﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Au, Anson
TI Online physicians, offline patients: Professional identity and ethics in
   social media use
SO INTERNATIONAL JOURNAL OF SOCIOLOGY AND SOCIAL POLICY
VL 38
IS 5-6
BP 474
EP 483
DI 10.1108/IJSSP-08-2017-0102
PD 2018
PY 2018
AB Purpose The purpose of this paper is to demonstrate how the nature,
   gravity, and consequences of physician use of social media use surpass
   professional identity, by bringing to attention the nuanced, potential
   conflicts between patient-physician interests in current educational
   policies.
   Design/methodology/approach Analyzing a case study of a physician
   publicly posting and commenting on many of his patients' information,
   conversations, and medical conditions on social media.
   Findings Physician social media use carries many issues that concern
   ethics and the patient, rather than professional identity and the
   physician. In response, two sets of ethical standards are developed: one
   that deals with what constitutes impermissible behaviors online, and
   another that stipulates appropriate punishments for violations of these
   codes.
   Originality/value Most medical education policies and the literature
   have emphasized professional identity- formation with regards to
   physician use of social media, rather than ethics. Furthermore, no study
   exists that presents a clear, concrete, insider perspective at
   physicians' improper use of social media.
RI Au, Anson/AGX-9313-2022; Au, Anson/AAE-7772-2019
OI Au, Anson/0000-0002-8180-5104; 
ZA 0
ZS 0
ZR 0
TC 3
Z8 0
ZB 0
Z9 3
U1 3
U2 10
SN 0144-333X
EI 1758-6720
UT WOS:000431686200009
ER

PT J
AU Perrault, Evan K.
TI Campus Health Centers' Lack of Information Regarding Providers: A
   Content Analysis of Division-I Campus Health Centers' Provider Websites
SO HEALTH COMMUNICATION
VL 33
IS 7
BP 860
EP 866
DI 10.1080/10410236.2017.1316635
PD 2018
PY 2018
AB Campus health centers are a convenient, and usually affordable, location
   for college students to obtain health care. Staffed by licensed and
   trained professionals, these providers can generally offer similar
   levels of care that providers at off-campus clinics can deliver. Yet,
   previous research finds students may forgo this convenient, on-campus
   option partially because of a lack of knowledge regarding the quality of
   providers at these campus clinics. This study sought to examine where
   this information deficit may come from by analyzing campus health
   centers' online provider information. All Division-I colleges or
   universities with an on-campus health center, which had information on
   their websites about their providers (n=294), had their providers'
   online information analyzed (n=2,127 providers). Results revealed that
   schools commonly offer professional information (e.g., provider
   specialties, education), but very little about their providers outside
   of the medical context (e.g., hobbies) that would allow a prospective
   student patient to more easily relate. While 181 different kinds of
   credentials were provided next to providers' names (e.g., MD, PA-C,
   FNP-BC), only nine schools offered information to help students
   understand what these different credentials meant. Most schools had
   information about their providers within one-click of the homepage.
   Recommendations for improving online information about campus health
   center providers are offered.
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
TC 10
Z9 10
U1 1
U2 3
SN 1041-0236
EI 1532-7027
UT WOS:000431553600009
PM 28467139
ER

PT J
AU Hickman, Lisa C.
   Fortin, Chelsea
   Goodman, Linnea
   Liu, Xiaobo
   Flyckt, Rebecca
TI Fertility and fertility preservation: knowledge, awareness and attitudes
   of female graduate students
SO EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
VL 23
IS 2
BP 130
EP 138
DI 10.1080/13625187.2018.1455085
PD 2018
PY 2018
AB Purpose: To evaluate the general knowledge of female graduate students
   on reproductive aging and fertility preservation options, as well as to
   investigate the perceptions, personal beliefs, and desires regarding
   fertility and preservation modalities.
   Materials and methods: A cross-sectional online survey study of female
   graduate students and medical trainees from academic institutions in
   Ohio was performed. Women were excluded if the online survey was
   incomplete or if they were >45 years.
   Results: Analysis of 590 surveys was performed (response rate of 26.3%).
   Ninety-four percent (557/590) of subjects were between 20 and 35 years.
   Our respondents tended to be nulliparous (87%), married or in a
   relationship (51%) and interested in future fertility (77%). The reasons
   cited for delaying childbearing were multi-factorial, with career
   building noted most commonly (69%). Nearly 60% of women reported they
   would consider fertility preservation in the future; however, the
   majority (87%) cited two or more barriers. When asked about their desire
   for information on fertility preservation, 28% desired to receive
   education on their choices and 36% wanted their Ob/Gyn to discuss
   fertility preservation options. Women >30 years were significantly more
   likely to desire future fertility, want more fertility preservation
   education and consider pursuing fertility preservation in the future.
   Conclusions: Graduate-level women often delay childbearing for
   professional pursuits. This study demonstrates a need for increased
   fertility preservation awareness and education, especially by Ob/Gyn
   providers.
OI Goodman, Linnea/0000-0003-0466-1554
TC 12
ZR 0
ZS 0
ZB 2
Z8 0
ZA 0
Z9 12
U1 6
U2 14
SN 1362-5187
EI 1473-0782
UT WOS:000431023200006
PM 29667456
ER

PT J
AU Hamza, Muhammad
   Inam-Ul-Hag
   Hamid, Sidra
   Nadir, Maha
   Mehmood, Nadir
TI Effect of moderate learning style-teaching mode mismatch on academic
   performance among 2nd year medical students in Pakistan
SO INDIAN JOURNAL OF PSYCHIATRY
VL 60
IS 1
BP 109
EP 113
DI 10.4103/psychiatry.IndianJPsychiatry_194_17
PD JAN-MAR 2018
PY 2018
AB Introduction: The vagueness surrounding "learning style-teaching mode
   mismatch" makes its effects uncertain. This study tried to tackle that
   controversy by comparing and assessing the effect of different learning
   styles on performance in physiology examination when teaching mode was
   somewhat different than learning preferences of the 2nd year medical
   students.
   Methods: A total of 102 2nd year medical students participated in this
   study. Honey and Mumford learning style questionnaire was used to
   categorize the participants into one of the four learning styles
   (activist, reflector. theorist, and pragmatist). Many teaching modes
   were used in the medical college. The first professional theory and
   practical physiology scores of these 102 students of University of
   Health Sciences were obtained online. Learning styles were compared with
   physiology scores and age using one-way analysis of variance and post
   hoc statistical analysis and between =ales and females by using
   Chi-square test.
   Results: Pragmatists had the lowest total physiology score (P < 0.001),
   while theorists had the highest total physiology scores (P < 0.001).
   Activists and reflectors had scores in between pragmatists and
   theorists, and there was no statistical difference between these two
   styles of learning (P = 0.9). No student scored below 60%.
   Conclusion: This study demonstrated that the effect of moderate
   teaching-learning mismatch is different for different learners.
   Theorists excelled as they had the highest physiology score, while
   pragmatists lagged in comparison. Reflectors and activists performed
   better than pragmatists but were worse than theorists. Despite this,
   none of the students scored below 60%. This shows that a moderate
   learning style-teaching mode mismatch is not harmful for learning.
RI Hamza, Muhammad/GQH-0690-2022; Hamza, Muhammad/
OI Hamza, Muhammad/0000-0001-7800-689X; Hamza, Muhammad/0000-0002-0967-9561
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
TC 5
Z9 5
U1 0
U2 4
SN 0019-5545
EI 1998-3794
UT WOS:000430350500019
PM 29736072
ER

PT J
AU Leppert, Mary L. O'Connor
   Burton, Vera J.
   German, Rebecca A.
   Gentner, Maura B.
   Yimgang, Doris P.
   Chen, Belinda Y.
TI Teaching to varied disciplines and educational levels simultaneously: An
   innovative approach in a neonatal follow-up clinic
SO MEDICAL TEACHER
VL 40
IS 4
BP 400
EP 406
DI 10.1080/0142159X.2017.1408898
PD 2018
PY 2018
AB Purpose: Across various health conditions and geographic regions, there
   remains a dearth of clinicians with the expertise and confidence to
   identify and manage children with disabilities. At the front line of
   this crisis are clinician-educators, who are tasked with caring for
   these unique patients and with training the future workforce. Balancing
   patient care and clinical instruction responsibilities is particularly
   challenging when trainees of varied educational levels and specialties
   report simultaneously. The lack of a standard curriculum further
   compounds the clinician-educator's teaching demands and threatens the
   consistency of trainees' learning. Recognizing these challenges in their
   work in a neonatal follow-up clinic, the authors sought a solution
   through an established curriculum development process.
   Materials and methods: A needs assessment survey was conducted to gauge
   medical trainees' knowledge, skills, and experiences. Applying needs
   assessment findings, the authors developed a curriculum, which was
   administered online to several trainee cohorts just prior to rotations
   in the neonatal follow-up clinic.
   Results: After completing the curriculum, trainees scored significantly
   higher on neonatal follow-up knowledge tests.
   Conclusions: Providing advance exposure helped to ensure that trainees
   arrived with comparable basal knowledge, which served as a foundation
   for more advanced instruction. This curricular approach may be useful
   across teaching venues, especially those with multi-level or
   multi-discipline learners.
OI Yimgang, Doris/0000-0002-3909-4839
TC 1
ZB 0
ZS 0
ZA 0
ZR 0
Z8 0
Z9 1
U1 0
U2 0
SN 0142-159X
EI 1466-187X
UT WOS:000430345400011
PM 29198161
ER

PT J
AU Wadson, Kelley
TI Nurses Need Training and Policies to Address Barriers to Use of Mobile
   Devices and Apps for Direct Patient Care in Hospital Settings
SO EVIDENCE BASED LIBRARY AND INFORMATION PRACTICE
VL 13
IS 1
BP 39
EP 42
DI 10.18438/eblip29385
PD 2018
PY 2018
AB Objective - To describe nurses' usage of and attitudes toward mobile
   devices and apps and assess the impact of an educational intervention by
   hospital librarians and educators
   Design - Descriptive, cross-sectional survey, one-group pre- and
   post-test, and post intervention focus group
   Setting - One 251-bed community hospital and one 554-bed tertiary care
   hospital in Winnipeg, Canada
   Subjects - 348 inpatient medical and surgical nurses
   Methods The study had two phases. In Phase I, respondents completed a
   survey of 21 fixed and open-ended questions offered online or in print
   to a convenience sample from the community hospital and a random sample
   of medical and surgical units from the tertiary hospital. The survey
   collected demographic data and included questions about mobile devices
   and apps covering current awareness of hospital policy, ownership,
   internet access, usage patterns, concerns, and attitudes toward their
   use for direct patient care. It also included information to recruit
   volunteers for Phase II. In Phase II, participants attended four 30
   minute educational sessions facilitated by the researchers. The first
   session addressed the regional health authority's policies, Personal
   Health Information Act, and infection control practices. Subsequent
   sessions covered relevance, features, and training exercises for one or
   more selected apps. Participants installed five free or low-cost apps,
   which were chosen by the librarians and nurse educators, on their mobile
   devices: Medscape, Lab Tests Online, Lexicomp, Twitter, and Evernote.
   Participants were then given a two-month period to use the apps for
   patient care. Afterward, they completed the same survey from Phase I and
   their pre- and post intervention responses were matched for comparative
   analysis. Phase II concluded with a one-hour audio-recorded focus group
   using ten open-ended questions to gather feedback on the impact of the
   educational sessions.
   Main Results 94 nurses completed the Phase I survey for a response rate
   of 27%. Although 89 respondents reported owning a mobile device, less
   than half used them for patient care. Just under half the respondents
   were unsure if they were allowed to use mobile devices at work and a
   similar number answered that devices were not allowed. Two-thirds of
   respondents were unsure whether any institutional policies existed
   regarding mobile device use. Of the 16 participants that volunteered for
   Phase II, 14 completed the post-intervention survey and 6 attended the
   focus group. In comparison to the Phase I survey, post-intervention
   survey responses showed more awareness of institutional policies and
   increased concern about mobile devices causing distraction. In the Phase
   I survey, just over half of the nurses expressed a desire to use mobile
   devices in patient care.
   Four themes emerged from the survey's qualitative responses in Phase I:
   (1) policy: nurses were unsure of institutional policy or experienced
   either disapproval or bans on mobile device use from management;
   (2) barriers to use, namely cost, potential damage to or loss of
   devices, infection control, and lack of familiarity with technology;
   (3) patient perceptions, including generational differences with younger
   patients seen as more accepting than older patients; and
   (4) nurse perceptions: most valued access to information but expressed
   concerns about distraction, undermining of professionalism, and use of
   technology.
   Qualitative responses in the Phase II survey and focus group also
   revealed four themes:
   (1) barriers: participants did not cite loss of device or infection
   control as concerns as in Phase I;
   (2) patient acceptance and non-acceptance: education and familiarity
   with mobile devices were noted as positive influential factors;
   (3) information need, accessibility, and convenience: nurses reported
   needing easy-to-use apps, particularly Lexicomp, and appreciated
   improved access to information; and
   (4) nurse behaviour and attitude: participants reported more time would
   be needed for changes to occur in these areas.
   Conclusion The study found that although most nurses own mobile devices
   and express strong interest in using them for patient care, there are
   significant barriers including lack of clarity about institutional
   policies and concerns about infection control, risk of damage to
   personal devices, costs, lack of experience with the technology,
   distraction, and negative patient perceptions. To address these
   concerns, the authors recommend that hospital librarians and educators
   work together to offer training and advocate for improved communication
   and policies regarding use of mobile devices in hospital settings.
   Moreover, the study affirmed the benefits of using mobile devices and
   apps to support evidence-based practice, for example by providing access
   to reliable drug information. The authors conclude that additional
   research is needed to inform policy and develop strategies that hospital
   librarians and nurse educators can use to promote the most effective
   application of mobile technologies for patient care.
OI Wadson, Kelley/0000-0001-9846-1806
TC 1
ZR 0
ZA 0
ZB 0
ZS 0
Z8 1
Z9 2
U1 1
U2 3
SN 1715-720X
UT WOS:000430251100010
ER

PT J
AU Baghdadi, Nadiah A.
   Ismaile, Samantha
TI Cultural competency of nursing faculty teaching in baccalaureate nursing
   programs in the United States
SO AUSTRALASIAN MEDICAL JOURNAL
VL 11
IS 2
BP 126
EP 134
DI 10.21767/AMJ.2018.3335
PD 2018
PY 2018
AB Background
   Nursing education has acknowledged that cultural competency should be an
   educational competency of baccalaureate programs. Although nursing
   faculty are expected to adequately prepare all nurses to provide
   culturally competent care for patients, the literature suggests that
   nurse educators' low levels of cultural competence contributes to
   under-preparation of new nurses to provide culturally competent care.
   Aims
   The study assessed nursing faculty cultural competence of teaching at a
   bachelor of science in nursing programs across the United States and
   identified demographic factors that are associated with that level.
   Methods
   Study used descriptive and correlational design through the use of
   online questionnaires. The study included (N=461) nursing faculty across
   the United States with a response rate of 23 per cent and included 461.
   Data were collected using a validated tool namely the "Cultural
   Diversity Questionnaire for Nurse Educators Revised". Statistical
   analysis with means and standard deviation were calculated for all
   continuous variables. For all aims, results were summarized using
   regression estimates, p-values, and 95 per cent Confidence Interval (CI
   per cent).
   Results
   The Overall Cultural Competence (OCC) mean=166 indicated that nursing
   faculty has moderate level of cultural competence. The highest index was
   Cultural Knowledge Subscale M=43.53, and the lowest index was Cultural
   Encounter Subscale M=22.50. Regression analysis demonstrated that
   demographic variables were predictive of the mean score. Transcultural
   teaching behaviours subscale was considerably low related to the OCC
   scale, adjusting for all other variables.
   Conclusion
   The current study identified previous cultural exposure and cultural
   education as crucial factors to improve cultural competence. The
   researchers concluded that faculty cultural training needs to be
   mandated and should be more inclusive not only of educational material
   but also to include practice exposure to a diverse population. The
   training should occur during orientations, practice, and as an annual
   competency validation.
OI Ismaile, Samantha/0000-0002-7822-2426; Baghdadi,
   Nadiah/0000-0003-3264-0179
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
TC 0
Z9 0
U1 0
U2 7
SN 1836-1935
UT WOS:000429751400011
ER

PT C
AU Stathakarou, Natalia
   Kononowicz, Andrzej A.
   Henningsohn, Lars
   Mcgrath, Cormac
BE Ugon, A
   Karlsson, D
   Klein, GO
   Moen, A
TI Modelling Feedback in Virtual Patients: An Iterative Approach
SO BUILDING CONTINENTS OF KNOWLEDGE IN OCEANS OF DATA: THE FUTURE OF
   CO-CREATED EHEALTH
SE Studies in Health Technology and Informatics
VL 247
BP 201
EP 205
DI 10.3233/978-1-61499-852-5-201
PD 2018
PY 2018
AB Virtual Patients (VPs) offer learners the opportunity to practice
   clinical reasoning skills and have recently been integrated in Massive
   Open Online Courses (MOOCs). Feedback is a central part of a branched
   VP, allowing the learner to reflect on the consequences of their
   decisions and actions. However, there is insufficient guidance on how to
   design feedback models within VPs and especially in the context of their
   application in MOOCs. In this paper, we share our experiences from
   building a feedback model for a bladder cancer VP in a Urology MOOC,
   following an iterative process in three steps. Our results demonstrate
   how we can systematize the process of improving the quality of VP
   components by the application of known literature frameworks and extend
   them with a feedback module. We illustrate the design and re-design
   process and exemplify with content from our VP. Our results can act as
   starting point for discussions on modelling feedback in VPs and invite
   future research on the topic.
CT Conference on Medical Informatics Europe (MIE)
CY APR 24-26, 2018
CL Gothenburg, SWEDEN
RI McGrath, Cormac/H-8935-2019; Kononowicz, Andrzej A/ABG-8696-2020; Henningsohn, Lars/
OI McGrath, Cormac/0000-0002-8215-3646; Kononowicz, Andrzej
   A/0000-0003-2956-2093; Henningsohn, Lars/0000-0002-5521-8934
Z8 0
ZR 0
ZS 0
ZB 0
TC 2
ZA 0
Z9 2
U1 0
U2 0
SN 0926-9630
EI 1879-8365
BN 978-1-61499-852-5; 978-1-61499-851-8
UT WOS:000550786400041
PM 29677951
ER

PT C
AU Abedian, Somayeh
   Bitaraf, Ehsan
   Askari, Marjan
BE Ugon, A
   Karlsson, D
   Klein, GO
   Moen, A
TI Advantages of a Web-Based Real-Time Bed-Management System for Hospital
   Admission Monitoring in Iran
SO BUILDING CONTINENTS OF KNOWLEDGE IN OCEANS OF DATA: THE FUTURE OF
   CO-CREATED EHEALTH
SE Studies in Health Technology and Informatics
VL 247
BP 536
EP 540
DI 10.3233/978-1-61499-852-5-536
PD 2018
PY 2018
AB Lack of up-to-date information of hospitals beds, specifically in
   emergencies, is a significant problem in many large countries; The
   Ministry of Health and Medical Education of Iran (MOHME) designed and
   implemented a dynamic system that reports the status of beds in 2012.
   This system created great opportunities for national bed management,
   including real-time hospital admission monitoring, especially for
   emergency departments, ICUs and CCUs. Therefore, an additional online
   system was planned to be implemented for monitoring hospital admissions,
   including a national alert system. Prior to the design of this system, a
   study was done using literature study and expert opinion to investigate
   the advantages and features that this monitoring system was required to
   have. We used the MoSCoW method to prioritize the requirements of the
   system. This system was designed to have the following advantages, among
   other things: the hospitals as well as government should be able to
   track the patients, manage patient distribution in healthcare centers,
   and make policy for supplying extra beds. It should also be possible for
   the hospitals executive board, as well as the government, to monitor the
   performance of the hospitals regarding patient admissions (i.e., the
   rate of rejection of patients with severe conditions).
CT Conference on Medical Informatics Europe (MIE)
CY APR 24-26, 2018
CL Gothenburg, SWEDEN
OI Askari, Marjan/0000-0002-7473-0132
ZR 0
ZB 0
ZA 0
Z8 0
TC 0
ZS 0
Z9 0
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-61499-852-5; 978-1-61499-851-8
UT WOS:000550786400108
PM 29678018
ER

PT J
AU Pogue, Robert E.
   Cavalcanti, Denise P.
   Shanker, Shreya
   Andrade, Rosangela V.
   Aguiar, Lana R.
   de Carvalho, Juliana L.
   Costa, Fabricio F.
TI Rare genetic diseases: update on diagnosis, treatment and online
   resources
SO DRUG DISCOVERY TODAY
VL 23
IS 1
BP 187
EP 195
DI 10.1016/j.drudis.2017.11.002
PD JAN 2018
PY 2018
AB Rare genetic diseases collectively impact a significant portion of the
   world's population. For many diseases there is limited information
   available, and clinicians can find difficulty in differentiating between
   clinically similar conditions. This leads to problems in genetic
   counseling and patient treatment. The biomedical market is affected
   because pharmaceutical and biotechnology industries do not see
   advantages in addressing rare disease treatments, or because the cost of
   the treatments is too high. By contrast, technological advances
   including DNA sequencing and analysis, together with computer aided
   tools and online resources, are allowing a more thorough understanding
   of rare disorders. Here, we discuss how the collection of various types
   of information together with the use of new technologies is facilitating
   diagnosis and, consequently, treatment of rare diseases.
RI Carvalho, Juliana/F-4498-2015; Aguiar, Lana Ribeiro/L-8630-2018; Pogue, Robert/C-3860-2016
OI Carvalho, Juliana/0000-0002-1423-0523; Aguiar, Lana
   Ribeiro/0000-0002-9566-7363; Pogue, Robert/0000-0002-8789-3512
ZS 1
TC 30
Z8 2
ZB 21
ZA 0
ZR 0
Z9 33
U1 1
U2 19
SN 1359-6446
EI 1878-5832
UT WOS:000424313200020
PM 29129805
ER

PT J
AU Majeski, Robin A.
   Stover, Merrily
TI Contemplative pedagogy in hybrid and asynchronous online undergraduate
   aging services/gerontology courses
SO GERONTOLOGY & GERIATRICS EDUCATION
VL 39
IS 1
BP 75
EP 85
DI 10.1080/02701960.2016.1164150
PD 2018
PY 2018
AB The rapid aging of the U.S. population has brought with it the challenge
   of preparing effective leaders in aging services/policy. These leaders
   need a fresh cognitive and empathic understanding of the complex needs
   of older adults and those who work with them. With its experiential and
   integrative approach, contemplative pedagogies are ideally suited for
   preparing aging services leaders. Contemplative pedagogies help learners
   interact with course material in ways that deeply engage students,
   disrupt habitual ways of thinking, and encourage innovative approaches
   to aging services/policy issues. Given the increasing popularity of
   hybrid and online courses, contemplative pedagogies could enhance
   learners' satisfaction with and the quality of learning in these
   courses. This article provides a description of contemplative pedagogies
   and embodied cognition research and theory as a theoretical framework
   for them. The article discusses the ways in that contemplative
   pedagogies have been incorporated in two undergraduate management of
   aging services courses. Student responses to the use of contemplative
   pedagogies and directions for future research are presented.
ZA 0
TC 1
ZR 0
ZB 0
Z8 0
ZS 0
Z9 1
U1 0
U2 1
SN 0270-1960
EI 1545-3847
UT WOS:000429829900007
PM 27050532
ER

PT J
AU Torre, Kristin
   Russomanno, Kristen
   Ferringer, Tammie
   Elston, Dirk
   Murphy, Michael J.
TI Educational Gaps in Molecular Diagnostics, Genomics, and Personalized
   Medicine in Dermatopathology Training: A Survey of US Dermatopathology
   Fellowship Program Directors
SO AMERICAN JOURNAL OF DERMATOPATHOLOGY
VL 40
IS 1
BP 43
EP 48
DI 10.1097/DAD.0000000000000909
PD JAN 2018
PY 2018
AB Background: Molecular technologies offer clinicians the tools to provide
   high-quality, cost-effective patient care. We evaluated education
   focused on molecular diagnostics, genomics, and personalized medicine in
   dermatopathology fellowship training.
   Design: A 20-question online survey was emailed to all (n = 53)
   Accreditation Council for Graduate Medical Education (ACGME)-accredited
   dermatopathology training programs in the United States.
   Results: Thirty-one of 53 program directors responded (response rate =
   58%). Molecular training is undertaken in 74% of responding
   dermatopathology fellowships, with levels of instruction varying among
   dermatology-based and pathology-based programs. Education differed for
   dermatology- and pathology-trained fellows in approximately one-fifth
   (19%) of programs. Almost half (48%) of responding program directors
   believe that fellows are not currently receiving adequate molecular
   education, although the majority (97%) expect to incorporate additional
   instruction in the next 2-5 years. Factors influencing the incorporation
   of relevant education include perceived clinical utility and
   Accreditation Council for Graduate Medical Education/residency review
   committee (RRC) requirements. Potential benefits of molecular education
   include increased medical knowledge, improved patient care, and
   promotion of effective communication with other healthcare
   professionals. More than two-thirds (68%) of responding program
   directors believe that instruction in molecular technologies should be
   required in dermatopathology fellowship training.
   Conclusions: Although all responding dermatopathology fellowship program
   directors agreed that molecular education is important, only a little
   over half of survey participants believe that their fellows receive
   adequate instruction. This represents an important educational gap.
   Discussion among those who oversee fellow education is necessary to best
   integrate and evaluate teaching of molecular dermatopathology.
ZR 0
ZB 3
ZA 0
Z8 0
ZS 0
TC 4
Z9 4
U1 0
U2 1
SN 0193-1091
EI 1533-0311
UT WOS:000428735100013
PM 28509701
ER

PT J
AU White, Marney A.
   Mayer, Margaret
   Vanderlind, W. Michael
   Allswede, Dana
TI Evaluation of a Behavioral Self-Care Intervention for Public Health
   Students
SO AMERICAN JOURNAL OF HEALTH EDUCATION
VL 49
IS 1
BP 40
EP 47
DI 10.1080/19325037.2017.1369199
PD 2018
PY 2018
AB Background: Postgraduate education is recognized as a time of intense
   stress. Rates of anxiety and depression are elevated among graduate
   students, and longitudinal studies have documented increases in clinical
   symptoms over the course of training. Purpose: The current study was to
   evaluate whether an academically sponsored self-care intervention would
   increase engagement in health promotion activities. The primary goal was
   to determine whether self-care behaviors completed in the midst of a
   challenging academic program would prevent the worsening of student
   mental health. Methods: The self-care intervention included behavior
   change projects designed to increase health-promoting behaviors within 4
   domains (nutrition, physical activity, mental health, social support).
   Students received incentives in the way of bonus points for maintaining
   health behaviors for the duration of the 12-week semester. Results:
   Results revealed significant increases in health-promoting behaviors.
   Importantly, mental health symptoms did not worsen over the course of
   the semester. Discussion: The study provides preliminary support for the
   utility of a brief self-care intervention for students in the health
   sciences. Translation to Health Education Practice: Future studies
   should examine the applicability of this intervention to students in
   other fields of study and through online education formats.
RI White, Marney/AAC-9016-2019; White, Marney/
OI White, Marney/0000-0001-9856-6608
ZS 0
ZB 0
ZR 0
ZA 0
TC 4
Z8 0
Z9 4
U1 23
U2 76
SN 1932-5037
EI 2168-3751
UT WOS:000428746500007
ER

PT J
AU Pereira, Anne G.
   Kim, Michael
   Seywerd, Marcus
   Nesbitt, Brooke
   Pitt, Michael B.
CA Minnesota Epic101 Collaborative
TI Collaborating for Competency-A Model for Single Electronic Health Record
   Onboarding for Medical Students Rotating among Separate Health Systems
SO APPLIED CLINICAL INFORMATICS
VL 9
IS 1
BP 199
EP 204
DI 10.1055/s-0038-1635096
PD JAN 2018
PY 2018
AB Background Use of the electronic health record (EHR) is widespread in
   academic medical centers, and hands-on EHR experience in medical school
   is essential for new residents to be able to meaningfully contribute to
   patient care. As system-specific EHR training is not portable across
   institutions-even when the same EHR platform is used students rotating
   across health systems are often required to spend time away from
   clinical training to complete each system's, often duplicative, EHR
   training regardless of their competency within the EHR. Methods We aimed
   to create a single competency-based Epic onboarding process that would
   be portable across all the institutions in which our medical students
   complete clinical rotations. In collaboration with six health systems,
   we created online EHR training modules using a systematic approach to
   curriculum development and created an assessment within the Epic
   practice environment. Results All six collaborating health systems
   accepted successful completion of the developed assessment in lieu of
   standard site-specific medical student EHR training. In the pilot year,
   443 students (94%) completed the modules and assessment prior to their
   clinical training and successfully entered clinical rotations without
   time consuming, often repetitive onsite training, decreasing the
   cumulative time as student might be expected to engage in Epic
   onboarding as much as 20-fold. Conclusion Medical schools with
   multisystem training sites with a single type of EHR can adopt this
   approach to minimize training burden for their learners and to allow
   them more time in the clinical setting with optimized access to the EHR.
OI Pitt, Michael/0000-0002-7123-2613
Z8 0
ZS 0
ZA 0
TC 8
ZB 0
ZR 0
Z9 8
U1 0
U2 3
SN 1869-0327
UT WOS:000428691400001
PM 29564849
ER

PT J
AU Kim, Sujin
   Syn, Sue Yeon
   Sinn, Donghee
TI Exploratory study of personal health information management using health
   literacy model
SO ASLIB JOURNAL OF INFORMATION MANAGEMENT
VL 70
IS 1
BP 104
EP 122
DI 10.1108/AJIM-03-2017-0062
PD 2018
PY 2018
AB Purpose - The purpose of this paper is to empirically test whether
   individuals' internal factors (prior knowledge, resources, and
   capability) and environmental factors (stimuli, limitation) have any
   influence on the development of personal health information management
   (PHIM) literacy skills and which constructs are statistically associated
   with general health-related outcomes.
   Design/methodology/approach - Survey responses were collected from
   Amazon's Mechanical Turk (mTurk), a crowdsourcing internet service, in
   December 2013. A total of 578 responses were analyzed using
   partial-least squares structural equation modeling technique.
   Findings - The model as a whole exhibited 62.8 percent of variance in
   health-related outcomes. The findings suggest that prior knowledge has a
   direct effect on health literacy (HL) skills (H3: beta = 0.212,
   p<0.001). The PHIM stimuli (H4: beta = 0.475, p<0.001) have a direct
   impact on HL skills, and they have an indirect effect on the
   comprehension of stimuli (H6: beta = 0.526, p<0.001) through the
   mediator of stimuli and the knowledge variable.
   Research limitations/implications - One possible limitation of this
   study is that the study may include a highly technology literate group,
   as survey respondents were recruited from the online service mTurk.
   Practical implications - The study poses implications for further
   research and practice. This research was an exploratory work for further
   model development so future studies should investigate deeper into real
   personal health record (PHR) user groups (e.g. patients and caregivers).
   For example, studies by White and Horvitz (2009a, b) conducted real-time
   user studies that the authors could apply to the authors' future PHR
   studies. Since the findings cannot be generalizable to these specific
   groups, similar research may be conducted. Using caregiver groups of PHR
   users in comparison to patient groups could determine the similarities
   and differences of their PHIM activities and related outcomes for
   optimal design of self-care management.
   Social implications - Further, it is suggested to conduct large scale,
   real-time-based studies using a PHR transaction log analysis to achieve
   conclusiveness and generalizability. Additionally, future studies should
   address not only diverse real-time user groups, but also various PHR
   data sources and their presentation issues.
   Originality/value - This study model offers an important perspective on
   PHIM and its causal pathway for use not only by patient educators and
   healthcare providers but also information providers, personal health
   record (PHR) system developers, and PHR users.
RI Ajmi, Ghalia Al/AAB-6467-2019; Sinn, Donghee/
OI Sinn, Donghee/0000-0002-8474-7026
ZR 0
Z8 0
TC 3
ZS 0
ZB 0
ZA 0
Z9 3
U1 0
U2 33
SN 2050-3806
EI 1758-3748
UT WOS:000428758500006
ER

PT J
AU Hartman, Nicholas D.
   Harper, Erin N.
   Leppert, Lauren M.
   Browning, Brittany M.
   Askew, Kim
   Manthey, David E.
   Mahler, Simon A.
TI A Multidisciplinary Self-Directed Learning Module Improves Knowledge of
   a Quality Improvement Instrument: The HEART Pathway
SO JOURNAL FOR HEALTHCARE QUALITY
VL 40
IS 1
BP E9
EP E14
DI 10.1097/JHQ.0000000000000044
PD JAN-FEB 2018
PY 2018
AB We created and tested an educational intervention to support
   implementation of an institution wide QI project (the HEART Pathway)
   designed to improve care for patients with acute chest pain. Although
   online learning modules have been shown effective in imparting knowledge
   regarding QI projects, it is unknown whether these modules are effective
   across specialties and healthcare professions. Participants, including
   nurses, advanced practice clinicians, house staff and attending
   physicians (N = 486), were enrolled into an online, self-directed
   learning course exploring the key concepts of the HEART Pathway. The
   module was completed by 97% of enrollees (469/486) and 90% passed on the
   first attempt (422/469). Out of 469 learners, 323 completed the pretest,
   learning module and posttest in the correct order. Mean test scores
   across learners improved significantly from 74% to 89% from the pretest
   to the posttest. Following the intervention, the HEART Pathway was used
   for 88% of patients presenting to our institution with acute chest pain.
   Our data demonstrate that this online, self-directed learning module can
   improve knowledge of the HEART Pathway across specialties-paving the way
   for more efficient and informed care for acute chest pain patients.
RI Hartman, Nicholas/N-4200-2019
ZA 0
ZB 0
ZS 1
Z8 0
TC 2
ZR 0
Z9 3
U1 0
U2 8
SN 1062-2551
EI 1945-1474
UT WOS:000428758600002
PM 27442714
ER

PT J
AU Wozney, Lori
   Radomski, Ashley D.
   Newton, Amanda S.
TI The Gobbledygook in Online Parent-Focused Information about Child and
   Adolescent Mental Health
SO HEALTH COMMUNICATION
VL 33
IS 6
BP 710
EP 715
DI 10.1080/10410236.2017.1306475
PD 2018
PY 2018
AB Online parent-focused informational resources play a vital step in
   parent decision-making about initiating child and adolescent mental
   health care, but their usefulness may depend on how easily the resource
   content can be understood. The purpose of this cross-sectional study was
   to examine the readability and reliability of parent-focused mental
   health resources provided on Canadian websites. After meeting inclusion
   criteria, 50 documents retrieved during the search in September 2016
   from websites using online health information searching strategies that
   would be typically employed by parents underwent analysis. Document
   readability was assessed using Health Canada recommended instruments:
   Simple Measure of Gobbledygook (SMOG), Flesch-Kincaid Grade Level, and
   the Flesch Reading-Ease scale. Reliability was assessed using Health on
   the Net Foundation Code of Conduct (HONcode). Our analysis revealed that
   all included documents exceeded the 8th grade reading level. The mean
   +/- SD readability scores were SMOG 11.65 +/- 1.10 and FKGL 10.03 +/-
   1.49. Reading-ease scores showed that 42% (n=21) of the documents were
   Difficult to read. Factorial ANOVA revealed no significant difference in
   readability across mental health topic areas or organizational sectors
   (p=>0.05). Twenty-four percent of documents came from sites with HONcode
   certification. Findings suggest that almost all child and adolescent
   mental health information that would typically be found online by
   parents in Canada had readability scores that were too high for average
   parents to read and exceeded Health Canada recommended reading levels.
   Being able to locate resources online can be significantly precluded if
   a parent cannot understand and use information to mobilize them to
   accessing mental health care for their families.
OI Wozney, Lori/0000-0003-4280-3322
ZA 0
Z8 0
ZS 0
TC 4
ZB 0
ZR 0
Z9 4
U1 1
U2 13
SN 1041-0236
EI 1532-7027
UT WOS:000428578100007
PM 28402141
ER

PT J
AU Eason, Christianne M.
   Mazerolle, Stephanie M.
   Denegar, Craig R.
   Pitney, William A.
   McGarry, Jennifer
TI Multilevel Examination of Job Satisfaction and Career Intentions of
   Collegiate Athletic Trainers: A Quantitative Approach
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 1
BP 80
EP 87
DI 10.4085/1062-6050-52.11.27
PD JAN 2018
PY 2018
AB Context: Recent employment data from collegiate athletic training
   settings have demonstrated departure trends among men and women. These
   trends have been hypothesized to be related to work-life balance.
   However, work-life balance is only 1 aspect of a myriad of factors. Due
   to the complex nature of the work-life interface, a multilevel
   examination is needed to better understand the precipitators of
   departure.
   Objective: To quantitatively examine factors that may influence
   collegiate athletic trainers' (ATs') job satisfaction and career
   intentions via a multilevel examination of the work-life interface.
   Design: Cross-sectional study.
   Setting: Web-based questionnaire.
   Patients or Other Participants: Athletic trainers employed in National
   Collegiate Athletic Association Division I, II, or III or National
   Association of Intercollegiate Athletics colleges or universities (N =
   299: 56.5% female, 43.5% male). The average age of participants was 33.6
   +/- 8.3 years, and their average experience was 10.3 +/- 7.6 years.
   Data Collection and Analysis: Participants responded to an online
   questionnaire consisting of demographic questions, 9 Likert-scale
   surveys, and open-ended questions. Job-satisfaction Scores (JSSs) and
   intention-to-leave scores (ITLSs) served as the dependent variables and
   factors from individual, organizational, and sociocultural levels were
   the independent variables. Hierarchical regression analysis was run to
   determine the predictability of factors.
   Results: No sex differences in ITLS or JSS were found in our sample.
   Independent variables explained 68.5% of the variance in JSS and 28.8%
   of the variance in ITLS. Additions of factor levels increased the
   percentage of explained variance in both scores.
   Conclusions: A combination of individual-, organizational-, and
   sociocultural-level factors was able to best predict JSS and ITLS among
   collegiate ATs.
RI denegar, craig/AAX-7373-2020
Z8 0
ZS 0
ZR 0
TC 6
ZA 0
ZB 3
Z9 6
U1 0
U2 7
SN 1062-6050
EI 1938-162X
UT WOS:000425272000010
PM 29182375
ER

PT J
AU Praus, P.
   Riedel-Heller, S.
   Dressing, H.
TI Stalking of psychiatrists and psychotherapists. Results of an online
   survey
SO NERVENARZT
VL 89
IS 1
BP 58
EP 63
DI 10.1007/s00115-017-0304-4
PD JAN 2018
PY 2018
AB Background. Currently, there are clear indications that due to their
   exposed occupational position psychiatrists and psychotherapists are at
   a higher risk than the general public to become the victim of stalking
   by patients.
   Objectives. This study investigated the frequency of stalking and its
   psychosocial impact among psychiatrists and psychotherapists in the
   Federal Republic of Germany.
   Methods. Analysis of an online survey among members of the German
   Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN)
   from 23 September 2015 until 22 October 2015.
   Results. Of the respondents 26.5% reported having been the victim of
   stalking. In more than a third of the reported cases the stalking was
   described as severely or very severely debilitating. The majority of the
   perpetrators suffered from psychotic or personality disorders. Male
   victims were significantly more frequently stalked by a female
   perpetrator. Approximately 1 in 10 stalking victims continued the
   treatment of the perpetrator. The majority of the stalking victims did
   not obtain substantial support from their employer.
   Conslusion. The phenomenon of stalking within therapeutic relationships
   needs to be incorporated into the medical and psychotherapeutic
   professional training, e.g. by implementing specialized training courses
   and the systematic integration of this topic into clinical supervision.
   The institutional dealing with stalking by patients needs to optimized,
   e.g. by promptly transferring treatment of patients who stalk to other
   professionals and, where required, providing assistance in reporting
   stalking incidents to the police.
RI Riedel-Heller, Steffi/ABG-1537-2021; Dressing, Harald/GLU-7997-2022
Z8 0
ZA 0
TC 1
ZB 0
ZS 0
ZR 0
Z9 1
U1 0
U2 6
SN 0028-2804
EI 1433-0407
UT WOS:000419964300007
PM 28289792
ER

PT J
AU Chang, Yu-Tung
   Tsai, Kuang-Chau
   Williams, Brett
TI Development of new core competencies for Taiwanese Emergency Medical
   Technicians
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 147
EP 158
DI 10.2147/AMEP.S153403
PD 2018
PY 2018
AB Objectives: Core competencies are considered the foundation for
   establishing Emergency Medical Technician (EMT) and paramedic curricula,
   and for ensuring performance standards in the delivery of prehospital
   care. This study surveyed EMT instructors and medical directors to
   identify the most desirable core competencies for all levels of EMTs in
   Taiwan.
   Methods: A principal components analysis with Varimax rotation was
   conducted. An online questionnaire was distributed to obtain
   perspectives of EMT instructors and medical directors on the most
   desirable core competencies for EMTs. The target population was EMT
   training-course instructors and medical directors of fire departments in
   Taiwan. The questionnaire comprised 61 competency items, and
   multiple-choice and open-ended questions were used to obtain
   respondents' perspectives of the Taiwanese EMT training and education
   system.
   Results: The results identified three factors at EMT-1 and EMT-2 levels
   and five factors at the EMT-Paramedic level. The factors for EMT-1 and
   EMT-2 were similar, and those for EMT-Paramedics identified further
   comprehensive competence perspectives. The key factors that appear to
   influence the development of the Taiwanese Emergency Medical Services
   (EMS) education system are the attitude of authorities, the licensure
   system, and legislation.
   Conclusion: The findings present new core competencies for the Taiwanese
   EMT system and provide capacity to redesign curricula and reconsider
   roles for EMT-1 and EMT-2 technicians. At the EMT-Paramedic level, the
   findings demonstrate the importance of incorporating competency
   standards in the current skills-based curriculum. Moreover, the
   core-competencies gap that exists between Taiwanese EMT-1s, EMT-2s, and
   EMT-Paramedics and internationally recognized core competencies needs to
   be addressed. By identifying the key factors that potentially impact the
   development of the EMS education system, such as the attitude of
   authorities, the licensure system, and legislation, these findings will
   inform future curricula design in Taiwan.
RI Williams, Brett/AAJ-2685-2020; Williams, Brett/F-6776-2014
OI Williams, Brett/0000-0001-6307-1779; Williams, Brett/0000-0001-6307-1779
TC 2
Z8 0
ZB 0
ZA 0
ZR 0
ZS 0
Z9 2
U1 1
U2 2
SN 1179-7258
UT WOS:000427393700001
PM 29563847
ER

PT J
AU Balneaves, Lynda G.
   Alraja, Abeer
   Ziemianski, Daniel
   McCuaig, Fairleth
   Ware, Mark
TI A National Needs Assessment of Canadian Nurse Practitioners Regarding
   Cannabis for Therapeutic Purposes
SO CANNABIS AND CANNABINOID RESEARCH
VL 3
IS 1
BP 66
EP 73
DI 10.1089/can.2018.0002
PD 2018
PY 2018
AB Introduction: In Canada, the Access to Cannabis for Medical Purposes
   Regulations (ACMPR) has given nurse practitioners (NPs) the power to
   authorize cannabis for therapeutic purposes (CTP) to eligible patients.
   This expansion in NPs' scope of practice underscores the importance of
   delivering balanced, evidence-based education on cannabis to NPs. The
   aim of this national study was to assess NPs' knowledge and practice
   gaps related to CTP to inform the development of future education
   resources that increase NPs' clinical competence and improve patient
   care related to medical cannabis. Methods: This is a quantitative,
   descriptive exploratory design study. A national online survey of NPs
   was conducted from August 2013 to June 2014. NPs were recruited through
   email lists held by numerous Canadian nursing organizations. The survey
   was adapted from a previous national survey that assessed CTP
   educational needs among Canadian physicians. The survey assessed NPs'
   knowledge, experience, barriers, and attitudes related to CTP as well as
   preferred format for future CTP education. Results: The sample consisted
   of 182 NPs from across Canada. The largest knowledge gap was related to
   dosing and creating effective treatment plans for patients using CTP.
   The majority of respondents (76.3%) ranked the need for education on CTP
   to be either strong or very strong. Over half (57%) reported that they
   would be comfortable authorizing medical cannabis through the ACMPR;
   this number increased to 64% if they were to receive appropriate
   education. Conclusion: Nursing regulatory organizations, in partnership
   with academic institutions and government agencies, must work toward the
   development of educational and clinical competencies specific to CTP.
   Tailored education programs are needed to address the knowledge gaps
   held by NPs and the clinical barriers they face to including CTP as part
   of their care.
RI Balneaves, Lynda/AAG-9383-2021; Ware, Mark/
OI Balneaves, Lynda/0000-0002-6535-2096; Ware, Mark/0000-0002-1286-1719
Z8 4
ZB 8
TC 36
ZS 1
ZR 0
ZA 0
Z9 40
U1 1
U2 2
SN 2578-5125
EI 2378-8763
UT WOS:000616128300008
PM 29588917
ER

PT J
AU Dolatabadi, Ali Arhami
   Shojaee, Majid
   Kariman, Hamid
   Shahrami, Ali
   Abolmaali, Sarah
TI Imaging appropriateness in an academic emergency medicine program
SO INTERNATIONAL EMERGENCY NURSING
VL 36
BP 16
EP 21
DI 10.1016/j.ienj.2017.07.004
PD JAN 2018
PY 2018
AB Introduction: As radiologic assessment is a key part in evaluating
   patients visited in emergency department, this survey was conducted to
   measure emergency medicine residents' competency in choosing appropriate
   diagnostic imaging in different clinical scenarios.
   Methods: All emergency medicine residents enrolled in an academic
   emergency medicine discipline in the three medical universities of
   Tehran, Iran were recruited. A questionnaire was designed consisting of
   10 clinically common scenarios selected from the American College of
   Radiology appropriateness criteria. Each resident completed the survey
   separately with answers only given after all residents participated.
   Results: 196 residents completed the survey (95% of all residents). The
   results were stratified by postgraduate year and university. The average
   number of correct answers was 6.2. First, second and third year
   residents scored the average of 6.1, 5.8 and 6.5, respectively (P =
   0.04). The average score of residents from different universities did
   not differ significantly.
   Conclusion: According to the low average score, it is recommended that
   attentive educational perfections are needed to help residents order
   more appropriate diagnostic images, which may also be helpful for other
   healthcare providers. However, it seems that our emergency medicine
   academic curriculum is relatively efficient to enhance residents' skills
   in choosing proper imaging. (C) 2017 Elsevier Ltd. All rights reserved.
RI Kariman, Hamid/AAK-1103-2020; Shahrami, Ali/AAM-1213-2020; Shojaee, Majid/T-6888-2019; Arhami dolatabadi, Ali/D-3508-2016; shojaee, majid/
OI Arhami dolatabadi, Ali/0000-0001-9492-9520; shojaee,
   majid/0000-0001-6819-9237
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
TC 0
Z9 0
U1 0
U2 0
SN 1755-599X
EI 1878-013X
UT WOS:000426153100003
PM 28780327
ER

PT J
AU Chhabra, H. S.
   Sharma, S.
   Arora, M.
TI Challenges in comprehensive management of spinal cord injury in India
   and in the Asian Spinal Cord network region: findings of a survey of
   experts, patients and consumers
SO SPINAL CORD
VL 56
IS 1
BP 71
EP 77
DI 10.1038/sc.2017.102
PD JAN 2018
PY 2018
AB Study design: Online survey.
   Objectives: To understand the prevailing scenario of the comprehensive
   management of spinal cord injuries (SCI) in India and in the Asian
   Spinal Cord Network (ASCoN) region, especially with a view to document
   the challenges faced and its impact.
   Setting: Indian Spinal Injuries Centre.
   Methods: A questionnaire was designed which covered various aspects of
   SCI management. Patients, consumers (spinal injured patients discharged
   since at least 1 year) and experts in SCI management from different
   parts of India and the ASCoN region were approached to complete the
   survey.
   Results: Sixty patients, 66 consumers and 34 experts completed the
   survey. Difference of opinion was noticed among the three groups.
   Disposable Nelaton catheters were used by 57% consumers and 47%
   patients. For reusable catheter, 31% experts recommended processing with
   soap and running water and 45% recommended clean cotton cloth bag for
   storage. Pre-hospital care and community inclusion pose the biggest
   challenges in management of SCI. More than 75% of SCI faced problems of
   access and mobility in the community. Awareness about SCI, illiteracy
   and inadequate patient education are the most important factors
   hindering pre-and in-hospital care. Inadequate physical as well as
   vocational rehabilitation and financial barriers are thought to be the
   major factors hindering integration of spinal injured into mainstream
   society. Strong family support helped in rehabilitation.
   Conclusions: Our study brought out that SCI in India and ASCoN region
   face numerous challenges that affect access to almost all aspects of
   comprehensive management of SCI.
RI Chhabra, Harvinder/AAR-8376-2021; Arora, Mohit/D-3373-2015; Arora, Mohit/ABA-6802-2020
OI Arora, Mohit/0000-0003-1024-3682; Arora, Mohit/0000-0003-1024-3682
Z8 0
TC 7
ZS 0
ZA 0
ZR 0
ZB 0
Z9 7
U1 0
U2 1
SN 1362-4393
EI 1476-5624
UT WOS:000424684000013
PM 28895578
ER

PT J
AU Rouhani, Maral J.
   Burleigh, Eleanor J.
   Hobbis, Chloe
   Dunford, Charlotte
   Osman, Nadir I.
   Gan, Christine
   Gibbons, Norma B.
   Ahmed, Hashim U.
   Miah, Saiful
TI UK medical students' perceptions, attitudes, and interest toward medical
   leadership and clinician managers
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 119
EP 124
DI 10.2147/AMEP.S151436
PD 2018
PY 2018
AB Background: We aimed to determine UK medical students' perceptions and
   attitudes and interest toward medical leadership and clinician managers.
   distributed to 2,349 final-year students from 10 UK medical schools.
   Participants were asked to complete a 5-point Likert scale on their
   current perceptions, attitudes, and interest toward medical leadership
   and clinician managers. They were also asked to self-rate their
   leadership competences set by the Medical Leadership Competency
   Framework and to rate the quality of management and leadership training
   they received from their medical school.
   Results: In total, we received 114 complete responses. Only 7.9% of
   respondents were in agreement (strongly agree or agree) when asked
   whether they felt they were well informed about what a managerial
   position in medicine entails. When asked whether clinicians should
   influence managerial decisions within a clinical setting, 94.7% of
   respondents were in agreement with the statement. About 85% of
   respondents were in agreement that it is important for clinicians to
   have managerial or leadership responsibilities, with 63.2% of students
   in agreement that they would have liked more management or leadership
   training during medical school. Over half the respondents rated their
   management and leadership training they received during medical school
   as "very poor" or "poor" (54.4%).
   Conclusion: Our study suggests that UK medical students have an appetite
   for management and leadership training and appreciate its importance but
   feel that the training they are receiving is poor. This suggests that
   there is a gap between the demand for management and leadership training
   and the quality of training supplied by UK medical schools.
RI Ahmed, Hashim U./AAU-1037-2020; Osman, Nadir Isameldin/
OI Ahmed, Hashim U./0000-0003-1674-6723; Osman, Nadir
   Isameldin/0000-0002-9946-1629
ZR 0
ZS 1
ZA 0
Z8 0
ZB 1
TC 13
Z9 13
U1 0
U2 4
SN 1179-7258
UT WOS:000425339000001
PM 29497346
ER

PT J
AU Zupanec, Vera S.
   Radulovic, Branka N.
   Pribicevic, Tijana Z.
   Miljanovic, Tomka G.
   Zdravkovic, Vujadin G.
TI DETERMINATION OF EDUCATIONAL EFFICIENCY AND STUDENTS' INVOLVEMENT IN THE
   FLIPPED BIOLOGY CLASSROOM IN PRIMARY SCHOOL
SO JOURNAL OF BALTIC SCIENCE EDUCATION
VL 17
IS 1
BP 162
EP 176
PD 2018
PY 2018
AB The Flipped Classroom (FC) is a teaching approach in which students gain
   the first-exposure learning with online materials outside the classroom,
   and then, in the classroom, they focus on interactive or engaging
   exercises. Despite its considerable publicity, the studies focused on
   the FC in primary education are deficient. The aim of this research is
   to determine efficiency and students' involvement in the flipped Biology
   classroom in primary school, compared to the conventional classroom (CC)
   approach. Educational efficiency and students' involvement are measured
   by combining the values of the students' performance and mental effort
   on the test. Each task in the test was followed by the 5-point Likert
   scale for evaluation of invested mental effort. The total sample of this
   research included 112 students, aged from 12 to 13. The results show
   that the FC approach contributes to the reduction of the students'
   mental effort and an increase in the students' performance. On the basis
   of calculated efficiency and students' involvement of applied teaching
   approaches, it was concluded that the FC represents a feasible and
   efficient approach to Biology primary education.
RI Radulovic, Branka/AAT-1789-2020
OI Radulovic, Branka/0000-0003-2377-4773
Z8 0
ZS 0
ZA 0
TC 14
ZB 0
ZR 1
Z9 14
U1 1
U2 39
SN 1648-3898
UT WOS:000425658700012
ER

PT J
AU O'Regan, Andrew
   Smithson, William Henry
   Spain, Eimear
TI Social media and professional identity: Pitfalls and potential
SO MEDICAL TEACHER
VL 40
IS 2
BP 112
EP 116
DI 10.1080/0142159X.2017.1396308
PD 2018
PY 2018
AB Introduction: Social media developments have completely changed how
   information is accessed and communicated. While great potential exists
   with these platforms, recent reports of online unprofessional behavior
   by doctors has threatened the medical professional identity; a matter of
   critical importance for clinicians and medical educators. This paper
   outlines a role for social media in facilitating support for clinicians
   and medical teachers; it will raise awareness of pitfalls and explain
   ethical and legal guidelines.Methods: An analysis of inappropriate
   behaviors and conflicting attitudes regarding what is acceptable in
   online posts, including the inter-generational contrast in online
   presence and perceptions of where the boundaries lie.Results and
   discussion: Guidance documents are analyzed and potentially confusing
   and conflicting statements are identified and clarified. The authors
   believe that clinicians and medical students must follow ethical
   imperatives in both personal and professional spheres.Conclusions: It is
   essential that medical educational and professional bodies encourage
   clinicians to support one another and share information online while
   providing clear legal and ethical advice on maintaining standards and
   avoiding common pitfalls. Education on the responsible use of social
   media and associated risk awareness should be a priority for medical
   school curricula.
OI O'Regan, Andrew/0000-0001-8470-2736
TC 13
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
Z9 13
U1 2
U2 18
SN 0142-159X
EI 1466-187X
UT WOS:000426935000001
PM 29172814
ER

PT J
AU Basch, Corey H.
   Yin, Jingjing
   Kollia, Betty
   Adedokun, Adeyemi
   Trusty, Stephanie
   Yeboah, Felicia
   Fung, Isaac Chun-Hai
TI Public online information about tinnitus: A cross-sectional study of
   YouTube videos
SO NOISE & HEALTH
VL 20
IS 92
BP 1
EP 8
DI 10.4103/nah.NAH_32_17
PD JAN-FEB 2018
PY 2018
AB Purpose: To examine the information about tinnitus contained in
   different video sources on YouTube. Materials and Methods: The 100 most
   widely viewed tinnitus videos were manually coded. Firstly, we
   identified the sources of upload: consumer, professional,
   television-based clip, and internet-based clip. Secondly, the videos
   were analyzed to ascertain what pertinent information they contained
   from a current National Institute on Deafness and Other Communication
   Disorders fact sheet. Results: Of the videos, 42 were
   consumer-generated, 33 from media, and 25 from professionals.
   Collectively, the 100 videos were viewed almost 9 million times. The
   odds of mentioning "objective tinnitus" in professional videos were 9.58
   times those from media sources [odds ratio (OR)=9.58; 95% confidence
   interval (CI): 1.94, 47.42; P=0.01], whereas these odds in consumer
   videos were 51% of media-generated videos (OR=0.51; 95% CI: 0.20, 1.29;
   P=0.16). The odds that the purpose of a video was to sell a product or
   service were nearly the same for both consumer and professional videos.
   Consumer videos were found to be 4.33 times as likely to carry a theme
   about an individual's own experience with tinnitus (OR=4.33; 95% CI:
   1.62, 11.63; P=0.004) as media videos. Conclusions: Of the top 100
   viewed videos on tinnitus, most were uploaded by consumers, sharing
   individuals' experiences. Actions are needed to make scientific medical
   information more prominently available and accessible on YouTube and
   other social media.
OI Fung, Isaac Chun-Hai/0000-0001-5496-2529
ZA 0
ZR 0
ZB 0
Z8 0
TC 12
ZS 1
Z9 13
U1 0
U2 4
SN 1463-1741
EI 1998-4030
UT WOS:000425659200001
PM 29457600
ER

PT J
AU Patel, Gaurav P.
TI The role of pairing an anesthesiology rotation with the general surgery
   clerkship: positive impact on surgical and perioperative education
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 93
EP 97
DI 10.2147/AMEP.S158000
PD 2018
PY 2018
AB Background: The use of an anesthesiology rotation in the realm of
   surgical education is not very well studied. Several studies show the
   importance of an anesthesiology rotation in the grand scheme of
   undergraduate medical education. However, its importance in
   perioperative medicine and surgical education is not very well
   understood. This study attempts to look at this relationship and
   determine whether or not a temporal relationship between this
   anesthesiology rotation and a surgical rotation is important.
   Methods: I used an online survey tool to survey medical students who
   took the anesthesiology rotation (required rotation) in 2014 and 2015
   (when rotation was coupled to surgical rotation) and compared those data
   to the data of students who took the rotation in 2016 (when the rotation
   was not coupled to surgery). I asked several questions looking at the
   importance of the anesthesiology rotation to surgical education and to
   perioperative medicine.
   Results: Having a required anesthesiology rotation appears to add value
   to the general surgery rotation in undergraduate medical education.
   Furthermore, when this rotation is paired with the general surgery
   rotation, it appears that the students learn more about perioperative
   medicine than when the rotation is paired with other "advanced"
   rotation.
   Conclusion: The pairing of anesthesiology with a general surgery
   rotation does indeed improve the perioperative medicine education and
   knowledge of students. Students appreciate having a week of
   anesthesiology with the surgical rotation, and they note that it adds
   value to the general surgery rotation.
ZB 0
TC 2
ZA 0
ZR 0
ZS 0
Z8 0
Z9 2
U1 0
U2 2
SN 1179-7258
UT WOS:000425338000001
PM 29445309
ER

PT J
AU Ismail, Faisal W.
   Abid, Shahab
   Mawani, Minaz
   Jafri, Wasim
   Hamid, Saeed S.
TI Training in emerging advances in chronic hepatitis C infection in
   Pakistan: the Teach - Pak project
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 9
BP 99
EP 106
DI 10.2147/AMEP.S149479
PD 2018
PY 2018
AB Purpose: Viral hepatitis B and C represent the primary health challenge
   confronting Asia and Pakistan. With direct-acting antiviral therapy for
   hepatitis C, patients will be treated by general physicians (GPs) and
   will need training through continuing medical education (CME). Blended
   learning is a combination of didactic teaching with online, self-paced
   learning, and it has not been evaluated as a CME tool for general
   physicians. We aimed to compare the change in physician's knowledge
   about chronic viral hepatitis following a blended learning educational
   program.
   Methods: Participants enrolled in a 6 week blended learning program
   comprising three modules, each of 2 weeks duration. These were: 1)
   epidemiology and prevention of viral hepatitis; 2) diagnosis and
   assessment of hepatitis; and 3) treatment of hepatitis. Activities were
   primarily web based with some face-to-face interactive sessions. All
   study material was available on the Teach - Pak website. Discussions,
   questions, and comments were encouraged. An overall pre- and
   postintervention knowledge assessment was performed, in addition to
   individual module assessments.
   Results: A total of 48 participants completed the program; 39 passed
   (81.25%). The participants were from diverse backgrounds with variable
   previous training. The pass rate rose from 16.1% at the start of the
   program to 81.2% at the conclusion. The mean pretest score was 26.0
   (standard deviation = 4.36), while the mean posttest score was 34.6
   (standard deviation = 5.15), showing an increase in the mean score of
   8.56 points. Eighty four percent had completed at least one credit hour
   for CME as compared to those who did not pass the posttest (44.4%
   p-value = 0.02). No significant differences in results of posttest were
   observed in the categories of participant's age, years since graduation,
   or years of experience. The participants were satisfied with the blended
   learning mode of teaching.
   Conclusion: Blended learning is an efficient way to impart hepatitis CME
   to a diverse group of postgraduate physicians.
RI Jafri, Wasim/AAE-5085-2020; Mawani, Minaz/GRN-8312-2022
OI Mawani, Minaz/0000-0002-2298-8385
ZS 0
TC 3
Z8 0
ZA 0
ZB 1
ZR 0
Z9 3
U1 0
U2 1
SN 1179-7258
UT WOS:000425338300001
PM 29445310
ER

PT J
AU Vishram, Bhavita
   Letley, Louise
   Van Hoek, Albert Jan
   Silverton, Louise
   Donovan, Helen
   Adams, Cheryll
   Green, David
   Edwards, Angela
   Yarwood, Joanne
   Bedford, Helen
   Amirthalingam, Gayatri
   Campbell, Helen
TI Vaccination in pregnancy: Attitudes of nurses, midwives and health
   visitors in England
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 14
IS 1
BP 179
EP 188
DI 10.1080/21645515.2017.1382789
PD 2018
PY 2018
AB Objective: To examine amongst healthcare professionals in England;
   knowledge of vaccinations in pregnancy, their perceived roles in these
   programmes and whether they recommend scheduled vaccines to pregnant
   women.Design: Cross sectional survey (online questionnaire)Setting:
   Healthcare workers in contact with pregnant women in
   England.Participants: The survey analysis included 3441 healthcare
   workers who had been surveyed during May to August 2015. The
   participants were midwives, practice nurses and health visitors, working
   in England who were members of the Royal College of Midwives, Royal
   College of Nursing and the Institute of Health Visiting.Results: We
   found that knowledge of vaccination in pregnancy was high in all
   professional groups. Seventy three percent of all respondents would
   recommend the influenza vaccine and 74% would recommend the pertussis
   vaccine to pregnant women. They were more likely to recommend
   vaccination in pregnancy if they would personally have the influenza and
   pertussis vaccines themselves and/or if they had the influenza vaccine
   as a healthcare worker. Practice nurses were significantly more likely
   to recommend the pertussis and influenza vaccines to pregnant women than
   midwives and health visitors. Health professionals who had received
   immunisation training were more confident in giving advice to pregnant
   women.Conclusion: Immunisation training is essential if healthcare
   workers are to be informed and confident in effectively delivering the
   maternal immunisation programme and thus improving uptake of vaccines in
   pregnancy. These findings are important in tailoring educational
   programmes and addressing the training needs of different healthcare
   professional groups.
OI Vishram, Bhavita/0000-0002-4477-4943
TC 33
Z8 0
ZS 0
ZB 13
ZA 0
ZR 0
Z9 33
U1 1
U2 6
SN 2164-5515
EI 2164-554X
UT WOS:000423480400036
PM 29048989
ER

PT J
AU Chau, Tom
   Loertscher, Laura
TI A multimodal high-value curriculum affects drivers of utilization and
   performance on the high-value care component of the internal medicine
   in-training exam
SO JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES
VL 8
IS 1
BP 23
EP 25
DI 10.1080/20009666.2018.1424488
PD JAN-FEB 2018
PY 2018
AB Background: Teaching the practice of high-value care (HVC) is an
   increasingly important function of graduate medical education but best
   practices and long-term outcomes remain unknown.
   Objective: Whether a multimodal curriculum designed to address specific
   drivers of low-value care would affect resident attitudes, skills, and
   performance of HVC as tested by the Internal Medicine In-Training Exam
   (ITE).
   Methods: In 2012, we performed a baseline needs assessment among
   internal medicine residents at a community program regarding drivers of
   healthcare utilization. We then created a multimodal curriculum with
   online interactive worksheets, lectures, and faculty buy-in to target
   specific skills, knowledge, and culture deficiencies. Perceived drivers
   of care and performance on the Internal Medicine ITE were assessed
   yearly through 2016.
   Results: Fourteen of 27 (52%) residents completed the initial needs
   assessment while the curriculum was eventually seen by at least 24 of 27
   (89%). The ITE was taken by every resident every year. Long-term, 3-year
   follow-up demonstrated persistent improvement in many drivers of
   utilization (patient requests, reliance on subspecialists, defensive
   medicine, and academic curiosity) and improvement with sustained high
   performance on the high-value component of the ITE.
   Conclusion: A multimodal curriculum targeting specific drivers of
   low-value care can change culture and lead to sustained improvement in
   the practice of HVC.
RI Loertscher, Laura/; Chau, Tom/E-4555-2013
OI Loertscher, Laura/0000-0003-1779-0777; Chau, Tom/0000-0002-6333-3879
ZB 0
ZS 0
TC 4
ZA 0
ZR 0
Z8 0
Z9 4
U1 0
U2 3
SN 2000-9666
UT WOS:000424843800006
PM 29441162
ER

PT J
AU Macznik, Aleksandra Katarzyna
   Schneiders, Anthony Gerard
   Athens, Josie
   Sullivan, Stephen John
TI The development of an instructional video for the teaching of
   acupressure for pain management in acute musculoskeletal injuries: A
   knowledge translation study
SO PHYSICAL THERAPY IN SPORT
VL 29
BP 34
EP 42
DI 10.1016/j.ptsp.2017.10.005
PD JAN 2018
PY 2018
AB Objectives: To survey potential stakeholders to obtain information
   relevant to the production of a video on teaching acupressure for sports
   injury management, and gain feedback from potential users on the
   prototype video.
   Design: Focus groups and online survey methods nested within a knowledge
   translation framework.
   Participants: Four focus groups (n = 24) were conducted, two with sports
   medics and two with sports physiotherapists as a part of the development
   of a prototype video. Nineteen stakeholders viewed the prototype video
   and participated in the subsequent online survey.
   Main outcome measures: Focus groups' transcripts were analysed to
   develop themes using a general inductive approach. Survey data analysis
   incorporated quantitative and qualitative analysis.
   Results: Three key themes concerning the design of the video emerged
   from the focus groups: 1) the recommendation for both demonstration and
   verbal instructions on the acupressure technique; 2) keeping the content
   of the video to a minimum; and 3) the need for professionalism in the
   production of the video, and highlighting the presenter's expertise and
   qualifications. The survey participants found the video to be clear and
   professional.
   Conclusions: Collectively these studies described the development and
   assessment of a user-oriented instructional video on teaching of
   acupressure for the management of sports injuries. (C) 2017 Elsevier
   Ltd. All rights reserved.
ZS 0
TC 2
ZB 0
ZA 0
ZR 0
Z8 0
Z9 2
U1 0
U2 8
SN 1466-853X
UT WOS:000424722600006
PM 29175595
ER

PT J
AU Brown, Christopher
   Abdelrahman, Tarig
   Patel, Neil
   Iorwerth, Awen
   Pollitt, John
   Holt, Mark
   Lewis, Wyn G.
TI Rural Rotations at Core: Rarefied Exposure or Real Experience?
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 1
BP 43
EP 48
DI 10.1016/j.jsurg.2017.06.019
PD JAN-FEB 2018
PY 2018
AB OBJECTIVE: Surgical rotations involving rural General Hospitals (rGH)
   are frequently associated with recruitment challenges, partly because of
   adverse perceptions regarding distances from social support networks and
   training opportunities. The aim of this study was to determine the
   outcomes of core surgical training rotations involving rGHs when
   compared with urban hospitals in a single UK Deanery.
   DESIGN: Online Intercollegiate Surgical Curriculum Programme portfolios
   from 163 core surgical trainees (CST) were examined related to
   postlocation, operative experience, workplace-based assessments, and
   academic achievement. Of the 163 CSTs, 27 had completed at least 50% of
   their 2-year training posts at rGHs and were compared with 136 control
   CSTs completing rotations in urban general and teaching hospitals (uGH).
   The primary outcome measures were MRCS pass rate and success at national
   ST3 selection.
   SETTING: A core surgical training program serving a single UK Deanery.
   PARTICIPANTS: Consecutive 177 CSTs appointed to a single UK Deanery
   between 2010 and 2016.
   RESULTS: Success at MRCS and national ST3 selection were similar for
   CSTs from rGH vs uGH rotations-MRCS success: 70.4 vs 72.8% (p = 0.816),
   and ST3 success: 22.2% vs 27.0% (p = 0.811). Median rGH vs uGH
   curriculum -based outcomes were operative case load: 378 vs 422 (p =
   0.300); workplace-based assessments completed: 79 vs 94 (p = 0.499);
   audits performed: 4 vs 4 (p = 0.966); learned society communications: 1
   vs 2 (p = 0.020); and scientific publications: 0 vs 0 (p = 0.478).
   CONCLUSION: CST rotations including rGHs produced a different spectrum
   of training experience compared with uGH rotations but overall primary
   outcomes were similar. (C) 2018 Association of Program Directors in
   Surgery. Published by Elsevier Inc. All rights reserved.
ZA 0
TC 3
ZB 0
ZR 0
ZS 0
Z8 0
Z9 3
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000424535400006
PM 28711646
ER

PT J
AU Chiu, Alexander S.
   Healy, James M.
   DeWane, Michael P.
   Longo, Walter E.
   Yoo, Peter S.
TI Trainees as Agents of Change in the Opioid Epidemic: Optimizing the
   Opioid Prescription Practices of Surgical Residents
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 1
BP 65
EP 71
DI 10.1016/j.jsurg.2017.06.020
PD JAN-FEB 2018
PY 2018
AB OBJECTIVE: Opioid abuse has become an epidemic in the United States,
   causing nearly 50,000 deaths a year. Postoperative pain is an
   unavoidable consequence of most surgery, and surgeons must balance the
   need for sufficient analgesia with the risks of overprescribing.
   Prescribing narcotics is often the responsibility of surgical residents,
   yet little is known about their opioid-prescribing habits, influences,
   and training experience.
   DESIGN: Anonymous online survey that assessed the amounts of
   postoperative opioid prescribed by residents, including type of
   analgesia, dosage, and number of pills, for a series of common general
   surgery procedures. Additional questions investigated influences on
   opioid prescription, use of nonnarcotic analgesia, degree of engagement
   in patient education on opioids, and degree of training received on
   analgesia and opioid prescription.
   SETTING: Accreditation Council for Graduate Medical Education accredited
   general surgery program at a university-based tertiary hospital.
   PARTICIPANTS: Categorical and preliminary general surgery residents of
   all postgraduate years.
   RESULTS: The percentage of residents prescribing opioids postprocedure
   ranged from 75.5% for incision and drainage to 100% for open hernia
   repair. Residents report prescribing 166.3 morphine milligram
   equivalents of opioid for a laparoscopic cholecystectomy, yet believe
   patients will only need an average of 113.9 morphine milligram
   equivalents. The most commonly reported influences on opioid-prescribing
   habits include attending preference (95.2%), concern for patient
   satisfaction (59.5%), and fear of potential opioid abuse (59.5%). Only
   35.8% of residents routinely perform a narcotic risk assessment before
   prescribing and 6.2% instruct patients how to properly dispose of excess
   opioids. More than 90% of residents have not had formal training in best
   practices of pain management or opioid prescription.
   CONCLUSION AND RELEVANCE: Surgical trainees are relying almost
   exclusively on opioids for postoperative analgesia, often in excessive
   amounts. Residents are heavily influenced by their superiors, but are
   not receiving formal opioid-prescribing education, pointing to a great
   need for increased resident education on postoperative pain and opioid
   management to help change prescribing habits. (C) 2018 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.
RI chiu, alexander/O-4787-2019; DeWane, Michael/; YOO, PETER/
OI DeWane, Michael/0000-0002-7042-7400; YOO, PETER/0000-0003-3840-1697
ZB 21
ZS 0
ZR 0
Z8 0
TC 81
ZA 0
Z9 80
U1 2
U2 15
SN 1931-7204
EI 1878-7452
UT WOS:000424535400009
PM 28705485
ER

PT J
AU Tran, Elaine M.
   Scott, Ingrid U.
   Clark, Melissa A.
   Greenberg, Paul B.
TI Assessing and Promoting the Wellness of United States Ophthalmology
   Residents: A Survey of Program Directors
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 1
BP 95
EP 103
DI 10.1016/j.jsurg.2017.06.012
PD JAN-FEB 2018
PY 2018
AB OBJECTIVE: To report on the status of residency-based wellness
   initiatives in ophthalmic graduate medical education and identify
   strategies for promoting ophthalmology resident wellness by surveying US
   ophthalmology program directors (PDs).
   DESIGN: The PDs were each sent an e-mail containing a link to an
   anonymous online 15-question survey. The PDs also received a letter with
   the survey link and a $1 incentive. After 2 weeks, nonresponders
   received 2 weekly reminder e-mails and phone calls. Descriptive
   statistics were used to analyze the multiple choice responses and
   categorize the free response answers.
   SETTING: National survey.
   PARTICIPANTS: All 111 US ophthalmology PDs were invited to participate.
   RESULTS: Of 111 PDs, 56 (50%) responded; 14 (26%) of 53 respondents
   reported that their programs faced an issue involving resident
   depression, burnout, or suicide within the last year; 25 (45%) of 56
   reported that their department had a resident wellness program.
   Respondents without wellness programs reported a shortage of time
   (19/30; 63%) and lack of training and resources (19/30; 63%) as barriers
   to instituting these programs. Respondents reported that the
   Accreditation Council for Graduate Medical Education could better
   promote resident wellness by providing training resources for burnout
   and depression screening (35/53; 66%), resilience skills building
   (38/53; 72%), and wellness program development (36/53; 68%).
   CONCLUSIONS: This survey suggests that there is a substantial burden of
   burnout and depression among residents in ophthalmic graduate medical
   education and that this burden can be addressed by promoting the
   training of educators to recognize the signs of burnout and depression,
   and providing resources to develop and expand formal wellness programs.
   Published by Elsevier Inc on behalf of the Association of Program
   Directors in Surgery
CT Annual Meeting of the
   Association-for-Research-in-Vision-and-Ophthalmology (ARVO) - Imaging in
   the Eye
CY MAY 07-11, 2017
CL Baltimore, MD
SP Assoc Res Vis & Ophthalmol
OI Scott, Ingrid/0000-0002-3908-7153
Z8 0
ZA 0
TC 10
ZS 0
ZB 2
ZR 0
Z9 10
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000424535400013
PM 28693982
ER

PT J
AU Pottier, P.
   Aubart, F. Cohen
   Steichen, O.
   Desprets, M.
   Pha, M.
   Espitia, A.
   Georgin-Lavialle, S.
   Morel, A.
   Hardouin, J. B.
TI Validity and reproducibility of two direct observation assessment forms
   for evaluation of internal medicine residents' clinical skills
SO REVUE DE MEDECINE INTERNE
VL 39
IS 1
BP 4
EP 9
DI 10.1016/j.revmed.2017.10.424
PD JAN 2018
PY 2018
AB Introduction. - The revision of the French medical studies' third cycle
   ought to be competency-based. In internal medicine, theoretical and
   practical knowledge will be assessed online with e-learning and
   e-portfolio. In parallel, a reflection about clinical skills assessment
   forms is currently ongoing. In this context, our aim was to assess the
   reproducibility and yalidity of two assessment forms based on direct
   clinical observation.
   Method. - A prospective and multicentric study has been conducted from
   November 2015 to October 2016 aiming at evaluating the French
   translations of the MINI-Clinical Examination Exercice (MINI-CEX) and
   the Standardized Patient Satisfaction Questionnaire (SPSQ). Included
   residents have been assessed 2 times over a period of 6 months by the
   same binoma of judges.
   Results. - Nineteen residents have been included. The inter-judge
   reproducibility was satisfactory for the MINI-CEX: intraclass
   coefficients (ICC) between 0.4 and 0.8 and moderate for the SPSQ: ICC
   between 0.2 and 0.7 with a good internal coherence for both
   questionnaires (Cronbach between 0.92 and 0.94). Significant differences
   between the distributions of the scores given by the judges and a
   significant inter center variability have been found.
   Conclusion. - If the absolute value of the scores should not be taken
   into account in the evaluation process given its high variability, it
   could be of interest for the follow-up of the progression in the
   competencies. These forms could support the residents' debriefing based
   on the general trends given by the scores. (C) 2017 Societe Nationale
   Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS.
   All rights reserved.
RI Steichen, Olivier/H-3281-2019; Aubart, Fleur Cohen/P-6583-2017; PHA, Micheline/; Hardouin, Jean-Benoit/
OI Steichen, Olivier/0000-0002-1185-0372; PHA,
   Micheline/0000-0003-3727-2782; Hardouin, Jean-Benoit/0000-0001-8664-623X
TC 2
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
Z9 2
U1 0
U2 3
SN 0248-8663
UT WOS:000423782000002
PM 29157753
ER

PT J
AU Ghodasra, Jason H.
   Wang, Dean
   Jayakar, Rohit G.
   Jensen, Andrew R.
   Yamaguchi, Kent T.
   Hegde, Vishal V.
   Jones, Kristofer J.
TI The Assessment of Quality, Accuracy, and Readability of Online
   Educational Resources for Platelet-Rich Plasma
SO ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
VL 34
IS 1
BP 272
EP 278
DI 10.1016/j.arthro.2017.06.023
PD JAN 2018
PY 2018
AB Purpose: To critically evaluate the quality, accuracy, and readability
   of readily available Internet patient resources for platelet-rich plasma
   (PRP) as a treatment modality for musculoskeletal injuries. Methods:
   Using the 3 most commonly used Internet search engines (Google, Bing,
   Yahoo), the search term "platelet rich plasma" was entered, and the
   first 50 websites from each search were reviewed. The website's
   affiliation was identified. Quality was evaluated using 25-point
   criteria based on guidelines published by the American Academy of
   Orthopaedic Surgeons, and accuracy was assessed with a previously
   described 12-point grading system by 3 reviewers independently.
   Readability was evaluated using the Flesch-Kincaid (FK) grade score.
   Results: A total of 46 unique websites were identified and evaluated.
   The average quality and accuracy was 9.4 +/- 3.4 (maximum 25) and 7.9
   +/- 2.3 (maximum 12), respectively. The average FK grade level was 12.6
   +/- 2.4, which is several grades higher than the recommended
   eighth-grade level for patient education material. Ninety-one percent
   (42/46) of websites were authored by physicians, and 9% (4/46) contained
   commercial bias. Mean quality was significantly greater in websites
   authored by health care providers (9.8 +/- 3.1 vs 5.9 +/- 4.7, P = .029)
   and in websites without commercial bias (9.9 +/- 3.1 vs 4.5 +/- 3.2, P =
   .002). Mean accuracy was significantly lower in websites authored by
   health care providers (7.6 +/- 2.2 vs 11.0 +/- 1.2, P = .004). Only 24%
   (11/46) reported that PRP remains an investigational treatment.
   Conclusions: The accuracy and quality of online patient resources for
   PRP are poor, and the information overestimates the reading ability of
   the general population. Websites authored by health care providers had
   higher quality but lower accuracy. Additionally, the majority of
   websites do not identify PRP as an experimental treatment, which may
   fail to provide appropriate patient understanding and expectations.
ZA 0
ZS 0
Z8 0
ZB 3
TC 20
ZR 0
Z9 20
U1 0
U2 2
SN 0749-8063
EI 1526-3231
UT WOS:000419098100053
PM 28784239
ER

PT J
AU George, R.
   Stokes, M. A.
TI Sexual Orientation in Autism Spectrum Disorder
SO AUTISM RESEARCH
VL 11
IS 1
BP 133
EP 141
DI 10.1002/aur.1892
PD JAN 2018
PY 2018
AB Clinical impressions suggest a different sexual profile between
   individuals with and without Autism Spectrum Disorder (ASD). Little is
   presently known about the demographics of sexual orientation in ASD.
   Sexual Orientation was surveyed using the Sell Scale of Sexual
   Orientation in an international online sample of individuals with ASD
   (N=309, M=90, F= 219), aged (M=32.30 years, SD=11.93) and this was
   compared to sexual orientation of typically-developing individuals
   (N=310, M=84, F= 226), aged (M=29.82 years, SD=11.85). Findings
   suggested that sexual orientation was contingent on diagnosis (N=570,
   (2)((9))=104.05, P<0.001, =0.43). In the group with ASD, 69.7% of the
   sample reported being non-heterosexual, while in the TD group, 30.3%
   reported being non-heterosexual. The group with ASD reported higher
   rates of homosexuality, bisexuality and asexuality, but lower rates of
   heterosexuality. The results support the impression that
   non-heterosexuality is more prevalent in the autistic population.
   Increased non-heterosexuality in ASD has important clinical implications
   to target unique concerns of this population, and suggests a need for
   specialized sex education programs for autistic populations for
   increased support and awareness. Autism Res2018, 11: 133-141. (c) 2017
   International Society for Autism Research, Wiley Periodicals, Inc.
   Lay SummaryResearch suggests that individuals with Autism Spectrum
   Disorder (ASD) report increased homosexuality, bisexuality, and
   asexuality, but decreased heterosexuality. It is important to increase
   awareness about increased non-heterosexuality in ASD among autistic
   populations, medical professionals and care-takers, so as to provide
   specialized care, if needed and increase support and inclusion for
   non-heterosexual autistic individuals.
RI Stokes, Mark A/P-8937-2017
OI Stokes, Mark A/0000-0001-6488-4544
TC 38
ZR 0
ZB 18
ZA 0
ZS 0
Z8 0
Z9 38
U1 0
U2 36
SN 1939-3792
EI 1939-3806
UT WOS:000422715800011
PM 29159906
ER

PT J
AU Smith, Brad
   Shatte, Andrew
   Perlman, Adam
   Siers, Michael
   Lynch, Wendy D.
TI Improvements in Resilience, Stress, and Somatic Symptoms Following
   Online Resilience Training: A Dose-Response Effect
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 60
IS 1
BP 1
EP 5
DI 10.1097/JOM.0000000000001142
PD JAN 2018
PY 2018
AB Objective:To determine if participation in an online resilience program
   impacts resilience, stress, and somatic symptoms.Methods:Approximately
   600 enrollees in the meQuilibrium resilience program received a series
   of brief, individually prescribed video, and text training modules in a
   user-friendly format. Regression models tested how time in the program
   affected change in resilience from baseline and how changes in
   resilience affected change in stress and reported symptoms.Results:A
   significant dose-response was detected, where increases in the time
   spent in training corresponded to greater improvements in resilience.
   Degree of change in resilience predicted the magnitude of reduction in
   stress and symptoms. Participants with the lowest resilience level at
   baseline experienced greater improvements.Conclusion:Interaction with
   the online resilience training program had a positive effect on
   resilience, stress, and symptoms in proportion to the time of use.
RI Martin, Angela/J-7183-2014
OI Martin, Angela/0000-0003-0109-1218
ZA 0
ZB 0
ZR 0
ZS 1
TC 13
Z8 0
Z9 14
U1 0
U2 25
SN 1076-2752
EI 1536-5948
UT WOS:000419431400010
PM 28820863
ER

PT J
AU Lin, Doris
   Shah, Chirayu
   Campbell, Steffanie
   Bates, Jeffrey T.
   Lescinskas, Erica
TI Getting it RITE: Impact of a Dedicated Hospital Medicine Curriculum for
   Residents
SO SOUTHERN MEDICAL JOURNAL
VL 111
IS 1
BP 30
EP 34
DI 10.14423/SMJ.0000000000000751
PD JAN 2018
PY 2018
AB Objective: The goal of this study was to improve resident confidence in
   inpatient care and knowledge in hospital medicine topics with a newly
   developed rotation and curriculum called the Resident Inpatient Training
   Experience.
   Methods: This study was a prospective observational study completed by
   postgraduate year-2 (PGY-2) internalmedicine residents in two affiliated
   hospitals. Forty-six PGY-2 residents each rotated on the Resident
   Inpatient Training Experience service for 1 month and completed a preand
   postrotation confidential online survey. Primary outcomes included
   confidence in managing hospitalized patients, knowledge regarding
   hospital medicine topics, and interest in pursuing hospital medicine as
   a career.
   Results: Thirty-three PGY-2 residents completed both the pre-and
   postrotation survey (72% response rate). After completing the rotation,
   the residents' confidence level (measured on a 5-point Likert scale,
   with 1 = strongly disagree and 5 = strongly agree) rose significantly in
   managing hospitalized patients, from 3.82 to 4.33 (P = 0.003) and in
   leading a ward team, from 3.76 to 4.21 (P = 0.020). Knowledge level
   (measured on a 5-point Likert scale with 1 = very poor and 5 =
   excellent) improved significantly in transitions of care, from3.45 to
   3.79 (P = 0.023); cost-conscious care, from 3.00 to 3.42 (P = 0.016);
   physician billing/coding, from 2.55 to 3.03 (P = 0.007); hospital
   metrics, from 2.39 to 2.94 (P = 0.002); and hospital reimbursement, from
   2.48 to 3.09 (P = 0.001). Interest in pursuing hospital medicine as a
   career also increased.
   Conclusions: Resident independence in managing patients and training in
   hospital medicine topics has not kept up with evolving need. Dedicated
   hospital medicine rotation and curriculum are effective ways to
   alleviate the deficiencies in resident education.
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
TC 0
Z9 0
U1 0
U2 0
SN 0038-4348
EI 1541-8243
UT WOS:000419508100006
PM 29298366
ER

PT J
AU Samplaski, Mary K.
TI A Thematic Analysis of Online Discussion Boards for Vasectomy
SO UROLOGY
VL 111
BP 32
EP 37
DI 10.1016/j.urology.2017.06.061
PD JAN 2018
PY 2018
AB OBJECTIVE To examine posts on Internet discussion groups related to
   vasectomies, and identify common ideas through a structured theme
   analysis.
   MATERIALS AND METHODS Internet discussion boards were identified using
   the search term "vasectomy." Three discussion boards were identified as
   having the most posts and were chosen for analysis. Using an iterative
   and structured analysis process, each post was analyzed using thematic
   analysis in 3 steps (open coding, axial coding, and selective coding) to
   determine common themes.
   RESULTS A total of 129 posts were analyzed. The most common posts
   related to changes in sexual function after vasectomy. The second most
   common theme was pain after vasectomy. There were also posts about
   considerations before vasectomy, planning for postvasectomy care, what
   to expect after vasectomy, potential issues after vasectomy and how to
   manage these, and feelings about vasectomy. Some of the information
   present did not have a factual basis.
   CONCLUSION Posts dedicated to postvasectomy pain and sexual dysfunction
   were of the highest quantity. There was no medical provider input to
   these discussion boards. Educational efforts should be targeted to these
   areas and should include a health-care professional. (c) 2017 Elsevier
   Inc.
ZB 2
ZA 0
TC 7
ZR 0
ZS 0
Z8 0
Z9 7
U1 0
U2 2
SN 0090-4295
EI 1527-9995
UT WOS:000418721000008
PM 28964821
ER

PT J
AU Beverly, Elizabeth A.
   Diaz, Sebastian
   Kerr, Anna M.
   Balbo, Jane T.
   Prokopakis, Kayla E.
   Fredricks, Todd R.
TI Students' Perceptions of Trigger Warnings in Medical Education
SO TEACHING AND LEARNING IN MEDICINE
VL 30
IS 1
BP 5
EP 14
DI 10.1080/10401334.2017.1330690
PD 2018
PY 2018
AB Phenomenon: Trigger warnings are verbal statements or written warnings
   that alert students in advance to potentially distressing material.
   Medical education includes numerous subjects frequently identified as
   triggers, such as abuse, rape, self-injurious behaviors, eating
   disorders, drug and alcohol addiction, and suicide. Thus, exploring
   medical students' perceptions of trigger warnings may provide a valuable
   perspective on the use of these warnings in higher education. Approach:
   As part of a larger descriptive, cross-sectional survey study on medical
   education, we assessed 1st- and 2nd-year medical students' perceptions
   of trigger warnings in the preclinical curriculum. Five questions
   specific to trigger warnings explored students' knowledge, prior
   experience, and perceptions of trigger warnings in medical education.
   Frequencies of individual question responses were calculated, and
   qualitative data were analyzed via content and thematic analyses.
   Findings: Of the 424 medical students invited to participate, 259
   completed the survey (M = 24.8years, SD + 3.4, 51.4% female, 76.1%
   White, 53.7% 1st-year students). Few students (11.2%) were aware of the
   term trigger warning and its definition. However, after being presented
   with a formal definition on the online survey, 38.6% reported having had
   a professor use one. When asked whether they supported the use of
   trigger warnings in medical education, respondents were distributed
   fairly equally by response (yes = 31.0%, maybe = 39.2%, no = 29.7%).
   Qualitative analysis revealed three themes: (a) Trigger Warnings Allow
   Students to Know What is Coming and Prepare Themselves: Respondents
   believed that trigger warnings would benefit students with a history of
   trauma by providing them additional time to prepare for the material
   and, if appropriate, seek professional help; (b) Students Need to Learn
   How to Handle Distressing Information: Respondents agreed that they
   needed to learn and cope with highly sensitive material because they
   would be confronted with difficult and unexpected situations in clinical
   practice; and (c) Trigger Warnings Help Students Understand the Severity
   of the Material: Respondents felt that trigger warnings may help
   students understand the severity of the material being covered and
   increase awareness about trauma and its effects on health and
   well-being. Insights: Findings did not reach consensus for or against
   the use of trigger warnings in medical school; however, students
   emphasized the importance of learning how to cope with distressing
   material. Trigger warnings may represent a teaching tool to facilitate
   classroom discussions about the severity of trauma-related material and
   problem-focused coping strategies.
OI Kerr, Anna/0000-0002-4778-8515
ZS 0
ZA 0
ZB 1
ZR 0
TC 12
Z8 0
Z9 12
U1 1
U2 15
SN 1040-1334
EI 1532-8015
UT WOS:000423663900002
PM 28753041
ER

PT J
AU Lau, K. H. Vincent
   Farooque, Pue
   Leydon, Gary
   Schwartz, Michael L.
   Sadler, R. Mark
   Moeller, Jeremy J.
TI Using learning analytics to evaluate a video-based lecture series
SO MEDICAL TEACHER
VL 40
IS 1
BP 91
EP 98
DI 10.1080/0142159X.2017.1395001
PD 2018
PY 2018
AB Background: The video-based lecture (VBL), an important component of the
   flipped classroom (FC) and massive open online course (MOOC) approaches
   to medical education, has primarily been evaluated through direct
   learner feedback. Evaluation may be enhanced through learner analytics
   (LA) - analysis of quantitative audience usage data generated by
   video-sharing platforms.Methods and results: We applied LA to an
   experimental series of ten VBLs on electroencephalography (EEG)
   interpretation, uploaded to YouTube in the model of a publicly
   accessible MOOC. Trends in view count; total percentage of video viewed
   and audience retention (AR) (percentage of viewers watching at a time
   point compared to the initial total) were examined. The pattern of
   average AR decline was characterized using regression analysis,
   revealing a uniform linear decline in viewership for each video, with no
   evidence of an optimal VBL length. Segments with transient increases in
   AR corresponded to those focused on core concepts, indicative of content
   requiring more detailed evaluation. We propose a model for applying LA
   at four levels: global, series, video, and feedback.Discussion and
   conclusions: LA may be a useful tool in evaluating a VBL series. Our
   proposed model combines analytics data and learner self-report for
   comprehensive evaluation.
RI Moeller, Jeremy/AAE-6153-2020; Farooque, Pue/AAL-1580-2020; Leydon, Gary/
OI Leydon, Gary/0000-0002-2194-4073
TC 25
ZR 0
ZB 3
ZA 0
Z8 0
ZS 1
Z9 26
U1 6
U2 71
SN 0142-159X
EI 1466-187X
UT WOS:000423553400012
PM 29113565
ER

PT J
AU Chang, Eva
   Blondon, Katherine
   Lyles, Courtney R.
   Jordan, Luesa
   Ralston, James D.
TI Racial/Ethnic Variation in Devices Used to Access Patient Portals
SO AMERICAN JOURNAL OF MANAGED CARE
VL 24
IS 1
BP E1
EP +
PD JAN 2018
PY 2018
AB OBJECTIVES: We examined racial/ethnic variation in the devices used by
   patients to access medical records through an online patient portal.
   STUDY DESIGN: Retrospective, cross-sectional analysis.
   METHODS: Using data from 318,700 adults enrolled in an integrated
   delivery system between December 2012 and November 2013, we examined: 1)
   online patient portal use that directly engages the electronic health
   record and 2) portal use over desktops/laptops only, mobile devices
   only, or both device types. The primary covariate was race/ethnicity
   (non-Hispanic white, black, Hispanic, and Asian). Other covariates
   included age, sex, primary language, and neighborhood-level income and
   education. Portal use and devices used were assessed with multiple and
   multinomial logistic models, respectively.
   RESULTS: From December 2012 to November 2013, 56% of enrollees used the
   patient portal. Of these portal users, 62% used desktops/laptops only,
   6% used mobile devices only, and 32% used both desktops/laptops and
   mobile devices. Black, Hispanic, and Asian enrollees had significantly
   lower odds of portal use than whites. Black and Hispanic portal users
   also were significantly more likely to use mobile devices only (relative
   risk ratio, 1.73 and 1.44, respectively) and both device types (1.21 and
   1.07, respectively) than desktops/laptops only compared with whites.
   CONCLUSIONS: Although racial/ethnic minority enrollees were less likely
   to access the online patient portal overall, a greater proportion of
   black and Hispanic users accessed the patient portal with mobile devices
   than did non-Hispanic white users. The rapid spread of mobile devices
   among racial/ethnic minorities may help reduce variation in online
   patient portal use. Mobile device use may represent an opportunity for
   healthcare organizations to further engage black and Hispanic enrollees
   in online patient portal use.
RI Blondon, Katherine S/H-9219-2019; Chang, Eva/
OI Blondon, Katherine S/0000-0002-9407-8516; Chang, Eva/0000-0003-2547-7780
ZS 0
Z8 0
TC 22
ZA 0
ZR 0
ZB 3
Z9 22
U1 1
U2 8
SN 1088-0224
UT WOS:000423223900001
PM 29350513
ER

PT J
AU Mohammed, Dema
   Turner, Kyle
   Funk, Kylee
TI Pharmacy student involvement in student-run free clinics in the United
   States
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 10
IS 1
BP 41
EP 46
DI 10.1016/j.cptl.2017.09.008
PD JAN-FEB 2018
PY 2018
AB Introduction: The role of pharmacy students in student-run free clinics
   (SRFCs) across the United States has not been well-defined. This study
   sought to assess the level of involvement and roles of pharmacy students
   in SRFCs as well as their interprofessional collaboration.
   Methods: An online survey was sent to each pharmacy school registered
   with the American Association of Colleges of Pharmacy (AACP). The survey
   addressed the following concepts within SRFCs: pharmacy student roles,
   precepting and school of pharmacy involvement, interprofessional
   experience, leadership positions held by pharmacy students, and
   dissemination of feedback in this service-learning experience.
   Results: The survey was sent to 139 schools; 45 pharmacy schools
   responded (32%); of those that responded, 29 schools were not connected
   to a SRFC (64%) and 16 schools were affiliated with at least one SRFC
   and completed the survey (36%). The most common disciplines pharmacy
   students work with in SRFCs included: dental, medical, mental health,
   nutrition, nursing, physical therapy, public health, and social work.
   Pharmacy students find their volunteer experience with SRFCs to be
   valuable, noting that they are able to apply their knowledge in a
   practice setting to benefit patients, improve their patient interviewing
   and health screening skills, become involved in the community, work as a
   team with other health professional students, formulate treatment plans,
   and obtain leadership positions.
   Discussion and conclusions: SRFCs offer interprofessional and leadership
   activities that pharmacy students find valuable, but many pharmacy
   schools are not associated with SRFCs.
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
TC 5
Z9 5
U1 0
U2 4
SN 1877-1297
EI 1877-1300
UT WOS:000423022500007
PM 29248073
ER

PT J
AU Khansari, Parto S.
   Coyne, Leanne
TI An innovative addition to team-based-learning pedagogy to enhance
   teaching and learning: Students' perceptions of team exams
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 10
IS 1
BP 90
EP 95
DI 10.1016/j.cptl.2017.09.009
PD JAN-FEB 2018
PY 2018
AB Background and purpose: The study investigates students' perceptions of
   the value of implementing a team exam to enhance learning prior to a
   summative assessment. Team exams are similar to midterm exams, except
   that answering questions is a team effort.
   Educational activity and setting: Data was collected from second year
   pharmacy students at California Northstate University College of
   Pharmacy (CNUCOP) through a self-administered online survey. The survey
   questions included closed-ended questions to evaluate students'
   perception on preparedness for a summative assessment and to rank
   advantages and disadvantages of the team exams.
   Findings: Of the 40 students who completed the survey (38% response
   rate), 100% of participants agreed that having a team exam prior to a
   major exam made them feel more prepared for a major summative exam.
   Ninety-seven percent of students believed that the team exam helped them
   to identify gaps in their knowledge and 85% agreed that taking a team
   exam reinforced their knowledge by teaching other students. The survey
   results did not identify any major disadvantages to holding a team exam.
   Summary: Students perceived that taking a team exam prior to a midterm
   exam is an effective approach to review the course contents and identify
   areas of improvement.
OI Coyne, Leanne/0000-0001-7741-9254
ZR 0
Z8 0
ZB 0
TC 6
ZA 0
ZS 0
Z9 6
U1 2
U2 14
SN 1877-1297
EI 1877-1300
UT WOS:000423022500015
PM 29248081
ER

PT J
AU Craddock, Megan F.
   Blondin, Heather M.
   Youssef, Molly J.
   Tollefson, Megha M.
   Hill, Lauren F.
   Hanson, Janice L.
   Bruckner, Anna L.
TI Online education improves pediatric residents' understanding of atopic
   dermatitis
SO PEDIATRIC DERMATOLOGY
VL 35
IS 1
BP 64
EP 69
DI 10.1111/pde.13323
PD JAN-FEB 2018
PY 2018
AB Background/ObjectivesPediatricians manage skin conditions such as atopic
   dermatitis (AD) but report that their dermatologic training is
   inadequate. Online modules may enhance medical education when sufficient
   didactic or clinical teaching experiences are lacking. We assessed
   whether an online module about AD improved pediatric residents'
   knowledge and changed their clinical management of AD.
   MethodsTarget and control cohorts of pediatric residents from two
   institutions were recruited. Target subjects took a 30-question test
   about AD early in their residency, reviewed the online module, and
   repeated the test 6 months and 1 year later. The control subjects, who
   had 1 year of clinical experience but had not reviewed the online
   module, also took the test. The mean percentage of correct answers was
   calculated and compared using two-sided, two-sample independent t tests
   and repeated-measures analysis of variance. For a subset of
   participants, clinical documentation from AD encounters was reviewed and
   13 practice behaviors were compared using the Fisher exact test.
   ResultsTwenty-five subjects in the target cohort and 29 subjects in the
   control cohort completed the study. The target cohort improved from 18.0
   3.2 to 23.4 +/- 3.4 correctly answered questions over 1 year (P < .001).
   This final value was greater than that of the control cohort (20.7 +/-
   4.5; P = .01). Meaningful differences in practice behaviors were not
   seen.
   ConclusionPediatric residents who reviewed an online module about AD
   demonstrated statistically significant improvement in disease-specific
   knowledge over time and had statistically significantly higher scores
   than controls. Online dermatology education may effectively supplement
   traditional clinical teaching.
OI Hill, Lauren/0000-0002-9443-2167
ZS 0
ZA 0
ZR 0
ZB 0
TC 9
Z8 0
Z9 9
U1 0
U2 2
SN 0736-8046
EI 1525-1470
UT WOS:000423038100042
PM 29193379
ER

PT J
AU Angulo, J. C.
   Bernardo, N.
   Zampolli, H.
   Rivero, M. A.
   Davila, H.
   Gutierrez, J.
TI Trends in the management of urolithiasis in Latin America, Spain and
   Portugal: results of a survey in the Confederacion Americana de Urologia
   (CAU)
SO ACTAS UROLOGICAS ESPANOLAS
VL 42
IS 1
BP 33
EP 41
DI 10.1016/j.acuro.2017.03.007
PD JAN-FEB 2018
PY 2018
AB Objective: To describe the trends in the current management of
   urolithiasis in the Confederacion Americana de Urologia (CAU) setting to
   recognise patterns of clinical practice and identify educational needs.
   Material and method: An online survey was created with 31
   multiple-choice questions (Spanish and Portuguese) through
   www.caunet.org, which revealed demographic data, patterns of clinical
   practice and approaches for specific clinical conditions.
   Results: A total of 463 practitioners from Brazil, Mexico, Argentina,
   Spain, Colombia, Chile and other countries (3.96% of the members of CAU)
   completed the survey. All participants performed some type of
   urolithiasis treatment: 98.5% performed semirigid ureteroscopy (URS),
   83.8% performed percutaneous nephrolithotomy (PCNL), 78.2% performed
   flexible URS, and 67.2% performed extracorporeal lithotripsy. The
   youngest physicians tended to perform PCNL (P<.001), and the proportion
   of users of flexible URS was greater in the Portuguese countries
   (P=.037). The main energy source was laser (60.7%). Small-calibre PCNL
   was performed by 15.3% of the respondents, more often in university
   hospitals (P<.01) and by older practitioners (P<.01). Only 3.2% of the
   respondents used percutaneous access to the kidney guided exclusively by
   ultrasound, especially the older practitioners (P<.001). The supine
   position was used by 40.4% of the respondents, more often in Spain
   (P<.001) and in the university setting (P=.017). PCNL without
   nephrostomy was practiced by 3.9% of the respondents. For flexible URS,
   19.2% of the respondents did not use ureteral access sheaths, and the
   older practitioners preferred thinner calibre sheaths (P<.001).
   Conclusions: The management of lithiasis in the CAU setting follows a
   profile similar to that recognised in the European and American clinical
   guidelines, although there are interesting variations based on the
   practitioner's age and preferences. We identified potential areas for
   improvement in small-calibre PCNL and ultrasound-guided puncture. (C)
   2017 AEU. Published by Elsevier Espana, S.L.U. Alt rights reserved.
OI Angulo, Javier/0000-0002-1735-8792
Z8 0
ZB 1
ZS 0
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 8
SN 0210-4806
EI 1699-7980
UT WOS:000419998200005
PM 28587845
ER

PT J
AU Nunez, Kayleigh Marie
   Khan, Zunera
   Testad, Ingelin
   Lawrence, Vanessa
   Creese, Byron
   Corbett, Anne
TI Current practice and challenges in night-time care for people with
   dementia living in care homes: a qualitative study
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 33
IS 1
BP E140
EP E149
DI 10.1002/gps.4737
PD JAN 2018
PY 2018
AB ObjectiveTo explore the current practices and challenges in night-time
   care for people with dementia living in care homes in the UK.
   MethodsFocus group discussions (FGD) were held with care staff and
   family carers from five care homes in South London. To supplement the
   FGD data, an online survey was circulated to family carers (n=16), and
   informal interviews were conducted with night-time care staff and nurses
   (n=19). The questions for the online survey were designed to
   specifically explore the themes that emerged from the FGD.
   ResultsThematic analysis revealed eight key themes in the management of
   sleep disturbance in people with dementia living in care homes: current
   night-time care practices, dissonance in perceived causes of sleep
   disturbances, inconsistencies in treatment options, insufficient
   staffing levels, working relationships between shifts, nurse burden and
   responsibility, communication as a critical challenge, connecting with
   residents and one overarching theme of balance.
   ConclusionsThe findings of this study highlight the need for an
   evidence-based sleep disturbance management programme designed for use
   in care homes and informed by stakeholders. The key themes identified
   represent the major barriers to good quality care and areas which future
   programmes will need to address to improve the quality of night-time
   care in care homes. There are clearly opportunities for future
   examination of non-pharmacological night-time care management programmes
   for use in the population. Copyright (c) 2017 John Wiley & Sons, Ltd.
RI Creese, Byron/AAF-6745-2020; Corbett, Anne/B-3223-2014; Testad, Ingelin/; Lawrence, Vanessa/A-9469-2011
OI Corbett, Anne/0000-0003-2015-0316; Testad, Ingelin/0000-0002-0534-6575;
   Lawrence, Vanessa/0000-0001-7852-2018
ZR 0
Z8 0
TC 6
ZA 0
ZS 0
ZB 0
Z9 6
U1 0
U2 3
SN 0885-6230
EI 1099-1166
UT WOS:000418408100016
PM 28556389
ER

PT J
AU Gyorffy Zsuzsa
   Szel Zsuzsanna
TI Willingness to work abroad among Hungarian medical students
SO ORVOSI HETILAP
VL 159
IS 1
BP 31
EP 37
DI 10.1556/650.2018.30912
PD JAN 2018
PY 2018
AB Introduction: Migration, drop-out and ageing of physicians are the most
   important challenges of the 21st century healthcare system. The young
   doctors' willingness to work abroad will become a decisive issue of the
   human resources of healthcare in the following decades.
   Aim: To explore the willingness of migration among medical university
   students.
   Method: Quantitative and qualitative online survey of students from 4
   Hungarian medical universities (n = 530). In the present study we
   investigated only the 5th- and 6th-year students' answers (n = 165).
   Results: 40% of students plan to work abroad, mostly for a 2-5 year
   timeframe. The motivation of working abroad are the following: work
   conditions of medical system, inadequate pay and general living
   conditions in Hungary. The content analysis of open answers showed that
   the willingness to return depends mainly on family reasons and the
   objective working conditions (infrastructure, pay, abolition of the
   gratuity system). An equally important factor is the evolution of work
   culture.
   Conclusions: As opposed to previous studies, our results indicate a more
   prevalent willingness to work abroad while an unambiguous return is only
   possible with a drastic change in the healthcare system.
OI Szel, Zsuzsanna/0000-0002-4849-8536
ZR 0
ZA 0
TC 2
ZB 2
Z8 0
ZS 0
Z9 2
U1 2
U2 7
SN 0030-6002
EI 1788-6120
UT WOS:000419112900004
PM 29291646
ER

PT J
AU Jakob, J.
   Gerres, A.
   Ronellenfitsch, U.
   Pilz, L.
   Wartenberg, M.
   Kasper, B.
   Raab, H. -R.
   Hohenberger, P.
TI Treatment of retroperitoneal sarcoma in Germany. Results of a survey of
   the German Society of General and Visceral Surgery, the German
   Interdisciplinary Sarcoma Study Group and the advocacy group Das
   Lebenshaus
SO CHIRURG
VL 89
IS 1
BP 50
EP 55
DI 10.1007/s00104-017-0504-2
PD JAN 2018
PY 2018
AB Retroperitoneal sarcomas (RPSs) are rare cancers with some variability
   in clinical and histopathological presentation. In Germany, general
   treatment strategies of retroperitoneal sarcoma are unknown since
   centralized registries do not exist. The objective of this survey was to
   access the medical care of RPS patients in Germany.
   In cooperation with the German Society of General and Visceral surgery,
   the German Interdisciplinary Sarcoma Study Group and the patient
   advocacy group Das Lebenshaus we designed an online survey assessing
   diagnostic and treatment strategies (e. g. performance of tumor
   biopsies, administration of multimodal therapies and surgical strategy).
   All departments for general and visceral surgery in Germany were
   addressed (n = 976).
   Responses were received from 191 of 976 departments. Only 11 surgical
   departments treat more than 10 RPS patients per year. A
   multidisciplinary sarcoma board exists in 19 hospitals. Staging is
   generally performed by cross-sectional imaging. In 54% of the
   departments pretreatment tumor biopsy is a standard procedure. Surgery
   is performed as compartment resection in 85% of the departments. A
   systematic lymph node dissection is done in 40%. Adjuvant radio- or
   chemotherapy is performed as a standard treatment in 27% and 22%
   departments, respectively.
   The survey demonstrates a large heterogeneity in RPS diagnostic and
   treatment strategies. Dedicated education programs and centralized
   treatment strategies are warranted to improve the standard of care.
RI Ronellenfitsch, Ulrich/ABG-9483-2020
OI Ronellenfitsch, Ulrich/0000-0003-1107-813X
ZA 0
ZS 0
ZR 0
Z8 0
ZB 1
TC 6
Z9 6
U1 0
U2 3
SN 0009-4722
EI 1433-0385
UT WOS:000419963300007
PM 28905080
ER

PT J
AU Shah, Neha H.
   Bhansali, Priti
   Barber, Aisha
   Toner, Keri
   Kahn, Michael
   MacLean, Meaghan
   Kadden, Micah
   Sestokas, Jeffrey
   Agrawal, Dewesh
TI Children With Medical Complexity: A Web-Based Multimedia Curriculum
   Assessing Pediatric Residents Across North America
SO ACADEMIC PEDIATRICS
VL 18
IS 1
BP 79
EP 85
DI 10.1016/j.acap.2017.08.008
PD JAN-FEB 2018
PY 2018
AB OBJECTIVE: No standardized curricula exist for training residents in the
   special needs of children with medical complexity. We assessed resident
   satisfaction, knowledge, and behavior after implementing a novel online
   curriculum composed of multimedia modules on care of children with
   medical complexity utilizing virtual simulation.
   METHODS: We conducted a randomized controlled trial of residents across
   North America. A Web-based curriculum of 6 self-paced, interactive,
   multimedia modules was developed. Readings for each topic served as the
   control curriculum. Residents were randomized to 1 of 2 groups, each
   completing 3 modules and 3 sets of readings that were mutually
   exclusive. Outcomes included resident scores on satisfaction,
   knowledge-based assessments, and virtual simulation activities.
   RESULTS: Four hundred forty-two residents from 56 training programs
   enrolled in the curriculum, 229 of whom completed it and were included
   in the analysis. Subjects were more likely to report comfort with all
   topics if they reviewed modules compared to readings (P <=.01 for all 6
   topics). Posttest knowledge scores were significantly higher than
   pretest scores overall (mean increase in score 17.7%; 95% confidence
   interval 16.0, 19.4), and the mean pre post score increase for modules
   was significantly higher than readings (20.9% vs 15.4%, P < .001). Mean
   scores on the verbal handoff virtual simulation increased by 1.1 points
   (95% confidence interval 0.2, 2.0, P = .02). There were no significant
   differences found in pre post performance for the device-related
   emergency virtual simulation.
   CONCLUSIONS: There was high satisfaction, significant knowledge
   acquisition, and specific behavior change after participating in this
   innovative online curriculum. This is the first multisite, randomized
   trial assessing satisfaction, knowledge impact, and behavior change in a
   virtually simulated environment with pediatric trainees.
OI Kahn, Michael/0000-0003-4992-3191; Shah, Neha/0000-0003-0348-7443;
   Toner, Keri/0000-0002-9324-7314; Agrawal, Dewesh/0000-0001-5897-5976
ZB 0
ZR 0
ZS 0
ZA 0
Z8 0
TC 11
Z9 11
U1 0
U2 5
SN 1876-2859
EI 1876-2867
UT WOS:000419810600012
PM 28843486
ER

PT J
AU Trueger, N. Seth
   Bokarius, Andrew V.
   Carroll, Stephen
   April, Michael D.
   Thoma, Brent
TI Impact of a Physician-Led Social Media Sharing Program on a Medical
   Journal's Web Traffic
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 15
IS 1
SI SI
BP 184
EP 189
DI 10.1016/j.jacr.2017.09.035
PN B
PD JAN 2018
PY 2018
AB Purpose: The use of social media by health professionals and medical
   journals is increasing. The aim of this study was to compare online
   views of articles in press (AIPs) released by Annals of Emergency
   Medicine before and after a nine-person social media team started
   actively posting links to AIPs using their personal Twitter accounts.
   Methods: An observational before-and-after study was conducted. Web
   traffic data for Annals were obtained from the publisher (Elsevier),
   detailing the number of page views, to annemergmed.com by referring
   websites during the study period. The preinrervention time period was
   defined as January 1,2013, to June 30,2014, and the postintervention
   period as July 1,2014, to July 31,2015. The primary outcome was page
   views from Twitter per AIP released each month to account for the number
   of articles published each month. Secondary outcomes included page views
   from Facebook (on which there was no article-sharing intervention) and
   total' article views per month.
   Results: The median page views from Twitter per individual AIP released
   each month increased from 33 in the preintervention period to 130, for
   an effect size of 97 (95% confidence interval, 56-111; P < .001). There
   was a smaller increase in median page views from Facebook per individual
   AIP of 21 (95% confidence interval, 10-32). There was no significant
   increase in these median values for total page views per AIP.
   Conclusions: Twitter sharing of AIPs increased the number of page views
   that came from Twitter but did not increase the overall number of page
   views.
RI Thoma, Brent/ABI-2642-2020; Trueger, N. Seth/
OI Trueger, N. Seth/0000-0001-8797-2192
ZR 0
TC 15
ZB 1
Z8 0
ZA 0
ZS 0
Z9 15
U1 1
U2 7
SN 1546-1440
UT WOS:000419663500011
PM 29122507
ER

PT J
AU Vaona, Alberto
   Banzi, Rita
   Kwag, Koren H.
   Rigon, Giulio
   Cereda, Danilo
   Pecoraro, Valentina
   Tramacere, Irene
   Moja, Lorenzo
TI E-learning for health professionals
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 1
AR CD011736
DI 10.1002/14651858.CD011736.pub2
PD 2018
PY 2018
AB Background
   The use of e-learning, defined as any educational intervention mediated
   electronically via the Internet, has steadily increased among health
   professionals worldwide. Several studies have attempted to measure the
   effects of e-learning in medical practice, which has often been
   associated with large positive effects when compared to no intervention
   and with small positive effects when compared with traditional learning
   (without access to e-learning). However, results are not conclusive.
   Objectives
   To assess the effects of e-learning programmes versus traditional
   learning in licensed health professionals for improving patient outcomes
   or health professionals' behaviours, skills and knowledge.
   Search methods
   We searched CENTRAL, MEDLINE, Embase, five other databases and three
   trial registers up to July 2016, without any restrictions based on
   language or status of publication. We examined the reference lists of
   the included studies and other relevant reviews. If necessary, we
   contacted the study authors to collect additional information on
   studies.
   Selection criteria
   Randomised trials assessing the effectiveness of e-learning versus
   traditional learning for health professionals. We excluded
   non-randomised trials and trials involving undergraduate health
   professionals.
   Data collection and analysis
   Two authors independently selected studies, extracted data and assessed
   risk of bias. We graded the certainty of evidence for each outcome using
   the GRADE approach and standardised the outcome effects using relative
   risks (risk ratio (RR) or odds ratio (OR)) or standardised mean
   difference (SMD) when possible.
   Main results
   We included 16 randomised trials involving 5679 licensed health
   professionals (4759 mixed health professionals, 587 nurses, 300 doctors
   and 33 childcare health consultants).
   When compared with traditional learning at 12-month follow-up,
   low-certainty evidence suggests that e-learning may make little or no
   difference for the following patient outcomes: the proportion of
   patients with low-density lipoprotein (LDL) cholesterol of less than 100
   mg/dL (adjusted difference 4.0%, 95% confidence interval (CI) -0.3 to
   7.9, N = 6399 patients, 1 study) and the proportion with glycated
   haemoglobin level of less than 8% (adjusted difference 4.6%, 95% CI -1.5
   to 9.8, 3114 patients, 1 study). At 3-to 12-month follow-up,
   low-certainty evidence indicates that e-learningmaymake little or no
   difference on the following behaviours in health professionals:
   screening for dyslipidaemia (OR 0.90, 95% CI 0.77 to 1.06, 6027
   patients, 2 studies) and treatment for dyslipidaemia (OR 1.15, 95% CI
   0.89 to 1.48, 5491 patients, 2 studies). It is uncertain whether
   e-learning improves or reduces health professionals' skills (2912 health
   professionals; 6 studies; very low-certainty evidence), and it may make
   little or no difference in health professionals' knowledge (3236
   participants; 11 studies; low-certainty evidence).
   Due to the paucity of studies and data, we were unable to explore
   differences in effects across different subgroups. Owing to poor
   reporting, we were unable to collect sufficient information to complete
   a meaningful 'Risk of bias' assessment for most of the quality criteria.
   We evaluated the risk of bias as unclear for most studies, but we
   classified the largest trial as being at low risk of bias. Missing data
   represented a potential source of bias in several studies.
   Authors' conclusions
   When compared to traditional learning, e-learning may make little or no
   difference in patient outcomes or health professionals' behaviours,
   skills or knowledge. Even if e-learning could be more successful than
   traditional learning in particular medical education settings, general
   claims of it as inherently more effective than traditional learning may
   be misleading.
RI Banzi, Rita/AAA-6381-2020; tramacere, irene/B-2876-2013; Moja, Pasquale Lorenzo/CAH-0318-2022; Pecoraro, Valentina/
OI Banzi, Rita/0000-0002-2211-3300; tramacere, irene/0000-0001-5550-3412;
   Moja, Pasquale Lorenzo/0000-0001-6680-6507; Pecoraro,
   Valentina/0000-0002-1800-0936
ZR 1
TC 137
ZA 0
ZB 13
ZS 4
Z8 0
Z9 137
U1 3
U2 3
SN 1469-493X
EI 1361-6137
UT WOS:000423977300015
PM 29355907
ER

PT J
AU Mitchell, D. A.
   Sebald, A.
   Tomasello, L.
TI Making and working of a new electronic resource for patients, carers and
   professionals: maxfacts.uk
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 56
IS 1
BP 14
EP 18
DI 10.1016/j.bjoms.2017.11.008
PD JAN 2018
PY 2018
AB Many maxillofacial patients have serious short, medium, or long-term
   problems, as well as having to make informed decisions about often
   life-changing interventions. Validated comprehensive information, at the
   right time and the right level for a diverse group of users (patients,
   carers, and professionals), is vital if patients are to make a serious
   contribution to their treatment. We describe the development of an
   online resource for this purpose. Maxfacts.uk aims to cover every aspect
   of oral and maxillofacial surgery and care, from neck dissection and
   ballistic wounds to physiotherapy and texture-modified foods.
   The principles of design, and the multilayered structure, interface, and
   functions of such a multiuser website are outlined, including
   accessibility and engagement. The maxfacts model and design could easily
   be adapted for other users with similar, complex, long-term needs. (c)
   2017 The Authors. Published by Elsevier Ltd on behalf of The British
   Association of Oral and Maxillofacial Surgeons.
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
TC 3
Z9 3
U1 0
U2 2
SN 0266-4356
EI 1532-1940
UT WOS:000419594400004
PM 29198483
ER

PT J
AU Hu, Angela
   Vender, Ron
TI Undergraduate Dermatology Education in Canada: A National Survey
SO JOURNAL OF CUTANEOUS MEDICINE AND SURGERY
VL 22
IS 1
BP 31
EP 37
DI 10.1177/1203475417725876
PD JAN-FEB 2018
PY 2018
AB Background: Canadian dermatology curriculum was reviewed in 1983, 1987,
   1996, and 2008. All these surveys highlighted the disproportionately low
   level of dermatology teaching in relation to the significant amount of
   skin disease seen by physicians. Since the official adoption and
   dissemination of the Canadian Professors of Dermatology (CPD) core
   curriculum and competencies, there has been no assessment of how these
   changes have influenced dermatology curriculum.
   Objective: This survey gathered information on the current status of
   undergraduate dermatology education across Canadian medical schools.
   Methods: A survey was sent electronically to all undergraduate
   dermatology directors at each of the 17 Canadian medical schools.
   Results: Between 2008 and 2017, dermatology teaching has increased 25%
   to 25.6 17.2 hours of teaching. However, 75% of this teaching is
   delivered in preclinical years. The number of faculty members, both
   dermatologists and nondermatologists, has also increased. A growing
   number of schools are now using electronic formats of teaching. Most
   schools (59%) are covering all the CPD core curriculum topics.
   Conclusion: Dermatology education is demonstrating positive trends with
   regards to teaching hours and faculty members. Nevertheless, a more even
   distribution of content so that students have increased clinical
   exposure should be achieved. Furthermore, an online atlas of resources
   would be helpful in standardising curriculum.
OI Vender, Ronald/0000-0002-2624-2724
ZB 1
ZS 0
TC 9
ZA 0
ZR 0
Z8 0
Z9 9
U1 0
U2 1
SN 1203-4754
EI 1615-7109
UT WOS:000419574300005
PM 28793799
ER

PT J
AU Cook, David A.
   Blachman, Morris J.
   Price, David W.
   West, Colin P.
   Thomas, Barbara L. Baasch
   Berger, Richard A.
   Wittich, Christopher M.
TI Educational Technologies for Physician Continuous Professional
   Development: A National Survey
SO ACADEMIC MEDICINE
VL 93
IS 1
BP 104
EP 112
DI 10.1097/ACM.0000000000001817
PD JAN 2018
PY 2018
AB Purpose
   To determine the past experiences with, current use of, and anticipated
   use of online learning and simulation-based education among practicing
   U.S. physicians, and how findings vary by age.
   Method
   The authors surveyed 4,648 randomly sampled board-certified U.S.
   physicians, September 2015 to April 2016, using Internet-based and paper
   questionnaires. Survey items (some optional) addressed past and current
   technology usage, perceived technology effectiveness, and anticipated
   future use of specific technology innovations.
   Results
   Of 988 respondents, 444 completed optional items. Of these, 429/442
   (97.1%) had used online learning and 372/442 (84.2%) had used
   simulation-based education in the past five years. Desire for more
   online learning was modest (mean [standard deviation], 4.6 [1.5]; 1 =
   strongly disagree, 7 = strongly agree), as was desire for more
   simulation-based education (4.2 [1.7]). Both online learning and
   simulation-based education were perceived as effective (5.2 [1.4]; 5.0
   [1.4]). Physicians believed they possess adequate skills for online
   learning (5.8 [1.2]) and that point-of-care learning is vital to
   effective patient care (5.3 [1.3]). Only 39.0% used objective
   performance data to guide their learning choices, although 64.6% agreed
   that such information would be useful. The highest-rated innovations
   included a central repository for listing educational opportunities and
   tracking continuing education credits, an app to award credit for
   answering patient-focused questions, 5-minute and 20-minute clinical
   updates, and an e-mailed question of the week. Responses to most survey
   items were similar across age groups.
   Conclusions
   Practicing physicians generally seem receptive and prepared to use a
   variety of educational technologies, regardless of age.
ZB 3
ZR 0
ZA 0
Z8 0
ZS 1
TC 17
Z9 18
U1 1
U2 13
SN 1040-2446
EI 1938-808X
UT WOS:000418741700029
PM 28658022
ER

PT J
AU Retrouvey, Michele
   Trace, Anthony Paul
   Goodmurphy, Craig W.
   Shaves, Sarah
TI JOURNAL CLUB: Redefining the Radiology Curriculum in Medical School:
   Vertical Integration and Global Accessibility
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 210
IS 1
BP 118
EP 122
DI 10.2214/AJR.17.18211
PD JAN 2018
PY 2018
AB OBJECTIVE. Radiology interconnects medical disciplines given that a
   working understanding of imaging is essential to clinicians of every
   specialty. Using online education, we created a globally accessible,
   web-based undergraduate medical radiology curriculum modeled after the
   National Medical Student Curriculum in Radiology program of the Alliance
   of Medical Student Educators in Radiology.
   SUBJECTS AND METHODS. Seventy-four radiology faculty-mentored video
   modules were produced, 50 of which were integrated into the 1st-year
   anatomy course. We administered tests to medical students before and
   after students saw the videos to assess the effectiveness of the
   modules. We surveyed students on their interests in pursuing radiology
   as a career before and after participating in this curriculum.
   RESULTS. On the preexamination questions, the mean score was 58.0%,
   which increased to 83.6% on the pair-matched imaging-related questions
   on the actual examination. Before participating in the new curriculum,
   88% of students did not express an interest in radiology, and 9% were
   undecided about radiology as a future career. There was an increase in
   students who reported that they would definitely or most likely pursue a
   career in radiology (7%) after they had viewed the lectures.
   CONCLUSION. Radiology education is now available to a greater number of
   multidisciplinary learners worldwide. This project produced a
   comprehensive, globally accessible radiology curriculum in a self-paced,
   flexible learning format for new generations of physicians.
RI Goodmurphy, Craig/AAO-8264-2021; Goodmurphy, Craig/
OI Goodmurphy, Craig/0000-0002-7778-1998
ZA 0
ZB 0
ZS 1
Z8 0
ZR 0
TC 4
Z9 5
U1 0
U2 8
SN 0361-803X
EI 1546-3141
UT WOS:000418427200029
PM 29166149
ER

PT J
AU Yoon, Jin A.
   Shin, Yong Beom
   Shin, Myung Jun
   Kang, Mi Sun
   Ko, Hyun-Yoon
TI Cardiovascular Monitoring During Video Urodynamic Studies in Persons
   With Spinal Cord Injury
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 1
BP 1
EP 6
DI 10.1097/PHM.0000000000000738
PD JAN 2018
PY 2018
AB Objective The aims of the study were to observe cardiovascular responses
   during video urodynamic studies and to identify correlations between
   autonomic dysreflexia events and video urodynamic study findings in
   spinal cord injuries.
   Design Thirty-four persons with spinal cord injury were enrolled and
   investigated using continuous cardiovascular monitoring during video
   urodynamic studies. Associations between cardiovascular responses and
   video study variables were analyzed.
   Results Bladder type-specific cardiovascular responses occurred during
   the study. The incidence of overactive detrusor during urodynamic study
   and bladder trabeculation on voiding cystourethrogram was significantly
   higher in autonomic dysreflexia persons with spinal cord injury (P <
   0.05). Systolic blood pressure changes showed moderate negative
   correlation (r = -0.402, P = 0.020) with bladder compliance and high
   positive correlation (r = 0.810, P = 0.000) with maximum detrusor
   pressure. However, no significant differences in neurological level of
   injury, injury completeness, autonomic dysreflexia symptoms, and voiding
   type were found. Spinal cord injury increase at each section was
   significantly higher in overactive detrusor group (P < 0.05).
   Significant bradycardia or tachycardia correlating with autonomic
   dysreflexia during urodynamic studies was not observed.
   Conclusions Unpredictable cardiovascular reactions during urodynamic
   study should be considered carefully in persons with a spinal cord
   injury above T6.
   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) Describe limitations of previous cardiovascular monitoring
   during urodynamic study to observe changes in cardiovascular responses;
   (2) Identify factors contributing to autonomic dysreflexia during
   urodynamic testing; and (3) Discuss the effect of morphologic features
   in voiding cystourethrogram including trabeculation and vesicourethral
   reflux on autonomic dysreflexia.
   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.
ZR 0
ZB 0
Z8 0
ZA 0
TC 3
ZS 0
Z9 3
U1 0
U2 2
SN 0894-9115
EI 1537-7385
UT WOS:000418320000004
PM 29252405
ER

PT J
AU Law, Joanna K.
   Thome, Parker A.
   Lindeman, Brenessa
   Jackson, Daren C.
   Lidor, Anne O.
TI Student use and perceptions of mobile technology in clinical clerkships
   - Guidance for curriculum design
SO AMERICAN JOURNAL OF SURGERY
VL 215
IS 1
BP 196
EP 199
DI 10.1016/j.amjsurg.2017.01.038
PD JAN 2018
PY 2018
AB Background: We examined the types of technology used by medical students
   in clinical clerkships, and the perception of technology implementation
   into the curriculum.
   Methods: An online survey about technology use was completed prior to
   general surgery clinical clerkship. Types of devices and
   frequency/comfort of use were recorded. Perceptions of the benefits and
   barriers to technology use in clerkship learning were elicited.
   Results: 125/131 (95.4%) students responded. Most students owned a smart
   phone (95.2%), tablet (52.8%), or both (50%); 61.6% spent > 11 h/week
   learning on a device at the Johns Hopkins School of Medicine for
   educational purposes. Technology use was seen as beneficial by 97.6% of
   students. Classes that used technology extensively were preferred by 54%
   of students, although 47.2% perceived decreased faculty/classmate
   interaction.
   Conclusions: Students use mobile technology to improve how they learn
   new material, and prefer taking classes that incorporate information
   technology. However, in-person/blended curricula are preferable to
   completely online courses. (C) 2017 Elsevier Inc. All rights reserved.
RI Lindeman, Brenessa/AAZ-7010-2020
ZS 1
ZA 0
ZR 0
ZB 1
Z8 0
TC 10
Z9 10
U1 0
U2 10
SN 0002-9610
EI 1879-1883
UT WOS:000417607000035
PM 28173937
ER

PT J
AU Raissi, Driss
   Han, Qiong
   Winkler, Michael
   Escott, Edward J.
TI Procedural competency training during diagnostic radiology residency:
   Time to go beyond "See one, do one, teach one"!
SO INTERNATIONAL JOURNAL OF ACADEMIC MEDICINE
VL 4
IS 1
BP 50
EP 55
DI 10.4103/IJAM.IJAM_70_17
PD JAN-APR 2018
PY 2018
AB Objectives: Achieving procedural competency during diagnostic radiology
   residency can impact the radiologist's future independent practice after
   graduation, especially in a private practice setting. However,
   standardized procedure competency training within most radiology
   residency programs is lacking, and overall procedural skills are still
   mainly acquired by the traditional "see one, do one, teach one"
   methodology. We report the development of a simple standardized
   procedural training protocol that can easily be adopted by residency
   programs currently lacking any form of structured procedural training.
   Materials and Methods: An ad hoc resident procedural competency
   committee was created in our radiology residency program. A procedural
   certification protocol was developed by the committee which was composed
   of attending radiologists from the involved divisions and two chief
   residents. A road map to achieve procedural competency certification
   status was finalized. The protocol was then implemented through online
   commercial software. Results: Our procedural certification protocol took
   effect in September 2014. We reviewed all resident records from
   September 2014 to December 2016. Eighteen residents of various levels of
   training participated in our training protocol. About 72% became
   certified in paracentesis, 11% in thoracentesis, 83% in feeding tube
   placement, 55% in lumbar puncture/myelogram, and 77% in tunneled
   catheter removal. Conclusions: Our single-center experience demonstrates
   that a simple to adopt structured approach to procedural competency
   training is feasible and effective. Our "certified" radiology residents
   were deemed capable of performing those procedures under indirect
   supervision. The following core competencies are addressed in this
   article: Patient care, Medical knowledge, and Systems-based practice.
RI Winkler, Michael/CAG-2928-2022
ZA 0
ZB 0
ZR 0
TC 0
Z8 0
ZS 0
Z9 0
U1 0
U2 0
EI 2455-5568
UT WOS:000640902300005
ER

PT J
AU Feldacker, Caryl
   Jacob, Sheena
   Chung, Michael H.
   Nartker, Anya
   Kim, H. Nina
TI Experiences and perceptions of online continuing professional
   development among clinicians in sub-Saharan Africa
SO HUMAN RESOURCES FOR HEALTH
VL 15
AR 89
DI 10.1186/s12960-017-0266-4
PD DEC 29 2017
PY 2017
AB Background: Limitations in healthcare worker (HCW) capacity compound the
   burden of dual TB and HIV epidemics in sub-Saharan Africa. To fill gaps
   in knowledge and skills, effective continuing profession development
   (CPD) initiatives are needed to support practicing HCWs reach high
   standards of care. e-learning opportunities can bring expert knowledge
   to HCWs in the field and provide a flexible learning option adaptable to
   local settings. Few studies provide insight into HCW experiences with
   online CPD in the developing country context.
   Methods: An online survey using both close-ended and free response was
   conducted to HCWs in sub-Saharan Africa who completed the University of
   Washington (UW) School of Medicine online graduate course, "Clinical
   Management of HIV." Associations between respondent characteristics
   (age, gender, rural/urban, job title) and learning preferences, course
   barriers, and facilitators with an emphasis on online courses were
   examined using chi-square. Covariates significant at the p < 0.05 were
   analyzed using multivariable logistic regression. Responses to
   open-ended comments were analyzed using simplified grounded theory.
   Results: Of 2,299 former students, 464 (20%) HCWs completed surveys from
   13 countries: about half were women. Physicians (33%), nurses (27%), and
   clinical officers (30%) responded mostly from urban areas (67%) and
   public institutions (69%). Sixty-two percent accessed the online course
   from work, noting that slow (55%) or limited (41%) internet as well as
   lack of time (53%) were barriers to course completion. Women (p < 0.001)
   and HCWs under age 40 (p = 0.007) were more likely to prefer learning
   through mentorship than men or older HCWs. Respondents favored group
   discussion (46%), case studies (42%), and self-paced
   Internet/computer-based learning (39%) and clinical mentorship (37%)
   when asked to choose 3 preferred learning modalities. Free-response
   comments offered additional positive insights into the appeal of online
   courses by noting the knowledge gains, the flexibility of format, a
   desire for recognition of course completion, and a request for
   additional online coursework.
   Conclusions: Online CPD opportunities were accepted across a diverse
   group of HCWs from sub-Saharan Africa and should be expanded to provide
   more flexible opportunities for self-initiated learning; however, these
   need to be responsive to the limited resources of those who seek these
   courses.
OI Feldacker, Caryl/0000-0002-8152-6754
ZR 0
ZB 1
ZA 0
Z8 0
TC 15
ZS 0
Z9 15
U1 1
U2 17
SN 1478-4491
UT WOS:000419139600001
PM 29284492
ER

PT J
AU McDonald, Paige L.
   Harwood, Kenneth J.
   Butler, Joan T.
   Schlumpf, Karen S.
   Eschmann, Carson W.
   Drago, Daniela
TI Design for success: Identifying a process for transitioning to an
   intensive online course delivery model in health professions education
SO MEDICAL EDUCATION ONLINE
VL 23
AR 1415617
DI 10.1080/10872981.2017.1415617
PD DEC 25 2017
PY 2017
AB Intensive courses (ICs), or accelerated courses, are gaining popularity
   in medical and health professions education, particularly as programs
   adopt e-learning models to negotiate challenges of flexibility, space,
   cost, and time. In 2014, the Department of Clinical Research and
   Leadership (CRL) at the George Washington University School of Medicine
   and Health Sciences began the process of transitioning two online
   15-week graduate programs to an IC model. Within a year, a third program
   also transitioned to this model. A literature review yielded little
   guidance on the process of transitioning from 15-week, traditional
   models of delivery to IC models, particularly in online learning
   environments. Correspondingly, this paper describes the process by which
   CRL transitioned three online graduate programs to an IC model and
   details best practices for course design and facilitation resulting from
   our iterative redesign process. Finally, we present lessons-learned for
   the benefit of other medical and health professions 'programs
   contemplating similar transitions.
OI McDonald, Paige/0000-0001-8741-6276; Butler, Joan/0000-0002-0706-1979;
   Harwood, Kenneth/0000-0003-4976-0935; Drago, Daniela/0000-0001-7839-9638
TC 8
ZS 0
ZR 0
ZA 0
ZB 0
Z8 0
Z9 8
U1 0
U2 6
SN 1087-2981
UT WOS:000423145600001
PM 29277143
ER

