﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Gardner, Allison J.
   Gray, Alice L.
   Self, Staci
   Wagener, Jeffrey S.
TI Strengthening care teams to improve adherence in cystic fibrosis: a
   qualitative practice assessment and quality improvement initiative
SO PATIENT PREFERENCE AND ADHERENCE
VL 11
BP 761
EP 767
DI 10.2147/PPA.S130439
PD 2017
PY 2017
AB Background: Treatment regimens for patients with cystic fibrosis (CF)
   are complex, time consuming, and burdensome, and adherence to CF
   treatment is suboptimal. CF care teams play a critical role in
   supporting patients' chronic self-management skills, but there is no
   uniform method for assessing patients' adherence to treatment or
   standard interventions to help patients improve when necessary.
   Methods: Between May 2015 and March 2016, care team members from 10 CF
   centers in the USA participated in a practice assessment and quality
   improvement (QI) initiative. The intervention included a baseline
   practice assessment survey, personalized continuing medical education
   (CME)-certified Webconferences with expert study faculty, targeted
   reinforcement of key practice points, and follow-up online survey and
   telephone interviews to evaluate the benefits and limitations of the
   intervention.
   Results: Responses to the baseline practice assessment survey were
   received from 50 multidisciplinary care team members representing 10 CF
   centers. Primary barriers to adherence-related aspects of care in their
   clinics were motivating patients and caregivers to improve adherence and
   obtaining accurate information about adherence from patients. At the
   conclusion of the initiative, participants reported improvements in
   communication within their care team, implementation of new approaches
   to asking about adherence, and a renewed commitment to asking patients
   and caregivers about adherence at each clinic visit.
   Conclusion: Structured QI interventions that bring multidisciplinary
   care teams together to reflect on clinic processes and elicit objective
   insights from outside faculty have the potential to improve practice
   patterns related to the assessment and improvement of patient adherence
   in CF.
TC 8
Z8 0
ZB 1
ZS 0
ZR 0
ZA 0
Z9 8
U1 0
U2 4
SN 1177-889X
UT WOS:000399299500002
PM 28435234
ER

PT J
AU Turja, Tuuli
   Oksanen, Atte
   Kaakinen, Markus
   Sirola, Anu
   Kaltiala-Heino, Riittakerttu
   Rasanen, Pekka
TI Proeating disorder websites and subjective well-being: A four-country
   study on young people
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 50
IS 1
BP 50
EP 57
DI 10.1002/eat.22589
PD JAN 2017
PY 2017
AB ObjectiveProeating disorder (pro-ED) communities online encourage
   harmful weight-loss and weight-control practices. This study examined
   the association between exposure to pro-ED content online and subjective
   well-being (SWB) among adolescents and young adults in four countries.
   MethodCross-national data were collected in the US, Germany, the UK and
   Finland from Internet users aged 15-30 years (N=3,557; 50.15% male). The
   questionnaire assessed SWB, exposure to harm-advocating websites, online
   activity, prior victimization, and social belonging. Ordinary least
   squares (OLS) regression models assessed the relationship between SWB
   and pro-ED exposure and adjusted for a number of confounding factors.
   ResultsOf the participants, 17% had been exposed to pro-ED content (US
   20%, Germany 7%, UK 21%, Finland 22%). Exposure to pro-ED content online
   was negatively associated with SWB in the US, Germany, and Finland, also
   after adjusting for the confounding factors. Offline social belonging
   moderated the association between pro-ED and SWB.
   DiscussionParticipants who visited pro-ED websites reported lower SWB
   than others did. The potentially harmful impact of visiting these sites
   was buffered by the strong offline social belonging. Given the observed
   similarities across the countries, it is important for families, health
   professionals, and educators to stay abreast of online communities that
   have possible contra recovery influences and to be able to discuss such
   Internet contents in a way that increases treatment motivation. (c) 2016
   Wiley Periodicals, Inc. (Int J Eat Disord 2017; 50:50-57)
RI Oksanen, Atte/AAA-6682-2019; Kaltiala, Riittakerttu/T-9411-2019; Sirola, Anu/AAV-9015-2020; Turja, Tuuli/
OI Oksanen, Atte/0000-0003-4143-5580; Kaltiala,
   Riittakerttu/0000-0002-2783-3892; Sirola, Anu/0000-0003-2195-8114;
   Turja, Tuuli/0000-0001-7815-9511
ZB 0
ZA 0
TC 8
ZS 0
ZR 0
Z8 0
Z9 8
U1 0
U2 35
SN 0276-3478
EI 1098-108X
UT WOS:000391034600006
PM 27441787
ER

PT J
AU Coughlin, Steven S.
   Prochaska, Judith J.
   Williams, Lovoria B.
   Besenyi, Gina M.
   Heboyan, Vahe
   Goggans, D. Stephen
   Yoo, Wonsuk
   De Leo, Gianluca
TI Patient web portals, disease management, and primary prevention
SO RISK MANAGEMENT AND HEALTHCARE POLICY
VL 10
BP 33
EP 40
DI 10.2147/RMHP.S130431
PD 2017
PY 2017
AB Background: Efforts aimed at health care reform and continued advances
   in information technologies have prompted interest among providers and
   researchers in patient web portals. Patient web portals are
   password-protected online websites that offer the patients 24-hour
   access to personal health information from anywhere with an Internet
   connection.
   Methods: This article, which is based upon bibliographic searches in
   PubMed, reviews important developments in web portals for primary and
   secondary disease prevention, including patient web portals tethered to
   electronic medical records, disease-specific portals, health
   disparities, and health-related community web portals.
   Results: Although findings have not been uniformly positive, several
   studies of the effectiveness of health care system patient portals in
   chronic disease management have shown promising results with regard to
   patient outcomes. Patient web portals have also shown promising results
   in increasing adherence with screening recommendations. Racial and
   ethnic minorities, younger persons, and patients who are less educated
   or have lower health literacy have been found to be less likely to use
   patient portals.
   Conclusion: Additional studies are needed of the utility and
   effectiveness of different elements of web portals for different patient
   populations. This should include additional diseases and health topics
   such as smoking cessation and weight management.
RI Prochaska, Judith J/I-4510-2013; De Leo, Gianluca/; YOO, WONSUK/; Heboyan, Vahe/; Besenyi, Gina/
OI Prochaska, Judith J/0000-0001-7925-326X; De Leo,
   Gianluca/0000-0001-6836-8360; YOO, WONSUK/0000-0003-2414-2399; Heboyan,
   Vahe/0000-0002-4949-7703; Besenyi, Gina/0000-0002-4538-9510
TC 41
ZR 0
Z8 0
ZA 0
ZB 6
ZS 0
Z9 41
U1 0
U2 17
SN 1179-1594
UT WOS:000398616700001
PM 28435342
ER

PT J
AU Englund, Claire
TI Exploring approaches to teaching in three-dimensional virtual worlds
SO INTERNATIONAL JOURNAL OF INFORMATION AND LEARNING TECHNOLOGY
VL 34
IS 2
SI SI
BP 140
EP 151
DI 10.1108/IJILT-12-2016-0058
PD 2017
PY 2017
AB Purpose - The purpose of this paper is to explore how teachers'
   approaches to teaching and conceptions of teaching and learning with
   educational technology influence the implementation of three-
   dimensional virtual worlds (3DVWs) in health care education.
   Design/methodology/approach - Data were collected through thematic
   interviews with eight teachers to elicit their approaches to teaching in
   a 3DVW and their conceptions of teaching and learning with technology in
   online health care education.
   Findings - Results indicate that teaching in 3DVWs necessitates the
   adoption of a student- centred approach to teaching. The teachers'
   underlying approaches to teaching and learning became evident in their
   student- centred approach and use of problem- based activities. The
   immersive, social nature of the environment facilitated the creation of
   authentic, communicative learning activities created by the health care
   teachers and was in alignment with their disciplinary approaches to
   teaching and learning.
   Research limitations/implications - The sample size of the study is
   relatively small which limits the degree of external validity and
   generalisability of the results. Practical implications - If
   sustainability of 3DVWs is to be achieved, academic development
   activities for teachers and their communities of practice may be
   necessary to support conceptual change and facilitate a shift to
   student- centred teaching where necessary.
   Originality/value - There is limited research concerning the
   relationship between teachers' approaches to teaching and the use of
   educational technologies, in particular the implementation of 3DVWs.
OI Englund, Claire/0000-0003-3448-7964
ZB 0
ZA 0
ZS 0
TC 7
Z8 0
ZR 0
Z9 7
U1 0
U2 5
SN 2056-4880
UT WOS:000399059300007
ER

PT J
AU Weyers, Simone
   Noack, Thorsten
   Rehkaemper, Gerd
   Wenzel-Meyburg, Ursula
   Schulz, Christian
   Schmitz, Andrea
TI "I just realized that something happened to me today" - An innovative
   educational approach to support students in dealing with the dissection
   course, death and dying
SO ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER
VL 210
BP 160
EP 163
DI 10.1016/j.aanat.2016.11.012
PD 2017
PY 2017
AB Background and aim: The dissection course is an essential part of
   preclinical medical education. At the Medical Faculty of Duesseldorf, a
   required elective course has been developed over three semesters with
   the aim of encouraging students to reflect on their experiences in the
   dissection course and offering them support in dealing with aspects of
   death and dying. The aim of this paper is to present this educational
   approach and the student evaluations.
   Methods and results: The educational concept follows a peer group
   approach and is comprised of several components spanning three
   semesters: introductory lectures, tours of the dissection hall and
   clinical wards, an online diary, and reflection groups. Quantitative and
   qualitative evaluation has shown that students rate the course
   positively as to its benefits and workload. While all of the components
   should be retained, students do wish more time to visit sites and engage
   with professionals in connection with death and dying.
   Discussion: This strategy could serve as a cornerstone for longitudinal
   training to promote adequate coverage of topics such as death and dying.
   The course has a reasonable cost-benefit ratio. When transferring it to
   another setting, a gratification system should be considered. (C) 2016
   Elsevier GmbH. All rights reserved.
RI Schulz-Quach, Christian/AAI-2080-2019; Noack, Thilo/
OI Schulz-Quach, Christian/0000-0002-5615-2113; Noack,
   Thilo/0000-0003-0245-0147
TC 6
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 6
U1 0
U2 4
SN 0940-9602
EI 1618-0402
UT WOS:000395610600020
PM 27986615
ER

PT J
AU Burbage, Jenny
   Cameron, Lorna
TI An investigation into the prevalence and impact of breast pain, bra
   issues and breast size on female horse riders
SO JOURNAL OF SPORTS SCIENCES
VL 35
IS 11
BP 1091
EP 1097
DI 10.1080/02640414.2016.1210818
PD 2017
PY 2017
AB For female horse riders, breast pain, bra issues and breast size may be
   important concerns which have yet to be considered. This study aimed to
   establish the prevalence of breast pain and bra issues in female horse
   riders and explores the impact of breast size on breast pain and bra
   issues. A 6-part, 32 question online survey was completed by 1324
   females who participated in horse riding activities. Descriptive and
   chi-squared (chi(2)) analyses were utilised; data for 1265 participants
   were included in the final analysis. Breast pain was experienced by 40%
   of all participants and this was significantly related to self-reported
   cup size (chi(2) = 54.825, P < 0.001), increasing linearly. Breast pain
   was experienced most frequently during sitting trot and 21% of
   symptomatic participants reported that breast pain affected their horse
   riding performance. At least one bra issue was reported by 59% of
   participants; larger-breasted participants reported experiencing all bra
   issues more frequently than smaller-breasted participants (P < 0.001).
   These results demonstrate that educational initiatives are needed to
   ensure female horse riders are informed about appropriate bra fit and
   breast support during horse riding to increase comfort and help reduce
   the potential negative associations with performance.
OI Burbage, Jenny/0000-0002-7028-0381
Z8 0
ZR 0
ZA 0
TC 15
ZB 2
ZS 0
Z9 15
U1 0
U2 17
SN 0264-0414
EI 1466-447X
UT WOS:000396769800009
PM 27454814
ER

PT S
AU Canning, Claire Ann
   Loe, Alan
   Cockett, Kathryn Jane
   Gagnon, Paul
   Zary, Nabil
BE Randell, R
   Cornet, R
   McCowan, C
   Peek, N
   Scott, PJ
TI Data Driven Quality Improvement of Health Professions Education: Design
   and Development of CLUE - An Interactive Curriculum Data Visualization
   Tool
SO INFORMATICS FOR HEALTH: CONNECTED CITIZEN-LED WELLNESS AND POPULATION
   HEALTH
SE Studies in Health Technology and Informatics
VL 235
BP 171
EP 175
DI 10.3233/978-1-61499-753-5-171
PD 2017
PY 2017
AB Curriculum Mapping and dynamic visualization is quickly becoming an
   integral aspect of quality improvement in support of innovations which
   drive curriculum quality assurance processes in medical education. CLUE
   ( Curriculum Explorer) a highly interactive, engaging and independent
   platform was developed to support curriculum transparency, enhance
   student engagement, and enable granular search and display. Reflecting a
   design based approach to meet the needs of the school's varied
   stakeholders, CLUE employs an iterative and reflective approach to drive
   the evolution of its platform, as it seeks to accommodate the
   ever-changing needs of our stakeholders in the fast pace world of
   medicine and medical education today. CLUE exists independent of
   institutional systems and in this way, is uniquely positioned to deliver
   a data driven quality improvement resource, easily adaptable for use by
   any member of our health care professions.
RI Zary, Nabil/M-9432-2019
OI Zary, Nabil/0000-0001-8999-6999
Z8 0
ZS 0
ZA 0
ZR 0
TC 3
ZB 0
Z9 3
U1 1
U2 3
SN 0926-9630
EI 1879-8365
BN 978-1-61499-753-5; 978-1-61499-752-8
UT WOS:000458298900035
PM 28423777
ER

PT S
AU Li, Xin
   Gray, Kathleen
   Verspoor, Karin
   Barnett, Stephen
BE Randell, R
   Cornet, R
   McCowan, C
   Peek, N
   Scott, PJ
TI Understanding the Context of Learning in an Online Social Network for
   Health Professionals' Informal Learning
SO INFORMATICS FOR HEALTH: CONNECTED CITIZEN-LED WELLNESS AND POPULATION
   HEALTH
SE Studies in Health Technology and Informatics
VL 235
BP 353
EP 357
DI 10.3233/978-1-61499-753-5-353
PD 2017
PY 2017
AB Online social networks (OSN) enable health professionals to learn
   informally, for example by sharing medical knowledge, or discussing
   practice management challenges and clinical issues. Understanding the
   learning context in OSN is necessary to get a complete picture of the
   learning process, in order to better support this type of learning. This
   study proposes critical contextual factors for understanding the
   learning context in OSN for health professionals, and demonstrates how
   these contextual factors can be used to analyse the learning context in
   a designated online learning environment for health professionals.
RI Verspoor, Karin/G-6034-2016; Li, Xin/
OI Verspoor, Karin/0000-0002-8661-1544; Li, Xin/0000-0003-2275-7277
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
TC 0
Z9 0
U1 1
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-753-5; 978-1-61499-752-8
UT WOS:000458298900071
PM 28423813
ER

PT J
AU Lotfipour, Mona
   Rolius, Ramunas
   Lehman, Erik B.
   Pantanelli, Seth M.
   Scott, Ingrid U.
TI Trends in cataract surgery training curricula
SO JOURNAL OF CATARACT AND REFRACTIVE SURGERY
VL 43
IS 1
BP 49
EP 53
DI 10.1016/j.jcrs.2016.10.020
PD JAN 2017
PY 2017
AB Purpose: To evaluate trends in cataract surgery training curricula and
   factors affecting timing of resident participation as a primary surgeon.
   Setting: Pennsylvania State College of Medicine, Hershey, Pennsylvania,
   USA.
   Design: Cross-sectional study of anonymous survey results.
   Methods: A description of the study and link to an online survey was
   e-mailed to program directors of each ophthalmology residency training
   program accredited by the Accreditation Council for Graduate Medical
   Education (ACGME).
   Results: Fifty-one (44%) of the 116 program directors completed the
   survey. First-year, second-year, and third-year residents performed a
   mean of 2, 25, and 155 phacoemulsification surgeries, respectively, as a
   primary surgeon. Only 1 program (2%) required residents to perform
   extracapsular cataract extraction (ECCE) before performing
   phacoemulsification. Clear corneal phacoemulsification was the first
   technique taught to trainees at 91% of programs. More than two thirds
   (71%) of program directors indicated that their program had a cataract
   surgery training curriculum designed to transition residents gradually
   to the operating room. These curricula included structured wet
   laboratory (92%) and lecture (89%) components. Inadequate resident
   knowledge and surgical skill base (57%) and anticipation of increased
   surgical complication risk (37%) were the most commonly reported factors
   impeding earlier exposure to phacoemulsification in residency.
   Conclusions: Results show that residents today begin surgical training
   with phacoemulsification rather than ECCE, perform a higher number of
   phacoemulsification surgeries than is required by the ACGME, and begin
   performing phacoemulsification as early as their first or second year of
   residency. Despite these evolutions, 29% of respondent ACGME-accredited
   ophthalmology residency programs reported not having a formal cataract
   surgery training curriculum. (C) 2016 ASCRS and ESCRS
RI Pantanelli, Seth/GRR-5413-2022; Scott, Ingrid/; Camacci, Mona/; Pantanelli, Seth/
OI Scott, Ingrid/0000-0002-3908-7153; Camacci, Mona/0000-0001-6090-1271;
   Pantanelli, Seth/0000-0003-4992-9606
ZB 3
TC 16
Z8 0
ZA 0
ZS 0
ZR 0
Z9 16
U1 0
U2 3
SN 0886-3350
EI 1873-4502
UT WOS:000398650600009
PM 28317677
ER

PT J
AU Jordan, Jaime
   Coates, Wendy C.
   Clarke, Samuel
   Runde, Daniel P.
   Fowlkes, Emilie
   Kurth, Jacqueline
   Yarris, Lalena M.
TI Exploring Scholarship and the Emergency Medicine Educator: A Workforce
   Study
   (http://westjem.com/originalresearch/exploring-scholarship-and-theemerge
   ncy-medicine-educator-a-workforcestudy.html)
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 1
DI 10.5811/WESTJEM.2016.10.32636
PD JAN 2017
PY 2017
AB Introduction
   Recent literature calls for initiatives to improve the quality of
   education studies and support faculty in approaching educational
   problems in a scholarly manner. Understanding the emergency medicine
   (EM) educator workforce is a crucial precursor to developing policies to
   support educators and promote education scholarship in EM. This study
   aims to illuminate the current workforce model for the academic EM
   educator.
   Methods
   Program leadership at EM training programs completed an online survey
   consisting of multiple choice, completion, and free-response type items.
   We calculated and reported descriptive statistics.
   Results
   112 programs participated. Mean number of core faculty/program: 16.02
   +/- 7.83 [14.53-17.5]. Mean number of faculty full-time equivalents
   (FTEs)/program dedicated to education is 6.92 +/- 4.92 [5.87-7.98],
   including (mean FTE): Vice chair for education (0.25); director of
   medical education (0.13); education fellowship director (0.2); residency
   program director (0.83); associate residency director (0.94); assistant
   residency director (1.1); medical student clerkship director (0.8);
   assistant/associate clerkship director (0.28); simulation fellowship
   director (0.11); simulation director (0.42); director of faculty
   development (0.13). Mean number of FTEs/program for education
   administrative support is 2.34 +/- 1.1 [2.13-2.61]. Determination of
   clinical hours varied; 38.75% of programs had personnel with education
   research expertise.
   Conclusion
   Education faculty represent about 43% of the core faculty workforce.
   Many programs do not have the full spectrum of education leadership
   roles and educational faculty divide their time among multiple important
   academic roles. Clinical requirements vary. Many departments lack
   personnel with expertise in education research. This information may
   inform interventions to promote education scholarship.
RI Coates, Wendy/M-1165-2019
OI Coates, Wendy/0000-0002-3305-8802
ZS 0
ZA 0
Z8 0
TC 0
ZR 0
ZB 0
Z9 0
U1 0
U2 1
SN 1936-900X
EI 1936-9018
UT WOS:000397630600022
ER

PT J
AU Baschnegger, H.
   Meyer, O.
   Zech, A.
   Urban, B.
   Rall, M.
   Breuer, G.
   Prueckner, S.
TI Full-scale Simulation in the German Medical Schools and anesthesia
   Residency Programs Status quo
SO ANAESTHESIST
VL 66
IS 1
BP 11
EP 20
DI 10.1007/s00101-016-0251-7
PD JAN 2017
PY 2017
AB Simulation has been increasingly used in medicine. In 2003 German
   university departments of anesthesiology were provided with a full-scale
   patient simulator, designated for use with medical students. Meanwhile
   simulation courses are also offered to physicians and nurses. Currently,
   the national model curriculum for residency programs in anesthesiology
   is being revised, possibly to include mandatory simulation training.
   To assess the status quo of full-scale simulation training for medical
   school, residency and continuing medical education in German
   anesthesiology.
   All 38 German university chairs for anesthesiology as well as five
   arbitrarily chosen non-university facilities were invited to complete an
   online questionnaire regarding their centers' infrastructure and courses
   held between 2010 and 2012.
   The overall return rate was 86 %. In university simulation centers seven
   non-student staff members, mainly physicians, were involved, adding up
   to a full-time equivalent of 1.2. All hours of work were paid by 61 % of
   the centers. The median center size was 100 m(2) (range 20-500 m(2)),
   equipped with three patient simulators (1-32). Simulators of high or
   very high fidelity are available at 80 % of the centers. Scripted
   scenarios were used by 91 %, video debriefing by 69 %. Of the
   participating university centers, 97 % offered courses for medical
   students, 81 % for the department's employees, 43 % for other
   departments of their hospital, and 61 % for external participants. In
   2012 the median center reached 46 % of eligible students (0-100), 39 %
   of the department's physicians (8-96) and 16 % of its nurses (0-56)
   once. For physicians and nurses from these departments that equals one
   simulation-based training every 2.6 and 6 years, respectively. 31 % made
   simulation training mandatory for their residents, 29 % for their nurses
   and 24 % for their attending physicians. The overall rates of staff ever
   exposed to simulation were 45 % of residents (8-90), and 30 % each of
   nurses (10-80) and attendings (0-100). Including external courses the
   average center trained 59 (4-271) professionals overall in 2012. No
   clear trend could be observed over the three years polled. The results
   for the non-university centers were comparable.
   Important first steps have been taken to implement full-scale simulation
   in Germany. In addition to programs for medical students courses for
   physicians and nurses are available today. To reach everyone clinically
   involved in German anesthesiology on a regular basis the current
   capacities need to be dramatically increased. The basis for that to
   happen will be new concepts for funding, possibly supported by external
   requirements such as the national model curriculum for residency in
   anesthesiology.
RI Prueckner, Stephan/AAB-2280-2021; Zech, Alexandra/
OI Prueckner, Stephan/0000-0002-5128-7625; Zech,
   Alexandra/0000-0003-2673-1904
ZS 0
ZA 0
Z8 0
ZB 1
TC 7
ZR 0
Z9 7
U1 0
U2 11
SN 0003-2417
EI 1432-055X
UT WOS:000392373400004
PM 27942787
ER

PT J
AU Perrego, Kristen
TI Improving Staff Knowledge of Perioperative Regulated-Waste Management
SO AORN JOURNAL
VL 105
IS 1
BP 85
EP 91
DI 10.1016/j.aorn.2016.11.005
PD JAN 2017
PY 2017
AB The mismanagement of regulated waste is a costly issue for many health
   care facilities. Our facility undertook a quality improvement project to
   determine whether increasing staff members' knowledge of regulated-waste
   management would reduce its mismanagement in the surgical setting. I
   designed a mandatory online learning module for all perioperative staff
   members and obtained consent from participants to use their test scores.
   I also designed pre-and posteducation audits to identify the total mass
   of regulated waste produced in the department and to categorize which
   items were nonregulated according to facility standards. Personnel
   achieved a 41% reduction in the total mass of regulated waste sampled
   and a 77% reduction in nonregulated item mass. The results of the audits
   determined that perioperative staff members are more likely to improve
   compliance with the disposal of regulated waste after increasing their
   knowledge base. (C) AORN, Inc, 2017.
ZA 0
ZS 0
ZR 0
ZB 1
Z8 0
TC 4
Z9 4
U1 2
U2 3
SN 0001-2092
UT WOS:000396510500020
PM 28034404
ER

PT J
AU Kent, S.
   Herbert, C.
   Magennis, P.
   Cleland, J.
TI What attracts people to a career in oral and maxillofacial surgery? A
   questionnaire survey
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 55
IS 1
BP 41
EP 45
DI 10.1016/j.bjoms.2016.08.022
PD JAN 2017
PY 2017
AB A key aspect of recruiting and retaining the best trainees is
   identification of the factors that attracted them to OMFS. Although such
   factors have been examined for medicine in general, we know of no
   previous study that has looked at those that are specific to OMFS. We
   distributed a survey online to roughly 1500 people who had registered an
   interest in OMFS over the past seven years. Personal data, and those
   about education and employment, were recorded, together with particular
   factors that drew them to OMFS. Of the 251 trainees who responded, 177
   (71%) were interested in a career in OMFS. Differences among sub-groups
   related to dual qualification, sex, and relationships. Open comments
   identified the following attractive factors: variety of work,
   intellectually interesting work, collegiate atmosphere within OMFS, and
   making a difference to patients. The personalities of those who
   continued with OMFS training placed high value on achievement, and were
   more conscientious. The factors identified suggest that the positioning
   of OMFS as a complex, challenging, and varied hospital-based surgical
   specialty is key to attracting trainees, and these will be used in
   future research so that we can move forward from identifying preferences
   to assessing the relative value placed on those preferences. The data
   will be useful in the development of strategies to attract new trainees
   and retain them in the specialty. Copyright (C) 2016 The British
   Association of Oral and Maxillofacial Surgeons. Published by Elsevier
   Ltd. All rights reserved.
RI Cleland, Jennifer/AAI-9412-2020; Magennis, Patrick/
OI Cleland, Jennifer/0000-0003-1433-9323; Magennis,
   Patrick/0000-0002-7125-7175
ZR 0
Z8 0
ZB 0
TC 16
ZS 0
ZA 0
Z9 16
U1 0
U2 4
SN 0266-4356
EI 1532-1940
UT WOS:000396430400010
PM 27638194
ER

PT J
AU Mansouri, Alireza
   Witiw, Christopher D.
   Badhiwala, Jetan H.
   Nassiri, Farshad
   McDonald, Patrick J.
   Kulkarni, Abhaya V.
   Zadeh, Gelareh
   Kondziolka, Douglas
TI National Perspectives on the Training of Neurosurgery Residents in
   Stereotactic Radiosurgery
SO CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
VL 44
IS 1
BP 51
EP 58
DI 10.1017/cjn.2016.314
PD JAN 2017
PY 2017
AB Background: Despite the critical role played by neurosurgeons in
   performing radiosurgery, neurosurgery residents in Canada have limited
   exposure to radiosurgery during their training. A survey of neurosurgery
   residents and faculty along with radiation oncology faculty was
   conducted to analyze perspectives regarding incorporating formal
   radiosurgery training into the neurosurgery residency curriculum
   Methods: An online survey platform was employed. Descriptive statistics
   were used to summarize center and respondent characteristics.
   Categorical variables were compared using odds ratios and corresponding
   95% confidence intervals. The chisquared test was utilized to assess
   statistical significance. A value of p<0.05 was considered significant
   Results: The response rate was 31% (119/381); 87% (102/119) of
   respondents were from the neurosurgical specialty and 13% (17/119) from
   radiation oncology. Some 46% of residents (18/40) were "very
   uncomfortable" with radiosurgery techniques, and 57% of faculty (42/73)
   believed that dedicated radiosurgery training would be beneficial though
   impractical. No respondents felt that "no training" would be beneficial.
   A total of 46% of residents (19/41) felt that this training would be
   beneficial and that time should be taken away from other rotations, if
   needed, while 58% of faculty (42/73) and 75% (28/41) of residents
   believed that either 1 or 1-3 months of time dedicated to training in
   radiosurgery would suffice Conclusions: Canadian neurosurgeons are
   actively involved in radiosurgery. Despite residents anticipating a
   greater role for radiosurgery in their future, they are uncomfortable
   with the practice. With the indications for radiosurgery expanding, this
   training gap can have serious adverse consequences for patients.
   Considerations regarding the incorporation and optimal duration of
   dedicated radiosurgery training into the Canadian neurosurgery residency
   curriculum are necessary.
OI McDonald, Patrick/0000-0002-7083-3927; Mansouri,
   Alireza/0000-0002-7442-7539
Z8 0
ZR 0
TC 6
ZA 0
ZB 4
ZS 0
Z9 6
U1 0
U2 0
SN 0317-1671
EI 2057-0155
UT WOS:000393856800008
PM 28004631
ER

PT J
AU Summit, Aleza K.
   Gold, Marji
TI The Effects of Abortion Training on Family Medicine Residents' Clinical
   Experience
SO FAMILY MEDICINE
VL 49
IS 1
BP 22
EP 27
PD JAN 2017
PY 2017
AB BACKGROUND AND OBJECTIVES: RHEDI, Reproductive Health Education in
   Family Medicine, offers technical assistance and funding to family
   medicine residency programs to support integrated opt-out abortion and
   reproductive health training for residents. This study assessed the
   impact of this enhanced training on residents' reproductive health
   experience.
   METHODS: Investigator-developed pre-and post-surveys were administered
   online to 214 residents at 12 family medicine residency programs before
   and after their RHEDI training experience. Surveys addressed experience
   in contraception and abortion, attitudes around abortion provision, and
   post-residency intentions. Descriptive statistics were generated, and
   statistical tests were performed to assess changes after training.
   RESULTS: Surveys had a 90% response rate. After the RHEDI enhanced
   reproductive health rotation, residents reported increased experience in
   contraception provision, early pregnancy ultrasound, aspiration and
   medication abortion, and miscarriage management. After training,
   residents with experience in IUD insertion increased from 85% to 99%,
   and contraceptive implant insertion experience rose from 60% to 85%.
   Residents who had performed any abortions increased from 15% to 79%, and
   self-rated competency in abortion increased. Finally, almost all
   residents agreed that early abortion was within the scope of family
   medicine, and training confirmed residents' intentions to provide
   reproductive health services after residency.
   CONCLUSIONS: Integrated training in reproductive health, with an
   emphasis on abortion, increases residents' experience and underscores
   their understanding of the role of these services in family medicine.
   Increasing the number of family medicine residency programs that offer
   this training could help prepare family physicians to meet their
   patients' needs for reproductive health services.
ZR 0
ZB 6
TC 13
ZS 0
ZA 0
Z8 0
Z9 13
U1 0
U2 3
SN 0742-3225
EI 1938-3800
UT WOS:000397087700004
PM 28166576
ER

PT J
AU Ouyang, Ben
   Li, Lucy D. X.
   Mount, Joanne
   Jamal, Alainna J.
   Berry, Lauren
   Simone, Carmine
   Law, Marcus
   Tai, R. W. Melissa
TI Incidence and characteristics of needlestick injuries among medical
   trainees at a community teaching hospital: A cross-sectional study
SO JOURNAL OF OCCUPATIONAL HEALTH
VL 59
IS 1
BP 63
EP 73
DI 10.1539/joh.15-0253-FS
PD JAN 2017
PY 2017
AB Objectives: This field study aimed to determine the incidence and
   distribution of needlestick injuries among medical trainees at a
   community teaching hospital in Toronto, Canada. Methods: The study was
   performed during the 2013-2015 academic years at Toronto East General
   Hospital (TEGH), a University of Toronto-affiliated community-teaching
   hospital during the 2013-2015 academic years. Eight-hundred and forty
   trainees, including medical students, residents, and post-graduate
   fellows, were identified and invited via email to participate in an
   anonymous online fluidsurveys. com survey of 16 qualitative and
   quantitative questions. Results : Three-hundred and fifty trainees
   responded (42% response rate). Eighty-eight (25%) respondents reported
   experiencing at least one injury at TEGH. In total, our survey
   identified 195 total injuries. Surgical trainees were significantly more
   likely to incur injuries than non-surgical trainees (IRR = 3.03, 95% CI
   1.80-5.10). Orthopaedic surgery trainees had the highest risk of a
   needlestick injury, being over 12 times more likely to be injured than
   emergency medicine trainees (IRR = 12.4, 95% CI 2.11-72.32). Only 28 of
   the 88 most recent needlestick injuries were reported to occupational
   health. Trainees reported a perception of insignificant risk, lack of
   resources and support for reporting, and injury stigmatization as
   reasons for not reporting needlestick injuries. Conclusions: Needlestick
   injuries were a common underreported risk to medical trainees at TEGH.
   Future research should investigate strategies to reduce injury and
   improve report-ing among the high-risk and reporting-averse trainees.
OI Law, Marcus/0000-0001-9746-6381; Jamal, Alainna J./0000-0001-7082-3027
ZB 1
ZA 0
ZR 0
ZS 2
TC 15
Z8 0
Z9 15
U1 0
U2 5
SN 1341-9145
EI 1348-9585
UT WOS:000393030800009
PM 27885240
ER

PT J
AU Schneider, Ethan
   Schenarts, Paul J.
   Shostrom, Valerie
   Schenarts, Kimberly D.
   Evans, Charity H.
TI "I got it on Ebay!": cost-effective approach to surgical skills
   laboratories
SO JOURNAL OF SURGICAL RESEARCH
VL 207
BP 190
EP 197
DI 10.1016/j.jss.2016.08.017
PD JAN 2017
PY 2017
AB Background: Surgical education is witnessing a surge in the use of
   simulation. However, implementation of simulation is often
   cost-prohibitive. Online shopping offers a low budget alternative. The
   aim of this study was to implement cost-effective skills laboratories
   and analyze online versus manufacturers' prices to evaluate for savings.
   Materials and methods: Four skills laboratories were designed for the
   surgery clerkship from July 2014 to June 2015. Skills laboratories were
   implemented using hand-built simulation and instruments purchased
   online. Trademarked simulation was priced online and instruments priced
   from a manufacturer. Costs were compiled, and a descriptive cost
   analysis of online and manufacturers' prices was performed. Learners
   rated their level of satisfaction for all educational activities, and
   levels of satisfaction were compared.
   Results: A total of 119 third-year medical students participated. Supply
   lists and costs were compiled for each laboratory. A descriptive cost
   analysis of online and manufacturers' prices showed online prices were
   substantially lower than manufacturers, with a per laboratory savings
   of: $1779.26 (suturing), $1752.52 (chest tube), $2448.52 (anastomosis),
   and $1891.64 (laparoscopic), resulting in a year 1 savings of $47,285.
   Mean student satisfaction scores for the skills laboratories were 4.32,
   with statistical significance compared to live lectures at 2.96 (P <
   0.05) and small group activities at 3.67 (P < 0.05).
   Conclusions: A cost-effective approach for implementation of skills
   laboratories showed substantial savings. By using hand-built simulation
   boxes and online resources to purchase surgical equipment, surgical
   educators overcome financial obstacles limiting the use of simulation
   and provide learning opportunities that medical students perceive as
   beneficial. (C) 2016 Elsevier Inc. All rights reserved.
Z8 0
ZA 0
ZR 0
TC 3
ZS 0
ZB 0
Z9 3
U1 0
U2 2
SN 0022-4804
EI 1095-8673
UT WOS:000392212800025
PM 27979476
ER

PT J
AU Burlew, Clay Cothren
   Davis, Kimberly A.
   Fildes, John J.
   Esposito, Thomas J.
   Dente, Christopher J.
   Jurkovich, Gregory J.
TI Acute care surgery fellowship graduates' practice patterns: The
   additional training is an asset
SO JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
VL 82
IS 1
BP 208
EP 210
DI 10.1097/TA.0000000000001309
PD JAN 2017
PY 2017
AB BACKGROUND: Over the past decade, the American Association for the
   Surgery of Trauma Acute Care Surgery (ACS) fellowship program has
   matured to 20 verified programs. As part of an ongoing curricular
   evaluation, we queried the current practice patterns of the graduates of
   ACS fellowship programs regarding their view on their ACS training. We
   hypothesized that the majority of ACS fellowship graduates would be
   practicing ACS in academic Level I trauma centers and that fellowship
   training was pivotal in their career.
   METHODS: Graduates of American Association for the Surgery of
   Trauma-certified ACS fellowships completed an online survey that
   included practice demographics, specific categories of cases delineated
   by the current ACS curriculum, and perceived impact of training.
   RESULTS: Surveys were submitted by 56 of 77 graduates for a completion
   rate of 73%. The majority of respondents were male (68%) aged 40 years
   or younger (80%). All but four completed ACS fellowship training in last
   5 years (93%), and 83% completed fellowship in the last 3 years.
   Regarding their current practice, broadly defined ACS predominated (96%)
   with 2% practicing only trauma surgery and 2% only general surgery.
   Practice settings were 64% urban, 29% suburban, and 7% rural locations,
   with 84% of graduates practicing in a hospital-based group. The
   practitioner's hospital was identified as
   university/university-affiliated in 53%, community in 38%, and military
   in 9%, with 91% identified as a teaching hospital; trauma designation
   was identified as Level I (55%), Level II (39%), and other (6%). The
   graduates' average current practice mix is 10% elective general surgery,
   29% emergency general surgery, 32% trauma, 25% surgical critical care,
   and 4% other (burn, bariatric, vascular, and thoracic). Only 16% of
   graduates do not performelective cases. Case specifics demonstrated 92%
   of graduates perform vascular cases, 88% perform thoracic cases, and 70%
   perform complex hepatobiliary. Practice elements that were satisfiers
   included (1) scope of practice, (2) case mix, (3) percentage emergency
   general surgery, (4) lifestyle, (5) case complexity (with 3 and 4 tied).
   Graduates agreed the ACS fellowship training prepared them well for
   practice and was worth the time invested (both 82%), increased their
   marketability and self-confidence (80%), and prepared them well for
   academics (71%) and administration (63%). Of those surveyed, 93% would
   encourage others to do an ACS fellowship.
   CONCLUSION: Although 93% of graduates practice in urban/suburban areas,
   there was a mixture of university, university-affiliated, and community
   institutions and an almost even division of Levels I and II designation.
   Graduates demonstrate ongoing use of their acquired advanced operative
   training, particularly in vascular and thoracic surgery. The majority of
   ACS fellowship graduates were practicing ACS and felt fellowship
   training was valuable in their career path and that they would recommend
   it to others. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights
   reserved.)
Z8 0
ZS 0
ZB 3
ZR 0
ZA 0
TC 17
Z9 17
U1 0
U2 1
SN 2163-0755
EI 2163-0763
UT WOS:000391852600038
PM 27779596
ER

PT J
AU Boada, Leticia
   Parellada, Mara
TI Seeing the doctor without fear: www.doctortea.org for the
   desensitization for medical visits in Autism Spectrum Disorders
SO REVISTA DE PSIQUIATRIA Y SALUD MENTAL
VL 10
IS 1
BP 28
EP 32
DI 10.1016/j.rpsm.2016.09.005
PD JAN-MAR 2017
PY 2017
AB Introduction: Doctor Tea is an online website designed to facilitate
   medical visits for those with autism spectrum disorder and other
   disabilities. People diagnosed with autism not only have greater medical
   needs than the general population, but also have particular
   characteristics that are often not accommodated by medical services.
   This lack of medical accommodation often creates a very complicated, and
   sometimes traumatic experience, when visiting medical facilities.
   Individuals with autism have great difficulty understanding social
   situations and contexts, such as medical tests or consultations, as well
   as difficulty in tolerating new situations and atypical sensory
   thresholds. Doctor Tea aims to reduce anxiety before medical
   consultations and procedures from a safe and well-known environment
   (school, home, etc.).
   Material and Method: The website, www.doctortea.org, provides
   information and materials (videos, cartoon, 3 D animations, pictogram
   sequences, etc.) about the most frequent medical procedures and
   practices for patients with autism. The website also offers information
   to the doctors and, families of patients with autism about the most
   common medical problems associated with autism.
   Results: A total of 17,199 different users visited the website during
   2015, with a total of 23,348 online visitors from more than 70 different
   countries since the website's release in November 2014.
   Conclusions: The familiarisation with the medical procedures and its
   environment appears to decrease the anxiety in patients with
   disabilities during medical visits, as well as optimising the
   effectiveness of their medical visits and tests. (C) 2016 SEP y SEPB.
   Published by Elsevier Espana, S.L.U. All rights reserved.
RI Parellada, Mara/AAQ-1272-2021; Parellada, Mara/GQH-7619-2022
OI Parellada, Mara/0000-0001-7977-3601; 
TC 4
ZR 0
ZB 0
ZA 0
ZS 0
Z8 0
Z9 4
U1 1
U2 21
SN 1888-9891
EI 1989-4600
UT WOS:000395497900004
PM 27964853
ER

PT J
AU Seitz, Tamara
   Turk, Bela R.
   Loeffler-Stastka, Henriette
TI Can we still stop the migration of physicians from Austria? An
   evaluation of clinical internships by students of the Medical University
   of Vienna
SO WIENER KLINISCHE WOCHENSCHRIFT
VL 129
IS 1-2
BP 65
EP 69
DI 10.1007/s00508-016-1095-5
PD JAN 2017
PY 2017
AB The increasing emigration of graduates of the Medical University of
   Vienna presents a serious problem. This study examined students'
   evaluation of clinical rotations, their self-rated performance, and
   where they felt the most deficits exist. Medical students answered an
   online questionnaire surveying the following aspects: an evaluation of
   their internship; supervision; integration in the team and improvement
   of field-specific knowledge; the qualities of taking a patient's medical
   history by empathy; patient-centeredness; structure; target orientation;
   and the ability to integrate field-specific knowledge into anamnesis.
   The data collected indicate that rotations in Austria, especially in
   Vienna, were evaluated significantly worse than those abroad.
   Particularly the lack of supervision and integration in the team were
   criticized. These data stress a dire need for the reform of curricular
   structures during clinical rotation in the latter years of medical
   education.
RI Henriette, Löffler-Stastka/P-1229-2016
OI Henriette, Löffler-Stastka/0000-0001-8785-0435
ZR 0
ZB 2
ZA 0
ZS 0
Z8 0
TC 5
Z9 5
U1 0
U2 7
SN 0043-5325
EI 1613-7671
UT WOS:000392536800011
PM 27761735
ER

PT J
AU Swinnerton, Bronwen J.
   Morris, Neil P.
   Hotchkiss, Stephanie
   Pickering, James D.
TI The Integration of an Anatomy Massive Open Online Course (MOOC) into a
   Medical Anatomy Curriculum
SO ANATOMICAL SCIENCES EDUCATION
VL 10
IS 1
BP 53
EP 67
DI 10.1002/ase.1625
PD JAN-FEB 2017
PY 2017
AB Massive open online courses (MOOCs) are designed as stand-alone courses
   which can be accessed by any learner around the globe with only an
   internet-enabled electronic device required. Although much research has
   focused on the enrolment and demographics of MOOCs, their impact on
   undergraduate campus-based students is still unclear. This article
   explores the impact of integrating an anatomy MOOC in to the anatomy
   curriculum of a year 1 medical degree program at the University of
   Leeds, United Kingdom. The course did not replace any teaching that was
   already being delivered, and was used to supplement this teaching to
   support the students' consolidation and revision. Analysis of student
   feedback indicates a high level of usage, with evidence to suggest that
   female learners may have approached the course in a more personalized
   manner. Although the video based resources and quizzes were greatly
   appreciated as learning tools, significant evidence suggests the
   students did not engage, or were inclined to engage, with the discussion
   fora. Furthermore, a significant majority of students did not want the
   MOOC to replace the existing teaching they received. Given the feedback
   provided, this research suggests that although the student population
   believe there to be value in having access to MOOC material, their role
   as replacements to campus-based teaching is not supported. Details
   regarding the enrolment and engagement of the general public with the
   MOOC during the two runs are also documented, with the suggestion that
   graduates employed in the healthcare sector were the primary users of
   the course. Anat Sci Educ 10: 53-67. (C) 2016 American Association of
   Anatomists.
OI Morris, Neil/0000-0003-4448-9381
TC 60
Z8 3
ZS 3
ZR 0
ZB 6
ZA 0
Z9 66
U1 3
U2 64
SN 1935-9772
EI 1935-9780
UT WOS:000396506300006
PM 27315160
ER

PT J
AU Fritze, Olaf
   Griewatz, Jan
   Narciss, Elisabeth
   Shiozawa, Thomas
   Wosnik, Annette
   Zipfel, Stephan
   Lammerding-Koeppel, Maria
TI How much GK is in the NKLM? A comparison between the catalogues of exam-
   relevant topics (GK) and the German National Competence- based Learning
   Objectives Catalogue for Undergraduate Medical Education (NKLM)
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 1
AR Doc9
DI 10.3205/zma001086
PD 2017
PY 2017
AB Background: The German National Competence-Based Learning Objectives for
   Undergraduate Medical Education (NKLM) being adopted in 2015 is designed
   to contribute to improve the quality of teaching and learning in
   medicine with respect to competence orientation. For departments, the
   coherence between teaching, assessment and the content of the catalogues
   of exam-relevant topics (GK) is a crucial factor. Before making use of
   the NKLM seriously in curricular development, many faculties demand more
   transparency regarding the representation in the NKLM of GK topics and
   in what aspects the NKLM exceeds the GK. Therefore, the aim of the study
   was to assign the NKLM competencies and objectives to the systematic GK
   terms, to reveal gaps in their congruence and to determine the
   percentage of agreement between GK and NKLM. Additionally, the
   distribution among the NKLM chapters (chap.), of GK content and further
   competencies relevant for medical practice were analysed.
   Methods: The textual comparison of GK and NKLM was done by advanced
   students that were familiar with the NKLM from previous analyses. The
   comparison was done independently (keyword search, face validity),
   afterwards consented and matched with independent ratings of GK-2 and
   chapter 21 done by experts as well as with cross-references to the GK
   indicated in chapter 12, 13 and 15 of the NKLM. Detailed data is
   available online: www. merlin-bw. de/gk-nklm-abgleich. html.
   Results: The degree of correspondence of the GK's six preclinical parts
   with the NKLM ranges between 94% and 98%, with the clinical GK the
   degree of correspondence ranging between 84% and 88%. This demonstrates
   a consistently very high congruence of content. Only 616% of the content
   per GK part could not be assigned to NKLM equivalents. Regarding the
   distribution of GK content among NKLM chapters, the chapters with
   classic medical expertise (chapters 12, 13, 16, 17 as well as 20 and 21)
   show the highest correspondences. Practical medical skills (chapter 14b)
   can be found in the clinical GK " Health Disorders". Doctor-patient
   interaction (chapter 14c) and medical scientific skills (chapter 14a)
   are represented only marginally in the GK. As expected, there were no
   equivalents to be found in the GK for the new professional roles for
   medical doctors (chapter 06-11).
   Discussion: The results presented provide faculties with a useful and
   detailed data base to evaluate the NKLM more reliably, especially with
   respect to its relevance for exams. The increased transparency supports
   the implementation process of the NKLM by reducing content-related
   uncertainties of departments, invalidating sweeping arguments against
   the NKLM resulting from uncertainties and thereby minimizing resistance.
   At the same time a critical review process of the NKLM is encouraged.
RI Shiozawa, Thomas/AAF-6083-2020; Zipfel, Stephan/; Griewatz, Jan/
OI Zipfel, Stephan/0000-0003-1659-4440; Griewatz, Jan/0000-0002-9731-3171
ZB 1
ZS 0
Z8 0
ZA 0
TC 3
ZR 0
Z9 3
U1 0
U2 3
SN 2366-5017
UT WOS:000396711300002
PM 28293676
ER

PT J
AU Samos, Franziska-Antonia
   Heise, Marcus
   Fuchs, Stephan
   Mittmann, Susanne
   Bauer, Alexander
   Klement, Andreas
TI Pilot phase evaluation of the elective general practice class: results
   of student surveys of the first two years
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 1
AR Doc4
DI 10.3205/zma001081
PD 2017
PY 2017
AB a global crisis in respect of the next generation of practitioners.
   National and international recommendations advise placing greater
   emphasis upon practical skills and competences in medical studies. It is
   also in the interest of training the next generation to include
   mentoring and longitudinal integration of contact to teaching practices
   for general medicine in an early stage. Consequently, the General
   Practice Class (KAM) was introduced in Halle in 2011 as an elective with
   20 individually mentored students per year, beginning with the first
   subject-related semester. We are now reporting on the results of the
   evaluation for the first two years.
   Method: A standardised online survey was carried out with all students
   who took part in the KAM in the two years 2011 and 2012 (N=38). For both
   years the survey was made at the end of the first summer semester on the
   basis of an adapted version of the Heidelberger Inventar zur
   Lehrevaluation (Heidelberg Inventory for the Evaluation of Teaching,
   HILVE-II) and the Berliner Evaluationsinstrument fur
   selbsteingeschutzte, studentische Kompetenzen (Berlin Evaluation
   Instrument for the selfassessment of student competences, BEvaKomp).
   Furthermore, each year the preference for the choice of specialty and
   location of a medical practice was queried. Predictors for the
   preference of the chosen specialty and the location of a medical
   practice were estimated by binary logistic regression analysis. Via
   univariate evaluations the number of students who reported an increase
   in knowledge in different areas of competence as a result of the KAM was
   counted. Correlations between the intention to remain in the KAM and the
   quality of teaching were evaluated on the basis of bivariate
   correlations.
   Results: 48% of the students agreed partly or fully that the KAM
   seminars enhanced their specialist competence. This individual acquiring
   of competence in the model project represented a significant predictor
   for the preferred choice of the area (OR 7.98; 95% CI [1.27-50.27],
   p=0.027). Students who assessed the commitment (r=0.504), support
   (r=0.526) and interaction management (r=0.529) of the mentors positively
   were more likely inclined to continue their participation in the KAM.
   Conclusion: The successful conveyance of care-relevant competences to
   students proved to be an important predictor in our project for the
   preference of the specialty general practice. This requires that the
   medical mentors are suitably trained and that the students are
   specifically prepared for practical experience.
OI Samos, Franziska-Antonia Zora/0000-0002-8283-7984; Bauer,
   Alexander/0000-0001-5262-4315; Heise, Marcus/0000-0002-8419-6412
ZS 0
TC 4
Z8 0
ZB 0
ZA 0
ZR 0
Z9 4
U1 1
U2 5
SN 2366-5017
UT WOS:000396711300007
PM 28293671
ER

PT J
AU Messinger, Chelsea J.
   Hafler, Janet
   Khan, Ali M.
   Long, Theodore
TI Recent Trends in Primary Care Interest and Career Choices Among Medical
   Students at an Academic Medical Institution
SO TEACHING AND LEARNING IN MEDICINE
VL 29
IS 1
BP 42
EP 51
DI 10.1080/10401334.2016.1206825
PD 2017
PY 2017
AB Phenomenon: As an impending shortage of primary care physicians is
   expected, understanding career trajectories of medical students will be
   useful in supporting interest in primary care fields and careers. The
   authors sought to characterize recent trends in primary care interest
   and career trajectories among medical students at an academic medical
   institution that did not have a family medicine department. Approach:
   Match data for 2,477 graduates who matched into resident training
   programs between 1989 and 2014 were analyzed to determine the proportion
   entering primary care residency programs. An online search and
   confirmatory phone call methodology was used to determine primary care
   career trajectories for the 795 graduates who matched into primary care
   residency programs between 1989 to 2010. Subanalyses were performed to
   characterize primary care career entrance among graduates who matched
   into the three primary care residency programs: Family Medicine,
   Categorical and Primary Care Internal Medicine, and Categorical and
   Primary Care Pediatrics. Findings: Between 1989 and 2014, 911 (37%) of
   all matched graduates matched into primary care residency programs. Of
   the 795 graduates who matched into these programs between 1989 and 2010,
   less than half (245; 31%) entered primary care careers. Of the graduates
   who ultimately entered primary care careers, 82% matched into either
   internal medicine or pediatrics residency programs and 18% matched into
   family medicine programs. Although there have been fluctuations in
   primary care interest that seem to parallel health care trends over the
   26-year period, the overall percentage of graduates entering primary
   care residency programs and careers has remained fairly stable. Between
   2006 and 2010, entrance into both primary care residency programs and
   primary care careers steadily increased. Despite this, the overall
   percentage of matched graduates who entered primary care careers over
   the 22-year study period (12%) was less than the national average
   (16%-18%). Insights: In the 26-year period between 1989 and 2014,
   primary care career interest increased slightly among medical students
   at this academic medical institution, with fluctuations that seem to
   coincide with national health care trends. Year-to-year fluctuations
   appear to be driven by rising numbers of Categorical Pediatrics and
   Categorical Internal Medicine matchers pursuing careers in primary care.
   There may be a need for specialized curricula and strategies to promote
   and retain interest in primary care at academic medical institutions,
   especially at institutions without family medicine training programs.
OI Messinger, Chelsea/0000-0002-0992-2111
Z8 0
ZA 0
ZR 0
ZS 0
TC 1
ZB 0
Z9 1
U1 0
U2 6
SN 1040-1334
EI 1532-8015
UT WOS:000394611800005
PM 27467094
ER

PT J
AU Power, Alyssa
   Lemay, Jean-Francois
   Cooke, Suzette
TI Justify Your Answer: The Role of Written Think Aloud in Script
   Concordance Testing
SO TEACHING AND LEARNING IN MEDICINE
VL 29
IS 1
BP 59
EP 67
DI 10.1080/10401334.2016.1217778
PD 2017
PY 2017
AB Construct: Clinical reasoning assessment is a growing area of interest
   in the medical education literature. Script concordance testing (SCT)
   evaluates clinical reasoning in conditions of uncertainty and has
   emerged as an innovative tool in the domain of clinical reasoning
   assessment. SCT quantifies the degree of concordance between a learner
   and an experienced clinician and attempts to capture the breadth of
   responses of expert clinicians, acknowledging the significant yet
   acceptable variation in practice under situations of uncertainty.
   Background: SCT has been shown to be a valid and reliable clinical
   reasoning assessment tool. However, as SCT provides only quantitative
   information, it may not provide a complete assessment of clinical
   reasoning. Approach: Think aloud (TA) is a qualitative research tool
   used in clinical reasoning assessment in which learners verbalize their
   thought process around an assigned task. This study explores the use of
   TA, in the form of written reflection, in SCT to assess resident
   clinical reasoning, hypothesizing that the information obtained from the
   written TA would enrich the quantitative data obtained through SCT.
   Ninety-one pediatric postgraduate trainees and 21 pediatricians from 4
   Canadian training centers completed an online test consisting of 24 SCT
   cases immediately followed by retrospective written TA. Six of 24 cases
   were selected to gather TA data. These cases were chosen to allow all
   phases of clinical decision making (diagnosis, investigation, and
   treatment) to be represented in the TA data. Inductive thematic analysis
   was employed when systematically reviewing TA responses. Results: Three
   main benefits of adding written TA to SCT were identified: (a)
   uncovering instances of incorrect clinical reasoning despite a correct
   SCT response, (b) revealing sound clinical reasoning in the context of a
   suboptimal SCT response, and (c) detecting question misinterpretation.
   Conclusions: Written TA can optimize SCT by demonstrating when correct
   examinee responses are based on guessing or uncertainty rather than
   robust clinical rationale. TA can also enhance SCT by allowing examinees
   to provide justification for responses that otherwise would have been
   considered incorrect and by identifying questions that are frequently
   misinterpreted to avoid including them in future examinations. TA also
   has significant value in differentiating between acceptable variations
   in expert clinician responses and deviance associated with faulty
   rationale or question misinterpretation; this could improve SCT
   reliability. A written TA protocol appears to be a valuable tool to
   assess trainees' clinical reasoning and can strengthen the quantitative
   assessment provided by SCT.
TC 24
ZS 0
Z8 0
ZA 0
ZR 0
ZB 1
Z9 24
U1 1
U2 9
SN 1040-1334
EI 1532-8015
UT WOS:000394611800007
PM 27662118
ER

PT J
AU McLaughlin, Jacqueline E.
   Singer, David
   Cox, Wendy C.
TI Candidate Evaluation Using Targeted Construct Assessment in the Multiple
   Mini-Interview: A Multifaceted Rasch Model Analysis
SO TEACHING AND LEARNING IN MEDICINE
VL 29
IS 1
BP 68
EP 74
DI 10.1080/10401334.2016.1205997
PD 2017
PY 2017
AB Construct: A 7-station multiple mini-interview (MMI) circuit was
   implemented and assessed for 214 candidates rated by 37 interviewers (N
   = 1,498 ratings). The MMI stations were designed to assess 6 specific
   constructs (adaptability, empathy, integrity, critical thinking,
   teamwork [receiving instruction], teamwork [giving instruction]) and one
   open station about the candidate's interest in the school. Background:
   Despite the apparent benefits of the MMI, construct-irrelevant variance
   continues to be a topic of study. Refining the MMI to more effectively
   measure candidate ability is critical to improving our ability to
   identify and select candidates that are equipped for success within
   health professions education and the workforce. Approach: Each station
   assessed a single construct and was rated by a single interviewer who
   was provided only the name of the candidate and no additional
   information about the candidate's background, application, or prior
   academic performance. All interviewers received online and in-person
   training in the fall prior to the MMI and the morning of the MMI. A
   3-facet multifaceted Rasch measurement analysis was completed to
   determine interviewer severity, candidate ability, and MMI station
   difficulty and examine how the model performed overall (e.g., rating
   scale). Results: Altogether, the Rasch measures explained 62.84% of the
   variance in the ratings. Differences in candidate ability explained
   45.28% of the variance in the data, whereas differences in interviewer
   severity explained 16.09% of the variance in the data. None of the
   interviewers had Infit or Outfit mean-square scores greater than 1.7,
   and only 2 (5.4%) had mean-square scores less than 0.5. Conclusions: The
   data demonstrated acceptable fit to the multifaceted Rasch measurement
   model. This work is the first of its kind in pharmacy and provides
   insight into the development of an MMI that provides useful and
   meaningful candidate assessment ratings for institutional decision
   making.
TC 4
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 4
U1 0
U2 11
SN 1040-1334
EI 1532-8015
UT WOS:000394611800008
PM 27466859
ER

PT J
AU Alisic, Eva
   Tyler, Mark P.
   Giummarra, Melita J.
   Kassam-Adams, Rahim
   Gouweloos, Juul
   Landolt, Markus A.
   Kassam-Adams, Nancy
TI Trauma-informed care for children in the ambulance: international survey
   among pre-hospital providers
SO EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY
VL 8
AR 1273587
DI 10.1080/20008198.2016.1273587
PD 2017
PY 2017
AB Background: Pre-hospital providers, such as paramedics and emergency
   medical technicians, are in a position to provide key emotional support
   to injured children and their families. Objective: Our goal was to
   examine (a) pre-hospital providers' knowledge of traumatic stress in
   children, attitudes towards psychosocial aspects of care, and confidence
   in providing psychosocial care, (b) variations in knowledge, attitudes,
   and confidence according to demographic and professional
   characteristics, and (c) training preferences of pre-hospital providers
   regarding psychosocial care to support paediatric patients and their
   families.
   Method: We conducted a cross-sectional, online survey among an
   international sample of 812 pre-hospital providers from high-income
   countries. The questionnaire was adapted from a measure for a similar
   study among Emergency Department staff, and involved 62 items in 7 main
   categories (e. g. personal and work characteristics, knowledge of
   paediatric traumatic stress, and confidence regarding 18 elements of
   psychosocial care). The main analyses comprised descriptive statistics
   and multiple regression analyses.
   Results: On average, respondents answered 2.7 (SD = 1.59) out of seven
   knowledge questions correctly. Respondents with higher knowledge scores
   were more often female, parent of a child under 17, and reported that at
   least 10% of their patients were children. A majority of participants
   (83.5%) saw all 18 aspects of psychosocial care as part of their job.
   Providers felt moderately confident (M = 3.2, SD = 0.45) regarding their
   skills in psychosocial care, which was predicted by gender (female),
   having more experience, having a larger proportion of child patients,
   and having received training in psychosocial care in the past five
   years. Most respondents (89.7%) wanted to gain more knowledge and skills
   regarding psychosocial care for injured children. In terms of training
   format, they preferred an interactive website or a one-off group
   training.
   Conclusions: There appears to be both a need and an opportunity for
   education initiatives regarding paediatric traumatic stress in the
   pre-hospital context.
RI Giummarra, Melita/H-8387-2012; Kassam-Adams, Nancy/; Landolt, Markus/; Alisic, Eva/
OI Giummarra, Melita/0000-0001-7839-6058; Kassam-Adams,
   Nancy/0000-0001-7412-1428; Landolt, Markus/0000-0003-0760-5558; Alisic,
   Eva/0000-0002-7225-606X
ZA 0
Z8 0
ZB 0
ZR 0
ZS 1
TC 10
Z9 10
U1 1
U2 11
SN 2000-8066
UT WOS:000396171700001
PM 28326162
ER

PT J
AU Rudner, Nancy
   Kung, Ying Mai
TI An Assessment of Physician Supervision of Nurse Practitioners
SO JOURNAL OF NURSING REGULATION
VL 7
IS 4
BP 22
EP 29
DI 10.1016/S2155-8256(17)30017-0
PD JAN 2017
PY 2017
AB In 21 states, nurse practitioners (NPs) have full practice authority;
   they are licensed to practice and prescribe without physician oversight.
   The other 29 states require some level of physician supervision. The
   authors used an anonymous, online survey to determine the patterns of
   physician supervision of NPs in Florida and the relationships between
   physician supervision, practice setting, and NP characteristics.
   Physician supervision was measured by three factors: the percentage of
   time the physician is on site, the percentage of medical records
   reviewed, and the percentage of patients requiring consultations. The
   relationships among these factors and NP characteristics (sex, race,
   education, experience) and practice setting were examined. NPs with more
   experience and those with doctorate degrees worked without a physician
   on site more often, had fewer patient records reviewed, and were
   required to consult on fewer patients than those with less experience or
   without a doctorate. However, some NPs with no experience had no
   physician oversight, whereas some NPs with more than 20 years of
   experience had extensive oversight. Males were more likely to practice
   without a physician on site and had fewer records reviewed.
ZB 1
Z8 0
TC 9
ZS 0
ZA 0
ZR 0
Z9 9
U1 0
U2 5
SN 2155-8256
EI 2155-8264
UT WOS:000396396400004
ER

PT J
AU Swaid, Ali I.
   Elhilu, Abdelkhalig H.
   Mahfouz, Mohamed S.
TI Medical internship training in Saudi Arabia: interns' views and
   perceptions
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 121
EP 128
DI 10.2147/AMEP.S123119
PD 2017
PY 2017
AB Background: Internship training offers an important opportunity for
   personal development and career planning. However, there are many
   factors affecting the efficiency of training, and the views of interns
   are rarely considered. The main objective of this study was to explore
   the views of interns enrolled in Jazan University internship program
   during the year 2015.
   Subjects and methods: A web-based cross-sectional study was conducted in
   the Jazan region, Kingdom of Saudi Arabia, during the academic year
   2015. To achieve the study goals, an online questionnaire was
   distributed to all interns (n=85) enrolled in the Jazan University
   internship program.
   Results: Results revealed that satisfaction with training was more
   evident in general surgery and pediatrics (76.1%, n=54 and 77.5%, n=55,
   respectively). Satisfaction was lowest for obstetrics and gynecology
   programs (45.1%, n=32), while in internal medicine it was 54.9% (n=39).
   Training in general surgery and pediatrics was rated as excellent by
   most of the interns (45.8% and 43.1%, respectively). The picture is
   reversed in obstetrics and gynecology, as 43.1% rated it as average.
   More than half of the study sample felt that they were well prepared to
   start the next step in their career at the end of internship (50.7%),
   while 25.4% felt that they were moderately prepared.
   Conclusion: It is clear that training quality in views of interns is
   variable across the major specialties, and there are some problems in
   obstetrics and gynecology training. More studies are needed to explore
   in-depth dimensions of internship training program in the Kingdom of
   Saudi Arabia.
RI Mahfouz, Mohamed/A-7388-2012
OI Mahfouz, Mohamed/0000-0002-3155-6381
ZS 0
ZR 0
TC 2
ZA 0
Z8 0
ZB 1
Z9 2
U1 1
U2 5
SN 1179-7258
UT WOS:000394696500001
PM 28203115
ER

PT J
AU Kandiah, David A.
TI Perception of educational value in clinical rotations by medical
   students
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 149
EP 162
DI 10.2147/AMEP.S129183
PD 2017
PY 2017
AB Aim: Clinical teaching in Australian medical schools has changed to meet
   the needs of substantially increased medical student cohorts. As such,
   formal feedback from these student cohorts is needed about the value
   they place on the educational input from each clinical rotation. This
   study aims to determine which aspects of clinical placements are most
   educationally useful to medical students.
   Methods: In this study, final year medical students from the University
   of Western Australia (UWA) were surveyed via an anonymous online
   questionnaire, identifying which clinical placements were found to be
   the most and the least useful to their learning and the positive aspects
   of these placements. Two focus groups were conducted prior to the design
   of the questionnaire to determine the key areas of focus important to
   medical students. Ethics approval for this study was obtained from the
   UWA Human Research Ethics Committee.
   Results: Our focus groups were consistent in finding that students
   enjoyed placements where they were included as a part of the medical
   team and played a role in patient care. This was consistent with the
   concept that inclusiveness and participation in the clinical setting are
   important in developing competence in tasks and skills. The ratio of
   students to doctors was crucial, with a low ratio given a higher rating
   as seen in the rural clinical school.
   Conclusion: The results of this project could benefit both the local and
   national medical curricula in identifying the most effective clinical
   attachments for learning and preparation for prevocational training.
   This is relevant especially due to the limited number of clinical
   placements and growing cohort of medical students. The results of this
   study can also be extrapolated to international medical education.
RI Kandiah, David/H-5378-2013
OI Kandiah, David/0000-0002-6804-3942
ZA 0
ZS 0
TC 14
ZR 0
Z8 0
ZB 1
Z9 14
U1 0
U2 4
SN 1179-7258
UT WOS:000394697200001
PM 28223855
ER

PT J
AU Seo, Ji-Hye
   Kim, Jee Hyun
   Yang, Kwang Ik
   Hong, Seung Bong
TI Late use of electronic media and its association with sleep, depression,
   and suicidality among Korean adolescents
SO SLEEP MEDICINE
VL 29
BP 76
EP 80
DI 10.1016/j.sleep.2016.06.022
PD JAN 2017
PY 2017
AB Objective: The aim of this study was to investigate the association of
   adolescents' last electronic media use time with their sleep and mood
   disturbances, including depression and suicidality. We also examined
   whether sleep disturbances and duration mediated the relationship
   between last media use time and mood disturbances.
   Methods: This cross-sectional, school-based, online survey was
   administered by the Sleep Center at Samsung Medical Center and the Korea
   Centers for Disease Control and Prevention ( KCDC) in 2011. A total of
   26,395 participants ( 12,593 male and 13,802 female) were recruited from
   150 middle and high schools representative of nationwide adolescents
   from 15 administrative districts in Korea. The sleep habits of
   participants on weekdays and weekends were evaluated using a
   questionnaire. Sleep disturbances, depression, and suicidality were
   assessed using the Korean versions of the Global Sleep Assessment
   Questionnaire, Epworth Sleepiness Scale, and Beck 19-item Scale for
   Suicide Ideation. We also collected last media use time, from which we
   subtracted actual bedtime.
   Results: Late electronic media use was significantly associated with
   increased mood disturbances including depression and suicidality
   directly, but not indirectly via sleep duration or disturbances.
   Conclusion: Our results suggest that adolescents might benefit from the
   restricted use of electronic media after bedtime in terms of their mood
   and sleep. Moreover, education regarding media use at night might be
   helpful in preventing youth suicide. (C) 2016 Published by Elsevier B.V.
ZB 6
ZR 0
ZS 0
TC 25
Z8 0
ZA 0
Z9 25
U1 3
U2 34
SN 1389-9457
EI 1878-5506
UT WOS:000393902000016
PM 27887887
ER

PT J
AU Dietrich, Christoph F.
   Rudd, Lynne
   Saftiou, Adrian
   Gilja, Odd Helge
TI The EFSUMB website, a great source for ultrasound information and
   education
SO MEDICAL ULTRASONOGRAPHY
VL 19
IS 1
BP 102
EP 110
DI 10.11152/mu-938
PD 2017
PY 2017
AB The aim of this updated EFSUMB-website guide is to introduce readers to
   EFSUMB's wide ranging activities. The most recent are the guidelines on
   interventional ultrasound and intestinal ultrasound and updated CEUS
   Non-Liver and Elastography Liver Guidelines which can be freely
   downloaded. Hosting eBooks on our website is another new departure, most
   importantly the EFSUMB Course Book on Ultrasound available in a second
   edition as an eReader and an online Student Edition of the ECB. EFSUMB
   has been active with updating Guidelines; those mentioned above have all
   been revised or written in the last two years. Webinars have been
   introduced and participation is possible online but can be reviewed
   later along with recent recordings of Euroson Schools. The EFSUMB
   Newsletter in the EJU promotes our activities and topical articles
   intended to reach all our members with the online version hosted on our
   website. The Case of the Month continues to be one of EFSUMB's most
   visited sites and in the last few years has been translated into 14
   different languages including Chinese. In conclusion, this article aims
   to provide an updated guide to the website educational sites of the
   European Federation of Societies for Ultrasound in Medicine and Biology
   (EFSUMB).
RI Dietrich, Christoph/AAB-7514-2020; Saftoiu, Adrian/C-2792-2011
OI Saftoiu, Adrian/0000-0001-7993-8269
ZS 0
TC 23
ZR 0
ZA 0
Z8 0
ZB 5
Z9 23
U1 1
U2 2
SN 1844-4172
EI 2066-8643
UT WOS:000393176900014
PM 28180203
ER

PT J
AU Grover, Sandeep
   Avasthi, Ajit
TI Indian Psychiatric Society Survey on Clinical Practice Guidelines
SO INDIAN JOURNAL OF PSYCHIATRY
VL 59
IS 5
BP S10
EP S18
DI 10.4103/0019-5545.196971
SU 1
PD JAN 2017
PY 2017
AB Aim: This survey aimed to assess the utility of the earlier published
   clinical practice guidelines (CPGs) by IPS and to understand the
   expectations of members of Indian Psychiatric Society from the proposed
   revised CPGs. In addition, the survey also evaluated the current level
   of practice of psychiatry in terms of availability of different
   investigation facilities, prescription patterns in terms of use of
   polypharmacy, and competence in carrying out certain nonpharmacological
   treatments.
   Methodology: An online survey was received by 3475 psychiatrist, of whom
   608 (17.5%) participants completed the survey.
   Results: Almost all (93.8%) of the psychiatrists agreed that there
   should be separate CPGs for Indian setting. In terms of problems with
   the previous version of the CPGs, this survey shows that the previous
   version of guidelines was used in making clinical decisions by only
   one-third (31.25%) of the participating psychiatrists. The major
   limitations of the previous version of CPGs which were pointed out
   included the lack of consideration of socio-cultural issues (33.2%),
   lack of recommendations for many clinical situations that are
   encountered in clinical practice (43.15) and poor dissemination (35.2%).
   In terms of expectations, the membership expects the society to come up
   with guidelines, which are shorter in length (82.2%), has significant
   proportion of information in the form of tables and flow diagrams
   (58.7%), besides the evidence base must also take expert opinions into
   account (84.7%), must be circulated before adopting (88.7%), must be
   disseminated by displaying the same on the website (72%), and also by
   sending the same by E-mails (62%). Further, the membership expects the
   IPS to design online continuing medical education program on CPGs
   (54.3%). The survey also suggests that it is feasible on the part of
   more than two-third of the psychiatrists to monitor the metabolic
   parameters in routine clinical practice and carryout various
   nonpharmacological treatments. Majority of the psychiatrist opined that
   polypharmacy is not used in more than 25% of patients with schizophrenia
   and depression and hence the use of polypharmacy should be recommended
   judiciously.
   Conclusion: This survey shows that the membership of the IPS is
   interested in having own guidelines for the management of various
   psychiatric disorders in Indian setting. Further, the survey provides
   insights into why the previous versions of the guidelines were not very
   popular and what IPS should do improve the acceptability of guidelines
   in future.
OI Grover, Sandeep/0000-0002-2714-2055
ZR 0
ZA 0
TC 1
Z8 0
ZS 0
ZB 0
Z9 1
U1 0
U2 0
SN 0019-5545
EI 1998-3794
UT WOS:000392104400007
PM 28216782
ER

PT J
AU Mitchell, Michael A.
   Broyles, Lauren M.
   Pringle, Janice L.
   Kraemer, Kevin L.
   Childers, Julie W.
   Buranosky, Raquel A.
   Gordon, Adam J.
TI Education for the mind and the heart? Changing residents' attitudes
   about addressing unhealthy alcohol use
SO SUBSTANCE ABUSE
VL 38
IS 1
BP 40
EP 42
DI 10.1080/08897077.2016.1185076
PD 2017
PY 2017
AB Background: Screening and brief intervention counseling for unhealthy
   alcohol use are among the top 10 recommended clinical preventive
   services for US adults. Although federally funded training programs in
   alcohol screening, brief intervention, and referral to treatment (SBIRT)
   have focused on increasing physicians' professional readiness to address
   drinking with their patients, programs typically focus on knowledge and
   skill acquisition, with less attention to attitudinal change. The
   purpose of this study was to assess the impact of a multicomponent SBIRT
   training program on changes in internal medical residents' professional
   readiness for working with patients with unhealthy alcohol use. Methods:
   Between 2011 and 2013, first-year internal medicine residents (n = 80)
   at a large academic medical center participated in a 16-hour SBIRT
   training program, consisting of two 3-hour didactic sessions, online
   modules, and a half-day clinical experience, during the Ambulatory Care
   month of the residency training year. Residents completed a modified
   Alcohol and Problems Perceptions Questionnaire (AAPPQ) at the beginning
   and end of the residency year to assess changes in professional
   readiness to work with adults with unhealthy alcohol use across 6
   domains: Role Adequacy, Role Legitimacy, Role Support, Motivation,
   Task-Specific Self-esteem, and Satisfaction. Wilcoxon signed-rank tests
   were used to evaluate changes in the 6 AAPPQ subscale scores over time.
   Results: Residents reported significant increases in Role Adequacy
   (alcoholrelated knowledge/skills; pre: 34 and post: 39.5; P <.0001) and
   Role Support (professional support; pre: 16 and post: 18; P D.005)
   scores. No significant differences in the remaining AAPPQ subscales were
   detected. Conclusions: Residents in the SBIRT training program indicated
   improvements in knowledge, skills, and professional role support but not
   in motivation, task-specific self-esteem, or satisfaction for working
   with patients with unhealthy alcohol use. Explicit curricular attention
   to these domains may be required to facilitate SBIRT skills application
   and sustained practice change.
RI Gordon, Adam Joseph/AAX-9001-2020
OI Gordon, Adam Joseph/0000-0002-2453-8871
ZA 0
ZS 0
TC 5
ZR 0
Z8 0
ZB 1
Z9 5
U1 0
U2 3
SN 0889-7077
EI 1547-0164
UT WOS:000396601600011
PM 27163655
ER

PT J
AU McLean, Michelle
   McKimm, Judy
   Gibbs, Trevor
TI Medical education in difficult circumstances: A global responsibility to
   contribute
SO MEDICAL TEACHER
VL 39
IS 1
BP 4
EP 6
DI 10.1080/0142159X.2017.1254758
PD JAN 2017
PY 2017
AB Medical and health professions' education is becoming increasingly
   standardized across the world in terms of core standards and
   competencies. Yet, the context in which education and training occurs is
   far from even. Many educators face challenges in providing health
   professions' education, ranging from individual challenges and
   organizational struggles, to working in countries experiencing major
   conflict or environmental disaster. This commentary sets the scene for
   an international discussion on might constitute difficult circumstances
   and invites educators from around the world to contribute to the
   discussion by sharing their stories and suggesting strategies and
   solutions in a themed issue of MedEdPublish, AMEE's (the Association for
   Medical Education in Europe) innovative online journal.
RI McLean, Michelle/A-6044-2010; McKimm, Judy/
OI McLean, Michelle/0000-0002-9912-2483; McKimm, Judy/0000-0002-8949-5067
ZS 0
ZB 0
ZR 0
Z8 0
TC 2
ZA 0
Z9 2
U1 0
U2 4
SN 0142-159X
EI 1466-187X
UT WOS:000393885800001
PM 27937083
ER

PT J
AU Fernandes, Lynette B.
TI Embedding responsible conduct in learning and research into an
   Australian undergraduate curriculum
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 45
IS 1
BP 53
EP 59
DI 10.1002/bmb.20990
PD JAN-FEB 2017
PY 2017
AB Responsible conduct in learning and research (RCLR) was progressively
   introduced into the pharmacology curriculum for undergraduate science
   students at The University of Western Australia. In the second year of
   this undergraduate curriculum, a lecture introduces students to issues
   such as the use of animals in teaching and responsible conduct of
   research. Third year student groups deliver presentations on topics
   including scientific integrity and the use of human subjects in
   research. Academic and research staff attending these presentations
   provide feedback and participate in discussions. Students enrolled in an
   optional capstone Honours year complete an online course on the
   responsible conduct of research and participate in an interactive movie.
   Once RCLR became established in the curriculum, a survey of
   Likert-scaled and open-ended questions examined student and staff
   perceptions. Data were expressed as Approval (% of responses represented
   by Strongly Agree and Agree). RCLR was found to be relevant to the study
   of pharmacology (69-100% Approval), important for one's future career
   (62-100% Approval), and stimulated further interest in this area (32-75%
   Approval). Free entry comments demonstrated the value of RCLR and
   constructive suggestions for improvement have now been incorporated.
   RCLR modules were found to be a valuable addition to the pharmacology
   undergraduate curriculum. This approach may be used to incorporate
   ethics into any science undergraduate curriculum, with the use of
   discipline-specific topics. (c) 2016 by The International Union of
   Biochemistry and Molecular Biology, 45(1):53-59, 2017.
RI Fernandes, Lynette/H-9175-2014
OI Fernandes, Lynette/0000-0003-3768-1340
Z8 0
ZA 0
ZR 0
TC 4
ZB 0
ZS 0
Z9 4
U1 1
U2 12
SN 1470-8175
EI 1539-3429
UT WOS:000392741100007
PM 27357493
ER

PT J
AU Beaton, Thomas J.
   Krishnasamy, Rathika
   Toussaint, Nigel D.
   Phoon, Richard K.
   Gray, Nicholas A.
TI Nephrology training in Australia and New Zealand: A survey of outcomes
   and adequacy
SO NEPHROLOGY
VL 22
IS 1
BP 35
EP 42
DI 10.1111/nep.12720
PD JAN 2017
PY 2017
AB BackgroundAdvanced training programmes in nephrology should provide
   broad exposure to all aspects of nephrology. In Australia and New
   Zealand (ANZ), the Advanced Training Committee in Nephrology oversees
   training, and recent increases in trainee numbers have led to concern
   about dilution of experience.
   AimTo investigate early career paths of nephrologists in ANZ and
   determine the adequacy of training by comparing self-determined
   competency and skill relevance among recently graduated nephrologists.
   MethodsIn 2015, the Advanced Training Committee in Nephrology
   administered an online survey during the annual subscription for members
   of the Australian and New Zealand Society of Nephrology. Nephrologists
   who were awarded Fellowship after 2002 were invited to participate.
   ResultsThe survey was completed by 113 Fellows with 8 respondents
   excluded (response rate 44.1%). Initial post-Fellowship work included
   full-time public hospital appointments (34.3%) or undertaking full-time
   higher research degrees (41.9%). The majority reported securing their
   desired employment. Respondents indicated adequate training in most
   clinical skills; however, responses of well trained' in home
   haemodialysis (41.8%), conservative care (42.9%), automated peritoneal
   dialysis (38.8%), and assessment of kidney transplant recipients (48%)
   and living kidney donors (34.7%) were less adequate. Although considered
   highly relevant to current practice, responses of well trained' were low
   for management and research skills, including complaint management
   (16.3%), private practice management (2%), health system knowledge
   (14.3%) and regulations (6.1%), ethics approval (23.5%), research
   funding (11.2%) and quality assurance (26.5%).
   ConclusionNephrology training in ANZ generally meets clinical needs and
   most secure their desired employment. Training in management and
   research are areas for improvement.
   Summary at a Glance Nephrologists who had recently completed their
   training in Australia and New Zealand were surveyed to determine their
   views on adequacy of advanced training in Nephrology. By comparing
   self-determined competency and skill relevance. Nephrology training
   generally meets percevied clinical needs, with most trainees securing
   their desired employment. Additional exposure to research and management
   skills were areas identified for improvement.
RI Gray, Nicholas/O-4300-2019; Gray, Nicholas Andrew/D-8340-2011; Krishnasamy, Rathika/
OI Gray, Nicholas/0000-0001-9112-0304; Gray, Nicholas
   Andrew/0000-0001-9112-0304; Krishnasamy, Rathika/0000-0001-6974-7880
ZS 0
ZA 0
TC 11
ZB 3
ZR 0
Z8 0
Z9 11
U1 0
U2 4
SN 1320-5358
EI 1440-1797
UT WOS:000392531100005
PM 26732068
ER

PT J
AU Ramnanan, Christopher J.
   Pound, Lynley D.
TI Advances in medical education and practice: student perceptions of the
   flipped classroom
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 63
EP 73
DI 10.2147/AMEP.S109037
PD 2017
PY 2017
AB The flipped classroom (FC) approach to teaching has been increasingly
   employed in undergraduate medical education in recent years. In FC
   applications, students are first exposed to content via online
   resources. Subsequent face-to-face class time can then be devoted to
   student-centered activities that promote active learning. Although the
   FC has been well received by students in other contexts, the perceptions
   of medical students regarding this innovation are unclear. This review
   serves as an early exploration into medical student perceptions of
   benefits and limitations of the FC. Medical students have generally
   expressed strong appreciation for the pre-class preparation activities
   (especially when facilitated by concise, readily accessed online tools)
   as well as for interactive, engaging small group classroom activities.
   Some students have expressed concerns with the FC and noted that
   suboptimal student preparation and insufficient direction and structure
   during active learning sessions may limit the student-centered benefits.
   Although students generally perceive that FC approaches can improve
   their learning and knowledge, this has not been conclusively shown via
   performances on assessment tools, which may be related to caveats with
   the assessment tools used. In any case, lifelong self-directed learning
   skills are perceived by medical students to be enhanced by the FC. In
   conclusion, medical students have generally expressed strong
   satisfaction with early applications of the FC to undergraduate medical
   education, and generally prefer this method to lecture-based
   instruction.
OI Ramnanan, Christopher/0000-0002-9140-9439
Z8 1
ZS 3
ZR 0
TC 131
ZB 14
ZA 0
Z9 134
U1 1
U2 42
SN 1179-7258
UT WOS:000392018000001
PM 28144171
ER

PT J
AU Pauer, Frederic
   Litzkendorf, Svenja
   Goebel, Jens
   Storf, Holger
   Zeidler, Jan
   von der Schulenburg, Johann-Matthias Graf
TI Rare Diseases on the Internet: An Assessment of the Quality of Online
   Information
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 1
AR e23
DI 10.2196/jmir.7056
PD JAN 2017
PY 2017
AB Background: The importance of the Internet as a medium for publishing
   and sharing health and medical information has increased considerably
   during the last decade. Nonetheless, comprehensive knowledge and
   information are scarce and difficult to find, especially for rare
   diseases. Additionally, the quality of health or medical information
   about rare diseases is frequently difficult to assess for the patients
   and their family members.
   Objective: The aim of this study is to assess the quality of information
   on the Internet about rare diseases. Additionally, the study aims to
   evaluate if the quality of information on rare diseases varies between
   different information supplier categories.
   Methods: A total of 13 quality criteria for websites providing medical
   information about rare diseases were transferred to a self-disclosure
   questionnaire. Identified providers of information on the Internet about
   rare diseases were invited to fill out the questionnaire. The
   questionnaire contained questions about the information provider in
   general (eg, supplier category, information category, language, use of
   quality certificates, and target group) and about quality aspects that
   reflect the 13 quality criteria. Differences in subgroup analyses were
   performed using t tests.
   Results: We identified 693 websites containing information about rare
   diseases. A total of 123 questionnaires (17.7%) were completely filled
   out by the information suppliers. For the remaining identified suppliers
   (570/693, 82.3%), the questionnaires were filled out by the authors
   based on the information available on their website. In many cases, the
   quality of websites was proportionally low. Furthermore, subgroup
   analysis showed no statistically significant differences between the
   quality of information provided by support group/patient organization
   compared to medical institution (P=.19). The quality of information by
   individuals (patient/relative) was significantly lower compared to
   information provided by support group/patient organization (P=.001),
   medical institution (P=. 009), and other associations and sponsoring
   bodies (P=. 001) as well.
   Conclusions: Overall, the quality of information on the Internet about
   rare diseases is low. Quality certificates are rarely used and important
   quality criteria are often not fulfilled completely. Additionally, some
   information categories are underrepresented (eg, information about
   psychosocial counseling, social-legal advice, and family planning).
   Nevertheless, due to the high amount of information provided by support
   groups, this study shows that these are extremely valuable sources of
   information for patients suffering from a rare disease and their
   relatives.
OI Graf von der Schulenburg, Johann-Matthias/0000-0002-5322-9453;
   Litzkendorf, Svenja/0000-0003-1342-7196; Gobel, Jens/0000-0001-8625-0841
ZB 8
ZA 0
Z8 1
ZR 0
ZS 0
TC 24
Z9 25
U1 1
U2 14
SN 1438-8871
UT WOS:000392330900018
PM 28100442
ER

PT J
AU McCormick, Lisa C.
   Fifolt, Matthew
   Mercer, Caroline
   Pevear, Jesse, III
   Wilson, Jonathan
TI Mississippi Medical Reserve Corps: Moving Mississippi From Emergency
   Planning to Response Ready
SO JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
VL 23
IS 1
BP 47
EP 53
DI 10.1097/PHH.0000000000000451
PD JAN-FEB 2017
PY 2017
AB Objective: The purpose of this study was to identify factors that might
   impact a Medical Reserve Corps (MRC) volunteer's decision to respond to
   an emergency event. The 2 primary goals of this survey were to (1)
   establish realistic planning assumptions regarding the use of volunteers
   in health care emergency responses, and (2) determine whether barriers
   to volunteer participation could be addressed by MRC units to improve
   volunteer response rates.
   Design: An anonymous online survey instrument was made available via
   Qualtrics through a customized URL. For the purpose of distribution, the
   Mississippi State Department of Health sent an electronic message that
   included the survey link to all MRC volunteers who were registered with
   the Mississippi Responder Management System (MRMS) as of September 2014.
   Results: Approximately 15% of those surveyed indicated they would be
   available and able to deploy within 24 hours. The most common factors
   reported in terms of respondent decisions to deploy included risk to
   personal health (61.2%), length of deployment (58.8%), and the security
   of the deployment area (55.3%). In addition, 67% of respondents
   indicated that extended periods of deployment would have a negative
   financial impact on their lives. Respondents who have had training or
   previous deployment experience reported having greater knowledge of
   potential response roles, increased comfort in their ability to respond
   with the MRC, and increased confidence in responding to differing public
   health emergencies.
   Conclusions: Barriers to MRC volunteers being able to deploy should be
   addressed by each MRC unit. Issues such as risk to personal safety while
   on deployment, site security, and length of deployment should be
   considered by planners and those solutions communicated to MRC members
   during trainings. Emergency plans utilizing MRC volunteers will require
   significant evaluation to assess the risk of relying on an expected
   resource that could be severely limited during an actual emergency.
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
TC 1
Z9 1
U1 2
U2 14
SN 1078-4659
EI 1550-5022
UT WOS:000389462800011
PM 27798528
ER

PT J
AU Kinahan, Karen E.
   Kircher, Sheetal
   Altman, Jessica
   Rademaker, Alfred
   Salsman, John M.
   Didwania, Aarati
   O'Brien, Bridget
   Patel, Alpa C.
   Sanford, Stacy D.
TI Promoting the Shared-Care Model for Adolescent and Young Adults With
   Cancer: Optimizing Referrals and Care Coordination With Primary Care
   Providers
SO JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK
VL 15
IS 1
BP 38
EP 44
DI 10.6004/jnccn.2017.0005
PD JAN 2017
PY 2017
AB Background: The "shared-care model" for patients with cancer involves
   care coordination between primary care providers (PCPs) and oncologists,
   with the goal of optimizing survivorship care. However, a high
   proportion of adolescent and young adult (AYA) cancer survivors do not
   have a PCP. Study objectives were to increase the percentage of AYAs
   with a PCP documented in the electronic medical record (EMR) via the use
   of a best practice advisory (BPA) or "stopgap" intervention; to increase
   communication between providers by the number of routed clinic notes;
   and to assess oncology providers' attitudes/beliefs about the model and
   intervention. Methods: Data were collected for the 6 months before
   implementation of the BPA to determine the percentage of AYAs with a PCP
   and the number of notes routed to providers (time point 1 [T1]). The
   same data were collected at time point 2 (T2) after the BPA had been
   implemented for 6 months. Oncology providers participated in an
   education video module and an online survey at T1 and a survey at T2.
   Results: At T1, 47.1% of 756 AYAs had a documented PCP in the EMR. At
   T2, the percentage increased to 55.1% (P<.002). The number of routed
   notes did not change significantly from T1 to T2. Providers that
   completed the intervention survey agreed/strongly agreed that the
   shared-care model is a desirable model of care (T1 = 86%; T2 = 93%) and
   that a BPA is useful for facilitating PCP referrals (T1 = 76%; T2 =
   39%). Conclusions: This BPA is feasible for increasing the percentage of
   AYAs with a PCP documented in the EMR and could potentially lead to
   increased PCP referral and communication among providers for the benefit
   of long-term survivorship care. Providers generally agree with the
   shared-care model; however, the BPA implementation requires
   modification.
OI Salsman, John M./0000-0003-2317-4006
ZS 0
TC 7
ZA 0
ZB 1
ZR 0
Z8 0
Z9 7
U1 0
U2 11
SN 1540-1405
EI 1540-1413
UT WOS:000392045900005
PM 28040718
ER

PT J
AU Park, Sang E.
   Donoff, R. Bruce
   Saldana, Fidencio
TI The Impact of Integrating Oral Health Education into a Medical
   Curriculum
SO MEDICAL PRINCIPLES AND PRACTICE
VL 26
IS 1
BP 61
EP 65
DI 10.1159/000452275
PD 2017
PY 2017
AB Objective: The purpose of this study was to evaluate our pilot program
   incorporating oral health education into the medical curriculum by
   evaluating students' perspectives on the oral health curriculum.
   Subjects and Methods: Two hundred second-year students were asked to
   fill in a presession survey online regarding their familiarity with
   basic oral health concepts and their comfort level with performing oral
   examinations, and a postsession survey on paper that repeated the
   presession questions and added questions on the effectiveness of the
   session. Results: Of the 200 students, 164 (82%) participated in the
   surveys. The pre- and postsurvey results showed that the session helped
   students become more comfortable with performing oral examinations and
   recognizing risks for periodontal disease, with an increase from 40
   (27%) to 119 (82%) and 51 (35%) to 124 (86%), respectively. Conclusion:
   In this study, the oral health education session contributed to an
   increase in student awareness and understanding of oral health.
   Considering the reported effectiveness of the interactive session on
   student comfort with performing a basic clinical examination, this model
   shows promise for further use in other institutions. (C) 2016 S. Karger
   AG, Basel
ZR 0
ZA 0
TC 25
Z8 0
ZB 2
ZS 0
Z9 25
U1 1
U2 8
SN 1011-7571
EI 1423-0151
UT WOS:000391457100010
PM 27721313
ER

PT J
AU Bonnes, Sara L.
   Ratelle, John T.
   Halvorsen, Andrew J.
   Carter, Kimberly J.
   Hafdahl, Luke T.
   Wang, Amy T.
   Mandrekar, Jayawant N.
   Oxentenko, Amy S.
   Beckman, Thomas J.
   Wittich, Christopher M.
TI Flipping the Quality Improvement Classroom in Residency Education
SO ACADEMIC MEDICINE
VL 92
IS 1
BP 101
EP 107
DI 10.1097/ACM.0000000000001412
PD JAN 2017
PY 2017
AB Purpose
   The flipped classroom (FC), in which instructional content is delivered
   before class with class time devoted to knowledge application, has the
   potential to engage residents. A Mayo Clinic Internal Medicine Residency
   Program study was conducted to validate an FC perception instrument
   (FCPI); determine whether participation improved FC perceptions; and
   determine associations between resident characteristics, change in
   quality improvement (QI) knowledge, and FC perception scores.
   Method
   All 143 internal medicine residents at Mayo Clinic, Rochester
   participated from 2014 to 2015; some experienced a flipped QI curriculum
   and others completed the traditional nonflipped course. The FCPI was
   developed, and factor analysis revealed an intuitive two-factor
   structure: preclass activity and in-class application. Residents were
   surveyed before and after the monthlong curriculum to measure changes in
   perception, and the QI Knowledge Assessment Tool was employed to measure
   knowledge improvement.
   Results
   Postcourse FCPI scores significantly increased for three of the eight
   items. QI knowledge increased significantly among residents who
   experienced the FC compared with residents who completed the non-FC
   curriculum. Those without prior FC exposure demonstrated a significant
   increase in QI knowledge compared with those with previous FC
   experience. The FCPI had compelling validity evidence with improved
   scores after curriculum exposure and associations with greater
   engagement in online modules.
   Conclusions
   Residents who participated in the FC demonstrated improved QI knowledge
   compared with the control group. Residents valued the in-class
   application sessions more than the online component. These findings have
   important implications for graduate medical education as residency
   training programs increasingly use FC models.
RI Halvorsen, Andrew/AAH-8035-2020
OI Halvorsen, Andrew/0000-0003-1272-616X
ZB 6
ZR 0
ZA 0
Z8 0
TC 47
ZS 2
Z9 49
U1 0
U2 23
SN 1040-2446
EI 1938-808X
UT WOS:000391961600029
PM 27680317
ER

PT J
AU Bishop, Lauri
   Gordon, Andrew M.
   Kim, Heakyung
TI Hand Robotic Therapy in Children with Hemiparesis A Pilot Study
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 1
BP 1
EP 7
DI 10.1097/PHM.0000000000000537
PD JAN 2017
PY 2017
AB Objective: The aim of this study was to understand the impact of
   training with a hand robotic device on hand paresis and function in a
   population of children with hemiparesis.
   Methods: Twelve children with hemiparesis (mean age, 9 [SD, 3.64] years)
   completed participation in this prospective, experimental, pilot study.
   Participants underwent clinical assessments at baseline and again 6
   weeks later with instructions to not initiate new therapies. After these
   assessments, participants received 6 weeks of training with a hand
   robotic device, consisting of 1-hour sessions, 3 times weekly.
   Assessments were repeated on completion of training.
   Results: Results showed significant improvements after training on the
   Assisting Hand Assessment (mean difference, 2.0 Assisting Hand
   Assessment units; P = 0.011) and on the upper-extremity component of the
   Fugl-Meyer scale (raw score mean difference, 4.334; P = 0.001). No
   significant improvements between pretest and posttest were noted on the
   Jebsen-Taylor Test of Hand Function, the Quality of Upper Extremity
   Skills Test, or the Pediatric Evaluation of Disability Inventory after
   intervention. Total active mobility of digits and grip strength also
   failed to demonstrate significant changes after training.
   Interpretation: Participants tolerated training with the hand robotic
   device, and significant improvements in bimanual hand use, as well as
   impairment-based scales, were noted. Improvements were carried over into
   bimanual skills during play.
RI Coish, Elizabeth/AAU-1245-2020; Gordon, Andrew/
OI Gordon, Andrew/0000-0003-1041-0479
ZB 1
ZR 0
Z8 1
ZS 0
ZA 0
TC 12
Z9 13
U1 0
U2 20
SN 0894-9115
EI 1537-7385
UT WOS:000390699000006
PM 27386804
ER

PT J
AU Ivezaj, Valentina
   Potenza, Marc N.
   Grilo, Carlos M.
   White, Marney A.
TI An exploratory examination of At-Risk/Problematic Internet Use and
   disordered eating in adults
SO ADDICTIVE BEHAVIORS
VL 64
BP 301
EP 307
DI 10.1016/j.addbeh.2015.11.015
PD JAN 2017
PY 2017
AB Purpose: At-Risk/Problematic Internet Use (ARPIU) has been associated
   with impairment in multiple domains including psychopathology. The
   present study examined the relationship between ARPIU and disordered
   eating in a large community sample.
   Methods: Participants (n = 1000) completed an online survey about health
   behaviors. Two thresholds of ARPIU and disordered eating each were
   examined.
   Results: The ARPIU and Sub-ED (subthreshold eating disorders) groups
   reported greater depressive symptoms and poorer self-control than the
   Control group; the Sub-ED group reported greater impulsivity than the
   Control group. The ARPIU and Sub-ED groups significantly differed in key
   features related to each condition. Finally, the co-occurrence of ARPIU
   and Sub-ED was associated with greater depression. In the second set of
   analyses based on more stringent thresholds, the Problematic Internet
   Use (PIU) and ED groups differed on all measures compared to the Control
   group. The PIU and ED groups also differed on key features related to
   each condition, but did not differ on measures of impulsivity or
   self-control. The co-occurrence of PIU and ED was associated with
   greater depressive symptoms than either PIU or ED independently.
   Conclusions: ARPIU and Sub-ED share links to depression and poor
   self-control and these may represent possible therapeutic targets across
   Internet-use and disordered-eating behaviors. Co-occurring PIU and ED at
   either lenient or stringent thresholds is associated with greater
   depression. Future studies should examine the temporal nature of these
   associations and the extent to which targeting depression, Internet use,
   or disordered eating may lead to improvements across domains. (C) 2015
   Elsevier Ltd. All rights reserved.
RI White, Marney/AAC-9016-2019; White, Marney/
OI White, Marney/0000-0001-9856-6608
ZR 0
ZS 2
TC 11
Z8 0
ZB 2
ZA 0
Z9 11
U1 1
U2 22
SN 0306-4603
EI 1873-6327
UT WOS:000388048000049
PM 26725439
ER

PT J
AU Smith, Vincent C.
   Matthias, Phillip
   Senturias, Yasmin N.
   Turchi, Renee M.
   Williams, Janet F.
TI CARING FOR PATIENTS WITH PRENATAL ALCOHOL EXPOSURE: A NEEDS ASSESSMENT
SO JOURNAL OF POPULATION THERAPEUTICS AND CLINICAL PHARMACOLOGY
VL 24
IS 1
DI 10.22374/17106222.24.1.4
PD 2017
PY 2017
AB Background
   Prenatal alcohol exposure (PAE) is the United States' most common
   preventable cause of birth defects and intellectual and developmental
   disabilities collectively referred to as Fetal Alcohol Spectrum
   Disorders (FASD).
   Objective
   This study was designed to identify gaps in pediatric providers'
   knowledge and practices regarding FASD patient identification,
   diagnosis, management and referral, and to inform needs-based FASD
   resource development.
   Methods
   Pediatric providers (pediatricians, trainees, nurse practitioners) were
   exposed to survey links embedded in newsletters electronically
   distributed to the membership of two national professional societies.
   Survey responses were compiled and analyzed using descriptive
   statistics.
   Results
   Of the 436 respondents, 71% were pediatricians and 88.2% suspected that
   a child in their practice could have an FASD. Only 29.2% of respondents
   felt "very comfortable" diagnosing or referring an individual with
   suspected FASD. Merely 11.5% were satisfied with their current FASD
   knowledge base and practice behaviour. Most respondents (89.6%)
   indicated online continuing education courses as preferred learning
   method and suggested their knowledge and practices would be best
   enhanced through FASD-specific diagnostic and referral checklists or
   algorithms, and patient education brochures and fact sheets.
   Conclusions
   This study showed that few respondents were satisfied with their current
   FASD knowledge or practice behaviours. Continuing FASD education,
   particularly through online courses, was strongly desired. To maximize
   FASD recognition and optimize care for patients with FASDs, pediatric
   care providers must ensure that their FASD knowledge base, practice
   skills and provision of medical home care remain current.
Z8 0
ZR 0
ZA 0
TC 3
ZS 0
ZB 0
Z9 3
U1 0
U2 1
SN 1710-6222
UT WOS:000396600100004
PM 28186713
ER

PT J
AU Darcy, Alison M.
   Lock, James
TI Using Technology to Improve Treatment Outcomes for Children and
   Adolescents with Eating Disorders
SO CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA
VL 26
IS 1
BP 33
EP +
DI 10.1016/j.chc.2016.07.010
PD JAN 2017
PY 2017
AB Dissemination and implementation of evidence-based treatments are among
   the biggest challenges facing clinical psychiatry. Developing scalable
   evidence-based treatments is a major priority and fraught with
   challenges. This article describes the development of 3 technology-based
   innovations. It discusses the use of massive open online courses (MOOCs)
   and mobile applications. Three projects are presented: (1) the
   modification of a MOOC methodology for psychotherapy training clinicians
   in manualized family-based therapy (FBT) for adolescents with anorexia
   nervosa; (2) a modified MOOC platform for the delivery of PET; and (3)
   the development of mobile applications for treatment augmentation and
   delivery.
TC 9
ZA 0
ZR 0
ZS 0
ZB 1
Z8 0
Z9 9
U1 3
U2 41
SN 1056-4993
EI 1558-0490
UT WOS:000389788000004
PM 27837940
ER

PT J
AU Nandor Zagyi
   Marianna Acs
TI CHRISTIAN MISSIONS AS CIVIL SOCIETY MOVEMENTS AT THE SERVICE OF THE
   INDIAN SOCIETY
SO CIVIL SZEMLE
VL 14
IS 3
BP 105
EP +
PD 2017
PY 2017
AB Our study aims to give an insight to Christian mission, interpreted as a
   characteristic speciality in the diverse world of non-governmental
   activities, in relevance to India. By relying on an analysis of the
   available professional literature and online materials, we draw an
   overall picture of the spreading of Christianity in India, the
   composition of its denominations, cultural layers and geographical
   specificities. We also provide an overview of the activities of
   Protestant NGOs also active in Hungary, which along Christian principles
   contribute to the successful operation of Indian society. We present the
   efforts to increase the standards of education and medical care, usually
   accompanying the overwhelmingly British and American Protestant
   evangelisation, and last, but not least, we also highlight the promotion
   of social rights and legal reforms resulting in the improvement of
   women's social standing. We also detail the favourable impact the spread
   of the English language has on the increasing scientific potential of
   the country, as well as the role Indian Christians played in the
   independence movement and state building. In relation to this, we
   outline the history of Hungarian missionary work, as well as the
   historical and current successes and failures related to the intentions
   and activities of the actors. Our paper closes with the latter, a
   presentation of the legislative restrictions and the reasons of social
   resentment toward the propagation of religion through open
   evangelisation and missionary activities.
ZR 0
ZA 0
TC 0
ZB 0
Z8 0
ZS 0
Z9 0
U1 0
U2 1
SN 1786-3341
UT WOS:000425838900007
ER

PT J
AU Bern-Klug, Mercedes
   Byram, Elizabeth A.
TI Older Adults More Likely to Discuss Advance Care Plans With an Attorney
   Than With a Physician
SO GERONTOLOGY AND GERIATRIC MEDICINE
VL 3
AR 2333721417741978
DI 10.1177/2333721417741978
PD JAN-DEC 2017
PY 2017
AB Adults are encouraged to discuss their end-of-life health care
   preferences so that their wishes will be known and hopefully honored.
   The purpose of this study was to determine with whom older adults had
   communicated their future health care wishes and the extent to which
   respondents themselves were serving as a surrogate decision maker.
   Results from the cross-sectional online survey with 294 persons aged 50
   and older reveal that among the married, over 80% had a discussion with
   their spouse and among those with an adult child, close to two thirds
   (64%) had. Over a third had discussed preferences with an attorney and
   23% with a physician. Close to half were currently serving as a
   surrogate decision maker or had been asked to and had signed papers to
   formalize their role. 18% did not think that they were a surrogate but
   were not sure. More education is needed to emphasize the importance of
   advance care planning with a medical professional, especially for
   patients with advanced chronic illness. More education and research
   about the role of surrogate medical decision makers is called for.
ZR 0
ZS 0
Z8 0
TC 3
ZA 0
ZB 0
Z9 3
U1 0
U2 0
EI 2333-7214
UT WOS:000475368900049
PM 29201947
ER

PT B
AU Arora, Nitesh
   Tamrakar, Neha
   Price, Amy
   Biswas, Rakesh
GP Informat Resources Management Assoc
TI Medical Students Meet User Driven Health Care for Patient Centered
   Learning in Clinical Medicine
SO HEALTHCARE ETHICS AND TRAINING: CONCEPTS, METHODOLOGIES, TOOLS, AND
   APPLICATIONS
BP 811
EP 820
DI 10.4018/978-1-5225-2237-9.ch037
PD 2017
PY 2017
AB Patient-centered learning and participatory research are emerging
   movements in the transformation of primary healthcare and research
   participation. In recent years this focus has extended to the
   utilization of User Driven Health Care (UDHC) networks for patient
   centered learning in medical education. Technology now makes it possible
   for patients, medical students, and providers to communicate through the
   Internet on a secure platform. Student authors experiencing this new
   brush with technology-supported, patient centered learning experience
   share how participation in a User Driven Health Care online education
   experience informed their learning and incited them to develop an
   interest in evidence based knowledge. They developed a survey tool and
   conducted interviews over the Internet to report on the experiences of
   others within the network. The findings were largely positive although
   some students did not feel the reality of the connection to an actual
   patient. Others report enjoying the experience and being enriched
   through the interaction, but, at the same time, expressed doubts whether
   this was a sustainable way to learn given the volume of information a
   student has to master to attain to the level of a practicing physician
RI Arora, Nitesh/AAO-3196-2020; Price, Amy/
OI Price, Amy/0000-0002-5200-7322
TC 0
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
Z9 0
U1 0
U2 0
BN 978-1-5225-2238-6; 978-1-5225-2237-9
UT WOS:000472166200038
D2 10.4018/978-1-5225-2237-9
ER

PT J
AU Hart, Sara A.
   Ganley, Colleen M.
   Purpura, David J.
TI Understanding the Home Math Environment and Its Role in Predicting
   Parent Report of Children's Math Skills
SO PLoS One
VL 11
IS 12
AR e0168227
DI 10.1371/journal.pone.0168227
PD DEC 22 2016
PY 2016
AB There is a growing literature concerning the role of the home math
   environment in children's math development. In this study, we examined
   the relation between these constructs by specifically addressing three
   goals. The first goal was to identify the measurement structure of the
   home math environment through a series of confirmatory factor analyses.
   The second goal was to examine the role of the home math environment in
   predicting parent report of children's math skills. The third goal was
   to test a series of potential alternative explanations for the relation
   between the home math environment and parent report of children's
   skills, specifically the direct and indirect role of household income,
   parent math anxiety, and parent math ability as measured by their
   approximate number system performance. A final sample of 339 parents of
   children aged 3 through 8 drawn from Mechanical Turk answered a
   questionnaire online. The best fitting model of the home math
   environment was a bifactor model with a general factor representing the
   general home math environment, and three specific factors representing
   the direct numeracy environment, the indirect numeracy environment, and
   the spatial environment. When examining the association of the home math
   environment factors to parent report of child skills, the general home
   math environment factor and the spatial environment were the only
   significant predictors. Parents who reported doing more general math
   activities in the home reported having children with higher math skills,
   whereas parents who reported doing more spatial activities reported
   having children with lower math skills.
OI Hart, Sara/0000-0001-9793-0420; Ganley, Colleen/0000-0002-8902-9189
ZS 1
ZB 7
ZA 0
ZR 0
Z8 0
TC 48
Z9 49
U1 2
U2 34
SN 1932-6203
UT WOS:000392843200038
PM 28005925
ER

PT J
AU Zanchetta, Margareth Santos
   Cognet, Marguerite
   Lam-Kin-Teng, Mary Rachel
   Dumitriu, Marie Elisabeth
   Renaud, Lise
   Rheaume, Jacques
TI From early detection to rehabilitation in the community: reading beyond
   the blog testimonies of survivors' quality of life and prostate cancer
   representation
SO HEALTH AND QUALITY OF LIFE OUTCOMES
VL 14
AR 171
DI 10.1186/s12955-016-0568-6
PD DEC 16 2016
PY 2016
AB Background: Survivors' testimonies can reveal much about men's
   experiences of prostate cancer and impacts on their quality of life
   (QOL) during the clinical trajectory of the disease. These survivors'
   shared thoughts and views were hypothesized to reflect salient features
   of their lived social representation of prostate cancer.
   Context: We explored the content of testimonies posted by men to a
   public blog hosted by a French national prostate cancer patients'
   association. The study question, "What do French bloggers' testimonies
   reveal about their lived experiences with prostate cancer, especially
   regarding their quality of life in community settings, that underpin
   their social representation of prostate cancer?" guided the exploration
   and analysis of the textual data. The aims were to better understand
   men's experiences and predominant thoughts and views, to elucidate
   patients' behaviours, and to enlighten medical policy and practice.
   Purpose: Explore issues of QOL as reported by French prostate cancer
   survivors in a public blog by: (a) identifying the salient aspects and
   issues of the experience of living with prostate cancer from the
   perspective of survivors; and (b) analyzing the content in the posted
   testimonies regarding perceived and lived impacts of prostate cancer on
   QOL.
   Methods: A critical ethnographic study guided the selection of textual
   data from 196 male bloggers' testimonies about prostate cancer posted in
   the period from 2008 to 2013. Media content analysis method was
   undertaken on blog testimonies, framed by a multidimensional conceptual
   framework of QOL.
   Results: Testimonies focused mainly on medical care and rehabilitation,
   recovery, health education and self-care, as well as on a global vision
   of prostate cancer and its impacts on personal views of manhood and
   masculinity. The language used indicated that political, educative and
   compassionate discourses were intertwined to create a complex
   representation of the experience and effects of prostate cancer; this
   multi-faceted representation can inform the public and professional
   debate about men's capacity to provide emotional support and
   problem-solve within a community of interest.
   Conclusion: Findings, while based on data limited to mostly one-time
   entries to a French blog, contribute to understanding a unique,
   collective expression of men's lived experiences of prostate cancer.
   These anonymous survivors shared their varied reactions, ways of coping,
   and thoughts on needed change.
RI lei, cao/ABA-7520-2021
ZA 0
TC 3
ZR 0
ZB 0
Z8 0
ZS 0
Z9 3
U1 0
U2 17
SN 1477-7525
UT WOS:000391689600001
PM 27986091
ER

PT J
AU Sahota, Michael
   Leung, Betty
   Dowdell, Stephanie
   Velan, Gary M.
TI Learning pathology using collaborative vs. individual annotation of
   whole slide images: a mixed methods trial
SO BMC MEDICAL EDUCATION
VL 16
AR 311
DI 10.1186/s12909-016-0831-x
PD DEC 12 2016
PY 2016
AB Background: Students in biomedical disciplines require understanding of
   normal and abnormal microscopic appearances of human tissues (histology
   and histopathology). For this purpose, practical classes in these
   disciplines typically use virtual microscopy, viewing digitised whole
   slide images in web browsers. To enhance engagement, tools have been
   developed to enable individual or collaborative annotation of whole
   slide images within web browsers. To date, there have been no studies
   that have critically compared the impact on learning of individual and
   collaborative annotations on whole slide images.
   Methods: Junior and senior students engaged in Pathology practical
   classes within Medical Science and Medicine programs participated in
   cross-over trials of individual and collaborative annotation activities.
   Students' understanding of microscopic morphology was compared using
   timed online quizzes, while students' perceptions of learning were
   evaluated using an online questionnaire.
   Results: For senior medical students, collaborative annotation of whole
   slide images was superior for understanding key microscopic features
   when compared to individual annotation; whilst being at least equivalent
   to individual annotation for junior medical science students. Across
   cohorts, students agreed that the annotation activities provided a
   user-friendly learning environment that met their flexible learning
   needs, improved efficiency, provided useful feedback, and helped them to
   set learning priorities. Importantly, these activities were also
   perceived to enhance motivation and improve understanding.
   Conclusion: Collaborative annotation improves understanding of
   microscopic morphology for students with sufficient background
   understanding of the discipline. These findings have implications for
   the deployment of annotation activities in biomedical curricula, and
   potentially for postgraduate training in Anatomical Pathology.
OI Velan, Gary/0000-0002-4535-6663
ZS 1
ZB 2
ZA 0
Z8 0
ZR 0
TC 14
Z9 14
U1 0
U2 32
EI 1472-6920
UT WOS:000391072200001
PM 27955651
ER

PT J
AU Derman, Peter B.
   Iyer, Sravisht
   Garner, Matthew
   Orr, Steven
   Felix, Karla J.
   Goldberg, Allison
   Ologhobo, Titilayo
   Wu, Minlun
   Robbins, Laura
   Cornell, Charles
TI An Initiative to Standardize the Identification of and Acute Response to
   Postoperative Lower-Extremity Neurological Deficits: Effects on Provider
   Knowledge, Confidence, and Communication Skills
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 98
IS 23
AR e105
DI 10.2106/JBJS.16.00303
PD DEC 7 2016
PY 2016
AB Background: Although relatively uncommon, neurological deficits
   following hip and knee arthroplasty can have permanent and debilitating
   consequences. This study was conducted to quantify the effectiveness of
   an educational curriculum aimed at standardizing the identification of
   and acute response to postoperative neurological deficits in the
   inpatient setting, specifically with respect to improvements in
   clinician knowledge, confidence levels, and communication skills.
   Methods: A multidisciplinary committee at a single, high-volume academic
   institution created an algorithm delineating the appropriate clinical
   actions and escalation procedures in the setting of a postoperative
   neurological deficit for each clinical practitioner involved in care for
   patients who undergo arthroplasty. An educational curriculum composed of
   online learning modules and an in-person "boot camp" featuring
   simulations with standardized patients was developed, along with
   assessments of clinician knowledge, confidence levels, and communication
   skills. Nurses, physical therapists, physician assistants, residents,
   fellows, and attending surgeons were encouraged to participate. The
   intervention spanned a 5-month period in 2015 with a mean time of 18.4
   weeks between baseline assessments and the time of the latest follow-up.
   Results: Online modules were completed by 322 individuals, boot camp was
   completed by 70 individuals, and latest assessments were completed by 38
   individuals. The percentage correct on the knowledge assessment
   increased from 74.5% before the learning modules to 89.5% immediately
   after (p < 0.001) but degraded over time such that there was no
   significant difference between baseline and the latest follow-up scores
   (p = 0.11). Over the course of the boot camp, physician assistants and
   residents successfully performed approximately 91% of the indicated
   actions on the scoring rubric; physical therapists and nurses
   successfully performed 78%. Scores on the communication skills
   assessment showed a significant mean increase (p = 0.02) over the course
   of the intervention from 30.32 to 32.50, and the mean self-assessed
   confidence survey scores increased by 16.7%, from 7.2 to 8.4 (p <
   0.001).
   Conclusions: A multimodality educational curriculum aimed at quality
   improvement can produce significant knowledge improvements, but these
   gains may not be maintained over time without further instruction. Gains
   in confidence and communication skills appear to be more long-lasting.
OI Garner, Matthew/0000-0003-4565-1010; Derman, Peter/0000-0003-1939-7741
ZS 0
TC 2
ZR 0
Z8 0
ZA 0
ZB 1
Z9 2
U1 0
U2 1
SN 0021-9355
EI 1535-1386
UT WOS:000395948700002
PM 27926687
ER

PT J
AU Walker, Luke
   Newall, Anthony
   Heywood, Anita E.
TI Knowledge, attitudes and practices of Australian medical students
   towards influenza vaccination
SO VACCINE
VL 34
IS 50
BP 6193
EP 6199
DI 10.1016/j.vaccine.2016.10.074
PD DEC 7 2016
PY 2016
AB Background: Annual influenza vaccination is recommended but not
   compulsory for healthcare workers in Australia, including medical
   students. A quarter of healthcare workers are estimated to have an
   influenza infection in any given year, with a subsequent transmission
   risk to colleagues and patients. During clinical placements, medical
   students are also at risk of influenza. While compliance with other
   vaccination requirements are high, influenza vaccine uptake of
   healthcare workers and medical students remain low globally. We aimed to
   explore medical students' influenza vaccination rates, attitudes,
   knowledge and intended practices at a large Australian university.
   Method: A 35 item self-administered online survey was distributed to
   medical students enrolled at a large Australian university (UNSW
   Australia) in April/May 2014. The survey examined the knowledge,
   attitudes and practices of medical students towards influenza
   vaccination and identified factors associated with vaccine uptake.
   Results: Of the 606 students, 53.8% (95%Cl 49.8-57.8%) receiving their
   most recent influenza vaccine in 2014. Self-protection was the most
   common motivator (83%) and inconvenience (64%) the most common barrier
   to vaccination, despite access to on campus clinics. Students generally
   held positive attitudes to the influenza vaccine and vaccination
   recommendations, though some misconceptions existed. The majority (61%)
   were in support of mandatory influenza vaccination policies for medical
   students. Significant predictors of influenza vaccination included
   living on campus, clinical experience, awareness of vaccination
   recommendations and agreeing that vaccination was important for medical
   students, while those with perceived time constraints were less likely
   to be vaccinated.
   Conclusion: Misconceptions and access to influenza vaccine were barriers
   to uptake of influenza vaccine by medical students. Medical programs
   need to emphasise the benefits of influenza vaccination in the
   protection of healthcare workers and patient safety across the medical
   education program. Our results suggesting majority support for mandatory
   influenza vaccination may represent a shifting perspective in the
   medical community. (C) 2016 Elsevier Ltd. All rights reserved.
OI Newall, Anthony/0000-0003-0836-1065
ZR 0
ZA 0
ZB 17
ZS 0
Z8 0
TC 25
Z9 25
U1 1
U2 13
SN 0264-410X
EI 1873-2518
UT WOS:000390622600016
PM 27836439
ER

PT J
AU Abawi, Karim
   Chandra-Mouli, Venkatraman
   Toskin, Igor
   Festin, Mario Philip
   Gertiser, Lynn
   Idris, Raqibat
   Hamamy, Hanan
   Ali, Moazzam
   Bonventure, Ameyo Masakhwe
   Temmerman, Marleen
   Campana, Aldo
TI E-learning for research capacity strengthening in sexual and
   reproductive health: the experience of the Geneva Foundation for Medical
   Education and Research and the Department of Reproductive Health and
   Research, World Health Organization
SO HUMAN RESOURCES FOR HEALTH
VL 14
AR 76
DI 10.1186/s12960-016-0173-0
PD DEC 7 2016
PY 2016
AB A Abstract: Technological advancement has resulted in the increasing use
   of e-learning and online education, initially in high-income countries
   and increasingly in low-and middle-income countries.
   Background: In 2010, the Geneva Foundation for Medical Education and
   Research, in collaboration with the World Health Organization and
   partner institutions, developed an online postgraduate course "From
   Research to Practice: Training Course in Sexual and Reproductive Health
   Research". This course takes advantage of the advancing Internet
   technology to provide training opportunities to health professionals
   mostly from low-and middle-income countries whose access to quality
   education is constrained by time, financial resources, or both.
   Case presentation: To assess the outcomes of the course, an evaluation
   was conducted by sending a self-administered questionnaire to graduates
   of the 2010-2012 programme. The objectives were to determine if the
   graduates had applied the knowledge gained from the course to their work
   and whether they had implemented their research project developed during
   the course. The evaluation also appraised the number of graduates who
   participated in the design or implementation of a new research project
   since the course concluded and whether the course had contributed to
   advancement in their careers. A total of 175 of 219 course graduates
   answered the questionnaire. The evaluation revealed that the majority of
   respondents (98%) had utilized the knowledge acquired, with nearly half
   of them (47%) having published a scientific paper as author or
   co-author. About a third of respondents (39%) had implemented their
   course research project and about three quarters of them (74%) have been
   involved in the design or implementation of a research project after
   completing the course. Over three quarters (81%) of respondents opined
   that the course had contributed to their career advancement and almost
   half of them (46%) had a career promotion as a direct or indirect
   benefit of the course.
   Conclusion: We surmise that the course positively impacted the
   participants' knowledge and understanding of sexual and reproductive
   health, which they applied in their professional work, as well as
   strengthened their research capacity. Success factors for the e-learning
   programme include tailor-made content to meet participants' needs,
   flexibility of access, and ongoing engagement/personal interactivity
   with course coaches.
RI Festin, Mario Philip/GQQ-9749-2022; Ali, Moazzam/
OI Ali, Moazzam/0000-0001-6949-8976
ZA 0
TC 5
ZS 0
ZR 0
Z8 1
ZB 0
Z9 6
U1 0
U2 16
SN 1478-4491
UT WOS:000390492600002
PM 27927220
ER

PT J
AU Jullien, Sophie
   Sinclair, David
   Garner, Paul
TI The impact of mass deworming programmes on schooling and economic
   development: an appraisal of long-term studies
SO INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
VL 45
IS 6
BP 2140
EP 2153
DI 10.1093/ije/dyw283
PD DEC 2016
PY 2016
AB Background: Documents from advocacy and fund-raising organizations for
   child mass deworming programmes in low-and middle-income countries cite
   unpublished economic studies claiming long-term effects on health,
   schooling and economic development.
   Methods: To summarize and appraise these studies, we searched for and
   included all long-term follow-up studies based on cluster-randomized
   trials included in a 2015 Cochrane review on deworming. We used Cochrane
   methods to assess risk of bias, and appraised the credibility of the
   main findings. Where necessary we contacted study authors for
   clarifications.
   Results: We identified three studies (Baird 2016, Ozier 2016 and Croke
   2014) evaluating effects more than 9 years after cluster-randomized
   trials in Kenya and Uganda. Baird and Croke evaluate short additional
   exposures to deworming programmes in settings where all children were
   dewormed multiple times. Ozier evaluates potential spin-off effects to
   infants living in areas with school-based deworming. None of the studies
   used preplanned protocols nor blinded the analysis to treatment
   allocation. Baird 2016 has been presented online in six iterations. The
   work is at high risk of reporting bias and selective reporting, and
   there are substantive changes between versions. The main cited effects
   on secondary school attendance and job sector allocation are from post
   hoc subgroup analyses, which the study was not powered to assess. The
   study did not find any evidence of effect on nutritional status,
   cognitive tests or school grades achieved, but these are not reported in
   the abstracts. Ozier 2016 has been presented online in four iterations,
   without substantive differences between versions. Higher cognitive test
   scores were associated with deworming, but the appropriate analysis was
   underpowered to reliably detect these effects. The size of the stated
   effect seems inconsistent with the short and indirect nature of the
   exposure to deworming, and a causal pathway for this effect is unclear.
   Croke 2014 uses a data set unrelated to the base trial, to report
   improvements in English and maths test scores. The analysis is at high
   risk of attrition bias, due to loss of clusters, and is substantially
   underpowered to assess these effects.
   Conclusions: In the context of reliable epidemiological methods, all
   three studies are at risk of substantial methodological bias. They
   therefore help in generating hypotheses, but should not be considered to
   provide reliable evidence of effects.
RI Garner, Paul/Y-8385-2019; Jullien, Sophie/
OI Garner, Paul/0000-0002-0607-6941; Jullien, Sophie/0000-0001-5587-626X
Z8 0
ZR 0
TC 15
ZA 0
ZS 0
ZB 14
Z9 15
U1 0
U2 10
SN 0300-5771
EI 1464-3685
UT WOS:000398261100054
PM 28161712
ER

PT J
AU Sitkin, Nicole A.
   Pachankis, John E.
TI Specialty Choice Among Sexual and Gender Minorities in Medicine: The
   Role of Specialty Prestige, Perceived Inclusion, and Medical School
   Climate
SO LGBT HEALTH
VL 3
IS 6
BP 451
EP 460
DI 10.1089/lgbt.2016.0058
PD DEC 2016
PY 2016
AB Purpose: Sexual and gender minorities (SGMs) in medicine experience
   unique stressors in training. However, little is known about SGM
   specialty choice. This study examined predictors of SGM specialty
   choice, associations between specialty prestige and perceived SGM
   inclusion, and self-reported influences on specialty choice.
   Methods: Medical trainees and practitioners (358 SGM, 1528 non-SGM) were
   surveyed online. We operationalized specialty choice at the individual
   level as respondents' specialty of practice; at the specialty level, as
   a percentage of SGM respondents in each specialty. We examined specialty
   prestige, perceived SGM inclusivity, and medical school climate as
   predictors of SGM specialty choice, and we compared additional
   influences on specialty choice between SGM and non-SGM.
   Results: The percentage of SGM in each specialty was inversely related
   to specialty prestige (P = 0.001) and positively related to perceived
   SGM inclusivity (P = 0.01). Prestigious specialties were perceived as
   less SGM inclusive (P < 0.001). Medical school climate did not predict
   specialty prestige (P = 0.82). SGM were more likely than non-SGM to
   indicate that sexual and gender identity strongly influenced specialty
   choice (P < 0.01). SGM most frequently rated personality fit, specialty
   content, role models, and work-life balance as strong influences on
   specialty choice. Exposure as a medical student to SGM faculty did not
   predict specialty prestige among SGM.
   Conclusion: Specialty prestige and perceived inclusivity predict SGM
   specialty choice. SGM diversity initiatives in prestigious specialties
   may be particularly effective by addressing SGM inclusion directly.
   Further research is needed to inform effective mentorship for SGM
   medical students. Exposure to SGM in medical training reduces anti-SGM
   bias among medical professionals, and SGM in medicine often assume
   leadership roles in clinical care, education, and research regarding SGM
   health. Supporting and promoting SGM diversity across the spectrum of
   medical specialties, therefore, represents a critical avenue to improve
   the care delivered to SGM populations and addresses the role of
   providers in the health disparities experienced by SGM.
OI Zelin, Nicole/0000-0002-8212-3981
ZS 1
Z8 0
ZB 6
ZR 0
ZA 0
TC 36
Z9 36
U1 0
U2 13
SN 2325-8292
EI 2325-8306
UT WOS:000403654400008
PM 27726495
ER

PT J
AU Kiekens, Carlotte
   Moyaert, Maximiliaan
   Ceravolo, Maria -Gabriella
   Moslavac, Sasa
   Juocevicius, Alvydas
   Christodoulou, Nicolas
   Negrini, Stefano
TI Education of physical and rehabilitation medicine specialists across
   Europe: a call for harmonization
SO EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
VL 52
IS 6
BP 881
EP 886
PD DEC 2016
PY 2016
AB BACKGROUND: Physical and rehabilitation medicine (PRM) is well
   established in Europe and officially recognized by the European Union of
   Medical Specialists (UEMS). The European PRM Board works to promote
   patient safety and quality of care through the development of the
   highest standards of medical training and healthcare across Europe as
   well as the harmonization of PRM specialists' qualifications. In its
   Action Plan for 2014-2018, the UEMS PRM Board has included the
   harmonization of the PRM curriculum among the EU countries, as one of
   its main goals. Based on a European Directive, the Belgian Superior
   Council is envisaging a reform of the PRM curriculum.
   AIM: The aim of this paper is to present the current situation of PRM
   education in Europe according to the survey carried out by the Belgium
   Task Force.
   DESIGN: An online survey was posted on May 3rd 2015 to all delegates of
   the UEMS PRM Section and Board. Two questions were formulated: 1) What
   is the duration and curriculum of PRM training in your country? 2) Does
   a Postgraduate Rehabilitation training exist for other medical
   specialties?
   RESULTS: The majority of the PRM training programs in Europe have a
   duration ranging from 4 to 5 years, and are not aiming at downsizing the
   duration to the European minimal training period of 3 years. The vast
   majority (70%) of the responding countries don't offer an additional
   accreditation of Rehabilitation for other medical specialties
   CONCLUSIONS: Comparing PRM training programs in Europe can support the
   long-awaited reform of the PRM postgraduate curriculum in Belgium and
   gives perspective to agree on a transparent and comparable specialty
   training throughout Europe. Providing a more comparable training
   promotes the establishment of PRM and its rehabilitation service
   provisions in the world.
RI Negrini, Stefano/B-6667-2013; Kiekens, Carlotte/V-7545-2018
OI Negrini, Stefano/0000-0002-1878-2747; Kiekens,
   Carlotte/0000-0001-8500-7751
ZA 0
ZS 0
TC 5
ZR 0
Z8 0
ZB 1
Z9 5
U1 0
U2 0
SN 1973-9087
EI 1973-9095
UT WOS:000399965600013
PM 27845505
ER

PT J
AU Bernstein, Daniel A.
   Salsgiver, Elizabeth
   Simon, Matthew S.
   Greendyke, William
   Eiras, Daniel P.
   Ito, Masahiro
   Caruso, Dean A.
   Woodward, Timothy M.
   Perriel, Odette T.
   Saiman, Lisa
   Furuya, E. Yoko
   Calfee, David P.
TI Understanding Barriers to Optimal Cleaning and Disinfection in
   Hospitals: A Knowledge, Attitudes, and Practices Survey of Environmental
   Services Workers
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 37
IS 12
BP 1492
EP 1495
DI 10.1017/ice.2016.206
PD DEC 2016
PY 2016
AB In this study, we used an online survey to assess knowledge, attitudes,
   and practices related to environmental cleaning and other infection
   prevention strategies among environmental services workers (ESWs) at 5
   hospitals. Our findings suggest that ESWs could benefit from additional
   education and feedback as well as new strategies to address workflow
   challenges. Infect Control Hosp Epidemiol 2016;1492-1495
TC 17
Z8 1
ZB 12
ZR 0
ZA 0
ZS 0
Z9 18
U1 1
U2 8
SN 0899-823X
EI 1559-6834
UT WOS:000390351900016
PM 27619896
ER

PT J
AU Anderson, K. N.
   Connor, J. J.
   Koerner, A. F.
   Rueter, M. A.
TI Twins conceived using IVF: a follow-up of the family environment and
   psychosocial adjustment in adolescence
SO HUMAN REPRODUCTION
VL 31
IS 12
BP 2765
EP 2771
DI 10.1093/humrep/dew261
PD DEC 2016
PY 2016
AB STUDY QUESTION: Compared to families with IVF singletons, what are
   parental depressive, parent-adolescent interaction and adolescent
   adjustment outcomes in families with 11-17-year-old IVF twins?
   SUMMARY ANSWER: No differences were detected for any measured outcome
   between families with 11-17-year-old IVF twins and those with IVF
   singletons, despite high statistical power.
   WHAT IS KNOWN ALREADY: When IVF twins are younger than 5-years-old,
   parents tend to have more mental health difficulties and poorer
   parent-child interactions relative to IVF singletons. By middle
   childhood, these differences may no longer exist and available studies
   with middle childhood-aged IVF twins challenge the expected long-term
   implications of the early concerns. IVF twins may even have more optimum
   adjustment than IVF singletons in middle childhood.
   STUDY DESIGN, SIZE, DURATION: Study of 280, 11-17-year-old IVF children
   (n = 122 twins and n = 158 singletons) from 195 families at a US
   reproductive endocrinology clinic.
   PARTICIPANTS/MATERIALS, SETTING, METHOD: At Wave 1, clinic patients with
   an IVF child born between 1998 and 2004 were invited to participate in
   an online survey. In this follow-up study, mothers and fathers provided
   information on each of their 11-17-year-old IVF adolescents.
   MAIN RESULTS AND THE ROLE OF CHANCE: There were no differences between
   11- and 17-year-old IVF twins and IVF singletons in parent depressive
   symptoms, parent-adolescent interactions or adolescent adjustment
   outcomes.
   LIMITATIONS REASONS FOR CAUTION: Although the family demographics are
   representative of IVF patients, participants were drawn from one US
   clinic.
   WIDER IMPLICATIONS OF THE FINDINGS: Study results provide reassurance
   that by adolescence IVF twins and their families function as well as IVF
   singletons and their families.
OI Koerner, Ascan/0000-0001-6679-9677
ZS 0
ZB 0
TC 2
Z8 0
ZR 0
ZA 0
Z9 2
U1 3
U2 10
SN 0268-1161
EI 1460-2350
UT WOS:000394808600014
PM 27744378
ER

PT J
AU Daumler, D.
   Chan, P.
   Lo, K. C.
   Takefman, J.
   Zelkowitz, P.
TI Men's knowledge of their own fertility: a population-based survey
   examining the awareness of factors that are associated with male
   infertility
SO HUMAN REPRODUCTION
VL 31
IS 12
BP 2781
EP 2790
DI 10.1093/humrep/dew265
PD DEC 2016
PY 2016
AB STUDY QUESTION: How knowledgeable are men about the medical,
   environmental and psychological factors that are associated with male
   infertility?
   SUMMARY ANSWER: Men, across most demographic groups, have limited
   knowledge of the various factors that are associated with male
   infertility.
   WHAT IS KNOWN ALREADY: Few surveys have focused on men's knowledge of
   their own fertility. Studies of both men and women have found that men
   are comparatively less knowledgeable about issues of fertility and
   reproductive health.
   STUDY DESIGN, SIZE, DURATION: A regionally representative sample of
   Canadian men completed a web-based survey of male fertility and
   reproductive health, over a 2-month period in 2015.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: Men, aged 18-50 years, were
   recruited for the study. There were 701 male participants, with a mean
   age of 34.1 years. Each participant was asked to identify factors
   associated with male infertility; fertility knowledge was assessed
   through two open-ended questions and a comprehensive list of risk
   factors and attendant health issues.
   MAIN RESULTS AND THE ROLE OF CHANCE: Men were only able to identify 51%
   of the risk factors and 45% of the health issues associated with male
   infertility. Men were most aware of the modifiable risk factors for
   infertility (e.g. sexually transmitted infections, smoking cigarettes),
   relative to their knowledge of fixed risk factors (e.g. delayed puberty,
   size of testicles) and the attendant health issues (e.g. cardiovascular
   disease, diabetes). The overall level of fertility knowledge did not
   vary by most demographic characteristics (e.g. age, education,
   employment, income), though men from ethnic minority groups displayed
   moderately greater awareness. Additionally, younger men, those with
   lower incomes and those who had no desire to have future biological
   children were more likely to identify themselves as unaware of
   associations with infertility in the open-ended questions. Self-reported
   knowledge was significantly associated with higher overall knowledge
   scores. More than half of the sample expressed an interest in obtaining
   information about male fertility and reproductive health, with the
   majority of these men indicating that medical professionals and online
   sources were their preferred methods for receiving information.
   LIMITATIONS, REASONS FOR CAUTION: Participants were self-selected and
   required to have Internet access in order to participate. This may
   affect the generalizability of results.
   WIDER IMPLICATIONS OF THE FINDINGS: Previous studies of fertility
   knowledge have either omitted men from their samples or when men have
   been included, they were asked about general fertility or women's
   fertility. This is the first large-scale survey that focuses solely on
   men's knowledge of male fertility. Insight into the areas where men's
   knowledge may be lacking can inform strategies for disseminating
   fertility-related information and improving men's fertility awareness.
   Public health initiatives should tailor campaigns to educate men about
   the lesser known associations with male infertility, particularly those
   that are most prevalent and preventable through lifestyle modification.
RI Daumler, Davis/AAC-2179-2019
OI Daumler, Davis/0000-0001-7942-9587
TC 34
ZB 11
Z8 0
ZS 0
ZA 0
ZR 0
Z9 34
U1 0
U2 12
SN 0268-1161
EI 1460-2350
UT WOS:000394808600016
PM 27816924
ER

PT J
AU Coutinho, Filipe
   Ramessur, Anisha
TI An Overview of Teaching Communication of Bad News in Medical School:
   Should a Lecture be Adequate to Address the Topic?
SO ACTA MEDICA PORTUGUESA
VL 29
IS 12
BP 826
EP 831
DI 10.20344/amp.7909
PD DEC 2016
PY 2016
AB Introduction: Delivering bad news is very common in medical daily
   practice. Several studies have shown a lack of effective communication
   skills amongst medical students, particularly concerning how to deliver
   bad news. The SPIKES protocol allows communicating bad news in a 6-step
   method. The aim of this study is to investigate the perspective of
   students related to this subject.
   Material and Methods: A 45 minute lecture "Breaking Bad News" was given
   to 160 students in the fifth and sixth years of the Medicine course,
   using the SPIKES' protocol training. After the lecture, an online survey
   was given to all students, and a cross-sectional and descriptive
   analysis of data extracted from survey was undertaken.
   Results: Fifty-four students (21% of overall) answered the online
   survey. Eighty three percent said that theme should have an important
   role in their further daily medical practice, and most of students rated
   the physicians' role as challenging. Sixty percent of students expressed
   that communicating bad news was an integral part of the medical course
   curriculum. Regarding the SPIKES protocol, 48% felt that the first step
   would be the easiest to put in practice, and 40% felt that the fifth
   step related to "Emotions" would be the most difficult.
   Discussion: In general, the students would like to gain competencies in
   breaking bad news using a practical approach
   Conclusions: Students highly valued theoretical and practical approaches
   in teaching of communication of bad news. Therefore, we encourage a
   combination approach in pre-graduate medical education.
RI Coutinho, Filipe/E-1836-2018
OI Coutinho, Filipe/0000-0002-9027-646X
TC 3
ZB 0
ZA 0
ZS 3
Z8 0
ZR 0
Z9 5
U1 0
U2 6
SN 1646-0758
UT WOS:000393811700010
PM 28425886
ER

PT J
AU Frank, Erica
   Tairyan, Kate
   Everton, Michelle
   Chu, Jennifer
   Goolsby, Craig
   Hayes, Alisa
   Hulton, Ann
TI A test of the first course (Emergency Medicine) that is globally
   available for credit and for free
SO HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
VL 4
IS 4
BP 317
EP 320
DI 10.1016/j.hjdsi.2016.02.003
PD DEC 2016
PY 2016
AB Background: The WHO has called for the use of computer-aided education
   to train millions of additional health providers. We herein address this
   appeal with the first globally available, free, accredited,
   computer-aided, and peer and mentor-guided course.
   Methods: The intervention studied was NextGenU.org's first course,
   "Emergency Medicine (EM) for Senior Medical Students", required for the
   graduating Classes of 2013 at the University of Missouri (UM) and the
   U.S. Uniformed Services University of the Health Sciences (USUHS).
   Control groups were the Class of 2012 at USUHS, and students nationally
   in the Class of 2013.
   Results: As of July 2016, there were over 4,000 registered
   "NextGenUsers" in 145 countries. USUHS NextGenUsers (n=167) averaged
   80.3% vs. USUHS control students' 80.9% (n=163, p =0.4) on the Society
   of Academic EM (SAEM) exam, vs. 71.4% nationally (n=415, p < 0 0001). UM
   NextGenUsers (n=35) averaged 71.2% on the SAEM exam vs. 71.4% nationally
   (n=415, p=0.8). Both EM Clerkship Directors reported good student
   satisfaction with these asynchronous, competency-based, site-agnostic
   readings.
   Conclusions: This novel model of a free, accredited course is becoming
   widely used, and has performed as well as some of the world's
   most-resourced courses. (C) 2016 Published by Elsevier Inc.
OI Frank, Erica/0000-0001-7159-5417; Goolsby, Craig/0000-0001-9929-8764
ZR 0
ZS 0
TC 9
ZA 0
ZB 0
Z8 0
Z9 9
U1 1
U2 5
SN 2213-0764
EI 2213-0772
UT WOS:000390918300015
PM 27663554
ER

