employment and course-related costs were compared with sociodemographic
   factors and prior research in the area of student financial stress.
   Results Respondents reported spending a median of A$ 300 per week on
   living costs and a median of A$ 2,000 per year on course-related
   expenses. Over half of respondents received the majority of their income
   from their parents or Youth Allowance (56%). A similar proportion (55%)
   reported that they needed to work to meet basic living expenses.
   Circumstances and sociodemographic factors linked to perceived financial
   stress included requiring additional finances to meet unexpected costs
   during the course; sourcing additional finances from external loans; an
   expected tuition debt at graduation over A$ 40,000; being 22 years or
   older; working more than 12 hours per week; living costs above A$ 300
   per week; and being female.
   Conclusion The costs involved in obtaining a veterinary education in
   Australia are high and over half of respondents are reliant on parental
   or Government income support. Respondents with certain sociodemographic
   profiles are more prone to financial stress. These findings may have
   implications for the psychological health, diversity and career plans of
   veterinary students in Australia.
OI Matthew, Susan/0000-0003-0683-5976
ZB 3
TC 10
ZS 0
ZR 0
ZA 0
Z8 0
Z9 10
U1 0
U2 9
SN 0005-0423
EI 1751-0813
UT WOS:000423520000004
PM 29231249
ER

PT J
AU Aihara, Hiroyuki
   Kumar, Nitin
   Thompson, Christopher C.
TI A Web-Based Education Program for Colorectal Lesion Diagnosis with
   Narrow Band Imaging Classification
SO DIGESTION
VL 98
IS 1
BP 11
EP 18
DI 10.1159/000486481
PD 2018
PY 2018
AB Background: An education system for narrow band imaging (NBI)
   interpretation requires sufficient exposure to key features. However,
   access to didactic lectures by experienced teachers is limited in the
   United States. Aim: To develop and assess the effectiveness of a
   colorectal lesion identification tutorial. Methods: In the image
   analysis pretest, subjects including 9 experts and 8 trainees
   interpreted SO white light (WL) and 50 NBI images of colorectal lesions.
   Results were not reviewed with subjects. Trainees then participated in
   an online tutorial emphasizing NBI interpretation in colorectal lesion
   analysis. A post-test was administered and diagnostic yields were
   compared to pre-education diagnostic yields. Results: Under the NBI
   mode, experts showed higher diagnostic yields (sensitivity 91.5%
   [87.3-94.4], specificity 90.6% [85.1-94.2], and accuracy 91.1%
   [88.5-93.7] with substantial interobserver agreement [K value 0.71])
   compared to trainees (sensitivity 89.6% [84.8-93.0], specificity 80.6%
   [73.5-86.3], and accuracy 86.0% [82.6-89.2], with substantial
   interobserver agreement [K value 0.69]). The online tutorial improved
   the diagnostic yields of trainees to the equivalent level of experts
   (sensitivity 94.1% [90.0-96.6], specificity 89.0% [83.0-93.2], and
   accuracy 92.0% [89.3-94.7], p < 0.001 with substantial interobserver
   agreement [K value 0.78]). Conclusions: This short, online tutorial
   improved diagnostic performance and interobserver agreement. (C) 2018 S.
   Karger AG, Basel
ZR 0
ZA 0
ZB 0
TC 2
Z8 1
ZS 0
Z9 3
U1 0
U2 1
SN 0012-2823
EI 1421-9867
UT WOS:000436129800002
PM 29672309
ER

PT J
AU Lean, Qi Ying
   Ming, Long Chiau
   Wong, Yuet Yen
   Neoh, Chin Fen
   Farooqui, Maryam
   Muhsain, Siti Nur Fadzilah
TI Validation of online learning in pharmacy education: Effectiveness and
   student insight
SO PHARMACY EDUCATION
VL 18
IS 1
BP 135
EP 142
PD 2018
PY 2018
AB This study aimed to evaluate the effectiveness in terms of knowledge
   change pre- and post-online learning and to explore Malaysian pharmacy
   students' perception and acceptance of online learning. An independent
   web-based learning module was developed for a module on basic patient
   counselling skills for pharmacy students of a Malaysian public
   university. Out of a total of 124 students, 120 (96.8%) students
   participated in the study and completed an assessment and feedback
   survey. Students' knowledge scores were found to have significantly
   improved after completing the online learning activity, with a 47.9 +/-
   25.1% (p < 0.001) improvement. Overall, more than 90% of students agreed
   that the online module was useful for new topic learning and revising,
   provided relevant content, which was arranged in a clear and logical
   manner, and thus facilitated their understanding. The majority of
   students reported to have enjoyed and satisfied with the online
   learning. More than half of them agreed that online learning was
   time-saving, allowed self-paced learning and improved their confidence
   level.
RI Lean, Qi Ying/G-1680-2019; Ming, L C/J-5210-2015; Wong, Yuet Yen/B-2388-2010; Farooqui, Maryam/
OI Lean, Qi Ying/0000-0003-0331-8607; Ming, L C/0000-0002-6971-1383; Wong,
   Yuet Yen/0000-0001-8203-2847; Farooqui, Maryam/0000-0002-3380-5855
TC 10
ZS 0
ZB 0
Z8 0
ZR 0
ZA 0
Z9 10
U1 0
U2 7
SN 1560-2214
EI 1477-2701
UT WOS:000441902000018
ER

PT J
AU Triepels, C. P. R.
   Koppes, D. M.
   Van Kuijk, S. M. J.
   Popeijus, H. E.
   Lamers, W. H.
   van Gorp, T.
   Futterer, J. J.
   Kruitwagen, R. F. P. M.
   Notten, K. J. B.
TI Medical students' perspective on training in anatomy
SO ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER
VL 217
BP 60
EP 65
DI 10.1016/j.aanat.2018.01.006
PD 2018
PY 2018
AB Gaining sufficient knowledge of anatomy is an important part of medical
   education. Factors that influence how well students learn anatomical
   structures include available sources, learning time and study
   assistance. This study explores the attitude of medical students with
   regard to studying anatomy and evaluates possibilities for improvement
   of training in anatomy. Twenty medical students participated in a focus
   group meeting. Based on this focus group, an online survey consisting of
   27 questions was developed and distributed amongst medical students of
   Maastricht University, the Netherlands. A total of 495 medical students
   (both Bachelor and Master level) participated in this survey. Master
   students found studying anatomy less attractive than Bachelor students
   (36.8% of the Master students vs. 47.9% of the Bachelor students (p =
   .024)). Although most students responded that they thought it is
   important to study anatomy, 48% of all students studied anatomy less
   than 10 h per study block of 8 weeks. Only 47.9% of the students rated
   their knowledge of anatomy as adequate. Students suggested that
   three-dimensional techniques would help improve their knowledge of
   anatomy. Therefore investing in three-dimensional tools could prove
   beneficial in the future. (C) 2018 Elsevier GmbH. All rights reserved.
RI van Kuijk, Sander/AAH-3239-2021; Van Gorp, Toon/H-3235-2011; Notten, kim j.b./AAP-4651-2020; Fütterer, Jürgen J/A-1455-2014; Lamers, Wouter H./D-2965-2012; van Kuijk, Sander/; Van Gorp, Toon/
OI Van Gorp, Toon/0000-0002-1573-8716; van Kuijk,
   Sander/0000-0003-2796-729X; Van Gorp, Toon/0000-0002-2564-721X
ZR 0
ZS 1
ZA 0
ZB 3
TC 14
Z8 0
Z9 15
U1 0
U2 6
SN 0940-9602
EI 1618-0402
UT WOS:000438327100010
PM 29501634
ER

PT J
AU Freeman, Georgia
   Smith, Lucy Watchirs
   Mcnulty, Anna
   Donovan, Basil
TI Sexual health and students: the pathways travelled by those with sexual
   health concerns
SO SEXUAL HEALTH
VL 15
IS 1
BP 76
EP 78
DI 10.1071/SH17083
PD 2018
PY 2018
AB The aim of this study was to identify the type of research (Internet,
   phone lines, friends, family, media or medical journal) undertaken by
   university students with sexual health concerns, and the effect this
   research had on their healthcare-seeking behaviour. The Internet was the
   most common (46%) first point of call for health information, closely
   followed by doctors (40%). Of those who undertook extra research, the
   majority subsequently went to a doctor. Health practitioners need to be
   aware of this tendency for independent research.
RI Donovan, Basil J/K-1246-2012
OI Donovan, Basil J/0000-0001-8851-4126
Z8 0
ZA 0
ZR 0
ZS 0
TC 6
ZB 1
Z9 6
U1 0
U2 2
SN 1448-5028
EI 1449-8987
UT WOS:000423978400010
PM 29050552
ER

PT J
AU Anderson, Ian
   Corns, Robert
   Thomson, Simon
TI Evaluation of a national neurosurgical formative examination: the UK
   experience
SO BRITISH JOURNAL OF NEUROSURGERY
VL 32
IS 3
BP 269
EP 272
DI 10.1080/02688697.2018.1476672
PD 2018
PY 2018
AB Introduction: Formative assessment is a key component in medical
   education and that it is a helpful process for all involved. Until
   recently there was no national formative examination for neurosurgical
   trainees. The Neurosurgery Annual in Training Examination (NAiTE) is an
   annual online, formative assessment that was introduced in 2014. In this
   paper, we seek to discuss how well NAiTE relates to established
   educational practice and principles and its fitness for purpose by
   discussing its rationale, structure and utility.
   Methods: A national online examination was introduced in 2014. The NAiTE
   consists of 100 single best answer multiple choice questions. The
   examination and questions with were reviewed and the global results
   presented. The existing literature and educational theory are used to
   guide subjective assessment of the process.
   Results: In 2016, 191 candidates participated in the NAiTE, of whom 154
   were trainees working in UK neurosurgical units. The mean score for
   early stage UK trainees (years 1-3) was 52.4%, intermediate (years 4-5)
   58.5% and senior (years 6-8) 65.4%. The NAiTE was found to be a reliable
   (Cronbach-Alpha of 0.89) and valid assessment of trainees with scores
   approximating those attained in the Intercollegiate Specialty
   Examination itself.
   Discussion: Potential areas for improvement are highlighted, including
   reference to some that have already been implemented.
   Conclusion: Overall, the examination is a cheap, viable and reliable
   means of testing trainees and encouraging their onward development and
   learning as they work towards the Intercollegiate Specialty Examination
Z8 0
ZA 0
ZS 0
ZB 0
TC 1
ZR 0
Z9 1
U1 0
U2 1
SN 0268-8697
EI 1360-046X
UT WOS:000440350400009
PM 29792336
ER

PT J
AU Gostelow, N.
   Barber, J.
   Gishen, F.
   Berlin, A.
TI Flipping social determinants on its head: Medical student perspectives
   on the flipped classroom and simulated patients to teach social
   determinants of health
SO MEDICAL TEACHER
VL 40
IS 7
BP 728
EP 735
DI 10.1080/0142159X.2018.1436757
PD 2018
PY 2018
AB Background: Inequalities in healthcare are increasing. Engaging medical
   students to tackle this urgent challenge alongside clinical sciences can
   be demanding. This study examines medical student perceptions of a
   flipped approach to health inequalities co-designed by faculty and
   sixth-year students.
   Innovation: A flipped learning session was piloted for year 4 medical
   students combining an online lesson followed by a tutorial with a
   simulated patient.
   Methods: A mixed-methods approach collected questionnaire data using
   4-point Likert scales and free text answers. A semi-structured group
   interview was conducted with six voluntary participants.
   Results: Two hundred and eighty-nine students completed questionnaires.
   85% (n = 246) completed the online lesson. Students agreed the session
   helped their understanding of key concepts (mean 3.2), was improved by
   having an actor (mean = 3.6), and was enjoyable (mean = 3.2). Thematic
   analysis of qualitative questionnaire and interview data revealed three
   themes: engagement; structure; and attitudes towards social determinants
   of health. The simulation increased clinical relevance and students
   gained understanding of the impact of health inequalities upon
   individuals.
   Conclusions: This paper indicates flipped learning can increase clinical
   relevance and engagement in population health and person-centered care.
   Further work could assess changes in practice and attitudes of future
   doctors in tackling such global health challenges.
ZS 0
ZA 0
TC 5
ZR 0
Z8 0
ZB 0
Z9 5
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000440364400012
PM 29457923
ER