PT J
AU Wangmo, Tenzin
   Provoost, Veerle
TI The use of empirical research in bioethics: a survey of researchers in
   twelve European countries
SO BMC MEDICAL ETHICS
VL 18
AR 79
DI 10.1186/s12910-017-0239-0
PD DEC 22 2017
PY 2017
AB Background: The use of empirical research methods in bioethics has been
   increasing in the last decades. It has resulted in discussions about the
   'empirical turn of bioethics' and raised questions related to the value
   of empirical work for this field, methodological questions about its
   quality and rigor, and how this integration of the normative and the
   empirical can be achieved. The aim of this paper is to describe the
   attitudes of bioethics researchers in this field towards the use of
   empirical research, and examine their actual conduct: whether they use
   empirical research methods (and if so, what methods), and whether (and
   how) they have made attempts at integrating the empirical and the
   normative.
   Methods: An anonymous online survey was conducted to reach scholars
   working in bioethics/biomedical ethics/ethics institutes or centers in
   12 European countries. A total of 225 bioethics researchers participated
   in the study. Of those, 200 questionnaires were fully completed,
   representing a response rate of 42.6%. The results were analysed using
   descriptive statistics.
   Results: Most respondents (n = 175; 87.5%) indicated that they use or
   have used empirical methods in their work. A similar proportion of
   respondents (61.0% and 59.0%) reported having had at least some training
   in qualitative or quantitative methods, respectively. Among the
   'empirical researchers', more than a fifth (22.9%) had not received any
   methodological training. It appears that only 6% or less of the
   'empirical researchers' considered themselves experts in the methods
   (qualitative or quantitative) that they have used. Only 35% of the
   scholars who have used empirical methods reported having integrated
   empirical data with normative analysis, whereas for their current
   projects, 59.8% plan to do so.
   Conclusions: There is a need to evaluate the current educational
   programs in bioethics and to implement rigorous training in empirical
   research methods to ensure that 'empirical researchers' have the
   necessary skills to conduct their empirical research in bioethics. Also
   imperative is clear guidance on the integration of the normative and the
   empirical so that researchers who plan to do so have necessary tools and
   competences to fulfil their goals.
RI Provoost, Veerle/H-4214-2011; Wangmo, Tenzin/
OI Wangmo, Tenzin/0000-0003-0857-0510
ZS 0
TC 11
ZB 1
ZA 0
ZR 0
Z8 0
Z9 11
U1 2
U2 12
SN 1472-6939
UT WOS:000418809300001
PM 29273030
ER

PT J
AU Murakami, Michio
   Suzuki, Mai
   Yamaguchi, Tomiko
TI Presenting information on regulation values improves the public's sense
   of safety: Perceived mercury risk in fish and shellfish and its effects
   on consumption intention
SO PLOS ONE
VL 12
IS 12
AR e0188758
DI 10.1371/journal.pone.0188758
PD DEC 21 2017
PY 2017
AB Risk communication aims to promote health and understanding through
   information exchange; however, explanations regarding the basis of
   regulation values for the public are insufficient. Moreover, it is
   unclear how information presentation affects the public's sense of
   safety and their consumption intentions. We first investigated the
   relationship between perception of mercury-risk in fish and shellfish
   and individual attributes and knowledge. We then examined how presenting
   information on regulation values and primary factors regarding
   perception affected sense of safety toward regulations and
   food-consumption intentions. An online survey was conducted with
   Japanese individuals (N = 1148). Respondents were randomly assigned to
   one of three groups based on the presentation level of regulation
   values. People who frequently consumed tuna had a high perception of
   dread risk of mercury. This suggests that the dread risk perception of
   mercury does not determine tuna-type consumption behavior; rather,
   individuals' consumption behavior determines dread risk perception of
   mercury. Among those with high tuna-type consumption, those receiving
   information that a safety factor of 10 times had been considered showed
   a significantly greater sense of safety than did the group that was not
   presented with information on regulation values (odds ratio (95%
   confidence interval): 2.04 (1.18-3.53), p < 0.05). However, presentation
   of regulation values showed a weak but significantly positive
   correlation with excessive intake of tuna-type fish (odds ratio: 2.95
   (0.93-9.32), p < 0.10). Presenting the information on regulation values
   increases sense of safety; however, it may also lead to excessive
   intake.
ZA 0
ZR 0
TC 4
ZS 0
ZB 3
Z8 0
Z9 4
U1 2
U2 26
SN 1932-6203
UT WOS:000418587400015
PM 29267301
ER

PT J
AU Quinn, Sandra Crouse
   Jamison, Amelia M.
   Freimuth, Vicki S.
   An, Ji
   Hancock, Gregory R.
TI Determinants of influenza vaccination among high-risk Black and White
   adults
SO VACCINE
VL 35
IS 51
BP 7154
EP 7159
DI 10.1016/j.vaccine.2017.10.083
PD DEC 18 2017
PY 2017
AB Background: Adults with chronic conditions are at much greater risk of
   influenza-related morbidity and mortality, yet flu vaccine uptake
   remains suboptimal. Research focused on the high-risk population has
   been limited, particularly related to racial disparities in vaccination.
   We explore a broad range of demographic, racial, and psychosocial
   factors to identify predictors of vaccination among high-risk adults,
   with a focus on identify differences between Black and White adults.
   Methods: We conducted an online survey in March 2015, utilizing
   international research firm GfK's KnowledgePanel, for a nationally
   representative sample of Black and White adults (>= 18, USA) and limited
   analysis adults with high-risk of influenza-related complications. Using
   two-way ANOVA, we assessed demographic, racial, and psychosocial
   predictors across vaccine uptake in the past five years and across
   racial group.
   Results: 424 (52.2%) Black and 388 (47.8%) White respondents with
   high-risk complications completed the survey. 383 (47.3%) reported
   vaccination annually, 99 (12.2%) most years, 104 (12.9%) once/twice, and
   223 (27.6%) never. ANOVA confirmed significant differences in vaccine
   behavior for most demographic predictors (except education), all racial
   factors (including racial fairness, experiences of discrimination,
   etc.), and most psychosocial factors (including vaccine attitudes, trust
   in the vaccine, etc.). ANOVA confirmed significant differences for most
   factors by race. We observed significant interaction effects between
   race and vaccine behavior for subjective social status, access to
   medical care, knowledge of vaccine recommendations, vaccine attitudes,
   perceived side effect risks, descriptive norms, subjective norms, flu
   vaccine hesitancy, and flu vaccine confidence, thus implying racial
   differences in the connection between vaccine uptake and key
   demographic, racial, and psychosocial factors.
   Conclusions: This study provides a novel examination of flu vaccine
   behavior among high-risk Blacks and Whites that identified factors
   influencing vaccine uptake. We found significant differences by race.
   Health care professionals can use this information to more effectively
   target high-risk adults during flu season. (C) 2017 Elsevier Ltd. All
   rights reserved.
ZB 24
Z8 0
ZS 0
TC 48
ZA 0
ZR 0
Z9 47
U1 1
U2 23
SN 0264-410X
EI 1873-2518
UT WOS:000418966800020
PM 29126805
ER

PT J
AU Javier Bonilla-Escobar, Francisco
   Bonilla-Velez, Juliana
   Tobon-Garcia, Daniel
   Angel-Isaza, Ana Maria
TI Medical student researchers in Colombia and associated factors with
   publication: a cross-sectional study
SO BMC MEDICAL EDUCATION
VL 17
AR 254
DI 10.1186/s12909-017-1087-9
PD DEC 15 2017
PY 2017
AB Background: Gaps between evidence-based research and clinical-public
   health practice have been evident for decades. One of the aims of
   medical student research is to close this gap. Accordingly, evaluating
   individual and environmental factors that influence participation of
   medical students in research are needed to understand and identify
   potential targets for action. This study aims to identify
   characteristics of medical student researchers in Colombia and the
   associated factors with scientific publications.
   Methods: A cross-sectional study of Colombian medical students involved
   in research using a validated, self-administered, online survey. The
   survey was distributed through the Colombian Association of Medical
   Students' Associations (ASCEMCOL). Data sets were analyzed using
   descriptive and summary statistics. Bivariate analysis and a multiple
   logistic regression model were conducted to identify predictors of
   scientific publications.
   Results: A total of 133 responses were analyzed from students at 12
   Colombian cities and 20 higher-education institutions. Although 94% of
   responders had at least one research proposal, only 57% had completed a
   project, and 17% had published their findings. Barriers for undertaking
   research included time restrictions and a lack of mentorship.
   Motivational factors included opportunity to publish findings and good
   mentorship. Students planning to do a specialization (OR = 3.25; 95%
   Confidence interval [CI] = 1.27-8.30), innovators (OR = 3.52; 95% CI =
   1.30-9.52) and committed (OR = 3.39; 95% CI = 1.02-11.29), those who had
   previously published their findings (OR 9.13 IC95% 2.57-32.48), and were
   further in their medical education (OR 2.26 IC95% 1.01-5.07), were more
   likely to publish scientific papers.
   Conclusions: Our findings describe medical students understanding of the
   process of conducting research in Colombia. Although there appears to be
   motivation to participate in research, very few students achieve
   publication. Barriers such as time constraints and mentorship seem to
   play a critical role. This highlights opportunities where barriers to
   research can be overcome in medical school and other levels.
RI Bonilla-Escobar, Francisco Javier/AAK-8367-2020; Angel-Isaza, Ana Maria/
OI Bonilla-Escobar, Francisco Javier/0000-0002-0224-3482; Angel-Isaza, Ana
   Maria/0000-0002-6407-1735
ZB 1
TC 10
ZS 3
Z8 0
ZR 0
ZA 0
Z9 13
U1 1
U2 6
EI 1472-6920
UT WOS:000418176700001
PM 29246229
ER

PT J
AU Babu, Maya A.
   Liau, Linda M.
   Meyer, Fredric B.
TI Recognized focused practice: Does subspecialty designation offer value
   to the neurosurgeon?
SO PLOS ONE
VL 12
IS 12
AR e0189105
DI 10.1371/journal.pone.0189105
PD DEC 14 2017
PY 2017
AB Vehicles for life-long assessment such as Maintenance of Certification
   tend to focus on generalist neurosurgical knowledge. However, as
   neurosurgeons advance in their careers, they tend to narrow their
   practice and increase volumes in certain specific types of operations.
   Failing to test the type of procedures most relevant to the practitioner
   is a lost opportunity to improve the knowledge and practice of the
   individual neurosurgeon. In this study, we assess the neurosurgical
   community's appetite for designations of board-recognized Recognized
   Focused Practice (RFP). We administered a validated, online,
   confidential survey to 4,899 neurosurgeons (2,435 American Board of
   Neurological Surgery (ABNS) Diplomates participating in MOC, 1,440
   Diplomates certified prior to 1999 (grandfathered), and 1,024 retired
   Diplomates). We received 1,449 responses overall (30% response rate). A
   plurality of respondents were in practice 11 +/- 15 years (18.5%), in
   private practice (40%) and participate in MOC (61%). 49% of respondents
   felt that a RFP designation would not be helpful. For the 30% who felt
   that RFP would be helpful, 61.3% felt that it would support recognition
   by their hospital or practice, it would motivate them to stay current on
   medical knowledge (53.4%), or it would help attract patients (46.4%;).
   The most popular suggestions for RFP were Spine (56.2%), Cerebrovascular
   (62.9%), Pediatrics (64.1%), and Functional/Stereotactic (52%). A
   plurality of neurosurgeons (35.7%) felt that RFP should recognize
   neurosurgeons with accredited and non-accredited fellowship experience
   and sub-specialty experience. Ultimately, Recognized Focused Practice
   may provide value to individual neurosurgeons, but the neurosurgical
   community shows tepid interest for pursuing this designation.
OI Liau, Linda/0000-0002-4053-0052
ZS 0
Z8 0
ZB 2
ZR 0
ZA 0
TC 2
Z9 2
U1 0
U2 0
SN 1932-6203
UT WOS:000417905600019
PM 29240838
ER

PT J
AU Lee, Chun-Hsien
   Chang, Fong-Ching
   Hsu, Sheng-Der
   Chi, Hsueh-Yun
   Huang, Li-Jung
   Yeh, Ming-Kung
TI Inappropriate self-medication among adolescents and its association with
   lower medication literacy and substance use
SO PLOS ONE
VL 12
IS 12
AR e0189199
DI 10.1371/journal.pone.0189199
PD DEC 14 2017
PY 2017
AB Background
   While self-medication is common, inappropriate self-medication has
   potential risks. This study assesses inappropriate self-medication among
   adolescents and examines the relationships among medication literacy,
   substance use, and inappropriate selfmedication.
   Method
   In 2016, a national representative sample of 6,226 students from 99
   primary, middle, and high schools completed an online self-administered
   questionnaire. Multiple logistic regression analysis was used to examine
   factors related to inappropriate self-medication.
   Results
   The prevalence of self-medication in the past year among the adolescents
   surveyed was 45.8%, and the most frequently reported drugs for
   self-medication included nonsteroidal anti-inflammatory drugs or pain
   relievers (prevalence = 31.1%), cold or cough medicines (prevalence =
   21.6%), analgesics (prevalence = 19.3%), and antacids (prevalence =
   17.3%). Of the participants who practiced self-medication, the
   prevalence of inappropriate self-medication behaviors included not
   reading drug labels or instructions (10.1%), using excessive dosages
   (21.6%), and using prescription and nonprescription medicine
   simultaneously without advice from a health provider (polypharmacy)
   (30.3%). The results of multiple logistic regression analysis showed
   that after controlling for school level, gender, and chronic diseases,
   the participants with lower medication knowledge, lower self-efficacy,
   lower medication literacy, and who consumed tobacco or alcohol were more
   likely to engage in inappropriate self-medication.
   Conclusion
   Lower medication literacy and substance use were associated with
   inappropriate self-medication among adolescents.
OI Hsu, Sheng-Der/0000-0001-9698-8954; Lee, Chun-Hsien/0000-0002-6404-9167
ZR 0
Z8 0
ZB 8
TC 33
ZA 0
ZS 0
Z9 33
U1 11
U2 38
SN 1932-6203
UT WOS:000417905600020
PM 29240799
ER

PT J
AU Mohan, Deepika
   Farris, Coreen
   Fischhoff, Baruch
   Rosengart, Matthew R.
   Angus, Derek C.
   Yealy, Donald M.
   Wallace, David J.
   Barnato, Amber E.
TI Efficacy of educational video game versus traditional educational apps
   at improving physician decision making in trauma triage: randomized
   controlled trial
SO BMJ-BRITISH MEDICAL JOURNAL
VL 359
AR j5416
DI 10.1136/bmj.j5416
PD DEC 13 2017
PY 2017
AB OBJECTIVE
   To determine whether a behavioral intervention delivered through a video
   game can improve the appropriateness of trauma triage decisions in the
   emergency department of non-trauma centers.
   DESIGN
   Randomized clinical trial.
   SETTING
   Online intervention in national sample of emergency medicine physicians
   who make triage decisions at US hospitals.
   PARTICIPANTS
   368 emergency medicine physicians primarily working at non-trauma
   centers. A random sample (n=200) of those with primary outcome data was
   reassessed at six months.
   INTERVENTIONS
   Physicians were randomized in a 1: 1 ratio to one hour of exposure to an
   adventure video game (Night Shift) or apps based on traditional didactic
   education (myATLS and Trauma Life Support MCQ Review), both on iPads.
   Night Shift was developed to recalibrate the process of using pattern
   recognition to recognize moderate-severe injuries (representativeness
   heuristics) through the use of stories to promote behavior change
   (narrative engagement). Physicians were randomized with a 2x2 factorial
   design to intervention (game v traditional education apps) and then to
   the experimental condition under which they completed the outcome
   assessment tool (low v high cognitive load). Blinding could not be
   maintained after allocation but group assignment was masked during the
   analysis phase.
   MAIN OUTCOME MEASURES
   Outcomes of a virtual simulation that included 10 cases; in four of
   these the patients had severe injuries. Participants completed the
   simulation within four weeks of their intervention. Decisions to admit,
   discharge, or transfer were measured. The proportion of patients
   under-triaged (patients with severe injuries not transferred to a trauma
   center) was calculated then (primary outcome) and again six months
   later, with a different set of cases (primary outcome of follow-up
   study). The secondary outcome was effect of cognitive load on
   under-triage.
   RESULTS
   149 (81%) physicians in the game arm and 148 (80%) in the traditional
   education arm completed the trial. Of these, 64/100 (64%) and 58/100
   (58%), respectively, completed reassessment at six months. The mean age
   was 40 (SD 8.9), 283 (96%) were trained in emergency medicine, and 207
   (70%) were ATLS (advanced trauma life support) certified. Physicians
   exposed to the game under-triaged fewer severely injured patients than
   those exposed to didactic education (316/596 (0.53) v 377/592 (0.64),
   estimated difference 0.11, 95% confidence interval 0.05 to 0.16;
   P<0.001). Cognitive load did not influence under-triage (161/308 (0.53)
   v 155/288 (0.54) in the game arm; 197/300 (0.66) v 180/292 (0.62) in the
   traditional educational apps arm; P=0.66). At six months, physicians
   exposed to the game remained less likely to under-triage patients
   (146/256 (0.57) v 172/232 (0.74), estimated difference 0.17, 0.09 to
   0.25; P<0.001). No physician reported side effects. The sample might not
   reflect all emergency medicine physicians, and a small set of cases was
   used to assess performance.
   CONCLUSIONS
   Compared with apps based on traditional didactic education, exposure of
   physicians to a theoretically grounded video game improved triage
   decision making in a validated virtual simulation. Though the observed
   effect was large, the wide confidence intervals include the possibility
   of a small benefit, and the real world efficacy of this intervention
   remains uncertain.
RI Angus, Derek C/E-9671-2012; Fischhoff, Baruch/I-9859-2014
OI Fischhoff, Baruch/0000-0002-3030-6874
ZR 0
ZA 0
TC 24
ZB 9
Z8 0
ZS 0
Z9 24
U1 1
U2 19
SN 1756-1833
UT WOS:000418327500002
PM 29233854
ER

PT J
AU Vijay, Aishwarya
   Earnshaw, Valerie A.
   Tee, Ying Chew
   Pillai, Veena
   White Hughto, Jaclyn M.
   Clark, Kirsty
   Kamarulzaman, Adeeba
   Altice, Frederick L.
   Wickersham, Jeffrey A.
TI Factors Associated with Medical Doctors' Intentions to Discriminate
   Against Transgender Patients in Kuala Lumpur, Malaysia
SO LGBT HEALTH
VL 5
IS 1
BP 61
EP 68
DI 10.1089/lgbt.2017.0092
EA DEC 2017
PD JAN 2018
PY 2018
AB Purpose: Transgender people are frequent targets of discrimination.
   Discrimination against transgender people in the context of healthcare
   can lead to poor health outcomes and facilitate the growth of health
   disparities. This study explores factors associated with medical
   doctors' intentions to discriminate against transgender people in
   Malaysia.
   Methods: A total of 436 physicians at two major university medical
   centers in Kuala Lumpur, Malaysia, completed an online survey.
   Sociodemographic characteristics, stigma-related constructs, and
   intentions to discriminate against transgender people were measured.
   Bivariate and multivariate linear regression were used to evaluate
   independent covariates of discrimination intent.
   Results: Medical doctors who felt more fearful of transgender people and
   more personal shame associated with transgender people expressed greater
   intention to discriminate against transgender people, whereas doctors
   who endorsed the belief that transgender people deserve good care
   reported lower discrimination intent. Stigma-related constructs
   accounted for 42% of the variance and 8% was accounted for by
   sociodemographic characteristics.
   Conclusions: Constructs associated with transgender stigma play an
   important role in medical doctors' intentions to discriminate against
   transgender patients. Development of interventions to improve medical
   doctors' knowledge about and attitudes toward transgender people are
   necessary to reduce discriminatory intent in healthcare settings.
RI tee, yc/CAG-0681-2022; Clark, Kirsty/; Altice, Frederick/
OI Clark, Kirsty/0000-0002-9626-8460; Altice, Frederick/0000-0002-7860-693X
ZS 0
TC 17
ZR 0
ZB 2
ZA 0
Z8 0
Z9 17
U1 1
U2 2
SN 2325-8292
EI 2325-8306
UT WOS:000417580200001
PM 29227183
ER

PT J
AU Eley, Diann S.
   Jensen, Charmaine
   Thomas, Ranjeny
   Benham, Helen
TI What will it take? Pathways, time and funding: Australian medical
   students' perspective on clinician-scientist training
SO BMC MEDICAL EDUCATION
VL 17
AR 242
DI 10.1186/s12909-017-1081-2
PD DEC 8 2017
PY 2017
AB Background: Clinician-scientists are in decline worldwide. They
   represent a unique niche in medicine by bridging the gap between
   scientific discovery and patient care. A national, integrated approach
   to training clinician-scientists, typically programs that comprise a
   comprehensive MD-PhD pathway, are customary. Such a pathway is lacking
   in Australia. The objective was to gather perceptions from Australian
   medical students on factors they perceive would influence their decision
   to pursue clinician-scientist training.
   Methods: A cross-sectional mixed methods design used quantitative and
   qualitative questions in an online self-report survey with medical
   students from a four-year MD program. Quantitative measures comprised
   scaled response questions regarding prior experience and current
   involvement in research, and short-and long-term opinions about factors
   that influence their decisions to undertake a research higher degree
   (RHD) during medical school. Qualitative questions gathered broader
   perceptions of what a career pathway as a clinician-scientist would
   include and what factors are most conducive to a medical student's
   commitment to MD-PhD training.
   Results: Respondents (N = 418; 51% female) indicated Time, Funding and
   Pathway as the major themes arising from the qualitative data,
   highlighting negative perceptions rather than possible benefits to RHD
   training. The lack of an evident Pathway was inter-related to Time and
   Funding. Themes were supported by the quantitative data. Sixty percent
   of students have previous research experience of varying forms, and 90%
   report a current interest, mainly to improve their career prospects.
   Conclusions: The data emphasise the need for an MD-PhD pathway in
   Australia. A model that provides an early, integrated, and exclusive
   approach to research training pathways across all stages of medical
   education is suggested as the best way to rejuvenate the
   clinician-scientist. A national pathway that addresses factors
   influencing career decision making throughout the medical education
   continuum should include an appropriate funding structure, and provide
   early and continuing advice and mentoring. It should be flexible, gender
   equitable, and include post-graduate training. The implications of
   implementing MD-PhD programs represent a substantial investment. However
   this should not be a deterrent to Australia's commitment to an MD-PhD
   pathway, but rather a challenge to help ensure our future healthcare is
   guided by highly trained and competent clinician-scientists.
RI Eley, Diann S/C-3331-2008; Thomas, Ranjeny/B-4504-2013
OI Eley, Diann S/0000-0001-7256-9325; Thomas, Ranjeny/0000-0002-0518-8386
ZR 0
ZB 1
ZA 0
TC 16
ZS 0
Z8 0
Z9 16
U1 0
U2 11
SN 1472-6920
UT WOS:000417600300001
PM 29216896
ER

PT J
AU Gray, Trish A.
   Dumville, Jo C.
   Christie, Janice
   Cullum, Nicky A.
TI Rapid research and implementation priority setting for wound care
   uncertainties
SO PLOS ONE
VL 12
IS 12
AR e0188958
DI 10.1371/journal.pone.0188958
PD DEC 5 2017
PY 2017
AB Introduction
   People with complex wounds are more likely to be elderly, living with
   multimorbidity and wound related symptoms. A variety of products are
   available for managing complex wounds and a range of healthcare
   professionals are involved in wound care, yet there is a lack of good
   evidence to guide practice and services. These factors create
   uncertainty for those who deliver and those who manage wound care.
   Formal priority setting for research and implementation topics is needed
   to more accurately target the gaps in treatment and services. We
   solicited practitioner and manager uncertainties in wound care and held
   a priority setting workshop to facilitate a collaborative approach to
   prioritising wound care-related uncertainties.
   Methods
   We recruited healthcare professionals who regularly cared for patients
   with complex wounds, were wound care specialists or managed wound care
   services. Participants submitted up to five wound care uncertainties in
   consultation with their colleagues, via an online survey and attended a
   priority setting workshop. Submitted uncertainties were collated, sorted
   and categorised according professional group. On the day of the
   workshop, participants were divided into four groups depending on their
   profession. Uncertainties submitted by their professional group were
   viewed, discussed and amended, prior to the first of three individual
   voting rounds. Participants cast up to ten votes for the uncertainties
   they judged as being high priority. Continuing in the professional
   groups, the top 10 uncertainties from each group were displayed, and the
   process was repeated. Groups were then brought together for a plenary
   session in which the final priorities were individually scored on a
   scale of 0-10 by participants. Priorities were ranked and results
   presented. Nominal group technique was used for generating the final
   uncertainties, voting and discussions.
   Results
   Thirty-three participants attended the workshop comprising; 10
   specialist nurses, 10 district nurses, seven podiatrists and six
   managers. Participants had been qualified for a mean of 20.7 years with
   a mean of 16.8 years of wound care experience. One hundred and
   thirty-nine uncertainties were submitted electronically and a further 20
   were identified on the day of the workshop following lively, interactive
   group discussions. Twenty-five uncertainties from the total of 159
   generated made it to the final prioritised list. These included six of
   the 20 new uncertainties. The uncertainties varied in focus, but could
   be broadly categorised into three themes: service delivery and
   organisation, patient centred care and treatment options. Specialist
   nurses were more likely to vote for service delivery and organisation
   topics, podiatrists for patient centred topics, district nurses for
   treatment options and operational leads for a broad range.
   Conclusions
   This collaborative priority setting project is the first to engage
   front-line clinicians in prioritising research and implementation topics
   in wound care. We have shown that it is feasible to conduct topic
   prioritisation in a short time frame. This project has demonstrated that
   with careful planning and rigor, important questions that are raised in
   the course of clinicians' daily decision making can be translated into
   meaningful research and implementation initiatives that could make a
   difference to service delivery and patient care.
RI Christie, Janice/O-9320-2014; Cullum, Nicky/AAT-5888-2020; Gray, Trish/O-8790-2014; Dumville, Jo/O-7867-2014
OI Christie, Janice/0000-0001-6176-6075; Cullum, Nicky/0000-0003-2631-123X;
   Gray, Trish/0000-0002-8088-0698; Dumville, Jo/0000-0002-6546-3685
Z8 0
TC 8
ZB 1
ZR 0
ZS 0
ZA 0
Z9 8
U1 0
U2 3
SN 1932-6203
UT WOS:000417110700033
PM 29206884
ER

PT J
AU Burgess, Annette
   Roberts, Chris
   van Diggele, Christie
   Mellis, Craig
TI Peer teacher training (PTT) program for health professional students:
   interprofessional and flipped learning
SO BMC MEDICAL EDUCATION
VL 17
AR 239
DI 10.1186/s12909-017-1037-6
PD DEC 4 2017
PY 2017
AB Background: The need for developing healthcare professional students'
   peer teaching skills is widely acknowledged, and a number of
   discipline-based peer teacher training programs have been previously
   reported. However, a consensus on what a student peer teaching skills
   program across the health professions should entail, and the associated
   benefits and challenges, has not been previously described. The purpose
   of this study was to demonstrate the design and implementation of an
   interprofessional Peer Teacher Training (PTT) program, and explore
   outcomes and participant perceptions, using Experience-Based Learning
   (ExBL) theory.
   Methods: In 2016, an interprofessional team of academics from across
   three healthcare faculties: Medicine, Pharmacy and Health Sciences,
   developed and implemented a six module, flipped learning,
   interprofessional PTT program. Pre- and post questionnaires, using a
   Likert scale of 1-5, as well as open ended questions, were distributed
   to students. Descriptive statistics were used to analyse quantitative
   data, and thematic analysis was used to analyse qualitative data.
   Results: Ninety senior students from across the three faculties
   participated. Eighty nine percent of participants completed a pre- and
   post-course questionnaire. Students felt the required pre-class
   preparation, including online pre-reading, discussion board, videos, and
   teaching activities enhanced their face-to-face learning experience. In
   class, students valued the small-group activities, and the opportunities
   to practice their teaching skills with provision of feedback. Students
   reported increased confidence to plan and deliver peer teaching
   activities, and an increased awareness of the roles and responsibilities
   of health professionals outside of their own discipline, and use of
   different terminology and communication methods. Students' suggestions
   for improving the PTT, included; less large group teaching; more online
   delivery of theory; and inclusion of a wider range of health
   professional disciplines.
   Conclusion: The PTT program provided a theoretically informed framework
   where students could develop and practice their teaching skills, helping
   to shape students' professional values as they assume peer teaching
   responsibilities and move towards healthcare practice. The flipped
   learning, interprofessional format was successful in developing
   students' skills, competence and confidence in teaching, assessment,
   communication and feedback. Importantly, participation increased
   students' awareness and understanding of the various roles of health
   professionals.
RI Roberts, Chris/L-3346-2013
OI Roberts, Chris/0000-0001-8613-682X
Z8 0
ZS 0
ZB 0
ZA 0
TC 24
ZR 0
Z9 24
U1 1
U2 19
SN 1472-6920
UT WOS:000416932700001
PM 29202736
ER

PT J
AU Babu, Maya A.
   Liau, Linda M.
   Spinner, Robert J.
   Meyer, Fredric B.
TI The Aging Neurosurgeon: When Is Enough, Enough? Attitudes Toward Ceasing
   Practice and Testing in Late Career
SO MAYO CLINIC PROCEEDINGS
VL 92
IS 12
BP 1746
EP 1752
DI 10.1016/j.mayocp.2017.09.004
PD DEC 2017
PY 2017
AB Objective: To present the first wide-scale survey to assess perceptions
   of testing the aging neurosurgeon.
   Patients and Methods: This study included 4899 neurosurgeons, 2435
   American Board of Neurological Surgery Diplomates participating in
   Maintenance of Certification (MOC), 1440 Diplomates certified before
   1999 (grandfathered), and 1024 retired Diplomates. We developed an
   online confidential survey conducted from March 1, 2016, to May 31,
   2016. We received 1449 responses overall (30% response rate).
   Results: Most respondents (938; 65%) were aged 50 years and older.
   Overall, most respondents (718; 50%) believe that the aging neurosurgeon
   (65 years and older) should undergo additional testing, including
   cognitive assessment or a review of cases, in addition to a standard
   (MOC) examination. Nine hundred fifty-six (67%) respondents believed
   that there should be no absolute age cutoff at which neurosurgical
   practice is forced to end. Six hundred six (42%) respondents believed
   that MOC should be tailored to accommodate the aging neurosurgeon. Most
   respondents (766; 59%) believed that MOC should consist of a review
   individual case logs and patient outcomes for the aging neurosurgeon.
   Conclusion: Appropriately assessing the aging neurosurgeon is important
   to protect patient safety and also maximize the capacity of an aging
   neurosurgical workforce. This first of its kind survey of neurosurgeon
   diplomates of the American Board of Neurological Surgery provides
   important information as to what mechanisms can be created to fairly
   evaluate aging neurosurgeons. Although this is a study of neurosurgeons,
   the implications of these findings are widely applicable across
   specialties, and additional research on testing for aging and competency
   is needed across specialties. (C) 2017 Mayo Foundation for Medical
   Education and Research
OI Liau, Linda/0000-0002-4053-0052
ZB 0
TC 7
ZR 0
ZS 0
ZA 0
Z8 0
Z9 7
U1 0
U2 1
SN 0025-6196
EI 1942-5546
UT WOS:000416752300005
PM 29153596
ER

PT J
AU Yang, Jingzhen
   Comstock, R. Dawn
   Yi, Honggang
   Harvey, Hosea H.
   Xun, Pengcheng
TI New and Recurrent Concussions in High-School Athletes Before and After
   Traumatic Brain Injury Laws, 2005-2016
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 107
IS 12
BP 1916
EP 1922
DI 10.2105/AJPH.2017.304056
PD DEC 2017
PY 2017
AB Objectives. To examine the trends of new and recurrent sports-related
   concussions in high-school athletes before and after youth sports
   traumatic brain injury laws.
   Methods. We used an interrupted time-series design and analyzed the
   concussion data (2005-2016) from High School Reporting Injury Online. We
   examined the trends of new or recurrent concussion rates among US
   representative high-school athletes participating in 9 sports across
   prelaw, immediate-postlaw, and postlaw periods by using general linear
   models. We defined 1 athlete exposure as attending 1 competition or
   practice.
   Results. We included a total of 8043 reported concussions (88.7% new,
   11.3% recurrent). The average annual concussion rate was 39.8 per 100
   000 athlete exposures. We observed significantly increased trends of
   reported new and recurrent concussions from the prelaw, through
   immediate-postlaw, into the postlaw period. However, the recurrent
   concussion rate showed a significant decline 2.6 years after the laws
   went into effect. Football exhibited different trends compared with
   other boys' sports and girls' sports.
   Conclusions. Observed trends of increased concussion rates are likely
   attributable to increased identification and reporting. Additional
   research is needed to evaluate intended long-term impact of traumatic
   brain injury laws.
RI pengcheng, xun/D-3411-2013
OI pengcheng, xun/0000-0002-6245-4505
ZR 0
ZA 0
ZS 0
TC 48
Z8 1
ZB 13
Z9 48
U1 1
U2 13
SN 0090-0036
EI 1541-0048
UT WOS:000419239300040
PM 29048967
ER

PT J
AU Glasbey, James
   Sinclair, Piriyah
   Mohan, Helen
   Harries, Rhiannon
CA ASIT 40-4-40 Course Organisers
TI 40-4-40: educational and economic outcomes of a free, international
   surgical training event
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1106
BP 730
EP 735
DI 10.1136/postgradmedj-2017-134874
PD DEC 2017
PY 2017
AB Purpose of study To demonstrate a model for delivery of an international
   surgical training event, and demonstrate its educational and economic
   outcomes.
   Study design The Association of Surgeons in Training (ASiT) ran a course
   series on 16 January 2016 across the UK and Ireland. A mandatory,
   self-reported, online questionnaire collected delegate feedback, using
   5-point Likert Scales, and a NetPromoter feedback tool. Precourse and
   postcourse matched questionnaires were collected for 'Foundation Skills
   in Surgery' (FSS) courses. Paired economic analysis was performed.
   Statistical analysis was carried out using RStudio (V. 3.1.1 Boston,
   Massachusetts, USA).
   Results Forty courses were held across the UK and Ireland (65.0%
   technical, 35.0% non-technical), with 184 faculty members. Of 570
   delegates, 529 fully completed the feedback survey (92.8% response
   rate); 56.5% were male. The median age was 26 years (range: 18-67
   years). The mean overall course NetPromoter Score was 8.7 out of 10. On
   logistic regression high NetPromoter Score was associated with
   completing a Foundation Skills in Surgery course (R=0.44, OR: 1.49,
   p=0.025) and having clear learning outcomes (R=0.72, OR: 2.04, p=0.029)
   but not associated with specialty, course style or teaching style. For
   Foundation Skills in Surgery courses, delegates reported increased
   commitment to a career in surgery (p<0.001), confidence with basic
   surgical skills (p<0.001) and confidence with assisting in theatre
   (p<0.001). A comparable cost saving of (sic) 231,462.37 was calculated
   across the 40 courses.
   Conclusion The ASiT '40-4-40' event demonstrated the diversity and depth
   of surgical training, with 40 synchronous technical and non-technical
   courses, demonstrable educational benefit and a significant cost saving
   to surgical trainees.
RI Harries, Rhiannon/AAG-7054-2020; Glasbey, James/I-2457-2019; Khatri, Chetan/; Harries, Rhiannon/; Rao, Christopher/
OI Glasbey, James/0000-0001-7688-5018; Khatri, Chetan/0000-0002-3961-1314;
   Harries, Rhiannon/0000-0001-7095-3673; Rao,
   Christopher/0000-0003-3244-3888
TC 2
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 2
U1 0
U2 3
SN 0032-5473
EI 1469-0756
UT WOS:000416160200006
PM 28701324
ER

PT J
AU Carolan, Stephany
   Harris, Peter R.
   Greenwood, Kathryn
   Cavanagh, Kate
TI Increasing engagement with an occupational digital stress management
   program through the use of an online facilitated discussion group:
   Results of a pilot randomised controlled trial
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 10
BP 1
EP 11
DI 10.1016/j.invent.2017.08.001
PD DEC 2017
PY 2017
AB Introduction: Rates of work-related stress, depression and anxiety are
   high, resulting in reduced work performance and absenteeism. There is
   evidence that digital mental health interventions delivered in the
   workplace are an effective way of treating these conditions, but
   intervention engagement and adherence remain a challenge. Providing
   guidance can lead to greater engagement and adherence; an online
   facilitated discussion group may be one way of providing that guidance
   in a time efficient way. This study compares engagement with a minimally
   guided digital mental health program (WorkGuru) delivered in the
   workplace with a discussion group (DG) and without a discussion group
   (MSG), and with a wait list control (WLC); it was conducted as a pilot
   phase of a definitive trial.
   Methods: Eighty four individuals with elevated levels of stress from six
   organisations were recruited to the study and randomised to one of two
   active conditions (DG or MSG) or a WLC. The program WorkGuru is a CBT
   based, eight-week stress management intervention that is delivered with
   minimal guidance from a coach. Data was collected at baseline,
   post-intervention and at 16-week follow-up via online questionnaires.
   The primary outcome measure was number of logins. Secondary measures
   included further engagement measures, and measures of depression,
   anxiety, stress, comfort and enthusiasm. Quality measures including
   satisfaction and system usability were also collected.
   Results: A greater number of logins was observed for the DG compared
   with the MSG; this was a medium between group effect size (d = 0.51; 95%
   CI: - 0.04, 1.05). Small to medium effect size differences were found at
   T2 in favour of the active conditions compared with the control on the
   DASS subscales depression, anxiety and stress, and the IWP subscales
   enthusiasm and comfort. This was largely maintained at T3. Satisfaction
   with the intervention was high with individuals in the MSG reporting
   greater satisfaction than individuals in the DG.
   Conclusions: This study shows that access to an online facilitated
   discussion group increases engagement with a minimally supported
   occupational digital mental health intervention (as defined by the
   number of logins), but that this doesn't necessarily result in improved
   psychological outcomes or increased satisfaction when compared to access
   to the intervention without the group. Access to the web-based program
   was associated with lower levels of depression, anxiety and stress and
   an increase in comfort and enthusiasm post intervention; these changes
   were largely maintained at follow-up.
RI greenwood, kathryn e/I-8638-2012; Harris, Peter/; Cavanagh, Kate/
OI greenwood, kathryn e/0000-0001-7899-8980; Harris,
   Peter/0000-0003-4599-4929; Cavanagh, Kate/0000-0002-9863-1462
ZR 0
TC 19
ZS 0
ZB 2
Z8 0
ZA 0
Z9 19
U1 0
U2 11
EI 2214-7829
UT WOS:000457134100001
PM 30135747
ER

PT J
AU Selvakumar, Dharrshinee
   Al-Sallami, Hesham S.
   de Bock, Martin
   Ambler, Geoffrey R.
   Benitez-Aguirre, Paul
   Wiltshire, Esko
   Tham, Elaine
   Simm, Peter
   Conwell, Louise S.
   Carter, Phillipa J.
   Albert, Benjamin B.
   Willis, Jinny
   Wheeler, Benjamin J.
CA Paediat Soc New Zealand Diabet
TI Insulin regimens for newly diagnosed children with type 1 diabetes
   mellitus in Australia and New Zealand: A survey of current practice
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 53
IS 12
BP 1208
EP 1214
DI 10.1111/jpc.13631
PD DEC 2017
PY 2017
AB AimThere is no consensus on the optimal insulin treatment for children
   newly diagnosed with type 1 diabetes mellitus (T1DM). The aims of this
   study were (i) to describe the insulin regimens used at diagnosis by
   patient age and geographical region and (ii) to explore differences
   between and within Australia (AU) and New Zealand (NZ) with regards to
   other aspects of patient management and education.
   MethodsAn online survey of medical professionals caring for children
   with T1DM in AU and NZ was undertaken. Questions included clinic
   demographics, insulin regimen/dosing choices and patient education.
   ResultsOf 110 clinicians identified, 100 responded (91%). The majority
   of those in AU (69%, P<0.0001) favour multiple daily injections (MDI)
   for all ages. In NZ, for patients<10years old, (twice daily (BD)) BD
   therapy was favoured (75%, P<0.0001), with MDI dominant for ages10years
   (82%, P<0.0001). Insulin pump therapy was never considered at diagnosis
   in NZ, but 38% of clinicians in AU considered using pumps at diagnosis
   in patients <2years, but rarely in patients aged 2 and over (16%).
   Differences in clinician choices were also seen in relation to starting
   insulin dose.
   ConclusionThis is the first study to examine current clinical practice
   with regards to children newly diagnosed with T1DM. Practice varies
   across Australasia by clinician and region. This lack of consensus is
   likely driven by ongoing debates in the current paediatric diabetes
   evidence base as well as by differences in clinician/centre preference,
   variations in resourcing and their interpretations of the influence of
   various patient factors.
RI Al-Sallami, Hesham S/AAB-1671-2019; Conwell, Louise S/O-7258-2014; Conwell, Louise/; Willis, Jinny/; Wiltshire, Esko/; Wheeler, Benjamin/; Ambler, Geoffrey/
OI Al-Sallami, Hesham S/0000-0002-0685-327X; Conwell,
   Louise/0000-0001-5358-7624; Willis, Jinny/0000-0001-7215-0655;
   Wiltshire, Esko/0000-0002-8962-2708; Wheeler,
   Benjamin/0000-0003-3348-5238; Ambler, Geoffrey/0000-0003-0579-3452
ZA 0
Z8 0
ZS 0
TC 4
ZR 0
ZB 0
Z9 4
U1 0
U2 3
SN 1034-4810
EI 1440-1754
UT WOS:000417199400013
PM 28727196
ER

PT J
AU Zadeh, Neda Khalil
   Robertson, Kirsten
   Green, James A.
TI 'At-risk' individuals' responses to direct to consumer advertising of
   prescription drugs: a nationally representative crosssectional study
SO BMJ OPEN
VL 7
IS 12
AR e017865
DI 10.1136/bmjopen-2017-017865
PD DEC 2017
PY 2017
AB Objectives The factors determining individuals' self-reported
   behavioural responses to direct to consumer advertising of prescription
   drugs were explored with an emphasis on 'atrisk' individuals' responses.
   Design Nationally representative cross-sectional survey.
   Setting Community living adults in New Zealand.
   Participants 2057 adults (51% women).
   Primary outcome measures Self-reported behavioural responses to drug
   advertising (asking a physician for a prescription, asking a physician
   for more information about an illness, searching the internet for more
   information regarding an illness and asking a pharmacist for more
   information about a drug).
   Methods Multivariate logistic regressions determined whether
   participants' self-reported behavioural responses to drug advertising
   were predicted by attitudes towards advertising and drug advertising,
   judgements about safety and effectiveness of advertised drugs,
   self-reported health status, materialism, online search behaviour as
   well as demographic variables.
   Results Identifying as Indian and to a less extent Chinese, Maori and
   'other' ethnicities were the strongest predictors of one or more
   self-reported responses (ORs 1.76-5.00, Ps<0.05). Poorer self-reported
   health status (ORs 0.90-0.94, all Ps<0.05), favourable attitude towards
   drug advertising (ORs 1.34-1.61, all Ps<0.001) and searching for medical
   information online (ORs 1.32-2.35, all Ps<0.01) predicted all
   self-reported behavioural outcomes. Older age (ORs 1.01-1.02, Ps<0.01),
   less education (OR 0.89, P<0.01), lower income (ORs 0.89-0.91, Ps<0.05)
   and higher materialism (ORs 1.02-1.03, Ps<0.01) also predicted one or
   more selfreported responses.
   Conclusions Taken together, the findings suggest individuals, especially
   those who are 'at-risk' (ie, with poorer self-reported health status,
   older, less educated, lower income and ethnic minorities), may be more
   vulnerable to drug advertising and may make uninformed decisions
   accordingly. The outcomes raise significant concerns relating to the
   ethicality of drug advertising and suggest a need for stricter
   guidelines to ensure that drug advertisements provided by pharmaceutical
   companies are ethical.
RI Green, James A/A-8615-2008; Robertson, Kirsten/
OI Green, James A/0000-0002-7309-0751; Robertson,
   Kirsten/0000-0003-3133-9763
Z8 0
ZS 0
TC 5
ZB 0
ZA 0
ZR 0
Z9 5
U1 0
U2 9
SN 2044-6055
UT WOS:000423826700084
PM 29217723
ER

PT J
AU Gronholm, Anna
   Litkey, David
   Jokelainen, Jari
   Keto, Jaana
   Poyry, Matti
   Linden, Kari
   Heikkinen, Anna Maria
TI Finnish dentists find smoking cessation important but seldom offer
   practical support for their patients
SO COMMUNITY DENTAL HEALTH
VL 34
IS 4
BP 241
EP 247
DI 10.1922/CDH_4076Gronholm07
PD DEC 2017
PY 2017
AB Objectives: To investigate Finnish dentists' smoking cessation related
   attitudes, consultation practices and familiarity with the local
   treatment guideline on smoking cessation. Basic research design: An
   online questionnaire was sent to 1740 dentists, which corresponds to 39%
   of dentists in Finland. A total of 456 dentists responded (response rate
   26%), of whom 435 (95%) were clinicians. The dentists' smoking cessation
   practices were also compared to ones reported in a previous study in
   Finnish physicians. Results: Dentists found smoking cessation important
   and often discussed and recommended quitting to the patients, but
   concrete withdrawal actions were seldom provided. The local treatment
   guideline on smoking cessation was actively utilized by 36% of the
   dentists. Adherence to the guideline was associated with higher rates of
   smoking cessation activities and success in them. Smoking cessation
   activity among dentists was significantly lower than in Finnish
   physicians. In accordance with the literature, among dentists, the most
   common barriers for smoking cessation were lack of time (44%) and
   education (42%). Conclusion: Although smoking cessation is discussed
   with patients, dentists are less active in taking concrete actions to
   support the patient on withdrawal. Adherence to the local treatment
   guideline was associated with better capabilities in dealing with
   tobacco withdrawal and a more active role in smoking cessation. The
   results suggest that more education on the local smoking cessation
   treatment guideline and cessation intervention is needed in order to
   overcome the remaining barriers to promoting effective smoking cessation
   in dental practice.
RI Jokelainen, Jari/; Heikkinen, Anna Maria/R-4060-2016
OI Jokelainen, Jari/0000-0003-4629-0560; Heikkinen, Anna
   Maria/0000-0003-3252-192X
ZR 0
ZB 0
ZS 0
ZA 0
TC 0
Z8 0
Z9 0
U1 1
U2 2
SN 0265-539X
UT WOS:000426806600008
PM 29112340
ER

PT J
AU Souza Barroso Vieira, Teresa Cristina
   Nakamura, Mary Uchiyama
   da Silva, Ivaldo
   Torloni, Maria Regina
   Ribeiro, Meireluci Costa
   de Souza, Eduardo
TI Distance Education Course about Sexuality for Obstetrics and Gynecology
   Residents
SO REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA
VL 39
IS 12
BP 670
EP 675
DI 10.1055/s-0037-1606273
PD DEC 2017
PY 2017
AB Purpose To describe the experience of a distance education course on
   sexual issues during pregnancy and after birth for residents.
   Methods This prospective educational intervention study was conducted by
   investigators from the Universidade Federal de Sao Paulo, Brazil,
   between April and September 2014. The participants were 219 physicians
   (residents from the 1st to the 6th years). The duration of the course
   was of 24 hours (10 video lectures and online chats). At baseline, the
   participants answered questions about their training, attitude and
   experience regarding sexual issues during pregnancy and after birth;
   before and after the course, they answered questions to assess their
   knowledge about the topic; at the end of the course, they answered
   questions on the quality of the course. The Student t-test was used to
   compare the before and after scores of the knowledge tests; values of p
   < 0.05 were considered statistically significant.
   Results A total of 143 residents concluded the course; most were in
   their 1st (27.2%) or 3rd (29.4%) years of residency. There was a
   significant increase in the mean scores of the questionnaires that
   assessed the knowledge of the topic: 4.4 (+/- 1.6) versus 6.0 (+/- 1.3;
   maximum score: 10), before and after the course respectively (p <
   0.0001). Most of the participants (74.1%) declared that the quality of
   the course as a whole reached their expectations, and 81.1% would
   recommend the course to a friend.
   Conclusions The online Sexology course for Obstetrics and Gynecology
   residents increased their knowledge about the sexual issues during
   pregnancy and after birth, and fulfilled the participants' expectations.
   The experience described here may serve as a model for other sexuality
   courses targeting similar audiences.
RI Silva, Ivaldo/E-4143-2012; Ribeiro, Meireluci Costa/
OI Silva, Ivaldo/0000-0002-2370-943X; Ribeiro, Meireluci
   Costa/0000-0003-3326-2720
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
TC 0
Z9 0
U1 0
U2 3
SN 0100-7203
EI 1806-9339
UT WOS:000418072500006
PM 29179242
ER

PT J
AU Todd, E. Michelle
   Watts, Logan L.
   Mulhearn, Tyler J.
   Torrence, Brett S.
   Turner, Megan R.
   Connelly, Shane
   Mumford, Michael D.
TI A Meta-analytic Comparison of Face-to-Face and Online Delivery in Ethics
   Instruction: The Case for a Hybrid Approach
SO SCIENCE AND ENGINEERING ETHICS
VL 23
IS 6
BP 1719
EP 1754
DI 10.1007/s11948-017-9869-3
PD DEC 2017
PY 2017
AB Despite the growing body of literature on training in the responsible
   conduct of research, few studies have examined the effectiveness of
   delivery formats used in ethics courses (i.e., face-to-face, online,
   hybrid). The present effort sought to address this gap in the literature
   through a meta-analytic review of 66 empirical studies, representing 106
   ethics courses and 10,069 participants. The frequency and effectiveness
   of 67 instructional and process-based content areas were also assessed
   for each delivery format. Process-based contents were best delivered
   face-to-face, whereas contents delivered online were most effective when
   restricted to compliance-based instructional contents. Overall, hybrid
   courses were found to be most effective, suggesting that ethics courses
   are best delivered using a blend of formats and content areas.
   Implications and recommendations for future development of ethics
   education courses in the sciences are discussed.
RI Watts, Logan L./I-5332-2019
OI Watts, Logan L./0000-0001-7629-0188
Z8 1
TC 26
ZA 0
ZB 0
ZS 0
ZR 0
Z9 27
U1 1
U2 44
SN 1353-3452
EI 1471-5546
UT WOS:000416435700015
PM 28150177
ER

PT J
AU Colaceci, Sofia
   Giusti, Angela
   Chapin, Elise M.
   Bettinelli, Maria Enrica
   De Angelis, Alessia
   Zambri, Francesca
   Vellone, Ercole
   Alvaro, Rosaria
   De Mei, Barbara
TI E-learning to Improve Healthcare Professionals' Attitudes and Practices
   on Breastfeeding
SO BREASTFEEDING MEDICINE
VL 12
IS 10
BP 629
EP 636
DI 10.1089/bfm.2017.0060
PD DEC 2017
PY 2017
AB Introduction: Breastfeeding training has a crucial role in increasing
   healthcare professionals' attitudes and in improving professional
   support for breastfeeding. The collaboration between the Italian
   National Institute of Health, UNICEF, and the Local Health Authority of
   Milan has led to the development of an online course on lactation and
   infant feeding practices. Aim: To assess if the course was effective in
   improving healthcare professionals' attitudes and practices (APs).
   Methods: We conducted a prestudy-poststudy, comparing users' APs before
   (T0) and after (T1) the course through a 20-item questionnaire. Changes
   in APs were analyzed using paired t-test. Lower mean differences
   indicated more positive attitudes and more frequent professional
   practices favoring breastfeeding. Statistical analysis was carried out
   using SPSS version 15.0. Results: The course had 26,009 registrants and
   was successfully completed by 91.3% of users. The dropout rate was 8.7%.
   The final cohort was composed of 15,004 participants. The course
   improved attitudes, while minor changes were observed on practices
   (p<0.05). Mean total attitude scores were 2.4 at T0 and 1.9 at T1, while
   mean total practice scores were 2.2 and 2.1, respectively. The main
   effects regarded the use of medications during breastfeeding (3.021.29
   at T0 and 1.88 +/- 1.08 at T1) and the self-reported compliance with the
   International Code of Marketing of Breast Milk Substitutes (2.29 +/-
   1.24 at T0, 2.03 +/- 1.21 at T1). Conclusion: The noninteractive,
   high-coverage e-learning approach seems to be a useful tool for
   improving awareness and positive attitudes toward breastfeeding among
   healthcare professionals.
RI Bettinelli, Maria Enrica/I-6043-2018; Bettinelli, Marco/A-2616-2008; Chapin, Elise/GPW-8468-2022; Giusti, Angela/GNW-3394-2022; Zambri, Francesca/; Chapin, Elise/; Colaceci, Sofia/; Vellone, PhD, RN, FAAN, FESC, Ercole/
OI Bettinelli, Maria Enrica/0000-0002-3317-5929; Bettinelli,
   Marco/0000-0002-1271-4241; Giusti, Angela/0000-0001-8695-7847; Zambri,
   Francesca/0000-0003-4663-5362; Chapin, Elise/0000-0001-8286-3173;
   Colaceci, Sofia/0000-0002-2114-0948; Vellone, PhD, RN, FAAN, FESC,
   Ercole/0000-0003-4673-7473
ZS 0
ZR 0
Z8 1
ZB 0
ZA 0
TC 12
Z9 13
U1 4
U2 17
SN 1556-8253
EI 1556-8342
UT WOS:000417882400008
PM 28926281
ER

PT J
AU Jhala, Khushboo
   Kim, Jisoo
   Chetlen, Alison
   Nickerson, Joshua P.
   Lewis, Petra J.
TI The Clinician-Educator Pathway in Radiology: An Analysis of
   Institutional Promotion Criteria
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 14
IS 12
BP 1588
EP 1593
DI 10.1016/j.jacr.2017.07.008
PD DEC 2017
PY 2017
AB Purpose: To provide radiology departmental promotional committees and
   vice chairs of education with a more global perspective on the types of
   academic activity valued by institutions to aid in their faculty
   mentoring and standardizing of the Clinician-Educator (ClinEd) pathway.
   Methods: Ninety-two research schools were ranked into three tiers.
   Ranking was correlated with the presence of a ClinEd track. Thirty
   promotion documents (ten from each tier) were analyzed to identify
   common criteria. Differences in guidelines between tiers were assessed
   by the frequency distribution of criteria.
   Results: Tier 1 had a significantly greater proportion of schools with a
   ClinEd track than tier 2 (73% versus 44%, p < 0.05). Thirtynine criteria
   were identified and organized into four categories teaching (13),
   scholarship (12), service/clinical excellence (7), and research (7). The
   top five included meeting presentations, trainee evaluations, leadership
   in committees, development of teaching methodologies and materials, and
   publication of book chapters. First and second tier schools were most
   similar in frequency distribution.
   Conclusions: The criteria for the ClinEd promotion track still vary
   across institutions, though many commonalities exist. A handful of
   innovative criteria reflect the changing structure of modern health care
   systems, such as incorporation of online teaching modules and quality
   improvement efforts. As health care changes, guidelines and incentive
   structures for faculty should change as well. The information gathered
   may provide promotion committees with a more global perspective on the
   types of academic activity valued by modern-day institutions to aid in
   the national standardization of this pathway and to assist in faculty
   mentoring.
ZR 0
ZS 0
ZA 0
ZB 1
TC 10
Z8 0
Z9 10
U1 0
U2 5
SN 1546-1440
UT WOS:000417226700022
PM 28830663
ER

PT J
AU Cawcutt, Kelly
TI Twitter Me ThisCan Social Media Revolutionize Academic Medicine?
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 38
IS 12
BP 1501
EP 1502
DI 10.1017/ice.2017.242
PD DEC 2017
PY 2017
ZA 0
ZS 0
Z8 0
TC 8
ZR 0
ZB 4
Z9 8
U1 0
U2 3
SN 0899-823X
EI 1559-6834
UT WOS:000417533000016
PM 29210345
ER

PT J
AU Blais, Anne-Sophie
   Pelletier, Joanie
   Moore, Katherine
TI Telephone consultations in urology: Who, when, where, and why?
SO CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL
VL 11
IS 12
BP E453
EP E456
DI 10.5489/cuaj.4543
PD DEC 2017
PY 2017
AB Introduction: Telephone consultations are part of a strategy to allow
   access to medical expertise. Telephone consultations have been fee-for-
   services benefits in the province of Quebec since 2012.(1) Recent
   studies have shown that adequate communication is one of the most common
   means to prevent disability and death. 2 We sought to determine the
   characteristics of phone consultations made to a tertiary centre's
   urologists and to characterize their experience.
   Methods: We performed a prospective study using all billing receipts
   filed by 15 academic urologists for phone consultations received during
   a 10-month period. A descriptive analysis was done to collect the
   principal characteristics of all phone calls received. Moreover, an
   online survey was distributed to those urologists. The survey was
   composed of 10 multiple-choice questions to review their personal
   experience.
   Results: A total of 678 billing receipts were analyzed. The most common
   reasons for calls were lithiasis (11.5%), hematuria (10.5%), and urinary
   retention (8.4%). Most phone calls (57.7%) were made by emergency
   physicians and family doctors. The majority (88.7%) of calls were placed
   between 8: 00 am and 5: 00 pm. Most of the calls came from the immediate
   region covered by the group. Our survey demonstrated that urologists pay
   more attention to document telephone consultations since the
   introduction of the new remuneration plan. Most urologists found the
   phone consultations to be relevant.
   Conclusions: Lithiasis and hematuria are the primary reasons for
   telephone consultations. Continuing medical education on these subjects
   could be worthwhile. The RAMQ remuneration plan has improved
   documentation of phone consultations by urologists.
ZA 0
ZR 0
ZB 0
TC 0
Z8 0
ZS 0
Z9 0
U1 0
U2 0
SN 1911-6470
EI 1920-1214
UT WOS:000424277900002
PM 29106367
ER

PT J
AU Young, Gil
   McLaren, Lisa
   Maden, Michelle
TI Teaching and Learning in Action
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 34
IS 4
BP 312
EP 318
DI 10.1111/hir.12197
PD DEC 2017
PY 2017
AB In an era when library budgets are being reduced, Massive Online Open
   Courses (MOOC's) can offer practical and viable alternatives to the
   delivery of costly face-to-face training courses. In this study, guest
   writers Gil Young from Health Care Libraries Unit-North, Lisa McLaren
   from Brighton and Sussex Medical School and Liverpool University PhD
   student Michelle Maden describe the outcomes of a funded project they
   led to develop a MOOC to deliver literature search training for health
   librarians. Funded by Health Education England, the MOOC was developed
   by the Library and Information Health Network North West as a pilot
   project that ran for six weeks. In particular, the MOOC target audience
   is discussed, how content was developed for the MOOC, promotion and
   participation, cost-effectiveness, evaluation, the impact of the MOOC
   and recommendations for future development.
ZS 0
Z8 0
ZB 0
TC 6
ZA 0
ZR 0
Z9 6
U1 2
U2 43
SN 1471-1834
EI 1471-1842
UT WOS:000418425200011
PM 29265692
ER

PT J
AU Chen, Peiran
   Xiao, Lihong
   Gou, Zhongping
   Xiang, Liangcheng
   Zhang, Xinxing
   Feng, Ping
TI Telehealth attitudes and use among medical professionals, medical
   students and patients in China: A cross-sectional survey
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 108
BP 13
EP 21
DI 10.1016/j.ijmedinf.2017.09.009
PD DEC 2017
PY 2017
AB Background: Telehealth aims to revolutionize health care by migrating
   health care from hospitals and satellite clinics directly into the home
   and onto mobile devices. Telehealth has the potential to increase public
   access to healthcare in China, where large segments of the population
   remain underserved, yet little is known about current attitudes and use
   of telehealth in the country.
   Objective: Our aim was to determine attitudes and use of telehealth in
   China among medical professionals and patients, as well as identify
   factors that may affect its use.
   Methods: Using a custom-designed questionnaire, we performed a
   cross-sectional survey of medical professionals, medical students and
   patients at three large hospitals in Chengdu, Sichuan, China. We used a
   structural model to analyze the influence of factors that may affect use
   of telehealth.
   Results: Of 600 questionnaires that were distributed, 550 (96.49%) were
   analyzed. Most respondents (63.28%) were familiar with using telehealth
   to "schedule medical appointments/pay medical fees online", but
   relatively few (28.55%) used this feature. Nearly half of respondents
   were familiar with the concept of a "virtual visit" (46.18%), but only
   12.18% had ever engaged in such visits. Medical professionals and
   students generally showed higher awareness and greater use of telehealth
   than patients. The strongest concern about telehealth among respondents
   was "authenticity and reliability of data from remote monitoring of
   patients" (75.17%). The proportion of respondents concerned about the
   potential disadvantages of telehealth was highest among students and
   lowest among patients. Awareness and use of telehealth were associated
   with previous experience with health-related use of the Internet and
   experience with traditional forms of telehealth, but not with social
   status or attitude toward telehealth.
   Conclusions: Medical professionals and patients alike in China have a
   high awareness of telehealth, primarily traditional forms of telehealth,
   but only a small percentage actually use it. Patients have much lower
   awareness and use of telehealth than medical professionals and medical
   students, though they have generally positive attitudes towards
   telehealth. Telehealth is still in its infancy in China, and the
   environment for its development is largely favorable among current and
   future medical professionals.
ZA 0
ZS 0
Z8 0
TC 22
ZR 0
ZB 1
Z9 22
U1 3
U2 26
SN 1386-5056
EI 1872-8243
UT WOS:000414862500003
PM 29132618
ER

PT J
AU Allen-Bridson, Katherine
   Gross, Cindy
   Anttila, Angela
   Brooks, Janet E.
   Hebden, Joan N.
   Leaptrot, Denise
   Ryan, Georganne
   Scalise, Eileen
   Smith, Henrietta
   Wright, Marc-Oliver
TI Health care-associated infections studies project: An American Journal
   of Infection Control and National Healthcare Safety Network data quality
   collaboration
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 45
IS 12
BP 1394
EP 1395
DI 10.1016/j.ajic.2017.09.011
PD DEC 1 2017
PY 2017
AB This case study is part of a series centered on the Centers for Disease
   Control and Prevention/National Healthcare Safety Network (NHSN) health
   care-associated infection (HAI) surveillance definitions. This specific
   case study focuses on the definitions and protocols used to make HAI
   infection determinations, such as the infection window period and
   secondary bloodstream infection attribution period. The case reflects
   the real-life and complex patient scenarios that infection
   preventionists (IPs) face when identifying and reporting HAIs to NHSN.
   The intent of the case study series is to foster standardized
   application of the NHSN HAI surveillance definitions among IPs and
   encourage accurate determination of HAI events. An online survey link is
   provided where participants may confidentially answer questions related
   to the case study and receive immediate feedback in the form of correct
   answers and explanations and rationales. Details of the case study,
   answers, and explanations have been reviewed and approved by NHSN staff.
   We hope that participants take advantage of this educational offering
   and thereby gain a greater understanding of NHSN HAI surveillance
   definitions. Published by Elsevier Inc. on behalf of Association for
   Professionals in Infection Control and Epidemiology, Inc.
Z8 1
ZS 0
TC 1
ZA 0
ZB 0
ZR 0
Z9 2
U1 0
U2 7
SN 0196-6553
EI 1527-3296
UT WOS:000416571600021
PM 29195584
ER

PT J
AU Spiers, Harry
   Amin, Nikul
   Lakhani, Raj
   Martin, Andrew J.
   Patel, Parag M.
TI Assessing Readability and Reliability of Online Patient Information
   Regarding Vestibular Schwannoma
SO OTOLOGY & NEUROTOLOGY
VL 38
IS 10
BP E470
EP E475
DI 10.1097/MAO.0000000000001565
PD DEC 2017
PY 2017
AB Hypothesis: The aim of this study is to objectively assess the quality
   and readability of websites related to vestibular schwannomas.
   Background: Patients are increasingly seeking information on confirmed
   or suspected diagnoses through the Internet. Clinicians are often
   concerned regarding the accuracy, quality, and readability of web-based
   sites.
   Methods: Online information relating to vestibular schwannoma was
   searched using the three most popular search engines. The terms
   "acoustic neuroma" and "vestibular schwannoma" were used. The top 50
   results from each site were assessed for readability using the
   Flesch-Kincaid Grade Level, Flesch Reading Ease Score, and the
   Gunning-Fog Index. Quality of website information was scored using the
   DISCERN tool.
   Results: Of 300 search results analyzed, 58 separate appropriate
   websites were identified. The mean readability score using
   Flesch-Kincaid Grade Level was 10.27 (95% confidence interval [CI]
   9.84-10.70). The mean Flesch Reading Ease Score was 48.75 (95% CI
   46.57-50.92). The Gunning-Fog Index was 13.40 (95% CI 12.92-13.89).
   These scores equate to someone finishing secondary school/first year
   university student. DISCERN scores were highly variable but consistently
   demonstrated great variability in quality of information.
   Conclusion: Online patient information on vestibular schwannoma is
   highly variable in quality. Although there are a wide range of different
   websites easily available to patients on their condition and its
   treatment options, the information is written at a difficult level which
   may exceed the understanding level of many patients as it is written at
   a higher than average level of expected reading ability.
OI Spiers, Harry VM/0000-0001-7308-2711
ZA 0
TC 12
ZR 0
ZS 0
ZB 2
Z8 0
Z9 12
U1 0
U2 2
SN 1531-7129
EI 1537-4505
UT WOS:000425284200013
PM 28885483
ER

PT J
AU Gilmour, Donna T.
   MacDonald, Norman J.
   Dukeshire, Steven
   Whynot, Barbara
   Sanders, Barry
   Thiel, John
   Singh, Sony
   Campbell, Craig
   Bajzak, Krisztina
   Flowerdew, Gordon
TI Diagnosis of adverse events after hysterectomy with postoperative
   self-care web applications: A pilot study
SO HEALTH INFORMATICS JOURNAL
VL 23
IS 4
BP 279
EP 290
DI 10.1177/1460458216647759
PD DEC 2017
PY 2017
AB Increased pressures from multiple sources are leading to earlier patient
   discharge following surgery. Our objective was to test the feasibility
   of self-care web applications to inform women if, when, and where to
   seek help for symptoms after hysterectomy. We asked 31 women recovering
   at home after hysterectomy at two centers to sign into a website on a
   schedule. For each session, the website informed them about normal
   postoperative symptoms and prompted them to complete an interactive
   symptom questionnaire that provided detailed information on flagged
   responses. We interviewed eight women who experienced an adverse event.
   Six of these women had used the web application regularly, each
   indicating they used the information to guide them in seeking care for
   their complications. These data support that self-care applications may
   empower patients to manage their own care and present to appropriate
   health care providers and venues when they experience abnormal symptoms.
OI Dukeshire, Steven/0000-0001-9187-3453
ZB 0
Z8 0
ZR 0
ZS 0
TC 1
ZA 0
Z9 1
U1 0
U2 2
SN 1460-4582
EI 1741-2811
UT WOS:000415227500004
PM 27229728
ER

PT J
AU Borrel, Alexandre
   Fourches, Denis
TI RealityConvert: a tool for preparing 3D models of biochemical structures
   for augmented and virtual reality
SO BIOINFORMATICS
VL 33
IS 23
BP 3816
EP 3818
DI 10.1093/bioinformatics/btx485
PD DEC 1 2017
PY 2017
AB Motivation: There is a growing interest for the broad use of Augmented
   Reality (AR) and Virtual Reality (VR) in the fields of bioinformatics
   and cheminformatics to visualize complex biological and chemical
   structures. AR and VR technologies allow for stunning and immersive
   experiences, offering untapped opportunities for both research and
   education purposes. However, preparing 3D models ready to use for AR and
   VR is time-consuming and requires a technical expertise that severely
   limits the development of new contents of potential interest for
   structural biologists, medicinal chemists, molecular modellers and
   teachers.
   Results: Herein we present the RealityConvert software tool and
   associated website, which allow users to easily convert molecular
   objects to high quality 3D models directly compatible for AR and VR
   applications. For chemical structures, in addition to the 3D model
   generation, RealityConvert also generates image trackers, useful to
   universally call and anchor that particular 3D model when used in AR
   applications. The ultimate goal of RealityConvert is to facilitate and
   boost the development and accessibility of AR and VR contents for
   bioinformatics and cheminformatics applications.
RI Borrel, Alexandre/J-1162-2019; Fourches, Denis/H-4336-2019
OI Borrel, Alexandre/0000-0001-6499-4540; 
ZR 0
Z8 0
ZA 0
ZB 4
ZS 0
TC 17
Z9 17
U1 3
U2 33
SN 1367-4803
EI 1460-2059
UT WOS:000417004100022
PM 29036294
ER

PT J
AU Brakta, Soumia
   Lizneva, Daria
   Mykhalchenko, Kateryna
   Imam, Adonis
   Walker, Walidah
   Diamond, Michael P.
   Azziz, Ricardo
TI Perspectives on Polycystic Ovary Syndrome: Is Polycystic Ovary Syndrome
   Research Underfunded?
SO JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
VL 102
IS 12
BP 4421
EP 4427
DI 10.1210/jc.2017-01415
PD DEC 1 2017
PY 2017
AB Context: Polycystic ovary syndrome (PCOS) is a common
   endocrine-metabolic abnormality with a worldwide prevalence of 4% to
   21%, depending on diagnostic criteria. The National Institutes of Health
   (NIH) is the largest single funding agency in the world; it invests
   nearly $30.0 billion annually in biomedical research.
   Evidence Acquisition: Using the NIH Research Portfolio Online Reporting
   tool, we searched for all grants awarded by the NIH for PCOS and three
   other disorders with similar degrees of morbidity and similar or lower
   mortality and prevalence [rheumatoid arthritis (RA), tuberculosis (TB),
   and systemic lupus erythematosus (SLE)].
   Evidence Synthesis: We compared funding by the NIH for PCOS, RA, TB, and
   SLE research for the years 2006 to 2015, inclusive.
   Conclusion: PCOS, compared with RA, TB, and SLE, was relatively less
   funded (total mean 10-year funding was $215.12 million vs $454.39
   million, $773.77 million, and $609.52 million, respectively). Funding
   for PCOS was largely provided by one NIH Institute/Center (ICs) vs at
   least two ICs for SLE and RA; more individual Research Project Grants
   were awarded for RA, SLE, and TB than for PCOS, whereas PCOS funding was
   more likely to be through General Clinical Research Centers Program or
   Specialized Centers Program awards. Our data suggest that PCOS research
   may be underfunded considering its prevalence, economic burden,
   metabolic morbidity, and negative impact on quality of life. Greater
   education of NIH leaders, including those at the National Heart, Lung,
   and Blood Institute and National Institutes of Diabetes and Digestive
   and Kidney Diseases; other federal and state agency leads; elected
   leaders; and the general public by professional societies, the
   scientific community, and patient advocates regarding this disorder is
   needed.
RI Azziz, Ricardo/N-7229-2014; Lizneva, Daria V./; Walker, Walidah/
OI Azziz, Ricardo/0000-0002-3917-0483; Lizneva, Daria
   V./0000-0002-2489-2635; Walker, Walidah/0000-0002-6604-1839
Z8 0
TC 29
ZS 0
ZR 0
ZA 0
ZB 9
Z9 29
U1 1
U2 7
SN 0021-972X
EI 1945-7197
UT WOS:000417673900004
PM 29092064
ER

PT J
AU Borgmann, H.
   Bruendl, J.
   Huber, J.
   Ruf, C.
   Schagdarsurgengin, U.
   Wullich, B.
   Salem, J.
TI Prerequisites, skills and productivity of young academic urologists in
   Germany
SO UROLOGE
VL 56
IS 12
BP 1603
EP 1610
DI 10.1007/s00120-016-0287-y
PD DEC 2017
PY 2017
AB To safeguard scientific and clinical progress, German urology requires
   properly trained junior scientists. Before initiating or continuing
   actions aiming at quality improvement an analysis of the status quo is
   necessary.
   To assess the conditions to pursue research, research skills and
   research output of junior scientists in urology in Germany.
   A 16-item online questionnaire was sent to 95 junior scientists in
   urology within the research network GeSRU Academics. Primary outcomes
   were the conditions to pursue research in terms of research time,
   research skills and sources of learning and research output as measured
   by peer-reviewed publications. Subpopulations were compared with respect
   to the number of peer-reviewed publications.
   Out of 78 junior scientists (82% response rate) 45% pursued research
   exclusively in their leisure time. Self-assessment of research skills
   varied from good (systematic literature search) to sufficient (grant
   acquisition). The main source of learning for research skills was
   self-study, followed by mentor, own department, courses and networks. Of
   the junior scientists 81% had peer-reviewed publications (median 4). The
   groups of junior scientists who pursued research (partially) during
   working hours, who had good skills and whose research skills were
   supported by a mentor/network had significantly more peer-reviewed
   publications than their counterparts.
   Junior scientists in urology in Germany lack protected time to pursue
   research and have varying research skills, which are predominantly
   acquired by self-study and demonstrate their first research output as
   peer-reviewed publications.
RI Borgmann, Hendrik/F-4658-2015
OI Borgmann, Hendrik/0000-0002-3955-564X
Z8 0
ZB 2
ZA 0
ZR 0
ZS 0
TC 2
Z9 2
U1 0
U2 0
SN 0340-2592
EI 1433-0563
UT WOS:000417149900011
PM 27924352
ER

PT J
AU Chin, Alvin
   Heiman, Anton
   Chan, Teresa M.
TI Podcast Use in Undergraduate Medical Education
SO CUREUS
VL 9
IS 12
AR e1930
DI 10.7759/cureus.1930
PD DEC 2017
PY 2017
AB Introduction
   Podcasts have become increasingly popular as a medium for free open
   access medical education (FOAM). However, little research has examined
   the use of these extracurricular audio podcasts as tools in
   undergraduate medical education. We aimed to examine knowledge
   retention, usage conditions, and preferences of undergraduate medical
   students at a Canadian university interacting with extracurricular
   podcasts.
   Methods
   Students enrolled in the undergraduate medical program at McMaster
   University volunteered to participate in this study. Two podcasts were
   created specifically for the purposes of this study, and online tests
   and surveys were sent to participants to gather data regarding user
   preferences of podcasts. In addition, we recorded changes in topic test
   scores before and after podcast exposure.
   Results
   Forty-two students were recruited to this study. Participants who
   completed the assessments demonstrated an effect of learning. Podcasts
   of 30 minutes or less were preferred in the majority of participants who
   had a preference in duration. The top three activities participants were
   engaged in while listening to the podcasts were driving (46%),
   completing chores (26%), and exercising (23%). A large number of
   participants who did not complete the study in its entirety cited a lack
   of time and podcast length to be the top two barriers to completion.
   Conclusion
   This is one of the first studies to examine extracurricular
   podcast-usage data and preferences in a Canadian undergraduate medical
   student population. This information may help educators and FOAM
   producers to optimize educational tools for medical education.
RI Chan, Teresa/T-6676-2017
OI Chan, Teresa/0000-0001-6104-462X
ZB 1
ZR 0
ZA 0
Z8 0
TC 18
ZS 0
Z9 18
U1 11
U2 33
EI 2168-8184
UT WOS:000453652000028
PM 29464137
ER

PT J
AU Shappell, Eric
   Chan, Teresa
   Thoma, Brent
   Trueger, N. Seth
   Stuntz, Bob
   Cooney, Robert
   Ahn, James
TI Crowdsourced Curriculum Development for Online Medical Education
SO CUREUS
VL 9
IS 12
AR e1925
DI 10.7759/cureus.1925
PD DEC 2017
PY 2017
AB In recent years online educational content, efforts at quality
   appraisal, and integration of online material into institutional
   teaching initiatives have increased. However, medical education has yet
   to develop large-scale online learning centers. Crowd-sourced curriculum
   development may expedite the realization of this potential while
   providing opportunities for innovation and scholarship. This article
   describes the current landscape, best practices, and future directions
   for crowdsourced curriculum development using Kern's framework for
   curriculum development and the example topic of core content in
   emergency medicine.
   A scoping review of online educational content was performed by a panel
   of subject area experts for each step in Kern's framework. Best
   practices and recommendations for future development for each step were
   established by the same panel using a modified nominal group consensus
   process.
   The most prevalent curriculum design steps were (1) educational content
   and (2) needs assessments. Identified areas of potential innovation
   within these steps included targeting gaps in specific content areas and
   developing underrepresented instructional methods. Steps in curriculum
   development without significant representation included (1) articulation
   of goals and objectives and (2) tools for curricular evaluation.
   By leveraging the power of the community, crowd-sourced curriculum
   development offers a mechanism to diffuse the burden associated with
   creating comprehensive online learning centers. There is fertile ground
   for innovation and scholarship in each step along the continuum of
   curriculum development. Realization of this paradigm's full potential
   will require individual developers to strongly consider how their
   contributions will align with the work of others.
RI Chan, Teresa/T-6676-2017; Thoma, Brent/ABI-2642-2020; Shappell, Eric/; Trueger, N. Seth/; Cooney, Robert/
OI Chan, Teresa/0000-0001-6104-462X; Shappell, Eric/0000-0003-0281-3219;
   Trueger, N. Seth/0000-0001-8797-2192; Cooney, Robert/0000-0003-0665-0154
ZB 0
ZA 0
TC 4
ZR 0
Z8 0
ZS 0
Z9 4
U1 0
U2 5
EI 2168-8184
UT WOS:000453652000023
PM 29464134
ER

PT J
AU Wiethoelter, Anke K.
   Schembri, Nicole
   Dhand, Navneet K.
   Sawford, Kate
   Taylor, Melanie R.
   Moloney, Barbara
   Wright, Therese
   Kung, Nina
   Field, Hume E.
   Toribio, Jenny-Ann L. M. L.
TI Australian horse owners and their biosecurity practices in the context
   of Hendra virus
SO PREVENTIVE VETERINARY MEDICINE
VL 148
BP 28
EP 36
DI 10.1016/j.prevetmed.2017.09.013
PD DEC 1 2017
PY 2017
AB In recent years, outbreaks of exotic as well as newly emerging
   infectious diseases have highlighted the importance of biosecurity for
   the Australian horse industry. As the first potentially fatal zoonosis
   transmissible from horses to humans in Australia, Hendra virus has
   emphasised the need to incorporate sound hygiene and general biosecurity
   practices into day-to-day horse management. Recommended measures are
   widely publicised, but implementation is at the discretion of the
   individual owner. This cross-sectional study aimed to determine current
   levels of biosecurity of horse owners and to identify factors
   influencing the uptake of practices utilising data from an online
   survey. Level of biosecurity (low, medium, high), as determined by horse
   owners' responses to a set of questions on the frequency of various
   biosecurity practices performed around healthy (9 items) and sick horses
   (10 items), was used as a composite outcome variable in ordinal logistic
   regression analyses. The majority of horse owners surveyed were female
   (90%), from the states of Queensland (45%) or New South Wales (37%), and
   were involved in either mainly competitive/equestrian sports (37%) or
   recreational horse activities (35%). Seventy-five percent of owners
   indicated that they follow at least one-third of the recommended
   practices regularly when handling their horses, resulting in medium to
   high levels of biosecurity. Main factors associated with a higher level
   of biosecurity were high self-rated standard of biosecurity, access to
   personal protective equipment, absence of flying foxes in the local
   area, a good sense of control over Hendra virus risk, likelihood of
   discussing a sick horse with a veterinarian and likelihood of suspecting
   Hendra virus in a sick horse. Comparison of the outcome variable with
   the self-rated standard of biosecurity showed that over- as well as
   underestimation occurred. This highlights the need for continuous
   communication and education to enhance awareness and understanding of
   what biosecurity is and how it aligns with good horsemanship. Overall,
   strengthened biosecurity practices will help to improve animal as well
   as human health and increase preparedness for future disease outbreaks.
RI Kung, Nina Y/H-1260-2012; Taylor, Melanie R/H-5248-2017; Dhand, Navneet K/H-5762-2019; Moloney, Barbara Jean/G-2003-2011; Toribio, Jenny-Ann LML/B-5032-2011; Sawford, Kate/; Wiethoelter, Anke/
OI Taylor, Melanie R/0000-0002-8862-9510; Dhand, Navneet
   K/0000-0002-4362-3596; Moloney, Barbara Jean/0000-0002-4416-3579;
   Sawford, Kate/0000-0002-5251-4199; Wiethoelter, Anke/0000-0002-7872-934X
Z8 0
ZR 0
ZA 0
TC 9
ZB 7
ZS 0
Z9 9
U1 1
U2 35
SN 0167-5877
EI 1873-1716
UT WOS:000418781800004
PM 29157371
ER

PT J
AU Conlin, Frederick
   Connelly, Neil R.
   Eaton, Michael P.
   Broderick, Patrick J.
   Friderici, Jennifer
   Adler, Adam C.
TI Perioperative Use of Focused Transthoracic Cardiac Ultrasound: A Survey
   of Current Practice and Opinion
SO ANESTHESIA AND ANALGESIA
VL 125
IS 6
BP 1878
EP 1882
DI 10.1213/ANE.0000000000002089
PD DEC 2017
PY 2017
AB BACKGROUND:The advent of portable ultrasound machines in recent years
   has led to greater availability of focused cardiac ultrasound (FoCUS) in
   the perioperative and critical care setting. To our knowledge, its use
   in the perioperative setting among anesthesiologists remains undefined.
   We sought to assess the use of FoCUS by members of the Society of
   Cardiovascular Anesthesiologists (SCA) in clinical practice, to identify
   variations in its application, to outline limits to its use, and to
   understand the level of training of physicians using this technology.
   METHODS: A 26-question anonymous and voluntary online survey assessing
   the participants' training level with FoCUS, frequency of use, and
   opinions regarding incorporating it into residency training and
   developing a pathway to basic certific ation. The survey was distributed
   to the members of the SCA via email.
   RESULTS: The survey was completed by 379 of 3660 members of the SCA
   (10%). Of the respondents, the majority (67%) had completed a
   cardiovascular anesthesiology fellowship with 58% identifying their
   practice as academic, while 37% stated they were in private practice,
   and 6% were military/Veterans Administration. Most (84%) of the
   respondents practiced in North America. Eighty-one percent reported
   familiarity with FoCUS, while 47% stated they use it in their clinical
   practice. Those practicing in North America were significantly less
   likely to utilize FoCUS in their practice as compared to other
   respondents. With regard to training and certification, 88% believe
   FoCUS education should be integrated into residency training programs
   and 74% believe there should be a pathway to basic certification for
   FoCUS.
   CONCLUSIONS: While most cardiovascular anesthesiologists are familiar
   with FoCUS, a minority have integrated it into their practice.
   Roadblocks such as lack of training, the fear of missing diagnoses, lack
   of resources, and the lack of a formal certification process must be
   addressed to allow for more widespread use of perioperative cardiac
   ultrasound.
RI Eaton, Michael/ABE-5041-2020
ZB 0
ZS 0
ZA 0
Z8 1
ZR 0
TC 12
Z9 13
U1 0
U2 3
SN 0003-2999
UT WOS:000418587700012
PM 28537977
ER

PT J
AU Baker, Daniel Mark
   Marshall, Jack H.
   Lee, Matthew J.
   Jones, Georgina L.
   Brown, Steven R.
   Lobo, Alan J.
TI YouTube as a source of information for patients considering surgery for
   ulcerative colitis
SO JOURNAL OF SURGICAL RESEARCH
VL 220
BP 133
EP 138
DI 10.1016/j.jss.2017.06.094
PD DEC 2017
PY 2017
AB Background: With the range of health information online, assessing the
   resources that patients access may improve the content of preoperative
   information. Our aim was to assess the content of the most viewed videos
   on YouTube related to surgery for ulcerative colitis (UC).
   Methods: YouTube was searched for videos containing information on
   surgery for UC. The 50 most viewed videos were identified and user
   interaction analyzed. Upload source was classified as patient,
   individual health care professional (HCP), or hospital/professional
   association. Video content was categorized using an inductive thematic
   analysis on a purposive sample list of videos. The overarching theme of
   each video was classified once data saturation was achieved.
   Results: Thirty videos were uploaded by patients, 15 by hospitals and 5
   by HCPs. Seventeen videos (34%) discussed life after surgery. Sixteen of
   these were uploaded by patients who had previously undergone surgery for
   UC. No videos of this theme were uploaded by HCPs. Ten videos (20%)
   described a number of different operations. Other themes identified were
   alternative health therapies (12%), colonoscopy (12%), life with UC
   (8%), miscellaneous (8%), and education for HCPs (6%). Patient uploaded
   videos had significantly more comments (P = 0.0079), with 28% of
   comments on patient videos being users requesting further information.
   Conclusions: Understanding the sequelae of surgery is most important to
   preoperative patients. There are a lack of professional videos
   addressing this topic on YouTube. HCPs must participate in the
   production of videos and adapt preoperative consultations to address
   common preoperative concerns. (C) 2017 Elsevier Inc. All rights
   reserved.
RI Lee, Matthew/I-3538-2019; brown, steve/AAG-2066-2019; Baker, Daniel/O-3091-2019; Jones, Georgina/; Brown, Steven/
OI Lee, Matthew/0000-0001-9971-1635; Baker, Daniel/0000-0002-3708-790X;
   Jones, Georgina/0000-0002-5267-1776; Brown, Steven/0000-0002-0980-2793
ZS 0
ZA 0
ZB 1
ZR 0
Z8 0
TC 4
Z9 4
U1 0
U2 7
SN 0022-4804
EI 1095-8673
UT WOS:000417699100018
PM 29180175
ER

PT J
AU Shurtz, Suzanne
   Fajt, Virginia
   Heyns, Erla P.
   Norton, Hannah F.
   Weingart, Sandra
TI Teaching Evidence-Based Veterinary Medicine in the US and Canada
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 44
IS 4
BP 660
EP 668
DI 10.3138/jvme.1215-199R
PD WIN 2017
PY 2017
AB There is no comprehensive review of the extent to which evidence-based
   veterinary medicine (EBVM) is taught in AVMA-accredited colleges of
   veterinary medicine in the US and Canada. We surveyed teaching faculty
   and librarians at these institutions to determine what EBVM skills are
   currently included in curricula, how they are taught, and to what extent
   librarians are involved in this process. Librarians appear to be an
   underused resource, as 59% of respondents did not use librarians/library
   resources in teaching EBVM. We discovered that there is no standard
   teaching methodology nor are there common learning activities for EBVM
   among our survey respondents, who represent 22 institutions. Respondents
   reported major barriers to inclusion such as a perceived shortage of
   time in an already-crowded course of study and a lack of high-quality
   evidence and point-of-care tools. Suggestions for overcoming these
   barriers include collaborating with librarians and using new EBVM online
   teaching resources.
RI Norton, Hannah F/D-8497-2011; Fajt, Virginia/AAN-8785-2020
OI Norton, Hannah F/0000-0001-8062-2763; Fajt, Virginia/0000-0003-0697-7149
TC 6
ZR 0
ZA 0
ZS 0
ZB 1
Z8 0
Z9 7
U1 0
U2 22
SN 0748-321X
EI 1943-7218
UT WOS:000418321400010
ER

PT J
AU Gledhill, Laura
   Dale, Vicki H. M.
   Powney, Sonya
   Gaitskell-Phillips, Gemma H. L.
   Short, Nick R. M.
TI An International Survey of Veterinary Students to Assess Their Use of
   Online Learning Resources
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 44
IS 4
BP 692
EP 703
DI 10.3138/jvme.0416-085R
PD WIN 2017
PY 2017
AB Today's veterinary students have access to a wide range of online
   resources that support self-directed learning. To develop a benchmark of
   current global student practice in e-learning, this study measured
   self-reported access to, and use of, these resources by students
   internationally. An online survey was designed and promoted via
   veterinary student mailing lists and international organizations,
   resulting in 1,070 responses. Analysis of survey data indicated that
   students now use online resources in a wide range of ways to support
   their learning. Students reported that access to online veterinary
   learning resources was now integral to their studies. Almost all
   students reported using open educational resources (OERs). Ownership of
   smartphones was widespread, and the majority of respondents agreed that
   the use of mobile devices, or m-learning, was essential. Social media
   were highlighted as important for collaborating with peers and sharing
   knowledge. Constraints to e-learning principally related to poor or
   absent Internet access and limited institutional provision of computer
   facilities. There was significant geographical variation, with students
   from less developed countries disadvantaged by limited access to
   technology and networks. In conclusion, the survey provides an
   international benchmark on the range and diversity in terms of access
   to, and use of, online learning resources by veterinary students
   globally. It also highlights the inequalities of access among students
   in different parts of the world.
RI Dale, Vicki/AAG-2616-2019; Gaitskell-Phillips, Gemma/AAB-5919-2020; Dale, Vicki Harcus Morgan/
OI Gaitskell-Phillips, Gemma/0000-0003-4308-7903; Dale, Vicki Harcus
   Morgan/0000-0001-6623-7412
ZR 0
Z8 0
ZA 0
ZB 3
TC 15
ZS 0
Z9 15
U1 3
U2 18
SN 0748-321X
EI 1943-7218
UT WOS:000418321400014
ER

PT J
AU Mewborn, Catherine M.
   Lindbergh, Cutter A.
   Miller, L. Stephen
TI Cognitive Interventions for Cognitively Healthy, Mildly Impaired, and
   Mixed Samples of Older Adults: A Systematic Review and Meta-Analysis of
   Randomized-Controlled Trials
SO NEUROPSYCHOLOGY REVIEW
VL 27
IS 4
SI SI
BP 403
EP 439
DI 10.1007/s11065-017-9350-8
PD DEC 2017
PY 2017
AB Cognitive interventions may improve cognition, delay age-related
   cognitive declines, and improve quality of life for older adults. The
   current meta-analysis was conducted to update and expand previous work
   on the efficacy of cognitive interventions for older adults and to
   examine the impact of key demographic and methodological variables.
   EBSCOhost and Embase online databases and reference lists were searched
   to identify relevant randomized-controlled trials (RCTs) of cognitive
   interventions for cognitively healthy or mildly impaired (MCI) older
   adults (60+ years). Interventions trained a single cognitive domain
   (e.g., memory) or were multi-domain training, and outcomes were assessed
   immediately post-intervention using standard neuropsychological tests.
   In total, 279 effects from 97 studies were pooled based on a
   random-effects model and expressed as Hedges' g (unbiased). Overall,
   results indicated that cognitive interventions produce a small, but
   significant, improvement in the cognitive functioning of older adults,
   relative to active and passive control groups (g = 0.298, p < .001, 95%
   CI = 0.248-0.347). These results were confirmed using multi-level
   analyses adjusting for nesting of effect sizes within studies (g =
   0.362, p < .001, 95% CI = 0.275, 0.449). Age, education, and cognitive
   status (healthy vs. MCI) were not significant moderators. Working memory
   interventions proved most effective (g = 0.479), though memory,
   processing speed, and multi-domain interventions also significantly
   improved cognition. Effects were larger for directly trained outcomes
   but were also significant for non-trained outcomes (i.e., "transfer
   effects"). Implications for future research and clinical practice are
   discussed. This project was pre-registered with PROSPERO (#42016038386).
ZS 1
ZR 0
ZA 0
TC 77
ZB 27
Z8 1
Z9 78
U1 2
U2 34
SN 1040-7308
EI 1573-6660
UT WOS:000419478100007
PM 28726168
ER

PT J
AU Brennstuhl, Marie-Jo
   Audinet, Pauline
   Tarquinio, Cyril
TI Online breast cancer: Effects of the use of information and
   communication technologies
SO ANNALES MEDICO-PSYCHOLOGIQUES
VL 175
IS 10
BP 871
EP 876
DI 10.1016/j.amp.2017.04.003
PD DEC 2017
PY 2017
AB Objectives. - We want to know the effects of virtual exchanges places,
   on psychological adaptation of women patients to cancer pathology, and
   especially breast cancer.
   Patients and methods. - A literature review was made. Databases Cairn,
   Wiley Online Library, Taylor and Francis, ScienceDirect Journal of
   Medical Internet Research (JMIR), Communication organisation, PubMed
   Central NCBI, APA PsycNET, EBSCOST, Cross Ref, Oxford Journals, Persee,
   and Link Springer were explored. We included all quantitative and
   qualitative studies on the use of technologies and online resources
   related to cancer, especially breast cancer.
   Results. - Fifty-two articles were selected. Forty only included women
   with breast cancer and 12 included different types of cancer (breast,
   prostate, kidney, leukemia...). Most of the studies have reported
   significant results in terms of psychological adaptation: improved
   emotional, psychological and general well-being; a decrease in anxiety
   and stress; a greater optimism; a better quality of life and a better
   participation in health.
   Conclusions. - Results suggest a positive relationship between spaces of
   exchange for women patients and outcomes related to their experiences in
   relation to the disease. (C) 2017 Elsevier Masson SAS. All rights
   reserved.
OI Tarquinio, Cyril/0000-0001-8467-0826
ZB 0
Z8 0
ZR 0
ZS 0
TC 0
ZA 0
Z9 0
U1 1
U2 9
SN 0003-4487
EI 1769-6631
UT WOS:000422896400006
ER

PT J
AU Elder, Andrew T.
   McManus, I. Chris
   Patrick, Alan
   Nair, Kichu
   Vaughan, Louella
   Dacre, Jane
TI The value of the physical examination in clinical practice: an
   international survey
SO CLINICAL MEDICINE
VL 17
IS 6
BP 490
EP 498
DI 10.7861/clinmedicine.17-6-490
PD DEC 2017
PY 2017
AB A structured online survey was used to establish the views of 2,684
   practising clinicians of all ages in multiple countries about the value
   of the physical examination in the contemporary practice of internal
   medicine. 70% felt that physical examination was 'almost always
   valuable' in acute general medical referrals. 66% of trainees felt that
   they were never observed by a consultant when undertaking physical
   examination and 31% that consultants never demonstrated their use of the
   physical examination to them. Auscultation for pulmonary wheezes and
   crackles were the two signs most likely to be rated as frequently used
   and useful, with the character of the jugular venous waveform most
   likely to be rated as infrequently used and not useful. Physicians in
   contemporary hospital general medical practice continue to value the
   contribution of the physical examination to assessment of outpatients
   and inpatients, but, in the opinion of trainees, teaching and
   demonstration could be improved.
RI Vaughan, Louella/AAE-3679-2019; McManus, Ian/; Elder, Andrew/
OI McManus, Ian/0000-0003-3510-4814; Elder, Andrew/0000-0003-3229-9601
ZA 0
ZB 1
TC 9
ZR 0
ZS 0
Z8 0
Z9 9
U1 1
U2 5
SN 1470-2118
EI 1473-4893
UT WOS:000417550800003
PM 29196348
ER

PT J
AU Prabhu, Arpan V.
   Kim, Christopher
   De Guzman, Eison
   Zhao, Eric
   Madill, Evan
   Cohen, Jonathan
   Hansberry, David R.
   Agarwal, Nitin
   Heron, Dwight E.
   Beriwal, Sushil
TI Reputation Management and Content Control: An Analysis of Radiation
   Oncologists' Digital Identities
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 99
IS 5
BP 1083
EP 1091
DI 10.1016/j.ijrobp.2017.08.015
PD DEC 1 2017
PY 2017
AB Introduction: Google is the most popular search engine in the United
   States, and patients are increasingly relying on online webpages to seek
   information about individual physicians. This study aims to characterize
   what patients find when they search for radiation oncologists online.
   Methods and Materials: The Centers for Medicare and Medicaid Services
   (CMS) Physician Comparable Downloadable File was used to identify all
   Medicare-participating radiation oncologists in the United States and
   Puerto Rico. Each radiation oncologist was characterized by medical
   school education, year of graduation, city of practice, gender, and
   affiliation with an academic institution. Using a custom Google-based
   search engine, up to the top 10 search results for each physician were
   extracted and categorized as relating to: (1) physician, hospital, or
   health care system; (2) third-party; (3) social media; (4) academic
   journal articles; or (5) other.
   Results: Among all health care providers in the United States within
   CMS, 4443 self-identified as being radiation oncologists and yielded
   40,764 search results. Of those, 1161 (26.1%) and 3282 (73.9%) were
   classified as academic and nonacademic radiation oncologists,
   respectively. At least 1 search result was obtained for 4398 physicians
   (99.0%). Physician, hospital, and health careecontrolled websites
   (16,006; 39.3%) and third-party websites (10,494; 25.7%) were the 2 most
   often observed domain types. Social media platforms accounted for 2729
   (6.7%) hits, and peer-reviewed academic journal-websites accounted for
   1397 (3.4%) results. About 6.8% and 6.7% of the top 10 links were social
   media websites for academic and nonacademic radiation oncologists,
   respectively.
   Conclusions: Most radiation oncologists lack self-controlled online
   content when patients search within the first page of Google search
   results. With the strong presence of third-party websites and lack of
   social media, opportunities exist for radiation oncologists to increase
   their online presence to improve patient-provider communication and
   better the image of the overall field. We discuss strategies to improve
   online visibility. (C) 2017 Elsevier Inc. All rights reserved.
RI Prabhu, Arpan/M-4193-2014; Kim, Christopher/
OI Prabhu, Arpan/0000-0002-9928-2911; Kim, Christopher/0000-0002-0792-6338
ZR 0
TC 9
Z8 0
ZA 0
ZS 0
ZB 1
Z9 9
U1 0
U2 13
SN 0360-3016
EI 1879-355X
UT WOS:000416919400013
PM 28939228
ER

PT J
AU Huang, Bryant Y.
   Hicks, Taylor D.
   Haidar, Georges M.
   Pounds, Lori L.
   Davies, Mark G.
TI An evaluation of the availability, accessibility, and quality of online
   content of vascular surgery training program websites for residency and
   fellowship applicants
SO JOURNAL OF VASCULAR SURGERY
VL 66
IS 6
BP 1892
EP 1901
DI 10.1016/j.jvs.2017.08.064
PD DEC 2017
PY 2017
AB Background: Vascular surgery residency and fellowship applicants
   commonly seek information about programs from the Internet. Lack of an
   effective web presence curtails the ability of programs to attract
   applicants, and in turn applicants may be unable to ascertain which
   programs are the best fit for their career aspirations. This study was
   designed to evaluate the presence, accessibility, comprehensiveness, and
   quality of vascular surgery training websites (VSTW).
   Methods: A list of accredited vascular surgery training programs
   (integrated residencies and fellowships) was obtained from four
   databases for vascular surgery education: the Accreditation Council for
   Graduate Medical Education, Electronic Residency Application Service,
   Fellowship and Residency Electronic Interactive Database, and Society
   for Vascular Surgery. Programs participating in the 2016 National
   Resident Matching Program were eligible for study inclusion.
   Accessibility of VSTW was determined by surveying the Accreditation
   Council for Graduate Medical Education, Electronic Residency Application
   Service, and Fellowship and Residency Electronic Interactive Database
   for the total number of programs listed and for the presence or absence
   of website links. VSTW were analyzed for the availability of recruitment
   and education content items. The quality of VSTW was determined as a
   composite of four dimensions: content, design, organization, and user
   friendliness. Percent agreements and kappa statistics were calculated
   for inter-rater reliability.
   Results: Eighty-nine of the 94 fellowship (95%) and 45 of the 48
   integrated residencies (94%) programs participating in the 2016 Match
   had a VSTW. For program recruitment, evaluators found an average of 12
   of 32 content items (35.0%) for fellowship programs and an average of 12
   of 32 (37%) for integrated residencies. Only 47.1% of fellowship
   programs (53% integrated residencies) specified the number of positions
   available for the 2016 Match, 20% (13% integrated residencies) indicated
   alumni career placement, 34% (38% integrated residencies) supplied
   interview dates, and merely 17% (18% integrated residencies) detailed
   the selection process. For program education, fellowship websites
   provided an average of 5.1 of 15 content items (34.0%), and integrated
   residency websites provided 5 of 14 items (34%). Of the fellowship
   programs, 66% (84.4% integrated residencies) provided a rotation
   schedule, 65% (56% integrated residencies) detailed operative
   experiences, 38% (38% integrated residencies) posted conference
   schedules, and just 16% (28.9% integrated residencies) included
   simulation training.
   Conclusions: The web presence of vascular surgery training programs
   lacks sufficient accessibility, content, organization, design, and user
   friendliness to allow applicants to access information that informs them
   sufficiently. There are opportunities to more effectively use VSTW for
   the benefit of training programs and prospective applicants.
CT Annual Meeting of the
   Association-of-Program-Directors-in-Vascular-Surgery
CY MAR 23-24, 2017
CL Chicago, IL
SP Assoc Program Directors Vasc Surg
ZS 0
ZR 0
ZA 0
Z8 0
ZB 5
TC 33
Z9 33
U1 0
U2 5
SN 0741-5214
UT WOS:000415925300039
PM 29169545
ER

PT J
AU King, Christopher J.
   Bolton, Andrew
   Guerrasio, Jeannette
   Trosterman, Adam
TI Defining Medical Student Patient Care Responsibilities Before Intern
   Year: Results of a National Survey
SO SOUTHERN MEDICAL JOURNAL
VL 110
IS 12
BP 765
EP 769
DI 10.14423/SMJ.0000000000000738
PD DEC 2017
PY 2017
AB Objectives: Program directors have noted that first-year residents
   struggle with many of the patient care responsibilities they assume as
   they enter the US graduate medical education system. A national
   description of medical students' patient care experience in advance of
   graduation has not been published. We sought to describe the experience
   of US medical students during their clinical training by surveying the
   student representatives of each school.
   Methods: We developed a mixed-methods survey that was delivered to
   representatives of 82 schools via an e-mail link to an online survey.
   Results: Our response rate was 54%(44/82). Of those responding, 28%
   reported that students do not write any patient care orders at their
   institution and 34% reported not receiving pages related to patient
   care. Only 26% of institutions provide an increased patient load to
   students during their final year of training. Students identified many
   areas to improve the role of fourth-year medical students, including
   writing patient care orders, answering pages, increasing autonomy,
   defining their role better, and providing them with a longer
   subinternship experience.
   Conclusions: Our survey suggests that students are graduating from the
   undergraduate medical education system and moving to the graduate
   medical education system in the United States without a guarantee of
   having answered a page related to patient care or having placed a
   patient care order. Further studies of students' experiences should be
   conducted to explore whether exposure to these skills improves
   first-year resident performance.
OI King, Christopher/0000-0003-0806-1628
TC 1
Z8 0
ZS 0
ZB 0
ZR 0
ZA 0
Z9 1
U1 0
U2 3
SN 0038-4348
EI 1541-8243
UT WOS:000416837400006
PM 29197310
ER

PT J
AU Drummond, David
   Delval, Paul
   Abdenouri, Sonia
   Truchot, Jennifer
   Ceccaldi, Pierre-Francois
   Plaisance, Patrick
   Hadchouel, Alice
   Tesniere, Antoine
TI Serious game versus online course for pretraining medical students
   before a simulation-based mastery learning course on cardiopulmonary
   resuscitation: A randomised controlled study
SO EUROPEAN JOURNAL OF ANAESTHESIOLOGY
VL 34
IS 12
BP 836
EP 844
DI 10.1097/EJA.0000000000000675
PD DEC 2017
PY 2017
AB BACKGROUNDAlthough both recorded lectures and serious games have been
   used to pretrain health professionals before simulation training on
   cardiopulmonary resuscitation, they have never been
   compared.OBJECTIVEThe aim of this study was to compare an online course
   and a serious game for pretraining medical students before
   simulation-based mastery learning on the management of sudden cardiac
   arrest.DESIGNA randomised controlled trial. Participants were pretrained
   using the online course or the serious game on day 1 and day 7. On day
   8, each participant was evaluated repeatedly on a scenario of cardiac
   arrest until reaching a minimum passing score.SETTINGDepartment of
   Simulation in Healthcare in a French medical
   faculty.PARTICIPANTSEighty-two volunteer second-year medical students
   participated between June and October 2016 and 79 were assessed for
   primary outcome.INTERVENTIONSThe serious game used was Staying Alive,
   which involved a 3D realistic environment, and the online course
   involved a PowerPoint lecture.MAIN OUTCOME MEASURESThe median total
   training time needed for students to reach the minimum passing score on
   day 8. This same outcome was also assessed 4 months later.RESULTSThe
   median training time (interquartile range) necessary for students to
   reach the minimum passing score was similar between the two groups: 20.5
   (15.8 to 30.3) minutes in the serious game group versus 23 (15 to 32)
   minutes in the online course group, P=0.51. Achieving an appropriate
   degree of chest compression was the most difficult requirement to fulfil
   for students in both groups. Four months later, the median training time
   decreased significantly in both groups, but no correlation was found at
   an individual level with the training times observed on day
   8.CONCLUSIONThe serious game used in this study was not superior to an
   online course to pretrain medical students in the management of a
   cardiac arrest. The absence of any correlation between the performances
   of students evaluated during two training sessions separated by 4 months
   suggests that some elements in the management of cardiac arrest such as
   compression depth can only be partially learned and retained after a
   simulation-based training.TRIAL
   REGISTRATIONClinicalTrials.gov-NCT02758119.
RI Ceccaldi, Pierre-Francois/B-7966-2008; Drummond, David/AFI-5036-2022
OI Ceccaldi, Pierre-Francois/0000-0003-4716-9199; Drummond,
   David/0000-0002-7324-4992
ZA 0
Z8 2
ZR 0
ZS 1
ZB 3
TC 23
Z9 26
U1 4
U2 29
SN 0265-0215
EI 1365-2346
UT WOS:000415084100008
PM 28731928
ER

PT J
AU Streater, Amy
   Spector, Aimee
   Hoare, Zoe
   Aguirre, Elisa
   Russell, Ian
   Orrell, Martin
TI Staff training and outreach support for Cognitive Stimulation Therapy
   and its implementation in practice: a cluster randomised trial
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 32
IS 12
BP E64
EP E71
DI 10.1002/gps.4653
PD DEC 2017
PY 2017
AB ObjectiveThere is evidence that Cognitive Stimulation Therapy and
   maintenance Cognitive Stimulation Therapy are effective in mild to
   moderate dementia. There is, however, little evidence available for its
   implementation in practice and the impact of outreach support on the
   sustainability of the programme.
   MethodsTwo hundred and forty-one staff members were randomised from 63
   dementia care settings between outreach support including an online
   forum, email, and telephone support, compared to usual Cognitive
   Stimulation Therapy control group. The primary outcome was average
   number of attendees to the Cognitive Stimulation Therapy and maintenance
   Cognitive Stimulation Therapy programmes.
   ResultsThere was no difference in average number of attendees between
   the intervention and usual Cognitive Stimulation Therapy control groups
   for the Cognitive Stimulation Therapy (p=0.82) or the maintenance
   Cognitive Stimulation Therapy programme (p=0.97).
   ConclusionsOutreach support does not affect the average number of people
   with dementia attending the Cognitive Stimulation Therapy or maintenance
   Cognitive Stimulation Therapy programme. Irrespective of outreach
   support, the programmes remain widely implemented and yield perceived
   benefits for people with dementia. Copyright (c) 2017 John Wiley & Sons,
   Ltd.
OI Orrell, Martin/0000-0002-1169-3530; Aguirre, Elisa/0000-0003-4096-5109
Z8 0
TC 2
ZB 0
ZR 0
ZS 0
ZA 0
Z9 2
U1 2
U2 9
SN 0885-6230
EI 1099-1166
UT WOS:000416425200008
PM 28112412
ER

PT J
AU Deipolyi, Amy R.
   Prabhakar, Anand M.
   Naidu, Sailendra
   Oklu, Rahmi
TI Needlestick Injuries in Interventional Radiology Are Common and
   Underreported
SO RADIOLOGY
VL 285
IS 3
BP 870
EP 875
DI 10.1148/radiol.2017170103
PD DEC 2017
PY 2017
AB Purpose: To determine the prevalence of and risk factors for
   needlesticks in interventional radiology physicians, as well as the
   attitudes, behaviors, and conditions that promote or interfere with
   reporting of these injuries.
   Materials and Methods: A total of 3889 interventional radiologists from
   academic and private practice in the United States were surveyed by
   emailing all interventional radiologist members of the Society of
   Interventional Radiology, including attending-level physicians and
   trainees (April-August 2016). The institutional review board waived the
   need for consent. Questions inquired about the nature, frequency, and
   type of needlestick and sharps injuries and whether and to whom these
   incidents were reported. Stepwise regression was used to determine
   variables predicting whether injuries were reported.
   Results: In total, 908 (23%) interventional radiologists completed at
   least a portion of the survey. Eight hundred fourteen (91%) of 895
   respondents reported a prior needlestick injury, 583 (35%) of 895
   reported at least one injury while treating an HIV-positive patient, and
   626 (71%) of 884 reported prior training regarding needlestick injury.
   There was, on average, one needlestick for every 5 years of practice.
   Most needlestick or sharps injuries were self inflicted (711 [87%] of
   817) and involved a hollow- bore device (464 [56%] of 824). Only 566
   (66%) of 850 injuries were reported. The most common reasons for not
   reporting included perceived lack of utility of reporting (79 [28%] of
   282), perceived low risk for injury (56 [20%] of 282), noncontaminated
   needle (53 [19%] of 282), too-lengthy reporting process (37 [13%] of
   282), and associated stigma (23 [8%] of 282). Only 156 (25%) of 624
   respondents informed their significant other. Stepwise regression
   assessing variables affecting the likelihood of reporting showed that
   male sex (P = .009), low-risk patient (P < .0001), self injury (P =
   .010), trainee status (P < .0001), and the total number of prior
   injuries (P = .019) were independent predictors of not reporting.
   Conclusion: Needlestick injuries are ubiquitous among interventional
   radiologists and are often not reported. (C) RSNA, 2017
RI oklu, rahmi/AAY-4676-2021; Deipolyi, Amy/; Oklu, Rahmi/
OI Deipolyi, Amy/0000-0003-3144-386X; Oklu, Rahmi/0000-0003-4984-1778
Z8 3
ZA 0
ZR 0
ZB 0
ZS 0
TC 8
Z9 11
U1 0
U2 7
SN 0033-8419
UT WOS:000416570800020
PM 28631962
ER

PT J
AU Demir, Enver Ahmet
   Tutuk, Okan
   Dogan, Hatice
   Egeli, Duygu
   Tumer, Cemil
TI Lecture attendance improves success in medical physiology
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 41
IS 4
BP 599
EP 603
DI 10.1152/advan.00119.2017
PD DEC 2017
PY 2017
AB The educators have underlined the importance of lecture attendance for
   decades. Nowadays, students have ample online educational sources, which
   began a debate on the necessity of in-class lectures. In the present
   study, we investigated the influence of lecture attendance on the exam
   success. To this aim, we adopted a novel approach and matched
   second-year medicine students' answers in three interim exams with the
   lectures related to those questions. Thereby, we were able to evaluate
   if attending lectures increases the chance of giving a correct answer to
   the exam question generated from the attended lecture. Furthermore, we
   examined students who had never taken the course before ( first-time
   takers) and students who had failed and repeated the course ( repeat
   takers) separately, since repeat takers may have attended a lecture
   previously. We found that first-time takers attended more lectures and
   gained higher total scores than repeat takers. Lecture-matched correct
   answers were significantly higher for attended lectures than for skipped
   lectures in all interim exams. Moreover, the correlation analyses
   revealed that the number of correct answers increases by lecture
   attendance in both first-time and repeat takers. These results indicate
   that in-class lectures still should be considered as an essential part
   of the medical physiology education, even in the internet era.
RI Demir, E.A./I-4007-2018; Tutuk, Okan/ABA-3319-2021
OI Demir, E.A./0000-0002-2620-6192; 
ZB 0
Z8 0
ZA 0
TC 10
ZS 0
ZR 0
Z9 10
U1 1
U2 10
SN 1043-4046
EI 1522-1229
UT WOS:000419397100012
PM 29138218
ER

PT J
AU Pian, Wenjing
   Khoo, Christopher S. G.
   Chi, Jianxing
TI Automatic Classification of Users' Health Information Need Context:
   Logistic Regression Analysis of Mouse-Click and Eye-Tracker Data
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 12
AR e424
DI 10.2196/jmir.8354
PD DEC 2017
PY 2017
AB Background: Users searching for health information on the Internet may
   be searching for their own health issue, searching for someone else's
   health issue, or browsing with no particular health issue in mind.
   Previous research has found that these three categories of users focus
   on different types of health information. However, most health
   information websites provide static content for all users. If the three
   types of user health information need contexts can be identified by the
   Web application, the search results or information offered to the user
   can be customized to increase its relevance or usefulness to the user.
   Objective: The aim of this study was to investigate the possibility of
   identifying the three user health information contexts (searching for
   self, searching for others, or browsing with no particular health issue
   in mind) using just hyperlink clicking behavior; using eye-tracking
   information; and using a combination of eye-tracking, demographic, and
   urgency information. Predictive models are developed using multinomial
   logistic regression.
   Methods: A total of 74 participants (39 females and 35 males) who were
   mainly staff and students of a university were asked to browse a health
   discussion forum, Healthboards. com. An eye tracker recorded their
   examining (eye fixation) and skimming (quick eye movement) behaviors on
   2 types of screens: summary result screen displaying a list of post
   headers, and detailed post screen. The following three types of
   predictive models were developed using logistic regression analysis:
   model 1 used only the time spent in scanning the summary result screen
   and reading the detailed post screen, which can be determined from the
   user's mouse clicks; model 2 used the examining and skimming durations
   on each screen, recorded by an eye tracker; and model 3 added user
   demographic and urgency information to model 2.
   Results: An analysis of variance (ANOVA) analysis found that users'
   browsing durations were significantly different for the three health
   information contexts (P<.001). The logistic regression model 3 was able
   to predict the user's type of health information context with a 10-fold
   cross validation mean accuracy of 84% (62/74), followed by model 2 at
   73% (54/74) and model 1 at 71% (52/78). In addition, correlation
   analysis found that particular browsing durations were highly correlated
   with users' age, education level, and the urgency of their information
   need.
   Conclusions: A user's type of health information need context (ie,
   searching for self, for others, or with no health issue in mind) can be
   identified with reasonable accuracy using just user mouse clicks that
   can easily be detected by Web applications. Higher accuracy can be
   obtained using Google glass or future computing devices with eye
   tracking function.
RI PIAN, WENJING/C-9622-2019; Pian, Wenjing/T-8634-2019; Pian, Wenjing/; Chi, Jianxing/
OI Pian, Wenjing/0000-0002-8676-5519; Chi, Jianxing/0000-0003-3945-6286
ZR 0
ZB 0
Z8 1
ZS 0
TC 5
ZA 0
Z9 6
U1 2
U2 33
SN 1438-8871
UT WOS:000419143000009
PM 29269342
ER

PT J
AU Dockweiler, C.
   Hornberg, C.
TI The Role of Psychological and Technology-related Personality Traits and
   Knowledge Levels as Factors Influencing Adoption of Telemonitoring by
   Medical Professionals
SO GESUNDHEITSWESEN
VL 79
IS 12
BP 1024
EP 1030
DI 10.1055/s-0035-1564266
PD DEC 2017
PY 2017
AB Objectives Information and communication technologies are becoming
   increasingly important in health care. Randomized clinical trials have
   shown that telemonitoring in particular leads to improved quality of
   care as well as shortened hospital stays and reduced health care costs.
   For its long-term anchoring in medical care, user-oriented technology
   needs to be developed, taking into account the complex structures of
   technology acceptance
   Methods Knowledge of and attitudes towards telemonitoring amongst
   medical professionals were investigated using an online-based approach
   with a random sample of n = 614; the response rate was 21 % (n = 133).
   The emergence of positive attitude patterns towards telemonitoring was
   analyzed using the relationships between psychological and
   technology-related personality traits, and perceived knowledge was
   determined using a regression model.
   Results Positive attitudes towards telemonitoring are significantly
   influenced by the individual's knowledge and agreeableness, which is
   strongly characterized by altruistic traits and interpersonal trust.
   There is a strong association with an improvement in the quality of
   care, while there are differences in attitudes towards telemonitoring
   between health care sectors and gender. Overall, only 57 % of the
   physicians surveyed feel sufficiently informed about the use of
   telemonitoring.
   Conclusion Medical evidence is crucial for the further development of
   telemedicine in general and telemonitoring in particular. Improvements
   need to be made in knowledge transfer, the exchange of best practice
   solutions and the anchoring of telemedicine in education and training.
OI Dockweiler, Christoph/0000-0003-1024-3279
ZB 0
ZS 0
TC 4
ZR 0
Z8 0
ZA 0
Z9 4
U1 0
U2 8
SN 0941-3790
EI 1439-4421
UT WOS:000418957000015
PM 26551849
ER

PT J
AU Podsiadlo, Pawel
   Darocha, Tomasz
   Kosinski, Sylweriusz
   Salapa, Kinga
   Zietkiewicz, Miroslaw
   Sanak, Tomasz
   Turner, Rachel
   Brugger, Hermann
TI Severe Hypothermia Management in Mountain Rescue: A Survey Study
SO HIGH ALTITUDE MEDICINE & BIOLOGY
VL 18
IS 4
BP 411
EP 416
DI 10.1089/ham.2017.0090
PD DEC 2017
PY 2017
AB Podsiado, Pawe, Tomasz Darocha, Sylweriusz Kosiski, Kinga Saapa, Mirosaw
   Zitkiewicz, Tomasz Sanak, Rachel Turner, and Hermann Brugger. Severe
   hypothermia management in mountain rescue: A survey study. High Alt Med
   Biol 18:411-416, 2017. Introduction: Severe hypothermia is a rare but
   demanding medical emergency. Although mortality is high, if well
   managed, the neurological outcome of survivors can be excellent. The aim
   of the study was to assess whether mountain rescue teams (MRTs) are able
   to meet the guidelines in the management of severe hypothermia,
   regarding their equipment and procedures. Methods: Between August and
   December 2016, an online questionnaire, with 24 questions to be
   completed using Google Forms, was sent to 123MRTs in 27 countries.
   Results: Twenty-eight MRTs from 10 countries returned the completed
   questionnaire. Seventy-five percent of MRTs reportedly provide advanced
   life support (ALS) on-site and 89% are regularly trained in hypothermia
   management. Thirty-two percent of MRTs transport hypothermic patients in
   cardiac arrest to the nearest hospital instead of an Extracorporeal Life
   Support facility; 39% are equipped with mechanical chest compression
   devices; 36% measure core body temperature on-site and no MRT is
   equipped with a device to measure serum potassium concentration on-site
   in avalanche victims. Conclusions: Most MRTs are regularly trained in
   the treatment of severe hypothermia and provide ALS. The majority are
   not equipped to follow standard procedural guidelines for the treatment
   of severely hypothermic patients, especially with cardiac arrest.
   However, the low response rate23% (28/123)could have induced a bias.
RI Podsiadło, Paweł/AAY-5827-2021; Ziętkiewicz, Mirosław/AGN-5405-2022; Ziętkiewicz, Mirosław J/A-8164-2012; Turner, Rachel, Ella, Frost/; Darocha, Tomasz/; /
OI Podsiadło, Paweł/0000-0002-1069-2659; Ziętkiewicz, Mirosław
   J/0000-0002-6966-8426; Turner, Rachel, Ella, Frost/0000-0003-4371-580X;
   Darocha, Tomasz/0000-0001-5889-3209; /0000-0002-0105-5340
Z8 0
ZR 0
ZB 3
ZA 0
ZS 0
TC 16
Z9 16
U1 1
U2 13
SN 1527-0297
EI 1557-8682
UT WOS:000419145300012
PM 28968162
ER

PT J
AU Wang, Jying-Nan
   Chiu, Ya-Ling
   Yu, Haiyan
   Hsu, Yuan-Teng
TI Understanding a Nonlinear Causal Relationship Between Rewards and
   Physicians' Contributions in Online Health Care Communities:
   Longitudinal Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 12
AR e427
DI 10.2196/jmir.9082
PD DEC 2017
PY 2017
AB Background: The online health care community is not just a place for the
   public to share physician reviews or medical knowledge, but also a
   physician-patient communication platform. The medical resources of
   developing countries are relatively inadequate, and the online health
   care community is a potential solution to alleviate the phenomenon of
   long hospital queues and the lack of medical resources in rural areas.
   However, the success of the online health care community depends on
   online contributions by physicians.
   Objective: The aim of this study is to examine the effect of incentive
   mechanisms on physician's online contribution behavior in the online
   health community. We addressed the following questions: (1) from which
   specialty area are physicians more likely to participate in online
   health care community activities, (2) what are the factors affecting
   physician online contributions, and (3) do incentive mechanisms,
   including psychological and material rewards, result in differences of
   physician online contributions?
   Methods: We designed a longitudinal study involving a data sample in
   three waves. All data were collected from the Good Doctor website, which
   is the largest online health care community in China. We first used
   descriptive statistics to investigate the physician online contribution
   behavior in its entirety. Then multiple linear and quadratic regression
   models were applied to verify the causal relationship between rewards
   and physician online contribution.
   Results: Our sample included 40,300 physicians from 3607 different
   hospitals, 10 different major specialty areas, and 31 different
   provinces or municipalities. Based on the multiple quadratic regression
   model, we found that the coefficients of the control variables, past
   physician online contributions, doctor review rating, clinic title,
   hospital level, and city level, were .415, .189, -.099, -.106, and
   -.143, respectively. For the psychological (or material) rewards, the
   standardized coefficient of the main effect was 0.261 (or 0.688) and the
   standardized coefficient of the quadratic effect was -0.015 (or -0.049).
   All estimates were statistically significant (P<.001).
   Conclusions: Physicians with more past physician online contribution,
   with higher review ratings, coming from lower level clinics, not coming
   from tertiary hospitals, and not coming from big cities were more
   willing to participate in online health care community activities. To
   promote physician online contribution, it is necessary to establish an
   appropriate incentive mechanism including psychological and material
   rewards. Finally, our findings suggest two guidelines for designing a
   useful incentive mechanism to facilitate physician online contribution.
   First, material reward is more useful than psychological reward. Second,
   as indicated by the concave-down-increasing causal relationship between
   rewards and physician online contribution, although an appropriate
   reward is effective in encouraging willingness on the part of physicians
   to contribute to the online health care community, the effect of
   additional rewards is limited.
RI Hsu, Yuan-Teng/Q-3546-2019; Wang, Jying-Nan/AAE-4984-2020; Chiu, Ya-Ling/; Yu, Haiyan/K-2644-2014
OI Hsu, Yuan-Teng/0000-0001-8805-3964; Wang, Jying-Nan/0000-0002-2315-2520;
   Chiu, Ya-Ling/0000-0001-5466-0993; Yu, Haiyan/0000-0002-6473-8552
ZR 0
ZB 1
ZA 0
ZS 0
TC 25
Z8 0
Z9 25
U1 18
U2 91
SN 1438-8871
UT WOS:000419143100001
PM 29269344
ER

PT J
AU Szyld, Demian
   Uquillas, Kristen
   Green, Brad R.
   Yavner, Steven D.
   Song, Hyuksoon
   Nick, Michael W.
   Ng, Grace M.
   Pusic, Martin V.
   Riles, Thomas S.
   Kalet, Adina
TI Improving the Clinical Skills Performance of Graduating Medical Students
   Using "WISE OnCall," a Multimedia Educational Module
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 12
IS 6
BP 385
EP 392
DI 10.1097/SIH.0000000000000254
PD DEC 2017
PY 2017
AB Introduction: "Transitions to residency" programs are designed to
   maximize quality and safety of patient care, as medical students become
   residents. However, best instructional or readiness assessment practices
   are not yet established. We sought to study the impact of a screen-based
   interactive curriculum designed to prepare interns to address common
   clinical coverage issues (WISE OnCall) on the clinical skills
   demonstrated in simulation and hypothesize that performance would
   improve after completing the module.
   Methods: Senior medical students were recruited to participate in this
   single group prestudy/poststudy. Students responded to a call from a
   standardized nurse (SN) and assessed a standardized patient (SP) with
   low urine output, interacted with a 45-minute WISE OnCall module on the
   assessment and management of oliguria, and then evaluated a different SP
   with low urine output of a different underlying cause. Standardized
   patients assessed clinical skills with a 37-item, behaviorally anchored
   checklist measuring clinical skills (intraclass correlation coefficient
   [ICC], 0.55-0.81). Standardized nurses rated care quality and safety and
   collaboration and interprofessional communication using a 33-item
   literature-based, anchored checklist (ICC, 0.47-0.52). Standardized
   patient and SN ratings of the same student performance were correlated
   (r, 0.37-0.62; P < 0.01). Physicians assessed clinical reasoning quality
   based on the students' patient encounter note (ICC, 0.55-0.68), ratings
   that did not correlate with SP and SN ratings. We compared pre-post
   clinical skills performance and clinical reasoning. Fifty-two medical
   students (31%) completed this institutional review board-approved study.
   Results: Performance as measured by the SPs, SNs, and the postencounter
   note all showed improvement with mostly moderate to large effect sizes
   (range of Cohen's d, 0.30-1.88; P < 0.05) after completion of the online
   module. Unexpectedly, professionalism as rated by the SP was poorer
   after the module (Cohen's d, -0.93; P = 0.000).
   Discussion: A brief computer-based educational intervention
   significantly improved graduating medical students' clinical skills
   needed to be ready for residency.
RI Kalet, Adina/AAA-3440-2021; Pusic, Martin/; Szyld, Demian/
OI Kalet, Adina/0000-0003-4855-0223; Pusic, Martin/0000-0001-5236-6598;
   Szyld, Demian/0000-0001-6609-7384
ZR 0
ZS 0
ZA 0
TC 3
ZB 0
Z8 0
Z9 3
U1 0
U2 14
SN 1559-2332
EI 1559-713X
UT WOS:000423463300007
PM 29076970
ER

PT J
AU Martinez, J. L.
   Duncan, L. R.
   Rivers, S. E.
   Bertoli, M. C.
   Latimer-Cheung, A. E.
   Salovey, P.
TI Healthy Eating for Life English as a second language curriculum:
   applying the RE-AIM framework to evaluate a nutrition education
   intervention targeting cancer risk reduction
SO TRANSLATIONAL BEHAVIORAL MEDICINE
VL 7
IS 4
BP 657
EP 666
DI 10.1007/s13142-017-0479-z
PD DEC 2017
PY 2017
AB Medically underserved US immigrants are at an increased risk for death
   from preventable or curable cancers due to economic, cultural, and/or
   linguistic barriers to medical care. The purpose of this study was to
   describe the evaluation of the pilot study of the Healthy Eating for
   Life (HE4L) English as a second language curriculum. The Reach,
   Effectiveness Adoption, Implementation, Maintenance (RE-AIM) model was
   used to design a mixed-methods approach to the evaluation of the HE4L
   curriculum. Successful implementation was dependent upon enthusiastic
   teacher and manager support of the curriculum, teachers' ability to
   flexibly apply the curriculum to meet student needs, and researcher
   provision of curriculum workbooks. HE4L can be implemented successfully
   in various adult education settings to teach healthy eating behaviors
   and English language principles. Scale-up of HE4L may depend on the
   development of an online version of the curriculum to avoid the costs
   associated with printing and distributing curriculum materials.
RI Martinez, Josefa/M-3313-2019; Latimer, Amy/
OI Latimer, Amy/0000-0002-0442-6848
ZS 0
ZA 0
ZB 1
ZR 0
TC 4
Z8 0
Z9 4
U1 0
U2 4
SN 1869-6716
EI 1613-9860
UT WOS:000418894100004
PM 28275976
ER

PT J
AU Saint, Sanjay
   Harrod, Molly
   Fowler, Karen E.
   Houchens, Nathan
TI How Exemplary Teaching Physicians Interact with Hospitalized Patients
SO JOURNAL OF HOSPITAL MEDICINE
VL 12
IS 12
BP 974
EP 978
DI 10.12788/jhm.2844
PD DEC 2017
PY 2017
AB BACKGROUND: Effectively interacting with patients defines the consummate
   clinician.
   OBJECTIVE: As part of a broader study, we examined how 12 carefully
   selected attending physicians interacted with patients during inpatient
   teaching rounds.
   DESIGN: A multisite study using an exploratory, qualitative approach.
   PARTICIPANTS: Exemplary teaching physicians were identified using
   modified snowball sampling. Of 59 potential participants, 16 were
   contacted, and 12 agreed to participate. Current and former learners of
   the participants were also interviewed. Participants were from hospitals
   located throughout the United States.
   INTERVENTION: Two researchers-a physician and a medical
   anthropologist-conducted 1-day site visits, during which they observed
   teaching rounds and patient-physician interactions and interviewed
   learners and attendings.
   MEASUREMENTS: Field notes were taken during teaching rounds. Interviews
   were recorded and transcribed, and code reports were generated.
   RESULTS: The attendings generally exhibited the following 3 thematic
   behaviors when interacting with patients: (1) care for the patient's
   well-being by being a patient advocate and forming a bond with the
   patient; (2) consideration of the "big picture" of the patient's medical
   and social situation by anticipating what the patient may need upon
   discharge and inquiring about the patient's social situation; and (3)
   respect for the patient through behaviors such as shaking hands with the
   patient and speaking with the patient at eye level by sitting or
   kneeling.
   CONCLUSIONS: The key findings of our study (care for the patient's
   well-being, consideration of the "big picture," and respect for the
   patient) can be adopted and honed by physicians to improve their own
   interactions with hospitalized patients. Published online first
   September 20, 2017. (c) 2017 Society of Hospital Medicine
RI Saint, Sanjay/AAF-5126-2019; Fowler, Karen/B-5383-2015
OI Fowler, Karen/0000-0001-8274-8407
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
TC 2
Z9 2
U1 2
U2 4
SN 1553-5592
EI 1553-5606
UT WOS:000418352000004
PM 29236096
ER

PT J
AU Ayala Aguirre, Patricia Estefania
   Coelho, Melina Martins
   Rios, Daniela
   Andrade Moreira Machado, Maria Aparecida
   Pereira Cruvinel, Agnes Fatima
   Cruvinel, Thiago
TI Evaluating the Dental Caries-Related Information on Brazilian Websites:
   Qualitative Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 12
AR e415
DI 10.2196/jmir.7681
PD DEC 2017
PY 2017
AB Background: Dental caries is the most common chronic oral disease,
   affecting 2.4 billion people worldwide who on average have 2.11 decayed,
   missing, or filled teeth. It impacts the quality of life of patients,
   socially and economically. However, the comprehension of dental caries
   may be difficult for most people, as it involves a multifactorial
   etiology with the interplay between the tooth surface, the dental
   biofilm, dietary fermentable carbohydrates, and genetic and behavioral
   factors. Therefore, the production of effective materials addressed to
   the education and counseling of patients for the prevention of dental
   caries requires a high level of specialization. In this regard, the
   dental caries-related contents produced by laypersons and their
   availability on the Internet may be low-quality information.
   Objective: The aim of this study was to assess the readability and the
   quality of dental caries-related information on Brazilian websites.
   Methods: A total of 75 websites were selected through Google, Bing,
   Yahoo!, and Baidu. The websites were organized in rankings according to
   their order of appearance in each one of the 4 search engines.
   Furthermore, 2 independent examiners evaluated the quality of websites
   using the DISCERN questionnaire and the Journal of American Medical
   Association (JAMA) benchmark criteria. The readability of the websites
   was assessed by the Flesch Reading Ease adapted to Brazilian Portuguese
   (FRE-BP). In addition, the information presented on the websites was
   categorized as etiology, prevention, and treatment of dental caries. The
   statistical analysis was performed using Spearman rank correlation
   coefficient, Mann-Whitney U test, hierarchical clustering analysis by
   Ward minimum variance method, Kruskal-Wallis test, and post hoc Dunn
   test. P<.05 was considered significant.
   Results: The Web contents were considered to be of poor quality by
   DISCERN (mean 33.48, standard deviation, SD 9.06) and JAMA (mean 1.12,
   SD 0.97) scores, presenting easy reading levels (FRE-BP: mean 62.93, SD
   10.15). The rankings of the websites presented by Google (rho=-.22,
   P=.08), Baidu (rho=-.19, P=.53), Yahoo! (rho=.22, P=.39), and Bing
   (rho=-.36, P=.23) were not correlated with DISCERN scores. Moreover, the
   quality of websites with health-and nonhealth-related authors was
   similar (P=.27 for DISCERN and P=.47 for JAMA); however, the pages with
   a greater variety of dental caries information showed significantly
   higher quality scores than those with limited contents (P=.009).
   Conclusions: On the basis of this sample, dental caries-related contents
   available on Brazilian websites were considered simple, accessible, and
   of poor quality, independent of their authorship. These findings
   indicate the need for the development of specific policies focused on
   the stimulus for the production and publication of Web health
   information, encouraging dentists to guide their patients in searching
   for recommended oral health websites.
RI Rios, Daniela/GMW-9768-2022; Rios, Daniela/AFL-1675-2022; Cruvinel, Thiago/K-2707-2012; Machado, Maria Aparecida Andrade Moreira/D-8224-2012; Rios, Daniela/G-5738-2012; Aguirre, Patricia Estefania Ayala/AAG-7482-2020; Pereira Cruvinel, Agnes Fatima/; Ayala Aguirre, Patricia Estefania/; Coelho, Melina Martins/
OI Rios, Daniela/0000-0002-9162-3654; Rios, Daniela/0000-0002-9162-3654;
   Cruvinel, Thiago/0000-0001-7095-908X; Machado, Maria Aparecida Andrade
   Moreira/0000-0003-3778-7444; Rios, Daniela/0000-0002-9162-3654; Pereira
   Cruvinel, Agnes Fatima/0000-0003-0612-9553; Ayala Aguirre, Patricia
   Estefania/0000-0001-6099-7664; Coelho, Melina
   Martins/0000-0001-9923-8251
ZR 0
ZB 1
TC 11
ZA 0
ZS 0
Z8 1
Z9 12
U1 0
U2 13
SN 1438-8871
UT WOS:000417797700002
PM 29237585
ER

PT J
AU Chang, Li-Chun
   Guo, Jong Long
   Lin, Hui-Ling
TI Cultural competence education for health professionals from
   pre-graduation to licensure delivered using facebook: Twelve-month
   follow-up on a randomized control trial
SO NURSE EDUCATION TODAY
VL 59
BP 94
EP 100
DI 10.1016/j.nedt.2017.09.005
PD DEC 2017
PY 2017
AB Background: Cultural competence (CC) training is widely recognized as a
   crucial component of the professional development of healthcare
   providers. There is no study on the effect of Facebook (FB) as a
   strategy to promote continual learning to enhance CC among students in
   health professions.
   Objectives: To test the effects of cultural competence education using
   FB as a delivery platform on knowledge, awareness, self-efficacy, and
   skill related to CC in health students from pre-graduation to licensed
   professional stages.
   Design: A randomized controlled trial.
   Participants: We recruited students from professional nursing, pharmacy,
   and nutrition programs at six medical universities and randomly assigned
   them to study groups.
   Methods: Between T1 and T2 (months 1-3), the intervention group (IG)
   received pre-graduation education in CC while the control group (CG)
   received their regular educational program. Between T2 and T3 (months
   6-9), IG received on-the-job education in CC while CG received the
   regular program. An online self-report questionnaire assessing CC
   knowledge, awareness, self-efficacy, and skill was analyzed at baseline,
   6 months, and 12 months.
   Results: Of 180 participants who completed the pretest, 120 (65 IG and
   55 CG) completed both follow-ups. Changes over time were mixed; the only
   statistical difference between groups was an improvement in awareness in
   IG but not in CG. At 12 months, intervention and control participants
   had different levels of awareness of CC (beta = 2.56, p < 0.001), but
   other outcomes did not differ between groups.
   Conclusion: Health profession educators can adopt Facebook as an
   education delivery platform to offer personalized, social learning
   incorporating cultural competency curricula into ongoing education and
   training in rising awareness on CC.
TC 15
ZA 0
Z8 0
ZS 2
ZR 0
ZB 0
Z9 17
U1 0
U2 19
SN 0260-6917
EI 1532-2793
UT WOS:000416187800017
PM 28963921
ER

PT J
AU Betschart, Patrick
   Zumstein, Valentin
   Bentivoglio, Maico
   Engeler, Daniel
   Schmid, Hans-Peter
   Abt, Dominik
TI Readability assessment of online patient education materials provided by
   the European Association of Urology
SO INTERNATIONAL UROLOGY AND NEPHROLOGY
VL 49
IS 12
BP 2111
EP 2117
DI 10.1007/s11255-017-1695-7
PD DEC 2017
PY 2017
AB Purpose To assess the readability of the web-based patient education
   material provided by the European Association of Urology.
   Materials and methods English patient education materials (PEM) as
   available in May 2017 were obtained from the EAU website. Each topic was
   analyzed separately using six well-established readability assessment
   tools, including Flesch-Kincaid Grade Level (FKGL), SMOG Grade Level
   (SMOG), Coleman-Liau Index (CLI), Gunning Fog Index (GFI), Flesch
   Reading Ease Formula (FRE) and Fry Readability Graph (FRG).
   Results A total of 17 main topics were identified of which separate
   basic and in-depth information is provided for 14 topics. Calculation of
   grade levels (FKGL, SMOG, CLI, GFI) showed readability scores of
   7th-13th grade for basic information, 8th-15th grade for in-depth
   information and 7th-15th grade for single PEM. Median FRE score was 54
   points (range 45-65) for basic information and 56 points (41-64) for
   in-depth information. The FRG as a graphical assessment revealed only 13
   valid results with an approximate 8th-17th grade level.
   Conclusion The EAU provides carefully worked out PEM for 17 urological
   topics. Although improved readability compared to similar analyses was
   found, a simplification of certain chapters might be helpful to
   facilitate better patient understanding.
OI Engeler, Daniel/0000-0003-1383-4701; Abt, Dominik/0000-0002-1915-4726
TC 12
Z8 0
ZB 3
ZR 0
ZA 0
ZS 0
Z9 12
U1 0
U2 12
SN 0301-1623
EI 1573-2584
UT WOS:000414377800004
PM 28905177
ER