PT J
AU Gonzalez, Alejandro
   Vargas, Bryan
   Gonzalez, Vicente
   Reyes, Ignacio
   Sarfatis, Alberto
TI Interactive tools to standardize semiology teaching
SO REVISTA MEDICA DE CHILE
VL 144
IS 12
BP 1605
EP 1611
PD DEC 2016
PY 2016
AB Background: The learning process for medical semiology depends on
   multidisciplinary teaching activities, including simulation tools. These
   tools should achieve a standardization level aiming at a same level of
   basic knowledge in each student. Aim: To evaluate an interactive online
   semiology learning tool. Material and Methods: An interactive online
   learning method for medical semiology was developed. It focused mainly
   on physical examination and incorporated audiovisual and
   self-explanatory elements, to strengthen the acquisition of skills and
   basic knowledge for each standardized clinical learning simulation
   session. Subsequently, a satisfaction survey was conducted. Also the
   performance of students in a clinical examination was compared with that
   of students of the previous year. Results: Student satisfaction was
   outstanding, and there was a significant improvement in the performance
   on the final exam. Conclusions: The use of interactive self-learning
   online content for medical semiology provides an effective tool to
   improve student learning.
ZA 0
ZS 0
Z8 0
TC 0
ZB 0
ZR 0
Z9 0
U1 0
U2 7
SN 0034-9887
EI 0717-6163
UT WOS:000392906200013
PM 28393996
ER

PT J
AU Palmer, William E.
TI Spinal Injections for Pain Management
SO RADIOLOGY
VL 281
IS 3
BP 669
EP 688
DI 10.1148/radiol.2016152055
PD DEC 2016
PY 2016
AB Image-guided spinal injection is commonly performed in symptomatic
   patients to decrease pain severity, confirm the pain generator, and
   delay or avoid surgery. This article focuses on the radiologist as spine
   interventionist and addresses the following four topics relevant to the
   radiologist who performs corticosteroid injections for pain management:
   (a) the rationale behind corticosteroid injection, (b) the interaction
   with patients, (c) the role of imaging in procedural selection and
   planning, and (d) the pearls and pitfalls of fluoroscopically guided
   injections. Factors that contribute to the success of a pain management
   service include communication skills and risk mitigation. A critical
   factor is the correlation of clinical symptoms with magnetic resonance
   (MR) imaging findings. Radiologists can leverage their training in MR
   image interpretation to distinguish active pain generators in the spine
   from incidental abnormalities. Knowledge of fluoroscopic anatomy and
   patterns of contrast material flow guide the planning and execution of
   safe and effective needle placement. (C) RSNA, 2016
Z8 0
ZB 7
TC 40
ZA 0
ZS 1
ZR 0
Z9 41
U1 0
U2 6
SN 0033-8419
UT WOS:000393201500003
PM 27870618
ER

PT J
AU Bertram, Raymond
   Kaakinen, Johanna
   Bensch, Frank
   Helle, Laura
   Lantto, Eila
   Niemi, Pekka
   Lundbom, Nina
TI Eye Movements of Radiologists Reflect Expertise in CT Study
   Interpretation: A Potential Tool to Measure Resident Development
SO RADIOLOGY
VL 281
IS 3
BP 805
EP 815
DI 10.1148/radiol.2016151255
PD DEC 2016
PY 2016
AB Purpose: To establish potential markers of visual expertise in eye
   movement (EM) patterns of early residents, advanced residents, and
   specialists who interpret abdominal computed tomography (CT) studies.
   Materials and Methods: The institutional review board approved use of
   anonymized CT studies as research materials and to obtain anonymized
   eye-tracking data from volunteers. Participants gave written informed
   consent. Early residents (n = 15), advanced residents (n = 14), and
   specialists (n = 12) viewed 26 abdominal CT studies as a sequence of
   images at either 3 or 5 frames per second while EMs were recorded. Data
   were analyzed by using linear mixed-effects models.
   Results: Early residents' detection rate decreased with working hours
   (odds ratio, 0.81; 95% confidence interval [CI]: 0.73, 0.91; P = .001).
   They detected less of the low visual contrast (but not of the high
   visual contrast) lesions (45% [13 of 29]) than did specialists (62% [18
   of 29]) (odds ratio, 0.39; 95% CI: 0.25, 0.61; P < .001) or advanced
   residents (56% [16 of 29]) (odds ratio, 0.55; 95% CI: 0.33, 0.93; P =
   .024). Specialists and advanced residents had longer fixation durations
   at 5 than at 3 frames per second (specialists: beta = .01; 95% CI: .004,
   .026; P = .008; advanced residents: beta = .04; 95% CI: .03, .05; P <
   .001). In the presence of lesions, saccade lengths of specialists
   shortened more than those of advanced (beta = .02; 95% CI: .007, .04; P
   = .003) and of early residents (beta = .02; 95% CI:.008, 0.04; P =
   .003). Irrespective of expertise, high detection rate correlated with
   greater reduction of saccade length in the presence of lesions (beta =
   2.10; 95% CI: 2.16, 2.04; P = .002) and greater increase at higher
   presentation speed (beta = .11; 95% CI: .04, .17; P = .001).
   Conclusion: Expertise in CT reading is characterized by greater
   adaptivity in EM patterns in response to the demands of the task and
   environment. (C) RSNA, 2016
RI Bertram, Raymond/ABH-2715-2021
OI Bertram, Raymond/0000-0002-2709-3644
ZA 0
ZR 0
Z8 0
ZB 4
TC 31
ZS 0
Z9 31
U1 0
U2 7
SN 0033-8419
UT WOS:000393201500014
PM 27409563
ER

PT J
AU Balogh, Sandor
   Papp, Renata
   Busa, Csilla
   Csikos, Agnes
TI ROLE OF HEALTH CARE PROFESSIONALS IN PREVENTATIVE ACTIVITIES AND
   VACCINATION PROGRAMS DURING OUTBREAKS
SO ACTA MICROBIOLOGICA ET IMMUNOLOGICA HUNGARICA
VL 63
IS 4
BP 365
EP 372
DI 10.1556/030.63.2016.014
PD DEC 2016
PY 2016
AB Purpose: The general purpose of TELL ME study was to give an insight
   into the experiences of European family physicians with management of
   H1N1 pandemic flu. Methods: Qualitative research methods (focus group
   discussions, one-to-one interviews, and online data collection) were
   used to explore family doctors' opinion and suggestions. Overall 158
   family physicians took part in the study from six European countries.
   Results: Family doctors' most important experience was that the official
   campaign was not able to compensate negative effects of the mass media.
   Due to the poor evidence-based information about new vaccines, it was
   difficult to convince the public and some health care professionals too.
   Lack of unified directives - under unclear circumstances - made the
   routine patient care more difficult and hampered the collaboration
   between different health care providers. Family physicians felt a
   pressure from health authorities to achieve high immunization rate, but
   got only a little support from them. Despite the difficulties,
   vaccination program was a success, mainly among high-risk population.
   For better handling of a future pandemic, Hungarian family physician
   made many general and practical suggestions.
RI Busa, Csilla/AGJ-3857-2022
Z8 0
TC 2
ZA 0
ZS 1
ZR 0
ZB 0
Z9 2
U1 1
U2 8
SN 1217-8950
EI 1588-2640
UT WOS:000392000900001
PM 27848253
ER

PT J
AU Hack, Catherine Jane
TI The benefits and barriers of using virtual worlds to engage healthcare
   professionals on distance learning programmes
SO INTERACTIVE LEARNING ENVIRONMENTS
VL 24
IS 8
BP 1836
EP 1849
DI 10.1080/10494820.2015.1057743
PD DEC 2016
PY 2016
AB Using the delivery of a large postgraduate distance learning module in
   bioethics to health professionals as an illustrative example, the type
   of learning activity that could be enhanced through delivery in an
   immersive virtual world (IVW) was explored. Several activities were
   repurposed from the traditional virtual learning environment into the
   IVW, providing insight into the pedagogical affordances of each
   environment. Voluntary classes, which were held each week over the
   12-week module, were designed to provide deeper understanding of ethical
   theory and how it informs professional healthcare practice. Virtual
   classes included problem-based learning, flipped lectures, and role
   play. Following the introduction of the virtual classes, the module
   failure rate was less than 5%, compared with approximate to 11% in the
   previous two cohorts. However, the introduction of any new technology
   presents challenges to both staff and students; therefore, the barriers
   to using virtual worlds are also explored.
ZR 0
TC 6
ZA 0
Z8 0
ZS 0
ZB 0
Z9 6
U1 0
U2 20
SN 1049-4820
EI 1744-5191
UT WOS:000390432200008
ER

PT J
AU Daniel Rosenthal, Victor
   Al-Abdely, Hail M.
   El-Kholy, Amani Ali
   AlKhawaja, Safa A. Aziz
   Leblebicioglu, Hakan
   Mehta, Yatin
   Rai, Vineya
   Nguyen Viet Hung
   Kanj, Souha Sami
   Salama, Mona Foda
   Salgado-Yepez, Estuardo
   Elahi, Naheed
   Morfin Otero, Rayo
   Apisarnthanarak, Anucha
   De Carvalho, Braulio Matias
   Ider, Bat Erdene
   Fisher, Dale
   Buenaflor, Maria Carmen S. G.
   Petrov, Michael M.
   Quesada-Mora, Ana Marcela
   Zand, Farid
   Gurskis, Vaidotas
   Anguseva, Tanja
   Ikram, Aamer
   Aguilar de Moros, Daisy
   Duszynska, Wieslawa
   Mejia, Nepomuceno
   Horhat, Florin George
   Belskiy, Vladislav
   Mioljevic, Vesna
   Di Silvestre, Gabriela
   Furova, Katarina
   Ramos-Ortiz, Gloria Y.
   Elanbya, May Osman Gamar
   Satari, Hindra Irawan
   Gupta, Umesh
   Dendane, Tarek
   Raka, Lul
   Guanche-Garcell, Humberto
   Hu, Bijie
   Padgett, Denis
   Jayatilleke, Kushlani
   Ben Jaballah, Najla
   Apostolopoulou, Eleni
   Prudencio Leon, Walter Enrique
   Sepulveda-Chavez, Alejandra
   Miguel Telechea, Hector
   Trotter, Andrew
   Alvarez-Moreno, Carlos
   Kushner-Davalos, Luis
   Desse, J. E.
   Maurizi, D. M.
   Montanini, A. M.
   Desse, J. E.
   Maurizi, D. M.
   Chaparro, G. J.
   Stagnaro, J. P.
   Romani, A.
   Bianchi, A. C.
   Alvarez, G.
   Palaoro, A.
   Bernan, M.
   Cabrera-Montesino, R.
   Dominguez, C.
   Rodriguez, C. G.
   Silva, C. G.
   Bogdanowicz, E.
   Riera, F. O.
   Benchetrit, G.
   Perez, I.
   Vimercati, J.
   Marcos, L. S.
   Ramasco, L.
   Caridi, M.
   Oyola, M. C.
   Rodriguez, M. C.
   Spadaro, M. L.
   Olivieri, M. S.
   Saul, P.
   Juarez, P. D.
   Perez, R. H.
   Botta, P.
   Quintana, D.
   Rios, A. M.
   Stagnaro, J. P.
   Chediack, V.
   Chilon, W.
   Alsayegh, A. I.
   Yaseen, F. H.
   Hani, L. F.
   Sowar, S. F.
   Magray, T. A.
   Medeiros, E. A.
   De Oliveira, A. Alves
   Romario-Mendes, A.
   Fernandes-Valente, C.
   Santos, C.
   Escudeiro, D.
   Lima, D. Azevedo-Ferreira
   Azevedo-Pereira, D.
   Onzi-Siliprandi, E. M.
   Serpa-Maia, F.
   Aguiar-Leitao, F.
   Assuncao-Ponte, G.
   Dos Anjos-Lima, J.
   Olszewski, J.
   Pinto Coelho, K. Harten
   Alves De Lima, L. F.
   Mendonca, M.
   Maciel-Canuto Amaral, M. L.
   Tenorio, M. T.
   Gerah, S.
   Andrade-Oliveira-Reis, M.
   Moreira, M.
   Batista, M. Ximenes-Rocha
   Campos-Uchoa, R. S.
   Carneiro, R. Rocha-Vasconcelos
   De Moraes, R. Amaral
   Do Nascimento, S. C.
   Moreira-Matos, T.
   Lima-De Barros Araujo, T. M.
   Pinheiro-Bandeira, De Jesus T.
   Machado-Silva, V. L.
   Santos Monteiro, W. M.
   Hristozova, E.
   Kostadinov, E. D.
   Angelova, K.
   Velinova, V. A.
   Dicheva, V. J.
   Guo, X.
   Yc, G.
   Li, R.
   Song, L.
   Liu, K.
   Liu, T.
   Song, G.
   Wang, C.
   Yang, X.
   Yu, H.
   Yang, Y.
   Martinez, A.
   Vargas-Garcia, A. R.
   Lagares-Guzman, A.
   Gonzalez, A. P.
   Linares, C.
   Avila-Acosta, C.
   Santofimio, D.
   Yepes-Gomez, D.
   Mazo-Elorza, D. P.
   Chapeta-Parada, E. G.
   Camacho-Moreno, G.
   Roncancio-Villamil, G. E.
   Valderrama-Marquez, I. A.
   Ruiz-Gallardo, J. E.
   Ospina-Martinez, J. O.
   Osorio, J.
   Marin-Uribe, J. I.
   Lopez, J. C.
   Gualtero, S.
   Rojas, J. R.
   Gomez-Nieto, K.
   Rincon, L. Y. M.
   Meneses-Ovallos, L.
   Canas-Giraldo, L. M.
   Burgos-Florez, L. D.
   Amaral-Almeida Costa, M.
   Rodriguez, M.
   Barahona-Guzman, N.
   Mancera-Paez, O.
   Rios-Arana, P. A.
   Ortega, R.
   Romero-Torres, S. L.
   Pulido-Leon, S. M.
   Valderrama, S.
   Moreno-Mejia, V. M.
   Raigoza-Martinez, W.
   Villamil-Gomez, W.
   Pardo-Lopez, Y. A.
   Arguello-Ruiz, A.
   Solano-Chinchilla, A.
   Munoz-Gutierrez, G. A.
   Calvo-Hernandez, I.
   Maroto-Vargas, L.
   Zuniga, M. A.
   Valverde-Hernandez, M.
   Chavarria-Ugalde, O.
   Herrera, B.
   Diaz, C.
   Bovera, M. M.
   Cevallos, C.
   Pelaez, C.
   Jara, E.
   Delgado, V.
   Coello-Gordon, E. E.
   Picoita, F.
   Guerrero-Toapant, F. M.
   Valencia, F.
   Santacruz, G.
   Gonzalez, H.
   Pazmino, L. N.
   Garcia, M. F.
   Arboleda, M.
   Lascano, M.
   Alquinga, N.
   Ramirez, V.
   Reham, H. A. Yousef
   Moustafa, Abd El Moniem
   Ahmed, A.
   Elansary, A. M.
   Ali, Ahmad Mahmoud
   Hasanin, Ahmed
   Messih, Antoine Abdel
   Ramadan, Arwa
   El Awady, B. A.
   Hassan, D. M.
   El Aziz, Doaa Abd
   Hamza, Hala
   Agha, Hala Mounir
   Ghazi, Islam Abdullorziz
   ElKholy, J.
   Fattah, May Abdel
   Elanany, Mervat
   Mansour, M.
   Haleim, M. M. A.
   Fouda, R.
   El-Sherif, Rasha Hamed
   Bekeit, S.
   Bayani, V.
   Elkholy, Y. S.
   Abdelhamid, Y. M.
   Salah, Zeinab
   Rivera, D. M.
   Chawla, A.
   Manked, A. N.
   Azim, A.
   Mubarak, A.
   Thakur, A.
   Dharan, A. V.
   Patil, A.
   Sasidharan, A.
   Bilolikar, Anil Kumar
   Karmakar, A. Anirban
   Mathew, A. M.
   Kulkarni, Anuja
   Agarwal, Anuradha
   Sriram, Anuradha
   Dwivedy, A.
   Dasgupta, Arnab
   Bhakta, A.
   Suganya, Arul Rose
   Poojary, A.
   Mani, Ashwin Kumar
   Sakle, Asmita
   Abraham, Babu K.
   Padmini, Baby
   Ramachandran, B.
   Ray, Banambar
   Pati, Basanta Kumar
   Chaudhury, Bhaskar Narayan
   Mishra, Biraj Mohan
   Biswas, S.
   Bri Saibala, M.
   Jawadwala, Burhan Q.
   Rodrigues, C.
   Modi, Chirag
   Patel, Chirag
   Khanna, D. K.
   Devaprasad, Dedeepiya
   Divekar, Deepa
   Aggarwal, Deepesh G.
   Divatia, J. V.
   Zala, Dolatsinh
   Pathrose, Edwin
   Abubakar, Fazil
   Chacko, Felcy
   Gehlot, G. S.
   Khanna, Gautam
   Sale, H. K.
   Roy, Indranil
   Shelgaonkar, Jayant
   Sorabjee, Jehangir
   Eappen, Jincy
   Mathew, Justin
   Pal, Jyotishka
   Varma, Karthikeya
   Joshi, Kashmira Limaye
   Sandhu, Kavita
   Kelkar, R.
   Ranganathan, Lakshmi
   Pushparaj, L.
   Lavate, Madhav
   Latha, Madhavi
   Suryawanshi, Madhupriya
   Bhattacharyya, M.
   Kavathekar, Maithili
   Agarwal, Manoj Kumar
   Patel, Mayur
   Shah, Mehul
   Sivakumar, M. N.
   Kharbanda, Mohit
   Bej, Mrinmoy
   Potdar, Mrunalini
   Chakravarthy, M.
   Karpagam, M.
   Myatra, S. N.
   Gita, N.
   Rao, N. P.
   Sen, N.
   Ramakrishnan, N.
   Jaggi, N.
   Saini, N.
   Pawar, N. K.
   Modi, Nikhil
   Pandya, Nirav
   Mohanty, Nisith
   Thakkar, Pooja
   Joshi, Pradnya
   Sahoo, Prafulla Kumar
   Nair, Pravin Kumar
   Kumar, Priyadarshini Senthil
   Patil, Priyanka
   Mukherjee, Purnima
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   Karacorlu, Sevim
   Sen, Suha
   Sacar, Suzan
   Yarar, Volkan
   Oruc, Yeliz
   Sahip, Yusuf
   Kaya, Zeynep
   Philip, Anamma
   Elhoufi, Ashraf
   Alrahma, Hussain
   Sachez, E.
   Perez, F.
   Empaire, G. D.
   Vidal, H.
   Montes-Bravo, L.
   Siritt, M. E. Guzman
   Orozco, N.
   Navarrete, N.
   Ruiz, Y.
   De Anez, Z. Duran-Gil
   Dang Thi Van Trang
   Dao Quang Minh
   Dao Xuan Co
   Dinh Pham Phuong Anh
   Le Thi Anh Thu
   Le Thi Diem Tuyet
   Le Thi Thu Nguyet
   Ngo Uy Chau
   Nguyen Gia Binh
   Nguyen Phuc Tien
   Nguyen Quoc Anh
   Phan Thi Hang
   Tran Thi My Hanh
   Tran Thi Thuy Hang
   Truong Anh Thu
   Vo Thi Hong Thoa
TI International Nosocomial Infection Control Consortium report, data
   summary of 50 countries for 2010-2015: Device-associated module
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 44
IS 12
BP 1495
EP 1504
DI 10.1016/j.ajic.2016.08.007
PD DEC 1 2016
PY 2016
AB Background: We report the results of International Nosocomial Infection
   Control Consortium (INICC) surveillance study from January 2010-December
   2015 in 703 intensive care units (ICUs) in Latin America, Europe,
   Eastern Mediterranean, Southeast Asia, and Western Pacific.
   Methods: During the 6-year study period, using Centers for Disease
   Control and Prevention National Healthcare Safety Network (CDC-NHSN)
   definitions for device-associated health care-associated infection
   (DAHAI), we collected prospective data from861,284 patients hospitalized
   in INICC hospital ICUs for an aggregate of 3,506,562 days.
   Results: Although device use in INICC ICUs was similar to that reported
   from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the
   INICC medical-surgical ICUs, the pooled rate of central lineassociated
   bloodstream infection, 4.1 per 1,000 central line-days, was nearly
   5-fold higher than the 0.8 per 1,000 central line-days reported from
   comparable US ICUs, the overall rate of ventilator-associated pneumonia
   was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the
   rate of catheterassociated urinary tract infection, 5.07 versus 1.7 per
   1,000 catheter-days. From blood cultures samples, frequencies of
   resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to
   imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to
   ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also
   higher in the INICC ICUs compared with CDC-NHSN ICUs.
   Conclusions: Although DA-HAIs in INICC ICU patients continue to be
   higher than the rates reported in CDC-NSHN ICUs representing the
   developed world, we have observed a significant trend toward the
   reduction of DA-HAI rates in INICC ICUs as shown in each international
   report. It is INICC's main goal to continue facilitating education,
   training, and basic and cost-effective tools and resources, such as
   standardized forms and an online platform, to tackle this problem
   effectively and systematically. (C) 2016 Association for Professionals
   in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.
   All rights reserved.
RI Hasan, Mohd Shahnaz/B-9124-2010; Hasan, Mohd Shahnaz/AAA-7431-2019; sungurtekin, hulya/AAW-5037-2021; Raka, Lul/A-8019-2016; Masjedi, Mansoor/AGT-0559-2022; Ahmed, Abeera/V-8339-2019; Poojary, Aruna/AAL-2862-2021; Yusof, Aliza Mohamad/AAT-2923-2020; UNAL, SERHAT/I-9034-2013; Maghsoudi, Behzad/O-2281-2017; MANSOR, MARZIDA/B-8954-2010; Zand, Farid/O-2293-2017; Oztoprak, Nefise/AAD-2679-2019; bulut, cemal/AAB-5496-2022; bulut, cemal/GPX-6417-2022; agin, hasan/AAG-3609-2021; Dilek, Ahmet/AAV-7176-2021; GüçLü, Ertuğrul/AAM-8247-2020; Myatra, Sheila N/L-3323-2015; ersoz, gulden/A-4255-2018; Ozcelik, Menekse/AAI-4738-2020; Inan, Asuman/D-5679-2014; Yalcin, Ata Nevzat/B-4818-2008; bayram, nuri/A-1550-2019; Altindis, Mustafa/O-8413-2019; Jayatilleke, Kushlani/AAK-9959-2020; Dursun, Oğuz/L-6205-2019; Ozgur Horoz, Ozden/V-1600-2018; tuncer ertem, gunay/GRJ-7397-2022; Zielińska, Marzena/AAC-8304-2021; Sabetian, Golnar/O-2240-2017; Kumar, Perikala Vijayananda/D-2948-2019; Dilek, Ahmet/ABB-9882-2021; kumar, Pushpendra/GRR-1736-2022; Horhat, Florin George/J-6459-2019; LOPEZ PULGARIN, JOSE ARNULFO/GQQ-7113-2022; Abouqal, Redouane/N-3468-2019; Myatra, Sheila Nainan/AAF-5926-2021; Kholy, Amani El/ABA-4759-2020; AYGUN, CANAN/U-7814-2019; Usluer, Gaye/AAA-5335-2021; Masjedi, Mansoor/O-1479-2017; Leblebicioglu, Hakan/A-3960-2016; Arteaga-Troncoso, Gabriel/AAS-3220-2021; Lum, Lucy/Q-9871-2017; Mat, Wan Rahiza Wan/ABE-9044-2020; Shukeri, Wan Fadzlina Wan Muhd/T-8037-2019; Popescu, Roxana/C-1456-2012; Gan, Chin Seng/B-2160-2012; dursun, oguz/C-1604-2016; Dasgupta, Arnab/AAD-4779-2020; Mikaszewska-Sokolewicz, Małgorzata A/U-7927-2018; Popescu, Roxana/AAB-1809-2019; Bjelovic, Milos/AAO-8450-2020; Guerra-Infante, Fernando M./F-5844-2012; Meco, Basak Ceyda/AAI-4899-2020; Kizilates, Filiz/AAD-8022-2019; Senol, Gunes/ABC-9784-2021; Delia, Muntean/J-9468-2019; Vega-Gonzalez, Susana/AAF-5239-2020; Nair, Pravin kumar/ABG-8765-2021; ZAMAN, MAZUIN KAMARUL/B-4733-2015; Medeiros, Eduardo A/B-9825-2012; Hatipoğlu, Çiğdem Ataman/AAA-4135-2021; Barahona G., Nayide/; Kanafani, Zeina/; agha, hala/; Erben, Nurettin/P-8287-2015; Gupta, Umesh/; hu, bijie/; Stagnaro, Juan Pablo/; Sanaei Dashti, Anahita/P-8891-2016; Castano Guerra, Elizabeth/; Roncancio, Gustavo/E-7793-2017; MONROY-COLIN, VICTOR ANTONIO/; Unal, Necmettin/; Rodriguez-Noriega, Eduardo/; mishra, shakti/; Ngo, Quy Chau/; Bayram, Nuri/; Zielinska, Marzena/; Trotter, Andrew/; ROSENTHAL, VICTOR DANIEL/; Yousef, Reham H. A./; yildizdas, dincer/; Barteczko-Grajek, Barbara/; Zala, Dolatsinh/; KARABAY, OGUZ/; Elmanakhly, Arwa/; El Kholy, Amani/; Alvarez-Moreno, Carlos Arturo/; Yusuf, Salim/; Pandya, Nirav/; Guanche Garcell, Humberto/; Mijangos-Mendez, Julio Cesar/; Kanj, Souha/; vadi, sonali/; Kosmider-Zurawska, Magdalena/; Aguirre-Avalos, Guadalupe/; Jayatilleke, Kushlani/; Alexandru Florin, Rogobete/F-4334-2014; KAYA, ZEYNEP/; Rodriguez Ferrer, Marena Luz/; Duszynska, Wieslawa/; Lopez Pulgarin, Jose Arnulfo/; Jaramillo Garcia, Luis Fernando/; Delgado Aguirre, Hector Alberto/; Petrov, Michael/; Dragan, Barbara/; Gonzalez Martinez, Marisela del Rocio/
OI Hasan, Mohd Shahnaz/0000-0002-7493-7416; Hasan, Mohd
   Shahnaz/0000-0002-7493-7416; sungurtekin, hulya/0000-0002-9453-5625;
   Masjedi, Mansoor/0000-0001-6175-9289; Poojary,
   Aruna/0000-0002-2757-3912; Yusof, Aliza Mohamad/0000-0002-3494-3010;
   UNAL, SERHAT/0000-0003-1184-4711; Maghsoudi, Behzad/0000-0002-1279-8799;
   Zand, Farid/0000-0003-3489-3372; Dilek, Ahmet/0000-0001-7111-2438;
   Yalcin, Ata Nevzat/0000-0002-7243-7354; Altindis,
   Mustafa/0000-0003-0411-9669; Dursun, Oğuz/0000-0001-5482-3780; Ozgur
   Horoz, Ozden/0000-0001-7590-650X; Sabetian, Golnar/0000-0001-8764-2150;
   Kumar, Perikala Vijayananda/0000-0001-8315-7000; Horhat, Florin
   George/0000-0001-6133-0204; Abouqal, Redouane/0000-0002-6117-4341;
   Myatra, Sheila Nainan/0000-0001-6761-163X; Masjedi,
   Mansoor/0000-0001-6175-9289; Leblebicioglu, Hakan/0000-0002-6033-8543;
   Lum, Lucy/0000-0002-7452-4208; Popescu, Roxana/0000-0002-9387-1141; Gan,
   Chin Seng/0000-0002-6758-4798; dursun, oguz/0000-0001-5482-3780;
   Dasgupta, Arnab/0000-0003-1065-7279; Mikaszewska-Sokolewicz, Małgorzata
   A/0000-0002-1148-7817; Guerra-Infante, Fernando M./0000-0001-8730-0484;
   Meco, Basak Ceyda/0000-0003-2951-9634; Senol, Gunes/0000-0002-1027-7578;
   Delia, Muntean/0000-0001-9100-4530; Nair, Pravin
   kumar/0000-0003-0260-0715; ZAMAN, MAZUIN KAMARUL/0000-0002-7920-6399;
   Medeiros, Eduardo A/0000-0002-6205-259X; Hatipoğlu, Çiğdem
   Ataman/0000-0002-1104-8232; Barahona G., Nayide/0000-0003-3559-6900;
   Kanafani, Zeina/0000-0001-8814-1286; agha, hala/0000-0001-9175-8770;
   Erben, Nurettin/0000-0003-0373-0132; Gupta, Umesh/0000-0001-7717-1404;
   hu, bijie/0000-0002-8687-992X; Stagnaro, Juan Pablo/0000-0003-3836-9957;
   Sanaei Dashti, Anahita/0000-0002-2827-3575; Castano Guerra,
   Elizabeth/0000-0001-9119-8697; Roncancio, Gustavo/0000-0002-2677-6398;
   MONROY-COLIN, VICTOR ANTONIO/0000-0002-1298-0566; Unal,
   Necmettin/0000-0002-9440-7893; Rodriguez-Noriega,
   Eduardo/0000-0002-1386-4815; mishra, shakti/0000-0001-6634-1877; Ngo,
   Quy Chau/0000-0002-6787-2757; Bayram, Nuri/0000-0003-1802-2518;
   Zielinska, Marzena/0000-0002-7765-9642; Trotter,
   Andrew/0000-0001-7069-2979; ROSENTHAL, VICTOR
   DANIEL/0000-0001-9138-4801; Yousef, Reham H. A./0000-0003-4004-3008;
   yildizdas, dincer/0000-0003-0739-5108; Barteczko-Grajek,
   Barbara/0000-0002-5778-4980; Zala, Dolatsinh/0000-0001-8393-0016;
   KARABAY, OGUZ/0000-0003-1514-1685; Elmanakhly, Arwa/0000-0001-8557-0536;
   El Kholy, Amani/0000-0002-0645-7664; Alvarez-Moreno, Carlos
   Arturo/0000-0001-5419-4494; Yusuf, Salim/0000-0003-4776-5601; Pandya,
   Nirav/0000-0002-3534-9195; Guanche Garcell,
   Humberto/0000-0001-7279-0062; Mijangos-Mendez, Julio
   Cesar/0000-0002-9640-3036; Kanj, Souha/0000-0001-6413-3396; vadi,
   sonali/0000-0002-7341-2407; Kosmider-Zurawska,
   Magdalena/0000-0002-5004-5114; Aguirre-Avalos,
   Guadalupe/0000-0001-7950-1024; Jayatilleke,
   Kushlani/0000-0002-3931-6630; Alexandru Florin,
   Rogobete/0000-0003-1286-4431; KAYA, ZEYNEP/0000-0002-8468-2103;
   Rodriguez Ferrer, Marena Luz/0000-0002-8053-8454; Duszynska,
   Wieslawa/0000-0002-5880-4904; Lopez Pulgarin, Jose
   Arnulfo/0000-0003-2439-3569; Jaramillo Garcia, Luis
   Fernando/0000-0003-2909-9318; Delgado Aguirre, Hector
   Alberto/0000-0001-5448-7975; Petrov, Michael/0000-0002-6214-3408;
   Dragan, Barbara/0000-0003-3108-4211; Gonzalez Martinez, Marisela del
   Rocio/0000-0003-1474-736X
ZA 0
ZS 4
ZR 1
ZB 83
TC 175
Z8 16
Z9 192
U1 3
U2 169
SN 0196-6553
EI 1527-3296
UT WOS:000392626300014
PM 27742143
ER

PT J
AU Shaw, Heather
   Rohde, Paul
   Stice, Eric
TI Participant feedback from peer-led, clinician-led, and
   internet-delivered eating disorder prevention interventions
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 49
IS 12
BP 1087
EP 1092
DI 10.1002/eat.22605
PD DEC 2016
PY 2016
AB ObjectiveThis article examines qualitative participant feedback to
   clinician-delivered groups, peer-delivered groups, and an Internet
   version of a dissonance-based eating disorder prevention program from a
   controlled trial. These data have not been systematically examined and
   can inform the refinement and implementation of eating disorder
   prevention programs.
   MethodFeedback was collected from body dissatisfied young women (N= 680;
   M age=22.2, SD=7.1) randomized to a clinician-led group, peer-led group,
   Internet version of this prevention program or to an educational video.
   ResultsClinician and peer-led group participants reported the group
   setting, feeling that they were not alone, and the letter exercise as
   most valuable; the most common response of what was less valuable was
   none. Many participants of the Internet version suggested increasing
   community support.
   ConclusionsFindings suggest the importance of considering the
   therapeutic value of group membership, and that online prevention
   programs could be enhanced by providing a mechanism for community
   support, such as an online forum. Results also inform selective
   prevention and suggest that screening potential participants to
   determine which delivery method best suits them should be considered.
   (c) 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:1087-1092)
RI Shaw, Heather/GQA-5799-2022; Stice, Eric/
OI Stice, Eric/0000-0002-9073-4942
ZS 0
ZA 0
ZB 2
Z8 0
ZR 0
TC 15
Z9 15
U1 1
U2 13
SN 0276-3478
EI 1098-108X
UT WOS:000393671500006
PM 27519180
ER

PT J
AU Cunningham, Anna
   Johnson, Frances
TI Exploring trust in online health information: a study of user
   experiences of patients.co.uk
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 33
IS 4
BP 323
EP 328
DI 10.1111/hir.12163
PD DEC 2016
PY 2016
AB This feature has been co-authored by Anna Cunningham and her supervisor
   Frances Johnson. It is based on the research Anna conducted for her
   dissertation, which she completed as part of her MA in Library and
   Information Management at Manchester Metropolitan University. The study
   explored how people assess the trustworthiness of online health
   information, and the participants were asked to talk aloud whilst
   viewing information on the consumer health information website
   patients.co.uk. The study confirmed that their assessment was based on
   the information usefulness and credibility as well as identifying the
   factors relating to information quality and website design that helped
   to form these judgements. A. M.
RI Ajmi, Ghalia Al/AAB-6467-2019
ZS 0
TC 6
ZR 0
ZA 0
ZB 0
Z8 0
Z9 6
U1 1
U2 52
SN 1471-1834
EI 1471-1842
UT WOS:000387856800007
PM 27870321
ER

PT J
AU Neubeck, Lis
   Coorey, Genevieve
   Peiris, David
   Mulley, John
   Heeley, Emma
   Hersch, Fred
   Redfern, Julie
TI Development of an integrated e-health tool for people with, or at high
   risk of, cardiovascular disease: The Consumer Navigation of Electronic
   Cardiovascular Tools (CONNECT) web application
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 96
BP 24
EP 37
DI 10.1016/j.ijmedinf.2016.01.009
PD DEC 2016
PY 2016
AB Background: Cardiovascular disease is the leading killer globally and
   secondary prevention substantially reduces risk. Uptake of, and
   adherence to, face-to-face preventive programs is often low. Alternative
   models of care are exploiting the prominence of technology in daily life
   to facilitate lifestyle behavior change.
   Objective: To inform the development of a web-based application
   integrated with the primary care electronic health record, we undertook
   a collaborative user-centered design process to develop a consumer
   focused e-health tool for cardiovascular disease risk reduction.
   Methods: A four-phase iterative process involved ten multidisciplinary
   clinicians and academics (primary care physician, nurses and allied
   health professionals), two design consultants, one graphic designer,
   three software developers and fourteen proposed end-users. This 18-month
   process involved, (1) defining the target audience and needs, (2) pilot
   testing and refinement, (3) software development including validation
   and testing the algorithm, (4) user acceptance testing and beta testing.
   From this process, researchers were able to better understand end-user
   needs and preferences, thereby improving and enriching the increasingly
   detailed system designs and prototypes for a mobile responsive web
   application.
   Results: We reviewed 14 relevant applications/websites and sixteen
   observational and interventional studies to derive a set of core
   components and ideal features for the system. These included the need
   for interactivity, visual appeal, credible health information, virtual
   rewards, and emotional and physical support. The features identified as
   essential were: (i) both mobile and web-enabled 'apps', (ii) an emphasis
   on medication management, (iii) a strong psychosocial support component.
   Subsequent workshops (n = 6; 2 x 1.5 h) informed the development of
   functionality and lo-fidelity sketches of application interfaces. These
   ideas were next tested in consumer focus groups (n = 9; 3 x 1.5 h).
   Specifications for the application were refined from this feedback and a
   graphic designer iteratively developed the interface. Concurrently, the
   electronic health record was linked to the consumer portal. A written
   description of the final algorithms for all decisions and outputs was
   provided to software programmers. These algorithmic outputs to the app
   were first validated against those obtained from an independently
   programmed version in STATA 11. User acceptance testing (n = 5, 2 x 1.0
   h) and beta testing revealed technical bugs and interface concerns
   across commonly-used web browsers and smartphones. These were resolved
   and re-tested until functionality was optimized.
   Conclusion: End-users of a cardiovascular disease prevention program
   have complex needs. A user-centered design approach aided the
   integration of these needs into the concept, specifications, development
   and refinement of a responsive web application for risk factor reduction
   and disease prevention. (C) 2016 Elsevier Ireland Ltd. All rights
   reserved.
RI Redfern, Julie/AAM-8617-2020; Neubeck, Lis/AAL-2192-2020; Coorey/AAM-1503-2021; Heeley, Emma/; Peiris, David/
OI Redfern, Julie/0000-0001-8707-5563; Neubeck, Lis/0000-0001-5852-1034;
   Heeley, Emma/0000-0001-9190-2832; Peiris, David/0000-0002-6898-3870
TC 28
ZA 0
Z8 0
ZS 0
ZR 0
ZB 5
Z9 28
U1 2
U2 53
SN 1386-5056
EI 1872-8243
UT WOS:000390482300004
PM 26847070
ER

PT J
AU Golla, H.
   Ebke, M.
   Rolke, R.
   Lorenzl, S.
   Nacimiento, W.
   Thiekoetter, T.
   Fink, G. R.
   Gold, R.
   Voltz, R.
TI Integration of Palliative and Hospice Care Structures in the Care of
   Neurological Patients: Opinion of Chief Consultant Neurologists in
   Germany
SO FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE
VL 84
IS 12
BP 733
EP 738
DI 10.1055/s-0042-119027
PD DEC 2016
PY 2016
AB An online survey of chief neurological consultants was conducted to find
   out how they judged the demand for and access to palliative and hospice
   care (PHC) structures for their neurological patients (NP) as well as
   their collaboration with PHC structures. 110 of 881 chief consultants
   who were contacted participated in the survey. About 10 % of their NP
   were considered suitable for PHC. They estimated that 9 % of the
   deceased had died from their underlying neurological disease. The
   integration of PHC structures into the management of various
   neurological diseases was considered worthwhile but 51.9 - 78.5 %
   indicated that there was no or little collaboration with PHC structures.
   12 % of the participants were trained in palliative care (PC). To
   guarantee an adequate PHC also for NP, PHC knowledge should be
   integrated into the curriculum and training of neurologists and the PC
   community should further extend its services to NP, adapting their
   knowledge and structures to these patients' special needs.
RI Fink, Gereon R./E-1616-2012
OI Fink, Gereon R./0000-0002-8230-1856
ZR 0
ZS 0
Z8 0
ZA 0
ZB 0
TC 4
Z9 4
U1 0
U2 3
SN 0720-4299
EI 1439-3522
UT WOS:000391119400021
PM 27951604
ER

PT J
AU Vieira, Miguel Bigotte
   Godinho, Pedro
   Gaibino, Nuno
   Dias, Raquel
   Sousa, Agostinho
   Madanelo, Ines
   Ribeiro-Mourao, Francisco
   Brandao, Mariana
   Duarte, Sonia
   Meirinhos, Tiago
   Catarino, Ana Luisa
   Espirito Santo, Claudio
   Caiado, Ricardo
   Marques, Ricardo
   Ferreira, Ana Goncalves
   Ramalheira, Carlos
   Jorge, Joao Valente
   Losada, Marta
   Santos, Mario
   Oliveira, Edson
   Farias, Joao Paulo
   Silva, Jose Manuel
TI Medical Residency' Satisfaction in Portugal
SO ACTA MEDICA PORTUGUESA
VL 29
IS 12
BP 839
EP 853
DI 10.20344/amp.8406
PD DEC 2016
PY 2016
AB Introduction: In the last years, the global context of medical education
   and Medical Residency programs in Portugal suffered substantial changes.
   The primary objective of this study was to evaluate and characterize
   medical residents 'satisfaction with medical residency programs in
   Portugal and to identify features that could be improved.
   Material and Methods: We utilized as model the survey Postgraduate
   Hospital Educational Environment Measure that has been developed in the
   United Kingdom and is specifically targeted to medical residents. The
   survey was translated and adapted to the Portuguese reality. The survey
   was available online during April and May of 2016.
   Results: A total of 3456 responses were obtained, corresponding to a
   response rate of 35%. Endocrinology/Nutrition, Cardiology,
   Anesthesiology, Family Physician and Gastroenterology were the
   specialties in which the degree of satisfaction was higher, while
   Forensic Medicine, Medical Oncology, Internal Medicine, General Surgery
   and Pneumology showed the lowest level of satisfaction.
   Discussion: This study presented a high response rate when compared to
   previous studies. Portuguese medical residents presented high levels of
   satisfaction. Depending on year of medical residency, region, type of
   specialty and type of hospital marked asymmetries were noticed.
   Conclusion: The survey's results should constitute in the future a
   support tool for the implementation of local and national measures
   relating to the medical residency. It is advisable to regularly conduct
   satisfaction surveys to medical residents.
RI Vieira, Miguel Bigotte/V-4629-2018
OI Vieira, Miguel Bigotte/0000-0003-0528-2716
Z8 0
ZS 0
ZB 0
ZA 0
TC 1
ZR 0
Z9 1
U1 0
U2 4
SN 1646-0758
UT WOS:000393811700011
ER

PT J
AU Vieira, Tatiana de Oliveira
   Martins, Camilla da Cruz
   Santana, Gessica Silva
   Vieira, Graciete Oliveira
   Silva, Luciana Rodrigues
TI Maternal intention to breastfeed: a systematic review
SO CIENCIA & SAUDE COLETIVA
VL 21
IS 12
BP 3845
EP 3858
DI 10.1590/1413-812320152112.17962015
PD DEC 2016
PY 2016
AB This study seeks to identify the factors associated with maternal
   intention to breastfeed (MIB) in pregnant women. A systematic review of
   articles in the Medical Literature Analysis and Retrieval System Online
   (PubMed/Medline) and the Latin American and Caribbean Literature in
   Health Sciences (Lilacs) databases was conducted. Two independent
   reviewers performed the search, using the "Medical Subject Headings" and
   "Key words in Science and Health" vocabulary, referring to:
   breastfeeding, intention, and pregnant women. Research articles in
   English, Portuguese and Spanish that analyzed MIB as an outcome were
   selected. The studies were classified by methodological quality, using a
   scale that considered internal and external validity criteria, with a
   maximum score of 30 points. Nine articles were selected, with a
   methodological quality varying from 12 to 21 points. The studies
   assessed 68 variables; 35 of which were associated with MIB. The
   characteristics associated with MIB found in two or more studies were:
   primiparity, higher level of schooling and older maternal age, prior
   experience with breastfeeding, not smoking, and living with a partner.
   Knowledge of the characteristics associated with MIB represents a
   fundamental step in the planning of actions that seek to increase the
   duration of breastfeeding.
RI Concilio, Lais Regiane Silva/F-3248-2012; da Cruz Martins, Camilla/GRR-3885-2022
OI Concilio, Lais Regiane Silva/0000-0002-3054-3810; 
ZS 7
Z8 0
ZB 0
TC 7
ZR 0
ZA 0
Z9 10
U1 0
U2 6
SN 1413-8123
EI 1678-4561
UT WOS:000393796100020
PM 27925124
ER

PT J
AU Hughes, Kevin
   Poletti, John L.
TI Is the Training of Imaging Informatics Personnel in New Zealand
   Adequate?
SO JOURNAL OF DIGITAL IMAGING
VL 29
IS 6
BP 696
EP 700
DI 10.1007/s10278-016-9878-9
PD DEC 2016
PY 2016
AB The purpose of this study of Imaging Informatics Professionals (IIPs) in
   New Zealand was to assess their experience, background, educational
   qualifications and needs for support and continuing education. The IIP
   role includes administration of DICOM modalities, picture archiving and
   communication systems (PACS), radiology information systems (RIS) and
   many additional software and hardware systems, including the interface
   to New Zealand's nationwide individual electronic medical records (EMR)
   system. Despite the complexity of current systems, training programmes
   for IIPs are almost non-existent in Australasia. This cross-sectional
   qualitative case study used triangulated data sources, via online
   questionnaire, interview and critical incident analysis. Demographic
   data was also obtained from the questionnaire. Participants included
   about one third of the IIPs in New Zealand. Quantitative results were
   summarised with descriptive statistics or frequency data. Qualitative
   data was assessed by iterative multi-staged thematic analysis. This
   study found that the IIP role is undertaken by personnel from diverse
   backgrounds. Most of the IIPs learned what they know from vendors and on
   the job. Many feel that their biggest issue is in not knowing what they
   do not know and therefore not having sufficient understanding of the
   imaging informatics field. Only one IIP had any formal certification in
   PACS administration. Most respondents indicated their desire for some
   form of additional training. The number of IIPs in New Zealand
   healthcare is very small, so neither a formal training programme nor
   regulatory body is viable or justified. However, IIPs believe there is a
   need for education, regulation and recognition that their role is a
   critical component in healthcare.
ZR 0
ZS 0
TC 0
Z8 0
ZB 0
ZA 0
Z9 0
U1 0
U2 4
SN 0897-1889
EI 1618-727X
UT WOS:000393112300009
PM 27328679
ER

PT J
AU Jackson, Devlon N.
   Chou, Wen-Ying Sylvia
   Coa, Kisha I.
   Oh, April
   Hesse, Bradford
TI Implications of social media use on health information technology
   engagement: Data from HINTS 4 cycle 3
SO TRANSLATIONAL BEHAVIORAL MEDICINE
VL 6
IS 4
BP 566
EP 576
DI 10.1007/s13142-016-0437-1
PD DEC 2016
PY 2016
AB Little is known about the association between Internet/social media use
   and health information technology (HIT) engagement. This study examines
   patterns of social media use and HIT engagement in the U.S.A. using data
   from the 2013 Health Information National Trends Survey (N = 3,164).
   Specifically, predictors of two HIT activities (i.e., communicating with
   a healthcare provider using the Internet or email and tracking personal
   health information electronically) are examined. Persons who were
   females, higher education, non-Hispanic others, having a regular
   healthcare provider, and ages 35-44 were more likely to participate in
   HIT activities. After controlling for sociode-mographics and health
   correlates, social media use was significantly associated with HIT
   engagement. To our knowledge, this is one of the first studies to
   systematically examine the use and relationships across multiple types
   of health-related online media.
OI Jackson, Devlon/0000-0003-1067-4466
TC 19
ZA 0
ZB 2
ZS 0
Z8 0
ZR 0
Z9 18
U1 0
U2 10
SN 1869-6716
EI 1613-9860
UT WOS:000393296000008
PM 27628436
ER

PT J
AU Terbonssen, Tobias
   Settmacher, Utz
   Wurst, Christine
   Dirsch, Olaf
   Dahmen, Uta
TI Attitude towards organ donation in German medical students
SO LANGENBECKS ARCHIVES OF SURGERY
VL 401
IS 8
BP 1231
EP 1239
DI 10.1007/s00423-016-1482-4
PD DEC 2016
PY 2016
AB It is well known that personal decision making in respect to organ
   donation is highly dependent on the balance of knowledge, trust, and
   fear. We wanted to explore the attitude of German medical students
   towards organ donation and investigate the relationship between
   knowledge, trust, and fear in this special subgroup.
   We conducted an online survey utilizing (1) the snowball effect of using
   Facebook groups and advertisement as well as (2) mailing lists of
   medical faculties in Germany for distribution.
   We surveyed 1370 medical students. 75.8 % (N = 988) of the participants
   stated to carry an organ donor card and allowed their organs to be
   donated. 1.8 % (N = 23) refused donation. 22.5 % (N = 293) did not carry
   an organ donor card. Analysis of the "decided" versus the "undecided"
   group revealed substantial differences regarding transplantation
   knowledge (mean knowledge score of 4.23 vs. 3.81; P < 0.001), trust in
   (mean trust score 4.11 vs. 3.39; P < 0.001), and fear of (mean fear
   score 1.63 vs. 2.22; P < 0.001) organ donation. 45.9 % of the undecided
   group (N = 134) opted for accessing additional information material.
   After reading the info material, 22.7 % (N = 29) stated their
   willingness to sign a donor card, whereas 76.6 % (N = 98) still could
   not reach a decision.
   The willingness to potentially act as organ donor was related to the
   pre-existent knowledge, trust, and fear. Access to information material
   did promote the decision towards organ donation in a group of previously
   undecided medical students. This advocates initiating information
   campaigns even in population groups with strong medical background.
ZR 0
TC 11
ZS 2
ZB 5
ZA 0
Z8 1
Z9 13
U1 0
U2 21
SN 1435-2443
EI 1435-2451
UT WOS:000390032200015
PM 27443849
ER

PT J
AU Herold, Ronja
   Schiekirka, Sarah
   Brown, Jamie
   Bobak, Alex
   McEwen, Andy
   Raupach, Tobias
TI Structured Smoking Cessation Training for Medical Students: A
   Prospective Study
SO NICOTINE & TOBACCO RESEARCH
VL 18
IS 12
BP 2209
EP 2215
DI 10.1093/ntr/ntw191
PD DEC 2016
PY 2016
AB Introduction: Physician adherence to guideline recommendations regarding
   the provision of counseling and support for smokers willing to quit is
   low. A lack of training during undergraduate medical education has been
   identified as a potential cause. This prospective intervention study
   evaluated a novel teaching module for medical students.
   Methods: As part of a 6-week cardiovascular course, 125 fourth-year
   undergraduate medical students received a multimodal and interactive
   teaching module on smoking cessation, including online learning
   material, lectures, seminars, and practical skills training. Short-and
   medium-term effects on knowledge, skills, attitudes, and self-reported
   practice were measured using written examinations and an objective
   structured clinical examination at the end of the module and 6 months
   later. Results were compared to data obtained from a historical control
   cohort (n = 70) unexposed to the intervention.
   Results: At the 6-month follow-up, scores in the knowledge test were
   significantly higher in the intervention than the control group (61.1%
   vs. 51.7%; p <.001). A similar pattern was observed in the objective
   structured clinical examination (71.5% vs. 60.5%; p <.001). More
   students in the intervention than control group agreed that smoking was
   a chronic disease (83.1% vs. 68.1%; p =.045). The control group was more
   likely to report recording smoking status (p =.018), but no group
   difference was detected regarding the report of advising to quit (p
   =.154).
   Conclusions: A novel teaching module for undergraduate medical students
   produced a sustained learning outcome in terms of knowledge, skills, and
   attitudes but not self-reported practice.
   Implications: Studies across the world have identified considerable
   knowledge gaps and deficits in practical training with regard to smoking
   cessation counseling in undergraduate medical students. This paper
   describes a teaching intervention informed by current recommendations
   for the design of educational activities aimed at enabling medical
   students to deliver adequate behavior change counseling. The teaching
   module was tailored to the needs of a specific healthcare system. Given
   its effectiveness as demonstrated in this prospective study, a rollout
   of this intervention in medical schools might have the potential to
   substantially improve medical students' knowledge, skills, and attitudes
   in relation to smoking cessation counseling.
RI Brown, Jamie/F-4413-2011
OI Brown, Jamie/0000-0002-2797-5428
ZA 0
TC 13
ZR 0
ZS 1
ZB 1
Z8 0
Z9 13
U1 0
U2 6
SN 1462-2203
EI 1469-994X
UT WOS:000393193300006
PM 27613926
ER

PT J
AU Groeben, C.
   Ihrig, A.
   Hoelscher, T.
   Krones, T.
   Kessler, E.
   Kliesch, S.
   Wuelfing, C.
   Koch, R.
   Wirth, M. P.
   Huber, J.
TI Evaluation of the decision aid "Entscheidungshilfe Prostatakrebs" from
   the patients' view. Results from the first three months
SO UROLOGE
VL 55
IS 12
BP 1586
EP 1594
DI 10.1007/s00120-016-0265-4
PD DEC 2016
PY 2016
AB The decision aid "Entscheidungshilfe Prostatakrebs" is available online
   free of charge since June 2016. It is designed to support patients with
   their treatment decision-making and to lighten the burden on their
   treating urologists. This study evaluates usage data from the first 3
   months.
   The ICHOM standard set was applied to allow a personalised presentation
   and to collect relevant data for subsequent counselling. Additionally,
   personal preferences and psychological burden were assessed amongst
   others. We collected anonymous data. A multivariate model evaluated
   predictors for high user satisfaction.
   From June through August 2016 a total of 319 patients used the decision
   aid, showing a continuous monthly increase in the number of users. There
   were n = 219 (68.7%) complete questionnaires. Median age was 66.1 +/-
   8.0 years. The oncological risk was low in 30.3%, intermediate in 43.6%
   and high in 26.1%. A majority of 57.5% used the decision aid together
   with their partner, 35.1% alone and 5.5% with their children. In all,
   54.8% were "very satisfied" and 32.0% were "satisfied" with the decision
   aid for a total satisfaction rate of about 87%. The only predictors of
   total satisfaction were the usage mode and reported distress level.
   As shown by the continuously increasing number of users this decision
   aid is becoming well established in German urology. Patients' overall
   ratings are very positive. The majority of patients use the decision aid
   with their partner. This represents a significant advantage of a
   multimedia approach compared to print media.
RI Hoelscher, Tobias/AAC-8043-2022; Huber, Johannes/AAF-5514-2020; Krones, Tanja/
OI Hoelscher, Tobias/0000-0002-9991-6152; Huber,
   Johannes/0000-0001-7243-8958; Krones, Tanja/0000-0001-9880-0564
ZS 0
ZA 0
ZB 6
ZR 0
TC 7
Z8 0
Z9 7
U1 0
U2 4
SN 0340-2592
EI 1433-0563
UT WOS:000390039600005
PM 27826660
ER

PT J
AU Nouh, Thamer
   Anil, Shirin
   Alanazi, Alaa
   Al-Shehri, Walaa
   Alfaisal, Njoud
   Alfaris, Basma
   Alamer, Ebtihal
TI Assessing correlation between students' perception of the learning
   environment and their academic performance
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 66
IS 12
BP 1616
EP 1620
PD DEC 2016
PY 2016
AB Objective: To assess the association between the learning environment
   and academic performance at medical colleges.
   Methods: The cross-sectional study was conducted in four medical
   colleges in 2014 in Riyadh, Saudi Arabia. Online questionnaire was sent
   to final year medical students. It included demographic profile, the
   last Grade Point Average, and the Dundee Ready Education Environment
   Measure. Data was analysed using SPSS 17.
   Results: Of the 423 students who were sent the online form, 261(61.7%)
   responded and among them 193 (45.6%) questionnaires had been fully
   filled and were included in the analysis. Mean Dundee Ready Education
   Environment Measure score was 117.9 +/- 27; higher for females (p =
   0.019). Correlation coefficient 'R' was 0.29 (p < 0.001). As the
   perception of learning environment increased from "Poor", "Plenty of
   Problems", "More Positive than Negative" to "Excellent", the mean GPA
   increased gradually (p = 0.0006). Perception of learning environment as
   "More Positive than Negative" and "Excellent" increased the mean GPA by
   0.38 (95% confidence interval: 0.19 - 0.56) compared to "Poor", "Plenty
   of Problems" on multivariable analysis.
   Conclusion: Low, yet positive correlation between perception about
   learning environment and academic performance in the form of GPA
   indicated that improvement in the learning environment may enhance the
   academic performance of medical students.
RI Nouh, Thamer/GRY-0525-2022; Nouh, Thamer/G-2655-2010
OI Nouh, Thamer/0000-0002-7118-7453
ZS 1
Z8 0
TC 6
ZB 0
ZA 0
ZR 0
Z9 7
U1 2
U2 16
SN 0030-9982
UT WOS:000388621700023
PM 28179701
ER

PT J
AU Meyer, Amanda J
   Stomski, Norman J
   Losco, C Dominique
   Armson, Anthony J
TI The influence of anatomy app use on chiropractic students' learning
   outcomes: a randomised controlled trial.
SO Chiropractic & manual therapies
VL 24
BP 44
EP 44
PD 2016
PY 2016
AB BACKGROUND: Anatomy apps supplement traditional learning; however, it is
   unknown if their use can improve students' outcome. The present study
   examined whether the use of anatomy apps improved student performance on
   a neuroanatomy assessment.
   METHODS: Second-year anatomy students, enrolled in a Bachelor of Science
   with Chiropractic Major program, were randomly allocated to experimental
   and control groups in July 2015. Students completed the Self-Directed
   Learning Readiness Scale (SDLRS). The experimental group had access to
   iPads with four anatomy apps for three weekly classes (1.5h each). One
   week after the last class, students were assessed by an online
   30-question neuroanatomy test. Linear regression was used to examine the
   association between test scores and app use, gender, previous anatomy
   unit score and SDLRS scores. Students' views on apps were collected by
   focus group discussion immediately after the test.
   RESULTS: Completed questionnaires were obtained from n=25 control and
   n=25 experimental students. There was no association between app use and
   neuroanatomy assessment score (B=1.75, 95% CI: -0.340-3.840, p=0.099).
   Only previous anatomy unit score (B=0.348, 95% CI: 0.214-0.483, p<0.001)
   affected neuroanatomy assessment scores. Students favored apps with
   clinical images and features including identification pins, sliding bars
   and rotatable 3D images.
   CONCLUSIONS: App use did not enhance learning outcomes in a second-year
   anatomy unit.
OI Meyer, Amanda J./0000-0001-7953-6040; Stomski,
   Norman/0000-0001-5185-6069
ZR 0
ZA 0
Z8 0
ZB 0
ZS 0
TC 6
Z9 6
U1 0
U2 5
SN 2045-709X
UT MEDLINE:27980723
PM 27980723
ER

PT J
AU Bolt, Susan
   Eadie, Tanya
   Yorkston, Kathryn
   Baylor, Carolyn
   Amtmann, Dagmar
TI Variables Associated With Communicative Participation After Head and
   Neck Cancer
SO JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 142
IS 12
BP 1145
EP 1151
DI 10.1001/jamaoto.2016.1198
PD DEC 2016
PY 2016
AB IMPORTANCE For patients with head and neck cancer (HNC), communication
   difficulties often create substantial barriers in daily life, affecting
   a person's ability to return to work, establish or maintain
   relationships, or participate in everyday activities. OBJECTIVE To
   examine variables significantly associated with communication in
   everyday activities, or communicative participation, in adult survivors
   of HNC.
   DESIGN, SETTING, AND PARTICIPANTS In a cross-sectional study, from
   November 1, 2008, through March 18, 2011, participants completed
   questionnaires about specific experiences and symptoms associated with
   their health and communication. Seventeen variables were considered in
   association with communicative participation. Data were collected from
   adult survivors of HNC residing in a community. Participants completed
   questionnaires, in English, either online or using paper forms according
   to their preference. Participants were recruited through support groups,
   professional email lists, and professional contacts.
   MAIN OUTCOMES AND MEASURES Communicative participation and predictor
   variables were measured using a variety of validated patient-report
   scales and demographic information. Multiple linear regression analysis
   was conducted with variables entered using a backward stepwise
   regression procedure. Variables with significant regression coefficients
   were retained in the model and reported as change in R-2.
   RESULTS One hundred ninety-seven adults (121 males and 76 females; mean
   age, 61.5 years) participated, all at least 6 months posttreatment of
   HNC with no additional medical conditions affecting speech. The final
   model contained 4 significant variables (R-2 = 0.462): self-rated speech
   severity, cognitive function, laryngectomy status, and time since
   diagnosis. Better communicative participation was associated with less
   severe speech and cognitive problems; together, these 2 variables
   explained 42% of the variance in the model (self-rated speech severity,
   R-2 = 0.227, and cognitive function, R-2 = 0.193 [0.227 + 0.193 = 0.420
   = 42%]). To a lesser extent, better communicative participation also was
   associated with not having undergone a total laryngectomy surgical
   procedure (R-2 = 0.035) and longer time since diagnosis (R-2 = 0.007);
   full model: R-2 = 0.462, P < .001; regression coefficients [SE]:
   self-rated speech severity 0.551 [0.065], P < .001, R-2 = 0.227;
   cognitive function 0.063 [0.011], P < .001, R-2 = 0.193; laryngectomy
   status 0.285 [0.117], P = .02; and time since diagnosis 0.015 [0.006], P
   = .02.
   CONCLUSIONS AND RELEVANCE These results suggest that communicative
   participation in adults with HNC is associated with self-rated speech
   severity, cognitive function, whether or not a person has undergone
   total laryngectomy, and time since diagnosis. Clinicians can use these
   results to inform their practice in pretreatment counseling, patient
   education, and rehabilitation for survivors of HNC.
OI Bolt, Susan/0000-0002-9183-4937; Eadie, Tanya/0000-0002-7697-1298
ZR 0
Z8 0
ZB 5
ZS 0
ZA 0
TC 26
Z9 26
U1 1
U2 14
SN 2168-6181
EI 2168-619X
UT WOS:000391467800002
PM 27442853
ER

PT J
AU Govender, Denira
   Villafranca, Alexander
   Hamlin, Colin
   Hiebert, Brett
   Parveen, Divya
   Jacobsohn, Eric
TI Appropriateness of Language Used in Patient Educational Materials from
   24 National Anesthesiology Associations
SO ANESTHESIOLOGY
VL 125
IS 6
BP 1221
EP 1228
DI 10.1097/ALN.0000000000001361
PD DEC 2016
PY 2016
AB Background: Patient education materials produced by national
   anesthesiology associations could be used to facilitate patient informed
   consent and promote the discipline of anesthesiology. To achieve these
   goals, materials must use language that most adults can understand.
   Health organizations recommend that materials be written at the grade 8
   level or less to ensure that they are understood by laypersons. The
   authors, therefore, investigated the language of educational materials
   produced by anesthesiology associations.
   Methods: Educational materials were downloaded from the Web sites of 24
   national anesthesiology associations, as available. Materials were
   divided into eight topics, resulting in 112 separate passages.
   Linguistic measures were calculated using Coh-Metrix (version 3.0;
   Memphis, USA) linguistic software. The authors compared the measures to
   a grade 8 standard and examined the influence of both passage topic and
   country of origin using multivariate ANOVA.
   Results: The authors found that 67% of associations provided online
   educational materials. None of the passages had all linguistic measures
   at or below the grade 8 level. Linguistic measures were influenced by
   both passage topic (F = 3.64; P < 0.0001) and country of origin (F =
   7.26; P < 0.0001). Contrast showed that passages describing the role of
   anesthesiologists in perioperative care used language that was
   especially inappropriate.
   Conclusions: Those associations that provided materials used words that
   were long and abstract. The language used was especially inappropriate
   for topics that are critical to facilitating patient informed consent
   and promoting the discipline of anesthesiology. Anesthesiology
   associations should simplify their materials and should consider
   screening their materials with linguistic software before making them
   public.
RI Villafranca, Alexander/B-1509-2017
OI Villafranca, Alexander/0000-0002-8991-2043
ZB 0
ZA 0
ZR 0
ZS 0
Z8 0
TC 0
Z9 0
U1 2
U2 7
SN 0003-3022
EI 1528-1175
UT WOS:000389135000026
PM 27662227
ER

PT J
AU Chapman, Kathryn
   Havill, Michelle
   Watson, Wendy L.
   Wellard, Lyndal
   Hughes, Clare
   Bauman, Adrian
   Allman-Farinelli, Margaret
TI Time to address continued poor vegetable intake in Australia for
   prevention of chronic disease
SO APPETITE
VL 107
BP 295
EP 302
DI 10.1016/j.appet.2016.08.003
PD DEC 1 2016
PY 2016
AB Background: Australian and most international Dietary Guidelines
   recommend people consume more fruits and vegetables (F&V) to maintain a
   healthy weight and reduce chronic disease risk. Previous Australian and
   international surveys have shown sub-optimal consumption of F&V.
   Objectives: This study aimed to assess adults' F&V consumption,
   knowledge of recommended servings, readiness to change,
   barriers/enabling factors, so that this knowledge might be used for
   campaigns that support improved consumption.
   Material and methods: An online survey of a representative sample of
   adults living in New South Wales, Australia (n = 2474) measuring
   self-reported F&V consumption; attitudes towards F&V consumption; stage
   of change for increasing F & V; barriers to consumption; and knowledge
   of cancer-health benefits.
   Results: F&V consumption was below recommendations, with vegetable
   consumption notably low. Only 10% of participants ate at least five
   servings of vegetables/day (median intake was two daily servings), and
   57% consumed two servings fruit/day. There was poor recognition that
   intake of vegetables was inadequate and this was a barrier to improving
   vegetable consumption; with preferences for other foods, habit and cost
   also important barriers. Key barriers to increasing fruit intake were
   habit, preferences for other foods, perishability, and cost. For
   vegetable consumption, 49% of participants were in the pre-contemplation
   stage of change, whereas for fruits 56% were in the action/maintenance
   stage. Sixty-four percent of respondents believed that eating F&V would
   protect against cancer, with 56% reporting they thought not eating
   enough F&V would cause cancer.
   Implications: Understanding what motivates and prevents people from
   consuming F&V is important for developing effective health promotion
   programs. Similar to previous surveys, there has been little shift in
   F&V consumption. Social marketing campaigns have been shown to improve
   health-related behaviours, and this study may assist in identifying
   audience segmentation for better targeted campaigns. (C) 2016 Elsevier
   Ltd. All rights reserved.
OI Hughes, Clare/0000-0002-7579-2722; Watson, Wendy/0000-0002-8906-4064;
   Wellard-Cole, Lyndal/0000-0003-1514-2135
Z8 0
ZA 0
ZS 0
ZR 0
ZB 6
TC 19
Z9 19
U1 2
U2 21
SN 0195-6663
EI 1095-8304
UT WOS:000389389000036
PM 27522036
ER

PT J
AU El Asam, Aiman
   Samara, Muthanna
TI Cyberbullying and the law: A review of psychological and legal
   challenges
SO COMPUTERS IN HUMAN BEHAVIOR
VL 65
BP 127
EP 141
DI 10.1016/j.chb.2016.08.012
PD DEC 2016
PY 2016
AB Cyberbullying, in its different forms, is common among children and
   adolescents and is facilitated by the increased use of technology. The
   consequences of cyberbullying could be severe, especially on mental
   health, potentially leading to suicide in extreme cases. Although
   parents, schools and online social networking sites are encouraged to
   provide a safe online environment, little is known about the legal
   avenues which could be utilised to prevent cyberbullying or act as a
   deterrent. This article attempts to explore current laws, and the
   challenges that exist to establishing cyberbullying legislation in the
   context of the UK. It is arguable that a number of statutes may be of
   assistance in relation to cyberbullying, namely Education and
   Inspections Act 2006, Protection from Harassment Act 1997,
   Communications Act 2003, Malicious Communications Act 1988,
   Telecommunications Act 1984, Public Order Act 1986, Obscene Publications
   Act 1959, Computer Misuse Act 1990, Crime and Disorder Act 1998, and
   Defamation Act 2013. However, given the lack of clear definition of
   bullying, the applicability of these laws to cyberbullying is open to
   debate. Establishing new legislation or a modification to existing laws
   is particularly challenging for a number of reasons, namely: an absence
   of consistent bullying/cyberbullying definition, a difficulty in
   determining intention to harm or evidence of this, a lack of
   surveillance, a lack of general awareness, issues surrounding
   jurisdiction, the role of technology, and the age of criminal
   responsibility. These challenges are elaborated and discussed in this
   article. (C) 2016 Published by Elsevier Ltd.
ZS 1
ZA 3
ZR 1
Z8 0
TC 30
ZB 1
Z9 33
U1 8
U2 126
SN 0747-5632
EI 1873-7692
UT WOS:000386986000016
ER

PT J
AU Cohen, Elizabeth L.
   Hoffner, Cynthia
TI Finding meaning in a celebrity's death: The relationship between
   parasocial attachment, grief, and sharing educational health information
   related to Robin Williams on social network sites
SO COMPUTERS IN HUMAN BEHAVIOR
VL 65
BP 643
EP 650
DI 10.1016/j.chb.2016.06.042
PD DEC 2016
PY 2016
AB Celebrity health events can have a positive effect on public health
   education and awareness, in part because people spread health
   information related to the celebrity on social network sites. This may
   be particularly true in the event of celebrity deaths or other
   tragedies, when social network sites provide a convenient, public space
   to connect with others to mourn. However, little is understood about the
   circumstances that encourage health information sharing following these
   events. Using a Mechanical Turk sample (N = 281), this study employed a
   questionnaire to examine the role of parasocial attachment to Robin
   Williams and experienced grief following his suicide in explaining
   health information sharing on social network sites (i.e., sharing
   information about clinical depression, suicide prevention, substance
   abuse treatment, and Parkinson's disease). Grief mediated the effect of
   parasocial attachment on health information sharing, but a moderated
   mediation analysis revealed that grief motivated health education on
   social network sites only for individuals who were coping by trying to
   find positive meaning in his death. (C) 2016 Elsevier Ltd. All rights
   reserved.
OI Cohen, Elizabeth/0000-0002-4967-1679
TC 34
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 34
U1 3
U2 50
SN 0747-5632
EI 1873-7692
UT WOS:000386986000069
ER

PT J
AU DeTar, Lena G.
   Alber, Julia M.
   Behar-Horenstein, Linda S.
   Spencer, Terry G.
TI A Mixed-Methods Analysis of Changing Student Confidence in an Online
   Shelter Medicine Course
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 43
IS 4
BP 434
EP 444
DI 10.3138/jvme.1115-182R
PD WIN 2016
PY 2016
AB Maddie's Shelter Medicine Program at the University of Florida College
   of Veterinary Medicine offers comprehensive training in shelter medicine
   to veterinary students based on a set of core job skills identified by
   the Association of Shelter Veterinarians. In 2012, this program began
   teaching online distance education courses to students and practicing
   veterinarians worldwide who sought additional training in this newly
   recognized specialty area. Distance learning is a novel educational
   strategy in veterinary medicine; most instruction at veterinary medical
   schools is classroom based. No previous studies have shown whether
   online courses can prepare veterinarians to practice shelter medicine.
   In this study, we investigated how an online, graduate-level course
   titled "Shelter Animal Physical Health'' changed student self-reported
   confidence. First, we compared pre-course confidence regarding eight
   specific shelter medical practice scenarios to post-course confidence
   through statistical analysis. Quantitative analysis showed a significant
   (p<.001) increase in self-reported confidence for all eight scenarios.
   Next, we used open coding to identify themes within reflection papers
   that students were asked to write during the course and used those
   findings to corroborate or refute the quantitative results. Qualitative
   analysis of students' reflection papers identified six themes:
   confidence, communication, population management, outbreak management,
   medical care, and application. The results of this study show that
   distance education can be an effective method of preparing veterinarians
   and veterinary students to practice shelter medicine.
RI Spencer, Terry G/Q-4815-2016; Behar-Horenstein, Linda/
OI Spencer, Terry G/0000-0003-0459-833X; Behar-Horenstein,
   Linda/0000-0002-3046-598X
ZB 0
ZS 0
TC 6
ZR 0
ZA 0
Z8 0
Z9 6
U1 0
U2 8
SN 0748-321X
EI 1943-7218
UT WOS:000388937100014
ER

PT J
AU Esfahani, B. Janghorban
   Faron, A.
   Roth, K. S.
   Grimminger, P. P.
   Luers, J. C.
TI Systematic Readability Analysis of Medical Texts on Websites of German
   University Clinics for General and Abdominal Surgery
SO ZENTRALBLATT FUR CHIRURGIE
VL 141
IS 6
BP 639
EP 644
DI 10.1055/s-0034-1383381
PD DEC 2016
PY 2016
AB Background: Besides the function as one of the main contact points,
   websites of hospitals serve as medical information portals. As medical
   information texts should be understood by any patients independent of
   the literacy skills and educational level, online texts should have an
   appropriate structure to ease understandability.
   Materials and Methods: Patient information texts on websites of clinics
   for general surgery at German university hospitals (n = 36) were
   systematically analysed. For 9 different surgical topics representative
   medical information texts were extracted from each website. Using common
   readability tools and 5 different readability indices the texts were
   analysed concerning their readability and structure. The analysis was
   furthermore stratified in relation to geographical regions in Germany.
   Results: For the definite analysis the texts of 196 internet websites
   could be used. On average the texts consisted of 25 sentences and 368
   words. The reading analysis tools congruously showed that all texts
   showed a rather low readability demanding a high literacy level from the
   readers.
   Conclusion: Patient information texts on German university hospital
   websites are difficult to understand for most patients. To fulfill the
   ambition of informing the general population in an adequate way about
   medical issues, a revision of most medical texts on websites of German
   surgical hospitals is recommended.
RI Luers, Jan Christoffer/AAB-8330-2020; Grimminger, Peter/; Faron, Anton/
OI Luers, Jan Christoffer/0000-0002-8273-2234; Grimminger,
   Peter/0000-0002-1859-9213; Faron, Anton/0000-0002-5771-7235
ZB 1
ZA 0
Z8 0
ZS 0
TC 5
ZR 0
Z9 5
U1 0
U2 5
SN 0044-409X
EI 1438-9592
UT WOS:000389757600013
PM 26135610
ER

PT J
AU Eide, Tom
   van Dulmen, Sandra
   Eide, Hilde
TI Educating for ethical leadership through web-based coaching: A
   feasibility study
SO NURSING ETHICS
VL 23
IS 8
BP 851
EP 865
DI 10.1177/0969733015584399
PD DEC 2016
PY 2016
AB Background: Ethical leadership is important for developing ethical
   healthcare practice. However, there is little research-based knowledge
   on how to stimulate and educate for ethical leadership.
   Objectives: The aim was to develop and investigate the feasibility of a
   6-week web-based, ethical leadership educational programme and learn
   from participants' experience.
   Training programme and research design: A training programme was
   developed consisting of (1) a practice part, where the participating
   middle managers developed and ran an ethics project in their own
   departments aiming at enhancing the ethical mindfulness of the
   organizational culture, and (2) a web-based reflection part, including
   online reflections and coaching while executing the ethics project.
   Focus group interviews were used to explore the participants'
   experiences with and the feasibility of the training.
   Participants and research context: Nine middle managers were recruited
   from a part-time master's programme in leadership in Oslo, Norway. The
   research context was the participating leaders' work situation during
   the 6 weeks of training.
   Ethical considerations: Participation was voluntary, data anonymized and
   the confidentiality of the participating leaders/students and their
   institutions maintained. No patient or medical information was involved.
   Findings: Eight of the nine recruited leaders completed the programme.
   They evaluated the training programme as efficient and supportive, with
   the written, situational feedback/coaching as the most important
   element, enhancing reflection and motivation, counteracting a feeling of
   loneliness and promoting the execution of change.
   Discussion: The findings seem consistent with the basic assumptions
   behind the educational design, based partly on e-health research,
   feedback studies and organizational ethics methodology, partly on
   theories on workplace learning, reflection, recognition and motivation.
   Conclusion: The training programme seems feasible. It should be adjusted
   according to participants' proposals and tested further in a large-scale
   study.
RI van Dulmen, A.M./L-4287-2015
OI van Dulmen, A.M./0000-0002-1651-7544
TC 17
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 17
U1 6
U2 45
SN 0969-7330
EI 1477-0989
UT WOS:000391461900004
PM 26008849
ER

PT J
AU Ognibene, Frederick P.
   Gallin, John I.
   Baum, Bruce J.
   Wyatt, Richard G.
   Gottesman, Michael M.
TI Outcomes From the NIH Clinical Research Training Program: A Mentored
   Research Experience to Enhance Career Development of
   Clinician-Scientists
SO ACADEMIC MEDICINE
VL 91
IS 12
BP 1684
EP 1690
DI 10.1097/ACM.0000000000001245
PD DEC 2016
PY 2016
AB Purpose
   Clinician-scientists are considered an endangered species for many
   reasons, including challenges with establishing and maintaining a career
   pipeline. Career outcomes from yearlong medical and dental students'
   research enrichment programs have not been well determined. Therefore,
   the authors assessed career and research outcome data from a cohort of
   participants in the National Institutes of Health (NIH) Clinical
   Research Training Program (CRTP).
   Method
   The CRTP provided a yearlong mentored clinical or translational research
   opportunity for 340 medical and dental students. Of these, 135 completed
   their training, including fellowships, from 1997 to January 2014. Data
   for 130 of 135 were analyzed: time conducting research, types of public
   funding (NIH grants), and publications from selfreported surveys that
   were verified via the NIH Research Portfolio Online Reporting Tools Web
   site and PubMed.
   Results
   Nearly two-thirds (84 of 130) indicated that they were conducting
   research, and over half of the 84 (approximately one-third of the total
   cohort) spent more than 25% of time conducting research. Of those 84,
   over 25% received grant support from the NIH, and those further in their
   careers published more scholarly manuscripts.
   Conclusions
   Data suggest that the CRTP helped foster the careers of
   research-oriented medical and dental students as measured by time
   conducting research, successful competition for federal funding, and the
   publication of their research. Longer follow-up is warranted to assess
   the impact of these mentored research experiences. Investments in
   mentored research programs for health professional students are
   invaluable to support the dwindling pipeline of biomedical researchers
   and clinician-scientists.
ZR 0
Z8 0
ZA 0
TC 18
ZS 0
ZB 3
Z9 18
U1 0
U2 10
SN 1040-2446
EI 1938-808X
UT WOS:000391959600049
PM 27224296
ER

PT J
AU John, Elizabeth Sheena
   John, Ann M.
   Hansberry, David R.
   Thomas, Prashant J.
   Agarwal, Prateek
   Deitch, Christopher
   Chokhavatia, Sita
TI Colorectal cancer screening patient education materials-how effective is
   online health information?
SO INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
VL 31
IS 12
BP 1817
EP 1824
DI 10.1007/s00384-016-2652-0
PD DEC 2016
PY 2016
AB Patients screened for colorectal cancer (CRC) frequently turn to the
   Internet to improve their understanding of tests used for detection,
   including colonoscopy, flexible sigmoidoscopy, fecal occult blood test
   (FOBT), and CT colonography. It was of interest to determine the quality
   and readability levels of online health information.
   The screening tools were googled, and the top 20 results of each test
   were analyzed for readability, accessibility, usability, and
   reliability. The 80 articles excluded scientific literature and blogs.
   We used ten validated readability scales to measure grade levels, and
   one-way ANOVA and Tukey's honestly statistical different (HSD) post hoc
   analyses to determine any statistically significant differences among
   the four diagnostic tests. The LIDA tool assessed overall quality by
   measuring accessibility, usability, and reliability.
   The 80 articles were written at an 11.7 grade level, with CT
   colonography articles written at significantly higher levels than FOBT
   articles, F(3, 75) = 3.07, p = 0.033. LIDA showed moderate percentages
   in accessibility (83.9 %), usability (73.0 %), and reliability (75.9 %).
   Online health information about CRC screening tools are written at
   higher levels than the National Institute of Health (NIH) and American
   Medical Association (AMA) recommended third to seventh grade levels.
   More patients could benefit from this modality of information if it were
   written at a level and quality that would better facilitate
   understanding.
ZA 0
TC 8
ZS 0
Z8 0
ZR 0
ZB 1
Z9 8
U1 0
U2 22
SN 0179-1958
EI 1432-1262
UT WOS:000388116700002
PM 27649702
ER

PT J
AU Roughead, Taren
   Sewell, Darreul
   Ryerson, Christopher J.
   Fisher, Jolene H.
   Flexman, Alana M.
TI Internet-Based Resources Frequently Provide Inaccurate and Out-of-Date
   Recommendations on Preoperative Fasting: A Systematic Review
SO ANESTHESIA AND ANALGESIA
VL 123
IS 6
BP 1463
EP 1468
DI 10.1213/ANE.0000000000001590
PD DEC 2016
PY 2016
AB Preoperative fasting is important to avoid morbidity and surgery delays,
   yet recommendations available on the Internet may be inaccurate. Our
   objectives were to describe the characteristics and recommendations of
   Internet resources on preoperative fasting and assess the quality and
   readability of these websites. We searched the Internet for common
   search terms on preoperative fasting using Google (R) search engines
   from 4 English-speaking countries (Canada, the United States, Australia,
   and the United Kingdom). We screened the first 30 websites from each
   search and extracted data from unique websites that provided
   recommendations on preoperative fasting. Website quality was assessed
   using validated tools (JAMA Benchmark criteria, DISCERN score, and
   Health on the Net Foundation code [HONcode] certification). Readability
   was scored using the Flesch Reading Ease score and Flesch-Kincaid Grade
   Level. A total of 87 websites were included in the analysis. A total of
   48 websites (55%) provided at least 1 recommendation that contradicted
   established guidelines. Websites from health care institutions were most
   likely to make inaccurate recommendations (61%). Only 17% of websites
   encouraged preoperative hydration. Quality and readability were poor,
   with a median JAMA Benchmark score of 1 (interquartile range 0-3), mean
   DISCERN score 39.8 (SD 12.5), mean reading ease score 49 (SD 15), and
   mean grade level of 10.6 (SD 2.7). HONcode certification was infrequent
   (10%). Anesthesia society websites and scientific articles had higher
   DISCERN scores but worse readability compared with websites from health
   care institutions. Online fasting recommendations are frequently
   inconsistent with current guidelines, particularly among health care
   institution websites. The poor quality and readability of Internet
   resources on preoperative fasting may confuse patients.
ZR 0
ZS 0
ZA 0
Z8 0
TC 15
ZB 3
Z9 15
U1 0
U2 7
SN 0003-2999
UT WOS:000388144000017
PM 27644057
ER

PT J
AU Weinstangel, Hannah
   Buka, Irena
   Campbell, Sandra
TI Environmental pediatrics: an introduction and evaluation of online
   resources
SO REVIEWS ON ENVIRONMENTAL HEALTH
VL 31
IS 4
BP 435
EP 446
DI 10.1515/reveh-2016-0019
PD DEC 2016
PY 2016
AB Introduction: The World Health Organization (WHO) estimates that three
   million children under the age of 5 die annually from environmentally
   related disease. In the United States, the cost of environmentally
   related public health concerns is estimated as greater than $55 billion.
   Environmental exposure is among parents' top health concerns for
   children. Yet, the study of the effects of environmental exposure on
   health outcomes is a developing field, and clinicians feel inadequately
   prepared to address these concerns. The Children's Environmental Health
   Clinic (ChEHC) is the first clinic of its kind in Canada. Their website
   includes a list of online resources on major topics related to child
   health and the environment. There has not yet been an objective
   evaluation of the comprehensiveness of the topics or scientific quality
   of the information on the website. This study seeks to offer an
   accessible introduction to the field of environmental pediatrics,
   including an online resource for evidence-based information on key
   topics in the field. These resources assist in disease prevention,
   health promotion, education, and the increasing need to balance
   environmental health risks.
   Methods: A scoping review of scientific and gray literature in the field
   of environmental pediatrics was performed to inform a written
   introduction to the field and to identify gaps in the content of the
   ChEHC website. The content of the ChEHC website was then objectively
   evaluated using the National Network of Libraries of Medicine checklist
   for health websites.
   Results: Ten categories within the field of environmental pediatrics
   emerged from the literature review. A small number of gaps were
   identified on the website and in the literature. The content of the
   ChEHC website was found to be of high quality.
   Future directions: The website will be updated using the results of the
   study as a guide, to make it as relevant, complete, and evidence-based
   as possible.
   Conclusions: Environmental pediatrics is an important, emerging topic.
   There is a need for accessible, evidence-based pediatric environmental
   health resources for clinicians and the general public. The products of
   this study (a publication and website) respond to that need and thus
   assist in disease prevention and health promotion.
OI Campbell, Sandy/0000-0002-9347-3880
TC 0
ZB 0
ZS 0
ZA 0
ZR 0
Z8 0
Z9 0
U1 0
U2 1
SN 0048-7554
EI 2191-0308
UT WOS:000389637200005
PM 27845886
ER

PT J
AU Muller, Mark D
   Moyes, Simon A
   Fulcher, Mark L
TI Text messaging between clinicians and patients - Hve we got thngs unda
   cntrl?
SO Journal of primary health care
VL 8
IS 4
BP 351
EP 356
DI 10.1071/HC15061
PD 2016-Dec
PY 2016
AB INTRODUCTION Patients are interested in receiving text messages (texts)
   related to their health care. However, anecdotes are emerging of
   associated problems and it is possible that many of the potential
   pitfalls are not recognised. AIM To assess clinicians' attitudes and
   behaviours towards text messaging (texting) with patients. METHODS A
   voluntary, anonymous, online survey was created and distributed to
   general practitioners and physiotherapists in New Zealand and to Sports
   Medicine Fellows and Sports Medicine Registrars in New Zealand and
   Australia. RESULTS In total, 322 clinicians completed the survey.
   Texting behaviours relating to accuracy, privacy and security were
   identified. A range of sensitive and important medical information was
   frequently conveyed and at times forwarded to third parties. The
   clinicians generally felt uneasy communicating this way and some felt
   pressured into it. Most thought that guidelines are insufficient and
   that they had not received sufficient education on the issues. Most were
   interested in further education. CONCLUSION This study has demonstrated
   frequent texting between clinicians and patients. It has highlighted
   potential risks to the privacy, accuracy and security of medical
   information. Current guidelines and education may be insufficient.
   Clinicians were interested in receiving readily available best practice
   guidelines and education regarding texting.
RI Moyes, Simon A/D-2574-2017
OI Moyes, Simon A/0000-0001-9580-1545
ZS 0
ZR 0
Z8 0
TC 1
ZA 0
ZB 0
Z9 1
U1 0
U2 2
EI 1172-6156
UT MEDLINE:29530160
PM 29530160
ER

PT J
AU Keleekai, Nowai L.
   Schuster, Catherine A.
   Murray, Connie L.
   King, Mary Anne
   Stahl, Brian R.
   Labrozzi, Laura J.
   Gallucci, Susan
   LeClair, Matthew W.
   Glover, Kevin R.
TI Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge,
   Confidence, and Skills Using a Simulation-Based Blended Learning Program
   A Randomized Trial
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 11
IS 6
BP 376
EP 384
DI 10.1097/SIH.0000000000000186
PD DEC 2016
PY 2016
AB Introduction: Peripheral intravenous catheter (PIVC) insertion is one of
   the most common invasive procedures performed in a hospital, but most
   nurses receive little formal training in this area. Blended PIVC
   insertion training programs that incorporate deliberate simulated
   practice have the potential to improve clinical practice and patient
   care.
   Methods: The study was a randomized, wait-list control group with
   crossover using nurses on three medical/surgical units. Baseline PIVC
   knowledge, confidence, and skills assessments were completed for both
   groups. The intervention group then received a 2-hour PIVC online
   course, followed by an 8-hour live training course using a synergistic
   mix of three simulation tools. Both groups were then reassessed. After
   crossover, the wait-list group received the same intervention and both
   groups were reassessed.
   Results: At baseline, both groups were similar for knowledge,
   confidence, and skills. Compared with the wait-list group, the
   intervention group had significantly higher scores for knowledge,
   confidence, and skills upon completing the training program. After
   crossover, the wait-list group had similarly higher scores for
   knowledge, confidence, and skills than the intervention group. Between
   the immediate preintervention and post-intervention periods, the
   intervention group improved scores for knowledge by 31%, skills by 24%,
   and decreased confidence by 0.5%, whereas the wait-list group improved
   scores for knowledge by 28%, confidence by 16%, and skills by 15%.
   Conclusions: Results demonstrate significant improvements in nurses'
   knowledge, confidence, and skills with the use of a simulation-based
   blended learning program for PIVC insertion. Transferability of these
   findings from a simulated environment into clinical practice should be
   further explored.
RI Glover, Kevin/AAF-1674-2019
OI Glover, Kevin/0000-0001-8521-0311
ZS 1
Z8 0
ZA 0
TC 48
ZB 4
ZR 0
Z9 49
U1 4
U2 25
SN 1559-2332
EI 1559-713X
UT WOS:000390028600002
PM 27504890
ER

PT J
AU Morrow, April
   Seeho, Sean
   Barlow-Stewart, Kristine
   Fleming, Jane
   Meiser, Bettina
   Karatas, Janan
TI Referral of patients for pre-implantation genetic diagnosis: A survey of
   obstetricians
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 56
IS 6
BP 585
EP 590
DI 10.1111/ajo.12522
PD DEC 2016
PY 2016
AB BackgroundPre-implantation genetic diagnosis (PGD) is a molecular
   diagnostic technique in which embryos are tested for specific genetic
   abnormalities to enable the selection of those unaffected by the
   condition. Previous Australian evidence suggested that women who are not
   informed about PGD by their obstetrician feel disempowered about not
   being given this option.
   AimsThis study aimed to explore obstetrician knowledge regarding PGD and
   identify barriers to referral.
   Materials and methodsAn invitation to the study with a link to an online
   questionnaire was e-mailed by the Royal Australian and New Zealand
   College of Obstetricians and Gynaecologists to their members.
   ResultsIn total, 372 practising obstetricians responded. Perceptions of
   their patients' financial status and ability to access PGD were
   identified as barriers to referral. There was variability in referral
   for PGD and/or genetic services according to the clinical scenario and
   in the perceived appropriateness of PGD for different indications.
   Obstetricians who had undergone professional development related to PGD
   were more likely to discuss PGD than those who had not ((2) = 6.44; P <
   0.01).
   ConclusionsThe results highlight the need for additional training,
   development of educational resources and awareness of appropriate
   referral pathways to ensure that those couples who are eligible for PGD
   are informed.
RI Morrow, April/K-6437-2019; Barlow-Stewart, Kristine/AAW-9178-2020; Meiser, Bettina/AAG-5480-2021; Seeho, Sean/; Morrow, April/
OI Seeho, Sean/0000-0003-3828-8671; Morrow, April/0000-0003-0714-363X
TC 3
ZA 0
ZS 0
Z8 0
ZR 0
ZB 1
Z9 3
U1 0
U2 6
SN 0004-8666
EI 1479-828X
UT WOS:000389416200009
PM 27611227
ER

PT J
AU McLawhorn, Alexander S
   De Martino, Ivan
   Fehring, Keith A
   Sculco, Peter K
TI Social media and your practice: navigating the surgeon-patient
   relationship.
SO Current reviews in musculoskeletal medicine
VL 9
IS 4
BP 487
EP 495
PD 2016-Dec
PY 2016
AB Utilization of social media both in the private and professional arenas
   has grown rapidly in the last decade. The rise of social media use
   within health care can be viewed as the Internet-based corollary of the
   patient-centered care movement, in which patient perspectives and values
   are central to the delivery of quality care. For orthopedic surgeons and
   their practices, general-purpose online social networks, such as
   Facebook and Twitter, are convenient platforms for marketing, providing
   patient education and generating referrals. Virtual health communities
   are used less frequently by orthopedic surgeons but provide forums for
   patient engagement and active surgeon-to-patient communication via blogs
   and ask-the-doctor platforms. This commentary reviews the current state
   of social media use in orthopedic practice, with particular emphasis on
   managing the extension of the surgeon-patient relationship online,
   including the unique practice risks social media poses, such as privacy
   concerns, potential liability, and time consumption.
RI De Martino, Ivan/A-4578-2017; Sculco, Peter/
OI De Martino, Ivan/0000-0002-8415-3500; Sculco, Peter/0000-0001-7050-5571
TC 31
ZS 0
ZB 3
Z8 0
ZA 0
ZR 0
Z9 31
U1 1
U2 24
SN 1935-973X
UT MEDLINE:27766538
PM 27766538
ER

PT J
AU Kloek, Anne T
   van Zijl, Angela C M
   Ten Cate, Olle T J
TI How ateaching rotation in medical school affects graduates' subsequent
   careers.
SO Perspectives on medical education
VL 5
IS 6
BP 325
EP 331
PD 2016-Dec
PY 2016
AB INTRODUCTION: Teaching opportunities and teacher courses for medical
   students are increasingly offered by medical schools but little has been
   investigated about their long-term effect. The aim of our study was to
   investigate the long-term career effect of an intensive elective
   teaching experience for final year medical students.
   METHODS: We approached UMC Utrecht medical graduates who had taken a
   final year, 6‑week full time student teaching rotation (STR) elective, 6
   to 9years after graduation, with an online survey to ask about their
   educational activities and obtained teaching certificates, their current
   roles related to education, and their appreciation of the rotation, even
   if this was a long time ago. In addition, we surveyed control groups of
   students who had not taken the STR, divided into those who had expressed
   interest in the STR but had not been placed and those who had not
   expressed such interest.
   RESULTS: We received responses from 50STR graduates and 88non-STR
   graduates (11with interest and 77without interest in the STR). STR
   graduates were more educationally active, had obtained more university
   teaching certificates and were more enthusiastic teachers. However, we
   could not exclude confounding, caused by ageneral interest in education
   even before the STR.
   CONCLUSIONS: Our findings indicate ahigh appreciation of the student
   teaching rotation and alikely but not proven long-term association
   between STR participation and building an educational career.
RI Cate, Olle Th.J. ten/W-8382-2018
OI Cate, Olle Th.J. ten/0000-0002-6379-8780
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
TC 9
Z9 9
U1 0
U2 0
SN 2212-2761
UT MEDLINE:27757916
PM 27757916
ER

PT J
AU Agbai, Oma N.
   Davari, Parastoo
   Johnson, Jennifer
   Armstrong, April
   Fazel, Nasim
TI Effect of a Pre-Treatment Educational Video in Improving Patient
   Satisfaction with 5-Fluorouracil Treatment for Actinic Keratoses: A
   Randomized Controlled Trial
SO DERMATOLOGY AND THERAPY
VL 6
IS 4
BP 675
EP 681
DI 10.1007/s13555-016-0149-y
PD DEC 2016
PY 2016
AB Introduction: Patient treatment satisfaction and adherence may be
   affected by the initial understanding of outcomes in the treatment of
   actinic keratoses with 5-fluorouracil 5% cream (5-FU). Pre-treatment
   educational videos may optimize this understanding. The objective of
   this study was to determine whether prospective patient viewing of an
   educational video delineating treatment effects and expectations
   improves patient satisfaction and treatment completion rates for the
   treatment of actinic keratoses with 5-FU.
   Methods: Forty-four participants were recruited to the UC Davis
   Dermatology outpatient clinic. Each participant was randomized to the
   video (group A) or control group (group B), and topical 5-FU cream
   treatment was conducted for 2 weeks in both groups.
   Results: A follow-up questionnaire was performed to assess patient
   satisfaction and adherence to the treatment regimen. The results of
   these questions were analyzed using the Mann-Whitney test. One item on
   the questionnaire asked the patient to rate their overall level of
   satisfaction on a score of 0-100. The results of this question were
   analyzed using the unpaired t test. The results of the statistical
   analysis show no significant difference between the patient group that
   viewed the video and the patient group that did not view the video.
   Conclusions: We speculate that this study may establish a foundation for
   subsequent studies that may affect the broader medical community and
   promote development of educational videos.
Z8 0
ZS 0
TC 4
ZB 0
ZR 0
ZA 0
Z9 4
U1 0
U2 0
SN 2193-8210
EI 2190-9172
UT WOS:000390253800016
PM 27778164
ER

PT J
AU Eryilmaz, Aylin
   Basal, Yesim
   Gunel, Ceren
   Basak, Sema
   Ture, Mevlut
   Elatik, Hakan
   Basak, Okay
TI Awareness and daily practices of family physicians and trainees towards
   laryngopharyngeal reflux
SO EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
VL 273
IS 12
BP 4377
EP 4384
DI 10.1007/s00405-016-4180-5
PD DEC 2016
PY 2016
AB Laryngopharyngeal reflux (LPR) is a type of reflux, seen with complaints
   of hoarseness, chronic cough, and globus sensation, different from
   gastroesophageal reflux disease (GERD). The aim of this study was to
   evaluate the awareness, knowledge, and practices of family physicians
   and trainees who were being trained in medical branches other than ENT
   and to determine the effective factors on decision making for diagnosis
   of this disorder. The study was designed as a two-stage study. At the
   first stage, a data collection tool, involving 29 questions by which the
   knowledge, awareness, and applications of the physicians about LPR would
   be determined, was developed with 12 specialists, using Delphi method.
   At the second stage, 101 family physicians replied the questionnaire
   online. For 45 trainees other than ENT, the questionnaire was filled
   face-to-face by one of the investigators. In patients admitted with
   complaints of hoarseness, lasting longer than 2 weeks, cough, lasting
   longer than 3 weeks, and globus sensation, the physicians considered LPR
   as the preliminary diagnosis with rates of 88.4, 82.2, and 62.8 %,
   respectively. 87.0 % of physicians, participating in the study, started
   treatment for reflux empirically in patients having complaints of
   hoarseness, chronic cough, and globus sensation; however, only 29.0 % of
   physicians prescribed this treatment for periods of 3 or 6 months. 69.9
   % of physicians, participating in the study, made a diagnosis of reflux
   in general during their daily practices; only 6.9 % made the
   discrimination between LPR and GERD. Of all physicians, 27.9 %
   prescribed double-dose PPI or H2.
RI Başak, Hatice Sema/AAG-5913-2019
ZB 0
ZR 0
ZA 0
TC 0
Z8 0
ZS 0
Z9 0
U1 0
U2 7
SN 0937-4477
EI 1434-4726
UT WOS:000387700400039
PM 27376643
ER

PT J
AU Van der Linden, Philippe
   Hardy, Jean-Francois
TI Implementation of patient blood management remains extremely variable in
   Europe and Canada: the NATA benchmark project: An observational study
SO EUROPEAN JOURNAL OF ANAESTHESIOLOGY
VL 33
IS 12
BP 913
EP 921
DI 10.1097/EJA.0000000000000519
PD DEC 2016
PY 2016
AB BACKGROUNDPreoperative anaemia is associated with increased
   postoperative morbidity and mortality. Patient blood management (PBM) is
   advocated to improve patient outcomes.OBJECTIVESNATA, the Network for
   the advancement of patient blood management, haemostasis and
   thrombosis', initiated a benchmark project with the aim of providing the
   basis for educational strategies to implement optimal PBM in
   participating centres.DESIGNProspective, observational study with online
   data collection in 11 secondary and tertiary care institutions
   interested in developing PBM.SETTINGTen European centres (Austria,
   Spain, England, Denmark, Belgium, Netherlands, Romania, Greece, France,
   and Germany) and one Canadian centre participated between January 2010
   and June 2011.PATIENTSA total of 2470 patients undergoing total hip
   (THR) or knee replacement, or coronary artery bypass grafting (CABG),
   were registered in the study. Data from 2431 records were included in
   the final analysis.MAIN OUTCOME MEASURESPrimary outcome measures were
   the incidence and volume of red blood cells (RBC) transfused. Logistic
   regression analysis identified variables independently associated with
   RBC transfusions.RESULTSThe incidence of transfusion was significantly
   different between centres for THR (range 7 to 95%), total knee
   replacement (range 3 to 100%) and CABG (range 20 to 95%). The volume of
   RBC transfused was significantly different between centres for THR and
   CABG. The incidence of preoperative anaemia ranged between 3 and 40% and
   its treatment between 0 and 40%, the latter not being related to the
   former. Patient characteristics, evolution of haemoglobin concentrations
   and blood losses were also different between centres. Variables
   independently associated with RBC transfusion were preoperative
   haemoglobin concentration, lost volume of RBC and female
   sex.CONCLUSIONImplementation of PBM remains extremely variable across
   centres. The relative importance of factors explaining RBC transfusion
   differs across institutions, some being patient related whereas others
   are related to the healthcare process. The results reported
   confidentially to each centre will allow them to implement tailored
   measures to improve their PBM strategies.
Z8 0
ZB 6
ZS 1
ZA 0
TC 17
ZR 0
Z9 17
U1 0
U2 3
SN 0265-0215
EI 1365-2346
UT WOS:000387275500006
PM 27487910
ER

PT J
AU Corbett, Anne
   Nunez, Kayleigh-Marie
   Smeaton, Emily
   Testad, Ingelin
   Thomas, Alan J.
   Closs, S. Jose
   Briggs, Michelle
   Clifton, Lei
   Gjestsen, Martha Therese
   Lawrence, Vanessa
TI The landscape of pain management in people with dementia living in care
   homes: a mixed methods study
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 31
IS 12
BP 1354
EP 1370
DI 10.1002/gps.4445
PD DEC 2016
PY 2016
AB ObjectivesThe aim of this study is to explore the current landscape of
   pain management in people with dementia living in care home settings.
   Pain is extremely common in this patient group, yet there is very
   limited guidance for healthcare professionals.
   MethodsTriangulation of stakeholder consultation and quality review of
   pain management guidance were performed. A review of existing pain
   management guidance was conducted using published quality criteria
   adapted for the field. Three focus group discussions were held with care
   home staff and two focus group discussions and an online survey with
   family carers. Data were subjected to thematic analysis to identify
   themes and sub-themes. Outcomes were reviewed by an expert panel, which
   gave recommendations.
   ResultsFifteen existing guidelines were identified, of which three were
   designed for use in dementia and none were tailored for care home
   settings. Thematic analysis revealed six major themes in current pain
   management in dementia: importance of person-centredness, current lack
   of pain awareness in staff, communication as a core element, disparities
   in staff responsibility and confidence, the need for consistency of care
   and current lack of staff training. In addition to the needs for
   practice, the expert panel identified promising pharmacological
   treatment candidates, which warrant clinical evaluation.
   ConclusionsThe findings of this study clearly articulate a need for an
   evidence-based pain management programme for care homes, which is
   informed by stakeholder input and based within a conceptual framework
   for this setting. There are novel opportunities for clinical trials of
   alternative analgesics for use in this patient group. Copyright (c) 2016
   John Wiley & Sons, Ltd.
RI Lawrence, Vanessa/E-8391-2017; Thomas, Alan J/G-4807-2011; Corbett, Anne/B-3223-2014; Briggs, Michelle/J-7313-2017; Testad, Ingelin/; Nunez, Kayleigh-Marie/; Clifton, Lei/; Lawrence, Vanessa/A-9469-2011; Gjestsen, Martha Therese/
OI Corbett, Anne/0000-0003-2015-0316; Briggs, Michelle/0000-0001-6741-357X;
   Testad, Ingelin/0000-0002-0534-6575; Nunez,
   Kayleigh-Marie/0000-0002-4216-659X; Clifton, Lei/0000-0001-5595-8468;
   Lawrence, Vanessa/0000-0001-7852-2018; Gjestsen, Martha
   Therese/0000-0002-8762-3109
TC 21
ZA 0
ZB 3
Z8 0
ZR 0
ZS 0
Z9 21
U1 0
U2 22
SN 0885-6230
EI 1099-1166
UT WOS:000387033100011
PM 26898542
ER

PT J
AU Graff, Danielle M.
   Caperell, Kerry S.
TI Concussion Management in the Classroom
SO JOURNAL OF CHILD NEUROLOGY
VL 31
IS 14
BP 1569
EP 1574
DI 10.1177/0883073816666205
PD DEC 2016
PY 2016
AB There is a new emphasis on the team approach to pediatric concussion
   management, particularly in the classroom. However, it is expected that
   educators are unfamiliar with the Returning to Learning recommendations.
   The authors' primary objective was to assess and improve high school
   educators' knowledge regarding concussions and management interventions
   using an online education tool. A total of 247 high school educators
   completed a 12 question pretest to assess core knowledge of concussions
   and classroom management followed by a 20-minute online literature-based
   education module. Participants then completed an identical posttest. The
   improvement in core knowledge was statistically significant (P < .001).
   Initial areas of weakness were the description and identification of
   concussions. Questions regarding concussion classroom management also
   showed a statistically significant increase in scores (P < .001). This
   study identifies the deficits in the knowledge of educators regarding
   concussions and classroom management as well as the significant
   improvement after an online educational module.
OI Caperell, Kerry/0000-0002-1545-5417
ZS 0
TC 12
ZB 0
ZR 0
ZA 0
Z8 0
Z9 12
U1 0
U2 14
SN 0883-0738
EI 1708-8283
UT WOS:000387545600008
PM 27591004
ER

PT J
AU Coskun, Volkan
   Carpenter, Ellen M.
TI Life Science-Based Neuroscience Education at Large Western Public
   Universities
SO JOURNAL OF NEUROSCIENCE RESEARCH
VL 94
IS 12
SI SI
BP 1384
EP 1392
DI 10.1002/jnr.23928
PD DEC 2016
PY 2016
AB The last 40 years have seen a remarkable increase in the teaching of
   neuroscience at the undergraduate level. From its origins as a component
   of anatomy or physiology departments to its current status as an
   independent interdisciplinary field, neuroscience has become the chosen
   field of study for many undergraduate students, particularly for those
   interested in medical school or graduate school in neuroscience or
   related fields. We examined how life science-based neuroscience
   education is offered at large public universities in the Western United
   States. By examining publicly available materials posted online, we
   found that neuroscience education may be offered as an independent
   program, or as a component of biological or physiological sciences at
   many institutions. Neuroscience programs offer a course of study
   involving a core series of courses and a collection of topical
   electives. Many programs provide the opportunity for independent
   research, or for laboratory-based training in neuroscience. Features of
   neuroscience programs at Western universities closely matched those seen
   at the top 25 public universities, as identified by U.S. News & World
   Report. While neuroscience programs were identified in many Western
   states, there were several states in which public universities appeared
   not to provide opportunities to major in neuroscience. (C) 2016 Wiley
   Periodicals, Inc.
ZR 0
ZA 0
Z8 0
ZS 0
ZB 1
TC 2
Z9 2
U1 0
U2 10
SN 0360-4012
EI 1097-4547
UT WOS:000388443700006
PM 27753172
ER

PT J
AU Dargie, Emma
   Holden, Ronald R.
   Pukall, Caroline F.
TI The Vulvar Pain Assessment Questionnaire inventory
SO PAIN
VL 157
IS 12
BP 2672
EP 2686
DI 10.1097/j.pain.0000000000000682
PD DEC 2016
PY 2016
AB Millions suffer from chronic vulvar pain (ie, vulvodynia). Vulvodynia
   represents the intersection of 2 difficult subjects for health care
   professionals to tackle: sexuality and chronic pain. Those with chronic
   vulvar pain are often uncomfortable seeking help, and many who do so
   fail to receive proper diagnoses. The current research developed a
   multidimensional assessment questionnaire, the Vulvar Pain Assessment
   Questionnaire (VPAQ) inventory, to assist in the assessment and
   diagnosis of those with vulvar pain. A large pool of items was created
   to capture pain characteristics, emotional/cognitive functioning,
   physical functioning, coping skills, and partner factors. The item pool
   was subsequently administered online to 288 participants with chronic
   vulvar pain. Of those, 248 participants also completed previously
   established questionnaires that were used to evaluate the convergent and
   discriminant validity of the VPAQ. Exploratory factor analyses of the
   item pool established 6 primary scales: Pain Severity, Emotional
   Response, Cognitive Response, and Interference with Life, Sexual
   Function, and Self-Stimulation/Penetration. A brief screening version
   accompanies a more detailed version. In addition, 3 supplementary scales
   address pain quality characteristics, coping skills, and the impact on
   one's romantic relationship. When relationships among VPAQ scales and
   previously researched scales were examined, evidence of convergent and
   discriminant validity was observed. These patterns of findings are
   consistent with the literature on the multidimensional nature of
   vulvodynia. The VPAQ can be used for assessment, diagnosis, treatment
   formulation, and treatment monitoring. In addition, the VPAQ could
   potentially be used to promote communication between patients and
   providers, and point toward helpful treatment options and/or referrals.
ZS 1
ZA 0
ZB 0
TC 20
ZR 0
Z8 0
Z9 21
U1 0
U2 11
SN 0304-3959
EI 1872-6623
UT WOS:000388501400008
PM 27780177
ER

PT J
AU Tarpada, Sandip P
   Morris, Matthew T
   Burton, Denver A
TI E-learning in orthopedic surgery training: A systematic review.
SO Journal of orthopaedics
VL 13
IS 4
BP 425
EP 30
DI 10.1016/j.jor.2016.09.004
PD 2016-Dec
PY 2016
AB E-learning is the use of internet-based resources in education. In the
   field of surgical education, this definition includes the use of virtual
   patient cases, digital modeling, online tutorials, as well as video
   recordings of surgical procedures and lectures. In recent years,
   e-learning has increasingly been considered a viable alternative to
   traditional teaching within a number of surgical fields. Here we present
   (1) a systematic review of literature assessing the efficacy of
   e-learning modules for orthopedic education and (2) a discussion of
   their relevance. 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 (PRISMA). The search yielded a total of 255
   non-duplicate citations that were screened using predetermined
   inclusion/exclusion criteria. A total of 9 full text articles met
   inclusion criteria, which included the use of an objective outcome
   measure to evaluate an orthopedic e-learning module. Six studies
   assessed knowledge using a multiple-choice test and 4 assessed skills
   using a clinical exam. All studies showed positive score improvement
   pre- to post-intervention, and a majority showed greater score
   improvement than standard teaching methods in both knowledge (4/6
   studies) and clinical skills (3/4 studies). E-learning represents an
   effective supplement or even alternative to standard teaching techniques
   within orthopedic education for both medical students and residents.
   Future work should focus on validating specific e-learning programs
   using standardized outcome measures and assessing long-term knowledge
   retention using e-learning platforms. 
OI kraft, denver/0000-0003-1745-997X
TC 44
ZS 0
Z8 0
ZA 0
ZR 0
ZB 3
Z9 45
U1 3
U2 24
SN 0972-978X
UT MEDLINE:27688638
PM 27688638
ER

PT J
AU Chan, Teresa Man-Yee
   Grock, Andrew
   Paddock, Michael
   Kulasegaram, Kulamakan
   Yarris, Lalena M.
   Lin, Michelle
TI Examining Reliability and Validity of an Online. Score (ALiEM AIR) for
   Rating Free Open Access Medical Education Resources
SO ANNALS OF EMERGENCY MEDICINE
VL 68
IS 6
BP 729
EP 735
DI 10.1016/j.annemergmed.2016.02.018
PD DEC 2016
PY 2016
AB Study objective: Since 2014, Academic Life in Emergency Medicine (ALiEM)
   has used the Approved Instructional Resources (AIR) score to critically
   appraise online content. The primary goals of this study are to
   determine the interrater reliability (IRR) of the ALiEM AIR rating score
   and determine its correlation with expert educator gestalt. We also
   determine the minimum number of educator-raters needed to achieve
   acceptable reliability.
   Methods: Eight educators each rated 83 online educational posts with the
   ALiEM AIR scale. Items include accuracy, usage of evidence-based
   medicine, referencing, utility, and the Best Evidence in Emergency
   Medicine rating score. A generalizability study was conducted to
   determine IRR and rating variance contributions of facets such as rater,
   blogs, posts, and topic. A randomized selection of 40 blog posts
   previously rated through ALiEM AIR was then rated again by a blinded
   group of expert medical educators according to their gestalt. Their
   gestalt impression was subsequently correlated with the ALiEM AIR score.
   Results: The IRR for the ALiEM AIR rating scale was 0.81 during the
   6-month pilot period. Decision studies showed that at least 9 raters
   were required to achieve this reliability. Spearman correlations between
   mean AIR score and the mean expert gestalt ratings were 0.40 for
   recommendation for learners and 0.35 for their colleagues.
   Conclusion: The ALiEM AIR scale is a moderately to highly reliable,
   5-question tool when used by medical educators for rating online
   resources. The score displays a fair correlation with expert educator
   gestalt in regard to the quality of the resources. The score displays a
   fair correlation with educator gestalt.
RI Chan, Teresa/T-6676-2017
OI Chan, Teresa/0000-0001-6104-462X
ZS 0
ZR 0
TC 50
ZA 0
Z8 0
ZB 1
Z9 51
U1 0
U2 16
SN 0196-0644
EI 1097-6760
UT WOS:000389164800015
PM 27033141
ER

PT J
AU Johnson, Christine C.
   Garcia, Grant H.
   Liu, Joseph N.
   Stepan, Jeffrey G.
   Patel, Ronak M.
   Dines, Joshua S.
TI Internet resources for Tommy John injuries: what are patients reading?
SO JOURNAL OF SHOULDER AND ELBOW SURGERY
VL 25
IS 12
BP E386
EP E393
DI 10.1016/j.jse.2016.07.073
PD DEC 2016
PY 2016
AB Background: The quality of medical information on the Internet has come
   under scrutiny. This study investigates the quality, accuracy, and
   readability of online information regarding ulnar collateral ligament
   (UCL) injuries.
   Methods: Three search terms ("elbow ulnar collateral ligament injury,"
   "tommy john injury," and " pitcher's elbow") were entered into 3
   Internet search engines. Three independent reviewers evaluated the
   content and accuracy of the information with a set of predetermined
   scoring criteria. Website quality was further assessed by the Journal of
   the American Medical Association benchmark criteria and Health on the
   Net Foundation certification. Website readability was ascertained with
   the Flesch-Kincaid score.
   Results: We evaluated 113 unique websites. The average quality for all
   websites was 8.88 +/- 6.8 (maximum, 32 points). Website quality and
   accuracy were lower with use of the search term " pitcher's elbow" as
   compared with " elbow ulnar collateral ligament injury" or "tommy john
   injury" (P <= .001). Sites certified by the Health on the Net Foundation
   had higher quality scores than non-certified sites (P = .034). The mean
   reading grade level was 10.7. Reading level was significantly correlated
   with website accuracy and quality (P <= .001) and physician authorship
   (P = .012). Forty-three websites (38.1%) described surgical
   reconstruction; of these, 16 (37.2%) mentioned improved pitching
   performance postoperatively.
   Conclusions: Online information on UCL injuries is often inaccurate and
   written at an inappropriate reading level. Information quality depends
   on the search term used, website authorship, and commercial bias.
   Clinicians must be aware of factors influencing website quality in order
   to direct patients to appropriate resources. (C) 2016 Journal of
   Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
RI Liu`, Joseph/AAI-8201-2020; Stepan, Jeffrey/
OI Liu`, Joseph/0000-0002-3801-8885; Stepan, Jeffrey/0000-0002-6595-9752
TC 8
ZR 0
ZB 2
ZS 0
Z8 0
ZA 0
Z9 9
U1 0
U2 10
SN 1058-2746
UT WOS:000389699100003
PM 27745805
ER

PT J
AU Pandya, E.
   Bajorek, B. V.
TI Assessment of Web-based education resources informing patients about
   stroke prevention in atrial fibrillation
SO JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS
VL 41
IS 6
BP 667
EP 676
DI 10.1111/jcpt.12446
PD DEC 2016
PY 2016
AB What is known and objectiveThe importance of shared decision-making' is
   much emphasized in recent clinical guidelines regarding stroke
   management in atrial fibrillation (AF), more so following the inclusion
   of non-vitamin K oral anticoagulants (NOACs) among the treatment
   options. It is important that patients are navigated through balanced
   and unbiased information about the available treatment options, so as to
   understand the risk and benefits associated with the therapies, and to
   enable them to accordingly communicate their concerns and views with
   their clinicians prior to therapy selection. Given the increasing
   popularity of the Internet as a source of health information, the
   specific objectives of this study were to identify what aspects of
   thromboprophylaxis (antithrombotic treatment options) were most commonly
   described in these resources, both in terms of content, that is to
   report the information provided (quantitative) and the underlying themes
   underpinning this content, and in terms of how this information might
   guide patient preferences (qualitative).
   MethodResources for patients were identified via online search engines
   (Google, Yahoo, Ask, Bing), using the terms atrial fibrillation' and
   stroke' combined with patient/consumer information, patient/consumer
   resources and patient/consumer education. The researchers employed
   pragmatic (mix-method) approach to analyse the information presented
   within the resources using manual inductive coding, at two levels of
   analysis: manifest (reported surface theme or codes that are obvious and
   are countable) and latent (thematic, interpretative presentation of the
   content in the data set).
   Results and discussionIn total, 33 resources were reviewed. The
   manifest-level' analysis found that warfarin was the most frequently
   mentioned thromboprophylactic option among the anticoagulants, being
   cited in all resources, followed by the NOACs - dabigatran (82.3% of
   resources), rivaroxaban (73.5%) and apixaban (67.6%). Only one-third of
   resources discussed the role of stroke risk and/or bleeding risk within
   the decision-making. At the latent-level' analysis, three overarching
   themes emerged: (i) The practical ease of managing NOACs over warfarin;
   (ii) Unbalanced explanation about stroke risk versus bleeding risk; and
   (iii) Individualized antithrombotic therapy selection. In general, the
   benefit of stroke prevention with anticoagulant use was emphasized less
   compared to the risk of bleeding. Overall, one in four resources had an
   implied preference for either warfarin or the NOACs.
   What is new and conclusionThe implied inclination of some resources
   towards particular anticoagulant therapies and imbalanced information
   about the importance of anticoagulation in AF might misinform and
   confuse patients. Patients' engagement in shared decision-making and
   adherence to medicines may be undermined by the suboptimal quality of
   information provided in the resources. Health professionals have an
   important role to play in referring patients to appropriate resources to
   enable patient engagement in shared decision-making when selecting
   treatment.
OI Bajorek, Beata/0000-0002-2532-7187; Pandya, Ekta/0000-0003-1843-3384
ZS 0
TC 11
ZA 0
ZB 3
Z8 0
ZR 0
Z9 11
U1 0
U2 23
SN 0269-4727
EI 1365-2710
UT WOS:000386930500012
PM 27704588
ER

PT J
AU Weitzel, Kristin Wiisanen
   Aquilante, Christina L.
   Johnson, Samuel
   Kisor, David F.
   Empey, Philip E.
TI Educational strategies to enable expansion of pharmacogenomics-based
   care
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 73
IS 23
BP 1986
EP 1998
DI 10.2146/ajhp160104
PD DEC 1 2016
PY 2016
AB Purpose. The current state of pharmacogenomics education for pharmacy
   students and practitioners is discussed, and resources and strategies to
   address persistent challenges in this area are reviewed.
   Summary. Consensus-based pharmacist competencies and guidelines have
   been published to guide pharmacogenomics knowledge attainment and
   application in clinical practice. Pharmacogenomics education is
   integrated into various pharmacy school courses and, increasingly, into
   Pharm.D. curricula in the form of required standalone courses.
   Continuing education programs and a limited number of postgraduate
   training opportunities are available to practicing pharmacists. For
   colleges and schools of pharmacy, identifying the optimal structure and
   content of pharmacogenomics education remains a challenge; insufficient
   numbers of faculty members with pharmacogenomics expertise and the
   inadequate availability of practice settings for experiential education
   are other limiting factors. Strategies for overcoming those challenges
   include providing early exposure to pharmacogenomics through
   foundational courses and incorporating pharmacogenomics into
   practice-based therapeutics courses and introductory and advanced
   pharmacy practice experiences. For practitioner education, online
   resources, clinical decision support-based tools, and certificate
   programs can be used to supplement structured postgraduate training in
   pharmacogenomics. Recently published data indicate successful use of
   "shared curricula" and participatory education models involving
   opportunities for learners to undergo personal genomic testing.
   Conclusion. The pharmacy profession has taken a leadership role in
   expanding student and practitioner education to meet the demand for
   increased pharmacist involvement in precision medicine initiatives.
   Effective approaches to teaching pharmacogenomics knowledge and driving
   its appropriate application in clinical practice are increasingly
   available.
RI Empey, Philip/L-9604-2019
OI Empey, Philip/0000-0001-7474-2339
ZB 21
ZR 0
Z8 0
ZA 0
TC 55
ZS 2
Z9 56
U1 0
U2 11
SN 1079-2082
EI 1535-2900
UT WOS:000389158200021
PM 27864206
ER

PT J
AU dickey, Lore M.
   Walinsky, Daniel
   Rofkahr, Crystal
   Richardson-Cline, Kara
   Juntunen, Cindy
TI Career Decision Self-Efficacy of Transgender People: Pre- and
   Posttransition
SO CAREER DEVELOPMENT QUARTERLY
VL 64
IS 4
BP 360
EP 372
DI 10.1002/cdq.12071
PD DEC 2016
PY 2016
AB Transgender people often make the decision to change jobs before,
   during, or after making a social or medical transition. This study
   explores reported self-efficacy from an online sample of transgender
   people. Results indicate that there are differences in self-efficacy
   based on one's gender identity, transition status, and education level.
   This study offers insight into the important and often overlooked
   vocational experiences of transgender people. Results suggest ways in
   which the transition process may interact with career decision
   self-efficacy.
RI dickey, lore m./V-7671-2019; Juntunen, Cindy/AAF-8571-2021; dickey, lore m./S-9066-2019; dickey, lore/
OI Juntunen, Cindy/0000-0003-1027-9829; dickey, lore/0000-0002-8408-0022
ZS 0
TC 7
Z8 0
ZB 0
ZR 1
ZA 0
Z9 8
U1 3
U2 25
SN 0889-4019
EI 2161-0045
UT WOS:000389324700005
ER

PT J
AU Leonardi-Warren, Kristin
   Neff, Ian
   Mancuso, Mary
   Wenger, Barbara
   Galbraith, Michael
   Fink, Regina
TI Sexual Health: Exploring Patient Needs and Healthcare Provider Comfort
   and Knowledge
SO CLINICAL JOURNAL OF ONCOLOGY NURSING
VL 20
IS 6
BP E162
EP E167
DI 10.1188/16.CJON.E162-E167
PD DEC 2016
PY 2016
AB Background: Sexual health is an important quality-of-life issue for many
   cancer survivors; however, this issue remains inadequately discussed by
   healthcare providers (HCPs) and patients. Objectives: The purpose of
   this study is to explore whether clinical oncology HCPs have adequate
   knowledge and are comfortable addressing sexual health issues, and to
   explore and describe patients' attitudes, beliefs, and informational
   needs regarding sexual health. Methods: A survey was completed by HCPs
   and three patient focus groups were conducted to learn more about sexual
   health. Survey data were analyzed using descriptive statistics, and
   qualitative responses were analyzed using content analysis. Findings:
   The majority of survey respondents reported on the importance of
   discussing sexual concerns with patients, lacked sexual health training,
   and were uncomfortable discussing sexual health with patients. Focus
   group participants wanted access to timely information during treatment,
   online educational resources, and brochures and handouts; involvement of
   significant others; support from providers, peers, and survivors; and
   expert consultation.
ZS 0
TC 17
ZB 0
ZA 0
ZR 0
Z8 0
Z9 17
U1 1
U2 11
SN 1092-1095
EI 1538-067X
UT WOS:000389234100004
PM 27857260
ER

PT J
AU Kornegay, Joshua G.
   Leone, Katrina A.
   Wallner, Clare
   Hansen, Matthew
   Yarris, Lalena M.
TI Development and implementation of an asynchronous emergency medicine
   residency curriculum using a web-based platform
SO INTERNAL AND EMERGENCY MEDICINE
VL 11
IS 8
BP 1115
EP 1120
DI 10.1007/s11739-016-1418-6
PD DEC 2016
PY 2016
AB The Residency Review Committee in Emergency Medicine requires residency
   programs to deliver at least 5 hours of weekly didactics. Achieving at
   least a 70 % average attendance rate per resident is required for
   residency program accreditation, and is used as a benchmark for
   residency graduation in our program. We developed a web-based,
   asynchronous curriculum to replace 1 hour of synchronous didactics, and
   hypothesized that the curriculum would be feasible to implement, well
   received by learners, and improve conference participation. This paper
   describes the feasibility and learner acceptability of a longitudinal
   asynchronous curriculum, and describes its impact on postgraduate
   year-1(PGY-1) resident conference participation and annual in-training
   examination scores. Using formal curriculum design methods, we developed
   modules and paired assessment exercises to replace 1 hour of weekly
   didactics. We measured feasibility (development and implementation time
   and costs) and learner acceptability (measured on an anonymous survey).
   We compared pre- and post-intervention conference participation and
   in-service training examination scores using a two sample t test. The
   asynchronous curriculum proved feasible to develop and implement. PGY-1
   resident conference participation improved compared to the
   pre-intervention year (85.6 vs. 62 %; 95 % CI 0.295-0.177; p < 0.001).
   We are unable to detect a difference between in-training examination
   results in either the PGY-1 group or across all residents by the
   introduction of this intervention. 18/31 (58 %) residents completed the
   post-intervention survey. 83 % reported satisfaction with curriculum
   changes. Strengths of the curriculum included clarity and timeliness of
   assignments. Weaknesses included technical difficulties with the online
   platform. Our curriculum is feasible to develop and implement. Despite
   technical difficulties, residents report high satisfaction with this new
   curriculum. Among PGY-1 residents there is improved conference
   participation compared to the prior year.
Z8 0
ZR 0
ZS 0
TC 14
ZB 1
ZA 0
Z9 14
U1 0
U2 6
SN 1828-0447
EI 1970-9366
UT WOS:000388721200012
PM 26951187
ER

PT J
AU Moffat, Suzanne
   Skinner, Jane
   Fritz, Zoe
TI Does resuscitation status affect decision making in a deteriorating
   patient? Results from a randomised vignette study
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 22
IS 6
BP 917
EP 923
DI 10.1111/jep.12559
PD DEC 2016
PY 2016
AB Aims and objectivesThe aim of this paper is to determine the influence
   of do not attempt cardiopulmonary resuscitation (DNACPR) orders and the
   Universal Form of Treatment Options (UFTO': an alternative approach that
   contextualizes the resuscitation decision within an overall treatment
   plan) on nurses' decision making about a deteriorating patient.
   MethodsAn online survey with a developing case scenario across three
   timeframes was used on 231 nurses from 10 National Health Service
   Trusts. Nurses were randomised into three groups: DNACPR, the UFTO and
   no-form. Statements were pooled into four subcategories: Increasing
   Monitoring, Escalating Concern, Initiating Treatments and Comfort
   Measures.
   ResultsReported decisions were different across the three groups. Nurses
   in the DNACPR group agreed or strongly agreed to initiate fewer intense
   nursing interventions than the UFTO and no-form groups (P<0.001) overall
   and across subcategories of Increase Monitoring, Escalate Concern and
   Initiate Treatments (all P<0.001). There was no difference between the
   UFTO and no-form groups overall (P=0.795) or in the subcategories. No
   difference in Comfort Measures were observed (P=0.201) between the three
   groups.
   ConclusionThe presence of a DNACPR order appears to influence nurse
   decision making in a deteriorating patient vignette. Differences were
   not observed in the UFTO and no-form group. The UFTO may improve the way
   nurses modulate their behaviours towards critically ill patients with
   DNACPR status. More hospitals should consider adopting an approach where
   the resuscitation decisions are contextualised within overall goals of
   care.
OI Fritz, Zoe/0000-0001-9403-409X
TC 15
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
Z9 15
U1 1
U2 4
SN 1356-1294
EI 1365-2753
UT WOS:000387847600013
PM 27237130
ER

PT J
AU Gouda, Pishoy
   Cormican, Martin
TI Virtual sorting hat technology for the matching of candidates to
   residency training programs
SO MEDICAL EDUCATION
VL 50
IS 12
BP 1249
EP 1252
DI 10.1111/medu.13113
PD DEC 2016
PY 2016
AB BackgroundThe matching of medical students and trainees to appropriate
   training programmes poses many challenges, including financial cost and
   applicant stress. There are few studies that have examined alternatives
   to the current process of matching candidates to specialist training.
   Case reports from Hogwarts School of Witchcraft and Wizardry have
   suggested that wearable technology may be used to assign individuals
   with particular sets of skills and virtues to an appropriate house.
   MethodsInvestigators developed a modified sorting hat in the form of an
   online, cross-sectional survey. The virtual sorting hat was delivered to
   medical students at the National University of Ireland, Galway, and
   medical practitioners practising in the associated hospitals and
   communities. Pearson's chi-square was used to demonstrate correlations
   between the allocation of participants to Hogwarts' houses by virtual
   sorting hat technology and expressed higher specialist training
   preference.
   ResultsVirtual sorting hat technology, applied to medical undergraduates
   and postgraduates, allocated most participants to Hufflepuff (44%) and
   Ravenclaw (32%). Allocation to Gryffindor was associated with preference
   for surgery and allocation to Slytherin with preference for psychiatry.
   ConclusionVirtual sorting hat technology requires significant refinement
   before application to medical muggles (TM).
   Discuss ideas arising from the article at discuss.
RI Cormican, Martin/T-8323-2019; Gouda, Pishoy/B-6526-2015
OI Cormican, Martin/0000-0002-8023-1882; Gouda, Pishoy/0000-0002-8158-4786
TC 1
ZS 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 1
U1 0
U2 1
SN 0308-0110
EI 1365-2923
UT WOS:000388617100020
PM 27873414
ER

PT J
AU Winslow, Anne
TI An update on MS Nurse PROfessional, an ongoing project of the European
   Multiple Sclerosis Platform.
SO Neurodegenerative disease management
VL 6
IS 6s
BP 37
EP 40
PD 2016-Dec
PY 2016
AB Within the multidisciplinary team required to manage people with
   multiple sclerosis (MS) effectively, the nurse is the central component
   of coordinated care and support. A 2009 survey led by the European
   Multiple Sclerosis Platform, an umbrella organization of national MS
   associations, identified variance and disparity across Europe in the
   nursing care of MS patients. This led to development of MS Nurse
   PROfessional, a continuing medical education-accredited modular online
   learning program endorsed and approved by leading international nursing
   and professional groups, and people with MS, as a tool to support the
   evolving role of the European MS nurse. Analysis of participant
   experience and nurse practice to date has been overwhelmingly positive.
   Expansion of MS Nurse PRO is underway or planned for future.
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
TC 0
Z9 0
U1 0
U2 3
EI 1758-2032
UT MEDLINE:27874492
PM 27874492
ER

PT J
AU Ebenbichler, Gerold R.
   Leitgeb, Juergen
   Amtmann, Gabriele
   Koenig, Franz
   Schernthaner, Melanie
   Resch, Karl-Ludwig
   Kainberger, Franz
TI Degeneration and Instability and the Relation to Patients' Function Late
   After Lumbar Disc Surgery Data from a 12-Year Follow-Up
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 12
BP 871
EP 879
DI 10.1097/PHM.0000000000000522
PD DEC 2016
PY 2016
AB Objective: To investigate the excess risk of degeneration and segmental
   instability in operated segments late after lumbar disc surgery in
   patients with presurgically stable segments, and whether local
   pathological findings relate to patients' back health.
   Design: This retrospective analysis reports on 69 patients 12 years
   after firsttime, uncomplicated lumbar disc surgery. Two independent
   radiologists evaluated the patients' lumbar functional x-rays; the Back
   Pain Rating Score (LBP-RS) assessed back-specific function.
   Results: At 12 years after lumbar disc surgery, degenerative changes as
   well as segmental instability occurred significantly more frequently in
   the operated than nonoperated lumbar segments, but there was no
   association between increased degeneration and segmental instability
   rates. The risk for acquiring segmental instability was significantly
   associated with surgery (odds ratio, 6.5; 95% confidence interval,
   1.5-28.8). Prevalence of segmental instabilities was associated with
   better LBP-RS scores. Analyses of LBP-RS subscores revealed a clear
   association of segmental instability with physical function, but not
   with pain or activities of daily living.
   Conclusions: Lumbar disc surgery seems to be associated with an
   increased risk of degeneration and segmental instability in the long
   term. This structural impairment, however, seems functionally well
   compensated and does not seem to be a relevant causal factor for a
   chronic back pain syndrome.
OI Konig, Franz/0000-0002-6893-3304
Z8 1
ZS 0
ZB 0
TC 3
ZR 0
ZA 0
Z9 4
U1 0
U2 12
SN 0894-9115
EI 1537-7385
UT WOS:000388179000006
PM 27149592
ER

PT J
AU Monteith, Scott
   Glenn, Tasha
TI Automated Decision-Making and Big Data: Concerns for People With Mental
   Illness
SO CURRENT PSYCHIATRY REPORTS
VL 18
IS 12
AR 112
DI 10.1007/s11920-016-0746-6
PD DEC 2016
PY 2016
AB Automated decision-making by computer algorithms based on data from our
   behaviors is fundamental to the digital economy. Automated decisions
   impact everyone, occurring routinely in education, employment, health
   care, credit, and government services. Technologies that generate
   tracking data, including smartphones, credit cards, websites, social
   media, and sensors, offer unprecedented benefits. However, people are
   vulnerable to errors and biases in the underlying data and algorithms,
   especially those with mental illness. Algorithms based on big data from
   seemingly unrelated sources may create obstacles to community
   integration. Voluntary online self-disclosure and constant tracking blur
   traditional concepts of public versus private data, medical versus
   non-medical data, and human versus automated decision-making. In
   contrast to sharing sensitive information with a physician in a
   confidential relationship, there may be numerous readers of information
   revealed online; data may be sold repeatedly; used in proprietary
   algorithms; and are effectively permanent. Technological changes
   challenge traditional norms affecting privacy and decision-making, and
   continued discussions on new approaches to provide privacy protections
   are needed.
ZS 0
Z8 0
TC 19
ZR 0
ZA 0
ZB 3
Z9 19
U1 3
U2 61
SN 1523-3812
EI 1535-1645
UT WOS:000388169300006
PM 27783339
ER

PT J
AU Lin, Pei-Jung
   Saret, Cayla J.
   Neumann, Peter J.
   Sandberg, Eileen A.
   Cohen, Joshua T.
TI Assessing the Value of Treatment to Address Various Symptoms Associated
   with Multiple Sclerosis: Results from a Contingent Valuation Study
SO PHARMACOECONOMICS
VL 34
IS 12
BP 1255
EP 1265
DI 10.1007/s40273-016-0435-7
PD DEC 2016
PY 2016
AB Although it is well recognized that people with multiple sclerosis (MS)
   may experience impairments in addition to limited mobility, there has
   been little effort to study their relative importance to patients with
   the condition. The objective of this study was to assess patient
   preferences for addressing various MS symptoms.
   This study was conducted at Tufts Medical Center, Boston, Massachusetts.
   We developed a national online survey of MS patients and neurologists to
   estimate the value each group places on treating specific MS symptoms.
   Each respondent was presented with two randomly selected scenarios with
   different symptoms and treatments. MS patients were asked about their
   own preferences, whereas neurologists were asked to consider what a
   patient of theirs would do or think in each scenario. We used a bidding
   game approach to elicit respondents' willingness to pay (WTP) for the
   treatments.
   To treat mobility alone, WTP for MS patients averaged US$410-US$520 per
   month, depending on the scenario. For paired symptoms, MS patients would
   pay most to treat mobility and upper limb function (US$525/month) or
   mobility and cognition (US$514/month), somewhat less to treat mobility
   and eyesight (US$445/month), and least to treat mobility and fatigue
   (US$371/month). Patient WTP values increased with income and education.
   Neurologists believed their patients would be willing to pay
   US$216-US$249 per month to treat mobility alone, depending on the
   scenario. For paired symptoms, neurologists believed patients would pay
   most to treat mobility and fatigue (US$263/month) and least to treat
   mobility and upper limb function (US$177/month).
   Our findings suggest MS patients may value one outcome (e.g., improved
   arm and hand coordination) over another (e.g., less fatigue). Further,
   MS patients and neurologists may rank the importance of treating various
   symptoms differently. Given this potential mismatch, it is crucial for
   MS patients and their clinicians to discuss treatment priorities that
   take into account patient preferences.
ZS 0
TC 6
ZR 0
ZA 0
Z8 0
ZB 2
Z9 6
U1 0
U2 10
SN 1170-7690
EI 1179-2027
UT WOS:000388142700005
PM 27461538
ER

PT J
AU Moutier, Christine
   Wingard, Deborah
   Gudea, Monica
   Jeste, Dilip
   Goodman, Seneca
   Reznik, Vivian
TI The Culture of Academic Medicine: Faculty Behaviors Impacting the
   Learning Environment
SO ACADEMIC PSYCHIATRY
VL 40
IS 6
BP 912
EP 918
DI 10.1007/s40596-016-0582-3
PD DEC 2016
PY 2016
AB The culture of academic medical institutions impacts trainee education,
   among many other faculty and patient outcomes. Disrespectful behavior by
   faculty is one of the most challenging and common problems that, left
   unattended, disrupts healthy work and learning environments. Conversely,
   a respectful environment facilitates learning, creates a sense of
   safety, and rewards professionalism. The authors developed surveys and
   an intervention in an effort to better understand and improve climate
   concerns among health sciences faculty at the University of California,
   San Diego (UCSD), a research-intense, public, academic medical center.
   An online "climate survey" of all UC San Diego health sciences faculty
   was conducted in 2011-2012. A strategic campaign to address the
   behavioral issues identified in the initial survey was subsequently
   launched. In 2015, the climate was re-evaluated in order to assess the
   effectiveness of the intervention.
   A total of 478 faculty members (223 women, 235 men, 35 % of faculty)
   completed the baseline survey, reporting relatively low levels of
   observed sexual harassment (7 %). However, faculty reported concerning
   rates of other disruptive behaviors: derogatory comments (29 %), anger
   outbursts (25 %), and hostile communication (25 %). Women and mid-level
   faculty were more likely to report these behavioral concerns than men
   and junior or senior colleagues. Three years after an institutional
   strategy was initiated, 729 faculty members (50 % of the faculty)
   completed a follow-up survey. The 2015 survey results indicate
   significant improvement in numerous climate factors, including overall
   respectful behaviors, as well as behaviors related to gender.
   In order to enhance a culture of respect in the learning environment,
   institutions can effectively engage academic leaders and faculty at all
   levels to address disruptive behavior and enhance positive climate
   factors.
OI Moutier, Christine/0000-0002-3826-7160
Z8 0
ZR 0
ZS 0
ZB 1
TC 6
ZA 0
Z9 6
U1 1
U2 19
SN 1042-9670
EI 1545-7230
UT WOS:000387690200009
PM 27368643
ER

PT J
AU Patel, Sunaina
   Batterham, Philip J.
   Calear, Alison L.
   Cryer, Rachel
TI Predictors of Comfort and Confidence Among Medical Students in Providing
   Care to Patients at Risk of Suicide
SO ACADEMIC PSYCHIATRY
VL 40
IS 6
BP 919
EP 922
DI 10.1007/s40596-016-0583-2
PD DEC 2016
PY 2016
AB The aim of this study was to identify factors associated with comfort
   and confidence in providing care to patients at risk of suicide, in a
   sample of Australian medical students.
   An online cross-sectional survey was completed by 116 current medical
   students (42 % male) aged between 20 and 41 years (M = 25, SD = 3.8).
   Greater personal experience of suicide and previous contact with
   patients with psychiatric problems were significantly associated with
   both increased perceived comfort and increased confidence in providing
   care for individuals with suicidal thoughts or behaviors, based on
   self-report. However, these effects may not reflect objective measures
   of competency and additional research is needed to assess
   generalizability of the findings due to the sampling method.
   Increasing medical student contact with patients at risk of suicide
   through the implementation of psychiatry placements, gateway programs,
   and early year exposure to patients with psychiatric problems may
   increase perceived confidence and comfort in providing care to
   individuals at risk of suicide. Further research should evaluate the
   impact of such programs on behavioral indices of clinical competency.
RI Calear, Alison L/D-4191-2009; Batterham, Philip/
OI Calear, Alison L/0000-0002-7028-725X; Batterham,
   Philip/0000-0002-4547-6876
Z8 0
ZR 0
TC 4
ZB 1
ZS 0
ZA 0
Z9 4
U1 1
U2 8
SN 1042-9670
EI 1545-7230
UT WOS:000387690200010
PM 27392653
ER