PT J
AU Peirce, Kelli
   Roberts, Peter
   Ali, Jaffar
   Coombes, Jacqui
   Matson, Phillip
TI A survey of scientists' awareness of and attitudes to the use of human
   blood products and alternatives in human assisted reproductive
   technology
SO HUMAN FERTILITY
VL 21
IS 3
BP 174
EP 182
DI 10.1080/14647273.2017.1334131
PD 2018
PY 2018
AB Scientists working in assisted reproduction [members of Scientists in
   Reproductive Technology (SIRT) Australia, and subscribers of the online
   forums EmbryoMail and Quartec] were invited to complete an online
   questionnaire on the use of human blood products in assisted
   reproductive technologies (ART). A total of 260 started the
   questionnaire, with 208 (80%) completing it. A total of 62% of
   respondents had worked in human ART 8 years and 68% had post-graduate
   qualifications. The majority (82%) reported using products of animal or
   human origin, with 75% knowing why protein was added to culture media
   and 41% not worried by this. Almost half (49%) of respondents were
   unaware of regulations surrounding the use of human blood products in
   health care and 70% were unaware of adverse events involving human blood
   products in human ART. Most respondents (70%) indicated that they were
   not concerned about infections such as hepatitis, but agents such as
   prions were a cause for concern (57%). A total of 57% of respondents
   were unaware of alternatives, but 77% would use a suitable alternative.
   Using blood products in human ART is surrounded by a lack of awareness,
   often independent of respondents' qualifications or experience. A better
   understanding of these products and possible alternatives is required if
   informed decisions about their suitability are to be made.
ZR 0
ZB 0
ZS 0
ZA 0
TC 0
Z8 0
Z9 0
U1 0
U2 1
SN 1464-7273
EI 1742-8149
UT WOS:000439885600004
PM 28589740
ER

PT J
AU Bez, Camille
   Lepetit, Alexis
TI Psychiatric training during family medicine residency in France
SO ANNALES MEDICO-PSYCHOLOGIQUES
VL 176
IS 1
BP 48
EP 54
DI 10.1016/j.amp.2017.05.010
PD JAN 2018
PY 2018
AB Introduction. - One in four people around the world will suffer from
   mental health problems at some point in their lives, according to the
   World Health Organization. Individuals with psychiatric disorders suffer
   from isolation, stigmatisation and are facing difficult access to health
   care. General practitioners are often the first medical professionals
   involved in the care of patients suffering from psychiatric disorders.
   It seems essential that family medicine residents receive specialized
   training in mental health and psychiatry. However there is a lack of
   study describing the psychiatric training of future family practitioners
   during their residency. In France, there are 35 family medicine
   university departments within national boundaries, including overseas
   territories. Those family medicine departments are in charge of
   organizing the training during family medicine residency.
   Objectives. - Our objective was to assess the psychiatric training
   during family medicine residency in France, considering both the
   theoretical instruction and clinical practice.
   Materials and methods. - A transversal descriptive survey was carried
   out through an online questionnaire submitted to the 35 local family
   medicine residency representatives in France. They were questioned
   about: the existence of psychiatric courses during family medicine
   residency, and where applicable, the hourly amount of those courses,
   their mandatory nature, their content and the teaching methods and the
   existence of internships in psychiatric services offered to family
   medicine residents, and where applicable, their number and type.
   Results. - A psychiatric training is proposed by 29 departments (83%).
   The mean hourly amount is 10.6 hours +/- 8.7 (minimum of two hours,
   maximum of 30 hours) over the three-year residency concerning those 29
   departments. The following topics are the most frequently addressed:
   addiction (77% of 35 departments), psychological distress (49%),
   depressive and anxiety disorders (46%). Family practitioners mainly are
   assigned to the teaching task (80%). With regards to clinical practice,
   all the departments offer at least one internship in psychiatry. Those
   internships take place mostly in teaching hospitals (94%). Family
   medicine residents take part in psychiatric care in 83% of cases.
   Nevertheless, they contribute in 77% of cases involving somatic care
   only.
   Conclusions. - Psychiatric training during family medicine residency in
   France is inhomogeneous throughout the country. New pedagogic tools,
   more specialized teachers and more ambulatory care settings would
   improve this training. (C) 2017 Elsevier Masson SAS. All rights
   reserved.
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
TC 1
Z9 1
U1 0
U2 0
SN 0003-4487
EI 1769-6631
UT WOS:000439533900006
ER

PT J
AU Hibbert, M.
   Wolton, A.
   Crenna-Jennings, W.
   Benton, L.
   Kirwan, P.
   Lut, I.
   Okala, S.
   Ross, M.
   Furegato, M.
   Nambiar, K.
   Douglas, N.
   Roche, J.
   Jeffries, J.
   Reeves, I.
   Nelson, M.
   Weerawardhana, C.
   Jamal, Z.
   Hudson, A.
   Delpech, V.
TI Experiences of stigma and discrimination in social and healthcare
   settings among trans people living with HIV in the UK
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 30
IS 7
BP 836
EP 843
DI 10.1080/09540121.2018.1436687
PD 2018
PY 2018
AB The People Living with HIV StigmaSurvey UK 2015 was a community led
   national survey investigating experiences of people living with HIV in
   the UK in the past 12 months. Participants aged 18 and over were
   recruited through over 120 cross-sector community organisations and 46
   HIV clinics to complete an anonymous online survey. Trans is an umbrella
   term which refers to individuals whose current gender identity is
   different to the gender they were assigned at birth. Trans participants
   self-identified via gender identity and gender at birth questions.
   Descriptive analyses of reported experiences in social and health care
   settings were conducted and multivariate logistic regression analyses
   were used to identify sociodemographic predictors of reporting being
   treated differently to non-HIV patients, and being delayed or refused
   healthcare treatment in the past 12 months. 31 out of 1576 participants
   (2%) identified as trans (19 trans women, 5 trans men, 2 gender
   queer/non-binary, 5 other). High levels of social stigma were reported
   for all participants, with trans participants significantly more likely
   to report worrying about verbal harassment (39% vs. 23%), and exclusion
   from family gatherings (23% vs. 9%) in the last 12 months, compared to
   cisgender participants. Furthermore, 10% of trans participants reported
   physical assault in the last 12 months, compared to 4% of cisgender
   participants. Identifying as trans was a predictor of reporting being
   treated differently to non-HIV patients (48% vs. 30%; aOR 2.61, CI 1.06,
   6.42) and being delayed or refused healthcare (41% vs. 16%; aOR 4.58, CI
   1.83, 11.44). Trans people living with HIV in the UK experience high
   levels of stigma and discrimination, including within healthcare
   settings, which is likely to impact upon health outcomes. Trans-specific
   education and awareness within healthcare settings could help to improve
   service provision for this demographic.
OI delpech, valerie/0000-0002-9952-8109; Kirwan, Peter/0000-0001-6904-0500;
   Nambiar, Kate/0000-0001-8591-0203; Hibbert, Matthew/0000-0002-1759-455X
ZA 0
Z8 0
ZS 0
TC 13
ZB 0
ZR 0
Z9 13
U1 3
U2 11
SN 0954-0121
EI 1360-0451
UT WOS:000432629400005
PM 29409344
ER

PT J
AU Mahadevan, Swaminatha, V
   Walker, Rebecca
   Kalanzi, Joseph
   Stone, Luggya Tonny
   Bills, Corey
   Acker, Peter
   Apfeld, Jordan C.
   Newberry, Jennifer
   Becker, Joseph
   Mantha, Aditya
   Strehlow, Anne N. Tecklenburg
   Strehlow, Matthew C.
TI Comparison of Online and Classroom-based Formats for Teaching Emergency
   Medicine to Medical Students in Uganda
SO AEM EDUCATION AND TRAINING
VL 2
IS 1
BP 5
EP 9
DI 10.1002/aet2.10066
PD JAN 2018
PY 2018
AB Objectives: Severe global shortages in the health care workforce sector
   have made improving access to essential emergency care challenging. The
   paucity of trained specialists in low- and middle-income countries
   translates to large swathes of the population receiving inadequate care.
   Efforts to expand emergency medicine (EM) education are similarly
   impeded by a lack of available and appropriate teaching faculty. The
   development of comprehensive, online medical education courses offers a
   potentially economical, scalable, and lasting solution for universities
   experiencing professional shortages.
   Methods: An EM course addressing core concepts and patient management
   was developed for medical students enrolled at Makerere University
   College of Health Sciences in Kampala, Uganda. Material was presented to
   students in two comparable formats: online video modules and traditional
   classroom-based lectures. Following completion of the course, students
   were assessed for knowledge gains.
   Results: Forty-two and 48 students enrolled and completed all testing in
   the online and classroom courses, respectively. Student knowledge gains
   were equivalent (classroom 25 +/- 8.7% vs. online 23 +/- 6.5%, p =
   0.18), regardless of the method of course delivery.
   Conclusions: A summative evaluation of Ugandan medical students
   demonstrated that online teaching modules are effectively equivalent and
   offer a viable alternative to traditional classroom-based lectures
   delivered by on-site, visiting faculty in their efficacy to teach
   expertise in EM. Web-based curriculum can help alleviate the burden on
   universities in developing nations struggling with a critical shortage
   of health care educators while simultaneously satisfying the growing
   community demand for access to emergency medical care. Future studies
   assessing the long-term retention of course material could gauge its
   incorporation into clinical practice.
RI Apfeld, Jordan/AAC-5642-2019; Bills, Corey/AAJ-8200-2021; Apfeld, Jordan/; Strehlow, Matthew Charles/; Acker, Peter/; kalanzi, joseph/
OI Bills, Corey/0000-0002-3456-6008; Apfeld, Jordan/0000-0002-1309-0530;
   Strehlow, Matthew Charles/0000-0002-0049-9716; Acker,
   Peter/0000-0002-8783-9428; kalanzi, joseph/0000-0001-8623-3873
ZR 0
ZA 0
ZB 0
Z8 0
ZS 0
TC 6
Z9 6
U1 1
U2 1
EI 2472-5390
UT WOS:000770021300001
PM 30051058
ER

PT J
AU Williamson, Kelly
   Lank, Patrick M.
   Lovell, Elise O.
CA Emergency Med Educ Res Alliance EM
TI Development of an Emergency Medicine Wellness Curriculum
SO AEM EDUCATION AND TRAINING
VL 2
IS 1
BP 20
EP 25
DI 10.1002/aet2.10075
PD JAN 2018
PY 2018
AB Burnout, the triad of emotional exhaustion, depersonalization, and low
   personal accomplishment, begins early in medical education and the
   prevalence continues to increase over time among U.S. physicians. The
   Accreditation Council for Graduate Medical Education (ACGME) now
   requires that programs and sponsoring institutions have the same
   responsibility to address well-being as they do other aspects of
   resident competence. Yet, there are no studies published in the
   emergency medicine (EM) literature that discuss the development and
   institution of a formal wellness curriculum. The authors conducted a
   needs analysis among EM residents with the aim of creating a
   multifaceted 12-month wellness curriculum. The needs analysis determined
   that residents are not comfortable with their knowledge of wellness
   principles. In response, the authors developed a curriculum by
   integrating components of published non-EM wellness curricula and online
   academic wellness programs with commonly accepted domains of wellness.
   The curriculum was subsequently introduced at five EM residencies. This
   curriculum represents an example of successful multi-institution
   collaboration to meet an ACGME Common Program Requirement.
TC 10
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
Z9 10
U1 0
U2 1
EI 2472-5390
UT WOS:000770021300004
PM 30051061
ER