PT J
AU Kugasia, A.
   Sehgal, N.
   Dollear, M.
   Sequeira, W.
   Block, J. A.
   Jolly, M.
TI Practice patterns in longitudinal lupus care provision: patient and
   physician perspectives
SO LUPUS
VL 26
IS 14
BP 1556
EP 1561
DI 10.1177/0961203317716788
PD DEC 2017
PY 2017
AB Background/purpose To plan a quality improvement project, we need to
   understand the practice patterns of physicians. We undertook an online
   survey of systemic lupus erythematosus (SLE) patients and physicians
   providing care to SLE patients to determine the patterns of medical care
   provided to SLE patients.
   Materials and methods Two self-report surveys were developed. A 12-item
   survey for the patients and a 13-item survey for physicians enquired
   about longitudinal care for SLE. Surveys were administered online to
   physicians providing care to SLE patients, and to patients who
   self-identified as having SLE, through the Lupus Society of Illinois.
   Patient and physician data were analyzed for physician practice patterns
   for SLE care, using chi square tests and t tests. A P value of 0.05 or
   less was considered significant on two-tailed tests.
   Results A total of 283 patients completed the survey. Mean (SD) age and
   disease duration of patients were 45.9 (13.2) and 12.7 (9.7) years. Half
   of the participants were being seen at 3-4-month intervals. More than
   70% of patients reported being tested for antinuclear antibody (ANA),
   and 20-30% anti-ENA antibody and Sjogren's (SSA/SSB) antibodies,
   respectively, at each follow-up visit. Eighty-six rheumatologists
   completed the surveys. Mean (SD) age was 55 (12) years and 56% were men.
   More than half (54%) provided care only in a private practice setting.
   More than 80% of physicians reported seeing their SLE patients at
   3-4-month interval. Only 2% reported performing ANA tests at each visit,
   while 4-5% performed anti-ENA and anti-SSA/SSB antibody tests at each
   visit for their SLE patients. More than 75% of physicians in private
   practice also ordered sedimentation rate at each visit for their SLE
   patients.
   Conclusions Unnecessary laboratory investigations may be being ordered
   routinely for patients at every visit. These results indicate a need for
   physician education on indications and utility of some of the laboratory
   tests such as ANA.
RI Jolly, Meenakshi/K-2561-2019; Jolly, Meenakshi/; Block, Joel/
OI Jolly, Meenakshi/0000-0001-8460-2751; Block, Joel/0000-0002-0330-7353
ZS 0
ZA 0
Z8 0
ZB 1
TC 2
ZR 0
Z9 2
U1 0
U2 0
SN 0961-2033
EI 1477-0962
UT WOS:000414406100012
PM 28659044
ER

PT J
AU Skolarus, Ted A.
   Ragnoni, Jennifer A.
   Garlinghouse, Carol
   Schafenacker, Ann
   Webster, Debbie
   Hager, Polly
   Wittmann, Daniela
   Northouse, Laurel
TI Multilingual Self-Management Resources for Prostate Cancer Survivors and
   Their Partners: Results of a Long-Term Academic-State Health Department
   Partnership to Promote Survivorship Care
SO UROLOGY
VL 110
BP 92
EP 97
DI 10.1016/j.urology.2017.06.017
PD DEC 2017
PY 2017
AB OBJECTIVE To provide innovative, evidence-based self management
   information and supportive care for prostate cancer survivors and their
   partners. We describe how an academic-public partnership facilitated the
   broad dissemination of evidence-based, multilingual survivorship
   educational materials via a state-managed prostate cancer website.
   METHODS We outline the steps of an academic-public partnership leading
   to dissemination of online, survivorship materials as a resource for
   prostate cancer survivors and their partners. We examined the 5-year
   utilization of the materials from January 2011 to December 2015
   according to 14 content areas (e.g., urinary, bowel, and sexual
   problems, fatigue, communication, cancer stress) and across 3 languages
   (English, Spanish, Arabic).
   RESULTS The total number of prostate cancer survivorship materials
   downloaded from January 2011 to December 2015 was 89,348. The number of
   downloaded materials increased over time from 6,421 in 2011 to 17,496 in
   2015. The most commonly downloaded content area was urine problems
   (27.5%), followed by bowel problems (23.4%) and sexual side effects
   (16.2%). The majority of downloaded materials was in English (86.3%),
   followed by Spanish (9.8%) and Arabic (3.9%).
   CONCLUSION The academic-public partnership facilitated broad
   dissemination of evidence-based informational materials for prostate
   cancer survivors and their partners through a state-managed website from
   2011 to 2015. Given the increasing role of academic-public partnerships
   in funding and development of robust, sustainable prostate cancer
   survivorship resources, this work serves as an introduction to these
   evidence-based materials and highlights a successful model of engagement
   between practitioners, research scientists, and public health
   administration. Published by Elsevier Inc.
RI Wittmann, Daniela/X-7127-2019; Northouse, Laurel/
OI Northouse, Laurel/0000-0002-2567-2183
ZR 0
ZB 0
ZA 0
Z8 0
TC 7
ZS 0
Z9 7
U1 0
U2 2
SN 0090-4295
EI 1527-9995
UT WOS:000415599100020
PM 28652166
ER

PT J
AU Boyer, Stephanie
   Chamberlain, Susan
   Pukall, Caroline
TI Vulvodynia attitudes in a sample of Canadian post-graduate medical
   trainees
SO CANADIAN JOURNAL OF HUMAN SEXUALITY
VL 26
IS 3
BP 249
EP 260
DI 10.3138/cjhs.2017-0019
PD DEC 2017
PY 2017
AB Physicians play a critical role in addressing sexual health in medical
   practice, including pain during intercourse. Vulvodynia is a prevalent
   cause of pain, however, related training is limited and variable. In
   addition, physician attitudes toward pain and sexuality may affect
   behaviour and therefore patient outcomes. This study's objectives were
   to: 1) determine whether post-graduate trainees hold more positive
   attitudes toward women presenting with vulvovaginal pain with (versus
   without) an identifiable cause; and 2) examine attitudinal predictors of
   comfort treating vulvodynia and attitudes toward patients with this
   presentation. Residents in Canadian Obstetrics and Gynecology (OBGYN)
   and Family Medicine (FM) programs participated in an online survey (N =
   99). Respondents completed questionnaires related to demographics,
   sexuality-related training, sexual attitudes, and comfort treating and
   attitudes toward vulvovaginal pain and its symptoms. Residents reported
   significantly more positive attitudes toward patients with visible
   pathology versus no identifiable cause for vulvovaginal pain, regardless
   of medical specialty, p < .001. In OBGYN residents, general comfort
   discussing sexuality in medical practice significantly predicted comfort
   treating vulvodynia and its symptoms (p < .001), and attitudes toward
   women with vulvodynia (p < .05). Demographic, training, and attitudinal
   variables did not significantly predict vulvodynia outcome measures in
   FM residents. This study of medical residents identified different
   attitudes based on vulvovaginal pain presentation, and identified
   predictors of attitudes and comfort treating vulvodynia in OBGYN
   residents. Findings suggest pathways by which health care experiences
   may influence outcomes in this population, and have important
   implications for resident training.
ZB 0
ZS 0
Z8 0
TC 4
ZR 0
ZA 0
Z9 4
U1 0
U2 3
SN 1188-4517
EI 2291-7063
UT WOS:000418002800008
ER

PT J
AU Kada, Sundaran
TI Awareness and knowledge of radiation dose and associated risks among
   final year medical students in Norway
SO INSIGHTS INTO IMAGING
VL 8
IS 6
BP 599
EP 605
DI 10.1007/s13244-017-0569-y
PD DEC 2017
PY 2017
AB Objectives The objective was to assess the knowledge of radiation dose
   and of the associated risks with ionising imaging examinations of
   medical students in their final year of training prior to graduating.
   Methods An online questionnaire was sent to all final year medical
   students from two universities. The questionnaire consisted of radiation
   dose and risk related questions, with multiple choices, only one of
   these choices was the correct answer. A 'correct' answer was given one
   mark and no mark was given for 'incorrect/do not know' answers. The
   total mean score ranged from 0 to 11, with higher scores representing
   greater knowledge about radiation doses and the associated risks.
   Results Ninety-nine students completed and returned the questionnaire
   yielding a response rate of 45%. The total mean score was 3.91 out of
   possible 11. Only eighteen students scored more than five points (50%).
   Students who reported moderate confidence in their knowledge about
   radiation dose and risks, scored significantly higher than students who
   reported no confidence (p = 0.003). There was a moderate positive
   correlation between students that reported moderate confidence and
   radiation knowledge scores (rho = .301, p = .002).
   Conclusion Overall medical students' knowledge of radiation dose and the
   risks associated with ionising imaging examinations was reported to be
   low.
ZS 0
ZA 0
ZB 1
Z8 0
TC 13
ZR 0
Z9 13
U1 0
U2 2
SN 1869-4101
UT WOS:000416566200008
PM 28952058
ER

PT J
AU Milothridis, Panagiotis
   Pavlidis, Leonidas
   Panagopoulou, Efharis
TI Are Burnt-out Doctors Prone to Seek Cosmetic Surgery? A Cross-Sectional
   Study
SO AESTHETIC PLASTIC SURGERY
VL 41
IS 6
BP 1447
EP 1453
DI 10.1007/s00266-017-0947-3
PD DEC 2017
PY 2017
AB Introduction Studies have so far examined several psychosocial factors
   associated with an interest in aesthetic plastic surgery. Among them,
   gender, teasing history, marital status, education, social networks and
   body dysmorphic disorders are all predictors of interest in cosmetic
   surgery. Given the fact that professional status can influence
   health-related attitudes, our objective was firstly to identify if
   medical professionals are more likely to express interest in plastic
   surgery compared to non-medical professionals. Secondary, given the high
   rate of burn-out among physicians, the study examined the association
   between burn-out and interest in plastic surgery.
   Materials and Methods One hundred doctors and 100 non-medical
   professionals with a University degree completed a questionnaire
   regarding their interest in undergoing cosmetic plastic surgery, in
   particular minimally invasive procedures and 9 specific aesthetic
   operations. Additionally, doctors completed the standardized Maslach
   burn-out inventory. The sample consisted of 40.5% men and 59.5% women
   (mean age = 34 years).
   Results Data analysis using the Mann-Whitney test revealed that women
   and medical professionals were more likely to express interest in
   cosmetic plastic surgery (p < 0.001 and p = 0.035, respectively).
   Regarding the medical profession and interest in specific operations,
   there has not been found any association except for liposuction (p <
   0.001). Results also showed a significant positive correlation between
   interest in cosmetic procedures and burn-out syndrome (r = 0.53 p <
   0.001).
   Conclusion The original finding that doctors are prone to seek elective
   plastic surgery may be attributed to their familiarity with invasive
   procedures. The correlation between burn-out syndrome and interest in
   cosmetic surgery could reveal a way of coping with the work demands.
   Results of this study can be used for the development of clinical tools
   for the screening of patients for elective cosmetic surgery.
OI Panagopoulou, Efharis/0000-0001-8708-7361
ZA 0
ZR 0
TC 1
ZS 0
ZB 0
Z8 0
Z9 1
U1 0
U2 5
SN 0364-216X
EI 1432-5241
UT WOS:000416137300029
PM 28779405
ER

PT J
AU Ross, Sandy A.
   Yount, Morgan
   Ankarstad, Sara
   Bock, Samantha
   Orso, Britta
   Perry, Kimberly
   Miros, Jennifer
   Brunstrom-Hernandez, Janice E.
TI Effects of Participation in Sports Programs on Walking Ability and
   Endurance Over Time in Children With Cerebral Palsy
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 12
BP 843
EP 851
DI 10.1097/PHM.0000000000000767
PD DEC 2017
PY 2017
AB Objective Children with cerebral palsy may benefit from maintaining a
   high level of physical fitness similar to typically developing children
   especially in terms of long-term physical performance, although in
   practice this is often difficult. The purpose of this study was to
   determine the effect of participation in sports programs on walking
   ability and endurance over time.
   Design A retrospective cohort study included participants with cerebral
   palsy, aged 6 to 20 yrs, who attended a summer sports program from 2004
   to 2012. There were 256 participant sessions with pre/post data
   recorded. The participants consisted of a total of 97 children (mean age
   [SD] = 11.4 [3.1] yrs), many of whom attended multiple programs
   throughout the years. Programs were held 6 hrs/d, 5 d/wk for up to 4
   wks. Outcome measures included the Timed Up and Go, modified 6-min walk,
   and 25-ft walk/run.
   Results The results showed significant improvements in the Timed Up and
   Go, modified 6-min walk distance and 25-ft walk/run over time. Children
   in Gross Motor Classification System level III made the largest gains.
   Conclusions Walking ability and endurance seem to improve after
   participation in an intensive summer sports programs. Higher frequency
   of program attendance resulted in significant improvements in the Timed
   Up and Go.
ZA 0
Z8 0
ZR 0
ZB 0
TC 1
ZS 0
Z9 1
U1 0
U2 12
SN 0894-9115
EI 1537-7385
UT WOS:000415752600008
PM 28644242
ER

PT J
AU Janouskova, Miroslava
   Weissova, Aneta
   Formanek, Tomas
   Pasz, Jiri
   Motlova, Lucie Bankovska
TI Mental illness stigma among medical students and teachers
SO INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY
VL 63
IS 8
BP 744
EP 751
DI 10.1177/0020764017735347
PD DEC 2017
PY 2017
AB Background: Medical school curriculum contributes to future doctors'
   attitude formation towards people with mental illness.
   Aim: The purpose of this study was to compare stigmatizing attitudes
   between medical students and faculty, analyse stigmatizing attitudes
   among students from different years of study and identify factors
   predicting stigma.
   Methods: A cross-sectional study with the use of scales measuring
   attitudes and social distance was designed. Online questionnaires were
   distributed to all students and teachers at a medical faculty in the
   Czech Republic.
   Results: The response rate was 32.1% (n=308) among students and 26.7%
   (n=149) among teachers. Teachers had a greater prevalence of
   stigmatizing attitudes than students. Increased tolerant attitudes in
   students were detected after the fourth year, that is, following
   introduction to psychiatry. Preferred specialization in psychiatry and
   attending two psychiatry courses predicted more tolerant attitudes.
   Among both students and teachers, men possessed more stigmatizing
   attitudes towards people with mental illness. Age was an important
   predictor of stigmatizing attitudes among teachers.
   Conclusion: Educators should pay closer attention to the role of medical
   psychology and communication training implementation, which may be
   beneficial to improving skills and increasing medical students'
   self-esteem and feeling of competence throughout their psychiatry
   rotation.
RI Formánek, Tomáš/C-5897-2019; Formánek, Tomáš/N-2600-2019; Janouskova, Miroslava/; Alexova, Aneta/
OI Formánek, Tomáš/0000-0002-6740-6860; Formánek,
   Tomáš/0000-0002-6740-6860; Janouskova, Miroslava/0000-0002-0582-4581;
   Alexova, Aneta/0000-0003-4947-0508
ZB 1
ZS 0
ZR 0
ZA 0
Z8 1
TC 18
Z9 19
U1 0
U2 19
SN 0020-7640
EI 1741-2854
UT WOS:000415787700010
PM 29034811
ER

PT J
AU Scott, Karen M.
   Baur, Louise
   Barrett, Jenny
TI Evidence-Based Principles for Using Technology-Enhanced Learning in the
   Continuing Professional Development of Health Professionals
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 37
IS 1
BP 61
EP 66
DI 10.1097/CEH.0000000000000146
PD WIN 2017
PY 2017
AB Increasingly, health professional training involves the use of
   educational technologies through what is broadly termed
   "Technology-Enhanced Learning" (TEL). TEL includes hardware, such as
   computers and mobile devices, and software, such as software
   applications (apps), learning management systems, and discussion boards.
   For many years, TEL has formed an integral part of health professional
   programs and is growing in acceptance, if not expectation, in
   postgraduate training and continuing education. TEL generally aims to be
   flexible, engaging, learner focused and interactive, and may involve
   collaboration and communication. It offers many benefits for learning
   and teaching, whether used on its own or in conjunction with
   face-to-face teaching through blended learning. The ubiquity of mobile
   devices in clinical settings means TEL is ideal for busy clinicians,
   both as learners and teachers. TEL enables participants to learn at a
   time and place that is convenient to them, so learners living in
   geographically dispersed locations can access standardized courses. To
   realize these potential benefits, we recommend that those developing TEL
   programs for health professionals take a systematic approach to
   planning, development, implementation, and evaluation. To that end, we
   propose 10 principles: clarify purpose and conduct a needs assessment;
   allocate adequate time and technology; incorporate proven approaches to
   improve learning; consider the need for a skills component; enable
   interaction between learners and with others; create different resources
   for different groups; pilot before implementing; incorporate measures to
   retain learners; provide opportunities for revision to aid retention;
   and evaluate learning outcomes, not just satisfaction.
RI Scott, Karen M./N-7333-2017; Baur, Louise/AAE-3413-2021
OI Scott, Karen M./0000-0003-0721-6675; 
TC 38
ZR 0
ZB 2
ZA 0
Z8 0
ZS 2
Z9 39
U1 2
U2 352
SN 0894-1912
EI 1554-558X
UT WOS:000396712000010
PM 28252469
ER

PT J
AU Wittoek, Ruth
   Mielants, Herman
TI To be or not to be rheumatologist: survey among Belgian medical students
   and internal medicine trainees: what do certified rheumatologists think
   about the current rheumatology training program?
SO CLINICAL RHEUMATOLOGY
VL 36
IS 12
BP 2805
EP 2812
DI 10.1007/s10067-017-3673-y
PD DEC 2017
PY 2017
AB In several countries, there have been increasing concerns over the years
   that fewer medical students or trainees choose rheumatology as a
   specialty. The aim of this three-step survey is to study the
   motivational factors for students and trainees in internal medicine to
   choose for rheumatology as a future career option and the idea among
   experienced rheumatologists about the needs for changes in the training
   program. An online survey was distributed among students in medical
   training (in the final 3 years) and trainees in internal medicine from
   the Ghent University and University Hospital. Questions concerned the
   level of clinical exposure to rheumatology and the motivation about
   becoming rheumatologist. Next, experienced rheumatologists were asked
   about the needs to change the current training. Descriptive data are
   shown and chi-squared tests were calculated to assess differences
   between groups (based on gender and exposure). Logistic regression was
   performed to study associations between demographic variables and
   choosing rheumatology as career. Only a minority of students (17%) and
   about half of trainees (45%) were ever exposed to rheumatology. Only 11%
   of students and 17% of trainees considered becoming rheumatologist.
   There was no difference in choice based on gender but previous exposure
   seemed to play an important role, and especially during the
   pre-specialty years. Univariate logistic regression identified the year
   of training and exposure as predictors for choosing rheumatology.
   Multivariate analysis only retained exposure as significantly associated
   (odds ratio (95% CI) = 2.88 (1.51-12.58)). Rheumatology is considered to
   be a fascinating discipline among Belgian students and trainees.
   Exposure during pre-specialty years is the strongest predictor for
   choosing rheumatology as future career option.
OI Wittoek, Ruth/0000-0002-6367-9466
ZA 0
Z8 0
ZB 0
TC 1
ZS 0
ZR 0
Z9 1
U1 0
U2 2
SN 0770-3198
EI 1434-9949
UT WOS:000415158300022
PM 28508103
ER

PT J
AU Sherman, Kerry A.
   Kilby, Christopher J.
   Shaw, Laura-Kate
   Winch, Caleb
   Kirk, Judy
   Tucker, Kathy
   Elder, Elisabeth
TI Facilitating decision-making in women undergoing genetic testing for
   hereditary breast cancer: BRECONDA randomized controlled trial results
SO BREAST
VL 36
BP 79
EP 85
DI 10.1016/j.breast.2017.10.001
PD DEC 2017
PY 2017
AB Background: Decision-making concerning risk-reducing mastectomy for
   women at hereditary risk of breast cancer entails complex personal
   choices. Deciding whether and how to restore breast shape after
   risk-reducing mastectomy is a key part of this process. We developed a
   web-based decision aid, BRECONDA (Breast Reconstruction Decision Aid),
   to assist women in decision-making regarding breast reconstruction.
   Method: This study assessed the efficacy of BRECONDA to assist women at
   increased risk of breast cancer in making decisions regarding
   risk-reducing mastectomy in terms of decisional conflict, knowledge, and
   satisfaction with information. Women at hereditary risk of breast cancer
   (N = 64) were recruited into this randomized controlled trial from four
   Australian hereditary cancer clinics. Participants initially provided
   online consent and completed baseline questionnaires assessing
   decisional conflict, knowledge, and satisfaction with information. They
   were then randomly assigned to either: 1) Intervention - unlimited
   access to BRECONDA, with usual care; or, 2) Control - usual care. At
   2-months follow-up (N = 60) the outcomes were re-assessed. Intervention
   participants also completed user acceptability ratings for the
   intervention overall and specific key modules.
   Results: MANCOVA analyses indicated that Intervention participants
   reported lower decisional conflict (P = 0.027), and greater knowledge (P
   = 0.019) and satisfaction with information (P < 0.0005) at 2-months
   follow-up compared with Controls. Intervention participants reported
   high user acceptability and satisfaction with the intervention.
   Conclusion: BRECONDA benefits women considering risk-reducing mastectomy
   by reducing decisional conflict, and improving knowledge and
   satisfaction with information. These benefits, coupled with high user
   acceptability, demonstrate the feasibility of implementing BRECONDA in
   the hereditary cancer risk context. (C) 2017 Elsevier Ltd. All rights
   reserved.
RI Kilby, Christopher Jon/A-7487-2015; Sherman, Kerry/; Winch, Caleb/A-1519-2015; Elder, Elisabeth/
OI Kilby, Christopher Jon/0000-0002-5783-6525; Sherman,
   Kerry/0000-0001-7780-6668; Winch, Caleb/0000-0002-0899-2708; Elder,
   Elisabeth/0000-0002-6686-9898
TC 10
ZS 0
ZB 1
Z8 1
ZA 0
ZR 0
Z9 11
U1 0
U2 6
SN 0960-9776
EI 1532-3080
UT WOS:000414087600014
PM 29031121
ER

PT J
AU Ivan, Kristina M.
   Hassed, Susan
   Darden, Alix G.
   Aston, Christopher E.
   Guy, Carrie
TI Influence of Genetic Counseling Graduate Program Websites on Student
   Application Decisions
SO JOURNAL OF GENETIC COUNSELING
VL 26
IS 6
BP 1213
EP 1220
DI 10.1007/s10897-017-0097-4
PD DEC 2017
PY 2017
AB This study investigated how genetic counseling educational program
   websites affect application decisions via an online survey sent to
   current students and recent graduates. Program leadership: directors,
   assistant directors, associate directors, were also surveyed to
   determine where their opinions coincided or differed from those reported
   by students and recent graduates. Chi square analysis and t-tests were
   used to determine significance of results. A two-sample t-test was used
   to compare factors students identified as important on a 5-point Likert
   scale with those identified by directors. Thematic analysis revealed
   three major themes students consider important for program websites:
   easy navigation, website content, and website impression. Directors were
   interested in how prospective students use their program website and
   what information they found most useful. Students indicated there were
   specific programs they chose not to apply to due to the difficulty of
   using the website for that program. Directors significantly
   underestimated how important information about application requirements
   was to students in making application decisions. The information
   reported herein will help individual genetic counseling graduate
   programs improve website functionality and retain interested applicants.
RI Guy, Carrie/GLV-1873-2022; Guy, Carrie/
OI Guy, Carrie/0000-0002-3349-6597
ZA 0
ZB 1
Z8 0
ZS 0
TC 1
ZR 0
Z9 1
U1 1
U2 9
SN 1059-7700
EI 1573-3599
UT WOS:000414596700005
PM 28424951
ER

PT J
AU Fornari, Eric D.
   Sabharwal, Sanjeev
   Schwend, Richard M.
TI The POSNA-COUR International Scholar Program. Results of the First 7
   Years
SO JOURNAL OF PEDIATRIC ORTHOPAEDICS
VL 37
IS 8
BP 570
EP 574
DI 10.1097/BPO.0000000000000721
PD DEC 2017
PY 2017
AB Background:The Pediatric Orthopedic Society of North America
   (POSNA)-Children's Orthopedics in Underserved Regions (COUR)
   International Scholar Program was initiated in 2007 to provide
   educational opportunities for emerging leaders who treat children with
   orthopaedic conditions in resource-challenged environments worldwide.
   Financial support is available each year for 4 to 6 orthopaedic surgeons
   to attend either the POSNA Annual Meeting or the International Pediatric
   Orthopedic Symposium. The scholars are also encouraged to visit selected
   centers for observerships during their trip. Since 2007 there have been
   41 international scholars who have participated in the program. We
   wished to assess the impact of the program and to obtain feedback to
   improve the experience for future participants.Methods:A 23-question
   web-based survey was created and sent to 38 past scholars from 22
   countries who have participated in the program by July 2013. The
   responses were gathered online and the data were analyzed for the 24
   (62%) respondents from 18 countries who completed the survey.Results:Of
   the respondents, 16/24 (66%) reported that their current practice is
   comprised of at least 75% pediatrics. Twelve of 24 (52%) were fellowship
   trained in pediatric orthopaedics, typically outside of North America.
   All scholars found the meeting they attended to be very useful and have
   subsequently made changes to their clinical practice. Nineteen of 24
   (82%) did a premeeting or postmeeting observership. Twenty-two of 24
   (92%) participants have remained in contact with POSNA members they met
   at the meeting, with 86% of respondents stating that they have
   subsequently consulted POSNA members on management of patients.
   Sixty-two percent of the scholars had a POSNA member visit them
   following the scholarship and 29% have since returned to visit POSNA
   members for further clinical observerships. Twenty-one of 24 (91%) have
   had the opportunity to share the knowledge they gained with others in
   their region through lectures, surgical demonstrations, and/or clinical
   training. A common response from the scholars was that the scholarship
   program was a truly transformative life experience that provided them
   with an opportunity to receive the highest quality of professional
   education. The main challenges that these scholars report are lack of
   available fellowship/subspecialty training in their region, patients'
   inability to pay, and excessive physician workload. All of the
   respondents expressed interest in arranging a POSNA cosponsored regional
   meeting.Conclusions:Since 2007, the POSNA-COUR international scholar
   program has been a fruitful resource for orthopaedists practicing in
   resource-challenged environments worldwide. It has provided unique
   training for the scholars and has further enabled them to teach others
   in their region. The program has thus far succeeded in fostering lasting
   relationships that have led to continued educational exchanges.Level of
   Evidence:Level IVcase series.
RI Schwend, Richard/AAA-9177-2022
TC 7
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 7
U1 0
U2 0
SN 0271-6798
EI 1539-2570
UT WOS:000415069200032
PM 26756989
ER

PT J
AU Richmond, Helen
   Copsey, Bethan
   Hall, Amanda M.
   Davies, David
   Lamb, Sarah E.
TI A systematic review and meta-analysis of online versus alternative
   methods for training licensed health care professionals to deliver
   clinical interventions
SO BMC MEDICAL EDUCATION
VL 17
AR 227
DI 10.1186/s12909-017-1047-4
PD NOV 23 2017
PY 2017
AB Background: Online training is growing in popularity and yet its
   effectiveness for training licensed health professionals (HCPs) in
   clinical interventions is not clear. We aimed to systematically review
   the literature on the effectiveness of online versus alternative
   training methods in clinical interventions for licensed Health Care
   Professionals (HCPs) on outcomes of knowledge acquisition, practical
   skills, clinical behaviour, self-efficacy and satisfaction.
   Methods: Seven databases were searched for randomised controlled trials
   (RCTs) from January 2000 to June 2015. Two independent reviewers rated
   trial quality and extracted trial data. Comparative effects were
   summarised as standardised mean differences (SMD) and 95% confidence
   intervals. Pooled effect sizes were calculated using a random-effects
   model for three contrasts of online versus (i) interactive workshops
   (ii) taught lectures and (iii) written/electronic manuals.
   Results: We included 14 studies with a total of 1089 participants. Most
   trials studied medical professionals, used a workshop or lecture
   comparison, were of high risk of bias and had small sample sizes (range
   21-183). Using the GRADE approach, we found low quality evidence that
   there was no difference between online training and an interactive
   workshop for clinical behaviour SMD 0.12 (95% CI -0.13 to 0.37). We
   found very low quality evidence of no difference between online methods
   and both a workshop and lecture for knowledge (workshop: SMD 0.04 (95%
   CI -0.28 to 0.36); lecture: SMD 0.22 (95% CI: -0.08, 0.51)). Lastly,
   compared to a manual (n = 3/14), we found very low quality evidence that
   online methods were superior for knowledge SMD 0.99 (95% CI 0.02 to
   1.96). There were too few studies to draw any conclusions on the effects
   of online training for practical skills, self-efficacy, and satisfaction
   across all contrasts.
   Conclusions: It is likely that online methods may be as effective as
   alternative methods for training HCPs in clinical interventions for the
   outcomes of knowledge and clinical behaviour. However, the low quality
   of the evidence precludes drawing firm conclusions on the relative
   effectiveness of these training methods. Moreover, the confidence
   intervals around our effect sizes were large and could encompass
   important differences in effectiveness. More robust, adequately powered
   RCTs are needed.
OI Lamb, Sarah/0000-0003-4349-7195
ZA 0
ZR 0
ZS 0
TC 48
Z8 0
ZB 2
Z9 48
U1 1
U2 24
EI 1472-6920
UT WOS:000416056700001
PM 29169393
ER

PT J
AU Kilty, Caroline
   Wiese, Anel
   Bergin, Colm
   Flood, Patrick
   Fu, Na
   Horgan, Mary
   Higgins, Agnes
   Maher, Bridget
   O'Kane, Grainne
   Prihodova, Lucia
   Slattery, Dubhfeasa
   Stoyanov, Slavi
   Bennett, Deirdre
TI A national stakeholder consensus study of challenges and priorities for
   clinical learning environments in postgraduate medical education
SO BMC MEDICAL EDUCATION
VL 17
AR 226
DI 10.1186/s12909-017-1065-2
PD NOV 22 2017
PY 2017
AB Background: High quality clinical learning environments (CLE) are
   critical to postgraduate medical education (PGME). The understaffed and
   overcrowded environments in which many residents work present a
   significant challenge to learning. The purpose of this study was to
   develop a national expert group consensus amongst stakeholders in PGME
   to; (i) identify important barriers and facilitators of learning in CLEs
   and (ii) indicate priority areas for improvement. Our objective was to
   provide information to focus efforts to provide high quality CLEs.
   Methods: Group Concept Mapping (GCM) is an integrated mixed methods
   approach to generating expert group consensus. A multi-disciplinary
   group of experts were invited to participate in the GCM process via an
   online platform. Multi-dimensional scaling and hierarchical cluster
   analysis were used to analyse participant inputs in regard to barriers,
   facilitators and priorities.
   Results: Participants identified facilitators and barriers in ten
   domains within clinical learning environments. Domains rated most
   important were those which related to residents' connection to and
   engagement with more senior doctors. Organisation and conditions of work
   and Time to learn with senior doctors during patient care were rated as
   the most difficult areas in which to make improvements.
   Conclusions: High quality PGME requires that residents engage and
   connect with senior doctors during patient care, and that they are
   valued and supported both as learners and service providers. Academic
   medicine and health service managers must work together to protect these
   elements of CLEs, which not only shape learning, but impact quality of
   care and patient safety.
RI Stoyanov, Slavi/I-8871-2019; Fu, Na/AAA-6415-2022; Wiese, Anel/AAS-9799-2020; Flood, Patrick/; Slattery, Dubhfeasa/; Prihodova, Lucia/
OI Stoyanov, Slavi/0000-0002-1190-5871; Wiese, Anel/0000-0003-3119-5755;
   Flood, Patrick/0000-0002-2465-7432; Slattery,
   Dubhfeasa/0000-0001-8296-1427; Prihodova, Lucia/0000-0002-0632-9582
ZA 0
Z8 0
ZS 0
TC 18
ZR 0
ZB 0
Z9 18
U1 2
U2 7
SN 1472-6920
UT WOS:000416057300001
PM 29166902
ER

PT J
AU Hartmann, Sabrina
   Klaschka, Ursula
TI Interested consumers' awareness of harmful chemicals in everyday
   products
SO ENVIRONMENTAL SCIENCES EUROPE
VL 29
AR 29
DI 10.1186/s12302-017-0127-8
PD NOV 21 2017
PY 2017
AB Background: Everyday products can contain a multitude of harmful
   substances unnoticed by most consumers, because established risk
   communication channels reach only part of the society. The question is,
   whether at least interested and informed consumers are able to use risk
   communication tools and assess harmful chemicals in products.
   Results: An online survey investigated the awareness of 1030 consumers
   on harmful substances in everyday items. Participating consumers'
   education level, knowledge in chemistry, and motivation were above
   society's average. Although a large number of responses showed that
   survey participants were familiar with several aspects of the issue, the
   results revealed that knowledge in chemistry helped, but was not enough.
   Many participants assumed that products with an eco-label, natural
   personal care products, products without hazard pictograms or products
   produced in the European Union would not contain harmful substances.
   Most participants indicated to use hazard pictograms, information on the
   packaging, reports in the media, and environmental and consumer
   organizations as information sources, while information by authorities
   and manufacturers were not named frequently and did not receive high
   confidence. Smartphone applications were not indicated by many
   participants as information sources. The information sources most
   trusted were environmental and consumer organizations, hazard
   pictograms, and lists of ingredients on the containers. The declared
   confidence in certain risk communication instruments did not always
   correspond to the use frequencies indicated. Nearly all participants
   considered legislators as responsible for the reduction of harmful
   substances in consumer products.
   Conclusions: Misconceptions about harmful substances in products can be
   dangerous for the personal health and the environment. The survey
   indicates that motivation, educational level, and chemical expertise do
   not automatically provide an appropriate understanding of harmful
   substances in products. If well-informed consumers are not sufficiently
   capable to use risk information elements as revealed in this study, then
   this will be even more the case for the general public. Consumer
   awareness should be stipulated by an improved information strategy about
   chemical risks in consumer products with an extensive participation of
   the target groups and by more efforts by authorities and manufactures to
   build trust and to provide easily understandable information.
TC 14
ZB 6
ZS 0
ZR 0
ZA 0
Z8 0
Z9 14
U1 1
U2 14
SN 2190-4707
EI 2190-4715
UT WOS:000416290900001
PM 29214119
ER

PT J
AU Yuan, Qi
   Picco, Louisa
   Chang, Sherilyn
   Abdin, Edimansyah
   Chua, Boon Yiang
   Ong, Samantha
   Yow, Kah Lai
   Chong, Siow Ann
   Subramaniam, Mythily
TI Attitudes to mental illness among mental health professionals in
   Singapore and comparisons with the general population
SO PLOS ONE
VL 12
IS 11
AR e0187593
DI 10.1371/journal.pone.0187593
PD NOV 16 2017
PY 2017
AB Background
   Similar to the general public, mental health professionals sometimes
   also have negative attitudes towards individuals with mental illness;
   which could ultimately affect the quality of care received by the
   patients. This study aims to explore attitudes to mental illness among
   mental health professionals in Singapore; make comparisons with the
   general population; and investigate the significant correlates.
   Methods
   A cross-sectional design was used. Eligible participants were recruited
   from the Institute of Mental Health, Singapore. Attitudes to mental
   illness among the mental health professionals were measured using an
   adapted 26-item Attitudes to Mental Illness questionnaire (AMI). An
   earlier study amongst the general population in Singapore had used the
   same tool; however, factor analysis suggested a 20-item, 4-factor
   structure (AMI-SG) was the best fit. This 4-factor structure was applied
   among the current sample of mental health professionals to allow
   comparisons between the professionals and the general population. Data
   were collected through an online survey tool 'Questionpro' from February
   to April 2016, and 379 participants were included in the current
   analysis. Attitudes to mental illness among these professionals were
   compared to those of the general population, which were captured as part
   of a national study conducted from March 2014 to April 2015.
   Results
   The 20-item, 4-factor structure AMI-SG derived from the general
   population was applicable among the mental health professionals in
   Singapore. Compared to the general population, mental health
   professionals had significantly more positive attitudes to mental
   illness; however their scores on 'social distancing' did not differ from
   the general population. Indian ethnicity was negatively associated with
   'social distancing' and 'social restrictiveness' among the
   professionals; while higher education was negatively related to
   'prejudice and misconception'. Compared to nurses, doctors showed
   significantly more positive attitudes on 'social restrictiveness' and
   'prejudice and misconception'. Having family or close friends diagnosed
   with mental illness was negatively associated with 'social distancing'
   among the professionals.
   Conclusion
   The AMI-SG is an effective tool to measure attitudes to mental illness
   among mental health professionals in Singapore. Although the
   professionals had significantly more positive attitudes to mental
   illness than the general public in Singapore, their attitudes on 'social
   distancing' resembled closely that of the general public. Professionals
   tended to have more negative attitudes if they were nurses, less
   educated, and of Chinese ethnicity. More studies are needed to explore
   the underlying reasons for the differences and to generalize these
   findings among mental health professionals elsewhere.
RI Picco, Louisa/AAD-6236-2022; Abdin, Edimansyah/E-6451-2011; YUAN, Qi/; Picco, Louisa/
OI Abdin, Edimansyah/0000-0002-1016-3298; YUAN, Qi/0000-0002-5271-6954;
   Picco, Louisa/0000-0001-7593-3209
ZS 0
TC 20
ZB 2
ZR 0
Z8 1
ZA 0
Z9 20
U1 3
U2 10
SN 1932-6203
UT WOS:000415378800022
PM 29145419
ER

PT J
AU Ralph, Anna P.
   Lowell, Anne
   Murphy, Jean
   Dias, Tara
   Butler, Deborah
   Spain, Brian
   Hughes, Jaquelyne T.
   Campbell, Lauren
   Bauert, Barbara
   Salter, Claire
   Tune, Kylie
   Cass, Alan
TI Low uptake of Aboriginal interpreters in healthcare: exploration of
   current use in Australia's Northern Territory
SO BMC HEALTH SERVICES RESEARCH
VL 17
AR 733
DI 10.1186/s12913-017-2689-y
PD NOV 15 2017
PY 2017
AB Background: In Australia's Northern Territory, most Aboriginal people
   primarily speak an Aboriginal language. Poor communication between
   healthcare providers and Aboriginal people results in adverse outcomes
   including death. This study aimed to identify remediable barriers to
   utilisation of Aboriginal Interpreter services at the Northern
   Territory's tertiary hospital, which currently manages over 25,000
   Aboriginal inpatients annually.
   Methods: This is a multi-method study using key stakeholder discussions,
   medical file audit, bookings data from the Aboriginal Interpreter
   Service 2000-2015 and an online cross-sectional staff survey. The
   Donabedian framework was used to categorise findings into structure,
   process and outcome.
   Results: Six key stakeholder meetings each with approximately 15
   participants were conducted. A key structural barrier identified was
   lack of onsite interpreters. Interpreter bookings data revealed that
   only 7603 requests were made during the 15-year period, with completion
   of requests decreasing from 337/362 (93.1%) in 2003-4 to 649/831 (78.1%)
   in 2014-15 (p < 0.001). Non-completion was more common for minority
   languages (p < 0.001). Medical files of 103 Aboriginal inpatients were
   audited. Language was documented for 13/103 (12.6%). Up to 60/103
   (58.3%) spoke an Aboriginal language primarily. Of 422 staff who
   participated in the survey, 18.0% had not received 'cultural competency'
   training; of those who did, 58/222 (26.2%) indicated it was
   insufficient. The Aboriginal Interpreter Service effectiveness was
   reported to be good by 209/368 (56.8%), but only 101/367 (27.5%) found
   it timely. Key process barriers identified by staff included booking
   complexities, time constraints, inadequate delivery of tools and
   training, and greater convenience of unofficial interpreters.
   Conclusion: We identified multiple structural and process barriers
   resulting in the outcomes of poor language documentation and low rates
   of interpreter bookings. Findings are now informing interventions to
   improve communication.
RI Ralph, Anna/AAB-6103-2021; Lowell, Anne/H-9307-2013; Cass, Alan/
OI Lowell, Anne/0000-0001-9540-1939; Cass, Alan/0000-0002-3923-3173
ZB 2
Z8 0
ZS 0
ZR 0
TC 22
ZA 0
Z9 22
U1 0
U2 3
SN 1472-6963
UT WOS:000415156100006
PM 29141623
ER

PT J
AU Polak, Rani
   Finkelstein, Adi
   Axelrod, Tom
   Dacey, Marie
   Cohen, Matan
   Muscato, Dennis
   Shariv, Avi
   Constantini, Naama W.
   Brezis, Mayer
TI Medical students as health coaches: Implementation of a
   student-initiated Lifestyle Medicine curriculum
SO ISRAEL JOURNAL OF HEALTH POLICY RESEARCH
VL 6
AR 42
DI 10.1186/s13584-017-0167-y
PD NOV 10 2017
PY 2017
AB Background: By 2020, the World Health Organization predicts that
   two-thirds of all diseases worldwide will be the result of lifestyle
   choices. Physicians often do not counsel patients about healthy
   behaviors, and lack of training has been identified as one of the
   barriers. Between 2010 and 2014, Hebrew University developed and
   implemented a 58-h Lifestyle Medicine curriculum spanning five of the 6
   years of medical school. Content includes nutrition, exercise, smoking
   cessation, and behavior change, as well as health coaching practice with
   friends/relatives (preclinical years) and patients (clinical years).
   This report describes this development and diffusion process, and it
   also presents findings related to the level of acceptance of this
   student-initiated Lifestyle Medicine (LM) curriculum.
   Methods: Students completed an online semi-structured questionnaire
   after the first coaching session (coaching questionnaire) and the last
   coaching session (follow-up questionnaire).
   Results: Nine hundred and twenty-three students completed the coaching
   questionnaire (296 practices were with patients, 627 with
   friends/relatives); and 784 students completed the follow-up
   questionnaire (208 practices were with patients, 576 with
   friends/relatives). They reported overall that health coaching domains
   included smoking cessation (263 students), nutrition (79), and exercise
   (117); 464 students reported on combined topics. Students consistently
   described a high acceptance of the curriculum and their active role in
   coaching. Further, most students reported that they were eager to
   address their own health behaviors.
   Conclusions: We described the development and acceptance of a
   student-initiated comprehensive LM curriculum. Students perceived LM as
   an important component of physicians' professional role and were ready
   to explore it both as coaches and in their personal lives. Thus, medical
   school deans might consider developing similar initiatives in order to
   position medical schools as key players within a preventive strategy in
   healthcare policy.
Z8 0
ZA 0
ZB 1
TC 9
ZR 0
ZS 0
Z9 9
U1 0
U2 9
SN 2045-4015
UT WOS:000415019300001
PM 29121991
ER

PT J
AU Frank, Annabel
   Gifford, Kimberly
TI Electronic portfolio use in pediatric residency and perceived efficacy
   as a tool for teaching lifelong learning
SO BMC MEDICAL EDUCATION
VL 17
AR 202
DI 10.1186/s12909-017-1045-6
PD NOV 10 2017
PY 2017
AB Background: Residency programs use electronic portfolios (efolios) to
   organize data, track resident performance, and sometimes teach and
   assess lifelong learning (LLL) skills. Published studies on efolios in
   graduate medical education are mostly descriptions of implementation at
   individual institutions.
   Methods: An anonymous online survey was sent to 199 pediatric residency
   program directors across the United States. Efolio usage patterns were
   described and compared between program directors that perceived efolios
   effective at fostering LLL and those that did not.
   Results: Surveys were completed by 82 of 199 program directors (41%),
   and 55% used efolios. The 20% (9 of 45) of program directors that
   believed efolios were effective at teaching LLL more often used
   self-assessment (88% vs. 50%, p = 0.05) and goal-setting (75% vs. 40%, p
   = 0.03) functionalities. Common efolio challenges included limited
   usability and difficulty integrating data. Most non-users (65%) would
   like to invest in efolios.
   Conclusions: Respondents reported technical and convenience-related
   challenges to efolio use, which need to be addressed for efolios to meet
   their potential as valuable learning tools. The use of self-assessments
   and goal-setting features was associated with program directors'
   perceptions that efolios were effective at fostering LLL.
TC 4
Z8 0
ZB 2
ZS 0
ZA 0
ZR 0
Z9 4
U1 0
U2 6
SN 1472-6920
UT WOS:000414976100004
PM 29126405
ER

PT J
AU Wilson, Nick
   Ferguson, Catharine
   Rice, Geoffrey
   Baker, Michael G.
   Schrader, Ben
   Clement, Christine
   Thomson, George
TI Remembering the 1918 influenza pandemic: national survey of memorials
   and scope for enhancing educational value around pandemic preparedness
SO NEW ZEALAND MEDICAL JOURNAL
VL 130
IS 1465
BP 53
EP 70
PD NOV 10 2017
PY 2017
AB AIM: To systematically identify physical memorials to the 1918 influenza
   pandemic in an entire country.
   METHODS: Internet searches, contact with local historians and field
   expeditions were conducted.
   RESULTS: Despite the high impact of the 1918 influenza pandemic in New
   Zealand (similar to 8,600 deaths), only seven publicly accessible local
   memorials which referred this pandemic were identified. Another 11
   memorials were identified, but these were in private settings or did not
   refer to the pandemic. There is no national memorial and a marked
   contrast exists with the number of war memorials (260 times more per
   1,000 deaths for one war), and for 20 smaller mass fatality events (one
   of which has eight memorials alone). The current educational value of
   these pandemic memorials is likely to be minimal since only three are in
   cities, there is a lack of supporting signage and there are no links to
   online resources.
   CONCLUSIONS: Despite the major impact of the 1918 influenza pandemic in
   New Zealand, publicly accessible memorials were found to be rare. This
   was in marked contrast to other disaster-related memorials and
   particularly to war memorials. There appears to be major scope for
   enhancing public education around the persisting threat of future
   pandemics via improved use of physical memorials and linkages to online
   resources.
Z8 0
ZR 0
ZS 0
TC 5
ZA 0
ZB 0
Z9 5
U1 1
U2 2
SN 0028-8446
EI 1175-8716
UT WOS:000423391100006
PM 29121624
ER

PT J
AU de Villiers, Marietjie
   van Schalkwyk, Susan
   Blitz, Julia
   Couper, Ian
   Moodley, Kalavani
   Talib, Zohray
   Young, Taryn
TI Decentralised training for medical students: a scoping review
SO BMC MEDICAL EDUCATION
VL 17
AR 196
DI 10.1186/s12909-017-1050-9
PD NOV 9 2017
PY 2017
AB Background: Increasingly, medical students are trained at sites away
   from the tertiary academic health centre. A growing body of literature
   identifies the benefits of decentralised clinical training for students,
   the health services and the community. A scoping review was done to
   identify approaches to decentralised training, how these have been
   implemented and what the outcomes of these approaches have been in an
   effort to provide a knowledge base towards developing a model for
   decentralised training for undergraduate medical students in lower and
   middleincome countries (LMICs).
   Methods: Using a comprehensive search strategy, the following databases
   were searched, namely EBSCO Host, ERIC, HRH Global Resources, Index
   Medicus, MEDLINE and WHO Repository, generating 3383 references. The
   review team identified 288 key additional records from other sources.
   Using prespecified eligibility criteria, the publications were screened
   through several rounds. Variables for the data-charting process were
   developed, and the data were entered into a custom-made online
   Smartsheet database. The data were analysed qualitatively and
   quantitatively.
   Results: One hundred and five articles were included. Terminology most
   commonly used to describe decentralised training included 'rural',
   'community based' and 'longitudinal rural'. The publications largely
   originated from Australia, the United States of America (USA), Canada
   and South Africa. Fifty-five percent described decentralised training
   rotations for periods of more than six months. Thematic analysis of the
   literature on practice in decentralised medical training identified four
   themes, each with a number of subthemes. These themes were student
   learning, the training environment, the role of the community, and
   leadership and governance.
   Conclusions: Evident from our findings are the multiplicity and
   interconnectedness of factors that characterise approaches to
   decentralised training. The student experience is nested within a
   particular context that is framed by the leadership and governance that
   direct it, and the site and the community in which the training is
   happening. Each decentralised site is seen to have its own dynamic that
   may foreground certain elements, responding differently to enabling
   student learning and influencing the student experience. The insights
   that have been established through this review have relevance in
   informing the further expansion of decentralised clinical training,
   including in LMIC contexts.
RI Blitz, Julia/W-3334-2019; van Schalkwyk, Susan/AAA-2841-2021; van Schalkwyk, Susan/ABD-2638-2020; Couper, Ian D/AAC-7554-2020; Young, Taryn/; Moodley, Kalavani/
OI Blitz, Julia/0000-0001-5229-3907; van Schalkwyk,
   Susan/0000-0003-1596-6791; Couper, Ian D/0000-0003-1587-6075; Young,
   Taryn/0000-0003-2406-081X; Moodley, Kalavani/0000-0001-8166-6629
ZR 0
Z8 0
TC 34
ZB 1
ZA 0
ZS 2
Z9 34
U1 0
U2 9
EI 1472-6920
UT WOS:000414758000006
PM 29121923
ER

PT J
AU Fuerstenberg, Sophie
   Harendza, Sigrid
TI Differences between medical student and faculty perceptions of the
   competencies needed for the first year of residency
SO BMC MEDICAL EDUCATION
VL 17
AR 198
DI 10.1186/s12909-017-1036-7
PD NOV 9 2017
PY 2017
AB Background: Different guidelines and frameworks like the CanMEDs model
   or entrustable professional activities (EPAs) describe competencies
   required for successful and professional work of residents. Not all
   competencies are of equal importance for graduates when they start their
   residency. The aim of this study was to evaluate the relevance of
   different competencies for a first year resident from the perspective of
   physicians and medical students.
   Methods: In an online study, 178 of 475 surgeons and internists
   including residents and attendings and 102 of 728 first and last year
   undergraduate medical students from the University Medical Center
   Hamburg-Eppendorf ranked 25 competencies according to their relevance
   for entrustment decisions in first year residents. The rankings of the
   competencies by residents and attendings and by first year and last year
   medical student were compared. Additionally, the rankings were also
   compared to the literature.
   Results: Physicians and medical students rated 'Responsibility' as the
   most important competency for first year residents. Physicians ranked
   'Teamworkand collegiality' and 'Structure, work planning and priorities'
   within the top 10 competencies significantly higher than medical
   students. The competency ranks between attendings and residents only
   showed one significant difference between attendings and residents,
   where 'Coping with mistakes', was ranked significantly higher by
   residents. Medical students ranked 'Active listening to patients',
   'Advising patients' and 'Handling emotions of patients and their
   relatives' significantly higher than physicians. Final year students
   ranked 'Structure, work planning and priorities', 'Coping with
   mistakes', and ` Verbal communication with colleagues and supervisors'
   significantly higher than first year students.
   Conclusions: Even though physicians and medical students agree that `
   Responsibility' is the most important competency for entrustment
   decisions in the first year of residency, medical students rate
   competencies regarding patient communication very highly while
   physicians rate competencies required for patient managements
   significantly higher for entrustment decision. Undergraduate medical
   curricula seem to prepare students well with respect to
   patient-centeredness but need to be developed more specifically to
   prepare students equally well for patient management competencies which
   are required in the first year of residency for entrustment decisions
   from the attendings perspective.
ZB 2
Z8 0
TC 16
ZS 0
ZA 0
ZR 0
Z9 16
U1 1
U2 9
SN 1472-6920
UT WOS:000414758000008
PM 29121897
ER

PT J
AU Herbert, Cristan
   Velan, Gary M.
   Pryor, Wendy M.
   Kumar, Rakesh K.
TI A model for the use of blended learning in large group teaching sessions
SO BMC MEDICAL EDUCATION
VL 17
AR 197
DI 10.1186/s12909-017-1057-2
PD NOV 9 2017
PY 2017
AB Background: Although blended learning has the potential to enhance the
   student experience, both in terms of engagement and flexibility, it can
   be difficult to effectively restructure existing courses. To achieve
   these goals for an introductory Pathology course, offered to more than
   250 undergraduate students at UNSW Sydney, we devised a novel approach.
   Methods: For each topic presented over 2-3 weeks, a single face-to-face
   overview lecture was retained. The remaining content that had previously
   been delivered as conventional lectures was converted into short (12-18
   min) online modules. These were based on lecture slides with added
   animations/highlights, plus narration using edited excerpts of previous
   lecture recordings. The modules also incorporated interactive questions
   and review quizzes with feedback which used various question types.
   Modules were developed in PowerPoint and iSpring and uploaded to Moodle
   as SCORM packages. Each topic concluded with an interactive large-group
   session focussing on integration of the content, with in-class questions
   to which students could respond via the Echo360 Active Learning Platform
   (ALP). Overall, more than 50% of face-to-face lecture time was replaced
   by online modules and interactive large-group sessions. Quantitative
   evaluation data included usage statistics from 264 students and feedback
   via online survey responses from 41 students. Qualitative evaluation
   data consisted of reflective commentaries from 160 student ePortfolios,
   which were analysed to identify factors affecting learning benefits and
   user acceptability.
   Results: All of the modules were completed by 74% of students and on
   average, 83.1% of students eventually passed the optional review
   quizzes. Notably, 88.4% of students responded to in-class questions
   during the integration and feedback sessions via the ALP. Student
   reflections emphasised that the modules promoted understanding, which
   was reinforced through active learning. The modules were described as
   enjoyable, motivating and were appreciated for their flexibility, which
   enabled students to work at their own pace.
   Conclusions: In transforming this introductory Pathology course, we have
   demonstrated a model for the use of blended learning in large group
   teaching sessions, which achieved high levels of completion,
   satisfaction and value for learning.
RI Kumar, Rakesh K/J-6124-2012
OI Kumar, Rakesh K/0000-0002-9531-8411
ZB 1
ZR 0
Z8 0
TC 38
ZS 2
ZA 0
Z9 40
U1 3
U2 64
SN 1472-6920
UT WOS:000414758000007
PM 29121908
ER

PT J
AU Keis, Oliver
   Grab, Claudia
   Schneider, Achim
   Oechsner, Wolfgang
TI Online or face-to-face instruction? A qualitative study on the
   electrocardiogram course at the University of Ulm to examine why
   students choose a particular format
SO BMC MEDICAL EDUCATION
VL 17
AR 194
DI 10.1186/s12909-017-1053-6
PD NOV 9 2017
PY 2017
AB Background: Since the introduction of the e-learning electrocardiogram
   (ECG) course 'ECG Online' into the curriculum at the University of Ulm,
   a small but relatively constant number of students have decided not to
   participate in the online course but to attend the face-to-face course,
   although the content of both courses is identical. The present study
   examined why students prefer one format or the other.
   Methods: In a qualitative research approach, ten medical students were
   questioned in a guided interview. At the time of the survey the
   interviewees were enrolled in the 7th to 10th semesters. Among the
   respondents, 2 had participated only in the face-to-face ECG course, 4
   only in the online version and 4 in both the face-to-face and the online
   course.
   Results: Interestingly, the very factors associated with e-learning-and
   always praised as advantages of it -are viewed critically by the
   students. Thus, although the 24-h access to learning content was
   consistently evaluated positively, the unlimited availability (lack of
   expiry date) was not seen as conducive to learning. The lack of fixed
   time constraints and the attendant lack of pressure were important
   reasons why some of the students had discontinued the online course
   prematurely. A similar distinction was seen in the flexibility of
   location for e-learning, because the very obligation to be physically
   present on a particular day at a fixed time led to a higher degree of
   commitment to courses and a willingness to actually attend the course
   until the end. In addition, if the content has a high degree of
   perceived professional relevance face-to-face courses are preferred
   because they offer the possibility of direct interaction.
   Conclusions: Even though the small sample size limits the
   generalisability of the results, our findings indicate that when
   developing online courses students' needs could be better met if
   measures were included to strengthen extrinsic and intrinsic motivation
   and formats were favoured that enable students to have a minimum level
   of personal interaction with the lecturer.
ZA 0
TC 22
ZR 0
Z8 0
ZB 2
ZS 2
Z9 24
U1 0
U2 19
EI 1472-6920
UT WOS:000414758000004
PM 29121902
ER

PT J
AU Krause, Cassandra
   Krause, Reed
   Krause, Raymond
   Gomez, Nephtali
   Jafry, Zan
   Vi Am Dinh
TI Effectiveness of a 1-Hour Extended Focused Assessment With Sonography in
   Trauma Session in the Medical Student Surgery Clerkship
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 6
BP 968
EP 974
DI 10.1016/j.jsurg.2017.03.007
PD NOV-DEC 2017
PY 2017
AB OBJECTIVE: To demonstrate the effectiveness of incorporating 1 hour of
   ultrasound training on the extended focused assessment with sonography
   in trauma (eFAST) into the year-3 medical student surgical clerkship.
   DESIGN: A prospective cohort study where participants served as
   self-controls. One hour of instruction in the eFAST examination, along
   with 3 required observed examinations, was incorporated into the year-3
   surgery clerkship. Effectiveness of the training was evaluated by a
   preliminary and posttraining assessment. An online survey was used
   assessing comfort based on a 5-point Likert scale. An online quiz was
   used assessing knowledge, and a 2-part objective structured clinical
   examination (OSCE) was used assessing skill and speed. Participants also
   logged 3 eFAST examinations during the 10-week clerkship where they
   reported their comfort in performing and interpreting the eFAST on a
   5-point Likert scale. Postassessment was held during the last week of
   the clerkship and included the same online quiz, survey, and 2-part
   OSCE.
   SETTING: The study was performed at Loma Linda University and affiliated
   hospitals where surgical clerkship students rotate.
   PARTICIPANTS: A total of 148 year-3 medical students completed the
   study.
   RESULTS: All testing modalities showed improvement. The mean average of
   the OSCE improved from 46% +/- 27% to 81% +/- 18%. The percentage of
   participants able to perform the examination in less than 6 minutes
   increased from 18% +/- 27% to 84% +/- 36%. Participants' comfort level
   in recognizing eFAST pathology increased from a mean of 2.40 +/- 0.94 to
   3.55 +/- 0.87 out of 5. Comfort in performing the eFAST examination
   improved from 2.81 +/- 0.79 to 3.77 +/- 0.68. Comfort in interpreting
   the eFAST examination improved from 2.88 +/- 0.87 to 3.65 +/- 0.72.
   CONCLUSIONS: This study demonstrates that incorporating 1 hour of eFAST
   training into the general surgery clerkship is feasible and may lead to
   improved competency in performing and interpreting the eFAST
   examination. (C) 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
Z8 0
ZA 0
ZS 1
ZB 0
TC 14
ZR 0
Z9 14
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000419087000009
PM 28479071
ER

PT J
AU Grova, Monica M.
   Yang, Anthony D.
   Humphries, Misty D.
   Galante, Joseph M.
   Salcedo, Edgardo S.
TI Dedicated Research Time During Surgery Residency Leads to a Significant
   Decline In Self-Assessed Clinical Aptitude and Surgical Skills
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 6
BP 980
EP 985
DI 10.1016/j.jsurg.2017.05.009
PD NOV-DEC 2017
PY 2017
AB OBJECTIVE: The surgical community commonly perceives a decline in
   surgical and patient care skills among residents who take dedicated time
   away from clinical activity to engage in research. We hypothesize that
   residents perceive a decline in their skills because of dedicated
   research time.
   SETTING: UC Davis Medical Center, Sacramento, CA, an institutional
   tertiary care center.
   PARTICIPANTS: General surgery residents and graduates from UC Davis
   general surgery residency training program, who had completed at least 1
   year of research during their training. A total of 35 people were asked
   to complete the survey, and 19 people submitted a completed survey.
   DESIGN: Participants were invited to complete an online survey. Factors
   associated with the decline in skills following their research years
   were examined. All statistical analyses were performed with IBM SPSS
   Statistics software.
   RESULTS: A total of 19 current or former general surgery residents
   responded to the survey (54% response rate). Overall, 42% described
   their research as "basic science." Thirteen residents (68%) dedicated 1
   year to research, while the remainder spent 2 or more years. Basic
   science researchers were significantly more likely to report a decrease
   in clinical judgment (75% vs. 22%, p = 0.013) as well as a decrease in
   patient care skills (63% vs. 0%, p = 0.002). Residents who dedicated at
   least 2 years to research were more likely to perceive a decline in
   overall aptitude and surgical skills (100% vs. 46%, p = 0.02), and a
   decline in patient care skills (67% vs. 8%, p = 0.007).
   CONCLUSIONS: Most residents who dedicate time for research perceive a
   decline in their overall clinical aptitude and surgical skills. This can
   have a dramatic effect on the confidence of these residents in caring
   for patients and leading a care team once they re-enter clinical
   training. Residents who engaged in 2 or more years of research were
   significantly more likely to perceive these problems. Further research
   should determine how to keep residents who are interested in academics
   from losing ground clinically while they are pursuing research training.
   (C) 2017 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.
RI humphries, misty/Y-1794-2019
ZA 0
ZR 0
TC 11
ZB 2
ZS 0
Z8 0
Z9 11
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000419087000011
PM 28533183
ER

PT J
AU Murphy, Roberta
   Clissold, Elliot
   Keynejad, Roxanne C.
TI Problem-based, peer-to-peer global mental health e-learning between the
   UK and Somaliland: a pilot study
SO EVIDENCE-BASED MENTAL HEALTH
VL 20
IS 4
BP 140
EP 144
DI 10.1136/eb-2017-102766
PD NOV 2017
PY 2017
AB Background WHO's mental health gap action programme intervention guide
   (mhGAP-IG) is an evidence-based tool aimed at front-line health workers
   in low-income and middle-income countries (LMICs). Its potential to
   improve global mental health education, especially through digital
   technologies, has been little studied. Problem-based learning (PBL) is
   usually conducted face-to-face, but its remote application could
   facilitate cross-cultural education.
   Objective To evaluate PBL, applied to peer-to-peer global mental health
   e-learning (Aqoon), using mhGAP-IG.
   Methods Twelve pairs of UK and Somaliland medical students completed the
   full programme. Participants self-directedly met online, via the
   low-bandwidth Medicine Africa website, for PBL-style tutorials focused
   on modules of the mhGAP-IG, V.2.0. Preparticipation and
   postparticipation surveys used mixed methods to evaluate Aqoon,
   including the Attitudes Toward Psychiatry (ATP-30) instrument.
   Findings Median ATP-30 scores for Somaliland (82.0 vs 95.0, p=0.003) and
   UK students (82.0 vs 95.0, p=0.011) improved significantly following
   Aqoon. Qualitative feedback showed that participants valued peer
   connectivity and learning about cultural and psychosocial differences in
   their partner's country. Somaliland students were motivated by clinical
   learning and UK students by global health education. Feedback on the PBL
   structure was positive.
   Conclusions Digital PBL represents an innovative method to extend the
   benefits of mhGAP-IG beyond front-line clinical staff, to healthcare
   students in LMICs.
   Clinical implications Educational resource limitations in LMICs may be
   overcome using digital platforms and PBL. Replication with non-medical
   healthcare students is the next step for this model to explore Aqoon's
   relevance to pressing global mental health workforce challenges.
RI , RoxanneKeynejad/N-6276-2018
OI , RoxanneKeynejad/0000-0003-4434-3526
ZB 0
ZS 0
ZA 0
ZR 0
Z8 0
TC 9
Z9 9
U1 0
U2 21
SN 1362-0347
EI 1468-960X
UT WOS:000413465300012
PM 29056610
ER

PT J
AU Collins, Rebecca L.
   Strasburger, Victor C.
   Brown, Jane D.
   Donnerstein, Edward
   Lenhart, Amanda
   Ward, L. Monique
TI Sexual Media and Childhood Well-being and Health
SO PEDIATRICS
VL 140
BP S162
EP S166
DI 10.1542/peds.2016-1758X
SU 2
PD NOV 2017
PY 2017
AB Sexual content is highly prevalent in traditional media, and portrayals
   rarely depict the responsibilities and risks (eg, condom use, pregnancy)
   associated with sexual activity. Exposure to such content is linked with
   shifts in attitudes about sex and gender, earlier progression to sexual
   activity, pregnancy, and sexually transmitted infection among
   adolescents. However, little information is available about moderators
   and mediators of these effects. We also know little about digital media,
   their sex-related content, and their potential influence on youth. Data
   from a few studies of older youth indicate that sexual displays on
   social media sites are related to problematic beliefs and behaviors
   among those who post this content and among viewers. Online pornography
   appears to be more problematic for youth than off-line sources. Given
   the vast and increasing amount of time youth spend online and their
   developmental openness to influence, more research attention to digital
   sexual media is needed. Those who undertake this work should identify
   potential negative consequences of use and opportunities to improve
   adolescent sexual health through digital media. Studies of on-and
   off-line media in which researchers examine younger media audiences,
   identify processes explaining sexual media effects on behavior, and
   moderators of effects are needed. Such studies could be used to inform
   interventions to reduce negative outcomes and increase positive media
   effects. Policy makers should stimulate the development of such
   interventions, including tools to help parents identify and manage
   negative media influences on their children's sexual well-being and
   development and dissemination of innovative media literacy programs
   related to sexual health.
ZB 4
ZA 0
TC 38
ZS 2
ZR 0
Z8 0
Z9 38
U1 3
U2 32
SN 0031-4005
EI 1098-4275
UT WOS:000434344700023
PM 29093054
ER

PT J
AU Montgomery, Kathryn C.
   Chester, Jeff
   Milosevic, Tijana
TI Children's Privacy in the Big Data Era: Research Opportunities
SO PEDIATRICS
VL 140
BP S117
EP S121
DI 10.1542/peds.2016-1758O
SU 2
PD NOV 2017
PY 2017
AB This article focuses on the privacy implications of advertising on
   social media, mobile apps, and games directed at children. Academic
   research on children's privacy has primarily focused on the safety risks
   involved in sharing personal information on the Internet, leaving market
   forces (such as commercial data collection) as a less discussed aspect
   of children's privacy. Yet, children's privacy in the digital era cannot
   be fully understood without examining marketing practices, especially in
   the context of "big data." As children increasingly consume content on
   an ever-expanding variety of digital devices, media and advertising
   industries are creating new ways to track their behaviors and target
   them with personalized content and marketing messages based on
   individual profiles. The advent of the so-called Internet of Things,
   with its ubiquitous sensors, is expanding these data collection and
   profiling practices. These trends raise serious concerns about digital
   dossiers that could follow young people into adulthood, affecting their
   access to education, employment, health care, and financial services.
   Although US privacy law provides some safeguards for children younger
   than 13 years old online, adolescents are afforded no such protections.
   Moreover, scholarship on children and privacy continues to lag behind
   the changes taking place in global media, advertising, and technology.
   This article proposes collaboration among researchers from a range of
   fields that will enable cross-disciplinary studies addressing not only
   the developmental issues related to different age groups but also the
   design of digital media platforms and the strategies used to influence
   young people.
OI Milosevic, Tijana/0000-0003-1502-7479
ZS 0
ZA 0
Z8 0
TC 30
ZB 2
ZR 0
Z9 30
U1 5
U2 47
SN 0031-4005
EI 1098-4275
UT WOS:000434344700014
PM 29093045
ER

PT J
AU O'Callaghan, John
   Mohan, Helen M.
   Sharrock, Anna
   Gokani, Vimal
   Fitzgerald, J. Edward
   Williams, Adam P.
   Harries, Rhiannon L.
CA Council Assoc Surg Training
TI Cross-sectional study of the financial cost of training to the surgical
   trainee in the UK and Ireland
SO BMJ OPEN
VL 7
IS 11
AR e018086
DI 10.1136/bmjopen-2017-018086
PD NOV 2017
PY 2017
AB Objectives Applications for surgical training have declined over the
   last decade, and anecdotally the costs of training at the expense of the
   surgical trainee are rising. We aimed to quantify the costs surgical
   trainees are expected to cover for postgraduate training.
   Design Prospective, cross-sectional, questionnaire-based study.
   Setting/Participants A non-mandatory online questionnaire for UK-based
   trainees was distributed nationally. A similar national questionnaire
   was distributed for Ireland, taking into account differences between the
   healthcare systems. Only fully completed responses were included.
   Results There were 848 and 58 fully completed responses from doctors
   based in the UK and Ireland, respectively. Medical students in the UK
   reported a significant increase in debt on graduation by 55% from 17892
   pound (2000-2004) to 27655 pound (2010-2014) (p<0.01). 41% of specialty
   trainees in the UK indicated that some or all of their study budget was
   used to fund mandatory regional teaching. By the end of training, a
   surgical trainee in the UK spends on average 9105 pound on courses, 5411
   pound on conferences and 4185 pound on exams, not covered by training
   budget. Irish trainees report similarly high costs. Most trainees
   undertake a higher degree during their postgraduate training. The cost
   of achieving the mandatory requirements for completion of training
   ranges between 20000 pound and 26000 pound (dependent on specialty),
   except oral and maxillofacial surgery, which is considerably higher
   (71431) pound.
   Conclusions Medical students are graduating with significantly larger
   debt than before. Surgical trainees achieve their educational
   requirements at substantial personal expenditure. To encourage graduates
   to pursue and remain in surgical training, urgent action is required to
   fund the mandatory requirements and annual training costs for completion
   of training and provide greater transparency to inform doctors of what
   their postgraduate training costs will be. This is necessary to increase
   diversity in surgery, reduce debt load and ensure surgery remains a
   popular career choice.
RI Harries, Rhiannon/AAG-7054-2020; Fitzgerald, James/F-2565-2013; O'Callaghan, John/; Harries, Rhiannon/
OI Fitzgerald, James/0000-0002-4453-5117; O'Callaghan,
   John/0000-0002-7728-0739; Harries, Rhiannon/0000-0001-7095-3673
ZA 0
ZS 0
Z8 0
TC 41
ZR 0
ZB 2
Z9 41
U1 1
U2 2
SN 2044-6055
UT WOS:000422898800163
PM 29146646
ER

PT J
AU Amarouche, Meriem
   Neville, Jonathan J.
   Deacon, Simon
   Kalyal, Nida
   Adams, Nikita
   Cheserem, Beverly
   Curley, Daniel
   DeSouza, Ruth-Mary
   Hafiz, Fehmi
   Jayawardena, Tanya
   Khetani, Nishi
   Matthews, Diana
   Mustoe, Sophie
   Okafor, Sabrina
   Padfield, Olivia
   Rao, Ishani
   Samir, Reem
   Tahir, Hyder
   Varghese, Benjamin
   Tolias, Christos Michael
TI Referrers' point of view on the referral process to neurosurgery and
   opinions on neurosurgeons: a large-scale regional survey in the UK
SO BMJ OPEN
VL 7
IS 11
AR e017495
DI 10.1136/bmjopen-2017-017495
PD NOV 2017
PY 2017
AB Objectives There is an increased reliance on online referral systems
   (ORS) within neurosurgical departments across the UK. Opinions of
   neurosurgeons on ORS are extensively reported but those of referrers
   have hardly been sought. Our study aims at ascertaining our referring
   colleagues' views on our ORS and its impact on patient care, their
   opinions on neurosurgeons and how to improve our referral process.
   Setting 14 district general hospitals and one teaching hospital.
   Participants 641 healthcare professionals across a range of medical and
   surgical specialties including doctors of all grades, nurses and
   physiotherapists. Survey responses were obtained by medical students
   using a smartphone application.
   Results Although 92% of respondents were aware of the ORS, 74% would
   routinely phone the on-call registrar either before or after making
   referrals online. The majority (44%) believed their call to relate to a
   life-threatening emergency. 62% of referrers considered the ORS helpful
   in informing patients' care and 48% had a positive opinion of their
   interaction with neurosurgical registrars. On ways to improve the ORS,
   50% selected email/text confirmation of response sent to referrers and
   16% to referring consultants.
   Conclusion Our results confirm that referrers feel that using our ORS
   positively impacts patient care but that it remains in need of
   improvement in order to better suit our colleagues' needs when it comes
   to managing neurosurgical patients. We feel that the promotion of
   neurosurgical education and mitigation of the effects of adverse
   workplace human factors are likely to achieve the common goal of
   neurosurgeons and referrers alike: a high standard in patient care.
RI amarouche, meriem/K-2732-2015; Mustoe, Sophie/
OI Mustoe, Sophie/0000-0002-7870-1320
TC 7
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 7
U1 0
U2 2
SN 2044-6055
UT WOS:000422898800102
PM 29180594
ER

PT J
AU Hryciw, Nicole
   Knox, Aaron
   Arneja, Jugpal S.
TI How Well Are We Doing at Teaching Critical Appraisal Skills to Our
   Residents? A Needs Assessment of Plastic Surgery Journal Club
SO PLASTIC SURGERY
VL 25
IS 4
BP 261
EP 267
DI 10.1177/2292550317731760
PD NOV 2017
PY 2017
AB Objective: To perform a needs assessment of journal club in plastic
   surgery residency programs. Specifically, this study focused on
   potential gaps in journal club associated with teaching and assessing
   critical appraisal of the literature, an important component of medical
   education and practice. Methods: This is a qualitative study that
   utilized an online survey tool to collect information about the
   characteristics of journal club in plastic surgery residency programs in
   both Canada and the United States. Both program directors and residents
   were surveyed. Results: When presented with a range of objectives, both
   program director and resident responses identified that teaching
   critical appraisal skills was often the main goal of journal club in
   their program (67.1%). Most trainees perceived that journal club was at
   least somewhat effective in improving their critical appraisal skills.
   Despite this perception, many residents felt that they had minimal to no
   experience in critical appraisal of the literature upon entry into their
   respective residency programs (46.2%), and only 29.2% indicated that
   they received formal instruction regarding critical appraisal.
   Three-quarters of residents indicated that there was no tool provided to
   aid them in their analysis of the literature. Finally, most residents
   also responded that they were not assessed objectively with regard to
   their performance. Conclusions: Although residents in our study perceive
   journal club to at least somewhat improve their critical appraisal
   skills, evidence in the literature has been controversial. It cannot be
   assumed that residents are learning the skills they need by simply
   attending and reading the articles associated with journal club. Future
   study should focus on the best way to meet these objectives.
RI Arneja, Jugpal/ABI-2492-2020
OI Arneja, Jugpal/0000-0002-5870-7039
ZR 0
TC 6
ZB 0
ZS 0
ZA 0
Z8 0
Z9 6
U1 0
U2 4
SN 2292-5503
EI 2292-5511
UT WOS:000413895100005
PM 29619349
ER

PT J
AU Al-Neklawy, Ahmed Farid
TI Online Embryology teaching using learning management systems appears to
   be a successful additional learning tool among Egyptian medical students
SO ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER
VL 214
BP 9
EP 14
DI 10.1016/j.aanat.2017.07.001
PD NOV 2017
PY 2017
AB Although the traditional didactic lecture is considered to be efficient
   for presenting information and providing explanations, it usually does
   not provide adequate time for deeper learning activities. So,
   traditional lecture is one of the most widely criticized educational
   methods.
   Virtual learning environment (VLE) is a specially designed environment
   that facilitates teachers' management of educational courses for their
   students, using computer hardware and software, which involves distance
   learning.
   In this study, we evaluated the experiment of online teaching of General
   Embryology for Egyptian undergraduate medical students using WizIQ
   learning management system.
   A total of 100 students were invited to submit an online survey at the
   end of the course to evaluate delivery of instruction, creation of an
   environment that supported learning, and administrative issues.
   Most of the students reported that they were strongly satisfied with the
   efficacy of the instructional methods and were strongly satisfied with
   the degree of clarity of the course material. They strongly accepted the
   page format and design of the virtual classroom and strongly agreed that
   the learning environment supported the learning procedure. The item of
   easy logging into the virtual classroom had aberrant variable responses;
   it recorded the lowest mean response; this variation in responses was
   due to technical factors as the students used different devices with
   different speeds of internet connections.
   Ninety percent of students have strongly recommended the course
   attendance for their fellow students.
   These results demonstrate that online Anatomy teaching using learning
   management systems appears to be a successful additional learning tool
   among Egyptian medical students. (C) 2017 Elsevier GmbH. All rights
   reserved.
ZS 0
ZA 0
ZB 1
TC 5
Z8 0
ZR 0
Z9 6
U1 0
U2 7
SN 0940-9602
EI 1618-0402
UT WOS:000424855500002
PM 28759739
ER

PT J
AU Wong, Kevin
   Gilad, Amir
   Cohen, Michael B.
   Kirke, Diana N.
   Jalisi, Scharukh M.
TI Patient education materials assessment tool for laryngectomy health
   information
SO HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND
   NECK
VL 39
IS 11
BP 2256
EP 2263
DI 10.1002/hed.24891
PD NOV 2017
PY 2017
AB Background: The decision to undergo laryngectomy carries medical,
   social, and emotional consequences. This study evaluates the
   understandability and actionability of current laryngectomy information.
   Methods: Laryngectomy-related educational materials from an online
   search were evaluated using the validated Patient Education Materials
   Assessment Tool (PEMAT). Reading difficulty was calculated using the
   Flesch-Kincaid Level, Flesch Reading Ease, Gunning-Fog Index (GFI),
   Coleman-Liau Index, Automated Readability Index, and Simple Measure of
   Gobbledygook (SMOG) score. Interrater agreement was assessed using
   Cohen's kappa. Pearson's correlation coefficient was used to determine
   the relationship among readability, understandability, and
   actionability.
   Results: Forty-four articles were included. Interrater agreement was
   substantial (kappa = 0.71). Mean understandability was 68.3% +/- 17% and
   mean actionability was 66.3% +/- 24%. Average reading difficulty
   exceeded the ability of an average American adult. There was a negative
   correlation between readability and understandability (R = -0.49; P <
   .05).
   Conclusion: Most laryngectomy information is too difficult for the
   average person to read, understand, or act upon. Revisions may be
   warranted to benefit a larger readership.
RI Kirke, Diana/AAS-8829-2021; Cohen, Michael/
OI Kirke, Diana/0000-0002-9289-3875; Cohen, Michael/0000-0002-1032-5226
ZB 2
ZR 0
ZA 0
TC 19
Z8 0
ZS 0
Z9 19
U1 0
U2 7
SN 1043-3074
EI 1097-0347
UT WOS:000425514000013
PM 28815835
ER

PT J
AU Marshall, Brandon D. L.
   Yedinak, Jesse L.
   Goyer, Jonathan
   Green, Traci C.
   Koziol, Jennifer A.
   Alexander-Scott, Nicole
TI Development of a Statewide, Publicly Accessible Drug Overdose
   Surveillance and Information System
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 107
IS 11
BP 1760
EP 1763
DI 10.2105/AJPH.2017.304007
PD NOV 2017
PY 2017
AB In response to Rhode Island's overdose epidemic, we developed a
   collaborative, statewide online "dashboard" to provide the public with
   timely overdose surveillance data. The Web
   site-www.PreventOverdoseRI.org (PORI)-offers user-friendly data
   visualizations, plain language education, and interactive resource maps.
   Development of the site has improved overdose data sharing and
   transparency in Rhode Island. Preliminary results suggest a successful
   site launch.
   Future research will evaluate the effectiveness of PORI in terms of
   informing strategic initiatives to reduce overdoses in affected
   communities.
OI Yedinak, Jesse/0000-0001-8250-5157
ZS 0
ZB 10
ZR 0
TC 20
Z8 0
ZA 0
Z9 20
U1 0
U2 2
SN 0090-0036
EI 1541-0048
UT WOS:000419238700036
PM 28933938
ER

PT J
AU Phelps, Megan
   Scott, Karen M.
   Chauffete-Manillier, Martine
   Lenne, Frederic
   Le Jeunne, Claire
TI Mobile devices, learning and clinical workplaces: Medical student use of
   smartphones in Parisian hospitals
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 48
IS 6
BP 1330
EP 1344
DI 10.1111/bjet.12477
PD NOV 2017
PY 2017
AB Mobile devices are ubiquitous worldwide, including in hospitals. Just in
   time learning provided by these devices is important for students. We
   investigated current use of, and learning with, smartphones and other
   mobile devices by medical students in Parisian hospitals. A survey with
   quantitative and qualitative items previously used with students from an
   Australian medical school was translated to French and adapted. The
   voluntary survey was delivered online to Universite Paris Descartes
   students. A total 854 medical students from across the final 5 years of
   the program completed the survey. The mean age was 22 years and 90%
   identified as French, matching the demographic pattern of the student
   body. Of 976 devices used by these students, 43% were iPhones and 32%
   another smartphone. Students accessed the Internet regularly or often,
   more for medically relevant than unrelated information49% versus 16.5%.
   Almost half of respondents reported never accessing social media during
   clinical placements. Students agreed they used mobile devices for
   improving learning, knowledge and skills, but less for timetabling and
   communication. Reactions of supervisors, patients and families were
   concerning. Only 3.3% of respondents did not use a mobile device in
   clinical settings. These findings have implications for Francophone and
   all health professional schools.
RI Scott, Karen/N-7333-2017
OI Scott, Karen/0000-0003-0721-6675
ZR 0
ZB 0
ZA 0
TC 5
ZS 0
Z8 0
Z9 5
U1 0
U2 16
SN 0007-1013
EI 1467-8535
UT WOS:000412731800013
ER

PT J
AU Harris, Jenine K.
   Hawkins, Jared B.
   Nguyen, Leila
   Nsoesie, Elaine O.
   Tuli, Gaurav
   Mansour, Raed
   Brownstein, John S.
TI Using Twitter to Identify and Respond to Food Poisoning: The Food Safety
   STL Project
SO JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
VL 23
IS 6
BP 577
EP 580
DI 10.1097/PHH.0000000000000516
PD NOV-DEC 2017
PY 2017
AB Context: Foodborne illness affects 1 in 4 US residents each year. Few of
   those sickened seek medical care or report the illness to public health
   authorities, complicating prevention efforts. Citizens who report
   illness identify food establishments with more serious and critical
   violations than found by regular inspections. New media sources,
   including online restaurant reviews and social media postings, have the
   potential to improve reporting.
   Objective: We implemented a Web-based Dashboard (HealthMap Foodborne
   Dashboard) to identify and respond to tweets about food poisoning from
   St Louis City residents.
   Design and Setting: This report examines the performance of the
   Dashboard in its first 7 months after implementation in the City of St
   Louis Department of Health.
   Main Outcome Measures: We examined the number of relevant tweets
   captured and replied to, the number of foodborne illness reports
   received as a result of the new process, and the results of restaurant
   inspections following each report.
   Results: In its first 7 months (October 2015-May 2016), the Dashboard
   captured 193 relevant tweets. Our replies to relevant tweets resulted in
   more filed reports than several previously existing foodborne illness
   reporting mechanisms in St Louis during the same time frame. The
   proportion of restaurants with food safety violations was not
   statistically different (P=.60) in restaurants inspected after reports
   from the Dashboard compared with those inspected following reports
   through other mechanisms.
   Conclusion: The Dashboard differs from other citizen engagement
   mechanisms in its use of current data, allowing direct interaction with
   constituents on issues when relevant to the constituent to provide
   time-sensitive education and mobilizing information. In doing so, the
   Dashboard technology has potential for improving foodborne illness
   reporting and can be implemented in other areas to improve response to
   public health issues such as suicidality, spread of Zika virus
   infection, and hospital quality.
RI Mansour, Raed/F-7239-2013; Tuli, Gaurav/
OI Mansour, Raed/0000-0002-8484-0730; Tuli, Gaurav/0000-0002-5626-7463
ZS 0
TC 30
ZA 0
Z8 0
ZR 0
ZB 6
Z9 30
U1 2
U2 32
SN 1078-4659
EI 1550-5022
UT WOS:000412176000013
PM 28166175
ER

PT J
AU Judd, Terry
   Elliott, Kristine
TI Methods and frequency of sharing of learning resources by medical
   students
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 48
IS 6
BP 1345
EP 1356
DI 10.1111/bjet.12481
PD NOV 2017
PY 2017
AB University students have ready access to quality learning resources
   through learning management systems (LMS), online library collections
   and generic search tools. However, anecdotal evidence suggests they
   sometimes turn to peer-based sharing rather than sourcing resources
   directly. We know little about this practicehow common it is, what sort
   of resources are involved and what impact it is likely to have on
   students' learning. This paper reports on an exploratory investigation
   of students' resource sharing habits, involving 338 respondents from the
   first 3 years of a 4-year postgraduate medical curriculum. On average,
   students reported sharing learning resources with other students two or
   more times per week. They were most likely to share non-curriculum
   resources (not available through their LMS) although curriculum and
   physical resources (eg, printed or handwritten notes and textbooks) were
   also often shared. Students employed a range of sharing technologies
   including email (most frequent), social media tools and cloud-based file
   services. A cluster analysis revealed four distinct groups of students
   based on the frequency with which they share, the range of technologies
   they employ and whether they share both online and physical resources.
OI Judd, Terry/0000-0002-4692-6701
Z8 0
ZR 0
ZB 1
ZS 0
ZA 0
TC 9
Z9 9
U1 1
U2 25
SN 0007-1013
EI 1467-8535
UT WOS:000412731800014
ER

PT J
AU Gerhardt-Szep, Susanne
   Dreher, Stefanie
   Ruettermann, Stefan
   Weberschock, Tobias
TI Conception and implementation of a novel E-learning module with EbM
   learning contents in operative dentistry
SO ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN
VL 127-128
BP 72
EP 78
DI 10.1016/j.zefq.2017.09.001
PD NOV 2017
PY 2017
AB Purpose: Computer-assisted learning (CAL) programs are becoming more
   widely used in medical and dental training. However, the combination of
   CAL programs and evidence-based education in dentistry has not been
   described previously. The aim was to determine the acceptance and
   user-friendliness of a CAL program combined with evidence-based
   training. Methods: The didactic concept of the module includes the
   case-oriented, problem-based embedding of a total of 32 EbM learning
   assignments, which can be completed interactively and self-determinedly
   in an interdisciplinary context using focus patients with different
   diseases. The present study was conducted at the Dental School of the
   Goethe University in Frankfurt/Main. Data on acceptance and
   user-friendliness were collected from three consecutive cohorts of 114
   dental students attending their first clinical semester. They used the
   "Toothache Walk-in Clinic: FOCUS" CAL, which can be downloaded via the
   Internet. The instrument consisted of 64 statements. The first part
   addressed general information about the user. The second part contained
   43 specific statements on the CAL program. These included factors A
   (handling and technical aspects), B (content and functional range), and
   C (didactics and suitability for education). Possible responses ranged
   from 0 to 3 (0 = strongly disagree, 3 = strongly agree). Results: All of
   the 114 questionnaires distributed were returned (response rate 100 %).
   Most users (90.1 %) considered the topics of evidence-based dentistry
   important for their training. They rated the program by using German
   school grades, and the overall rating was 2.26 (SD = 0.64). Most
   students (88.6%) considered the program useful for their clinical
   training in the treatment of patients. The mean scores for the 43
   specific items amounted to 1.90 (factor A, SD = 0.63), 1.55 (factor B,
   SD = 1.93), and 2.23 (factor C, SD = 0.79). Conclusions: The CAL program
   with dental medicine vignettes and learning elements for evidence-based
   medicine received a primarily positive assessment. Students welcome that
   EbM contents are offered as part of their dental studies curriculum.
ZB 0
TC 1
ZA 0
ZR 0
ZS 0
Z8 0
Z9 1
U1 0
U2 4
SN 1865-9217
EI 2212-0289
UT WOS:000425630100010
PM 28986205
ER

PT J
AU Ganguli, Ishani
   Sikora, Chrisanne
   Nestor, Briana
   Sisodia, Rachel Clark
   Licurse, Adam
   Ferris, Timothy G.
   Rao, Sandhya
TI A Scalable Program for Customized Patient Education Videos
SO JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
VL 43
IS 11
BP 606
EP 610
DI 10.1016/j.jcjq.2017.05.009
PD NOV 2017
PY 2017
AB Problem Definition: Patients must make sense of increasingly complex
   information to navigate their health and the health care system, with
   limited opportunity to do so in clinical settings. Patient education
   videos may help to communicate key information, but they are often
   impersonal and cumbersome to produce or update with new evidence. To
   address these limitations, a program was developed to facilitate local
   video creation to deliver targeted information to patients.
   Approach: The Patient Education Video Program was created at a large
   urban academic medical center. The medical director and two project
   managers worked with clinicians and patients to create and disseminate
   short, single-topic videos organized by segments. The videos educated
   patients on clinical and service topics such as self-care for low back
   pain and postoperative protocols. Videos were filmed and modified on a
   user-friendly mobile device application, then prescribed by sharing a
   link to the online video platform. Video creators were engaged through a
   learning collaborative, a physician incentive program, and a residency
   elective in which trainees designed video-based care redesign projects.
   Outcomes: The program was introduced to practice sites across 26
   departments. Some 269 videos received 19,713 unique views in a two-year
   period. In an operational survey, 1,034 (86.0%) of 1,203 viewer
   responses stated that a video helped them understand their health,
   medical condition, or treatment plan.
   Key Insights: A program to facilitate video creation and dissemination
   is feasible. Clinicians were most receptive to creating and using videos
   that addressed direct clinical or operational needs.
RI Sisodia, Rachel/AAO-2842-2020
ZB 2
Z8 0
TC 6
ZS 0
ZA 0
ZR 0
Z9 6
U1 0
U2 4
SN 1553-7250
EI 1938-131X
UT WOS:000424165300008
PM 29056181
ER

PT J
AU Park, Yong Jin
   Chung, Jae Eun
TI Health privacy as sociotechnical capital
SO COMPUTERS IN HUMAN BEHAVIOR
VL 76
BP 227
EP 236
DI 10.1016/j.chb.2017.07.025
PD NOV 2017
PY 2017
AB This article identified sociodemographic factors affecting privacy
   surrounding health data and explored the impact of health privacy
   capital on the use of health-related digital technologies and related
   perceptions. To do so, we adopted two perspectives, (a) an individual
   motivational perspective derived from uses and gratifications approach
   and (b) a societal contextual approach from social stratification,
   conceptualizing health privacy as capital with multifaceted
   sociotechnical assets. Health privacy capital was analyzed relative to
   demographic, social-contextual, and medical condition variables, using
   the 2014 Health Information National Trends (HINTS) Survey (n = 3212).
   Findings confirmed three key facets of health privacy capital-awareness
   of privacy, attitude toward the importance of privacy and data sharing,
   and confidence in the ability to maintain privacy-and multivariate
   regression analyses showed positive relationships between privacy
   capital and engagement as well as outcomes related to health-related
   digital technology. On the other hand, our analysis found that the
   development of health privacy capital is susceptible to sociodemographic
   disparities. For instance, a higher level of education was related to
   all three dimensions of health privacy capital. Interactions between
   education and health privacy confidence were also significant in both
   dimensions of health outcomes, indicating that the positive impact of
   health privacy confidence is moderated by the lower level of education.
   Practical implications for patients and healthcare professionals are
   discussed. (C) 2017 Elsevier Ltd. All rights reserved.
OI Chung, Jae Eun/0000-0003-1724-6456
ZB 0
ZA 0
TC 17
Z8 0
ZS 0
ZR 0
Z9 17
U1 0
U2 17
SN 0747-5632
EI 1873-7692
UT WOS:000412251400025
ER

PT J
AU Shafee, Thomas
   Masukume, Gwinyai
   Kipersztok, Lisa
   Das, Diptanshu
   Haggstrom, Mikael
   Heilman, James
TI Evolution of Wikipedia's medical content: past, present and future
SO JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
VL 71
IS 11
BP 1122
EP 1129
DI 10.1136/jech-2016-208601
PD NOV 2017
PY 2017
AB As one of the most commonly read online sources of medical information,
   Wikipedia is an influential public health platform. Its medical content,
   community, collaborations and challenges have been evolving since its
   creation in 2001, and engagement by the medical community is vital for
   ensuring its accuracy and completeness. Both the encyclopaedia's
   internal metrics as well as external assessments of its quality indicate
   that its articles are highly variable, but improving. Although content
   can be edited by anyone, medical articles are primarily written by a
   core group of medical professionals. Diverse collaborative ventures have
   enhanced medical article quality and reach, and opportunities for
   partnerships are more available than ever. Nevertheless, Wikipedia's
   medical content and community still face significant challenges, and a
   socioecological model is used to structure specific recommendations. We
   propose that the medical community should prioritise the accuracy of
   biomedical information in the world's most consulted encyclopaedia.
RI Das, Diptanshu/J-9609-2019; Shafee, Thomas/L-6897-2016; Haggstrom, Mikael/; Masukume, Gwinyai/; Heilman, James/
OI Das, Diptanshu/0000-0002-7221-5022; Shafee, Thomas/0000-0002-2298-7593;
   Haggstrom, Mikael/0000-0002-2732-7631; Masukume,
   Gwinyai/0000-0002-9251-0264; Heilman, James/0000-0002-1347-7700
ZS 1
ZB 8
ZA 0
TC 41
Z8 0
ZR 1
Z9 43
U1 0
U2 7
SN 0143-005X
EI 1470-2738
UT WOS:000413122700015
PM 28847845
ER

PT J
AU Hancock, Grace I. P.
   Stokes, Mark A.
   Mesibov, Gary B.
TI Socio-sexual functioning in autism spectrum disorder: A systematic
   review and meta-analyses of existing literature
SO AUTISM RESEARCH
VL 10
IS 11
BP 1823
EP 1833
DI 10.1002/aur.1831
PD NOV 2017
PY 2017
AB Socio-sexual functioning encompasses an individual's interests,
   behaviors, and knowledge with respect to sexual, romantic, and social
   aspects of life. An individual's understanding of these domains is
   developed through a range of informal and formal avenues of sexual
   health education. The current model demonstrated this and proposed that,
   compared to typically developing individuals, those with ASD develop
   socio-sexual functioning differently due to having less peer engagement,
   less relationship experience, more parental guidance, greater use of
   online materials, receive less school-based sexual health education, and
   more support from wellbeing services. Systematic review and
   meta-analysis of existing literature revealed that individuals with ASD
   have greater difficultly adhering to privacy norms, engage in less
   social behavior, are described as engaging in less appropriate sexual
   behavior, have greater concerns about themselves, and receive less
   sexual health education. Having fewer opportunities for appropriate
   informal and formal sexual health education leaves them at a double
   disadvantage from others who are receiving this information from both of
   these avenues. Some of the current meta-analytic results are cautioned
   by large l-square statistics which suggest that a degree of variance is
   being caused by extraneous factors. Further empirical research in this
   area is needed to overcome current design and sample limitations.
   Finally, the Sexual Behavior Scale was the most commonly utilized tool
   in the meta-analyzed studies, thus comprehensive evaluation of its
   functioning is warranted. The importance of work in this area is
   highlighted by the central role of social and sexual wellbeing on one's
   quality of life. Autism Res2017, 10: 1823-1833. (c) 2017 International
   Society for Autism Research, Wiley Periodicals, Inc.
   Lay SummaryReview of existing literature revealed that individuals with
   ASD have greater difficultly adhering to privacy norms, engage in less
   social behavior, are described as engaging in less appropriate sexual
   behavior, have greater concerns about themselves, and receive less
   sexual health education. Having fewer opportunities for appropriate
   informal and formal sexual health education leaves them at a double
   disadvantage from others who are receiving this information from both of
   these avenues.
RI Stokes, Mark A/P-8937-2017; Hancock, Grace/
OI Stokes, Mark A/0000-0001-6488-4544; Hancock, Grace/0000-0003-1988-3328
ZB 8
TC 14
ZA 0
ZS 1
ZR 0
Z8 0
Z9 14
U1 0
U2 36
SN 1939-3792
EI 1939-3806
UT WOS:000415138000008
PM 28691307
ER

PT J
AU Barrett, Meredith
   Turer, David
   Stoll, Hadley
   Hughes, David T.
   Sandhu, Gurjit
TI In search of a resident-centered handoff tool: Discovering the
   complexity of transitions of care
SO AMERICAN JOURNAL OF SURGERY
VL 214
IS 5
BP 956
EP 961
DI 10.1016/j.amjsurg.2017.03.048
PD NOV 2017
PY 2017
AB Introduction: Transfer of a patient's care between providers is a
   significant potential for medical errors. Given the potential for
   patient safety breeches we sought to investigate residents' perceptions
   of handoffs at our institution.
   Methods: Residents completed an online survey assessing the
   effectiveness of handoffs and what they thought was necessary for safe
   and informative transition communication. Thematic analysis was used to
   identify critical themes.
   Results: 78% of residents reported formal training in handoff delivery.
   90% stated they were effective in delivering handoffs; however they
   scored 41% of handoffs they received as less than effective. 11 themes
   emerged, the most commonly described requirement was "important events"
   from the previous shift. Only 16% of residents used an established
   formal handoff tool.
   Conclusions: In a survey of surgical residents they view themselves as
   very effective at delivering handoffs, but judge nearly half of handoffs
   they receive as ineffective. Multiple handoff tools exist but residents
   rarely use them. In an era of increasing transitions of care, efforts
   targeting improvement of handoff effectiveness will require education
   beyond checklists and mnemonics. (C) 2017 Elsevier Inc. All rights
   reserved.
RI Turer, David/AAD-2010-2019
OI Turer, David/0000-0003-0932-8822
ZS 0
TC 2
Z8 0
ZA 0
ZR 0
ZB 0
Z9 2
U1 0
U2 3
SN 0002-9610
EI 1879-1883
UT WOS:000415221700027
PM 28468724
ER

PT J
AU Al Ghazzawi, Waleed F.
   Abuzaid, Alaa
   Al-Shareef, Ohood A.
   Al-Sayagh, Sama M.
TI Female pharmacists' career perceptions in Saudi Arabia: A survey at an
   academic center in Jeddah
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 9
IS 6
BP 1022
EP 1030
DI 10.1016/j.cptl.2017.07.010
PD NOV 2017
PY 2017
AB Objectives: This study aimed to describe existing patterns of female
   pharmacy students' perceptions and their expectations regarding
   employment, job sectors, salaries, difficulties, and burdens, and to
   understand students' long-term prospects for employment in the
   pharmaceutical sector. The second objective was to assess students'
   perceptions of their careers in the short- and long-term.
   Methods: This prospective survey was conducted on female pharmacy
   students at King Abdulaziz University, Jeddah from January 12, 2013
   through January 21, 2013. The survey instrument was distributed online
   using Survey Monkey and was designed to assess students' opinions
   regarding employment in pharmacy.
   Results: A total of 108 students responded to the surveyed.
   Approximately half reported that they would prefer to work in the
   government sector (50.9%), followed by the academic field (19.4%).
   Community pharmacies were underrepresented in the responses. Students'
   working durations, their preferred working shifts, and their 10-year
   prospects differed significantly from what was expected (p < 0.001).
   Similarly, students' preferences to work specific shifts (p < 0.001) and
   their long-term prospects (p < 0.001) were significantly different from
   what was expected. Participants perceived community and private
   pharmacies as the least rewarding in terms of remuneration.
   Approximately 61.1% of the participants perceived salaries at private
   hospitals to range between $1865 and $2397/month (p < 0.001).
   Conclusion: Female graduates anticipate challenges in the pharmacy
   workforce, especially in the pharmaceutical sector. Lack of training,
   job stability, as well as religious and cultural constraints appeared to
   influence female graduate's decision to join a particular sector in the
   pharmacy field.
ZR 0
ZA 0
Z8 0
ZB 1
ZS 0
TC 4
Z9 4
U1 0
U2 4
SN 1877-1297
EI 1877-1300
UT WOS:000415595900013
PM 29233370
ER

PT J
AU Hulland, Oliver
   Farnan, Jeanne
   Rabinowitz, Raphael
   Kearns, Lisa
   Long, Michele
   Monash, Bradley
   Bhansali, Priti
   Fromme, H. Barrett
TI What's the Purpose of Rounds? A Qualitative Study Examining the
   Perceptions of Faculty and Students
SO JOURNAL OF HOSPITAL MEDICINE
VL 12
IS 11
BP 892
EP 897
DI 10.12788/jhm.2835
PD NOV 2017
PY 2017
AB BACKGROUND: Rounds are a critical activity on any inpatient service, but
   there is little literature describing the purpose of rounds from the
   perspective of faculty and trainees in teaching hospitals.
   OBJECTIVE: To evaluate and compare the perceptions of pediatric and
   internal medicine attendings and medical students regarding the purpose
   of inpatient attending rounds.
   METHODS: The authors conducted 10 semistructured focus groups with
   attendings and medical students in the spring of 2014 at 4 teaching
   hospitals. The protocol was approved by the institutional review boards
   at all institutions. The authors employed a grounded theory approach to
   data collection and analysis, and data were analyzed by using the
   constant- comparative method. Two transcripts were read and coded
   independently by 2 authors to generate themes.
   RESULTS: Forty-eight attendings and 31 medical students participated in
   the focus groups. We categorized 218 comments into 4 themes comprised of
   16 codes representing what attendings and medical students believed to
   be the purpose of rounds. These themes included communication, medical
   education, patient care, and assessment.
   CONCLUSIONS: Our results highlight that rounds serve 4 purposes,
   including communication, medical education, patient care, and
   assessment. Importantly, both attendings and students agree on what they
   perceive to be the many purposes of rounds. Despite this, a disconnect
   appears to exist between what people believe are the purposes of rounds
   and what is happening during rounds.Published online first September 20,
   2017. (C) 2017 Society of Hospital Medicine
RI Long, Michele/AAV-3311-2020
OI Long, Michele/0000-0002-8399-5589
ZB 0
ZS 0
ZR 0
Z8 0
ZA 0
TC 10
Z9 10
U1 1
U2 4
SN 1553-5592
EI 1553-5606
UT WOS:000413481600003
PM 29091976
ER

PT J
AU Iftikhar, Rahila
   Abaalkhail, Bahaa
TI Health-Seeking Influence Reflected by Online Health-Related Messages
   Received on Social Media: Cross-Sectional Survey
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 11
AR e382
DI 10.2196/jmir.5989
PD NOV 2017
PY 2017
AB Background: Major social networking platforms, such as Facebook,
   WhatsApp, and Twitter, have become popular means through which people
   share health-related information, irrespective of whether messages
   disseminated through these channels are authentic.
   Objective: This study aims to describe the demographic characteristics
   of patients that may demonstrate their attitudes toward medical
   information shared on social media networks. Second, we address how
   information found through social media affects the way people deal with
   their health. Third, we examine whether patients initiate or
   alter/discontinue their medications based on information derived from
   social media.
   Methods: We conducted a cross-sectional survey between April and June
   2015 on patients attending outpatient clinics at King Abdulaziz
   University, Jeddah, Saudi Arabia. Patients who used social media
   (Facebook, WhatsApp, and Twitter) were included. We designed a
   questionnaire with closed-ended and multiple-choice questions to assess
   the type of social media platforms patients used and whether information
   received on these platforms influenced their health care decisions. We
   used chi-square test to establish the relationship between categorical
   variables.
   Results: Of the 442 patients who filled in the questionnaires, 401 used
   Facebook, WhatsApp, or Twitter. The majority of respondents (89.8%,
   397/442) used WhatsApp, followed by Facebook (58.6%, 259/442) and
   Twitter (42.3%, 187/442). In most cases, respondents received
   health-related messages from WhatsApp and approximately 42.6% (171/401)
   reported ever stopping treatment as advised on a social media platform.
   A significantly higher proportion of patients without heart disease
   (P=.001) and obese persons (P=.01) checked the authenticity of
   information received on social media. Social media messages influenced
   decision making among patients without heart disease (P=.04).
   Respondents without heart disease (P=.001) and obese persons (P=.01)
   were more likely to discuss health-related information received on
   social media channels with a health care professional. A significant
   proportion of WhatsApp users reported that health-related information
   received on this platform influenced decisions regarding their family's
   health care (P=.001). Respondents' decisions regarding family health
   care were more likely to be influenced when they used two or all three
   types of platforms (P=.003).
   Conclusions: Health education in the digital era needs to be accurate,
   evidence-based, and regulated. As technologies continue to evolve, we
   must be equipped to face the challenges it brings with it.
OI Abaalkhail, Bahaa/0000-0003-1109-317X
ZR 0
Z8 1
ZB 6
ZS 2
TC 32
ZA 0
Z9 35
U1 1
U2 20
SN 1438-8871
UT WOS:000416304900001
PM 29146568
ER

PT J
AU Chow, Philip I.
   Lord, Holly R.
   MacDonnell, Kirsten
   Ritterband, Lee M.
   Ingersoll, Karen S.
TI Convergence of online daily diaries and timeline followback among women
   at risk for alcohol exposed pregnancy
SO JOURNAL OF SUBSTANCE ABUSE TREATMENT
VL 82
BP 7
EP 11
DI 10.1016/j.jsat.2017.08.004
PD NOV 2017
PY 2017
AB Researchers and clinicians interested in assessing drinking and
   unprotected sex in evaluating risk for alcohol exposed pregnancy (AEP)
   have limited options. The current investigation examined the degree to
   which data collected from online prospectively collected daily diaries
   (Diaries) converged with data from interviewer administered
   retrospective timeline follow back (TLFB), the standard in AEP
   intervention studies. 71 women (M-age = 27.7, SD = 6.2) at risk for AEP
   were recruited via online advertising and were randomly assigned to an
   online patient education condition or a tailored, online Internet
   intervention to reduce AEP risk. All participants were administered both
   Diaries and TLFB at baseline and 6 months after intervention. Key
   outcomes were variables of drinking rates and unprotected sex that
   combined to indicate risk for AEP. Zero-order and intra-class
   correlations (ICC) between Diaries and TLFB were strong for each
   outcome. Examination of ICC confidence intervals indicated that
   condition assignment did not have a significant impact on the degree of
   convergence between Diaries and TLFB. With the exception of proportion
   of days drinking and proportion of days with unprotected sex at
   baseline, none of the paired t-tests reached significance. Examination
   of descriptive statistics revealed that 63% of participants reported
   problem alcohol use and unprotected sex in both the 10-day Diaries and
   90-day TLFB at baseline, with 70% agreement at post 6-month follow up.
   Findings indicate overall strong agreement between TLFB and Diaries in
   detecting alcohol use and unprotected sex in women at risk for AEP, and
   each method has benefits and challenges that should be weighed carefully
   by researchers and treatment providers. (C) 2017 Elsevier Inc. All
   rights reserved.
RI Ingersoll, Karen S/A-9313-2009; Ingersoll, Karen/; Ritterband, Lee/G-7810-2011
OI Ingersoll, Karen/0000-0001-8115-2548; Ritterband,
   Lee/0000-0001-7624-5213
ZS 0
ZR 0
Z8 0
ZB 2
ZA 0
TC 3
Z9 3
U1 0
U2 4
SN 0740-5472
UT WOS:000413613100002
PM 29021118
ER

PT J
AU Parikh, Rajiv P.
   Snyder-Warwick, Alison
   Naidoo, Sybill
   Skolnick, Gary B.
   Patel, Kamlesh B.
TI Impact of an Event Reporting System on Resident Complication Reporting
   in Plastic Surgery Training: Addressing an ACGME and Plastic Surgery
   Milestone Project Core Competency
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 140
IS 5
BP 736E
EP 745E
DI 10.1097/PRS.0000000000003771
PD NOV 2017
PY 2017
AB Background: The Accreditation Council for Graduate Medical Education and
   Plastic Surgery Milestone Project has identified practice-based learning
   and improvement, which involves systematically analyzing current
   practices and implementing changes, as a core competency in residency
   education. In surgical care, complication reporting is an essential
   component of practice-based learning and improvement as complications
   are analyzed in morbidity and mortality conference for quality
   improvement. Unfortunately, current methods for capturing a
   comprehensive profile of complications may significantly underestimate
   the true occurrence of complications. Therefore, the objectives of this
   study are to evaluate an intervention for complication reporting and
   compare this to current practice, in a plastic surgery training program.
   Methods: This is a preintervention and postintervention study evaluating
   resident reporting of complications on a plastic surgery service. The
   intervention was an online event reporting system developed by
   department leadership and patient safety experts. The cohorts consisted
   of all patients undergoing surgery during two separate 3-month blocks
   bridged by an implementation period. A trained reviewer recorded
   complications, and this served as the reference standard. Fisher's exact
   test was used for binary comparisons.
   Results: There were 32 complications detected in 219 patients from June
   to August of 2015 and 35 complications in 202 patients from October to
   December of 2015. The proportion of complications reported in the
   preintervention group was nine of 32 (28.1 percent). After the
   intervention, this significantly increased to 32 of 35 (91.4 percent) (p
   < 0.001).
   Conclusion: An intervention using an event reporting system, supported
   by departmental leadership, led to significant improvements in
   complication reporting by plastic surgery residents.
RI NAIDOO, SYBILL/AAF-8653-2019
OI NAIDOO, SYBILL/0000-0001-5277-8592
TC 4
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 4
U1 0
U2 1
SN 0032-1052
EI 1529-4242
UT WOS:000418596800010
PM 29068945
ER

PT J
AU Paige, John T.
   Khamis, Nehal N.
   Cooper, Jeffrey B.
CA Amer Coll Surg Accredited Educ Ins
TI Learning how to "teach one": A needs assessment of the state of faculty
   development within the Consortium of the American College of Surgeons
   Accredited Education Institutes
SO SURGERY
VL 162
IS 5
BP 1140
EP 1147
DI 10.1016/j.surg.2017.06.016
PD NOV 2017
PY 2017
AB Background. Developing faculty competencies in curriculum development,
   teaching, and assessment using simulation is critical for the success of
   the Consortium of the American College of Surgeons Accredited Education
   Institutes program. The state of and needs for faculty development in
   the Accredited Education Institute community are unknown currently. The
   Faculty Development Committee of the Consortium of the Accredited
   Education Institutes conducted a survey of Accredited Education
   Institutes to ascertain what types of practices are used currently, with
   what frequency, and what needs are perceived for further programs and
   courses to guide the plan of action for the Faculty Development
   Committee.
   Methods. The Faculty Development Committee created a 20-question survey
   with quantitative and qualitative items aimed at gathering data about
   practices of faculty development and needs within the Consortium of
   Accredited Education Institutes. The survey was sent to all 83
   Accredited Education Institutes program leaders via Survey Monkey in
   January 2015 with 2 follow-up reminders. Quantitative data were compiled
   and analyzed using descriptive statistics, and qualitative data were
   interpreted for common themes.
   Results. Fifty-four out of the 83 programs (65 %) responded to the
   survey. Two-thirds of the programs had from 1 to 30 faculty teaching at
   their Accredited Education Institutes. More than three-quarters of the
   programs taught general surgery, emergency medicine, or
   obstetrics/gynecology. More than 60% of programs had some form of
   faculty development, but 91 % reported a need to expand their offerings
   for faculty development with "extreme value" for debriefing skills
   (70%), assessment (47%), feedback (40%), and curriculum development
   (40%). Accredited Education Institutes felt that the Consortium could
   assist with faculty development through such activities as the provision
   of online resources, sharing of best practices, provision of a blueprint
   for development of a faculty curriculum and information related to
   available, credible master programs of faculty development and health
   professions education.
   Conclusion. Many Accredited Education Institutes programs are engaged in
   faculty development activities, but almost all see great needs in
   faculty development related to debriefing assessment, and curricular
   development. These results should help to guide the action and
   decision-making of the Consortium Faculty Development Committee to
   improve teaching within the American College of Surgeons Accredited
   Education Institutes.
RI Cooper, Jeffrey B/M-8039-2018
TC 3
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
Z9 3
U1 0
U2 13
SN 0039-6060
UT WOS:000414385600023
PM 28811044
ER

PT J
AU Purdy, Amanda C.
   Idriss, Ahnoatazbellah
   Ahern, Susan
   Lin, Elizabeth
   Elfenbein, Dawn M.
TI Dr Google: The readability and accuracy of patient education websites
   for Graves' disease treatment
SO SURGERY
VL 162
IS 5
BP 1148
EP 1154
DI 10.1016/j.surg.2017.07.011
PD NOV 2017
PY 2017
AB Background. National guidelines emphasize the importance of
   incorporating patient preferences into the recommendations for the
   treatment of Graves' disease. Many patients use the Internet to obtain
   health information, and search results can affect their treatment
   decisions. This study compares the readability and accuracy of
   patient-oriented online resources for the treatment of Graves' disease
   by website affiliation and treatment modality.
   Methods. A systematic Internet search was used to identify the top
   websites discussing the treatment of Graves' disease. Readability was
   measured using 5 standardized tests. Accuracy was assessed by a blinded,
   expert panel, which scored the accuracy of sites on a scale of 1 to 5.
   Mean readability and accuracy scores were compared among website
   affiliations and treatment modalities.
   Results. We identified 13 unique websites, including 2 academic, 2
   government, 5 nonprofit, and 4 private sites. There was a difference in
   both readability (mean 13.2, range 9.1-15.7, P = .003) and accuracy
   (mean 4.04, range 2.75-4.50, P = .019) based on website affiliation.
   Government sites (mean readability 11.1) were easier to read than
   academic (14.3, P < .01), nonprofit (13.9, P < .01), and private sites
   (13.5, P < .05). Academic sites (mean accuracy 4.50) were more accurate
   than private sites (3.56, P < .05).
   Conclusion. Online patient resources for the treatment of Graves'
   disease are written at an inappropriately high reading level. Academic
   sites contain both the most accurate and the most difficult to read
   information. Private sites represented the majority of our top results
   but contained the least accurate information.
CT 12th Annual Meeting of the Academic-Surgical-Congress (ASC)
CY FEB 07-09, 2017
CL Las Vegas, NV
SP Acad Surg Congress
OI Purdy, Amanda/0000-0001-7297-8815
ZA 0
ZR 0
TC 11
ZB 0
ZS 0
Z8 0
Z9 11
U1 0
U2 5
SN 0039-6060
UT WOS:000414385600024
PM 28864099
ER

PT J
AU Fowler, G. E.
   Baker, D. M.
   Lee, M. J.
   Brown, S. R.
TI A systematic review of online resources to support patient
   decision-making for full-thickness rectal prolapse surgery
SO TECHNIQUES IN COLOPROCTOLOGY
VL 21
IS 11
BP 853
EP 862
DI 10.1007/s10151-017-1708-7
PD NOV 2017
PY 2017
AB Background The internet is becoming an increasingly popular resource to
   support patient decision-making outside of the clinical encounter. The
   quality of online health information is variable and largely
   unregulated. The aim of this study was to assess the quality of online
   resources to support patient decision-making for full-thickness rectal
   prolapse surgery.
   Methods This systematic review was registered on the PROSPERO database
   (CRD42017058319). Searches were performed on Google and specialist
   decision aid repositories using a pre-defined search strategy. Sources
   were analysed according to three measures: (1) their readability using
   the Flesch-Kincaid Reading Ease score, (2) DISCERN score and (3)
   International Patient Decision Aids Standards (IPDAS) minimum standards
   criteria score (IPDASi, v4.0).
   Results Overall, 95 sources were from Google and the specialist decision
   aid repositories. There were 53 duplicates removed, and 18 sources did
   not meet the pre-defined eligibility criteria, leaving 24 sources
   included in the fulltext analysis. The mean Flesch-Kincaid Reading Ease
   score was higher than recommended for patient education materials (48.8
   +/- 15.6, range 25.2-85.3). Overall quality of sources supporting
   patient decision-making for full-thickness rectal prolapse surgery was
   poor (median DISCERN score 1/5 +/- 1.18, range 1-5). No sources met
   minimum decision-making standards (median IPDASi score 5/12 +/- 2.01,
   range 1-8).
   Conclusions Currently, easily accessible online health information to
   support patient decision-making for rectal surgery is of poor quality,
   difficult to read and does not support shared decision-making. It is
   recommended that professional bodies and medical professionals seek to
   develop decision aids to support decision-making for full-thickness
   rectal prolapse surgery.
RI Baker, Daniel/O-3091-2019; Lee, Matthew/I-3538-2019; brown, steve/AAG-2066-2019; Fowler, George/; Brown, Steven/
OI Baker, Daniel/0000-0002-3708-790X; Lee, Matthew/0000-0001-9971-1635;
   Fowler, George/0000-0002-4133-802X; Brown, Steven/0000-0002-0980-2793
TC 10
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 10
U1 0
U2 3
SN 1123-6337
EI 1128-045X
UT WOS:000416135100002
PM 29101494
ER

PT J
AU Becker, Katja
   Adam, Hubertus
   In-Albon, Tina
   Kaess, Michael
   Kapusta, Nestor
   Plener, Paul
CA Leitliniengrp
TI Assessment and therapy of suicidality in adolescence: the most important
   recommendations of the current guideline
SO ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE
VL 45
IS 6
BP 485
EP 497
DI 10.1024/1422-4917/a000516
PD NOV 2017
PY 2017
AB Due to the clinical relevance of suicidal risks, suicide attempts, and
   suicides in adolescence consensus-based guidelines with clinical
   recommendations were updated and summarized in this article. It should
   be considered that each indication has to be taken serious. Suicidality
   is an essential component of the psychopathological report and should be
   explored for the short-and long term risk. The clinical assessment of
   the acute suicidality results from a trustful anamnestic conversation,
   assessment of risk factors, mental disorders, and the use of alcohol and
   drugs. Acute suicidality is an indication for an inpatient treatment
   that for the protection of the patient has to be implemented also
   against his will. An adequate documentation is inevitable. After a
   suicide attempt, in addition to the initial medical treatment it has to
   be paid attention that the patient cannot harm himself any further and a
   rapid consultation in the responsible clinic takes place. First
   therapeutic goal is the reduction of suicidality and if necessary the
   re-achievement of the ability to negotiate a non-suicide agreement. For
   recurrent suicide thoughts an emergency plan has to be created. In
   addition to offer conversations, for a further relief a temporary
   sedated psychopharmacology can be necessary. In case of a suicide in a
   clinic, recommendations should be present that regulates
   responsibilities and procedures. Effective prevention methods are
   multiplier training, public education, restricted access to methods, and
   complying with media guidelines.
RI Kapusta, Nestor D/C-9368-2009; Becker, Katja/AAU-8708-2020; Plener, Paul/
OI Kapusta, Nestor D/0000-0002-0970-4341; Becker,
   Katja/0000-0003-4858-5127; Plener, Paul/0000-0003-4333-1494
TC 9
ZA 0
ZS 0
ZB 0
ZR 0
Z8 1
Z9 10
U1 2
U2 14
SN 1422-4917
EI 1664-2880
UT WOS:000415123700006
PM 28281867
ER

PT J
AU Feltman, Dalia M.
   Williams, David D.
   Carter, Brian S.
TI How Are Neonatology Fellows Trained for Antenatal Periviability
   Counseling?
SO AMERICAN JOURNAL OF PERINATOLOGY
VL 34
IS 13
BP 1279
EP 1285
DI 10.1055/s-0037-1603317
PD NOV 2017
PY 2017
AB Background Studies have shown rates of life-sustaining treatments for
   periviable newborns vary by center, centers' differing periviability
   approaches affect trainees' views, and formal communication training for
   neonatology fellows is uncommon. Parents of imperiled newborns report
   unmet emotional and spiritual needs. This study sought to understand how
   fellows learn to support parents and their periviable newborns through
   exposure to institutional clinical approaches and by formal curriculum.
   Methods All the U.S. neonatology fellowship program directors were
   invited to complete an online anonymous survey. Data were analyzed with
   descriptive statistics.
   Results In this study, 56 of 98 directors (57%) responded. Training
   centers differed in delivery room options offered and recommended for
   periviable newborns. Providing parents written information and
   neonatology and obstetrics co-counseling were uncommon. Directors
   reported weaknesses in training fellows to support parents' spiritual
   and emotional needs, and < 50% reported formal policies for involving
   social workers or chaplain. Fellows learned periviability counseling in
   95% programs by observing attending physicians; however, only 54%
   directors reported typical joint daytime counseling with fellows and
   attending physicians.
   Conclusion Training programs exposed fellows to different periviability
   care approaches, identified weaknesses in teaching support provision for
   parents' needs, and appeared to miss opportunities for clinical modeling
   of counseling and comfort care provision.
TC 10
ZA 0
ZB 3
ZR 0
ZS 0
Z8 0
Z9 10
U1 0
U2 4
SN 0735-1631
EI 1098-8785
UT WOS:000413497600002
PM 28499306
ER

PT J
AU Brinkman, D. J.
   Tichelaar, J.
   Okorie, M.
   Bissell, L.
   Christiaens, T.
   Likic, R.
   Maciulaitis, R.
   Costa, J.
   Sanz, E. J.
   Tamba, B. I.
   Maxwell, S. R.
   Richir, M. C.
   van Agtmael, M. A.
CA Educ Working Grp European A
TI Pharmacology and Therapeutics Education in the European Union Needs
   Harmonization and Modernization: A Cross-sectional Survey Among 185
   Medical Schools in 27 Countries
SO CLINICAL PHARMACOLOGY & THERAPEUTICS
VL 102
IS 5
BP 815
EP 822
DI 10.1002/cpt.682
PD NOV 2017
PY 2017
AB Effective teaching in pharmacology and clinical pharmacology and
   therapeutics (CPT) is necessary to make medical students competent
   prescribers. However, the current structure, delivery, and assessment of
   CPT education in the European Union (EU) is unknown. We sent an online
   questionnaire to teachers with overall responsibility for CPT education
   in EU medical schools. Questions focused on undergraduate teaching and
   assessment of CPT, and students' preparedness for prescribing. In all,
   185 medical schools (64%) from 27 EU countries responded. Traditional
   learning methods were mainly used. The majority of respondents did not
   provide students with the opportunity to practice real-life prescribing
   and believed that their students were not well prepared for prescribing.
   There is a marked difference in the quality and quantity of CPT
   education within and between EU countries, suggesting that there is
   considerable scope for improvement. A collaborative approach should be
   adopted to harmonize and modernize the undergraduate CPT education
   across the EU.
RI Sanz Alvarez, Emilio J/M-3535-2019; Sanz, Emilio J/C-9793-2009; Costa, João/GRR-7688-2022; Tamba, Bogdan Ionel/J-6231-2014; Likic, Robert/J-6401-2019; Tichelaar, Jelle/
OI Sanz Alvarez, Emilio J/0000-0001-6788-4435; Sanz, Emilio
   J/0000-0001-6788-4435; Costa, João/0000-0002-5831-4921; Tamba, Bogdan
   Ionel/0000-0001-9868-1999; Likic, Robert/0000-0003-1413-4862; Tichelaar,
   Jelle/0000-0002-7485-9219
Z8 0
ZS 0
ZR 0
TC 38
ZB 20
ZA 0
Z9 38
U1 0
U2 11
SN 0009-9236
EI 1532-6535
UT WOS:000412731000023
PM 28295236
ER

PT J
AU Cavalca, V.
   Rocca, B.
   Veglia, F.
   Petrucci, G.
   Porro, B.
   Myasoedova, V.
   De Cristofaro, R.
   Turnu, L.
   Bonomi, A.
   Songia, P.
   Cavallotti, L.
   Zanobini, M.
   Camera, M.
   Alamanni, F.
   Parolari, A.
   Patrono, C.
   Tremoli, E.
TI On-pump Cardiac Surgery Enhances Platelet Renewal and Impairs Aspirin
   Pharmacodynamics: Effects of Improved Dosing Regimens
SO CLINICAL PHARMACOLOGY & THERAPEUTICS
VL 102
IS 5
BP 849
EP 858
DI 10.1002/cpt.702
PD NOV 2017
PY 2017
AB On-pump cardiac surgery may trigger inflammation and accelerate platelet
   cyclooxygenase-1 renewal, thereby modifying low-dose aspirin
   pharmacodynamics. Thirty-seven patients on standard aspirin 100 mg
   once-daily were studied before surgery and randomized within 36 hours
   postsurgery to 100 mg once-daily, 100 mg twice-daily, or 200 mg
   once-daily for 90 days. On day 7 postsurgery, immature and mature
   platelets, platelet mass, thrombopoietin, glycocalicin, leukocytes,
   C-reactive protein, and interleukin-6 significantly increased.
   Interleukin-6 significantly correlated with immature platelets. At day
   7, patients randomized to 100 mg once-daily showed a significant
   increase in serum thromboxane (TX)B-2 within the 24-hour dosing interval
   and urinary TXA(2) metabolite (TXM) excretion. Aspirin 100 mg
   twice-daily lowered serum TXB2 and prevented postsurgery TXM increase (P
   < 0.01), without affecting prostacyclin metabolite excretion. After
   cardiac surgery, shortening the dosing interval, but not doubling the
   once-daily dose, rescues the impaired antiplatelet effect of low-dose
   aspirin and prevents platelet activation associated with acute
   inflammation and enhanced platelet turnover.
RI PAROLARI, ALESSANDRO/AAB-1763-2021; Porro, Benedetta/K-1390-2016; De Cristofaro, Raimondo/K-3942-2018; rocca, bianca/K-3922-2018; Camera, Marina/AAC-4741-2022; Myasoedova, Veronika A/K-1024-2016; Cavallotti, Laura/K-3347-2018; Bonomi, Alice/AAB-6147-2020; Patrono, Carlo/; Turnu, Linda/F-3652-2018; ALAMANNI, FRANCESCO/; TREMOLI, ELENA/I-8126-2018
OI PAROLARI, ALESSANDRO/0000-0002-6954-0422; Porro,
   Benedetta/0000-0002-4019-4618; De Cristofaro,
   Raimondo/0000-0002-8066-8849; Myasoedova, Veronika
   A/0000-0001-8414-5300; Cavallotti, Laura/0000-0002-1341-2552; Bonomi,
   Alice/0000-0001-5409-0791; Patrono, Carlo/0000-0002-6447-2424; Turnu,
   Linda/0000-0001-6536-9798; ALAMANNI, FRANCESCO/0000-0003-0213-3715;
   TREMOLI, ELENA/0000-0002-0929-6106
TC 17
ZA 0
Z8 0
ZS 0
ZR 0
ZB 10
Z9 17
U1 0
U2 5
SN 0009-9236
EI 1532-6535
UT WOS:000412731000027
PM 28379623
ER

PT J
AU Max, Jeffrey E.
TI Jack Fell Down and Broke His Crown: Not Unusual and So Why the Skype?
SO JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
VL 56
IS 11
BP 916
EP 917
DI 10.1016/j.jaac.2017.09.416
PD NOV 2017
PY 2017
ZS 0
ZB 0
Z8 0
TC 0
ZA 0
ZR 0
Z9 0
U1 0
U2 1
SN 0890-8567
EI 1527-5418
UT WOS:000414818300004
PM 29096771
ER

PT J
AU Maciolek, Kimberly A.
   Jarrard, David F.
   Abel, E. Jason
   Best, Sara L.
TI Systematic Assessment Reveals Lack of Understandability for Prostate
   Biopsy Online Patient Education Materials
SO UROLOGY
VL 109
BP 101
EP 106
DI 10.1016/j.urology.2017.07.037
PD NOV 2017
PY 2017
AB OBJECTIVE To evaluate the accuracy, readability, understandability, and
   actionability of Internet patient education materials (PEM) about
   transrectal ultrasound-guided prostate biopsy.
   METHODS A comprehensive Internet search was performed to find PEM with
   pre- or postbiopsy instructions. PEM that were duplicates, government
   affiliated, international, or video based were excluded. Biopsy
   instructions were evaluated for accuracy and presence of essential
   topics. Readability was assessed via word count and Flesch-Kincaid Grade
   Level. Understandability and actionability were measured using the
   Patient Education Materials Assessment Tool (PEMAT). Effects of
   authorship and geographical variation were determined using Fischer
   exact and Kruskal-Wallis tests.
   RESULTS We identified 148 unique PEM. Only 31 (21%) sites adhered to the
   recommended <8th grade reading level. Most PEM did not contain
   recommended graphics (14%), checklists (2%), or summaries (6%). The
   PEMAT understandability score for academic PEM was higher than private
   (P = .02) and unaffiliated PEM (P = .01). No websites had inaccurate
   content. Only 2 PEM sites (1%) included all essential content (stop
   anticoagulants, antibiotics, need for urinalysis, biopsy pain, when to
   resume activity, and bleeding complications). Few significant
   differences based on geographic region were observed for word count,
   readability, PEMAT scores, or content.
   CONCLUSION Transrectal ultrasound-guided prostate biopsy PEM adhere
   poorly to guidelines for easy-tounderstand materials. Most PEM lack
   vital information and are written at a reading level that is too complex
   for patient comprehension. The urology community can construct better
   websites by consulting PEM advisory materials and providing nontechnical
   language, figures, and specific instructions. Published by Elsevier Inc.
TC 8
ZB 0
Z8 0
ZA 0
ZS 0
ZR 0
Z9 8
U1 0
U2 1
SN 0090-4295
EI 1527-9995
UT WOS:000415597100019
PM 28780302
ER

PT J
AU Koestner, Wolfgang
   Otten, Wiebke
   Kaireit, Till
   Wacker, Frank K.
   Dettmer, Sabine
TI Competency-Based Teaching in Radiology - Implementation and Evaluation
   of Interactive Workstation-Based Learning to Apply NKLM-Based Content
SO ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER
   BILDGEBENDEN VERFAHREN
VL 189
IS 11
BP 1076
EP 1085
DI 10.1055/s-0043-117888
PD NOV 2017
PY 2017
AB Purpose New teaching formats are required to implement competency-based
   teaching in radiology teaching. Therefore, we have established and
   evaluated two practical competency-based radiological courses.
   Materials and Methods The courses were held in a multimedia room with 25
   computers and a professional DICOM viewer. Students were taught basic
   image analysis and presented clinical cases with a DICOM viewer under
   supervision of an instructor using desktop monitoring software. Two
   courses (elective course and obligatory course) were evaluated by the
   students (n = 160 and n = 100) and instructors (n = 9) using an
   anonymized online survey.
   Results Courses were evaluated positively by the students and
   instructors. From the perspective of the students, the courses increased
   understanding of cross-sectional anatomy (elective/obligatory course: 97
   %/95 %) and radiologic findings (97 %/99 %). Furthermore, the course
   increased the students' interest in radiology (61 %/65 %). The students
   considered this way of teaching to be relevant to their future
   occupation (92 % of students in the obligatory course). The higher
   incidence of teacher-student interaction and the possibility of
   independent image analysis were rated positively. The majority of
   instructors did not observe increased distractibility due to the
   computers (67 %) or notice worse preparation for MC tests (56 %).
   However, 56 % of instructors reported greater preparation effort.
   Conclusion Practical competency-based radiological teaching using a
   DICOM viewer is a feasible innovative approach with high acceptance
   among students and instructors. It fosters competency-based learning as
   proposed by the model curriculum of the German Radiological Society
   (DRG) and the National Competency-based Catalogue of Learning Objectives
   for Undergraduate Medical Education (NKLM).
ZR 0
ZS 0
Z8 0
TC 3
ZA 0
ZB 0
Z9 3
U1 0
U2 2
SN 1438-9029
EI 1438-9010
UT WOS:000417683200006
PM 28934808
ER

PT J
AU Brown, Chris
   Keller, Chad J.
   Brownfield, Jenna M.
   Lee, Rebekah
TI Predicting Trans-Inclusive Attitudes of Undergraduate Nursing Students
SO JOURNAL OF NURSING EDUCATION
VL 56
IS 11
BP 660
EP 669
DI 10.3928/01484834-20171020-05
PD NOV 2017
PY 2017
AB Background: Research informs that transgender individuals experience
   harsh and negative experiences when accessing medical care. As a person
   of contact, nurses serve a key role in providing a sense of emotional
   safety for transgender patients. Method: Undergraduate nursing students
   (N = 265) completed an online survey assessing transprejudice attitudes
   and other individual-difference variables (e.g., openness to experience,
   attribution of cause for being transgender, and empathic concern).
   Results: Confidence in providing culturally competent and affirming
   health care to diverse populations was associated with having received
   educational information on transgender issues and personally knowing a
   transgender individual. A significant positive correlation was found
   between beliefs that being transgender is due to genetics and holding
   more accepting attitudes toward transgender individuals. Conclusion:
   Nursing education that addresses gender identity and provides an
   opportunity for student health professionals to interact with
   transgender individuals may help promote affirming heath care practices
   and reduce prejudice toward transgender people.
OI brown, chris/0000-0002-3640-7449
ZR 0
ZA 0
Z8 0
TC 9
ZS 0
ZB 0
Z9 9
U1 0
U2 20
SN 0148-4834
EI 1938-2421
UT WOS:000417654000005
PM 29091235
ER

PT J
AU McQuillan, Thomas
   Wilcox-Fogel, Nate
   Kraus, Emily
   Ladd, Amy
   Fredericson, Michael
TI Integrating Musculoskeletal Education and Patient Care at Medical
   Student-Run Free Clinics
SO PM&R
VL 9
IS 11
BP 1117
EP 1121
DI 10.1016/j.pmrj.2017.03.008
PD NOV 2017
PY 2017
AB Background: Student-run free clinics (SRFCs) have emerged as an
   important educational component of United States (U.S.) medical schools.
   Despite the prevalence of musculoskeletal (MSK) problems presenting to
   SRFCs, students and clinics are often unprepared to diagnose and to
   treat common MSK complaints.
   Objective: We sought to determine the scope of diagnosis and treatment
   at a medical student-run free clinic specializing in musculoskeletal
   care using physical medicine and rehabilitation (PM(sic)R) residents.
   Secondary goals included reviewing student satisfaction and determining
   the appropriateness of the clinic in medical education.
   Design: Retrospective chart review, anonymous online survey.
   Setting: Primary care, free student clinic affiliated with tertiary
   academic medical center.
   Participants: A total of 20 medical student volunteers, 6 PM(sic)R
   residents, and 91 community patients.
   Methods: We established a musculoskeletal clinic as a specialty referral
   clinic for the 2 primary care SRFCs with institutional support from a
   partner medical school. We then reviewed clinical operations
   retrospectively using electronic medical records and student
   satisfaction based on an online survey.
   Main Outcome Measurements: We analyzed patient demographics and chief
   complaints, referrals provided, and medical services rendered. We also
   used a 5-point Likert scale to assess student satisfaction.
   Results: A monthly musculoskeletal referral clinic was established with
   the oversight of PM(sic)R attendings and residents. The clinic received
   91 referrals and managed 61 unique patients over a 2.5-year study
   period. The most common presentations to the clinic involved knee pain
   (n = 17, 27.9%) and back pain (n = 16, 26.2%). Pro bono relationships
   with community and institutional partners enabled all patients to
   receive medical examinations, physical therapy visits, plain film
   radiographs, and insurance consultations free of charge. Student
   satisfaction with teaching and patient care was high, with 19 of 20
   students reporting their experience as "good" or "excellent."
   Conclusions: SRFCs represent an underused opportunity to enhance MSK
   education among medical students by treating a variety of common MSK
   complaints in an underserved population.
OI Fredericson, Michael/0000-0001-9826-2348; Kraus,
   Emily/0000-0001-5544-2939
ZA 0
TC 5
ZS 0
ZR 0
Z8 0
ZB 1
Z9 5
U1 0
U2 5
SN 1934-1482
EI 1934-1563
UT WOS:000417113500006
PM 28389399
ER