PT J
AU Law, Marcus
   Rapoport, Mark J.
   Seitz, Dallas
   Davidson, Marla
   Madan, Robert
   Wiens, Andrew
TI Evaluation of a National Online Educational Program in Geriatric
   Psychiatry
SO ACADEMIC PSYCHIATRY
VL 40
IS 6
BP 923
EP 927
DI 10.1007/s40596-015-0377-y
PD DEC 2016
PY 2016
AB This study provides evaluation results of an online study group (OSG)
   for geriatric psychiatry continuing professional development.
   The OSG is an interactive, expert-facilitated, asynchronous educational
   experience for psychiatrists and residents in Canada. A retrospective
   web survey assessed self-efficacy, knowledge in geriatric psychiatry,
   comfort with online learning, and perceived effectiveness of the
   instructional methods. Wilcoxon signed-rank tests and descriptive
   statistics were calculated.
   Twenty-nine (of 50) participants (58 %) completed the questionnaire.
   Although only 48 % of respondents reported improved perceived knowledge,
   79 % reported improved efficacy beliefs, and 76 % reported improved
   comfort with online learning. Most (79 %) would consider taking OSG
   again, and 93 % would recommend it to others.
   The OSG was well-received, with greater benefits for self-efficacy with
   the material and comfort with online learning than for perceived
   knowledge itself. Further research is needed to ascertain actual
   knowledge change in the context of online learning in medical education.
RI Rapoport, Mark/AAD-8581-2020; Law, Marcus/
OI Law, Marcus/0000-0001-9746-6381
TC 3
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 3
U1 0
U2 6
SN 1042-9670
EI 1545-7230
UT WOS:000387690200011
PM 26108395
ER

PT J
AU Jaworska, Natalia
   De Somma, Elisea
   Fonseka, Bernice
   Heck, Emma
   MacQueen, Glenda M.
TI Mental Health Services for Students at Postsecondary Institutions: A
   National Survey
SO CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
VL 61
IS 12
BP 766
EP 775
DI 10.1177/0706743716640752
PD DEC 2016
PY 2016
AB Objective: Although the high prevalence of mental health issues among
   postsecondary students is well documented, comparatively little is known
   about the adequacy, accessibility, and adherence to best practices of
   mental health services (MHSs)/initiatives on postsecondary campuses. We
   evaluated existing mental health promotion, identification, and
   intervention initiatives at postsecondary institutions across Canada,
   expanding on our previous work in one Canadian province.
   Methods: A 54-question online survey was sent to potential respondents
   (mainly front-line workers dealing directly with students [e.g.,
   psychologists/counsellors, medical professionals]) at Canada's publicly
   funded postsecondary institutions. Data were analyzed overall and
   according to institutional size (small [<2000 students], medium [2000-10
   000 students], large [>10 000 students]).
   Results: In total, 168 out of 180 institutions were represented, and the
   response rate was high (96%; 274 respondents). Most institutions have
   some form of mental health promotion and outreach programs, although
   most respondents felt that these were not a good use of resources.
   Various social supports exist at most institutions, with large ones
   offering the greatest variety. Most institutions do not require incoming
   students to disclose mental health issues. While counselling services
   are typically available, staff do not reliably have a diverse complement
   (e.g., gender or race diversity). Counselling sessions are generally
   limited, and follow-up procedures are uncommon. Complete diagnostic
   assessments and the use of standardized diagnostic systems are rare.
   Conclusions: While integral MHSs are offered at most Canadian
   postsecondary institutions, the range and depth of available services
   are variable. These data can guide policy makers and stakeholders in
   developing comprehensive campus mental health strategies.
ZA 0
ZB 3
Z8 0
ZS 0
TC 28
ZR 0
Z9 28
U1 0
U2 37
SN 0706-7437
EI 1497-0015
UT WOS:000387697500004
PM 27310230
ER

PT J
AU Nyhsen, Christiane Marita
   Humphreys, Hilary
   Nicolau, Carlos
   Mostbeck, Gerhard
   Claudon, Michel
TI Infection prevention and ultrasound probe decontamination practices in
   Europe: a survey of the European Society of Radiology.
SO Insights into imaging
VL 7
IS 6
BP 841
EP 847
PD 2016-Dec
PY 2016
AB OBJECTIVES: Although ultrasound (US) is considered one of the safest
   imaging modalities, concerns have been raised regarding potential
   infection transmission risks through US procedures. A survey was
   undertaken by the European Society of Radiology (ESR) to establish
   infection prevention and control measures in US and to highlight the
   importance of good medical practice.
   METHODS: An online survey was sent to all 22,000 full ESR members.
   RESULTS: The response rate of completed surveys was 4.3% (946
   practitioners, 97% of which were radiologists, mostly working in larger
   hospital settings). Among respondents, 29%, 11% and 6% did not disinfect
   the US probe after every patient when performing standard surface US,
   endo-cavity US and interventional procedures, respectively. Eleven
   percent did not always use probe covers for endo-cavity US; for
   interventional procedures, the proportion was 23%. A minority used
   sterile gel sachets in direct patient contact for endo-cavity scans
   (30%), and 77.5% used sterile gel for interventional procedures.
   CONCLUSIONS: The survey results highlight a wide range of practices
   throughout Europe and the need to raise awareness amongst practitioners
   regarding the importance of infection prevention and control measures.
   The development of European recommendations encompassing all US
   examinations, together with education is a priority.
   MAIN MESSAGES:  Transmission of infection through ultrasound procedures
   is possible.  There is a wide range of ultrasound probe decontamination
   practices in Europe.  Not all practitioners use probe covers for
   endo-cavity or interventional ultrasound.  Not all practitioners use
   sterile gel for internal and invasive procedures.  Currently there are
   no European recommendations encompassing all US examinations.
OI Humphreys, Hilary/0000-0002-9646-2183
ZA 0
Z8 1
ZS 0
TC 17
ZB 3
ZR 0
Z9 18
U1 1
U2 5
SN 1869-4101
UT MEDLINE:27778309
PM 27778309
ER

PT J
AU Makowski, Nathaniel S.
   Kobetic, Rudi
   Lombardo, Lisa M.
   Foglyano, Kevin M.
   Pinault, Gilles
   Selkirk, Stephen M.
   Triolo, Ronald J.
TI Improving Walking with an Implanted Neuroprosthesis for Hip, Knee, and
   Ankle Control After Stroke
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 12
BP 880
EP 888
DI 10.1097/PHM.0000000000000533
PD DEC 2016
PY 2016
AB Objective: The objective of this work was to quantify the effects of a
   fully implanted pulse generator to activate or augment actions of hip,
   knee, and ankle muscles after stroke.
   Design: The subject was a 64-year-old man with left hemiparesis
   resulting from hemorrhagic stroke 21 months before participation. He
   received an 8-channel implanted pulse generator and intramuscular
   stimulating electrodes targeting unilateral hip, knee, and ankle muscles
   on the paretic side. After implantation, a stimulation pattern was
   customized to assist with hip, knee, and ankle movement during gait. The
   subject served as his own concurrent and longitudinal control with and
   without stimulation. Outcome measures included 10-m walk and 6-minute
   timed walk to assess gait speed, maximum walk time, and distance to
   measure endurance, and quantitative motion analysis to evaluate
   spatial-temporal characteristics. Assessments were repeated under 3
   conditions: (1) volitional walking at baseline, (2) volitional walking
   after training, and (3) walking with stimulation after training.
   Results: Volitional gait speed improved with training from 0.29 m/s to
   0.35 m/s and further increased to 0.72 m/s with stimulation. Most
   spatial-temporal characteristics improved and represented more
   symmetrical and dynamic gait.
   Conclusions: These data suggest that a multijoint approach to implanted
   neuroprostheses can provide clinically relevant improvements in gait
   after stroke.
OI Triolo, Ronald/0000-0003-0984-5803
ZA 0
ZR 0
ZB 1
TC 7
ZS 0
Z8 0
Z9 7
U1 1
U2 15
SN 0894-9115
EI 1537-7385
UT WOS:000388179000007
PM 27231842
ER

PT J
AU Baxley, Elizabeth G.
   Lawson, Luan
   Garrison, Herbert G.
   Walsh, Danielle
   Lazorick, Suzanne
   Lake, Donna
   Higginson, Jason
TI The Teachers of Quality Academy: A Learning Community Approach to
   Preparing Faculty to Teach Health Systems Science
SO ACADEMIC MEDICINE
VL 91
IS 12
BP 1655
EP 1660
DI 10.1097/ACM.0000000000001262
PD DEC 2016
PY 2016
AB Problem
   Although efforts to integrate health systems science (HSS) topics, such
   as patient safety, quality improvement (QI), interprofessionalism, and
   population health, into health professions curricula are increasing, the
   rate of change has been slow.
   Approach
   The Teachers of Quality Academy (TQA), Brody School of Medicine at East
   Carolina University, was established in January 2014 with the dual goal
   of preparing faculty to lead frontline clinical transformation while
   becoming proficient in the pedagogy and curriculum design necessary to
   prepare students in HSS competencies. The TQA included the completion of
   the Institute for Healthcare Improvement Open School Basic Certificate
   in Quality and Safety; participation in six 2-day learning sessions on
   key HSS topics; completion of a QI project; and participation in three
   online graduate courses.
   Outcomes
   Twenty-seven faculty from four health science programs completed the
   program. All completed their QI projects. Nineteen (70%) have been
   formally engaged in the design and delivery of the medical student
   curriculum in HSS. Early into their training, TQA participants began to
   apply new knowledge and skills in HSS to the development of educational
   initiatives beyond the medical student curriculum.
   Next Steps
   Important next steps for TQA participants and program planners include
   further incorporation as faculty advisors and contributors to the full
   implementation of the longitudinal HSS curriculum; expanded involvement
   with the Leaders in Innovative Care Scholars student leadership
   distinction track; continued in-depth evaluation of the impact of TQA
   participation on patient care, teaching, and role modeling; and the
   recruitment of the next cohort of TQA participants.
RI Walsh, Danielle Saunders/AAI-8289-2020; Lazorick, Suzanne/
OI Lazorick, Suzanne/0000-0002-5578-1356
ZB 0
Z8 0
ZA 0
ZS 0
TC 24
ZR 0
Z9 24
U1 0
U2 14
SN 1040-2446
EI 1938-808X
UT WOS:000391959600045
PM 27332866
ER

PT J
AU Valerio, Melissa A.
   Peterson, Edward L.
   Wittich, Angelina R.
   Joseph, Christine L. M.
TI Examining health literacy among urban African-American adolescents with
   asthma
SO JOURNAL OF ASTHMA
VL 53
IS 10
BP 1041
EP 1047
DI 10.1080/02770903.2016.1175473
PD DEC 2016
PY 2016
AB Objective: This exploratory study assessed health literacy among urban
   African-American high school students to improve understanding of the
   association between adolescent health literacy and asthma. Methods: We
   conducted a secondary data analysis of the control group (n = 181) of
   the Puff City randomized controlled trial (2006-2010), a web-based
   intervention to promote asthma management among students, grades 9
   through 12. A validated self-report 3-item health literacy screening
   instrument was completed at final online follow-up survey. Logistic
   regression was used to explore the association between health literacy,
   demographic characteristics, quality of life, asthma management, and
   health care utilization. Results: Multivariate analysis revealed that an
   overall inadequate health literacy score was associated with students
   who were more likely to be younger (OR 0.61; 95% CI 0.44-0.84), not on
   Medicaid (OR 0.36; 95% CI 0.17-0.76), have at least one hospitalization
   (OR 1.29; 95% CI 1.07-1.56); and a lower overall quality of life (OR
   0.75; 95% CI 0.59-0.95). Those lacking confidence in filling out medical
   forms, needing help reading hospital materials, and having difficulty
   understanding written information were more likely to not have a rescue
   inhaler (OR 0.49; 95% CI 0.25-0.94), have one or more emergency visits
   (OR 1.21 95% CI 1.02-1.43), and one or more hospitalizations (OR 1.19;
   95% CI 1.01-1.41), respectively. Conclusions: The findings indicate a
   significant association between inadequate health literary and
   suboptimal asthma management. It is important to advance understanding
   of adolescent health literacy, especially those at-risk, as they assume
   asthma self-management tasks and move toward independent adult
   self-care.
ZA 0
Z8 0
ZB 3
ZS 0
ZR 0
TC 19
Z9 19
U1 0
U2 49
SN 0277-0903
EI 1532-4303
UT WOS:000384021300008
PM 27359106
ER

PT J
AU McFadden, Pam
   Crim, Andrew
TI Comparison of the Effectiveness of Interactive Didactic Lecture Versus
   Online Simulation-Based CME Programs Directed at Improving the
   Diagnostic Capabilities of Primary Care Practitioners
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 1
BP 32
EP 37
DI 10.1097/CEH.0000000000000061
PD WIN 2016
PY 2016
AB Introduction:Diagnostic errors in primary care contribute to increased
   morbidity and mortality, and billions in costs each year. Improvements
   in the way practicing physicians are taught so as to optimally perform
   differential diagnosis can increase patient safety and lower the costs
   of care. This study represents a comparison of the effectiveness of two
   approaches to CME training directed at improving the primary care
   practitioner's diagnostic capabilities against seven common and
   important causes of joint pain.Methods:Using a convenience sampling
   methodology, one group of primary care practitioners was trained by a
   traditional live, expert-led, multimedia-based training activity
   supplemented with interactive practice opportunities and feedback
   (control group). The second group was trained online with a
   multimedia-based training activity supplemented with interactive
   practice opportunities and feedback delivered by an artificial
   intelligence-driven simulation/tutor (treatment group).Results:Before
   their respective instructional intervention, there were no significant
   differences in the diagnostic performance of the two groups against a
   battery of case vignettes presenting with joint pain. Using the same
   battery of case vignettes to assess postintervention diagnostic
   performance, there was a slight but not statistically significant
   improvement in the control group's diagnostic accuracy (P = .13). The
   treatment group, however, demonstrated a significant improvement in
   accuracy (P < .02; Cohen d, effect size = 0.79).Discussion:These data
   indicate that within the context of a CME activity, a significant
   improvement in diagnostic accuracy can be achieved by the use of a
   web-delivered, multimedia-based instructional activity supplemented by
   practice opportunities and feedback delivered by an artificial
   intelligence-driven simulation/tutor.
ZR 0
ZB 1
ZS 0
Z8 1
TC 6
ZA 0
Z9 7
U1 0
U2 188
SN 0894-1912
EI 1554-558X
UT WOS:000372877600006
PM 26954243
ER

PT J
AU Saha, A.
   Agarwal, N.
TI Modeling social support in autism community on social media
SO Network Modeling Analysis in Health Informatics and Bioinformatics
VL 5
IS 1
BP 8 (14 pp.)
EP 8 (14 pp.)
DI 10.1007/s13721-016-0115-8
PD Dec. 2016
PY 2016
AB With the high prevalence of autism spectrum disorder (ASD) among the
   younger generation, there is a shortage of adequate resources to deliver
   care for the individuals dealing with autism. Families dealing with
   autism face huge economic costs and emotional stress to provide care for
   personnel diagnosed with ASD. Globally almost two billion people use
   social media regularly. Social media have many advantages such as it
   connects a large group of individuals with the same subject of interest
   located across geographical miles. For the families dealing with autism,
   social media sites provide an open and easily accessible platform to
   share, gather and exchange information. Social science and information
   science literature lacks any mathematical definition of social support
   assessment; our proposed information-theoretic model to assess social
   support leverages theoretical definitions of social support from social
   science, linguistics, and social network theory. The proposed
   methodology enables us not only to estimate social support in a health
   community, but also to evaluate the effectiveness of communities. The
   research design used in the study is also generic and applies to other
   online healthcare communities as well as general online or virtual
   communities, such as gaming, education, and learning. In the study, we
   systematically analyze the interactions among families of autism
   communities on different social media platforms to extract knowledge and
   to assess the support propagated via those interactions within the
   autism community. The study found that the autism community provides
   significant social support to its members both in Twitter and blogs.
   Social support facilitated by community members can help caregivers
   surmount challenges and be effective in reducing psychological stress
   and enhancing the quality of life for individuals diagnosed with ASD.
ZA 0
Z8 0
ZS 0
ZB 2
TC 7
ZR 0
Z9 7
U1 4
U2 18
SN 2192-6662
UT INSPEC:15997987
ER

PT J
AU Geurtzen, Rosa
   van Heijst, Arno F. J.
   Babarao, Srinivasarao
   Molloy, Eleanor
   Draaisma, Jos M. T.
   Hogeveen, Marije
TI Practices in antenatal counseling for extremely premature infants
   amongst European trainees
SO JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
VL 29
IS 24
BP 3956
EP 3959
DI 10.3109/14767058.2016.1152245
PD DEC 2016
PY 2016
AB There is no international consensus on content and process regarding
   antenatal counseling in extreme prematurity. The need for adequate
   training is increasingly recognized. This descriptive study evaluates
   current practice in antenatal counseling amongst European trainees using
   an online survey. Focusing on the process, the majority of respondents
   did not have a medical consensus guideline. Seven percent of the
   trainees received some formal training. Focusing on the content, about
   half of the subjects did not mention any statistics about
   mortality.Conclusion: We observed wide variation in actual content and
   organization in antenatal counseling in Europe amongst European trainees
   in neonatology.
RI Draaisma, J.M.T./L-4283-2015; van Heijst, Arno/P-8527-2014; Molloy, Eleanor/I-3435-2019; Hogeveen, M./L-4381-2015; Geurtzen, Rosa/D-9711-2016
OI van Heijst, Arno/0000-0003-2276-0177; Molloy,
   Eleanor/0000-0001-6798-2158; Geurtzen, Rosa/0000-0002-5640-6160
ZB 1
Z8 0
TC 5
ZA 0
ZS 0
ZR 0
Z9 5
U1 0
U2 10
SN 1476-7058
EI 1476-4954
UT WOS:000384680900006
PM 26857365
ER

PT J
AU Wilson, Mitch
   Cullen, Walter
   Goodair, Christine
   Klimas, Jan
TI Off the record: Substance-related disorders in the undergraduate medical
   curricula in Ireland
SO JOURNAL OF SUBSTANCE USE
VL 21
IS 6
BP 598
EP 600
DI 10.3109/14659891.2015.1112853
PD DEC 2016
PY 2016
AB Background: Substance use disorders (SUDs) are a worldwide problem, and
   have become a major health concern in Ireland particularly. We aimed to
   determine the extent to which addiction medicine is embedded in the
   undergraduate medical curriculum in Ireland. Methods: To further
   investigate the degree to which drug addiction is taught in the Irish
   medical curriculum an online literature search was performed using
   Google Scholar, PubMed (from 2009 to present), EMBASE, PsycINFO, CINAHL,
   and Medline using the keywords "substance-related disorders,"
   "undergraduate," "curriculum" and "Ireland." Additionally, all Irish
   medical school websites were examined (n = 6), and a Google search and
   manual searches of conference programs were performed. We used the
   Preferred Reporting Items for Systematic Review and Meta-Analysis
   (PRISMA) guidelines to systematically review and discuss findings.
   Results: A total of zero published studies met the criteria for
   inclusion in an updated systematic literature search of addiction
   medicine education in the undergraduate medical curriculum in Ireland.
   Conclusion: There is currently no documentation of drug addiction
   teaching sessions in Irish medical schools. Investigations that offer
   direct contact with medical schools, such as a telephone survey, may
   provide a more accurate representation of how addiction medicine
   education is incorporated into the medical school curricula.
RI Klimas, Jan/E-7191-2010; Cullen, Walter/AAD-4327-2019; Cullen, Walter/; Goodair, Christine/
OI Klimas, Jan/0000-0002-5179-0052; Cullen, Walter/0000-0003-1838-5052;
   Goodair, Christine/0000-0002-5823-485X
ZA 0
ZS 0
ZB 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 21
SN 1465-9891
EI 1475-9942
UT WOS:000383640200007
ER

PT J
AU Minguillon, Jesus
   Angel Lopez-Gordo, M.
   Pelayo, Francisco
TI Detection of attention in multi-talker scenarios: A fuzzy approach
SO EXPERT SYSTEMS WITH APPLICATIONS
VL 64
BP 261
EP 268
DI 10.1016/j.eswa.2016.07.042
PD DEC 1 2016
PY 2016
AB The automatic and online detection of auditory attention in multi-talker
   scenarios (e.g., cocktail party paradigm) is a current topic in
   electroencephalography (EEG)-based brain-computer interfaces (BCIs).
   Recent works have demonstrated a way to make it possible by means of a
   model based on an m-ary phase shift keying (m-PSK) detector. However,
   this attention detection model lacks of relevant information such as the
   non-stationary nature of EEG signals, the neuro-plasticity/habituation
   effects or the nonlinearities of the attention. In this paper we propose
   an enriched version of the attention detection model constituted by an
   automatic adaptive m-PSK detector implemented on fuzzy logic. In it, the
   relevant information mentioned before is modeled as two inputs that feed
   the fuzzy-based attention detection model. The output provides the
   detection. Our enriched model outperformed the results of previous works
   in terms of mean information transfer rate (ITR) (4-PSK: 5.41 bpm;
   6-PSK: 6.03 bpm) and accuracy (4-PSK: 0.54; 6-PSK: 0.39) after only 4.63
   (4-PSK) and 2.93 (6-PSK) seconds of processing. The proposed model for
   the automatic detection of auditory attention can have relevant impact
   on several areas such as education, public transport, jobs, industry,
   attention disorders, ubiquitous systems, sports and art. (C) 2016
   Elsevier Ltd: All rights reserved.
RI Minguillon, Jesus/C-9013-2015; LOPEZ, MIGUEL A/A-6629-2013
OI Minguillon, Jesus/0000-0003-4682-6898; LOPEZ, MIGUEL
   A/0000-0002-5470-1764
ZA 0
TC 3
ZR 0
Z8 0
ZB 0
ZS 0
Z9 3
U1 2
U2 47
SN 0957-4174
EI 1873-6793
UT WOS:000383810800019
ER

PT J
AU Wittich, Christopher M.
   Wang, Amy T.
   Fiala, Justin A.
   Mauck, Karen F.
   Mandrekar, Jayawant N.
   Ratelle, John T.
   Beckman, Thomas J.
TI Measuring Participants' Attitudes Toward Mobile Device Conference
   Applications in Continuing Medical Education: Validation of an
   Instrument
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 1
BP 69
EP 73
DI 10.1097/CEH.0000000000000031
PD WIN 2016
PY 2016
AB Introduction:Mobile device applications (apps) may enhance live CME
   courses. We aimed to (1) validate a measure of participant attitudes
   toward using a conference app and (2) determine associations between
   participant characteristics and attitudes toward CME apps with
   conference app usage.Methods:We conducted a cross-sectional validation
   study of participants at the Mayo Clinic Selected Topics in Internal
   Medicine Course. A conference app was developed that included
   presentation slides, note-taking features, search functions, social
   networking with other attendees, and access to presenter information.
   The CME app attitudes survey instrument (CMEAPP-10) was designed to
   determine participant attitudes toward conference apps.Results:Of the
   602 participants, 498 (82.7%) returned surveys. Factor analysis revealed
   a two-dimensional model for CMEAPP-10 scores (Cronbach , 0.97). Mean
   (SD) CMEAPP-10 scores (maximum possible score of five) were higher for
   women than for men (4.06 [0.91] versus 3.85 [0.92]; P = .04). CMEAPP-10
   scores (mean [SD]) were significantly associated (P = .02) with previous
   app usage as follows: less than once per month, 3.73 (1.05); monthly,
   3.41 (1.16); weekly, 4.03 (0.69); and daily or more, 4.06 (0.89). Scores
   were unrelated to participant age, specialty, practice characteristics,
   or previous app use.Discussion:This is the first validated measure of
   attitudes toward CME apps among course participants. App usage was
   higher among younger participants who had previously used educational or
   professional apps. Additionally, attitudes were more favorable among
   women and those who had previously used apps. These findings have
   important implications regarding efforts to engage participants with
   portable and accessible technology.
ZB 1
TC 8
Z8 0
ZA 0
ZR 0
ZS 0
Z9 8
U1 0
U2 227
SN 0894-1912
EI 1554-558X
UT WOS:000372877600011
PM 26954248
ER

PT J
AU Valencia, Cristina
   Hammami, Naima
   Agodi, Antonella
   Lepape, Alain
   Palencia Herrejon, Eduardo
   Blot, Stijn
   Vincent, Jean-Louis
   Lambert, Marie-Laurence
TI Poor adherence to guidelines for preventing central line-associated
   bloodstream infections (CLABSI): results of a worldwide survey
SO ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
VL 5
AR 49
DI 10.1186/s13756-016-0139-y
PD NOV 22 2016
PY 2016
AB Background: Central line-associated bloodstream infections (CLABSI) are
   a cause of increased morbidity and mortality, and are largely
   preventable. We documented attitudes and practices in intensive care
   units (ICUs) in 2015 in order to assess compliance with CLABSI
   prevention guidelines.
   Methods: Between June and October 2015, an online questionnaire was made
   available to medical doctors and nurses working in ICUs worldwide. We
   investigated practices related to central line (CL) insertion,
   maintenance and measurement of CLABSI-related data following the SHEA
   guidelines as a standard. We computed weighted estimates for high,
   middle and low-income countries using country population as a weight.
   Only countries providing at least 10 complete responses were included in
   these estimates.
   Results: Ninety five countries provided 3407 individual responses; no
   low income, 14 middle income (MIC) and 27 high income (HIC) countries
   provided 10 or more responses. Of the total respondents, 80% (MIC, SE =
   1.5) and 81% (HIC, SE = 1.0) reported availability of written clinical
   guidelines for CLABSI prevention in their ICU; 23% (MIC, SE = 1.7) and
   62% (HIC, SE = 1.4) reported compliance to the following (combined)
   recommendations for CL insertion: hand hygiene, full barrier precaution,
   chlorhexidine >0.5%, no topic or systemic antimicrobial prophylaxis; 60%
   (MIC, SE = 2.0) and 73% (HIC, SE = 1.2) reported daily assessment for
   the need of a central line. Most considered CLABSI measurement key to
   quality improvement, however few were able to report their CLABSI rate.
   Heterogeneity between countries was high and country specific results
   are made available.
   Conclusions: This study has identified areas for improvement in CLABSI
   prevention practices linked to CL insertion and maintenance. Priorities
   for intervention differ between countries.
RI Agodi, Antonella/B-3501-2011; Agodi, Antonella/AIF-3938-2022; LEPAPE, Alain/; Blot, Stijn/H-9015-2013; Vincent, Jean-Louis/
OI Agodi, Antonella/0000-0002-4405-8162; Agodi,
   Antonella/0000-0002-4405-8162; LEPAPE, Alain/0000-0001-5950-7533; Blot,
   Stijn/0000-0003-2145-0345; Vincent, Jean-Louis/0000-0001-6011-6951
ZB 15
ZR 0
Z8 0
TC 31
ZA 0
ZS 1
Z9 31
U1 0
U2 12
SN 2047-2994
UT WOS:000388999700001
PM 27895904
ER

PT J
AU Slok, Annerika H. M.
   Twellaar, Mascha
   Jutbo, Leslie
   Kotz, Daniel
   Chavannes, Niels H.
   Holverda, Sebastiaan
   Salome, Philippe L.
   Dekhuijzen, P. N. Richard
   Rutten-van Molken, Maureen P. M. H.
   Schuiten, Denise
   in 't Veen, Johannes C. C. M.
   van Schayck, Onno C. P.
TI 'To use or not to use': a qualitative study to evaluate experiences of
   healthcare providers and patients with the assessment of burden of COPD
   (ABC) tool
SO NPJ PRIMARY CARE RESPIRATORY MEDICINE
VL 26
AR 16074
DI 10.1038/npjpcrm.2016.74
PD NOV 17 2016
PY 2016
AB In the management of chronic conditions, such as chronic obstructive
   pulmonary disease (COPD), there is a shift from doctor-driven care to
   patient-centred integrated care with active involvement of and
   self-management by the patient. A recently developed tool, the
   assessment of burden of COPD (ABC) tool, can be used in this transition
   to facilitate self-management support and shared decision-making. We
   performed a qualitative study, in which we collected and analysed the
   data using the methods of conventional content analyses. We performed
   in-depth interviews consisting of mainly open questions. Fifteen
   healthcare providers and 21 patients were interviewed who had worked
   with the ABC tool in daily care. In general, participants responded
   positively to the tool. Healthcare providers felt the visual
   representation provided was effective and comprehensible for patients
   and provided them with insight into their disease, a finding that
   patients confirmed. If patients were allowed to choose between a
   consultation with or without the ABC tool, the majority would prefer
   using the tool: it provides them with an overview and insight, which
   makes it easier to discuss all relevant topics related to COPD. The tool
   can provide structure in consultations, and is compatible with the
   concepts of 'motivational interviewing' and 'individualised
   care-planning'. Suggestions for improvement related to content and
   layout. So far, the tool has only been available as a stand-alone online
   program, that is not connected to the electronic medical record systems.
   It was therefore suggested that the tool be integrated into the systems
   to enhance its usability and its uptake by healthcare providers.
RI Kotz, Daniel/A-1270-2007; Molken, Maureen Rutten-van/X-8712-2019; Molken, Maureen PMH Rutten-van/G-8481-2014; Chavannes, Niels/F-1148-2011; Gidding-Slok, Annerika/
OI Kotz, Daniel/0000-0002-9454-023X; Molken, Maureen
   Rutten-van/0000-0001-8706-3159; Molken, Maureen PMH
   Rutten-van/0000-0001-8706-3159; Chavannes, Niels/0000-0002-8607-9199;
   Gidding-Slok, Annerika/0000-0002-6402-5907
Z8 0
ZS 0
ZA 0
TC 3
ZR 0
ZB 0
Z9 3
U1 1
U2 10
SN 2055-1010
UT WOS:000388426900004
PM 27853139
ER

PT J
AU Han, George S.
   Gregory, Christopher J.
   Biggerstaff, Brad J.
   Horiuchi, Kalanthe
   Perez-Guerra, Carmen
   Soto-Gomez, Eunice
   Matos, Desiree
   Margolis, Harold S.
   Tomashek, Kay M.
TI Effect of a Dengue Clinical Case Management Course on Physician
   Practices in Puerto Rico
SO CLINICAL INFECTIOUS DISEASES
VL 63
IS 10
BP 1297
EP 1303
DI 10.1093/cid/ciw511
PD NOV 15 2016
PY 2016
AB Background. Prior to 2010, the clinical management of dengue in Puerto
   Rico was inconsistent with World Health Organization guidelines. A
   4-hour classroom-style course on dengue clinical management was
   developed in 2009 and mandated for Puerto Rico medical licensure in
   2010. Fifty physicians were trained as "master trainers" and gave this
   course to 7638 physicians. This study evaluated the effect of the course
   on the clinical management of hospitalized dengue patients.
   Methods. Pre- and post-course test responses were compared. Changes in
   physician practices were assessed by reviewing medical records of 430
   adult and 1075 pediatric dengue patients at the 12 hospitals in Puerto
   Rico that reported the most cases during 2008-2009 (pre-intervention)
   and 2011 (post-intervention). Mixed-effects logistic regression was used
   to compare key indicators of dengue management.
   Results. Physician test scores increased from 48% to 72% correct. Chart
   reviews showed that the percentage of adult patients who did not receive
   corticosteroids increased from 30% to 68% (odds ratio [OR], 5.9; 95%
   confidence interval [CI], 3.7-9.5) and from 91% to 96% in pediatric
   patients (OR, 2.7; 95% CI, 1.5-4.9). Usage of isotonic intravenous
   saline during the critical period increased from 57% to 90% in adult
   patients (OR, 6.2; 95% CI, 1.9-20.4) and from 25% to 44% in pediatric
   patients (OR, 3.4; 95% CI, 2.2-5.3).
   Conclusions. Management of dengue inpatients significantly improved
   following implementation of a classroom-style course taught by master
   trainers. An online version of the course was launched in 2014 to expand
   its reach and sustainability.
TC 4
Z8 0
ZB 3
ZA 0
ZS 1
ZR 0
Z9 5
U1 0
U2 7
SN 1058-4838
EI 1537-6591
UT WOS:000388554500010
PM 27506689
ER

PT J
AU Bilderbeck, Amy C.
   Atkinson, Lauren Z.
   McMahon, Hannah C.
   Voysey, Merryn
   Simon, Judit
   Price, Jonathan
   Rendell, Jennifer
   Hinds, Chris
   Geddes, John R.
   Holmes, Emily
   Miklowitz, David J.
   Goodwin, Guy M.
TI Psychoeducation and online mood tracking for patients with bipolar
   disorder: A randomised controlled trial
SO JOURNAL OF AFFECTIVE DISORDERS
VL 205
BP 245
EP 251
DI 10.1016/j.jad.2016.06.064
PD NOV 15 2016
PY 2016
AB Background: Psychoeducation is an effective adjunct to medications in
   bipolar disorder (BD). Brief psychoeducational approaches have been
   shown to improve early identification of relapse. However, the optimal
   method of delivery of psychoeducation remains uncertain. Here, our
   objective was to compare a short therapist-facilitated vs. self-directed
   psychoeducational intervention for BD.
   Methods: BD outpatients who were receiving medication-based treatment
   were randomly assigned to 5 psychoeducation sessions administered by a
   therapist (Facilitated Integrated Mood Management; FIMM; n=60), or
   self-administered psychoeducation (Manualized Integrated Mood
   Management; MIMM; n=61). Follow-up was based on patients' weekly
   responses to an electronic mood monitoring programme over 12 months.
   Results: Over follow-up, there were no group differences in weekly
   self-rated depression symptoms or relapse/readmission rates. However,
   knowledge of BD (assessed with the Oxford Bipolar Knowledge
   questionnaire (OBQ)) was greater in the FIMM than the MIMM group at 3
   months. Greater illness knowledge at 3 months was related to a higher
   proportion of weeks well over 12 months.
   Limitations: Features of the trial may have reduced the sensitivity to
   our psychoeducation approach, including that BD participants had been
   previously engaged in self-monitoring.
   Conclusions: Improved OBQ score, while accelerated by a short course of
   therapist-administered psychoeducation (FIMM), was seen after both
   treatments. It was associated with better outcome assessed as weeks
   well. When developing and testing a new psychosocial intervention,
   studies should consider proximal outcomes (e.g., acquired knowledge) and
   their short-term impact on illness course in bipolar disorder. (C) 2016
   Elsevier B.V. All rights reserved.
RI Goodwin, Guy/ABE-6084-2020; Geddes, John/B-8240-2011; Holmes, Emily/ABD-4367-2020; Miklowitz, David/AAE-3065-2022; Voysey, Merryn/; Simon, Judit/; Atkinson, Lauren/
OI Geddes, John/0000-0002-5281-5960; Holmes, Emily/0000-0001-7319-3112;
   Voysey, Merryn/0000-0001-6324-6559; Simon, Judit/0000-0001-9279-8627;
   Atkinson, Lauren/0000-0001-5549-8721
Z8 0
TC 17
ZR 0
ZA 0
ZB 4
ZS 0
Z9 17
U1 1
U2 22
SN 0165-0327
EI 1573-2517
UT WOS:000385440900031
PM 27454410
ER

PT J
AU Sattar, Kamran
   Roff, Sue
   Meo, Sultan Ayoub
TI Your professionalism is not my professionalism: congruence and variance
   in the views of medical students and faculty about professionalism
SO BMC MEDICAL EDUCATION
VL 16
AR 285
DI 10.1186/s12909-016-0807-x
PD NOV 8 2016
PY 2016
AB Background: Medical professionalism is an essential aspect of medical
   education and practice worldwide and it must be adopted according to
   different social and cultural contexts. We examined the current
   congruence and variance in the perception of professionalism in
   undergraduate medical students and faculty members in one medical school
   in Saudi Arabia.
   Methods: The target population was first year to final year medical
   students of College of Medicine, King Saud University. Out of a total of
   1431 students at College of Medicine 750 students (52 %) participated in
   the study. Fifty faculty members from clinical and non-clinical
   departments of the College of Medicine were randomly selected for this
   study and all participated in the study. The respondents recorded their
   responses through the Bristol online survey system, using a bilingual
   (English and Arabic) version of the Dundee Polyprofessionalism Inventory
   I: Academic integrity, which has 34 items.
   Results: There are 17 lapses (50 % of the total) in professional
   behaviour where none of the faculty recommend the ignore sanction while
   students recommended a variable ignore sanction in a range of 6-29 % for
   different behaviours. Students and faculty recommended similar sanctions
   for 5 lapses (14.7 % of the total) in professional behaviours.
   Furthermore, there is statistically significant two level difference
   between the sanctions approved by faculty and students in the
   recommended sanctions for 12 lapses (35 % of the total (p < 0.050).
   Conclusions: These results raised concerns in relation to the students'
   understanding of professionalism. It is therefore, important to enhance
   their learning around the attributes of medical professionalism.
RI Meo, Sultan Ayoub/D-6719-2015; , KAMRAN/R-1298-2017
OI Meo, Sultan Ayoub/0000-0001-9820-1852; , KAMRAN/0000-0003-4820-3483
TC 10
ZA 0
ZS 0
Z8 0
ZB 1
ZR 0
Z9 10
U1 0
U2 15
SN 1472-6920
UT WOS:000387081100001
PM 27821170
ER

PT J
AU Javor, Andrija
   Ransmayr, Gerhard
   Struhal, Walter
   Riedl, Rene
TI Parkinson Patients' Initial Trust in Avatars: Theory and Evidence
SO PLOS ONE
VL 11
IS 11
AR e0165998
DI 10.1371/journal.pone.0165998
PD NOV 7 2016
PY 2016
AB Parkinson's disease (PD) is a neurodegenerative disease that affects the
   motor system and cognitive and behavioral functions. Due to these
   impairments, PD patients also have problems in using the computer.
   However, using computers and the Internet could help these patients to
   overcome social isolation and enhance information search. Specifically,
   avatars (defined as virtual representations of humans) are increasingly
   used in online environments to enhance human-computer interaction by
   simulating face-to-face interaction. Our laboratory experiment
   investigated how PD patients behave in a trust game played with human
   and avatar counterparts, and we compared this behavior to the behavior
   of age, income, education and gender matched healthy controls. The
   results of our study show that PD patients trust avatar faces
   significantly more than human faces. Moreover, there was no significant
   difference between initial trust of PD patients and healthy controls in
   avatar faces, while PD patients trusted human faces significantly less
   than healthy controls. Our data suggests that PD patients' interaction
   with avatars may constitute an effective way of communication in
   situations in which trust is required (e.g., a physician recommends
   intake of medication). We discuss the implications of these results for
   several areas of human-computer interaction and neurological research.
TC 17
ZS 0
ZA 0
Z8 0
ZR 0
ZB 2
Z9 17
U1 0
U2 9
SN 1932-6203
UT WOS:000387614800028
PM 27820864
ER

PT J
AU Sam-Agudu, Nadia A.
   Paintsil, Elijah
   Aliyu, Muktar H.
   Kwara, Awewura
   Ogunsola, Folasade
   Afrane, Yaw A.
   Onoka, Chima
   Awandare, Gordon A.
   Amponsah, Gladys
   Cornelius, Llewellyn J.
   Mendy, Gabou
   Sturke, Rachel
   Ghansah, Anita
   Siberry, George K.
   Ezeanolue, Echezona E.
TI Building Sustainable Local Capacity for Global Health Research in West
   Africa
SO ANNALS OF GLOBAL HEALTH
VL 82
IS 6
BP 1010
EP 1025
DI 10.1016/j.aogh.2016.10.011
PD NOV-DEC 2016
PY 2016
AB BACKGROUND Global health research in resource-limited countries has been
   largely sponsored and led by foreign institutions. Thus, these
   countries' training capacity and productivity in global health research
   is limited. Local participation at all levels of global health knowledge
   generation promotes equitable access to evidence-based solutions.
   Additionally, leadership inclusive of competent local professionals
   promotes best outcomes for local contextualization and implementation of
   successful global health solutions. Among the sub-Saharan African
   regions, West Africa in particular lags in research infrastructure,
   productivity, and impact in global health research.
   OBJECTIVE In this paper, experts discuss strategies for scaling up West
   Africa's participation in global health evidence generation using
   examples from Ghana and Nigeria.
   METHODS We conducted an online and professional network search to
   identify grants awarded for global health research and research
   education in Ghana and Nigeria. Principal investigators, global health
   educators, and representatives of funding institutions were invited to
   add their knowledge and expertise with regard to strengthening research
   capacity in West Africa.
   FINDINGS While there has been some progress in obtaining foreign
   funding, foreign institutions still dominate local research. Local
   research funding opportunities in the 2 countries were found to be
   insufficient, disjointed, poorly sustained, and inadequately publicized,
   indicating weak infrastructure. As a result, research training programs
   produce graduates who ultimately fail to launch independent investigator
   careers because of lack of mentoring and poor infrastructural support.
   CONCLUSIONS Research funding and training opportunities in Ghana and
   Nigeria remain inadequate.
   RECOMMENDATIONS We recommend systems-level changes in mentoring,
   collaboration, and funding to drive the global health research agenda in
   these countries. Additionally, research training programs should be
   evaluated not only by numbers of individuals graduated but also by
   numbers of independent investigators and grants funded. Through
   equitable collaborations, infrastructure, and mentoring, West Africa can
   match the rest of Africa in impactful global health research.
RI Awandare, Gordon/J-1392-2019; Onoka, Chima/; Aliyu, Muktar/; Ezeanolue, Echezona/; Afrane, Yaw/
OI Awandare, Gordon/0000-0002-8793-3641; Onoka, Chima/0000-0002-3328-1887;
   Aliyu, Muktar/0000-0001-9504-4679; Ezeanolue,
   Echezona/0000-0002-6294-9479; Afrane, Yaw/0000-0001-5653-5993
ZR 0
TC 13
Z8 0
ZS 0
ZB 1
ZA 0
Z9 13
U1 1
U2 7
SN 2214-9996
UT WOS:000396691200008
PM 28314488
ER

PT J
AU Donovan, Anna K.
   Wood, Gordon J.
   Rubio, Doris M.
   Day, Hollis D.
   Spagnoletti, Carla L.
TI Faculty Communication Knowledge, Attitudes, and Skills Around Chronic
   Non-Malignant Pain Improve with Online Training
SO PAIN MEDICINE
VL 17
IS 11
BP 1985
EP 1992
DI 10.1093/pm/pnw029
PD NOV 2016
PY 2016
AB Objective. Many physicians struggle to communicate with patients with
   chronic, non-malignant pain (CNMP). Through the use of a Web module, the
   authors aimed to improve faculty participants' communication skills
   knowledge and confidence, use of skills in clinical practice, and actual
   communication skills.
   Subjects. The module was implemented for faculty development among
   clinician-educators with university faculty appointments, outpatient
   clinical practices, and teaching roles.
   Methods. Participants completed the Collaborative Opioid Prescribing
   Education Risk Evaluation and Mitigation Strategy (COPE-REMSVR) module,
   a free Web module designed to improve provider communication around
   opioid prescribing. Main study outcomes were improvements in CNMP
   communication knowledge, attitudes, and skills. Skills were assessed by
   comparing a subset of participants' Observed Structured Clinical Exam
   (OSCE) performance before and after the curriculum.
   Results. Sixty-two percent of eligible participants completed the
   curriculum in 2013. Knowledge-based test scores improved with curriculum
   completion (75% vs. 90%; P<0.001). Using a 5-point Likert-type scale,
   participants reported improved comfort in managing patients with CNMP
   both immediately post-curriculum and at 6 months (3.6 pre vs. 4.0 post
   vs. 4.1 at 6 months; P=0.02), as well as improvements in prescribing
   opioids (3.3 vs. 3.8 vs. 3.9, P=0.01) and conducting conversations about
   discontinuing opioids (2.8 vs. 3.5 vs. 3.9, P<0.001). Additionally,
   CNMP-specific communication skills on the OSCE improved after the
   curriculum (mean 67% vs. 79%, P=0.03).
   Conclusions. Experienced clinician-educators improved their
   communication knowledge, attitudes, and skills in managing patients with
   CNMP after implementation of this curriculum. The improvements in
   attitudes were sustained at six months. A Webbased curriculum such as
   COPE-REMSVR may be useful for other programs seeking improvement in
   faculty communication with patients who have CNMP.
OI Donovan, Anna/0000-0002-9411-3545
ZA 0
ZB 0
ZR 0
TC 7
Z8 0
ZS 0
Z9 7
U1 0
U2 6
SN 1526-2375
EI 1526-4637
UT WOS:000398748100004
PM 27036413
ER

PT J
AU Henrique Duarte, Sebastiao Junior
   Machado, Richardson Miranda
TI Essential competencies in training in obstetrics
SO REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC
   HEALTH
VL 40
IS 5
BP 382
EP 387
PD NOV 2016
PY 2016
AB Objective. Analyze international reports related to training in
   obstetrics and present guidelines to help leading educational
   institutions to develop curriculum guidelines for the teaching of
   obstetrics and advanced nursing practice in this specialty.
   Methods. A narrative review was conducted of documents from the World
   Health Organization and the International Confederation of Midwives. The
   search used the descriptors midwifery and education. All official
   reports that guide midwife education policies, published from 2009 to
   2015 in English and Spanish, and available online, were included.
   Reports that did not specifically refer to training were excluded.
   Results. Five reports were selected. Analysis and synthesis of their
   respective objectives and contents were based on three themes:
   requirements for professional qualification, continuing education, and
   guidelines for skilled training in obstetrics, taking into account
   accepted core competencies for this specialty.
   Conclusions. Analysis of reports related to training in obstetrics
   identified that key tasks are being implemented for both educators and
   midwives. The reports represent a solid basis to develop educational
   policies that can contribute to universal access and coverage in health
   and to reducing maternal and neonatal mortality, and potentially can be
   used to guide international policies.
OI Machado, Richardson/0000-0001-9895-6905; Henrique Duarte, Sebastiao
   Junior/0000-0003-3161-9669
ZA 0
Z8 0
TC 0
ZS 1
ZR 0
ZB 0
Z9 1
U1 0
U2 4
SN 1020-4989
UT WOS:000393213100013
PM 28076588
ER

PT J
AU Casas, Jerome
   Lazzari, Claudio
   Insausti, Teresita
   Launois, Pascal
   Fouque, Florence
TI Mapping of courses on vector biology and vector-borne diseases systems:
   time for a worldwide effort
SO MEMORIAS DO INSTITUTO OSWALDO CRUZ
VL 111
IS 11
BP 717
EP 719
DI 10.1590/0074-02760160295
PD NOV 2016
PY 2016
AB Major emergency efforts are being mounted for each vector-borne disease
   epidemiological crisis anew, while knowledge about the biology of
   arthropods vectors is dwindling slowly but continuously, as is the
   number of field entomologists. The discrepancy between the rates of
   production of knowledge and its use and need for solving crises is
   widening, in particular due to the highly differing time spans of the
   two concurrent processes. A worldwide web based search using multiple
   key words and search engines of onsite and online courses in English,
   Spanish, Portuguese, French, Italian and German concerned with the
   biology of vectors identified over 140 courses. They are geographically
   and thematically scattered, the vast majority of them are on-site, with
   very few courses using the latest massive open online course (MOOC)
   powerfulness. Over two third of them is given in English and Western
   Africa is particularity poorly represented. The taxonomic groups covered
   are highly unbalanced towards mosquitoes. A worldwide unique portal to
   guide students of all grades and levels of expertise, in particular
   those in remote locations, is badly needed. This is the objective a new
   activity supported by the Special Programme for Research and Training in
   Tropical Diseases (TDR).
RI Casas, Jérôme/D-9620-2011; Lazzari, Claudio/H-6286-2019; Lazzari, Claudio R/D-2869-2009
OI Casas, Jérôme/0000-0003-1666-295X; Lazzari, Claudio/0000-0003-3703-0302;
   Lazzari, Claudio R/0000-0003-3703-0302
Z8 0
ZA 0
ZB 0
ZS 0
ZR 0
TC 1
Z9 1
U1 0
U2 22
SN 0074-0276
EI 1678-8060
UT WOS:000388621100010
PM 27759770
ER

PT J
AU Rosati, Carlo Maria
   Koniaris, Leonidas G.
   Molena, Daniela
   Blitzer, David
   Su, Katherine W.
   Tahboub, Mohammad
   Vardas, Panos N.
   Girardi, Leonard N.
   Gaudino, Mario
TI Characteristics of cardiothoracic surgeons practicing at the top-ranked
   US institutions
SO JOURNAL OF THORACIC DISEASE
VL 8
IS 11
BP 3232
EP +
DI 10.21037/jtd.2016.11.72
PD NOV 2016
PY 2016
AB Background: We aimed to determine which factors distinguish
   cardiothoracic (CT) surgeons practicing at the top-ranked US
   institutions from their peers.
   Methods: Using online resources, we collected demographics, training
   information and academic metrics of 694 cardiac (n=489; 70%) and
   thoracic (n=205; 30%) surgeons practicing at 57 preeminent US
   institutions, including those with the highest US News & World Report
   ranking ("top CT centers").
   Results: Two hundred and ninety-nine (43.1%) CT surgeons were practicing
   at the 18 "top CT centers" and had higher academic productivity
   (publications, citations) than their peers. While there was no
   difference in the proportion of international medical graduates (IMGs)
   (21.4% overall) or of surgeons with a PhD degree (9.4% overall) across
   institutions, the "top CT centers" had a higher proportion of faculty
   who received their entire CT training abroad (10.4% vs. 5.8%; P=0.038)
   or at highly-ranked US institutions. Those who published more during
   their early career years (residency, fellowship and first 5 years as
   faculty) were more likely to attain academic (professorship) and
   institutional leadership (division/department chair) positions and to
   practice at the "top CT centers". Women represented a minority (7.3%
   overall; 5.1% of cardiac vs. 12.7% of thoracic surgeons, P<0.001), but
   with growing prevalence among younger faculty and without differences
   across institutions.
   Conclusions: CT surgeons of the best US centers have a more
   international background and received their training at highly-ranked
   institutions. Early academic productivity is associated with life-long
   career achievements, with special importance of the first 5 years as
   faculty. Women represent a growing proportion of the CT surgical
   workforce.
RI Vardas, Panos N./N-6322-2019; Rosati, Carlo Maria/AAI-6263-2020; vardas, panos/ABF-7144-2020; Vardas, Panos/
OI Vardas, Panos/0000-0002-1872-5347
ZA 0
Z8 0
ZR 0
TC 15
ZB 1
ZS 0
Z9 15
U1 0
U2 2
SN 2072-1439
EI 2077-6624
UT WOS:000391174100080
PM 28066603
ER

PT J
AU Bhora, Faiz Y
   Al-Ayoubi, Adnan M
   Rehmani, Sadiq S
   Forleiter, Craig M
   Raad, Wissam N
   Belsley, Scott G
TI Robotically Assisted Thoracic Surgery: Proposed Guidelines for
   Privileging and Credentialing.
SO Innovations (Philadelphia, Pa.)
VL 11
IS 6
BP 386
EP 389
DI 10.1097/IMI.0000000000000320
PD 2016 Nov/Dec
PY 2016
AB OBJECTIVE: Increased use of robotically assisted thoracic surgery (RATS)
   necessitates effective credentialing guidelines to ensure safe outcomes.
   We provide a stepwise algorithm for granting privileges and credentials
   in RATS. This algorithm reflects graduated responsibility and complexity
   of the surgical procedures performed. Furthermore, it takes into account
   volume, outcomes, surgeon's competency, and appropriateness of robot
   usage.
   METHODS: We performed a literature review for available strategies to
   grant privileges and credentials for implementing robotic surgery. The
   following terms were queried: robot, robotic, surgery, and
   credentialing. We provide this algorithm on the basis of review of the
   literature, our institutional experience, and the experience of other
   medical centers around the United States.
   RESULTS: Currently, two pathways for robotic training exist: residency
   and nonresidency-trained. In the United Sates, Joint Commission:
   Accreditation, Health Care, Certification requires hospitals to
   credential and privilege physicians on their medical staff. In the
   proposed algorithm, a credentialing designee oversees and reviews all
   requests. Residency-trained surgeons must fulfill 20 cases with program
   directors' attestation to obtain full privileges. Nonresidency-trained
   surgeons are required to fulfill simulation, didactics including online
   modules, wet laboratories (cadaver or animal), and observation of at
   least two cases before provisional privileges can be granted. A minimum
   number of cases (10 per year) are required to maintain privileges. All
   procedures are monitored via departmental QA/QI committee review.
   Investigational uses of the robot require institutional review board
   approval, and complex operations may require additional proctoring and
   QA/QI review.
   CONCLUSIONS: Safety concerns with the introduction of novel and complex
   technologies such as RATS must be paramount. Our algorithm takes into
   consideration appropriate use and serves as a basic guideline for
   institutions that wish to implement a RATS program.
Z8 0
ZA 0
TC 10
ZS 0
ZR 0
ZB 1
Z9 10
U1 0
U2 2
EI 1559-0879
UT MEDLINE:27922990
PM 27922990
ER

PT J
AU Alvarez-Moreno, Carlos A.
   Valderrama-Beltran, Sandra L.
   Rosenthal, Victor D.
   Mojica-Carreno, Beatriz E.
   Valderrama-Marquez, Ismael A.
   Matta-Cortes, Lorena
   Gualtero-Trujillo, Sandra M.
   Rodriguez-Pena, Jazmin
   Linares-Miranda, Claudia J.
   Gonzalez-Rubio, Angela P.
   Vega-Galvis, Maria C.
   Riano-Forero, Ivan
   Ariza-Ayala, Beatriz E.
   Garcia-Laverde, German
   Susmann, Otto
   Mancera-Paez, Oscar
   Olarte, Narda
   Rendon-Campo, Luis F.
   Astudillo, Yamileth
   del Socorro Trullo-Escobar, Maria
   Orellano, Pablo W.
TI Multicenter study in Colombia: Impact of a multidimensional
   International Nosocomial Infection Control Consortium (INICC) approach
   on central line-associated bloodstream infection rates
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 44
IS 11
BP E235
EP E241
DI 10.1016/j.ajic.2016.03.043
PD NOV 1 2016
PY 2016
AB Background: The objective of this study was to analyze the impact of a
   multidimensional infection control approach and the use of the
   International Nosocomial Infection Control Consortium (INICC)
   Surveillance Online System on central line-associated bloodstream
   infection (CLABSI) rates from June 2003-April 2010.
   Methods: We conducted a prospective, before-after surveillance study of
   2,564 patients hospitalized in 4 adult intensive care units (ICUs) and
   424 patients in 2 pediatric ICUs of 4 hospitals in 2 cities of Colombia.
   During baseline, we performed outcome surveillance of CLABSI applying
   the Centers for Disease Control and Prevention's National Healthcare
   Safety Network definitions. During intervention, we implemented the
   INICC multidimensional approach and the ISOS, which included a bundle of
   infection prevention practice interventions, education, outcome
   surveillance, process surveillance, feedback on CLABSI rates and
   consequences, and performance feedback of process surveillance.
   Bivariate and multivariate regression analyses were performed using a
   logistic regression model to estimate the effect of the intervention on
   the CLABSI rate.
   Results: The baseline rate of 12.9 CLABSIs per 1,000 central line (CL)
   days, with 3,032 CL days and 39 CLABSIs, was reduced to 3.5 CLABSIs per
   1,000 CL days, with 3,686 CL days and 13 CLABSIs, accounting for a 73%
   CLABSI rate reduction (relative risk, 0.27; 95% confidence interval,
   0.14-0.52; P =. 002).
   Conclusions: Implementing the INICC multidimensional infection control
   approach for CLABSI prevention was associated with a significant
   reduction in the CLABSI rate of ICUs of Colombia. (C) 2016 Association
   for Professionals in Infection Control and Epidemiology, Inc. Published
   by Elsevier Inc. All rights reserved.
RI Moreno, carlos Arturo alvarez/P-6678-2016; Valderrama-Beltran, Sandra Liliana/; ROSENTHAL, VICTOR DANIEL/; Matta Cortes, Lorena/I-9030-2016; Jaramillo Garcia, Luis Fernando/; Orellano, Pablo/H-2733-2015; ARIZA AYALA, BEATRIZ ELENA/; , Ivan/
OI Moreno, carlos Arturo alvarez/0000-0001-5419-4494; Valderrama-Beltran,
   Sandra Liliana/0000-0003-1833-1599; ROSENTHAL, VICTOR
   DANIEL/0000-0001-9138-4801; Matta Cortes, Lorena/0000-0002-5215-3215;
   Jaramillo Garcia, Luis Fernando/0000-0003-2909-9318; Orellano,
   Pablo/0000-0001-8911-663X; ARIZA AYALA, BEATRIZ
   ELENA/0000-0001-8650-5285; , Ivan/0000-0002-9696-2866
ZA 0
ZB 11
ZR 0
Z8 0
ZS 3
TC 18
Z9 20
U1 1
U2 12
SN 0196-6553
EI 1527-3296
UT WOS:000389510700009
PM 27317408
ER

PT J
AU Dhesi, Amy S.
   Murtough, Katie L.
   Lim, Jonathan K.
   Schulkin, Jay
   McGovern, Peter G.
   Power, Michael L.
   Morelli, Sara S.
TI Metabolic screening in patients with polycystic ovary syndrome is
   largely underutilized among obstetrician-gynecologists
SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
VL 215
IS 5
BP 579
EP +
DI 10.1016/j.ajog.2016.07.043
PD NOV 2016
PY 2016
AB Women with polycystic ovary syndrome have substantially higher rates of
   insulin resistance, impaired glucose tolerance, type 2 diabetes,
   dyslipidemia, and metabolic syndrome when compared with women without
   the disease. Given the high prevalence of these comorbidities,
   guidelines issued by the American College of Obstetricians and
   Gynecologists and the Endocrine Society recommend that all women with
   polycystic ovary syndrome undergo screening for impaired glucose
   tolerance and dyslipidemia with a 2 hour 75 g oral glucose tolerance
   test and fasting lipid profile upon diagnosis and also undergo repeat
   screening every 2-5 years and every 2 years, respectively. Although a
   hemoglobin A1C and/or fasting glucose are widely used screening tests
   for diabetes, both the American College of Obstetricians and
   Gynecologists and the Endocrine Society preferentially recommend the 2
   hour oral glucose tolerance test in women with polycystic ovary syndrome
   as a superior indicator of impaired glucose tolerance/diabetes mellitus.
   However, we found that gynecologists underutilize current
   recommendations for metabolic screening in women with polycystic ovary
   syndrome. In an online survey study targeting American College of
   Obstetricians and Gynecologists fellows and junior fellows, 22.3% of
   respondents would not order any screening test at the initial visit for
   at least 50% of their patients with polycystic ovary syndrome. The most
   common tests used to screen for impaired glucose tolerance in women with
   polycystic ovary syndrome were hemoglobin A1C (51.0%) and fasting
   glucose (42.7%). Whereas 54.1% would order a fasting lipid profile in at
   least 50% of their polycystic ovary syndrome patients, only 7% of
   respondents order a 2 hour oral glucose tolerance test. We therefore
   call for increased efforts to encourage obstetrician-gynecologists to
   address metabolic abnormalities in their patients with polycystic ovary
   syndrome. Such efforts should include education of physicians early in
   their careers, at the medical student and resident level. Efforts should
   also include implementation of continuing medical education activities,
   both locally and at the national level, to improve understanding of the
   metabolic implications of polycystic ovary syndrome. Electronic medical
   record systems should be utilized to generate prompts for appropriate
   screening tests in patients with a diagnosis of polycystic ovary
   syndrome. Because obstetrician-gynecologists may be the only physicians
   seen by many polycystic ovary syndrome patients, particularly those in
   their young reproductive years, such interventions could effectively
   promote optimal preventative health care and early diagnosis of
   metabolic comorbidities in these at-risk women.
OI Murtough, Katie/0000-0002-0085-7253; Power, Michael/0000-0002-6120-3528
Z8 0
ZS 0
TC 13
ZB 7
ZR 0
ZA 0
Z9 13
U1 0
U2 3
SN 0002-9378
EI 1097-6868
UT WOS:000389513700006
PM 27457114
ER

PT J
AU Cryer, Byron
   Barnett, Michael A.
   Wagner, Jennifer
   Wilcox, C. Mel
TI Overuse and Misperceptions of Nonsteroidal Anti-inflammatory Drugs in
   the United States
SO AMERICAN JOURNAL OF THE MEDICAL SCIENCES
VL 352
IS 5
BP 472
EP 480
DI 10.1016/j.amjms.2016.08.028
PD NOV 2016
PY 2016
AB Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are some of
   the most commonly used medications worldwide. The availability of
   hundreds of products containing an NSAID, combined with a lack of
   recognition and understanding of NSAIDs, can increase the potential of
   consumers to inadvertently exceed the recommended NSAID dosage, which
   can cause potentially serious side effects. Physician and consumer
   education regarding the appropriate use of NSAIDs can help prevent NSAID
   misuse. Evaluations of current consumer patterns of NSAID use and
   perceptions about NSAIDs are necessary to develop targeted educational
   programs. Materials and
   Methods: An online and telephone survey of 1,750 U.S. adults was
   conducted to obtain information about the patterns of use and
   perceptions about prescription and over-the-counter NSAIDs and
   medicines. The survey was compared to similar surveys conducted in 1997,
   2001 and 2002.
   Results: NSAIDs are widely used, with 63% of respondents reporting use
   within the past 12 months. NSAIDs were not well recognized by generic or
   brand names and many respondents were unaware or unconcerned about
   potential side effects. NSAID misuse was common, with 19% using more
   than the recommended dose and 24% using multiple NSAIDs concomitantly.
   NSAID use appears to have increased since 2002 but the level of NSAID
   awareness and pattern of NSAID misuse has not changed.
   Conclusions: NSAIDs are widely used and often used in a manner that
   increases the risk of serious side effects. Sufficient knowledge and
   understanding of NSAIDs is lacking and educational interventions
   directed to consumers and physicians are needed.
TC 34
ZB 15
ZR 0
Z8 1
ZA 0
ZS 0
Z9 35
U1 0
U2 8
SN 0002-9629
EI 1538-2990
UT WOS:000388202600006
PM 27865294
ER

PT J
AU Easton, Stephanie
   Pinchbeck, Gina L.
   Bartley, David J.
   Hotchkiss, Emily
   Hodgkinson, Jane E.
   Matthews, Jacqueline B.
TI A survey of UK prescribers' experience of, and opinions on, anthelmintic
   prescribing practices for livestock and equines
SO PREVENTIVE VETERINARY MEDICINE
VL 134
BP 69
EP 81
DI 10.1016/j.prevetmed.2016.10.001
PD NOV 1 2016
PY 2016
AB The aim of this study was to determine practices, attitudes and
   experiences of UK prescribers of anthelmintics for horses and livestock.
   A questionnaire was sent by direct email to groups licenced to prescribe
   these medicines. These were veterinarians, Suitably Qualified Persons
   (SQPs, registered with the Animal Medicines Training Regulatory
   Authority) and veterinary pharmacists. The survey was also advertised
   through social media. It comprised questions relating to demographics,
   training experiences, current prescribing practices, as well as personal
   opinions on anthelmintic selection, diagnostics and anthelmintic
   resistance. A total of 193 veterinarians and 326 SQPs were included in
   final analysis. Pharmacists were excluded from detailed analysis due to
   the low numbers that responded (n = 3). The results indicated that SQP
   participants were more likely to receive post-certification parasitology
   training than the veterinarians, and that both channels consulted
   similar sources for information about helminths and their control (paper
   articles in journals, online sources). The SQP participants stated a
   higher frequency of face-to-face interactions with clients/customers
   (96.1%) than the veterinarians (76.4%), who stated a higher frequency of
   telephone interactions (55.1% and 73.5%, respectively). Veterinarians
   were more likely to state that there were specific factors that limited
   interactions with their clients (54.1%) than SQPs (19.6%), such as
   competition from other suppliers. SQP participants considered a wider
   range of factors as important when deciding on which anthelmintic to
   recommend (i.e. knowledge of specific parasites, knowledge of specific
   anthelmintics, discussion of measures to avoid anthelmintic resistance
   and time to talk with clients/customers); however, the veterinarian
   participants were more likely to consider the results of diagnostic
   tests. While discussions about anthelmintic resistance were stated with
   similar frequency in both groups, less frequent were specific
   discussions about anthelmintic sensitivity testing. In-house faecal egg
   count analysis was more likely to be available from those that
   prescribed anthelmintics for equines alone, compared to prescribers who
   dispensed anthelmintics for livestock alone or livestock and equines.
   The soy participants indicated that they felt a large number of
   organisations were responsible for ensuring that anthelmintics are used
   responsibly, whilst veterinarian participants were more likely to place
   responsibility on the prescribers alone. Taken together, these findings
   provide an insight into how prescribers of anthelmintics in the UK
   interact with their clients/customers before and at the point of sale
   and act as a unique source of information on how best practice advice
   pertaining to sustainable helminth control is disseminated by the
   various prescribing channels. (C) 2016 Elsevier B.V. All rights
   reserved.
OI Matthews, Jacqueline/0000-0001-9405-5560
ZR 0
ZB 3
ZA 0
Z8 0
ZS 0
TC 5
Z9 5
U1 0
U2 19
SN 0167-5877
EI 1873-1716
UT WOS:000389100500008
PM 27836048
ER

PT J
AU Churchill, Susan
   Pavey, Louisa
   Jessop, Donna
   Sparks, Paul
TI Persuading People to Drink Less Alcohol: The Role of Message Framing,
   Temporal Focus and Autonomy
SO ALCOHOL AND ALCOHOLISM
VL 51
IS 6
BP 727
EP 733
DI 10.1093/alcalc/agw033
PD NOV 2016
PY 2016
AB Health information can be used to try to persuade people to follow safe
   drinking recommendations. However, both the framing of information and
   the dispositional characteristics of message recipients need to be
   considered. An online study was conducted to examine how level of
   autonomy moderated the effect on drinking behaviour of gain- and
   loss-framed messages about the short- vs. long-term consequences of
   alcohol use.
   At Time 1, participants (N = 335) provided demographic information and
   completed a measure of autonomy. At Time 2, participants reported
   baseline alcohol use and read a gain-framed or loss-framed health
   message that highlighted either short- or long-term outcomes of alcohol
   consumption. Alcohol consumption was reported 7 days later.
   The results showed a significant three-way interaction between message
   framing (loss vs. gain), temporal focus (short-term vs. long-term) and
   autonomy. For low-autonomy (but not high-autonomy) individuals, the
   loss-framed health message was associated with lower levels of alcohol
   consumption than was the gain-framed message but only if the short-term
   outcomes were conveyed.
   This research provides evidence that the interaction between message
   framing and temporal focus may depend on a person's level of autonomy,
   which has implications for health promotion and the construction of
   effective health communication messages.
   We examined how autonomy moderated the effect on drinking behaviour of
   gain- and loss-framed messages about the short- vs. long-term
   consequences of alcohol use. For low-autonomy individuals, the
   loss-framed health message was associated with lower alcohol consumption
   than was the gain-framed message but only if the short-term outcomes
   were conveyed.
RI Pavey, Louisa/AAM-4375-2021; Sparks, Paul/H-1394-2011; Pavey, Louisa/
OI Sparks, Paul/0000-0001-9541-3366; Pavey, Louisa/0000-0002-7646-099X
ZS 0
TC 12
ZR 0
ZA 0
ZB 2
Z8 0
Z9 12
U1 0
U2 27
SN 0735-0414
EI 1464-3502
UT WOS:000388524000015
PM 27280973
ER

PT J
AU Kamboj, Sunjeev K.
   Place, Hannah
   Barton, Jessica A.
   Linke, Stuart
   Curran, H. Valerie
   Harris, Peter R.
TI Processing of Alcohol-Related Health Threat in At-Risk Drinkers: An
   Online Study of Gender-Related Self-Affirmation Effects
SO ALCOHOL AND ALCOHOLISM
VL 51
IS 6
BP 756
EP 762
DI 10.1093/alcalc/agw013
PD NOV 2016
PY 2016
AB Defensiveness in response to threatening health information related to
   excessive alcohol consumption prevents appropriate behaviour change.
   Alternatively, self-affirmation may improve cognitive-affective
   processing of threatening information, thus contributing to successful
   self-regulation.
   Effects of an online self-affirmation procedure were examined in at-risk
   university student drinkers. Participants were randomly assigned to a
   self-affirmation (writing about personally relevant values) or control
   task (writing about values relevant to another person) prior to
   presentation of alcohol-related threatening information. Assessment of
   prosocial feelings (e.g. 'love') after the task served as a manipulation
   check. Generic and personalized information regarding the link between
   alcohol use and cancer was presented, followed by assessment of
   perceived threat, message avoidance and derogation. Page dwell-times
   served as indirect indices of message engagement. Alcohol consumption
   and intention to drink less were assessed during the first online
   session and at 1-week and 1-month follow-up.
   Although self-affirmation resulted in higher levels of prosocial
   feelings immediately after the task, there was no effect on behaviour in
   the self-affirmation group. Effects on intention were moderated by
   gender, such that men showed lower intention immediately after
   self-affirmation, but this increased at 1-week follow-up. Women's
   intention to reduce consumption in the self-affirmation group reduced
   over time. Trend-level effects on indices of derogation and message
   acceptance were in the predicted direction only in men.
   It is feasible to perform self-affirmation procedures in an online
   environment with at-risk drinkers. However, use of internet-based
   procedures with this population may give rise to (gender-dependent)
   effects that are substantially diluted compared with lab-based
   experiments.
OI Harris, Peter/0000-0003-4599-4929; Kamboj, Sunjeev/0000-0003-2197-0826;
   Linke, Stuart/0000-0003-2515-3946
TC 8
Z8 0
ZB 2
ZS 0
ZR 0
ZA 0
Z9 8
U1 0
U2 25
SN 0735-0414
EI 1464-3502
UT WOS:000388524000019
PM 26993737
ER

PT J
AU Stengler, K.
   Rauschenbach, J.
   Riedel-Heller, S. G.
   Becker, T.
   Steinhart, I.
   Gerlinger, G.
   Hauth, I.
TI DGPPN compass of participation for vocational integration of persons
   with mental illnesses
SO NERVENARZT
VL 87
IS 11
BP 1144
EP 1151
DI 10.1007/s00115-016-0215-9
PD NOV 2016
PY 2016
AB Working and living for persons with mental illnesses are a major concern
   of rehabilitative psychiatry. In Germany the definition of
   rehabilitation for persons with mental illnesses is closely linked to
   different sectors of social welfare and to the strongly organized supply
   chain of prevention, acute treatment, rehabilitation and care. In
   successfully supporting people with mental health problems in terms of
   vocational integration, professionals face various obstacles. Besides
   finding the correct content, structural and organizational difficulties
   can also arise. The welfare system with its specific institutions and
   settings is complicated which often leads to delays in the onset of
   rehabilitation. Some essential reasons are insufficient knowledge about
   established options of rehabilitative treatment and about
   responsibilities related to participation in specialized training and
   further education for professional caregivers. Also information and
   (positive) experiences from pilot projects working in an inclusive,
   cross-sectional way and across different settings are practically
   unavailable in Germany. The presented compass of participation from the
   German Association for Psychiatry, Psychotherapy and Psychosomatics
   (DGPPN) for vocational integration of persons with mental illnesses
   starts at this point: it provides guidelines for psychiatric and
   psychotherapeutic practitioners, general practitioners as well as for
   physicians working in residential or day care institutions with a
   psychiatric and psychotherapeutic background. Both the paper and planned
   online versions should help professionals to help people, particularly
   those with severe mental illnesses to navigate the system of services
   for vocational integration in Germany.
RI Riedel-Heller, Steffi/ABG-1537-2021
ZR 0
TC 4
ZB 1
Z8 0
ZA 0
ZS 0
Z9 4
U1 0
U2 7
SN 0028-2804
EI 1433-0407
UT WOS:000387494500004
PM 27649985
ER

PT J
AU Yu, Zhiping
   Tan, Michael
TI Disordered Eating Behaviors and Food Addiction among Nutrition Major
   College Students
SO NUTRIENTS
VL 8
IS 11
AR 673
DI 10.3390/nu8110673
PD NOV 2016
PY 2016
AB Evidence of whether nutrition students are free from food-related issues
   or at higher risk for eating disorders is inconsistent. This study aimed
   to assess disordered eating behaviors and food addiction among nutrition
   and non-nutrition major college students. Students (n = 967, ages 18-25,
   female 72.7%, white 74.8%) enrolled at a public university completed
   online demographic characteristics surveys and validated questionnaires
   measuring specific disordered eating behaviors. Academic major category
   differences were compared. Additionally, high risk participants were
   assessed by weight status and academic year. Overall, 10% of respondents
   were a high level of concern for developing eating disorders. About
   10.3% of respondents met criteria for food addiction. In addition, 4.5%
   of respondents had co-occurrence of eating disorder risk and food
   addiction risk out of total respondents. There were no significant
   differences in level of concern for developing an eating disorder,
   eating subscales, or food addiction among academic majors. The
   percentage of high risk participants was lower in the underweight/normal
   weight group than in the overweight/obese group in health-related
   non-nutrition major students but not in nutrition students. Early
   screening, increasing awareness, and promoting healthy eating habits
   could be potential strategies to help treat and prevent the development
   of disorders or associated health conditions in nutrition as well as
   non-nutrition students.
Z8 0
TC 34
ZS 4
ZR 0
ZB 10
ZA 0
Z9 34
U1 1
U2 30
EI 2072-6643
UT WOS:000388666400009
PM 27792162
ER

PT J
AU Chivers, Laura L.
   Hand, Dennis J.
   Priest, Jeff S.
   Higgins, Stephen T.
TI E-cigarette use among women of reproductive age: Impulsivity, cigarette
   smoking status, and other risk factors
SO PREVENTIVE MEDICINE
VL 92
SI SI
BP 126
EP 134
DI 10.1016/j.ypmed.2016.07.029
PD NOV 2016
PY 2016
AB Introduction. The study aim was to examine impulsivity and other risk
   factors for e-cigarette use among women of reproductive age comparing
   current daily cigarette smokers to never cigarette smokers. Women of
   reproductive age are of special interest because of the additional risk
   that tobacco and nicotine use represents should they become pregnant.
   Method. Survey data were collected anonymously online using Amazon
   Mechanical Turk in 2014. Participants were 800 women ages 24-44 years
   from the US. Half (n = 400) reported current, daily smoking and half (n
   = 400) reported smoking <100 cigarettes lifetime. Participants completed
   questionnaires regarding sociodemographics, tobacco/nicotine use, and
   impulsivity (i.e., delay discounting & Barratt Impulsiveness Scale).
   Predictors of smoking and e-cigarette use were examined using logistic
   regression.
   Results. Daily cigarette smoking was associated with greater
   impulsivity, lower education, past illegal drug use, and White
   race/ethnicity. E-cigarette use in the overall sample was associated
   with being a cigarette smoker and greater education. E-cigarette use
   among current smokers was associated with increased nicotine dependence
   and quitting smoking; among never smokers it was associated with greater
   impulsivity and illegal drug use. E-cigarette use was associated with
   hookah use, and for never smokers only with use of cigars and other
   nicotine products.
   Conclusions. E-cigarette use among women of reproductive age varies by
   smoking status, with use among current smokers reflecting attempts to
   quit smoking whereas among non-smokers use may be a marker of a more
   impulsive repertoire that includes greater use of alternative tobacco
   products and illegal drugs. (C) 2016 Elsevier Inc. All rights reserved.
RI Hand, Dennis J./I-4909-2019
ZA 0
ZS 0
ZR 0
ZB 27
TC 38
Z8 0
Z9 39
U1 0
U2 5
SN 0091-7435
EI 1096-0260
UT WOS:000388380400019
PM 27492277
ER

PT J
AU De Rosis, Sabina
   Barsanti, Sara
TI Patient satisfaction, e-health and the evolution of the patient-general
   practitioner relationship: Evidence from an Italian survey
SO HEALTH POLICY
VL 120
IS 11
BP 1279
EP 1292
DI 10.1016/j.healthpol.2016.09.012
PD NOV 2016
PY 2016
AB Background: Scientific and public interest in the use of the Internet
   for health-related purposes has grown considerably. Concerns regarding
   its impact on patient-doctor relationship and risks for patients have
   inflamed the debate. Literature provides scarce evidence in this field.
   This paper investigates whether a patient's decision to use the web also
   depends on previous experience and satisfaction with healthcare.
   Method: Statistical analyses were conducted using data from a survey of
   more than 1700 citizens in Tuscany (Italy). The Andersen behavioural
   model was adopted as framework for investigating two patient behaviours:
   Internet use for health-related purposes; discussion of online findings
   with the physician. Two separate multivariate logistic models were
   performed to verify whether satisfaction and experience with healthcare
   system and general practitioners were associated with the e-health
   behaviours.
   Resultsa Age, education and dissatisfaction with the healthcare system
   are the main determinant factors of e-health use. The behaviour of
   sharing the e-health experience with general practitioners is more
   diffused among those patients who are more satisfied with physicians for
   the involvement in the decision-making process and suggestions on
   life-style.
   Implications: Whether patients choice to share information found online
   with the doctor depends on the ability of the doctor to engage patients
   in decision-making, e-health can produce a 'double-empowerment' process:
   experienced by the patient on the Internet, and legitimated by the
   doctor during encounters. (C) 2016 The Authors. Published by Elsevier
   Ireland Ltd.
RI De Rosis, Sabina/AAA-3098-2020; BARSANTI, Sara/K-8124-2016
OI De Rosis, Sabina/0000-0002-8781-401X; BARSANTI, Sara/0000-0001-7415-879X
ZR 0
TC 41
Z8 0
ZA 0
ZS 1
ZB 4
Z9 41
U1 4
U2 34
SN 0168-8510
EI 1872-6054
UT WOS:000390638000009
PM 27836231
ER

PT J
AU Kaffes, Ioannis
   Moser, Fabian
   Pham, Miriam
   Oetjen, Aenne
   Fehling, Maya
TI Global health education in Germany: an analysis of current capacity,
   needs and barriers
SO BMC MEDICAL EDUCATION
VL 16
AR 304
DI 10.1186/s12909-016-0814-y
PD NOV 2016
PY 2016
AB Background: In times of increasing global challenges to health, it is
   crucial to create a workforce capable of tackling these complex issues.
   Even though a lack of GHE in Germany is perceived by multiple
   stakeholders, no systematic analysis of the current landscape exists.
   The aim of this study is to provide an analysis of the global health
   education (GHE) capacity in Germany as well as to identify gaps,
   barriers and future strategies.
   Methods: An online search in combination with information provided by
   student representatives, course coordinators and lecturers was used to
   create an overview of the current GHE landscape in Germany.
   Additionally, a semi-structured questionnaire was sent to GHE educators
   and students engaged in global health (GH) to assess the capacity of
   German GHE, its barriers and suggested strategies for the future.
   Results: A total of 33 GHE activities were identified at 18 German
   universities. Even though medical schools are the main provider of GHE
   (42%), out of 38 medical schools, only 13 (34%) offer any kind of GHE.
   Modules offered for students of other health-related professions
   constitute 27% of all activities. Most survey respondents (92%, n = 48)
   consider current GHE activities in Germany insufficient. Suggested
   formats were GHE as part of medical curricula (82%, n = 45) and dual
   degree MD/MPH or PhD programs. Most important barriers mentioned were
   low priority of GH at faculties and academic management levels (n = 41,
   75%) as well as lack of necessary institutional structures (n = 33,
   60%).
   Conclusions: Despite some innovative academic approaches, there is
   clearly a need for more systematic GHE in Germany. GHE educators and
   students can take an important role advocating for more awareness at
   university management level and suggesting ways to institutionalize GHE
   to overcome barriers. This study provides key evidence, relevant
   perceptions and suggestions to strengthen GHE in Germany.
ZA 0
TC 22
ZB 3
Z8 0
ZS 0
ZR 0
Z9 22
U1 1
U2 11
SN 1472-6920
UT WOS:000389276500001
PM 27884194
ER

PT J
AU Hayat, Umar
   Lee, Peter J. W.
   Lopez, Rocio
   Vargo, John J.
   Rizk, Maged K.
TI Online Educational Video Improves Bowel Preparation and Reduces the Need
   for Repeat Colonoscopy Within Three Years
SO AMERICAN JOURNAL OF MEDICINE
VL 129
IS 11
AR 1219.e2
DI 10.1016/j.amjmed.2016.06.011
PD NOV 2016
PY 2016
AB PURPOSE: Unsatisfactory bowel preparation has been reported in up to 33%
   of screening colonoscopies. Patients' lack of understanding about how a
   good bowel preparation can be achieved is one of the major causes.
   Patient education has been explored as a possible intervention to
   improve this important endpoint and has yielded mixed results. We
   compared the proportion of satisfactory bowel preparations and adenoma
   detection rates between patients who viewed and did not view an
   educational video on colonoscopy.
   METHODS: An educational video on colonoscopy, accessible via the
   Internet, was issued to all patients with planned procedures between
   2010 and 2014. Viewing status of the video was verified through a unique
   code linked to each patient's medical record. Excellent, good, or
   adequate bowel preparations were defined as " satisfactory," whereas
   fair, poor, or inadequate bowel preparations were defined as "
   unsatisfactory.
   RESULTS: A total of 2530 patients undergoing their first outpatient
   screening colonoscopy were included; 1251 patients viewed the
   educational video and 1279 patients did not see the video. Multivariate
   analysis revealed higher rates of satisfactory bowel preparation in the
   educational video group (92.3% [95% confidence interval [CI], 84.8-96.3]
   vs 87.4% [95% CI, 76.4-93.7], P<.001). Need for a repeat colonoscopy
   within 3 years was also higher in patients who did not see the video
   (6.6% [95% CI, 2.8-14.7] vs 3.3% [95% CI 1.3-7.8], P<.001).
   CONCLUSION: Patient-centered educational video improves bowel
   preparation quality and may reduce the need for an earlier repeat
   procedure in patients undergoing screening colonoscopy. (C) 2016
   Elsevier Inc. All rights reserved.
OI Lopez, Rocio/0000-0002-4319-420X
ZR 0
ZB 8
TC 26
ZA 0
ZS 1
Z8 0
Z9 27
U1 1
U2 7
SN 0002-9343
EI 1555-7162
UT WOS:000386335900039
PM 27393880
ER

PT J
AU Shibata, Keita
   Matsumoto, Arisa
   Nakagawa, Ayumi
   Akagawa, Keiko
   Nakamura, Akihiro
   Yamamoto, Toshinori
   Kurata, Naomi
TI Use of Pharmacist Consultations for Nonprescription Laxatives in Japan:
   An Online Survey
SO BIOLOGICAL & PHARMACEUTICAL BULLETIN
VL 39
IS 11
BP 1767
EP 1773
DI 10.1248/bpb.b16-00008
PD NOV 2016
PY 2016
AB Community pharmacies in Japan have long been advocated as effective
   sources of nonprescription medicines and health-related advice.
   Consumers sometimes self-treat symptoms of minor illnesses without
   consulting a pharmacist because the benefits of such consultations are
   not adequately recognized. The aim of this study was to investigate the
   use and impact of pharmacist consultations before purchase of
   nonprescription laxatives. An online survey was conducted July 14-22,
   2012 with 500 respondents (250 men, 250 women), ranging 20-60 years old.
   All participants had purchased nonprescription laxatives for
   constipation within the past year. Stratified analysis was used to
   compare responses in groups that had and had not consulted a pharmacist
   before purchase. Consulting a pharmacist appears to improve consumers'
   awareness and makes them more likely to use appropriate medication.
   Those who consulted a pharmacist were better able to identify side
   effects and take appropriate action than the group that did not consult
   the pharmacist. Those who consulted a pharmacist were also significantly
   more likely to say that they would consult a pharmacist in the future.
   These results indicate that it is important for consumers to be able to
   consult with pharmacists, to improve consumers' awareness of side
   effects and to self-medicate appropriately, and hence improve their
   quality of life. Pharmacists in community pharmacy could be more active
   in health promotion campaigns, such as drug safety, campaigns, to raise
   their public profile. Increased public awareness of what pharmacists in
   community pharmacy do will make it easier for patients to consult with
   them.
ZA 0
Z8 0
ZS 0
TC 2
ZB 2
ZR 0
Z9 3
U1 0
U2 2
SN 0918-6158
UT WOS:000386742400004
PM 27803447
ER

PT J
AU Matsumura, Mina
   Nakayama, Takuto
   Sozu, Takashi
TI A Survey of Introductory Statistics Courses at University Faculties of
   Pharmaceutical Sciences in Japan
SO YAKUGAKU ZASSHI-JOURNAL OF THE PHARMACEUTICAL SOCIETY OF JAPAN
VL 136
IS 11
BP 1563
EP 1571
DI 10.1248/yakushi.16-00037
PD NOV 2016
PY 2016
AB A survey of introductory statistics courses at Japanese medical schools
   was published as a report in 2014. To obtain a complete understanding of
   the way in which statistics is taught at the university level in Japan,
   it is important to extend this survey to related fields, including
   pharmacy, dentistry, and nursing. The current study investigates the
   introductory statistics courses offered by faculties of pharmaceutical
   sciences (six-year programs) at Japanese universities, comparing the
   features of these courses with those studied in the survey of medical
   schools. We collected relevant data from the online syllabi of
   statistics courses published on the websites of 71 universities. The
   survey items included basic course information (for example, the course
   names, the targeted student grades, the number of credits, and course
   classification), textbooks, handouts, the doctoral subject and
   employment status of each lecturer, and course contents. The period
   surveyed was July September 2015. We found that these 71 universities
   offered a total of 128 statistics courses. There were 67 course names,
   the most common of which was "biostatistics (iryou toukeigaku)." About
   half of the courses were designed for first- or second-year students.
   Students earned fewer than two credits. There were 62 different types of
   textbooks. The lecturers held doctoral degrees in 18 different subjects,
   the most common being a doctorate in pharmacy or science. Some course
   content differed, reflecting the lecturers' academic specialties. The
   content of introductory statistics courses taught in pharmaceutical
   science programs also differed slightly from the equivalent content
   taught in medical schools.
OI Sozu, Takashi/0000-0002-9857-5819
Z8 0
ZA 0
ZR 0
ZB 0
TC 1
ZS 0
Z9 1
U1 0
U2 2
SN 0031-6903
UT WOS:000386744800013
PM 27803488
ER

PT J
AU Cardel, Michelle I.
   Chavez, Sarah
   Bian, Jiang
   Penaranda, Eribeth
   Miller, Darci R.
   Huo, Tianyao
   Modave, Francois
TI Accuracy of Weight Loss Information in Spanish Search Engine Results on
   the Internet
SO OBESITY
VL 24
IS 11
BP 2422
EP 2434
DI 10.1002/oby.21646
PD NOV 2016
PY 2016
AB Objective: To systematically assess the quality of online information
   related to weight loss that Spanish speakers in the U.S. are likely to
   access.
   Methods: This study evaluated the accessibility and quality of
   information for websites that were identified from weight loss queries
   in Spanish and compared this with previously published results in
   English. The content was scored with respect to five dimensions:
   nutrition, physical activity, behavior, pharmacotherapy, and surgical
   recommendations.
   Results: Sixty-six websites met eligibility criteria (21 commercial, 24
   news/media, 10 blogs, 0 medical/government/university, 11 unclassified
   sites). Of 16 possible points, mean content quality score was 3.4
   (SD=2.0). Approximately 1.5% of sites scored greater than 8 (out of 12)
   on nutrition, physical activity, and behavior. Unsubstantiated claims
   were made on 94% of the websites. Content quality scores varied
   significantly by type of website (P<0.0001) with unclassified websites
   scoring the highest (mean=6.3, SD=1.4) and blogs scoring the lowest
   (mean=2.2, SD=1.2). All content quality scores were lower for Spanish
   websites relative to English websites.
   Conclusions: Weight loss information accessed in Spanish Web searches is
   suboptimal and relatively worse than weight loss information accessed in
   English, suggesting that U.S. Spanish speakers accessing weight loss
   information online may be provided with incomplete and inaccurate
   information.
Z8 0
ZA 0
ZS 0
ZR 0
TC 7
ZB 0
Z9 7
U1 0
U2 6
SN 1930-7381
EI 1930-739X
UT WOS:000389148400024
PM 27653438
ER

PT J
AU Nassar, Aussama
   Coates, Angela
   Tuma, Faiz
   Farrokhyar, Forough
   Reid, Susan
CA MacTRAUMA Res Grp
TI The MacTRAUMA TTL Assessment Tool: Developing a Novel Tool for Assessing
   Performance of Trauma Trainees: Initial Reliability Testing
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 6
BP 1046
EP 1051
DI 10.1016/j.jsurg.2016.05.013
PD NOV-DEC 2016
PY 2016
AB OBJECTIVES: To develop a novel assessment tool for trainees led trauma
   resuscitation. Assess psychometric properties of the proposed tool.
   Evaluate feasibility and utility of the tool.
   INTRODUCTION: Trauma resuscitation is a structured and complex process
   involving unique sets of skills. There is currently no published
   structured formative evaluation tool for trauma trainees. Therefore,
   many trauma trainees rely upon limited, unstructured feedback on their
   performance. We developed a tool to assess trainee performance while
   leading a trauma resuscitation and to assist faculty in providing
   trainee feedback after the encounter.
   METHODS: This study was conducted in a level I trauma centre in Ontario,
   Canada. Principles of learning theories, literature review, and clinical
   expert opinions were used to design a tool to assess clinical competence
   required to lead the resuscitation. In total, 5 critical domains were
   identified. High-fidelity simulation-based environment was used to test
   interrater reliability using intraclass correlation coefficients. To
   gauge feasibility, practicality, and utility of the tool, an online
   survey was sent to raters and trainees at the end of the study.
   RESULTS: We found "excellent" agreement for "initial critical
   assessment" domain (0.80) and "moderate to good" agreement for the
   "communication and leadership" (0.67) and "clinical performance" domains
   (0.53). "Poor" agreement was identified for the "decision-making" domain
   (0.33). The coefficients for individual items reached "good" agreement
   for 5 items, and "moderate" agreement for 8 items. Intraclass
   correlation coefficients for the remaining 7 items were "fair" or
   "poor." Most raters agreed that items in the medical training domain
   were not applicable. Feedback from raters and trainees confirmed the
   feasibility and acceptability of the tool for formative feedback, in
   addition to some suggestions to enhance the tool.
   CONCLUSION: MacTrauma TTL assessment tool is a novel tool for formative
   feedback for trainees' performance during trauma resuscitation. Initial
   psychometric property testing is promising. Further reliability and
   validity testing of the modified tool is needed. The tool has been shown
   to be feasible and acceptable by both trainees and faculty as a
   formative assessment tool. ((C) 2016 Association of Program Directors in
   Surgery. Published by Elsevier Inc. All rights reserved.)
RI Farrokhyar, Forough/AAQ-6005-2021
OI Farrokhyar, Forough/0000-0001-9928-9016
Z8 0
ZB 0
ZR 0
ZA 0
ZS 0
TC 0
Z9 0
U1 1
U2 4
SN 1931-7204
EI 1878-7452
UT WOS:000389558200018
PM 27687539
ER

PT J
AU Frongia, Giovanni
   Mehrabi, Arianeb
   Fonouni, Hamidreza
   Rennert, Helga
   Golriz, Mohammad
   Guenther, Patrick
TI YouTube as a Potential Training Resource for Laparoscopic Fundoplication
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 6
BP 1066
EP 1071
DI 10.1016/j.jsurg.2016.04.025
PD NOV-DEC 2016
PY 2016
AB OBJECTIVE: To analyze the surgical proficiency and educational quality
   of YouTube videos demonstrating laparoscopic fundoplication (LF).
   DESIGN: In this cross-sectional study, a search was performed on YouTube
   for videos demonstrating the LF procedure. The surgical and educational
   proficiency was evaluated using the objective component rating scale,
   the educational quality rating score, and total video quality score.
   Statistical significance was determined by analysis of variance,
   receiver operating characteristic curve, and odds ratio analysis.
   RESULTS: A total of 71 videos were induded in the study; 28 (39.4%)
   videos were evaluated as good, 23 (32.4%) were moderate, and 20 (28.2%)
   were poor. Good-rated videos were significantly longer (good, 22.0 +/-
   5.2 min; moderate, 7.8 +/- 0.9 min; poor, 8.5 +/- 1.0 min; p = 0.007)
   and video duration was predictive of good quality (AUC, 0.672 +/- 0.067;
   95% CI: 0.541-0.802; p = 0.015). For good quality, the cut-off video
   duration was 7:42 minute. This cut-off value had a sensitivity of 67.9%,
   a specificity of 60.5%, and an odds ratio of 3.23 (95% CI: 1.19-8.79; p
   = 0.022) in predicting good quality. Videos uploaded from industrial
   sources and with a higher views/days online ratio had a higher objective
   component rating scale and total video quality score. In contrast, the
   likes/dislikes ratio was not predictive of video quality.
   CONCLUSIONS: Many videos showing the LF procedure have been uploaded to
   YouTube with varying degrees of quality. A process for filtering LF
   videos with high surgical and educational quality is feasible by
   evaluating the video duration, uploading source, and the views/days
   online ratio. However, alternative videos platforms aimed at
   professionals should also be considered for educational purposes. (C)
   2016 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.
ZS 1
ZB 2
ZA 0
ZR 0
TC 34
Z8 0
Z9 35
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000389558200021
PM 27266852
ER

PT J
AU Gershoff, Elizabeth T.
   Font, Sarah A.
   Taylor, Catherine A.
   Foster, Rebecca H.
   Garza, Ann Budzak
   Olson-Dorff, Denyse
   Terreros, Amy
   Nielsen-Parker, Monica
   Spector, Lisa
TI Medical center staff attitudes about spanking
SO CHILD ABUSE & NEGLECT
VL 61
BP 55
EP 62
DI 10.1016/j.chiabu.2016.10.003
PD NOV 2016
PY 2016
AB Several medical professional organizations, including the American
   Academy of Pediatrics, recommend that parents avoid hitting children for
   disciplinary purposes (e.g., spanking) and that medical professionals
   advise parents to use alternative methods. The extent to which medical
   professionals continue to endorse spanking is unknown. This study is the
   first to examine attitudes about spanking among staff throughout medical
   settings, including non-direct care staff. A total of 2580 staff at a
   large general medical center and 733 staff at a children's hospital
   completed an online survey; respondents were roughly divided between
   staff who provide direct care to patients (e.g., physicians, nurses) and
   staff who do not (e.g., receptionists, lab technicians). Less than half
   (44% and 46%) of staff at each medical center agreed that spanking is
   harmful to children, although almost all (85% and 88%) acknowledged that
   spanking can lead to injury. Men, staff who report being religious, and
   staff who held non-direct care positions at the medical center reported
   stronger endorsement of spanking and perceived their co-workers to be
   more strongly in favor of spanking. Non-direct care staff were more
   supportive of spanking compared with direct care staff on every item
   assessed. All staff underestimated the extent to which their co-workers
   held negative views of spanking. If medical centers and other medical
   settings are to lead the charge in informing the community about the
   harms of spanking, comprehensive staff education about spanking is
   indicated. (C) 2016 Elsevier Ltd. All rights reserved.
RI Foster, Rebecca/GSM-6886-2022; Taylor, Catherine/; Gershoff, Elizabeth/; Budzak Garza, Ann/
OI Taylor, Catherine/0000-0003-1153-9039; Gershoff,
   Elizabeth/0000-0002-0160-0062; Budzak Garza, Ann/0000-0003-1412-9051
ZS 1
Z8 0
ZR 0
TC 11
ZA 0
ZB 1
Z9 11
U1 0
U2 9
SN 0145-2134
EI 1873-7757
UT WOS:000389565200006
PM 27744218
ER

PT J
AU Ryu, Borim
   Kim, Seok
   Lee, Kee-Hyuck
   Hwang, Hee
   Yoo, Sooyoung
TI Inpatient satisfaction and usage patterns of personalized smart bedside
   station system for patient-centered service at a tertiary university
   hospital
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 95
BP 35
EP 42
DI 10.1016/j.ijmedinf.2016.09.003
PD NOV 2016
PY 2016
AB Objective: Bedside stations, also known as bedside terminals, are in
   place to enhance the quality and experience of a hospital's healthcare
   service delivery. The purpose of this study was to identify information
   needs and overall satisfaction with the personalized patient bedside
   system, called Smart Bedside Station (SBS) system, embedded in a
   tertiary general university hospital.
   Methods: End-user responses on the satisfaction survey and system usage
   logs of the SBS system were collected and analyzed. For the user opinion
   survey, 156 nurses and 1914 patients, their family members, or
   caregivers participated during the evaluation period of 2013 to 2014 in
   this study. All working nurses in the SBS-installed ward were answered
   the paper-based evaluation, for complete enumeration survey. Inpatients
   were voluntary participated to deliver the online questionnaire on the
   SBS menu. We also explored system log data including page calls and
   usage time from December 2013 to 2015.
   Results: Regarding the relationship of overall satisfaction of the SBS
   with patient's characteristics, patient's education status and degree of
   familiarity with the smart device were statistically significant. From
   the analysis of system logs, Personalized My Menu(28.0%) was the most
   frequently used menu item (except for TV and Internet entertainment
   service use of 62.7%),it provides individual health information, such as
   laboratory test results, hospital fee check, message logs, daily
   medication information, and meal information. Next frequently used menus
   were information support(4.9%) which deliver hospital guide and health
   information and convenience service ordering(4.4%) such as meal order,
   bed sheet change. Satisfaction survey results and log data results show
   that the personalized service enhances the user satisfaction during
   hospital admission.
   Conclusions: Our post-implementation experience and subsequent
   assessment of SBS system is capable of providing insights into improving
   the hospital information system and service contents for
   patient-centered services. Further research should be directed at
   developing sophisticated patient-centered services as a communication
   tool between the hospital and the patient. (C) 2016 Elsevier Ireland
   Ltd. All rights reserved.
RI Ryu, Borim/R-1817-2019
OI Ryu, Borim/0000-0002-2000-4565
ZA 0
Z8 0
ZB 0
ZR 0
TC 9
ZS 0
Z9 9
U1 0
U2 19
SN 1386-5056
EI 1872-8243
UT WOS:000386415100004
PM 27697230
ER

PT J
AU McCann, Edward
   Huntley-Moore, Sylvia
TI Madness in the movies: An evaluation of the use of cinema to explore
   mental health issues in nurse education
SO NURSE EDUCATION IN PRACTICE
VL 21
BP 37
EP 43
DI 10.1016/j.nepr.2016.09.009
PD NOV 2016
PY 2016
AB The research literature on the use of cinema in nurse education is
   relatively small. This study evaluates student nurses' learning
   experiences of a new undergraduate elective module called Madness in the
   Movies. Ethical approval was granted to conduct the study. Data were
   collected through an online survey and a social media discussion forum.
   The anonymous online survey responses were collated via Survey Monkey.
   Content analysis was conducted on the data from the Facebook discussion
   threads to understand, interpret and conceptualise the meanings from the
   data. All study participants agreed that their understanding of mental
   health issues was enriched, their attitudes and beliefs enhanced and
   their confidence to talk about mental health concerns increased
   significantly. This module provides a fruitful approach to encourage
   critical reflection on mental health issues in a safe environment that
   closely mirrors authentic practice experiences. The module facilitates
   the development of students' knowledge, values and attitudes in relation
   to person-centred mental healthcare. (C) 2016 Elsevier Ltd. All rights
   reserved.
RI McCann, Edward/I-1125-2019
OI McCann, Edward/0000-0003-3548-4204
ZS 3
ZR 0
ZA 0
ZB 1
TC 12
Z8 0
Z9 14
U1 0
U2 15
SN 1471-5953
UT WOS:000389159100006
PM 27716595
ER

PT J
AU Bensen, Rachel
   McKenzie, Rebecca B.
   Fernandes, Susan M.
   Fishman, Laurie N.
TI Transitions in Pediatric Gastroenterology: Results of a National
   Provider Survey
SO JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
VL 63
IS 5
BP 488
EP 493
DI 10.1097/MPG.0000000000001199
PD NOV 2016
PY 2016
AB Objectives:Transition and transfer to adult-oriented health care is an
   important yet challenging task for adolescents and young adults with
   chronic medical conditions. Transition practices vary widely, but a
   paucity of data makes determination of best practices difficult. We
   described North American pediatric gastroenterologists' preferences and
   present transition practice patterns and explored whether experience
   affected providers' perspectives.Methods:An online survey was
   distributed via e-mail to members of the North American Society of
   Pediatric Gastroenterology, Hepatology and Nutrition. Participation was
   voluntary and answers were anonymous. Quantitative and qualitative
   analysis was performed.Results:Almost three quarters of the 175
   respondents describe providing transition or self-care management
   education, but only 23% use structured readiness assessments. Most
   respondents (88%) report having age cutoffs above which they no longer
   accept new referrals, with the most common age being 18 years (57%). One
   third report the ability to provide age-appropriate care to patients
   older than 21 years. Only 6% indicate that their practice or institution
   should provide care for individuals older than 25 years. Many (63%)
   indicate that their practice or institution has a policy regarding age
   of transfer, but most (79%) are flexible. Provider preferences for
   triggers to transfer to adult care diverge widely between age,
   milestones, and comorbidities. Overall, parent (81%) and patient (74%)
   attachment to pediatric health care providers are cited as the most
   common barriers to transition.Conclusions:Preferences and practices
   surrounding transition preparation and transfer to adult care vary
   widely, reflecting continued uncertainty regarding optimal transition
   strategies.
OI Fishman, Laurie/0000-0003-4612-890X
ZR 0
Z8 0
ZB 13
ZS 0
ZA 0
TC 18
Z9 18
U1 0
U2 10
SN 0277-2116
EI 1536-4801
UT WOS:000386350200019
PM 27027904
ER

PT J
AU Jin, Lu
   Hua, Fang
   Cao, Qiang
TI Reporting quality of randomized controlled trial abstracts published in
   leading laser medicine journals: an assessment using the CONSORT for
   abstracts guidelines
SO LASERS IN MEDICAL SCIENCE
VL 31
IS 8
BP 1583
EP 1590
DI 10.1007/s10103-016-2018-4
PD NOV 2016
PY 2016
AB The objectives of this study were to assess the reporting quality of
   randomized controlled trial (RCT) abstracts published in leading laser
   medicine journals and investigate the association between potential
   predictors and reporting quality. The official online archives of four
   leading laser medicine journals were hand-searched to identify RCTs
   published in 2014 and 2015. A reporting quality assessment was carried
   out using the original 16-item CONsolidated Standards Of Reporting
   Trials (CONSORT) for Abstracts checklist. For each abstract, an overall
   CONSORT score (OCS) was calculated (score range, 0 to 16). Univariable
   and multivariable linear regression analyses were performed to identify
   significant predictors of reporting quality. Chi-square (or Fisher's
   exact) tests were used to analyze the adequate reporting rate of each
   quality item by specialty area. A total of 129 RCT abstracts were
   included and assessed. The mean OCS was 4.5 (standard deviation, 1.3).
   Only three quality items (interventions, objective, conclusions) were
   reported adequately in most abstracts (> 80 %). No abstract adequately
   reported results for the primary outcome, source of funding, and status
   of the trial. In addition, sufficient reporting of participants, outcome
   in the methods section, randomization, and trial registration was rare
   (< 5 %). According to multivariable linear regression analysis, the
   specialty area of RCT abstracts was significantly associated with their
   reporting quality (P = 0.008). The reporting quality of RCT abstracts
   published in leading laser medicine journals is suboptimal. Joint
   efforts by authors, editors, and other stakeholders in the field to
   improve trial abstract reporting are needed.
RI Hua, Fang/G-6344-2013
OI Hua, Fang/0000-0002-2438-5924
ZA 0
ZS 0
ZB 2
Z8 0
ZR 0
TC 15
Z9 15
U1 0
U2 5
SN 0268-8921
EI 1435-604X
UT WOS:000386367900007
PM 27365107
ER

PT J
AU Choi-Lundberg, Derek L.
   Cuellar, William A.
   Williams, Anne-Marie M.
TI Online Dissection Audio-Visual Resources for Human Anatomy:
   Undergraduate Medical Students' Usage and Learning Outcomes
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 6
BP 545
EP 554
DI 10.1002/ase.1607
PD NOV-DEC 2016
PY 2016
AB In an attempt to improve undergraduate medical student preparation for
   and learning from dissection sessions, dissection audio-visual resources
   (DAVR) were developed. Data from e-learning management systems indicated
   DAVR were accessed by 28% +/- 10 (mean +/- SD for nine DAVR across three
   years) of students prior to the corresponding dissection sessions,
   representing at most 58% +/- 20 of assigned dissectors. Approximately
   50% of students accessed all available DAVR by the end of semester,
   while 10% accessed none. Ninety percent of survey respondents (response
   rate 58%) generally agreed that DAVR improved their preparation for and
   learning from dissection when used. Of several learning resources, only
   DAVR usage had a significant positive correlation (P = 0.002) with
   feeling prepared for dissection. Results on cadaveric anatomy practical
   examination questions in year 2 (Y2) and year 3 (Y3) cohorts were 3.9%
   (P < 0.001, effect size d = 20.32) and 0.3% lower, respectively, with
   DAVR available compared to previous years. However, there were positive
   correlations between students' cadaveric anatomy question scores with
   the number and total time of DAVR viewed (Y2, r = 0.171, 0.090, P =
   0.002, n.s., respectively; and Y3, r = 0.257, 0.253, both P < 0.001).
   Students accessing all DAVR scored 7.2% and 11.8% higher than those
   accessing none (Y2, P = 0.015, d = 0.48; and Y3, P = 0.005, d = 0.77,
   respectively). Further development and promotion of DAVR are needed to
   improve engagement and learning outcomes of more students. (C) 2016
   American Association of Anatomists.
RI Choi-Lundberg, Derek L/J-7670-2014; Williams, Anne-Marie/; Cuellar, William A/J-7705-2014
OI Choi-Lundberg, Derek L/0000-0002-3594-8585; Williams,
   Anne-Marie/0000-0002-1545-174X; Cuellar, William A/0000-0003-0374-9335
ZR 0
ZS 3
Z8 0
TC 32
ZB 1
ZA 0
Z9 32
U1 0
U2 28
SN 1935-9772
EI 1935-9780
UT WOS:000388218700005
PM 27802370
ER

PT J
AU Holland, Jane
   Clarke, Eric
   Glynn, Mark
TI Out of Sight, Out of Mind: Do Repeating Students Overlook Online Course
   Components?
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 6
BP 555
EP 564
DI 10.1002/ase.1613
PD NOV-DEC 2016
PY 2016
AB E-Learning is becoming an integral part of undergraduate medicine, with
   many curricula incorporating a number of online activities and
   resources, in addition to more traditional teaching methods. This study
   examines physical attendance, online activity, and examination outcomes
   in a first-year undergraduate medical program. All 358 students who
   completed the Alimentary System module within the first semester of the
   program were included, 30 of whom were repeating the year, and thus the
   module. This systems-based, multidisciplinary module incorporated
   didactic lectures, cadaveric small group tutorials and additional
   e-Learning resources such as online histology tutorials. Significant
   differences were demonstrated in physical attendance and utilization of
   online resources between repeating students and those participating in
   the module for the first time. Subsequent analyses confirmed that
   physical attendance, access of online lecture resources, and utilization
   of online histology tutorials were all significantly correlated. In
   addition, both physical attendance and utilization of online resources
   significantly correlated with summative examination performance. While
   nonattendance may be due to a variety of factors, our data confirm that
   significant differences exist in both physical attendance and online
   activity between new entrants and repeating students, such that all
   students repeating a module or academic year should be routinely
   interviewed and offered appropriate supports to ensure that they
   continue to engage with the program. While the development of complex
   algorithmic models may be resource intensive, using readily available
   indices from virtual learning environments is a straightforward, albeit
   less powerful, means to identify struggling students prior to summative
   examinations. (C) 2016 American Association of Anatomists.
RI Holland, Jane/C-8722-2012; Clarke, Eric/
OI Holland, Jane/0000-0002-8784-6169; Clarke, Eric/0000-0003-0375-6797
Z8 0
ZS 0
TC 5
ZA 0
ZB 2
ZR 0
Z9 5
U1 1
U2 7
SN 1935-9772
EI 1935-9780
UT WOS:000388218700006
PM 27096280
ER

PT J
AU Wolff, Jennifer L.
   Berger, Andrea
   Clarke, Deserae
   Green, Jamie A.
   Stametz, Rebecca
   Yule, Christina
   Darer, Jonathan D.
TI Patients, care partners, and shared access to the patient portal: online
   practices at an integrated health system
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 23
IS 6
BP 1150
EP 1158
DI 10.1093/jamia/ocw025
PD NOV 2016
PY 2016
AB Objective To describe the characteristics and online practices of
   patients and "care partners" who share explicit access to a patient
   portal account at a large integrated health system that implemented
   shared access functionality in 2003.
   Materials and Methods Survey of 323 patients and 389 care partners at
   Geisinger Health System with linked information regarding access and use
   of patient portal functionality.
   Results Few (0.4%) registered adult patient portal users shared access
   to their account. Patients varied in age (range: 18-102); more than half
   had a high school education or less (53.6%). Patient motivations for
   sharing access included: to help manage care (41.9%), for emergency
   reasons (29.7%), lack of technology experience (18.4%), or care partner
   request (10.0%). Care partners were parents (39.8%), adult children
   (27.9%), spouses (26.2%), and other relatives (6.1%). Patients were more
   likely than care partners to have inadequate health literacy (54.8%
   versus 8.8%, P < .001) and less confident in their ability to manage
   their care (53.0% versus 88.1%; P < .001). Care partners were more
   likely than patients to perform health management activities
   electronically (95.5% versus 48.4%; P < .001), access the patient portal
   (89.2% versus 30.3%; P < .001), and use patient portal functionality
   such as secure messaging (39.6% versus 13.9%; P < .001). Care partners
   used their own credentials (89.1%) and patient credentials (23.3%) to
   access the patient portal.
   Discussion and Conclusion Shared access is an underused strategy that
   may bridge patients' health literacy deficits and lack of technology
   experience and that helps but does not fully resolve concerns regarding
   patient and care partner identity credentials.
TC 36
ZB 5
ZR 0
ZS 0
Z8 1
ZA 0
Z9 37
U1 0
U2 26
SN 1067-5027
EI 1527-974X
UT WOS:000388006800016
PM 27026614
ER

PT J
AU Aslam, A.
   Nason, G. J.
   Giri, S. K.
TI Homemade laparoscopic surgical simulator: a cost-effective solution to
   the challenge of acquiring laparoscopic skills?
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 185
IS 4
BP 791
EP 796
DI 10.1007/s11845-015-1357-7
PD NOV 2016
PY 2016
AB Laparoscopic surgery is well known to have a long and variable learning
   curve and there is a potential benefit from earlier integration of
   laparoscopic skills in medical education.
   The aim of this study was to assess the challenges facing surgical
   trainees regarding the acquisition of laparoscopic skills and second to
   assess their opinion regarding the use of a homemade laparoscopic
   surgical simulator.
   A homemade laparoscopic surgical simulator (HLSS) was constructed. An
   online survey using Survey Monkey(A (R)) of surgical trainees at a
   tertiary referral university teaching hospital was conducted assessing
   their experience with laparoscopic surgery. Surgical trainees were
   voluntarily enrolled to assess the self-designed laparoscopic trainer.
   Each trainee was asked to perform simple exercises without supervision.
   All trainees (n = 34) responded to the survey. No trainee had full-time
   access to a laparoscopic box trainer. The mean time spent per week using
   the simulator was 0.38 h (range 0-3 h), with 61.8 % (n = 21) reporting
   not using the simulator at all. 94.1 % (n = 32) enrolled in our study.
   90.6 % (n = 29) found the HLSS easy to use compared to 93.8 % (n = 30)
   with the CLS (p = 1.00). 96.9 % (n = 31) reported an overall
   satisfaction with the HLSS. There was no difference with regard to the
   completing the tasks: peg transfer (78.1 vs 78.1 %, p = 1.00), cutting
   patterns (65.6 vs 71.9 %, p = 0.788) or knot tying (12.5 vs 18.8 %, p =
   0.732) whether using HLSS and the CLS.
   Homemade laparoscopic surgical simulators are easy to construct,
   affordable, usable and of interest to trainees.
OI Aslam, Asadullah/0000-0003-3883-0846
ZB 2
ZA 0
Z8 0
ZS 2
TC 6
ZR 0
Z9 7
U1 0
U2 11
SN 0021-1265
EI 1863-4362
UT WOS:000387405300006
PM 26377602
ER

PT J
AU Maria Montiel-Company, Jose
   Subirats-Roig, Cristian
   Flores-Marti, Pau
   Bellot-Arcis, Carlos
   Manuel Almerich-Silla, Jose
TI Validation of the Maslach Burnout Inventory-Human Services Survey for
   Estimating Burnout in Dental Students
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 11
BP 1368
EP 1375
PD NOV 2016
PY 2016
AB The aim of this study was to examine the validity and reliability of the
   Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as a tool for
   assessing the prevalence and level of burnout in dental students in
   Spanish universities. The survey was adapted from English to Spanish. A
   sample of 533 dental students from 15 Spanish universities and a control
   group of 188 medical students self-administered the survey online, using
   the Google Drive service. The test-retest reliability or reproducibility
   showed an Intraclass Correlation Coefficient of 0.95. The internal
   consistency of the survey was 0.922. Testing the construct validity
   showed two components with an eigenvalue greater than 1.5, which
   explained 51.2% of the total variance. Factor I (36.6% of the variance)
   comprised the items that estimated emotional exhaustion and
   depersonalization. Factor II (14.6% of the variance) contained the items
   that estimated personal accomplishment. The cut-off point for the
   existence of burnout achieved a sensitivity of 92.2%, a specificity of
   92.1%, and an area under the curve of 0.96. Comparison of the total
   dental students sample and the control group of medical students showed
   significantly higher burnout levels for the dental students (50.3% vs.
   40.4%). In this study, the MBI-HSS was found to be viable, valid, and
   reliable for measuring burnout in dental students. Since the study also
   found that the dental students suffered from high levels of this
   syndrome, these results suggest the need for preventive burnout control
   programs.
RI Montiel-Company, José María/S-1836-2018; BELLOT-ARCIS, CARLOS/AGP-0731-2022
OI Montiel-Company, José María/0000-0002-3952-7681; BELLOT-ARCIS,
   CARLOS/0000-0003-4363-2713
TC 17
ZB 3
ZA 0
Z8 0
ZR 0
ZS 1
Z9 18
U1 2
U2 10
SN 0022-0337
EI 1930-7837
UT WOS:000387629800012
PM 27803209
ER

PT J
AU DelSignore, Lisa A.
   Wolbrink, Traci A.
   Zurakowski, David
   Burns, Jeffrey P.
TI Test-Enhanced E-Learning Strategies in Postgraduate Medical Education: A
   Randomized Cohort Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 11
AR e299
DI 10.2196/jmir.6199
PD NOV 2016
PY 2016
AB Background: The optimal design of pedagogical strategies for e-learning
   in graduate and postgraduate medical education remains to be determined.
   Video-based e-learning use is increasing, with initial research
   suggesting that taking short breaks while watching videos (independent
   of answering test questions) may improve learning by focusing attention
   on the content presented. Interspersed test questions may also improve
   knowledge acquisition and retention.
   Objective: To examine the effect of interspersed test questions and
   periodic breaks on immediate knowledge acquisition and retention at 6
   months by pediatric residents engaged in video-based e-learning.
   Methods: First-and second-year pediatric residents were randomized to 1
   of the following 3 groups: viewing the complete video uninterrupted
   (full video), viewing the video interrupted with unrelated logic puzzles
   (logic puzzles), or viewing the video interrupted with brief
   comprehension test questions (short answer questions). Residents
   answered pre- and post-tests before and after video viewing, followed by
   a retention test at 6 months. Primary outcome included comparison of the
   change in test scores between groups.
   Results: A total of 49 residents completed the initial testing session.
   All 3 learning groups had comparable mean increases in immediate
   knowledge gain, but with no significant differences between groups
   (F-2,F-46=0.35, P=.71). Thirty-five residents completed retention
   testing with comparable degrees of knowledge retention in the full video
   and short answer test questions groups (P<.001), but no significant
   change in the logic puzzles group (F-1,F-32=2.44, P=.13).
   Conclusions: Improved knowledge gain was not demonstrated among
   residents answering interspersed questions or completing logic puzzles
   during interrupted online video viewing when compared with residents
   viewing uninterrupted video content. However, residents who either
   participated in uninterrupted video viewing or answered interspersed
   questions during interrupted video viewing demonstrated significant
   knowledge retention at 6 months.
RI Wolbrink, Traci/T-7211-2019; Burns, Jeffrey P/AAW-8474-2021
TC 13
ZA 0
ZR 0
ZS 1
ZB 1
Z8 0
Z9 13
U1 0
U2 14
SN 1438-8871
UT WOS:000388111100013
PM 27872034
ER

PT J
AU Vijayasarathi, Arvind
   Duszak, Richard, Jr.
   Gelbard, Rondi B.
   Mullins, Mark E.
TI Knowledge of the Costs of Diagnostic Imaging: A Survey of Physician
   Trainees at a Large Academic Medical Center
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 13
IS 11
BP 1304
EP 1310
DI 10.1016/j.jacr.2016.05.009
PD NOV 2016
PY 2016
AB Purpose: To study the awareness of postgraduate physician trainees
   across a variety of specialties regarding the costs of common imaging
   examinations.
   Methods: During early 2016, we conducted an online survey of all 1,238
   physicians enrolled in internships, residencies, and fellowships at a
   large academic medical center. Respondents were asked to estimate
   Medicare national average total allowable fees for five commonly
   performed examinations: two-view chest radiograph, contrast-enhanced CT
   abdomen and pelvis, unenhanced MRI lumbar spine, complete abdominal
   ultrasound, and unenhanced CT brain. Responses within +/- 25% of
   published amounts were deemed correct. Respondents were also asked about
   specialty, postgraduate year of training, previous radiology education,
   and estimated number of imaging examinations ordered per week.
   Results: A total of 381 of 1,238 trainees returned complete surveys
   (30.8%). Across all five examinations, only 5.7% (109/1,905) of
   responses were within the correct 25% range. A total of 76.4% (291/381)
   of all respondents incorrectly estimated every examination's cost.
   Estimation accuracy was not associated with number of imaging
   examinations ordered per week or year of training. There was no
   significant difference in cost estimation accuracy between those who
   participated in medical school radiology electives and those who did not
   (P = .14). Only 17.5% of trainees considered their imaging cost
   knowledge adequate. Overall, 75.3% desire integration of cost data into
   clinical decision support and/or computerized physician order entry
   systems.
   Conclusions: Postgraduate physician trainees across all disciplines
   demonstrate limited awareness of the costs of commonly ordered imaging
   examinations. Targeted medical school education and integration of
   imaging cost information into clinical decision support / computerized
   physician order entry systems seems indicated.
RI Duszak, Richard/L-1811-2016; vijayasarathi, arvind/
OI Duszak, Richard/0000-0003-0425-3008; vijayasarathi,
   arvind/0000-0001-7362-9246
TC 20
ZR 0
ZB 1
Z8 0
ZA 0
ZS 0
Z9 20
U1 0
U2 0
SN 1546-1440
UT WOS:000387638400007
PM 27475971
ER

PT J
AU O'Kane, S. Maria
   Pourshahidi, L. Kirsty
   Farren, Kayla M.
   Mulhern, Maria S.
   Strain, J. J.
   Yeates, Alison J.
TI Iodine knowledge is positively associated with dietary iodine intake
   among women of childbearing age in the UK and Ireland
SO BRITISH JOURNAL OF NUTRITION
VL 116
IS 10
BP 1728
EP 1735
DI 10.1017/S0007114516003925
PD NOV 2016
PY 2016
AB Adequate I intake is important before conception and during pregnancy
   for optimal infant neurodevelopment. Recent studies have highlighted the
   prevalence of I deficiency in the UK and Ireland. It is possible that
   optimal I intake may be impeded by a poor knowledge of I nutrition. This
   study aimed to investigate I knowledge among women of childbearing age
   in the UK and Ireland and to determine whether a relationship exists
   between I knowledge and dietary I intake. Females (aged 18-45 years)
   were invited to complete an online questionnaire, which assessed
   knowledge of I and estimated dietary I intake using a FFQ. A total of
   520 females of childbearing age completed the study. I knowledge was
   poor; only one-third (32 %) of the participants correctly identified
   pregnancy as the most important stage of the lifecycle for I, and 41% of
   participants could not correctly identify any health problem related to
   I deficiency. The median daily I intake was estimated as 152 mu/d.
   Almost half (46 %) of the participants failed to meet dietary
   recommendations (140 mu g/d) for I. A higher dietary I intake was
   positively associated with greater I knowledge (r 0.107; P = 0.016).
   This study suggests that knowledge of I nutrition is low among women of
   childbearing age, and those with a greater knowledge of I nutrition had
   a higher dietary I intake. Initiatives to educate women of childbearing
   age on the importance of I nutrition should be considered as part of a
   larger public health strategy to address I deficiency.
RI Mulhern, Maria S/F-7155-2010; O'Kane, S Maria/AAC-4963-2019; O'Kane, Maria/
OI Mulhern, Maria S/0000-0002-2212-3744; O'Kane, Maria/0000-0002-2632-0083
ZB 10
ZS 1
Z8 0
ZA 0
ZR 0
TC 25
Z9 26
U1 0
U2 7
SN 0007-1145
EI 1475-2662
UT WOS:000390363400007
PM 27855727
ER

PT J
AU Engel, Roger M
   Beirman, Robyn
   Grace, Sandra
TI An indication of current views of Australian general practitioners
   towards chiropractic and osteopathy: a cross-sectional study.
SO Chiropractic & manual therapies
VL 24
BP 37
EP 37
PD 2016
PY 2016
AB BACKGROUND: While the role of complementary medicine therapies such as
   chiropractic and osteopathy is yet to be clearly delineated in the
   Australian context, demand for these services remains high. The
   attitudes of general practitioners towards chiropractors and osteopaths
   may have played a part in producing this outcome. However, this view is
   based on data that were more than 10years old. Current anecdotal
   evidence suggests that the previous level of support may be declining in
   sections of the Australian medical profession. An assessment of the
   current views of general practitioners towards chiropractors and
   osteopaths is called for. The results being reported here represent the
   first stage of this assessment.
   METHODS: This cross-sectional study was designed as a quantitative
   descriptive study using an anonymous online survey that included closed
   and open-ended questions with opportunities provided for free text. The
   target population was Australian general practitioners. Inclusion
   criteria included current medical registration, membership of the Royal
   Australian College of General Practitioners and currently practicing as
   a general practitioner in Australia. The data being reported here were
   collected between May and December, 2014.
   RESULTS: There were 630 respondents to the online survey during this
   period representing a response rate of 2.6%. Results were not uniform
   for the two professions. More general practitioners believed
   chiropractic education was not evidence-based compared to osteopathic
   education (70% and 50% respectively) while scope of practice was viewed
   as similar for both professions. A majority of general practitioners had
   never referred a patient to either profession (chiropractic: 60%;
   osteopathy: 66%) with approximately two-thirds not interested in
   learning more about their education (chiropractors: 68%; osteopaths:
   63%).
   CONCLUSIONS: This study provides an indication of the current views of
   Australian general practitioners towards chiropractors and osteopaths.
   The findings suggest that attitudes may have become less favourable with
   a growing intolerance towards both professions. If confirmed, this has
   the potential to impact health service provision. The results from this
   cross-sectional study suggest that obtaining representative general
   practitioner views using online surveys is difficult and another
   approach is needed to supplement or replace the current recruitment
   strategy.'
RI Grace, Sandra/Q-3626-2017; Engel, Roger/AAH-3209-2020
OI Grace, Sandra/0000-0002-0300-4088; Engel, Roger/0000-0001-6021-0497
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
TC 12
Z9 12
U1 0
U2 3
SN 2045-709X
UT MEDLINE:27822360
PM 27822360
ER

PT J
AU LeBrun, Emily E. Weber
   Asumu, Hazel
   Richardson, Anne M.
   Cooper, LouAnn A.
   Davis, John D.
TI Identifying Gaps and Inconsistencies in Urogynecologic Surgical Training
   of Obstetrics and Gynecology Residents
SO FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
VL 22
IS 6
BP 476
EP 481
DI 10.1097/SPV.0000000000000320
PD NOV-DEC 2016
PY 2016
AB Objective: This study aims to determine the expectations of Obstetrics
   and Gynecology (ObGyn) residency and Female Pelvic Medicine &
   Reconstructive Surgery (FPMRS) fellowship program directors (FPDs) for
   the independent performance of urogynecologic procedures during
   residency and to compare these expectations with the Council on Resident
   Education in Obstetrics and Gynecology (CREOG) educational objectives.
   Materials and Methods: Two parallel, anonymous surveys were distributed
   simultaneously to all directors of accredited ObGyn residency and FPMRS
   fellowship programs in the United States. Respondents provided their own
   professional and program demographic information and indicated whether
   they expected their residents to independently perform 27 selected
   urogynecologic procedures.
   Results: Among residency program directors (RPDs) and FPDs, the online
   survey response rate was 24.8% (n = 59) and 51.9% (n = 27),
   respectively. More RPDs expected residents to perform prolapse
   procedures with mesh, including laparoscopic sacrocolpopexy, all apical
   suspensions, mesh excisions, and cystotomy repairs, than FPDs. In
   addition, RPDs expected mastery of most urogynecologic procedures by the
   Post Graduate Year 3 level, whereas most FPDs did not expect independent
   performance of these procedures during residency at all. There were
   notable differences between RPDs' expectations and CREOG objectives
   regarding several surgical procedures. Whereas CREOG recommends
   independent performance of anterior and posterior repair, vaginal
   suspension, vaginal hysterectomy, and transobturator slings, a
   significant number of RPDs did not report expecting mastery of these
   procedures during residency. Approximately 30% of RPDs expected
   residents to perform open sacrocolpopexy and vesicovaginal fistula
   repair, whereas CREOG recommends only the understanding of these,
   without procedural mastery.
   Conclusions: Although community needs vary by region and setting, CREOG
   objectives serve as the standard for resident surgical education. This
   study highlights the discordance between these objectives and ObGyn
   RDPs' reported expectations for resident performance as well as those
   held by FPMRS FPDs, the outcome of which reflects a misalignment in
   graduate medical education between RPDs and FPDs, thus hindering a clear
   standard for resident surgical competencies.
RI Guinan, Irazu S/C-4498-2017; Weber LeBrun, Emily/
OI Weber LeBrun, Emily/0000-0001-5658-2992
ZA 0
ZR 0
ZB 0
ZS 0
TC 4
Z8 0
Z9 4
U1 0
U2 2
SN 2151-8378
EI 2154-4212
UT WOS:000387255800020
PM 27636218
ER

PT J
AU Reich, Jason
   Guo, Ling
   Hall, Julia
   Tran, Ashley
   Weinberg, Janice
   Groshek, Jacob
   Rowell, Tanya E.
   DiPalma, Jack A.
   Farraye, Francis A.
TI A Survey of Social Media Use and Preferences in Patients with
   Inflammatory Bowel Disease
SO INFLAMMATORY BOWEL DISEASES
VL 22
IS 11
BP 2678
EP 2687
DI 10.1097/MIB.0000000000000951
PD NOV 2016
PY 2016
AB Background:With the recent increase in the use of social media, patients
   with chronic illnesses are using the Internet as a resource for disease
   management. As the peak incidence of inflammatory bowel disease (IBD)
   occurs in patients between the ages of 15 and 30, IBD is a suitable
   condition to study social media use. The aim of this study was to assess
   social media usage and preferences in patients with IBD.Methods:We
   administered a survey to 118 patients with IBD at our outpatient
   practice at the Boston Medical Center (BMC), Center for Digestive
   Disorders, and the University of Southern Alabama (USA) between November
   1, 2015, and March 9, 2016.Results:The most frequently used IBD-specific
   social media website was the CCFA (86%). High-frequency social media
   users were more likely to agree that social media is useful for managing
   my IBD, compared with low-frequency social media users (OR 3.23,
   0.3-10.1, P = 0.199). Fifty-five percent of respondents were interested
   in obtaining patient-with-IBD education through social media, or
   organizations such as the CCFA, whereas 45% did not express interest.
   Sixty-two percent of patients would be interested in following a social
   media account established by their gastroenterologist. Privacy and/or
   confidentiality issues were the primary barriers to social media use.
   Last, most patients were unsure of the quality of IBD information posted
   online.Conclusions:The results of this study suggest that patients who
   frequently use social media are highly interested in using social media
   in the management of their IBD. Most patients with IBD in our study were
   interested in receiving IBD information from their gastroenterologist
   and other patient-related organizations through social media. Most
   patients are unsure of the quality of IBD information posted on social
   media. Gastroenterologists should be aware that their patients may use
   social media to obtain disease education. Future studies should assess
   the quality of IBD information on social media and the effectiveness of
   communication through social media as a means to improve patient
   education and outcomes.
OI Weinberg, Janice/0000-0002-3503-0061
ZA 0
TC 21
Z8 0
ZB 3
ZS 1
ZR 0
Z9 22
U1 0
U2 9
SN 1078-0998
EI 1536-4844
UT WOS:000387248500022
PM 27755269
ER

PT J
AU Garcia-Casasola, Gonzalo
   Sanchez, Francisco Javier Garcia
   Luordo, Davide
   Zapata, Deborah Forrester
   Frias, Maria Carnevali
   Garrido, Victoria Villena
   Martinez, Javier Villanueva
   de la Sotilla, Alberto Forero
   Rojo, Jose Manuel Casas
   Macho, Juan Torres
TI Basic Abdominal Point-of-Care Ultrasound Training in the Undergraduate
   Students as Mentors
SO JOURNAL OF ULTRASOUND IN MEDICINE
VL 35
IS 11
BP 2483
EP 2489
DI 10.7863/ultra.15.11068
PD NOV 1 2016
PY 2016
AB Objectives-To analyze the ability of medical students to be integrated
   in the teaching of basic abdominal ultrasound using a peer-mentoring
   design.
   Methods-Thirty medical students previously trained in basic abdominal
   ultrasound (mentors) had to teach all fourth-year students (n = 136)
   from a single academic year the same training they had received. There
   were 3 stages to the ultrasound teaching: theoretical (online course);
   basic training (3 practical sessions in which students were guaranteed
   to have had a minimum of 15 hours of practical experience with
   ultrasound and performed at least 20 basic abdominal ultrasound
   studies); and evaluation (objective structured clinical examination in
   which students had to obtain the basic abdominal views and to identify
   17 structures).
   Results-The mean grade +/- SD obtained was 8.71 +/- 1.53 of a possible
   10 points. Only 2 students (1.56%) obtained a grade lower than 5, and 14
   students (10.86%) obtained a grade lower than 7. A total of 33 students
   (25.5%) achieved the maximum grade. The structures most easily
   identified were the liver, the right kidney, and the urinary bladder,
   with 97.7% of correct answers. Students obtained the poorest results
   when trying to identify the left and right cardiac cavities (subxiphoid
   view), with only 53.5% and 55.8% of correct answers, respectively.
   Conclusions-Teaching based on peer mentoring achieved an adequate level
   of training in basic abdominal ultrasound. The students acquired these
   skills in a relatively short training period. These results suggest that
   peer mentoring can facilitate the large-scale implementation of
   ultrasound teaching in undergraduate students.
OI Garcia Sanchez, Francisco Javier/0000-0002-8591-9950; Casas Rojo, Jose
   Manuel/0000-0002-6649-4301; Luordo, Davide/0000-0002-2198-8068;
   Villanueva Martinez, Javier/0000-0002-5370-5296
ZB 3
Z8 1
ZA 0
ZS 1
TC 20
ZR 0
Z9 20
U1 0
U2 8
SN 0278-4297
EI 1550-9613
UT WOS:000387265200022
PM 27738292
ER

PT J
AU Wang, C. -K. Chris
   Caruana, Carmel J.
   Orton, Colin G.
TI It is appropriate to deliver the didactic lecture components of masters
   programs in medical physics completely online
SO MEDICAL PHYSICS
VL 43
IS 11
BP 5791
EP 5793
DI 10.1118/1.4961013
PD NOV 2016
PY 2016
ZR 0
ZB 0
ZS 0
TC 0
Z8 0
ZA 0
Z9 0
U1 2
U2 3
SN 0094-2405
EI 2473-4209
UT WOS:000387007500001
PM 27806592
ER

PT J
AU Kasch, R.
   Wirkner, J.
   Hosten, N.
   Hinz, P.
   Napp, M.
   Kessler, R.
TI Subinternship in Radiology - A Practical Start to the Specialization?
SO ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER
   BILDGEBENDEN VERFAHREN
VL 188
IS 11
BP 1024
EP 1030
DI 10.1055/s-0042-113612
PD NOV 2016
PY 2016
AB Purpose: To identify factors influencing medical students to choose
   radiology in the four-month clinical elective in the final year of
   medical school following radiology subinternships.
   Materials and Methods: A subsample of medical students in a nationwide
   German online survey evaluated a subinternship in radiology (19 items).
   They were divided into four groups: Students who could imagine doing a
   clinical elective in radiology in the practical year based on their
   experiences during the subinternship ("yes, based on subinternship"),
   students who could not ("no, based on subinternship") and students who
   had made this decision prior to the subinternship ("yes, prior to
   subinternship" and "no, prior to subinternship").
   Results: 94 medical students evaluated a radiology subinternship (54.4 %
   females). Based on their experiences during the subinternship, 54
   students (57.4 %) intended to do a final year clinical elective in
   radiology, 39 of them (41.5 %) being encouraged by the subinternship. 40
   (42.6 %) reported having a negative attitude towards a clinical elective
   in radiology, 16 of them (17.0 %) having made this decision based on
   their subinternship experience. Groups did not differ regarding gender
   (p = 0.396) and age (p = 0.853). Students motivated to do a final year
   clinical elective in radiology experienced excellent academic teaching
   (p = 0.001) and practical involvement (p = 0.003), achieved their
   learning goals more often (p = 0.001), were better integrated into the
   team (p = 0.001), and acquired more practical skills (p = 0.003).
   Overall satisfaction was higher in these groups (p = 0.001).
   Conclusion: Satisfaction with a radiology subinternship is crucial for
   motivating medical students to do a final year clinical elective in
   radiology. A structured subinternship and continuous mentoring should be
   targeted to keep students connected to radiology.
Z8 0
ZR 0
ZS 0
TC 4
ZB 1
ZA 0
Z9 4
U1 0
U2 1
SN 1438-9029
EI 1438-9010
UT WOS:000387237500003
PM 27657345
ER

PT J
AU Chen, Meng-Chun
   Chen, Kuei-Min
   Chang, Chu-Lin
   Chang, Ya-Hui
   Cheng, Yin-Yin
   Huang, Hsin-Ting
TI Elastic Band Exercises Improved Activities of Daily Living and
   Functional Fitness of Wheelchair-bound Older Adults with Cognitive
   Impairment: A Cluster Randomized Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 11
BP 789
EP 799
DI 10.1097/PHM.0000000000000518
PD NOV 2016
PY 2016
AB Objective The purpose of this study was to test the effects of a 6-month
   Wheelchair-bound Senior Elastic Band (WSEB) exercise program on the
   activities of daily living (ADL) and functional fitness of
   wheelchair-bound older adults with cognitive impairment.
   Design Cluster randomized controlled trial was used. A convenience
   sample of 138 wheelchair-bound older adults with cognitive impairment
   were recruited from 8 nursing homes in southern Taiwan and were randomly
   assigned based on the nursing homes they lived to the experimental (4
   nursing homes; n = 73) or the control group (4 nursing homes; n = 65).
   The experimental group performed WSEB exercises 3 times per week and 40
   minutes per session for 6 months. The ADL and functional fitness
   (cardiopulmonary function, body flexibility, range of joint motion, and
   muscle strength and endurance) were examined at baseline, 3 months, and
   the end of 6-month study.
   Results The ADL and functional fitness indicators of participants in the
   experimental group showed significant improvements compared to the
   control group (all P < 0.05).
   Conclusions The WSEB exercises have positive benefits for the ADL and
   functional fitness of wheelchair-bound older adults with cognitive
   impairment. It is suggested that WSEB exercises be included as a routine
   activity in nursing homes.
   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 risk factors for functional decline in older
   adults with dementia; (2) Articulate the benefits of structured
   activities and exercises in the older adult with dementia; and (3)
   Incorporate elastic band exercises into the treatment plan of wheelchair
   bound older adults with dementia.
   Level: Advanced
   Accreditation: The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this 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.
ZR 0
ZA 0
ZS 2
TC 15
ZB 0
Z8 0
Z9 15
U1 1
U2 21
SN 0894-9115
EI 1537-7385
UT WOS:000386761700008
PM 27149585
ER

PT J
AU Schmitz, Connie C.
   Braman, Jonathan P.
   Turner, Norman
   Heller, Stephanie
   Radosevich, David M.
   Yan, Yelena
   Miller, Jane
   Chipman, Jeffrey G.
TI Learning by (video) example: a randomized study of communication skills
   training for end-of-life and error disclosure family care conferences
SO AMERICAN JOURNAL OF SURGERY
VL 212
IS 5
BP 996
EP 1004
DI 10.1016/j.amjsurg.2016.02.023
PD NOV 2016
PY 2016
AB BACKGROUND: Teaching residents to lead end of life (EOL) and error
   disclosure (ED) conferences is important.
   METHODS: We developed and tested an intervention using videotapes of EOL
   and error disclosure encounters from previous Objective Structured
   Clinical Exams. Residents (n = 72) from general and orthopedic surgery
   programs at 2 sites were enrolled. Using a prospective, pre-post, block
   group design with stratified randomization, we hypothesized the
   treatment group would outperform the control on EOL and ED cases. We
   also hypothesized that online course usage would correlate positively
   with post-test scores.
   RESULTS: All residents improved (pre-post). At the group level,
   treatment effects were insignificant, and post-test performance was
   unrelated to course usage. At the subgroup level for EOL, low performers
   assigned to treatment scored higher than controls at post-test; and
   within the treatment group, post graduate year 3 residents outperformed
   post graduate year 1 residents.
   CONCLUSIONS: To be effective, online curricula illustrating
   communication behaviors need face-to-face interaction, individual role
   play with feedback and discussion. (C) 2016 Elsevier Inc. All rights
   reserved.
OI Braman, Jonathan/0000-0002-0319-1311; Miller, Jane/0000-0001-9518-3396
ZA 0
Z8 0
ZR 0
ZS 0
TC 15
ZB 1
Z9 15
U1 0
U2 14
SN 0002-9610
EI 1879-1883
UT WOS:000385926700029
PM 27474496
ER