PT J
AU Grill, Joshua D.
   Hoang, Dan
   Gillen, Daniel L.
   Cox, Chelsea G.
   Gombosev, Adrijana
   Klein, Kirsten
   O'Leary, Steve
   Witbracht, Megan
   Pierce, Aimee
TI Constructing a Local Potential Participant Registry to Improve
   Alzheimer's Disease Clinical Research Recruitment
SO JOURNAL OF ALZHEIMERS DISEASE
VL 63
IS 3
BP 1055
EP 1063
DI 10.3233/JAD-180069
PD 2018
PY 2018
AB Potential participant registries are tools to address the challenge of
   slow recruitment to clinical research. In particular, registries may aid
   recruitment to secondary prevention clinical trials for Alzheimer's
   disease (AD), which enroll cognitively normal older individuals meeting
   specific genetic or biomarker criteria. Evidence of registry
   effectiveness is sparse, as is guidance on optimal designs or methods of
   conduct. We report our experiences of developing a novel local potential
   participant registry that implemented online enrollment and data
   collection. In the first year of operation, 957 individuals submitted
   email addresses to the registry, of whom 592 self-reported demographic,
   family history, and medical data. In addition, registrants provided
   information related to their interest and willingness to be contacted
   about studies. Local earned media and community education were the most
   effective methods of recruitment into the registry. Seventy-six (26%) of
   298 registrants contacted about studies in the first year enrolled in
   those studies. One hundred twenty-nine registrants were invited to
   enroll in a preclinical AD trial, of whom 25 (18%) screened and 6 were
   randomized. These results indicate that registries can aid recruitment
   and provide needed guidance for investigators initiating new local
   registries.
OI Hoang, Dan/0000-0002-8808-2236
TC 26
ZR 0
Z8 0
ZA 0
ZB 2
ZS 0
Z9 26
U1 1
U2 4
SN 1387-2877
EI 1875-8908
UT WOS:000433970800018
PM 29710723
ER

PT J
AU Smith, Glenn E.
   Chandler, Melanie
   Fields, Julie A.
   Aakre, Jeremiah
   Locke, Dona E. C.
TI A Survey of Patient and Partner Outcome and Treatment Preferences in
   Mild Cognitive Impairment
SO JOURNAL OF ALZHEIMERS DISEASE
VL 63
IS 4
BP 1459
EP 1468
DI 10.3233/JAD-171161
PD 2018
PY 2018
AB Background: The patient-centered movement in health care is increasing
   efforts to design studies and interventions that address the outcomes
   that matter most to patients and their families. Research has not
   adequately addressed Alzheimer's disease patient and caregiver
   preferences.
   Objective: To survey the outcome and treatment preferences of patients
   and caregivers who had completed a multicomponent behavioral
   intervention for mild cognitive impairment (MCI).
   Methods: Extending priorwork, we conducted an online survey regarding
   outcome and intervention preferences. Participants were patients with
   MCI and partners who completed the HABIT Healthy Action to Benefit
   Independence & Thinking (R) program.
   Results: Both patient and partner respondents ranked patient quality of
   life as the highest priority, followed by patient selfefficacy,
   functional status, patient mood, and patient memory performance.
   Distressing behaviors and caregiver outcomes (burden, mood, and
   self-efficacy) had low rankings. Regarding the importance of HABIT (R)
   program components, memory compensation training was ranked highest and
   wellness education lowest by all groups.
   Conclusion: Additional research should compare patient preference for
   patient reported outcomes, traditional neuropsychological and clinician
   outcomes, and modern biomarker outcomes.
Z8 0
ZR 0
ZB 7
TC 20
ZS 0
ZA 0
Z9 20
U1 0
U2 5
SN 1387-2877
EI 1875-8908
UT WOS:000433970000023
PM 29843239
ER

PT J
AU Pfitzer, Constanze
   Helm, Paul C.
   Rosenthal, Lisa-Maria
   Walker, Christoph
   Ferentzi, Hannah
   Bauer, Ulrike M. M.
   Berger, Felix
   Schmitt, Katharina R. L.
TI Educational level and employment status in adults with congenital heart
   disease
SO CARDIOLOGY IN THE YOUNG
VL 28
IS 1
BP 32
EP 38
DI 10.1017/S104795111700138X
PD JAN 2018
PY 2018
AB Purpose: Through this study we aimed to assess the educational level and
   employment status of adults with CHD in Germany. Methods: Data were
   acquired from an online survey carried out in 2015 by the German
   National Register for Congenital Heart Defects. A total of 1458 adults
   with CHD participated in the survey (response rate: 37.6%). For 1198
   participants, detailed medical information, such as main cardiac
   diagnosis and information from medical reports, was available. Results:
   Of the participants surveyed (n = 1198), 54.5% (n = 653) were female,
   and the mean age was 30 years. The majority of respondents (59.4%)
   stated that they had high education levels and that they were currently
   employed (51.1%). Patients with simple CHD had significantly higher
   levels of education (p < 0.001) and were more likely to be employed (p =
   0.01) than were patients with complex CHD. Conclusions: More than half
   of the participants had high education levels and the majority were
   employed. The association between CHD and its severity and individuals'
   educational attainment should be investigated more closely in future
   studies.
RI Schmitt, Katharina Rose Luise/AEU-1004-2022; Rosenthal, Lisa-Maria/AFS-1484-2022; Berger, Felix/; Rosenthal, Lisa-Maria/
OI Berger, Felix/0000-0001-7881-1557; Rosenthal,
   Lisa-Maria/0000-0003-4083-1186
ZA 0
ZS 0
ZR 0
Z8 0
TC 11
ZB 4
Z9 11
U1 0
U2 3
SN 1047-9511
EI 1467-1107
UT WOS:000417536300005
PM 28899436
ER

PT J
AU Pember, Sarah E.
TI The CDC Foundation's Health and Well- Being for All Meeting-in-a-Box
SO HEALTH PROMOTION PRACTICE
VL 19
IS 1
BP 8
EP 10
DI 10.1177/1524839917732560
PD JAN 2018
PY 2018
AB The conditions in which people live, work, play, and agethe social
   determinants of health (SDOH)have an impact on their health outcomes and
   behavior, sense of security, and patterns of community engagement. To
   encourage training and education related to the health effects of the
   SDOH, the Centers for Disease Control and Prevention Foundation created
   the Health and Well-Being for All meeting-in-a-box resource. This online
   resource acts as a guide for group collaboration and education related
   to understanding SDOH effects on health and practicing methods for
   addressing those effects at the community level, and can be used with a
   variety of groups, including community coalitions, health education
   students, and medical professionals. Three case study-based
   modulesasthma, obesity, and gang violencelead participants through a
   six-step process of activities that address the SDOH in context,
   identifies opportunities and threats, and provides practice in
   developing collaborations and enacting change in the community. Despite
   some potential limitations with length and group dynamics, the
   experience of evaluating a health condition through the lens of the SDOH
   can encourage holistic views of health and increase attention to the
   upstream causes of negative health outcomes.
ZR 0
ZS 0
ZA 0
ZB 0
TC 0
Z8 0
Z9 0
U1 0
U2 3
SN 1524-8399
EI 1552-6372
UT WOS:000419039100002
ER

PT J
AU Roberts-Dobie, Susan
   Rasmusson, Addie
   Losch, Mary E.
TI The Speak UP! Salon Project: Using Hair Stylists as Lay Health Educators
   About Unintended Pregnancy
SO HEALTH PROMOTION PRACTICE
VL 19
IS 1
BP 31
EP 37
DI 10.1177/1524839917690334
PD JAN 2018
PY 2018
AB The Speak UP! Salon Project trained 126 hair stylists from 60 salons as
   lay health educators to increase knowledge about contraceptives and
   inform clients about financial support for long-acting reversible
   contraceptives at local family planning clinics. Stylists' informal
   social support system, combined with the rapport built with clients over
   time, make them excellent candidates for lay health educator projects.
   This 3-year salon-based intervention was implemented in nine counties in
   a Midwestern state. Results from a subsample of participants who
   completed an online questionnaire (n = 177) indicate that hair stylists
   are a feasible method to link target populations to health information
   and to the health care system. The benefits and challenges of collecting
   data in a salon environment are also discussed.
ZS 0
Z8 0
ZA 0
TC 5
ZR 0
ZB 0
Z9 5
U1 0
U2 0
SN 1524-8399
EI 1552-6372
UT WOS:000419039100006
PM 29161892
ER

PT J
AU White, Ben
   Willmott, Lindy
   Tilse, Cheryl
   Wilson, Jill
   Lawson, Deborah
   Pearce, Angela
   Dunn, Jeffrey
   Aitken, Joanne F.
   Feeney, Rachel
   Jowett, Stephanie
TI Community knowledge of law at the end of life: availability and
   accessibility of web-based resources
SO AUSTRALIAN HEALTH REVIEW
VL 42
IS 3
BP 266
EP 271
DI 10.1071/AH16234
PD 2018
PY 2018
AB Objective. The aim of the present study was to identify online resources
   community members may access to inform themselves about their legal
   duties and rights in end-of-life decision making.
   Methods. Resource mapping identified online resources that members of
   the public in New South Wales, Victoria and Queensland are likely to
   identify, and assessed the ease or difficulty in locating them.
   Resources were then critically analysed for accessibility of language
   and format using the Patient Education Materials Assessment Tool
   (PEMAT).
   Results. Identified resources differed considerably based on whether
   search terms identified by community members or experts were used. Most
   resources focused on advance directives, enduring powers of attorney and
   substitute decision making. Relatively fewprovided information about
   legal duties (e.g. powers and responsibilities of substitute
   decisionmakers) or resolving conflict with health practitioners.
   Accessibility (understandability and actionability) of resource content
   varied.
   Conclusions. Although numerous resources on end-of-life law are
   available online, community members may not be able to identify relevant
   resources or find resource content accessible.
RI Jowett, Stephanie/AAN-9118-2021; Tilse, Cheryl/AAH-2155-2019; White, Ben/; Tilse, Cheryl/A-1266-2008; Dunn, Jeff/; Aitken, Joanne Frances/
OI Jowett, Stephanie/0000-0002-0009-628X; White, Ben/0000-0003-3365-939X;
   Tilse, Cheryl/0000-0001-5596-9132; Dunn, Jeff/0000-0002-1180-3381;
   Aitken, Joanne Frances/0000-0001-6859-2186
ZA 0
Z8 0
ZS 0
ZR 0
TC 6
ZB 0
Z9 6
U1 0
U2 5
SN 0156-5788
EI 1449-8944
UT WOS:000433968500004
PM 28355526
ER

PT J
AU Chan, Kara
   Tsang, Lennon
TI Public attitudes toward traditional Chinese medicine and how they affect
   medical treatment choices in Hong Kong
SO INTERNATIONAL JOURNAL OF PHARMACEUTICAL AND HEALTHCARE MARKETING
VL 12
IS 2
BP 113
EP 125
DI 10.1108/IJPHM-02-2017-0009
PD 2018
PY 2018
AB Purpose This study aims to test a conceptual model using public
   attitudes toward biomedicine and traditional Chinese medicine (TCM) to
   predict respondents' medical treatment choice.
   Design/methodology/approach A quantitative online survey was conducted
   using quota sampling. Altogether 1,321 questionnaires from Hong Kong
   residents of age 15 years or above were collected.
   Findings Attitudes toward biomedicine in relation to TCM and perceived
   cost of TCM consultation were found to be significant variables in
   predicting respondents' medical treatment choice of treatment. Perceived
   efficacy of TCM, however, was not a significant predictor. Older
   respondents, as well as respondents with higher education, were less
   likely to consult biomedicine first when ill. They were also less likely
   to consult biomedicine exclusively.
   Research limitations/implications This study uses a convenience sample
   recruited through personal networks. The findings cannot be generalized
   to the rest of the population.
   Practical implications Respondents in the study generally perceived
   TCM's efficacy to be high, but not high enough to make it the medical
   treatment of choice. To promote TCM in Hong Kong, there is a need to
   enhance trust in it. This can be achieved through strengthening
   scientific research and development of TCM, enhancing professional
   standards of TCM practitioners and educating the public about the
   qualifications of TCM practitioners. Strategic channel planning to reach
   potential target and reducing the time cost of TCM medication should be
   examined.
   Originality/value The study is the first to relate attitudes to and
   perceptions of TCM with medical treatment choices in Hong Kong.
RI Chan, Kara/L-9112-2014
OI Chan, Kara/0000-0001-9805-7299
ZR 0
TC 8
ZB 0
Z8 0
ZS 1
ZA 0
Z9 8
U1 1
U2 12
SN 1750-6123
EI 1750-6131
UT WOS:000437849600002
ER