PT J
AU Ladenheim, R.
   Macchiavello, D.
   Milberg, M.
TI Inclusion of patient safety into the Medical degree electives:
   Description of the experience and student perception
SO REVISTA DE CALIDAD ASISTENCIAL
VL 32
IS 6
BP 316
EP 321
DI 10.1016/j.cali.2017.07.002
PD NOV-DEC 2017
PY 2017
AB Introduction: One of the factors identified to reduce medical errors has
   been the organisational culture. Education is proposed as a tool for its
   modification, but this does not have a unique way of being achieved.
   This paper sought to describe a patient safety elective for medical
   students and to determine their perceptions on the subject.
   Materials and methods: A descriptive study was performed in the Center
   of Medical Education and Clinical Investigations, in Argentina. Every
   student who participated in the elective was included, and there were no
   exclusion criteria. An online survey was conducted on all participants,
   and individual interviews were conducted on a convenience sample.
   Results: The subject was chosen by 54 students out of a total of 274
   students between 2011 and 2014. All (100%) of the students completed the
   course and passed the exam, and stated that they would recommend the
   elective. Most of the students (n=26) agreed that patient safety content
   should be mandatory, that its content was novel, and that the subject's
   structure seemed appropriate, with 21 saying that it was the first time
   they had been talked about these issues. From the individual interviews,
   students emphasised the novelty of the subject, and that their
   perception on patient safety issues had increased.
   Discussion: The proposed elective had a good reception among students.
   The methodology planned for its teaching seemed appropriate.
   Inter-professional education in patient safety should be implemented to
   improve student competencies in the subject. (C) 2017 SECA. Published by
   Elsevier Espana, S.L.U. All rights reserved.
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
TC 2
Z9 2
U1 0
U2 1
SN 1134-282X
EI 1887-1364
UT WOS:000416978800003
PM 29137854
ER

PT J
AU Zener, Rebecca
   Ross, Ian
TI Global Health Imaging in Radiology Residency: A Survey of Canadian
   Radiology Residents
SO CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION
   CANADIENNE DES RADIOLOGISTES
VL 68
IS 4
BP 348
EP 356
DI 10.1016/j.carj.2017.02.002
PD NOV 2017
PY 2017
AB Purpose: The study sought to determine Canadian radiology resident
   perception of and interest in global health imaging (GHI) and the
   barriers they encounter in pursuing GHI experiences during residency
   training.
   Methods: A peer-reviewed, online, anonymous, multiple-choice survey was
   distributed to Canadian radiology residents at English-language
   programs.
   Results: Fifty residents responded to the survey (similar to 16%
   response rate); 72% of respondents perceived an unmet need for medical
   imaging in the developing world. A majority of residents (60%) would
   have been likely to participate in a GHI experience if one had been
   available during their residency; 65% planned on pursuing international
   outreach work as future radiologists, 81% of whom with on-site
   collaboration in education and training of local staff. However, 82% of
   respondents were uncertain or believed they would not be adequately
   prepared to help improve access and availability of medical imaging
   services in developing countries upon completion of residency. Overall,
   residents believed a GHI program would increase their knowledge of
   infectious diseases, increase their exposure to diseases at advanced
   stage presentation, enhance their knowledge of basic imaging modalities,
   and improve their cultural competence. Lack of information about
   opportunities, lack of funding, and lack of infrastructure were ranked
   as the most important barriers to participating in a radiology rotation
   in a developing country during residency.
   Conclusion: While many Canadian radiology residents are interested in
   participating in GHI, their preparation to do so may be inadequate.
   Formalizing international GHI rotations may alleviate bathers impeding
   their pursuit.
ZS 0
ZR 0
ZA 0
TC 5
Z8 0
ZB 0
Z9 5
U1 0
U2 2
SN 0846-5371
EI 1488-2361
UT WOS:000416500600003
PM 28720414
ER

PT J
AU Birnbaum, Michael L.
   Garrett, Chantel
   Baumel, Amit
   Scovel, Maria
   Rizvi, Asra F.
   Muscat, Whitney
   Kane, John M.
TI Using Digital Media Advertising in Early Psychosis Intervention
SO PSYCHIATRIC SERVICES
VL 68
IS 11
BP 1144
EP 1149
DI 10.1176/appi.ps.201600571
PD NOV 1 2017
PY 2017
AB Objective: Identifying and engaging youth with early-stage psychotic
   disorders in order to facilitate timely treatment initiation remains a
   major public health challenge. Although advertisers routinely use the
   Internet to directly target consumers, limited efforts have focused on
   applying available technology to proactively encourage help-seeking in
   the mental health community. This study explores how one might take
   advantage of Google AdWords in order to reach prospective patients with
   early psychosis.
   Methods: A landing page was developed with the primary goal of
   encouraging help-seeking individuals in New York City to contact their
   local early psychosis intervention clinic. In order to provide the best
   opportunity to reach the intended audience, Google AdWords was utilized
   to link more than 2,000 selected search terms to strategically placed
   landing page advertisements. The campaign ran for 14 weeks between April
   11 and July 18, 2016 and had a total budget of $1,427.
   Results: The ads appeared 191,313 times and were clicked on 4,350 times,
   at a per-click cost of $.33. Many users took additional help-seeking
   steps, including obtaining psychosis-specific information/education
   (44%), completing a psychosis self-screener (15%), and contacting the
   local early treatment program (1%).
   Conclusions: Digital ads appear to be a reasonable and cost-effective
   method to reach individuals who are searching for behavioral health
   information online. More research is needed to better understand themany
   complex steps between online search inquiries and making first clinical
   contact.
ZS 0
TC 22
ZA 0
ZR 0
ZB 4
Z8 0
Z9 22
U1 0
U2 21
SN 1075-2730
EI 1557-9700
UT WOS:000416703500011
PM 28712355
ER

PT J
AU Jonker, G.
   Manders, L. A.
   Marty, A. P.
   Kalkman, C. J.
   ten Cate, Th. J.
   van Gessel, E. F.
   Hoff, R. G.
TI Variations in assessment and certification in postgraduate anaesthesia
   training: a European survey
SO BRITISH JOURNAL OF ANAESTHESIA
VL 119
IS 5
BP 1009
EP 1014
DI 10.1093/bja/aex196
PD NOV 2017
PY 2017
AB Background: Postgraduate specialty training has traditionally been based
   on a time-and rotation-based model, but competency-based models are
   emerging. Because anaesthesia training evolves differently across
   Europe, variations in assessment and certification processes are
   expected, but the extent of similarities and differences is unknown. The
   aim of this study was to compare anaesthesia training programmes in
   Europe, focusing on assessment and certification processes.
   Methods: We performed an online survey among national representatives of
   the Union of European Medical Specialists/European Board of
   Anaesthesiology.
   Results: All 36 countries participated. Duration of training had a
   median of 5 yr (range 2.75-7). Mean number of different assessment tools
   was 7.45 (range 4-13), with more tools being used in competency-based
   programmes [mean 9.1 (SD 2.97) vs 7.0 (SD 1.97); P = 0.03]. Most
   countries had a nationally uniform certification process. Based on a
   qualitative analysis of the survey findings, a categorization of
   countries emerged, reflecting the approach to assessment and
   certification. We observed two main streams of countries with an
   underlying knowledge or procedural focus within a time-and
   rotation-based apprenticeship model. These main streams are evolving, to
   different extents, towards a third orientation, competency-based
   training.
   Conclusions: Assessment and certification processes in European
   anaesthesia training are diverse. In many countries, a time-based
   apprenticeship model is evolving towards a competency-based
   certification process. This diversity precludes comparison of competence
   of graduating anaesthetists across Europe.
RI Cate, Olle Th.J. ten/W-8382-2018; Kalkman, Cor/O-3215-2019
OI Cate, Olle Th.J. ten/0000-0002-6379-8780; Kalkman,
   Cor/0000-0002-8372-6960
ZA 0
ZR 0
TC 16
ZS 2
Z8 0
ZB 6
Z9 18
U1 0
U2 0
SN 0007-0912
EI 1471-6771
UT WOS:000413642900023
PM 28981584
ER

PT J
AU Asif, Irfan M.
   Wiederman, Michael
   Kapur, Rahul
TI Journal Clubs in Sports Medicine Fellowship Programs: Results From a
   National Survey and Recommendations for Quality Improvement
SO CLINICAL JOURNAL OF SPORT MEDICINE
VL 27
IS 6
BP 552
EP 556
DI 10.1097/JSM.0000000000000402
PD NOV 2017
PY 2017
AB Background: Journal club is a pervasive component of graduate medical
   education, yet there is no gold standard as to format and logistics.
   Methods: Survey of primary care sports medicine fellowship directors in
   the United States.
   Results: Sixty-nine program directors completed the online questionnaire
   (40% response rate). There were some common aspects to journal club
   exhibited by a majority of programs, including the general format,
   required attendance by fellows and expected or required attendance by
   faculty, the expectation that participants had at least read the article
   before the meeting, and that meetings occurred during the workday in the
   work setting without provision of food. There was considerable variation
   on other aspects, including the objectives of journal club, who had
   primary responsibility for organizing the session, the criteria for
   selection of articles, who was invited to attend, and the perceived
   problems with journal club.
   Conclusions: This is the first survey investigating the current state of
   journal club in primary care sports medicine fellowship programs.
   Several opportunities for educational enhancements exist within journal
   clubs in primary care sports medicine, including the use of structured
   tools to guide discussion, providing mechanisms to evaluate the journal
   club experience as a whole, inviting multidisciplinary team members (eg,
   statisticians) to discussions, and ensuring that objectives are
   explicitly stated to participants.
ZS 0
TC 0
ZA 0
Z8 0
ZB 0
ZR 0
Z9 0
U1 0
U2 1
SN 1050-642X
EI 1536-3724
UT WOS:000415821300010
PM 27811547
ER

PT J
AU Zundel, S.
   Stocker, M.
   Szavay, P.
TI "Resident as teacher" in pediatric surgery: Innovation is overdue in
   Central Europe
SO JOURNAL OF PEDIATRIC SURGERY
VL 52
IS 11
BP 1859
EP 1865
DI 10.1016/j.jpedsurg.2017.05.029
PD NOV 2017
PY 2017
AB Purpose: We set out to evaluate how residents in pediatric surgery learn
   and how they teach. We hypnotized that European residents learn as much
   from their peers and teach as much as their fellows worldwide, but that
   they receive comparably less educational training.
   Methods: An online questionnaire was distributed to the participants of
   the combined annual meeting for German, Swiss and Austrian residents in
   pediatric surgery. Participants were asked whom they learn from in
   different workplace environments (ward, operating room, emergency
   department), how, when and why they adopt the role of teacher and how
   they were prepared for this role.
   Results: Response rate was 48%. 65 questionnaires were analyzed.
   Residents stated that they predominantly learn from each other onwards
   and in the emergency department, less frequently in the operating room.
   They ranked fellow residents as first or second most important source of
   instruction. 53% of participants have never had any educational
   training, for another 33% the instruction was being done by fellow
   residents without any set curriculum. 93% of the participating residents
   had no or did not know about any resident as teacher training program
   available to them. Nevertheless, motivation to teach was stated to be
   high and interest in educational training was assured.
   Conclusions: Our data delivers evidence that peer teaching during
   residency is the rule rather than the exception in Central Europe.
   Educational training however is scarce. Resident as teacher-training
   programs need to be introduced. Next to local initiatives, we strongly
   recommend national initiatives powered by regulatory authorities and
   surgical associations. (C) 2017 Elsevier Inc. All rights reserved.
RI Martin, Stocker/AAV-7124-2021; Stocker, Martin/
OI Stocker, Martin/0000-0002-1461-333X
ZB 0
TC 1
ZA 0
ZS 0
Z8 0
ZR 0
Z9 1
U1 0
U2 2
SN 0022-3468
EI 1531-5037
UT WOS:000415328600031
PM 28647048
ER

PT J
AU Schneider, P. S.
   Wall, M.
   Brown, J. P.
   Cheung, A. M.
   Harvey, E. J.
   Morin, S. N.
TI Atypical femur fractures: a survey of current practices in orthopedic
   surgery
SO OSTEOPOROSIS INTERNATIONAL
VL 28
IS 11
BP 3271
EP 3276
DI 10.1007/s00198-017-4155-4
PD NOV 2017
PY 2017
AB The results of a self-administered online survey demonstrate that
   orthopedic surgeons' management practices for AFF are variable. These
   data will inform the development of clinical practice guidelines.
   Introduction We aimed to determine current AFF treatment practices of
   orthopedic surgeons to inform clinical practice guideline development.
   Methods A self-administered online survey was developed and sequentially
   posted on the Orthopaedic Trauma Association (OTA) website from July to
   August 2015 and the Canadian Orthopaedic Association (COA) website from
   December 2015 to January 2016. Level of confidence in diagnosis and
   treatment as well as treatment preferences between respondents who
   self-identified as trauma surgeons vs. non-trauma surgeons were
   compared.
   Results A total of 172 completed surveys were obtained (OTA, N = 100,
   58%; COA, N = 72, 8%). Seventy-eight percent of respondents had treated
   >= 1 AFF in the previous 6 months. Seventy-six percent reported feeling
   extremely or very confident in diagnosing AFF (trauma 84% vs. non-trauma
   surgeons 70%, p = 0.04), and 63% reported feeling extremely or very
   confident in treating AFF (trauma 82%, non-trauma surgeons 50%, p <
   0.01). Preferred management for complete and symptomatic incomplete AFFs
   was surgical fixation with a cephalomedullary nail (CMN) by 88 and 79%,
   respectively, while close follow-up was preferred for asymptomatic
   incomplete AFFs in 72% of respondents. Trauma surgeons used the CMN more
   frequently than non-trauma surgeons (90 vs. 76% p = 0.03). In patients
   with bilateral AFFs, with one side surgically treated, 56% were
   extremely likely to surgically treat the contralateral side, if
   symptomatic. Most felt guidelines (81%) and educational resources (73%)
   would be valuable.
   Conclusions Current orthopedic treatment practices for AFFs are
   variable. The results of this survey will inform the development of
   practice guidelines and educational resources.
RI Schneider, Prism/AAV-9605-2020; Morin, Suzanne/; Brown, Jacques/; Cheung, Angela M./; harvey, edward/
OI Morin, Suzanne/0000-0002-4317-492X; Brown, Jacques/0000-0003-1910-788X;
   Cheung, Angela M./0000-0001-8332-0744; harvey,
   edward/0000-0003-3934-8920
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
TC 3
Z9 3
U1 0
U2 1
SN 0937-941X
EI 1433-2965
UT WOS:000412822100020
PM 28770273
ER

PT J
AU Lindley, Lisa C.
   Rotella, Joseph D.
   Ast, Katherine
   Matzo, Marianne
   Kamal, Arif H.
TI The Quality Improvement Environment: Results of the 2016 AAHPM/HPNA
   Membership Needs Assessment Survey
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 54
IS 5
BP 766
EP 771
DI 10.1016/j.jpainsymman.2017.07.031
PD NOV 2017
PY 2017
AB Context. The American Academy of Hospice and Palliative Medicine (AAHPM)
   and Hospice and Palliative Nurses Association (HPNA) convened the
   Measuring What Matters (MWM) initiative in 2013, which recommended 10
   quality performance measures; yet, little is known about the quality
   improvement (QI) environment and implementation of the MWM among
   hospices and palliative care services.
   Objectives. The objective of this study was to describe the findings of
   the 2016 AAHPM/HPNA Needs Assessment survey exploring the QI environment
   among hospice and palliative care services.
   Methods. An online survey was distributed to approximately 16,500 AAHPM
   and HPNA members, and other hospice and palliative care
   organizationswere invited to respond. Summary data and
   individualwrite-in responses were collated and analyzed. Data analysis
   included generating descriptive statistics and analyzing individual
   write-in responses for additional information and themes.
   Results. More than 1000 responses were received. Most organizations had
   a designated QI leader and used an electronic medical record. Less than
   50% of systems had fields for palliative care information. The top three
   MWM measures collected through an electronic medical record were pain
   treatment (66%), screening for physical symptoms (55%), and
   comprehensive assessment (54%). The most common barrier to implementing
   QI was time constraint. Most respondents had received no training and
   education in how to implement QI.
   Conclusions. The 2016 AAHPM/HPNA Needs Assessment Survey provided
   important information about the QI systems and measurement environment
   within hospice and palliative care services. Survey insights can aid
   AAHPM/HPNA in developing resources to empower hospice and palliative
   care clinicians to make QIs that matter for their patients and families.
   (C) 2017 American Academy of Hospice and Palliative Medicine. Published
   by Elsevier Inc. All rights reserved.
OI Lindley, Lisa C./0000-0003-2960-7896; Rotella,
   Joseph/0000-0002-6625-2548
ZB 0
ZR 0
ZS 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 3
SN 0885-3924
EI 1873-6513
UT WOS:000414744700020
PM 28751078
ER

PT J
AU Brockes, Christiane
   Grischott, Thomas
   Dutkiewicz, Magdalena
   Schmidt-Weitmann, Sabine
TI Evaluation of the Education "Clinical Telemedicine/e-Health" in the
   Curriculum of Medical Students at the University of Zurich
SO TELEMEDICINE AND E-HEALTH
VL 23
IS 11
BP 899
EP 904
DI 10.1089/tmj.2017.0011
PD NOV 2017
PY 2017
AB Background: Digitalization and patient empowerment result in new
   requirements and challenges. In response, the module Clinical
   Telemedicine/e-Health was implemented by the Faculty of Medicine of
   Zurich in 2008. The module was systematically evaluated to determine if
   the students would benefit from this course. In 2011, 2015, and 2016
   further evaluations were performed.
   Method: In 2008 and 2009, students evaluated 16 statements. We
   calculated the combined mean value and medians for both evaluations. In
   2011, the same evaluation was conducted, and the results were compared
   through U-test. In 2015, students were asked about the application and
   benefits of telemedicine; the answers were analyzed qualitatively and
   quantitatively. In 2016, the University of Zurich created an online
   survey which integrated three of the statements from the original
   evaluations.
   Results: Every mean value of the combined evaluations of 2008/2009,
   2011, and 2016 achieved a score of over 4 on a 6-point scale. In 2011,
   and also again in 2016, the overall satisfaction and understanding of
   telemedicine as a supplement in traditional medical consultations
   increased as follows: 4.71 +/- 0.74 versus 4.86 +/- 0.93 versus 5.1 +/-
   1.5 and, respectively, 5.02 +/- 0.96 versus 5.25 +/- 0.81 versus 5.7 +/-
   0.6. In the 2015 evaluation, 93% of students indicated that they would
   use telemedicine for chronically ill and elderly patients.
   Conclusion: The positive assessment of the module indicates the
   successful introduction of the topics of telemedicine and e-health to
   medical students at the University of Zurich. Throughout the course, the
   students gained confidence and basic skills.
RI Grischott, Thomas/AAB-2260-2020; Schmidt-Weitmann, Sabine/
OI Grischott, Thomas/0000-0002-1564-5296; Schmidt-Weitmann,
   Sabine/0000-0002-0709-7971
ZA 0
ZS 0
TC 16
ZR 0
Z8 0
ZB 1
Z9 16
U1 0
U2 19
SN 1530-5627
EI 1556-3669
UT WOS:000414698800005
PM 28498779
ER

PT J
AU Chen, Po-Hao
   Roth, Howard
   Galperin-Aizenberg, Maya
   Ruutiainen, Alexander T.
   Gefter, Warren
   Cook, Tessa S.
TI Improving Abnormality Detection on Chest Radiography Using Game-Like
   Reinforcement Mechanics
SO ACADEMIC RADIOLOGY
VL 24
IS 11
BP 1428
EP 1435
DI 10.1016/j.acra.2017.05.005
PD NOV 2017
PY 2017
AB Rationale and Objectives: Despite their increasing prevalence, online
   textbooks, question banks, and digital references focus primarily on
   explicit knowledge. Implicit skills such as abnormality detection
   require repeated practice on clinical service and have few digital
   substitutes. Using mechanics traditionally deployed in video games such
   as clearly defined goals, rapid-fire levels, and narrow time constraints
   may be an effective way to teach implicit skills.
   Materials and Methods: We created a freely available, online module to
   evaluate the ability of individuals to differentiate between normal and
   abnormal chest radiographs by implementing mechanics, including
   instantaneous feedback, rapid-fire cases, and 15-second timers.
   Volunteer subjects completed the modules and were separated based on
   formal experience with chest radiography. Performance between training
   and testing sets were measured for each group, and a survey was
   administered after each session.
   Results: The module contained 74 cases and took approximately 20 minutes
   to complete. Thirty-two cases were normal radiographs and 56 cases were
   abnormal. Of the 60 volunteers recruited, 25 were "never trained" and 35
   were "previously trained." "Never trained" users scored 21.9 out of 37
   during training and 24.0 out of 37 during testing (59.1% vs 64.9%, P
   value <.001). "Previously trained" users scored 28.0 out of 37 during
   training and 28.3 out of 37 during testing phases (75.6% vs 76.4%, P
   value = .56). Survey results showed that 87% of all subjects agreed the
   module is an efficient way of learning, and 83% agreed the rapid-fire
   module is valuable for medical students.
   Conclusions: A gamified online module may improve the abnormality
   detection rates of novice interpreters of chest radiography, although
   experienced interpreters are less likely to derive similar benefits.
   Users reviewed the educational module favorably.
RI Cook, Tessa S/R-7037-2019; Chen, Po-Hao/
OI Cook, Tessa S/0000-0002-6007-7267; Chen, Po-Hao/0000-0001-7698-5289
ZR 0
ZA 0
ZB 1
TC 13
ZS 2
Z8 0
Z9 14
U1 0
U2 14
SN 1076-6332
EI 1878-4046
UT WOS:000413992500013
PM 28647389
ER

PT J
AU Nilan, Kapka
   Raw, Martin
   McKeever, Tricia M.
   Murray, Rachael L.
   McNeill, Ann
TI Progress in implementation of WHO FCTC Article 14 and its guidelines: a
   survey of tobacco dependence treatment provision in 142 countries
SO ADDICTION
VL 112
IS 11
BP 2023
EP 2031
DI 10.1111/add.13903
PD NOV 2017
PY 2017
AB Aims To (1) estimate the number of Parties to the Framework Convention
   on Tobacco Control (FCTC) providing tobacco dependence treatment in
   accordance with the recommendations of Article 14 and its guidelines;
   (2) assess association between provision and countries' income level;
   and (3) assess progress over time. Design Cross-sectional study. Setting
   Online survey from December 2014 to July 2015. Participants Contacts in
   172 countries were surveyed, representing 169 of the 180 FCTC Parties at
   the time of the survey. Measurements A 26-item questionnaire based on
   the Article 14 recommendations including tobacco treatment
   infrastructure and cessation support systems. Progress over time was
   assessed for those countries that also participated in our 2012 survey
   and did not change country income level classification. Findings We
   received responses from contacts in 142 countries, an 83% response rate.
   Overall, 54% of respondents reported that their country had an
   officially identified person responsible for tobacco dependence
   treatment, 32% an official national treatment strategy, 40% official
   national treatment guidelines, 25% a clearly identified budget for
   treatment, 17% text messaging, 23% free national quitlines and 26%
   specialized treatment services. Most measures were associated positively
   and significantly with countries' income level (P < 0.001). Measures not
   associated significantly with income level included mandatory recording
   of tobacco use (30% of countries), offering help to health-care workers
   (HCW) to stop using tobacco (44%), brief advice integrated into existing
   services (44%), and training HCW to give brief advice (81%). Reporting
   having an officially identified person responsible for tobacco cessation
   was the only measure with a statistically significant improvement over
   time (P = 0.0351). Conclusion Fewer than half of countries that are
   Parties to the Framework Convention on Tobacco Control have implemented
   the recommendations of Article 14 and its guidelines, and for most
   measures, provision was greater the higher the country's income. There
   was little improvement in treatment provision between 2012 and 2015 in
   all countries.
RI Murray, Rachael/L-4922-2019; McKeever, Tricia/; McNeill, Ann/
OI Murray, Rachael/0000-0001-5477-2557; McKeever,
   Tricia/0000-0003-0914-0416; McNeill, Ann/0000-0002-6223-4000
TC 21
ZA 0
ZR 0
ZS 0
Z8 1
ZB 7
Z9 21
U1 1
U2 3
SN 0965-2140
EI 1360-0443
UT WOS:000412470300019
PM 28600886
ER

PT J
AU Healy, Jennifer
   Chappell, Phylliss
   Lee, Shuko
   Ross, Jeanette
   Sanchez-Reilly, Sandra
TI The Double Parallel Curriculum in Palliative Care: Teaching Learners to
   Teach End-of-Life Care at the Bedside
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 34
IS 9
BP 825
EP 830
DI 10.1177/1049909116669345
PD NOV 2017
PY 2017
AB Context: Dying is a natural process, yet physicians are often
   uncomfortable caring for dying patients. Learners have limited exposure
   to curriculum on caring for dying patients and often navigate these
   encounters without appropriate skills and confidence. We developed and
   implemented the Double Parallel Curriculum in Palliative Care (DP-PC):
   End-of-Life (EOL) module. The DP-PC focuses on teaching third-year
   medical students (MS3) to not only take care of patients in their last
   hours of life but give learners the confidence to teach patient's
   families what to expect as they hold vigil at their loved one's bedside.
   Objectives: To develop and implement an educational intervention that
   improves learners' knowledge and confidence in EOL patient and family
   care. To expand learner confidence to a dual level (learners become
   teachers) with a simplified and culturally sensitive electronic bedside
   teaching tool designed to guide learners and patients/families
   conversations. Methods: Curriculum was completed during MS3 ambulatory
   rotation and included pre-/posttests, an online case-based module,
   faculty demonstration, and learner role-play using the bedside teaching
   tool. Results: A total of 247 participants took the pretest, 222
   participants took the posttest, and 222 participants matched the
   pre-/posttest surveys. Students' knowledge of EOL care and the
   confidence to teach other learners and families about EOL care
   significantly improved after completing the curriculum. Conclusion: The
   DP-PC is a technology-savvy educational intervention that improves
   learner confidence and knowledge toward caring for dying patients and
   their families. Easy access, technology-based teaching tools may enhance
   bedside teaching of health-care learners and improve the care of
   patients and their families at the end of life.
Z8 1
ZA 0
ZB 0
ZS 0
ZR 0
TC 2
Z9 3
U1 0
U2 7
SN 1049-9091
EI 1938-2715
UT WOS:000412822600005
PM 27821679
ER

PT J
AU Wu, Ming
   Kim, Janis
   Arora, Pooja
   Gaebler-Spira, Deborah J.
   Zhang, Yunhui
TI Effects of the Integration of Dynamic Weight Shifting Training Into
   Treadmill Training on Walking Function of Children with Cerebral Palsy A
   Randomized Controlled Study
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 11
BP 765
EP 772
DI 10.1097/PHM.0000000000000776
PD NOV 2017
PY 2017
AB Objective: The aim of the study was to determine whether applying an
   assistance force to the pelvis and legs during treadmill training can
   improve walking function in children with cerebral palsy.
   Design: Twenty-three children with cerebral palsy were randomly assigned
   to the robotic or treadmill only group. For participants who were
   assigned to the robotic group, a controlled force was applied to the
   pelvis and legs during treadmill walking. For participants who were
   assigned to the treadmill only group, manual assistance was provided as
   needed. Each participant trained 3 times/wk for 6 wks. Outcome measures
   included walking speed, 6-min walking distance, and clinical assessment
   of motor function, which were evaluated before, after training, and 8
   wks after the end of training, and were compared between two groups.
   Results: Significant increases in walking speed and 6-min walking
   distance were observed after robotic training (P = 0.03), but no
   significant change was observed after treadmill training only. A greater
   increase in 6-min walking distance was observed after robotic training
   than that after treadmill only training (P = 0.01).
   Conclusions: Applying a controlled force to the pelvis and legs, for
   facilitating weight-shift and leg swing, respectively, during treadmill
   training may improve walking speed and endurance in children with
   cerebral palsy.
OI Gaebler-Spira, Deborah/0000-0001-6827-4241; Wu, Ming/0000-0002-9542-6332
ZS 0
TC 12
ZA 0
ZR 0
Z8 1
ZB 1
Z9 13
U1 2
U2 21
SN 0894-9115
EI 1537-7385
UT WOS:000413407700011
PM 28644244
ER

PT J
AU Ferrari, M.
   Dal Cin, M.
   Steele, M.
TI Self-compassion is associated with optimum self-care behaviour, medical
   outcomes and psychological well-being in a cross-sectional sample of
   adults with diabetes
SO DIABETIC MEDICINE
VL 34
IS 11
BP 1546
EP 1553
DI 10.1111/dme.13451
PD NOV 2017
PY 2017
AB AimTo investigate the role of self-compassion in diabetes outcomes.
   Self-compassion is a construct which may be relevant to chronic
   conditions, given its focus on compassion toward oneself, especially in
   times of difficulty.
   MethodsIn this cross-sectional study we collected data online from 310
   adults diagnosed with diabetes. The questionnaire measured three primary
   outcomes: self-management behaviours; HbA(1c) levels and psychological
   well-being. Potential predictors were also assessed, including
   self-compassion, locus of control, social support and demographics.
   ResultsMultiple regression analyses showed that self-compassion had the
   most consistent association with better outcomes, including all forms of
   self-management behaviour, HbA(1c) levels and psychological well-being.
   Self-compassion was independently associated with 55.1% of the variance
   in well-being. Internal locus of control was also significantly
   associated with better well-being and HbA(1c) outcomes. Chance and
   external locus of control and social support were generally associated
   with poorer outcomes.
   ConclusionsHigher levels of self-compassion are typically associated
   with improved self-management behaviour, medical outcomes and
   psychological well-being in adults with diabetes mellitus. The present
   findings suggest that self-compassion may be a parsimonious and suitable
   intervention target. Future interventions and consultations with medical
   professionals may benefit from fostering self-compassion in adults with
   diabetes mellitus.
   What's new?
   In a cross-sectional study in adults diagnosed with diabetes mellitus (N
   = 310) we found that self-compassion was consistently associated with
   better behavioural (self-management behaviours, exercise, blood glucose
   checking and healthcare use), metabolic (HbA(1c)) and psychological
   (well-being) outcomes. Independently, self-compassion accounted for a
   large proportion of variance in the outcomes compared with other known
   predictors, such as locus of control, social support and demographic
   variables (age, gender, education and relationship status). Our findings
   demonstrate the relevance of self-compassion to health behaviour in
   adults with diabetes mellitus, and empirically support the development
   of holistic psychological interventions targeting self-compassion for
   adults with diabetes mellitus.
RI Steele, Michael C/J-6451-2014; Ferrari, Madeleine/
OI Steele, Michael C/0000-0001-9628-3057; Ferrari,
   Madeleine/0000-0002-1824-6661
ZS 0
ZA 0
ZB 3
ZR 0
Z8 1
TC 26
Z9 27
U1 4
U2 30
SN 0742-3071
EI 1464-5491
UT WOS:000413165100008
PM 28799282
ER

PT J
AU Aitken, Kara
   Patek, Paul
   Murphy, Mark E.
TI The opinions and experiences of Irish obstetric and gynaecology trainee
   doctors in relation to abortion services in Ireland
SO JOURNAL OF MEDICAL ETHICS
VL 43
IS 11
BP 778
EP 783
DI 10.1136/medethics-2015-102866
PD NOV 2017
PY 2017
AB Introduction The provision of abortion services in the Republic of
   Ireland is legally restricted. Recent legislation that has been
   implemented allows for abortion if there is a real and substantial risk
   to the woman's life, but in general Irish women must travel abroad for
   abortion services. The aims of this study were to investigate the
   clinical experiences of Irish obstetric non-consultant hospital doctors
   (NCHDs) that work in this environment and to assess their attitudes
   towards termination of pregnancy (ToP).
   Methods We conducted an online cross-sectional descriptive survey of 184
   Irish obstetric NCHDs. Quantitate and qualitative analysis was
   performed.
   Results There was a 28% response rate. 88% of respondents thought that
   ToP should be permitted for fatal fetal abnormality if the parents
   choose, 96% if the woman's health is severely affected and 86% in cases
   of rape and incest. Over 90% of respondents believed a woman's health
   suffers because of the need to travel abroad to undergo a ToP. Physical,
   psychological and social reasons were explored. The research also
   highlights that obstetric trainees are actively involved in the
   provision of preabortion and postabortion care.
   Conclusions The clinical experiences and opinions of the respondents
   suggest that the current legal availability of abortion in Ireland is
   insufficient to guide best clinical practice and does not represent the
   views of those that provide obstetric care.
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
TC 7
Z9 7
U1 0
U2 4
SN 0306-6800
EI 1473-4257
UT WOS:000413525200012
PM 28356488
ER

PT J
AU VanDevanter, Nancy
   Raveis, Victoria H.
   Kovner, Christine T.
   McCollum, Meriel
   Keller, Ronald
TI Challenges and Resources for Nurses Participating in a Hurricane Sandy
   Hospital Evacuation
SO JOURNAL OF NURSING SCHOLARSHIP
VL 49
IS 6
BP 635
EP 643
DI 10.1111/jnu.12329
PD NOV 2017
PY 2017
AB PurposeWeather-related disasters have increased dramatically in recent
   years. In 2012, severe flooding as a result of Hurricane Sandy
   necessitated the mid-storm patient evacuation of New York University
   Langone Medical Center. The purpose of this study was to explore, from
   the nurses' perspective, what the challenges and resources were to
   carrying out their responsibilities, and what the implications are for
   nursing education and preparation for disaster.
   DesignThis mixed-methods study included qualitative interviews with a
   purposive sample of nurses and an online survey of nurses who
   participated in the evacuation.
   MethodsThe interviews explored prior disaster experience and training,
   communication, personal experience during the evacuation, and lessons
   learned. The cross-sectional survey assessed social demographic factors,
   nursing education and experience, as well as potential challenges and
   resources in carrying out their disaster roles.
   FindingsQualitative interviews provided important contextual information
   about the specific challenges nurses experienced and their ability to
   respond effectively. Survey data identified important resources that
   helped nurses to carry out their roles, including support from
   coworkers, providing support to others, personal resourcefulness, and
   leadership. Nurses experienced considerable challenges in responding to
   this disaster due to limited prior disaster experience, training, and
   education, but drew on their personal resourcefulness, support from
   colleagues, and leadership to adapt to those challenges.
   ConclusionsDisaster preparedness education in schools of nursing and
   practice settings should include more hands-on disaster preparation
   exercises, more low-tech options to address power loss, and specific
   policies on nurses' disaster roles.
   Clinical RelevanceNurses play a critical role in responding to
   disasters. Learning from their disaster experience can inform approaches
   to nursing education and preparation.
RI Raveis, Victoria/AAU-8250-2020; kovner, christine/; Keller, Ronald/; McCollum, Meriel/
OI Raveis, Victoria/0000-0001-6063-7669; kovner,
   christine/0000-0001-7983-1066; Keller, Ronald/0000-0002-9657-4329;
   McCollum, Meriel/0000-0003-2683-5543
Z8 0
TC 19
ZS 1
ZR 0
ZB 0
ZA 0
Z9 19
U1 1
U2 10
SN 1527-6546
EI 1547-5069
UT WOS:000413687000007
PM 28806490
ER

PT J
AU Cardoso, Graca
   Papoila, Ana
   Tome, Gina
   Killaspy, Helen
   King, Michael
   Caldas-de-Almeida, Jose Miguel
TI A cluster randomised controlled trial of a staff-training intervention
   in residential units for people with long-term mental illness in
   Portugal: the PromQual trial
SO SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
VL 52
IS 11
BP 1435
EP 1445
DI 10.1007/s00127-017-1416-7
PD NOV 2017
PY 2017
AB This study aimed to assess the efficacy of a staff-training intervention
   to improve service users' engagement in activities and quality of care,
   by means of a cluster randomised controlled trial.
   All residential units with at least 12-h a day staff support (n = 23)
   were invited to participate. Quality of care was assessed with the
   Quality Indicator for Rehabilitative Care (QuIRC) filled online by the
   unit's manager. Half the units (n = 12) were randomly assigned to
   continue providing treatment as usual, and half (n = 11) received a
   staff-training intervention that focused on skills for engaging service
   users in activities, with trainers working alongside staff to embed this
   learning in the service. The primary outcome was service users' level of
   activity (measured with the Time Use Diary), reassessed at 4 and 8
   months. Secondary outcomes were the quality of care provided (QuIRC),
   and service users' quality of life (Manchester Short Assessment of
   Quality of Life) reassessed at 8 months. Generalized linear mixed effect
   models were used to assess the difference in outcomes between units in
   the two trial arms. The trial was registered with Current Controlled
   Trials (Ref NCT02366117).
   Knowledge acquired by the staff during the initial workshops increased
   significantly (p ae<currency> 0.01). However, the intervention and
   comparison units did not differ significantly in primary and secondary
   outcomes at either follow-up.
   The intervention increased the level of knowledge of staff without
   leading to an improvement in service users' engagement in activities,
   quality of life, or quality of care in the units.
RI Papoila, Ana/S-2164-2019; Papoila, Ana Luisa/S-2515-2016; Cardoso, Graca/; Killaspy, Helen/; caldas de almeida, jose miguel/
OI Papoila, Ana/0000-0002-2918-8364; Papoila, Ana
   Luisa/0000-0002-2918-8364; Cardoso, Graca/0000-0003-1756-0197; Killaspy,
   Helen/0000-0003-2481-4802; caldas de almeida, jose
   miguel/0000-0003-1902-6772
ZS 0
ZB 0
TC 2
Z8 0
ZR 0
ZA 0
Z9 2
U1 0
U2 11
SN 0933-7954
EI 1433-9285
UT WOS:000414158800012
PM 28667486
ER

PT J
AU Mehta, Sandhya
   Mocarski, Michelle
   Wisniewski, Tami
   Gillespie, Karin
   Narayan, K. M. Venkat
   Lang, Kathleen
TI Primary care physicians' utilization of type 2 diabetes screening
   guidelines and referrals to behavioral interventions: a survey-linked
   retrospective study
SO BMJ OPEN DIABETES RESEARCH & CARE
VL 5
IS 1
AR e000406
DI 10.1136/bmjdrc-2017-000406
PD NOV 2017
PY 2017
AB Objective To assess primary care physicians' (PCPs) knowledge of type 2
   diabetes screening guidelines (American Diabetes Association (ADA) and
   2008 US Preventive Services Task Force (USPSTF)), the alignment between
   their self-reported adherence and actual practice, and how often PCPs
   recommended diabetes prevention and self-management education programs
   (DPP/DSME).
   Research design and methods An online survey of PCPs to understand
   knowledge and adherence toward use of USPSTF/ADA guidelines and
   recommendation of DPP/DSME. Patient data from electronic medical records
   (EMRs) for each PCP were used to identify rates of screening in eligible
   patients as per guidelines and the two sources were compared to assess
   concordance.
   Results Of 305 surveyed physicians, 38% reported use of both guidelines
   (33% use ADA only, 25% USPSTF only). Approximately one-third of
   physicians who reported use of USPSTF/ADA guidelines had non-concordant
   EMR data. Similarly, while most PCPs reported they are 'very likely' to
   screen patients with risk factors listed in guidelines, for each
   criterion at least one-fourth (24%) of PCPs survey responses were
   non-concordant with EMRs. PCPs reported they provide referral to DPP and
   DSME on average to 45% and 67% of their newly diagnosed patients with
   pre-diabetes and diabetes, respectively.
   Conclusion Findings show disconnect between PCPs' perceptions of
   adherence to screening guidelines and actual practice, and highlight
   limited referrals to DPP/ DSME programs. More research is needed to
   understand barriers to guideline consistent screening and uptake of DPP/
   DSME, particularly in light of recent policy changes such as the linking
   USPSTF criteria to reimbursement and expected Medicare DPP reimbursement
   in 2018.
RI Narayan, K.M. Venkat/J-9819-2012
OI Narayan, K.M. Venkat/0000-0001-8621-5405
TC 20
ZR 0
Z8 0
ZS 0
ZA 0
ZB 5
Z9 20
U1 0
U2 0
EI 2052-4897
UT WOS:000506178200038
PM 28878936
ER

PT J
AU Lord, Asta Y. Z.
   Chen, Ming-Puu
   Cheng, Yu-Yao
   Tai, Ku-Chou
   Pan, Wen-Harn
TI Enhancing nutrition-majored students' reflective judgment through online
   collective reflection
SO COMPUTERS & EDUCATION
VL 114
BP 298
EP 308
DI 10.1016/j.compedu.2017.07.010
PD NOV 2017
PY 2017
AB Reflective judgement is a critical capability for dietitians since they
   are often confronted with contradictory evidence and conflicting
   viewpoints. The lack of reflective judgment literature for nutrition
   education revealed an imperative need to find ways to enhance
   nutrition-majored students' reflective judgement. Thus, this study aimed
   to employ online reflection strategy to enhance nutrition-majored
   students' reflective judgment performance. One hundred and twenty
   nutrition-majored college juniors participated in the four-week
   experimental online reflective judgment learning activity. The
   independent variable was the type of online reflection strategy (the
   collective reflection using branched threading, the collective
   reflection using linear threading, and self-reflection) while the
   dependent variables included reflective judgement performance and
   participants' perceived learning. The results indicated that all of the
   three online reflection strategies promoted learners' reflective
   judgment performance equally with an increment of 0.75 stage.
   Participants showed positive perceptions toward reflective judgement
   learning. Further research is needed to better understand the long-term
   impact of the online collective reflection strategies in the real-world
   practice of dietetics. (C) 2017 Elsevier Ltd. All rights reserved.
RI Pan, Wen-Harn/F-9972-2010; Lord, Asta/AAW-4140-2021
OI Pan, Wen-Harn/0000-0001-9136-0658; Lord, Asta/0000-0002-7106-0540
Z8 0
ZB 0
ZR 0
ZS 0
TC 5
ZA 0
Z9 5
U1 0
U2 22
SN 0360-1315
EI 1873-782X
UT WOS:000409287600019
ER

PT J
AU Ayala, Erin E.
   Roseman, Destiny
   Winseman, Jeffrey S.
   Mason, Hyacinth R. C.
TI Prevalence, perceptions, and consequences of substance use in medical
   students
SO MEDICAL EDUCATION ONLINE
VL 22
AR 1392824
DI 10.1080/10872981.2017.1392824
PD OCT 26 2017
PY 2017
AB Background: Research regarding the health and wellness of medical
   students has led to ongoing concerns regarding patterns of alcohol and
   drug use that take place during medical education. Such research,
   however, is typically limited to single-institution studies or has been
   conducted over 25 years ago.
   Objective: The objective of the investigation was to assess the
   prevalence and consequences of medical student alcohol and drug use and
   students' perceptions of their medical school's substance-use policies.
   Design: A total of 855 medical students representing 49 medical colleges
   throughout the United States participated in an online survey between
   December 2015 and March 2016.
   Results: Data showed that 91.3% and 26.2% of medical students consumed
   alcohol and used marijuana respectively in the past year, and 33.8% of
   medical students consumed five or more drinks in one sitting in the past
   two weeks. Differences in use emerged regarding demographic
   characteristics of students. Consequences of alcohol and drug use in
   this sample of medical students included but were not limited to
   interpersonal altercations, serious suicidal ideation, cognitive
   deficits, compromised academic performance, and driving under the
   influence of substances. Forty percent of medical students reported
   being unaware of their medical institution's substance-use policies.
   Conclusions: Findings suggest that substance use among medical students
   in the US is ongoing and associated with consequences in various
   domains. There is a lack of familiarity regarding school substance-use
   policies. Although there has been some progress in characterizing
   medical student alcohol use, less is known about the factors surrounding
   medical students' use of other substances. Updated, comprehensive
   studies on the patterns of medical student substance use are needed if
   we are to make the necessary changes needed to effectively prevent
   substance-use disorders among medical students and support those who are
   in need of help.
RI Ayala, Erin/S-6136-2017
OI Ayala, Erin/0000-0001-6640-2131
Z8 0
ZR 0
ZB 6
ZA 0
ZS 1
TC 31
Z9 31
U1 1
U2 8
SN 1087-2981
UT WOS:000417284300001
PM 29072119
ER

PT J
AU Kim, Minji
   Kim, Yeonsung
   Qian, Lei
   Song, Jun S.
TI TeachEnG: a Teaching Engine for Genomics
SO BIOINFORMATICS
VL 33
IS 20
BP 3296
EP 3298
DI 10.1093/bioinformatics/btx447
PD OCT 15 2017
PY 2017
AB Motivation: Bioinformatics is a rapidly growing field that has emerged
   from the synergy of computer science, statistics and biology. Given the
   interdisciplinary nature of bioinformatics, many students from diverse
   fields struggle with grasping bioinformatic concepts only from classroom
   lectures. Interactive tools for helping students reinforce their
   learning would be thus desirable. Here, we present an interactive online
   educational tool called TeachEnG (acronym for Teaching Engine for
   Genomics) for reinforcing key concepts in sequence alignment and
   phylogenetic tree reconstruction. Our instructional games allow students
   to align sequences by hand, fill out the dynamic programming matrix in
   the Needleman-Wunsch global sequence alignment algorithm, and
   reconstruct phylogenetic trees via the maximum parsimony, Unweighted
   Pair Group Method with Arithmetic mean (UPGMA) and Neighbor-Joining
   algorithms. With an easily accessible interface and instant visual
   feedback, TeachEnG will help promote active learning in bioinformatics.
RI Song, Jun S/E-2526-2016; Kim, Minji/
OI Song, Jun S/0000-0002-0422-2175; Kim, Minji/0000-0002-7282-8224
ZA 0
TC 2
Z8 0
ZR 0
ZB 2
ZS 0
Z9 2
U1 0
U2 5
SN 1367-4803
EI 1460-2059
UT WOS:000412780100022
PM 29028264
ER

PT J
AU Bauer, Ulrike M. M.
   Helm, Paul C.
   Diller, Gerhard-Paul
   Asfour, Boulos
   Schlensak, Christian
   Schmitt, Katharina
   Ewert, Peter
   Tutarel, Oktay
TI Are adults with congenital heart disease informed about their risk for
   infective endocarditis and treated in accordance to current guidelines?
SO INTERNATIONAL JOURNAL OF CARDIOLOGY
VL 245
BP 105
EP 108
DI 10.1016/j.ijcard.2017.07.040
PD OCT 15 2017
PY 2017
AB Background: Adults with congenital heart disease (ACHD) have an
   increased risk for infective endocarditis (IE). In the last decade, the
   recommendations for IE prophylaxis have changed substantially. The
   knowledge level of patients about IE and IE prophylaxis has not been
   studied.
   Methods: Patients recruited via the German National Register for
   Congenital Heart Defects were invited to an online survey about IE.
   Patients were divided into two groups based on ESC guidelines: high IE
   risk (antibiotic prophylaxis recommended) and low IE risk (prophylaxis
   not recommended).
   Results: Overall, 1458 patients participated and out of these 1211 (age
   30.5 +/- 11.8 years, female= 54.2%) with detailed clinical information
   were further analyzed. 343 patients had a high IE risk, whereas 868 had
   a low risk. Overall, 74.5% (n= 902) stated to know what IE is (low IE
   risk: 71.3%, high IE risk: 82.5%) Out of these who stated to know what
   IE is (n = 902), 76.5% (n= 690) chose the correct answer in a multiple
   choice question (low IE risk: 76.4%; high IE risk: 76.7%). Antibiotic
   prophylaxis was known to 66.2% (low IE risk: 59.9%; high IE risk:
   82.2%). Out of these who stated to know what antibiotic prophylaxis is
   (n= 802), 83.8% (n= 672) chose the correct answer in a multiple choice
   question (low IE risk: 82.9%; high IE risk: 85.5%).
   Conclusions: This study reveals important knowledge gaps regarding IE
   and antibiotic prophylaxis in ACHD patients. A discussion about IE and
   antibiotic prophylaxis should take place with every ACHD patient during
   regular clinical contacts to close this knowledge gap. (C) 2017 Elsevier
   B.V. All rights reserved.
RI Schmitt, Katharina Rose Luise/AEU-1004-2022; Tutarel, Oktay/
OI Tutarel, Oktay/0000-0002-5201-5509
ZB 2
ZR 0
ZA 0
Z8 0
TC 9
ZS 0
Z9 9
U1 1
U2 6
SN 0167-5273
EI 1874-1754
UT WOS:000411288700019
PM 28743483
ER

PT J
AU Lawn, Sharon
   Zhi, Xiaojuan
   Morello, Andrea
TI An integrative review of e-learning in the delivery of self-management
   support training for health professionals
SO BMC MEDICAL EDUCATION
VL 17
AR 183
DI 10.1186/s12909-017-1022-0
PD OCT 10 2017
PY 2017
AB Background: E-learning involves delivery of education through
   Information and Communication Technology (ITC) using a wide variety of
   instructional designs, including synchronous and asynchronous formats.
   It can be as effective as face-to-face training for many aspects of
   health professional training. There are, however, particular practices
   and skills needed in providing patient self-management support, such as
   partnering with patients in goal-setting, which may challenge
   conventional practice norms. E-learning for the delivery of
   self-management support (SMS) continuing education to existing health
   professionals is a relatively new and growing area with limited studies
   identifying features associated with best acquisition of skills in
   self-management support.
   Methods: An integrative literature review examined what is known about
   e-learning for self-management support. This review included both
   qualitative and quantitative studies that focused on e-learning provided
   to existing health professionals for their continuing professional
   development. Papers were limited to those published in English between
   2006 and 2016. Content analysis was used to organize and focus and
   describe the findings.
   Results: The search returned 1505 articles, with most subsequently
   excluded based on their title or abstract. Fifty-two full text articles
   were obtained and checked, with 42 excluded because they did not meet
   the full criteria. Ten peer-reviewed articles were included in this
   review. Seven main themes emerged from the content analysis:
   participants and professions; time; package content; guiding theoretical
   framework; outcome measures; learning features or formats; and learning
   barriers. These themes revealed substantial heterogeneity in
   instructional design and other elements of e-learning applied to SMS,
   indicating that there is still much to understand about how best to
   deliver e-learning for SMS skills development.
   Conclusions: Few e-learning approaches meet the need for high levels of
   interactivity, reflection, practice and application to practice for
   health professionals learning to deliver effective SMS. Findings suggest
   that the context of SMS for patients with chronic condition matters to
   how health professional training is delivered, to ensure partnership and
   person-centred care. Further creative approaches and their rigorous
   evaluation are needed to deliver completely online learning in this
   space. Blended learning that combines e-learning and face-to-face
   methods is suggested to support SMS skills development for health
   professionals.
RI Lawn, Sharon/E-1171-2015
OI Lawn, Sharon/0000-0002-5464-8887
Z8 0
ZA 0
ZR 0
ZS 2
TC 52
ZB 3
Z9 53
U1 6
U2 68
SN 1472-6920
UT WOS:000412818000001
PM 29017521
ER

PT J
AU Ahmady, Arezoo Ebn
   Barker, Megan
   Dragonetti, Rosa
   Fahim, Myra
   Selby, Peter
TI A Qualitative Evaluation of an Online Expert-Facilitated Course on
   Tobacco Dependence Treatment
SO INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING
VL 54
AR 0046958017732967
DI 10.1177/0046958017732967
PD OCT 9 2017
PY 2017
AB Qualitative evaluations of courses prove difficult due to low response
   rates. Online courses may permit the analysis of qualitative feedback
   provided by health care providers (HCPs) during and after the course is
   completed. This study describes the use of qualitative methods for an
   online continuing medical education (CME) course through the analysis of
   HCP feedback for the purpose of quality improvement. We used formative
   and summative feedback from HCPs about their self-reported experiences
   of completing an online expert-facilitated course on tobacco dependence
   treatment (the Training Enhancement in Applied Cessation Counselling and
   Health [TEACH] Project). Phenomenological, inductive, and deductive
   approaches were applied to develop themes. QSR NVivo 11 was used to
   analyze the themes derived from free-text comments and responses to
   open-ended questions. A total of 277 out of 287 participants (96.5%)
   completed the course evaluations and provided 690 comments focused on
   how to improve the program. Five themes emerged from the formative
   evaluations: overall quality, content, delivery method, support, and
   time. The majority of comments (22.6%) in the formative evaluation
   expressed satisfaction with overall course quality. Suggestions for
   improvement were mostly for course content and delivery method (20.4%
   and 17.8%, respectively). Five themes emerged from the summative
   evaluation: feedback related to learning objectives, interprofessional
   collaboration, future topics of relevance, overall modifications, and
   overall satisfaction. Comments on course content, website function,
   timing, and support were the identified areas for improvement. This
   study provides a model to evaluate the effectiveness of online
   educational interventions. Significantly, this constructive approach to
   evaluation allows CME providers to take rapid corrective action.
OI Ebn Ahmady, Arezoo/0000-0002-3966-9647; Barker,
   Megan/0000-0003-2774-4395
ZB 0
ZS 0
ZA 0
TC 0
ZR 0
Z8 0
Z9 0
U1 0
U2 6
SN 0046-9580
EI 1945-7243
UT WOS:000412800800001
ER

PT J
AU Garibaldi, Brian Thomas
   Niessen, Timothy
   Gelber, Allan Charles
   Clark, Bennett
   Lee, Yizhen
   Madrazo, Jose Alejandro
   Manesh, Reza Sedighi
   Apfel, Ariella
   Lau, Brandyn D.
   Liu, Gigi
   Canzoniero, Jenna VanLiere
   Sperati, C. John
   Yeh, Hsin-Chieh
   Brotman, Daniel J.
   Traill, Thomas A.
   Cayea, Danelle
   Durso, Samuel C.
   Stewart, Rosalyn W.
   Corretti, Mary C.
   Kasper, Edward K.
   Desai, Sanjay V.
TI A novel bedside cardiopulmonary physical diagnosis curriculum for
   internal medicine postgraduate training
SO BMC MEDICAL EDUCATION
VL 17
AR 182
DI 10.1186/s12909-017-1020-2
PD OCT 6 2017
PY 2017
AB Background: Physicians spend less time at the bedside in the modern
   hospital setting which has contributed to a decline in physical
   diagnosis, and in particular, cardiopulmonary examination skills. This
   trend may be a source of diagnostic error and threatens to erode the
   patient-physician relationship. We created a new bedside cardiopulmonary
   physical diagnosis curriculum and assessed its effects on post-graduate
   year-1 (PGY-1; interns) attitudes, confidence and skill.
   Methods: One hundred five internal medicine interns in a large U.S.
   internal medicine residency program participated in the Advancing
   Bedside Cardiopulmonary Examination Skills (ACE) curriculum while
   rotating on a general medicine inpatient service between 2015 and 2017.
   Teaching sessions included exam demonstrations using healthy volunteers
   and real patients, imaging didactics, computer learning/high-fidelity
   simulation, and bedside teaching with experienced clinicians. Primary
   outcomes were attitudes, confidence and skill in the cardiopulmonary
   physical exam as determined by a self-assessment survey, and a validated
   online cardiovascular examination (CE).
   Results: Interns who participated in ACE (ACE interns) by mid-year more
   strongly agreed they had received adequate training in the
   cardiopulmonary exam compared with non-ACE interns. ACE interns were
   more confident than non-ACE interns in performing a cardiac exam,
   assessing the jugular venous pressure, distinguishing 'a' from 'v'
   waves, and classifying systolic murmurs as crescendo-decrescendo or
   holosystolic. Only ACE interns had a significant improvement in score on
   the mid-year CE.
   Conclusions: A comprehensive bedside cardiopulmonary physical diagnosis
   curriculum improved trainee attitudes, confidence and skill in the
   cardiopulmonary examination. These results provide an opportunity to
   re-examine the way physical examination is taught and assessed in
   residency training programs.
RI Lau, Brandyn/H-4825-2018; Canzoniero, Jenna/; Sperati, John/
OI Lau, Brandyn/0000-0003-3575-2440; Canzoniero, Jenna/0000-0003-1084-6918;
   Sperati, John/0000-0002-8409-0714
ZA 0
Z8 0
TC 13
ZR 0
ZB 4
ZS 0
Z9 13
U1 1
U2 8
SN 1472-6920
UT WOS:000412817600001
PM 28985729
ER

PT J
AU Schmid, Bernd C.
   Carlson, Jamie
   Rezniczek, Gunther A.
   Wyllie, Jessica
   Jaaback, Kenneth
   Vencovsky, Filip
TI Examining word association networks: A cross-country comparison of
   women's perceptions of HPV testing and vaccination
SO PLOS ONE
VL 12
IS 10
AR e0185669
DI 10.1371/journal.pone.0185669
PD OCT 5 2017
PY 2017
AB In this study, we examined the perceptual associations women hold with
   regard to cervical cancer testing and vaccination across two countries,
   the U.S. and Australia. In a large-scale online survey, we presented
   participants with 'trigger' words, and asked them to state sequentially
   other words that came to mind. We used this data to construct detailed
   term cooccurrence network graphs, which we analyzed using basic
   topological ranking techniques. The results showed that women hold
   divergent perceptual associations regarding trigger words relating to
   cervical cancer screening tools, i.e. human papillomavirus (HPV) testing
   and vaccination, which indicate health knowledge deficiencies with
   non-HPV related associations emerging from the data. This result was
   found to be consistent across the country groups studied. Our findings
   are critical in optimizing consumer education and public service
   announcements to minimize misperceptions relating to HPV testing and
   vaccination in order to maximize adoption of cervical cancer prevention
   tools.
RI Rezniczek, Günther/Q-9318-2016; Carlson, Jamie/G-7535-2013; Carlson, Jamie/AAP-5387-2020; Rezniczek, Günther/AAO-2963-2020; Schmid, Bernd C./; Wyllie, Jessica/
OI Rezniczek, Günther/0000-0002-0852-6002; Carlson,
   Jamie/0000-0002-1622-5939; Rezniczek, Günther/0000-0002-0852-6002;
   Schmid, Bernd C./0000-0003-2510-0537; Wyllie,
   Jessica/0000-0001-5178-8860
TC 1
Z8 0
ZS 0
ZB 1
ZA 0
ZR 0
Z9 1
U1 1
U2 14
SN 1932-6203
UT WOS:000412360300056
PM 28982130
ER

PT J
AU Muldoon, Kathleen M.
   Armstrong-Heimsoth, Amy
   Thomas, Jodi
TI Knowledge of congenital cytomegalovirus (cCMV) among physical and
   occupational therapists in the United States
SO PLOS ONE
VL 12
IS 10
AR e0185635
DI 10.1371/journal.pone.0185635
PD OCT 4 2017
PY 2017
AB Congenital cytomegalovirus (cCMV) infections cause more children to have
   permanent disabilities than Down Syndrome, Fetal Alcohol Syndrome, Spina
   Bifida, and pediatric HIV/AIDS combined. The risk of infection during
   pregnancy can be significantly decreased using universal precautions,
   such as thorough handwashing and cleansing of surfaces and objects that
   have come into contact with infected body fluids. Children under 3 years
   of age are commonly asymptomatic excretors of CMV, with the highest
   viral loads present in saliva. Pediatric therapists have regular close
   contact with young children, and are thus likely at elevated
   occupational risk of acquiring CMV. Our objective was to evaluate
   therapist knowledge of cCMV and its transmission. We recruited American
   Occupational Therapy Association (AOTA) and American Physical Therapy
   Association (APTA) members via electronic newsletters and printed flyers
   from April to September 2015. Participants completed an online,
   anonymous 24-question survey using Survey Monkey. We compared responses
   between groups and previously published CMV awareness data using
   binomial tests of difference of proportions and multiple logistic
   regression. Our study identified both a low level of therapist awareness
   and poor demonstrated understanding of cCMV. Self-reported cCMV
   awareness amongst therapists was greater than awareness in the general
   population, and equivalent to awareness amongst health care
   professionals. Whereas 52% of participants self-reported awareness of
   cCMV, only 18% demonstrated understanding of the behavioral modes of CMV
   transmission. Fewer therapists reported awareness of cCMV than other,
   less prevalent conditions. Higher levels of health risk knowledge were
   associated with greater contact with children. Most participants
   reported learning about cCMV from the workplace. The knowledge gaps
   between self-reported awareness of cCMV and demonstrated understanding
   of modes of transmission described by our results emphasize the need for
   additional training of therapists. cCMV is preventable, and accurate
   knowledge of modes of transmission is crucial for the health of
   practitioners and clients.
OI Thomas, Jodi/0000-0002-6602-9442
ZR 1
ZA 0
ZS 0
ZB 3
Z8 0
TC 12
Z9 14
U1 1
U2 4
SN 1932-6203
UT WOS:000412163100035
PM 28976995
ER

PT J
AU Kemper, Kathi J.
   Rao, Nisha
   Gascon, Gregg
   Mahan, John D.
TI Online Training in Mind-Body Therapies: Different Doses, Long-term
   Outcomes
SO JOURNAL OF EVIDENCE-BASED INTEGRATIVE MEDICINE
VL 22
IS 4
BP 696
EP 702
DI 10.1177/2156587217701857
PD OCT 2017
PY 2017
AB Background. There is a high rate of burnout among health professionals,
   driving diverse attempts to promote resilience and well-being to counter
   this trend. The purpose of this project was to assess the dose-response
   relationship between the number of hours of online mind-body skills
   training for health professionals and relevant outcomes a year later.
   Methods. Among 1438 registrants for online training (including up to 12
   hours of training on mind-body practices) between December 2013 and
   November 2015, we analyzed responses from the first 10% who responded to
   an anonymous online survey between December 1, 2015 and February 1,
   2016. Questions included the type and frequency of mind-body practice in
   the past 30 days and whether the online training had any impact on
   personal life or professional practice. Standardized measures were used
   to assess stress, mindfulness, confidence in providing compassionate
   care, and burnout. Results. The 149 respondents represented a variety of
   ages and health professions; 55% completed one or more mind-body
   training modules an average of 14 months previously. Most (78%) engaged
   in one or more mind-body practices in the 30 days before the survey; 79%
   reported changes in self-care and 71% reported changes in the care of
   others as a result of participating. Increasing number of hours of
   training were significantly associated with practicing mind-body skills
   more frequently; increasing practice frequency was associated with less
   stress and burnout, which were associated with missing less work.
   Greater practice frequency was also associated with improvements in
   stress, mindfulness, and resilience, which were associated with
   increased confidence in providing compassionate care. Conclusion. Online
   training in mind-body therapies is associated with changes in
   self-reported behavior one year later; increasing doses of training are
   associated with more frequent practice which is associated with less
   stress, burnout, and missing work, and higher levels of mindfulness,
   resilience, and confidence in providing compassionate care. Additional
   studies are needed to compare mind-body skills training with other
   interventions designed to improve resilience and compassion while
   decreasing burnout in health professionals.
OI Gascon, Gregg/0000-0002-0254-3442
Z8 0
ZB 2
TC 9
ZS 0
ZR 0
ZA 0
Z9 9
U1 2
U2 7
SN 2515-690X
UT WOS:000442697000022
PM 28403656
ER

PT J
AU Rhoton-Vlasak, Alice S.
   Roussos-Ross, Kay
   Cua, Girard M.
   Odera, Erica L.
   Irani, Tracy A.
   Vasilopoulos, Terrie
TI Obesity and reproduction: a study to determine how effectively medical
   education enhances awareness of the reproductive risks related to
   obesity
SO JORNAL BRASILEIRO DE REPRODUCAO ASSISTIDA
VL 21
IS 4
BP 330
EP 335
DI 10.5935/1518-0557.20170059
PD OCT-DEC 2017
PY 2017
AB Objective: To explore awareness of the reproductive versus the medical
   risks of obesity in a medical and non-medical college educated
   population.
   Methods: An exploratory prospective research design was used. A
   26-question online survey was developed and offered to a sample of
   medical students/residents (n=325) and non-medical college students
   (n=102). The data were analyzed using Graph Pad software.
   Results: 102 non-medical undergraduate students (28% male and 72%
   female) and 325 resident physicians and medical students (46% male, 47%
   female, 7% unspecified) responded. Both groups reported higher awareness
   of the general risks of obesity as compared to the reproductive risks.
   As expected, lay students reported less awareness of female reproductive
   issues as compared to the medical group (all p-values <0.01). Over 90%
   of respondents would be motivated to lose weight before pregnancy if
   they knew of these risks, with more than half planning to have children
   in the future.
   Conclusion: This exploratory study found that despite having at least a
   college education, the populations studied had relatively low levels of
   awareness of obesity-related reproductive risks. The medical population
   had much more knowledge about the other health risks of obesity. The
   survey provided initial data that might be used to consider knowledge
   gaps and strategies for engaging and educating medical trainees and the
   public about the reproductive risks of obesity.
RI Vasilopoulos, Terrie/AAF-9157-2019
ZB 0
ZR 0
TC 1
ZA 0
ZS 0
Z8 0
Z9 1
U1 0
U2 1
SN 1517-5693
EI 1518-0557
UT WOS:000424307200008
PM 29068182
ER

PT J
AU Chang, Todd P.
   Schrager, Sheree M.
   Rake, Alyssa J.
   Chan, Michael W.
   Pham, Phung K.
   Christman, Grant
TI The effect of multimedia replacing text in resident clinical
   decision-making assessment
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 22
IS 4
BP 901
EP 914
DI 10.1007/s10459-016-9719-0
PD OCT 2017
PY 2017
AB Multimedia in assessing clinical decision-making skills (CDMS) has been
   poorly studied, particularly in comparison to traditional text-based
   assessments. The literature suggests multimedia is more difficult for
   trainees. We hypothesize that pediatric residents score lower in
   diagnostic skill when clinical vignettes use multimedia rather than text
   for patient findings. A standardized method was developed to write
   text-based questions from 60 high-resolution, quality multimedia; a
   series of expert panels selected 40 questions with both a multimedia and
   text-based counterpart, and two online tests were developed. Each test
   featured 40 identical questions with reciprocal and alternating modality
   (multimedia vs. text). Pediatric residents and rising 4th year medical
   students (MS-IV) at a single residency were randomized to complete
   either test stratified by postgraduate training year (PGY). A mixed
   between-within subjects ANOVA analyzed differences in score due to
   modality and PGY. Secondary analyses ascertained modality effect in
   dermatology and respiratory questions using Mann-Whitney U tests, and
   correlations on test performance to In-service Training Exam (ITE)
   scores using Spearman rank. Eighty-eight residents and rising interns
   completed the study. Overall multimedia scores were lower than
   text-based scores (p = 0.047, eta (p) (2) = 0.04), with highest
   disparity in rising interns (MS-IV); however, PGY had a greater effect
   on scores (p = 0.001, eta (p) (2) = 0.16). Respiratory questions were
   not significantly lower with multimedia (n = 9, median 0.71 vs. 0.86, p
   = 0.09) nor dermatology questions (n = 13, p = 0.41). ITEs correlated
   significantly with text-based scores (rho = 0.23-0.25, p = 0.04-0.06)
   but not with multimedia scores. In physician trainees with less clinical
   experience, multimedia-based case vignettes are associated with
   significantly lower scores. These results help shed light on the role of
   multimedia versus text-based information in CDMS, particularly in less
   experienced clinicians.
RI Schrager, Sheree M./AAH-1302-2019; Pham, Phung/; Chang, Todd/
OI Schrager, Sheree M./0000-0001-6352-5056; Pham,
   Phung/0000-0003-4766-8166; Chang, Todd/0000-0002-4508-2551
Z8 0
TC 3
ZS 0
ZR 0
ZB 0
ZA 0
Z9 3
U1 2
U2 9
SN 1382-4996
EI 1573-1677
UT WOS:000408997800008
PM 27752842
ER

PT J
AU Spooner, Sharon
   Pearson, Emma
   Gibson, Jonathan
   Checkland, Kath
TI How do workplaces, working practices and colleagues affect UK doctors'
   career decisions? A qualitative study of junior doctors' career decision
   making in the UK
SO BMJ OPEN
VL 7
IS 10
AR e018462
DI 10.1136/bmjopen-2017-018462
PD OCT 2017
PY 2017
AB Objectives This study draws on an in-depth investigation of factors that
   influenced the career decisions of junior doctors.
   Setting Junior doctors in the UK can choose to enter specialty training
   (ST) programmes within 2 years of becoming doctors. Their specialty
   choices contribute to shaping the balance of the future medical
   workforce, with views on general practice (GP) careers of particular
   interest because of current recruitment difficulties. This paper
   examines how experiences of medical work and perceptions about specialty
   training shape junior doctors' career decisions.
   Participants Twenty doctors in the second year of a Foundation Training
   Programme in England were recruited. Purposive sampling was used to
   achieve a diverse sample from respondents to an online survey.
   Results Narrative interviewing techniques encouraged doctors to reflect
   on how experiences during medical school and in medical workplaces had
   influenced their preferences and perceptions of different specialties.
   They also spoke about personal aspirations, work priorities and their
   wider future. Junior doctors' decisions were informed by knowledge about
   the requirements of ST programmes and direct observation of the
   pressures under which ST doctors worked. When they encountered negative
   attitudes towards a specialty they had intended to choose, some became
   defensive while others kept silent. Achievement of an acceptable
   work-life balance was a central objective that could override other
   preferences. Events linked with specific specialties influenced doctors'
   attitudes towards them. For example, findings confirmed that while
   early, positive experiences of GP work could increase its
   attractiveness, negative experiences in GP settings had the opposite
   effect.
   Conclusions Junior doctors' preferences and perceptions about medical
   work are influenced by multiple intrinsic and extrinsic factors and
   experiences. This paper highlights the importance of understanding how
   perceptions are formed and preferences are developed, as a basis for
   generating learning and working environments that nurture students and
   motivate their professional careers.
RI Gibson, Jon/; Checkland, Kath/G-8442-2014; Spooner, Sharon/
OI Gibson, Jon/0000-0003-4177-8049; Checkland, Kath/0000-0002-9961-5317;
   Spooner, Sharon/0000-0001-6965-3673
ZR 0
ZS 0
TC 25
Z8 0
ZB 0
ZA 0
Z9 25
U1 1
U2 9
SN 2044-6055
UT WOS:000422617500245
PM 29074517
ER

PT J
AU van den Wijngaart, Lara S.
   Roukema, Jolt
   Boehmer, Annemie L. M.
   Brouwer, Marianne L.
   Hugen, Cindy A. C.
   Niers, Laetitia E. M.
   Sprij, Arwen J.
   Rikkers-Mutseerts, Eleanore R. V. M.
   Rottier, Bart L.
   Donders, A. Rogier T.
   Verhaak, Chris M.
   Pijnenburgl, Marlette W.
   Merkus, Peter J. F. M.
TI A virtual asthma clinic for children: fewer routine outpatient visits,
   same asthma control
SO EUROPEAN RESPIRATORY JOURNAL
VL 50
IS 4
AR 1700471
DI 10.1183/13993003.00471-2017
PD OCT 1 2017
PY 2017
AB eHealth is an appealing medium to improve healthcare and its value (in
   addition to standard care) has been assessed in previous studies. We
   aimed to assess whether an eHealth intervention could improve asthma
   control while reducing 50% of routine outpatient visits.
   In a multicentre, randomised controlled trial with a 16-month follow-up,
   asthmatic children (616 years) treated in eight Dutch hospitals were
   randomised to usual care (4-monthly outpatient visits) and online care
   using a virtual asthma clinic (VAC) (8-monthly outpatient visits with
   monthly web-based monitoring). Outcome measures were the number of
   symptom-free days in the last 4 weeks of the study, asthma control,
   forced expiratory volume in 1 s, exhaled nitric oxide fraction, asthma
   exacerbations, unscheduled outpatient visits, hospital admissions, daily
   dose of inhaled corticosteroids and courses of systemic corticosteroids.
   We included 210 children. After follow-up, symptom-free days differed
   statistically between the usual care and VAC groups (difference of 1.23
   days, 95% CI 0.42-2.04; p= 0.003) in favour of the VAC. In terms of
   asthma control, the Childhood Asthma Control Test improved more in the
   VAC group (difference of 1.17 points, 95% CI 0.09-2.25; p= 0.03). No
   differences were found for other outcome measures.
   Routine outpatient visits can partly be replaced by monitoring asthmatic
   children via eHealth.
RI Donders, A.R.T./L-4277-2015; Merkus, P.J.F.M./L-4523-2015; Brouwer, Marianne/AAF-3230-2019; Verhaak, C.M./L-4707-2015; Roukema, Jolt/C-2258-2018; Rottier, Bart/
OI Donders, A.R.T./0000-0002-0484-1419; Verhaak, C.M./0000-0003-3269-3043;
   Roukema, Jolt/0000-0001-6971-7892; Rottier, Bart/0000-0002-2437-8070
ZS 0
ZA 0
TC 26
Z8 0
ZB 5
ZR 0
Z9 26
U1 0
U2 4
SN 0903-1936
EI 1399-3003
UT WOS:000413860300011
PM 28982775
ER

PT J
AU Reeder, Rebecca
   Veach, Patricia McCarthy
   MacFarlane, Ian M.
   Leroy, Bonnie S.
TI Characterizing Clinical Genetic Counselors' Countertransference
   Experiences: an Exploratory Study
SO JOURNAL OF GENETIC COUNSELING
VL 26
IS 5
BP 934
EP 947
DI 10.1007/s10897-016-0063-6
PD OCT 2017
PY 2017
AB Countertransference (CT) refers to conscious and unconscious emotions,
   fantasies, behaviors, perceptions, and psychological defenses genetic
   counselors experience in response to any aspect of genetic counseling
   situations (Weil 2010). Some authors theorize about the importance of
   recognizing and managing CT, but no studies solely aim to explore
   genetic counselors' experiences of the phenomenon. This study examined
   the extent to which clinical genetic counselors' perceive themselves as
   inclined to experience CT, gathered examples of CT encountered in
   clinical situations, and assessed their CT management strategies. An
   anonymous online survey, sent to NSGC members, yielded 127 usable
   responses. Participants completed Likert-type items rating their CT
   propensities; 57 of these individuals also provided examples of CT they
   experienced in their practice. Factor analysis of CT propensities
   tentatively suggested four factors: Control, Conflict Avoidance,
   Directiveness, and Self-Regulation, accounting for 38.5% of response
   variance. Thematic analysis of CT examples yielded five common triggers:
   general similarity to patient, medical/genetic similarity, angry
   patients, patient behaves differently from counselor expectations, and
   disclosing bad news; six common manifestations: being self-focused,
   projecting feelings onto the patient, intense emotional reaction to
   patient, being overly invested, disengagement, and physical reaction;
   five CT effects: disruption in rapport building, repaired empathy,
   over-identification, conversation does not reach fullest potential, and
   counselor is drained emotionally; and three management strategies:
   recognizing CT as it occurs, self-reflection, and consultation. Results
   suggest CT is a common experience, occurring in both "routine" and
   emotionally complex cases. Training programs, continuing education, and
   peer supervision might include discussion of CT, informed by examples
   from the present study, to increase genetic counselor awareness and
   skills for managing the phenomenon.
RI MacFarlane, Ian M./GQP-6904-2022
OI MacFarlane, Ian M./0000-0002-0896-1952
ZB 1
Z8 0
ZA 0
ZR 0
TC 6
ZS 0
Z9 6
U1 1
U2 13
SN 1059-7700
EI 1573-3599
UT WOS:000409294900004
PM 28074313
ER

PT J
AU Adams, Jerome M.
TI Breastfeeding and Infant Mortality in Indiana: Changing the Culture and
   Saving Lives: A Model for Other States
SO BREASTFEEDING MEDICINE
VL 12
IS 8
BP 456
EP 458
DI 10.1089/bfm.2017.0108
PD OCT 2017
PY 2017
ZS 0
TC 3
ZB 0
ZR 0
ZA 0
Z8 0
Z9 3
U1 0
U2 3
SN 1556-8253
EI 1556-8342
UT WOS:000413278800003
PM 28805454
ER

PT J
AU Amith, Muhammad
   Cunningham, Rachel
   Savas, Lara S.
   Boom, Julie
   Schvaneveldt, Roger
   Tao, Cui
   Cohen, Trevor
TI Using Pathfinder networks to discover alignment between expert and
   consumer conceptual knowledge from online vaccine content
SO JOURNAL OF BIOMEDICAL INFORMATICS
VL 74
BP 33
EP 45
DI 10.1016/j.jbi.2017.08.007
PD OCT 2017
PY 2017
AB This study demonstrates the use of distributed vector representations
   and Pathfinder Network Scaling (PFNETS) to represent online vaccine
   content created by health experts and by laypeople. By analyzing a
   target audience's conceptualization of a topic, domain experts can
   develop targeted interventions to improve the basic health knowledge of
   consumers. The underlying assumption is that the content created by
   different groups reflects the mental organization of their knowledge.
   Applying automated text analysis to this content may elucidate
   differences between the knowledge structures of laypeople (heath
   consumers) and professionals (health experts). This paper utilizes
   vaccine information generated by laypeople and health experts to
   investigate the utility of this approach. We used an established
   technique from cognitive psychology, Pathfinder Network Scaling to infer
   the structure of the associational networks between concepts learned
   from online content using methods of distributional semantics. In doing
   so, we extend the original application of PFNETS to infer knowledge
   structures from individual participants, to infer the prevailing
   knowledge structures within communities of content authors. The
   resulting graphs reveal opportunities for public health and vaccination
   education experts to improve communication and intervention efforts
   directed towards health consumers. Our efforts demonstrate the
   feasibility of using an automated procedure to examine the manifestation
   of conceptual models within large bodies of free text, revealing
   evidence of conflicting understanding of vaccine concepts among health
   consumers as compared with health experts. Additionally, this study
   provides insight into the differences between consumer and expert
   abstraction of domain knowledge, revealing vaccine-related knowledge
   gaps that suggest opportunities to improve provider-patient
   communication. (C) 2017 Elsevier Inc. All rights reserved.
RI Schvaneveldt, Roger/A-5271-2010; Cohen, Trevor/; Savas, Lara/; Amith, Muhammad/; Tao, Cui/
OI Schvaneveldt, Roger/0000-0003-3470-9141; Cohen,
   Trevor/0000-0003-0159-6697; Savas, Lara/0000-0003-0799-4012; Amith,
   Muhammad/0000-0003-4333-1857; Tao, Cui/0000-0002-4267-1924
ZS 0
ZB 1
Z8 1
TC 6
ZR 0
ZA 0
Z9 7
U1 2
U2 14
SN 1532-0464
EI 1532-0480
UT WOS:000426221600004
PM 28823922
ER

PT J
AU Zurynski, Yvonne
   Gonzalez, Aranzazu
   Deverell, Marie
   Phu, Amy
   Leonard, Helen
   Christodoulou, John
   Elliott, Elizabeth
CA APSU Impacts Rare Dis Study Partne
TI Rare disease: a national survey of paediatricians' experiences and needs
SO BMJ PAEDIATRICS OPEN
VL 1
IS 1
AR e000172
DI 10.1136/bmjpo-2017-000172
PD OCT 2017
PY 2017
AB Objective
   To describe the experiences of Australian paediatricians while caring
   for children with rare diseases, and their educational and resource
   needs.
   Design
   A brief online survey was developed and deployed to a representative
   sample of 679 paediatricians from the Australian Paediatric Surveillance
   Unit database.
   Results
   Of the 679 paediatricians, 242 (36%) completed the survey. The
   respondents were representative of all states and territories of
   Australia, urban and rural regions, and hospital and private practice.
   Almost all respondents (93%) had seen children with one or more of >350
   different rare diseases during their career; 74% had seen a new patient
   with rare disease in the last 6 months. The most common problems
   encountered while caring for patients were: diagnostic delays (65%),
   lack of available treatments (40%), clinical guidelines (36%) and
   uncertainty where to refer for peer support (35%). Few paediatricians
   said that rare diseases were adequately covered during university (40%)
   or the Fellowship of the Royal Australasian College of Physicians (50%)
   training, and 28% felt unprepared to care for patients with rare
   diseases. Paediatricians wanted lists of specialist referral services
   (82%) and online educational modules about rare diseases (78%) that
   could be accessed via one online portal that consolidated multiple
   resources. Smartphone applications on rare diseases were favoured by
   paediatricians aged Conclusions
   An online educational portal should be developed and maintained for
   accuracy and currency of information to support dissemination of rare
   disease guidelines, referral pathways and coordination services relevant
   to Australian paediatricians and other health professionals who care for
   children with rare diseases.
OI Deverell, Marie/0000-0002-0048-8013; Phu, Amy/0000-0002-3704-8011;
   Zurynski, Yvonne/0000-0001-7744-8717
ZS 0
ZA 0
ZR 0
TC 17
Z8 0
ZB 6
Z9 17
U1 0
U2 3
EI 2399-9772
UT WOS:000642294400005
PM 29637168
ER

PT J
AU Baker, Sabine
   Sanders, Matthew R.
TI Predictors of Program Use and Child and Parent Outcomes of A Brief
   Online Parenting Intervention
SO CHILD PSYCHIATRY & HUMAN DEVELOPMENT
VL 48
IS 5
BP 807
EP 817
DI 10.1007/s10578-016-0706-8
PD OCT 2017
PY 2017
AB Web-based parenting interventions have the potential to increase the
   currently low reach of parenting programs, but few evidence-based online
   programs are available, and little is known about who benefits from this
   delivery format. This study investigated if improvements in child
   behavior and parenting, following participation in a brief online
   parenting program (Triple P Online Brief), can be predicted by family
   and program-related factors. Participants were 100 parents of
   2-9-year-old children displaying disruptive behavior problems.
   Regression analyses showed that higher baseline levels of child behavior
   problems, older parental age and more intense conflict over parenting
   pre-intervention predicted greater improvement in child behavior at
   9-month follow-up. Improvement in parenting was predicted by higher
   pre-intervention levels of ineffective parenting. Family demographics,
   parental adjustment and program related factors did not predict
   treatment outcomes. Younger child age and lower disagreement over
   parenting pre-intervention predicted completion of the recommended
   minimum dose of the program.
RI Baker, Sabine/H-4161-2018; Sanders, Matthew R/C-1941-2013
OI Baker, Sabine/0000-0001-8524-1302; Sanders, Matthew
   R/0000-0003-3479-6337
ZB 3
ZS 0
Z8 0
ZR 0
TC 13
ZA 0
Z9 13
U1 1
U2 14
SN 0009-398X
EI 1573-3327
UT WOS:000412534900013
PM 28035556
ER

PT J
AU Timpel, P.
   Lang, C.
   Wens, J.
   Contel, J. C.
   Gilis-Januszewska, A.
   Kemple, K.
   Schwarz, P. E.
CA MANAGE CARE Study Grp
TI Individualising Chronic Care Management by Analysing Patients' Needs - A
   Mixed Method Approach
SO INTERNATIONAL JOURNAL OF INTEGRATED CARE
VL 17
AR 2
DI 10.5334/ijic.3067
PD OCT-DEC 2017
PY 2017
AB Background: Modern health systems are increasingly faced with the
   challenge to provide effective, affordable and accessible health care
   for people with chronic conditions. As evidence on the specific unmet
   needs and their impact on health outcomes is limited, practical research
   is needed to tailor chronic care to individual needs of patients with
   diabetes. Qualitative approaches to describe professional and informal
   caregiving will support understanding the complexity of chronic care.
   Results are intended to provide practical recommendations to be used for
   systematic implementation of sustainable chronic care models.
   Method: A mixed method study was conducted. A standardised survey (n =
   92) of experts in chronic care using mail responses to open-ended
   questions was conducted to analyse existing chronic care programs
   focusing on effective, problematic and missing components. An expert
   workshop (n = 22) of professionals and scientists of a European funded
   research project MANAGE CARE was used to define a limited number of
   unmet needs and priorities of elderly patients with type 2 diabetes
   mellitus and comorbidities. This list was validated and ranked using a
   multilingual online survey (n = 650). Participants of the online survey
   included patients, health care professionals and other stakeholders from
   56 countries.
   Results: The survey indicated that current care models need to be
   improved in terms of financial support, case management and the
   consideration of social care. The expert workshop identified 150 patient
   needs which were summarised in 13 needs dimensions. The online survey of
   these pre-defined dimensions revealed that financial issues, education
   of both patients and professionals, availability of services as well as
   health promotion are the most important unmet needs for both patients
   and professionals.
   Conclusion: The study uncovered competing demands which are not limited
   to medical conditions. The findings emphasise that future care models
   need to focus stronger on individual patient needs and promote their
   active involvement in co-design and implementation. Future research is
   needed to develop new chronic care models providing evidence-based and
   practical implications for the regional care setting.
RI Wens, Johan/K-2705-2013; Lang, Caroline/AGU-5317-2022; Ribeiro, Rogério JT/N-3656-2016; Tolks, Daniel/ABA-6183-2021
OI Wens, Johan/0000-0002-0229-9064; Ribeiro, Rogério
   JT/0000-0001-8840-7208; Tolks, Daniel/0000-0001-8597-5189
Z8 0
ZS 0
TC 9
ZR 0
ZA 0
ZB 2
Z9 9
U1 0
U2 9
SN 1568-4156
UT WOS:000418499600002
PM 29588635
ER

PT J
AU Lambert, K.
   Mullan, J.
   Mansfield, K.
   Koukomous, A.
   Mesiti, L.
TI Evaluation of the quality and health literacy demand of online renal
   diet information
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 30
IS 5
BP 634
EP 645
DI 10.1111/jhn.12466
PD OCT 2017
PY 2017
AB BackgroundDietary modification is critical in the self-management of
   chronic kidney disease. The present study describes the accuracy,
   quality and health literacy demand of renal diet information for adults
   with kidney disease obtained from the Internet and YouTube
   (www.youtube.com).
   MethodsA comprehensive content analysis was undertaken in April and July
   2015 of 254 eligible websites and 161 YouTube videos. The accuracy of
   the renal diet information was evaluated by comparing the key messages
   with relevant evidence-based guidelines for the dietary management of
   people with kidney disease. The DISCERN tool () was used to evaluate the
   quality of the material. Health literacy demand was evaluated using the
   Patient Education Material Assessment Tool () and seven validated
   readability calculators.
   ResultsThe most frequent renal diet topic found online was generic
   dietary information for people with chronic kidney disease. The
   proportion of renal diet information obtained from websites that was
   accurate was 73%. However, this information was mostly of poor quality
   with extensive shortcomings, difficult to action and written with a high
   health literacy demand. By contrast, renal diet information available
   from YouTube was highly understandable and actionable, although only 18%
   of the videos were accurate, and a large proportion were of poor quality
   with extensive shortcomings. The most frequent authors of accurate, good
   quality, understandable, material were government bodies, dietitians,
   academic institutions and medical organisations.
   ConclusionsRenal diet information found online that is written by
   government bodies, dietitians, academic institutions and medical
   organisations is recommended. Further work is required to improve the
   quality and, most importantly, the actionability of renal diet
   information found online.
RI Mullan, Judy R/G-6642-2015; Mansfield, Kylie/Q-1569-2017; Lambert, Kelly/A-3940-2015
OI Mullan, Judy R/0000-0003-3772-7986; Mansfield,
   Kylie/0000-0002-1472-4697; Lambert, Kelly/0000-0001-5935-7328
ZR 0
Z8 2
ZS 0
TC 24
ZB 2
ZA 0
Z9 26
U1 0
U2 48
SN 0952-3871
EI 1365-277X
UT WOS:000411064100010
PM 28211108
ER

PT J
AU Nicholls, Gordon Michael (Mike)
   Lawrey, Emma
   Jones, Peter
TI Auckland regional emergency medicine trainee mentoring uptake survey
SO EMERGENCY MEDICINE AUSTRALASIA
VL 29
IS 5
BP 545
EP 550
DI 10.1111/1742-6723.12759
PD OCT 2017
PY 2017
AB Objective: The primary objective of this study is to quantify how many
   Auckland region emergency medicine (EM) trainees would like a formal
   mentoring programme. The secondary objectives were to quantify how many
   Auckland region EM trainees would like to participate in a formal
   mentoring programme; to determine trainees' current understanding of
   mentoring; how trainees prefer mentors to be allocated; why trainees may
   want a mentor; what mentees perceive would be good qualities in a
   mentor; and trainees' prior experience with mentoring.
   Methods: Online survey of EM trainees in the Auckland region in June
   2015.
   Results: Of 61 potential respondents, 40 (65.6%) respondents replied to
   the survey. Of the 40, 38 (95%; 95% confidence interval (CI) 82.6-99.5)
   respondents indicated they would like some form of mentoring system, and
   of the 38, 25 (65.8%; 95% CI 49.8-78.9) preferred this to be formal. Of
   the 38, 19 (50%; 95% CI 34.9-65.2) currently wanted assistance obtaining
   a mentor. Of the 40, 30 (75%; 95% CI 59.6-86.0) are not currently in any
   form of mentoring relationship. Respondents believed that mentors would
   be most beneficial in critical incidents, career development and with
   work/life balance. The attributes participants considered most important
   in a mentor were respecting confidentiality, being honest and the
   ability to provide constructive feedback.
   Conclusions: Many EM trainees in Auckland want a formal mentoring system
   and would like a mentor. Appropriate mentor-mentee matching through a
   formalised voluntary system, with adequate mentor training, may enable
   the Auckland region to develop a suitable mentoring programme for EM
   trainees.
TC 1
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
Z9 1
U1 0
U2 1
SN 1742-6731
EI 1742-6723
UT WOS:000423283300009
PM 28406552
ER

PT J
AU Ellis, Martin H.
   Koren-Michowitz, Maya
   Lavi, Noa
   Vannucchi, Alessandro M.
   Mesa, Ruben
   Harrison, Claire N.
TI Ruxolitinib for the management of myelofibrosis: Results of an
   international physician survey
SO LEUKEMIA RESEARCH
VL 61
BP 6
EP 9
DI 10.1016/j.leukres.2017.08.002
PD OCT 2017
PY 2017
AB Background: Ruxolitinib is established as treatment for symptomatic
   myeloproliferative neoplasm (MPN)-associated myelofibrosis. The strict
   inclusion and exclusion criteria and dose modification rules that
   applied to the COMFORTI and II studies that led to the licensing of
   ruxolitinib are not always applicable to routine clinical practice. Thus
   physicians now face decisions regarding ruxolitinib use that were not
   addressed in these pivotal trials.
   Methods: We performed an online survey of hematologists practicing in
   Europe, Israel, the United Kingdom and the United States. Demographic
   details regarding the physicians and their practice as relates to MPNs
   were collected. Management decisions pertaining to the use of
   ruxolitinib were obtained regarding 10 clinical scenarios relating to
   anemia, thrombocytopenia, frailty, infection and lack or loss of
   response to ruxolitnib in MF patients.
   Results: 140 physicians responded to the survey. There were marked
   differences regarding their decisions for ruxolitinib administration in
   MF patients with or developing anemia or thrombocytopenia. Similarly
   there was little consensus regarding management of patients refractory
   or losing a response to ruxolitinib. There were differences between
   "MPN-focused" and "non-MPN-focused" physicians in certain areas.
   Conclusion: Physician practices regarding management of MF patients
   experiencing ruxolitinib-related toxicities or in whom response to the
   drug is lost was variable. This was true of "MPN-focused" and
   "non-MPN-focused" physicians in certain cases. Physician education and
   experience in using ruxolitinib may improve patient management.
RI Vannucchi, Alessandro M./K-7499-2016; Koren-Michowitz, Maya/
OI Vannucchi, Alessandro M./0000-0001-5755-0730; Koren-Michowitz,
   Maya/0000-0002-7223-328X
Z8 1
TC 7
ZA 0
ZS 0
ZR 0
ZB 3
Z9 8
U1 0
U2 2
SN 0145-2126
EI 1873-5835
UT WOS:000416743200002
PM 28843161
ER

PT J
AU Zarzeczny, Amy
   McNutt, Kathleen
TI Wicked policy issues in regenerative medicine and the need to explore
   new avenues for public engagement
SO REGENERATIVE MEDICINE
VL 12
IS 7
BP 749
EP 752
DI 10.2217/rme-2017-0108
PD OCT 2017
PY 2017
AB Regenerative medicine is often celebrated for its potential to both
   enhance our understanding of human development and improve clinical
   options for a wide range of conditions. However, the field is not
   without its challenges including various policy issues such as, for
   example, questions about how best to regulate this fast-moving field of
   research [ 1]. In many cases, the policy issues associated with
   different areas of regenerative medicine are highly complex and engage a
   wide variety of potential stakeholders including governments,
   scientists, research institutions, industry and patients, among others,
   many of whom have varied and sometimes competing perspectives and
   priorities. Addressing these multifaceted policy challenges in a way
   that balances the diverse interests at play, while also supporting the
   long-term health of this promising field, is not an easy task. It
   requires effective stakeholder education and engagement strategies which
   are, we suggest, areas about which there is much to learn.
   In this brief commentary, we discuss public information campaigns and
   network governance strategies and consider the potential value they may
   bring to addressing complex policy challenges in the field of
   regenerative medicine. Our goal is to contribute to and encourage
   discussion and further research in this area. We will use the market for
   unproven stem cell interventions as an example of the kind of wicked
   policy issue in the regenerative medicine sphere that may benefit from
   advancing understanding of how to effectively disseminate information
   and encourage public engagement.
Z8 0
ZA 0
ZR 0
ZB 2
ZS 0
TC 3
Z9 3
U1 0
U2 6
SN 1746-0751
EI 1746-076X
UT WOS:000417041100004
PM 29111875
ER

PT J
AU McNutt, Kathleen
   Zarzeczny, Amy
TI Leveraging social media in the stem cell sector: exploring Twitter's
   potential as a vehicle for public information campaigns
SO REGENERATIVE MEDICINE
VL 12
IS 7
BP 753
EP 764
DI 10.2217/rme-2017-0055
PD OCT 2017
PY 2017
AB Aim: Our aim in this project was to explore Twitter's potential as a
   vehicle for an online public information campaign (PIC) focused on
   providing evidence-based information about stem cell therapies and the
   market for unproven stem cell-based interventions. Methods: We designed
   an online, Twitter-based PIC using classic design principles and
   identified a set of target intermediaries (organizations with online
   influence) using a network governance approach. We tracked the PIC's
   dissemination over a 2-month period, and evaluated it using metrics from
   the #SMMStandards Conclave. Results: Participation was limited but the
   PIC achieved some reach and engagement. Conclusion: Social media based
   online PICs appear to have potential but also face challenges. Future
   research is required to better understand how to most effectively
   maximize their strengths.
Z8 0
ZS 0
TC 3
ZB 1
ZR 0
ZA 0
Z9 3
U1 1
U2 13
SN 1746-0751
EI 1746-076X
UT WOS:000417041100005
PM 29115911
ER

PT J
AU Cannon, Emily J.
   Bauer, Renee N.
TI Baccalaureate Nursing Students' Perceptions Regarding Autopsy
   Experiences
SO JOURNAL OF FORENSIC NURSING
VL 13
IS 4
BP 203
EP 209
DI 10.1097/JFN.0000000000000172
PD OCT-DEC 2017
PY 2017
AB Purpose: Since 2012, a medical-surgical nursing course at a midsized
   state university has provided the opportunity for students to view
   autopsies with a board-certified forensic pathologist. The autopsies are
   performed at a midsized hospital relatively close to the campus. The
   purpose of this study was to discover nursing students' perceptions that
   emerged during the autopsy experience.
   Methods: A convenience sample of 23 baccalaureate nursing students took
   part in the autopsy experience over a 4-month period. Archival data from
   an online, anonymous questionnaire, completed after the experience, were
   reviewed and subjected to qualitative analysis. This study was approved
   by the university's institutional review board.
   Results: Rich data emerged regarding the students' experiences,
   including emotional, psychological, and knowledge-based perceptions.
   Conclusion: Autopsies are important learning tools for nursing students,
   especially those who go into advanced practice nursing and forensic
   nursing. Anatomy, physiology, and pathophysiology are essential for
   students to understand as they learn about medical-surgical nursing
   concepts. Unique emotional characteristics of the students and cause of
   death of the deceased influenced how some students viewed the autopsy
   experience. Students reported that processing and debriefing activities
   were important after viewing autopsies and should be encouraged.
Z8 0
ZS 0
ZA 0
TC 0
ZB 0
ZR 0
Z9 0
U1 0
U2 1
SN 1556-3693
EI 1939-3938
UT WOS:000419557900009
PM 29176520
ER

PT J
AU Lokshina, Izabella V.
   Durkin, Barbara J.
TI Redesigning the Healthcare Model to Address Obesity Problem Using the
   Integration of Processes and Mobile Technologies: Facing a Worldwide
   Epidemic in an Innovative Manner
SO WIRELESS PERSONAL COMMUNICATIONS
VL 96
IS 4
SI SI
BP 5483
EP 5498
DI 10.1007/s11277-016-3752-4
PD OCT 2017
PY 2017
AB Obesity and other lifestyle-related illnesses are among the top global
   healthcare challenges today. The obesity in youth is an alarming
   predictor for obesity in adulthood as well as the possibility of other
   short-term health complications. Knowledge about staying healthy is not
   enough to motivate young individuals to adopt healthy lifestyles.
   However, relevant progress can be achieved through the integration of
   processes and mobile technologies. An effective new healthcare model to
   prevent obesity in the youth population is proposed, incorporating the
   development of an innovative multi-dimensional cross-disciplinary ICT
   framework. Sophisticated game mechanics would be used to motivate
   behavior changes towards healthier lifestyles. Three main functions
   would be supported: individual and environmental monitoring, including
   wearable sensors, mobile phones and multimedia diaries; feedback to
   users, presenting personalized healthy options for alternative
   lifestyles; and social connectivity, encouraging involvement in sharing
   experiences through social networks and social engagement. System
   development would be based on user-centered design, social and
   networking games as well as online education. Support would be provided
   by a wide ecosystem of stakeholders including health authorities and
   research institutions, industries and academia from the ICT and
   healthcare sectors, as well as food companies and SMEs.
ZS 0
ZB 0
ZA 0
TC 1
ZR 0
Z8 0
Z9 1
U1 0
U2 22
SN 0929-6212
EI 1572-834X
UT WOS:000411881300031
ER

PT J
AU Dang, Katherine
   Bent, Stephen
   Lawton, Brittany
   Warren, Tracy
   Widjaja, Felicia
   McDonald, Michael G.
   Breard, Michael
   O'Keefe, Whitney
   Hendren, Robert L.
TI Integrating Autism Care through a School-Based Intervention Model: A
   Pilot Study
SO JOURNAL OF CLINICAL MEDICINE
VL 6
IS 10
AR 97
DI 10.3390/jcm6100097
PD OCT 2017
PY 2017
AB The purpose of this pilot study is to determine the feasibility of
   monitoring the progress of children with an autism spectrum disorder
   (ASD) both in school and at home to promote a school-based integrated
   care model between parents, teachers, and medical providers. This is a
   prospective cohort study. To monitor progress, outcome measures were
   administered via an online platform developed for caregivers and
   teachers of children (n = 30) attending a school specializing in
   neurodevelopmental disorders and using an integrated medical and
   education program. Longitudinal analysis showed improvements in a novel
   scale, the Teacher Autism Progress Scale (TAPS), which was designed to
   measure key autism-related gains in a school environment (2.1-point
   improvement, p = 0.004, ES = 0.324). The TAPS showed a strong and
   statistically significant correlation, with improvement in aberrant
   behavior (r = 0.50; p = 0.008) and social responsiveness (r = 0.70; p <
   0.001). The results also showed non-statistically significant
   improvements in aberrant behavior, social responsiveness, and quality of
   life over time at both school and home. To assess feasibility of ongoing
   progress measurement, we assessed missing data, which showed caregivers
   were more likely to miss surveys during summer. Results demonstrate the
   value and feasibility of online, longitudinal data collection in school
   to assist with individualized education planning and collaborative care
   for children with ASD. Lessons learned in this pilot will support school
   outcomes researchers in developing more efficacious, collaborative
   treatment plans between clinicians, caregivers, and teachers.
OI Hendren, Robert/0000-0001-8470-4862; Warren, Tracy/0000-0001-5125-0868
ZS 0
TC 4
ZB 1
ZR 0
ZA 0
Z8 0
Z9 4
U1 0
U2 6
EI 2077-0383
UT WOS:000419245500007
PM 29048365
ER

PT J
AU King, Andrew
   Boysen-Osborn, Megan
   Cooney, Robert
   Mitzman, Jennifer
   Misra, Asit
   Williams, Jennifer
   Dulani, Tina
   Gottlieb, Michael
TI Curated Collection for Educators: Five Key Papers about the Flipped
   Classroom Methodology
SO CUREUS JOURNAL OF MEDICAL SCIENCE
VL 9
IS 10
AR e1801
DI 10.7759/cureus.1801
PD OCT 2017
PY 2017
AB The flipped classroom (FC) pedagogy is becoming increasingly popular in
   medical education due to its appeal to the millennial learner and
   potential benefits in knowledge acquisition. Despite its popularity and
   effectiveness, the FC educational method is not without challenges. In
   this article, we identify and summarize several key papers relevant to
   medical educators interested in exploring the FC teaching methodology.
   The authors identified an extensive list of papers relevant to FC
   pedagogy via online discussions within the Academic Life in Emergency
   Medicine (ALiEM) Faculty Incubator. This list was augmented by an open
   call on Twitter (utilizing the #meded, #FOAMed, and #flippedclassroom
   hashtags) yielding a list of 33 papers. We then conducted a three-round
   modified Delphi process within the authorship group, which included both
   junior and senior clinician educators, to identify the most impactful
   papers for educators interested in FC pedagogy.
   The three-round modified Delphi process ranked all of the selected
   papers and selected the five most highly-rated papers for inclusion. The
   authorship group reviewed and summarized these papers with specific
   consideration given to their value to junior faculty educators and
   faculty developers interested in the flipped classroom approach.
   The list of papers featured in this article serves as a key reading list
   for junior clinician educators and faculty developers interested in the
   flipped classroom technique. The associated commentaries contextualize
   the importance of these papers for medical educators aiming to optimize
   their understanding and implementation of the flipped classroom
   methodology in their teaching and through faculty development.
RI Cooney, Robert/U-5368-2019; Misra, Asit/N-7927-2016; Cooney, Robert/; Gottlieb, Michael/
OI Cooney, Robert/0000-0003-0665-0154; Gottlieb,
   Michael/0000-0003-3276-8375
Z8 0
TC 12
ZS 0
ZA 0
ZR 0
ZB 0
Z9 12
U1 2
U2 9
EI 2168-8184
UT WOS:000453650800067
PM 29282445
ER

PT J
AU Uribe, Gilberto
   Santamaria, Luisa
TI Exploring Hybrid Teaching Methods for Hispanic Agricultural Workers
SO HORTTECHNOLOGY
VL 27
IS 5
BP 695
EP 699
DI 10.21273/HORTTECH03700-17
PD OCT 2017
PY 2017
AB Growing demand for appropriate training opportunities for Oregon's
   increasingly scarce agricultural workers continues to outpace
   extension's available time and resources. New, more efficient, and
   innovative ways of reaching this audience must be explored to better
   fill the need and demand. Hybrid teaching, which refers to course
   delivery through a blend of traditional, face-to-face teaching, along
   with online instruction outside of the classroom, is being implemented
   in some English-language extension programs. A hybrid pesticide training
   course was designed and delivered in Spanish over the course of 4 weeks
   to nursery and landscape workers in Oregon to assess their reception of
   hybrid teaching. The delivery method was very well received and the
   students showed interest in taking more courses offered in a hybrid
   format. Initial and final practice exams included in the course were
   used to assess student performance and showed significant improvement
   from the students who completed the course. One student became certified
   and licensed to apply pesticides in the Oregon.
ZB 0
TC 0
ZA 0
ZS 0
Z8 0
ZR 0
Z9 0
U1 0
U2 6
SN 1063-0198
EI 1943-7714
UT WOS:000413999500020
ER

PT J
AU Kwok, Jason
   Liao, Walter
   Baxter, Stephanie
TI Evaluation of an online peer fundus photograph matching program in
   teaching direct ophthalmoscopy to medical students
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 52
IS 5
BP 441
EP 446
DI 10.1016/j.jcjo.2017.02.020
PD OCT 2017
PY 2017
AB Objective: Direct ophthalmoscopy is an important clinical skill that is
   often poorly performed by medical professionals and students. This is
   attributable to a declining emphasis on ophthalmology in medical school.
   We present and evaluate a self-directed approach of teaching
   ophthalmoscopy to medical students that is suitable for the current
   medical curriculum.
   Design: Prospective medical education trial. Participants: Ninety-five
   second-year medical students at Queen's University: 32 in the
   experimental group and 63 in the control group.
   Methods: The experimental group consisted of medical students who
   practised ophthalmoscopy with one another using an online peer fundus
   photograph matching exercise created by the Department of Ophthalmology
   at Queen's University. To use the program, students first examined a
   peer with an ophthalmoscope and then selected an online photograph of a
   fundus corresponding to that of the examinee. The program notifies
   students if a correct selection is made. To encourage use of the
   program, students participated in a 2-week ophthalmoscopy competition
   during their ophthalmology rotation. The control group consisted of
   students who did not participate in the learning exercise.
   Results: On assessment at the end of the ophthalmology rotation, the
   experimental group (n = 32) was more accurate in matching fundus
   photographs compared with the control group (n = 63) (p = 0.02).
   Participants were faster at performing ophthalmoscopy at the end of the
   learning exercise (p < 0.01). All students in the experimental group
   reported increased confidence levels in ophthalmoscopy after
   participation in the learning exercise.
   Conclusions: Matching online peer fundus photographs in a self-directed
   manner appeared to increase the skill and confidence of medical students
   in ophthalmoscopy.
OI Kwok, Jason/0000-0001-5573-9556
ZA 0
Z8 0
TC 8
ZR 0
ZB 1
ZS 1
Z9 9
U1 0
U2 3
SN 0008-4182
EI 1715-3360
UT WOS:000417531200022
PM 28985801
ER

PT J
AU Zeng, Yuqun
   Liu, Xusheng
   Wang, Yanshan
   Shen, Feichen
   Liu, Sijia
   Rastegar-Mojarad, Majid
   Wang, Liwei
   Liu, Hongfang
TI Recommending Education Materials for Diabetic Questions Using
   Information Retrieval Approaches
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 10
AR e342
DI 10.2196/jmir.7754
PD OCT 2017
PY 2017
AB Background: Self-management is crucial to diabetes care and providing
   expert-vetted content for answering patients' questions is crucial in
   facilitating patient self-management.
   Objective: The aim is to investigate the use of information retrieval
   techniques in recommending patient education materials for diabetic
   questions of patients.
   Methods: We compared two retrieval algorithms, one based on Latent
   Dirichlet Allocation topic modeling (topic modeling-based model) and one
   based on semantic group (semantic group-based model), with the baseline
   retrieval models, vector space model (VSM), in recommending diabetic
   patient education materials to diabetic questions posted on the
   TuDiabetes forum. The evaluation was based on a gold standard dataset
   consisting of 50 randomly selected diabetic questions where the
   relevancy of diabetic education materials to the questions was manually
   assigned by two experts. The performance was assessed using precision of
   top-ranked documents.
   Results: We retrieved 7510 diabetic questions on the forum and 144
   diabetic patient educational materials from the patient education
   database at Mayo Clinic. The mapping rate of words in each corpus mapped
   to the Unified Medical Language System (UMLS) was significantly
   different (P <.001). The topic modeling-based model outperformed the
   other retrieval algorithms. For example, for the top-retrieved document,
   the precision of the topic modeling-based, semantic group-based, and VSM
   models was 67.0%, 62.8%, and 54.3%, respectively.
   Conclusions: This study demonstrated that topic modeling can mitigate
   the vocabulary difference and it achieved the best performance in
   recommending education materials for answering patients' questions. One
   direction for future work is to assess the generalizability of our
   findings and to extend our study to other disease areas, other patient
   education material resources, and online forums.
RI Wang, Yanshan/H-4686-2018; Liu, Sijia/; Rastegar-Mojarad, Majid/
OI Wang, Yanshan/0000-0003-4433-7839; Liu, Sijia/0000-0001-9763-1164;
   Rastegar-Mojarad, Majid/0000-0001-6962-3554
ZB 0
Z8 0
ZS 0
ZA 0
TC 7
ZR 0
Z9 7
U1 0
U2 12
SN 1438-8871
UT WOS:000414185800012
PM 29038097
ER

PT J
AU Blencowe, Natalie S.
   Glasbey, James C.
   McElnay, Philip J.
   Bhangu, Aneel
   Gokani, Vimal J.
   Harries, Rhiannon L.
CA Council Assoc Surgeons Training
TI Integrated surgical academic training in the UK: a cross- sectional
   survey
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1104
BP 581
EP 586
DI 10.1136/postgradmedj-2016-134737
PD OCT 2017
PY 2017
AB Objectives This study aimed to explore variations in the provision of
   integrated academic surgical training across the UK.
   Design This is an online cross-sectional survey (consisting of 44 items
   with a range of free-text, binomial and 5-point Likert scale responses)
   developed by the Association of Surgeons in Training.
   Setting A self-reported survey instrument was distributed to academic
   surgical trainees across the UK (n=276).
   Participants 143 (51.9%) responses were received (81% male, median age:
   34 years), spanning all UK regions and surgical specialties. Of the 143
   trainees, 29 were core trainees (20.3%), 99 were specialty trainees
   (69.2%) and 15 (10.5%) described themselves as research fellows.
   Results The structure of academic training varied considerably, with
   under a third of trainees receiving guaranteed protected time for
   research. Despite this, however, 53.1% of the respondents reported to be
   satisfied with how their academic training was organised. Covering
   clinical duties during academic time occurred commonly (72.7%). Although
   most trainees (n=88, 61.5%) met with their academic supervisor at least
   once a month, six (4.2%) never had an academic supervisory meeting. Most
   trainees (n=90, 62.9%) occupied a full-time rota slot and only 9.1%
   (n=13) described their role as 'supernumerary'. Although 58.7% (n=84) of
   the trainees were satisfied with their clinical competence, 37.8% (n=54)
   felt that clinical time focused more on service provision than the
   acquisition of technical skills. 58 (40.6%) had experienced some form of
   negative sentiment relating to their status as an academic trainee.
   Conclusions Integrated academic training presents unique challenges and
   opportunities within surgery. This survey has identified variation in
   the quality of current programmes, meaning that the future provision of
   integrated surgical academic training should be carefully considered.
RI Harries, Rhiannon/AAG-7054-2020; Glasbey, James/I-2457-2019; Harries, Rhiannon/
OI Glasbey, James/0000-0001-7688-5018; Harries,
   Rhiannon/0000-0001-7095-3673
TC 10
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
Z9 10
U1 0
U2 0
SN 0032-5473
EI 1469-0756
UT WOS:000412636600003
PM 28408726
ER

PT J
AU Attai, Deanna J.
   Anderson, Patricia F.
   Fisch, Michael J.
   Graham, David L.
   Katz, Matthew S.
   Kesselheim, Jennifer
   Markham, Merry Jennifer
   Pennell, Nathan A.
   Sedrak, Mina S.
   Thompson, Michael A.
   Utengen, Audun
   Dizon, Don S.
CA COSMO
TI Risks and benefits of Twitter use by hematologists/oncologists in the
   era of digital medicine
SO SEMINARS IN HEMATOLOGY
VL 54
IS 4
BP 198
EP 204
DI 10.1053/j.seminhematol.2017.08.001
PD OCT 2017
PY 2017
AB Twitter use by physicians, including those in the hematology-oncology
   field, is increasing. This microblogging platform provides a means to
   communicate and collaborate on a global scale. For the oncology
   professional, an active Twitter presence provides opportunities for
   continuing medical education, patient engagement and education, personal
   branding, and reputation management. However, because Twitter is an
   open, public forum, potential risks such as patient privacy violations,
   personal information disclosures, professionalism lapses, and time
   management need to be considered and managed. The authors have
   summarized the benefits and risks of Twitter use by the hematology
   oncology physician. In addition, strategies to maximize benefit and
   minimize risk are discussed, and resources for additional learning are
   provided. (C)2017 Elsevier Inc. All rights reserved.
RI Markham, Merry Jennifer/T-9446-2018; Dizon, Don Steven/I-3634-2019; Katz, Matthew/AAS-7308-2020; Katz, Matthew/AAA-8899-2019; Pennell, Nathan/AAH-9303-2021; Anderson, Patricia F/A-2246-2010; Utengen, Audun/; Sedrak, Mina/
OI Markham, Merry Jennifer/0000-0003-3567-3494; Dizon, Don
   Steven/0000-0001-6541-9580; Katz, Matthew/0000-0002-0239-9807; Pennell,
   Nathan/0000-0002-1458-0064; Anderson, Patricia F/0000-0001-6348-2324;
   Utengen, Audun/0000-0003-4851-269X; Sedrak, Mina/0000-0002-8379-391X
ZS 0
ZR 0
Z8 0
ZA 0
TC 23
ZB 2
Z9 23
U1 1
U2 16
SN 0037-1963
EI 1532-8686
UT WOS:000417227600006
PM 29153081
ER

PT J
AU Mortelmans, Luc J. M.
   Gaakeer, Menno I.
   Dieltiens, Greet
   Anseeuw, Kurt
   Sabbe, Marc B.
TI Are Dutch Hospitals Prepared for Chemical, Biological, or Radionuclear
   Incidents? A Survey Study
SO PREHOSPITAL AND DISASTER MEDICINE
VL 32
IS 5
BP 483
EP 491
DI 10.1017/S1049023X17006513
PD OCT 2017
PY 2017
AB Introduction: Being one of Europe's most densely populated countries,
   and having multiple nuclear installations, a heavy petrochemical
   industry, and terrorist targets, the Netherlands is at-risk for
   chemical, biological, or radionuclear (CBRN) incidents. Recent world and
   continental events show that this threat is real and that authorities
   may be underprepared.
   Hypothesis: The hypothesis of this study is that Dutch hospitals are
   underprepared to deal with these incidents.
   Methods: A descriptive, cross-sectional study was performed. All 93
   Dutch hospitals with an emergency department (ED) were sent a link to an
   online survey on different aspects of CBRN preparedness. Besides
   specific hospital information, information was obtained on the
   hospital's disaster planning; risk perception; and availability of
   decontamination units, personal protective equipment (PPE), antidotes,
   radiation detection, infectiologists, isolation measures, and staff
   training.
   Results: Response rate was 67%. Sixty-two percent of participating
   hospitals were estimated to be at-risk for CBRN incidents. Only 40% had
   decontamination facilities and 32% had appropriate PPE available for
   triage and decontamination teams. Atropine was available in high doses
   in all hospitals, but specific antidotes that could be used for treating
   victims of CBRN incidents, such as hydroxycobolamine, thiosulphate,
   Prussian blue, Diethylenetriaminepentaacetic acid (DTPA), or
   pralidoxime, were less frequently available (74%, 65%, 18%, 14%, and
   42%, respectively). Six percent of hospitals had radioactive detection
   equipment with an alarm function and 22.5% had a nuclear specialist
   available 24/7 in case of disasters. Infectiologists were continuously
   available in 60% of the hospitals. Collective isolation facilities were
   present in 15% of the hospitals.
   Conclusion: There is a serious lack of hospital preparedness for CBRN
   incidents in The Netherlands.
RI Anseeuw, Kurt/AAY-4114-2020; mortelmans, luc/AAP-2636-2020
ZS 0
ZB 3
Z8 0
TC 16
ZR 0
ZA 0
Z9 16
U1 1
U2 16
SN 1049-023X
EI 1945-1938
UT WOS:000417137600003
PM 28478772
ER

PT J
AU Pelletier, Jean-Francois
TI Civic Recovery Mentorship: An Online Undergraduate Medical Training
   Program to Transform Experience into Expertise, and Attitudes into
   Competencies
SO ANNALS OF MEDICAL AND HEALTH SCIENCES RESEARCH
VL 7
SI 2
BP 73
EP 75
PD OCT 2017
PY 2017
AB While recovery is the current leading paradigm in the transformation of
   mental health systems throughout the world, recovery principles and
   values are slowly and quietly also embracing physical health for
   continuity and holistic health. A key feature of recovery-oriented
   systems is to have patients or former patients involved as active
   partners, for instance in the provision of care for them to act as
   recovery mentors. Informal peer-to-peer relationships are certainly not
   new. What is still relatively new is that there now exist a variety of
   formal programs to train recovery mentors, for them to perform this role
   either in complex multidisciplinary medical teams or in community
   organizations. This paper describes a first online and for credit
   program of medical training of recovery mentors. To complete their
   training the recovery mentor apprentices will need to show, in real
   clinical or community contexts, that they do master nine key attitudes.
   In alphabetical order, these attitudes are: altruism, empathy,
   engagement, honesty and integrity, humility, open-mindedness, respect,
   rigor, and sense of responsibility. We suggest that the pedagogical
   approach to teach how to express these attitudes need to be based more
   on principles of adult education (andragogy) than on those of youth
   education (pedagogy) in order to facilitate the emulation of recovery.
ZS 0
ZB 0
ZA 0
Z8 0
TC 1
ZR 0
Z9 1
U1 0
U2 5
SN 2141-9248
EI 2277-9205
UT WOS:000416744900016
ER

PT J
AU Hortos, Kari
   Corser, William
   Church, Brandy
   Rohrer, Jonathan
   Waarala, Kirsten
TI Perceived Importance of Pursuing Osteopathic Recognition in the Single
   Accreditation System: A Survey of Medical Students, Residents, and
   Faculty
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 117
IS 10
BP 651
EP 659
DI 10.7556/jaoa.2017.122
PD OCT 2017
PY 2017
AB Context: As graduate medical education evolves under the single
   accreditation system, osteopathic residency programs and consortia
   strive for sustainable ways to achieve and support the Osteopathic
   Recognition (OR) designation.
   Objective: To determine whether differences existed in perceived
   importance of OR from 3 cohorts of osteopathic stakeholders: students,
   residents, and faculty.
   Methods: A nonexperimental quantitative cross-sectional online survey
   was administered during February and March 2016 to osteopathic medical
   students at Michigan State University College of Osteopathic Medicine
   and residents and faculty from the affiliated Statewide Campus System.
   After examining final working dataset patterns, a series of
   Kruskal-Wallis tests were conducted to identify statistically
   significant differences in perceived OR importance response categories
   across sample subgroups, including program specialty and primary vs
   non-primary care specialty.
   Results: The final analytic sample comprised 278 osteopathic medical
   students, 359 residents, and 94 faculty members. Of 728 respondents, 497
   (67.9%) indicated that OR was "somewhat important," " important," or "
   very important." The overall perceived importance category patterns
   varied significantly across students, residents, and faculty cohort
   respondents (chi(2)(2)=43.847, P<.001) and program specialty
   (chi(2)(6)=74.0, P<.001), as well as between primary care and
   non-primary care residents and faculty (chi(2)(1)=63.7, P<.001).
   Conclusion: Based on these initial results, OR is generally valued
   across osteopathic stakeholder groups, but significant differences may
   exist between different types of students, residents, and faculty. Pre-
   and postgraduate educational support structures designed to reduce
   barriers to OR implementation may help to sustain osteopathic principles
   and practice in the single accreditation system.
TC 2
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
Z9 2
U1 0
U2 4
SN 0098-6151
EI 1945-1997
UT WOS:000416761800007
PM 28973182
ER

PT J
AU Guarner, Jeannette
   Hill, Charles E.
   Amukele, Timothy
TI Creation and Evaluation of a Laboratory Administration Curriculum for
   Pathology Residents
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 148
IS 4
BP 368
EP 373
DI 10.1093/AJCP/AQX085
PD OCT 2017
PY 2017
AB Objectives: A clinical laboratory management (CLM) curriculum that can
   objectively assess the Accreditation Council for Graduate Medical
   Education pathology systems-based practice milestones and can provide
   consistent resident training across institutions is needed.
   Methods: Faculty at Emory University created a curriculum that consists
   of assay verification exercises and interactive, case-based online
   modules. Beta testing was done at Emory University and Johns Hopkins.
   Residents were required to obtain a score of more than 80% in the online
   modules to achieve levels 3 to 4 in the milestones. In addition,
   residents shadowed a laboratory director, performed an inspection of a
   laboratory section, and completed training in human subjects research
   and test utilization.
   Results: Fourteen residents took and evaluated the laboratory
   administration curriculum. The printed certificates from the modules
   were used for objective faculty evaluation of mastery of concepts. Of
   all the activities the residents performed during the rotation, the
   online modules were ranked most helpful by all residents. A 25-question
   knowledge assessment was performed before and after the rotation and
   showed an average increase of 8 points (P=.0001).
   Conclusions: The multimodal CLM training described here is an easily
   adoptable, objective system for teaching CLM. It was well liked by
   residents and provided an objective measurement of mastery of concepts
   for faculty.
RI Guarner, Jeannette/B-8273-2013
OI Guarner, Jeannette/0000-0001-5610-3541
TC 5
ZR 0
ZA 0
Z8 0
ZB 2
ZS 0
Z9 5
U1 0
U2 4
SN 0002-9173
EI 1943-7722
UT WOS:000414487600010
PM 28927229
ER

PT J
AU Kugar, Meredith A.
   Cohen, Adam C.
   Wooden, William
   Tholpady, Sunil S.
   Chu, Michael W.
TI The readability of psychosocial wellness patient resources: improving
   surgical outcomes
SO JOURNAL OF SURGICAL RESEARCH
VL 218
BP 43
EP 48
DI 10.1016/j.jss.2017.05.033
PD OCT 2017
PY 2017
AB Background: Patient education is increasingly accessed with online
   resources and is essential for patient satisfaction and clinical
   outcomes. The average American adult reads at a seventh grade level, and
   the National Institute of Health (NIH) and the American Medical
   Association (AMA) recommend that information be written at a sixth-grade
   reading level. Health literacy plays an important role in the disease
   course and outcomes of all patients, including those with depression and
   likely other psychiatric disorders, although this is an area in need of
   further study. The purpose of this study was to collect and analyze
   written, online mental health resources on the Veterans Health
   Administration (VA) website, and other websites, using readability
   assessment instruments.
   Methods: An internet search was performed to identify written patient
   education information regarding mental health from the VA (the VA Mental
   Health Website) and top-rated psychiatric hospitals. Seven mental health
   topics were included in the analysis: generalized anxiety disorder,
   bipolar, major depressive disorder, posttraumatic stress disorder,
   schizophrenia, substance abuse, and suicide. Readability analyses were
   performed using the Gunning Fog Index, the Flesch-Kincaid Grade Level,
   the Coleman-Liau Index, the SMOG Readability Formula, and the Automated
   Readability Index. These scores were then combined into a Readability
   Consensus score. A two-tailed t-test was used to compare the mean
   values, and statistical significance was set at P < 0.05.
   Results: Twelve of the best hospitals for psychiatry 2016-2017 were
   identified. Nine had educational material. Six of the nine cited the
   same resource, The StayWell Company, LLC (StayWell Company, LLC;
   Yardley, PA), for at least one of the mental health topics analyzed. The
   VA mental health website (http://www.mentalhealth.va.gov) had a
   significantly higher readability consensus than six of the top
   psychiatric hospitals (P < 0.05, P = 0.0067, P = 0.019, P = 0.041, P =
   0.0093, P = 0.0054, and P = 0.0093). The overall average readability
   consensus for mental health information on all websites analyzed was
   9.52.
   Conclusions: Online resources for mental health disorders are more
   complex than recommended by the NIH and AMA. Efforts to improve
   readability of mental health and psychosocial wellness resources could
   benefit patient understanding and outcomes, especially in patients with
   lower literacy. Surgical outcomes are correlated with patient mental
   health and psychosocial wellness and thus can be improved with more
   appropriate levels of readability of psychosocial wellness resources.
   (C) 2017 Elsevier Inc. All rights reserved.
RI Tholpady, Sunil/G-5848-2016; Chu, Michael/
OI Tholpady, Sunil/0000-0003-0448-9942; Chu, Michael/0000-0002-9872-399X
ZA 0
ZB 0
ZS 0
Z8 0
TC 8
ZR 0
Z9 8
U1 1
U2 12
SN 0022-4804
EI 1095-8673
UT WOS:000413124700007
PM 28985876
ER

PT J
AU Diamond, Ursula
   Di Bartolo, Christina A.
   Badin, Emily
   Shatkin, Jess P.
TI Almost Psychiatry: The Impact of Teaching Child and Adolescent Mental
   Health Studies to Undergraduate College Students
SO ACADEMIC PSYCHIATRY
VL 41
IS 5
BP 574
EP 581
DI 10.1007/s40596-017-0680-x
PD OCT 2017
PY 2017
AB Objective The Child and Adolescent Mental Health Studies (CAMS) program
   is housed in a Liberal Arts undergraduate college of a large research
   university. Psychiatrists, clinical psychologists, and social workers at
   the university's medical center teach the courses. The purpose of this
   study is to evaluate the extent to which CAMS encourages graduates of
   the program to pursue a career in child and adolescent mental health
   (CAMH).
   Methods In 2015-2016, graduates of the CAMS program were invited to
   participate in a mixed methods study. In addition to statistical
   analyses, qualitative thematic analyses were performed to interpret
   free-text responses.
   Results Forty-five percent (314/702) of invited graduates completed the
   online survey. Interviews were conducted with 11% (34/314) of
   participants by study staff over the phone. Quantitative results
   suggested that 81% (149/185) of participants enrolled in educational
   programs after graduation due to an interest in CAMH. A significantly
   higher proportion of the total sample (t=3.661, p<.001) reported that
   they changed their career goals while undergraduate students compared to
   those who did so after graduation. Results of qualitative interviews
   with 34 participants uncovered five key themes unique to CAMS that may
   explain the program's influence on graduates' career choices and career
   development: practitioners-as-instructors, instructor mentorship, novel
   course content, experiential learning opportunities, and career training
   and skills.
   Conclusions Quantitative and qualitative results indicated that teaching
   college undergraduate students about CAMH encourages them to set career
   goals within the field. These findings suggest the utility of
   implementing similar programs at other undergraduate colleges.
OI Shatkin, Jess/0000-0002-4372-1583; Diamond, Ursula/0000-0001-6434-9373
TC 2
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
Z9 2
U1 0
U2 6
SN 1042-9670
EI 1545-7230
UT WOS:000413546500002
PM 28236053
ER

PT J
AU Berman, Anne H.
   Biguet, Gabriele
   Stathakarou, Natalia
   Westin-Hagglof, Beata
   Jeding, Kerstin
   McGrath, Cormac
   Zary, Nabil
   Kononowicz, Andrzej A.
TI Virtual Patients in a Behavioral Medicine Massive Open Online Course
   (MOOC): A Qualitative and Quantitative Analysis of Participants'
   Perceptions
SO ACADEMIC PSYCHIATRY
VL 41
IS 5
BP 631
EP 641
DI 10.1007/s40596-017-0706-4
PD OCT 2017
PY 2017
AB Objective The purpose of this article is to explore learners'
   perceptions of using virtual patients in a behavioral medicine Massive
   Open Online Course (MOOCs) and thereby describe innovative ways of
   disseminating knowledge in health-related areas.
   Methods A 5-week MOOC on behavioral medicine was hosted on the edX
   platform. The authors developed two branched virtual patients consisting
   of video recordings of a live standardized patient, with multiple
   clinical decision points and narration unfolding depending on learners'
   choices. Students interacted with the virtual patients to treat stress
   and sleep problems. Answers to the exit survey and participant comments
   from the discussion forum were analyzed qualitatively and
   quantitatively.
   Results In total, 19,236 participants enrolled in the MOOC, out of which
   740 received the final certificate. The virtual patients were completed
   by 2317 and 1640 participants respectively. Among survey respondents (n
   = 442), 83.1% agreed that the virtual patient exercise was helpful. The
   qualitative analysis resulted in themes covering what it was like to
   work with the virtual patient, with subthemes on learner-centered
   education, emotions/eustress, game comparisons, what the participants
   learned, what surprised them, how confident participants felt about
   applying interventions in practice, suggestions for improvement, and
   previous experiences of virtual patients.
   Conclusions Students were enthusiastic about interacting with the
   virtual patients as a means to apply new knowledge about behavioral
   medicine interventions. The most common suggestion was to incorporate
   more interactive cases with various levels of complexity. Further
   research should include patient outcomes and focus on interprofessional
   aspects of learning with virtual patients in a MOOC.
RI McGrath, Cormac/H-8935-2019; Kononowicz, Andrzej A/ABG-8696-2020; Berman, Anne H/C-4636-2011; Zary, Nabil/M-9432-2019; Biguet, Gabriele/GPK-5472-2022
OI McGrath, Cormac/0000-0002-8215-3646; Kononowicz, Andrzej
   A/0000-0003-2956-2093; Berman, Anne H/0000-0002-7709-0230; Zary,
   Nabil/0000-0001-8999-6999; 
ZB 2
TC 25
ZS 2
Z8 1
ZR 0
ZA 0
Z9 28
U1 1
U2 34
SN 1042-9670
EI 1545-7230
UT WOS:000413546500014
PM 28390054
ER

PT J
AU Ahmed, Navid
   Sadat, Mohammad
   Cukor, Daniel
TI Sleep Knowledge and Behaviors in Medical Students: Results of a Single
   Center Survey
SO ACADEMIC PSYCHIATRY
VL 41
IS 5
BP 674
EP 678
DI 10.1007/s40596-016-0655-3
PD OCT 2017
PY 2017
AB Objective There is little known about the demands of medical school on
   students' sleep behavior. The study's main goal was to examine the
   interplay between medical students' sleep knowledge, personal attitudes
   towards sleep, and their sleep habits.
   Methods An anonymous online survey was created and emailed to all
   students enrolled at a large metropolitan medical school. Data on
   demographics, sleep perception, and habits in addition to self-reported
   measures of students' sleep knowledge, beliefs, and sleepiness were
   collected.
   Results There were 261, out of a possible 720, responses to the survey.
   While 71.5% of respondents believed that they needed >7 h of sleep, only
   24.9% of respondents stated they average > 7 h of sleep. During the week
   of an examination, only 15.3% of students stated they averaged > 7 h of
   sleep. A comparison of pre-clinical and clinical students revealed that
   reported median sleep during a school or rotation night was
   significantly lower in clinical students as compared to preclinical
   students while mean sleep during examination weeks between the two
   groups was not statistically different. In regard to sleep knowledge,
   clinical students were more knowledgeable (65.53% correct) than
   pre-clinical students (39.83% correct) (t(1) = -8.9, p = .00). However,
   there was no difference in the assessment of dysfunctional beliefs
   between the two groups (66.0 for preclinical students, 64.7 for clinical
   students (t(1) = 0.37, p = .71)) while clinical students had a higher
   score of sleepiness compared to pre-clinical students (9.12 to 7.83,
   t(1) = -2.3, p = .023).
   Conclusions A majority of medical students are sleeping an inadequate
   amount of time during their 4 years, and as they progress from the
   pre-clinical to the clinical years, the amount of time they sleep
   decreases even though their knowledge about sleep increases. Increased
   awareness around sleep health is required beyond sleep education, as
   medical students appear to need help translating knowledge into
   strategies to improve their own sleep and well-being.
OI Ahmed, Navid/0000-0003-2994-6521
TC 12
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
Z9 12
U1 0
U2 2
SN 1042-9670
EI 1545-7230
UT WOS:000413546500022
PM 28097529
ER

PT J
AU Lang, Sean M.
   Daily, Joshua A.
   FitzGerald, Micheal R.
   Tang, Xinyu
   Best, Thomas H.
   Robbins, James M.
   Collins, R. Thomas, II
TI Knowledge of Appropriate Outpatient Pediatric Echocardiogram Ordering in
   Primary Care Physicians and Trainees
SO AMERICAN JOURNAL OF CARDIOLOGY
VL 120
IS 7
BP 1209
EP 1213
DI 10.1016/j.amjcard.2017.06.065
PD OCT 1 2017
PY 2017
AB Appropriate Use Criteria (AUC) for the initial use of outpatient
   pediatric echocardiography were established to aid all clinicians in the
   evaluation of children with possible heart disease, and limit low
   diagnostic yield studies. We sought to (1) assess PCPs' and trainees'
   awareness of the AUC document; (2) compare their knowledge of
   appropriate echocardiogram ordering with that of pediatric
   cardiologists; and (3) identify additional medical and nonmedical
   factors affecting PCP echocardiogram ordering. An online survey with
   clinical scenarios derived from the AUC guidelines was distributed to
   PCPs and trainees in Arkansas, and pediatric cardiologists from Arkansas
   Children's Hospital and Cincinnati Children's Hospital Medical Center.
   Respondents were also asked to rate whether additional medical and
   nonmedical factors have "no;' "mild;' "moderate;' or "major" impact on
   PCP echocardiogram ordering. Survey data were collected from 148
   respondents. Awareness of the AUC was significantly lower in PCPs
   (21.4%) and trainees (14%) than in pediatric cardiologists (90.5%,
   p<0.001). For all rarely appropriate clinical scenarios, cardiologists
   had stronger agreement with the AUC document (90.9%) than did the PCP
   group (50.3%) and trainees (53.3%, p<0.001). The strongest additional
   factors affecting PCP echocardiogram ordering were parental anxiety,
   difficulty distinguishing innocent from pathologic murmurs, and legal
   implications of a missed diagnosis. In conclusion, PCPs and trainees are
   largely unaware of the existence of the pediatric echocardiogram AUC.
   Educational strategies to improve appropriate echocardiogram ordering
   should address not only increasing awareness of AUC, but also other
   factors affecting decision-making. (C) 2017 Elsevier Inc. All rights
   reserved.
OI Collins II, R. Thomas/0000-0002-3387-6629
ZB 2
ZS 0
ZR 0
TC 6
ZA 0
Z8 0
Z9 6
U1 0
U2 0
SN 0002-9149
EI 1879-1913
UT WOS:000412626000029
PM 28800832
ER

PT J
AU Bedard, Pascale
   Audet, Anne-Marie
   Drouin, Patrick
   Roy, Johanna-Pascale
   Rivard, Julie
   Tremblay, Pascale
TI SyllabO plus : A new tool to study sublexical phenomena in spoken Quebec
   French
SO BEHAVIOR RESEARCH METHODS
VL 49
IS 5
BP 1852
EP 1863
DI 10.3758/s13428-016-0829-7
PD OCT 2017
PY 2017
AB Sublexical phonotactic regularities in language have a major impact on
   language development, as well as on speech processing and production
   throughout the entire lifespan. To understand the impact of phonotactic
   regularities on speech and language functions at the behavioral and
   neural levels, it is essential to have access to oral language corpora
   to study these complex phenomena in different languages. Yet, probably
   because of their complexity, oral language corpora remain less common
   than written language corpora. This article presents the first corpus
   and database of spoken Quebec French syllables and phones: SyllabO+.
   This corpus contains phonetic transcriptions of over 300,000 syllables
   (over 690,000 phones) extracted from recordings of 184 healthy adult
   native Quebec French speakers, ranging in age from 20 to 97 years. To
   ensure the representativeness of the corpus, these recordings were made
   in both formal and familiar communication contexts. Phonotactic
   distributional statistics (e.g., syllable and co-occurrence frequencies,
   percentages, percentile ranks, transition probabilities, and pointwise
   mutual information) were computed from the corpus. An open-access online
   application to search the database was developed, and is available at
   www.speechneurolab.ca/syllabo. In this article, we present a brief
   overview of the corpus, as well as the syllable and phone databases, and
   we discuss their practical applications in various fields of research,
   including cognitive neuroscience, psycholinguistics, neurolinguistics,
   experimental psychology, phonetics, and phonology. Nonacademic practical
   applications are also discussed, including uses in speech-language
   pathology.
RI Roy, Johanna-Pascale/GRJ-9208-2022; Tremblay, Pascale/
OI Roy, Johanna-Pascale/0000-0002-0827-7122; Tremblay,
   Pascale/0000-0001-7161-9255
ZA 0
TC 7
ZB 3
ZR 0
ZS 0
Z8 0
Z9 7
U1 0
U2 7
SN 1554-351X
EI 1554-3528
UT WOS:000412346700023
PM 27837569
ER

PT J
AU Mogul, Douglas B.
   Nagy, Paul G.
   Bridges, John F. P.
TI Building Stronger Online Communities Through the Creation of
   Facebook-Integrated Health Applications
SO JAMA PEDIATRICS
VL 171
IS 10
BP 933
EP 934
DI 10.1001/jamapediatrics.2017.2300
PD OCT 2017
PY 2017
OI Nagy, Paul/0000-0001-5108-7749
ZB 2
TC 10
ZA 0
ZS 0
Z8 0
ZR 0
Z9 10
U1 0
U2 4
SN 2168-6203
EI 2168-6211
UT WOS:000412190300005
PM 28846765
ER