PT J
AU Liegl, G.
   Boeckle, M.
   Leitner, A.
   Pieh, C.
TI A meta-analytic review of brief guided self-help education for chronic
   pain
SO EUROPEAN JOURNAL OF PAIN
VL 20
IS 10
BP 1551
EP 1562
DI 10.1002/ejp.881
PD NOV 2016
PY 2016
AB Up to 30% of the population in Western countries suffer from chronic
   pain. The treatment of chronic pain causes medical and socioeconomic
   problems. Guided self-help (GSH) might be an effective supplementary
   treatment, however, the size of this effect is unclear. This
   meta-analysis quantifies the effect of GSH on chronic pain. A systematic
   literature search was conducted using PubMed, Cochrane, Psyndex,
   Psycinfo and Scopus. Studies that investigated GSH in chronic pain
   conditions (children and adults) were included. Disability, quality of
   life and pain severity were defined as main outcomes. We conducted
   random effects models to calculate standardized mean differences (SMDs).
   By applying mixed models and subgroup analyses, we examined the
   moderating effects of sample characteristics (age; pain region), GSH
   format (online; face-to-face contact) and study characteristics (study
   quality; control condition). We identified 16 eligible studies,
   including 739 subjects. Between-group analyses resulted in a medium, but
   heterogeneous effect size for pain severity (SMD=0.51; CI95: 0.21,
   0.81). After excluding two samples suggesting small study bias, the
   effect on pain severity was small but homogeneous (SMD=0.34; CI95: 0.13,
   0.54). We found a small effect size for disability (SMD=0.30; CI95:
   0.10, 0.50). The pooled effect size for quality of life did not reach
   significance (SMD=0.24; CI95: -0.07, 0.54). We conclude that GSH has a
   small but robust effect on pain severity and disability in chronic pain
   patients. This applies to various GSH formats and patient populations.
   It seems reasonable to integrate GSH into clinical practice as a
   supplemental treatment option.
   What does this review add?The present meta-analytic review found small
   but robust effects of guided self-help interventions for the treatment
   of chronic pain.
RI Liegl, Gregor/I-2197-2019; Boeckle, Markus/A-9968-2010; Pieh, Christoph/GSN-1242-2022; Pieh, Christoph/
OI Liegl, Gregor/0000-0001-9073-817X; Boeckle, Markus/0000-0002-0738-2764;
   Pieh, Christoph/0000-0003-2708-303X
TC 7
ZB 2
Z8 0
ZR 0
ZS 0
ZA 0
Z9 7
U1 1
U2 21
SN 1090-3801
EI 1532-2149
UT WOS:000386933100002
PM 27161217
ER

PT J
AU Guerin, Rebecca J.
   Okun, Andrea H.
   Kelley, Patricia
TI Development and validation of an assessment tool for a national young
   worker curriculum
SO AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
VL 59
IS 11
BP 969
EP 978
DI 10.1002/ajim.22610
PD NOV 2016
PY 2016
AB BackgroundAn online, multiple-choice assessment was developed and
   validated for Youth@Work-Talking Safety, a NIOSH curriculum that equips
   middle and high school students with foundational workplace safety and
   health knowledge and skills.
   MethodsClassical Test Theory was used for the test development and
   validation; the Jaeger method was used for cut score determination. A
   total of 118 multiple-choice items were developed to measure the
   acquisition of knowledge and skills taught through the NIOSH curriculum.
   Pilot testing was conducted with 192 8-12th grade students and a cut
   score was determined.
   ResultsThe mean score for all test-takers on the Talking Safety
   assessment was 80.9%; total test reliability measured using an
   Alpha/KR20 statistic was 0.93. A minimum passing (cut) score of 74% was
   established.
   ConclusionsThe assessment provides an objective measure of students'
   acquisition of the foundational workplace safety and health competencies
   taught through the Talking Safety curriculum. Am. J. Ind. Med.
   59:969-978, 2016. (c) 2016 Wiley Periodicals, Inc.
Z8 0
TC 7
ZS 0
ZB 2
ZR 0
ZA 0
Z9 7
U1 0
U2 4
SN 0271-3586
EI 1097-0274
UT WOS:000386043600006
PM 27711978
ER

PT J
AU Prabhu, Arpan V.
   Hansberry, David R.
   Agarwal, Nitin
   Clump, David A.
   Heron, Dwight E.
TI Radiation Oncology and Online Patient Education Materials: Deviating
   From NIH and AMA Recommendations
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 96
IS 3
BP 521
EP 528
DI 10.1016/j.ijrobp.2016.06.2449
PD NOV 1 2016
PY 2016
AB Purpose: Physicians encourage patients to be informed about their health
   care options, but much of the online health careerelated resources can
   be beneficial only if patients are capable of comprehending it. This
   study's aim was to assess the readability level of online patient
   education resources for radiation oncology to conclude whether they meet
   the general public's health literacy needs as determined by the
   guidelines of the United States National Institutes of Health (NIH) and
   the American Medical Association (AMA).
   Methods: Radiation oncology-related internet-based patient education
   materials were downloaded from 5 major professional websites (American
   Society for Radiation Oncology, American Association of Physicists in
   Medicine, American Brachytherapy Society, RadiologyInfo.org, and
   Radiation Therapy Oncology Group). Additional patient education
   documents were downloaded by searching for key radiation oncology
   phrases using Google. A total of 135 articles were downloaded and
   assessed for their readability level using 10 quantitative readability
   scales that are widely accepted in the medical literature.
   Results: When all 10 assessment tools for readability were taken into
   account, the 135 online patient education articles were written at an
   average grade level of 13.7 +/- 2.0. One hundred nine of the 135
   articles (80.7%) required a high school graduate's comprehension level
   (12th-grade level or higher). Only 1 of the 135 articles (0.74%) met the
   AMA and NIH recommendations for patient education resources to be
   written between the third-grade and seventh-grade levels.
   Conclusion: Radiation oncology websites have patient education material
   written at an educational level above the NIH and AMA recommendations;
   as a result, average American patients may not be able to fully
   understand them. Rewriting radiation oncology patient education
   resources would likely contribute to the patients' understanding of
   their health and treatment options, making each physician-patient
   interaction more productive and efficient. (C) 2016 Elsevier Inc. All
   rights reserved.
RI Prabhu, Arpan/M-4193-2014
OI Prabhu, Arpan/0000-0002-9928-2911
ZR 0
Z8 0
ZS 0
ZA 0
TC 29
ZB 7
Z9 29
U1 0
U2 2
SN 0360-3016
EI 1879-355X
UT WOS:000385522900006
PM 27681748
ER

PT J
AU Vaughan, N.
   Gabrys, B.
   Dubey, V.N.
TI An overview of self-adaptive technologies within virtual reality
   training
SO Computer Science Review
VL 22
BP 65
EP 87
DI 10.1016/j.cosrev.2016.09.001
PD Nov. 2016
PY 2016
AB This overview presents the current state-of-the-art of self-adaptive
   technologies within virtual reality (VR) training. Virtual reality
   training and assessment is increasingly used for five key areas:
   medical, industrial & commercial training, serious games, rehabilitation
   and remote training such as Massive Open Online Courses (MOOCs).
   Adaptation can be applied to five core technologies of VR including
   haptic devices, stereo graphics, adaptive content, assessment and
   autonomous agents. Automation of VR training can contribute to
   automation of actual procedures including remote and robotic assisted
   surgery which reduces injury and improves accuracy of the procedure.
   Automated haptic interaction can enable tele-presence and virtual
   artefact tactile interaction from either remote or simulated
   environments. Automation, machine learning and data driven features play
   an important role in providing trainee-specific individual adaptive
   training content. Data from trainee assessment can form an input to
   autonomous systems for customised training and automated difficulty
   levels to match individual requirements. Self-adaptive technology has
   been developed previously within individual technologies of VR training.
   One of the conclusions of this research is that while it does not exist,
   an enhanced portable framework is needed and it would be beneficial to
   combine automation of core technologies, producing a reusable automation
   framework for VR training. [All rights reserved Elsevier].
RI Vaughan, Neil/AAJ-6683-2021; Vaughan, Neil/; Dubey, Venketesh/; Gabrys, Bogdan/
OI Vaughan, Neil/0000-0001-5038-6560; Dubey, Venketesh/0000-0001-6327-711X;
   Gabrys, Bogdan/0000-0002-0790-2846
ZB 0
ZR 1
ZS 0
ZA 0
TC 59
Z8 1
Z9 61
U1 0
U2 74
SN 1574-0137
UT INSPEC:17271351
ER

PT J
AU Villwock, Jennifer A
   Sobin, Lindsay B
   Koester, Lindsey A
   Harris, Tucker M
TI Impostor syndrome and burnout among American medical students: a pilot
   study.
SO International journal of medical education
VL 7
BP 364
EP 369
DI 10.5116/ijme.5801.eac4
PD 2016 Oct 31
PY 2016
AB Objectives: To describe levels of burnout and impostor syndrome (IS) in
   medical students, and to recognize demographic differences in those
   experiencing burnout and IS.
   Methods: Anonymous survey administered online in 2014 that included
   demographic data, the Maslach Burnout Inventory and an IS screening
   questionnaire. Main outcome measures were level of burnout, and presence
   or absence of imposter syndrome. The presence of IS and burnout
   components were analyzed across age, gender, race, year of training,
   intention to pursue fellowship training, and greater than one year of
   work experience outside of medicine using chi-squared tests. The
   association between burnout and IS was also compared using chi-squared
   tests.
   Results: One hundred and thirty-eight students completed the
   questionnaire. Female gender was significantly associated with IS
   (chi2(3)=10.6, p=0.004) with more than double the percentage of females
   displaying IS than their male counterparts (49.4% of females versus
   23.7% of males). IS was significantly associated with the burnout
   components of exhaustion (chi2(2)=5.9, p=0.045), cynicism (chi2(2)=9.4,
   p=0.004), emotional exhaustion (chi2(2)=8.0, p=0.018), and
   depersonalization (chi2(2)=10.3, p=0.006). The fourth year of medical
   school was significantly associated with IS (chi2(3)=10.5, p=0.015).
   Conclusions: Almost a quarter of male medical students and nearly half
   of female students experience IS and IS was found to be significantly
   associated with burnout indices. Given the high psychological morbidity
   of these conditions, this association cannot be ignored. It behooves us
   to reconsider facets of medical education (i.e. shame-based learning and
   overall teaching style) and optimize the medical learning environment.
RI Villwock, Jennifer A./I-4189-2019
OI Villwock, Jennifer A./0000-0001-5645-4210
TC 117
ZB 8
ZS 3
Z8 1
ZR 0
ZA 0
Z9 121
U1 3
U2 35
EI 2042-6372
UT MEDLINE:27802178
PM 27802178
ER

PT J
AU Furnham, Adrian
   Gee, Marcus
   Weis, Laura
TI Knowledge of mental illnesses: Two studies using a new test
SO PSYCHIATRY RESEARCH
VL 244
BP 363
EP 369
DI 10.1016/j.psychres.2016.06.058
PD OCT 30 2016
PY 2016
AB While the benefits of public knowledge of physical diseases are widely
   recognised, knowledge about mental disorders (mental health literacy,
   MHL) has received much less attention. This paper reports on two studies
   using the new Multiple-Choice Knowledge of Mental Illness Test
   (MC-KOMIT), a 33 item test of MHL (Compton et al., 2011). In Study 1, we
   examined cross-cultural associations between country of origin and their
   MHL in an online sample of 250 adults. In line with previous findings,
   we demonstrate that British and American participants outperform
   respondents from India. Furthermore, males showed significantly lower
   MHL, but - contrary to expectations - age did not have a significant
   impact. Study 2 was conducted to validate and extend findings of study 1
   concerning the impact of demographics and individual difference factors
   on MHL. Results of the second study, using American participants are
   consistent with findings of study 1. In addition we show that while
   religious beliefs may reduce MHL, higher levels of education and
   self-confidence are associated with higher levels of MHL. (C) 2016
   Elsevier Ireland Ltd. All rights reserved.
RI Furnham, Adrian/ABB-2072-2020
ZS 0
ZB 0
TC 1
ZR 0
ZA 0
Z8 0
Z9 1
U1 0
U2 16
SN 0165-1781
UT WOS:000384776700056
PM 27525825
ER

PT J
AU Smedegaard, Soren
   Christiansen, Lars Breum
   Lund-Cramer, Pernille
   Bredahl, Thomas
   Skovgaard, Thomas
TI Improving the well-being of children and youths: a randomized
   multicomponent, school-based, physical activity intervention
SO BMC PUBLIC HEALTH
VL 16
AR 1127
DI 10.1186/s12889-016-3794-2
PD OCT 28 2016
PY 2016
AB Background: The benefits of physical activity for the mental health and
   well-being of children and young people are well-established. Increased
   physical activity during school hours is associated with better
   physical, psychological and social health and well-being. Unfortunately
   many children and young people exercise insufficiently to benefit from
   positive factors like well-being. The main aim of this study is to
   develop, implement and evaluate a multi-component, school-based,
   physical activity intervention to improve psychosocial well-being among
   school-aged children and youths from the 4th to the 6th grade (10-13
   years).
   Methods: A four-phased intervention-design, pilot, RCT, evaluation - is
   carried out for the development, implementation and evaluation of the
   intervention which are guided by The Medical Research Council framework
   for the development of complex interventions. 24 schools have been
   randomized and the total study population consists of 3124 children
   (baseline), who are followed over a period of 9 months. Outcome measure
   data at the pupil level are collected using an online questionnaire at
   baseline and at follow-up, 9 months later with instruments for measuring
   primary (general physical self-worth) and secondary outcomes
   (self-perceived sport competences, body attractiveness, scholastic
   competences, social competences and global self-worth; enjoyment of PA;
   self-efficacy; and general well-being) that are both valid and
   manageable in setting-based research. The RE-AIM framework is applied as
   an overall instrument to guide the evaluation.
   Discussion: The intervention focuses on the mental benefits of physical
   activity at school, which has been a rather neglected theme in health
   promotion research during recent decades. This is unfortunate as mental
   health has been proclaimed as one of the most important health concerns
   of the 21st century. Applying a cluster RCT study design, evaluating the
   real-world effectiveness of the intervention, this study is one of the
   largest physical activity intervention projects promoting psychosocial
   well-being among children and youths. Through a comprehensive
   effectiveness evaluation and a similar substantial process evaluation,
   this study is designed to gain knowledge on a broad variety of
   implementation issues and give detailed information on project delivery
   and challenges at the school level-among other things to better inform
   future practice.
RI Christiansen, Lars Breum/; Bredahl, Thomas Viskum Gjelstrup/; Skovgaard, Thomas/; Smedegaard, Soren/S-3232-2017
OI Christiansen, Lars Breum/0000-0002-5142-3623; Bredahl, Thomas Viskum
   Gjelstrup/0000-0002-4392-9763; Skovgaard, Thomas/0000-0001-6729-4988;
   Smedegaard, Soren/0000-0002-5451-9743
ZA 0
ZS 0
ZB 2
TC 22
Z8 0
ZR 0
Z9 22
U1 4
U2 92
EI 1471-2458
UT WOS:000386388200001
PM 27793141
ER

PT J
AU Xu, Xianglong
   Chen, Cheng
   Abdullah, Abu S.
   Sharma, Manoj
   Liu, Hengyi
   Zhao, Yong
TI Knowledge about and sources of smoking-related knowledge, and
   influencing factors among male urban secondary school students in
   Chongqing, China
SO SPRINGERPLUS
VL 5
AR 1879
DI 10.1186/s40064-016-3589-z
PD OCT 26 2016
PY 2016
AB Objectives: This study examined smoking-related knowledge, sources of
   smoking-related knowledge and its influencing factor among male urban
   secondary school students.
   Methods: We conducted a cross-sectional survey, using a
   self-administered questionnaire, among 1297 male secondary school
   students in municipal areas of Chongqing, China.
   Results: Non-smokers had a better knowledge of smoking hazards than
   smokers. Less than 20% of students knew that smoking can cause heart
   disease, peptic ulcer, and cerebral stroke. Sources of smoking-related
   knowledge differed between smokers and non-smokers, respectively: TV
   (76.5 vs. 76.7%), teacher (70.1 vs. 62.4%), social network (66.6 vs.
   73.1%), parents (57.0 vs. 59.2%), newspaper (55.4 vs. 61.6%), and
   friends (37.7 vs. 33.9%). Non-smokers' hobbies of reading were
   significantly higher than smokers' (chi(2) = 11.5845, p = 0.0007).
   Smokers' hobbies of online games (chi(2) = 14.9106, p = 0.0001), and
   sports (chi(2) = 4.8609, p = 0.0275) were significantly higher than
   non-smokers'. Generalized estimating equations (GEE) found that students
   whose both father and mother smoke were unable to receive
   tobacco-related knowledge. GEE also found that students in high school,
   with affluent family economic condition and with an opposing attitude
   towards father smoking possessed a better smoking-related knowledge.
   However, male students with disagreement or neutral attitude towards
   friends smoking were negatively associated with the knowledge of smoking
   hazards.
   Conclusions: The findings of the present study suggest that a
   significant proportion of male secondary school students in urban
   Chongqing lack specific knowledge about smoking-related diseases.
   Targeted educational programs for secondary school students in China are
   needed to promote tobacco control and tobacco use reduction and
   cessation among students.
RI Sharma, Manoj/AAN-6133-2020; Zhao, Yong/Z-3231-2019
OI Sharma, Manoj/0000-0002-4624-2414; Zhao, Yong/0000-0001-9290-109X
ZA 0
Z8 0
ZS 0
ZR 0
ZB 2
TC 6
Z9 6
U1 1
U2 10
SN 2193-1801
UT WOS:000391813700008
PM 27833838
ER

PT J
AU Frenger, Monika
   Pitsch, Werner
   Emrich, Eike
TI Sport-Induced Substance Use-An Empirical Study to the Extent within a
   German Sports Association
SO PLOS ONE
VL 11
IS 10
AR e0165103
DI 10.1371/journal.pone.0165103
PD OCT 26 2016
PY 2016
AB In cooperation with the Sports Association of the Palatinate (SBP), a
   survey was conducted on substance use by recreational and amateur
   athletes. Distribution of the online questionnaire took place by means
   of chain-referral sampling, and questions on substance use were
   presented using the randomized response technique (RRT) to protect the
   anonymity of respondents and prevent socially desirable answers. The
   estimated lowest limit for the population share for use of prohibited
   substances during the last season (4%) and for lifetime use (3.6%) did
   not differ significantly. Approximately 21% of respondents had used
   substances for training or competitions that were taken for a purpose
   other than performance enhancement (e.g., to improve their mood or to
   help with recuperation from a minor injury or illness) in the last year.
   49% had done so at some point in their life.
RI Frenger, Monika/AAZ-5235-2021; Pitsch, Werner/S-8494-2019
OI Frenger, Monika/0000-0002-4566-1959; Pitsch, Werner/0000-0002-8411-6873
ZB 0
Z8 0
ZS 0
ZA 0
TC 13
ZR 0
Z9 13
U1 0
U2 3
SN 1932-6203
UT WOS:000389602800057
PM 27783664
ER

PT J
AU Hu, Xiaoyun
   Xi, Xiuming
   Ma, Penglin
   Qiu, Haibo
   Yu, Kaijiang
   Tang, Yaoqing
   Qian, Chuanyun
   Fang, Qiang
   Wang, Yushan
   Yu, Xiangyou
   Xu, Yuan
   Du, Bin
CA CCCCTG
   Task Force Core Competencies
TI Consensus development of core competencies in intensive and critical
   care medicine training in China
SO CRITICAL CARE
VL 20
AR 330
DI 10.1186/s13054-016-1514-z
PD OCT 16 2016
PY 2016
AB Background: The aim of this study is to develop consensus on core
   competencies required for postgraduate training in intensive care
   medicine.
   Methods: We used a combination of a modified Delphi method and a nominal
   group technique to create and modify the list of core competencies to
   ensure maximum consensus. Ideas were generated modified from Competency
   Based Training in Intensive Care Medicine in Europe collaboration
   (CoBaTrICE) core competencies. An online survey invited healthcare
   professionals, educators, and trainees to rate and comment on these
   competencies. The output from the online survey was edited and then
   reviewed by a nominal group of 13 intensive care professionals to
   identify each competence for importance. The resulting list was then
   recirculated in the nominal group for iterative rating.
   Results: The online survey yielded a list of 199 competencies for
   nominal group reviewing. After five rounds of rating, 129 competencies
   entered the final set defined as core competencies.
   Conclusions: We have generated a set of core competencies using a
   consensus technique which can serve as an indicator for training program
   development.
RI Qiu, Haibo/AAS-9047-2021; Du, Bin/K-4283-2013
OI Qiu, Haibo/0000-0001-8589-4717; Du, Bin/0000-0001-6237-2895
ZB 1
Z8 1
ZA 0
ZR 0
TC 13
ZS 1
Z9 14
U1 1
U2 12
SN 1466-609X
EI 1364-8535
UT WOS:000385725000001
PM 27743557
ER

PT J
AU Seeland, Ute
   Nauman, Ahmad T.
   Cornelis, Alissa
   Ludwig, Sabine
   Dunkel, Mathias
   Kararigas, Georgios
   Regitz-Zagrosek, Vera
TI eGender-from e-Learning to e-Research: a web-based interactive
   knowledge-sharing platform for sex- and gender-specific medical
   education
SO BIOLOGY OF SEX DIFFERENCES
VL 7
AR 39
DI 10.1186/s13293-016-0101-y
PD OCT 14 2016
PY 2016
AB Background: Sex and Gender Medicine is a novel discipline that provides
   equitable medical care for society and improves outcomes for both male
   and female patients. The integration of sex- and gender-specific
   knowledge into medical curricula is limited due to adequate learning
   material, systematic teacher training and an innovative communication
   strategy. We aimed at initiating an e-learning and knowledge-sharing
   platform for Sex and Gender Medicine, the eGender platform
   (http://egender.charite.de), to ensure that future doctors and health
   professionals will have adequate knowledge and communication skills on
   sex and gender differences in order to make informed decisions for their
   patients.
   Methods: The web-based eGender knowledge-sharing platform was designed
   to support the blended learning pedagogical teaching concept and follows
   the didactic concept of constructivism. Learning materials developed by
   Sex and Gender Medicine experts of seven universities have been used as
   the basis for the new learning tools. The content of these tools is
   patient-centered and provides add-on information on gender-sensitive
   aspects of diseases. The structural part of eGender was designed and
   developed using the open source e-learning platform Moodle. The eGender
   platform comprises an English and a German version of e-learning
   modules: one focusing on basic knowledge and seven on specific medical
   disciplines. Each module consists of several courses corresponding to a
   disease or symptom complex. Self-organized learning has to be managed by
   using different learning tools, e.g., texts and audiovisual material,
   tools for online communication and collaborative work.
   Results: More than 90 users from Europe registered for the eGender
   Medicine learning modules. The most frequently accessed module was
   "Gender Medicine-Basics" and the users favored discussion forums. These
   e-learning modules fulfill the quality criteria for higher education and
   are used within the elective Master Module "Gender Medicine-Basics"
   implemented into the accredited Master of Public Health at
   Charite-Berlin.
   Conclusions: The eGender platform is a flexible and user-friendly
   electronical knowledge-sharing platform providing evidence-based
   high-quality learning material used by a growing number of registered
   users. The eGender Medicine learning modules could be key in the reform
   of medical curricula to integrate Sex and Gender Medicine into the
   education of health professionals.
Z8 0
ZA 0
ZB 0
ZS 0
ZR 0
TC 0
Z9 0
U1 0
U2 14
SN 2042-6410
UT WOS:000386398100003
ER

PT J
AU Luetsch, Karen
   Burrows, Judith
TI Certainty rating in pre-and post-tests of study modules in an online
   clinical pharmacy course - A pilot study to evaluate teaching and
   learning
SO BMC MEDICAL EDUCATION
VL 16
AR 267
DI 10.1186/s12909-016-0783-1
PD OCT 14 2016
PY 2016
AB Background: Graduate and post-graduate education for health
   professionals is increasingly delivered in an e-learning environment,
   where automated, continuous formative testing with integrated feedback
   can guide students' self-assessment and learning. Asking students to
   rate the certainty they assign to the correctness of their answers to
   test questions can potentially provide deeper insights into the success
   of teaching, with test results informing course designers whether
   learning outcomes have been achieved. It may also have implications for
   decision making in clinical practice.
   Methods: A study of pre-and post-tests for five study modules was
   designed to evaluate the teaching and learning within a
   pharmacotherapeutic course in an online postgraduate clinical pharmacy
   program. Certainty based marking of multiple choice questions (MCQ) was
   adapted for formative pre-and post-study module testing by asking
   students to rate their certainty of correctness of MCQ answers. Paired
   t-tests and a coding scheme were used to analyse changes in answers and
   certainty between pre-and post-tests. A survey evaluated students'
   experience with the novel formative testing design.
   Results: Twenty-nine pharmacists enrolled in the postgraduate program
   participated in the study. Overall 1315 matched pairs of MCQ answers and
   certainty ratings between pre-and post-module tests were available for
   evaluation. Most students identified correct answers in post-tests and
   increased their certainty compared to pre-tests. Evaluation of certainty
   ratings in addition to correctness of answers identified MCQs and topic
   areas for revision to course designers. A survey of students showed that
   assigning certainty ratings to their answers assisted in structuring and
   focusing their learning throughout online study modules, facilitating
   identification of areas of uncertainty and gaps in their clinical
   knowledge.
   Conclusions: Adding certainty ratings to MCQ answers seems to engage
   students with formative testing and feedback and focus their learning in
   a web-based postgraduate pharmacy course. It also offers deeper insight
   into the successful delivery of online course content, identifying areas
   for improvement of teaching and content delivery as well as test
   question design.
RI Luetsch, Karen/N-5960-2016; Burrows, Judith/
OI Luetsch, Karen/0000-0002-6037-5133; Burrows, Judith/0000-0002-5704-8932
ZB 0
Z8 1
ZS 1
ZA 0
TC 6
ZR 0
Z9 7
U1 0
U2 20
EI 1472-6920
UT WOS:000385450800001
PM 27741945
ER

PT J
AU Plank-Bazinet, Jennifer L.
   Sampson, Annie
   Miller, Leah R.
   Fadiran, Emmanuel O.
   Kallgren, Deborah
   Agarwal, Rajeev K.
   Barfield, Whitney
   Brooks, Claudette E.
   Begg, Lisa
   Mistretta, Amy C.
   Scott, Pamela E.
   Clayton, Janine Austin
   Cornelison, Terri L.
TI The science of sex and gender in human health: online courses to create
   a foundation for sex and gender accountability in biomedical research
   and treatment
SO BIOLOGY OF SEX DIFFERENCES
VL 7
AR 47
DI 10.1186/s13293-016-0100-z
PD OCT 14 2016
PY 2016
AB Background: Sex and gender differences play a significant role in the
   course and outcome of conditions that affect specific organ systems in
   the human body. Research on differences in the effects of medical
   intervention has helped scientists develop a number of sex- and
   gender-specific guidelines on the treatment and management of these
   conditions. An online series of courses, "The Science of Sex and Gender
   in Human Health," developed by the National Institutes of Health Office
   of Research on Women's Health and the U.S. Food and Drug Administration
   Office of Women's Health, examines sex and gender differences and their
   implications. Thus far, three online courses have been generated. The
   first course offers an overview of the scientific and biological basis
   for sex- and gender-related differences. The second course is focused on
   disease-specific sex and gender differences in health and behavior and
   their implications. Finally, the third course covers the influence of
   sex and gender on disease manifestation, treatment, and outcome.
   Methods: Data were obtained using website analytics and post-course
   surveys.
   Results: To date, over 1000 individuals have completed at least one
   course. Additionally, 600 users have received continuing education
   credit for completing a course in the series. Finally, the majority of
   respondents to the online course survey have indicated that the courses
   considerably enhanced their professional effectiveness.
   Conclusions: "The Science of Sex and Gender in Human Health" online
   courses are freely available sources of information that provide
   healthcare providers and researchers with the resources to successfully
   account for sex and gender in their medical practice and research
   programs.
ZS 0
TC 5
Z8 0
ZA 0
ZR 0
ZB 2
Z9 5
U1 0
U2 8
SN 2042-6410
UT WOS:000386398300005
PM 27785349
ER

PT J
AU Seeland, Ute
   Nauman, Ahmad T.
   Cornelis, Alissa
   Ludwig, Sabine
   Dunkel, Mathias
   Kararigas, Georgios
   Regitz-Zagrosek, Vera
TI eGender-from e-Learning to e-Research: a web-based interactive
   knowledge-sharing platform for sex- and gender-specific medical
   education
SO BIOLOGY OF SEX DIFFERENCES
VL 7
AR 39
SU 1
PD OCT 14 2016
PY 2016
AB Background: Sex and Gender Medicine is a novel discipline that provides
   equitable medical care for society and improves outcomes for both male
   and female patients. The integration of sex- and gender-specific
   knowledge into medical curricula is limited due to adequate learning
   material, systematic teacher training and an innovative communication
   strategy. We aimed at initiating an e-learning and knowledge-sharing
   platform for Sex and Gender Medicine, the eGender platform
   (http://egender.charite.de), to ensure that future doctors and health
   professionals will have adequate knowledge and communication skills on
   sex and gender differences in order to make informed decisions for their
   patients.
   Methods: The web-based eGender knowledge-sharing platform was designed
   to support the blended learning pedagogical teaching concept and follows
   the didactic concept of constructivism. Learning materials developed by
   Sex and Gender Medicine experts of seven universities have been used as
   the basis for the new learning tools. The content of these tools is
   patient-centered and provides add-on information on gender-sensitive
   aspects of diseases. The structural part of eGender was designed and
   developed using the open source e-learning platform Moodle. The eGender
   platform comprises an English and a German version of e-learning
   modules: one focusing on basic knowledge and seven on specific medical
   disciplines. Each module consists of several courses corresponding to a
   disease or symptom complex. Self-organized learning has to be managed by
   using different learning tools, e.g., texts and audiovisual material,
   tools for online communication and collaborative work.
   Results: More than 90 users from Europe registered for the eGender
   Medicine learning modules. The most frequently accessed module was
   "Gender Medicine-Basics" and the users favored discussion forums. These
   e-learning modules fulfill the quality criteria for higher education and
   are used within the elective Master Module "Gender Medicine-Basics"
   implemented into the accredited Master of Public Health at
   Charite-Berlin.
   Conclusions: The eGender platform is a flexible and user-friendly
   electronical knowledge-sharing platform providing evidence-based
   high-quality learning material used by a growing number of registered
   users. The eGender Medicine learning modules could be key in the reform
   of medical curricula to integrate Sex and Gender Medicine into the
   education of health professionals.
ZB 0
ZR 0
ZS 0
Z8 0
ZA 0
TC 0
Z9 0
U1 0
U2 7
EI 2042-6410
UT WOS:000407693500003
ER

PT J
AU Friedrich, Paola
   Lam, Catherine G.
   Kaur, Geetinder
   Itriago, Elena
   Ribeiro, Raul C.
   Arora, Ramandeep S.
TI Determinants of Treatment Abandonment in Childhood Cancer: Results from
   a Global Survey
SO PLOS ONE
VL 11
IS 10
AR e0163090
DI 10.1371/journal.pone.0163090
PD OCT 13 2016
PY 2016
AB Background
   Understanding and addressing treatment abandonment (TxA) is crucial for
   bridging the pediatric cancer survival gap between high-income (HIC) and
   low-and middle-income countries (LMC). In childhood cancer, TxA is
   defined as failure to start or complete curative cancer therapy and
   known to be a complex phenomenon. With rising interest on causes and
   consequences of TxA in LMC, this study aimed to establish the
   lay-of-the-land regarding determinants of TxA globally, perform and
   promote comparative research, and raise awareness on this subject.
   Methods
   Physicians (medical oncologists, surgeons, and radiation therapists),
   nurses, social workers, and psychologists involved in care of children
   with cancer were approached through an online survey February-May 2012.
   Queries addressed social, economic, and treatment-related determinants
   of TxA. Free-text comments were collected. Descriptive and qualitative
   analyses were performed. Appraisal of overall frequency, burden, and
   predictors of TxA has been reported separately.
   Results
   581 responses from 101 countries were obtained (contact rate = 26%,
   cooperation rate = 70%). Most respondents were physicians (86%),
   practicing pediatric hematology/oncology (86%) for > 10 years (54%).
   Providers from LMC considered social/economic factors (families' low
   socioeconomic status, low education, and long travel time), as most
   influential in increasing risk of TxA. Treatment-related considerations
   such as preference for complementary and alternative medicine and
   concerns about treatment adverse effects and toxicity, were perceived to
   play an important role in both LMC and HIC. Perceived prognosis seemed
   to mediate the role of other determinants such as diagnosis and
   treatment phase on TxA risk. For example, high-risk of TxA was most
   frequently reported when prognosis clearly worsened (i.e. lack of
   response to therapy, relapse), or conversely when the patient appeared
   improved (i.e. induction completed, mass removed), as well as before
   aggressive/mutilating surgery. Provider responses allowed development of
   an expanded conceptual model of determinants of TxA; one which
   illustrates established and emerging individual, family, center, and
   context specific factors to be considered in order to tackle this
   problem. Emerging factors included vulnerability, family dynamics,
   perceptions, center capacity, public awareness, and governmental
   healthcare financing, among others.
   Conclusion
   TxA is a complex and multifactorial phenomenon. With increased
   recognition of the role of TxA on global pediatric cancer outcomes,
   factors beyond social/economic status and beliefs have emerged. Our
   results provide insights regarding the role of established determinants
   of TxA in different geographical and economic contexts, allow probing of
   key determinants by deliberating their mechanisms, and allow building an
   expanded conceptual model of established and emerging determinants TxA.
RI Lam, Catherine/K-6328-2014; Friedrich, Paola/N-8145-2018
OI Lam, Catherine/0000-0003-1363-5331; Friedrich, Paola/0000-0002-5265-3113
TC 15
ZA 0
Z8 0
ZB 3
ZS 0
ZR 0
Z9 15
U1 0
U2 6
SN 1932-6203
UT WOS:000385505800010
PM 27736871
ER

PT J
AU Harrison, Denise
   Wilding, Jodi
   Bowman, Amanda
   Fuller, Ann
   Nicholls, Stuart G.
   Pound, Catherine M.
   Reszel, Jessica
   Sampson, Margaret
TI Using YouTube to Disseminate Effective Vaccination Pain Treatment for
   Babies
SO PLOS ONE
VL 11
IS 10
AR e0164123
DI 10.1371/journal.pone.0164123
PD OCT 3 2016
PY 2016
AB Background
   Infant vaccinations are necessary for public health, but are painful,
   causing distress to the infant and caregivers. Breastfeeding and sucrose
   effectively reduce infants' pain during vaccinations, and these
   strategies are recommended in health care provider (HCP)-targeted
   education and vaccination pain guidelines. However studies show these
   strategies are infrequently used. YouTube is a popular medium to
   publicly share and watch videos, and many consumer posted YouTube videos
   show distressed infants being vaccinated with no pain treatment. The
   aims of this study were to evaluate the reach and impact of a
   consumer-targeted YouTube video demonstrating use of effective pain
   reduction strategies during infant vaccinations.
   Methods
   A brief consumer-targeted video showing two infants being vaccinated was
   posted onto YouTube on October 2013. One infant was breastfed and
   another infant received sucrose by mouth before and during the
   injection. A link to a viewer survey was visible on a banner near the
   end of the video. An intensive strategically planned knowledge
   dissemination strategy using the media, social media and messages to
   professional organizations took place to promote the video. Data
   analysis of the viewer survey, YouTube analytics of the reach of the
   video in terms of number of views, country of viewers, and comments
   relating to the video took place 12 months after the video was posted.
   Results
   Twelve months after posting, the video had 65,478views, 68 comments, 245
   likes, 17 dislikes, and 90 shares. Average duration of viewer time was
   65% of the video. The viewer survey was completed by 156 (0.24%)
   viewers; 90 (58%) answered as HCPs and 66 (42%) as parents. Survey
   results showed that the video was persuasive; intent to use or support
   breastfeeding or sucrose was high in both parents and HCPs after viewing
   the video. Comments posted were often emotional in nature, and were
   related to anti-vaccination (n = 26, 38%); effectiveness or positive
   personal experiences (n = 21, 32%); research team comments or promotion
   (n = 12, 18%); pro-vaccination (n = 6, 8%) and barriers to using
   breastfeeding or sucrose during vaccinations (n = 3, 4%).
   Conclusion
   The video posted onto YouTube demonstrating effective pain treatment
   during infant vaccinations was viewed by large numbers of people around
   the world, however the response rate to the linked survey was extremely
   low. Using YouTube videos for knowledge dissemination has an extensive
   reach, however it is difficult to evaluate impact on behaviours and
   practices.
RI Harrison, Denise/N-6684-2017; Nicholls, Stuart G./I-9160-2019
OI Harrison, Denise/0000-0001-7549-7742; Nicholls, Stuart
   G./0000-0003-0485-9069
ZB 3
Z8 0
TC 21
ZA 0
ZS 1
ZR 0
Z9 21
U1 0
U2 22
SN 1932-6203
UT WOS:000385553100091
PM 27695054
ER

PT J
AU Williams, Rachel D.
   Smith, Catherine Arnott
TI Constructing the information ground of the campus disability center
SO LIBRARY & INFORMATION SCIENCE RESEARCH
VL 38
IS 4
BP 285
EP 291
DI 10.1016/j.lisr.2016.11.002
PD OCT 2016
PY 2016
AB Higher education institutions are required to provide academic
   accommodations to students who need them. These services are typically
   available at campus disability centers, where disability counselors work
   with students to facilitate accommodations. Interviews were conducted to
   examine the health information behaviors of 17 disability counselors at
   two university disability centers by applying Fisher, Durrance, and
   Hinton's (2004) information grounds theory. Analysis of the interviews
   was performed to: 1) explore the information ground of the disability
   center, 2) better understand the ways in which health information is
   sought and used, and 3) consider the alternate ways in which health
   information is used by disability counselors. The perspectives of
   disability counselors' health information-seeking also point to ways in
   which information grounds theory can be applied to university staff who
   play a similar role in the lives of students at higher education
   institutions. (C) 2016 Elsevier Inc. All rights reserved.
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
TC 6
Z9 6
U1 3
U2 18
SN 0740-8188
EI 1873-1848
UT WOS:000391906300002
ER

PT J
AU Kliemann, N.
   Wardle, J.
   Johnson, F.
   Croker, H.
TI Reliability and validity of a revised version of the General Nutrition
   Knowledge Questionnaire
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 70
IS 10
BP 1174
EP 1180
DI 10.1038/ejcn.2016.87
PD OCT 2016
PY 2016
AB BACKGROUND/OBJECTIVES: The General Nutrition Knowledge Questionnaire
   (GNKQ) was developed in the 1990s and has been widely used. Since then
   advances in understanding of associations between diet and disease have
   led to changes in dietary recommendations. This study reports the
   validity and reliability of an updated version of the GNKQ, bringing it
   into line with current nutritional advice.
   METHODS/SUBJECTS: Following a review of current recommendations, the
   revised version of the GNKQ (GNKQ-R) was created, consisting of 88 items
   and four sections. Reliability and validity of the GNKQ-R were
   determined in four validation studies: (1) reliability was examined
   using an online sample (n = 266), (2) construct validity was assessed
   with 96 Dietetics students and 89 english students using the
   'known-groups' method, (3) associations between nutrition knowledge and
   socio-demographic characteristics were examined using the previously
   described samples and (4) sensitivity to change was tested by measuring
   GNKQ-R scores pre-and post-exposure to online nutrition information in
   written (n = 65) and video (n = 41) formats.
   RESULTS: The reliability was >0.7 in all sections. Dietetics students
   scored significantly higher than english students. As predicted, GNKQ-R
   scores were significantly higher among females vs males, people with a
   degree vs without, and people with very good vs poor or good health
   status. They were lower in those older than 50 years vs younger adults.
   GNKQ-R scores were significantly greater after the nutrition
   interventions in both written and video formats.
   CONCLUSIONS: The GNKQ-R is a valid measure of nutrition knowledge that
   is consistent, reliable and sensitive to change.
RI Croker, Helen/M-9591-2019; Kliemann, Nathalie/
OI Croker, Helen/0000-0002-7247-6599; Kliemann,
   Nathalie/0000-0002-1778-9998
ZB 16
ZS 2
TC 67
ZA 0
Z8 0
ZR 0
Z9 68
U1 0
U2 21
SN 0954-3007
EI 1476-5640
UT WOS:000385795800013
PM 27245211
ER

PT J
AU Tsubokawa, Daigo
   Sugiyama, Hiromu
   Mikami, Fusako
   Shibata, Katsumasa
   Shibahara, Toshiyuki
   Fukuda, Koichi
   Takamiya, Shinzaburo
   Yamasaki, Hiroshi
   Nakamura, Takeshi
   Tsuji, Naotoshi
TI Collection methods of trematode eggs using experimental animal models
SO PARASITOLOGY INTERNATIONAL
VL 65
IS 5
SI SI
BP 584
EP 587
DI 10.1016/j.parint.2016.01.006
PN B
PD OCT 2016
PY 2016
AB Although observing the eggs of human parasitic helminth is essential for
   medical education in parasitology, opportunities for collection of the
   eggs are limited. Collection of the eggs using experimental animal
   models is needed for a sustainable supply. The metacercariae of three
   trematode species, Paragonimus westermani, Clonorchis sinensis and
   Metagonimus yokogawai, were collected from the second intermediate
   hosts: freshwater crabs and fishes, which were obtained using online
   shopping in Japan, and inoculated to experimental animal rat and dog.
   Consequently, eggs of the three trematode species were obtained
   abundantly from the feces of the animals. The eggs are being used for
   student training in several Japanese universities. In this article, we
   introduce the collection procedures for trematode eggs. (C) 2016
   Elsevier Ireland Ltd. All rights reserved.
RI Tsubokawa, Daigo/AHD-3762-2022; Tsubokawa, Daigo/
OI Tsubokawa, Daigo/0000-0002-4344-5128
TC 3
ZR 0
ZA 0
ZS 0
Z8 0
ZB 3
Z9 3
U1 0
U2 6
SN 1383-5769
UT WOS:000385598400021
PM 26792074
ER

PT J
AU Dogramaci, Esma J.
   Peres, Marco Aurelio
   Peres, Karen Glazer
TI Breast-feeding and malocclusions The quality and level of evidence on
   the Internet for the public
SO JOURNAL OF THE AMERICAN DENTAL ASSOCIATION
VL 147
IS 10
BP 817
EP 825
DI 10.1016/j.adaj.2016.04.018
PD OCT 2016
PY 2016
AB Background. The authors sought to assess the quality of information on
   the Internet for laypeople regarding the effect of breast-feeding on
   malocclusions and to determine the levels of evidence of the articles
   cited to support the information.
   Methods. The first author (E.J.D.) entered a key word term,
   "breast-feeding and crooked teeth," and a natural language term, "does
   breast-feeding protect against crooked teeth," into 4 search engines.
   The author performed consecutive sampling of every Web site until 5 Web
   sites were identified that fulfilled the inclusion criteria per search
   engine, per search term, producing 40 Web sites for evaluation. The
   author assessed quality using the LIDA instrument and determined the
   levels of evidence of the cited articles according to the Joanna Briggs
   Institute Levels of Evidence.
   Results. The author determined that the quality of the Web sites was
   moderate, represented by a median overall LIDA score of 73%. The author
   identified only 2 high-quality Web sites. Nearly one-half of the Web
   sites cited a combined total of 10 scientific articles to support their
   content, and these ranged from moderate to very low levels of evidence.
   Conclusions. The authors found the quality of freely available
   information on the Internet for laypeople about the protective effect of
   breast-feeding against malocclusions to be moderate and that the
   evidence base cited to support the content ranged from moderate to very
   low levels of evidence.
   Practical Implications. Increasingly, patients are seeking health
   information online, although not all information is credible. Dental
   heath care practitioners should regularly review their practices' Web
   sites to ensure that they are accessible and that the content is usable,
   reliable, and up-to-date, particularly as new, higher-level evidence
   becomes available.
RI Dogramaci, Esma J/F-6620-2017
OI Dogramaci, Esma J/0000-0001-9348-5817
Z8 0
ZA 0
TC 9
ZS 0
ZR 0
ZB 4
Z9 9
U1 1
U2 9
SN 0002-8177
EI 1943-4723
UT WOS:000389593100019
PM 27353080
ER

PT J
AU Perez, Samara
   Tatar, Ovidiu
   Ostini, Remo
   Shapiro, Gilla K.
   Waller, Jo
   Zimet, Gregory
   Rosberger, Zeev
TI Extending and validating a human papillomavirus (HPV) knowledge measure
   in a national sample of Canadian parents of boys
SO PREVENTIVE MEDICINE
VL 91
BP 43
EP 49
DI 10.1016/j.ypmed.2016.07.017
PD OCT 2016
PY 2016
AB As the human papillomavirus (HPV) vaccine is now recommended for males,
   a reliable, comprehensive HPV knowledge measurement tool which addresses
   issues relevant to males is needed. We aimed to replicate, validate and
   test the comprehensiveness of an existing general HPV and an HPV
   vaccination knowledge scale in English and French. We also measured
   parental HPV knowledge and changes over time. An online questionnaire
   was administered in February (Time 1; T1) and November 2014 (Time 2; T2)
   to a nationally representative sample of Canadian parents of boys.
   Dimensionality, internal consistency and model fit were evaluated at
   both time points and separately in English and French sub-samples.
   Differences in knowledge scoresweremeasured. Analyses were performed on
   3117 participants at T1 and 1427 at T2. The 25-itemHPV general knowledge
   and an 11-item HPV vaccination scalewere unidimensional, showed high
   internal consistency (alpha > 0.87, alpha > 0.73) and had good model
   fit. Both general HPV and vaccine-specific knowledge significantly
   increased over time in both languages, but remained low at T2, with only
   about half of the items being answered correctly. Correct responses at
   T2 are best explained by correct responses at T1, with some small
   changes from 'Don't know' at T1 to correct at T2. The extended general
   and vaccine-specific knowledge scales are valid, reliable and
   comprehensive, and could be used among parents of boys, in both English
   and French. Educational interventions could target specific knowledge
   gaps and focus on providing information rather than correcting
   misconceptions. (C) 2016 Elsevier Inc. All rights reserved.
RI perez, samara/ABI-3260-2020; Rosberger, Zeev/A-1608-2019; Waller, Jo/C-1705-2008; Ostini, Remo/F-6871-2010; Tatar, Ovidiu/U-5847-2017; Shapiro, Gilla/
OI perez, samara/0000-0002-4849-8616; Waller, Jo/0000-0003-4025-9132;
   Ostini, Remo/0000-0002-3931-2701; Tatar, Ovidiu/0000-0003-1886-6390;
   Shapiro, Gilla/0000-0002-2214-8263
TC 25
ZR 0
ZB 10
ZA 0
Z8 0
ZS 0
Z9 25
U1 1
U2 12
SN 0091-7435
EI 1096-0260
UT WOS:000388322800007
PM 27471023
ER

PT J
AU Collins, Justin W. a
   Patel, Hiten b
   Adding, Christofer a
   Annerstedt, Magnus c
   Dasgupta, Prokar d
   Khan, Shamim M. d
   Artibani, Walter e
   Gaston, Richard f
   Piechaud, Thierry f
   Catto, James W. g
   Koupparis, Anthony h
   Rowe, Edward h
   Perry, Matthew i
   Issa, Rami i
   McGrath, John j
   Kelly, John k
   Schumacher, Martin l
   Wijburg, Carl m
   Canda, Abdullah E. n
   Balbay, Meviana D. o
   Decaestecker, Karel p
   Schwentner, Christian q
   Stenzl, Arnulf q
   Edeling, Sebastian r
   Pokupic, Sasa r
   Stockle, Michael s
   Siemer, Stefan s
   Sanchez-Salas, Rafael t
   Cathelineau, Xavier t
   Weston, Robin u
   Johnson, Mark v
   D'Hondt, Fredrik w
   Mottrie, Alexander w
   Hosseini, Abolfazl a
   Wiklund, Peter N. a
TI Enhanced Recovery After Robot-assisted Radical Cystectomy: EAU Robotic
   Urology Section Scientific Working Group Consensus View
SO EUROPEAN UROLOGY
VL 70
IS 4
BP 649
EP 660
DI 10.1016/j.eururo.2016.05.020
PD OCT 2016
PY 2016
AB Context: Radical cystectomy (RC) is associated with frequent morbidity
   and prolonged length of stay (LOS) irrespective of surgical approach.
   Increasing evidence from colorectal surgery indicates that minimally
   invasive surgery and enhanced recovery programmes (ERPs) can reduce
   surgical morbidity and LOS. ERPs are now recognised as an important
   component of surgical management for RC. However, there is comparatively
   little evidence for ERPs after robot-assisted radical cystectomy (RARC).
   Due to the multimodal nature of ERPs, they are not easily validated
   through randomised controlled trials.
   Objective: To provide a European Association of Urology (EAU) Robotic
   Urology Section (ERUS) policy on ERPs to guide standardised
   perioperative management of RARC patients.
   Evidence acquisition: The guidance was formulated in four phases: (1)
   systematic literature review of evidence for ERPs in robotic,
   laparoscopic, and open RC; (2) an online questionnaire survey formulated
   and sent to ERUS Scientific Working Group members; (3) achievement of
   consensus from an expert panel using the Delphi process; and (4) a
   standardised reporting template to audit compliance and outcome designed
   and approved by the committee.
   Evidence synthesis: Consensus was reached in multiple areas of an ERP
   for RARC. The key principles include patient education, optimisation of
   nutrition, RARC approach, standardised anaesthetic, analgesic, and
   antiemetic regimens, and early mobilisation.
   Conclusions: This consensus represents the views of an expert panel
   established to advise ERUS on ERPs for RARC. The ERUS Scientific Working
   Group recognises the role of ERPs and endorses them as standardised
   perioperative care for patients undergoing RARC. ERPs in robotic surgery
   will continue to evolve with technological and pharmaceutical advances
   and increasing understanding of the role of surgery-specific ERPs.
   Patient summary: There is currently a lack of high-level evidence
   exploring the benefits of enhanced recovery programmes (ERPs) in
   patients undergoing robot-assisted radical cystectomy (RARC). We
   reported a consensus view on a standardised ERP specific to patients
   undergoing RARC. It was formulated by experts from high-volume RARC
   hospitals in Europe, combining current evidence for ERPs with experts'
   knowledge of perioperative care for robotic surgery. (C) 2016 European
   Association of Urology. Published by Elsevier B.V. All rights reserved.
RI Sanchez-Salas, Rafael/AAA-3490-2020; mottrie, alexandre/; Adding, Christofer/; Wiklund, Peter/; Collins, Justin/; catto, james/
OI mottrie, alexandre/0000-0002-1253-1592; Adding,
   Christofer/0000-0001-8483-9353; Wiklund, Peter/0000-0001-6497-4697;
   Collins, Justin/0000-0003-2228-1213; catto, james/0000-0003-2787-8828
ZB 35
Z8 6
ZA 0
ZR 0
ZS 2
TC 88
Z9 92
U1 1
U2 21
SN 0302-2838
EI 1873-7560
UT WOS:000385503700022
PM 27234997
ER

PT J
AU Lewis, Erin I.
   Missmer, Stacey A.
   Farland, Leslie V.
   Ginsburg, Elizabeth S.
TI Public support in the United States for elective oocyte cryopreservation
SO FERTILITY AND STERILITY
VL 106
IS 5
BP 1183
EP 1189
DI 10.1016/j.fertnstert.2016.07.004
PD OCT 2016
PY 2016
AB Objective: To determine whether public support for oocyte
   cryopreservation (OC) exists and if support varies by demographic
   factors.
   Design: Cross-sectional electronic survey.
   Setting: Not applicable.
   Patient(s): A nationally representative sample based on age, sex, and
   race of 1,064 people in the United States recruited by the company
   SurveyMonkey.
   Interventions(s): Completion of an online questionnaire.
   Main Outcome Measure(s): Supporters of OC for various indications were
   compared with participants who were neutral or in opposition by means of
   log binomial regression to calculate risk ratios. Statistical models
   were adjusted for demographic characteristics, including sex, race, age,
   income, sexual orientation, education, marital status, state political
   party affiliation, and history of being a parent.
   Result(s): OC for cancer patients was the indication most supported
   (89%), followed by delayed childbearing for career advancement (72%),
   current lack of a partner (63%), and insufficient funds for child
   rearing (58%). Despite considerable support for OC, only 37% agreed
   employers should fund egg freezing for employees. Older age was
   associated with lower support for all indications of OC. Younger age,
   single status, never being a parent, identifying as a sexual minority,
   and atheist/agnostic religion were associated with the survey taker
   personally considering OC. Compared with women, men demonstrated lower
   support for women undergoing OC for "lack of a male partner,'' and for
   future use of cryopreserved oocytes without being married.
   Conclusion(s): In a nationally representative sample, the majority of
   respondents support elective OC. The indication for OC was associated
   with significant differences in support. (Fertil Steril (R)
   2016;106:1183-9. (C) 2016 by American Society for Reproductive
   Medicine.)
OI Farland, Leslie/0000-0001-7455-8531
TC 35
ZB 15
ZA 0
ZS 0
ZR 0
Z8 0
Z9 35
U1 0
U2 11
SN 0015-0282
EI 1556-5653
UT WOS:000386828800035
PM 27473351
ER

PT J
AU Easto, R. H.
   Reddy, V.
TI A survey of ENT experience in South West Peninsula general practitioner
   trainees: how can post-graduate ENT training be improved?
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 130
IS 10
BP 893
EP 896
DI 10.1017/S0022215116008665
PD OCT 2016
PY 2016
AB Objectives: To assess how much ENT experience regional general
   practitioner trainees received, both in their undergraduate and
   post-graduate training, and to establish if trainees felt they required
   further ENT training to manage ENT complaints.
   Methods: An online survey was emailed to general practitioner trainees
   in Cornwall and Devon.
   Results: Of 200 general practitioner trainees, 121 (60.5 per cent)
   responded to the survey. Of these respondents, 95.9 per cent felt ENT
   experience was important as a general practitioner; however, 59.5 per
   cent had no ENT experience in their post-graduate training. Sixty-five
   per cent of trainees had not had any formal ENT teaching since leaving
   medical school; however, 93.4 per cent would attend a 1-day course if
   offered the opportunity locally. Finally, 75.8 per cent of trainees
   would have liked an ENT post during their post-graduate training.
   Conclusion: Further ENT training is required for doctors in general
   practitioner training schemes to aid improvement of patient care. The
   most logical way to enhance ENT training in a post-graduate setting is
   through up-to-date courses held locally with a faculty made up of
   experts working within the specialty.
ZR 0
ZS 0
ZA 0
ZB 3
TC 6
Z8 1
Z9 7
U1 0
U2 2
SN 0022-2151
EI 1748-5460
UT WOS:000387460400003
PM 27604454
ER

PT J
AU Madaus, Stacy M.
   Lim, Lionel S.
TI Teaching Pain Management in Interprofessional Medical Education: A
   Review of Three Portal of Geriatric Online Education Modules
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 64
IS 10
BP 2122
EP 2125
DI 10.1111/jgs.14309
PD OCT 2016
PY 2016
AB Chronic pain is an international healthcare crisis that affects an
   estimated 1.5 billion individuals worldwide, but pain management is not
   emphasized in the medical school curriculum, and thus supplemental
   education is essential. The Portal of Geriatric Online Education (POGOe)
   is a free repository of teaching modules for use by geriatric educators
   and learners. This article highlights three teaching modules available
   on this site: It's My Old Back Again: An Approach to Diagnosing and
   Managing Back Pain in the Older Adult (POGOe ID: 21670), Computer Based
   Learning Workbook, Third Edition module on Pain Management (POGOe ID:
   21036), and Aging Q3 Curriculum on Pain Management of Older Adult
   Patients (POGOe ID: 21187). These modules were chosen based on their
   ability to address the major topics that the International Association
   for the Study of Pain proposes should be included in medical school
   curricula: mulitdimensional nature of pain, pain assessment and
   measurement, management of pain, and clinical conditions resulting in
   pain in older adults. They were also selected for their ability to be
   adapted for interprofessional education and how well they integrate
   basic science and clinical principles.
OI Lim, Lionel/0000-0002-0730-8767
Z8 0
ZB 0
ZR 0
TC 6
ZA 0
ZS 0
Z9 6
U1 0
U2 7
SN 0002-8614
EI 1532-5415
UT WOS:000387018500056
PM 27590678
ER

PT J
AU Antonoff, Mara B.
   Verrier, Edward D.
   Allen, Mark S.
   Aloia, Lauren
   Baker, Craig
   Fann, James I.
   Iannettoni, Mark D.
   Yang, Stephen C.
   Vaporciyan, Ara A.
TI Impact of Moodle-Based Online Curriculum on Thoracic Surgery In-Training
   Examination Scores
SO ANNALS OF THORACIC SURGERY
VL 102
IS 4
BP 1381
EP 1386
DI 10.1016/j.athoracsur.2016.03.100
PD OCT 2016
PY 2016
AB Background. The feasibility and efficacy of a web-based curriculum in
   supplementing thoracic surgical training was previously shown. However,
   the impact of curricular participation on validated knowledge tests
   remains unknown. We compared in-service training examination (ITE)
   results among trainees, stratified by curricular use.
   Methods. The national online curriculum was implemented in August 2013.
   We retrospectively reviewed trainees who participated in thoracic
   surgical training programs in both 2012 to 2013 and 2013 to 2014. Scores
   from the 2013 and 2014 ITEs were obtained, and curricular usage data
   were collected from site analytics. Trainees were separated into three
   groups according to 2013 ITE scores; within each group, changes in score
   for high-versus low-volume users were compared.
   Results. 187 trainees took the ITE both years, with exposure to the
   online curriculum during only the second year. High-volume users' scores
   trended toward greater improvement than scores of low-volume users
   (D18.2% versus D13.0%, p=0.199). When stratified by 2013 score, the
   lowest scoring quartile improved substantially, and the highest scoring
   quartile improved modestly, regardless of curricular use. However, for
   those individuals who achieved mid-range scores in 2013, there was a
   trend toward much greater improvement in score with heavier use of the
   curriculum (D17.0% versus D7.0%, p=0.094).
   Conclusions. Among trainees who had access to the novel online
   curriculum during the second of 2 consecutive years, we evaluated the
   impact of curricular participation on ITE scores. The effect appears to
   be most pronounced in individuals with mid-range scores, in whom high
   curricular use led to the greatest improvement. (C) 2016 by The Society
   of Thoracic Surgeons
ZS 0
ZA 0
Z8 0
ZR 0
TC 20
ZB 1
Z9 20
U1 0
U2 8
SN 0003-4975
EI 1552-6259
UT WOS:000389543600079
PM 27262911
ER

PT J
AU Seifert, Alexander
   Schelling, Hans Rudolf
TI Old and offline? Findings on the use of the Internet by people aged 65
   years and older in Switzerland
SO ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE
VL 49
IS 7
BP 619
EP 625
DI 10.1007/s00391-015-0965-1
PD OCT 2016
PY 2016
AB The supply of information and communication is becoming continuously
   more focused on the Internet. While the age groups up to 64 years have
   shown a vast increase in the use of the Internet since 1997, intensive
   use of the Internet by age groups above 64 years lags behind and this is
   not only the case in Switzerland. Against this background and an
   interest in finding out more about Internet (non)use of older people,
   two representative surveys were conducted in Switzerland, one in 2009
   and another one in 2014.
   The data used were acquired throughout Switzerland via a standardized
   telephone survey. The random sample (2014) consisted of 1037 people aged
   between 65 and 100 years old.
   Although the digital divide between the age groups has lessened over the
   past years, only 55.7 % of the elderly people interviewed were using the
   Internet in the autumn of 2014. Internet usage differs greatly between
   age groups. Resources such as education, income and health positively
   impact actual use of the Internet. Additionally, recommendations from a
   person's social environment, as well as an affinity for technology and a
   personal benefit assessment have a positive impact on Internet usage. In
   particular, security concerns and difficulties of use were mentioned as
   predominant reasons for the non-use of the Internet. Some of the people
   questioned felt excluded from society because they did not use the
   Internet.
   Internet usage among elderly people depends on individual and social
   resources, as well as on general attitude towards technology and
   personal benefit expectations. The exclusion of today's elderly
   "offliners" should be avoided, even if the digital divide will decrease
   in the future.
RI Seifert, Alexander/B-8679-2018
OI Seifert, Alexander/0000-0003-3124-4588
ZB 3
Z8 0
ZA 0
ZR 0
ZS 0
TC 16
Z9 16
U1 2
U2 71
SN 0948-6704
EI 1435-1269
UT WOS:000386345200008
PM 26496912
ER

PT J
AU Kelly, Martin J.
   Feeley, Iain H.
   O'Byrne, John M.
TI A Qualitative and Quantitative Comparative Analysis of Commercial and
   Independent Online Information for Hip Surgery: A Bias in Online
   Information Targeting Patients?
SO JOURNAL OF ARTHROPLASTY
VL 31
IS 10
BP 2124
EP 2129
DI 10.1016/j.arth.2016.03.011
PD OCT 2016
PY 2016
AB Background: Direct to consumer (DTC) advertising, targeting the public
   over the physician, is an increasingly pervasive presence in medical
   clinics. It is trending toward a format of online interaction rather
   than that of traditional print and television advertising.
   Methods: We analyze patient-focused Web pages from the top 5 companies
   supplying prostheses for total hip arthroplasties, comparing them to the
   top 10 independent medical websites. Quantitative comparison is
   performed using the Journal of American Medical Association benchmark
   and DISCERN criteria, and for comparative readability, we use the
   Flesch-Kincaid grade level, the Flesch reading ease, and the Gunning fog
   index. Content is analyzed for information on type of surgery and
   surgical approach.
   Results: There is a statistically significant difference between the
   independent and DTC websites in both the mean DISCERN score (independent
   74.6, standard deviation [ SD] = 4.77; DTC 32.2, SD = 10.28; P = .0022)
   and the mean Journal of American Medical Association score (Independent
   3.45, SD = 0.49; DTC 1.9, SD = 0.74; P = .004). The difference between
   the readability scores is not statistically significantly. The
   commercial content is found to be heavily biased in favor of the direct
   anterior approach and minimally invasive surgical techniques.
   Conclusion: We demonstrate that the quality of information on commercial
   websites is inferior to that of the independent sites. The advocacy of
   surgical approaches by industry to the patient group is a concern. This
   study underlines the importance of future regulation of commercial
   patient education Web pages. (C) 2016 Elsevier Inc. All rights reserved.
ZS 0
ZB 1
TC 6
ZR 0
Z8 0
ZA 0
Z9 6
U1 0
U2 2
SN 0883-5403
EI 1532-8406
UT WOS:000386747800008
PM 27071521
ER

PT J
AU Jin, Helen
   Dasgupta, Shoumita
TI Disparities between online assisted reproduction patient education for
   same-sex and heterosexual couples
SO HUMAN REPRODUCTION
VL 31
IS 10
BP 2280
EP 2284
DI 10.1093/humrep/dew182
PD OCT 2016
PY 2016
AB Does the prevalence of online education in fertility center websites
   differ for lesbian, gay, bisexual, transgender (LGBT) couples compared
   to online education for heterosexual couples?
   This review of fertility center websites showed that the majority of
   websites with patient education for heterosexual couples do not have
   similar materials for LGBT couples.
   In order to have biologically related children, LGBT individuals or
   couples utilize assisted reproductive technologies (ART). Fertility
   clinic websites provide online education to familiarize patients with
   the different ART procedures; however, no studies have examined the
   prevalence of educational information for LGBT couples compared to
   information for heterosexual couples utilizing ART.
   This website review evaluated Centers for Disease Control and Prevention
   (CDC)-reported fertility center websites. Websites were reviewed in 2014
   using the latest 2011 CDC report, and reviewed again in 2015 with the
   latest 2013 CDC report.
   Patient education information was coded using categories determined
   after a sample review, and differences were analyzed with chi(2) tests,
   with P-values calculated with Fisher's exact test.
   In 2014, 31.1% (121) of 389 websites with information for heterosexual
   couples also contained information for LGBT couples. In 2015, the number
   of fertility centers with information for LGBT couples increased by
   52.9% to 185 (P < 0.001) of 407 (45.5%) fertility center websites.
   However, the majority of fertility clinic websites (54.5%) with
   information for heterosexual couples still do not include information
   specific to LGBT couples.
   The lack of online information on fertility center websites may not
   directly reflect the quality of care LGBT individuals or couples receive
   in the clinic, and the effect of this absence of online information on
   the clinical experiences of LGBT patients is unknown.
   These findings add to the growing body of work showing disparities in
   the treatment of LGBT persons compared to the overall population. To
   overcome these discrepancies, healthcare providers should adapt their
   practice to include this growing and underserved patient population.
   Funding was provided by the Medical Student Summer Research Scholarship,
   Barbur Khalique Foundation. There are no competing interests.
OI Dasgupta, Shoumita/0000-0002-1473-7244
Z8 0
ZB 3
TC 9
ZR 0
ZA 0
ZS 0
Z9 9
U1 0
U2 5
SN 0268-1161
EI 1460-2350
UT WOS:000386087000015
PM 27530417
ER

PT J
AU Daniluk, J. C.
   Koert, E.
TI Childless women's beliefs and knowledge about oocyte freezing for social
   and medical reasons
SO HUMAN REPRODUCTION
VL 31
IS 10
BP 2313
EP 2320
DI 10.1093/humrep/dew189
PD OCT 2016
PY 2016
AB What factors inform a woman's decision-making about oocyte freezing to
   preserve fertility for social and medical reasons?
   Women lacked knowledge about the costs and viability of oocyte freezing
   as a fertility preservation option for social and medical reasons, and
   identified health consequences, costs, and viability as being
   particularly influential in their decision-making.
   Having only recently become a viable fertility preservation option,
   relatively little is known about childless women's beliefs or knowledge
   about oocyte freezing for social or medical reasons.
   A cross sectional study of 500 childless women was conducted in August,
   2015.
   A total of 500 childless, presumed fertile, women from 18 to 38 years of
   age completed an online, self-report questionnaire assessing beliefs and
   knowledge about oocyte freezing to preserve fertility for social or
   medical reasons.
   Financial costs (85.6%), health risks to themselves (86.4%) or their
   offspring (87.8%), and success rates (82%) were the primary factors that
   women felt would influence their decision to freeze their oocytes.
   Partner's feelings (88.6%), prognosis for a full recovery (85.4%), and
   concerns about the health effects of the hormones or oocyte retrieval
   procedure (85.4%) were identified as being particularly important when
   considering oocyte freezing for medical reasons. Consistent with their
   perceptions of having little or no knowledge about oocyte freezing,
   there was an overall correct response rate of 33% to the 12 knowledge
   questions.
   The online format and use of a survey company to recruit participants
   may have increased the risk of self-selection bias and limit the
   generalizability of these findings. The findings may also be limited by
   the fact that the participants were not facing cancer treatments, and
   the younger participants were not nearing the end of their reproductive
   lifespan, and therefore would not have had reason to learn about, or
   consider, fertility preservation for medical or social reasons.
   Given the worldwide trend towards delaying childbearing and the
   increasing availability of oocyte freezing as an option to preserve
   women's fertility, it is likely these results could be extended to wider
   North American, European, and Australasian populations of English
   speaking childless women.
   No specific funding. No competing interests.
ZR 0
Z8 0
ZA 0
TC 29
ZS 0
ZB 10
Z9 29
U1 0
U2 8
SN 0268-1161
EI 1460-2350
UT WOS:000386087000019
PM 27591238
ER

PT J
AU Mortelmans, Luc J. M.
   Lievers, J.
   Dieltiens, G.
   Sabbe, M. B.
TI Are Belgian military students in medical sciences better educated in
   disaster medicine than their civilian colleagues?
SO JOURNAL OF THE ROYAL ARMY MEDICAL CORPS
VL 162
IS 5
BP 383
EP 386
DI 10.1136/jramc-2015-000563
PD OCT 2016
PY 2016
AB Introduction Historically, medical students have been deployed to care
   for disaster victims but may not have been properly educated to do so. A
   previous evaluation of senior civilian medical students in Belgium
   revealed that they are woefully unprepared. Based on the nature of their
   military training, we hypothesised that military medical students were
   better educated and prepared than their civilian counterparts for
   disasters. We evaluated the impact of military training on disaster
   education in medical science students.
   Methods Students completed an online survey on disaster medicine,
   training, and knowledge, tested using a mixed set of 10 theoretical and
   practical questions. The results were compared with those of a similar
   evaluation of senior civilian medical students.
   Results The response rate was 77.5%, mean age 23years and 59% were
   males. Overall, 95% of military medical students received some chemical,
   biological, radiological and nuclear training and 22% took part in other
   disaster management training; 44% perceived it is absolutely necessary
   that disaster management should be incorporated into the regular
   curriculum. Self-estimated knowledge ranged from 3.75 on biological
   incidents to 4.55 on influenza pandemics, based on a 10-point scale.
   Intention to respond in case of an incident ranged from 7 in biological
   incidents to 7.25 in chemical incidents. The mean test score was 5.52;
   scores improved with educational level attained. A comparison of survey
   data from civilian senior medical master students revealed that, except
   for influenza pandemic, military students scored higher on knowledge and
   capability, even though only 27% of them were senior master students.
   Data on willingness to work are comparable between the two groups.
   Results of the question/case set were significantly better for the
   military students.
   Conclusions The military background and training of these students makes
   them better prepared for disaster situations than their civilian
   counterparts.
RI mortelmans, luc/AAP-2636-2020
ZB 1
ZA 0
ZS 1
ZR 0
TC 12
Z8 0
Z9 12
U1 1
U2 19
SN 0035-8665
EI 2052-0468
UT WOS:000385952000015
PM 26759501
ER

PT J
AU Sorg, Heiko
   Kramer, Robert
   Grieswald, Christoph
   Schwab, Christian G G
   Thonnes, Simon
   Reinke, Julia M
   Hauser, Jorg
   Tilkorn, Daniel J
TI [Assessment of the significance and the requirements of medical
   postdoctoral lecture qualifications in Germany by the assessment
   committees].
FT Bewertung des Stellenwerts und der Voraussetzungen der medizinischen
   Habilitation in Deutschland durch die beurteilenden Kommissionen.
SO Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
VL 115-116
BP 71
EP 77
DI 10.1016/j.zefq.2016.07.004
PD 2016-Oct
PY 2016
AB OBJECTIVE: The postdoctoral medical lecture qualification (Habilitation)
   represents the highest academic qualification in Germany, which is
   successfully completed by approximately 850candidates in medicine and
   health sciences per year. However, there is only a limited number of
   respective academic positions available. In addition, structures in
   education and society have changed over the last years, challenging the
   importance of this specific German qualification. The aim of this study
   was to elicit the opinions of members of German habilitation committees
   concerning the requirements, processes and the overall importance of the
   postdoctoral medical lecture qualification. Furthermore we wanted to
   evaluate potential needs for reforms.
   METHODS: The online survey was conducted asking for biographic
   parameters, subjective ratings and potential needs for reforms
   concerning the postdoctoral medical lecture qualification (PLQ).
   RESULTS: The PLQ was rated high in significance by 71.3% of the
   committee members. According to the medical understanding of the
   Humboldt triad (research, teaching, patient care), research (94.3%) and
   teaching (89.7%) have been rated as the most important requirements for
   a PLQ. Asked for the motivation to undertake a PLQ, 91.0% of the members
   gave the joy of doing research, 78.2% the joy of teaching and 65.5%
   better career prospects perspectives as their reason. The recognition of
   a Ph.D. degree as being equivalent to a German PQL was clearly rejected
   by the survey respondents (58.6%: no equivalence). The majority is
   against the abolition of the German PLQ. However, there is a definite
   desire for reform, preferably concerning internal obstacles such as the
   dependence on full professors, more transparency in the PLQ process, but
   also the demand for a federal standard PLQ regulation.
   CONCLUSION: From the committee members' point of view the German PLQ has
   still a role to play and, despite controversy, is still regarded as a
   timely qualification. However, there is clear-cut evidence for local,
   national and international reforms in order to create equality of
   opportunity for the candidates and to open up suitable career options.
OI Sorg, Heiko/0000-0001-6827-0857
TC 4
ZR 0
ZB 1
ZS 0
Z8 0
ZA 0
Z9 4
U1 0
U2 1
EI 2212-0289
UT MEDLINE:27837962
PM 27837962
ER

PT J
AU Gardair, Charlotte
   Bousquet, Guilhem
   Lehmann-Che, Jacqueline
   de Bazelaire, Cedric
   de Cremoux, Patricia
   Jeanne Tran Van Nhieu
   Sockeel, Marie
   Battistella, Maxime
   Calvani, Julien
   Gervais, Jocelyne
   Pottier, Yohann
   Prevaut, Laurent
   Sekri, Karima
   Bertheau, Philippe
TI Backstage of a massive open online course (MOOC) on cancer diagnosis
SO ANNALES DE PATHOLOGIE
VL 36
IS 5
BP 305
EP 311
DI 10.1016/j.annpat.2016.08.013
PD OCT 2016
PY 2016
AB Massive open online course (or MOOC) is a new online and open access
   teaching approach aimed at unlimited participation and providing
   interactions among students and teaching staff. These academic courses,
   often still free, lead to the delivery of a certificate of attendance
   and could soon also deliver a diploma. The MOOC "Strategies
   diagnostiques des cancers" will be hosted in autumn 2016 on the platform
   "France University Numerique" and will have two levels of learners:
   students in the field of health and biology and the general public. This
   MOOC will also be integrated into the teaching program of medical
   students of Paris Diderot University and Paris 13 University. The
   educational objective of this MOOC is to convey to all participants an
   overview of the diagnostic steps of cancers and of the various medical
   specialties involved in this diagnosis. The second week of the MOOC,
   entitled "tumor samples, macroscopic and microscopic analysis", presents
   the pathology specialty with the technical treatment of tissue or cell
   samples and the basic elements of the tissue section analysis to get a
   diagnosis of benign or malignant tumor. After this MOOC, it is planned
   to assess the impact of this new modality of teaching the pathology
   specialty or pathology, especially by the general public. (C) 2016
   Elsevier Masson SAS. All rights reserved.
RI Bousquet, Guilhem/O-2920-2015; Battistella, Maxime/K-2949-2012; VAN NHIEU, Jeanne TRAN/R-5235-2018; Lehmann-Che, jacqueline/; calvani, julien/
OI Battistella, Maxime/0000-0002-7053-7431; Lehmann-Che,
   jacqueline/0000-0001-6685-3354; calvani, julien/0000-0002-0829-837X
Z8 1
ZB 0
ZR 0
ZS 0
ZA 0
TC 7
Z9 8
U1 1
U2 24
SN 0242-6498
UT WOS:000387203700002
PM 27639771
ER

PT J
AU Walsh, Jason
   Harris, Benjamin
   Tayyaba, Saadia
   Harris, David
   Smith, Phil
TI Student-written single-best answer questions predict performance
   infinals.
SO The clinical teacher
VL 13
IS 5
BP 352
EP 6
DI 10.1111/tct.12445
PD 2016-Oct
PY 2016
AB BACKGROUND: Single-best answer (SBA) questions are widely used for
   assessment in medical schools; however, often clinical staff have
   neither the time nor the incentive to develop high-quality material for
   revision purposes. A student-led approach to producing formative SBA
   questions offers a potential solution.
   METHODS: Cardiff University School of Medicine students created a bank
   of SBA questions through a previously described staged approach,
   involving student question-writing, peer-review and targeted senior
   clinician input. We arranged questions into discrete tests and posted
   these online. Student volunteer performance on these tests from the
   2012/13 cohort of final-year medical students was recorded and compared
   with the performance of these students in medical school finals
   (knowledge and objective structured clinical examinations, OSCEs). In
   addition, we compared the performance of students that participated in
   question-writing groups with the performance of the rest of the cohort
   on the summative SBA assessment. Often clinical staff have neither the
   time nor the incentive todevelop high-quality material for revision
   purposes
   RESULTS: Performance in the end-of-year summative clinical knowledge SBA
   paper correlated strongly with performance in the formative
   student-written SBA test (r=~0.60, p<0.01). There was no significant
   correlation between summative OSCE scores and formative student-written
   SBA test scores. Students who wrote and reviewed questions scored higher
   than average in the end-of-year summative clinical knowledge SBA paper.
   CONCLUSION: Student-written SBAs predict performance in end-of-year SBA
   examinations, and therefore can provide a potentially valuable revision
   resource. There is potential for student-written questions to be
   incorporated into summative examinations.
ZB 0
Z8 0
ZS 0
TC 13
ZA 0
ZR 0
Z9 13
U1 0
U2 0
EI 1743-498X
UT MEDLINE:26450346
PM 26450346
ER

PT J
AU Gianduzzo, Troy R. J.
   Gardiner, Robert A.
   Rashid, Prem
   Young, Rhys
   Frydenberg, Mark
   Kelly, Sarah
TI Impact of branding on public awareness of healthcare-related governing
   bodies: a pilot study of the Urological Society of Australia and New
   Zealand brand
SO BJU INTERNATIONAL
VL 118
SI SI
BP 23
EP 29
DI 10.1111/bju.13469
SU 3
PD OCT 2016
PY 2016
AB Objective & para;& para;To assess the general public's understanding of
   urologists and of the Urological Society of Australian and New Zealand
   (USANZ) and gauge the effectiveness with which the USANZ disseminates
   health information about urological conditions to health consumers.&
   para;& para;Subjects and Methods & para;& para;Using prostate cancer as
   an example, a Qualtrics online market survey of Australian healthcare
   consumers recruited from an online pool was conducted. The number of
   districts sampled within each state or territory was proportional to the
   size of the target population within each region and were
   proportionately distributed across metropolitan and non-metropolitan
   areas. Demographic characteristics were comparable with the Australian
   Bureau of Statistics Census figures corresponding to the target age
   group. The survey assessed knowledge of the roles of medical specialties
   through open-ended responses to qualitative items, association tasks,
   and recall/recognition questions. Subjects were asked to rate their
   familiarity of medical specialists and of six medical specialty logos.&
   para;& para;Results & para;& para;There were 302 respondents. Subjects
   indicated less awareness of urology vs other medical specialties, were
   relatively unaware that urologists were concerned with the prostate, and
   the USANZ branding was among the least familiar (P< 0.001, Friedman
   test). When asked the first medical specialist that came to mind when
   told of prostate cancer, only 22% wrote urologist.& para;&
   para;Conclusion & para;& para;The general public has a limited
   understanding of urologists and of the USANZ. Sub-brand names that
   explicitly link urologists to urological conditions, has been suggested
   as a means to increase the public's understanding of urologists and of
   the USANZ, and improve the USANZ's ability to promulgate urological
   health information.
RI Kelly, Sarah/AAO-4304-2020
Z8 0
ZS 0
ZR 0
ZA 0
TC 13
ZB 8
Z9 13
U1 0
U2 2
SN 1464-4096
EI 1464-410X
UT WOS:000417418400005
PM 27792849
ER

PT J
AU de Bruijn, Avalon
   Tanghe, Jacqueline
   de Leeuw, Rebecca
   Engels, Rutger
   Anderson, Peter
   Beccaria, Franca
   Bujalski, Michal
   Celata, Corrado
   Gosselt, Jordy
   Schreckenberg, Dirk
   Slodownik, Luiza
   Wothge, Joerdis
   van Dalen, Wim
TI European longitudinal study on the relationship between adolescents'
   alcohol marketing exposure and alcohol use
SO ADDICTION
VL 111
IS 10
BP 1774
EP 1783
DI 10.1111/add.13455
PD OCT 2016
PY 2016
AB Background and aimsThis is the first study to examine the effect of
   alcohol marketing exposure on adolescents' drinking in a cross-national
   context. The aim was to examine reciprocal processes between exposure to
   a wide range of alcohol marketing types and adolescent drinking,
   controlled for non-alcohol branded media exposure.
   DesignProspective observational study (11-12- and 14-17-month
   intervals), using a three-wave autoregressive cross-lagged model.
   SettingSchool-based sample in 181 state-funded schools in Germany,
   Italy, Netherlands, Poland.
   ParticipantsA total of 9075 eligible respondents participated in the
   survey (mean age 14years, 49.5% male.
   MeasurementsAdolescents reported their frequency of past-month drinking
   and binge drinking. Alcohol marketing exposure was measured by a latent
   variable with 13 items measuring exposure to online alcohol marketing,
   televised alcohol advertising, alcohol sport sponsorship, music
   event/festival sponsorship, ownership alcohol-branded promotional items,
   reception of free samples and exposure to price offers. Confounders were
   age, gender, education, country, internet use, exposure to non-alcohol
   sponsored football championships and television programmes without
   alcohol commercials.
   FindingsThe analyses showed one-directional long-term effects of alcohol
   marketing exposure on drinking (exposure T1 on drinking T2: =0.420
   (0.058), P<0.001, 95% confidence interval (CI)=0.324-0.515; exposure T2
   on drinking T3: =0.200 (0.044), P<0.001, 95% CI=0.127-0.272; drinking T1
   and drinking T2 on exposure: P>0.05). Similar results were found in the
   binge drinking model (exposure T1 on binge T2: =0.409 (0.054), P<0.001,
   95% CI=0.320-0.499; exposure T2 on binge T3: =0.168 (0.050), P=0.001,
   95% CI=0.086-0.250; binge T1 and binge T2 on exposure: P>0.05).
   ConclusionsThere appears to be a one-way effect of alcohol marketing
   exposure on adolescents' alcohol use over time, which cannot be
   explained by either previous drinking or exposure to non-alcohol-branded
   marketing.
RI Beccaria, Franca/AAA-3032-2019; Bujalski, Michal/; Engels, Rutger/
OI Beccaria, Franca/0000-0003-4899-9426; Bujalski,
   Michal/0000-0003-4499-5460; Engels, Rutger/0000-0003-1944-9126
TC 28
Z8 0
ZB 9
ZR 0
ZS 0
ZA 0
Z9 28
U1 6
U2 63
SN 0965-2140
EI 1360-0443
UT WOS:000383713500019
PM 27486952
ER

PT J
AU Kimura, Bruce J.
   Sliman, Sean M.
   Waalen, Jill
   Amundson, Stan A.
   Shaw, David J.
TI Retention of Ultrasound Skills and Training in "Point-of-Care'' Cardiac
   Ultrasound
SO JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
VL 29
IS 10
BP 992
EP 997
DI 10.1016/j.echo.2016.05.013
PD OCT 2016
PY 2016
AB Background: Although the growth of point-of-care ultrasound has resulted
   in a proliferation of teaching programs, few data exist on the
   maintenance of proficiency. The aim of this study was to evaluate the
   retention of cardiac ultrasound skills and training in physicians up to
   7 years after a formal focused curriculum in residency.
   Methods: Thirty internal medicine physicians, deemed proficient at
   graduation and having passed a practical examination that confirms
   imaging skills and knowledge base when a score of >= 80% correct is
   attained, were retested. Twenty graduates (the NOPREP group) did not
   study any relevant material, and 10 graduates (the PREP group) were
   encouraged to study online videos. Scores were categorized by length of
   time (1-7 years) from graduates' last performance of ultrasound.
   Results: The mean original test score of the physicians was 90 +/- 6%.
   With retesting NOPREP (n = 20), seven physicians were within 1 year of
   their last use, and five (71%) repassed the examination, scoring 80 +/-
   15%. Among the remaining 13 NOPREP physicians who had > 1 year of
   nonuse, none repassed, scoring 58 +/- 17%. In retesting PREP (n = 10),
   one physician was within 1 year of last use and repassed, scoring 95%.
   Among the remaining nine PREP physicians with > 1 year since last use,
   three (33%) repassed (P =.05), scoring 72 +/- 21%. Diagnostic knowledge
   was significantly higher when good-quality images were obtained.
   Conclusions: Learned skills in cardiac ultrasound diminish notably
   within 2 years of nonuse.
OI Shaw, David/0000-0003-3977-5818
ZB 7
TC 41
ZR 0
Z8 0
ZA 0
ZS 2
Z9 42
U1 0
U2 2
SN 0894-7317
UT WOS:000385924500012
PM 27372559
ER

PT J
AU Selinger, Christian P.
   Ghorayeb, Jihane
   Madill, Anna
TI What Factors Might Drive Voluntary Childlessness (VC) in Women with IBD?
   Does IBD-specific Pregnancy-related Knowledge Matter?
SO JOURNAL OF CROHNS & COLITIS
VL 10
IS 10
BP 1151
EP 1158
DI 10.1093/ecco-jcc/jjw078
PD OCT 2016
PY 2016
AB Inflammatory Bowel Disease (IBD) affects many women of childbearing age,
   and rates of voluntary childlessness (VC) exceed those of the general
   population by far. The factors surrounding VC remain incompletely
   understood.
   Female members of the patient organisation Crohn's and Colitis UK aged
   18-45 years were invited to complete an online questionnaire collecting
   data on demographics, disease characteristics, Crohn's and Colitis
   pregnancy-specific disease-related knowledge (CCPKnow), and
   childlessness status.
   A total of 1324 women (mean age 33 years) completed the survey: 776
   (59%) were diagnosed with Crohn's disease (CD), 496 (38%) with
   ulcerative colitis (UC) and 4% with inflammatory bowel
   disease-unclassified (IBD-U); 40% had children (14% pre-diagnosis (I);
   26% post-diagnosis (II)), 36% planned to have children at some stage
   (III), 7% reported fertility problems (IV), and 17% were classified as
   voluntarily childless (VC). VC was associated with poorer CCPKnow scores
   [5.98 vs. 7.47 in (III); p < 0.001], older age [35 years old vs. 28
   years old in (II); p < 0.001], unemployment (9.7% VC; p < 0.001), being
   single (34.5% VC; p < 0.001) not seeking medical advice (p < 0.001), and
   diagnosis of CD (19.3% vs. 13.9% UC; p = 0.015). Women with VC had more
   hospital admissions [mean 2.85 vs. 2.17 (III); p = 0.03] and surgical
   interventions [mean 1.27 vs. 0.65 (III); p < 0.001]
   The aetiology of VC in women with IBD is multifactorial. Women's choice
   regarding children appears related to disease burden. VC is also
   associated with poor knowledge (CCPKnow), and women may stay childless
   unnecessarily. Patient education programmes could help to reduce the
   rate of VC in women with IBD, through correcting misconceptions and
   alleviating patient concerns.
RI Selinger, Christian P/H-8008-2019
OI Selinger, Christian P/0000-0003-2022-5859
Z8 0
ZR 0
TC 51
ZA 0
ZB 17
ZS 0
Z9 52
U1 0
U2 2
SN 1873-9946
EI 1876-4479
UT WOS:000386050300004
PM 26989194
ER

PT J
AU Lupi, Carla
   Ward-Peterson, Melissa
   Chang, Winnie
TI Advancing non-directive pregnancy options counseling skills: A pilot
   Study on the use of blended learning with an online module and
   simulation
SO CONTRACEPTION
VL 94
IS 4
BP 348
EP 352
DI 10.1016/j.contraception.2016.03.005
PD OCT 2016
PY 2016
AB Objective: Limitations on didactic time pose barriers to teaching
   non-directive pregnancy options counseling. This study set out to
   explore the use of an online module to support trainee performance in a
   pregnancy options counseling standardized-patient exercise implemented
   among third-year medical students, and to examine the effect of clinical
   experience on student performance.
   Study design: An online module was developed. A convenience sample of
   forty-six student performances in a family medicine clerkship
   participated in a standardized patient exercise. Trained faculty rated
   performances. Students completed a self-assessment and provided feedback
   on the online module. Chi-square and Mann-Whitney-U tests were used to
   analyze data. Three coders qualitatively examined narrative student
   comments.
   Results: Thirty-four students passed, 11 achieved a minimal pass, and
   one failed. The mean global rating from faculty was 2.8 (pass). Students
   with prior clinical experience significantly outperformed those without
   on the global rating scale with mean scores of 3.1 compared to 2.7,
   respectively (p=.044). All students agreed that the online module helped
   prepare them for the exercise. Qualitative analysis of students'
   feedback on the module revealed strengths in content and pedagogy. In
   their self-assessments, all but two students referred to content
   explicitly conveyed in the module.
   Conclusion: All students agreed that an online module supported their
   performance of non-directive pregnancy options counseling skills. Prior
   clinical experience was associated with improved performance. This
   module, along with the simulated exercise, can be implemented as a
   blended learning exercise without additional faculty teaching effort in
   standardized patient resource centers.
   Implications: Students agreed that an online module facilitates
   simulated performance of non-directive pregnancy options counseling
   skills. Future work should compare the impact of this approach to
   others, and explore the additional training needed to maintain and build
   on initial learning. (C)2016 Elsevier Inc. All rights reserved.
RI Ward, Melissa K./AAJ-6016-2021; Ward, Melissa/; Lupi, Carla/
OI Ward, Melissa/0000-0001-9296-981X; Lupi, Carla/0000-0001-5200-6074
ZR 0
ZS 0
TC 5
Z8 0
ZB 1
ZA 0
Z9 5
U1 0
U2 16
SN 0010-7824
EI 1879-0518
UT WOS:000384033000008
PM 26984870
ER

PT J
AU Vandenbosch, Jessica
   Van den Broucke, Stephan
   Vancorenland, Sigrid
   Avalosse, Herve
   Verniest, Rebekka
   Callens, Michael
TI Health literacy and the use of healthcare services in Belgium
SO JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
VL 70
IS 10
BP 1032
EP 1038
DI 10.1136/jech-2015-206910
PD OCT 2016
PY 2016
AB Background Most of the existing studies demonstrating the relationships
   between health literacy and health service use have been conducted
   outside Europe and cannot be generalised to European healthcare systems.
   Moreover, the majority of studies measure healthcare use via
   self-reports. This study investigated whether health literacy is related
   to the use of health services measured objectively via patient records
   in a European country.
   Methods 9617 members of a Belgian health insurance fund (59% females,
   ages 18-88years, mean age 55.8years) completed an online questionnaire
   including the 16-item European Health Literacy Survey Questionnaire
   (HLS-EU-Q) and agreed to have their responses linked to the insurance
   fund's health service use records. A two-part model approach was used to
   assess the association between health literacy and the use of healthcare
   services and the costs related, adjusting for personal and behavioural
   characteristics.
   Results Low health literacy is associated with more admissions to 1-day
   clinics, general practitioner (GP) home consultations, psychiatrist
   consultations and ambulance transports, and with longer stays in general
   hospitals. Associations with psychiatric hospitalisations and specialist
   consultations are also found but are not significant when correction for
   multiple comparisons is applied. In contrast, health literacy is not
   significantly related to the number of GP consultations, admissions to
   1-day surgical clinics or emergency consultations. The relationship
   between health literacy and medication use is inconsistent.
   Conclusion The results partly confirm that low health literacy is
   associated with greater use of healthcare services, and especially of
   more specialised services. Improving the health literacy of the
   population can be an effective strategy to promote a more
   (cost)-effective use of the healthcare services and thus contribute to
   population health.
TC 58
ZB 13
ZA 0
Z8 0
ZR 1
ZS 2
Z9 61
U1 2
U2 26
SN 0143-005X
EI 1470-2738
UT WOS:000384439100014
PM 27116951
ER

PT J
AU Goff, Sarah L.
   Mazor, Kathleen M.
   Pekow, Penelope S.
   White, Katharine O.
   Priya, Aruna
   Lagu, Tara
   Guhn-Knight, Haley
   Murphy, Lorna
   Budway, Yara Youssef
   Lindenauer, Peter K.
TI Patient Navigators and Parent Use of Quality Data: A Randomized Trial
SO PEDIATRICS
VL 138
IS 4
AR e20161140
DI 10.1542/peds.2016-1140
PD OCT 2016
PY 2016
AB BACKGROUND: Consumers rarely use publicly reported health care quality
   data. Despite known barriers to use, few studies have explored the
   effectiveness of strategies to overcome barriers in vulnerable
   populations.
   METHODS: This randomized controlled trial tested the impact of a patient
   navigator intervention to increase consumer use of publicly reported
   quality data. Patients attending an urban prenatal clinic serving a
   vulnerable population enrolled between May 2013 and January 2015. The
   intervention consisted of 2 in-person sessions in which women learned
   about quality performance and viewed scores for local practices on the
   Massachusetts Health Quality Partners Web site. Women in both the
   intervention and control arms received a pamphlet about health care
   quality. Primary study outcomes were mean clinical quality and patient
   experience scores of the practices women selected (range 1-4 stars).
   RESULTS: Nearly all (726/746; 97.3%) women completed the study, 59.7%
   were Hispanic, and 65.1% had a high school education or less. In both
   unadjusted and adjusted models, women in the intervention group chose
   practices with modestly higher mean clinical quality (3.2 vs 3.0 stars;
   P = .001) and patient experience (3.0 vs 2.9 stars; P = .05) scores.
   When asked to rate what factors mattered the most in their decision, few
   cited quality scores.
   CONCLUSIONS: An intervention to reduce barriers to using publicly
   reported health care quality data had a modest effect on patient choice.
   These findings suggest that factors other than performance on common
   publicly reported quality metrics have a stronger influence on which
   pediatric practices women choose.
RI Lagu, Tara/GPT-5173-2022
ZR 0
ZS 0
TC 5
ZA 0
Z8 0
ZB 1
Z9 5
U1 0
U2 2
SN 0031-4005
EI 1098-4275
UT WOS:000384317700035
ER

PT J
AU Shannon, C. Ken
   Price, Shelia S.
   Jackson, Jodie
TI Predicting Rural Practice and Service to Indigent Patients: Survey of
   Dental Students Before and After Rural Community Rotations
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 10
BP 1180
EP 1187
PD OCT 2016
PY 2016
AB Community-based clinical rotations in rural areas expose dental students
   to diverse patient populations, practice models, and career
   opportunities as well as rural culture. The aims of this study at West
   Virginia University were to determine the best predictors of rural
   practice, assess the predictive validity of students' intention to
   practice in a rural area before and after their rural rotations, and
   evaluate the relationship between students' intention to practice in a
   rural area and intention to provide care for indigent patients. Online
   survey data were submitted pre- and post-rural clinical rotation by 432
   of 489 dental students over the study period 2001-12, yielding an 88%
   response rate. In 2013, practice addresses from the West Virginia Board
   of Dentistry were added to the student database. The results showed that
   significant predictors of rural practice site were intended rural
   practice choice, rural hometown, and projected greater practice
   accessibility for indigent patients. The likelihood of students'
   predicting they would choose a rural practice increased after completion
   of their rural rotations. After the rotations, students predicted
   providing greater accessibility to indigent patients; these changes
   occurred for those who changed their predictions to rural practice
   choice after the rotations and those who subsequently entered rural
   practice. The dental students with a rural background or a greater
   service orientation were also more likely to expect to enter a rural
   practice and actually to do so after graduation. These findings suggest
   that dental school curricula that include rural rotations may increase
   students' sensitivity to issues of indigent patients and increase
   students' likelihood of rural practice choice.
ZA 0
Z8 0
ZB 1
ZR 0
TC 8
ZS 0
Z9 8
U1 0
U2 1
SN 0022-0337
EI 1930-7837
UT WOS:000385055000004
PM 27694291
ER

PT J
AU Vargas, Christina R.
   DePry, Jennifer
   Lee, Bernard T.
   Bordeaux, Jeremy S.
TI The Readability of Online Patient Information About Mohs Micrographic
   Surgery
SO DERMATOLOGIC SURGERY
VL 42
IS 10
BP 1135
EP 1141
DI 10.1097/DSS.0000000000000866
PD OCT 2016
PY 2016
AB BACKGROUND Mohs micrographic surgery has become increasingly used in the
   treatment of cutaneous malignancies over the past decade. Concurrently,
   more patients are using the Internet as a resource for medical
   information than ever before. The average American adult reads at an
   eighth grade level. The American Medical Association and National
   Institutes of Health have recommended a sixth grade target reading level
   for patient health materials.
   OBJECTIVE This study evaluates the readability of currently available
   online information about Mohs micrographic surgery in the context of
   these recommendations.
   METHODS An Internet search for the term "Mohs surgery" was performed and
   the first 10 results were identified. Patient information from each
   primary site was downloaded and formatted into plain text. Readability
   was assessed using 9 established tests; text was analyzed both overall
   and by Web site for comparison.
   RESULTS A total of 101 articles were collected from the first 10 Web
   site search results; the overall average reading level was 14.4. All
   articles exceeded the recommended sixth grade reading level.
   CONCLUSION Online resources about Mohs micrographic surgery are too
   difficult for many patients to read. The paucity of appropriately
   written patient information available on the Internet may hinder
   informed decision-making, participation, and subsequent postoperative
   satisfaction.
RI Lee, Bernard T./K-1106-2016; Vargas, Christina/AAK-8805-2020
OI Lee, Bernard T./0000-0002-5533-3166; Vargas,
   Christina/0000-0003-2368-3425
ZB 1
ZA 0
TC 7
ZR 0
Z8 0
ZS 0
Z9 7
U1 0
U2 9
SN 1076-0512
EI 1524-4725
UT WOS:000385666600002
PM 27598447
ER

PT J
AU Noroozi, Omid
   Biemans, Harm
   Mulder, Martin
TI Relations between scripted online peer feedback processes and quality of
   written argumentative essay
SO INTERNET AND HIGHER EDUCATION
VL 31
BP 20
EP 31
DI 10.1016/j.iheduc.2016.05.002
PD OCT 2016
PY 2016
AB Teachers often complain about the quality of students' written essays in
   higher education. This study explores the relations between scripted
   online peer feedback processes and quality of written argumentative
   essay as they occur in an authentic learning situation with direct
   practical relevance. Furthermore, the effects of the online
   argumentative peer feedback script on students' written argumentative
   essay are studied. A pre-test, post-test design was used with 189
   undergraduate students who were assigned to groups of three. They were
   asked to explore various perspectives, and the 'pros and cons' on the
   topic of 'Genetically Modified Organisms (GMOs)' in order to write an
   argumentative essay in the field of biotechnology. The findings reveal
   that successful students and groups differ in terms of their feedback
   quality than less-successful students and groups. This implies that when
   students engage in high-quality, elaborated and justified peer feedback
   processes, they write high-quality argumentative essays. Furthermore,
   the results show that the online argumentative peer feedback script
   enhances the quality of students' written argumentative essay.
   Explanations for these results, limitations, and recommendations for
   further research are provided. (C) 2016 Elsevier Inc. All rights
   reserved.
RI Biemans, Harm/AAF-2941-2020; Mulder, Martin/GWC-6742-2022; Mulder, Martin/A-9026-2015; Noroozi, Omid/
OI Mulder, Martin/0000-0002-8729-2477; Noroozi, Omid/0000-0002-0622-289X
Z8 0
ZB 1
ZA 0
ZR 0
TC 62
ZS 1
Z9 62
U1 4
U2 72
SN 1096-7516
EI 1873-5525
UT WOS:000383295100003
ER

PT J
AU Kneist, W.
   Huber, T.
   Paschold, M.
   Bartsch, F.
   Herzer, M.
   Lang, H.
TI Transparent operative training in visceral surgery. Analysis at a German
   university medical center
SO CHIRURG
VL 87
IS 10
BP 873
EP 880
DI 10.1007/s00104-016-0240-z
PD OCT 2016
PY 2016
AB Practical operative training in the discipline of visceral surgery is
   currently under discussion. Aside from surveys, data on this topic in
   Germany are sparse. The aim of the study was an objective collation of
   surgical residents' practical training in the operating room in our
   department.
   All surgical cases from 2015 were prospectively included. Procedures
   were stratified into resident and non-resident operations and complex
   cases with sub-steps which could potentially be performed by residents.
   We analyzed whether an operation or surgical sub-steps were performed by
   a resident. If this was not achieved, the reasons were analyzed. An
   anonymous online survey was conducted among employees in the surgery
   department regarding surgical training.
   Out of 2896 surgical cases 1141 (39.4 %) were classified as potential
   resident training operations, which were actually performed by a
   resident in 743 cases (65.1 %). The survey showed an underestimation of
   this proportion, where sub-steps were assisted in 30.3 % (n = 265) of
   876 potential cases. This proportion significantly increased during the
   observation period (p < 0.001); however, it was highly overestimated by
   residents as well as fellows and senior consultants. Often
   organizational reasons were responsible when resident operations or
   sub-steps were not performed by a trainee (13.1 % and 30.0 %,
   respectively).
   The monocentric analysis per se resulted in an improvement in practical
   surgical training. In the training environment, assisting with sub-steps
   provides a great potential. Multicenter studies are needed.
RI Kneist, Werner/AAP-9266-2020; Bartsch, Fabian/AAL-7237-2021
OI Kneist, Werner/0000-0002-7219-0523; Bartsch, Fabian/0000-0001-6090-2530
ZA 0
TC 6
ZS 0
ZB 1
ZR 0
Z8 0
Z9 6
U1 0
U2 0
SN 0009-4722
EI 1433-0385
UT WOS:000385165500009
PM 27392762
ER

PT J
AU Wang, Zhe
   Zheng, Zuduo
   Fleiter, Judy J.
TI Does family background impact driving attitudes and risky behaviours? An
   investigation on Chinese young drivers
SO ACCIDENT ANALYSIS AND PREVENTION
VL 95
BP 67
EP 77
DI 10.1016/j.aap.2016.06.025
PN A
PD OCT 2016
PY 2016
AB The rapid pace of motorisation in China has been well documented, as has
   the large road trauma burden the Chinese citizens are facing as a
   result. China's unique political system represents an important
   consideration in helping reduce road trauma, yet political factors have
   not been previously investigated in this context. Recently, emerging
   issues on the road involving the adult children of politically powerful
   families have become a serious social problem in China, and have drawn
   widespread media and public attention. This study took a novel approach
   to examining factors associated with risky attitudes and risky road use
   in China by investigating the economic and political background status
   of a sample of young Chinese drivers. An online survey was conducted in
   May 2015 with a sample size of 476 Chinese young drivers from across the
   country, aged between 18 and 28, including 305 males and 171 females.
   The results suggest that for participants who reported having a familial
   political background, more risky driving behaviours were reported among
   those participants who reported more impact on their life from that
   political background; while for participants without political
   background, higher personal income was associated with more risky
   driving behaviours. The findings are discussed in light of China's
   political management system and potential education opportunities for
   young drivers. (C) 2016 Elsevier Ltd. All rights reserved.
RI Zheng, Zuduo/F-1863-2018
OI Zheng, Zuduo/0000-0002-5289-2106
ZB 2
ZA 0
TC 9
ZR 0
Z8 1
ZS 0
Z9 10
U1 0
U2 16
SN 0001-4575
EI 1879-2057
UT WOS:000383527600008
PM 27410174
ER

PT J
AU Michetti, Christopher P.
   Nakagawa, Thomas A.
   Malinoski, Darren
   Wright, Charles
   Swanson, LeAnn
TI Organ donation education initiatives: A report of the Donor Management
   Task Force
SO JOURNAL OF CRITICAL CARE
VL 35
BP 24
EP 28
DI 10.1016/j.jcrc.2016.04.020
PD OCT 2016
PY 2016
AB Purpose: It is essential that hospitals and health professionals
   establish systems to facilitate patients' organ donation-wishes.
   Donation education has been neither standardized nor systematic, and
   resources related to donation processes have not been widely accessible.
   This report describes 2 free, publicly available educational resources
   about the organ donation process created to advance the mission of basic
   education and improve donation processes within hospitals and health
   care systems.
   Materials and methods: Members of the Donor Management Task Force of the
   Organ Donation and Transplantation Alliance (the Alliance) and the
   Health Resources and Services Administration of the US Department of
   Health and Human Services convened annually in person and by
   teleconferencing during the year to develop 2 educational vehicles on
   organ donation.
   Results: Two educational products were developed: the Organ Donation
   Toolbox, an online repository of documents and resources covering all
   aspects of the donation process, and the Educational Training Video that
   reviews the basic foundations of a successful hospital donation system.
   Conclusions: There is a need for more research and education about the
   process of organ donation as it relates to the medical and psychosocial
   care of patients and families before the end of life. The educational
   products described can help fill this critical need. (C) 2016 Elsevier
   Inc. All rights reserved.
OI Michetti, Christopher/0000-0002-3744-0603
TC 7
ZS 0
ZB 2
Z8 0
ZA 0
ZR 0
Z9 7
U1 0
U2 8
SN 0883-9441
EI 1557-8615
UT WOS:000384714000006
PM 27481732
ER

PT J
AU Alimena, Stephanie
   Lewis, Judy
TI Screening for Sexual Dysfunction by Medical Students
SO JOURNAL OF SEXUAL MEDICINE
VL 13
IS 10
BP 1473
EP 1481
DI 10.1016/j.jsxm.2016.08.003
PD OCT 2016
PY 2016
AB Introduction: Despite the widespread effects of sexual dysfunction on
   health, sexual problems are not routinely addressed by physicians.
   Attitudes toward sexual dysfunction screening have not yet been
   evaluated in medical students.
   Aim: To evaluate the frequency of screening for sexual dysfunction by
   medical students, their attitudes toward screening, and factors that
   influence whether medical students discuss sexual problems with
   patients.
   Methods: A cross-sectional study was conducted by online questionnaire.
   Participants were U.S. medical student members of the American Medical
   Student Association.
   Main Outcome Measures: Demographic information, frequency of screening
   for sexual problems at annual examinations, importance of screening, and
   screening practices of role models were assessed.
   Results: In total 369 participants completed demographic information and
   additional questions (mean age = 26.5 +/- 4.3 years, range = 21-52).
   Most students believed it was important to screen for sexual dysfunction
   (mean = 7.8 +/- 2.0); however, 16.1% never screened patients. Importance
   and frequency of screening were correlated with how often the student's
   role model screened (r = 0.400, P < .001; r = 0.582, P <.001,
   respectively). Other significant relationships with screening importance
   were students interested in obstetrics and gynecology or urology (t =
   -2.166, P = .031), students earlier in their training (F = 3.608, P =
   .014), those who had observed a preceptor screen a patient (t = -2.298,
   P = .022), and those screened by their own clinician (t = -2.446, P =
   .015). Students reported increased screening frequency if they had
   observed any preceptor screen a patient (t = -7.678, P < .001), believed
   that their medical school curriculum provided enough training in
   screening techniques (t = -3.281, P = .001), and had themselves been
   screened by a clinician (t = -4.557, P < .001). There were no
   differences by age, sex, or religion.
   Conclusion: Medical students do not routinely screen patients for sexual
   dysfunction despite believing it is in the physician's scope of
   practice. These results highlight the importance of role modeling and
   curriculum in increasing screening practices. Copyright (C) 2016,
   International Society for Sexual Medicine. Published by Elsevier Inc.
   All rights reserved.
OI Alimena, Stephanie/0000-0001-9130-4904
ZB 0
ZS 0
Z8 0
ZR 0
TC 2
ZA 0
Z9 2
U1 0
U2 4
SN 1743-6095
EI 1743-6109
UT WOS:000384730900005
PM 27592146
ER

PT J
AU Pagel, Paul S.
TI Demographics and Scholarly Productivity of American Board of
   Anesthesiology Volunteers: Results of an Internet-Based Bibliometric
   Analysis
SO JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
VL 30
IS 5
BP 1396
EP 1403
DI 10.1053/j.jvca.2016.06.003
PD OCT 2016
PY 2016
AB Objective: The American Board of Anesthesiology (ABA) has been
   responsible for certification of anesthesiologists since 1938. Selected
   ABA diplomates provide their expertise to write the ABA's written and
   oral examinations and to administer the oral examination required for
   primary certification. The demographics, administrative and educational
   duties, and scholarly productivity of ABA volunteers and their
   dependence on subspecialty certification, transesophageal
   echocardiography (TEE) credentials, and grant funding are unknown.
   Design: Observational study.
   Setting: Internet analysis.
   Participants: ABA volunteers who participated in the 2015 primary
   certification examinations identified from the 2016 issue of ABA News.
   Interventions: None.
   Measurements and Main Results: The 2016 issue of ABA News was downloaded
   from the public ABA website and was used to identify all volunteers who
   participated in any aspect of the 2015 primary certification process.
   Each individual's practice type, faculty rank if applicable, and
   affiliation were identified using Google with the keyword
   "anesthesiology." The practice location, time, and interval after
   original ABA certification; additional ABA subspecialty certification;
   the number of publications and citations; publication rate; citations
   per publication; and the H-, M-, and i-10 indices were obtained using
   the ABA and Scopus databases. Credentials in TEE were identified for
   each individual using the National Board of Echocardiography database.
   National Institutes of Health (NIH) and Foundation for Anesthesia
   Education and Research (FAER) funding for each volunteer was evaluated
   using NIH Research Portfolio Online Reporting Tools and the FAER alumni
   databases, respectively. Three hundred ninety-three ABA volunteers were
   identified and analyzed. Three hundred ten individuals currently hold
   academic appointments (83.5%), whereas 83 (16.5%) hold private practice
   or military positions. Sixtyseven volunteers have major administrative
   roles (eg, dean, chief executive officer, associate or assistant dean,
   chair, vice chair). Thirty-five individuals are program directors of
   anesthesiology residencies or fellowships. Volunteers published 10,072
   manuscripts that have been cited 194,835 times. Volunteers also received
   51 NIH grants and 36 FAER grants. The median H-, M-, and i10-indices of
   volunteers were 4, 0, and 3, respectively. Scholarly productivity was
   dependent on academic rank, career duration, additional degrees, and
   extramural funding, but not on practice location, subspecialty
   certification, TEE credentials, or sex.
   Conclusions: These results indicated that ABA volunteers are leaders in
   anesthesiology with established records of administrative, educational,
   and scholarly accomplishment. Published by Elsevier Inc.
Z8 0
ZS 0
ZA 0
ZB 1
ZR 0
TC 4
Z9 4
U1 1
U2 11
SN 1053-0770
EI 1532-8422
UT WOS:000384157300040
PM 27499345
ER

PT J
AU River, Jo
   Currie, Jane
   Crawford, Tonia
   Betihavas, Vasiliki
   Randall, Sue
TI A systematic review examining the effectiveness of blending technology
   with team-based learning
SO NURSE EDUCATION TODAY
VL 45
BP 185
EP 192
DI 10.1016/j.nedt.2016.08.012
PD OCT 2016
PY 2016
AB Background: Technological advancements are rapidly changing nursing
   education in higher education settings. Nursing academics are
   enthusiastically blending technology with active learning approaches
   such as Team Based Learning (TBL). While the educational outcomes of TBL
   are well documented, the value of blending technology with TBL
   (blended-TBL) remains unclear. This paper presents a systematic review
   examining the effectiveness of blended-TEL in higher education health
   disciplines.
   Objectives: This paper aimed to identify how technology has been
   incorporated into TBL in higher education health disciplines. It also
   sought to evaluate the educational outcomes of blended-TBL in terms of
   student learning and preference.
   Method: A review of TBL research in Medline, CINAHL, ERIC and Embase
   databases was undertaken including the search terms, team based
   learning, nursing, health science, medical, pharmaceutical, allied
   health education and allied health education. Papers were appraised
   using the Critical Appraisal Skills Program (CASP).
   Results: The final review included 9 papers involving 2094 student
   participants. A variety of technologies were blended with TBL including
   interactive eLearning and social media.
   Conclusion: There is limited evidence that blended-TBL improved student
   leaming outcomes or student preference. Enthusiasm to blend technology
   with TBL may not be as well founded as initially thought. However, few
   studies explicitly examined the value of incorporating technology into
   TBL. There is a clear need for research that can discern the impact of
   technology into TBL on student preference and learning outcomes, with a
   particular focus on barriers to student participation with online
   learning components. (C) 2016 Elsevier Ltd. All rights reserved.
RI Crawford, Tonia/H-9021-2019; River, Jo/ABE-6568-2020; Currie, Jane/AAJ-6343-2021; Currie, Jane/AAI-7356-2021; Randall, Sue/U-4815-2018; Betihavas, Vasiliki/J-7605-2014
OI Crawford, Tonia/0000-0002-4025-4457; River, Jo/0000-0002-5270-4013;
   Currie, Jane/0000-0002-8721-089X; Randall, Sue/0000-0003-2068-1432;
   Betihavas, Vasiliki/0000-0002-9841-2630
ZR 0
ZB 0
ZS 0
TC 28
ZA 0
Z8 0
Z9 28
U1 4
U2 107
SN 0260-6917
EI 1532-2793
UT WOS:000384384000033
PM 27541947
ER

PT J
AU Ng, Yee Sien
   Tan, Kristin Hui Xian
   Chen, Cynthia
   Senolos, Gilmore Cura
   Koh, Gerald Choon Huat
TI How Do Recurrent and First-Ever Strokes Differ in Rehabilitation
   Outcomes?
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 10
BP 709
EP 717
DI 10.1097/PHM.0000000000000502
PD OCT 2016
PY 2016
AB Objective To describe clinical characteristics and functional outcomes
   in recurrent stroke, identify factors associated with improved outcomes,
   and to compare these outcomes with first-ever stroke patients.
   Design Five-year prospective cohort study of 1277 consecutive stroke
   patients admitted to inpatient rehabilitation, with 16.6% recurrent
   stroke. Primary functional outcome measure was the Functional
   Independence Measure. FIM gain quantified the difference between
   admission and discharge FIM scores. FIM effectiveness measured the
   percentage recovery.
   Results In recurrent stroke patients, mean AdmissionFIM and DischargeFIM
   scores were 62.5 and 74.2, respectively, with a mean FIM gain of 11.7
   and FIM effectiveness of 20.4%. Comparing to first-ever stroke,
   recurrent stroke patients were older, had higher unemployment rates,
   higher proportion of ischemic stroke types, and higher prevalence of
   hypertension, diabetes, ischemic heart disease, and depression. In
   multivariate analysis of the entire cohort, recurrent stroke predicted
   lower FIM gains and effectiveness. When the recurrent stroke group was
   further sub-analyzed, better FIM gain was associated with higher
   cognitive AdmissionFIM scores and presence of a caregiver, whereas
   better FIM effectiveness was correlated with higher motor AdmissionFIM
   scores.
   Conclusions Recurrent stroke patients made less functional gains
   compared to first-ever stroke patients. However, improvements were still
   significant and these patients should be offered comprehensive inpatient
   rehabilitation to optimize outcomes.
   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 learner will be
   able to: (1) Describe unique demographics, and characteristics of
   recurrent stroke patients admitted for inpatient rehabilitation; (2)
   Differentiate functional outcomes between first-ever and recurrent
   stroke patients; and (3) Utilize factors associated with functional
   improvements in recurrent strokes in treatment planning.
   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.
OI Koh, Choon Huat Gerald/0000-0002-6453-6897; Ng,
   Yee-Sien/0000-0003-1377-5852
TC 11
ZA 0
ZR 0
Z8 0
ZB 5
ZS 0
Z9 11
U1 0
U2 10
SN 0894-9115
EI 1537-7385
UT WOS:000384447800005
PM 27088474
ER

PT J
AU Orloff, Natalia C.
   Flammer, Amy
   Hartnett, Josette
   Liquorman, Sarah
   Samelson, Renee
   Hormes, Julia M.
TI Food cravings in pregnancy: Preliminary evidence for a role in excess
   gestational weight gain
SO APPETITE
VL 105
BP 259
EP 265
DI 10.1016/j.appet.2016.04.040
PD OCT 1 2016
PY 2016
AB Currently, more than 50% of American women gain an excessive amount of
   weight during pregnancy as per guidelines established by the Institute
   of Medicine and American Congress of Obstetrics and Gynecology. This
   excess gestational weight gain (GWG) is associated with health
   complications in both mothers and children. This study sought to examine
   the hypothesized causal role of cravings in excess GWG. Pregnant women
   were recruited from a local hospital (n = 40) and via posts on
   pregnancy-related websites (n = 43). Weight (current and pregravid) and
   height data were collected to calculate body mass index (BMI) and
   recommended versus excess GWG. Participants completed the Food Craving
   Inventory (FCI), which quantifies "frequency" of cravings for specific
   foods and the likelihood of "giving in" to these cravings.
   Overweight/obesity prior to pregnancy was reported by 40.5%-57.9% of
   participants. At the time of survey completion, 19.5% of online and
   31.6% of hospital respondents had gained more than the recommended
   amount of weight for their stage of gestation. All women had experienced
   and given in to at least one craving, with cravings for "sweets" and
   "fast foods" being most common. Craving "frequency" accounted for a
   substantial portion of variance in excess GWG (25.0% in the online
   sample and 32.0% in respondents recruited at the hospital). Frequency of
   "giving in" to cravings accounted for 35.0% of the variance in excess
   GWG in the online sample only. Findings suggest that both craving
   frequency and consumption of craved foods may'increase risk of excess
   GWG, providing support for the development of interventions targeting
   cravings in pregnancy as potentially modifiable determinants of energy
   intake. (C) 2016 Elsevier Ltd. All rights reserved.
RI Hartnett, Josette/ADT-6095-2022
OI Hartnett, Josette/0000-0002-7475-4265
Z8 0
ZR 0
TC 26
ZS 0
ZB 8
ZA 0
Z9 26
U1 0
U2 23
SN 0195-6663
EI 1095-8304
UT WOS:000382345300030
PM 27215835
ER

PT J
AU Barnett, Marie
   McDonnell, Glynnis
   DeRosa, Antonio
   Schuler, Tammy
   Philip, Errol
   Peterson, Lisa
   Touza, Kaitlin
   Jhanwar, Sabrina
   Atkinson, Thomas M.
   Ford, Jennifer S.
TI Psychosocial outcomes and interventions among cancer survivors diagnosed
   during adolescence and young adulthood (AYA): a systematic review
SO JOURNAL OF CANCER SURVIVORSHIP
VL 10
IS 5
BP 814
EP 831
DI 10.1007/s11764-016-0527-6
PD OCT 2016
PY 2016
AB A cancer diagnosis during adolescence or young adulthood (AYA; defined
   as ages 15-39) generates unique medical and psychosocial needs as
   developmental milestones are simultaneously impacted. Past research
   highlights that AYAs' experiences and psychosocial outcomes are
   different, and more research and attention is needed. We aimed to
   identify and synthesize literature regarding psychosocial outcomes,
   unique needs, and existing psychosocial interventions pertaining to
   individuals diagnosed with cancer exclusively during AYA, and to
   highlight areas for future research.
   A systematic literature search was conducted using MEDLINE (via PubMed),
   EMBASE, Cochrane, Web of Science, and PsycINFO (via OVID). Grey
   literature was searched using key term variations and combinations.
   Overall, 15,301 records were assessed by two independent reviewers, with
   38 studies meeting inclusion criteria.
   Data synthesis of the 38 articles was organized by four main themes
   based on quality of life and survivorship: physical well-being (7
   studies), psychological well-being (8 studies), social well-being (9
   studies), and survivorship care (14 studies). The paucity of studies for
   such broad inclusion criteria highlights that this population is often
   combined or subsumed under other age groups, missing needs unique to
   these AYAs.
   AYA cancer survivors' experiences are nuanced, with interacting
   variables contributing to post-treatment outcomes. AYAs require
   age-appropriate and flexible care, informational needs and
   treatment-related education that foster autonomy for long-term
   survivorship, as well as improved follow-up care and psychological
   outcomes.
   By incorporating these findings into practice, the informational and
   unmet needs of AYAs can be addressed effectively. Education and
   programming is lacking specific and general subject matter specific to
   AYAs, incorporating ranging needs at different treatment stages.
RI DeRosa, Antonio/AAM-8100-2020; McDonnell, Glynnis/
OI DeRosa, Antonio/0000-0003-3518-0497; McDonnell,
   Glynnis/0000-0002-2710-4390
ZS 0
ZR 0
ZA 0
TC 133
ZB 21
Z8 0
Z9 133
U1 0
U2 39
SN 1932-2259
EI 1932-2267
UT WOS:000383329100003
PM 26920873
ER

PT J
AU Lakhani, Anand
   Lass, Elliot
   Silverstein, William K.
   Born, Karen B.
   Levinson, Wendy
   Wong, Brian M.
TI Choosing Wisely for Medical Education: Six Things Medical Students and
   Trainees Should Question
SO ACADEMIC MEDICINE
VL 91
IS 10
BP 1374
EP 1378
DI 10.1097/ACM.0000000000001325
PD OCT 2016
PY 2016
AB Problem
   Physician behaviors that promote overuse of health care resources
   develop early in training, and the medical education environment helps
   foster such behaviors. The authors describe the development of a
   Choosing Wisely list for medical students aimed at helping to curb
   overuse.
   Approach
   The list was developed in 2015 by Choosing Wisely Canada (CWC) in
   partnership with the Canadian Federation of Medical Students and the
   Federation medicale etudiante du Quebec, which together represent all
   medical students in Canada. CWC convened a student-led taskforce to
   develop recommendations targeting medical student behaviors with respect
   to resource stewardship practices. Students at all 17 Canadian medical
   schools were consulted via an online questionnaire to solicit feedback
   on a list of 10 candidate recommendations. The taskforce used this
   student feedback in finalizing the list.
   Outcomes
   The final list of "Six Things That Medical Students and Trainees Should
   Question" highlights both behaviors students should avoid (e.g., "Don't
   suggest ordering the most invasive test before considering other less
   invasive options") and behaviors related to aspects of medical training
   that may promote overuse, such as the hierarchical nature of clinical
   supervision (e.g., "Don't hesitate to ask for clarification on tests,
   treatments, or procedures that you believe may be ordered
   inappropriately"). Based on student requests for illustrative examples,
   clinical vignettes were developed.
   Next Steps
   This list highlights medical student behaviors and aspects of the
   academic environment that drive overuse. It is also relevant to faculty,
   whose behaviors and supervision practices influence trainees.
TC 12
ZB 4
ZR 0
ZS 0
ZA 0
Z8 0
Z9 12
U1 0
U2 2
SN 1040-2446
EI 1938-808X
UT WOS:000387207800017
PM 27489017
ER

PT J
AU Lypson, Monica L.
   Ross, Paula T.
   Zimmerman, Natalie
   Goldrath, Kathryn E.
   Ravindranath, Divy
TI Where Do Soldiers Really Come From? A Faculty Development Workshop on
   Veteran-Centered Care
SO ACADEMIC MEDICINE
VL 91
IS 10
BP 1379
EP 1383
DI 10.1097/ACM.0000000000001162
PD OCT 2016
PY 2016
AB Problem
   Addressing the medical concerns of veterans in both civilian health care
   systems and the Veterans Affairs (VA) health care system, where staff
   are familiar with issues of military reintegration, remains difficult
   but is increasingly important.
   Approach
   In 2013, the authors developed and implemented a faculty development
   workshop for practicing clinicians using the documentary Where Soldiers
   Come From. The workshop included topics on unconscious bias, the service
   member trajectory, health care disparities, and strategies for
   overcoming barriers to treating veterans with posttraumatic stress
   disorder and traumatic brain injury. The workshop engaged faculty in the
   following active-learning techniques: images in education; trigger
   video; critical thinking and reflective writing; think-pair-share; and
   large-group discussion. The workshop has been conducted at three
   locations with 46 health care professionals.
   Outcomes
   Thirty-one of 37 (84%) participants who completed the workshop
   evaluation were VA employees. The evaluation results show 25/32 (78.1%)
   participants indicated the workshop activities changed their knowledge,
   attitudes, and/or skills; 22/34 (64.7%) stated they had a better
   understanding of how to develop a care plan for veterans; and 27/34
   (79.4%) stated they gained a better understanding of how to prepare for
   issues around returning veterans.
   Next Steps
   To address the issue of veteran-centered care education more broadly,
   the authors have developed a massive open online course for health
   professionals, using most of the content from this workshop, which will
   be offered in spring 2016. Another important next step will be to
   deliver this workshop to and collect evaluation data from non-VA
   providers.
OI Ross, Paula/0000-0001-7751-784X; Lypson, Monica/0000-0002-1450-9380
TC 8
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
Z9 8
U1 0
U2 0
SN 1040-2446
EI 1938-808X
UT WOS:000387207800018
PM 27008358
ER

PT J
AU Nowalk, Mary Patricia
   Lin, Chyongchiou J.
   Pavlik, Valory N.
   Brown, Anthony E.
   Zhang, Song
   Moehling, Krissy K.
   Raviotta, Jonathan M.
   South-Paul, Jeannette E.
   Hawk, Mary
   Ricci, Edmund M.
   Middleton, Donald B.
   Patel, Suchita A.
   Ahmed, Faruque
   Zimmerman, Richard K.
TI Using the 4 Pillars (TM) Practice Transformation Program to increase
   adult Tdap immunization in a randomized controlled cluster trial
SO VACCINE
VL 34
IS 41
BP 5026
EP 5033
DI 10.1016/j.vaccine.2016.07.053
PD SEP 22 2016
PY 2016
AB Introduction: National adult Tdap vaccination rates are low, reinforcing
   the need to increase vaccination efforts in primary care offices. The 4
   Pillars (TM) Practice Transformation Program is an evidence-based,
   step-by-step guide to improving primary care adult vaccination with an
   online implementation tracking dashboard. This study tested the
   effectiveness of an intervention to increase adult Tdap vaccination that
   included the 4 Pillars (TM) Program, provider education, and one-on-one
   coaching of practice-based immunization champions.
   Methods: 25 primary care practices participated in a randomized
   controlled cluster trial (RCCT) in Year 1 (6/1/2013-5/31/2014) and a
   pre-post study in Year 2 (6/1/2014-1/31/2015). Baseline year was
   6/1/2012-5/31/2013, with data analyzed in 2016. Demographic and
   vaccination data were derived from de-identified electronic medical
   record (EMR) extractions. The primary outcomes were vaccination rates
   and percentage point (PP) changes/year.
   Results: The cohort consisted of 70,549 patients >= 18 years who were
   seen in the practices >= 1 time each year, with a baseline mean age = 55
   years; 35% were men; 56% were non-white; 35% were Hispanic and 20% were
   on Medicare. Baseline vaccination rate averaged 35%. In the Year 1 RCCT,
   cumulative Tdap vaccination increased significantly in both intervention
   and control groups; in both cities, the percentage point increases in
   the intervention groups (7.7 PP in Pittsburgh and 9.9 PP in Houston)
   were significantly higher (P < 0.001) than in the control groups (6.4 PP
   in Pittsburgh and 7.6 PP in Houston). In the Year 2 pre-post study, in
   both cities, active intervention groups increased rates significantly
   more (6.2 PP for both) than maintenance groups (2.2 PP in Pittsburgh and
   4.1 PP in Houston; P < 0.001).
   Conclusions: An intervention that includes the 4 Pillars (TM) Practice
   Transformation Program, staff education and coaching is effective for
   increasing adult Tdap immunization rates within primary care practices.
   (C) 2016 Elsevier Ltd. All rights reserved.
RI Nowalk, Mary Patricia/ACU-4712-2022; Raviotta, Jonathan M/O-9109-2016; Hawk, Mary/; Lin, Chyongchiou/
OI Raviotta, Jonathan M/0000-0001-7551-0628; Hawk,
   Mary/0000-0001-9753-4356; Lin, Chyongchiou/0000-0001-9441-3508
ZS 0
TC 11
ZR 0
Z8 0
ZA 0
ZB 5
Z9 11
U1 0
U2 4
SN 0264-410X
EI 1873-2518
UT WOS:000384857700026
PM 27576073
ER

PT J
AU Kyriakoulis, Konstantinos
   Patelarou, Athina
   Laliotis, Aggelos
   Wan, Andrew C
   Matalliotakis, Michail
   Tsiou, Chrysoula
   Patelarou, Evridiki
TI Educational strategies for teaching evidence-based practice to
   undergraduate health students: systematic review.
SO Journal of educational evaluation for health professions
VL 13
BP 34
EP 34
PD 2016
PY 2016
AB PURPOSE: The aim of this systematic review was to find best teaching
   strategies for teaching evidence-based practice (EBP) to undergraduate
   health students that have been adopted over the last years in healthcare
   institutions worldwide.
   METHODS: The authors carried out a systematic, comprehensive
   bibliographic search using Medline database for the years 2005 to March
   2015 (updated in March 2016). Search terms used were chosen from the
   USNLM Institutes of Health list of MeSH (Medical Subject Headings) and
   free text key terms were used as well. Selected articles were measured
   based on the inclusion criteria of this study and initially compared in
   terms of titles or abstracts. Finally, articles relevant to the subject
   of this review were retrieved in full text. Critical appraisal was done
   to determine the effects of strategy of teaching evidence-based medicine
   (EBM).
   RESULTS: Twenty articles were included in the review. The majority of
   the studies sampled medical students (n=13) and only few conducted among
   nursing (n=2), pharmacy (n=2), physiotherapy/therapy (n=1), dentistry
   (n=1), or mixed disciplines (n=1) students. Studies evaluated a variety
   of educational interventions of varying duration, frequency and format
   (lectures, tutorials, workshops, conferences, journal clubs, and online
   sessions), or combination of these to teach EBP. We categorized
   interventions into single interventions covering a workshop, conference,
   lecture, journal club, or e-learning and multifaceted interventions
   where a combination of strategies had been assessed. Seven studies
   reported an overall increase to all EBP domains indicating a higher EBP
   competence and two studies focused on the searching databases skill.
   CONCLUSION: Followings were deduced from above analysis: multifaceted
   approach may be best suited when teaching EBM to health students; the
   use of technology to promote EBP through mobile devices, simulation, and
   the web is on the rise; and the duration of the interventions varying
   form some hours to even months was not related to the students' EBP
   competence.
RI mihalis, mihalis/AAE-4474-2019; Kyriakoulis, Konstantinos/AAL-4446-2021; Patelarou, Evridiki/ABE-8373-2020; Tsiou, Chrysoula/ABD-3381-2020; Patelarou, Athina/AAZ-5643-2020; MATALLIOTAKIS, MICHAIL/; TSIOU, CHRYSOULA/; Laliotis, Aggelos/
OI Kyriakoulis, Konstantinos/0000-0001-8986-2704; Patelarou,
   Athina/0000-0002-0300-0650; MATALLIOTAKIS, MICHAIL/0000-0002-2967-184X;
   TSIOU, CHRYSOULA/0000-0003-1243-7069; Laliotis,
   Aggelos/0000-0003-0681-2053
Z8 0
ZR 0
TC 55
ZB 3
ZA 0
ZS 2
Z9 57
U1 1
U2 45
EI 1975-5937
UT MEDLINE:27649902
PM 27649902
ER

PT J
AU Kupek, Emil
   de Assis, Maria Alice A.
TI The use of multiple imputation method for the validation of 24-h food
   recalls by part-time observation of dietary intake in school
SO BRITISH JOURNAL OF NUTRITION
VL 116
IS 5
BP 904
EP 912
DI 10.1017/S0007114516002737
PD SEP 14 2016
PY 2016
AB External validation of food recall over 24 h in schoolchildren is often
   restricted to eating events in schools and is based on direct
   observation as the reference method. The aim of this study was to
   estimate the dietary intake out of school, and consequently the bias in
   such research design based on only part-time validated food recall,
   using multiple imputation (MI) conditioned on the information on child
   age, sex, BMI, family income, parental education and the school
   attended. The previous-day, web-based questionnaire WebCAAFE, structured
   as six meals/snacks and thirty-two foods/beverage, was answered by a
   sample of 7-11-year-old Brazilian schoolchildren (n 602) from five
   public schools. Food/beverage intake recalled by children was compared
   with the records provided by trained observers during school meals.
   Sensitivity analysis was performed with artificial data emulating those
   recalled by children on WebCAAFE in order to evaluate the impact of both
   differential and non-differential bias. Estimated bias was within +/- 30
   % interval for 844 % of the thirty-two foods/beverages evaluated in
   WebCAAFE, and half of the latter reached statistical significance
   (P<005). Rarely (<3 %) consumed dietary items were often under-reported
   (fish/seafood, vegetable soup, cheese bread, French fries), whereas some
   of those most frequently reported (meat, bread/biscuits, fruits) showed
   large overestimation. Compared with the analysis restricted to fully
   validated data, MI reduced differential bias in sensitivity analysis but
   the bias still remained large in most cases. MI provided a suitable
   statistical framework for part-time validation design of dietary intake
   over six daily eating events.
RI Assis, Maria Alice A/L-8489-2015; de Assis, Maria Alice A/B-8125-2009
OI Assis, Maria Alice A/0000-0002-5383-3714; de Assis, Maria Alice
   A/0000-0002-5383-3714
TC 4
Z8 0
ZR 0
ZA 0
ZB 0
ZS 1
Z9 4
U1 1
U2 14
SN 0007-1145
EI 1475-2662
UT WOS:000382894500015
PM 27452779
ER

PT J
AU Lew, Edward K
TI Creating a contemporary clerkship curriculum: the flipped classroom
   model in emergency medicine.
SO International journal of emergency medicine
VL 9
IS 1
BP 25
EP 25
DI 10.1186/s12245-016-0123-6
PD 2016-Dec
PY 2016
AB BACKGROUND: The teaching modality of "flipping the classroom" has
   garnered recent attention in medical education. In this model, the
   lecture and homework components are reversed. The flipped classroom
   lends itself to more interaction in "class" and theoretically improved
   clinical decision-making. Data is lacking for this model for students in
   emergency medicine clerkships. We trialed the flipped classroom in our
   fourth-year student clerkship. Our aim was to learn student and faculty
   facilitator perceptions of the experience, as it has not been done
   previously in this setting. We evaluated this in two ways: (1)
   participant perception of the experience and (2) facilitator (EM
   physician educator) perception of student preparation, participation,
   and knowledge synthesis.
   METHODS: With permission from its creators, we utilized an online video
   series derived from the Clerkship Directors in Emergency Medicine.
   Students were provided the link to these 1week prior to the classroom
   experience as the "homework." We developed patient cases generated from
   the videos that we discussed during class in small-group format.
   Afterward, students were surveyed about the experience using four-point
   Likert items and free-text comments and also were evaluated by the
   facilitator on a nine-point scale.
   RESULTS: Forty-six clerkship students participated. Students deemed the
   online modules useful at 2.9 (95% CI 2.7-3.2). Further, they reported
   the in-class discussion to be of high value at 3.9 (95% CI 3.8-4.0),
   much preferred the flipped classroom to traditional lecturing at 3.8
   (95% CI 3.6-3.9), and rated the overall experience highly at 3.8 (95% CI
   3.7-3.9). Based on preparation, participation, and knowledge synthesis,
   the facilitator judged participants favorably at 7.4 (95% CI 7.0-7.8).
   Students commented that the interactivity, discussion, and medical
   decision-making were advantages of this format.
   CONCLUSIONS: Students found high value in the flipped classroom and
   prefer it to traditional lecturing, citing interactivity and discussion
   as the main reasons. The facilitator also viewed that the students were
   not only well prepared for the flipped classroom but that they also
   actively participated in and synthesized knowledge adequately during
   this experience. This study supports the use of the flipped classroom
   for EM clerkship students as a valuable, preferable teaching technique.
TC 35
Z8 0
ZA 0
ZR 0
ZB 5
ZS 1
Z9 36
U1 0
U2 14
SN 1865-1372
UT MEDLINE:27623956
PM 27623956
ER

PT J
AU Sajid, Muhammad R
   Laheji, Abrar F
   Abothenain, Fayha
   Salam, Yezan
   AlJayar, Dina
   Obeidat, Akef
TI Can blended learning and the flipped classroom improve student learning
   and satisfaction in Saudi Arabia?
SO International journal of medical education
VL 7
BP 281
EP 5
DI 10.5116/ijme.57a7.83d4
PD 2016 Sep 04
PY 2016
AB OBJECTIVES: To evaluate student academic performance and perception
   towards blended learning and flipped classrooms in comparison to
   traditional teaching.
   METHODS: This study was conducted during the hematology block on year
   three students. Five lectures were delivered online only. Asynchronous
   discussion boards were created where students could interact with
   colleagues and instructors. A flipped classroom was introduced with
   application exercises. Summative assessment results were compared with
   previous year results as a historical control for statistical
   significance. Student feedback regarding their blended learning
   experience was collected.
   RESULTS: A total of 127 responses were obtained. Approximately 22.8%
   students felt all lectures should be delivered through didactic
   lecturing, while almost 35% felt that 20% of total lectures should be
   given online. Students expressed satisfaction with blended learning as a
   new and effective learning approach. The majority of students reported
   blended learning was helpful for exam preparation and concept
   clarification. However, a comparison of grades did not show a
   statistically significant increase in the academic performance of
   students taught via the blended learning method.
   CONCLUSIONS: Learning experiences can be enriched by adopting a blended
   method of instruction at various stages of undergraduate and
   postgraduate education. Our results suggest that blended learning, a
   relatively new concept in Saudi Arabia, shows promising results with
   higher student satisfaction. Flipped classrooms replace passive
   lecturing with active student-centered learning that enhances critical
   thinking and application, including information retention.
RI Sajid, Muhammad Raihan/AAS-8095-2021; Salam, Yezan/
OI Sajid, Muhammad Raihan/0000-0002-6082-3928; Salam,
   Yezan/0000-0002-5611-6358
ZA 0
TC 42
ZS 3
ZR 0
ZB 2
Z8 0
Z9 45
U1 4
U2 46
EI 2042-6372
UT MEDLINE:27591930
PM 27591930
ER

PT J
AU Abuzaid, Mohamed M
   Alnuaimi, Aishah M
   Abdi, Asma M
   Mohajer, Elika A
   Mohamed, Ifrah A
   Bilwani, Rawan A
   Alhammadi, Shaima B
TI Developing and testing an electronic literacy resource for Arab patients
   before experiencing radiology procedures.
SO The Journal of the Egyptian Public Health Association
VL 91
IS 3
BP 109
EP 114
PD 2016-Sep
PY 2016
AB BACKGROUND: Radiological examinations require prior preparation that
   patients should be informed about. Radiologists and radiologic
   technologists have limited time and resources to do so. Therefore, the
   internet is a valuable and accessible resource for patient education,
   but the information may not be reliable, especially that in Arabic
   language. This study aimed to develop online patient education resources
   about imaging procedures in Arabic. It also evaluated the
   understandability and actionability of the source materials.
   MATERIALS AND METHODS: The study was conducted at the University of
   Sharjah between October 2014 and July 2015. A website containing texts
   and audiovisuals for 21 medical imaging procedures was created.
   Bilingual (Arabic and English) radiology experts evaluated the materials
   with automatic score calculation using the Patient Education Materials
   Assessment Tool. Two procedures were pilot tested by one evaluator,
   followed by completion of 28 evaluations by 15 selected experts.
   RESULTS: Nineteen of 21 procedures were randomly evaluated. For
   printable materials, the mean understandability score was 92.37
   (SD=8.355) and actionability score was 92.11 (SD=13.157). For
   audiovisual materials, the mean understandability score was 97.63
   (SD=13.157) and the percentage for all actionability scores was 100%.
   The minimum acceptable percentage is 70%.
   CONCLUSION: The high percentages scored for the online materials
   indicate that the evaluators were satisfied with the materials included
   and that the information would be easy for patients to understand and
   follow. The higher scores for the audiovisual materials indicate that
   they were considered more effective for improving patient knowledge
   patient knowledge.
RI Abuzaid, Mohamed. M./O-5104-2016; Abuzaid, Mohamed Mahmoud/N-4054-2015
OI Abuzaid, Mohamed. M./0000-0002-6320-9878; Abuzaid, Mohamed
   Mahmoud/0000-0002-6320-9878
ZA 0
ZR 0
ZB 0
TC 0
ZS 0
Z8 0
Z9 0
U1 0
U2 2
EI 2090-262X
UT MEDLINE:27749641
PM 27749641
ER

PT J
AU Evans, David V.
   Patterson, Davis G.
   Andrilla, C. Holly A.
   Schmitz, David
   Longenecker, Randall
TI Do Residencies That Aim to Produce Rural Family Physicians Offer
   Relevant Training?
SO FAMILY MEDICINE
VL 48
IS 8
BP 596
EP 602
PD SEP 2016
PY 2016
AB BACKGROUND AND OBJECTIVES: Rural family physicians are in short supply.
   Rural training can promote rural practice, but the number of family
   medicine residencies with a rural focus, geographic distribution of
   training, and training content are poorly understood. This study
   identified rural-centric family medicine residencies, their training
   locations, and rurally relevant skills training provided.
   METHODS: The authors identified family medicine residencies offering
   rural tracks or in rural locations using FREIDA Online, the American
   Osteopathic Association "Opportunities," and the American College of
   Osteopathic Family Physicians Residency Finder online databases. Program
   personnel completed a survey in 2013 about training locations and
   content.
   RESULTS: Of 583, 171 (29%) family medicine residencies met inclusion
   criteria. A total of 131 returned surveys (77%). Fifty-eight programs
   (44% of respondents) required at least 8 weeks of rural training;
   results describe these rural-centric programs. Programs reported a mean
   of 43.6 weeks (SD 49.7) of required rural block rotations. Mean hours
   per week in required rural continuity clinic sessions were 14.3 (SD
   12.2). Thirty-nine percent of block rotation sites, 31% of clinic sites,
   and 21% of full-time training sites reported as rural were urban
   according to Rural-Urban Commuting Area codes. Over 90% of programs
   provided training in orthopedic care and emergency skills. Fewer than
   60% provided endoscopy and operative obstetrics training.
   CONCLUSIONS: Though numerous family medicine residencies seek to produce
   rural physicians, most programs required fewer than 8 weeks of rural
   training. Programs varied substantially in rurally located training and
   rurally relevant content. Students seeking rural training should examine
   program curricula carefully.
RI Schmitz, David/S-2363-2019; Andrilla, Holly/AAC-6264-2019
TC 7
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 7
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000383730500002
PM 27655191
ER