PT J
AU Lunsford, Beverly
   Posey, Laurie
TI Geriatric education utilizing a palliative care framework
SO GERONTOLOGY & GERIATRICS EDUCATION
VL 39
IS 2
BP 183
EP 192
DI 10.1080/02701960.2017.1285293
PD 2018
PY 2018
AB The dramatic growth of persons older than age 65 and the increased
   incidence of multiple, chronic illness has resulted in the need for more
   comprehensive health care. Geriatrics and palliative care are medical
   specialties pertinent to individuals who are elderly, yet neither
   completely addresses the needs of older adults with chronic illness.
   Interprofessional faculty developed Geriatric Education Utilizing a
   Palliative Care Framework (GEPaC) to teach an integrated approach to
   care. Interactive online modules use a variety of instructional methods,
   including case-based interactive questions, audiovisual presentations,
   reflective questions, and scenario-based tests. Modules are designed for
   online education and/or traditional classroom and have been approved for
   Continuing Medical Education. Pre- and posttest scores showed
   significant improvements in knowledge, attitudes, and skills.
   Participants were highly satisfied with the coursework's relevance and
   usefulness for their practice and believed that GEPaC prepared them to
   address the needs of older adults for disease and symptom management,
   communicating goals of care, and supportive/compassionate care.
ZS 0
ZA 0
Z8 0
ZB 0
TC 1
ZR 0
Z9 1
U1 4
U2 6
SN 0270-1960
EI 1545-3847
UT WOS:000437525700008
PM 28129090
ER

PT J
AU Trabulsi, Edouard J.
   Jassak, Patricia
   Tang, Hong
   Hwang, Sharon
   Salinas, Gregory D.
TI Therapeutic Patterns and Barriers to the Treatment of Advanced Prostate
   Cancer: A Survey of Academic and Community Urologists in the United
   States
SO UROLOGY PRACTICE
VL 5
IS 1
BP 15
EP 23
DI 10.1016/j.urpr.2016.11.008
PD JAN 2018
PY 2018
AB Introduction: In this study we assess urologists' decisions about the
   treatment of patients with metastatic castration resistant prostate
   cancer, the perceived therapeutic barriers and urologists' educational
   gaps.
   Methods: A clinical case based online survey was distributed to a random
   sample of practicing urologists in the United States. Questions
   addressed treatment options and physician confidence in treating cases,
   and included open-ended questions regarding key educational gaps,
   attitudes and barriers to patient treatment.
   Results: Respondents included 96 community urologists and 29 academic
   urologists. Academic urologists were significantly more likely to
   withhold therapy and continue observation than community urologists when
   treating patients with increasing prostate specific antigen after
   prostatectomy and radiotherapy (41% vs 24%, respectively, p=0.039). The
   majority of community and academic urologists referred patients with
   asymptomatic metastatic castration resistant prostate cancer before
   chemotherapy to an oncologist (64% and 55%, respectively, p=0.500) as
   well as those who were symptomatic (62%, p=0.678). More community
   urologists than academic urologists rated patient comorbidities as a
   barrier to treatment (mean +/- SD 3.74 +/- 0.92 and 3.14 +/- 0.83,
   respectively, p=0.003). Appropriate therapy sequencing was highly rated
   by community and academic urologists as a subject for continuing medical
   education (67% and 66%, respectively, p=0.91).
   Conclusions: Similarities and differences were observed between
   community and academic urologists regarding the treatment of patients
   with metastatic castration resistant prostate cancer and barriers to
   treatment. Understanding these comparisons may assist in developing
   educational activities to improve urologist knowledge and, ultimately,
   patient care in metastatic castration resistant prostate cancer.
ZR 0
TC 1
Z8 0
ZS 0
ZB 0
ZA 0
Z9 1
U1 0
U2 1
SN 2352-0779
EI 2352-0787
UT WOS:000437130800006
ER

PT J
AU Karimian, Zahra
   Azin, Seied Ali
   Javid, Nasrin
   Araban, Marzieh
   Maasoumi, Raziyeh
   Aghayan, Shahrokh
   Khoie, Effat Merghati
TI Reaching consensus: a review on sexual health training modules for
   professional capacity building
SO HEALTH PROMOTION PERSPECTIVES
VL 8
IS 1
BP 1
EP 14
DI 10.15171/hpp.2018.01
PD 2018
PY 2018
AB Background: Professional capacity building (PCB) is the focus point in
   health-related subjects. The present study was conducted to
   systematically review the existing sexual health training modules for
   health care providers.
   Methods: The following keywords were used to search: training,
   education, professional capacity, practitioner, sexual health, skill
   education, module, course, package and curriculum. The term MESH is
   referred to Medical Subject Headings and the following databases were
   investigated: MEDLINE, EMBASE, PubMed, Cumulative Index to Nursing and
   Allied Health Literature (CINAHL), The Cochrane Library and Web of
   Science, Scopus, Google Scholar, SID, Magiran, and Iranmedex. All
   articles from 1980 to 2015 were extracted. Online modules were excluded.
   Considering that lesson plan was the basis of instruction, the modules
   were selected based on the characteristics of the lesson plans.
   Results: A total number of 38 published training modules in the field of
   sexuality were determined. In total, more than half of the modules (58%)
   were designed for medical doctors and allied health professionals and
   the remaining (42%) were for nurses and midwives. Almost all the modules
   (97%) were introduced and utilized in developed countries, and only 3%
   were disseminated in developing countries.
   Conclusion: There are invaluable modules to build professional capacity
   in the field of sexual health. As a number of modules have been designed
   for nurses and midwifes, as the first-line health care providers, the
   use of these groups in sexual counseling and empowerment for sexual
   health is essential. No sexual health training program was designed in
   Iran. Therefore, designing such modules according to Iranian culture is
   strongly recommended.
RI Araban, Marzieh/M-1153-2017; merghati, effat/AAA-3400-2020; Maasoumi, Raziyeh/I-9512-2017
OI Araban, Marzieh/0000-0001-9920-0261; merghati,
   effat/0000-0002-0718-6915; 
Z8 0
TC 9
ZR 0
ZB 0
ZA 0
ZS 0
Z9 9
U1 0
U2 2
SN 2228-6497
UT WOS:000426236200001
PM 29423357
ER

PT J
AU Zanchetta, Margareth S.
   Cognet, Marguerite
   Lam-Kin-Teng, Mary Rachel
   Dumitriu, Marie Elisabeth
   Haag, Carlos
   Kadio, Bernard
   Desgrandchamps, Francois
   Renaud, Lise
TI Insights for public education provided by French media on ideas about
   prostate cancer - A media analysis study
SO HEALTH PROMOTION PERSPECTIVES
VL 8
IS 2
BP 92
EP 101
DI 10.15171/hpp.2018.12
PD 2018
PY 2018
AB Background: This study explored the French media's presentation of ideas
   and medical information about prostate cancer (PC) that may influence
   men's understanding, attitudes and behavior.
   Methods: A qualitative media content analysis centered on PC information
   delivered by French professional media. The selected data were produced
   in the aftermath of the High Health Authority's decision in 2008 not to
   recommend systematic screening by prostate specific antigen(PSA) for men
   over 50. Source was the Media Archives of the French National Library.
   Content was analyzed from 15 television programs, 14 radio programs, and
   55 articles from 35 popular French newspapers (online and printed,
   weekly and monthly) and 20 magazines. Audio content was narrated into
   textual form and submitted to manual coding along with the print
   content.
   Results: Television and radio content focused on the nature of PC,
   screening and treatment,and conveyed a gender-centric position linked to
   male sexuality and virility. Newspapers and magazines targeted the
   testing controversy, the lack of consensus among professionals, and
   scientific advances in screening and treatment.
   Conclusion: Media participation in the European testing debate is
   valuable for allowing patients to hear all opinions on PC risk factors.
   Debate on testing policy contributes to confusion and uncertainty
   regarding appropriate action.
Z8 0
ZB 0
ZA 0
TC 1
ZS 0
ZR 0
Z9 1
U1 0
U2 3
SN 2228-6497
UT WOS:000436136100001
PM 29744304
ER

PT J
AU Liu, Jiayu
   Wong, Sherwin
   Foster, Gary
   Holbrook, Anne
TI PRESCRIBING COMPETENCY OF MEDICAL STUDENTS: NATIONAL SURVEY OF MEDICAL
   EDUCATION LEADERS
SO JOURNAL OF POPULATION THERAPEUTICS AND CLINICAL PHARMACOLOGY
VL 25
IS 1
BP E18
EP E24
DI 10.22374/1710-6222.25.1.2
PD 2018
PY 2018
AB Evidence suggests that newly licensed physicians are not adequately
   prepared to prescribe medications safely. There is currently no national
   pre-licensure prescribing competency assessment required in North
   America. This study's purpose was to survey Canadian medical school
   leaders for their interest in and perceived need for a nation-wide
   prescribing assessment for final year medical students.
   Method
   In spring of 2015, surveys were disseminated online to medical education
   leaders in all 17 Canadian medical schools. The survey included
   questions on perceived medication prescribing competency in medical
   schools, and interest in integration of a national assessment into
   medical school curricula and licensing.
   Results
   372 (34.6 %) faculty from all 17 Canadian medical schools responded. 277
   (74.5%) respondents were residency directors, 33 (8.9%) vice deans of
   medical education or equivalent, and 62 (16.7%) clerkship coordinators.
   Faculty judged 23.4% (SD 22.9%) of their own graduates' prescribing
   knowledge to be unsatisfactory and 131 (44.8%) felt obligated to provide
   close supervision to more than a third of their new residents due to
   prescribing concerns. 239 (73.0%) believed that an assessment process
   would improve their graduates' quality, 262 (80.4%) thought it should be
   incorporated into their medical school curricula and 248 (76.0%) into
   the national licensing process. Except in regards to close supervision
   due to concerns, there were no significant differences between schools'
   responses.
   Conclusions
   Amongst Canadian medical school leadership, there is a perceived
   inadequacy in medical student prescribing competency as well as support
   for a standardized prescribing competency assessment in curricula and
   licensing processes.
Z8 0
ZA 0
ZS 0
ZB 1
TC 4
ZR 0
Z9 4
U1 0
U2 2
SN 1710-6222
UT WOS:000436451700002
PM 29949682
ER

PT J
AU Vogelsang, Markus
   Rockenbauch, Katrin
   Wrigge, Hermann
   Heinke, Wolfgang
   Hempel, Gunther
TI Medical Education for "Generation Z": Everything online?! - An analysis
   of Internet-based media use by teachers in medicine
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 35
IS 2
AR Doc21
DI 10.3205/zma001168
PD 2018
PY 2018
AB Aim: The aims of this study were to gain an overview of the web-based
   media used during the clinical phase of medical study at German medical
   schools and to identify the resources needed for web-based media use.
   Also examined were the influences on web-based media use, for instance,
   the assessment of their suitability for use in teaching.
   Method: An online survey of 264 teacher coordinators in internal
   medicine, surgery, anesthesiology, gynecology, pediatrics and psychiatry
   was conducted in March and April, 2016. This survey was carried out in
   the German-speaking countries using a 181-item questionnaire developed
   by us. Analysis took place in the form of descriptive and exploratory
   data analysis.
   Results: The response rate was 34.8% with 92 responses. Individual
   web-based media were actively used in the classroom by a maximum of 28%
   of participants. Reasons cited against using web-based media in teaching
   included the amount of time required and lack of support staff. The
   assessment of suitability revealed that interactive patient cases,
   podcasts and subject-specific apps for teaching medicine were
   predominantly viewed as constructive teaching tools. Social media such
   as Facebook and Twitter were considered unsuitable. When using web-based
   media and assessing their suitability for teaching, no correlations with
   the personal profiles of the teachers were found in the exploratory
   analysis, except regarding the use of different sources of information.
   Conclusion: Despite the Internet's rapid development in the past 15
   years, web-based media continue to play only a minor role in teaching
   medicine. Above all, teacher motivation and sufficient staff resources
   are necessary for more effective use of Internet-based media in the
   future.
RI Wrigge, Hermann/AAJ-8985-2021
OI Wrigge, Hermann/0000-0002-9035-6822
ZB 2
Z8 0
ZA 0
ZS 0
TC 24
ZR 0
Z9 24
U1 0
U2 16
SN 2366-5017
UT WOS:000432806300006
PM 29963611
ER