PT J
AU Kim, Noori
   Fischer, Alexander H.
   Dyring-Andersen, Beatrice
   Rosner, Bernard
   Okoye, Ginette A.
TI Research Techniques Made Simple: Choosing Appropriate Statistical
   Methods for Clinical Research
SO JOURNAL OF INVESTIGATIVE DERMATOLOGY
VL 137
IS 10
BP E173
EP E178
DI 10.1016/j.jid.2017.08.007
PD OCT 2017
PY 2017
AB Planning Committee/Speaker Disclosure: All authors, planning committee
   members, CME committee members and staff involved with this activity as
   content validation reviewers have no financial relationship(s) with
   commercial interests to disclose relative to the content of this CME
   activity.
   Commercial Support Acknowledgment: This CME activity is supported by an
   educational grant from Lilly USA, LLC.
   Description: This article, designed for dermatologists, residents,
   fellows, and related healthcare providers, seeks to reduce the growing
   divide between dermatology clinical practice and the basic
   science/current research methodologies on which many diagnostic and
   therapeutic advances are built.
   Objectives: At the conclusion of this activity, learners should be
   better able to:
   Recognize the newest techniques in biomedical research.
   Describe how these techniques can be utilized and their limitations.
   Describe the potential impact of these techniques.
   CME Accreditation and Credit Designation: This activity has been planned
   and implemented in accordance with the accreditation requirements and
   policies of the Accreditation Council for Continuing Medical Education
   through the joint providership of William Beaumont Hospital and the
   Society for Investigative Dermatology. William Beaumont Hospital is
   accredited by the ACCME to provide continuing medical education for
   physicians. William Beaumont Hospital designates this enduring material
   for a maximum of 1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should
   claim only the credit commensurate with the extent of their
   participation in the activity.
   Method of Physician Participation in Learning Process: The content can
   be read from the Journal of Investigative Dermatology
   website:http://www.jidonline.org/current. Tests for CME credits may only
   be submitted online at https://beaumont.cloud-cme. com/RTMS-Oct17 -
   click 'CME on Demand' and locate the article to complete the test. Fax
   or other copies will not be accepted. To receive credits, learners must
   review the CME accreditation information; view the entire article,
   complete the post-test with a minimum performance level of 60%; and
   complete the online evaluation form in order to claim CME credit. The
   CME credit code for this activity is: 21310. For questions about CME
   credit email cme@beaumont.edu.
RI Okoye, Ginette A/AAA-8349-2022; Okoye, Ginette A/AFS-1893-2022; Dyring-Andersen, Beatrice/
OI Okoye, Ginette A/0000-0003-1316-4023; Okoye, Ginette
   A/0000-0003-1316-4023; Dyring-Andersen, Beatrice/0000-0002-3012-2645
ZR 0
Z8 0
ZS 1
ZA 0
TC 9
ZB 2
Z9 10
U1 0
U2 5
SN 0022-202X
EI 1523-1747
UT WOS:000411210000075
PM 28941476
ER

PT J
AU Arnold, H.
   Meyer, C. P.
   Salem, J.
   Raspe, M.
   Struck, J. P.
   Borgmann, H.
TI Work and training conditions of residents in urology in Germany Results
   of a 2015 nationwide survey by the German Society of Residents in
   Urology
SO UROLOGE
VL 56
IS 10
BP 1311
EP 1319
DI 10.1007/s00120-017-0495-0
PD OCT 2017
PY 2017
AB Background. High-quality urologic residency training programs are
   crucial to secure both the future of our specialty and patient care.
   However, little is known about the current training and working
   conditions among German urology residents.
   Objectives. To comprehensively assess the training- and working
   conditions among urologic residents in Germany.
   Materials and methods. The GeSRU invited all German urologic residents
   to complete an online survey on training- and work conditions.
   Furthermore, the model of effort-reward imbalance (ERI) was applied to
   measure psychosocial strain at work.
   Results. A total of 476 urologic residents participated in the survey.
   Workdays are characterized by high pace and workload and economic
   considerations. This comes at the cost of professional training,
   research and family time. Due to these circumstances, a relevant part of
   residents draws or at least considers consequences. Psychosocial strain
   among participants is high and conveys a risk for physicians' health and
   patients' quality of care.
   Conclusion. Our findings call for an adjustment of urologic working and
   training conditions to preserve high-quality medical treatment and to
   ensure an attractive working environment.
RI Borgmann, Hendrik/F-4658-2015; Struck, Julian Peter/AAI-5872-2021
OI Borgmann, Hendrik/0000-0002-3955-564X; 
TC 39
ZB 22
Z8 0
ZS 0
ZR 0
ZA 0
Z9 39
U1 0
U2 1
SN 0340-2592
EI 1433-0563
UT WOS:000412820000011
PM 28835996
ER

PT J
AU Vialu, Carlo
   Doyle, Maura
TI Determining Need for School-Based Physical Therapy Under IDEA:
   Commonalities Across Practice Guidelines
SO PEDIATRIC PHYSICAL THERAPY
VL 29
IS 4
BP 350
EP 355
DI 10.1097/PEP.0000000000000448
PD OCT 2017
PY 2017
AB Background and Purpose: The Individuals with Disabilities Education Act
   (IDEA) includes physical therapy (PT) as a related service that may be
   provided to help students with disabilities benefit from their
   education. However, the IDEA does not provide specific guidance for the
   provision of school-based PT, resulting in variations in practice across
   the United States. The authors examined 22 state and local education
   agency guidelines available online to find commonalities related to the
   determination of a student's need for PT.
   Results and Conclusions: Seven commonalities found: educational benefit,
   team decision, need for PT expertise, establishment of Individualized
   Education Program (IEP) goal before determining need for PT, distinction
   between medical and educational PT, the student's disability adversely
   affects education, and the student's potential for improvement. These
   commonalities are discussed in relation to current PT and special
   education literature. This article suggests applying these commonalities
   as procedural requirements and questions for discussion during an IEP
   team meeting.
TC 3
Z8 0
ZB 0
ZS 0
ZR 0
ZA 0
Z9 3
U1 0
U2 3
SN 0898-5669
EI 1538-005X
UT WOS:000415066300014
PM 28953182
ER

PT J
AU Hill, Elizabeth
   Cartabuke, Richard H.
   Mehta, Neil
   Colbert, Colleen
   Nowacki, Amy S.
   Calabrese, Cassandra
   Mehdi, Ali
   Garber, Ari
   Mohmand, Mohammad
   Sinokrot, Odai
   Pile, James
TI Resident-Led Handoffs Training for Interns: Online Versus Live
   Instruction with Subsequent Skills Assessment
SO AMERICAN JOURNAL OF MEDICINE
VL 130
IS 10
BP 1225
EP U208
DI 10.1016/j.amjmed.2017.06.003
PD OCT 2017
PY 2017
RI Mehta, Neil/AAL-9824-2020; Mehta, Neil/; Colbert, Colleen/; Nowacki, Amy/; Dineen, Elizabeth/
OI Mehta, Neil/0000-0001-8342-4252; Colbert, Colleen/0000-0002-2608-7218;
   Nowacki, Amy/0000-0002-1216-1448; Dineen, Elizabeth/0000-0002-4704-4495
ZB 1
ZR 0
TC 3
Z8 0
ZS 1
ZA 0
Z9 3
U1 0
U2 1
SN 0002-9343
EI 1555-7162
UT WOS:000410998300046
PM 28684343
ER

PT J
AU Jongenelis, Michelle I.
   Pettigrew, Simone
   Pratt, Iain S.
   Wright, Shannon
   Myers, Gael
TI Assessing parents' receptiveness to a vegetable-focussed in-school
   nutrition intervention
SO APPETITE
VL 117
BP 359
EP 364
DI 10.1016/j.appet.2017.07.017
PD OCT 1 2017
PY 2017
AB Objective: Crunch&Sip is an Australian school-based initiative designed
   to increase the consumption of fruit, vegetables, and water among
   primary school children. To address the significant deficiencies in
   children's vegetable intake, the present study aimed to examine the
   responsiveness of parents (the main providers of food for Crunch&Sip) to
   a modified version of the program that focuses primarily on vegetable
   consumption.
   Participants: A total of 329 Western Australian parents completed an
   online questionnaire examining their support for a vegetable focus for
   Crunch&Sip and any perceived barriers, motivators, and facilitators.
   Results: Most (80%) parents were supportive of a shift to a vegetable
   focus for Crunch&Sip. Belief in the effectiveness of Crunch&Sip at
   improving children's attitudes towards vegetables and increasing
   children's vegetable consumption was found to be significantly
   associated with levels of support The most commonly nominated motivator
   was to improve their children's eating habits and the main facilitator
   was the perceived ability of teachers and peers to influence children's
   food consumption behaviours. Identified potential barriers included the
   difficulties associated with providing a variety of vegetables,
   maintaining freshness, and the preparation time required. The primary
   suggested strategy to overcome these barriers was for schools to conduct
   education sessions to provide information about vegetable provision
   options.
   Conclusions and implications: The results suggest that parents can be
   supportive of school-based nutrition programs that specifically
   encourage the consumption of vegetables but they may require guidance to
   reduce the identified barriers related to vegetable provision. (C) 2017
   Elsevier Ltd. All rights reserved.
RI Pratt, Iain S/O-8396-2017; Jongenelis, Michelle/; Myers, Gael/; Pettigrew, Simone/; Wright, Shannon/
OI Pratt, Iain S/0000-0002-5919-6496; Jongenelis,
   Michelle/0000-0002-0717-1692; Myers, Gael/0000-0002-3521-2842;
   Pettigrew, Simone/0000-0003-3921-1174; Wright,
   Shannon/0000-0002-1751-5444
ZB 1
Z8 0
TC 2
ZS 0
ZR 0
ZA 0
Z9 2
U1 0
U2 43
SN 0195-6663
EI 1095-8304
UT WOS:000408179700043
PM 28729201
ER

PT J
AU Kichenadasse, Ganessan
   Sweet, Linda
   Harrington, Ann
   Ullah, Shahid
TI The current practice, preparedness and educational preparation of
   oncology professionals to provide spiritual care
SO ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
VL 13
IS 5
BP E506
EP E514
DI 10.1111/ajco.12654
PD OCT 2017
PY 2017
AB AimLimited data are available on how spiritual needs of patients with
   cancer care are addressed by Australian oncologists. The objectives of
   this study were to explore the current practice, preparedness and
   education of Australian oncologists and oncology trainees on the
   provision of spiritual care for their patients with cancer.
   MethodsParticipants were recruited through oncology professional
   organizations and data collected through an anonymous online survey
   using a validated questionnaire.
   ResultsResponses from a total of 69 medical professionals were suitable
   for data analysis. The majority of the respondents had encountered
   patients with spiritual care needs during clinical consultations. Only
   45% of the respondents perceived that they were able to meet the
   spiritual needs of their patients. Barriers to providing spiritual care
   identified a lack of time, education and understanding of spirituality
   and spiritual care in the context of health. Only 25% stated they had
   received some form of education on spiritual care with 7% of these
   stated that the education was adequate. Participants believed that they
   learnt how to provide spiritual care on the job or because of their
   self-interest, and not as formal training.
   ConclusionThe results of this study indicate that Australian oncology
   professionals often encounter patients with spiritual care needs in
   their clinical practice. Despite this finding, only a small proportion
   of the medical professionals had education on spiritual care during
   their professional training. Forty-five percent of the medical
   practitioners believed that they were able to partly or completely meet
   their patients' spiritual care needs.
RI Sweet, Linda/X-9885-2019; Ullah, Shahid/AAC-3054-2020; Ullah, Shahid/
OI Ullah, Shahid/0000-0003-0010-2640
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
TC 6
Z9 6
U1 1
U2 18
SN 1743-7555
EI 1743-7563
UT WOS:000413982700041
PM 28004882
ER

PT J
AU Cheung, Gary
   Stephan, Alice
TI Supervision: "a random bag of arrangements'? Perspectives from
   psychiatrists on how to improve clinical teaching
SO AUSTRALASIAN PSYCHIATRY
VL 25
IS 5
BP 510
EP 513
DI 10.1177/1039856217716291
PD OCT 2017
PY 2017
AB Objective: The aim of this study was to explore psychiatrists'
   perspectives on how clinical teaching and supervision can be improved in
   postgraduate psychiatric training.
   Method: All New Zealand members of the Royal Australian and New Zealand
   College of Psychiatrists (fellows: n=367; affiliates: n=167) were
   invited to participate in an online survey that collected responses to
   two open-ended questions. The responses were then analysed
   qualitatively.
   Results: A total of 27% psychiatrists responded. Two major themes
   emerged: supervisor competencies and the workplace educational
   environment, with subthemes of supervisor training, feedback and culture
   change.
   Conclusions: Suggestions to improve clinical teaching and supervision
   included defining supervisor teaching competencies, instituting
   evidence-based faculty development, a feedback structure and
   strengthening leadership support for workplace-based education.
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
TC 8
Z9 8
U1 0
U2 9
SN 1039-8562
EI 1440-1665
UT WOS:000412090100021
PM 28703689
ER

PT J
AU Maxwell, Simon R. J.
   Coleman, Jamie J.
   Bollington, Lynne
   Taylor, Celia
   Webb, David J.
TI Prescribing Safety Assessment 2016: Delivery of a national prescribing
   assessment to 7343 UK final-year medical students
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 83
IS 10
BP 2249
EP 2258
DI 10.1111/bcp.13319
PD OCT 2017
PY 2017
AB AIMS
   Newly graduated doctors write a large proportion of prescriptions in UK
   hospitals but recent studies have shown that they frequently make
   prescribing errors. The prescribing safety assessment (PSA) has been
   developed as an assessment of competence in relation to prescribing and
   supervising the use of medicines. This report describes the delivery of
   the PSA to all UK final-year medical students in 2016 (PSA2016).
   METHODS
   The PSA is a 2-hour online assessment comprising eight sections which
   cover various aspects of prescribing defined within the outcomes of
   undergraduate education identified by the UK General Medical Council.
   Students sat one of four PSA papers', which had been standard-set using
   a modified Angoff process.
   RESULTS
   A total of 7343 final-year medical students in all 31 UK medical schools
   sat the PSA. The overall pass rate was 95% with the pass rates for the
   individual papers ranging from 93 to 97%. The PSA was re-sat by 261
   students who had failed and 80% of those candidates passed. The internal
   consistency (Cronbach's alpha) of the four papers ranged from 0.74 to
   0.77 (standard error of measurement 4.13-4.24%). There was a
   statistically significant variation in performance between medical
   school cohorts (F=32.6, P<0.001) and a strongly positive correlation in
   performance for individual schools between PSA2015 and PSA2016 (r=0.79,
   95% CI 0.61-0.90; P<0.01).
   CONCLUSIONS
   PSA2016 demonstrated the feasibility of delivering a standardized
   national prescribing assessment online. The vast majority of UK
   final-year medical students were able to meet a prespecified standard of
   prescribing competence.
OI Brown, Celia/0000-0002-7526-0793; Maxwell, Simon/0000-0002-3032-7237;
   Coleman, Jamie/0000-0002-7512-5153
ZB 12
ZR 0
ZA 0
Z8 0
ZS 0
TC 33
Z9 33
U1 0
U2 5
SN 0306-5251
EI 1365-2125
UT WOS:000410726700013
PM 28449302
ER

PT J
AU Booth, Richard G.
   Sinclair, Barbara
   Strudwick, Gillian
   Brennan, Laura
   Tong, James
   Relouw, Holly
   Hancock, Michele
   Vlasic, Wendy
TI Identifying Error Types Made by Nursing Students Using eMAR Technology
SO CLINICAL SIMULATION IN NURSING
VL 13
IS 10
BP 492
EP 500
DI 10.1016/j.ecns.2017.05.016
PD OCT 2017
PY 2017
AB Background: The generation of errors during the medication
   administration process is a common topic of exploration within the
   nursing education and simulation literature. The recent wide-scale
   adoption of electronic medication administration record (eMAR) systems
   has generated a need to explore how nursing students administer
   medications using this form of technology within simulation. Therefore,
   a quality improvement project was conducted to assess the types of
   errors generated by nursing students using eMAR technology in
   high-fidelity simulation.& para;& para;Method: Observational and
   interview methods were used to collect quantitative and qualitative data
   related to nursing students' use of eMAR during a simulated clinical
   scenario of medication administration to a stable medical- surgical
   patient. Collected quantitative and qualitative data were triangulated
   to develop insights related to where and why nursing students make
   errors during administration practices involving eMAR technology.&
   para;& para;Results: Overall, 25 students participated in this quality
   improvement project. The majority of errors generated by these students
   were directly related to tasks or procedures highly mediated by some
   element of the eMAR system, including medication order verification (n =
   19, 76%), barcode scanning (n = 16, 64%), and administration errors (n =
   20, 80%). Qualitatively, several participants outlined uncertainty
   related to their use of the technology or admitted that they felt ill
   prepared in terms of their background knowledge or skills to administer
   medications using the electronic system.& para;& para;Conclusions:
   Students generated a variety of errors during the medication
   administration process involving eMAR technology, likely due to a range
   of individual, contextual, and eMAR factors. Further, although students
   completed online learning activities prior to the eMAR simulation, the
   fidelity of these learning activities was probably insufficient to
   adequately prepare students to effectively use the eMAR system.
RI Booth, Richard/ABC-3478-2021
ZB 0
ZS 0
Z8 0
TC 3
ZA 0
ZR 0
Z9 3
U1 1
U2 16
SN 1876-1399
EI 1876-1402
UT WOS:000414206800004
ER

PT J
AU Hammersley, Megan L.
   Jones, Rachel A.
   Okely, Anthony D.
TI Time2bHealthy - An online childhood obesity prevention program for
   preschool-aged children: A randomised controlled trial protocol
SO CONTEMPORARY CLINICAL TRIALS
VL 61
BP 73
EP 80
DI 10.1016/j.cct.2017.07.022
PD OCT 2017
PY 2017
AB Background: The use of parent-focused internet-based programs for the
   prevention and treatment of childhood obesity has shown promise but
   there is an acknowledged gap in parent-focused interventions which
   target the early childhood stage.
   Methods: The aim of this study is to determine the efficacy of
   Time2bHealthy- an online healthy lifestyle program for parents of
   preschool-aged children. The program will be evaluated using a two-arm,
   parallel, randomised controlled design. The 11-week program is
   underpinned by Social Cognitive Theory and consists of interactive
   modules on healthy eating, physical activity, screen-time and sleep. The
   intervention also involves elements of social media, where participants
   share discuss ideas and experiences and they can interact and obtain
   information with experts. Time2bHealthy is being compared to a
   comparison condition. Outcomes include change in BMI (primary outcome),
   dietary intake, physical activity, sleep, child feeding, parental
   role-modelling and parent self-efficacy. Process evaluation data, such
   as adherence and engagement with the online forums, will also be
   collected.
   Discussion: Time2bHealthy is the first randomised controlled trial to
   our knowledge to assess the efficacy of an online parent-focussed
   healthy lifestyle program for preschool-aged children in changing body
   mass index. Early childhood is a crucial time for establishing healthy
   lifestyle behaviours and parents play an important role. This study
   therefore fills an important gap in the literature. If found to be
   efficacious, Time2bHealthy has potential for broad-reach access and
   translation into primary health care services.
RI Hammersley, Megan/T-4821-2019; Okely, Anthony D/R-1679-2018
OI Hammersley, Megan/0000-0003-4326-480X; Okely, Anthony
   D/0000-0002-1626-8170
ZB 0
TC 10
Z8 0
ZR 0
ZS 0
ZA 0
Z9 10
U1 1
U2 32
SN 1551-7144
EI 1559-2030
UT WOS:000411539600011
PM 28739536
ER

PT J
AU Kumar, Navin L.
   Perencevich, Molly L.
   Trier, Jerry S.
TI Perceptions of the Inpatient Training Experience: A Nationwide Survey of
   Gastroenterology Program Directors and Fellows
SO DIGESTIVE DISEASES AND SCIENCES
VL 62
IS 10
BP 2631
EP 2647
DI 10.1007/s10620-017-4711-y
PD OCT 2017
PY 2017
AB Inpatient training is a key component of gastroenterology (GI)
   fellowship programs nationwide, yet little is known about perceptions of
   the inpatient training experience.
   To compare the content, objectives and quality of the inpatient training
   experience as perceived by program directors (PD) and fellows in US
   ACGME-accredited GI fellowship programs.
   We conducted a nationwide, online-based survey of GI PDs and fellows at
   the conclusion of the 2016 academic year. We queried participants about
   (1) the current models of inpatient training, (2) the content,
   objectives, and quality of the inpatient training experience, and (3)
   the frequency and quality of educational activities on the inpatient
   service. We analyzed five-point Likert items and rank assessments as
   continuous variables by an independent t test and compared proportions
   using the Chi-square test.
   Survey response rate was 48.4% (75/155) for PDs and a total of 194
   fellows completed the survey, with both groups reporting the general GI
   consult team (> 90%) as the primary model of inpatient training. PDs and
   fellows agreed on the ranking of all queried responsibilities of the
   inpatient fellow to develop during the inpatient service. However,
   fellows indicated that attendings spent less time teaching and provided
   less formal feedback than that perceived by PDs (p < 0.0001). PDs rated
   the overall quality of the inpatient training experience (p < 0.0001)
   and education on the wards (p = 0.0003) as better than overall ratings
   by fellows.
   Although GI fellows and PDs agree on the importance of specific fellow
   responsibilities on the inpatient service, fellows report experiencing
   less teaching and feedback from attendings than that perceived by PDs.
   Committing more time to education and assessment may improve fellows'
   perceptions of the inpatient training experience.
Z8 1
ZA 0
ZB 1
TC 5
ZS 0
ZR 0
Z9 5
U1 0
U2 0
SN 0163-2116
EI 1573-2568
UT WOS:000411876900007
PM 28815353
ER

PT J
AU Leem, Jungtae
   Kim, Yohwan
   Heo, Jeongweon
   Jung, Minwoo
   Kim, Sihyun
   Lee, Hojung
   Park, Jeong Hwan
   Kim, Tae-Hun
TI Experiences, perceptions and needs on the education of evidence-based
   medicine among Korean Medicine college students: A nationwide online
   survey
SO EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE
VL 15
BP 10
EP 16
DI 10.1016/j.eujim.2017.09.001
PD OCT 2017
PY 2017
AB Introduction: Evidence-based medicine (EBM) has become an important part
   of medical education. Students' perception and demand are important in
   education. The aim of our study was to conduct a nationwide online
   survey about EBM in traditional Korean Medicine (KM) education.
   Methods: An online questionnaire was developed, comprising categories
   about EBM education in KM. Student's experience, achievement,
   satisfaction, understanding and expectation in EBM education were
   surveyed. Face validity of the developed questionnaire was tested before
   survey and online links were sent through SurveyMonkey to all KM college
   students in Korea.
   Results: Among the total 4649 students nationwide, 1292 agreed to
   participate in the survey (response rate: 27.8%) within 10 days.
   Self-appraisals about the achievement, satisfaction, and understanding
   of EBM were relatively low. In addition to this, 30% of students
   answered they did not learn about EBM in regular school curriculum.
   Expectation of extension of further EBM education curriculum was
   comparatively high. Most respondents agreed that EBM knowledge would be
   useful for clinical practice and the undergraduate curriculum. Barriers
   to enhance EBM education were perceived to be lack of resources and
   appropriate contents.
   Conclusion: This first nationwide survey in Korea investigated the
   experience, perception, and demand for EBM education by KM college
   students. The importance of EBM education in the KM curriculum needs
   further improvement and curriculum development based on the students'
   experiences and perceptions. Additionally, online survey in smartphone
   environment, which was conducted thorough involvement of student's
   representatives seems to be an eligible strategy for a survey of
   students.
OI Park, Jeong Hwan/0000-0003-2697-6530
Z8 0
ZR 0
ZS 0
ZA 0
TC 3
ZB 0
Z9 3
U1 0
U2 3
SN 1876-3820
EI 1876-3839
UT WOS:000414230400002
ER

PT J
AU Dhir, Shashi Kant
   Verma, Devender
   Batta, Meenal
   Mishra, Devendra
TI E-Learning in Medical Education in India
SO INDIAN PEDIATRICS
VL 54
IS 10
BP 871
EP 877
DI 10.1007/s13312-017-1152-9
PD OCT 2017
PY 2017
AB E-learning, or learning and teaching facilitated and supported through
   the application of technology, is presently being used widely in all
   fields of education, and also being utilized extensively in medical
   education. This narrative review aims to introduce the concept of
   elearning, and discuss its need and scope in medical education in India.
   Experience shows that students and faculty are mostly in favor of
   adopting e-learning side-by-side with traditional learning, and the
   advantages far outweigh the likely discomfort associated with adoption
   of this new method.
RI Mishra, Devendra/C-4881-2014
OI Mishra, Devendra/0000-0002-6810-3095
Z8 0
TC 47
ZB 1
ZA 0
ZS 1
ZR 0
Z9 48
U1 2
U2 16
SN 0019-6061
EI 0974-7559
UT WOS:000413698100015
PM 29120336
ER

PT J
AU Stepan, Katelyn
   Zeiger, Joshua
   Hanchuk, Stephanie
   Del Signore, Anthony
   Shrivastava, Raj
   Govindaraj, Satish
   Iloreta, Alfred
TI Immersive virtual reality as a teaching tool for neuroanatomy
SO INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY
VL 7
IS 10
BP 1006
EP 1013
DI 10.1002/alr.21986
PD OCT 2017
PY 2017
AB Background: Three-dimensional (3D) computer modeling and interactive
   virtual reality (VR) simulation are validated teaching techniques used
   throughout medical disciplines. Little objective data exists supporting
   its use in teaching clinical anatomy. Learner motivation is thought to
   limit the rate of utilization of such novel technologies. The purpose of
   this study is to evaluate the effectiveness, satisfaction, and
   motivation associated with immersive VR simulation in teaching medical
   students neuroanatomy.
   Methods: Images of normal cerebral anatomy were reconstructed from human
   Digital Imaging and Communications in Medicine (DICOM) computed
   tomography (CT) imaging and magnetic resonance imaging (MRI) into 3D VR
   formats compatible with the Oculus Rift VR System, a headmounted display
   with tracking capabilities allowing for an immersiveVR experience. The
   ventricular systemand cerebral vasculature were highlighted and labeled
   to create a focused interactive model. We conducted a randomized
   controlled study with 66 medical students (33 in both the control and
   experimental groups). Pertinent neuroanatomical structureswere studied
   using either online textbooks or the VR interactive model, respectively.
   We then evaluated the students' anatomy knowledge, educational
   experience, and motivation (using the Instructional Materials Motivation
   Survey [IMMS], a previously validated assessment).
   Results: There was no significant difference in anatomy knowledge
   between the 2 groups on preintervention, postintervention, or retention
   quizzes. The VR group found the learning experience to be significantly
   more engaging, enjoyable, and useful (all p < 0.01) and scored
   significantly higher on the motivation assessment (p < 0.01).
   Conclusion: Immersive VR educational tools awarded a more positive
   learner experience and enhanced student motivation. However, the
   technology was equally as effective as the traditional text books in
   teaching neuroanatomy. (C) 2017 ARS-AAOA, LLC.
CT American-Rhinologic-Society (ARS) Meeting at the Annual Combined
   Otolaryngology Sections Spring Meetings (COSM)
CY APR 26-30, 2017
CL San Diego, CA
SP Amer Rhinol Soc
RI shrivastava, raj/AAP-1165-2020; Stepan, Katelyn/
OI Stepan, Katelyn/0000-0002-9193-2561
ZA 0
Z8 2
ZS 0
ZB 7
ZR 0
TC 108
Z9 111
U1 5
U2 67
SN 2042-6976
EI 2042-6984
UT WOS:000412135100011
PM 28719062
ER

PT J
AU Shaikh, Ulfat
   Afsar-manesh, Nasim
   Amin, Alpesh N.
   Clay, Brian
   Ranji, Sumant R.
TI Using an online quiz-based reinforcement system to teach healthcare
   quality and patient safety and care transitions at the University of
   California
SO INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
VL 29
IS 5
BP 735
EP 739
DI 10.1093/intqhc/mzx093
PD OCT 2017
PY 2017
AB Implementing quality improvement (QI) education during clinical training
   is challenging due to time constraints and inadequate faculty
   development in these areas.
   Quiz-based reinforcement systems show promise in fostering active
   engagement, collaboration, healthy competition and real-time formative
   feedback, although further research on their effectiveness is required.
   An online quiz-based reinforcement system to increase resident and
   faculty knowledge in QI, patient safety and care transitions.
   Experts in QI and educational assessment at the 5 University of
   California medical campuses developed a course comprised of 3 quizzes on
   Introduction to QI, Patient Safety and Care Transitions. Each quiz
   contained 20 questions and utilized an online educational quiz-based
   reinforcement system that leveraged spaced learning.
   Approximately 500 learners completed the course (completion rate
   66-86%). Knowledge acquisition scores for all quizzes increased after
   completion: Introduction to QI (35-73%), Patient Safety (58-95%), and
   Care Transitions (66-90%). Learners reported that the quiz-based system
   was an effective teaching modality and preferred this type of education
   to classroom-based lectures. Suggestions for improvement included
   reducing frequency of presentation of questions and utilizing more
   questions that test learners on application of knowledge instead of
   knowledge acquisition.
   A multi-campus online quiz-based reinforcement system to train residents
   in QI, patient safety and care transitions was feasible, acceptable, and
   increased knowledge. The course may be best utilized to supplement
   classroom-based and experiential curricula, along with increased
   attention to optimizing frequency of presentation of questions and
   enhancing application skills.
OI Shaikh, Ulfat/0000-0001-7311-1148
TC 8
ZS 0
Z8 0
ZB 1
ZA 0
ZR 0
Z9 8
U1 0
U2 6
SN 1353-4505
EI 1464-3677
UT WOS:000412582700019
PM 28992149
ER

PT J
AU Molina, Rose
   Boatin, Adeline
   Farid, Huma
   Luckett, Rebecca
   Neo, Dayna
   Ricciotti, Hope
   Scott, Jennifer
TI Creating Flexible and Sustainable Work Models for Academic
   Obstetrician-Gynecologists Engaged in Global Health Work
SO OBSTETRICS AND GYNECOLOGY
VL 130
IS 4
BP 843
EP 851
DI 10.1097/AOG.0000000000002240
PD OCT 2017
PY 2017
AB OBJECTIVE: To describe various work models for obstetrics and gynecology
   global health faculty affiliated with academic medical centers and to
   identify barriers and opportunities for pursuing global health work.
   METHODS: A mixed-methods study was conducted in 2016 among obstetrics
   and gynecology faculty and leaders from seven academic medical
   institutions in Boston, Massachusetts. Global health faculty members
   were invited to complete an online survey about their work models and to
   participate in semistructured interviews about barriers and facilitators
   of these models. Department chairs and residency directors were asked to
   participate in interviews.
   RESULTS: The survey response rate among faculty was 65.6% (21/32), of
   which 76.2% (16/21) completed an interview. Five department leaders
   (45.5% [5/11]) participated in an interview. Faculty described a range
   of work models with varied time and compensation, but only one third
   reported contracted time for global health work. The most common
   barriers to global health work were financial constraints, time
   limitations, lack of mentorship, need for specialized training, and
   maintenance of clinical skills. Career satisfaction, creating value for
   the obstetrics and gynecology department, and work model flexibility
   were the most important facilitators of sustainable global health
   careers.
   CONCLUSION: The study identified challenges and opportunities to
   creating flexible and sustainable work models for academic obstetrics
   and gynecology clinicians engaged in global health work. Additional
   research and innovation are needed to identify work models that allow
   for sustainable careers in global women's health. There are
   opportunities to create professional standards and models for academic
   global health work in the obstetrics and gynecology specialty.
CT Annual Meeting of the
   Society-for-Academic-Specialists-in-General-Obstetrics-and-Gynecology
CY MAY 07, 2017
CL San Diego, CA
SP Soc Acad Specialists Gen Obstet & Gynecol
RI Boatin, Adeline/I-4692-2019; Molina, Rose/; Neo, Dayna/
OI Molina, Rose/0000-0001-7977-7960; Neo, Dayna/0000-0001-7044-7260
ZB 2
Z8 0
ZS 0
TC 3
ZR 0
ZA 0
Z9 3
U1 0
U2 3
SN 0029-7844
UT WOS:000411453500030
PM 28885424
ER

PT J
AU Kumar, Gunjan
   Howard, Steven K.
   Kou, Alex
   Kim, T. Edward
   Butwick, Alexander J.
   Mariano, Edward R.
TI Availability and Readability of Online Patient Education Materials
   Regarding Regional Anesthesia Techniques for Perioperative Pain
   Management
SO PAIN MEDICINE
VL 18
IS 10
BP 2027
EP 2032
DI 10.1093/pm/pnw179
PD OCT 2017
PY 2017
AB Patient education materials (PEM) should be written at a sixth-grade
   reading level or lower. We evaluated the availability and readability of
   online PEM related to regional anesthesia and compared the readability
   and content of online PEM produced by fellowship and nonfellowship
   institutions.
   With IRB exemption, we constructed a cohort of online regional
   anesthesia PEM by searching Websites from North American academic
   medical centers supporting a regional anesthesiology and acute pain
   medicine fellowships and used a standardized Internet search engine
   protocol to identify additional nonfellowship Websites with regional
   anesthesia PEM based on relevant keywords. Readability metrics were
   calculated from PEM using the TextStat 0.1.4 textual analysis package
   for Python 2.7 and compared between institutions with and without a
   fellowship program. The presence of specific descriptive PEM elements
   related to regional anesthesia was also compared between groups.
   PEM from 17 fellowship and 15 nonfellowship institutions were included
   in analyses. The mean (SD) Flesch-Kincaid Grade Level for PEM from the
   fellowship group was 13.8 (2.9) vs 10.8 (2.0) for the nonfellowship
   group (p = 0.002). We observed no other differences in readability
   metrics between fellowship and nonfellowship institutions.
   Fellowship-based PEM less commonly included descriptions of the
   following risks: local anesthetic systemic toxicity (p = 0.033) and
   injury due to an insensate extremity (p = 0.003).
   Available online PEM related to regional anesthesia are well above the
   recommended reading level. Further, fellowship-based PEM posted are at a
   higher reading level than PEM posted by nonfellowship institutions and
   are more likely to omit certain risk descriptions.
RI Butwick, Alexander/F-4292-2015; Mariano, Edward/
OI Butwick, Alexander/0000-0002-2048-0879; Mariano,
   Edward/0000-0003-2735-248X
ZB 3
Z8 0
ZS 0
ZA 0
ZR 0
TC 13
Z9 13
U1 0
U2 4
SN 1526-2375
EI 1526-4637
UT WOS:000412780300020
PM 27485090
ER

PT J
AU Kwon, Eun Hye
   Block, Martin E.
TI Implementing the adapted physical education E-learning program into
   physical education teacher education program
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 69
BP 18
EP 29
DI 10.1016/j.ridd.2017.07.001
PD OCT 2017
PY 2017
AB According to the Ministry of Education Korea (2014), the approximately
   70.4% of all students with disabilities are included in general schools
   in Korea. However, studies show that Korean GPE teachers do not feel
   comforatble or prepared to include students with disabilities (Oh & Lee,
   1999; Roh, 2002; Roh & Oh, 2005). The purpose of this study was to
   explore whether an APE e-learning supplement would have an impact on the
   level of self-efficacy and content knowledge of pre-service teachers
   related to including students with intellectual disabilities. An APE
   supplement was developed based on the Instructional
   Design Model (Dick, Carey, & Carey, 2005) to provide three sources of
   self-efficacy, mastery experience, vicarious experience, and social
   persuasions. Three groups of pre-service teachers (N = 75) took the same
   content supplement with different delivery system, E-learning group (n =
   25) with online, traditional group (n = 25) with printed handout, and
   control group (n = 25) without supplement. Two instruments, the Physical
   Educators' Situation-Specific Self efficacy and Inclusion Student with
   Disabilities in Physical Education (SE-PETE-D) and the content knowledge
   test, were given to all participants twice (i.e., pretest and posttest).
   A 3 x 2 mixed effect ANOVA revealed that pre-service teachers' perceived
   self-efficacy (p = 0.023) improved after taking the e-learning
   supplement. However, there was no significant difference in the level of
   content knowledge (p = 0.248) between the learning group and
   tranditional group.
ZA 0
Z8 0
ZS 0
TC 21
ZR 0
ZB 0
Z9 21
U1 2
U2 46
SN 0891-4222
EI 1873-3379
UT WOS:000411536500003
PM 28800425
ER

PT J
AU Kriegel, Johannes
   Rebhandl, Erwin
   Hockl, Wolfgang
   Stoebich, Anna-Maria
TI Primary Health Care in Austria - Tu Felix Austria nube - Concept for
   networking in the primary care of Upper Austria
SO WIENER MEDIZINISCHE WOCHENSCHRIFT
VL 167
IS 13-14
BP 293
EP 305
DI 10.1007/s10354-016-0531-5
PD OCT 2017
PY 2017
AB The primary health care in rural areas in Austria is currently
   determined by challenges such as ageing of the population, the shift
   towards chronic and age-related illnesses, the specialist medical and
   hospital-related education and training of physicians' as well growing
   widespread difficulty of staffing doctor's office. The objective is to
   realize a general practitioner centered and team-oriented primary health
   care (PHC) approach by establishing networked primary health care in
   rural areas of Austria. Using literature research, online survey, expert
   interviews and expert workshops, we identified different challenges in
   terms of primary health care in rural areas. Further, current resources
   and capacities of primary health care in rural areas were identified
   using the example of the district of Rohrbach. Twelve design dimensions
   and 51 relevant measurement indicators of a PHC network were delineated
   and described. Based on this, 12 design approaches of PHC concept for
   the GP-centered and team-oriented primary health care in rural areas
   have been developed.
TC 2
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 2
U1 1
U2 4
SN 0043-5341
EI 1563-258X
UT WOS:000412490800001
PM 27878397
ER

PT J
AU Grimm, Lars J.
   Lowell, Dorothy A.
   Cater, Sarah W.
   Yoon, Sora C.
TI Differential Motivations for Pursuing Diagnostic Radiology by Gender:
   Implications for Residency Recruitment
SO ACADEMIC RADIOLOGY
VL 24
IS 10
BP 1312
EP 1317
DI 10.1016/j.acra.2017.03.023
PD OCT 2017
PY 2017
AB Rationale and Objectives: The purpose of this study is to determine how
   the motivations to pursue a career in radiology differ by gender. In
   addition, the influence of medical school radiology education will be
   assessed.
   Materials and Methods: Radiology applicants to our institution from the
   2015-2016 interview season were offered an online survey in February
   2016. Respondents scored the influence of 24 aspects of radiology on
   their decision to pursue radiology. Comparisons were made between male
   and female respondents. Respondents were also asked the type of medical
   school radiology education they received and to score the influence this
   experience had on their decision to pursue radiology.
   Results: There were 202 total respondents (202/657) including 47 women
   and 155 men. Compared to men, the following factors had a more negative
   impact on women: flexible work hours (P = 0.04), work environment (P =
   0.04), lifestyle (P = 0.04), impact on patient care (P = 0.05), high
   current debt load (P = 0.02), gender distribution of the field (P =
   0.04), and use of emerging/advanced technology (P = 0.02). In contrast,
   women felt more favorably about the opportunities for leadership (P =
   0.04) and research (P < 0.01). Dedicated radiology exposure was as
   follows: 20% (n = 20) none, 48% (n = 96) preclinical exposure, 55% (n
   =111) elective rotation, and 18% (n = 37) core rotation. More intensive
   radiology exposure via a core rotation had a significantly positive
   impact on the decision to pursue radiology (P < 0.01).
   Conclusions: Male and female radiology applicants are motivated by
   different aspects of radiology, which may influence residency
   recruitment practices. In addition, more intensive radiology exposure
   has a net positive impact on the decision to pursue radiology.
RI Grimm, Lars J/P-3431-2015
OI Grimm, Lars J/0000-0002-3865-3352
ZB 0
ZS 0
TC 20
ZA 0
ZR 0
Z8 0
Z9 20
U1 1
U2 7
SN 1076-6332
EI 1878-4046
UT WOS:000411423900016
PM 28552374
ER

PT J
AU Liu, Hao
   Au-Yeung, Stephanie S. Y.
TI Corticomotor Excitability Effects of Peripheral Nerve Electrical
   Stimulation to the Paretic Arm in Stroke
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 10
BP 687
EP 693
DI 10.1097/PHM.0000000000000748
PD OCT 2017
PY 2017
AB Objective: This study aimed to examine the corticomotor excitability
   changes after peripheral nerve electrical stimulation (PNS) on the
   stroke-impaired arm.
   Design: This randomized cross-over study included 32 subjects with
   chronic stroke. They received a 1-hr PNS or placebo PNS by random order
   to the ulnar and radial nerves of the paretic arm in separate sessions.
   The primary outcomewas excitability of the corticospinal projections for
   the contralateral first dorsal interosseous hand muscle in terms of
   slope of the recruitment curve, peak motor-evoked potential amplitude,
   and duration of the cortical silent period, measured with transcranial
   magnetic stimulation on both cerebral hemispheres. Seventeen of the
   subjects were measured for their paretic hand dexterity (using Purdue
   Pegboard Test) and pinch strength as secondary outcomes.
   Results: Peripheral nerve electrical stimulation, but not placebo PNS,
   increased recruitment curve slope and peak motor-evoked potential
   amplitude in both the lesioned and nonlesioned hemispheres and
   lengthened the cortical silent period duration in the nonlesioned
   hemisphere. Peripheral nerve electrical stimulation significantly
   improved hand dexterity scores compared with placebo PNS. Pinch strength
   was not changed by the interventions.
   Conclusions: A 1-hr PNS alone to the paretic arm could increase
   corticomotor excitability in both hemispheres, together with hand
   dexterity improvement in people presented with mild-to-moderate motor
   impairment in the paretic upper limb after stroke.
RI LIU, Hao/ABF-2472-2021; LIU, Hao/
OI LIU, Hao/0000-0002-4854-7326
ZB 1
ZR 0
Z8 0
TC 7
ZA 0
ZS 0
Z9 7
U1 1
U2 11
SN 0894-9115
EI 1537-7385
UT WOS:000411290200010
PM 28383292
ER

PT J
AU Saloustros, Emmanouil
   Stark, Daniel P.
   Michailidou, Kyriaki
   Mountzios, Giannis
   Brugieres, Laurence
   Peccatori, Fedro Alessandro
   Jezdic, Svetlana
   Essiaf, Samira
   Douillard, Jean-Yves
   Bielack, Stefan
TI The care of adolescents and young adults with cancer: results of the
   ESMO/SIOPE survey
SO ESMO OPEN
VL 2
IS 4
AR UNSP e000252
DI 10.1136/esmoopen-2017-000252
PD OCT 2017
PY 2017
AB Introduction Adolescents and young adults (AYA) with cancer require
   dedicated clinical management and care. Little is known about the
   training and practice of European healthcare providers in regard to AYA
   and the availability of specialised services.
   Methods A link to an online survey was sent to members of the European
   Society for Medical Oncology (ESMO) and the European Society for
   Paediatric Oncology (SIOPE). The link was also sent to ESMO National
   Representatives and circulated to other European oncology groups.
   Questions covered the demographics and clinical training of respondents,
   their definition of AYA, education about AYA cancer, access to
   specialised clinical and supportive care, research and further
   education. Data from Europe were analysed by region.
   Results Three hundred tweenty two questionnaires were submitted and we
   focused on data from the 266 European healthcare professionals.
   Responses revealed considerable variation both within and between
   countries in the definition of AYA. Over two-thirds of respondents did
   not have access to specialised centres for AYA (67%), were not aware of
   research initiatives focusing on AYA with cancer (69%) and had no access
   to specialist services for managing the late effects of treatment (67%).
   The majority of the respondents were able to refer AYA patients to
   professional psychological support and specialised social workers.
   However, more than half had no access to an age-specialised nurse or
   specialised AYA education. Overall, 38% of respondents reported that
   their AYA patients did not have access to fertility specialists. This
   figure was 76% in Eastern Europe. Lack of specialised AYA care was
   particularly evident in Eastern and South-Eastern Europe.
   Conclusion There is important underprovision and inequity of AYA cancer
   care across Europe. Improving education and research focused on AYA
   cancer care should be a priority.
RI Michailidou, Kyriaki/ABD-5122-2020; Peccatori, Fedro Alessandro/AAP-7058-2020; Mountzios, Giannis/ABE-1197-2020; Saloustros, Emmanouil/AAC-8235-2020; Peccatori, Fedro/AAL-3450-2021
OI Michailidou, Kyriaki/0000-0001-7065-1237; Peccatori, Fedro
   Alessandro/0000-0001-8227-8740; Saloustros,
   Emmanouil/0000-0002-0485-0120; 
TC 31
ZA 0
ZS 0
ZB 7
Z8 0
ZR 0
Z9 31
U1 0
U2 1
EI 2059-7029
UT WOS:000418519200012
PM 29018578
ER

PT J
AU Embo, M.
   Helsloot, K.
   Michels, N.
   Valcke, M.
TI A Delphi study to validate competency-based criteria to assess
   undergraduate midwifery students' competencies in the maternity ward
SO MIDWIFERY
VL 53
BP 1
EP 8
DI 10.1016/j.midw.2017.07.005
PD OCT 2017
PY 2017
AB Background: workplace learning plays a crucial role in midwifery
   education. Twelve midwifery schools in Flanders (Belgium) aimed to
   implement a standardised and evidence-based method to learn and assess
   competencies in practice. This study focuses on the validation of
   competency-based criteria to guide and assess undergraduate midwifery
   students' postnatal care competencies in the maternity ward.
   Method: an online Delphi study was carried out. During three consecutive
   sessions, experts from workplaces and schools were invited to score the
   assessment criteria as to their relevance and feasibility, and to
   comment on the content and their formulation. A descriptive quantitative
   analysis, and a qualitative thematic content analysis of the comments
   were carried out. A Mann-Whitney U-test was used to investigate
   differences between expert groups.
   Findings: eleven competencies and fifty-six assessment criteria were
   found appropriate to assess midwifery students' competencies in the
   maternity ward. Overall median scores were high and consensus was
   obtained for all criteria, except for one during the first round.
   Although all initial assessment criteria (N=89) were scored as relevant,
   some of them appeared not feasible in practice. Little difference was
   found between the expert groups. Comments mainly included remarks about
   concreteness and measurability.
   Conclusion: this study resulted in validated criteria to assess
   postnatal care competencies in the maternity ward.
RI Embo, Mieke/GPW-6781-2022; Michels, Nele RM/L-2652-2017; Valcke, Martin/N-1311-2019; Valcke, Martin/H-6693-2012; Embo, Mieke/
OI Valcke, Martin/0000-0001-9544-4197; Valcke, Martin/0000-0001-9544-4197;
   Embo, Mieke/0000-0002-2915-6987
Z8 0
TC 2
ZA 0
ZS 0
ZR 0
ZB 0
Z9 2
U1 0
U2 10
SN 0266-6138
EI 1532-3099
UT WOS:000408522300001
PM 28708987
ER

PT J
AU Graffigna, Guendalina
   Barello, Serena
   Bonanomi, Andrea
   Riva, Giuseppe
TI Factors affecting patients' online health information-seeking
   behaviours: The role of the Patient Health Engagement (PHE) Model
SO PATIENT EDUCATION AND COUNSELING
VL 100
IS 10
BP 1918
EP 1927
DI 10.1016/j.pec.2017.05.033
PD OCT 2017
PY 2017
AB Objective: To identify the variables affecting patients' online health
   information-seeking behaviours by examining the relationships between
   patient participation in their healthcare and online health
   information-seeking behaviours.
   Methods: A cross-sectional survey of Italian chronic patients (N = 352)
   was conducted on patient's online health information-seeking behaviours
   and patient participation-related variables. Structural equation
   modeling analysis was conducted to test the hypothesis.
   Results: This study showed how the healthcare professionals' ability to
   support chronic patients' autonomy affect patients' participation in
   their healthcare and patient's online health information seeking
   behaviours. However, results do not confirm that the frequency of
   patients' online health-information seeking behavior has an impact on
   their adherence to medical prescriptions.
   Conclusion: Assuming a psychosocial perspective, we have discussed how
   patients' engagement - conceived as the level of their emotional
   elaboration of the health condition - affects the patients' ability to
   search for and manage online health information.
   Practice implication: To improve the effectiveness of patients' online
   health information-seeking behaviours and to enhance the effectiveness
   of technological interventions in this field, healthcare providers
   should target assessing and improving patient engagement and patient
   empowerment in their healthcare. It is important that health
   professionals acknowledge patients' online health informationseeking
   behaviours that they discuss the information offered by patients and
   guide them to reliable and accurate web sources. (C) 2017 Elsevier B.V.
   All rights reserved.
RI Riva, Giuseppe/C-5917-2008; Barello, Serena/ABD-6168-2020; BONANOMI, Andrea/; GRAFFIGNA, GUENDALINA/
OI Riva, Giuseppe/0000-0003-3657-106X; Barello, Serena/0000-0002-8514-2563;
   BONANOMI, Andrea/0000-0003-2857-1430; GRAFFIGNA,
   GUENDALINA/0000-0003-4378-7467
ZR 0
TC 52
Z8 1
ZB 4
ZA 0
ZS 1
Z9 53
U1 7
U2 119
SN 0738-3991
EI 1873-5134
UT WOS:000410621600018
PM 28583722
ER

PT J
AU Damman, Olga C.
   Bogaerts, Nina M. M.
   van den Haak, Maaike J.
   Timmermans, Danielle R. M.
TI How lay people understand and make sense of personalized disease risk
   information
SO HEALTH EXPECTATIONS
VL 20
IS 5
BP 973
EP 983
DI 10.1111/hex.12538
PD OCT 2017
PY 2017
AB BackgroundDisease risk calculators are increasingly web-based, but
   previous studies have shown that risk information often poses problems
   for lay users.
   ObjectiveTo examine how lay people understand the result derived from an
   online cardiometabolic risk calculator.
   DesignA qualitative study was performed, using the risk calculator in
   the Dutch National Prevention Program for cardiometabolic diseases. The
   study consisted of three parts: (i) attention: completion of the risk
   calculator while an eye tracker registered eye movements; (ii) recall:
   completion of a recall task; and (iii) interpretation: participation in
   a semi-structured interview.
   Setting and participantsWe recruited people from the target population
   through an advertisement in a local newspaper; 16 people participated in
   the study, which took place in our university laboratory.
   ResultsEye-tracking data showed that participants looked most
   extensively at numerical risk information. Percentages were recalled
   well, whereas natural frequencies and verbal labels were remembered less
   well. Five qualitative themes were derived from the interview data: (i)
   numerical information does not really sink in; (ii) the verbal
   categorical label made no real impact on people; (iii) people relied
   heavily on existing knowledge and beliefs; (iv) people zoomed in on risk
   factors, especially family history of diseases; and (v) people often
   compared their situation to that of their peers.
   Discussion and conclusionAlthough people paid attention to and recalled
   the risk information to a certain extent, they seemed to have difficulty
   in properly using this information for interpreting their risk.
OI Damman, Olga/0000-0002-4482-5042
ZS 0
ZA 0
Z8 0
ZB 4
ZR 0
TC 20
Z9 20
U1 0
U2 6
SN 1369-6513
EI 1369-7625
UT WOS:000410820400019
PM 28097734
ER

PT J
AU Liu, Amy C.
   Liu, Michael
   Dannaway, Jasan
   Schoo, Adrian
TI Are Australian medical students being taught to teach?
SO CLINICAL TEACHER
VL 14
IS 5
BP 330
EP 335
DI 10.1111/tct.12591
PD OCT 2017
PY 2017
AB BackgroundThe current global trend of growth in medical training is
   increasing the demand for the teaching and supervision of medical
   students and junior doctors. If well trained and supported, junior
   doctors and medical students represent an important teaching resource.
   Unfortunately, there is limited evidence available on whether Australian
   medical students are equipped with teaching skills. This study aimed to
   gain insight into the type and amount of teaching-skills training and
   peer-to-peer teaching present in Australian medical schools.
   MethodsA survey of Australian medical schools was conducted between May
   and December2014. An online 22-item questionnaire was sent to all 19
   Australian medical schools.
   ResultsThe response rate to the questionnaire was 100percent. Eleven
   Australian medical schools reported offering a teaching-skills
   programme, of which five were described as compulsory formal programmes.
   Eight schools did not offer such a programme, citing time restraints and
   other subjects taking higher priority. Formal peer-to-peer teaching
   opportunities were described by 17 schools, with 13 offering this
   electively. Two schools reported that they did not offer such
   opportunities because of time restraints, the belief that the quality of
   expert teaching is superior and because of a lack of staffing.
   boxed-text content-type=pullQuote position="float The demand for the
   teaching and supervision of medical students and junior doctors is
   increasing
   ConclusionsDespite the increasing number of medical students and
   subsequently junior doctors in Australia, a minority of Australian
   medical schools report including a formal, compulsory teaching-skills
   programme. These results may imply a lost opportunity to use the
   positive effects of teaching-skills programmes, and are in line with
   studies from other countries.
OI Schoo, Adrian/0000-0001-9368-0778
ZR 0
ZA 0
ZB 0
Z8 0
TC 4
ZS 0
Z9 4
U1 1
U2 3
SN 1743-4971
EI 1743-498X
UT WOS:000410323500005
PM 28084007
ER

PT J
AU Kang, Xiaoyu
   Zhao, Lina
   Liu, Na
   Wang, Xiangping
   Zhang, Rongchun
   Liu, Zhiguo
   Liang, Shuhui
   Yao, Shaowei
   Tao, Qin
   Jia, Hui
   Pan, Yanglin
   Guo, Xuegang
TI Activities in a social networking-based discussion group by endoscopic
   retrograde cholangiopancreatography doctors
SO EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
VL 29
IS 10
BP 1131
EP 1135
DI 10.1097/MEG.0000000000000935
PD OCT 2017
PY 2017
AB Background Online social networking is increasingly being used among
   medical practitioners. However, few studies have evaluated its use in
   therapeutic endoscopy. Here, we aimed to analyze the shared topics and
   activities of a group of endoscopic retrograde cholangiopancreatography
   (ERCP) doctors in a social networking-based endoscopic retrograde
   cholangiopancreatography discussion group (EDG).
   Materials and methods Six ERCP trainers working in Xijing Hospital and
   48 graduated endoscopists who had finished ERCP training in the same
   hospital were invited to join in EDG. All group members were informed
   not to divulge any private information of patients when using EDG. The
   activities of group members on EDG were retrospectively extracted. The
   individual data of the graduated endoscopists were collected by a
   questionnaire.
   Results From June 2014 to May 2015, 6924 messages were posted on EDG,
   half of which were ERCP related. In total, 214 ERCP-related topics were
   shared, which could be categorized into three types: sharing
   experience/cases (52.3%), asking questions (38.3%), and sharing
   literatures/advances (9.3%). Among the 48 graduated endoscopists, 21 had
   a low case volume of less than 50 per year and 27 had a high volume case
   volume of 50 or more. High-volume graduated endoscopists posted more
   ERCP-related messages (P=0.008) and shared more discussion topics
   (P=0.003) compared with low-volume graduated endoscopists. A survey
   showed that EDG was useful for graduated endoscopists in ERCP
   performance and management of post-ERCP complications, etc.
   Conclusion A wide range of ERCP-related topics were shared on the social
   networking-based EDG. The ERCP-related behaviors on EDG were more active
   in graduated endoscopists with an ERCP case volume of more than 50 per
   year. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights
   reserved.
RI Zhao, Lina/GVR-7716-2022; liu, na/W-7939-2019
ZS 0
TC 0
Z8 0
ZR 0
ZA 0
ZB 0
Z9 0
U1 0
U2 8
SN 0954-691X
EI 1473-5687
UT WOS:000409958200004
PM 28704223
ER

PT J
AU Schiekirka-Schwake, S.
   Anders, S.
   von Steinbuechel, N.
   Becker, J. C.
   Raupach, T.
TI Facilitators of high-quality teaching in medical school: findings from a
   nation-wide survey among clinical teachers
SO BMC MEDICAL EDUCATION
VL 17
AR 178
DI 10.1186/s12909-017-1000-6
PD SEP 29 2017
PY 2017
AB Background: Clinical teachers in medical schools are faced with the
   challenging task of delivering high-quality patient care, producing
   high-impact research and contributing to undergraduate medical education
   all at the same time. Little is known on the gap between an ` ideal'
   environment supporting clinical teachers to provide high quality
   teaching for their students and the reality of clinical teaching during
   worktime in the clinical environment. Most quantitative research
   published so far was done in a wide range of medical educators and did
   not consider individual academic qualifications. In this study, we
   wanted to survey clinical teachers in particular and assess the
   potential impact of individual academic qualification on their
   perceptions.
   Methods: Based on qualitative data of focus group discussions, we
   developed a questionnaire which was piloted among 189 clinical teachers.
   The final web-based questionnaire was completed by clinical teachers at
   nine German medical schools.
   Results: A total of 833 clinical teachers (569 junior physicians, 264
   assistant professors) participated in the online survey. According to
   participants, the most important indicator of high quality teaching was
   "sustained student learning outcome" followed by "stimulation of
   interest in the subject matter". Lack of time was the main factor
   impeding effective teaching (78%). Among the factors facilitating
   high-quality teaching, protected preparation time during working hours
   (48%) and more recognition of high-quality teaching within medical
   schools (21%) were perceived as most helpful. Three out of four teachers
   (76%) were interested in faculty development programmes directed at
   teaching skills, but 60% stated they had no time to engage in such
   activities. With regard to evaluation, teachers preferred individual
   feedback (75%) over global ratings (21%). Differences between assistant
   professors and junior physicians were found in that the latter group
   perceived their teaching conditions as more difficult.
   Conclusions: Lack of time is a major barrier against planning and
   delivering good clinical teaching in medical schools. According to our
   findings, the situation at German medical schools is particularly
   challenging for junior physicians. Creating an institutional culture in
   which teaching is regarded as highly as patient care and research is a
   prerequisite for overcoming the barriers identified in this study.
RI Anders, Sven/D-7670-2014
TC 13
ZB 1
ZR 0
ZS 2
Z8 0
ZA 0
Z9 13
U1 0
U2 17
SN 1472-6920
UT WOS:000412068200001
PM 28962568
ER

PT J
AU Pati, Sanghamitra
   Sinha, Rajeshwari
   Panda, Meely
   Pati, Sandipana
   Sharma, Anjali
   Zodpey, Sanjay
TI Global Health teaching in India: a Curricular landscape
SO FRONTIERS IN PUBLIC HEALTH
VL 5
AR 259
DI 10.3389/fpubh.2017.00259
PD SEP 27 2017
PY 2017
AB Today, health has transcended national boundaries and become more
   multifaceted. Global health has evolved as a new paradigm and is
   recently being identified as a thrust area now in India. Despite an
   existing need for a standardized global health curriculum, there is
   little information available on its education and curriculum in medical
   and health education space. In the Indian context, we are yet to have a
   fuller picture of the current status, including, content, structure,
   selection, teaching methods of global health, and how students are
   evaluated in India. The objective of this study was to map courses
   relating to studies on global health in India and analyze its mode of
   delivery. A detailed Internet search was carried out to identify global
   health courses and analyzed for: (i) whether global health is a part of
   the teaching curriculum, (ii) mode of teaching, (iii) broad contents,
   (iv) instructional formats, (v) assessment, and (vi) selection process.
   It was found that delivery of global health education in India was
   fragmented with limited focus at the undergraduate and postgraduate
   levels. Global health teaching was largely based on certificate courses
   or online courses, with hardly any institutions imparting a distinct
   global health education program. There is also no definite specification
   as to which institutes can impart teaching on global health education
   and what the specific eligibility requirements are. Our analysis
   suggests that efforts should be directed toward integrating global
   health education into broader public health curriculum. At the same
   time, the need for generation of global health leaders, creation of a
   common forum for addressing merits and demerits of global health issues,
   as well as creation of more opportunities for placements are recognized.
ZR 0
Z8 0
TC 10
ZS 0
ZB 1
ZA 0
Z9 10
U1 1
U2 2
EI 2296-2565
UT WOS:000415674600001
PM 29021978
ER

PT J
AU Papadatou-Pastou, Marietta
   Goozee, Rhianna
   Payne, Erika
   Barrable, Alexia
   Tzotzoli, Patapia
TI A review of web-based support systems for students in higher education
SO INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
VL 11
AR 59
DI 10.1186/s13033-017-0165-z
PD SEP 25 2017
PY 2017
AB Background: Recent evidence suggests that there is an increasing need
   for accessible and anonymous services to support higher education (HE)
   students suffering from psychological and/ or academic difficulties.
   Such difficulties can lead to several negative outcomes, including poor
   academic performance, sub-optimal mental health, reduced study
   satisfaction, and dropout from study. Currently, universities in the UK
   lack financial resources and the on-campus mental health services
   traditionally offered to students are increasingly economically
   unsustainable. Compounded by the perceived stigma of using such
   services, mental health providers have been driven to address the
   escalating needs of students through online services.
   Methods: In this paper, we review online support systems identified
   through a literature search and a manual search of references in the
   identified papers. Further systems were identified through web searches,
   and systems still in development were identified by consultation with
   researchers in the field. We accessed systems online to extract relevant
   information, regarding the main difficulties addressed by the systems,
   the psychological techniques used and any relevant research evidence to
   support their effectiveness.
   Conclusion: A large number of web-based support systems have been
   developed to support mental health and wellbeing, although few
   specifically target HE students. Further research is necessary to
   establish the effectiveness of such interventions in providing a
   cost-effective alternative to face-to-face therapy, particularly in
   certain settings such as HE institutions.
RI Papadatou-Pastou, Marietta/O-3216-2019; Barrable, Alexia/
OI Papadatou-Pastou, Marietta/0000-0002-2834-4003; Barrable,
   Alexia/0000-0002-5352-8330
ZR 0
Z8 0
TC 11
ZS 0
ZB 0
ZA 0
Z9 11
U1 0
U2 21
SN 1752-4458
UT WOS:000411766200001
PM 29021822
ER

PT J
AU Goodyear-Smith, Felicity
   Al-Murrani, Abbas
TI Assessment and modelling of general practice and community setting
   capacity for medical trainees in northern New Zealand
SO NEW ZEALAND MEDICAL JOURNAL
VL 130
IS 1462
BP 62
EP 70
PD SEP 22 2017
PY 2017
AB AIMS: To estimate the capacity of general practice to accommodate
   undergraduate and postgraduate medical trainees, and model efficient
   ways to utilise identified capacity and increase capacity.
   METHODS: We conducted an online survey, with phone follow-up to
   non-responders, of all general practices in the northern half of New
   Zealand. The main outcome measures were current placements and future
   intentions for taking medical trainees; factors influencing decisions
   and possible incentives to take trainees.
   RESULTS: Sixty percent of existing practices take no medical trainees.
   On average, practices take trainees for 50% of available cycles per
   year. Postgraduate trainees displace undergraduate student placements
   due to space limitations. Only 1.9% practices demonstrate current
   capacity for full vertical training by taking all three types of trainee
   (undergraduate, PGY, registrar). Modelling on current use means 69
   additional practices will be needed to be recruited by 2020.
   CONCLUSIONS: A number of strategies are presented aimed at increasing
   short-term undergraduate teaching practice capacity in New Zealand, but
   also relevant to Australia and elsewhere. In the long-term,
   establishment of the proposed School of Rural Health would enable
   integrated vertical teaching and address the GP training capacity
   issues.
Z8 0
ZA 0
TC 1
ZB 0
ZR 0
ZS 0
Z9 1
U1 0
U2 1
SN 0028-8446
EI 1175-8716
UT WOS:000423389300007
PM 28934769
ER

PT J
AU Luo, Li
   Cheng, Xiaohua
   Wang, Shiyuan
   Zhang, Junxue
   Zhu, Wenbo
   Yang, Jiaying
   Liu, Pei
TI Blended learning with Moodle in medical statistics: an assessment of
   knowledge, attitudes and practices relating to e-learning
SO BMC MEDICAL EDUCATION
VL 17
AR 170
DI 10.1186/s12909-017-1009-x
PD SEP 19 2017
PY 2017
AB Background: Blended learning that combines a modular object-oriented
   dynamic learning environment (Moodle) with face-to-face teaching was
   applied to a medical statistics course to improve learning outcomes and
   evaluate the impact factors of students' knowledge, attitudes and
   practices (KAP) relating to e-learning.
   Methods: The same real-name questionnaire was administered before and
   after the intervention. The summed scores of every part (knowledge,
   attitude and practice) were calculated using the entropy method. A mixed
   linear model was fitted using the SAS PROC MIXED procedure to analyse
   the impact factors of KAP.
   Results: Educational reform, self-perceived character, registered
   permanent residence and hours spent online per day were significant
   impact factors of e-learning knowledge. Introversion and middle type
   respondents' average scores were higher than those of extroversion type
   respondents. Regarding e-learning attitudes, educational reform,
   community number, Internet age and hours spent online per day had a
   significant impact. Specifically, participants whose Internet age was no
   greater than 6 years scored 7.00 points lower than those whose Internet
   age was greater than 10 years. Regarding e-learning behaviour,
   educational reform and parents' literacy had a significant impact, as
   the average score increased 10.05 points (P < 0.0001).
   Conclusions: This educational reform that combined Moodle with a
   traditional class achieved good results in terms of students' e-learning
   KAP. Additionally, this type of blended course can be implemented in
   many other curriculums.
ZS 2
ZB 3
ZA 0
Z8 2
ZR 0
TC 24
Z9 27
U1 5
U2 66
SN 1472-6920
UT WOS:000411407000002
PM 28927383
ER

PT J
AU Wilkes, Michael S.
   Day, Frank C.
   Fancher, Tonya L.
   McDermott, Haley
   Lehman, Erik
   Bell, Robert A.
   Green, Michael J.
TI Increasing confidence and changing behaviors in primary care providers
   engaged in genetic counselling
SO BMC MEDICAL EDUCATION
VL 17
AR 163
DI 10.1186/s12909-017-0982-4
PD SEP 13 2017
PY 2017
AB Background: Screening and counseling for genetic conditions is an
   increasingly important part of primary care practice, particularly given
   the paucity of genetic counselors in the United States. However, primary
   care physicians (PCPs) often have an inadequate understanding of
   evidence-based screening; communication approaches that encourage shared
   decision-making; ethical, legal, and social implication (ELSI) issues
   related to screening for genetic mutations; and the basics of clinical
   genetics. This study explored whether an interactive, web-based genetics
   curriculum directed at PCPs in non-academic primary care settings was
   superior at changing practice knowledge, attitudes, and behaviors when
   compared to a traditional educational approach, particularly when
   discussing common genetic conditions.
   Methods: One hundred twenty one PCPs in California and Pennsylvania
   physician practices were randomized to either an Intervention Group (IG)
   or Control Group (CG). IG physicians completed a 6 h interactive
   web-based curriculum covering communication skills, basics of genetic
   testing, risk assessment, ELSI issues and practice behaviors. CG
   physicians were provided with a traditional approach to Continuing
   Medical Education (CME) (clinical review articles) offering equivalent
   information.
   Results: PCPs in the Intervention Group showed greater increases in
   knowledge compared to the Control Group. Intervention PCPs were also
   more satisfied with the educational materials, and more confident in
   their genetics knowledge and skills compared to those receiving
   traditional CME materials. Intervention PCPs felt that the web-based
   curriculum covered medical management, genetics, and ELSI issues
   significantly better than did the Control Group, and in comparison with
   traditional curricula. The Intervention Group felt the online tools
   offered several advantages, and engaged in better shared decision making
   with standardized patients, however, there was no difference in behavior
   change between groups with regard to increases in ELSI discussions
   between PCPs and patients.
   Conclusion: While our intervention was deemed more enjoyable,
   demonstrated significant factual learning and retention, and increased
   shared decision making practices, there were few differences in behavior
   changes around ELSI discussions. Unfortunately, barriers to implementing
   behavior change in clinical genetics is not unique to our intervention.
   Perhaps the missing element is that busy physicians need systems-level
   support to engage in meaningful discussions around genetics issues. The
   next step in promoting active engagement between doctors and patients
   may be to put into place the tools needed for PCPs to easily access the
   materials they need at the point-of-care to engage in joint discussions
   around clinical genetics.
RI Green, Martin A/H-7567-2012; Green, Michael/
OI Green, Martin A/0000-0002-8860-396X; Green, Michael/0000-0002-4828-4749
ZS 1
Z8 0
ZA 0
TC 28
ZB 10
ZR 0
Z9 29
U1 0
U2 14
SN 1472-6920
UT WOS:000410626700001
PM 28903733
ER

PT J
AU Cebolla, Ausias
   Demarzo, Marcelo
   Martins, Patricia
   Soler, Joaquim
   Garcia-Campayo, Javier
TI Unwanted effects: Is there a negative side of meditation? A multicentre
   survey
SO PLOS ONE
VL 12
IS 9
AR e0183137
DI 10.1371/journal.pone.0183137
PD SEP 5 2017
PY 2017
AB Objectives
   Despite the long-term use and evidence-based efficacy of meditation and
   mindfulness-based interventions, there is still a lack of data about the
   possible unwanted effects (UEs) of these practices. The aim of this
   study was to evaluate the occurrence of UEs among meditation
   practitioners, considering moderating factors such as the type,
   frequency, and lifetime duration of the meditation practices.
   Methods
   An online survey was developed and disseminated through several
   websites, such as Spanish-, English- and Portuguese-language scientific
   research portals related to mindfulness and meditation. After excluding
   people who did not answer the survey correctly or completely and those
   who had less than two months of meditation experience, a total of 342
   people participated in the study. However, only 87 reported information
   about UEs.
   Results
   The majority of the practitioners were women from Spain who were married
   and had a University education level. Practices were more frequently
   informal, performed on a daily basis, and followed by focused attention
   (FA). Among the participants, 25.4% reported UEs, showing that severity
   varies considerably. The information requested indicated that most of
   the UEs were transitory and did not lead to discontinuing meditation
   practice or the need for medical assistance. They were more frequently
   reported in relation to individual practice, during focused attention
   meditation, and when practising for more than 20 minutes and alone. The
   practice of body awareness was associated with UEs to a lesser extent,
   whereas focused attention was associated more with UEs.
   Conclusions
   This is the first large-scale, multi-cultural study on the UEs of
   meditation. Despite its limitations, this study suggests that UEs are
   prevalent and transitory and should be further studied. We recommend the
   use of standardized questionnaires to assess the UEs of meditation
   practices.
RI Marti, Ausias Cebolla/E-8410-2012; Demarzo, Marcelo/A-7021-2010; Garcia-Campayo, Javier/; Soler, Joaquim/
OI Marti, Ausias Cebolla/0000-0002-3456-9743; Demarzo,
   Marcelo/0000-0002-7447-1839; Garcia-Campayo, Javier/0000-0002-3797-4218;
   Soler, Joaquim/0000-0001-8077-3641
ZB 13
TC 72
ZR 0
ZS 0
ZA 0
Z8 1
Z9 72
U1 2
U2 18
SN 1932-6203
UT WOS:000409282800011
PM 28873417
ER

PT J
AU de Leng, Wendy E.
   Stegers-Jager, Karen M.
   Born, Marise Ph.
   Frens, Maarten A.
   Themmen, Axel P. N.
TI Participation in a scientific pre-university program and medical
   students' interest in an academic career
SO BMC MEDICAL EDUCATION
VL 17
AR 150
DI 10.1186/s12909-017-0990-4
PD SEP 5 2017
PY 2017
AB Background: The proportion of medical doctors involved in research
   activities is declining. Undergraduate medical research programs are
   positively associated with medical students' research interest.
   Scientific pre-university programs (SPUPs) outside the medical domain
   are also positively associated with research interest, but have not been
   related to the shortage of clinician-scientists. This study examined the
   effect of an SPUP on medical students' research interest.
   Methods: This study was conducted at a Dutch medical school. Medical
   students in all years who had participated in an SPUP and first-year
   master students who had not participated in an SPUP were invited to fill
   out an online survey on extracurricular activities and future career
   interests. SPUP participants were compared with three groups of
   non-participants: (i) an unmatched group, (ii) a group matched on gender
   and pre-university Grade Point Average (pu-GPA) and (iii) a group
   matched on gender and first-year GPA, one to five years after finishing
   the SPUP. Participants evaluated the SPUP through ratings of statements
   about the program.
   Results: Two-hundred forty medical students, including 71 SPUP
   participants responded to the survey. SPUP participants participated
   significantly more often in the Honors class (i.e., extracurricular
   educational program for high-performing students), gained significantly
   more often extracurricular research experience, enrolled significantly
   more often in the Research master (i.e., research training program
   parallel to the clinical master program) and obtained significantly more
   often a scholarship than unmatched non-SPUP participants. Using a
   non-SPUP group matched on gender and pu-GPA reduced the effect size of
   the significant differences in Honors class participation, Research
   master participation and scholarship obtainment. Using a non-SPUP group
   matched on gender and first-year GPA rendered the significant difference
   in Research master participation and scholarship obtainment
   insignificant. Significantly more SPUP participants than unmatched
   non-SPUP participants preferred a combination of clinical care and
   research in their future career. Using a non-SPUP group matched on
   gender and either pu-GPA or first-year GPA did not change the effect
   size of this significant difference.
   Conclusions: These findings demonstrate the potential value of an SPUP
   in increasing the number of medical students with research interest and
   as a policy measure to help to alleviate the shortage of
   clinician-scientists.
RI Born, Marise/Q-3746-2019
OI Born, Marise/0000-0002-5539-3388
ZB 2
ZR 0
ZA 0
TC 3
Z8 0
ZS 0
Z9 3
U1 0
U2 11
SN 1472-6920
UT WOS:000409060400001
PM 28870187
ER

PT J
AU Ali, Farhad
   Shet, Arun
   Yan, Weirong
   Al-Maniri, Abdullah
   Atkins, Salla
   Lucas, Henry
CA ARCADE Consortium
TI Doctoral level research and training capacity in the social determinants
   of health at universities and higher education institutions in India,
   China, Oman and Vietnam: a survey of needs
SO HEALTH RESEARCH POLICY AND SYSTEMS
VL 15
AR 76
DI 10.1186/s12961-017-0225-5
PD SEP 2 2017
PY 2017
AB Background: Research capacity is scarce in low-and middle-income country
   (LMIC) settings. Social determinants of health research (SDH) is an area
   in which research capacity is lacking, particularly in Asian countries.
   SDH research can support health decision-makers, inform policy and
   thereby improve the overall health and wellbeing of the population. In
   order to continue building this capacity, we need to know to what extent
   training exists and how challenges could be addressed from the
   perspective of students and staff. This paper aims to describe the
   challenges involved in training scholars to undertake research on the
   SDH in four Asian countries - China, India, Oman and Vietnam.
   Methods: In-depth interviews were conducted with research scholars,
   research supervisors and principal investigators (n = 13) at ARCADE
   partner institutions, which included eight universities and research
   institutes. In addition, structured questionnaires (n = 70) were used to
   collect quantitative data relating to the courses available, teaching
   and supervisory capacity, and related issues for students being trained
   in research on SDH. Simple descriptive statistics were calculated from
   the quantitative data and thematic analysis applied to the qualitative
   data.
   Results: We identified a general lack of training courses focusing on
   SDH. Added to this, PhD students studying related areas reported
   inadequate supervision, with limited time allocated to meetings and poor
   interpersonal communication. Supervisors cited interpersonal
   communication problems and student lack of skills to perform high
   quality research as challenges to research training. Further challenges
   reported included a lack of research funding to include SDH-related
   topics. Finally, it was suggested that there was a need for institutions
   to define clear and appropriate standards regarding admission and
   supervision of students to higher education programs awarding doctoral
   degrees.
   Conclusions: There are gaps in training for research on the SDH at the
   surveyed universities and research institutes, which are likely to also
   be present in other Asian countries and their higher education
   institutions. Some of the barriers to high quality research and research
   training can be addressed by improved training for supervisors, clearly
   defined standards of supervision, finances for student stipends, and
   increased use of information and communication technology to increase
   access to teaching materials. Increased opportunities for online
   learning could be provided.
RI Atkins, Salla/ABH-1071-2021; Ali, Farhad/AAK-1922-2021; Atkins, Salla/; Shet, Arun/
OI Atkins, Salla/0000-0002-4116-893X; Shet, Arun/0000-0002-4146-0703
TC 4
ZS 0
Z8 0
ZR 0
ZA 0
ZB 1
Z9 4
U1 2
U2 24
SN 1478-4505
UT WOS:000409125000002
PM 28865472
ER

PT J
AU Gliddon, Emma
   Barnes, Steven J.
   Murray, Greg
   Michalak, Erin E.
TI Online and Mobile Technologies for Self-Management in Bipolar Disorder:
   A Systematic Review
SO PSYCHIATRIC REHABILITATION JOURNAL
VL 40
IS 3
SI SI
BP 309
EP 319
DI 10.1037/prj0000270
PD SEP 2017
PY 2017
AB Objective: Internet (eHealth) and smartphone-based (mHealth) approaches
   to self-management for bipolar disorder are increasingly common.
   Evidence-based self-management strategies are available for bipolar
   disorder and provide a useful framework for reviewing existing
   eHealth/mHealth programs to determine whether these strategies are
   supported by current technologies. This review assesses which
   self-management strategies are most supported by technology. Method:
   Based on 3 previous studies, 7 categories of self-management strategies
   related to bipolar disorder were identified, followed by a systematic
   literature review to identify existing eHealth and mHealth programs for
   this disorder. Searches were conducted by using PubMed, CINAHL,
   PsycINFO, EMBASE, and the Cochrane Database of Systematic Reviews for
   relevant peer-reviewed articles published January 2005 to May 2015.
   eHealth and mHealth programs were summarized and reviewed to identify
   which of the 7 self-management strategy categories were supported by
   eHealth or mHealth programs. Results: From 1,654 publications, 15 papers
   were identified for inclusion. From these, 9 eHealth programs and 2
   mHealth programs were identified. The most commonly supported
   self-management strategy categories were "ongoing monitoring,"
   "maintaining hope," "education," and "planning for and taking action";
   the least commonly supported categories were "relaxation" and
   "maintaining a healthy lifestyle." eHealth programs appear to provide
   more comprehensive coverage of self-management strategies compared with
   mHealth programs. Conclusions and Implications for Practice: Both
   eHealth and mHealth programs present a wide range of self-management
   strategies for bipolar disorder, although individuals seeking
   comprehensive interventions might be best served by eHealth programs,
   while those seeking more condensed and direct interventions might prefer
   mHealth programs.
RI Murray, Greg/N-8933-2017; Gliddon, Emma/
OI Murray, Greg/0000-0001-7208-5603; Gliddon, Emma/0000-0002-5897-820X
Z8 0
ZR 0
ZS 0
ZB 6
ZA 0
TC 35
Z9 35
U1 0
U2 12
SN 1095-158X
EI 1559-3126
UT WOS:000439151800007
PM 28594196
ER

PT J
AU Rodrigue, James R.
   Feranil, Mario
   Lang, Jenna
   Fleishman, Aaron
TI Readability, content analysis, and racial/ethnic diversity of online
   living kidney donation information
SO CLINICAL TRANSPLANTATION
VL 31
IS 9
AR e13039
DI 10.1111/ctr.13039
PD SEP 2017
PY 2017
AB More than three-fourths of adults in the USA use the Internet to access
   health-related information. Adults exploring the possibility of living
   donation should have access to online content that is readable and
   comprehensive. We simulated a search of online information about living
   kidney donation and evaluated readability, topics covered, and
   racial/ethnic diversity of 21 websites meeting inclusion criteria (eg,
   hosted by a nonprofit or patient advocacy organization, English content,
   based in USA). Using standard readability metrics, 62% of sites were
   classified as Difficult to read and none achieved the recommended
   reading level of sixth grade. On average, websites covered 18.5 (62%) of
   30 recommended information topics (range: 7 to 28) and only 2.1 (23%) of
   9 racial/ethnic diversity items (range: 0 to 6). Overall, the most
   common nonprofit or patient advocacy organization websites do not meet
   the readability standards established by the National Institutes of
   Health and the American Medical Association, many lack fundamental
   information about living kidney donation, and most are not
   racially/ethnically diverse. We encourage the transplant community to
   consider playing a more active role in improving the overall quality of
   online information disseminated to the general public. Further, there is
   a need to more critically examine the accuracy of online living donation
   content in future investigations.
RI Fleishman, Aaron/AGK-7568-2022; Feranil, Mario/
OI Fleishman, Aaron/0000-0001-7338-8235; Feranil, Mario/0000-0002-8992-5039
ZB 1
TC 8
ZS 0
Z8 0
ZA 0
ZR 0
Z9 8
U1 0
U2 1
SN 0902-0063
EI 1399-0012
UT WOS:000408913700010
PM 28640438
ER

PT J
AU Frere, Margaret
   Tepper, John
   Fischer, Markus
   Kennedy, Kieran
   Kropmans, Thomas
TI Measuring Situation Awareness in Medical Education Objective Structured
   Clinical Examination Guides
SO EDUCATION FOR HEALTH
VL 30
IS 3
BP 193
EP 197
DI 10.4103/efh.EfH_306_16
PD SEP-DEC 2017
PY 2017
AB Background: Medical errors are among the most prevalent and serious
   adverse events in health care. Lack of situation awareness (SA) is an
   important factor leading to such errors. SA can be understood using
   Endsley's three-tier model: level 1 is perception, level 2 is
   comprehension, and level 3 is projection. While there is extensive
   literature on the theory of SA, it is difficult to measure and quantify.
   The purpose of this pilot study was to measure, identify, and
   characterize SA in some medical objective structured clinical
   examination (OSCE) guides, including a 1st year National University of
   Ireland, Galway (NUIG) OSCE. Methods: Two independent observers analyzed
   two online OSCE guides and a 1st year OSCE examination using a
   self-developed tool. This tool was an inferential measure of SA. The
   guides were first qualitatively analyzed using NVivo and then
   quantitatively analyzed using Excel. Results: The results indicated
   strong internal validity and moderate inter-rater reliability. There was
   limited statistically significant variance between the observers. The
   NUIG OSCE had relatively the fewest relative observations of SA and the
   Geeky Medics OSCE Guide had relatively the most observations of SA. In
   all guides, Level 1 SA was observed more frequently than Level 2 or 3
   SA. Discussion: SA is an important factor in clinical decision-making
   and patient safety. The challenging aspect is how to best teach and
   assess SA in medical education. Simulations, such as informative and/or
   summative OSCEs, are considered a valuable and safe way to do so.
   Inter-rater reliability can be improved using tool training sessions.
TC 3
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 3
U1 0
U2 4
SN 1357-6283
EI 1469-5804
UT WOS:000430802300003
PM 29786019
ER

PT J
AU Gostelow, Naomi
   Soothill, Germander
   Vawda, Seema
   Annan, David
TI Near Peer-assisted Learning to Improve Confidence for Medical Students'
   Situational Judgment Tests
SO EDUCATION FOR HEALTH
VL 30
IS 3
BP 215
EP 222
DI 10.4103/efh.EfH_21_17
PD SEP-DEC 2017
PY 2017
AB Background: The situational judgment test (SJT) was introduced for all
   graduating United Kingdom medical students in 2013. Students have
   anxiety over time pressures and heavy weighting of a single examination.
   Aims: This study aimed to examine formal SJT preparation available,
   perceptions of a near peer-delivered course, and to measure improvement
   in students' confidence. Innovation: Foundation doctors (first 2 years
   of postgraduate training) produced a "Situational Judgment Test
   Preparation Course" in November 2015. Methods: Feedback was collected
   via Likert scores rating teaching, a mock examination, and pre- and
   post-course confidence along with free-text responses. Delayed feedback
   was collected via an online survey. Results: Forty-four students
   completed the feedback. Seventy percent reported <2 h of university SJT
   preparation. There were significant post-course improvements in
   familiarity with structure, scoring system, knowledge and content, and
   overall SJT confidence (P < 0.05). Delayed feedback showed sustained
   improvement in familiarity with knowledge and content (P < 0.05).
   Qualitative analysis revealed themes of improved confidence,
   approachable tutors, and identifying question strategies. Discussion:
   Students perceived a lack of formal SJT preparation which was reflected
   in low pre-course confidence. Improvements in confidence may reflect a
   unique insight into how to approach the examination from those having
   recently undertaken it.
TC 1
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
Z9 1
U1 0
U2 2
SN 1357-6283
EI 1469-5804
UT WOS:000430802300007
PM 29786023
ER

PT J
AU Cipolletta, Sabrina
   Votadoro, Riccardo
   Faccio, Elena
TI Online support for transgender people: an analysis of forums and social
   networks
SO HEALTH & SOCIAL CARE IN THE COMMUNITY
VL 25
IS 5
BP 1542
EP 1551
DI 10.1111/hsc.12448
PD SEP 2017
PY 2017
AB Transgender people face a range of personal and social conflicts that
   strongly influence their well-being. In many cases, the Internet can
   become the main resource in terms of finding support. The aim of this
   study was to understand how transgender people give and receive help
   online. Between 2013 and 2015, 122 online community conversations were
   collected on Italian forums and Facebook groups involving transgender
   people, and online interviews were conducted with 16 users of these
   communities. A qualitative content analysis was conducted by using the
   software package, NVivo10. The main categories that emerged were:
   motivations to join an online community, online help, differences
   between online and offline interactions, status, conflicts and
   professional help. Results indicate that participation in online
   communities often derives from the users' need for help. This help can
   be given by peers who have had similar experiences, and by professionals
   who participate in the discussions as moderator. The need to test one's
   own identity, to compare oneself with others and to share one's personal
   experiences made online communities at risk of exposing users to
   invalidation and transphobic messages. Administrators and moderators try
   to ensure the safety of users, and suggest that they ask for
   professional help offline and/or online when over-specific medical
   advice was sought. This study confirms that transgender people might
   find benefit from an online platform of help and support and might
   minimise distance problems, increase financial convenience and foster
   disinhibition.
RI Cipolletta, Sabrina/G-7552-2012
OI Cipolletta, Sabrina/0000-0001-9886-5683
Z8 0
ZA 0
ZB 2
ZR 0
ZS 0
TC 40
Z9 40
U1 1
U2 34
SN 0966-0410
EI 1365-2524
UT WOS:000407688500003
PM 28329916
ER

PT J
AU Santer, M.
   Chandler, D.
   Lown, M.
   Francis, N. A.
   Muller, I.
TI Views of oral antibiotics and advice seeking about acne: a qualitative
   study of online discussion forums
SO BRITISH JOURNAL OF DERMATOLOGY
VL 177
IS 3
BP 751
EP 757
DI 10.1111/bjd.15398
PD SEP 2017
PY 2017
AB Background Acne vulgaris is common and can significantly impair quality
   of life, yet little is known about patients' understanding of acne and
   its treatments. Oral antibiotics are widely used for acne despite
   concerns about antibiotic resistance. People are increasingly turning to
   online discussion forums for advice, and information on these sites may
   influence health beliefs and treatment adherence.
   Objectives To explore understandings about the use of oral antibiotics
   for acne and advice shared among messages posted on online forums.
   Methods We systematically searched for online forums and identified four
   where acne was frequently discussed. Discussion threads relating to oral
   antibiotics were analysed thematically.
   Results We extracted 136 pages of data comprising 65 discussions among
   294 participants. We found a wide range of perceptions around
   effectiveness of antibiotics for acne and concerns about adverse
   effects. The delayed onset of action of antibiotics was a source of
   frustration and compounded dissatisfaction with healthcare providers,
   who were perceived by people as 'fobbing them off' with prolonged
   courses of ineffective treatment. Advice ranged from when to ask for or
   insist on referral to use of costly cleansers. Forum posts related to a
   wide range of severities, from 'spots' to severe acne, which may make it
   confusing for users to assess appropriateness of information.
   Conclusions Online forums offer opinions that could confuse patients, or
   lead to early abandonment of treatments, challenging consultations and
   patient dissatisfaction. Users expressed frustration about the delayed
   onset of action of antibiotics for acne, perceptions of only temporary
   effectiveness and adverse effects.
RI Francis, Nick/B-7413-2009; Muller, Ingrid/; Santer, Miriam/; Lown, Mark/
OI Francis, Nick/0000-0001-8939-7312; Muller, Ingrid/0000-0001-9341-6133;
   Santer, Miriam/0000-0001-7264-5260; Lown, Mark/0000-0001-8309-568X
Z8 0
ZR 0
ZA 0
ZS 0
ZB 3
TC 12
Z9 12
U1 2
U2 7
SN 0007-0963
EI 1365-2133
UT WOS:000411529400053
PM 28218972
ER

PT J
AU Williams, Marsha D.
   Jean, Marc C.
   Chen, Bei
   Molinari, Noelle-Angelique M.
   LeBlanc, Tanya T.
TI Primary Care Emergency Preparedness Network, New York City, 2015:
   Comparison of Member and Nonmember Sites
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 107
BP S193
EP S198
DI 10.2105/AJPH.2017.303954
SU 2
PD SEP 2017
PY 2017
AB Objectives. To assess whether Primary Care Emergency Preparedness
   Network member sites reported indicators of preparedness for public
   health emergencies compared with nonmember sites. The network-a
   collaboration between government and New York City primary care
   associations-offers technical assistance to primary care sites to
   improve disaster preparedness and response.
   Methods. In 2015, we administered an online questionnaire to sites
   regarding facility characteristics and preparedness indicators. We
   estimated differences between members and nonmembers with natural
   logarithm-linked binomial models. Open-ended assessments identified
   preparedness gaps.
   Results. One hundred seven sites completed the survey (23.3% response
   rate); 47 (43.9%) were nonmembers and 60 (56.1%) were members. Members
   were more likely to have completed hazard vulnerability analysis (risk
   ratio [RR] = 1.94; 95% confidence interval [CI] = 1.28, 2.93), to have
   identified essential services for continuity of operations (RR = 1.39;
   95% CI = 1.03, 1.86), to have memoranda of understanding with external
   partners (RR = 2.49; 95% CI = 1.42, 4.36), and to have completed
   point-of-dispensing training (RR = 4.23; 95% CI = 1.76, 10.14).
   Identified preparedness gaps were improved communication, resource
   availability, and train-the-trainer programs.
   Public Health Implications. Primary Care Emergency Preparedness Network
   membership is associated with improved public health emergency
   preparedness among primary care sites.
RI Molinari, NoelleAngelique Maria/F-3630-2017
OI Molinari, NoelleAngelique Maria/0000-0002-2758-3133
TC 3
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
Z9 3
U1 1
U2 6
SN 0090-0036
EI 1541-0048
UT WOS:000416411700018
PM 28892448
ER

PT J
AU McDowell, Arlene
   Beard, Rebekah
   Brightmore, Anna
   Lu, Lisa W.
   McKay, Amelia
   Mistry, Maadhuri
   Owen, Kate
   Swan, Emma
   Young, Jessica
TI Veterinary Pharmaceutics: An Opportunity for Interprofessional Education
   in New Zealand?
SO PHARMACEUTICS
VL 9
IS 3
AR 25
DI 10.3390/pharmaceutics9030025
PD SEP 2017
PY 2017
AB Globally pharmacists are becoming increasingly involved in veterinary
   medicine; however, little is known about the level of interest for
   pharmacists playing a larger role in animal treatment in New Zealand. A
   key stakeholder in any progression of pharmacists becoming more involved
   in the practice of veterinary pharmacy is the veterinary profession. The
   aim of this study was to investigate views of veterinarians and
   veterinary students on the role of pharmacists supporting veterinarians
   with advice on animal medicines. Open interviews were conducted with
   veterinarians in Dunedin, New Zealand. Veterinary students at Massey
   University completed an online survey. Most veterinarians do not have
   regular communication with pharmacists regarding animal care, but
   believe it may be beneficial. In order to support veterinarians,
   pharmacists would need further education in veterinary medicine.
   Veterinary students believe there is opportunity for collaboration
   between professions provided that pharmacists have a better working
   knowledge of animal treatment. Most of the veterinary students surveyed
   perceive a gap in their knowledge concerning animal medicines,
   specifically pharmacology and compounding. While there is support for
   pharmacists contributing to veterinary medicine, particularly in the
   area of pharmaceutics, this is currently limited in New Zealand due to a
   lack of specialized education opportunities.
OI McDowell, Arlene/0000-0003-1459-6805
ZS 0
ZB 1
TC 2
Z8 0
ZR 0
ZA 0
Z9 2
U1 1
U2 5
EI 1999-4923
UT WOS:000418791900004
PM 28933730
ER

PT J
AU Monsuez, Jean-Jacques
   Pham, Tai
   Karam, Nicole
   Amar, Laurence
   Chicheportiche-Ayache, Corinne
   Menasche, Philippe
   Desnos, Michel
   Dardel, Paul
   Weill, Isabelle
TI Awareness of Individual Cardiovascular Risk Factors and Self-Perception
   of Cardiovascular Risk in Women
SO AMERICAN JOURNAL OF THE MEDICAL SCIENCES
VL 354
IS 3
BP 240
EP 245
PD SEP 2017
PY 2017
AB Background Cardiovascular risk factors (CVRFs) self-perception by women
   may be inaccurate.
   Materials and Methods A questionnaire was completed anonymously Online
   by women who self-reported their personal CVRF levels including age,
   weight, contraceptive use, menopausal status, smoking, diet and physical
   activities. Self-perceived risk was matched to actual cardiovascular
   risk according to the Framingham score.
   Results Among 5,240 young and middle-aged women with a high educational
   level, knowledge of personal CVRFs increased with age, from 51-90% for
   blood pressure (BP), 22-45% for blood glucose and 15-47% for blood
   cholesterol levels, between 30 and 65 years, respectively. This
   knowledge was lower for smoking compared with nonsmoking women: 62.5%
   vs. 74.5% for BP (P < 0.001), 22.7% vs. 33.8% for blood glucose (P <
   0.001), 21.9% vs. 32.0% for cholesterol levels (P < 0.001). Knowledge of
   BP level was reduced among women using an estrogen-progestogen
   contraception (56.8% vs. 62.1%, P = 0.0031) and even more reduced among
   smokers (52.2%, P < 0.001). Conversely, women with leisure-time physical
   or sportive activity (60.5%), were less overweight or obese (22.4% vs.
   34.2%, P < 0.001). They reported better knowledge of BP (72.4% vs.
   68.3%, P < 0.001), blood cholesterol (31.1% vs. 26.4%, P < 0.001) and
   glucose levels (32.7% vs. 27.8%, P < 0.001). Self-perceived
   cardiovascular risk was rated low by 1,279 (20.4%), moderate by 3,710
   (63.3%) and high by 893 (16.3%) women. Among 3,386 women tested using
   the Framingham score, 40.8% were at low, 25.2% at moderate and 33.8% at
   high risk.
   Conclusions Knowledge of CVRFs and self-perception of individual risk
   are inaccurate in women. Educational interventions should be emphasized.
RI Amar, Laurence/P-5278-2017; Karam, Nicole/AAP-9686-2021; Karam, Nicole/; PHAM, Tai/
OI Amar, Laurence/0000-0003-3942-4276; Karam, Nicole/0000-0002-3861-6914;
   PHAM, Tai/0000-0002-4373-0711
TC 4
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 4
U1 0
U2 4
SN 0002-9629
EI 1538-2990
UT WOS:000410832600006
PM 28918829
ER

PT J
AU Rachman-Elbaum, Shelly
   Stark, Aliza H.
   Kachal, Josefa
   Johnson, Teresa
   Porat-Katz, Bat Sheva
TI Online training introduces a novel approach to the Dietetic Care Process
   documentation
SO NUTRITION & DIETETICS
VL 74
IS 4
BP 365
EP 371
DI 10.1111/1747-0080.12331
PD SEP 2017
PY 2017
AB Aim: Nutrition professionals in Israel are developing a system to
   document the Dietetic Care Process (DCP) tailored for specific patient
   sectors and compliant with national health guidelines. The ultimate goal
   is to achieve uniform documentation and improve nutrition care. Israeli
   dietetic practitioners work in specific patient sectors; therefore, a
   patient population-specific reporting system is proposed instead of the
   typical singular format applied across all patient populations. The
   purpose of this project was to evaluate learning outcomes and attitudes
   among registered dietitians (RDs) after online training of a novel DCP
   documentation system.
   Methods: A total of 80 Israeli RDs working in geriatric practice
   completed an eight-week online educational program learning
   documentation that is compatible for use with electronic health records
   and compliant with Israeli standards of practice. A paired sample t-test
   and McNemar test were used to analyse pre-to post-test performance,
   while Pearson's r, point-biserial, Spearman's and ANOVA were used to
   assess relationships among variables.
   Results: Post-test knowledge scores increased significantly, t((67)) =
   -9.007, P = 0.000; 95% CI (-26.713, -17.019). Age, education, geographic
   location and previous experience with online courses were not correlated
   with academic performance, suggesting that demographic characteristics
   did not impact training. Overall, RDs (>80%) responded positively to the
   training model and were highly interested in future proficiency online
   learning opportunities (98%).
   Conclusions: A sectoral DCP online training program significantly
   improved knowledge and was rated favourably by Israeli RDs. DCP training
   for clinical practitioners may be optimised when standardised nutrition
   care and reporting systems are adapted to specific patient populations.
OI Stark, Aliza/0000-0001-6109-0984
Z8 0
TC 2
ZB 1
ZR 0
ZA 0
ZS 0
Z9 2
U1 0
U2 4
SN 1446-6368
EI 1747-0080
UT WOS:000416834500007
PM 28901698
ER

PT J
AU Sadoughi, Farahnaz
   Azadi, Tania
   Azadi, Tannaz
TI Barriers to using electronic evidence based literature in nursing
   practice: a systematised review
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 34
IS 3
BP 187
EP 199
DI 10.1111/hir.12186
PD SEP 2017
PY 2017
AB Background: Nurses' use of electronic literature has remained limited.
   Objectives: The aim of this study was to identify barriers concerning
   application of electronic literature on evidence based practice in
   nursing.
   Methods: Six bibliographic databases were searched using the following
   keywords: challenges, barriers, obstacles, evidence based practice, EBP,
   information seeking, online databases, electronic literature,
   bibliographic databases and nurs*. Results were filtered to peer
   reviewed empirical studies, written in English or Persian and published
   from 2010 to 2017. Studies were selected based on specified inclusion
   criteria, and quality of the included studies was assessed. The approved
   articles (n = 21) were extracted and synthesised.
   Discussion: There are different types of barriers in using electronic
   evidence based literature in nursing demonstrating the issue as a
   multi-faceted problem. Not having enough time to conduct a search was
   the first major barrier noted by almost 81% (n = 17) of the reviewed
   studies followed by lack of knowledge on searching skills (66%; n = 14)
   and access requirements (38%; n = 8).
   Conclusions: There appears to be an important role for hospital
   management in providing nurses with enough time and access to online
   information while at work and also for health care librarians together
   with nursing leaders in providing the required training on using
   electronic evidence based literature.
RI Azadi, Tania/M-3392-2013; sadoughi, farahnaz/B-7605-2018; Azadi, Tannaz/; Azadi, Tania/
OI sadoughi, farahnaz/0000-0002-7452-0864; Azadi,
   Tannaz/0000-0002-2926-3723; Azadi, Tania/0000-0002-6731-0797
TC 12
ZR 0
Z8 2
ZS 0
ZB 0
ZA 0
Z9 14
U1 1
U2 12
SN 1471-1834
EI 1471-1842
UT WOS:000409281000002
PM 28726344
ER

PT J
AU Kerneis, Solen
   Jacquet, Caroline
   Bannay, Aurelie
   May, Thierry
   Launay, Odile
   Verger, Pierre
   Pulcini, Celine
CA EDUVAC Study Grp
TI Vaccine Education of Medical Students: A Nationwide Cross-sectional
   Survey
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 53
IS 3
BP E97
EP E104
DI 10.1016/j.amepre.2017.01.014
PD SEP 2017
PY 2017
AB Physicians play a primary role in vaccination of the population. Strong
   initial training of medical students is therefore essential to enable
   them to fulfill this role. This cross-sectional nationwide online survey
   conducted between September 2015 and January 2016 obtained 2,118
   completed surveys from 6,690 eligible respondents (response rate, 32%)
   at 27 of 32 medical schools in France regarding their education about
   vaccination. The data were analyzed in April-June 2016. The survey
   covered their knowledge, attitudes, practices, and perceptions, and
   assessed their level of perceived preparedness for their future practice
   as interns. Around a third of the students (n = 708, 34%) felt
   insufficiently prepared for questions about vaccination, especially for
   communicating with patients on side effects (n = 1,381, 66%) and
   strategies to respond to vaccine hesitancy (n = 1,217, 58%). The mean
   knowledge score was 26/45 (SD = 7.9). Lecture courses, which are the
   main education method used in French medical schools (1,891/5,660
   responses, 33%), were considered effective by only 11% of students
   (693/6,155 responses), whereas practical training was significantly
   associated with better perceived preparedness (p<0.001). In conclusion,
   education about vaccination during medical school in France is not
   optimal. Methods based on practical learning methods (case-based
   learning, clinical placements, and other hands-on methods) appear to
   produce the best results and must be favored for improving students'
   preparedness. (C) 2017 American Journal of Preventive Medicine.
   Published by Elsevier Inc. All rights reserved.
RI Bannay, Aurélie/ABA-8041-2020; Botelho-Nevers, Elisabeth/H-2063-2019; Roblot, France/; Sotto, Albert/; Wyplosz, Benjamin/
OI Bannay, Aurélie/0000-0002-1631-566X; Botelho-Nevers,
   Elisabeth/0000-0003-2773-7750; Roblot, France/0000-0003-4325-023X;
   Sotto, Albert/0000-0002-6463-9386; Wyplosz, Benjamin/0000-0002-9779-9044
Z8 0
ZB 24
ZR 0
TC 53
ZA 0
ZS 3
Z9 55
U1 1
U2 18
SN 0749-3797
EI 1873-2607
UT WOS:000407924400004
PM 28237636
ER

PT J
AU Monks, Dennis
   Pagano, Brian
   Hartman, Matthew
TI Spending an Evening in the Dark: The Radiology Medical Student Call
   Experience
SO CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
VL 46
IS 5
BP 369
EP 372
DI 10.1067/j.cpradiol.2017.04.008
PD SEP-OCT 2017
PY 2017
AB The level of independent decision-making required of a radiology
   resident, as well as the acuity of studies populating the worklist,
   differ between the normal workday and a call shift. However, unlike
   clerkships where call is standard, medical students in radiology
   typically only have half of the true resident experience. To expose our
   rotating medical students to what a future career in radiology might
   actually look like, we implemented a required call shift as part of our
   medical student curriculum. All rotating third- and fourth-year medical
   students were assigned a single 3-hour short call shift alongside a
   radiology resident during the final week of their rotation. Following
   this shift, students answered questions via anonymous online survey
   regarding their perceptions of radiology (primary end point) as well as
   workload and role of radiology in the clinical care of patients
   (secondary end points). Following medical student call, 63% of students
   reported a more positive view of radiology as a career. Additionally,
   57% felt that radiology residents work as much or more than other
   specialties while one call, and several students identified
   communication issues regarding indications or appropriateness of
   studies. While we hope that this overwhelmingly positive experience will
   draw more students into radiology as a career, we also believe that many
   participating medical students will benefit from a greater understanding
   of what a radiologist's job entails, as well as how this may be affected
   by communication issues or increased utilization of imaging. (C) 2017
   Elsevier Inc. All rights reserved.
ZS 0
Z8 0
ZB 0
ZR 0
TC 4
ZA 0
Z9 4
U1 0
U2 1
SN 0363-0188
UT WOS:000417260000008
PM 28554787
ER

PT J
AU Alkayyal, Nazmeyah
   Cheema, Ejaz
   Hadi, Muhammad Abdul
TI Perspective of Saudi undergraduate pharmacy students on
   pharmacovigilance and adverse drug reaction reporting: A National Survey
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 9
IS 5
BP 779
EP 785
DI 10.1016/j.cptl.2017.05.016
PD SEP 2017
PY 2017
AB Introduction: The purpose of this study was to evaluate Saudi
   undergraduate pharmacy students' knowledge, attitude, and readiness
   towards pharmacovigilance and reporting of adverse drug reactions
   (ADRs).
   Methods: A cross-sectional survey was conducted between January 15, 2016
   and February 18, 2016 using a structured, validated and pilot-tested
   questionnaire among senior (year 4, 5, and 6) undergraduate pharmacy
   students enrolled at a governmental or private university/college.
   Students completed an online 27-item questionnaire developed using
   Google Forms T. The questionnaire consisted of four sections:
   demographics; knowledge about pharmacovigilance and ADR reporting;
   attitudes towards ADR reporting; and pharmacy students' readiness
   towards ADR reporting.
   Results: Two hundred and fifty-nine students completed the
   questionnaire. Most of the participants were females (n= 174; 67.2%) and
   were year 4 (n= 128; 49.4%) students. Out of a total possible score of
   seven, the mean knowledge score (SD) was 4.15 (1.1). Multiple linear
   regression showed that after adjusting for gender and program of study
   (BPharm/PharmD), year of the study was found to be an independent
   predictor (p= 0.03) of the total knowledge score. More than half of the
   respondents (n= 166; 64.1%) acknowledged that they do not know how to
   report ADRs to the relevant authorities in Saudi Arabia. The majority
   (n= 213; 82.2%) of respondents believed that information on how to
   report ADRs should be taught to senior pharmacy students.
RI cheema, ejaz/AAJ-7960-2020; Hadi, Muhammad Abdul/AAL-7439-2020
OI Hadi, Muhammad Abdul/0000-0003-0108-7833
ZB 2
TC 8
ZR 0
ZA 0
Z8 0
ZS 0
Z9 8
U1 1
U2 2
SN 1877-1297
EI 1877-1300
UT WOS:000413968100007
PM 29233304
ER

PT J
AU DeMella, Christopher
   Donohoe, Krista
   Morgan, Laura
   Phipps, Lisa
   Drisaldi, Aulbrey
   Forder, Michael
TI Implementation of an online ethics course into a pharmacy curriculum
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 9
IS 5
BP 835
EP 840
DI 10.1016/j.cptl.2017.05.001
PD SEP 2017
PY 2017
AB Background and purpose: To evaluate students' ethical reasoning skills
   after implementation of a series of online modules containing ethical
   content.
   Educational activity and setting: A four-module online ethics series was
   created and embedded in the learning management system of a second-year
   pharmacy skills lab course. The Defining Issues Test Version 2 (DIT-2)
   was administered before and after completion of the ethics module
   series. Results of the DIT-2 were used to evaluate the impact of the
   modules on students' ethical thinking ability. An optional written
   survey utilizing Likert-scale questions was administered at the end of
   the study to assess students' perceptions of the course.
   Findings: A total of 134 students were enrolled in this study. After
   removal of voluntary exclusions and unreliable data, 107 DIT-2 tests
   were evaluated. The study failed to demonstrate a statistically
   significant increase in pre-and posttest DIT-2 scores. Student scores
   were higher than other pharmacy students' scores that were previously
   reported in the literature. Thirty-four (26.1%) students participated in
   the optional survey. The results demonstrated perceived value of the
   online ethics series, with students indicating improved understanding,
   confidence, and ability to consider other perspectives when dealing with
   medical ethical dilemmas.
   Summary: Implementing an online ethics series into a pharmacy curriculum
   failed to produce statistically significant increases in ethical
   thinking ability as measured by the DIT-2. However, students indicated a
   benefit from participating in the course as evidenced by responses to a
   post-course survey.
RI Frankart, Laura/GLS-9320-2022
ZA 0
ZR 0
ZS 0
TC 7
Z8 0
ZB 1
Z9 7
U1 0
U2 7
SN 1877-1297
EI 1877-1300
UT WOS:000413968100015
PM 29233312
ER

PT J
AU Paneque, Milena
   Moldovan, Ramona
   Cordier, Christophe
   Serra-Juhe, Clara
   Feroce, Irene
   Pasalodos, Sara
   Haquet, Emmanuelle
   Lambert, Debby
   Bjornevoll, Inga
   Skirton, Heather
TI The perceived impact of the European registration system for genetic
   counsellors and nurses
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 25
IS 9
BP 1075
EP 1077
DI 10.1038/ejhg.2017.84
PD SEP 2017
PY 2017
AB The aim of the European Board of Medical Genetics has been to develop
   and promote academic and professional standards necessary in order to
   provide competent genetic counselling services. The aim of this study
   was to explore the impact of the European registration system for
   genetic nurses and counsellors from the perspectives of those
   professionals who have registered. Registration system was launched in
   2013. A cross-sectional, online survey was used to explore the
   motivations and experiences of those applying for, and the effect of
   registration on their career. Fifty-five Genetic Nurses and Counsellors
   are registered till now, from them, thirty-three agreed to participate
   on this study. The main motivations for registering were for recognition
   of their work value and competence (30.3%); due to the absence of a
   registration system in their own country (15.2%) and the possibility of
   obtaining a European/international certification (27.3%), while 27.3% of
   respondents registered to support recognition of the genetic counselling
   profession. Some participants valued the registration process as an
   educational activity in its own right, while the majority indicated the
   greatest impact of the registration process was on their clinical
   practice. The results confirm that registrants value the opportunity to
   both confirm their own competence and advance the genetic counselling
   profession in Europe.
RI Paneque, Milena/J-2856-2013; Feroce, irene/AAQ-7760-2020; feroce, irene/; Lambert, Deborah/
OI Paneque, Milena/0000-0002-6535-4315; feroce, irene/0000-0001-9312-2020;
   Lambert, Deborah/0000-0003-0967-0476
Z8 0
ZA 0
ZR 0
TC 6
ZS 0
ZB 3
Z9 6
U1 0
U2 7
SN 1018-4813
EI 1476-5438
UT WOS:000407387400010
PM 28513617
ER

PT J
AU Moulton, Laura J.
   Michener, Chad M.
   Levinson, Kimberly
   Cobb, Lauren
   Tseng, Jill
   Jernigan, Amelia
TI Compliance with research standards within gynecologic oncology
   fellowship: A Gynecologic Oncology Fellowship Research Network (GOFRN)
   study
SO GYNECOLOGIC ONCOLOGY
VL 146
IS 3
BP 647
EP 652
DI 10.1016/j.ygyno.2017.06.034
PD SEP 2017
PY 2017
AB Objectives. Participation in clinical and basic science research is
   emphasized in gynecologic oncology training. We sought to identify
   trends in adherence to expected research practices and reasons for
   non-adherence among gynecologic oncology fellows.
   Methods. An anonymous 31-question online survey assessing academic
   behaviors, including IRB compliance, authorship assignment, data
   sharing, and potential barriers to non-adherence was distributed to all
   SGO gynecologic oncology fellow members in July 2016. Descriptive
   statistics and univariate analyses were performed.
   Results. Of 190 members, 35.3% (n = 67) responded. 73% (n = 49) of
   respondents reported personal noncompliance and 79.1% (n = 53) reported
   having witnessed others being non-complaint with at least one expected
   research practice. Areas of compliance failure included changing a
   research question without appropriate IRB amendment (20%; n = 14),
   conducting research under a nonspecific IRB (13.9%; n = 9), and
   performing research without IRB approval (6.1%; n = 4). Longer
   institutional time for IRB approval was significantly associated with
   IRB non-adherence (p < 0.05). First year fellows were more likely to use
   a nonspecific IRB (p = 0.04) or expand a question without amending the
   IRB (p = 0.04). When asked about storage of protected health information
   (PHI) for research, 53% reported non-secure storage with 17.1% (n = 6)
   having done so for >1000 patients. Thirty respondents (45.5%) assigned
   authorship to someone who failed to meet ICMJE criteria and twelve
   (18.5%) accepted authorship without meeting ICMJE criteria. Most
   commonly cited reasons for non-adherence were: cumbersome IRB processes
   (80.3%), pressure from senior authors (78.8%), fear of someone else
   publishing first, (74.2%) and lack of support navigating appropriate
   research practices (71.2%).
   Conclusions. Fellow non-compliance with expected research practices is
   high, particularly with regards to secure storage of PHI and appropriate
   authorship assignment. Time-consuming and cumbersome IRB procedures,
   perceived pressure from senior authors, and lack of research support
   contribute to non-adherence. Further support and education of
   gynecologic oncology fellows is needed in order to help address these
   barriers. (C) 2017 Elsevier Inc. All rights reserved.
OI Cobb, Lauren/0000-0002-0778-7366
ZR 0
ZB 0
ZA 0
TC 4
ZS 0
Z8 0
Z9 4
U1 0
U2 3
SN 0090-8258
EI 1095-6859
UT WOS:000409158200032
PM 28698010
ER

PT J
AU Evans, Dabney P.
   Luffy, Samantha M.
   Parisi, Stephanie
   del Rio, Carlos
TI The development of a massive open online course during the 2014-15 Ebola
   virus disease epidemic
SO ANNALS OF EPIDEMIOLOGY
VL 27
IS 9
BP 611
EP 615
DI 10.1016/j.annepidem.2017.07.137
PD SEP 2017
PY 2017
AB Purpose: Timely training was urgently needed at the onset of the 2014
   Ebola virus disease epidemic. Massive open online courses (MOOCs) have
   grown in popularity, though little is known about their utility in
   time-sensitive situations, including infectious disease outbreaks.
   Methods: We created the first English language massive open online
   course on Ebola virus disease. Designed by a team representing various
   units of Emory University and six partner institutions, the six module
   course was aimed at a global general audience but also relevant for
   health care professionals.
   Results: Over 7,000 learners from 170 countries participated in the
   initial course offering. More than a third of learners were from
   emerging economies, including seven percent from Africa, and another 13%
   from countries outside the United States who received individuals
   requiring treatment for Ebola virus disease.
   Conclusions: Creating and producing the first English language MOOC on
   EVD in a short time period required effective collaboration and strong
   coordination between subject matter and course development experts from
   Emory. Through these collaborative efforts, the development team was
   able to provide urgently needed training and educational materials while
   the epidemic of EVD continued to radiate through West Africa. (C) 2017
   Elsevier Inc. All rights reserved.
RI del Rio, Carlos/B-3763-2012; Evans, Dabney/X-6132-2019
OI del Rio, Carlos/0000-0002-0153-3517; Evans, Dabney/0000-0002-2201-5655
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 8
Z9 8
U1 1
U2 24
SN 1047-2797
EI 1873-2585
UT WOS:000413174900011
PM 28844550
ER

PT J
AU Ekpo, Ernest U.
   Snaith, Beverly
   Harris, Martine A.
   McEntee, Mark F.
TI Doctoral profile of the medical radiation sciences: a baseline for
   Australia and New Zealand
SO JOURNAL OF MEDICAL RADIATION SCIENCES
VL 64
IS 3
BP 195
EP 202
DI 10.1002/jmrs.231
PD SEP 2017
PY 2017
AB Introduction: Research is critical to evidence-based practice, and the
   rapid developments in technology provide opportunities to innovate and
   improve practice. Little is known about the research profile of the
   medical radiation science (MRS) profession in Australia and New Zealand
   (NZ). This study provides a baseline of their doctoral activity.
   Methods: A cross-sectional survey of MRS professionals in Australia and
   NZ holding a doctorate or undertaking doctoral studies, was performed
   using an online tool (Bristol Online Survey (R), Bristol, UK). A
   chain-referral sampling technique was adopted for data collection. An
   email invitation with a link to the survey was generated and distributed
   through email and social media. The survey contained questions related
   to participant demographics, doctoral status, qualification route,
   funding and employment. Results: There were 63 responses to the survey
   comprising 50.8% diagnostic radiographers (DRs; n = 32), 23.8% radiation
   therapists (RTs; n = 15), with the remaining 25.4% (n = 16) equally
   split between sonographers and nuclear medicine technologists (NMTs). A
   total of 40 (63.5%) of respondents had completed their doctoral
   qualification. In NZ, only DRs held a doctoral award constituting 0.3%
   of DRs and 0.2% of the total registered MRS population. In Australia,
   there was a greater proportion of doctoral NMTs (n = 8/1098; 0.7%) than
   RTs (n = 15/2394; 0.6%) and DRs (n = 27/12,001; 0.2%). Conclusion:
   Similar to other countries, findings show a very small percentage of
   doctoral MRS professionals in Australia and NZ. Strategies to engage and
   support individuals in research, up to and beyond doctoral study, need
   to be embedded in practice.
RI McEntee, Mark F/E-6680-2012; Ekpo, Ernest/ABD-1744-2021; snaith, beverly/; Harris, Martine/
OI McEntee, Mark F/0000-0001-7045-2190; Ekpo, Ernest/0000-0002-6851-0969;
   snaith, beverly/0000-0002-6296-0889; Harris, Martine/0000-0003-1924-3718
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
TC 6
Z9 6
U1 0
U2 1
SN 2051-3909
UT WOS:000417122500007
PM 28440052
ER

PT J
AU Kossover-Smith, Rachel A.
   Coutts, Katelyn
   Hatfield, Kelly M.
   Cochran, Ronda
   Akselrod, Hana
   Schaefer, Melissa K.
   Perz, Joseph F.
   Bruss, Katherine
TI One needle, one syringe, only one time? A survey of physician and nurse
   knowledge, attitudes, and practices around injection safety
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 45
IS 9
BP 1018
EP 1023
DI 10.1016/j.ajic.2017.04.292
PD SEP 1 2017
PY 2017
AB Background: To inform development, targeting, and penetration of
   materials from a national injection safety campaign, an evaluation was
   conducted to assess provider knowledge, attitudes, and practices related
   to unsafe injection practices.
   Methods: A panel of physicians ( n = 370) and nurses (n = 320) were
   recruited from 8 states to complete an online survey. Questions, using
   5-point Likert and Spector scales, addressed acceptability and frequency
   of unsafe practices (eg, reuse of a syringe on > 1 patient). Resultswere
   stratified to identify differences among physician specialties and nurse
   practice locations.
   Results: Unsafe injection practices were reported by both physicians and
   nurses across all surveyed physician specialties and nurse practice
   locations. Twelve percent (12.4%) of physicians and 3% of nurses
   indicated reuse of syringes for > 1 patient occurs in their workplace;
   nearly 5% of physicians indicated this practice usually or always
   occurs. A higher proportion of oncologists reported unsafe practices
   occurring in their workplace.
   Conclusions: There is a dangerous minority of providers violating basic
   standards of care; practice patternsmay vary by provider group and
   specialty. More research is needed to understand how best to identify
   providers placing patients at risk of infection and modify their
   behaviors. Published by Elsevier Inc. on behalf of Association for
   Professionals in Infection Control and Epidemiology, Inc.
OI White, Katelyn/0000-0002-3605-6781; Hatfield, Kelly/0000-0003-1035-8420
Z8 0
ZA 0
TC 18
ZB 9
ZR 0
ZS 1
Z9 18
U1 1
U2 3
SN 0196-6553
EI 1527-3296
UT WOS:000410430000005
PM 28625701
ER

PT J
AU Lin, Tung-Cheng
   Hwang, Lih-Lian
   Lai, Yung-Jye
TI Effects of argument quality, source credibility and self-reported
   diabetes knowledge on message attitudes: an experiment using diabetes
   related messages
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 34
IS 3
BP 225
EP 235
DI 10.1111/hir.12181
PD SEP 2017
PY 2017
AB Background: Previous studies have reported that credibility and content
   (argument quality) are the most critical factors affecting the quality
   of health information and its acceptance and use; however, this causal
   relationship merits further investigation in the context of health
   education. Moreover, message recipients' prior knowledge may moderate
   these relationships.
   Objectives: This study used the elaboration likelihood model to
   determine the main effects of argument quality, source credibility and
   the moderating effect of self-reported diabetes knowledge on message
   attitudes.
   Methods: A between-subjects experimental design using an educational
   message concerning diabetes for manipulation was applied to validate the
   effects empirically. A total of 181 participants without diabetes were
   recruited from the Department of Health, Taipei City Government. Four
   group messages were manipulated in terms of argument quality (high and
   low) 9 source credibility (high and low).
   Results: Argument quality and source credibility of health information
   significantly influenced the attitude of message recipients. The
   participants with high self-reported knowledge participants exhibited
   significant disapproval for messages with low argument quality.
   Conclusion: Effective health information should provide objective
   descriptions and cite reliable sources; in addition, it should provide
   accurate, customised messages for recipients who have high background
   knowledge level and ability to discern message quality.
RI Lin, Tung-Cheng/GLQ-8196-2022; Lin, Tung-Cheng/
OI Lin, Tung-Cheng/0000-0002-5124-8108
ZA 0
TC 11
ZR 0
Z8 0
ZS 0
ZB 0
Z9 11
U1 1
U2 33
SN 1471-1834
EI 1471-1842
UT WOS:000409281000005
PM 28513005
ER

PT J
AU Johnson, Emily M.
   Jones, Krista
   Eathington, Patricia
   Howard, Carmen
   Raszewski, Rebecca
   Twigg, Naomi M.
TI NExT: creating an interdisciplinary alliance to diminish informational
   barriers for public health nursing
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 34
IS 3
BP 236
EP 246
DI 10.1111/hir.12184
PD SEP 2017
PY 2017
AB Background: Public health nurses (PHNs) are challenged in obtaining
   opportunities to learn evidence-based practice (EBP). An
   interdisciplinary alliance was created between health sciences
   librarians and nurse educators to create a continuing education (CE)
   opportunity.
   Objective: To measure the effectiveness of CE training for PHNs on the
   knowledge gained about the EBP process and information resources.
   Methods: Ten in-person CE workshops were offered to 69 attendees in
   rural and urban areas. A pre-test/ post-test survey was administered
   immediately before and after the training that asked participants to
   rate their perceived knowledge and comfort levels with EBP concepts and
   resources.
   Results: Ninety-seven per cent of participants reported the training was
   a good use of their time. Based on a 5-point Likert scale
   self-assessment, participants developed new skills (m = 4.06, SD =
   0.968) and were able to find evidence-based literature (m = 4.16, SD =
   0.980). Participants reported increasing their understanding of EBP
   concepts and familiarity of information resources. All data were
   statistically significant at P < 0.001 (95% CI).
   Discussion: With the interdisciplinary collaboration capitalising on the
   instructors' disciplinary skill sets, the team was able to create a new
   effective EBP education intervention for PHNs. Conclusion: Public health
   nurses were able to increase knowledge of EBP concepts and information
   resources to utilise in practice or grant development.
RI Raszewski, Rebecca M/B-6437-2008; Howard, Carmen/; Johnson-Barlow, Emily/
OI Raszewski, Rebecca M/0000-0003-1210-4272; Howard,
   Carmen/0000-0002-3460-5417; Johnson-Barlow, Emily/0000-0002-5089-4650
Z8 0
ZS 0
ZB 1
TC 5
ZR 0
ZA 0
Z9 5
U1 2
U2 16
SN 1471-1834
EI 1471-1842
UT WOS:000409281000006
PM 28649765
ER

PT J
AU Flenady, Tracy
   Dwyer, Trudy
   Applegarth, Judith
TI Explaining transgression in respiratory rate observation methods in the
   emergency department: A classic grounded theory analysis
SO INTERNATIONAL JOURNAL OF NURSING STUDIES
VL 74
BP 67
EP 75
DI 10.1016/j.ijnurstu.2017.06.001
PD SEP 2017
PY 2017
AB Background" Abnormal respiratory rates are one of the first indicators
   of clinical deterioration in emergency department(ED) patients. Despite
   the importance of respiratory rate observations, this vital sign is
   often inaccurately recorded on ED observation charts, compromising
   patient safety. Concurrently, there is a paucity of research reporting
   why this phenomenon occurs.
   Objective: To develop a substantive theory explaining ED registered
   nurses' reasoning when they miss or misreport respiratory rate
   observations.
   Design: This research project employed a classic grounded theory
   analysis of qualitative data. Participants: Seventy-nine registered
   nurses currently working in EDs within Australia. Data collected
   included detailed responses from individual interviews and open-ended
   responses from an online questionnaire.
   Methods: Classic grounded theory (CGT) research methods were utilised,
   therefore coding was central to the abstraction of data and its
   reintegration as theory. Constant comparison synonymous with CGT methods
   were employed to code data. This approach facilitated the identification
   of the main concern of the participants and aided in the generation of
   theory explaining how the participants processed this issue.
   Results: The main concern identified is that ED registered nurses do not
   believe that collecting an accurate respiratory rate for ALL patients at
   EVERY round of observations is a requirement, and yet organizational
   requirements often dictate that a value for the respiratory rate be
   included each time vital signs are collected. The theory 'Rationalising
   Transgression', explains how participants continually resolve this
   problem. The study found that despite feeling professionally conflicted,
   nurses often erroneously record respiratory rate observations, and then
   rationalise this behaviour by employing strategies that adjust the
   significance of the organisational requirement. These strategies
   include; Compensating, when nurses believe they are compensating for
   errant behaviour by enhancing the patient's outcome; Minimalizing, when
   nurses believe that the patient's outcome would be no different if they
   recorded an accurate respiratory rate or not and; Trivialising, a
   strategy that sanctions negligent behaviour and occurs when nurses 'cut
   corners' to get the job done. Nurses' use these strategies to titrate
   the level of emotional discomfort associated with erroneous behaviour,
   thereby rationalising transgression
   Conclusion: This research reveals that despite continuing education
   regarding gold standard guidelines for respiratory rate collection,
   suboptimal practice continues. Ideally, to combat this transgression, a
   culture shift must occur regarding nurses' understanding of acceptable
   practice methods. Nurses must receive education in a way that permeates
   their understanding of the relationship between the regular collection
   of accurate respiratory rate observations and optimal patient outcomes.
RI Flenady, Tracy/U-8668-2019; dwyer, trudy/U-8658-2019
OI Flenady, Tracy/0000-0002-5286-4789; dwyer, trudy/0000-0001-8408-7956
ZS 0
TC 14
ZB 1
ZR 0
ZA 0
Z8 0
Z9 14
U1 0
U2 7
SN 0020-7489
EI 1873-491X
UT WOS:000415776800010
PM 28622531
ER

PT J
AU Irons, Peter C.
   Holm, Dietmar E.
   Annandale, C. Henry
TI Curricular Renewal at the Southern Tip of Africa: The 2016 Veterinary
   Curriculum at the University of Pretoria
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 44
IS 3
BP 440
EP 449
DI 10.3138/jvme.0316-062R
PD FAL 2017
PY 2017
AB Four years after the institution of a new curriculum at the University
   of Pretoria's Faculty of Veterinary Science, a second major curricular
   renewal was initiated as a result of several pressing drivers, many of
   which were unique to the national and institutional context. During the
   project, South African higher education was disrupted by student
   protests prompted by financial pressures on students, the overt colonial
   structure of higher education, and the need to accelerate transformation
   of the sector. A structured curricular renewal process was followed,
   including the laying down of the principles, the structuring the
   macro-curriculum as a story, the design of a meso-and micro-curriculum,
   and the mapping of the curriculum to Day One outcomes. The resulting
   program is a 6-year bachelor's degree with a blend of discipline and
   species modules, with the first cohort graduating in 2016. There is a
   strong focus on skills embodied in a 62-week experiential component,
   managed using a unique custom-designed online platform for booking
   placements, documenting exposure, assessing competency, and providing
   feedback to students. The experiential training includes a large
   elective component. Several causes of loss of impetus during the process
   are discussed and proposals are made for avoiding these. The value of
   accreditation as a driver and a source of inputs is evident. The process
   has succeeded in producing a significantly reshaped curriculum that has
   been well received by external stakeholders.
OI Holm, Dietmar Erik/0000-0002-9340-6573; Annandale,
   Cornelius/0000-0002-0525-8954
ZB 3
ZR 0
TC 12
Z8 0
ZA 0
ZS 1
Z9 12
U1 0
U2 6
SN 0748-321X
EI 1943-7218
UT WOS:000413588900002
ER

PT J
AU Lessard, Bryan D.
   Whiffin, Ashleigh L.
   Wild, Andrea L.
TI A Guide to Public Engagement for Entomological Collections and Natural
   History Museums in the Age of Social Media
SO ANNALS OF THE ENTOMOLOGICAL SOCIETY OF AMERICA
VL 110
IS 5
BP 467
EP 479
DI 10.1093/aesa/sax058
PD SEP 2017
PY 2017
AB Social media has revolutionized the way research and museum collections
   communicate with the general public by disseminating knowledge and
   information in real time. Currently there are limited studies examining
   the use of social media by museums and entomological collections to
   engage the general public online. Social media has the power to promote
   museum and collection events, research, and staff, as well as raise
   awareness of entomological collections and demonstrate their relevance
   to the public, industry, policy makers, and potential students of
   entomology. Here we introduce SCOPE, a new framework for promoting
   museums and entomological collections using social media. The SCOPE
   framework streamlines strategy development, content choice, refinement
   of online engagement, choice of social media platform, and evaluation of
   social media campaigns using altmetrics. Case studies from the
   Australian National Insect Collection, CSIRO, and National Museums
   Scotland following the SCOPE framework are provided so that other
   museums, entomological collections, staff, and students can replicate it
   to develop and maintain their own social media presence.
RI Lessard, Bryan/GVR-8495-2022
ZA 1
ZS 0
ZR 0
Z8 0
ZB 3
TC 10
Z9 11
U1 2
U2 28
SN 0013-8746
EI 1938-2901
UT WOS:000409531200005
ER

PT J
AU Ridd, M. J.
   King, A. J. L.
   Le Roux, E.
   Waldecker, A.
   Huntley, A. L.
TI Systematic review of self-management interventions for people with
   eczema
SO BRITISH JOURNAL OF DERMATOLOGY
VL 177
IS 3
BP 719
EP 734
DI 10.1111/bjd.15601
PD SEP 2017
PY 2017
AB Eczema is a common long-term condition, but inadequate support and
   information can lead to poor adherence and treatment failure. We have
   reviewed the international literature of interventions designed to
   promote self-management in adults and children with eczema. MEDLINE,
   MEDLINE in process, Embase, CINAHL and the Global Resource for EczemA
   Trials database were searched from their inception to August 2016, for
   randomized controlled trials. Two authors independently applied
   eligibility criteria, assessed risk of bias for all included studies and
   extracted data. Twenty studies (3028 participants) conducted in 11
   different countries were included. The majority (n = 18) were based in
   secondary care and most (n = 16) targeted children with eczema.
   Reporting of studies, including descriptions of the interventions and
   the outcomes themselves, was generally poor. Thirteen studies were
   face-to-face educational interventions, five were delivered online and
   two were studies of written action plans. Follow-up in most studies (n =
   12) was short term (up to 12 weeks). Only six trials specified a single
   primary outcome. There was limited evidence of effectiveness. Only three
   studies collected and reported outcomes related to cost and just one
   study undertook any formal cost-effectiveness analysis. In summary, we
   have identified a general absence of well-conducted and well-reported
   randomized controlled trials with a strong theoretical basis. Therefore,
   there is still uncertainty about how best to support self-management of
   eczema in a clinically effective and cost-effective way. Recommendations
   on design and conduct of future trials are presented.
RI Ridd, Matthew/E-5656-2016
OI Ridd, Matthew/0000-0002-7954-8823
ZS 0
ZA 0
ZB 2
Z8 0
TC 25
ZR 0
Z9 25
U1 0
U2 9
SN 0007-0963
EI 1365-2133
UT WOS:000411529400050
PM 28432696
ER

PT J
AU Krause, Stefan W.
   Oldenburg, Michael
   Hallek, Michael
   Neubauer, Andreas
TI Priorities of German Oncologists. Results of the "choosing wisely"
   survey of the German Society of Hematology and Medical Oncology (DGHO)
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 142
IS 18
BP E124
EP E130
DI 10.1055/s-0043-109525
PD SEP 2017
PY 2017
AB Background During the preparation of "choosing wisely" recommendations,
   the German Society of Hematology and Medical Oncology (DGHO) had
   performed a member survey. The large body of replies was systematically
   and quantitatively analyzed for this report.
   Methods Replies to the draft recommendations are quantified. Free text
   replies were iteratively categorized in three levels according to
   medical categories and additionally, according to their general target
   of necessary action.
   Results 492 members completed the survey within the given limit of 2
   weeks. Draft recommendations against oversupply were widely supported
   (77 %-88 %). 1598 free text replies were analyzed. Unnecessary use of
   resources was requested in several fields in accordance with our
   recommendations. Strong demand was put forward regarding soft factors:
   "talking medicine", individually tailored therapy, supportive mediing
   medicine", individually tailored therapy, supportive medicine and
   palliative care (51% together) and social resources (11%). Possible
   under-supply was less frequently described in fields of expensive
   measures (17% of replies).
   Conclusion In the replies to our survey, we found a strong statement for
   a plus in talking medicine in oncology. Every physician caring for these
   patients can contribute to this demand. Structural improvements in
   continuing education and reimbursement in this field are desirable.
RI Hallek, Michael/Y-3191-2019
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
TC 0
Z9 0
U1 0
U2 4
SN 0012-0472
EI 1439-4413
UT WOS:000410531000001
PM 28902376
ER

PT J
AU Inzunza, Oscar
   Neyem, Andres
   Eliana Sanz, Maria
   Valdivia, Ivan
   Villarroel, Mauricio
   Farfan, Emilio
   Matte, Andres
   Lopez-Juri, Patricio
TI Anatomicis Network: A Cloud-based Educational Software Platformto
   Enhance Anatomy Teaching in Medical Education
SO INTERNATIONAL JOURNAL OF MORPHOLOGY
VL 35
IS 3
BP 1168
EP 1177
PD SEP 2017
PY 2017
AB In this article, we describe a novel proposal of an educational software
   platform to enhance the anatomy teaching in medical education. In order
   to determine the usefulness and impact of this platform, between 2016
   and 2017, an interinstitutional experience was developed, which included
   the Universities of Antofagasta, Playa Ancha, Austral and Catolica de
   Chile. The participation of anatomy departments in this experience, used
   the educational software platform to access 2D and 3D anatomical images
   and online multimodal practical-theoretical evaluations, being able to
   perform usability tests with their students. This project aims to
   improve teaching in the different anatomy departments throughout the
   country.
RI Neyem, Andres/D-2145-2014
OI Neyem, Andres/0000-0002-5734-722X
ZS 3
ZB 0
ZA 0
Z8 0
ZR 0
TC 4
Z9 5
U1 0
U2 5
SN 0717-9502
EI 0717-9367
UT WOS:000413228700056
ER

PT J
AU Jones, Steven H.
   Jovanoska, Jelena
   Calam, Rachel
   Wainwright, Laura D.
   Vincent, Helen
   Asar, Ozgur
   Diggle, Peter J.
   Parker, Rob
   Long, Rita
   Sanders, Matthew
   Lobban, Fiona
TI Web-based integrated bipolar parenting intervention for parents with
   bipolar disorder: a randomised controlled pilot trial
SO JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY
VL 58
IS 9
BP 1033
EP 1041
DI 10.1111/jcpp.12745
PD SEP 2017
PY 2017
AB Background: People with bipolar disorder (BD) experience additional
   parenting challenges associated with mood driven fluctuations in
   communication, impulse control and motivation. This paper describes a
   novel web-based self-management approach (Integrated Bipolar Parenting
   Intervention; IBPI) to support parents with BD. Method: Parents with BD
   with children aged 3-10 years randomised to IBPI plus treatment as usual
   (TAU) or waitlist control (WL). IBPI offered 16 weeks access to
   interactive self-management information concerning BD and parenting
   issues. Feasibility was through recruitment, retention and web usage.
   Clinical outcomes were assessed at baseline, 16, 24, 36 and 48 weeks.
   Trial Registration Number: ISRCTN75279027. Results: Ninety seven
   participants were recruited with 98% retention to end of intervention
   and 90% to final follow-up (56%-94% data analysed of retained
   participants; higher rates for observer measures). 77% of IBPI
   participants accessed the website (53% accessed parenting modules).
   Child behaviour, parenting sense of competence and parenting stress
   improved significantly in IBPI compared to WL to end of intervention,
   sustained to 48 weeks. Impacts of IBPI on family functioning, parent
   mood and time to mood relapse were not significant. Conclusions: Online
   self-management support for parents with BD is feasible, with promising
   improvements in parenting and child behaviour outcomes. A definitive
   clinical and cost-effectiveness trial is required to confirm and extend
   these findings.
RI Asar, Ozgur/AFW-4798-2022; Sanders, Matthew R/C-1941-2013; Diggle, Peter/; Jones, Steven/; Lobban, Fiona/; Calam, Rachel/
OI Sanders, Matthew R/0000-0003-3479-6337; Diggle,
   Peter/0000-0003-3521-5020; Jones, Steven/0000-0002-8801-5113; Lobban,
   Fiona/0000-0001-6594-4350; Calam, Rachel/0000-0002-4385-1687
TC 14
ZB 1
Z8 0
ZS 0
ZR 0
ZA 0
Z9 14
U1 0
U2 14
SN 0021-9630
EI 1469-7610
UT WOS:000408316100011
PM 28512921
ER