PT J
AU Sharoni, Siti Khuzaimah Ahmad
   Minhat, Halimatus Sakdiah
   Zulkefli, Nor Afiah Mohd
   Baharom, Anisah
TI Health education programmes to improve foot self-care practices and foot
   problems among older people with diabetes: a systematic review
SO INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
VL 11
IS 3
BP 214
EP 239
DI 10.1111/opn.12112
PD SEP 2016
PY 2016
AB Aims and objectives. To assess the effectiveness of health education
   programmes to improve foot self-care practices and foot problems among
   older people with diabetes.
   Background. The complications of diabetes among older people are a major
   health concern. Foot problems such as neuropathy, ulcer and ultimately
   amputation are a great burden on older people with diabetes. Diabetes
   foot education programmes can influence the behaviour of older people in
   practising foot self-care and controlling the foot problems. However,
   the educational approaches used by the educators are different.
   Therefore, it is important to assess the education programmes from
   various evidence-based practices.
   Design. Six databases, EBSCOhost medical collections (MEDLINE, CINAHL,
   Psychology and Behavioral Sciences Collection), SAGE, Wiley Online
   Library, ScienceDirect, SpringerLink and Web of Science, were used to
   search for articles published from January 2000 to March 2015. The
   search was based on the inclusion criteria and keywords including
   'foot', 'care' and 'diabetes'. Fourteen studies were assessed and
   reviewed in the final stage.
   Conclusions. Health education programmes varied according to their
   design, setting, approach, outcome measured and results. Foot
   assessment, verbal and written instructions and discussion were proved
   to improve the foot self-care and foot problems. Subsequent follow-ups
   and evaluations had a significant effect. An improvement was observed in
   foot self-care scores and foot problems (such as neuropathy, foot
   disability, lesion, ulcer, tinea pedis and callus grade) after
   implementation of the health education programme.
   Implications for practice. The findings of this study support the claim
   that a health education programme increases the foot self-care scores
   and reduces the foot problems. However, there were certain
   methodological concerns in the reviewed articles, indicating the need
   for further evaluation. In future, researchers and practitioners must
   implement a vigorous education programme focusing on diabetes foot
   self-care among the older population.
OI minhat, halimatus/0000-0001-9134-3284
ZA 0
ZS 1
ZR 0
ZB 4
Z8 2
TC 22
Z9 25
U1 1
U2 29
SN 1748-3735
EI 1748-3743
UT WOS:000382487400007
PM 26916809
ER

PT J
AU Dimitri, Daneilla
   Gubert, Andrea
   Miller, Amanda B
   Thoma, Brent
   Chan, Teresa
TI A Quantitative Study on Anonymity and Professionalism within an Online
   Free Open Access Medical Education Community.
SO Cureus
VL 8
IS 9
BP e788
EP e788
DI 10.7759/cureus.788
PD 2016 Sep 18
PY 2016
AB The increasing use of social media to share knowledge in medical
   education has led to concerns about the professionalism of online
   medical learners and physicians. However, there is a lack of research on
   the behavior of professionals within open online discussions. In 2013,
   the Academic Life in Emergency Medicine website (ALiEM.com)launched a
   series of moderated online case discussions that provided an opportunity
   to explore the relationship between anonymity and professionalism.
   Comments from 12 case discussions conducted over a one-year period were
   analyzed using modified scales of anonymity and professionalism derived
   by Kilner and Hoadley. Descriptive statistics and Spearman calculations
   were conducted for the professionalism score, anonymity score, and level
   of participation. No correlation was found between professionalism and
   anonymity scores (rho = -0.004, p = 0.97). However, the number of
   comments (rho = 0.35, p < 0.01) and number of cases contributed to (rho
   = 0.26, p < 0.05) correlated positively with clear identification. Our
   results differed from previous literature, the majority of which found
   anonymity associated with unprofessionalism. We believe that this may be
   a result of the fostering of a professional environment through the use
   of a website with a positive reputation, the modelling of respectful
   behaviour by the moderators, the norms of the broader online community,
   and the pre-specified objectives for each discussion.
RI Chan, Teresa/T-6676-2017; Thoma, Brent/ABI-2642-2020
OI Chan, Teresa/0000-0001-6104-462X; 
ZS 0
ZB 1
TC 8
Z8 0
ZR 0
ZA 0
Z9 8
U1 0
U2 2
SN 2168-8184
UT MEDLINE:28638746
PM 28638746
ER

PT J
AU Pitney, William A.
   Weuve, Celest
   Mazerolle, Stephanie M.
TI Experiences With and Perceptions of Workplace Bullying Among Athletic
   Trainers in the Secondary School Setting
SO JOURNAL OF ATHLETIC TRAINING
VL 51
IS 9
BP 709
EP 716
DI 10.4085/1062-6050-51.10.14
PD SEP 2016
PY 2016
AB Context: Workplace bullying (WPB) has recently received much attention
   in society. Research on WPB in athletic training practice settings is
   limited.
   Objective: To determine the prevalence of WPB in the secondary school
   setting and explore the factors related to it.
   Design: Mixed-methods study.
   Setting: Secondary school.
   Patients or Other Participants: A total of 567 athletic trainers (women
   = 322 [56.8%], men = 245 [43.2%]), aged 36.5 +/- 11.1 years with 11.9
   +/- 9.5 years of experience took part in phase I. Ten participants (7
   women and 3 men), aged 39.3 +/- 10.1 years with 14.3 +/- 8.3 years of
   experience, took part in phase II.
   Data Collection and Analysis: For the online survey, we used the
   previously validated and reliable (Cronbach alpha = .84) Athletic
   Training Workplace Environment Survey, which included the Negative Acts
   Questionnaire-Revised. The prevalence of WPB was measured with
   descriptive statistics, and chi(2) analyses were used to compare
   differences between groups (ie, females and males, perpetrators'
   titles). The interview data were examined using an inductive content
   analysis.
   Results: Of the participants, 44 (7.8%) were empirically identified as
   targets of bullying, though a higher percentage (12.4%, n = 70)
   self-identified as bullying targets. Men and women did not differ with
   respect to having experienced WPB, but more perpetrators were male
   (71.6%, n = 48) than female (28.4%, n = 19; chi(2)(1) = 12.55, P =
   <.001). We also observed a difference in perpetrators' titles, with the
   vast majority of bullies being coaches or administrators (chi(2)(6) =
   33.82, P = <.001). Lack of administrator support and discrimination were
   antecedents of bullying. Stress, depression, and sleep disturbances were
   reported consequences. Participants coped with bullying by avoidance and
   role refocusing.
   Conclusions: Bullying was experienced by a small percentage of athletic
   trainers in the secondary school setting, a contrast to the findings in
   the collegiate practice setting.
Z8 0
ZA 0
TC 7
ZS 0
ZR 0
ZB 2
Z9 7
U1 0
U2 13
SN 1062-6050
EI 1938-162X
UT WOS:000392859700006
PM 27718590
ER

PT J
AU Ruiz-Cordell, Karyn D.
   Joubin, Kathy
   Haimowitz, Steven
TI Applying Advanced Analytical Approaches to Characterize the Impact of
   Specific Clinical Gaps and Profiles on the Management of Rheumatoid
   Arthritis
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 4
BP 235
EP 239
DI 10.1097/CEH.0000000000000119
PD FAL 2016
PY 2016
AB Introduction: The goal of this study was to add a predictive modeling
   approach to the meta-analysis of continuing medical education curricula
   to determine whether this technique can be used to better understand
   clinical decision making. Using the education of rheumatologists on
   rheumatoid arthritis management as a model, this study demonstrates how
   the combined methodology has the ability to not only characterize
   learning gaps but also identify those proficiency areas that have the
   greatest impact on clinical behavior.
   Methods: The meta-analysis included seven curricula with 25 activities.
   Learners who identified as rheumatologists were evaluated across
   multiple learning domains, using a uniform methodology to characterize
   learning gains and gaps. A performance composite variable (called the
   treatment individualization and optimization score) was then established
   as a target upon which predictive analytics were conducted.
   Results: Significant predictors of the target included items related to
   the knowledge of rheumatologists and confidence concerning 1) treatment
   guidelines and 2) tests that measure disease activity. In addition, a
   striking demographic predictor related to geographic practice setting
   was also identified.
   Discussion: The results demonstrate the power of advanced analytics to
   identify key predictors that influence clinical behaviors. Furthermore,
   the ability to provide an expected magnitude of change if these
   predictors are addressed has the potential to substantially refine
   educational priorities to those drivers that, if targeted, will most
   effectively overcome clinical barriers and lead to the greatest success
   in achieving treatment goals.
ZA 0
TC 0
ZR 0
ZS 0
ZB 0
Z8 0
Z9 0
U1 0
U2 7
SN 0894-1912
EI 1554-558X
UT WOS:000393134700002
PM 28350303
ER

PT J
AU Stephenson, Christopher R.
   Wang, Amy T.
   Szostek, Jason H.
   Bonnes, Sara L.
   Ratelle, John T.
   Mahapatra, Saswati
   Mandrekar, Jayawant N.
   Beckman, Thomas J.
   Wittich, Christopher M.
TI Flipping the Continuing Medical Education Classroom: Validating a
   Measure of Attendees' Perceptions
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 4
BP 256
EP 262
DI 10.1097/CEH.0000000000000113
PD FAL 2016
PY 2016
AB Introduction: New teaching approaches for CME are needed. In flipped
   classrooms, coursework is completed beforehand and applied during class
   time. Studies of flipped classrooms and their potential benefits in CME
   have not been published. We sought to develop and validate an instrument
   measuring flipped classroom perceptions, identify whether participation
   changed perceptions, and determine which flipped classroom components
   were perceived as most effective.
   Methods: In this cross-sectional validation study, 167 participants in
   the Mayo Clinic's 2015 Internal Medicine Board Review course received
   surveys. Online modules were developed to deliver content before flipped
   classroom courses on acid-base disorders and electrolyte disorders. A
   flipped classroom perception instrument (FCPI) was developed and
   validated. The FCPI, with eight items structured on 5-point Likert
   scales, was given to participants before and after their flipped
   classroom experiences.
   Results: Of the 167 participants, 111 returned surveys. Flipped
   classroom perceptions improved, with mean (SD) FCPI scores increasing
   from 3.74 (0.75) to 3.94 (0.76) (P<.001). The percentage of participants
   who preferred flipped classrooms increased from 38% before the course to
   53% after (P=.002). Positive changes in FCPI scores were unrelated to
   module completion. Most participants thought knowledge was enhanced by
   in-class sessions and online modules equally.
   Discussion: The FCPI, the first validated measure of participants'
   perceptions of a CME flipped classroom, has strong validity evidence.
   Participants' perceptions of and preference for the flipped classroom
   improved after experiencing the flipped CME classroom. These findings
   support the need to further explore flipped classroom models in CME.
TC 7
Z8 0
ZB 2
ZR 0
ZS 0
ZA 0
Z9 7
U1 0
U2 17
SN 0894-1912
EI 1554-558X
UT WOS:000393134700005
PM 28350306
ER

PT J
AU Curran, Vernon
   Fleet, Lisa
   Simmons, Karla
   Ravalia, Mohamed
   Snow, Pamela
TI Exploratory Study of Rural Physicians' Self-Directed Learning
   Experiences in a Digital Age
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 4
BP 284
EP 289
DI 10.1097/CEH.0000000000000111
PD FAL 2016
PY 2016
AB Introduction: The nature and characteristics of self-directed learning
   (SDL) by physicians has been transformed with the growth in digital,
   social, and mobile technologies (DSMTs). Although these technologies
   present opportunities for greater "just-in-time" information seeking,
   there are issues for ensuring effective and efficient usage to
   compliment one's repertoire for continuous learning. The purpose of this
   study was to explore the SDL experiences of rural physicians and the
   potential of DSMTs for supporting their continuing professional
   development (CPD).
   Methods: Semistructured interviews were conducted with a purposive
   sample of rural physicians. Interview data were transcribed verbatim and
   analyzed using NVivo analytical software and thematic analysis.
   Results: Fourteen (N = 14) interviews were conducted and key thematic
   categories that emerged included key triggers, methods of undertaking
   SDL, barriers, and supports. Methods and resources for undertaking SDL
   have evolved considerably, and rural physicians report greater usage of
   mobile phones, tablets, and laptop computers for updating their
   knowledge and skills and in responding to patient questions/problems.
   Mobile technologies, and some social media, can serve as "triggers" in
   instigating SDL and a greater usage of DSMTs, particularly at "point of
   care," may result in higher levels of SDL. Social media is met with some
   scrutiny and ambivalence, mainly because of the "credibility" of
   information and risks associated with digital professionalism.
   Discussion: DSMTs are growing in popularity as a key resource to support
   SDL for rural physicians. Mobile technologies are enabling greater
   "point-of-care" learning and more efficient information seeking.
   Effective use of DSMTs for SDL has implications for enhancing
   just-in-time learning and quality of care. Increasing use of DSMTs and
   their new effect on SDL raises the need for reflection on
   conceptualizations of the SDL process. The "digital age" has
   implications for our CPD credit systems and the roles of CPD providers
   in supporting SDL using DSMTs.
RI Curran, Vernon/AAX-3522-2020; Curran, Vernon/
OI Curran, Vernon/0000-0002-2432-6633
ZB 0
ZS 0
ZA 0
ZR 0
TC 3
Z8 0
Z9 3
U1 0
U2 17
SN 0894-1912
EI 1554-558X
UT WOS:000393134700009
PM 28350310
ER

PT J
AU Hadadgar, Arash
   Changiz, Tahereh
   Dehghani, Zahra
   Backheden, Magnus
   Mirshahzadeh, Nahidalsadat
   Zary, Nabil
   Masiello, Italo
TI A Theory-Based Study of Factors Explaining General Practitioners'
   Intention to Use and Participation in Electronic Continuing Medical
   Education
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 4
BP 290
EP 294
DI 10.1097/CEH.0000000000000123
PD FAL 2016
PY 2016
AB Introduction: Electronic modes of continuing medical education (eCME)
   can provide an appropriate and scalable way of updating the knowledge
   and skills of general practitioners (GPs). To optimize the adoption of
   eCME and develop efficient and cost-effective eCME programs, factors
   explaining GPs' intention to use eCME must first be elucidated.
   Methods: Using the Theory of Planned Behavior as a framework, we
   developed a questionnaire and administered it to GPs in seven CME
   seminars in Isfahan, Iran, in 2014. Three domains of GPs' intention to
   use eCME were measured: attitudes, perceived behavioral control, and
   subjective norms. We used linear and logistic regression to identify the
   main predictors of intention and behavior.
   Results: GPs who had high score in perceived behavioral control and a
   more positive attitude toward e-learning had a higher intention to adopt
   it for CME. In contrast, subjective norms (eg, social pressures to use
   eCME) were not a predictor. Attitude toward usefulness of eCME was the
   main predictor of being an actual eCME user.
   Discussion: Perceived behavioral control and attitude constitute the
   main predictors of the intention to use eCME. Establishing discussions
   forums and strengthening organizational support for eCME through an
   increased awareness among clinical superiors and CME managers would be
   expected to increase GPs' intention to use eCME.
RI Zary, Nabil/M-9432-2019; Changiz, Tahereh/W-1994-2017; Hadadgar, Arash/; Masiello, Italo/C-6114-2019
OI Zary, Nabil/0000-0001-8999-6999; Hadadgar, Arash/0000-0002-2767-4481;
   Masiello, Italo/0000-0002-3738-7945
TC 4
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
Z9 4
U1 0
U2 12
SN 0894-1912
EI 1554-558X
UT WOS:000393134700010
PM 28350311
ER

PT J
AU Alotaibi, Naif M.
   Samuel, Nardin
   Guha, Daipayan
   Nassiri, Farshad
   Badhiwala, Jetan H.
   Tam, Joseph
   Shamji, Mohammed F.
   Kulkarni, Abhaya V.
   Macdonald, R. Loch
   Lozano, Andres M.
TI Social Media for Academic Neurosurgical Programs: The University of
   Toronto Experience
SO WORLD NEUROSURGERY
VL 93
BP 449
EP 457
DI 10.1016/j.wneu.2016.06.134
PD SEP 2016
PY 2016
AB BACKGROUND: There is a paucity of available strategies to increase
   visibility and engagement in social media (SM) within the neurosurgical
   community. The objective of this study was to investigate the possible
   factors for engagement and reach among SM users in neurosurgery.
   METHODS: Data from Facebook and Twitter accounts of our institution were
   collected. We extracted data on demographics and attributes of our
   current users, including sex, country, age group, device used, and
   language. Attributes of SM posts were also collected, including time of
   post, type and content of post, impressions, and engagements.
   Nonparametric analyses were conducted to evaluate differences in
   metrics.
   RESULTS: Metrics were obtained on 192 Facebook and Twitter posts,
   published online between October 1, 2013, and March 13, 2016. On both
   platforms, there was a greater representation of male users relative to
   female users. Facebook users were predominantly in the 18-34 years age
   range (83%), with most users being from outside of North America.
   Conversely, users from Canada and the United States comprised the
   highest proportion of Twitter users. On both platforms, posts containing
   photos or videos scored significantly higher in engagements and
   impressions (P < 0.05). Posts on weekdays and during work hours achieved
   higher visibility and engagements. Moreover, Facebook posts demonstrated
   higher SM metrics if they mentioned faculty with more than 16 years'
   experience (P < 0.05).
   CONCLUSIONS: The current study demonstrates that our SM users
   predominantly comprise a younger demographic and that content
   optimization with media materials may lead to higher visibility and
   engagement. The impact of high SM reach on academic neurosurgical
   programs remains to be determined.
RI Guha, Daipayan/AAV-1008-2021; Lozano, Andres M/A-5058-2012; Tam, Joseph/; Alotaibi, Naif/; Lozano, Andres/
OI Guha, Daipayan/0000-0002-2052-4819; Tam, Joseph/0000-0002-3864-7008;
   Alotaibi, Naif/0000-0002-8227-347X; Lozano, Andres/0000-0001-8257-3694
ZA 0
ZB 4
TC 19
Z8 0
ZS 0
ZR 0
Z9 19
U1 0
U2 9
SN 1878-8750
EI 1878-8769
UT WOS:000390352000066
PM 27423202
ER

PT J
AU Walker, K. K.
   Jackson, R. D.
TI Lay public's use of a support group for general dental problems
SO COMMUNITY DENTAL HEALTH
VL 33
IS 3
BP 185
EP 190
DI 10.1922/CDH_3838Walker06
PD SEP 2016
PY 2016
AB Objective: To categorize and tabulate layperson inquiries made to an
   Internet dental health support site to identify oral conditions and
   associated behaviors of concern. Methods: A retrospective tabulation of
   wall postings was made from an established dental health support website
   hosted by WebMD over a 2-year period (April 2013-April 2015). A mixed
   method approach of content and thematic analysis was used. Content
   analysis identified content of oral health concerns, while thematic
   analysis using grounded theory identified themes and beliefs concerning
   associated behaviors. Results: The presence of non-descript growths on
   the tongue and swelling and/or discoloration of the lips elicited the
   most inquires. These were often self-diagnosed as oral candidiasis, a
   STD or a carcinoma, provoking high levels of self-concern. Unprotected
   sexual activity, excessive ingestion of soft and hard beverages, smoking
   and overexposure to the sun were the most frequently self-reported
   behaviors associated with their concerns. Many questions focused upon
   "nomal" healing, including the amount of edema and discomfort that could
   occur following oral surgery or other dental procedures. Information
   concerning alternative treatments was often solicited, and many alluded
   that they had not been provided sufficient information to make informed
   decisions prior to dental treatment. Conclusion: Laypersons have many
   oral health concerns particularly in relationship to the development of
   undiagnosed pathologies in conjunction with a history of volitional
   behaviors. the dental community should monitor these sites to provide
   advice and links to information about common oral health concerns and
   their possible association with detrimental behaviors.
ZB 0
Z8 0
ZS 0
TC 0
ZR 0
ZA 0
Z9 0
U1 0
U2 4
SN 0265-539X
UT WOS:000390932100004
PM 28509514
ER

PT J
AU Marinova-Todd, Stefka H.
   Colozzo, Paola
   Mirenda, Pat
   Stahl, Hillary
   Bird, Elizabeth Kay-Raining
   Parkington, Karisa
   Cain, Kate
   de Valenzuela, Julia Scherba
   Segers, Eliane
   MacLeod, Andrea A. N.
   Genesee, Fred
TI Professional practices and opinions about services available to
   bilingual children with developmental disabilities: An international
   study
SO JOURNAL OF COMMUNICATION DISORDERS
VL 63
BP 47
EP 62
DI 10.1016/j.jcomdis.2016.05.004
PD SEP-OCT 2016
PY 2016
AB This study aimed to gather information from school-and clinic-based
   professionals about their practices and opinions pertaining to the
   provision of bilingual supports to students with developmental
   disabilities. Using an online survey, data were collected in six
   socio-culturally and linguistically diverse locations across four
   countries: the United States, Canada, the United Kingdom, and the
   Netherlands. In total, 361 surveys were included in the analysis from
   respondents who were primarily teachers and speech-language pathologists
   working in schools, daycares/preschools, or community-based clinics. The
   overall picture that emerged from the data reflected a disconnection
   between practice and opinion. In general, respondents believed that
   children with both mild and severe disabilities are capable of learning
   a second language, although their opinions were more neutral for the
   latter group. However, children with both mild and severe disabilities
   who spoke only a minority language at home had less access to services
   for second language learners than did their typically developing peers,
   although respondents agreed that such services should be more available.
   Regardless of clinical group, children who lived in homes where a
   minority language was spoken were often exposed to, assessed in, and
   treated in the majority language only; again, respondents generally
   disagreed with these practices. Finally, second language classes were
   less available to children in the two disability groups compared to
   typically developing bilingual children, with general agreement that the
   opportunity to acquire a second language should be more available,
   especially to those with mild disabilities. Although the results
   indicate that there is a considerable gap between current practices and
   professional opinions, professionals appear to be more supportive of
   bilingual educational opportunities for these populations than was
   suggested by previous research. (C) 2016 Elsevier Inc. All rights
   reserved.
RI Cain, Kate/D-9506-2011; Kay-Raining Bird, Elizabeth/; Mirenda, Pat/; MacLeod, Andrea A.N./
OI Cain, Kate/0000-0003-2780-188X; Kay-Raining Bird,
   Elizabeth/0000-0001-9000-3026; Mirenda, Pat/0000-0002-1016-3589;
   MacLeod, Andrea A.N./0000-0002-4752-9476
ZA 0
ZB 4
ZS 0
ZR 0
TC 19
Z8 0
Z9 19
U1 0
U2 22
SN 0021-9924
EI 1873-7994
UT WOS:000387738900004
PM 27814797
ER

PT J
AU Agh-Atabay, M. D.
   Sofizadeh, A.
   Ozbaki, G. M.
   Malaki-Ravasan, N.
   Ghanbari, M. R.
   Mozafari, O.
TI Ecoepidemiological characteristics of a hypoendemic focus of zoonotic
   cutaneous leishmaniasis in north Iran (southeast of Caspian Sea)
SO JOURNAL OF VECTOR BORNE DISEASES
VL 53
IS 3
BP 248
EP 256
PD SEP 2016
PY 2016
AB Background & objectives: Leishmaniasis is an endemic parasitic disease
   reported sporadically throughout Iran. Golestan province is one of the
   17 zoonotic cutaneous leishmaniasis (ZCL) foci. In this study,
   ecoepidemiological characteristics of ZCL were investigated in Gonbad-e
   Kavus County, Golestan province of Iran.
   Methods: This cross-sectional study was carried out in three endemic
   villages and one ZCL-free village by exploiting a stratified random
   sampling methodology in 2013. To understand particular time-allocation
   and activity patterns, sandflies were entrapped twice per month using
   sticky traps from May to October 2013. Records of daily maximum and
   minimum temperatures (degrees C) obtained from the meteorological
   station were used to calculate accumulated degree days (ADD) for
   Phlebotomus papatasi sandflies using an online software, viz. degree-day
   calculator, available from the website of Integrated Pest Management,
   University of California. The computational ADD and expected stage
   appearance for P. papatasi sandflies were evaluated along with the
   phenological events. Human infection indices were investigated in the
   study areas as well.
   Results: In the entomological survey, a total of 13 different sandfly
   species were identified. Sergentomyia sintoni (66.8%) and P. papatasi
   (20%) were observed to be the most dominant species. Monthly activity of
   the different species of sandflies started from early May to
   mid-October, with two peaks observed in early July and mid September,
   and the peak of hourly activity occurred at night (1900-2000 hrs).
   According to the phenological study, population dynamics of P. papatasi
   was completely in agreement with ADD required for the various stages of
   their growth. Epidemiologically, the highest incidence of ZCL was
   observed in the age group of 30-34 yr (29.4%).
   Interpretation & conclusion: Higher incidence of the disease was seen in
   the northern and the northeastern parts of the province bordered by
   Turkmenistan. The most effective alternative for controlling the disease
   in this hypo endemic focus is health education regarding personal
   protection from infected P. papatasi. The long-term studies are
   imperative for better understanding and estimation of the factors
   affecting ZCL transmission in the endemic areas.
RI Ghanbari, MohammadReza/F-9838-2017; Maleki-Ravasan, Naseh/; Mozafari, Omid/M-1191-2017
OI Ghanbari, MohammadReza/0000-0003-2618-9502; Maleki-Ravasan,
   Naseh/0000-0001-7209-5908; Mozafari, Omid/0000-0001-9315-126X
ZB 5
ZR 0
TC 5
ZA 0
Z8 0
ZS 0
Z9 5
U1 0
U2 1
SN 0972-9062
UT WOS:000387200400008
PM 27681548
ER

PT J
AU Hajjar, W. M.
   Bin Abdulqader, S. A.
   Aldayel, S. S.
   Alfardan, A. W.
   Alzaidy, N. I.
TI Knowledge, Attitudes, and Beliefs Toward Organ Donation Among Social
   Media Users
SO TRANSPLANTATION PROCEEDINGS
VL 48
IS 7
BP 2418
EP 2422
DI 10.1016/j.transproceed.2016.02.097
PD SEP 2016
PY 2016
AB Background. Organ transplantation is the optimal treatment for end-stage
   organ diseases. The demand for organs has exceeded the available supply,
   which becomes a major obstacle worldwide. Identifying the factors
   affecting this gap will help in overcoming this obstacle. The purpose of
   the work was to study the knowledge, attitudes, and beliefs of organ
   donation and to determine the knowledge of brain death among social
   media users.
   Methods. A cross-sectional study was conducted among social media users
   living in Saudi Arabia. A pre-designed self-administrated questionnaire
   was distributed online randomly on social media networks in 2015. Of the
   total 1368 participants, only 913 met the criteria.
   Results. Most respondents were between 18 and 29 years of age (61.2%)
   and living in the central region of Saudi Arabia (64.5%). The majority
   of respondents received their information from television (57%) and
   social media (50%) networks; 46.4% of respondents knew that the
   religious fatwa allowed organ donation; 51% of respondents were willing
   to donate their organs; 46.5% considered the brain-dead to be deceased,
   whereas 37.7% considered it a coma; 33.3% did not know if someone who
   was brain dead would ever wake up; on the other hand, 323 (35.4%) said
   yes.
   Conclusions. Our study showed that the vast majority of our sample had
   enough information about organ donation. On the contrary, they had
   minimal knowledge about brain death. Moreover, a fair percentage of the
   participants had positive attitudes toward organ donation. Also, the
   media had a significant effect on the information about organ donation
   and brain death.
CT 13th Congress of the
   International-Society-for-Organ-Donation-and-Procurement (ISODP)
CY OCT 17-20, 2015
CL Seoul, SOUTH KOREA
SP Int Soc Organ Donation & Procurement
RI Hajjar, Waseem/L-9932-2019; Hajjar, Waseem/Q-3677-2019; Bin Abdulqader, Sarah/ABF-6854-2021; Bin Abdulqader, Sarah/
OI Bin Abdulqader, Sarah/0000-0002-7769-3891
ZA 0
ZB 1
TC 10
ZR 0
Z8 0
ZS 0
Z9 10
U1 1
U2 7
SN 0041-1345
EI 1873-2623
UT WOS:000386317900043
PM 27742313
ER

PT J
AU Benham, A. J.
   Geier, Kathleen A.
TI How Well Are Nurse Practitioners Prepared to Treat Common
   Musculoskeletal Conditions?
SO ORTHOPAEDIC NURSING
VL 35
IS 5
BP 325
EP 329
DI 10.1097/NOR.0000000000000278
PD SEP-OCT 2016
PY 2016
AB BACKGROUND: Musculoskeletal disorders affect a third of the U.S.
   population and are among the most prevalent, costly, and debilitating
   medical conditions. Basic familiarity with musculoskeletal conditions is
   essential for all primary care providers, including nurse practitioners
   (NPs).
   PURPOSE: The purpose of this study was: (1) to estimate the quantity of
   musculoskeletal education provided in NP programs; (2) to evaluate NPs'
   perceptions of their own confidence in providing musculoskeletal care
   versus other areas of primary care; and (3) to determine how well NPs
   score on a test of basic musculoskeletal knowledge.
   METHODS: An online self-reporting survey was conducted to evaluate NPs'
   knowledge, competence, and confidence in treating common musculoskeletal
   disorders.
   RESULTS: Most NPs receive fewer than 10 hours of musculoskeletal
   education, are subjectively less confident about their musculoskeletal
   skill set compared to other areas of primary care, and lack the basic
   knowledge to competently manage musculoskeletal problems in primary
   care.
   CONCLUSION: The findings of this study confirm earlier conclusions that,
   like our physician colleagues, the vast majority of nurse practitioners
   lack adequate preparation to manage common nonsurgical musculoskeletal
   problems.
ZA 0
Z8 0
TC 6
ZS 0
ZR 0
ZB 1
Z9 6
U1 0
U2 3
SN 0744-6020
EI 1542-538X
UT WOS:000388887800006
PM 27648795
ER

PT J
AU Kuo, Alyce
   Dang, Stuti
TI Secure Messaging in Electronic Health Records and Its Impact on Diabetes
   Clinical Outcomes: A Systematic Review
SO TELEMEDICINE AND E-HEALTH
VL 22
IS 9
BP 769
EP 777
DI 10.1089/tmj.2015.0207
PD SEP 2016
PY 2016
AB In 2009, President Barack Obama signed into law the Health Information
   Technology for Economic and Clinical Health (HITECH) Act, which aims for
   the universal adoption of electronic health records (EHRs) in primary
   care settings and "meaningful use" of this technology. The objectives of
   "meaningful use" are well defined and executed in stages; one of the
   objectives of stage 2, beginning in 2014, was implementation of a secure
   messaging system between patients and providers. Secure messaging has
   been shown to positively affect patients who struggle with managing
   chronic diseases on a day to day basis. This review aims to assess the
   clinical evidence supporting the use of secure messaging in EHRs in
   self-management of diabetes. Methods: A systematic search of PubMed was
   conducted, and 320 results were returned. Of these, 11 were selected
   based on outlined criteria. Conclusions: Evidence from 7 of the 11
   included studies suggests significant improvement in patients'
   hemoglobin A1c (HbA1c) with the use of secure messaging. However,
   improvements in patients' secondary outcomes, such as blood pressure and
   cholesterol, were inconsistent. Further work must be done to determine
   how to best maximize the potential of available tools such as secure
   messaging and EHRs to improve patient outcomes.
OI Kuo, Alyce/0000-0002-6780-6506
ZB 3
ZR 0
TC 22
Z8 0
ZA 0
ZS 1
Z9 22
U1 0
U2 13
SN 1530-5627
EI 1556-3669
UT WOS:000383602600009
PM 27027337
ER

PT J
AU Sheringham, J.
   Lyon, A.
   Jones, A.
   Strobl, J.
   Barratt, H.
TI Increasing medical students' engagement in public health: case studies
   illustrating the potential role of online learning
SO JOURNAL OF PUBLIC HEALTH
VL 38
IS 3
BP E316
EP E324
DI 10.1093/pubmed/fdv140
PD SEP 2016
PY 2016
AB Background The value of e-learning in medical education is widely
   recognized but there is little evidence of its value in teaching medical
   students about public health. Such evidence is needed because medical
   students' engagement with public health has been low. We present three
   recent case studies from UK medical schools to illustrate diverse ways
   in which online approaches can increase medical students' engagement
   with learning public health.
   Methods A comparative case study approach was used applying quantitative
   and qualitative data to examine engagement in terms of uptake/use
   amongst eligible students, acceptability and perceived effectiveness
   using an analytic framework based on Seven Principles of Effective
   Teaching.
   Results Across the three case studies, most (67-85%) eligible students
   accessed online materials, and rated them more favourably than live
   lectures. Students particularly valued opportunities to use e-learning
   flexibly in terms of time and place. Online technologies offered new
   ways to consolidate learning of key public health concepts. Although
   students found contributing to online discussions challenging, it
   provided opportunities for students to explore concepts in depth and
   enabled students that were uncomfortable speaking in face-to-face
   discussions to participate.
   Conclusions E-learning can be applied in diverse ways that increase
   medical student engagement with public health teaching.
OI Sheringham, Jessica/0000-0003-3468-129X
TC 8
ZR 0
Z8 0
ZB 2
ZS 0
ZA 0
Z9 8
U1 0
U2 9
SN 1741-3842
EI 1741-3850
UT WOS:000388454900014
PM 26487700
ER

PT J
AU Maeda, E.
   Nakamura, F.
   Kobayashi, Y.
   Boivin, J.
   Sugimori, H.
   Murata, K.
   Saito, H.
TI Effects of fertility education on knowledge, desires and anxiety among
   the reproductive-aged population: findings from a randomized controlled
   trial
SO HUMAN REPRODUCTION
VL 31
IS 9
BP 2051
EP 2060
DI 10.1093/humrep/dew133
PD SEP 2016
PY 2016
AB STUDY QUESTION: What are the effects of fertility education on
   knowledge, childbearing desires and anxiety?
   SUMMARY ANSWER: Providing fertility information contributed to greater
   knowledge, but increased anxiety.
   WHAT IS KNOWN ALREADY: Past studies have found that exposure to
   educational material improved fertility awareness and changed desires
   toward childbearing and its timing. Existing educational websites with
   evidence-based medical information provided in a non-judgmental manner
   have received favorable responses from reproductive-aged men and women.
   STUDY DESIGN, SIZE, DURATION: This three-armed (one intervention and two
   control groups), randomized controlled trial was conducted using online
   social research panels (SRPs) in Japan in January 2015.
   PARTICIPANTS/MATERIALS, SETTING,METHODS: A total of 1455 participants
   (726 men and 729 women) between 20 and 39 years of age who hoped to have
   (more) children in the future were block-randomized and exposed to one
   of three information brochures: fertility education (intervention
   group), intake of folic acid during pregnancy (control group 1) or
   governmental financial support for pregnancy and childbirth (control
   group 2). Fertility knowledge was measured with the Japanese version of
   the Cardiff Fertility Knowledge Scale (CFKS-J). Knowledge, child-number
   and child-timing desires, subjective anxiety (i.e. whether participants
   felt anxiety [primary outcome]), and scores on the State-Trait Anxiety
   Inventory were assessed immediately after exposure. Non-inferiority
   comparisons were performed on subjective anxiety with non-inferiority
   declared if the upper limit of the two-sided 95% confidence interval
   (CI) for risk difference did not exceed a margin of 0.15. This test for
   non-inferiority was only performed for subjective anxiety; all the other
   variables were tests of superiority.
   MAIN RESULTS AND THE ROLE OF CHANCE: Posttest scores on the CFKS-J
   (mean, SD) were higher in the intervention group than that of the
   control groups: intervention versus Control 1 and versus Control 2: 52.8
   (28.8) versus 40.9 (26.2) (P < 0.001) versus 45.1 (27.1) (P = 0.003)
   among men and 64.6 (26.0) versus 50.8 (26.9) (P < 0.001) versus 53.0
   (26.4) (P < 0.001) among women. The percentage of participants who felt
   subjective anxiety after exposure to the intervention brochure was
   significantly higher than that of the control groups: intervention
   versus Control 1 and versus Control 2: 32.6 versus 17.8% (risk
   difference [RD] = 0.149, 95% CI: 0.0730.225) versus 14.5% (RD = 0.182,
   95% CI: 0.1080.256) among men, and 50.2 versus 26.3% (RD = 0.239, 95%
   CI: 0.1550.322) versus 14.0% (RD = 0.362, 95% CI: 0.2860.439) among
   women. Non-inferiority of the intervention was inconclusive (i.e. the CI
   included 0.15) among men whereas inferiority was declared among women.
   The incidence of anxiety was higher in the intervention group than that
   of the control groups especially among men aged 30 and older and among
   women aged 25 and older. No difference existed in childbearing desires
   between groups after exposure.
   LIMITATIONS: REASONS FOR CAUTION: The possibility of selection bias
   associated with the use of SRPs (higher socioeconomic status and
   education) and volunteer bias toward those more interested in fertility
   may limit the generalizability of these findings.
   WIDEN IMPLICATIONS OF THE FINDINGS: In addition to education targeting a
   younger generation, psychological approaches are needed to alleviate
   possible anxiety caused by fertility information.
   STUDY FUNDING/COMPETING INTEREST(S): This study was funded by National
   Center for Child Health and Development, Seiiku Medical Study Grant
   (24-6), the Daiwa Foundation Small Grants and Grant-in-Aid for JSPS
   Fellows (26-1591). No competing interest declared.
RI Boivin, Jacky/A-1666-2010; SUGIMORI, HIROKI/
OI Boivin, Jacky/0000-0001-9498-1708; SUGIMORI, HIROKI/0000-0003-1234-417X
ZB 6
ZS 0
Z8 2
TC 36
ZA 0
ZR 0
Z9 38
U1 1
U2 19
SN 0268-1161
EI 1460-2350
UT WOS:000386085700015
PM 27301362
ER

PT J
AU Royer, Danielle F.
TI The Role of Ultrasound in Graduate Anatomy Education: Current State of
   Integration in the United States and Faculty Perceptions
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 5
BP 453
EP 467
DI 10.1002/ase.1598
PD SEP-OCT 2016
PY 2016
AB Ultrasound (US) is increasingly taught in medical schools, where it has
   been shown to be a valuable adjunct to anatomy training. To determine
   the extent of US training in non-medical anatomy programs, and evaluate
   anatomists' perceptions on the role of US in anatomy education, an
   online survey was distributed to faculty in anatomy Master's and
   Doctoral programs. Survey results sampled 71% of anatomy graduate degree
   programs nationally. Of the faculty surveyed, 65% report little to no
   experience with US. Thirty-six percent of programs surveyed incorporate
   exposure to US, while only 15% provide hands-on US training.
   Opportunities for anatomy trainees to teach with US were found in 12% of
   programs. Likert responses indicated that anatomists hold overwhelmingly
   positive views on the contributions of US to anatomy education: 91%
   agreed US reinforces anatomical concepts (average 4.33 +/- 0.68), 95%
   agreed it reinforces clinical correlates (average 4.43 +/- 0.65).
   Anatomists hold moderately positive views on the value of US to the
   future careers of anatomy graduates: 69% agreed US increases
   competitiveness on the job market (average 3.91 +/- 0.90), 85% agreed US
   is a useful skill for a medical school teaching career (average 4.24 +/-
   0.75), and 41% agreed that US should be required for a medical education
   career (average 3.34 +/- 1.09). With continued improvements in
   technology and the widespread adoption of US into diverse areas of
   clinical practice, medical education is on the cusp of a paradigm shift
   with regards to US. Anatomists must decide whether US is an essential
   skills for the modern anatomist. Anat Sci Educ 9: 453-467. (C) 2016
   American Association of Anatomists.
ZS 0
ZB 2
Z8 0
ZA 0
TC 23
ZR 0
Z9 23
U1 0
U2 3
SN 1935-9772
EI 1935-9780
UT WOS:000388217800007
PM 26821269
ER

PT J
AU Bailey, Eric
   Moore, Justin
   Joyner, Shanekia
TI A New Online Strategy in Teaching Racial and Ethnic Health and Health
   Disparities to Public Health Professionals
SO JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
VL 3
IS 3
BP 413
EP 422
DI 10.1007/s40615-015-0153-4
PD SEP 2016
PY 2016
AB In the fall 2010, East Carolina University's Department of Public Health
   in the Brody School of Medicine introduced a new graduate certificate
   online program to its curriculum-the Ethnic and Rural Health Disparities
   (ERHD) program. By the spring 2014, the Ethnic and Rural Health
   Disparities (ERHD) program graduated 20 public health professionals with
   expertise in ethnic and rural health disparities. In order to examine
   its effectiveness, we conducted a qualitative and quantitative study of
   our graduates. The major objectives of our ERHD alumni study were: (1)
   to evaluate the effectiveness of the ERHD program, and (2) to assess new
   strategies for improving our ERHD program. Quantitative and qualitative
   results from our small sample of alumni indicate that the ERHD program
   is fulfilling its objectives. The ERHD program has developed a new
   online strategy in teaching racial and ethnic health and health
   disparities for public health professionals who are ready to not only
   address health disparities in a different approach but also ready to
   develop new culturally competent public health programs for increasing
   diverse racial, ethnic, and rural populations in the U.S.A.
RI Moore, Justin B/B-9357-2012; Bailey, Eric/
OI Moore, Justin B/0000-0003-4059-0538; Bailey, Eric/0000-0002-5877-4370
ZS 0
ZR 0
Z8 0
TC 4
ZB 0
ZA 0
Z9 4
U1 0
U2 4
SN 2197-3792
EI 2196-8837
UT WOS:000388198900004
PM 27294738
ER

PT J
AU Liu, Chunfeng
   Lim, Renee L.
   McCabe, Kathryn L.
   Taylor, Silas
   Calvo, Rafael A.
TI A Web-Based Telehealth Training Platform Incorporating Automated
   Nonverbal Behavior Feedback for Teaching Communication Skills to Medical
   Students: A Randomized Crossover Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 9
AR e246
DI 10.2196/jmir.6299
PD SEP 2016
PY 2016
AB Background: In the interests of patient health outcomes, it is important
   for medical students to develop clinical communication skills. We
   previously proposed a telehealth communication skills training platform
   (EQClinic) with automated nonverbal behavior feedback for medical
   students, and it was able to improve medical students' awareness of
   their nonverbal communication.
   Objective: This study aimed to evaluate the effectiveness of EQClinic to
   improve clinical communication skills of medical students.
   Methods: We conducted a 2-group randomized crossover trial between
   February and June 2016. Participants were second-year medical students
   enrolled in a clinical communication skills course at an Australian
   university. Students were randomly allocated to complete online EQClinic
   training during weeks 1-5 (group A) or to complete EQClinic training
   during weeks 8-11 (group B). EQClinic delivered an automated visual
   presentation of students' nonverbal behavior coupled with human feedback
   from a standardized patient (SP). All students were offered two
   opportunities to complete face-to-face consultations with SPs. The two
   face-to-face consultations were conducted in weeks 6-7 and 12-13 for
   both groups, and were rated by tutors who were blinded to group
   allocation. Student-Patient Observed Communication Assessment (SOCA) was
   collected by blinded assessors (n=28) at 2 time points and also by an SP
   (n=83). Tutor-rated clinical communications skill in face-to-face
   consultations was the primary outcome and was assessed with the SOCA. We
   used t tests to examine the students' performance during face-to-face
   consultations pre-and postexposure to EQClinic.
   Results: We randomly allocated 268 medical students to the 2 groups
   (group A: n=133; group B: n=135). SOCA communication skills measures
   (score range 4-16) from the first face-to-face consultation were
   significantly higher for students in group A who had completed EQClinic
   training and reviewed the nonverbal behavior feedback, compared with
   group B, who had completed only the course curriculum components
   (P=.04). Furthermore, at the second face-to-face assessment, the group
   that completed a teleconsultation between the two face-to-face
   consultations (group B) showed improved communication skills (P=.005),
   and the one that had teleconsultations before the first face-to-face
   consultation (group A) did not show improvement.
   Conclusions: The EQClinic is a useful tool for medical students'
   clinical communication skills training that can be applied to university
   settings to improve students clinical communication skills development.
RI Calvo, Rafael A/B-2622-2008; Taylor, Silas/; McCabe, Kathryn/
OI Calvo, Rafael A/0000-0003-2238-0684; Taylor, Silas/0000-0003-1992-8485;
   McCabe, Kathryn/0000-0003-4758-5336
ZB 1
ZA 0
TC 14
Z8 0
ZR 0
ZS 1
Z9 15
U1 0
U2 18
SN 1438-8871
UT WOS:000388495800017
PM 27619564
ER

PT J
AU Le Marne, Fleur A.
   McGinness, Hannah
   Slade, Rob
   Cardamone, Michael
   Singh, Shirleen Balbir
   Connolly, Anne M.
   Bye, Ann M. E.
TI Evaluation of an E-learning resource on approach to the first unprovoked
   seizure
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 52
IS 9
BP 896
EP 900
DI 10.1111/jpc.13277
PD SEP 2016
PY 2016
AB Aim: To develop and evaluate an online educational package instructing
   paediatricians and trainees in the diagnosis and management of a first
   unprovoked seizure in children.
   Methods: The E-learning content was created following a comprehensive
   literature review that referenced current international guidelines.
   Rigorous consultation with local paediatric neurologists, paediatricians
   and epilepsy nurses was undertaken. A series of learning modules was
   created and sequenced to reflect steps needed to achieve optimal
   diagnosis and management in a real-life situation of a child presenting
   with a paroxysmal event. Paediatric registrars and advanced trainees
   from the Sydney Children's Hospitals Network were assessed before and
   after using the E-learning Resource. Measures included general epilepsy
   knowledge, case-based scenario knowledge; self-rated measures of
   satisfaction with instruction and confidence regarding clinical approach
   to the child with first unprovoked seizure; and open ended questions
   evaluating the usefulness of the E-learning resource.
   Results: Performance on measures of general epilepsy knowledge and on
   the seizure-related case scenarios improved significantly following
   completion of the E-learning as did self-rated satisfaction with
   instruction and confidence across all aspects of managing first seizure.
   Conclusions: The E-learning resource has been validated as a useful
   educational resource regarding the first afebrile unprovoked seizure for
   paediatricians.
OI Le Marne, Fleur/0000-0001-9172-1417
ZA 0
ZR 0
ZB 1
ZS 0
TC 1
Z8 0
Z9 1
U1 0
U2 4
SN 1034-4810
EI 1440-1754
UT WOS:000387397800008
PM 27650145
ER

PT J
AU Chang, Angela
   Cavanaugh, Garrett
   Kumar, Neil S.
   Lee, Margaret
   Stein, David
   Mulcahey, Mary K.
TI Mini-Medical School Programs' Influence on Students' Desire to Pursue
   Medicine
SO JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
VL 108
IS 3
BP 152
EP +
DI 10.1016/j.jnma.2016.05.005
PD FAL 2016
PY 2016
AB Purpose: Mini-Medical school programs have become an increasingly
   popular means of encouraging high-school students to consider medical
   professions. However, there is little research evaluating the long-term
   effect of these programs on influencing career choice. The purpose of
   our study was to determine the motivational factors for attending the
   Mini-Medical school programs at our institution, student satisfaction
   with their experience, and whether it impacts intended secondary
   education and career choices.
   Methods: An online anonymous survey was distributed to Drexel University
   College of Medicine Mini-Medical school program graduates to determine
   factors influencing student participation and program satisfaction.
   Results: The most influential factors in attending the program were to
   confirm an interest in medicine (n = 55, 95%) and parental advice (n =
   29, 50%). Most maintained an interest in medicine: 57% (n = 33) pursued
   a pre-med degree, 55% (n = 32) planned to apply to medical school within
   3 years; and 12% (n = 7) were either in medical school or matriculating
   in the fall of 2015. 91% (n = 53) participants noted the program's
   influence on choosing a pre-med undergraduate track.
   Conclusion: Our results suggest Mini-Medical school programs
   significantly impacted students' decision to pursue a medical career
   through fostering interest and effectively answering students' questions
   about the field.
RI Stein, David/ABC-8364-2020; Stein, David/AAG-9976-2020; Kumar, Neil/
OI Stein, David/0000-0002-3782-6901; Kumar, Neil/0000-0003-0634-2442
ZB 3
Z8 0
TC 7
ZR 0
ZA 0
ZS 0
Z9 7
U1 0
U2 0
SN 0027-9684
EI 1943-4693
UT WOS:000385019100005
PM 27692355
ER

PT J
AU Kwiatkowski, Alison C.
   Demirbilek, Muhammet
TI Investigating Veterinary Medicine Faculty Perceptions of Lecture
   Capture: Issues, Concerns, and Promises
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 43
IS 3
BP 302
EP 309
DI 10.3138/jvme.0615-090R1
PD FAL 2016
PY 2016
AB Lecture capture technology is becoming more pervasive in today's
   classrooms. Students are demanding their lectures be recorded, but many
   instructors remain resistant. The goal of this study was to investigate
   faculty perceptions of lecture capture and to understand their concerns
   with the technology. Through a review of the existing literature, three
   common reasons for not recording were identified: impact on class
   attendance, incompatible pedagogy, and technical concerns. To test the
   hypotheses, an electronic survey was created and distributed to the
   faculty of a veterinary college in the southeastern US. The survey
   included both quantitative and qualitative questions. An invitation was
   emailed to all 134 faculty members, garnering 50 responses. Results were
   consistent with the hypotheses. Impact on class attendance, teaching
   styles, and technical considerations have dissuaded many instructors
   from adopting lecture capture technology. However, a fourth theme that
   emerged was faculty lack of awareness/familiarity. According to the
   qualitative responses, many faculty either did not know lecture
   recording was available in their teaching spaces or were not trained in
   how to use the technology. Recommendations for future research include
   distributing the survey campus-wide and providing more opportunities for
   faculty training. It would also be worthwhile to repeat the survey after
   providing more information and training materials to faculty, or after
   switching from an opt-in to an opt-out approach, to see whether
   perceptions have changed among the college's faculty.
RI Demirbilek, Muhammet/AAG-4491-2019
ZA 0
TC 7
Z8 0
ZS 0
ZR 0
ZB 0
Z9 7
U1 0
U2 9
SN 0748-321X
EI 1943-7218
UT WOS:000384316600011
ER

PT J
AU Putra, T A Tengku Rinalfi
   Hezmee, Mohd Noor Mohd
   Farhana, N B
   Hassim, H A
   Intan-Shameha, A R
   Lokman, I H
   Hamali, A Yusof
   Salisi, M S
   Ghani, A A A
   Shahudin, M S
   Qayyum, M A L
   Hafandi, A
   Speare, R
   Fenwick, S G
TI The application of One Health concept to an outdoor problem-based
   learning activity for veterinary students.
SO Veterinary world
VL 9
IS 9
BP 955
EP 959
PD 2016-Sep
PY 2016
AB BACKGROUND: The One Health (OH) approach, which seeks to bring together
   human and animal health, is particularly suited to the effective
   management of zoonotic diseases across both sectors. To overcome
   professional silos, OH needs to be taught at the undergraduate level.
   Here, we describe a problem-based learning activity using the OH
   approach that was conducted outdoors for 3rd-year veterinary students in
   Malaysia.
   MATERIALS AND METHODS: A total of 118 students, divided into two groups,
   completed the activity which spanned 1 days at a deer park adjacent to a
   wilderness area. Students were asked to evaluate the activity using an
   online survey that had quantitative and qualitative components.
   RESULTS: Response rate was 69.5%. The activity was rated excellent by
   69.5% and good by 30.4%. Levels of satisfaction were high on a range of
   criteria. 97.5% of students intended to take action in their studies as
   a result of what they had learned.
   CONCLUSIONS: Delivery of an outdoor problem-based learning activity
   using OH approach was very successful in terms of participation,
   knowledge delivery and understanding, and the willingness of students to
   integrate OH into their future practice. For the improvement of future
   programs, the involvement of other disciplines (such as Medical,
   Biology, Biotechnology, Biomedical, and Public Health) is being
   considered.
RI Noor, Mohd Hezmee Mohd/GPP-6515-2022; Ahmad, Hafandi/; Abdul Razak, Intan Shameha/
OI Noor, Mohd Hezmee Mohd/0000-0003-0762-9242; Ahmad,
   Hafandi/0000-0001-8096-9863; Abdul Razak, Intan
   Shameha/0000-0001-6787-3621
TC 1
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
Z9 1
U1 0
U2 5
SN 0972-8988
UT MEDLINE:27733795
PM 27733795
ER

PT J
AU Walpole, Sarah C.
   Shortall, Clare
   van Schalkwyk, May C. I.
   Merriel, Abi
   Ellis, Jayne
   Obolensky, Lucy
   Dias, Marisa Casanova
   Watson, Jessica
   Brown, Colin S.
   Hall, Jennifer
   Pettigrew, Luisa M.
   Allen, Steve
TI Time to go global: a consultation on global health competencies for
   postgraduate doctors
SO INTERNATIONAL HEALTH
VL 8
IS 5
BP 317
EP 323
DI 10.1093/inthealth/ihw019
PD SEP 2016
PY 2016
AB Globalisation is having profound impacts on health and healthcare. We
   solicited the views of a wide range of stakeholders in order to develop
   core global health competencies for postgraduate doctors.
   Published literature and existing curricula informed writing of seven
   global health competencies for consultation. A modified policy Delphi
   involved an online survey and face-to-face and telephone interviews over
   three rounds.
   Over 250 stakeholders participated, including doctors, other health
   professionals, policymakers and members of the public from all
   continents of the world. Participants indicated that global health
   competence is essential for postgraduate doctors and other health
   professionals. Concerns were expressed about overburdening curricula and
   identifying what is 'essential' for whom. Conflicting perspectives
   emerged about the importance and relevance of different global health
   topics. Five core competencies were developed: (1) diversity, human
   rights and ethics; (2) environmental, social and economic determinants
   of health; (3) global epidemiology; (4) global health governance; and
   (5) health systems and health professionals.
   Global health can bring important perspectives to postgraduate
   curricula, enhancing the ability of doctors to provide quality care.
   These global health competencies require tailoring to meet different
   trainees' needs and facilitate their incorporation into curricula.
   Healthcare and global health are ever-changing; therefore, the
   competencies will need to be regularly reviewed and updated.
RI Brown, Colin/AAF-9597-2021; Walpole, Sarah Catherine/H-8098-2019; Dias, Marisa Casanova/AAQ-4726-2020; van Schalkwyk, May/Y-3687-2018; Pettigrew, Luisa/I-9981-2019; Allen, Stephen/; Hall, Jennifer/; Watson, Jessica/
OI Brown, Colin/0000-0003-4776-3403; Walpole, Sarah
   Catherine/0000-0003-2600-0386; Dias, Marisa
   Casanova/0000-0002-2606-7372; van Schalkwyk, May/0000-0003-2210-2289;
   Pettigrew, Luisa/0000-0001-6427-6696; Allen,
   Stephen/0000-0001-6675-249X; Hall, Jennifer/0000-0002-2084-9568; Watson,
   Jessica/0000-0002-8177-6438
Z8 0
ZA 0
ZB 1
TC 17
ZS 0
ZR 0
Z9 17
U1 1
U2 6
SN 1876-3413
EI 1876-3405
UT WOS:000386060900004
PM 27241136
ER

PT J
AU Losch, Dorota
   Schulze, Johannes
TI Physician-patient relationship from the medical students' point of view
SO PSYCHOTHERAPEUT
VL 61
IS 5
BP 416
EP 422
DI 10.1007/s00278-016-0130-3
PD SEP 2016
PY 2016
AB The physician-patient relationship plays an important role in the
   recovery process. The relationship depends, among other aspects, on the
   personal preferences, education and experience of the patient and the
   physician.
   This study investigated which relationship medical students plan to have
   regarding patients in the future.
   The survey was carried out among medical students in the first
   preclinical semester at the University of Frankfurt am Main. The
   questionnaires were descriptively analyzed.
   Trustworthiness and medical expertise are valued to be most important
   for a successful physician-patient conversation. The vast majority
   (approximately 70 %) of the students are adopting a positive stance
   regarding the behavior of patients who seek information about medical
   issues on the internet. Also 70 % do not plan to conceal possible gaps
   in medical knowledge from the patient. The possible use of online
   physician-patient conversations is viewed with skepticism by 85 % of the
   students. Counseling in the family environment is regarded as the
   preferred strategy for coping with psychological stress. The students
   mostly expect no negative impact on the physician-patient relationship
   when obtaining a second opinion.
   The majority of students conceive the relationship between physician and
   patient as a partnership in which the physician can even admit knowledge
   gaps. Presumably, the online physician-patient conversation is
   considered unrealistic by the students because it is not feasible in all
   medical specialties.
ZR 0
ZS 0
Z8 0
TC 0
ZA 0
ZB 0
Z9 0
U1 0
U2 6
SN 0935-6185
EI 1432-2080
UT WOS:000383709600008
ER

PT J
AU Huynh, V. -A.
   Lungoci, E.
   Nosbaum, A.
   Hacard, F.
   Subtil, F.
   Nicolas, J. -F.
   Berard, F.
TI A general practitioner facing the management of drug allergy: Insight
   into the current practice in the Rhone-Alpes region, and prospects for
   improvement
SO REVUE FRANCAISE D ALLERGOLOGIE
VL 56
IS 5
BP 401
EP 406
DI 10.1016/j.reval.2016.02.007
PD SEP 2016
PY 2016
AB Introduction. The aim of this work was to shed light on the management
   of drug hypersensitivity reactions by a general practitioner, and in
   particular the notion of "drug allergy" reported by patients. We wanted
   to assess his understanding of hypersensitivity reactions, his fears for
   management, and his expectations.
   Methods. This was a descriptive, observational survey using an online
   questionnaire. It included contact with 2836 general practitioners in
   the Rhone-Alpes region.
   Results. Two hundred and seventy-six responses were obtained (a 13.8%
   response rate). In these practices, the diagnosis of an allergy is
   rarely made with certainty; tests were requested by only 56% of the
   practitioners. Over 80% of the patients reporting drug hypersensitivity
   were considered to be allergic, and for them, taking the drug was
   counter-indicated thereafter. Regarding understanding and fears, there
   is a gap in the management of patients with drug hypersensitity in
   medical education: more than 4 out of 10 practitioners have never
   studied drug hypersensitivity, and the vast majority of the
   practitioners participating in this study recognized this need. Finally,
   the doctors' anxiety and the difficulty of their access to expert advice
   are two significant and independent obstacles to ideal management of
   this type of reaction.
   Conclusion. Analysis of our work suggests that further training and
   education of general practitioners and the availability of local
   specialists in the management of drug hypersensitivity are the levers
   for improved management of drug hypersensitivities in general practice.
   (C) 2016 Elsevier Masson SAS. All rights reserved.
RI Nicolas, Jean-François/AAW-9289-2020; Nosbaum, Audrey/AAC-9329-2020
OI Nosbaum, Audrey/0000-0003-2281-9052
TC 1
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
Z9 1
U1 0
U2 3
SN 1877-0320
UT WOS:000385692500002
ER

PT J
AU Giry, M.
   Pulcini, C.
   Rabaud, C.
   Boivin, J. M.
   Mauffrey, V.
   Birge, J.
TI Acceptability of antibiotic stewardship measures in primary care
SO MEDECINE ET MALADIES INFECTIEUSES
VL 46
IS 6
BP 276
EP 284
DI 10.1016/j.medmal.2016.02.001
PD SEP 2016
PY 2016
AB Objective. - We aimed to assess the acceptability of antibiotic
   stewardship measures by family physicians.
   Material and methods. We conducted an online cross-sectional survey in
   2015 with a sample of family physicians practicing in a specific French
   region.
   Results. - Overall, 283 of 1171 family physicians (24%) completed the
   questionnaire. Decision-support tools for antibiotic prescribing and
   educational measures were well accepted by family physicians: 71%
   strongly agreed with a free distribution of urine dipstick tests and 54%
   with incentives to participate in antibiotic training sessions. Almost
   all family physicians did not agree with restrictive measures: 68% were
   for instance opposed to having to justify the prescription's compliance
   with guidelines on the prescription itself. Physicians also did not
   agree with restrictive measures when they only applied to physicians
   prescribing many antibiotics.
   Conclusion. - Participants were probably the most motivated and aware of
   the topic physicians, but they were particularly hostile to the
   introduction of restrictive measures related to antibiotic prescribing.
   Our survey was conducted with a large sample of family physicians and
   could help orientate our country's antibiotic stewardship policy.
   However, family physicians are likely to oppose any measure aiming at
   restricting their freedom of prescription. (C) 2016 Elsevier Masson SAS.
   All rights reserved.
ZS 0
TC 10
ZR 0
ZA 0
ZB 5
Z8 0
Z9 10
U1 1
U2 4
SN 0399-077X
UT WOS:000385211300002
PM 27056661
ER

PT J
AU Lim, Jamie K.
   Bratberg, Jeffrey P.
   Davis, Corey S.
   Green, Traci C.
   Walley, Alexander Y.
TI Prescribe to Prevent: Overdose Prevention and Naloxone Rescue Kits for
   Prescribers and Pharmacists
SO JOURNAL OF ADDICTION MEDICINE
VL 10
IS 5
BP 300
EP 308
DI 10.1097/ADM.0000000000000223
PD SEP-OCT 2016
PY 2016
AB In March of 2015, the United States Department of Health and Human
   Services identified 3 priority areas to reduce opioid use disorders and
   overdose, which are as follows: opioid-prescribing practices; expanded
   use and distribution of naloxone; and expansion of medication-assisted
   treatment. In this narrative review of overdose prevention and the role
   of prescribers and pharmacists in distributing naloxone, we address
   these priority areas and present a clinical scenario within the review
   involving a pharmacist, a patient with chronic pain and anxiety, and a
   primary care physician. We also discuss current laws related to naloxone
   prescribing and dispensing. This review was adapted from the Prescribe
   to Prevent online continuing medical education module created for
   prescribers and pharmacists
   (http://www.opioidprescribing.com/naloxone_module_1-landing).
OI Bratberg, Jeffrey/0000-0002-2240-5768; Davis, Corey/0000-0002-6278-5013
ZS 0
ZB 10
Z8 0
ZR 0
TC 48
ZA 0
Z9 48
U1 0
U2 11
SN 1932-0620
EI 1935-3227
UT WOS:000385527800002
PM 27261669
ER

PT J
AU Parisi, A. V.
   Downs, N.
   Turner, J.
   Amar, A.
TI Online educative activities for solar ultraviolet radiation based on
   measurements of cloud amount and solar exposures
SO JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY
VL 162
BP 434
EP 440
DI 10.1016/j.jphotobiol.2016.07.015
PD SEP 2016
PY 2016
AB A set of online activities for children and the community that are based
   on an integrated real-time solar UV and cloud measurement system are
   described. These activities use the functionality of the internet to
   provide an educative tool for school children and the public on the
   influence of cloud and the angle of the sun above the horizon on the
   global erythemal UV or sunburning UV, the diffuse erythemal UV, the
   global UVA (320-400 nm) and the vitamin D effective UV. Additionally,
   the units of UV exposure and UV irradiance are investigated, along with
   the meaning and calculation of the UV index (UVI). This research will
   help ensure that children and the general public are better informed
   about sun safety by improving their personal understanding of the daily
   and the atmospheric factors that influence solar UV radiation and the
   solar UV exposures of the various wavebands in the natural environment.
   The activities may correct common misconceptions of children and the
   public about UV ir-radiances and exposure, utilising the widespread
   reach of the internet to increase the public's awareness of the factors
   influencing UV irradiances and exposures in order to provide clear
   information for minimizing UV exposure, while maintaining healthy,
   outdoor lifestyles. (C) 2016 Elsevier B.V. All rights reserved.
RI Turner, Joanna/K-4887-2012; Parisi, Alfio/
OI Turner, Joanna/0000-0003-4106-6295; Parisi, Alfio/0000-0001-8430-8907
ZB 2
TC 4
ZR 0
Z8 0
ZS 0
ZA 0
Z9 4
U1 0
U2 4
SN 1011-1344
UT WOS:000383003800050
PM 27450297
ER

PT J
AU Youngerman, Brett E.
   Zacharia, Brad E.
   Hickman, Zachary L.
   Bruce, Jeffrey N.
   Solomon, Robert A.
   Benzil, Deborah L.
TI Making Milestones: Development and Implementation of a Formal
   Socioeconomic Curriculum in a Neurosurgical Residency Training Program
SO NEUROSURGERY
VL 79
IS 3
BP 492
EP 497
DI 10.1227/NEU.0000000000001126
PD SEP 2016
PY 2016
AB BACKGROUND: Improved training in the socioeconomic aspects of medicine
   is a priority of the Accreditation Council for Graduate Medical
   Education and the American Board of Neurological Surgeons. There is
   evidence that young neurosurgeons feel ill equipped in these areas and
   that additional education would improve patient care.
   OBJECTIVE: To present our experience with the introduction of a succinct
   but formal socioeconomic training course to the residency curriculum at
   our institution.
   METHODS: A monthly series of twelve 1-hour interactive modules was
   designed to address the pertinent Accreditation Council for Graduate
   Medical Education-American Board of Neurological Surgeons outcomes-based
   educational milestones. Slide-based lectures provided a comprehensive
   overview of social, legal, and business issues, and a monthly forum for
   open discussion allowed residents to draw on their applied experience.
   Residents took a 20-question pre-and postcourse knowledge assessment, as
   well as feedback surveys at 6 and 12 months.
   RESULTS: Residents were able to participate in the lectures, with an
   overall attendance rate of 91%. Residents felt that the course goals and
   objectives were well defined and communicated (4.88/5) and rated highly
   the content, quality, and relevance of the lectures (4.94/5).
   Performance on the knowledge assessment improved from 58% to 66%.
   CONCLUSION: Our experience demonstrates the feasibility of including a
   formal socioeconomic course in neurosurgical residency training with
   positive resident feedback and achievement of outcomes-based milestones.
   Extension to a 2-year curriculum cycle may allow the course to cover
   more material without compromising other residency training goals.
   Online modules should also be explored to allow for wider and more
   flexible participation.
RI Bruce, Jeffrey N/AAC-5307-2022; Hickman, Zachary L./O-6335-2017; Zacharia, Brad/P-1726-2019; Youngerman, Brett/; Zacharia, Brad/
OI Hickman, Zachary L./0000-0001-5535-0268; Youngerman,
   Brett/0000-0002-4792-3190; Zacharia, Brad/0000-0002-2078-7635
TC 9
ZS 0
Z8 0
ZA 0
ZB 2
ZR 0
Z9 9
U1 1
U2 9
SN 0148-396X
EI 1524-4040
UT WOS:000383274400037
PM 26595430
ER

PT J
AU Elbin, R. J.
   Sufrinko, Alicia
   Schatz, Philip
   French, Jon
   Henry, Luke
   Burkhart, Scott
   Collins, Michael W.
   Kontos, Anthony P.
TI Removal From Play After Concussion and Recovery Time
SO PEDIATRICS
VL 138
IS 3
AR e20160910
DI 10.1542/peds.2016-0910
PD SEP 2016
PY 2016
AB OBJECTIVE: Despite increases in education and awareness, many athletes
   continue to play with signs and symptoms of a sport-related concussion
   (SRC). The impact that continuing to play has on recovery is unknown.
   This study compared recovery time and related outcomes between athletes
   who were immediately removed from play and athletes who continued to
   play with an SRC.
   METHODS: A prospective, repeated measures design was used to compare
   neurocognitive performance, symptoms, and recovery time between 35
   athletes (mean +/- SD age, 15.61 +/- 1.65 years) immediately removed
   after an SRC (REMOVED group) compared with 34 athletes (mean +/- SD age,
   15.35 +/- 1.73 years) who continued to play (PLAYED group) with SRC.
   Neurocognitive and symptom data were obtained at baseline and at 1 to 7
   days and 8 to 30 days after an SRC.
   RESULTS: The PLAYED group took longer to recover than the REMOVED group
   (44.4 +/- 36.0 vs 22.0 +/- 18.7 days; P = .003) and were 8.80 times more
   likely to demonstrate protracted recovery (= 21 days) (P < .001).
   Removal from play status was associated with the greatest risk of
   protracted recovery (adjusted odds ratio, 14.27; P = .001) compared with
   other predictors (eg, sex). The PLAYED group exhibited significantly
   worse neurocognitive and greater symptoms than the REMOVED group.
   CONCLUSIONS: SRC recovery time may be reduced if athletes are removed
   from participation. Immediate removal from play is the first step in
   mitigating prolonged SRC recovery, and these data support current
   consensus statements and management guidelines.
OI Kontos, Anthony/0000-0002-3749-4310
ZS 0
ZA 0
TC 105
ZR 0
Z8 0
ZB 27
Z9 104
U1 0
U2 18
SN 0031-4005
EI 1098-4275
UT WOS:000384002100039
PM 27573089
ER

PT J
AU Rowe, Michael
TI Developing graduate attributes in an open online course
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 47
IS 5
SI SI
BP 873
EP 882
DI 10.1111/bjet.12484
PN 2
PD SEP 2016
PY 2016
AB In an increasingly connected world where solving complex problems is not
   possible by solitary experts, educators and learners need opportunities
   to develop ways of thinking that allow them to engage with the dynamic
   and complex situations that arise in the world. The development of
   graduate attributes has been suggested as one way in which students can
   be prepared as active agents of social good. However, there are
   significant challenges with respect to developing these graduate
   attributes. This paper argues that the use of authentic learning in the
   design of open online courses may provide a structure for educators to
   develop generic graduate attributes.
   The use of collaborative technologies that are informed by authentic
   learning enables new forms of communication that allow students to fully
   engage with the academic process in ways that are difficult to achieve
   with traditional, classroom-based teaching methods. This study made use
   of a blogging platform to create a collaborative open online course
   using principles of authentic task design in order to develop graduate
   attributes in undergraduate physiotherapy students.
   The study used an interpretive, qualitative design that gathered data
   via focus group discussions. Transcripts were analysed inductively in
   order to determine categories, which were then analysed in relation to
   the graduate attributes of the institution in which the study took
   place. Student discussions suggested that they had developed at least
   some components of generic graduate attributes, including an approach to
   learning that was personal and internally motivated, the ability to
   consider alternative points of view and acknowledge different
   perspectives, the confidence to challenge knowledge and authority, and
   skills as empathic communicators.
OI Rowe, Michael/0000-0002-1538-6052
ZB 0
Z8 0
ZS 0
TC 8
ZR 0
ZA 0
Z9 8
U1 0
U2 17
SN 0007-1013
EI 1467-8535
UT WOS:000383339500005
ER

PT J
AU Kostenius, Catrine
   Hertting, Krister
TI Health promoting interactive technology: Finnish, Norwegian, Russian and
   Swedish students' reflections
SO HEALTH PROMOTION INTERNATIONAL
VL 31
IS 3
BP 505
EP 514
DI 10.1093/heapro/dav021
PD SEP 2016
PY 2016
AB The aim of this study was to elucidate Finnish, Norwegian, Russian and
   Swedish students' reflections and ideas on how interactive technology
   can be used to promote health in school. The data were collected in the
   northern part of these four countries, and 630 students aged 13-15
   filled out the World Health Organization's 'Health Behavior in
   School-Aged Children' self-completion questionnaire with one additional
   open question, which is analyzed in this article (n = 419). The
   phenomenological analysis resulted in four themes: A sense of control,
   Balancing enjoyable options, Sharing with others and Learning made
   easier. The students point out that interactive technology promotes
   empowerment and independence, reduces stress and makes learning easier.
   They argue for a healthy balance of Internet use for it to be health
   promoting. According to the students, good relationships increase
   well-being; and interactive technology can offer a way to socialize,
   provide a tool for meeting and making new friends, help when not feeling
   well and give support when encouraging classmates. We argue, based on
   the findings of the present study and previous research, that students
   need a combination of freedom and meaningful relationships with adults
   who have an empowered child perspective, to fully take advantage of the
   empowering effects of interactive technology. We suggest, as
   implications for practice, that teachers, school leaders and health care
   professionals find ways to act as partners using an appreciative
   process, asking questions on what works well, to make interactive
   technology an enabling technology to increase health literacy, thus
   improving health and well-being in students.
TC 6
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
Z9 6
U1 0
U2 16
SN 0957-4824
EI 1460-2245
UT WOS:000383701900003
PM 25809652
ER

PT J
AU Schaefer, Matthias
   Pander, Tanja
   Pinilla, Severin
   Fischer, Martin R.
   von der Borch, Philip
   Dimitriadis, Konstantinos
TI A prospective, randomised trial of different matching procedures for
   structured mentoring programmes in medical education
SO MEDICAL TEACHER
VL 38
IS 9
BP 921
EP 929
DI 10.3109/0142159X.2015.1132834
PD SEP 2016
PY 2016
AB Background: Spontaneous formation of mentoring relationships can be seen
   as the gold standard in mentoring. Unfortunately, it happens very
   infrequently. The purpose of structured mentoring programmes is to
   facilitate the formation of mentoring relationships. This remains a
   challenging task, especially for large institutions.Aims: We set out to
   investigate and compare three methods of matchmaking in the setting of
   our structured mentoring programme. In a prospective, randomised trial
   we compared personal matching (PM) by an experienced expert to two
   different electronic data processing (EDP)-supported matching
   procedures: online algorithm (OA) versus online search (OS).Methods: PM
   was performed after structured interviews of prospective proteges by one
   founder of our mentoring programme. The OA provides students with a
   choice of 10 potential mentors based on comparison of online profiles.
   OS lets students filter and search through all available mentor
   profiles. One hundred and ninty medical students were randomised into
   the three groups. One year later, we evaluated the endpoints 1.
   establishment of a mentoring relationship and 2. satisfaction with the
   mentoring relationship. Satisfaction with the mentoring relationship was
   assessed using Munich-Evaluation-of-Mentoring-Questionnaire
   (MEMeQ).Results: One hundred sixty-five out of the 190 study
   participants found a mentor. With regards to endpoint one we found an
   advantage of PM compared to both EDP-supported matching procedures.
   There was no significant difference between OA and OS. Concerning
   endpoint two the differences between the investigated matching
   procedures were not significant.Conclusion: PM is superior as to the
   number of mentoring relationships formed per participating student
   compared to EDP-supported methods. In our data, there was no significant
   difference in the level of satisfaction. Considering the high
   investments associated with PM of mentors and proteges, EDP-supported
   matching procedures seem a viable compromise between effectiveness and
   efficiency especially for large-scale structured mentoring programmes in
   medical education.
ZB 0
ZR 0
TC 11
ZA 0
ZS 1
Z8 0
Z9 12
U1 0
U2 6
SN 0142-159X
EI 1466-187X
UT WOS:000384270000008
PM 26822503
ER

PT J
AU Storino, Alessandra
   Castillo-Angeles, Manuel
   Watkins, Ammara A.
   Vargas, Christina
   Mancias, Joseph D.
   Bullock, Andrea
   Demirjian, Aram
   Moser, A. James
   Kent, Tara S.
TI Assessing the Accuracy and Readability of Online Health Information for
   Patients With Pancreatic Cancer
SO JAMA SURGERY
VL 151
IS 9
BP 831
EP 837
DI 10.1001/jamasurg.2016.0730
PD SEP 2016
PY 2016
AB IMPORTANCE The degree to which patients are empowered by written
   educational materials depends on the text's readability level and the
   accuracy of the information provided. The association of a website's
   affiliation or focus on treatment modality with its readability and
   accuracy has yet to be thoroughly elucidated.
   OBJECTIVE To compare the readability and accuracy of patient-oriented
   online resources for pancreatic cancer by treatment modality and website
   affiliation.
   DESIGN An online search of 50 websites discussing 5 pancreatic cancer
   treatment modalities (alternative therapy, chemotherapy, clinical
   trials, radiation therapy, and surgery) was conducted. The website's
   affiliation was identified. Readability was measured by 9 standardized
   tests, and accuracy was assessed by an expert panel.
   MAIN OUTCOMES AND MEASURES Nine standardized tests were used to compute
   the median readability level of each website. The median readability
   scores were compared among treatment modality and affiliation
   categories. Accuracy was determined by an expert panel consisting of 2
   medical specialists and 2 surgical specialists. The 4 raters
   independently evaluated all websites belonging to the 5 treatment
   modalities (a score of 1 indicates that <25% of the information is
   accurate, a score of 2 indicates that 26%-50% of the information is
   accurate, a score of 3 indicates that 51%-75% of the information is
   accurate, a score of 4 indicates that 76%-99% of the information is
   accurate, and a score of 5 indicates that 100% of the information is
   accurate).
   RESULTS The 50 evaluated websites differed in readability and accuracy
   based on the focus of the treatment modality and the website's
   affiliation. Websites discussing surgery (with a median readability
   level of 13.7 and an interquartile range [IQR] of 11.9-15.6) were easier
   to read than those discussing radiotherapy (median readability level,
   15.2 [IQR, 13.0-17.0]) (P = .003) and clinical trials (median
   readability level, 15.2 [IQR, 12.8-17.0]) (P = .002). Websites of
   nonprofit organizations (median readability level, 12.9 [IQR,
   11.2-15.0]) were easier to read than media (median readability level,
   16.0 [IQR, 13.4-17.0]) (P < .001) and academic (median readability
   level, 14.8 [IQR, 12.9-17.0]) (P < .001) websites. Privately owned
   websites (median readability level, 14.0 [IQR, 12.1-16.1]) were easier
   to read than media websites (P = .001). Among treatment modalities,
   alternative therapy websites exhibited the lowest accuracy scores
   (median accuracy score, 2 [IQR, 1-4]) (P < .001). Nonprofit (median
   accuracy score, 4 [IQR, 4-5]), government (median accuracy score, 5
   [IQR, 4-5]), and academic (median accuracy score, 4 [IQR, 3.5-5])
   websites were more accurate than privately owned (median accuracy score,
   3.5 [IQR, 1.5-4]) and media (median accuracy score, 4 [IQR, 2-4])
   websites (P < .004). Websites with higher accuracy were more difficult
   to read than websites with lower accuracy.
   CONCLUSIONS AND RELEVANCE Online information on pancreatic cancer
   overestimates the reading ability of the overall population and lacks
   accurate information about alternative therapy. In the absence of
   quality control on the Internet, physicians should provide guidance to
   patients in the selection of online resources with readable and accurate
   information.
RI Storino, Alessandra/J-9013-2018; Moser, A James/AAI-2114-2019; Vargas, Christina/AAK-8805-2020
OI Storino, Alessandra/0000-0003-1944-9169; Vargas,
   Christina/0000-0003-2368-3425
ZB 9
ZA 0
TC 75
ZS 0
ZR 0
Z8 1
Z9 76
U1 0
U2 16
SN 2168-6254
EI 2168-6262
UT WOS:000384120400015
PM 27144966
ER

PT J
AU Rose, Emily
   Claudius, Ilene
   Tabatabai, Ramin
   Kearl, Liza
   Behar, Solomon
   Jhun, Paul
TI THE FLIPPED CLASSROOM IN EMERGENCY MEDICINE USING ONLINE VIDEOS WITH
   INTERPOLATED QUESTIONS
SO JOURNAL OF EMERGENCY MEDICINE
VL 51
IS 3
BP 284
EP +
DI 10.1016/j.jemermed.2016.05.033
PD SEP 2016
PY 2016
AB Background: Utilizing the flipped classroom is an opportunity for a more
   engaged classroom session. This educational approach is theorized to
   improve learner engagement and retention and allows for more complex
   learning during class. No studies to date have been conducted in the
   postgraduate medical education setting investigating the effects of
   interactive, interpolated questions in preclassroom online video
   material. Objectives: We created a flipped classroom for core pediatric
   emergency medicine (PEM) topics using recorded online video lectures for
   preclassroom material and interactive simulations for the in-classroom
   session. Methods: Lectures were filmed and edited to include integrated
   questions on an online platform called Zaption. One-half of the
   residents viewed the lectures uninterrupted (Group A) and the remainder
   (Group B) viewed with integrated questions (2-6 per 5-15-min segment).
   Residents were expected to view the lectures prior to in-class time
   (total viewing time of approximately 2 1/2-h). The 2 1/2-h in-class
   session included four simulation and three procedure stations, with six
   PEM faculty available for higher-level management discussion throughout
   the stations. Total educational time of home preparation and in-class
   time was approximately 5 h. Results: Residents performed better on the
   posttest as compared to the pretest, and their satisfaction was high
   with this educational innovation. In 2014, performance on the posttest
   between the two groups was similar. However, in 2015, the group with
   integrated questions performed better on the posttest. Conclusion: An
   online format combined with face-to-face interaction is an effective
   educational model for teaching core PEM topics. (C) 2016 Elsevier Inc.
   All rights reserved.
ZB 4
Z8 0
ZA 0
ZS 3
ZR 0
TC 44
Z9 47
U1 4
U2 54
SN 0736-4679
EI 1090-1280
UT WOS:000384083900027
PM 27381954
ER

PT J
AU Elmore, Leisha C.
   Jeffe, Donna B.
   Jin, Linda
   Awad, Michael M.
   Turnbull, Isaiah R.
TI National Survey of Burnout among US General Surgery Residents
SO JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
VL 223
IS 3
BP 440
EP 451
DI 10.1016/j.jamcollsurg.2016.05.014
PD SEP 2016
PY 2016
AB BACKGROUND: Burnout is a complex syndrome of emotional distress that can
   disproportionately affect individuals who work in health care
   professions.
   STUDY DESIGN: For a national survey of burnout in US general surgery
   residents, we asked all ACGME-accredited general surgery program
   directors to email their general surgery residents an invitation to
   complete an anonymous, online survey. Burnout was assessed with the
   Maslach Burnout Inventory; total scores for Emotional Exhaustion (EE),
   Depersonalization (DP), and Personal Accomplishment (PA) subscales were
   calculated. Burnout was defined as having a score in the highest tertile
   for EE or DP or lowest tertile for PA. Chi-square tests and one-way
   ANOVA were used to test associations between burnout tertiles for each
   subscale and various resident and training-program characteristics as
   appropriate.
   RESULTS: From April to December 2014, six hundred and sixty-five
   residents actively engaged in clinical training had data for analysis;
   69% met the criterion for burnout on at least one subscale. Higher
   burnout on each subscale was reported by residents planning private
   practice careers compared with academic careers. A greater proportion of
   women than men reported burnout on EE and PA. Higher burnout on EE and
   DP was associated with greater work hours per week. Having a structured
   mentoring program was associated with lower burnout on each subscale.
   CONCLUSIONS: The high rates of burnout among general surgery residents
   are concerning, given the potential impact of burnout on the quality of
   patient care. Efforts to identify at-risk populations and to design
   targeted interventions to mitigate burnout in surgical trainees are
   warranted. (C) 2016 by the American College of Surgeons. Published by
   Elsevier Inc. All rights reserved.
RI Jeffe, Donna B./AAI-3732-2020
OI Jeffe, Donna B./0000-0002-7642-3777
TC 236
ZR 0
ZA 0
ZS 4
ZB 31
Z8 0
Z9 238
U1 2
U2 43
SN 1072-7515
EI 1879-1190
UT WOS:000384697000003
PM 27238875
ER

PT J
AU Zotti, Marianne E.
   Ellington, Sascha R.
   Perez, Mirna
TI CDC Online Course: Reproductive Health in Emergency Preparedness and
   Response
SO JOURNAL OF WOMENS HEALTH
VL 25
IS 9
BP 861
EP 864
DI 10.1089/jwh.2016.5993
PD SEP 2016
PY 2016
AB In an emergency, the needs of women of reproductive age, particularly
   pregnant and postpartum women, introduce unique challenges for public
   health and clinical care. Incorporating reproductive health issues and
   considerations into emergency preparedness and response is a relatively
   new field. In recent years, several resources and tools specific to
   reproductive health have been developed. However, there is still a need
   for training about the effects of emergencies on women of reproductive
   age. In an effort to train medical and public health professionals about
   these topics, the CDC Division of Reproductive Health developed
   Reproductive Health in Emergency Preparedness and Response, an online
   course that is available across the United States.
ZS 0
Z8 0
ZR 0
ZB 0
ZA 0
TC 2
Z9 2
U1 0
U2 5
SN 1540-9996
EI 1931-843X
UT WOS:000384019000003
PM 27631300
ER

PT J
AU De Gagne, Jennie C.
   Choi, Min
   Ledbetter, Leila
   Kang, Hee Sun
   Clark, Cynthia M.
TI An Integrative Review of Cybercivility in Health Professions Education
SO NURSE EDUCATOR
VL 41
IS 5
BP 239
EP 245
DI 10.1097/NNE.0000000000000264
PD SEP-OCT 2016
PY 2016
AB Although incivility in higher education has been widely described,
   little evidence exists regarding incivility among health professions
   students in online environments. This study aims to integrate literature
   on cybercivility in health professions education. The extent to which
   health professions students and faculty experience cyberincivility, the
   direct and indirect effects and actions taken after cyberincivility, and
   themes that guide facilitation of cybercivility are discussed. Efforts
   to prevent cyberincivility can be achieved through focused education on
   cybercivility, development of clear policies related to its
   consequences, and formulation of guidelines for both student and faculty
   behavior online.
RI Ledbetter, Leila S/O-6780-2019; De Gagne, Jennie C./B-1605-2015; Ledbetter, Leila S/N-9513-2014; Kang, Hee Sun/AAG-9381-2019
OI Ledbetter, Leila S/0000-0002-5206-8002; De Gagne, Jennie
   C./0000-0001-9814-5942; Ledbetter, Leila S/0000-0002-5206-8002; Kang,
   Hee Sun/0000-0003-3808-306X
ZR 0
ZS 0
TC 22
ZB 0
Z8 0
ZA 0
Z9 22
U1 0
U2 22
SN 0363-3624
EI 1538-9855
UT WOS:000384041200011
PM 27022683
ER

PT J
AU Knutson, Stacie
   Kelleman, Michael S.
   Kochilas, Lazaros
TI Implementation of Developmental Screening Guidelines for Children with
   Congenital Heart Disease
SO JOURNAL OF PEDIATRICS
VL 176
BP 135
EP +
DI 10.1016/j.jpeds.2016.05.029
PD SEP 2016
PY 2016
AB Objectives To assess awareness and implementation among pediatric
   primary care providers of the 2012 American Heart Association (AHA)
   guidelines for the evaluation and management of developmental
   abnormalities in children with congenital heart disease (CHD). We
   hypothesized that children with CHD are not being provided
   neurodevelopmental screening and support according to the AHA
   guidelines.
   Study design An online survey was administered to licensed pediatric
   primary care providers in Minnesota (pediatricians = 530, family
   physicians = 1469) to evaluate awareness of the AHA guidelines, current
   screening practices, and barriers to implementation of these guidelines.
   Results A total of 326 providers (17% of 1911 successful e-mails)
   responded to the survey, which included 148 pediatricians (29% of 518
   successful e-mails) and 178 family physicians (13% of 1393 successful
   e-mails). Overall, 202 providers (62%) reported caring for children with
   CHD. Among those caring for children with CHD, the most commonly
   reported reasons for neurodevelopmental referral were nonspecific to
   CHD. Presence of risks specific to children with CHD, such as history of
   cyanotic heart disease or open heart surgery as an infant, accounted for
   only 25% and 22% of the referrals, respectively. Only 21% of providers
   were aware of the guidelines, and only 7% received guidance from a
   pediatric cardiologist regarding neurodevelopmental screening in
   children with CHD.
   Conclusion There is need for further education of primary care providers
   on the developmental risks associated with CHD as well as increased
   involvement by the pediatric cardiology community to enhance the
   developmental outcomes of children with CHD.
RI Kochilas, Lazaros/AAT-2357-2021; Kochilas, Lazaros/
OI Kochilas, Lazaros/0000-0002-4686-634X
ZB 6
ZR 0
TC 17
ZA 0
ZS 0
Z8 0
Z9 17
U1 0
U2 8
SN 0022-3476
EI 1097-6833
UT WOS:000382258500026
PM 27301570
ER

PT J
AU Morgan, Simon
   Morgan, Andy
   Kerr, Rohan
   Tapley, Amanda
   Magin, Parker
TI Test ordering by GP trainees Effects of an educational intervention on
   attitudes and intended practice
SO CANADIAN FAMILY PHYSICIAN
VL 62
IS 9
BP 733
EP 741
PD SEP 2016
PY 2016
AB Objective To assess the effectiveness of an educational intervention on
   test-ordering attitudes and intended practice of GP trainees, and any
   associations between changes in test ordering and trainee
   characteristics.
   Design Preworkshop and postworkshop survey of attitudes to test
   ordering, intended test-ordering practices for 3 clinical scenarios
   (fatigue, screening, and shoulder pain), and tolerance for uncertainty.
   Setting Three Australian regional general practice training providers.
   Participants General practice trainees (N = 167).
   Intervention A 2-hour workshop session and an online module.
   Main outcome measures Proportion of trainees who agreed with attitudinal
   statements before and after the workshop; proportion of trainees who
   would order tests, mean number of tests ordered, and number of
   appropriate and inappropriate tests ordered for each scenario before and
   after the workshop.
   Results Of 167 trainees, 132 (79.0%) completed both the preworkshop and
   postworkshop questionnaires. A total of 122 trainees attended the
   workshop. At baseline, 88.6% thought that tests can harm patients, 84.8%
   believed overtesting was a problem, 72.0% felt pressured by patients,
   52.3% believed that tests would reassure patients, and 50.8% thought
   that they were less likely to be sued if they ordered tests. There were
   desirable changes in all attitudes after the workshop. Before the
   workshop, the mean number of tests that trainees would have ordered was
   4.4, 4.8, and 1.5 for the fatigue, screening, and shoulder pain
   scenarios, respectively. After the workshop there were decreases in the
   mean number of both appropriate tests (decrease of 0.94) and
   inappropriate tests (decrease of 0.24) in the fatigue scenario; there
   was no change in the mean number of appropriate tests and a decrease in
   inappropriate tests (decrease of 0.76) in the screening scenario; and
   there was an increase in the proportion of trainees who would
   appropriately not order tests in the shoulder pain scenario. There were
   no significant associations between changes in test ordering and trainee
   demographic characteristics or tolerance for uncertainty subscale
   scores.
   Conclusion General practice trainees have conflicting attitudes to test
   ordering and demonstrate nonrational test ordering in 3 common
   scenarios. A workshop on rational test ordering led to desirable changes
   in attitudes and more rational intended test ordering. Our findings
   inform the development of appropriate educational interventions that
   address nonrational testing in family medicine.
ZR 0
ZA 0
Z8 0
TC 6
ZB 0
ZS 0
Z9 6
U1 0
U2 5
SN 0008-350X
EI 1715-5258
UT WOS:000383389600022
PM 27629671
ER

PT J
AU Farahnik, Benjamin
   Nakamura, Mio
   Singh, Rasnik K.
   Abrouk, Michael
   Zhu, Tian Hao
   Lee, Kristina M.
   Jose, Margareth V.
   DaLovisio, Renee
   Koo, John
   Bhutani, Tina
   Liao, Wilson
TI The Patient's Guide to Psoriasis Treatment. Part 2: PUVA Phototherapy
SO DERMATOLOGY AND THERAPY
VL 6
IS 3
BP 315
EP 324
DI 10.1007/s13555-016-0130-9
PD SEP 2016
PY 2016
AB Background: PUVA treatment is photochemotherapy for psoriasis that
   combines psoralen with UVA radiation. Although PUVA is a very effective
   treatment option for psoriasis, there is an absence of patient resources
   explaining and demonstrating the process of PUVA. Studies have shown
   that patients who viewed videos explaining the treatment procedures for
   various medical conditions had a greater understanding of their
   treatment and were more active participants in their health.
   Objective: To present a freely available online guide and video on PUVA
   treatment designed for patient education on PUVA. Methods: The PUVA
   treatment protocol used at the University of California-San Francisco
   Psoriasis and Skin Treatment Center as well as available information
   from the literature was reviewed to design a comprehensive guide for
   patients receiving PUVA treatment.
   Results: We created a printable guide and video resource that reviews
   the benefits and risks of PUVA, discusses the three types of PUVA
   (hand-foot soak, full body soak, and systemic), demonstrates the PUVA
   process, and provides practical tips for safe use.
   Conclusion: Online media and video delivers material in a way that is
   flexible and often familiar to patients. This new format is beneficial
   for prospective patients planning to undergo PUVA treatment, health-care
   providers, and trainees who want to learn more about this treatment.
RI Abrouk, Michael/AAX-4618-2021; Nakamura, Mio/; Liao, Wilson/
OI Nakamura, Mio/0000-0002-1367-742X; Liao, Wilson/0000-0001-7883-6439
ZR 0
ZB 5
Z8 0
ZA 0
ZS 1
TC 12
Z9 12
U1 0
U2 7
SN 2193-8210
EI 2190-9172
UT WOS:000383785200002
PM 27474030
ER

PT J
AU Barnes, Andrew J.
   Hanoch, Yaniv
   Miron-Shatz, Talya
   Ozanne, Elissa M.
TI Tailoring Risk Communication to Improve Comprehension: Do Patient
   Preferences Help or Hurt?
SO HEALTH PSYCHOLOGY
VL 35
IS 9
BP 1007
EP 1016
DI 10.1037/hea0000367
PD SEP 2016
PY 2016
AB Objective: Risk communication tools can facilitate patients'
   understanding of risk information. In this novel study, we examine the
   hypothesis that risk communication methods tailored to individuals'
   preferences can increase risk comprehension. Method: Preferences for
   breast cancer risk formats, and risk comprehension data were collected
   using an online survey from 361 women at high risk for breast cancer.
   Women's initial preferences were assessed by asking them which of the
   following risk formats would be the clearest: (a) percentage, (b)
   frequency, (c) bar graph, (d) pictogram, and (e) comparison to other
   women. Next, women were presented with 5 different formats for
   displaying cancer risks and asked to interpret the risk information
   presented. Finally, they were asked again which risk format they
   preferred. Results: Initial preferences for risk formats were not
   associated with risk comprehension scores. However, women with lower
   risk comprehension scores were more likely to update their risk format
   preferences after they evaluated risks in different formats. Less
   numerate women were more likely to prefer graphical rather than numeric
   risk formats. Importantly, we found that women preferring graphical risk
   formats had lower risk comprehension in these formats compared to
   numeric formats. In contrast, women preferring numeric formats performed
   equally well across formats. Conclusions: Our findings suggest that
   tailoring risk communication to patient preferences may not improve
   understanding of medical risks, particularly for less numerate women,
   and point to the potential perils of tailoring risk communication
   formats to patient preferences.
OI Hanoch, Yaniv/0000-0001-9453-4588
ZR 0
ZB 1
ZS 0
Z8 0
TC 11
ZA 0
Z9 11
U1 0
U2 14
SN 0278-6133
EI 1930-7810
UT WOS:000383793600009
PM 27183307
ER

PT J
AU James, Ted A.
   Goedde, Michael
   Bertsch, Tania
   Beatty, Dennis
TI Advancing the Future of Patient Safety in Oncology: Implications of
   Patient Safety Education on Cancer Care Delivery
SO JOURNAL OF CANCER EDUCATION
VL 31
IS 3
BP 488
EP 492
DI 10.1007/s13187-015-0821-4
PD SEP 2016
PY 2016
AB Emerging challenges in health care delivery demand systems of clinical
   practice capable of ensuring safe and reliable patient care. Oncology in
   particular is recognized for its high degree of complexity and potential
   for adverse events. New models of student education hold promise for
   producing a health care workforce armed with skills in patient safety.
   This training may have a particular impact on risk reduction in cancer
   care and ultimately improve clinical performance in oncology. A 1-day
   student program focused on the principles of patient safety was
   developed for the third-year medical school class. The core curriculum
   consisted of an online patient safety module, root cause analyses of
   actual patient safety events, and simulation scenarios designed to
   invoke patient safety skills. The program was successfully implemented
   and received an average of 4.2/5 on evaluations pertaining to its
   importance and effectiveness. Student surveys demonstrated that 59 % of
   students were not previously aware of system-based approaches to
   improving safety, 51 % of students had witnessed or experienced a
   patient safety issue, while only 10 % reported these events. Students
   reported feeling more empowered to act on patient safety issues as a
   result of the program. Educational programs can provide medical students
   with a foundation for skill development in medical error reduction and
   help enhance an organization's culture of safety. This has the potential
   to reduce adverse events in complex patient care settings such as
   clinical oncology.
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
TC 1
Z9 1
U1 0
U2 3
SN 0885-8195
EI 1543-0154
UT WOS:000381993900011
PM 25893923
ER

PT J
AU May, Folasade P.
   Whitman, Cynthia B.
   Varlyguina, Ksenia
   Bromley, Erica G.
   Spiegel, Brennan M. R.
TI Addressing Low Colorectal Cancer Screening in African Americans: Using
   Focus Groups to Inform the Development of Effective Interventions
SO JOURNAL OF CANCER EDUCATION
VL 31
IS 3
BP 567
EP 574
DI 10.1007/s13187-015-0842-z
PD SEP 2016
PY 2016
AB African Americans have the highest burden of colorectal cancer (CRC) in
   the United States of America (USA) yet lower CRC screening rates than
   whites. Although poor screening has prompted efforts to increase
   screening uptake, there is a persistent need to develop public health
   interventions in partnership with the African American community. The
   aim of this study was to conduct focus groups with African Americans to
   determine preferences for the content and mode of dissemination of
   culturally tailored CRC screening interventions. In June 2013,
   45-75-year-old African Americans were recruited through online
   advertisements and from an urban Veterans Affairs system to create four
   focus groups. A semi-structured interview script employing open-ended
   elicitation was used, and transcripts were analyzed using ATLAS.ti
   software to code and group data into a concept network. A total of 38
   participants (mean age = 54) were enrolled, and 59 ATLAS.ti codes were
   generated. Commonly reported barriers to screening included perceived
   invasiveness of colonoscopy, fear of pain, and financial concerns.
   Facilitators included poor diet/health and desire to prevent CRC. Common
   sources of health information included media and medical providers. CRC
   screening information was commonly obtained from medical personnel or
   media. Participants suggested dissemination of CRC screening education
   through commercials, billboards, influential African American public
   figures, Internet, and radio. Participants suggested future
   interventions include culturally specific information, including details
   about increased risk, accessing care, and dispelling of myths. Public
   health interventions to improve CRC screening among African Americans
   should employ media outlets, emphasize increased risk among African
   Americans, and address race-specific barriers. Specific recommendations
   are presented for developing future interventions.
OI may, fola/0000-0001-6706-8171; Baard, Cynthia Biddle/0000-0002-4747-7610
ZS 0
ZR 0
Z8 0
ZB 7
ZA 0
TC 13
Z9 13
U1 0
U2 8
SN 0885-8195
EI 1543-0154
UT WOS:000381993900023
PM 25963898
ER

PT J
AU Love, Janet
   Tuokko, Holly
TI Older Driver Safety: A Survey of Psychologists' Attitudes, Knowledge,
   and Practices
SO CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT
VL 35
IS 3
BP 393
EP 404
DI 10.1017/S0714980816000386
PD SEP 2016
PY 2016
AB Using an online survey, we examined the knowledge, attitudes, and
   practices with respect to older driver safety concerns of clinical
   psychologists from across Canada who self-identified as working with at
   least some drivers over 60 years of age. Eighty-four psychologists
   completed the survey, and many were aware of the issues relevant to
   older driver safety, although only about half reported that assessing
   fitness to drive was an important issue in their practice. The majority
   (75%) reported that they would benefit from education concerning
   evaluation of fitness to drive. The primary recommendation emerging from
   this investigation is to increase efforts to inform and educate
   psychologists about driving-related assessment and regulatory issues in
   general, and specifically with respect to older adults. As the
   population ages, it is of growing importance for all health care
   providers to understand the influence of mental health
   conditionsincluding cognitive impairment and dementiaon driving skills.
TC 0
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 0
U1 0
U2 4
SN 0714-9808
EI 1710-1107
UT WOS:000383002600010
PM 27476964
ER

PT J
AU Navickis, Marie A.
   Mathieson, Kathleen
TI US Dental Hygiene Students' Perceptions of Interprofessional
   Collaboration
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 9
BP 1041
EP 1048
PD SEP 2016
PY 2016
AB Patients with complex medical conditions require collaboration among
   multiple health care providers, and dental hygienists must be prepared
   to communicate effectively with medical providers to provide
   comprehensive quality patient care. The aim of this study was to assess
   U.S. dental hygiene students' attitudes about interprofessional
   collaboration (IPC) and identify any differences based on age, year in
   program, and program location. Participants were limited to students
   enrolled in dental hygiene associate degree programs across the United
   States. In response to an email soliciting participation sent to all
   dental hygiene program directors, 504 students completed the
   Interdisciplinary Education Perception Scale (IEPS) online (response
   rate could not be calculated). The IEPS is a validated survey that
   measures attitudes about interprofessional collaboration. The majority
   of the respondents were female (97%) and under 30 years of age (74.6%).
   Their mean scores indicated positive attitudes about IPC. There were no
   statistically significant differences in scores by age (1)=0.700) or
   program location (p=0.527). There were also no statistically significant
   differences between first- and second-year students for total mean
   scores (p=0.106); for the competency and autonomy subscale (p=0.125);
   and for the perception of actual cooperation subscale (p=0.890). There
   was a statistically significant difference between first- and
   second-year students on the perception of actual cooperation subscale,
   with first-year students scoring higher than second-year students
   (p=0.016). This study's findings of positive attitudes about IPC and
   that age and program location had little bearing on the responses
   suggest that associate degree dental hygiene students may welcome the
   interprofessional education that will prepare them for practice in the
   future.
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
TC 4
Z9 4
U1 1
U2 8
SN 0022-0337
EI 1930-7837
UT WOS:000383217300003
PM 27587571
ER

PT J
AU Harrison, Peter L.
   Shaddox, Luciana M.
   Garvan, Cynthia W.
   Behar-Horenstein, Linda S.
TI Wellness Among Dental Students: An Institutional Study
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 9
BP 1119
EP 1125
PD SEP 2016
PY 2016
AB The high prevalence of distress among health professionals during their
   education has fostered increased interest in the study of student
   well-being. The aim of this study was to assess the self-perceived
   wellness of dental students and determine the relationship between
   factors affecting wellness and demographic variables. An online
   questionnaire was distributed to 334 first through fourth-year dental
   students at one U.S. dental school. The questionnaire consisted of
   modified versions of the Perceived Wellness Survey, Medical Outcomes
   Study Social Support Survey, and Mental Health Inventory and also
   collected demographic information. The response rate was 78% (N=261).
   More than 80% of the respondents reported that they were happy all,
   most, or a good bit of the time. These students exhibited a strong sense
   of self-worth, were positive about their friendships, and perceived they
   had good social support. Less than 20% of respondents did not view their
   physical health as excellent and identified a lack of self-perceived
   wellness. First-year and single students reported statistically less
   social support. Students who were parents perceived their wellness less
   favorably. Hispanic and Asian students were less happy regarding their
   mental health than white and African American students. These findings
   suggest that students, especially Hispanic and Asian students, may
   benefit from programs that promote student well-being. Academic programs
   that encourage students to work together and promote peer-to-peer
   involvement may be beneficial, especially for first-year and single
   students.
OI Behar-Horenstein, Linda/0000-0002-3046-598X
ZR 0
ZA 0
Z8 0
TC 15
ZS 0
ZB 1
Z9 15
U1 0
U2 6
SN 0022-0337
EI 1930-7837
UT WOS:000383217300011
PM 27587579
ER

PT J
AU Theman, Todd A.
   Labow, Brian I.
TI Is There Bias against Simulation in Microsurgery Training?
SO JOURNAL OF RECONSTRUCTIVE MICROSURGERY
VL 32
IS 7
BP 540
EP 545
DI 10.1055/s-0036-1582263
PD SEP 2016
PY 2016
AB Background While other:surgical specialties have embraced virtual
   reality-simulation for training and recertification, microsurgery has
   lagged.. This study aims to assess the opinions of microsurgeons on the
   role of simulation in microsurgery assessment and training.
   Methods We surveyed faculty members of the American Society of
   Reconstructive Microsurgery to ascertain Opinions on their use of
   simulation in training and opinions about the utility of simulation for
   skills acquisition, teaching, and skills assessment. The 21-question
   survey was disseminated online to 675 members.
   Results Eighty-nine members completed the survey for a 13.2% response
   rate. Few microsurgeons have experience with high-fidelity simulation,
   and opinions on its utility are internally inconsistent. Although 84% of
   respondents could not identify a reason why simulation would not be
   useful, only 24% believed simulation is a useful measure of clinical
   performance. Nearly three-fourths of respondents were skeptical that
   simulation would improve their skills. Ninety-four percent had no
   experience with Simulator-based assessment.
   Conclusion Simulation has been shown to improve skills acquisition in
   microsurgery, but our survey suggests that unfamiliarity may:foster bias
   against the technology. Failure to incorporate simulation may adversely
   affect training and may put surgeons at a disadvantage should these
   technologies be adopted for recertification by regulatory agencies.
ZR 0
Z8 0
ZS 0
TC 13
ZB 1
ZA 0
Z9 13
U1 0
U2 0
SN 0743-684X
EI 1098-8947
UT WOS:000381447300007
PM 27077211
ER

PT J
AU Winder, Joshua S
   Juza, Ryan M
   Sasaki, Jennifer
   Rogers, Ann M
   Pauli, Eric M
   Haluck, Randy S
   Estes, Stephanie J
   Lyn-Sue, Jerome R
TI Implementing a robotics curriculum at an academic general surgery
   training program: our initial experience.
SO Journal of robotic surgery
VL 10
IS 3
BP 209
EP 13
DI 10.1007/s11701-016-0569-9
PD 2016-Sep
PY 2016
AB The robotic surgical platform is being utilized by a growing number of
   hospitals across the country, including academic medical centers.
   Training programs are tasked with teaching their residents how to
   utilize this technology. To this end, we have developed and implemented
   a robotic surgical curriculum, and share our initial experience here.
   Our curriculum was implemented for all General Surgical residents for
   the academic year 2014-2015. The curriculum consisted of online
   training, readings, bedside training, console simulation, participating
   in ten cases as bedside first assistant, and operating at the console.
   20 surgical residents were included. Residents were provided the
   curriculum and notified the department upon completion. Bedside
   assistance and operative console training were completed in the
   operating room through a mix of biliary, foregut, and colorectal cases.
   During the fiscal years of 2014 and 2015, there were 164 and 263
   robot-assisted surgeries performed within the General Surgery
   Department, respectively. All 20 residents completed the online and
   bedside instruction portions of the curriculum. Of the 20 residents
   trained, 13/20 (65%) sat at the Surgeon console during at least one
   case. Utilizing this curriculum, we have trained and incorporated
   residents into robot-assisted cases in an efficient manner. A successful
   curriculum must be based on didactic learning, reading, bedside
   training, simulation, and training in the operating room. Each program
   must examine their caseload and resident class to ensure proper exposure
   to this platform. 
OI Winder, Joshua/0000-0001-9133-6236
ZR 0
TC 33
ZB 4
Z8 0
ZS 0
ZA 0
Z9 33
U1 0
U2 8
EI 1863-2491
UT MEDLINE:26994774
PM 26994774
ER

PT J
AU Hopia, Hanna
   Lottes, Ilsa
   Kanne, Mariel
TI Ethical concerns and dilemmas of Finnish and Dutch health professionals
SO NURSING ETHICS
VL 23
IS 6
BP 659
EP 673
DI 10.1177/0969733015579311
PD SEP 2016
PY 2016
AB Background: Healthcare professionals encounter ethical dilemmas and
   concerns in their practice. More research is needed to understand these
   ethical problems and to know how to educate professionals to respond to
   them.
   Research objective: To describe ethical dilemmas and concerns at work
   from the perspectives of Finnish and Dutch healthcare professionals
   studying at the master's level.
   Research design: Exploratory, qualitative study that used the text of
   student online discussions of ethical dilemmas at work as data.
   Method: Participants' online discussions were analyzed using inductive
   content analysis.
   Participants: The sample consisted of 49 students at master's level
   enrolled in professional ethics courses at universities in Finland and
   the Netherlands.
   Ethical considerations: Permission for conducting the study was granted
   from both universities of applied sciences. All students provided their
   informed consent for the use of their assignments as research data.
   Findings: Participants described 51 problematic work situations. Among
   these, 16 were found to be ethical dilemmas, and the remaining were work
   issues with an ethical concern and did not meet criteria of a dilemma.
   The most common problems resulted from concerns about quality care,
   safety of healthcare professionals, patients' rights, and working with
   too few staff and inadequate resources.
   Discussion: The results indicated that participants were concerned about
   providing quality of care and raised numerous questions about how to
   provide it in challenging situations. The results show that it was
   difficult for students to differentiate ethical dilemmas from other
   ethical work concerns.
   Conclusion: Online discussions among healthcare providers give them an
   opportunity to relate ethical principles to real ethical dilemmas and
   problems in their work as well as to critically analyze ethical issues.
   We found that discussions with descriptions of ethical dilemmas and
   concerns by health professionals provide important information and
   recommendations not only for education and practice but also for health
   policy.
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
TC 4
Z9 4
U1 2
U2 10
SN 0969-7330
EI 1477-0989
UT WOS:000383016600006
PM 25908638
ER

PT J
AU Boland, Lori L
   Hokanson, Jonathan S
   Fernstrom, Karl M
   Kinzy, Tyler G
   Lick, Charles J
   Satterlee, Paul A
   LaCroix, Brian K
TI Prehospital Lactate Measurement by Emergency Medical Services in
   Patients Meeting Sepsis Criteria.
SO The western journal of emergency medicine
VL 17
IS 5
BP 648
EP 55
DI 10.5811/westjem.2016.6.30233
PD 2016-Sep
PY 2016
AB INTRODUCTION: We aimed to pilot test the delivery of sepsis education to
   emergency medical services (EMS) providers and the feasibility of
   equipping them with temporal artery thermometers (TATs) and handheld
   lactate meters to aid in the prehospital recognition of sepsis.
   METHODS: This study used a convenience sample of prehospital patients
   meeting established criteria for sepsis. Paramedics received education
   on systemic inflammatory response syndrome (SIRS) criteria, were trained
   in the use of TATs and hand-held lactate meters, and enrolled patients
   who had a recent history of infection, met ≥ 2 SIRS criteria, and were
   being transported to a participating hospital. Blood lactate was
   measured by paramedics in the prehospital setting and again in the
   emergency department (ED) via usual care. Paramedics entered data using
   an online database accessible at the point of care.
   RESULTS: Prehospital lactate values obtained by paramedics ranged from
   0.8 to 9.8 mmol/L, and an elevated lactate (i.e. ≥ 4.0) was documented
   in 13 of 112 enrolled patients (12%). The unadjusted correlation of
   prehospital and ED lactate values was 0.57 (p< 0.001). The median
   interval between paramedic assessment of blood lactate and the
   electronic posting of the ED-measured lactate value in the hospital
   record was 111 minutes. Overall, 91 patients (81%) were hospitalized
   after ED evaluation, 27 (24%) were ultimately diagnosed with sepsis, and
   3 (3%) died during hospitalization. Subjects with elevated prehospital
   lactate were somewhat more likely to have been admitted to the intensive
   care unit (23% vs 15%) and to have been diagnosed with sepsis (38% vs
   22%) than those with normal lactate levels, but these differences were
   not statistically significant.
   CONCLUSION: In this pilot, EMS use of a combination of objective SIRS
   criteria, subjective assessment of infection, and blood lactate
   measurements did not achieve a level of diagnostic accuracy for sepsis
   that would warrant hospital prenotification and committed resources at a
   receiving hospital based on EMS assessment alone. Nevertheless, this
   work provides an early model for increasing EMS awareness and the
   implementation of novel devices that may enhance the prehospital
   assessment for sepsis. Additional translational research studies with
   larger numbers of patients and more robust methods are needed.
ZR 0
TC 9
Z8 0
ZS 0
ZB 1
ZA 0
Z9 9
U1 1
U2 10
EI 1936-9018
UT MEDLINE:27625735
PM 27625735
ER

PT J
AU Cuenen, Ariane
   Brijs, Kris
   Brijs, Tom
   Van Vlierden, Karin
   Daniels, Stijn
   Wets, Geert
TI Effect evaluation of a road safety education program based on victim
   testimonials in high schools in Belgium
SO ACCIDENT ANALYSIS AND PREVENTION
VL 94
BP 18
EP 27
DI 10.1016/j.aap.2016.05.006
PD SEP 2016
PY 2016
AB For several decades policy makers worldwide have experimented with
   testimonials as a strategy to promote road safety supportive views in a
   wide variety of target populations such as recidivists and students. In
   its basic format, a (relative of) a victim or an offender brings a
   personal testimonial of what it is to experience a traffic accident. The
   underlying idea is that such a testimonial will emotionally affect
   participants, thereby stimulating them to cognitively reflect upon their
   own behavior and responsibility as a road user. Unfortunately, empirical
   literature on the effectiveness of this strategy is rather scarce and
   inconsistent. This study investigated the effect of a large-scale
   program with victim testimonials for high schools in Belgium on five
   socio-cognitive and behavioral variables drawn from the Theory of
   Planned Behavior (i.e., attitude, subjective norm, perceived behavioral
   control, behavioral intention and behavior). Moreover, this study
   investigated program effects on participants' cognitive and emotional
   estate and whether this influences the program's impact on
   socio-cognitive and behavioral variables. Our test sample included 1362
   students, who were assigned to a baseline - follow-up group and a
   post-test follow-up group. We questioned both groups, a first time (just
   before or after session attendance) on paper, and a second time (two
   months after session attendance) online. Results indicate the program
   had, both immediate and two months after attendance, small to medium
   positive effects on most sociocognitive and behavioral variables.
   However, effects depended on participants' demographic profile, their
   baseline values on the socio-cognitive and behavioral variables, and the
   degree to which they were cognitively/emotionally affected by the
   program. We discuss the practical implications of these findings and
   formulate recommendations for the development of future interventions
   based on victim testimonials. (C) 2016 Elsevier Ltd. All rights
   reserved.
RI Wets, Geert/AGE-3536-2022; Brijs, Tom/L-3010-2018; Daniels, Stijn/; BRIJS, Kris/
OI Wets, Geert/0000-0002-5485-9705; Brijs, Tom/0000-0003-2622-4398;
   Daniels, Stijn/0000-0002-2272-956X; BRIJS, Kris/0000-0002-1542-5496
Z8 0
ZR 0
ZS 0
ZB 3
TC 13
ZA 0
Z9 13
U1 0
U2 36
SN 0001-4575
EI 1879-2057
UT WOS:000381326200003
PM 27240125
ER

PT J
AU Labrum, Travis
   Walk, Marlene
   Solomon, Phyllis L.
TI Measuring Limit-Setting Practices Used by Family Members Towards
   Relatives with Psychiatric Disorders
SO PSYCHIATRIC QUARTERLY
VL 87
IS 3
BP 465
EP 477
DI 10.1007/s11126-015-9400-4
PD SEP 2016
PY 2016
AB Family members often set limits with relatives with psychiatric
   disorders (PD), however, no scale currently exists measuring the use of
   such limit-setting practices. The present article describes the
   development and results of a new measure, the Family Limit-Setting Scale
   (FLSS). Via a national online survey, the FLSS was completed by 573
   adults residing in the U.S. who report having an adult relative with PD.
   We conducted exploratory and confirmatory factor analyses, examined
   internal consistencies and other indicators of construct validity, and
   performed invariance analyses assessing the generality of the optimal
   factor model to men, women, Caucasian respondents, and non-Caucasian
   respondents. Results indicate that the FLSS has an acceptable two factor
   structure (routine limit-setting and crisis prevention limit-setting)
   with both factors being highly generalizable to all groups of
   respondents examined. Internal consistencies and other indicators
   provide additional evidence of the FLSS' construct validity. Use of the
   FLSS will enable the conduction of quantitative research in this area.
   In addition, this measure may be employed in education/support
   organizations for families with a member with mental illness in an
   effort to identify persons using high levels of limit-setting practices
   who may benefit from extra support and/or guidance.
RI Walk, Marlene/AAB-7674-2020
OI Walk, Marlene/0000-0002-1396-9481
ZS 0
ZA 0
TC 8
ZR 0
Z8 0
ZB 3
Z9 8
U1 0
U2 2
SN 0033-2720
EI 1573-6709
UT WOS:000380005500007
PM 26518780
ER

PT J
AU Liebert, Cara A.
   Mazer, Laura
   Merrell, Sylvia Bereknyei
   Lin, Dana T.
   Lau, James N.
TI Student perceptions of a simulation-based flipped classroom for the
   surgery clerkship: A mixed-methods study
SO SURGERY
VL 160
IS 3
BP 591
EP 598
DI 10.1016/j.surg.2016.03.034
PD SEP 2016
PY 2016
AB Background. The flipped classroom, a blended learning paradigm that uses
   pre-session online videos reinforced with interactive sessions, has been
   proposed as an alternative to traditional lectures. This article
   investigates medical students' perceptions of a simulation-based,
   flipped classroom for the surgery clerkship and suggests best practices
   for implementation in this setting.
   Methods. A prospective cohort of students (n = 89), who were enrolled in
   the surgery clerkship during a 1-year period, was taught via a
   simulation-based, flipped classroom approach. Students completed an
   anonymous, end-of-clerkship survey regarding their perceptions of the
   curriculum. Quantitative analysis of Likert responses and qualitative
   analysis of narrative responses were performed.
   Results. Students' perceptions of the curriculum were positive, with 90%
   rating it excellent or outstanding. The majority reported the curriculum
   should be continued (95 %) and applied to other clerkships (84%). The
   component received most favorably by the students was the
   simulation-based skill sessions. Students rated the effectiveness of the
   Khan Academy-style videos the highest compared with other video formats
   (P < .001). Qualitative analysis identified 21 subthemes in 4 domains:
   general positive feedback, educational content, learning environment,
   and specific benefits to medical students. The students reported that
   the learning environment fostered accountability and self-directed
   learning Specific perceived benefits included preparation for the
   clinical rotation and the National Board of Medical Examiners shelf
   exam, decreased class time, socialization with peers, and faculty
   interaction.
   Conclusion. Medical students' perceptions of a simulation-based, flipped
   classroom in the surgery clerkship were overwhelmingly positive. The
   flipped classroom approach can be applied successfully in a surgery
   clerkship setting and may offer additional benefits compared with
   traditional lecture-based curricula.
CT 8th Annual Meeting of the
   Consortium-of-American-College-of-Surgeons-Accredited-Educational-Instit
   utes (ACS-AEI)
CY MAR 13-14, 2015
CL Chicago, IL
SP Consortium Amer Coll Surg, Accredited Educ Inst
RI Merrell, Sylvia Bereknyei/AAB-2813-2019
OI Merrell, Sylvia Bereknyei/0000-0002-5525-0379
ZR 0
Z8 1
TC 53
ZB 5
ZS 7
ZA 0
Z9 60
U1 0
U2 47
SN 0039-6060
UT WOS:000381243300010
PM 27262534
ER

PT J
AU El-Shamy, Shamekh Mohamed
   Abdelaal, Ashraf Abdelaal Mohamed
TI WalkAide Efficacy on Gait and Energy Expenditure in Children with
   Hemiplegic Cerebral Palsy A Randomized Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 9
BP 629
EP 638
DI 10.1097/PHM.0000000000000514
PD SEP 2016
PY 2016
AB El-Shamy SM, Abdelaal AAM: WalkAide efficacy on gait and energy
   expenditure in children with hemiplegic cerebral palsy: a randomized
   controlled trial. Am J Phys Med Rehabil 2016; 95: 629-638.
   Objective: The aim of this study was to investigate the effects of
   WalkAide functional electrical stimulation on gait pattern and energy
   expenditure in children with hemiplegic cerebral palsy.
   Design: Seventeen children were assigned to the study group, whose
   members received functional electrical stimulation (pulse width, 300 Ks;
   frequency, 33 Hz, 2 hours/d, 3 days/week for 3 consecutive months).
   Seventeen other children were assigned to the control group, whose
   members participated in a conventional physical therapy exercise program
   for 3 successive months. Baseline and posttreatment assessments were
   performed using the GAITRite system to evaluate gait parameters and
   using an open-circuit indirect calorimeter to evaluate energy
   expenditure.
   Results: Children in the study group showed a significant improvement
   when compared with those in the control group (P < 0.005). The gait
   parameters (stride length, cadence, speed, cycle time, and stance phase
   percentage) after treatment were (0.74 m, 119 steps/min, 0.75 m/s, 0.65
   s, 55.9%) and (0.5 m, 125 steps/min, 0.6 m/s, 0.49 s, 50.4%) for the
   study group and control group, respectively. The mean energy
   expenditures after treatment were 8.18 +/- 0.88 and 9.16 +/- 0.65 mL/kg
   per minute for the study and control groups, respectively.
   Conclusions: WalkAide functional electrical stimulation may be a useful
   tool for improving gait pattern and energy expenditure in children with
   hemiplegic cerebral palsy.
RI El-Shamy, Shamekh Mohamed/C-2974-2019; Abdelaal, Ashraf/D-3473-2013; S, Shamy/
OI El-Shamy, Shamekh Mohamed/0000-0001-9690-1134; Abdelaal,
   Ashraf/0000-0003-1319-7108; S, Shamy/0000-0002-3437-4997
ZB 4
ZA 0
ZS 0
TC 13
Z8 0
ZR 0
Z9 13
U1 1
U2 24
SN 0894-9115
EI 1537-7385
UT WOS:000382252400006
PM 27149586
ER

PT J
AU Lee, Brian
   Trence, Dace
   Inzucchi, Silvio
   Lin, Jay
   Haimowitz, Steven
   Wilkerson, Elizabeth
   Williams, Cara
   Mosier, Marc
   Dex, Terry
TI Improving Type 2 Diabetes Patient Health Outcomes with Individualized
   Continuing Medical Education for Primary Care
SO DIABETES THERAPY
VL 7
IS 3
BP 473
EP 481
DI 10.1007/s13300-016-0176-9
PD SEP 2016
PY 2016
AB This study provided physicians with continuing medical education (CME)
   related to type 2 diabetes and evaluated the effect on patient health
   outcomes.
   Physicians participated in multi-platform CME (live and online programs)
   and completed a 25 item questionnaire for patient baseline (3-months
   pre-CME activity) and follow-up visits (aeyen6-months post-CME
   activity). Changes in physician knowledge and patient health outcomes
   were evaluated.
   34 physicians completed both phases of the CME curricula and submitted
   data for 264 patients. Significant improvements were observed in
   physician knowledge after the live (p < 0.05) and online programs (p <
   0.0005). Mean patient glycated hemoglobin (HbA1c) absolute reduction of
   1.15% (p < 0.0001) was reported.
   CME is an effective tool to close established practice gaps and
   potentially help improve patient health outcomes.
RI Inzucchi, Silvio/ABF-4121-2021
TC 3
ZS 0
ZR 0
Z8 0
ZB 0
ZA 0
Z9 3
U1 0
U2 3
SN 1869-6953
EI 1869-6961
UT WOS:000382882000008
PM 27272527
ER

PT J
AU Morris, Martin
   Roberto, K. R.
TI Information-seeking behaviour and information needs of LGBTQ health
   professionals: a follow-up study
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 33
IS 3
BP 204
EP 221
DI 10.1111/hir.12139
PD SEP 2016
PY 2016
AB BackgroundExcept for one study in 2004, the literature has no data on
   the information-seeking behaviour of lesbian, gay, bisexual, transgender
   and queer/questioning (LGBTQ) health professionals. After a decade of
   change for LGBTQ people, and the growth of electronic information
   sources and social networks, it is appropriate to revisit this subject.
   ObjectivesTo gain an updated understanding of the information-seeking
   behaviour of LGBTQ health professionals and of how medical libraries can
   provide a culturally competent service to such users.
   MethodsA mixed-methods approach was adopted combining a Web-based
   questionnaire with email follow-up discussions. One hundred and
   twenty-three complete responses were received, mostly from the USA and
   Canada, between November 2012 and October 2013.
   ResultsLGBTQ health professionals remain more comfortable seeking LGBTQ
   health information from a medical librarian whom they know to be LGBTQ
   because they perceive LGBTQ librarians as more likely to have specialist
   knowledge, or through concern that non-LGBTQ librarians may be more
   likely to react in a stigmatising or discriminatory way. The study also
   provides evidence suggesting that online chat has marginal appeal for
   respondents seeking LGBTQ health information, despite its anonymity.
   Medical libraries seeking to demonstrate their cultural competency
   should provide visible evidence of this, such as through the creation of
   dedicated resource lists, promotion of LGBTQ literature on the library's
   website, and display of other symbols or statements supporting
   diversity.
   ConclusionOpportunities exist for LGBTQ health professionals and medical
   librarians to work together to ensure that medical libraries are
   culturally competent and welcoming spaces for LGBTQ patrons, that
   library collections match their needs, and in the creation of guides to
   ensure maximum access to the results of LGBTQ health research. Medical
   libraries should also consider nominating and, if necessary, training a
   specialist in LGBTQ health information. Such measures are more likely to
   be successful than reliance on online chat, despite contrary suggestions
   in the literature.
RI Morris, Martin/Q-3017-2016
OI Morris, Martin/0000-0002-5659-2995
ZS 0
ZB 1
TC 13
ZA 0
Z8 0
ZR 0
Z9 13
U1 3
U2 53
SN 1471-1834
EI 1471-1842
UT WOS:000382586300004
PM 27060995
ER

PT J
AU Turner, D.
   Nieder, T. O.
   Dekker, A.
   Martyniuk, U.
   Herrmann, L.
   Briken, P.
TI Are medical students interested in sexual health education? A nationwide
   survey
SO INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH
VL 28
IS 5
BP 172
EP 175
DI 10.1038/ijir.2016.25
PD SEP-OCT 2016
PY 2016
AB The majority of medical students and medical healthcare providers do not
   feel comfortable when addressing sexual problems It Was suggested: that
   more course's:in sexual health are needed at medical schools overcome
   this shortcoming. To assess medical students' interest in and attitude
   about sexual health education at medical schools in Germany, a 13-item
   online questionnaire was developed. The link to the questionnaire was
   distributed at all medical schools in Germany. In total, 3264 medical
   students (69.9% female) from all 37 medical schools in Germany
   participated. Students from all universities indicated that contents
   related to sexual health are taught at their university. The majority
   (n=1809; 62.1%) answered that Courses in sexual health should be
   mandatory. The types of educational experiences that were viewed as most
   appropriate were lectures (n=2281, 78.3%) and seminars without patient
   contact (n=1414, 48.5%): Students were most interested in child sexual
   abuse and sexually transmitted infections. It should be ensured that all
   medical students have acquired basic knowledge in diagnosing and
   treating frequent sexual problemss the end of their medical studies.
   Suggestions are made about how to improve current efforts of sexual
   health education at medical schools.
OI Nieder, Timo/0000-0003-3052-5169
Z8 0
ZR 0
ZB 0
ZA 0
TC 8
ZS 0
Z9 8
U1 0
U2 2
SN 0955-9930
EI 1476-5489
UT WOS:000383112600003
PM 27225710
ER

PT J
AU Makhdom, Asim M.
   Sinno, Hani
   Aldebeyan, Sultan
   Cota, Adam
   Hamdy, Reggie Charles
   Alzahrani, Mohammad
   Janelle, Chantal
TI Bilateral Hallux Valgus: A Utility Outcome Score Assessment
SO JOURNAL OF FOOT & ANKLE SURGERY
VL 55
IS 5
BP 944
EP 947
DI 10.1053/j.jfas.2016.04.010
PD SEP-OCT 2016
PY 2016
AB Hallux valgus is the most common forefoot problem in adults. Although it
   can cause considerable disability and affect the quality of life of
   those affected, many patients seek medical attention because of cosmetic
   concerns. Our aim was to objectively measure the perceived health burden
   of living with bilateral hallux valgus. Previously validated utility
   outcome measures, including the visual analog scale, time trade-off, and
   standard gamble tests, were used to quantify the health burden for
   single-eye blindness, double-eye blindness, and bilateral hallux valgus
   in 103 healthy subjects using an online survey. The Student t test and
   linear regression analysis were used for statistical analysis. The mean
   visual analog scale, time trade-off, and standard gamble scores for
   bilateral hallux valgus were 0.86 +/- 1.6, 0.95 +/- 0.5, and 0.95 +/-
   0.14, respectively. These were significantly greater than the utility
   scores for single-eye and double-eye blindness (p < .05). Age, gender,
   race, income, and education were not statistically significant
   independent predictors of the utility scores for hallux valgus. In
   conclusion, we have objectively demonstrated the effect of living with
   bilateral hallux valgus deformities. Our sample population reported
   being willing to undergo a procedure with a 5% mortality rate and
   sacrifice 1.8 years of life to attain perfect health and avoid the
   bilateral hallux valgus health state. Our findings will guide us in
   counseling our patients and understanding how they perceive their foot
   deformity. (C) 2016 by the American College of Foot and Ankle Surgeons.
   All rights reserved.
OI Alzahrani, Mohammad M/0000-0003-1299-1529; Aldebeyan,
   Sultan/0000-0002-9123-697X
ZS 0
Z8 0
ZB 0
TC 2
ZR 0
ZA 0
Z9 2
U1 0
U2 4
SN 1067-2516
EI 1542-2224
UT WOS:000382257000013
PM 27289218
ER

PT J
AU Reinders, Marlies E. J.
   de Jong, Peter G. M.
TI Innovating clinical kidney transplant education by a massive open online
   course
SO TRANSPLANT IMMUNOLOGY
VL 38
BP 1
EP 2
DI 10.1016/j.trim.2016.06.003
PD SEP 2016
PY 2016
RI Reinders, Marlies/AAF-2710-2019; de Jong, Peter GM/; Reinders, Marlies/
OI de Jong, Peter GM/0000-0001-9038-3137; Reinders,
   Marlies/0000-0001-9543-567X
TC 8
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
Z9 8
U1 0
U2 2
SN 0966-3274
EI 2210-3384
UT WOS:000384787000001
PM 27373761
ER

PT J
AU Chan, Teresa M
   Thoma, Brent
   Krishnan, Keeth
   Lin, Michelle
   Carpenter, Christopher R
   Astin, Matt
   Kulasegaram, Kulamakan
TI Derivation of Two Critical Appraisal Scores for Trainees to Evaluate
   Online Educational Resources: A METRIQ Study.
SO The western journal of emergency medicine
VL 17
IS 5
BP 574
EP 84
DI 10.5811/westjem.2016.6.30825
PD 2016-Sep
PY 2016
AB INTRODUCTION: Online education resources (OERs), like blogs and
   podcasts, increasingly augment or replace traditional medical education
   resources such as textbooks and lectures. Trainees' ability to evaluate
   these resources is poor, and few quality assessment aids have been
   developed to assist them. This study aimed to derive a quality
   evaluation instrument for this purpose.
   METHODS: We used a three-phase methodology. In Phase 1, a previously
   derived list of 151 OER quality indicators was reduced to 13 items using
   data from published consensus-building studies (of medical educators,
   expert podcasters, and expert bloggers) and subsequent evaluation by our
   team. In Phase 2, these 13 items were converted to seven-point Likert
   scales used by trainee raters (n=40) to evaluate 39 OERs. The
   reliability and usability of these 13 rating items was determined using
   responses from trainee raters, and top items were used to create two OER
   quality evaluation instruments. In Phase 3, these instruments were
   compared to an external certification process (the ALiEM AIR
   certification) and the gestalt evaluation of the same 39 blog posts by
   20 faculty educators.
   RESULTS: Two quality-evaluation instruments were derived with fair
   inter-rater reliability: the METRIQ-8 Score (Inter class correlation
   coefficient [ICC]=0.30, p<0.001) and the METRIQ-5 Score (ICC=0.22,
   p<0.001). Both scores, when calculated using the derivation data,
   correlated with educator gestalt (Pearson's r=0.35, p=0.03 and r=0.41,
   p<0.01, respectively) and were related to increased odds of receiving an
   ALiEM AIR certification (odds ratio=1.28, p=0.03; OR=1.5, p=0.004,
   respectively).
   CONCLUSION: Two novel scoring instruments with adequate psychometric
   properties were derived to assist trainees in evaluating OER quality and
   correlated favourably with gestalt ratings of online educational
   resources by faculty educators. Further testing is needed to ensure
   these instruments are accurate when applied by trainees.
RI Thoma, Brent/AAS-8775-2020; Thoma, Brent/ABI-2642-2020; Chan, Teresa/T-6676-2017; Carpenter, Christopher R./E-3720-2013
OI Thoma, Brent/0000-0003-1124-5786; Chan, Teresa/0000-0001-6104-462X;
   Carpenter, Christopher R./0000-0002-2603-7157
ZS 0
ZR 0
ZA 0
ZB 1
Z8 0
TC 34
Z9 35
U1 0
U2 2
EI 1936-9018
UT MEDLINE:27625722
PM 27625722
ER

PT J
AU Javan, Ramin
   Herrin, Douglas
   Tangestanipoor, Ardalan
TI Understanding Spatially Complex Segmental and Branch Anatomy Using 3D
   Printing: Liver, Lung, Prostate, Coronary Arteries, and Circle of Willis
SO ACADEMIC RADIOLOGY
VL 23
IS 9
BP 1183
EP 1189
DI 10.1016/j.acra.2016.04.010
PD SEP 2016
PY 2016
AB Rationale and Objectives: Three-dimensional (3D) manufacturing is
   shaping personalized medicine, in which radiologists can play a
   significant role, be it as consultants to surgeons for surgical planning
   or by creating powerful visual aids for communicating with patients,
   physicians, and trainees. This report illustrates the steps in
   development of custom 3D models that enhance the understanding of
   complex anatomy.
   Materials and Methods: We graphically designed 3D meshes or modified
   imported data from cross-sectional imaging to develop physical models
   targeted specifically for teaching complex segmental and branch anatomy.
   The 3D printing itself is easily accessible through online commercial
   services, and the models are made of polyamide or gypsum.
   Results: Anatomic models of the liver, lungs, prostate, coronary
   arteries, and the Circle of Willis were created. These models have
   advantages that include customizable detail, relative low cost, full
   control of design focusing on subsegments, color-coding potential, and
   the utilization of cross-sectional imaging combined with graphic design.
   Conclusions: Radiologists have an opportunity to serve as leaders in
   medical education and clinical care with 3D printed models that provide
   beneficial interaction with patients, clinicians, and trainees across
   all specialties by proactively taking on the educator's role. Complex
   models can be developed to show normal anatomy or common pathology for
   medical educational purposes. There is a need for randomized trials,
   which radiologists can design, to demonstrate the utility and
   effectiveness of 3D printed models for teaching simple and complex
   anatomy, simulating interventions, measuring patient satisfaction, and
   improving clinical care.
RI Javan, Ramin/AAN-8503-2020
OI Javan, Ramin/0000-0001-8939-2781
Z8 2
ZS 0
ZA 0
ZR 1
TC 45
ZB 8
Z9 48
U1 2
U2 47
SN 1076-6332
EI 1878-4046
UT WOS:000381958700016
PM 27283072
ER

PT J
AU Dietl, Charles A.
   Russell, John C.
TI Effects of Technological Advances in Surgical Education on Quantitative
   Outcomes From Residency Programs
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 5
BP 819
EP 830
DI 10.1016/j.jsurg.2016.03.016
PD SEP-OCT 2016
PY 2016
AB OBJECTIVES: The purpose of this article is to review the literature on
   current technology for surgical education and to evaluate the effect of
   technological advances on the Accreditation Council of Graduate Medical
   Education (ACGME) Core Competencies, American Board of Surgery
   In-Training Examination (ABSITE) scores, and American Board of Surgery
   (ABS) certification.
   DESIGN: A literature search was obtained from MEDLINE via PubMed.gov,
   ScienceDirect.com, and Google Scholar on all peer-reviewed studies
   published since 2003 using the following search queries: technology for
   surgical education, simulation-based surgical training, simulation-based
   nontechnical skills (NTS) training, ACGME Core Competencies, ABSITE
   scores, and ABS pass rate.
   RESULTS: Our initial search list included the following: 648 on
   technology for surgical education, 413 on simulation-based surgical
   training, 51 on simulation-based NTS training, 78 on ABSITE scores, and
   33 on ABS pass rate. Further, 42 articles on technological advances for
   surgical education met inclusion criteria based on their effect on ACGME
   Core Competencies, ABSITE scores, and ABS certification. Systematic
   review showed that 33 of 42 and 26 of 42 publications on technological
   advances for surgical education showed objective improvements regarding
   patient care and medical knowledge, respectively, whereas only 2 of 42
   publications showed improved ABSITE scores, but none showed improved ABS
   pass rates. Improvements in the other ACGME core competencies were
   documented in 14 studies, 9 of which were on simulation-based NTS
   training.
   CONCLUSIONS: Most of the studies on technological advances for surgical
   education have shown a positive effect on patient care and medical
   knowledge. However, the effect of simulation-based surgical training and
   simulation-based NTS training on ABSITE scores and ABS certification has
   not been assessed. Studies on technological advances in surgical
   education and simulation-based NTS training showing quantitative
   evidence that surgery residency program objectives are achieved are
   still needed. (C) 2016 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
ZA 0
Z8 0
ZR 0
ZS 1
ZB 0
TC 5
Z9 6
U1 0
U2 2
SN 1931-7204
EI 1878-7452
UT WOS:000382098300009
PM 27184181
ER

PT J
AU White, Susan W.
   Elias, Rebecca
   Salinas, Carlos E.
   Capriola, Nicole
   Conner, Caitlin M.
   Asselin, Susan B.
   Miyazaki, Yasuo
   Mazefsky, Carla A.
   Howlin, Patricia
   Getzel, Elizabeth E.
TI Students with autism spectrum disorder in college: Results from a
   preliminary mixed methods needs analysis
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 56
BP 29
EP 40
DI 10.1016/j.ridd.2016.05.010
PD SEP 2016
PY 2016
AB Background: There is a growing call for empirically based programming to
   support the success of students with autism spectrum disorder (ASD) as
   they transition to college.
   Aims: The purpose of this study was to identify the needs and challenges
   faced by adolescents and young adults with ASD in postsecondary
   education.
   Methods: A mixed methods approach was taken to explore the needs of
   college-bound and college-enrolled students with ASD. Primary
   stakeholders (i.e., parents, educators/support staff from secondary and
   postsecondary institutions, and students) participated in an online
   survey (n = 67) and focus groups (n = 15).
   Results: Across the stakeholder groups, commonly identified areas of
   difficulty included limited interpersonal competence, managing competing
   demands in postsecondary education, and poor emotional regulation. There
   was a high degree of agreement across stakeholders in the identified
   needs and challenges.
   Implications: Findings from this preliminary needs analysis will inform
   the development of programming to support students with ASD. (C) 2016
   Elsevier Ltd. All rights reserved.
RI Conner, Caitlin/AGZ-7102-2022; Howlin, Patricia/A-7622-2011; Mazefsky, Carla/AAA-2577-2021; Mazefsky, Carla/ABB-5009-2020; Elias, Rebecca/; White, Susan/; Howlin, Patricia/
OI Conner, Caitlin/0000-0002-6224-2086; Mazefsky,
   Carla/0000-0001-7467-0902; Elias, Rebecca/0000-0002-1360-3746; White,
   Susan/0000-0002-6274-3147; Howlin, Patricia/0000-0002-1804-6053
TC 55
ZB 16
ZS 0
ZA 0
ZR 0
Z8 0
Z9 55
U1 2
U2 80
SN 0891-4222
UT WOS:000379370000004
PM 27262124
ER