PT J
AU Kelly, Nichole R.
   Smith, Tasia M.
   Hall, Gordon C. N.
   Guidinger, Claire
   Williamson, Gina
   Budd, Elizabeth L.
   Giuliani, Nicole R.
TI Perceptions of general and postpresidential election discrimination are
   associated with loss of control eating among racially/ethnically diverse
   young men
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 51
IS 1
BP 28
EP 38
DI 10.1002/eat.22803
PD JAN 2018
PY 2018
AB ObjectiveThe purpose of this study was to examine the association
   between young men's perceived experiences with discrimination, both
   general and following the 2016 presidential election, and their loss of
   control (LOC) eating. The degree to which men identified with their
   ethnic identity was evaluated as a moderator.
   MethodThe sample included 798 men (18-30 years; M=24.03.6) who
   identified as African American (n=261), Asian/Asian American (n=266), or
   Hispanic/Latino (n=271). Participants completed an online survey of
   items assessing demographic characteristics; perceived discrimination;
   perceptions of race-related discrimination following the 2016 U.S.
   presidential election; ethnic identity; and LOC eating.
   ResultsAfter adjusting for income, education, generational status and
   body mass index, perceived discrimination was positively associated with
   LOC eating frequency in African American and Hispanic/Latino men
   (ps<.01). Ethnic identity was inversely associated with LOC eating
   frequency in Hispanic/Latino men (p<.001). In Asian/Asian American men,
   perceived discrimination was only associated with more LOC eating among
   those with a low ethnic identity (p<.001). Higher levels of perceived
   discrimination following the presidential election were uniquely
   associated with more frequent LOC eating (p<.01) only among Asian/Asian
   American men who were not born in the United States or whose parents
   were not born in the United States.
   DiscussionLOC eating may partially explain known associations between
   discrimination and heightened risk for obesity and chronic diseases
   among African American and Hispanic/Latino men. Asian/Asian American
   men's LOC eating may be linked to postpresidential election and general
   experiences with racial discrimination, particularly if they report a
   low sense of belonging to their ethnic group.
OI Giuliani, Nicole/0000-0003-1026-0802
ZB 6
ZA 0
ZS 0
TC 21
Z8 0
ZR 0
Z9 21
U1 0
U2 6
SN 0276-3478
EI 1098-108X
UT WOS:000418270800004
PM 29149497
ER

PT J
AU Janjua, Aisha
   Smith, Paul
   Clark, T. Justin
TI A cross-sectional study on teaching pelvic examination in medical
   schools in the UK (the COTES study)
SO JOURNAL OF OBSTETRICS AND GYNAECOLOGY
VL 38
IS 4
BP 521
EP 525
DI 10.1080/01443615.2017.1363726
PD 2018
PY 2018
AB Gynaecological teaching associates (GTAs) appear to be effective in
   aiding medical students to acquire core skills in female pelvic
   examination (FPE). The aim was to explore the current provision for
   teaching and assessment of FPE in Obstetric and Gynaecological (O&G)
   placements across UK medical schools and in particular, the use of GTAs.
   An online survey was sent to undergraduate academic leads for O&G,
   representing 29 of the 30 UK medical schools. The response rate was
   21/29 (72%). The average placement was 6.7weeks and teaching of FPE
   varied including training on manikins (20/21, 95%), instruction in
   outpatient clinics (17/21, 81%) and instruction on anaesthetised
   patients (17/21, 81%). The survey revealed that anatomic pelvic models
   are combined with supervised instruction in outpatient clinics and
   operating theatres. GTAs are used by less than a third of medical
   schools, and where used are thought to enhance teaching in this core
   skill in contrast to those universities not using GTAs. Short
   placements, a reluctance to use GTAs and a lack of formal assessment may
   adversely impact upon the competency of newly qualifying medical
   students in FPE.Impact statementWhat is already known on this subject:
   Experience of female pelvic examination intimate is limited. Expert
   patients, known as Gynaecological Teaching Associates (GTAs), have been
   suggested as a potential solution to improve teaching of gynaecological
   examination, but the last survey of medical schools in the United
   Kingdom (UK) conducted in 1989 reported that only two were using GTAs in
   an average clinical placement length of 11.5 weeks.What the results of
   this study add: Twenty-five years after the last survey, Obstetrics and
   Gynaecology (O&G) clinical placements have been reduced to an average of
   6 weeks with one-third requiring only an informal impression of
   competence in female pelvic examination. Despite published evidence
   since 1989 supporting the effectiveness of GTAs, just six medical
   schools are using GTAs for teaching and assessment with all believing
   them to be effective.What the implications are of these findings for
   clinical practice and/or further research: A combination of short
   placements, an apparent reluctance to use GTAs and a lack of uniform
   formal assessment may mean that the competency of newly qualifying
   medical students in basic gynaecological examination is compromised.
ZR 0
TC 2
ZS 0
Z8 0
ZB 1
ZA 0
Z9 2
U1 0
U2 1
SN 0144-3615
EI 1364-6893
UT WOS:000435694700015
PM 29390941
ER

PT J
AU Koontz, Nicholas A.
   Kamer, Aaron P.
   Dodson, Sean C.
   Capps, Alisha E.
   Tomblinson, Courtney M.
   Brown, Brandon P.
   Frank, Mark S.
   Heitkamp, Darel E.
TI Social Media Utilization at an Academic Radiology Practice
SO ACADEMIC RADIOLOGY
VL 25
IS 1
BP 111
EP 117
DI 10.1016/j.acra.2017.08.012
PD JAN 2018
PY 2018
AB Rationale and Objectives: We report social media (SoMe) utilization
   trends at an academic radiology department, highlighting differences
   between trainees and faculty and between Baby Boomers versus Generation
   X and Millennials.
   Materials and Methods: An anonymous online survey regarding SoMe
   utilization and SoMe-based educational curriculum was distributed to all
   radiologists (trainees and faculty) in our department. Regular
   chi-square, ordered (Mantel-Haenszel) chi-square, and Fischer exact
   tests were performed.
   Results: The survey instrument was sent to 172 radiologists with a 65%
   completion rate (N = 112). Eighty-three percent (n = 92) of the
   respondents use SoMe, with Facebook (67%, n = 75), YouTube (57%, n =
   64), Instagram (26%, n = 29), and Twitter (21 %, n = 23) as the most
   commonly used platforms. Eighty-one percent (n = 91) use SoMe for 30
   minutes or less per day. Thirty-five percent (n = 39) reported
   previously using SoMe for educational purposes, although 66% (n = 73)
   would be willing to join SoMe for educational activities. The faculty
   are more likely than trainees to avoid using SoMe (30% vs 9%, P < 0.03).
   Trainees are more likely than faculty to find an electronic case-based
   curriculum valuable (95% vs 83%, P < 0.05) and are willing to spend more
   time on cases (P < 0.01). Baby Boomers are less interested in joining
   SoMe for educational activities than Generation X and Millennials (24%
   vs 73%, P = 0.0001).
   Conclusions: Generation gaps between trainees and faculty, as well as
   between Generation X and Millennials versus Baby Boomers, exist with
   regard to the use of SoMe, which may be underutilized in radiology
   education.
OI Brown, Brandon/0000-0002-1120-1495; Heitkamp, Darel/0000-0002-9527-3436
TC 19
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
Z9 19
U1 0
U2 6
SN 1076-6332
EI 1878-4046
UT WOS:000418312600014
PM 29056400
ER

PT J
AU Brady, Susan L.
   Rao, Noel
   Gibbons, Patricia J.
   Williams, Letha
   Hakel, Mark
   Pape, Theresa
TI Face-to-face versus online training for the interpretation of findings
   in the fiberoptic endoscopic exam of the swallow procedure
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 433
EP 441
DI 10.2147/AMEP.S142947
PD 2018
PY 2018
AB Objective: The aim of this study was to evaluate the comparative
   effectiveness of an online, interdisciplinary, interactive course
   designed to increase the ability to accurately interpret the fiberoptic
   endoscopic exam of the swallow (FEES) procedure to traditional,
   face-to-face (F2F) lectures for both graduate medical education (GME)
   and graduate speech language pathology (GSLP) programs.
   Design: This was a prospective, quantitative, nonrandomized study.
   Participants were medical residents in physical medicine and
   rehabilitation from two affiliated programs and graduate students in
   speech language pathology from two instructional cohorts at a single
   institution. Group 1, traditional group (n=51), participated in F2F
   lectures using an audience response system, whereas Group 2, online
   group (n=57), participated in an online, interactive course. The main
   outcome measure was pre-and post-course FEES knowledge test scores.
   Results: For Group 1, the mean pre-course score was 26.94 (SD=3.24) and
   the post-course score was 34.96 (SD=2.51). Differences between pre-and
   post-course scores for Group 1 were significant (t=-16.38, P=0.0001).
   For Group 2, the mean pre-course score was 27.05 (SD=2.74) and the
   post-course score was 34.05 (SD=2.84). Differences between pre-and
   post-course scores for Group 2 were significant (t=-13.5, P=0.0001). The
   mean knowledge change score for Group 1 and Group 2 was 8.01 (SD=3.50)
   and 7.04 (SD=3.91), respectively (nonsignificant, t=1.372, P=0.173),
   suggesting groups made similar gains.
   Conclusion: Incorporating technology into GME and GSLP programs yielded
   comparable gains to traditional lectures. Findings support the use of
   online education as a viable alternative to the traditional F2F
   classroom format for the instruction of the cognitive component of the
   FEES procedure.
OI Bender Pape, Theresa/0000-0001-7738-5963
Z8 0
ZS 1
TC 8
ZA 0
ZB 2
ZR 0
Z9 9
U1 0
U2 3
SN 1179-7258
UT WOS:000435072500001
PM 29928150
ER

PT J
AU Pilitsi, Eleni
   Steiropoulos, Paschalis
TI Introduction of new technologies in Pneumonology training Medical
   students can show us the way
SO PNEUMON
VL 31
IS 1
BP 17
EP 23
PD JAN-MAR 2018
PY 2018
AB BACKGROUND: Over the last years new technologies are used to enhance the
   quality of medical education and to improve the educational experience.
   Social media are becoming popular tools for augmenting the effectiveness
   of education in various academic aspects and, especially, YouTube has
   been used as an adjunctive tool in medical students' training. Aim of
   the study was to examine the use of YouTube videos as learning tools for
   Pneumonology clerk-ship by the students and their impact in the
   acquisition of clinical skills and theoretical knowledge. METHODS: An
   anonymous, online survey completed by medical students attending their
   fourth year of studies at the Medical School, Democritus University of
   Thrace (six year curriculum) was conducted. The questionnaire contained
   demographic questions and questions about the potential benefit of
   YouTube channel videos in the pulmonary training of medical students.
   RESULTS: Response rate was 87%. Respondents' perception was that YouTube
   channels are useful as educational tools. Specifically, 41.1% of them
   reported getting "very much" or "much" benefit from online videos and
   the percentage increased to 65%, when specific videos were used as
   examples (p<0.001). CONCLUSIONS: Usage of YouTube videos as adjunct
   educational tools has an apparent positive impact on students'
   comprehension of Pneumonology. Therefore, their value as a potential
   official training method should be further tested and could be strongly
   considered in the future.
RI Steiropoulos, Paschalis/AAH-6905-2021
OI Steiropoulos, Paschalis/0000-0001-7121-6253
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
TC 1
Z9 1
U1 0
U2 3
SN 1105-848X
EI 1791-4914
UT WOS:000434994900003
ER