PT J
AU Simonavicius, Erikas
   Robson, Debbie
   McEwen, Andy
   Brose, Leonie S.
TI Cessation support for smokers with mental health problems: a survey of
   resources and training needs
SO JOURNAL OF SUBSTANCE ABUSE TREATMENT
VL 80
BP 37
EP 44
DI 10.1016/j.jsat.2017.06.008
PD SEP 2017
PY 2017
AB Aims: Around thirty percent of smokers have a mental health problem.
   Smoking cessation has been associated with mental health benefits, but
   smoking prevalence remains high in populations with mental health
   problems. This study aimed to assess mental health related knowledge,
   practice, and training needs of practitioners supporting smoking
   cessation.
   Methods: UK stop smoking practitioners (n = 717) recruited via a
   database of a national provider of smoking cessation training in June
   2016 sufficiently completed an online survey about available resources,
   knowledge, confidence, and training needs related to smoking cessation
   and mental health. Responses were described and compared between
   practitioners with a mental health lead and those without such a lead in
   their service using chi-square statistics and t-tests.
   Results: A considerable proportion agreed (37%) or were undecided
   (28.9%) that smoking helped people with mental health problems feel
   better and agreed (17.2%) or were undecided (30.2%) that cessation would
   exacerbate mental health symptoms. Only 11.6% said their service had
   designated funding for smokers with mental health problems and 26.5%
   were or had a staff member who was a dedicated lead practitioner for
   mental health work. Practitioners from services that had a dedicated
   mental health lead were more confident in supporting smokers with
   different mental health problems and using different pharmacotherapies
   (all p < 0.001) and were more likely to disagree that cessation was
   detrimental (p = 0.001). A majority of practitioners were interested in
   training, particularly about smoking cessation effects on psychiatric
   medication (84.3% of n = 632) and how to tailor stop smoking support to
   clients with mental health problems (82.4%).
   Conclusion: Practitioners who support smoking cessation have limited
   knowledge about mental health and smoking but are willing to learn and
   improve. However, they are hindered by a lack of resources. (C) 2017
   Published by Elsevier Inc.
RI Simonavicius, Erikas/I-2582-2019; Brose, Leonie S./H-6690-2019; Robson, Deborah/
OI Simonavicius, Erikas/0000-0002-6323-3659; Robson,
   Deborah/0000-0002-6447-3523
TC 12
ZS 0
ZR 0
ZA 0
ZB 1
Z8 0
Z9 12
U1 0
U2 3
SN 0740-5472
UT WOS:000407529100005
PM 28755771
ER

PT J
AU Moczygemba, Leticia R.
   Pierce, Andrea L.
   Dang, Aziza
   Emberley, Philip
   Czar, Michael J.
   Matzke, Gary R.
TI The ADAPT online education program: A tool for practicing pharmacists
   delivering patient-centered care
SO JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
VL 57
IS 5
BP 601
EP 607
DI 10.1016/j.japh.2017.05.007
PD SEP-OCT 2017
PY 2017
AB Objectives: The ADapting pharmacists' skills and Approaches to maximize
   Patient's drug Therapy effectiveness (ADAPT) e-learning program was
   developed by a consortium of Canadian pharmacy educators and researchers
   to prepare practicing pharmacists for patient-centered care. We selected
   this education program to provide training for pharmacists as the
   workforce transformation component of a Center for Medicare and Medicaid
   Innovation project. In this report we share our experiences with this
   educational program.
   Setting: Online educational program.
   Practice description: ADAPT presents a standard approach to medication
   assessment, team collaboration, patient assessment, evidence-based
   decision making, and documentation.
   Practice innovations: ADAPT was used to prepare practicing pharmacists
   for new roles in direct patient care in patient-centered medical homes.
   Evaluation: Participants were surveyed at the midpoint and end of the
   program to determine its impact on their confidence in providing
   patient-centered care and to elicit feedback about their perceptions of
   the program. Participants completed written action plans for each module
   that included their reflections on the course material and the skills
   they desired to implement in practice. Descriptive statistics were used
   to analyze Likert-type questions, and a content analysis was performed
   to analyze responses to open-ended questions and action plan responses.
   Results: Two pharmacist cohorts completed the 20-week program from
   October 2012 to March 2013 (n = 13) and from August 2013 to January 2014
   (n = 10). Pharmacists' perceived that their confidence in providing
   patient-centered care improved for all modules. Almost all pharmacists
   reported improved confidence in patient interviewing (89%),
   documentation (88%), and collaboration skills (83%). The content
   analysis identified the modules on interviewing and documentation as the
   most valuable and likely to result in changes to the pharmacists'
   practice. The opportunity to learn from colleagues was cited as a
   strength of the program.
   Conclusion: The ADAPT educational program provided pharmacists with the
   tools necessary to deliver patient-centered care in ambulatory care
   settings. (C) 2017 American Pharmacists Association (R). Published by
   Elsevier Inc. All rights reserved.
ZR 0
ZS 2
Z8 0
ZB 1
TC 6
ZA 0
Z9 8
U1 0
U2 8
SN 1544-3191
EI 1544-3450
UT WOS:000412531000011
PM 28734782
ER

PT J
AU Koo, Kevin
   Shee, Kevin
   Yap, Ronald L.
TI Readability analysis of online health information about overactive
   bladder
SO NEUROUROLOGY AND URODYNAMICS
VL 36
IS 7
BP 1782
EP 1787
DI 10.1002/nau.23176
PD SEP 2017
PY 2017
AB AimsDespite the prevalence of overactive bladder (OAB) and the
   widespread accessibility of patient education information on the
   Internet, the readability of this information and its potential impact
   on patient decision-making are not known. This study evaluates the
   readability of OAB material online in the context of website ownership
   and the Health on the Net standard for information reliability.
   MethodsThree Internet search platforms were queried daily with
   OAB-related keywords for 30 days. Readability analysis was performed
   using the SMOG test, Dale-Chall readability formula, and Fry readability
   graph. Websites were stratified by ownership type and Health on the Net
   certification to compare readability metrics.
   ResultsAfter 270 total searches, 57 websites were analyzed. Mean SMOG
   reading grade was 10.7 (SD=1.6) and 10.1 in an adjusted calculation to
   reduce overestimation from medical jargon. Mean Dale-Chall score was 9.2
   (SD=0.9), or grade 13-15. Mean Fry graph coordinates (177 syllables, 5.9
   sentences) corresponded to grade 15. Only seven sites (12%) were
   predicted to be readable by the average adult with an eighth-grade
   reading level. Mean reading grades were not significantly different
   between academic versus commercial sites and Health on the Net-certified
   versus non-certified sites.
   ConclusionsA large majority of online information about OAB treatment
   exceeds the reading ability of most adults. Neither websites sponsored
   by academic institutions nor those certified by the Health on the Net
   standard have easier readability. The readability of health information
   online may be distinct from reliability in the context of urological
   literacy.
RI Shee, Kevin/V-6803-2019
OI Shee, Kevin/0000-0001-5378-7650
ZR 0
TC 6
ZS 0
Z8 0
ZB 4
ZA 0
Z9 6
U1 0
U2 5
SN 0733-2467
EI 1520-6777
UT WOS:000408229600015
PM 27794197
ER

PT J
AU Morin, Beatrice
   Jesus, Pierre
   Fayemendy, Philippe
   Desport, Jean-Claude
CA Reseau LINUT
TI Interest of self-training tools about weight excess in general medicine
SO CAHIERS DE NUTRITION ET DE DIETETIQUE
VL 52
IS 4
BP 175
EP 180
DI 10.1016/j.cnd.2017.04.004
PD SEP 2017
PY 2017
AB General practitioners (GPs) are in an ideal position to manage weight
   excess. Unfortunately they are confronted by an insufficiency of
   training concerning the management of obesity. The objective of the
   study was to evaluate the impact of new self-training tools (slide shows
   and note cards) about weight excess for GPs. The self-training tools
   were based on studies conducted in Limousin. They were available online
   and in paper form. After diffusion, a simple questionnaire of impact on
   knowledge and practices was sent by mail to 1189 GPs identified in
   Limousin. Two hundred and thirty-three questionnaires were received
   (19.6% of shipment). Women (P=0.006 vs. men) and GPs already trained in
   nutrition (P=0.02 vs. untrained GPs) were the most interested about
   management of excess weight. Only 2.7% of the GPs stated that the tools
   were useless. The most interesting topic was the care pathways. Woman
   (P=0.03) and untrained GPs (P=0.02 to 0.04 according to the criterion)
   were particularly beneficiaries. A total of 71.7% of GPs wanted
   distribute the note cards to their patients. Despite a modest response
   rate, the study suggests that GPs were interested by self-training tools
   and that these tools were useful. (C) 2017 Societe francaise de
   nutrition. Published by Elsevier Masson SAS. All rights reserved.
TC 0
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
Z9 0
U1 0
U2 0
SN 0007-9960
UT WOS:000410355500019
ER

PT J
AU Isaak, Robert S.
   Chen, Fei
   Arora, Harendra
   Martinelli, Susan M.
   Zvara, David A.
   Stiegler, Marjorie P.
TI A Descriptive Survey of Anesthesiology Residency Simulation Programs:
   How Are Programs Preparing Residents for the New American Board of
   Anesthesiology APPLIED Certification Examination?
SO ANESTHESIA AND ANALGESIA
VL 125
IS 3
BP 991
EP 998
DI 10.1213/ANE.0000000000002189
PD SEP 2017
PY 2017
AB BACKGROUND: Anesthesiology residency programs may need new
   simulation-based programs to prepare residents for the new Objective
   Structured Clinical Examination (OSCE) component of the American Board
   of Anesthesiology (ABA) Primary Certification process. The design of
   such programs may require significant resources, including faculty time,
   expertise, and funding, as are currently needed for structured oral
   examination (SOE) preparation. This survey analyzed the current state of
   US-based anesthesiology residency programs regarding simulation-based
   educational programming for SOE and OSCE preparation.
   METHODS: An online survey was distributed to every anesthesiology
   residency program director in the United States. The survey included 15
   to 46 questions, depending on each respondent's answers. The survey
   queried current practices and future plans regarding resident
   preparation specifically for the ABA APPLIED examination, with emphasis
   on the OSCE. Descriptive statistics were summarized..2 and Fisher exact
   tests were used to test the differences in proportions across groups.
   Spearman rank correlation was used to examine the association between
   ordinal variables.
   RESULTS: The responding 66 programs (49%) were a representative sample
   of all anesthesiology residencies (N = 136) in terms of geographical
   location (chi(2) P = .58). There was a low response rate from small
   programs that have 12 or fewer clinical anesthesia residents. Ninety-one
   percent (95% confidence interval [CI], 84%-95%) of responders agreed
   that it is the responsibility of the program to specifically prepare
   residents for primary certification, and most agreed that it is
   important to practice SOEs (94%; 95% CI, 88%-97%) and OSCEs (89%; 95%
   CI, 83%-94%). While 100% of respondents reported providing mock SOEs,
   only 31% (95% CI, 24%-40%) of respondents provided mock OSCE
   experiences. Of those without an OSCE program, 75% (95% CI, 64%-83%)
   reported plans to start one. The most common reasons for not having an
   OSCE program already in place, and the perceived challenges for
   implementing an OSCE program, were the same: lack of time (faculty and
   residents), expertise in OSCE development and assessment, and funding.
   CONCLUSIONS: The results provide data from residency programs for
   benchmarking their simulation curriculum and ABA APPLIED Examination
   preparation offerings. Despite agreement that residency programs should
   prepare residents for the ABA APPLIED Examination, many programs have
   yet to implement an OSCE preparation program, in part due to lack of
   financial resources, faculty expertise, and time. Additionally, in
   contrast to the SOE, the OSCE is a new format for ABA primary
   certification. As a result, the lack of consensus concerning preparation
   needs could be related to the amount information that is available
   regarding the examination content and assessment process.
RI Chen, Fei/L-8418-2018; Stiegler, Marjorie/
OI Chen, Fei/0000-0002-4080-5175; Stiegler, Marjorie/0000-0002-5369-1680
ZA 0
ZR 0
Z8 0
ZS 0
ZB 4
TC 11
Z9 11
U1 0
U2 3
SN 0003-2999
UT WOS:000407990200039
PM 28632531
ER

PT J
AU Henningsohn, Lars
   Dastaviz, Nima
   Stathakarou, Natalia
   McGrath, Cormac
TI KIUrologyX: Urology As You Like It-A Massive Open Online Course for
   Medical Students, Professionals, Patients, and Laypeople Alike
SO EUROPEAN UROLOGY
VL 72
IS 3
BP 321
EP 322
DI 10.1016/j.eururo.2017.02.034
PD SEP 2017
PY 2017
RI McGrath, Cormac/H-8935-2019; Henningsohn, Lars/
OI McGrath, Cormac/0000-0002-8215-3646; Henningsohn,
   Lars/0000-0002-5521-8934
ZR 0
TC 15
ZS 0
ZB 0
Z8 0
ZA 0
Z9 15
U1 0
U2 2
SN 0302-2838
EI 1873-7560
UT WOS:000407960100012
PM 28284739
ER

PT J
AU Grosse, Scott D.
   Lam, Wendy K. K.
   Wiggins, Lisa D.
   Kemper, Alex R.
TI Cognitive outcomes and age of detection of severe mucopolysaccharidosis
   type 1
SO GENETICS IN MEDICINE
VL 19
IS 9
BP 975
EP 982
DI 10.1038/gim.2016.223
PD SEP 2017
PY 2017
AB The US Secretary of Health and Human Services recommended in February
   2016 that mucopolysaccharidosis type 1 (MPS I) be added to the
   recommended uniform screening panel for state newborn screening
   programs. One of the key factors in this decision was the evidence
   suggesting that earlier treatment with hematopoietic cell
   transplantation (HCT) for the most severe form, Hurler syndrome (MPS
   IH), would lead to improved cognitive outcomes. Consistent evidence from
   peer-reviewed studies suggests that transplantation in the first year of
   life is associated with improved developmental quotient or intelligence
   quotient and continued cognitive growth, with earlier age of treatment
   associated with improved outcomes. However, available evidence suggests
   that cognitive functioning and attention can still lag behind unaffected
   age-matched children, leading to the need for special education
   services. Verbal and nonverbal cognitive abilities outcomes may be
   affected differently by HCT. With the recent addition of MPS I to the
   recommended uniform screening panel, future work is needed to evaluate
   the impact of earlier, presymptomatic detection and treatment initiation
   and other supportive therapies on cognitive outcomes.
OI Kemper, Alex/0000-0001-5491-3997; Lam, Wendy/0000-0002-4110-9059;
   Grosse, Scott/0000-0003-1078-6855
ZR 1
ZS 0
TC 21
ZA 0
Z8 0
ZB 6
Z9 22
U1 0
U2 2
SN 1098-3600
EI 1530-0366
UT WOS:000409525100004
PM 28125077
ER

PT J
AU Suarez, Carlos J.
   Yu, Linbo
   Downs, Natalie
   Costa, Helio A.
   Stevenson, David A.
TI Promoting appropriate genetic testing: the impact of a combined test
   review and consultative service
SO GENETICS IN MEDICINE
VL 19
IS 9
BP 1049
EP 1054
DI 10.1038/gim.2016.219
PD SEP 2017
PY 2017
AB Purpose: Genetic test misorders can adversely affect patient care.
   However, little is known about the types of misorders and the overall
   impact of a utilization management (UM) program on curbing misorders.
   This study aimed to identify different types of misorders and analyze
   the impact of a combined test review and consultative service on
   reducing misorders over time.
   Methods: Selected genetic tests were systematically reviewed between
   January and December 2015 at Stanford Health Care. Misorders were
   categorized into five types: clerical errors, redundant testing, better
   alternatives, controversial, and uncategorized. Moreover, consultations
   were offered to help clinicians with test selection.
   Results: Of the 629 molecular test orders reviewed, 13% were classified
   as misorders, and 7% were modified or canceled. Controversial misorders
   constitute the most common type (42%); however, unlike the other
   misorder types, they were negligibly affected by test review.
   Simultaneously, 71 consults were received. With the introduction of the
   UM program, genetic test misorders went from 22% at baseline to 3% at
   the end of the year.
   Conclusion: Our results show that the combined approach of test review
   and consultative service effectively reduced misorders over time and
   suggest that a UM program focused on eliminating misorders can
   positively influence health-care providers' behaviors.
ZS 0
ZR 0
Z8 0
ZB 6
TC 14
ZA 0
Z9 14
U1 0
U2 2
SN 1098-3600
EI 1530-0366
UT WOS:000409525100013
PM 28125079
ER

PT J
AU Ross, Jessica
   Bojadzieva, Jasmina
   Peterson, Susan
   Noblin, Sarah Jane
   Yzquierdo, Rebecca
   Askins, Martha
   Strong, Louise
TI The psychosocial effects of the Li-Fraumeni Education and Early
   Detection (LEAD) program on individuals with Li-Fraumeni syndrome
SO GENETICS IN MEDICINE
VL 19
IS 9
BP 1064
EP 1070
DI 10.1038/gim.2017.8
PD SEP 2017
PY 2017
AB Purpose: In the past 5 years, new screening protocols have been
   developed that provide improved cancer screening options for individuals
   with Li-Fraumeni syndrome (LFS). Very little has been published on the
   psychosocial impact of these screening protocols. The goals of this
   study were to determine how participation in screening impacts
   individuals psychosocially, to examine the benefits and drawbacks of
   screening, and to evaluate possible barriers to continued screening.
   Methods: We performed a qualitative study consisting of semistructured
   phone interviews conducted from December 2015 to February 2016 with 20
   individuals attending the LFS screening program at MD Anderson Cancer
   Center.
   Results: Data analysis showed that benefits of screening include early
   detection, peace of mind, centralized screening, knowledge providing
   power, and screening making LFS seem more livable. Perceived drawbacks
   included logistical issues, difficulty navigating the system, screening
   being draining, and significant negative emotional reactions such as
   anxiety, fear, and skepticism. Regardless of the emotions that were
   present, 100% of participants planned on continuing screening in the
   program.
   Conclusion: Our data indicate that the perceived benefits of screening
   outweigh the drawbacks of screening. Individuals in this screening
   program appeared to have improved psychosocial well-being because of
   their access to the screening program.
OI Bojadzieva, Jasmina/0000-0002-1657-6034
ZR 0
ZB 5
TC 20
ZA 0
Z8 0
ZS 0
Z9 20
U1 0
U2 1
SN 1098-3600
EI 1530-0366
UT WOS:000409525100015
PM 28301458
ER

PT J
AU Shahriari, Neda
   Grant-Kels, Jane
   Murphy, Michael J.
TI Dermatopathology education in the era of modern technology
SO JOURNAL OF CUTANEOUS PATHOLOGY
VL 44
IS 9
BP 763
EP 771
DI 10.1111/cup.12980
PD SEP 2017
PY 2017
AB Continuing technological advances are inevitably impacting the study and
   practice of dermatopathology (DP). We are seeing the transition from
   glass slide microscopy to virtual microscopy, which is serving both as
   an accessible educational medium for medical students, residents and
   fellows in the form of online databases and atlases, as well as a
   research tool to better inform us regarding the development of visual
   diagnostic expertise. Expansion in mobile technology is simplifying
   slide image attainment and providing greater opportunities for phone-
   and tablet-based microscopy, including teledermatopathology instruction
   and consultation in resource-poor areas with lack of specialists. Easily
   accessible mobile and computer-based applications (apps), including
   myDermPath and Clearpath, are providing an interactive medium for DP
   instruction. The Internet and social networking sites are enabling rapid
   global communication of DP information and image-sharing, promoting
   collaborative diagnostic research and scholastic endeavors.
OI Shahriari, Neda/0000-0001-5813-0113
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
TC 9
Z9 9
U1 1
U2 5
SN 0303-6987
EI 1600-0560
UT WOS:000407607300008
PM 28612388
ER

PT J
AU Kent, T.
   Davidson, A.
   Newman, D.
   Buck, G.
   D'Cruz, D.
TI Burden of illness in systemic lupus erythematosus: results from a UK
   patient and carer online survey
SO LUPUS
VL 26
IS 10
BP 1095
EP 1100
DI 10.1177/0961203317698594
PD SEP 2017
PY 2017
AB Objective The objective of this study was to assess the impact of
   systemic lupus erythematosus (SLE) on patients and carers.
   Methods Adults with SLE and carers of SLE patients completed a
   UK-specific online survey covering many aspects of the disease. Surveys
   were developed in collaboration with an NHS lupus unit and a lupus
   patient organization.
   Results A total of 121 patients and 31 carers completed the surveys. Of
   the 70% of patients initially misdiagnosed with another condition, 59%
   received treatment for the misdiagnosis. Fatigue was the most
   debilitating symptom, experienced daily by 79% of patients. The
   proportion of patients not reporting flares to healthcare providers
   varied with flare severity: mild flares (43%), moderate flares (15%) and
   severe flares (5%). Most patients (89%) reported reduced ability to
   socialize, and 76% had changed employment; of these, 52% stopped working
   completely. Over one-half (52%) of carers in paid employment missed time
   from work, and 55% of carers reported a worsened financial status. Most
   carers (87%) experienced interference with social activities.
   Conclusion SLE is commonly misdiagnosed and has a considerable impact on
   the physical, social and financial status of patients and carers.
   Increased awareness of the disease among healthcare providers and
   employers of patients and their carers is needed.
ZS 1
Z8 2
ZR 0
ZA 0
ZB 8
TC 22
Z9 24
U1 1
U2 4
SN 0961-2033
EI 1477-0962
UT WOS:000407822000011
PM 28406053
ER

PT J
AU Suszek, Hubert
   Grzesiuk, Lidia
   Styla, Rafal
   Krawczyk, Krzysztof
TI General Overview of Psychotherapeutic Practice in Poland. Results from a
   Nationwide Survey
SO PSYCHIATRIC QUARTERLY
VL 88
IS 3
BP 571
EP 584
DI 10.1007/s11126-016-9480-9
PD SEP 2017
PY 2017
AB A total of 1196 persons conducting psychotherapy in Poland fully
   completed a nationwide online survey (or, alternatively, a paper and
   pencil enquiry) concerning their education, training, experience, and
   clinical work (professional environment, patients treated). The results
   are described in detail and compared with findings of similar studies
   from other countries. Among the primary findings were: (1) psychotherapy
   in Poland is conducted mostly by women (80 %); (2) almost all
   participants have an MA degree (91 %), including 75.2 % having graduated
   in psychology; (3) the therapists are well trained (mean number of
   training hours is above 942) and established (average experience is
   about 9.8 years), however, more than half of the therapists have no type
   of certificate; (4) 54 % of respondents identify with the integrative or
   eclectic orientation and, simultaneously, for 48.6 % of the therapists
   the most important approach is either psychodynamic or psychoanalytic;
   (5) the most common form of therapy is individual psychotherapy in
   private practice; (6) the majority of the therapists treat adult
   patients with anxiety or personality disorders. In sum, the results show
   that psychotherapeutic practice is well established in Poland and many
   indices are similar to those found in Western countries.
OI Suszek, Hubert/0000-0002-6655-4124; Styla, Rafal/0000-0002-3792-8473
ZB 0
TC 3
ZR 0
Z8 0
ZA 0
ZS 0
Z9 3
U1 0
U2 0
SN 0033-2720
EI 1573-6709
UT WOS:000406496400014
PM 27804007
ER

PT J
AU Ravesloot, Cecile J.
   van der Schaaf, Marieke F.
   Kruitwagen, Cas L. J. J.
   van der Gijp, Anouk
   Rutgers, Dirk R.
   Haaring, Cees
   ten Cate, Olle
   van Schaik, Jan P. J.
TI Predictors of Knowledge and Image Interpretation Skill Development in
   Radiology Residents
SO RADIOLOGY
VL 284
IS 3
BP 758
EP 765
DI 10.1148/radiol.2017152648
PD SEP 2017
PY 2017
AB Purpose: To investigate knowledge and image interpretation skill
   development in residency by studying scores on knowledge and image
   questions on radiology tests, mediated by the training environment.
   Materials and Methods: Ethical approval for the study was obtained from
   the ethical review board of the Netherlands Association for Medical
   Education. Longitudinal test data of 577 of 2884 radiology residents who
   took semiannual progress tests during 5 years were retrospectively
   analyzed by using a nonlinear mixed-effects model taking training length
   as input variable. Tests included nonimage and image questions that
   assessed knowledge and image interpretation skill. Hypothesized
   predictors were hospital type (academic or nonacademic), training
   hospital, enrollment age, sex, and test date.
   Results: Scores showed a curvilinear growth during residency. Image
   scores increased faster during the first 3 years of residency and
   reached a higher maximum than knowledge scores (55.8% vs 45.1%). The
   slope of image score development versus knowledge question scores of
   1st-year residents was 16.8% versus 12.4%, respectively. Training
   hospital environment appeared to be an important predictor in both
   knowledge and image interpretation skill development (maximum score
   difference between training hospitals was 23.2%; P < .001).
   Conclusion: Expertise developed rapidly in the initial years of
   radiology residency and leveled off in the 3rd and 4th training year.
   The shape of the curve was mainly influenced by the specific training
   hospital. (C)RSNA, 2017
RI Cate, Olle Th.J. ten/W-8382-2018
OI Cate, Olle Th.J. ten/0000-0002-6379-8780
TC 18
ZB 1
Z8 0
ZR 0
ZA 0
ZS 0
Z9 18
U1 0
U2 2
SN 0033-8419
UT WOS:000408010500014
PM 28398873
ER

PT J
AU Lain, Monica
   Schwartzstein, Richard
   Friedland, Bernard
   Park, Sang E.
TI Dental and Medical Students' Use and Perceptions of Learning Resources
   in a Human Physiology Course
SO JOURNAL OF DENTAL EDUCATION
VL 81
IS 9
BP 1091
EP 1097
DI 10.21815/JDE.017.063
PD SEP 2017
PY 2017
AB The aim of this study was to determine the use and perceived utility of
   various learning resources available during the first-year Integrated
   Human Physiology course at the dental and medical schools at Harvard
   University. Dental and medical students of the Class of 2018 were
   surveyed anonymously online in 2015 regarding their use of 29 learning
   resources in this combined course. The learning resources had been
   grouped into four categories to discern frequency of use and perceived
   usefulness among the categories. The survey was distributed to 169
   students, and 73 responded for a response rate of 43.2%. There was no
   significant difference among the learning resource categories in
   frequency of use; however, there was a statistically significant
   difference among categories in students' perceptions of usefulness. No
   correlation was found between frequency of use and perceived usefulness
   of each category. Students seemingly were not choosing the most useful
   resources for them. These results suggest that, in the current
   educational environment, where new technologies and self-directed
   learning are highly sought after, there remains a need for
   instructor-guided learning.
RI Schwartzstein, Richard/AGO-8549-2022; Schwartzstein, Richard/L-4420-2019
TC 7
ZA 0
ZS 0
Z8 0
ZR 0
ZB 0
Z9 7
U1 0
U2 17
SN 0022-0337
EI 1930-7837
UT WOS:000411045500007
PM 28864791
ER

PT J
AU Ariens, Lieneke F. M.
   Schussler-Raymakers, Florine M. L.
   Frima, Cynthia
   Flinterman, Annebeth
   Hamminga, Eefje
   Arents, Bernd W. M.
   Bruijnzeel-Koomen, Carla A. F. M.
   de Bruin-Weller, Marjolein S.
   van Os-Medendorp, Harmieke
TI Barriers and Facilitators to eHealth Use in Daily Practice: Perspectives
   of Patients and Professionals in Dermatology
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 9
AR e300
DI 10.2196/jmir.7512
PD SEP 2017
PY 2017
AB Background: The number of eHealth interventions in the management of
   chronic diseases such as atopic dermatitis (AD) is growing. Despite
   promising results, the implementation and use of these interventions is
   limited.
   Objectives: This study aimed to assess opinions of the most important
   stakeholders influencing the implementation and use of eHealth services
   in daily dermatology practice.
   Methods: The perspectives of health care professionals and patients
   towards the implementation and use of eHealth services in daily practice
   were assessed by using a mixed method design. A cross-sectional survey
   based on the eHealth implementation toolkit (eHit) was conducted to
   explore factors influencing the adoption of eHealth interventions
   offering the possibility of e-consultations, Web-based monitoring, and
   Web-based self-management training among dermatologists and dermatology
   nurses. The perspectives of patients with atopic dermatitis (AD)
   regarding the use of eHealth services were discussed in an online focus
   group.
   Results: Health care professionals (n=99) and patients (n=9)
   acknowledged the value of eHealth services and were willing to use these
   digital tools in daily dermatology practice. Key identified barriers
   (statements with <50% of the participants scoring totally agree or
   agree) in the implementation and adoption of eHealth interventions
   included concerns about the availability (12/99, 12%) and allocation
   (14/99, 14%) of resources, financial aspects (26/99, 26%), reliability,
   security, and confidentially of the intervention itself (29/99, 29%),
   and the lack of education and training (6/99, 6%).
   Conclusions: Health care professionals and patients acknowledge the
   benefits arising from the implementation and use of eHealth services in
   daily dermatology practice. However, some important barriers were
   identified that might be useful in addressing the implementation
   strategy in order to enhance the implementation success of eHealth
   interventions in dermatology.
OI de Bruin-Weller, Marjolein/0000-0002-1249-6993; Arents,
   Bernd/0000-0001-6884-8014; van Os-Medendorp,
   Harmieke/0000-0003-3300-2101; Ariens, Lieneke FM/0000-0001-5256-0091
ZR 0
ZS 1
Z8 0
TC 44
ZB 3
ZA 0
Z9 44
U1 2
U2 24
SN 1438-8871
UT WOS:000411099100001
PM 28874336
ER

PT J
AU Smallwood, Natasha
   Gaffney, Nicole
   Gorelik, Alexandra
   Irving, Louis
   Le, Brian
   Philip, Jennifer
TI Junior doctors' attitudes to opioids for refractory breathlessness in
   patients with advanced chronic obstructive pulmonary disease
SO INTERNAL MEDICINE JOURNAL
VL 47
IS 9
BP 1050
EP 1056
DI 10.1111/imj.13521
PD SEP 2017
PY 2017
AB Background: Refractory breathlessness is a common, distressing symptom
   in patients with advanced chronic obstructive pulmonary disease (COPD).
   The judicious, offlicence prescription of opioids, together with other
   management strategies, can improve breathlessness, however,
   internationally there is profound reluctance to prescribe opioids for
   breathlessness in COPD.
   Aims: To understand Australian junior doctors' knowledge and attitudes
   regarding the management of refractory breathlessness and the role of
   opioids in COPD.
   Methods: All junior doctors undertaking basic training in internal
   medicine in Victoria were invited to complete an online survey.
   Knowledge, willingness, and experience prescribing opioids to COPD
   patients with refractory breathlessness, were examined.
   Results: Of the 243 responses received, most trainees (193, 86.5%)
   believed opioids have a role in treating refractory breathlessness in
   stable COPD outpatients, with 143 (64.1%) recommending morphine as
   first-line treatment for refractory breathlessness. One quarter (55,
   24.7%) reported having themselves initiated an opioid and 102 (45.7%)
   had prescribed an opioid under senior supervision for management of
   breathlessness in COPD. Concern regarding adverse opioid effects was
   low, with 58 (26.0%) having no concerns prescribing an opioid to COPD
   patients.
   Conclusion: This is the first study of doctors to demonstrate high
   awareness, confidence, willingness and experience in prescribing opioids
   for the off-licence indication of refractory breathlessness in COPD.
   These findings differ significantly from attitudes reported overseas and
   are unexpected given the doctors surveyed were recently qualified. The
   low awareness of possible adverse events and limited insight regarding
   knowledge gaps is concerning and highlights the significant need for
   greater education in palliative care.
RI Smallwood, Natasha/AAE-9653-2019; Gaffney, Nicole/ABA-6932-2020; Gorelik, Alexandra/Z-6361-2019; Le, Brian/; Philip, Jennifer/
OI Smallwood, Natasha/0000-0002-3403-3586; Le, Brian/0000-0002-0830-4864;
   Philip, Jennifer/0000-0002-3312-0645
ZS 0
ZR 0
ZB 1
ZA 0
Z8 0
TC 12
Z9 12
U1 0
U2 6
SN 1444-0903
EI 1445-5994
UT WOS:000410095100011
PM 28585274
ER

PT J
AU Kurtzman, Gregory
   Dine, Jessica
   Epstein, Andrew
   Gitelman, Yevgeniy
   Leri, Damien
   Patel, Mitesh S.
   Ryskina, Kira
TI Internal Medicine Resident Engagement with a Laboratory Utilization
   Dashboard: Mixed Methods Study
SO JOURNAL OF HOSPITAL MEDICINE
VL 12
IS 9
BP 743
EP 746
DI 10.12788/jhm.2811
PD SEP 2017
PY 2017
AB The objective of this study was to measure internal medicine resident
   engagement with an electronic medical record-based dashboard providing
   feedback on their use of routine laboratory tests relative to service
   averages. From January 2016 to June 2016, residents were e-mailed a
   snapshot of their personalized dashboard, a link to the online
   dashboard, and text summarizing the resident and service utilization
   averages. We measured resident engagement using e-mail read-receipts and
   web-based tracking. We also conducted 3 hour-long focus groups with
   residents. Using grounded theory approach, the transcripts were analyzed
   for common themes focusing on barriers and facilitators of dashboard
   use. Among 80 residents, 74% opened the e-mail containing a link to the
   dashboard and 21% accessed the dashboard itself. We did not observe a
   statistically significant difference in routine laboratory ordering by
   dashboard use, although residents who opened the link to the dashboard
   ordered 0.26 fewer labs per doctor-patient-day than those who did not
   (95% confidence interval, -0.77 to 0.25; P = 0.31). While they raised
   several concerns, focus group participants had positive attitudes toward
   receiving individualized feedback delivered in real time. (C) 2017
   Society of Hospital Medicine
OI Epstein, Andrew/0000-0001-5078-6564
ZA 0
TC 8
Z8 0
ZS 0
ZR 0
ZB 0
Z9 8
U1 0
U2 3
SN 1553-5592
EI 1553-5606
UT WOS:000409391400009
PM 28914280
ER

PT J
AU Prabhu, Arpan V.
   Crihalmeanu, Tudor
   Hansberry, David R.
   Agarwal, Nitin
   Glaser, Christine
   Clump, David A.
   Heron, Dwight E.
   Beriwal, Sushil
TI Online palliative care and oncology patient education resources through
   Google: Do they meet national health literacy recommendations?
SO PRACTICAL RADIATION ONCOLOGY
VL 7
IS 5
BP 306
EP 310
DI 10.1016/j.prro.2017.01.013
PD SEP-OCT 2017
PY 2017
AB Purpose: The Google search engine is a resource commonly used by
   patients to access health-related patient education information. The
   American Medical Association and National Institutes of Health recommend
   that patient education resources be written at a level between the third
   and seventh grade reading levels. We assessed the readability levels of
   online palliative care patient education resources using 10 readability
   algorithms widely accepted in the medical literature.
   Methods and materials: In October 2016, searches were conducted for 10
   individual terms pertaining to palliative care and oncology using the
   Google search engine; the first 10 articles written for the public for
   each term were downloaded for a total of 100 articles. The terms
   included palliative care, hospice, advance directive, cancer pain
   management, treatment of metastatic disease, treatment of brain
   metastasis, treatment of bone metastasis, palliative radiation therapy,
   palliative chemotherapy, and end-of-life care. We determined the average
   reading level of the articles by readability scale and Web site domain.
   Results: Nine readability assessments with scores equivalent to academic
   grade level found that the 100 palliative care education articles were
   collectively written at a 12.1 reading level (standard deviation, 2.1;
   range, 7.6-17.3). Zero articles were written below a seventh grade
   level. Forty-nine (49%) articles were written above a high school
   graduate reading level. The Flesch Reading Ease scale classified the
   articles as "difficult" to read with a score of 45.6 of 100. The
   articles were collected from 62 Web site domains. Seven domains were
   accessed 3 or more times; among these, www.mskcc.org had the highest
   average reading level at a 14.5 grade level (standard deviation, 1.4;
   range, 13.4-16.1).
   Conclusions: Most palliative care education articles readily available
   on Google are written above national health literacy recommendations.
   There is need to revise these resources to allow patients and their
   families to derive the most benefit from these materials. (C) 2017
   American Society for Radiation Oncology. Published by Elsevier Inc. All
   rights reserved.
RI Prabhu, Arpan/M-4193-2014
OI Prabhu, Arpan/0000-0002-9928-2911
ZS 0
Z8 0
ZA 0
ZB 2
ZR 0
TC 18
Z9 18
U1 0
U2 11
SN 1879-8500
UT WOS:000416331900013
PM 28341318
ER

PT J
AU Karunakaran, Ilavenil
   Thirumalaikolundusubramanian, Ponniah
   Das Nalinakumari, Sheela
TI A preliminary survey of professionalism teaching practices in anatomy
   education among Indian Medical Colleges
SO ANATOMICAL SCIENCES EDUCATION
VL 10
IS 5
BP 433
EP 443
DI 10.1002/ase.1679
PD SEP-OCT 2017
PY 2017
AB Professionalism and ethics have gained widespread recognition as
   competencies to be fulfilled, taught, and assessed within medical
   education. The role of the anatomy course in developed nations has
   evolved over time and now encompasses multiple domains, including
   knowledge, skills, and the inculcation of professionalism and ethics.
   The Medical Council of India recently recommended the integration of
   professionalism teaching in undergraduate medical curricula. The authors
   investigated whether the initial orientation lectures and instructions
   given by faculty at the outset of undergraduate medical anatomy courses
   throughout India served a hidden curriculum regarding professionalism
   practices, and whether these orientation messages could serve as an
   early exposure to medical professionalism and ethics for medical
   students. An online survey was carried out among 102 anatomy faculty
   members across India requesting details about specific professionalism
   protocols and instructions regarding behavior in the dissection hall
   that are routinely given to preclinical students, as well as the
   importance that they placed on professional behavior. It was found that
   most faculty members regularly instruct students regarding expected
   behavior during the anatomy course, including dissection practices.
   These instructions stress attributes of professionalism like humanism,
   accountability, and honesty. However, there needs to be a more
   concentrated effort by educators to prohibit such unprofessional
   practices like dissection hall photography, and better information is
   required regarding biomedical waste disposal. Despite the absence of
   clear guidelines for professionalism teaching in medical education in
   India, the existing framework of anatomy education provides an
   opportunity to introduce the concept of professionalism to the
   first-year medical student. This opportunity may provide an early
   foundation for designing a professionalism-integrated curriculum. Anat
   Sci Educ 10: 433-443. (c) 2017 American Association of Anatomists.
RI Karunakaran, Ilavenil/AFK-6944-2022
ZS 1
ZA 0
TC 12
ZR 0
ZB 0
Z8 0
Z9 13
U1 1
U2 14
SN 1935-9772
EI 1935-9780
UT WOS:000408931900003
PM 28165673
ER

PT J
AU Davis, Daniel E.
   Stoll, Laura
   Brolin, Tyler
   Updegrove, Gary
   Horneff, John G.
TI Quality and readability of online resources regarding shoulder
   osteoarthritis
SO CURRENT ORTHOPAEDIC PRACTICE
VL 28
IS 5
BP 474
EP 478
DI 10.1097/BCO.0000000000000535
PD SEP-OCT 2017
PY 2017
AB Background:
   Education through internet searches is becoming more commonplace as
   patients look to become more involved in the medical decision-making
   process. Studies have shown poor quality and readability of online
   discussion of several orthopaedic conditions. The goal of this study was
   to evaluate the quality of online information available for arthritis of
   the shoulder.
   Methods:
   Three search engines were used to identify three common terms signifying
   shoulder osteoarthritis: "shoulder arthritis,'' "glenohumeral
   arthritis,'' and "shoulder joint disease.'' The top resulting websites
   were collected, repeats were eliminated, and the resulting sites were
   evaluated. Four shoulder and elbow fellows evaluated each using a
   quality scoring system. The websites were also graded on readability
   using the Flesch-Kincaid system.
   Results:
   Forty-five unique websites were evaluated for quality and readability.
   The average quality of websites scored was 12.33 +/- 4.11 out of 25 with
   no significant difference due to search term or author. When scored for
   accuracy, "shoulder arthritis'' was significantly lower than
   "glenohumeral arthritis'' or "shoulder joint disease.'' Flesh-Kincaid
   (FK) analysis revealed that zero studies were below an 8th grade reading
   level and overall mean FK score was 11.32 +/- 2.66 (range, 8.2 to 18.2).
   Conclusions:
   This study found that there is a consistently low quality of web-based
   information available to patients in regards to glenohumeral arthritis
   of the shoulder. Additionally, this information is presented in a way
   that is above the average reading level of the Unites States population.
   It is important that orthopaedic surgeons help to improve web-based
   material and provide this information to patients.
RI Updegrove, Gary/ABH-5750-2020; Shcherbina, Maxim A/G-9568-2013; Percec, Virgil/H-6316-2014; Updegrove, Gary/
OI Shcherbina, Maxim A/0000-0002-5569-958X; Percec,
   Virgil/0000-0001-5926-0489; Updegrove, Gary/0000-0002-1594-7411
ZR 0
ZB 0
ZA 0
Z8 0
TC 1
ZS 0
Z9 1
U1 0
U2 1
SN 1940-7041
EI 1941-7551
UT WOS:000409989100007
ER

PT J
AU Zavell, Amy E.
   Greenberg, Judah N.
   Alam, Murad
   Armbrecht, Eric S.
   Maher, Ian A.
TI A 30-Minute, Monthly, Live, Webinar-Based Journal Club Activity Alters
   the Self-Reported Behaviors of Dermatologic Surgeons
SO DERMATOLOGIC SURGERY
VL 43
IS 9
BP 1144
EP 1147
DI 10.1097/DSS.0000000000001160
PD SEP 2017
PY 2017
AB BACKGROUND Journal clubs provide a way to communicate advances in recent
   literature. In outpatient surgical subspecialties, such as dermatologic
   surgery, physicians may face challenges in finding or attending meetings
   pertinent to their practice.
   OBJECTIVE To assess the utility of a live web-based journal club in
   dermatologic surgery.
   MATERIALS AND METHODS Monthly 30-minute journal club sessions covering 5
   to 6 scholarly articles. Anonymous surveys were used to evaluate the
   utility and self-reported learning associated with each meeting.
   RESULTS From December 2012 to February 2015, 117 articles were reviewed.
   Survey data were acquired monthly, apart from 5 months of missing data.
   On average, the survey response rate was 37% (range: 7%-82%), with an
   average of 17 participants per monthly session (range: 9-25). The mean
   monthly usefulness score was 83.7 (101-point scale), with participants
   scoring their likelihood of returning in the future as 96.2 (0 = not
   likely, 100 = extremely likely). At each session, a mean of 68% of
   participants felt that at least one article would change their practice
   of medicine.
   CONCLUSION A monthly online and telephonic journal club may be a
   practical and effective way to inform dermatologic surgeons of new
   developments in high impact literature and may influence improvements in
   individual practice.
OI Maher, Ian/0000-0002-3768-9695
ZS 0
ZR 0
Z8 0
TC 10
ZB 1
ZA 0
Z9 10
U1 0
U2 2
SN 1076-0512
EI 1524-4725
UT WOS:000409019900005
PM 28448314
ER

PT J
AU Pedersen, Craig A.
   Schneider, Philip J.
   Scheckelhoff, Douglas J.
TI ASHP national survey of pharmacy practice in hospital settings:
   Prescribing and transcribing-2016
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 74
IS 17
BP 1336
EP 1352
DI 10.2146/ajhp170228
PD SEP 1 2017
PY 2017
AB Purpose. The results of the 2016 ASHP national survey of pharmacy
   practice in hospital settings are presented.
   Methods. A stratified random sample of pharmacy directors at 1,315
   general and children's medical surgical hospitals in the United States
   were surveyed using a mixed-mode method offering a choice of completing
   a paper survey or an online survey. IMS Health supplied data on hospital
   characteristics; the survey sample was drawn from IMS's hospital
   database.
   Results. The survey response rate was 29.8%. Drug policy development by
   pharmacy and therapeutics committees continues to be an important
   strategy for improving prescribing. Strict formulary systems are
   maintained in 63.0% of hospitals, and 89.7% of hospitals use clinical
   practice guidelines that include medications. Pharmacists have the
   authority to order laboratory tests in 89.9% of hospitals and order
   medications in 86.8% of hospitals. Therapeutic interchange policies are
   used in 89.2% of hospitals. Electronic health records (EHRs) have been
   implemented partially or completely in most hospitals (99.1%).
   Computerized prescriber-order-entry systems with clinical decision
   support are used in 95.6% of hospitals, and 92.6% of hospitals have
   barcode-assisted medication administration systems. Transitions-of-care
   programs are increasing in number, with 34.6% of hospitals now offering
   discharge prescription services. Pharmacists practice in 39.5% of
   hospital ambulatory or primary care clinics. The most common service
   offered by pharmacists to outpatients is anticoagulation management
   (26.0%). When pharmacists practice in ambulatory care clinics, 64.5%
   have prescribing authority through collaborative practice agreements.
   Conclusion. Pharmacists continue to expand their role in improving the
   prescribing of medications in both hospital and outpatient settings. The
   adoption of EHRs and medication-use technologies has contributed to this
   growth.
RI Schneider, Philip/AAA-8196-2022
OI Schneider, Philip/0000-0001-8740-809X
ZR 0
ZA 0
ZS 3
TC 64
ZB 12
Z8 1
Z9 67
U1 1
U2 15
SN 1079-2082
EI 1535-2900
UT WOS:000408702800011
PM 28743758
ER

PT J
AU Gomez, Alexis C.
   Warburton, Karen M.
   Miller, Rachel K.
   Negoianu, Dan
   Cohen, Jordana B.
TI An Interactive Ambulatory Nephrology Curriculum for Internal Medicine
   Interns: Design, Implementation, and Participant Feedback
SO AMERICAN JOURNAL OF KIDNEY DISEASES
VL 70
IS 3
BP 415
EP 421
DI 10.1053/j.ajkd.2017.03.022
PD SEP 2017
PY 2017
AB While diminishing nephrology fellow recruitment is a known issue, more
   work is needed to evaluate possible interventions to reverse this trend.
   We designed and implemented a curriculum to increase exposure to
   ambulatory nephrology among internal medicine interns. The curriculum
   focused on key aspects of outpatient nephrology practice, including
   supervised clinic visits, formal themed didactic content, and an online
   interactive forum with assigned evidence-based readings and small-group
   responses to relevant cases. We obtained postcourse surveys from all
   participating interns. Of the 43 interns who took part in the first year
   of the ambulatory nephrology curriculum, 100% reported a positive
   didactic experience and 91% reported a positive interactive online
   experience. 77% reported an improvement in their familiarity with
   clinical nephrology practice (median 2-point increase in familiarity
   score on a 7-point scale, P < 0.001 by signed rank testing). Qualitative
   feedback included praise for the high-yield topics covered by the
   lectures and energizing teachers. In conclusion, we successfully
   implemented an ambulatory nephrology curriculum using a framework that
   integrated formal didactics, interactive online learning, and key
   clinical components of outpatient nephrology care. Future investigation
   will evaluate whether early implementation of this curriculum is
   associated with increased pursuit of nephrology as a career. (C) 2017 by
   the National Kidney Foundation, Inc.
RI Cohen, Jordana/S-5435-2016
OI Cohen, Jordana/0000-0003-4649-079X
ZR 0
TC 6
ZB 2
Z8 0
ZS 0
ZA 0
Z9 6
U1 0
U2 4
SN 0272-6386
EI 1523-6838
UT WOS:000408157900016
PM 28579421
ER

PT J
AU Hodax, Jonathan D.
   Baird, Grayson L.
   McBride, Trevor
   Owens, Brett D.
TI Readability of Online Sources Regarding Meniscal Tears
SO JOURNAL OF KNEE SURGERY
VL 30
IS 7
BP 712
EP 717
DI 10.1055/s-0036-1598009
PD SEP 2017
PY 2017
AB Meniscal injuries are extremely common, with an incidence of 8.3 per
   1,000 person/years in young, active individuals. Patients often turn to
   the internet to glean information about their injuries, and even to
   guide decision making about treatment. Much research has been done
   demonstrating that a reading level of eighth grade or lower is
   appropriate for accurately communicating written information to
   patients, yet medical practitioners often fail to meet this requirement.
   To better examine the information patients receive about meniscal
   injuries, we set out to evaluate the reading level and content of three
   commonly used search terms on the three search engines with the largest
   market share. The authors examined the keywords meniscus tear, meniscus
   tear treatment, and knee pain meniscus on the three highest market share
   search engines. The top 10 results from each search were included, and
   redundancies identified. Unique Web sites were evaluated for source,
   word count, reading level, and content including advertisements,
   diagrams, photographs, nonoperative and operative options, and accurate
   medical information. A total of 23 unique Web sites were identified in
   our search, including 13 public education sources, 6 academic
   institutions, and 4 private physicians/groups. Average grade levels of
   articles ranged from 9.4 to 14.2 (mean, 11.14; standard deviation [SD]
   1.46), and Flesch-Kincaid reading ease scores ranged from 23.9 to 68.7
   (mean, 55.31; SD, 10.11). Pages from public sources required the highest
   level of readability (11.6, 95% confidence interval [CI]: 9.8-13.2),
   which was significantly higher than private (11.0, 95% CI: 9.3, 12.7])
   and academic (10.9, 95% CI: 8.9-12.9), p =0.007 and p =0.002,
   respectively. Further efforts to make appropriate health information
   available to patients are needed.
ZS 0
ZB 0
TC 3
Z8 0
ZA 0
ZR 0
Z9 3
U1 0
U2 0
SN 1538-8506
EI 1938-2480
UT WOS:000408351300016
PM 28038475
ER

PT J
AU Davids, Jennifer S.
   Scully, Rebecca E.
   Melnitchouk, Nelya
TI Impact of Procedural Training on Pregnancy Outcomes and Career
   Satisfaction in Female Postgraduate Medical Trainees in the United
   States
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 225
IS 3
BP 411
EP +
DI 10.1016/j.jamcollsurg.2017.05.018
PD SEP 2017
PY 2017
AB BACKGROUND: Compared with nonprocedural fields, procedural
   specialization requires longer training, less flexible schedules, and
   greater physical demands. The impact of these factors on pregnancy,
   maternity outcomes, and career satisfaction has not been well described.
   STUDY DESIGN: Data were gathered from 738 US postgraduate medical
   trainee mothers via an anonymous, IRB-approved online survey. Univariate
   analysis was performed using chi-square tests. A logistic regression
   model was used to investigate the impact of procedural training on odds
   of assisted reproduction use and pregnancy complications, adjusting for
   age at first pregnancy.
   RESULTS: Of the 738 respondents, 221 (30.0%) were in procedural fields.
   A greater percentage of procedural trainees were more than 30 years old
   at the time of first pregnancy (52.9% vs 43.1%; p = 0.01). Controlling
   for maternal age, procedural trainees were significantly more likely to
   require assisted reproduction (odds ratio [OR] 1.28; 95% CI 1.01 to
   1.61; p = 0.04), and trended toward increased odds of prolonged time to
   conceive (OR 1.62; 95% CI 0.99 to 2.65; p = 0.06). After delivery,
   procedural trainees also had higher adjusted odds of shorter maternity
   leave (OR 1.52; 95% CI 1.06 to 2.18; p = 0.03) and were significantly
   more likely to report a desire to have chosen a less demanding specialty
   or job (OR 1.95; 95% CI 1.40 to 2.72; p < 0.001).
   CONCLUSIONS: Procedural trainees have higher rates of assisted
   reproduction, shorter maternity leave, and are ultimately more likely to
   express career dissatisfaction. These findings illustrate the need for
   adequate support for trainee mothers, particularly in procedural
   specialties. (C) 2017 by the American College of Surgeons. Published by
   Elsevier Inc. All rights reserved.
OI Scully, Rebecca/0000-0002-6887-9600
ZS 0
Z8 0
TC 20
ZB 4
ZA 0
ZR 0
Z9 20
U1 0
U2 3
SN 1072-7515
EI 1879-1190
UT WOS:000408236800010
PM 28627411
ER

PT J
AU Amath, Aysah
   Ambacher, Kristin
   Leddy, John J.
   Wood, Timothy J.
   Ramnanan, Christopher J.
TI Comparing alternative and traditional dissemination metrics in medical
   education
SO MEDICAL EDUCATION
VL 51
IS 9
BP 935
EP 941
DI 10.1111/medu.13359
PD SEP 2017
PY 2017
AB ContextThe impact of academic scholarship has traditionally been
   measured using citation-based metrics. However, citations may not be the
   only measure of impact. In recent years, other platforms (e.g. Twitter)
   have provided new tools for promoting scholarship to both academic and
   non-academic audiences. Alternative metrics (altmetrics) can capture
   non-traditional dissemination data such as attention generated on social
   media platforms.
   ObjectivesThe aims of this exploratory study were to characterise the
   relationships among altmetrics, access counts and citations in an
   international and pre-eminent medical education journal, and to clarify
   the roles of these metrics in assessing the impact of medical education
   academic scholarship.
   MethodsA database study was performed (September 2015) for all papers
   published in Medical Education in 2012 (n = 236) and 2013 (n = 246).
   Citation, altmetric and access (HTML views and PDF downloads) data were
   obtained from Scopus, the Altmetric Bookmarklet tool and the journal
   Medical Education, respectively. Pearson coefficients (r-values) between
   metrics of interest were then determined.
   ResultsTwitter and Mendeley (an academic bibliography tool) were the
   only altmetric-tracked platforms frequently (> 50%) utilised in the
   dissemination of articles. Altmetric scores (composite measures of all
   online attention) were driven by Twitter mentions. For short and
   full-length articles in 2012 and 2013, both access counts and citation
   counts were most strongly correlated with one another, as well as with
   Mendeley downloads. By comparison, Twitter metrics and altmetric scores
   demonstrated weak to moderate correlations with both access and citation
   counts.
   ConclusionsWhereas most altmetrics showed limited correlations with
   readership (access counts) and impact (citations), Mendeley downloads
   correlated strongly with both readership and impact indices for articles
   published in the journal Medical Education and may therefore have
   potential use that is complementary to that of citations in assessment
   of the impact of medical education scholarship.
RI Ramnanan, Christopher Jerome/I-4552-2019; Wood, Timothy/
OI Ramnanan, Christopher Jerome/0000-0002-9140-9439; Wood,
   Timothy/0000-0001-9177-704X
TC 45
ZA 0
ZR 0
ZS 2
Z8 0
ZB 12
Z9 47
U1 1
U2 31
SN 0308-0110
EI 1365-2923
UT WOS:000407908200010
PM 28719136
ER

PT J
AU Palamar, Maria B.
   Correa, Maria T.
   Peterson, Nils M.
   DePerno, Christopher S.
TI Public Preference for Pet-Rabies Prophylaxis: Opportunities and
   Information Dissemination
SO TROPICAL MEDICINE AND INFECTIOUS DISEASE
VL 2
IS 3
AR 46
DI 10.3390/tropicalmed2030046
PD SEP 2017
PY 2017
AB Risky human behavior and high density of rabies vectors in urban
   environments combine to increase the risk of rabies. Pet vaccination,
   wildlife vector management, and public health education may be the most
   efficient ways to prevent urban rabies epidemics. Racial, ethnic, and
   socio-economic factors influence the use of low-cost rabies vaccination
   clinics, understanding rabies reporting requirements, and learning
   preferences. In collaboration with the City of Greensboro and Animal
   Control in Guilford County, NC, we conducted a survey of rabies
   prevention and transmission across socio-economic strata representing
   Latinos, African Americans, and Whites, and different income and
   education levels. Compliance with vaccination was low among Latinos;
   African Americans and Latinos were not aware of low-cost rabies
   vaccination clinics; and most respondents were willing to report rabid
   animals but did not know whom to call. White respondents preferred
   online information delivery, whereas Latinos and African Americans
   preferred postal mail. Communication targeting the public requires the
   consideration of different message decoding and interpretation based on
   the ethnicity, income, and educational level, and other barriers such as
   language. Differing message delivery methods may be required to achieve
   full dissemination.
OI PERNO, CARLO FEDERICO/0000-0002-0825-5388; DePerno,
   Chris/0000-0002-2147-8607; Peterson, Nils/0000-0002-4246-1206
TC 1
ZB 0
ZS 0
ZR 0
Z8 0
ZA 0
Z9 1
U1 0
U2 1
EI 2414-6366
UT WOS:000648942900027
PM 30270903
ER

PT J
AU Gruther, Wolfgang
   Pieber, Karin
   Steiner, Irene
   Hein, Cornelia
   Hiesmayr, Joerg Michael
   Paternostro-Sluga, Tatjana
TI Can Early Rehabilitation on the General Ward After an Intensive Care
   Unit Stay Reduce Hospital Length of Stay in Survivors of Critical
   Illness? A Randomized Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 9
BP 607
EP 615
DI 10.1097/PHM.0000000000000718
PD SEP 2017
PY 2017
AB Objective The aim of this study was to evaluate if an early
   rehabilitation program for survivors of critical illness improves
   functional recovery, reduces length of stay, and reduces hospital costs.
   Design This was a prospective randomized controlled trial. Fifty-three
   consecutive survivors of critical illness were included in the study.
   After discharge from the intensive care unit, the intervention group
   received an early rehabilitation program, and the standard-care group
   received physical therapy as ordered by the primary care team. Length of
   stay at the general ward after transfer from the intensive care unit was
   recorded. In addition, Early Rehabilitation Barthel Index, visual analog
   scale for pain, 3-minute walk test, Beck Depression Inventory,
   State-Trait Anxiety Inventory, and Medical Research Council scale were
   used.
   Results In the per-protocol analysis, length of stay at the general ward
   was a median 14 days (interquartile range [IQR], 12-20 days) in the
   early rehabilitation and 21 days [IQR, 13-34 days) in the standard-care
   group. This significant result could not be confirmed by the
   intention-to-treat analysis (16 days [IQR, 13-23 days] vs. 21 days [IQR,
   13-34 days]). Secondary outcomes were similar between the groups.
   Hospital costs were lower in the intervention group. No adverse effects
   were detected.
   Conclusions An early rehabilitation program in survivors of critical
   illness led to an earlier discharge from the hospital, improved
   functional recovery, and was also cost-effective and safe.
RI Hiesmayr, Michael Joerg/AAR-1969-2020
ZB 8
TC 31
ZR 1
ZA 0
ZS 1
Z8 2
Z9 35
U1 0
U2 17
SN 0894-9115
EI 1537-7385
UT WOS:000407889500006
PM 28181920
ER

PT J
AU Moraska, Albert F.
   Schmiege, Sarah J.
   Mann, John D.
   Butryn, Nathan
   Krutsch, Jason P.
TI Responsiveness of Myofascial Trigger Points to Single and Multiple
   Trigger Point Release Massages A Randomized, Placebo Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 9
BP 639
EP 645
DI 10.1097/PHM.0000000000000728
PD SEP 2017
PY 2017
AB Objective This study aimed to assess the effects of single and multiple
   massage treatments on pressure-pain threshold (PPT) at myofascial
   trigger points (MTrPs) in people with myofascial pain syndrome expressed
   as tension-type headache.
   Design Individuals (n = 62) with episodic or chronic tension-type
   headache were randomized to receive 12 twice-weekly 45-min massage or
   sham ultrasound sessions or wait-list control. Massage focused on
   trigger point release (ischemic compression) of MTrPs in the bilateral
   upper trapezius and suboccipital muscles. PPT was measured at MTrPs with
   a pressure algometer pre and post the first and final (12th) treatments.
   Results PPT increased across the study timeframe in all four muscle
   sites tested for massage, but not sham ultrasound or wait-list groups (P
   < 0.0001 for suboccipital; P < 0.004 for upper trapezius). Post hoc
   analysis within the massage group showed (1) an initial, immediate
   increase in PPT (all P values < 0.05), (2) a cumulative and sustained
   increase in PPT over baseline (all P values < 0.05), and (3) an
   additional immediate increase in PPT at the final (12th) massage
   treatment (all P values < 0.05, except upper trapezius left, P = 0.17).
   Conclusions Single and multiple massage applications increase PPT at
   MTrPs. The pain threshold of MTrPs have a great capacity to increase;
   even after multiple massage treatments additional gain in PPT was
   observed.
ZS 2
ZA 0
TC 21
Z8 2
ZB 1
ZR 0
Z9 25
U1 0
U2 26
SN 0894-9115
EI 1537-7385
UT WOS:000407889500012
PM 28248690
ER

PT J
AU Seidel, Erica
   Crowe, Scott
TI The State of Disability Awareness in American Medical Schools
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 9
BP 673
EP 676
DI 10.1097/PHM.0000000000000719
PD SEP 2017
PY 2017
AB This study was designed to: (1) determine how many American medical
   schools include disability awareness in their curriculum, (2) explore
   the format of disability awareness programs in existence, and (3)
   understand why some schools do not include disability awareness in their
   curriculum. An online survey was sent to deans of medical education (or
   equivalent positions) at accredited allopathic and osteopathic American
   medical schools (N = 167) in 2015. Seventy-five schools (45%) completed
   surveys. Fifty-two percent (39/75) reported having a disability
   awareness program. The most common format was people with disabilities
   or caregivers speaking in a large group setting. Programs were most
   likely to focus on adults with physical disabilities. Among schools
   without a program, the top barriers were no one advocating for inclusion
   in the curriculum and time constraints. Nearly half of schools without a
   program expressed interest in adopting an awareness curriculum if one
   was made available. Such results indicate that efforts should be made to
   increase the number of schools that provide disability awareness
   education through increased advocacy and providing additional resources
   to schools without a curriculum.
ZR 0
ZB 4
ZS 0
Z8 0
ZA 0
TC 22
Z9 22
U1 2
U2 10
SN 0894-9115
EI 1537-7385
UT WOS:000407889500018
PM 28187005
ER

PT J
AU Barrett, Michael J.
   Mackie, Andrew S.
   Finley, John P.
TI Cardiac Auscultation in the Modern Era Premature Requiem or Phoenix
   Rising?
SO CARDIOLOGY IN REVIEW
VL 25
IS 5
BP 205
EP 210
DI 10.1097/CRD.0000000000000145
PD SEP-OCT 2017
PY 2017
AB Competent cardiac auscultation remains a most important skill for the
   detection of heart disease. Currently it is poorly taught and often
   ignored or poorly performed, resulting in inaccurate and inefficient
   patient assessments. This review documents that teaching can be over 90%
   effective with new, proven teaching methods emphasizing repetition and
   normal-abnormal comparisons of sounds, using computer-aided and online
   resources. At present, these concepts are not widely adopted by medical
   schools. Our current knowledge of teaching heart auscultation is
   critically reviewed, including traditional bedside, clinic and classroom
   settings, as well as computer, simulator, and multimedia-based learning.
   The assessment of auscultation skill in the learning process. The
   adoption of competence-based learning promises to integrate the
   assessment of auscultation skill in the learning process. Newer teaching
   methods, such as auditory training and repetitive listening, offer
   excellent murmur recognition and diagnosis learning, and hand-held
   ultrasound is proposed as a helpful adjunct to teaching auscultation.
   Although ongoing research remains important to develop better teaching
   methods, the adoption of proven existing concepts has great potential to
   improve teaching and practice of this valuable skill.
OI Mackie, Andrew/0000-0001-6126-1130
ZB 1
Z8 0
ZR 0
TC 14
ZS 0
ZA 0
Z9 14
U1 0
U2 2
SN 1061-5377
EI 1538-4683
UT WOS:000407371300002
PM 28786895
ER

PT J
AU Fan, Si
   Radford, Jan
   Fabian, Debbie
TI digiMe: An Online Portal to Support Connectivity through E-Learning in
   Medical Education
SO INFORMATICS-BASEL
VL 4
IS 3
AR 30
DI 10.3390/informatics4030030
PD SEP 2017
PY 2017
AB Connectivity is intrinsic to all aspects of our life today, be it
   political, economic, technological, scientific, or personal. Higher
   education is also transcending the previous paradigm of technology
   enabled content delivery and e-learning, with a new emphasis on
   connectivity, enabling participants to exchange knowledge and
   collaborate to meet educational goals. In this study, a social media
   technology supported website-digiMe-was developed and evaluated at the
   School of Medicine of one Australian university. Connectivity to other
   medical learners and health professionals is intrinsic to digiMe. This
   paper reports the functionalities of this website, results of a
   post-intervention evaluative survey, and statistics of website usage
   generated from Google Analytics. The results revealed more active
   adoptions and a more positive attitude towards digiMe from Year 4
   students compared to Year 5 students. The participants showed a desire
   for access to a recommended collection of apps, such as those offered
   through digiMe. However, many participants did not use digiMe beyond
   initial introduction to it. digiMe demonstrated its potential in raising
   awareness of web and mobile apps useful for enhancing connectivity,
   although it needs to be introduced to students in earlier years of their
   medical education to achieve a higher impact on their learning.
RI Radford, Jan/I-1434-2014; Fan, Si/J-7763-2014
OI Radford, Jan/0000-0002-5751-0488; Fan, Si/0000-0003-1572-3677
ZA 0
TC 0
ZS 0
ZR 0
Z8 0
ZB 0
Z9 0
U1 0
U2 4
SN 2227-9709
UT WOS:000423669100016
ER

PT J
AU Robinson, Tracy
   Janssen, Anna
   Kirk, Judy
   DeFazio, Anna
   Goodwin, Annabel
   Tucker, Kathy
   Shaw, Timothy
TI New Approaches to Continuing Medical Education: a QStream (spaced
   education) Program for Research Translation in Ovarian Cancer
SO JOURNAL OF CANCER EDUCATION
VL 32
IS 3
BP 476
EP 482
DI 10.1007/s13187-015-0944-7
PD SEP 2017
PY 2017
AB Continuing medical education (CME) is challenging and often has limited
   impact on clinician behavior or patient outcomes. This study examined
   the impact of an online Qstream education program on senior clinicians
   to determine its utility for increasing clinician knowledge about the
   latest guidelines regarding genetic assessment and consideration of
   genetic testing for women with particular types of ovarian, fallopian
   tube and primary peritoneal cancer. Participants were recruited into a
   pilot study that involved responding to case-based scenarios at spaced
   and repeated intervals. At the completion of the program,
   semi-structured interviews were conducted to ascertain the impact on
   their knowledge and referral behavior. Findings from interviews were
   subject to thematic analysis that involved the identification of
   categories and themes. Twenty-one participants commenced the program,
   seventeen completed and twelve participated in semi-structured
   interviews. Thematic analysis yielded several themes including knowledge
   change, curriculum and format and changes in referral patterns. A
   majority of participants (n = 10) agreed the program had helped update
   their knowledge about referring women, and eight agreed they would now
   change their referral patterns. The use of QStream as an approach to CME
   has significant advantages when working with busy clinicians. QStream
   has a well accepted format and most participants indicated it is very
   appropriate for disseminating updates to clinical guidelines and
   protocols. It is important to supplement CME programs with other
   implementation techniques, such as audit and feedback as multifaceted
   approaches are more likely to result in behavior change.
RI Janssen, Anna/AAE-6751-2019; Robinson, Tracy/AAF-2958-2021; DeFazio, Anna/O-2385-2019; Goodwin, Annabel/
OI Janssen, Anna/0000-0001-6611-9651; DeFazio, Anna/0000-0003-0057-4744;
   Goodwin, Annabel/0000-0002-8859-9980
ZB 1
ZR 0
ZA 0
ZS 0
TC 17
Z8 0
Z9 17
U1 0
U2 2
SN 0885-8195
EI 1543-0154
UT WOS:000407257800010
PM 26574041
ER

PT J
AU Simonnet, Damien
   Anquetil, Eric
   Bouillon, Manuel
TI Multi-criteria handwriting quality analysis with online fuzzy models
SO PATTERN RECOGNITION
VL 69
BP 310
EP 324
DI 10.1016/j.patcog.2017.04.003
PD SEP 2017
PY 2017
AB IntuiScript is an innovative project aiming at the development of a
   digital workbook providing feedback during the handwriting learning
   process for children from three to seven years old. In this context, the
   paper presents a method to analyse handwriting quality that responds to
   the expectations of the IntuiScript educational scenario: on-line and
   real time feedback for children, an automatic detection of children
   mistakes guiding the pedagogical progression, and a precise analysis of
   children writing saved to help teacher to understand children writing
   skills. The presented method introduces a multi-criteria architecture to
   analyse handwriting quality based on three different aspects: shape,
   order and direction. The validation of the proposed approach is done on
   a realistic dataset collected in preschools and primary schools with 952
   children. Results show a positive feedback of children and teachers
   about the use of tactile digital devices, and a significant improvement
   of the performances of the multi-criteria architecture compared to the
   previous analyser. The ground truth has been annotated by experts with
   different levels of confidence. Specific evaluation metrics are
   introduced to deal with confidence annotations. (C) 2017 Elsevier Ltd.
   All rights reserved.
ZA 0
ZR 0
ZS 0
Z8 1
ZB 1
TC 13
Z9 14
U1 0
U2 19
SN 0031-3203
EI 1873-5142
UT WOS:000403135200023
ER

PT J
AU McDaniel, Patricia A.
   Lown, E. Anne
   Malone, Ruth E.
TI It doesn't seem to make sense for a company that sells cigarettes to
   help smokers stop using them" : A case study of Philip Morris's
   involvement in smoking cessation
SO PLOS ONE
VL 12
IS 8
AR e0183961
DI 10.1371/journal.pone.0183961
PD AUG 28 2017
PY 2017
AB Background
   In the late 1990s, American tobacco companies began offering limited
   cessation assistance to smokers by posting links on their company
   websites to government-sponsored smoking cessation resources. Philip
   Morris USA (PM) went further, funding youth cessation programs and
   creating its own online cessation program, QuitAssist. We explore why PM
   entered the cessation arena, and describe the variety of options
   considered and how PM-supported cessation programs were evaluated and
   promoted.
   Methods
   We retrieved and analyzed archival PM documents from 1998-2005. We
   supplemented information from the documents with scholarly articles
   assessing QuitAssist and archived versions of the PM and QuitAssist
   websites.
   Results
   PM's Youth Smoking Prevention department began funding youth cessation
   projects and programs soon after its creation in 1998, motivated by the
   same issue that drove its interest in youth smoking prevention:
   regulatory threats posed by public and policymaker concern about youth
   smoking. The department took a similar approach to youth smoking
   cessation as it did with prevention, rejecting curricula with
   "anti-industry" themes. In 2002, a "cessation exploration team" examined
   a variety of rationales for and approaches to company support for adult
   smoking cessation. Ultimately, PM chose QuitAssist, a limited and less
   expensive option that nonetheless provided opportunities for engagement
   with a variety of public health and government officials. Independent
   research indicates that QuitAssist is not an effective cessation tool.
   Conclusions
   While the transformation of ambitious plans into a mundane final product
   is a recurring theme with PM's corporate responsibility efforts, it
   would be inappropriate to dismiss PM's smoking cessation endeavors as
   half-hearted attempts to appear responsible. Such endeavors have the
   potential to inflict real harm by competing with more effective programs
   and by helping to maintain a tobacco-favorable policy environment. If PM
   truly wanted to support cessation, it could drop legal and other
   challenges to public policies that discourage smoking.
Z8 0
ZA 0
ZR 0
TC 5
ZB 1
ZS 0
Z9 5
U1 0
U2 5
SN 1932-6203
UT WOS:000408438600062
PM 28846738
ER

PT J
AU Tobase, Lucia
   Ciqueto Peres, Heloisa Helena
   Gianotto-Oliveira, Renan
   Smith, Nicole
   Polastri, Thatiane Facholi
   Timerman, Sergio
TI The effects of an online basic life support course on undergraduate
   nursing students' learning
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 8
BP 309
EP 313
DI 10.5116/ijme.5985.cbce
PD AUG 25 2017
PY 2017
AB Objectives: To describe learning outcomes of undergraduate nursing
   students following an online basic life support course (BLS).
   Methods: An online BLS course was developed and administered to 94
   nursing students. Pre- and post-tests were used to assess theoretical
   learning. Checklist simulations and feedback devices were used to assess
   the cardiopulmonary resuscitation (CPR) skills of the 62 students who
   completed the course.
   Results: A paired t-test revealed a significant increase in learning
   [pre-test (6.4 +/- 1.61), post-test (9.3 +/- 0.82), p < 0.001]. The
   increase in the average grade after taking the online course was
   significant (p < 0.001). No learning differences (p = 0.475) had been
   observed between 1st and 2nd year (9.20 +/- 1.60), and between 3rd and
   4th year (9.67 +/- 0.61) students. A CPR simulation was performed after
   completing the course: students checked for a response (90%), exposed
   the chest (98%), checked for breathing (97%), called emergency services
   (76%), requested for a defibrillator (92%), checked for a pulse (77%),
   positioned their hands properly (87%), performed 30 compressions/cycle
   (95%), performed compressions of at least 5 cm depth (89%), released the
   chest (90%), applied two breaths (97%), used the automated external
   defibrillator (97%), and positioned the pads (100%).
   Conclusions: The online course was an effective method for teaching and
   learning key BLS skills wherein students were able to accurately apply
   BLS procedures during the CPR simulation. This short-term online
   training, which likely improves learning and self-efficacy in BLS
   providers, can be used for the continuing education of health
   professionals.
RI TOBASE, LUCIA/AAX-5653-2021
ZA 0
ZS 3
ZR 0
ZB 2
Z8 1
TC 22
Z9 24
U1 1
U2 19
SN 2042-6372
UT WOS:000408593700001
PM 28850944
ER

PT J
AU Bosch, Josefin
   Maaz, Asja
   Hitzblech, Tanja
   Holzhausen, Ylva
   Peters, Harm
TI Medical students' preparedness for professional activities in early
   clerkships
SO BMC MEDICAL EDUCATION
VL 17
AR 140
DI 10.1186/s12909-017-0971-7
PD AUG 22 2017
PY 2017
AB Background: Sufficient preparedness is important for transitions to
   workplace participation and learning in clinical settings. This study
   aims to analyse medical students' preparedness for early clerkships
   using a three-dimensional, sociocognitive, theory-based model of
   preparedness anchored in specific professional activities and their
   supervision level.
   Methods: Medical students from a competency-based undergraduate
   curriculum were surveyed about preparedness for 21 professional
   activities and level of perceived supervision during their early
   clerkships via an online questionnaire. Preparedness was operationalized
   by the three dimensions of confidence to carry out clerkship activities,
   being prepared through university teaching and coping with failure by
   seeking support. Factors influencing preparedness and perceived stress
   as outcomes were analysed through step-wise regression.
   Results: Professional activities carried out by the students (n = 147;
   19.0%) and their supervision levels varied. While most students reported
   high confidence to perform the tasks, the activity-specific analysis
   revealed important gaps in preparation through university teaching.
   Students regularly searched for support in case of difficulty. One
   quarter of the variance of each preparedness dimension was explained by
   self-efficacy, supervision quality, amount of prior clerkship experience
   and nature of professional activities. Preparedness contributed to
   predicting perceived stress.
   Conclusions: The applied three-dimensional concept of preparedness and
   the task-specific approach provided a detailed and meaningful view on
   medical students' workplace participation and experiences in early
   clerkships.
RI Peters, Harm/AAE-5643-2019; Holzhausen, Ylva/; Maaz, Asja/; Hitzblech, Tanja/; Peters, Harm/
OI Holzhausen, Ylva/0000-0001-8710-8257; Maaz, Asja/0000-0001-8697-4460;
   Hitzblech, Tanja/0000-0003-0876-0373; Peters, Harm/0000-0003-1441-7512
ZS 0
ZR 1
TC 16
Z8 0
ZB 3
ZA 0
Z9 17
U1 2
U2 13
EI 1472-6920
UT WOS:000408144300001
PM 28830418
ER

PT J
AU Almasry, Mazen
   Kayali, Zeina
   Alsaad, Rakan
   Alhayaza, Ghada
   Ahmad, Mohammad Sharique
   Obeidat, Akef
   Abu-Zaid, Ahmed
TI Perceptions of preclinical medical students towards extracurricular
   activities
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 8
DI 10.5116/ijme.5973.297a
PD AUG 16 2017
PY 2017
AB Objectives: To determine the percentage of students involved in
   extracurricular activities (EAs), explore relationships between
   participation in EAs and students' characteristics, and investigate
   students' perceptions (i.e., motives and barriers) towards participation
   in EAs.
   Methods: An online, anonymous, random, cross-sectional, self-rating
   survey was administered during spring 20152016 to second-year and
   third-year students (n=340). Chi-square test was used to explore
   relationships between participation in EAs and students'
   characteristics. Mann-Whitney U-test was used to compare the mean
   5-point Likert scale responses according to students' characteristics.
   Statistical significance was determined as p<0.05.
   Results: Two hundred thirty-seven students participated in the survey
   (n=237/340, response rate: 69.7%). Only 143 students (60.3%, n=140/237)
   participated in EAs, and this percentage significantly differed by
   gender (chi(2)(1, N=237)=4.3205, p<0.037), nationality (chi(2)(1,
   N=237)=18.7069, p<0.000) and cumulative grade point average (cGPA,
   chi(2)(1, N=237)=17.8296, p<0.000). The top three motives towards
   participation in EAs were: "improve resume" (83.5%, n=198), "improve
   networking skills" (82.7%, n=196) and "improve teamwork skills" (76.8%,
   n=182). The top three barriers towards participation in EAs were: "lack
   of time" (61.2%, n=145), "lack of equal opportunities in EAs" (57.8%,
   n=137) and "lack of curricular emphasis of EAs" (52.7%, n=125). There
   was a statistically significant difference of means between male
   (mean=2.8) and female (mean=3.2) students regarding the following
   barrier: "affect academic performance negatively" (U=5389.5, p<0.002).
   Conclusions: The participation rate in EAs was satisfactory, and
   positively related to students' characteristics of male gender,
   non-Saudi nationality and high cGPA. Medical schools should facilitate
   all potential motives and resolve all associated barriers towards
   participation in EAs.
OI Abu-Zaid, Ahmed/0000-0003-2286-2181; Alhayaza, Ghada/0000-0003-0606-0437
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 10
Z9 10
U1 1
U2 14
SN 2042-6372
UT WOS:000408593200001
PM 28817380
ER

PT J
AU Leung, Kathy
   Jit, Mark
   Lau, Eric H. Y.
   Wu, Joseph T.
TI Social contact patterns relevant to the spread of respiratory infectious
   diseases in Hong Kong
SO SCIENTIFIC REPORTS
VL 7
AR 7974
DI 10.1038/s41598-017-08241-1
PD AUG 11 2017
PY 2017
AB The spread of many respiratory infections is determined by contact
   patterns between infectious and susceptible individuals in the
   population. There are no published data for quantifying social contact
   patterns relevant to the spread of respiratory infectious diseases in
   Hong Kong which is a hotspot for emerging infectious diseases due to its
   high population density and connectivity in the air transportation
   network. We adopted a commonly used diary-based design to conduct a
   social contact survey in Hong Kong in 2015/16 using both paper and
   online questionnaires. Participants using paper questionnaires reported
   more contacts and longer contact duration than those using online
   questionnaires. Participants reported 13 person-hours of contact and 8
   contacts per day on average, which decreased over age but increased with
   household size, years of education and income level. Prolonged and
   frequent contacts, and contacts at home, school and work were more
   likely to involve physical contacts. Strong age-assortativity was
   observed in all age groups. We evaluated the characteristics of social
   contact patterns relevant to the spread of respiratory infectious
   diseases in Hong Kong. Our findings could help to improve the design of
   future social contact surveys, parameterize transmission models of
   respiratory infectious diseases, and inform intervention strategies
   based on model outputs.
RI Wu, Joseph/ABD-5880-2021; Leung, Kathy/D-5605-2017; Lau, Eric/AAJ-6588-2021; Jit, Mark/; Wu, Joseph Tsz Kei/C-4450-2009
OI Leung, Kathy/0000-0003-4777-388X; Lau, Eric/0000-0002-6688-9637; Jit,
   Mark/0000-0001-6658-8255; Wu, Joseph Tsz Kei/0000-0002-3155-5987
ZA 0
ZS 0
ZB 27
Z8 0
ZR 0
TC 54
Z9 53
U1 0
U2 9
SN 2045-2322
UT WOS:000407443300022
PM 28801623
ER

PT J
AU Barnard, Marie
   George, Phillis
   Perryman, Mandy L.
   Wolff, Lori A.
TI Human papillomavirus (HPV) vaccine knowledge, attitudes, and uptake in
   college students: Implications from the Precaution Adoption Process
   Model
SO PLOS ONE
VL 12
IS 8
AR e0182266
DI 10.1371/journal.pone.0182266
PD AUG 7 2017
PY 2017
AB The purpose of this study was to examine human papillomavirus (HPV) and
   HPV vaccine knowledge, attitudes, and uptake in college students and to
   identify factors associated with vaccination status utilizing the
   Precaution Adoption Process Model (PAPM). The sample included 383
   undergraduates from a public university who participated in February and
   March 2015. Students were emailed an anonymous online survey assessing
   knowledge, attitudes, and perceptions related to HPV and HPV
   vaccination, as well as their stage in the PAPM regarding vaccination
   completion. Significantly more females (47.3%) than males (15.8%) were
   vaccinated. While most students had basic knowledge of HPV, they had low
   perceptions of their susceptibility to contract HPV. Most unvaccinated
   students were in the early stages of decision-making related to
   vaccination. Campus health centers have an opportunity to increase HPV
   vaccination rates. This study indicates that students need prompts from
   providers, as well as education regarding susceptibility to HPV.
RI Barnard, Marie/I-3567-2019
OI Barnard, Marie/0000-0003-0781-7438
ZR 0
ZA 0
ZB 21
ZS 0
TC 73
Z8 0
Z9 73
U1 1
U2 26
SN 1932-6203
UT WOS:000406998800022
PM 28786994
ER

PT J
AU Benham-Hutchins, Marge
   Staggers, Nancy
   Mackert, Michael
   Johnson, Alisha H.
   deBronkart, Dave
TI "I want to know everything": a qualitative study of perspectives from
   patients with chronic diseases on sharing health information during
   hospitalization
SO BMC HEALTH SERVICES RESEARCH
VL 17
AR 529
DI 10.1186/s12913-017-2487-6
PD AUG 4 2017
PY 2017
AB Background: Patient-centered care promotes the inclusion of the most
   prominent and important member of the health care team, the patient, as
   an active participant in information exchange and decision making.
   Patient self-management of a chronic disease requires the patient to
   bridge the gap between multiple care settings and providers.
   Hospitalizations often disrupt established self-management routines.
   Access to medical information during hospitalization reflects patients'
   rights to partner in their own care and has the potential to improve
   selfmanagement as well as promote informed decision making during and
   after hospitalization. The objectives of this study were to elicit the
   perspectives of patients with chronic disease about desired medical
   information content and access during hospitalization.
   Methods: This exploratory study incorporated a qualitative approach. The
   online survey included the research team created open and limited
   response survey, demographic and hospital characteristic questions, and
   the Patient Activation Measurement instrument (PAM (R)). Convenience and
   social media snowball sampling were used to recruit participants through
   patient support groups, email invitations, listservs, and blogs. The
   research team employed descriptive statistics and qualitative content
   analysis techniques.
   Results: The study sample (n = 34) ranged in age from 20 to 76 (mu = 48;
   SD = 16.87), Caucasian (91%, n = 31), female (88%, n = 30) and very
   highly educated (64%, n = 22 were college graduates). The PAM (R) survey
   revealed a highly activated sample. Qualitative analysis of the
   open-ended question responses resulted in six themes: Caring for myself;
   I want to know everything; Include me during handoff and rounds; What I
   expect; You're not listening; and Tracking my health information.
   Conclusions: This study revealed that hospitalized patients want to be
   included in provider discussions, such as nursing bedside handoff and
   medical rounds. Only a few participants had smooth transitions from
   hospital to home. Participants expressed frustration with failures in
   communication among their providers during and after hospitalization and
   provider behaviors that interfered with patient provider communication
   processes. Patients also identified interest in maintaining their own
   health histories and information but most had to "cobble together" a
   myriad of methods to keep track of their evolving condition during
   hospitalization.
OI Johnson, Alisha/0000-0003-3547-3863; Benham-Hutchins,
   Marge/0000-0002-6687-5833
Z8 0
ZB 2
ZS 0
ZA 0
ZR 0
TC 17
Z9 17
U1 2
U2 37
EI 1472-6963
UT WOS:000407075100005
PM 28778168
ER

PT J
AU Mouelhi, Yosra
   Alessandrini, Marine
   Pauly, Vanessa
   Dussol, Bertrand
   Gentile, Stephanie
TI Internet and social network users' profiles in Renal Transplant
   Recipients in France
SO BMC NEPHROLOGY
VL 18
AR 259
DI 10.1186/s12882-017-0670-y
PD AUG 3 2017
PY 2017
AB Background: The use of the Internet for searching and sharing health
   information and for health care interactions may have a great potential
   for Renal Transplant Recipients (RTR). This study aims to determine the
   characteristics associated with Internet and social network use in a
   representative sample of RTR at the time of their inclusion in the
   study.
   Methods: Data of this cross-sectional design is retrieved from a
   longitudinal study conducted in five French kidney transplant centers in
   2011, and included Renal Transplant Recipients aged 18 years with a
   functioning graft for at least 1 year. Measures include demographic
   characteristics (age, gender, level of education, employment status,
   living arrangement, having children, invalidity and monthly incomes in
   the household), psycho-social characteristics measured by the perceived
   social support questionnaire, and medical characteristics (previous
   dialysis treatment, duration since transplantation, graft rejection
   episodes, chronic graft dysfunction, health status and comorbidities:
   neoplasia for the current transplant, hypertension, diabetes mellitus,
   smoking status, BMI > 30 kg/m(2) and Charlson Comorbidity Index (CCI)).
   Polytomous linear regression analysis was performed to describe the
   Internet and social network users' profiles, using lack of Internet
   access as the comparison category.
   Results: Among the 1416 RTR participating in the study, 20.1% had no
   Internet access in the household, 29.4% connected to social networks and
   50.5% were not connected to social networks. Patients who connected the
   most to the Internet and social networks were younger, male, without
   children, employed, with high monthly incomes in the household, without
   hypertension and having felt a need for an informative or an esteem
   support.
   Conclusion: In our study, the majority of RTR were actively using
   Internet and social networks. Renal transplant units should develop
   flexible and Web-based sources related to transplant information, which
   will allow a rapid adaptation to changes in prevalent practice, improve
   the health of the patients and reflect their preferences.
ZS 0
ZB 0
ZR 0
Z8 0
TC 2
ZA 0
Z9 2
U1 1
U2 6
SN 1471-2369
UT WOS:000406869800001
PM 28768480
ER

PT J
AU Reeves, Scott
   Fletcher, Simon
   McLoughlin, Clodagh
   Yim, Alastair
   Patel, Kunal D.
TI Interprofessional online learning for primary healthcare: findings from
   a scoping review
SO BMJ OPEN
VL 7
IS 8
AR e016872
DI 10.1136/bmjopen-2017-016872
PD AUG 2017
PY 2017
AB Objectives This article presents the findings from a scoping review
   which explored the nature of interprofessional online learning in
   primary healthcare. The review was informed by the following questions:
   What is the nature of evidence on online postgraduate education for
   primary healthcare interprofessional teams? What learning approaches and
   study methods are used in this context? What is the range of reported
   outcomes for primary healthcare learners, their organisations and the
   care they deliver to patients/clients?
   Setting The review explored the global literature on interprofessional
   online learning in primary healthcare settings.
   Results The review found that the 23 included studies employed a range
   of different e-learning methods with contrasting course durations, use
   of theory, participant mix, approaches to accreditation and assessment
   of learning. Most of the included studies reported outcomes associated
   with learner reactions and positive changes in participant
   attitudes/perceptions and improvement in knowledge/skills as a result of
   engagement in an e-learning course. In contrast, fewer studies reported
   changes in participant behaviours, changes in organisational practice
   and improvements to patients/ clients.
   Conclusions A number of educational, methodological and outcome
   implications are be offered. E-learning can enhance an education
   experience, support development, ease time constraints, overcome
   geographic limitations and can offer greater flexibility. However, it
   can also contribute to the isolation of learners and its benefits can be
   negated by technical problems.
ZR 0
Z8 0
ZS 0
TC 39
ZA 0
ZB 2
Z9 39
U1 2
U2 7
SN 2044-6055
UT WOS:000411802700208
PM 28780560
ER

PT J
AU Luckman, S.
   Xiao, C.
   McLennan, E.
   Anderson, A. S.
   Mutrie, N.
   Moug, S. J.
TI An investigation into UK medical students' knowledge of lifestyle
   factors on cancer
SO SCOTTISH MEDICAL JOURNAL
VL 62
IS 3
BP 110
EP 114
DI 10.1177/0036933017706896
PD AUG 2017
PY 2017
AB Background and aim Lifestyle factor modification (alcohol, smoking,
   obesity, diet, physical activity) has the potential to reduce cancer
   incidence and cancer survival. This study assessed the knowledge of
   lifestyle factors and cancer in undergraduate medical students.
   Methods and results A total of 218 students (7 UK universities)
   completed an online survey of nine questions in three areas: knowledge
   (lifestyle factors and cancer); information sources; clinical practice
   (witnessed clinical counselling). Diet, alcohol, smoking and physical
   activity were recognised as lifestyle factors by 98% of responders,
   while only 69% reported weight. The links of lung cancer/smoking and
   alcohol/liver cancer were recognised by >90%, while only 10% reported
   weight or physical activity being linked to any cancer. University
   teaching on lifestyle factors and cancer was reported by 78%: 34% rating
   it good/very good. GPs were witnessed giving lifestyle advice by 85% of
   responders.
   Conclusions Most respondents were aware of a relationship between
   lifestyle factors and cancer, mainly as a result of undergraduate
   teaching. Further work may widen the breadth of knowledge, and
   potentially improve primary and secondary cancer prevention.
RI Moug, Susan/ABB-9234-2021; anderson, annie/
OI anderson, annie/0000-0002-0047-4500
ZR 0
TC 5
ZA 0
ZB 2
ZS 0
Z8 0
Z9 5
U1 0
U2 4
SN 0036-9330
EI 2045-6441
UT WOS:000412098200006
PM 28587518
ER

PT J
AU Sarin, Ritu R.
   Cattamanchi, Srihari
   Alqahtani, Abdulrahman
   Aljohani, Majed
   Keim, Mark
   Ciottone, Gregory R.
TI Disaster Education: A Survey Study to Analyze Disaster Medicine Training
   in Emergency Medicine Residency Programs in the United States
SO PREHOSPITAL AND DISASTER MEDICINE
VL 32
IS 4
BP 368
EP 373
DI 10.1017/S1049023X17000267
PD AUG 2017
PY 2017
AB Background: The increase in natural and man-made disasters occurring
   worldwide places Emergency Medicine (EM) physicians at the forefront of
   responding to these crises. Despite the growing interest in Disaster
   Medicine, it is unclear if resident training has been able to include
   these educational goals.
   Hypothesis: This study surveys EM residencies in the United States to
   assess the level of education in Disaster Medicine, to identify
   competencies least and most addressed, and to highlight effective
   educational models already in place.
   Methods: The authors distributed an online survey of multiple-choice and
   free-response questions to EM residency Program Directors in the United
   States between February 7 and September 24, 2014. Questions assessed
   residency background and details on specific Disaster Medicine
   competencies addressed during training.
   Results: Out of 183 programs, 75 (41%) responded to the survey and
   completed all required questions. Almost all programs reported having
   some level of Disaster Medicine training in their residency. The most
   common Disaster Medicine educational competencies taught were patient
   triage and decontamination. The least commonly taught competencies were
   volunteer management, working with response teams, and special needs
   populations. The most commonly identified methods to teach Disaster
   Medicine were drills and lectures/seminars.
   Conclusion: There are a variety of educational tools used to teach
   Disaster Medicine in EM residencies today, with a larger focus on the
   use of lectures and hospital drills. There is no indication of a uniform
   educational approach across all residencies. The results of this survey
   demonstrate an opportunity for the creation of a standardized model for
   resident education in Disaster Medicine.
RI Ciottone, Gregory/AAM-9446-2021; Alqahtani, Abdulrahman/R-7755-2019; Cattamanchi, Srihari/A-3662-2017
OI Ciottone, Gregory/0000-0002-3313-1379; Cattamanchi,
   Srihari/0000-0002-8540-1115
Z8 0
ZR 0
TC 12
ZB 0
ZS 0
ZA 0
Z9 12
U1 0
U2 11
SN 1049-023X
EI 1945-1938
UT WOS:000416701000004
PM 28318478
ER

PT J
AU Till, Benedikt
   Tran, Ulrich S.
   Voracek, Martin
   Niederkrotenthaler, Thomas
TI Beneficial and harmful effects of educative suicide prevention websites:
   randomised controlled trial exploring Papageno v. Werther effects
SO BRITISH JOURNAL OF PSYCHIATRY
VL 211
IS 2
DI 10.1192/bjp.bp.115.177394
PD AUG 2017
PY 2017
AB Background
   Suicide prevention organisations frequently use websites to educate the
   public, but evaluations of these websites are lacking.
   Alms
   To examine the effects of educative websites and the moderating effect
   of participant vulnerability.
   Method
   A total of 161 adults were randomised to either view an educative
   website on suicide prevention or an unrelated website in a
   single-blinded randomised controlled trial (trial registration with the
   American Economic Association's registry: RCT-ID: 000924). The primary
   outcome was suicidal ideation; secondary outcomes were mood, suicide
   prevention -related knowledge and attitudes towards suicide/seeking
   professional help. Data were collected using questionnaires before (T1),
   immediately after exposure (T2), and 1 week after exposure (T3) and
   analysed using linear mixed models.
   Results
   No significant intervention effect was identified for the entire
   intervention group with regard to suicidal ideation, but a significant
   and sustained increase in suicide-prevention related knowledge (T-3 V.
   T-1 P<0.001, d=1.12, 95% Cl 096 to 1.28) and a non-sustained worsening
   of mood (P<0.001, T-2 v. T-1, d= -0.59, -0.75 to -0.43) were observed.
   Participants with increased vulnerability experienced a partially
   sustained reduction of suicidal ideation (T-3 V. T-1, P<0.001, d= -0.34,
   -0.50 to -0.19).
   Conclusions
   Educative professional suicide prevention websites appeared to increase
   suicide-prevention-related knowledge, and among vulnerable individuals
   website exposure may be associated with a reduction of suicidal
   ideation.
RI Voracek, Martin/S-5865-2016; Niederkrotenthaler, Thomas/; Tran, Ulrich/; Till, Benedikt/
OI Voracek, Martin/0000-0001-6109-6155; Niederkrotenthaler,
   Thomas/0000-0001-9550-628X; Tran, Ulrich/0000-0002-6589-3167; Till,
   Benedikt/0000-0002-2099-5469
Z8 0
ZR 0
ZB 7
TC 39
ZA 0
ZS 0
Z9 39
U1 2
U2 13
SN 0007-1250
EI 1472-1465
UT WOS:000406758000009
PM 28522433
ER

PT J
AU Ghorbani, Nahid Ramezan
   Fakour, Yousef
   Nojoumi, Seyed Ali
TI The Increasing Trend in Global Ranking of Websites of Iranian Medical
   Universities during January 2012-2015
SO IRANIAN JOURNAL OF PUBLIC HEALTH
VL 46
IS 8
BP 1095
EP 1103
PD AUG 2017
PY 2017
AB Background: Researchers and academic institutions need assessment and
   rating to measure their performance. The criteria are designed to
   evaluate quality and adequacy of research and welcome by most
   universities as an international process to increase monitoring academic
   achievements. The study aimed to evaluate the increasing trend in global
   ranking of Iranian medical universities websites emphasizing on
   comparative approach.
   Methods: This is a cross- sectional study involving websites of Iranian
   medical universities. Sampling was conducted by census selecting
   universities affiliated to the Ministry of Health in webometrics rating
   system. Web sites of Iranian medical universities were investigated
   based on the webometrics indicators, global ranking as well as the
   process of changing their rating. Universities of medical sciences were
   associated with improved ratings in seven periods from Jan 2012 until
   Jan 2015.
   Results: The highest rank was in Jan 2014. Tehran University of Medical
   Sciences ranked the first in all periods. The highest ratings were about
   impact factor in universities of medical sciences reflecting the low
   level of this index in university websites. The least ranking was
   observed in type 1 universities.
   Conclusion: Despite the criticisms and weaknesses of these webometrics
   criteria, they are critical to this equation and should be checked for
   authenticity and suitability of goals. Therefore, localizing these
   criteria by the advantages model, ranking systems features, continuous
   development and medical universities evaluation based on these
   indicators provide new opportunities for the development of the country
   especially through online media.
RI Nojoumi, Seyed Ali/J-7134-2017; Fakour, Yousef/AAB-7517-2020; nojoumi, seyed ali/AAX-4493-2020
OI nojoumi, seyed ali/0000-0003-0656-6112
TC 3
ZS 0
ZB 0
Z8 0
ZA 0
ZR 0
Z9 3
U1 0
U2 11
SN 2251-6085
EI 2251-6093
UT WOS:000406306600011
PM 28894711
ER

PT J
AU Lopes, Joana
   Ranieri, Veronica
   Lambert, Trevor
   Pugh, Chris
   Barratt, Helen
   Fulop, Naomi J.
   Rees, Geraint
   Best, Denise
TI The clinical academic workforce of the future: a cross-sectional study
   of factors influencing career decision-making among clinical PhD
   students at two research-intensive UK universities
SO BMJ OPEN
VL 7
IS 8
AR e016823
DI 10.1136/bmjopen-2017-016823
PD AUG 2017
PY 2017
AB Objectives To examine clinical doctoral students' demographic and
   training characteristics, career intentions, career preparedness and
   what influences them as they plan their future careers.
   Design and setting Online cross-sectional census surveys at two
   research-intensive medical schools in England in 2015-2016.
   Participants All medically qualified PhD students (N=523) enrolled at
   the University of Oxford and University College London were invited to
   participate. We report on data from 320 participants (54% male and 44%
   female), who were representative by gender of the invited population.
   Main outcome measures Career intentions.
   Results Respondents were mainly in specialty training, including close
   to training completion (25%, n=80), and 18% (n=57) had completed
   training. Half (50%, n=159) intended to pursue a clinical academic
   career (CAC) and 62% (n=198) were at least moderately likely to seek a
   clinical lectureship (CL). However, 51% (n=163) had little or no
   knowledge about CL posts. Those wanting a CAC tended to have the most
   predoctoral medical research experience (chi(2) (2, N=305)=22.19,
   p=0.0005). Key reasons cited for not pursuing a CAC were the small
   number of senior academic appointments available, the difficulty of
   obtaining research grants and work-life balance.
   Conclusions Findings suggest that urging predoctoral clinicians to gain
   varied research experience while ensuring availability of opportunities,
   and introducing more flexible recruitment criteria for CL appointments,
   would foster CACs. As CL posts are often only open to those still in
   training, the many postdoctoral clinicians who have completed training,
   or nearly done so, do not currently gain the opportunity the post offers
   to develop as independent researchers. Better opportunities should be
   accompanied by enhanced career support for clinical doctoral students
   (eg, to increase knowledge of CLs). Finally, ways to increase the number
   of senior clinical academic appointments should be explored since their
   lack seems to significantly influence career decisions.
RI Rees, Geraint/C-1493-2008; Fulop, Naomi/; Pugh, Chris/; Lopes, Joana/; Ranieri, Veronica/
OI Rees, Geraint/0000-0002-9623-7007; Fulop, Naomi/0000-0001-5306-6140;
   Pugh, Chris/0000-0002-5170-1662; Lopes, Joana/0000-0003-4583-8942;
   Ranieri, Veronica/0000-0003-0528-8640
ZB 0
TC 17
ZA 0
Z8 0
ZS 0
ZR 0
Z9 17
U1 0
U2 4
SN 2044-6055
UT WOS:000411802700204
PM 28851792
ER

PT J
AU Ward, Matthew
   Pingree, Christian
   Laury, Adrienne M.
   Bowe, Sarah N.
TI Applicant Perspectives on the Otolaryngology Residency Application
   Process
SO JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 143
IS 8
BP 782
EP 787
DI 10.1001/jamaoto.2017.0231
PD AUG 2017
PY 2017
AB IMPORTANCE It has been nearly 25 years since medical students were
   queried regarding their perspectives on otolaryngology-head and neck
   surgery (OHNS) residency selection. Understanding this viewpoint is
   critical to improving the current application process.
   OBJECTIVE To evaluate the perceptions of 2016 OHNS residency applicants
   regarding the application process and offer suggestions for reform.
   DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study of
   anonymous online survey data, a 14-question survey was designed based on
   resources obtained from a computerized PubMed, Ovid, and GoogleScholar
   database search of the English language from January 1, 1990, through
   December 31, 2015, was conducted using the following search terms:
   (medical student OR applicant) AND (application OR match) AND
   otolaryngology. The survey was administered to 2016 OHNS residency
   applicants to examine 4 primary areas: current attitudes toward the
   match, effect of the new Otolaryngology Program Directors Organization
   personal statement mandate, sources of advice and information, and
   suggestions for improvement. In January 2016, an email was sent to 100
   program directors asking them to distribute the survey to current OHNS
   applicants at their institution. One follow-up reminder email was sent
   in February 2016. A link to the survey was posted on the Otomatch. com
   homepage on January 28, 2016, with the last response received on March
   28, 2016.
   MAIN OUTCOME AND MEASURES Survey responses regarding the residency
   application process.
   RESULTS A total of 150 of 370 residency applicants (40.5%) responded to
   the survey. Of these, 125 respondents (90.6%) noted applying to programs
   in which they had no specific interest simply to improve their chances
   of matching. Applicants intended to apply to more programs than they
   actually did (63.6 vs 60.8; r = 0.19; 95% CI, -0.03 to 0.40). Program
   directors advised fewer applications than other sources; however, 58
   respondents (38.7%) did not receive advice from a program director. A
   total of 121 respondents (80.7%) found online program information to be
   insufficient. Finally, 90 of 140 respondents (64.3%) noted that they
   would agree to a hard cap on applications, among other suggestions for
   improvement.
   CONCLUSIONS AND RELEVANCE Several main themes emerged from the data,
   providing a foundation for process improvement opportunities: careful
   consideration to applicant mentorship, including peers; uniform set of
   criteria for residency program websites; and investigating alternative
   match platforms, which may allow hard caps, flagging programs of higher
   interest, or wave application cycles. Overall, the otolaryngology
   applicant provides a unique perspective regarding the current state of
   the match and potential opportunities for system-wide improvement.
OI Bowe, Sarah/0000-0002-5266-7910
ZA 0
ZR 0
TC 28
ZS 0
ZB 3
Z8 0
Z9 28
U1 0
U2 2
SN 2168-6181
EI 2168-619X
UT WOS:000407828600007
PM 28542682
ER

PT J
AU Rowe, Heather J.
   Wynter, Karen H.
   Burns, Joanna K.
   Fisher, Jane R. W.
TI A complex postnatal mental health intervention: Australian translational
   formative evaluation
SO HEALTH PROMOTION INTERNATIONAL
VL 32
IS 4
BP 610
EP 623
DI 10.1093/heapro/dav110
PD AUG 2017
PY 2017
AB Reducing the burden of postnatal maternal mental health problems is an
   international public health priority. We developed What Were We Thinking
   (WWWT), a psychoeducation programme for primary postnatal health care
   that addresses known but neglected risks. We then demonstrated evidence
   of its effects in a before-and-after controlled study in preventing
   maternal postnatal mental health problems among women without a
   psychiatric history participating in the intervention compared to usual
   care (AOR 0.43; 95% CI 0.21, 0.89) when conducted by specialist nurses.
   Testing its effectiveness when implemented in routine primary care
   requires changes at practitioner, organizational and health system
   levels. This paper describes a programme of translational formative
   evaluation to inform the protocol for a cluster RCT. Following the UK
   Medical Research Council (MRC) Guidance for evaluating complex
   interventions, we conducted a translational formative evaluation using
   mixed methods. Collection and analysis of postnatal health service
   documents, semi-structured interviews, group discussions and an online
   survey were used to investigate service provision, consumers' needs and
   expectations, clinicians' attitudes and clinical practice, and the
   implications for health service delivery. Participants were expectant
   parents, health care providers, health service managers and government
   policy makers. Results documented current clinical practice, staff
   training needs, necessary service modifications to standardize advice to
   parents and include fathers, key priorities and drivers of government
   health policy, and informed a model of costs and expected health and
   social outcomes. Implementation of WWWT into routine postnatal care
   requires adjustments to clinical practice. Staff training, modifications
   to service opening hours and economic implications for the health system
   also need to be considered. The MRC Guidance for developing and
   evaluating complex interventions is a useful framework for
   conceptualizing and reporting translational formative evaluation, which
   is an essential step in the evidence trajectory. The results of the
   evaluation will inform the protocol for a cluster RCT of WWWT and
   associated health economic evaluation.
RI Wynter, Karen/X-7290-2019; Fisher, Jane/I-1569-2014; Wynter, Karen/
OI Fisher, Jane/0000-0002-1959-6807; Wynter, Karen/0000-0003-4620-7691
ZB 0
ZA 0
ZS 0
TC 3
ZR 0
Z8 0
Z9 3
U1 0
U2 12
SN 0957-4824
EI 1460-2245
UT WOS:000407608900004
PM 26747658
ER

PT J
AU Padua, I
   Moreira, A.
   Padrao, P.
   Moreira, P.
   Barros, R.
TI Development of a web-based educative intervention for schools and
   restaurants: food allergy community program (FAC Program)
SO ALLERGY
VL 72
SI SI
MA 0494
BP 335
EP 335
SU 103
PD AUG 2017
PY 2017
CT Congress of the European-Academy-of-Allergy-and-Clinical-Immunology
CY JUN 17-21, 2017
CL Helsinki, FINLAND
SP European Acad Allergy & Clin Immunol
RI Pádua, Inês/ABF-3749-2021; Moreira, Pedro/U-2581-2019; Padrão, Patrícia/K-8230-2012; Moreira, Pedro/K-5456-2012; Barros, Renata/AGC-2171-2022; Moreira, André/AAH-9683-2020; Moreira, Pedro/U-3034-2019
OI Pádua, Inês/0000-0003-1100-9441; Padrão, Patrícia/0000-0001-6310-4956;
   Moreira, Pedro/0000-0002-7035-7799; Barros, Renata/0000-0002-3043-1720;
   Moreira, André/0000-0002-7294-9296; Moreira, Pedro/0000-0002-7035-7799
TC 1
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 1
U1 0
U2 3
SN 0105-4538
EI 1398-9995
UT WOS:000408773101358
ER

PT J
AU Buyuktiryaki, B.
   Civelek, E.
   Celik, Kulhas, I
   Kocabas, C.
TI Internet use and attitudes of the parents of children with food allergy
SO ALLERGY
VL 72
SI SI
MA 0911
BP 528
EP 528
SU 103
PD AUG 2017
PY 2017
CT Congress of the European-Academy-of-Allergy-and-Clinical-Immunology
CY JUN 17-21, 2017
CL Helsinki, FINLAND
SP European Acad Allergy & Clin Immunol
RI Civelek, Ersoy/L-7611-2019
ZR 0
TC 0
ZB 0
Z8 0
ZS 0
ZA 0
Z9 0
U1 0
U2 2
SN 0105-4538
EI 1398-9995
UT WOS:000408773103283
ER

PT J
AU Henly, Samuel
   Tuli, Gaurav
   Kluberg, Sheryl A.
   Hawkins, Jared B.
   Nguyen, Quynh C.
   Anema, Aranka
   Maharana, Adyasha
   Brownstein, John S.
   Nsoesie, Elaine O.
TI Disparities in digital reporting of illness: A demographic and
   socioeconomic assessment
SO PREVENTIVE MEDICINE
VL 101
BP 18
EP 22
DI 10.1016/j.ypmed.2017.05.009
PD AUG 2017
PY 2017
AB Although digital reports of disease are currently used by public health
   officials for disease surveillance and decision making, little is known
   about environmental factors and compositional characteristics that may
   influence reporting patterns. The objective of this study is to quantify
   the association between climate, demographic and socio-economic factors
   on digital reporting of disease at the US county level. Wereference
   approximately 1.5 million foodservice business reviews between 2004 and
   2014, and use census data, machine learning methods and regression
   models to assess whether digital reporting of disease is associated with
   climate, socio-economic and demographic factors. The results showthat
   reviews of foodservice businesses and digital reports of foodborne
   illness follow a clear seasonal pattern with higher reporting observed
   in the summer, when most foodborne outbreaks are reported and to a
   lesser extent in the winter months. Additionally, factors typically
   associated with affluence (such as, higher median income and fraction of
   the population with a bachelor's degrees) were positively correlated
   with foodborne illness reports. However, restaurants per capita and
   education were the most significant predictors of illness reporting at
   the US county level. These results suggest thatwell-known health
   disparities might also be reflected in the online environment. Although
   this is an observational study, it is an important step in understanding
   disparities in the online public health environment. (C) 2017 The
   Author(s). Published by Elsevier Inc.
OI Tuli, Gaurav/0000-0002-5626-7463
ZB 5
ZA 0
TC 9
ZS 0
ZR 0
Z8 0
Z9 9
U1 1
U2 3
SN 0091-7435
EI 1096-0260
UT WOS:000405678500004
PM 28528170
ER

PT J
AU Profili, Erika
   Rubio, Diana S.
   Lane, Hannah G.
   Jaspers, Lea H.
   Lopes, Megan S.
   Black, Maureen M.
   Hager, Erin R.
TI School wellness team best practices to promote wellness policy
   implementation
SO PREVENTIVE MEDICINE
VL 101
BP 34
EP 37
DI 10.1016/j.ypmed.2017.05.016
PD AUG 2017
PY 2017
AB Schools with wellness teams are more likely to implement federally
   mandated Local Wellness Policies (LWPs, Local Education Agency-level
   policies for healthy eating/physical activity). Best practices have been
   developed for wellness teams based on minimal empirical evidence. The
   purpose of this study is to determine, among schools with wellness
   teams, associations between LWP implementation and six wellness team
   best practices (individually and as a sum score). An online survey
   targeting Maryland school wellness leaders/administrators (52.4%
   response rate, 2012-2013 school year) was administered that included LWP
   implementation (17-item scale: categorized as no, low, and high
   implementation) and six wellness team best practices. Analyses included
   multi-level multinomial logistic regression. Wellness teams were present
   in 311/707 (44.0%) schools, with no (19.6%), low (36.0%), and high
   (44.4%) LWP implementation. A sum score representing active wellness
   teams (mean= 2.6) included: setting healthy eating/physical activity
   goals (66.9%), informing the public of LWP activities (71.4%), meeting
   >= 4 times/year (45.8%), and having school staff (46.9%), parent
   (25.4%), or student (14.8%) representation. In adjusted models, goal
   setting, meeting >= 4 times/year, and student representation were
   associated with high LWP implementation. For every one-unit increase in
   active wellness team sum score, schools were 41% more likely to be in
   high versus no implementation (Likelihood Ratio = 1.41, 95% C. I. =
   1.13, 1.76). In conclusion, wellness teams meeting best practices are
   more likely to implement LWPs. Interventions should focus on the
   formation ofwellness teamswith recommended composition/activities. Study
   findings provide support for wellness team recommendations stemming from
   the 2016 Healthy, Hunger-Free Kids Act final rule. (C) 2017 Published by
   Elsevier Inc.
OI Black, Maureen/0000-0002-6427-4639
ZS 0
ZA 0
ZB 2
ZR 0
Z8 0
TC 10
Z9 10
U1 1
U2 15
SN 0091-7435
EI 1096-0260
UT WOS:000405678500007
PM 28528173
ER

PT J
AU Owens, Jennifer
   Lilly, Flavius
TI The influence of academic discipline, race, and gender on web-use skills
   among graduate-level students
SO JOURNAL OF COMPUTING IN HIGHER EDUCATION
VL 29
IS 2
BP 286
EP 308
DI 10.1007/s12528-017-9137-1
PD AUG 2017
PY 2017
AB There is a paucity of research on the digital literacy of graduate-level
   students. The study examined whether academic discipline, age, gender,
   race, parental education, international status, GPA, and self-perceived
   skills is associated with web-use skills among this population.
   Hargittai and Hsieh's 27-item Web-use Skills Index was used to measure
   web-use skills. The Kruskal-Wallis H test with post hoc Fisher's least
   significant difference test was used to determine statistical
   differences between groups of independent variables. Academic
   discipline, race/ethnicity, and gender had a greater number of
   statistically significant differences (p < .05) with 12, 15, and 20
   variables respectively. Few web-skill variables were significantly
   different by age, GPA, international status, and parental education with
   4, 3, 2, and 3 variables respectively. Gender plays a large role in the
   digital literacy of graduate and professional students compared to other
   demographic factors. This may be due to factors influenced by gender
   including family life, self-efficacy, and access to technology. The high
   web proficiency of Asian/Pacific Islander students is consistent with
   past research. However, African American students were more
   web-proficient than Caucasian students, which is inconsistent with
   previous research. Academic discipline may be independently associated
   with varying levels of web-use scores.
OI Owens, Jennifer/0000-0002-0039-2302
Z8 0
TC 11
ZR 0
ZA 0
ZS 0
ZB 1
Z9 11
U1 3
U2 23
SN 1042-1726
EI 1867-1233
UT WOS:000405482300006
ER

PT J
AU Bafitis, Vasileios
   Keskinis, Christodoulos
   Katsikogianni, Foteini
   Katsaros, Ioannis
   Lazarides, Miltos K.
   Georgakarakos, Efstratios
TI The undergraduate teaching of vascular surgery in Greek medical schools:
   theory and clinical practice
SO INTERNATIONAL ANGIOLOGY
VL 36
IS 4
BP 386
EP 391
DI 10.23736/S0392-9590.17.03761-0
PD AUG 2017
PY 2017
AB BACKGROUND: The objective of this survey was to document and analyze the
   teaching methods of vascular surgery (VS) in the undergraduate curricula
   of the seven Greek medical schools.
   METHODS: The type of VS subject (core, selective, integrated in other
   subject), the type of clinical practice, and the specialty of the VS
   tutors were recorded from the curriculum of each medical school, as
   documented online. The information was cross-checked with the academic
   tutors of each Medical School via phone contact and verified by ten
   medical students of Medical School.
   RESULTLTS: VS is taught mainly as part of general surgery (GS) in four
   medical schools, as part of another academic subject in two MS but as a
   core subject in only one Medical School. Five out of seven curricula
   offer VS as selective subject while three of them focusing on the
   hemodynamic principles of Angiology and VS. The specialty of instructors
   was VS in every Greek Medical School.
   CONCLUSIONS: Despite the great need for diagnosis and treatment of
   vascular diseases we recorded a limited VS training among the
   undergraduate Greek curricula. This heterogeneity does not ensure
   high-quality education in VS. Furthermore, emphasis on clinical skill
   acquisition should be further encouraged.
CT 15th Congress of the Hellenic-Society-of-Vascular-Surgery
CY MAR 31-APR 02, 2016
CL Athens, GREECE
SP Hellen Soc Vasc Surg
RI Georgakarakos, Efstratios/AAP-2524-2021; Karim, Osman/Z-3507-2019; Lazarides, Miltos/K-9070-2019; Katsaros, Ioannis/
OI Georgakarakos, Efstratios/0000-0003-3789-1110; Lazarides,
   Miltos/0000-0003-3458-7412; Katsaros, Ioannis/0000-0002-6743-8942
ZS 0
TC 5
ZB 1
ZR 0
ZA 0
Z8 0
Z9 5
U1 0
U2 3
SN 0392-9590
EI 1827-1839
UT WOS:000410707400014
PM 28139902
ER

PT J
AU Scragg, B.
   Shaikh, S.
   Shires, G.
   Hodgins, J. Stein
   Mercer, C.
   Robinson, L.
   Wray, J.
TI An exploration of mammographers' attitudes towards the use of social
   media for providing breast screening information to clients
SO RADIOGRAPHY
VL 23
IS 3
BP 249
EP 255
DI 10.1016/j.radi.2017.04.004
PD AUG 2017
PY 2017
AB Introduction: Increasingly patients and clients of health services are
   using social media to locate information about medical procedures and
   outcomes. There is increasing pressure for health professionals to
   engage in on-line spaces to provide clear and accurate information to
   their patient community. Research suggests there are some anxieties on
   the part of practitioners to do this. This study aimed to explore the
   attitudes of the NHS breast screening programme workforce towards
   engaging in online discussions with clients about breast screening.
   Method: 78 practitioners, representing a range of professional roles
   within the NHS Breast Screening Programme, attended one of 4 workshops.
   We used a Nominal Group Technique to identify and rank responses to the
   question: "What are the challenges that practitioners face in using SoME
   as part of their role?" Responses were categorised into themes.
   Participants were also asked to identify solutions to these challenges.
   Results: Challenges: We identified two overarching themes: (1) Working
   within boundaries: which was further categorised into (a)
   Professional/legal accountability; (b) Information accuracy and (c) Time
   as a boundary, and (2) Support: further categorised into (a) Employer
   and (b) Manager. Solutions: These included: training in technical and
   interactional aspects of on-line communication and a responsibility to
   better understand employer and professional body SoMe policies.
   Conclusion: The study participants appeared willing and motivated to
   engage in SoMe. However, in keeping with the literature from other
   disciplines, a number of challenges need to be overcome for its use to
   be adopted more widely by breast screening professionals. (C) 2017 The
   College of Radiographers. Published by Elsevier Ltd. All rights
   reserved.
RI Mercer, Claire/ABE-4101-2020; Scragg, Beverley/; Mercer, Claire/; Robinson, Leslie/
OI Scragg, Beverley/0000-0002-7303-4012; Mercer,
   Claire/0000-0002-7848-3036; Robinson, Leslie/0000-0002-1165-5630
ZR 0
TC 4
ZB 1
ZA 0
ZS 0
Z8 0
Z9 4
U1 0
U2 2
SN 1078-8174
EI 1532-2831
UT WOS:000413190300018
PM 28687294
ER

PT J
AU Gattinger, Heidrun
   Leino-Kilpi, Helena
   Koepke, Sascha
   Marty-Teuber, Stefan
   Senn, Beate
   Hantikainen, Virpi
TI Nurses' competence in kinaesthetics A concept development
SO ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE
VL 50
IS 6
BP 506
EP 515
DI 10.1007/s00391-016-1126-x
PD AUG 2017
PY 2017
AB Aim. This study was carried out to systematically describe nurses'
   competence in kinaesthetics.
   Background. In elderly care the kinaesthetics program for nurses has
   been taught for over 25 years; however, the competence that nurses
   should gain through kinaesthetics training from a theoretical
   perspective has not yet been systematically described.
   Material and methods. The method was modelled after the three phases of
   the hybrid model of concept development by Schwartz-Barcott and Kim
   (2000). In the theoretical phase a working definition was established
   and a literature review conducted. We searched the online databases
   PubMed and CINAHL and the reference lists up to February 2016. In the
   empirical phase experts defined the attributes during a workshop in
   October 2013. In the analytical phase the results from the theoretical
   and empirical phase were combined in order to define antecedents,
   attributes and consequences of the concept.
   Results. The concept of nurses' competence in kinaesthetics includes two
   antecedents: (1) nurses' kinaesthetics training and (2) care recipients'
   need for mobility support in activities of daily living. This concept
   includes a set of attributes in the areas of knowledge, skills,
   attitudes and dynamic state. It contributes towards (1) movement
   competence and (2) physical and psychological well-being of both care
   recipients and nurses.
   Conclusion. The concept of nurses' competence in kinaesthetics might
   support awareness and communication about mobility-enhancing
   gerontological care. Based on the attributes of nurse' competence in
   kinaesthetics an assessment instrument will be developed that can be
   used to evaluate nurses' competence in kinaesthetics in clinical
   practice. Further research is needed to evaluate the consequences of the
   developed concept.
OI Leino-Kilpi, Helena/0000-0003-2477-971X
ZR 0
ZB 0
ZS 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 10
SN 0948-6704
EI 1435-1269
UT WOS:000407042300006
PM 27619218
ER

PT J
AU Baylor, Carolyn
   Burns, Michael I.
   Struijk, Jennie
   Herron, Lindsay
   Mach, Helen
   Yorkston, Kathryn
TI Assessing the Believability of Standardized Patients Trained to Portray
   Communication Disorders
SO AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY
VL 26
IS 3
BP 791
EP 805
DI 10.1044/2017_AJSLP-16-0068
PD AUG 2017
PY 2017
AB Purpose: The purpose of this study was to evaluate the believability of
   standardized patients portraying individuals with communication
   disorders as part of a larger study in which standardized patients help
   train medical and allied health students about communication disorders.
   Method: Two women portrayed persons with aphasia, and 2 men depicted
   persons with dysarthria associated with Parkinson's disease. Two
   stakeholder groups rated believability. Speech-language pathologists
   rated believability of videos online. Persons with aphasia rated aphasia
   videos during in-person sessions with the researchers.
   Results: Targeted believability was 80 or higher (0-100 scale; 0 = not
   at all believable, 100 = very believable). For speech-language
   pathologist raters, average ratings met the target for the portrayals of
   the aphasia characteristics of word-finding problems, agrammaticism,
   nonverbal communication, and overall portrayal but not for auditory
   comprehension problems. Targets for the portrayals were met for the
   dysarthria characteristics of reduced speech movements, reduced
   loudness, reduced intonation, flat affect, and overall portrayal but not
   for speech rate. Ratings for different standardized patients portraying
   the same case were not significantly different from each other on most
   characteristics. Ratings from persons with aphasia were highly variable.
   Conclusion: Standardized patients who do not have communication
   disorders can portray disorder characteristics in a believable manner.
ZB 1
Z8 0
TC 5
ZR 1
ZS 1
ZA 0
Z9 7
U1 0
U2 8
SN 1058-0360
EI 1558-9110
UT WOS:000411812300009
PM 28595263
ER

PT J
AU Schroeder, D. C.
   Ecker, H.
   Wingen, S.
   Semeraro, F.
   Boettiger, B. W.
TI "Kids Save Lives"-resuscitation training for schoolchildren. Systematic
   review
SO ANAESTHESIST
VL 66
IS 8
BP 589
EP 597
DI 10.1007/s00101-017-0319-z
PD AUG 2017
PY 2017
AB Even in western developed countries, the probability of survival after
   out-of-hospital cardiac arrest (OHCA) is only 6-10%. In order to improve
   survival after OHCA, early initiation of cardiopulmonary resuscitation
   (CPR) by laypersons is essential. Introduction of CPR training in
   schoolchildren seems to be effective to increase lay-CPR rates.
   The objective of the present investigation was to elucidate educational
   aspects of teaching schoolchildren in CPR and to summarize campaigns
   related to a comprehensive establishment of lay-CPR worldwide.
   A literature research in PubMed was performed, the cutoff date was 27
   February 2017. Overall, 192 abstracts were analyzed; 51 articles were
   considered relevant and included in the manuscript. An additional
   keyword research in Google revealed > 230,000 entries, and 20 of those
   were included in the present manuscript.
   A minimum age of 12-13 years is required to achieve a comparable quality
   of CPR to adult basic life support (BLS). Key issues are (i) the correct
   detection of a cardiac arrest, (ii) a correctly performed call for help,
   (iii) thoracic compressions and (iv) if applicable, the initiation of
   adequate mouth-to-mouth ventilation. Practical training showed a
   significantly higher CPR quality compared to theoretical training only
   or to the use of instruction or online videos only. Worldwide
   implementation of a 2-h BLS training per year in children from the age
   of 12 or younger is recommended by the "Kids Save Lives"- statement
   since 2015. In Germany, implementation at the level of the federal
   states has progressed to different degrees.
RI Semeraro, Federico Fiorenzo/AAK-7200-2021
OI Semeraro, Federico Fiorenzo/0000-0002-3895-0242
ZB 4
ZR 0
TC 18
ZA 0
Z8 0
ZS 1
Z9 19
U1 1
U2 23
SN 0003-2417
EI 1432-055X
UT WOS:000407371900007
PM 28497243
ER

PT J
AU Losina, Elena
   Michl, Griffin L.
   Smith, Karen C.
   Katz, Jeffrey N.
TI Randomized Controlled Trial of an Educational Intervention Using an
   Online Risk Calculator for Knee Osteoarthritis: Effect on Risk
   Perception
SO ARTHRITIS CARE & RESEARCH
VL 69
IS 8
BP 1164
EP 1170
DI 10.1002/acr.23136
PD AUG 2017
PY 2017
AB Objective. Young adults, in general, are not aware of their risk of knee
   osteoarthritis (OA). Understanding risk and risk factors is critical to
   knee OA prevention. We tested the efficacy of a personalized risk
   calculator on accuracy of knee OA risk perception and willingness to
   change behaviors associated with knee OA risk factors.
   Methods. We conducted a randomized controlled trial of 375 subjects
   recruited using Amazon Mechanical Turk. Subjects were randomized to
   either use a personalized risk calculator based on demographic and
   risk-factor information (intervention), or to view general OA risk
   information (control). At baseline and after the intervention, subjects
   estimated their 10-year and lifetime risk of knee OA and responded to
   contemplation ladders measuring willingness to change diet, exercise, or
   weight-control behaviors.
   Results. Subjects in both arms had an estimated 3.6% 10-year and 25.3%
   lifetime chance of developing symptomatic knee OA. Both arms greatly
   overestimated knee OA risk at baseline, estimating a 10-year risk of
   26.1% and a lifetime risk of 47.8%. After the intervention, risk
   calculator subjects' perceived 10-year risk decreased by 12.9 percentage
   points to 12.5% and perceived lifetime risk decreased by 19.5 percentage
   points to 28.1%. Control subjects' perceived risks remained unchanged.
   Risk calculator subjects were more likely to move to an action stage on
   the exercise contemplation ladder (relative risk 2.1). There was no
   difference between the groups for diet or weight-control ladders.
   Conclusion. The risk calculator is a useful intervention for knee OA
   education and may motivate some exercise-related behavioral change.
OI Losina, ELENA/0000-0002-3424-0892; Smith, Karen/0000-0003-0330-1610
TC 8
ZS 0
ZB 3
ZR 0
Z8 0
ZA 0
Z9 8
U1 0
U2 6
SN 2151-464X
EI 2151-4658
UT WOS:000406364700009
PM 27788299
ER

PT J
AU Stabile, Cara
   Goldfarb, Shari
   Baser, Raymond E.
   Goldfrank, Deborah J.
   Abu-Rustum, Nadeem R.
   Barakat, Richard R.
   Dickler, Maura N.
   Carter, Jeanne
TI Sexual health needs and educational intervention preferences for women
   with cancer
SO BREAST CANCER RESEARCH AND TREATMENT
VL 165
IS 1
BP 77
EP 84
DI 10.1007/s10549-017-4305-6
PD AUG 2017
PY 2017
AB Purpose To assess sexual/vaginal health issues and educational
   intervention preferences in women with a history of breast or
   gynecologic cancer.
   Methods Patients/survivors completed a cross-sectional survey at their
   outpatient visits. Main outcome measures were sexual dysfunction
   prevalence, type of sexual/vaginal issues, awareness of treatments, and
   preferred intervention modalities. Descriptive frequencies were
   performed, and results were dichotomized by age, treatment status, and
   disease site.
   Results Of 218 eligible participants, 109 (50%) had a history of
   gynecologic and 109 (50%) a history of breast cancer. Median age was 49
   years (range 21-75); 61% were married/cohabitating. Seventy percent (n =
   153) were somewhat-to-very concerned about sexual function/vaginal
   health, 55% (n = 120) reported vaginal dryness, 39% (n = 84) vaginal
   pain, and 51% (n = 112) libido loss. Many had heard of vaginal
   lubricants, moisturizers, and pelvic floor exercises (97, 72, and 57%,
   respectively). Seventy-four percent (n = 161) had used lubricants, 28%
   moisturizers (n = 61), and 28% pelvic floor exercises (n = 60). Seventy
   percent (n = 152) preferred the topic to be raised by the medical team;
   48% (n = 105) raised the topic themselves. Most preferred written
   educational material followed by expert discussion (66%, n = 144/218).
   Compared to women >= 50 years old (41%, n = 43/105), younger women (54%,
   n = 61/113) preferred to discuss their concerns face-to-face (p =
   0.054). Older women were less interested in online interventions (52%, p
   < 0.001), despite 94% having computer access.
   Conclusion Female cancer patients/survivors have unmet sexual/vaginal
   health needs. Preferences for receiving sexual health information vary
   by age. Improved physician-patient communication, awareness, and
   educational resources using proven sexual health promotion strategies
   can help women cope with treatment side effects.
OI Stabile, Cara/0000-0001-8519-7700
ZA 0
ZB 11
ZS 2
ZR 0
TC 54
Z8 0
Z9 56
U1 0
U2 7
SN 0167-6806
EI 1573-7217
UT WOS:000405611500007
PM 28547655
ER

PT J
AU Geoghegan, Sheena Elizabeth
   Clarke, Eric
   Byrne, Dara
   Power, Dermot
   Moneley, Daragh
   Strawbridge, Judith
   Williams, David James
TI Preparedness of newly qualified doctors in Ireland for prescribing in
   clinical practice
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 83
IS 8
BP 1826
EP 1834
DI 10.1111/bcp.13273
PD AUG 2017
PY 2017
AB AimThe aim of the study was to investigate the level of preparedness of
   newly qualified Irish-trained doctors for prescribing, and to
   investigate their attitudes towards prescribing and prescribing
   education, through a national survey.
   MethodsA 29-item online survey was distributed to 686 newly qualified
   doctors 1month prior to the completion of their first year of clinical
   practice (internship). Only graduates from Irish medical schools were
   included.
   ResultsThe response rate was 20.4% (n = 140; female:male 56%:44%). The
   majority of respondents felt confident in prescription writing (89%),
   medication history taking (81%) and accessing drug information in the
   hospital setting (80%). Only 58% of respondents felt confident in drug
   dose calculation, and 35% felt confident in preparing and administering
   drugs. When asked if their undergraduate medical education had prepared
   them for prescribing in clinical practice, 28% of respondents agreed.
   Confidence that their undergraduate education had prepared them was
   associated with receiving formal training in prescribing skills (P =
   0.0045; 27% vs. 0%). Thirty-seven per cent of respondents agreed that
   they felt stressed about prescribing medications.
   ConclusionThis survey of newly qualified doctors in Ireland found that
   only 28% of respondents agreed that their undergraduate medical
   education had prepared them for prescribing, which was comparable to a
   previous survey of UK medical students and graduates. Investigating
   confidence and preparedness for prescribing provides important insights
   for educators. Dedicated teaching of prescribing, with an emphasis on
   practical training and assessment, may help graduates to feel more
   prepared for the challenges of prescribing in the clinical setting.
OI Williams, David/0000-0002-1923-462X; Clarke, Eric/0000-0003-0375-6797
ZA 0
Z8 0
ZB 2
TC 10
ZR 0
ZS 0
Z9 10
U1 0
U2 2
SN 0306-5251
EI 1365-2125
UT WOS:000405545300023
PM 28244609
ER

PT J
AU Kapoor, Karan
   George, Praveen
   Evans, Matthew C.
   Miller, Weldon J.
   Liu, Stanley S.
TI Health Literacy: Readability of ACC/AHA Online Patient Education
   Material
SO CARDIOLOGY
VL 138
IS 1
BP 36
EP 40
DI 10.1159/000475881
PD AUG 2017
PY 2017
AB Objectives: To determine whether the online patient education material
   offered by the American College of Cardiology (ACC) and the American
   Heart Association (AHA) is written at a higher level than the 6th-7th
   grade level recommended by the National Institute of Health (NIH).
   Methods: Online patient education material from each website was
   subjected to reading grade level (RGL) analysis using the Readability
   Studio Professional Edition. One-sample t testing was used to compare
   the mean RGLs obtained from 8 formulas to the NIH-recommended 6.5 grade
   level and 8th grade national mean. Results: In total, 372 articles from
   the ACC website and 82 from the AHA were studied. Mean (+/- SD) RGLs for
   the 454 articles were 9.6 +/- 2.1, 11.2 +/- 2.1, 11.9 +/- 1.6, 10.8 +/-
   1.6, 9.7 +/- 2.1, 10.8 +/- 0.8, 10.5 +/- 2.6, and 11.7 +/- 3.5 according
   to the Flesch-Kincaid grade level (FKGL), Simple Measure of Gobbledygook
   (SMOG Index), Coleman-Liau Index (CLI), Gunning-Fog Index (GFI), New
   Dale-Chall reading level formula (NDC), FORCAST, Raygor Readability
   Estimate (RRE), and Fry Graph (Fry), respectively. All analyzed articles
   had significantly higher RGLs than both the NIH-recommended grade level
   of 6.5 and the national mean grade level of 8 (p < 0.00625).
   Conclusions: Patient education material provided on the ACC and AHA
   websites is written above the NIH- recommended 6.5 grade level and 8th
   grade national mean reading level. Additional studies are required to
   demonstrate whether lowering the RGL of this material improves outcomes
   among patients with cardiovascular disease. (C) 2017 S. Karger AG, Basel
OI Evans, Matthew/0000-0001-9386-4032
ZA 0
ZR 1
Z8 0
TC 10
ZB 2
ZS 0
Z9 10
U1 0
U2 5
SN 0008-6312
EI 1421-9751
UT WOS:000407672000008
PM 28571004
ER

PT J
AU Wirkner, Janine
   Stracke, Sylvia
   Lange, Anja
   Dabers, Thomas
   Merk, Harry
   Kasch, Richard
TI Nursing Internship Internal Medicine: Evaluation and Influences on the
   Attitude towards the Specialization
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 142
IS 16
BP E108
EP E115
DI 10.1055/s-0043-100854
PD AUG 2017
PY 2017
AB Background German medical students have to perform a nursery internship
   of three month duration. While this internship is widely discussed,
   there is a lack of student evaluation data.
   Objectives Here, for the first time, student evaluation of a nursery
   internship in internal medicine (IM) is investigated. Moreover, the
   question was raised, whether the early experience during this internship
   may influence students' attitude towards the specialty.
   Methods In a nation-wide online-survey, 767 German medical students
   (mean age 22.8 years; 58 % female) evaluated a nursery internship on an
   IM ward concerning integration in medical teams, teachers, structure and
   quality of teaching, and satisfaction. Multivariate comparisons were
   conducted following the question, whether students could imagine
   choosing IM for a clinical elective after this nursery internship.
   Results 71 % of the students felt well integrated in the medical team,
   most was learned from the nurses, and most students indicated having
   acquired nursing skills. Only 19 % evaluated the structure of the
   internship as good, and 40 % indicated that they reached the learning
   goals. Students who could imagine performing an IM clinical elective (52
   %) gave best evaluations on all items.
   Conclusions A successful nursery internship can promote students'
   interest in the specialty of internal medicine. But, there is a strong
   need for improvement in structure and content, including the, to date
   missing, definition of learning targets, regarding this first practical
   experience in medical studies.
RI Stracke, Sylvia/ABB-8871-2020
TC 1
ZS 0
ZB 1
ZA 0
ZR 0
Z8 0
Z9 1
U1 0
U2 6
SN 0012-0472
EI 1439-4413
UT WOS:000407736300002
PM 28810273
ER