PT J
AU Allen, Lauren K.
   Eagleson, Roy
   de Ribaupierre, Sandrine
TI Evaluation of an Online Three-Dimensional Interactive Resource for
   Undergraduate Neuroanatomy Education
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 5
BP 431
EP 439
DI 10.1002/ase.1604
PD SEP-OCT 2016
PY 2016
AB Neuroanatomy is one of the most challenging subjects in anatomy, and
   novice students often experience difficulty grasping the complex
   three-dimensional (3D) spatial relationships. This study evaluated a 3D
   neuroanatomy e-learning module, as well as the relationship between
   spatial abilities and students' knowledge in neuroanatomy. The study's
   crossover design divided the participants into two groups, each starting
   with tests for anatomy knowledge and spatial ability, followed by access
   to either the 3D online learning module or the gross anatomy laboratory.
   Participants completed a second knowledge test prior to accessing the
   other learning modality. Participants in both groups scored
   significantly higher on Quiz 1 than on the Pretest knowledge assessment
   (W=47, P<0.01; W=30, P<0.01). Students who initially accessed the 3D
   online resources scored significantly better on the Quiz 1 than students
   who accessed the gross anatomy resources (W=397.5, P<0.01). Scores
   significantly improved on Quiz 2 for participants who accessed the 3D
   learning module following exposure to the cadaveric resources (W=94,
   P<0.01). After exposure to both learning modalities, there were no
   significant differences between groups. Significant positive
   correlations were found between participants' spatial ability score and
   their performance on the Pretest, Quiz 1, and Quiz 2 assessments
   (r=0.22, P=0.04; r=0.25, P=0.02; r=0.26, P=0.02). These preliminary
   results found students appreciated working with the 3D e-learning
   module, and their learning outcomes significantly improved after
   accessing the resource. Anat Sci Educ 9: 431-439. (C) 2016 American
   Association of Anatomists.
RI de Ribaupierre, Sandrine/B-7707-2015; Allen, Lauren/
OI de Ribaupierre, Sandrine/0000-0001-7096-2289; Allen,
   Lauren/0000-0001-9457-2584
Z8 1
ZR 0
TC 38
ZB 5
ZA 0
ZS 2
Z9 40
U1 0
U2 35
SN 1935-9772
EI 1935-9780
UT WOS:000388217800004
PM 26990135
ER

PT J
AU Schlier, Bjoern
   Lange, Pia
   Wiese, Salome
   Wirth, Anna
   Lincoln, Tania
TI The effect of educational information about treatments for schizophrenia
   on stigmatizing perceptions
SO JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
VL 52
BP 11
EP 16
DI 10.1016/j.jbtep.2016.02.002
PD SEP 2016
PY 2016
AB Background: A promising strategy for reducing stigmatizing perceptions
   towards people with schizophrenia is education about treatment and
   recovery. The effects of different kinds of treatment information on
   stigmatizing perceptions, however, have yet to be compared directly.
   This study compared three different educational interventions focusing
   on medication, CBT, and psychodynamic psychotherapy in their potential
   to reduce stigmatizing perceptions towards people with schizophrenia.
   Methods: In an online experiment 178 participants received one of three
   psychoeducation texts that focused on medication, CBT or psychodynamic
   therapy. The effects on stereotypical beliefs about psychosis
   (dangerousness, unpredictability, blame, prognostic pessimism) and
   emotional responses towards people with schizophrenia (anxiety, anger,
   sympathy) were tested.
   Results: Perceptions of dangerousness, unpredictability, and anxiety
   towards people with schizophrenia were reduced in all conditions.
   Prognostic pessimism was reduced only after reading the CBT information.
   Limitations: No neutral control group was included. The sample was not
   representative with respect to level of education or gender.
   Conclusions: Stigmatizing perceptions may be reduced by receiving
   information about any type of treatment for psychosis and without
   producing negative side-effects, although this needs to be replicated in
   a controlled study. However, information on CBT seems most suitable to
   reduce stigma, since it was able to reduce prognostic pessimism. (C)
   2016 Elsevier Ltd. All rights reserved.
OI Lincoln, Tania/0000-0002-6674-2440; Schlier, Bjorn/0000-0002-9533-1819
Z8 1
ZB 2
TC 8
ZR 0
ZS 1
ZA 0
Z9 10
U1 0
U2 39
SN 0005-7916
EI 1873-7943
UT WOS:000376948700002
PM 26949924
ER

PT J
AU Ohannessian, Robin
   Yaghobian, Sarina
   Verger, Pierre
   Vanhems, Philippe
TI A systematic review of serious video games used for vaccination
SO VACCINE
VL 34
IS 38
BP 4478
EP 4483
DI 10.1016/j.vaccine.2016.07.048
PD AUG 31 2016
PY 2016
AB Introduction: Vaccination is an effective and proven method of
   preventing infectious diseases. However, uptake has not been optimal
   with available vaccines partly due to vaccination hesitancy. Various
   public health approaches have adressed vaccination hesitancy. Serious
   video games involving vaccination may represent an innovative public
   health approach. The aim of this study was to identify, describe, and
   review existing serious video games on vaccination.
   Method: A systematic review was performed. Various databases were used
   to find data on vaccination related serious video games published from
   January 1st 2000 to May 15th 2015. Data including featured medical and
   vaccination content, publication characteristics and games
   classification were collected for each identified serious game.
   Results: Sixteen serious video games involved in vaccination were
   identified. All games were developed in high-income countries between
   2003 and 2014. The majority of games were available online and were
   sponsored by educational/health institutions. All games were free of
   charge to users. Edugame was the most prevalent serious game
   subcategory. Twelve games were infectious disease-specific and the
   majority concerned influenza. The main objective of the games was
   disease control with a collective perspective. Utilization data was
   available for two games. Two games were formally evaluated.
   Discussion: The use of serious video games for vaccination is an
   innovative tool for public health. Evaluation of vaccination related
   serious video games should be encouraged to demonstrate their efficacy
   and utility. (C) 2016 Elsevier Ltd. All rights reserved.
ZA 0
ZS 0
ZB 2
ZR 0
Z8 0
TC 11
Z9 11
U1 0
U2 20
SN 0264-410X
EI 1873-2518
UT WOS:000383004800008
PM 27498211
ER

PT J
AU Bauer, Rita
   Conell, Joern
   Glenn, Tasha
   Alda, Martin
   Ardau, Raffaella
   Baune, Bernhard T.
   Berk, Michael
   Bersudsky, Yuly
   Bilderbeck, Amy
   Bocchetta, Alberto
   Bossini, Letizia
   Castro, Angela M. Paredes
   Cheung, Eric Y. W.
   Chillotti, Caterina
   Choppin, Sabine
   Del Zompo, Maria
   Dias, Rodrigo
   Dodd, Seetal
   Duffy, Anne
   Etain, Bruno
   Fagiolini, Andrea
   Fernandez Hernandez, Miryam
   Garnham, Julie
   Geddes, John
   Gildebro, Jonas
   Gonzalez-Pinto, Ana
   Goodwin, Guy M.
   Grof, Paul
   Harima, Hirohiko
   Hassel, Stefanie
   Henry, Chantal
   Hidalgo-Mazzei, Diego
   Kapur, Vaisnvy
   Kunigiri, Girish
   Lafer, Beny
   Larsen, Erik R.
   Lewitzka, Ute
   Licht, Rasmus W.
   Lund, Anne Hvenegaard
   Misiak, Blazej
   Monteith, Scott
   Munoz, Rodrigo
   Nakanotani, Takako
   Nielsen, Rene E.
   O'Donovan, Claire
   Okamura, Yasushi
   Osher, Yamima
   Piotrowski, Patryk
   Reif, Andreas
   Ritter, Philipp
   Rybakowski, Janusz K.
   Sagduyu, Kemal
   Sawchuk, Brett
   Schwartz, Elon
   Scippa, Angela M.
   Slaney, Claire
   Sulaiman, Ahmad H.
   Suominen, Kirsi
   Suwalska, Aleksandra
   Tam, Peter
   Tatebayashi, Yoshitaka
   Tondo, Leonardo
   Vieta, Eduard
   Vinberg, Maj
   Viswanath, Biju
   Volkert, Julia
   Zetin, Mark
   Whybrow, Peter C.
   Bauer, Michael
TI Internet use by patients with bipolar disorder: Results from an
   international multisite survey
SO PSYCHIATRY RESEARCH
VL 242
BP 388
EP 394
DI 10.1016/j.psychres.2016.05.055
PD AUG 30 2016
PY 2016
AB There is considerable international interest in online education of
   patients with bipolar disorder, yet little understanding of how patients
   use the Internet and other sources to seek information. 1171 patients
   with a diagnosis of bipolar disorder in 17 countries completed a
   paper-based, anonymous survey. 81% of the patients used the Internet, a
   percentage similar to the general public. Older age, less education, and
   challenges in country telecommunications infrastructure and demographics
   decreased the odds of using the Internet. About 78% of the Internet
   users looked online for information on bipolar disorder or 63% of the
   total sample. More years of education in relation to the country mean,
   and feeling very confident about managing life decreased the odds of
   seeking information on bipolar disorder online, while having attended
   support groups increased the odds. Patients who looked online for
   information on bipolar disorder consulted medical professionals plus a
   mean of 2.3 other information sources such as books, physician handouts,
   and others with bipolar disorder. Patients not using the Internet
   consulted medical professionals plus a mean of 1.6 other information
   sources. The percentage of patients with bipolar disorder who use the
   Internet is about the same as the general public. Other information
   sources remain important. (C) 2016 Elsevier Ireland Ltd. All rights
   reserved.
RI ritter, philipp/AAM-2571-2020; Alda, Martin/F-5812-2010; Etain, Bruno/L-6647-2017; da Silva Dias, Rodrigo/N-8985-2013; Misiak, Błażej/ABA-2657-2021; Piotrowski, Patryk/ABD-4063-2021; Berk, Michael/M-3585-2019; Vieta, Eduard/Y-2919-2019; Lafer, Beny/F-9390-2015; Vieta, Eduard/I-6330-2013; Berk, Michael/M-7891-2013; Larsen, Erik Roj/K-4626-2019; Lafer, Beny/C-1055-2012; Vinberg/ABC-7493-2021; Larsen, Erik Roj/ABC-6695-2020; Goodwin, Guy/ABE-6084-2020; OSHER, YAMIMA/F-1359-2012; Nielsen, René Ernst/I-2107-2019; SULAIMAN, AHMAD HATIM/B-8156-2010; Hidalgo-Mazzei, Diego/; Suwalska, Aleksandra/; Gonzalez-Pinto, Ana Maria/; Geddes, John/; Licht, Rasmus W./; Garnham, Julie/; Viswanath, Biju/; Misiak, Blazej/
OI ritter, philipp/0000-0003-4286-5830; Alda, Martin/0000-0001-9544-3944;
   Etain, Bruno/0000-0002-5377-1488; da Silva Dias,
   Rodrigo/0000-0002-1315-7205; Piotrowski, Patryk/0000-0001-7208-0562;
   Berk, Michael/0000-0002-5554-6946; Vieta, Eduard/0000-0002-0548-0053;
   Lafer, Beny/0000-0002-6132-9999; Vieta, Eduard/0000-0002-0548-0053;
   Berk, Michael/0000-0002-5554-6946; Larsen, Erik Roj/0000-0001-8954-6410;
   Lafer, Beny/0000-0002-6132-9999; Vinberg/0000-0002-5982-1335; Larsen,
   Erik Roj/0000-0001-8954-6410; OSHER, YAMIMA/0000-0002-9635-7973;
   Nielsen, René Ernst/0000-0002-7982-6352; SULAIMAN, AHMAD
   HATIM/0000-0002-8364-4594; Hidalgo-Mazzei, Diego/0000-0002-2693-6849;
   Suwalska, Aleksandra/0000-0002-5759-5151; Gonzalez-Pinto, Ana
   Maria/0000-0002-2568-5179; Geddes, John/0000-0002-5281-5960; Licht,
   Rasmus W./0000-0001-8095-3490; Garnham, Julie/0000-0002-7987-4995;
   Viswanath, Biju/0000-0002-7317-1789; Misiak, Blazej/0000-0002-5392-6398
Z8 0
ZA 0
ZR 0
ZB 8
ZS 0
TC 28
Z9 28
U1 0
U2 19
SN 0165-1781
UT WOS:000381844200061
PM 27391371
ER

PT J
AU del Rio-Lanza, Ana-Belen
   Suarez-Alvarez, Leticia
   Suarez-Vazquez, Ana
   Vazquez-Casielles, Rodolfo
TI Information provision and attentive listening as determinants of patient
   perceptions of shared decision-making around chronic illnesses
SO SPRINGERPLUS
VL 5
AR 1386
DI 10.1186/s40064-016-3086-4
PD AUG 22 2016
PY 2016
AB Background: While chronic illnesses are a major concern of the health
   system worldwide, little is known about patients-physicians
   communication. Growing demand for patient-centered care and shared
   decision-making have increased the interest for patients-physicians
   communication. Based on previous literature, we propose a model in which
   the effect of information provision and attentive listening over
   patients' perceptions of shared decision-making (PPSDM) is mediated by
   the variables self-efficacy and proactivity. Primary data were collected
   between April and August 2014 through an online survey of patients with
   haemophilia. Haemophilia is a chronic disease in which many options of
   treatment are available. The right option depends, to some extent, on
   patient's preferences. In this context, great uncertainty exists when
   choosing treatment option and shared decision-making plays an essential
   role.
   Results: A total of 181 patients with haemophilia participated in the
   survey. The psychometric properties of the measurement scales were
   evaluated by means of a confirmatory factor analysis. A structural
   equation model was designed. Results show that provision of information
   and attentive listening determine PPSDM through patients' self-efficacy
   and proactivity in requesting information.
   Conclusions: It is important to incorporate communication training in
   medical education, particularly provision of information and attentive
   listening. These skills help the healthcare professional to gain a
   deeper understanding of the patient. Furthermore, provision of
   information and attentive listening are fundamental in helping patients
   not to undervalue their personal knowledge and expertise in relation to
   their doctors. These strategies encourage them to adopt a more active
   position in requesting information. Encouraging a proactive behaviour of
   patients and their relatives helps them to realize the need to
   participate and to make them feel that they are part of the
   decision-making process.
RI Vázquez, Ana Suárez/Z-5017-2019; del Río-Lanza, Ana-Belén/Z-5647-2019; Álvarez, Leticia Suárez/F-4816-2016
OI Vázquez, Ana Suárez/0000-0003-4257-9367; del Río-Lanza,
   Ana-Belén/0000-0002-9716-8269; Álvarez, Leticia
   Suárez/0000-0001-5162-0531
ZB 0
ZS 0
TC 8
ZA 0
Z8 0
ZR 0
Z9 8
U1 0
U2 18
SN 2193-1801
UT WOS:000391788600002
PM 27610305
ER

PT J
AU Back, David A
   Behringer, Florian
   Haberstroh, Nicole
   Ehlers, Jan P
   Sostmann, Kai
   Peters, Harm
TI Learning management system and e-learning tools: an experience of
   medical students' usage and expectations.
SO International journal of medical education
VL 7
BP 267
EP 73
DI 10.5116/ijme.57a5.f0f5
PD 2016 Aug 20
PY 2016
AB OBJECTIVES: To investigate medical students utilization of and problems
   with a learning management system and its e-learning tools as well as
   their expectations on future developments.
   METHODS: A single-center online survey has been carried out to
   investigate medical students (n = 505) usage and perception concerning
   the learning management system Blackboard, and provided e-learning
   tools. Data were collected with a standardized questionnaire consisting
   of 70 items and analyzed by quantitative and qualitative methods.
   RESULTS: The participants valued lecture notes (73.7%) and Wikipedia
   (74%) as their most important online sources for knowledge acquisition.
   Missing integration of e-learning into teaching was seen as the major
   pitfall (58.7%). The learning management system was mostly used for
   study information (68.3%), preparation of exams (63.3%) and lessons
   (54.5%). Clarity (98.3%), teaching-related contexts (92.5%) and easy use
   of e-learning offers (92.5%) were rated highest. Interactivity was most
   important in free-text comments (n = 123).
   CONCLUSIONS: It is desired that contents of a learning management system
   support an efficient learning. Interactivity of tools and their
   conceptual integration into face-to-face teaching are important for
   students. The learning management system was especially important for
   organizational purposes and the provision of learning materials.
   Teachers should be aware that free online sources such as Wikipedia
   enjoy a high approval as source of knowledge acquisition. This study
   provides an empirical basis for medical schools and teachers to improve
   their offerings in the field of digital learning for their students.
RI Peters, Harm/AAE-5643-2019; Peters, Harm/; Ehlers, Jan/R-5693-2016
OI Peters, Harm/0000-0003-1441-7512; Ehlers, Jan/0000-0001-6306-4173
ZR 0
Z8 0
TC 35
ZS 2
ZA 1
ZB 4
Z9 39
U1 0
U2 11
EI 2042-6372
UT MEDLINE:27544782
PM 27544782
ER

PT J
AU Garth, Belinda
   Kirby, Catherine
   Silberberg, Peter
   Brown, James
TI Utility of learning plans in general practice vocational training: a
   mixed-methods national study of registrar, supervisor, and educator
   perspectives
SO BMC MEDICAL EDUCATION
VL 16
AR 211
DI 10.1186/s12909-016-0736-8
PD AUG 19 2016
PY 2016
AB Background: Learning plans are a compulsory component of the training
   and assessment requirements of general practice (GP) registrars in
   Australia. There is a small but growing number of studies reporting that
   learning plans are not well accepted or utilised in general practice
   training. There is a lack of research examining this apparent
   contradiction. The aim of this study was to examine use and perceived
   utility of formal learning plans in GP vocational training.
   Methods: This mixed-method Australian national research project utilised
   online learning plan usage data from 208 GP registrars and
   semi-structured focus groups and telephone interviews with 35 GP
   registrars, 12 recently fellowed GPs, 16 supervisors and 17 medical
   educators across three Regional Training Providers (RTPs). Qualitative
   data were analysed thematically using template analysis.
   Results: Learning plans were used mostly as a log of activities rather
   than as a planning tool. Most learning needs were entered and ticked off
   as complete on the same day. Learning plans were perceived as having
   little value for registrars in their journey to becoming a competent GP,
   and as a bureaucratic hurdle serving as a distraction rather than an aid
   to learning. The process of learning planning was valued more so than
   the documentation of learning planning.
   Conclusions: This study provides creditable evidence that mandated
   learning plans are broadly considered by users to be a bureaucratic
   impediment with little value as a learning tool. It is more important to
   support registrars in planning their learning than to enforce
   documentation of this process in a learning plan. If learning planning
   is to be an assessed competence, methods of assessment other than the
   submission of a formal learning plan should be explored.
OI Brown, James/0000-0002-7262-1629; Garth, Belinda/0000-0003-3937-4790
Z8 0
ZB 0
ZR 0
TC 3
ZA 0
ZS 0
Z9 3
U1 0
U2 10
SN 1472-6920
UT WOS:000381819200001
PM 27542356
ER

PT J
AU Archer, Julian
   Lynn, Nick
   Coombes, Lee
   Roberts, Martin
   Gale, Tom
   Price, Tristan
   de Bere, Sam Regan
TI The impact of large scale licensing examinations in highly developed
   countries: a systematic review
SO BMC MEDICAL EDUCATION
VL 16
AR 212
DI 10.1186/s12909-016-0729-7
PD AUG 19 2016
PY 2016
AB Background: To investigate the existing evidence base for the validity
   of large-scale licensing examinations including their impact.
   Methods: Systematic review against a validity framework exploring:
   Embase (Ovid Medline); Medline (EBSCO); PubMed; Wiley Online;
   ScienceDirect; and PsychINFO from 2005 to April 2015. All papers were
   included when they discussed national or large regional (State level)
   examinations for clinical professionals, linked to examinations in early
   careers or near the point of graduation, and where success was required
   to subsequently be able to practice. Using a standardized data
   extraction form, two independent reviewers extracted study
   characteristics, with the rest of the team resolving any disagreement. A
   validity framework was used as developed by the American Educational
   Research Association, American Psychological Association, and National
   Council on Measurement in Education to evaluate each paper's evidence to
   support or refute the validity of national licensing examinations.
   Results: 24 published articles provided evidence of validity across the
   five domains of the validity framework. Most papers (n = 22) provided
   evidence of national licensing examinations relationships to other
   variables and their consequential validity. Overall there was evidence
   that those who do well on earlier or on subsequent examinations also do
   well on national testing. There is a correlation between NLE performance
   and some patient outcomes and rates of complaints, but no causal
   evidence has been established.
   Conclusions: The debate around licensure examinations is strong on
   opinion but weak on validity evidence. This is especially true of the
   wider claims that licensure examinations improve patient safety and
   practitioner competence.
RI Roberts, Martin John/C-3305-2013; Gale, Tom/L-2183-2019; Archer, Julian/
OI Roberts, Martin John/0000-0002-8010-1068; Gale, Tom/0000-0003-4551-5860;
   Archer, Julian/0000-0001-9983-9655
Z8 0
TC 18
ZR 0
ZA 0
ZB 0
ZS 0
Z9 18
U1 0
U2 10
EI 1472-6920
UT WOS:000381819200002
PM 27543269
ER

PT J
AU Kaufman, David J.
   Baker, Rebecca
   Milner, Lauren C.
   Devaney, Stephanie
   Hudson, Kathy L.
TI A Survey of U.S Adults' Opinions about Conduct of a Nationwide Precision
   Medicine Initiative (R) Cohort Study of Genes and Environment
SO PLOS ONE
VL 11
IS 8
AR e0160461
DI 10.1371/journal.pone.0160461
PD AUG 17 2016
PY 2016
AB Objectives
   A survey of a population-based sample of U.S adults was conducted to
   measure their attitudes about, and inform the design of the Precision
   Medicine Initiative's planned national cohort study.
   Methods
   An online survey was conducted by GfK between May and June of 2015. The
   influence of different consent models on willingness to share data was
   examined by randomizing participants to one of eight consent scenarios.
   Results
   Of 4,777 people invited to take the survey, 2,706 responded and 2,601
   (54% response rate) provided valid responses. Most respondents (79%)
   supported the proposed study, and 54% said they would definitely or
   probably participate if asked. Support for and willingness to
   participate in the study varied little among demographic groups; younger
   respondents, LGBT respondents, and those with more years of education
   were significantly more likely to take part if asked. The most important
   study incentive that the survey asked about was learning about one's own
   health information. Willingness to share data and samples under broad,
   study-by-study, menu and dynamic consent models was similar when a
   statement about transparency was included in the consent scenarios.
   Respondents were generally interested in taking part in several
   governance functions of the cohort study.
   Conclusions
   A large majority of the U.S. adults who responded to the survey
   supported a large national cohort study. Levels of support for the study
   and willingness to participate were both consistent across most
   demographic groups. The opportunity to learn health information about
   one's self from the study appears to be a strong motivation to
   participate.
TC 61
ZA 0
Z8 0
ZR 0
ZB 30
ZS 0
Z9 61
U1 1
U2 5
SN 1932-6203
UT WOS:000381487600031
PM 27532667
ER

PT J
AU Dimond, Rebecca
   Bullock, Alison
   Lovatt, Joseph
   Stacey, Mark
TI Mobile learning devices in the workplace: 'as much a part of the junior
   doctors' kit as a stethoscope'?
SO BMC MEDICAL EDUCATION
VL 16
AR 207
DI 10.1186/s12909-016-0732-z
PD AUG 17 2016
PY 2016
AB Background: Smartphones are ubiquitous and commonly used as a learning
   and information resource. They have potential to revolutionize medical
   education and medical practice. The iDoc project provides a medical
   textbook smartphone app to newly-qualified doctors working in Wales. The
   project was designed to assist doctors in their transition from medical
   school to workplace, a period associated with high levels of cognitive
   demand and stress.
   Methods: Newly qualified doctors submitted case reports (n = 293) which
   detail specific instances of how the textbook app was used. Case reports
   were submitted via a structured online form (using Bristol Online
   Surveys - BOS) which gave participants headings to elicit a description
   of: the setting/context; the problem/issue addressed; what happened; any
   obstacles involved; and their reflections on the event. Case reports
   were categorised by the purpose of use, and by elements of the quality
   improvement framework (IoM 2001). They were then analysed thematically
   to identify challenges of use.
   Results: Analysis of the case reports revealed how smartphones are a
   viable tool to address clinical questions and support mobile learning.
   They contribute to novice doctors' provision of safe, effective, timely,
   efficient and patient-centred care. The case reports also revealed
   considerable challenges for doctors using mobile technology within the
   workplace. Participants reported concern that using a mobile phone in
   front of patients and staff might appear unprofessional.
   Conclusion: Mobile phones blur boundaries between the public and
   private, and the personal and professional. In contrast to using a
   mobile as a communication device, using a smartphone as an information
   resource in the workplace requires different rituals. Uncertain
   etiquette of mobile use may reduce the capacity of smartphone technology
   to improve the learning experience of newly qualified doctors.
OI dimond, rebecca/0000-0003-1974-7289; Bullock, Alison/0000-0003-3800-2186
ZA 0
ZB 4
ZR 0
ZS 1
TC 37
Z8 0
Z9 39
U1 1
U2 31
SN 1472-6920
UT WOS:000381818800001
PM 27530343
ER

PT J
AU Vest, Bonnie M.
   Lynch, Abigail
   McGuigan, Denise
   Servoss, Timothy
   Zinnerstrom, Karen
   Symons, Andrew B.
TI Using standardized patient encounters to teach longitudinal continuity
   of care in a family medicine clerkship
SO BMC MEDICAL EDUCATION
VL 16
AR 208
DI 10.1186/s12909-016-0733-y
PD AUG 17 2016
PY 2016
AB Background: Despite demonstrated benefits of continuity of care,
   longitudinal care experiences are difficult to provide to medical
   students. A series of standardized patient encounters was developed as
   an innovative curricular element to address this gap in training for
   medical students in a family medicine clerkship. The objective of this
   paper is to describe the development and implementation of the
   curriculum, evaluate the effectiveness of the curriculum for increasing
   student confidence around continuity of care and chronic disease
   management, and explore student opinions of the value of the experience.
   Methods: The encounters simulate continuity of care in typical family
   medicine practice over four standardized patient visits, providing
   students with experience in longitudinal relationships, ongoing
   management of chronic and acute conditions, lifestyle counseling, and
   the use of an electronic medical record. Perceptions of the curriculum
   were obtained using a pre-post survey asking students to self-rate
   experience and confidence in continuity relationships, chronic disease
   management, and lifestyle counseling. Students were also asked about the
   overall effectiveness of the encounters for simulating family practice
   and continuity of care. Open-ended comments were gathered through weekly
   reflection papers submitted by the students.
   Results: Of 138 third-year medical students, 137 completed the
   pre-survey, 126 completed the post-survey, and 125 (91%) completed both
   the pre- and the post-survey. Evaluation results demonstrated that
   students highly valued the experience. Complete confidence data for 116
   students demonstrated increased confidence pre-post (t(115) = 14.92, p <
   .001) in managing chronic disease and establishing relationships.
   Open-ended comments reflected how the experience fostered appreciation
   for the significance of patient-doctor relationships and continuity of
   care.
   Conclusions: This curriculum offers a promising approach to providing
   students with continuity of care experience. The model addresses a
   general lack of training in continuity of care in medical schools and
   provides a standardized method for teaching chronic disease management
   and continuity relationships.
OI Vest, Bonnie/0000-0002-3401-7367
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
TC 5
Z9 5
U1 0
U2 7
SN 1472-6920
UT WOS:000381818800002
PM 27535386
ER

PT J
AU Robinson, Robert
TI Delivering a medical school elective with massive open online course
   (MOOC) technology
SO PEERJ
VL 4
AR e2343
DI 10.7717/peerj.2343
PD AUG 11 2016
PY 2016
AB Introduction: The educational technology of massive open online courses
   (MOOCs) has been successfully applied in a wide variety of disciplines
   and are an intense focus of educational research at this time. Educators
   are now looking to MOOC technology as a means to improve professional
   medical education, but very little is known about how medical MOOCs
   compare with traditional content delivery.
   Methods: A retrospective analysis of the course evaluations for the
   Medicine as a Business elective by fourth-year medical students at
   Southern Illinois University School of Medicine (SIU-SOM) for the
   2012-2015 academic years was conducted. This course was delivered by
   small group flipped classroom discussions for 2012-2014 and delivered
   via MOOC technology in 2015. Learner ratings were compared between the
   two course delivery methods using routinely collected course
   evaluations.
   Results: Course enrollment has ranged from 6-19 students per year in the
   2012-2015 academic years. Student evaluations of the course are
   favorable in the areas of effective teaching, accurate course
   objectives, meeting personal learning objectives, recommending the
   course to other students, and overall when rated on a 5-point Likert
   scale. The majority of all student ratings (76-95%) of this elective
   course are for the highest possible choice (Strongly agree or Excellent)
   for any criteria, regardless if the course was delivered via a
   traditional or MOOC format. Statistical analysis of these ratings
   suggests that the Effective Teacher and Overall Evaluations did not
   statistically differ between the two delivery formats.
   Discussion: Student ratings of this elective course were highly similar
   when delivered in a flipped classroom format or by using MOOC
   technology. The primary advantage of this new course format is
   flexibility of time and place for learners, allowing them to complete
   the course objectives when convenient for them. The course evaluations
   suggest this is a change that is acceptable to the target audience.
   Conclusions: This study suggests that learner evaluations of a
   fourth-year medical school elective course do not significantly differ
   when delivered by flipped classroom group discussions or via MOOC
   technology in a very small single center observational study. Further
   investigation is required to determine if this delivery method is an
   acceptable and effective means of teaching in the medical school
   environment.
RI Robinson, Robert/G-1598-2013
OI Robinson, Robert/0000-0002-6059-650X
ZS 0
Z8 3
TC 23
ZA 0
ZR 0
ZB 2
Z9 26
U1 0
U2 75
SN 2167-8359
UT WOS:000381257700007
PM 27602301
ER

PT J
AU Ziehm, Jeanette
   Farin, Erik
   Schaefer, Jonas
   Woitha, Kathrin
   Becker, Gerhild
   Koeberich, Stefan
TI Palliative care for patients with heart failure: facilitators and
   barriers - a cross sectional survey of German health care professionals
SO BMC HEALTH SERVICES RESEARCH
VL 16
AR 361
DI 10.1186/s12913-016-1609-x
PD AUG 8 2016
PY 2016
AB Background: Compared to patients with cancer, heart failure patients are
   seldom candidates for palliative care. Numerous studies have
   investigated reasons why heart failure patients do not receive
   palliative care; however, none of these studies have ever evaluated the
   situation in the German health care setting. This study aims to identify
   German healthcare providers' (HCP) perception of barriers and
   facilitators to palliative care of patients with chronic heart failure.
   Methods: We conducted an online-survey with 315 nurses and physicians of
   different medical disciplines.
   Results: Even though heart failure patients' need of palliative care and
   its advantages has been recognized, HCP see potential for development
   and improvement. A lack of knowledge about the content and measures of
   palliative care, poor communication and unclear responsibilities between
   medical disciplines, difficulties to determine the right time to
   initiate palliative care, and the feeling not to be prepared to discuss
   end-of-life issues with the patient has been identified as barriers.
   Further, HCP believe that patients and relatives do not possess adequate
   knowledge about the disease and its progression and are therefore
   unprepared in asking questions regarding palliative care. They rather
   tend to demand everything possible to be done in order prolong life, and
   are reluctant to accept that life is limited. Overall, HCP perceive that
   dying is a taboo subject within our society placing palliative care on
   the same level as assisted dying. In addition, results indicate that HCP
   have an inappropriate notion of ideal medicine fearing to lose patient
   and are worried about the appropriateness of PC remuneration.
   Conclusions: In order to overcome the described barriers, HCP, patients,
   and relatives need to be educated in palliative care. Information and
   education encompassing the aim, content and measures of palliative care
   needs to be provided for all parties in order to optimize patient care,
   to foster communication between healthcare professionals, patients, and
   relatives, and to overcome perceived barriers.
OI Becker, Gerhild/0000-0001-9060-0285; Farin, Erik/0000-0001-6867-0316;
   Koberich, Stefan/0000-0001-6171-382X
ZS 0
ZR 0
ZA 0
Z8 0
ZB 2
TC 19
Z9 19
U1 2
U2 29
SN 1472-6963
UT WOS:000381256300001
PM 27503510
ER

PT J
AU Morton, Caroline E.
   Saleh, Sohag N.
   Smith, Susan F.
   Hemani, Ashish
   Ameen, Akram
   Bennie, Taylor D.
   Toro-Troconis, Maria
TI Blended learning: how can we optimise undergraduate student engagement?
SO BMC MEDICAL EDUCATION
VL 16
AR 195
DI 10.1186/s12909-016-0716-z
PD AUG 4 2016
PY 2016
AB Background: Blended learning is a combination of online and face-to-face
   learning and is increasingly of interest for use in undergraduate
   medical education. It has been used to teach clinical post-graduate
   students pharmacology but needs evaluation for its use in teaching
   pharmacology to undergraduate medical students, which represent a
   different group of students with different learning needs.
   Methods: An existing BSc-level module on neuropharmacology was
   redesigned using the Blended Learning Design Tool (BLEnDT), a tool which
   uses learning domains (psychomotor, cognitive and affective) to classify
   learning outcomes into those taught best by self-directed learning
   (online) or by collaborative learning (face-to-face). Two online courses
   were developed, one on Neurotransmitters and the other on
   Neurodegenerative Conditions. These were supported with face-to-face
   tutorials. Undergraduate students' engagement with blended learning was
   explored by the means of three focus groups, the data from which were
   analysed thematically.
   Results: Five major themes emerged from the data 1) Purpose and
   Acceptability 2) Structure, Focus and Consolidation 3) Preparation and
   workload 4) Engagement with e-learning component 5) Future Medical
   Education.
   Conclusion: Blended learning was acceptable and of interest to
   undergraduate students learning this subject. They expressed a desire
   for more blended learning in their courses, but only if it was highly
   structured, of high quality and supported by tutorials. Students
   identified that the 'blend' was beneficial rather than purely online
   learning.
ZS 4
ZA 0
TC 55
ZB 3
ZR 0
Z8 0
Z9 59
U1 10
U2 125
EI 1472-6920
UT WOS:000380827700001
PM 27492157
ER

PT J
AU Williams, Edith M.
   Lorig, Kate
   Glover, Saundra
   Kamen, Diane
   Back, Sudie
   Merchant, Anwar
   Zhang, Jiajia
   Oates, James C.
TI Intervention to Improve Quality of life for African-AmericaN lupus
   patients (IQAN): study protocol for a randomized controlled trial of a
   unique a la carte intervention approach to self-management of lupus in
   African Americans
SO BMC HEALTH SERVICES RESEARCH
VL 16
AR 339
DI 10.1186/s12913-016-1580-6
PD AUG 2 2016
PY 2016
AB Background: Systemic Lupus Erythematosus (lupus) is a chronic autoimmune
   disease that can impact any organ system and result in life-threatening
   complications. African-Americans are at increased risk for morbidity and
   mortality from lupus. Self-management programs have demonstrated
   significant improvements in health distress, self-reported global
   health, and activity limitation among people with lupus. Despite
   benefits, arthritis self-management education has reached only a limited
   number of people. Self-selection of program could improve such trends.
   The aim of the current study is to test a novel intervention to improve
   quality of life, decrease indicators of depression, and reduce perceived
   and biological indicators of stress in African-American lupus patients
   in South Carolina.
   Methods/Design: In a three armed randomized, wait list controlled trial,
   we will evaluate the effectiveness of a patient-centered 'a-la-carte'
   approach that offers subjects a variety of modes of interaction from
   which they can choose as many or few as they wish, compared to a 'set
   menu' approach and usual care. This unique 'a-la-carte' self-management
   program will be offered to 50 African-American lupus patients
   participating in a longitudinal observational web-based SLE Database at
   the Medical University of South Carolina. Each individualized
   intervention plan will include 1-4 options, including a mail-delivered
   arthritis kit, addition and access to an online message board,
   participation in a support group, and enrollment in a local
   self-management program. A 'set menu' control group of 50 lupus patients
   will be offered a standardized chronic disease self-management program
   only, and a control group of 50 lupus patients will receive usual care.
   Outcomes will include changes in (a) health behaviors, (b) health
   status, (c) health care utilization, and (d) biological markers (urinary
   catecholamines).
   Discussion: Such a culturally sensitive educational intervention which
   includes self-selection of program components has the potential to
   improve disparate trends in quality of life, disease activity,
   depression, and stress among African-American lupus patients, as better
   outcomes have been documented when participants are able to
   choose/dictate the content and/or pace of the respective
   treatment/intervention program. Since there is currently no "gold
   standard" self-management program specifically for lupus, this project
   may have a considerable impact on future research and policy decisions.
OI Oates, Jim/0000-0002-5426-1359
ZB 5
TC 11
Z8 1
ZS 0
ZA 0
ZR 0
Z9 12
U1 1
U2 18
SN 1472-6963
UT WOS:000380648700010
PM 27485509
ER

PT J
AU Runge, C. E.
   MacKenzie, A.
   Loos, C.
   Waller, M.
   Gabbett, M.
   Mills, R.
   Eley, D.
TI Characteristics of Queensland physicians and the influence of rural
   exposure on practice location
SO INTERNAL MEDICINE JOURNAL
VL 46
IS 8
BP 981
EP 985
DI 10.1111/imj.13156
PD AUG 2016
PY 2016
AB The Queensland branch of the Royal Australasian College of Physicians
   (RACP) commissioned this study to update their workforce profile and
   examine rural practice. The present investigation aimed to describe
   characteristics of Queensland physicians and determine the influence of
   childhood and training locations on current rural practice. A
   cross-sectional online survey, conducted 4 July-4 November 2013, was
   administered to Fellows of The RACP, Queensland. Descriptive statistics
   report characteristics and logistic regression analyses identify
   associations and interactions. The outcome measure was current practice
   location using the Australian Standard Geographic Classification -
   Remoteness Area. Data were obtained for 633 physicians. Their average
   age was 49.5years, a third was female and a quarter was in rural
   practice. Rural practice was associated with a rural childhood (odds
   ratio (OR) (95% confidence interval, CI) 1.89 (1.10, 3.27) P=0.02) and
   any time spent as an intern (OR 4.07 (2.12, 7.82) P<0.001) or registrar
   (OR 4.00 (2.21, 7.26) P<0.001) in a rural location. Physicians with a
   rural childhood and rural training were most likely to be in rural
   practice. However, those who had a metropolitan childhood and a rural
   internship were approximately five times more likely to be working in
   rural practice than physicians with no rural exposure (OR 5.33 (1.61,
   17.60) P<0.01). The findings demonstrate the positive effect of rural
   vocational training on rural practice. A prospective study would
   determine if recent changes to the Basic Physician Training Pathway and
   the Basic Paediatric Training Network (more rural training than previous
   pathways) increases the rate of rural practice.
RI Waller, Michael/R-6231-2016; Eley, Diann S/C-3331-2008; Gabbett, Michael T/C-3228-2012; Bell, Alison/D-2476-2019; Runge, Catherine/
OI Waller, Michael/0000-0002-1050-4574; Eley, Diann S/0000-0001-7256-9325;
   Gabbett, Michael T/0000-0002-5828-315X; Bell,
   Alison/0000-0002-0624-4685; Runge, Catherine/0000-0002-8888-0449
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
TC 8
Z9 8
U1 1
U2 5
SN 1444-0903
EI 1445-5994
UT WOS:000383583900019
PM 27554000
ER

PT J
AU Gaidry, E. N. S. Alicia D.
   Hoehner, Paul J.
TI Pilot Study: The Role of Predeployment Ethics Training, Professional
   Ethics, and Religious Values on Naval Physicians' Ethical Decision
   Making
SO MILITARY MEDICINE
VL 181
IS 8
BP 786
EP 792
DI 10.7205/MILMED-D-15-00104
PD AUG 2016
PY 2016
AB Military physicians serving overseas in cross-cultural settings face the
   challenge of meeting patients' needs and adhering to their personal and
   professional ethics while abiding by military obligations and duties.
   Predeployment ethics training for Naval physicians continues to be
   received in many forms, if received at all, and has largely not
   addressed their specific roles as medical providers in the military.
   This study explores the perceived effectiveness of predeployment ethics
   training received by Naval physicians. Additionally, it considers the
   contribution of different types of ethics training, religious values,
   and the professional ethics on Naval physicians' perceived ability to
   effectively manage ethically challenging scenarios while on deployment.
   A total of 49 Naval physicians participated in an online survey. 16.3%
   reported not receiving any form of ethics training before deployment. Of
   those that reported receiving ethics training before deployment, 92.7%
   found the ethics training received was helpful in some way while on
   deployment. While a medical school course was most contributory overall
   to their ability to handle ethically difficult situations while on
   deployment (70.7%), what most Naval physicians felt would help them
   better handle these types of situations would be a mandatory military
   training/military course (63.2%) or personal mentorship (57.9%).
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
TC 3
Z9 3
U1 0
U2 6
SN 0026-4075
EI 1930-613X
UT WOS:000383688900022
PM 27483515
ER

PT J
AU Lawrence, Sean
   Sullivan, Clair
   Patel, Nadia
   Spencer, Lyndall
   Sinnott, Michael
   Eley, Rob
TI Admission of medical patients from the emergency department: An
   assessment of the attitudes, perspectives and practices of internal
   medicine and emergency medicine trainees
SO EMERGENCY MEDICINE AUSTRALASIA
VL 28
IS 4
BP 391
EP 398
DI 10.1111/1742-6723.12604
PD AUG 2016
PY 2016
AB Objective: We sought to obtain a deeper understanding of the differing
   needs and expectations of inpatient and ED medical staff regarding the
   admission process for medical patients.
   Design: Online questionnaire regarding their attitudes to and
   perceptions of various aspects of the admission process was used.
   Setting: The setting is a tertiary 640-bed adult hospital with over 60
   000 ED presentations per year and an inpatient admission rate of 30%.
   Results: A total of 42 out of 56 (75%) internal medical trainees (IMT)
   felt that the ED admission workup standard was lower or much lower than
   the inpatient standard; however, 10 of 16 (62.5%) ED trainees (EDT)
   thought it was similar (P=0.009). Regarding why IMT order additional
   tests in the ED, the major reason supported by IMT was to 'identify or
   exclude urgent pathology' (53/56, 96.4%); however, this reason ranked
   only fifth for EDT (2/16, 12.5%) who ranked 'to ensure nothing was
   missed' (12/15, 80%) first. A total of 24 out of 56 (42.8%) IMT felt
   that if ED admissions were enacted without IMT review, inappropriate
   admissions to hospital would occur regularly although only one of 16 EDT
   (6.3%) agreed (P=0.025). A total of 14 out of 16 (87.5%) EDT but only 16
   of 56 (23.2%) IMT were comfortable with admissions occurring without
   inpatient review in the ED (P<0.001). The top two perceived barriers to
   a smooth and timely admission process for IMT were patient instability
   (34/43, 79.1%) and inadequate ED workup (37/49, 75.5%); for EDT, they
   were excessive IMT workload (11/14, 78.6%) and referral close to the end
   of an IMT shift (7/11, 63.6%).
   Conclusion: Substantial barriers to more harmonious admission processes
   exist. A 'paradigm shift' where roles and responsibilities are clear
   might be required. Defusing tension across the ED-inpatient interface
   should improve efficiency and ensure that patient outcomes remain the
   focus.
RI Eley, Rob/A-8121-2011; Sullivan, Clair/J-2466-2015; lawrence, sean/; Sinnott, Michael/
OI Eley, Rob/0000-0003-0856-4313; Sullivan, Clair/0000-0003-2475-9989;
   lawrence, sean/0000-0002-7124-1616; Sinnott, Michael/0000-0002-2338-3126
ZR 0
Z8 0
ZS 0
ZA 0
TC 7
ZB 1
Z9 7
U1 0
U2 3
SN 1742-6731
EI 1742-6723
UT WOS:000388310700004
PM 27198081
ER

PT J
AU Jones, Christopher L.
   Nanda, Reoch
TI Assessing a doctor you've rarely worked with: The use of workplace-based
   assessments in a busy inner city emergency department
SO EMERGENCY MEDICINE AUSTRALASIA
VL 28
IS 4
BP 439
EP 443
DI 10.1111/1742-6723.12589
PD AUG 2016
PY 2016
AB Objective: Historically, end-of-term assessments for Junior Medical
   Officers in our ED have been completed by nominated Consultants based on
   varying amounts of observation in addition to feedback from other health
   professionals. Our hypothesis is that this system of assessment is both
   inconsistent and unreliable. Our objective was to increase the validity
   of our assessment process using workplace-based assessments linked
   specifically to the domains set out in the Australian Medical Council
   intern assessment form.
   Methods: Current practice was established using an online survey.
   Workplace-based assessments were then performed on each junior doctor
   throughout the course of a term. A repeat survey at the end of term was
   used to audit the use of the workplace-based assessments and their
   effect on the adequacy of the assessments.
   Results: Almost three quarters of our Consultants used workplace-based
   assessments as part of their end-of-term assessment. Overall, 80% of
   Consultants agreed that the Junior Medical Officers assessment process
   was improved when using workplace-based assessments as an adjunct.
   Conclusion: Workplace-based assessments improve the validity of
   end-of-term assessments for junior doctors in an ED as perceived by
   those performing the assessment.
RI Jones, Christopher/GPG-3299-2022
ZA 0
ZR 0
Z8 0
TC 2
ZS 0
ZB 0
Z9 2
U1 0
U2 3
SN 1742-6731
EI 1742-6723
UT WOS:000388310700011
PM 27230227
ER

PT J
AU Taveira-Gomes, Tiago
   Ferreira, Patricia
   Taveira-Gomes, Isabel
   Severo, Milton
   Ferreira, Maria Amelia
TI What Are We Looking for in Computer-Based Learning Interventions in
   Medical Education? A Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 8
AR e204
DI 10.2196/jmir.5461
PD AUG 2016
PY 2016
AB Background: Computer-based learning (CBL) has been widely used in
   medical education, and reports regarding its usage and effectiveness
   have ranged broadly. Most work has been done on the effectiveness of CBL
   approaches versus traditional methods, and little has been done on the
   comparative effects of CBL versus CBL methodologies. These findings
   urged other authors to recommend such studies in hopes of improving
   knowledge about which CBL methods work best in which settings.
   Objective: In this systematic review, we aimed to characterize recent
   studies of the development of software platforms and interventions in
   medical education, search for common points among studies, and assess
   whether recommendations for CBL research are being taken into
   consideration.
   Methods: We conducted a systematic review of the literature published
   from 2003 through 2013. We included studies written in English,
   specifically in medical education, regarding either the development of
   instructional software or interventions using instructional software,
   during training or practice, that reported learner attitudes,
   satisfaction, knowledge, skills, or software usage. We conducted 2
   latent class analyses to group articles according to platform features
   and intervention characteristics. In addition, we analyzed references
   and citations for abstracted articles.
   Results: We analyzed 251 articles. The number of publications rose over
   time, and they encompassed most medical disciplines, learning settings,
   and training levels, totaling 25 different platforms specifically for
   medical education. We uncovered 4 latent classes for educational
   software, characteristically making use of multimedia (115/251, 45.8%),
   text (64/251, 25.5%), Web conferencing (54/251, 21.5%), and
   instructional design principles (18/251, 7.2%). We found 3 classes for
   intervention outcomes: knowledge and attitudes (175/212, 82.6%),
   knowledge, attitudes, and skills (11.8%), and online activity (12/212,
   5.7%). About a quarter of the articles (58/227, 25.6%) did not hold
   references or citations in common with other articles. The number of
   common references and citations increased in articles reporting
   instructional design principles (P=.03), articles measuring online
   activities (P=.01), and articles citing a review by Cook and colleagues
   on CBL (P=.04). There was an association between number of citations and
   studies comparing CBL versus CBL, independent of publication date
   (P=.02).
   Conclusions: Studies in this field vary highly, and a high number of
   software systems are being developed. It seems that past recommendations
   regarding CBL interventions are being taken into consideration. A move
   into a more student-centered model, a focus on implementing reusable
   software platforms for specific learning contexts, and the analysis of
   online activity to track and predict outcomes are relevant areas for
   future research in this field.
RI Ferreira, Maria Amélia/AAQ-5080-2021; Severo, Milton/I-3497-2012; Taveira-Gomes, Tiago/
OI Ferreira, Maria Amélia/0000-0001-6789-3796; Severo,
   Milton/0000-0002-5787-4871; Taveira-Gomes, Tiago/0000-0002-0998-6000
ZR 0
ZA 0
Z8 0
ZS 1
TC 50
ZB 6
Z9 50
U1 2
U2 57
SN 1438-8871
UT WOS:000388495700018
PM 27480053
ER

PT J
AU Tai, Joanna
   Bearman, Margaret
   Edouard, Vicki
   Kent, Fiona
   Nestel, Debra
   Molloy, Elizabeth
TI Clinical supervision training across contexts.
SO The clinical teacher
VL 13
IS 4
BP 262
EP 6
DI 10.1111/tct.12432
PD 2016-Aug
PY 2016
AB BACKGROUND: Clinicians require specific skills to teach or supervise
   students in the workplace; however, there are barriers to accessing
   faculty member development, such as time, cost and suitability. The
   Clinical Supervision Support Across Contexts (ClinSSAC) programme was
   designed to provide accessible interprofessional educator training to
   clinical supervisors across a wide range of clinical settings.
   CONTEXT: In Australia there are increasing numbers of health care
   students, creating pressure on existing placements. Students are now
   increasingly learning in community settings, where clinicians have
   traditionally had less access to faculty member development.
   INNOVATION: An interprofessional team collaborated in the development
   and implementation of ClinSSAC. A total of 978 clinicians participated
   in a face-to-face, interactive, introductory module to clinical
   supervision; 672 people accessed the equivalent online core module, with
   23percent completing all activities. Additional profession-and
   discipline-specific modules were also developed.
   IMPLICATIONS: Formal project evaluation found that most participants
   rated the workshops as helpful or very helpful for their roles as
   clinical supervisors. Interdisciplinary learning from the workshops was
   reported to enable cross-discipline supervision. Large participant
   numbers and favourable ratings indicate a continuing need for basic
   training in education. Key factors to workshop success included expert
   facilitators, the interprofessional context and interactive model. The
   online modules were an important adjunct, and provided context-specific
   resources, but the low online completion rate suggests protected
   face-to-face time for faculty member development is still required.
   Programmes such as ClinSSAC have the capacity to promote
   interprofessional education and practice. There are barriers to
   accessing faculty member development, such as time, cost and
   suitability.
RI Tai, Joanna Hong-Meng/AAV-9790-2020; Bearman, Margaret/R-1191-2019; Molloy, Elizabeth/; Bearman, Margaret/
OI Tai, Joanna Hong-Meng/0000-0002-8984-2671; Molloy,
   Elizabeth/0000-0001-9457-9348; Bearman, Margaret/0000-0002-6862-9871
Z8 0
ZS 0
TC 9
ZA 0
ZR 0
ZB 0
Z9 9
U1 1
U2 5
EI 1743-498X
UT MEDLINE:26190399
PM 26190399
ER

PT J
AU Afzal, Azam
   Babar, Shazia
TI Making lectures memorable: A cognitive perspective
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 66
IS 8
BP 1024
EP 1025
PD AUG 2016
PY 2016
AB Lectures have been a cornerstone of medical education since the
   introduction of a discipline based curricular model more than two
   hundred years ago. Recently this instructional strategy has come under
   criticism because of its reliance on passive learning. There are still
   many medical schools that cover content predominantly through lectures
   due to its feasibility. With the introduction of the flipped classrooms,
   lectures have been given a new lease of life.
   Improving cognitive imprinting during lectures would enhance retrieval
   and promote long term storage. Simplifying the content reduces the
   cognitive load of the information being received and makes it more
   meaningful hence more memorable. To make learning memorable, rehearsal
   should be built into the sessions.
   With the exponential increase in online learning, the need for online
   learning technologies will require a generation of a large amount of
   asynchronous video content which should ideally be truly meaningful and
   memorable, and inspirational to our students.
ZS 1
TC 2
Z8 0
ZR 0
ZA 0
ZB 1
Z9 3
U1 0
U2 5
SN 0030-9982
UT WOS:000384921100024
PM 27524541
ER

PT J
AU Huijnen, Claire A. G. J.
   Lexis, Monique A. S.
   de Witte, Luc P.
TI Matching Robot KASPAR to Autism Spectrum Disorder (ASD) Therapy and
   Educational Goals
SO INTERNATIONAL JOURNAL OF SOCIAL ROBOTICS
VL 8
IS 4
BP 445
EP 455
DI 10.1007/s12369-016-0369-4
PD AUG 2016
PY 2016
AB The aim of this study was to identify the potential contribution of
   therapy robot KASPAR to the therapy and/or educational goals for
   children with autism spectrum disorder (ASD) according to professionals
   and practitioners in the field. An online questionnaire and focus groups
   were applied to elicit the expectations of a group of 54
   multidisciplinary ASD practitioners about therapy and/or educational
   goals KASPAR can contribute to. Findings indicate that professionals
   expect KASPAR to be of added value to ASD objectives in domains such as
   'communication', 'social/interpersonal interaction and relations', and
   'play', but also in objectives related to 'emotional wellbeing' and
   'preschool skills'. A top 10 is created of professionals' expectations
   of potential added value for robot KASPAR for working on therapy and
   educational goals for children with ASD. Professionals are convinced
   that KASPAR can be useful in interventions for a broad range of therapy
   and education goals for children with autism spectrum disorder.
RI De+Witte, Luc/AAI-3518-2020
OI De+Witte, Luc/0000-0002-3013-2640
ZS 0
ZR 0
ZB 3
TC 45
ZA 0
Z8 0
Z9 45
U1 7
U2 46
SN 1875-4791
EI 1875-4805
UT WOS:000382879400002
ER

PT J
AU Garcia Cipriano, Federico Enrique
   Arcencio, Livia
   Dessotte, Lycio Umeda
   Rodrigues, Alfredo Jose
   de Andrade Vicente, Walter Villela
   Barbosa Evora, Paulo Roberto
TI A survey among Brazilian thoracic surgeons about the use of preoperative
   2D and 3D images
SO JOURNAL OF THORACIC DISEASE
VL 8
IS 8
BP 2175
EP 2184
DI 10.21037/jtd.2016.07.65
PD AUG 2016
PY 2016
AB Background: Describe the characteristics of how the thoracic surgeon
   uses the 2D/3D medical imaging to perform surgical planning, clinical
   practice and teaching in thoracic surgery and check the initial choice
   and the final choice of the Brazilian Thoracic surgeon as the 2D and 3D
   models pictures before and after acquiring theoretical knowledge on the
   generation, manipulation and interactive 3D views.
   Methods: A descriptive research type Survey cross to data provided by
   the Brazilian Thoracic Surgeons (members of the Brazilian Society of
   Thoracic Surgery) who responded to the online questionnaire via the
   internet on their computers or personal devices.
   Results: Of the 395 invitations visualized distributed by email, 107
   surgeons completed the survey. There was no statically difference when
   comparing the 2D vs. 3D models pictures for the following purposes:
   diagnosis, assessment of the extent of disease, preoperative surgical
   planning, and communication among physicians, resident training, and
   undergraduate medical education. Regarding the type of tomographic image
   display routinely used in clinical practice (2D or 3D or 2D-3D model
   image) and the one preferred by the surgeon at the end of the
   questionnaire. Answers surgeons for exclusive use of 2D images: initial
   choice = 50.47% and preferably end = 14.02%. Responses surgeons to use
   3D models in combination with 2D images: initial choice = 48.60% and
   preferably end = 85.05%. There was a significant change in the final
   selection of 3D models used together with the 2D images (P<0.0001).
   Conclusions: There is a lack of knowledge of the 3D imaging, as well as
   the use and interactive manipulation in dedicated 3D applications, with
   consequent lack of uniformity in the surgical planning based on CT
   images. These findings certainly confirm in changing the preference of
   thoracic surgeons of 2D views of technologies for 3D images.
RI Arcêncio, Livia/G-6005-2014; Vicente, Walter villela/F-8999-2012; Rodrigues, Alfredo/C-3426-2013; Vicente, Wilter R R/J-4984-2012; Arcencio, Livia/
OI Vicente, Walter villela/0000-0003-2334-9718; Rodrigues,
   Alfredo/0000-0002-0654-2893; Vicente, Wilter R R/0000-0001-7696-0962;
   Arcencio, Livia/0000-0001-8531-0005
ZR 0
Z8 0
ZS 0
ZA 0
TC 0
ZB 0
Z9 0
U1 0
U2 1
SN 2072-1439
EI 2077-6624
UT WOS:000385023800105
PM 27621874
ER

PT J
AU Veale, Pamela M.
   Vayalumkal, Joseph V.
   McLaughlin, Kevin
TI Sickness presenteeism in clinical clerks: Negatively reinforced behavior
   or an issue of patient safety?
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 44
IS 8
BP 892
EP 897
DI 10.1016/j.ajic.2016.01.043
PD AUG 1 2016
PY 2016
AB Background: The purpose of this study was to investigate sickness
   presenteeism in medical students and to understand the factors that may
   promote this behavior.
   Methods: All 178 final year medical students (clinical clerks) at the
   University of Calgary, Class of 2014 were invited to complete an online,
   anonymous, cross-sectional survey. After completing each mandatory
   rotation, students were sent a link to the online survey. Students were
   asked to report days of illness and whether they attended clinical or
   educational activities while ill. Students were also asked about
   consequences of missed days and reasons for attending while ill.
   Results: Out of a possible 1,068 surveys, 549 surveys were returned,
   reflecting a 51% response rate. Overall, 37.0% +/- 11.8% of the
   respondents reported attending while experiencing symptoms suggestive of
   a contagious illness. Overall, the odds of presenteeism (ie, attending
   while ill/absent while ill) for all clerkship rotations were 4.92. The
   most frequent reasons (56%) were concerns regarding evaluation or the
   impact that missing time from the rotation would have on their learning.
   Conclusions: Sickness presenteeism is common among medical students.
   Relevant factors may be different for students than other health care
   workers. Medical educators should be aware of these factors when
   developing policies to help promote professionalism and patient safety.
   (C) 2016 Published by Elsevier Inc. on behalf of Association for
   Professionals in Infection Control and Epidemiology, Inc.
TC 8
ZS 2
ZA 0
ZR 0
ZB 2
Z8 1
Z9 8
U1 1
U2 19
SN 0196-6553
EI 1527-3296
UT WOS:000382578100011
PM 27040572
ER

PT J
AU Bayefsky, Sarah D.
   Shah, Hitesh H.
   Jhaveri, Kenar D.
TI Nephrology education for medical students: a narrative review
SO RENAL FAILURE
VL 38
IS 7
BP 1151
EP 1159
DI 10.1080/0886022X.2016.1185352
PD AUG 2016
PY 2016
AB Background: Strategies used to teach nephrology to medical students are
   not well studied. This study assesses the published literature on
   medical student education in nephrology.Methods: A review of the
   published literature on nephrology education for medical students was
   conducted on two major online search engines (PubMed and ERIC). In
   addition, references of the manuscripts discovered in these searches
   were reviewed. The empirical studies were categorized by subject within
   nephrology and research design.Results: We found 26 original studies in
   which a method of teaching nephrology to medical students was described.
   The studies dated from 1977 to 2015. The focus of these nephrology
   teaching experiences was as follows: anatomy (6.5%), physiology (22.6%),
   pathophysiology (29.0%), pathology (6.5%), treatment (25.8%), and
   general nephrology (9.7%). The studies were also categorized into
   various types of research design. 6.9% had either no assessment of the
   educational experience or had a description too vague to categorize it;
   3.4% involved a survey about the existing educational approach before a
   curriculum change was implemented; 55.2% used surveys or tests after an
   educational course was carried out; 10.3% sought feedback from students
   before and after the educational experience; 13.8% were case studies;
   and 10.3% included a randomized controlled trial. The randomized
   controlled trials involved teaching techniques focused on the
   pathophysiology of renal disease.Conclusions: Rigor was lacking in most
   empirical studies on medical student education in nephrology.
   Well-designed randomized controlled studies are needed to accurately
   assess the effectiveness of the educational techniques introduced into
   medical school curricula.
RI Jhaveri, Kenar D./X-4851-2019; Shah, Hitesh/
OI Shah, Hitesh/0000-0001-6760-7710
TC 5
ZS 0
ZR 0
Z8 0
ZA 0
ZB 4
Z9 5
U1 0
U2 3
SN 0886-022X
EI 1525-6049
UT WOS:000382175000019
PM 27197981
ER

PT J
AU Salem, J.
   Borgmann, H.
   Bruendl, J.
   Lausenmeyer, E. -M.
   Lent, V.
   Schroeder, A.
   Heidenreich, A.
TI Residents Training in the Private Practice Conflicts between
   Circumstances, Willingness, and Reality
SO UROLOGE
VL 55
IS 8
BP 1062
EP 1070
DI 10.1007/s00120-016-0131-4
PD AUG 2016
PY 2016
AB The increasing average age of urologists in private practice and
   outpatient treatment needs means that there is an increased demand for
   young urologists to cover outpatient care. Due to the increasing range
   of treatments, residents lack the mediation of those treatment methods
   and medical conditions which are necessary to become competent in the
   complete field of urology.
   To assess the willingness, the requirements, and the current
   implementation of residents training in private practice.
   A 14-item online survey was sent to 1326 urologists in private practice
   to measure the willingness, the requirements, and the current
   implementation of residents training.
   Of the 219 (17 %) respondents, 25 % have already trained residents, 41 %
   were authorized to provide training to residents, and 87 % have taken
   the appointment of a trainee into consideration. The main reason for
   employing a trainee was the enjoyment of the teaching experience. The
   main reason against employing a trainee was the lack of financial
   compensation.
   Urologists in private practice are willing and able to participate in
   residents' training. An extended integration of urological training into
   private practice can contribute to ensure the teaching of a wide variety
   of diseases/procedures and influence structural changes in the field of
   urology. Residents, private practitioners, and clinicians should search
   for solutions together with those responsible in the health care system
   for better integration of private practice into urology residents
   training.
RI Borgmann, Hendrik/F-4658-2015
OI Borgmann, Hendrik/0000-0002-3955-564X
ZB 6
Z8 0
ZS 0
ZR 0
ZA 0
TC 6
Z9 6
U1 0
U2 4
SN 0340-2592
EI 1433-0563
UT WOS:000381289500011
PM 27287240
ER

PT J
AU Kasch, R.
   Wirkner, J.
   Meder, A.
   Abert, E.
   Abert, M.
   Schulz, A. P.
   Walcher, F.
   Guembel, D.
   Obertacke, U.
   Schwanitz, P.
   Merk, H.
   Froehlich, S.
TI Who Stays Loyal to Orthopaedics and Trauma Surgery? Results of a
   Nationwide Survey
SO ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
VL 154
IS 4
BP 352
EP 358
DI 10.1055/s-0042-104119
PD AUG 2016
PY 2016
AB Introduction: The general shortage of medical doctors in Germany can
   also be felt in the area of trauma and orthopaedics. Medical elective
   placements, in Germany known as "Famulatur", are sensitive interfaces
   between the theoretical university studies and the practical medical
   workplace. In this research project, the aim was to study how medical
   students perceive these types of placements and if it alters their
   decision making when planning their further career.
   Methods: During the summer term of 2012, 9079 medical students answered
   an online questionnaire. Of these, the subgroup was evaluated that had
   had a placement of at least 4 weeks in the field of trauma and
   orthopaedics. Overall, 37 test items about this placement and further
   career steps were included in this study. Groups were evaluated
   separately by the item "I am considering a career in trauma and
   orthopaedics" (PJ-Ja) versus "I am not considering a career in trauma
   and orthopaedics" (PJ-Nein).
   Results: Overall 397 students were included in this study; 55% were
   female. 267 (67.3%) stated: "I am considering a career in trauma and
   orthopaedics"; 130 (32.7%) were not. There was no significant difference
   in age or sex between these groups (sex:. X-2 = 2.50, p = 0.114; age:
   F[1.93]< 1, p = 0.764). Specific and statistically significant
   differences between those groups were found in the items team
   integration, ward climate, qualification of teaching, training for
   specific knowledge in the field, practical aspects of the tasks
   performed, general planning and structure of the elective achievement of
   the teaching goals.
   Discussion: Knowledge of satisfaction during medical elective placements
   is essential if one aims to inspire students for a specific medical
   profession. Instructors who can identify weaknesses and deficits in
   their training regime can therefore in the future increase the number of
   medical doctors who choose their speciality. The foundation of personal
   development has to be laid very early in the career of medical students.
RI Schulz, Arndt P./AAV-7099-2020
OI Schulz, Arndt P./0000-0002-4927-549X
TC 10
ZR 0
ZB 1
ZS 0
ZA 0
Z8 0
Z9 10
U1 0
U2 5
SN 1864-6697
EI 1864-6743
UT WOS:000383273200014
PM 27294478
ER

PT J
AU Burckett-St Laurent, D. A.
   Cunningham, M. S.
   Abbas, S.
   Chan, V. W.
   Okrainec, A.
   Niazi, A. U.
TI Teaching ultrasound-guided regional anesthesia remotely: a feasibility
   study
SO ACTA ANAESTHESIOLOGICA SCANDINAVICA
VL 60
IS 7
BP 995
EP 1002
DI 10.1111/aas.12695
PD AUG 2016
PY 2016
AB BackgroundUltrasound-guided regional anesthesia (UGRA) requires
   acquisition of new skills. Learning requires one-on-one teaching, and
   can be limited by time and mentor availability. We investigate whether
   the skills required for UGRA can be developed and subsequently assessed
   remotely using a novel online teaching platform. This platform was
   developed at the University of Toronto to teach laparoscopic surgery
   remotely and has been termed Telesimulation.
   MethodsAnesthesia Site Chiefs at 10 hospitals across Ontario were sent a
   letter inviting their anesthesia teams to participate in an UGRA remote
   training program. Four to five anesthetists from each site were
   recruited from the first four hospitals expressing interest. Simulation
   models and ultrasound machines were set up at each location and
   connected via Skype and web cameras with the Telesimulation center at
   our hospital. Training consisted of four online sessions and one offline
   lecture in order to teach an ultrasound-guided supraclavicular block.
   Participants were evaluated before and after training by on-site and
   off-site assessors using a validated Checklist and Global Rating Scale
   (GRS).
   ResultsNineteen staff anesthetists were recruited. Post-training scores
   were significantly higher across both assessment tools, on-site (P <
   0.001) and off-site training locations (P = 0.003). The inter-rater
   reliability between on-site and remote training site ratings was good
   for the Checklist (ICC = 0.672, 95% CI: 0.369-0.830) and excellent for
   the GRS (ICC = 0.847, 95% CI: 0.706-0.921).
   ConclusionThis study demonstrates that UGRA can be taught remotely.
   Future research will focus on comparing this method to on-site teaching
   and its application in resource-restricted countries.
RI Okrainec, Allan/AAD-2260-2021; Okrainec, Allan/
OI Okrainec, Allan/0000-0003-1117-958X
ZR 0
Z8 0
ZA 0
ZS 0
TC 17
ZB 3
Z9 17
U1 0
U2 2
SN 0001-5172
EI 1399-6576
UT WOS:000379931500019
PM 26860837
ER

PT J
AU Qiao, Renli
   Marciniuk, Darcy
   Augustyn, Nicki
   Rosen, Mark J.
   Dai, Huaping
   Chen, Rongchang
   Wu, Sinan
   Wang, Chen
CA China-CHEST PCCM Program Steering
TI Establishing Pulmonary and Critical Care Medicine in China: 2016 Report
   on Implementation and Government Recognition Joint Statement of the
   Chinese Association of Chest Physicians and the American College of
   Chest Physicians
SO CHEST
VL 150
IS 2
BP 279
EP 282
DI 10.1016/j.chest.2016.05.005
PD AUG 2016
PY 2016
AB This article provides an update on progress toward establishing
   pulmonary and critical care medicine (PCCM) fellowship training as one
   of the first four subspecialties to be recognized and supported by the
   Chinese government. Designed and implemented throughout 2013 and 2014 by
   a collaborative effort of the Chinese Thoracic Society (CTS) and the
   American College of Chest Physicians (CHEST), 12 leading Chinese
   hospitals enrolled a total of 64 fellows into standardized PCCM training
   programs with common curricula, educational activities, and assessment
   measures. Supplemental educational materials, online assessment tools,
   and institutional site visits designed to evaluate and provide feedback
   on the programs' progress are being provided by CHEST. As a result of
   this initial progress, the Chinese government, through the Chinese
   Medical Doctor's Association, endorsed the concept of subspecialty
   fellowship training in China, with PCCM as one of the four pilot
   subspecialties to be operationalized nationwide in 2016, followed by
   implementation across other subspecialties by 2020. This article also
   reflects on the achievements of the training sites and the challenges
   they face and outlines plans to enhance and expand PCCM training and
   practice in China.
RI wang, chen/GWM-9481-2022
ZB 0
ZS 0
Z8 2
ZR 0
TC 6
ZA 0
Z9 8
U1 0
U2 4
SN 0012-3692
UT WOS:000380934100015
PM 27180916
ER

PT J
AU Pathipati, Akhilesh S
   Taleghani, Noushafarin
TI Research in Medical School: A Survey Evaluating Why Medical Students
   Take Research Years.
SO Cureus
VL 8
IS 8
BP e741
EP e741
DI 10.7759/cureus.741
PD 2016 Aug 18
PY 2016
AB INTRODUCTION: In recent years, an increasing number of medical students
   have taken time off during medical school in order to conduct research.
   Schools and students have invested millions of dollars and thousands of
   person-years on research projects, but little is known as to why
   students choose to take this time off. We aim to characterize why
   students take research years during medical school.
   METHODS: The authors distributed anonline survey about research in
   medical school to students at five medical schools that have highly
   regarded research programs.
   RESULTS: 328 students responded to the survey. The most common reasons
   students take years off for research are: "increase competitiveness for
   residency application" (32%), "time to pursue other opportunities"
   (24%), and "academic interest" (23%). Students who would still take a
   research year even if they were already assured a position in a
   residency program of their choice were at 65%, while 35% would not take
   a research year. Responses varied based on whether students intended to
   go into a competitive specialty.
   DISCUSSION: Medical studentstake research years for multiple reasons,
   although they frequently are not motivated by an interest in the
   research itself. Many student projects consume a substantial amount of
   time and money despite having little educational value. Medical schools,
   residency programs, and policymakers should rethink incentives to
   increase value and help students better pursue their academic interests.
Z8 0
ZR 0
TC 26
ZB 1
ZA 0
ZS 1
Z9 27
U1 0
U2 3
SN 2168-8184
UT MEDLINE:27672532
PM 27672532
ER

PT J
AU Pan, Vivian
   Yashar, Beverly M.
   Pothast, Rachel
   Wicklund, Catherine
TI Expanding the genetic counseling workforce: program directors' views on
   increasing the size of genetic counseling graduate programs
SO GENETICS IN MEDICINE
VL 18
IS 8
BP 842
EP 849
DI 10.1038/gim.2015.179
PD AUG 2016
PY 2016
AB Purpose: Although there is an anticipated need for more genetic
   counselors, little is known about limitations at the graduate training
   level. We evaluated opportunities for growth of the genetic counseling
   (GC) workforce by exploring program directors' perspectives on
   increasing number of graduate trainees.
   Methods: Thirty US-based GC program directors (PDs) were recruited
   through the Association of Genetic Counseling Program Directors'
   listserv. Online surveys and semistructured phone interviews were used
   to explore factors impacting the expansion of the GC workforce.
   Results: Twenty-five PDs completed the survey; 18 interviews were
   conducted. Seventy-three percent said they believe that the workforce is
   growing too slowly and the number of graduates should increase.
   Attitudes were mixed regarding whether the job market should be the main
   factor driving workforce expansion. Thematic analysis of transcripts
   identified barriers to program expansion in six categories: funding,
   accreditation requirements, clinical sites, faculty availability,
   applicant pool, and physical space.
   Conclusion: General consensus among participants indicates the
   importance of increasing the capacity of the GC workforce pipeline.
   Addressing funding issues, examining current accreditation requirements,
   and reevaluating current education models may be effective strategies to
   expanding GC program size. Future research on increasing the number of
   GC programs and a needs assessment for GC services are suggested.
OI Yashar, Beverly M./0000-0003-0807-3258; Pothast,
   Rachel/0000-0001-9847-3508; Pan, Vivian/0000-0002-1666-9273
ZS 0
ZB 6
ZA 0
Z8 0
TC 37
ZR 0
Z9 37
U1 1
U2 8
SN 1098-3600
EI 1530-0366
UT WOS:000381140800013
PM 26741410
ER

PT J
AU Lorimer, Karen
   Flowers, Paul
   Davis, Mark
   Frankis, Jamie
TI Young men who have sex with men's use of social and sexual media and
   sex-risk associations: cross-sectional, online survey across four
   countries
SO SEXUALLY TRANSMITTED INFECTIONS
VL 92
IS 5
SI SI
BP 371
EP 376
DI 10.1136/sextrans-2015-052209
PD AUG 2016
PY 2016
AB Objective There has been an increase in new HIV diagnoses among young
   men who have sex with men ( YMSM) over the past decade in both UK and US
   contexts, with online sex-seeking implicated in driving this
   development. This study sought to examine YMSM's use of a variety of
   social and sexual networking websites and 'apps', and assess sexual risk
   behaviours.
   Design YMSM were recruited from across four countries in Britain and
   Ireland, via an online survey using convenience sampling. Data were
   collected from 2668 men, of whom 702 were aged 18-25 years.
   Results Facebook use was almost ubiquitous and for largely social
   reasons; sexual media use was common with 52% using gay sexual
   networking ( GSN) websites frequently and 44% using similar apps
   frequently. We found increased odds of high-risk condomless anal
   intercourse associated with the length of time users had been using GSN
   websites and lower levels of education. We found no significant
   differences across the four countries in sexual risk behaviours.
   Conclusions YMSM are a heterogeneous population with varied sexual
   health needs. For young men with digital literacy, individual-level
   online interventions, targeted and tailored, could be directed towards
   frequent users with lower levels of education. Variation in demographic
   characteristics of GSN websites and app users may affect who
   interventions are likely to reach, depending on where they are targeted.
   However, interventions, which may catch young men earlier, also provide
   a major opportunity for reducing sexual health inequalities.
RI Flowers, Paul/H-5174-2019; Lorimer, Karen/AAB-7063-2019; Davis, Mark D M/D-4375-2011; Lorimer, Karen/ABG-6937-2020; Frankis, Jamie/
OI Flowers, Paul/0000-0001-6239-5616; Lorimer, Karen/0000-0001-5401-2662;
   Davis, Mark D M/0000-0003-4075-0466; Frankis, Jamie/0000-0003-3350-5892
ZB 6
ZA 0
ZS 0
TC 15
Z8 0
ZR 0
Z9 15
U1 1
U2 16
SN 1368-4973
EI 1472-3263
UT WOS:000380802200017
PM 26792089
ER

PT J
AU Krug, David
   Baumann, Rene
   Rieckmann, Thorsten
   Fokas, Emmanouil
   Gauer, Tobias
   Niyazi, Maximilian
TI Situation of young radiation oncologists, medical physicists and
   radiation biologists in German-speaking countries
SO STRAHLENTHERAPIE UND ONKOLOGIE
VL 192
IS 8
BP 507
EP 515
DI 10.1007/s00066-016-1003-y
PD AUG 2016
PY 2016
AB The working group "Young DEGRO" (yDEGRO) was established in 2014 by the
   German Society of Radiation Oncology (DEGRO). We aimed to assess the
   current situation of young radiation oncologists, medical physicists and
   radiation biologists.
   An online survey that included 52 questions or statements was designed
   to evaluate topics related to training, clinical duties and research
   opportunities. Using the electronic mailing list of the DEGRO and
   contact persons at university hospitals in Germany as well as at four
   hospitals in Switzerland and Austria, young professionals employed in
   the field of radiation oncology were invited to participate in the
   survey.
   A total of 260 responses were eligible for analysis. Of the respondents
   69 % had a professional background in medicine, 23 % in medical physics
   and 9 % in radiation biology. Median age was 33 years. There was a
   strong interest in research among the participants; however a clear
   separation between research, teaching and routine clinical duties was
   rarely present for radiation oncologists and medical physicists.
   Likewise, allocated time for research and teaching during regular
   working hours was often not available. For radiation biologists, a lack
   of training in clinical and translational research was stated.
   This survey details the current state of education and research
   opportunities in young radiation oncologists, medical physicists and
   radiation biologists. These results will form the basis for the future
   working program of the yDEGRO.
RI Krug, David/GQH-3302-2022; Rieckmann, Thorsten/
OI Krug, David/0000-0001-8811-5416; Rieckmann, Thorsten/0000-0001-8426-107X
ZA 0
ZB 3
TC 5
ZR 0
ZS 0
Z8 0
Z9 5
U1 0
U2 3
SN 0179-7158
EI 1439-099X
UT WOS:000381097100001
PM 27343188
ER

PT J
AU Haluza, Daniela
   Naszay, Marlene
   Stockinger, Andreas
   Jungwirth, David
TI Prevailing Opinions on Connected Health in Austria: Results from an
   Online Survey
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 13
IS 8
AR 813
DI 10.3390/ijerph13080813
PD AUG 2016
PY 2016
AB New technological developments affect almost every sector of our daily
   lives, including the healthcare sector. We evaluated how connected
   health applications, subsumed as eHealth and telemedicine, are perceived
   in relation to socio-demographic characteristics. The current
   cross-sectional, online survey collected self-reported data from a
   non-probability convenience sample of 562 Austrian adults (58.9%
   females). The concept of eHealth and telemedicine was poorly established
   among the study population. While most participants already used mobile
   devices, they expressed a quite low desirability of using various
   telemedicine applications in the future. Study participants perceived
   that the most important overall benefits for implementing connected
   health technology were better quality of healthcare,
   location-independent access to healthcare services, and better quality
   of life. The respective three top-ranked overall barriers were data
   security, lack of acceptance by doctors, and lack of technical
   prerequisites. With regard to aging societies, healthcare providers, and
   users alike could take advantage of inexpensive, consumer-oriented
   connected health solutions that address individual needs of specific
   target groups. The present survey identified issues relevant for
   successful implementation of ICT-based healthcare solutions, providing a
   compilation of several areas requiring further in-depth research.
RI CERVANTES, EMILY/R-6274-2018; Haluza, Daniela/H-7294-2019
OI Haluza, Daniela/0000-0001-5619-2863
ZB 5
ZR 0
Z8 0
ZA 0
ZS 0
TC 20
Z9 20
U1 0
U2 12
EI 1660-4601
UT WOS:000382462900068
PM 27529261
ER

PT J
AU Pennington, Kaylin
   Tong, Ian L.
   Lai, Cindy J.
   O'Sullivan, Patricia S.
   Sheu, Leslie
TI The Value of Student-Run Clinics for Premedical Students: A
   Multi-Institutional Study
SO JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
VL 27
IS 3
BP 961
EP 970
DI 10.1353/hpu.2016.0132
PD AUG 2016
PY 2016
AB Introduction. Research has shown that student-run clinics (SRCs) are
   ideal experiential learning arenas for medical students, but no studies
   have characterized the impact of SRC participation on premedical
   students. Methods. We conducted a retrospective cohort study with newly
   matriculated first-year medical students at five California medical
   schools to determine the impact of premedical involvement in SRCs.
   Participants completed an anonymous one-time online survey that included
   demographic information and questions regarding SRC involvement prior to
   medical school. Results. Two-hundred eighty-seven out of 588 (48.2%)
   newly matriculated first-year medical students responded, with 17.4% of
   respondents reporting that they had volunteered in SRCs prior to medical
   school. These students identified SRCs as meaningful venues for
   developing patient interaction skills and finding medical student and
   physician mentors. Discussion. Prior to medical school matriculation,
   SRC experiences may be important experiential learning arenas, providing
   premedical students with an authentic clinical setting and access to
   mentors.
Z8 0
ZB 0
ZR 0
ZA 0
ZS 0
TC 3
Z9 3
U1 0
U2 6
SN 1049-2089
EI 1548-6869
UT WOS:000381329000004
PM 27524745
ER

PT J
AU Savageau, Judith A.
   Cragin, Linda
   Ferguson, Warren J.
   Sefton, Laura
   Pernice, Joan
TI Recruitment and Retention of Community Health Center Primary Care
   Physicians post MA Health Care Reform: 2008 vs. 2013 Physician Surveys
SO JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
VL 27
IS 3
BP 1011
EP 1032
DI 10.1353/hpu.2016.0106
PD AUG 2016
PY 2016
AB Objectives. In 2008 and 2013, the University of Massachusetts Medical
   School and the Massachusetts League of Community Health Centers surveyed
   community health center (CHC) primary care physicians (PCPs) to identify
   factors related to preparedness, recruitment and retention. The survey
   was repeated to determine the impact of Massachusetts health care
   reform. Methods. An online survey was sent to 677 PCPs at 46 CHCs. New
   questions addressed patient-centered redesign, language competencies,
   and interprofessional care. Results. With 48% responding, PCPs were
   significantly more prepared in 2013 to practice in a CHC. Intent to
   continue practicing in a CHC was related to age, length of time in
   practice, language skills, teaching, research, compensation, model of
   care, professional development, and practice goals. Conclusions.
   Outcomes illustrate opportunities to prepare medical students and
   residents for CHC careers and recruit and retain this vital workforce.
   Retention efforts must include teaching, administration, research, and
   professional development opportunities.
ZB 0
ZA 0
Z8 0
TC 1
ZR 0
ZS 0
Z9 1
U1 0
U2 9
SN 1049-2089
EI 1548-6869
UT WOS:000381329000007
PM 27524748
ER

PT J
AU Golub, Sarah A.
   Arunakul, Jiraporn
   Hassan, Areej
TI A global perspective: training opportunities in Adolescent Medicine for
   healthcare professionals
SO CURRENT OPINION IN PEDIATRICS
VL 28
IS 4
BP 447
EP 453
DI 10.1097/MOP.0000000000000366
PD AUG 2016
PY 2016
AB Purpose of reviewThe review briefly describes the current state of
   adolescent health globally, and highlights current educational and
   training opportunities in Adolescent Medicine for healthcare providers
   worldwide.Recent findingsDespite a growing body of literature
   demonstrating a shift toward recognizing Adolescent Medicine as a
   subspecialty, there are very few countries that offer nationally
   recognized Adolescent Medicine training programs. In recent years,
   several countries have begun to offer educational programming, such as
   noncredentialed short training programs, conferences, and online
   courses. Challenges, including cultural barriers, financing, and lack of
   governmental recognition and support, have hindered progress in the
   development of accredited training programs globally.SummaryIt is
   crucial to support efforts for sustainable training programs, especially
   within low and middle-income countries where a majority of the world's
   adolescent population lives. Sharing knowledge of existing curriculums,
   programs, and systems will increase opportunities globally to build
   regional capacity, increase access to interdisciplinary services, and to
   implement health-promoting policies for youth worldwide.
ZB 2
TC 5
ZS 0
ZA 0
ZR 1
Z8 0
Z9 6
U1 0
U2 1
SN 1040-8703
EI 1531-698X
UT WOS:000381039700007
PM 27152619
ER

PT J
AU Choi, Joon Koo
   Kim, Ki Bong
   Kim, Gha Jung
TI Image Selection Algorithm Proposal for Digital Radiography Training
   Simulator
SO WIRELESS PERSONAL COMMUNICATIONS
VL 89
IS 3
SI SI
BP 833
EP 845
DI 10.1007/s11277-016-3247-3
PD AUG 2016
PY 2016
AB Students who are learning medical radiology undergo practical training
   on radiography in university labs or hospitals. However, when using
   radiation exposure and anthropomorphic phantom which concern the use of
   actual X-ray apparatus, the benefits of practical training can be
   limited due to difficulties in employing a variety of patient positions.
   This study will propose the implementation method of simulator in order
   to develop an unprecedented radiography training simulator. The study
   seeks to improve the quality of practical training by proposing a method
   for acquiring the image which will be used as a database in the
   simulator, as well as a method for creating an algorithm so that
   concerns of radiation exposure by students can be addressed, and
   limitations of practical training using anthropomorphic phantom can be
   eased. In the field of digital radiography, a simulation method that
   allows for examination procedures and images that are equal to those
   from an actual X-ray examination but without the exposure of X-rays is
   proposed. A suggestion is made on the method for creating an algorithm
   that uses images according to the changes in dose and size of images
   which are then used as part of a database in the radiography training
   simulator. A programming method that can bring corresponding images from
   images which were databased according to the examination procedures was
   proposed. In addition, a service or interchange of sustainable database
   is possible using an online service with accumulation of more diverse
   practical images. Furthermore, it can be built on so that images can be
   studied in a practical manner using smartphones. The use of a
   radiography training simulator should be able to provide higher quality
   practical training through repetition without the ethical issues arising
   from radiation exposure. It can become standardized way that remove the
   constraints of patient position when using an anthropomorphic phantom.
Z8 0
ZA 0
TC 1
ZR 0
ZS 0
ZB 0
Z9 1
U1 0
U2 3
SN 0929-6212
EI 1572-834X
UT WOS:000379353600009
ER

PT J
AU Geurtzen, Rosa
   Draaisma, Jos
   Hermens, Rosella
   Scheepers, Hubertina
   Woiski, Mallory
   van Heijst, Arno
   Hogeveen, Marije
TI Perinatal practice in extreme premature delivery: variation in Dutch
   physicians' preferences despite guideline
SO EUROPEAN JOURNAL OF PEDIATRICS
VL 175
IS 8
BP 1039
EP 1046
DI 10.1007/s00431-016-2741-7
PD AUG 2016
PY 2016
AB Decisions at the limits of viability about initiating care are
   challenging. We aimed to investigate physicians' preferences on
   treatment decisions, against the background of the 2010 Dutch guideline
   offering active care from 24(+0/7) weeks of gestational age (GA).
   Obstetricians' and neonatologists' opinions were compared. An online
   survey was conducted amongst all perinatal professionals (n = 205) of
   the 10 Dutch level III perinatal care centers. Response rate was 60 % (n
   = 122). Comfort care was mostly recommended below 24(+0/7) weeks and
   intensive care over 26(+0/7) weeks. The professional views varied most
   at 24 and 25 weeks, with intensive care recommended but comfort care at
   parental request optional being the median. There was a wide range in
   perceived lowest limits of GA for interventions as a caesarian section
   and a neonatologist present at birth. Obstetricians and neonatologists
   disagreed on the lowest limit providing chest compressions and
   administering epinephrine for resuscitation. The main factors
   restricting active treatment were presence of congenital disorders,
   "small for gestational age" fetus, and incomplete course of
   corticosteroids.
   Conclusion: There was a wide variety in individually preferred treatment
   decisions, especially when aspects were not covered in the Dutch
   guideline on perinatal practice in extreme prematurity. Furthermore,
   obstetricians and neonatologists did not always agree.
RI Geurtzen, Rosa/D-9711-2016; Woiski, Mallory D/L-4763-2015; Hermens, Rosella P.M.G./N-3581-2014; Hogeveen, M./L-4381-2015; Draaisma, J.M.T./L-4283-2015; van Heijst, Arno/P-8527-2014; Woiski, Mallory D/AAN-6632-2021
OI Geurtzen, Rosa/0000-0002-5640-6160; Woiski, Mallory
   D/0000-0002-7553-5929; Hermens, Rosella P.M.G./0000-0001-7624-7120; van
   Heijst, Arno/0000-0003-2276-0177; Woiski, Mallory D/0000-0002-7553-5929
TC 27
ZB 7
ZR 0
Z8 1
ZS 0
ZA 0
Z9 28
U1 0
U2 3
SN 0340-6199
EI 1432-1076
UT WOS:000379160400003
PM 27251669
ER

PT J
AU Depypere, H.
   Pintiaux, A.
   Desreux, J.
   Hendrickx, M.
   Neven, P.
   Marchowicz, E.
   Albert, V.
   Leclercq, V.
   Van den Branden, S.
   Rozenberg, S.
TI Coping with menopausal symptoms: An internet survey of Belgian
   postmenopausal women
SO MATURITAS
VL 90
BP 24
EP 30
DI 10.1016/j.maturitas.2016.04.018
PD AUG 2016
PY 2016
AB Objectives: An internet survey was performed to obtain data on the
   current use in Belgium of hormone replacement therapy and alternative
   treatments for the alleviation of menopausal symptoms. A supplementary
   aim was to assess the use of opt-in internet opinion panels
   (TalkToChange, http://www.talktochange.com, and GMI,
   http://www.gmi-mr.com/global-panel) as a potential new way to obtain
   data on menopausal issues.
   Study design: Data were collected via an internet platform from 696
   postmenopausal women aged 45-60 years.
   Outcome measures: Respondents were asked questions about their
   socio-demographic profile, their experience of the menopause, the burden
   of the menopause, its impact on their quality of life and the treatment
   of menopausal symptoms (if any).
   Results: The opt-in internet opinion panels proved a quick way (19 days)
   to obtain reliable information with a low error margin (3.7%). The
   online survey collected detailed socio-demographic data. Almost all of
   the women (98%) had heard about the menopause before. Sixty-one percent
   perceived the menopause as a temporary phase (17% thought it lasted for
   one or two years and 44% thought it lasted for three to five years) and
   only 39% realized the menopause would last for the rest of their life.
   Twenty-three percent of the women reported any kind of impact of the
   menopause on their quality of life. However, for the other 77% the
   menopause had resulted in complaints. No differences according to the
   women's age, level of education or professional status were found in
   this respect. Sixty-nine percent of the women had 'ever' used some type
   of treatment for menopausal symptoms and 53% were currently using a
   treatment. Forty percent of those with more than three symptoms were
   currently untreated. Of those who were not on hormone replacement
   therapy (HRT), 61% would not consider taking it (54% were 'strongly
   opposed' and 7% simply 'opposed'), while 8% would consider asking their
   doctor for HRT. Among those women who were opposed to HRT, 25% indicated
   that they were afraid of the increased risk of breast cancer, 34% cited
   cardiovascular risks and 26% were worried about weight gain. In this
   Belgian sample, HRT was used significantly more often by French-speaking
   women (32%) than by Dutch-speaking women (9%) (OR 4.4, p < 0.0001). The
   alternatives to HRT had a high satisfaction rate among users. Relaxation
   techniques, regular physical activity, acupuncture and avoiding stress
   had satisfaction rates similar to that with HRT. It was not possible to
   compare the alternatives in the same women. Nor was it possible to
   assess whether more pronounced symptoms required a specific treatment.
   Conclusion: Opt-in internet opinion panels proved a quick and efficient
   way to gather data on menopausal issues in Belgium. Despite the high
   levels of awareness and knowledge, there is some confusion concerning
   the duration of the menopause, and its common perception as a temporary
   condition is likely to mean that the menopausal burden is substantially
   underestimated. Many symptomatic women are untreated. (C) 2016 Elsevier
   Ireland Ltd. All rights reserved.
RI Rozenberg, Serge/O-1360-2015
TC 14
ZA 0
ZR 0
ZS 0
ZB 3
Z8 0
Z9 14
U1 0
U2 17
SN 0378-5122
EI 1873-4111
UT WOS:000378956400005
PM 27282790
ER

PT J
AU Graetz, Ilana
   Gordon, Nancy
   Fung, Vick
   Hamity, Courtnee
   Reed, Mary E.
TI The Digital Divide and Patient Portals Internet Access Explained
   Differences in Patient Portal Use for Secure Messaging by Age, Race, and
   Income
SO MEDICAL CARE
VL 54
IS 8
BP 772
EP 779
DI 10.1097/MLR.0000000000000560
PD AUG 2016
PY 2016
AB Background: Online access to health records and the ability to exchange
   secure messages with physicians can improve patient engagement and
   outcomes; however, the digital divide could limit access to web-based
   portals among disadvantaged groups.
   Objectives: To understand whether sociodemographic differences in
   patient portal use for secure messaging can be explained by differences
   in internet access and care preferences.
   Research Design: Cross-sectional survey to examine the association
   between patient sociodemographic characteristics and internet access and
   care preferences; then, the association between sociodemographic
   characteristics and secure message use with and without adjusting for
   internet access and care preference.
   Subjects: One thousand forty-one patients with chronic conditions in a
   large integrated health care delivery system (76% response rate).
   Measures: Internet access, portal use for secure messaging, preference
   for in-person or online care, and sociodemographic and health
   characteristics.
   Results: Internet access and preference mediated some of the differences
   in secure message use by age, race, and income. For example, using own
   computer to access the internet explained 52% of the association between
   race and secure message use and 60% of the association between income
   and use (Sobel-Goodman mediation test, P < 0.001 for both). Education
   and sex-related differences in portal use remained statistically
   significant when controlling for internet access and preference.
   Conclusions: As the availability and use of patient portals increase, it
   is important to understand which patients have limited access and the
   barriers they may face. Improving internet access and making portals
   available across multiple platforms, including mobile, may reduce some
   disparities in secure message use.
RI Graetz, Ilana/N-1189-2016
OI Graetz, Ilana/0000-0003-3664-5815
Z8 0
ZA 0
ZR 0
TC 109
ZS 0
ZB 11
Z9 109
U1 2
U2 68
SN 0025-7079
EI 1537-1948
UT WOS:000380502800008
PM 27314262
ER

PT J
AU Lumba-Brown, Angela
   Tat, Sonny
   Auerbach, Marc A.
   Kessler, David O.
   Alletag, Michelle
   Grover, Purva
   Schnadower, David
   Macias, Charles G.
   Chang, Todd P.
TI PEMNetwork Barriers and Enablers to Collaboration and Multimedia
   Education in the Digital Age
SO PEDIATRIC EMERGENCY CARE
VL 32
IS 8
BP 565
EP 569
PD AUG 2016
PY 2016
AB In January 2005, PEMFellows.com was created to unify fellows in
   pediatric emergency medicine. Since then, the website has expanded,
   contracted, and focused to adapt to the interests of the pediatric
   emergency medicine practitioner during the interne boom. This review
   details the innovation of the PEMNetwork, from the inception of the
   initial website and its evolution into a needs-based, user-directed
   educational hub. Barriers and enablers to success are detailed with
   unique examples from descriptive analysis and metrics of PEMNetwork web
   traffic as well as examples from other online medical communities and
   digital education websites.
OI Chang, Todd/0000-0002-4508-2551; Lumba-Brown, Angela/0000-0002-9102-8791
ZB 1
ZA 0
ZR 0
ZS 0
TC 2
Z8 0
Z9 2
U1 0
U2 4
SN 0749-5161
EI 1535-1815
UT WOS:000380870300019
PM 27490735
ER

PT J
AU Onat, Sule Sahin
   Bicer, Seda
   Sahin, Zehra
   Turkyilmaz, Aysegul Kucukah
   Kara, Murat
   Demir, Sibel Ozbudak
TI Effectiveness of Kinesiotaping and Subacromial Corticosteroid Injection
   in Shoulder Impingement Syndrome
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 8
BP 553
EP 560
DI 10.1097/PHM.0000000000000492
PD AUG 2016
PY 2016
AB Objective: The aim of this study was to investigate whether
   kinesiotaping or subacromial corticosteroid injection provides
   additional benefit when used with nonsteroidal anti-inflammatory drugs
   (NSAIDs) in patients with shoulder impingement syndrome.
   Design: Patients with shoulder impingement syndrome were divided into 3
   groups as follows: NSAID group (n = 33), kinesiotaping group
   (kinesiotaping + NSAID) (n = 33), and injection group (subacromial
   corticosteroid injection + NSAID) (n = 33). Outcomemeasures including
   visual analog scale, shoulder ranges of motion, Shoulder Disability
   Questionnaire, and University of CaliforniaYLos Angeles (UCLA) scale
   were evaluated before and after the treatment (fourth week).
   Results: A total of 99 patients (21 male and 78 female patients) were
   enrolled in this study. Demographic and baseline clinical
   characteristics of the groups (except for body mass index and visual
   analog scale at night, both P = 0.05) were similar between the groups
   (all P > 0.05). Clinical parameters were found to have improved in the 3
   groups (all P < 0.001). While the kinesiotaping and injection groups
   showed similar improvements (all P > 0.05), each group had better
   outcome than did the NSAID group as regards pain (activity visual analog
   scale), ranges of motion, and Shoulder Disability Questionnaire and UCLA
   scale scores (all P < 0.05).
   Conclusions: Addition of kinesiotaping or subacromial corticosteroid
   injection to NSAID treatment seems to have better/similar effectiveness
   in patients with shoulder impingement syndrome. Therefore, kinesiotaping
   might serve as an alternative treatment in case (injection of)
   corticosteroids are contraindicated.
ZA 0
ZB 3
ZS 0
TC 10
Z8 0
ZR 0
Z9 10
U1 1
U2 13
SN 0894-9115
EI 1537-7385
UT WOS:000380222900008
PM 27088466
ER

PT J
AU Kanji, Hussein D.
   McCallum, Jessica L.
   Bhagirath, Kapil M.
   Neitzel, Andrew S.
TI Curriculum Development and Evaluation of a Hemodynamic Critical Care
   Ultrasound: A Systematic Review of the Literature
SO CRITICAL CARE MEDICINE
VL 44
IS 8
BP E742
EP E750
DI 10.1097/CCM.0000000000001661
PD AUG 2016
PY 2016
AB Objective: The application of ultrasound to assess a patient's cardiac
   function and volume status is becoming commonplace in the practice of
   critical care. These skills have been taught through varying curricula;
   however, no consensus on the optimal curriculum has been established.
   The purpose of this systematic review is to evaluate the literature
   regarding critical care ultrasound curriculum development and
   evaluation.
   Data Sources: Studies were identified using MEDLINE, Embase, CINAHL,
   PsycInfo, the Cochrane Center Register of Controlled Trials, and ERIC
   according to Preferred Reporting Items for Systematic Reviews and
   Meta-Analyses guidelines through June 2014.
   Study Selection: Included studies were limited to those that described
   adult (age, > 16 yr) cardiac or hemodynamic critical care ultrasound
   curricula for physicians. Two reviewers independently screened studies
   based on predetermined exclusion criteria, and disagreements were
   resolved by a third reviewer.
   Data Extraction: Data were abstracted, and quality was assessed by two
   reviewers using the Newcastle-Ottawa Scale. Data abstracted from the
   studies included the learner population, examination type, duration,
   composition, and setting of the curriculum, means of evaluation, and
   outcomes.
   Data Synthesis: The search yielded 654 studies; of which, 15 met
   inclusion criteria. All curricula used a combination of didactic and
   hands-on components. The highest agreement between novice and experts,
   coupled with the most time-efficient application, was achieved when the
   study was limited to a basic qualitative approach for the assessment of
   global function or contractility and assessment of inferior vena cava
   collapsibility. The mode of delivery seemed most efficient when a hybrid
   method was used, including online instruction. Minimum scanning
   competency may be achieved with 30 scans although more rigorous study on
   this element is necessary.
   Conclusions: Assessment of cardiac function and volume assessment is
   becoming an essential skill in critical care medicine. Physicians can be
   taught bedside echocardiography in a time-effective manner with positive
   benefit to patients by applying a concise curriculum with limited
   content.
OI McCallum, Jessica/0000-0003-0919-7957
ZA 0
ZB 5
TC 23
ZR 0
ZS 0
Z8 0
Z9 23
U1 1
U2 2
SN 0090-3493
EI 1530-0293
UT WOS:000380631000048
PM 27031378
ER

PT J
AU Adeponle, Ademola
   Skakum, Kurt
   Cooke, Carol
   Fleisher, William
TI The University of Manitoba Psychiatry Toolkit: Development and
   Evaluation
SO ACADEMIC PSYCHIATRY
VL 40
IS 4
BP 608
EP 611
DI 10.1007/s40596-015-0419-5
PD AUG 2016
PY 2016
AB Objective The authors developed and measured the subsequent utilization
   of a web-based point-of-care information tool and meta-search filter,
   the University of Manitoba Psychiatry Toolkit, as well as conduct an
   evaluation of its impact on physicians' information seeking.
   Methods Evaluation entailed analysis of toolkit web page utilization
   data from user visits to the web-based toolkit, as well as an online
   survey distributed to psychiatrists and resident trainees to assess
   information gathering behaviors and attitudes regarding various sources
   of medical information.
   Results Electronic resources and colleagues were the preferred sources
   for gathering health information, while inadequate time and search
   skills were ranked as important barriers. Age and physician cadre
   influenced toolkit use. Majority of respondents used the Psychiatry
   Toolkit to answer a clinical question, and urgency of the clinical
   problem influenced their decision to use it.
   Conclusions The Psychiatry Toolkit assists psychiatrists and residents
   in finding answers to clinical questions arising at point-of-care,
   helping enhance the ongoing educational needs of physicians.
RI Fleisher, Wil/AAF-5886-2020; Fleisher, William/
OI Fleisher, William/0000-0003-4672-1252
ZA 0
Z8 0
ZB 0
ZS 0
TC 1
ZR 0
Z9 1
U1 0
U2 3
SN 1042-9670
EI 1545-7230
UT WOS:000379709200008
PM 26443030
ER

PT J
AU Keynejad, Roxanne
   Garratt, Elisabeth
   Adem, Gudon
   Finlayson, Alexander
   Whitwell, Susannah
   Sheriff, Rebecca Syed
TI Improved Attitudes to Psychiatry: A Global Mental Health Peer-to-Peer
   E-Learning Partnership
SO ACADEMIC PSYCHIATRY
VL 40
IS 4
BP 659
EP 666
DI 10.1007/s40596-014-0206-8
PD AUG 2016
PY 2016
AB Objective Health links aim to strengthen healthcare systems in low and
   middle-income countries through mutual exchange of skills, knowledge,
   and experience. However, student participation remains limited despite
   growing educational emphasis upon global health. Medical students
   continue to report negative attitudes to psychiatry in high-income
   countries, and in Somaliland, the lack of public sector psychiatrists
   limits medical students' awareness of mental healthcare. The authors
   describe the design, implementation, and mixed-methods analysis of a
   peer-to-peer psychiatry e-learning partnership between UK and Somaliland
   students arising from a global mental health link between the two
   countries.
   Methods Medical students at King's College London and Hargeisa and Amoud
   universities, Somaliland, were grouped into 24 pairs. Participants aimed
   to complete ten fortnightly meetings to discuss psychiatry topics via
   the website MedicineAfrica. Students completed initial and final
   evaluations including Attitudes toward Psychiatry (ATP-30) questions, a
   stigma questionnaire, and brief evaluations after each meeting.
   Results Quantitative findings demonstrated that enjoyment, interest, and
   academic helpfulness were rated highly by students in Somaliland and
   moderately by students in the UK. Somaliland students' attitudes to
   psychiatry were significantly more positive post-participation, whereas
   UK students' attitudes remained stable. Qualitative findings identified
   more gains in factual knowledge for Somaliland students, whereas UK
   students reported more cross-cultural learning. Reasons for
   non-completion and student-suggested improvements emphasized the need to
   ensure commitment to the program by participants.
   Conclusions This partnership encouraged students to consider global
   mental health outside the standard medical education environment,
   through an e-learning format solely utilizing existing resources. This
   new approach demonstrates potential benefits to students in contrasting
   locations of brief, focused online peer-to-peer education partnerships,
   expanding the scope of health links to the medical professionals of the
   future.
RI , RoxanneKeynejad/N-6276-2018; Garratt, Elisabeth/AAU-1184-2021; Garratt, Elisabeth/; Syed Sheriff, Rebecca/
OI , RoxanneKeynejad/0000-0003-4434-3526; Garratt,
   Elisabeth/0000-0001-5974-4141; Syed Sheriff, Rebecca/0000-0002-5934-6722
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
TC 14
Z9 14
U1 0
U2 29
SN 1042-9670
EI 1545-7230
UT WOS:000379709200020
PM 25124879
ER

PT J
AU Massenburg, Benjamin B.
   Sanati-Mehrizy, Paymon
   Jablonka, Eric M.
   Taub, Peter J.
TI The Impact of Resident Participation in Outpatient Plastic Surgical
   Procedures
SO AESTHETIC PLASTIC SURGERY
VL 40
IS 4
BP 584
EP 591
DI 10.1007/s00266-016-0651-8
PD AUG 2016
PY 2016
AB Ensuring patient safety along with a complete surgical experience for
   residents is of utmost importance in plastic surgical training. The
   effect of resident participation on the outcomes of outpatient plastic
   surgery procedures remains largely unknown. We assess the impact of
   resident participation on surgical outcomes using a prospective,
   validated, national database.
   We identified all outpatient procedures performed by plastic surgeons
   between 2007 and 2012 in the American College of Surgeons National
   Surgical Quality Improvement Program database. Multivariate regression
   models assessed the impact of resident participation when compared to
   attendings alone on 30-day wound complications, overall complications,
   and return to the operating room (OR).
   A total of 18,641 patients were identified: 12,414 patients with an
   attending alone and 6227 with residents participating. The incidence of
   overall complications, wound complications, and return to OR was
   increased with resident participation. When confounding variables were
   controlled for in multivariate analysis, resident participation was no
   longer associated with increased risk of wound complications. When
   stratified by year, incidence of overall complications, wound
   complications, and return to OR in the resident participation group are
   trending down and fail to be significantly different in 2011 and 2012.
   Multivariate analysis shows a similar trend.
   Resident participation is no longer independently associated with
   increased complications in outpatient plastic surgery in recent years,
   suggesting that plastic surgical training is successfully continuing to
   improve in both outcomes and safety. Additional prospective studies that
   characterize patient outcomes with resident seniority and the degree of
   resident participation are warranted.
RI Massenburg, Benjamin B./AAB-9349-2019; Sanati-Mehrizy, Paymon/
OI Massenburg, Benjamin B./0000-0002-8570-5178; Sanati-Mehrizy,
   Paymon/0000-0002-1134-6125
ZA 0
ZR 0
ZB 1
Z8 0
TC 17
ZS 0
Z9 17
U1 0
U2 4
SN 0364-216X
EI 1432-5241
UT WOS:000379523000020
PM 27234526
ER

PT J
AU Iacob, S.
   Hersant, B.
   Mezi, M. SidAhmed
   Meningaud, J. P.
TI Factors That May Enhance Longevity: A Literature Review and a
   Comprehensive Update for Aesthetic Surgeons
SO AESTHETIC PLASTIC SURGERY
VL 40
IS 4
BP 625
EP 631
DI 10.1007/s00266-016-0648-3
PD AUG 2016
PY 2016
AB After surgery, the plastic surgeon is very often questioned about how to
   maintain the result and more frequently how to slow down the aging
   process. However, this type of knowledge is not commonly delivered
   during medical education or at least needs an update. This review could
   be used as a guide to help plastic surgeons to manage these frequent
   postoperative consultations. The aim of this literature review was to
   focus discussion on specific positive factors, identified to have a
   significant impact on human longevity.
   A literature review was performed using the automated computerized
   PubMed search, with the keywords "human longevity." Only papers written
   in the English language were included. References were screened to
   identify further relevant articles. Experimental studies based on
   microorganisms and animals, works published in non-indexed journals,
   case reports, letters, and viewpoints were excluded.
   One hundred and twenty-four articles reporting factors influencing human
   longevity were analyzed for data extraction. A total of 59 articles
   reporting only positive factors were included. Fourteen factors seemed
   to have a positive impact on longevity: caloric restriction, active
   effort and sports, happiness, vitamins, vegetarian or Mediterranean
   diet, oriental practices, socioeconomic status, genetics, sexual
   activity, sleep, moderate wine consumption, religion, and education.
   While some factors with a positive impact on longevity are clearly
   identified and should be integrated in the postoperative process,
   further studies are still needed to be able to slow down the aging
   process.
ZS 1
ZA 0
ZR 0
TC 4
Z8 0
ZB 2
Z9 4
U1 0
U2 27
SN 0364-216X
EI 1432-5241
UT WOS:000379523000024
PM 27234525
ER

PT J
AU Nemec, Eric C., II
   Pawola, Julie A.
   Shah, Beju
TI Online resources for informatics education and training
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 73
IS 15
BP 1131
EP 1134
DI 10.2146/ajhp150659
PD AUG 1 2016
PY 2016
RI Malone, Patrick/AAT-7940-2020; Nemec, Eric/Z-1177-2018
OI Nemec, Eric/0000-0001-7794-6732
ZR 0
ZS 0
ZA 0
TC 1
ZB 0
Z8 0
Z9 1
U1 0
U2 5
SN 1079-2082
EI 1535-2900
UT WOS:000381064100013
PM 27440622
ER

PT J
AU Cheng, Adam
   Kessler, David
   Mackinnon, Ralph
   Chang, Todd P.
   Nadkarni, Vinay M.
   Hunt, Elizabeth A.
   Duval-Arnould, Jordan
   Lin, Yiqun
   Cook, David A.
   Pusic, Martin
   Hui, Joshua
   Moher, David
   Egger, Matthias
   Auerbach, Marc
CA Int Network Simulation-Based Pedia
TI Reporting Guidelines for Health Care Simulation Research Extensions to
   the CONSORT and STROBE Statements
SO CLINICAL SIMULATION IN NURSING
VL 12
IS 8
BP A3
EP A13
DI 10.1016/j.ecns.2016.04.008
PD AUG 2016
PY 2016
AB Introduction: Simulation-based research (SBR) is rapidly expanding but
   the quality of reporting needs improvement. For a reader to critically
   assess a study, the elements of the study need to be clearly reported.
   Our objective was to develop reporting guidelines for SBR by creating
   extensions to the Consolidated Standards of Reporting Trials (CONSORT)
   and Strengthening the Reporting of Observational Studies in Epidemiology
   (STROBE) Statements.
   Methods: An iterative multistep consensus-building process was used on
   the basis of the recommended steps for developing reporting guidelines.
   The consensus process involved the following: (1) developing a steering
   committee, (2) defining the scope of the reporting guidelines, (3)
   identifying a consensus panel, (4) generating a list of items for
   discussion via online premeeting survey, (5) conducting a consensus
   meeting, and (6) drafting reporting guidelines with an explanation and
   elaboration document.
   Results: The following 11 extensions were recommended for CONSORT: item
   1 (title/abstract), item 2 (background), item 5 (interventions), item 6
   (outcomes), item 11 (blinding), item 12 (statistical methods), item 15
   (baseline data), item 17 (outcomes/estimation), item 20 (limitations),
   item 21 (generalizability), and item 25 (funding). The following 10
   extensions were recommended for STROBE: item 1 (title/abstract), item 2
   (background/rationale), item 7 (variables), item 8 (data
   sources/measurement), item 12 (statistical methods), item 14
   (descriptive data), item 16 (main results), item 19 (limitations), item
   21 (generalizability), and item 22 (funding). An elaboration document
   was created to provide examples and explanation for each extension.
   Conclusions: We have developed extensions for the CONSORT and STROBE
   Statements that can help improve the quality of reporting for SBR.
OI Pusic, Martin/0000-0001-5236-6598
ZS 0
ZB 0
Z8 0
ZR 0
TC 7
ZA 0
Z9 7
U1 0
U2 8
SN 1876-1399
EI 1876-1402
UT WOS:000388482000002
ER

PT J
AU Macluskey, M.
   Shepherd, S.
   Carter, E.
   Bulsara, Y.
   Durham, J. A.
   Bell, A.
   Dargue, A.
   Emanuel, C.
   Freeman, C.
   Jones, J.
   Khawaja, N.
   Leeson, R.
   Marley, J.
   Andiappan, M.
   Millsopp, L.
   Nayyer, N.
   Renton, T.
   Taylor, K.
   Thomson, P.
   Toedtling, V.
TI A national follow-up survey of UK graduates opinion of undergraduate
   oral surgery teaching
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 20
IS 3
BP 174
EP 179
DI 10.1111/eje.12158
PD AUG 2016
PY 2016
AB IntroductionA national follow-up survey was undertaken to determine
   whether dental graduates from 2009 perceived that their undergraduate
   oral surgery education had equipped them for general dental practice
   4years after graduating.
   Materials and MethodsGraduates from the same 13 United Kingdom dental
   schools who had taken part in the original survey were invited to take
   part in this follow-up online survey. Their contact details were
   identified via the general dental council register, social media and
   alumni groups.
   ResultsIn total, 161 responded (2009b) which represents 16% of the
   graduates of the original survey in 2009a. A similar percentage of these
   respondents perceived that the teaching in oral surgery had given them
   sufficient knowledge to undertake independent practice (83% and 79% in
   2009a and 2009b, respectively). Most respondents (99% in both years)
   reported confidence in undertaking simple forceps exodontia. Confidence
   in surgical exodontia was poor in both surveys, but one area that
   appeared improved in the follow-up related to the sectioning of teeth
   (84% in 2009b compared with 49% in 2009a). Areas of weakness identified
   in 2009 were reported to be improved in the follow-up.
   ConclusionThis follow-up survey supports the findings of the original
   survey. Future longitudinal studies would allow institutions to identify
   possible weaknesses in their curriculum and to track the career
   development of their graduates and facilitate robust data collection.
RI Karim, Osman/Z-3507-2019; Dargue, Anna/; Macluskey, Michaelina/; Thomson, Peter/L-7719-2016
OI Dargue, Anna/0000-0002-9826-720X; Macluskey,
   Michaelina/0000-0002-2734-0537; Thomson, Peter/0000-0002-2007-7975
ZA 0
ZS 1
Z8 0
ZB 1
TC 3
ZR 0
Z9 4
U1 0
U2 6
SN 1396-5883
EI 1600-0579
UT WOS:000379944800008
PM 26121937
ER

PT J
AU Morris, Marie T.
   Daluiski, Aaron
   Dy, Christopher J.
TI A Thematic Analysis of Online Discussion Boards for Brachial Plexus
   Injury
SO JOURNAL OF HAND SURGERY-AMERICAN VOLUME
VL 41
IS 8
BP 813
EP 818
DI 10.1016/j.jhsa.2016.05.007
PD AUG 2016
PY 2016
AB Purpose Patients with brachial plexus injury (BPI) and their family
   members contribute to Internet discussion groups dedicated to BPI. We
   hypothesized that a thematic analysis of posts from BPI Internet
   discussion groups would reveal common themes related to the BPI patient
   experience, providing topics for patient education and counseling.
   Methods Internet discussion boards were identified using the search term
   "brachial plexus injury support group" in Google, Bing, and Yahoo!
   search engines. Two discussion boards had substantially more posts than
   other Web sites and were chosen for analyses. Posts from January 1,
   2015, through January 1, 2016, were examined. Using an iterative and
   established process, 2 investigators (M.T.M. and C.J.D) independently
   analyzed each post using thematic analysis in 3 steps (open coding,
   axial coding, and selective coding) to determine common themes. In this
   process, each post was reviewed 3 times.
   Results A total of 328 posts from the 2 leading discussion boards were
   analyzed. Investigators reached a consensus on themes for all posts. One
   central theme focused on emotional aspects of BPI. Four other central
   themes regarding information support were identified: BPI disease, BPI
   treatment, recovery after BPI treatment, and process of seeking care for
   BPI.
   Conclusions Examination of posts on Internet support groups for BPI
   revealed recurring concerns, questions, and opinions of patients and
   their family members. The most common themes related to disease
   information, treatment, recovery, and the emotional element of BPI.
   Clinical relevance These findings provide a helpful starting point in
   refining topics for patient education and support that are targeted on
   patients' interests and concerns. Copyright (C) 2016 by the American
   Society for Surgery of the Hand. All rights reserved.
ZR 0
ZA 0
TC 15
ZB 2
ZS 0
Z8 0
Z9 15
U1 0
U2 1
SN 0363-5023
EI 1531-6564
UT WOS:000383334700008
PM 27311862
ER

PT J
AU Patel, Priyank
TI An evaluation of the current patterns and practices of educational
   supervision in postgraduate medical education in the UK.
SO Perspectives on medical education
VL 5
IS 4
BP 205
EP 14
DI 10.1007/s40037-016-0280-6
PD 2016-Aug
PY 2016
AB INTRODUCTION: Globally, clinical supervision has been widely adopted and
   studied. But in the UK, another variant of supervision has developed in
   the form of educational supervision. The quality of supervision remains
   highly variable and inadequate time, investment and guidance hinders its
   ability to actually benefit trainees. Therefore, undertaking adetailed
   study of the patterns and practices in educational supervision to inform
   developments in supervisory practice would be extremely beneficial.
   METHODS: In this mixed methods study, educational supervisors and
   trainees working within alarge London Trust were surveyed online about
   their experiences of educational supervision. In addition, observations
   of supervision sessions with asmall group of supervisor and trainee
   pairs followed-up by semi-structured interviews were conducted. The
   quantitative data were analyzed using statistical software via
   descriptive statistics. The qualitative data underwent thematic
   framework analysis.
   RESULTS: Both the qualitative and quantitative data revealed that whilst
   most junior doctors and supervisors value the ideal of educational
   supervision as aprocess for engaging in mentoring dialogues, it can
   become atick box exercise, devaluing its usefulness and purpose.
   Trainees highlighted the need for more frequent formal meeting along
   with better preparation by supervisors. Supervisors would appreciate
   more support from trusts to help them enhance supervision for trainees.
   CONCLUSION: The effectiveness of educational supervision can be improved
   with trainees and supervisors engaging in meaningful preparation and
   proactive communication before meetings. During these formal meetings,
   improving the quality of feedback and ensuring that regular mentoring
   dialogues occurred would be highly valuable.
ZR 0
ZS 0
Z8 0
ZA 0
TC 14
ZB 0
Z9 14
U1 0
U2 2
SN 2212-2761
UT MEDLINE:27488852
PM 27488852
ER

PT J
AU Cheng, Adam
   Kessler, David
   Mackinnon, Ralph
   Chang, Todd P.
   Nadkarni, Vinay M.
   Hunt, Elizabeth A.
   Duval-Arnould, Jordan
   Lin, Yiqun
   Cook, David A.
   Pusic, Martin
   Hui, Joshua
   Moher, David
   Egger, Matthias
   Auerbach, Marc
CA Int Network Simulation-based
TI Reporting Guidelines for Health Care Simulation Research Extensions to
   the CONSORT and STROBE Statements
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 11
IS 4
BP 238
EP 248
DI 10.1097/SIH.0000000000000150
PD AUG 2016
PY 2016
AB Introduction: Simulation-based research (SBR) is rapidly expanding but
   the quality of reporting needs improvement. For a reader to critically
   assess a study, the elements of the study need to be clearly reported.
   Our objective was to develop reporting guidelines for SBR by creating
   extensions to the Consolidated Standards of Reporting Trials (CONSORT)
   and Strengthening the Reporting of Observational Studies in Epidemiology
   (STROBE) Statements.
   Methods: An iterative multistep consensus-building process was used on
   the basis of the recommended steps for developing reporting guidelines.
   The consensus process involved the following: (1) developing a steering
   committee, (2) defining the scope of the reporting guidelines, (3)
   identifying a consensus panel, (4) generating a list of items for
   discussion via online premeeting survey, (5) conducting a consensus
   meeting, and (6) drafting reporting guidelines with an explanation and
   elaboration document.
   Results: The following 11 extensions were recommended for CONSORT: item
   1 (title/abstract), item 2 (background), item 5 (interventions), item 6
   (outcomes), item 11 (blinding), item 12 (statistical methods), item 15
   (baseline data), item 17 (outcomes/estimation), item 20 (limitations),
   item 21 (generalizability), and item 25 (funding). The following 10
   extensions were recommended for STROBE: item 1 (title/abstract), item 2
   (background/rationale), item7 (variables), item 8 (data
   sources/measurement), item 12 (statistical methods), item 14
   (descriptive data), item 16 (main results), item 19 (limitations), item
   21 (generalizability), and item 22 (funding). An elaboration document
   was created to provide examples and explanation for each extension.
   Conclusions: We have developed extensions for the CONSORT and STROBE
   Statements that can help improve the quality of reporting for SBR.
RI Moher, David/I-3408-2019; Cheng, Adam/L-9496-2017; Chang, Todd/; Pusic, Martin/
OI Moher, David/0000-0003-2434-4206; Cheng, Adam/0000-0002-1039-7502;
   Chang, Todd/0000-0002-4508-2551; Pusic, Martin/0000-0001-5236-6598
ZS 11
TC 169
ZB 23
ZR 0
ZA 0
Z8 0
Z9 171
U1 0
U2 0
SN 1559-2332
EI 1559-713X
UT WOS:000380870200004
PM 35519427
ER

PT J
AU Dumas, Cedric
   Fielding, David
   Coles, Timothy
   Good, Norm
TI Development of a novel image-based program to teach narrow-band imaging
SO THERAPEUTIC ADVANCES IN RESPIRATORY DISEASE
VL 10
IS 4
BP 300
EP 309
DI 10.1177/1753465816644166
PD AUG 2016
PY 2016
AB Objectives: Narrow-band imaging (NBI) is a widely available endoscopic
   imaging technology; however, uptake of the technique could be improved.
   Teaching new imaging techniques and assessing trainees' performance can
   be a challenging exercise during a 1-day workshop. To support NBI
   training, we developed an online training tool (Medimq) to help experts
   train novices in NBI bronchoscopy that could assess trainees'
   performance and provide feedback before the close of the 1-day course.
   The present study determines whether trainees' capacity to identify
   relevant pathology increases with the proposed interactive testing
   method.
   Methods: Two groups of 20 and 18 bronchoscopists have attended an NBI
   course where they did a pretest and post-test before and after the main
   lecture, and a follow-up test 4 weeks later to measure retention of
   knowledge. We measured their ability to mark normal and abnormal biopsy
   size' areas on bronchoscopic NBI images for biopsy. These markings were
   compared with areas marked by experts on the same images.
   Results: The first group results were used to pilot the test. After
   modifications, the results of the improved test for group 2 showed
   trainees improved by 32% (total class average normalized gain) in
   detecting normal or abnormal areas. On follow-up testing, Group 2
   improved by 23%.
   Conclusions: The overall class average normalized gain of 32% shows our
   test can be used to improve trainees' competency in analyzing NBI
   Images. The testing method (and tool) can be used to measure the follow
   up 4 weeks later. Better follow-up test results would be expected with
   more frequent practice by trainees after the course.
RI Fielding, David/M-3969-2013; Good, Norm/E-4813-2010
OI Fielding, David/0000-0003-2311-4919; Good, Norm/0000-0001-6446-7644
TC 5
Z8 0
ZA 0
ZR 0
ZB 1
ZS 0
Z9 5
U1 0
U2 2
SN 1753-4658
EI 1753-4666
UT WOS:000380944200002
PM 27106036
ER

PT J
AU Tlach, Lisa
   Thiel, Juliane
   Haerter, Martin
   Liehherz, Sarah
   Dirmaier, Joerg
TI Acceptance of the German e-mental health portal www.psychenet.de: an
   online survey
SO PEERJ
VL 4
AR e2093
DI 10.7717/peerj.2093
PD JUL 19 2016
PY 2016
AB Background. Taking into account the high prevalence of mental disorders
   and the multiple barriers to the use of mental health services new forms
   of fostering patient information involvement and self-management are
   needed to complement existing mental health services. The study aimed at
   investigating acceptance regarding design and content of the e-mental
   health portal www.psychenet.de.
   Methods. An online cross-sectional survey was conducted between May 2013
   and May 2015 using a self-administered questionnaire including items on
   perceived ease of use, perceived usefulness, attitude towards using, and
   perceived trust. Effects of different participants' characteristics on
   the portals' acceptance were analyzed.
   Results. The majority of the N = 252 respondents suffered from mental
   disorders (n = 139) or were relatives from persons with mental disorders
   (n = 65), The portal was assessed as "good" or "very good" by 71% of the
   respondents. High levels of agreement (89-96%) were shown for statements
   on the perceived ease of use, the behavioral intention to use the
   portal, and the trustworthiness of the portal. Lower levels of agreement
   were shown for some statements on the perceived usefulness of the
   portals' content. There were no effects of different participants'
   characteristics on the perceived ease of use, the perceived usefulness,
   the attitude towards using the website and the perceived trust.
   Discussion. This survey provides preliminary evidence that the e-mental
   health portal www.psychenet.de appears to be a usable, useful and
   trustworthy information resource for a broad target group. The
   behavioral usefulness of the portals' content might be improved by
   integrating more activating patient decision aids.
OI Harter, Martin/0000-0001-7443-9890
Z8 0
ZR 0
ZA 0
ZS 0
TC 8
ZB 2
Z9 8
U1 0
U2 12
SN 2167-8359
UT WOS:000380070400001
PM 27547515
ER

PT J
AU Vaucher, Carla
   Bovet, Emilie
   Bengough, Theresa
   Pidoux, Vincent
   Grossen, Michele
   Panese, Francesco
   Burnand, Bernard
TI Meeting physicians' needs: a bottom-up approach for improving the
   implementation of medical knowledge into practice
SO HEALTH RESEARCH POLICY AND SYSTEMS
VL 14
AR 49
DI 10.1186/s12961-016-0120-5
PD JUL 18 2016
PY 2016
AB Background: Multiple barriers to knowledge translation in medicine have
   been identified (ranging from information overload to abstraction of
   models), leading to important implementation gaps. This study aimed at
   assessing the suggestions of practicing physicians for possible
   improvements of knowledge translation (KT) effectiveness into clinical
   practice.
   Methods: We used a mixed methods design. French- German- and
   Italian-speaking general practitioners, psychiatrists, orthopaedic
   surgeons, cardiologists, and diabetologists practicing in Switzerland
   were interrogated through semi-structured interviews, focus group
   discussions, and an online survey.
   Results: A total of 985 physicians from three regions of Switzerland
   participated in the online survey, whereas 39 participated in focus
   group discussions and 14 in face-to-face interviews. Physicians
   expressed limitations and difficulties related to KT into their daily
   practice. Several barriers were identified, including influence and
   pressure of pharmaceutical companies, non-publication of negative
   results, mismatch between guidelines and practice, education gaps, and
   insufficient collaboration between research and practice. Suggestions to
   overcome barriers were improving education concerning the evaluation of
   scientific publications, expanding applicability of guidelines, having
   free and easy access to independent journals, developing collaborations
   between research and practice, and creating tools to facilitate access
   to medical information.
   Conclusions: Our study provides suggestions for improving KT into daily
   medical practice, matching the views, needs and preferences of
   practicing physicians. Responding to suggestions for improvements
   brought up by physicians may lead to better knowledge translation,
   higher professional satisfaction, and better healthcare outcomes.
Z8 0
TC 15
ZA 0
ZS 0
ZR 0
ZB 5
Z9 15
U1 0
U2 9
SN 1478-4505
UT WOS:000380003500001
PM 27431911
ER

PT J
AU Bickerdike, Andrea
   O'Deasmhunaigh, Conall
   O'Flynn, Siun
   O'Tuathaigh, Colm
TI Learning strategies, study habits and social networking activity of
   undergraduate medical students.
SO International journal of medical education
VL 7
BP 230
EP 6
DI 10.5116/ijme.576f.d074
PD 2016 Jul 17
PY 2016
AB OBJECTIVES: To determine learning strategies, study habits, and online
   social networking use of undergraduates at an Irish medical school, and
   their relationship with academic performance.
   METHODS: A cross-sectional study was conducted in Year 2 and final year
   undergraduate-entry and graduate-entry students at an Irish medical
   school. Data about participants' demographics and educational
   background, study habits (including time management), and use of online
   media was collected using a self-report questionnaire. Participants'
   learning strategies were measured using the 18-item Approaches to
   Learning and Studying Inventory (ALSI). Year score percentage was the
   measure of academic achievement. The association between
   demographic/educational factors, learning strategies, study habits, and
   academic achievement was statistically analysed using regression
   analysis.
   RESULTS: Forty-two percent of students were included in this analysis
   (n=376). A last-minute "cramming" time management study strategy was
   associated with increased use of online social networks. Learning
   strategies differed between undergraduate- and graduate-entrants, with
   the latter less likely to adopt a 'surface approach' and more likely
   adopt a 'study monitoring' approach. Year score percentage was
   positively correlated with the 'effort management/organised studying'
   learning style. Poorer academic performance was associated with a poor
   time management approach to studying ("cramming") and increased use of
   the 'surface learning' strategy.
   CONCLUSIONS: Our study demonstrates that effort management and organised
   studying should be promoted, and surface learning discouraged, as part
   of any effort to optimise academic performance in medical school.
   Excessive use of social networking contributes to poor study habits,
   which are associated with reduced academic achievement.
RI SOUZA, CRISOMAR Lobo de/Q-2347-2019; O'Tuathaigh, Colm/
OI O'Tuathaigh, Colm/0000-0003-1365-1606
ZS 4
ZA 0
Z8 0
ZB 2
ZR 0
TC 31
Z9 32
U1 0
U2 26
EI 2042-6372
UT MEDLINE:27424041
PM 27424041
ER

PT J
AU Fisher, Jolene H.
   O'Connor, Darragh
   Flexman, Alana M.
   Shapera, Shane
   Ryerson, Christopher J.
TI Accuracy and Reliability of Internet Resources for Information on
   Idiopathic Pulmonary Fibrosis
SO AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
VL 194
IS 2
BP 218
EP 225
DI 10.1164/rccm.201512-2393OC
PD JUL 15 2016
PY 2016
AB Rationale: Patients commonly use the Internet as a resource for health
   information; however, no studies have evaluated the online information
   about idiopathic pulmonary fibrosis (IPF).
   Objectives: We sought to determine the readability, content (compared
   with established guidelines), bias, and quality of online IPF resources.
   Methods: We analyzed the first 200 hits for "idiopathic pulmonary
   fibrosis" in Google, Yahoo, and Bing. Each website was evaluated for
   content related to IPF features and treatments that are discussed in
   clinical guidelines. Website quality was assessed using the validated
   DISCERN instrument.
   Measurements and Main Results: Eligibility criteria were met in 181
   websites. The median reading grade level was 12. More content was
   provided in scientific resources (academic institutions or governmental
   organizations) and foundation/advocacy organization sites than in
   personal commentary (blog) sites; however, most sites provided
   incomplete and/or inaccurate information. Nonindicated and/or harmful
   pharmacotherapies for IPF were described as potential IPF treatments in
   48% of websites and were most often recommended in foundation/advocacy
   organization websites. Azathioprine and corticosteroids were discussed
   as potential chronic treatments of IPF in 13.3 and 30.6% of the 98
   websites that had been updated after publication of data demonstrating
   harm from these medications. Website quality (DISCERN score) was poor in
   all site types but was worse in news/media reports and personal
   commentary (blog) sites than in sites from scientific and
   foundation/advocacy organizations.
   Conclusions: Patient-directed online information on IPF is frequently
   incomplete, inaccurate, and outdated. There is no reliable method for
   patients to identify sites that provide appropriate information on IPF.
ZB 10
ZS 1
ZA 0
TC 64
ZR 0
Z8 1
Z9 65
U1 1
U2 5
SN 1073-449X
EI 1535-4970
UT WOS:000381697500019
PM 26849779
ER

PT J
AU Moeller, Andrew
   Webber, Jordan
   Epstein, Ian
TI Resident duty hour modification affects perceptions in medical
   education, general wellness, and ability to provide patient care
SO BMC MEDICAL EDUCATION
VL 16
AR 175
DI 10.1186/s12909-016-0703-4
PD JUL 13 2016
PY 2016
AB Background: Resident duty hours have recently been under criticism, with
   concerns for resident and patient well-being. Historically, call shifts
   have been long, and some residency training programs have now restricted
   shift lengths. Data and opinions about the effects of such restrictions
   are conflicting. The Internal Medicine Residency Program at Dalhousie
   University recently moved from a traditional call structure to a day
   float/night float system. This study evaluated how this change in duty
   hours affected resident perceptions in several key domains.
   Methods: Senior residents from an internal medicine training program in
   Canada responded to an anonymous online survey immediately before and 6
   months after the implementation of duty hour reform. The survey
   contained questions relating to three major domains: resident wellness,
   ability to deliver quality health care, and medical education
   experience. Mean pre- and post-intervention scores were compared using
   the t-test for paired samples.
   Results: Twenty-three of 27 (85 %) senior residents completed both pre-
   and post-reform surveys. Residents perceived significant changes in many
   domains with duty hour reform. These included improved general wellness,
   less exposure to personal harm, fewer feelings of isolation, less
   potential for error, improvement in clinical skills expertise, increased
   work efficiency, more successful teaching, increased proficiency in
   medical skills, more successful learning, and fewer rotation
   disruptions.
   Conclusions: Senior residents in a Canadian internal medicine training
   program perceived significant benefits in medical education experience,
   ability to deliver healthcare, and resident wellness after
   implementation of duty hour reform.
ZA 0
TC 16
Z8 0
ZB 3
ZS 1
ZR 0
Z9 17
U1 0
U2 12
EI 1472-6920
UT WOS:000379806700001
PM 27411835
ER

PT J
AU Yuksen, Chaiyaporn
   Sawatmongkornkul, Sorravit
   Tuangsirisup, Jarupol
   Sawanyawisuth, Kittisak
   Sittichanbuncha, Yuwares
TI The CPR outcomes of online medical video instruction versus on-scene
   medical instruction using simulated cardiac arrest stations.
SO BMC emergency medicine
VL 16
IS 1
BP 25
EP 25
DI 10.1186/s12873-016-0092-3
PD 2016 Jul 12
PY 2016
AB BACKGROUND: Non-traumatic cardiac arrest is a fatal emergency condition.
   Its survival rate and outcomes may be better with quick and effective
   cardiopulmonary resuscitation (CPR). Telemedicine such as telephone or
   real time video has been shown to improve chest compression procedures.
   There are limited data on the effects of telemedicine in cardiac arrest
   situations in the literature particularly in Asian settings.
   METHODS: This study was conducted by using two simulated cardiac arrest
   stations during the 2014 annual Thai national conference in emergency
   medicine. These two stations, nos. 5 and 11, were a part of the
   conference activity called "EMS rally" which was comprised of 14
   stations. Both stations were shockable and out-of-hospital cardiac
   arrest situations; station 5 was online instructed, while station 11 was
   on-scene instructed. There were 14 representative teams from each
   province from all over Thailand who participated in the rally. Each team
   had one physician, one nurse, and two emergency medicine technicians.
   Eight CPR outcomes were evaluated and compared between the online versus
   on-scene situations.
   RESULTS: There were 14 representative teams that participated in the
   study; a total of 14 physicians, 14 nurses, and 28 emergency medicine
   technicians. The average ages of participants in all three occupations
   were between the second and third decade of life. The percentages of
   participants with more than 3years in ambulance experience was 7.1,
   64.3, and 53.6% in the physicians, nurses, and EMTs groups. The median
   times of all outcomes were significantly longer in the online group than
   the on-scene group including times from start to chest compression
   (total 102 vs 36s), total times from the start to VT/VF detection (187
   vs 99s); times from VT/VF detection to the first defibrillation (57 vs
   28s); and times from the start of adrenaline injection (282 vs 165s).
   The percentages of using amiodarone (21.43% vs 57.14%; p value<0.001),
   establishment of a definitive airway (35.71% vs 100%; p value 0.003),
   and correct detections of pulseless electrical activity (PEA) (28.57% vs
   100%; p value<0.001) were significantly lower in the online group than
   the on-scene group. The high quality CPR outcomes between the online
   group and on-scene group were comparable.
   CONCLUSIONS: The online medical instruction may have worse CPR outcomes
   compared with on-scene medical instruction in shockable, simulated CPR
   scenarios. Further studies are needed to confirm these results.
OI Yuksen, Chaiyaporn/0000-0002-4890-7176
ZB 1
Z8 0
ZS 0
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 9
EI 1471-227X
UT MEDLINE:27405926
PM 27405926
ER

PT J
AU Moretti, Anna
   Ghidini, Michele
   De Angelis, Carmine
   Lambertini, Matteo
   Cremolini, Chiara
   Imbimbo, Martina
   Berardi, Rossana
   Di Maio, Massimo
   Cascinu, Stefano
   La Verde, Nicla
TI What Medical Oncologist Residents Think about the Italian Speciality
   Schools: A Survey of the Italian Association of Medical Oncology (AIOM)
   on Educational, Clinical and Research Activities
SO PLOS ONE
VL 11
IS 7
AR e0159146
DI 10.1371/journal.pone.0159146
PD JUL 12 2016
PY 2016
AB Background and objectives
   Relevant heterogeneity exists among Postgraduate Schools in Medical
   Oncology, also within the same country. In order to provide a
   comprehensive overview of the landscape of Italian Postgraduate Schools
   in Medical Oncology, the Italian Association of Medical Oncology (AIOM)
   undertook an online survey, inviting all the residents to describe their
   daily activities and to express their overall satisfaction about their
   programs.
   Methods
   A team composed of five residents and three consultants in medical
   oncology prepared a 38 items questionnaire that was published online in
   a reserved section, accessible through a link sent by e-mail. Residents
   were invited to anonymously fill in the questionnaire that included the
   following sub-sections: quality of teaching, clinical and research
   activity, overall satisfaction.
   Results
   Three-hundred and eleven (57%) out of 547 invited residents filled in
   the questionnaire. Two-hundred and twenty-three (72%) participants
   declared that attending lessons was frequently difficult and 153 (49%)
   declared they did not gain substantial improvement in their knowledge
   from them. Fifty-five percent stated that they did not receive lessons
   on palliative care. Their overall judgment about didactic activity was
   low in 63% of the interviewed. The satisfaction for clinical activity
   was in 86% of cases good: 84% recognized that, during the training
   period, they acquired a progressive independence on patients'
   management. About research activity, the majority (79%) of participants
   in the survey was actively engaged in managing patients included in
   clinical trials but the satisfaction level for the involvement in
   research activities was quite low (54%). Overall, 246 residents (79%)
   gave a positive global judgment of their Medical Oncology Schools.
   Conclusions
   The landscape of Italian Postgraduate Schools in Medical Oncology is
   quite heterogeneous across the country. Some improvements in the
   organization of teaching and in the access to research opportunity are
   needed; the perception about clinical activity and the overall judgment
   of the programs are quite satisfactory.
RI Berardi, Rossana/AAC-5758-2022; Lambertini, Matteo/T-2563-2017; Berardi, Rossana/AAC-5216-2022; Imbimbo, Martina/K-4510-2016; Cascinu, Stefano/G-2399-2017; la verde, nicla/AAW-9398-2020; Cascinu, Stefano/AAN-1923-2020; Cremolini, Chiara/AAC-1889-2019; DE ANGELIS, CARMINE/L-2788-2015; CREMOLINI, CHIARA/; Ghidini, Michele/I-7362-2018
OI Lambertini, Matteo/0000-0003-1797-5296; Berardi,
   Rossana/0000-0002-9529-2960; Imbimbo, Martina/0000-0003-2521-7540;
   Cascinu, Stefano/0000-0003-2215-0731; la verde,
   nicla/0000-0002-2884-1632; DE ANGELIS, CARMINE/0000-0003-1158-4630;
   CREMOLINI, CHIARA/0000-0002-0520-4841; Ghidini,
   Michele/0000-0001-5435-1218
ZA 0
TC 2
Z8 0
ZR 0
ZB 0
ZS 0
Z9 2
U1 0
U2 5
SN 1932-6203
UT WOS:000379508200037
PM 27403529
ER