PT J
AU Ravet, Jackie
TI "But how do I teach them?': Autism & Initial Teacher Education(ITE)
SO INTERNATIONAL JOURNAL OF INCLUSIVE EDUCATION
VL 22
IS 7
BP 714
EP 733
DI 10.1080/13603116.2017.1412505
PD 2018
PY 2018
AB Many teachers are prepared for professional practice by attending
   Initial Teacher Education (ITE) courses in universities across the
   world. Under UK legislation, this preparation must equip teachers to
   address the needs of all children in mainstream classrooms, including
   learners on the autism spectrum - but does it? In this paper, I will
   critically explore this question by examining the findings of a research
   study focusing on a four-year ITE programme in a UK university. The
   research was designed using qualitative methods (online open-ended
   questionnaires and focus groups). The key findings were that the
   majority of students and tutors had some basic autism awareness, but
   little or no knowledge and understanding of autism teaching strategies.
   There was a consensus that teachers require both of these to ensure the
   inclusion of learners with autism in mainstream classrooms. Participants
   agreed there were currently insufficient inputs on autism on the ITE
   programme. This was related to a lack of tutor expertise, concerns about
   medical labelling and questions about ITE curriculum overload and
   priorities. Participants identified a range of ideas for improving
   autism education across the ITE programme which will be explored in the
   second phase of the study.
ZS 1
ZA 0
ZB 0
Z8 0
TC 15
ZR 0
Z9 15
U1 6
U2 36
SN 1360-3116
EI 1464-5173
UT WOS:000434784400003
ER

PT J
AU Barnes, Justin
   Coleman, Brandon
   Hwang, Sharon
   Stolic, Aleksandra
   Bousvaros, Athos
   Nurko, Samuel
   Salinas, Gregory D.
TI Educational needs in the diagnosis and management of pediatric
   functional constipation: a US survey of specialist and primary care
   clinicians
SO POSTGRADUATE MEDICINE
VL 130
IS 4
BP 428
EP 435
DI 10.1080/00325481.2018.1464364
PD 2018
PY 2018
AB Objectives: The goal of this study was to identify opportunities among
   gastroenterologists and gastroenterology nurse practitioners
   (NPs)/physician assistants (PAs) for continuing medical education (CME)
   related to functional constipation.
   Methods: An online, case-vignette survey was designed to identify and
   quantify practice patterns of pediatric gastroenterology clinicians.
   Case vignettes are a validated method for assessing clinician practice
   patterns. The survey consisted of three patient cases: a 3-year-old
   female with a 6-month history of constipation; a 6-year-old male with a
   1-year history of constipation refractory to treatment and a sacral
   dimple with nearby tuft of hair; and a 16-year-old male with a 10-year
   history of constipation, and a sullen, depressed mood. Survey responses
   were compared to NASPGHAN guideline recommendations for diagnosis and
   management to identify areas where additional education may be
   beneficial.
   Results: Responses were collected from 197 gastroenterologists, 116
   gastroenterology NPs/PAs, and 206 pediatrician/primary care clinicians.
   Several of the practice patterns observed suggest opportunities for
   future CME: low use of applicable Rome Ill diagnostic criteria;
   approximately 85% recommended testing beyond what is recommended for the
   3-year-old patient; over 1/3 did not perform several recommended tests
   for the 6-year-old patient; and over 25% did not refer the 16-year-old
   patient for psychological evaluation. Further, there was little
   consensus in treatment approach among the three clinician groups.
   Primary care familiarity with NASPGHAN guidelines was low.
   Conclusions: CME programs focusing on applying diagnostic criteria,
   matching diagnostic workup to patient presentation, treatment selection,
   and identifying patients who may benefit from psychological evaluation
   may fill knowledge and practice gaps of clinicians who manage pediatric
   patients with functional constipation.
OI Nurko, Samuel/0000-0003-0936-4807
Z8 0
ZB 1
TC 4
ZR 0
ZS 0
ZA 0
Z9 4
U1 0
U2 3
SN 0032-5481
EI 1941-9260
UT WOS:000434405200009
PM 29667860
ER

PT J
AU Clement, Meredith E.
   Seidelman, Jessica
   Wu, Jiewei
   Alexis, Kareem
   McGee, Kara
   Okeke, N. Lance
   Samsa, Gregory
   McKellar, Mehri
TI An educational initiative in response to identified PrEP prescribing
   needs among PCPs in the Southern US
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 30
IS 5
BP 650
EP 655
DI 10.1080/09540121.2017.1384534
PD 2018
PY 2018
AB Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method,
   but many primary care physicians (PCPs) have not incorporated PrEP into
   practice. While PrEP may be a key strategy to reducing high HIV
   transmission rates in the southern US, knowledge about PrEP prescribing
   patterns among PCPs in this region is lacking. An online survey was sent
   to a large network of PCPs at an academic medical center in North
   Carolina in October 2015. The survey was repeated in September 2016,
   after an educational intervention that included on-site trainings at 14
   PCP offices. Chi-square tests were used to compare PrEP prescribing
   patterns among providers. The initial survey was sent to 389 PCPs, with
   115 (30%) responding. Of these, 78% reported seeing men who have sex
   with men (MSM). Only 17% had prescribed PrEP. The most frequently
   identified barrier was lack of knowledge (60%). When the survey was
   repeated after the educational initiative, 79 PCPs (20%) responded. Of
   these, 90% reported seeing MSM, and 35% had prescribed PrEP. PCPs who
   had attended a training were more likely to have prescribed PrEP (OR
   4.84, CI 1.77-13.21). In conclusion, PrEP prescribing among PCPs in the
   southern US is low. A survey among PCPs identified lack of knowledge as
   a barrier to prescribing, motivating an institutional-wide educational
   campaign in response. Further efforts are needed to continue to raise
   awareness and educate PCPs in the South about PrEP.
OI McGee, Kara/0000-0003-1560-8820; Okeke, Nwora Lance/0000-0003-4456-0176
ZB 5
ZR 0
ZA 0
ZS 0
Z8 0
TC 31
Z9 31
U1 0
U2 3
SN 0954-0121
EI 1360-0451
UT WOS:000428093200017
PM 28971705
ER

PT J
AU House, Joseph B.
   Griffith, Max C.
   Kappy, Michelle D.
   Holman, Elizabeth
   Santen, Sally A.
TI Tracking Student Mistreatment Data to Improve the Emergency Medicine
   Clerkship Learning Environment
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 1
SI SI
BP 18
EP 22
DI 10.5811/westjem.2017.11.36718
PD JAN 2018
PY 2018
AB Introduction: Medical student mistreatment is a prevalent and
   significant challenge for medical schools across the country, associated
   with negative emotional and professional consequences for students. The
   Association of American Medical Colleges and Liaison Committee on
   Medical Education have increasingly emphasized the issue of mistreatment
   in recent years, and medical schools are tasked with creating a positive
   learning climate.
   Methods: The authors describe the efforts of an emergency department
   (ED) to improve its clerkship learning environment, using a multifaceted
   approach for collecting mistreatment data and relaying them to educators
   and clerkship leadership. Data are gathered through end-of-rotation
   evaluations, teaching evaluations, and an online reporting system
   available to medical students. Mistreatment data are then relayed to the
   ED during semi-annual meetings between clerkship leadership and medical
   school assistant deans, and through annual mistreatment reports provided
   to department chairs.
   Results: Over a two-year period, students submitted a total of 56
   narrative comments related to mistreatment or unprofessional behavior
   during their emergency medicine (EM) clerkship. Of these comments, 12
   were submitted in 2015-16 and 44 were submitted in 2016-17. The most
   frequently observed themes were students feeling ignored or marginalized
   by faculty (14 comments); students being prevented from speaking or
   working with patients and/or attending faculty (11 comments); and
   students being treated in an unprofessional manner by staff (other than
   faculty, 8 comments).
   Conclusion: This article details an ED's efforts to improve its EM
   clerkship learning environment by tracking mistreatment data and
   intentionally communicating the results to educators and clerkship
   leadership. Continued mistreatment data collection and faculty
   development will be necessary for these efforts to have a measurable
   effect on the learning environment.
OI Santen, Sally/0000-0002-8327-8002; Griffith, Max/0000-0002-7596-5785
ZB 0
ZR 0
TC 6
ZA 0
ZS 0
Z8 0
Z9 6
U1 0
U2 1
SN 1936-900X
EI 1936-9018
UT WOS:000433250500004
PM 29383051
ER

PT J
AU Rose, Emily
   Jhun, Paul
   Baluzy, Matthew
   Hauck, Aaron
   Huang, Jonathan
   Wagner, Jonathan
   Kearl, Yvette L.
   Behar, Solomon
   Claudius, Ilene
TI Flipping the Classroom in Medical Student Education: Does Priming Work?
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 1
SI SI
BP 93
EP 100
DI 10.5811/westjem.2017.8.35162
PD JAN 2018
PY 2018
AB Introduction: The emergency medicine (EM clerkship curriculum at Los
   Angeles County + University of Southern California Medical Center
   includes monthly lectures on pediatric fever and shortness of breath
   (SOB). This educational innovation evaluated if learning could be
   enhanced by "priming" the students with educational online videos prior
   to an in-class session. Factors that impacted completion rates were also
   evaluated (planned specialty and time given for video viewing).
   Methods: Twenty-minute videos were to be viewed prior to the didactic
   session. Students were assigned to either the fever or SOB group and
   received links to those respective videos, All participating students
   took a pre-test prior to viewing the online lectures. For analysis, test
   scores were placed into concordant groups (test results on fever
   questions in the group assigned the fever video and test results on SOB
   questions in the group assigned the SOB video) and discordant groups
   (crossover between video assigned and topic tested), Each subject
   contributed one set of concordant results and one set of discordant
   results. Descriptive statistics were performed with the Mann-Whitney U
   test. Lecture links were distributed to students two weeks prior to the
   in-class session for seven months and three days prior to the in-class
   session for eight months (in which both groups included both EM-bound
   and non-EM bound students).
   Results: In the fifteen-month study period, 64% of students rotating
   through the EM elective prepared for the in class session by watching
   the videos. During ten months where exclusively EM-bound students were
   rotating (n=144), 71.5% of students viewed the lectures. In four months
   where students were not EM-bound (n=54), 55.6% of students viewed the
   lectures (p=0.033). Participation was 60.2% when lecture links were
   given three days in advance and 68.7% when links were given two weeks in
   advance (p=0.197). In the analysis of concordant scores, the pre-test
   averaged 56.7% correct, the immediate post-test averaged 78.1% correct,
   and the delayed post-test was 67.2%, In the discordant groups, the
   pretest averaged 51, the immediate post-test was 67.1% and the delayed
   by 68.8%. In the concordant groups, the immediate post-test scores
   improved by 21.4%, compared with 15,2% in the discordant groups (p =
   0.655). In the delayed post-test the concordant scores improved by 10.5%
   and discordant scores by 16.9 percent (p=0.609). Sixty-two percent of
   students surveyed preferred the format of online videos with in-class
   case discussion to a traditional lecture format.
   Conclusion: Immediate post-tests and delayed post-tests improved but
   priming was not demonstrated to be a statistically superior educational
   method in this study. Medical student completion of the preparatory
   materials for the EM rotation session increased when the students were
   EM-bound. Participation rates were not significantly different when
   given at two weeks versus three days.
Z8 1
ZB 1
TC 7
ZS 0
ZA 0
ZR 0
Z9 8
U1 0
U2 1
SN 1936-900X
EI 1936-9018
UT WOS:000433250500015
PM 29383062
ER