PT J
AU Ikhena-Abel, Deborah E.
   Confino, Rafael
   Shah, Nirali J.
   Lawson, Angela K.
   Klock, Susan C.
   Robins, Jared C.
   Pavone, Mary Ellen
TI Is employer coverage of elective egg freezing coercive?: a survey of
   medical students' knowledge, intentions, and attitudes towards elective
   egg freezing and employer coverage
SO JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
VL 34
IS 8
BP 1035
EP 1041
DI 10.1007/s10815-017-0956-9
PD AUG 2017
PY 2017
AB Purpose The purpose of this study was to understand medical students'
   knowledge, intentions, and attitudes towards oocyte cryopreservation and
   employer coverage of such treatment.
   Methods This cross-sectional study was performed via an online
   cross-sectional survey distributed to 280 female medical students from
   March through August 2016. Demographics, attitudes towards employer
   coverage, and factors influencing decision-making were assessed via a
   self-reported multiple-choice questionnaire. The relationship between
   respondents' attitudes towards employer coverage and other parameters
   was analyzed.
   Results A total of 99 responses were obtained out of 280 female medical
   students. Most respondents (71%) would consider oocyte cryopreservation
   (potential freezers), although 8% would not consider the procedure and
   21% were unsure. Seventy-six percent of respondents felt pressure to
   delay childbearing. Potential freezers were more likely to be single (p
   = 0.001), to report feeling pressure to delay childbearing (p = 0.016),
   and to consider egg freezing if offered by an employer (p < 0.001).
   Importantly, 71% percent did not view employer coverage as coercive and
   77% of respondents would not delay childbearing due to employer
   coverage. Factors influencing decision-making in potential freezers were
   absence of a suitable partner (83%), likelihood of success (95%), and
   health of offspring (94%), among others. Knowledge about the low chance
   of pregnancy per oocyte (6-10%) would influence decision-making in 42%
   of potential freezers.
   Conclusion Oocyte freezing is an acceptable strategy for the majority of
   young women surveyed. Pressure to delay childbearing was related to
   openness to freeze eggs. The majority of respondents did not find
   employer coverage for egg freezing coercive although further research is
   needed with larger, representative samples to ascertain the relationship
   between pressure to delay childbearing due to work demands and employer
   coverage for egg freezing.
RI Shah, Nirali/T-6948-2019; Confino, Rafael/P-5986-2016
OI Confino, Rafael/0000-0002-2075-6468
TC 17
Z8 0
ZB 7
ZA 0
ZS 0
ZR 0
Z9 17
U1 0
U2 7
SN 1058-0468
EI 1573-7330
UT WOS:000406477000010
PM 28577184
ER

PT J
AU Gupta, Raghav
   Adeeb, Nimer
   Griessenauer, Christoph J.
   Moore, Justin M.
   Patel, Apar S.
   Kim, Christopher
   Thomas, Ajith J.
   Ogilvy, Christopher S.
TI Evaluating the complexity of online patient education materials about
   brain aneurysms published by major academic institutions
SO JOURNAL OF NEUROSURGERY
VL 127
IS 2
BP 278
EP 283
DI 10.3171/2016.5.JNS16793
PD AUG 2017
PY 2017
AB OBJECTIVE Health care education resources are increasingly available on
   the Internet. A majority of people reference these resources at one
   point or another. A threshold literacy level is needed to comprehend the
   information presented within these materials. A key component of health
   literacy is the readability of educational resources. The National
   Institutes of Health (NIH) and the American Medical Association have
   recommended that patient education materials be written between a 4th-
   and a 6th-grade education level. The authors assessed the readability of
   online patient education materials about brain aneurysms that have been
   published by several academic institutions across the US.
   METHODS Online patient education materials about brain aneurysms were
   downloaded from the websites of 20 academic institutions. The materials
   were assessed via 8 readability scales using Readability Studio software
   (Oleander Software Solutions), and then were statistically analyzed.
   RESULTS None of the patient education materials were written at or below
   the NIH's recommended 6th-grade reading level. The average educational
   level required to comprehend the texts across all institutions, as
   assessed by 7 of the readability scales, was 12.4 +/- 2.5 (mean SD). The
   Flesch Reading Ease Scale classified the materials as "difficult" to
   understand, correlating with a college-level education or higher. An
   ANOVA test found that there were no significant differences in
   readability among the materials from the institutions (p = 0.215).
   CONCLUSIONS Brain aneurysms affect 3.2% of adults 50 years or older
   across the world and can cause significant patient anxiety and
   uncertainty. Current patient education materials are not written at or
   below the NIH's recommended 4th- to 6th-grade education level.
RI Thomas, Ajith/AAX-9054-2020; Kim, Christopher/; Thomas, Ajith/
OI Kim, Christopher/0000-0002-0792-6338; Thomas, Ajith/0000-0003-4412-3152
TC 8
ZS 0
Z8 0
ZB 0
ZR 0
ZA 0
Z9 8
U1 0
U2 5
SN 0022-3085
EI 1933-0693
UT WOS:000406569200007
PM 27540903
ER

PT J
AU Steklacova, Anna
   Bradac, Ondrej
   de lacy, Patricia
   Benes, Vladimir
TI E-WIN Project 2016: Evaluating the Current Gender Situation in
   Neurosurgery Across Europe-An Interactive, Multiple-Level Survey
SO WORLD NEUROSURGERY
VL 104
BP 48
EP 60
DI 10.1016/j.wneu.2017.04.094
PD AUG 2017
PY 2017
AB BACKGROUND: The proportion of women among neurosurgeons appears to be
   growing worldwide with time. Official data concerning the current
   situation across Europe have not yet been published. Thus, there are
   still concerns about gender inequality. The European Women in
   Neurosurgery Project 2016 was designed to recognize the current
   situation across Europe.
   METHODS: The office holders of the national neurosurgical societies of
   39 countries forming the European Association of Neurosurgical Societies
   were contacted to provide data stating the proportion of women in
   neurosurgery. Obtained data were supplied with the results of an online
   survey.
   RESULTS: The response rate of national office holders was 90%. The
   number of reported neurosurgeons was 12,985, and overall proportion of
   women represented was 12%. Two hundred thirty-seven responses to online
   questionnaire were taken into account. The overall proportion of female
   respondents was 30%. There was no intergender variability in responses
   regarding amount of working time per week, exposure to surgeries, or
   administrative work. Male respondents reported dedicating significantly
   more time to scientific work and feeling more confident dictating own
   career direction. Female respondents reported being less often married,
   having fewer children, a stronger perception of gender significance
   level, and a higher appreciation of personal qualities.
   CONCLUSIONS: Neurosurgery is a challenging field of medicine. The
   results of our survey did not imply an overall feeling of gender
   inequality among European respondents, although women believe that the
   gender issue to be more important than men do and that they have to
   sacrifice more of their personal lives.
RI Benes, Vladimir/M-4755-2017; Bradac, Ondrej/M-4882-2017
OI Benes, Vladimir/0000-0002-6889-857X; Bradac, Ondrej/0000-0003-4364-5522
ZA 0
ZB 4
Z8 0
ZS 0
ZR 1
TC 29
Z9 30
U1 0
U2 9
SN 1878-8750
EI 1878-8769
UT WOS:000407713100008
PM 28456744
ER

PT J
AU Knoepke, Christopher E.
   Allen, Amanda
   Ranney, Megan L.
   Wintemute, Garen J.
   Matlock, Daniel D.
   Betz, Marian E.
TI Loaded Questions: Internet Commenters' Opinions on Physician-Patient
   Firearm Safety Conversations
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 5
BP 903
EP 912
DI 10.5811/westjem.2017.6.34849
PD AUG 2017
PY 2017
AB Introduction: Medical and public health societies advocate that
   healthcare providers (HCPs) counsel at-risk patients to reduce firearm
   injury risk. Anonymous online media comments often contain extreme
   viewpoints and may therefore help in understanding challenges of firearm
   safety counseling. To help inform injury prevention efforts, we sought
   to examine commenters' stated opinions regarding firearm safety
   counseling HCPs.
   Methods: Qualitative descriptive analysis of online comments posted
   following news items (in May-June, 2016) about a peer-reviewed
   publication addressing when and how HCPs should counsel patients
   regarding firearms.
   Results: Among 871 comments posted by 522 individuals, most (57%) were
   generally negative toward firearm discussions, 17% were positive, and
   26% were neutral/unclear. Two major categories and multiple themes
   emerged. "Areas of agreement" included that discussions may be valuable
   (1) when addressing risk of harm to self or others, (2) in pediatric
   injury prevention, and (3) as general safety education (without direct
   questioning), and that (4) HCPs lack gun safety and cultural knowledge.
   "Areas of tension" included whether (1) firearms are a public health
   issue, (2) counseling is effective prevention practice, (3) suicide
   could/should be prevented, and (4) firearm safety counseling is within
   HCPs' purview.
   Conclusion: Among this set of commenters with likely extreme viewpoints,
   opinions were generally negative toward firearm safety conversations,
   but with some support in specific situations. Providing education,
   counseling, or materials without asking about firearm ownership was
   encouraged. Engaging firearm advocates when developing materials may
   enhance the acceptability of prevention activities.
RI Betz, Marian/H-3303-2017; Matlock, Dan/
OI Betz, Marian/0000-0003-1643-6565; Matlock, Dan/0000-0001-9597-9642
ZB 6
Z8 0
ZR 0
ZS 0
TC 20
ZA 0
Z9 20
U1 0
U2 4
SN 1936-900X
EI 1936-9018
UT WOS:000418508000016
PM 28874943
ER

PT J
AU Thepwongsa, Isaraporn
   Muthukumar, Radhakrishnan
   Kessomboon, Pattapong
TI Motivational interviewing by general practitioners for Type 2 diabetes
   patients: a systematic review
SO FAMILY PRACTICE
VL 34
IS 4
BP 376
EP 383
DI 10.1093/fampra/cmx045
PD AUG 2017
PY 2017
AB Background. Motivational interviewing (MI) is an effective tool to help
   clinicians with facilitating behavioural changes in many diseases and
   conditions. However, different forms of MI are required in different
   health care settings and for different clinicians. Although general
   practitioners (GPs) play a major role in Type 2 diabetes management, the
   effects of MI delivered by GPs intended to change the behaviours of
   their Type 2 diabetes patients and GP outcomes, defined as GP knowledge,
   satisfaction and practice behaviours, have not been systematically
   reviewed.
   Methods. An electronic search was conducted through Cochrane Library,
   Scopus, ProQuest, Wiley Online Library, Ovid MEDLINE, PubMed, CINAHL,
   MEDLINE Complete and Google Scholar from the earliest date of each
   database to 2017. Reference lists from each article obtained were
   reviewed. Measured changes in GP satisfaction, knowledge, and practice
   behaviours, and patient outcomes were recorded.
   Results. Eight out of 1882 studies met the criteria for inclusion. Six
   studies examined the effects of MI on Type 2 diabetes patient outcomes,
   only one of which examined its effects on GP outcomes. Two-thirds of the
   studies (4/6) found a significant improvement in at least one of the
   following patient outcomes: total cholesterol, low-density lipoproteins,
   fasting blood glucose, HbA1c, body mass index, blood pressure, waist
   circumference and physical activity. The effects of MI on GP outcomes
   yielded mixed results.
   Conclusions. Few studies have examined evidence for the effectiveness of
   MI delivered by GPs to Type 2 diabetes patients. Evidence to support the
   effectiveness of MI on GP and patient outcomes is weak. Further quality
   studies are needed to examine the effects of MI on GP and patient
   outcomes.
ZS 0
ZB 5
Z8 0
ZR 0
ZA 0
TC 13
Z9 12
U1 0
U2 23
SN 0263-2136
EI 1460-2229
UT WOS:000407272000003
PM 28486622
ER

PT J
AU Camargo, Aline
   Liu, Li
   Yousem, David M.
TI Radiology and Ethics Education
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 209
IS 3
BP 640
EP 642
DI 10.2214/AJR.16.17779
PD AUG 2017
PY 2017
AB OBJECTIVE. The purpose of this study is to assess medical ethics
   knowledge among trainees and practicing radiologists through an online
   survey that included questions about the American College of Radiology
   Code of Ethics and the American Medical Association Code of Medical
   Ethics.
   CONCLUSION. Most survey respondents reported that they had never read
   the American Medical Association Code of Medical Ethics or the American
   College of Radiology Code of Ethics (77.2% and 67.4% of respondents,
   respectively). With regard to ethics education during medical school and
   residency, 57.3% and 70.0% of respondents, respectively, found such
   education to be insufficient. Medical ethics training should be
   highlighted during residency, at specialty society meetings, and in
   journals and online resources for radiologists.
ZR 0
Z8 0
ZB 0
ZS 0
TC 2
ZA 0
Z9 2
U1 0
U2 1
SN 0361-803X
EI 1546-3141
UT WOS:000408218400035
PM 28590809
ER

PT J
AU Sahloul, Eman
   Salem, Riad
   Alrez, Wessam
   Alkarim, Tayseer
   Sukari, Ammar
   Maziak, Wasim
   Atassi, M. Bassel
TI Cancer Care at Times of Crisis and War: The Syrian Example
SO JOURNAL OF GLOBAL ONCOLOGY
VL 3
IS 4
BP 338
EP 345
DI 10.1200/JGO.2016.006189
PD AUG 2017
PY 2017
AB Purpose As Syria enters its fifth year of conflict, the number of
   civilians killed and injured continues to rise sharply. Along with this
   conflict comes the rapid decline of medical care, specifically cancer
   care. To determine physician and equipment availability, cancer
   screening and management, and possible solutions relative to various
   major cities, a survey was distributed to physicians inside Syria
   through the help of the humanitarian organization Syrian American
   Medical Society.
   Methods Online surveys were distributed to both certified oncologists
   who work in cancer clinics and general physicians who work in rural and
   mobile clinics inside Syria. Variables assessed were physician
   specialty, location, population, cost, regional situation (besieged
   versus government controlled), and resource availability and access.
   Results were stratified by location and physician specialty.
   Results Survey results revealed a large shortage of specialized
   physicians and inhibited accessibility to screening and management
   options in besieged areas compared with government-controlled regions.
   Physicians within both government-controlled and besieged cities
   reported limited or no targeted agents, radiation therapy, clinical
   trials, bone marrow transplantation, positron emission tomography scans,
   magnetic resonance imaging, and genetic testing.
   Conclusion The Syrian civil war has resulted in suboptimal oncology care
   in the majority of the region. In consideration of specific deficiencies
   in cancer care, we recommend several solutions that may better the level
   of care in Syria: patient education on medical documentation and
   self-examination; online consultation; and cheap, effective screening
   methods. The implementation of these recommendations may change the
   course of cancer care in a country that has deteriorated into the worst
   humanitarian crisis of the century. (C) 2016 by American Society of
   Clinical Oncology
Z8 0
ZA 0
ZR 0
ZB 1
TC 17
ZS 0
Z9 17
U1 0
U2 3
SN 2378-9506
UT WOS:000461073800008
PM 28831442
ER

PT J
AU Sattar, Kamran
   Abdulghani, Hamza Mohammad
   Ahmad, Tauseef
   John, Jennesse
   Al Dabeeb, Dana
   Meo, Sultan Ayoub
TI Principled physicians are not born-they are mentored: Medical students'
   perception of the values and need of mentors at the College of Medicine,
   Saudi Arabia
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 67
IS 8
BP 1192
EP 1197
PD AUG 2017
PY 2017
AB Objective: To discuss the perception of medical students about mentoring
   at the medical school.
   Methods: This cross-sectional descriptive study was conducted at the
   King Saud University, Riyadh, Saudi Arabia, from April 2015 to April
   2016, and comprised medical students. A well-structured, bilingual
   (English and Arabic) quantitative questionnaire with 21 items was
   administered online via Google Docs to the students. SPSS 21 was used
   for data analysis.
   Results: Of the 311 students who received the questionnaire, 296(95.17%)
   completed it. Of them, 257(86.8%) expressed an interest in having a
   mentor during their medical school career and 276(93.2%) selected the
   role of their mentor as a "guide". Moreover, 107(36.1%) students agreed
   that it was "not important at all" that their mentor should be of the
   same gender.
   Conclusion: Participants were interested in having a mentor during their
   medical school career.
RI Meo, Sultan Ayoub/D-6719-2015; Ahmad, Dr Tauseef/AAF-9641-2019; , KAMRAN/R-1298-2017; ABDULGHANI, HAMZA/
OI Meo, Sultan Ayoub/0000-0001-9820-1852; Ahmad, Dr
   Tauseef/0000-0001-6769-1617; , KAMRAN/0000-0003-4820-3483; ABDULGHANI,
   HAMZA/0000-0002-9826-5781
Z8 0
TC 0
ZR 0
ZS 0
ZA 0
ZB 0
Z9 0
U1 0
U2 1
SN 0030-9982
UT WOS:000405943300013
PM 28839303
ER

PT J
AU Liede, Alexander
   Amelio, Justyna
   Bennett, James
   Goodman, Helen
   Peters, Pamela M.
   Barber, Rebecca
   Kehler, Elizabeth
   Sprafka, J. Michael
TI Measuring and Improving Physician Knowledge of Safety Risks Using
   Traditional and Online Methods in Pharmacovigilance
SO PHARMACEUTICAL MEDICINE
VL 31
IS 4
BP 257
EP 266
DI 10.1007/s40290-017-0196-4
PD AUG 2017
PY 2017
AB Background Traditional methods for assessing prescriber knowledge can
   take several years to deliver results. This study was undertaken to
   obtain insights into the potential for using existing online communities
   to educate prescribers on therapy-related safety risks.
   Objetive The aim of this study was to describe approaches to measuring
   prescribers' knowledge of safety risk (osteonecrosis of the jaw)
   outlined in the European Medicine Agency's summary of product
   characteristics for denosumab (XGEVA(A (R))).
   Methods Short multiple-choice online instruments were administered as
   (1) a two-round cross-sectional survey fielded in January 2013-May 2015
   (traditional, nine European countries, study duration: 3 years), (2) a
   survey targeting the online Medscape community (seven European
   countries, study duration: 3 weeks), and (3) a continuing medical
   education module with pre-/post-assessment in an online Medscape
   community (Medscape Education, USA). All respondents were oncologists;
   treated five or more patients with bone metastases from solid tumours in
   the previous 3 months; and prescribed denosumab within the previous 12
   months. Medscape (a WebMD company, New York, NY, USA) is the leading
   online medical information resource, serving approximately 3 million
   physicians worldwide and 400,000 within Europe.
   Results In the traditional 29-month study, 420 (n = 210 per round; 14%
   of screened physicians) individuals participated. Knowledge levels
   exceeded 75% correct on five questions (incidence of osteonecrosis of
   the jaw, concomitant risk factors and prevention of osteonecrosis of the
   jaw during denosumab treatment, importance of ensuring oral hygiene, and
   care for patients who have or develop osteonecrosis of the jaw) with
   less awareness of optimal osteonecrosis of the jaw treatment. The
   Medscape survey (n = 207; 32.1% of 645 eligible) provided similar
   results in a 3-week post-survey launch. The Medscape Education study (n
   = 264) documented knowledge acquisition.
   Conclusions Assessments that target physicians through online platforms
   where they seek information about drug-related safety risks may result
   in increased efficiencies, informing regulators about prescribers'
   knowledge of safe use within weeks rather than years. Online communities
   or professional societies may provide venues in which to implement
   knowledge-acquisition surveys tied to training/education modules that
   address safety topics.
Z8 0
ZB 1
ZS 0
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 2
SN 1178-2595
EI 1179-1993
UT WOS:000406964200005
PM 28824275
ER

PT J
AU Mack, Heather G.
   Meng, Ngy
   Parsons, Tanya
   Schlenther, Gerhard
   Murray, Neil
   Hart, Richard
TI Partnering to develop a continuing professional development program in a
   low-resource setting: Cambodia
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 52
IS 4
BP 379
EP 384
DI 10.1016/j.jcjo.2016.11.024
PD AUG 2017
PY 2017
AB Objective: To design and implement a continuing professional development
   (CPD) program for Cambodian ophthalmologists.
   Design: Partnering (twinning) between the Royal Australian and New
   Zealand College of Ophthalmologists (RANZCO) and the Cambodian
   Ophthalmological Society (COS).
   Participants: Practicing ophthalmologists in Cambodia.
   Methods: A conjoint committee comprising 4 ophthalmologists from RANZCO
   and 3 ophthalmologists from COS was established, supported by a RANZCO
   administrative team experienced in CPD administration. CPD requirements
   and recording were adapted from the RANZCO CPD framework. Cambodian
   ophthalmologists were surveyed during program implementation and after
   handover to COS.
   Results: At the end of the 3-year program at handover to COS, a CPD
   program and online recording system was established. All 47 (100%)
   practicing ophthalmologists in Cambodia were registered for CPD, and
   21/47 (45%) were actively participating in the COS CPD program online
   recording. Surveys of attitudes toward CPD demonstrated no significant
   change.
   Conclusions: Partnering was moderately effective in establishing a CPD
   program for Cambodian ophthalmologists. Uptake of CPD may have been
   limited by lack of a requirement for CPD for continuing medical
   licensure in Cambodia. Follow-up will be necessary to demonstrate CPD
   program longevity.
OI Mack, Heather/0000-0001-9756-1098
ZA 0
TC 0
ZR 0
ZS 0
Z8 0
ZB 0
Z9 0
U1 0
U2 3
SN 0008-4182
EI 1715-3360
UT WOS:000408431100026
PM 28774520
ER

PT J
AU Pinto, Anna
   De Santis, Marta
   Moretti, Carlo
   Farina, Luca
   Ravarotto, Licia
TI Medical practitioners' attitudes towards animal assisted interventions.
   An Italian survey
SO COMPLEMENTARY THERAPIES IN MEDICINE
VL 33
BP 20
EP 26
DI 10.1016/j.ctim.2017.04.007
PD AUG 2017
PY 2017
AB Objectives: The present study had a dual purpose: to obtain a
   comprehensive picture of the Italian medical practitioners' opinions,
   professional experiences, training needs and knowledge of Animal
   Assisted Interventions (AAI); and to provide a detailed description of
   the medical practitioners who are characterized by a strongly positive
   attitude towards AAI.
   Methods: An online survey addressed to Italian medical practitioners was
   carried out using a 35-items structured questionnaire. Data obtained
   from the survey were analysed through appropriate summary statistics,
   analysis of variance (ANOVA) and logistic regression analysis.
   Results: 670 medical practitioners participated in the online survey.
   Among them, 508 stated that they knew of AM. 93.7% of these described
   themselves fully favourable towards the use of the human-animal
   relationship for therapeutic purposes, 84.4% defined themselves as
   confident and interested in studying the theme. A positive attitude
   towards AAI was greater in females, in people between 45 and 54 years
   old, in those who are pet owners and in those who believe that
   conferences are the most suitable tool to share information on AAI.
   Conclusions: The chance of having a positive attitude towards AAI is
   higher in respondents with specific characteristics. Data collected
   could be used as a starting point to promote and implement communication
   and training activities on AAI addressed to medical practitioners.
RI Pinto, Anna/AAX-2041-2021; De Santis, Marta/AAL-2679-2020; Pinto, Anna/
OI De Santis, Marta/0000-0002-0630-6153; Pinto, Anna/0000-0002-6715-1327
TC 4
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 4
U1 3
U2 23
SN 0965-2299
EI 1873-6963
UT WOS:000407537700004
PM 28735821
ER

PT J
AU Alexandraki, Irene
   Hernandez, Caridad A.
   Torre, Dario M.
   Chretien, Katherine C.
TI Interprofessional Education in the Internal Medicine Clerkship Post-LCME
   Standard Issuance: Results of a National Survey
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 32
IS 8
BP 871
EP 876
DI 10.1007/s11606-017-4004-3
PD AUG 2017
PY 2017
AB Several decades of work have detailed the value and goals of
   interprofessional education (IPE) within the health professions,
   defining IPE competencies and best practices. In 2013, the Liaison
   Committee for Medical Education (LCME) elevated IPE to a U.S. medical
   school accreditation standard.
   To examine the status of IPE within internal medicine (IM) clerkships
   including perspectives, curricular content, barriers, and assessment a
   year after the LCME standard issuance.
   Anonymous online survey.
   IM clerkship directors from each of the Clerkship Directors in Internal
   Medicine's 121 U.S. and Canadian member medical schools in 2014.
   In 2014, a section on IPE (18 items) was included in the Clerkship
   Directors in Internal Medicine annual survey of its 121 U.S. and
   Canadian member medical schools.
   Items (18) assessed clerkship director (CD) perspectives, status of IPE
   curricula in IM clerkships, and barriers to IPE implementation. Data
   were analyzed using descriptive statistics and qualitative analysis of
   free-text responses to one of the survey questions.
   The overall survey response rate was 78% (94/121). The majority (88%)
   agreed that IPE is important to the practice of IM, and 71% believed IPE
   should be part of the IM clerkship. Most (76%) CDs agreed there is need
   for faculty development programs in IPE; 27% had such a program at their
   institution. Lack of curricular time, scheduling conflicts, and lack of
   faculty trained in IPE were the most frequently cited barriers.
   Twenty-nine percent had formal IPE activities within their IM
   clerkships, and 38% were planning to make changes. Of those with formal
   IPE activities, over a third (37%) did not involve student assessment.
   Since LCME standard issuance, only a minority of IM clerkships have
   included formal IPE activities, with lectures as the predominant method.
   Opportunities exist for enhancing educational methods as well as IPE
   faculty development.
OI Hernandez, Caridad/0000-0001-5354-2784
Z8 0
ZB 2
ZS 0
ZR 0
ZA 0
TC 9
Z9 9
U1 0
U2 1
SN 0884-8734
EI 1525-1497
UT WOS:000405914000006
PM 28284014
ER

PT J
AU Olszewski, Aleksandra E.
   Wolbrink, Traci A.
TI Serious Gaming in Medical Education A Proposed Structured Framework for
   Game Development
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 12
IS 4
BP 240
EP 253
DI 10.1097/SIH.0000000000000212
PD AUG 2017
PY 2017
AB Serious games are increasingly being used for medical education.
   However, the design and development of serious games for the education
   of health professionals is highly variable, and very few articles report
   the development process used for game development. There are many
   established processes for software development that can improve and
   streamline development, and incorporating the best practices from
   educational pedagogy and software development may enhance teamwork and
   communication, decrease development costs, and improve the quality of
   serious games. In this article, we review and summarize the literature
   for serious game development for medical education, and combining the
   best practices, we propose a structured three-phase iterative
   development framework for serious game development.
RI Wolbrink, Traci/T-7211-2019; Olszewski, Aleksandra/
OI Olszewski, Aleksandra/0000-0003-4275-441X
ZR 0
ZA 0
TC 36
ZS 1
ZB 3
Z8 1
Z9 38
U1 5
U2 43
SN 1559-2332
EI 1559-713X
UT WOS:000407381200006
PM 28027076
ER

PT J
AU Davis, Matthew C.
   Rocque, Brandon G.
   Singhal, Ash
   Ridder, Thomas
   Pattisapu, Jogi V.
   Johnston, James M., Jr.
TI State of global pediatric neurosurgery outreach: survey by the
   International Education Subcommittee
SO JOURNAL OF NEUROSURGERY-PEDIATRICS
VL 20
IS 2
BP 204
EP 210
DI 10.3171/2017.3.PEDS16433
PD AUG 2017
PY 2017
AB OBJECTIVE Neurosurgical services are increasingly recognized as
   essential components of surgical care worldwide. The degree of interest
   among neurosurgeons regarding international work, and the barriers to
   involvement in global neurosurgical outreach, are largely unexplored.
   The authors distributed a survey to members of the American Association
   of Neurological Surgeons/Congress of Neurological Surgeons (AANS/CNS)
   Joint Section on Pediatric Neurosurgery to assess the state of global
   outreach among its members and to identify barriers to involvement.
   METHODS An internet-based questionnaire was developed by the
   International Education Subcommittee of the AANS/ CNS Joint Section on
   Pediatric Neurosurgery and distributed to pediatric neurosurgeons via
   the AANS/CNS Joint Section email contact list. Participants were
   surveyed on their involvement in global neurosurgical outreach,
   geographic location, nature of the participation, and barriers to
   further involvement.
   RESULTS A 35.3% response rate was obtained, with 116 respondents
   completing the survey. Sixty-one percent have performed or taught
   neurosurgery in a developing country, and 49% travel at least annually.
   Africa was the most common region (54%), followed by South America
   (30%), through 29 separate organizing entities. Hydrocephalus was the
   most commonly treated condition (88%), followed by spinal dysraphism
   (74%), and tumor (68%). Most respondents obtained follow-up through
   communications from local surgeons (77%). Seventy-one percent believed
   the international experience improved their practice, and 74% were very
   or extremely interested in working elsewhere. Interference with current
   practice (61%), cost (44%), and difficulty identifying international
   partners (43%) were the most commonly cited barriers to participation.
   CONCLUSIONS Any coordinated effort to expand global neurosurgical
   capacity begins with appreciation for the current state of outreach
   efforts. Increasing participation in global outreach will require
   addressing both real and perceived barriers to involvement. Creation and
   curation of a centralized online database of ongoing projects to
   facilitate coordination and involvement may be beneficial.
OI Johnston, James/0000-0001-8564-1808; Singhal, Ash/0000-0002-0061-9570;
   Rocque, Brandon/0000-0002-7333-4808
Z8 1
ZS 0
TC 17
ZR 0
ZA 0
ZB 2
Z9 18
U1 0
U2 3
SN 1933-0707
EI 1933-0715
UT WOS:000406569000016
PM 28524788
ER

PT J
AU Sanchez, Asiel Adan
   Southgate, Erica
   Rogers, Gary
   Duvivier, Robbert J.
TI Inclusion of Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex
   Health in Australian and New Zealand Medical Education
SO LGBT HEALTH
VL 4
IS 4
BP 295
EP 303
DI 10.1089/lgbt.2016.0209
PD AUG 2017
PY 2017
AB Purpose: This study aims at establishing the scope of lesbian, gay,
   bisexual, transgender, queer, and intersex (LGBTQI) health in Australian
   and New Zealand medical curricula.
   Methods: We sent medical school curriculum administrators an online
   cross-sectional survey.
   Results: The response rate was 15 medical schools (71%): 14 Australian
   schools and 1 New Zealand school. Respondents included program directors
   (n = 5; 33%), course coordinators (n = 4; 27%), Heads of School (n = 2;
   13%), one Dean (7%), and three others (20%). Most schools (n = 9; 60%)
   reported 0-5 hours dedicated to teaching LGBTQI content during the
   required pre-clinical phase; nine schools (60%) reported access to a
   clinical rotation site where LGBTQI patient care is common. In most
   schools (n = 9; 60%), LGBTQI-specific content is interspersed throughout
   the curriculum, but five schools (33%) have dedicated modules. The most
   commonly used teaching modalities include lectures (n = 12; 80%) and
   small-group sessions (n = 9; 60%). LGBTQI content covered in curricula
   is varied, with the most common topics being how to obtain information
   about same-sex sexual activity (80%) and the difference between sexual
   behavior and identity (67%). Teaching about gender and gender identity
   is more varied across schools, with seven respondents (47%) unsure about
   what is taught. Eight respondents (53%) described the coverage of LGBTQI
   content at their institution as fair, two (13%) as good, and two (13%)
   as poor, with one respondent (7%) describing the coverage as very poor.
   None of the respondents described the coverage as very good.
   Conclusions: Currently, medical schools include limited content on
   LGBTQI health, most of which focuses on sexuality. There is a need for
   further inclusion of curriculum related to transgender, gender diverse,
   and intersex people.
RI Duvivier, Robbert J/G-7479-2011; Rogers, Gary D./
OI Duvivier, Robbert J/0000-0001-8282-1715; Rogers, Gary
   D./0000-0003-4655-0131
Z8 0
TC 17
ZR 0
ZB 1
ZS 1
ZA 0
Z9 18
U1 0
U2 17
SN 2325-8292
EI 2325-8306
UT WOS:000407113900009
PM 28723306
ER

PT J
AU Baldwin, Constance D.
   Gusic, Maryellen E.
   Chandran, Latha
TI The Impact of a National Faculty Development Program Embedded Within an
   Academic Professional Organization
SO ACADEMIC MEDICINE
VL 92
IS 8
BP 1105
EP 1113
DI 10.1097/ACM.0000000000001496
PD AUG 2017
PY 2017
AB A sizeable literature describes the effectiveness of institution-based
   faculty development programs in nurturing faculty educators as scholars,
   but national programs are less common and seldom evaluated. To fill this
   role, the Educational Scholars Program (ESP) was created within the
   Academic Pediatric Association (APA) in 2006. It is a national,
   three-year, cohort-based certification program focused on fostering
   educational scholarship. This article describes the development and
   outcomes of an innovative program embedded within the framework of a
   national professional organization, and offers a model for potential
   adaptation by similar organizations to enhance their support of
   educators.
   After 10 years, 171 scholars have enrolled in the ESP, and 50 faculty
   have participated. Scholars are assigned a faculty advisor and
   participate in three full-day sessions at a national meeting; online,
   interactive learning modules; and a mentored, scholarly project. The
   program receives support from the APA in four organizational frames:
   structural, human resource, political, and symbolic. The self-perceived
   scholarly proficiency of the scholars in Cohort 1 increased
   significantly over time, and their productivity and collaborations
   increased during and after the program. Scholars wrote enthusiastically
   about their experience in yearly and postprogram evaluations. In
   interviews, eight past APA presidents explained that the ESP
   strengthened the APA's mission, created new leaders, and provided a new
   model for other APA programs. Outcomes of the ESP suggest that a
   longitudinal faculty development program embedded within a national
   professional organization can create a social enterprise not only within
   the organization but also within the broader national community of
   educator-scholars.
ZS 0
Z8 0
TC 12
ZB 0
ZR 0
ZA 0
Z9 12
U1 2
U2 8
SN 1040-2446
EI 1938-808X
UT WOS:000406289600028
PM 28746133
ER

PT J
AU Gupta, Amar
   Nissan, Michael E.
   Bojrab, Dennis I., II
   Folbe, Adam
   Carron, Michael A.
TI Do Patients Access Appropriate Information Online?
SO FACIAL PLASTIC SURGERY
VL 33
IS 4
BP 428
EP 433
DI 10.1055/s-0037-1603782
PD AUG 2017
PY 2017
AB Health care providers should be aware of information available on the
   Internet to ensure proper patient care. The current analysis assesses
   the reliability, quality, and readability of internet information
   describing rhytidectomy. Previously validated survey instruments to
   assess the reliability, quality, and readability of online websites
   describing rhytidectomy were used. An internet search using Google with
   the search term facelift was conducted. The first 50 search results were
   reviewed, and 36 were deemed appropriate to be included in this
   analysis. Websites were divided based on type of authorship into
   professional organization, academic, physician based, and unidentified.
   The validated DISCERN instrument was used to determine reliability,
   quality, and overall rating of each site. The Flesch Reading Ease Score
   (FRES) and Flesch-Kincaid Grade Level (FKGL) were used to measure
   readability. A 1 to 3 point scale was used to rate websites, with a
   higher number indicating a website that possessed either greater
   reliability or greater quality. Mean scores for reliability ranged from
   1.7 (+/- 0.99) in the academic group to 2.0 (+/- 0.12) in the
   unidentified group. Mean scores for quality ranged from 1.5 (+/- 0.13)
   in the unidentified group to 1.7 (+/- 0.38) in the physician-based
   group. The highest overall rating was 1.4 (+/- 0.22 and +/- 0.31,
   respectively) in the unidentified and physician-based groups. The lowest
   overall rating was 1 (+/- 0.58) in the academic group. FRESs ranged from
   21.6 to 74.6. FKGLs ranged from 6.9 to 13.9. Information available
   online regarding rhytidectomy may be significantly deficient in
   reliability, quality, and readability. These deficiencies are present in
   articles with all types of author affiliations. This underscores the
   clinicians' duty to provide patients with high-quality information at an
   adequate level of comprehension.
ZA 0
ZR 0
ZB 0
TC 2
Z8 0
ZS 0
Z9 2
U1 0
U2 5
SN 0736-6825
EI 1098-8793
UT WOS:000406491000012
PM 28753718
ER

PT J
AU Frankenhauser, S.
   Boeker-Blum, T.
   Busch, C.
   Berberich, C.
   Mihaljevic, A. L.
   Weigand, M. A.
   Bardenheuer, H. J.
   Kessler, J.
TI Establishment of the new cross-sectional field of painmedicine. An
   application example at themedical faculty of Heidelberg
SO SCHMERZ
VL 31
IS 4
BP 391
EP 398
DI 10.1007/s00482-017-0188-z
PD AUG 2017
PY 2017
AB Studies from recent years paint a picture of qualitatively deficient
   treatment in pain medicine. In order to improve the situation knowledge
   on targeted diagnostics and effective therapy should be imparted at an
   early stage during undergraduate studies. For this reason the
   cross-sectional field Q14 - pain medicine was newly created in the
   revision of the medical physician licencing regulations. The Q14 was
   then established in a longitudinal, multidisciplinary form at the
   medical faculty in Heidelberg, whereby the complete Kern cycle was run
   through. The present project report describes and discusses the
   establishment. The results of the first multiple choice examination and
   an online-based evaluation by the students are presented. The latter
   show that the students recognized the relevance of the teaching program
   for their future professional career; however, the presentation of the
   interdisciplinary aspect must still be improved. The students were
   critical of the longitudinal structure and this does indeed involve a
   great deal of organization for the faculty and students. On the other
   hand this corresponds to the basic conception of a cross-sectional field
   and gives a good depiction of the multidisciplinary character. The first
   evaluation results set the precedent for further fine adjustments of the
   cross-sectional field. A continuous further development is generally
   needed with respect to the Kern cycle.
OI Mihaljevic, Andre/0000-0003-1902-657X
TC 2
ZS 0
Z8 0
ZB 1
ZR 0
ZA 0
Z9 2
U1 0
U2 0
SN 0932-433X
EI 1432-2129
UT WOS:000406641000008
PM 28194523
ER

PT J
AU Lou, Jing
   Wang, Shuai
   Liu, Shuitao
   Xing, Gengyan
TI Effectiveness of Extracorporeal Shock Wave Therapy Without Local
   Anesthesia in Patients With Recalcitrant Plantar Fasciitis: A
   Meta-Analysis of Randomized Controlled Trials
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 8
BP 529
EP 534
DI 10.1097/PHM.0000000000000666
PD AUG 2017
PY 2017
AB Objective The objective of this meta-analysis was to investigate the
   efficacy of extracorporeal shock wave therapy in the treatment of
   recalcitrant plantar fasciitis without local anesthesia.
   Methods The Cochrane Library, EMBASE, PubMed, and Web of Science
   databases were searched from inception to September 2015 for randomized
   controlled trials comparing ESWT without local anesthesia versus placebo
   for treatment of plantar fasciitis in adults. The primary outcome was
   the 12-week post-intervention success rate of reducing the visual analog
   scale score by 60% from baseline at the first step in the morning,
   reducing the VAS score by 60% from baseline during daily activities,
   reducing the Roles and Maudsley score, reducing overall heel pain, and
   reducing pain after applying a force meter.
   Results Nine studies were included in the meta-analysis. Compared with
   placebo, ESWT significantly improved the success rate of reducing
   overall heel pain, reducing the VAS score by 60% at the first step in
   the morning and during daily activities, improving the Roles and
   Maudsley score to excellent or good, and reducing heel pain after
   application of a pressure meter.
   Conclusions ESWT seems to be particularly effective in relieving pain
   associated with RPF. ESWT should be considered when traditional
   treatments have failed.
   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) understand the recovery rates for nonsurgical treatment of
   plantar fasciitis, (2) understand the role of extracorporeal shockwave
   therapy (ESWT) in the treatment of recalcitrant plantar fasciitis, and
   (3) understand the indications to incorporate ESWT in the treatment plan
   of recalcitrant plantar fasciitis.
   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 activity for a maximum of 1.5 AMA PRA
   Category 1 Credit(s). Physicians should only claim credit commensurate
   with the extent of their participation in the activity.
ZA 0
ZR 0
TC 31
ZB 4
Z8 3
ZS 1
Z9 35
U1 0
U2 19
SN 0894-9115
EI 1537-7385
UT WOS:000405783800001
PM 27977431
ER

PT J
AU Knight, Christopher L.
   Windish, Donna M.
   Haist, Steven A.
   Karani, Reena
   Chheda, Shobhina
   Rosenblum, Michael
   Basaviah, Preetha
   Spencer, Abby L.
   Aagaard, Eva M.
TI The SGIM TEACH Program: A Curriculum for Teachers of Clinical Medicine
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 32
IS 8
BP 948
EP 952
DI 10.1007/s11606-017-4053-7
PD AUG 2017
PY 2017
AB Demand for faculty with teaching expertise is increasing as medical
   education is becoming well established as a career pathway. Junior
   faculty may be expected to take on teaching responsibilities with
   minimal training in teaching skills.
   To address the faculty development needs of junior clinician-educators
   with teaching responsibilities and those changing their career focus to
   include teaching.
   Sessions at two Society of General Internal Medicine (SGIM) annual
   meetings combined with local coaching and online learning during the
   intervening year.
   Eighty-nine faculty scholars in four consecutive annual cohorts from
   2013 to 2016.
   Scholars participate in a full-day core teaching course as well as
   selective workshops at the annual meetings. Between meetings they
   receive direct observation and feedback on their teaching from a local
   coach and participate in an online discussion group.
   Sessions were evaluated using a post-session survey. Overall content
   rating was 4.48 (out of 5). Eighty-nine percent of participants
   completed all requirements. Of these, 100% agreed that they had gained
   valuable knowledge and skills.
   The TEACH certificate program provides inexperienced faculty teachers an
   opportunity to develop core skills. Satisfaction is high. Future
   research should focus on the impact that this and similar programs have
   on teaching skills.
OI Knight, Christopher/0000-0001-6781-4007
ZA 0
ZB 3
Z8 0
TC 8
ZR 0
ZS 0
Z9 8
U1 0
U2 3
SN 0884-8734
EI 1525-1497
UT WOS:000405914000020
PM 28409434
ER

PT J
AU Johnson, L. B.
   Boyd, L. D.
   Rainchuso, L.
   Rothman, A.
   Mayer, B.
TI Eating disorder professionals' perceptions of oral health knowledge
SO INTERNATIONAL JOURNAL OF DENTAL HYGIENE
VL 15
IS 3
BP 164
EP 171
DI 10.1111/idh.12183
PD AUG 2017
PY 2017
AB Objective: The aim of this study was to assess the oral health knowledge
   among professionals who specialize in treating eating disorders, and
   identify to what extent their education, and training addresses oral
   health care delivery, and recommendations for individuals with eating
   disorders. Method: Participants for this study were licensed behavioural
   and medical providers specializing in eating disorder treatment (n =
   107), and recruited through professional eating disorder organizations.
   Participants completed an anonymous, online questionnaire (33 items)
   assessing level of oral health-related education, knowledge and
   treatment recommendations within the participant's respective eating
   disorder discipline. Results: The majority of respondents (85%) were
   formally trained in eating disorders, and of those trained, 64.4% were
   not satisfied with the level of oral health education during formal
   education, and 19.5% report no oral health education. Respondents
   consider their knowledge of risk of oral disease for their
   clients/patients as average or above (84%), and ranked tooth erosion as
   the greatest reason for oral care (63%) while dry mouth led in the
   rankings for least significant reason for oral care (33%). Referral for
   oral care was found to be more common after reports of complication
   (55%). Discussion: According to these findings, eating disorder
   professionals regard oral health care for their clients as significant,
   and may be unaware of associated oral risk factors, current oral care
   standards and long-term oral effects of disordered eating apart from
   enamel erosion.
OI Johnson, Lisa Bennett/0000-0003-0753-7989
Z8 0
TC 5
ZA 0
ZB 1
ZS 0
ZR 0
Z9 5
U1 1
U2 13
SN 1601-5029
EI 1601-5037
UT WOS:000407060200002
PM 26449876
ER

PT J
AU Laronde, D. M.
   Corbett, K. K.
TI Adjunctive screening devices for oral lesions: their use by Canadian
   Dental Hygienists and the need for knowledge translation
SO INTERNATIONAL JOURNAL OF DENTAL HYGIENE
VL 15
IS 3
BP 187
EP 194
DI 10.1111/idh.12190
PD AUG 2017
PY 2017
AB Screening for oral cancer and other mucosal conditions is a
   knowledge-to-action objective that should be easy: there is supportive
   evidence, it is fast and non-invasive, and the oral cavity is easy to
   visualize. However, over 60% of oral cancers are diagnosed late, when
   treatment is complex and prognosis poor. Adjunctive screening devices
   (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV),
   chemiluminescence (CL) and brush biopsies, were designed to assess risk
   of oral lesions or aid in identification and localization of oral
   premalignant and malignant lesions. Little is known on how clinicians
   feel about using ASDs. Objectives: To evaluate use and level of comfort
   in using ASDs for oral cancer screening among dental hygienists.
   Methods: Online email survey of a stratified random sample of nearly
   3000 dental hygienists from four Canadian provinces. Results: A total of
   369 hygienists responded about ASDs. Ninety-three (25%) had used an ASD.
   Use was associated with six or more continuing education (CE) courses
   per year (P = 0.030), having a CE course in oral pathology within the
   last 3 years (P = 0.003) and having a screening protocol (P = 0.008).
   The most commonly used ASD is FV, which was the tool hygienists felt
   most comfortable using. Few used brush biopsies. Older graduates were
   more comfortable using TB (P = 0.014) and CL (0.033). Conclusion:
   Current evidence and education through CE appears to bolster knowledge
   translation efforts for hygienists to become more comfortable in the use
   of ASDs. ASDs with minimal supporting evidence and not specifically
   targeted to hygienists, such as the brush biopsies, are not well
   utilized.
RI Laronde, Denise/B-8357-2011; Laronde, Denise/
OI Laronde, Denise/0000-0002-2330-4627
Z8 0
ZS 0
ZR 0
ZA 0
TC 3
ZB 0
Z9 3
U1 0
U2 6
SN 1601-5029
EI 1601-5037
UT WOS:000407060200005
PM 26694690
ER

PT J
AU MacMaster, Frank P.
   Swansburg, Rose
   Rittenbach, Katherine
TI Academic Productivity in Psychiatry: Benchmarks for the H-Index
SO ACADEMIC PSYCHIATRY
VL 41
IS 4
BP 452
EP 454
DI 10.1007/s40596-016-0656-2
PD AUG 2017
PY 2017
AB Objective Bibliometrics play an increasingly critical role in the
   assessment of faculty for promotion and merit increases. Bibliometrics
   is the statistical analysis of publications, aimed at evaluating their
   impact. The objective of this study is to describe h-index and citation
   benchmarks in academic psychiatry.
   Methods Faculty lists were acquired from online resources for all
   academic departments of psychiatry listed as having residency training
   programs in Canada (as of June 2016). Potential authors were then
   searched on Web of Science (Thomson Reuters) for their corresponding
   h-index and total number of citations.
   Results The sample included 1683 faculty members in academic psychiatry
   departments. Restricted to those with a rank of assistant, associate, or
   full professor resulted in 1601 faculty members (assistant = 911,
   associate = 387, full = 303). h-index and total citations differed
   significantly by academic rank. Both were highest in the full professor
   rank, followed by associate, then assistant. The range in each, however,
   was large.
   Conclusions This study provides the initial benchmarks for the h-index
   and total citations in academic psychiatry. Regardless of any
   controversies or criticisms of bibliometrics, they are increasingly
   influencing promotion, merit increases, and grant support. As such,
   benchmarking by specialties is needed in order to provide needed
   context.
OI Swansburg, Rose/0000-0003-0679-6380; MacMaster,
   Frank/0000-0002-7159-7583
ZR 0
TC 16
ZB 2
ZA 0
ZS 0
Z8 0
Z9 16
U1 0
U2 19
SN 1042-9670
EI 1545-7230
UT WOS:000405687000003
PM 28421476
ER

PT J
AU Greene, Laurence
   Moreo, Kathleen
   Nasrallah, Henry
   Tandon, Rajiv
   Sapir, Tamar
TI Self-Reported Training Adequacy, Experience, and Comfort Level in
   Performing Schizophrenia-Related Clinical Skills among Psychiatry
   Residents and Fellows
SO ACADEMIC PSYCHIATRY
VL 41
IS 4
BP 497
EP 502
DI 10.1007/s40596-016-0612-1
PD AUG 2017
PY 2017
AB Objective In the context of an educational program on schizophrenia for
   psychiatry trainees, this survey study analyzed associations between
   self-reported training adequacy, experience in providing patient care,
   and comfort level in performing schizophrenia-related clinical skills.
   The influence of the education on comfort level was also assessed for
   each skill.
   Survey respondents were psychiatry residents and fellows who
   participated in a schizophrenia education program at an in-person
   workshop or through online videos recorded at the workshop. In a
   pre-program survey, participants reported their experience in providing
   schizophrenia patient care and rated their training adequacy and comfort
   level for performing seven clinical skills involved in diagnosing and
   treating schizophrenia. The post-program survey included items for
   reassessing comfort level in performing the skills.
   Across the seven clinical skills, the proportion of respondents (n = 79)
   who agreed or strongly agreed that their training was adequate ranged
   from 29 to 88 %. The proportion of high ratings for comfort level in
   skill performance ranged from 45 to 83 %. Comfort level was
   significantly associated with training adequacy for all seven clinical
   skills and with experience in providing patient care for four skills.
   For all skills, comfort level ratings were significantly higher after
   versus before the educational workshop. Commonly indicated needs for
   further training included education on new therapies, exposure to a
   broader range of patients, and opportunities for longitudinal patient
   management.
   Psychiatry trainees' self-reported, disease-specific training adequacy,
   experiences, and comfort level have unique applications for developing
   and evaluating graduate medical curriculum.
OI Sapir, Tamar/0000-0003-1135-427X
ZS 0
TC 1
ZB 0
Z8 0
ZA 0
ZR 0
Z9 1
U1 0
U2 0
SN 1042-9670
EI 1545-7230
UT WOS:000405687000011
PM 27743219
ER

PT J
AU Pearl, Rebecca L.
   Argueso, Dallas
   Wadden, Thomas A.
TI Effects of medical trainees' weight-loss history on perceptions of
   patients with obesity
SO MEDICAL EDUCATION
VL 51
IS 8
BP 802
EP 811
DI 10.1111/medu.13275
PD AUG 2017
PY 2017
AB CONTEXT Medical professionals often express weight-biased attitudes.
   Prior research suggests that people who overcome a challenge are
   critical of individuals who struggle to overcome the same challenge.
   Thus, medical trainees who have successfully achieved and maintained
   weight loss may express greater weight bias and more critical attitudes
   toward patients with obesity who fail to overcome these challenges.
   OBJECTIVES This study was designed to determine the effects of medical
   trainees' weight-loss history on weight-biased attitudes and responses
   to patients with varying weight-loss outcomes.
   METHODS An online survey was completed by 219 medical students and
   internal medicine residents. Participants' weight-biased attitudes were
   assessed before they were randomly assigned to read one of three patient
   vignettes in which the patient lost no weight, lost/regained weight, or
   lost/maintained weight. Independent measures included trainee gender,
   trainee weight loss and maintenance, and the three experimental
   conditions of patient outcomes. Dependent measures included the Anti-Fat
   Attitudes (AFA) Questionnaire's Willpower and Dislike subscales, ratings
   (on a scale of 1-7) of compassion, frustration, and blame toward the
   patients presented in the vignettes, and perceptions of the
   physician-patient alliance. All analyses controlled for trainee body
   mass index.
   RESULTS Among trainees, 67.1% reported having successfully lost weight.
   Of those who had lost weight, 79.5% reported maintaining their weight
   loss. Trainees who had successfully lost/maintained weight expressed
   less compassion toward patients across vignettes (5.4 +/- 1.2 versus 5.9
   +/- 1.2; p<0.05), and more blame toward the patient who lost/regained
   weight than did trainees who had lost/regained weight (3.4 +/- 1.3
   versus 2.3 +/- 1.3; p<0.01). Overall, the patient who did not lose
   weight was viewed most negatively, followed by the patient who
   lost/regained (all p-values < 0.05). Female (but not male) trainees who
   had successfully lost weight expressed stronger weight-biased attitudes
   on the AFA scales than did those who had never lost weight (all p-values
   < 0.01).
   CONCLUSIONS Medical trainees' personal success with weight loss and
   maintenance may negatively affect their perceptions of patients with
   obesity who struggle with weight management.
RI Pearl, Rebecca/GRS-0019-2022
ZB 1
ZA 0
Z8 0
TC 6
ZS 0
ZR 0
Z9 6
U1 0
U2 8
SN 0308-0110
EI 1365-2923
UT WOS:000405994800009
PM 28497511
ER

PT J
AU Chappell, Phylliss M.
   Healy, Jennifer
   Lee, Shuko
   Medellin, Glen
   Sanchez-Reilly, Sandra
TI Communicating With Dying Patients and Their Families: Multimedia
   Training in End-of-Life Care
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 34
IS 7
BP 637
EP 644
DI 10.1177/1049909116655293
PD AUG 2017
PY 2017
AB Background: The need for end-of-life (EOL), high-impact education
   initiatives to prepare medical students to communicate with dying
   patients and their families and to cope with issues of death and dying,
   is well recognized.
   Methods: Third-year medical students (n = 224), during their ambulatory
   rotation, completed a multimedia EOL curriculum, which included
   pre-/posttests, an online case-based module, didactic presentation, and
   a tablet computer application designed to demonstrate the signs and
   symptoms seen in the last hours of life for families of dying patients.
   Pre- and posttests were compared using Pearson (2) or Fisher exact test,
   and improvement was measured by weighted coefficient.
   Results: On preintervention surveys, the majority of students
   demonstrated positive attitudes toward the care of dying patients and
   their families. Despite this high pretest positive attitude, there was a
   statistically significant overall positive attitude change after the
   intervention. The lowest pretest positive attitudes and lowest posttest
   positive attitude shifts, although all statistically improved, involved
   addressing the thoughts and feelings of dying patients and in coping
   with their own emotional response.
   Conclusions: Medical students exposure to this multimedia EOL curriculum
   increases positive attitudes in caring for dying patients and their
   families.
ZS 1
TC 5
Z8 0
ZR 0
ZB 0
ZA 0
Z9 6
U1 0
U2 2
SN 1049-9091
EI 1938-2715
UT WOS:000405509800006
PM 27384610
ER

PT J
AU Hampe, Holly
TI Online Simulation of a Root Cause Analysis for Graduate Health
   Administration Students
SO CLINICAL SIMULATION IN NURSING
VL 13
IS 8
BP 398
EP 404
DI 10.1016/j.ecns.2017.04.001
PD AUG 2017
PY 2017
AB Despite increasing online learning popularity, this environment poses
   special challenges. Online teaching/learning lacks opportunities to
   teach interpersonal skills necessary for ''real life'' careers in
   healthcare administration. Connected synchronously, 14 graduate students
   including four registered nurses, all provided a role within the
   simulated root cause analysis team, were able to analyze a sentinel
   event followed by a debriefing that utilized the PEARLS methods and a
   submitted reflective assignment. These students expressed much
   satisfaction with this exercise, finding new insight and experience in
   this meaningful learning exercise.
Z8 0
ZB 0
ZS 0
ZR 0
TC 1
ZA 0
Z9 1
U1 0
U2 11
SN 1876-1399
EI 1876-1402
UT WOS:000406312100006
ER

PT J
AU MacLeod, Anna
   Kits, Olga
   Mann, Karen
   Tummons, Jonathan
   Wilson, Keith W.
TI The invisible work of distributed medical education: exploring the
   contributions of audiovisual professionals, administrative professionals
   and faculty teachers
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 22
IS 3
BP 623
EP 638
DI 10.1007/s10459-016-9695-4
PD AUG 2017
PY 2017
AB Distributed medical education (DME) is becoming increasingly prevalent.
   Much of the published literature on DME has focused on the experiences
   of learners in distributed programs; however, our empirical work leads
   us to believe that DME changes the context significantly, not only for
   learners, but also for other important members of the educational
   community including audiovisual professionals, administrative
   professionals and faculty teachers. Based on a three-year ethnographic
   study, we provide a detailed account of how alliances between various
   workers involved in DME develop to produce and deliver an undergraduate
   medical curriculum across geographically separate campuses. We explore
   the question 'What is the work involved in the delivery of a DME
   program?' and cast a critical gaze on the essential but invisible, and
   therefore potentially unrecognized and underappreciated, contributions
   of AV professionals, administrative professionals, and faculty teachers.
   Our goal is to make visible the complexity of DME, including the
   essential contributions of these workers. The study was theoretically
   framed in sociomateriality and conceptually framed in Star and Strauss'
   notion of articulation work.
RI Tummons, Jonathan/L-7797-2015; Wilson, Keith/
OI Tummons, Jonathan/0000-0002-1372-3799; Wilson, Keith/0000-0002-7027-5398
TC 22
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 22
U1 0
U2 8
SN 1382-4996
EI 1573-1677
UT WOS:000404983500004
PM 27357385
ER

PT J
AU Lyons, Kayley
   McLaughlin, Jacqueline E.
   Khanova, Julia
   Roth, Mary T.
TI Cognitive apprenticeship in health sciences education: a qualitative
   review
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 22
IS 3
BP 723
EP 739
DI 10.1007/s10459-016-9707-4
PD AUG 2017
PY 2017
AB Cognitive apprenticeship theory emphasizes the process of making expert
   thinking "visible" to students and fostering the cognitive and
   meta-cognitive processes required for expertise. The purpose of this
   review was to evaluate the use of cognitive apprenticeship theory with
   the primary aim of understanding how and to what extent the theory has
   been applied to the design, implementation, and analysis of education in
   the health sciences. The initial search yielded 149 articles, with 45
   excluded because they contained the term "cognitive apprenticeship" only
   in reference list. The remaining 104 articles were categorized using a
   theory talk coding scheme. An in depth qualitative synthesis and review
   was conducted for the 26 articles falling into the major theory talk
   category. Application of cognitive apprenticeship theory tended to focus
   on the methods dimension (e.g., coaching, mentoring, scaffolding), with
   some consideration for the content and sociology dimensions. Cognitive
   apprenticeship was applied in various disciplines (e.g., nursing,
   medicine, veterinary) and educational settings (e.g., clinical,
   simulations, online). Health sciences education researchers often used
   cognitive apprenticeship to inform instructional design and instrument
   development. Major recommendations from the literature included
   consideration for contextual influences, providing faculty development,
   and expanding application of the theory to improve instructional design
   and student outcomes. This body of research provides critical insight
   into cognitive apprenticeship theory and extends our understanding of
   how to develop expert thinking in health sciences students. New research
   directions should apply the theory into additional aspects of health
   sciences educational research, such as classroom learning and
   interprofessional education.
OI Lyons, Kayley/0000-0003-2224-1107
ZR 0
ZS 1
TC 25
ZA 1
ZB 1
Z8 2
Z9 29
U1 2
U2 56
SN 1382-4996
EI 1573-1677
UT WOS:000404983500010
PM 27544386
ER

PT J
AU Matos, Jason
   Petri, Camille R.
   Mukamal, Kenneth J.
   Vanka, Anita
TI Spaced education in medical residents: An electronic intervention to
   improve competency and retention of medical knowledge
SO PLOS ONE
VL 12
IS 7
AR e0181418
DI 10.1371/journal.pone.0181418
PD JUL 31 2017
PY 2017
AB Background
   Spaced education is a novel method that improves medical education
   through online repetition of core principles often paired with
   multiple-choice questions. This model is a proven teaching tool for
   medical students, but its effect on resident learning is less
   established. We hypothesized that repetition of key clinical concepts in
   a "Clinical Pearls" format would improve knowledge retention in medical
   residents.
   Methods
   This study investigated spaced education with particular emphasis on
   using a novel, email-based reinforcement program, and a randomized,
   self-matched design, in which residents were quizzed on medical
   knowledge that was either reinforced or not with
   electronically-administered spaced education. Both reinforced and
   non-reinforced knowledge was later tested with four quizzes.
   Results
   Overall, respondents incorrectly answered 395 of 1008 questions (0.39;
   95% CI, 0.36-0.42). Incorrect response rates varied by quiz (range
   0.34-0.49; p = 0.02), but not significantly by post-graduate year (PGY1
   0.44, PGY2 0.33, PGY3 0.38; p = 0.08). Although there was no evidence of
   benefit among residents (RR = 1.01; 95% CI, 0.83-1.22; p = 0.95), we
   observed a significantly lower risk of incorrect responses to reinforced
   material among interns (RR = 0.83, 95% CI, 0.70-0.99, p = 0.04).
   Conclusions
   Overall, repetition of Clinical Pearls did not statistically improve
   test scores amongst junior and senior residents. However, among interns,
   repetition of the Clinical Pearls was associated with significantly
   higher test scores, perhaps reflecting their greater attendance at
   didactic sessions and engagement with Clinical Pearls. Although the
   study was limited by a low response rate, we employed test and control
   questions within the same quiz, limiting the potential for selection
   bias. Further work is needed to determine the optimal spacing and
   content load of Clinical Pearls to maximize retention amongst medical
   residents. This particular protocol of spaced education, however, was
   unique and readily reproducible suggesting its potential efficacy for
   intern education within a large residency program.
RI Petri, Camille/P-7977-2019; Mukamal, Kenneth/GVR-7978-2022
OI Petri, Camille/0000-0003-4120-3069; 
ZR 0
ZA 0
TC 16
ZB 0
ZS 0
Z8 0
Z9 16
U1 1
U2 4
SN 1932-6203
UT WOS:000406761600016
PM 28759606
ER

PT J
AU Long, Xingbo
   Qi, Lin
   Ou, Zhenyu
   Zu, Xiongbing
   Cao, Zhenzhen
   Zeng, Xiting
   Li, Yuan
   Chen, Minfeng
   Wang, Zhao
   Wang, Long
TI Evolving use of social media among Chinese urologists: Opportunity or
   challenge?
SO PLOS ONE
VL 12
IS 7
AR e0181895
DI 10.1371/journal.pone.0181895
PD JUL 28 2017
PY 2017
AB Background
   Social media has revolutionized the way people communicate, and it has
   been widely incorporated into medical practice. However, limited data
   are available regarding the use of social media by Chinese urologists in
   their practice.
   Methods
   From 2014 to 2016, during the China Urological Association's (CUA)
   Annual National Minimally Invasive Urology Academic Conference, an
   anonymous survey on social media usage was distributed to participant
   urologists.
   Results
   The results of the survey, which was completed by 665 participants,
   indicate a conspicuous increase in social media use during the last
   three years. Regression analysis showed that year (2014 compared to 2016
   and 2015), institute location (in the eastern region of China) and age
   (<35 y) were independent predictors of social media use. Rather than for
   personal use, an increasing number of respondents said they used social
   media for professional purposes, and for most respondents, social media
   has had a positive impact on their practice. However, when posting
   information on social media, few respondents were aware of the issue of
   protecting patients' privacy.
   Conclusions
   Our study demonstrates a dramatic increase in social media use among
   Chinese urologists, which provides great opportunities for online
   academic communication and medical education. However, unprofessional
   use of social media in the medical practice may bring about potential
   risks and challenges for the further development of social media in
   medical practice.
ZS 0
TC 14
ZR 0
Z8 0
ZB 3
ZA 0
Z9 14
U1 1
U2 6
SN 1932-6203
UT WOS:000406579300031
PM 28753632
ER

PT J
AU Neuhann, Florian
   Barteit, Sandra
TI Lessons learnt from the MAGNET Malawian-German Hospital Partnership: the
   German perspective on contributions to patient care and capacity
   development
SO GLOBALIZATION AND HEALTH
VL 13
AR 50
DI 10.1186/s12992-017-0270-4
PD JUL 26 2017
PY 2017
AB Background: Malawi is a low-income country with one of the highest HIV
   prevalence rates worldwide (Kendig et al., Trop Med Health 41: 163-170,
   2013). The health system depends largely on external funding. Official
   German development aid has supported health care in Malawi for many
   years (German Embassy Lilongwe, The German Development Cooperation in
   Malawi), including placing medical doctors in various departments of the
   Kamuzu Central Hospital (KCH) in Lilongwe. In 2008, a hospital
   partnership called MAGNET (Malawi German Networking for Capacity
   Building in Treatment, Training and Research at KCH) evolved as part of
   the German ESTHER network. The partnership was abruptly terminated in
   2015.
   Methods: We reviewed 35 partnership documents and conducted an online
   survey of partnership stakeholders to retrospectively assess the
   hospital partnership based on the Capacity WORKS model of the German
   Corporation for International Cooperation (GIZ). This model evaluates
   systems' management and implementation to understand and support the
   functioning of cooperation within societies. Based on this model, we
   considered the five success factors for cooperation management: (1)
   strategy, (2) cooperation, (3) steering, (4) processes, and (5) learning
   and innovation. In an online survey, we used an adapted version of the
   partnership evaluation tool by the Centers for Disease Control and
   Prevention (CDC).
   Results: From 2008 to 2015, the MAGNET partnership contributed to
   capacity building and improved patient care in the KCH Medical
   Department through clinical care, technical support, teaching and
   trainings, and operations research based on mutually agreed upon
   objectives. The MAGNET partnership was implemented in three phases
   during which there were changes in leadership in the Medical Department
   and the hospital, contractual policies, funder priorities and the
   competing influences of other actors. Communication and follow up among
   partners worked best during phases when a German doctor was onsite. The
   partnership was judged as a positive driver for change and support
   within the Medical Department, but eventually failed to implement
   self-sustainable, robust processes within the partnership to cope with
   multiple changes and challenges.
   Conclusion: The MAGNET partnership made a considerable contribution to
   patient care, continuous medical education and operations research at
   KCH, despite its abrupt termination. Changes in the institutional
   infrastructure, donor policy and interpersonal relations contributed to
   the loss of shared expectations and the end of the project.
   Institutional-hospital partnerships, like MAGNET, can make a valuable
   contribution to health care provision and hence a wider health agenda,
   provided there is a flexible, mutually agreed upon strategy, personal
   commitment, continuous communication and robust processes. However,
   partnership projects remain vulnerable to the influences of external
   actors and structures. Ministries of Health and donor agencies should
   appreciate the particular strength of hospital partnerships.
RI Barteit, Sandra/AAR-8602-2020; Barteit, Sandra/AAU-3589-2020
OI Barteit, Sandra/0000-0002-3806-6027
ZR 0
TC 8
ZA 0
Z8 0
ZS 0
ZB 0
Z9 8
U1 0
U2 11
SN 1744-8603
UT WOS:000406696000001
PM 28747207
ER

PT J
AU Harendza, Sigrid
   Pyra, Martin
TI Just fun or a prejudice? - physician stereotypes in common jokes and
   their attribution to medical specialties by undergraduate medical
   students
SO BMC MEDICAL EDUCATION
VL 17
AR 128
DI 10.1186/s12909-017-0964-6
PD JUL 26 2017
PY 2017
AB Background: Many jokes exist about stereotypical attributes of
   physicians in various specialties, which could lead to prejudices
   against physicians from a specific specialty. It is unknown whether and
   when medical students are aware of stereotypes about different
   specialties. The goal of this study was to analyze the degree of
   stereotypes that exist about medical specialties amongst undergraduate
   medical students at different stages of their education.
   Methods: One hundred fifty-two jokes with different content about
   attributes of physicians from different specialties were found by an
   internet search. In total, 36 characteristics of the five specialties of
   anesthesia, general surgery, internal medicine, orthopedics, and
   psychiatry were extracted from the jokes and they constituted the basis
   for the development of an online questionnaire. The questionnaire
   allowed each characteristic to be assigned to one of the five
   specialties and was sent to 999 undergraduate medical students from
   semester 1, 7, and 12 at the Medical Faculty of Hamburg University.
   Results: Three hundred eight (30.8%) of the invited students completed
   the survey. The characteristics of general surgeons and psychiatrists
   were assigned congruently most frequently (>50%). For internists and
   orthopedics, there was a significantly more congruent assignment of the
   characteristics by final year students versus students in their first
   semester. Male students assigned the characteristics of anesthetists and
   internists significantly more congruently than female students. The
   three characteristics "... are a bit slow on the uptake", "... consider
   income to be relatively unimportant", and "... apologize a lot" were not
   assigned to any of the five specialties by more than 50% of the
   students.
   Conclusions: While stereotypes about physicians from certain specialties
   seem to exist commonly, medical educators need to be aware that
   stereotypes about specialties might develop during undergraduate medical
   training. In order to support students in their professional identity
   formation without developing stereotypes, medical educators should
   receive training. Performing a similar study with physicians in
   postgraduate training would shed some light on stereotypes and
   prejudices that might develop at a later stage in medical education.
ZS 0
ZA 0
TC 6
Z8 0
ZR 0
ZB 1
Z9 6
U1 0
U2 15
SN 1472-6920
UT WOS:000406638800001
PM 28747204
ER

PT J
AU Haslerud, Torjan
   Tulipan, Andreas Julius
   Gray, Robert M., Jr.
   Biermann, Martin
TI E-learning for medical imaging specialists: introducing blended learning
   in a nuclear medicine specialist course
SO ACTA RADIOLOGICA OPEN
VL 6
IS 7
AR 2058460117720858
DI 10.1177/2058460117720858
PD JUL 25 2017
PY 2017
AB Background While e-learning has become an important tool in teaching
   medical students, the training of specialists in medical imaging is
   still dominated by lecture-based courses.
   Purpose To assess the potential of e-learning in specialist education in
   medical imaging.
   Material and Methods An existing lecture-based five-day course in
   Clinical Nuclear Medicine (NM) was enhanced by e-learning resources and
   activities, including practical exercises. An anonymized survey was
   conducted after participants had completed and passed the multiple
   choice electronic course examination.
   Results Twelve out of 15 course participants (80%) responded. Overall
   satisfaction with the new course format was high, but 25% of the
   respondents wanted more interactive elements such as discussions and
   practical exercises. The importance of lecture handouts and
   supplementary online material such as selected original articles and
   professional guidelines was affirmed by all the respondents (92% fully,
   8% partially), while 75% fully and 25% partially agreed that the
   lectures had been interesting and relevant.
   Conclusion E-learning represents a hitherto unrealized potential in the
   education of medical specialists. It may expedite training of medical
   specialists while at the same time containing costs.
RI Biermann, Martin/AAM-8791-2020
OI Biermann, Martin/0000-0002-5550-1035
ZR 0
ZB 0
ZA 0
Z8 0
TC 9
ZS 0
Z9 9
U1 0
U2 10
SN 2058-4601
UT WOS:000406586100001
PM 28804642
ER

PT J
AU Carrick, Frederick Robert
   Abdulrahman, Mahera
   Hankir, Ahmed
   Zayaruzny, Maksim
   Najem, Kinda
   Lungchukiet, Palita
   Edwards, Roger A.
TI Randomized Controlled Study of a Remote Flipped Classroom Neuro-otology
   Curriculum
SO FRONTIERS IN NEUROLOGY
VL 8
AR 349
DI 10.3389/fneur.2017.00349
PD JUL 24 2017
PY 2017
AB Context: Medical Education can be delivered in the traditional classroom
   or via novel technology including an online classroom.
   Objective: To test the hypothesis that learning in an online classroom
   would result in similar outcomes as learning in the traditional
   classroom when using a flipped classroom pedagogy.
   Design: Randomized controlled trial. A total of 274 subjects enrolled in
   a Neuro-otology training program for non-Neuro-otologists of 25 h held
   over a 3-day period. Subjects were randomized into a "control" group
   attending a traditional classroom and a "trial" group of equal numbers
   participating in an online synchronous Internet streaming classroom
   using the Adobe Connect e-learning platform.
   Interventions: Subjects were randomized into a "control" group attending
   a traditional classroom and a "treatment" group of equal numbers
   participating in an online synchronous Internet streaming classroom.
   Main outcome measures: Pre- and post-multiple choice examinations of
   VOR, Movement, Head Turns, Head Tremor, Neurodegeneration, Inferior
   Olivary Complex, Collateral Projections, Eye Movement Training, Visual
   Saccades, Head Saccades, Visual Impairment, Walking Speed,
   Neuroprotection, Autophagy, Hyperkinetic Movement, Eye and Head
   Stability, Oscilllatory Head Movements, Gaze Stability, Leaky Neural
   Integrator, Cervical Dystonia, INC and Head Tilts, Visual Pursuits,
   Optokinetic Stimulation, and Vestibular Rehabilitation.
   Methods: All candidates took a pretest examination of the subject
   material. The 2-9 h and 1-8 h sessions over three consecutive days were
   given live in the classroom and synchronously in the online classroom
   using the Adobe Connect e-learning platform. Subjects randomized to the
   online classroom attended the lectures in a location of their choice and
   viewed the sessions live on the Internet. A posttest examination was
   given to all candidates after completion of the course. Two sample
   unpaired t tests with equal variances were calculated for all pretests
   and posttests for all groups including gender differences.
   Results: All 274 subjects demonstrated statistically significant
   learning by comparison of their pre- and posttest scores. There were no
   statistically significant differences in the test scores between the two
   groups of 137 subjects each (0.8%, 95% Cl 85.45917-86.67952; P =
   0.9195). A total of 101 males in the traditional classroom arm had
   statistically significant lower scores than 72 females (0.8%, 95% Cl
   84.65716-86.53096; P = 0.0377) but not in the online arm (0.8%, 95% Cl
   85.46172-87.23135; P = 0.2176) with a moderate effect size (Cohen's d =
   -0.407).
   Conclusion: The use of a synchronous online classroom in neuro-otology
   clinical training has demonstrated similar outcomes to the traditional
   classroom. The online classroom is a low cost and effective complement
   to medical specialty training in Neuro-Otology. The significant
   difference in outcomes between males and females who attended the
   traditional classroom suggests that women may do better than males in
   this learning environment, although the effect size is moderate.
RI Carrick, Frederick/V-3132-2019; Abdulrahman, Mahera/; Carrick, Frederick/
OI Abdulrahman, Mahera/0000-0001-6271-3776; Carrick,
   Frederick/0000-0002-2818-6551
ZR 0
Z8 0
ZA 0
ZS 0
TC 18
ZB 2
Z9 18
U1 2
U2 18
SN 1664-2295
UT WOS:000406486800001
PM 28790966
ER

PT J
AU Kim, Gyuri
   Bae, Ji Cheol
   Yi, Byoung Kee
   Hur, Kyu Yeon
   Chang, Dong Kyung
   Lee, Moon-Kyu
   Kim, Jae Hyeon
   Jin, Sang-Man
TI An information and communication technology-based centralized clinical
   trial to determine the efficacy and safety of insulin dose adjustment
   education based on a smartphone personal health record application: a
   randomized controlled trial
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 17
AR 109
DI 10.1186/s12911-017-0507-4
PD JUL 18 2017
PY 2017
AB Background: A Personal Health Record (PHR) is an online application that
   allows patients to access, manage, and share their health data. PHRs not
   only enhance shared decision making with healthcare providers, but also
   enable remote monitoring and at-home-collection of detailed data. The
   benefits of PHRs can be maximized in insulin dose adjustment for
   patients starting or intensifying insulin regimens, as frequent
   self-monitoring of glucose, self-adjustment of insulin dose, and precise
   at-home data collection during the visit-to-visit period are important
   for glycemic control. The aim of this study is to examine the efficacy
   and safety of insulin dose adjustment based on a smartphone PHR
   application in patients with diabetes mellitus (DM) and to confirm the
   validity and stability of an information and communication technology
   (ICT)-based centralized clinical trial monitoring system.
   Methods: This is a 24-week, open-label, randomized, multi-center trial.
   There are three follow-up measures: baseline, post-intervention at week
   12, and at week 24. Subjects diagnosed with type 1 DM, type 2 DM, and/or
   post-transplant DM who initiate basal insulin or intensify their insulin
   regimen to a basal-bolus regimen are included. After education on
   insulin dose titration and prevention for hypoglycemia and a 1-week
   acclimation period, subjects are randomized in a 1: 1 ratio to either an
   ICT-based intervention group or a conventional intervention group.
   Subjects in the conventional intervention group will save and send their
   health information to the server via a PHR application, whereas those in
   ICT-based intervention group will receive additional algorithm-based
   feedback messages. The health information includes level of blood
   glucose, insulin dose, details on hypoglycemia, food diary, and step
   count. The primary outcome will be the proportion of patients who reach
   an optimal insulin dose within 12 weeks of study enrollment, without
   severe hypoglycemia or unscheduled clinic visits.
   Discussion: This clinical trial will reveal whether insulin dose
   adjustment based on a smartphone PHR application can facilitate the
   optimization of insulin doses in patients with DM. In addition, the
   process evaluation will provide information about the validity and
   stability of the ICT-based centralized clinical trial monitoring system
   in this research field.
RI Jin, Sang-Man/AFO-5933-2022; Kim, Gyuri/E-8992-2018
OI Kim, Gyuri/0000-0002-2242-2816
TC 2
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
Z9 2
U1 0
U2 13
SN 1472-6947
UT WOS:000405784500001
PM 28720103
ER

PT J
AU Morris, Lucinda
   Thiruthaneeswaran, Niluja
   Lehman, Margot
   Hasselburg, Gina
   Turner, Sandra
TI Are Future Radiation Oncologists Equipped With the Knowledge to Manage
   Elderly Patients With Cancer?
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 98
IS 4
BP 743
EP 747
DI 10.1016/j.ijrobp.2017.01.001
PD JUL 15 2017
PY 2017
AB Purpose: To assess radiation oncology (RO) trainee knowledge, attitudes,
   and clinical practice relating to geriatric oncology.
   Methods and Materials: A custom online survey was anonymously
   administered to RO trainees across Australia, New Zealand, and
   Singapore. The survey assessed 3 domains: (1) trainee demographics and
   prior training in geriatric medicine; (2) current clinical practice and
   attitudes regarding elderly cancer patients and radiation therapy; and
   (3) opinions regarding educational opportunities around geriatric
   oncology. The survey was developed and reviewed by radiation oncologists
   with expertise in education and training.
   Results: A total of 61 trainees (52%) responded to the survey. More than
   half had not undertaken a geriatric medicine term before RO speciality
   training. A total of 91.8% of respondents had not received teaching
   during RO training specifically regarding geriatric oncology. The use of
   geriatric assessment (GA) tools for determining suitability for
   radiation therapy was uncommon, with 80.3% of respondents rarely or
   never using them. More than two-thirds of respondents reported not
   seeking or rarely seeking multidisciplinary input from a geriatrician
   when assessing suitability for treatment. Trainees had low confidence
   levels in managing complex issues commonly observed in the elderly. Only
   39.3% felt they had the confidence to manage these issues, with 31.2%
   not confident/not at all confident. Respondents reported functional
   status, assessment of comorbidity, physiologic age, and cognition as the
   major factors applied to treatment decisions. Input from a geriatrician
   was lowest ranked. Of factors influencing choice of dose/fractionation
   schedule, physiologic age ranked highest, whereas use of GA tool ranked
   the lowest. The majority of trainees (85.3%) agreed or strongly agreed
   they would benefit from more training around RO in elderly patients, and
   65.6% felt the addition of learning objectives to RO curriculum around
   geriatric oncology would be valuable.
   Conclusions: Radiation oncology trainees report inadequate training and
   experience in geriatric oncology and geriatric medicine. Radiation
   oncology trainees rarely use and poorly understand the rationale for GA
   tools and geriatrician input in clinical practice. Trainees strongly
   support improved education in geriatric oncology. Crown Copyright (C)
   2017 Published by Elsevier Inc. All rights reserved.
OI Thiruthaneeswaran, Niluja/0000-0002-0253-0895; Lehman, Helen
   Margot/0000-0002-9661-5151
TC 16
ZB 2
Z8 0
ZS 0
ZR 0
ZA 0
Z9 16
U1 0
U2 1
SN 0360-3016
EI 1879-355X
UT WOS:000403086600008
PM 28258899
ER

PT J
AU Reavis, Rachael D.
   Ebbs, Jacob B.
   Onunkwo, Adaobi K.
   Sage, L. Mariah
TI A self-affirmation exercise does not improve intentions to vaccinate
   among parents with negative vaccine attitudes (and may decrease
   intentions to vaccinate)
SO PLOS ONE
VL 12
IS 7
AR 0181368e
DI 10.1371/journal.pone.0181368
PD JUL 13 2017
PY 2017
AB Two studies investigated the effectiveness of a self-affirmation
   exercise on vaccine safety beliefs and intent to vaccinate future
   children. In Study 1, a sample of 585 parents with at least one child
   under the age of 18 in the home participated through Amazon's MTurk.
   Participants were randomly assigned to one of four conditions in a 2 x 2
   design. Participants read either correcting information refuting a link
   between the measles, mumps, and rubella (MMR) vaccine and autism or a
   control passage about bird feeding. Additionally, participants either
   completed a self-affirmation exercise where they reflected on their
   personal values or in a control condition in which they reflected on
   least-personally-important values that might be important to others.
   Participants exposed to the correcting information were less likely to
   believe that vaccines cause serious side effects, but no less likely to
   believe that the MMR vaccine causes autism. For parents with initially
   positive vaccine attitudes, there was no effect of condition on intent
   to vaccinate a future child. For parents with initially negative vaccine
   attitudes, self-affirmation was ineffective in the presence of
   correcting information and resulted in less intention to vaccinate in
   the absence of correcting information. This effect was partially
   replicated in Study 2 (N = 576), which provided no correcting
   information but otherwise followed the same procedure as Study 1.
TC 12
ZR 0
Z8 0
ZA 0
ZS 0
ZB 3
Z9 12
U1 0
U2 18
SN 1932-6203
UT WOS:000405649700129
PM 28704520
ER

PT J
AU van de Beek, Madelien H.
   van der Krieke, Lian
   Schoevers, Robert A.
   Veling, Wim
TI Social exclusion and psychopathology in an online cohort of
   Moroccan-Dutch migrants: Results of the MEDINA-study
SO PLOS ONE
VL 12
IS 7
DI 10.1371/journal.pone.0179827
PD JUL 10 2017
PY 2017
AB Introduction Migration is seen as a risk factor for developing
   psychiatric symptoms and experiencing social exclusion. In the
   Netherlands, the Moroccan-Dutch population is the second largest migrant
   group. 70% of all young Moroccan-Dutch people meet each other in the
   online community www. marokko. nl. Within this community, we
   investigated the association between experiences of social exclusion and
   self-reported depressive symptoms and psychotic experiences.
   Materials and methods Participants were recruited via the website www.
   marokko. nl. They completed an online survey, with screening instruments
   for depressive symptoms (K10) and psychotic experiences (PQ-16),
   measures of social exclusion ( perceived discrimination, social defeat
   and social support), and questions about demographical information. With
   regression analysis the association between social exclusion and
   psychiatric symptoms was investigated.
   Results We included 267 participants; 87% were female. 27% of the sample
   has received mental healthcare in the past. Over 50% of these people
   screened positive for depressive symptoms and psychotic experiences.
   Perceived discrimination and social defeat were significantly associated
   with psychotic experiences and social defeat was associated with
   depressive symptoms. Social support and higher education were associated
   with less depressive symptoms and psychotic experiences.
   Discussion Our findings suggest that the online environment allows for
   epidemiological research and early symptom detection. Levels of
   psychopathology were high in our sample. This suggests that a part of
   this young ethnic minority population might not get adequate mental
   healthcare. Since this population can be reached through Internet, the
   online environment may therefore also offer an appropriate setting for
   intervention, to increase resilience towards social exclusion.
OI van de Beek, Madelien/0000-0001-5837-1611; Schoevers, Robert
   A/0000-0003-0760-9866; Veling, Wim/0000-0002-1364-9779
TC 16
ZS 0
ZR 0
ZA 0
Z8 0
ZB 4
Z9 16
U1 1
U2 17
SN 1932-6203
UT WOS:000405544800017
ER

PT J
AU Jagsi, Reshma
   Griffith, Kent A.
   Sabolch, Aaron
   Jones, Rochelle
   Spence, Rebecca
   De Vries, Raymond
   Grande, David
   Bradbury, Angela R.
TI Perspectives of Patients With Cancer on the Ethics of Rapid-Learning
   Health Systems
SO JOURNAL OF CLINICAL ONCOLOGY
VL 35
IS 20
BP 2315
EP +
DI 10.1200/JCO.2016.72.0284
PD JUL 10 2017
PY 2017
AB PurposeTo inform the evolving implementation of CancerLinQ and other
   rapid-learning systems for oncology care, we sought to evaluate
   perspectives of patients with cancer regarding ethical
   issues.MethodsUsing the GfK Group online research panel, representative
   of the US population, we surveyed 875 patients with cancer; 621 (71%)
   responded. We evaluated perceptions of appropriateness (scored from 1 to
   10; 10, very appropriate) using scenarios and compared responses by age,
   race, and education. We constructed a scaled measure of comfort with
   secondary use of deidentified medical information and evaluated its
   correlates in a multivariable model.ResultsOf the sample, 9% were black
   and 9% Hispanic; 38% had completed high school or less, and 59% were age
   65 years. Perceptions of appropriateness were highest when consent was
   obtained and university researchers used data to publish a research
   study (weighted mean appropriateness, 8.47) and lowest when consent was
   not obtained and a pharmaceutical company used data for marketing
   (weighted mean appropriateness, 2.7). Most respondents (72%) thought
   secondary use of data for research was very important, although those
   with lower education were less likely to endorse this (62% v 78%; P <
   .001). Overall, 35% believed it was necessary to obtain consent each
   time such research was to be performed; this proportion was higher among
   blacks/Hispanics than others (48% v 33%; P = .02). Comfort with the use
   of deidentified information from medical records varied by scenario and
   overall was associated with distrust in the health care
   system.ConclusionPerceptions of patients with cancer regarding secondary
   data use depend on the user and the specific use of the data, while also
   frequently differing by patient sociodemographic factors. Such
   information is critical to inform ongoing efforts to implement oncology
   learning systems.
RI Grande, David/AAJ-8191-2021; De Vries, Raymond/; Jones, Rochelle/
OI Grande, David/0000-0002-6717-6735; De Vries,
   Raymond/0000-0003-3087-3040; Jones, Rochelle/0000-0001-7757-5396
ZR 0
TC 26
Z8 0
ZB 7
ZA 0
ZS 0
Z9 26
U1 0
U2 8
SN 0732-183X
EI 1527-7755
UT WOS:000404985200014
PM 28537812
ER

PT J
AU Kwan, Marcella M. S.
   Kondalsamy-Chennakesavan, Srinivas
   Ranmuthugala, Geetha
   Toombs, Maree R.
   Nicholson, Geoffrey C.
TI The rural pipeline to longer-term rural practice: General practitioners
   and specialists
SO PLOS ONE
VL 12
IS 7
AR e0180394
DI 10.1371/journal.pone.0180394
PD JUL 7 2017
PY 2017
AB Background Rural medical workforce shortage contributes to health
   disadvantage experienced by rural communities worldwide. This study
   aimed to determine the regional results of an Australian Government
   sponsored national program to enhance the Australian rural medical
   workforce by recruiting rural background students and establishing rural
   clinical schools (RCS). In particular, we wished to determine predictors
   of graduates' longer-term rural practice and whether the predictors
   differ between general practitioners (GPs) and specialists.
   Methods A cross-sectional cohort study, conducted in 2012, of 729
   medical graduates of The University of Queensland 2002-2011. The outcome
   of interest was primary place of graduates' practice categorised as
   rural for at least 50% of time since graduation ('Longer-term Rural
   Practice', LTRP) among GPs and medical specialists. The main exposures
   were rural background (RB) or metropolitan background (MB), and
   attendance at a metropolitan clinical school (MCS) or the Rural Clinical
   School for one year (RCS-1) or two years (RCS-2).
   Results Independent predictors of LTRP (odds ratio [95% confidence
   interval]) were RB (2.10 [1.37-3.20]), RCS-1 (2.85 [1.77-4.58]), RCS-2
   (5.38 [3.15-9.20]), GP (3.40 [2.13-5.43]), and bonded scholarship (2.11
   [1.19-3.76]). Compared to being single, having a metropolitan background
   partner was a negative predictor (0.34 [0.21-0.57]). The effects of RB
   and RCS were additive D compared to MB and MCS (Reference group): RB and
   RCS-1 (6.58 [3.32-13.04]), RB and RCS-2 (10.36[4.89-21.93]). Although
   specialists were less likely than GPs to be in LTRP, the pattern of the
   effects of rural exposures was similar, although some significant
   differences in the effects of the duration of RCS attendance, bonded
   scholarships and partner's background were apparent.
   Conclusions Among both specialists and GPs, rural background and rural
   clinical school attendance are independent, duration-dependent, and
   additive, predictors of longer-term rural practice. Metropolitan-based
   medical schools can enhance both specialist and GP rural medical
   workforce by enrolling rural background medical students and providing
   them with long-term rural undergraduate clinical training. Policy
   settings to achieve optimum rural workforce outcomes may differ between
   specialists and GPs.
RI Ranmuthugala, Geetha/P-5041-2019; Nicholson, Geoffrey C/F-1901-2010; Kondalsamy-Chennakesavan, Srinivas/F-4845-2010; Kwan, Marcella Mun-San/J-3555-2013; Toombs, Maree/F-4704-2010
OI Ranmuthugala, Geetha/0000-0002-4893-5775; Nicholson, Geoffrey
   C/0000-0002-0152-1153; Kondalsamy-Chennakesavan,
   Srinivas/0000-0002-1333-374X; Kwan, Marcella
   Mun-San/0000-0002-3317-5056; Toombs, Maree/0000-0002-7481-167X
ZS 0
ZR 0
ZB 3
Z8 0
ZA 0
TC 39
Z9 41
U1 1
U2 8
SN 1932-6203
UT WOS:000405464100060
PM 28686628
ER

PT J
AU Liebherz, Sarah
   Tlach, Lisa
   Haerter, Martin
   Dirmaier, Joerg
TI Information and decision-making needs of psychiatric patients: the
   perspective of relatives
SO PEERJ
VL 5
AR e3378
DI 10.7717/peerj.3378
PD JUL 6 2017
PY 2017
AB Background. Mental illness may strongly affect relatives' lives.
   Therefore, it is important to empower relatives by providing health
   information according to their preferences.
   Methods. An online cross-sectional survey was conducted using a
   purpose-designed questionnaire on online health information and
   decision-support needs.
   Results. Prevalent reasons for online health information search of the
   185 participating relatives were the need for general information and
   the insufficiency of the information given by the health care provider.
   The most difficult treatment decisions concerned the treatment setting
   (inpatient or outpatient) as well as the psychopharmacological
   treatment.
   Discussion. Since psychiatric patients' relatives report extensive
   information and decision-support needs, it is essential to address their
   needs in health information material. Assessment of relatives' needs
   when developing health information materials is recommended.
OI Harter, Martin/0000-0001-7443-9890
ZR 0
ZA 0
TC 2
ZB 0
Z8 0
ZS 0
Z9 2
U1 0
U2 7
SN 2167-8359
UT WOS:000405265300001
PM 28695064
ER

PT J
AU Sekhar, Sonal M.
   Unnikrishnan, M. K.
   Vyas, Navya
   Rodrigues, Gabriel Sunil
TI Development and Evaluation of Patient Information Leaflet for Diabetic
   Foot Ulcer Patients
SO INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM
VL 15
IS 3
AR e55454
DI 10.5812/ijem.55454
PD JUL 2017
PY 2017
AB Background: Patient education (PE) is as important as medical and
   surgical interventions in the management of diabetic foot ulcer (DFU).
   Patient information leaflets (PILs) are globally accepted patient
   counseling aids.
   Objectives: This study aimed at developing PILs for DFU patients and
   investigating its validation.
   Methods: The PILs were prepared based on different model leaflets
   available from various online resources, including "Patient UK". The
   PILs readability was evaluated by Flesch/Flesch-Kincaid readability
   (FRE/FK-GL) method before user-testing (n = 34 DFU patients) by
   quasi-experimental methods in patients with DFU. Additionally,
   user-opinion on legibility and content of the PIL was also determined.
   Baker Able Leaflet Design (BALD) method was employed to assess the
   layout and design characteristics of the PIL.
   Results: The best FRE score achieved was 73.9 and the FK-GL score was
   6.1. The mean BALD assessment score for English and Kannada versions of
   PIL were 27 and 26, respectively. The ICC of the test-retest reliability
   of user-testing and user-opinion questionnaires in both English and
   Kannada ranged from 0.91 to 0.96. The overall user-testing
   knowledge-based mean score significantly improved from 43.4 to 69.7 (P <
   0.05). Overall, 82.4% of patients reported overall user-opinion on
   legibility and content of the PIL as good.
   Conclusions: The developed PILs met the criteria of fairly easy
   readability and good layout design. The user-opinion of the majority of
   patients reported the PIL content, legibility, and design as good. The
   Pictogram-based PILs (P-PILs) was found to be an effective PE tool in
   DFU patients.
RI Rodrigues, Gabriel/P-5171-2019; Rodrigues, Gabriel S/E-1620-2011; Sekhar M, Sonal/G-8763-2015
OI Rodrigues, Gabriel/0000-0002-0488-5040; Rodrigues, Gabriel
   S/0000-0002-0488-5040; Sekhar M, Sonal/0000-0003-3660-2022
Z8 2
ZR 0
ZA 0
TC 4
ZB 1
ZS 0
Z9 6
U1 0
U2 6
SN 1726-913X
EI 1726-9148
UT WOS:000416084200010
PM 29201075
ER

PT J
AU Srivastava, Shilpa
   Pant, Millie
   Nagar, Atulya
TI Yuva: An e-health model for dealing with psychological issues of
   adolescents
SO JOURNAL OF COMPUTATIONAL SCIENCE
VL 21
BP 150
EP 163
DI 10.1016/j.jocs.2017.05.030
PD JUL 2017
PY 2017
AB The stressful lifestyle of the present age is leading to several
   psychological and behavioral issues. Adolescents and young adults are
   perhaps the worst effected due to the demanding everyday life leading to
   depression, anxiety and related issues. To deal with such issues the
   present study recommends an easy and adaptable electronic platform for
   e-psychology systems by using ICT tools and services and can be used to
   deal with various health (physical & mental) issues of adolescents. A
   model named "YUVA" based on RWD (responsive web development) which can
   run on any desktop or mobile phones is suggested for the benefit of
   adolescents trying to cope up with psychological issues. The purpose of
   this application is to provide information concerning different issues
   like health, education, recent studies, Government Initiatives etc. It
   incorporates several facilities like self assessment tests, registration
   facility for counsellors, dieticians, instructors etc. so that they can
   be contacted at the hour of need. The implementation is provided on NET
   platform for wide deployment and adaptability. (C) 2017 Published by
   Elsevier B.V.
RI Srivastava, Shilpa/AFL-2427-2022; PANT, Millie/C-9911-2018; Srivastava, Shilpa/AAW-6751-2021; Pant, Millie/O-5740-2019; Nagar, Atulya/A-6387-2012; , shilpa/
OI Nagar, Atulya/0000-0001-5549-6435; , shilpa/0000-0002-8566-1646
TC 3
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
Z9 3
U1 0
U2 13
SN 1877-7503
UT WOS:000409284700011
ER

PT J
AU Perraton, L.
   Machotka, Z.
   Gibbs, C.
   Mahar, C.
   Kennedy, K.
   Grimmer, K.
TI Evidence-based Practice Intentions and Long-term Behaviours of
   Physiotherapy Graduates Following an Intensive Education Programme
SO PHYSIOTHERAPY RESEARCH INTERNATIONAL
VL 22
IS 3
AR e1666
DI 10.1002/pri.1666
PD JUL 2017
PY 2017
AB Background. Assisting physiotherapists to implement research evidence
   into clinical practice is essential to ensure the quality of practice
   and encourage lifelong learning and professional progression. However,
   many physiotherapists report barriers to implementing research, and
   there is little evidence regarding the sustainability of intended
   evidence-based practice (EBP) behaviours following EBP education
   programmes. This paper reports on intended and actual long-term EBP
   behaviours of physiotherapy students who completed an intensive EBP
   training programme embedded within a post-graduate coursework programme.
   Methods. An intensive 3-week course in quantitative health research
   methods and EBP was delivered annually from 2007 to 2014 as part of the
   programme to national and international students. Following the course,
   students were asked about their intention of using evidence to inform
   their future clinical practice. An online survey was used to evaluate
   EBP behaviours of graduates. Results. Of a possible total of 202
   students, contact details for 193 students were sourced, and 65 students
   responded to the survey (34% response rate). At course completion, 174
   students (86%) indicated that they intended to use research to guide
   their clinical decisions at least once a week. At follow-up, most
   graduates reported frequently using research to inform their clinical
   practice; indicated by a mean score of 6.5 (1.9) from a possible range
   of 0 (not at all) to 10 (all the time). On average, students reported
   spending 2.2 (+/- 2.2) hours accessing and reading research evidence per
   week. The most common barriers to implementing evidence were lack of
   time, limited access to evidence sources and a perceived lack of
   generalizability of research findings to specific patient groups.
   Conclusion. Graduates of an intensive EBP training programme embedded
   within an existing post-graduate physiotherapy programme regularly
   implemented EBP in clinical practice. Barriers to evidence
   implementation were time, access to research and perceived lack of
   generalizability of research findings. Copyright (C) 2016 John Wiley &
   Sons, Ltd.
RI Kennedy, Kate/AAD-4019-2019; Mahar, Cathy/C-7095-2009; Perraton, Luke/AAE-1788-2022; Perraton, Luke Geoffrey/; Perraton Nee Machotka, Zuzana/; Gibbs, Carole/B-4872-2009
OI Kennedy, Kate/0000-0002-9246-3533; Mahar, Cathy/0000-0002-2664-4539;
   Perraton, Luke Geoffrey/0000-0003-3854-1390; Perraton Nee Machotka,
   Zuzana/0000-0002-6821-0843; Gibbs, Carole/0000-0001-9079-8690
ZS 0
TC 6
ZB 0
ZR 0
Z8 1
ZA 0
Z9 7
U1 1
U2 10
SN 1358-2267
EI 1471-2865
UT WOS:000405636400004
PM 26916106
ER

PT J
AU Scott, Grant
   McCarthy, Danielle M.
   Aldeen, Amer Z.
   Czerniak, Alyssa
   Courtney, D. Mark
   Dresden, Scott M.
TI Use of Online Health Information by Geriatric and Adult Emergency
   Department Patients: Access, Understanding, and Trust
SO ACADEMIC EMERGENCY MEDICINE
VL 24
IS 7
BP 796
EP 802
DI 10.1111/acem.13207
PD JUL 2017
PY 2017
AB Objective: The objective was to characterize geriatric patients' use of
   online health information (OHI) relative to younger adults and assess
   their comfort ith OHI compared to health information (HI) from their
   physician.
   Methods: This was a prospective cross-sectional survey study of adult
   emergency department (ED) patients. The survey assessed patients'
   self-reported use of OHI in the past year and immediately prior to ED
   visit and analyzed differences across four age groups: 18-39, 40-64,
   65-74, and 75+. Patients' ability to access, understand, and trust OHI
   was assessed using a 7-point Likert scale and compared to parallel
   questions regarding HI obtained from their doctor. Patient use of OHI
   was compared across age groups. Comfort with OHI and HI obtained from a
   doctor was compared across age groups using the Kruskal-Wallis test.
   Comparisons between sources of HI were made within age groups using the
   Wilcoxon signed-rank test.
   Results: Of 889 patients who were approached for study inclusion, 723
   patients (81.3%) completed the survey. The majority of patients had used
   OHI in the past year in all age groups, but older patients were less
   likely to have used OHI: age 18-39, 90.3%; 40-64, 85.3%; 65-74, 76.4%;
   and 75+, 50.7% (p < 0.001). The youngest patients were most likely to
   have used OHI prior to coming to the ED, 47.1%, 28.3%, 17.1%, and 8.0%
   (p < 0.001). Older patients were more likely to have an established
   doctor-18-39, 79.4%; 40-64, 91.1%; 65-74, 97.5%; and 75+ 97.4% (p <
   0.001)- and were more likely to have contacted their doctor prior to
   their ED visit: 36.7, 40.2, 46.7, and 53.5% (p = 0.02). The oldest
   patients were most likely to find HI more accessible from their doctor
   than the Internet, while the youngest patients found HI more accessible
   on the Internet than from their doctor. Regardless of age, patients
   noted that information from their physician was both easier to
   understand and more trustworthy than information found on the Internet.
   Conclusion: Although many older patients used OHI, they were less likely
   than younger adults to use the Internet immediately prior to an ED
   visit. Despite often using OHI, patients of all age groups found
   healthcare information from their doctor easier to understand and more
   trustworthy than information from the Internet. As health systems work
   to efficiently provide information to patients, addressing these
   perceived deficiencies may be necessary to build effective OHI programs.
OI Dresden, Scott/0000-0002-9250-3320; McCarthy,
   Danielle/0000-0002-9038-2852
ZA 0
TC 4
Z8 0
ZB 1
ZS 0
ZR 0
Z9 4
U1 0
U2 8
SN 1069-6563
EI 1553-2712
UT WOS:000407135100002
PM 28423457
ER

PT J
AU Iqbal, Shazia
   Ahmad, Shahzad
   Willis, Ian
TI Influencing Factors for Adopting Technology Enhanced Learning in the
   Medical Schools of Punjab, Pakistan
SO INTERNATIONAL JOURNAL OF INFORMATION AND COMMUNICATION TECHNOLOGY
   EDUCATION
VL 13
IS 3
BP 27
EP 39
DI 10.4018/IJICTE.2017070103
PD JUL-SEP 2017
PY 2017
AB As the successful establishment of technology supported educational
   systems requires wide investment in terms of finances and faculty time,
   this study explores the influencing factors in the adoption of
   Technology Enhanced Learning (TEL) and the main barriers encountered
   during the use of TEL in Punjab, Pakistan. Semi-structured interviews
   were conducted with medical educators and thematic analysis was carried
   out using Nvivo-10. The study participants were well aware of
   educational technologies and stated that the influencing factors for
   adoption of TEL were self-effort, motivation, a personal positive
   approach and departmental policy. The institutions were well equipped
   with resources but the main problem was the lack of faculty training and
   institutional support. The study concludes that pedagogy is the main
   driver for the use of educational technologies. At the national level,
   it is suggested that governing bodies can provide definite polices and
   guidelines for the implementation of TEL. Therefore, it is advocated
   that recognizing online courses can enhance potential learners' interest
   to enroll for e-learning programmes. At the institutional level, it is
   proposed to encourage the establishment of institutional policies and
   the organization of workshops for faculty training. At an individual
   level, it is stressed that there is a basic requirement to develop a
   technology-oriented culture partly by sharing the power and expertise
   among the department heads and faculty members.
RI Iqbal, Shazia/AAE-7042-2019; Iqbal, Dr Shazia/; Willis, Ian/; Ahmad, Shahzad/
OI Iqbal, Dr Shazia/0000-0003-4890-5864; Willis, Ian/0000-0001-8663-6752;
   Ahmad, Shahzad/0000-0002-3953-593X
TC 2
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
Z9 2
U1 0
U2 3
SN 1550-1876
EI 1550-1337
UT WOS:000423950300003
ER

PT J
AU Erevik, Eilin K.
   Torsheim, Torbjorn
   Vedaa, Oystein
   Andreassen, Cecilie S.
   Pallesen, Stale
TI Sharing of Alcohol-Related Content on Social Networking Sites:
   Frequency, Content, and Correlates
SO JOURNAL OF STUDIES ON ALCOHOL AND DRUGS
VL 78
IS 4
BP 608
EP 616
DI 10.15288/jsad.2017.78.608
PD JUL 2017
PY 2017
AB Objective: The present study aimed to explore students' reports of their
   sharing of alcohol-related content on different social networking sites
   (i.e., frequency of sharing and connotations of alcohol related posts),
   and to identify indicators of such posting. Method: Students at the four
   largest institutions for higher education in Bergen, Norway, were
   invited to participate in an Internet-based survey. The sample size was
   11,236 (a 39.4% response rate). The survey included questions about
   disclosure of alcohol-related content on social networking sites,
   alcohol use (using the Alcohol Use Disorders Identification Test),
   personality factors (using the Mini-IPIP), and demographic
   characteristics. Binary logistic regressions were used to analyze
   indicators of frequent sharing of alcohol-related content depicting
   positive and negative aspects of alcohol use. Results: A majority of the
   students had posted alcohol-related content (71.0%), although few
   reported having done so frequently. Positive aspects of alcohol use
   (e.g., enjoyment or social community) were most frequently shared.
   Young, single, and extroverted students with high alcohol consumption
   were more likely to report frequent sharing of alcohol-related content.
   Positive attitudes toward posting alcohol-related content and reports of
   exposure to such content particularly increased the likelihood of one's
   own posting of alcohol-related content. Conclusions: Positive aspects of
   alcohol use seem to be emphasized on social networking sites. Sharing of
   alcohol related content is associated with heightened alcohol use, which
   implies that such sites can be relevant for prevention agents. Social
   influence from social networking sites, such as exposure to others'
   alcohol-related content, is associated with one's own sharing of similar
   content.
RI Vedaa, Øystein/GQH-4810-2022; Erevik, Eilin/; Torsheim, Torbjorn/; Andreassen, Cecilie S./
OI Erevik, Eilin/0000-0002-8829-8571; Torsheim,
   Torbjorn/0000-0001-7825-4463; Andreassen, Cecilie S./0000-0002-3511-2155
ZS 0
ZB 5
ZA 0
TC 17
ZR 0
Z8 0
Z9 17
U1 0
U2 28
SN 1937-1888
EI 1938-4114
UT WOS:000406570000016
PM 28728643
ER

PT J
AU Neyens, David M.
   Childers, Ashley Kay
TI Determining Barriers and Facilitators Associated With Willingness to Use
   a Personal Health Information Management System to Support Worksite
   Wellness Programs
SO AMERICAN JOURNAL OF HEALTH PROMOTION
VL 31
IS 4
BP 310
EP 317
DI 10.4278/ajhp.140514-QUAN-204
PD JUL 2017
PY 2017
AB Purpose. To determine the barriers and facilitators associated with
   willingness to use personal health information management (PHIM) systems
   to support an existing worksite wellness program (WWP).
   Design. The study design involved a Web-based survey.
   Setting. The study setting was a regional hospital.
   Subjects. Hospital employees comprised the study subjects.
   Measures. Willingness, barriers, and facilitators associated with PHIM
   were measured.
   Analysis. Bivariate logit models were used to model two binary dependent
   variables. One model predicted the likelihood of believing PHIM systems
   would positively affect overall health and willingness to use. Another
   predicted the likelihood of worrying about online security and not
   believing PHIM systems would benefit health goals.
   Results. Based on 333 responses, believing PHIM systems would positively
   affect health was highly associated with willingness to use PHIM systems
   (p < .01). Those comfortable online were 7.22 times more willing to use
   PHIM systems. Participants in exercise-based components of WWPs were
   3.03 times more likely to be willing to use PHIM systems. Those who
   worried about online security were 5.03 times more likely to believe
   PHIM systems would not help obtain health goals.
   Conclusions. Comfort with personal health information online and
   exercise-based WWP experience was associated with willingness to use
   PHIM systems. However, nutrition-based WWPs did not have similar
   effects. Implementation barriers relate to technology anxiety and trust
   in security, as well as experience with specific WWP activities.
   Identifying differences between WWP components and addressing technology
   concerns before implementation of PHIM systems into WWPs may facilitate
   improved adoption and usage.
TC 4
ZS 0
ZR 0
Z8 0
ZB 0
ZA 0
Z9 4
U1 0
U2 21
SN 0890-1171
EI 2168-6602
UT WOS:000404026200007
PM 26730558
ER

PT J
AU Peterson, Anna
   Carlfjord, Siw
   Schaller, Anne
   Gerdle, Bjorn
   Larsson, Britt
TI Using education and support strategies to improve the way nurses assess
   regular and transient pain - A quality improvement study of three
   hospitals
SO SCANDINAVIAN JOURNAL OF PAIN
VL 16
BP 15
EP 21
DI 10.1016/j.sjpain.2017.01.013
PD JUL 2017
PY 2017
AB Background and aims: Systematic and regular pain assessment has been
   shown to improve pain management. Well-functioning pain assessments
   require using strategies informed by well-established theory. This study
   evaluates documented pain assessments reported in medical records and by
   patients, including reassessment using a Numeric Rating Scale (NRS)
   after patients receive rescue medication.
   Methods: Documentation surveys (DS) and patient surveys (PS) were
   performed at baseline (BL), after six months, and after 12 months in 44
   in-patient wards at the three hospitals in Ostergotland County, Sweden.
   Nurses and nurse assistants received training on pain assessment and
   support. The Knowledge to Action Framework guided the implementation of
   new routines.
   Results: According to DS pain assessment using NRS, pain assessment
   increased significantly: from 7% at baseline to 36% at 12 months (p <
   0.001). For PS, corresponding numbers were 33% and 50% (p < 0.001).
   According to the PS, the proportion of patients who received rescue
   medication and who had been reassessed increased from 73% to 86% (p =
   0.003). The use of NRS to document pain assessment after patients
   received rescue medication increased significantly (4% vs. 17%; p <
   0.001).
   Conclusions: After implementing education and support strategies,
   systematic pain assessment increased, an encouraging finding considering
   the complex contexts of in-patient facilities. However, the achieved
   assessment levels and especially reassessments related to rescue
   medication were clinically unsatisfactory. Future studies should include
   nursing staff and physicians and increase interactivity such as
   providing online education support. A discrepancy between documented and
   reported reassessment in association with given rescue medication might
   indicate that nurses need better ways to provide pain relief.
   Implications: The fairly low level of patient-reported pain via NRS and
   documented use of NRS before and 12 months after the educational
   programme stresses the need for education on pain management in nursing
   education. Implementations differing from traditional educational
   attempts such as interactive implementations might complement
   educational programmes given at the work place. Standardized routines
   for pain management that include the possibility for nurses to deliver
   pain medication within well-defined margins might improve pain
   management and increase the use of pain assessments. Further research is
   needed that examines the large discrepancy between patient-reported pain
   management and documentation in the medical recording system of
   transient pain. (C) 2017 Scandinavian Association for the Study of Pain.
   Published by Elsevier B.V. All rights reserved.
OI Soderlund Schaller, Anne/0000-0002-0380-3365
ZA 0
Z8 0
ZB 0
ZS 0
TC 2
ZR 0
Z9 2
U1 0
U2 3
SN 1877-8860
EI 1877-8879
UT WOS:000419850300003
PM 28850394
ER

PT J
AU Winder, Charlotte B.
   LeBlanc, Stephen J.
   Haley, Derek B.
   Lissemore, Kerry D.
   Godkin, M. Ann
   Duffield, Todd F.
TI Comparison of an online learning module to hands-on training in teaching
   a cautery disbudding technique for dairy calves including cornual nerve
   block application
SO CANADIAN VETERINARY JOURNAL-REVUE VETERINAIRE CANADIENNE
VL 58
IS 7
BP 735
EP 740
PD JUL 2017
PY 2017
AB Disbudding and dehorning are common procedures on dairy farms. In a
   recent survey of Ontario dairy producers, 38% reported not using local
   anesthetic for these procedures. Use of pain control is important for
   both calf welfare and industry sustainability. Use of local anesthetic
   requires technical training, typically provided by a veterinarian,
   although online training videos also exist. Neither method has been
   studied for efficacy. Our objective was to compare an online module to
   hands-on training in teaching naive participants (veterinary students)
   to effectively carry out a cornual nerve block and disbud a dairy calf.
   Participants were assigned to either an online or hands-on training
   group. Although no statistical differences were seen in success of the
   nerve block, online learners were less confident and had poorer
   technical skills. While online learning was surprisingly effective for a
   psycho-motor skill, best practices should include hands-on training.
RI Duffield, Todd/Q-9425-2019; LeBlanc, Stephen/U-3105-2019; Haley, Derek/; Winder, Charlotte/
OI Duffield, Todd/0000-0001-6035-4669; LeBlanc,
   Stephen/0000-0003-2027-7704; Haley, Derek/0000-0003-3502-120X; Winder,
   Charlotte/0000-0002-7314-3657
Z8 0
ZB 1
ZS 0
ZA 0
ZR 0
TC 7
Z9 7
U1 1
U2 13
SN 0008-5286
EI 1928-9022
UT WOS:000405767800013
PM 28698693
ER

PT J
AU Inacio, Joao
   Barnes, Lara-Marie
   Jeffs, Simon
   Castanheira, Patricia
   Wiseman, Myra
   Inacioc, Sonia
   Bowler, Lucas
   Lansley, Alison
TI Master of Pharmacy students' knowledge and awareness of antibiotic use,
   resistance and stewardship
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 9
IS 4
BP 551
EP 559
DI 10.1016/j.cptl.2017.03.021
PD JUL 2017
PY 2017
AB Introduction: Antibiotic resistance has become a global public health
   concern. In this study, we investigated the knowledge and awareness of
   antibiotic use, resistance and stewardship, held by the pharmacy
   students currently studying at the University of Brighton.
   Methods: This was a cross-sectional, online survey, and email
   invitations to participate were sent to all students attending our
   Master of Pharmacy (MPharm) course (n= 583). Students' knowledge was
   assessed with 29 items; responses for these were totaled before
   comparison among students. Comparison of scores between groups of
   students was performed using the KruskalWallis or the MannWhitney U
   test, as appropriate.
   Results: The response rate was 32%. The overall median knowledge score
   was 7.9. There was a statistically significant difference in knowledge
   scores between years of study (p = 0.02), particularly between year of
   study 1 (7.6) and 4 (8.3). A statistically significant difference was
   found between the knowledge scores of male (8.4) and female (7.9)
   students (p = 0.03). Most students believed a strong knowledge of
   antibiotics, and microbiology and infection control is important for
   their pharmacy careers and more than 90% agreed that antibiotic
   resistance will be a greater clinical problem in the future.
   Discussion and conclusions: Although the MPharm students studied
   achieved good overall knowledge scores, a significant proportion showed
   a lack of understanding with regards to some important aspects of
   antibiotic resistance mechanisms, factors promoting the emergence and
   spread of antibiotic resistance, and antibiotic stewardship policies.
RI Inacio, Joao/D-5762-2011; Barnes, Lara-Marie/; Bowler, Lucas/; /
OI Inacio, Joao/0000-0001-7367-5007; Barnes,
   Lara-Marie/0000-0002-2768-0283; Bowler, Lucas/0000-0002-7004-8021;
   /0000-0002-3454-8133
ZR 0
ZS 0
ZB 9
ZA 0
TC 20
Z8 0
Z9 20
U1 0
U2 3
SN 1877-1297
EI 1877-1300
UT WOS:000409350800006
PM 29233427
ER

PT J
AU Cavan, D.
   Makaroff, L.
   Fernandes, J. da Rocha
   Sylvanowicz, M.
   Ackland, P.
   Conlon, J.
   Chaney, D.
   Malhi, A.
   Barratt, J.
TI The Diabetic Retinopathy Barometer Study: Global perspectives on access
   to and experiences of diabetic retinopathy screening and treatment
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 129
BP 16
EP 24
DI 10.1016/j.diabres.2017.03.023
PD JUL 2017
PY 2017
AB Aim: To assess the level of awareness, prevention and treatment of
   Diabetic Eye Disease (DED) comprising Diabetic Retinopathy (DR) and
   Diabetic Macula Edema (DME) retinopathy among adults with diabetes and
   health professionals.
   Methods: The Diabetic Retinopathy Barometer Study consisted of a
   qualitative study, which consisted of semi-structured interviews, and a
   quantitative study using online surveys for adults with diabetes and for
   health professionals.
   Results: A total of 4340 adults with diabetes and 2329 health
   professionals participated in the surveys.
   Diabetic eye disease (DED) without macular edema (DME) was reported by
   19.5% of adults with diabetes and a further 7.6% reported that they had
   DME. Although 94% of adults with diabetes saw a health care professional
   for their diabetes, only 79% had ever had an eye examination for DED,
   and 23% had not had an eye examination in the last year. Moreover, 65%
   of the ophthalmologists surveyed reported that most patients presented
   when visual problems had already occurred.
   Overall, 62% of people with DED had received treatment. Of these, 74%
   had laser therapy, 29% surgery and 24% anti-VEGF therapy.
   Conclusion: Strategic investment is required to enhance patient
   education and professional training on the importance of regular eye
   examinations; and in providing accessible DR screening programmes and
   proactive treatments. (C) 2017 Elsevier B.V. All rights reserved.
OI Makaroff, Lydia/0000-0001-7381-5743
ZA 0
ZR 1
TC 42
Z8 0
ZB 14
ZS 1
Z9 44
U1 0
U2 2
SN 0168-8227
EI 1872-8227
UT WOS:000406430200002
PM 28499163
ER

PT J
AU Palomaki, Glenn E.
   Kloza, Edward M.
   O'Brien, Barbara M.
   Eklund, Elizabeth E.
   Lambert-Messerlian, Geralyn M.
TI The clinical utility of DNA-based screening for fetal aneuploidy by
   primary obstetrical care providers in the general pregnancy population
SO GENETICS IN MEDICINE
VL 19
IS 7
BP 778
EP 786
DI 10.1038/gim.2016.194
PD JUL 2017
PY 2017
AB Objective: To assess the clinical utility of cell-free DNA (cfDNA)based
   screening for aneuploidies offered through primary obstetrical care
   providers to a general pregnancy population.
   Methods: Patient educational materials were developed and validated and
   providers were trained. Serum was collected for reflexive testing of
   cfDNA failures. Providers and patients were surveyed concerning
   knowledge, decision making, and satisfaction. Pregnancy outcome was
   determined by active or passive ascertainment.
   Results: Between September 2014 and July 2015, 72 providers screened
   2,691 women. The five largest participating practices increased uptake
   by 8 to 40%. Among 2,681 reports, 16 women (0.6%) were screen-positive
   for trisomy 21, 18, or 13; all saw genetic professionals. Twelve were
   confirmed (positive predictive value (PPV), 75%; 95% CI, 48-93%) and
   four were false-positives (0.15%). Of 150 failures (5.6%), 79% had a
   negative serum or subsequent cfDNA test; no aneuploidies were
   identified. Of 100 women surveyed, 99 understood that testing was
   optional, 96 had their questions answered, and 95 received sufficient
   information. Pretest information was provided by the physician/certified
   nurse midwife (55) or office nurse/educator (40); none was provided by
   genetic professionals.
   Conclusion: This first clinical utility study of cfDNA screening found
   higher uptake rates, patient understanding of basic concepts, and easy
   incorporation into routine obstetrical practices. There were no reported
   cases of aneuploidy among cfDNA test failures.
OI Messerlian, Geralyn/0000-0002-9440-3411
TC 21
ZR 1
Z8 1
ZA 0
ZS 0
ZB 4
Z9 23
U1 0
U2 2
SN 1098-3600
EI 1530-0366
UT WOS:000405385000010
PM 28079901
ER

PT J
AU Sakai, Hitomi
   Katsumata, Noriyuki
   Takahashi, Miyako
TI Providing written information increases patient satisfaction: a
   web-based questionnaire survey of Japanese cancer survivors
SO JAPANESE JOURNAL OF CLINICAL ONCOLOGY
VL 47
IS 7
BP 611
EP 617
DI 10.1093/jjco/hyx043
PD JUL 2017
PY 2017
AB The Institute of Medicine (IOM) of the United States recommends that all
   cancer survivors be provided with a survivorship care plan (SCP), which
   includes a patient treatment summary and a follow-up care plan. However,
   SCPs have not been widely adopted in Japan. To provide basic data
   necessary for implementing SCPs in Japan, we aimed to investigate the
   forms of clinical and survivorship-related information that Japanese
   cancer survivors receive from their healthcare providers, and to examine
   whether written information increases their satisfaction.
   We performed a cross-sectional online survey of cancer survivors who
   underwent acute cancer treatment and had at least one follow-up with a
   physician in the past year. Cancer survivors provided the elements and
   forms (verbally and/or written) of information they received, as well as
   the degree of satisfaction with the information provided.
   Responses were obtained from 545 cancer survivors. Information elements
   such as surgical procedure (98.3%), surgical outcome (98.1%), and names
   of administered chemotherapy agents (97.8%) were commonly provided,
   whereas mental care resources and providers (29.7%), effects on marital
   relationship and sexual health (35.7%), and effects on fertility (43.4%)
   were less common. A large proportion of cancer survivors received verbal
   information only. For 18 of 20 elements, except for effects on fertility
   and duration of hormonal therapy, satisfaction was significantly higher
   when both forms of information were provided (P < 0.05).
   Providing written and verbal explanations of clinical and
   survivorship-related information can better meet the needs of Japanese
   cancer survivors.
Z8 0
TC 2
ZS 0
ZA 0
ZR 0
ZB 1
Z9 2
U1 0
U2 1
SN 0368-2811
EI 1465-3621
UT WOS:000404904100005
PM 28369566
ER

PT J
AU Hartzell, Joshua D.
   Yu, Clifton E.
   Cohee, Brian M.
   Nelson, Michael R.
   Wilson, Ramey L.
TI Moving Beyond Accidental Leadership: A Graduate Medical Education
   Leadership Curriculum Needs Assessment
SO MILITARY MEDICINE
VL 182
IS 7
BP E1815
EP E1822
DI 10.7205/MILMED-D-16-00365
PD JUL-AUG 2017
PY 2017
AB Background: Despite calls for greater physician leadership, few medical
   schools, and graduate medical education programs provide explicit
   training on the knowledge, skills, and attitudes necessary to be an
   effective physician leader. Rather, most leaders develop through what
   has been labeled "accidental leadership." A survey was conducted at
   Walter Reed to define the current status of leadership development and
   determine what learners and faculty perceived as key components of a
   leadership curriculum. Methods: A branching survey was developed for
   residents and faculty to assess the perceived need for a graduate
   medical education leadership curriculum. The questionnaire was designed
   using survey best practices and established validity through subject
   matter expert reviews and cognitive interviewing. The survey instrument
   assessed the presence of a current leadership curriculum being conducted
   by each department, the perceived need for a leadership curriculum for
   physician leaders, the topics that needed to be included, and the format
   and timing of the curriculum. Administered using an online/web-based
   survey format, all 2,041 house staff and educators at Walter Reed were
   invited to participate in the survey. Descriptive statistics were
   conducted using SPSS (version 22). Results: The survey response rate was
   20.6% (421/2,041). Only 17% (63/266) of respondents stated that their
   program had a formal leadership curriculum. Trainees ranked their
   current leadership abilities as slightly better than moderately
   effective (3.22 on a 5-point effectiveness scale). Trainee and faculty
   availability were ranked as the most likely barrier to implementation.
   Topics considered significantly important (on a 5-point effectiveness
   scale) were conflict resolution (4.1), how to motivate a subordinate
   (4.0), and how to implement change (4.0). Respondents ranked the
   following strategies highest in perceived effectiveness on a 5-point
   scale (with 3 representing moderate effectiveness): leadership case
   studies (3.3) and small group exercises (3.2). Online power points were
   reported as only slightly effective (1.9). Free text comments suggest
   that incorporating current duties, a mentoring and coaching component,
   and project based would be valuable to the curriculum. Discussion: Few
   training programs at Walter Reed have a dedicated leadership curriculum.
   The survey data provide important information for programs considering
   implementing a leadership development curriculum in terms of content and
   delivery.
TC 14
ZS 0
Z8 0
ZR 0
ZA 0
ZB 1
Z9 14
U1 1
U2 9
SN 0026-4075
EI 1930-613X
UT WOS:000408732800026
PM 28810977
ER

PT J
AU da Silva-Filho, Agnaldo Lopes
   Lira, Josefina
   Lunardi Rocha, Ana Luiza
   Carneiro, Marcia Mendonca
TI Barriers and myths that limit the use of intrauterine contraception in
   nulliparous women: a survey of Brazilian gynaecologists
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1101
BP 376
EP 381
DI 10.1136/postgradmedj-2016-134247
PD JUL 2017
PY 2017
AB Objective To understand the extent to which barriers and misperceptions
   about intrauterine contraception (IUC) remain among Brazilian
   gynaecologists, particularly for nulliparous women.
   Methods An online survey was developed to assess Brazilian
   gynaecologists' knowledge and attitudes towards IUC. Data collected
   included demographic and professional data, main barriers when
   considering IUC for women in general and/or nulliparous women, attitudes
   towards inclusion of IUC in contraceptive counselling, and opinions on
   what could increase IUC prescription for nulliparous women. A question
   regarding knowledge about WHO medical eligibility criteria (WHO MEC) was
   also included in the survey.
   Results 101 gynaecologists completed the survey. The insertion rate in
   nulliparous women was 79.2%. Brazilian gynaecologists were more likely
   to consider IUC in counselling or provide it on request for parous than
   for nulliparous women (p<0.05) and perceived more complications in
   nulliparous women. 74.2% of gynaecologists recognised a higher risk of
   pelvic inflammatory disease (PID)/infertility associated with IUC use in
   nulliparous women than in parous women. Difficult and painful insertion
   were also relevant for 83.2% and 77.3% of the gynaecologists,
   respectively. Respondents showed a high level of awareness of the WHO
   MEC classification.
   Conclusions The three most commonly reported barriers to considering IUC
   as a contraceptive option for nulliparous woman were concerns about PID
   and difficult or painful insertion. The challenge is to ensure that
   gynaecologists understand the evidence and do not disregard IUC as a
   potential option for nulliparous women.
RI Carneiro, Marcia M/J-7622-2013; Rocha, Ana L/B-1645-2014
OI Carneiro, Marcia M/0000-0002-7161-972X; Rocha, Ana L/0000-0002-4717-9541
Z8 0
ZB 3
TC 12
ZS 0
ZR 0
ZA 0
Z9 12
U1 0
U2 3
SN 0032-5473
EI 1469-0756
UT WOS:000404538900002
PM 27780879
ER

PT J
AU Halliday, Laura
   Walker, Abigail
   Vig, Stella
   Hines, John
   Brecknell, John
TI Grit and burnout in UK doctors: a cross-sectional study across
   specialties and stages of training
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1101
BP 389
EP 394
DI 10.1136/postgradmedj-2015-133919
PD JUL 2017
PY 2017
AB Purpose of the study Grit is characterised by the ability to persevere
   during difficulties and maintain a sustained effort over an extended
   period of time. Throughout their careers, doctors will experience many
   periods of stress and difficulty. This may result in burnout, defined by
   the presence of exhaustion and disengagement from work. This study aims
   to characterise the relationship between grit and burnout in doctors and
   to establish whether there are differences between specialties and
   levels of training.
   Study design A multicentre cross-sectional survey by questionnaire was
   used. Participants were recruited from training days and an online
   medical forum. The survey consisted of the Short Grit Scale and the
   Oldenburg Burnout Inventory, which examine levels of grit and burnout,
   respectively.
   Results 548 responses were collected. We found a weak negative
   correlation between grit and burnout in UK doctors (r=-0.243, p<0.001).
   Hospital consultants had significantly higher grit scores than trainees.
   The highest level of burnout was found among general practitioners
   (GPs). When GPs were analysed separately, the correlation between grit
   and resilience was not seen.
   Conclusions An understanding of an individual's level of grit may be
   used to identify doctors at a greater risk of burnout. As a high level
   of grit is associated with less burnout, interventions to improve grit
   through resilience training should be examined. Further research is
   needed to understand how grit levels change during a doctor's career and
   why GPs experience higher levels of burnout.
ZR 0
TC 61
ZB 5
ZA 0
Z8 0
ZS 0
Z9 61
U1 0
U2 28
SN 0032-5473
EI 1469-0756
UT WOS:000404538900004
PM 27864350
ER

PT J
AU Awan, Omer A.
   Shaikh, Faiq
   Kalbfleisch, Brian
   Siegel, Eliot L.
   Chang, Paul
TI RSNA Diagnosis Live: A Novel Web-based Audience Response Tool to Promote
   Evidence-based Learning
SO RADIOGRAPHICS
VL 37
IS 4
BP 1111
EP 1118
DI 10.1148/rg.2017160107
PD JUL-AUG 2017
PY 2017
AB Audience response systems have become more commonplace in radiology
   residency programs in the last 10 years, as a means to engage learners
   and promote improved learning and retention. A variety of systems are
   currently in use. RSNA Diagnosis Live (TM) provides unique features that
   are innovative, particularly for radiology resident education. One
   specific example is the ability to annotate questions with subspecialty
   tags, which allows resident performance to be tracked over time. In
   addition, deficiencies in learning can be monitored for each trainee and
   analytics can be provided, allowing documentation of resident
   performance improvement. Finally, automated feedback is given not only
   to the instructor, but also to the trainee. Online supplemental material
   is available for this article. (C)RSNA, 2017.
RI Shaikh, Faiq/AAJ-8004-2020
ZS 0
ZR 0
Z8 0
TC 12
ZA 0
ZB 0
Z9 12
U1 0
U2 3
SN 0271-5333
UT WOS:000408280800008
PM 28696853
ER

PT J
AU Cook, David A.
   Price, David W.
   Wittich, Christopher M.
   West, Colin P.
   Blachman, Morris J.
TI Factors Influencing Physicians' Selection of Continuous Professional
   Development Activities: A Cross-Specialty National Survey
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 37
IS 3
BP 154
EP 160
DI 10.1097/CEH.0000000000000163
PD JUL 2017
PY 2017
AB Introduction: We sought to understand what influences physicians'
   decisions about participation in continuous professional development
   (CPD) activities, and how often physicians engage in specific CPD
   activities.
   Methods: From September 2015 to April 2016, we administered a survey to
   4648 randomly sampled licensed US physicians. Survey items addressed
   perceived barriers to CPD, factors that might influence participation in
   four prototypical CPD activities (reading an article, or completing a
   local activity, online course, or far-away course), and frequency of CPD
   engagement.
   Results: Nine hundred eighty-eight (21.6%) physicians responded. The
   most important barriers were time (mean [SD] 3.5 [1.3], 1 = not
   important, 5 = extremely important) and cost (2.9 [1.3]). In
   prioritizing factors influencing participation in four prototypical CPD
   activities, topical relevance consistently had the highest average rank.
   Quality of content and time to complete the activity were also
   frequently selected. Over the past 3 years, most physicians reported
   having participated in patient-focused learning and self-directed
   learning on a weekly basis; quality improvement and local continuing
   medical education (CME) activities several times per year; online
   learning, on-site courses, and national board-related activities a few
   times per year; and interprofessional learning less than once per year.
   Physicians believed that they ought to engage more often in all of these
   activities except board-related activities. They would like CME credit
   for these activities much more often than currently obtained.
   Discussion: The reasons physicians select a given CPD activity vary by
   activity, but invariably include topic and quality of content.
   Physicians want CME credit for the CPD activities they are already
   doing.
ZA 0
ZB 2
ZR 0
TC 17
Z8 0
ZS 0
Z9 17
U1 1
U2 6
SN 0894-1912
EI 1554-558X
UT WOS:000416406900003
PM 28767542
ER

PT J
AU Curran, Vernon
   Matthews, Lauren
   Fleet, Lisa
   Simmons, Karla
   Gustafson, Diana L.
   Wetsch, Lyle
TI A Review of Digital, Social, and Mobile Technologies in Health
   Professional Education
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 37
IS 3
BP 195
EP 206
DI 10.1097/CEH.0000000000000168
PD JUL 2017
PY 2017
AB Introduction: Digital, social, and mobile technologies (DSMTs) can
   support a wide range of self-directed learning activities, providing
   learners with diverse resources, information, and ways to network that
   support their learning needs. DSMTs are increasingly used to facilitate
   learning across the continuum of health professional education (HPE).
   Given the diverse characteristics of DSMTs and the formal, informal, and
   nonformal nature of health professional learning, a review of the
   literature on DSMTs and HPE could inform more effective adoption and
   usage by regulatory organizations, educators, and learners.
   Methods: A scoping review of the literature was performed to explore the
   effectiveness and implications of adopting and using DSMTs across the
   educational continuum in HPE. A data extraction tool was used to review
   and analyze 125 peer-reviewed articles. Common themes were identified by
   thematic analysis.
   Results: Most articles (56.0%) related to undergraduate education; 31.2%
   to continuing professional development, and 52.8% to
   graduate/postgraduate education. The main DSMTs described include mobile
   phones, apps, tablets, Facebook, Twitter, and YouTube. Approximately
   half of the articles (49.6%) reported evaluative outcomes at a
   satisfaction/reaction level; 45.6% were commentaries, reporting no
   evaluative outcomes. Most studies reporting evaluative outcomes suggest
   that learners across all levels are typically satisfied with the use of
   DSMTs in their learning. Thematic analysis revealed three main themes:
   use of DSMTs across the HPE continuum; key benefits and barriers; and
   best practices.
   Discussion: Despite the positive commentary on the potential benefits
   and opportunities for enhancing teaching and learning in HPE with DSMTs,
   there is limited evidence at this time that demonstrates effectiveness
   of DSMTs at higher evaluative outcome levels. Further exploration of the
   learning benefits and effectiveness of DSMTs for teaching and learning
   in HPE is warranted.
RI Curran, Vernon/AAX-3522-2020; Curran, Vernon/
OI Curran, Vernon/0000-0002-2432-6633
ZA 0
ZB 4
ZR 0
ZS 3
Z8 0
TC 41
Z9 43
U1 6
U2 46
SN 0894-1912
EI 1554-558X
UT WOS:000416406900001
PM 28834849
ER

PT J
AU Hswen, Yulin
   Brownstein, John S.
   Liu, Jeremiah
   Hawkins, Jared B.
TI Use of a Digital Health Application for Influenza Surveillance in China
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 107
IS 7
BP 1130
EP 1136
DI 10.2105/AJPH.2017.303767
PD JUL 2017
PY 2017
AB Objectives. To examine whether a commercial digital health application
   could support influenza surveillance in China.
   Methods. We retrieved data from the Thermia online and mobile
   educational tool, which allows parents to monitor their children's fever
   and infectious febrile illnesses including influenza. We modeled monthly
   aggregated influenza-like illness case counts from Thermia users over
   time and compared them against influenza monthly case counts obtained
   from the National Health and Family Planning Commission of the People's
   Republic of China by using time series regression analysis. We retrieved
   44 999 observations from January 2014 through July 2016 from Thermia
   China.
   Results. Thermia appeared to predict influenza outbreaks 1 month earlier
   than the National Health and Family Planning Commission influenza
   surveillance system (P = .046). Being younger, not having up-to-date
   immunizations, and having an underlying health condition were associated
   with participant-reported influenza-like illness.
   Conclusions. Digital health applications could supplement traditional
   influenza surveillance systems in China by providing access to
   consumers' symptom reporting. Growing popularity and use of commercial
   digital health applications in China potentially affords opportunities
   to support disease detection and monitoring and rapid treatment
   mobilization.
ZB 5
TC 19
ZR 0
Z8 1
ZA 0
ZS 0
Z9 20
U1 2
U2 13
SN 0090-0036
EI 1541-0048
UT WOS:000409274400043
PM 28520492
ER

PT J
AU Lee, Lila
   Lajoie, Susanne P.
   Poitras, Eric G.
   Nkangu, Miriam
   Doleck, Tenzin
TI Co-regulation and knowledge construction in an online synchronous
   problem based learning setting
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 22
IS 4
BP 1623
EP 1650
DI 10.1007/s10639-016-9509-6
PD JUL 2017
PY 2017
AB Learning to monitor and regulate one's learning in an academic setting
   is a task that all students must engage in. Learning in "group"
   situations requires both self- and co-regulation. This research examines
   a case study of a small group of medical student interactions during an
   on-line problem based learning activity (PBL) where students learn to
   co-regulate their performance as they construct their understanding of
   how best to communicate bad news to patients. This paper introduces an
   approach for analyzing the group discourse to understand how collective
   knowledge building facilitates co-regulation. A mixed method analysis
   was used to analyze the case study data. A qualitative data analysis of
   verbal interactions was conducted to examine coregulatory episodes.
   Collective knowledge building was examined by analyzing the group
   discourse for indicators of co-regulatory processes. The study follows
   two quantitative analyses: a frequency count analysis of types of
   questions asked by facilitators and students; and a sequential pattern
   mining for patterns of co-occurrences of learners' discourse and
   co-regulation.
OI Poitras, Eric/0000-0003-0563-7978
ZB 0
ZR 0
ZA 0
TC 10
ZS 0
Z8 0
Z9 10
U1 4
U2 57
SN 1360-2357
EI 1573-7608
UT WOS:000410399300016
ER