PT J
AU Gaupp, Rainer
   Koerner, Mirjam
   Fabry, Goetz
TI Effects of a case-based interactive e-learning course on knowledge and
   attitudes about patient safety: a quasi-experimental study with
   third-year medical students
SO BMC MEDICAL EDUCATION
VL 16
AR 172
DI 10.1186/s12909-016-0691-4
PD JUL 11 2016
PY 2016
AB Background: Patient safety (PS) is influenced by a set of factors on
   various levels of the healthcare system. Therefore, a systems-level
   approach and systems thinking is required to understand and improve PS.
   The use of e-learning may help to develop a systems thinking approach in
   medical students, as case studies featuring audiovisual media can be
   used to visualize systemic relationships in organizations. The goal of
   this quasi-experimental study was to determine if an e-learning can be
   utilized to improve systems thinking, knowledge, and attitudes towards
   PS.
   Methods: A quasi-experimental, longitudinal within-subjects design was
   employed. Participants were 321 third-year medical students who received
   online surveys before and after they participated in an e-learning
   course on PS. Primary outcome measures where levels of systems thinking
   and attitudes towards PS. Secondary outcome measures were the
   improvement of PS specific knowledge through the e-learning course.
   Results: Levels of systems thinking showed significant improvement
   (58.72 vs. 61.27; p < .001) after the e-learning. Student's attitudes
   towards patient safety improved in several dimensions: After the course,
   students rated the influence of fatigue on safety higher (6.23 vs. 6.42,
   p < .01), considered patient empowerment more important (5.16 vs. 5.93,
   p < .001) and realized more often that human error is inevitable (5.75
   vs. 5.97, p < .05). Knowledge on PS improved from 36.27 % correct
   answers before to 76.45 % after the e-learning (p < .001).
   Conclusions: Our results suggest that e-learning can be used to teach
   PS. Attitudes towards PS improved on several dimensions. Furthermore, we
   were able to demonstrate that a specifically designed e-learning program
   can foster the development of conceptual frameworks such as systems
   thinking, which facilitates the understanding of complex socio-technical
   systems within healthcare organisations.
TC 21
ZR 0
ZA 0
ZB 3
ZS 1
Z8 0
Z9 22
U1 0
U2 22
EI 1472-6920
UT WOS:000379806500004
PM 27400872
ER

PT J
AU Harris, Ricci
   Cormack, Donna
   Curtis, Elana
   Jones, Rhys
   Stanley, James
   Lacey, Cameron
TI Development and testing of study tools and methods to examine ethnic
   bias and clinical decision-making among medical students in New Zealand:
   The Bias and Decision-Making in Medicine (BDMM) study
SO BMC MEDICAL EDUCATION
VL 16
AR 173
DI 10.1186/s12909-016-0701-6
PD JUL 11 2016
PY 2016
AB Background: Health provider racial/ethnic bias and its relationship to
   clinical decision-making is an emerging area of research focus in
   understanding and addressing ethnic health inequities. Examining
   potential racial/ethnic bias among medical students may provide
   important information to inform medical education and training. This
   paper describes the development, pretesting and piloting of study
   content, tools and processes for an online study of racial/ethnic bias
   (comparing Maori and New Zealand European) and clinical decision-making
   among final year medical students in New Zealand (NZ).
   Methods: The study was developed, pretested and piloted using a staged
   process (eight stages within five phases). Phase 1 included three
   stages: 1) scoping and conceptual framework development; 2) literature
   review and identification of potential measures and items; and, 3)
   development and adaptation of study content. Three main components were
   identified to assess different aspects of racial/ethnic bias: (1)
   implicit racial/ethnic bias using NZ-specific Implicit Association Tests
   (IATs); (2) explicit racial/ethnic bias using direct questions; and, (3)
   clinical decision-making, using chronic disease vignettes. Phase 2
   (stage 4) comprised expert review and refinement. Formal pretesting
   (Phase 3) included construct testing using sorting and rating tasks
   (stage 5) and cognitive interviewing (stage 6). Phase 4 (stage 7)
   involved content revision and building of the web-based study, followed
   by pilot testing in Phase 5 (stage 8).
   Results: Materials identified for potential inclusion performed well in
   construct testing among six participants. This assisted in the
   prioritisation and selection of measures that worked best in the New
   Zealand context and aligned with constructs of interest. Findings from
   the cognitive interviewing (nine participants) on the clarity, meaning,
   and acceptability of measures led to changes in the final wording of
   items and ordering of questions. Piloting (18 participants) confirmed
   the overall functionality of the web-based questionnaire, with a few
   minor revisions made to the final study.
   Conclusions: Robust processes are required in the development of study
   content to assess racial/ethnic bias in order to optimise the validity
   of specific measures, ensure acceptability and minimise potential
   problems. This paper has utility for other researchers in this area by
   informing potential development approaches and identifying possible
   measurement tools.
RI Lacey, Cameron/AAF-9180-2020
OI Lacey, Cameron/0000-0001-9898-6784
ZB 3
ZR 0
TC 10
ZA 0
Z8 0
ZS 0
Z9 10
U1 1
U2 25
EI 1472-6920
UT WOS:000379806500005
PM 27401206
ER

PT J
AU Juul, Jakob Sogaard
   Bro, Flemming
   Hornung, Nete
   Andersen, Berit Sanne
   Laurberg, Soren
   Olesen, Frede
   Vedsted, Peter
TI Implementation of immunochemical faecal occult blood test in general
   practice: a study protocol using a cluster-randomised stepped-wedge
   design
SO BMC CANCER
VL 16
AR 445
DI 10.1186/s12885-016-2477-9
PD JUL 11 2016
PY 2016
AB Background: Colorectal cancer is a common malignancy and a leading cause
   of cancer-related death. Half of patients with colorectal cancer
   initially present with non-specific or vague symptoms. In the need for a
   safe low-cost test, the immunochemical faecal occult blood test (iFOBT)
   may be part of the evaluation of such patients in primary care.
   Currently, Danish general practitioners have limited access to this
   test. The aim of this article is to describe a study that will assess
   the uptake and clinical use of iFOBT in general practice. Furthermore,
   it will investigate the diagnostic value and the clinical implications
   of using iFOBT in general practice on patients presenting with non-alarm
   symptoms of colorectal cancer.
   Methods/Design: The study uses a cluster-randomised stepped-wedge design
   and is conducted in the Central Denmark Region among 836 GPs in 381
   general practices. The municipalities of the Region and their
   appertaining general practitioners will be included sequentially in the
   study during the first 7 months of the 1-year study period. The
   following intervention has been developed for the study: a mandatory
   intervention providing all general practitioners with a starting package
   of 10 iFOBTs, a clinical instruction on iFOBT use in general practice
   and online information material from the date of inclusion, and an
   optional intervention consisting of a continuous medical education on
   colorectal cancer diagnostics and use of iFOBT.
   Discussion: This study is among the first and largest trials to
   investigate the diagnostic use and the clinical value of iFOBT on
   patients presenting with non-alarm symptoms of colorectal cancer. The
   findings will be of national and international importance for the future
   planning of colorectal cancer diagnostics, particularly for
   'low-risk-but-not-no-risk' patients with non-alarm symptoms of
   colorectal cancer.
RI Vedsted, Peter/C-2583-2008; Andersen, Berit/J-3402-2017; Juul, Jakob/; Bro, Flemming/
OI Vedsted, Peter/0000-0003-2113-5599; Andersen, Berit/0000-0003-4074-6504;
   Juul, Jakob/0000-0002-4605-3699; Bro, Flemming/0000-0001-5011-950X
TC 2
ZA 0
ZR 0
ZS 0
ZB 1
Z8 0
Z9 2
U1 0
U2 3
SN 1471-2407
UT WOS:000379908500001
PM 27400657
ER

PT J
AU Bishop, D. V. M.
   Snowling, Margaret J.
   Thompson, Paul A.
   Greenhalgh, Trisha
   Adams, Catherine
   Archibald, Lisa
   Baird, Gillian
   Bauer, Ann
   Bellair, Jude
   Boyle, Christopher
   Brownlie, Elizabeth
   Carter, Glenn
   Clark, Becky
   Clegg, Judy
   Cohen, Nancy
   Conti-Ramsden, Gina
   Dockrell, Julie
   Dunn, Janet
   Ebbels, Susan
   Gallagher, Aoife
   Gibbs, Simon
   -Langton, Emma Gore
   Grist, Mandy
   Hartshorne, Mary
   Huneke, Alison
   Joanisse, Marc
   Kedge, Sally
   Klee, Thomas
   Krishnan, Saloni
   Lascelles, Linda
   Law, James
   Leonard, Laurence
   Lynham, Stephanie
   Arnold, Elina Mainela
   Mathura, Narad
   McCartney, Elspeth
   McKean, Cristina
   McNeill, Brigid
   Morgan, Angela
   Murphy, Carol-Anne
   Norbury, Courtenay
   O'Hare, Anne
   Cardy, Janis Oram
   O'Toole, Ciara
   Paul, Rhea
   Purdy, Suzanne
   Redmond, Sean
   Reilly, Sheena
   Restrepo, Laida
   Rice, Mabel
   Slonims, Vicky
   Snow, Pamela
   Soppitt, Richard
   Speake, Jane
   Spencer, Sarah
   Stringer, Helen
   Tager-Flusberg, Helen
   Tannock, Rosemary
   Taylor, Cate
   Tomblin, Bruce
   Volden, Joanne
   Westerveld, Marleen
   Whitehouse, Andrew
CA CATALISE Consortium
TI CATALISE: A Multinational and Multidisciplinary Delphi Consensus Study.
   Identifying Language Impairments in Children
SO PLOS ONE
VL 11
IS 7
AR e0158753
DI 10.1371/journal.pone.0158753
PD JUL 8 2016
PY 2016
AB Delayed or impaired language development is a common developmental
   concern, yet there is little agreement about the criteria used to
   identify and classify language impairments in children. Children's
   language difficulties are at the interface between education, medicine
   and the allied professions, who may all adopt different approaches to
   conceptualising them. Our goal in this study was to use an online Delphi
   technique to see whether it was possible to achieve consensus among
   professionals on appropriate criteria for identifying children who might
   benefit from specialist services. We recruited a panel of 59 experts
   representing ten disciplines (including education, psychology,
   speech-language therapy/pathology, paediatrics and child psychiatry)
   from English-speaking countries (Australia, Canada, Ireland, New
   Zealand, United Kingdom and USA). The starting point for round 1 was a
   set of 46 statements based on articles and commentaries in a special
   issue of a journal focusing on this topic. Panel members rated each
   statement for both relevance and validity on a seven-point scale, and
   added free text comments. These responses were synthesised by the first
   two authors, who then removed, combined or modified items with a view to
   improving consensus. The resulting set of statements was returned to the
   panel for a second evaluation (round 2). Consensus (percentage reporting
   'agree' or 'strongly agree') was at least 80 percent for 24 of 27 round
   2 statements, though many respondents qualified their response with
   written comments. These were again synthesised by the first two authors.
   The resulting consensus statement is reported here, with additional
   summary of relevant evidence, and a concluding commentary on residual
   disagreements and gaps in the evidence base.
RI Cardy, Janis Oram/AAF-4147-2019; Whitehouse, Andrew J.O./AGJ-2519-2022; Krishnan, Saloni/I-2642-2019; Ebbels, Susan/AAE-1709-2022; Westerveld, Marleen/ABB-3561-2021; Dockrell, Julie/A-3613-2008; Boyle, Chris/F-5138-2012; Westerveld, Marleen/C-6638-2011; Gallagher, Aoife Lily/AAE-3283-2021; Greenhalgh, Trisha/B-1825-2015; Klee, Thomas/I-2270-2012
OI Cardy, Janis Oram/0000-0002-7170-6145; Whitehouse, Andrew
   J.O./0000-0001-8722-1575; Krishnan, Saloni/0000-0002-6466-141X;
   Westerveld, Marleen/0000-0002-5194-2335; Dockrell,
   Julie/0000-0003-3595-6064; Boyle, Chris/0000-0001-6196-7619; Westerveld,
   Marleen/0000-0002-5194-2335; Gallagher, Aoife Lily/0000-0001-9291-9361;
   Greenhalgh, Trisha/0000-0003-2369-8088; Klee, Thomas/0000-0002-1577-8689
Z8 1
TC 156
ZA 0
ZR 0
ZS 2
ZB 23
Z9 157
U1 4
U2 79
SN 1932-6203
UT WOS:000380005400115
PM 27392128
ER

PT J
AU Pope, Rachel
   Shaker, Maria
   Ganesh, Prakash
   Larkins-Pettigrew, Margaret
   Pickett, Stephanie Deter
TI Barriers to Global Health Training in Obstetrics and Gynecology
SO ANNALS OF GLOBAL HEALTH
VL 82
IS 4
BP 625
EP 629
DI 10.1016/j.aogh.2016.09.004
PD JUL-AUG 2016
PY 2016
AB BACKGROUND The Lancet Commission on Global Surgery includes obstetrics
   and gynecology as an area needing international strengthening in low-
   and middle-income countries. Despite interest, a majority of
   participants in US residency programs graduate with little exposure to
   global health or preparation to work abroad.
   OBJECTIVE The aim of this study was to determine the level of interest
   of obstetrics and gynecology (Ob/Gyn) residents in gaining global health
   training and to identify perceived barriers to receiving training.
   METHODS Residents in accredited Ob/Gyn programs were identified using a
   national residency database. The survey was online and anonymous.
   FINDINGS A total of 278 residents completed the survey. A high level of
   motivation to participate in a global health elective was associated
   with interests in preparation for future global work, desire for
   activism in maternal health and social determinants of health, and
   becoming better informed on global health policy. Eighty-two percent of
   respondents stated they would participate in a global health curriculum
   if it were offered, and 54.8% would use their vacation time. There were
   associations between personal safety, family, lack of resources, and
   lack of interest from faculty and motivational level as perceived
   barriers. Eighty-one percent strongly agreed that scheduling conflicts
   and time constraints pose barriers; more than 80% either agreed or
   strongly agreed that funding such endeavors and a lack of mentorship are
   major deterrents to pursuing global health.
   CONCLUSIONS Because resident motivation is clearly high and
   international need persists, we determined that most barriers to
   training abroad are related to the structure and budget of residency
   programs.
OI Pope, Rachel/0000-0002-1097-7611
ZA 0
ZS 0
ZR 0
TC 12
Z8 0
ZB 5
Z9 12
U1 1
U2 2
SN 2214-9996
UT WOS:000390863200004
PM 27986230
ER

PT J
AU Quinn, Kieran L.
   Crystal, Eugene
   Lashevsky, Ilan
   Arouny, Banafsheh
   Baranchuk, Adrian
TI Validation of a Novel Digital Tool in Automatic Scoring of an Online ECG
   Examination at an International Cardiology Meeting
SO ANNALS OF NONINVASIVE ELECTROCARDIOLOGY
VL 21
IS 4
BP 376
EP 381
DI 10.1111/anec.12311
PD JUL 2016
PY 2016
AB Background: We have previously developed a novel digital tool capable of
   automatically recognizing correct electrocardiography (ECG) diagnoses in
   an online exam and demonstrated a significant improvement in diagnostic
   accuracy when utilizing an inductive-deductive reasoning strategy over a
   pattern recognition strategy. In this study, we sought to validate these
   findings from participants at the International Winter Arrhythmia School
   meeting, one of the foremost electrophysiology events in Canada.
   Methods: Preregistration to the event was sent by e-mail. The exam was
   administered on day 1 of the conference. Results and analysis were
   presented the following morning to participants.
   Results: Twenty-five attendees completed the exam, providing a total of
   500 responses to be marked. The online tool accurately identified 195 of
   a total of 395 (49%) correct responses (49%). In total, 305 responses
   required secondary manual review, of which 200 were added to the correct
   responses pool. The overall accuracy of correct ECG diagnosis for all
   participants was 69% and 84% when using pattern recognition or
   inductive-deductive strategies, respectively.
   Conclusion: Utilization of a novel digital tool to evaluate ECG
   competency can be set up as a workshop at international meetings or
   educational events. Results can be presented during the sessions to
   ensure immediate feedback.
ZS 0
TC 1
ZR 0
ZA 0
ZB 0
Z8 0
Z9 1
U1 0
U2 4
SN 1082-720X
EI 1542-474X
UT WOS:000383624300006
PM 26391811
ER

PT J
AU Wu, Dan
   Li, Yizhe
TI Online health information seeking behaviors among Chinese elderly
SO LIBRARY & INFORMATION SCIENCE RESEARCH
VL 38
IS 3
BP 272
EP 279
DI 10.1016/j.lisr.2016.08.011
PD JUL 2016
PY 2016
AB The Internet has become an important source of health information for
   elderly people in China. A controlled user experiment was conducted to
   understand how Chinese elderly people search for online health
   information. Twenty elderly people completed three search tasks based on
   three different health information seeking contexts. Online health
   information seeking behavior patterns of the elderly were found to
   include reselecting from results pages, following hyperlinks, and using
   a query reformulation patter. There was no significant difference with
   respect to emotion and the three task contexts, as elderly people have
   positive attitudes regarding the health information seeking process, but
   cognition within the three task contexts displayed significant
   differences. There was a significant correlation between education and
   Internet search proficiency regarding task search performance, while
   health condition, familiarity with the Internet and credibility of
   online health information were found to be primary factors that
   influenced the decision of the elderly to search for online health
   information. (C) 2016 Elsevier Inc. All rights reserved.
ZA 0
Z8 1
ZS 0
TC 17
ZR 0
ZB 0
Z9 18
U1 10
U2 170
SN 0740-8188
EI 1873-1848
UT WOS:000385909000011
ER

PT J
AU Yoong, Deborah
   Naccarato, Mark
   Sharma, Malika
   Wilton, James
   Senn, Heather
   Tan, Darrell H. S.
TI Preparing for pre-exposure prophylaxis: perceptions and readiness of
   Canadian pharmacists for the implementation of HIV pre-exposure
   prophylaxis
SO INTERNATIONAL JOURNAL OF STD & AIDS
VL 27
IS 8
BP 608
EP 616
DI 10.1177/0956462415589896
PD JUL 2016
PY 2016
AB Pre-exposure prophylaxis (PrEP) has been shown to reduce the risk of HIV
   transmission but has the potential to cause harm if not used properly.
   Pharmacists are well-positioned to foster PrEP's efficacy but little is
   known whether they would endorse it as an HIV prevention tool. The
   objective of the study was to determine Canadian HIV pharmacists'
   support for PrEP and to identify current barriers to promoting PrEP.
   Canadian pharmacists with experience in HIV care were invited to
   complete an online survey about their experiences, opinions, and
   learning needs regarding PrEP from December 2012 to January 2013. Among
   the 59 surveys received, 48 met criteria for final analysis. Overall, 33
   (69%) respondents would provide education positively supporting the use
   of PrEP and 26 (54%) believed Health Canada should approve PrEP for use
   in Canada. Familiarity with the concept of PrEP and practice
   characteristics examined did not appear to be significantly associated
   with support for PrEP in univariable analyses. The principal barriers to
   promoting PrEP included inadequate drug coverage and insufficient
   knowledge to educate others. Many Canadian HIV pharmacists would endorse
   PrEP for high-risk patients; however, wider dissemination of information
   and lower drug costs may be needed to make PrEP more widely promoted.
OI Sharma, Malika/0000-0002-3729-4554; Wilton, James/0000-0002-2295-7511
ZB 1
TC 10
ZS 1
Z8 0
ZA 0
ZR 0
Z9 11
U1 0
U2 5
SN 0956-4624
EI 1758-1052
UT WOS:000377772100002
PM 26025254
ER

PT J
AU Mohammadi, Mina
   Hill, Catherine
   Chaney, Susan
TI Is transcatheter aortic valve replacement a safe treatment for elderly
   patients with severe aortic valve stenosis?
SO JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
VL 28
IS 7
BP 387
EP 392
DI 10.1002/2327-6924.12338
PD JUL 2016
PY 2016
AB Purpose: This article's purpose is to make advanced practice nurses
   (APNs) aware of a minimally invasive transcatheter aortic valve
   replacement (TAVR) for treating symptomatic severe aortic valve stenosis
   in elderly patients. These patients are not safe surgical candidates
   because of their age and prohibitive risk profile, but they can benefit
   from valve replacement.
   Methods: A systematic literature review was completed by searching
   online databases such as CINAHL, PubMed, and Google. Research articles
   from 2008 to 2014 were retrieved from various medical journals such as
   The American Journal of Cardiology, Yale Journal of Biology and
   Medicine, Journal of the American Medical Association, and New England
   Journal of Medicine. Key words used in the search were aortic valve
   replacement, elderly patients, and severe aortic stenosis (AS).
   Conclusion: Minimally invasive TAVR is highly superior to the medical
   treatment including aortic valvuloplasty and is noninferior to the
   surgical aortic valve replacement for the treatment of symptomatic
   severe aortic valve stenosis in elderly patients who are not safe
   surgical candidates.
   Implications for practice: APNs have the education and skills to
   diagnose AS. Hence, they should stay abreast of new treatments and
   provide safe care and referrals for their patients diagnosed with severe
   AS.
ZA 0
ZB 0
TC 2
ZR 0
Z8 0
ZS 0
Z9 2
U1 0
U2 5
SN 2327-6886
EI 2327-6924
UT WOS:000384920800008
PM 26728319
ER

PT J
AU Castle, Megan
   Kick, Laura
   Haseley, Heather
   Wallach, Harlan
   Woodruff, Teresa K.
TI Introduction to Reproduction: Online Education for the Millennial
   Learner
SO BIOLOGY OF REPRODUCTION
VL 95
IS 1
AR 29
DI 10.1095/biolreprod.116.140004
PD JUL 1 2016
PY 2016
AB Despite staggering rates of sexually transmitted infections and
   unplanned pregnancies, reproductive health education is not yet
   standardized across secondary or postsecondary curricula. The Women's
   Health Research Institute and Northwestern University Information
   Technology created Introduction to Reproduction, a massive open online
   course to encourage global students to learn the biological foundations
   of reproductive health. This digital education experience appeals to the
   Millennial learner and offers unique opportunities to explore topics in
   reproductive biology via lectures, animations, and three-dimensional
   anatomical illustrations. Data were collected anonymously from
   de-identified learners who elected to self-report on their experiences
   while completing the course as well as through Coursera datasets.
   Northwestern University's Institutional Review Board classified this
   research project as an exempt status due to the de-identified nature of
   the collected data. Participants from 47 countries report on
   reproductive health content knowledge, past reproductive health
   education, and level of engagement with the topic. These data indicate
   that the Introduction to Reproduction course has a meaningful impact on
   its participants and presents the information in a concise and
   accessible format. Distribution of this course to a wider audience is
   the goal for the program and important to the field of reproductive
   health.
OI Woodruff, Teresa/0000-0002-1197-3399
ZB 1
ZA 0
TC 5
Z8 0
ZS 0
ZR 0
Z9 5
U1 0
U2 21
SN 0006-3363
EI 1529-7268
UT WOS:000383139500008
PM 27335073
ER

PT J
AU Chen, Ji
   Loyeung, Bertrand
   Zaslawski, Chris
   Liang, Fan-Rong
   Li, Wei-Hong
TI Comparison of traditional Chinese medicine education between mainland
   China and Australia-a case study.
SO Journal of integrative medicine
VL 14
IS 4
BP 291
EP 6
DI 10.1016/S2095-4964(16)60259-5
PD 2016-Jul
PY 2016
AB OBJECTIVE: To analyze and compare the curriculum and delivery of a
   Chinese and Australian university-level Chinese medicine program.
   METHODS: A review of PubMed and the Chinese National Knowledge
   Infrastructure for relevant educational papers was undertaken. Online
   and paper documents available at the University of Technology Sydney
   (UTS) and the Chengdu University of Traditional Chinese Medicine
   (CDUTCM) were read and analyzed. In addition, in-depth interviews with
   academics from the two universities were conducted during 2014 to 2015.
   RESULTS: The two Chinese medicine programs share the common goal of
   providing health services to the local community, but differ in some
   aspects when the curricula are compared. Areas such as student profile,
   curriculum structure, teaching approaches and education quality
   assurance were found to be different. The UTS program adopts a "flipped
   learning" approach with the use of educational technology aiming at
   improving learning outcomes. On the other hand, the CDUTCM has better
   clinical facilities and specialist physician resources.
   CONCLUSION: A better understanding of the different curricula and
   approaches to Chinese medicine education will facilitate student
   learning and educational outcomes.
ZA 0
ZB 1
ZR 0
ZS 0
Z8 2
TC 10
Z9 12
U1 1
U2 12
SN 2095-4964
UT MEDLINE:27417175
PM 27417175
ER

PT J
AU Narayanan, Siva
   Hautamaki, Emily
TI Oncologist Support for Consolidated Payments for Cancer Care Management
   in the United States.
SO American health & drug benefits
VL 9
IS 5
BP 280
EP 9
PD 2016-Jul
PY 2016
AB BACKGROUND: The cost of cancer care in the United States continues to
   rise, with pressure on oncologists to provide high-quality,
   cost-effective care while maintaining the financial stability of their
   practice. Existing payment models do not typically reward care
   coordination or quality of care. In May 2014, the American Society of
   Clinical Oncology (ASCO) released a payment reform proposal (revised in
   May 2015) that includes a new payment structure for quality-of-care
   performance metrics.
   OBJECTIVES: To assess US oncologists' perspectives on and support for
   ASCO's payment reform proposal, and to determine use of quality-of-care
   metrics, factors influencing their perception of value of new cancer
   drugs, the influence of cost on treatment decisions, and the perceptions
   of the reimbursement climate in the country.
   METHODS: Physicians and medical directors specializing in oncology in
   the United States practicing for at least 2 years and managing at least
   20 patients with cancer were randomly invited, from an online physician
   panel, to participate in an anonymous, cross-sectional, 15-minute online
   survey conducted between July and November 2014. The survey assessed
   physicians' level of support for the payment reform, use of
   quality-of-care metrics, factors influencing their perception of the
   value of a new cancer drug, the impact of cost on treatment
   decision-making, and their perceptions of the overall reimbursement
   climate. Descriptive statistics (chi-square tests and t-tests for
   discrete and continuous variables, respectively) were used to analyze
   the data. Logistic regression models were constructed to evaluate the
   main payment models described in the payment reform proposal.
   RESULTS: Of the 231 physicians and medical directors who participated in
   this study, approximately 50% strongly or somewhat supported the
   proposed payment reform. Stronger support was seen among survey
   respondents who were male, who rated the overall reimbursement climate
   as excellent/good, who have a contract with a commercial payer that
   reimburses for dispensed oral cancer drugs, or who practice in a
   hospital setting. The use of at least 1 quality-of-care metric was more
   common among respondents participating in an accountable care
   organization (ACO) than among those not participating in an ACO (92.6%
   vs 83.2%, respectively; P = .0380). The most common metric used by the
   physicians in their practice setting was patient satisfaction scores
   (60.1%). Accountability for delivering high-quality care was supported
   by 74.9% of respondents; those who practice in a hospital setting were
   twice as likely as those in private practice to support accountability
   for quality of care (81.3% vs 67.6%; odds ratio, 2.1; P = .0176).
   CONCLUSION: Support for ASCO's payment reform proposal is mixed among
   oncology physicians and medical directors, underscoring the importance
   of continuous and broader engagement of practicing physicians around the
   country via outreach and dialogue on topics that impact their clinical
   practices, as well as providing education or awareness activities by
   ASCO to its membership.
ZB 0
Z8 0
ZA 0
ZS 0
TC 4
ZR 0
Z9 4
U1 0
U2 2
SN 1942-2962
UT MEDLINE:27625745
PM 27625745
ER

PT J
AU Ibrahim, N.
   de Tournemire, R.
   Jacquin, P.
   Stheneur, C.
   Boudailliez, B.
TI Perception of adolescent medicine among French pediatric residents
SO ARCHIVES DE PEDIATRIE
VL 23
IS 7
BP 695
EP 705
DI 10.1016/j.arcped.2016.04.002
PD JUL 2016
PY 2016
AB Purpose. The perception of adolescent medicine (AM) among future
   pediatricians in France has scarcely been explored although adolescent
   health care is an integral part of the pediatrician's job. Moreover,
   pediatric residents seem to have a lack of enthusiasm for this field.
   The aim of this study was to assess the beliefs and perceptions of
   fourth-year French pediatric residents regarding adolescents and AM.
   Methodology. We conducted a national electronic survey among French
   pediatric residents in their last year of residency. An original
   51-item, open-ended declarative questionnaire was sent out including
   questions on demographics, career expectations, AM block rotation
   experiences, and perceptions and beliefs regarding adolescents and AM.
   Difficulties and barriers experienced in this field were investigated.
   Queries about residents' specific AM courses and about their educational
   needs were also explored.
   Results. The survey was conducted online between January and March 2015.
   There were 121 respondents, achieving a 43% response rate. The majority
   of respondents perceived teens as interesting (75%), vulnerable (83%),
   and time-consuming (84%). Up to four fifths of respondents (81%)
   considered AM to be a skill that all pediatricians should acquire. A
   subgroup analysis showed that the residents who had not experienced an
   AM block rotation did notseem to be convinced of the need for training
   in this field (P = 0.09). The following issues were reported as major
   difficulties by residents: providing care for teens reluctant to seek
   health care (65%), managing violent behavior among adolescents in the
   emergency ward (98%), and managing adolescents who attempt suicide
   (80%). Less than half (45%) of the residents reported their residency
   program had a specific AM course. Among them, 73% attended the lectures
   and 57% found them useful. One third (32%) of the respondents had
   experienced a 2-month block rotation in the field of AM during their
   residency.
   Discussion. This is the first nationwide study in France in this field.
   Although the response rate is below 50%, it exceeded our expectations.
   Our results are in line with previous studies showing that pediatric
   residents report a high interest in working with adolescents and yet
   their educational needs in AM are unmet. The limitations of this study
   include the self-selection bias and implicit limitations carried by the
   phrasing of the survey questions.
   Conclusions. There is a need to devise a better educational approach
   combining a broader proposal of AM block rotations together with a
   specific competency framework in adolescent health, since we know it
   improves the quality of health care delivered to adolescents. Moreover,
   training pediatricians in AM is a public health priority so as to comply
   with medical schools' principles of social accountability and address
   the priority health needs for an efficient, equitable, and sustainable
   health system. At a time when postgraduate reform is being made, the
   inclusion of an AM curriculum in the general pediatrician course is
   necessary. (C) 2016 Published by Elsevier Masson SAS.
ZA 0
Z8 0
ZB 2
ZS 0
TC 3
ZR 0
Z9 3
U1 0
U2 3
SN 0929-693X
EI 1769-664X
UT WOS:000380184300005
PM 27262627
ER

PT J
AU Tancred, Tara M.
   Chleiff, Meike
   Peters, David H.
   Balabandva, Dina
TI Health policy and systems research training: global status and
   recommendations for action
SO BULLETIN OF THE WORLD HEALTH ORGANIZATION
VL 94
IS 7
BP 491
EP 500
DI 10.2471/BLT.15.162818
PD JUL 2016
PY 2016
AB Objective To investigate the characteristics of health policy and
   systems research training globally and to identify recommendations for
   improvement and expansion.
   Methods We identified institutions offering health policy and systems
   research training worldwide. In 2014, we recruited participants from
   identified institutions for an online survey on the characteristics of
   the institutions and the courses given. Survey findings were explored
   during in-depth interviews with selected key informants.
   Findings The study identified several important gaps in health policy
   and systems research training. There were few courses in central and
   eastern Europe, the Middle East, North Africa or Latin America. Most
   (116/152) courses were instructed in English. Institutional support for
   courses was often lacking and many institutions lacked the critical mass
   of trained individuals needed to support doctoral and postdoctoral
   students. There was little consistency between institutions in
   definitions of the competencies required for health policy and systems
   research. Collaboration across disciplines to provide the range of
   methodological perspectives the subject requires was insufficient.
   Moreover, the lack of alternatives to on-site teaching may preclude
   certain student audiences such as policy-makers.
   Conclusion Training in health policy and systems research is important
   to improve local capacity to conduct quality research in this field. We
   provide six recommendations to improve the content, accessibility and
   reach of training. First, create a repository of information on courses.
   Second, establish networks to support training. Third, define
   competencies in health policy and systems research. Fourth, encourage
   multidisciplinary collaboration. Fifth, expand the geographical and
   language coverage of courses. Finally, consider alternative teaching
   formats.
TC 5
ZB 0
Z8 0
ZR 0
ZA 0
ZS 0
Z9 5
U1 0
U2 3
SN 0042-9686
EI 1564-0604
UT WOS:000380733400012
PM 27429488
ER

PT J
AU Stewart, David A.
   Junn, Justin
   Adams, Megan A.
   Spencer-Segal, Joanna L.
   Perdoncin, Emily
   Lopez, Kerri
   Kim, Christopher S.
TI House Staff Participation in Patient Safety Reporting: Identification of
   Predominant Barriers and Implementation of a Pilot Program
SO SOUTHERN MEDICAL JOURNAL
VL 109
IS 7
BP 395
EP 400
PD JUL 2016
PY 2016
AB Objectives Patient safety event (PSE) reporting is a critical element
   for healthcare organizations that are striving for continuous quality
   improvement. Although resident physicians routinely provide the majority
   of direct patient care, the level of their participation in PSE
   reporting historically has been low. In addition, as part of the
   Accreditation Council for Graduate Medical Education's Next
   Accreditation System, the Clinical Learning Environment Review site
   visit assesses residents' engagement in PSE reporting at each accredited
   academic institution. The objective of this study was to understand the
   common barriers to PSE reporting and design an intervention to increase
   the number of PSE reports by resident physicians.
   Methods We surveyed 304 residents and fellows to assess attitudes toward
   the PSE reporting system and identify barriers to submitting online PSE
   reports. Based on this analysis of barriers, we piloted interventions
   with the internal medicine residency program and measured their effect
   on resident PSE reporting.
   Results Of the survey respondents, 58% had never submitted a PSE report.
   The most commonly identified barriers were too much time required to
   submit a report (38% of all respondents), lack of education on how or
   what to report (37%), lack of feedback or change after reporting (19%),
   and concern for repercussions or lack of anonymity (13%). Based on this
   analysis of barriers, we piloted interventions with the internal
   medicine residency program to educate residents about PSE reporting
   through a reminder message in their orientation e-mail, informational
   slides at the end of conferences that described what and how to report,
   a pocket card with reporting instructions, and leadership encouragement
   during walk rounds by chief medical residents and the program director.
   Compared with the 10 weeks before the start of the intervention, the
   number of PSE reports submitted by internal medicine residents more than
   doubled, from 16 to 37 reports (P < 0.01). This increase in resident PSE
   reporting was sustained for 20 weeks despite the interventions lasting
   only 8 weeks.
   Conclusions A resident-driven intervention that fostered a culture of
   encouragement for PSE reporting through leadership support and targeted
   education increased the number of PSE reports submitted by internal
   medicine residents at our health system. Hospitals and health systems
   should seek to understand the common barriers to PSE reporting from this
   important group of direct patient care providers and administer
   structured educational programs to encourage their participation.
RI Adams, Megan A./V-1654-2019; Lopez, Kerri/
OI Adams, Megan A./0000-0002-3878-7684; Lopez, Kerri/0000-0002-4646-2564
Z8 0
ZR 0
TC 11
ZB 1
ZS 0
ZA 0
Z9 11
U1 2
U2 16
SN 0038-4348
EI 1541-8243
UT WOS:000380240200003
PM 27364020
ER

PT J
AU Dichgans, Martin
   Planas, Anna M.
   Biessels, Geert Jan
   van der Worp, Bart
   Sudlow, Cathie
   Norrving, Bo
   Lees, Kennedy
   Mattle, Heinrich P.
TI Third European Stroke Science Workshop
SO STROKE
VL 47
IS 7
BP e178
EP e186
DI 10.1161/STROKEAHA.116.013516
PD JUL 2016
PY 2016
AB Lake Eibsee, Garmisch-Partenkirchen, November 19 to 21, 2015: The
   European Stroke Organization convened >120 stroke experts from 27
   countries to discuss latest results and hot topics in clinical,
   translational, and basic stroke research. Since its inception in 2011,
   the European Stroke Science Workshop has become a cornerstone of
   European Stroke Organization's academic activities and major highlight
   for researchers in the field. Participants include stroke researchers at
   all career stages who convene for plenary lectures and discussions, thus
   facilitating crosstalk among researchers from different fields. As in
   previous years, the workshop was organized into 7 scientific sessions
   each focusing on a major research topic. All sessions started with a
   keynote lecture that provided an overview on current developments and
   set the scene for the following presentations. The latter were short
   focused talks on a timely topic and included the most recent findings,
   including unpublished data. A new element at this year's meeting was a
   hot topic session in which speakers had to present a provocative concept
   or update sharply within 5 minutes. In the following, we summarize the
   key contents of the meeting. The program is provided in the online-only
   Data Supplement.
RI Planas, Anna/J-5991-2014; Sudlow, Cathie/; Dichgans, Martin/
OI Planas, Anna/0000-0002-6147-1880; Sudlow, Cathie/0000-0002-7725-7520;
   Dichgans, Martin/0000-0002-0654-387X
ZS 0
TC 0
ZB 0
ZR 0
ZA 0
Z8 0
Z9 0
U1 0
U2 5
SN 0039-2499
EI 1524-4628
UT WOS:000379844900001
PM 27283200
ER

PT J
AU Chidiac, Amanda
   Tamim, Hani
   Kanso, Mohamad
   Tfayli, Arafat
TI Smoking among Lebanese medical students: Prevalence and attitudes
SO ANNALS OF THORACIC MEDICINE
VL 11
IS 3
BP 183
EP 190
DI 10.4103/1817-1737.185757
PD JUL-SEP 2016
PY 2016
AB INTRODUCTION: The tobacco epidemic is a major public health threat
   facing the world. Tobacco dependence is recognized as the greatest
   preventable cause of disease and death. Medical students are in key
   position influencing future tobacco cessation programs.
   OBJECTIVES: The primary objective of this study is to evaluate the
   prevalence of smoking among medical students across Lebanon and their
   smoking attitudes. It also investigates their attitude toward smoking,
   showing where they really stand on this major public health issue. This
   study helps better tackle anti-smoking campaigns among both physicians
   and patients.
   METHODS: This cross-sectional study was conducted by sending a
   questionnaire to currently enrolled medical students at all seven
   medical schools in Lebanon. The 32-item questionnaire was used,
   comprised three sections assessing sociodemographic characteristics,
   smoking habits, and attitudes toward smoking among Lebanese medical
   students. The questionnaire was launched online on Limesurvey to retain
   anonymity. The data were then transferred to Statistical Package for
   Social Sciences for analysis. Data were expressed as percentages for
   discrete variables and as mean +/- standard deviation for continuous
   variables.
   RESULTS: One hundred sixty-three complete responses remained of the 182
   obtained responses. Forty-two of the total 163 students identified
   themselves as either daily or occasional smokers yielding a prevalence
   of 25.8%. Smokers were less likely to ask patients about their smoking
   habit and to counsel them about smoking cessation. Almost one-third of
   smokers felt that they had no obligations toward the society.
   CONCLUSION: Approximately 1 in 4 Lebanese medical students is a smoker.
   Students who smoke are less likely to ask patients about their smoking
   habits and to counsel them on smoking cessation. This is a major
   drawback in the fight against tobacco. This calls for better education
   of our future doctors on smoking cessation to decrease the smoking
   burden on our Lebanese society and worldwide.
ZS 0
ZA 0
ZB 2
TC 7
Z8 1
ZR 0
Z9 8
U1 0
U2 4
SN 1817-1737
EI 1998-3557
UT WOS:000381284700004
PM 27512507
ER

PT J
AU Guraya, Salman Y
TI The Usage of Social Networking Sites by Medical Students for Educational
   Purposes: A Meta-analysis and Systematic Review.
SO North American journal of medical sciences
VL 8
IS 7
BP 268
EP 78
DI 10.4103/1947-2714.187131
PD 2016-Jul
PY 2016
AB BACKGROUND: Online social networking sites (SNSs) (e.g., Facebook,
   MySpace, Flickr, Twitter and YouTube) have emerged as rapidly growing
   mechanisms to exchange personal and professional information among
   university students. This research aims to determine the medical
   students' extent of usage of SNSs for educational purposes.
   MATERIALS AND METHODS: Educational Resources Information Centre (ERIC),
   Cumulative Index of Nursing and Allied Health Literature (CINAHL), the
   Cochrane library, and Excerpta Medica Data Base (EMBASE) were searched
   to retrieve articles from 2004 to 2014, applying predefined search terms
   and inclusion criteria. The extracted 10 articles were outlined in a
   narrative synthesis of Quality, Utility, Extent, Strength, Target and
   Setting of the evidence (QUESTS).
   RESULTS: Majority (75%) of the respondents admitted using SNSs, whereas
   20% used these sites for sharing academic and educational information.
   No single study explored the impact of the SNSs on the academic
   performance.
   CONCLUSION: Understanding and knowledge of the significant use of SNSs
   by the medical students demand inclusion of such domains in medical
   curricula. This will train tomorrow's doctors in fostering their skills
   of digital technology for educational purposes.
RI Guraya, Salman/ABC-9493-2021; Guraya, Salman/AEN-6633-2022
OI Guraya, Salman/0000-0001-5183-023X; Guraya, Salman/0000-0001-5183-023X
ZB 3
TC 81
Z8 0
ZR 1
ZS 1
ZA 0
Z9 83
U1 1
U2 63
SN 2250-1541
UT MEDLINE:27583234
PM 27583234
ER

PT J
AU Vaitsis, Christos
   Stathakarou, Natalia
   Barman, Linda
   Zary, Nabil
   McGrath, Cormac
TI Using Competency-Based Digital Open Learning Activities to Facilitate
   and Promote Health Professions Education (OLAmeD): A Proposal.
SO JMIR research protocols
VL 5
IS 3
BP e143
EP e143
DI 10.2196/resprot.4974
PD 2016 Jul 07
PY 2016
AB BACKGROUND: Traditional learning in medical education has been
   transformed with the advent of information technology. We have recently
   seen global initiatives to produce online activities in an effort to
   scale up learning opportunities through learning management systems and
   massive open online courses for both undergraduate and continued
   professional education. Despite the positive impact of such efforts,
   factors such as cost, time, resources, and the specificity of
   educational contexts restrict the design and exchange of online medical
   educational activities.
   OBJECTIVE: The goal is to address the stated issues within the health
   professions education context while promoting learning by proposing the
   Online Learning Activities for Medical Education (OLAmeD) concept which
   builds on unified competency frameworks and generic technical standards
   for education.
   METHODS: We outline how frameworks used to describe a set of
   competencies for a specific topic in medical education across medical
   schools in the United States and Europe can be compared to identify
   commonalities that could result in a unified set of competencies
   representing both contexts adequately. Further, we examine how technical
   standards could be used to allow standardization, seamless sharing, and
   reusability of educational content.
   RESULTS: The entire process of developing and sharing OLAmeD is
   structured and presented in a set of steps using as example Urology as a
   part of clinical surgery specialization.
   CONCLUSIONS: Beyond supporting the development, sharing, and repurposing
   of educational content, we expect OLAmeD to work as a tool that promotes
   learning and sets a base for a community of medical educational content
   developers across different educational contexts.
RI McGrath, Cormac/H-8935-2019; Zary, Nabil/M-9432-2019; Barman, Linda/; Vaitsis, Christos/; Stathakarou, Natalia/
OI McGrath, Cormac/0000-0002-8215-3646; Zary, Nabil/0000-0001-8999-6999;
   Barman, Linda/0000-0001-7148-3271; Vaitsis,
   Christos/0000-0002-4375-0376; Stathakarou, Natalia/0000-0002-7159-5801
ZA 0
TC 2
ZR 0
ZB 1
ZS 0
Z8 0
Z9 2
U1 1
U2 8
SN 1929-0748
UT MEDLINE:27390226
PM 27390226
ER

PT J
AU Carter, John
   McClellan, Nicholas
   McFaul, Derek
   Massey, Blaine
   Guenther, Elisabeth
   Kisby, Glen
TI Assessment of Research Interests of First-Year Osteopathic Medical
   Students.
SO The Journal of the American Osteopathic Association
VL 116
IS 7
BP 472
EP 8
DI 10.7556/jaoa.2016.091
PD 2016-07-01
PY 2016
AB CONTEXT: According to a 2014 survey, 59% of students entering allopathic
   medical school reported previous research experience. However, limited
   data exist on the amount of research experience that students have
   before entering osteopathic medical school. A strong understanding of
   the research skills and level of interest of first-year osteopathic
   medical students is essential for developing research programs at
   osteopathic medical schools. Limited data exist on the amount of
   research experience that students have before starting osteopathic
   medical school. A strong understanding of the research skills and level
   of interest of first-year medical students is essential for developing
   research programs at osteopathic medical schools.
   OBJECTIVE: To determine the amount of previous research experience of
   first-year osteopathic medical students, their level of interest in
   participating in research during medical school, the factors influencing
   their interest in research, and their research fields of interest.
   METHODS: First-year osteopathic medical students (class of 2019) at the
   Western University of Health Sciences, College of Osteopathic Medicine
   of the Pacific in Pomona, California (WesternU/COMP), and
   Pacific-Northwest in Lebanon, Oregon (WesternU/COMP-Northwest), campuses
   were surveyed about their previous research experiences and whether they
   were interested in participating in research during medical school.
   Surveys were administered through an anonymous online portal. Responses
   were evaluated for evidence of interest in conducting research.
   RESULTS: Of the 346 osteopathic medical students invited to participate
   in the study, the response rate was 77% (N=266). A total of 167 from
   WesternU/COMP and 99 from the WesternU/COMP-Northwest responded. More
   than 215 students (81%) reported they had participated in research
   before entering medical school. In addition, 200 students (75%) either
   expressed a strong interest in participating in research during medical
   school or were currently conducting research. Among research areas,
   clinical research was the overwhelming favorite, with 218 students (82%)
   expressing interest.
   CONCLUSION: First-year osteopathic students may have comparable amounts
   of research experience as allopathic medical students. Although these
   findings are limited to 2 campuses of 1 osteopathic medical school, they
   suggest that first-year osteopathic medical students are highly
   motivated to participate in research while in medical school.
OI McClellan, Nicholas/0000-0001-6456-0005
TC 9
ZR 0
ZB 0
ZA 0
ZS 0
Z8 0
Z9 9
U1 0
U2 1
EI 1945-1997
UT MEDLINE:27367952
PM 27367952
ER

PT J
AU Tariman, Joseph D.
   Gleason, Charise
   Faiman, Beth
   Doss, Deborah
   Catamero, Donna
   Bishop-Royse, Jessica
   Katz, Mike
   Kurtin, Sandra
   Moran, Diane
   Lonial, Sagar
CA IMF Nurse Leadership Board
TI Lack of health maintenance examinations and risk in myeloma patients
SO CANCER MEDICINE
VL 5
IS 7
BP 1425
EP 1435
DI 10.1002/cam4.716
PD JUL 2016
PY 2016
AB Health maintenance (HM) practices are essential to prevent illness,
   promote well-being, and maximize health. Patients with multiple myeloma
   (MM) are at increased risk for cardiovascular disease and cancers, yet,
   research on HM practices and preventative care of MM survivors has
   limited report. The study comprised a descriptive, correlational, and
   cross-sectional online survey design. Survey of patients with MM was
   carried out through the International Myeloma Foundation (IMF) and the
   Association of Cancer Online Resources (ACOR) e-mail list services. The
   members of the IMF and ACOR e-mail list services were surveyed, of which
   237 patients responded. The modified Medical Expenditure Preventive
   Survey-Preventive Care questionnaire was used; it included items that
   ask patients regarding their healthcare practices that relate to dental
   care, cancer prevention, addiction, lifestyles, sensory screening,
   immunizations, cardiovascular, endocrine, psychosocial, and bone health.
   Descriptive statistics, Pearson's chi-square, and Spearman's rho
   correlation coefficient were obtained. In this study, men had
   statistically significant inferior global health maintenance scores than
   women (P = 0.002). Being employed (P = 0.054) and married or partnered
   (P = 0.017) were significantly correlated with better health maintenance
   patterns among male respondents. In contrast, no statistically
   significant correlations between sociodemographic factors and health
   maintenance patterns were found in women. Patients with MM, particularly
   men, require continued education and close monitoring of health
   maintenance practices. These findings are consistent with publications
   looking at gender disparities in healthcare utilization in the United
   States. Studies show that men, in general, are less likely to seek
   preventative healthcare screenings. Healthcare providers must
   incorporate health maintenance promotion during clinic visits.
OI Tariman, Joseph D/0000-0002-4986-2627; Bishop-Royse,
   Jessica/0000-0002-9198-3115
ZR 0
TC 3
ZA 0
ZS 0
ZB 0
Z8 0
Z9 3
U1 0
U2 4
SN 2045-7634
UT WOS:000380048900008
PM 27119422
ER

PT J
AU Canzian, Sonya
   Nanni, Jessica
   McFarlan, Amanda
   Chalklin, Kathryn
   Sorvari, Anne
   Barratt, Lee
   Blanchette, Shirley Ann
   Li, Yangmei
   Topolovec-Vranic, Jane
TI Application and Evaluation of Knowledge Retention Related to Advanced
   Trauma Care for Nurses (ATCN) Course Content: A Preliminary Study
SO JOURNAL OF TRAUMA NURSING
VL 23
IS 4
BP 202
EP 209
DI 10.1097/JTN.0000000000000216
PD JUL-AUG 2016
PY 2016
AB The Advanced Trauma Care for Nurses (ATCN) course was designed to help
   nurses increase their knowledge in management of the multiple trauma
   patient. To determine whether the trauma-related knowledge of ATCN
   course takers differed from nontakers, assess the factors associated
   with ATCN content knowledge among course takers, and explore the extent
   to which the ATCN content was used by course takers in their clinical
   practice. A cross-sectional online survey of 78 ATCN takers (nurses who
   had successfully completed the ATCN course within the previous 3 years)
   and 58 ATCN nontakers (a control group of nurses who had not taken the
   course but who worked in comparable clinical settings) was conducted.
   The survey consisted of demographic questions and a 15-item knowledge
   test spanning the ATCN course content. ATCN takers were also asked about
   the frequency with which a specific ATCN content had been used in their
   practice since taking the course. ATCN takers had a significantly higher
   (mean +/- SD = 10.6 +/- 2.2) total score on the study test than the ATCN
   nontakers (mean +/- SD = 6.4 +/- 2.6); t (134) = -10.0, p < .001. A
   shorter time since course completion was associated with higher
   knowledge scores. ATCN takers rated the clinical relevance and
   applicability of the course content as high. The findings suggest that
   completing the ATCN course increases knowledge levels of trauma patient
   management and that the ATCN course content is clinically relevant to
   the nurses. However, higher knowledge scores were observed for the most
   recent study participants, suggesting that booster sessions for ATCN
   course participants may be warranted.
RI Topolovec-Vranic, Jane/A-5293-2013
OI Topolovec-Vranic, Jane/0000-0001-7695-4212
ZS 0
ZR 0
ZB 0
TC 4
Z8 0
ZA 0
Z9 4
U1 0
U2 8
SN 1078-7496
EI 1932-3883
UT WOS:000380503300007
PM 27414142
ER

PT J
AU Kelly, Brendan S.
   Rainford, Louise A.
   Darcy, Sarah P.
   Kavanagh, Eoin C.
   Toomey, Rachel J.
TI The Development of Expertise in Radiology: In Chest Radiograph
   Interpretation, "Expert" Search Pattern May Predate "Expert" Levels of
   Diagnostic Accuracy for Pneumothorax Identification
SO RADIOLOGY
VL 280
IS 1
BP 252
EP 260
DI 10.1148/radiol.2016150409
PD JUL 2016
PY 2016
AB Purpose: To investigate the development of chest radiograph
   interpretation skill through medical training by measuring both
   diagnostic accuracy and eye movements during visual search.
   Materials and Methods: An institutional exemption from full ethical
   review was granted for the study. Five consultant radiologists were
   deemed the reference expert group, and four radiology registrars, five
   senior house officers (SHOs), and six interns formed four clinician
   groups. Participants were shown 30 chest radiographs, 14 of which had a
   pneumothorax, and were asked to give their level of confidence as to
   whether a pneumothorax was present. Receiver operating characteristic
   (ROC) curve analysis was carried out on diagnostic decisions. Eye
   movements were recorded with a Tobii TX300 (Tobii Technology, Stockholm,
   Sweden) eye tracker. Four eye-tracking metrics were analyzed. Variables
   were compared to identify any differences between groups. All data were
   compared by using the Friedman nonparametric method.
   Results: The average area under the ROC curve for the groups increased
   with experience (0.947 for consultants, 0.792 for registrars, 0.693 for
   SHOs, and 0.659 for interns; P = .009). A significant difference in
   diagnostic accuracy was found between consultants and registrars (P =
   .046). All four eye-tracking metrics decreased with experience, and
   there were significant differences between registrars and SHOs. Total
   reading time decreased with experience; it was significantly lower for
   registrars compared with SHOs (P = .046) and for SHOs compared with
   interns (P = .025).
   Conclusion: Chest radiograph interpretation skill increased with
   experience, both in terms of diagnostic accuracy and visual search. The
   observed level of experience at which there was a significant difference
   was higher for diagnostic accuracy than for eye-tracking metrics. (C)
   RSNA, 2016
OI Kelly, Brendan/0000-0002-3449-8017; Rainford, Louise/0000-0001-8587-0782
ZR 0
Z8 0
ZB 13
ZS 0
TC 65
ZA 0
Z9 65
U1 0
U2 12
SN 0033-8419
UT WOS:000378721900028
PM 27322975
ER

PT J
AU Edrich, Thomas
   Stopfkuchen-Evans, Matthias
   Scheiermann, Patrick
   Heim, Markus
   Chan, Wilma
   Stone, Michael B.
   Dankl, Daniel
   Aichner, Jonathan
   Hinzmann, Dominik
   Song, Pingping
   Szabo, Ashley L.
   Frendl, Gyorgy
   Vlassakov, Kamen
   Varelmann, Dirk
TI A Comparison of Web-Based with Traditional Classroom-Based Training of
   Lung Ultrasound for the Exclusion of Pneumothorax
SO ANESTHESIA AND ANALGESIA
VL 123
IS 1
BP 123
EP 128
DI 10.1213/ANE.0000000000001383
PD JUL 2016
PY 2016
AB BACKGROUND: Lung ultrasound (LUS) is a well-established method that can
   exclude pneumothorax by demonstration of pleural sliding and the
   associated ultrasound artifacts. The positive diagnosis of pneumothorax
   is more difficult to obtain and relies on detection of the edge of a
   pneumothorax, called the "lung point." Yet, anesthesiologists are not
   widely taught these techniques, even though their patients are
   susceptible to pneumothorax either through trauma or as a result of
   central line placement or regional anesthesia techniques performed near
   the thorax. In anticipation of an increased training demand for LUS,
   efficient and scalable teaching methods should be developed. In this
   study, we compared the improvement in LUS skills after either Web-based
   or classroom-based training. We hypothesized that Web-based training
   would not be inferior to "traditional" classroom-based training beyond a
   noninferiority limit of 10% and that both would be superior to no
   training. Furthermore, we hypothesized that this short training session
   would lead to LUS skills that are similar to those of ultrasound-trained
   emergency medicine (EM) physicians.
   METHODS: After a pretest, anesthesiologists from 4 academic teaching
   hospitals were randomized to Web-based (group Web), classroom-based
   (group class), or no training (group control) and then completed a
   posttest. Groups Web and class returned for a retention test 4 weeks
   later. All 3 tests were similar, testing both practical and theoretical
   knowledge. EM physicians (group EM) performed the pretest only. Teaching
   for group class consisted of a standardized PowerPoint lecture
   conforming to the Consensus Conference on LUS followed by hands-on
   training. Group Web received a narrated video of the same PowerPoint
   presentation, followed by an online demonstration of LUS that also
   instructs the viewer to perform an LUS on himself using a clinically
   available ultrasound machine and submit smartphone snapshots of the
   resulting images as part of a portfolio system. Group Web received no
   other hands-on training.
   RESULTS: Groups Web, class, control, and EM contained 59, 59, 20, and 42
   subjects. After training, overall test results of groups Web and class
   improved by a mean of 42.9% (+/- 18.1% SD) and 39.2% (+/- 19.2% SD),
   whereas the score of group control did not improve significantly. The
   test improvement of group Web was not inferior to group class. The
   posttest scores of groups Web and class were not significantly different
   from group EM. In comparison with the posttests, the retention test
   scores did not change significantly in either group.
   CONCLUSIONS: When training anesthesiologists to perform LUS for the
   exclusion of pneumothorax, we found that Web-based training was not
   inferior to traditional classroom-based training and was effective,
   leading to test scores that were similar to a group of clinicians
   experienced in LUS.
RI Vlassakov, Kamen/A-9990-2018; Frendl, Gyorgy/AAE-5345-2020; Varelmann, Dirk/AAN-2904-2020; Vlassakov, Kamen/AAH-8166-2021; Varelmann, Dirk/
OI Vlassakov, Kamen/0000-0002-7704-3709; Frendl,
   Gyorgy/0000-0001-8918-8553; Vlassakov, Kamen/0000-0002-7704-3709;
   Varelmann, Dirk/0000-0002-5885-9630
TC 22
ZR 0
ZS 0
ZA 0
Z8 2
ZB 4
Z9 24
U1 1
U2 6
SN 0003-2999
UT WOS:000378083300016
PM 27159073
ER

PT J
AU Peisah, Carmelle
   Bhatia, Sangita
   Macnab, Jenna
   Brodaty, Henry
TI Knowledge translation regarding financial abuse and dementia for the
   banking sector: the development and testing of an education tool
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 31
IS 7
BP 702
EP 707
DI 10.1002/gps.4379
PD JUL 2016
PY 2016
AB ObjectiveFinancial abuse is the most common form of elder abuse.
   Capacity Australia, established to promote education regarding capacity
   and abuse prevention across health, legal and financial sectors, was
   awarded a grant by the Dementia Collaborative Research Centre to educate
   the banking sector on financial abuse and dementia. We aimed to develop
   a knowledge translation tool for bank staff on this issue.
   MethodsThe banking sector across Australia was engaged and consulted to
   develop a tailored education tool based on Australian Banking
   Association's Guidelines on Financial Abuse Prevention, supplemented by
   information related to dementia, financial capacity and supported
   decision-making. The tool was tested on 69 banking staff across
   Australia from two major banks.
   ResultsAn online education tool using adaptive learning was developed,
   comprising a pretest of 15 multiple choice questions, followed by a
   learning module tailored to the individual's performance on the pretest,
   and a post-test to assess knowledge translation. A significant increase
   in scores was demonstrated when baseline scores were compared with
   post-course scores (mean difference in scores=3.5; SD=1.94; t=15.1;
   df=68; p<0.001). The tool took approximately 10-20 min to complete
   depending on the knowledge of participant and continuity of completion.
   ConclusionsThe Australian banking industry was amenable to assist in the
   development of a tailored education tool on dementia, abuse and
   financial capacity. This online e-tool provides an effective medium for
   knowledge translation. Copyright (c) 2015 John Wiley & Sons, Ltd.
ZB 0
ZS 0
TC 6
ZR 0
ZA 0
Z8 0
Z9 6
U1 0
U2 9
SN 0885-6230
EI 1099-1166
UT WOS:000378430100003
PM 26559928
ER

PT J
AU Valsangkar, Nakul P.
   Kays, Joshua K.
   Feliciano, David V.
   Martin, Paul J.
   Parett, Jordan S.
   Joshi, Mugdha M.
   Zinuners, Teresa A.
   Koniaris, Leonidas G.
TI The impact of members of the Society of University Surgeons on the
   scholarship of American surgery
SO SURGERY
VL 160
IS 1
BP 47
EP 53
DI 10.1016/j.surg.2016.03.016
PD JUL 2016
PY 2016
AB Background. A core objective of the Society of University Surgeons (SUS)
   is research focused: to "advance the art and science of surgery through
   original investigation." This study sought to determine the current
   impact of the SUS on academic surgical productivity.
   Methods. Individual faculty data for numbers of publications, citations,
   and National Institute of Health (NIH) funding history were collected
   for 4,015 surgical faculty at the top 55 NIH-funded departments of
   surgery using SCOPUS and the NIH Research Portfolio Online Reporting
   Tools. SUS membership was determined from membership registry data.
   Results. Overall, 502 surgical faculty (12.5 %) were SUS members with
   92.7% holding positions of associate or full professor (versus 59% of
   nonmembers). Median publications (P) and citations (C) among SUS members
   were P: 112, C: 2,460 versus P: 29, C: 467 for nonmembers (P < .001).
   Academic productivity was considerably higher by rank for SUS members
   than for nonmembers: associate professors (P: 61 vs 36, C: 1,199 vs 591,
   P < .001) and full professors (P: 141 vs 81, C: 3,537 vs 1,856, P <
   .001). Among full professors, SUS members had much higher rates of NIH
   funding than did nonmembers (52.6% vs 26%, P < .05) and specifically for
   R01, P01, and U01 awards (37% vs 17.7%, P < .01). SUS members were 2
   times more likely to serve in divisional leadership or chair positions
   (23.5% vs 10.2%, P < .05).
   Conclusion. SUS society members are a highly productive academic group.
   These data support the premise that the SUS is meeting its research
   mission and identify its members as very academically productive
   contributors to research and scholarship in American surgery and
   medicine.
CT 11th Annual Academic Surgical Congress
CY FEB 02-04, 2016
CL Jacksonville, FL
OI Zimmers, Teresa/0000-0001-7872-0540; Kays, Joshua/0000-0003-4260-9386
TC 4
ZB 2
Z8 0
ZA 0
ZR 0
ZS 0
Z9 4
U1 0
U2 4
SN 0039-6060
UT WOS:000378022500008
PM 27181383
ER

PT J
AU Berntorp, Erik
   Hart, Daniel
   Mancuso, Maria Elisa
   d'Oiron, Roseline
   Perry, David
   O'Mahony, Brian
   Kaczmarek, Radoslaw
   Crato, Miguel
   Pasi, John
   Miners, Alec
   Carlsson, Katarina Steen
   Kitchen, Steve
   Boehlen, Francoise
   Giangrande, Paul
   Cebura, Elizabete
   Uitslager, Nanda
   Osooli, Mehdi
   Janeckova, Daniela
   Haldon, Rosie
   Rivolta, Gianna Franca
TI The first Team Haemophilia Education meeting, 2015, Amsterdam, The
   Netherlands
SO EUROPEAN JOURNAL OF HAEMATOLOGY
VL 97
SI SI
BP 3
EP 18
DI 10.1111/ejh.12760
SU 83
PD JUL 2016
PY 2016
AB Haemophilia remains a complex disorder to diagnose and manage, requiring
   close cooperation between multidisciplinary healthcare professionals.
   There are still many unmet challenges in haemophilia care. The first
   Team Haemophilia Education (THE) meeting, held on 7-8 May 2015 in
   Amsterdam, The Netherlands, aimed to promote the optimal care of
   haemophilia patients through education of the multidisciplinary
   treatment team. This was achieved by reviewing the latest developments
   in haemophilia management, considering how these can be implemented in
   the clinic to improve patient care and providing a platform for
   networking and debate for all haemophilia treatment team members.
   Haemophilia treatment centres from several countries were asked to
   complete a premeeting online questionnaire to establish the biggest
   challenges that they face when managing patients. The concerns expressed
   were used to develop the agenda, which comprised a combination of formal
   presentations, case studies and informal workshops covering such topics
   as pharmacokinetics, laboratory assays and tailoring of treatment to
   individual patients. This report is a summary of the key developments in
   haemophilia care presented by various investigators and healthcare
   professionals at THE meeting 2015.
RI Mancuso, Maria Elisa/L-1552-2019; Mancuso, Maria Elisa/AAT-4785-2020; Osooli, Mehdi/A-6457-2009; Rivolta, Gianna Franca/E-5293-2011; d'Oiron, Roseline/; Kaczmarek, Radoslaw/
OI Mancuso, Maria Elisa/0000-0002-7113-4028; Osooli,
   Mehdi/0000-0002-9862-3665; d'Oiron, Roseline/0000-0002-4843-7805;
   Kaczmarek, Radoslaw/0000-0001-8084-1958
ZS 0
ZA 0
ZR 0
ZB 1
TC 3
Z8 0
Z9 3
U1 0
U2 3
SN 0902-4441
EI 1600-0609
UT WOS:000378433500001
PM 27272000
ER

PT J
AU Govindappagari, Shravya
   Zaghi, Sahar
   Zannat, Ferdous
   Reimers, Laura
   Goffman, Dena
   Kassel, Irene
   Bernstein, Peter S.
TI Improving Interprofessional Consistency in Electronic Fetal Heart Rate
   Interpretation
SO AMERICAN JOURNAL OF PERINATOLOGY
VL 33
IS 8
BP 808
EP 813
DI 10.1055/s-0036-1572540
PD JUL 2016
PY 2016
AB Objective To determine if mandatory online training in electronic fetal
   monitoring (EFM) improved agreement in documentation between obstetric
   care providers and nurses on labor and delivery.
   Methods Health care professionals working in obstetrics at our
   institution were required to complete a course on EFM interpretation. We
   performed a retrospective chart review of 701 charts including patients
   delivered before and after the introduction of the course to evaluate
   agreement among providers in their documentation of their
   interpretations of the EFM tracings.
   Results Agreement between provider and nurse documentation at the time
   of admission improved for variability and accelerations (variability:
   91.1 vs. 98.3%, p < 0.001; and accelerations: 75.2 vs. 87.7%, p <
   0.001). Similarly, agreement improved at the time of the last note prior
   to delivery for documentation of variability and accelerations
   (variability: 82.1 vs. 90.6%, p = 0.001; and accelerations: 56.7 vs.
   68.6%, p = 0.0012). Agreement in interpretation of decelerations both at
   the time of admission and at the time of delivery increased (86.3 vs.
   90.6%, p = 0.0787, and 56.7 vs. 61.1%, p = 0.2314, respectively) but was
   not significant.
   Conclusion An online EFM course can significantly improve consistency in
   multidisciplinary documentation of fetal heart rate tracing
   interpretation.
RI Bernstein, Peter/GPT-0124-2022; Iadeluca, Laura/V-2811-2017; Govindappagari, Shravya/AAE-9345-2020
OI Iadeluca, Laura/0000-0002-2379-6094; Govindappagari,
   Shravya/0000-0003-1766-9862
TC 1
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
Z9 1
U1 0
U2 2
SN 0735-1631
EI 1098-8785
UT WOS:000378888600014
PM 26906180
ER

PT J
AU Zaichkin, Jeanette
   Mccarney, Linda
   Weiner, Gary
TI NRP 7th Edition: Are You Prepared?
SO Neonatal network : NN
VL 35
IS 4
BP 184
EP 91
DI 10.1891/0730-0832.35.4.184
PD 2016
PY 2016
AB The seventh edition of the American Academy of Pediatrics/American Heart
   Association Neonatal Resuscitation Program (NRP) materials must be in
   use by January 1, 2017. As in previous editions, changes in
   resuscitation science are based on an international review and consensus
   of current resuscitation science. The seventh edition NRP materials also
   include enhancements to training materials aimed at improving the
   quality of NRP instruction and providing the opportunity for ongoing
   education. A standardized approach to instructor training, an online
   Instructor Toolkit, eSim cases, and a new learning management system are
   among the new resources. 
ZB 1
ZS 0
Z8 0
ZA 0
TC 5
ZR 0
Z9 5
U1 1
U2 1
EI 1539-2880
UT MEDLINE:27461196
PM 27461196
ER

PT J
AU Lewis, Vivian
   Martina, Camille A.
   McDermott, Michael P.
   Trief, Paula M.
   Goodman, Steven R.
   Morse, Gene D.
   LaGuardia, Jennifer G.
   Sharp, Daryl
   Ryan, Richard M.
TI A Randomized Controlled Trial of Mentoring Interventions for
   Underrepresented Minorities
SO ACADEMIC MEDICINE
VL 91
IS 7
BP 994
EP 1001
DI 10.1097/ACM.0000000000001056
PD JUL 2016
PY 2016
AB Purpose
   To conduct a randomized controlled trial to evaluate the effects of
   different mentoring interventions on the basic psychological need
   satisfaction of underrepresented minorities and women in academia.
   Method
   Participants were 150 mentor/protege dyads from three academic medical
   centers and eight other colleges and universities in western and central
   New York, randomized from 2010 to 2013 into mentor training (using
   principles of self-determination theory); peer mentoring for proteges;
   mentor training and peer mentoring for proteges combined; or
   control/usual practice. Protege participants were graduate students,
   fellows, and junior faculty who were from underrepresented groups based
   on race, ethnicity, gender, or disability. The primary analysis was a
   comparison of intervention effects on changes in proteges' satisfaction
   of their basic psychological needs (competence, autonomy, and
   relatedness) with their mentor. They completed a well-validated, online
   questionnaire every two months for one year.
   Results
   There was no significant effect at the end of one year of either mentor
   training or peer mentoring on proteges' psychological basic need
   satisfaction with mentor specifically or at work in general. Exploratory
   analyses showed a significant effect of the mentor-based intervention on
   the proteges' overall psychological need satisfaction with their mentor
   at two months, the time point closest to completing mentor training.
   Conclusions
   This randomized controlled trial showed a potential short-term effect of
   mentor training on changing basic psychological need satisfaction of
   underrepresented scholars with their mentors. Despite the lack of
   sustained effect of either mentor training or peer mentoring, these
   short-term changes suggest feasibility and potential for future study.
RI Trief, Paula/T-6116-2019; Ryan, Richard M./H-1459-2019; La Guardia, Jennifer/N-7741-2013
OI Ryan, Richard M./0000-0002-2355-6154; La Guardia,
   Jennifer/0000-0001-5782-1422
ZS 0
ZA 0
ZR 0
ZB 6
TC 29
Z8 0
Z9 29
U1 0
U2 18
SN 1040-2446
EI 1938-808X
UT WOS:000379379700029
PM 26717501
ER

PT J
AU Vargas, Christina R.
   Chuang, Danielle J.
   Lee, Bernard T.
TI The Readability of Online Resources for Mastopexy Surgery
SO ANNALS OF PLASTIC SURGERY
VL 77
IS 1
BP 110
EP 114
DI 10.1097/SAP.0000000000000340
PD JUL 2016
PY 2016
AB Background As more patients use Internet resources for health
   information, there is increasing interest in evaluating the readability
   of available online materials. The National Institutes of Health and
   American Medical Association recommend that patient educational content
   be written at a sixth-grade reading level. This study evaluates the most
   popular online resources for information about mastopexy relative to
   average adult literacy in the United States.
   Methods The 12 most popular sites returned by the largest Internet
   search engine were identified using the search term breast lift surgery.
   Relevant articles from the main sites were downloaded and formatted into
   text documents. Pictures, captions, links, and references were excluded.
   The readability of these 100 articles was analyzed overall and
   subsequently by site using 10 established readability tests. Subgroup
   analysis was performed for articles discussing the benefits of surgery
   and those focusing on risks.
   Results The overall average readability of online patient information
   was 13.3 (range, 11.1-15). There was a range of average readability
   scores overall across the 12 sites from 8.9 to 16.1, suggesting that
   some may be more appropriate than others for patient demographics with
   different health literacy levels. Subgroup analysis revealed that
   articles discussing the risks of mastopexy were significantly harder to
   read (mean, 14.1) than articles about benefits (11.6).
   Conclusions Patient-directed articles from the most popular online
   resources for mastopexy information are uniformly above the recommended
   reading level and likely too difficult to be understood by a large
   number of patients in the United States.
RI Lee, Bernard T./K-1106-2016; Vargas, Christina/AAK-8805-2020
OI Lee, Bernard T./0000-0002-5533-3166; Vargas,
   Christina/0000-0003-2368-3425
Z8 0
TC 8
ZA 0
ZB 0
ZR 0
ZS 0
Z9 8
U1 1
U2 8
SN 0148-7043
EI 1536-3708
UT WOS:000379616300021
PM 25536208
ER

PT J
AU Siddiqui, Imran J.
   Luz, Jennifer
   Borg-Stein, Joanne
   O'Connor, Kevin
   Bockbrader, Marcia
   Rainey, Heather
   Way, David
   Colachis, Sam
   Bahner, David P.
   Kohler, Minna J.
TI The Current State of Musculoskeletal Ultrasound Education in Physical
   Medicine and Rehabilitation Residency Programs
SO PM&R
VL 8
IS 7
BP 660
EP 666
DI 10.1016/j.pmrj.2015.11.010
PD JUL 2016
PY 2016
AB Background: Exposure to musculoskeletal ultrasound (MSUS) is now a
   mandatory component of physical medicine and rehabilitation (PM&R)
   residency training. However, reports on the extent of the implementation
   and efficacy of MSUS education are lacking in the literature.
   Objective: To determine the extent to which PM&R residencies are
   implementing MSUS education.
   Design: Cross-sectional.
   Setting: Institutional.
   Participants: Thirty-six of the 78 United States PM&R residency programs
   accredited by the Accreditation Council for Graduate Medical Education.
   Methods: All 78 programs were solicited with an online survey via the
   residency program director and coordinator in July 2014. The 25
   questions on the survey were aimed at determining program MSUS
   educational characteristics and their effectiveness.
   Main Outcome Measures: Description of teaching methods used for MSUS,
   residency demographics, characteristics of MSUS faculty expertise, and
   faculty-perceived competency in MSUS examinations and procedures among
   residents. Data were analyzed using both descriptive statistics and
   tests for independence to identify correlations between program
   characteristics and resident MSUS competency.
   Results: A response was received from 36 of the 78 residency programs
   (46.2%). Of the 36 residency programs that responded, 97.2% provide
   exposure to MSUS (a figure that drops to 44.9% when nonrespondents are
   included); 61% had mandatory MSUS training (28.2% when including
   nonrespondents); and 44.4% had a formal curriculum (20.5% when including
   nonrespondents). The most common MSUS educational tools used were
   lecture (88.9%), outpatient clinic (86.1%), and hands-on workshops
   (86.1%). Sixty-one percent of responding programs evaluate residents
   with formal assessment tools. Overall, faculty at 38.8% and 44.4% of
   programs believed that at least 50% of residents who graduate are
   competent in diagnostic and interventional MSUS, respectively. These
   rates were significantly associated with the use of formal assessment.
   Conclusion: MSUS education is growing in PM&R, but many programs still
   have not adopted a formal educational curriculum. Formal assessment to
   evaluate resident MSUS skills significantly improves faculty-perceived
   MSUS competency.
RI Bockbrader, Marcia/J-6203-2013; Bockbrader, Marcia/U-7844-2019; Way, David/AAE-7428-2020; Rainey, Heather/AAW-1203-2021; Kohler, Minna/; Way, David/
OI Bockbrader, Marcia/0000-0001-6419-0630; Bockbrader,
   Marcia/0000-0001-6419-0630; Kohler, Minna/0000-0001-6450-7546; Way,
   David/0000-0002-1896-3425
TC 14
ZA 0
ZB 3
ZR 0
Z8 0
ZS 0
Z9 14
U1 0
U2 9
SN 1934-1482
EI 1934-1563
UT WOS:000379681500007
PM 26690020
ER

PT J
AU Grandhige, Anjali P.
   Timmer, Marjorie
   O'Neill, Michael J.
   Binney, Zachary O.
   Quest, Tammie E.
TI Respiratory Therapists' Experiences and Attitudes Regarding Terminal
   Extubations and End-of-Life Care
SO RESPIRATORY CARE
VL 61
IS 7
BP 891
EP 896
DI 10.4187/respcare.04168
PD JUL 2016
PY 2016
AB BACKGROUND: Respiratory therapists (RTs) routinely care for patients
   with life- limiting illnesses and in some hospitals are responsible for
   terminal extubations. Data on how such experiences affect RTs are
   scarce. The objective of this work was to survey RTs at 2 academic
   medical centers about their experiences caring for patients with
   terminal extubations. METHODS: An online survey was distributed to the
   hospitals' RTs. Survey data included demographics and experiences with
   end-of-life care and terminal extubations. The survey was derived from
   previously published questionnaires plus input from hospital RT leaders.
   RESULTS: Sixty-five of 173 RTs (37.6%) responded. Of these, 42.4% were
   >= 50 y old, and 62.7% were female. 20.3% had <= 5 y experience; 52.5%
   had >= 16 y. 93.8% self-reported being involved in at least one terminal
   extubation; of those, 36.1% reported performing >= 20. Nearly half
   (47.5%) wanted to be involved in family meetings discussing terminal
   extubations, but just 6.6% were frequently involved. Only 32.3% felt
   that they received adequate education regarding terminal illness in RT
   school; 32.3% reported gathering this knowledge while working. 60.0%
   wanted more formal education around terminal patient care. 27.9%
   reported sometimes being uncomfortable with performing a terminal
   extubation; most of these rarely felt that they had the option not to
   perform the extubation. CONCLUSIONS: RTs are rarely involved in
   end-of-life discussions despite a desire to be, and they experience
   situations that generate discomfort. There is demand for more formal RT
   training around care for terminal patients. Clinical protocols that
   involve RTs in meetings before ventilator withdrawal should be
   considered.
OI Binney, Zachary/0000-0002-8409-5283
ZA 0
Z8 0
TC 2
ZB 0
ZR 0
ZS 0
Z9 2
U1 1
U2 5
SN 0020-1324
EI 1943-3654
UT WOS:000379228600002
PM 27274094
ER

PT J
AU Cohen, Benjamin L.
   Ha, Christina
   Ananthakrishnan, Ashwin N.
   Rieder, Florian
   Bewtra, Meenakshi
CA REACH-IBD Grp
TI State of Adult Trainee Inflammatory Bowel Disease Education in the
   United States: A National Survey
SO INFLAMMATORY BOWEL DISEASES
VL 22
IS 7
BP 1609
EP 1615
DI 10.1097/MIB.0000000000000766
PD JUL 2016
PY 2016
AB Background:The fundamentals of inflammatory bowel disease (IBD)
   education begin during gastroenterology fellowship training. We
   performed a survey of gastroenterology fellowship program directors
   (PDs) and trainees with the aim to further examine the current state of
   IBD training in the United States.Methods:A 15-question PD survey and
   19-question trainee survey was performed using an online
   platform.Results:Surveys were completed by 43/161 (27%) PDs and 160
   trainees. All trainee years were equally represented. A significant
   proportion of trainees was unsure or believed that their inpatient (32%)
   or outpatient (43%) training was inadequate. Only 28% of trainees were
   satisfied with their current level of IBD exposure during training.
   Fewer than half the trainees reported comfort in the management of pouch
   or stoma issues, pregnant patients with IBD, or postoperative
   management. The proportion of PDs viewing a competency as essential for
   trainee education strongly correlated with trainee comfort in that area
   (Pearson's rho = 0.793; P < 0.01). In multivariate logistic regression,
   monthly IBD didactics was the only variable independently associated
   with satisfaction with the current level of training (odds ratio, 4.1
   95% CI, 1.9-9.0).Conclusions:Over one-third of participating
   gastroenterology trainees did not feel confident or mostly comfortable
   with their level of IBD training, with varying comfort regarding
   different competencies in IBD management. These findings suggest that
   specific areas of IBD training may require additional focus during
   training and can provide the basis for the development of an IBD core
   competency curriculum.
TC 15
ZB 3
ZR 0
ZS 0
ZA 0
Z8 0
Z9 15
U1 0
U2 1
SN 1078-0998
EI 1536-4844
UT WOS:000379614800014
PM 27306068
ER

PT J
AU Lok, Charmaine E.
   Perazella, Mark A.
   Choi, Michael J.
TI American Society of Nephrology Quiz and Questionnaire 2015: ESRD/RRT
SO CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
VL 11
IS 7
BP 1313
EP 1320
DI 10.2215/CJN.01280216
PD JUL 2016
PY 2016
AB The Nephrology Quiz and Questionnaire remains an extremely popular
   session for attendees of the Annual Kidney Week Meeting of the American
   Society of Nephrology. During the 2015 meeting, the conference hall was
   once again overflowing with eager quiz participants. Topics covered by
   the experts included electrolyte and acid-base disorders, glomerular
   disease, ESRD and dialysis, and kidney transplantation. Complex cases
   representing each of these categories together with single best answer
   questions were prepared and submitted by the panel of experts. Before
   the meeting, training program directors of nephrology fellowship
   programs and nephrology fellows in the United States answered the
   questions through an internet-based questionnaire. During the live
   session, members of the audience tested their knowledge and judgment on
   the same series of case-oriented questions in a quiz. The audience
   compared their answers in real time using a cellphone application
   containing the answers of the nephrology fellows and training program
   directors. The results of the online questionnaire were displayed, and
   then, the quiz answers were discussed. As always, the audience,
   lecturers, and moderators enjoyed this highly educational session. This
   article recapitulates the session and reproduces selected content of
   educational value for the readers of the Clinical Journal of the
   American Society of Nephrology. Enjoy the clinical cases and expert
   discussions.
OI Lok, Charmaine/0000-0001-5365-0064
ZB 0
TC 0
ZS 0
ZR 0
ZA 0
Z8 0
Z9 0
U1 0
U2 4
SN 1555-9041
EI 1555-905X
UT WOS:000379195500024
PM 27094608
ER

PT J
AU Britton, Breanne V.
   Nagarajan, Neeraja
   Zogg, Cheryl K.
   Selvarajah, Shalini
   Schupper, Alexander J.
   Kironji, A. Gatebe
   Lwin, Albert T.
   Cerullo, Marcelo
   Salim, Ali
   Haider, Adil H.
TI Awareness of racial/ethnic disparities in surgical outcomes and care:
   factors affecting acknowledgment and action
SO AMERICAN JOURNAL OF SURGERY
VL 212
IS 1
BP 102
EP U122
DI 10.1016/j.amjsurg.2015.07.022
PD JUL 2016
PY 2016
AB BACKGROUND: Studies have demonstrated racial/ethnic disparities in
   surgical outcomes and care. Surgeon awareness and its association with
   institutional action remain unclear. The study sought to assess
   surgeons' awareness of racial/ethnic disparities, ascertain whether
   demographic and practice factors influence acknowledgement of
   disparities, and determine whether surgeons are seeking to mitigate
   disparities.
   METHODS: Anonymous online survey was administered to a random sample of
   American College of Surgeons (ACS) general surgeons (July 2013 to March
   2014). Responses were weighted for nonresponse and risk-adjusted using
   logistic regression.
   RESULTS: 172 surgeons completed the survey. Levels of acknowledged
   disparities were low. Less than one half reported institutional efforts
   to address disparities, and less than one fourth had taken efforts to
   investigate disparities in their personal practice. Several respondent
   factors including Academic Medical Center affiliation, awareness of the
   ACS statement on optimal access, and year of medical school graduation
   significantly associated with expressed acknowledgment of disparities.
   CONCLUSIONS: Such associations speak to the need for continued efforts
   to promote enhanced provider awareness and participation. As the field
   of surgical disparities moves from understanding to action, we must
   acknowledge the contributing role that providers play. (C) 2015 Elsevier
   Inc. All rights reserved.
OI Zogg, Cheryl/0000-0003-4461-746X
ZA 0
TC 28
ZS 0
ZB 2
ZR 0
Z8 0
Z9 28
U1 0
U2 3
SN 0002-9610
EI 1879-1883
UT WOS:000378063100015
PM 26522774
ER

PT J
AU Pollak, Kathryn I.
   Coffman, Cynthia J.
   Tulsky, James A.
   Alexander, Stewart C.
   Ostbye, Truls
   Farrell, David
   Lyna, Pauline
   Dolor, Rowena J.
   Bilheimer, Alicia
   Lin, Pao-Hwa
   Bodner, Michael E.
   Bravender, Terrill D.
TI Teaching Physicians Motivational Interviewing for Discussing Weight With
   Overweight Adolescents
SO JOURNAL OF ADOLESCENT HEALTH
VL 59
IS 1
BP 96
EP 103
DI 10.1016/j.jadohealth.2016.03.026
PD JUL 2016
PY 2016
AB Purpose: We tested whether an online intervention combined with a
   patient feedback report improved physicians' use of motivational
   interviewing (MI) techniques when discussing weight with overweight and
   obese adolescents.
   Methods: We randomized 46 pediatricians and family physicians and audio
   recorded 527 patient encounters. Half of the physicians received an
   individually tailored, online intervention. Then, all physicians
   received a summary report detailing patient's weight-related behaviors.
   We coded MI techniques and used multilevel linear mixed-effects models
   to examine arm differences. We assessed patients' motivation to change
   and perceived empathy after encounter.
   Results: We found arm differences in the Intervention Phase and the
   Summary Report Phase: Empathy (p < .001), MI Spirit (p < .001), open
   questions (p = .02), and MI consistent behaviors (p = .04). Across all
   three phases (Baseline, Intervention, and Summary Report), when
   physicians had higher Empathy scores, patients were more motivated to
   change diet (p = .03) and physical activity (p = .03). In addition,
   patients rated physicians as more empathic when physicians used more MI
   consistent techniques (p = .02).
   Conclusions: An individually tailored, online intervention coupled with
   a Summary Report improved physicians' use of MI, which improved the
   patient experience. (C) 2016 Society for Adolescent Health and Medicine.
   All rights reserved.
OI Dolor, Rowena/0000-0001-7317-9468
Z8 0
ZA 0
ZR 0
ZS 0
ZB 1
TC 12
Z9 12
U1 0
U2 11
SN 1054-139X
EI 1879-1972
UT WOS:000378202300016
PM 27155958
ER

PT J
AU Barnes, G. D.
   Lauw, M. N.
TI Early career professionals: the mission of a task force
SO JOURNAL OF THROMBOSIS AND HAEMOSTASIS
VL 14
IS 7
BP 1328
EP 1329
DI 10.1111/jth.13363
PD JUL 2016
PY 2016
AB Early career researchers and clinicians face unique challenges in
   comparison with more senior colleagues, for instance connecting with
   expert leaders outside of their own institution to enhance their
   expertise. As the largest international thrombosis and hemostasis
   professional society, the ISTH can play a central role in supporting the
   development of early career professionals. The ISTH Early Career Task
   Force was formed to improve support for, and encourage collaboration
   between early career thrombosis and hemostasis researchers and
   clinicians. These activities include (1) maintaining an online forum for
   early career ISTH members to connect, promote clinical, research,
   funding and educational activities, and to generate a sense of
   community; (2) broaden ISTH's reach with early career professionals in
   the developing world through promotion of the Reach-the-World
   fellowships and translating ISTH websites into six languages; (3)
   encourage early career engagement with ISTH activities, such as
   guidelines and guidance document processing and online webinar series;
   and (4) establishing this early career forum series in this journal. The
   JTH Forum series will highlight the early career perspective on a wide
   range of issues relevant to this group, and all ISTH early career
   members are encouraged to contribute.
RI Barnes, Geoffrey/AAK-1780-2020
OI Barnes, Geoffrey/0000-0002-6532-8440
Z8 0
TC 1
ZS 0
ZR 0
ZB 1
ZA 0
Z9 1
U1 0
U2 3
SN 1538-7933
EI 1538-7836
UT WOS:000380022700003
PM 27173129
ER

PT J
AU Sawyer, T.
   French, H.
   Ades, A.
   Johnston, L.
TI Neonatal-perinatal medicine fellow procedural experience and competency
   determination: results of a national survey
SO JOURNAL OF PERINATOLOGY
VL 36
IS 7
BP 570
EP 574
DI 10.1038/jp.2016.19
PD JUL 2016
PY 2016
AB OBJECTIVE: Ensuring that neonatal-perinatal medicine (NPM) fellows
   attain competency in performing neonatal procedures is a requirement of
   training-competent neonatologists.
   STUDY DESIGN: A survey of NPM fellows was performed to determine the
   procedural experience of current fellows, investigate techniques used to
   track procedural experience and examine the methods programs use to
   verify procedural competency.
   RESULTS: One hundred and sixty-three fellows in 57 accredited training
   programs responded to the survey. Reported number of procedures provide
   contemporary normative data on procedural experience during training.
   The majority of fellows reported using an online reporting system to
   track experience. The most common technique to verify procedural
   competency was supervised practice until an arbitrary number of
   procedures had been performed.
   CONCLUSIONS: NPM fellow procedural experience increases significantly
   for most, but not all, procedures duration training. We speculate that
   supplemental simulation training for rare neonatal procedures would help
   ensure the competency of graduating NPM fellows. Experience alone is
   insufficient to verify competency. Further work on the accurate tracking
   of experience and verification of procedural competency is needed.
OI Sawyer, Taylor/0000-0002-3908-8957
Z8 0
ZA 0
TC 21
ZR 0
ZS 0
ZB 8
Z9 21
U1 0
U2 0
SN 0743-8346
EI 1476-5543
UT WOS:000378649300015
PM 26938919
ER

PT J
AU Swanberg, Stephanie M.
   Dennison, Carolyn Ching
   Farrell, Alison
   Machel, Viola
   Marton, Christine
   O'Brien, Kelly K.
   Pannabecker, Virginia
   Thuna, Mindy
   Holyoke, Assako Nitta
TI Instructional methods used by health sciences librarians to teach
   evidence-based practice (EBP): a systematic review
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 104
IS 3
BP 197
EP 208
DI 10.3163/1536-5050.104.3.004
PD JUL 2016
PY 2016
AB Background: Librarians often teach evidence-based practice (EBP) within
   health sciences curricula. It is not known what teaching methods are
   most effective.
   Methods: A systematic review of the literature was conducted searching
   CINAHL, EMBASE, ERIC, LISTA, PubMed, Scopus, and others. Searches were
   completed through December 2014. No limits were applied. Hand searching
   of Medical Library Association annual meeting abstracts from 20092014
   was also completed. Studies must be about EBP instruction by a librarian
   within undergraduate or graduate health sciences curricula and include
   skills assessment. Studies with no assessment, letters and comments, and
   veterinary education studies were excluded. Data extraction and critical
   appraisal were performed to determine the risk of bias of each study.
   Results: Twenty-seven studies were included for analysis. Studies
   occurred in the United States (20), Canada (3), the United Kingdom (1),
   and Italy (1), with 22 in medicine and 5 in allied health. Teaching
   methods included lecture (20), small group or one-on-one instruction
   (16), computer lab practice (15), and online learning (6). Assessments
   were quizzes or tests, pretests and posttests, peer-review, search
   strategy evaluations, clinical scenario assignments, or a hybrid. Due to
   large variability across studies, meta-analysis was not conducted.
   Discussion: Findings were weakly significant for positive change in
   search performance for most studies. Only one study compared teaching
   methods, and no one teaching method proved more effective. Future
   studies could conduct multisite interventions using randomized or
   quasi-randomized controlled trial study design and standardized
   assessment tools to measure outcomes.
RI Pannabecker, Virginia/P-1321-2018; O'Brien, Kelly/AAD-3648-2021; thuna, mindy/AHD-5581-2022; O'Brien, Kelly/F-7775-2018; Swanberg, Stephanie/; Farrell, Alison/C-5101-2014; thuna, mindy/
OI Pannabecker, Virginia/0000-0001-8661-2320; O'Brien,
   Kelly/0000-0003-0135-1657; O'Brien, Kelly/0000-0003-0135-1657; Swanberg,
   Stephanie/0000-0003-0553-8339; Farrell, Alison/0000-0001-8111-5616;
   thuna, mindy/0000-0003-4223-8028
ZS 1
TC 20
ZR 0
ZA 0
ZB 2
Z8 1
Z9 22
U1 1
U2 56
SN 1536-5050
UT WOS:000379205300004
PM 27366120
ER

PT J
AU Phelps, Andrew
   Wan, Jennifer
   Straus, Christopher
   Naeger, David M.
   Webb, Emily M.
TI Incorporation of Ultrasound Education Into Medical School Curricula:
   Survey of Directors of Medical Student Education in Radiology
SO ACADEMIC RADIOLOGY
VL 23
IS 7
BP 830
EP 835
DI 10.1016/j.acra.2016.02.012
PD JUL 2016
PY 2016
AB Rationale and Objectives: This study aimed to determine the degree of
   involvement of radiologists in ultrasound education in medical schools
   in the United States.
   Materials and Methods: An online survey was sent to 129 directors of
   medical student education in radiology, identified by the Alliance of
   Medical Student Educators in Radiology. Each survey recipient
   represented a unique medical school.
   Results: There was a 31% survey completion rate. Radiology education was
   incorporated into the majority of respondents' medical school curricula
   (95%). Ultrasound images were used in preclinical education in the
   majority of schools (76%). Students were trained to perform hands-on
   ultrasound examinations in half of schools (49%), and a minority of
   schools offered a dedicated point-of-care ultrasound elective (14%).
   Radiology and emergency medicine were the most involved departments in
   teaching ultrasound to medical students (88% and 75% of medical schools,
   respectively).
   Conclusions: Ultrasound imaging was incorporated into the curricula of
   most of the responding medical schools, although actual handson training
   was less widespread.
OI Naeger, David/0000-0002-1884-280X; Phelps, Andrew/0000-0001-7544-7112
ZA 0
Z8 0
TC 10
ZS 0
ZB 0
ZR 0
Z9 10
U1 0
U2 10
SN 1076-6332
EI 1878-4046
UT WOS:000378444600008
PM 27311803
ER

PT J
AU Rozenshtein, Anna
   Heitkamp, Darel E.
   Muhammed, Tan Lucien H.
   Sclamberg, Joyce S.
   Paladin, Angelisa M.
   Smith, Stacy E.
   Nguyen, Jeremy B.
   Robbin, Mark
TI "What Program Directors Think" III: Results of the 2014/2015 Annual
   Surveys of the Association of Program Directors in Radiology (APDR)
SO ACADEMIC RADIOLOGY
VL 23
IS 7
BP 861
EP 869
DI 10.1016/j.acra.2016.03.005
PD JUL 2016
PY 2016
AB Rationale and Objectives: The Association of Program Directors in
   Radiology regularly surveys its members regarding issues of importance
   to support radiology residency programs and their directors.
   Materials and Methods: This is an observational cross-sectional study
   using two Web-based surveys posed to the Association of Program
   Directors in Radiology membership in the fall of 2014 (49 items) and the
   spring of 2015 (46 items) on the subjects of importance to the members,
   including the Accreditation Council on Graduate Medical Education
   Milestones, the Non-Interpretative Skills Curriculum, the American Board
   of Radiology Core Examination, the effect of the new resident testing
   and program accreditation paradigms on training outcomes, the 2015
   Residency Match, the Interventional Radiology/Diagnostic Radiology
   (IR/DR) Residency, and Program Director (PD)/Program Coordinator
   resources.
   Results: Responses were collected electronically, results were tallied
   using SurveyMonkey software, and qualitative responses were tabulated or
   summarized as comments. Findings were reported during the 63rd annual
   meeting of the Association of University Radiologists. The maximal
   response rate was 33% in the fall of 2014 and 36% in the spring of 2015.
   Conclusions: PDs believed that the radiology Milestones, now largely
   implemented, did not affect overall resident evaluation, was not
   reflective of resident experience, and actually made evaluation of
   residents more difficult. PDs also felt that although the American Board
   of Radiology oral examination had been a better test for clinical
   practice preparedness, their new residents knew at least as much as
   before. There was little evidence of recall reemergence. The radiology
   training community saw a drop in residency applicant quality as
   demonstrated by the United States Medical Licensing Examination scores
   and clinical rotation grades. Because the new IR/DR Residency positions
   were to be funded at the expense of the traditional DR positions, the
   majority of PDs expected a negative effect of the impending IR/DR match
   on their DR recruitment. PDs were in favor of a unified clinical
   radiology curriculum similar to the Radiological Society of North
   America online physics modules.
OI Heitkamp, Darel/0000-0002-9527-3436
ZB 0
ZA 0
ZS 0
ZR 0
TC 16
Z8 0
Z9 16
U1 0
U2 1
SN 1076-6332
EI 1878-4046
UT WOS:000378444600013
PM 27289345
ER

PT J
AU Middleton, Addie
   Fulk, George D.
   Herter, Troy M.
   Beets, Michael W.
   Donley, Jonathan
   Fritz, Stacy L.
TI Self-Selected and Maximal Walking Speeds Provide Greater Insight Into
   Fall Status Than Walking Speed Reserve Among Community-Dwelling Older
   Adults
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 7
BP 475
EP 482
DI 10.1097/PHM.0000000000000488
PD JUL 2016
PY 2016
AB Objective: To determine the degree to which self-selected walking speed
   (SSWS), maximal walking speed (MWS), and walking speed reserve (WSR) are
   associated with fall status among community-dwelling older adults.
   Design: WS and 1-year falls history data were collected on 217
   community-dwelling older adults (median age = 82, range 65-93 years) at
   a local outpatient PT clinic and local retirement communities and senior
   centers. WSR was calculated as a difference (WSRdiff = MWS - SSWS) and
   ratio (WSRratio = MWS/SSWS).
   Results: SSWS (P < 0.001), MWS (P < 0.001), and WSRdiff (P < 0.01) were
   associated with fall status. The cutpoints identified were 0.76 m/s for
   SSWS (65.4% sensitivity, 70.9% specificity), 1.13 m/s for MWS (76.6%
   sensitivity, 60.0% specificity), and 0.24 m/s for WSRdiff (56.1%
   sensitivity, 70.9% specificity). SSWS and MWS better discriminated
   between fallers and non-fallers (SSWS: AUC = 0.69, MWS: AUC = 0.71) than
   WSRdiff (AUC = 0.64).
   Conclusions: SSWS and MWS seem to be equally informative measures for
   assessing fall status in community-dwelling older adults. Older adults
   with SSWSs less than 0.76 m/s and those with MWSs less than 1.13 m/s may
   benefit from further fall risk assessment. Combining SSWS and MWS to
   calculate an individual's WSR does not provide additional insight into
   fall status in this population.
OI Middleton, Addie/0000-0001-8970-3703
ZR 0
ZS 0
TC 41
ZB 12
Z8 1
ZA 0
Z9 42
U1 2
U2 8
SN 0894-9115
EI 1537-7385
UT WOS:000378158400007
PM 27003205
ER

PT J
AU McKendy, Katherine M.
   Posel, Nancy
   Fleiszer, David M.
   Vassiliou, Melina C.
TI A Learner-Created Virtual Patient Curriculum for Surgical Residents:
   Successes and Failures
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 4
BP 559
EP 566
DI 10.1016/j.jsurg.2016.02.008
PD JUL-AUG 2016
PY 2016
AB OBJECTIVE: To determine the feasibility and effectiveness of a
   learner-created virtual patient (VP) curriculum for postgraduate year 2
   surgical residents.
   DESIGN: Using a social-constructivist model of learning, we designed a
   learner-created VP curriculum to help postgraduate year 2 residents
   prepare for their in-training surgical examination. Each resident was
   assigned to create a VP curriculum based on the learning objectives for
   this examination, and VP cases were then disseminated to all residents
   for completion. To measure the learning effects of the curriculum,
   participants completed 2 simulated in training examinations, both at the
   beginning and at the end of the intervention. Study participants also
   participated in a focus group and completed an online questionnaire
   about the perceived learning value of the curriculum.
   SETTING: The study was conducted at the McGill University Health Centre,
   a tertiary care hospital in Montreal, Canada.
   PARTICIPANTS: In total, 24 residents from 7 surgical specialties
   completed both the pretest and posttest, as well as took part in the
   creation of a VP curriculum. Of those 24 residents, only 19 residents
   completed the cases created by their peers, with 7 completing greater
   than 50% of the cases and 12 completing less than 50%. In all 17
   residents responded to the online questionnaire and 11 residents
   participated in the focus group.
   RESULTS: The VP curriculum failed to improve scores from pretest (59.6%,
   standard deviation = 8.1) to posttest (55.4%, standard deviation = 6.6;
   p = 0.01) on the simulated in training examination. Nonetheless, survey
   results demonstrated that most residents felt that creating a VP case
   (89%) and completing cases created by their peers (71%) had educational
   value. Overall, 71% preferred active participation in a curriculum to
   traditional didactic teaching. The focus group identified time-related
   constraints, concern about the quality of the peer-created cases, and
   questioning of the relationship between the curriculum and the Surgical
   Foundations examination as barriers to the success of the curriculum.
   CONCLUSIONS: Despite the fact that a learner-created VP curriculum did
   not improve scores on a mock in training examination, residents viewed
   this intervention as a valuable educational experience. Although there
   were barriers to the implementation of a learner-created curriculum, it
   is nonetheless important to try and integrate pedagogical concepts into
   the instructional design of curricula for surgical residents. (C) 2016
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.
ZA 0
ZB 0
TC 2
Z8 0
ZS 0
ZR 0
Z9 2
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000378300900002
PM 27142719
ER

PT J
AU Lee, Matthew J.
   Drake, Thomas M.
   Malik, Tom A. M.
   O'Connor, Timothy
   Chebbout, Ryad
   Daoub, Ahmed
   Wild, Jonathan R. L.
TI Has the Bachelor of Surgery Left Medical School?-A National
   Undergraduate Assessment
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 4
BP 655
EP 659
PD JUL-AUG 2016
PY 2016
AB INTRODUCTION: Nearly all trainee doctors would undertake a surgical
   placement in their clinical training; however, there is anecdotal
   evidence of variability in undergraduate surgical teaching across the
   UK. We set out to describe the provision of undergraduate surgery and
   report graduating students' opinions of aspects of this.
   METHODS: We undertook a cross-sectional questionnaire of medical
   students graduating in 2014 from UK medical schools. An online
   electronic questionnaire was used to capture demographics, career
   intentions, and individual's undergraduate experience of surgery. A
   separate questionnaire was sent to medical schools to assess time
   devoted to surgical placements and how surgical sciences were taught and
   assessed.
   RESULTS: From 483 responses covering 31 UK medical schools, there were
   328 completed student questionnaires. A third of respondents felt that
   teaching of surgical sciences was inadequate. Medical schools reported
   time allocated to surgical specialties ranging from 4 to 21 weeks
   (median 13 weeks). Among all, 1 medical school offered a basic surgical
   skills course and 1 medical school specifically assessed surgical
   related skills. Overall, 65% of medical students felt prepared for a
   surgical foundation placement and 88% felt prepared for a medical
   foundation placement. In total, 78% felt ready to participate in an
   acute medicine on-call and 48% felt ready for emergency surgery on-call.
   There was a positive association between time dedicated to undergraduate
   surgery and reported preparedness for a foundation surgical job.
   CONCLUSIONS: UK medical students reported uniformly low rates of
   satisfaction with surgical science teaching. Students studying at
   medical schools with more time in the curriculum dedicated to surgery
   reported higher levels of preparedness for surgical foundation jobs.
   There were differences in the rates of perceived preparedness for
   surgical posts and for emergency surgery. There is a clear need to
   review undergraduate surgical provision to ensure that students are
   equipped for safe practice in junior surgical foundation jobs. (c) 2016
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.
RI Lee, Matthew/I-3538-2019; Karim, Osman/Z-3507-2019
OI Lee, Matthew/0000-0001-9971-1635; 
ZR 0
Z8 0
ZB 1
ZS 0
ZA 0
TC 15
Z9 15
U1 0
U2 9
SN 1931-7204
EI 1878-7452
UT WOS:000378300900015
PM 26908017
ER

PT J
AU Putnam, Luke R.
   Pham, Dean H.
   Ostovar-Kermani, Tiffany G.
   Alawadi, Zeinab M.
   Etchegaray, Jason M.
   Ottosen, Madelene J.
   Thomas, Eric J.
   Lesslie, Donald P.
   Kao, Lillian S.
   Lally, Kevin P.
   Tsao, KuoJen
TI How Should Surgical Residents Be Educated About Patient Safety: A Pilot
   Randomized Controlled Trial
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 4
BP 660
EP 667
PD JUL-AUG 2016
PY 2016
AB INTRODUCTION: The Accreditation Council for Graduate Medical Education
   mandates patient safety education without specific curricular
   guidelines. We hypothesized that a dedicated, adjunctive resident safety
   workshop (SW) led by surgical faculty compared with an online curriculum
   (OC) for hospital personnel alone would improve residents' patient
   safety perceptions and behaviors.
   MATERIALS AND METHODS: A pilot randomized controlled trial was performed
   from 2014 to 2015 within a university-based general surgery residency.
   Control and intervention groups, stratified by postgraduate year,
   participated in a hospital-based OC; the intervention group participated
   in an additional SW. Primary outcomes were perceptions of safety
   culture, teamwork, and speaking up as per the validated safety attitudes
   questionnaire (SAQ) at 6 and 12 months postintervention. Secondary
   outcomes included behavioral scores from blinded surgical faculty using
   the Oxford NonTechnical Skills scale.
   RESULTS: A total of 51 residents were enrolled (control = 25,
   intervention = 26). SAQ response rates were 100%, 100%, and 76% at
   baseline, 6 months, and 12 months, respectively. SAQ scores were similar
   at baseline between groups and did not change significantly at 6 or 12
   months, independent of postgraduate year (PGY) level. Overall
   NonTechnical Skills scores were similar between groups, but senior
   residents (>= PGY 4) in the OC SW group scored significantly higher in
   teamwork, decision-making, and situation awareness (all p < 0.05).
   CONCLUSION: An adjunctive, dedicated resident SW compared with a
   hospital-based OC alone did not significantly improve overall
   perceptions of patient safety. However, senior residents participating
   in the SW demonstrated improved patient safety perceptions and had
   significantly better intraoperative safety behaviors than senior
   residents in the OC group. Future curricular enhancements should include
   PGY-level specific education, iterative reviews, and increased faculty
   involvement. A larger randomized trial may be warranted. (c) 2016
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.
RI Kao, Lillian/GOV-7076-2022; Putnam, Luke/; Ottosen, Madelene/
OI Putnam, Luke/0000-0001-7455-0919; Ottosen, Madelene/0000-0001-7301-820X
ZS 0
Z8 0
ZR 0
TC 9
ZB 1
ZA 0
Z9 9
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000378300900016
PM 27137661
ER

PT J
AU Prober, Allen S.
   Mehan, William A., Jr.
   Bedi, Harprit S.
TI Teaching the Healthcare Economics Milestones to Radiology Residents: Our
   Pilot Curriculum Experience
SO ACADEMIC RADIOLOGY
VL 23
IS 7
BP 885
EP 888
DI 10.1016/j.acra.2016.02.014
PD JUL 2016
PY 2016
AB Rationale and Objectives: Since July 2013, the Accreditation Council for
   Graduate Medical Education (ACGME) has required radiology residency
   programs to implement a set of educational milestones to track
   residents' educational advancement in six core competencies, including
   Systems-based Practice. The healthcare economics subcompetency of
   Systems-based Practice has traditionally been relatively neglected, and
   given the new increased ACGME oversight, will specifically require
   greater focused attention.
   Materials and Methods: A multi-institutional health-care economics pilot
   curriculum combining didactic and practical components was implemented
   across five residency programs. The didactic portion included a package
   of online recorded presentations, reading, and testing materials
   developed by the American College of Radiology (ACR's) Radiology
   Leadership Institute. The practical component involved a series of local
   meetings led by program faculty with the production of a deliverable
   based on research of local reimbursement for a noncontrast head computed
   tomography. The capstone entailed the presentation of each program's
   deliverable during a live tele-conference webcast with a Radiology
   Leadership Institute content expert acting as moderator and discussion
   leader.
   Results: The pilot curriculum was well received by residents and faculty
   moderators, with 100% of survey respondents agreeing that the pilot met
   its objective of introducing how reimbursement works in American
   radiology in 2015 and how business terminology applies to their
   particular institutions.
   Conclusion: A health-care economics curriculum in the style of a Massive
   Open Online Course has strong potential to serve as many residency
   programs' method of choice in meeting the health-care economics
   milestones.
ZA 0
Z8 0
ZR 0
ZS 0
TC 7
ZB 0
Z9 7
U1 1
U2 5
SN 1076-6332
EI 1878-4046
UT WOS:000378444600017
PM 27052521
ER

PT J
AU Patel, Sunil V.
   Klingel, Michelle
   Sonoda, Toyooki
TI An Assessment of the Industry-Faculty Surgeon Relationship Within Colon
   and Rectum Surgical Training Programs
SO JOURNAL OF SURGICAL EDUCATION
VL 73
IS 4
BP 595
EP 599
PD JUL-AUG 2016
PY 2016
AB INTRODUCTION: Industry funding of surgical training programs poses a
   potential conflict of interest. With the recent implementation of the
   Sunshine Act, industry funding can be more accurately determined.
   OBJECTIVE: To determine the financial relationship between faculty
   surgeons within colon and rectal fellowship programs and industry.
   DESIGN: Review of industry funding based on the first reporting period
   (August-December, 2013) using the Centers for Medicare and Medicaid
   Services online database.
   SETTING: ACGME certified colon and rectum surgical fellowship programs.
   PARTICIPANTS: Overall, 343 Faculty surgeons from 55 colon and rectum
   surgical fellowship programs were identified using the American Board of
   Colon and Rectum Surgery website. There was complete identification of
   faculty surgeons in 47 (85.5%) programs, partially complete
   identification (i.e., >80%) in 6 (10.9%) programs, and inadequate
   identification of faculty in 2 (3.6%) programs.
   MAIN OUTCOME: Industry funding as defined by the Sunshine Act included
   general payments (honorariums, consulting fees, food and beverage, and
   travel), research payments, and amount invested.
   RESULTS: In all, 69.1% of program directors and 59.4% of other faculty
   received at least one payment during the reporting period (Delta 9.7%,
   95% CI: -4.4% to 23.8%, p = 0.18). Program directors received higher
   amounts of funding than other faculty ($7072.90 vs. $2,819.29,
   Delta$4,253.61, 95% CI: $1132-$7375, p-= 0.008). Overall, 49 of 53 (93%)
   programs had surgeons receive funding, with a median of 3.5 surgeons
   receiving funding per program. A total of 65 companies made payments to
   surgeons, with 80.1% of the funding categorized as general payments,
   16.2% as investments, and 3.7% as research payments.
   CONCLUSIONS: Industry funding was common. This financial relationship
   poses a potential conflict of interest in training fellows for future
   practice. (c) 2016 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.
RI Patel, Sunil/X-8559-2018; Shaw, Michelle/
OI Shaw, Michelle/0000-0002-0966-6779
ZS 0
ZR 0
TC 7
ZA 0
Z8 0
ZB 4
Z9 7
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000378300900007
PM 26966083
ER

PT J
AU Jurjus, Rosalyn A.
   Brown, Kirsten
   Goldman, Ellen
   Galoosian, Artin
   Butera, Gisela
   Krapf, Jill M.
TI Curricular response to increase recall and transfer of anatomical
   knowledge into the obstetrics/gynecology clerkship
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 4
BP 337
EP 343
DI 10.1002/ase.1587
PD JUL-AUG 2016
PY 2016
AB Deficits in retention of anatomy knowledge from the preclinical years to
   clinical application on the wards have been well documented in the
   medical education literature. We developed and evaluated a web and
   laboratory-based curriculum to address deficits in anatomy knowledge
   retention and to increase anatomy knowledge recall through repetition
   and application of clinical concepts during the obstetrics and
   gynecology (Ob/Gyn) core clinical clerkship. Using principles of adult
   learning and instructional design, a curriculum was designed consisting
   of (1) interactive, case-based e-modules reviewing clinically relevant
   anatomical topics and (2) a hands-on laboratory session reinforcing the
   content of the e-modules, with the practice of clinical techniques using
   anatomical cadaveric dissections. The curriculum's effectiveness was
   evaluated by using multiple choice testing and comparing baseline and
   final test scores. For questions testing content directly covered in
   this curriculum, mean final scores increased by 14.3% (P<0.001). In
   contrast, for questions not directly addressed in this curriculum, mean
   final scores did not increase significantly, only by 6.0% (P=0.31).
   Questions related to the uterus showed the greatest gains in final
   scores (30.3% improvement, P=0.002). A curriculum with web-based
   preparatory material and a hands-on gross anatomy laboratory session
   effectively addresses deficits in anatomy retention and improves
   anatomical knowledge recall for medical students on a clinical
   clerkship. In the future, the authors plan to conduct a multicenter
   study to further evaluate the ability of this curriculum to improve
   clinically relevant anatomical knowledge. Anat Sci Educ 9: 337-343. (c)
   2015 American Association of Anatomists.
RI Butera, Gisela/H-8039-2017; Jurjus, Rosalyn A./AAG-7853-2020; Jurjus, Rosalyn A./
OI Butera, Gisela/0000-0003-3976-0018; Jurjus, Rosalyn
   A./0000-0003-3912-8020
TC 11
Z8 0
ZR 0
ZA 0
ZS 1
ZB 1
Z9 11
U1 0
U2 12
SN 1935-9772
EI 1935-9780
UT WOS:000379897200004
PM 26588426
ER

PT J
AU Kim, So Mi
   Hannafin, Michael J.
TI The effects of source representation and goal instructions on college
   students' information evaluation behavior change
SO COMPUTERS IN HUMAN BEHAVIOR
VL 60
BP 384
EP 397
DI 10.1016/j.chb.2016.02.044
PD JUL 2016
PY 2016
AB We investigated ways of scaffolding information evaluation behavior
   (IEB) in online inquiry contexts. Previous instructional support
   simplified IEB and rarely critically addressed the cognitive load that
   accompanies multiple representations or naive task perception that
   hinders critical evaluation. We conducted a longitudinal, 2 x 2
   quasi-experimental study in an introductory college biology course,
   varying (A) Source Representation Scaffolds to address limited cue
   awareness and cognitive load and (B) Goal Instructions to address task
   perception. For treatment A, students were given an annotation tool in
   addition to a checklist (Control A). For treatment B, instead of
   persuasion goal instructions (Control B), written task directions
   prompted student to consider alternative ideas (balanced reasoning
   goals). We measured students' IEB four times. We also measured
   individual task perception and cognitive capacity. Multilevel analyses
   identified the specific nature of changes in IEB. On average, IEB did
   not improve much in the baseline group while task perception and
   cognitive capacity differentiated IEB scores. Conversely, both
   annotation and balanced reasoning goals yielded improved gains in IEB,
   but there was a negative interaction effect when they were combined. The
   results demonstrate the benefits of annotation and balanced reasoning
   goals but suggest the need to address possible difficulties in using
   multiple scaffolds. (C) 2016 Elsevier Ltd. All rights reserved.
OI Kim, So Mi/0000-0001-9647-7820
TC 1
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
Z9 1
U1 0
U2 26
SN 0747-5632
EI 1873-7692
UT WOS:000375811900039
ER

PT J
AU Camden, Chantal
   Foley, Veronique
   Anaby, Dana
   Shikako-Thomas, Keiko
   Gauthier-Boudreault, Camille
   Berbari, Jade
   Missiuna, Cheryl
TI Using an evidence-based online module to improve parents' ability to
   support their child with Developmental Coordination Disorder
SO DISABILITY AND HEALTH JOURNAL
VL 9
IS 3
BP 406
EP 415
DI 10.1016/j.dhjo.2016.04.002
PD JUL 2016
PY 2016
AB Background: Developmental Coordination Disorder (DCD) is a prevalent
   neurodevelopmental disorder. Best practices include raising parents'
   awareness and building capacity but few interventions incorporating
   these best practices are documented.
   Objective: To examine whether an evidence-based online module can
   increase the perceived knowledge and skills of parents of children with
   DCD, and lead to behavioral changes when managing their child's health
   condition.
   Methods: A mixed-methods, before-after design guided by the Theory of
   Planned Behavior was employed. Data about the knowledge, skills and
   behaviors of parents of children with DCD were collected using
   questionnaires prior to completing the module, immediately after, and
   three months later. Paired T-tests, sensitivity analyses and thematic
   analyses were performed on data as appropriate.
   Results: One hundred-sixteen, 81 and 58 participants respectively
   completed the three questionnaires. For knowledge and skills, post- and
   follow-up scores were significantly higher than baseline scores (p <
   0.01). Fifty-two (64%) participants reported an intention to change
   behavior post-intervention and 29 (50%) participants had tried
   recommended strategies at follow-up. Three themes emerged to describe
   parents' behavioral change: sharing information, trialing strategies and
   changing attitudes. Factors influencing parents' ability to implement
   these behavioral changes included clear recommendations, time, and
   'right' attitude. Perceived outcomes associated with the parental
   behavioral changes involved improvement in well-being for the children
   at school, at home, and for the family as a whole.
   Conclusions: The online module increased parents' self-reported
   knowledge and skills in DCD management. Future research should explore
   its impacts on children's long-term outcomes. (C) 2016 Elsevier Inc. All
   rights reserved.
ZR 0
ZS 0
ZB 4
Z8 1
TC 16
ZA 0
Z9 17
U1 0
U2 15
SN 1936-6574
EI 1876-7583
UT WOS:000377418100007
PM 27155793
ER

PT J
AU Withers, Mellissa
   Press, David
   Wipfli, Heather
   McCool, Judith
   Chan, Chang-Chuan
   Jimba, Masamine
   Tremewan, Christopher
   Samet, Jonathan
TI Training the next generation of global health experts: experiences and
   recommendations from Pacific Rim universities
SO GLOBALIZATION AND HEALTH
VL 12
AR 34
DI 10.1186/s12992-016-0162-z
PD JUN 23 2016
PY 2016
AB Background: Finding solutions to global health problems will require a
   highly-trained, inter-disciplinary workforce. Global health education
   and research can potentially have long-range impact in addressing the
   global burden of disease and protecting and improving the health of the
   global population.
   Methods: We conducted an online survey of twelve higher education
   institutions in the Pacific Rim that spanned the period 2005-2011.
   Program administrators provided data on program concentrations, student
   enrollment and student funding opportunities for 41 public health
   programs, including those specific to global health.
   Results: The Master of Public Health (MPH) was the most common degree
   offered. A growing demand for global health education was evident.
   Enrollment in global health programs increased over three-fold between
   2005-2011. Very few institutions had specific global health programs or
   offered training to undergraduates. Funding for student scholarships was
   also lacking.
   Conclusions: The growing demand for global health education suggests
   that universities in the Pacific Rim should increase educational and
   training opportunities in this field. Schools of medicine may not be
   fully equipped to teach global health-related courses and to mentor
   students who are interested in global health. Increasing the number of
   dedicated global health research and training institutions in the
   Pacific Rim can contribute to building capacity in the region. Faculty
   from different departments and disciplines should be engaged to provide
   multi-disciplinary global health educational opportunities for
   undergraduate and graduate students. New, innovative ways to collaborate
   in education, such as distance education, can also help universities
   offer a wider range of global health-related courses. Additional funding
   of global health is also required.
RI Jimba, Masamine/AAF-5630-2020; CHAN, CHANG-CHUAN/; Press, David/; McCool, Judith/
OI CHAN, CHANG-CHUAN/0000-0002-7518-5236; Press, David/0000-0003-3898-3156;
   McCool, Judith/0000-0001-6646-6661
ZS 1
TC 17
ZB 0
ZR 0
Z8 1
ZA 0
Z9 18
U1 1
U2 2
SN 1744-8603
UT WOS:000378610300001
PM 27334947
ER

PT J
AU Lalla-Edward, Samanta Tresha
   Fobosi, Siyabulela Christopher
   Hankins, Catherine
   Case, Kelsey
   Venter, W. D. Francois
   Gomez, Gabriela
TI Healthcare Programmes for Truck Drivers in Sub-Saharan Africa: A
   Systematic Review and Meta-Analysis
SO PLOS ONE
VL 11
IS 6
AR e0156975
DI 10.1371/journal.pone.0156975
PD JUN 22 2016
PY 2016
AB Background
   Truck drivers have unique health needs, and by virtue of their
   continuous travel, experience difficulty in accessing healthcare.
   Currently, planning for effective care is hindered by lack of knowledge
   about their health needs and about the impact of on-going programmes on
   this population's health outcomes. We reviewed healthcare programmes
   implemented for sub-Saharan African truck drivers, assessed the
   evaluation methods, and examined impact on health outcomes.
   Methods
   We searched scientific and institutional databases, and online search
   engines to include all publications describing a healthcare programme in
   sub-Saharan Africa where the main clients were truck drivers. We
   consulted experts and organisations working with mobile populations to
   identify unpublished reports. Forest plots of impact and outcome
   indicators with unadjusted risk ratios and 95% confidence intervals were
   created to map the impact of these programmes. We performed a subgroup
   analysis by type of indicator using a random-effects model to assess
   between-study heterogeneity. We conducted a sensitivity analysis to
   examine both the summary effect estimate chosen (risk difference vs.
   risk ratio) and model to summarise results (fixed vs. random effects).
   Results
   Thirty-seven publications describing 22 healthcare programmes across 30
   countries were included from 5,599 unique records. All programmes had an
   HIV-prevention focus with only three expanding their services to cover
   conditions other primary healthcare services. Twelve programmes were
   evaluated and most evaluations assessed changes in input, output, and
   outcome indicators. Absence of comparison groups, preventing attribution
   of the effect observed to the programme and lack of biologically
   confirmed outcomes were the main limitations. Four programmes estimated
   a quantitative change in HIV prevalence or reported STI incidence, with
   mixed results, and one provided anecdotal evidence of changes in
   AIDS-related mortality and social norms. Most programmes showed positive
   changes in risk behaviours, knowledge, and attitudes. Our conclusions
   were robust in sensitivity analyses.
   Conclusion
   Diverse healthcare programmes tailored to the needs of truck drivers
   implemented in 30 sub-Saharan African countries have shown potential
   benefits. However, information gaps about availability of services and
   their effects impede further planning and implementation of effective
   healthcare programmes for truck drivers.
RI Lalla-Edward, Samanta Tresha/H-9379-2019; Fobosi, Siyabulela/Q-4302-2019; Hankins, Catherine/; Venter, Willem/
OI Lalla-Edward, Samanta Tresha/0000-0003-3597-1643; Fobosi,
   Siyabulela/0000-0002-3806-2835; Hankins, Catherine/0000-0002-1642-8592;
   Venter, Willem/0000-0002-4157-732X
TC 10
ZR 0
ZB 4
ZS 0
ZA 0
Z8 0
Z9 10
U1 0
U2 14
SN 1932-6203
UT WOS:000378212800018
PM 27333301
ER

PT J
AU Eltorai, Adam E. M.
   Cheatham, Morgan
   Naqvi, Syed S.
   Marthi, Siddharth
   Dang, Victor
   Palumbo, Mark A.
   Daniels, Alan H.
TI Is the Readability of Spine-Related Patient Education Material
   Improving?: An Assessment of Subspecialty Websites
SO SPINE
VL 41
IS 12
BP 1041
EP 1048
DI 10.1097/BRS.0000000000001446
PD JUN 15 2016
PY 2016
AB Study Design.Analysis of spine-related patient education materials
   (PEMs) from subspecialty websites.Objective.The aim of this study was to
   assess the readability of spine-related PEMs and compare to readability
   data from 2008.Summary of Background Data.Many spine patients use the
   Internet for health information. Several agencies recommend that the
   readability of online PEMs should be no greater than a sixth-grade
   reading level, as health literacy predicts health-related quality of
   life outcomes. This study evaluated whether the North American Spine
   Society (NASS), American Association of Neurological Surgeons (AANS),
   and American Academy of Orthopaedic Surgeons (AAOS) online PEMs meet
   recommended readability guidelines for medical information.Methods.All
   publicly accessible spine-related entries within the patient education
   section of the NASS, AANS, and AAOS websites were analyzed for grade
   level readability using the Flesch-Kincaid formula. Readability scores
   were also compared with a similar 2008 analysis. Comparative statistics
   were performed.Results.A total of 125 entries from the subspecialty
   websites were analyzed. The average (SD) readability of the online
   articles was grade level 10.7 (2.3). Of the articles, 117 (93.6%) had a
   readability score above the sixth-grade level. The readability of the
   articles exceeded the maximum recommended level by an average of 4.7
   grade levels (95% CI, 4.292-5.103; P<0.001). Compared with 2008, the
   three societies published more spine-related patient education articles
   (61 vs. 125, P=0.045) and the average readability level improved from
   11.5 to 10.7 (P=0.018). Of three examined societies, only one showed
   significant improvement over time.Conclusion.Our findings suggest that
   the spine-related PEMs on the NASS, AAOS, and AANS websites have
   readability levels that may make comprehension difficult for a
   substantial portion of the patient population. Although some progress
   has been made in the readability of PEMs over the past 7 years,
   additional improvement is necessary.Level of Evidence: 2
ZS 0
Z8 0
TC 14
ZB 2
ZA 0
ZR 0
Z9 14
U1 0
U2 8
SN 0362-2436
EI 1528-1159
UT WOS:000377773900009
PM 27294810
ER

PT J
AU Broniatowski, David A.
   Hilyard, Karen M.
   Dredze, Mark
TI Effective vaccine communication during the disneyland measles outbreak
SO VACCINE
VL 34
IS 28
BP 3225
EP 3228
DI 10.1016/j.vaccine.2016.04.044
PD JUN 14 2016
PY 2016
AB Vaccine refusal rates have increased in recent years, highlighting the
   need for effective risk communication; especially over social media.
   Fuzzy-trace theory predicts that individuals encode bottom-line meaning
   ("gist") and statistical information ("verbatim") in parallel and those
   articles expressing a clear gist will be most compelling. We coded news
   articles (n=4581) collected during the 2014-2015 Disneyland measles for
   content including statistics, stories, or bottom-line gists regarding
   vaccines and vaccine-preventable illnesses. We measured the extent to
   which articles were compelling by how frequently they were shared on
   Facebook. The most widely shared articles expressed bottom-line gists,
   although articles containing statistics were also more likely to be
   shared than articles lacking statistics. Stories had limited impact on
   Facebook shares. Results support Fuzzy Trace Theory's predictions
   regarding the distinct yet parallel impact of categorical gist and
   statistical verbatim information on public health communication. (C)
   2016 Elsevier Ltd. All rights reserved.
RI Broniatowski, David/G-5586-2012; Broniatowski, David/; Dredze, Mark/
OI Broniatowski, David/0000-0002-3302-9497; Dredze,
   Mark/0000-0002-0422-2474
ZB 18
ZA 0
ZR 0
Z8 0
TC 38
ZS 0
Z9 38
U1 3
U2 32
SN 0264-410X
EI 1873-2518
UT WOS:000378663100004
PM 27179915
ER

PT J
AU Mousa, Omar Y.
   Dhamoon, Mandip S.
   Lander, Sarah
   Dhamoon, Amit S.
TI The MD Blues: Under-Recognized Depression and Anxiety in Medical
   Trainees
SO PLOS ONE
VL 11
IS 6
AR e0156554
DI 10.1371/journal.pone.0156554
PD JUN 10 2016
PY 2016
AB Background
   Mental health disease is under recognized in medical professionals.
   Objective
   To screen medical students (MS), residents and fellows for major
   depressive disorder (MDD) and generalized anxiety disorder (GAD) under
   the new era of work hour reform with age-matched controls from a large
   representative cross-sectional survey.
   Methods
   We conducted an anonymous online survey at a medical university in
   2013-2014. We incorporated the Patient Health Questionnaire 2 (PHQ-2) to
   screen for MDD and the generalized anxiety disorder scale (GAD-7) to
   screen for GAD, along with additional questions on life stressors and
   academic performance. We compared these results to age-matched controls
   from the National Health and Nutrition Examination Survey (NHANES)
   database.
   Results
   126 residents/fellows and 336 medical students participated voluntarily.
   15.1% and 15.9% of postgraduates as well as 16.4% and 20.3% of MS
   screened positive for MDD and GAD, respectively. When compared to
   national estimates, the prevalence of a positive screen for MDD was over
   five-fold higher in medical trainees compared to age-matched controls
   (16% vs. 2.8%, p<0.0001). Similarly, the prevalence of a positive screen
   for GAD was over eightfold higher in medical trainees (19% vs. 2.3%,
   p<0.0001). The prevalence was consistently higher within age strata.
   33.3% of postgraduates and 32% of MS believe there is a significant
   impact of depression or anxiety on their academic performance. For
   stress relief, one fifth of residents/fellows as well as MS reported
   alcohol use.
   Conclusions
   The stresses of medical education and practice may predispose trainees
   to psychopathological consequences that can affect their academic
   performance and patient care. The current study showed a significantly
   higher rate of MDD and GAD positive screens in medical trainees than the
   prevalence in an age-matched U.S. population, despite significant work
   hour reform for medical trainees. Increased awareness and support
   services are required at all levels of medical training. We propose that
   the ACGME and the Institute of Medicine may consider these findings when
   implementing future changes to work hour regulations.
RI Mousa, Omar Y/AAE-6113-2020
OI Mousa, Omar Y/0000-0002-8411-3859
TC 46
ZB 7
Z8 0
ZR 0
ZS 4
ZA 0
Z9 48
U1 0
U2 10
SN 1932-6203
UT WOS:000377564000015
PM 27286249
ER

PT J
AU Nawa, Nobutoshi
   Kogaki, Shigetoyo
   Takahashi, Kunihiko
   Ishida, Hidekazu
   Baden, Hiroki
   Katsuragi, Shinichi
   Narita, Jun
   Tanaka-Taya, Keiko
   Ozono, Keiichi
TI Analysis of public concerns about influenza vaccinations by mining a
   massive online question dataset in Japan
SO VACCINE
VL 34
IS 27
BP 3207
EP 3213
DI 10.1016/j.vaccine.2016.01.008
PD JUN 8 2016
PY 2016
AB Background: Elucidating public concerns regarding vaccinations is
   important for successful immunization programs. The objective of the
   present study was to categorize public concerns regarding influenza
   vaccinations in Japan by analyzing a massive web-based question dataset.
   Methods: The Yahoo! Chiebukuro (Japanese Yahoo! Answers) Dataset, which
   includes more than 16 million questions collected between April 2004 and
   April 2009, was used in this study. We sequentially filtered data to
   obtain questions on influenza vaccinations. Any questions that met our
   exclusion criteria concerning veterinary vaccines or computer virus
   vaccines were removed from the analysis. Filtered questions and their
   answers were manually analyzed for their content by a team of
   board-certified pediatricians.
   Results: After filtering data, we obtained 1950 questions regarding
   influenza vaccinations. The three most frequently asked questions were
   regarding the vaccination schedule, safety, and effectiveness. When we
   analyzed monthly trends in question contents, we noted the emergence of
   similar questions in the same period every year. Therefore, we
   classified the time periods of each year into three parts: (1) from
   April to the commencement of seasonal influenza vaccinations
   (September), (2) from October until the epidemic period, and (3) the
   epidemic period. Two interesting results were obtained: concerns
   regarding effectiveness abruptly increased during the epidemic period,
   and pregnant or breastfeeding women increasingly asked questions
   regarding feasibility between October and the epidemic period.
   Conclusions: The questions and concerns collected and analyzed in this
   study illustrate that the public have questions about the influenza
   vaccine and also that questions changed with periodical consistency.
   These results highlight the possible usefulness of providing the public
   with the latest and correct information to their questions in a timely
   manner, for example via an official health website. (C) 2016 Elsevier
   Ltd. All rights reserved.
RI Nawa, Nobutoshi/AAT-5292-2020
OI Nawa, Nobutoshi/0000-0001-6785-7867
ZA 0
ZB 5
ZS 0
Z8 0
ZR 0
TC 12
Z9 12
U1 0
U2 10
SN 0264-410X
EI 1873-2518
UT WOS:000378667900029
PM 26776467
ER

PT J
AU Patel, Tejal
   Chang, Feng
   Mohammed, Heba Tallah
   Raman-Wilms, Lalitha
   Jurcic, Jane
   Khan, Ayesha
   Sproule, Beth
TI Knowledge, Perceptions and Attitudes toward Chronic Pain and Its
   Management: A Cross-Sectional Survey of Frontline Pharmacists in
   Ontario, Canada
SO PLOS ONE
VL 11
IS 6
AR e0157151
DI 10.1371/journal.pone.0157151
PD JUN 7 2016
PY 2016
AB The treatment of chronic pain consumes a significant share of primary
   care. Community and family health team pharmacists frequently see
   patients with chronic pain, thus have the opportunity to improve their
   care. To assess the knowledge, perceptions, and attitudes of Ontario
   pharmacists, we invited 5,324 Ontario pharmacists, to participate in an
   online survey we developed using Qualtrics. The 31-question survey
   gathered demographic information, assessed pharmacists' knowledge of
   three chronic pain conditions; chronic lower back pain (CLBP, eight
   true/false statements); chronic headache disorder (CHD, eight true/false
   statements) and painful diabetic neuropathy (PDN, seven true/false
   statements), and their attitudes toward and perceptions of patients with
   these conditions, and knowledge, attitudes, and perceptions of opioids
   in pain management. We received 688 responses (12.9%) and 392
   pharmacists completed the survey. The mean age of respondents was 48.5
   years and 48.5% were male. More than 50% of respondents were in practice
   for more than 20 years and 58.7% worked 25-40 hours per week. The mean
   knowledge scores were 4.5/8, 5.5/8, and 5.3/8 for CBLP, CHD, and PDN
   respectively. While 95% of respondents were aware of the increasing
   death rates due to opioid use, only half were familiar with the Canadian
   guideline for safe opioid prescribing for non-cancer use. Responses were
   compared based on gender, time in practice and location of practice.
   Pharmacists with more than ten years of experience scored significantly
   higher than those with less experience. Fewer differences were found in
   comparisons of gender and location of practice. Safe and effective care
   of chronic pain patients, particularly with opioids, will require
   additional pharmacist education.
RI Mohammed, Heba/AAF-8484-2020; Patel, Tejal/ABG-6213-2021; Sproule, Beth/
OI Sproule, Beth/0000-0001-7960-3696
ZR 0
TC 18
ZB 1
ZA 0
ZS 0
Z8 0
Z9 18
U1 0
U2 15
SN 1932-6203
UT WOS:000377561000068
PM 27270723
ER

PT J
AU van Driel, Mieke L.
   Morgan, Simon
   Tapley, Amanda
   McArthur, Lawrie
   McElduff, Patrick
   Yardley, Lucy
   Dallas, Anthea
   Deckx, Laura
   Mulquiney, Katie
   Davis, Joshua S.
   Davey, Andrew
   Henderson, Kim
   Little, Paul
   Magin, Parker J.
TI Changing the Antibiotic Prescribing of general practice registrars: the
   ChAP study protocol for a prospective controlled study of a multimodal
   educational intervention
SO BMC FAMILY PRACTICE
VL 17
AR 67
DI 10.1186/s12875-016-0470-7
PD JUN 6 2016
PY 2016
AB Background: Australian General Practitioners (GPs) are generous
   prescribers of antibiotics, prompting concerns including increasing
   antimicrobial resistance in the community. Recent data show that GPs in
   vocational training have prescribing patterns comparable with the high
   prescribing rate of their established GP supervisors. Evidence-based
   guidelines consistently advise that antibiotics are not indicated for
   uncomplicated upper respiratory tract infections (URTI) and are rarely
   indicated for acute bronchitis. A number of interventions have been
   trialled to promote rational antibiotic prescribing by established GPs
   (with variable effectiveness), but the impact of such interventions in a
   training setting is unclear. We hypothesise that intervening while
   early-career GPs are still developing their practice patterns and
   prescribing habits will result in better adherence to evidence-based
   guidelines as manifested by lower antibiotic prescribing rates for URTIs
   and acute bronchitis.
   Methods/design: The intervention consists of two online modules, a
   face-to-face workshop for GP trainees, a face-to-face workshop for their
   supervisors and encouragement for the trainee-supervisor dyad to include
   a case-based discussion of evidence-based antibiotic prescribing in
   their weekly one-on-one teaching meetings. We will use a non-randomised,
   non-equivalent control group design to assess the impact on antibiotic
   prescribing for acute upper respiratory infections and acute bronchitis
   by GP trainees in vocational training.
   Discussion: Early-career GPs who are still developing their clinical
   practice and prescribing habits are an underutilized target-group for
   interventions to curb the growth of antimicrobial resistance in the
   community. Interventions that are embedded into existing training
   programs or are linked to continuing professional development have
   potential to increase the impact of existing interventions at limited
   additional cost.
RI Deckx, Laura/Z-1111-2019; Deckx, Laura/C-6451-2015; van Driel, Mieke/D-1167-2011; Yardley, Lucy/; Davis, Joshua/N-2288-2013; Little, Paul/
OI Deckx, Laura/0000-0002-4589-4891; Deckx, Laura/0000-0002-4589-4891; van
   Driel, Mieke/0000-0003-1711-9553; Yardley, Lucy/0000-0002-3853-883X;
   Davis, Joshua/0000-0001-9864-5699; Little, Paul/0000-0003-3664-1873
ZB 3
ZR 0
ZA 0
TC 12
ZS 0
Z8 0
Z9 12
U1 0
U2 5
SN 1471-2296
UT WOS:000377163900001
PM 27267983
ER

PT J
AU Dagher, Michael M.
   Atieh, Jessica A.
   Soubra, Marwa K.
   Khoury, Samia J.
   Tamim, Hani
   Kaafarani, Bilal R.
TI Medical Research Volunteer Program (MRVP): innovative program promoting
   undergraduate research in the medical field
SO BMC MEDICAL EDUCATION
VL 16
AR 160
DI 10.1186/s12909-016-0670-9
PD JUN 6 2016
PY 2016
AB Background: Most educational institutions lack a structured system that
   provides undergraduate students with research exposure in the medical
   field. The objective of this paper is to describe the structure of the
   Medical Research Volunteer Program (MRVP) which was established at the
   American University of Beirut, Lebanon, as well as to assess the success
   of the program.
   Methods: The MRVP is a program that targets undergraduate students
   interested in becoming involved in the medical research field early on
   in their academic career. It provides students with an active experience
   and the opportunity to learn from and support physicians, clinical
   researchers, basic science researchers and other health professionals.
   Through this program, students are assigned to researchers and become
   part of a research team where they observe and aid on a volunteer basis.
   This paper presents the MRVP's four major pillars: the students, the
   faculty members, the MRVP committee, and the online portal. Moreover,
   details of the MRVP process are provided. The success of the program was
   assessed by carrying out analyses using information gathered from the
   MRVP participants (both students and faculty). Satisfaction with the
   program was assessed using a set of questions rated on a Likert scale,
   ranging from 1 (lowest satisfaction) to 5 (highest satisfaction).
   Results: A total of 211 students applied to the program with a total of
   164 matches being completed. Since the beginning of the program, three
   students have each co-authored a publication in peer-reviewed journals
   with their respective faculty members. The majority of the students
   rated the program positively. Of the total number of students who
   completed the program period, 35.1 % rated the effectiveness of the
   program with a 5, 54.8 % rated 4, and 8.6 % rated 3. A small number of
   students gave lower ratings of 2 and 1 (1.1 % and 0.4 %, respectively).
   Conclusion: The MRVP is a program that provides undergraduate students
   with the opportunity to learn about research firsthand as they volunteer
   and aid in different research projects. This program also provides
   faculty members with the help to conduct their research projects and
   opportunity to influence future generations. It was shown that so far
   the MRVP has been successful in reaching its goals, for both students
   and faculty.
RI Dagher, Michael M./AAM-2967-2020; Dagher, Michael/; Kaafarani, Bilal/; Atieh, Jessica/
OI Dagher, Michael/0000-0002-4305-9294; Kaafarani,
   Bilal/0000-0002-1341-1963; Atieh, Jessica/0000-0003-3936-9326
Z8 0
ZA 0
ZB 2
ZR 0
ZS 2
TC 12
Z9 13
U1 1
U2 6
EI 1472-6920
UT WOS:000377171200001
PM 27267261
ER