PT J
AU Pensa, Gita
   Smith, Jessica
   McAteer, Kristina
TI Calling All Curators: A Novel Approach to Individualized Interactive
   Instruction
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 1
SI SI
BP 169
EP 171
DI 10.5811/westjem.2017.11.35239
PD JAN 2018
PY 2018
AB With the increasing influence of the "Free Open Access Medical
   Education" (FOAM or FOAMed) movement, it is critical that medical
   educators be engaged with FOAM in order to better inform and direct
   their learners, who likely regularly consume these materials. In 2012,
   the Accreditation Council for Graduate Medical Education
   (ACGME)/Residency Review Committee (RRC) began to permit 20% of
   emergency medicine (EM) residents' didactics hours to be earned outside
   of weekly conference, as "Individualized Interactive Instruction" (III)
   credits.(1) We describe a digital course in EM, "Asynchrony," as an
   approach to FOAM to meet these III standards, Asynchrony is geared
   toward EM residents using FOAM and other online learning tools. curated
   by faculty into narrative, topic-specific educational modules. Each
   module requires residents to complete a topic assignment, participate in
   a discussion board, and pass a quiz to earn ACGME-approved III didactic
   credit; all of this is tracked and filed in an online learning
   management system.
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
TC 2
Z9 2
U1 0
U2 0
SN 1936-900X
EI 1936-9018
UT WOS:000433250500029
PM 29383076
ER

PT J
AU Turner, Sandra
   Chan, Ming-Ka
   McKimm, Judy
   Dickson, Graham
   Shaw, Timothy
TI Discipline-specific competency-based curricula for leadership learning
   in medical specialty training: A critical review of the literature
SO LEADERSHIP IN HEALTH SERVICES
VL 31
IS 2
SI SI
BP 152
EP 166
DI 10.1108/LHS-08-2017-0048
PD 2018
PY 2018
AB Purpose Doctors play a central role in leading improvements to
   healthcare systems. Leadership knowledge and skills are not inherent,
   however, and need to be learned. General frameworks for medical
   leadership guide curriculum development in this area. Explicit
   discipline-linked competency sets and programmes provide context for
   learning and likely enhance specialty trainees' capability for
   leadership at all levels. The aim of this review was to summarise the
   scholarly literature available around medical specialty-specific
   competency-based curricula for leadership in the post-graduate training
   space.
   Design/methodology/approach A systematic literature search method was
   applied using the Medline, EMBASE and ERIC (education) online databases.
   Documents were reviewed for a complete match to the research question.
   Partial matches to the study topic were noted for comparison.
   Findings In this study, 39 articles were retrieved in full text for
   detailed examination, of which 32 did not comply with the full inclusion
   criteria. Seven articles defining discipline-linked
   competencies/curricula specific to medical leadership training were
   identified. These related to the areas of emergency medicine, general
   practice, maternal and child health, obstetrics and gynaecology,
   pathology, radiology and radiation oncology. Leadership interventions
   were critiqued in relation to key features of their design, development
   and content, with reference to modern leadership concepts.
   Practical implications There is limited discipline-specific guidance for
   the learning and teaching of leadership within medical specialty
   training programmes. The competency sets identified through this review
   may aid the development of learning interventions and tools for other
   medical disciplines.
   Originality/value The findings of this study provide a baseline for the
   further development, implementation and evaluation work required to
   embed leadership learning across all medical specialty training
   programmes.
OI Chan, Ming-Ka/0000-0003-2989-7766
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
TC 6
Z9 6
U1 0
U2 3
SN 1188-3669
EI 1751-1887
UT WOS:000433250300002
PM 29771224
ER

PT J
AU Sullivan, Noelle
TI International clinical volunteering in Tanzania: A postcolonial analysis
   of a Global Health business
SO GLOBAL PUBLIC HEALTH
VL 13
IS 3
SI SI
BP 310
EP 324
DI 10.1080/17441692.2017.1346695
PD 2018
PY 2018
AB This article traces how scarcities characteristic of health systems in
   low-income countries (LICs), and increasing popular interest in Global
   Health, have inadvertently contributed to the popularisation of a
   specific Global Health business: international clinical volunteering
   through private volunteer placement organisations (VPOs). VPOs market
   neglected health facilities as sites where foreigners can make a
   difference', regardless of their skill set. Drawing on online
   investigation and ethnographic research in Tanzania over four field
   seasons from 2011 to 2015, including qualitative interviews with 41
   foreign volunteers and 90 Tanzanian health workers, this article offers
   a postcolonial analysis of VPO marketing and volunteer action in health
   facilities of LICs. Two prevalent postcolonial racialised tropes inform
   both VPO marketing and foreign volunteers' discourses and practices in
   Tanzania. The first trope discounts Tanzanian expertise in order to
   envision volunteers in expert roles despite lacking training, expertise,
   or contextual knowledge. The second trope envisions Tanzanian patients
   as so impoverished that insufficiently trained volunteer help is better
   than nothing at all'. These two postcolonial racialised tropes inform
   the conceptual work undertaken by VPO marketing schemes and foreign
   volunteers in order to remake Tanzanian health professionals and
   patients into appropriate and justifiable sites for foreign volunteer
   intervention.
RI Sullivan, Noelle/J-7029-2019
OI Sullivan, Noelle/0000-0002-0888-6366
TC 14
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 14
U1 0
U2 8
SN 1744-1692
EI 1744-1706
UT WOS:000423622600005
PM 28670971
ER

PT J
AU Liu, Li
   Wei, Kunyan
   Zhang, Xingting
   Wen, Dong
   Gao, Li
   Lei, Jianbo
TI The Current Status and a New Approach for Chinese Doctors to Obtain
   Medical Knowledge Using Social Media: A Study of WeChat
SO WIRELESS COMMUNICATIONS & MOBILE COMPUTING
AR 2329876
DI 10.1155/2018/2329876
PD 2018
PY 2018
AB Background. WeChat is the most widely and frequently used mobile social
   media in China and has profoundly integrated into the daily life of many
   Chinese people. A variety of medicine-related information may be found
   on WeChat. As users of WeChat, doctors often access health-related
   information and even provide a variety of medical services or
   participate in various types of mobile communication with patients.
   Objective. This study is the first attempt to quantitatively explore the
   approaches by doctors of acquiring medical knowledge using Internet
   resources especially social media such asWeChat to access knowledge.
   Methods. A self-administered questionnaire was designed, distributed,
   collected, and analyzed utilizing the online survey tool Sojump. WeChat
   was adopted to randomly release the questionnaires using snowball
   sampling and collect the results after a certain amount of time.
   Results. 292 valid questionnaires out of 314 questionnaires by clinical
   doctors were analyzed. Regarding the current status of accessing medical
   knowledge among doctors, more than 60% of the doctors regularly used the
   Internet to search for medical knowledge, 19.86% usedWeChat as a channel
   to acquiremedical knowledge, and only 23.97% were satisfied with
   acquiringmedical knowledge through the Internet. Regarding the frequency
   ofWeChat usage, nearly 40% of the doctors accessedWeChatmore than 20
   times per day and over 70% usedWeChat for over half an hour every day.
   Regarding the status of accessing medical knowledge through WeChat,
   nearly half (47.26%) of the doctors stated that they often read
   professional medical articles on WeChat and the most common channel is
   friends' moment sharing and public account subscriptions, with selection
   rates of 59.93% and 60.27%, respectively. The most desirable mode of
   acquiring medical knowledge through WeChat was the following:
   "professional medical knowledge from peers, with a reminder."
   Conclusion. WeChat has become a nonnegligible means of acquiring medical
   knowledge for busy Chinese physicians in a mobile environment. Further
   evaluation and improvement of the quality ofmedical knowledge on WeChat
   are needed. The recommendation of individualized articles through social
   mediamay become another contributing factor for doctors to acquire
   medical knowledge effectively and efficiently.
OI Lei, Jianbo/0000-0002-0807-1407
ZS 0
TC 10
ZB 2
ZR 0
Z8 0
ZA 0
Z9 10
U1 5
U2 24
SN 1530-8669
EI 1530-8677
UT WOS:000432828900001
ER

PT J
AU Rinchinov, Oleg
TI Bibliographic Database "Sources in traditional medicine in Tibet
   languages"
SO NAUCHNYE I TEKHNICHESKIE BIBLIOTEKI-SCIENTIFIC AND TECHNICAL LIBRARIES
IS 4
BP 72
EP 83
PD 2018
PY 2018
AB The collection of the Institute of Mongolian, Buddhist and Tibetan
   Studies of the Russian Academy of Sciences Siberian Branch is based on
   Tibet and Mongolian books accumulated by generations of Buryat scholars,
   local historians, museum workers. In accordance with the RF Government
   Regulations of December 23, 2016. Ng 2800-r, RAS SB Institute of
   Mongolian, Buddhist and Tibetan Studies is an academic organization to
   deposit of the RF Archival Fund documents that constitute the national
   property. To preserve and to study this rich heritage, the Institute's
   Center for Oriental Manuscripts and Xylography was established.
   The author describes in detail the specialized database comprising
   bibliographic records of medical literature in the Center's Tibetan
   collection. Based on the revealed information objects, authority records
   (metadata) of the following types were created: "person", "work", and
   "location". The rare publications were processed in accordance with the
   description scheme introduced by the international consortium Asian
   Classics Input Project (ACIP). The database gives insight into the
   content and genre diversity of the Tibetan medical literature corpus.n
   the whole, and may be used for developing offline and online apps for
   research and education; it can also make the core of e-libraries and
   knowledge bases.
RI Rinchinov, Oleg/AAF-4975-2020
ZB 0
TC 0
ZA 0
Z8 0
ZR 0
ZS 0
Z9 0
U1 0
U2 3
SN 0130-9765
UT WOS:000432727400008
ER

PT J
AU Young, Janette
   McGrath, Richard
   Adams, Caroline
TI Fresh air, sunshine and happiness: Millennials building health
   (salutogenesis) in leisure and nature
SO ANNALS OF LEISURE RESEARCH
VL 21
IS 3
SI SI
BP 324
EP 346
DI 10.1080/11745398.2018.1458634
PD 2018
PY 2018
AB This paper explores intersections between health creation, leisure and
   nature emerging from research with Millennial university students in
   Australia studying to become health(system) professionals. Most enter
   university believing that 'health' is a bio-medical (illness and disease
   focused) concept. This reflects the dominant discourse of 'health'. The
   term 'salutogenesis' (meaning health as a resource) is used to disrupt
   this discourse. In 2015 and 2016 students completed an online survey in
   which they subjectively identified three things that build their health
   and how these work for them. Many identified factors that fit within a
   broad definition of 'leisure'. About one quarter refer to nature. What
   emerges are insights into the manner in which leisure, nature and
   wellbeing intersect for these Millennials and suggests that their
   subjective understandings of health creation, including for some a
   leisure: nature intersection can assist future health professionals to
   understand 'health' as not only bio-medical.
RI Young, Janette/C-9524-2009; McGrath, Richard/G-4559-2010; Adams, Caroline/
OI Young, Janette/0000-0002-2284-3485; McGrath,
   Richard/0000-0002-3488-0945; Adams, Caroline/0000-0001-8232-8066
Z8 0
ZR 0
ZS 0
ZA 0
TC 10
ZB 0
Z9 10
U1 1
U2 22
SN 1174-5398
EI 2159-6816
UT WOS:000430480500005
ER