PT J
AU Awodoyin, Anuoluwa
   Adetoro, Niran
   Osisanwo, Temitope
TI Self-efficacy and new technology adoption and use among trainee
   mid-wives in Ijebu-Ode, Nigeria
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 22
IS 4
BP 1911
EP 1925
DI 10.1007/s10639-016-9524-7
PD JUL 2017
PY 2017
AB Technology has impacted positively on health care delivery and
   particularly medical personnel have had to embrace emerging technologies
   in order to provide safe, competent and quality health care. The study
   investigated self-efficacy for new technology adoption and use by
   trainee midwives at the school of midwifery, Ijebu-Ode. The study is a
   survey based on the ex post facto type. Total enumeration technique was
   used to capture Seventy (70) trainee midwives using a questionnaire. All
   questionnaire administered were returned and found useful for the study.
   The study revealed that the level of self-efficacy for new technology
   adoption by the trainee midwives was high however social media 40(57.1
   %), text messaging 36 (51.4 %), downloading of articles, music and
   videos 30(42.9 %) were the most frequently used technologies either
   daily or several times weekly. Only 6 (8.6 %) use the internet for
   information search daily. PowerPoint software, spreadsheet, Blogs,
   skype, podcasts, audio creation software etc. were less frequently used.
   Though the perceived level of new technology adoption was high,
   self-efficacy for new technology adoption was not significantly related
   to use of the technologies, also level of technology adoption has no
   correlation with level of use. The paper concludes that trainee midwives
   may not be capable of adequately providing technology based maternity
   and reproductive health services after training. The study thus
   recommends review of the midwifery curriculum, internet access,
   retraining of tutors and increased exposure/awareness to emerging
   technologies.
RI Osisanwo, Temitope/AAM-4557-2020; Adetoro, 'Niran/AHC-8313-2022
OI Adetoro, 'Niran/0000-0002-1828-0317
ZA 0
ZR 0
ZB 0
TC 1
ZS 0
Z8 0
Z9 1
U1 0
U2 4
SN 1360-2357
EI 1573-7608
UT WOS:000410399300029
ER

PT J
AU Fahlman, Dorothy (Willy)
TI Reflections on Distributive Leadership for Work-Based Mobile Learning of
   Canadian Registered Nurses
SO INTERNATIONAL JOURNAL OF MOBILE AND BLENDED LEARNING
VL 9
IS 3
BP 1
EP 11
DI 10.4018/IJMBL.2017070101
PD JUL-SEP 2017
PY 2017
AB The ubiquity, flexibility, and accessibility of mobile devices can
   transform how registered nurses in Canada learn beyond the confines of
   traditional education/training boundaries in their work settings. Many
   Canadian registered nurses have actively embraced mobile technologies
   for their work-based learning to meet their competency requirements for
   professional nursing practice. As self-directed learners, they are using
   these learning tools at point-of-need to access rich online healthcare
   resources, collaborate, and share information within their communities
   of practices. Yet, paradoxically, there are Canadian healthcare
   organizations that have not embraced work-based mobile learning and
   their contextual factors constrain and/or impede registered nurses'
   learning. Therefore, the goal of this reflective paper is to stimulate
   discussion on distributive leadership strategies for embedding this
   pedagogical mode of learning into Canadian healthcare workplaces for
   registered nurses' ongoing skills and continuing professional
   development.
Z8 1
ZA 0
ZB 0
ZR 0
ZS 0
TC 3
Z9 4
U1 1
U2 8
SN 1941-8647
EI 1941-8655
UT WOS:000403727400002
ER

PT J
AU Ybarra, Michele L.
   Prescott, Tonya L.
   Phillips, Gregory L.
   Bull, Sheana S.
   Parsons, Jeffrey T.
   Mustanski, Brian
TI Pilot RCT Results of an mHealth HIV Prevention Program for Sexual
   Minority Male Adolescents
SO PEDIATRICS
VL 140
IS 1
AR e20162999
DI 10.1542/peds.2016-2999
PD JUL 2017
PY 2017
AB BACKGROUND: Guy2Guy (G2G) is the first comprehensive HIV prevention
   program developed for sexual minority males as young as 14 years old and
   is delivered nationally via text messaging. Here, we report the results
   of the pilot randomized control trial.
   METHODS: G2G was tested against an attention-matched "healthy lifestyle"
   control (eg, self-esteem). Both programs lasted 5 weeks and delivered 5
   to 10 text messages daily. A 1-week booster was delivered 6 weeks
   subsequently. Participants were cisgender males ages 14 to 18 years old
   who were gay, bisexual, and/or queer and had an unlimited text messaging
   plan. Youth were recruited across the United States via Facebook and
   enrolled by telephone from October 2014 to April 2015. Ninety-day
   postintervention outcomes were condomless sex acts (CSA) and abstinence
   and, secondarily, HIV testing. We also examined these outcomes at
   intervention end and stratified them by sexual experience.
   RESULTS: At 90 days postintervention, there were no significant
   differences in CSAs or abstinence noted. Among participants who were
   sexually active at baseline, intervention participants were
   significantly more likely to report getting an HIV test (adjusted odds
   ratio = 3.42, P = .001). They were also less likely than control youth
   to be abstinent (adjusted odds ratio = 0.48, P = .05). CSAs were
   significantly lower for those in the intervention versus control at
   intervention end (incident rate ratio = 0.39, P = .04), although
   significance was lost once age was added to the analysis (incident rate
   ratio = 0.58, P = .26).
   CONCLUSIONS: G2G appears promising in increasing adolescent HIV testing
   rates. Sex-positive intervention messages appear to have increased the
   participants' comfort with having sex (ie, less abstinence) while not
   increasing their potential for HIV transmission (ie, more CSAs).
   Additional content or features may be needed to invigorate condom use.
OI Mustanski, Brian/0000-0001-9222-5116
TC 51
Z8 3
ZS 0
ZR 0
ZB 9
ZA 0
Z9 54
U1 1
U2 17
SN 0031-4005
EI 1098-4275
UT WOS:000404482500010
PM 28659456
ER

PT J
AU Sabalic, Maja
   Schoener, Jason D.
TI Virtual Reality-Based Technologies in Dental Medicine: Knowledge,
   Attitudes and Practice Among Students and Practitioners
SO TECHNOLOGY KNOWLEDGE AND LEARNING
VL 22
IS 2
SI SI
BP 199
EP 207
DI 10.1007/s10758-017-9305-4
PD JUL 2017
PY 2017
AB Virtual reality-based technologies have been used in dentistry for
   almost two decades. Dental simulators, planning software and CAD/CAM
   (computer-aided design/computer-aided manufacturing) systems have
   significantly developed over the years and changed both dental education
   and clinical practice. This study aimed to assess the knowledge,
   attitudes and practice of VRBT among dental students and educators in
   one European dental school using a paper-based questionnaire and the KAP
   among students and dental practitioners from 35 countries using an
   online survey. Dental students, educators and practitioners have overall
   positive attitudes towards VRBT but very few have used VRBT in education
   and practice. The majority of respondents plan to use VRBT in their
   future clinical practice and believe that those technologies will be
   widely adopted by dental practices within 22 years. Learning about VRBT
   and using them as part of undergraduate and continued education
   programmes could affect dental practitioners' willingness to implement
   new technologies and enhance critical assessment of new trends in
   dentistry.
OI Sabalic, Maja/0000-0001-5356-5273
ZS 0
Z8 0
ZA 0
TC 10
ZR 0
ZB 0
Z9 10
U1 1
U2 22
SN 2211-1662
EI 2211-1670
UT WOS:000403711200007
ER

PT J
AU Vollenweider, Regina
   Peterson, Cynthia K.
   Humphreys, B. Kim
TI Differences in Practice Characteristics Between Male and Female
   Chiropractors in Switzerland
SO JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS
VL 40
IS 6
BP 434
EP 440
DI 10.1016/j.jmpt.2017.03.004
PD JUL-AUG 2017
PY 2017
AB Objectives: A total of 75% of the chiropractic medicine students in the
   new program at the University of Zurich are women, which is in stark
   contrast to the traditional ratio of chiropractors in Switzerland, where
   75% have been men. Therefore, the purpose of this study was to compare
   work behaviors between female and male chiropractors relating to
   workload, patient variety, and chiropractic treatment techniques.
   Methods: This is a secondary analysis of data from the Swiss Job
   Analysis 2009 study. The design was an online survey to all practicing
   chiropractors in Switzerland that had a 70% response rate of 183
   returned surveys. Differences between male and female chiropractors in
   the various categorical responses involving practice workload,
   characteristics and patient types were compared using the. 2 test.
   Results: Male chiropractors had significantlymore years in practice (P =
   .0001), worked more hours per week (P = .0001), and saw more patients (P
   = .0001) and more newpatients (P = .004) per week compared with female
   chiropractors. Female chiropractors spent significantly more time with
   patients during follow-up visits (P = .017). There were no significant
   differences in treatment techniques used or the types of patients seen
   between the sexes.
   Conclusion: Because female chiropractors work fewer hours and see fewer
   patients per week, thismay lead to a shortage of chiropractors in the
   future as the sex ratio within the profession slowly changes in
   Switzerland.
ZA 0
ZS 0
ZR 0
ZB 0
TC 2
Z8 0
Z9 2
U1 0
U2 1
SN 0161-4754
UT WOS:000414810500009
PM 28633884
ER

PT J
AU Pamidi, Sushmita
   Redline, Susan
   Rapoport, David
   Ayappa, Indu
   Palombini, Luciana
   Farre, Ramon
   Kirkness, Jason
   Pepin, Jean-Louis
   Polo, Olli
   Wellman, Andrew
   Kimoff, R. John
CA Amer Thoracic Soc Ad Hoc Comm I
TI An Official American Thoracic Society Workshop Report: Noninvasive
   Identification of Inspiratory Flow Limitation in Sleep Studies
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 14
IS 7
BP 1076
EP 1085
DI 10.1513/AnnalsATS.201704-318WS
PD JUL 2017
PY 2017
AB This report summarizes the proceedings of the American Thoracic Society
   Workshop on the Noninvasive Identification of Inspiratory Flow
   Limitation in Sleep Studies held on May 16, 2015, in Denver, Colorado.
   The goal of the workshop was to discuss methods for standardizing the
   scoring of flow limitation from nasal cannula pressure tracings. The
   workshop began with presentations on the physiology underlying flow
   limitation, existing methods of scoring flow limitation, the effects of
   signal acquisition and filtering on flow shapes, and a review of the
   literature examining the adverse outcomes related to flow limitation.
   After these presentations, the results from online scoring exercises,
   which were crowdsourced to workshop participants in advance of the
   workshop, were reviewed and discussed. Break-out sessions were then held
   to discuss potential algorithms for scoring flow limitation. Based on
   these discussions, subsequent online scoring exercises, and webinars
   after the workshop, a consensus-based set of recommendations for a
   scoring algorithm for flow limitation was developed. Key conclusions
   from the workshop were: (1) a standardized and automated approach to
   scoring flow limitation is needed to provide a metric of nonepisodic
   elevated upper airway resistance, which can then be related to clinical
   outcomes in large cohorts and patient groups; (2) at this time, the most
   feasible method for standardization is by proposing a consensus-based
   framework, which includes scoring rules, developed by experts (3)
   hardware and software settings of acquisition devices, including filter
   settings, affect the shape of the flow curve, and should be clearly
   specified; and (4) a priority for future research is the generation of
   an open-source, expert-derived training set to encourage and support
   validation of automated flow limitation scoring algorithms.
RI Farre, Ramon/L-2664-2017; Rapoport, David/; Pepin, Jean Louis/
OI Farre, Ramon/0000-0002-9084-7824; Rapoport, David/0000-0002-4855-2600;
   Pepin, Jean Louis/0000-0003-3832-2358
ZA 0
TC 18
ZR 0
ZS 0
Z8 1
ZB 9
Z9 19
U1 0
U2 0
SN 1546-3222
EI 2325-6621
UT WOS:000412405300002
PM 28665698
ER

PT J
AU Barbe, B.
   Yansouni, C. P.
   Affolabi, D.
   Jacobs, J.
TI Implementation of quality management for clinical bacteriology in
   low-resource settings
SO CLINICAL MICROBIOLOGY AND INFECTION
VL 23
IS 7
BP 426
EP 433
DI 10.1016/j.cmi.2017.05.007
PD JUL 2017
PY 2017
AB Background: The declining trend of malaria and the recent prioritization
   of containment of antimicrobial resistance have created a momentum to
   implement clinical bacteriology in low-resource settings. Successful
   implementation relies on guidance by a quality management system (QMS).
   Over the past decade international initiatives were launched towards
   implementation of QMS in HIV/AIDS, tuberculosis and malaria.
   Aims: To describe the progress towards accreditation of medical
   laboratories and to identify the challenges and best practices for
   implementation of QMS in clinical bacteriology in low-resource settings.
   Sources: Published literature, online reports and websites related to
   the implementation of laboratory QMS, accreditation of medical
   laboratories and initiatives for containment of antimicrobial
   resistance.
   Content: Apart from the limitations of infrastructure, equipment,
   consumables and staff, QMS are challenged with the complexity of
   clinical bacteriology and the healthcare context in low-resource
   settings (small-scale laboratories, attitudes and perception of staff,
   absence of laboratory information systems). Likewise, most international
   initiatives addressing laboratory health strengthening have focused on
   public health and outbreak management rather than on hospital based
   patient care. Best practices to implement quality-assured clinical
   bacteriology in low-resource settings include alignment with national
   regulations and public health reference laboratories, participating in
   external quality assurance programmes, support from the hospital's
   management, starting with attainable projects, conducting error review
   and daily bench-side supervision, looking for locally adapted solutions,
   stimulating ownership and extending existing training programmes to
   clinical bacteriology.
   Implications: The implementation of QMS in clinical bacteriology in
   hospital settings will ultimately boost a culture of quality to all
   sectors of healthcare in low-resource settings. (C) 2017 The Authors.
   Published by Elsevier Ltd on behalf of European Society of Clinical
   Microbiology and Infectious Diseases.
RI Jacobs, Jan/GRX-7316-2022; /
OI /0000-0002-4765-3469
TC 39
ZR 0
ZB 16
ZA 0
Z8 0
ZS 1
Z9 41
U1 2
U2 12
SN 1198-743X
EI 1469-0691
UT WOS:000405332900003
PM 28506781
ER

PT J
AU Nicholas, J.
   Boydell, K.
   Christensen, H.
TI Beyond symptom monitoring: Consumer needs for bipolar disorder
   self-management using smartphones
SO EUROPEAN PSYCHIATRY
VL 44
BP 210
EP 216
DI 10.1016/j.eurpsy.2017.05.023
PD JUL 2017
PY 2017
AB Objectives: To investigate the potential use of smartphone apps to
   support self-management in young adults with bipolar disorder.
   Methods: We recruited 89 young adults (18-30 years) with bipolar
   disorder to complete a cross-sectional online survey. The survey
   contained quantitative and qualitative questions regarding technology
   use, current use of disorder-management apps, types of apps desired for
   disorder management, and app features that users would consider
   important when selecting apps. Results were analysed using descriptive
   statistics and thematic analysis.
   Results: Almost all participants used a smartphone daily and 40%
   currently used apps for disorder management. Of those not currently
   using apps, 79% indicated they would like to try them. On average,
   participants rated 61% of the self-management strategies listed as
   desirable for app support, with sleepmanagement, understanding early
   warning signs and triggers, and stay-well plans the most frequently
   endorsed. App features considered important during app selection were
   ease-of-use, scientific quality, flexibility/customisation, and data
   privacy.
   Conclusions: The results indicate that young adults with bipolar
   disorder are interested in a wide range of apps for self-management.
   Participants were interested in apps to support self-management
   strategies considered clinically important for disorder management. Many
   of these app needs are currently unmet. Results suggest diversifying and
   prioritising app capabilities to ensure evidence-based resources for a
   broader range of app functions are available to consumers. (C) 2017
   Elsevier Masson SAS. All rights reserved.
RI Boydell, Katherine/AAR-2918-2021; Christensen, Helen/F-5053-2012; Boydell, Katherine/J-6419-2014; Nicholas, Jennifer/
OI Christensen, Helen/0000-0003-0435-2065; Boydell,
   Katherine/0000-0002-1464-8532; Nicholas, Jennifer/0000-0003-1889-1107
ZS 0
ZB 5
TC 21
Z8 0
ZA 0
ZR 0
Z9 21
U1 0
U2 12
SN 0924-9338
EI 1778-3585
UT WOS:000407077000029
PM 28692910
ER

PT J
AU Okeigwe, Ijeoma
   Wang, Cynthia
   Politch, Joseph A.
   Heffner, Linda J.
   Kuohung, Wendy
TI Physician-scientists in obstetrics and gynecology: predictors of success
   in obtaining independent research funding
SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
VL 217
IS 1
AR 84.e1-e8
DI 10.1016/j.ajog.2017.03.007
PD JUL 2017
PY 2017
AB BACKGROUND: Obstetrics and gynecology departments receive the smallest
   amount of National Institutes of Health research funding and have
   significantly lower application success rates compared to pediatric,
   internal medicine, and surgery departments. The development of mentored
   early career development training grants (K awards) has been one
   strategy implemented by the National Institutes of Health to help
   aspiring physician-scientists establish independent research careers.
   OBJECTIVE: The purpose of this study is to describe the cohort of
   obstetrics and gynecology physician-scientists who were K08, K12, and
   K23 recipients from 1988 through 2015 and to identify predictors of
   success in obtaining independent federal funding, as defined by
   acquisition of an R01, R21, R34, U01, U54, P01, or P50 award. We
   hypothesized that sex, subspecialty, type of K award, and dual MD/PhD
   would impact success rates.
   STUDY DESIGN: K08, K12, and K23 recipients from 1988 through 2015 were
   identified from the National Institutes of Health Research Portfolio
   Online Reporting Tools, the office of the National Institutes of Health
   Freedom of Information Act, and the website of the Reproductive
   Scientist Development Program. Data were stratified by sex, educational
   degree, subspecialty, and type of K award. Data were analyzed using the
   Pearson chi(2) and Fisher exact tests. The Kaplan-Meier estimator was
   used to determine rates of conversion to independent funding over time.
   RESULTS: A total of 388 K recipients were identified. Women accounted
   for 66% of K awards while men accounted for 34%. Among K recipients, 82%
   were MDs, while 18% were MD/PhDs. K12 awards accounted for 82% of all K
   awards, while K08 and K23 awards accounted for 10% and 8%, respectively.
   Subspecialists in maternal-fetal medicine and reproductive endocrinology
   and infertility received the highest proportion of K awards, followed by
   generalists and gynecologic oncologists. Altogether, the 3 subspecialty
   groups accounted for 68% of all K awards. R01 awards made up the bulk of
   independent funding. Among recipients who received their first K award
   between 1988 and 2009, 63 of 288 (22%) were successful at obtaining an
   R01. Rates of R21 (n = 22), U01 (n = 15), U54 (n = 12), P01 (n = 5), R34
   (n = 1), and P50 (n = 1) acquisition ranged from 0.35-7.6%. In all, 118
   K scholars (41%) were successful at achieving independent funding of any
   type compared to 1219 of 7535 (16.2%) obstetrics and gynecology non-K
   scholars. K08 recipients received the largest proportion of R01 awards
   compared to K12 and K23 recipients (32% vs 20%; P =.12), while 21% of
   K12 recipients and 17% of K23 recipients achieved an R01. There were no
   differences in the rates of independent funding success among K12
   programs. K23 recipients were more likely to obtain an R21 (22% vs 6%, P
   =.008) compared to K12 and K08 recipients. The mean time to R01
   acquisition was 6.8 years, while the mean time to independent funding of
   any type was 6.4 years. There were no significant differences in
   independent funding success rates by sex, educational degree, or
   subspecialty, although generalists received the highest proportion of
   R01 awards (29%).
   CONCLUSION: Mentored early career development K programs enable aspiring
   obstetrics and gynecology physician-scientists to achieve higher rates
   of National Institutes of Health-based independent research funding
   compared to non-K recipients.
OI Politch, Joseph/0000-0002-7022-0135
Z8 0
ZB 6
ZR 0
ZA 0
TC 19
ZS 0
Z9 19
U1 0
U2 3
SN 0002-9378
EI 1097-6868
UT WOS:000405276800027
PM 28315665
ER

PT J
AU Prabhu, Arpan V.
   Kim, Christopher
   Crihalmeanu, Tudor
   Hansberry, David R.
   Agarwal, Nitin
   DeFrances, Marie C.
   Bittar, Humberto E. Trejo
TI An online readability analysis of pathology-related patient education
   articles: an opportunity for pathologists to educate patients
SO HUMAN PATHOLOGY
VL 65
BP 15
EP 20
DI 10.1016/j.humpath.2017.04.020
PD JUL 2017
PY 2017
AB Information for patients regarding their clinical conditions and
   treatment options is widely available online. The American Medical
   Association and National Institutes of Health recommend that online
   patient-oriented materials be written at no higher than a seventh-grade
   reading level to ensure full comprehension by the average American. This
   study sought to determine whether online patient-oriented materials
   explaining common pathology procedures are written at appropriate
   reading levels. Ten pathology procedures that patients would likely
   research were queried into Google search, and plain text from the first
   10 Web sites containing patient education materials for each procedure
   was analyzed using 10 validated readability scales. We determined mean
   reading levels of materials grouped by readability scale, procedure, and
   Web site domain, the overall average reading level of all resources, and
   popular Web site domains. One hundred Web sites were accessed; one was
   omitted for short length (<100 Words). The average reading grade level
   of the 99 materials, none of Which met national health literacy
   guidelines (range, 7.3-17.4), Was 10.9. Twenty-nine articles (29%)
   required a high school education for full comprehension, and 4 (4%)
   required an undergraduate college education. Most frequently accessed
   Web site domains included medlineplus.gov, webmd.com (both accessed 7
   times), and labtestsonline.org (accessed 6 times). Average reading
   levels of the 11 most commonly accessed Web sites ranged from 8.25
   (patient.info) to 12.25 (mayoclinic.org). Readability levels of most
   online pathology-related patient education materials exceeded those
   recommended by national health literacy guidelines. These patient
   education materials should be revised to help patients fully understand
   them. (C) 2017 Elsevier Inc. All rights reserved.
RI Prabhu, Arpan/M-4193-2014; Trejo BIttar, Humberto/; Kim, Christopher/
OI Prabhu, Arpan/0000-0002-9928-2911; Trejo BIttar,
   Humberto/0000-0003-2701-6531; Kim, Christopher/0000-0002-0792-6338
Z8 0
ZA 0
ZR 0
ZS 0
TC 11
ZB 5
Z9 11
U1 0
U2 4
SN 0046-8177
EI 1532-8392
UT WOS:000408297200002
PM 28504209
ER

PT J
AU Zakrison, Tanya L.
   Polk, Travis M.
   Dixon, Rachel
   Ekeh, Akpofure P.
   Gross, Kirby R.
   Davis, Kimberly A.
   Kurek, Stanley J., Jr.
   Stassen, Nicole A.
   Patel, Mayur B.
TI Paying it forward: Four-year analysis of the Eastern Association for the
   Surgery of Trauma Mentoring Program
SO JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
VL 83
IS 1
BP 165
EP 169
DI 10.1097/TA.0000000000001493
PD JUL 2017
PY 2017
AB BACKGROUND: Mentorship programs in surgery are used to overcome barriers
   to clinical and academic productivity, research success, and work-life
   balance. We sought to determine if the Eastern Association for the
   Surgery of Trauma (EAST) Mentoring Program has met its goals of
   fostering academic and personal growth in young acute care surgeons.
   METHODS: We conducted a systematic program evaluation of EASTMentoring
   Program's first 4 years. Demographic information was collected from EAST
   records, mentorship program applications, and mentee-mentor career
   development plans. We reviewed the career development plans for thematic
   commonalities and results of a structured, online questionnaire
   distributed since program inception. A mixed methods approach was used
   to better understand the program goals from both mentee and mentor
   perspectives, as well as attitudes and barriers regarding the perceived
   success of this career development program.
   RESULTS: During 2012 to 2015, 65 mentoring dyads were paired and 60
   completed the program. Of 184 surveys distributed, 108 were returned
   (57% response rate). Respondents were evenly distributed between mentees
   and mentors (53 vs. 55, p = 0.768). In participant surveys, mentoring
   relationships were viewed to focus on research (45%), "sticky
   situations" (e.g., communication, work-life balance) (27%), education
   (18%), or administrative issues (10%). Menteeswere more focused on
   research and education versusmentors (74% vs. 50%; p = 0.040). Mentees
   felt that goalswere "always" or "usually" met versusmentors (89% vs.
   77%; p = 0.096). Two barriers to successfulmentorship included time and
   communication, with most pairs communicating by email. Most respondents
   (91%) planned to continue the relationship beyond the EAST Mentoring
   Program and recommended the experience to colleagues.
   CONCLUSION: Mentee satisfaction with the EASTMentoring Program was high.
   Mentoring is a beneficial tool to promote success among EAST's young
   members, but differences exist between mentee and mentor perceptions.
   Revising communication expectations and time commitment to improve
   career development may help our young acute care surgeons. Copyright (C)
   2017 Wolters Kluwer Health, Inc. All rights reserved.
RI Polk, Travis/I-1190-2017; Gross, Kirby/
OI Polk, Travis/0000-0001-5416-8536; Gross, Kirby/0000-0002-1390-8865
ZB 1
TC 8
ZS 0
ZR 0
Z8 0
ZA 0
Z9 8
U1 0
U2 4
SN 2163-0755
EI 2163-0763
UT WOS:000403903100026
PM 28452871
ER

PT J
AU del Campo, Eleonor Rivin
   Rivera, Sofia
   Martinez-Paredes, Maria
   Hupe, Philippe
   Escarpa, Andrea Slocker
   Borget, Isabelle
   Mazeron, Renaud
   Scholl, Suzy
   Palacios Eito, Amalia
   Haie-Meder, Christine
   Chargari, Cyrus
   Deutsch, Eric
TI Assessment of the novel online delineation workshop dummy run approach
   using FALCON within a European multicentre trial in cervical cancer
   (RAIDs)
SO RADIOTHERAPY AND ONCOLOGY
VL 124
IS 1
BP 130
EP 138
DI 10.1016/j.radonc.2017.05.008
PD JUL 2017
PY 2017
AB Background and purpose: Online delineation workshops (ODW) permit
   training of-geographically dispersed participants. The purpose is to
   evaluate the methodology of an ODW using FALCON to harmonize delineation
   within a European multicentre trial on locally advanced cervical cancer
   (LACC).
   Material and methods: Two ODW included 46 clinicians (14 centres).
   Clinicians completed baseline (C1), guideline (C2) and final contours
   (C3) for external beam radiotherapy (EBRT) and brachytherapy (BT) for
   LACC. Interobserver and intraobserver variability was evaluated
   quantitatively (using the DICE index) and qualitatively compared to
   expert contours.
   Results: Nine clinicians submitted for EBRT and BT for C1-C3. Thirty-two
   sent any contour. Interobserver quantitative comparisons for EBRT showed
   significant improvement for C2 vs. C1 for bowel, CTV node, CTV-p and GTV
   node with significant detriment for GTV node (C3 vs. C1; C2), CTV-p (C3
   vs. C2) and bowel (C3 vs. C2), showing in general an improvement in C2
   vs. C1, with a detriment in C3 vs. C2 for two target volumes and an
   organ at risk. For BT there was significant improvement for C2 vs. C1
   for bladder, GTV, HR-CTV and IR-CTV, with significant detriment for
   bladder (C3 vs. C2), thus overall improvement in C2 vs. C1, with only a
   detriment in C3 vs. C2 for bladder. Centres using MRI imaging for BT
   contouring did significantly better in the BT case for HR-CTV than those
   which used other techniques (C2 vs. C1: p < 0.005; C3 vs. C1: p = 0.02).
   lntraobserver quantitative comparisons showed significant improvement
   contouring a region of interest between C2 vs. C1, C3 vs. C1 and C3 vs.
   C2 for EBRT and between C2 and C1 for BT.
   Conclusions: ODW offer training, initial contouring harmonization and
   allow assessment of centres. (C) 2017 Elsevier B.V. All rights reserved.
RI Hupe, Philippe/T-8793-2017; Chargari, Cyrus/AAM-6286-2020; deutsch, eric/; Sofia, Rivera/; Chargari, Cyrus/; Borget, Isabelle/
OI Hupe, Philippe/0000-0001-8468-3424; deutsch, eric/0000-0002-8223-3697;
   Sofia, Rivera/0000-0002-3096-5642; Chargari, Cyrus/0000-0003-0119-3695;
   Borget, Isabelle/0000-0002-6295-6361
ZB 4
TC 6
ZS 0
ZR 0
ZA 0
Z8 0
Z9 6
U1 0
U2 1
SN 0167-8140
UT WOS:000407541500020
PM 28532608
ER

PT J
AU Xie, J. -F.
   Wang, C. -Y.
   He, G. -P.
   Ming, Y. -Z.
   Wan, Q. -Q
   Liu, J.
   Gong, L. -N.
   Liu, L. -F.
TI Attitude and Impact Factors Toward Organ Transplantation and Donation
   Among Transplantation Nurses in China
SO TRANSPLANTATION PROCEEDINGS
VL 49
IS 6
BP 1226
EP 1231
DI 10.1016/j.transproceed.2017.02.060
PD JUL-AUG 2017
PY 2017
AB Background. Health workers' awareness and knowledge of transplantation
   medicine can improve people's sensitivity and reduce their degree of
   opposition to donations. The medical literature contains numerous
   examples of attitudes toward organ transplantation and donation aimed at
   university students or medical staff members, but rarely for
   transplantation nurses.
   Objective. The purposes of the study were to investigate the attitudes
   toward organ transplantation and donation among transplantation nurses
   and to explore the impact factors.
   Methods. The study was conducted in 37 transplantation surgery wards in
   22 hospitals using cross-sectional approach. SPSS (International
   Business Machines Corporation, Armonk, New York, USA) 7.0 software was
   used to analysis descriptive and inferential statistics for data.
   Results. Five hundred thirty-six effective questionnaires were received
   and the effective rate was 89.33%. Nurses' mean age was 28.40 years with
   a mean service length of 6.54 years. Among these nurses, 66.6% and 78.0%
   were willing to accept organ transplantation surgery for themselves and
   their relatives, respectively. Of these nurses, 33.4% would donate their
   organs after death; whereas 39.9% were uncertain. Only 38.2% were
   willing to register in the national organ donation system. Of these
   nurses, 28.2% were willing to sign the organ donation consent forms when
   their relatives became potential organ donors, and 45.7% were uncertain.
   Eight independent variables that affected nurses' attitudes toward
   donating their organs from most to least significant were: ratio of
   nurse to bed, title, employment form, age, length of service, position,
   monthly income, and the highest educational degree earned. Pearson
   correlation analysis showed a significant correlation among nurses'
   attitudes toward organ transplantation, organ donation, and online
   registration.
   Conclusion. The attitude toward donation and transplantation in the
   hospitals was not too optimistic, and an improvement in the training
   regarding transplantation and donation among nurses in China is
   necessary. Nurses are an important group who generate opinion in the
   patient population, and their negative attitudes can have a significant
   negative impact on society's attitudes toward organ donation.
RI Wang, Chunyan/N-3119-2018; wan, qiaoqin/AAM-5778-2020
OI Wang, Chunyan/0000-0002-1617-0931; 
Z8 2
ZR 0
TC 11
ZA 0
ZB 2
ZS 2
Z9 14
U1 0
U2 16
SN 0041-1345
EI 1873-2623
UT WOS:000406734700004
PM 28735985
ER

PT J
AU Fisher, James Michael
   Garside, Mark J.
   Brock, Peter
   Gibson, Vicky
   Hunt, Kelly
   Briggs, Sally
   Gordon, Adam Lee
TI Why geriatric medicine? A survey of UK specialist trainees in geriatric
   medicine
SO AGE AND AGEING
VL 46
IS 4
BP 672
EP 677
DI 10.1093/ageing/afx009
PD JUL 2017
PY 2017
AB there is concern that there are insufficient numbers of geriatricians to
   meet the needs of the ageing population. A 2005 survey described factors
   that influenced why UK geriatricians had chosen to specialise in the
   field-in the decade since, UK postgraduate training has undergone a
   fundamental restructure.
   to explore whether the reasons for choosing a career in geriatric
   medicine in the UK had changed over time, with the goal of using this
   knowledge to inform recruitment and training initiatives.
   an online survey was sent to all UK higher medical trainees in geriatric
   medicine.
   survey questions that produced categorical data were analysed with
   simple descriptive statistics. For the survey questions that produced
   free-text responses, an inductive, iterative approach to analysis, in
   keeping with the principles of framework analysis, was employed.
   two hundred and sixty-nine responses were received out of 641 eligible
   respondents. Compared with the previous survey, a substantially larger
   number of respondents regarded geriatric medicine to be their
   first-choice specialty and a smaller number regretted their career
   decision. A greater number chose geriatric medicine early in their
   medical careers. Commitments to the general medical rota and the burden
   of service provision were considered important downsides to the
   specialty.
   there are reasons to be optimistic about recruitment to geriatric
   medicine. Future attempts to drive up recruitment might legitimately
   focus on the role of the medical registrar and perceptions that
   geriatricians shoulder a disproportionate burden of service commitments
   and obligations to the acute medical take.
RI Gordon, Adam/C-3934-2018; Fisher, James/AAX-1550-2021
OI Gordon, Adam/0000-0003-1676-9853; Fisher, James/0000-0002-4886-6060
ZB 1
ZA 0
ZS 0
ZR 0
TC 9
Z8 0
Z9 9
U1 0
U2 5
SN 0002-0729
EI 1468-2834
UT WOS:000404605400025
PM 28164214
ER

PT J
AU Bitzinger, D.
   Raspe, M.
   Schulte, K.
   Larmann, J.
TI Evaluation of the occupational and advanced professional training
   conditions in the field of anaesthesiology in Germany
SO ANASTHESIOLOGIE & INTENSIVMEDIZIN
VL 58
BP 429
EP 440
PD JUL-AUG 2017
PY 2017
AB Background: The demographic change, the progressing economisation in
   German hospitals and numerous other changes have sustainably influenced
   the conditions of the physicians' occupational and advanced professional
   training in recent years and created dissatisfaction as among resident
   physicians well as criticism of the system. As yet, however, hardly any
   data exist that captures this criticism quantitatively or describes it
   in a national or anaesthesiological context.
   Methods: The Young Scientists Working Group (WAK\AtiN) and Young
   Anaesthesiology" of the German Society of Anaesthesiology and Intensive
   Care Medicine (DGAI) as well as the Young BDA" of the Professional
   Association of German Anaesthetists (BDA) conducted an online-based
   survey of all resident physicians who were members of these
   organisations. The questionnaire covered five essential conflict fields
   of anaesthesiological work and advanced professional training
   conditions. In addition, the "Occupational Gratification Crisis Model"
   was applied to assess the psychosocial work stress.
   Results: A total of 895 resident physicians took part in the survey.
   According to the survey participants, advanced professional training and
   qualifications, family and research friendly work conditions came off
   badly under conditions of a highly intensified daily work routine. The
   influence of economic considerations is definitely perceptible. 79
   percent of all resident physicians reported that their further
   qualification in the field of medicine would suffer from the progressive
   economisation (e.g. short transition periods). The psychosocial work
   stress of the physicians questioned was felt to be very high. One
   fraction of physicians drew personal consequences (e.g. job change,
   moving into other professions).
   Conclusions: Based on the data collected, adjustments of occupational
   and further professional training conditions in the specialised field of
   anaesthesiology appear to be necessary in order to assure the health of
   the resident physicians affected, the quality of patient health care
   provisions and the attractiveness of the specialist medical area in the
   future.
RI Larmann, Jan/B-4034-2011; Larmann, Jan/ABI-3699-2020; Bitzinger, Diane/AGX-6025-2022
OI Larmann, Jan/0000-0003-3365-4572; Larmann, Jan/0000-0003-3365-4572; 
ZS 0
TC 11
ZB 3
ZA 0
ZR 0
Z8 0
Z9 11
U1 1
U2 5
SN 0170-5334
EI 1439-0256
UT WOS:000410594000003
ER

PT J
AU Wong, Jonathan
   Finan, Emer
   Campbell, Douglas
TI Use of Simulation in Canadian Neonatal-Perinatal Medicine Training
   Programs
SO CUREUS
VL 9
IS 7
AR e1448
DI 10.7759/cureus.1448
PD JUL 2017
PY 2017
AB Introduction
   Simulation is used for the delivery of education and on occasion
   assessment. Before such a tool is used routinely in neonatal training
   programs across Canada, a need assessment is required to determine its
   current usage by accredited training programs. Our aim was to
   characterize the type of simulation modalities used and the perceived
   simulation-based training needs in Canadian neonatal-perinatal medicine
   (NPM) training programs.
   Methods
   A 22-item and 13-item online descriptive survey was sent to all NPM
   program directors and fellows in Canada, respectively. The survey was
   modeled on a previously validated tool by Johnston, et al. and responses
   were collected over 30 days.
   Results
   In total, eight (63%) program directors and 24 (28%) fellows completed
   the survey, with all respondents indicating that simulation is being
   used. Both lab-based and in situ simulations are occurring, with a range
   of simulation modalities employed to primarily teach resuscitation,
   procedural and communication skills. Fellows indicated that simulation
   should also be used to also teach other important topics, including
   disease-specific management, crisis resource management, and prevention
   of medical error. Five (63%) programs have faculty with formal
   simulation training and four (50%) programs have at least one faculty
   involved in simulation research.
   Conclusion
   Simulation is widely used in Canadian NPM training programs, with
   program directors and fellows identifying this as an important tool.
   Simulation can be used to teach a range of skills, but programs need to
   align their curriculum with both training objectives and learner needs.
   There is an opportunity for faculty development and increased simulation
   research.
RI Wong, Jonathan/R-2649-2019
OI Wong, Jonathan/0000-0001-6489-358X
TC 4
Z8 0
ZA 0
ZR 0
ZS 0
ZB 2
Z9 4
U1 0
U2 0
EI 2168-8184
UT WOS:000453623000034
PM 28929032
ER

PT J
AU Micheel, Christine M.
   Anderson, Ingrid A.
   Lee, Patricia
   Chen, Sheau-Chiann
   Justiss, Katy
   Giuse, Nunzia B.
   Ye, Fei
   Kusnoor, Sheila V.
   Levy, Mia A.
TI Internet-Based Assessment of Oncology Health Care Professional Learning
   Style and Optimization of Materials for Web-Based Learning: Controlled
   Trial With Concealed Allocation
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 7
AR e265
DI 10.2196/jmir.7506
PD JUL 2017
PY 2017
AB Background: Precision medicine has resulted in increasing complexity in
   the treatment of cancer. Web-based educational materials can help
   address the needs of oncology health care professionals seeking to
   understand up-to-date treatment strategies.
   Objective: This study aimed to assess learning styles of oncology health
   care professionals and to determine whether learning style-tailored
   educational materials lead to enhanced learning.
   Methods: In all, 21,465 oncology health care professionals were invited
   by email to participate in the fully automated, parallel group study.
   Enrollment and follow-up occurred between July 13 and September 7, 2015.
   Self-enrolled participants took a learning style survey and were
   assigned to the intervention or control arm using concealed alternating
   allocation. Participants in the intervention group viewed educational
   materials consistent with their preferences for learning (reading,
   listening, and/or watching); participants in the control group viewed
   educational materials typical of the My Cancer Genome website.
   Educational materials covered the topic of treatment of metastatic
   estrogen receptor-positive (ER+) breast cancer using cyclin-dependent
   kinases 4/6 (CDK4/6) inhibitors. Participant knowledge was assessed
   immediately before (pretest), immediately after (posttest), and 2 weeks
   after (follow-up test) review of the educational materials. Study
   statisticians were blinded to group assignment.
   Results: A total of 751 participants enrolled in the study. Of these,
   367 (48.9%) were allocated to the intervention arm and 384 (51.1%) were
   allocated to the control arm. Of those allocated to the intervention
   arm, 256 (69.8%) completed all assessments. Of those allocated to the
   control arm, 296 (77.1%) completed all assessments. An additional 12
   participants were deemed ineligible and one withdrew. Of the 552
   participants, 438 (79.3%) self-identified as multimodal learners. The
   intervention arm showed greater improvement in posttest score compared
   to the control group (0.4 points or 4.0% more improvement on average;
   P=.004) and a higher follow-up test score than the control group (0.3
   points or 3.3% more improvement on average; P=.02).
   Conclusions: Although the study demonstrated more learning with learning
   style-tailored educational materials, the magnitude of increased
   learning and the largely multimodal learning styles preferred by the
   study participants lead us to conclude that future content-creation
   efforts should focus on multimodal educational materials rather than
   learning style-tailored content.
RI Micheel, Christine/AAZ-1370-2021; Giuse, Nunzia/N-2032-2016; Ye, Fei/; Lee, Patricia/; Kusnoor, Sheila/; Anderson, Ingrid/; Micheel, Christine/; Justiss, Katy/
OI Giuse, Nunzia/0000-0002-7644-9803; Ye, Fei/0000-0001-6472-5076; Lee,
   Patricia/0000-0001-7422-3539; Kusnoor, Sheila/0000-0001-6025-6057;
   Anderson, Ingrid/0000-0003-0621-2410; Micheel,
   Christine/0000-0002-7744-9039; Justiss, Katy/0000-0003-3424-4743
ZS 0
ZB 3
ZR 0
TC 7
Z8 0
ZA 0
Z9 7
U1 0
U2 8
SN 1438-8871
UT WOS:000409233100011
PM 28743680
ER

PT J
AU Roland, Damian
   Spurr, Jesse
   Cabrera, Daniel
TI Preliminary Evidence for the Emergence of a Health Care Online Community
   of Practice: Using a Netnographic Framework for Twitter Hashtag
   Analytics
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 7
AR e252
DI 10.2196/jmir.7072
PD JUL 2017
PY 2017
AB Background: Online communities of practice (oCoPs) may emerge from
   interactions on social media. These communities offer an open digital
   space and flat role hierarchy for information sharing and provide a
   strong group identity, rapid flow of information, content curation, and
   knowledge translation. To date, there is only a small body of evidence
   in medicine or health care to verify the existence of an oCoP.
   Objective: We aimed to examine the emergence of an oCoP through the
   study of social media interactions of the free open access medical
   education (FOAM) movement.
   Methods: We examined social media activity in Twitter by analyzing the
   network centrality metrics of tweets with the #FOAMed hashtag and
   compared them with previously validated criteria of a community of
   practice (CoP).
   Results: The centrality analytics of the FOAM community showed
   concordance with aspects of a general CoP (in terms of community,
   domain, and practice), as well as some specific traits of a health care
   community, including social control, common purpose, flat hierarchy, and
   network-based and concrete achievement.
   Conclusions: This study demonstrated preliminary evidence of an oCoP
   focused on education and based on social media interactions. Further
   examination of the topology of the network is needed to definitely prove
   the existence of an oCoP. Given that these communities result in
   significant knowledge translation and practice change, further research
   in this area appears warranted.
RI Roland, Damian/D-9553-2018; Spurr, Jesse/; Cabrera, Daniel/
OI Roland, Damian/0000-0001-9334-5144; Spurr, Jesse/0000-0003-2957-5564;
   Cabrera, Daniel/0000-0002-5891-0459
ZA 0
ZS 0
ZB 4
Z8 1
TC 39
ZR 0
Z9 40
U1 1
U2 16
SN 1438-8871
UT WOS:000409231900008
PM 28710054
ER

PT J
AU Zhou, A. Y.
   Dodman, J.
   Hussey, L.
   Sen, D.
   Rayner, C.
   Zarin, N.
   Agius, R.
TI EELAB: an innovative educational resource in occupational medicine
SO OCCUPATIONAL MEDICINE-OXFORD
VL 67
IS 5
BP 363
EP 370
DI 10.1093/occmed/kqx057
PD JUL 2017
PY 2017
AB Background Postgraduate education, training and clinical governance in
   occupational medicine (OM) require easily accessible yet rigorous,
   research and evidence-based tools based on actual clinical practice.
   Aims To develop and evaluate an online resource helping physicians
   develop their OM skills using their own cases of work-related ill-health
   (WRIH).
   Methods WRIH data reported by general practitioners (GPs) to The Health
   and Occupation Research (THOR) network were used to identify common OM
   clinical problems, their reported causes and management. Searches were
   undertaken for corresponding evidence-based and audit guidelines. A web
   portal entitled Electronic, Experiential, Learning, Audit and
   Benchmarking (EELAB) was designed to enable access to interactive
   resources preferably by entering data about actual cases. EELAB offered
   disease-specific online learning and self-assessment, self-audit of
   clinical management against external standards and benchmarking against
   their peers' practices as recorded in the research database. The
   resource was made available to 250 GPs and 224 occupational physicians
   in UK as well as postgraduate OM students for evaluation.
   Results Feedback was generally very favourable with physicians reporting
   their EELAB use for case-based assignments. Comments such as those
   suggesting a wider range of clinical conditions have guided further
   improvement. External peer-reviewed evaluation resulted in accreditation
   by the Royal College of GPs and by the Faculties of OM (FOM) of London
   and of Ireland.
   Conclusions This innovative resource has been shown to achieve
   education, self-audit and benchmarking objectives, based on the
   participants' clinical practice and an extensive research database.
ZS 0
ZA 0
TC 3
ZR 0
Z8 0
ZB 0
Z9 3
U1 1
U2 4
SN 0962-7480
EI 1471-8405
UT WOS:000405897900011
PM 28521065
ER

PT J
AU Ryan, D.
   Angier, E.
   Gomez, M.
   Church, D.
   Batsiou, M.
   Nekam, K.
   Lomidze, N.
   Gawlik, R.
TI Results of an allergy educational needs questionnaire for primary care
SO ALLERGY
VL 72
IS 7
BP 1123
EP 1128
DI 10.1111/all.13134
PD JUL 2017
PY 2017
AB It is well recognized that knowledge of allergic conditions is
   suboptimal in primary care. The Primary Care Interest Group of the
   European Academy of Allergy and Clinical Immunology undertook an
   educational needs survey to better understand what they were and how
   best to meet them, in the primary care environment. An electronic
   questionnaire was devised and distributed as widely as possible. A total
   of 2226 people from 63 countries opened the e-questionnaire of which 692
   provided evaluable responses. In total, 81% were medical doctors with
   299 possessing additional qualifications. Self-declared gaps in
   knowledge were expressed for most manifestations of allergy with a
   correspondingly high self-expressed educational need. The preferred
   learning modalities were online guidelines (69.6%) and courses (68.8%)
   followed closely by workshops (68%), structured online modules (63.9%)
   and small local working groups (59.75%). Podcasts and webinars scored
   poorly with only 25% expressing these as preferred learning modes
   although there was an age gradient. The preferred electronic platform
   was the personal computer (82.6%). A better understanding of the needs
   of primary care should help guide the design of educational initiatives
   to meet those needs.
RI Ryan, Dermot/AAJ-2329-2021; /
OI Ryan, Dermot/0000-0002-4115-7376; /0000-0002-8537-9165
ZB 3
TC 15
ZA 0
ZS 0
Z8 0
ZR 0
Z9 15
U1 0
U2 5
SN 0105-4538
EI 1398-9995
UT WOS:000402835200014
PM 28122131
ER

PT J
AU Allen, Jane A.
   Davis, Kevin C.
   Duke, Jennifer C.
   Nonnemaker, James M.
   Bradfield, Brian R.
   Farrelly, Matthew C.
TI New product trial, use of edibles, and unexpected highs among marijuana
   and hashish users in Colorado
SO DRUG AND ALCOHOL DEPENDENCE
VL 176
BP 44
EP 47
DI 10.1016/j.drugalcdep.2017.03.006
PD JUL 1 2017
PY 2017
AB Objective: This study examines the relationships between trial of new
   marijuana or hashish products and unexpected highs, and use of edible
   products and unexpected highs.
   Methods: We conducted an online survey of 634 adult, past-year marijuana
   users in Colorado. We used logistic regression models to examine the
   relationship between new product trial or edible use and unexpected
   highs.
   Results: In the first year that recreational marijuana was legal in
   Colorado, 71.4% of respondents tried a new marijuana or hashish product,
   and 53.6% used an edible product. Trial of new products was associated
   with greater odds of experiencing an unexpected high after controlling
   for age, gender, education, mental health status, current marijuana or
   hashish use, and mean amount of marijuana or hashish consumed in the
   past month (OR = 2.13, p < 0.001). Individuals who reported having used
   edibles had greater odds of experiencing an unexpected high, after
   controlling for the same set of variables (OR = 1.56, p < 0.05).
   Conclusion: People who try new marijuana or hashish products, or use
   edible marijuana or hashish products, are at greater risk for an
   unexpected high. It is possible that some negative outcomes associated
   with marijuana use and unexpected highs may be averted through a better
   understanding of how to use product packaging to communicate with
   consumers.
OI Davis, Kevin/0000-0001-8517-1295; Appleyard Allen,
   Jane/0000-0001-7914-1866; duke, jennifer/0000-0002-4643-2429; Farrelly,
   Matthew/0000-0002-6035-1596; Bradfield, Brian/0000-0002-0593-3518;
   nonnemaker, james/0000-0003-1044-7482
ZB 8
ZR 0
TC 14
Z8 0
ZS 0
ZA 0
Z9 14
U1 0
U2 10
SN 0376-8716
EI 1879-0046
UT WOS:000404498300007
PM 28514695
ER

PT J
AU Lieberman, Sari
   Tomer, Ariela
   Ben-Chetrit, Avi
   Olsha, Oded
   Strano, Shalom
   Beeri, Rachel
   Koka, Sivan
   Fridman, Hila
   Djemal, Karen
   Glick, Itzhak
   Zalut, Todd
   Segev, Shlomo
   Sklair, Miri
   Kaufman, Bella
   Lahad, Amnon
   Raz, Aviad
   Levy-Lahad, Ephrat
TI Population screening for BRCA1/BRCA2 founder mutations in Ashkenazi
   Jews: proactive recruitment compared with self-referral
SO GENETICS IN MEDICINE
VL 19
IS 7
BP 754
EP 762
DI 10.1038/gim.2016.182
PD JUL 2017
PY 2017
AB Purpose: Population screening of three common BRCA1/BRCA2 mutations in
   Ashkenazi Jews (AJ) apparently fulfills screening criteria. We compared
   streamlined BRCA screening via self-referral with proactive recruitment
   in medical settings.
   Methods: Unaffected AJ, age >= 25 years without known familial
   mutations, were either self-referred or recruiter-enrolled. Before
   testing, participants received written information and self-reported
   family history (FH). After testing, both non-carriers with significant
   FH and carriers received in-person genetic counseling. Psychosocial
   questionnaires were self-administered 1 week and 6 months after
   enrollment.
   Results: Of 1,771 participants, 58% were recruiter-enrolled and 42% were
   self-referred. Screening uptake was 67%. Recruited enrollees were older
   (mean age 54 vs. 48, P < 0.001) and had less suggestive FH (23 vs. 33%,
   P < 0.001). Of 32 (1.8%) carriers identified, 40% had no significant FH.
   Post-test counseling compliance was 100% for carriers and 89% for
   non-carrier women with FH. All groups expressed high satisfaction
   (>90%). At 6 months, carriers had significantly increased distress and
   anxiety, greater knowledge, and similar satisfaction; 90% of
   participants would recommend general AJ BRCA screening.
   Conclusion: Streamlined BRCA screening results in high uptake, very high
   satisfaction, and no excess psychosocial harm. Proactive recruitment
   captured older women less selected for FH. Further research is necessary
   to target younger women and assess other populations.
RI Levy-Lahad, Ephrat/F-2186-2018; Fridman, Hila/; Olsha, Oded/; Raz, Aviad/
OI Levy-Lahad, Ephrat/0000-0002-2637-1921; Fridman,
   Hila/0000-0002-1084-4800; Olsha, Oded/0000-0002-8805-7794; Raz,
   Aviad/0000-0001-6268-0409
ZR 0
ZS 0
ZA 0
Z8 0
ZB 21
TC 39
Z9 39
U1 0
U2 3
SN 1098-3600
EI 1530-0366
UT WOS:000405385000007
PM 27929526
ER

PT J
AU Nguyen, Amy
   Mosadeghi, Sasan
   Almario, Christopher V.
TI Persistent digital divide in access to and use of the Internet as a
   resource for health information: Results from a California
   population-based study
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 103
BP 49
EP 54
DI 10.1016/j.ijmedinf.2017.04.008
PD JUL 2017
PY 2017
AB Objectives: Access to the Internet has grown dramatically over the past
   two decades. Using data from a population-based survey, we aimed to
   determine the prevalence and predictors of (i) access to the Internet,
   and (ii) use of the Internet to search for health information.
   Methods: We analyzed data from the 2011-12 California Health Interview
   Survey (CHIS) and included all individuals 18 years of age and older.
   Our outcomes were (i) prior use of the Internet, and (ii) use of the
   Internet to find health or medical information within the past year. We
   performed survey-weighted logistic regression models on our outcomes to
   adjust for potentially confounding demographic and socioeconomic
   factors.
   Results: Our study included an unweighted and survey-weighted sample of
   42,935 and 27,796,484 individuals, respectively. We found that 81.5% of
   the weighted sample reported having previously used the Internet. Among
   Internet users, 64.5% stated that they used the Internet within the past
   year to find health or medical information. Racial/ ethnic minorities,
   older individuals, and those who lived in lower income households and
   rural areas were less likely to have access to and use the Internet to
   search for health information. Conversely, English-proficiency and
   increasing levels of education were positively associated with online
   health informationseeking.
   Conclusions: We found that most Californians have access to and use the
   Internet to search for health information, but still noted a persistent
   digital divide. Interventions to narrow the divide are needed, otherwise
   this may lead to a continued widening of existing healthcare
   disparities.
ZB 8
ZS 0
ZR 0
ZA 0
Z8 1
TC 77
Z9 78
U1 7
U2 55
SN 1386-5056
EI 1872-8243
UT WOS:000405362000007
PM 28551001
ER

PT J
AU Dear, B. F.
   Gandy, M.
   Karin, E.
   Ricciardi, T.
   Fogliati, V. J.
   McDonald, S.
   Staples, L. G.
   Perry, K. Nicholson
   Sharpe, L.
   Nicholas, M. K.
   Titov, N.
TI The pain course: a randomised controlled trial comparing a
   remote-delivered chronic pain management program when provided in online
   and workbook formats
SO PAIN
VL 158
IS 7
BP 1289
EP 1301
DI 10.1097/j.pain.0000000000000916
PD JUL 2017
PY 2017
AB This study compared a remote-delivered pain management program, the Pain
   Course, when delivered in online and workbook formats. Participants (n =
   178) were randomised into 2 groups: (1) an Internet Group (n = 84) who
   were provided with secure accounts to the program in an online format;
   or (2) a Workbook Group (n = 94) who were mailed workbook versions of
   the program. The content of both programs was identical and comprised 5
   core lessons, which participants were encouraged to work through over an
   8-week period, according to a prescribed timetable. All participants
   were provided with weekly contact with a clinical psychologist through
   email and telephone throughout the program. The overall findings suggest
   that the workbook format was no less effective or acceptable than the
   validated online format. Significant improvements (avg. improvement;
   Internet Group vs Workbook Group) in levels of disability (PDI: 16% vs
   24%; RMDQ: 12% vs 15%), anxiety (GAD-7: 36% vs 26%), and depression
   (PHQ-9: 36% vs 36%) were observed in both groups immediately
   posttreatment. Further improvements were observed in disability levels
   to 3-month follow-up, and improvements across the other primary outcomes
   were maintained until 12-month follow-up. High treatment completion
   rates and levels of satisfaction were reported in both groups, and both
   groups required a similarly small amount of clinician contact per
   participant (M = 74.85 minutes; SD = 41.03). These results highlight the
   public health potential of remote-delivered pain management programs,
   delivered in either workbook or online formats, as methods of increasing
   access to pain management.
RI Karin, Eyal/AAO-4822-2021; Gandy, Milena/AAV-3617-2020; McDonald, Sarah/; Titov, Nickolai/; Dear, Blake/; Sharpe, Louise/
OI Karin, Eyal/0000-0002-6152-9704; Gandy, Milena/0000-0003-2161-3298;
   McDonald, Sarah/0000-0001-8872-4852; Titov,
   Nickolai/0000-0002-7268-729X; Dear, Blake/0000-0001-9324-3092; Sharpe,
   Louise/0000-0002-8790-6272
ZA 0
ZB 7
Z8 0
TC 35
ZS 0
ZR 0
Z9 35
U1 0
U2 9
SN 0304-3959
EI 1872-6623
UT WOS:000404972200015
PM 28394850
ER

PT J
AU Ma, Yibing
   Jiang, Zhiguo
   Zhang, Haopeng
   Xie, Fengying
   Zheng, Yushan
   Shi, Huaqiang
   Zhao, Yu
TI Breast Histopathological Image Retrieval Based on Latent Dirichlet
   Allocation
SO IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
VL 21
IS 4
BP 1114
EP 1123
DI 10.1109/JBHI.2016.2611615
PD JUL 2017
PY 2017
AB In the field of pathology, whole slide image (WSI) has become the major
   carrier of visual and diagnostic information. Content-based image
   retrieval among WSIs can aid the diagnosis of an unknown pathological
   image by finding its similar regions in WSIs with diagnostic
   information. However, the huge size and complex content of WSI pose
   several challenges for retrieval. In this paper, we propose an
   unsupervised, accurate, and fast retrieval method for a breast
   histopathological image. Specifically, the method presents a local
   statistical feature of nuclei for morphology and distribution of nuclei,
   and employs the Gabor feature to describe the texture information. The
   latent Dirichlet allocation model is utilized for high-level semantic
   mining. Locality-sensitive hashing is used to speed up the search.
   Experiments on a WSI database with more than 8000 images from 15 types
   of breast histopathology demonstrate that our method achieves about 0.9
   retrieval precision as well as promising efficiency. Based on the
   proposed framework, we are developing a search engine for an online
   digital slide browsing and retrieval platform, which can be applied in
   computer-aided diagnosis, pathology education, and WSI archiving and
   management.
RI Zhang, Haopeng/C-5472-2014; Zheng, Yushan/T-2496-2019; Ma, Yibing/
OI Zhang, Haopeng/0000-0003-1981-8307; Zheng, Yushan/0000-0003-3302-0481;
   Ma, Yibing/0000-0002-9340-8181
ZB 5
TC 29
Z8 1
ZS 0
ZR 0
ZA 0
Z9 30
U1 0
U2 16
SN 2168-2194
UT WOS:000405033800023
PM 27662689
ER

PT J
AU Rope, Robert W.
   Pivert, Kurtis A.
   Parker, Mark G.
   Sozio, Stephen M.
   Merell, Sylvia Bereknyei
TI Education in Nephrology Fellowship: A Survey-Based Needs Assessment
SO JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
VL 28
IS 7
BP 1983
EP 1990
DI 10.1681/ASN.2016101061
PD JUL 1 2017
PY 2017
AB Educational needs assessments for nephrology fellowship training are
   limited. This study assessed fellows' perceptions of current educational
   needs and interest in novel modalities that may improve their
   educational experience and quantified educational resources used by
   programs and fellows. We distributed a seven-question electronic survey
   to all United States-based fellows receiving complimentary American
   Society of Nephrology (ASN) membership at the end of the 2015-2016
   academic year in conjunction with the ASN Nephrology Fellows Survey. One
   third (320 of 863; 37%) of fellows in Accreditation Council for Graduate
   Medical Education-accredited positions responded. Most respondents rated
   overall quality of teaching in fellowship as either "good" (37%) or
   "excellent" (44%), and most (55%) secondyear fellows felt "fully
   prepared" for independent practice. Common educational resources used by
   fellows included UpToDate, Journal of the American Society of
   Nephrology/Clinical Journal of the American Society of Nephrology, and
   Nephrology Self-Assessment Program; others-including ASN's online
   curricula-were used less often. Fellows indicated interest in additional
   instruction in several core topics, including home dialysis modalities,
   ultrasonography, and pathology. Respondents strongly supported
   interventions to improve pathology instruction and increase time for
   physiology and clinical review. In conclusion, current nephrology
   fellows perceive several gaps in training. Innovation in education and
   training is needed to better prepare future nephrologists for the
   growing challenges of kidney care.
RI Sozio, Stephen M./H-1214-2018; Pivert, Kurtis/G-1829-2019
OI Sozio, Stephen M./0000-0002-0099-0484; Pivert,
   Kurtis/0000-0002-3428-2427
Z8 0
ZR 0
ZA 0
ZB 5
TC 43
ZS 0
Z9 43
U1 0
U2 8
SN 1046-6673
EI 1533-3450
UT WOS:000404568700007
PM 28428332
ER

PT J
AU Magdon-Ismail, Zainab
   Benesch, Curtis
   Cushman, Jeremy T.
   Brissette, Ian
   Southerland, Andrew M.
   Brandler, Ethan S.
   Sozener, Cemal B.
   Flor, Sue
   Hemmitt, Roseanne
   Wales, Kathleen
   Parrigan, Krystal
   Levine, Steven R.
CA Upstate New York Stroke Work Grp
TI Establishing Recommendations for Stroke Systems in the Thrombectomy Era
   The Upstate New York Stakeholder Proceedings
SO STROKE
VL 48
IS 7
BP 2003
EP +
DI 10.1161/STROKEAHA.117.017412
PD JUL 2017
PY 2017
AB Background and Purpose-The American Heart Association/American Stroke
   Association and Department of Health Stroke Coverdell Program convened a
   stakeholder meeting in upstate NY to develop recommendations to enhance
   stroke systems for acute large vessel occlusion.
   Methods-Prehospital, hospital, and Department of Health leadership were
   invited (n=157). Participants provided goals/concerns and developed
   recommendations for prehospital triage and interfacility transport,
   rating each using a 3-level impact (A [high], B, and C [low]) and
   implementation feasibility (1 [high], 2, and 3 [low]) scale. Six weeks
   later, participants finalized recommendations.
   Results-Seventy-one stakeholders (45% of invitees) attended. Six themes
   around goals/concerns emerged: (1) emergency medical services capacity,
   (2) validated prehospital screening tools, (3) facility capability, (4)
   triage/transport guidelines, (5) data capture/feedback tools, and (6)
   facility competition. In response, high-impact (level A) prehospital
   recommendations, stratified by implementation feasibility, were (1) use
   of online medical control for triage (6%); (2) regional transportation
   strategy (31%), standardized emergency medical services checklists
   (18%), quality metrics (14%), standardized prehospital screening tools
   (13%), and feedback for performance improvement (7%); and (3) smartphone
   application algorithm for screening/decision-making (6%) and
   ambulance-based telemedicine (6%). Level A interfacility transfer
   recommendations were (1) standardized transfer process (32%)/timing
   goals (16%)/regionalized systems (11%), performance metrics (11%), image
   sharing capabilities (7%); (2) provider education (9%) and stroke
   toolbox (5%); and (3) interfacility telemedicine (7%) and feedback (2%).
   Conclusions-The methods used and recommendations generated provide
   models for stroke system enhancement. Implementation may vary based on
   geographic need/capacity and be contingent on establishing standard care
   practices. Further research is needed to establish optimal
   implementation strategies.
RI Southerland, Andrew M./AAV-6994-2021; Brandler, Ethan S/H-6505-2019; Cushman, Jeremy/
OI Southerland, Andrew M./0000-0002-3646-358X; Brandler, Ethan
   S/0000-0003-4647-8483; Cushman, Jeremy/0000-0003-4767-3731
TC 8
ZS 0
ZR 0
Z8 0
ZB 2
ZA 0
Z9 8
U1 0
U2 3
SN 0039-2499
EI 1524-4628
UT WOS:000404044100067
PM 28495830
ER

PT J
AU Lebensohn, Patricia
   Kligler, Benjamin
   Brooks, Audrey J.
   Teets, Raymond
   Birch, Michele
   Cook, Paula
   Maizes, Victoria
TI Integrative Medicine in Residency: Feasibility and Effectiveness of an
   Online Program
SO FAMILY MEDICINE
VL 49
IS 7
BP 514
EP 521
PD JUL-AUG 2017
PY 2017
AB BACKGROUND AND OBJECTIVES: Online curricular interventions in residency
   have been proposed to address challenges of time, cost, and curriculum
   consistency. This study is designed to determine the feasibility and
   effectiveness of a longitudinal, multisite online curriculum in
   integrative medicine (IMR) for residents.
   METHODS: Residents from eight family medicine programs undertook the
   200-hour online IMR curriculum. Their medical knowledge (MK) scores at
   completion were compared to a control group from four similar residency
   programs. Study and control groups were comparable in baseline
   demographics, and MK scores. Course completion, MK scores, and course
   evaluations were assessed.
   RESULTS: Of 186 IMR residents, 76.9% met completion requirements. The
   IMR group showed statistically significant higher MK scores at residency
   completion, the control group did not (IMR: 79.2% vs. Control: 53.2%
   mean correct). Over three-fourths of IMR participants (range 79-92%)
   chose the top two rating categories for each course evaluation item. In
   an exit survey, ability to access the curriculum for 1 additional year
   and intention to utilize IM approaches after residency were the highest
   ranked items.
   CONCLUSIONS: The demonstrated feasibility, effectiveness, and positive
   evaluations of the IMR curriculum indicate that a multisite, online
   curricular intervention is a potentially viable approach to offering new
   curriculum with limited on-site faculty expertise for other family
   medicine residencies.
ZS 1
ZR 0
TC 13
ZB 0
Z8 0
ZA 0
Z9 13
U1 0
U2 3
SN 0742-3225
EI 1938-3800
UT WOS:000407273600003
PM 28724148
ER

PT J
AU Reynen, E.
   Grabell, J.
   Ellis, A. K.
   James, P.
TI Let's Talk Period! Preliminary results of an online bleeding awareness
   knowledge translation project and bleeding assessment tool promoted on
   social media
SO HAEMOPHILIA
VL 23
IS 4
BP E282
EP E286
DI 10.1111/hae.13271
PD JUL 2017
PY 2017
AB Introduction: Undiagnosed bleeding disorders are common and can pose
   significant health risks, especially for women. Recently, a
   self-administered bleeding assessment tool (Self-BAT) was validated in
   von Willebrand disease.
   Aim: To increase awareness of undiagnosed bleeding disorders through the
   use of an informational website (http://letstalkperiod.ca) targeted at
   women in their reproductive years.
   Methods: The Let's Talk Period website was built in consultation with a
   medical communications company and focus groups of women, with the aim
   of clearly presenting key messages around menstrual bleeding. The
   website was promoted through social media and local and national
   interviews. Upon completion of the online Self-BAT available at
   http://letstalkperiod.ca, the result is displayed to the user along with
   a recommendation to seek medical attention if the score is abnormal.
   Results: During the initial 3-month period, there were 5158 page views
   from 64 countries. A total of 489 individuals, 95% female, completed the
   online Self-BAT. The mean Self-BAT score was 6, range 0-44. Abnormal
   Self-BAT scores were reported in 45% of the respondents, of whom 96%
   were female. The most commonly reported bleeding symptoms were
   menorrhagia (98%) and postpartum haemorrhage (82%). Bleeding symptoms
   were similar across different geographical areas.
   Conclusion: An online screening tool is an effective method of
   identifying individuals concerned with abnormal bleeding. A significant
   portion of the general population report experiencing symptoms of
   abnormal bleeding. In women, the most frequently reported bleeding
   symptoms were menorrhagia and postpartum haemorrhage.
ZS 0
ZA 0
ZB 3
ZR 0
Z8 0
TC 15
Z9 15
U1 0
U2 3
SN 1351-8216
EI 1365-2516
UT WOS:000405873900005
PM 28544019
ER

PT J
AU Alter, Katharine E.
   Gormley, Mark, Jr.
   Patel, Atul T.
TI Spasticity Video Challenge: A Look at Methods for Addressing Difficult
   Cases
SO PM&R
VL 9
IS 7
BP 738
EP 739
DI 10.1016/j.pmrj.2017.06.012
PD JUL 2017
PY 2017
AB As seen in this CME online activity (available at
   http://courses.elseviercme.com/spasticity/662e), treatment of patients
   with spasticity due to upper motor neuron syndromes, including traumatic
   brain injury, stroke, and cerebral palsy, is multifaceted, involving
   chemodenervation, systemic medications, surgical therapy, rehabilitation
   efforts, and home care. Optimal care begins with the recognition that
   each patient's impairments are unique and must be assessed carefully to
   determine the impact of muscle overactivity, loss of dexterity, and
   weakness on passive and active function in the context of the patients'
   goals. While botulinum toxin plays a major role in providing symptomatic
   relief and functional improvement from hypertonia, it should rarely be
   used as a standalone treatment.
OI Gormley, Mark/0000-0001-9941-7591
ZB 0
ZA 0
TC 0
ZS 0
Z8 0
ZR 0
Z9 0
U1 0
U2 0
SN 1934-1482
EI 1934-1563
UT WOS:000406575300014
PM 28634003
ER

PT J
AU Afrashtehfar, Kelvin I.
   Assery, Mansour K.
TI From dental science to clinical practice: Knowledge translation and
   evidence-based dentistry principles
SO SAUDI DENTAL JOURNAL
VL 29
IS 3
BP 83
EP 92
DI 10.1016/j.sdentj.2017.02.002
PD JUL 2017
PY 2017
AB It has been claimed that in order to decrease the gap between what we
   know and what we do, research findings must be translated from knowledge
   to action. Such practices better enable dentists to make evidence-based
   decisions instead of personal ideas and judgments. To this end, this
   literature review aims to revisit the concepts of knowledge translation
   and evidence-based dentistry (EBD) and depict their role and influence
   within dental education. It addresses some possible strategies to
   facilitate knowledge translation (KT), encourage dental students to use
   EBD principles, and to encourage dental educators to create an
   environment in which students become self-directed learners. It
   concludes with a call to develop up-to-date and efficient online
   platforms that could grant dentists better access to EBD sources in
   order to more efficiently translate research evidence into the clinic.
   (C) 2017 The Authors. Production and hosting by Elsevier B.V. on behalf
   of King Saud University.
RI Afrashtehfar, Kelvin Ian/G-1938-2017
OI Afrashtehfar, Kelvin Ian/0000-0002-6053-8967
ZB 1
ZA 0
TC 23
ZR 0
ZS 2
Z8 0
Z9 24
U1 0
U2 4
SN 1013-9052
EI 1658-3558
UT WOS:000406124200001
PM 28725125
ER

PT J
AU Terrell, Cassidy R.
   Listenberger, Laura L.
TI Using molecular visualization to explore protein structure and function
   and enhance student facility with computational tools
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 45
IS 4
BP 318
EP 328
DI 10.1002/bmb.21040
PD JUL-AUG 2017
PY 2017
AB Recognizing that undergraduate students can benefit from analysis of 3D
   protein structure and function, we have developed a multiweek,
   inquiry-based molecular visualization project for Biochemistry I
   students. This project uses a virtual model of cyclooxygenase-1 (COX-1)
   to guide students through multiple levels of protein structure analysis.
   The first assignment explores primary structure by generating and
   examining a protein sequence alignment. Subsequent assignments introduce
   3D visualization software to explore secondary, tertiary, and quaternary
   structure. Students design an inhibitor, based on scrutiny of the enzyme
   active site, and evaluate the fit of the molecule using computed binding
   energies. In the last assignment, students introduce a point mutation to
   model the active site of the related COX-2 enzyme and analyze the impact
   of the mutation on inhibitor binding. With this project we aim to
   increase knowledge about, and confidence in using, online databases and
   computational tools. Here, we share results of our mixed methods pre-
   and postsurvey demonstrating student gains in knowledge about, and
   confidence using, online databases and computational tools. (c) 2017 by
   The International Union of Biochemistry and Molecular Biology,
   45(4):318-328, 2017.
OI Terrell, Cassidy/0000-0002-8099-1283
ZB 1
ZA 0
Z8 0
TC 14
ZR 0
ZS 0
Z9 14
U1 0
U2 13
SN 1470-8175
EI 1539-3429
UT WOS:000405318500005
PM 28145077
ER

PT J
AU Bradley, Andrew J.
   Marks, Adam D.
TI Clinician Attitudes Regarding ICD Deactivation in DNR/DNI Patients
SO JOURNAL OF HOSPITAL MEDICINE
VL 12
IS 7
BP 498
EP 502
DI 10.12788/jhm.2762
PD JUL 2017
PY 2017
AB BACKGROUND: Implantable cardioverter-defibrillators (ICDs) offer
   lifesaving therapies but can become burdensome at the end of life. Many
   ICD patients choose to implement a do-not-resuscitate/do-not-intubate
   (DNR/DNI) order. When hospitalized, patients are seen by a range of
   clinicians whose beliefs about ICD management in DNR/DNI patients may
   vary.
   OBJECTIVE: To assess clinician opinions on managing ICDs in DNR/DNI
   patients and stratify it by specialty and training level.
   METHODS: An online survey was sent to attending physicians, fellows,
   advanced practice providers (physician assistants and nurse
   practitioners), and residents in general internal medicine, cardiology,
   electrophysiology, and geriatrics at an academic medical center.
   Residents were compared to attending physicians, and attending
   physicians were additionally stratified by specialty.
   RESULTS: The response rate was 32%, yielding 161 complete responses.
   Among residents (n = 73), 49.3% were com-fortable with discussing ICD
   deactivation and 16.4% asked about it routinely. By contrast, among
   attending physicians (n = 66), 78.8% were comfortable with discussing
   deactivation and 34.8% routinely asked. Fewer general internists (19.2%
   of inpatient internists, 10.5% of outpatient internists) routinely asked
   about ICD deactivation as compared with 83.3% of geriatricians and 73.3%
   of cardiologists/electrophysiologists. Twenty-one percent of all
   respondents felt a DNR/DNI order equated to requesting ICD deactivation;
   Heart Rhythm Society (HRS) guidelines favor a more nuanced approach.
   CONCLUSIONS: Residents are less comfortable discussing ICD deactivation
   than attending physicians and do so less frequently. General internists
   discuss deactivation less routinely than cardiologists and
   geriatricians. Many providers hold opinions about ICD deactivation that
   differ from HRS guidelines. Additional didactic education could help
   close these gaps in clinician practice. (C) 2017 Society of Hospital
   Medicine
ZA 0
ZB 1
ZR 0
ZS 0
Z8 0
TC 5
Z9 5
U1 0
U2 5
SN 1553-5592
EI 1553-5606
UT WOS:000405529700002
PM 28699936
ER

PT J
AU Clemency, Brian
   Martin-Gill, Christian
   Rall, Nicole
   May, Paul
   Lubin, Jeffrey
   Cooley, Craig
   Van Dillen, Christine
   Silvestri, Salvatore
   Portela, Roberto
   Cooney, Derek
   Knutsen, Christian
   March, Juan
TI Association between EMS Question Bank Completion and Passing Rates on
   the EMS Certification Examination
SO PREHOSPITAL EMERGENCY CARE
VL 21
IS 4
BP 498
EP 502
DI 10.1080/10903127.2017.1294225
PD JUL-AUG 2017
PY 2017
AB Introduction: A board review question bank was created to assist
   candidates in their preparation for the 2015 EMS certification
   examination. We aimed to describe the development of this question bank
   and evaluate its successes in preparing candidates to obtain EMS
   subspecialty board certification. Methods: An online question bank was
   developed by 13 subject matter experts who participated as item writers,
   representing eight different EMS fellowship programs. The online
   question bank consisted of four practice tests, with each of the tests
   comprised of 100 questions. The number of candidates who participated in
   and completed the question bank was calculated. The passing rate among
   candidates who completed the question bank was calculated and compared
   to the publicly reported statistics for all candidates. The relationship
   between candidates' performance on the question bank and subspecialty
   exam pass rates was determined. Results: A total of 252 candidates took
   at least one practice test and, of those, 225 candidates completed all
   four 100-question practice tests. The pass rate on the 2015 EMS
   certification exam was 79% (95%CI 74-85%) among candidates who completed
   the question bank, which is 12% higher than the overall pass rate (p =
   0.003). Candidates' performance on the question bank was positively
   associated with overall success on the exam (X-2 = 75.8, p < 0.0001).
   Achieving a score of 70% on the question bank was associated with a
   higher likelihood of passing the exam (OR = 17.8; 95% CI: 8.0-39.6).
   Conclusion: Completing the question bank program was associated with
   improved pass rates on the EMS certification exam. Strong performance on
   the question bank correlated with success on the exam.
RI March, Juan A./F-2747-2013; Lubin, Jeffrey/ABC-2606-2020; Portela, Roberto/AAF-7726-2019; Lubin, Jeffrey/
OI March, Juan A./0000-0002-8780-4882; Lubin, Jeffrey/0000-0001-7147-7568
ZR 0
TC 3
ZB 0
ZS 0
ZA 0
Z8 0
Z9 3
U1 0
U2 2
SN 1090-3127
EI 1545-0066
UT WOS:000405411300012
PM 28339308
ER

PT J
AU Krupnick, Janice L.
   Green, Bonnie L.
   Amdur, Richard
   Alaoui, Adil
   Belouali, Anas
   Roberge, Erika
   Cueva, David
   Roberts, Miguel
   Melnikoff, Elizabeth
   Dutton, Mary Ann
TI An Internet-Based Writing Intervention for PTSD in Veterans: A
   Feasibility and Pilot Effectiveness Trial
SO PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY
VL 9
IS 4
BP 461
EP 470
DI 10.1037/tra0000176
PD JUL 2017
PY 2017
AB Objective: Veterans suffering from posttraumatic stress disorder (PTSD)
   may avoid or fail to follow through with a full course of face-to-face
   mental health treatment for a variety of reasons. We conducted a pilot
   effectiveness trial of an online intervention for veterans with current
   PTSD to determine the feasibility, safety, and preliminary effectiveness
   of an online writing intervention (i.e., Warriors Internet Recovery &
   EDucation [dWIRED]) as an adjunct to face-to-face psychotherapy. Method:
   Veterans (N = 34) who had served in Iraq or Afghanistan with current
   PTSD subsequent to deployment-related trauma were randomized to Veterans
   Affairs (VA) mental health treatment as usual (TAU) or to treatment as
   usual plus the online intervention (TAU + WIRED). All research
   participants were recruited from the Trauma Services Program, VA Medical
   Center, Washington, DC. They completed baseline assessments as well as
   assessments 12 weeks and 24 weeks after the baseline assessment. The
   online intervention consisted of therapist-guided writing, using
   principles of prolonged exposure and cognitive therapy. The intervention
   was adapted from an evidence-based treatment used in The Netherlands and
   Germany for individuals who had been exposed to nonmilitary traumas.
   Results: In addition to showing that the online intervention was both
   feasible to develop and implement, as well as being safe, the results
   showed preliminary evidence of the effectiveness of the TAU + WIRED
   intervention in this patient population, with particular evidence in
   reducing PTSD symptoms of hyperarousal. Conclusion: With minor
   modifications to enhance the therapeutic alliance, this intervention
   should be tested in a larger clinical trial to determine whether this
   method of online intervention might provide another alternative to
   face-to-face treatment for veterans with PTSD.
RI Belouali, Anas/AAX-6308-2021; Alaoui, Adil/ABH-1380-2020; Amdur, Richard L/AAE-5345-2019; Amdur, Richard/
OI Belouali, Anas/0000-0002-2780-2500; Amdur, Richard/0000-0002-4900-653X
Z8 0
ZA 0
TC 14
ZR 0
ZS 0
ZB 1
Z9 14
U1 0
U2 17
SN 1942-9681
EI 1942-969X
UT WOS:000405401200009
PM 27607767
ER

PT J
AU Marwan, Yousef
   Waly, Feras
   Algarni, Nizar
   Addar, Abdullah
   Saran, Neil
   Snell, Linda
TI The Role of Letters of Recommendation in the Selection Process of
   Surgical Residents in Canada: A National Survey of Program Directors
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 4
BP 762
EP 767
DI 10.1016/j.jsurg.2017.01.006
PD JUL-AUG 2017
PY 2017
AB OBJECTIVE: Letters of recommendation (LOR) provide valuable information
   that help in selecting new residents. In this study, we aim to
   investigate the perceptions of surgical residency program directors
   (PDs) in Canada on the elements that can affect the strength and value
   of LOR.
   DESIGN: Cross-sectional; survey.
   SETTING: A national survey was conducted using an online questionnaire
   consisting of 2 main sections to collect data from PDs from all surgical
   subspecialties. The first section included basic background questions
   about the participant, such as the specialty and experience in selecting
   resident candidates, whereas the second section was about the elements
   and characteristics of LOR. Participants were asked to rate the
   importance of 34 different variables using a Likert scale.
   PARTICIPANTS: Surgical PDs in Canada.
   RESULTS: Of 122 PDs, 65 (53.3%) participated in the survey. Work ethic
   (57; 87.7%), interpersonal skills (52; 80.0%), and teamwork (49; 75.4%)
   were considered very important parts of the LOR by more than
   three-quarters of the PDs. Thirty-three (50.8%) PDs reported that a
   familiar author of LOR would always affect their impression regarding
   the letter. Additionally, 57 (87.7%) and 35 (53.8%) directors thought
   that LOR are important in evaluating the candidates and can help in
   predicting the residents' performance during their residency training.
   CONCLUSIONS: LOR are important for the selection of new surgical
   residents in Canada. Information about the candidate's work ethic,
   interpersonal skills, and teamwork is essential for a good LOR.
   Familiarity of PDs with authors of LOR could increase the value of the
   letter. (C) 2017 Association of Program Directors in Surgery. Published
   by Elsevier Inc. All rights reserved.
OI Waly, Feras/0000-0003-0421-2089
ZS 0
ZR 0
ZB 1
ZA 0
Z8 0
TC 12
Z9 12
U1 0
U2 2
SN 1931-7204
EI 1878-7452
UT WOS:000406170500026
PM 28126378
ER

PT J
AU Mullee, Amy
   Vermeire, Leen
   Vanaelst, Barbara
   Mullie, Patrick
   Deriemaeker, Peter
   Leenaert, Tobias
   De Henauw, Stefaan
   Dunne, Aoibheann
   Gunter, Marc J.
   Clarys, Peter
   Huybrechts, Inge
TI Vegetarianism and meat consumption: A comparison of attitudes and
   beliefs between vegetarian, semi-vegetarian, and omnivorous subjects in
   Belgium
SO APPETITE
VL 114
BP 299
EP 305
DI 10.1016/j.appet.2017.03.052
PD JUL 1 2017
PY 2017
AB High levels of meat consumption in Belgium may be contributing to
   increased risk of non-communicable diseases in this population. The
   objective of this study is to investigate the attitudes and beliefs
   about vegetarianism and meat consumption among the Belgian population,
   ultimately to better understand the motivations underlying these dietary
   behaviours.
   This cross-sectional study was initiated in March 2011. A total of 2436
   individuals from a representative consumer panel from the Flemish and
   Brussels communities participated. The study sample was evenly
   distributed by education level and sex (1238 men and 1198 women). An
   online questionnaire with multiple-choice questions about vegetarianism
   and meat consumption was completed by all participants.
   Although representative of the prevalence of vegetarians in the
   population, the number of vegetarians in the study was low (n = 38); the
   number of semi-vegetarians (n = 288) and omnivores was high (n = 2031).
   Vegetarians were more likely than semi-vegetarians to agree that meat
   production is bad for the environment and that meat consumption is
   unhealthy. Important reasons for not being vegetarian included lack of
   interest and awareness, taste, and limited cooking skills.
   Encouragingly, health and discovering new tastes were seen as the most
   important motives for considering eating a more vegetarian-based diet.
   The results of this study highlight the motivations that can be used for
   encouraging the general public to reduce their meat consumption in
   favour of a plant-rich diet, and will help to inform more targeted
   health campaigns for reducing meat consumption in Belgium. (C) 2017
   Elsevier Ltd. All rights reserved.
RI Mullie, Patrick/AAM-9688-2020; Gunter, Marc/AAP-8621-2020; Mullie, Patrick/; Dunne, Aoibheann/; Gunter, Marc/
OI Mullie, Patrick/0000-0001-5592-3169; Dunne,
   Aoibheann/0000-0002-8464-5345; Gunter, Marc/0000-0001-5472-6761
TC 86
ZR 0
ZB 27
ZS 1
ZA 0
Z8 1
Z9 87
U1 2
U2 162
SN 0195-6663
EI 1095-8304
UT WOS:000402347800036
PM 28392424
ER

PT J
AU Nakayama, Hideki
   Mihara, Satoko
   Higuchi, Susumu
TI Treatment and risk factors of Internet use disorders
SO PSYCHIATRY AND CLINICAL NEUROSCIENCES
VL 71
IS 7
SI SI
BP 492
EP 505
DI 10.1111/pcn.12493
PD JUL 2017
PY 2017
AB Recently, many young people have developed Internet use disorders (IUD)
   as a result of the proliferation of Internet-enabled devices, leading to
   serious health and social problems worldwide. On occasion, medical and
   educational institutions, governments, and other groups have sought to
   take preventive action or treat IUD. In many cases, the preferred
   treatment for IUD is to set recommendations for appropriate Internet
   use. Reportedly, psychosocial therapies (including cognitive behavioral
   therapy, family therapy, and compound therapy) for IUD and
   pharmacotherapies (including antidepressant drugs and psychostimulants)
   for comorbid psychiatric or development disorders have been effective at
   reducing the degree and symptoms of IUD. In some countries, treatment
   camps have been developed for adolescents with IUD, and preventive
   education (including lectures and group discussions) has been provided
   for general adolescents. Such efforts have been effective at reducing
   the average degree of IUD severity. Some future IUD risk factors (e.g.
   being male, suffering from attention-deficit hyperactivity disorder, and
   exhibiting deteriorating psychiatric symptoms) have begun to be
   identified. However, clinical studies, treatment, and preventive actions
   are insufficient for treating IUD and standard treatments and preventive
   systems have yet to be established. Educational and medical
   institutions, government, families, and others must take greater action
   and cooperate more effectively in order to treat or prevent IUD.
Z8 0
ZB 5
ZA 0
TC 30
ZS 2
ZR 2
Z9 33
U1 3
U2 18
SN 1323-1316
EI 1440-1819
UT WOS:000405999400007
PM 27987253
ER

PT J
AU Ditton-Phare, Philippa
   Loughland, Carmel
   Duvivier, Robbert
   Kelly, Brian
TI Communication skills in the training of psychiatrists: A systematic
   review of current approaches
SO AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
VL 51
IS 7
BP 675
EP 692
DI 10.1177/0004867417707820
PD JUL 2017
PY 2017
AB Objectives: A range of communication skills training programmes have
   been developed targeting trainees in various medical specialties,
   predominantly in oncology but to a lesser extent in psychiatry.
   Effective communication is fundamental to the assessment and treatment
   of psychiatric conditions, but there has been less attention to this in
   clinical practice for psychiatrists in training. This review examines
   the outcomes of communication skills training interventions in
   psychiatric specialty training.
   Methods: The published English-language literature was examined using
   multiple online databases, grey literature and hand searches. The review
   was conducted and reported using Preferred Reporting Items for
   Systematic Reviews and Meta-analyses guidelines. Studies examining the
   efficacy of communication skills training were included. Randomised
   controlled trials, pseudo-randomised studies and quasi-experimental
   studies, as well as observational analytical studies and qualitative
   studies that met criteria, were selected and critically appraised. No
   limits were applied for date of publication up until 16 July 2016.
   Results: Total search results yielded 2574 records. Of these, 12 studies
   were identified and reviewed. Two were randomised controlled trials and
   the remaining 10 were one-group pretest/posttest designs or
   posttest-only designs, including self-report evaluations of
   communication skills training and objective evaluations of trainee
   skills. There were no studies with outcomes related to behaviour change
   or patient outcomes. Two randomised controlled trials reported an
   improvement in clinician empathy and psychotherapeutic interviewing
   skills due to specific training protocols focused on those areas.
   Non-randomised studies showed varying levels of skills gains and
   self-reported trainee satisfaction ratings with programmes, with the
   intervention being some form of communication skills training.
   Conclusion: The heterogeneity of communication skills training is a
   barrier to evaluating the efficacy of different communication skills
   training programmes. Further validation studies examining specific
   models and frameworks would support a stronger evidence base for
   communication skills training in psychiatry. It remains a challenge to
   develop research to investigate behaviour change over time in clinical
   practice or to measure patient outcomes due to the effects of
   communication skills training.
RI Duvivier, Robbert J/G-7479-2011; Kelly, Brian/G-7755-2013; Ditton-Phare, Philippa/
OI Duvivier, Robbert J/0000-0001-8282-1715; Kelly,
   Brian/0000-0003-4460-1134; Ditton-Phare, Philippa/0000-0003-4782-0316
Z8 0
ZR 0
ZS 0
ZB 2
TC 19
ZA 0
Z9 19
U1 1
U2 10
SN 0004-8674
EI 1440-1614
UT WOS:000404042000008
PM 28462636
ER

PT J
AU Horky, Susan
   Andreola, Joseph
   Black, Erik
   Lossius, Michele
TI Evaluation of a Cross Cultural Curriculum: Changing Knowledge, Attitudes
   and Skills in Pediatric Residents
SO MATERNAL AND CHILD HEALTH JOURNAL
VL 21
IS 7
BP 1537
EP 1543
DI 10.1007/s10995-017-2282-3
PD JUL 2017
PY 2017
AB Objectives The purpose of this study was to evaluate the effectiveness
   of six online modules, the Cross Cultural Case Stories, designed to
   teach healthcare professionals and trainees to provide culturally
   competent care to children with chronic respiratory conditions and their
   families. Modules increase provider awareness of the types of factors
   that may vary between cultures. This study assessed learner change in
   the three domains of knowledge, attitudes and self-reported skills.
   Improving on earlier studies, this evaluation included a control group
   for comparison. Methods Subjects comprised 66 first and second year
   pediatric residents at the University of Florida. Each module includes
   Objectives, Key Word definitions, Case Story, Lecture, Interactive
   Exercises and References. Intervention subjects completed an assessment
   tool before and after training. Control subjects completed the spaced
   assessments without completing the modules in-between. Results Within
   the intervention group there was a significant effect associated with
   the intervention. On average, participants within this group improved
   1.67 points on the knowledge assessment (p < .01), 13.64 points on the
   attitudes self-assessment (p = .01) and 6.86 points on the skills
   assessment (p ae<currency>aEuroe0.01). When comparing between the
   intervention and control group significant differences were found in the
   post knowledge, post skills and post attitudes assessment, with the
   intervention group exceeding scores from the control group. Conclusions
   The Cross Cultural Cases provide an accessible, comprehensive and
   effective means for teaching healthcare and public health professionals
   and trainees. These cases can potentially provide training for students
   and practicing professionals from multiple medical and public health
   related disciplines.
RI Black, Erik W/B-6754-2009; Horky, Susan/
OI Black, Erik W/0000-0002-5284-135X; Horky, Susan/0000-0001-9800-818X
ZB 1
Z8 0
ZR 0
ZA 0
ZS 0
TC 8
Z9 8
U1 0
U2 10
SN 1092-7875
EI 1573-6628
UT WOS:000404926100011
PM 28236158
ER

PT J
AU van Dijk, Inge
   Lucassen, Peter L. B. J.
   Akkermans, Reinier P.
   van Engelen, Baziel G. M.
   van Weel, Chris
   Speckens, Anne E. M.
TI Effects of Mindfulness-Based Stress Reduction on the Mental Health of
   Clinical Clerkship Students: A Cluster-Randomized Controlled Trial
SO ACADEMIC MEDICINE
VL 92
IS 7
BP 1012
EP 1021
DI 10.1097/ACM.0000000000001546
PD JUL 2017
PY 2017
AB Purpose
   To examine the effect of mindfulness-based stress reduction training
   (MBSR) on the mental health of medical students during clinical
   clerkships.
   Method
   Between February 2011 and May 2014, the authors conducted a
   cluster-randomized controlled trial of clerkships as usual (CAU) and
   clerkships with additional MBSR in medical students during their first
   year of clinical clerkships at a Dutch university medical center. MBSR
   consisted of eight weekly two-hour sessions, comprising didactic
   teaching, meditation exercises, and group dialogues. Students completed
   online assessments at baseline and after 3, 7, 12, 15, and 20 months.
   Outcome measures were psychological distress, positive mental health,
   life satisfaction, physician empathy, mindfulness skills, and
   dysfunctional cognitions as measured by validated tools.
   Results
   Of 232 eligible students, 167 students (72%) participated and were
   randomized by clerkship group into MBSR (n = 83) or CAU (n = 84). The
   MBSR group reported a small reduction of psychological distress (P =.03,
   Cohen's d = 0.20) and dysfunctional cognitions (P =.05, Cohen's d =
   0.18) and a moderate increase of positive mental health (P =.002,
   Cohen's d = 0.44), life satisfaction (P =.01, Cohen's d = 0.51), and
   mindfulness skills (P =.05, Cohen's d = 0.35) compared with CAU during
   the 20-month follow-up. The authors detected no significant effect on
   physician empathy (P =.18, Cohen's d = 0.27).
   Conclusions
   MBSR appeared feasible and acceptable to medical clerkship students and
   resulted in a small to moderate improvement of mental health compared
   with CAU over the 20-month follow-up.
RI van Engelen, Baziel G.M./H-8027-2014; van Weel, Chris/D-4375-2009; Lucassen, Peter L.B.J./L-4496-2015
OI van Engelen, Baziel G.M./0000-0001-9867-9047; van Weel,
   Chris/0000-0003-3653-4701; 
TC 30
Z8 0
ZS 1
ZB 5
ZR 0
ZA 0
Z9 31
U1 3
U2 19
SN 1040-2446
EI 1938-808X
UT WOS:000405088900045
PM 28121650
ER

PT J
AU Sterling, Madeline
   Leung, Peggy
   Wright, Drew
   Bishop, Tara F.
TI The Use of Social Media in Graduate Medical Education: A Systematic
   Review
SO ACADEMIC MEDICINE
VL 92
IS 7
BP 1043
EP 1056
DI 10.1097/ACM.0000000000001617
PD JUL 2017
PY 2017
AB Purpose
   Despite the growing presence of social media in graduate medical
   education (GME), few studies have attempted to characterize their effect
   on residents and their training. The authors conducted a systematic
   review of the peer-reviewed literature to understand the effect of
   social media on resident (1) education, (2) recruitment, and (3)
   professionalism.
   Method
   The authors identified English-language peer-reviewed articles published
   through November 2015 using Medline, Embase, Cochrane, PubMed, Scopus,
   and ERIC. They extracted and synthesized data from articles that met
   inclusion criteria. They assessed study quality for quantitative and
   qualitative studies through, respectively, the Medical Education
   Research Study Quality Instrument and the Consolidated Criteria for
   Reporting Qualitative Studies.
   Results
   Twenty-nine studies met inclusion criteria. Thirteen (44.8%) pertained
   to residency education. Twitter, podcasts, and blogs were frequently
   used to engage learners and enhance education. YouTube and wikis were
   more commonly used to teach technical skills and promote self-efficacy.
   Six studies (20.7%) pertained to the recruitment process; these suggest
   that GME programs are transitioning information to social media to
   attract applicants. Ten studies (34.5%) pertained to resident
   professionalism. Most were exploratory, highlighting patient and
   resident privacy, particularly with respect to Facebook. Four of these
   studies surveyed residents about their social network behavior with
   respect to their patients, while the rest explored how program directors
   use it to monitor residents' unprofessional online behavior.
   Conclusions
   The effect of social media platforms on residency education,
   recruitment, and professionalism is mixed, and the quality of existing
   studies is modest at best.
RI Wright, Drew/P-1147-2019; Leung, Peggy/AAR-9448-2020; Wright, Drew/; Sterling, Madeline/
OI Leung, Peggy/0000-0001-8710-8660; Wright, Drew/0000-0002-1776-5427;
   Sterling, Madeline/0000-0002-9928-4407
ZR 1
ZA 0
TC 131
ZB 16
Z8 0
ZS 3
Z9 135
U1 2
U2 52
SN 1040-2446
EI 1938-808X
UT WOS:000405088900050
PM 28225466
ER

PT J
AU Rodriguez-Socarras, M. E.
   Gomez Rivas, J.
   Garcia-Sanz, M.
   Pesquera, L.
   Tortolero-Blanco, L.
   Ciappara, M.
   Melnick, A.
   Colombo, J.
   Patruno, G.
   Serrano-Pascual, A.
   Bachiller-Burgos, J.
   Cozar-Olmo, J. M.
TI Medical-surgical activity and the current state of training of urology
   residents in Spain: Results of a national survey
SO ACTAS UROLOGICAS ESPANOLAS
VL 41
IS 6
BP 391
EP 399
DI 10.1016/j.acuro.2016.11.003
PD JUL-AUG 2017
PY 2017
AB Objectives: To determine the actual state of medical-surgical activity
   and training for urology residents in Spain.
   Material and method: We designed 2 anonymous surveys, which were
   uploaded with the Google Docs (c) tool so that the respondents could
   answer the surveys online. The online collection period was September
   2015 to January 2016. The collected data were processing using the
   statistical programme IBM SPSS for Windows, Version 21.0 and the
   programme R version 3.2.3.
   Results: The total number of responders was 163. In reference to the
   number of physically present on-call residents, the majority conducted
   between 4 and 6 shifts a month. Eighty-four of those surveyed indicated
   that they were in the operating room less than 20 hours a week, and 43
   of these even less than 10 hours. Thirty percent of those surveyed had
   not performed any transurethral resection. The majority had performed at
   least one prostatic adenomectomy, but had not performed any major
   oncologic procedure, either laparoscopically or openly. In the questions
   concerning training and training courses, we found that most of the
   residents trained in laparoscopy at the hospital or at home. The overall
   satisfaction for the residence was assessed at 2.6. Based on this score,
   the overall satisfaction could be considered moderate.
   Conclusions: Efforts should be directed towards standardising the
   acquisition of surgical and nonsurgical skills, ensuring access to
   training courses, establishing a minimum of required operations per year
   and achieving an objective assessment of the specialty. (C) 2016 AEU.
   Published by Elsevier Espana, S.L.U. All rights reserved.
RI Paniagua, Marco Ciappara/AAF-1706-2021; Rivas, Juan Gómez/H-1635-2013; Patruno, Giulio/; Rodriguez Socarras, Moises/
OI Rivas, Juan Gómez/0000-0002-0556-3035; Patruno,
   Giulio/0000-0001-7859-8055; Rodriguez Socarras,
   Moises/0000-0002-6748-683X
ZA 0
ZB 11
ZR 0
ZS 0
TC 19
Z8 0
Z9 19
U1 0
U2 2
SN 0210-4806
EI 1699-7980
UT WOS:000404824400007
PM 28336202
ER

PT J
AU Wong, Victor W.
   Higgins, James P.
TI Evidence-Based Medicine: Management of Metacarpal Fractures
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 140
IS 1
BP 140E
EP 151E
DI 10.1097/PRS.0000000000003470
PD JUL 2017
PY 2017
AB Learning Objectives: After reading this article, the participant should
   be able to: 1. Understand metacarpal anatomy and its role in fracture
   pathology. 2. Determine when surgical intervention is needed for
   metacarpal fractures. 3. Understand the various treatment options for
   surgical fixation of metacarpal fractures. 4. Describe the role for
   external fixation in managing difficult metacarpal fractures.
   Background: Metacarpal fractures are common injuries that plastic
   surgeons should be able to evaluate and treat. The goal of this review
   is to highlight current evidence for managing metacarpal fractures. This
   Continuing Medical Education article consists of a literature review,
   illustrations, videos, and an online Continuing Medical Education
   examination.
   Methods: The authors reviewed the scientific literature from 2000 to
   2015 regarding treatment of metacarpal fractures. Cadaver models were
   used for instructional videography demonstrating common surgical
   techniques. Multiple-choice questions were created to review pertinent
   topics. A discussion and references are provided.
   Results: Numerous treatment options have been described for metacarpal
   fractures, including splinting, percutaneous fixation, open reduction
   with internal fixation, and external fixation. All modalities are
   acceptable strategies for treating metacarpal fractures. The ultimate
   goal is to maximize hand function with minimal morbidity.
   Conclusions: A thorough understanding of treatment modalities is helpful
   in evaluating and managing metacarpal fractures. Although the current
   literature supports a wide array of treatment strategies, high-level
   evidence to guide-fracture management remains lacking.
ZA 0
Z8 3
ZB 0
ZS 1
TC 19
ZR 0
Z9 23
U1 0
U2 3
SN 0032-1052
EI 1529-4242
UT WOS:000404717000017
PM 28654615
ER

PT J
AU Chi, Ethan
   Jabbour, Noel
   Aaronson, Nicole Leigh
TI Quality and readability of websites for patient information on
   tonsillectomy and sleep apnea
SO INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
VL 98
BP 1
EP 3
DI 10.1016/j.ijporl.2017.04.031
PD JUL 2017
PY 2017
AB Objectives: Tonsillectomy is a common treatment for obstructive sleep
   apnea (OSA). The Internet allows patients direct access to medical
   information. Since information on the Internet is largely unregulated,
   quality and readability are variable. This study evaluates the quality
   and readability of the most likely visited websites presenting
   information on sleep apnea and tonsillectomy.
   Methods: The three most popular search engines (Google, Bing, Yahoo)
   were queried with the phrase "sleep apnea AND tonsillectomy." The
   DISCERN instrument was used to assess quality of information.
   Readability was evaluated using the Flesch-Kincaid Reading Grade Level
   (FKGL) and Flesch Reading Ease Score (FRES).
   Results: Out of the maximum of 80, the average DISCERN quality score for
   the websites was 55.1 (SD- 12.3, Median- 60.5). The mean score for FRES
   was 42.3 (SD- 15.9, Median- 45.5), which falls in the range defined as
   difficult. No website was above the optimal score of 65. The mean score
   for the FKGL was US grade-level of 10.7 (SD- 1.6, Median- 11.6). Only
   4(27%) websites were in the optimal range of 6-8. There was very weak
   correlation between FRES and DISCERN (r = 0.07) and FKGL and DISCERN (r
   = 0.21).
   Conclusions: Tonsillectomy is one of the most common surgeries in the
   US. However, the internet information readily available to patients
   varies in quality. Additionally, much of the information is above the
   recommended grade level for comprehension by the public. By being aware
   of what information patients are reading online, physicians can better
   explain treatments and address misunderstandings. Physicians may
   consider using similar methods to test the readability for their own
   resources for patient education. (C) 2017 Elsevier B.V. All rights
   reserved.
RI Aaronson, Nicole Leigh/H-6868-2019; Aaronson, Nicole/
OI Aaronson, Nicole/0000-0002-3028-453X
TC 22
ZR 0
ZB 3
ZA 0
Z8 1
ZS 2
Z9 23
U1 0
U2 4
SN 0165-5876
EI 1872-8464
UT WOS:000404501500001
PM 28583484
ER

PT J
AU Richard-Denis, Andreane
   Feldman, Debbie Ehrmann
   Thompson, Cynthia
   Bourassa-Moreau, Etienne
   Mac-Thiong, Jean-Marc
TI Costs and Length of Stay for the Acute Care of Patients with
   Motor-Complete Spinal Cord Injury Following Cervical Trauma The Impact
   of Early Transfer to Specialized Acute SCI Center
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 7
BP 449
EP 456
DI 10.1097/PHM.0000000000000659
PD JUL 2017
PY 2017
AB Objective: Acute spinal cord injury (SCI) centers aim to optimize
   outcome following SCI. However, there is no timeframe to transfer
   patients from regional to SCI centers in order to promote
   cost-efficiency of acute care. Our objective was to compare costs and
   length of stay (LOS) following early and late transfer to the SCI
   center.
   Design: A retrospective cohort study involving 116 individuals was
   conducted. Group 1 (n = 87) was managed in an SCI center promptly after
   the trauma, whereas group 2 (n = 29) was transferred to the SCI center
   only after surgery. Direct comparison and multivariate linear regression
   analyses were used to assess the relationship between costs, LOS, and
   timing to transfer to the SCI center.
   Results: Length of stay was significantly longer for group 2 (median,
   93.0 days) as compared with group 1 (median, 40.0 days; P < 10(-3)), and
   average costs were also higher (median, Canadian $17,920.0 vs.
   $10,521.6; P = 0.004) for group 2, despite similar characteristics. Late
   transfer to the SCI center was the main predictive factor of longer LOS
   and increased costs.
   Conclusions: Early admission to the SCI center was associated with
   shorter LOS and lower costs for patients sustaining tetraplegia. Early
   referral to an SCI center before surgery could lower the financial
   burden for the health care system.
ZS 0
Z8 1
ZA 0
TC 15
ZR 0
ZB 7
Z9 15
U1 0
U2 8
SN 0894-9115
EI 1537-7385
UT WOS:000403921600006
PM 28628531
ER

PT J
AU Pino, Sally
   Mora, Claudia
   Diaz, Adriana
   Guarnizo, Pilar
   Jaimes, Diego
TI Improving skills in pediatric rheumatology in Colombia: a combined
   educational strategy supported by ILAR
SO CLINICAL RHEUMATOLOGY
VL 36
IS 7
BP 1631
EP 1635
DI 10.1007/s10067-016-3294-x
PD JUL 2017
PY 2017
AB Colombia is a densely populated country with a small number of pediatric
   rheumatology specialists, including 14 specialists for a population of
   1,927,000 children in 2014. The objective of the study was to improve
   the skills required for early identification, timely referral, and
   management of musculoskeletal diseases, especially juvenile idiopathic
   arthritis (JIA), in a group of pediatricians and pediatric residents in
   a remote region of Colombia. Supported by grant programs developed by
   the International League of Associations for Rheumatology (ILAR), a
   combined educational strategy (blended learning) was implemented based
   on two classroom educational activities and four online modules. The
   students' acquired knowledge and perception of the strategy were
   evaluated. Scores were reported as median values and interquartile
   ranges (IQR), and the differences between scores were estimated using
   the Wilcoxon test for equal medians. Forty-one students were enrolled,
   37 completed the online modules, and 33 attended the final in-person
   session. The results of the written tests demonstrated an improved
   ability to solve clinical problems compared with the results of the
   tests before the course (the median initial vs. final test scores 3 (IQR
   = 1) vs. 5 (IQR = 0), p = 0.000). The students reported high levels of
   satisfaction related to compliance with the proposed objectives, the
   relevance of the contents and activities performed, and the impact on
   everyday practice. These types of strategies are useful as tools for
   continuing medical education. However, the results pertain only to
   short-term learning. It is necessary to evaluate their impact on
   "lifelong learning.".
RI Jaimes, Diego/T-4672-2019; Jaimes, Diego/; Mora Karam, Claudia Marcela/
OI Jaimes, Diego/0000-0003-3686-5551; Mora Karam, Claudia
   Marcela/0000-0002-1968-3767
Z8 0
ZA 0
ZR 0
ZB 0
TC 3
ZS 0
Z9 3
U1 0
U2 4
SN 0770-3198
EI 1434-9949
UT WOS:000403662600022
PM 27184048
ER

PT J
AU Garofalo, Milena
   Aggarwal, Rajesh
TI Competency-Based Medical Education and Assessment of Training: Review of
   Selected National Obstetrics and Gynaecology Curricula
SO JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA
VL 39
IS 7
BP 534
EP +
DI 10.1016/j.jogc.2017.01.024
PD JUL 2017
PY 2017
AB There are global variations in obstetrics and gynaecology (OBGYN)
   training curricula, both in length and in their structure and content.
   The ultimate goal for all residency programs is to ensure a skilled,
   competent physician, capable of independent practice by the end of his
   or her training. An online search was used for nationally recognized
   OBGYN training curricula. The curricula of Australia, Canada, the
   Netherlands, the United Kingdom, and the United States were individually
   reviewed and evaluated for their use of competency-based medical
   education and methods of assessment, including simulation. These were
   also compared to the World Federation for Medical Education's Global
   Standards for postgraduate medical education. Comparing the OBGYN
   curricula of these five countries led to quite similar results. Even
   though curricula reviewed have or will be integrating competency-based
   medical education into their residency program, there is a need to
   develop adequate assessment tools, including simulation, to train
   competent physicians capable of independent practice. Standardization of
   curricula leads to a decrease in the variability and an increase in the
   quality of training and allows for measurements and comparisons across
   centres. Ultimately, modifications to the curricula or even consensus
   for an international standard, including a standardized national
   simulation curriculum, may potentially increase the quality and
   efficiency of training, which could have a direct impact on patient
   safety and quality of care.
ZA 0
ZR 0
ZB 0
TC 11
Z8 0
ZS 1
Z9 11
U1 0
U2 6
SN 1701-2163
UT WOS:000443572100009
PM 28532631
ER

PT J
AU McMillan, Catherine
   D'Hondt, Veerle
   Marshall, Alexandra H.
   Binhammer, Paul
   Lipa, Joan
   Snell, Laura
TI Surgeon-Reported Needs for Improved Training in Identifying and Managing
   Free Flap Compromise
SO JOURNAL OF RECONSTRUCTIVE MICROSURGERY
VL 33
IS 6
BP 381
EP 388
DI 10.1055/s-0037-1601423
PD JUL 2017
PY 2017
AB Background This study examined the need for improved training in the
   identification and management of free flap (FF) compromise and assessed
   a potential role for simulated scenario training.
   Methods Online needs assessment surveys were completed by plastic
   surgeons and a subsample with expertise in microsurgery education
   participated in focus groups. Data were analyzed using descriptive
   statistics and mixed qualitative methods.
   Results In this study, 77 surgeons completed surveys and 11 experts
   participated in one of two focus groups. Forty-nine (64%) participants
   were educators, 65 and 45% of which reported having an insufficient
   volume of FF cases to adequately teach the management and identification
   of compromise, respectively. Forty-three percent of educators felt that
   graduating residents are not adequately prepared to manage FF compromise
   independently. Exposure to normal and abnormal FF cases was felt to be
   critical for effective training by focus group participants. Experts
   identified low failure rates, communication issues, and challenging
   teaching conditions as current barriers to training. Most educators
   (74%) felt that simulated scenario training would be "very useful" or
   "extremely useful" to current residents. Focus groups highlighted the
   need for a widely accepted algorithm for re-exploration and salvage on
   which to base the development of a training adjunct consisting of
   simulated scenarios.
   Conclusion Trainee exposure to FF compromise is inadequate in existing
   plastic surgery programs. Early exposure, high case volume, and a
   standardized algorithmic approach to management with a focus on decision
   making may improve training. Simulated scenario training may be valuable
   in addressing current barriers.
ZS 0
ZB 1
TC 3
ZR 0
ZA 0
Z8 0
Z9 3
U1 0
U2 11
SN 0743-684X
EI 1098-8947
UT WOS:000403439000002
PM 28399607
ER

PT J
AU Tarpada, Sandip P.
   Hsueh, Wayne D.
   Gibber, Marc J.
TI Resident and Student Education in Otolaryngology: A 10-Year Update on
   E-Learning
SO LARYNGOSCOPE
VL 127
IS 7
BP E219
EP E224
DI 10.1002/lary.26320
PD JUL 2017
PY 2017
AB Objectives/Hypothesis: E-learning, in its most rudimentary form, is the
   use of Internet-based resources for teaching and learning purposes. In
   surgical specialties, this definition encompasses the use of virtual
   patient cases, digital modeling, and online tutorials, as well as
   standardized video and imaging. As new technological frontiers rapidly
   emerge within otolaryngology, e-learning may be an effective alternative
   to traditional teaching. Here we present a systematic review of the
   literature assessing the efficacy of e-learning for otolaryngology
   education and a discussion of the relevance of these programs for both
   medical students and residents within the field.
   Study Design: Systematic review.
   Methods: A systematic search of PubMed, Embase, Web of Science, and the
   Cochrane Library was conducted according to the guidelines defined in
   the Preferred Reporting Items for Systematic Reviews and Meta-Analyses
   statement.
   Results: Twelve studies met inclusion criteria. These studies measured a
   range of outcomes from basic science anatomical knowledge to clinically
   relevant endpoints such as diagnostic accuracy. Nearly all of the
   studies reported greater satisfaction and/or significantly increased
   objective knowledge using the e-learning intervention compared to
   traditional techniques.
   Conclusions: E-learning proves to be a powerful alternative to standard
   teaching techniques within otolaryngology education for both residents
   and medical students. Future work should focus on validating specific
   e-learning programs and accessing long-term knowledge retention using
   these innovative platforms.
ZA 0
TC 35
ZR 0
Z8 1
ZB 6
ZS 1
Z9 36
U1 1
U2 24
SN 0023-852X
EI 1531-4995
UT WOS:000403773900002
PM 27782300
ER

PT J
AU Kemper, Kathi J.
   Rao, Nisha
TI Brief Online Focused Attention Meditation Training: Immediate Impact
SO JOURNAL OF EVIDENCE-BASED INTEGRATIVE MEDICINE
VL 22
IS 3
BP 395
EP 400
DI 10.1177/2156587216663565
PD JUL 2017
PY 2017
AB Background. There is increasing interest in brief, online training in
   mind-body skills to improve resilience in health professionals. Methods.
   We analyzed data from an online training program in focused attention
   meditation. Resilience, relaxation, stress, positive and negative
   affect, and flourishing were measured before and after training using
   standardized scales. Results. The 379 participants included nurses
   (31%), physicians (21%), social workers and psychologists (10%), and
   others (38%). At baseline, participants reported high levels of stress
   (mean 16.7 compared with population norms of 12-14). Completing modules
   was associated with small but significant improvements in relaxation,
   resilience, stress, positive and negative affect, and flourishing (P <.
   01 for all) Conclusion. Online focused attention meditation training
   reaches diverse health professionals and is associated with improvements
   in relaxation, resilience, stress, affect, and flourishing. Additional
   research is warranted to compare the long-term cost-effectiveness of
   different amounts and types of mind-body training on clinician burnout
   and quality of care.
Z8 0
ZB 1
ZS 0
ZR 0
ZA 0
TC 12
Z9 12
U1 1
U2 10
SN 2515-690X
UT WOS:000442696100007
PM 27530315
ER

PT J
AU Hover, Shantal S.
   Bertke, Andrea S.
TI Herpes simplex virus 1 and 2 educational assessment of young adults in
   rural southwest Virginia
SO PLOS ONE
VL 12
IS 6
AR e0179969
DI 10.1371/journal.pone.0179969
PD JUN 27 2017
PY 2017
AB Purpose
   Herpes simplex virus 2 (HSV-2) causes genital herpes, one of the most
   common sexually transmitted infections (STIs) in the U.S. HSV-1,
   commonly associated with cold sores, is increasing as a cause of genital
   herpes. Abstinence-only sexual health classes, commonly taught in
   Virginia, generate young adults who are under-educated in sexual health,
   increasing STI risks. College students in southwest Virginia were
   surveyed to assess comprehensiveness of high school health education
   regarding HSV-1 and HSV-2 and to identify students' preferred methods
   for STI education.
   Methods
   To obtain data on knowledge of HSV, comprehensiveness of sexual health
   education in high school, and preferred learning methods, 237 college
   students participated in an online questionnaire and 28 students were
   interviewed using structured interviews.
   Results
   Questionnaire and interview data indicated that Family Life Education
   classes need to include more comprehensive information on prevention,
   viral transmission, and differences between HSV-1 and HSV-2. The
   majority of total respondents (both the questionnaire and interview)
   (65%) reported non-comprehensive high school sexual health education.
   The majority of interview (79%) and questionnaire (55%) respondents
   wished they had learned more about herpes and other STIs in high school.
   Education preferences of both interviewed and surveyed respondents
   included interactive internet programs or games, more realistic
   lectures, and learning about STIs later in high school when students
   reported greater sexual activity.
   Conclusion
   Our results indicate that more comprehensive sexual health education is
   needed and wanted by students in southwest Virginia. More relevant
   educational programs should be implemented for VA high school students
   utilizing technology and interactive methods to improve student
   engagement in sexual health education.
OI Bertke, Andrea/0000-0002-8941-8010
ZS 0
TC 0
ZA 0
Z8 0
ZB 0
ZR 0
Z9 0
U1 0
U2 5
SN 1932-6203
UT WOS:000404541500043
PM 28654651
ER

PT J
AU Singman, Eric L.
   Srikumaran, Divya
   Green, Laura
   Tian, Jing
   McDonnell, Peter
TI Supervision and autonomy of ophthalmology residents in the outpatient
   Clinic in the United States: a survey of ACGME-accredited programs
SO BMC MEDICAL EDUCATION
VL 17
AR 105
DI 10.1186/s12909-017-0941-0
PD JUN 26 2017
PY 2017
AB Background: The development and demonstration of incremental trainee
   autonomy is required by the ACGME. However, there is scant published
   research concerning autonomy of ophthalmology residents in the
   outpatient clinic setting. This study explored the landscape of resident
   ophthalmology outpatient clinics in the United States.
   Methods: A link to an online survey using the QualtricsTM platform was
   emailed to the program directors of all 115 ACGME-accredited
   ophthalmology programs in the United States. Survey questions explored
   whether resident training programs hosted a continuity clinic where
   residents would see their own patients, and if so, the degree of faculty
   supervision provided therein. Metrics such as size of the resident
   program, number of faculty and clinic setting were also recorded.
   Correlations between the degree of faculty supervision and other metrics
   were explored.
   Results: The response rate was 94%; 69% of respondents indicated that
   their trainees hosted continuity clinics. Of those programs, 30%
   required a faculty member to see each patient treated by a resident,
   while 42% expected the faculty member to at least discuss (if not see)
   each patient. All programs expected some degree of faculty interaction
   based upon circumstances such as the level of training of the resident
   or complexity of the clinical situation. 67% of programs that tracked
   the contribution of the clinic to resident surgical caseloads reported
   that these clinics provided more than half of the resident surgical
   volumes. More 3/4 of resident clinics were located in urban settings.
   The degree of faculty supervision did not correlate to any of the other
   metrics evaluated.
   Conclusions: The majority of ophthalmology resident training programs in
   the United States host a continuity clinic located in an urban
   environment where residents follow their own patients. Furthermore, most
   of these clinics require supervising faculty to review both the patients
   seen and the medical documentation created by the resident encounters.
   The different degrees of faculty supervision outlined by this survey
   might provide a useful guide presuming they can be correlated with
   validated metrics of educational quality. Finally, this study could
   provide an adjunctive resource to current international efforts to
   standardize ophthalmic residency education.
ZR 0
Z8 0
ZA 0
TC 6
ZB 1
ZS 0
Z9 6
U1 0
U2 1
SN 1472-6920
UT WOS:000404400700001
PM 28651531
ER

PT J
AU Trattner, Christoph
   Parra, Denis
   Elsweiler, David
TI Monitoring obesity prevalence in the United States through bookmarking
   activities in online food portals
SO PLOS ONE
VL 12
IS 6
AR e0179144
DI 10.1371/journal.pone.0179144
PD JUN 21 2017
PY 2017
AB Studying the impact of food consumption on people's health is a serious
   matter for its implications on public policy, but it has traditionally
   been a slow process since it requires information gathered through
   expensive collection processes such as surveys, census and systematic
   reviews of research articles. We argue that this process could be
   supported and hastened using data collected via online social networks.
   In this work we investigate the relationships between the online traces
   left behind by users of a large US online food community and the
   prevalence of obesity in 47 states and 311 counties in the US. Using
   data associated with the recipes bookmarked over an 9-year period by
   144,839 users of the Allrecipes. com food website residing throughout
   the US, several hierarchical regression models are created to (i) shed
   light on these relations and (ii) establish their magnitude. The results
   of our analysis provide strong evidence that bookmarking activities on
   recipes in online food communities can provide a signal allowing food
   and health related issues, such as obesity to be better understood and
   monitored. We discover that higher fat and sugar content in bookmarked
   recipes is associated with higher rates of obesity. The dataset is
   complicated, but strong temporal and geographical trends are
   identifiable. We show the importance of accounting for these trends in
   the modeling process.
RI Parra, Denis/M-2967-2019; Parra, Denis/D-1388-2014; Elsweiler, David/; Trattner, Christoph/
OI Parra, Denis/0000-0001-9878-8761; Elsweiler, David/0000-0002-5791-0641;
   Trattner, Christoph/0000-0002-1193-0508
ZA 0
Z8 0
TC 21
ZR 0
ZB 5
ZS 0
Z9 21
U1 1
U2 14
SN 1932-6203
UT WOS:000404118300026
PM 28636665
ER

PT J
AU Ravenscroft, John
   Wazny, Kerri
   Davis, John M.
TI Factors associated with successful transition among children with
   disabilities in eight European countries
SO PLOS ONE
VL 12
IS 6
AR e0179904
DI 10.1371/journal.pone.0179904
PD JUN 21 2017
PY 2017
AB Introduction
   This research paper aims to assess factors reported by parents
   associated with the successful transition of children with complex
   additional support requirements that have undergone a transition between
   school environments from 8 European Union member states.
   Methods
   Quantitative data were collected from 306 parents within education
   systems from 8 EU member states (Bulgaria, Cyprus, Greece, Ireland, the
   Netherlands, Romania, Spain and the UK). The data were derived from an
   online questionnaire and consisted of 41 questions. Information was
   collected on: parental involvement in their child's transition, child
   involvement in transition, child autonomy, school ethos, professionals'
   involvement in transition and integrated working, such as, joint
   assessment, cooperation and coordination between agencies. Survey
   questions that were designed on a Likert-scale were included in the
   Principal Components Analysis (PCA), additional survey questions, along
   with the results from the PCA, were used to build a logistic regression
   model.
   Results
   Four principal components were identified accounting for 48.86% of the
   variability in the data. Principal component 1 (PC1), 'child inclusive
   ethos,' contains 16.17% of the variation. Principal component 2 (PC2),
   which represents child autonomy and involvement, is responsible for
   8.52% of the total variation. Principal component 3 (PC3) contains
   questions relating to parental involvement and contributed to 12.26% of
   the overall variation. Principal component 4 (PC4), which involves
   transition planning and coordination, contributed to 11.91% of the
   overall variation. Finally, the principal components were included in a
   logistic regression to evaluate the relationship between inclusion and a
   successful transition, as well as whether other factors that may have
   influenced transition. All four principal components were significantly
   associated with a successful transition, with PC1 being having the most
   effect (OR: 4.04, CI: 2.43-7.18, p < 0.0001).
   Discussion
   To support a child with complex additional support requirements through
   transition from special school to mainstream, governments and
   professionals need to ensure children with additional support
   requirements and their parents are at the centre of all decisions that
   affect them. It is important that professionals recognise the
   educational, psychological, social and cultural contexts of a child with
   additional support requirements and their families which will provide a
   holistic approach and remove barriers for learning.
RI Wazny, Kerri/U-3918-2019
ZA 0
TC 7
ZS 0
ZR 0
ZB 1
Z8 0
Z9 7
U1 1
U2 24
SN 1932-6203
UT WOS:000404118300062
PM 28636649
ER

PT J
AU Tamariz, Leonardo
   Vasquez, Diego
   Loor, Cecilia
   Palacio, Ana
TI Successful adaptation of a research methods course in South America
SO MEDICAL EDUCATION ONLINE
VL 22
AR 1336418
DI 10.1080/10872981.2017.1336418
PD JUN 19 2017
PY 2017
AB Background: South America has low research productivity. The lack of a
   structured research curriculum is one of the barriers to conducting
   research.
   Objective: To report our experience adapting an active learning-based
   research methods curriculum to improve research productivity at a
   university in Ecuador.
   Design: We used a mixed-method approach to test the adaptation of the
   research curriculum at Universidad Catolica Santiago de Guayaquil. The
   curriculum uses a flipped classroom and active learning approach to
   teach research methods. When adapted, it was longitudinal and had
   16-hour programme of in-person teaching and a six-month follow-up online
   component. Learners were organized in theme groups according to
   interest, and each group had a faculty leader. Our primary outcome was
   research productivity, which was measured by the succesful presentation
   of the research project at a national meeting, or publication in a
   peer-review journal. Our secondary outcomes were knowledge and perceived
   competence before and after course completion. We conducted qualitative
   interviews of faculty members and students to evaluate themes related to
   participation in research.
   Results: Fifty university students and 10 faculty members attended the
   course. We had a total of 15 groups. Both knowledge and perceived
   competence increased by 17 and 18 percentage points, respectively. The
   presentation or publication rate for the entire group was 50%. The
   qualitative analysis showed that a lack of research culture and
   curriculum were common barriers to research.
   Conclusions: A US-based curriculum can be successfully adapted in
   low-middle income countries. A research curriculum aids in achieving
   pre-determined milestones.
OI Tamariz, Leonardo/0000-0003-1583-3534
Z8 0
ZB 0
TC 5
ZS 0
ZA 0
ZR 0
Z9 5
U1 2
U2 12
SN 1087-2981
UT WOS:000423145100001
PM 28625111
ER

PT J
AU Painter, Julia E.
   DiClemente, Ralph J.
   Jimenez, Lauren
   Stuart, Theron
   Sales, Jessica M.
   Mulligan, Mark J.
TI Exploring evidence for behavioral risk compensation among participants
   in an HIV vaccine clinical trial
SO VACCINE
VL 35
IS 28
BP 3558
EP 3563
DI 10.1016/j.vaccine.2017.05.024
PD JUN 16 2017
PY 2017
AB Background: HIV vaccine trial participants may engage in behavioral risk
   compensation due to a false sense of protection. We conducted an
   ancillary study of an HIV Vaccine Trials Network (HVTN) vaccine efficacy
   trial to explore risk compensation among trial participants compared to
   persons who were willing to participate but ineligible based on previous
   exposure to the Ad5 virus (Ad5+) across three time points.
   Methods: Participants were drawn from the Atlanta, GA site of the HVTN
   505 vaccine trial. From 20112013, all persons who met prescreening
   criteria for the clinical trial and presented for Ad5 antibody testing
   were invited to participate in the ancillary study. Data were collected
   from vaccine trial participants (n = 51) and Ad5+ participants (n = 60)
   via online surveys across three timepoints: baseline, T2 (after trial
   participants received 2/4 injections) and T3 (after trial participants
   received 4/4 injections). Data analyses assessed demographic,
   psychosocial, and behavioral differences at baseline and changes at each
   time point.
   Results: At baseline, Ad5+ participants were less likely to have some
   college education (p = 0.024) or health insurance (p = 0.008), and were
   more likely to want to participate in the vaccine trial "to feel safer
   having unprotected sex" (p = 0.005). Among vaccine trial participants,
   unprotected anal sex with a casual partner (p = 0.05), HIV transmission
   worry (p = 0.033), and perceived chance of getting HIV (p = 0.027),
   decreased across timepoints.
   Conclusions: Study findings suggest that persons with previous exposure
   to Ad5 may be systematically different from their Ad5-negative peers.
   Unprotected anal sex with a casual partner significantly decreased among
   HIV vaccine trial participants, as did HIV worry and perceived chance of
   getting HIV. Findings did not support evidence of risk compensation
   among HIV vaccine trial participants compared to Ad5+ participants. (C)
   2017 Elsevier Ltd. All rights reserved.
RI Mulligan, Mark/V-9275-2019
ZR 0
ZB 2
TC 2
ZA 0
Z8 0
ZS 0
Z9 2
U1 0
U2 1
SN 0264-410X
EI 1873-2518
UT WOS:000403513100007
PM 28533053
ER

PT J
AU Wouters, Anouk
   Croiset, Gerda
   Schripsema, Nienke R.
   Cohen-Schotanus, Janke
   Spaai, Gerard W. G.
   Hulsman, Robert L.
   Kusurkar, Rashmi A.
TI Students' approaches to medical school choice: relationship with
   students' characteristics and motivation
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 8
BP 217
EP 226
DI 10.5116/ijme.5921.5090
PD JUN 12 2017
PY 2017
AB Objectives: The aim was to examine main reasons for students' medical
   school choice and their relationship with students' characteristics and
   motivation during the students' medical study.
   Methods: In this multisite cross-sectional study, all Year-1 and Year-4
   students who had participated in a selection procedure in one of the
   three Dutch medical schools included in the study were invited to
   complete an online survey comprising personal data, their main reason
   for medical school choice and standard, validated questionnaires to
   measure their strength of motivation (Strength of Motivation for Medical
   School-Revised) and autonomous and controlled type of motivation
   (Academic Selfregulation Questionnaire). Four hundred seventy-eight
   students participated. We performed frequency analyses on the reasons
   for medical school choice and regression analyses and ANCOVAs to study
   their associations with students' characteristics and motivation during
   their medical study.
   Results: Students indicated 'city' (Year-1: 24.7%, n=75 and Year-4:
   36.0%, n=52) and 'selection procedure' (Year-1: 56.9%, n=173 and Year-4:
   46.9%, n=68) as the main reasons for their medical school choice. The
   main reasons were associated with gender, age, being a first-generation
   university student, ethnic background and medical school, and no
   significant associations were found between the main reasons and the
   strength and type of motivation during the students' medical study.
   Conclusions: Most students had based their medical school choice on the
   selection procedure. If medical schools desire to achieve a good
   student-curriculum fit and attract a diverse student population aligning
   the selection procedure with the curriculum and taking into account
   various students' different approaches is important.
RI Kusurkar, Rashmi A/D-5239-2012; Wouters, Anouk/I-1212-2014
OI Kusurkar, Rashmi A/0000-0002-9382-0379; Wouters,
   Anouk/0000-0002-6806-7573
ZB 0
Z8 0
TC 10
ZA 0
ZR 0
ZS 0
Z9 10
U1 0
U2 6
SN 2042-6372
UT WOS:000406166500001
PM 28624778
ER

PT J
AU Giroux, Isabelle
   Goulet, Annie
   Mercier, Jonathan
   Jacques, Christian
   Bouchard, Stephane
TI Online and Mobile Interventions for Problem Gambling, Alcohol, and
   Drugs: A Systematic Review
SO FRONTIERS IN PSYCHOLOGY
VL 8
AR 954
DI 10.3389/fpsyg.2017.00954
PD JUN 9 2017
PY 2017
AB Online interventions for gambling, alcohol, and illegal drug related
   problems have been developing at a fast pace over the past decade. Yet,
   little is known about the content and efficacy of interventions provided
   entirely online for reducing drug/alcohol use and gambling, or about the
   characteristics of those who use these interventions. This systematic
   review aims to describe the characteristics of online interventions,
   their efficacy, and the profile of their clientele. Documentation was
   mainly obtained through four scientific databases in psychology,
   technology, and medical research (PsychINFO, MedLine, Francis, and
   INSPEC) using three keywords (substances or gambling, intervention,
   Internet). Of the 4,708 documents initially identified, 18 studies
   meeting admissibility criteria were retained and analyzed after
   exclusion of duplicates and non-relevant documents. No study in the
   review related to problem gambling. The majority of interventions were
   based upon motivational or cognitive-behavioral theoretical approaches
   and called upon well-established therapeutic components in the field of
   addictions. The participants in these studies were generally adults
   between 30 and 46 years old with a high school education and presenting
   a high risk or problematic use. More than three quarters of the studies
   showed a short-term decrease in use that was maintained 6 months later,
   but only two studies included a 12 months follow-up. Online
   interventions seem promising and appear to meet the needs of
   participants who are in the workforce and seeking help for the first
   time. Long-term efficacy studies should nonetheless be conducted.
RI Giroux, Isabelle/AHB-4696-2022
ZB 3
ZR 0
Z8 0
ZS 0
TC 27
ZA 0
Z9 27
U1 0
U2 27
SN 1664-1078
UT WOS:000402954500001
PM 28649211
ER

PT J
AU Mason, Catherine
   Weber, Joerg
   Atasoy, Seryan
   Sabariego, Carla
   Cieza, Alarcos
TI Development of indicators for monitoring Community-Based Rehabilitation
SO PLOS ONE
VL 12
IS 6
AR e0178418
DI 10.1371/journal.pone.0178418
PD JUN 2 2017
PY 2017
AB Background
   Community-Based Rehabilitation (CBR) is a multi-sectoral approach
   working to equalize opportunities and include people with disability in
   all aspects of community life. Reliable and internationally comparable
   data needed to monitor and evaluate CBR are scarce, partially due to the
   absence of standardized indicators. The objective of this manuscript is
   to describe the collaborative development process which led to the World
   Health Organization's (WHO) recently launched set of standardized CBR
   outcome indicators.
   Methods
   The WHO's CBR Guidelines recognize CBR as a comprehensive and
   multi-sectoral strategy, and were therefore used as the starting point
   for the development of the indicators, in a consensus process involving
   WHO and International Disability and Development Consortium. Pilot
   implementations in Guatemala, Egypt and China using a specifically
   developed mobile phone application to collect data, and an online expert
   survey were completed to assess validity and feasibility of the
   indicators and their corresponding questions.
   Results
   The indicator set includes 13 Base Indicators which are broad enough to
   capture the situation of people with disability in settings where CBR is
   carried out, independently of the specific CBR activities carried out in
   a community; and 27 Supplementary Indicators that provide more specific
   coverage and can be selected based on the specific goals of a CBR
   program.
   Conclusion
   The indicators were suitable to assess differences in health, education,
   social life, livelihood and empowerment between people with disability
   and other community members. This comparability provides valuable
   information to CBR managers, donors and government agencies, to guide
   decision making, support advocacy and improve accountability. The CBR
   indicators will support WHO and its member states in their efforts
   towards strengthening CBR, by generating evidence on its effectiveness.
OI Mason, Catherine/0000-0002-6859-4373
ZR 0
ZA 0
ZB 1
TC 9
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Z8 0
Z9 9
U1 0
U2 6
SN 1932-6203
UT WOS:000402624300050
PM 28575102
ER

PT J
AU Ordway, Sarah M.
   Singla, Manish B.
   Young, Patrick E.
   Satoskar, Rohit
   Kwok, Ryan M.
TI Factors Influencing Decisions About a Career in Hepatology: A Survey of
   Gastroenterology Fellows
SO HEPATOLOGY COMMUNICATIONS
VL 1
IS 4
BP 347
EP 353
DI 10.1002/hep4.1040
PD JUN 2017
PY 2017
AB Despite an unmet need for hepatologists in the United States, every year
   transplant hepatology (TH) fellowship positions remain unfilled. To
   address this, we investigated factors that influence trainee decisions
   about pursuing a career in hepatology. We invited current
   gastroenterology (GI) and TH fellows from all Accreditation Council for
   Graduate Medical Education-accredited programs for the academic year
   2014-2015 to participate in an online survey about factors influencing
   decisions to train in hepatology. The same paper-based survey was
   distributed at a nationally recognized GI board review course. The
   survey was completed by 180 participants of which 91% were current GI or
   TH fellows and 24% were not aware of the pilot 3-year combined GI and TH
   training program. A majority of respondents (57%) reported that a
   shorter time (3 versus 4 years) to become board certification eligible
   would influence their decisions to pursue TH. The most common reasons
   for not pursuing hepatology were less endoscopy time (67%), additional
   length of training (64%), and lack of financial compensation (44%).
   Personal satisfaction (66%), management of complex multisystem disease
   (60%), and long-term relationships with patients (57%) were the most
   attractive factors. Sixty-one percent of participants reported having a
   mentor, and 94% of those with mentors reported that their mentors
   influenced their career decisions. Conclusion: We have identified
   several factors that affect fellows' decision to pursue TH. Shorter
   training, increased financial compensation, and increased endoscopy time
   are potentially modifiable factors that may increase the number of
   trainees seeking careers in hepatology and help alleviate the deficit of
   hepatologists.
TC 3
ZS 0
Z8 0
ZA 0
ZR 0
ZB 1
Z9 3
U1 0
U2 0
EI 2471-254X
UT WOS:000453170600008
PM 29404464
ER

EF