PT J
AU Avila, Javier
   Sostmann, Kai
   Breckwoldt, Jan
   Peters, Harm
TI Evaluation of the free, open source software WordPress as electronic
   portfolio system in undergraduate medical education
SO BMC MEDICAL EDUCATION
VL 16
AR 157
DI 10.1186/s12909-016-0678-1
PD JUN 3 2016
PY 2016
AB Background: Electronic portfolios (ePortfolios) are used to document and
   support learning activities. E-portfolios with mobile capabilities allow
   even more flexibility. However, the development or acquisition of
   ePortfolio software is often costly, and at the same time, commercially
   available systems may not sufficiently fit the institution's needs. The
   aim of this study was to design and evaluate an ePortfolio system with
   mobile capabilities using a commercially free and open source software
   solution.
   Methods: We created an online ePortfolio environment using the blogging
   software WordPress based on reported capability features of such
   software by a qualitative weight and sum method. Technical
   implementation and usability were evaluated by 25 medical students
   during their clinical training by quantitative and qualitative means
   using online questionnaires and focus groups.
   Results: The WordPress ePortfolio environment allowed students a broad
   spectrum of activities - often documented via mobile devices - like
   collection of multimedia evidences, posting reflections, messaging, web
   publishing, ePortfolio searches, collaborative learning, knowledge
   management in a content management system including a wiki and RSS
   feeds, and the use of aid tools for studying. The students' experience
   with WordPress revealed a few technical problems, and this report
   provides workarounds. The WordPress ePortfolio was rated positively by
   the students as a content management system (67 % of the students), for
   exchange with other students (74 %), as a note pad for reflections (53
   %) and for its potential as an information source for assessment (48 %)
   and exchange with a mentor (68 %). On the negative side, 74 % of the
   students in this pilot study did not find it easy to get started with
   the system, and 63 % rated the ePortfolio as not being user-friendly.
   Qualitative analysis indicated a need for more introductory information
   and training.
   Conclusions: It is possible to build an advanced ePortfolio system with
   mobile capabilities with the free and open source software WordPress.
   This allows institutions without proprietary software to build a
   sophisticated ePortfolio system adapted to their needs with relatively
   few resources. The implementation of WordPress should be accompanied by
   introductory courses in the use of the software and its apps in order to
   facilitate its usability.
RI Peters, Harm/AAE-5643-2019; Breckwoldt, Jan/; Peters, Harm/
OI Breckwoldt, Jan/0000-0003-1716-1970; Peters, Harm/0000-0003-1441-7512
TC 21
ZS 2
ZR 0
ZB 0
ZA 0
Z8 1
Z9 21
U1 1
U2 47
SN 1472-6920
UT WOS:000377170900001
PM 27255920
ER

PT J
AU Root, Joseph
   Oster, Natalia V.
   Jackson, Sara L.
   Mejilla, Roanne
   Walker, Jan
   Elmore, Joann G.
TI Characteristics of Patients Who Report Confusion After Reading Their
   Primary Care Clinic Notes Online S
SO HEALTH COMMUNICATION
VL 31
IS 6
BP 778
EP 781
DI 10.1080/10410236.2014.990078
PD JUN 2 2016
PY 2016
AB Patient access to online electronic medical records (EMRs) is increasing
   and may offer benefits to patients. However, the inherent complexity of
   medicine may cause confusion. We elucidate characteristics and health
   behaviors of patients who report confusion after reading their doctors'
   notes online. We analyzed data from 4,528 patients in Boston, MA,
   central Pennsylvania, and Seattle, WA, who were granted online access to
   their primary care doctors' clinic notes and who viewed at least one
   note during the 1-year intervention. Three percent of patients reported
   confusion after reading their visit notes. These patients were more
   likely to be at least 70years of age (p<.0001), have fewer years of
   education (p<.0017), be unemployed (p<.0001), have lower levels of
   self-reported health (p<.0043), and worry more after reading visit notes
   (relative risk [RR] 4.83; confidence interval [CI] 3.17, 7.36) compared
   to patients who were not confused. In adjusted analyses, they were less
   likely to report feeling more in control of their health (RR 0.42; CI
   0.25, 0.71), remembering their care plan (RR 0.26; CI 0.17, 0.42), and
   understanding their medical conditions (RR 0.32; CI 0.19, 0.54) as a
   result of reading their doctors' notes compared to patients who were not
   confused. Patients who were confused by reading their doctors' notes
   were less likely to report benefits in health behaviors. Understanding
   this small subset of patients is a critical step in reducing gaps in
   provider-patient communication and in efforts to tailor educational
   approaches for patients.
ZB 1
ZS 0
ZR 0
ZA 0
TC 7
Z8 0
Z9 7
U1 0
U2 13
SN 1041-0236
EI 1532-7027
UT WOS:000371719800014
PM 26529325
ER

PT J
AU Barrett, Jessica
   Eason, Christianne M.
   Lazar, Rhyan
   Mazerolle, Stephanie M.
TI Personality Traits and Burnout Among Athletic Trainers Employed in the
   Collegiate Setting
SO JOURNAL OF ATHLETIC TRAINING
VL 51
IS 6
BP 454
EP 459
DI 10.4085/1062-6050-51.7.08
PD JUN 2016
PY 2016
AB Context: Burnout, a psychological state of mental weariness that occurs
   when work stresses become overwhelming, has frequently been documented
   in athletic trainers and has been hypothesized to affect professional
   retention. Experiences of burnout may be influenced by individual-level
   factors such as gender or personality, though few researchers have
   investigated such interactions in athletic trainers.
   Objective: To investigate the relationship between personalities, as
   measured by the Big Five Personality Inventory, and burnout.
   Design: Cross-sectional study.
   Setting: Online Web-based survey.
   Patients or Other Participants: A total of 189 athletic trainers working
   in the collegiate setting, 65 men (34.4%) and 124 women (65.6%), with an
   average of 5 +/- 3 years certified and 2.5 +/- 2 years working in their
   current position.
   Main Outcome Measure(s): Data were collected using a Web-based survey
   instrument consisting of 3 sections: (1) demographics, (2) burnout
   survey, and (3) Big Five Personality Inventory. Likert responses for the
   burnout score were summed. Independent t tests, Pearson correlations,
   and multiple regres-sions were calculated to evaluate the relationships
   between demographics and burnout and between burnout and personality.
   Results: This group of athletic trainers experienced moderate burnout,
   regardless of gender. A weak negative correlation was present between
   burnout score and both agreeableness and extraversion. A weak positive
   correlation existed between burnout and neuroticism. These variables did
   not predict burnout scores; only neuroticism added significantly to the
   weak predictive value. Personality explained only 17.3% of the
   variability in burnout scores.
   Conclusions: Our study confirms the findings of previous researchers
   highlighting moderate burnout in athletic trainers employed in the
   collegiate setting. We did not find that personality significantly
   predicted burnout, though it did account for a small amount of the
   variance in burnout scores. Thus, organizational-level factors may play
   a greater role in determining burnout in athletic trainers than
   individual-level factors such as personality.
ZR 0
TC 9
ZA 0
ZB 3
Z8 0
ZS 0
Z9 9
U1 0
U2 17
SN 1062-6050
EI 1938-162X
UT WOS:000392857100004
PM 27415851
ER

PT J
AU Annear, Michael J.
   Eccleston, Claire E.
   McInerney, Frances J.
   Elliott, Kate-Ellen J.
   Toye, Christine M.
   Tranter, Bruce K.
   Robinson, Andrew L.
TI A New Standard in Dementia Knowledge Measurement: Comparative Validation
   of the Dementia Knowledge Assessment Scale and the Alzheimer's Disease
   Knowledge Scale
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 64
IS 6
BP 1329
EP 1334
DI 10.1111/jgs.14142
PD JUN 2016
PY 2016
AB OBJECTIVES: To compare the psychometric performance of the Dementia
   Knowledge Assessment Scale (DKAS) and the Alzheimer's Disease Knowledge
   Scale (ADKS) when administered to a large international cohort before
   and after online dementia education.
   DESIGN: Comparative psychometric analysis with pre- and posteducation
   scale responses.
   SETTING: The setting for this research encompassed 7,909 individuals
   from 124 countries who completed the 9-week Understanding Dementia
   Massive Open Online Course (MOOC).
   PARTICIPANTS: Volunteer respondents who completed the DKAS and ADKS
   before (n = 3,649) and after (n = 878) completion of the Understanding
   Dementia MOOC.
   MEASUREMENTS: Assessment and comparison of the DKAS and ADKS included
   evaluation of scale development procedures, interscale correlations,
   response distribution, internal consistency, and construct validity.
   RESULTS: The DKAS had superior internal consistency, wider response
   distribution with less ceiling effect, and better discrimination between
   pre- and posteducation scores and occupational cohorts than the ADKS.
   CONCLUSION: The 27-item DKAS is a reliable and preliminarily valid
   measure of dementia knowledge that is psychometrically and conceptually
   sound, overcomes limitations of existing instruments, and can be
   administered to diverse cohorts to measure baseline understanding and
   knowledge change.
RI Eccleston, Claire/J-7745-2014; Toye, Christine M/I-4288-2012; Elliott, Kate-Ellen J./J-7755-2014; Tranter, Bruce/J-6818-2014
OI Eccleston, Claire/0000-0002-7913-6888; Toye, Christine
   M/0000-0003-4932-0016; Elliott, Kate-Ellen J./0000-0002-4726-5685;
   Tranter, Bruce/0000-0002-0649-6065
TC 30
ZS 2
Z8 1
ZA 0
ZR 0
ZB 2
Z9 32
U1 2
U2 22
SN 0002-8614
EI 1532-5415
UT WOS:000383546900024
PM 27321614
ER

PT J
AU Lefebvre, Cedric
   Mesner, Jason
   Stopyra, Jason
   O'Neill, James
   Husain, Iltifat
   Geer, Carol
   Gerancher, Karen
   Atkinson, Hal
   Harper, Erin
   Huang, William
   Cline, David M.
TI Social Media in Professional Medicine: New Resident Perceptions and
   Practices
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 6
AR e119
DI 10.2196/jmir.5612
PD JUN 2016
PY 2016
AB Background: For younger generations, unconstrained online social
   activity is the norm. Little data are available about perceptions among
   young medical practitioners who enter the professional clinical arena,
   while the impact of existing social media policy on these perceptions is
   unclear.
   Objective: The objective of this study was to investigate the existing
   perceptions about social media and professionalism among new physicians
   entering in professional clinical practice; and to determine the effects
   of formal social media instruction and policy on young professionals'
   ability to navigate case-based scenarios about online behavior in the
   context of professional medicine.
   Methods: This was a prospective observational study involving the new
   resident physicians at a large academic medical center. Medical
   residents from 9 specialties were invited to participate and answer an
   anonymous questionnaire about social media in clinical medicine. Data
   were analyzed using SAS 9.4 (Cary, NC), chi-square or Fisher's exact
   test was used as appropriate, and the correct responses were compared
   between different groups using the Kruskal-Wallis analysis of variance.
   Results: Familiarity with current institutional policy was associated
   with an average of 2.2 more correct responses (P=. 01). Instruction on
   social media use during medical school was related to correct responses
   for 2 additional questions (P=. 03). On dividing the groups into no
   policy exposure, single policy exposure, or both exposures, the mean
   differences were found to be statistically significant (3.5, 7.5, and
   9.4, respectively) (P=. 03).
   Conclusions: In this study, a number of young physicians demonstrated a
   casual approach to social media activity in the context of professional
   medical practice. Several areas of potential educational opportunity and
   focus were identified: (1) online privacy, (2) maintaining digital
   professionalism, (3) safeguarding the protected health information of
   patients, and (4) the impact of existing social media policies. Prior
   social media instruction and/or familiarity with a social media policy
   are associated with an improved performance on case-based questions
   regarding online professionalism. This suggests a correlation between an
   instruction about online professionalism and more cautious online
   behavior. Improving the content and delivery of social media policy may
   assist in preserving institutional priorities, protecting patient
   information, and safeguarding young professionals from online
   misadventure.
ZA 0
ZS 0
TC 20
ZB 4
ZR 0
Z8 0
Z9 20
U1 1
U2 7
SN 1438-8871
UT WOS:000388495200026
PM 27283846
ER

PT J
AU Billups, Sarah J.
   Olson, Kari L.
   Saseen, Joseph J.
   Irwin, Adriane N.
   Touchette, Daniel R.
   Chennault, Rachel R.
   Kurz, Deanna
TI Evaluation of the Effect of A Structured Program to Guide Residents'
   Experience in Research (ASPIRE) on Pharmacy Residents' Knowledge,
   Confidence, and Attitude toward Research
SO PHARMACOTHERAPY
VL 36
IS 6
BP 631
EP 637
DI 10.1002/phar.1765
PD JUN 2016
PY 2016
AB STUDY OBJECTIVE To evaluate the effect of A Structured Program to guide
   Resident Experience in Research (ASPIRE) on pharmacy residents'
   knowledge, confidence, and attitude toward research.
   DESIGN Nonrandomized controlled study using data from a validated
   questionnaire administered through an online survey.
   PARTICIPANTS Of 60 pharmacy residents (residency year 2013-2014) who
   completed the baseline assessment, the 41 residents who also completed
   the follow-up assessment were included in the final analysis; of those,
   26 Colorado pharmacy postgraduate year 1 (PGY1) and year 2 (PGY2)
   residents were enrolled in ASPIRE between July 2013 and June 2014
   (intervention group) and 16 PGY1 and PGY2 pharmacy residents outside of
   Colorado did not participate in ASPIRE (control group).
   MEASUREMENTS AND MAIN RESULTS Both the intervention and control groups
   completed a pre- and post-assessment at the beginning (July 2013
   [baseline]) and end (May/June 2014 [follow-up]), respectively, of their
   residency year that measured knowledge (with a tool measuring
   biostatistics and research methodology knowledge), confidence, and
   attitude toward research. Research knowledge scores improved similarly
   from baseline to follow-up in the intervention and control groups: 11.8%
   and 11.3%, respectively (adjusted p=0.8). Research confidence improved
   significantly more in the intervention group, with a 48% increase in
   confidence score from before to after residency completion, compared
   with a 15% increase in the control group (adjusted p=0.002). Residents
   in both the intervention and control groups expressed positive attitudes
   toward pharmacist-conducted research, with 100% and 87% of intervention
   and control residents, respectively (adjusted p=0.970), agreeing that
   pharmacist-conducted research is essential to driving pharmacy practice
   and expanding the roles of pharmacists.
   CONCLUSION ASPIRE was not associated with greater research methodology
   knowledge but did significantly increase confidence in performing
   research.
RI Billups, Sarah/AAK-3862-2020
ZB 1
TC 19
ZA 0
ZS 1
ZR 0
Z8 0
Z9 19
U1 0
U2 3
SN 0277-0008
EI 1875-9114
UT WOS:000383595000009
PM 27144641
ER

PT J
AU Valois, Pierre
   Blouin, Patrick
   Ouellet, Claudine
   Renaud, Jean-Sebastien
   Belanger, Diane
   Gosselin, Pierre
TI The Health Impacts of Climate Change: A Continuing Medical Education
   Needs Assessment Framework
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 36
IS 3
BP 218
EP 225
DI 10.1097/CEH.0000000000000084
PD SUM 2016
PY 2016
AB Introduction: As the health consequences of climate change (CC) will
   likely become more manifest in the future, family physicians have to be
   knowledgeable about these impacts and the ways in which they can affect
   their patients. The main aim of this study was to propose a competency
   framework and questionnaire used to conduct a needs analysis to identify
   and prioritize family physicians' real educational needs regarding the
   health impacts of CC.
   Methods: A mixed method combining a qualitative interview and a
   quantitative online questionnaire was used (n = 24 physicians). The
   interview assessed key beliefs related to participating in an online
   continuing medical education (eCME) activity on the health impacts of
   climate change, and the perception of the key factors or conditions
   required to ensure the family physicians' satisfaction with this eCME
   activity. The questionnaire assessed the current and desired levels of
   competency on five general training themes: general knowledge about CC;
   heat-related illnesses; CC, extreme weather events and modification of
   vector-borne and zoonotic diseases; CC, extreme weather events and
   modification of water-borne diseases; and mental health impacts of
   natural disasters.
   Results: Results revealed the need for improved medical education on
   climate change and health. Results also add to the literature by showing
   that a 3-hour eCME activity covering these topics would be useful and
   would allow family physicians to use this knowledge in their daily
   practice, notably through prevention and counseling.
   Discussion: Introducing a CME needs assessment framework and a generic
   instrument that reflects family physicians' needs regarding the health
   impacts of CC has the added advantage of standardizing the assessment
   procedure.
ZA 0
ZR 0
ZS 0
Z8 0
TC 11
ZB 1
Z9 11
U1 2
U2 36
SN 0894-1912
EI 1554-558X
UT WOS:000388301600012
PM 27583999
ER

PT J
AU Macqueen, Susy
   Woodward-Kron, Robyn
   Flynn, Eleanor
   Reid, Katharine
   Elliott, Kristine
   Slade, Diana
TI A resource for teaching emergency care communication.
SO The clinical teacher
VL 13
IS 3
BP 192
EP 6
DI 10.1111/tct.12423
PD 2016-Jun
PY 2016
AB BACKGROUND: Communication in emergency departments (EDs), often between
   several health professionals and patients and relatives, is a major
   cause of patient complaint and error; however, communication-skills
   teaching for medical students largely focuses on individual
   clinician-patient interactions.
   CONTEXT: We developed and implemented an evidence-informed online
   resource, Communication for Health in Emergency Contexts (CHEC;
   http://www.chec.meu.medicine.unimelb.edu.au/resources) to raise medical
   students' awareness of the challenges of communication in the ED, and to
   provide students with communication strategies for addressing these
   challenges. The foundation of the CHEC resource was the findings and
   data from a large research project conducted at five emergency
   departments in Australia over the period 2006-2009. From this, we
   developed ED scenarios and teaching vignettes using authentic
   communication data. The project included a nationwide medical curriculum
   scoping phase, involving interviews with medical students and educators,
   on ED communication curriculum needs in order to inform the educational
   activities.
   INNOVATION: The CHEC resource provides students with the opportunity to
   follow real-life scenarios through all stages of the ED journey, whereas
   insights from ED medical and nursing staff provide learning
   opportunities about interprofessional communication for medical
   students. Evaluation suggests that students find the resource useful,
   and that the resource has been successfully embedded in medical and
   junior doctor training on communication and quality and safety.
   IMPLICATIONS: The CHEC resource enhances the capacity of busy clinical
   educators to raise students' awareness of the communication needs of
   emergency health care by focusing on communication in high-stress,
   time-pressured settings using a web format. The CHEC resource provides
   students with the opportunity to follow real-life scenarios through all
   stages of the ED journey.
RI Reid, Kate/AGT-3435-2022; Reid, Katharine/; Slade, Diana/; Macqueen, Susy/; Woodward-Kron, Robyn/
OI Reid, Katharine/0000-0002-4600-8847; Slade, Diana/0000-0001-6143-5989;
   Macqueen, Susy/0000-0001-5404-6475; Woodward-Kron,
   Robyn/0000-0002-3973-818X
ZS 0
Z8 0
ZA 0
ZR 0
ZB 1
TC 2
Z9 2
U1 0
U2 8
EI 1743-498X
UT MEDLINE:26183768
PM 26183768
ER

PT J
AU Burghaus, D.
   Becker, J. C.
   Kappes, K.
   Heue, M.
   Kindler-Roehrborn, A.
   Pfleiderer, B.
TI Gender-specific Aspects of Knowledge and Gender Sensitivity in Medical
   Education - An Inventory
SO GESUNDHEITSWESEN
VL 78
IS 6
BP 414
EP 420
DI 10.1055/s-0034-1396845
PD JUN 2016
PY 2016
AB Background: Gender competence is an essential prerequisite for
   individualized patient care. Objectives: The aim of this study is to
   survey the level of knowledge and attitudes towards gender-related
   aspects at 2 German medical schools.
   Materials and Methods: An online questionnaire was used to collect data
   on gender competence in medicine including biological basics of sex
   differences, clinical aspects, socio-cultural factors as well as
   questions regarding gender role concepts. In total 1 671 students, 330
   basic scientists, 413 physicians and 53 professors from the German
   Medical Schools Munster and Duisburg-Essen took part in the survey.
   Results: The level of knowledge on gender-specific aspects in medicine
   is unsatisfactory at both medical schools. The average of correct
   answers on gender-related questions of all groups is less than 55 %.
   Looking at gender sensitivity the existence and importance of gender
   disparities in medicine is agreed upon by the majority of participants.
   However, most of them regard only the patients' but not the physician's
   sex as relevant.
   Conclusions: The study reveals a lack of knowledge and the necessity for
   improvement: the integration of gender-specific aspects into medical
   routine is an important step towards a truly individualized medical
   care.
ZA 0
ZS 0
Z8 0
TC 3
ZR 0
ZB 0
Z9 3
U1 1
U2 16
SN 0941-3790
EI 1439-4421
UT WOS:000384770000017
PM 25706040
ER

PT J
AU Kleiven, Hilde M.
   Tejani, Neetu
   Sullivan, Lisa
TI What is the viva experience of phase 2 Radiation Oncology examination
   candidates? Survey and advice for future candidates
SO JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
VL 60
IS 3
BP 428
EP 432
DI 10.1111/1754-9485.12436
PD JUN 2016
PY 2016
AB Introduction: Medical speciality examination is a very stressful event
   in medical careers. We aimed to determine the subjective experience of
   Radiation Oncology Royal Australian and New Zealand College of
   Radiologists ( RANZCR) oral examination candidates. It was hoped the
   results would provide reassurance and advice for future candidates.
   Methods: We distributed an anonymous online survey through the RANZCR
   membership database to Radiation Oncology Trainees and fellows who may
   have sat their oral examination within the last 3 years.
   Results: There were 21 responses, yielding a response rate of 21%.
   Nineteen percent of respondents were moderately or very surprised during
   their viva and the most frequently noted cause was the demeanour of the
   examiners. The clinical cases and clinical examination station were
   rated very fair by over 80% of responders while the planning cases were
   rated very fair by 57%. During the viva, 33% thought they passed and 71%
   of these candidates were successful. Forty-three percent felt they were
   borderline, and all of these respondents passed. Five participants (
   24%) failed in the first attempt and four described being unable to
   convey their actual knowledge. Candidates found mock examinations to be
   the most useful examination preparation activity. The most frequently
   given advice was to focus on the planning examination.
   Conclusions: The majority of this select group of candidates indicated
   that the oral examination cases were very fair. Candidates rated the
   planning exam as least fair, indicating this may be the area that would
   benefit most from better preparation.
RI Sullivan, Lisa Maree/AFW-6235-2022; Kleiven, Hilde/
OI Kleiven, Hilde/0000-0002-6670-5009
Z8 0
TC 4
ZS 0
ZA 0
ZB 0
ZR 0
Z9 4
U1 0
U2 0
SN 1754-9477
EI 1754-9485
UT WOS:000384979100020
PM 26833641
ER

PT J
AU Jordan, Jaime
   Jones, David
   Williams, Dustin
   Druck, Jeffrey
TI Publishing Venues for Education Scholarship: A Needs Assessment
SO ACADEMIC EMERGENCY MEDICINE
VL 23
IS 6
BP 731
EP 735
DI 10.1111/acem.13003
PD JUN 2016
PY 2016
AB Objectives: Education research is a developing field. It is unknown if
   there are adequate venues for scholarship distribution. The objectives
   of this study were to identify types of education scholarship produced,
   where this type of scholarship is published, barriers to achieving
   publication for education scholarship, and perceptions of adequacy of
   publication venues.
   Methods: Study participants were emergency medicine (EM) education and
   academic leaders who completed an online survey consisting of
   multiple-choice, completion, and 10-point Likert scale items.
   Results: A total of 45 of 59 (76.3%) subjects completed the survey. A
   total of 33 of 45 (73.3%) respondents had published education
   scholarship. Most (29/44, 65.9%) felt that there were inadequate venues
   for publishing education scholarship. Of those who publish education
   scholarship, most (30/33; 90.9%) publish either less than one or one to
   two peer-reviewed products per year, but collaborate with others more
   frequently (less than one per year, 7/33, 21.2%; one or two per year,
   17/33, 51.5%; three or four per year, 7/33, 21.2%; five or more per
   year, 2/33, 6.1%). The most frequently published scholarship were
   curricular innovations and original research, with mean ratings of 5.61
   and 5.21, respectively, on a 10-point Likert scale. Peer-reviewed print
   journal was the most frequently utilized venue, with a mean rating of
   6.21. Other venues (mean rating) include peer-reviewed online journal
   (4.0), MedEd Portal (3.58), free open-access education (3.47),
   newsletter (3.0), and curricular toolbox (2.55). The most common
   rejection reason was "not suitable for this journal/venue," with a mean
   rating of 5.33. Other reasons include research methodology (4.07), small
   sample size (4.17), single-site study (4.28), and misunderstanding of
   project purpose (4.10). Respondents believed that additional education
   supplements in journals would be most helpful in increasing successful
   publication, with a mean rating of 8.31. Other helpful items included a
   central online repository of venues that publish education scholarship,
   online training in education research design/methodology, and an online
   networking site of education researchers to promote collaboration, with
   mean ratings of 6.88, 6.75, and 6.28, respectively.
   Conclusion: The majority of our sampling of EM education and academic
   leaders publish education scholarship. There is a perceived lack of
   venues for this work. Multiple barriers as well as potential strategies
   for success have been identified. This information may inform
   interventions to support the dissemination of education scholarship. (C)
   2016 by the Society for Academic Emergency Medicine
CT National Annual Meeting of the Society-for-Academic-Emergency-Medicine
CY MAY 10-13, 2016
CL New Orleans, LA
SP Soc Acad Emergency Med
OI Kuehl, Damon/0000-0001-9052-8412
ZR 0
ZB 0
Z8 0
ZS 0
TC 5
ZA 0
Z9 5
U1 0
U2 4
SN 1069-6563
EI 1553-2712
UT WOS:000383374900011
PM 27155165
ER

PT J
AU Harik, Juliette M.
   Hundt, Natalie E.
   Bernardy, Nancy C.
   Norman, Sonya B.
   Hamblen, Jessica L.
TI Desired Involvement in Treatment Decisions Among Adults with PTSD
   Symptoms
SO JOURNAL OF TRAUMATIC STRESS
VL 29
IS 3
BP 221
EP 228
DI 10.1002/jts.22102
PD JUN 2016
PY 2016
AB Most medical patients want to be involved in decisions about their care.
   Whether this is true for people with posttraumatic stress disorder
   (PTSD)-a disorder characterized by avoidance of trauma-related
   discussions-is unknown. We conducted an online survey assessing
   preferences for involvement in PTSD treatment decisions (level of
   control, timing) and information about PTSD treatment (content, format).
   Adults who screened positive for possible PTSD (N = 301) were recruited
   from a large online survey panel representative of the U.S. population.
   Virtually all respondents (97.3%) desired involvement in treatment
   decisions; two thirds (67.8%) wanted primary responsibility for
   decisions. Most (64.2%) wanted 30-60 minutes to learn about treatments
   and 80.1% wanted at least 1-3 days to consider their options.
   Respondents expressed more interest in informational content on
   treatment effectiveness and side effects than any other topic. In-person
   discussion with a provider was preferred more than other learning
   formats (e.g., websites, brochures). Results suggested that people with
   symptoms of PTSD want involvement in decisions about their treatment and
   want to discuss treatment options with their provider. Providers may
   wish to prioritize information about effectiveness and side effects, and
   should expect that many patients will need several days after their
   visit to make a decision.
ZA 0
TC 10
ZR 0
Z8 0
ZB 1
ZS 0
Z9 10
U1 0
U2 6
SN 0894-9867
EI 1573-6598
UT WOS:000383477800004
PM 27171567
ER

PT J
AU Van de Weijer-Bergsma, Eva
   Kroesbergen, Evelyn H.
   Jolani, Shahab
   Van Luit, Johannes E. H.
TI The Monkey game: A computerized verbal working memory task for
   self-reliant administration in primary school children
SO BEHAVIOR RESEARCH METHODS
VL 48
IS 2
BP 756
EP 771
DI 10.3758/s13428-015-0607-y
PD JUN 2016
PY 2016
AB In two studies, the psychometric properties of an online self-reliant
   verbal working memory task (the Monkey game) for primary school children
   (6-12 years of age) were examined. In Study 1, children (n = 5,203) from
   31 primary schools participated. The participants completed computerized
   verbal and visual-spatial working memory tasks (i.e., the Monkey game
   and the Lion game) and a paper-and-pencil version of Raven's Standard
   Progressive Matrices. Reading comprehension and math achievement test
   scores were obtained from the schools. First, the internal consistency
   of the Monkey game was examined. Second, multilevel modeling was used to
   examine the effects of classroom membership. Multilevel multivariate
   regression analysis was used to examine the Monkey game's concurrent
   relationship with the Lion game and its predictive relationships with
   reading comprehension and math achievement. Also, age-related
   differences in performance were examined. In Study 2, the concurrent
   relationships between the Monkey game and two tester-led computerized
   working memory tasks were further examined (n = 140). Also, the 1- and
   2-year stability of the Monkey game was investigated. The Monkey game
   showed excellent internal consistency, good concurrent relationships
   with the other working memory measures, and significant age differences
   in performance. Performance on the Monkey game was also predictive of
   subsequent reading comprehension and mathematics performance, even after
   controlling for individual differences in intelligence. Performance on
   the Monkey game was influenced by classroom membership. The Monkey game
   is a reliable and suitable instrument for the online computerized and
   self-reliant assessment of verbal working memory in primary school
   children.
RI Jolani, Shahab/AAI-6270-2020; van luit, johannes/R-3508-2017; Kroesbergen, Evelyn H./AAE-1655-2019; van de Weijer-Bergsma, Eva/
OI van luit, johannes/0000-0002-9614-5356; Kroesbergen, Evelyn
   H./0000-0001-9856-096X; van de Weijer-Bergsma, Eva/0000-0003-2758-3149
Z8 0
ZA 0
ZB 4
ZR 0
TC 21
ZS 0
Z9 21
U1 1
U2 25
SN 1554-351X
EI 1554-3528
UT WOS:000379772600025
PM 26092393
ER

PT J
AU McLean, Anna C. Lawson
   McLean, Aaron Lawson
   Kalff, Rolf
   Walter, Jan
TI Google Search Queries About Neurosurgical Topics: Are They a Suitable
   Guide for Neurosurgeons?
SO WORLD NEUROSURGERY
VL 90
BP 179
EP 185
DI 10.1016/j.wneu.2016.02.045
PD JUN 2016
PY 2016
AB OBJECTIVE: Google is the most popular search engine, with about 100
   billion searches per month. Google Trends is an integrated tool that
   allows users to obtain Google's search popularity statistics from the
   last decade. Our aim was to evaluate whether Google Trends is a useful
   tool to assess the public's interest in specific neurosurgical topics.
   METHODS: We evaluated Google Trends statistics for the neurosurgical
   search topic areas "hydrocephalus," "spinal stenosis," "concussion,"
   "vestibular schwannoma," and "cerebral arteriovenous malformation. "We
   compared these with bibliometric data from PubMed and epidemiologic data
   from the German Federal Monitoring Agency. In addition, we assessed
   Google users' search behavior for the search terms "glioblastoma" and
   "meningioma."
   RESULTS: Over the last 10 years, there has been an increasing interest
   in the topic "concussion" from Internet users in general and scientists.
   "Spinal stenosis," "concussion," and "vestibular schwannoma" are topics
   that are of special interest in high-income countries (eg, Germany),
   whereas "hydrocephalus" is a popular topic in low- and middle-income
   countries. The Google-defined top searches within these topic areas
   revealed more detail about people's interests (eg, "normal pressure
   hydrocephalus" or "football concussion"ranked among the most popular
   search queries within the corresponding topics). There was a similar
   volume of queries for "glioblastoma" and "meningioma."
   CONCLUSIONS: Google Trends is a useful source to elicit information
   about general trends in peoples' health interests and the role of
   different diseases across the world. The Internet presence of
   neurosurgical units and surgeons can be guided by online users'
   interests to achieve high-quality, professional-endorsed patient
   education.
RI McLean, Aaron Lawson/D-6830-2013; Walter, Jan/AAE-4536-2021
OI McLean, Aaron Lawson/0000-0001-5528-6905; 
ZS 0
TC 15
ZB 5
ZR 0
Z8 0
ZA 0
Z9 15
U1 0
U2 2
SN 1878-8750
EI 1878-8769
UT WOS:000380360500024
PM 26898496
ER

PT J
AU Alotaibi, Naif M.
   Guha, Daipayan
   Fallah, Aria
   Aldakkan, Abdulrahman
   Nassiri, Farshad
   Badhiwala, Jetan H.
   Ibrahim, George M.
   Shamji, Mohammed F.
   Macdonald, R. Loch
   Lozano, Andres M.
TI Social Media Metrics and Bibliometric Profiles of Neurosurgical
   Departments and Journals: Is There a Relationship?
SO WORLD NEUROSURGERY
VL 90
BP 574
EP +
DI 10.1016/j.wneu.2016.01.087
PD JUN 2016
PY 2016
AB BACKGROUND: Social media plays an increasingly important role in
   dissemination of knowledge and raising awareness of selected topics
   among the general public and the academic community.
   OBJECTIVE: To investigate the relationship between social media metrics
   and academic indices of neurosurgical programs and journals.
   METHODS: A 2-step online search was performed to identify official
   social media accounts of neurosurgical departments that were accredited
   by the Accreditation Council for Graduate Medical Education and the
   Royal College of Physicians and Surgeons of Canada. Dedicated
   neurosurgery and spine journals' social media accounts also were
   identified through an online search on SCImago Journal and Country Rank
   portal. Nonparametric tests were performed with bootstrapping to compare
   groups and to look for correlations between social media and academic
   metrics.
   RESULTS: We identified 36 social media accounts officially affiliated
   with academic neurosurgical institutions. These accounts represented 22
   of 119 neurosurgical programs in North America (18.4%). The presence of
   a social media account for neurosurgical departments was associated with
   statistically significant higher values of academic impact metrics (P <
   0.05). Specific social media metrics for neurosurgical department
   accounts, however, did not correlate with any values of academic
   indices. For journals, there were 11 journals present on social media
   and had greater academic metrics compared with journals without social
   media presence (P < 0.05).
   CONCLUSIONS: Social media presence is associated with stronger academic
   bibliometrics profiles for both neurosurgical departments and journals.
   The impact of social media metrics on indices of scientific impact in
   neurosurgery is not known.
RI Guha, Daipayan/AAV-1008-2021; Lozano, Andres M/A-5058-2012; Fallah, Aria/; Lozano, Andres/; Alotaibi, Naif/
OI Guha, Daipayan/0000-0002-2052-4819; Fallah, Aria/0000-0002-9703-0964;
   Lozano, Andres/0000-0001-8257-3694; Alotaibi, Naif/0000-0002-8227-347X
ZR 0
ZB 13
ZS 1
Z8 0
ZA 0
TC 40
Z9 41
U1 3
U2 20
SN 1878-8750
EI 1878-8769
UT WOS:000380360500072
PM 26855310
ER

PT J
AU Theyssen, Heike
   Struzyna, Sarah
   Mylott, Elliot
   Widenhorn, Ralf
TI Online Physics Lab Exercises-a Binational Study on the Transfer of
   Teaching Resources
SO INTERNATIONAL JOURNAL OF SCIENCE AND MATHEMATICS EDUCATION
VL 14
IS 5
BP 865
EP 883
DI 10.1007/s10763-014-9613-2
PD JUN 2016
PY 2016
AB In this paper, we present the design and the results of a comparative
   study that evaluated the success of a transfer of an online-teaching
   resource between two universities, one in Germany and one in the USA.
   The teaching resource is an online physics lab that has been used in the
   physics education of medical students in Germany since 2003. The online
   lab covers geometrical optics and the optics of the human eye using
   interactive screen experiments. It was translated and transferred to a
   university in the USA where it was used and evaluated with a group of
   pre-health students. In a cross-national study, students' backgrounds
   (demographic data, selected cognitive abilities, previous knowledge, and
   self-concept in physics), students' attitudes towards the online lab,
   and their learning gain were compared. The results show significant
   differences between the German and the US cohorts with regard to
   students' backgrounds. Despite these differences, the outcomes are
   similar, with slightly higher leaning gains for the US students.
   Students' attitudes towards the online lab are similar in both countries
   but tend to be more positive among the US students. The results indicate
   that the transfer of the online lab to another educational system was
   successful.
ZA 0
ZS 0
TC 1
ZR 0
ZB 0
Z8 0
Z9 1
U1 0
U2 12
SN 1571-0068
EI 1573-1774
UT WOS:000381226900004
ER

PT J
AU Evans, Faye M.
   Mallepally, Niharika R.
   Dubowitz, Gerald
   Vasilopoulos, Terrie
   McClain, Craig D.
   Enneking, Kayser
TI Factors influencing anesthesia residency selection: impact of global
   health opportunities
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 63
IS 6
BP 674
EP 681
DI 10.1007/s12630-016-0629-7
PD JUN 2016
PY 2016
AB There is growing evidence to suggest that the current generation of
   medical students and young physicians is interested in global health.
   However, there are few data on the interest in global health by students
   pursuing a career in anesthesiology. The objective of this survey was to
   evaluate the importance of global health opportunities in regard to
   applicants' choice of anesthesiology residency programs.
   Anesthesiology residency program directors in the United States were
   invited to distribute an online survey to recently matched residents. To
   reduce study bias, the survey included a wide selection of reasons for
   program choices in addition to global health. Participants were asked to
   rate independently, on a scale of 1 to 10 (1 = least important, 10 =
   most important), the importance that each factor had on their selection
   of an anesthesiology residency program.
   Of the 117 U.S. anesthesiology programs contacted, 87 (74%) distributed
   the survey. Completed surveys were obtained from 582 of 1,092 (53%)
   polled participants. All factors assessed were rated between 5 and 9 and
   the global health median [interquartile range] rating was 6 [3-7].
   Nearly half of the survey respondents were interested in incorporating
   global health into future careers. More than three-quarters reported
   being interested in participating in, or reading about, global health
   activities during their residency. Responders with previous global
   health experience, or who were interested in an "in-country" experience,
   were more likely to choose programs that had global health opportunities
   available during residency.
   Anesthesia residency program applicants are interested in global health.
   Having a global health opportunity was an important reason for choosing
   a residency program, comparable to some more traditional factors.
   Regardless of previous global health experience, the majority of future
   anesthesia residents are either planning or considering participation in
   global health activities during or after training.
RI Vasilopoulos, Terrie/AAF-9157-2019; Evans, Faye/GPP-3712-2022; Vasilopoulos, Terrie/
OI Evans, Faye/0000-0002-9852-8932; Vasilopoulos,
   Terrie/0000-0002-8066-2703
TC 7
ZA 0
ZB 3
Z8 0
ZR 0
ZS 0
Z9 7
U1 0
U2 2
SN 0832-610X
EI 1496-8975
UT WOS:000375727500005
PM 27117988
ER

PT J
AU Newberry, Laura
   Kennedy, Neil
   Greene, Elizabeth A.
TI Development of a subspecialty cardiology curriculum for paediatric
   registrars in Malawi: Implementation of a long-distance hybrid model
SO Malawi Medical Journal
VL 28
IS 2
BP 57
EP 60
DI 10.4314/mmj.v28i2.6
PD JUN 2016
PY 2016
AB Background
   Malawi has a high burden of paediatric cardiac disease but a limited
   number of health providers familiar with these chronic diseases. Given
   the rising number of Malawian postgraduate paediatric trainees at the
   University of Malawi College of Medicine, we sought to remedy this lack
   of basic cardiology training with a long-distance, module-based
   curriculum that could be utilised independently, as needed, with on-site
   teaching. We also wished to evaluate the initial modules for utility and
   improvement in knowledge and confidence in each topic.
   Methods
   After an initial site visit to determine curriculum needs, online
   modules with interactive evaluations and quizzes were developed by a
   paediatric cardiologist in the United States, in collaboration with
   paediatric registrar training directors in Malawi. This online
   interactive curriculum was followed by several site visits to Malawi, by
   the United States-based paediatric cardiologist, to provide bedside
   teaching, case-based discussions and hands-on skill training in cardiac
   ultrasound and electrocardiogram interpretation. Evaluation of the
   curriculum model included post-module quizzes on cardiac topics as well
   as registrar self-assessments regarding confidence in content areas.
   Results
   The average post-module quiz score was 93.6%. Repeat testing with the
   same questions four months later yielded an average score of 78%, with a
   range from 60 to 100%. Pre- and post-module registrar self-assessment
   regarding confidence in content areas showed a substantial gain in
   knowledge and confidence mean. In their qualitative feedback, registrars
   noted that the modules were helpful in studying for their certifying
   examinations, and all four of the registrars sitting Part I of their
   Malawian and South African paediatric certifying examinations passed.
   Conclusions
   Our innovative hybrid approach, combining online educational modules
   with in-person teaching visits, is a useful approach in expanding
   paediatric cardiology subspecialty education in Malawi.
OI Kennedy, Neil/0000-0002-6262-2679
Z8 0
ZA 0
TC 4
ZR 0
ZS 0
ZB 2
Z9 4
U1 1
U2 3
SN 1995-7262
EI 1995-7270
UT WOS:000380874600006
PM 27895830
ER

PT J
AU Xu, Wangquan
   Jiang, Qicheng
   Qin, Xia
   Fang, Guixia
   Hu, Zhi
TI E-learning for grass-roots emergency public health personnel:
   Preliminary lessons from a national program in China
SO BIOSCIENCE TRENDS
VL 10
IS 3
BP 235
EP 239
DI 10.5582/bst.2016.01083
PD JUN 2016
PY 2016
AB In China, grass-roots emergency public health personnel have relatively
   limited emergency response capabilities and they are constantly required
   to update their professional knowledge and skills due to recurring and
   new public health emergencies. However, professional training, a
   principal solution to this problem, is inadequate because of limitations
   in manpower and financial resources at grass-roots public health
   agencies. In order to provide a cost-effective and easily expandable way
   for grass-roots personnel to acquire knowledge and skills, the National
   Health Planning Commission of China developed an emergency response
   information platform and provided trial access to this platform in Anhui
   and Heilongjiang provinces in China. E-learning was one of the modules
   of the platform and this paper has focused on an e-learning pilot
   program. Results indicated that e-learning had satisfactorily improved
   the knowledge and ability of grass-roots emergency public health
   personnel, and the program provided an opportunity to gain experience in
   e-course design and implementing e-learning. Issues such as the lack of
   personalized e-courses and the difficulty of evaluating the
   effectiveness of e-learning are topics for further study.
ZB 0
ZR 0
ZA 0
TC 1
Z8 0
ZS 0
Z9 1
U1 1
U2 8
SN 1881-7815
EI 1881-7823
UT WOS:000379253700011
PM 27264545
ER

PT J
AU Tang, Weiming
   Han, Larry
   Best, John
   Zhang, Ye
   Mollan, Katie
   Kim, Julie
   Liu, Fengying
   Hudgens, Michael
   Bayus, Barry
   Terris-Prestholt, Fern
   Galler, Sam
   Yang, Ligang
   Peeling, Rosanna
   Volberding, Paul
   Ma, Baoli
   Xu, Huifang
   Yang, Bin
   Huang, Shujie
   Fenton, Kevin
   Wei, Chongyi
   Tucker, Joseph D.
TI Crowdsourcing HIV Test Promotion Videos: A Noninferiority Randomized
   Controlled Trial in China
SO CLINICAL INFECTIOUS DISEASES
VL 62
IS 11
BP 1436
EP 1442
DI 10.1093/cid/ciw171
PD JUN 1 2016
PY 2016
AB Background. Crowdsourcing, the process of shifting individual tasks to a
   large group, may enhance human immunodeficiency virus (HIV) testing
   interventions. We conducted a noninferiority, randomized controlled
   trial to compare first-time HIV testing rates among men who have sex
   with men (MSM) and transgender individuals who received a crowdsourced
   or a health marketing HIV test promotion video.
   Methods. Seven hundred twenty-one MSM and transgender participants (>=
   16 years old, never before tested for HIV) were recruited through 3
   Chinese MSM Web portals and randomly assigned to 1 of 2 videos. The
   crowdsourced video was developed using an open contest and formal
   transparent judging while the evidence-based health marketing video was
   designed by experts. Study objectives were to measure HIV test uptake
   within 3 weeks of watching either HIV test promotion video and cost per
   new HIV test and diagnosis.
   Results. Overall, 624 of 721 (87%) participants from 31 provinces in 217
   Chinese cities completed the study. HIV test uptake was similar between
   the crowdsourced arm (37% [114/307]) and the health marketing arm (35%
   [111/317]). The estimated difference between the interventions was 2.1%
   (95% confidence interval, -5.4% to 9.7%). Among those tested, 31%
   (69/225) reported a new HIV diagnosis. The crowdsourced intervention
   cost substantially less than the health marketing intervention per
   first-time HIV test (US$131 vs US$238 per person) and per new HIV
   diagnosis (US$415 vs US$799 per person).
   Conclusions. Our nationwide study demonstrates that crowd sourcing may
   be an effective tool for improving HIV testing messaging campaigns and
   could increase community engagement in health campaigns.
OI Tucker, Joseph/0000-0003-2804-1181; Zhang, Ye/0000-0001-6159-7427; Han,
   Larry/0000-0002-0577-9661; Terris-Prestholt, Fern/0000-0003-1693-5196
ZS 0
ZR 0
Z8 1
ZA 0
ZB 22
TC 88
Z9 89
U1 1
U2 24
SN 1058-4838
EI 1537-6591
UT WOS:000378433400022
PM 27129465
ER

PT J
AU Barger, Laura K.
   O'Brien, Conor S.
   Rajaratnam, Shantha M. W.
   Qadri, Salim
   Sullivan, Jason P.
   Wang, Wei
   Czeisler, Charles A.
   Lockley, Steven W.
TI Implementing a Sleep Health Education and Sleep Disorders Screening
   Program in Fire Departments A Comparison of Methodology
SO JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 58
IS 6
BP 601
EP 609
DI 10.1097/JOM.0000000000000709
PD JUN 2016
PY 2016
AB Objective: The objective of this study is to compare three methods of
   administering a sleep health program(SHP) in fire departments. Methods:
   An An SHP, comprising sleep health education and screening for common
   sleep disorders, was implemented in eight fire departments using three
   approaches: expert-led, train-the-trainer, and online. Participation
   rates, knowledge assessments, surveys, and focus group interviews were
   analyzed to assess the reach and effectiveness of the methodologies.
   Results: The Expert-led SHP had the highest participation rate, greatest
   improvement in knowledge scores, and prompted more firefighters to seek
   clinical sleep disorder evaluations (41%) than the other approaches (20
   to 25%). Forty-two percent of focus group participants reported changing
   their sleep behaviors. Conclusion: All approaches yielded reasonable
   participation rates, but expert-led programs had the greatest reach and
   effectiveness in educating and screening firefighters for sleep
   disorders.
OI Lockley, Steven/0000-0001-5209-2881
TC 19
Z8 0
ZA 0
ZB 3
ZS 0
ZR 0
Z9 19
U1 0
U2 11
SN 1076-2752
EI 1536-5948
UT WOS:000377812000017
PM 27035103
ER

PT J
AU Mueller, Claudia M.
   Gaudilliere, Dyani K.
   Kin, Cindy
   Menorca, Roseanne
   Girod, Sabine
TI Gender disparities in scholarly productivity of US academic surgeons
SO JOURNAL OF SURGICAL RESEARCH
VL 203
IS 1
BP 28
EP 33
DI 10.1016/j.jss.2016.03.060
PD JUN 1 2016
PY 2016
AB Background: Female surgeons have faced significant challenges to
   promotion over the past decades, with attrition rates supporting a lack
   of improvement in women's position in academia. We examine gender
   disparities in research productivity, as measured by the number of
   citations, publications, and h-indices, across six decades.
   Materials and methods: The online profiles of full-time faculty members
   of surgery departments of three academic centers were reviewed. Faculty
   members were grouped into six cohorts by decade, based on year of
   graduation from medical school. Differences between men and women across
   cohorts as well as by academic rank were examined.
   Results: The profiles of 978 surgeons (234 women and 744 men) were
   reviewed. The number of female faculty members in the institutions
   increased significantly over time, reaching the current percentage of
   35.3%. Significant differences in number of articles published were
   noted at the assistant and full but not at the associate, professor
   level. Women at these ranks had fewer publications than men. Gender
   differences were also found in all age cohorts except among the most
   recent who graduated in the 2000s. The impact of publications, as
   measured by h-index and number of citations, was not consistently
   significantly different between the genders at any age or rank.
   Conclusions: We identified a consistent gender disparity in the number
   of publications for female faculty members across a 60-year span.
   Although the youngest cohort, those who graduated in the 2000s, appeared
   to avoid the gender divide, our data indicate that overall women still
   struggle with productivity in the academic arena. (C) 2016 Elsevier Inc.
   All rights reserved.
RI Girod, Sabine/H-7835-2019; Gaudilliere, Dyani/
OI Girod, Sabine/0000-0002-6974-6076; Gaudilliere,
   Dyani/0000-0003-3017-5939
ZS 1
ZA 0
ZB 22
ZR 0
TC 72
Z8 0
Z9 73
U1 1
U2 7
SN 0022-4804
EI 1095-8673
UT WOS:000378170200005
PM 27338531
ER

PT J
AU Baldereschi, Marzia
   Di Carlo, Antonio
   Piccardi, Benedetta
   Inzitari, Domenico
TI The Italian stroke-app: ICTUS3R
SO NEUROLOGICAL SCIENCES
VL 37
IS 6
BP 991
EP 994
DI 10.1007/s10072-016-2506-0
PD JUN 2016
PY 2016
AB Any strategy to reduce stroke burden involves crucial inputs from
   individuals (risk reduction, rapid recognition and response to symptoms
   onset) which imply a certain level of stroke knowledge. Health-related
   applications (apps) have been identified as a novel platform for
   dissemination of health information to the public. Only few apps about
   stroke are currently available with scientifically valid information,
   none of them are available in Italian. We developed the first and only
   Italian stroke app, ICTUS3R. We also pilot tested ICTUS3R in terms of
   its usage during the first 12 months following release (October 30,
   2014). ICTUS3R was developed in collaboration with communication
   experts, stroke leaders and web producers. ICTUS3R was pilot tested in
   terms of number and distribution of downloads. Data about 1 year usage
   were anonymously collected from ICTUS 3R release on October 30, 2014.
   ICTUS3R includes a stroke screening tool, information how to react in
   case of suspected stroke, and information about risk factors including
   personal stroke risk calculator. ICTUS 3R web site was visited 36,242
   times. Mean session duration was over 2 min. The 48 % of downloads were
   by individuals aged 25-44 years, 12 % by individuals a parts per
   thousand yen55 years. ICTUS3R downloads were distributed across all the
   Italian provinces, in varying proportions. The 4.3 % of downloads were
   done outside Italy. ICTUS3R can be an important contribution to stroke
   management and prevention, it proved to be well received for
   dissemination of stroke information among Italians. Its use could
   contribute to reduce stroke burden in Italy.
RI Baldereschi, Marzia/AAF-9989-2019; Di Carlo, Antonio/AAB-9776-2022; Piccardi, Benedetta/AAB-7448-2022; Piccardi, Benedetta/K-5748-2016; Inzitari, Domenico/AAH-8722-2020; Baldereschi, Marzia/J-4765-2013
OI Baldereschi, Marzia/0000-0001-7703-4987; Di Carlo,
   Antonio/0000-0002-4822-9766; Piccardi, Benedetta/0000-0003-2363-9686; 
ZB 2
ZA 0
Z8 1
ZS 0
ZR 0
TC 5
Z9 6
U1 0
U2 5
SN 1590-1874
EI 1590-3478
UT WOS:000378044700022
PM 26897019
ER

PT J
AU Ossebaard, Hans C.
   Van Gemert-Pijnen, Lisette
TI eHealth and quality in health care: implementation time
SO INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
VL 28
IS 3
BP 415
EP 419
DI 10.1093/intqhc/mzw032
PD JUN 1 2016
PY 2016
AB The use of information and communication technologies in health and
   health care could improve healthcare quality in many ways. Today's
   evidence base demonstrates the (cost-)effectiveness of online education,
   self-management support and tele-monitoring in several domains of health
   and care. While new results gradually provide more evidence for
   eHealth's impact on quality issues, now is the time to come to grips
   with implementation issues. Documented drawbacks such as low acceptance,
   low adoption or low adherence need our attention today to make the most
   of eHealth' potential. Improvement science is beginning to deliver the
   tools to address these persistent behavioural and cultural issues. The
   ceHRes Roadmap, for instance, is a plural and pragmatic approach that
   includes users' needs. It is now imperative to improve our
   implementation strategies in order to scale up eHealth technologies.
   This will accelerate the much needed transformation of our healthcare
   systems and sustain access, affordability and quality for all in the
   near future.
RI Ossebaard, Hans/AAS-6767-2021
OI Ossebaard, Hans/0000-0001-9537-9655
TC 45
Z8 0
ZR 0
ZS 0
ZA 0
ZB 6
Z9 45
U1 1
U2 24
SN 1353-4505
EI 1464-3677
UT WOS:000380250300024
PM 27029590
ER

PT J
AU Axt, S.
   Johannink, J.
   Storz, P.
   Mees, S. T.
   Roeth, A. A.
   Kirschniak, A.
TI Surgical Training in Germany: Desire and Reality
SO ZENTRALBLATT FUR CHIRURGIE
VL 141
IS 3
BP 290
EP 296
DI 10.1055/s-0042-102966
PD JUN 2016
PY 2016
AB Background: In-house surgical education and practical training of
   surgical skills are inhomogeneous in German hospitals and vary greatly
   in terms of teaching content and forms. The present survey provides an
   overview of the currently practiced surgical education and practical
   training of surgical skills in German hospitals.
   Material and Methods: An online survey was performed among members of
   the "Deutsche Gesellschaft fur Allgemein- und Viszeralchirurgie" (DGAV).
   It was a prospective data collection, divided into the following two
   groups: "junior physicians/consultants/senior physicians" and "chief
   physicians". The questionnaire consisted of 30 questions concerning the
   frequency, type and quality of in-house surgical education and practical
   training of surgical skills in German hospitals.
   Results: A total of 325 physicians participated in the survey, including
   61 chief physicians and 264 junior physicians/ consultants/senior
   physicians. Amongst the participants, 107 (33%) worked in university
   hospitals, 57 (18%) in maximum care clinics, 73 (22%) in major regional
   hospitals with specialised medical services and 88 (27%) in basic care
   facilities. 199 (75.4%) of the junior physicians/consultants/senior
   physicians reported a regular, 57 (21.6%) an irregular and 8 (3.0%) no
   formal surgical education or practical training of surgical skills in
   their hospitals. Assistance in substeps of an operation was considered
   to be very important by 72% of the survey participants. Similarly, 71%
   rated the practical teaching of basic surgical skills as very important.
   Furthermore, we investigated the availability of theoretical and
   practical training offerings as well as satisfaction with educational
   measures and their importance as assessed by the respondents.
   Summary: The present survey illustrates the current state of surgical
   education and training in German hospitals. An implementation of
   pragmatic approaches such as the assistance in substeps of an operation
   and guided practical training of surgical skills might help to improve
   the satisfaction of physicians undergoing surgical training.
RI Johannink, Jonas/AAE-6743-2022
ZB 1
ZA 0
ZR 0
ZS 0
TC 10
Z8 0
Z9 10
U1 0
U2 4
SN 0044-409X
EI 1438-9592
UT WOS:000379508600022
PM 27331289
ER

PT J
AU Temming, Lorene A.
   Cahill, Alison G.
   Riley, Laura E.
TI Clinical management of medications in pregnancy and lactation
SO AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
VL 214
IS 6
BP 698
EP 702
DI 10.1016/j.ajog.2016.01.187
PD JUN 2016
PY 2016
AB Prescription and over-the-counter medication use during pregnancy and
   lactation is exceedingly common. There are many available resources to
   gather information and guide patient counseling. These include primary
   literature, online resources, professional society recommendations, and
   drug labels. One must consider both disease and drug characteristics
   when making decisions on medication use during pregnancy and lactation.
   Providers can then use this information to balance the risks of fetal or
   neonatal exposure against the potential benefits of maternal treatment
   and the risks of untreated disease.
OI Temming, Lorene/0000-0002-0676-0081
TC 6
ZS 0
ZB 3
Z8 0
ZA 0
ZR 0
Z9 6
U1 1
U2 16
SN 0002-9378
EI 1097-6868
UT WOS:000377222800007
PM 26844758
ER

PT J
AU Meissner, C.
   Schippert, C.
   von Versen-Hoeynck, Frauke
TI Awareness, knowledge, and perceptions of infertility, fertility
   assessment, and assisted reproductive technologies in the era of oocyte
   freezing among female and male university students
SO JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
VL 33
IS 6
BP 719
EP 729
DI 10.1007/s10815-016-0717-1
PD JUN 2016
PY 2016
AB The aims of our study were to analyze university student's knowledge and
   attitude towards parenthood, female fertility, fertility assessment, and
   oocyte freezing and to explore associations between these aspects and
   the participant's sex or degree program they were registered for.
   The study was designed as an online-based cross-sectional survey. A
   total of 1144 participants answered 27 questions. The data were analyzed
   using descriptive statistics. Linear regression models were employed to
   explore associations between sex or university program and attitude
   towards parenthood, fertility assessment, and oocyte freezing.
   Female students and students of non-medical degree programs were more
   likely to plan to have children earlier than male students or students
   of medical degree programs. Female sex or medical degree program was
   associated with an overall better knowledge about women's fertility. The
   better the participant's knowledge about fertility, the more likely the
   students would consider assisted reproductive technology (ART)
   treatments as an option to become pregnant when ovarian reserve is low.
   The majority of students knew the principal of oocyte freezing but would
   not consider using it. However, in the case of a low ovarian reserve,
   oocyte freezing would be accepted as an option.
   Students planned to have children at an age when women's fertility is
   already declining. Gaps in knowledge about female fertility and the
   potential of ART were more pronounced in male students and students of
   non-medical degree programs suggesting an increase of fertility
   awareness is necessary in these groups to prevent them from infertility
   and unwanted childlessness.
RI von Versen-Höynck, Frauke/H-3719-2019
OI von Versen-Höynck, Frauke/0000-0002-1924-5695
ZA 0
TC 29
Z8 0
ZR 0
ZB 9
ZS 0
Z9 29
U1 1
U2 13
SN 1058-0468
EI 1573-7330
UT WOS:000377242000006
PM 27125212
ER

PT J
AU Maessen, Martijn F. H.
   Verbeek, Andre L. M.
   Bakker, Esmee A.
   Thompson, Paul D.
   Hopman, Maria T. E.
   Eijsvogels, Thijs M. H.
TI Lifelong Exercise Patterns and Cardiovascular Health
SO MAYO CLINIC PROCEEDINGS
VL 91
IS 6
BP 745
EP 754
DI 10.1016/j.mayocp.2016.02.028
PD JUN 2016
PY 2016
AB Objective: To determine the relationship between lifelong exercise dose
   and the prevalence of cardiovascular morbidity.
   Patients and Methods: From June 1, 2011, through December 31, 2014,
   21,266 individuals completed an online questionnaire regarding their
   lifelong exercise patterns and cardiovascular health status.
   Cardiovascular disease (CVD) was defined as a diagnosis of myocardial
   infarction, stroke, or heart failure, and cardiovascular risk factors
   (CVRFs) were defined as hypertension, hypercholesterolemia, or type 2
   diabetes. Lifelong exercise patterns were measured over a median of 32
   years for 405 patients with CVD, 1379 patients with CVRFs, and 10,656
   controls. Participants were categorized into nonexercisers and quintiles
   (Q1-Q5) of exercise dose (metabolic equivalent task [MET] minutes per
   week).
   Results: The CVD/CVRF prevalence was lower for each exercise quintile
   compared with nonexercisers (CVD: nonexercisers, 9.6% vs Q1: 4.4%, Q2:
   2.8%, Q3: 2.4%, Q4: 3.6%, Q5: 3.9%; P < . 001; CVRF: nonexercisers,
   24.6% vs Q1: 13.8%, Q2: 10.2%, Q3: 9.0%, Q4: 9.4%, Q5: 12.0%; P < .
   001). The lowest exercise dose (Q1) significantly reduced CVD and CVRF
   prevalence, but the largest reductions were found at 764 to 1091
   MET-min/wk for CVD (adjusted odds ratio = 0.31; 95% CI, 0.20-0.48) and
   CVRFs (adjusted odds ratio = 0.36; 95% CI, 0.28-0.47). The CVD/CVRF
   prevalence did not further decrease in higher exercise dose groups.
   Exercise intensity did not influence the relationship between exercise
   patterns and CVD or CVRFs.
   Conclusion: These findings demonstrate a curvilinear relationship
   between lifelong exercise patterns and cardiovascular morbidity. Low
   exercise doses can effectively reduce CVD/CVRF prevalence, but
   engagement in exercise for 764 to 1091 MET-min/wk is associated with the
   lowest CVD/CVRF prevalence. Higher exercise doses do not yield
   additional benefits. (C) 2016 Mayo Foundation for Medical Education and
   Research
RI Verbeek, A.L.M./H-8103-2014; Maessen, Martijn/G-5105-2016; Maessen, Martijn/AAJ-9178-2020; Eijsvogels, Thijs/P-7201-2015; Bakker, Esmee A/O-7894-2016
OI Verbeek, A.L.M./0000-0002-2319-5002; Maessen,
   Martijn/0000-0002-8686-260X; Maessen, Martijn/0000-0002-8686-260X;
   Eijsvogels, Thijs/0000-0003-0747-4471; Bakker, Esmee
   A/0000-0003-3899-471X
ZB 24
Z8 1
ZR 0
ZS 0
TC 51
ZA 0
Z9 52
U1 3
U2 29
SN 0025-6196
EI 1942-5546
UT WOS:000377306200012
PM 27140541
ER

PT J
AU Goulding, J. M. R.
   Passi, V.
TI Evaluation of the educational climate for specialty trainees in
   dermatology
SO JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
VL 30
IS 6
BP 951
EP 955
DI 10.1111/jdv.13159
PD JUN 2016
PY 2016
AB Background Dermatology specialty trainees (STs) in the United Kingdom
   (UK) are few in number and will join a thinly spread national consultant
   body. It is of paramount importance to deliver training programmes of
   the highest quality for these doctors, central to which is the
   establishment and maintenance of an educational climate conducive to
   learning.
   Objective To conduct a pilot study to evaluate the educational climate
   for dermatology STs in one UK deanery (West Midlands).
   Methods Secondary analysis of published data was performed, from the
   UK's General Medical Council (GMC) national training survey, and the Job
   Evaluation Survey Tool (JEST) administered by the West Midlands deanery.
   A modified online version of the Postgraduate Hospital Educational
   Environment Measure (PHEEM) was circulated among dermatology STs.
   Results The GMC's survey data show that UK dermatology STs rated their
   training highly in comparison with undifferentiated UK postgraduate
   trainees. West Midlands dermatology STs (n = 22) scored very similarly
   to UK dermatology STs. The JEST gave broadly encouraging results, with
   21/22 (95%) happy to recommend their posts to colleagues. The modified
   PHEEM yielded a global mean score of 96.5/152, attracting the descriptor
   'more positive than negative but room for improvement'.
   Conclusion Despite inherent methodological limitations, the GMC, JEST
   and modified PHEEM surveys have revealed useful comparative triangulated
   data which allows the conclusion that West Midlands dermatology STs seem
   to be training in a favourable educational climate. This represents an
   important facet of the quality assurance process for medical education,
   and allows insight into areas which may require improvement.
ZS 0
ZA 0
TC 6
ZR 0
Z8 0
ZB 1
Z9 6
U1 0
U2 5
SN 0926-9959
EI 1468-3083
UT WOS:000379539800005
PM 25912365
ER

PT J
AU Deutsch, Madeline B.
TI Evaluation of Patient-Oriented, Internet-Based Information on
   Gender-Affirming Hormone Treatments
SO LGBT HEALTH
VL 3
IS 3
BP 200
EP 207
DI 10.1089/lgbt.2015.0116
PD JUN 2016
PY 2016
AB Purpose: Transgender people have difficulty accessing gender-affirming
   hormone therapy (HT), a medically necessary treatment, in part due to a
   lack of provider knowledge. Patients often seek information on
   gender-affirming medical care using the Internet. Patients who are
   better informed about their own care may receive better care. This study
   evaluated the quantity and quality of online information about HT using
   several existing and novel measures.
   Methods: Structured Google searches were conducted. Sites were evaluated
   using previously described Journal of the American Medical Association
   (JAMA), DISCERN, and Health On the Net (HON) criteria, for citation of
   the Endocrine Society Guidelines and the World Professional Association
   for Transgender Health (WPATH) Standards of Care (SOC), and other
   topic-specific measures.
   Results: Forty sites were evaluated. The median JAMA score was 3.5/7,
   and the median DISCERN score was 51/80. No sites held HON certification.
   Citation of the Endocrine Society Guidelines and the WPATH SOC was
   inconsistent. Institutional sites had higher DISCERN scores compared
   with other sites. The presence of a bibliography was most associated
   with measures of quality.
   Conclusion: The quality of online information about HT is inconsistent
   and limited in quantity. Development of reliable online resources on HT
   for transgender patients is essential. Broadening awareness of key
   guidelines from the Endocrine Society and WPATH is essential.
TC 10
ZA 0
Z8 0
ZB 3
ZS 0
ZR 0
Z9 10
U1 0
U2 3
SN 2325-8292
EI 2325-8306
UT WOS:000379664400006
PM 26829020
ER

PT J
AU Mateen, Farrah J.
   Clark, Sarah J.
   Borzello, Mia
   Kabore, Jean
   Seidi, Osheik
TI Neurology Training in Sub-Saharan Africa: A Survey of People in Training
   from 19 Countries
SO ANNALS OF NEUROLOGY
VL 79
IS 6
BP 871
EP 881
DI 10.1002/ana.24649
PD JUN 2016
PY 2016
AB Objective: To provide a comprehensive understanding of neurology
   training from the sub-Saharan African perspective.
   Methods: A 40-question survey was distributed to attendees of the 7th
   annual sub-Saharan African neurology teaching course in Khartoum, Sudan
   (2015). Themes included the student body, faculty, curriculum,
   assessment and examinations, technology, and work hours and
   compensation.
   Results: Of 19 responding countries, 10 had no formal neurology training
   programs; Burkina Faso, Cameroon, Republic of the Congo, and Mozambique
   had an adult neurology program; Ethiopia, Madagascar, Nigeria, Senegal,
   and South Africa had adult and pediatric neurology programs (training
   duration range = 3-6 years). There was a median of 2.5 full-time
   neurologists on the teaching faculty at the respondents' training
   institutions (neurologists on-faculty: in-country ratio = 0.48), with
   the lowest ratios in Sudan and Nigeria. Neurology was perceived to be a
   competitive specialty for entrance in 57% of countries, with 78% of
   respondents reporting a requisite entrance examination. Ninety-five
   percent had access to a personal smartphone, 62% used the Internet more
   than occasionally, and 60% had access to online neurology journals. The
   average number of weekly work hours was 51 (range = 40-75), and average
   monthly salary among those earning income was 1,191 USD (range =
   285-3,560). Twenty percent of respondents reported paying for training.
   The most common barriers to neurology postgraduate education were few
   training programs and lack of training in neurodiagnostic tests. Among
   17 reporting countries, there is an estimated average of 0.6
   neurologists per million people.
   Interpretation: Neurology training programs in sub-Saharan Africa are
   relatively limited in number and have several unmet needs including a
   small cadre of faculty and an opportunity to standardize curricula and
   financing of programs.
RI Seidi, Osheik AbuAsha/AAU-3103-2021; Mateen, Farrah/
OI Mateen, Farrah/0000-0002-4293-8115
TC 20
ZB 13
ZA 0
ZR 0
Z8 0
ZS 0
Z9 20
U1 0
U2 12
SN 0364-5134
EI 1531-8249
UT WOS:000376775400002
PM 27015883
ER

PT J
AU Greig, Anita Arya
   Constantin, Evelyn
   LeBlanc, Claire M. A.
   Riverin, Bruno
   Li, Patricia Tak-Sam
   Cummings, Carl
CA Canadian Paediat Soc
   Community Paediat Comm
TI An update to the Greig Health Record: Executive summary
SO PAEDIATRICS & CHILD HEALTH
VL 21
IS 5
BP 265
EP 268
DI 10.1093/pch/21.5.265
PD JUN-JUL 2016
PY 2016
AB The Greig Health Record is an evidence-based health promotion guide for
   clinicians caring for children and adolescents 6 to 17 years of age. It
   provides a template for periodic health visits that is easy to use and
   adaptable for electronic medical records. On the record, the strength of
   recommendations is indicated in boldface for good, in italics for fair,
   and in regular typeface for recommendations based on consensus or
   inconclusive evidence. Checklist templates include sections for Weight,
   Height and BMI, Psychosocial history and Development, Nutrition,
   Education and Advice, Specific Concerns, Examination, Assessment,
   Immunization, and Medications. Included with the checklist tables are
   five pages of selected guidelines and resources. This update includes
   information from recent guidelines and research in preventive care for
   children and adolescents 6 to 17 years of age. Regular updates are
   planned. The complete Greig Health Record can be found online at the
   Canadian Paediatric Society's website: www.cps.ca.
TC 5
ZS 0
ZR 0
Z8 0
ZA 0
ZB 1
Z9 5
U1 0
U2 1
SN 1205-7088
EI 1918-1485
UT WOS:000393166900021
PM 27441024
ER

PT J
AU Fahim, Abigail T.
   Simunovic, Matthew P.
   Mammo, Zaid
   Mitry, Danny
   Pakzad-Vaezi, Kaivon
   Bradley, Patrick
   Mahroo, Omar A.
TI Comparison of ophthalmic training in 6 English-speaking countries
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 51
IS 3
BP 212
EP 218
DI 10.1016/j.jcjo.2016.04.018
PD JUN 2016
PY 2016
AB Objective: To compare key characteristics of ophthalmology training
   programs in 6 different English-speaking countries: Australia, New
   Zealand, Canada, Ireland, the United Kingdom, and the United States.
   Participants: Seven ophthalmologists with personal knowledge of all 6
   systems contributed.
   Methods: The main features examined were career pathway, duration of
   training, surgical training, governing bodies, and examination
   structure. Data were collected from the literature, online resources,
   and personal experience.
   Results: Several differences were highlighted, including length of
   training (ranging from 4 to 9 years after medical school), number of
   surgical procedures such as cataracts (ranging from minimum 86 to
   approximately 600), and structure of fellowship training.
   Conclusions: As trainees increasingly seek international experience to
   enhance their knowledge and skills, the similarities and differences
   between training programs in different countries have become more
   relevant. Some of these differences may reflect differing needs of
   different patient populations and different healthcare delivery systems
   across the globe. However, these differences should also prompt
   educators to more carefully scrutinize their own training system and
   search for potential improvements.
RI Simunovic, Matthew/AAS-8946-2020; Fahim, Abigail/; Mahroo, Omar/
OI Simunovic, Matthew/0000-0003-0596-1356; Fahim,
   Abigail/0000-0001-9737-054X; Mahroo, Omar/0000-0003-1254-0832
Z8 0
ZB 0
ZR 0
ZS 0
TC 4
ZA 0
Z9 4
U1 0
U2 0
SN 0008-4182
EI 1715-3360
UT WOS:000378429700042
PM 27316272
ER

PT J
AU Le, Kim
   Bursztyn, Lulu
   Rootman, Daniel
   Harissi-Dagher, Mona
TI National survey of Canadian ophthalmology residency education
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 51
IS 3
BP 219
EP 225
DI 10.1016/j.jcjo.2016.04.017
PD JUN 2016
PY 2016
AB Objective: To describe the current clinical, surgical, and other
   educational activities of Canadian ophthalmology residents.
   Design: Cross-sectional study.
   Participants: Canadian ophthalmology residents postgraduate year (PGY) 2
   to 5.
   Methods: An online survey was sent to residents in 2011 and 2014. The
   data sets were merged and analyzed using descriptive statistics.
   Results: The response rate was 41% with an equal distribution across
   sexes and PGY level. Residents from each program responded. Clinical
   rotations were led by emergency and comprehensive ophthalmology. The
   least number of days were spent in oncology, refractive, and low-vision
   clinics. The mean number of full cases performed by PGY5 was 324
   cataracts, 9 trabeculectomies, and 48 horizontal muscles. Most PGY2 to
   PGY5 students performed more than 10 laser procedures of each type
   surveyed. Subspecialty surgical volumes varied and were lowest for
   sclera! buckle, refractive laser, penetrating keratoplasty, and floor
   fracture. The majority of residents received up to 10 hours per week of
   teaching and 4 to 6 weeks of Royal College study time. Most respondents
   attended at least 1 funded conference annually and met with program
   directors twice a year. Research time and grand rounds presentations
   varied greatly. Forty-six percent of residents had fellowship plans.
   Conclusions: This study describes the current clinical, surgical, and
   other educational activities across Canadian ophthalmology residency
   programs. The data allows individual programs to evaluate their training
   models in relation to broader national trends.
OI Harissi-Dagher, Mona/0000-0002-9865-0137
ZB 5
TC 10
ZA 0
ZR 0
ZS 0
Z8 0
Z9 10
U1 0
U2 2
SN 0008-4182
EI 1715-3360
UT WOS:000378429700043
PM 27316273
ER

PT J
AU Mullen, Sarah J.
   Sabri, Kourosh
TI Role of journal club in Canadian ophthalmology residency training: a
   national survey of program directors
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 51
IS 3
BP 226
EP 231
DI 10.1016/j.jcjo.2016.04.003
PD JUN 2016
PY 2016
AB Objective: To conduct a national survey of journal club curricula in
   Canadian ophthalmology residency programs.
   Design: Cross-sectional web-based survey.
   Participants: Fifteen Royal College of Physicians and Surgeons of Canada
   (RCPSC) ophthalmology residency program directors.
   Methods: The 15 RCPSC ophthalmology residency program directors were
   invited to participate in a 31-item online survey. The survey inquired
   about the purpose, educational goals, and structure of journal club.
   Basic statistics were performed to compare responses across
   institutions.
   Results: Thirteen of the 15 program directors replied, representing an
   87% response rate. Twelve (92%) institutions maintained a journal club.
   All of the program directors surveyed felt that journal club had
   educational value. Resident attendance was typically mandatory (75%) and
   correspondingly high across programs. There was 100% agreement that
   randomized controlled trials were most often selected for review. The
   primary journal club objectives were for residents to develop critical
   appraisal skills and to conduct a literature search (67%). Formal
   teaching and evaluation of these skills were not prioritized by any
   program. Seventeen percent felt the most important objective was to
   impact clinical practice.
   Conclusions: Canadian ophthalmology program directors expressed high
   levels of satisfaction that journal club was effective in meeting its
   stated objectives. This indicates that the teaching model promoted
   resident critical appraisal skills; however, objective evaluation
   methods to assess resident competence in evidence-based medicine were
   not described by any respondents. As RCSPC ophthalmology programs
   transition to competency-based medical education, program directors may
   consider modifying journal club curriculum, broadening its utility
   toward a means of outcome assessment.
ZB 1
ZA 0
TC 6
ZR 0
ZS 0
Z8 0
Z9 6
U1 0
U2 2
SN 0008-4182
EI 1715-3360
UT WOS:000378429700044
PM 27316274
ER

PT J
AU Rosenfeld, Peri
   Glassman, Kimberly
TI The Long-term Effect of a Nurse Residency Program, 2005-2012: Analysis
   of Former Nurse Residents
SO JOURNAL OF NURSING ADMINISTRATION
VL 46
IS 6
BP 336
EP 344
DI 10.1097/NNA.0000000000000354
PD JUN 2016
PY 2016
AB OBJECTIVE: Research on nurse residency programs (NRPs) typically focuses
   on retention within the 1-year NRP or perhaps an additional year beyond.
   Few have evaluated the long-term impact of NRP, and none have adopted a
   longitudinal approach to follow cohorts over time. This study, conducted
   in a large urban academic medical center (AMC), examines the effects of
   the NRPs on former nurse residents (NRs) in 8 cohorts (2005-2012) and
   compares those who left the institution with those who remain.
   BACKGROUND: Nurse residency programs have increased from home-grown
   programs to a standardized 1-year curriculum from national models
   designed for different types of RNs. Evidence exists that NRPs reduce
   attrition among new graduates and the Institute of Medicine recommends
   that all new RNs have access to NRPs.
   METHODS: Using data from human resources, administrative data, and
   online survey of former NRs, this is a retrospective, longitudinal study
   of former NRs in 1 AMC. Nine hundred eighty-seven new graduates
   completed the NRP from 2005 to 2012; 646 (63.5%) have stayed (stayers)
   at the institution. A total of 425 stayers responded to survey (65.8%),
   and 108 surveys were completed by former NRs who had left (leavers)
   (62.4%).
   RESULTS: On average, leavers stay for 2.18 years at the institution;
   stayers typically remained for 4.86 years, suggesting that retention
   beyond 2 years is dependent on complex set of circumstances beyond the
   treatment effect of the NRP program. Regardless of staying or leaving,
   respondents hold positive attitudes about the program; achieve high
   levels of certification, advanced education, and professional
   accomplishments; and report transitioning from beginner to competent RN
   and senior staff support as most valuable aspects of NRP.
   CONCLUSIONS: Retention among new graduates has improved significantly
   with the introduction of NRPs at this institution. Former NRPs report
   favorable assessments of the NRP, regardless of number of years since
   completion of the program and regardless of whether the individual
   remains employed in the institution. In addition, former NRs report high
   levels of professional accomplishments and commitment to nursing.
   However, without additional research, we cannot definitively tie these
   outcomes to the NRP.
OI Glassman, Kimberly/0000-0002-6782-9169
TC 10
ZB 1
Z8 1
ZR 0
ZA 0
ZS 0
Z9 12
U1 0
U2 13
SN 0002-0443
EI 1539-0721
UT WOS:000378608600010
PM 27214336
ER

PT J
AU Lamb, E. -S.
   Liebl, P.
   Koester, M. -J.
   Huebner, J.
TI An Analysis of Contributions to the main German Chat Forum for Cancer
   Patients regarding the Palliative Care
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 141
IS 12
BP E106
EP E114
DI 10.1055/s-0041-108278
PD JUN 2016
PY 2016
RI HÃbner, Jutta/AAY-5396-2020
ZR 0
Z8 0
TC 1
ZS 0
ZB 1
ZA 0
Z9 1
U1 0
U2 4
SN 0012-0472
EI 1439-4413
UT WOS:000377793000001
PM 27305310
ER

PT J
AU Crane, Laura
   Maras, Katie L.
   Hawken, Tamsyn
   Mulcahy, Sue
   Memon, Amina
TI Experiences of Autism Spectrum Disorder and Policing in England and
   Wales: Surveying Police and the Autism Community
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 46
IS 6
BP 2028
EP 2041
DI 10.1007/s10803-016-2729-1
PD JUN 2016
PY 2016
AB An online survey gathered the experiences and views of 394 police
   officers (from England and Wales) regarding autism spectrum disorder
   (ASD). Just 42 % of officers were satisfied with how they had worked
   with individuals with ASD and reasons for this varied. Although officers
   acknowledged the need for adjustments, organisational/time constraints
   were cited as barriers. Whilst 37 % of officers had received training on
   ASD, a need for training tailored to policing roles (e.g., frontline
   officers, detectives) was identified. Police responses are discussed
   with respect to the experiences of the ASD community (31 adults with
   ASD, 49 parents), who were largely dissatisfied with their experience of
   the police and echoed the need for police training on ASD.
RI Crane, Laura/M-2856-2019; Maras, Katie/
OI Crane, Laura/0000-0002-4161-3490; Maras, Katie/0000-0002-5265-6138
ZS 0
ZA 0
ZB 17
Z8 0
TC 61
ZR 0
Z9 61
U1 1
U2 23
SN 0162-3257
EI 1573-3432
UT WOS:000376100200013
PM 26861714
ER

PT J
AU Generoso, Jose Roberto, Jr.
   Latoures, Renee Elizabeth
   Acar, Yahya
   Miller, Dean Scott
   Ciano, Mark
   Sandrei, Renan
   Vieira, Marlon
   Luong, Sean
   Hirsch, Jan
   Fidler, Richard Lee
TI Simulation Training in Early Emergency Response (STEER)
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 47
IS 6
BP 255
EP 265
DI 10.3928/00220124-20160518-06
PD JUN 2016
PY 2016
AB Little has been published about nurses' responses in the first 5 minutes
   of in-hospital emergencies. This study aimed to test a simulation
   curriculum based on institutional priorities using high-intensity,
   short-duration, frequent in situ content delivery based on deliberate
   practice. The study design was a prospective, single-center,
   mixed-methods quasi-experimental study. Scenarios used in this study
   were ventricular fibrillation, opiate-related respiratory depression,
   syncopal fall, and hemorrhagic stroke. The convenience sample included
   41 teams (147 participants). Improvements were noted in initiating chest
   compressions (p = .018), time to check blood glucose (p = .046), and
   identification of heparin as a contributor to stroke (p = .043).
   Establishing in situ simulation-based teaching program is feasible and
   well received. This approach appears effective in increasing confidence,
   initiating life-saving measures, and empowering nurses to manage
   emergencies. Future studies should evaluate and improve on the
   curriculum, on data collection tools quantitatively, and on overcoming
   barriers to high-quality emergency care.
RI ACAR, YAHYA A/G-3752-2017; ACAR, YAHYA AYHAN/ABA-7359-2021
OI ACAR, YAHYA AYHAN/0000-0002-9572-5738
Z8 0
ZB 0
ZR 0
TC 7
ZS 0
ZA 0
Z9 7
U1 0
U2 11
SN 0022-0124
EI 1938-2472
UT WOS:000378236400006
PM 27232223
ER

PT J
AU Silvestre, Jason
   Agarwal, Divyansh
   Taylor, Jesse A.
TI Craniofacial Surgery Fellowship Websites
SO JOURNAL OF CRANIOFACIAL SURGERY
VL 27
IS 4
BP 831
EP 834
DI 10.1097/SCS.0000000000002598
PD JUN 2016
PY 2016
AB Applicants for craniofacial surgery fellowships utilize Internet-based
   resources like the San Francisco (SF) Match to manage applications. The
   purpose of this study was to evaluate the accessibility and content of
   craniofacial surgery fellowship websites (CSFWs). A list of available
   craniofacial surgery fellowships was compiled from directories of the
   American Society of Craniofacial Surgery (ACSFS) and SF Match.
   Accessibility of CSFWs was assessed via links from these directories and
   a Google search. Craniofacial surgery fellowship websites were evaluated
   on education and recruitment content and compared via program
   characteristics. Twenty-four of the 28 US-based craniofacial surgery
   fellowship programs had a CSFW (86%). The ACSFS and SF Match databases
   had limited CSFW accessibility, but a Google search revealed most CSFWs
   had the top search result (76%). In total, CSFWs provided an average of
   39% of education and recruitment variables. While most programs provided
   fellowship program descriptions (96%), application links (96%), and
   faculty listings (83%), relatively few provided rotation schedules
   (13%), fellow selection process information (13%), or interview dates
   (8%). CSFW content did not vary by program location, faculty size,
   accreditation status, or institutional affiliations (P>0.05).
   Craniofacial surgery fellowships often lack readily accessible websites
   from national program lists and have limited information for interested
   applicants. The consistent lack of online information across programs
   suggests future opportunities exist to improve these educational
   resources.
RI Agarwal, Divyansh/AGL-9800-2022
OI Agarwal, Divyansh/0000-0003-0404-6877
TC 9
ZB 1
ZS 1
Z8 0
ZR 0
ZA 0
Z9 10
U1 0
U2 0
SN 1049-2275
EI 1536-3732
UT WOS:000378088800041
PM 27285892
ER

PT J
AU Bindu, P. V.
   Thilagam, P. Santhi
TI Mining social networks for anomalies: Methods and challenges
SO JOURNAL OF NETWORK AND COMPUTER APPLICATIONS
VL 68
BP 213
EP 229
DI 10.1016/j.jnca.2016.02.021
PD JUN 2016
PY 2016
AB Online social networks have received a dramatic increase of interest in
   the last decade due to the growth of Internet and Web 2.0. They are
   among the most popular sites on the Internet that are being used in
   almost all areas of life including education, medical, entertainment,
   business, and telemarketing. Unfortunately, they have become primary
   targets for malicious users who attempt to perform illegal activities
   and cause harm to other users. The unusual behavior of such users can be
   identified by using anomaly detection techniques. Anomaly detection in
   social networks refers to the problem of identifying the strange and
   unexpected behavior of users by exploring the patterns hidden in the
   networks, as the patterns of interaction of such users deviate
   significantly from the normal users of the networks. Even though a
   multitude of anomaly detection methods have been developed for different
   problem settings, this field is still relatively young and rapidly
   growing. Hence, there is a growing need for an organized study of the
   work done in the area of anomaly detection in social networks. In this
   paper, we provide a comprehensive review of a large set of methods for
   mining social networks for anomalies by providing a multi-level taxonomy
   to categorize the existing techniques based on the nature of input
   network, the type of anomalies they detect, and the underlying anomaly
   detection approach. In addition, this paper highlights the various
   application scenarios where these methods have been used, and explores
   the research challenges and open issues in this field. (C) 2016 Elsevier
   Ltd. All rights reserved.
RI PV, Bindu/AAZ-2788-2020; Thilagam P, Santhi/GQA-3682-2022; THILAGAM, SANTHI/L-8316-2018
OI Thilagam P, Santhi/0000-0002-8359-1330; THILAGAM,
   SANTHI/0000-0002-8359-1330
ZA 0
Z8 2
ZB 2
ZS 0
TC 39
ZR 0
Z9 41
U1 1
U2 46
SN 1084-8045
EI 1095-8592
UT WOS:000377312100015
ER

PT J
AU Sorg, H.
   Betzler, C.
   Grieswald, C.
   Schwab, C. G. G.
   Tilkorn, D. J.
   Hauser, J.
TI Postdoctoral lecturer thesis in medicine: academic competence or career
   booster?
SO CHIRURG
VL 87
IS 6
BP 520
EP 527
DI 10.1007/s00104-015-0131-8
PD JUN 2016
PY 2016
AB The postdoctoral lecturer thesis in medicine represents an essential
   success factor for the career of a physician; however, there is
   controversial discussion on whether this reflects academic competence or
   is more a career booster. In this context we conducted a survey among
   postdoctoral medical lecturers with the aim to evaluate the significance
   of this qualification.
   The online survey was performed using a questionnaire requesting
   biographical parameters and subjective ratings of topics concerning the
   postdoctoral lecturer thesis.
   Overall 628 questionnaires were included in the study. The significance
   of the postdoctoral qualification was rated high in 68.6 % and was seen
   to be necessary for professional advancement in 71.0 %. The chances of
   obtaining a full professorship after achieving a postdoctoral
   qualification were rated moderate to low (68.1 %); nevertheless, 92.3 %
   would do it again and 86.5 % would recommend it to colleagues.
   Accordingly, 78.8 % were against its abolishment. Wishes for reforms
   included standardized federal regulations, reduced dependency on
   professors and more transparency.
   The postdoctoral lecturer qualification in medicine is highly valued and
   the majority of responders did not want it to be abolished. Although the
   chances for a full professorship were only rated low, successful
   graduation seems to be beneficial for the career; however, there is a
   need for substantial structural and international changes.
OI Sorg, Heiko/0000-0001-6827-0857
ZB 1
ZS 0
TC 9
ZA 0
ZR 0
Z8 0
Z9 9
U1 0
U2 1
SN 0009-4722
EI 1433-0385
UT WOS:000377904900009
PM 26779645
ER

PT J
AU Wilson, Meghan N.
   Vila, Peter M.
   Cohen, David S.
   Carter, John M.
   Lawlor, Claire M.
   Davis, Kara S.
   Raol, Nikhila P.
TI The Pursuit of Otolaryngology Subspecialty Fellowships
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 154
IS 6
BP 1027
EP 1033
DI 10.1177/0194599816639038
PD JUN 2016
PY 2016
AB Objectives To examine otolaryngology resident interest in subspecialty
   fellowship training and factors affecting interest over time and over
   the course of residency training
   Study Design Cross-sectional study of anonymous online survey data.
   Setting Residents and fellows registered as members-in-training through
   the American Academy of Otolaryngology-Head and Neck Surgery.
   Subjects and Methods Data regarding fellowship interest and influencing
   factors, including demographics, were extracted from the Section for
   Residents and Fellows Annual Survey response database from 2008 to 2014.
   Results Over 6 years, there were 2422 resident and fellow responses to
   the survey. Senior residents showed a statistically significant decrease
   in fellowship interest compared with junior residents, with 79% of those
   in postgraduate year (PGY) 1, 73% in PGY-2 and PGY-3, and 64% in PGY-4
   and PGY-5 planning to pursue subspecialty training (P < .0001).
   Educational debt, age, and intended practice setting significantly
   predicted interest in fellowship training. Sex was not predictive. The
   most important factors cited by residents in choosing a subspecialty
   were consistently type of surgical cases and nature of clinical
   problems.
   Conclusions In this study, interest in pursuing fellowship training
   decreased with increased residency training. This decision is
   multifactorial in nature and also influenced by age, educational debt,
   and intended practice setting.
RI Vila, Peter/AAF-4272-2019; Cohen, David/AAS-6973-2020; Raol, Nikhila/AAH-3771-2019; Meister, Kara/
OI Vila, Peter/0000-0003-3639-2432; Meister, Kara/0000-0002-4983-3068
ZB 3
TC 13
ZR 0
Z8 0
ZS 0
ZA 0
Z9 13
U1 0
U2 0
SN 0194-5998
EI 1097-6817
UT WOS:000377823200008
PM 27026739
ER

PT J
AU Reed, Trent
   Pirotte, Matthew
   McHugh, Mary
   Oh, Laura
   Lovett, Shannon
   Hoyt, Amy E.
   Quinones, Donna
   Adams, William
   Gruener, Gregory
   McGaghie, William C.
TI Simulation-Based Mastery Learning Improves Medical Student Performance
   and Retention of Core Clinical Skills
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 11
IS 3
BP 173
EP 180
DI 10.1097/SIH.0000000000000154
PD JUN 2016
PY 2016
AB Introduction: Simulation-based mastery learning (SBML) improves
   procedural skills among medical trainees. We employed an SBML method
   that includes an asynchronous knowledge acquisition portion and a
   hands-on skill acquisition portion with simulation to assess senior
   medical student performance and retention of the following 6 core
   clinical skills: (a) ultrasound-guided peripheral intravenous placement,
   (b) basic skin laceration repair, (c) chest compressions, (d) bag-valve
   mask ventilation, (e) defibrillator management, and (f) code leadership.
   Methods: Seven emergency medicine (EM) faculty members developed
   curricula, created checklists, and set minimum passing standards (MPSs)
   to test mastery of the 6 skills. One hundred thirty-five students on an
   EM clerkship were pretested on all 6 skills, viewed online videos
   asynchronously followed by a multiple choice computer-based
   skill-related quiz, received one-on-one hands-on skill training using
   deliberate practice with feedback, and were posttested until MPS was
   met. We compared pretest and posttest performance. We also retested,
   unannounced, a convenience sample (36%) of students from 1 to 9 months
   postintervention to assess skill retention.
   Results: All students passed each quiz. The percentage of students who
   reached each MPS increased significantly (P < 0.001) from pretest to
   posttest for all 6 clinical skills. Ninety-eight percent of the students
   scored at or above the MPS when retested 1 to 9 months later. There was
   no significant decrease in mean score for any of the 6 skills between
   posttest and retention testing.
   Conclusions: Simulation-based mastery learning using a substantial
   asynchronous component is an effective way for senior medical students
   to learn and retain EM clinical skills. This method can be adapted to
   other skill training necessary for residency readiness.
ZS 0
Z8 0
ZB 6
ZA 0
TC 34
ZR 0
Z9 34
U1 0
U2 26
SN 1559-2332
EI 1559-713X
UT WOS:000378021100004
PM 27093509
ER

PT J
AU Soto, Cory
   Stiner, Jamie
   Noji, Daniel O.
   Rusheen, Jeffrey M.
   Huang, Yue Ming
TI Creating a Simulated Pharmacy
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 11
IS 3
BP 218
EP 222
DI 10.1097/SIH.0000000000000163
PD JUN 2016
PY 2016
AB Introduction: The acquisition and use of pharmaceuticals in simulation
   is a common challenge for many institutions and simulation centers.
   There are 2 major avenues of obtaining medications, namely, via expired
   drugs donated by manufacturers or via purchasing simulated medication
   vials filled with inactive ingredients. Neither option is ideal to keep
   pace with busy simulation centers or to meet the specialized
   requirements of many educational programs. We describe an alternative
   solution through internal production of simulated drugs using readily
   available materials from laboratory suppliers.
   Methods: Serum vials, stoppers, and flip off vial caps can be purchased
   in 2-, 5-, 10-, and 20-mL volumes. Vials can be filled with substances
   such as 0.9% NaCl or table salt to mimic a variety of available
   injectable drugs. Labels can be produced using the free online Web
   application, Simulated Online Pharmaceutical Image Editor (SOPHIE) and
   printed on glossy adhesive photo paper for application onto completed
   vials.
   Results: A wide range of simulated drugs, customized to the needs of
   each center, can be produced in an affordable and reliable manner. The
   appearance of the vials can be tailored for each program to meet
   educational objectives and enhance fidelity in simulation.
   Conclusions: Low-cost production of simulated drug vials increases
   learning opportunities for participants to practice skills related to
   drug delivery and preparation. Further expansion can include
   nonintravenous drugs, code syringes, or reconstitution devices used for
   blood factors. Simulation centers should consider safety, availability,
   affordability, and fidelity concerns before integrating an in-house
   simulated pharmacy.
Z8 0
ZR 0
TC 2
ZS 0
ZA 0
ZB 0
Z9 2
U1 2
U2 6
SN 1559-2332
EI 1559-713X
UT WOS:000378021100010
PM 27093512
ER

PT J
AU Hutchinson, Nora
   Baird, Grayson L.
   Garg, Megha
TI Examining the Reading Level of Internet Medical Information for Common
   Internal Medicine Diagnoses
SO AMERICAN JOURNAL OF MEDICINE
VL 129
IS 6
BP 637
EP 639
DI 10.1016/j.amjmed.2016.01.008
PD JUN 2016
PY 2016
AB BACKGROUND: The National Institutes of Health (NIH) recommend that
   health materials be written at a grade 6-7 reading level, which has
   generally not been achieved in online reading materials. Up to the
   present time, there have not been any assessments focused on the reading
   level of online educational materials across the most popular consumer
   Web sites for common internal medicine diagnoses. In this study, we
   examined the readability of open-access online health information for 9
   common internal medicine diagnoses.
   METHODS: Nine of the most frequently encountered inpatient and
   ambulatory internal medicine diagnoses were selected for analysis. In
   November and December 2014, these diagnoses were used as search terms in
   Google, and the top 5 Web sites across all diagnoses and a
   diagnosis-specific site were analyzed across 5 validated reading
   indices.
   RESULTS: On average, the lowest reading grade-level content was provided
   by the NIH (10.7), followed by WebMD (10.9), Mayo Clinic (11.3), and
   diagnosis-specific Web sites (11.5). Conversely, Wikipedia provided
   content that required the highest grade-level readability (14.6). The
   diagnoses with the lowest reading grade levels were chronic obstructive
   pulmonary disease (10.8), followed by diabetes (10.9), congestive heart
   failure (11.7), osteoporosis (11.7) and hypertension (11.7). Depression
   had the highest grade-level readability (13.8).
   DISCUSSION: Despite recommendations for patient health information to be
   written at a grade 6-7 reading level, our examination of online
   educational materials pertaining to 9 common internal medicine diagnoses
   revealed reading levels significantly above the NIH recommendation. This
   was seen across both diagnosis-specific and general Web sites. There is
   a need to improve the readability of online educational materials made
   available to patients. These improvements have the potential to greatly
   enhance patient awareness, engagement, and physician-patient
   communication. Published by Elsevier Inc.
ZS 0
Z8 0
ZA 0
ZB 3
TC 38
ZR 0
Z9 38
U1 0
U2 15
SN 0002-9343
EI 1555-7162
UT WOS:000376499100041
PM 26829438
ER

PT J
AU Wang, Hua
   Singhal, Arvind
TI East Los High: Transmedia Edutainment to Promote the Sexual and
   Reproductive Health of Young Latina/o Americans
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 106
IS 6
BP 1002
EP 1010
DI 10.2105/AJPH.2016.303072
PD JUN 2016
PY 2016
AB Latina/o Americans are at high risk for sexually transmitted infections
   and adolescent pregnancies. Needed urgently are innovative health
   promotion approaches that are engaging and culturally sensitive. East
   Los High is a transmedia edutainment program aimed at young Latina/o
   Americans. It embeds educational messages in entertainment narratives
   across digital platforms to promote sexual and reproductive health. We
   employed online analytics tracking (2013-2014), an online viewer survey
   (2013), and a laboratory experiment (El Paso, TX, 2014) for season 1
   program evaluation. We found that East Los High had a wide audience
   reach, strong viewer engagement, and a positive cognitive, emotional,
   and social impact on sexual and reproductive health communication and
   education. Culturally sensitive transmedia edutainment programs are a
   promising health promotion strategy for minority populations and warrant
   further investigation.
ZA 0
Z8 0
ZB 4
ZR 0
ZS 2
TC 44
Z9 45
U1 0
U2 31
SN 0090-0036
EI 1541-0048
UT WOS:000376517100033
PM 27077336
ER

PT J
AU Casellas-Grau, Anna
   Vives, Jaume
   Font, Antoni
   Ochoa, Cristian
TI Positive psychological functioning in breast cancer: An integrative
   review
SO BREAST
VL 27
BP 136
EP 168
DI 10.1016/j.breast.2016.04.001
PD JUN 2016
PY 2016
AB This integrative review aimed to analyze the research into positive
   psychological functioning after breast cancer, and to integrate the most
   relevant findings relating to sociodemographic, medical and psychosocial
   factors.
   Relevant outcomes were identified from electronic databases (Medline,
   PsycINFO, Web of Science, Scopus, Cochrane, CINAHL, and Wiley Online
   Library) up to July 2015. A Google search was performed to identify
   unindexed literature. Dissertations and theses were searched on Proquest
   Dissertations and Theses, DIALNET and TDX. Selection criteria included
   empirical studies assessing relationships between breast cancer and
   positive functioning, without restrictions on type of participants.
   In total, 134 studies met the inclusion criteria. The sociodemographic,
   medical, and psychosocial characteristics associated with well-being,
   posttraumatic growth, finding benefit and meaning were being young,
   undergoing chemotherapy, and having social support. The last two of
   these characteristics were time-oriented. The culture of the different
   samples and positive dispositional characteristics like optimism had an
   influence on the women's coping styles. Socioeconomic status and level
   of education were also associated with positive psychological
   functioning.
   The perceived impact of breast cancer on patient, as well as the
   perceived support from significant others can result in better
   functioning in women with breast cancer. The results highlight that
   oncology health professionals should take into account not only the
   individual and medical characteristics, but also the stage of the
   oncological process and the psychosocial environment of patients in
   order to promote their positive functioning. (C) 2016 Elsevier Ltd. All
   rights reserved.
RI Ochoa, Cristian/I-8060-2015; Vives, Jaume/B-5651-2008; Casellas-Grau, Anna/; Font, Antoni/M-4586-2018
OI Ochoa, Cristian/0000-0002-4508-0951; Vives, Jaume/0000-0001-5412-7275;
   Casellas-Grau, Anna/0000-0003-2919-0509; Font,
   Antoni/0000-0001-5957-9799
Z8 2
ZS 0
ZB 5
ZR 0
ZA 1
TC 31
Z9 34
U1 1
U2 45
SN 0960-9776
EI 1532-3080
UT WOS:000376512500020
PM 27113230
ER

PT J
AU Oker, N.
   Alotaibi, N. H.
   Herman, P.
   Bernal-Sprekelsen, M.
   Albers, A. E.
TI Otorhinolaryngology residency in Spain: training satisfaction, working
   environment and conditions
SO EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
VL 273
IS 6
BP 1619
EP 1627
DI 10.1007/s00405-016-3935-3
PD JUN 2016
PY 2016
AB Europe-wide efforts are being initiated to define quality standards and
   harmonize Otolaryngology, Head and Neck Surgery
   (ORL-HNS)-specialty-training by creating an European board examination.
   However, differences within and between countries remain and are
   underinvestigated making comparisons and further improvement more
   difficult. The study aimed at assessing quality of training,
   satisfaction and quality of life of residents and recent ORL-HNS
   specialists in Spain and to trace similarities and differences to France
   and Germany administering anonymous online-questionnaire to
   ORL-HNS-residents and recent specialists. 146 questionnaires were
   returned with answers of 75.6 % of residents, a mean age of 30 years and
   a female to male ratio of 1.46:1. The global satisfaction of training
   was high as 76 % would choose the same ENT training again, 86 %
   confirmed that responsibilities which were given to them were adapted to
   their level of training and 97 % felt well considered in their
   department. Ninety-two confirmed that helpful seniors contributed to a
   good work environment (75 %) and to a good organization within the
   department (69 %). The respondents spent on average 8.8 h per day at the
   hospital and covered on average 4.8 night duties or week-end shifts per
   month with mostly no post-day off (86 %). Seventy-four percent
   participated regularly at complementary training sessions. Research work
   was supported and guided in 59 %. This study is the first one, to our
   best of knowledge, to assess the ORL-HNS-training in Spain and to trace
   parallelisms and differences to other European countries, such as France
   and Germany. The satisfaction of training and supervision was high in
   Spain, but there are still efforts to make concerning resident's quality
   of life. Compared to France and Germany, satisfaction with
   ORL-HNS-training and the support and guidance provided by seniors was
   similar. Work conditions were comparable to those in France. Motivation,
   teaching and scientific output was higher in Spain, despite the salary
   being the lowest.
RI Albers, Andreas E./AAP-4649-2021; Albers, Andreas E./AAP-4669-2021; Herman, Philippe/AAO-1376-2020; Bernal-Sprekelsen, Manuel/AAJ-7568-2021; Bernal-Sprekelsen, Manuel/AAG-4299-2021
OI Albers, Andreas E./0000-0001-5614-9873; Albers, Andreas
   E./0000-0001-5614-9873; Bernal-Sprekelsen, Manuel/0000-0001-8191-9833
ZA 0
ZR 0
ZS 0
ZB 1
Z8 0
TC 3
Z9 3
U1 0
U2 3
SN 0937-4477
EI 1434-4726
UT WOS:000375607700037
PM 26899283
ER

PT J
AU Stewart, C. J.
   Yusoff, S. K. M.
   Widdowson, D.
   Lam, W. L.
TI Microsurgical skill acquisition in a one-day introductory course with
   performance evaluation using software-assisted scoring system
SO JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
VL 69
IS 6
BP 783
EP 788
DI 10.1016/j.bjps.2016.03.016
PD JUN 2016
PY 2016
AB Background: Recent emphasis on microsurgical skill acquisition at an
   earlier stage of plastic surgery training has seen a shift toward
   objective competence-based assessment. Yet no objective measures of
   spacing or alignment exist, with few validated models that assess
   ability. The authors propose a novel software analysis scoring system to
   objectively measure spacing, alignment and the overall improvement in a
   1-day, introductory course setting.
   Methods: Images of standard 4-mm latex strips that had been sutured by
   participants using the Microtrainer system were uploaded onto
   calibrated, online software. Sutures were analysed with regard to
   spacing, alignment and density. From these measurements, a total score
   was calculated, one on initial assessment at the course beginning (Score
   1) and another on final assessment at the course end (Score 2), thereby
   facilitating measurement of the overall improvement.
   Results: A total of 38 microsurgical anastomoses from 19 participants
   ranging from postgraduate years 1-7 were analysed. Seventeen
   participants had no previous experience of microsurgery. The mean
   average Score 1 of participants was -2 (range -12 to +22) and Score 2
   was 22 (range +12 to +32), thus showing a significant improvement in
   candidate ability throughout the course of the day (p < 0.0001).
   Conclusions: Microtrainer system software analysis provides a novel,
   reliable, and consistent objective assessment for surgical trainees at
   all stages of training, without risk to patients.
   It has an associated cost for the initial setup, yet is timely,
   repeatable and can efficiently demonstrate progress in a 1-day course
   setting. (C) 2016 British Association of Plastic, Reconstructive and
   Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
ZR 0
TC 9
ZB 0
ZA 0
Z8 0
ZS 0
Z9 9
U1 0
U2 7
SN 1748-6815
EI 1878-0539
UT WOS:000377412500010
PM 27105545
ER

PT J
AU Gordon, Stephen E.
   Dufour, Alyssa B.
   Monti, Sara M.
   Mattison, Melissa L. P.
   Catic, Angela G.
   Thomas, Cindy P.
   Lipsitz, Lewis A.
TI Impact of a Videoconference Educational Intervention on Physical
   Restraint and Antipsychotic Use in Nursing Homes: Results From the
   ECHO-AGE Pilot Study
SO JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
VL 17
IS 6
BP 553
EP 556
DI 10.1016/j.jamda.2016.03.002
PD JUN 1 2016
PY 2016
AB Objectives: US nursing homes care for increasing numbers of residents
   with dementia and associated behavioral problems. They often lack access
   to specialized clinical expertise relevant to managing these problems.
   Project ECHO-AGE provides this expertise through videoconference
   sessions between frontline nursing home staff and clinical experts at an
   academic medical center. We hypothesized that ECHO-AGE would result in
   less use of physical and chemical restraints and other quality
   improvements in participating facilities.
   Design: A 2: 1 matched-cohort study comparing quality of care outcomes
   between ECHO-AGE facilities and matched controls for the period July
   2012 to December 2013.
   Setting: Eleven nursing homes in Massachusetts and Maine.
   Participants: Nursing home staff and a hospital-based team of
   geriatrician, geropsychiatrist, and neurologist discussed anonymized
   residents with dementia.
   Intervention: Biweekly online video case discussions and brief didactic
   sessions focused on the management of dementia and behavior disorders.
   Measurements: The primary outcome variables were percentage of residents
   receiving antipsychotic medications and the percentage of residents who
   were physically restrained. Secondary outcomes included 9 other quality
   of care metrics from MDS 3.0.
   Results: Residents in ECHO-AGE facilities were 75% less likely to be
   physically restrained compared with residents in control facilities over
   the 18-month intervention period (OR = 0.25, P =.05). Residents in
   ECHO-AGE facilities were 17% less likely to be prescribed antipsychotic
   medication compared with residents in control facilities (OR = 0.83, P
   =.07). Other outcomes were not significantly different.
   Conclusion: Preliminary evidence suggests that participation in Project
   ECHO-AGE reduces rates of physical restraint use and may reduce rates of
   antipsychotic use among long-term nursing home residents. (c) 2016 AMDA
   - The Society for Post-Acute and Long-Term Care Medicine.
RI Thomas, Cindy Parks/L-3204-2015
OI Thomas, Cindy Parks/0000-0001-5855-1196
ZA 0
ZS 0
ZB 4
Z8 2
ZR 0
TC 22
Z9 24
U1 2
U2 20
SN 1525-8610
EI 1538-9375
UT WOS:000377400500016
PM 27161317
ER

PT J
AU Weber, M.
   Schmiedel, S.
   Nauck, F.
   Alt-Epping, B.
TI Knowledge and attitude of medical students in Germany towards palliative
   care. Does the final year of medical school make a difference?
SO SCHMERZ
VL 30
IS 3
BP 279
EP 285
DI 10.1007/s00482-015-0055-8
PD JUN 2016
PY 2016
AB The practical year (PY) during the final year of medical education is
   intended to deepen and broaden knowledge, skills, and abilities that
   were acquired during previous years of their studies. Against this
   background, this study pursues the question of how the knowledge of
   future physicians and their confidence in terms of cancer pain therapy
   and other palliative care issues develops during the PY.
   At the end of the PY, students from two university hospitals completed a
   3-part online questionnaire (self-assessment of the confidence,
   questions about palliative care knowledge, and assessment of palliative
   care training during the PY). These results are compared with previously
   published data from the same collective that had been collected at the
   beginning of the PY.
   Overall, 92 of 318 students participated (28.9 %). Less than 10 % of
   students said that they were more confident regarding palliative care
   topics at the end of their medical studies. Improvements in the
   self-assessment could only be observed in the recognition of and
   screening for cancer pain (increase from 36 % to 65%). With regard to
   the palliative care knowledge, only the knowledge of how to treat
   symptoms other than pain improved significantly; however, knowledge in
   this regard prior to the PY was particularly low (an increase from 25 %
   to 35 %, p < 0.05). In the only multiple-choice question about ethics,
   the correct answer rose slightly from 51 % (before) to 55 % (after the
   PY). Of participating students, 21% (prior to the PY 27 %) stated that
   not providing fluids to dying patients is a form of euthanasia. In terms
   of palliative care training, between 36 and 83 % of participants stated
   having insufficient opportunities to gain knowledge and experience on
   various topics in the treatment of patients with advanced and incurable
   diseases during their PY.
   In the present study, considerable deficits in confidence and knowledge
   regarding palliative care issues were also observed at the end of PY.
   Integration of palliative care into the medical school curriculums
   should be given special attention in terms of a longitudinal training of
   the PY.
RI Alt-Epping, Bernd/AAX-4113-2020
ZS 1
ZA 0
Z8 0
TC 4
ZB 1
ZR 0
Z9 5
U1 0
U2 4
SN 0932-433X
EI 1432-2129
UT WOS:000377455300010
PM 26351127
ER

PT J
AU Turck, Dominique
   Braegger, Christian P.
   Colombo, Carla
   Declercq, Dimitri
   Morton, Alison
   Pancheva, Ruzha
   Robberecht, Eddy
   Stern, Martin
   Strandvik, Birgitta
   Wolfe, Sue
   Schneider, Stephane M.
   Wilschanski, Michael
TI ESPEN-ESPGHAN-ECFS guidelines on nutrition care for infants, children,
   and adults with cystic fibrosis
SO CLINICAL NUTRITION
VL 35
IS 3
BP 557
EP 577
DI 10.1016/j.clnu.2016.03.004
PD JUN 2016
PY 2016
AB Background: Malnutrition is both a frequent feature and a comorbidity of
   cystic fibrosis (CF), with nutritional status strongly associated with
   pulmonary function and survival. Nutritional management is therefore
   standard of care in CF patients. ESPEN, ESPGHAN and ECFS recommended
   guidelines to cover nutritional management of patients with CF.
   Methods: The guidelines were developed by an international
   multidisciplinary working group in accordance with officially accepted
   standards. The GRADE system was used for determining grades of evidence
   and strength of recommendation. Statements were discussed, submitted to
   Delphi rounds, reviewed by ESPGHAN and ECFS and accepted in an online
   survey among ESPEN members.
   Results: The Working Group recommends that initiation of nutritional
   management should begin as early as possible after diagnosis, with
   subsequent regular follow up and patient/family education. Exclusive
   breast feeding is recommended but if not possible a regular formula is
   to be used. Energy intake should be adapted to achieve normal weight and
   height for age. When indicated, pancreatic enzyme and fat soluble
   vitamin treatment should be introduced early and monitored regularly.
   Pancreatic sufficient patients should have an annual assessment
   including fecal pancreatic elastase measurement. Sodium supplementation
   is recommended and a urinary sodium:creatinine ratio should be measured,
   corresponding to the fractional excretion of sodium. If iron deficiency
   is suspected, the underlying inflammation should be addressed. Glucose
   tolerance testing should be introduced at 10 years of age. Bone mineral
   density examination should be performed from age 8-10 years. Oral
   nutritional supplements followed by polymeric enteral tube feeding are
   recommended when growth or nutritional status is impaired. Zinc
   supplementation may be considered according to the clinical situation.
   Further studies are required before essential fatty acids,
   anti-osteoporotic agents, growth hormone, appetite stimulants and
   probiotics can be recommended.
   Conclusion: Nutritional care and support should be an integral part of
   management of CF. Obtaining a normal growth pattern in children and
   maintaining an adequate nutritional status in adults are major goals of
   multidisciplinary cystic fibrosis centers. (C) 2016 Elsevier Ltd and
   European Society for Clinical Nutrition and Metabolism. All rights
   reserved.
RI Turck, Dominique/S-2382-2018; Schneider, Stephane/G-9511-2011; Braegger, Christian Peter/ABC-9884-2021; Declercq, Dimitri/V-1137-2019; Pancheva, Rouzha/AAH-4979-2021; Braegger, Christian/; Pancheva, Rouzha/; Strandvik, Birgitta/
OI Turck, Dominique/0000-0003-1370-4667; Schneider,
   Stephane/0000-0001-6256-8169; Declercq, Dimitri/0000-0003-0857-874X;
   Braegger, Christian/0000-0001-8069-9875; Pancheva,
   Rouzha/0000-0001-8286-3923; Strandvik, Birgitta/0000-0001-5323-8272
ZR 10
ZS 14
Z8 1
ZA 0
TC 251
ZB 80
Z9 266
U1 6
U2 67
SN 0261-5614
EI 1532-1983
UT WOS:000376814700003
PM 27068495
ER

PT J
AU Ali, Anam
TI Medical students' use of Facebook for educational purposes.
SO Perspectives on medical education
VL 5
IS 3
BP 163
EP 9
DI 10.1007/s40037-016-0273-5
PD 2016-Jun
PY 2016
AB Medical students use Facebook to interact with one another both socially
   and educationally. This study investigates how medical students in a UK
   medical school use Facebook to support their learning. In particular, it
   identifies the nature of their educational activities, and details their
   experiences of using an educational Facebook group. Twenty-four medical
   students who self-identified as being Facebook users were invited to
   focus groups to attain a general overview of Facebook use within an
   educational context. A textual analysis was then conducted on a small
   group of intercalating medical students who used a self-created Facebook
   group to supplement their learning. Five of these students participated
   in semi-structured interviews. Six common themes were generated. These
   included 'collaborative learning', 'strategic uses for the preparation
   for assessment', 'sharing experiences and providing support', 'creating
   and maintaining connections', 'personal planning and practical
   organization' and 'sharing and evaluating educational resources'.
   Evidence from this study shows that medical students are using Facebook
   informally to enhance their learning and undergraduate lives. Facebook
   has enabled students to create a supportive learning community amongst
   their peers. Medical educators wishing to capitalize on Facebook, as a
   platform for formal educational initiatives, should remain cautious of
   intruding on this peer online learning community. 
Z8 0
ZA 0
ZB 1
ZS 0
TC 22
ZR 0
Z9 22
U1 0
U2 5
SN 2212-2761
UT MEDLINE:27271571
PM 27271571
ER

PT J
AU Sood, Erica
   Berends, Wilma M.
   Butcher, Jennifer L.
   Lisanti, Amy J.
   Medoff-Cooper, Barbara
   Singer, Jayne
   Willen, Elizabeth
   Butler, Samantha
TI Developmental Care in North American Pediatric Cardiac Intensive Care
   Units Survey of Current Practices
SO ADVANCES IN NEONATAL CARE
VL 16
IS 3
BP 211
EP 219
DI 10.1097/ANC.0000000000000264
PD JUN 2016
PY 2016
AB Background: Developmental care practices across pediatric cardiac
   intensive care units (CICUs) have not previously been described.
   Purpose: To characterize current developmental care practices in North
   American CICUs.
   Methods: A 47-item online survey of developmental care practices was
   developed and sent to 35 dedicated pediatric CICUs. Staff members who
   were knowledgeable about developmental care practices in the CICU
   completed the survey.
   Findings/Results: Completed surveys were received from 28 CICUs (80%
   response rate). Eighty-nine percent reported targeted efforts to promote
   developmental care, but only 50% and 43% reported having a developmental
   care committee and holding developmental rounds, respectively. Many
   CICUs provide darkness for sleep (86%) and indirect lighting for
   alertness (71%), but fewer provide low levels of sound (43%), television
   restrictions (43%), or designated quiet times (21%). Attempts to cluster
   care (82%) and support self-soothing during difficult procedures (86%)
   were commonly reported, but parental involvement in these activities is
   not consistently encouraged. All CICUs engage in infant holding, but
   practices vary on the basis of medical status and only 46% have formal
   holding policies.
   Implications for Practice: Implementation of developmental care in the
   CICU requires a well-planned process to ensure successful adoption of
   practice changes, beginning with a strong commitment from leadership and
   a focus on staff education, family support, value of parents as the
   primary caregivers, and policies to increase consistency of practice.
   Implications for Research: Future studies should examine the short-and
   long-term effects of developmental care practices on infants born with
   congenital heart disease and cared for in a pediatric CICU.
OI Lisanti, Amy Jo/0000-0002-1826-6152
ZB 5
ZA 0
ZS 0
Z8 0
ZR 0
TC 35
Z9 35
U1 1
U2 11
SN 1536-0903
EI 1536-0911
UT WOS:000377147100028
PM 27140031
ER

PT J
AU Kobayashi, Masakuni
   Neumann, Helmut
   Hino, Shoryoku
   Vieth, Michael
   Abe, Seiichiro
   Nakai, Yousuke
   Nakajima, Kiyokazu
   Kiesslich, Ralf
   Hirooka, Shinichi
   Sumiyama, Kazuki
TI Influence of reviewers' clinical backgrounds on interpretation of
   confocal laser endomicroscopy findings
SO ENDOSCOPY
VL 48
IS 6
BP 521
EP 529
DI 10.1055/s-0042-101408
PD JUN 2016
PY 2016
AB Background and study aims: Substantial differences in endoscopic
   strategy for gastric cancer exist between Western and Eastern countries,
   owing to clinicoepidemiological diversity, including differences in the
   prevalence of gastric cancer. This international multicenter study
   involved German and Japanese institutions and aimed to evaluate the
   influence of reviewers' clinical backgrounds on interpreting probe-based
   confocal laser endomicroscopy (pCLE) findings for diagnosis of
   superficial gastric lesions.
   Patients and methods: 39 reviewers answered questionnaires about their
   clinical background and then reviewed 30 sets of white light endoscopy
   (WLE) and pCLE video clips via an online questionnaire. For each set of
   clips, reviewers were asked to classify lesions as neoplastic or
   non-neoplastic. Results of video reviews were compared with the final
   histopathological diagnosis for each lesion. The accuracy of diagnosis
   based on WLE+pCLE was compared with that based on WLE alone for each
   aspect of clinical background.
   Results: The overall accuracy of diagnosis based on WLE+pCLE was higher
   than that based on WLE alone (73.93% vs. 65.64 %, P=.0002). Outcomes of
   expert gastroenterologists were better than those of pathologists
   (P=.038 for WLE, P=.002 for WLE+pCLE) and outcomes of reviewers at
   Japanese institutions were better than those of reviewers at German
   institutions (P=.001 for WLE, P<.001 for WLE+pCLE).
   Conclusions: Reviewers from Japanese institutions and expert
   gastroenterologists performed well in the pCLE interpretation.
   Substantial experience in conventional endoscopy is important for
   interpreting pCLE images for the diagnosis of gastric cancer.
   University Hospital Medical Information Network Clinical Trials Registry
   (UMIN-CTR; www.umin.ac.jp/ctr/index.htm) number UMIN 000013437).
RI Ralf Kiesslich, Dr./AAK-9313-2021; Nakai, Yousuke/H-2964-2019; Abe, Seiichiro/AAC-3685-2020
OI Nakai, Yousuke/0000-0001-7411-1385; 
ZR 0
ZS 0
ZB 1
TC 3
Z8 0
ZA 0
Z9 3
U1 0
U2 6
SN 0013-726X
EI 1438-8812
UT WOS:000377042500005
PM 26862845
ER

PT J
AU Gay, C.
   Chabaud, A.
   Guilley, E.
   Coudeyre, E.
TI Educating patients about the benefits of physical activity and exercise
   for their hip and knee osteoarthritis. Systematic literature review
SO ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
VL 59
IS 3
BP 174
EP 183
DI 10.1016/j.rehab.2016.02.005
PD JUN 2016
PY 2016
AB Objectives: Highlight the role of patient education about physical
   activity and exercise in the treatment of hip and knee osteoarthritis
   (OA).
   Methods: Systematic literature review from the Cochrane Library, PubMed
   and Wiley Online Library databases. A total of 125 items were
   identified, including 11 recommendations from learned societies
   interested in OA and 45 randomized controlled trials addressing
   treatment education and activity/exercise for the treatment of hip and
   knee osteoarthritis.
   Results: In the end, 13 randomized controlled trials and 8
   recommendations were reviewed (1b level of evidence). Based on the
   analysis, it was clear that education, exercise and weight loss are the
   pillars of non-pharmacological treatments. These treatments have proven
   to be effective but require changes in patient behaviour that are
   difficult to obtain. Exercise and weight loss improve function and
   reduce pain. Education potentiates compliance to exercise and weight
   loss programs, thereby improving their long-term benefits. Cost
   efficiency studies have found a reduction in medical visits and
   healthcare costs after 12 months because of self-management programs.
   Conclusion: Among non-surgical treatment options for hip and knee
   osteoarthritis, the most recent guidelines focus on non-pharmacological
   treatment. Self-management for general physical activity and exercise
   has a critical role. Programs must be personalized and adjusted to the
   patient's phenotype. This development should help every healthcare
   professional adapt the care they propose to each patient. (C) 2016
   Elsevier Masson SAS. All rights reserved.
OI GAY, Chloe/0000-0002-8614-0076
ZB 18
ZR 0
Z8 4
ZA 0
ZS 0
TC 90
Z9 94
U1 0
U2 11
SN 1877-0657
EI 1877-0665
UT WOS:000416910100009
PM 27053003
ER

PT J
AU Turnbull, Alison E.
   Hayes, Margaret M.
   Hashem, Mohamed D.
   Needham, Dale M.
TI Interactive Online Module Failed to Improve Sustained Knowledge of the
   Maryland Medical Orders for Life-Sustaining Treatment Form
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 13
IS 6
BP 926
EP 932
DI 10.1513/AnnalsATS.201511-738OC
PD JUN 2016
PY 2016
AB Rationale: Legal documents similar to the Maryland Medical Orders for
   Life-Sustaining Treatment (MOLST) form requiring physician endorsement
   are increasingly used by critically ill patients.
   Objectives: To evaluate whether an interactive, online training module
   on completion and interpretation of the MOLST form leads to a sustained
   increase in knowledge among house staff.
   Methods: Pre/post survey of 329 house staff at Johns Hopkins Hospital
   who admit and discharge patients between June 2014 and July 2015. House
   staff were encouraged to complete a voluntary, interactive, online
   educational module on completing and interpreting MOLST forms.
   Participants received $25 for accessing the module and $10 for
   completing each survey.
   Measurements and Main Results: The primary outcome was the change in the
   number of questions answered correctly on the post-versus presurvey
   comparing house staff who viewed the module for at least 20 minutes with
   house staff who never viewed or never completed the module. Overall, 329
   (69%) house staff completed the knowledge assessment survey both before
   and after the module was available, and 201(61%) of these house staff
   completed the voluntary module. The median score on the presurvey
   conducted in July and August of 2014 was 14 out of 21 (interquartile
   range [IQR] 12, 16). The median (IQR) score on the postsurvey conducted
   in May and June of 2015 was 15 out of 21 (13, 17). The median (IQR)
   change in score among those who spent at least 20 minutes completing the
   module was 1 question (-1, 3), and among those who never viewed or never
   completed the module it was also 1 (IQR-1, 2). The postsurvey was
   completed a median (IQR) of 59 (52, 62) days after viewing the module.
   After adjusting for years of postgraduate clinical training,
   self-reported baseline experience completing MOLST forms, and
   self-reported responsibility for discharging patients, viewing the
   module for at least 20 minutes was associated with a nonsignificant
   increase in score of 0.41 questions (95% confidence interval, -0.25,
   1.06; P = 0.23).
   Conclusions: An interactive, online educational module had no effect on
   trainee knowledge of completing and interpreting MOLST forms
   approximately 2 months after completion. Information conveyed via online
   modules alone may have minimal sustained impact on house staff
   knowledge.
OI Turnbull, Alison/0000-0002-1564-6547; Hayes, Margaret
   M/0000-0002-5848-6088
Z8 0
ZR 0
TC 6
ZB 2
ZS 0
ZA 0
Z9 6
U1 0
U2 3
SN 1546-3222
EI 2325-6621
UT WOS:000419034300028
PM 26967023
ER

PT J
AU Young, Taryn
   Esterhuizen, Tonya M.
   Volmink, Jimmy
   Clarke, Mike
TI Attitude and confidence of undergraduate medical programme educators to
   practice and teach evidence-based healthcare: a cross-sectional survey
SO INTERNATIONAL JOURNAL OF EVIDENCE-BASED HEALTHCARE
VL 14
IS 2
BP 74
EP 83
DI 10.1097/XEB.0000000000000068
PD JUN 2016
PY 2016
AB Aim: Medical student educators play critical roles in evidence-based
   healthcare (EBHC) teaching and learning and as role models practicing
   EBHC. This study assessed their confidence to practice and teach EBHC,
   their attitude to EBHC and barriers to practicing and teaching EBHC.
   Methods: We conducted a cross-sectional online survey of educators of
   undergraduate medical students at a South African academic institution.
   STATA 12 was used for quantitative data analysis. Responses to
   open-ended questions were coded, and further interpretation done using
   thematic content analysis.
   Results: Forty two (19%) educators from various departments responded to
   the invitation sent to everyone formally involved in teaching
   undergraduate medical students. They had high levels of knowledge and
   understanding of EBHC. Many had received training in teaching and
   learning approaches, although EBHC training received was mainly on
   enabling competencies. Limitations to practicing EBHC included lack of
   time, clinical workload, limited access to Internet and resources,
   knowledge and skills. One quarter of the respondents indicated that they
   teach EBHC. Perceived barriers to teaching EBHC reported related to
   students (e.g. lack of interest), context (e.g. access to databases) and
   educators (e.g. competing priorities). Respondents' suggestions for
   support included reliable Internet access, easy point-of-care access to
   databases and resources, increasing awareness of EBHC, building capacity
   to practice and facilitate learning of EBHC and a supportive community
   of practice.
   Conclusion: Educators play a critical role in facilitating EBHC learning
   not just in the classroom, but also in practice. Without adequate
   support, training and development, they are ill equipped to be the role
   models future healthcare professionals need.
OI Young, Taryn/0000-0003-2406-081X
TC 6
Z8 0
ZS 0
ZR 0
ZB 1
ZA 0
Z9 6
U1 0
U2 1
SN 1744-1609
EI 1744-1595
UT WOS:000384340400005
PM 26626283
ER

PT J
AU Goh, Poh Sun
TI Using a blog as an integrated eLearning tool and platform
SO MEDICAL TEACHER
VL 38
IS 6
BP 628
EP 629
DI 10.3109/0142159X.2015.1105947
PD JUN 2016
PY 2016
AB Technology enhanced learning or eLearning allows educators to expand
   access to educational content, promotes engagement with students and
   makes it easier for students to access educational material at a time,
   place and pace which suits them. The challenge for educators beginning
   their eLearning journey is to decide where to start, which includes the
   choice of an eLearning tool and platform. This article will share one
   educator's decision making process, and experience using blogs as a
   flexible and versatile integrated eLearning tool and platform. Apart
   from being a cost effective/free tool and platform, blogs offer the
   possibility of creating a hyperlinked indexed content repository, for
   both created and curated educational material; as well as a distribution
   and engagement tool and platform. Incorporating pedagogically sound
   activities and educational practices into a blog promote a structured
   templated teaching process, which can be reproduced. Moving from
   undergraduate to postgraduate training, educational blogs supported by a
   comprehensive online case-based repository offer the possibility of
   training beyond competency towards proficiency and expert level
   performance through a process of deliberate practice. By documenting
   educational content and the student engagement and learning process, as
   well as feedback and personal reflection of educational sessions, blogs
   can also form the basis for a teaching portfolio, and provide evidence
   and data of scholarly teaching and educational scholarship. Looking into
   the future, having a collection of readily accessible indexed
   hyperlinked teaching material offers the potential to do on the spot
   teaching with illustrative material called up onto smart surfaces, and
   displayed on holographic interfaces.
OI Goh, Poh-Sun/0000-0002-1531-2053
ZS 0
ZA 0
Z8 0
TC 5
ZB 0
ZR 0
Z9 5
U1 0
U2 9
SN 0142-159X
EI 1466-187X
UT WOS:000378737700013
PM 26558420
ER

PT J
AU Carrico, Cheryl
   Chelette, Kenneth C., II
   Westgate, Philip M.
   Salmon-Powell, Elizabeth
   Nichols, Laurie
   Sawaki, Lumy
TI Randomized Trial of Peripheral Nerve Stimulation to Enhance Modified
   Constraint-Induced Therapy After Stroke
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 6
BP 397
EP 406
DI 10.1097/PHM.0000000000000476
PD JUN 2016
PY 2016
AB Background: Constraint-based therapy and peripheral nerve stimulation
   can significantly enhance movement function after stroke. No studies
   have investigated combining these interventions for cases of chronic,
   mild-to-moderate hemiparesis following stroke.
   Objective: This study aims to determine the effects of peripheral nerve
   stimulation paired with a modified form of constraint-induced therapy on
   upper extremity movement function after stroke. Nineteen adult stroke
   survivors with mild-to-moderate hemiparesis more than 12 mo after stroke
   received 2 hours of either active (n = 10) or sham (n = 9) peripheral
   nerve stimulation preceding 4 hours of modified constraint-induced
   therapy (10 sessions).
   Results: Active peripheral nerve stimulation enhanced modified
   constraint-induced therapy more than sham peripheral nerve stimulation
   (significance at P < 0.05), both immediately after intervention (Wolf
   Motor Function Test: P = 0.006 (timed score); P = 0.001 (lift score);
   Fugl-Meyer Assessment: P = 0.022; Action Research Arm Test: P = 0.007)
   and at 1-mo follow-up (Wolf Motor Function Test: P = 0.025 (timed
   score); P = 0.007 (lift score); Fugl-Meyer Assessment: P = 0.056; Action
   Research Arm Test: P = 0.028).
   Conclusion: Pairing peripheral nerve stimulation with modified
   constraint-induced therapy can lead to significantly more improvement in
   upper extremity movement function than modified constraint-induced
   therapy alone. Future research is recommended to help establish
   longitudinal effects of this paired intervention, particularly as it
   affects movement function and daily life participation.
Z8 2
ZS 0
ZA 0
ZR 0
ZB 1
TC 22
Z9 24
U1 2
U2 22
SN 0894-9115
EI 1537-7385
UT WOS:000376561000009
PM 26945226
ER

PT J
AU Adwan, Jehad
TI Dynamic online peer evaluations to improve group assignments in nursing
   e-learning environment
SO NURSE EDUCATION TODAY
VL 41
BP 67
EP 72
DI 10.1016/j.nedt.2016.03.028
PD JUN 2016
PY 2016
AB Objectives: The purpose of this research was to evaluate the use of
   online peer evaluation forms for online group activities in improving
   group project outcomes.
   Design: The investigator developed and used a web-based Google Forms (R)
   self and peer evaluation form of 2 group assignments' rubric for junior
   and senior nursing students. The form covered elements of the
   assignments including: research activity, analysis of the literature,
   writing of report, participation in making of presentation, overall
   contribution to the project, and participation in the weekly group
   discussions. Items were rated from 1 (did not contribute) to 5
   (outstanding contribution) in addition to NA when one activity did not
   apply.
   Procedure: The self and peer evaluation process was conducted twice:
   once after group assignment 1 and once after group assignment 2. The
   group assignments final products were done in the form of VoiceThread
   online presentations that were shared with the rest of the class
   reflecting the groups' work on a health informatics topic of interest.
   Data sources: Data collected as the students completed self and peer
   evaluations for group assignments 1 and 2. Also, optional comments
   regarding member performance were collected to add contextual
   information in addition to ratings. Students received credit for
   completing the peer evaluations and the grade for the particular
   assignment was affected by their performance based on peer evaluations
   of their contributions.
   Results: Students' peer evaluations showed in a color-coded spreadsheet
   which enabled the course faculty to view real time results of students'
   ratings after each assignment. The faculty provided timely and tailored
   feedback to groups or individuals as needed, using positive feedback and
   commending high performance while urging struggling individual students
   and groups to improve lower ratings in specific areas. Comparing
   evaluations of both assignments, there were statistically significant
   improvements among all students. The mean scores of the entire sample
   were skewed toward the higher end of the scale, suggesting an overall
   high performance group. However, analysis of the lower performing
   individuals showed consistent and statistically significant improvements
   in all areas of the evaluation criteria.
   Conclusions: Anonymous peer evaluation activities and timely faculty
   feedback in e-Learning environment can be a useful tool to faculty to
   improve group performance over time by engaging the learners within
   their groups. Peer evaluations provided real time view of group
   mid-semester formative evaluations that allowed the faculty to provide
   timely and tailored feedback on student performance which allowed for
   better outcomes. (C) 2016 Elsevier Ltd. All rights reserved.
ZR 0
Z8 0
ZS 1
ZB 0
ZA 0
TC 15
Z9 16
U1 0
U2 27
SN 0260-6917
EI 1532-2793
UT WOS:000376705500012
PM 27138485
ER

PT J
AU Wysocki, Michal
   Saganiak, Karolina
   Zwinczewska, Helena
   Roy, Joyeeta
   Tomaszewski, Krzysztof A.
   Walocha, Jerzy A.
TI Iulius Casserius: revolutionary anatomist, teacher and pioneer of the
   sixteenth and seventeenth century
SO ANATOMICAL SCIENCE INTERNATIONAL
VL 91
IS 3
BP 217
EP 225
DI 10.1007/s12565-016-0326-1
PD JUN 2016
PY 2016
AB The demand for anatomical illustrations in the early modern period
   coincided with a scientific revolution. Starting out as a servant,
   Iulius Casserius became a great anatomist, who challenged the Galenic
   doctrine. The aim of this paper is to honor his memory and recreate the
   stylism of his anatomical illustrations. Online databases were searched
   for articles and original works. A medical graphic designer then
   recreated the figures presented in the article. Casserius was born
   around 1552. After moving to Padua, he served Fabricius in performing
   dissections. Obtaining his medical degree, he began working as an
   anatomical dissector and surgeon, later giving private anatomy lectures
   to students. He published De Vocis Auditusque and Pentaestheseion, and
   then became the lecturer of Surgery. In 1616, Casserius started his
   first Anatomy course and then died suddenly, at the height of his
   career. From the sixteenth century, illustrative techniques began
   focusing less upon artistry in favor of precise depictions of anatomical
   structures. Fabricius is considered to have used a strict scientific
   approach to illustrations for the first time. Anatomists of subsequent
   generations would still frequently use artistry in illustrations.
   Despite Casserius' mixed accuracy and artistry, his plates mark a new
   epoch in anatomic representation. Casserius left numerous eponyms and
   depicted, for the first time, many anatomical structures. Reprints in
   textbooks in the centuries following show convincing evidence of his
   success. Casserius contributed to medical education by taking the
   theatricality out of anatomy. Our article is a tribute to Casserius's
   achievements and depicts the revolution brought forth by a pioneer of
   his times.
RI Walocha, Jerzy/AAS-9174-2020; Walocha, Jerzy/ABB-9607-2021; Tomaszewski, Krzysztof/
OI Tomaszewski, Krzysztof/0000-0001-5077-6948
TC 2
ZS 0
ZA 0
ZB 1
Z8 1
ZR 0
Z9 3
U1 1
U2 5
SN 1447-6959
EI 1447-073X
UT WOS:000374559100001
PM 26783080
ER

PT J
AU Ledgerd, Ritchard
   Hoe, Juanita
   Hoare, Zoe
   Devine, Mike
   Toot, Sandeep
   Challis, David
   Orrell, Martin
TI Identifying the causes, prevention and management of crises in dementia.
   An online survey of stakeholders
SO INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
VL 31
IS 6
BP 638
EP 647
DI 10.1002/gps.4371
PD JUN 2016
PY 2016
AB BackgroundCrisis situations in dementia can lead to hospital admission
   or institutionalisation. Offering immediate interventions may help avoid
   admission, whilst stabilising measures can help prevent future crises.
   ObjectiveOur objective was to identify the main causes of crisis and
   interventions to treat or prevent crisis in persons with dementia based
   on different stakeholder perspectives.
   MethodsAn online questionnaire was developed to identify the causes of
   crisis and appropriate interventions in a crisis. Participants included
   people with dementia, family carers and staff working in health and
   social care, including emergency and voluntary sectors, and academia.
   ResultsThe results ranked the main causes of crisis, interventions that
   can prevent a crisis and interventions that can be useful in a crisis.
   Wandering, falls and infection were highly rated as risk factors for
   crises across all stakeholder groups. Consumers rated aggression as less
   important but severity of memory impairment as much more important than
   the other groups did. Education and support for family carers and home
   care staff were highly valued for preventing crises. Well-trained home
   care staff, communication equipment, emergency contacts and access to
   respite were highly valued for managing crises.
   ConclusionsWe identified triggers and interventions that different
   stakeholders see as important for crisis in dementia. Recognition of
   these may be critical to planning effective and accepted support and
   care for people with dementia. Copyright (c) 2015 John Wiley & Sons,
   Ltd.
RI Hoe, Juanita/ABA-6310-2020; Hoe, Juanita/C-5641-2008; Challis, David/B-9262-2008; Orrell, Martin/
OI Hoe, Juanita/0000-0003-4647-8950; Hoe, Juanita/0000-0003-4647-8950;
   Challis, David/0000-0002-6464-2286; Orrell, Martin/0000-0002-1169-3530
ZS 0
ZB 4
ZA 0
ZR 0
Z8 0
TC 18
Z9 18
U1 1
U2 32
SN 0885-6230
EI 1099-1166
UT WOS:000374700000011
PM 26489696
ER

PT J
AU Lai, Chin-Yuan
TI Training nursing students' communication skills with online video peer
   assessment
SO COMPUTERS & EDUCATION
VL 97
BP 21
EP 30
DI 10.1016/j.compedu.2016.02.017
PD JUN 2016
PY 2016
AB Communication is an important skill which nursing students must master
   in order to be effective in their career. One of the purposes of this
   study was to implement an online video peer assessment system to
   scaffold their communication skills. The other purpose was to examine
   the effects and validity of the peer assessment. Fifty nursing students
   enrolled in a psychiatric nursing course in Taiwan participated in the
   study. The experiment contained two rounds of peer assessments. In each
   round, the students had a therapeutic consultation with a simulated
   patient. It was recorded and uploaded on a YouTube platform which we
   designed to keep a log of viewing, rating and feedback from their peers.
   The peer assessment process was synchronized with the viewing of peers'
   communication videos so that feedback could be marked to the relevant
   point on the video. Expert evaluation scores showed that students'
   communication performance, when involved in peer assessments,
   significantly improved. In the first round, the scores determined by the
   peers were not correlated with those marked by the experts. However, in
   the second round, both scores were significantly correlated, indicating
   that the online peer assessment could be perceived as a valid assessment
   method for nursing communication skills training. Moreover, the analysis
   of peer feedback also revealed that their communication became more
   patient-centered gradually due to the peer assessments. On the whole,
   the students were satisfied with the peer assessment activities and
   appreciated the contribution to their communication skills. (C) 2016
   Elsevier Ltd. All rights reserved.
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
TC 31
Z9 31
U1 2
U2 91
SN 0360-1315
EI 1873-782X
UT WOS:000374601500002
ER

EF