PT J
AU Shifflette, Vanessa
   Hambright, Susannah
   Amos, Joseph Darryl
   Dunn, Ernest
   Allo, Maria
TI The pregnant female surgical resident
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 365
EP 369
DI 10.2147/AMEP.S140738
PD 2018
PY 2018
AB Background: Surgery continues to be an intense, time-consuming
   residency. Many medical students decide against surgery as a profession
   due to the long work hours and family strain. The pregnant female
   surgical resident has an added stress factor compared to her male
   counterpart.
   Methods: We distributed an electronic, online 26-question survey to 32
   general surgery programs in the southwestern region of the United
   States. Each program distributed our survey to the female surgical
   residents who had been pregnant during residency in the last 5 years.
   Each program was re-contacted 6 weeks after the initial contact. Most
   questions were in a 5-point Likert scale format. The responses were
   collected and analyzed using the Survey Monkey website.
   Results: An unvalidated survey was sent to 32 general surgery programs
   and 26 programs responded (81%). Each program was asked for the total
   number of possible responses from female residents that met our criteria
   (60 female residents). Seven of the programs (27%) stated that they have
   had zero residents pregnant. We had 22 residents respond (37%). Over
   half of the residents (55%) were pregnant during their 2nd or 3rd year
   of residency, with only 18% pregnant during a research year. Thirty-one
   percent had a lower American Board of Surgery In-Training Exam (AMITE)
   score. Ninety percent of the residents were able to take 4 weeks or more
   for maternity leave. Most of the residents (95%) stated that they would
   do this again during residency given the opportunity, but many of the
   residents felt that returning back to work with a child at home was the
   most difficult part.
   Conclusion: Our preliminary study shows that the programs surveyed were
   accommodating to the female surgical resident. Nevertheless, despite
   adequate support from their program and an overall positive experience,
   many residents indicated that they had a decline in their education and
   performance.
ZR 0
Z8 0
TC 8
ZB 2
ZS 0
ZA 0
Z9 8
U1 0
U2 1
SN 1179-7258
UT WOS:000432397900001
PM 29785149
ER

PT J
AU Eley, Charlotte Victoria
   Young, Vicki Louise
   Hoekstra, Beverley Ann
   McNulty, Cliodna Ann Miriam
TI An evaluation of educators' views on the e-Bug resources in England
SO JOURNAL OF BIOLOGICAL EDUCATION
VL 52
IS 2
BP 166
EP 173
DI 10.1080/00219266.2017.1285808
PD 2018
PY 2018
AB Introduction: e-Bug is an international educational resource for young
   people covering microbes, hygiene and antibiotics. e-Bug supports NICE
   guidance on changing public behaviour around antibiotic use. This study
   aimed to determine educators' views of the e-Bug teacher resources to
   inform further development and dissemination of e-Bug. Methods: Age
   appropriate e-Bug resource packs were posted to every primary school
   (N=19,142) and secondary school (N=5637) in England with a cover letter
   signed by the Chief Medical Officer, Chief Executive of PHE and e-Bug
   Project Lead inviting educators to complete an online survey to evaluate
   the e-Bug resources. The online survey consisted of nine questions and
   took approximately 15min to complete. Results: 695 participants
   completed the online survey. 94% of participants rated the e-Bug
   resource as excellent or good; one fifth of respondents used the e-Bug
   resources at least termly. Educators who used e-Bug rated the different
   lesson plans as excellent or good including Introduction to Microbes'
   (98%) and Hand Hygiene' (95%). Educators provided suggestions for the
   development of additional lessons plans. Conclusions: Educators view
   e-Bug as a valuable resource for teaching children about hygiene and
   antibiotics. Further e-Bug promotion and resource development is
   required to increase awareness and usage in schools.
OI McNulty, Cliodna Ann Miriam/0000-0003-4969-5360; Eley,
   Charlotte/0000-0002-4593-7337; Young, Vicki/0000-0002-9816-7858
ZA 0
ZR 0
ZS 0
TC 9
ZB 3
Z8 0
Z9 9
U1 0
U2 2
SN 0021-9266
EI 2157-6009
UT WOS:000429987800006
ER

PT J
AU Sheill, Grainne
   Guinan, Emer
   Neill, Linda O.
   Hevey, David
   Hussey, Juliette
TI Physical activity and advanced cancer: The views of chartered
   physiotherapists in Ireland
SO PHYSIOTHERAPY THEORY AND PRACTICE
VL 34
IS 7
BP 534
EP 541
DI 10.1080/09593985.2017.1422821
PD 2018
PY 2018
AB Objectives: To investigate Irish chartered physiotherapists' views on
   physical activity for patients with advanced cancer. Methods: A mixed
   methods study design was used. Eligibility criteria included Irish
   physiotherapists treating patients with advanced cancer. An online
   survey instrument was created, which included: (1) A quantitative
   section that explored physiotherapists' views on the role of physical
   activity for patients with advanced cancer; and (2) A qualitative
   section that explored physiotherapists' prescription of physical
   activity for two patient case studies. Quantitative data were analyzed
   using descriptive statistics, and qualitative data were analyzed using
   content analysis. Results: A total of 38 physiotherapists completed the
   study. In all, 94% (n=36) of physiotherapists agreed with the statement
   being physically active is important for patients with advanced cancer
   and 80% (n=30) stated a need for further information on prescribing
   physical activity to patients with advanced cancer. A content analysis
   of case study responses demonstrated physiotherapists have a number of
   concerns regarding the prescription of physical activity to patients
   with bone metastasis. Concerns center on patients' increased fracture
   risk, the presence of osteoporosis and the risk of falls in this patient
   group. Conclusion: The majority of physiotherapists perceived physical
   activity to be of benefit for patients living with advanced cancer.
   There is a need for more education and training around the prescription
   of physical activity programs to advanced cancer populations.
   Physiotherapists' responses suggest patients with advanced cancer have
   limited exposure to factors that may prompt increased physical activity
   levels post diagnosis.
OI Sheill, Grainne/0000-0003-2955-4464; Hevey, David/0000-0003-2844-0449;
   O'Neill, Linda/0000-0002-0109-9650; Guinan, Emer/0000-0001-9715-146X
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
TC 13
Z9 13
U1 1
U2 13
SN 0959-3985
EI 1532-5040
UT WOS:000428593500004
PM 29297722
ER

PT J
AU Bui, Thanh-Lan
   Silva-Hirschberg, Catalina
   Torres, Josefina
   Armstrong, April W.
TI Are patients comprehending? A critical assessment of online patient
   educational materials
SO JOURNAL OF DERMATOLOGICAL TREATMENT
VL 29
IS 3
BP 295
EP 299
DI 10.1080/09546634.2017.1372558
PD 2018
PY 2018
AB Purpose: The primary aim of this study was to evaluate the readability,
   understandability, suitability and actionability of online psoriasis
   patient educational materials. A secondary aim was to identify areas for
   improvement.
   Materials and methods: We conducted an evaluation study to assess online
   psoriasis patient educational materials from the American Academy of
   Dermatology and National Psoriasis Foundation available in July 2017. We
   used two validated assessment tools specific to online healthcare
   materials. Outcomes were expressed as percentages, where higher
   percentages corresponded to higher quality materials.
   Results: Overall, the educational materials had a mean understandability
   score (72.7%) that was understandable; a suitability score (58.8%) that
   was adequate; a reading grade level (10.5) that was not readable; and an
   actionability score (54.7%) that was not actionable. Areas of
   improvement include reading grade level, visual aids, word choice,
   specific steps for actions and cultural appropriateness.
   Conclusions: Online psoriasis patient educational materials are
   understandable and suitable, but they are written above the American
   Medical Association and National Institutes of Health's recommended
   6th-8th grade reading level and are not actionable. Materials can
   benefit from decreasing reading grade level, including more visual
   elements, incorporating more actionable items and being culturally
   inclusive.
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 6
Z9 6
U1 0
U2 7
SN 0954-6634
EI 1471-1753
UT WOS:000431742500018
PM 28866954
ER

PT J
AU Maybury, Charlotte
   Morgan, Matthew David
   Smith, Russell
   Harper, Lorraine
TI How does the outcome of research training fellowships funded via the NHS
   compare with that from competitively funded fellowships from the MRC and
   other charities: a cross-sectional retrospective survey of trainees
   undertaking research training in the West Midlands
SO BMJ OPEN
VL 8
IS 1
AR e019630
DI 10.1136/bmjopen-2017-019630
PD JAN 2018
PY 2018
AB Objectives This study aimed to investigate the impact of research
   training funded via the National Health Service (NHS) on medical
   trainees compared with traditional clinical research training
   fellowships (CRTFs).
   Design, setting and participants Online survey of 221 clinical trainees
   who had completed a period of research during their clinical training
   between 2009 and 2015 in the West Midlands.
   Main outcome measures Research outcomes.
   Results Overall response rate was 59%, of whom 72 participants were
   funded by CRTFs and 51 funded by the NHS. Although participants with
   CRTFs were more likely to be awarded a higher degree compared with those
   on NHS-administered funding (66/72 CRTFs and 37/51 NHS, P=0.005),
   similar proportions of NHS-funded and CRTF-funded participants entered
   clinical lecturer posts on completing initial research training (8/51
   NHS and 16/72 CRTF, P=0.37). 77% of participants had three or more
   publications (CRTF 57 and NHS 39,P=0.72). 57 participants had completed
   clinical training; similar proportions of CRTF-funded and NHS-funded
   trainees had research included in their consultant contract (12/22 NHS
   and 14/26 CRTF, P=0.96) or were appointed to academic posts (3 of 25 NHS
   funded and 6 of 32 CRTF, P>0.05). 95% of participants would recommend to
   colleagues and 82% of participants felt the research experience improved
   their provision of clinical care with no difference between CRTF-funded
   and NHS-funded participants (P=0.49). Continuing to participate in
   clinical work during the research reduced reports of trainee difficulty
   on returning to clinical work (23/108 continued clinical work vs 12/22
   no clinical work, P=0.001).
   Conclusion Research training funded by the NHS provides a quality
   experience and contributes to the clinical academic capacity within the
   UK. More needs to be done to support NHS participants to successfully
   achieve a higher degree.
RI Morgan, Matthew David/K-2240-2019; harper, lorraine/
OI Morgan, Matthew David/0000-0002-7831-2245; harper,
   lorraine/0000-0003-1343-9234
ZR 0
ZB 0
TC 1
ZS 0
ZA 0
Z8 0
Z9 1
U1 0
U2 1
SN 2044-6055
UT WOS:000431743500111
PM 29362273
ER

PT J
AU Lee, Simin
   Valtis, Yannis K.
   Jun, Tomi
   Wang, David
   Zhang, Biqi
   Chung, Esther H.
   Yu, Amy
   Williams, Rachael
   Cohen, Marya J.
TI Measuring and improving student engagement in clinical training
SO EDUCATION FOR PRIMARY CARE
VL 29
IS 1
BP 22
EP 26
DI 10.1080/14739879.2017.1398597
PD 2018
PY 2018
AB Purpose: Volunteer service learning activities, including Student Run
   Clinics (SRCs), are becoming an increasingly popular extracurricular
   component of medical education. While there are reports that student
   clinicians generally enjoy their educational experiences at SRCs, it is
   not understood how to optimize and measure student engagement in them.
   To identify key drivers of student engagement a tool was created to
   measure volunteer experience at the Crimson Care Collaborative (CCC), a
   primary care SRC.
   Methods: CCC volunteers were asked to complete an online engagement
   survey. Cross-sectional survey data were collected for 149 CCC
   volunteers (53% response rate).
   Results: Multivariate linear regression showed that overall 'likelihood
   to recommend CCC to a friend' was significantly associated with
   students' perception of the clarity of their role within the clinic,
   frequency of interprofessional interactions, and overall quality of
   medical education. Students who volunteer more frequently and for longer
   periods of time had higher engagement scores.
   Conclusions: Measuring engagement is feasible in volunteer settings.
   Engagement appears to be dependent on both structural and experiential
   components. Easily modifiable components of job design (role definition,
   expected frequency of volunteering), are key drivers of volunteer
   engagement.
RI Jun, Tomi/AAJ-4152-2020; Chung, Esther/
OI Jun, Tomi/0000-0002-2120-1704; Chung, Esther/0000-0001-7593-3719
ZA 0
ZR 0
ZB 0
ZS 0
TC 4
Z8 0
Z9 4
U1 0
U2 8
SN 1473-9879
EI 1475-990X
UT WOS:000431647100006
PM 29224511
ER

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